Rats fed a diet with 40% of calories from rapeseed oil are slim.
Like this
That's correct, feeding a 40% fat diet where the fat is rapeseed oil produces less weight gain compared to standard carpinabag chow. Because the rats had, and I quote, "a lower food intake". This translates, for less mealy mouthed people, as "the rats were less hungry while still eating to satiety". However at week two, when weight was already down, the rats were actually eating *more* calories of the rapeseed oil diet, compared to the chow fed group. Uncoupling. Decreased insulin signalling.
Aside: they also note:
"The only significant [gross pathological] alteration observed in rats submitted to the 20 % rapeseed oil diet was a decrease in the [hepatic] triglyceride content (56 ± 7.1 mg/dL as compared to 137 ± 29.5 mg/dL for control rats) after 33 days of treatment."
Yes, you read that correctly, rapeseed oil is protective against the fatty liver which is routinely induced by chow with 7% of calories as PUFA, mostly LA. That's a huge drop in hepatic trigs. Anyone want to cure NAFLD?
End aside.
Now, from the Protons point of view there are two ways of avoiding obesity (or NAFLD). You can
a) get your ROS in to the range equivalent of treating an adipocyte with H2O2 at around ~3-4mmol/l, ie employ physiological insulin resistance generated by saturated fats during the peak absorptive phase after a meal. My approach. It works.
or
b) reduce your ROS generation to a level too low for peak insulin signalling, say to the equivalent of ~0.01-0.03mmol of H2O2.
That means uncoupling.
PUFA, especially linoleic acid, fail to generate adequate ROS via Dave Speijer's F:N ratio hypothesis which is the basic underpinning of Protons. So they are obesogenic.
However, they are also uncoupling.
Which effect predominates determines whether the PUFA based diet you have chosen to eat is obesogenic or not. How much PUFA, which species, whether they are mitochondrially targeted. Linoleic acid (LA) at 35% of calories is uncoupling and will normalise the weight of a lard fed mouse. Alpha linoleic acid (ALA) will do the same, but studies tend to use high dose rates. People love all-or-nothing models. So simple to secure funding.
Hypolipidemic Activity of Peony Seed Oil Rich in α-Linolenic, is Mediated Through Inhibition of Lipogenesis and Upregulation of Fatty Acid β-Oxidation
More translation: "Mediated Through Inhibition of Lipogenesis and Upregulation of Fatty Acid β-Oxidation" actually translates as "reduced insulin signalling". If you can measure virtually everything but have no hypothesis to hang you facts on, you'll get nowhere.
At what level of intake this effect kicks in is difficult to determine but it will undoubtedly be lower for ALA than for LA.
Hypolipidemic Activity of Peony Seed Oil Rich in α-Linolenic, is Mediated Through Inhibition of Lipogenesis and Upregulation of Fatty Acid β-Oxidation
More translation: "Mediated Through Inhibition of Lipogenesis and Upregulation of Fatty Acid β-Oxidation" actually translates as "reduced insulin signalling". If you can measure virtually everything but have no hypothesis to hang you facts on, you'll get nowhere.
At what level of intake this effect kicks in is difficult to determine but it will undoubtedly be lower for ALA than for LA.
Now we can look at the current study in those terms.
Do the liver mitochondria uncouple?
Yes, and no.
The numbers are best for experiments using succinate to feed the mitochondrial preparations. With a priming dose of succinate followed by a flood of ADP the mitochondrial run flat out (state 3 respiration).
Here there is a slightly *lower* O2 consumption in the mitochondria from rapeseed oil fed rats, a paradox:
That doesn't look like uncoupling.
We have a large supply of metabolic substrate and a large supply of ADP to allow ATP-synthase to turn but still, in supposedly uncoupled mitochondria, oxygen consumption is reduced. The same happens when feeding with glutamate-malate to input at complex I but something went wrong with these data at the week 22 mark. Overall it doesn't look like these mitochondrial are uncoupled on either substrate.
Next we can look at what happens when the added ADP has run out (state 4 respiration). Now ATP-synthase cannot turn because there is no ADP available, so any oxygen consumption must be via uncoupling. That's exactly what we see. There is now also plenty of intra-mitochondrial ATP to allow uncoupling protein activation. So yes, uncoupling happens in this state:
Equally unexpected for already uncoupled mitochondrial is the effect of full uncoupling with FCCP. Here we again have paradoxically reduced oxygen consumption in the uncoupled mitochondrial preparations from the rapeseed oil fed rats.
