NICEVIVA
MONOGRAPH SPEC LATEST 2026

Omega-9 (Oleic Acid)

OMEGA FATTY ACIDS · Evidence Monograph

Omega-9 (Oleic Acid) is an evidence-graded omega fatty acids monograph evaluated across 30 peer-reviewed PubMed studies (4 meta-analyses, 5 systematic reviews, and 6 randomized controlled trials, encompassing n = 9,360 cumulative participants). Current clinical evidence is rated GRADE High (4.0 / 4.0) for cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution.

Evidence Grade (GRADE) High (4.0 / 4.0)
Indexed PubMed Studies 30 Studies
Meta-Analyses · Reviews 4 Meta · 5 Systematic Reviews
Randomized Trials (RCT) 6 RCTs (4 Double-Blind)
Cumulative Participants n = 9,360
Reported Trial Dosages 400 g · 40 g/day · 3 g
Trial Duration Range 4 weeks · 8 weeks · 10 weeks
Reading Time ~15 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution (supported by 30 indexed PubMed studies, GRADE High).
  2. 02 Adults matching clinical trial dosing protocols (400 g · 40 g/day · 3 g) over a structured 4 weeks evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Purified Small-Fish rTG or Triglyceride-Form EPA/DHA
Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Absence of fishy reflux and gradual improvement in lipid profile or ocular surface comfort.
Dose Adjustment Signal: Discontinue and consult a physician if easy bruising, epistaxis, or gingival bleeding occurs—especially if taking antiplatelets.
CHRONOBIOLOGY · Optimal Dosing Window PM 19:00
Immediately After a Fat-Containing Meal
Bile acid and pancreatic lipase secretion during meals increases omega-3 fatty acid micellar absorption by up to 3-fold.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
inflammation (PubMed clinical endpoint)
immune (PubMed clinical endpoint)
01

What Is Omega-9 (Oleic Acid) & Why Does Form Matter?

Omega-9 (Oleic Acid) is classified under OMEGA FATTY ACIDS and has been investigated across 30 peer-reviewed PubMed publications for its role in cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (400 g, 40 g/day, 3 g).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Omega-9 (Oleic Acid) frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (6 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Omega-9 (Oleic Acid) acts on pathways governing cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Omega-9 (Oleic Acid) an overall evidence rating of GRADE High (4.0 / 4.0) based on 30 PubMed studies: 4 meta-analyses, 5 systematic reviews, and 6 randomized controlled trials (4 double-blind, n = 9,360 total participants).

Representative peer-reviewed findings include: • PMID:41574602 (2026) — "GPR3 in neuro-metabolic-immune-reproductive nexus - a potential therapeutic target for Multi-System diseases." (CONCLUSION: GPR3 acts as a central molecular hub integrating neural, metabolic, immune, and reproductive signaling, highlighting its potential as a therapeutic target for chronic multisystem disorders.) • PMID:41435614 (2026) — "Metabolomics in systemic lupus erythematosus: A systematic review and meta-analysis." (CONCLUSIONS: Metabolomic profiling identifies a reproducible SLE signature: relative to controls, branched-chain (isoleucine, leucine) and aromatic (tryptophan) amino acids are lower, methionine is higher, and lipid profiles show higher oleic and lower capric acids, patterns cons) • PMID:41276886 (2025) — "Tiger Nut (Cyperus esculentus L.): A Systematic Review of Metabolic Regulation, Functional Bioactivities, and Sustainable Food Applications." (© 2025 Institute of Food Technologists.)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Purified Small-Fish rTG or Triglyceride-Form EPA/DHA. Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 400 g · 40 g/day · 3 g · 1.1 g over 4 weeks · 8 weeks · 10 weeks · 9 days. Optimal timing window: PM 19:00 · Immediately After a Fat-Containing Meal (Bile acid and pancreatic lipase secretion during meals increases omega-3 fatty acid micellar absorption by up to 3-fold.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Absence of fishy reflux and gradual improvement in lipid profile or ocular surface comfort.

