Is there a role for fatty acids in early life programming of the immune system?
- 13 May 2010
- journal article
- 3rd international-immunonutrition-workshop
- Published by Cambridge University Press (CUP) in Proceedings of the Nutrition Society
- Vol. 69 (3) , 373-380
Abstract
There may be a causal relationship betweenn-6 PUFA intake and allergic disease and there are biologically plausible mechanisms, involving eicosanoid mediators of then-6 PUFA arachidonic acid, that could explain this. There is some evidence that high linoleic acid intake is linked with increased risk of atopic sensitisation and allergic manifestations. Fish and fish oils are sources of long-chainn-3 PUFA and these fatty acids act to oppose the actions ofn-6 PUFA. It is considered thatn-3 PUFA will protect against atopic sensitisation and against the clinical manifestations of atopy. All five epidemiological studies investigating the effect of maternal fish intake during pregnancy on atopic or allergic outcomes in infants/children of those pregnancies concluded protective associations. Epidemiological studies investigating the effects of fish intake during infancy and childhood on atopic outcomes in those infants or children are inconsistent, although the majority of the studies (9/14) showed a protective effect of fish. Fish oil provision to pregnant women is associated with immunologic changes in cord blood. Provision of fish oil during pregnancy may reduce sensitisation to common food allergens and reduce the prevalence and severity of atopic dermatitis in the first year of life. This effect may persist until adolescence with a reduction in prevalence and/or severity of eczema, hayfever and asthma. Fish oil supplementation in infancy may decrease the risk of developing some manifestations of allergic disease, but whether this benefit persists as other factors come into play remains to be determined.Keywords
This publication has 71 references indexed in Scilit:
- Fish oil intake compared with olive oil intake in late pregnancy and asthma in the offspring: 16 y of registry-based follow-up from a randomized controlled trialThe American Journal of Clinical Nutrition, 2008
- Maternal food consumption during pregnancy and asthma, respiratory and atopic symptoms in 5-year-old childrenThorax, 2007
- Fish consumption during the first year of life and development of allergic diseases during childhoodAllergy, 2006
- Prevention of asthma during the first 5 years of life: A randomized controlled trialJournal of Allergy and Clinical Immunology, 2006
- Fish oil supplementation of lactating mothers affects cytokine production in 2 1/2‐year‐old childrenLipids, 2005
- Effect of omega‐3 fatty acid concentrations in plasma on symptoms of asthma at 18 months of agePediatric Allergy and Immunology, 2004
- Three-year outcomes of dietary fatty acid modification and house dust mite reduction in the Childhood Asthma Prevention StudyJournal of Allergy and Clinical Immunology, 2004
- Fish oil supplementation in pregnancy modifies neonatal allergen-specific immune responses and clinical outcomes in infants at high risk of atopyJournal of Allergy and Clinical Immunology, 2003
- Eighteen-month outcomes of house dust mite avoidance and dietary fatty acid modification in the childhood asthma prevention study (CAPS)Journal of Allergy and Clinical Immunology, 2003
- Lipoxin A4 Analogs Attenuate Induction of Intestinal Epithelial Proinflammatory Gene Expression and Reduce the Severity of Dextran Sodium Sulfate-Induced ColitisThe Journal of Immunology, 2002