So the question is why should supposedly pre-uncoupled mitochondrial have lower oxygen consumptions than either fully uncoupled mitochondria or mitochondria running at full chat? Whether you "feed" your preparation with a complex I input or a complex II input?
There is nothing wrong with these mitochondria. Bioenergetics are *not* disrupted, as suggested by the title of the paper. Let's dig deeper.
What is happening is that the study is taking mitochondria from fat-adapted rats and feeding them on either a complex I input or a complex II input. Fatty acids, even LA, make significant use of electron transporting flavoprotein (ETF) dehydrogenase as their input to the CoQ couple. Mitochondria adapt their electron transport chains to the substrates available. If mitochondria from rats fed 40% of calories from fat are significantly dependent on mtETFdh for input to the CoQ couple, and have down regulated both complexes I and II, then feeding the preparation on substrates specifically aimed at complex I or II will obviously produce sub-maximal oxygen consumption. Which is what happens under either state 3 respiration or FCCP uncoupling.
Under the "tickover" conditions of state 4 respiration the uncoupling from PUFA shows clearly.
Obviously, to restore visibly normal mitochondrial function, what's needed is a supply of reduced ETF to use as a substrate for mtETFdh. As supplied by beta oxidation. Sadly you can't just buy reduced electron transporting flavoprotein from Sigma Aldridge, so you end up with artifactual mitochondrial "dysfunction".
Another aside: that is exactly what is happening here too
It *appears* as if mitochondria adapted to high input from mtETFdh are dysfunctional if you fail to supply them with adequate electron transporting flavoprotein! The study did try to get around this by using octanoyl-carnitine (50μmol/l) as a lipid input to generate reduced ETF but clearly even 50μmol/l of palmitate will provide twice the ETF of 50μmol/l octanoate and the chaps in the study were running total FFAs of up to 3000μmol/l, not 50μmol/l, at the time that the muscle biopsies were taken. Utilising 3000μmol/l of FFAs provides a lot of ETF. So "dysfunction" is really an experimental artefact induced by lack of metabolic substrate for mtETFdh (secondary to using an homeopathic level of octanoate in this case or no mtETFdh substrate at all in most studies).
End aside.
Okay. Protons says that reducing the mitochondrial membrane potential reduces superoxide production (and its derivative H2O2) to levels which do not promote activation of the insulin signalling cascade.
Delta psi is definitely reduced by the rapeseed oil feeding. These are the values for delta psi of a fully charged membrane using glutamate-malate (succinate is the same) but before any ADP has been added, ie this is as high as the membrane potential can get with the substrate supplied (the graph is deliberately upside down as delta psi is always negative):
The membrane potential drops by less in the mitochondria from rapeseed oil fed rats when ADP is supplied but it is still always lower that for the control rats.
Is this reflected in lower production of H2O2?
Yes:
The only unanswered question is how does a production rate of H2O2 of just over 2000pmol/mg prot/15mins in uncoupled mitochondria fed succinate through complex II compare to just over 3000pmol/mg protein/15mins in the normally coupled mitochondria? And how do these relate to the steady state exposure to H2O2 used in
Evidence for Electron Transfer Reactions Involved in the Cu2+-dependent Thiol Activation of Fat Cell Glucose Utilization
to generate this graph
Evidence for Electron Transfer Reactions Involved in the Cu2+-dependent Thiol Activation of Fat Cell Glucose Utilization
to generate this graph
This we can't answer directly. The fact that the rats fed rapeseed oil were lighter than those fed chow suggests, to me, that there was less insulin signalling going on in the adipocytes of the slim rats.
People may disagree.
That's fine, just it makes sense to me.
But: Is it Good or Bad to run your (slim) metabolism on uncoupling levels of PUFA when compared to running on insulin resisting saturated fat?
Ah, now that's a question. There are suggestions as to the correct answer.
Running your metabolism on a mix of LA and ALA which allows uncoupling to a normal or a slightly slim bodyweight might make you look good. Without having listened to any of the podcasts of Nick Norwitz (he's clearly a bright guy) I can easily accept he's fully able to maintain a slim bodyform, combined with high ketone levels, using PUFA, even if he doesn't mind getting sunburned occasionally as a trade off.
Running your metabolism predominantly on fat while avoiding PUFA also works, looking at Tucker Goodrich here. Normal bodyweight, minimal risk of sunburn.
So here's the decider, and it's not sunburn:
Who is most at risk of pancreatitis? I know, I know, none of us will get pancreatitis. But we might. You can stack the deck. This is Nick's pancreas on PUFA:
"At sufficiently high concentrations, unsaturated fatty acids were able to induce acinar cells injury and promote the development of pancreatitis." [Not my typo].
