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Lupus, Vol. 10, No. 3, 246-248 (2001)
DOI: 10.1191/096120301674681790


Reviews

Diet and lupus

A Leiba

H Amital

Research Unit of Autoimmune Diseases, Department of Medicine B Chaim Sheba Medical Center, Tel Hashomer, Israel

M E Gershwin

Dept of Rheumatology, Immunology and Allergy, U.C. Davis, CA, USA

Y Shoenfeld

Research Unit of Autoimmune Diseases, Department of Medicine B Chaim Sheba Medical Center, Tel Hashomer, Israel; Department of Medicine B and Research Unit of Autoimmune Diseases, Chaim Sheba Medical Center, Tel Hashomer, Israel, Tel: +972 3 5302652; Fax: +972 3 5352855

The effect of dietary modifications has been extensively studied in lupus animal models. Calorie, protein, and especially fat restriction, caused a significant reduction in immune-complex deposition in the kidney, reduced proteinuria and prolongation of the mice's life span.

The addition of polyunsaturated fatty acids (PUFAs), such as fish oil or linseed oil, was also related to decreased mice morbidity and mortality in animal models of lupus and of antiphospholipid syndrome. PUFAs such as eicosapetaenoic acid (EPA) and docosahexaenoic acid (DHA) competitively inhibit arachidonic acid with a resultant decrease in inflammmatory eicosanoids and cytokines.

Human studies support the effect of a PUFAs-enriched diet, both scrologically and clinically. Large scale clinical studies are needed to confirm the primary results.

Key Words: lupus erythematosus • polyunsaturated fatty acids (PUFAs) • fish oil • linseed oil • autoimmune diseases


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