Change of Fatty Acid Composition, Platelet Aggregability and RBC Function in Elderly Subjects with Administration of Low Dose Fish Oil Concentrate and Comparison with Those in Younger Subjects

Anti-thrombotic and anti-atherogenic effects of eicosapentaenoic acid (EPA) through the modulation of various cell functions related to thrombogenesis have been reported recently. We previously reported that the administration of EPA at low doses could more effectively elevate the plasma EPA concent...

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Published inNippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics Vol. 31; no. 8; pp. 596 - 603
Main Authors Terano, Takashi, Hirayama, Toshio, Kobayashi, Satoru, Yoshida, Sho, Tamura, Yasushi
Format Journal Article
LanguageJapanese
Published The Japan Geriatrics Society 25.08.1994
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ISSN0300-9173
DOI10.3143/geriatrics.31.596

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Abstract Anti-thrombotic and anti-atherogenic effects of eicosapentaenoic acid (EPA) through the modulation of various cell functions related to thrombogenesis have been reported recently. We previously reported that the administration of EPA at low doses could more effectively elevate the plasma EPA concentration in elderly subjects than in younger ones. Magnetic resonance imaging examination of the brain often reveals lacunar lesions in elderly subjects without any signs or symptoms of cerebrovascular diseases. In this study we clarified the effect of administration of low doses of fish oil concentrate on platelet and RBC function in elderly subjects, compared with younger subjects. Thirty six elderly subjectes (mean age 78) without any signs or symptoms of cerebrovascular diseases, all reciveing the same diet in the same lodging house for the aged, were divided into 3 groups. Different amounts of fish oil concentrate (0.25-0.5g/day of EPA) were administered to the 3 groups, daily for more than 1 month. Changes of plasma fatty acid composition, platelet aggregability, whole blood viscosity and RBC deformability was examined before and after EPA administration. One month after EPA treatment, the plasma EPA content had increased dose dependently, with supression of platelet aggregation and improvement of RBC function. In younger subjects recieving the same amount of EPA, the elecvation of plasma EPA was less than that observed in the elderly. In summary, low dose EPA administration can improve the function of platelet and RBC to an anti-thrombotic state and would be useful to prevent the occurence of cerebrovascular diseases in elderly subjects without any side effects.
AbstractList Anti-thrombotic and anti-atherogenic effects of eicosapentaenoic acid (EPA) through the modulation of various cell functions related to thrombogenesis have been reported recently. We previously reported that the administration of EPA at low doses could more effectively elevate the plasma EPA concentration in elderly subjects than in younger ones. Magnetic resonance imaging examination of the brain often reveals lacunar lesions in elderly subjects without any signs or symptoms of cerebrovascular diseases. In this study we clarified the effect of administration of low doses of fish oil concentrate on platelet and RBC function in elderly subjects, compared with younger subjects. Thirty six elderly subjectes (mean age 78) without any signs or symptoms of cerebrovascular diseases, all reciveing the same diet in the same lodging house for the aged, were divided into 3 groups. Different amounts of fish oil concentrate (0.25-0.5g/day of EPA) were administered to the 3 groups, daily for more than 1 month. Changes of plasma fatty acid composition, platelet aggregability, whole blood viscosity and RBC deformability was examined before and after EPA administration. One month after EPA treatment, the plasma EPA content had increased dose dependently, with supression of platelet aggregation and improvement of RBC function. In younger subjects recieving the same amount of EPA, the elecvation of plasma EPA was less than that observed in the elderly. In summary, low dose EPA administration can improve the function of platelet and RBC to an anti-thrombotic state and would be useful to prevent the occurence of cerebrovascular diseases in elderly subjects without any side effects.
Author Tamura, Yasushi
Yoshida, Sho
Hirayama, Toshio
Terano, Takashi
Kobayashi, Satoru
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  fullname: Terano, Takashi
  organization: Second Department of Internal Medicine, Chiba University, School of Medicine
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  fullname: Hirayama, Toshio
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  fullname: Kobayashi, Satoru
  organization: Department of Hospital Pharmacy, School of Medicine, Tokyo Medical and Dental University
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  fullname: Yoshida, Sho
  organization: Second Department of Internal Medicine, Chiba University, School of Medicine
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  fullname: Tamura, Yasushi
  organization: Second Department of Internal Medicine, Chiba University, School of Medicine
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References 10) Terano T, Hirai A, Hamazaki T, Kobayashi S, Fujita T, Tamura Y, et al: Effect of oral administration of highly purified eicosapentaenoic acid on platelet function, blood viscosity and red cell deformability in healthy subjects. Atherosclerosis 1983; 46: 321-331.
