Omega-3 fatty acids in cardiac biopsies from heart transplantation patients: Correlation with erythrocytes and response to supplementation

Omega-3 fatty acids (FAs) appear to reduce the risk of sudden death from myocardial infarction. This reduction is believed to occur via the incorporation of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into the myocardium itself, altering the dynamics of sodium and calcium channel func...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2004-09, Vol.110 (12), p.1645-1649
Hauptverfasser: HARRIS, William S, SANDS, Scott A, WINDSOR, Sheryl L, ALI, Hakim A, STEVENS, Tracy L, MAGALSKI, Anthony, PORTER, Charles B, BORKON, A. Michael
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container_end_page 1649
container_issue 12
container_start_page 1645
container_title Circulation (New York, N.Y.)
container_volume 110
creator HARRIS, William S
SANDS, Scott A
WINDSOR, Sheryl L
ALI, Hakim A
STEVENS, Tracy L
MAGALSKI, Anthony
PORTER, Charles B
BORKON, A. Michael
description Omega-3 fatty acids (FAs) appear to reduce the risk of sudden death from myocardial infarction. This reduction is believed to occur via the incorporation of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into the myocardium itself, altering the dynamics of sodium and calcium channel function. The extent of incorporation has not been determined in humans. We first determined the correlation between red blood cell (RBC) and cardiac omega-3 FA levels in 20 heart transplant recipients. We then examined the effects of 6 months of omega-3 FA supplementation (1 g/d) on the FA composition of human cardiac and buccal tissue, RBCs, and plasma lipids in 25 other patients. Cardiac and RBC EPA+DHA levels were highly correlated (r=0.82, P
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Michael</creator><creatorcontrib>HARRIS, William S ; SANDS, Scott A ; WINDSOR, Sheryl L ; ALI, Hakim A ; STEVENS, Tracy L ; MAGALSKI, Anthony ; PORTER, Charles B ; BORKON, A. Michael</creatorcontrib><description>Omega-3 fatty acids (FAs) appear to reduce the risk of sudden death from myocardial infarction. This reduction is believed to occur via the incorporation of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into the myocardium itself, altering the dynamics of sodium and calcium channel function. The extent of incorporation has not been determined in humans. We first determined the correlation between red blood cell (RBC) and cardiac omega-3 FA levels in 20 heart transplant recipients. We then examined the effects of 6 months of omega-3 FA supplementation (1 g/d) on the FA composition of human cardiac and buccal tissue, RBCs, and plasma lipids in 25 other patients. Cardiac and RBC EPA+DHA levels were highly correlated (r=0.82, P&lt;0.001). Supplementation increased EPA+DHA levels in cardiac tissue by 110%, in RBCs by 101%, in plasma by 139%, and in cheek cells by 73% (P&lt;0.005 versus baseline for all; responses among tissues were not significantly different). Although any of the tissues examined could serve as a surrogate for cardiac omega-3 FA content, RBC EPA+DHA was highly correlated with cardiac EPA+DHA; the RBC omega-3 response to supplementation was similar to that of the heart; RBCs are easily collected and analyzed; and they have a less variable FA composition than plasma. Therefore, RBC EPA+DHA (also called the Omega-3 Index) may be the preferred surrogate for cardiac omega-3 FA status.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.CIR.0000142292.10048.B2</identifier><identifier>PMID: 15353491</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Animals ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiac Catheterization ; Cardiology. Vascular system ; Cheek ; Cross-Sectional Studies ; Dietary Fats, Unsaturated - pharmacology ; Dietary Supplements ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Docosahexaenoic Acids - analysis ; Erythrocytes - chemistry ; Fatty Acids, Omega-3 - administration &amp; dosage ; Fatty Acids, Omega-3 - analysis ; Fatty Acids, Omega-3 - blood ; Fatty Acids, Omega-3 - pharmacology ; Female ; Fish Oils - administration &amp; dosage ; Fish Oils - pharmacology ; Fishes ; General and cellular metabolism. Vitamins ; Heart ; Heart - drug effects ; Heart failure, cardiogenic pulmonary edema, cardiac enlargement ; Heart Transplantation ; Humans ; Lipids - blood ; Lipoproteins - blood ; Male ; Meat ; Medical sciences ; Middle Aged ; Mouth Mucosa - chemistry ; Mouth Mucosa - drug effects ; Myocardium - chemistry ; Myocardium - pathology ; Organ Specificity ; Pharmacology. 