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Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are inflammatory diseases whose clinical severity depends on the grade of inflammatory response. Inflammatory cytokines are key elements in the pathogenesis of ALI/ARDS, and the occurrence of an imbalance between pro- and anti-in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176238/ http://dx.doi.org/10.1007/978-1-4614-7836-2_112 |
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author | Cotogni, Paolo Trombetta, Antonella Muzio, Giuliana Brizzi, Maria Felice Canuto, Rosa Angela |
author_facet | Cotogni, Paolo Trombetta, Antonella Muzio, Giuliana Brizzi, Maria Felice Canuto, Rosa Angela |
author_sort | Cotogni, Paolo |
collection | PubMed |
description | Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are inflammatory diseases whose clinical severity depends on the grade of inflammatory response. Inflammatory cytokines are key elements in the pathogenesis of ALI/ARDS, and the occurrence of an imbalance between pro- and anti-inflammatory cytokines leads to additional non-pulmonary organ dysfunction which contributes to excess mortality rates. Treatment of these patients includes nutrition support with lipids, usually soybean oil-based lipid emulsions, which are rich in omega (n)-6 polyunsaturated fatty acids (PUFAs) and deficient in n-3 PUFAs; however, too much n-6 PUFAs are detrimental due to their pro-inflammatory effects. Conversely, a large amount of experimental studies and some randomized clinical trials showed the benefits of the n-3 PUFA administration in the context of ALI because of their anti-inflammatory properties. Based on these data, several scientific societies recommended in their guidelines, with an A or B grade of recommendation, the use of n-3 PUFAs in ALI/ARDS patients. However, at present, the issue of lipid therapy in ALI/ARDS is still controversial due, at least in part, to inconclusive or contradicting results in several recent clinical trials using n-3 PUFAs. |
format | Online Article Text |
id | pubmed-7176238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
record_format | MEDLINE/PubMed |
spelling | pubmed-71762382020-04-22 Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury Cotogni, Paolo Trombetta, Antonella Muzio, Giuliana Brizzi, Maria Felice Canuto, Rosa Angela Diet and Nutrition in Critical Care Article Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are inflammatory diseases whose clinical severity depends on the grade of inflammatory response. Inflammatory cytokines are key elements in the pathogenesis of ALI/ARDS, and the occurrence of an imbalance between pro- and anti-inflammatory cytokines leads to additional non-pulmonary organ dysfunction which contributes to excess mortality rates. Treatment of these patients includes nutrition support with lipids, usually soybean oil-based lipid emulsions, which are rich in omega (n)-6 polyunsaturated fatty acids (PUFAs) and deficient in n-3 PUFAs; however, too much n-6 PUFAs are detrimental due to their pro-inflammatory effects. Conversely, a large amount of experimental studies and some randomized clinical trials showed the benefits of the n-3 PUFA administration in the context of ALI because of their anti-inflammatory properties. Based on these data, several scientific societies recommended in their guidelines, with an A or B grade of recommendation, the use of n-3 PUFAs in ALI/ARDS patients. However, at present, the issue of lipid therapy in ALI/ARDS is still controversial due, at least in part, to inconclusive or contradicting results in several recent clinical trials using n-3 PUFAs. 2015 /pmc/articles/PMC7176238/ http://dx.doi.org/10.1007/978-1-4614-7836-2_112 Text en © Springer Science+Business Media New York 2015 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Article Cotogni, Paolo Trombetta, Antonella Muzio, Giuliana Brizzi, Maria Felice Canuto, Rosa Angela Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title | Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title_full | Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title_fullStr | Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title_full_unstemmed | Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title_short | Polyunsaturated Fatty Acids and Cytokines: Their Relationship in Acute Lung Injury |
title_sort | polyunsaturated fatty acids and cytokines: their relationship in acute lung injury |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176238/ http://dx.doi.org/10.1007/978-1-4614-7836-2_112 |
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