Adjustment & Discontinuation Signals: Discontinue and consult a physician if easy bruising, epistaxis, or gingival bleeding occurs—especially if taking antiplatelets.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for Omega-9 (Oleic Acid), but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 19:00 · Immediately After a Fat-Containing Meal) with a full glass of water.
  • Stay within clinically studied daily dosages (400 g · 40 g/day · 3 g) and re-evaluate efficacy after 4 weeks.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (30 Studies) · 13 Quantitative Analyses

01
CLINICAL STUDY Annals of medicine (2026) PMID: 41574602 ↗
GPR3 in neuro-metabolic-immune-reproductive nexus - a potential therapeutic target for Multi-System diseases.
Clinical Trial Synthesis 2026 Clinical Study published in Annals of medicine involving n = 3,999 participants. Key conclusion: CONCLUSION: GPR3 acts as a central molecular hub integrating neural, metabolic, immune, and reproductive signaling, highlighting its potential as a therapeutic target for chronic multisystem disorders.
View Original PubMed Abstract ↓

BACKGROUND: GPR3(G-protein-coupled receptor 3), an orphan G-protein-coupled receptor (GPCR) with constitutive Gs activity, is expressed in the brain, liver, ovary, and other tissues, regulating cell proliferation, differentiation, and apoptosis across the nervous, reproductive, immune, and metabolic systems. This review synthesizes evidence on its integrated signaling and physiological functions to address the lack of a comprehensive multisystem pathophysiology overview. METHODS: A systematic literature search was conducted on PubMed and Web of Science, using keywords such as "GPR3", "GPCR", "neurodegeneration", "metabolism", "immune", "reproduction", "agonist", "inhibitor", and "therapeutic target". This search identified GPR3's roles in neurodegenerative diseases, immune inflammation, reproduction, and energy metabolism. The analysis focused on signaling pathways, ligand regulation, and therapeutic potential. RESULTS: The research indicates that GPR3 is involved in neuronal survival, synaptic plasticity, and microglial activity via the cAMP/PKA, PI3K/Akt, and β - arrestin pathways. It promotes amyloid - β formation in Alzheimer's disease (AD), yet provides neuroprotection in Parkinson's disease (PD) models. It may contribute to anxiety/depression - like states, maintain oocyte meiotic arrest in the ovary, and activate thermogenic genes in adipose tissue. GPR3 modulates immune responses. Using oleic acid (OA) and diphenyleneiodonium (DPI) as activators, and AF64394 and cannabidiol (CBD) as antagonists, it shows potential in disease models. CONCLUSION: GPR3 acts as a central molecular hub integrating neural, metabolic, immune, and reproductive signaling, highlighting its potential as a therapeutic target for chronic multisystem disorders. However, its dual roles in certain pathologies and translation challenges necessitate further research.

02
META-ANALYSIS Seminars in arthritis and rheumatism (2026) PMID: 41435614 ↗
Metabolomics in systemic lupus erythematosus: A systematic review and meta-analysis.
Clinical Trial Synthesis 2026 Meta-Analysis published in Seminars in arthritis and rheumatism involving n = 3,999 participants. Key conclusion: CONCLUSIONS: Metabolomic profiling identifies a reproducible SLE signature: relative to controls, branched-chain (isoleucine, leucine) and aromatic (tryptophan) amino acids are lower, methionine is higher, and lipid profiles show higher oleic and lower capric acids, patterns cons
View Original PubMed Abstract ↓

