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Oleic Acid

Oleic acid (OA) is a monounsaturated fatty acid (MUFA) and an omega-9 fatty acid, widely recognized as one of the most common fatty acids found in the human diet and body. It is abundant in various natural sources, particularly olive oil, avocados, and nuts. As a key component of cell membranes and an important energy source, oleic acid plays diverse biological roles within the human system.[1]

Biologically, oleic acid is synthesized endogenously from stearic acid through the action of the enzyme stearoyl-CoA desaturase. It is incorporated into triglycerides for energy storage, phospholipids for cell membrane structure, and cholesterol esters. Its monounsaturated nature contributes to membrane fluidity and integrity. Studies indicate that genetic factors significantly influence circulating oleic acid levels. Genome-wide association studies (GWAS) have identified several loci, including those nearFADS1/2, LPCAT3, and TRIM58, that are associated with variations in plasma and erythrocyte oleic acid levels.[2] The FADS1/2 genes encode delta-5 and delta-6 desaturases, enzymes primarily involved in the biosynthesis of polyunsaturated fatty acids (PUFAs), but which can also influence MUFA levels through substrate regulation.[2]

Oleic acid has garnered significant clinical interest due to its associations with various health outcomes, particularly cardiovascular health and metabolic processes. It has been shown to have a protective role against cardiovascular insulin resistance and may mitigate aspects of the atherosclerotic process.[3]Furthermore, research suggests that oleic acid can inhibit stearic acid-induced pro-inflammatory responses in human aortic cells, highlighting its potential anti-inflammatory properties.[4]Levels of oleic acid and its genetic determinants have been linked to inflammatory biomarkers, such as MCP1 and TNF, which are relevant to cardiovascular disease risk.[1]The of oleic acid in plasma or red blood cells, often quantified by gas chromatography, serves as a biomarker that reflects both dietary intake and endogenous metabolism.[2]

The dietary intake of oleic acid, particularly through foods like olive oil, is a cornerstone of the Mediterranean diet, which is widely recognized for its health benefits. Public health initiatives often promote the consumption of monounsaturated fats, emphasizing the role of oleic acid in a balanced diet for maintaining cardiovascular well-being. Understanding the genetic factors influencing oleic acid levels can provide insights into individual metabolic differences and may contribute to personalized nutritional recommendations and risk assessment for chronic diseases.

Methodological and Statistical Constraints

Section titled “Methodological and Statistical Constraints”

The ability to detect and interpret genetic associations with oleic acid levels is subject to several methodological and statistical limitations. The effective sample size in some studies, such as the Framingham Heart Offspring Study, was lower than the actual sample size due to family structure, thereby limiting the statistical power to identify additional associated single nucleotide polymorphisms (SNPs).[5] Furthermore, the use of conservative significance levels, while protecting against false positives, can reduce the power to uncover genuine gene-phenotype relationships.[5]The primary focus on common genetic variants in some analyses also means that the potential role of rare genetic variations in influencing oleic acid metabolism remains largely unexplored, warranting future investigation through methods like exome sequencing.[5] Replication failures and heterogeneity further underscore the complexities in genetic discovery. Several previously reported associations, such as those of LPCAT3with oleic acid in European populations, 2p13 with palmitoleic acid in Chinese populations, andTRIM58with oleic acid in trans-ethnic meta-analysis, could not be replicated in subsequent studies.[2] Significant heterogeneity was observed for the LPCAT3 locus between Chinese and European populations, highlighting that genetic effects may not be uniform across diverse groups.[2] Differences in meta-analysis software, such as MANTRA (which accounts for heterogeneity) versus METAL (which assumes fixed effects), also led to inconsistent results for some loci, emphasizing the impact of analytical choices on reported associations.[2]

Generalizability and Phenotype Heterogeneity

Section titled “Generalizability and Phenotype Heterogeneity”

While trans-ethnic meta-analyses enhance the scope of genetic discovery, generalizability remains a limitation. The primary cohorts in the presented studies consisted of individuals of Chinese and European ancestry.[2] Although this approach improves fine-mapping resolution for some loci, it limits the direct applicability of findings to other diverse ethnic groups with potentially different genetic architectures and environmental exposures.[2]Further research involving a broader spectrum of global populations is necessary to fully understand the universal and population-specific genetic influences on oleic acid.

