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JOURNAL OF MEDICINAL FOOD J Med Food 17 (2) 2014, 189–197 # Mary Ann Liebert, Inc., and Korean Society of Food Science and Nutrition DOI: 10.1089/jmf.2013.2917 Unsaturated Fatty Acids, Desaturases, and Human Health Hyungjae Lee1 and Woo Jung Park 2 2 1 Department of Food Engineering, Dankook University, Cheonan, Korea. Department of Marine Food Science and Technology, Gangneung-Wonju National University, Gangneung, Korea. ABSTRACT With the increasing concern for health and nutrition, dietary fat has attracted considerable attention. The composition of fatty acids in a diet is important since they are associated with major diseases, such as cancers, diabetes, and cardiovascular disease. The biosynthesis of unsaturated fatty acids (UFA) requires the expression of dietary fat-associated genes, such as SCD, FADS1, FADS2, and FADS3, which encode a variety of desaturases, to catalyze the addition of a double bond in a fatty acid chain. Recent studies using new molecular techniques and genomics, as well as clinical trials have shown that these genes and UFA are closely related to physiological conditions and chronic diseases; it was found that the existence of alternative transcripts of the desaturase genes and desaturase isoforms might affect human health and lipid metabolism in different ways. In this review, we provide an overview of UFA and desaturases associated with human health and nutrition. Moreover, recent findings of UFA, desaturases, and their associated genes in human systems are discussed. Consequently, this review may help elucidate the complicated physiology of UFA in human health and diseases. KEY WORDS: dietary fat-associated genes fatty acid desaturase (FADS) health and development monounsaturated fatty acids polyunsaturated fatty acids stearoyl-CoA desaturase (SCD) lipids, including long chain polyunsaturated fatty acids (LCPUFA). The isoforms and physiological functions of SCD and FADS have been investigated for more than a decade with the development of molecular techniques and transgenic mice.6 Recently, the alternative transcripts of FADS genes7 and a novel function of FADS1 transcriptional isoform have been reported to regulate PUFA synthesis.8 Human genome data have also facilitated analyses of the association of FADS genes with human health, suggesting PUFA and FADS genes are essential for human health and physiological development.4 In this review, we summarize the current knowledge of UFA, such as MUFA and PUFA, closely related to human health and diseases. Moreover, the well-known functions and biosynthesis of SCD and FADS are described, and recent new findings on the implications of SCD and FADS in diseases and physiological conditions using state-of-the-art techniques are discussed. INTRODUCTION D ietary fat composition is highly essential for the maintenance of human health, the prevention of lipidassociated diseases, and development.1 Especially, unsaturated fatty acids (UFA) are considered nutritionally important, and desaturases are the main enzymes to synthesize UFA in biological systems.2 Monounsaturated fatty acids (MUFA) containing only one double bond in their structure are mostly synthesized by stearoyl-CoA desaturase (SCD), which is known to be associated with obesity, insulin resistance, and skin diseases.3 Polyunsaturated fatty acids (PUFA), including more than two double bonds are generated by several fatty acid desaturases (FADS); the genes encoding FADS were reported to be related to many diseases, such as cardiovascular disease, diabetes, and allergy,4 and physiologically important for brain development and cognition.5 Many UFA studies have been performed to understand the biological properties of the fatty acids and their beneficial effects on human health. Recent advances in molecular biology, including genetic and genomic techniques, have enabled scientists to better understand desaturases and their association with health and diseases, as well as diverse BIOSYNTHESIS OF UFA MUFA, such as palmitoleic acid (16:1n-7) and oleic acid (18:1n-9) are synthesized by SCD (Fig. 1A).3 Alternatively, an isoform of palmitoleic acid (16:1n-10) can be generated by delta-6 desaturase (FADS2) in biological systems9 as shown in Figure 1A. Omega-9 fatty acids are assumed to be synthesized from these MUFA by delta-5 and delta-6 desaturation