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ω-3脂肪酸治疗的新方法。

New approaches to therapy with omega-3 fatty acids.

作者信息

Kakar Puneet, Watson Timothy, Lip Gregory Y H

机构信息

University Department of Medicine, City Hospital, Birmingham B18 7QH, UK.

出版信息

Curr Atheroscler Rep. 2008 Feb;10(1):79-87. doi: 10.1007/s11883-008-0012-4.

DOI:10.1007/s11883-008-0012-4
PMID:18366989
Abstract

With greater focus on chronic disease prevention, renewed attention has been directed toward understanding the pathophysiology of various medical conditions and the development of newer medical treatments to prevent and treat complications. There has been immense interest in evaluating societal lifestyles, cultural attitudes toward health, and dietary influences on health conditions. The omega-3 fatty acids have become a focus of interest, and recent research and trial evidence have highlighted their effects, including potential clinical advantages. Despite this progress, the precise mechanisms through which omega-3 fatty acids act remain poorly understood. These agents are now recommended as secondary prevention after acute myocardial infarction, and ongoing large clinical trials should provide insight into the use of omega-3 fatty acids in heart failure and the primary prevention of cardiovascular disease.

摘要

随着对慢性病预防的关注度不断提高,人们重新将注意力转向了解各种疾病的病理生理学以及开发预防和治疗并发症的新型医学疗法。评估社会生活方式、文化对健康的态度以及饮食对健康状况的影响引发了极大的兴趣。ω-3脂肪酸已成为关注焦点,近期的研究和试验证据凸显了它们的作用,包括潜在的临床优势。尽管取得了这一进展,但ω-3脂肪酸发挥作用的确切机制仍知之甚少。这些药物目前被推荐用于急性心肌梗死后的二级预防,正在进行的大型临床试验应能深入了解ω-3脂肪酸在心力衰竭中的应用以及心血管疾病的一级预防。

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2
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本文引用的文献

1
A multi-country health-economic evaluation of highly concentrated n-3 polyunsaturated fatty acids in the secondary prevention after myocardial infarction.心肌梗死后二级预防中高浓度n-3多不饱和脂肪酸的多国卫生经济评估。
Herz. 2006 Dec;31 Suppl 3:74-82.
2
Prevention of cardiovascular diseases and highly concentrated n-3 polyunsaturated fatty acids (PUFAs).心血管疾病的预防与高浓度n-3多不饱和脂肪酸(PUFAs)
Herz. 2006 Dec;31 Suppl 3:24-30.
3
Food omega-3 fatty acid intake of individuals (total, linolenic acid, long-chain) and their blood pressure: INTERMAP study.
个体的食物中ω-3脂肪酸摄入量(总量、亚麻酸、长链)及其血压:INTERMAP研究。
Hypertension. 2007 Aug;50(2):313-9. doi: 10.1161/HYPERTENSIONAHA.107.090720. Epub 2007 Jun 4.
4
Long-term fish consumption is associated with protection against arrhythmia in healthy persons in a Mediterranean region--the ATTICA study.长期食用鱼类与地中海地区健康人群心律失常的预防有关——阿提卡研究。
Am J Clin Nutr. 2007 May;85(5):1385-91. doi: 10.1093/ajcn/85.5.1385.
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n-3 PUFA in CVD: influence of cytokine polymorphism.心血管疾病中的n-3多不饱和脂肪酸:细胞因子多态性的影响
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Prescription omega-3 fatty acids for the treatment of hypertriglyceridemia.用于治疗高甘油三酯血症的处方ω-3脂肪酸。
Am J Health Syst Pharm. 2007 Mar 15;64(6):595-605. doi: 10.2146/ajhp060164.
7
Highly purified omega-3 fatty acids for secondary prevention of sudden cardiac death after myocardial infarction-aims and methods of the OMEGA-study.用于心肌梗死后心脏性猝死二级预防的高纯度ω-3脂肪酸——OMEGA研究的目的和方法
Cardiovasc Drugs Ther. 2006 Oct;20(5):365-75. doi: 10.1007/s10557-006-0495-6.
8
Oral omega n3-PUFA therapy (Omacor) has no impact on indices of heart rate variability in stable post myocardial infarction patients.口服ω-3多不饱和脂肪酸疗法(Omacor)对心肌梗死后病情稳定患者的心率变异性指标没有影响。
Cardiovasc Drugs Ther. 2006 Oct;20(5):359-64. doi: 10.1007/s10557-006-0295-z.
9
Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of alpha-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP study.通过增加α-亚麻酸、二十碳五烯酸和二十二碳六烯酸的膳食摄入量来改变n-6与n-3脂肪酸比例,或两者同时增加,对45至70岁人群纤维蛋白原及凝血因子VII和XII的影响:OPTIMIP研究
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10
Effects of omega-3 polyunsaturated fatty acids on plasma indices of thrombogenesis and inflammation in patients post-myocardial infarction.ω-3多不饱和脂肪酸对心肌梗死后患者血浆血栓形成和炎症指标的影响。
Thromb Res. 2006;118(3):305-12. doi: 10.1016/j.thromres.2005.07.018. Epub 2005 Sep 8.