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Omega-3 Fatty Acids and Diabetic Complications

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Omega-3 Fatty Acids

Abstract

All forms of diabetes are characterized by hyperglycemia and macro- and micro-angiopathy which in turn lead to several complications viz. nephropathy, cardiomyopathy, retinopathy, neuropathy, and loss of RBC deformability. Also, the fatty acid elongase and desaturase activities are known to decrease in diabetes. The present review tries to summarize the link between omega-3 fatty acids and diabetic complications. Thus, reports in the literature suggest that supplementation with omega-3 fatty acid, especially eicosapentaenoic acid (EPA, 20:5, n-3), showed beneficial effect in diabetic nephropathy by improving the renal function in human as well as in the experimental animal studies. DHA plays a major role in signaling cascades and rhodopsin regeneration, while insufficiency of DHA is associated with impairment of retinal function; supplementation with DHA improved the retinal function. While omega-3 polyunsaturated fatty acids (PUFAs) offered protection against cardiovascular diseases, omega-6 PUFAs also showed cardioprotective action. Supplementation with omega-3 fatty acids improved nerve conduction velocity (NCV) and Na+, K+-ATPase activity in diabetic neuropathy. Omega-3 fatty acids increased red blood cell (RBC) deformability and decreased plasma viscosity, thereby helping in improving cardiomyopathy associated with RBC deformability.

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References

  1. Ahmed AM. History of diabetes mellitus. Saudi Med J. 2002;23(4):373–8.

    PubMed  Google Scholar 

  2. Olokoba AB, Obateru OA, Olokoba LB. Type 2 diabetes mellitus: a review of current trends. Oman Med J. 2012;27(4):269–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Michael B. Biochemistry and molecular cell biology of diabetic complications. Nature. 2001;414:813–20.

    Article  Google Scholar 

  4. Wang Y, Botolin D, Xu J, Christian B, Mitchell E, Jayaprakasam B, Nair M, Peters J, Busik J, L. Olson K, Jump D. Regulation of hepatic fatty acid elongase and desaturase expression in diabetes and obesity. J Lipid Res. 2006;47:2028–2041.

    Google Scholar 

  5. Sertoglu E, Kurt I, Tapan S, Uyanik M, Serdar MA, Kayadibi H, El-Fawaeir S. Comparison of plasma and erythrocyte membrane fatty acid compositions in patients with end-stage renal disease and type 2 diabetes mellitus. ChemPhys Lipids. 2014;178:11–7.

    Article  CAS  Google Scholar 

  6. Yee P, Weymouth AE, Fletcher EL, Vingrys AJ. A role for omega-3 polyunsaturated fatty acid supplements in diabetic neuropathy. Invest Ophthalmol Vis Sci. 2010;51(3):1755–64.

    Article  PubMed  Google Scholar 

  7. Pitel S, Raccah D, Gerbi A, Pieroni G, Vague P, Coste TC. At low doses, a gamma-linolenic acid-lipoic acid conjugate is more effective than docosahexaenoic acid-enriched phospholipids in preventing neuropathy in diabetic rats. J Nutr. 2007;137(2):368–72.

    CAS  PubMed  Google Scholar 

  8. Coste TC, Gerbi A, Vague P, Pieroni G, Raccah D. Neuroprotective effect of docosahexaenoic acid-enriched phospholipids in experimental diabetic neuropathy. Diabetes. 2003;52(10):2578–85.

    Article  CAS  PubMed  Google Scholar 

  9. Jafari T, Fallah A, Azadbakht L. Role of dietary n-3 polyunsaturated fatty acids in type 2 diabetes: a review of epidemiological and clinical studies. Maturitas. 2013;74(4):303–8.

    Article  CAS  PubMed  Google Scholar 

  10. Shapiro H, Theilla M, Attal-Singer J, Singer P. Effects of polyunsaturated fatty acid consumption in diabetic nephropathy. Nat Rev Nephrol. 2011;7(2):110–21.

