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Inflammatory response following heart surgery and association with n-3 and n-6 long-chain polyunsaturated fatty acids in plasma and red blood cell membrane lipids.

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Authors
Bjorgvinsdottir, L
Indridason, O S
Heidarsdottir, R
Skogstrand, K
Arnar, D O
Torfason, B
Hougaard, D M
Palsson, R
Skuladottir, G V
Issue Date
2013-09

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Citation
Prostaglandins Leukot. Essent. Fatty Acids 2013, 89 (4):189-94
Abstract
Open heart surgery is associated with a systemic inflammatory response. The n-3 long-chain polyunsaturated fatty acids (LC-PUFA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), and the n-6 LC-PUFA arachidonic acid (AA) may contribute to modulation of the inflammatory response.
We investigated whether the preoperative levels of EPA, DHA and AA in plasma phospholipids (PL) and red blood cell (RBC) membrane lipids in patients (n=168) undergoing open heart surgery were associated with changes in the plasma concentration of selected inflammatory mediators in the immediate postoperative period.
The postoperative concentration of TNF-β was lower (P<0.05) and those of hs-CRP, IL-6, IL-8, IL-18 and IL-10 higher (P<0.05) than the respective preoperative concentrations. We observed that the preoperative levels of EPA and AA in plasma PL and RBC membrane lipids were associated with changes in the concentration of pro-inflammatory and anti-inflammatory mediators, suggesting a complex role in the postoperative inflammatory process.
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http://dx.doi.org/10.1016/j.plefa.2013.07.007
http://ac.els-cdn.com/S0952327813001579/1-s2.0-S0952327813001579-main.pdf?_tid=4708f0f4-222c-11e4-b5ac-00000aacb35f&acdnat=1407853609_5dc339ee7a7a0cb1edbec315f969dff9
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Archived with thanks to Prostaglandins, leukotrienes, and essential fatty acids
ae974a485f413a2113503eed53cd6c53
10.1016/j.plefa.2013.07.007
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