New type of omega-3 could prevent visual decline associated Alzheimer’s and other diseases

A new form of the omega-3 fatty acid docosahexaenoic acid (DHA), has been developed that is able to cross into the eye’s retina to stave off the visual declines related to Alzheimer’s, diabetes and other diseases.

The DHA found in fish oil capsules and other supplements is usually in a form called triacylglycerol (TAG) DHA. TAG-DHA has benefits in other areas of the body, however, it does not reach the eyes on account of the fact that it cannot traverse from the bloodstream into the retina. For this study, researchers created a new lysophospholipid form of DHA, or LPC-DHA. Using mice, LPC-DHA successfully increased DHA in the retina and reduced eye problems associated with Alzheimer’s-like processes.

“Dietary LPC-DHA is enormously superior to TAG-DHA in enriching retinal DHA and could be potentially beneficial for various retinopathies in patients,” said Sugasini Dhavamani, a research assistant professor in the Department of Medicine at the University of Illinois at Chicago. “This approach provides a novel therapeutic approach for the prevention or mitigation of retinal dysfunction associated with Alzheimer’s disease and diabetes.”

Dhavamani will present the research at Discover BMB, the annual meeting of the American Society for Biochemistry and Molecular Biology, March 25-28 in Seattle.

In healthy eyes, DHA is concentrated in the retina, where it helps maintain photoreceptors, the cells that convert light into signals that are sent to the brain. When there is a DHA deficiency in the retina it is usually associated with vision loss. People with Alzheimer’s disease, as well as those with diabetes, retinitis pigmentosa, age-related macular degeneration and peroxisomal disorders, frequently have abnormally low levels of retinal DHA, and as a result visual impairments are common.

While boosting DHA can help to prevent such declines, increasing retinal DHA content has been a challenge with the supplements currently available. Here’s the issue: for a dietary supplement to effectively deliver DHA to the retina, the DHA must be able to first be absorbed from the intestine into the bloodstream and then cross from the bloodstream into the retina in an amount that will be beneficial to the patient.

“Increasing the retinal DHA at clinically feasible doses has not been possible until now because of the specificity of the blood-retinal barrier that is incompatible with the specificity of the intestinal barrier,” said Dhavamani. “This study uses the novel approach of dietary LPC-DHA that overcomes both intestinal and blood-retinal barriers and improves retinal function.”

The researchers tested their LPC-DHA supplement in mice bred to exhibit processes similar to those found in early-onset Alzheimer’s disease. After six months, mice that were fed LPC-DHA daily showed a 96% improvement in retinal DHA content and preserved retinal structure and function. In contrast, TAG-DHA supplements had no effect on retinal DHA levels or function.

The results suggest that LPC-DHA supplements could help to prevent Alzheimer’s-related declines in visual function. Researchers believe this approach should also be helpful for other disorders in which DHA deficiency and vision impairment are common.

The dosage of LPC-DHA used in the study is equivalent to about 250 to 500 milligrams of omega-3 fatty acids per day in humans. Because these studies were conducted in mice, additional studies would be need to be conducted to confirm that LPC-DHA is safe and effective for use in humans.