We explored the therapeutic effects of eicosapentaenoic acid (EPA) in tackling multiple sclerosis through a study involving mice with experimental autoimmune encephalomyelitis (EAE). The mice were given diets enriched with or without EPA. Remarkably, the mice that received the EPA-infused diet displayed significantly lower clinical scores compared to those that did not.
Furthermore, we observed that the production of inflammatory markers like IFN-γ and IL-17 was notably reduced in the EPA-treated mice. This reduction is particularly important, as these markers are associated with the progression of multiple sclerosis. Additionally, there was an enhancement in the expression levels of peroxisome proliferator-activated receptors within the CD4T cells infiltrating the central nervous system.
These findings suggest that EPA could serve as a promising new approach to therapy for multiple sclerosis, showcasing its potential in reducing inflammation and improving clinical outcomes in those affected by this condition.
Read More
9
Pistachio oil shows promise in MS
The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I.
We aimed to evaluate how docosahexaenoic acid, particularly through the treatment of PEGlated nanoliposomes of pistachio unsaturated oils (PEGNLPUOs), affects inflammation in multiple sclerosis (MS).
This investigation was rigorously designed as a randomized, double-blind, placebo-controlled trial, ensuring the reliability of our findings. We observed significant changes in the levels of docosahexaenoic and eicosapentaenoic acid among MS patients treated with PEGNLPUOs.
Moreover, we found a notable decrease in matrix metallopeptidase-9 levels, which is important in regulating inflammation. The cytokine profile showed a tilt towards a Th2-biased response, indicating a reduction in inflammatory activity following treatment.
In summary, our findings indicated a reduction in the number of relapses, improved disability scores, and fewer T2 lesions in patients receiving PEGNLPUOs. Through this study, we demonstrated a promising therapeutic avenue for alleviating inflammation associated with multiple sclerosis using docosahexaenoic acid-based treatments.
Read More
9
Eicosapentaenoic acid may reduce MS
The effects of omega-3 Fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis.
We explored the effects of eicosapentaenoic acid (EPA), an important omega-3 fatty acid, on multiple sclerosis (MS) by investigating its influence on matrix metalloproteinase-9 (MMP-9) levels and T cell migration. MMP-9 is known to contribute to the disruption of the blood-brain barrier, allowing inflammatory T cells to enter and affect the central nervous system—an essential factor in the progression of MS.
In our study, we used peripheral blood mononuclear cells (PBMC) from healthy individuals, pre-treating them with EPA and another omega-3, docosahexaenoic acid (DHA). We measured the levels and activity of MMP-9 in the cell supernatants. Additionally, we assessed the migration of Jurkat T cells through fibronectin-coated transwells after EPA and DHA treatment. The results were promising; both EPA and DHA notably reduced MMP-9 production and activity, thereby significantly inhibiting human T cell migration.
Our findings suggest that eicosapentaenoic acid could potentially offer therapeutic benefits for MS patients by modulating the immune response and limiting T cell migration that disrupts the blood-brain barrier. This adds to the growing body of evidence supporting the health benefits of omega-3 fatty acids in inflammatory conditions like multiple sclerosis.
Read More
Most Useful Reviews
7.5
Myelin sheath support
23 people found this helpful
Excellent! DHA plays an important role in the omega-3 chain and aids in maintaining the myelin sheath, which is crucial for nerve impulse conduction. As a person with multiple sclerosis, preserving my myelin sheath is vital, and DHA is beneficial. NOW's DHA is cost-effective, offers a generous quantity for the price, and has good quality. The capsule size may be an issue for some, but it doesn't bother me. If you found my comment helpful, please give it a like.
Read More
9
Life-changing supplement
1 people found this helpful
I've been using this supplement since my multiple sclerosis diagnosis in 2020, and it has significantly changed my life. The positive results are remarkable, and combined with other antioxidants and fat-soluble vitamins, I'm feeling great daily. Inflammation is reduced, cholesterol is normal, and my heart health is excellent. I highly recommend it.
Read More
9
Medical protocol benefits
Excellent product! I use it for my multiple sclerosis treatment protocol, and the results have been very impressive. It is one of the best omega-3s I've tried.
The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I.
We aimed to evaluate how docosahexaenoic acid, particularly through the treatment of PEGlated nanoliposomes of pistachio unsaturated oils (PEGNLPUOs), affects inflammation in multiple sclerosis (MS).