BACKGROUND: Systemic lupus erythematosus (SLE) still lacks highly specific biomarkers; high-throughput metabolomics offers a route to elucidate disease-defining metabolic perturbations. OBJECTIVE: This systematic review aims to identify common metabolite changes related to SLE. METHODS: PubMed, Web of Science, Scopus, and the Cochrane Library were searched through November 2024 for human observational studies comparing the metabolomic profiles of adult SLE patients with those of healthy controls. Random-effects meta-analyses used the ratio of means (RoM); heterogeneity was assessed using the I² statistic. RESULTS: Forty-six studies comprising 2,238 SLE patients and 1,761 healthy controls (total n = 3,999) were included. Ten metabolites, each reported in ≥2 of the five eligible studies, were quantitatively synthesized. Compared with controls, isoleucine (RoM = 0.73, 95 % CI = 0.72-0.74, I² = 0 %), leucine (RoM = 0.81, 95 % CI = 0.80-0.81, I² = 0 %), and tryptophan (RoM = 0.73, 95 % CI = 0.64-0.84, I² = 75 %) were significantly lower in SLE, whereas methionine was significantly higher (RoM = 1.54, 95 % CI = 1.26-1.88, I² = 88 %). Lipid remodeling included elevated oleic acid (RoM = 1.42, 95 % CI = 1.19-1.69, I² = 0 %) and reduced capric acid (RoM = 0.80, 95 % CI = 0.67-0.95, I² = 31 %). Qualitative synthesis revealed consistent reduction of tricarboxylic acid intermediates, accumulation of acylcarnitines, and an oxidized-lipid signature (e.g., 9-hydroxyoctadecadienoic acid, leukotriene B4), implying mitochondrial stress and redox imbalance. CONCLUSIONS: Metabolomic profiling identifies a reproducible SLE signature: relative to controls, branched-chain (isoleucine, leucine) and aromatic (tryptophan) amino acids are lower, methionine is higher, and lipid profiles show higher oleic and lower capric acids, patterns consistent with impaired mitochondrial energetics and altered one-carbon flux.

03
SYSTEMATIC REVIEW Journal of food science (2025) PMID: 41276886 ↗
Tiger Nut (Cyperus esculentus L.): A Systematic Review of Metabolic Regulation, Functional Bioactivities, and Sustainable Food Applications.
Clinical Trial Synthesis 2025 Systematic Review published in Journal of food science. Key conclusion: © 2025 Institute of Food Technologists.
View Original PubMed Abstract ↓

Tiger nut (Cyperus esculentus L.) is rapidly emerging as a model crop for sustainable food systems for its exceptional nutritional profile as well as the underexplored potential for whole-plant valorization. Previous reviews have cataloged the general composition and application of tiger nut, this review would like to provide a novel and systematic synthesis focusing on three groundbreaking fronts: firstly, the unique molecular regulatory network governing high oleic acid accumulation in tubers. Secondly, the advanced green extraction technologies surpass conventional methods in efficiency and sustainability for obtaining high-quality oil, starch, and protein, while mitigating nutrient degradation. Thirdly, a "zero-waste" utilization framework, detailing how by-products (press cake) could be transformed into high-value products was scarcely integrated into existing literature. This review integrates cutting-edge insights on starch nano-modification, protein functionalization, and the synergistic health effects of bioactive compounds. It not only summarizes existing knowledge, but also charts a strategic roadmap for future research on tiger nuts, emphasizing molecular breeding, circular bioeconomy, and evidence-based health claim validation to unlock the full industrial potential of tiger nuts. © 2025 Institute of Food Technologists.

04
SYSTEMATIC REVIEW Nutritional neuroscience (2026) PMID: 41082645 ↗
Neuroprotective effects of olive oil and its phenolic compounds on neuroinflammation: a systematic review.
Clinical Trial Synthesis 2026 Systematic Review published in Nutritional neuroscience. Key conclusion: In contrast, phenolic compounds such as hydroxytyrosol, oleuropein, oleacein, and oleocanthal more consistently reduced glial activation and pro-inflammatory cytokines across diverse experimental paradigms.
View Original PubMed Abstract ↓