    Article  CAS  PubMed  Google Scholar 

  11. Christian R-M, King GL. Vascular complications of diabetes: mechanisms of injury and protective factors. Cell Metab. 2013;8(17):20–33.

    Google Scholar 

  12. Lee CC, Sharp SJ, Wexler DJ, Adler AI. Dietary intake of eicosapentaenoic and docosahexaenoic acid and diabetic nephropathy: cohort analysis of the diabetes control and complications trial. Diabetes Care. 2010;33(7):1454–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Shapiro H, Theilla M, Attal-Singer J, Singer P. Effects of polyunsaturated fatty acid consumption in diabetic nephropathy. Nat Rev Nephrol. 2011;7(2):110–21.

    Article  CAS  PubMed  Google Scholar 

  14. Wong CY, Yiu KH, Li SW, Lee S, Tam S, Lau CP, Tse HF. Fish-oil supplement has neutral effects on vascular and metabolic function but improves renal function in patients with Type 2 diabetes mellitus. Diabet Med. 2010;27(1):54–60.

    Article  CAS  PubMed  Google Scholar 

  15. Miller ER 3rd, Juraschek SP, Appel LJ, Madala M, Anderson CA, Bleys J, Guallar E. The effect of n-3 long-chain polyunsaturated fatty acid supplementation on urine protein excretion and kidney function: meta-analysis of clinical trial. Am J ClinNutr. 2009;89(6):1937–45.

    CAS  Google Scholar 

  16. Kim DH, Yoo TH, Lee SH, Kang HY, Nam BY, Kwak SJ, Kim JK, Park JT, Han SH, Kang SW. Gamma linolenic acid exerts anti-inflammatory and anti-fibrotic effects in diabetic nephropathy. Yonsei Med J. 2012;53(6):1165–75.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Zhang M1, Hagiwara S, Matsumoto M, Gu L, Tanimoto M, Nakamura S, Kaneko S, Gohda T, Qian J, HorikoshiS, Tomino Y. Effects of eicosapentaenoic acid on the early stage of type 2 diabetic nephropathyin KKA(y)/Ta mice: involvement of anti-inflammation and antioxidative stress. Metabolism. 2006;55(12):1590–1598.

    Google Scholar 

  18. Hagiwara S, Makita Y, Gu L, Tanimoto M, Zhang M, Nakamura S, Kaneko S, Itoh T, Gohda T, Horikoshi S, Tomino Y. “Eicosapentaenoic acid ameliorates diabetic nephropathy of type 2 diabetic KKAy/Ta mice: involvement of MCP-1 suppression and decreased ERK1/2 and p38 phosphorylation. Nephrol Dial Transplant. 2006;21(3):605–15.

    Article  CAS  PubMed  Google Scholar 

  19. Hammes HP, Weiss A, Führer D, Krämer HJ, Papavassilis C, Grimminger F. Acceleration of experimental diabetic retinopathy in the rat by omega-3 fatty acids. Diabetologia. 1996;39(3):251–5.

    Article  CAS  PubMed  Google Scholar 

  20. Tikhonenko M, Lydic TA, Opreanu M, Li Calzi S, Bozack S, McSorley KM, Sochacki AL, Faber MS, Hazra S, DuclosS Guberski D, Reid GE, Grant MB, Busik JV. N-3 polyunsaturated Fatty acids prevent diabetic retinopathy by inhibition of retinal vascular damage and enhanced endothelial progenitor cell reparative function. LoS One. 2013;8(1):e55177.

    Article  CAS  Google Scholar 

  21. Opreanu M, Tikhonenko M, Bozack S, Lydic TA, Reid GE, McSorley KM, Sochacki A, Perez GI, Esselman WJ, Kern T, Kolesnick R, Grant MB, Busik JV. The unconventional role of acid sphingomyelinase in regulation of retinal microangiopathy in diabetic human and animal models. Diabetes. 2011;60(9):2370–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Shen JH, Ma Q, Shen SR, Xu GT, Das UN. Effect of α-linolenic acid on streptozotocin-induced diabetic retinopathy indices in vivo. Arch Med Res. 2013;44(7):514–20.

