Neuroprotective Properties of Omega-3 in Ischemic Cerebrovascular Accident: A Systematic Review / Propriedades Neuroprotetoras do Ômega-3 no Acidente Vascular Cerebral Isquêmico: Uma Revisão Sistemática

Autores

  • Pedro Walisson Gomes Feitosa Universidade Federal do Cariri
  • Jorge Lucas de Sousa Moreira Universidade Federal do Cariri
  • Lorena Magalhães de Macedo Universidade Federal do Cariri
  • João Heitor Basílio de Medeiros Universidade Federal do Cariri
  • Rian Brito Teles Hospital Regional do Cariri
  • Alyne Oliveira Correia HU-UNIVASF
  • Caroline de Almeida Cabral Ribeiro Universidade Federal do Cariri
  • Maria Elizabeth Pereira Nobre Universidade Federal do Cariri

DOI:

https://doi.org/10.14295/idonline.v16i60.3457

Palavras-chave:

Cerebral ischemia. Omega-3 Polyunsaturated Fatty Acids. Neuroprotection

Resumo

Abstract: Cerebrovascular Accident (CVA) is a neurological disorder whose pathophysiology of ischemic side occurs together with the development of a central inflammatory process. Thus, omega-3 fatty acids appear as a potential agent in the prevention and treatment of the repercussions of this ischemic event. This work aims to develop a systematic review of the literature on the neuroprotective potential of omega-3 in terms of preventive and therapeutic aspects in ischemic stroke. A bibliographic review was carried out in the PubMed and Scopus electronic databases, and 12 indexed articles were included in the final sample and applied for discussion. Studies have pointed to the decrease in omega-3 as harmful to nerve tissue regeneration, as well as the neuroprotective role of omega-3 in cerebral ischemia after ischemia-reperfusion injury in animal models. Reduction of cerebral edema, promotion of angiogenesis, preservation of the integrity of the blood-brain barrier and tissue protection were also observed.

Keywords : Cerebral ischemia. Omega-3 Polyunsaturated Fatty Acids. Neuroprotection.

 

Resumo: O Acidente Vascular Encefálico (AVE) é um distúrbio neurológico cuja fisiopatologia do lado isquêmico ocorre juntamente com o desenvolvimento de um processo inflamatório central. Dessa forma, os ácidos graxos ômega-3 aparecem como potencial agente na prevenção e tratamento das repercussões desse evento isquêmico. Este trabalho tem como objetivo desenvolver uma revisão sistemática da literatura sobre o potencial neuroprotetor do ômega-3 quanto aos aspectos preventivos e terapêuticos no AVC isquêmico. Foi realizada uma revisão bibliográfica nas bases de dados eletrônicas PubMed e Scopus sendo que 12 artigos indexados foram incluídos na amostra final e aplicados para discussão. Os estudos apontaram a diminuição do ômega-3 como prejudicial à regeneração dos tecidos nervosos, bem como o papel neuroprotetor do ômega-3 na isquemia cerebral após lesão de isquemia-reperfusão em modelos animais. Também foram observadas redução do edema cerebral, promoção da angiogênese, preservação da integridade da barreira hematoencefálica e proteção tecidual.

Palavras-chave: Isquemia cerebral. Ácidos graxos poliinsaturados ômega-3. Neuroproteção.

 

Downloads

Não há dados estatísticos.

Biografia do Autor

Pedro Walisson Gomes Feitosa, Universidade Federal do Cariri

1 Acadêmico de Medicina pela Universidade Federal do Cariri. E-mail: [email protected];

Jorge Lucas de Sousa Moreira, Universidade Federal do Cariri

2 Acadêmico de Medicina da Universidade Federal do Cariri, UFCA, Brasil. [email protected];

Lorena Magalhães de Macedo, Universidade Federal do Cariri

3 Acadêmico(a) de Medicina da Universidade Federal do Cariri; [email protected];

João Heitor Basílio de Medeiros, Universidade Federal do Cariri

4 Acadêmico(a) de Medicina da Universidade Federal do Cariri; ;

Rian Brito Teles, Hospital Regional do Cariri

5 Médico residente em clínica médica no Hospital Regional do Cariri.

Alyne Oliveira Correia, HU-UNIVASF

6 Residente de Neurocirurgia pelo HU-UNIVASF.

Caroline de Almeida Cabral Ribeiro, Universidade Federal do Cariri

7 Residência em clínica médica e pós-graduação cardiologia pela Universidade Federal do Cariri, pós -graduação em preceptoria médica pelo Hospital Sírio-libanês;

Maria Elizabeth Pereira Nobre, Universidade Federal do Cariri

8 Docente na Universidade Federal do Cariri – UFCA. [email protected].

Referências

Avan, A., Digaleh, H., Di Napoli, M., Stranges, S., Behrouz, R., & Shojaeianbabaei, G. et al. (2019). Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017. BMC Medicine, 17(1). https://doi.org/10.1186/s12916-019-1397-3.

