Red Blood Cell Omega-6 Fatty Acids and Biomarkers of Inflammation in the Framingham Offspring Study

Nutrients. 2025 Jun 22;17(13):2076. doi: 10.3390/nu17132076.

Abstract

Background/objectives: Chronic inflammation is recognized as an important risk factor for a variety of health disorders. Omega-6 polyunsaturated fatty acids (n-6 PUFAs), particularly linoleic (LA) and arachidonic acid (AA), have been shown to be either pro- or anti-inflammatory, and researchers have advocated both for and against reducing their dietary intake. This study sought to correlate the levels of ten inflammation-related biomarkers across multiple pathways with red blood cell (RBC) membrane levels of the major dietary and circulating n-6 PUFAs.

Methods: We included 2777 participants (mean age: 66 ± 9 years, 54% women, 9.8% minorities) from the Framingham Offspring and minority-enriched Omni cohorts, and calculated partial correlation coefficients.

Results: After multivariable adjustment, RBC LA was inversely correlated (all p ≤ 0.05) with five markers of inflammation, receptors, or pathways: C-reactive protein (r = -0.06); soluble interleukin-6 (r = -0.15); intercellular adhesion molecule-1 (r = -0.09); monocyte chemoattractant protein-1 (r = -0.07); and P-selectin (r = -0.07). RBC AA was inversely correlated (all p ≤ 0.05) with soluble interleukin-6 (r = -0.10); intercellular adhesion molecule-1 (r = -0.14); monocyte chemoattractant protein-1, and (r = -0.06); and osteoprotegerin (r = -0.07). Lipoprotein-associated phospholipase-A2 mass and activity, urinary isoprostanes, and tumor necrosis factor receptor-2 were not significantly correlated with LA or AA.

Conclusions: In our large community-based study, we observed weak but statistically significant inverse associations between several types of inflammatory biomarkers with RBC n-6 PUFAs. Our findings do not support the hypothesis that omega-6 fatty acids are pro-inflammatory.

Keywords: C-reactive protein; P-selectin; arachidonic acid; inflammatory markers; intercellular adhesion molecule-1; interleukin-6; linoleic acid; monocyte chemoattractant protein-1; osteoprotegerin.

MeSH terms

  • Aged
  • Arachidonic Acid / blood
  • Biomarkers / blood
  • C-Reactive Protein / metabolism
  • Erythrocytes* / chemistry
  • Erythrocytes* / metabolism
  • Fatty Acids, Omega-6* / blood
  • Female
  • Humans
  • Inflammation* / blood
  • Intercellular Adhesion Molecule-1 / blood
  • Interleukin-6 / blood
  • Linoleic Acid / blood
  • Male
  • Middle Aged

Substances

  • Biomarkers
  • Fatty Acids, Omega-6
  • Arachidonic Acid
  • Interleukin-6
  • C-Reactive Protein
  • Linoleic Acid
  • Intercellular Adhesion Molecule-1