The of fatty acids, including oleic acid, also introduced a degree of phenotype heterogeneity across studies. Fatty acid levels were quantified using various methods and sample types, including fasting plasma phospholipids, total plasma, and erythrocyte fatty acids, across different cohorts.[2] Although one study suggested that these differences in methods did not materially alter the association results, they represent a source of variability in the phenotype definition.[2] Additionally, the high inter-correlation among proportions of multiple red blood cell fatty acids can complicate the modeling of individual fatty acids, suggesting that future models might benefit from considering ratios of fatty acids or explicitly modeling their complex correlation structures.[5]

Environmental Confounding and Remaining Knowledge Gaps

Section titled “Environmental Confounding and Remaining Knowledge Gaps”

A significant limitation in understanding the genetic basis of oleic acid levels is the incomplete accounting for environmental factors, particularly dietary intake. The lack of comprehensive dietary data in some cohorts, especially concerning fatty acid intake, diminished the ability to fully detect genetic influences.[5] Studies indicate that commonalities in eating patterns among families can explain a substantial portion of the heritability of fatty acid levels, implying a strong gene-environment interaction that is often unmeasured.[5]Without detailed dietary covariates, the observed genetic associations may not fully capture the complex interplay between genes and environment that shapes oleic acid concentrations.

Despite the identification and fine-mapping of several genetic loci, a considerable portion of the variation in oleic acid levels remains unexplained, contributing to the concept of “missing heritability.” While genetic variants can account for a percentage of the variation, much is still unaccounted for, suggesting that a combination of unmeasured genetic factors (e.g., rare variants, structural variations), gene-gene interactions, or undetected environmental influences contribute to this gap.[5] Furthermore, the precise functional variants at identified loci and the detailed biological mechanisms underlying some associations, such as those between FADS1/2variants and oleic acid levels, still require further investigation to fully elucidate their roles in fatty acid metabolism.[2]

Genetic variations play a crucial role in influencing an individual’s oleic acid levels and their broader metabolic health. Several single nucleotide polymorphisms (SNPs) and their associated genes have been identified as having direct or interactive effects on oleic acid, a monounsaturated fatty acid important for cellular function and energy. These variants often impact key metabolic pathways, including fatty acid synthesis, transport, and inflammatory responses, thereby contributing to diverse health outcomes.

Variants in genes involved in fatty acid desaturation and mitochondrial function are strongly associated with oleic acid levels. For instance,rs174535 and rs102275 are located within the region encompassing the FADS1 and FADS2 genes, which encode delta-5 and delta-6 desaturases, enzymes critical for the biosynthesis of polyunsaturated fatty acids (PUFAs) and also capable of influencing monounsaturated fatty acid (MUFA) levels by processing palmitic and stearic acids.[2]These SNPs are highly correlated and have been consistently associated with circulating levels of palmitoleic, vaccenic, and oleic acid across different populations.[2] Furthermore, rs102275 has been linked to an increased risk of Type 2 Diabetes, highlighting the broader metabolic implications of these fatty acid-related variants.[2] Similarly, rs2110073 in the PHB2gene, which encodes prohibitin 2—a protein vital for mitochondrial membrane integrity and cell health—shows a strong association with both oleic acid and linoleic acid levels.[5]Other variants exert their influence through interactions with oleic acid, impacting inflammatory processes and psychological well-being. The SNPrs17079653 , located near the SPATA13gene, is involved in an interaction with oleic acid to predict tumor necrosis factor (TNF) levels, an important inflammatory biomarker.[1] While SPATA13variants are known to be associated with psychological disorders like depression and alcohol dependence, its direct link to cardiovascular risk factors or fatty acid levels through conventional GWAS has not been widely reported, suggesting its role might be more nuanced through interactions.[1] Additionally, rs7611820 , positioned near the CLDN11gene, interacts with oleic acid to influence monocyte chemoattractant protein-1 (MCP1) levels, another key inflammatory marker.[1] CLDN11encodes a tight-junction protein, and its dysfunction can lead to cell barrier issues in endothelial cells, a process implicated in cardiovascular disease development in individuals with diabetes.

