Cited by 148Fatty Acid Research and HealthRetinal Diseases and TreatmentsSphingolipid Metabolism and Signaling

Docosanoids and elovanoids from omega-3 fatty acids are pro-homeostatic modulators of inflammatory responses, cell damage and neuroprotection

Open access
Bazan, Nicolas G.·2018·Molecular Aspects of Medicine

Abstract

The functional significance of the selective enrichment of the omega-3 essential fatty acid docosahexaenoic acid (DHA; 22C and 6 double bonds) in cellular membrane phospholipids of the nervous system is being clarified by defining its specific roles on membrane protein function and by the uncovering of the bioactive mediators, docosanoids and elovanoids (ELVs). Here, we describe the preferential uptake and DHA metabolism in photoreceptors and brain as well as the significance of the Adiponectin receptor 1 in DHA retention and photoreceptor cell (PRC) survival. We now know that this integral membrane protein is engaged in DHA retention as a necessary event for the function of PRCs and retinal pigment epithelial (RPE) cells. We present an overview of how a) NPD1 selectively mediates preconditioning rescue of RPE and PR cells; b) NPD1 restores aberrant neuronal networks in experimental epileptogenesis; c) the decreased ability to biosynthesize NPD1 in memory hippocampal areas of early stages of Alzheimer's disease takes place; d) NPD1 protection of dopaminergic circuits in an in vitro model using neurotoxins; and e) bioactivity elicited by DHA and NPD1 activate a neuroprotective gene-expression program that includes the expression of Bcl-2 family members affected by Aβ42, DHA, or NPD1. In addition, we highlight ELOVL4 (ELOngation of Very Long chain fatty acids-4), specifically the neurological and ophthalmological consequences of its mutations, and their role in providing precursors for the biosynthesis of ELVs. Then we outline evidence of ELVs ability to protect RPE cells, which sustain PRC integrity. In the last section, we present a summary of the protective bioactivity of docosanoids and ELVs in experimental ischemic stroke. The identification of early mechanisms of neural cell survival mediated by DHA-synthesized ELVs and docosanoids contributes to the understanding of cell function, pro-homeostatic cellular modulation, inflammatory responses, and innate immunity, opening avenues for prevention and therapeutic applications in neurotrauma, stroke and neurodegenerative diseases.

AI snapshot

Written from the paper’s full text.

TL;DR

This review summarizes how DHA-derived docosanoids (e.g., NPD1) and ELOVL4-derived elovanoids (ELV-N32/N34) act as pro-homeostatic lipid mediators that modulate inflammation, protect neural cells, and promote survival in retinal, epileptogenesis, Alzheimer’s disease, Parkinson’s disease, and stroke models. It highlights AdipoR1-dependent DHA retention, ELOVL4/VLC-PUFA biology, and evidence that NPD1/ELVs reduce pathology and support recovery, while noting unresolved mechanistic questions.

Key findings

  • In Alzheimer’s disease hippocampal CA1, NPD1 levels were one-twentieth of age-matched controls (a 20-fold reduction), while unesterified DHA was higher; cPLA2 abundance increased 4.6-fold and 15-LOX decreased almost 2-fold (P < 0.05).
  • NPD1 (100 nM) rescued dopaminergic neurons from apoptosis and sustained dendritic arbor in mesencephalic cultures containing 17–20% TH-positive neurons; NPD1 (50 nM) protected HN neurons and glia from Aβ42-induced apoptosis, and DHA/NPD1 upregulated anti-apoptotic Bfl-1(A1) about 4- and 6-fold.
  • In experimental stroke, 10,17S-docosatriene (NPD1) inhibited leukocyte infiltration and reduced stroke volume by 50% after 48 h; ELV treatment 1 h after 2 h MCAo protected neurons, astrocytes, and SMI-71-positive blood vessel cells.
  • AdipoR1 knockout mice showed low retinal DHA and severe depletion of VLC-PUFA-containing phosphatidylcholines, linking AdipoR1 to DHA retention, VLC-PUFA synthesis, and photoreceptor survival; ELOVL4 mutations cause Stargardt-like macular dystrophy, spinocerebellar ataxia, seizures, and related disorders.

Methods

  • Narrative review; synthesizes cited experimental and human studies on DHA, docosanoids, and elovanoids rather than reporting one new primary dataset.
  • Data/sample: cited models include AdipoR1 knockout mice, pilocarpine-induced status epilepticus mice/rats, human AD hippocampal CA1 samples, HN cell cultures, MPP+/MPTP Parkinson’s disease models, and MCAo stroke models.
  • Main analysis: qualitative integration of biochemical, lipidomic, electrophysiological, gene-expression, and neuroprotection findings; no systematic search criteria or quantitative meta-analysis is reported.

Limitations

  • Stated: precise mechanisms of DHA/VLC-PUFA retention and biosynthesis in photoreceptor cells are not fully understood; whether reduced NPD1 in AD CA1 is a cause or result of AD remains to be clarified; whether pHFO is a cause or consequence of epileptogenesis is unclear; mechanisms of VLC-PUFA protection and ELV release timing in stroke are unknown.
  • Stated: the precise molecular mechanism of NPD1 bioactivity in epileptogenesis and whether docosatriene effects on PMN infiltration and pro-inflammatory gene expression are independent events remain to be defined.
  • Evident from the text: as a narrative review, it lacks systematic search/selection criteria and quantitative synthesis, and many conclusions depend on cited studies rather than a single controlled dataset.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.mam.2018.09.003

Cites

Statistics

Nothing to recompute.

Claims the paper makes

0 of 113 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    3H-leucine-labeled rhodopsin and the dense-label region of 3H-22:6 migrated together, reaching the PRC tips at the same time.

    “3H-leucine in parallel displayed narrow protein bands and, because the edge of the 3H-leucine-labeled band (rhodopsin) and the dense-label region of 3H-22:6, migrated together, reaching the PRC tips at the same time.”
    Quote in the paperNot a substantial claim
  • Findingown data

    DHA uptake in PRCs depends on AdipoR1.

    “We have demonstrated that DHA uptake in PRCs depends on AdipoR1.”
    Quote in the paperSubstantial claim
  • Findingown data

    The reduction in microseizures and pHFO was correlated with a lower number of spontaneous recurrent seizures.

    “This reduction in microseizures and pHFO was correlated with lower number of SRS.”
    Quote in the paperSubstantial claim
  • Findingown data

    The effect of NPD1 on epileptogenesis led to spontaneous recurrent seizure reduction at 3 weeks after status epilepticus onset.

    “The effect of NPD1 on epileptogenesis led to SRS reduction at 3 weeks after SE onset.”
    Quote in the paperSubstantial claim
  • Findingnone given

    NPD1 remarkably limited dendritic spine loss in hippocampal layers.

    “NPD1 remarkably limited dendritic spine loss in hippocampal layers.”
    Quote in the paperSubstantial claim
  • May combine two claims. 73
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. 18
  • May combine two claims.

    Findingcitation

    AdipoR1 has an additional function independent of its cognate ligand adiponectin: it is a key regulator of DHA uptake/retention in the retina, where it is critical to maintain normal structure and function.

    “We found that AdipoR1 has an additional function independent of its cognate ligand adiponectin: it is a key regulator of DHA uptake/retention in the retina (Rice et al., 2015), where it is critical to maintain the normal structure and function.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rice et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    NPD1 reduced the amplitudes of microseizures in hippocampal layers and limits the development of hippocampal hyper-excitability in a rapid kindling model of temporal lobe epilepsy.

    “Also, NPD1 reduced the amplitudes of microseizures in hippocampal layers and limits the development of hippocampal hyper-excitability in a rapid kindling model of temporal lobe epilepsy (Musto et al., 2011) that displays a subtle alteration in hippocampal neuronal plasticity and damage (Morimoto et al., 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Musto et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Findingreasoning

    Lack of AdipoR1 causes an early-impaired visual cycle and a reduced electroretinogram, indicators of PRC degeneration onset.

    “Lack of AdipoR1 causes an early-impaired visual cycle and a reduced electroretinogram (ERG), indicators of PRC degeneration onset.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    NPD1 limited interneuronal cell loss, microgliosis, and in vivo evoked dentate gyrus electrical hyper-excitability.

    “Also, NPD1’s limited interneuronal cell loss, microgliosis, and in vivo evoked dentate gyrus (DG) electrical hyper-excitability.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Using multi-microelectrode arrays in freely moving mice and Golgi staining after pilocarpine-induced status epilepticus, NPD1 reduces microseizures, pathological high-frequency oscillations, and hippocampal dendritic spine loss.

    “Using multi-microelectrode arrays in freely moving mice and Golgi staining after status epilepticus (SE) induced by pilocarpine, we found that NPD1 reduces microseizures, pathological high-frequency oscillations (pHFO) and hippocampal dendritic spine loss.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In Alzheimer's disease brain, compared with age-matched controls, cPLA2 abundance was increased 4.6-fold and 15-LOX decreased almost 2-fold (P < 0.05).

    “In AD brain, when compared with age-matched controls, cPLA2 abundance was increased 4.6-fold and 15-LOX decreased almost 2-fold (P < 0.05).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Differentiated primary neuronal culture from mesencephalic embryonic mice displays 17-20% TH-positive neurons and shows potently retracted dendritic arbor distal segments by Sholl analysis, decreasing the maximum branch order reached.

    “We have used differentiated primary neuronal culture from mesencephalic embryonic mice that displays 17–20 % of TH-positive neurons and shows potently retracted dendritic arbor distal segments by Sholl analysis, thus decreasing the maximum branch order reached.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    NPD1 prevented disruption of ripple morphology and attenuated pHFO in the dentate gyrus.

    “NPD1 prevented disruption of ripple morphology and attenuated pHFO in DG.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    NPD1 reduced after-discharge duration and the number of evoked spikes recorded after each stimulation from the dentate gyrus.

    “NPD1 reduced after-discharge duration and the number of evoked spikes recorded after each stimulation from DG.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    NPD1-treated animals preserved the integrity of interneuronal cell bodies in the dentate gyrus hilus and showed attenuated gliosis and microgliosis.

    “Moreover, NPD1 treated animals preserved the integrity of interneuronal cell bodies in the DG hilus and showed attenuated gliosis and microgliosis.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Upon ablation of AdipoR1, DHA uptake is impaired and PRC-specific VLC-PUFA-containing PC molecular species are reduced, and PRC function and survival are compromised.

    “Upon ablation of this receptor, DHA uptake is impaired and PRC-specific very-long-chain polyunsaturated fatty acids (VLC-PUFA)-containing PC molecular species are reduced; and PRC function and survival are compromised (Rice et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rice et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    NPD1 at 100 nM rescues dopaminergic neurons from apoptosis and sustains the dendritic arbor of surviving neurons.

    “Under these conditions, we uncovered that NPD1 (100 nM) rescue dopaminergic neurons from apoptosis and sustains dendritic arbor of surviving neurons (Calandria et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Calandria et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Findingreasoning

    NPD1 prevents the loss of protection bestowed by 15-LOX-1 inhibition in vitro and protects PRCs from light damage.

    “Moreover, NPD1 prevents the loss of protection bestowed by 15-LOX-1 inhibition in vitro and protects PRCs from light damage, further suggesting that DHA and NPD1 are pivotal for the protective actions of cell survival during preconditioning.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Unesterified DHA levels were higher in Alzheimer's disease hippocampal CA1, whereas NPD1 levels in Alzheimer's disease were one-twentieth of those in age-matched controls.

