Squalene is a natural 30-carbon organic compound originally obtained for commercial
purposes primarily from shark liver oil (hence its name, as Squalus is
a genus of sharks), although plant sources (primarily vegetable oils) are now
used as well, including amaranth seed,
rice bran, wheat germ, and olives. Yeast cells have been genetically engineered to produce commercially useful
quantities of "synthetic" squalene.[4]
All plants and animals produce squalene as a biochemical
intermediate, including humans.
It occurs in high concentrations in the stomach oil of
birds in the order Procellariiformes.
Squalene is a hydrocarbon and
a triterpene, and is a natural and vital part of
the synthesis of all plant and animal sterols, including cholesterol, steroid
hormones, and vitamin D in the human body.[5]
Squalene is the biochemical precursor to the whole family of steroids.[6] Oxidation
(via squalene monooxygenase) of one of the terminal double bonds of squalene
yields 2,3-squalene oxide, which undergoes enzyme-catalyzed cyclization to
afford lanosterol, which is then elaborated into cholesterol and other
steroids.
Squalene is an ancient molecule. In plants, squalene is the precursor to stigmasterol. In certain fungi, it is the precursor to
ergosterol. However, blue-green algae and some bacteria do not manufacture
squalene, and must acquire it from the environment if they need it.
Squalene is a low density compound often stored in the bodies of cartilaginous fish such as sharks, which lack a swim bladder and must
therefore reduce their body density with fats and oils. Squalene, which is
stored mainly in the shark's liver, is lighter than water with a specific gravity of
0.855. Recently it has become a trend for sharks to be hunted to process their
livers for the purpose of making squalene health capsules. Environmental and
other concerns over shark hunting have motivated its extraction from vegetable
sources[7][8] or
biosynthetic processes instead.[9][10]
Squalene is one of the most
common lipids produced by human skin cells.[11] It is a natural moisturizer, and occurs as a major component
of nasal sebum.[citation
needed]
Squalane is
a saturated form of squalene in which the double
bonds have been eliminated by hydrogenation. Squalane is less susceptible to oxidation than squalene. Squalane is thus more
commonly used than squalene in personal care products, such as moisturizers.
Toxicology studies have determined that in the concentrations
used in cosmetics, both squalene and squalane have low acute toxicity, and are
not significant human skin irritants or sensitizers.[12]
Immunologic adjuvants are substances, administered in
conjunction with a vaccine, that stimulate the immune system and increase the response to the
vaccine. Squalene is not itself an adjuvant, but it has been used in
conjunction with surfactants in
certain adjuvant formulations.[13]
An adjuvant using squalene is Novartis' proprietary adjuvant MF59,
which is added to influenza vaccines to help stimulate the human body's immune
response through production of CD4 memory cells. It is the first
oil-in-water influenza vaccine adjuvant to be commercialized in
combination with a seasonal influenza virus vaccine. It was developed in the
1990s by researchers at Ciba-Geigy and Chiron; both
companies were subsequently acquired by Novartis.[14] It is present in the form of an emulsion and
is added to make the vaccine more immunogenic.[13] However, the mechanism of action remains unknown.
MF59 is capable of switching on a number of genes that partially overlap with
those activated by other adjuvants.[15] How these changes are triggered is unclear;
to date, no receptors responding to MF59 have been identified. One possibility
is that MF59 affects the cell behavior by changing the lipid metabolism, namely
by inducing accumulation of neutral lipids within the target cells.[16] An MF59-adjuvanted influenza vaccine
(Fluad, developed by Chiron, which contains about 10 mg of squalene per
dose) has been approved by health agencies and used in several European
countries for seasonal flu shots since 1997.[17] An influenza vaccine using MF59 as an
adjuvant has been approved for use in the US in those 65 years of age and
older, beginning with the 2016-2017 flu season.[18]
A 2009 meta-analysis assessed data from 64 clinical trials
of influenza vaccines with the squalene-containing adjuvant MF59 and compared
them to the effects of vaccines with no adjuvant. The analysis reported that
the adjuvanted vaccines were associated with slightly lower risks of chronic
diseases, but that neither type of vaccines altered the rate of autoimmune
diseases; the authors concluded that their data "supports the good safety
profile associated with MF59-adjuvanted influenza vaccines and suggests there
may be a clinical benefit over non-MF59-containing vaccines".[19]
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