Kwasy tłuszczowe omega 3 w schizofrenii – część I: znaczenie w patofizjologii schizofrenii

Autor

  • Joanna Róg Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences Autor
  • Hanna Karakuła-Juchnowicz I Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin / Department of Clinical Neuropsychiatry, Medical University in Lublin Autor

DOI:

https://doi.org/10.1515/cpp-2016-0021

Słowa kluczowe:

schizofrenia, omega 3, niezbędne nienasycone kwasy tłuszczowe omega 3, kwas dokozaheksaenowy, kwas eikozapentaenowy, kwas α-linolenowy, teoria Horrobina, teoria błonowa schizofrenii, ośrodkowy układ nerwowy, test niacynowy

Abstrakt

Pomimo wprowadzenia na rynek kolejnych leków przeciwpsychotycznych, efektywność farmakoterapii w schizofrenii pozostaje nadal nie w pełni zadowalająca. Lekooporność, brak pełnej remisji oraz narastające ryzyko powikłań metabolicznych są powodem poszukiwań nowych form terapii w schizofrenii, wśród których wymienia się, oddziałujące na prawidłowe funkcjonowanie układu nerwowego, nienasycone kwasy tłuszczowe omega 3 (NNKT ω-3). Kwasy tłuszczowe stanowią 50-60% suchej masy mózgu, a sposób żywienia stanowi jeden z czynników wpływających na stosunek poszczególnych frakcji tłuszczu w błonach neuronów. U pacjentów ze schizofrenią wykazano nieprawidłowy stan odżywienia NNKT ω-3, który wynikać może z zaburzenia metabolizmu lub nieprawidłowej struktury spożycia kwasów tłuszczowych. W artykule stanowiącym przegląd literatury dotyczącej tej tematyki scharakteryzowano NNKT ω-3, ich metabolizm, najważniejsze źródła w diecie oraz stanowiska eksperckie w zakresie zalecanego spożycia. Przedstawiono rolę NNKT w budowie i funkcjonowaniu OUN oraz ich znaczenie w patofizjologii schizofrenii, ze szczególnym uwzględnieniem koncepcji błonowej Davida Horrobina. Opisano także możliwości oceny nieprawidłowości w spożyciu i metabolizmie NNKT. Pochodzące z badań epidemiologicznych oraz modelowych dowody potwierdzają udział NNKT w etiopatogenezie i patofizjologii schizofrenii. Konieczne są dalsze badania, zarówno obserwacyjne, jak i interwencyjne dotyczące roli NNKT ω-3 w funkcjonowaniu OUN oraz rozwoju i przebiegu schizofrenii.

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2016-11-21