    “Unesterified DHA levels were found to be higher in AD hippocampal CA1, whereas NPD1 levels in AD were one-twentieth of those in age-matched controls (Lukiw et al., 2005).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lukiw et al., 2005 source

      Not checked in the free run.

  • May combine two claims.

    Findingnone given

    Ablation of AdipoR1 led to the discovery that this receptor regulates DHA retention in the retina and is necessary for PRC structure and function.

    “The ablation of AdipoR1 led to the discovery that this receptor regulates DHA retention in the retina and is necessary for PRC structure and function.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    No significant change in neuronal and glial cell morphology after 18 h of Aβ42 (or NPD1) treatment took place, and there was no sizable cell death at the concentrations of Aβ42 used over the time course investigated.

    “Importantly, no significant change in neuronal and glial cell morphology in these cultures after 18 h of Aβ42 (or NPD1) treatment took place, and there was no sizable cell death at the concentrations of Aβ42 used over the time course investigated”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    DHA decreased Aβ40 and Aβ42 peptide secretion from aging brain cells with concomitant NPD1 biosynthesis.

    “DHA decreased Aβ40 and Aβ42 peptide secretion from aging brain cells with concomitant NPD1 biosynthesis.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    DHA and NPD1 each upregulated Bcl-xl, Bcl-2, and Bfl-1(A1), neuroprotective members of the Bcl-2 gene family, and relatively down-regulated Bax and Bik, proapoptotic members.

    “DHA and NPD1 each showed upregulation of Bcl-xl, Bcl-2, and Bfl-1 (A1), neuroprotective members of the Bcl-2 gene family, and relative down-regulation of Bax and Bik, proapoptotic members of the Bcl-2 gene family.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Bax and Bik were upregulated in Aβ42-treated cells over age-matched control cells, and these enhanced RNA levels were driven to the status of no significant change after treatment with DHA or NPD1.

    “Bax and Bik were upregulated, respectively, in Aβ42-treated cells over age-matched control cells, and these enhanced RNA levels were driven to the status of “no significant change” after treatment with DHA or NPD1.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Aβ-treated HN cells exhibited retracted neurites; when treated with NPD1, cells assumed extended neurites and an overall morphology resembling control cells.

    “Unlike control HN cells, Aβ-treated HN cells also exhibited retracted neurites; however, when treated with NPD1, cells assumed extended neurites and an overall morphology resembling that of control cell.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingcitation

    Aβ42 markedly upregulated a complex proapoptotic and proinflammatory gene-expression program in 4-week-old HN cells.

    “Aβ42 markedly upregulated a complex proapoptotic and proinflammatory gene-expression program.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    ELVs are di-hydroxylated derivatives of 32:6n-3 or 34:6n-3 biosynthesized in the brain by ELOVL4, an enzyme essential for the synthesis of very long chain-fatty acids with chain lengths ≥ 28 carbons that is mainly expressed in neurons and enriched in the hippocampus.

    “ELVs are di-hydroxylated derivatives of 32:6n-3 or 34:6n-3 biosynthesized in the brain by ELOVL4, an enzyme essential for the synthesis of very long chain-fatty acids with chain lengths ≥ 28 carbons that is mainly expressed in neurons and enriched in the hippocampus (Pastore et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pastore et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Findingnone given

    ELV-N32 and ELV-N34 are di-hydroxylated derivatives of 32:6n-3 or 34:6n-3 length fatty acid precursors, respectively.

    “ELV-N32 and ELV-N34 are di-hydroxylated derivatives of 32:6n-3 or 34:6n-3 length fatty acid precursors, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    32:6n-3 or 34:6n-3 yield ELV-N32 and ELV-N34, respectively.

    “Thus, 32:6n-3 or 34:6n-3 yield ELV-N32 and ELV-N34, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    10,17S-docosatriene is a potent inhibitor of ischemia-reperfusion-induced PMN infiltration and pro-inflammatory gene induction and inhibits cytokine-mediated pro-inflammatory gene activation in neural cells in culture.

    “The data at that time demonstrated that the novel 10,17S-docosatriene is a potent inhibitor of ischemia-reperfusion-induced PMN infiltration and pro-inflammatory gene induction and that it inhibits cytokine-mediated pro-inflammatory gene activation in neural cells in culture.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The newly discovered brain messenger 10,17S-docosatriene potently inhibited leukocyte infiltration, NF-κB, and cyclooxygenase-2 induction in experimental stroke and elicited neuroprotection.

    “The newly discovered brain messenger 10,17S-docosatriene potently inhibited leukocyte infiltration, NF-κB, and cyclooxygenase-2 induction in experimental stroke and elicited neuroprotection.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    ELVs are a new class of endogenous pro-homeostatic lipid mediators that counteract UOS, oxygen glucose deprivation (OGD), N-methyl-d-aspartate (NMDA)-induced excitotoxicity or MCAo-induced ischemic stroke.

    “ELVs are a new class of endogenous pro-homeostatic lipid mediators that counteract UOS, oxygen glucose deprivation (OGD), N-methyl-d-aspartate (NMDA)-induced excitotoxicity or MCAo-induced ischemic stroke.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    NPD1 promoted a much larger increase in anti-apoptotic Bcl-2 proteins; Bfl-1(A1) increased almost 6-fold.

    “NPD1, on the other hand, promoted a much larger increase in anti-apoptotic Bcl-2 proteins. Bfl-1(A1) increased almost 6-fold.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    We uncovered two DHA-oxygenation pathways: the first forms 10,17S-docosatriene, and the second, active in the presence of aspirin, forms a resolvin-type messenger (17R-DHA).

    “We uncovered two DHA-oxygenation pathways: the first pathway forms the messenger 10,17S-docosatriene, and the second pathway, active in the presence of aspirin, formation a resolvin-type messenger (17R-DHA) as we called it then.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The structures of ELV-N32 and ELV-N34 were determined to be ELV-N32: (14Z,17Z,20R,21E,23E,25Z,27S,29Z)-20,27-dihydroxydo-triaconta-14,17,21,23,25,29-hexaenoic acid; and ELV-N34: (16Z,19Z,22R,23E,25E,27Z,29S,31Z)-22,29-dihydroxytetra-triaconta-16,19,23,25,27,31-hexaenoic acid.

