Wednesday, March 1, 2017

Alterations in Cognitive Functions through DHA

Article Title: DHA Effects in Brain Development and Function

Author: Lotte Lauritzen, Paolo Brambilla, Alessandra Mazzocchi , Laurine B. S. Harsløf, Valentina Ciappolino, and Carlo Agostoni 

Source: Nutrients Open Access Journal Group (MPDI)

Source Date: January 4, 2016

Link: http://www.mdpi.com/2072-6643/8/1/6/htm 

Summary:

     It is believed that the accumulation of DHA in the brain takes place during the brain growth. This will take up to two years of age. After two years of age, the amount of DHA in the brain are kept forever. Minimal DHA expansion after two years happen. The factors to how much DHA a baby receives is based upon maternal transfer & dietry supplements. You get the most DHA accumulation during third trimester of pregnancy. And during the third trimester, the whole-body DHA accretion is about 50 mg/day; AA (arachidonic acid) can be 100 mg/day. Post-natal accumulation of the fatty acids found in infant tissue is from the maternal breastmilk. With this study, they were able to test the IQ from children by examining the effect of single nucleotide polymorphisms in the fatty acid desaturase gene cluster. They based their tests upon 3 groups of children. one is breast-fed, one is formula-fed (LC-PUFA), and the other is normal-fed. The results came out to be that breast-fed children had higher IQ overall among the 2 other categories. And Australia was also generally higher than NZ, UK, and Spain. While this was expected in their study, there was still one unknown factor whether breast-fed children's mothers each had different amounts of Omega-3 intake.
     Another study done suggested that the group of kids who continued supplementation were strong at problem solving while only being 9 months of age. However, a contrasting study prove to stronger with children who have low socioeconomic status with a low consumption of fish. On top of that, girls had the opposite effect when they also had iron deficiency anemia. They have done little study with children in high-income countries though. 4000 American children were tested and founded that the omega-3 LC-PUFA consumption was stronger in girls than boys though. The research group believed that they were starting to find a trace of this PUFA study to be an example of gender-related nutrition.  They decided to test the omega-3 LC-PUFA intake on 6158 subjects who were over teh age of 65. They discovered that high amounts of fish consumption in these subjects protected their cognitive abilities allowing them to stay mentally healthy.



Infants Neuroprotection from Hypoxia-Induced Dopamine Dysfunction by Omega-3s

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5021959/

Article: Maternal dietary supplementation with omega-3 polyunsaturated fatty acids confers neuroprotection to the newborn against hypoxia-induced dopamine dysfunction
Author: Michael J Decker, Karra Jones, Glenda L. Keating, Elizabeth G. Damato, and Rebecca Darrah
Source: NCBI US National Library of Medicine National Institutes of Health
Date: June 7, 2016Summary: A mother's intake of omega-3 polyunsaturated fatty acids may lead to neuroprotection (the recovery or regeneration of the nervous system and its functioning) for newborns against the harmful effects of hypoxia-induced dopamine dysfunction. Hypoxia-induced refers to the deficiency of oxygen reaching the tissues and dopamine is a neurotransmitter that is produced in various areas of the brain, including the substantia nigra and ventral tegmental area. This neuro-hormone is released by the hypothalamus and serves to release prolactin (a hormone that stimulates milk production after childbirth). Sadly, almost 84% of premature infants suffer hypoxic (lack of oxygen), anoxic (total depletion of oxygen), and ischemic (blood deficiency to brain) difficulties. Of these babies with live births, 8-11% have behavioral, motor, or cognitive dysfunction. Nothing has been found yet to prevent this phenomenon during pregnancy. However, dietary supplementation of omega-3 PUFAs have shown to reduce stroke-induced neuropathy in rats, so studies were expanded to determine whether omega-3s could impact neuroprotection for infants. This research was found by testing newborn rat pups exposed to repetitive hypoxic insults (which imitated the effects of premature childbirth in infants).

The results were that baseline brain dopamine levels did not change between rats born to mothers who had consumes omega-3s and standard rats. Rat pups born to mothers with regular diets who were exposed to 5 days of repetitive hypoxic insults experienced a 57% reduction in striatal (part of the basal ganglia of the brain) dopamine levels and significant apoptosis (death of cells). However, the omega-3 rich rat pups experienced no loss in striatal dopamine levels and only minimal apoptosis. This research is very promising for the brain development and neuroprotection of infants who are exposed to hypoxic insults. 

