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Calvo et al. Vessel Plus 2017;1:116-28                                            Vessel Plus
           DOI: 10.20517/2574-1209.2017.14
                                                                                                  www.vpjournal.net
            Review                                                                              Open Access

           Omega-3 polyunsaturated fatty acids and

           cardiovascular health: a molecular view into

           structure and function



           María José Calvo , María Sofía Martínez , Wheeler Torres , Mervin Chávez-Castillo , Eliana Luzardo , Nelson
                                                                                  1
                                                                                                 1
                                                            1
                                              1
                          1
           Villasmil , Juan Salazar , Manuel Velasco , Valmore Bermúdez
                                               2
                                                                 1,3
                               1
                   1
           1 Endocrine and Metabolic Diseases Research Center, University of Zulia, Maracaibo 15165, Venezuela.
           2 Department of Pharmacology, “JM Vargas” Medical School, Central University of Venezuela, Caracas 1050, Venezuela.
           3 Advanced Frontier Studies Research Group (ALEF), Simón Bolívar University, Cúcuta 5827070, Colombia.
           Correspondence to: Dr. María Sofía Martínez, Endocrine and Metabolic Diseases Research Center, School of Medicine, University of Zulia, Maracaibo
           15165, Venezuela. E-mail: mmartinez@fmed.luz.edu.ve
           How to cite this article: Calvo MJ, Martínez MS, Torres W, Chávez-Castillo M, Luzardo E, Villasmil N, Salazar J, Velasco M, Bermúdez V. Omega-3
           polyunsaturated fatty acids and cardiovascular health: a molecular view into structure and function. Vessel Plus 2017;1:116-28.
                          Dr. María Sofía Martínez obtained the degree of Medical Surgeon, Magna Cum Laude, in the class of 2015, Honor
                          Roll, of School of Medicine from The University of Zulia, one of the most important Universities in scientific production
                          of Venezuela. She actually works for the Endocrine and Metabolic Diseases Research Center from University
                          of Zulia, Faculty of Medicine, as a Researcher co-leading projects related to Metabolic Syndrome, Diabetes and
                          Cardiovascular Diseases. She also worked as President of Endocrine and Metabolic Diseases Research Student
                          Society during period 2016-2017.

                                         ABSTRACT
            Article history:              Given the notorious impact of cardiovascular disease (CVD) as the current leading cause
            Received: 8 May 2017          of  mortality  worldwide,  the  prevention,  identification  and  management  of  CV  risk  factors
            Accepted: 23 Jun 2017         represents  a  priority  in  daily  clinical  practice.  Several  studies  have  shown  the  beneficial
            Published: 26 Sep 2017        effects of dietary omega-3 polyunsaturated fatty acids (PUFAs) on CV health. Their
                                          derivatives, eicosapentaenoic acid and docosahexaenoic acid, intervene in multiple metabolic
            Key words:                    pathways, including: regulation of  the inflammatory response, by reducing the synthesis of
            Cardiovascular disease,       pro-inflammatory cytokines; regulation of platelet aggregation, activation and adhesion, by
            omega-3 polyunsaturated fatty acids,   modulating thromboxane A2 and plasminogen activator inhibitor-1 activity; regulation of the
            eicosapentaenoic acid,        coagulation pathways, by reducing the carboxylation of vitamin K-dependent coagulation
            docosahexaeonic acid          factors; improvement of endothelial function, given their effects on prostaglandin synthesis and
                                          endothelial nitric oxide synthase; reduction of serum lipids, through their effects on the hepatic
                                          synthesis of triacylglycerides, beta-oxidation of fatty acids and lipoprotein catabolism; and
                                          improvement of myocardial function via their membrane-stabilizing effects, and an increase
                                          in fluidity, size and distribution of membrane lipid rafts. Nevertheless, these effects appear
                                          to vary according to the type of PUFA ingested, dietary sources, daily dosing and individual
                                          factors inherent to the subject. Therefore, further studies are required to determine the ideal
                                          supplementation for each kind of patient and their particular CV profiles.

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