systematic_review
    2020

    Marine Omega-3 Fatty Acids and Inflammatory Processes

    Calder PC

    Published in British Journal of Pharmacology

    Abstract

    This review discusses the anti-inflammatory mechanisms of marine omega-3 fatty acids EPA and DHA, including effects on inflammatory mediators and immune cell function.

    Methodology

    Narrative/mechanistic review of laboratory, animal and human evidence on marine omega-3 fatty acids and inflammatory pathways, including eicosanoid and pro-resolving mediator biology.

    Key Findings

    Review of the biology of EPA and DHA describing how marine omega-3s are incorporated into cell membranes, reduce production of arachidonic acid-derived eicosanoids, and give rise to specialised pro-resolving mediators (resolvins, protectins, maresins) that actively resolve inflammation; clinical anti-inflammatory effects are dose-dependent and generally require gram-level intakes.

    Conclusions

    Marine omega-3 fatty acids have well-characterised anti-inflammatory and inflammation-resolving mechanisms, which explain modest clinical benefits in inflammatory conditions at sufficient doses.

    Limitations

    Narrative mechanistic review rather than a quantitative synthesis; much evidence from cell and animal models; human clinical trials are heterogeneous in dose, formulation and baseline omega-3 status; author has industry ties.

    Supplements Studied

    Marine omega-3 fatty acids give rise to specialised pro-resolving mediators and dampen inflammatory processes.

    Related Health Concerns

    Study Details

    Year:2020
    Quality Score:6/10

    Disclosures

    Funding

    Author reports research and consultancy links with the omega-3 industry; no specific study funding

    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.