Anti-inflammatory effects of omega-3 fatty acids: Evidence from circulating biomarkers and inflammatory gene-expression studies

Authors

  • Micah Nnabuko Okwah Department of Internal Medicine, Cardiology Unit, Lagos University Teaching Hospital, Lagos State Author
  • Moses Adondua Abah Department of Biochemistry, Faculty of Biosciences, Federal University Wukari, Taraba State, Nigeria Author https://orcid.org/0000-0002-9268-1661
  • Micheal Abimbola Oladosu Department of Biochemistry, Faculty of Basic Medical Sciences, University of Lagos, Lagos State, Nigeria Author https://orcid.org/0009-0000-5098-1247
  • Captain Tamunotonye Blessing Department of Plant Science and Biotechnology, Faculty of Science, University of Port-Harcourt, Rivers State, Nigeria Author https://orcid.org/0009-0000-9242-0851
  • Ochuele Dominic Agida Department of Biochemistry, Faculty of Biosciences, Federal University Wukari, Taraba State, Nigeria Author https://orcid.org/0009-0008-0912-3580
  • Ahinful Isaac Anku Department of Chemistry, Faculty of Physical Sciences, New Mexico University, United States of America (USA). Author

DOI:

https://doi.org/10.65221/0167

Keywords:

Omega-3 Fatty Acids, Inflammation, Biomarkers, Gene Expression, Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA)

Abstract

Chronic diseases like metabolic syndrome, autoimmune diseases, neurodegenerative pathologies, and cardiovascular diseases are caused by inflammation. Dietary interventions, especially omega-3 PUFAs, have been studied for their ability to regulate inflammation. The biological effects of omega-3 fatty acids, especially EPA and DHA, include absorption into cell membranes, modification of lipid mediators, and control of inflammatory signaling pathways. This review examines gene expression profiles and systemic and molecular indicators to determine omega-3 fatty acid supplementation's anti-inflammatory effects. Human clinical trials show that omega-3 supplementation reduces C-reactive protein (CRP), fibrinogen, and pro-inflammatory cytokines, depending on dose, EPA:DHA ratio, and baseline inflammatory status. Animal and in-vitro studies reveal pathways that modulate eicosanoid production, activate pro-resolving mediators, and suppress transcription factors like NF-κB. Omics studies show that epigenetic and transcriptomic changes mediate these effects. Quality evidence is presented, but limitations in study design, supplementation regimens, and biomarker selection weaken the conclusions. This study highlights data gaps, such as human gene expression data and inter-individual response variability and suggests future research. Overall, omega-3 supplementation may reduce inflammation and provide molecular insights for clinical and public health applications. 

References

Aiken C (2022). How to prescribe omega-3 fatty acids. The Carlat Psychiatry Report. https://www.thecarlatreport.c

Allam-Ndoul, B, Guénard F, Barbier O (2016). Effect of n-3 fatty acids on the expression of inflammatory genes in THP-1 macrophages. Lipids in Health and Disease 15:69. https://doi.org/10.1186/s12944-016-0241-4

Baker E, Yusof, MH, Yaqoob P, Miles EA, Calder PC (2018). Omega-3 fatty acids and leukocyte-endothelium adhesion: Novel anti-atherosclerotic actions. Molecular aspects of medicine 64:169-

181. https://doi.org/10.1016/j.mam.2018.08.002

Bernasconi AA, Wiest MM, Lavie CJ, Milani RV, Laukkanen JA (2021). Effect of Omega-3 Dosage on Cardiovascular Outcomes: An Updated Meta-Analysis and Meta-Regression of Interventional Trials. Mayo Clinic proceedings 96(2):304-313. https://doi.org/10.1016/j.mayocp.2020.08.03

Bodur M, Yilmaz B, Ağagündüz D, Ozogul Y (2025). Immunomodulatory Effects of Omega-3 Fatty Acids: Mechanistic Insights and Health Implications. Molecular nutrition and food research 69(10):e202400752. https://doi.org/10.1002/mnfr.202400752

Borja-Magno A, Guevara-Cruz M, Flores-López A, Carrillo-Domínguez S, Granados J (2023). Differential effects of high dose omega-3 fatty acids on metabolism and inflammation in patients with obesity: eicosapentaenoic and docosahexaenoic acid supplementation. Frontiers in nutrition 10:1156995. https://doi.org/10.3389/fnut.2023.1156995

