Inhibitory action of Lipoxins and Resolvin E1 on neutrophil
functions
Deregulated neutrophilic inflammation and chronic infection lead to progressive
destruction of the airways in cystic fibrosis (CF). In normal tissues, the lipoxins and
resolvins are endogenous anti-inflammatory lipid mediators that are important as
regulators of neutrophilic inflammation [1], [2], [3]. In CF, production of lipoxins is impaired [4], [5].
In response to infection or tissue injury, arachidonic acid produces proinflammatory
Leukotriene B4 that leads to neutrophil recruitment and
acute inflammation [6], [7], [8].
Lipoxins are bioactive eicosanoids derived from arachidonic acid. In contrast to
proinflammatory leukotrienes and prostaglandins, lipoxins (Lipoxin
A4 and 15-epi-LXA4) display potent
antiinflammatory actions, including attenuation of neutrophil respiratory burst and
transendothelial migration [1], [9].
Lipoxins mediate a transition from acute to chronic inflammation and promote
resolution [2], [8], [10]. In CF, inflammatory
response remains persistently neutrophilic (acute inflammation) that leads to tissue
injury and further infection. This may be attributed to a documented defect in the
generation of lipoxins [1], [4], [5].
Resolvin E1 is also a potent anti-inflammatory and
proresolving mediator derived from omega-3 eicosapentaenoic acid produced during the
resolution phase of inflammation. Resolvin E1 possesses a
unique structure and counter-regulatory actions that stop human neutrophil
transendothelial migration [2], [3], [11].
Leukotriene B4 and Lipoxins (Lipoxin
A4 and 15-epi-LXA4) interact with highly
specific and distinct G protein-coupled membrane receptors [12], [13], [14] to evoke opposing leukocyte responses, including
Lipoxin A4 inhibition of Leukotriene
B4-initiated respiratory burst, chemotaxis, adhesion, and transmigration
[15].
Leukotriene B4 binds to the Leukotriene B4 receptor
(LTBR1) that via G-protein alpha-i family
and G-protein beta/gamma subunits activates
Phosphatidylinositol 3-kinase (PI3K reg class IB (p101) and
PI3K cat class IB (p110-gamma)) signaling [6], [16].
Resolvin E1 selective binding to
LTBR1 blocks its stimulation by Leukotriene
B4 and inhibits receptor signaling. Resolvin
E1/ LTBR1 interaction followed by
attenuation of neutrophil superoxide production and transendothelial migration leads to
the resolution of acute inflammation [11].
Lipoxin A4 and 15-epi-LXA4
interact with the Formyl peptide receptor-like 1 (FPRL1)
[1], [2], [10], [14] that transduces
counter-regulatory signals in part via intracellular polyisoprenyl phosphate remodeling.
Presqualene diphosphate is a polyisoprenyl phosphate in
human neutrophils that is rapidly converted to Presqualene
monophosphate upon cell activation. Phosphatidic acid phosphatase type 2
domain containing 2 (PPAPDC2) is presqualene diphosphate
phosphatase that converts Presqualene diphosphate to
Presqualene monophosphate [17]. In human
neutrophils, leukotriene-induced LTBR1 signaling initiates a
rapid decrease in Presqualene diphosphate levels, probably
through PPADC2 activation, to promote proinflammatory cell
response, whereas lipoxin-induced FPRL1 signaling
dramatically blocks Presqualene diphosphate turnover to
Presqualene monophosphate, probably through
PPADC2 inhibition, to prevent neutrophil activation [8], [18].
Presqualene diphosphate, but not
Presqualene monophosphate, directly inhibits
PI3K cat class IB (p110-gamma) and Phospholipase D1
(PLD1), preventing subsequent NADPH oxidase assembly and
superoxide anion generation [8], [18], [19], [20], [21], [22].
Protein kinase C zeta (PKC-zeta) is activated downstream
of Phosphatidylinositol 3-kinase signaling [23], [24], [25].
PLD1 hydrolyzes membrane
Phosphatidylcholines to generate Phosphatidic
acid, a powerful activator of PKC-zeta, which
phosphorylates NADPH oxidase complex subunits [26], [27], [28], [29], [30].
Lipoxin A4 (or 15-epi-LXA4)/ (FPRL1) signaling leads to accumulation of
Presqualene diphosphate, and, thereby, blocks assembly of
NADPH oxidase [9], [18]. Decreased Superoxide anion
(O(2)(-)) production is consistent with a shift in the
O(2)(-) / Nitric Oxide ratio,
resulting in decreased Peroxynitrite (ONOO(-)) formation.
Reductions in ONOO(-) formation are associated with
attenuation of nuclear accumulation of transcription factors Nuclear factor kappa-B
(NF-kB) and AP-1 (c-Jun/c-Fos),
which act in concert to induce Interleukin 8 (IL-8) gene
transcription [31].
Lipoxin A4 and 15-epi-LXA4
signaling may protect NF-kappa-B inhibitor alpha (NFKBIA)
from nitration by ONOO(-) [32], thereby
preventing activation of NF-kB, or may attenuate
Mitogen-activated protein kinase kinase kinase 14
(NIK(MAP3K14))/ I-kappa-B kinase-alpha
(IKK-alpha)/ NF-kappa-B inhibitor
(I-kB)/ NF-kB pathway [9], [33].
Leukotriene B4 also induces neutrophil migration by
Reactive oxygen species-Extracellular signal-regulated kinases 1 and 2
(ERK1/2)-linked cascade [34]. Superoxide
(O(2)(-)) production results in Hydrogen
peroxide formation [35], [36], [37].
ERK1/2 activated by Hydrogen peroxide
[34], [38] can modulate the actin/myosin
cytoskeleton remodeling necessary for cell motility [39], [40], [41], [42], and, possibly, can participate in
c-Jun/c-Fos activation.
IL-8 is one of the key pro-inflammatory chemokines in the
airways of CF patients; therefore Lipoxin- and Resolvin-induced counter-regulation of
IL-8 expression is the critical pathway for 'stop-signaling'
to neutrophil accumulation and for resolving stage of acute inflammation [1], [2], [3], [10], [43], [44], [45], [46].
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