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Omega-3 Polyunsaturated Fatty Acids (n-3 PUFAs) for Immunomodulation in COVID-19 Related Acute Respiratory Distress Syndrome (ARDS).
| Content Provider | Europe PMC |
|---|---|
| Author | Velotti, Francesca Costantini, Lara Merendino, Nicolò |
| Editor | Szakmany, Tamas |
| Copyright Year | 2022 |
| Abstract | Coronavirus disease-2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), might be complicated by Acute Respiratory Distress Syndrome (ARDS) caused by severe lung damage. It is relevant to find treatments for COVID-19-related ARDS. Currently, DHA and EPA n-3 PUFAs, known for their immunomodulatory activities, have been proposed for COVID-19 management, and clinical trials are ongoing. Here, examining COVID-19-related ARDS immunopathology, we reference in vitro and in vivo studies, indicating n-3 PUFA immunomodulation on lung microenvironment (bronchial and alveolar epithelial cells, macrophages, infiltrating immune cells) and ARDS, potentially affecting immune responses in COVID-19-related ARDS. Concerning in vitro studies, evidence exists of the potential anti-inflammatory activity of DHA on airway epithelial cells and monocytes/macrophages; however, it is necessary to analyze n-3 PUFA immunomodulation using viral experimental models relevant to SARS-CoV-2 infection. Then, although pre-clinical investigations in experimental acute lung injury/ARDS revealed beneficial immunomodulation by n-3 PUFAs when extracellular pathogen infections were used as lung inflammatory models, contradictory results were reported using intracellular viral infections. Finally, clinical trials investigating n-3 PUFA immunomodulation in ARDS are limited, with small samples and contradictory results. In conclusion, further in vitro and in vivo investigations are needed to establish whether n-3 PUFAs may have some therapeutic potential in COVID-19-related ARDS. |
| Journal | Journal of Clinical Medicine [J Clin Med] |
| Volume Number | 12 |
| DOI | 10.3390/jcm12010304 |
| PubMed Central reference number | PMC9820910 |
| Issue Number | 1 |
| PubMed reference number | 36615103 |
| e-ISSN | 20770383 |
| Language | English |
| Publisher | Molecular Diversity Preservation International (MDPI) |
| Publisher Date | 2022-12-30 |
| Access Restriction | Open |
| Subject Keyword | n-3 PUFAs EPA DHA immunomodulation COVID-19 SARS-CoV-2 ARDS immune response lung epithelial cells clinical trials |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |