Coronary heart disease became a leading cause of death around the same time that industrially refined seed oils started being widely added to human diets.
Mechanism
Synthesis from 3 studies
When people started eating more processed vegetable oils, they also started consuming a harmful type of fat called trans fat. This fat damaged the lining of their blood vessels, caused swelling in their bodies, and led to clogs in heart arteries, which caused more heart attacks. The evidence for this is stronger than for other possible reasons.
Most probable mechanism
When people ate more processed oils, their bodies got exposed to a type of fat called trans fat that doesn't exist naturally. This fat made the inside of blood vessels less healthy, caused more swelling in the body, and led to buildup of sticky plaque in arteries, which eventually blocked blood flow and caused heart attacks.
Industrial processing of seed oils generates trans fatty acids that are absorbed into the bloodstream and incorporated into cell membranes
Incorporation of trans fatty acids into endothelial cell membranes impairs nitric oxide production and increases oxidative stress
Endothelial dysfunction triggers chronic low-grade inflammation, increasing adhesion molecule expression and monocyte recruitment
Inflammatory mediators promote oxidation of LDL cholesterol and its accumulation in arterial walls, initiating atherosclerotic plaque formation
Progressive plaque growth and instability lead to coronary artery occlusion, myocardial ischemia, and increased risk of fatal cardiac events
Less supported by current evidence, but not ruled out
Eating large amounts of certain vegetable oils increases a fat called linoleic acid, which the body turns into chemicals that cause more inflammation and blood clotting, making heart disease more likely.
Dietary intake of linoleic acid from refined seed oils increases its concentration in plasma phospholipids and arterial tissue
Elevated linoleic acid is metabolized into arachidonic acid, which is converted into pro-inflammatory eicosanoids such as prostaglandins and leukotrienes
Increased eicosanoid production enhances vascular permeability, platelet aggregation, and smooth muscle proliferation, accelerating atherosclerosis
Evidence from Studies
Supporting (3)
Community contributions welcome
Intake of trans fatty acids and risk of coronary heart disease among women.
Probabilistic Quantitative Assessment of Coronary Heart Disease Risk from Dietary Exposure to Industrially-Produced Trans Fatty Acids in Partially Hydrogenated Oils.
Historical rise of cancer and dietary linoleic acid: Mechanisms and therapeutic strategies
Contradicting (0)
Community contributions welcome
Gold Standard Evidence Needed
According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.