Well, look what happens when you emphasise PUFA for maximum ketosis:
Early- and late-onset complications of the ketogenic diet for intractable epilepsy
Early- and late-onset complications of the ketogenic diet for intractable epilepsy
I'm sure this won't happen and Nick will be fine. But, if it does happen, pancreatitis is a really fun condition to have (not) and, if you get a good dose of it, you are heading for the ITU for quite a long stay. Will you live or die? That's largely dependent on whether you develop acute (some say adult) respiratory distress syndrome (ARDS). While people have tried treating this with a combined heart-lung transplant, it's better avoided if you want to survive.
You can pretty well predict who will develop ARDS as they come in to the ITU by simply counting the double bonds in their plasma free fatty acids.
An increase in serum C18 unsaturated free fatty acids as a predictor of the development of acute respiratory distress syndrome
"The calculated ratios of serum free fatty acids (ie., the ratio of C18 unsaturated fatty acids linoleate and oleate to fully saturated palmitate, C16:0) increased and predicted the development of ARDS in at-risk patients."
Now, I have fundamental ideas about choice of lipid sources for weight normalisation. Those ideas are compatible both with the choices made by Tucker and those made by Nick. Both are correct in their diametrically opposed choices. They are both correct for bodyweight. But there are nuances. I like nuances.
An increase in serum C18 unsaturated free fatty acids as a predictor of the development of acute respiratory distress syndrome
"The calculated ratios of serum free fatty acids (ie., the ratio of C18 unsaturated fatty acids linoleate and oleate to fully saturated palmitate, C16:0) increased and predicted the development of ARDS in at-risk patients."
Now, I have fundamental ideas about choice of lipid sources for weight normalisation. Those ideas are compatible both with the choices made by Tucker and those made by Nick. Both are correct in their diametrically opposed choices. They are both correct for bodyweight. But there are nuances. I like nuances.
One choice is more likely to lead to the ITU and to the development of ARDS than the other.
My advice is to NEVER need to go to the ITU and DO NOT develop ARDS.
There are some real lifestyle choices which influence these outcomes. Rapeseed oil for weight loss works. It also raises the number of double bonds in pretty much all of your tissues.
Choose wisely.
Peter
Addendum. BTW just to clarify: You don't actually need pancreatitis to develop ARDS. It's a generic route to death in the ITU. Simple severe trauma will do the job. The PUFA are still what influence whether you live or die.
Great post as always. My thinking is that the consumption of pro-inflammatory fatty acids leads to MT-uncoupling. Insulin itself is thought to have a direct effect on uncoupling via UCP2 and UCP3 - this is confounded by a second effect on KATP channels. Not sure if the effect on UCP2&3 is enhanced by the increase in ROS?
ReplyDeleteIt has reminded me of the people I know that are trying (and mostly failing) to lose weight, often mention that when they diet, they get cold intolerant. In the winter, this has a side effect that they don't go outside as much and miss out on more physical activity. Going on a low LA diet doesn't seem to have an immediate effect on getting cold. Not sure how big a role uncoupling plays in body temperature regulation vs other control loops.
Lets say that this is true for the moment - is it possible that the actual driver of the weight gain is the shutdown of normal MT leakage(uncoupling) ?
Trying to understand uncoupling via body temperature gets confounded with changes in thyroid levels and autonomic control.
One narrative of the cause of T2D is malfunctioning MT - but there is a VERY long list of what actually gets damaged to cause T2D. We need to know the answer definitively - if for no other reason, the T2D causes disability, large amount of medical expenses (I think emotional problems) that are disrupting much of the economy.
Given that there is much we don't know, it just seems prudent to eat a diet that replicates as close as possible the conditions that we evolved under. Eating novel foods seems to me to constitute unneeded risk.
(Low vit-D levels (common in the winter) can also increase uncoupling - adaptive?)
Interesting, complex, not intuitive... oh wait, Peter, but isn't all that obesity problem about availability of systemic acetate, hepatic (peroxisomal) or intestinal origin? Much simple, never evaluated. It's acetate, what extracellular lactate pushes in cells via activating MCT1 transporters. It's acetate, what ALA, DHA or high LA elevates. This cooperation of acetate and lactate. My bias, simple crazy solution of complex problem.
ReplyDeleteAnd this ARDS and pacreatitis stuff? Lack of NADPH, lack of GSH, elevated ROS, elevated 4-HNE, non-functional enzymes.
