Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials

There is some debate about the effects of omega-3 fatty acids on the regulation of adipose tissue related genes. This systematic review and meta-analysis aimed to evaluate the effects of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors (PPAR-α...

Full description

Bibliographic Details
Main Authors: Amirhossein Ramezani Ahmadi, Fatemeh Shirani, Behnazi Abiri, Mansoor Siavash, Sasan Haghighi, Mojtaba Akbari
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1202688/full
_version_ 1797627654469320704
author Amirhossein Ramezani Ahmadi
Fatemeh Shirani
Behnazi Abiri
Mansoor Siavash
Sasan Haghighi
Mojtaba Akbari
author_facet Amirhossein Ramezani Ahmadi
Fatemeh Shirani
Behnazi Abiri
Mansoor Siavash
Sasan Haghighi
Mojtaba Akbari
author_sort Amirhossein Ramezani Ahmadi
collection DOAJ
description There is some debate about the effects of omega-3 fatty acids on the regulation of adipose tissue related genes. This systematic review and meta-analysis aimed to evaluate the effects of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors (PPAR-α and PPAR-γ) and serum fibroblast growth factor-21 (FGF-21) levels in adults with different presentation of metabolic conditions. To identify eligible studies, a systematic search was conducted in the Cochrane Library of clinical trials, Medline, Scopus, ISI Web of Science, and Google Scholar up to April 2022. Eligibility criteria included a clinical trial design, omega-3 fatty acids supplementation in adults, and reporting of at least one of the study outcomes. Effect sizes were synthesized using either fixed or random methods based on the level of heterogeneity. Fifteen studies met the inclusion criteria. Omega-3 fatty acids supplementation significantly increased the PPAR-γ (10 studies) and PPAR-α (2 studies) gene expression compared to the control group (WMD: 0.24; 95% CI: 0.12, 0.35; p < 0.001 and 0.09; 95% CI: 0.04, 0.13; p < 0.001, respectively). Serum FGF-21 (8 studies) levels exhibited no significant change following omega-3 fatty acids supplementation (p = 0.542). However, a dose–response relationship emerged between the dose of omega-3 fatty acids and both PPAR-γ gene expression and serum FGF-21 levels. Overall, this study suggests that omega-3 fatty acids supplementation may have positive effects on the regulation of adipose tissue related genes in patients with various presentation of metabolic condition. Further research is needed to validate these findings and ascertain the effectiveness of this supplementation approach in this population.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?, CRD42022338344.
first_indexed 2024-03-11T10:28:24Z
format Article
id doaj.art-30be3da067114d22a4db4bfe50a9c642
institution Directory Open Access Journal
issn 2296-861X
language English
last_indexed 2024-03-11T10:28:24Z
publishDate 2023-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Nutrition
spelling doaj.art-30be3da067114d22a4db4bfe50a9c6422023-11-15T07:43:37ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-11-011010.3389/fnut.2023.12026881202688Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trialsAmirhossein Ramezani Ahmadi0Fatemeh Shirani1Behnazi Abiri2Mansoor Siavash3Sasan Haghighi4Mojtaba Akbari5Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IranObesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranIsfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IranThere is some debate about the effects of omega-3 fatty acids on the regulation of adipose tissue related genes. This systematic review and meta-analysis aimed to evaluate the effects of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors (PPAR-α and PPAR-γ) and serum fibroblast growth factor-21 (FGF-21) levels in adults with different presentation of metabolic conditions. To identify eligible studies, a systematic search was conducted in the Cochrane Library of clinical trials, Medline, Scopus, ISI Web of Science, and Google Scholar up to April 2022. Eligibility criteria included a clinical trial design, omega-3 fatty acids supplementation in adults, and reporting of at least one of the study outcomes. Effect sizes were synthesized using either fixed or random methods based on the level of heterogeneity. Fifteen studies met the inclusion criteria. Omega-3 fatty acids supplementation significantly increased the PPAR-γ (10 studies) and PPAR-α (2 studies) gene expression compared to the control group (WMD: 0.24; 95% CI: 0.12, 0.35; p < 0.001 and 0.09; 95% CI: 0.04, 0.13; p < 0.001, respectively). Serum FGF-21 (8 studies) levels exhibited no significant change following omega-3 fatty acids supplementation (p = 0.542). However, a dose–response relationship emerged between the dose of omega-3 fatty acids and both PPAR-γ gene expression and serum FGF-21 levels. Overall, this study suggests that omega-3 fatty acids supplementation may have positive effects on the regulation of adipose tissue related genes in patients with various presentation of metabolic condition. Further research is needed to validate these findings and ascertain the effectiveness of this supplementation approach in this population.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?, CRD42022338344.https://www.frontiersin.org/articles/10.3389/fnut.2023.1202688/fulln-3 fatty acidspolyunsaturated fatty acidsPUFAPPARfibroblast growth regulatory factor
spellingShingle Amirhossein Ramezani Ahmadi
Fatemeh Shirani
Behnazi Abiri
Mansoor Siavash
Sasan Haghighi
Mojtaba Akbari
Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
Frontiers in Nutrition
n-3 fatty acids
polyunsaturated fatty acids
PUFA
PPAR
fibroblast growth regulatory factor
title Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
title_full Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
title_fullStr Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
title_full_unstemmed Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
title_short Impact of omega-3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors-γ, α and fibroblast growth factor-21 serum levels in patients with various presentation of metabolic conditions: a GRADE assessed systematic review and dose–response meta-analysis of clinical trials
title_sort impact of omega 3 fatty acids supplementation on the gene expression of peroxisome proliferator activated receptors γ α and fibroblast growth factor 21 serum levels in patients with various presentation of metabolic conditions a grade assessed systematic review and dose response meta analysis of clinical trials
topic n-3 fatty acids
polyunsaturated fatty acids
PUFA
PPAR
fibroblast growth regulatory factor
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1202688/full
work_keys_str_mv AT amirhosseinramezaniahmadi impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl
AT fatemehshirani impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl
AT behnaziabiri impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl
AT mansoorsiavash impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl
AT sasanhaghighi impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl
AT mojtabaakbari impactofomega3fattyacidssupplementationonthegeneexpressionofperoxisomeproliferatoractivatedreceptorsgaandfibroblastgrowthfactor21serumlevelsinpatientswithvariouspresentationofmetabolicconditionsagradeassessedsystematicreviewanddoseresponsemetaanalysisofcl