Clinical Science (1994) 87, 173-178 (Printed in Great Britain) I73 Complex modulation of cytokine induction by endotoxin and tumour necrosis factor from peritoneal macrophages of rats by diets containing fats of different saturated, monounsaturated and polyunsaturated fatty acid composition P. S. TAPPIA and R. F. GRIMBLE Department of Human Nutrition, School of 6iological Sciences. University of Southampton. Southampton, U.K. (Received 27 September 1993/21 February 1994; accepted 8 March 1994) 1. Responses to cytokines and other inflammatory stimuli have been shown to be enhanced by fats rich in n-6 polyunsaturated fatty acids and suppressed by fats rich in n - 3 polyunsaturated fatty acids and oleic acid or poor in n-6 polyunsaturated fatty acids. 2. Corn oil is rich and coconut oil, olive oil and butter are poor in n - 6 polyunsaturated fatty acids. Olive oil and butter are rich in oleic acid. Fish oil is rich in n - 3 polyunsaturated fatty acids. 3. The present study examines the effects of feeding standard chow or corn, coconut, fish and olive oils and butter for 4 and 8 weeks on subsequent cytokine production by peritoneal macrophages of rats. 4. Tumour necrosis factor production in response to a lipopolysaccharide stimulus and interleukin-1 and interleukin-6 production in response to a tumour necrosis factor challenge were studied. 5. All fats produced a small, but statistically insignificant, reduction in tumour necrosis factor production, which was greatest for olive oil at 8 weeks. 6. After 4 weeks, fish and olive oil significantly reduced interleukin-1 production. After 8 weeks, coconut oil suppressed production of the cytokine, and the inhibitory effect of fish oil was still apparent. After 8 weeks, corn and olive oil enhanced interleukin-1 production. 7. After 4 weeks of feeding, fish and olive oil enhanced interleukin-6 production. After 8 weeks, the enhancement by these fats increased, and corn oil and butter also enhanced production. Coconut oil produced no modulatory effect. 8. Only in the cases of the effect of fish and coconut oil in interleukin-1 production, corn oil on interleukin1 and interleukind production and olive oil in tumour necrosis factor production, were the effects of fats on cytokine production in concordance with their modu~~ ~ ~ latory effects on responses to cytokines and other inflammatory agents in v i v a INTRODUCTION Cytokines such as interleukin-1 (IL-l), interleukin-6 (IL-6) and tumour necrosis factor (TNF) initiate and mediate many of the metabolic and immunological changes which occur in response to infection, trauma and chronic inflammatory disease. The molecules are produced mainly from macrophages, fibroblasts and endothelial cells. IL-1, T N F and IL-6 act on a wide range of target tissues and may bring about effects in a synergistic manner. Furthermore, IL-1 and T N F can stimulate IL-6 production [l-31. Although IL-1 and T N F are essential components of the immune system, they can, when produced in excessive amounts, or in the wrong context, contribute to the pathology of disease processes [4-61. Fish oil exerts an anti-inflammatory effect on a range of diseases in which cytokines play a part. Symptoms in rheumatoid arthritis, inflammatory bowel disease and psoriasis are ameliorated by dietary supplementation with fish oil or eicosapentaenoic acid (EPA) [7-91. Dietary fats may potentially modulate cytokine biology by altering the sensitivity of cytokine-producing cells to inflammatory stimuli and by changing the sensitivity of target cells to the actions of cytokines. Consumption of fish oil supplements for a period of 6 or more weeks will reduce the ability of monocytes, from healthy subjects, to produce IL-1, IL-6 and T N F in response to bacterial endotoxin [lo, 111. The same phenomenon has been observed for IL-1 and T N F production by monocytes from rheumatoid patients [lo]. When palm oil was substituted ~ Key words: cytokine production, dietary