and/or several elongation pathways, such as biosynthesis of omega-3 and omega-6 fatty acids.6 Manuscript received 17 April 2013. Revision accepted 4 September 2013. Address correspondence to: Woo Jung Park, PhD, Department of Marine Food Science and Technology, Gangneung-Wonju National University, Gangwon 210-702, Gangneung, Korea, E-mail: [email protected] 189 190 LEE AND PARK FIG. 1. Schematic representation of unsaturated fatty acids (UFA) biosynthesis in mammals. (A) Biosynthetic pathway of monounsaturated fatty acids (MUFA). MUFA is mostly catalyzed by stearoyl-CoA desaturase (SCD, delta-9 desaturase). SCD helps the introduction of a double bond at the ninth carbon-carbon bond from the carboxylic end in stearic acid (18:0) to generate oleic acid (18:1n-9). In addition, palmitoleic acid (16:1n-7) can be synthesized by SCD and an isoform of the palmitoleic acid (16:1n-10) can be generated by delta-6 desaturase (FADS2) in a biological system. (B) Biosynthetic pathway of polyunsaturated fatty acids (PUFA). Mammals, including humans cannot produce linoleic acid (LA, 18:2n-6) and a-linolenic acid (ALA, 18:3n-3), dietary essential fatty acids, which must be consumed in the diet. They can synthesize other PUFA by several desaturation and elongations. Delta-6 desatuarse (FADS2) and delta-5 desaturase (FADS1) catalyze the desaturation of the sixth and the fifth carbon from the carboxylic end in a fatty acid chain, respectively. Delta-4 desaturase catalyzes introduction of a double bond at the fourth carbon from the carboxylic end in a fatty acid chain. This enzyme was demonstrated only in marine vertebrate and lower eukaryotes. Up till now, docosahexaenoic acid (DHA) has been recognized to be synthesized by FADS2 and peroxisomal b-oxidation in mammals. In contrast, the essential fatty acids, linoleic acid (LA, 18:2n-6) and a-linolenic acid (ALA, 18:3n-3) must be consumed in the diet because these fatty acids cannot be synthesized by mammals, including humans. These two fatty acids, LA and ALA can be changed into a variety of omega-6 and omega-3 fatty acids by a series of desaturases and elongases, respectively (Fig. 1B);6 the conversion of LA to c-linolenic acid (GLA, 18:3n-6) and ALA to 18:4n-3 are catalyzed by delta-6 desaturase, FADS2.10 The production of dihomo-c-linolenic acid (DGLA, 20:3n-6) to arachidonic acid (ARA, 20:4n-6) and 20:4n-3 to eicosapentaenoic acid (EPA, 20:5n-3) are synthesized by delta-5 desauturase, FADS1.11 Twenty-carbon PUFA are known as eicosanoid precursors, among which ARA is a well-known proinflammatory eicosanoid precursor. In contrast, both EPA and DGLA are anti-inflammatory eicosanoid precursors.12,13 However, delta-8 desaturation is an alternative pathway for the production of PUFA in which FADS2 also acts as a delta-8 desaturase, and was shown to synthesize DGLA and 20:4n-3 from 20:2n-6 to 20:3n-3, respectively. This suggests that this pathway may be critical under conditions in which a high rate eicosanoid synthesis is required.14 The two-carbon elongations of GLA to DGLA and 18:4n-3 to 20:4n-3 are catalyzed by an elongase, ELOVL5.6 It is widely recognized that the substrates for the biosynthesis of docosahexaenoic acid (DHA, 22:6n-3) and docosapentaenoic acid (DPA, n-6, 22:5n-6) are 24:6n-3 and 24:5n-6 for the peroxisomal oxidation, respectively, and that two-carbon elongation and the subsequent delta-6 desa- turation of ARA and EPA occurs for the production of 24:5n-6 and 24:6n-3, respectively (Fig. 1B).15 UFA AND DESATURATION Desaturases generate a double bond in a fatty acid chain to produce a variety of UFA. According to the position of double bond, the enzymes are classified into different groups of desaturases: delta-9, delta-6, delta-5, or delta-4 desaturases.2 Delta-9 desaturase catalyzes desaturation of the ninth carbon-carbon bond from the carboxylic end in a fatty acid chain. This enzyme is also called SCD, which catalyzes mainly the desaturation of saturated fatty acids (SFA), such as palmitic acid (16:0) and stearic acid (18:0) (Fig. 1A).2,6 Transgenic mouse studies have revealed a variety of physiological roles and regulatory pathways associated with those Scd genes and proteins.16,17 Delta-9-desaturase has been reported to be associated with obesity, atherosclerosis, and even skin diseases.3,18 Scd1 deficient mice showed several distinctive physiological changes