Open research questions in Fatty Acid Research and Health
609 gap statements mined from Fatty Acid Research and Health papers in our 7.9M-paper local library, which holds 1,802 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Although some recent evidence suggests high-dose EPA monotherapy may be beneficial, further research is needed to clarify the relative effects of EPA monotherapy and EPA + DHA formulations in individuals with diabetes.
Omega-3 and Omega-6 Fatty Acids and Cardiovascular Outcomes in Diabetes – A Review of Current Evidence · 2026 · DOIFurther studies with longitudinal designs and repeated measurements are warranted to establish temporal precedence and explore potential biological pathways linking depression, LAP, and biological aging.
Dyslipidemia as a key nexus linking depression and aging acceleration: unraveling the mediating role of lipid accumulation product (LAP) · 2026 · DOIGiven the difficulty in estimating dietary intake of specific foods and nutrients in population studies, the metabolites of fish intake identified in this study would be an improved tool to objectively assess fish consumption in further studies.
Association between fish-related metabolites and metabolic syndrome risk factors in Japan: INTERLIPID metabolome –wide association study · 2026 · DOIFuture research should examine whether integrating individual DHA assessment into prenatal nutrition counseling, combined with monitoring of maternal dietary patterns and fetal growth, could improve the safety and precision of maternal DHA supplementation.
Maternal DHA Supplementation and Fetal Brain Development: Benefits, Risks, and Individual Needs · 2026 · DOIFuture trials should compare different doses and formulations, including EPA-only 、DHA-only and EPA+DHA preparations — AI, aromatase inhibitor; EPA, eicosapentaenoic acid; DHA, docosahexaenoic acid; LDL-C, low-density lipoprotein cholesterol; TG, triglyceride.
Omega-3 fatty acids in aromatase inhibitor-associated dyslipidemia: mechanisms, clinical evidence, and future perspectives · 2026 · DOIHowever, the contribution of visceral AT (VAT) and subcutaneous AT (SAT) specific FAs to metabolic dysregulation in obesity and T2DM remains unclear, highlighting the importance of examining the FA composition between AT depots.
Adults with obesity and hyperglycemia have higher arachidonic and docosahexaenoic acid in subcutaneous adipose tissue · 2026 · DOIIcosapent-ethyl (IPE) has been shown to reduce cardiovascular events in a randomized trial; however, its real-world impact on advanced lipoprotein and inflammatory profiles remains incompletely characterized.
Impact of icosapent ethyl on serum lipoand glycoprotein profiles assessed by 1H-NMR. A real-world observational study (IPE-NMR) · 2026 · DOIDocosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) are essential n-3 polyunsaturated fatty acids that are widely consumed through diet or supplements; however, their prophylactic efficacy against chronic SD (CSD)-induced cognitive deficits remains unclear.
Dietary EPA shows superior efficacy over DHA in chronic sleep deprivation-induced cognitive decline by disrupting the crosstalk between intestinal ferroptosis and gut-derived Aβ production · 2026 · DOIWhile polyunsaturated fatty acids have been studied extensively, the plasma levels, endogenous synthesis, and clinical relevance of monounsaturated fatty acids (MUFAs) in RA remain unclear.
Elevated plasma monounsaturated fatty acids and their associations with disease activity, adiposity and sex in patients with rheumatoid arthritis: a cross-sectional study · 2026 · DOIWhile polyunsaturated fatty acids have been studied, the plasma levels, endogenous synthesis, and relevance of monounsaturated fatty acids (MUFAs) in RA remain unclear.
Elevated plasma monounsaturated fatty acids and their associations with disease activity, adiposity and sex in patients with rheumatoid arthritis: a cross-sectional study · 2026 · DOIThe optimal dosage of CLA for hepatic anti-inflammatory activity is unclear. There is a need to investigate the dose-dependent effects of CLA on hepatic anti-inflammatory activity in mice.
Dose-Dependent Effects of Conjugated Linoleic Acid on Hepatic Anti-Inflammatory Activity in Mice · 2026 · DOIIn MASLD investigations, the WELCOME trial and subsequent studies demonstrate improvements in hepatic steatosis but provide limited data on histological outcomes or disease progression markers.
Beneficial Effects of Omega-3 Fatty Acids on Obesity and Related Metabolic and Chronic Inflammatory Diseases · 2025 · DOIThis cohort study, based on a community sample of pregnant women from a developed country, contributes to the limited evidence on the association of maternal serum levels of n-6 and n-3 LCPUFAs during gestation on infant neurodevelopment.
Maternal Omega-6/Omega-3 Concentration Ratio During Pregnancy and Infant Neurodevelopment: The ECLIPSES Study · 2025 · DOIThis raise of awareness should also focus on the health benefits offered by these nutrients, encouraging the population to incorporate ω-3 and ω-6 PUFAs in the daily diet through both foods and supplements in a more informed and conscious manner.
The Role of Omega-3 and Omega-6 Polyunsaturated Fatty Acid Supplementation in Human Health · 2025 · DOIHowever, whether it also has potential effects on inflammation has not been investigated. However, the underlying biomolecular mechanism of such an interaction remains poorly understood.
Calanus Oil and Lifestyle Interventions Improve Glucose Homeostasis in Obese Subjects with Insulin Resistance · 2025 · DOIAlthough the quantification of leukocyte abundance in healthy skin remains relatively underexplored, these findings are consistent with previous reports in terms of order of magnitude.
Ex Vivo Human Skin as a Platform to Study Cosmetic Modulation of Specialized Pro-Resolving Mediators · 2025 · DOISex differences in hippocampal volumes are well-documented, but their interaction with HIV status and omega-3 fatty acids-particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA)-remains unclear, especially in underserved populations.