fats, interleukin-I, interleukin-6. polyunsaturated fatty acids, n -6, tumour necrosis factor. Abbreviations: EPA, eicorapentaenoic acid; 11-1, interleukin-I; IL-2, interleukin-2; lL-6. interleukin4 LA, linoleic acid; LPS, lipopolysaccharide; MTl, 3-(4,MimethylthiuoCZ-yl)-Z,Miphenyltetrazolium bromide; PUFA, polyunsaturated fatty acid; TNF. tumour necrosis factor. Correspondence: Dr P. S. Tappia, Department of Human Nutrition, University of Southampton. Basset Crescent East, Southampton SO16 7PX, U.K. I74 P. S. Tappia and R. F. Grimble for 70% of the total dietary fat of a group of healthy subjects for a 6 week period, a small depression was found in the production of T N F by whole blood in response to endotoxin in uitro [12]. A substantial number of studies on experimental animals has shown that a wide range of fats may modulate cytokine-mediated responses to a range of inflammatory stimuli (for reviews see [13-153). In essence, fats rich in EPA or low in linoleic acid (LA) exert an anti-inflammatory influence, and fats rich in LA may exert a pro-inflammatory influence. In addition, fats rich in oleic acid reduce the responses of animals to endotoxin and T N F [16, 171. The present study examines the pro- and antiinflammatory potential of a range of fats on cytokine production from rat peritoneal macrophages in response to endotoxin and TNF. Macrophages were derived from rats fed diets containing fats rich in LA (corn oil), poor in LA (coconut oil and butter), rich in oleic acid (butter and olive oil) and rich in EPA (fish oil). MATERIALS A N D METHODS Table I. Fatty acid composition of diets Composition (g/kg of diet) Fatty acid Diet.. . Chow* Euttert Coconut oilt Corn oil? Fish oil$ Olive oilt 40.4 13.4 9.0 2.3 0.4 8.5 6.3 0.2 0.0 6.3 16.1 4.2 8.9 15.7 8.3 0.2 1.6 16.8 11.3 0.0 0.1 15.0 2.7 1.2 74.0 0.0 0.0 0.6 13.4 2.2 0.3 28.7 41.8 1.5 0.0 0.0 0.0 c20.4 (n - 6) 0.2 1.4 3.2 0.4 1.0 7.6 7.1 0.6 1.3 c l Q I (n - 3) 0.0 2.4 7.8 19.5 8.0 1.9 22.3 5.8 1.2 0.0 0.0 cll 6 (o - 3 ) 0.0 0.0 Cl1.0 c14.0 c16.0 CI8.0 c16.1 (”-7) CI8.l ( “ - 9 ) c181(n-6) CI8 3 (“-3) 0.0 0.0 14.8 0.8 0.0 0.0 0.0 *Special Diet Services technical information. tComputed from [17a]. $W. Vas Dias. personal communication. bottomed cages at 22°C on a 12h light/l2 h dark cycle, with free access to food and water. The fatty acid composition of the diets is shown in Table 1. Materials Naphthol Blue Black, formalin, PBS, SDS, actinomycin D, thioglycollate and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) were obtained from Sigma Chemical Co., Poole, Dorset, U.K. Fungizone, gentamicin, foetal calf serum, RPMl 1640 medium and Dulbecco’s Minimum Essential Medium were obtained from Gibco, Paisley, Scotland, U.K. [ 3H]Thymidine was obtained from ICN Biomedicals Ltd, High Wycombe, Bucks, U.K. Animals and diets Thirty-six weanling male Wistar rats were maintained for either 4 or 8 weeks on a diet composed of either standard rat chow (23g of fatikg of diet; Special Diets Services, Witham, Essex, U.K.) or one of five synthetic diets (lOOg/kg of diet) comprising of butter fat (Dairy Crest, Surbition, Surrey, U.K.), coconut oil (Booker Foodstuffs, Downton, Wilts, U.K.), corn oil (Mazola/CPC, Esher, Surrey, U.K.), fish oil (MaxEPA; Sevenseas Healthcare, Hull, U.K.) and olive oil. In all diets, 10% of the fat was provided as corn oil to prevent essential fatty acid deficiency. The diets were otherwise identical and adequate in protein (177g of casein/kg of diet, 285g of starch/kg of diet), fibre (1OOg of cellulose powder/kg of diet), vitamins and minerals (50g of vitamin free vitamin and mineral mixture/kg of diet (Special Diets Services, supplemented with appropriate levels of vitamin E to provide 90mg of vitamin E/kg of diet). Care was taken with respect to storage and allocation of the diets to minimize susceptibility to oxidation. The animals were housed in wire- Isolation and cultivation of macrophages Peritoneal macrophage collection