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Given their role in regulation of inflammation, long\u2010chain n\u20103 polyunsaturated fatty acids (PUFAs) represent a potential supplementary therapeutic approach to current drug regimens used for IBD. Mechanistically, there is ample evidence for an anti\u2010inflammatory and pro\u2010resolution effect of long\u2010chain n\u20103 PUFAs after they incorporate into cell membrane phospholipids. They disrupt membrane rafts and when released from the membrane suppress inflammatory signaling by activating PPAR\u2010\u03b3 and free fatty acid receptor 4; furthermore, they shift the lipid mediator profile from pro\u2010inflammatory eicosanoids to specialized pro\u2010resolving mediators. The allocation of long\u2010chain n\u20103 PUFAs also leads to a higher microbiome diversity in the gut, increases short\u2010chain fatty acid\u2010producing bacteria, and improves intestinal barrier function by sealing epithelial tight junctions. In \nline with these mechanistic studies, most epidemiological studies support a beneficial effect of long\u2010chain n\u20103 PUFAs intake on reducing the incidence of IBD. However, the results from intervention trials on the prevention of relapse in IBD patients show no or only a marginal effect of long\u2010chain n\u20103 PUFAs supplementation. In light of the current literature, international recommendations are supported that adequate diet\u2010derived n\u20103 PUFAs might be beneficial in maintaining remission in IBD patients.<\/jats:p>","DOI":"10.1002\/mnfr.201901269","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T03:27:08Z","timestamp":1597202828000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Nutritional Lipids and Mucosal Inflammation"],"prefix":"10.1002","volume":"65","author":[{"given":"Paulina","family":"Wawrzyniak","sequence":"first","affiliation":[{"name":"Division of Clinical Chemistry and Biochemistry University Children's Hospital Zurich  Zurich 8032 Switzerland"},{"name":"Children's Research Center University Children's Hospital Zurich  Zurich 8032 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