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29 March 2019

Enhancing Omega-3 Long-Chain Polyunsaturated Fatty Acid Content of Dairy-Derived Foods for Human Consumption

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1
Animal Genetics and Nutrition, Veterinary Sciences Discipline, College of Public Health, Medical and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia
2
College of Economics and Techniques, Thai Nguyen University, Thai Nguyen 252166, Vietnam
3
College of Medicine and Dentistry, Division of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia
4
CSIRO Oceans & Atmosphere, P.O. Box 1538, Hobart, TAS 7001, Australia
Nutrients2019, 11(4), 743;https://doi.org/10.3390/nu11040743
This article belongs to the Special Issue Effects of Omega-3 Polyunsaturated Fatty Acids and Human Health
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Abstract

Omega-3 polyunsaturated fatty acids (n-3 PUFA) are termed essential fatty acids because they cannot be synthesized de novo by humans due to the lack of delta-12 and delta-15 desaturase enzymes and must therefore be acquired from the diet. n-3 PUFA include α-linolenic acid (ALA, 18:3n-3), eicosapentaenoic (EPA, 20:5n-3), docosahexaenoic (DHA, 22:6n-3), and the less recognized docosapentaenoic acid (DPA, 22:5n-3). The three long-chain (≥C20) n-3 PUFA (n-3 LC-PUFA), EPA, DHA, and DPA play an important role in human health by reducing the risk of chronic diseases. Up to the present time, seafood, and in particular, fish oil-derived products, have been the richest sources of n-3 LC-PUFA. The human diet generally contains insufficient amounts of these essential FA due largely to the low consumption of seafood. This issue provides opportunities to enrich the content of n-3 PUFA in other common food groups. Milk and milk products have traditionally been a major component of human diets, but are also among some of the poorest sources of n-3 PUFA. Consideration of the high consumption of milk and its processed products worldwide and the human health benefits has led to a large number of studies targeting the enhancement of n-3 PUFA content in dairy products. The main objective of this review was to evaluate the major strategies that have been employed to enhance n-3 PUFA content in dairy products and to unravel potential knowledge gaps for further research on this topic. Nutritional manipulation to date has been the main approach for altering milk fatty acids (FA) in ruminants. However, the main challenge is ruminal biohydrogenation in which dietary PUFA are hydrogenated into monounsaturated FA and/or ultimately, saturated FA, due to rumen microbial activities. The inclusion of oil seed and vegetable oil in dairy animal diets significantly elevates ALA content, while the addition of rumen-protected marine-derived supplements is the most effective way to increase the concentration of EPA, DHA, and DPA in dairy products. In our view, the mechanisms of n-3 LC-PUFA biosynthesis pathway from ALA and the biohydrogenation of individual n-3 LC-PUFA in ruminants need to be better elucidated. Identified knowledge gaps regarding the activities of candidate genes regulating the concentrations of n-3 PUFA and the responses of ruminants to specific lipid supplementation regimes are also critical to a greater understanding of nutrition-genetics interactions driving lipid metabolism.