    “The structures of ELV-N32 and ELV-N34, derived from a 34, were determined to be: ELV-N32: (14Z,17Z,20R,21E,23E,25Z,27S,29Z)-20,27-dihydroxydo-triaconta-14,17,21,23,25,29- hexaenoic acid; and ELV-N34: (16Z,19Z,22R,23E,25E,27Z, 29S,31Z)-22,29-dihydroxytetra-triaconta-16,19,23,25,27,31-hexaenoic acid.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Pro-apoptotic proteins Bik and Bax were enhanced by Aβ42, but not by DHA or NPD1, whereas Bcl-2, Bcl-xl, and Bfl-1(A1) were enhanced by DHA.

    “Pro-apoptotic proteins Bik and Bax were enhanced by Aβ42, but not by DHA or NPD1, whereas Bcl-2, Bcl-xl, and Bfl-1(A1) were enhanced by DHA.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    The synthesis of 10,17S-docosatriene after 1 h of MCAo coincides with free DHA availability that results from phospholipase A2 activation as well as with reperfusion reoxygenation.

    “The synthesis of 10,17S-docosatriene after 1 h of MCAo coincides with free DHA availability that results from phospholipase A2 activation (Bazán, 1970; Bazan and Allan, 1998; Yoshida et al., 1984) as well as with reperfusion reoxygenation.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Bazán, 1970 source

      Not checked in the free run.

    • cites Bazan and Allan, 1998

      Not checked in the free run.

    • cites Yoshida et al., 1984 source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    ELVs rescued ischemic core and penumbra.

    “ELVs attenuated infarcts, rescued ischemic core and penumbra, diminished NVU damage, and promoted cell survival along with neurological/behavioral recovery (Fig. 3 and 4).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ELVs promoted cell survival along with neurological/behavioral recovery.

    “ELVs attenuated infarcts, rescued ischemic core and penumbra, diminished NVU damage, and promoted cell survival along with neurological/behavioral recovery (Fig. 3 and 4).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Genetic ablation of AdipoR1 leads to PRC degeneration and shutting off VLC-PUFA,n-3 synthesis in the retina.

    “Our work has disclosed that genetic ablation of this receptor leads to PRC degeneration and to shutting off VLC-PUFA,n-3 synthesis in the retina.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    10,17S-docosatriene administered continuously by intracerebroventricular perfusion inhibited such infiltration and subsequently reduced the stroke volume by 50% after 48 h.

    “Here we demonstrate that 10,17S-docosatriene administered continuously by intracerebroventricular perfusion inhibited such infiltration and subsequently reduced the stroke volume by 50% after 48 h.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    VLC-PUFA,n-3 are incorporated at position sn-1 of PC while DHA is located at position sn-2.

    “The VLC-PUFA,n-3 are incorporated at position sn-1 of PC while DHA is located at position sn-2 (Fig.1).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    DHA is located at the sn-2 position of the phospholipid, and VLC-PUFAs,n-3 are located at the sn-1 position and are subject to alternatively or concomitantly regulated pathways.

    “DHA is located at the sn-2 position of the phospholipid, the VLC-PUFAs,n-3 are located at the sn-1 position of the phospholipid and are subject to alternatively or concomitantly regulated pathways.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    DHA is enriched in the CNS, including the retina, and serves as the precursor for neuroprotective and prohomeostatic 22-carbon docosanoids and 32- or 34-carbon elovanoids.

    “DHA is enriched in the CNS, which includes the retina (Bazan, 2009, 2007, 2006; Gordon and Bazan, 1990), and serves as the precursor for neuroprotective and prohomeostatic 22-carbon docosanoids (Bazan, 2009, 2007; Bazan et al., 2010; Mukherjee et al., 2004) and of 32- or 34-carbon ELVs (Bhattacharjee et al., 2017; Jun et al., 2017).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Bazan, 2009 source

      Not checked in the free run.

    • cites Bazan et al., 2010 source

      Not checked in the free run.

    • cites Bhattacharjee et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Photoreceptor cells selectively take up DHA, which esterifies to phospholipids used for PRC disc membrane biogenesis.

    “Photoreceptor cells (PRCs) selectively take up DHA, which esterifies to phospholipids used for PRC disc membrane biogenesis (Rodriguez de Turco et al., 1990).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Rodriguez de Turco et al., 1990 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The biochemical alterations in AdipoR1-deficient retinas depress retinoid levels, functionally impair retinal physiology in otherwise structurally intact retinas, and subsequently cause PRC degeneration.

    “These biochemical alterations depress retinoid levels, which functionally impairs retinal physiology in otherwise structurally intact retinas. Subsequently, PRC degeneration occurs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    DHA reduces vulnerable interneuronal cell populations, and NPD1 could be the mediator of that neuroprotection.

    “Also, our observations support the evidence that DHA reduces those vulnerable interneuronal cell populations and NPD1 could be the mediator of that neuroprotection (Ferrari et al., 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ferrari et al., 2008 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Despite some decreased availability of unesterified DHA, NPD1 levels were dramatically reduced, perhaps as the result of excessive oxidative stress and other events, and NPD1 beneficial bioactivity during neural cell degeneration may be lost.

    “Therefore, despite some decreased availability of unesterified DHA, NPD1 levels were dramatically reduced, perhaps as the result of excessive oxidative stress and other events, and NPD1 beneficial bioactivity during neural cell degeneration may be lost.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Mfsd2a mediates DHA transport across the blood brain barrier.

