Other Uses of Conjugated Linoleic Acid (CLA)
CLA has been investigated for multiple health applications beyond weight management, including cancer prevention, cardiovascular disease modification, immune function modulation, and diabetes management, though human evidence remains limited and inconsistent compared to animal studies.
Cancer Prevention
- CLA was originally discovered as a potent anticarcinogen in animal models, particularly effective in rat mammary tumor prevention at dietary concentrations of 0.1-1%, which approximates human consumption levels from dairy and meat sources 1
- The protective effect is notable even when CLA exposure is limited to the period from weaning to carcinogen administration, suggesting CLA may directly reduce cancer risk during mammary gland maturation 1
- CLA is unique among anticarcinogenic compounds because it originates from animal sources (dairy products and meat) rather than plants, and demonstrates efficacy at concentrations close to typical human dietary intake 1
Cardiovascular and Lipid Effects
- Animal studies demonstrate that CLA significantly improves plasma cholesterol and triglyceride metabolism and inhibits atherosclerosis progression and pathogenesis 2
- In humans, CLA has shown some ability to improve triglyceride metabolism, though effects on atherogenesis remain undetermined 2
- Some studies report isomer-specific effects on blood lipid profiles, though these require further investigation 3
- Caution is warranted as the trans-10,cis-12 CLA isomer has demonstrated detrimental effects including altered blood lipid composition and impaired insulin sensitivity in human studies 3
Body Composition Effects
- While animal studies show CLA is a potent anti-adipogenic nutrient that reduces adipose tissue mass and increases lean mass, human studies have been far less impressive 2
- The consensus from seventeen published human studies indicates that CLA does not significantly affect body weight or body composition 3
- Some human trials suggest a tendency toward decreased body fat mass and increased lean mass, but these effects are not statistically significant or clinically meaningful 4
- The trans-10,cis-12 isomer specifically has been reported to reduce adiposity in mice when included at ≤1% of diet, but this effect does not translate reliably to humans 4
Immune Function and Inflammation
- Animal models demonstrate that CLA-rich diets modulate inflammatory responses, and preliminary human trials show CLA affects cell-mediated immune responses 2
- However, CLA has only limited effects on immune functions in humans, with some interesting isomer-specific effects noted that require further investigation 3
- The molecular basis likely involves altered eicosanoid or cytokine metabolism and/or direct effects of dietary fats on gene transcription 2
Diabetes and Metabolic Effects
- Animal experiments report anti-diabetic properties of CLA 3
- Concerns exist regarding the trans-10,cis-12 CLA isomer's potential to impair glucose metabolism and insulin sensitivity in humans 3, 4
- Some studies raise concerns about deleterious effects on lipid profile, glucose metabolism, and insulin sensitivity, particularly with the trans-10,cis-12 isomer 4
Clinical Considerations and Safety Concerns
- Most dietary CLA in humans comes from dairy products, with the cis-9,trans-11 isomer (rumenic acid) accounting for >90% of total CLA intake 4
- Commercial CLA preparations contain trans-10,cis-12 and cis-9,trans-11 isomers in varying proportions and have been approved as GRAS (generally recognized as safe) in the United States since 2008 5
- Despite consumer interest in CLA supplements for body fat reduction, evidence of effectiveness in humans is not conclusive, and supplementation should be considered with caution until more is known about potential adverse effects 3, 4
- Known potential health concerns include impaired glucose homeostasis, oxidative stress, hepatic steatosis, and milk-fat depression 5
- The marked variation between animal and human study outcomes suggests that extrapolation from animal models to human applications is problematic 3
Knowledge Gaps
- The molecular mechanisms by which CLA isomers elicit their effects remain largely unknown despite nearly a decade of research 4
- Most current knowledge is based on in vitro and animal studies; the challenge is defining the nature and molecular basis of health effects specifically in humans 2
- With ongoing applications to food products and rising CLA consumption, close monitoring of both efficacy and known/unknown consequences is required 5