Further genetic associations reveal direct impacts on oleic acid or influence pathways related to its metabolism. Thers3811444 variant in the TRIM58gene is significantly associated with lower levels of oleic acid, with the rarer T allele contributing to this reduction.[5] TRIM58 is part of the tripartite motif family, which plays roles in diverse cellular functions, including ubiquitination and immune responses, potentially impacting lipid regulation. Other variants, such as rs3762220 near LCDR and SCP2D1-AS1, rs12579775 in EMG1, and rs17112580 in MIR3171HG, are also implicated in influencing metabolic processes.[5] These genes are involved in processes ranging from fatty acid elongation (LCDR), lipid transport (SCP2D1-AS1 via SCP2 regulation), ribosome biogenesis (EMG1), and gene expression regulation via microRNAs (MIR3171HG), suggesting complex, indirect mechanisms through which they might affect oleic acid metabolism and overall health.[2]

RS IDGeneRelated Traits
rs2110073 PHB2oleic acid
HbA1c
rs102275 TMEM258coronary artery calcification
Crohn’s disease
fatty acid amount
high density lipoprotein cholesterol , metabolic syndrome
phospholipid amount
rs17079653 ANKRD20A19P - SPATA13oleic acid
rs3762220 LCDR - SCP2D1-AS1oleic acid
rs174535 TMEM258, MYRFankylosing spondylitis, psoriasis, ulcerative colitis, Crohn’s disease, sclerosing cholangitis
oleic acid
triacylglycerol 56:7
cholesteryl ester 18:3
docosapentaenoic acid
rs7611820 SLC7A14-AS1, RPL28P1oleic acid
rs3811444 TRIM58erythrocyte count
leukocyte quantity
erythrocyte volume
mean corpuscular hemoglobin concentration
hemoglobin
rs12579775 EMG1oleic acid
mean corpuscular hemoglobin concentration
rs17112580 MIR3171HGoleic acid

Oleic Acid: Structure, Synthesis, and Nomenclature

Section titled “Oleic Acid: Structure, Synthesis, and Nomenclature”

Oleic acid (OA), chemically designated as 18:1n-9, is a prominent monounsaturated fatty acid (MUFA) characterized by a single double bond in its carbon chain.[2] It is recognized as the most abundant MUFA found in lipids and serves as the predominant dietary MUFA, widely present in plant-derived oils such as olive, canola, hazelnut, almond, and rapeseed, as well as in animal fats including lard, tallow, and butter.[2]Beyond dietary intake, oleic acid can be endogenously synthesized within the body through de novo lipogenesis (DNL), a process involving the Δ-9 desaturation of stearic acid in the liver and adipose tissue.[2]While typically referring to the cis isomer, the term “trans oleic acid” denotes a distinct geometric isomer, occasionally differentiated in protocols.[5]

Physiological Roles and Cardiometabolic Significance

Section titled “Physiological Roles and Cardiometabolic Significance”

Oleic acid plays crucial roles in human physiology, serving as an important component of cell membranes and a vital energy source through β-oxidation.[2]Research indicates its involvement in lipid and glucose regulation, demonstrating a protective role against cardiovascular insulin resistance and in both early and late stages of the cellular atherosclerotic process.[3]However, epidemiological studies have also linked elevated levels of erythrocyte oleic acid to an increased risk of metabolic syndrome (MS) and Type 2 Diabetes (T2D) in certain populations, highlighting its complex relationship with cardiometabolic health.[2]Furthermore, genetic studies have identified interactions between oleic acid and specific single nucleotide polymorphisms (SNPs) on chromosomes 3 and 13, which are associated with varying levels of inflammatory biomarkers such as MCP1 and TNF, underscoring its potential influence on inflammatory pathways.[1]

The quantification of oleic acid levels is critical for understanding its biological and clinical implications, with various approaches employed depending on the biological matrix. Measurements are commonly performed on fasting plasma phospholipids, total plasma, or erythrocyte fatty acids, utilizing techniques such as gas chromatography or gas-liquid chromatography following isolation methods like thin-layer chromatography (TLC) or direct transesterification.[2]The concentration of oleic acid is typically expressed as a percentage of total fatty acids, with certain studies including fatty acids only if they exceed a specific abundance threshold, such as 0.5%.[2]Genome-wide association studies (GWAS) have identified several genetic loci associated with circulating oleic acid levels, including genes likeFADS1/2, LPCAT3, PKD2L1, GCKR, and HIF1AN.[2] These associations can reach genome-wide significance (P < 5 × 10⁻⁸) or gene-based significance (P ≤ 1.60 × 10⁻⁶), with specific SNPs such as rs7611820 and rs9856712 (near CLDN11) interacting with oleic acid to influence MCP1 levels, andrs17079653 (near SPATA13) influencing TNF levels.[2]Such genetic insights further connect oleic acid metabolism to broader biological pathways, including the biosynthesis of unsaturated fatty acids, α-linolenic acid metabolism, glycerophospholipid metabolism, and the PPAR signaling pathway.[2]

