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Dietary ω-3 polyunsaturated fatty acids decrease retinal neovascularization by adipose-endoplasmic reticulum stress

Zhongjie Fu1, Chatarina A Lofqvist1, Zhuo Shao1

  • 1From the Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA (ZF, ZS, YS, J-SJ, CGH, RZC, LPE, KT, JC, and LEHS); the Department of Ophthalmology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden (CAL and AH); the Department of Pediatrics, Institute of Clinical Sciences Lund, Lund University and Skåne University Hospital, Lund, Sweden (DL and IHP); and National Eye Institute, Division of Epidemiology and Clinical Research Clinical Trials Branch, National Eye Institute, NIH, Bethesda, MD (JPS).

The American Journal of Clinical Nutrition
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PubMed
Summary
This summary is machine-generated.

Increasing adiponectin (APN) with omega-3 fatty acids may prevent retinopathy of prematurity (ROP). Supplementation in preterm infants

Keywords:
adiponectinendoplasmic reticulum stressneovascularizationretinopathy of prematuritywhite adipose tissueω-3 long-chain polyunsaturated fatty acids

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Area of Science:

  • Ophthalmology
  • Neonatology
  • Nutritional Science

Background:

  • Retinopathy of prematurity (ROP) is a leading cause of vision loss in premature infants.
  • Serum adiponectin (APN) levels are linked to growth and gestational age, key ROP risk factors.
  • Dietary omega-3 (ω-3) long-chain polyunsaturated fatty acids (LCPUFAs) show promise in suppressing ROP, but mechanisms are unclear.

Purpose of the Study:

  • To investigate the role of adiponectin (APN) in the development of retinopathy of prematurity (ROP).
  • To determine if dietary ω-3 LCPUFA supplementation elevates circulating APN concentrations to mediate protective effects against ROP.

Main Methods:

  • Correlating serum APN and ω-3 LCPUFA levels with ROP in preterm infants.
  • Utilizing a mouse model of oxygen-induced retinopathy (OIR) to assess the impact of ω-3 LCPUFA supplementation on serum APN and retinopathy.

Main Results:

  • Low serum APN and ω-3 LCPUFA concentrations correlate with ROP in preterm infants.
  • ω-3 LCPUFA feed increased total and bioactive high-molecular-weight APN in mice by reducing adipose endoplasmic reticulum stress.
  • APN deficiency significantly reduced the protective effect of dietary ω-3 LCPUFA against neovascularization in mice.

Conclusions:

  • Increasing APN levels through ω-3 LCPUFA supplementation may offer a strategy to suppress ROP in preterm infants.
  • Adiponectin's role in the retina, particularly in neovessels, suggests a direct mechanism for its protective effects.