HIV and Low Omega-3 Levels May Heighten Hippocampal Volume Differences Between Men and Women With Substance Use · 2025 · DOIFuture research on the application of EPA and DHA in the context of muscle strength in humans should include a rigorous methodology. This includes: training supervision and standardized diet for all participants, which will allow to exclude the influence on muscle strength factors other than EPA and DHA, as well as a sufficiently long and high dose of supplementation.
Omega-3 Fatty Acids and Muscle Strength—Current State of Knowledge and Future Perspectives · 2024 · DOIThe impact of omega-3 fatty acid levels on CHD risk remains a subject of debate. There is a need for a comprehensive analysis of individual-level data to investigate the association between n-3 PUFA levels and CHD risk.
Circulating Omega-3 Polyunsaturated Fatty Acids Levels in Coronary Heart Disease: Pooled Analysis of 36 Observational Studies · 2024 · DOI49—highlights the importance of product-specific fatty acid information when making supplement recommendations, given that compositional characteristics vary widely and cannot be inferred from product category alone.
Comparative Analysis of the Fatty Acid Profiles of Hypoallergenic Veterinary Diets, Commercial Dog Foods, and Oral Fatty Acid Supplements Available on the Hungarian Market · 2026 · DOIFurther in-depth verification of the PPARγ pathway is still needed - Examination of the tissue distribution and lipid metabolic profile…
Dose-Dependent Effects of Conjugated Linoleic Acid on Hepatic Anti-Inflammatory Activity in Mice · 2026 · DOIThe study used a historical cross-sectional design, - The sample size was limited to 111 participants, - The study was conducted in a single university…
Dietary Fatty-Acid Quality, Omega-3 and Omega-6 Intake, and Food Sources Among 18–22-Year-Old Students at a UK University (2016) · 2026 · DOILarger, contemporary university cohorts should be studied to confirm the findings, - Studies should investigate the relationship between dietary fatty-acid quality and health outcomes in university…
Dietary Fatty-Acid Quality, Omega-3 and Omega-6 Intake, and Food Sources Among 18–22-Year-Old Students at a UK University (2016) · 2026 · DOIMore trials and detailed subgroup analysis information are needed to fully evaluate true subgroup effects - Considerable heterogeneity exists between studies due to differing methods for measuring PUFAs and pooling data from multiple sample types - Dietary conditions in various geographic regions may contribute to this studyʹs heterogeneity - Blood samples were analyzed only once at baseline, and levels could have…
Circulating Omega-3 Polyunsaturated Fatty Acids Levels in Coronary Heart Disease: Pooled Analysis of 36 Observational Studies · 2024 · DOIFurther work on the role of maternal dietary intake of LA on leptin regulation, particularly in humans, - Further studies to delve deeper into the relationship between a high intake of LA in the diet and its effects on pregnancy, - Investigation into the link between FA intake and ECs during…
Most-cited papers in Fatty Acid Research and Health
- Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial · The Lancet · 1999 · 3,117 citations
- Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease · The Lancet · 1994 · 1,564 citations
- The Effect of Dietary Supplementation with n—3 Polyunsaturated Fatty Acids on the Synthesis of Interleukin-1 and Tumor Necrosis Factor by Mononuclear Cells · New England Journal of Medicine · 1989 · 1,548 citations
- Effect of n-3 polyunsaturated fatty acids in patients with chronic heart failure (the GISSI-HF trial): a randomised, double-blind, placebo-controlled trial · The Lancet · 2008 · 1,106 citations
- Beneficial Outcomes of Omega-6 and Omega-3 Polyunsaturated Fatty Acids on Human Health: An Update for 2021 · Nutrients · 2021 · 978 citations
- Effect of High-Dose Omega-3 Fatty Acids vs Corn Oil on Major Adverse Cardiovascular Events in Patients at High Cardiovascular Risk · JAMA · 2020 · 915 citations
- Fish and Omega-3 Fatty Acid Intake and Risk of Coronary Heart Disease in Women · JAMA · 2002 · 761 citations
- Long-Chain ω-3 Fatty Acids for Indicated Prevention of Psychotic Disorders · Archives of General Psychiatry · 2010 · 752 citations
- Maternal Supplementation With Very-Long-Chain n-3 Fatty Acids During Pregnancy and Lactation Augments Children’s IQ at 4 Years of Age · PEDIATRICS · 2003 · 703 citations
- Tissue levels of polyunsaturated fatty acids during early human development · The Journal of Pediatrics · 1992 · 645 citations
Most recent work
- Lipid metabolism: a molecular switch to control inflammation · International Immunopharmacology · 2026
- Lipid metabolism, viral infection, and antiviral immunity: a new host-pathogen interface · Frontiers in Cellular and Infection Microbiology · 2026
- Scientific Opinion on the tolerable upper intake level for supplemental docosahexaenoic acid · EFSA Journal · 2026
- Omega-3 PUFAs reduce inflammation by targeting NRF2 and NF-κB activity in an ex vivo model of cardiac mature adipocytes and adipose derived stem cells from atherosclerotic patients · Food & Function · 2026
- The controversial role of linoleic acid in cardiometabolic health: from molecular pathways to human studies · Frontiers in Nutrition · 2026
- From lipid function to dysfunction: Very long-chain fatty acids as emerging regulators of neuroinflammatory pathways · iScience · 2026
- Maresins · Biomolecules · 2026
- The omega-3 DHA induces pyroptosis and mitochondrial dysfunction in ovarian cancer cells via ROS and caspase-1 activation · Cell Death Discovery · 2026
- A sustainable source of freshwater fish oil: Nutritional and functional insights through lipidomics and metabolomics · LWT · 2026
- Short-, medium-, versus long-chain fatty acids: mechanisms of immunomodulation and disease pathogenesis · Cellular and Molecular Immunology · 2026
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