This investigation was rigorously designed as a randomized, double-blind, placebo-controlled trial, ensuring the reliability of our findings. We observed significant changes in the levels of docosahexaenoic and eicosapentaenoic acid among MS patients treated with PEGNLPUOs.
Moreover, we found a notable decrease in matrix metallopeptidase-9 levels, which is important in regulating inflammation. The cytokine profile showed a tilt towards a Th2-biased response, indicating a reduction in inflammatory activity following treatment.
In summary, our findings indicated a reduction in the number of relapses, improved disability scores, and fewer T2 lesions in patients receiving PEGNLPUOs. Through this study, we demonstrated a promising therapeutic avenue for alleviating inflammation associated with multiple sclerosis using docosahexaenoic acid-based treatments.
Read More
9
DHA's impact on multiple sclerosis
A Novel Combination of Docosahexaenoic Acid, All-Trans Retinoic Acid, and 1, 25-Dihydroxyvitamin D Reduces T-Bet Gene Expression, Serum Interferon Gamma, and Clinical Scores but Promotes PPARγ Gene Expression in Experimental Autoimmune Encephalomyelitis.
We aimed to understand how docosahexaenoic acid (DHA) influences multiple sclerosis by exploring its effects in combination with other nutrients. Through a carefully designed study, we assessed the protective benefits of DHA, alongside all-trans retinoic acid (ATRA) and 1,25-dihydroxyvitamin D, on a model of multiple sclerosis known as experimental autoimmune encephalomyelitis (EAE).
The study involved female C57BL/6 mice divided into treated and untreated groups to observe the impact of these nutrients on the disease's progression. The results were striking. We found that when DHA was administered with ATRA and vitamin D, there was a significant reduction in clinical symptoms, and less interferon gamma and T-bet gene expression—key contributors to the inflammatory response observed in multiple sclerosis.
While the combination treatment showed clear benefits, it's important to note that the specific role of DHA on its own was difficult to isolate. The intervention collectively reduced the severity of the disease and inflammation, hinting at its potential for treating similar autoimmune conditions. Overall, our findings suggest that exploring DHA within combined therapies might be a promising pathway for managing multiple sclerosis.
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9
DHA's role in MS treatment
n-3 PUFA supplementation benefits microglial responses to myelin pathology.
We explored the effects of docosahexaenoic acid (DHA), a vital Omega-3 polyunsaturated fatty acid, on multiple sclerosis (MS) and the way it influences microglial responses to myelin damage. By examining both primary cell cultures and using the cuprizone mouse model of MS, we aimed to understand how DHA behaves in conditions mimicking this debilitating disease.
Our findings revealed that DHA, alongside another Omega-3 fatty acid known as eicosapentaenoic acid (EPA), was successful in reducing harmful inflammatory responses in primary microglia when stimulated by interferon-gamma and myelin. These beneficial acids slowed down the release of substances like nitric oxide and tumor necrosis factor-alpha, which can contribute to tissue damage.
In addition, we noted an encouraging increase in myelin phagocytosis, which is a process where microglia clean up dead or damaged myelin. Our in vivo studies showed that supplementing with n-3 PUFAs like DHA could effectively diminish demyelination caused by cuprizone and lead to notable improvements in motor skills and cognitive function. Furthermore, we observed a transition in microglial behavior towards a 'friendly' M2 phenotype, suggesting that these fatty acids play a role in fostering a supportive environment in the brain.
Overall, this research indicates that DHA and other n-3 PUFAs hold promise as potential immunomodulatory agents for managing demyelinating diseases like multiple sclerosis.
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9
Eicosapentaenoic acid reduces MS activity
A novel oral nutraceutical formula of omega-3 and omega-6 fatty acids with vitamins (PLP10) in relapsing remitting multiple sclerosis: a randomised, double-blind, placebo-controlled proof-of-concept clinical trial.
We embarked on a clinical trial to explore whether a specialized formula containing eicosapentaenoic acid could have a positive impact on individuals with relapsing-remitting multiple sclerosis (MS). This study, which lasted 30 months, included 80 participants who were randomly assigned to four groups. Each group either received the active treatment, a variation of it, or a placebo, all while the participants were closely monitored in a double-blind setup to ensure fairness.
We specifically investigated the effectiveness of our new combination of omega-3 and omega-6 fatty acids, alongside vitamins, to gauge its influence on disease activity. The study aimed to evaluate the annualized relapse rate and the progression of disability in these patients. We were pleased to find that the treatment containing eicosapentaenoic acid, known as PLP10, notably reduced the rate of relapses and lower risk of sustained disability progressions without any serious side effects.
