Inflammation Resolution
Inflammation resolution is an active, genetically programmed process — not merely the passive fading of an inflammatory signal. Specialised pro-resolving mediators (SPMs), including resolvins, protectins, and maresins, are synthesised from EPA and DHA and act as molecular stop signals that terminate the inflammatory cascade, clear cellular debris, and restore tissue homeostasis. Failure of this resolution phase — rather than excessive initiation of inflammation — is now understood as a primary driver of chronic inflammatory disease. Adequate omega-3 status is essential for SPM synthesis, which explains much of the anti-inflammatory benefit attributed to EPA and DHA.
Viewpoints

Bill Harris: SPMs are the molecular stop signal that actively terminates the inflammatory cascade
Bill Harris
“The resolution of inflammation is not the absence of pro-inflammatory signalling — it requires the active production of SPMs from EPA and DHA to switch off the response. You can either block inflammation from starting, or you can facilitate its proper resolution; most anti- inflammatory drugs do the former, but SPMs do the latter without suppressing the immune defence needed at the start. This distinction is critical for therapeutic strategy.”

Rhonda Patrick: High omega-3 index resolves inflammation even under severe oxidative stress
Rhonda Patrick
“In smokers — one of the highest chronic oxidative-stress states possible — individuals with a high omega-3 index (above 8%) showed markedly lower inflammatory burden than smokers with low omega-3 status. This suggests that adequate EPA and DHA can sustain SPM production even under conditions of intense oxidative challenge, providing ongoing pro- resolving capacity where it is most needed.”
Key Moments

Rhonda Patrick: Blood omega-3 index is the only reliable measure of EPA and DHA tissue status
Rhonda Patrick
“Dietary self-reports are inadequate for estimating omega-3 status — the amount and quality of omega-3 in food is highly variable and people consistently misjudge intake. The omega-3 index, measured directly from red blood cell phospholipid content, is the only way to know whether tissue EPA and DHA are sufficient for robust SPM production and inflammation resolution.”

Rhonda Patrick: Zinc acts as an ionophore facilitating entry into immune cells for resolution
Rhonda Patrick
“Zinc is an essential cofactor for immune resolution — it modulates neutrophil and macrophage function during the resolution phase of inflammation. Zinc ionophores can bypass normal transporter-mediated entry and drive intracellular zinc up rapidly, which is relevant both for antiviral immune responses and for restoring normal resolution signalling in zinc-deficient states.”
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