Protein

ПРОТЕИН: A Comprehensive Guide to Protein – From Molecular Structure to Dietary Applications

I. The Molecular Architecture of Life: Understanding Protein’s Fundamental Role

At the very heart of biological processes lies protein, a complex and versatile macromolecule essential for the structure, function, and regulation of the body’s tissues and organs. Understanding its intricate molecular architecture is paramount to appreciating its profound impact on health and performance. Proteins are fundamentally composed of amino acids, linked together by peptide bonds to form polypeptide chains. These chains then fold into intricate three-dimensional structures, dictating the protein’s specific biological activity.

A. Amino Acids: The Building Blocks of Protein

  1. Structure and Classification: Amino acids are organic compounds containing an amino group (-NH2), a carboxyl group (-COOH), a hydrogen atom (-H), and a unique side chain (R group) all bonded to a central carbon atom (the α-carbon). The R group differentiates the 20 standard amino acids found in proteins, influencing their size, shape, charge, hydrophobicity, and chemical reactivity. Amino acids are broadly classified as:

    • Nonpolar, Aliphatic: Glycine, Alanine, Valine, Leucine, Isoleucine, Methionine, Proline. These amino acids tend to cluster together within a protein’s interior due to their hydrophobic nature, contributing to structural stability. Proline, with its cyclic structure, introduces kinks in polypeptide chains.

    • Aromatic: Phenylalanine, Tyrosine, Tryptophan. These amino acids contain aromatic rings and absorb ultraviolet light at 280 nm, a property often used to quantify protein concentration. Tyrosine can be phosphorylated, playing a crucial role in cell signaling. Tryptophan is a precursor to serotonin, a neurotransmitter.

    • Polar, Uncharged: Serine, Threonine, Cysteine, Asparagine, Glutamine. These amino acids have polar side chains capable of forming hydrogen bonds, increasing their solubility in water. Serine and Threonine can be phosphorylated, also involved in cell signaling. Cysteine can form disulfide bonds with other cysteine residues, stabilizing protein structure.

    • Positively Charged (Basic): Lysine, Arginine, Histidine. These amino acids have positively charged side chains at physiological pH. Lysine is often modified by acetylation, regulating protein function. Arginine is a precursor to nitric oxide, a vasodilator. Histidine’s imidazole ring can act as a proton acceptor or donor, buffering pH changes.

    • Negatively Charged (Acidic): Aspartic Acid, Glutamic Acid. These amino acids have negatively charged side chains at physiological pH. They participate in ionic interactions and salt bridges, contributing to protein stability.

  2. Essential vs. Non-Essential Amino Acids: Amino acids are further classified based on the body’s ability to synthesize them.

    • Essential Amino Acids: These cannot be synthesized by the human body and must be obtained through diet. The nine essential amino acids are Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Threonine, Tryptophan, and Valine.

    • Non-Essential Amino Acids: These can be synthesized by the body from other amino acids or metabolic intermediates. Examples include Alanine, Arginine, Asparagine, Aspartic Acid, Cysteine, Glutamic Acid, Glutamine, Glycine, Proline, Serine, and Tyrosine. While the body can produce these, adequate dietary intake supports optimal health.

  3. Conditionally Essential Amino Acids: Under certain physiological conditions, such as illness, stress, or infancy, some non-essential amino acids may become conditionally essential. This means the body’s ability to produce them is compromised, and dietary intake becomes crucial. Examples include Arginine, Cysteine, Glutamine, Tyrosine, Glycine, and Proline.

B. Peptide Bonds and Polypeptide Chains: Linking Amino Acids Together

Amino acids are joined together by peptide bonds, formed through a dehydration reaction between the carboxyl group of one amino acid and the amino group of another. This process releases a molecule of water (H2O). The resulting amide linkage (–CO–NH–) is called a peptide bond. A chain of amino acids linked by peptide bonds is called a polypeptide.

  1. Primary Structure: The primary structure of a protein refers to the linear sequence of amino acids in the polypeptide chain. This sequence is determined by the genetic code and is unique to each protein. It dictates the higher-order structures and ultimately the protein’s function.