    “Recently, an essential role for Mfsd2a, a member of the major facilitator superfamily, was shown to mediate DHA transport across the blood brain barrier (Nguyen et al., 2014; Wong et al., 2016).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Nguyen et al., 2014 source

      Not checked in the free run.

    • cites Wong et al., 2016 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    AdipoR1 is a key regulator of DHA, of VLC-PUFAs, and of the functional integrity of PRCs.

    “Thus, our work identifies AdipoR1 as a key regulator of DHA, of VLC-PUFAs, and of the functional integrity of PRCs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    NPD1 is decreased in the CA1 area of hippocampus from Alzheimer's disease, increases after seizures, and attenuates seizure severity progression and hippocampal hyper-excitability in a kindling model of temporal lobe epilepsy.

    “NPD1 is decreased in CA1 area of hippocampus from Alzheimer’s disease (Bazan et al., 2011a), increases after seizures (Musto et al., 2011) and attenuates seizure severity progression and hippocampal hyper-excitability in a kindling model of temporal lobe epilepsy (Musto et al., 2011).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Bazan et al., 2011a

      Not checked in the free run.

    • cites Musto et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Under uncompensated oxidative stress, DHA is released from membrane-associated phospholipids and converted to NPD1, a promoter of RPE and PRC survival.

    “Under conditions of UOS, DHA is released from membrane-associated phospholipids and converted to NPD1, a promoter RPE and PRC survival (Bazan et al., 2011a).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bazan et al., 2011a

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    B94 is a TNF-α-inducible proinflammatory element.

    “B94 (GenBank M92357) is a TNF-α-inducible proinflammatory element (Colangelo et al., 2002; Liao et al., 2004).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Colangelo et al., 2002 source

      Not checked in the free run.

    • cites Liao et al., 2004 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    DHA amounts to more than 50% of outer segment phospholipid fatty acyl chains, and DHA-containing phospholipids in the retina and other cells are reservoirs for docosanoids.

    “DHA then ends up amounting to more than 50% of OS phospholipid fatty acyl chains and therefore DHA-containing phospholipids in the retina and other cells are reservoirs for docosanoids (Bazan et al., 1984; Mukherjee et al., 2004).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Bazan et al., 1984 source

      Not checked in the free run.

    • cites Mukherjee et al., 2004 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    NPD1 rescues neuronal network disruptions, and this bioactivity may help identify critical events in the onset of pathological circuit impairments including epileptogenesis.

    “Thus, NPD1 rescues neuronal networks disruptions and this bioactivity may help contribute to identifying critical events in the onset of pathological circuit impairments including epileptogenesis (Bazan et al., 2011b; Musto et al., 2015, 2016).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Bazan et al., 2011b

      Not checked in the free run.

    • cites Musto et al., 2015 source

      Not checked in the free run.

    • cites Musto et al., 2016

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Observed concomitant microseizures and pHFO reflect aberrant network activities in hippocampal layers, and pHFO may act as an endogenous marker of a kindling-like mechanism that recruits and synchronizes other aberrant neuronal networks, triggering spontaneous recurrent seizures.

    “The observed concomitant microseizures and pHFO reflect aberrant network activities in hippocampal layers and the pHFO may act as an endogenous marker of a kindlinglike mechanism that recruits and synchronizes other aberrant neuronal networks, triggering SRS.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Mutations in ELOVL4 are causative of Stargardt's disease (STGD3).

    “Mutations in the ELOVL4 are causative of Stargardt’s disease (STGD3).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Parkinson's disease clinical presentation often takes place when 80% of striatal dopamine is reduced, implying that sizable numbers of neurons are damaged early in disease pathogenesis.

    “Often PD clinical presentation takes place when 80% of striatal dopamine is reduced implying that sizable numbers of neurons are damaged early in the disease pathogenesis.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    sAPPα promotes neuritogenesis and long-term survival of neurons in culture and protects brain cells against toxicity of Aβ40 and Aβ42 peptides and excitotoxic and ischemic injury both in cell cultures and in vivo.

    “sAPPα promotes neuritogenesis and long-term survival of neurons in culture and protects brain cells against the toxicity of Aβ40 and Aβ42 peptides and excitotoxic and ischemic injury both in cell cultures and in vivo (Guo et al., 1998; Stein and Johnson, 2003).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Guo et al., 1998 source

      Not checked in the free run.

    • cites Stein and Johnson, 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    This action of Aβ42 may represent a cytoprotective response of brain cells when confronted with a peptide that triggers oxidative stress.

    “This action of Aβ42 peptide may represent a cytoprotective response of brain cells when confronted with a peptide that triggers oxidative stress.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    NPD1 induces an antiapoptotic, neuroprotective gene-expression program that regulates secretion of Aβ peptides, resulting in modulation of inflammatory signaling, neuronal survival, and preservation of brain cell function.

    “Taken together, these data suggest that NPD1 induces an antiapoptotic, neuroprotective gene-expression program that regulates the secretion of Aβ peptides, resulting in the modulation of inflammatory signaling, neuronal survival, and the preservation of brain cell function.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Gene-expression changes were analyzed with criteria of at least 2-fold change over control and P less than 0.05 by ANOVA in Aβ42-stressed cells.

    “Analytical criteria were gene changes of at least 2-fold over control and P less than 0.05 (ANOVA) in Aβ42- stressed”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Use of HN cells at a fixed age and 50:50 neuronal/glial populations was selected to minimize the possibility of selective cell loss in older HN cell cultures.

    “Because selective cell loss may take place in older HN cell cultures (when neuronal cells drop out), the use of HN cells at a fixed age (and 50:50 neuronal/glial populations) was selected to minimize this possibility.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Intracellular processing of the transmembrane glycoprotein βAPP through sequential β- and γ-secretase-catalyzed proteolysis generates Aβ peptides that are subsequently shuttled to the plasma membrane and secreted.

