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Omega 3 Fatty Acids in Clinical Nutrition (Hardcover)
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Omega 3 Fatty Acids in Clinical Nutrition (Hardcover)
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During the past decades, intensive collaborative research in the
fields of chronic and acute inflammatory disorders has resulted in
a better understanding of the pathophysiology and diagnosis of
these diseases. Modern therapeutic approaches remain unsatisfactory
and shock, sepsis and multiple organ failure (MOF) are still a
great challenge in intensive care medicine. Furthermore, treatment
of inflammatory diseases like rheumatoid arthritis, ulcerative
colitis or psoriasis represents an unresolved problem as well. Many
factors contribute to the complex course of inflammatory reactions.
Microbiological, immunological and toxic agents are able to
initiate the inflammatory response by activating a variety of
humoural and cellular mediators. In the early phase of inflammation
interleukins and lipid-mediators are excessively released and play
a crucial role in the pathogenesis of organ dysfunction. Cellular
lipid membranes represent a dynamic high turnover barrier system,
which separate the intracellular from the extracellular space and
easily adapt to respective demands. In addition to this barrier
function membrane lipids (arachidonic acid) can be oxygenized to
biologically active lipid mediators (eicosanoids). These function
as "local mediators" which can quickly reach considerable
concentrations and, due to their short half life, act in
intercellular microenvironments.Two omega-3 polyunsaturated fatty
acids (omega-3 FA) eicosapentaenoic acid (EPA) and docosahexaenoic
acid (DHA) are mainly found in maritime sources, as opposed to
omega-6 polyunsaturated fatty acids found in terrestrial sources
(the typical western diet). Contemporary nutritional habits,
emphasising industrially produced vegetable oils and animal fats,
have disturbed this balance, resulting in a proportional decrease
of omega-3 FA. This book presents an update of the
pathophysiological impact of lipid mediators in inflammatory
disorders and summarises the recent development of therapeutic
approaches.
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