PMID- 18296320 OWN - NLM STAT- MEDLINE DCOM- 20080702 LR - 20081121 IS - 0964-7058 (Print) IS - 0964-7058 (Linking) VI - 17 Suppl 1 DP - 2008 TI - The omega-6/omega-3 fatty acid ratio, genetic variation, and cardiovascular disease. PG - 131-4 AB - A high omega-6/omega-3 ratio, as is found in today's Western diets, promotes the pathogenesis of many chronic diseases, including cardiovascular disease. Increased dietary intake of linoleic acid (LA) leads to oxidation of low-density lipoprotein (LDL), platelet aggregation, and interferes with the incorporation of essential fatty acids (EFA) in cell membrane phopholipids. Both omega-6 and omega-3 fatty acids influence gene expression. Omega-3 fatty acids have strong anti-inflammatory effects, suppress interleukin 1 beta (IL-1 beta), tumor necrosis factor-alpha (TNF alpha) and interleukin-6 (IL-6), whereas omega-6 fatty acids tend to be pro-inflammatory. Because inflammation is at the base of many chronic diseases, including coronary heart disease, dietary intake of omega-3 fatty acids plays an important role in the manifestation of disease, particularly in persons with genetic variation, as for example in individuals with genetic variants at the 5-lipoxygenase (5-LO). Increased dietary arachidonic acid (AA) significantly enhances the apparent atherogenic effect of genotype, whereas increased dietary intake of omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) blunts this effect. The diet-gene interaction further suggests that dietary omega-6 fatty acids promote, whereas marine omega-3 fatty acids EPA and DHA inhibit leukotriene-mediated inflammation that leads to atherosclerosis in this subpopulation. FAU - Simopoulos, Artemis P AU - Simopoulos AP AD - The Center for Genetics, Nutrition and Health, 2001 S Street, NW, Suite 530, Washington, DC 20009 USA. cgnh@bellatlantic.net LA - eng PT - Journal Article PT - Review PL - China TA - Asia Pac J Clin Nutr JT - Asia Pacific journal of clinical nutrition JID - 9440304 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Fatty Acids, Omega-3) RN - 0 (Fatty Acids, Omega-6) SB - IM MH - Anti-Inflammatory Agents/administration & dosage/metabolism MH - Cardiovascular Diseases/etiology/*genetics/metabolism MH - Fatty Acids, Omega-3/*administration & dosage/metabolism MH - Fatty Acids, Omega-6/*administration & dosage/metabolism MH - Gene Expression Regulation MH - *Genetic Variation MH - Genotype MH - Humans RF - 46 EDAT- 2008/05/28 09:00 MHDA- 2008/07/03 09:00 CRDT- 2008/05/28 09:00 PHST- 2008/05/28 09:00 [pubmed] PHST- 2008/07/03 09:00 [medline] PHST- 2008/05/28 09:00 [entrez] PST - ppublish SO - Asia Pac J Clin Nutr. 2008;17 Suppl 1:131-4.