was performed by a modification of the method of Castro and Lefkowitz [18]. Thioglycollate broth ( 1 ml) was injected intraperitoneally into male Wistar rats. After a period of 96 h, animals were killed by cervical dislocation and immobilized ventral side up. Approximately 30ml of heparinized PBS was injected into the peritoneum and gently massaged. The heparinized PBS was withdrawn and centrifuged at 400g,,, for 20min at 4°C. After centrifugation, the pellet was gently resuspended in 25vol. of RPMl 1640 medium containing 10% (v/v) foetal calf serum. Macrophages were purified by adherence to plastic petri dishes by placing the petri dishes into a humidified incubator for 3 h at 37°C under 5% CO,. After incubation, petri dishes were washed three times with PBS to remove non-adherent cells and RPMl 1640 medium was added to achieve a concentration of 1 x lo6 cells/ml. Either lipopolysaccharide (LPS, to a final concentration of long/ ml) or T N F (to a final concentration of 2.5ng/ml) was added and the petri dishes were returned to a humidified incubator at 37°C under 5% CO,. In ‘a pilot study concentrations of 10 ng and 2.5 ng/ml of LPS and TNF, respectively, were found to elicit optimal cytokine production from macrophages derived from chow-fed rats. After 5 h, T N F levels in culture medium (of macrophages stimulated with LPS) were measured and petri dishes were returned for a further 13 h (overnight) incubation. After this period levels of IL-6 and IL-1 in the culture medium were determined. Influence of fats on cytokine production Assay for TNF in culture medium T N F levels in supernatants were determined by employing a modification of the assay described by Aggarwal et al. [19]. Briefly, 2 x lo4 L929 cells in 0.1 ml of RPMl 1640 [containing 10% (v/v) foetal calf serum, 1% (v/v) fungizone and 0.4% (v/v) gentamicin] were incubated the day before in a 96-well flat-bottomed microtitre plate (Nunc). Serial dilutions of test supernatants (0.1 ml) were added to the plate in the presence of actinomycin D at a final concentration of 1 pg/ml. Plates were incubated at 37°C for 24h after which cells were stained with 0.1ml of Naphthol Blue Black stain [0.05% NBB, 9% (v/v) acetic acid, 0.1 mol/l sodium acetate] for 30min. Cells were then fixed with 0.1 ml of formalin fixative [lo% (v/v) formalin, 9% (v/v) acetic acid, 0.1 mol/l sodium acetate] for 15min after which plates were washed and inverted on to absorbent paper to dry. Sodium hydroxide (50 mmol/l, 0.15 ml) was added to each well, and the absorbance at 620nm was measured. One unit of T N F activity was defined as the amount required to lyse 50% of the L929 target cells. Assay for 11-1 in culture medium The bioassay for IL-1 utilized the ability of this cytokine to induce interleukin-2 (IL-2) production by a subclone, NOB-I, of the murine thymoma cellline EL4.6.1. This line produces IL-2 in response to IL-1, which is measured using CTLL cells (murine T cell-line). Briefly, IL-1 in supernatants was measured as follows: l x lo5 cells in 0.1 ml of RPMl 1640 medium [supplemented with 10% (v/v) foetal calf serum, 1% (v/v) fungizone and 0.4% (v/v) gentamicin] were incubated in a 96-well flat-bottomed microtitre plate, to which was added 0.1 ml of serially diluted test supernatants, and incubated for 24h at 37°C in a humidified COz incubator. After this period, 50p1 of the supernatant from each well was added to a 50pl (5 x lo3 cells) cell suspension of CTLL cells in RPMl 1640 medium [supplemented with 10% (v/v) foetal calf serum, 1% (v/v) fungizone and 0.4% (v/v) gentamicin] already preincubated in a 96-well flat-bottomed microtitre plate. The plate was incubated further for 24 h at 37°C in a humidified COz incubator, after which 0.5pCi of C3H]thymidine was added to each well and the plates were incubated for 8h. C3H]Thymidine incorporation into CTLL cells was determined by liquid scintillation counting. Assay for lL-6 in culture medium IL-6 concentrations in