Connecting the Dots
On
This is the last article Paul wrote before his accident. Normal service will be resumed as soon a possible.
Older Istanbullular still talk about the winter of 1954. That year the Bosporus froze, and young men with suits but without anything better to do walked between the continents.
I rode out the more recent 2025 storm, when 40 centimeters of snow brought chaos to the city and paralysed the airports. Hard times indeed at the IST Turkish Air lounge, with only free coffee, croissants, humus and cacik (Turkish tzatziki) to keep the wolves at bay. And olives.
Cold, pressed for time and chewing olives, my indigent mind sidled sideways to the vexed topic of cold pressed olive oil. What is it, I wondered, that makes it so healthy? And how does it turn ineffective lead (fish oil) into highly functional gold (the well-known fish oil / olive oil blend)? Could it really only be the polyphenols? I started to dig …
Including fish in the diet is associated with many positive outcomes. However …
Purified omega 3 PUFAs are not particularly convincing anti-inflammatory tools in clinical practice (ie 1). When ingested in the usual supplements, which in my view fail to provide the appropriate chaperones, these fragile molecules produce breakdown products in the body which are cytotoxic, mutagenic and arrythmogenic (2).
This could explain why studies have found that omega 3s may raise inflammatory parameters (3) and increase the risk, in certain groups, of atrial fibrillation (4) and possibly lung cancer (5).
The polyphenols are not hugely effective either (ie 6). Substantial and indeed life-changing therapeutic benefits emerge, however, when you co-administer them with omega 3s. This is due in part to their complementary and super-additive mechanisms of action within the inflammatory cascade (7).
Co-administration of omega 3s and polyphenols occurred naturally in the pre-transitional diet (8), and is an integral component of the Health Protocol. It works even more effectively when combined with blended prebiotics (9, 10) and a broad spectrum micro- and phytonutrient support program (10), but that is not the main topic of this post.
Instead, let us consider the polyphenol / aliphatic complexes known as lipophenols or phenolipids, in which polyphenols and lipids such as omega 3 fatty acids are physically joined together into a single molecule.
The key characteristic of lipophenols is that they contain a hydrophobic moiety (the lipid component) linked to a hydrophilic moiety (the polyphenolic group), and are therefore amphiphiles (11-13). They are thus able to introduce the highly effective antioxidant cover provided by polyphenols’ multiple hydroxyl groups and high degree of conjugation, into lipid environments such as cell membranes.
Where does one find these important compounds?
Look to the olive, or more precisely to cold-pressed extra-virgin olive oil (EVOO). Lipophenols do not occur in olive fruit, but are formed in small amounts during the pressing of olives by formerly compartmentalized enzymes released by the destruction of the fruit’s inner structures (14).
A similar process occurs when garlic, another Mediterranean staple is crushed, thereby producing the biologically active allicin (15).
This is why changes in the cold-pressing conditions lead to significant variation in lipophenol levels (ie 14) which can be detected by IR-analysis in the lab (16), electro-chemical lab-on-a-strip technology plus a smart phone (17), or, approximately, via the cough test (see below).
The Mediterranean diet is considerably protective against chronic non-communicable conditions including the cancers, and vascular, neurodegenerative and inflammatory bowel disease. EVOO, perhaps the central pillar of the Medi diet (18), contains low levels of the lipophenols tyrosyl oleate (12) and homovanillyl oleate (19, 20), together with the lipophenol-like oleocanthal (21).
NB. Oleocanthal is not a lipophenol according to the structural definition of this category of compound, as its aliphatic component is internal – but it does fit the functional definition. Its amphiphilic nature (22) allows oleocanthal to project anti-oxidant polyphenolic cover into aqueous, lipid and boundary compartments, providing the range of biochemical and therapeutic properties associated with the general class of lipophenols. Hydroxytyrosol is not quite a lipophenol either, but its fatty acid esters are. HT is a fascinating compound with many therapeutic properties and it is somewhat amphiphilic, so it is probably also involved in enhancing omega-3 bioavailability to some extent.
Although the lipophenols clearly exert important anti-inflammatory effects (11, 13, 19, 21), most members of this molecular family have not yet been adequately researched. Oleocanthal is the emerging possible exception. Initial suspicions that orally ingested oleocanthal could not be absorbed seem to have been countered (21-23), and the molecule has been shown to possesses potent anti-inflammatory, anti-cancer, neuroprotective and hepato-protective properties (24-27).
Given the amounts of olive oil that humans actually ingest, however, the therapeutic effects linked to the oil are unlikely to be solely due to oleocanthal (27, 28), and in any case have nothing to do with its oleic acid content (16, 25, 85, 91).
Tyrosyl and homovanillyl oleate therefore likely contribute to EVOO’s overall health impact (12, 13, 19), together with more familiar components such as tyrosol, oleuropein and hydroxytyrosol, the esters of which also have amphiphilic properties (20, 63, 86). Oleanolic acid (87), maslinic acid (88) and pinoresinol (ie 88) are highly biologically active too, and likely contribute to the health benefits associated with the traditional Mediterranean diet.
Extra virgin olive oil is a treasure chest.
Taking this chemical complexity into account, how much EVOO should we consume to gain measurable health benefits?
According to the scientific opinion of the European Food Safety Authority (EFSA), 2 tablespoons of olive oil a day is enough. More specifically, “a daily intake of 20 g of olive oil, which contains at least 5 mg of hydroxytyrosol and its derivatives (e.g., oleuropein and tyrosol) provides the expected beneficial effects” (29, 30).
