Supplementation of Arachidonic Acid Plus Docosahexaenoic Acid in Cirrhotic Patients Awaiting Liver Transplantation: A Preliminary Study
| Autor: | Sassan Pazirandeh, David L. Burns, Fredric D. Gordon, Bruce R. Bistrian, Pei-Ra Ling, Mario Ollero |
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| Rok vydání: | 2007 |
| Předmět: |
Liver Cirrhosis
Male medicine.medical_specialty Docosahexaenoic Acids Linolenic acid Linoleic acid Medicine (miscellaneous) Receptors Tumor Necrosis Factor Article Etanercept chemistry.chemical_compound Double-Blind Method Internal medicine Humans Medicine Phospholipids Triglycerides chemistry.chemical_classification Arachidonic Acid Nutrition and Dietetics Triglyceride Interleukin-6 Tumor Necrosis Factor-alpha business.industry Fatty Acids alpha-Linolenic Acid Fatty acid Middle Aged Eicosapentaenoic acid Liver Transplantation Oleic acid C-Reactive Protein Treatment Outcome Endocrinology Eicosapentaenoic Acid chemistry Biochemistry Docosahexaenoic acid Immunoglobulin G Dietary Supplements Female lipids (amino acids peptides and proteins) Arachidonic acid business |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 31:511-516 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607107031006511 |
| Popis: | In patients with cirrhotic liver diseases, supplementation of linoleic acid and alpha-linolenic acid often does not alter the levels of arachidonic acid (AA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA), suggesting the necessity to directly provide these nutrients.In a double-blind, placebo-controlled fashion, 9 cirrhotic patients listed for liver transplantation at Lahey Clinic Center were given daily supplementation with either 10 gel caps containing 500 mg of AA and 1000 mg of DHA (AA/DHA) or 250 mg of linolenic acid (LA) and 125 mg of oleic acid (OA; OA/LA) for 6 weeks. alpha-Tocopherol at 200 IU was provided daily. No other dietary prescription was made. Plasma fatty acid profiles were determined in triglyceride and phospholipids fractions. Plasma levels of C-reactive protein (CRP), tumor necrosis factor (TNF), interleukin 6 (IL-6), and soluble TNF receptor II (sTNFRII) were also measured.Four patients receiving OA/LA and 5 patients receiving AA/DHA completed the study without evidence of any adverse effects or intolerance. The supplementation of LA, AA, and DHA effectively raised their levels in either one or both plasma lipid fractions in this limited number of subjects. DHA plus AA also lowered 22:4omega-6, 22:5omega-6, and 22:5omega-3, suggesting that DHA reduced the elongation and desaturation of AA and EPA.It is feasible to improve the liver disease-associated deficiency of AA or DHA with modest intakes of AA and DHA. Whether this maneuver will affect the systemic inflammatory responsiveness and ultimately clinical outcome will require a large-scale and well-controlled intervention. |
| Databáze: | OpenAIRE |
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