1. Introduction

Omega-3 polyunsaturated fatty acids (n-3 PUFA) contain more than two double bonds with the first double bond on the third carbon atom from the methyl end of the molecule. The common types of n-3 PUFA are: Shorter chain (SC, ≤C18) n-3 PUFA including α-linolenic acid (ALA, 18:3n-3) and stearidonic acid (SDA, 18:4n-3), and long-chain (≥C20) n-3 PUFA (n-3 LC-PUFA) including eicosapentaenoic (EPA, 20:5n-3); docosahexaenoic (DHA, 22:6n-3); and the less studied docosapentaenoic (DPA, 22:5n-3) acids [1]. The focus herein is on LC-PUFA due to their beneficial effects in human pathologies. Since Bang et al. [2] first demonstrated the positive relationship between low amounts of some non-communicable diseases and high n-3 LC-PUFA consumption of the Eskimos, numerous studies have consistently demonstrated their vital role in inhibiting major chronic diseases [3], including adipogenic, diabetogenic, atherogenic [4], inflammatory [5,6] and carcinogenic [7,8] diseases. Moreover, high consumption of n-3 LC-PUFA is typically associated with a higher cognitive performance and a lower risk of developing Alzheimer’s disease [9,10,11]. Previous studies on n-3 LC-PUFA have focused mainly on EPA and DHA, but not DPA despite its structural and beneficial effects on human health being similar to those of EPA and DHA [12]. The unavailability of pure DPA as a commercial product for performing clinical and nutritional trials is one possible explanation for this shortcoming. The term n-3 LC-PUFA in this current review includes EPA, DHA, and DPA.
Chronic or non-communicable diseases have remained as the most leading cause of death worldwide, with 41 million deaths accounting for 71% of reported global deaths (57 million) [13]. This report also indicated that an unhealthy diet with low intake of n-3 LC-PUFA, continues to be one of the main factors that either directly or indirectly induce chronic diseases. Although there is a general awareness that fish and seafood are the dominant source of n-3 LC-PUFA, seafood consumption is still insufficient, thus the human diet persists with low n-3 PUFA intake [14]. The traditional diet often does not contain regular consumption of fish and marine products, especially in Western countries [12,15]. When taken together with the often high cost of seafood [16], these combined factors probably have been the major grounds for this trend. In contrast, milk and its processed products are known as poor sources of n-3 LC-PUFA content [17], although they have played an important role in human diets for more than 8000 years [18]. This is because dairy foods are important sources of energy, protein, fat, and vital microelements including calcium, vitamin D and potassium for humans [19,20]. According to the OECD/FAO report [21], the 2015 global consumption of milk and dairy products was 111.3 kg per capita, and is expected to increase by approximately 12.5% by 2025. This fact has led to a number of studies focusing on enhancing the beneficial n-3 PUFA and n-3 LC-PUFA in milk and its processed products, mostly from cows and sheep, for human consumption [17]. The aim of the present review was, therefore, to evaluate and update the published literature on the effects of n-3 LC-PUFA on human health and to also examine recent research on improving the concentrations of these health beneficial FA in dairy-derived foods. Consequently, outcomes from this review may open up opportunities for future further research into nutrition-genetics interactions influencing lipid metabolism in dairy-derived foods.

3. Lipid Metabolism in Ruminants: Obstacles to Enriching Milk Fat with n-3 PUFA

Since all of the long-chain FA in milk fat are derived from the absorption of fatty acids from the small intestine and body fat reserves that have both originated from dietary FA [17,87], manipulating the diet or feeding regime is the most popular way to alter milk fat composition. However, the efficiency of this approach in ruminants is still limited due to rumen microbial fermentation [88].
Dietary lipid sources for ruminants are mainly from forages, supplements or concentrates including cereal grains, oilseeds and animal fats. Lipids derived from forages contain largely glycolipids and phospholipids, while triglycerides are found primarily in supplements [89]. Once dietary lipids enter the rumen, lipolysis occurs and it involves hydrolysis of ester linkages to release free fatty acids for the next biohydrogenation (BH) process [88] (Figure 2).
Figure 2. The scheme of lipolysis and biohydrogenation (adapted from Buccioni et al. [88]).
Under the activity of rumen microbes, unsaturated fatty acids (UFA) including PUFA are hydrogenated to monounsaturated FA (MUFA) and ultimately, saturated FA (SFA) through the addition of a double bond of two hydrogen atoms. The principal role of this process is to maintain a stable rumen environment by reducing the toxic effects of free UFA on bacterial growth in the rumen [89]. Due to the high rate of hydrolysis and BH, only small amounts of PUFA from the diet can pass through the rumen into the duodenum for absorption [90]. According to Shingfield et al. [91], dietary ALA in the rumen can be hydrogenated into 18:0 (Figure 3) at the rate of 85% to 100%. Both in vivo [92] and in vitro [93] studies have confirmed an extensive BH of dietary EPA and DHA that was greater than 90%. In contrast to ALA, these PUFA are not completely hydrogenated into SFA, but numerous intermediates are produced including a majority of UFA and much lesser amounts of SFA [94]. The most recent in vitro study [95] suggests that while the reduction of the double bond at the closest position to the carboxyl group is the main BH pathway of EPA and DPA (Figure 4), this process is much less important for DHA. In addition, these authors stated that the possible interspecies differences between bovine and ovine BH of n-3 LC-PUFA is directly correlated with slower and less complete BH observed in cattle, especially for EPA and DPA. However, the specific pathways for BH of individual n-3 LC-PUFA still remain unclear.
Figure 3. Ruminal biohydrogenation of alpha-linolenic acid. Thick arrows represent the major pathway; dotted lines with arrows represent putative pathway (adapted from Gomez-Cortes et al. [108]).
Figure 4. Possible biohydrogenation pathways of 20:5n-3. Solid arrows represent possible major pathway; dotted lines with arrows represents hypothetical pathway (adapted from Toral et al. [95]).
Apart from ruminal BH, given the relatively low absorption rate from the small intestine into the mammary gland at 49% for ALA, and ranging from 14% to 33% for EPA, and from 13% to 25% for DHA [17], it is not surprising that the proportion of these PUFA in dairy products is generally very low. Principal strategies for increasing n-3 PUFA in milk and milk products, therefore, have been to minimize the biohydrogenation effects of ruminal microbes and/or improving the absorption rate of these FA into the mammary gland.