    “Intracellular processing of the transmembrane glycoprotein βAPP through a sequential β- and γ- secretase–catalyzed proteolysis generates Aβ peptides that are subsequently shuttled to the plasma membrane and secreted (Bazan, 2003; Stein and Johnson, 2003).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Bazan, 2003 source

      Not checked in the free run.

    • cites Stein and Johnson, 2003

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Secreted Aβ40 and Aβ42 during HN cell aging has implications in the development of Aβ-related neuropathology and resembles Aβ deposition during brain aging and in AD.

    “Secreted Aβ40 and Aβ42 during HN cell aging has implications in the development of Aβ-related neuropathology and resembles Aβ deposition during brain aging and in AD (Crapper et al., 1975; Pelvig et al., 2003; Terry, 1983).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Crapper et al., 1975 source

      Not checked in the free run.

    • cites Pelvig et al., 2003 source

      Not checked in the free run.

    • cites Terry, 1983

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    sAPPα protects neural cells against proapoptotic thapsigargin, and the adverse effect of thapsigargin can be abolished in cells overexpressing antiapoptotic Bcl-2.

    “sAPPα also protect neural cells against the proapoptotic thapsigargin, an inhibitor of the endoplasmic reticulum Ca2+-ATPase, and the adverse effect of thapsigargin can be abolished in cells overexpressing antiapoptotic Bcl-2 (Guo et al., 1998).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Guo et al., 1998 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The amyloid plaque of AD shows an Aβ40/Aβ42 enriched ratio.

    “The amyloid plaque of AD shows Aβ40/Aβ42 enriched ratio (Guo et al., 1998; Selkoe and Kopan, 2003)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Guo et al., 1998 source

      Not checked in the free run.

    • cites Selkoe and Kopan, 2003

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Aβ42 is setting in motion potential cell damaging signals accompanied by the onset of apoptosis, and changes in gene-expression that in part emulate neurodegeneration as in AD.

    “suggesting that Aβ42 is setting in motion potential cell damaging signals accompanied by the onset of apoptosis, and changes in gene-expression that in part emulate neurodegeneration as in AD.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    ELOVL4 KO mice display VLC-PUFA-deficient PRC terminals with reduced rod terminal vesicles and a disorganized outer plexiform layer.

    “Furthermore, ELOVL4 KO mice display VLC-PUFA-deficient PRC terminals with reduced rod terminal vesicles and a disorganized outer plexiform layer (Agbaga et al., 2014; Bennett et al., 2014).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Agbaga et al., 2014 source

      Not checked in the free run.

    • cites Bennett et al., 2014 source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    Leukocyte infiltration and enhanced pro-inflammatory gene expression also contribute to stroke damage.

    “Leukocyte infiltration and enhanced pro-inflammatory gene expression also contribute to stroke damage.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Amyloid peptide-mediated oxidative stress, the activation of microglia associated with Aβ peptide deposition, and excessive production of microglial-derived cytokines such as IL-1β and TNF-α support progressive inflammatory episodes in AD.

    “Amyloid peptide-mediated oxidative stress, the activation of microglia associated with Aβ peptide deposition, and excessive production of microglial-derived cytokines such as IL-1β and TNF-α support progressive inflammatory episodes in AD (McGeer and McGeer, 2003; Zhang et al., 2002; Kim et al., 2003; Hong et al., 2003).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites McGeer and McGeer, 2003

      Not checked in the free run.

    • cites Zhang et al., 2002 source

      Not checked in the free run.

    • cites Kim et al., 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Aspirin activates an additional pathway, which includes the 17R-resolvins.

    “Widely used to prevent cerebrovascular disease, aspirin activates an additional pathway, which includes the 17R-resolvins.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    ELVs are made rapidly when disruptors of homeostasis evolve and when brain or retinal cells need to counteract neuroinflammatory responses to protect their integrity and to sustain survival and brain/retina functions.

    “ELVs are made rapidly when disruptors of homeostasis evolve and when brain or retinal cells need to counteract neuroinflammatory responses to protect their integrity and to sustain survival and brain/retina functions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    NPD1 also induces the anti-apoptotic Bcl-2 family of proteins Bcl-2 and Bcl-xl in oxidatively challenged human RPE cells and promotes cytoprotection.

    “In fact, NPD1 also induces the anti-apoptotic Bcl-2 family of proteins Bcl-2 and Bcl-xl in oxidatively challenged human RPE cells (Mukherjee et al., 2004) and promotes cytoprotection.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mukherjee et al., 2004 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The genetic ablation of AdipoR1 leads to depletion of the PCMS that contains C32:6n3 or C34:6n3, and DHA, which in turn leads to photoreceptor degeneration that resembles various human forms of retinal degenerative diseases.

    “The genetic ablation of AdipoR1 leads to depletion of the PCMS that contains C32:6n3 or C34:6n3, and DHA (C22:6n3), which in turn leads to photoreceptor degeneration that resembles various human forms of retinal degenerative diseases (Rice et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rice et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    After VLC-PUFAs are generated via ELOVL4, they are incorporated into phospholipids in the PRC inner segment, where they become part of PRC outer membrane biogenesis and tightly interact with rhodopsin.

    “After VLC-PUFAs are generated via ELOVL4, they are incorporated into phospholipids in the PRC inner segment, where they become part of the PRC outer membrane biogenesis (Aveldaño, 1987) and tightly interact with rhodopsin (Aveldaño, 1988),”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Aveldaño, 1987 source

      Not checked in the free run.

    • cites Aveldaño, 1988 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    ELVs are unlike any known lipid messenger since most of them are made from 20-22 C length precursors.

    “ELVs are unlike any known lipid messenger since most of them are made from 20-22 C length precursors.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Anti-apoptotic Bcl-2 family members such as Bfl-1(A1) play critical roles in the survival of aged and terminally differentiated cells and break the mechanistic link between inflammatory signaling and apoptosis.