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Michael</creatorcontrib><title>Omega-3 fatty acids in cardiac biopsies from heart transplantation patients: Correlation with erythrocytes and response to supplementation</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Omega-3 fatty acids (FAs) appear to reduce the risk of sudden death from myocardial infarction. This reduction is believed to occur via the incorporation of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into the myocardium itself, altering the dynamics of sodium and calcium channel function. The extent of incorporation has not been determined in humans. We first determined the correlation between red blood cell (RBC) and cardiac omega-3 FA levels in 20 heart transplant recipients. We then examined the effects of 6 months of omega-3 FA supplementation (1 g/d) on the FA composition of human cardiac and buccal tissue, RBCs, and plasma lipids in 25 other patients. Cardiac and RBC EPA+DHA levels were highly correlated (r=0.82, P&lt;0.001). Supplementation increased EPA+DHA levels in cardiac tissue by 110%, in RBCs by 101%, in plasma by 139%, and in cheek cells by 73% (P&lt;0.005 versus baseline for all; responses among tissues were not significantly different). Although any of the tissues examined could serve as a surrogate for cardiac omega-3 FA content, RBC EPA+DHA was highly correlated with cardiac EPA+DHA; the RBC omega-3 response to supplementation was similar to that of the heart; RBCs are easily collected and analyzed; and they have a less variable FA composition than plasma. Therefore, RBC EPA+DHA (also called the Omega-3 Index) may be the preferred surrogate for cardiac omega-3 FA status.</description><subject>Adult</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiac Catheterization</subject><subject>Cardiology. Vascular system</subject><subject>Cheek</subject><subject>Cross-Sectional Studies</subject><subject>Dietary Fats, Unsaturated - pharmacology</subject><subject>Dietary Supplements</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Docosahexaenoic Acids - analysis</subject><subject>Erythrocytes - chemistry</subject><subject>Fatty Acids, Omega-3 - administration &amp; dosage</subject><subject>Fatty Acids, Omega-3 - analysis</subject><subject>Fatty Acids, Omega-3 - blood</subject><subject>Fatty Acids, Omega-3 - pharmacology</subject><subject>Female</subject><subject>Fish Oils - administration &amp; dosage</subject><subject>Fish Oils - pharmacology</subject><subject>Fishes</subject><subject>General and cellular metabolism. Vitamins</subject><subject>Heart</subject><subject>Heart - drug effects</subject><subject>Heart failure, cardiogenic pulmonary edema, cardiac enlargement</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Lipids - blood</subject><subject>Lipoproteins - blood</subject><subject>Male</subject><subject>Meat</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mouth Mucosa - chemistry</subject><subject>Mouth Mucosa - drug effects</subject><subject>Myocardium - chemistry</subject><subject>Myocardium - pathology</subject><subject>Organ Specificity</subject><subject>Pharmacology. 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Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Omega-3 fatty acids in cardiac biopsies from heart transplantation patients: Correlation with erythrocytes and response to supplementation</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2004-09-21</date><risdate>2004</risdate><volume>110</volume><issue>12</issue><spage>1645</spage><epage>1649</epage><pages>1645-1649</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Omega-3 fatty acids (FAs) appear to reduce the risk of sudden death from myocardial infarction. This reduction is believed to occur via the incorporation of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into the myocardium itself, altering the dynamics of sodium and calcium channel function. The extent of incorporation has not been determined in humans. 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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Adult
Animals
Biological and medical sciences
Blood and lymphatic vessels
Cardiac Catheterization
Cardiology. Vascular system
Cheek
Cross-Sectional Studies
Dietary Fats, Unsaturated - pharmacology
Dietary Supplements
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Docosahexaenoic Acids - analysis
Erythrocytes - chemistry
Fatty Acids, Omega-3 - administration & dosage
Fatty Acids, Omega-3 - analysis
Fatty Acids, Omega-3 - blood
Fatty Acids, Omega-3 - pharmacology
Female
Fish Oils - administration & dosage
Fish Oils - pharmacology
Fishes
General and cellular metabolism. Vitamins
Heart
Heart - drug effects
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Heart Transplantation
Humans
Lipids - blood
Lipoproteins - blood
Male
Meat
Medical sciences
Middle Aged
Mouth Mucosa - chemistry
Mouth Mucosa - drug effects
Myocardium - chemistry
Myocardium - pathology
Organ Specificity
Pharmacology. Drug treatments
title Omega-3 fatty acids in cardiac biopsies from heart transplantation patients: Correlation with erythrocytes and response to supplementation
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