culture supernatants were estimated by employing a bioassay based on the proliferative effect of this cytokine on the IL-6dependent murine hybridoma cell line, B9. Briefly, 3 x lo3 cells in 0.1ml of RPMl 1640 medium [supplemented with 10% (v/v) foetal calf serum, 1% (v/v) fungizone and 0.4% (v/v) gentamicin] were I75 5 = 4 \ M ‘3 Y F 1 I 0 Butter Olive oil Chow Fish oil Corn oil Coconut oil Fig. I. Effect of different dietary fats on macrophage T N F producand 8 weeks of feeding. Weanling rats tion after.4 weeks (0) were maintained on 10% (w/w) fat diets for 4 and 8 weeks. Macrophages were then harvested and stimulated with endotoxin (IOng/ml) for Sh, after which TNF in the culture medium was determined. Data are meansfSEM (m) incubated in a 96-well flat-bottomed microtitre plate. To each well, 0.1 ml of serially diluted test supernatant was added and the plates was incubated for approximately 72 h at 37°C in a humidified 5% CO, incubator. After this incubation, 1Opl of MTT (5mg/ml in PBS, filter-sterilized and stored in darkness) was added to each well and incubated for a further 4.5 h, followed by the addition of 25pl of acid SDS [lo% (w/v) SDS dissolved in 0.02mol/l HCl] per well and a 1 h incubation in darkness at room temperature. Absorbance was recorded at 570 nm. RESULTS Fig. 1 shows the effect of 10% fat diets on T N F production, after an endotoxin challenge, by macrophages derived from animals after 4 and 8 weeks of feeding. After 4 weeks of feeding T N F production is reduced in animals consuming all the synthetic diets containing fat, compared with production from macrophages derived from chow-fed rats. The same degree of reduction (approximately 33%) occurred and there were no differences between fats. However, after feeding the diet containing olive oil for 8 weeks a marked suppression of T N F production (47%) occurred compared with production by macrophages derived from chow-fed animals. Fig. 2 shows the effect of 10% fat diets on IL-6 production by macrophages challenged with TNF, after rats had been fed the synthetic diets for 4 and 8 weeks. After 4 weeks, differences in responses of macrophages from rats fed the various fats were apparent. Cells from animals fed diets containing fish and olive oil produced significantly more IL-6 in response to T N F than cells derived from animals fed the other diets. Production by macrophages from animals fed fish and olive oil was 22% greater in both instances than from macrophages derived P. S. Tappia and R. F. Grirnble I76 ** *** 41 I Chow Fish oil Corn oil Coconut oil ** *** Butter Olive oil * I T 1 Fig. 2 Effect of different dietary fats on macrophage 114 production and 8 weeks (H) of feeding. Weanling rats were after 4 weeks maintained on 10% (w/w) fat diets for 4 and 8 weeks. Macrophages were then harvested and stimulated with recombinant human TNF (2.5ng/ml) for 24h. after which 11-6 in the culture medium was determined. Data are means+SEM from six experiments with three animals per group. Values which are statistically significantly different from those for the corresponding chow-fed group by analysis of variance are indicated: *P < 0.05, **P < 0.01, ***P <0.001. (a) from animals fed chow. However, after 8 weeks, olive and fish oil exerted a greater stimulatory effect on IL-6 production than at 4 weeks, and inclusion of butter and fish oil in the diets also resulted in greater production of the cytokine than was the case for cells from chow-fed animals. Relative to production by cells from the latter animals, those from the groups receiving corn, olive and fish oils and butter produced loo%, 65%, 58% and 65% greater amounts of the cytokine in response to TNF, respectively. The changes in production by cells from animals at 8 weeks, compared with those from animals at 4 weeks, was a decline of 10% by those from the chow-fed groups, and increases of 64%, lo%, 35% and 35% by macrophages from corn, fish and olive oil and butter groups, respectively. A