in lipid biosynthesis and insulin sensitivity in liver, muscle, and adipose tissues.3,16 These variations that might be caused by transcriptional or posttranscriptional effects would be associated with obesity, insulin resistance, diabetes, and hyperlipidemia causing metabolic syndrome.3 Scd2 deficient mice displayed changes in skin and liver development related to lipid synthesis. Unlike its roles in Scd1 in adult mice, Scd2 was responsible for the synthesis of MUFA in neonates.17 However, there has been no UFA, DESATURASES, AND HUMAN HEALTH report investigating the other two genes, Scd3 and Scd4 as yet. Scd3 does not have a catalytic activity on stearic acid but does for palmitoic acid, implying that Scd3 can be considered as a palmitoyl-CoA desaturase unlike other SCD isomers.19 Delta-6 desaturase is so named because it catalyzes the formation of a double bond at the sixth carbon-carbon bond from the carboxylic end in a fatty acid chain. Delta-6deasturase, a rate-limiting desaturase for the production of PUFA, is known to serve multiple functions, including delta-6 desaturation activities on LA and ALA (Fig. 1B).2,10 In addition to the delta-6 desaturase activity, the enzyme exhibited another delta-6 desaturation activity to produce 16:1n-10 fatty acid from palmitic acid,9 which is also important for the skin of animals, including humans.20 Delta-6desaturase was also reported to participate in peroxisomal b-oxidation to produce DHA, as shown in Figure 1B.21 Recently, Park et al. showed that delta-6 desaturase encoded by FADS2 also had catalytic activities on 20:2n-6 and 20:3n-3 as a delta-8 desaturase;14 Fads2 deficient mice exhibited physiological malfunctions, accompanied by the consequent LCPUFA deficiency, which led to the abnormal conditions of reproduction, skin and intestine without affecting viability.22,23 The knockout mice also displayed tissue-dependent changes in LCPUFA contents. However, ARA supplementation in a diet reversed the dermatitis and intestinal ulcers in the knockout mice; however, the diet could not change DPAn-6 levels in the brain. Delta-5 desaturase is an enzyme that catalyzes the generation of a double bond at the fifth carbon-carbon bond from the carboxylic end in a fatty acid chain. This desaturase acts on DGLA and 20:4n-3 to produce ARA and EPA, respectively.11 Moreover, the enzyme was reported to catalyze the production of 20-carbon PUFA derived eicosanoids.13,24 Very recently, Fads1 deficient mice generated by Fan et al.25 were not able to produce ARA and ARA-derived eicosanoids related to inflammation, vasoconstriction, and allergic diseases in humans, as well as development of many diseases, such as cancers with serious problems in intestinal crypt proliferation, immune cell homeostasis, and sensitivity to acute inflammatory challenge.24 In addition, the mice lacking ARA were not able to survive more than 12 weeks, but dietary ARA helped extend their life span. Delta-4 desaturase catalyzes the formation of a double bond at the fourth carbon-carbon from the carboxylic acid end in a fatty acid chain. This enzyme is important for the biosynthesis of DHA, which is an important nutrient for the early development and diverse physiological conditions. Up till now, there is no report that delta-4 desaturase is synthesized in mammals, but lower eukaryotes have been reported to generate this enzyme.26,27 Recently Li et al. reported that marine vertebrates encoded delta-4 desaturase genes expressed in their systems (Fig. 1B).28 SCD and isoforms Humans contain two SCD isoforms, SCD1 and SCD5;29,30 however, mice have four different isoforms, Scd1, Scd2, Scd3, 191 and Scd4, highly homologous to the human SCDs.19 SCD1, a human SCD gene encoding 359 amino acids (aa) is located at human chromosome 10q24.31. SCD5, the other SCD gene highly expressed in the brain and pancreas, is located at chromosome 4q21.22. SCD5 is composed of four exons and three introns, and its expressed protein contains 256 aa. SCD proteins have three conserved histidine boxes in the structure, which are assumed to act as catalytic domain chelating an iron.6 SCD is also known to collaborate with NADH, cytochrome b5 as an electron donor, flavonprotein reductase, and molecular oxygen in the endoplasmic reticulum.31 Recently, Sinner et al. reported that SCD5 expression might be associated with the growth and differentiation