  2. Secondary Structure: The secondary structure refers to local, regular structural motifs formed by hydrogen bonds between the backbone atoms of the polypeptide chain. The most common secondary structures are:

    • Alpha Helix: A tightly coiled, rod-like structure stabilized by hydrogen bonds between the carbonyl oxygen of one amino acid and the amide hydrogen of an amino acid four residues down the chain.

    • Beta Sheet: A sheet-like structure formed by hydrogen bonds between strands of the polypeptide chain. Beta sheets can be parallel (strands running in the same direction) or antiparallel (strands running in opposite directions).

    • Turns and Loops: These irregular structures connect alpha helices and beta sheets, allowing the polypeptide chain to fold back on itself. They often contain proline and glycine residues, which disrupt the regular helical or sheet structures.

  3. Tertiary Structure: The tertiary structure refers to the overall three-dimensional shape of a single polypeptide chain. It is determined by interactions between the side chains (R groups) of the amino acids, including:

    • Hydrophobic Interactions: Nonpolar side chains cluster together in the protein’s interior to minimize contact with water.

    • Hydrogen Bonds: Hydrogen bonds form between polar side chains.

    • Ionic Bonds (Salt Bridges): Ionic bonds form between oppositely charged side chains.

    • Disulfide Bonds: Covalent bonds form between cysteine residues.

  4. Quaternary Structure: The quaternary structure refers to the arrangement of multiple polypeptide chains (subunits) in a multi-subunit protein. Not all proteins have a quaternary structure; it only applies to proteins composed of more than one polypeptide chain. The subunits are held together by non-covalent interactions similar to those involved in tertiary structure.

C. Protein Folding and Stability: Achieving the Functional Conformation

The three-dimensional structure of a protein is crucial for its function. The process by which a polypeptide chain folds into its native, functional conformation is complex and driven by thermodynamic principles.

  1. Forces Driving Protein Folding: The hydrophobic effect is a major driving force, causing nonpolar side chains to cluster in the protein’s interior, away from water. Hydrogen bonds, ionic bonds, and disulfide bonds also contribute to the stability of the folded protein.

  2. Chaperone Proteins: Chaperone proteins assist in protein folding by preventing misfolding and aggregation. They provide a protected environment for the polypeptide chain to fold correctly. Examples include heat shock proteins (HSPs) and chaperonins.

  3. Protein Misfolding and Disease: Misfolded proteins can aggregate and form insoluble deposits, leading to various diseases, including Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease. These diseases are often referred to as proteinopathies.

II. Protein Function: Diverse Roles in Biological Systems

Proteins perform a vast array of functions within living organisms, essential for maintaining life and health. Their diverse roles stem from their unique amino acid sequences and resulting three-dimensional structures.

A. Enzymes: Catalyzing Biochemical Reactions

Enzymes are biological catalysts that accelerate chemical reactions without being consumed in the process. They are highly specific for their substrates, the molecules upon which they act.

  1. Mechanism of Enzyme Action: Enzymes lower the activation energy of a reaction by providing an alternative reaction pathway. They bind to the substrate at the active site, forming an enzyme-substrate complex. This complex facilitates the reaction, and the products are released, regenerating the enzyme.

  2. Factors Affecting Enzyme Activity: Enzyme activity is influenced by several factors, including:

    • Temperature: Enzymes have an optimal temperature range for activity. High temperatures can denature the enzyme, leading to loss of function.

    • pH: Enzymes have an optimal pH range for activity. Changes in pH can affect the ionization state of amino acid side chains in the active site, altering enzyme-substrate binding.

    • Substrate Concentration: Enzyme activity increases with substrate concentration until it reaches a maximum velocity (Vmax), at which point all enzyme molecules are saturated with substrate.

    • Inhibitors: Inhibitors are molecules that decrease enzyme activity. They can be competitive (binding to the active site) or non-competitive (binding to a different site on the enzyme).

  3. Examples of Enzymes: Numerous enzymes play vital roles in metabolism, including:

    • Amylase: Breaks down starch into sugars.

    • Protease: Breaks down proteins into amino acids.

    • Lipase: Breaks down fats into fatty acids and glycerol.

    • DNA polymerase: Synthesizes DNA.

    • RNA Polymerase: Synthesizes RNA.

B. Structural Proteins: Providing Support and Shape

Structural proteins provide support and shape to cells and tissues. They are often fibrous and insoluble.