OBJECTIVES: Neuroinflammation contributes to the pathogenesis of multiple neurological and neurodegenerative diseases but is also involved in non-degenerative conditions such as aging, sleep disorders, depression, and metabolic dysfunctions. Among dietary factors with potential neuroprotective activity, olive oil and its phenolic compounds have attracted interest for their anti-inflammatory properties. This systematic review aimed to assess the effects of olive oil and its main phenolic compounds on neuroinflammation in preclinical in vivo studies. METHODS: A systematic search was conducted using PubMed, Scopus, and Web of Science to identify controlled in vivo studies evaluating the impact of olive oil or its phenolic compounds on neuroinflammatory markers. Thirty-two studies met the inclusion criteria and were critically analyzed for experimental model, type of intervention, and neuroinflammation-related outcomes. RESULTS: Olive oil, particularly extra-virgin olive oil (EVOO) rich in phenolic compounds, showed anti-inflammatory effects in several models, although results were inconsistent. In contrast, phenolic compounds such as hydroxytyrosol, oleuropein, oleacein, and oleocanthal more consistently reduced glial activation and pro-inflammatory cytokines across diverse experimental paradigms. Hydroxytyrosol emerged as the most frequently studied and effective compound. DISCUSSION: The preclinical evidence supports the anti-neuroinflammatory potential of olive oil and its phenolic compounds, though the variability in experimental design, compound characterization, and outcome measures limits translational interpretation. While isolated compounds demonstrated more robust effects than whole oil, high doses and lack of pharmacokinetic data raise questions about clinical relevance. Future research should address these limitations and evaluate the neuroimmune effects of olive oil-derived compounds in human studies.

05
META-ANALYSIS Critical reviews in food science and nutrition (2026) PMID: 40749711 ↗
Effects of daily extra virgin olive oil consumption on biomarkers of inflammation and oxidative stress: a systematic review and meta-analysis.
Clinical Trial Synthesis 2026 Meta-Analysis published in Critical reviews in food science and nutrition involving n = 1,138 participants; statistical significance reported at p = 0.103. Key conclusion: The consumption of EVOO tends to reduce the risk of chronic non-communicable diseases, especially individuals adhering to the Mediterranean diet.
View Original PubMed Abstract ↓

Extra virgin olive oil (EVOO) has recognized antioxidant and anti-inflammatory properties, mainly because its composition, great levels of oleic acid, and phenolic compounds (PC). Thus, the aim of this systematic review was to synthesize the results of randomized controlled clinical trials (RCTs) of regular consumption of EVOO in biomarkers of inflammation and oxidative stress. Twenty-three RCTs met the inclusion criteria, involving 1138 participants, showed some type of risk of bias and the certainty of the evidence ranged from moderate to very low. Biomarkersas such ox-LDL, TNF-alpha, CRP, IL-6, IL-10, and IL-18 were associated with changes in inflammatory and oxidative states after EVOO consumption. EVOO consumption reduced ox-LDL when compared with medium and low PC olive oils together: -4.59 U/l [(95%CI: -8.1 to -1.08), I2: 45.4%; p = 0.103] and with low PC olive oil only: -7.73 U/l [(95%CI: -14.63 to -0.82 U/l], I2: 42%; p = 0.16)]. CRP was also reduced compared to low PC olive oils: -0.99 mg/l [(95%CI: -1.66 to -0.31); I2: 68.8%; p = 0.00)], but showed considerable heterogeneity. In conclusion, PC levels demonstrate an association with anti-inflammatory and antioxidant effects. The consumption of EVOO tends to reduce the risk of chronic non-communicable diseases, especially individuals adhering to the Mediterranean diet.

