Evidence map›Paper›PMID 31186149›Full record

ArticleProstaglandins, leukotrienes, and essential fatty acids2019

Relationship of Omega-3 fatty acids DHA and EPA with the inflammatory biomarker hs-CRP in children with sickle cell anemia.

B N Yamaja Setty, Suhita Gayen Betal, Robin E Miller, Dawn S Brown, Maureen Meier, Michele Cahill, Norma B Lerner, Nataly Apollonsky, Marie J Stuart

Open access · greenAbstract read
In one paragraph

Article in Prostaglandins, leukotrienes, and essential fatty acids, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Nutrients · 2026
    Article
  3. Article
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  5. Review
  6. Review
  7. Effects of Physical Activity, VODiabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Article
  8. Review
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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

9 authors at 4 institutions in 1 country.

B N Yamaja SettyMarian Anderson Sickle Cell Research Center, Department of Pediatrics, Thomas Jefferson University Medical School, Philadelphia, PA, United States; Nemours Center for Cancer and Blood Disorders, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, United States. Electronic address: yamaja.setty@nemours.org.
Suhita Gayen BetalMarian Anderson Sickle Cell Research Center, Department of Pediatrics, Thomas Jefferson University Medical School, Philadelphia, PA, United States; Nemours Center for Cancer and Blood Disorders, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, United States.
Robin E MillerNemours Center for Cancer and Blood Disorders, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, United States.
Dawn S BrownNemours Center for Cancer and Blood Disorders, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, United States.
Maureen MeierDivision of Hematology, St Christopher's Hospital for Children, Drexel University School of Medicine, Philadelphia, PA, United States.
Michele CahillDivision of Hematology, St Christopher's Hospital for Children, Drexel University School of Medicine, Philadelphia, PA, United States.
Norma B LernerDivision of Hematology, St Christopher's Hospital for Children, Drexel University School of Medicine, Philadelphia, PA, United States.
Nataly ApollonskyDivision of Hematology, St Christopher's Hospital for Children, Drexel University School of Medicine, Philadelphia, PA, United States.
Marie J StuartMarian Anderson Sickle Cell Research Center, Department of Pediatrics, Thomas Jefferson University Medical School, Philadelphia, PA, United States; Nemours Center for Cancer and Blood Disorders, Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, United States.
Drexel University · USCenter for Cancer and Blood Disorders · USThomas Jefferson University · USAlfred I. duPont Hospital for Children · US

Funding

The eye as a window into sickle cell disease morbidityP20GM109021 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI HILDENBRAND, AIMEE K · 2014 to 2025
$20.7M
Sickle Cell Scholar PlanU54HL070585 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI STUART, MARIE J. · 2003 to 2011
$14.8M
NHLBI NIH HHS U54 HL070585NIGMS NIH HHS P20 GM109021
6 · The paper itself

Abstract

backgroundInflammation and vaso-occlusion play key roles in Sickle Cell Disease (SCD) pathophysiology. Lipoxygenase products of the omega-3 fatty acids (O3FAs), docosahexaenoic (DHA) and eicosapentaenoic (EPA) acids, are potent anti-inflammatory mediators modulating pain. O3FAs decrease episodes of vaso-occlusion in SCD.

methodsWe assessed erythrocyte fatty acid composition in two major cell membrane phospholipids, phosphatidylcholine and phosphatidylethanolamine, in children with SCD HbSS-disease (n = 38) and age/race-matched HbAA-controls (n = 18). Ratio of pro-inflammatory arachidonic acid (AA) to anti-inflammatory DHA and EPA (FA-Ratio), and its relationship to hs-CRP were evaluated.

resultsFA-Ratios were increased in both phosphatidylcholine and phosphatidylethanolamine in HbSS compared to controls. Correlations were noted in HbSS subjects between hs-CRP and FA-Ratios (p = 0.011). FA-Ratios increased with age (p = 0.0007) due to an increase in pro-inflammatory AA with a concomitant decrease in anti-inflammatory DHA.

conclusionsFindings demonstrate relative deficiencies in HbSS of the anti-inflammatory precursor fatty acids DHA and EPA, which correlates positively with hs-CRP.

Indexed as

AdolescentAnemia, Sickle CellArachidonic AcidBiomarkersChildChild, PreschoolC-Reactive ProteinDocosahexaenoic AcidsEicosapentaenoic AcidErythrocytesFatty Acids, Omega-3HumansInflammationPhosphatidylcholinesPhosphatidylethanolaminesRisk FactorsArachidonic AcidBiomarkersC-Reactive ProteinDocosahexaenoic AcidsEicosapentaenoic AcidFatty Acids, Omega-3PhosphatidylcholinesphosphatidylethanolaminePhosphatidylethanolaminesC-reactive proteinDocosahexaenoic acidInflammatory biomarkersOmega-3 fatty acidsPolyunsaturated fatty acidsSickle cell anemia

Identifiers

PMID31186149
PMCPMC6681670
OpenAlexW2944067362

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.