Biochemical Quantification and Clinical Utility

Section titled “Biochemical Quantification and Clinical Utility”

The of oleic acid, a prominent monounsaturated fatty acid, is primarily conducted through precise biochemical assays to assess its levels within biological samples. Common methodologies include gas chromatography, often coupled with thin-layer chromatography (TLC) for initial phospholipid isolation, to quantify oleic acid in fasting plasma phospholipids, total plasma, or erythrocyte fatty acids.[2] The results are typically expressed as a percentage of total fatty acids, providing a standardized measure.[2] Erythrocyte fatty acid levels are particularly valuable as they are considered to reflect long-term dietary intake more reliably than plasma measurements, offering a more stable biomarker for nutritional exposure.[5]Clinically, these measurements are instrumental in evaluating an individual’s lipid profile and dietary fatty acid intake, which are crucial for monitoring and understanding their cardiometabolic health. Elevated circulating levels of oleic acid, along with other monounsaturated fatty acids, have been associated with an increased risk of Type 2 Diabetes, metabolic abnormalities, and cardiovascular disease, while conversely, oleic acid itself demonstrates a protective role against cardiovascular insulin resistance and early atherosclerotic processes.[2]

Genetic Determinants and Molecular Markers

Section titled “Genetic Determinants and Molecular Markers”

Genetic testing and molecular markers offer a deeper insight into the regulation of oleic acid levels, providing diagnostic utility beyond direct quantification. Genome-wide association studies (GWAS) have identified specific genetic loci and single nucleotide polymorphisms (SNPs) significantly associated with circulating oleic acid levels in various populations.[2]Key genes implicated in oleic acid metabolism includeFADS1, FADS2, LPCAT3, SCD, FEN1, WNT8B, and NDUFB8, with variants in FADS1/2 and LPCAT3 consistently showing strong associations.[2] For instance, SNPs like rs2110073 in the LPCAT3 locus and a cluster of highly correlated SNPs within the FADS1/2 region (rs174535 , rs174545 , rs174546 , rs102275 , rs174536 , rs174537 , rs174550 , rs174547 , rs174574 , rs174576 , rs174577 , and rs1535 ) are linked to variations in oleic acid levels, accounting for a notable proportion (4–8%) of the observed variability.[2]Such genetic insights are crucial for identifying individuals with a predisposition to altered oleic acid metabolism, potentially guiding personalized risk assessments for cardiometabolic conditions and informing targeted nutritional or lifestyle interventions.

The diagnostic evaluation of oleic acid levels must consider its complex role in disease pathophysiology and requires a differential perspective against other fatty acids and related conditions. While oleic acid is generally considered beneficial, epidemiological studies indicate that elevatedcirculatinglevels of oleic acid, alongside other monounsaturated fatty acids like palmitoleic, vaccenic, erucic, and nervonic acids, are associated with an increased risk of metabolic syndrome, Type 2 Diabetes, and cardiovascular disease.[2]Conversely, oleic acid has also demonstrated a protective capacity against cardiovascular insulin resistance and progression of atherosclerosis.[3]This dual nature necessitates careful interpretation of results within the broader clinical context, including assessment of other lipid parameters and inflammatory biomarkers. Furthermore, genetic interactions involving oleic acid, such as between specific SNPs nearCLDN11 and SPATA13and oleic acid, have been shown to influence inflammatory markers like MCP1 and TNF, which are pertinent to cardiovascular disease risk.[1]Therefore, a comprehensive diagnostic approach integrates biochemical quantification, genetic profiling, and clinical assessment to understand the specific implications of oleic acid levels in an individual’s health.