Bouwens M, van de Rest O, Dellschaft N, Bromhaar MG, de Groot LC, Geleijnse JM (2009). Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells. The American journal of clinical nutrition 90(2):415-424. https://doi.org/10.3945/ajcn.2009.27680

Calder CP (2006). n−3 Polyunsaturated fatty acids, inflammation, and inflammatory diseases 2. The American Journal of Clinical Nutrition 83(6):1505S-1519S. https://doi.org/10.1093/ajcn/83.6.1505S.

Calder PC (2010). Omega‑3 fatty acids and inflammatory processes: from molecules to man. Nutrients 2(3):355-374. https://doi.org/10.3390/nu2030355

Calder PC (2012). The role of marine omega-3 (n-3) fatty acids in inflammatory processes, atherosclerosis and plaque stability. Molecular nutrition and food research 56(7):1073–1080. https://doi.org/10.1002/mnfr.201100710.

Calder PC (2015). Marine omega-3 fatty acids and inflammatory processes: Effects, mechanisms and clinical relevance. Biochimica et biophysica acta 1851(4):469-484. https://doi.org/10.1016/j.bbalip.2014.08.010

Calder PC (2020). n-3 PUFA and inflammation: from membrane to nucleus and from bench to bedside. Proceedings of the Nutrition Society 79(4):404-416. doi:10.1017/S0029665120007077

Calder PC (2025). Omega-3 fatty acids and inflammatory processes: from molecules to man. Biochemical Society transactions 45(5):1105-1115. https://doi.org/10.1042/BST20160474.

Chang JP, Tseng PT, Zeng BS, Chang CH, Su H, Chou PH, Su KP (2023). Safety of Supplementation of Omega-3 Polyunsaturated Fatty Acids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Advances in nutrition 14(6):1326-1336. https://doi.org/10.1016/j.advnut.2023.08.003

Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J (2017). Inflammatory responses and inflammation-associated diseases in organs. Oncotarget 9(6):7204-7218. https://doi.org/10.18632/oncotarget.23208

Dempsey M, Rockwell MS, Wentz LM (2023). The influence of dietary and supplemental omega-3 fatty acids on the omega-3 index: A scoping review. Frontiers in nutrition 0:1072653. https://doi.org/10.3389/fnut.2023.1072653

Distefano A, Orlando L, Giallongo S, Tropea E, Spampinato M, Santisi A (2024). Fish Oil Containing Pro-Resolving Mediators Enhances the Antioxidant System and Ameliorates LPS-Induced Inflammation in Human Bronchial Epithelial Cells. Pharmaceuticals 17(8):1066. https://doi.org/10.3390/ph17081066

Elisia I, Yeung M, Kowalski S, Wong J, Rafiei H, Dyer RA, et al. (2022). Omega 3 supplementation reduces C-reactive protein, prostaglandin E2 and the granulocyte/lymphocyte ratio in heavy smokers: An open-label randomized crossover trial. Frontiers in nutrition 9: 1051418. https://doi.org/10.3389/fnut.2022.1051418

Eschen O, Christensen JHLA, Rovere M, Romano P, Sala P, Schmidt EB (2010). Effects of marine n-3 fatty acids on circulating levels of soluble adhesion molecules in patients with chronic heart failure. Cellular and molecular biology 56(1):45-51.

Heshmati J (2021). Effect of omega-3 fatty acid supplementation on gene expression of inflammation, oxidative stress and cardiometabolic parameters: Systematic review and meta-analysis. Journal of Functional Foods 85:104619. https://doi.org/10.1016/j.jff.2021.104619.