  1. Collagen: The most abundant protein in the body, collagen provides strength and elasticity to connective tissues, such as skin, tendons, ligaments, and cartilage. It has a triple-helical structure.

  2. Elastin: Elastin provides elasticity to tissues, allowing them to stretch and recoil. It is found in lungs, arteries, and skin.

  3. Keratin: Keratin is a tough, insoluble protein found in hair, skin, and nails. It provides protection against abrasion and water loss.

  4. Actin and Myosin: These proteins are involved in muscle contraction. Actin forms thin filaments, while myosin forms thick filaments. They interact to generate force and movement.

  5. Tubulin: Tubulin is the main component of microtubules, which are part of the cytoskeleton. Microtubules provide structural support to cells and are involved in cell division and intracellular transport.

C. Transport Proteins: Carrying Molecules Throughout the Body

Transport proteins bind to specific molecules and carry them throughout the body.

  1. Hemoglobin: Hemoglobin is the protein in red blood cells that carries oxygen from the lungs to the tissues. It contains iron, which binds to oxygen.

  2. Myoglobin: Myoglobin is a protein in muscle cells that stores oxygen. It has a higher affinity for oxygen than hemoglobin.

  3. Albumin: Albumin is the most abundant protein in blood plasma. It transports fatty acids, hormones, and drugs.

  4. Transferrin: Transferrin transports iron in the blood.

  5. Lipoproteins: Lipoproteins transport lipids (fats) in the blood. Examples include LDL (low-density lipoprotein) and HDL (high-density lipoprotein).

D. Hormones: Regulating Physiological Processes

Hormones are chemical messengers that regulate various physiological processes. Some hormones are proteins or peptides.

  1. Insulin: Insulin is a hormone produced by the pancreas that regulates blood glucose levels. It promotes glucose uptake by cells.

  2. Glucagon: Glucagon is a hormone produced by the pancreas that increases blood glucose levels. It stimulates the breakdown of glycogen in the liver.

  3. Growth Hormone: Growth hormone is a hormone produced by the pituitary gland that stimulates growth and development.

  4. Prolactin: Prolactin is a hormone produced by the pituitary gland that stimulates milk production.

  5. Erythropoietin (EPO): EPO is a hormone produced by the kidneys that stimulates red blood cell production.

E. Antibodies: Defending Against Infection

Antibodies (immunoglobulins) are proteins produced by the immune system that recognize and bind to foreign substances (antigens), such as bacteria, viruses, and toxins.

  1. Structure of Antibodies: Antibodies have a Y-shaped structure consisting of two heavy chains and two light chains. The variable regions of the heavy and light chains determine the antibody’s specificity for its antigen.

  2. Mechanism of Antibody Action: Antibodies neutralize antigens by blocking their ability to infect cells or cause damage. They also mark antigens for destruction by other immune cells, such as macrophages and natural killer cells.

  3. Types of Antibodies: There are five main classes of antibodies: IgA, IgD, IgE, IgG, and IgM. Each class has a different function in the immune system.

F. Contractile Proteins: Enabling Movement

Contractile proteins are responsible for muscle contraction and other forms of movement.

  1. Actin and Myosin: As mentioned earlier, actin and myosin are the primary contractile proteins in muscle cells. They interact to generate force and movement.

  2. Dynein and Kinesin: These proteins are involved in intracellular transport along microtubules. Dynein moves cargo towards the minus end of microtubules, while kinesin moves cargo towards the plus end.

G. Storage Proteins: Storing Nutrients

Storage proteins store nutrients for later use.

  1. Ferritin: Ferritin stores iron in the liver, spleen, and bone marrow.

  2. Casein: Casein is a protein in milk that provides amino acids for growing infants.

  3. Ovalbum: Ovalbumin is a protein in egg white that provides amino acids for developing embryos.

III. Protein Digestion and Absorption: Breaking Down and Utilizing Dietary Protein

The process of protein digestion and absorption is essential for breaking down dietary proteins into amino acids, which can then be used by the body to synthesize new proteins and perform other vital functions.

A. Digestion:

  1. Stomach: Protein digestion begins in the stomach, where hydrochloric acid (HCl) denatures proteins, unfolding their structure and making them more susceptible to enzymatic breakdown. Pepsin, an enzyme secreted by the stomach, breaks down proteins into smaller peptides.