decline of 6% occurred in production by cells from the coconut oil group. Fig. 3 shows the effect of the various dietary treatments on TNF-stimulated macrophage IL-1 production after rats had been fed the synthetic diets for 4 and 8 weeks. After 4 weeks of feeding, IL-1 production was reduced by all fats, in particular in animals fed fish and olive oil. Significant reductions of 26% and 16% were caused by the fish and olive oil, respectively, compared with chow-fed animals. After 8 weeks of feeding, a similar phenomenon to that which occurred for IL-6 became evident. Fish oil suppressed IL-1 production by 31% as compared with chow-fed animals. In animals fed corn oil enhancement of production occurred. An elevation of 50% was observed as compared with values from chow-fed animals and represented an increase of 27% compared with IL-1 production after 4 weeks. IL-1 production was also significantly reduced by 39%. Compared with values from chow-fed animals, production was 10% greater than Chow Fish oil Corn oil Coconut oil Butter Fig. 3. Effect of different dietary fats on macrophage 11-1production and 8 weeks ( ) of feeding. Weanling rats were after 4 weeks (0) maintained on 10% (w/w) fat diets for 4 and 8 weeks. Macrophages were than harvested and stimulated with recombinant human TNF (2.5 ng/ml) for 24h, after which 11-1 in the culture medium was determined. Data are means f SEM from six experiments with three animals per group. Values which are statistically significantly different from those of the Corresponding chow-fed group by analysis of variance are indicated: *Pi0.05, **P<O.OI. that observed after 4 weeks. In the butter-fed animals IL-1 production was further suppressed by 19% compared with values from chow-fed animals. In animals fed on olive oil for 8 weeks a significant increase (46%) in IL-1 production was observed, which represented an increase of 159% compared with production by cells from animals fed olive oil for 4 weeks. DISCUSSION The pattern of cytokine release from macrophages and other cells in response to inflammatory stimuli is complex. Rapid production of IL-1 and T N F is followed by a relatively slower release of IL-6. Furthermore, T N F and IL-1 have the capacity to induce production of each other and of IL-6. In the present study the final concentration of T N F and IL-1 in the incubation medium may have arisen in part because of such a phenomenon. It is clear from the results of the present study that dietary fats may modulate these events in a complex manner. The modulatory effects produced by the various fats depend upon the length of time that they are fed to the experimental animals and the fatty acid composition of the dietary fat. During the 8 weeks period over which the experiment was conducted, the ability of macrophages, derived from animals fed chow, to produce T N F in response to endotoxin rose by a small percentage that was statistically nonsignificant. The ability of T N F to induce IL-1 from these cells rose by a small, but insignificant, extent, and IL-6 production was unaffected by the age of the animals. If cytokine production by cells from chow-fed animals is used as a benchmark, it can be seen that T N F production in response to endotoxin is suppressed by all dietary fats after 4 weeks of Influence of fats on cytokine production feeding; however, by 8 weeks, only cells from animals fed olive oil remained suppressed. In each case, however, the suppression caused by dietary fat did not reach statistical significance. All fats had major modulatory effects on the ability of T N F to induce IL-I and IL-6 production. The modulatory effects varied between fats at 4 and 8 weeks of dietary exposure and over the time course of the study. Induction of IL-1 at 4 weeks was suppressed by fish and olive oil, with non-significant inhibitory effects being produced by other fats. At 8 weeks, however, a dichotomy was observed in the effects, whereby further