    Article  CAS  PubMed  Google Scholar 

  23. Arnal E, Miranda M, Johnsen-Soriano S, Alvarez-Nölting R, Díaz-Llopis M, Araiz J, Cervera E, Bosch-Morell F, Romero FJ. Beneficial effect of docosahexanoic acid and lutein on retinal structural, metabolic, and functional abnormalities in diabetic rats. Curr Eye Res. 2009;34(11):928–38.

    Article  CAS  PubMed  Google Scholar 

  24. Sapieha P, Chen J, Stahl A, Seaward MR, Favazza TL, Juan AM, Hatton CJ, Joyal JS, Krah NM, Dennison RJ, Tang J, Kern TS, Akula JD, Smith LE. Omega-3 polyunsaturated fatty acids preserve retinal function in type 2 diabetic mice. Nutr Diabetes. 2012;23(2):e36.

    Article  Google Scholar 

  25. SanGiovanni JP, Chew EY. The role of omega-3 long-chain polyunsaturated fatty acids in health and disease of the retina. Prog Retin Eye Res. 2005;24(1):87–138.

    Article  CAS  PubMed  Google Scholar 

  26. Santini V, Ciampittiello G, Gigli F, Bracaglia D, Baroni A, Cicconetti E, Verri C, Gambardella S, Frontoni S. QTc and autonomic neuropathy in diabetes: effects of acute hyperglycaemia and n-3 PUFA. Nutr Metab Cardiovasc Dis. 2007;17(10):712–8.

    Article  CAS  PubMed  Google Scholar 

  27. Christensen JH, Svensson M, Strandhave C, Madsen T, Schmidt EB. N-3 fatty acids and cardiac autonomic function in humans. Cell MolBiol (Noisy-le-grand). 2010;56(1):131–9.

    CAS  Google Scholar 

  28. Hamden K, Keskes H, Belhaj S, Mnafgui K, Feki A, Allouche N. Inhibitory potential of omega-3 fatty and fenugreek essential oil on key enzymes of carbohydrate-digestion and hypertension in diabetes rats. Lipids Health Dis. 2011;5(10):226.

    Article  Google Scholar 

  29. Black SC, Katz S, McNeill JH. Cardiac performance and plasma lipids of omega-3 fatty acid-treated streptozocin-induced diabetic rats. Diabetes. 1989;38(8):969–74.

    Article  CAS  PubMed  Google Scholar 

  30. Gerbi A, Barbey O, Raccah D, Coste T, Jamme I, Nouvelot A, Ouafik L, Lévy S, Vague P, Maixent JM. Alteration of Na, K-ATPase isoenzymes in diabetic cardiomyopathy: effect of dietary supplementation with fish oil (n-3 fatty acids) in rats. Diabetologia. 1997;40(5):496–505.

    Article  CAS  PubMed  Google Scholar 

  31. Sergienko VA, Segin VB, Samir A, Sergienko AA. The effect of long-chain polyunsaturated higher ω-3 fatty acids, benfotiamine and α-lipoic acid on the lipid metabolism in patients with diabetes mellitus type 2 and cardiovascular autonomic neuropathy. Zh NevrolPsikhiatrIm S SKorsakova. 2013;113(11):54–8.

    CAS  Google Scholar 

  32. McEwen B, Morel-Kopp MC, Tofler G, Ward C. Effect of omega-3 fish oil on cardiovascular risk in diabetes. Diabetes Educ. 2010;36(4):565–84.

    Article  PubMed  Google Scholar 

  33. Aydemir-Koksoy A, Bilginoglu A, Sariahmetoglu M, Schulz R, Turan B. Antioxidant treatment protects diabetic rats from cardiac dysfunction by preserving contractile protein targets of oxidative stress. J Nutr Biochem. 2010;21(9):827–33.

