Current
Nutrition & Food Science
ISSN: 1573-4013

Current Nutrition & Food
Science
Volume 4, Number 1, February 2008
Contents

Editorial Pp. 1
Beneficial Actions of Polyunsaturated Fatty
Acids in Cardiovascular Diseases: But, How and Why?
Pp. 2-31
Undurti N. Das
[Abstract]
Regulation of Ingestive Behavior, the
Upper Gastrointestinal Motility and Gastric Acid Secretion
by Ghrelin in Mammals Pp. 32-40
Chih-Yen Chen, Mineko Fujimiya, Akihiro Asakawa, Shou-Dong
Lee and Akio Inui
[Abstract]
Use of Total Parenteral Nutrition in Severe Anorexia
Nervosa Complicated by a Gastrointestinal Illness
Pp. 41-43
Philip S. Mehler
[Abstract]
Screening Strategy for Iron Enhancers: Increasing
Iron Bioavailability Pp. 44-52
Silvia Miret, Bernd van Buuren, Guus Duchateau and Werner
Klaffke
[Abstract]
Dietary Factors Influencing Magnesium Absorption
i Humans Pp. 53-72
Torsten Bohn
[Abstract]
Abstracts

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Editorial
The third year of Current Nutrition & Food Science
has been completed after the publication of 4 issues in 2007
with a total number of 32 manuscripts + 4 editorials. We have
followed the standard publication procedure consisting of
one issue per trimester but this year with three special issues.
We are very happy and thankful for the support received from
our Editorial Advisory Board members as well as from many
other scientists that have trusted our journal, either by
submitting manuscripts for publication or by collaborating
in the review of submitted manuscripts, a very important and
essential task to guarantee the high scientific quality of
the journal. I also wish to thank Miss Samreen Laeeq, the
Manager Publications, for her continuous dedication to the
journal. We are trying to keep a high scientific excellence
level of the published manuscripts since it is essential to
consolidate the reputation and scientific impact of CNF.
Current Nutrition & Food Science has published in 2007
a good number of reviews on topics of interest in nutrition
and food science. It has also included 3 special issues of
relevant interest in the field. The special issue (no. 2,
May) on “Dietary determinants of the metabolic syndrome"
had Prof. Luc Tappy, Dr. Jacques Delarue and Dr. Kim-Anne-Lê
as guest editors. The special issue (no. 3, August) on “Oxidative
stress in disease” had Prof. Alessandro Laviano
as Guest Editor and the third special issue (no. 4, November)
on the ”Role of food and nutritional factors in
metabolic syndrome X, cancer and cardiovascular diseases”
that had Prof. Undurti N. Das as guest editor. I take this
opportunity to thank the guest editors for providing interesting
manuscripts written by excellent scientists and for their
kind collaboration in editing these special issues.
At this moment, Current Nutrition & Food Science is already
indexed in Chemical Abstracts, EMBASE, Scopus, and EMNursing
and is now under re-review process for its inclusion in important
databases like PubMed, Medline and ISI. Current Nutrition
& Food Science provides reviews on different topics of
interest in nutrition and food science, trying to provide
an updated state-of-the-art and latest novelties on each focused
topic. Our final objective is the dissemination of updated
and rigorous scientific information on nutrition and food
science and making them available to all interested scientists
and technical staff in academia, research centers, hospitals,
nutrition and diet services, food and pharmaceutical industry
and regulatory agencies.
Prof. Fidel Toldrá, Ph.D.
Editor-in-Chief
Department of Food Science
Instituto de Agroquimica y
Tecnologia de Alimentos (CSIC)
Apt. 73, 46100 Burjassot
(Valencia)
Spain
E-mail:
ftoldra@iata.csic.es
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Beneficial Actions of Polyunsaturated Fatty Acids in Cardiovascular
Diseases: But, How and Why?
Undurti N. Das
Omega-3 fatty acids, eicosapentaenoic acid (EPA) and
docosahexaenoic acid (DHA), and to a limited extent ω-6
fatty acids: arachidonic acid (AA), γ-linolenic
acid (GLA) and dihomo-GLA (DGLA), prevent cardiovascular disease,
thrombosis and atherosclerosis, reduce cardiac arrhythmias,
lower plasma cholesterol and triglycerides, lower high blood
pressure and improve endothelial function. These beneficial
actions of the fatty acids could be attributed to their ability
to augment endothelial nitric oxide generation, inhibit HMG-CoA
reductase and angiotensin converting enzyme (ACE) activities,
block the production of pro-inflammatory cytokines, and modulate
telomerase activity. AA, EPA, and DHA form precursors to anti-inflammatory
molecules: lipoxins and resolvins that help in wound healing,
inhibit the actions of pro-inflammatory eicosanoids, and suppress
the production of free radicals and enhance nitric oxide (NO)
generation. In addition, these fatty acids react with NO and
NO-derived reactive nitrogen species to form nitroalkene derivative
of fatty acids called as nitrolipids. Nitrolipids serve as
potent ligands for peroxisome proliferator activated receptors
(PPARs), inhibit platelet activation through elevation of
cyclic AMP levels; suppress superoxide generation, degranulation,
and integrin expression by human neutrophils, and induce vasorelaxation
in a concentration dependent manner by releasing NO. Nitrolipids
are formed at the sites of inflammation in significant amounts
and increased by oxidative inflammatory reactions. Furthermore,
ω-3
and ω-6
fatty acids interact with each other to enhance the formation
of prostaglandin E1 (PGE1),
prostacyclin (PGI2), and
PGI3, which are potent platelet
anti-aggregators and vasodilators. Thus, GLA, DGLA, AA, EPA,
and DHA when present in optimum amounts in the tissues, especially
in endothelial cells, myocardium, platelets, and neutrophils,
may aid in the prevention of cardiovascular diseases.
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Regulation of Ingestive Behavior, the Upper Gastrointestinal
Motility and Gastric Acid Secretion by Ghrelin in Mammals
Chih-Yen Chen, Mineko Fujimiya, Akihiro Asakawa, Shou-Dong
Lee and Akio Inui
Ghrelin, a novel 28-amino acid peptide, was recently
identified as the first endogenous ligand for growth-hormone