19) Sato Y, Hotta N, Sakamoto NM Matsuoka S, Ohnishi N, Yagi K: Lipid peroxide level in plasma of diabetic patients. Biochem Med 1979; 21: 104-107.
3) Seiss W, Roth P, Scherer B, Kurzmann I, Bohlig B, Weber PC: Platelet membrane fatty acids, platelet aggregation and thromboxane formation during a mackerel diet. Lancet 1980; 14: 441-444.
5) Goodnight SH, Harris WS, Connor WE: The effect of dietary ω-3 fatty acids on platelet composition and fnction in man: A prospective, controlled study. Blood 1981; 58: 880-885.
17) Dormandy JA, Hoare E, Khattab AH, Arrowsmith DE, Dormandy TL: Prognostic significance of rheological and biochemical findings in patients with intermittent claudication. Br Med J 1973; 4: 581-583.
9) Hamazaki T, Hirai A, Terano T, Sajiki J, Kondo S, Fujita T, et al: Effects of orally administered ethyl ester of eicosapentaenoic acid on PGI2-like substance production by rat aorta. Prostaglandins 1982; 23: 557-567.
6) Kromhout D, Bosschieter EB, Coulander C: The inverse relation between fish consumption and 20-year motarity from coronary heart disease. N Engl J Med 1985; 312: 1205-1209.
13) 平井愛山, 浜崎智仁, 寺野隆, 高中篤, 原田哲志, 佐二木順子, 他: エイコサペンタエン酸に関する研究 (第1報). 動脈硬化1981; 9: 281-288.
15) McMillan DE, Utterbach NG, Santa Barbara LPJ: Reduced erythrocyte deformability in diabetes. Diabetes 1978; 27: 895-901.
12) Hirai A, Terano T, Tamura Y, Yoshida S: Eicosapentaenoic acid and adult disease in Japan: Epidemiological and clinical aspects. J Int Med 1989; 225 (Suppl 1): 69-75.
11) Terano T, Hirai A, Tamura Y, Kumagai A, Yoshida S: Effect of dietary supplementation of highly purified eicosapentaenoic acid and docosahexaenoic acid on arachidonic acid metabolism in leukocytes and leukocyte function in healthy volunteers, In: Advances in Prostaglandin, Thromboxane and Leukotriene Research, Samuelsson B, Paoletti R & Ramwell PW (eds), Raven Press, New York, 1987, p880-885.
16) Angelkort B, Spuerk P, Habbaba A, Maehder M: Blood flow properties and walking performance in chronic arterial occlusive disease. Angiology 1985; 36: 285-292.
14) Reid HL, Barnes AJ, Jock PJ, Dormandy JA, Dormandy TL: A simple method for measuring erythrocyte deformability. J Clin Path 1976; 29: 855-858.
2) Dyerberg J, Bang HO, Stoffersen E, Moncada S, Vane JR: Eicosapentaenoic acid and prevention of thrombosis and atherosclerosis. Lancet 1979; 2: 433-435.
20) Sawazaki S, Hamazaki T, Yamazaki K, Taki H, Kaneda M, Yano S, et al: Comparison of increase in plasma eicosapentaenoate concentration by fish oil intake between young and middle aged volunteers. J Nutr Sci Vitaminol 1989; 35: 349-359.
1) Gastelli WP: Cholesterol and lipids in the risk of coronary artery disease-The Framingam Heart Study. Can J Cardiol 1988; 4 (Suppl): 5A-10A.
7) Fischer S, Weber PC: Prostaglandin I3 is formed in vivo in man after dietary eicosapentaenoic acid. Nature 1984; 307: 165-168.
8) Cavestri R, Radice L, Ferrarini F, Longhini M, Longhini E: Influence of erythrocyte aggregability and plasma fibrinogen concentration on CBF with aging. Acta Neurol Scan 1992; 85: 292-298.
18) The American-Canadian Cooperative Study Group: Persantine aspirin trial in cerebral ischemia. Stroke 1983; 14: 99-103.
4) Hirai A, Hamazaki T, Terano T, Nishikawa T, Tamura Y, Kumagai A, et al: Eicosapentaenoic acid and platelet function in Japanese. Lancet 1980; 2: 1132-1133.
References_xml – reference: 4) Hirai A, Hamazaki T, Terano T, Nishikawa T, Tamura Y, Kumagai A, et al: Eicosapentaenoic acid and platelet function in Japanese. Lancet 1980; 2: 1132-1133.
– reference: 1) Gastelli WP: Cholesterol and lipids in the risk of coronary artery disease-The Framingam Heart Study. Can J Cardiol 1988; 4 (Suppl): 5A-10A.
