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Table 7

Individual role of ALA, EPA and DHA on BC.

n-3 PUFAAmount of Fatty AcidEffectMechanismReference
ALANAModerate decrease BC riskNA[45]
~22.8 g of ALA per kg dietReduced tumor cell proliferationInhibited HER2, EGFR expression[78]
~22.8 g of ALA per kg dietInhibited MCF-7 cell proliferation [78]
~11 g ALA per kg dietReduced tumor incidence and burdenIncreased BAX/Bcl-2 ratio[93]
10.6 g ALA per kg dietDecreased tumor growth rateInhibited HER2 expression[105]
72 μM ALAModerate inhibited ER-negative cell proliferation, not affect MCF-7NA[124]
30 μM of ALASlightly inhibited MCF-7NA[122]
NAInversely associated with BC riskNA[133]
NAInversely correlated with metastasis developmentNA[134]
55.9 g ALA per kg dietReduced tumor growth and metastasisNA[135]
8 g ALA per kg dietDecreased tumor growth rateNA[136]
10 g ALA per kg dietReduced tumor burden and increased survival rateNA[137]
2.5-40 μM of ALAenhanced cytotoxic effects of Trastuzumab (at 10 μM of ALA)Down-regulated HER2 (at 20 μM of ALA)[138]
10 μM of ALADiminished proteolytic cleavage of the extracellular domain of HER2Inhibited HER-2 activity[139]
~21.2 g of ALA per kg dietMinimal inhibited tumor growth w/wo TrastuzumabNA[140]
52.8 g of ALA per kg dietInhibited mammary tumor developmentNA[141]
EPA40–80 g of EPA per kg dietSlowed down tumor growth, reduced tumor burdenDecreased AA derived-eicosanoid[20]
3–100 μM of EPAInduced BC cell apoptosis (at 50 μM of EPA)NA[86]
40–200 μM of EPARestored the growth inhibitory effect of Tamoxifen (at 40 μM of EPA)Decreased pAkt (at 20 μM of EPA)[97]
20–80 g of EPA per kg dietInhibited the development of lung metastasisNA[126]
100 μM of EPAInhibited MCF-7 cell growthNA[125]
40 μM of EPAInduced apoptosis, inhibited cell proliferation, arrested cell cycle at G0/G1down-regulated Bcl-2 expression[142]
95 g of EPA per kg dietReduced KPL-1 cell proliferation rate and metastasisNA[143]
42 g of EPA per kg dietSuppressed cell proliferation in MCF-7 xenografts in ratsNA[144]
50 μM of EPAIncreased PPARγ at mRNA levelNA[145]
0–200 μM of EPAInhibited MCF-7 cell growth (at 60 μM of EPA)NA[146]
DHA120 μM of DHADecreased cancer cell viability, enhanced the cytotoxic activity of taxanesDecreased the expression of Her-2/neu[5]
100 μM of DHADisrupted lipid rafts, induced apoptosis in HER-2 overexpressing cellsDecreased Akt activity and FAN[6]
100 μM of DHADecreased MDA-MB-231 cell proliferation, enhanced EGFR inhibitorsAltered EGFR phosphorylation and localization[56]
0–200 μM of DHAReduced MCF-7 cell viability and DNA synthesis (at 25 μM of DHA)Increased lipid peroxidation, capase 8 activation[146]
20 or 100 μM of DHAInhibited MDA-MB-231 cell proliferation, promoted nuclear condensationIncreased caspase-3 activity (at 100 μM of DHA)[147]
10–160 μM of DHAInhibited MCF-7 cell growth and induced apoptosis (at 40 μM of DHA)Downregulated Bcl-2, increased Bax/Bcl-2 ratio[148]
270 μM of DHA50% inhibitory KPL-1 cell growth after 72 h treatmentDownregulated Bcl-2, increased Bax/Bcl-2 ratio[149]
40 g of DHA per kg dietDecreased tumor growth rate and final tumor weight, increased apoptosisReduced tumor PGE2, decreased Ki-67[150]
32 g of DHA per kg dietReduced tumor incidenceIncreased BRCA1 at protein level[151]
30 μM of DHA50% inhibitory MCF7 cell growth after 96 h treatmentIncreased BRCA1/2 at transcriptional level[152]
NAIncreased response of the tumor to chemotherapies, increased survival rate [153]

NA: not available.

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