Multiple Chemical Sensitivity Etiology

Airway Genetics and Ambient Combustion Aerosol

N-6 18-2 linoleic and N-3 18-3 linolenic are the dietary essential fatty acids (EFA) - losses noted in MCS patients (Deluca 2010). N-6 can be formed into arachidonic acid. N-3 serves as precursor for synthesis of the Omega 3 fatty acids - eicosapentaenoic (EPA) and docosohexaenoic DHA (DRI 2006).

Because N-6 and N-3 are found in vegetable oils traditionally used in preparation of foods - deficiency is uncommon. However, more often there is either an excess of N-6 enriching lipoproteins and cell membranes creating a pro-oxidant state, or a disproportion beyond the recommended ratio between 5 and 10 to 1 N-6/N-3. Competing for the same desaturase enzymes - too high a ratio may inhibit N-3 synthesis to DHA while too low may limit desaturation of N-6 to arachidonic (DRI 2006).

Adequate N-3 and formation of Omega 3 EPA and DHA is associated with prevention of arrhythmias, reducing atherosclerosis, decrease in platelet aggregation and plasma triacylglycerol concentration, a slight increase in HDL, modulation of endothelial function, and decreasing inflammatory eicosanoids (DRI 2006).
Excessive intake of preformed Omega 3 EPA and DHA - such as supplements - may result in prolonged bleeding time (DRI 2006).

Among added oils - flaxseed is approx , canola , and soybean 34% of the total composition N-6 and 50, 10, and 5% N-3 respectively. Safflower, corn, peanut, and olive oil - while containing 75, 57, 31, and 8% N-6, have little N-3 (USDA 2014, DRI 2006).

Dietary emphasis on whole grain such as brown rice provides a safe level of N-6 and some N-3, cruciferous vegetables bring more N-3 to the right ratio. Most other vegetables - except dried beans and spinach - contain little N-3. The inclusion of fish adds preformed Omega 3 (USDA 2014, DRI 2006).

Adequate intake is estimated 8-16 grams N-6 and 1-1.6 grams N-3, less than 1/2 ounce and a few drops - within the ratio of 5 and 10 to 1 N-6/N-3 - quantity and proportion contained in the whole foods mentioned above.

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