4. Recent Attempts to Increase n-3 PUFA Content In Dairy-Derived Products

Up to the present time, the nutritional manipulation of feeding regimes and supplementation with lipid sources containing high amounts of n-3 PUFA [17,96] are the major approaches to improving n-3 PUFA content in dairy products. In contrast, current efforts to employ genetic programmes in this theme have not yet yielded significant enhancement because the FA profile of milk processed products primarily depends on the FA composition of raw milk [97,98,99]. Therefore, current studies mostly focus on milk content as the principal route of increasing n-3 PUFA in other processed products.

4.1. Feeding Regime

Previous studies had demonstrated that feeding regime, particularly changes in forage sources and feeding systems, had significant effects on shorter chain n-3 PUFA, but minor effects on n-3 LC-PUFA concentrations in both dairy ewes and cows (Table 3). This is because lipids from pasture sources contain abundant amounts of ALA [100,101], but not EPA, DHA and DPA. For example, ALA content of fresh ryegrass varieties, a popular pasture used for ruminants worldwide, ranges from 62 to 74% of total fatty acids [102]. However, the pasture conservation processes, particularly grass wilting in the field, generally cause the oxidative loss of forage PUFA, subsequently and markedly reducing the content of ALA in hay or silage [100]. Wilting ryegrass 24 h in glasshouse, for instance, reduced the percentage of ALA by 33% compared to unwilted grass [103]. Therefore, dairy ruminants that are kept in grazing systems or have free access to fresh grass produced much higher proportions of ALA in milk compared with animals fed conserved grass (hay and silage) [104,105,106,107]. These results appear to be supported by the higher ALA intake of animals fed or grazed on fresh pastures.
Table 3. Effect of pasture feeding regimes on n-3 PUFA content of milk (g/100 g fatty acids).
The transfer of n-3 PUFA from forage into milk and milk products is also influenced by forage species (Table 3). Grazing dairy cows on diverse alpine pastures produced more ALA in their milk than on ryegrass-dominated paddocks (1.15 vs. 0.70 g/100 g FA) [105]. Both Addis et al. [109] and Bonanno et al. [110] reported the greatest concentration of ALA in sheep milk and cheese from ewes grazed on Sulla pasture, versus other common forages including ryegrass, burr medic and daisy forb. Guzatti et al. [111] showed higher levels of ALA in ewe milk for animals fed on clover silage compared with lucerne silage (0.92 vs. 0.70 g/100 g FA). Disparities observed between forage species in the transfer of n-3 PUFA into milk in these studies were not correlated with ALA intake, but were associated with variation in condensed tannin content in the forages. The most possible mechanisms and effects of the condensed tannins were explained by Cabiddu et al. [112], in which tannins inhibited rumen microbial activities, thus ultimately lowering the PUFA biohydrogenation process in the rumen. The attempt to reduce microbial species involved in biohydrogenation such as B. proteoclasticus has been implemented with limited success due to many factors. For more details, see comprehensive coverage by Lourenco et al. [113].

4.2. Lipid Supplementation

Lipid supplementation has been used as an effective tool to improve animal performance due to its significant energy contribution [101], and it can also alter milk fat composition because of the high content of essential FA [114,115]. Fish oils and marine products, oilseeds and vegetable oils are the main sources that have been employed in ruminant diets to enhance the concentrations of health beneficial n-3 PUFA and n-3 LC-PUFA in milk and milk products [101].

