Increased dietary consumption of the n-3
polyunsaturated fatty acids (PUFA)
eicosapentaenoic acid (20 : 5n-3; EPA) and
docosahexaenoic acid (22 : 6n-6; DHA) is associated with their incorporation into circulating
phospholipid and increased production of
lipid peroxide metabolites. The relationship between peripheral blood mononuclear cell (PBMC) function,
n-3 PUFA intake and
antioxidant co-supplementation is poorly defined. We therefore investigated tumour
necrosis factor (
TNF)-alpha and
interleukin (IL) 6 production by PBMC and
phospholipid fatty acid composition in plasma and erythrocytes of healthy male subjects (n 16) receiving supplemental intakes of 0.3, 1.0 and 2.0 g EPA+DHA/d, as consecutive 4-week courses. All subjects were randomised in a double-blind manner to receive a concurrent
antioxidant supplement (200 microg Se, 3 mg Mn, 30 mg D-alpha-tocopheryl
succinate, 90 mg
ascorbic acid, 450 microg
vitamin A (
beta-carotene and
retinol)) or placebo. There was a positive dose-dependent relationship between dietary
n-3 PUFA intake and EPA and DHA incorporation into plasma
phosphatidylcholine and erythrocyte
phosphatidylethanolamine, with a tendency towards a plateau at higher levels of intake. Production of
TNF-alpha and
IL-6 by PBMC decreased with increasing
n-3 PUFA intake but tended towards a 'U-shaped' dose response. Both responses appeared to be augmented by
antioxidant co-supplementation at intermediate supplementary
n-3 PUFA intakes. Thus, increased dietary
n-3 PUFA consumption resulted in defined but contrasting patterns of modulation of
phospholipid fatty acid composition and PBMC function, which were further influenced by
antioxidant intake.