Evidence map›Paper›PMID 24634501›Full record

Trial reportJournal of lipid research2014

Dietary omega-3 fatty acids modulate the eicosanoid profile in man primarily via the CYP-epoxygenase pathway.

Robert Fischer, Anne Konkel, Heidrun Mehling, Katrin Blossey, Andrej Gapelyuk, Niels Wessel, Clemens von Schacky, Ralf Dechend, Dominik N Muller, Michael Rothe and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of lipid research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03906799 (A Placebo-controlled, Double-blind, Randomized, Dose-finding Phase II Study on OMT-28 in MaIntenance of Sinus Rhythm After Electrical Cardioversion in Patients With Persistent Atrial Fibrillation), which is not on this map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03906799 phase2completednot on this mapstarted 2019, after this paper: background citation

A Placebo-controlled, Double-blind, Randomized, Dose-finding Phase II Study on OMT-28 in MaIntenance of Sinus Rhythm After Electrical Cardioversion in Patients With Persistent Atrial Fibrillation (PROMISE-AF)

TypeinterventionalSponsorOmeicos Therapeutics GmbHRan2019 to 2020Enrolled136ConditionsAtrial FibrillationArmsOMT-28, Placebo
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 218 citations in OpenAlex.

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59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Robert FischerMax Delbrueck Center for Molecular Medicine, Berlin, Germany Experimental and Clinical Research Center (ECRC), Berlin, Germany.
Anne KonkelMax Delbrueck Center for Molecular Medicine, Berlin, Germany.
Heidrun MehlingExperimental and Clinical Research Center (ECRC), Berlin, Germany.
Katrin BlosseyMax Delbrueck Center for Molecular Medicine, Berlin, Germany.
Andrej GapelyukHumboldt University of Berlin, Berlin, Germany.
Niels WesselHumboldt University of Berlin, Berlin, Germany.
Clemens von SchackyOmegametrix GmbH, Martinsried, Germany.
Ralf DechendExperimental and Clinical Research Center (ECRC), Berlin, Germany HELIOS Klinikum Berlin-Buch, Berlin, Germany.
Dominik N MullerExperimental and Clinical Research Center (ECRC), Berlin, Germany.
Michael RotheLipidomix GmbH, Berlin, Germany.
Friedrich C LuftExperimental and Clinical Research Center (ECRC), Berlin, Germany.
Karsten WeylandtExperimental and Clinical Research Center (ECRC), Berlin, Germany.
Wolf-Hagen SchunckMax Delbrueck Center for Molecular Medicine, Berlin, Germany.
Max Delbrück Center · DEHumboldt-Universität zu Berlin · DEHelios Hospital Berlin-Buch · DELipidomix (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytochrome P450 (CYP)-dependent metabolites of arachidonic acid (AA) contribute to the regulation of cardiovascular function. CYP enzymes also accept EPA and DHA to yield more potent vasodilatory and potentially anti-arrhythmic metabolites, suggesting that the endogenous CYP-eicosanoid profile can be favorably shifted by dietary omega-3 fatty acids. To test this hypothesis, 20 healthy volunteers were treated with an EPA/DHA supplement and analyzed for concomitant changes in the circulatory and urinary levels of AA-, EPA-, and DHA-derived metabolites produced by the cyclooxygenase-, lipoxygenase (LOX)-, and CYP-dependent pathways. Raising the Omega-3 Index from about four to eight primarily resulted in a large increase of EPA-derived CYP-dependent epoxy-metabolites followed by increases of EPA- and DHA-derived LOX-dependent monohydroxy-metabolites including the precursors of the resolvin E and D families; resolvins themselves were not detected. The metabolite/precursor fatty acid ratios indicated that CYP epoxygenases metabolized EPA with an 8.6-fold higher efficiency and DHA with a 2.2-fold higher efficiency than AA. Effects on leukotriene, prostaglandin E, prostacyclin, and thromboxane formation remained rather weak. We propose that CYP-dependent epoxy-metabolites of EPA and DHA may function as mediators of the vasodilatory and cardioprotective effects of omega-3 fatty acids and could serve as biomarkers in clinical studies investigating the cardiovascular effects of EPA/DHA supplementation.

Indexed as

Dietary SupplementsAdolescentAdultCytochrome P-450 Enzyme SystemEicosanoic AcidsFatty Acids, Omega-3FemaleHumansMaleMiddle AgedCytochrome P-450 Enzyme SystemEicosanoic AcidsFatty Acids, Omega-3cytochrome P450lipidomicsnutrition

Identifiers

PMID24634501
PMCPMC4031946
OpenAlexW2139086060

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.