Document Detail


A low-fat diet supplemented with dietary fish oil (Max-EPA) results in improvement of psoriasis and in formation of leukotriene B5.
MedLine Citation:
PMID:  2563604     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several studies have indicated that certain lipoxygenation products of arachidonic acid, particularly leukotriene B4 (LTB4), may be involved in psoriatic pathophysiology. One way of inhibiting the formation of LTB4 is to replace arachidonic acid in phospholipids with eicosapentaenoic acid. Eicosapentaenoic acid is converted into LTB5, which has a lower biologic activity than LTB4. In the present study psoriatic patients were put on a low-fat diet supplemented with dietary fish oil (Max-EPA 30 ml daily), a source of eicosapentaenoic acid, for 4 months. Twenty-six out of 30 patients with psoriasis vulgaris completed the study. Moderate or excellent improvement was observed in 58% of the patients, while mild improvement or no change was observed in 19% and 23%, respectively. The capacity of peripheral blood neutrophils to synthesize LTB4 and LTB5 in vitro was determined after stimulation with A23187. Before the study, negligible amounts of LTB5 were formed. After 1 month the average of LTB5/LTB4 ratio was 0.42. No further increase of the LTB5/LTB4 ratio was found. There existed no relationship between the clinical response and the LTB5/LTB4 ratio. The results of the present study suggest that dietary fish oil supplementation may be used in the therapy in psoriasis. However, studies defining the dose and the quality of fish oils are imperative.
Authors:
K Kragballe; K Fogh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta dermato-venereologica     Volume:  69     ISSN:  0001-5555     ISO Abbreviation:  Acta Derm. Venereol.     Publication Date:  1989  
Date Detail:
Created Date:  1989-03-17     Completed Date:  1989-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370310     Medline TA:  Acta Derm Venereol     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  23-8     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Marselisborg Hospital, University of Aarhus, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Dietary Fats / administration & dosage*
Docosahexaenoic Acids*
Drug Combinations
Eicosapentaenoic Acid / analogs & derivatives*,  biosynthesis
Fatty Acids, Unsaturated / administration & dosage*
Female
Fish Oils / administration & dosage
Humans
Leukotriene B4 / biosynthesis*
Male
Middle Aged
Neutrophils / metabolism
Psoriasis / diet therapy*,  metabolism,  pathology
Chemical
Reg. No./Substance:
0/Dietary Fats; 0/Drug Combinations; 0/Fatty Acids, Unsaturated; 0/Fish Oils; 0/Maxepa; 1553-41-9/Eicosapentaenoic Acid; 25167-62-8/Docosahexaenoic Acids; 71160-24-2/Leukotriene B4; 80445-66-5/leukotriene B5

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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