N-3 PUFAs reduce oxidative stress in ESRD patients on maintenance HD by inhibiting 5-lipoxygenase activity

Reactive oxygen species formation and release of pro-inflammatory/pro-atherogenic cytokines, that is, interleukin 1-β and tumor necrosis factor-α, need the activation of the arachidonic acid cascade via the enzyme 5-lipoxygenase (5-Lox). 5-Lox activity and expression are significantly increased in p...

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Veröffentlicht in:Kidney international 2006-04, Vol.69 (8), p.1450-1454
Hauptverfasser: Taccone-Gallucci, M., Manca-di-Villahermosa, S., Battistini, L., Stuffler, R.G., Tedesco, M., Maccarrone, M.
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container_start_page 1450
container_title Kidney international
container_volume 69
creator Taccone-Gallucci, M.
Manca-di-Villahermosa, S.
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Stuffler, R.G.
Tedesco, M.
Maccarrone, M.
description Reactive oxygen species formation and release of pro-inflammatory/pro-atherogenic cytokines, that is, interleukin 1-β and tumor necrosis factor-α, need the activation of the arachidonic acid cascade via the enzyme 5-lipoxygenase (5-Lox). 5-Lox activity and expression are significantly increased in peripheral blood mononuclear cells (PBMCs) of end-stage renal disease (ESRD) patients on maintenance hemodialysis (HD). Diets enriched with n-3 polyunsaturated fatty acids (PUFAs) (ω-3) have been associated to a lower incidence of coronary heart disease (CHD) and a reduction in atherosclerotic lesions. Ω-3 may interfere with the arachidonic acid cascade by inhibiting 5-Lox. Lipid peroxidation, leukotriene B4 (LTB4) production, 5-Lox activity and expression were investigated in PBMC isolated from ESRD patients under maintenance HD before and after a 3-month oral supplementation with ω-3 at a daily dose of 2700 mg of n-3 PUFAs at the average eicosapentaenoic acid/docosaesaenoic acid ratio of 1.2 and finally after a further 3-month washout with no ω-3 supplementation. PBMCs from non-uremic volunteers were also investigated for comparison to normal parameters. Administration of ω-3 reduced significantly lipid peroxidation (P
doi_str_mv 10.1038/sj.ki.5000291
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Diets enriched with n-3 polyunsaturated fatty acids (PUFAs) (ω-3) have been associated to a lower incidence of coronary heart disease (CHD) and a reduction in atherosclerotic lesions. Ω-3 may interfere with the arachidonic acid cascade by inhibiting 5-Lox. Lipid peroxidation, leukotriene B4 (LTB4) production, 5-Lox activity and expression were investigated in PBMC isolated from ESRD patients under maintenance HD before and after a 3-month oral supplementation with ω-3 at a daily dose of 2700 mg of n-3 PUFAs at the average eicosapentaenoic acid/docosaesaenoic acid ratio of 1.2 and finally after a further 3-month washout with no ω-3 supplementation. PBMCs from non-uremic volunteers were also investigated for comparison to normal parameters. Administration of ω-3 reduced significantly lipid peroxidation (P&lt;0.0001), LTB4 synthesis (P&lt;0.0001) and 5-Lox activity (P&lt;0.0001), with no effect on 5-Lox protein expression. After the 3-month washout, all parameters were comparable to those observed before treatment. Our results resemble those obtained after oral administration of vitamin E and are consistent with a reversible, dose-dependent inhibition of 5-Lox by ω-3. Upregulation of 5-Lox may also be related to the increased mitochondrial damage and apoptosis of PBMCs observed in ESRD patients compared to non-uremic controls. 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Vascular system ; Case-Control Studies ; Fatty Acids, Omega-3 - therapeutic use ; Gene Expression ; hemodialysis ; Humans ; Kidney Failure, Chronic - drug therapy ; Kidney Failure, Chronic - metabolism ; Leukocytes, Mononuclear - drug effects ; Leukocytes, Mononuclear - enzymology ; Leukotriene B4 - analysis ; Lipid Peroxidation - drug effects ; Lipoxygenase Inhibitors ; Medical sciences ; Middle Aged ; N-3 PUFAs ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. 