Oleic Acid: Structure, Sources, and Fundamental Roles

Section titled “Oleic Acid: Structure, Sources, and Fundamental Roles”

Oleic acid (18:1n-9) is a monounsaturated fatty acid (MUFA) and is the most abundant MUFA found in human lipids. It is a significant component of the human diet, richly present in various plant oils such as olive, canola, hazelnut, almond, and rapeseed, as well as in animal-derived fats like lard, tallow, and butter.[2]Beyond dietary intake, the body can also synthesize oleic acid endogenously through de novo lipogenesis, primarily occurring in the liver and adipose tissue.[2]Functionally, oleic acid plays multiple critical biological roles. It is an important structural component of cell membranes, contributing to their fluidity and overall integrity.[2]Additionally, it serves as a vital energy source, undergoing beta-oxidation in the mitochondria, particularly in active tissues such as skeletal muscle during exercise.[2]Research indicates that oleic acid also plays a significant role in the overall regulation of lipid and glucose metabolism, thereby influencing systemic metabolic homeostasis.[2]

Metabolic Pathways and Enzymatic Regulation

Section titled “Metabolic Pathways and Enzymatic Regulation”

The body’s endogenous synthesis of oleic acid primarily occurs through de novo lipogenesis, a metabolic pathway where stearic acid, a saturated fatty acid, undergoes a delta-9 desaturation.[2] This crucial enzymatic step is catalyzed by desaturase enzymes, notably Stearoyl-CoA Desaturase (SCD), which introduces a double bond into the fatty acid chain.[2] The FADS1 and FADS2genes, encoding fatty acid desaturase enzymes, are also strongly associated with oleic acid levels, highlighting their central role in controlling the endogenous production and interconversion of various fatty acids within cellular pathways.[2]Beyond de novo synthesis, oleic acid can also be produced as an elongation product of other fatty acids, such as palmitoleic acid, through endogenous synthesis.[2]Another key biomolecule involved in oleic acid metabolism is Lysophosphatidylcholine Acyltransferase 3 (LPCAT3), an enzyme critical for phospholipid remodeling and the incorporation of acyl chains into membrane lipids.[2]The coordinated action of these enzymes and their respective pathways maintains the precise balance of oleic acid and other fatty acids within cellular lipids and membranes, influencing numerous cellular functions and regulatory networks.

Genetic mechanisms significantly contribute to the variability in circulating oleic acid levels among individuals. Genome-wide association studies (GWAS) have identified several genetic loci associated with plasma and erythrocyte oleic acid concentrations, including regions nearFADS1/2, LPCAT3, PKD2L1, HIF1AN, GCKR, and TRIM58.[2] For instance, the FADS1/2gene cluster consistently shows genome-wide significant associations with oleic acid levels across diverse populations, indicating its fundamental and conserved genetic influence on fatty acid desaturation.[2] The LPCAT3gene represents another significant locus, with specific single nucleotide polymorphisms (SNPs) in this region, such asrs2110073 , demonstrating strong correlations and accounting for a notable percentage (4-8%) of the variation in oleic acid levels.[2] While some genetic associations, like those with LPCAT3, may exhibit heterogeneity between different ethnic groups, suggesting varied genetic architectures or gene-environment interactions, the collective evidence points to a complex regulatory network where multiple genes contribute to the overall genetic landscape of oleic acid metabolism.[2] Furthermore, gene-based analyses have identified other genes like FEN1that, although not directly encoding fatty acid metabolizing enzymes, contribute to the broader regulatory pathways affecting oleic acid levels.[2]

Oleic acid’s influence extends significantly into pathophysiological processes, particularly concerning cardiometabolic health. Epidemiological studies have linked elevated levels of certain monounsaturated fatty acids, including oleic acid, in plasma and erythrocyte membranes to an increased risk of Type 2 Diabetes (T2D) and metabolic syndrome (MS).[2]Conversely, research also highlights a protective role for oleic acid, demonstrating its ability to mitigate cardiovascular insulin resistance and positively influence the early and late stages of cellular atherosclerotic processes.[3]At the cellular and tissue level, oleic acid has been observed to modulate inflammatory responses, playing a role in mitigating cellular atherosclerotic processes.[3] Genetic interactions further underscore its systemic consequences; for example, SNPs near the CLDN11gene, which encodes a tight-junction protein crucial for endothelial cell barrier function, interact with oleic acid levels to influence inflammatory biomarkers such as Monocyte Chemoattractant Protein-1 (MCP1).[1]This intricate interplay between genetic factors, oleic acid, and inflammatory pathways highlights its broad impact on disease mechanisms and homeostatic disruptions relevant to cardiovascular disease and diabetes.

