Fish Oil in the Treatment of Ulcerative Colitis

Patients with active ulcerative colitis have increased levels of leukotriene B4 in their rectal mucosa. Eicosapentaenoic acid (EPA) competitively inhibits the cyclo-oxgenase pathway and reduces the formation of cyclo-oxygenase pathway products. EPA is a good substrate for lipoxygenase enzymes and is...

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Main Authors: C Ó'Moráin, A Tobin, T McColl, Y Suzuki
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/586593
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author C Ó'Moráin
A Tobin
T McColl
Y Suzuki
author_facet C Ó'Moráin
A Tobin
T McColl
Y Suzuki
author_sort C Ó'Moráin
collection DOAJ
description Patients with active ulcerative colitis have increased levels of leukotriene B4 in their rectal mucosa. Eicosapentaenoic acid (EPA) competitively inhibits the cyclo-oxgenase pathway and reduces the formation of cyclo-oxygenase pathway products. EPA is a good substrate for lipoxygenase enzymes and is efficiently converted to leukotriene 85, which is less biologically active. The conversion of EPA to leukotriene B5 is as efficient as that of arachidonic acid to teukotriene B4. Two pilot studies showed benefit of EPA in the treatment of ulcerative colitis. Two of three controlled studies suggest that EPA is more effective than placebo in the treatment of active chronic ulcerative colitis. The mechanism of action is probably reduction of leukotriene B4, but EPA could increase cell and lysosomal membrane stability, or it may exert its effect by reducing interleukin-l. More controlled studies and detailed investigation into the mode of action of EPA are required.
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institution Kabale University
issn 0835-7900
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publishDate 1990-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-c4c97acf483248759a664d5d10f139882025-02-03T07:25:11ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014742042310.1155/1990/586593Fish Oil in the Treatment of Ulcerative ColitisC Ó'MoráinA TobinT McCollY SuzukiPatients with active ulcerative colitis have increased levels of leukotriene B4 in their rectal mucosa. Eicosapentaenoic acid (EPA) competitively inhibits the cyclo-oxgenase pathway and reduces the formation of cyclo-oxygenase pathway products. EPA is a good substrate for lipoxygenase enzymes and is efficiently converted to leukotriene 85, which is less biologically active. The conversion of EPA to leukotriene B5 is as efficient as that of arachidonic acid to teukotriene B4. Two pilot studies showed benefit of EPA in the treatment of ulcerative colitis. Two of three controlled studies suggest that EPA is more effective than placebo in the treatment of active chronic ulcerative colitis. The mechanism of action is probably reduction of leukotriene B4, but EPA could increase cell and lysosomal membrane stability, or it may exert its effect by reducing interleukin-l. More controlled studies and detailed investigation into the mode of action of EPA are required.http://dx.doi.org/10.1155/1990/586593
spellingShingle C Ó'Moráin
A Tobin
T McColl
Y Suzuki
Fish Oil in the Treatment of Ulcerative Colitis
Canadian Journal of Gastroenterology
title Fish Oil in the Treatment of Ulcerative Colitis
title_full Fish Oil in the Treatment of Ulcerative Colitis
title_fullStr Fish Oil in the Treatment of Ulcerative Colitis
title_full_unstemmed Fish Oil in the Treatment of Ulcerative Colitis
title_short Fish Oil in the Treatment of Ulcerative Colitis
title_sort fish oil in the treatment of ulcerative colitis
url http://dx.doi.org/10.1155/1990/586593
work_keys_str_mv AT comorain fishoilinthetreatmentofulcerativecolitis
AT atobin fishoilinthetreatmentofulcerativecolitis
AT tmccoll fishoilinthetreatmentofulcerativecolitis
AT ysuzuki fishoilinthetreatmentofulcerativecolitis