06
META-ANALYSIS Animal (2025) PMID: 40399198 ↗
A meta-analysis on use of agro-industrial by-products rich in polyphenols in dairy small ruminant nutrition.
Clinical Trial Synthesis 2025 Meta-Analysis published in Animal. Key conclusion: In goat, the inclusion of by-products in the diet led to a decrease in SFA and an increase in MUFA, VA, LNA, and rumenic acid (RA, C18:2cis-9,trans-11), while the dosage was never signifi
View Original PubMed Abstract ↓

The recovery and reuse of agro-industrial by-products (AIBP) in livestock feeding fully align with the goals set by the European Union, aimed at achieving climate neutrality by 2050. The literature contains many studies related to the inclusion of these products in ruminant diets, with particular interest in those rich in bioactive substances, such as polyphenols, which can provide various benefits to both animals and productions. However, the reported results, particularly regarding milk production and quality, are highly variable, depending on numerous factors such as species, inclusion level, polyphenol dose, other diet ingredients etc. The objective of this study was to evaluate the effects of dietary supplementation with AIBP rich in polyphenols on milk production and composition, and fatty acid profile in dairy sheep and goat. The systematic search was conducted using Scopus, Web of Science, and PubMed databases. Only studies with sheep and goat were included. The data analysed were extracted from 41 scientific papers and the considered AIBP came from grape, olive, tomato, citrus, cocoa and coffee processing. The effects of AIBP were analysed using random-effects statistical models to examine the standardised mean difference between AIBP and control treatment. The heterogeneity was then explored by a meta-regression. A meta-regression was also used to test the effect of the dosage of polyphenols in the diet (g of polyphenols/kg of diet). A test for subgroup differences was carried out through a meta-analysis considering the by-product type. Supplementation with AIBP did not affect the milk yield either in sheep and goat. Supplementation with AIBP in sheep diet led to an increase in monounsaturated fatty acids (MUFA), oleic acid (OA, C18:1cis-9), vaccenic acid (VA, C18:1trans-11), and to a decrease in saturated fatty acids (SFA). Polyunsaturated fatty acids (PUFA), PUFA n-3, VA, and linolenic acid (C18:3 n3) increased in response to the dosage of polyphenols in sheep diet. In goat, the inclusion of by-products in the diet led to a decrease in SFA and an increase in MUFA, VA, LNA, and rumenic acid (RA, C18:2cis-9,trans-11), while the dosage was never signifi

07
SYSTEMATIC REVIEW Phytomedicine (2025) PMID: 40085990 ↗
Dietary essential oil components: A systematic review of preclinical studies on the management of gastrointestinal diseases.
Clinical Trial Synthesis 2025 Systematic Review published in Phytomedicine. Key conclusion: They can also reduce thiobarbituric acid reactive substance, malondialdehyde, and oxidative stress and enhance superoxide
View Original PubMed Abstract ↓

BACKGROUND: The gut is responsible for the digestion and absorption of nutrients, immune regulation, and barrier function. However, factors like poor diet, stress, and infection, can disrupt the balance of the gut microbiota and lead to intestinal inflammation and dysfunction. PURPOSE: This systematic review aims to evaluate the effects of dietary plants-derived essential oil components on gut health and intestinal functions in animal models. METHODS: The literature was gathered from the Scopus, Web of Science, PubMed, and Embase databases by using related search terms, such as "dietary plants", "dietary sources", "essential oils", "gut health", "intestine", "anti-inflammatory", "antioxidant", and "gut microbiota". RESULTS: The results indicate that plant-derived dietary essential oil components, such as butyrolactone-I, carvacrol, cinnamaldehyde, citral, D-limonene, eugenol, farnesol, geraniol, indole, nerolidol, oleic acid, thymol, trans-anethole, vanillin, α-bisabolol, α-linolenic acid, α-pinene, α-terpineol, β-carotene, β-caryophyllene, and β-myrcene have been found to regulate gut health by influencing vital signalling pathways associated with inflammation. Dietary essential oil components modulate the expression of tumor necrosis factor alpha, interleukin 1 beta (IL-1β), interleukin (IL)-6, IL-10, inducible nitric oxide synthase, cyclooxygenase-2, toll-like receptor-4, matrix metalloproteinase, and interferon gamma in mitigating gut inflammation. The primary signalling molecules controlled by these molecules were AMP-activated protein kinase (AMPK), protein kinase B, extracellular signal-regulated kinase, c-Jun N-terminal kinase, mitogen-activated protein kinase, myeloid differentiation primary response 88, nuclear factor erythroid-2-related factor-2, and phosphoinositide 3-kinase (PI3K). Moreover, these phytochemicals have been shown to improve glucose homeostasis by regulating glucose transporter 4, glucagon-like peptide-1, peroxisome proliferator-activated receptor gamma, nuclear factor kappa B, AMPK, PI3K, and uncoupling protein-1. They can also reduce thiobarbituric acid reactive substance, malondialdehyde, and oxidative stress and enhance superoxide