Hidalgo MA, Carretta MD, Burgos RA (2021). Long Chain Fatty Acids as Modulators of Immune Cells Function: Contribution of FFA1 and FFA4 Receptors. Frontiers in physiology 12:668330. https://doi.org/10.3389/fphys.2021.668330

Hong S, Lu Y (2013). Omega-3 fatty acid-derived resolvins and protectins in inflammation resolution and leukocyte functions: targeting novel lipid mediator pathways in mitigation of acute kidney injury. Frontiers in immunology 4:13. https://doi.org/10.3389/fimmu.2013.00013

Javaid M, Kadhim K, Bawamia B, Cartlidge T, Farag M, Alkhalil, M (2024). Bleeding Risk in Patients Receiving Omega-3 Polyunsaturated Fatty Acids: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Journal of the American Heart Association 13(10):e032390. https://doi.org/10.1161/JAHA.123.032390

Kavyani Z, Musazadeh V, Fathi S, Hossein Faghfouri A, Dehghan P, et al. (2022). Efficacy of the omega-3 fatty acids supplementation on inflammatory biomarkers: An umbrella meta-analysis. International immunopharmacology 111:109104. https://doi.org/10.1016/j.intimp.2022.109104

Kim G (2015). Diet and Folk Medicines for Rheumatic Diseases. Journal of Rheumatic Diseases 22(1). DOI:10.4078/jrd.2015.22.1.10

Kitessa SM, Abeywardena M, Wijesundera C, Nichols PD (2014). DHA-containing oilseed: A timely solution for the sustainability issues surrounding fish oil sources of the health-benefitting long-chain omega-3 oils. Nutrients 6(5): 2035–2058. https://doi.org/10.3390/nu6052035

Lawrence T (2009). The nuclear factor NF-kappaB pathway in inflammation. Cold Spring Harbor perspectives in biology 1(6):a001651. https://doi.org/10.1101/cshperspect.a001651

Lee KR, Midgette Y, Shah R (2019). Fish Oil Derived Omega 3 Fatty Acids Suppress Adipose NLRP3 Inflammasome Signaling in Human Obesity, Journal of the Endocrine Society 3(3):504-515. https://doi.org/10.1210/js.2018-00220

Li J, Lin YC, Zuo HL, Huang HY, Zhang T, Bai JW, Huang HD (2025). Dietary omega-3 PUFAs in metabolic disease research: a decade of omics-enabled insights (2014-2024). Nutrients 28:17(11):1836. https://doi.org/10.3390/nu17111836

Li M, Li Z, Fan Y (2025). Omega-3 fatty acids: multi-target mechanisms and therapeutic applications in neurodevelopmental disorders and epilepsy. Frontiers in Nutrition 12:1598588. https://doi.org/10.3389/fnut.2025.1598588

Mason RP, Libby P, Bhatt DL (2020). Emerging Mechanisms of Cardiovascular Protection for the Omega-3 Fatty Acid Eicosapentaenoic Acid. Arteriosclerosis Thrombosis and Vascular Biology 40(5). DOI:10.1161/ATVBAHA.119.313286

Medzhitov R (2008). Origin and physiological roles of inflammation. Nature 454(7203):428-435. https://doi.org/10.1038/nature07201

Michaeloudes C, Christodoulides S, Christodoulou P, Kyriakou TC, Patrikios I, Stephanou A (2023). Variability in the Clinical Effects of the Omega-3 Polyunsaturated Fatty Acids DHA and EPA in Cardiovascular Disease-Possible Causes and Future Considerations. Nutrients 15(22):4830. https://doi.org/10.3390/nu15224830

Moriyama T, Kumon S, Kamiyama T, Karasawa K, Uchida K, Nitta K (2018). The Renoprotective Effects of Docosahexaenoic Acid as an Add-on Therapy in Patients Receiving Eicosapentaenoic Acid as Treatment for IgA Nephropathy: A Pilot Uncontrolled Trial. Internal medicine 57(2):173-179. https://doi.org/10.2169/internalmedicine.9155-17

Musz P, Gabriela RF, W, Sokal-Dembowska A, Jarmakiewicz-Czaja S (2025). Nutrigenomics and Epigenetics in the Dietary Management of Inflammatory Bowel Diseases. Genes 16(11):1368. https://doi.org/10.3390/genes16111368

Myhrstad M, Retterstøl, K, Telle-Hansen V, Ottestad I (2011). Effect of marine n-3 fatty acids on circulating inflammatory markers in healthy subjects and subjects with cardiovascular risk factors. Inflammation Research 60(4):309-319. https://doi.org/10.1007/s00011-010-0302-5

