PMID- 28721137 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220330 IS - 1734-1922 (Print) IS - 1896-9151 (Electronic) IS - 1734-1922 (Linking) VI - 13 IP - 4 DP - 2017 Jun TI - Beneficial effects of n-3 polyunsaturated fatty acids on adiponectin levels and AdipoR gene expression in patients with type 2 diabetes mellitus: a randomized, placebo-controlled, double-blind clinical trial. PG - 716-724 LID - 10.5114/aoms.2016.62139 [doi] AB - INTRODUCTION: There is evidence that n-3 polyunsaturated fatty acids (n-3 PUFAs) exert beneficial effects to improve type 2 diabetes mellitus (T2DM), but its complications remain poorly understood. Hypoadiponectinemia is one of the important mechanisms responsible for T2DM which necessitates developing novel therapeutic strategies. We aimed to determine the effect of n-3 PUFA supplementation on circulating adiponectin and mRNA expression of adiponectin receptors (AdipoR1, AdipoR2) and Sirt-1 in T2DM patients. MATERIAL AND METHODS: A randomized, double-blind, placebo-controlled trial of 10-week follow-up of n-3 PUFAs (2.7 g/day) vs. placebo in T2DM patients (n = 88) was conducted. In detail, T2DM patients (n = 44) were treated with n-3 PUFAs and the remainder received placebo. Anthropometric and metabolic characteristics were assessed in all participants. Circulating level of adiponectin and mRNA expression of AdipoR1, AdipoR2 and Sirt-1 were measured in peripheral blood mononuclear cells (PBMC) using real-time polymerase chain reaction before and after the intervention. RESULTS: It was found that n-3 PUFAs increased AdipoR1 gene expression (fold change = 1.321 in n-3 PUFAs vs. 1.037 in placebo) and AdipoR2 mRNA (fold change = 1.338 in n-3 PUFAs vs. 1.034 in placebo). No significant changes were observed for Sirt-1 expression. The serum level of adiponectin significantly (p = 0.035) increased in n-3 PUFAs (5.09 to 5.58 mug/ml) but remained unchanged in the placebo group. CONCLUSIONS: Daily supplementation with n-3 PUFAs (2.7 g) was effective to significantly improve gene expression of AdipoR1 and AdipoR2 and the serum level of adiponectin in T2DM patients. Therefore, n-3 PUFAs might emerge as an adjuvant for current antidiabetic therapies. However, confirmatory long-term studies are required. FAU - Mazaherioun, Maryam AU - Mazaherioun M AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran. FAU - Saedisomeolia, Ahmad AU - Saedisomeolia A AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran. AD - Discipline of Nutrition and Metabolism, School of Molecular Bioscience, University of Sydney, NSW, Sydney, Australia. FAU - Javanbakht, Mohammad Hassan AU - Javanbakht MH AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran. FAU - Koohdani, Fariba AU - Koohdani F AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran. FAU - Eshraghian, Mohammad Reza AU - Eshraghian MR AD - Department of Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. FAU - Djalali, Mahmoud AU - Djalali M AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20160902 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC5507109 OTO - NOTNLM OT - Sirt-1 OT - adiponectin OT - adiponectin receptors OT - n-3 poly-unsaturated fatty acids OT - peripheral blood mononuclear cells OT - randomized controlled trial OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2017/07/20 06:00 MHDA- 2017/07/20 06:01 PMCR- 2017/06/01 CRDT- 2017/07/20 06:00 PHST- 2016/03/23 00:00 [received] PHST- 2016/06/27 00:00 [accepted] PHST- 2017/07/20 06:00 [entrez] PHST- 2017/07/20 06:00 [pubmed] PHST- 2017/07/20 06:01 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - 28291 [pii] AID - 10.5114/aoms.2016.62139 [doi] PST - ppublish SO - Arch Med Sci. 2017 Jun;13(4):716-724. doi: 10.5114/aoms.2016.62139. Epub 2016 Sep 2.