suppression was caused. Feeding fish oil and coconut oil produced a major inhibitory influence. However, corn and olive oil, at this time, produced a major enhancement of production. Induction of IL-6 by T N F at 4 weeks was enhanced by fish and olive oil, whereas corn and coconut oil and butter were without effects. However, at 8 weeks of feeding, the stimulatory effect of fish oil and olive oil had increased, and corn oil and butter now enhanced production. From these patterns of change, it can be seen that for some fats, such as corn oil, coconut oil and butter, modulatory effects are not seen until 8 weeks of exposure to dietary change. Fish oil, however, produces consistent effects on IL-1 and 1L-6 production, which increase in intensity between 4 and 8 weeks of feeding. While olive oil produces opposite effects on IL-1 at 4 and 8 weeks, it influences IL-6 induction in a stimulatory manner at both time points. Furthermore, the effect increases in intensity between the two experimental time points. Coconut oil had no influence on IL-6 induction while affecting that of IL-I. Conversely, butter exerted no major influence on IL-I production but stimulated that of IL-6. Olive oil exerted opposing effects on IL-1 and IL-6 induction at 4 weeks, and fish oil did likewise at the two experimental time points. While olive oil exerted an opposing influence on IL-1 and IL-6 after 4 weeks feeding, at 8 weeks it enhanced production of both cytokines. From the complex interplay of fats on the ability of peritoneal macrophages to produce IL-1 and IL6 in response to T N F stimulation, it can be deduced thet no single cellular mechanism can explain the modulatory influence of all fats on cytokine production. In studies by others [lo, 203, changes in eicosanoid generation and membrane fluidity have been suggested as possible mechanisms. Studies in uitro have shown that prostaglandins of the 2- and 3-series suppress and leukotrienes enhance IL- 1 production by macrophages [2l, 223. In the present study reduced synthesis of leukotriene B, by substitution of EPA into membrane phospholipids and reduction in arachidonic acid content, respectively, could explain the reductions caused by fish and coconut oils of IL-1 induction by TNF. The enhanced production of IL-6 in response to T N F that is caused by feeding butter, olive oil and fish oil might be explained by removal of the 177 inhibitory influence of prostaglandin E, by reduction in the arachidonic acid content, or enhancement of the EPA content, of membrane phospholipids. However, the stimulatory influence of corn oil feeding in IL-6 production clearly cannot be explained by such a mechanism, unless enhanced leukotriene production was a consequence of feeding this fat. The hypothesis that fish oil suppresses IL-1 and T N F production by reduction in synthesis of leukotrienes of the 4-series is further thrown into doubt by the studies on T N F and IL-1 in mice fed the fat for 16 days. Enhanced production of both cytokines by peritoneal macrophages stimulated with endotoxin was noted. Prostaglandin E, production by stimulated cells was reduced and release of IL-I and T N F were negatively correlated with prostaglandin E, production [21]. However, in studies in which prostaglandin E, and prostaglandin E, production by peritoneal macrophages was manipulated by diets which were enriched by feeding fats that were either rich in n-3 or n-6 polyunsaturated fatty acids (PUFAs), both eicosanoids suppressed T N F production to an equal extent [23]. Studies in animals and humans indicate that fats rich in PUFAs, and a-tocopherol exert complex modulatory effects upon immune function. When mice were fed diets that contained a-tocopherol at concentrations which are considered adequate for chow-fed animals, reductions in tissue a-tocopherol occurred if n-3 and n-6 PUFAs were added to the diet in concentrations of 50g/kg [24]. These authors [24] proposed that diets rich in PUFAs