  2. Small Intestine: The partially digested proteins (peptides) enter the small intestine, where they are further broken down by pancreatic enzymes, including trypsin, chymotrypsin, carboxypeptidase, and elastase. These enzymes cleave peptide bonds at specific amino acid residues. The resulting peptides are then broken down into individual amino acids by peptidases located on the surface of the intestinal cells (enterocytes).

B. Absorption:

  1. Amino Acid Transport: Amino acids are absorbed into the enterocytes via specific transport proteins located on the apical (luminal) membrane of the cells. These transporters are sodium-dependent, meaning they require sodium ions to function. Different amino acids are transported by different transporters.

  2. Peptide Transport: Small peptides (dipeptides and tripeptides) can also be absorbed into the enterocytes via a peptide transporter called PepT1. Once inside the enterocytes, these peptides are further broken down into individual amino acids by peptidases.

  3. Amino Acid Release: The amino acids are then transported from the enterocytes into the bloodstream via transport proteins located on the basolateral (blood side) membrane of the cells.

  4. Liver Metabolism: The amino acids are transported to the liver via the portal vein. The liver plays a central role in amino acid metabolism, utilizing amino acids for protein synthesis, energy production, and the synthesis of other important molecules.

C. Factors Affecting Protein Digestion and Absorption:

  1. Age: Protein digestion and absorption may be less efficient in older adults due to decreased stomach acid production and reduced digestive enzyme activity.

  2. Digestive Disorders: Certain digestive disorders, such as celiac disease and Crohn’s disease, can impair protein digestion and absorption.

  3. Enzyme Deficiencies: Deficiencies in digestive enzymes can lead to malabsorption of proteins.

  4. Dietary Factors: The presence of other nutrients in the diet, such as fiber, can affect protein digestion and absorption.

IV. Protein Synthesis: Building New Proteins from Amino Acid Building Blocks

Protein synthesis, also known as translation, is the process by which cells build new proteins from amino acids, based on the instructions encoded in messenger RNA (mRNA). This complex process involves ribosomes, transfer RNA (tRNA), and various other proteins and enzymes.

A. Transcription and mRNA:

  1. Transcription: The process of protein synthesis begins with transcription, in which DNA is used as a template to synthesize mRNA. This process occurs in the nucleus of the cell.

  2. mRNA: The mRNA molecule carries the genetic code from the DNA to the ribosomes, where protein synthesis takes place. The mRNA molecule contains a sequence of codons, each consisting of three nucleotides, which specify a particular amino acid.

B. Translation: Ribosomes, tRNA, and the Genetic Code:

  1. Ribosomes: Ribosomes are cellular structures that serve as the site of protein synthesis. They are composed of ribosomal RNA (rRNA) and proteins. Ribosomes bind to mRNA and facilitate the interaction between mRNA codons and tRNA molecules.

  2. tRNA: Transfer RNA (tRNA) molecules are small RNA molecules that carry amino acids to the ribosomes. Each tRNA molecule has an anticodon, which is complementary to a specific mRNA codon.

  3. Genetic Code: The genetic code is the set of rules by which information encoded in genetic material (DNA or RNA sequences) is translated into proteins (amino acid sequences) by living cells. Each codon specifies a particular amino acid. There are 64 possible codons, but only 20 standard amino acids. This means that some amino acids are encoded by more than one codon (redundancy).

C. Stages of Translation:

  1. Initiation: The initiation stage begins when the ribosome binds to the mRNA molecule. A specific tRNA molecule, carrying the amino acid methionine, binds to the start codon (AUG) on the mRNA.

  2. Elongation: During elongation, the ribosome moves along the mRNA molecule, codon by codon. For each codon, a tRNA molecule carrying the corresponding amino acid binds to the ribosome. The amino acid is added to the growing polypeptide chain, and the tRNA molecule is released.

  3. Termination: The termination stage occurs when the ribosome reaches a stop codon (UAA, UAG, or UGA) on the mRNA. There are no tRNA molecules that correspond to the stop codons. Instead, release factors bind to the ribosome, causing the polypeptide chain to be released.

