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Scientific Department, Sigma Tau S.p.A. Pomezia, Rome (P.B., R.N., M.C.)
Department of Experimental Oncology, National Cancer Institute, Naples (G.P.), ITALY
Address reprint requests to: Menotti Calvani, MD, Scientific Director of Sigma-tau S.p.A., Scientific Department, Sigma Tau S.p.A., via Pontina Km 30,400, 00040 - Pomezia, Rome, ITALY. E-mail: menotti.calvani{at}sigma-tau.it
Dietary polyunsaturated fatty acids (PUFA) have effects on diverse physiological processes impacting normal health and chronic diseases, such as the regulation of plasma lipid levels, cardiovascular and immune function, insulin action and neuronal development and visual function. Ingestion of PUFA will lead to their distribution to virtually every cell in the body with effects on membrane composition and function, eicosanoid synthesis, cellular signaling and regulation of gene expression. Cell specific lipid metabolism, as well as the expression of fatty acid-regulated transcription factors, likely play an important role in determining how cells respond to changes in PUFA composition. This review will focus on recent advances on the essentiality of these molecules and on their interplay in cell physiology, leading to new perspective in different therapeutic fields.
Key words: polyunsaturated fatty acids, nutrition, carnitine, eicosanoid metabolism, gene expression, chronic diseases
Abbreviations: AA = arachidonic acid BMD = bone mineral density COX = cyclooxigenase DHA = docosahexaenoic acid DGLA = di-homo-gamma-linolenic acid EFA = essential fatty acids EGF = epithelial growth factor EPA = eicosapentaenoic acid HETE = hydroxyeicosatetraenoic acid HNF = hepatic nuclear factor HPETE = hydroperoxyeicosatetraenoic acid IFN = interferon IGF = insulin-like growth factor IL = interleukin LA = linoleic acid LNA = alpha-linolenic acid LOX = lipooxygenase LT = leukotriene LXR = liver X receptors NF-kB = nuclear factor kB NSAIDs = nonsteroidal antiinflammatory drugs PBMC = peripheral blood mononuclear cells PGE = prostaglandin PGI = prostacyclin PIF = proteolysis-inducing factor PLA2 = phospholipase A2 PPAR = peroxisome proliferator-activated receptor PUFA = polyunsaturated fatty acids RXR = retinoid X receptors SREBP = sterol regulatory element-binding protein TGF = transforming growth factor TNF = tumor necrosis factor TR = thyroid hormone receptor TX = thromboxane
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