Fatty acids have various effects on immune and inflammatory responses, acti
ng as intracellular and intercellular mediators. Polyunsaturated Fatty acid
s (PUFAs) of the omega-3 family have overall suppressive effects, inhibitin
g lymphocyte proliferation, antibody and cytokine production, adhesion mole
cule expression, natural killer cell activity and triggering cell death. Th
e omega-6 PUFAs have both inhibitory and stimulatory effects. The most stud
ied of these is arachidonic acid that can be oxidized to eicosanoids, such
as prostaglandins, leukotrienes and thromboxanes, all of which are potent m
ediators of inflammation. Nevertheless, it has been found that many of the
effects of PUFA on immune and inflammatory responses are not dependent on e
icosanoid generation. Fatty acids have also been found to modulate phagocyt
osis, reactive oxygen species production, cytokine production and leukocyte
migration, also interfering with antigen presentation by macrophages. The
importance of fatty acids in immune function has been corroborated by many
clinical trials in which patients show improvement when submitted to fatty
acid supplementation. Several mechanisms have been proposed to explain fatt
y acid modulation of immune response, such as changes in membrane fluidity
and signal transduction pathways, regulation of gene transcription, protein
acylation, and calcium release. In this review, evidence is presented to s
upport the proposition that changes in cell metabolism also Flay an importa
nt role in the effect of fatty acids on leukocyte functioning, as fatty aci
ds regulate glucose and glutamine metabolism and mitochondrial depolarizati
on.