While this study paves the way for further exploration, it is essential to acknowledge that larger studies will be necessary to fully understand the long-term safety and effects of eicosapentaenoic acid on MS. Overall, our findings suggest promising potential for eicosapentaenoic acid as a supportive therapy in managing this challenging condition.
Read More
9
Eicosapentaenoic acid may reduce MS
The effects of omega-3 Fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis.
We explored the effects of eicosapentaenoic acid (EPA), an important omega-3 fatty acid, on multiple sclerosis (MS) by investigating its influence on matrix metalloproteinase-9 (MMP-9) levels and T cell migration. MMP-9 is known to contribute to the disruption of the blood-brain barrier, allowing inflammatory T cells to enter and affect the central nervous system—an essential factor in the progression of MS.
In our study, we used peripheral blood mononuclear cells (PBMC) from healthy individuals, pre-treating them with EPA and another omega-3, docosahexaenoic acid (DHA). We measured the levels and activity of MMP-9 in the cell supernatants. Additionally, we assessed the migration of Jurkat T cells through fibronectin-coated transwells after EPA and DHA treatment. The results were promising; both EPA and DHA notably reduced MMP-9 production and activity, thereby significantly inhibiting human T cell migration.
Our findings suggest that eicosapentaenoic acid could potentially offer therapeutic benefits for MS patients by modulating the immune response and limiting T cell migration that disrupts the blood-brain barrier. This adds to the growing body of evidence supporting the health benefits of omega-3 fatty acids in inflammatory conditions like multiple sclerosis.
Excellent! DHA plays an important role in the omega-3 chain and aids in maintaining the myelin sheath, which is crucial for nerve impulse conduction. As a person with multiple sclerosis, preserving my myelin sheath is vital, and DHA is beneficial. NOW's DHA is cost-effective, offers a generous quantity for the price, and has good quality. The capsule size may be an issue for some, but it doesn't bother me. If you found my comment helpful, please give it a like.
Read More
9
Life-changing supplement
1 people found this helpful
I've been using this supplement since my multiple sclerosis diagnosis in 2020, and it has significantly changed my life. The positive results are remarkable, and combined with other antioxidants and fat-soluble vitamins, I'm feeling great daily. Inflammation is reduced, cholesterol is normal, and my heart health is excellent. I highly recommend it.
Read More
9
Medical protocol benefits
Excellent product! I use it for my multiple sclerosis treatment protocol, and the results have been very impressive. It is one of the best omega-3s I've tried.
Read More
7.5
Cognitive improvement
1 people found this helpful
I take this product for cognitive problems related to multiple sclerosis, and my neurologist and I are both satisfied. It has been very helpful for me, especially the DHA 500.
Read More
7.5
Brain function aid
DHA is the best omega-3 fat for brain health! It improves blood flow during cognitive tasks, aids concentration for those with ADHD, helps form synapses, and might reduce depression risk. Additionally, it benefits heart health, lowers inflammation, promotes muscle recovery, and improves circulation. These capsules are well-dosed, and I haven't experienced any reflux from them. Highly recommend for managing aspects related to multiple sclerosis.
Read More
Frequently Asked Questions
Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, specifically the brain and spinal cord. In MS, the immune system mistakenly attacks the protective covering of nerve fibers known as myelin, leading to inflammation and damage. This disruption in communication between the brain and different parts of the body can result in a wide range of symptoms, including fatigue, difficulty walking, numbness, and problems with vision. The severity and types of symptoms can vary significantly from person to person, as well as over the course of the disease, which may manifest in cycles of exacerbations and remissions.
There are several forms of MS, including relapsing-remitting MS (the most common type), primary progressive MS, and secondary progressive MS. While the exact cause of MS is still not fully understood, factors such as genetic predisposition and environmental triggers are believed to play a role. Currently, there is no cure for MS, but treatment options exist that can help manage symptoms, reduce the frequency of flare-ups, and slow the progress of the disease. If you or someone you know is experiencing symptoms suggestive of MS, it is essential to consult a healthcare professional for an accurate diagnosis and tailored management plan.