increase the requirement for a-tocopherol. A number of studies have shown that consumption of increased levels of the vitamin can enhance immune function and cytokine production [25]. Thus, reductions in immune function, brought about by dietary n-3 and n-6 PUFAs, may, in part, be due to reduced a-tocopherol status. Indeed, in rats fed diets rich in maize oil, depressed lymphocyte responses to mitogens were restored, in part, by dietary a-tocopherol supplementation [26]. In the present study, a reduction in tissue concentrations of a-tocopherol in rats fed fish oil, might play a part in the reduction of IL-1 production in response to TNF. However, in a study on elderly subjects, vitamin E supplementation had no effect on IL-1 production from peripheral blood mononuclear cells while reducing plasma lipid peroxide concentrations and enhancing IL-2 production from peripheral blood mononuclear cells in response to a conconavalin A challenge [27]. In the present study dietary concentrations were 2-3 times the concentration required by chow-fed rats. While no measurements of a-tocopherol status were performed it is unlikely that reduced vitamin E status contributed to the influence of fish oil on IL-6 production and of maize oil on IL-I and IL-6 production as enhanced responses occurred. Inflammatory responses to infection and trauma I78 P. S. Tappia and R. F. Grimble are a consequence of cytokine production. Many studies have shown that responses to inflammatory agents are modified by fats. Corn oil enhances and olive oil and butter suppresses metabolic responses to endotoxin injection [16]. Fish oil, coconut oil and butter suppress metabolic effects of T N F [13]. Fish oil reduces the anorexic effects of IL-1 in rats [28], the anorectic influence of neoplasia in rats [29] and the febrile response to 1L-1 and burn injury in guinea-pigs [30, 311. While the results of the present study demonstrating an inhibitory influence of olive oil on endotoxin-induced T N F production of fish and coconut oil on TNF-induced IL-1 production, and a stimulatory effect of corn oil on IL-I and IL-6 production, may directly contribute to these observations in uiuo, the stimulatory effects of all fats except coconut oil in TNF-induced IL-6 production may not. The overall intensity of inflammatory responses depends upon the level of cytokine production as well as the sensitivity of target tissues to these molecules. Changes in target tissue sensitivity to the actions of cytokines may therefore play a significant part in antiinflammatory properties of fish oil, olive oil and coconut oil demonstrated in the studies in uiuo cited above. ACKNOWLEDGMENTS We are grateful for financial support for these studies from the Ministry of Agriculture, Fisheries and Food. We thank Seven Seas Limited, Marfleet, Hull, for the gift of MaxEPA, and Professor A. Shenkin, Department of Clinical Biochemistry, Royal Liverpool University Hospital, for the gift of IL-Qdependent murine B9 hybridoma cells. We thank Jane Byers for secretarial assistance. REFERENCES I. Dinarello CA. Interleukin I and the pathogenesis of the acute phase response. N Engl J Med 1984; 311: 1413-17. 2. Heinrich PC, Castell JV. Andrews P. Interleukin 6 and the acute phase response. Biochem J 1990; 265: 621-36. 3. Old LF. Polypeptide mediator network. Nature (London) 1987; 326: 330-1. 4. Beutler B. Cerami A. Cachetin-tumour necrosis factor: a cytokine that mediates injury initiated by invasive parasites. Parasitol Today 1987; 3 3456. 5. Tracer KJ, Beutler 6. Lowry SF. et al. Shock and tissue injury induced by recumbant tumour cachectin. Science (Washington DC) 1986; u4: 4709-14. 6. Kelley J. Cytokines and the lung. Am Rev Resr'r Dis 1990; 141: 765-88. 7. Kremer JM. Robinson DR. Studies of dietary supplementation with n-3 fatty acids in patients with rheumatoid arthritis. World Rev Nutr Diet 1991; 66: 367-82. 