    Article  CAS  PubMed  Google Scholar 

  34. Bilginoglu A, Seymen A, Tuncay E, Zeydanli E, Aydemir-Koksoy A, Turan B. Antioxidants but not doxycycline treatments restore depressed beta-adrenergic responses of the heart in diabetic rats. Cardiovasc Toxicol. 2009;9(1):21–9.

    Article  CAS  PubMed  Google Scholar 

  35. Silva PS. Sperandio da Silva GM, de Souza AP, Cardoso CS, Fonseca CA, Brito PD, Saraiva RM, Brasil PE, Pinheiro RO, Hasslocher-Moreno AM, Xavier SS, Sousa AS. Effects of omega-3 polyunsaturated fatty acid supplementation in patients with chronic chagasic cardiomyopathy: study protocol for a randomized controlled trial. Trials. 2013;11(14):379.

    Article  Google Scholar 

  36. Gerbi A, Maixent JM, Barbey O, Jamme I, Pierlovisi M, Coste T, Pieroni G, Nouvelot A, Vague P, Raccah D. Alterations of Na, K-ATPase isoenzymes in the rat diabetic neuropathy: protective effect of dietary supplementation with n-3 fatty acids. J Neurochem. 1998;71(2):732–40.

    Article  CAS  PubMed  Google Scholar 

  37. Okuda Y, Mizutani M, Ogawa M, Sone H, Asano M, Asakura Y, Isaka M, Suzuki S, Kawakami Y, Field JB, Yamashita K. Long-term effects of eicosapentaenoic acid on diabetic peripheral neuropathy and serum lipids in patients with type II diabetes mellitus. J Diabetes Complications. 1996;10(5):280–7.

    Article  CAS  PubMed  Google Scholar 

  38. Horrobin DF. Fatty acid metabolism in health and disease, the role of delta-6-desaturase. Am J Clin Nutr. 1993;57S:732S–6S.

    Google Scholar 

  39. Ernst E. Blood fluidity and omega-3 fatty acids. Wien Med Wochenschr. 1990;141(7):141–3.

    Google Scholar 

  40. Popp-Snijders C, Schouten JA, van der Meer J, van der Veen EA. Fatty fish-induced changes in membrane lipid composition and viscosity of human erythrocyte suspensions. Scand J Clin Lab Invest. 1986;46(3):253–8.

    Article  CAS  PubMed  Google Scholar 

  41. Cartwright IJ, Pockley AG, Galloway JH, Greaves M, Preston FE. The effects of dietary omega-3 polyunsaturated fatty acids on erythrocyte membrane phospholipids, erythrocyte deformability and blood viscosity in healthy volunteers. Atherosclerosis. 1985;55(3):267–81.

    Article  CAS  PubMed  Google Scholar 

  42. Popp-Snijders C, Schouten JA, van Blitterswijk WJ, van der Veen EA. Changes in membrane lipid composition of human erythrocytes after dietary supplementation of (n-3) polyunsaturated fatty acids. Maintenance of membrane fluidity. Biochim Biophys Acta. 1986;854(1):31–7.

    Article  CAS  PubMed  Google Scholar 

  43. Hagve TA, Lie O, Grønn M. The effect of dietary N-3 fatty acids on osmotic fragility and membrane fluidity of human erythrocytes. Scand J Clin Lab Invest Suppl. 1993;215:75–84.

    Article  CAS  PubMed  Google Scholar 

  44. Rudkowska I. Fish oils for cardiovascular disease: impact on diabetes. Maturitas. 2010;67(1):25–8.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Surendra S. Katyare .

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Mali, A.V., Bhise, S.S., Katyare, S.S. (2016). Omega-3 Fatty Acids and Diabetic Complications. In: Hegde, M., Zanwar, A., Adekar, S. (eds) Omega-3 Fatty Acids. Springer, Cham. https://doi.org/10.1007/978-3-319-40458-5_16

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  • DOI: https://doi.org/10.1007/978-3-319-40458-5_16

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