– reference: 3) Seiss W, Roth P, Scherer B, Kurzmann I, Bohlig B, Weber PC: Platelet membrane fatty acids, platelet aggregation and thromboxane formation during a mackerel diet. Lancet 1980; 14: 441-444.
– reference: 5) Goodnight SH, Harris WS, Connor WE: The effect of dietary ω-3 fatty acids on platelet composition and fnction in man: A prospective, controlled study. Blood 1981; 58: 880-885.
– reference: 8) Cavestri R, Radice L, Ferrarini F, Longhini M, Longhini E: Influence of erythrocyte aggregability and plasma fibrinogen concentration on CBF with aging. Acta Neurol Scan 1992; 85: 292-298.
– reference: 15) McMillan DE, Utterbach NG, Santa Barbara LPJ: Reduced erythrocyte deformability in diabetes. Diabetes 1978; 27: 895-901.
– reference: 7) Fischer S, Weber PC: Prostaglandin I3 is formed in vivo in man after dietary eicosapentaenoic acid. Nature 1984; 307: 165-168.
– reference: 17) Dormandy JA, Hoare E, Khattab AH, Arrowsmith DE, Dormandy TL: Prognostic significance of rheological and biochemical findings in patients with intermittent claudication. Br Med J 1973; 4: 581-583.
– reference: 12) Hirai A, Terano T, Tamura Y, Yoshida S: Eicosapentaenoic acid and adult disease in Japan: Epidemiological and clinical aspects. J Int Med 1989; 225 (Suppl 1): 69-75.
– reference: 19) Sato Y, Hotta N, Sakamoto NM Matsuoka S, Ohnishi N, Yagi K: Lipid peroxide level in plasma of diabetic patients. Biochem Med 1979; 21: 104-107.
– reference: 9) Hamazaki T, Hirai A, Terano T, Sajiki J, Kondo S, Fujita T, et al: Effects of orally administered ethyl ester of eicosapentaenoic acid on PGI2-like substance production by rat aorta. Prostaglandins 1982; 23: 557-567.
– reference: 13) 平井愛山, 浜崎智仁, 寺野隆, 高中篤, 原田哲志, 佐二木順子, 他: エイコサペンタエン酸に関する研究 (第1報). 動脈硬化1981; 9: 281-288.
– reference: 2) Dyerberg J, Bang HO, Stoffersen E, Moncada S, Vane JR: Eicosapentaenoic acid and prevention of thrombosis and atherosclerosis. Lancet 1979; 2: 433-435.
– reference: 6) Kromhout D, Bosschieter EB, Coulander C: The inverse relation between fish consumption and 20-year motarity from coronary heart disease. N Engl J Med 1985; 312: 1205-1209.
– reference: 11) Terano T, Hirai A, Tamura Y, Kumagai A, Yoshida S: Effect of dietary supplementation of highly purified eicosapentaenoic acid and docosahexaenoic acid on arachidonic acid metabolism in leukocytes and leukocyte function in healthy volunteers, In: Advances in Prostaglandin, Thromboxane and Leukotriene Research, Samuelsson B, Paoletti R & Ramwell PW (eds), Raven Press, New York, 1987, p880-885.
– reference: 14) Reid HL, Barnes AJ, Jock PJ, Dormandy JA, Dormandy TL: A simple method for measuring erythrocyte deformability. J Clin Path 1976; 29: 855-858.
– reference: 18) The American-Canadian Cooperative Study Group: Persantine aspirin trial in cerebral ischemia. Stroke 1983; 14: 99-103.
– reference: 16) Angelkort B, Spuerk P, Habbaba A, Maehder M: Blood flow properties and walking performance in chronic arterial occlusive disease. Angiology 1985; 36: 285-292.
– reference: 20) Sawazaki S, Hamazaki T, Yamazaki K, Taki H, Kaneda M, Yano S, et al: Comparison of increase in plasma eicosapentaenoate concentration by fish oil intake between young and middle aged volunteers. J Nutr Sci Vitaminol 1989; 35: 349-359.
– reference: 10) Terano T, Hirai A, Hamazaki T, Kobayashi S, Fujita T, Tamura Y, et al: Effect of oral administration of highly purified eicosapentaenoic acid on platelet function, blood viscosity and red cell deformability in healthy subjects. Atherosclerosis 1983; 46: 321-331.
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Snippet Anti-thrombotic and anti-atherogenic effects of eicosapentaenoic acid (EPA) through the modulation of various cell functions related to thrombogenesis have...
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SubjectTerms Eicosapentaneoic acid
elderly subjects
fish oil concentrate
Platelet aggregation
RBC deformability
Title Change of Fatty Acid Composition, Platelet Aggregability and RBC Function in Elderly Subjects with Administration of Low Dose Fish Oil Concentrate and Comparison with Those in Younger Subjects
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