Evidence map›Paper›PMID 33316626›Full record

Trial reportProstaglandins, leukotrienes, and essential fatty acids2021

Dose- and time-dependent increase in circulating anti-inflammatory and pro-resolving lipid mediators following eicosapentaenoic acid supplementation in patients with major depressive disorder and chronic inflammation.

Stefania Lamon-Fava, Jisun So, David Mischoulon, Thomas R Ziegler, Boadie W Dunlop, Becky Kinkead, Pamela J Schettler, Andrew A Nierenberg, Jennifer C Felger, Krishna Rao Maddipati and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Prostaglandins, leukotrienes, and essential fatty acids, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Omega-3 fatty acids for depression in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Trial
  4. SynbioticNutrients · 2024
    Trial
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Life (Basel, Switzerland) · 2025
    Article
  17. Article
  18. Article
  19. "A Time to Tear Down and a Time to Mend": The Role of Eicosanoids in Atherosclerosis.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Article
  20. Review
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

12 authors at 4 institutions in 1 country.

Stefania Lamon-FavaJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA. Electronic address: stefania.lamon-fava@tufts.edu.
Jisun SoJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA.
David MischoulonDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Thomas R ZieglerDepartment of Medicine, Emory University.
Boadie W DunlopDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Becky KinkeadDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Pamela J SchettlerDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Andrew A NierenbergDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Jennifer C FelgerDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Krishna Rao MaddipatiDepartment of Pathology, Lipidomics Core Facility, Wayne State University, Detroit, MI.
Maurizio FavaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Mark Hyman RapaportDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Emory University · USMassachusetts General Hospital · USJean Mayer Human Nutrition Research Center on Aging · USWayne State University · US

Funding

Omega-3 Fatty Acids for MDD with High Inflammation: A Personalized ApproachUG3AT008857 · NCCIH · EMORY UNIVERSITY · PI RAPAPORT, MARK HYMAN · 2015 to 2016
$2.4M
Triple Quadrupole - Ion Trap Hybrid LC/MS/MS SystemS10RR027926 · NCRR · WAYNE STATE UNIVERSITY · PI MADDIPATI, KRISHNARAO · 2010 to 2010
$425k
NCCIH NIH HHS UG3 AT008857NCRR NIH HHS S10 RR027926
6 · The paper itself

Abstract

backgroundEicosapentaenoic acid (EPA) supplementation is an effective treatment option in major depressive disorder (MDD) associated with chronic low-grade inflammation. EPA is the precursor of specialized pro-resolving lipid mediators (SPMs) termed resolvins (Rv), that serve important roles in the resolution of inflammation. The objective of this study was to assess the effects of different doses of EPA on plasma concentrations of EPA metabolites and SPMs in MDD patients.

methodsIn a 2-site study, 61 MDD patients with body mass index >25 kg/m

resultsPlasma EPA and SPM concentrations did not change in the placebo group during 12 weeks of treatment. Plasma EPA and EPA-derived metabolites increased significantly and dose-dependently in all EPA supplementation arms. The increase in 18-hydroxyeicosapentaenoic acid (18-HEPE), the precursor of RvE1-3, was significantly greater with the 4 g/d EPA dose than the other doses from week 4 to 12. RvE1 was undetected in all treatment groups, while RvE2 was detected in half of the subjects both at baseline and after treatment, with dose-dependent increases. RvE3 was detected only after supplementation, dose-dependently. A significant reduction in plasma arachidonic acid (AA), relative to baseline, was observed in all EPA arms. This was in contrast with an increase in AA-derived SPM lipoxin B4 (LXB4) in the 4 g/d arm.

conclusionsOur results show a robust effect of EPA 4 g/d supplementation in increasing plasma EPA and 18-HEPE levels, associated with improved conversion to RvE2-3, and LXB4 levels.

Indexed as

Eicosapentaenoic AcidMajor Depressive DisorderAdultAgedBody Mass IndexChronic DiseaseDose-Response Relationship, DrugFemaleHumansInflammationMaleMiddle AgedEicosapentaenoic AcidEicosapentaenoic acid (EPA)major depressive disorder (MDD)Omega-3 fatty acidsPro-resolving lipid mediators (SPM)

Identifiers

PMID33316626
PMCPMC7855824
OpenAlexW3111530793

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.