These authors contributed equally. ClinicalTrials.gov Identifier: NCT00211159.
Transfer of omega-3 fatty acids across the blood–brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study
Version of Record online: 11 JAN 2014
© 2013 The Association for the Publication of the Journal of Internal Medicine
Journal of Internal Medicine
Volume 275, Issue 4, pages 428–436, April 2014
How to Cite
Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm; Uppsala University Hospital, Uppsala, Sweden; and National Institutes of Health, Rockville, MD, USA). Transfer of omega-3 fatty acids across the blood–brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study. J Intern Med 2014; 275: 428–436., , , , , , , , , , , (
- Issue online: 25 MAR 2014
- Version of Record online: 11 JAN 2014
- Accepted manuscript online: 23 NOV 2013 01:54AM EST
- The Regional Agreement on Medical Training and Clinical Research
- Stockholm County Council
- Karolinska Institutet. Grant Numbers: 20110263, 20110604
- Funds of Capio
- Gamla Tjänarinnor
- Swedish Alzheimer Foundation
- Odd Fellow Sweden
- Swedish Nutrition Foundation
- Gun och Bertil Stohnes Foundation
- Swedish Society of Physicians
- Lion's Sweden
- Pronova Biocare A/S
- Alzheimer's disease;
- cerebrospinal fluid;
- docosahexaenoic acid;
- eicosapentaenoic acid;
- omega-3 fatty acids
Little is known about the transfer of essential fatty acids (FAs) across the human blood–brain barrier (BBB) in adulthood. In this study, we investigated whether oral supplementation with omega-3 (n-3) FAs would change the FA profile of the cerebrospinal fluid (CSF).
A total of 33 patients (18 receiving the n-3 FA supplement and 15 receiving placebo) were included in the study. These patients were participants in the double-blind, placebo-controlled randomized OmegAD study in which 204 patients with mild Alzheimer's disease (AD) received 2.3 g n-3 FA [high in docosahexaenoic acid (DHA)] or placebo daily for 6 months. CSF FA levels were related to changes in plasma FA and to CSF biomarkers of AD and inflammation.
At 6 months, the n-3 FA supplement group displayed significant increases in CSF (and plasma) eicosapentaenoic acid (EPA), DHA and total n-3 FA levels (P < 0.01), whereas no changes were observed in the placebo group. Changes in CSF and plasma levels of EPA and n-3 docosapentaenoic acid were strongly correlated, in contrast to those of DHA. Changes in DHA levels in CSF were inversely correlated with CSF levels of total and phosphorylated tau, and directly correlated with soluble interleukin-1 receptor type II. Thus, the more DHA increased in CSF, the greater the change in CSF AD/inflammatory biomarkers.
Oral supplementation with n-3 FAs conferred changes in the n-3 FA profile in CSF, suggesting transfer of these FAs across the BBB in adults.