D. Post-Translational Modifications:

After translation, the polypeptide chain may undergo post-translational modifications, which are chemical modifications that alter the protein’s structure and function. These modifications can include:

  1. Phosphorylation: Addition of a phosphate group.

  2. Glycosylation: Addition of a sugar molecule.

  3. Lipidation: Addition of a lipid molecule.

  4. Ubiquitination: Addition of ubiquitin, a small protein that marks proteins for degradation.

  5. Proteolytic Cleavage: Cleavage of the polypeptide chain into smaller fragments.

V. Protein Turnover: The Dynamic Balance of Synthesis and Degradation

Protein turnover is the continuous process of protein synthesis and degradation that occurs within cells and tissues. This dynamic balance ensures that damaged or misfolded proteins are removed and replaced with new, functional proteins.

A. Protein Degradation Pathways:

  1. Ubiquitin-Proteasome System (UPS): The UPS is the major pathway for protein degradation in eukaryotic cells. Proteins are tagged for degradation by the addition of ubiquitin molecules. The ubiquitinated proteins are then recognized and degraded by the proteasome, a large protein complex that breaks down proteins into small peptides.

  2. Autophagy: Autophagy is a process by which cells degrade and recycle their own components, including proteins. During autophagy, cellular components are engulfed by a double-membrane vesicle called an autophagosome. The autophagosome then fuses with a lysosome, an organelle containing digestive enzymes, which breaks down the contents of the autophagosome.

  3. Lysosomal Degradation: Lysosomes contain various enzymes that can degrade proteins. Proteins can be transported into lysosomes via various pathways, including macroautophagy, microautophagy, and chaperone-mediated autophagy.

B. Factors Affecting Protein Turnover:

  1. Dietary Protein Intake: Adequate dietary protein intake is essential for maintaining protein synthesis and minimizing protein breakdown.

  2. Hormones: Hormones such as insulin, growth hormone, and testosterone can stimulate protein synthesis. Cortisol, a stress hormone, can promote protein breakdown.

  3. Exercise: Resistance exercise can stimulate protein synthesis, particularly in muscle tissue.

  4. Age: Protein turnover tends to decrease with age, which can contribute to muscle loss (sarcopenia).

  5. Disease: Certain diseases, such as cancer and infections, can increase protein breakdown.

VI. Dietary Protein: Sources, Requirements, and Recommendations

Dietary protein is essential for providing the amino acids needed for protein synthesis and other vital functions. Understanding protein sources, requirements, and recommendations is crucial for maintaining optimal health and performance.

A. Sources of Dietary Protein:

  1. Animal Sources: Animal sources of protein are generally considered complete proteins, meaning they contain all nine essential amino acids in adequate amounts. Examples include:

    • Meat: Beef, pork, lamb, poultry.

    • Fish and Seafood: Salmon, tuna, shrimp, crab.

    • Eggs: Chicken eggs, duck eggs.

    • Dairy Products: Milk, cheese, yogurt.

  2. Plant Sources: Plant sources of protein can be good sources of protein, but some are considered incomplete proteins because they may be low in one or more essential amino acids. However, by combining different plant sources of protein, it is possible to obtain all the essential amino acids. Examples include:

    • Legumes: Beans, lentils, peas, soybeans.

    • Nuts and Seeds: Almonds, walnuts, sunflower seeds, chia seeds.

    • Grains: Quinoa, brown rice, oats.

    • Vegetables: Spinach, broccoli, asparagus.

  3. Protein Supplements: Protein supplements are concentrated sources of protein that can be used to increase protein intake. Examples include:

    • Whey Protein: A milk protein that is rapidly absorbed.

    • Casein Protein: A milk protein that is slowly absorbed.

    • I am protein: A plant-based protein derived from soybeans.

    • Egg Protein: A protein derived from egg whites.

    • Pea Protein: A plant-based protein derived from peas.

    • Rice Protein: A plant-based protein derived from rice.

B. Protein Requirements:

The recommended dietary allowance (RDA) for protein is 0.8 grams per kilogram of body weight per day for adults. However, protein requirements can vary depending on factors such as age, activity level, and health status.

  1. Factors Affecting Protein Requirements:

    • Age: Infants and children have higher protein requirements per kilogram of body weight than adults due to their rapid growth and development. Older adults may also have higher protein requirements to help prevent muscle loss.

    • Activity Level: Athletes and individuals who engage in regular exercise have higher protein requirements than sedentary individuals to support muscle repair and growth.

