PMID- 32176647 OWN - NLM STAT- MEDLINE DCOM- 20210513 LR - 20211118 IS - 1875-8908 (Electronic) IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 74 IP - 1 DP - 2020 TI - Oxidized Products of Omega-6 and Omega-3 Long Chain Fatty Acids Are Associated with Increased White Matter Hyperintensity and Poorer Executive Function Performance in a Cohort of Cognitively Normal Hypertensive Older Adults. PG - 65-77 LID - 10.3233/JAD-191197 [doi] AB - BACKGROUND: Cerebrovascular disease is a common cause of dementia in older adults, and potentially preventable with early intervention. Oxylipins are produced from the oxidation of long-chain polyunsaturated fatty acids (PUFA) possessing potent vascular effects. Oxylipins generated from the cytochrome P450 pathway are enzymatically converted to diols by soluble epoxide hydrolase (sEH); sEH products have been associated with small vessel ischemic disease. Little is known about oxylipins' impact on markers of dementia risk. OBJECTIVE: An exploratory examination of the association between omega-6 and omega-3 derived oxylipins, brain MRI, and cognition. METHODS: Thirty-seven non-demented participants with controlled hypertension (mean age 65.6 years) were enrolled in a dementia prevention study investigating fish oil and lipoic acid on preserving cognitive function. Baseline associations between plasma oxylipins, white matter hyperintensity (WMH), and Trails-B were examined using linear regression. P450-derived diol/epoxide ratio was an indirect measure of sEH activity. RESULTS: Omega-6 derived 9-HODE was associated with increased WMH (p = 0.017) and reduced grey matter volume (p = 0.02). Omega-6 P450-derived diol/epoxide ratio 9,10-DiHOME/9,10-EpOME was associated with increased WMH (p = 0.035) and poorer performance on Trails-B (p = 0.05); ratio14,15-DHET/14,15-EET was associated with increased WMH (p = 0.045). Omega-3 P450-derived diol/epoxide ratio 19,20-DiHDPE/19,20-EpDPE was associated with increased WMH (p = 0.04) and poorer performance on Trails-B (p = 0.04). Arachidonic acid was associated with better performance on Trails-B (p = 0.012); Omega-3 derived 16,17-EpDPE was associated with decreased WMH (p = 0.005). CONCLUSIONS: With the exception of arachidonic acid, it was specific oxylipin products, not their parent PUFAs, that were associated with unfavorable and favorable MRI and cognitive markers of dementia risk. FAU - Shinto, Lynne AU - Shinto L AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - Lahna, David AU - Lahna D AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - Murchison, Charles F AU - Murchison CF AD - Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA. FAU - Dodge, Hiroko AU - Dodge H AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - Hagen, Kirsten AU - Hagen K AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - David, Jason AU - David J AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - Kaye, Jeffrey AU - Kaye J AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. AD - Department of Neurology, Veterans Affairs Medical Center, Portland, OR, USA. FAU - Quinn, Joseph F AU - Quinn JF AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. AD - Department of Neurology, Veterans Affairs Medical Center, Portland, OR, USA. FAU - Wall, Rachel AU - Wall R AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. AD - Department of Neurology, Veterans Affairs Medical Center, Portland, OR, USA. FAU - Silbert, Lisa C AU - Silbert LC AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. AD - Department of Neurology, Veterans Affairs Medical Center, Portland, OR, USA. LA - eng GR - P30 AG066518/AG/NIA NIH HHS/United States GR - R01 AG043398/AG/NIA NIH HHS/United States GR - M01 RR000334/RR/NCRR NIH HHS/United States GR - P30 AG008017/AG/NIA NIH HHS/United States GR - R21 AG023805/AG/NIA NIH HHS/United States GR - R01 AG033613/AG/NIA NIH HHS/United States GR - R01 AG036772/AG/NIA NIH HHS/United States GR - UL1 TR000128/TR/NCATS NIH HHS/United States PT - Journal Article PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Fatty Acids, Omega-3) RN - 0 (Fatty Acids, Omega-6) RN - 0 (Oxylipins) SB - IM MH - Aged MH - Brain/diagnostic imaging MH - Cognition/*drug effects MH - Cohort Studies MH - Cross-Sectional Studies MH - *Executive Function MH - Fatty Acids, Omega-3/*chemistry MH - Fatty Acids, Omega-6/*chemistry MH - Female MH - Humans MH - Hypertension/*diagnostic imaging/*psychology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Oxylipins/*adverse effects MH - Psychomotor Performance/drug effects MH - Trail Making Test MH - White Matter/*diagnostic imaging PMC - PMC8597742 MID - NIHMS1751913 OTO - NOTNLM OT - Alzheimer's disease OT - cross-sectional studies OT - fatty acids OT - humans OT - oxylipins OT - vascular dementia EDAT- 2020/03/17 06:00 MHDA- 2021/05/14 06:00 PMCR- 2021/11/17 CRDT- 2020/03/17 06:00 PHST- 2020/03/17 06:00 [entrez] PHST- 2020/03/17 06:00 [pubmed] PHST- 2021/05/14 06:00 [medline] PHST- 2021/11/17 00:00 [pmc-release] AID - JAD191197 [pii] AID - 10.3233/JAD-191197 [doi] PST - ppublish SO - J Alzheimers Dis. 2020;74(1):65-77. doi: 10.3233/JAD-191197.