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[血液流动性与ω-3脂肪酸]

[Blood fluidity and omega-3 fatty acids].

作者信息

Ernst E

机构信息

Klinik für Physikalische Medizin und Rehabilitation, Allgemeinen Krankenhauses Wien.

出版信息

Wien Med Wochenschr. 1991;141(7):141-3, 145.

PMID:2058162
Abstract

Omega-3 fatty acids are highly unsaturated fatty acids with a first (counted from the methyl end) double bound at the third carbon atom. Their biological effects--mainly changes of blood lipids and of the eicosanoid pattern--are due to a competitive inhibition of omega-6 fatty acids within the prostaglandin metabolism. Hemorheological effects have also been described repeatedly. A placebo-controlled, double blind study shows that red cell deformability is raised and blood viscosity decreased by omega-3 fatty acids in stepwise increasing doses. When the dose is further increased there is a drop of plasma viscosity and red cell aggregation. An open study with hyperlipoproteinemic patients confirms these effects: After 21 days of 8 capsules Ameu per day there is a significant reduction of plasma viscosity. After 56 days treatment (same dosage) blood viscosity drops and red cell deformability increases significantly. At present the evidence is growing to suggest that omega-3 fatty acids can delay atherogenesis. The above data allow the hypothesis that hemorheology may be involved in this.

摘要

ω-3脂肪酸是高度不饱和脂肪酸,其第一个(从甲基端开始计数)双键位于第三个碳原子处。它们的生物学效应——主要是血脂和类花生酸模式的变化——是由于在前列腺素代谢过程中对ω-6脂肪酸的竞争性抑制。血液流变学效应也被反复描述。一项安慰剂对照的双盲研究表明,随着ω-3脂肪酸剂量逐步增加,红细胞变形性增强,血液粘度降低。当剂量进一步增加时,血浆粘度和红细胞聚集性下降。一项针对高脂血症患者的开放性研究证实了这些效应:每天服用8粒Ameu胶囊21天后,血浆粘度显著降低。经过56天治疗(相同剂量),血液粘度下降,红细胞变形性显著增加。目前,越来越多的证据表明ω-3脂肪酸可以延缓动脉粥样硬化的发生。上述数据支持血液流变学可能参与其中这一假说。

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