An ω-3 polyunsaturated fatty acid concentrate increases plasma high-density lipoprotein 2 cholesterol and paraoxonase levels in patients with familial combined hyperlipidemia
Abstract
A remarkable reduction of plasma concentrations of high-density lipoproteins (HDL), especially of the HDL(2) subfraction, is one of the typical lipoprotein alterations found in patients with familial combined hyperlipidemia (FCHL). Fourteen FCHL patients received 4 capsules daily of Omacor (an omega-3 polyunsaturated fatty acid [omega3 FA] concentrate providing 1.88 g of eicosapentaenoic acid [EPA] and 1.48 g of docosahexaenoic acid [DHA] per day; Pronova Biocare, Oslo, Norway) or placebo for 8 weeks in a randomized, double-blind, crossover study. Plasma triglycerides were 44% lower, and LDL cholesterol and apoliporpotein (apo)B were 25% and 7% higher after Omacor than placebo. HDL cholesterol was higher (+8%) after Omacor than placebo, but this difference did not achieve statistical significance. Omacor caused a selective increase of the more buoyant HDL(2) subfraction; plasma HDL(2) cholesterol and total mass increased by 40% and 26%, respectively, whereas HDL(3) cholesterol and total mass decreased by 4% and 6%. Both HDL(2) and HDL(3) were enriched in cholesteryl esters and depleted of triglycerides after Omacor. No changes were observed in the plasma concentration of major HDL apolipoproteins, LpA-I and LpA-I:A-II particles, lecithin:cholesterol acyltransferase (LCAT), and cholesteryl ester transfer protein (CETP). The plasma concentration of the HDL-bound antioxidant enzyme paraoxonase increased by 10% after Omacor. Omacor may be helpful in correcting multiple lipoprotein abnormalities and reducing cardiovascular risk in FCHL patients.
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Inconsistent effects on CETP activity have been observed following treatment with OM3FAs: either no change, an increase or a decrease in activity.
“Inconsistent effects on CETP activity have been observed following treatment with OM3FAs: either no change [56], an increase [45] or a decrease [57] in activity.”
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- Authors
- Calabresi, L., Villa, B., Canavesi, M., Sirtori, C. R., James, R. W., Bernini, F., & Franceschini, G.
- Affiliations
- University of Milan (IT)
- University Hospital of Geneva (CH)
- University of Parma (IT)
- Corresponding author
- Franceschini, Guido
- ORCID
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 2004-02
- Volume
- 53
- Issue
- 2
- Pages
- 153-158
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2155441427
- Cited by
- 132
- References
- 55
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 6 · 2019: 8 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 8 · 2014: 4 · 2013: 8 · 2012: 10
- FWCI
- 10.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- omega-3 polyunsaturated fatty acids, Omacor, HDL2, HDL3 cholesterol, HDL subfractions, familial combined hyperlipidemia, eicosapentaenoic acid, docosahexaenoic acid, paraoxonase, HDL apolipoproteins, lecithin:cholesterol acyltransferase, cholesteryl ester transfer protein, triglycerides, apolipoprotein B, cardiovascular risk
- MeSH terms
- Adult, Apolipoproteins A, Carrier Proteins, Docosahexaenoic Acids, Double-Blind Method, Electrophoresis, Polyacrylamide Gel, Female, Glycoproteins, Humans, Hyperlipidemias, Phosphatidylcholine-Sterol O-Acyltransferase, Cholesterol, HDL, Cholesterol, LDL, Male, Particle Size, Triglycerides, Ultracentrifugation, Fatty Acids, Omega-3, Cross-Over Studies, Aryldialkylphosphatase, Cholesterol Ester Transfer Proteins
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