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Table 1 Classification and nutritional importance of dietary lipids in T2DM

From: The roles of dietary lipids and lipidomics in gut-brain axis in type 2 diabetes mellitus

Type of fat

Description

Dietary sources

Role of mechanism

Saturated fatty acids

[34, 37, 41, 43, 49]

Single-bond fatty acids, such as lauric acid, palmitic acid, stearic acid

Meat and sausages, butter, milk and dairy products, palm oil, coconut oil

In the pancreas, liver, adipose tissue

Increase inflammation, endoplasmic reticulum stress, lipid oxidation, reactive oxygen species, and lipotoxicity

Decrease β-cell function and mass, insulin production, insulin receptor expression and activity, mitochondrial function, adiponectin secretion, and insulin-induced glycogen synthesis

In muscle

Induce mitochondrial dysfunction, SFA-induced insulin resistance, and impaire glucose metabolism

Reduce insulin signaling

In gut

Increase in local and systemic LPS concentrations, systemic inflammation, and metabolic endotoxemia

Trans fatty acids

[34, 45, 52, 54]

Polyunsaturated fatty acids whose double bonds are in the "trans" position

Industrially (hydrogenation), excessive heating of oil with a high level of unsaturated fatty acids

naturally produce by ruminants

Margarine, butter, milk and dairy products, meat

In the pancreas, liver, adipose tissue

Increase in oxidative stress, inflammation, and insulin resistance

Decrease in insulin secretion

Impare β-cell and ER function, glucose uptake

In muscle

Increase oxidative stress

Impare glucose uptake and insulin-stimulated glucose metabolism

In gut

Increased inflammation and metabolic endotoxemia

Cause lipotoxicity

Monounsaturated fatty acids

[34, 45, 57, 59]

Fatty acids with one double bond in the fatty acid chain (cis-position) such as oleic acid and palmitoleic acid

Plant-based food: olive oil, safflower oil, hazelnuts, almonds, pistachios, olives, avocados

Animal-based foods: eggs, butter, dairy products, meat and meat products

In the pancreas, liver, adipose tissue

Improve fasting glucose, insulin resistance, fasting glucose, and β cell function, increase GLP-1, adiponectin levels, FA oxidation, activate PPARγ receptors

Decrease inflammation

In muscle

Increase membrane translocation of GLUT 4 and glucose uptake

In gut

Improve gut homeostasis and decreases gut dysbiosis

Polyunsaturated fatty acids

[32,33,34, 65]

Fatty acids with more than one double bond in the fatty acid chain (cis-position) such as omega 6 fatty acids and omega 3 fatty acids

Dietary sources of omega 6 and omega 3 fatty acids

 

Omega 3 fatty acids

[32, 33, 58, 73, 76]

Polyunsaturated fatty acids with the last double bond in the omega 3 position (the third position counting from the methyl end) such as ALA, EPA, DHA

*EPA and DHA can be synthesized in the body from ALA

ALA is an important molecule found mostly in plant-based foods such as rapeseed oil, linseed oil, soybean oil, and walnut

EPA and DHA are mostly found in foods derived from animals such as salmon, tuna, and microalgae

In the pancreas, liver, adipose tissue

Increase insulin secretion, FA oxidation, PPARγ activity, glucose uptake via GLUT-4 translocation, and mitochondrial biogenesis

Improve insulin resistance and insulin secretion

Decrease ER stress, inflammation, and lipogenesis

In muscle

Increase in FA oxidation, insulin action on glucose usage, and protein synthesis

Decrease inflammation

In gut

Increase in insulin sensitivity through GPR120

Decrease in metabolic endotoxemia, insulin resistance

Omega 6 fatty acids

[32, 33, 84, 87, 89]

Polyunsaturated fatty acids with the last double bond in the omega 6 position (the sixth position counting from the methyl end) such as LA, AA

*Omega 6 fatty acids can be synthesized in the body from AA

Sunflower oil, corn oil, meat, butter, milk and dairy products, egg yolk

In the pancreas, liver, adipose tissue

Improve insulin sensitivity, inflammatory cytokines

Stimulate FA oxidation

Inhibit lipogenesis

In muscle

Enhance affinity for the FA transporters

In gut

Increase inflammation