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Diets enriched with n-3 polyunsaturated fatty acids (PUFAs) (ω-3) have been associated to a lower incidence of coronary heart disease (CHD) and a reduction in atherosclerotic lesions. Ω-3 may interfere with the arachidonic acid cascade by inhibiting 5-Lox. Lipid peroxidation, leukotriene B4 (LTB4) production, 5-Lox activity and expression were investigated in PBMC isolated from ESRD patients under maintenance HD before and after a 3-month oral supplementation with ω-3 at a daily dose of 2700 mg of n-3 PUFAs at the average eicosapentaenoic acid/docosaesaenoic acid ratio of 1.2 and finally after a further 3-month washout with no ω-3 supplementation. PBMCs from non-uremic volunteers were also investigated for comparison to normal parameters. Administration of ω-3 reduced significantly lipid peroxidation (P&lt;0.0001), LTB4 synthesis (P&lt;0.0001) and 5-Lox activity (P&lt;0.0001), with no effect on 5-Lox protein expression. After the 3-month washout, all parameters were comparable to those observed before treatment. Our results resemble those obtained after oral administration of vitamin E and are consistent with a reversible, dose-dependent inhibition of 5-Lox by ω-3. Upregulation of 5-Lox may also be related to the increased mitochondrial damage and apoptosis of PBMCs observed in ESRD patients compared to non-uremic controls. Ω-3 may thus protect PBMCs of ESRD patients against oxidative stress.</description><subject>5-lipoxygenase</subject><subject>Aged</subject><subject>Apoptosis</subject><subject>Arachidonate 5-Lipoxygenase - genetics</subject><subject>Arachidonate 5-Lipoxygenase - metabolism</subject><subject>atherosclerosis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Case-Control Studies</subject><subject>Fatty Acids, Omega-3 - therapeutic use</subject><subject>Gene Expression</subject><subject>hemodialysis</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - drug therapy</subject><subject>Kidney Failure, Chronic - metabolism</subject><subject>Leukocytes, Mononuclear - drug effects</subject><subject>Leukocytes, Mononuclear - enzymology</subject><subject>Leukotriene B4 - analysis</subject><subject>Lipid Peroxidation - drug effects</subject><subject>Lipoxygenase Inhibitors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>N-3 PUFAs</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. 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Diets enriched with n-3 polyunsaturated fatty acids (PUFAs) (ω-3) have been associated to a lower incidence of coronary heart disease (CHD) and a reduction in atherosclerotic lesions. Ω-3 may interfere with the arachidonic acid cascade by inhibiting 5-Lox. Lipid peroxidation, leukotriene B4 (LTB4) production, 5-Lox activity and expression were investigated in PBMC isolated from ESRD patients under maintenance HD before and after a 3-month oral supplementation with ω-3 at a daily dose of 2700 mg of n-3 PUFAs at the average eicosapentaenoic acid/docosaesaenoic acid ratio of 1.2 and finally after a further 3-month washout with no ω-3 supplementation. PBMCs from non-uremic volunteers were also investigated for comparison to normal parameters. Administration of ω-3 reduced significantly lipid peroxidation (P&lt;0.0001), LTB4 synthesis (P&lt;0.0001) and 5-Lox activity (P&lt;0.0001), with no effect on 5-Lox protein expression. After the 3-month washout, all parameters were comparable to those observed before treatment. Our results resemble those obtained after oral administration of vitamin E and are consistent with a reversible, dose-dependent inhibition of 5-Lox by ω-3. Upregulation of 5-Lox may also be related to the increased mitochondrial damage and apoptosis of PBMCs observed in ESRD patients compared to non-uremic controls. Ω-3 may thus protect PBMCs of ESRD patients against oxidative stress.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16531984</pmid><doi>10.1038/sj.ki.5000291</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects 5-lipoxygenase
Aged
Apoptosis
Arachidonate 5-Lipoxygenase - genetics
Arachidonate 5-Lipoxygenase - metabolism
atherosclerosis
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Case-Control Studies
Fatty Acids, Omega-3 - therapeutic use
Gene Expression
hemodialysis
Humans
Kidney Failure, Chronic - drug therapy
Kidney Failure, Chronic - metabolism
Leukocytes, Mononuclear - drug effects
Leukocytes, Mononuclear - enzymology
Leukotriene B4 - analysis
Lipid Peroxidation - drug effects
Lipoxygenase Inhibitors
Medical sciences
Middle Aged
N-3 PUFAs
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
oxidative stress
Oxidative Stress - drug effects
Renal Dialysis
Renal failure
title N-3 PUFAs reduce oxidative stress in ESRD patients on maintenance HD by inhibiting 5-lipoxygenase activity
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