neonatal necrotizing enterocolitis (nec) is a serious gastrointestinal disease with high death rate in premature infants. fish oil (fo) and its constituents have been shown to ameliorate intestinal inflammation and mucosal damage. However, the underlying mechanism of action is not known. In the present study, we divided Sprague-Dawley rats into three groups: control group, NEC model group, and FO pre-feeding+NEC model group. Briefly, one week before NEC modeling, in addition to being fed with milk, the FO pre-feeding+NEC modeling group was fed with FO, the NEC group was fed with saline, and the control group was only inserted a gastric-tube for 7 days. Subsequently, histological assay, Western blot, and ELISA were performed. Pretreatment with FO attenuated the NEC symptoms, alleviated intestinal pathological injury, and decreased the expressions of pro-inflammatory cytokines such as interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α). Furthermore, pretreatment with FO reduced the expressions of endoplasmic reticulum stress (ERS) related proteins, caspase-12, and glucose-regulated protein 78 (GRP78). In addition, intestinal histopathological scores showed a significant positive correlation with intestinal expressions of IL-6, TNF-α, and caspase-12. Collectively, these results indicate that ERS pathway might be involved in the effect of FO in alleviating intestinal mucosal inflammation and injury in rats with NEC Neonatal necrotizing enterocolitis (NEC) is a serious gastrointestinal disease that affects premature infants and is associated with a high mortality rate. Various factors such as premature birth, formula feeding, intestinal ischemia, and bacterial colonization are known to activate the intestinal inflammatory response that ultimately induces NEC 1 . A variety of inflammatory factors such as platelet activating factor (PAF), tumor necrosis factor alpha (TNF-α), interleukin (IL)-6, and IL-8 have been implicated in the pathogenesis of NEC 2 . Elevated levels of IL-6 and IL-8 were found in infants with NEC 3 . During the process of NEC, TNF-α was shown to induce significant mitochondrial dysfunction and mitochondrial apoptosis, which eventually led to apoptosis of intestinal epithelial cells 4 . Recently, the anti-inflammatory effects of docosahexaenoic acid (DHA) and arachidonic acid were shown to prevent NEC in premature infants 5 . Insulin-like growth factor I 6 and berberine 7 were shown to attenuate inflammation and ameliorate the clinical symptoms and progression of NEC. Taken together, the mechanism for alleviating NEC effectively is worthy of study.The endoplasmic reticulum (ER) is an organelle with characteristic flattened, membrane-enclosed sacs or tube-like structures. ER includes rough ER and smooth ER. Rough ER is studded with ribosomes and plays a role in protein synthesis, while the smooth ER is involved in lipid synthesis and metabolism. Harmful stimuli such as hypoxia, infection, oxidative stress, and harmful metabolites disrupt homeostasis in ER and cause ER dysfunction which further in...