Alzheimer's and Omega-3's

http://www.futuremedicine.com/doi/full/10.2217/fnl-2016-0008

Future Medicine

March 11 2016

Nicolas G. Bazen

     Alzheimer's disease has become more prevalent in recent years.  This is because as life spans increase so does the risk for Alzheimer's.  While some measures can be taken to prevent alzhiemer's there are currently zero therapies to combat it.  Alzheimer's is complex and overall results in cognitive decline.  Both synaptic pruning and dendritic spine damage both caused by oxidative stress lead to dementia.  DHA is throughout the central nervous system and is concentrated in the synaptic, dendritic, and photo-receptor membranes.  DHA in the brain decreases with age and Alzheimer's disease.  Even in early stage dementia the amount of DHA is lower.  Also an Alzheimer's brain is unable to produce NPD1 (a pufa) effectively which is a defense mechanism.  The importance of NPD1 is furthered by when there is oxidative stress in the brain the body counteracts this by producing more NPD1.
     DHA has been proven to help prevent cognitive decline in normal brains, but no research shows the effect on brains with dementia. This is because multiple studies have been conducted, but conflicting results have been found.  This makes the question of DHA supplementation to combat dementia tough.  Another issue is that the intake and absorption of DHA is not well understood.  With uptake into the body, Alzheimer's causes the liver enzymes that transfer DHA into the brain to be dysfunctional.  Conclusively, how these fatty acids affect dementia has a lot of questions and within the answers to these questions could hold the solutions for preventive measures, slowing of progression, and restoration of brain cells.  The issue with much of this research that needs to be done is that it is highly complex with many different factors and that there is no perfect animal to study besides humans that replicate how the brain and dementia work exactly like the human brain.

Tuesday, February 28, 2017

Supplementation with Omega-3 Fatty Acids in Psychiatric Disorders

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999787/
Title: Supplementation with Omega-3 Fatty Acids in Psychiatric Disorders: A Review of Literature Data
Authors: Lindsay Brown, Academic Editor, Bernhard Rauch, Academic Editor, and Hemant Poudyal.
Date: July 27, 2016
Source: MDPI Journal of Clinical Medicine

Summary

Highly unsaturated fatty acids (HUFAs) are in neural phospholipids and are important in neuronal cell membrane. They help the mechanisms of brain cell signaling like dopaminergic and serotonergic pathways. Dopaminergic is the dopamine neurotransmitter and serotonergic means a nerve cell that releases and is stimulated by serotonin.
Schizophrenia
Studies show that patients with schizophrenia have low levels of EPA and DHA. A 12-week placebo-controlled trial in 30 males and 15 females on stable antipsychotic medication who were still symptomatic. Only 35 patients completed the trial. EPA was shown more effective in the reduction of symptoms as assessed with the Positive and Negative Syndrome Scale (PANSS). Less encouraging findings were also present with a study by Fenton and Colleagues who designed a 16-week study. 87 patients were given 3g of EPA a day vs. placebo. There were no positive or negative results shown.
Conclusion
Biggest improvements with omega-3 supplementation have been seen with mood disorders, in particular, depressive symptoms with a does as low as 1g a day. EPA is seen to be more effective than DHA.

High ω-3 diet could alleviate blood-brain barrier dysfunction

Title: High ω-3/ω-6 ratio diet could alleviate blood-brain barrier dysfunction in rat model with traumatic brain injury
Author: Jianguang Su, Kai Quan, Kun Fan, Jiaying Zhang, Jingfang Liu, Wei Hua, Ying Mao
Source: www.ijcem.com
Link: http://www.ijcem.com/files/ijcem0039219.pdf
Source publish date: November 30, 2016
Summary:
Researchers in this research is working to find out the protective effect of high omega-3 diet on delayed blood brain barrier dysfunction in post-traumatic brain injury using mice model. There are several significant results of the lab. First, the high omega-3 diet helps the brain after traumatic brain injury. The brain injury and cerebral edema is less extensive in mice with high omega-3 diet. The cerebral edema attenuated in high omega-3 group as well, indicating the protective effect. Second, high omega-3 diet help reduce the amount of 4-HNE in production. 4-HNE is known as a biomarker of oxidative stress. It also enhances the tight junction proteins shown by the increase of ZO-1 and Occludin. These proteins are crucial in cell communication. Third, 4-HNE inhibitor helps protect the post-TBI brain as well. When 4-HNE inhibitor is injected into the low omega-3, the cerebral edema shows less damage as well. They hypothesize that there’s correlation between Omega-3 and 4-HNB inhibitor. Fourth, high omega-3 diet helps increase recovery speed of cognitive function. Using the water maze test, the researcher find out that high omega-3 group has shorter escape latency, longer time in target quadrant, and higher number of platform crossing. These means high Omega-3 diet could improve the spatial learning and memory function.

