Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype

Basic research and epidemiological studies suggest a protective effect of long-chain omega3 polyunsaturated fatty acids (LC n-3 PUFA) against age-related cognitive decline. However, most randomized controlled trials with LC n-3 PUFA supplements have yielded disappointin...

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Main Authors: Barberger-Gateau Pascale, Samieri Cécilia, Cunnane Stephen C.
Format: Article
Language:English
Published: EDP Sciences 2016-01-01
Series:Oilseeds and fats, crops and lipids
Subjects:
Online Access:http://dx.doi.org/10.1051/ocl/2015022
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author Barberger-Gateau Pascale
Samieri Cécilia
Cunnane Stephen C.
author_facet Barberger-Gateau Pascale
Samieri Cécilia
Cunnane Stephen C.
author_sort Barberger-Gateau Pascale
collection DOAJ
description Basic research and epidemiological studies suggest a protective effect of long-chain omega3 polyunsaturated fatty acids (LC n-3 PUFA) against age-related cognitive decline. However, most randomized controlled trials with LC n-3 PUFA supplements have yielded disappointing results on cognitive outcomes in older persons. One explanation for this discrepancy may be an inadequate targeting of potential beneficiaries of LC n-3 PUFA according to their Apolipoprotein E (APOE) genotype. The aim of this paper was to examine the potential modifying effect of APOE genotype on LC n-3 PUFA metabolism and its relation to cognitive decline in older persons. At least five epidemiological studies and three intervention studies with LC n-3 PUFA supplements have found an interaction between LC n-3 PUFA and APOE genotype on cognition. However, the direction of the effect is inconsistent across studies: the impact of LC n-3 PUFA on cognition is stronger in APOE4 carriers (the main genetic risk factor for Alzheimer’s disease) in some studies, but conversely stronger in APOE4 non-carriers in other studies. These discordant results may be explained by different age groups, cognitive status, measures of cognition, or amounts of DHA intake across studies. Experimental studies suggest that the APOE4 genotype modifies the metabolism of DHA. The APOE genotype should be systematically taken into account and interactions tested in epidemiological and intervention studies with LC n-3 PUFA. Further research is needed to better understand the underlying mechanisms of this gene X diet interaction.
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spelling doaj.art-955e3b4debba45b994817a53b10e1b262022-12-21T20:02:10ZengEDP SciencesOilseeds and fats, crops and lipids2272-69772257-66142016-01-01231D11110.1051/ocl/2015022ocl150022-sLong-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotypeBarberger-Gateau PascaleSamieri CéciliaCunnane Stephen C.0Centre de recherche sur le vieillissement du département de médecine, Université de SherbrookeBasic research and epidemiological studies suggest a protective effect of long-chain omega3 polyunsaturated fatty acids (LC n-3 PUFA) against age-related cognitive decline. However, most randomized controlled trials with LC n-3 PUFA supplements have yielded disappointing results on cognitive outcomes in older persons. One explanation for this discrepancy may be an inadequate targeting of potential beneficiaries of LC n-3 PUFA according to their Apolipoprotein E (APOE) genotype. The aim of this paper was to examine the potential modifying effect of APOE genotype on LC n-3 PUFA metabolism and its relation to cognitive decline in older persons. At least five epidemiological studies and three intervention studies with LC n-3 PUFA supplements have found an interaction between LC n-3 PUFA and APOE genotype on cognition. However, the direction of the effect is inconsistent across studies: the impact of LC n-3 PUFA on cognition is stronger in APOE4 carriers (the main genetic risk factor for Alzheimer’s disease) in some studies, but conversely stronger in APOE4 non-carriers in other studies. These discordant results may be explained by different age groups, cognitive status, measures of cognition, or amounts of DHA intake across studies. Experimental studies suggest that the APOE4 genotype modifies the metabolism of DHA. The APOE genotype should be systematically taken into account and interactions tested in epidemiological and intervention studies with LC n-3 PUFA. Further research is needed to better understand the underlying mechanisms of this gene X diet interaction.http://dx.doi.org/10.1051/ocl/2015022Cognitionagingomega3 fatty acidsApolipoprotein E geneDHA
spellingShingle Barberger-Gateau Pascale
Samieri Cécilia
Cunnane Stephen C.
Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
Oilseeds and fats, crops and lipids
Cognition
aging
omega3 fatty acids
Apolipoprotein E gene
DHA
title Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
title_full Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
title_fullStr Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
title_full_unstemmed Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
title_short Long-chain omega3 polyunsaturated fatty acids and cognition in older people: interaction with APOE genotype
title_sort long chain omega3 polyunsaturated fatty acids and cognition in older people interaction with apoe genotype
topic Cognition
aging
omega3 fatty acids
Apolipoprotein E gene
DHA
url http://dx.doi.org/10.1051/ocl/2015022
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AT samiericecilia longchainomega3polyunsaturatedfattyacidsandcognitioninolderpeopleinteractionwithapoegenotype
AT cunnanestephenc longchainomega3polyunsaturatedfattyacidsandcognitioninolderpeopleinteractionwithapoegenotype