Table 3 Basic research on the use of Omega-3 fatty acids for treating spinal cord injury-related complications

From: Progress on Omega-3 fatty acids for the comprehensive and targeted treatment of spinal cord injury

Complication type

Strategy

Administration

Model

Effect

Mechanism

Reference

Neuropathic pain

Omega-3 fatty acid enriched diet

Preventive 8w Omega-3 fatty acid–enriched diet

Rat T10 contusion model

Attenuation of thermal hyperalgesia at 4 wpi

i)Accumulation of new NAE precursors

ii)Decreasing sprouting of CGRP nociceptive fibers

154

Neuropathic pain

Resolvin E1

Intrathecal injection 100 ng daily for 3 d pre- or post-SCI

L5 spinal nerve ligation model

Partially preventing the development of mechanical allodynia

i)Downregulation of Iba-1

ii)Blocking the release of Tnf-α of microglia

157

Neuropathic pain

2.3 g/kg and 4.6 g/kg of EPA

1.9 g/kg and 3.8 g/kg of DHA

Daily oral administration for 10 d after injury

Partial sciatic nerve ligation model

Preventing mechanical and thermal sensitization

i)Reducing Tnf-α level in spinal cord

ii)Reducing ATF-3 expression in DRG cells

285

Neuropathic pain

0.36 g/kg and 0.72 g/kg Omega-3 fatty acids

Daily oral administration for 21 d after injury

Partial sciatic nerve ligation model

Reversing thermal hyperalgesia and reducing mechanical allodynia without neuroma formation

Restoring axonal density and morphology

158

Neuropathic pain

Fat-1 Transgenic moue

Preventative gene therapy

Formalin injection-induced inflammatory pain model

Attenuating pain sensitivity

i)Inhibiting microglial activation

ii)Attenuating inducible nitric oxide synthase expression

286

Neuropathic pain

1 mg/kg EPA

Intravenous or intrathecal injection after injury

Chemotherapy- and inflammation-induced neuropathic pain model

Attenuating neuropathic and inflammatory pain

Inhibiting VNUT-mediated ATP uptake

287

Neuropathic pain

100, 250 or 500 nmol/kg DHA

Intravenous injection of DHA 30 min after median nerve injury

Median nerve chronic constriction injury model

Modulating development of behavioral hypersensitivity

i)Decreasing p-JNK and OX-42 levels

ii)Diminishing the release of proinflammatory cytokines

288

Osteoporosis

Mimic DHA-enriched diets in vitro

20 μmol/L DHA cell culture environment

In vitro model of MSC differentiation into osteoblasts

Enhancing the osteogenic differentiation potential of MSCs

i)Remodeling lipidomic

ii)Enhancing Akt activation in plasma membrane

184

Obesity

36 g/kg EPA

High saturated-fat diet for 6 weeks, followed by high saturated-fat EPA reversal for 5 weeks

High saturated-fat diet-induced obesity

Prevent and improve insulin resistance induced by High saturated-fat diet

i)Reducing adipose inflammation

ii)Elevating markers of fatty acid oxidation

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