of neuronal cells.30 Animal studies have shown that SCD is tissue-dependently expressed;6 Scd1 was differently expressed in adipose tissue and liver in animals according to diet.32 The expression level of Scd2 was found to be high in brain and neuronal tissues.33 In contrast, Scd3 was expressed in sebocytes and harderian and preputial glands, but Scd4 is uniquely expressed in heart.34 FADS and alternative transcripts In human chromosome 11, there are three FADS genes for the biosynthesis of PUFA: FADS1, FADS2, and FADS3. They are localized at 11q12.2–11q13.1, consisting of 12 exons and 11 introns. FADS1 and FADS2 are composed of 444 aa unlike putative FADS3 containing 445 aa. However, all the three enzymes have a common N-terminal cytochrome b5 domain and three histidine boxes in contrast to SCD having no cytochrome b5 domain. Recently, an alternative transcript of FADS2 (FADS2 AT1) and seven alternative transcripts of FADS3 (FADS3 AT1–AT7) were found to be expressed in various baboon tissues and human neuroblastoma cells, SK-N-SH.35,36 Putative coding region of FADS2AT1 contains only three histidine boxes without cytochrome b5 domain. This structure suggested that the role of the alternative transcript would be associated with the desaturation of nonmethylene interrupted PUFA.35 The seven alternative transcripts of FADS3 exhibited a variety of structural and expression characteristics. Among the transcripts, FADS3 AT1 and AT3 include a conserved Nterminal cytochrome and three histidine domains. FADS3 AT5 uniquely retains intron 5. In addition to FADS2, FADS3 transcripts were expressed in a tissue-specific manner and the expression pattern was changed depending on the neuronal cell differentiation.7,35,36 Moreover, the protein isoforms of FADS3 expressed in a tissue-dependent fashion were identified in both human cells and rodent tissues.37 However, no evident function of FADS3 has been reported since the first report in 200038 even though FADS3 has been reported to be an important gene for hyperlipidemia39 and implantation sites.40 Recently, Park et al. found new alternative transcriptional isoforms of FADS1 by using 50 - and 30 -RACE analysis, and they identified the function of a new isoform that potentiates the delta-6 desaturations of FADS2.8 This finding was the first report that one gene’s function can be regulated by another gene’s splice variant. 192 LEE AND PARK IMPORTANCE OF DIETARY UFA TO HUMAN HEALTH Dietary fat, including fat soluble vitamins and essential fatty acids is indispensable for human health and nutrition as a main energy source. Fat in a diet can play a key role for the prevention of diseases depending on its compositional changes.1 Many diseases, including cardiovascular disease and cancers are associated with metabolic changes in SFA and their metabolites.41 Effect of UFA on human health and development It was reported that changes in SFA and triglyceride levels may considerably affect SCD activity of lipotoxic mechanisms in nonalchoholic fatty liver disease (NAFLD) patients.42 In particular, LCPUFA have been considered major nutrients in the control of many physiological conditions for human health and development; the biosynthesis and/or bioavailability of LCPUFA were found to be linked to the occurrence of NAFLD,43 autoimmune diseases,24 and other chronic diseases, including cancers and diabetes. In particular, eicosanoids and/or docosanoids derived from LCPUFA, such as prostaglandins, prostacyclins, and leukotrienes are crucial cellular signal molecules that are associated with inflammatory and immune regulation.44 Two omega-3 LCPUFA, EPA, and DHA were reported to positively affect immune responses and immune-related diseases, such as arthritis and asthma.13 Recently, the supplementation of these LCPUFA was also found to make beneficial effects on the treatment of the colon and breast cancer patients.45,46 Furthermore, LCPUFA are reported to be essential for brain development as major components of the human brain.5 These fatty acids are considered to be vital components in human breast milk and baby formula.47–49 The level of the fatty acids rapidly increases up to 24 months after the birth in the human brain;50 DHA, the most abundant fatty acid in the brain, is known as a key factor for cognition and brain health, as well as the prevention of neurodegenerative diseases, such as