In this work, we assessed the in-vitro effects of eicosapentaenoic acid (EPA; C20:5n-3) and docosahexaenoic acid (DHA; C22:6n-3)
(final concentration, 15 μM) on T cell blastogenesis, interleukin-2 and -4 (IL-2, IL-4) secretion, fatty acid composition
and intracellular oxidative status in type I diabetic patients with or without complications. Con A stimulated lymphocyte
proliferation, glucose uptake, intracellular reduced glutathione levels and catalase activity were lower in diabetics as compared
to controls, regardless to the presence of complications. EPA and DHA diminished T-lymphocyte proliferation and IL-2 production
but enhanced IL-4 secretion in both diabetic and control groups. No changes in the levels of reduced glutathione and in the
activities of catalase and SOD were observed in control T cells cultured in the presence of EPA and DHA. However, in diabetic
patients, addition of n-3 PUFA to culture induced an increase in T cell levels of reduced glutathione and hydroperoxide, and
in activities of catalase and SOD. Low levels of arachidonic acid (C20:4n-6) were found in plasma membrane phospholipids of
lymphocytes from diabetic patients compared to controls. Incubation of lymphocytes with EPA and DHA was associated with an
incorporation of these fatty acids in membrane phospholipids. In conclusion, the beneficial effects of n-3 PUFA on T cell
functions in type I diabetes could be attributed to their suppressive action and modulation of cytokine secretion, and to
the improvement of intracellular oxidative status.
Keywords Diabetes - Docosahexaenoic acid - Eicosapentaenoic acid - Interleukins - Lymphocytes - Oxidant status - Polyunsaturated fatty acids