8. Saloman P, Korbluth AA. Janowitz HD. Treatment of ulcerative colitis with fish oil, a n-3 fatty acid: an open trial. J Clin Gastroenterol 1990; 12: 157-61. 9. Buetler SB, Tucker WFG. Cartwright I, et al. A doubleblind. randomized, placebo controlled trial of fish oil in psoriasis. Lancet 1988, i: 378-90. 10. Endres S, Ghorbani R, Kelley VE, et al. The effect of dietary supplementation with n - 3 polyunsaturated fatty acids on the synthesis of ILI and TNF rl by mononuclear cells. N Engl J Med 1989; 320 266-71. I I. Meydani SN. Endres S, Woods MM, et al. Oral n - 3 fatty acid supplementation suppresses cytokine production and lymphocyte proliferation: comparison between young and older women. J Nutr 1991; 121: 547-55. 12. Engleberts I, Sundran K, Van Houwelingen AC, et al. The effect of replacement of dietary fat by palm oil on in vitro cytokine release. Br J Nutr. 1993; 69 159-67. 13. Mulrooney HM. Grimble RF. Influence of butter and of corn, coconut and fish oils on the effects of recombinant human tumour necrosis factor-z in rats. Clin Sci 1993; 84: IO5-IZ. 14. Grimble RF. Modulation of cytokine biology by dietary fat. In: Vincent JL, ed. Yearbwk of intensive care and emergency medicine. Berlin: Springer Verlag, 1993: 212-21. 15. Hwang D. Essential fatty acids and immune response. FASEB J 1989 3 2052-61. 16. Besler HT. Grimble RF. Modulatory effects of olive and corn oil and butter on the response of protein synthesis in liver, lung, kidney to endotoxin in rats. Proc Nutr Soc 1993; 53 (In press). 17. Mulrooney H, Grimble RF. Oleic acid modifies the suppressive effect of saturated fat on hepatic responses to TNF z [Abstract]. Cytokines 1991; 3 58. 17a.Southgate P. Russell D, eds., McCance and Widdowson's the composition of foods. First Supplement. London: HMSO. 1978. 18. Castro A, Lefkowitz D. Measurement of macrophagemediated cytotoxicity using a non-isotopic assay. J Nutr lmmunol 1992; I: 99-103. 19. Aggarwal BB, Kohr WJ, Hass PE. et al. Human tumour necrosis factor. J Biol Chem 1985; 160. 2345-54. 20. Calder PC, Newholme EA. Polyunsaturated fatty acids suppress human peripheral blood lymphocyte proliferation and interleukin 2 production. Clin Sci 1992; 82: 695-700. 21. Watanabe S. Onozoki K, Yamamoto S. et al. Regulation by dietary essential fatty acid balance of tumour necrosis factor production in mouse macrophages. J Leukotriene Biol 1993; 53: 151-6 22. Dinarello CA. Bishai I, Bosenwasser LJ, et al. The influence of lipoxygenase inhibitors in the in vitro production of human leukocyte pyrogen and leukocyte activating factor (interleukin I). Int J lmmuopharmacol 1984; 6 43-50. 23. Lokesh BR, Sayers TI. Kinnella JE. Interleukin-I and tumour necrosis factor synthesis by mouse peritoneal macrophages is enhanced by dietary n - 3 polyunsaturated fatty acids. lmmunol Lett 1989; 23 281-6. 24. Meydani SN, Shapiro AC. Meydani M. et al. Effect of age and dietary fat (fish, corn and coconut oils) on tocopherol status of C57BL/6 Niamine. Lipids 1987; 11: 281-6. 25. Meydani SN. Hayek M, Coleman L. Influence of vitamins E and B, on immune response. Ann NY Acad Sci 1992; 669: 125-39. 26. Bendick A. The effect of vitamin E on the immunosuppressive effects of n-6 polyunsaturated fatty acids. Ann NY Acad Sci 1989; 570 412-14. 27. Meydani SN. Meydani M, Barklund PM, et al. Effect of vitamin E supplementation on immune responsiveness of the aged. Ann NY Acad Sci 1989; 570 283-90. 28. Hellerstein MK. Meydani SN. Meydani M. et al. Interleukin-I-induced anorexia in the rat. Influence of prostaglandins. J Clin Invest 1989; M: 22e-35. 29. Tisdale MJ, Dhezi JK. Inhibition of weight loss by n-3 fatty acids in an experimental cachexia model. Cancer Res 1990; 50: 5022-6. 30. Pomposelli JJ, Mascioli EA. Birtrian BR, et al. Attenuation of the febrile response in guinea pigs by fish oil enriched diets. J Parenter Enteral Nutr 1989; 1 3 1 3 6 4 . 31. Alexander JW, Saito 11, Ogle CK. et al. The importance of lipid type in the diet after burn injury. Ann Surg 1986; 104 1-8.
© Copyright 2026 Paperzz