Alzheimer’s disease and cognitive decline.51 Aside from the important roles for brain development and health, DHA is one of the most important structural constituents for visual function in the eyes; DHA in the retina may lead to the alteration of permeability, fluidity, and lipid phase characteristics, resulting in the change of photoreceptor membrane function.52 Importance of omega-6 to omega-3 ratio in a diet Even though UFA show beneficial effects on human health, the high ratio of omega-6 to omega-3 fatty acids is considered a major contributor to the pathogenesis of many diseases, such as cardiovascular disease, diabetes, and cancers.1,53 In the present Western diet, the ratio has been much higher than that in the ancient, Mediterranean, or Japanese diet; the ratio of the current Western diet is greater than 15:1.53 Consequently, as the Western diet consumption has increased, there has been much concern over many diseases related to the consumption of high-fat diet and metabolic syndromes, obesity, and diabetes.24 However, dietary change in omega-6/omega-3 ratio has been reported to be able to prevent and treat the diseases.24,54 In contrast, the beneficial effects of the Japanese and Mediterranean diet on human health is attributable to the ratio of omega-6/omega3 lower than 4:1, as well as high amounts of fish or diverse vegetable oils in the diets.55,56 The consumption of a Mediterranean diet resulted in *70% decrease in mortality rate of cardiovascular disease.57 Furthermore, reduced omega-6/ omega-3 ratio in a diet supplemented with fish oil decreased rectal cell proliferation of patients with colon cancer.58 The reduction of omega-6/omega-3 ratio also may decrease the risk of breast cancer,59 relieve rheumatoid arthritis,60 and have beneficial effects on asthma.54 Desaturases and human health Due to increasing Western diet consumption containing high SFA and omega-6/omega-3 ratios, many diseases, such as cardiovascular disease, diabetes, and cancers have come to be major diseases in the United States and other countries.1 As a consequence, the rising concern over health and nutritional effects of diet on human health has led to new emphasis on nutritional genetics and genomics by studying the relationship between nutrients or food components and transcriptional change of relevant genes in human beings. Table 1 summarizes major physiological conditions, including chronic diseases associated with desaturase genes through recent genetic and genomic studies. The consumption of dietary fat with different fatty acid compositions and the diseases or physiological change caused by those nutrients and related genes has been investigated by referring a wide range of relevant knowledge and by using newly developed techniques. Moreover, UFA have been studied for their preventive effects on these diseases and the clinical and population implications have been explored.4,61–63 Table 1. Desaturase Genes, Substrates for the Gene, and Their Associated Diseases and Physiological Conditions Genes SCD Substrates for catalytic activity (fatty acid) Associated diseases and physiological conditions 16:0, 18:0 Obesity, insulin resistance, atherosclerosis, and hyperlipidemia;3 skin disease;18 neuronal differentiation30 FADS1 20:2n-6, 20:3n-3, Cholesterol level and coronary 20:3n-6, 20:4n-6 artery disease;65 insulin resistance;74 breast cancer82 FADS2 16:0, 18:2n-6, 18:3n-3, Conditional change of skin, reproductive systems, and 20:2n-6, 20:3n-3, intestine;22,23 infant IQ;68 24:4n-6, 24:5n-3 ADHD;71 breast cancer;82 statin sensitivity83 FADS3 Unknown Hyperlipidemia;39 implantation in uterus;40 neuronal differentiation69 ADHD, attention-deficit/hyperactivity disorder. UFA, DESATURASES, AND HUMAN HEALTH Effect of genetic variation in desaturase genes FADS haplotypes and coronary artery disease inflammation were investigated in people consuming a Westernized diet that contained excessive meat and low amounts of vegetables. The population consuming the diet showed a tendency for fatty acid desaturations that were highly associated with proinflmmatory conditions, resulting in the development of atheroscelerotic vascular damage.64 The genomic association of plasma omega-3 and omega-6 fatty acids was analyzed in the InCHIANTI study, suggesting that the significantly associated locus was rs174537 near FADS1 for ARA.65 The locus was