Journal Article DKFZ-2025-01175

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Nut consumption, linoleic and α-linolenic acid intakes, and genetics: how fatty acid desaturase 1 impacts plasma fatty acids and type 2 diabetes risk in EPIC-InterAct and PREDIMED studies.

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2025
BioMed Central London

BMC medicine 23(1), 344 () [10.1186/s12916-025-04187-8]
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Abstract: Dietary guidelines recommend replacing saturated fatty acid with unsaturated fats, particularly polyunsaturated fatty acids. Cohort studies do not suggest a clear benefit of higher intake of polyunsaturated fatty acids but, in contrast, higher circulating linoleic acid (LA) levels-reflective of dietary LA intake, are associated with a reduced risk of type 2 diabetes. However, genetic variants in the fatty acid desaturase 1 gene (FADS1) may influence individual responses to plant-based fats. We explored whether FADS1 variants influence the relationships of LA and α-linolenic acid (ALA) intakes and nut consumption with plasma phospholipid fatty acid profiles and type 2 diabetes risk in a large-scale cohort study and a randomized controlled trial.In the EPIC-InterAct case-cohort (7,498 type 2 diabetes cases, 10,087 subcohort participants), we investigated interactions of dietary and plasma phospholipid fatty acids and nut consumption with FADS1 rs174547 in relation to incident type 2 diabetes using weighted Cox regression. In PREDIMED (492 participants in the Mediterranean Diet + Nuts intervention group, 436 participants in the control group), we compared changes in plasma phospholipid FAs from baseline to year 1.In EPIC-InterAct and PREDIMED, nut consumption was positively associated with LA plasma levels and inversely with arachidonic acid, the latter becoming stronger with increasing number of the minor rs174547 C allele (p interaction EPIC-InterAct: 0.030, PREDIMED: 0.003). Although the inverse association of nut consumption with diabetes seemed stronger in participants with rs174547 CC-genotype (HR: 0.73, 95% CI: 0.54-1.00) compared with CT (0.94, 0.81-1.10) or TT (0.90, 0.78-1.05) in EPIC-InterAct, this interaction was not statistically significant.FADS1 variation modified the effect of nut consumption on circulating FAs. We did not observe clear evidence that it modified the association between nut consumption and type 2 diabetes risk.

Keyword(s): Humans (MeSH) ; Diabetes Mellitus, Type 2: genetics (MeSH) ; Diabetes Mellitus, Type 2: blood (MeSH) ; Diabetes Mellitus, Type 2: epidemiology (MeSH) ; Fatty Acid Desaturases: genetics (MeSH) ; Delta-5 Fatty Acid Desaturase (MeSH) ; alpha-Linolenic Acid: administration & dosage (MeSH) ; Male (MeSH) ; Female (MeSH) ; Linoleic Acid: administration & dosage (MeSH) ; Linoleic Acid: blood (MeSH) ; Middle Aged (MeSH) ; Aged (MeSH) ; Nuts (MeSH) ; Fatty Acids: blood (MeSH) ; Cohort Studies (MeSH) ; Polymorphism, Single Nucleotide (MeSH) ; Risk Factors (MeSH) ; Cohort study ; Fatty acid desaturase ; Plasma phospholipid fatty acids ; Polyunsaturated fatty acids ; Randomized controlled trial ; Fatty Acid Desaturases ; Delta-5 Fatty Acid Desaturase ; FADS1 protein, human ; alpha-Linolenic Acid ; Linoleic Acid ; Fatty Acids

Classification:

Contributing Institute(s):
  1. Epidemiologie von Krebs (C020)
Research Program(s):
  1. 313 - Krebsrisikofaktoren und Prävention (POF4-313) (POF4-313)

Appears in the scientific report 2025
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 Record created 2025-06-10, last modified 2025-06-15



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