DHA, or docosahexaenoic acid, is an omega-3 fatty acid that is crucial for various bodily functions, particularly in brain health and development. Found abundantly in fish oil, algae, and certain other marine sources, DHA plays a significant role in building and maintaining the structure of brain cell membranes. As a primary structural component of the cerebral cortex, retina, and sperm cells, adequate levels of DHA are essential for optimal neurological functioning and overall cognitive health.
Research indicates that DHA supports brain development in infants and children, making it a vital nutrient during pregnancy and breastfeeding. Furthermore, DHA has been linked to various health benefits, including a potential reduction in the risk of Alzheimer's disease, improved heart health, and anti-inflammatory effects. While our bodies can convert some ALA (alpha-linolenic acid) — another omega-3 fatty acid — into DHA, dietary sources like fatty fish, fish oil supplements, or algae-based supplements can help individuals, especially those who do not consume fish, to achieve sufficient DHA intake for their health needs.
The role of DHA (docosahexaenoic acid), an omega-3 fatty acid, in managing Multiple Sclerosis (MS) has garnered interest in recent years. Some studies suggest that DHA may offer neuroprotective benefits that could potentially support brain health in individuals with MS. Omega-3 fatty acids, like DHA, possess anti-inflammatory properties, which might help reduce the inflammation associated with MS flares. However, while there are promising indications regarding the benefits of omega-3s for overall neurological function, definitive clinical evidence to prove that DHA can significantly alter the course of MS is still limited.
Additionally, incorporating DHA into your diet, whether through fatty fish, supplements, or algal oil, can contribute to your overall health, which is crucial when living with a chronic condition like MS. It's essential to consult a healthcare provider before making any dietary changes or starting new supplements, as they can help create a personalized plan that caters to your unique health needs. Ultimately, while DHA could be a supportive addition to a well-rounded approach to managing MS, it should not be viewed as a standalone treatment.
Based on user reviews, individuals taking this supplement for multiple sclerosis have reported varying timelines for experiencing results. Several users noticed significant improvements shortly after starting the supplement. One reviewer mentioned that it "significantly changed my life" since their diagnosis in 2020, highlighting positive outcomes as early as a few months into use Read Review. Another user remarked on impressive results and overall satisfaction, suggesting that positive effects might be observed within a similar timeframe Read Review.
Users have particularly emphasized improvements in inflammation, cognitive function, and overall wellness, with one noting that both they and their neurologist were satisfied with the product's effectiveness Read Review. Overall, while individual experiences may vary, many users report experiencing benefits within weeks to months of consistent use.
Research indicates that docosahexaenoic acid (DHA), an omega-3 fatty acid, may offer some benefits for individuals with Multiple Sclerosis (MS). Several studies have explored DHA's influence on cognitive function and inflammatory processes associated with MS. For instance, a study found that DHA supplementation was linked to reduced oxidative stress and improved clinical symptoms in an MS model, suggesting its potential role in symptom management [2]. Additionally, another trial demonstrated a significant inverse relationship between DHA intake and the Expanded Disability Status Scale (EDSS) scores in MS patients, hinting at its impact on improving MS symptoms [7].
However, while the research provides supportive insights into DHA's therapeutic potential, it also highlights the need for further investigation. Most studies suggest that while DHA can be beneficial, it may not serve as a standalone treatment and is often more effective when incorporated into a broader therapeutic strategy alongside other treatments [3]. Thus, while DHA shows promise in aiding the management of MS, individuals should consult with healthcare professionals for personalized dietary and treatment options that may best fit their condition.
Based on user reviews, many individuals using this supplement for multiple sclerosis have reported varying degrees of improvement in their symptoms. One user reported a "significant change" in their life since diagnosis, noting remarkable positive results like reduced inflammation and excellent heart health after consistent use Read Review. Another user mentioned impressive outcomes as part of their MS treatment protocol, suggesting that this product stands out among other omega-3 options Read Review.
Additionally, users have highlighted specific improvements in cognitive health, with one individual sharing satisfaction with the product's impact on their cognitive difficulties Read Review. Another user emphasized the supplement's benefits for brain health, including enhanced blood flow, concentration, and overall reduction in inflammation Read Review. As always, individual results can vary, but these accounts suggest that many find this DHA supplement helpful in managing their MS symptoms.
Based on user reviews, many individuals with multiple sclerosis have reported positive experiences when combining this DHA supplement with other health-enhancing products. One user highlighted that their significant improvements included reduced inflammation and better heart health, which they attributed to the complementing effects of antioxidants and fat-soluble vitamins used alongside the DHA supplement Read Review. Another reviewer mentioned that the supplement is part of their overall treatment protocol for MS, contributing to impressive results that enhance their quality of life Read Review.