Fatty Acid Biosynthesis and Interconversion

Section titled “Fatty Acid Biosynthesis and Interconversion”

The levels of oleic acid are intricately linked to complex metabolic pathways involving various enzymes responsible for fatty acid synthesis and modification. Key genetic loci, such as theFADS1/FADS2gene cluster, encode delta-5 and delta-6 desaturases, enzymes primarily known for their role in polyunsaturated fatty acid (PUFA) biosynthesis.[6]However, these desaturases can also catalyze the desaturation of saturated fatty acids like palmitic and stearic acid, thereby influencing the endogenous synthesis of monounsaturated fatty acids (MUFAs), including oleic acid.[7] Another crucial enzyme, stearoyl-CoA desaturase (SCD), is also involved in MUFA synthesis, and its transcription can be regulated by genetic variants like PKD2L1-rs603424 in adipose tissue, demonstrating a direct regulatory mechanism over fatty acid profiles.[8] Furthermore, lysophospholipid acyltransferase 3 (LPCAT3) is associated with oleic acid levels, playing a role in phospholipid remodeling and thus impacting membrane fatty acid composition.[9]Oleic acid itself can be an elongation product of palmitoleic acid through endogenous synthesis, highlighting the interconnectedness of MUFA pathways.[7]

Metabolic Regulation and Energy Homeostasis

Section titled “Metabolic Regulation and Energy Homeostasis”

Oleic acid and other MUFAs are vital components of cellular membranes and serve as significant energy sources, undergoing beta-oxidation in mitochondria, particularly in tissues like skeletal muscle during exercise.[10]The regulation of glucose metabolism, which is closely linked to fatty acid metabolism, also involves proteins like glucokinase regulator (GCKR). GCKRencodes a protein that interacts with glucokinase, a key enzyme in glucose phosphorylation and glycolysis.[11]This interaction can modulate glucokinase activity through allosteric control, thereby influencing systemic energy metabolism and indirectly impacting fatty acid availability and utilization.[11] Genetic variants in GCKRhave been associated with altered levels of gondoic acid, another MUFA, indicating a broader role in lipid and carbohydrate metabolic interplay.[2]

Inflammatory Signaling and Cellular Interactions

Section titled “Inflammatory Signaling and Cellular Interactions”

Oleic acid actively participates in cellular signaling, particularly concerning inflammatory responses. It has been shown to inhibit stearic acid-induced cell growth inhibition and pro-inflammatory responses in human aortic endothelial cells, suggesting a protective anti-inflammatory role.[4] This modulation of inflammatory cascades extends to specific molecular interactions, where genetic variants near the CLDN11gene, which codes for a tight-junction protein essential for cell barrier function, interact with oleic acid to influence levels of monocyte chemoattractant protein-1 (MCP1), a key inflammatory biomarker.[1]Similarly, a single nucleotide polymorphism near theSPATA13gene exhibits an interaction with oleic acid to predict tumor necrosis factor (TNF) levels, another critical pro-inflammatory cytokine.[1]These interactions underscore how oleic acid can modulate immune and inflammatory pathways at a systems level, influencing the expression of crucial signaling molecules.

The physiological roles of oleic acid are multifaceted and have significant implications for cardiometabolic health. Research indicates that oleic acid plays a protective role against cardiovascular insulin resistance and mitigates both early and late stages of the cellular atherosclerotic process.[3]This protective effect may involve its influence on inflammatory pathways and cellular integrity. Conversely, epidemiological studies have observed that elevated levels of specific plasma and erythrocyte membrane MUFAs, including oleic acid, are associated with an increased risk of type 2 diabetes (T2D), metabolic abnormalities, and cardiovascular disease (CVD).[2]This apparent dichotomy highlights the complex and context-dependent nature of fatty acid metabolism and its impact on disease. Pathway dysregulation, such as a deficiency in theCLDN11tight-junction protein, can compromise endothelial cell barrier function, an initiating event in CVD in diabetes, further illustrating how molecular mechanisms involving oleic acid-related pathways contribute to disease pathology.[1]

Oleic acid, a prominent monounsaturated fatty acid (MUFA), plays a significant role in maintaining cardiovascular health, with research indicating a protective effect against conditions such as cardiovascular insulin resistance and the early and late cellular processes of atherosclerosis.[3]Its presence has been shown to inhibit pro-inflammatory responses and cell growth inhibition in human aortic endothelial cells induced by saturated fatty acids like stearic acid.[4]These findings underscore oleic acid’s potential as a therapeutic target or dietary component to mitigate cardiovascular risk.