also related to eicosadienoic acid (EDA, 20:2) and EPA, where minor alleles (TT) were involved in lower levels of longer fatty acids (EDA, ARA, EPA) and higher levels of LA and ALA. The major allele (GG) in rs174537 near FADS1 induced lower LDLcholesterol levels, but minor allele (TT) also led to lower LDL-cholesterol levels, contrary to the expectations, suggesting that other mechanism(s) that moderate lipoprotein homeostasis may exist, and that a transcription factor is involved because proliferator-activated receptor a (PPARa) activated the elevation of HDL-cholesterol levels and the decreases in triglyceride.65 Sergeant et al. also provided evidence that FADS gene variants in African American and European American were associated with the levels of serum PUFA and diabetes.66 Moreover, they found that rs174537 is an important region among people with different levels of PUFA, in which minor allele (TT) showed lower ARA and higher DGLA major allele (GG) exhibited higher ARA and lower DGLA. Additionally, Plaisier et al. showed that the only expression of FADS3 in FADS gene clusters was associated with the risk of Mexican Familial Combined Hyperlipidemia.39 Implication of desaturases in human development LCPUFA, especially DHA, are important for early stage of brain development since DHA levels sharply increase up to 24 months.47,50 Many clinical and animal studies have shown that dietary LCPUFA, including DHA, affects brain and neuronal systems.47,67 Caspi et al. showed how the relationship between FADS gene and breastfeeding affects the IQ;68 children’s IQ scores were modulated depending on rs174575 genotypes in FADS2 and breastfeeding, implying that genetic difference may act differently on breastfed and nonbreastfed children probably due to the competition among desaturases.68 In addition, FADS1 and FADS2 gene clusters affected the fatty acid composition in pregnant and lactating women,49 indicating that the gene clusters might be intimately related to brain growth and development in the fetus and neonate. Furthermore, Tondreau et al. found that FADS3 expression was associated with neurogenic differentiation from human bone marrow mesenchymal stromal cells,69 implying that FADS3 may play an important role in neuronal development. In addition to fetal development, FADS3 might be important for embryo implantation in uterus, reported by Ma et al.40 using Serial Analysis of Gene Expression. 193 Aging, a major cause of chronic diseases, is also shown to be related to adipose fatty acid contents containing SFA and UFA, such as LCPUFA. The composition of specific fatty acids changes according to age, implying that functional loss of several desaturases may occur among the early middle-aged women, consequently causing the beginning of diverse diseases accompanied by aging.70 Implication of desaturases in attention-deficit/hyperactivity disorder The association of attention-deficit/hyperactivity disorder (ADHD) with FADS genes has also been investigated.71 In this study, genetic polymorphisms in FADS genes influenced the incidence of ADHD and the level of cognition. A significant association of rs498793 in FADS2 with ADHD suggested that dietary omega-3 fatty acid might be associated with functional problems in the dopamine pathway in ADHD patients, and the relevant FADS enzymes would play a key role in the development of ADHD.71 Implication of desaturases in diabetes and insulin resistance Kroger et al. examined the relationship among fatty acids in erythrocyte membranes, desaturases, and dietary consumption of fatty acids for type 2 diabetes;72 it was found that palmitoleic acid (16:1n-7) and GLA were implicated in diabetes in multivariable adjusted models, indicating that SCD and delta-6 desaturase were associated with the diseases even though no significant association of delta-5 desaturase with the disease was elucidated. Warensjo et al. also showed that SCD was associated with body fat and insulin sensitivity,63 although the first genetic association study on SCD did not find any significant connection between SCD genetic variants and type 2 diabetes.73 However, Elbein et al. reported that FADS1 was associated with the insulin-resistance74 and recently FADS2 was shown to be related to insulin-resistance, as well as serum phospholipid PUFA in healthy Korean men.75 Furthermore, FADS gene variants in African Americans