4.2.1. Oil Seed and Vegetable Oil

Plant-derived fat is the most common fat source in ruminant supplements, and includes both oilseeds and extracted vegetable oils. This is because these materials not only contain a high concentration of PUFA [116], protein and energy [117], but are also more readily available and cheaper than other (marine) sources [22]. Therefore, a number of studies have examined the effects of oilseed and vegetable oils on the concentration of health beneficial n-3 PUFA in both bovine and ovine milk products (Table 4). Based on previously reported results, the addition of flaxseed or linseed supplements in ruminant diets is a more effective strategy to enrich milk n-3 PUFA compared to other plant fat supplementation methods (Table 4). Due to its very high content in ALA at approximately 53% of all FA [118], cows or sheep supplemented with flaxseed had substantial enhancement of this shorter chain n-3 PUFA in milk products (Table 4).
Table 4. Effect of supplementing ruminants with plant-derived dietary sources on n-3 PUFA concentration in milk and milk products (g/100 g fatty acids).
Oil infusion is also considered an effective form of providing plant oil supplements that increases the escape rate of UFA from the BH of rumen microbes, thus enhancing the availability of n-3 PUFA for absorption [17]. Khas et al. [124] reported that adding 160 g/day of infused free ALA in the diet for lactating cows increased ALA content in milk by 41-fold, and also resulted in significant increases in milk EPA and DPA by two-fold and three-fold, respectively. However, supplementation with vegetable seed and oils only marginally increased milk EPA, DHA, and DPA in both bovines and ovines, with the percentages of these FA often lower than 0.1 g/100g FA (Table 4). These findings indicated that the endogenous biosynthesis pathway of these n-3 LC-PUFA from dietary ALA in dairy animals is limited.

4.2.2. Marine Lipid Sources

Feeding dairy animals with marine oil resulted in the highest n-3 LC-PUFA concentration in milk and milk products (Table 5) among all types of lipid supplements examined. Previous studies also confirmed the efficiency of utilising rumen-protected forms of marine products that were markedly higher than in the untreated controls; mainly as a result of the lesser extent of ruminal biohydrogenation with the rumen-protected diets [125]. Kitessa et al. reported that the content of EPA and DHA, which are generally scanty in milk (Table 3 and Table 4), could be increased by supplementing both dairy cattle [126] and ewes [127] with rumen-protected fish oil. The proportion of DHA, the most essential n-3 LC-PUFA, observed in these studies, exceeded 1% of the total FA. Similarly, an effective incorporation rate of DHA from a marine algae supplement, an alternative to fish oil into milk, was also confirmed by a number of studies (Table 5). This transfer rate appears to be higher as observed in ovine [128] than in bovine [129]. Results presented in Table 5 also indicate that supplementing fish oil is more advantageous than marine algae in terms of improving milk EPA and DPA content.
Table 5. Effect of supplementing ruminants with dietary marine sources on n-3 PUFA concentration of milk and milk products (g/100 g fatty acids).
Recent focus on achieving quantitatively significant amounts of n-3 PUFA per standard serve of milk and milk products has occurred [45,46]. This absolute FA concentration data may be more accurate than the proportion (expressed as %FA) itself, since the fat percentage of milk from different species varies widely [130], and such quantitative data can potentially assist consumers in purchasing decisions. One serve of fresh milk produced from grazing ewes supplemented with rumen-protected EPA + DHA contains 62 mg of total n-3 LC-PUFA, three-fold higher than the control group [45]. This result is higher than the concentration of total EPA + DHA + DPA in one serve of cooked lamb meat (55 mg) reported by Flakemore et al. [131]. In achieving 60 mg/serving, this sheep milk can also be considered as achieving a “good source” level of n-3 LC-PUFA, adhering to Food Standards Australia and New Zealand (FSANZ) [132]. Although the inclusion of fish oil into ruminant diets might have a negative effect on meat quality such as possible rancidity and abnormal flavour in cooked or grilled lamb [133], no side effects on milk and milk products have been reported. Nguyen et al. [46] observed no differences in sensory eating traits between ripened cheese processed from milk produced by dairy sheep supplemented with rumen-protected marine source and the unsupplemented group. However, the higher cost of the marine oil source possibly limits its utilization as a routine supplementation for dairy ruminants [101].

