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Updated: Jul 20, 2026

Lipidomics and Transcriptomics in Neurological Diseases
Published on: March 18, 2022
Role of omega-3 fatty acids in brain development and function: potential implications for the pathogenesis and
Robert K McNamara1, Susan E Carlson
1Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0559, USA. robert.mcnamara@psychiatry.uc.edu
Insights
Docosahexaenoic acid (DHA) is crucial for brain development. Insufficient perinatal DHA accrual is linked to neurodevelopmental deficits and increased risk for conditions like ADHD and schizophrenia.
Area of Science:
- Neuroscience
- Developmental Biology
- Nutritional Science
Background:
- Docosahexaenoic acid (DHA), a key omega-3 fatty acid, is vital for brain development, particularly during perinatal cortical expansion.
- Reduced DHA accrual in the perinatal brain is associated with neuronal and synaptic pathology, cognitive deficits, and behavioral issues in animal models.
Purpose of the Study:
- To investigate the role of perinatal docosahexaenoic acid (DHA) accrual in neurodevelopment and its potential link to psychopathology.
- To explore the association between preterm birth, DHA deficits, and neurodevelopmental outcomes in humans.
Main Methods:
- Review of animal studies on DHA deficiency and neurodevelopmental outcomes.
- Analysis of human and primate studies on preterm birth, DHA levels, and cognitive function.
- Examination of the relationship between ADHD/schizophrenia, cortical maturation, and dopamine neurotransmission.
Main Results:
- Perinatal DHA deficits correlate with impaired neuronal growth, synaptic pathology, cognitive deficits, and increased anxiety, aggression, and depression.
- Preterm birth is linked to reduced fetal cortical DHA accrual, impaired gray matter maturation, attention deficits, and higher risks for ADHD and schizophrenia.
- Individuals with ADHD or schizophrenia show deficits in cortical gray matter maturation, and effective treatments enhance dopamine neurotransmission.
Conclusions:
- Perinatal deficits in brain DHA accrual may be a preventable risk factor for neurodevelopmental disorders.
- DHA supplementation shows potential for improving visual acuity and cognitive outcomes in infants.
- Addressing perinatal DHA levels could mitigate the risk for subsequent psychopathology.
Abstract:
The principle omega-3 fatty acid in brain, docosahexaenoic acid (DHA), accumulates in the brain during perinatal cortical expansion and maturation. Animal studies have demonstrated that reductions in perinatal brain DHA accrual are associated with deficits in neuronal arborization, multiple indices of synaptic pathology including deficits in serotonin and mesocorticolimbic dopamine neurotransmission, neurocognitive deficits, and elevated behavioral indices of anxiety, aggression, and depression. In primates and humans, preterm delivery is associated with deficits in fetal cortical DHA accrual, and children/adolescents born preterm exhibit deficits in cortical gray matter maturation, neurocognitive deficits particularly in the realm of attention, and increased risk for attention-deficit/hyperactivity disorder (ADHD) and schizophrenia. Individuals diagnosed with ADHD or schizophrenia exhibit deficits in cortical gray matter maturation, and medications found to be efficacious in the treatment of these disorders increase cortical and striatal dopamine neurotransmission. These associations in conjunction with intervention trials showing enhanced cortical visual acuity and cognitive outcomes in preterm and term infants fed DHA, suggest that perinatal deficits in brain DHA accrual may represent a preventable neurodevelopmental risk factor for the subsequent emergence of psychopathology.
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