n-3 PUFAs improve erythrocyte fatty acid profile in patients with small AAA: a randomized controlled trial

Autor: Maria Perissiou, Pankaj Jha, Mark Windsor, Karl Schulze, Fraser D. Russell, Peter Brooks, Rebecca Magee, Tom G. Bailey, Jill O'Donnell, Jonathan Golledge, Rebecca M.L. Ramirez Jewell, Peter Young, Lara T. Meital, Christopher D. Askew
Rok vydání: 2019
Předmět:
Male
0301 basic medicine
medicine.medical_specialty
Erythrocytes
Fatty Acid Elongases
Linoleic acid
Inflammation
QD415-436
030204 cardiovascular system & hematology
Biochemistry
Gas Chromatography-Mass Spectrometry
Linoleic Acid
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Endocrinology
Internal medicine
Fatty Acids
Omega-3

medicine
Humans
clinical studies
Aged
Cause of death
chemistry.chemical_classification
abdominal aortic aneurysms
omega-3 fatty acids
business.industry
Fatty Acids
Fatty acid
Red blood cell distribution width
Cell Biology
Middle Aged
Lipid Metabolism
medicine.disease
Abdominal aortic aneurysm
antioxidants
030104 developmental biology
chemistry
Fatty Acids
Unsaturated

Female
Arachidonic acid
diet and dietary lipids
medicine.symptom
Patient-Oriented and Epidemiological Research
business
diet effects/lipid metabolism
Aortic Aneurysm
Abdominal

Polyunsaturated fatty acid
Zdroj: Journal of Lipid Research, Vol 60, Iss 6, Pp 1154-1163 (2019)
J Lipid Res
ISSN: 0022-2275
Popis: Abdominal aortic aneurysm (AAA) is an important cause of death in older adults, which has no current drug therapy. Inflammation and abnormal redox status are believed to be key pathogenic mechanisms for AAA. In light of evidence correlating inflammation with aberrant fatty acid profiles, this study compared erythrocyte fatty acid content in 43 AAA patients (diameter 3.0–4.5 cm) and 52 healthy controls. In addition, the effect of omega-3 PUFA (n-3 PUFA) supplementation on erythrocyte fatty acid content was examined in a cohort of 30 AAA patients as part of a 12 week randomized placebo-controlled clinical trial. Blood analyses identified associations between AAA and decreased linoleic acid (LA), and AAA and increased Δ6-desaturase activity and biosynthesis of arachidonic acid (AA) from LA. Omega-3 PUFA supplementation (1.5 g DHA + 0.3 g EPA/day) decreased red blood cell distribution width (14.8 ± 0.4% to 13.8 ± 0.2%; P = 0.003) and levels of pro-inflammatory n-6 PUFAs (AA, 12.46 ± 0.23% to 10.14 ± 0.3%, P < 0.001; adrenic acid, 2.12 ± 0.13% to 1.23 ± 0.09%; P < 0.001). In addition, Δ-4 desaturase activity increased (DHA/docosapentaenoic acid ratio, 1.85 ± 0.14 to 3.93 ± 0.17; P < 0.001) and elongase 2/5 activity decreased (adrenic acid/AA ratio, 0.17 ± 0.01 to 0.12 ± 0.01; P < 0.01) following supplementation. The findings suggest that n-3 PUFAs improve fatty acid profiles and ameliorate factors associated with inflammation in AAA patients.
Databáze: OpenAIRE