Fatty Acid Regulation of Platelet Function in Diabetes

Completed

• Conditions: Thrombosis; Type 2 Diabetes Mellitus
• Interventions: Other: omega-3 and -6 fatty acids and their 12-LOX oxylipins

• Registration Number: NCT02373332
• Lead Sponsor: University of Michigan

Brief Summary

This study investigates the potential protective effects of altering fatty acid in the platelet as a method for prevention of platelet activation and thrombosis in type 2 diabetes mellitus. Fatty acids (omega-3 and omega-6) and their oxidized lipids will be evaluated for protection from agonist-mediated platelet activation in platelets from type 2 diabetics and healthy controls.

Detailed Description

12-lipoxygenase and essential fatty acids such as omega-3 and omega-6 have been shown to play important roles in regulating platelet activation, but the underlying mechanisms have not been fully elucidated as well as their true protection from thrombosis.

12-lipoxygenase inhibition prevents platelet activation in part by inhibiting 12-lipoxygenase oxidation of free fatty acids in the platelet. These oxidized fatty acids are known to play both a pro- and anti-thrombotic effect on platelets depending on the fatty acid. oxidation of arachidonic acid by 12-lipoxygenase results in a pro-thrombotic bioactive lipid whereas oxidation of the omega-6 fatty acid DGLA found in plant oil results in formation of a potent anti-thrombotic bioactive lipid. Determining the extent of protection from this and other bioactive lipids produced through 12-lipoxygenase will allow for a better understanding of which fatty acid supplementation may best protect from thrombosis.

Essential fatty acids such as omega-3 (DHA/EPA) and omega-6 (DGLA) appear to be protective. However the underlying mechanism for this potential protection is not well understood. Identifying the mechanism by which these supplements protect from platelet activation may identify new approaches to preventing thrombotic events in this high risk population.

Study Timeline

• Study Start: 2013-08
• Study First Submitted: 2015-02-20
• Study First Submitted QC: 2015-02-26
• Study First Posted: 2015-02-27
• Primary Completion: 2019-05-21
• Study Completion: 2019-05-21
• Status Verified: 2021-05
• Last Update Submitted: 2021-05-28
• Last Update Posted: 2021-06-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

• Healthy subjects and T2DM patients
• African American and Caucasian
• T2DM patients on controlled medication (taking metformin)

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Exclusion Criteria

• Dietary supplement within 2 weeks of enrollment
• Fish and plant oil supplements 2 months prior to enrollment
• NSAIDS and aspirin 1 week prior to enrollment
• Smoking
• Cardiovascular event within 6 months prior to enrollment
• Other anti-platelet treatment including phosphodiesterase (PDE) and P2Y12R inhibitors
• Estimated Glomerular Filtration Rate (eGFR) below 30 (severe renal insufficiency)
• eGFR above 90

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Healthy subjects	omega-3 and -6 fatty acids and their 12-LOX oxylipins	Healthy subjects for oxylipin effect Platelets from healthy donors will be assessed for regulation of platelet reactivity by fatty acids and 12-lipoxygenase oxylipins.

Primary Outcome Measures

Name	Time	Method
inhibition of platelet activation	one-time blood draw	following blood draw, the ability of fatty acids or their oxylipins to inhibit platelet activation will be assessed.

Trial Locations

Locations (2)

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States

Thomas Jefferson University; 🇺🇸 Philadelphia, Pennsylvania, United States