    • Pregnancy and Lactation: Pregnant and lactating women have higher protein requirements to support the growth and development of the fetus and infant.

    • Illness and Injury: Individuals who are recovering from illness or injury may have higher protein requirements to support tissue repair.

  2. Protein Recommendations for Athletes:

    • Endurance Athletes: 1.2-1.4 grams of protein per kilogram of body weight per day.

    • Strength Athletes: 1.6-2.2 grams of protein per kilogram of body weight per day.

C. Potential Benefits of Higher Protein Intake:

  1. Muscle Growth and Maintenance: Adequate protein intake is essential for muscle growth and maintenance, particularly during periods of resistance training.

  2. Weight Management: Protein can increase satiety, which can help with weight management by reducing calorie intake.

  3. Blood Sugar Control: Protein can help stabilize blood sugar levels by slowing down the absorption of carbohydrates.

  4. Bone Health: Protein is important for bone health, particularly in older adults.

D. Potential Risks of Excessive Protein Intake:

While protein is essential, excessive protein intake may pose some risks, particularly for individuals with pre-existing kidney problems.

  1. Kidney Strain: In individuals with impaired kidney function, excessive protein intake can put a strain on the kidneys, as they have to work harder to filter out the waste products of protein metabolism.

  2. Dehydration: High protein diets can increase the risk of dehydration, as the body needs more water to process protein.

  3. Nutrient Imbalances: Excessive protein intake may displace other important nutrients in the diet, such as carbohydrates and fats.

VII. Protein Quality: Assessing the Nutritional Value of Protein Sources

Protein quality refers to the ability of a dietary protein to provide the essential amino acids needed for protein synthesis. Several methods are used to assess protein quality.

A. Methods for Assessing Protein Quality:

  1. Biological Value (BV): BV measures the efficiency with which the body uses dietary protein. It is calculated as the percentage of absorbed nitrogen that is retained in the body.

  2. Net Protein Utilization (NPU): NPU measures the efficiency with which the body converts dietary protein into body protein. It takes into account both digestibility and amino acid composition.

  3. Protein Efficiency Ratio (PER): PER measures the growth of an animal per gram of protein consumed.

  4. Protein Digestibility Corrected Amino Acid Score (PDCAAS): PDCAAS is the most widely used method for assessing protein quality. It takes into account both the amino acid composition and digestibility of the protein.

B. PDCAAS Values for Common Protein Sources:

  • Whey Protein: 1.0
  • Casein Protein: 1.0
  • I am Protein: 1.0
  • Egg White: 1.0
  • Beef: 0.92
  • Chickpeas: 0.78
  • Black Beans: 0.75
  • Wheat Gluten: 0.25

VIII. Protein and Specific Health Conditions

Protein plays a crucial role in managing and preventing certain health conditions.

A. Protein and Weight Management:

High-protein diets have been shown to be effective for weight loss and maintenance. Protein can increase satiety, reduce calorie intake, and preserve lean muscle mass during weight loss.

B. Protein and Muscle Loss (Sarcopenia):

Sarcopenia is the age-related loss of muscle mass and strength. Adequate protein intake, combined with resistance exercise, can help prevent and manage sarcopenia.

C. Protein and Diabetes:

Protein can help stabilize blood sugar levels and improve insulin sensitivity in individuals with diabetes.

D. Protein and Kidney Disease:

Individuals with kidney disease should consult with a healthcare professional to determine the appropriate amount of protein intake. In some cases, restricting protein intake may be necessary to protect kidney function.

E. Protein and Bone Health:

Adequate protein intake is important for bone health, particularly in older adults.

IX. The Future of Protein Research

Protein research continues to evolve, with ongoing investigations exploring new protein sources, optimizing protein intake for specific populations, and unraveling the complex roles of proteins in various biological processes.

A. Novel Protein Sources:

Research is exploring novel protein sources, such as insect protein, algae protein, and cultured meat, to meet the growing global demand for protein in a sustainable and ethical manner.

B. Personalized Protein Recommendations:

Future research may focus on developing personalized protein recommendations based on individual genetic profiles, activity levels, and health status.

C. Understanding Protein Interactions:

Researchers are working to understand the complex interactions between proteins and other molecules in the body, such as carbohydrates, fats, and vitamins, to develop more effective dietary strategies for promoting health and preventing disease.

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