The lipophenols produced during cold-pressing do not figure in the current EFSA opinion, but opinions change.
For olive oil snobs everywhere. Oleocanthal (the name means olive-derived stinging aldehyde) causes a peppery sensation at the back of the throat by triggering a specific receptor in the oropharynx (31). This is why 2-cough olive oil is considered by the cognoscenti to be better than one-cough.
Global production of olives and olive oil is potentially at risk, due to the poorly understood and therefore poorly contained Olive Quick Decline Syndrome (32). Fortunately, there are other terrestrial food sources of lipophenols; such as turmeric and certain drupes.
Natural compounds, however functional they might be, cannot be patented. This is why a good deal of research funds are currently devoted to producing semi-synthetic lipophenols, which can be surrounded with the IP needed to make Big Pharma happy.
These semi-synthetics include hydroxytyrosol fatty acid esters, which display enhanced transfer across membranes and are being considered for cosmeceutical applications (52, 53) and as preservatives for foods with lipid matrices (54, 55). They also include a range of lipophenols designed to provide systemic health benefits (54-65). Among other things they are effective modulators of adipokine and adipocytokine production (ie 65, 66), and will therefore find multiple therapeutic uses (63).
The semi-synthetic lipophenols are classified as drugs, or novel food ingredients at best, but the amphiphile oleocanthal (technically a phenylethanoid related to oleuropein) is already in the supplement space and is a candidate for inclusion in next-gen functional foods.
After two tablespoons of liquid gold (Homer’s description of olive oil), look to the wine-dark sea.
The n-3 lipophenols, a sub-set of the larger category of lipophenols, are almost exclusively found in marine sources (55, 56). These are biologically highly significant compounds, because 3-PUFAs and polyphenols are friends with benefits.
3-PUFAs are very prone to oxidation, and form cytotoxic and arrhythmogenic oxidation products in the body unless properly chaperoned (67). Polyphenols are extensively bio-transformed in the body by phase 1 and 2 enzymes (68) and by bacterial enzymes in the gut (69). Bolting polyphenols to 3-PUFAs reduces oxidative stress on the PUFA, modulates biotransformation of the polyphenol, and introduces the biological effects of polyphenols into lipid compartments such as cell membranes.
Lipophenols provide considerable protection against a range of insults (53-65), and naturally occurring n-3 lipophenols and similar compounds will become a significant category in the food and supplement sectors.
(55) and (56) are particularly good reviews from the Universities of Montpellier in France and Jeju in South Korea respectively. The Montpellier group focuses on n-3 lipophenols, while the Korean paper discusses lipophilic and amphiphilic marine polyphenols other than lipophenols.
Like most good things in the ocean (with the possible exception of doubloons), the n-3 lipophenols ultimately derive from marine algae. They are produced by many species including Zonaria spiralis (70), Zonaria tournefortii (71, 72), Zonaria diesingiana and Zonaria farlowii (73), Cystophora torulosa, Chrysanthemoides monilifera and Cordyline congesta (74, 75); where they are present in significant amounts ie up to 0.2% by fresh weight (76).
Obviously, all these algal species produce omega 3 PUFAs (ie 70-72) and here, at last, we arrive at the heart of the matter. The n-3 PUFAs are fragile molecules and yet they traverse multiple trophic layers and survive transit for many months as they percolate to the top of the marine food web (67, 77).
I have talked endlessly about amphiphilic polyphenols being the key reason why oily fish are health-protective while fish oil is not (67, 77-79). At this point it seems most likely that I have been referring, primarily if not exclusively (54-56), to n-3 lipophenols. These are the perfect amphiphiles to bubble-wrap algal n-3 PUFAs in liposomes and enable them to climb the trophic ladder, passing through each species and providing anti-inflammatory protection as they go (77).
The absence of lipophenols and polyphenols in commercial fish oils is likely the main reason why these oils have such poor secondary bioavailability (78, 79, 81), why they lack therapeutic functionality (1, 79, 80), and why they may raise the risk of atrial fibrillation (4, 82). Especially when compared to the combination of omega 3’s and lipophenols that occurs in oily fish, or the combination of omega 3’s and olive-derived amphiphiles in in the classic fish oil / EVOO blend (80, 81).
Don’t you just love those Cortesian moments when the dots join up and a new planet swims into your ken?
Historical endnote.
I often return to the 19th century, to a time when public health was far superior to today’s and when, as a result, Britons ruled the waves – and a quarter of the terrestrial landmass. A little-known fact is that mid-Victorians consumed significant amounts of olive oil. Salads were widely consumed and inevitably dressed with olive oil (83), while among the working classes – and schoolboys – the ubiquitous canned sardines swam, equally inevitably, in olive oil also (83).
This was exclusively virgin and extra virgin olive oil; the industrial refining of edible oils does not appear until the early 1900s (84).
Les Rosbifs were thus eating significant amounts of olive lipophenols and omega-3 lipophenols. From this perspective, the mid-Victorians’ splendid good health (90) reflects a uniquely English version of the Mediterranean diet. A Victorian Englishman could say Surrey, without apologizing.
Commercial endnote.
A section of this text and its accompanying references 33-51 have been removed, due to patent-related issues. They will be replaced as soon as these have been resolved.
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