Significance of serum polyunsaturated fatty acid level imbalance in patients with acute venous thromboembolism

Aim: polyunsaturated fatty acids (pufas) take part in various biological events linked to the pathogenesis of venous thromboembolism (vte),including inflammation,endothelial dysfunction,and hypercoagulability. several studies have demonstrated the association between pufas and the occurrence of vte. however,the role of pufas in the pathogenesis of vte remains unclear. methods: we enrolled 45 patients with acute vte and 37 age-,gender-,and body mass indexmatched healthy volunteers to examine their pufa levels. serum omega 3 (eicosapentaenoic acid: epa and docosahexaenoic acid: dha) and omega 6 (dihomogammalinolenic acid: dgla and arachidonic acid: aa) fatty acids levels were measured within 24 h of admission. results: patients with vte showed significantly higher aa and lower epa levels,and lower epa/aa ratios than the controls. multivariate analysis revealed that aa was an independent marker for vte. in addition,we divided the patients based on their median age (58 years old). the younger patients with vte showed significantly lower epa/aa levels than their age-matched controls,whereas older patients with vte showed a significantly higher aa/dgla levels than the older controls. conclusions: high serum aa levels and low epa levels are associated with the development of acute vte,suggesting that the imbalance of pufas may be a potential therapeutic target for preventing acute vte. © 2017 japan atherosclerosis society.