Azarpazhooh, M., Mandzia, J., Thrift, A., Sposato, L., Morovatdar, N., & Amiri, A. et al. (2019). Age, sex, and setting in the etiology of stroke study (ASSESS): Study design and protocol. Journal Of The Neurological Sciences, 399, 209-213. doi: 10.1016/j.jns.2019.02.024.

Bazan, N. (2018). Docosanoids and elovanoids from omega-3 fatty acids are pro-homeostatic modulators of inflammatory responses, cell damage and neuroprotection. Molecular Aspects Of Medicine, 64, 18-33. https://doi.org/10.1016/j.mam.2018.09.003

Berressem, D., Koch, K., Franke, N., Klein, J., & Eckert, G. (2016). Intravenous Treatment with a Long-Chain Omega-3 Lipid Emulsion Provides Neuroprotection in a Murine Model of Ischemic Stroke – A Pilot Study. PLOS ONE, 11(11), e0167329. https://doi.org/10.1371/journal.pone.0167329

Bourourou, M., Heurteaux, C., & Blondeau, N. (2016). Alpha-linolenic acid given as enteral or parenteral nutritional intervention against sensorimotor and cognitive deficits in a mouse model of ischemic stroke. Neuropharmacology, 108, 60-72. doi: 10.1016/j.neuropharm.2016.04.040

Hossmann, K., & Heiss, W. (2010). Neuropathology and pathophysiology of stroke. Textbook Of Stroke Medicine, 1-27. https://doi.org/10.1017/cbo9780511691768.002

Jackova, J., Sedova, P., Brown, R., Zvolsky, M., Volna, M., & Baluchova, J. et al. (2020). Risk Factors in Ischemic Stroke Subtypes: A Community-Based Study in Brno, Czech Republic. Journal Of Stroke And Cerebrovascular Diseases, 29(2), 104503. doi: 10.1016/j.jstrokecerebrovasdis.2019.104503.

Jauch, E., Peacock, W., Morgan, J., June, J., & Ireland, J. (2019). RNA Gene Expression to Identify the Etiology of Acute Ischemic Stroke: The Biomarkers of Acute Stroke Etiology (BASE) Study. Neuromethods, 157-169. doi: 10.1007/978-1-4939-9682-7_9

Lin, Y., Xu, M., Wan, J., Wen, S., Sun, J., Zhao, H., & Lou, M. (2015). Docosahexaenoic acid attenuates hyperglycemia-enhanced hemorrhagic transformation after transient focal cerebral ischemia in rats. Neuroscience, 301, 471-479. doi: 10.1016/j.neuroscience.2015.06.024

Marcheselli, V., Hong, S., Lukiw, W., Tian, X., Gronert, K., & Musto, A. et al. (2003). Novel Docosanoids Inhibit Brain Ischemia-Reperfusion-mediated Leukocyte Infiltration and Pro-inflammatory Gene Expression. Journal Of Biological Chemistry, 278(44), 43807-43817. doi: 10.1074/jbc.m305841200

Mayurasakorn, K., Niatsetskaya, Z., Sosunov, S., Williams, J., Zirpoli, H., & Vlasakov, I. et al. (2016). DHA but Not EPA Emulsions Preserve Neurological and Mitochondrial Function after Brain Hypoxia-Ischemia in Neonatal Mice. PLOS ONE, 11(8), e0160870. doi: 10.1371/journal.pone.0160870

Ministry of Health. (2018). Health Brazil 2018: An analysis of the health situation and of chronic diseases and conditions: challenges and perspectives (1st ed.). Retrieved 23 June 2020, from http://bvsms.saude.gov.br/bvs/publicacoes/saude_brasil_2018_analise_situacao_saude_doencas_agravos_cronicos_desafios_perspectivas.pdf.