Naeini Z, Toupchian O, Vatannejad A, Sotoudeh G, Teimouri M, Ghorbani M (2020). Effects of DHA-enriched fish oil on gene expression levels of p53 and NF-κB and PPAR-γ activity in PBMCs of patients with T2DM: A randomized, double-blind, clinical trial. Nutrition, metabolism, and cardiovascular diseases 30(3):441-447. https://doi.org/10.1016/j.numecd.2019.10.012

Natto ZS, Yaghmoor W, Alshaeri HK (2019). Omega-3 Fatty Acids Effects on Inflammatory Biomarkers and Lipid Profiles among Diabetic and Cardiovascular Disease Patients: A Systematic Review and Meta-Analysis. Scientific Reports 9:18867. https://doi.org/10.1038/s41598-019-54535-x

Nicholls SJ, Lincoff AM, Garcia M, Bash D, Ballantyne, CM, Barter PJ (2020). Effect of High-Dose Omega-3 Fatty Acids vs Corn Oil on Major Adverse Cardiovascular Events in Patients at High Cardiovascular Risk: The STRENGTH Randomized Clinical Trial. JAMA 324(22):2268-2280. https://doi.org/10.1001/jama.2020.22258

Nohé B, Johannes T, Dieterich HJ (2003). Antiinflammatory effects of omega-3 fatty acids vary at different stages of inflammation. American journal of physiology. Heart and circulatory physiology 285(5):H2248–H2250. https://doi.org/10.1152/ajpheart.01138.2002

Office of Dietary Supplements (ODS). (2022). Omega‑3 fatty acids – fact sheet for consumers.

Oh DY, Talukdar S, Bae EJ, Imamura T, Morinaga H, Fan W, et al. (2010). GPR120 is an omega-3 fatty acid receptor mediating potent anti-inflammatory and insulin-sensitizing effects. Cell 142(5):687-698. https://doi.org/10.1016/j.cell.2010.07.041

Pahwa R, Goyal A, Jialal I (2023). Chronic Inflammation. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493173/

Serhan CN (2014). Pro-resolving lipid mediators are leads for resolution physiology. Nature 510(7503):92-101. https://doi.org/10.1038/nature13479

Torres-Vanegas J, Rodríguez-Echevarría R, Campos-Pérez W, Rodríguez-Reyes SC, Reyes-Pérez SD, Pérez-Robles M, Martínez-López E (2025). Effect of a Diet Supplemented with Marine Omega-3 Fatty Acids on Inflammatory Markers in Subjects with Obesity: A Randomized Active Placebo-Controlled Trial. Healthcare 13(2):103. https://doi.org/10.3390/healthcare13020103

Wang TM, Chen CJ, Lee TS, Chao HY, Wu WH, Hsieh SC, et al. (2011). Docosahexaenoic acid attenuates VCAM-1 expression and NF-κB activation in TNF-α-treated human aortic endothelial cells. The Journal of nutritional biochemistry 22(2):187-194. https://doi.org/10.1016/j.jnutbio.2010.01.007

Watson HS (2019). Bioavailability of Omega-3 Fatty Acid Formulations and Their Effect on the Intestinal Microbiota. Doctor of Medicine thesis, University of Leeds, School of Medicine.

Williams-Bey Y, Boularan C, Vural A, Huang NN, Hwang IY, Shan-Shi C, Kehrl JH (2014). Omega-3 free fatty acids suppress macrophage inflammasome activation by inhibiting NF-κB activation and enhancing autophagy. PloS one 9(6):e97957. https://doi.org/10.1371/journal.pone.0097957

Żebrowska A, Hall B, Stolecka-Warzecha A, Stanula A, Sadowska-Krępa E (2021). The Effect of Omega-3 Fatty Acid Supplementation on Serum Adipocytokines, Lipid Profile and Biochemical Markers of Inflammation in Recreational Runners. Nutrients 13(2):456. https://doi.org/10.3390/nu13020456

Downloads

Published

13-04-2026

Issue

Section

Articles

How to Cite

Anti-inflammatory effects of omega-3 fatty acids: Evidence from circulating biomarkers and inflammatory gene-expression studies. (2026). African Research Reports, 2(4), 365-382. https://doi.org/10.65221/0167