Pharmacological Reviews xPharm- The Comprehensive Pharmacology Reference
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Brink, C.
Right arrow Articles by Yokomizo, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brink, C.
Right arrow Articles by Yokomizo, T.

Vol. 55, Issue 1, 195-227, March 2003

International Union of Pharmacology XXXVII. Nomenclature for Leukotriene and Lipoxin Receptors

Charles Brink, Sven-Erik Dahlén, Jeffrey Drazen, Jilly F. Evans, Douglas W. P. Hay, Simonetta Nicosiadagger, Charles N. Serhan, Takao Shimizu and Takehiko Yokomizo

Centre National de la Recherche Scientifique UMR 7131, Hôpital Broussais, Bâtiment René Leriche, Paris, France (C.B.); Unit for Experimental Asthma and Allergy, The National Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden (S.-E. D.); Harvard Medical School, Brigham and Woman's Hospital, Boston, Massachusetts (J.M.D.); Department of Pharmacology, Merck & Co., West Point, Pennsylvania (J.F.E.); GlaxoSmithKline, King of Prussia, Pennsylvania (D.W.P.H.); Division Molecular Pharmacology, Pharmacological Sciences, Milan, Italy (S.N.); Center for Experimental Therapeutics and Reperfusion Injury, Department of Anesthesia Research Laboratory, Brigham and Woman's Hospital/Harvard Medical School, Boston, Massachusetts (C.N.S.); Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Tokyo, Tokyo, Japan (T.S., T.Y.)

Abstract
I. Introduction
II. General Considerations
    A. Biochemical Pathways
    B. Cellular Origins
    C. Nomenclature for Leukotriene Receptors
III. Molecular Database for Leukotriene Receptors
    A. Molecular and Structural Aspects of Dihydro-Leukotriene Receptors
        1. BLT1.
        2. BLT2.
        3. Phenotypes Involving BLT Receptors.
    B. Molecular and Structural Aspects of Cysteinyl-Leukotriene Receptors
        1. CysLT1.
        2. CysLT2.
    C. Lipoxin Receptors
        1. Molecular and Structural Aspects of Lipoxin Receptors.
    D. Receptors and Cellular Signals
        1. BLT.
        2. CysLT.
        3. Lipoxins.
    E. Summary
IV. Properties and Significance of Leukotriene Receptors
    A. BLT Functional and Radioligand Binding Studies
    B. Cysteinyl-Leukotriene Functional Studies
        1. Airway Smooth Muscle Contraction.
        2. Vascular Smooth Muscle Contraction.
        3. Vascular Smooth Muscle Relaxation.
        4. Cardiovascular Effects.
        5. Diverse Effects of Cysteinyl-Leukotrienes.
    C. CysLT Radioligand Binding Studies
        1. [3H]LTC4 Binding Sites.
        2. [3H]LTD4 Binding Sites.
    D. Evidence for Additional CysLT Receptor Subtypes
    E. Clinical Studies Involving CysLT Receptors
    F. Summary
    G. Lipoxins Receptors
        1. Functional and Radioligand Binding Studies.
        2. Summary.
V. General Conclusions
References


    Abstract
Top
Next
References

The leukotrienes and lipoxins are biologically active metabolites derived from arachidonic acid. Their diverse and potent actions are associated with specific receptors. Recent molecular techniques have established the nucleotide and amino acid sequences and confirmed the evidence that suggested the existence of different G-protein-coupled receptors for these lipid mediators. The nomenclature for these receptors has now been established for the leukotrienes. BLT receptors are activated by leukotriene B4 and related hydroxyacids and this class of receptors can be subdivided into BLT1 and BLT2. The cysteinyl-leukotrienes (LT) activate another group called CysLT receptors, which are referred to as CysLT1 and CysLT2. A provisional nomenclature for the lipoxin receptor has also been proposed. LXA4 and LXB4 activate the ALX receptor and LXB4 may also activate another putative receptor. However this latter receptor has not been cloned. The aim of this review is to provide the molecular evidence as well as the properties and significance of the leukotriene and lipoxin receptors, which has lead to the present nomenclature.


    I. Introduction
Top
Previous
Next
References

Feldberg, Kellaway, and coworkers (Feldberg and Kellaway, 1938; Feldberg et al., 1938; Kellaway and Trethewie, 1940) observed that perfusion of guinea pig lungs with antigen induced the release of a material named "slow reaction smooth muscle-stimulating substance (SRS1)" that caused a contraction of the isolated guinea pig ileum bioassay tissue. These observations were confirmed by several workers (Schild et al., 1951; Brocklehurst, 1960) who demonstrated that SRS (renamed slow-reacting substance of anaphylaxis or SRS-A) was also released from the human lung following antigen challenge. Sweatman and Collier (1968) reported that SRS-A constricted human airways and the compound FPL 55712 (Augstein et al., 1973) was shown to inhibit SRS-A-induced contractions in the guinea pig ileum assay. These observations provoked an intense interest in elucidating the biochemical nature of this entity. Initial attempts to characterize this substance revealed that the factor was a low-molecular weight derivative of arachidonic acid (Orange et al., 1973; Bach et al., 1977; Jakschik et al., 1977) containing sulfur (Orange et al., 1973, Parker et al., 1979). SRS-A was identified subsequently to be a family of lipid mediators known as leukotrienes, a name derived from their cell source (leukocytes) and their conjugated double bonds (triene) structure (Borgeat et al., 1976; Borgeat and Samuelsson, 1979a,b,c; Murphy et al., 1979; Corey et al., 1980; Lewis et al., 1980; Morris et al., 1980; Rokach et al., 1980). Leukotriene B4 (LTB4) was the first of the leukotrienes to be isolated (Borgeat et al., 1976).

