Reduction of heart rate by omega-3 fatty acids and the potential underlying mechanisms
1Laboratory for Lipid Medicine and Technology, Massachusetts General Hospital and Harvard Medical School Boston, MA, USA.
Insights
Omega-3 fatty acids reduce heart rate by decreasing cardiac myocyte electrical excitability. This mechanism may explain how omega-3s help prevent sudden cardiac death (SCD).
Area of Science:
- Cardiovascular Science
- Molecular Cardiology
- Pharmacology
Background:
- Elevated resting heart rate predicts cardiovascular mortality and sudden cardiac death (SCD).
- Identifying agents to safely reduce heart rate is crucial for SCD prevention.
- Omega-3 fatty acids have shown potential in reducing heart rate in human and animal studies.
Purpose of the Study:
- To investigate the cellular mechanisms by which omega-3 fatty acids reduce heart rate.
- To explore the role of cardiac myocyte electrical excitability in omega-3 induced heart rate reduction.
Main Methods:
- Investigated the effects of omega-3 fatty acids on cardiac myocyte membrane potential.
- Assessed the impact of omega-3s on the cardiac myocyte refractory period.
- Examined the influence of omega-3s on cardiac ion channel activity.
Main Results:
- Omega-3 fatty acids significantly reduced the resting membrane potential of cardiac myocytes.
- Omega-3s shortened the refractory period of cardiac myocytes.
- These effects were attributed to the inhibition of specific ion channels.
Conclusions:
- Omega-3 fatty acids decrease cardiac myocyte electrical excitability by altering ion channel function.
- This reduction in excitability is a proposed mechanism for the observed heart rate lowering effect of omega-3s.
- Omega-3s' heart rate-lowering capability may contribute to their protective role against sudden cardiac death.
Abstract:
An elevated resting heart rate is one of the strongest predictors of cardiovascular mortality and is independently associated with sudden cardiac death (SCD). Agents capable of reducing heart rate without significant side effects are therefore of particular interest for the prevention of SCD. Recent human and animal studies have shown that omega-3 fatty acids can reduce heart rate. Our work has shown that omega-3 fatty acids significantly reduce membrane electrical excitability of the cardiac myocyte by lowering its resting membrane potential and the duration of the refractory period through inhibition of ion channels. We propose that these actions may be the underlying mechanisms for the omega-3 fatty acid-induced reduction of heart rate observed in both humans and animals. The heart rate-lowering capability of omega-3 fatty acids may contribute to their preventive effect against SCD.
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