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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...

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Autores principales: Cotogni, Paolo, Trombetta, Antonella, Muzio, Giuliana, Brizzi, Maria Felice, Canuto, Rosa Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2015
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.
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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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