Cerebral edema is one of the biggest risk factor in Blood Brain Barrier dysfunction. The researchers speculate mechanism of how Omega-3 and Omega-6 affect the BBB dysfunction is related to the metabolites of them. The product of Omegs-3 peroxidation is 4-HHE known to protect the brain. The product of Omega-6 peroxidation is 4-HNE which has carbonyl group to cause protein carbonylation effecting the function. The result is the changes of permeability of endothelial cells caused by changing in tight junction protein. 

Omega-3 Memory Function Benefits in Aging Population

Authors:   Külzow, Nadinea | Witte, A. Veronicae | Kerti, Luciac | Grittner, Ulriked | Schuchardt, Jan Philippf | Hahn, Andreasf | Flöel, Agnes





  • Article: 
  • Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults

    Source: IOS Content Library

    Date: 30 March 2016

    Summary:
    Memory loss in aging populations is a common phenomenon in aging populations, in some cases leading to serious conditions and diseases such in alzheimer's. Research has indicated that the beginning of such diseases and memory loss in aging individuals occurs far before their observable onset. Thus, taking steps to prevent such diseases is important in even for healthy aging individuals. This study looked to examine what (if any) effects long-chain omega-3 fatty acid supplementation had in helping this prevention. The test conducted was a double blind supplementation of either long chain n-3's or a placebo to 44 healthy adults aged 50-75. At beginning and end of the 26 week study, the researchers used the LOCATO tool (which is a "significant and robust" way to measure object-location memory) to test the cognitive performance of the test subjects. In addition, the team tested the participants using the Rey Auditory Verbal Learning Test, aquired the participants' dietary information, and tested their omega-3 blood levels. At the end of the study, the group given the omega-3 supplements had far higher omega-3 blood levels than the placebo group, showing the supplements had been successfully digested and added to the body.  This did not correlate to auditory learning, as neither group (placebo or supplemented) showed a significant advantage over the others in the Rey Auditory Verbal Test. However, more importantly, the omega-3 supplemented group showed significant improvements over the placebo group in object-location memory.
    Thus, this study strongly indicates that omega-3 levels can improve a person's ability to retain and use object location memory as they age. Obviously there are more areas of memory than object-location, and it is unclear why this specific type of memory is affected by the presence of n-3's more than others.
    Although the general idea of omega-3's being beneficial for memory retention is not a new concept, this study provides one of the most substantial pieces of evidence that exists to back up the claim.

    Cognitive Impairment, B Vitamens, and Omega 3s

    Title: Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment

    Authors: Abderrahim Oulhaj, Fredrik Jerneren, Helga Refsum, A. David Smith, Celeste A. de Jager

    Source: IOS Press Content Library

    Date: Jan. 2016

    Link: http://content.iospress.com/download/journal-of-alzheimers-disease/jad150777?id=journal-of-alzheimers-disease%2Fjad150777

    Summary: This trial studied the combined effects of B vitamins (folic acid, B6, and B12) and omega 3s (docosahexaenoic acid and eicosapentaenoic acid) on patients who had mild cognitive impairment. MCI is basically an intermediate stage between the expected levels of cognitive decline that come with aging and dementia. Over the course of two years, 266 patients with MCI over the age of seventy were either placed in a group that took B vitamins or a placebo group. Over that course of time, patients were rated on their performance on baseline cognitive tests and their clinical dementia rating. Plasma concentrations of homocysteine and omega 3's were measured. 

    Those in the Vitamin B group with increasing levels of omega-3s achieved increasingly better scores on the baseline cognitive tests and dementia ratings. The increasing concentrations of omega-3's in the placebo group, however, had no effect on these scores. This suggests that Vitamin Bs and omega-3s work together to achieve the effect of slowing cognitive decline. Another telling factor was that when omega-3 fatty acid concentrations were low in patients, the B vitamins had no effect of the cognitive decline of mild cognitive impairment. 

    Among those with "good omega-3 status", it was found that 33% of those on Vitamin B supplements had clinical dementia scores greater than zero (if you score above zero, you have progressed into the stages of dementia), compared to 59% of placebo patients. Basically, more placebo patients had progressed into the early stages of dementia. It was found that DHA alone significantly enhanced the cognitive effects of the Vitamin B. EPA was less effective. 

    B vitamins lowered levels of homocysteine in blood plasma. Homocysteine is a non-essential amino acid. Elevated levels of homocysteine in the blood is recognized as a risk factor for cognitive impairment, Alzheimers, and dementia. The vitamin B treatment in this trial only improved the status of patients with high baseline homocysteine concentrations, slowing the rate of both global and regional brain atrophy.