“…For instance, Kramer and co-workers (Kramer et al 1991) have found a significant decrease in lymphocyte proliferation following a high dose of fish oil, and this effect is completely reversed by concurrent supplementation of vitamin E. In contrast, Trebble et al (2003b) have found no effect of co-administering an antioxidant mix with a fish oil supplement, and all other studies that have found decreased lymphocyte proliferation used capsules enriched with vitamin E (apart from one study that used fish; Meydani et al 1993). On the other hand, the observation by Meydani et al (1991) that older (female) subjects are more susceptible to the effects of long-chain n-3 PUFA is further supported by three other studies in elderly DB, double-blind; PC, placebo-controlled; R, randomised; ALA, a-linolenic acid (18: 3n-3); STA, stearidonic acid (18: 4n-3); GLA, g-linolenic acid (18: 3n-6); Con A, concanavalin A; PHA, phytohaemagglutinin; PWM, pokeweed mitogen; IFN-g, interferon-g; fl, decrease; ›, increase. *The cohorts are listed according to ascending dose of EPA + DHA.…”