and European Americans were investigated for their association with serum PUFA levels and diabetes.66 Implication of desaturases in cancers According to cytogenetic and fine mapping studies, the HSA 11q13 locus containing FADS genes was found to be a critical location as a major hot spot for cancer development76–78 and microcell-mediated chromosome transfer suppressed tumorigenecity of breast cancer cells with the HSA 11q13 locus,79 suggesting that this region may contain a tumor suppressor gene. Diverse cancer cells, including MCF-7 breast cancer cells have been known to lose delta-6 desaturation (FADS2).80,81 Park et al. elucidated the functional regulation in FADS2 deficiency between FADS1 and FADS2,82 in which FADS1 compensates for the function of FADS2 on 20-carbon fatty acids, implying that FADS1 was regulated in concordance with FADS2 in breast cancer cells. 194 LEE AND PARK Interactive regulation of desaturases in lipid physiology As the interregulation of FADS genes in cancers is mentioned above, it has been found that FADS1 are inter-regulated with FADS2 in addition to the independent functions of individual FADS for the synthesis of PUFA associated with human physiological conditions. Reardon et al. investigated the regulation of FADS genes in lymphoblast cells of Japanese participants83 in the international HapMap Project;84 it was found that the expression of FADS1 was associated with single nucleotide polymorphisms (SNPs) of FADS2.83 Moreover, they reported that both simvastatin, a lipid-lowering drug,85 and GW3965, a LXR agonist,86 caused upregulation of FADS1 and FADS2 expression, but rosiglitazone, a peroxisomal PPARc agonist87 did not induce any response. Transcription factors, such as peroxisomal PPAR and sterol regulatory element binding protein (SREBP) are also important for the synthesis of lipids and regulation of lipid metabolism to affect human health and physiology.2,88 Interestingly, the putative binding sites for transcription factors, such as SREBP and PPARc were located at a highly conserved region existing in the most significant SNPs of FADS2 associated with FADS1 expression.83 FADS2 intron 1 contained two insertion– deletions observed depending on the difference of major and minor alleles, and minor alleles showed higher induction of FADS genes with the addition of simvastatin and GW3965,83 implying that the transcription factors are also important for the regulation of lipid metabolism, as well as interactive regulation between FADS1 and FADS2, and that the types of alleles might be major determinants of the sensitivity of statin therapy and the pattern of PUFA consumption. CONCLUSIONS UFA have been considered physiologically important nutrients and a variety of desaturases are major enzymes in the biosynthesis of fatty acids with important implications for human health and development. SCD, catalyzing the biosynthesis of MUFA has been to be involved in obesity, insulin resistance, and skin disease (Table 1). FADS are a group of enzyme isoforms that generate PUFA, and the genes encoding FADS have been found to be related to chronic diseases, such as cardiovascular disease, diabetes, and cancer (Table 1). In addition, the physiological functions of SCD and its isoforms have been reported, and novel functions of FADS genes and their alternative transcripts have been elucidated. Recent genetic and genomic studies have also provided evidence that PUFA and FADS genes are important for human health and regulation, suggesting that the genes may have significant effects on human health and lipid metabolism depending on human physiological and nutritional conditions, and that SCD might be relevant to insulin sensitivity even though the study has not been repeated. In the near future, research using more advanced molecular techniques may help to provide more clues to clarify elusive relationships between UFA and their associated genes. Consequently, it is ex- pected that forthcoming PUFA studies will further elucidate the complicated physiology of PUFA in human health and diseases. ACKNOWLEDGMENT This study was supported by 2013 Academic Research Support Program in Gangneung-Wonju National University, Republic of Korea. AUTHOR DISCLOSURE STATEMENT No competing financial interests exist. REFERENCES 1. Roche HM: Unsaturated fatty acids. 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