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Variable hypocoagulant effect of fish oil intake in humans: Modulation of fibrinogen level and thrombin generation

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Author: Schoonbeek, K.van · Feijge, M.A.H. · Paquay, M. · Rosing, J. · Saris, W. · Kluft, C. · Giesen, P.L.A. · Maat, · Heemskerk, J.W.M.
Institution: TNO Preventie en Gezondheid
Source:Arteriosclerosis, Thrombosis, and Vascular Biology, 9, 24, 1734-1740
Identifier: 237990
doi: doi10.1161/01.ATV.0000137119.28893.0b
Keywords: Biology · Biomedical Research · Coagulation · Factor V · Fibrinogen · Fish oil · Thrombin generation · antithrombin · blood clotting factor 5 · cholesterol · fibrinogen · fish oil · integrin · omega 3 fatty acid · polyunsaturated fatty acid · protein C · prothrombin · thrombin · thrombocyte receptor · triacylglycerol · vitamin K group · anticoagulation d · cholesterol blood level · clinical article · controlled study · dietary intake · fibrinogen blood level · flow cytometry · genetic variability · plasma · thrombocyte activation · thrombocyte rich plasma · thrombosis · triacylglycerol blood level · Adult · Blood Cell Count · Blood Coagulation · Blood Platelets · Body Mass Index · Cholesterol, LDL · Factor V · Fatty Acids, Omega-3 · Fibrinogen · Fish Oils · Humans · Male · Middle Aged · Obesity · Peptide Fragments · Platelet Activation · Polymorphism, Genetic · Thrombin · Triglycerides


Objective-The beneficial effect of dietary fish oil, rich in omega-3 polyunsaturated fatty acids (PUFAs), on cardiovascular disease is multifactorial and may partly rely on their anticoagulant action. We studied how fish oil intake influenced thrombin generation in plasma and which factors were involved herein. Methods and Results-Twenty-five healthy males with borderline overweight received 3.0 g omega-3 PUFAs daily for 4 weeks. Fish oil intake reduced plasma triglycerides and lowered platelet integrin activation, as well as plasma levels of fibrinogen and factor V, but had no effect on vitamin K-dependent coagulation factors. Before fish oil intake, thrombin generation (reflecting the coagulant potential) considerably varied between plasmas from individual subjects, which were partly explained by variation in prothrombin, antithrombin, fibrinogen, and factor V levels. Fish oil intake reduced thrombin generation in the presence and absence of platelets. This reduction correlated with the fish oil effect on fibrinogen and factor V levels. Interestingly, the lowering effect of fish oil on thrombin generation and fibrinogen clustered around subjects with high fibrinogen carrying a structural fibrinogen α-chain polymorphism. Conclusions-Dietary omega-3 PUFAs provoke a hypocoagulant, vitamin K-independent effect in humans, the degree of which may depend on fibrinogen level. Chemicals / CAS: antithrombin, 9000-94-6; blood clotting factor 5, 9001-24-5, 9013-23-4; cholesterol, 57-88-5; fibrinogen, 9001-32-5; fish oil, 8016-13-5; protein C, 60202-16-6; prothrombin, 9001-26-7; thrombin, 9002-04-4; vitamin K group, 12001-79-5; Cholesterol, LDL; Factor V, 9001-24-5; Fatty Acids, Omega-3; Fibrinogen, 9001-32-5; Fish Oils; Peptide Fragments; Thrombin,; Triglycerides; thrombin receptor peptide (42-47)