Moreover, users have specifically noted benefits related to cognitive function when utilizing DHA alongside their medication regimen. One individual reported improvement in cognitive issues that had been tied to their MS, indicating that the DHA worked well in conjunction with guidance from their neurologist Read Review. Additionally, another user pointed out that the supplement helps improve blood flow and concentration, which may further support cognitive health when paired with other treatments Read Review. Overall, combining this supplement with other products appears to enhance the management of multiple sclerosis symptoms.
Users report varied experiences with DHA supplementation for managing symptoms related to Multiple Sclerosis (MS). Several reviewers emphasize the importance of DHA in preserving the myelin sheath, which is crucial for nerve impulse conduction. For instance, one user notes that they have been using DHA since their MS diagnosis in 2020 and observed significant positive changes in their life, including reduced inflammation and improved overall health Read Review. Another user specifically mentions that they are satisfied with their neurologist's guidance on using DHA 500, hinting at a preference for a dosage that they felt worked well for them Read Review.
In terms of dosage, while specific amounts were not consistently detailed across reviews, several users have found that higher doses, like DHA 500, provided benefits without adverse effects. The feedback suggests that users are generally satisfied with quality products that are well-dosed and contribute positively to cognitive and overall health aspects related to MS. It's clear that many find DHA to be a valuable addition to their health regimen, although exact dosing may vary based on individual needs and physician recommendations Read Review.
9
Life-changing supplement
1 people found this helpful
I've been using this supplement since my multiple sclerosis diagnosis in 2020, and it has significantly changed my life. The positive results are remarkable, and combined with other antioxidants and fat-soluble vitamins, I'm feeling great daily. Inflammation is reduced, cholesterol is normal, and my heart health is excellent. I highly recommend it.
9
Medical protocol benefits
Excellent product! I use it for my multiple sclerosis treatment protocol, and the results have been very impressive. It is one of the best omega-3s I've tried.
7.5
Cognitive improvement
1 people found this helpful
I take this product for cognitive problems related to multiple sclerosis, and my neurologist and I are both satisfied. It has been very helpful for me, especially the DHA 500.
7.5
Brain function aid
DHA is the best omega-3 fat for brain health! It improves blood flow during cognitive tasks, aids concentration for those with ADHD, helps form synapses, and might reduce depression risk. Additionally, it benefits heart health, lowers inflammation, promotes muscle recovery, and improves circulation. These capsules are well-dosed, and I haven't experienced any reflux from them. Highly recommend for managing aspects related to multiple sclerosis.
8
DHA shows potential in MS management
Neuroprotective and antioxidant effects of docosahexaenoic acid (DHA) in an experimental model of multiple sclerosis.
We investigated the effects of docosahexaenoic acid (DHA) on multiple sclerosis (MS), focusing on how it may influence oxidative stress and the overall clinical state in an experimental model. Using twenty-five Dark Agouti rats, we set up several groups to observe the effects of DHA supplementation compared to controls. The groups included those receiving DHA, vehicle, and various treatments related to an animal model of MS known as experimental autoimmune encephalomyelitis (EAE).
Over a course of 51 days, we administered DHA through daily injections. Our findings showed that DHA supplementation was linked to a reduction in oxidative stress and an improvement in the clinical symptoms of deteriorating health seen in MS. This indicates that DHA might serve as a helpful ally in managing MS symptoms, possibly activating an important antioxidant factor known as Nrf2.
Overall, these results provide encouraging evidence that DHA could play a beneficial role in managing multiple sclerosis, particularly through its antioxidant properties.
4
DHA's potential in MS management
Association of Polyunsaturated Fatty Acid Intake on Inflammatory Gene Expression and Multiple Sclerosis: A Systematic Review and Meta-Analysis.
This study explored how docosahexaenoic acid (DHA), a type of omega-3 fatty acid, impacts multiple sclerosis (MS) and inflammatory gene expression. The researchers conducted a meta-analysis of 13 cohort studies, involving 1353 participants over periods ranging from 3 to 144 weeks.
Our findings revealed a significant inverse relationship between DHA intake and scores on the Expanded Disability Status Scale (EDSS) used for MS assessment. Specifically, higher DHA levels were associated with lower EDSS scores, a promising indicator for improving MS symptoms.