secretagogue receptors (previously known as orphan receptors),
and discovered by “reverse pharmacology”. The
ghrelin peptide features a unique post-translational modification
of O-n-octanoylation at serine 3, and is
secreted from X/A cells in gastric oxyntic glands into the
blood circulation. Two major molecular forms of ghrelin are
found in the stomach and plasma: acyl ghrelin with O-n-octanoylated
serine in the position 3, and des-acyl ghrelin. Among dozens
of enzymes, hormones and other factors secreted by the gastrointestinal
tract in response to food in the lumen, acyl ghrelin is the
only gastrointestinal signal to increase meal size.
Acyl ghrelin stimulates food intake both in free-feeding (naturally
fed) and food-deprived (fasted) rodents, and induces adiposity.
Also, acyl ghrelin ameliorates cancer cachexia in nude mice,
and alleviates ingestive behavior induced by cancer chemotherapy-related
dyspepsia in normal rats. However, des-acyl ghrelin counteracts
the metabolic but not the neuroendocrine response to acyl
ghrelin. Transgenic mice overexpressing des-acyl ghrelin have
been shown small phenotype. In addition, des-acyl ghrelin
inhibits food intake in food-deprived mice and rats. Acyl
ghrelin stimulates gastrointestinal motor activity and accelerates
gastric emptying in rats, but not in dogs. On the contrary,
des-acyl ghrelin has been shown to disrupt gastric motility
in rats, and delay gastric emptying in mice and rats. For
the majority of experiments, acyl ghrelin stimulates gastric
acid secretion in rats, however, different results exist.
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Use of Total Parenteral Nutrition in Severe Anorexia Nervosa
Complicated by a Gastrointestinal Illness
Philip S. Mehler
At present there is no consensus on how to refeed patients
with severe anorexia nervosa. Staged progressive oral feeding
programs, enteral feedings and total parenteral nutrition
have been utilized to facilitate recovery. Although most patients
with anorexia nervosa should be refed with a dietary program
which is based on progressive increases in oral calories,
total parenteral nutrition should be judiciously considered
for the select patient with severe anorexia nervosa who also
has medical comorbidities which preclude the usage of this
standard approach. This alternative mode of refeeding may
afford a meaningful recovery to a subset of patients with
anorexia nervosa for whom the overall prognosis is guarded.
However, the usage of total parenteral nutrition in this population
is fraught with multiple potential complications which must
be averted. Herein is described two patients with severe anorexia
nervosa, and comorbid gastrointestinal issues which necessitated
a trial of total parenteral nutrition to effectuate weight
restoration.
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Screening Strategy for Iron Enhancers: Increasing Iron Bioavailability
Silvia Miret, Bernd van Buuren, Guus Duchateau and Werner
Klaffke
Iron deficiency is the most common nutritional disorder
in the world. It is estimated that 2 billion people are anaemic.
Approximately 50% of infants, school-age children and women
of reproductive age suffer from iron deficiency anaemia in
some countries of South Asia, compared to about 25% in Latin
America and 10% in the industrialised countries of Europe.
Iron deficiency is a result of the imbalance between the amount
of iron absorbed and iron excreted. Such an imbalance may
be the result of low iron intake due to low iron content of
the diet or to low bioavailability of the dietary iron to
compensate for the losses. Certain compounds such as ascorbic
acid are well known for increasing iron bioavailability. However,
not many other compounds have been found with a similar effect.
In this review, we evaluate the methods employed in the search
for compounds that could enhance iron bioavailability from
iron fortified foods. All the methods are designed to screen
for natural compounds that can form complexes with iron to
guarantee product stability and acceptable taste, but still
able to increase the concentration of soluble iron in the
proximity of the intestinal brush border membrane, allowing
for efficient iron uptake into the intestinal cells.
When used as a prelude of human trials, this screening strategy
might enable improved design and productivity of the more
expensive human experiment. Applications of this model include
product development, but also screening of plant cultivars
for improved bioavailability, development of improved supplements
and studies of the precise factors that promote iron uptake.
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Dietary Factors Influencing Magnesium Absorption in Humans
Torsten Bohn
Decreased Mg intake and low Mg status have been associated
with a number of major health concerns such as diabetes mellitus
type II, coronary heart disease, and osteoporosis. While information
on Mg intake is available, relatively little is known on dietary
factors influencing Mg bioavailability. While it is established
that Mg absorption is based on a combination of a non-saturable
and a saturable pathway, the nature of especially the latter
mechanism is not well understood. Recently, stable isotopes
have improved techniques available for the determination of
Mg absorption from single test meals or supplements. Some
inorganic Mg forms such as MgO seem of limited solubility
in the intestine, suggesting low bioavailability. Recent studies
have further added evidence that some commonly consumed dietary
compounds, such as phytate and oxalate, can inhibit Mg absorption,
presumably via complexation, preventing absorption from the
small intestine. Phytate for example has been shown to decrease
Mg absorption by up to 60%, in a dose dependent manner. On
the other hand, fermentable dietary fibre, such as fructo-oligosaccharides,
have been demonstrated to increase Mg absorption in humans
by 10-25%, even though the underlying mechanisms remain to
be elucidated. Future studies to investigate factors impacting
Mg absorption are warranted.
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