08
META-ANALYSIS Diabetes & metabolic syndrome (2024) PMID: 38959546 ↗
Unique metabolomics characteristics for distinguishing cirrhosis related to different liver diseases: A systematic review and meta-analysis.
Clinical Trial Synthesis 2024 Meta-Analysis published in Diabetes & metabolic syndrome; statistical significance reported at p = 0.00001 (SMD 1.08). Key conclusion: CONCLUSION: We identified key biomarkers and metabolic characteristics for distinguishing and identifying LC related to different types of liver disease, providing a new perspective for early diagnosis, disease monitoring, and precise treatment.
View Original PubMed Abstract ↓

BACKGROUND AND AIM: Clinical evidence for early identification and diagnosis of liver cirrhosis (LC) caused by different types of liver disease is limited. We investigated this topic through a meta-analysis of quantitative metabolomics. METHODS: Four databases were searched until October 31, 2022 for studies comparing metabolite levels between patients with different types of liver disease and control individuals. A random-effects model was applied for the meta-analysis. RESULTS: This study included 55 studies with 8266 clinical participants, covering 348 metabolites. In LC related to drug-induced liver injury (DILI), hepatitis B virus (HBV) infection, and non-alcoholic fatty liver disease (NAFLD), the primary bile acid biosynthesis (taurocholic acid: SMD, 1.08[0.81, 1.35]; P < 0.00001; glycocholic acid: SMD, 1.35[1.07, 1.62]; P < 0.00001; taurochenodeoxycholic acid: SMD, 1.36[0.94, 1.78]; P < 0.00001; glycochenodeoxycholic acid: SMD, 1.49[0.93, 2.06]; P < 0.00001), proline and arginine (l-proline: SMD, 1.06[0.53, 1.58]; P < 0.0001; hydroxyproline: SMD, 0.81[0.30, 1.33]; P = 0.002), and fatty acid biosynthesis (palmitic acid: SMD, 0.44[0.21, 0.67]; P = 0.0002; oleic acid: SMD, 0.46[0.19, 0.73]; P = 0.0008; stearic acid: SMD, 0.37[0.07, 0.68]; P = 0.02) metabolic pathways were significantly altered. CONCLUSION: We identified key biomarkers and metabolic characteristics for distinguishing and identifying LC related to different types of liver disease, providing a new perspective for early diagnosis, disease monitoring, and precise treatment.

09
SYSTEMATIC REVIEW International journal of molecular sciences (2024) PMID: 38256058 ↗
Lipidomes in Cadaveric Decomposition and Determination of the Postmortem Interval: A Systematic Review.
Clinical Trial Synthesis 2024 Systematic Review published in International journal of molecular sciences. Key conclusion: In conclusion, glycerophospholipids and fatty acids are good markers for estimating PMI.
View Original PubMed Abstract ↓