Nobili, V., Bedogni, G., Alisi, A., Pietrobattista, A., Rise, P., Galli, C., & Agostoni, C. (2011). Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trial. Archives Of Disease In Childhood, 96(4), 350-353. doi: 10.1136/adc.2010.192401

Nobre, M., Correia, A., Borges, M., Sampaio, T., Chakraborty, S., & Gonçalves, D. et al. (2013). Eicosapentaenoic acid and docosahexaenoic acid exert anti-inflammatory and antinociceptive effects in rodents at low doses. Nutrition Research, 33(5), 422-433. doi: 10.1016/j.nutres.2013.02.011

Nobre, M., Correia, A., Mendonça, F., Uchoa, L., Vasconcelos, J., & de Araújo, C. et al. (2016). Omega-3 Fatty Acids: Possible Neuroprotective Mechanisms in the Model of Global Ischemia in Rats. Journal Of Nutrition And Metabolism, 2016, 1-13. doi: 10.1155/2016/6462120

Saber, H., Yakoob, M., Shi, P., Longstreth, W., Lemaitre, R., & Siscovick, D. et al. (2017). Omega-3 Fatty Acids and Incident Ischemic Stroke and Its Atherothrombotic and Cardioembolic Subtypes in 3 US Cohorts. Stroke, 48(10), 2678-2685. doi: 10.1161/strokeaha.117.018235

Da Silva, C., Schwartz, J., Belli, V., Ferreira, L., Cabral, N., & França, P. (2020). Ischemic Stroke and Genetic Variants: In Search of Association with Severity and Recurrence in a Brazilian Population. Journal Of Stroke And Cerebrovascular Diseases, 29(2), 104487. doi: 10.1016/j.jstrokecerebrovasdis.2019.104487

Shi, Z., Wu, D., Yao, J., Yao, X., Huang, Z., & Li, P. et al. (2016). Protection against Oxygen-Glucose Deprivation/Reperfusion Injury in Cortical Neurons by Combining Omega-3 Polyunsaturated Acid with Lyciumbarbarum Polysaccharide. Nutrients, 8(1), 41. doi: 10.3390/nu8010041

Shi, Z., Ren, H., Luo, C., Yao, X., Li, P., & He, C. et al. (2015). Enriched Endogenous Omega-3 Polyunsaturated Fatty Acids Protect Cortical Neurons from Experimental Ischemic Injury. Molecular Neurobiology, 53(9), 6482-6488. doi: 10.1007/s12035-015-9554-y

Sumiyoshi, M., Satomi, J., Kitazato, K., Yagi, K., Shimada, K., & Kurashiki, Y. et al. (2015). PPARγ-Dependent and -Independent Inhibition of the HMGB1/TLR9 Pathway by Eicosapentaenoic Acid Attenuates Ischemic Brain Damage in Ovariectomized Rats. Journal Of Stroke And Cerebrovascular Diseases, 24(6), 1187-1195. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.01.009

Yamada, Y. (2020). Molecular basis of stroke. Clinical Molecular Medicine, 189-216. doi: 10.1016/b978-0-12-809356-6.00012-5

Zhang, W., Hu, X., Yang, W., Gao, Y., & Chen, J. (2010). Omega-3 Polyunsaturated Fatty Acid Supplementation Confers Long-Term Neuroprotection Against Neonatal Hypoxic–Ischemic Brain Injury Through Anti-Inflammatory Actions. Stroke, 41(10), 2341-2347. doi: 10.1161/strokeaha.110.586081

Zhang, W., Liu, J., Hu, X., Li, P., Leak, R. K., Gao, Y., & Chen, J. (2015). n-3 Polyunsaturated Fatty Acids Reduce Neonatal Hypoxic/Ischemic Brain Injury by Promoting Phosphatidylserine Formation and Akt Signaling. Stroke, 46(10), 2943–2950. doi:10.1161/strokeaha.115.010815

Zhang, W., Zhang, H., Mu, H., Zhu, W., Jiang, X., & Hu, X. et al. (2016). Omega-3 polyunsaturated fatty acids mitigate blood–brain barrier disruption after hypoxic–ischemic brain injury. Neurobiology Of Disease, 91, 37-46. doi: 10.1016/j.nbd.2016.02.020

Calder, P. (2017). Omega-3 fatty acids and inflammatory processes: from molecules to man. Biochemical Society Transactions, 45(5), 1105-1115. https://doi.org/10.1042/bst20160474

Jin, R., Yang, G., & Li, G. (2010). Inflammatory mechanisms in ischemic stroke: role of inflammatory cells. Journal Of Leukocyte Biology, 87(5), 779-789. https://doi.org/10.1189/jlb.1109766

Shahidi, F., & Ambigaipalan, P. (2018). Omega-3 Polyunsaturated Fatty Acids and Their Health Benefits. Annual Review Of Food Science And Technology, 9(1), 345-381. https://doi.org/10.1146/annurev-food-111317-095850

Ueno, Y., Miyamoto, N., Yamashiro, K., Tanaka, R., & Hattori, N. (2019). Omega-3 Polyunsaturated Fatty Acids and Stroke Burden. International Journal Of Molecular Sciences, 20(22), 5549. https://doi.org/10.3390/ijms20225549

Downloads

Publicado

2022-05-30

Edição

Seção

Artigo de Revisão