From a prognostic perspective, the broader profile of fatty acids, including oleic acid, contributes to metabolite profiling that can predict cardiovascular event risk, as observed in prospective population-based cohorts.[12]Furthermore, individual omega-9 MUFAs, encompassing oleic acid, have been linked to mortality outcomes in studies like the Ludwigshafen Risk and Cardiovascular Health Study, suggesting their utility in risk stratification for long-term cardiovascular health.[13]These associations highlight the potential for oleic acid levels to serve as a biomarker for assessing cardiovascular risk and guiding personalized prevention strategies.

Genetic Determinants and Personalized Approaches

Section titled “Genetic Determinants and Personalized Approaches”

Circulating levels of oleic acid are influenced by genetic variations, with genome-wide association studies (GWAS) identifying loci such asFADS1/2 and LPCAT3 in populations of both European and Chinese ancestries.[2] Specifically, genetic variants within the LPCAT3region can account for a modest but significant percentage of variation in oleic acid levels, and its activity is known to affect the abundance of other polyunsaturated fatty acids.[5] However, it is important to note that associations can exhibit heterogeneity across ethnic groups, as evidenced by LPCAT3’s strong association in Chinese populations but inconsistent replication in European cohorts.[2]Understanding these genetic influences on oleic acid metabolism could pave the way for personalized medicine approaches. By identifying individuals with genetic predispositions to altered oleic acid levels, clinicians might refine risk assessment for associated metabolic and cardiovascular conditions and tailor dietary or therapeutic interventions.[2]This genetic insight could also inform treatment selection, particularly in contexts where fatty acid profiles are crucial for disease management or predicting response to specific therapies.

Inflammatory Pathways and Associated Conditions

Section titled “Inflammatory Pathways and Associated Conditions”

Oleic acid interacts with specific genetic variants to modulate inflammatory responses, which are central to the pathophysiology of various chronic diseases. For instance, interactions between oleic acid and single nucleotide polymorphisms (SNPs) near theCLDN11 gene (rs7611820 , rs9856712 ) have been associated with levels of MCP1, a key inflammatory biomarker.[1] A deficiency in CLDN11, which codes for a tight-junction protein, can lead to cell barrier dysfunction in endothelial cells, a process considered an initiating pathological basis for cardiovascular disease in diabetes.[1]Similarly, an interaction between oleic acid and a SNP near theSPATA13 gene (rs17079653 ) has been linked to TNF levels, another significant inflammatory marker.[1] While variants in SPATA13are associated with psychological disorders such as depression and alcohol dependence, its direct link to cardiovascular risk factors or fatty acid levels warrants further investigation.[1]These findings suggest that oleic acid, through its influence on inflammatory pathways and interactions with genetic factors, may be relevant in understanding the etiology and progression of comorbidities like diabetes-related cardiovascular complications and potentially certain psychological conditions.

Frequently Asked Questions About Oleic Acid

Section titled “Frequently Asked Questions About Oleic Acid”

These questions address the most important and specific aspects of oleic acid based on current genetic research.


1. Why are my oleic acid levels different from my friend’s, even if we eat similar foods?

Section titled “1. Why are my oleic acid levels different from my friend’s, even if we eat similar foods?”

Your oleic acid levels are influenced by both your diet and your body’s unique metabolism. Genetic factors, such as variations near genes likeFADS1/2 or LPCAT3, significantly impact how your body synthesizes and processes oleic acid. This means even with similar diets, your innate genetic makeup can lead to different circulating levels compared to someone else.

2. Does my body naturally make oleic acid, or is it just from food?

Section titled “2. Does my body naturally make oleic acid, or is it just from food?”

Yes, your body can synthesize oleic acid on its own! It’s made endogenously from stearic acid through the action of an enzyme called stearoyl-CoA desaturase. This internally produced oleic acid, along with what you consume in your diet, contributes to your overall levels.

Absolutely. Oleic acid, abundant in olive oil, has been shown to have a protective role against cardiovascular insulin resistance and can mitigate aspects of atherosclerosis. While family history points to genetic predispositions, incorporating healthy fats can help counteract these risks and contribute to better cardiovascular health.

4. If I eat a Mediterranean diet, will my oleic acid levels definitely improve?

Section titled “4. If I eat a Mediterranean diet, will my oleic acid levels definitely improve?”

While the Mediterranean diet, rich in oleic acid, is excellent for health, your individual response can vary. Oleic acid levels reflect both your dietary intake and your unique endogenous metabolism, which is significantly influenced by genetic factors. So, while it’s highly beneficial, individual genetic differences mean levels might not improve uniformly for everyone.