Additionally, DHA appeared to influence inflammation. It was found to upregulate the expression of peroxisome proliferator-activated receptor gamma (PPAR-γ), which helps reduce inflammation, while downregulating pro-inflammatory markers such as tumor necrosis factor-alpha (TNF-α) and interleukin-1 (IL-1).
However, it's important to note that not all omega-3 fatty acids showed a clear benefit on EDSS scores, as other types, like EPA, did not significantly affect MS outcomes. Overall, while DHA may offer new insights into MS management, further clinical trials are necessary to fully understand its effects.
7
DHA shows promise for MS
Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders.
We explored the effects of docosahexaenoic acid (DHA), a type of omega-3 fatty acid, on multiple sclerosis (MS) and its potential as a treatment option. The study highlighted that DHA offers anti-inflammatory benefits, which can be crucial in managing diseases characterized by chronic inflammation, like MS.
While DHA is noted for reducing some immune responses, the investigation emphasizes that it was part of a broader approach to treatment rather than the sole focus. Furthermore, the findings suggest that incorporating DHA might improve the symptom severity and overall recovery prognosis of individuals with MS.
We observed that the evidence supports the idea that DHA can play a beneficial role in managing MS symptoms. However, larger and more controlled studies are needed to clarify its specific effects and potential as a standalone treatment. Overall, while DHA shows promise, it does not serve as a definitive cure or solitary answer to the complexities of MS.
References
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Muñoz-Jurado A, Escribano BM, Galván A, Valdelvira ME, Caballero-Villarraso J, et al. Neuroprotective and antioxidant effects of docosahexaenoic acid (DHA) in an experimental model of multiple sclerosis. J Nutr Biochem. 2024;124:109497. doi:10.1016/j.jnutbio.2023.109497
Poggioli R, Hirani K, Jogani VG, Ricordi C. Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders. Eur Rev Med Pharmacol Sci. 2023;27:7380. doi:10.26355/eurrev_202308_33310
Grajchen E, Loix M, Baeten P, Côrte-Real BF, Hamad I, et al. Fatty acid desaturation by stearoyl-CoA desaturase-1 controls regulatory T cell differentiation and autoimmunity. Cell Mol Immunol. 2023;20:666. doi:10.1038/s41423-023-01011-2
Kim JS, Soto-Diaz K, Bingham TW, Steelman AJ, Das A. Role of omega-3 endocannabinoids in the modulation of T-cell activity in a multiple sclerosis experimental autoimmune encephalomyelitis (EAE) model. J Biol Chem. 2023;299:102886. doi:10.1016/j.jbc.2023.102886
Nasl-Khameneh AM, Mirshafiey A, Moghadasi AN, Yekaninejad MS, Parastouei K, et al. The immunomodulatory effects of all-trans retinoic acid and docosahexaenoic acid combination treatment on the expression of IL-2, IL-4, T-bet, and GATA3 genes in PBMCs of multiple sclerosis patients. Neurol Res. 2023;45:510. doi:10.1080/01616412.2022.2162222
Ghasemi Darestani N, Bahrami A, Mozafarian MR, Esmalian Afyouni N, Akhavanfar R, et al. Association of Polyunsaturated Fatty Acid Intake on Inflammatory Gene Expression and Multiple Sclerosis: A Systematic Review and Meta-Analysis. Nutrients. 2022;14. doi:10.3390/nu14214627
Hassanshahi G, Noroozi Karimabad M, Jebali A. The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I. J Neuroimmunol. 2022;362:577768. doi:10.1016/j.jneuroim.2021.577768
Feng C, Li L, Li Q, Switzer K, Liu M, et al. Docosahexaenoic acid ameliorates autoimmune inflammation by activating GPR120 signaling pathway in dendritic cells. Int Immunopharmacol. 2021;97:107698. doi:10.1016/j.intimp.2021.107698
Adkins Y, Soulika AM, Mackey B, Kelley DS. Docosahexaenoic acid (22:6n-3) Ameliorated the Onset and Severity of Experimental Autoimmune Encephalomyelitis in Mice. Lipids. 2019;54:13. doi:10.1002/lipd.12130
Mousavi Nasl-Khameneh A, Mirshafiey A, Naser Moghadasi A, Chahardoli R, Mahmoudi M, et al. Combination treatment of docosahexaenoic acid (DHA) and all-trans-retinoic acid (ATRA) inhibit IL-17 and RORγt gene expression in PBMCs of patients with relapsing-remitting multiple sclerosis. Neurol Res. 2018;40:11. doi:10.1080/01616412.2017.1382800
Bernardo A, Giammarco ML, De Nuccio C, Ajmone-Cat MA, Visentin S, et al. Docosahexaenoic acid promotes oligodendrocyte differentiation via PPAR-γ signalling and prevents tumor necrosis factor-α-dependent maturational arrest. Biochim Biophys Acta Mol Cell Biol Lipids. 2017;1862:1013. doi:10.1016/j.bbalip.2017.06.014
Shiri-Shahsavar MR, Mirshafiee A, Parastouei K, Ebrahimi-Kalan A, Yekaninejad S, et al. A Novel Combination of Docosahexaenoic Acid, All-Trans Retinoic Acid, and 1, 25-Dihydroxyvitamin D Reduces T-Bet Gene Expression, Serum Interferon Gamma, and Clinical Scores but Promotes PPARγ Gene Expression in Experimental Autoimmune Encephalomyelitis. J Mol Neurosci. 2016;60:498.