4.3. Genetic Manipulation as a Potential Tool for the Enrichment of Dairy Products with n-3 PUFA

Attempts at understanding and estimating genetic parameters influencing milk FA content that may be beneficial for human health had been made a decade ago [146,147]. Up to the present time, low heritabilities (<0.1) for individual n-3 PUFA (Table 6) were consistently reported in dairy cows [147,148,149] and dairy sheep [150], indicating a low impact of genetics or breed on the concentration of n-3 PUFA. This observation probably arises because the fatty acids longer than 18 carbon chains are not de novo synthesized in the mammary gland, but are circulated from the blood which contains lipids that originated from the diet [94]. Moderate heritabilities for the whole group of n-3 PUFA were reported by Boichard et al. [151] and Maroteau et al. [152], and could be explained by major contribution of the shorter chain n-3 PUFA. First identified in the human genome in 2000 [153], fatty acid desaturase 1 and 2 (FADS1 and FADS2) are considered as the major candidate genes that regulate the endogenous synthesis of n-3 LC-PUFA from ALA in mammals including ruminants [154,155,156,157,158]. The first effort to define the association between these two encoding genes and n-3 PUFA in the milk of Holstein cows [159] found that three significant single nucleotide polymorphism (SNP) markers within FADS1 and FADS2 were associated with EPA. Apart from the two well-characterized FADS1 and FADS2 genes, Ibeagha-Awemu et al. [160] uncovered more potential candidate genes with several novel SNPs that were significantly associated with milk EPA and DPA. Consequently, by employing these potential genetic markers, future research can investigate the specific relationships between combining genetics and other environmental strategies such as nutritional supplementation for elevating n-3 LC PUFA in milk.
Table 6. Heritability estimates of major individual and group of n-3 fatty acids.

5. Conclusions

Since first being reported some four decades ago, the number of studies confirming the beneficial effects of n-3 PUFA on reducing the risk of chronic diseases including cardiovascular disease, cancer, mental illnesses, age-related cognitive decline, and inflammatory diseases were over and above those that found neutral or adverse effects. Specific mechanisms with respect to the independent and/or supplementary influences of n-3 PUFA on human health, however, remain controversial and need further investigations. Consumption of seafood as the major source of n-3 LC-PUFA is still generally insufficient, resulting in the need for enhancing the concentration of these beneficial n-3 LC-PUFA in other common dietary sources for human consumption. Attempts to increase the content of n-3 LC-PUFA in milk and milk products, which are important components of the human diet, has therefore been a major research focus for the last two decades. Current studies generally demonstrate that the processes of lipolysis combined with dietary lipid BH in the rumen are the main obstacles in modulating n-3 LC-PUFA content of dairy products. In addition, the biosynthetic pathway of these FA from the precursor ALA, is limited, with only minor conversion occurring. Thus, supplementing ruminants with marine-derived sources in a rumen-protected form is at this time, one of the best strategies to increase n-3 LC-PUFA content in milk and its processed products. Yet, there seems to be a lack of evaluation regarding the economic efficiency of different supplemented ingredients utilized in the current research. We propose that further studies are required to better elucidate the n-3 LC-PUFA biosynthesis pathway from ALA, together with the BH mechanism of individual n-3 LC-PUFA. A more comprehensive knowledge of these aspects would be a guiding principle for further research on increasing the escape rate of dietary PUFA from the rumen and their absorption rate from the small intestine into milk. Genetically modifying oilseeds as an alternative and sustainable source of dietary n-3 LC-PUFA for ruminants should be taken into account when future supplies of fish oil may not be sufficient. Finally, activities of regulated genes on the concentration of n-3 PUFA and their reaction to non-genetic factors such as lipid supplementation for specific dairy species also needs to be better defined. Identified knowledge gaps regarding the activities of candidate genes regulating the concentrations of n-3 PUFA and the responses of ruminants to specific lipid supplementation regimes are also critical to a greater understanding of nutrition-genetics interactions driving lipid metabolism.

Author Contributions

Conceptualization, A.E.O.M.-A., P.D.N., J.C. and B.S.M.-A.; methodology, A.E.O.M.-A., P.D.N., B.S.M.-A., J.C. and Q.V.N.; software, A.E.O.M.-A.; validation, A.E.O.M.-A., P.D.N., J.C. and B.S.M.-A.; formal analysis, Q.V.N.; investigation, Q.V.N.; resources, A.E.O.M.-A.; data curation, A.E.O.M.-A., P.D.N. and Q.V.N.; writing—original draft preparation, Q.V.N.; writing—review and editing, A.E.O.M.-A., P.D.N., J.C. and B.S.M.-A.; supervision, A.E.O.M.-A., P.D.N., J.C. and B.S.M.-A.; project administration, A.E.O.M.-A.; funding acquisition, A.E.O.M.-A.

Funding

This research was funded by Australian Awards PhD Scholarship from the Australian Government’s Department of Foreign Affairs and Trade awarded to the first-named author and the APC was funded by the College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia.

Acknowledgments

In addition to the funding body, the first-named author gratefully acknowledges supervisors at the Veterinary Sciences Discipline, College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia, for their editorial, technical and academic assistance before, during and after writing the draft of this literature review.

Conflicts of Interest

The authors declare no conflict of interest. The funders had no role in the design of the study; collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

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