Gorusupudi Aruna, Liu Aihua, Hageman Gregory S, Bernstein Paul S
John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT 84132.
John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT 84132 Sharon Eccles Steele Center for Translational Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132.
J Lipid Res. 2016 Mar;57(3):499-508. doi: 10.1194/jlr.P065540. Epub 2016 Jan 13.
The human retina is well-known to have unique lipid profiles enriched in long-chain polyunsaturated fatty acids (LC-PUFAs) and very long-chain polyunsaturated fatty acids (VLC-PUFAs) that appear to promote normal retinal structure and function, but the influence of diet on retinal lipid profiles in health and disease remains controversial. In this study, we examined two independent cohorts of donor eyes and related their retinal lipid profiles with systemic biomarkers of lipid intake. We found that serum and red blood cell lipids, and to a lesser extent orbital fat, are indeed excellent biomarkers of retinal lipid content and n-3/n-6 ratios in both the LC-PUFA and VLC-PUFA series. Eyes from age-related macular degeneration (AMD) donors have significantly decreased levels of VLC-PUFAs and low n-3/n-6 ratios. These results are consistent with the protective role of dietary n-3 LC-PUFAs against AMD and emphasize the importance of monitoring systemic biomarkers of lipid intake when undertaking clinical trials of lipid supplements for prevention and treatment of retinal disease.
众所周知,人类视网膜具有独特的脂质谱,富含长链多不饱和脂肪酸(LC-PUFAs)和极长链多不饱和脂肪酸(VLC-PUFAs),这些脂肪酸似乎有助于维持视网膜的正常结构和功能,但饮食对健康和疾病状态下视网膜脂质谱的影响仍存在争议。在本研究中,我们检查了两个独立的供体眼队列,并将其视网膜脂质谱与脂质摄入的系统生物标志物进行关联。我们发现,血清和红细胞脂质,以及程度较轻的眼眶脂肪,确实是LC-PUFA和VLC-PUFA系列中视网膜脂质含量和n-3/n-6比值的优秀生物标志物。年龄相关性黄斑变性(AMD)供体的眼睛中VLC-PUFAs水平显著降低,n-3/n-6比值也较低。这些结果与膳食n-3 LC-PUFAs对AMD的保护作用一致,并强调在进行脂质补充剂预防和治疗视网膜疾病的临床试验时,监测脂质摄入的系统生物标志物的重要性。