**Background:** Microalgae like Nannochloropsis oculata are rich in polyunsaturated fatty acids (PUFAs), proteins, and bioactive compounds, making them promising aquafeed supplements. However, data on the hypolipidemic and comprehensive immunological effects of N. oculata in Nile tilapia were lacking. This study aimed to evaluate the nutritional, biochemical, and immunological impacts of dietary N. oculata supplementation in Nile tilapia.
**Methods:** One hundred thirty-five apparently healthy Nile tilapia (initial body weight 34.42 ± 1.47 g) were randomly assigned to three groups (45 fish/group, 15 fish/tank): control (basal diet), N5 (5% N. oculata), and N10 (10% N. oculata). Fish were fed 3% of their biomass for 7 weeks. Growth performance indices were calculated. Proximate composition and fatty acid profiles of N. oculata, diets, and whole fish bodies were analyzed via GC-MS. Serum lipid profiles (cholesterol, TG, LDL, HDL) were measured using Cobas reagents. Hepatic mRNA expression of stress (Hsp70, GPx, GST), immune (IL-1β, TNF-α, TGF-β1, IL-10), apoptotic (caspase3, PCNA), and lipid metabolism (FAS, PPARα) genes was quantified by RT-qPCR using the 2^−ΔΔCT method with β-actin as a housekeeping gene. Histopathological examination of intestine, liver, and spleen was performed. Statistical analysis used one-way ANOVA with significance at P < 0.05.
**Key Results:** The N10 group showed significantly higher final weight (72.27 ± 2.39 g vs. 61.45 ± 2.35 g, P = 0.008), body weight gain (38.27 ± 3.03 g vs. 26.54 ± 2.18 g, P = 0.007), specific growth rate (1.55 ± 0.13 vs. 1.15 ± 0.091, P = 0.032), and better feed conversion ratio (0.76 ± 0.09 vs. 2.14 ± 0.26, P < 0.001) compared to control. Whole-body crude protein increased significantly in N10 (20.3 ± 0.47%) vs. control (17.23 ± 0.67%, P = 0.019). Whole-body EPA and DHA levels increased significantly (P < 0.001) in both supplemented groups, with the highest levels in N10 (EPA: 3.45 ± 0.07%; DHA: 14.63 ± 0.20%). The n-3/n-6 ratio improved significantly (P < 0.001) from 0.28 in control to 1.87 in N10. Serum HDL increased significantly (P < 0.01) and LDL decreased significantly (P < 0.05) in both N5 and N10 vs. control, with no significant changes in cholesterol or TG. Hepatic Hsp70, GPx, and GST were significantly upregulated (P < 0.01; P < 0.05) in both supplemented groups. IL-1β was significantly upregulated in N5 (P < 0.05) and N10 (P < 0.01), while IL-10 was significantly upregulated only in N10 (P < 0.05). FAS expression was significantly downregulated (P < 0.01) in both N5 and N10 vs. control. No significant changes were observed in PPARα, caspase3, or PCNA expression. Histopathology showed minimal changes; the spleen exhibited melanomacrophage activation indicating immune enhancement, with no inflammatory changes in liver or intestine.
**Clinical Implications:** Dietary supplementation with N. oculata, particularly at 10%, significantly improves growth performance, fatty acid profile (especially EPA and DHA), and lipid profile (higher HDL, lower LDL) in Nile tilapia. It upregulates antioxidant and immune-related genes while downregulating lipogenic FAS expression, without adverse effects on hepatic health or histology. N. oculata is a safe, effective aquafeed supplement that can enhance fish health, reduce reliance on fish oil, and support sustainable aquaculture. Further research is needed to evaluate dose-dependent effects and efficacy after pathogen challenge.