Jaromir
I suppose there can be academic interest in micromanaging your labs, but as a lifestyle, I'm not so sure.
ReplyDeleteWell......you've done a wonderful analysis. Regarding pancreatitis, there is jump in so called "idiopathic" pancreatitis and I've seen people in the ICU in very bad shape. PUFA doing it's thing. Somewhere I remember a paper in ARDS and Pancreatitis responds to sEHi's which quells the downstream toxic diols of LA. I'll have to dig them up.
ReplyDeleteSoluble Epoxide Hydrolase Pharmacological Inhibition Ameliorates Experimental Acute Pancreatitis in Mice - PMC
Deletehttps://pmc.ncbi.nlm.nih.gov/articles/PMC4518092/
"Acute pancreatitis (AP) is a potentially life-threatening gastrointestinal disease, and its incidence has been increasing over the last few decades"
No surprise there ...
Taking it personally, my grandfather died of pancreatitis in 1913. But we think he actually died of doctors rather than the disease. They operated ...
Trial post
ReplyDeleteAh Karl, there are multiple rabbit holes I’ve been down related to your comments. Certainly insulin is coupling and ROS activate UCPs (generally, there will be subtleties). And insulin interacts with thyroid to activate its dis-inhibition of uncoupling. And is there any need to separate ROS from insulin? If you think of insulin as the pancreas’ assessment of the redox state (ie ROS production) likely to result from its assessment of the arterial energy content then there is no difference between the ROS signal and the insulin signal… Insulin is a ROS derivative after all.
ReplyDeleteJaromir, you can have no concept of how difficult it is to explain Protons to well educated people. Almost nothing about Protons is intuitive to a conventional medic/biochemist. Could it be that I’m wrong? Always on the list.
Hap, yep. LA derivatives really do signal. Death being one of their many commands.
cave, yes. Personally I’m an “Eat meat, mostly fat, not too little” thinker and try not to sweat the details. That girl is very bright! I note that she also accepts that reality dictates that this is not 100% the answer to all problems. Very bright.
Peter
Peter, Karl, yes, I also see insulin as a coordinator of the systemic ROS state. I had a similar idea, wrote about it, as electro engineer, it reminds me transmitter/receiver system with level restoration via FFA feedback :-). If FFA feedback is distorted (reversed slope of fat induced insulin secretion), diabetes develops.
ReplyDeletehttps://mct4health.blogspot.com/2024/05/what-is-mitochondrial-uncoupling-and-is.html
And how to dispose 4-HNE? Omega oxidation of fats (fasting, MCT oil) and ketogenic diet.
doi: 10.1074/jbc.M114.602458.
There could be more nuances. Dr Eades has reported getting rid of back pain and itch through consumption of flaxseed oil.
ReplyDeletePresumably, the same effect could be obtained by fish oil at lower dose.
Acetate again, and little bit propionate and butyrate. Intestinal microbes convert flaxseed to acetate.
ReplyDelete"Dietary flaxseed oil rich in omega-3 suppresses severity of type 2 diabetes mellitus via anti-inflammation and modulating gut microbiota in rats"
https://doi.org/10.1186/s12944-019-1167-4
This comment has been removed by the author.
ReplyDeleteAnd direct effect of sodium acetate, very similar
ReplyDelete"Sodium acetate-mediated inhibition of histone deacetylase alleviates hepatic lipid dysregulation and its accompanied injury in streptozotocin-nicotinamide-induced diabetic rats"
https://doi.org/10.1016/j.biopha.2020.110226
Gyan, DHA is a perfectly good uncoupler but is almost 100% oxidised in peroxisomes, the mitochondria do not oxidise it much. On the plus side, it's not LA. EPA splits about 50:50 peroxisomes:mitochondria. ALA is probably almost 100% oxidised in mitochondria. Protons only looks at mitochondria for influence on ROS generation, with peroxisomes as a large black hole. So ALA would be more relevant for F:N considerations.
ReplyDeleteDepends on how you think the fatty acid are working.
https://pubmed.ncbi.nlm.nih.gov/10574660/
P
I suppose, if one is consuming high-fat diet, it is easy to slip into excess LA ( lots of nuts), and thus some supplemental ALA would do good.
ReplyDeleteHigh fat diet is a slippery term. If you go keto insulin is so low that enhanced insulin signalling is unimportant. High fat + high LA plus insulogenic carbs will be awful... Drinking varnish is not a solution. More like a solvent.
ReplyDeleteP