Eicosanoid Balance Optimization is the clinical objective of achieving a favorable ratio between the production of pro-inflammatory and anti-inflammatory eicosanoids, which are powerful lipid mediators derived from essential fatty acids. These compounds act as local, autocrine, and paracrine hormones, governing localized inflammation, blood clotting, and smooth muscle function. Maintaining this balance is crucial for systemic hormonal and cellular homeostasis.
Origin
This concept is firmly rooted in lipid biochemistry and the study of the inflammatory cascade, recognizing the metabolic fate of dietary fatty acids. It stems from the discovery that different classes of fatty acids, specifically omega-3 and omega-6, are precursors for eicosanoids with opposing biological activities. Clinical practice now aims to therapeutically modulate this metabolic pathway.
Mechanism
Optimization is primarily achieved by adjusting the dietary ratio of precursor fatty acids, increasing the intake of omega-3s (EPA and DHA) relative to omega-6s (Arachidonic Acid). This shift in substrate availability favors the synthesis of less inflammatory Series 1 and Series 3 eicosanoids over the highly pro-inflammatory Series 2 mediators. The resulting reduction in chronic low-grade inflammation positively impacts the sensitivity of peripheral hormone receptors and supports overall metabolic function.
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