5. What would testing my oleic acid levels tell me about my health?

Section titled “5. What would testing my oleic acid levels tell me about my health?”

Measuring your oleic acid levels, often in plasma or red blood cells, provides a snapshot of both your dietary intake and your body’s metabolic processing of this important fatty acid. It serves as a biomarker that has been linked to cardiovascular health, metabolic processes, and inflammatory markers like MCP1 and TNF, offering insights for personalized health recommendations.

6. Does my ethnic background change how my body uses healthy fats?

Section titled “6. Does my ethnic background change how my body uses healthy fats?”

Yes, it can. Research shows that genetic effects on fatty acid metabolism, including oleic acid, can differ across ethnic groups, such as between Chinese and European populations. This means your ancestry might influence your unique genetic architecture, impacting how your body processes and utilizes healthy fats.

7. Why might healthy fats sometimes not reduce my inflammation?

Section titled “7. Why might healthy fats sometimes not reduce my inflammation?”

While oleic acid generally has anti-inflammatory properties, inhibiting certain pro-inflammatory responses, your individual genetic makeup plays a role in how your body responds. Genetic determinants have been linked to inflammatory biomarkers, suggesting that some people may have genetic variations that affect their inflammatory pathways, influencing the overall impact of dietary fats.

8. Can genes impact how well my body stores energy from fats?

Section titled “8. Can genes impact how well my body stores energy from fats?”

Yes, they can. Oleic acid is incorporated into triglycerides for energy storage and into phospholipids for cell membrane structure. Genetic factors significantly influence your circulating oleic acid levels, which in turn can affect how efficiently your body creates and stores these fat molecules for energy.

9. My sibling eats more healthy fats, but I seem healthier. Why?

Section titled “9. My sibling eats more healthy fats, but I seem healthier. Why?”

Individual differences in health outcomes, even with similar diets, are often due to genetics. Genetic factors significantly influence your circulating oleic acid levels and overall metabolic response. Your body’s unique genetic blueprint may process and utilize healthy fats more efficiently, contributing to better health despite differing dietary habits from your sibling.

10. Is it true that different measuring methods for oleic acid can give different results?

Section titled “10. Is it true that different measuring methods for oleic acid can give different results?”

Yes, that’s true. Oleic acid levels can be quantified using various methods and from different sample types, such as fasting plasma phospholipids, total plasma, or erythrocyte fatty acids. While some studies suggest these differences might not always significantly alter association results, they do represent a source of variability in how the fatty acid levels are defined and measured.


This FAQ was automatically generated based on current genetic research and may be updated as new information becomes available.

Disclaimer: This information is for educational purposes only and should not be used as a substitute for professional medical advice. Always consult with a healthcare provider for personalized medical guidance.

[1] Veenstra J et al. “Genome-Wide Interaction Study of Omega-3 PUFAs and Other Fatty Acids on Inflammatory Biomarkers of Cardiovascular Health in the Framingham Heart Study.”Nutrients, vol. 10, no. 8, 2017, p. 1109.

[2] Hu Y et al. “Discovery and fine-mapping of loci associated with MUFAs through trans-ethnic meta-analysis in Chinese and European populations.” Journal of Lipid Research, vol. 58, no. 5, 2017, pp. 1024-1032.

[3] Perdomo, L. et al. “Protective role of oleic acid against cardiovascular insulin resistance and in the early and late cellular atherosclerotic process.”Cardiovasc. Diabetol., vol. 14, 2015, p. 75.

[4] Harvey, K.A. et al. “Oleic acid inhibits stearic acid-induced inhibition of cell growth and pro-inflammatory responses in human aortic endothelial cells.”Journal of Lipid Research, vol. 51, no. 12, 2010, pp. 3470-3480.

[5] Tintle, N. L., et al. “A genome-wide association study of saturated, mono- and polyunsaturated red blood cell fatty acids in the Framingham Heart Offspring Study.” Prostaglandins Leukot Essent Fatty Acids, vol. 92, 2015, pp. 15-21, PMID: 25500335.

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[7] Tvrzicka, E. et al. “Fatty acids as biocompounds: their role in human metabolism, health and disease–a review. Part 1: classification, dietary sources and biological functions.”Biomedical Papers of the Medical Faculty of the University Palacky Olomouc, Czech Republic, vol. 155, no. 2, 2011, pp. 117-130.

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