Lipids are a large group of natural compounds, together with proteins and carbohydrates, and are essential for various processes in the body. After death, the organism's tissues undergo a series of reactions that generate changes in some molecules, including lipids. This means that determining the lipid change profile can be beneficial in estimating the postmortem interval (PMI). These changes can also help determine burial sites and advance the localization of graves. The aim was to explore and analyze the decomposition process of corpses, focusing on the transformation of lipids, especially triglycerides (TGs) and fatty acids (FAs), and the possible application of these compounds as markers to estimate PMI and detect burial sites. A systematic review of 24 scientific articles from the last 23 years (2000-2023) was conducted. The results show that membrane glycerophospholipids (such as phosphatidylcholine and phosphatidylglycerol, among others) are the most studied, and the most promising results are obtained, with decreasing patterns as PMI varies. Fatty acids (FAs) are also identified as potential biomarkers owing to the variations in their postmortem concentration. An increase in saturated fatty acids (SFAs), such as stearic acid and palmitic acid, and a decrease in unsaturated fatty acids (UFAs), such as oleic acid and linoleic acid, were observed. The importance of intrinsic and extrinsic factors in decomposition is also observed. Finally, as for the burial sites, the presence of fatty acids and some sterols in burial areas of animal and human remains can be verified. In conclusion, glycerophospholipids and fatty acids are good markers for estimating PMI. It has been observed that there are still no equations for estimating the PMI that can be applied to forensic practice, as intrinsic and extrinsic factors are seen to play a vital role in the decomposition process. As for determining burial sites, the importance of soil and textile samples has been demonstrated, showing a direct relationship between saturated fatty acids, hydroxy fatty acids, and some sterols with decomposing remains.

10
SYSTEMATIC REVIEW Nutrition reviews (2024) PMID: 38134960 ↗
Effect of fatty acid profiles in varying recipes of ready-to-use therapeutic foods on neurodevelopmental and clinical outcomes of children (6-59 months) with severe wasting: a systematic review.
Clinical Trial Synthesis 2024 Systematic Review published in Nutrition reviews; statistical significance reported at p = 0.00001. Key conclusion: Additional preformed n-3 long-chain PUFAs (fish oil) with RUTF improved the c
View Original PubMed Abstract ↓

CONTEXT: In 2020, 13.6 million children under 5 years suffered from severe acute malnutrition (SAM)/wasting. Standard ready-to-use therapeutic foods (RUTFs) improve polyunsaturated fatty acid (PUFA) status but contain suboptimal amounts of omega-3 (n-3) PUFAs with unbalanced n-6-to-n-3 PUFA ratios. OBJECTIVES: The aim was to compare the effects of RUTFs with different essential fatty acid contents on PUFA status, neurodevelopmental, and clinical outcomes (mortality, comorbidities, and recovery) of children with severe wasting. DATA SOURCES: Twelve databases, trial repositories, and article references with no publication limitations. DATA EXTRACTION: Ten studies from randomized, quasi, and cluster-randomized controlled trials providing RUTFs as home treatment to children 6-59 months with SAM/wasting were included. DATA ANALYSIS: Plasma phospholipid eicosapentaenoic acid content was higher in children receiving RUTF with altered essential fatty acid contents compared with standard RUTF (0.20 [0.15-0.25], P < 0.00001). Docosahexaenoic acid (DHA) status only improved in children receiving RUTF with added fish oil (0.33 [0.15-0.50], P = 0.0003). The Malawi Developmental Assessment tool (MDAT) global development and problem-solving assessment scores were higher in global assessment and gross motor domains in children receiving added fish oil compared with standard formulation (0.19 [0.0-0.38] and 0.29 [0.03-0.55], respectively). Children receiving high-oleic-acid RUTF (lowering the n-6:n-3 PUFA ratio of the RUTF) with or without fish oil had significantly higher scores in social domains compared with those receiving the standard formulation (0.16 [0.00-0.31] and 0.24 [0.09-0.40]). Significantly higher mortality risk was found in children receiving a standard formulation compared with RUTF with a lower n-6:n-3 PUFA ratio (0.79 [0.67-0.94], P = 0.008). CONCLUSION: Although lowering n-6:n-3 PUFA ratios did not increase plasma DHA, it improved specific neurodevelopmental scores and mortality due to lower linoleic acid (high-oleic-acid peanuts), higher alpha-linolenic acid (altered oil), or both. Additional preformed n-3 long-chain PUFAs (fish oil) with RUTF improved the c

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