Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis

Abstract Background Fatty acids have diverse immunomodulatory functions and the potential to be associated with inflammatory responses in sarcoidosis. Methods The serum levels of multiple long-chain fatty acids (LCFAs) were compared between 63 patients with sarcoidosis and 38 healthy controls. The a...

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Main Authors: Takahito Suzuki, Masato Karayama, Yusuke Inoue, Hironao Hozumi, Yuzo Suzuki, Kazuki Furuhashi, Tomoyuki Fujisawa, Noriyuki Enomoto, Yutaro Nakamura, Naoki Inui, Takafumi Suda
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Pulmonary Medicine
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Online Access:https://doi.org/10.1186/s12890-022-02084-x
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author Takahito Suzuki
Masato Karayama
Yusuke Inoue
Hironao Hozumi
Yuzo Suzuki
Kazuki Furuhashi
Tomoyuki Fujisawa
Noriyuki Enomoto
Yutaro Nakamura
Naoki Inui
Takafumi Suda
author_facet Takahito Suzuki
Masato Karayama
Yusuke Inoue
Hironao Hozumi
Yuzo Suzuki
Kazuki Furuhashi
Tomoyuki Fujisawa
Noriyuki Enomoto
Yutaro Nakamura
Naoki Inui
Takafumi Suda
author_sort Takahito Suzuki
collection DOAJ
description Abstract Background Fatty acids have diverse immunomodulatory functions and the potential to be associated with inflammatory responses in sarcoidosis. Methods The serum levels of multiple long-chain fatty acids (LCFAs) were compared between 63 patients with sarcoidosis and 38 healthy controls. The associations of LCFAs with clinical outcomes of sarcoidosis were also evaluated. Results The patients with sarcoidosis had significantly lower levels of n-3 poly-unsaturated fatty acids (PUFAs) (p < 0.001) and n-6 PUFAs (p < 0.001) than the healthy controls. However, there were no significant differences in the levels of saturated fatty acids (SFAs) and mono-unsaturated fatty acids (MUFAs) between the two groups. On multivariate logistic analysis, lower levels of n-3 PUFAs, n-6 PUFAs, and n-3/n-6 ratio were predictive of sarcoidosis. Among the patients with sarcoidosis, those with multiple organ involvement had significantly lower levels of n-3 PUFAs and n-3/n-6 ratio than those with single organ involvement. There were no significant differences in the levels of n-6 PUFAs, SFAs, and MUFAs between the patients with multiple and single organ involvement. On multivariate logistic analysis, lower levels of SFAs and n-3/n-6 ratio were predictive of multiple organ involvement. The levels of LCFAs had no significant association with radiographic stage or spontaneous remission. Conclusions Assessment of LCFA profiles may be useful for the diagnosis of sarcoidosis and evaluation of the disease activity.
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spelling doaj.art-68f758619b9245cfb4767be76afb3cd12022-12-22T00:58:22ZengBMCBMC Pulmonary Medicine1471-24662022-07-012211910.1186/s12890-022-02084-xAssociations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosisTakahito Suzuki0Masato Karayama1Yusuke Inoue2Hironao Hozumi3Yuzo Suzuki4Kazuki Furuhashi5Tomoyuki Fujisawa6Noriyuki Enomoto7Yutaro Nakamura8Naoki Inui9Takafumi Suda10Second Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineDepartment of Clinical Pharmacology and Therapeutics, Hamamatsu University School of MedicineSecond Division, Department of Internal Medicine, Hamamatsu University School of MedicineAbstract Background Fatty acids have diverse immunomodulatory functions and the potential to be associated with inflammatory responses in sarcoidosis. Methods The serum levels of multiple long-chain fatty acids (LCFAs) were compared between 63 patients with sarcoidosis and 38 healthy controls. The associations of LCFAs with clinical outcomes of sarcoidosis were also evaluated. Results The patients with sarcoidosis had significantly lower levels of n-3 poly-unsaturated fatty acids (PUFAs) (p < 0.001) and n-6 PUFAs (p < 0.001) than the healthy controls. However, there were no significant differences in the levels of saturated fatty acids (SFAs) and mono-unsaturated fatty acids (MUFAs) between the two groups. On multivariate logistic analysis, lower levels of n-3 PUFAs, n-6 PUFAs, and n-3/n-6 ratio were predictive of sarcoidosis. Among the patients with sarcoidosis, those with multiple organ involvement had significantly lower levels of n-3 PUFAs and n-3/n-6 ratio than those with single organ involvement. There were no significant differences in the levels of n-6 PUFAs, SFAs, and MUFAs between the patients with multiple and single organ involvement. On multivariate logistic analysis, lower levels of SFAs and n-3/n-6 ratio were predictive of multiple organ involvement. The levels of LCFAs had no significant association with radiographic stage or spontaneous remission. Conclusions Assessment of LCFA profiles may be useful for the diagnosis of sarcoidosis and evaluation of the disease activity.https://doi.org/10.1186/s12890-022-02084-xLipidMetabolitesomega-3 fatty acidsomega-6 fatty acidsImmune metabolism
spellingShingle Takahito Suzuki
Masato Karayama
Yusuke Inoue
Hironao Hozumi
Yuzo Suzuki
Kazuki Furuhashi
Tomoyuki Fujisawa
Noriyuki Enomoto
Yutaro Nakamura
Naoki Inui
Takafumi Suda
Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
BMC Pulmonary Medicine
Lipid
Metabolites
omega-3 fatty acids
omega-6 fatty acids
Immune metabolism
title Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
title_full Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
title_fullStr Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
title_full_unstemmed Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
title_short Associations of serum long-chain fatty acids with multiple organ involvement in patients with sarcoidosis
title_sort associations of serum long chain fatty acids with multiple organ involvement in patients with sarcoidosis
topic Lipid
Metabolites
omega-3 fatty acids
omega-6 fatty acids
Immune metabolism
url https://doi.org/10.1186/s12890-022-02084-x
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