The story begins with genes that code for an enzyme, called FADS2, which helps the body process the omega-6 and omega-3 fatty acids we consume from dietary sources. We need both of these types of oil, and it is becoming increasingly clear that the two fats should be present in the body in roughly equal parts. Omega-3 is anti-inflammatory, while Omega-6 is pro-inflammatory. Inflammation is key to our bodies’ defense mechanisms, but too much or chronic inflammation can help cause many types of disease.
The FADS2 gene has a mutant, or “allele” form, dubbed the vegetarian allele because it helps people regulate their bodies’ balance of omega-3 and omega-6 oils when the precursors are consumed specifically from plant-based sources. The team found that, as expected, this allele is most common in predominantly vegetarian populations like India.
They also suspected that the vegetarian gene would be problematic among people who eat primarily meat, because omega-3 and 6 oils from animal products are metabolized differently. Indeed, the vegetarian allele is quite infrequent in Greenland, and actually seems to have been deleted from genes where, generations ago, it existed.
“Our genetic heritage, to some degree, tailors our genes to specific foods, and when that changes dramatically for whatever reason, there may be a mismatch,” explained the study’s lead author Tom Brenna of Cornell, in a recorded presentation sent to me by his lab.
This mismatch between diet and genes is the underlying premise behind the concepts of precision medicine and precision nutrition, which, Brenna and his time is the way of the future. “[Precision nutrition/medicine] means making recommendations on a person by person basis rather than on global means, which is what dietary guidelines do.”
All of the team members that I reached out to expressed their frustration at the spinning of their work into the notion that “A vegetarian diet can kill you.” As co-author Alon Keinan explained, if a scary headline needs to be made, if anything they said the exact opposite.
“Where the media took the “cancer” part is from the fact that people whose ancestors have been vegetarian (hence carry the “vegetarian allele”), are at risk of having too much omega-6 if they start also eating meat.”
He also pointed out that heart disease is more likely than cancer to arise from an imbalance between omega-6 and omega-3 fats.
Another rich source of omega-6 are certain vegetable oils like sunflower, safflower, and soy oils. The recent gain in popularity of these oils in the western diet has helped skew the balance of omega-3 and omega-6 in many people. While the ideal ratio is 1:1, among those who consume a western diet it is now as high as 15:1 in favor of omega-6.
This is just fine, according to the American Heart Association and other establishment groups, which have recently doubled down on their denial of the idea that too much omega-6 is a concern. But among researchers at the front lines, there is growing agreement regarding the importance of balance over absolute quantities of these oils. And the food industry, which once celebrated the health benefits of omega-6 oils, is now quietly breeding its oilseed plants toward omega-3 heavy profiles, explained lead author Tom Brenna in a presentation released by his lab.
“Sunflower oil used to be 75 percent omega-6,” he says. “Most of it now is high oleic [meaning high omega-3], and is about ten percent linoleic [aka high omega-6].”
Today’s industrially produced vegetable oils, in fact, have come to resemble olive oil, Brenna says, which is the “stereotypical high-oleic oil. The fact that other oils are transitioning to high-oleics is good, he believes. But this isn’t yet a worldwide trend, and developing countries are still using the high linoleic versions, he says. “I’m quite concerned about developing countries in this regard.”
In other words, those who have the vegetarian gene but consume a western, fast-food based diet are particularly at risk. This helps explain the skyrocketing levels of cancer and heart disease, not to mention diabetes in India: the people are consuming a diet that doesn’t suit their genes.
With so much nuance and diversity in finding someone’s ideal dietary requirements, Brenna says, “What I’m worried about is folks just focusing on vegetables vs meat.”