    “Anti-apoptotic Bcl-2 family members such as Bfl-1(A1) play critical roles in the survival of aged and terminally differentiated cells and break the mechanistic link between inflammatory signaling and apoptosis (Tarte et al., 2004).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Tarte et al., 2004 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Homozygous inheritance of ELOVL4 mutations causes seizures, intellectual disability, ichthyosis, and premature death.

    “Homozygous inheritance of ELOVL4 mutations causes seizures, intellectual disability, ichthyosis, and premature death.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    Since these tissues were sampled within 3 h postmortem, the NPD1 pool size may reflect the capacity of the CA1 hippocampal region to activate synthesis of the mediator.

    “Since these tissues were sampled within 3 h postmortem, the NPD1 pool size may reflect the capacity of the CA1 hippocampal region to activate synthesis of the mediator.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Mutations in ELOVL4 are causative of developmental or neurodegenerative disorders.

    “Moreover, mutations in ELOVL4 are causative of developmental or neurodegenerative disorders.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    ELOVL4 synthesizes VLC-PUFAs in the retina and testes, and it synthesizes very-long-chain saturated fatty acids (VLC-SFAs) in the skin and brain.

    “ELOVL4 synthesizes VLC-PUFAs in the retina (Agbaga et al., 2010, 2008; Aveldaño, 1987) and testes (Oresti et al., 2010), and it synthesizes very-long-chain saturated fatty acids (VLC-SFAs) in the skin and brain (Cameron et al., 2007; Monroig et al., 2010).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Agbaga et al., 2010, 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Aveldaño, 1987 source

      Not checked in the free run.

    • cites Oresti et al., 2010 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given

    Heterozygous inheritance of ELOVL4 mutations causes Stargardt-like Macular Dystrophy or Spinocerebellar Ataxia type 34.

    “Heterozygous inheritance of ELOVL4 mutations causes Stargardt-like Macular Dystrophy or Spinocerebellar Ataxia type 34.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    DHA from membrane phospholipids during brain ischemia is a source of lipid peroxides.

    “DHA from membrane phospholipids during brain ischemia is a source of lipid peroxides.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    ELOVL4 mutations cause spinocerebellar ataxia, impaired neural development, neuronal dysfunction, hyper-excitability, seizures, juvenile macular degeneration in autosomal dominant STGD3, and early functional defects in RPE and PRCs.

    “ELOVL4 mutations cause spinocerebellar ataxia (Bourassa et al., 2015; Cadieux-Dion et al., 2014; Ozaki et al., 2015) impaired neural development, neuronal dysfunction, hyper-excitability, seizures (Agbaga, 2016; Aldahmesh et al., 2011) juvenile macular degeneration in autosomal dominant STGD3, with loss of central vision, progressive degeneration of the macula and peripheral retina (Agbaga et al.,”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Bourassa et al., 2015 source

      Not checked in the free run.

    • cites Cadieux-Dion et al., 2014 source

      Not checked in the free run.

    • cites Ozaki et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Bioactive docosanoids generated in vivo counteract leukocyte-mediated injury as well as pro-inflammatory gene induction.

    “Thus, the bioactive docosanoids generated in vivo counteract leukocyte-mediated injury as well as pro-inflammatory gene induction.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The lack of the VLC-PUFA,n-3 precursor DHA results in retinal degeneration, preceded by a remarkable downregulation of the free VLC-PUFA,n-3 molecular species and ELV biosynthesis.

    “Therefore, the lack of the VLC-PUFA,n-3 precursor DHA results in retinal degeneration, preceded by a remarkable downregulation of the free VLC-PUFA,n-3 molecular species and ELV biosynthesis.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Myeloperoxidase in inter-cellular spaces of the brain is a highly effective enzymatic catalyst for the initiation of lipid peroxidation, and brain cells are richly endowed with polyunsaturated fatty acyl phospholipids.

    “Myeloperoxidase in inter-cellular spaces of the brain is a highly effective enzymatic catalyst for the initiation of lipid peroxidation (Zhang et al., 2002), and brain cells are richly endowed with a major target of that process, polyunsaturated fatty acyl phospholipids (Bazan, 1990; Bazan and Allan, 1998).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Zhang et al., 2002 source

      Not checked in the free run.

    • cites Bazan, 1990

      Not checked in the free run.

    • cites Bazan and Allan, 1998

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    ELVs biosynthesis in human RPE cells is activated during UOS, targeting pro-homeostatic functions to preserve PRC integrity.

    “ELVs biosynthesis in human RPE cells is activated during UOS (Jun et al., 2017) targeting pro-homeostatic functions to preserve PRC integrity.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Jun et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    ELV and docosanoid biosynthesis are alternatively regulated by specific phospholipases A1 and A2, suggesting a novel pro-homeostatic mechanism.

    “Therefore, ELV and docosanoid biosynthesis alternative regulation by specific phospholipases A1 and A2, suggest a novel pro-homeostatic mechanism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Aspirin enhanced formation in brain of 17R-series resolvins that were found to be cytoprotective and are counter-regulators of inflammation outside the nervous system.

    “Aspirin enhanced formation in brain of 17R-series resolvins that were found at that time to be cytoprotective and are counter-regulators of inflammation outside the nervous system (Serhan et al., 2000).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Serhan et al., 2000 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The liver supplies dietary DHA (or DHA derived from dietary 18:3n3) to tissues, where it is captured by AdipoR1, followed by elongation in the inner segment of PRCs by ELOVL4 to VLC-PUFA,n-3 and incorporation into PCMS, which are also endowed with DHA.

    “The liver supplies dietary DHA (or derived from dietary 18:3n3) to tissues (Scott and Bazan, 1989) and captured by AdipoR1, followed by elongation in the inner segment of PRCs by ELOVL4 to VLC-PUFA,n-3 and incorporation into PCMS, which are also endowed with DHA (Fig. 1).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Scott and Bazan, 1989

      Not checked in the free run.