Chen S, Zhang H, Pu H, Wang G, Li W, et al. n-3 PUFA supplementation benefits microglial responses to myelin pathology. Sci Rep. 2014;4:7458. doi:10.1038/srep07458
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Ramirez-Ramirez V, Macias-Islas MA, Ortiz GG, Pacheco-Moises F, Torres-Sanchez ED, et al. Efficacy of fish oil on serum of TNF α , IL-1 β , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b. Oxid Med Cell Longev. 2013;2013:709493. doi:10.1155/2013/709493
Siegert E, Paul F, Rothe M, Weylandt KH. The effect of omega-3 fatty acids on central nervous system remyelination in fat-1 mice. BMC Neurosci. 2017;18:19. doi:10.1186/s12868-016-0312-5
Di Biase A, Salvati S, Di Benedetto R, Attorri L, Martinelli A, et al. Eicosapentaenoic acid pre-treatment reduces biochemical changes induced in total brain and myelin of weanling Wistar rats by cuprizone feeding. Prostaglandins Leukot Essent Fatty Acids. 2014;90:99. doi:10.1016/j.plefa.2013.11.004
Salvati S, Di Biase A, Attorri L, Di Benedetto R, Sanchez M, et al. Ethyl-eicosapentaenoic acid ameliorates the clinical course of experimental allergic encephalomyelitis induced in dark agouti rats. J Nutr Biochem. 2013;24:1645. doi:10.1016/j.jnutbio.2013.02.005
Pantzaris MC, Loukaides GN, Ntzani EE, Patrikios IS. A novel oral nutraceutical formula of omega-3 and omega-6 fatty acids with vitamins (PLP10) in relapsing remitting multiple sclerosis: a randomised, double-blind, placebo-controlled proof-of-concept clinical trial. BMJ Open. 2013;3. doi:10.1136/bmjopen-2012-002170
Løken-Amsrud KI, Myhr KM, Bakke SJ, Beiske AG, Bjerve KS, et al. Alpha-tocopherol and MRI outcomes in multiple sclerosis--association and prediction. PLoS One. 2013;8:e54417. doi:10.1371/journal.pone.0054417
Unoda K, Doi Y, Nakajima H, Yamane K, Hosokawa T, et al. Eicosapentaenoic acid (EPA) induces peroxisome proliferator-activated receptors and ameliorates experimental autoimmune encephalomyelitis. J Neuroimmunol. 2013;256:7. doi:10.1016/j.jneuroim.2012.12.003
Torkildsen O, Wergeland S, Bakke S, Beiske AG, Bjerve KS, et al. ω-3 fatty acid treatment in multiple sclerosis (OFAMS Study): a randomized, double-blind, placebo-controlled trial. Arch Neurol. 2012;69:1044. doi:10.1001/archneurol.2012.283
Shinto L, Marracci G, Bumgarner L, Yadav V. The effects of omega-3 Fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis. Autoimmune Dis. 2011;2011:134592. doi:10.4061/2011/134592
Kong W, Yen JH, Ganea D. Docosahexaenoic acid prevents dendritic cell maturation, inhibits antigen-specific Th1/Th17 differentiation and suppresses experimental autoimmune encephalomyelitis. Brain Behav Immun. 2011;25:872. doi:10.1016/j.bbi.2010.09.012