  • May combine two claims.

    Premisenone given

    Once leukocytes infiltrate the brain, they release IL-1, tumor necrosis factor, and other cytokines, as well as myeloperoxidase, which in turn catalyzes the formation of additional reactive oxygen species.

    “Once these leukocytes infiltrate the brain, they release IL-1, tumor necrosis factor, and other cytokines, as well as myeloperoxidase, which in turn catalyzes the formation of additional reactive oxygen species.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationnone given

    The bioactivities of docosanoids and ELVs have implications for understanding cell function and how the brain, retina and immune cells modulate inflammatory/injury responses.

    “The bioactivities of docosanoids and ELVs have implications related to both the understanding of cell function and how the brain, retina and immune cells modulate inflammatory/injury responses.”
    Quote in the paperSubstantial claim
89 of 89
  • The authors state this as an assumption.

    VLC-PUFAs are important in PRC longevity, PRC synaptic function, and neuronal connectivity.

    “and are assumed to be important in PRC longevity, PRC synaptic function, and neuronal connectivity.”
  • The paper relies on this without support.

    Vascular integrity facilitates neurogenesis and synaptogenesis that in turn contribute to improved functional recovery.

    “Vascular integrity facilitates neurogenesis and synaptogenesis that in turn contribute to improved functional recovery.”
  • The paper relies on this without support.

    Ischemic stroke augments neurogenesis and angiogenesis.

    “Ischemic stroke augments neurogenesis and angiogenesis, but how endothelial cells influence stroke-induced neurogenesis is unknown.”
  • The paper relies on this without support.

    Retroconversion of DHA to EPA takes place in peroxisomes, and gives rise to the 26 C PUFA, the substrate for ELOVL4.

    “Retroconversion of DHA to EPA takes place in peroxisomes, and gives rise to the 26 C PUFA, the substrate for ELOVL4.”
  • The paper relies on this without support.

    PUFA elongation in the inner segment of PRC by ELOVL4 leads to the biosynthesis of VLC-PUFAs,n-3 and their insertion at the sn-1 position of PC for biogenesis of PRC disk membranes.

    “PUFA elongation in the inner segment of PRC by ELOVL4 leads to the biosynthesis of VLC-PUFAs,n-3 and their insertion at the sn-1 position of PC for biogenesis of PRC disk membranes.”
  • The paper relies on this without support.

    RPE cells sustain PRC functional integrity, and their demise is involved in the onset of most forms of retinal degenerations.

    “RPE cells sustain PRC functional integrity, and their demise is involved in the onset of most forms of retinal degenerations.”
  • The paper relies on this without support.

    Several neuroprotective strategies for stroke have shown promise; however, no treatment has demonstrated efficacy.

    “Several neuroprotective strategies for stroke have shown promise; however, no treatment has demonstrated efficacy.”
  • The paper relies on this without support.

    Inflammation is a common early event in many chronic diseases, especially neurodegenerative diseases.

    “Since inflammation is determined to be a common early event in many chronic diseases, especially neurodegenerative diseases, understanding endogenous protective mechanisms is important to identifying potential therapeutics for these diseases.”
  • The paper relies on this without support.

    DHA biology broadly impacts cell homeostasis, and failures in its supply or metabolism lead to pathology.

    “The nascent data indicates that DHA biology broadly impacts cell homeostasis and failures in its supply or metabolism leads to pathology.”
9 of 9

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Phospholipase A2 (PLA2), which cleaves the fatty acyl moiety from the number 2 position of phospholipids, is of particular relevance in maintaining RPE homeostasis.

    “Phospholipase A2 (PLA2), the enzyme that cleaves the fatty acyl moiety from the number 2 position of phospholipids is of particular relevance in maintaining RPE homeostasis (Bazan, 2018; Knott et al., 2018).”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Bazan, 2018

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Pathological high-frequency oscillations have conflicting thresholds

    Minor

    Within the epileptogenesis section, pHFO is defined using thresholds of both greater than 250 Hz and greater than 200 Hz.

  • Unesterified DHA is described as both higher and less available in AD hippocampus

    Minor

    The section says unesterified DHA levels were higher in AD hippocampal CA1 than in controls, then describes decreased availability of unesterified DHA when explaining the same NPD1 finding.

2 of 2

The citation lists haven’t been fetched yet

References 215 · Cited by 148

Authors
Bazan, N. G.
Affiliations
Louisiana State University (US)
Corresponding author
Bazan, Nicolas G.
Venue
Molecular Aspects of Medicine
Publisher
Elsevier BV
Published
2018-12
Volume
64
Pages
18-33
ISSN
0098-2997 (ISSN-L)
OpenAlex
W2894659869
Cited by
148
References
215
Citations by year
2026: 12 · 2025: 15 · 2024: 20 · 2023: 10 · 2022: 11 · 2021: 29 · 2020: 28 · 2019: 20 · 2018: 3
FWCI
2.56
Type
journal article
Language
en
Open access
Locations
  • Molecular Aspects of Medicine (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Eye Institute (EY005121, NS046741, NS2302)
  • National Institute of Neurological Disorders and Stroke (P30 GM103340)
  • National Institute of General Medical Sciences
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
Keywords
docosanoids, docosahexaenoic acid, omega-3 fatty acids, neuroprotection, photoreceptors, retinal pigment epithelium, AdipoR1, ELOVL4, Alzheimer's disease, dopaminergic neuroprotection, Bcl-2 family proteins, amyloid-beta, ischemic stroke, neuroinflammation, neurodegenerative diseases, neurotrauma, retinal degeneration
MeSH terms
Neuroprotection, Alzheimer Disease, Docosahexaenoic Acids, Gene Expression Regulation, Humans, Inflammation, Photoreceptor Cells, Fatty Acids, Omega-3, Apoptosis, Receptors, Adiponectin, Retinal Pigment Epithelium, Dopaminergic Neurons

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review