The elucidation of the structures and synthetic pathways for the leukotrienes lead to a considerable amount of research on these arachidonic acid metabolites (Fig. 1). This work involved comprehensive assessments of the biological profiles of both the cysteinyl-leukotrienes (cys-LTs: LTC4, LTD4, and LTE4) as well as dihydroxy-leukotriene (LTB4) and, more recently, the lipoxins. Lipoxins (LX), an acronym for eicosanoids, which are often generated during the transcellular metabolism of arachidonic acid via the sequential actions of the 15- and 5- or 5- and 12-lipoxygenase enzymatic pathways (Serhan et al., 1984; Samuelsson et al., 1987). When the synthetic ligands were made available many studies documented a myriad of actions for these lipid mediators (Table 1) providing pertinent evidence for their possible patho-physiological roles in inflammatory diseases, in particular asthma. During the last 20 years significant efforts involving diverse chemical strategies have been directed toward the identification and development of receptor antagonists. These compounds have facilitated the identification and characterization of distinct receptors, which are activated by either the dihydroxy- or cysteinyl-leukotrienes.



View larger version (23K):
[in this window]
[in a new window]
 
Fig. 1.   Major pathways for leukotriene and lipoxin formation. The leukotrienes and lipoxins are lipid mediators derived from arachidonic acid, which is released from cell membrane phospholipids by the action of phospholipase A2. Leukotriene formation is initiated by 5-lipoxygenase, which catalyzes the dioxygenation of arachidonic acid to 5-HPETE and the subsequent conversion to LTA4. This latter unstable epoxide is transformed either to LTB4 or LTC4, and LTC4 is further catalyzed to LTD4 and LTE4. The tetraene epoxide intermediate can be formed either from LTA4 or 15-HPETE depending upon the interactions of the different lipoxygenases, and this metabolite is enzymatically hydrolyzed to the lipoxins (LXA4 and LXB4).


                              
View this table:
[in this window]
[in a new window]
 
TABLE 1
Major biological actions of leukotrienes and lipoxins


    II. General Considerations
Top
Previous
Next
References

A. Biochemical Pathways

The leukotrienes are formed via activation of the 5-lipoxygenase enzyme (5-LO) in collaboration with the "5-lipoxygenase activating protein" (FLAP). A prerequisite for this enzymatic reaction is the hydrolyzation of arachidonic acid from membrane phospholipids by phospholipase A2. The principal 5-LO products of arachidonic acid metabolism are LTC4 and LTB4 as well as 5-hydroxyeicosatetranoic acid (5-HETE). In addition, eicosanoids that are formed by pathways that involve the dual lipoxygenation of arachidonic acid by either 15- and 5-LO or 5- and 12-LO are referred to as lipoxins (Serhan et al., 1984; Samuelsson et al., 1987). The transcellular metabolism of intermediates such as LTA4 and 15(S)-HETE is associated with LX formation (Serhan, 1994). LX and their carbon 15-epimer-LXs (aspirin-triggered lipoxins; ASA-15-epi-LX) are bioactive and structurally distinct from other eicosanoids in that they carry a conjugated tetraene system and are present in biological matrix in two main forms that are positional isomers, namely, lipoxin A4 (5S,6R,15S-trihydroxyeicosa-7E,9E,11Z,13E-tetraenoic acid) and lipoxin B4 (5S,14R,15S-trihydroxyeicosa-6E,8Z,10E,12E-tetraenoic acid; Serhan, 1997; Fig. 1). The aspirin-triggered form carry their C15 alcohol in the R configuration, which is inserted by COX-2 following aspirin treatment (denoted ASA-15-epi-LX). These metabolites are often produced during cell-to-cell interactions, and the principal targets appear to be platelets and leukocytes. During these cellular interactions, platelets convert neutrophil derived LTA4 to 5,6,-epoxytetraene through the action of platelet 12-LO. However, under these conditions the term 12-LO is a misnomer since this enzymatic activity was originally based on an interaction with arachidonic acid. This enzyme functions as a 15-LO (LX synthase) when the substrate is LTA4. Thus in an inflammatory condition LTA4 serves as a pivotal intermediate for both leukotriene and lipoxin formation.

B. Cellular Origins

The leukotrienes are formed in different cell types as well as via transcellular metabolism involving multiple cells such as neutrophil and platelets and vascular cells (Feinmark and Cannon, 1986; Maclouf and Murphy, 1988; Sala et al., 1993). Human eosinophils and neutrophils synthesize both LTC4 and LTB4, respectively (Bray et al., 1980; Ford-Hutchinson et al., 1980). Monocytes and macrophages also synthesize both LTB4 and the cys-LTs (Samuelsson, 1983). LTC4 is metabolized to LTD4 and LTE4 by the cells in which this mediator is formed. In addition, the cys-LTs can be transformed into 6-trans-LTB4 by hypochlorous acid, which is generated during the respiratory burst in leukocytes (Henderson et al., 1982; Lee et al., 1983). LTB4 is also metabolized in the cells which produce this metabolite, by a unique membrane bound cytochrome P450 enzyme. LTB4 is metabolized to 20-hydroxy-LTB4 (Hansson et al., 1981; Shak and Goldstein, 1985; Soberman et al., 1985). There is also evidence for a reductase dehydrogenase in polymorphonuclear leukocytes (PMN) that appears to be specific for LTB4 (Powell et al., 1989).

C. Nomenclature for Leukotriene Receptors

The previous IUPHAR publication (Coleman et al., 1995) introduced two main classes of leukotriene receptors. One based on the biological activities of leukotriene B4 and related hydroxyacids, referred to as BLT receptors, and a second class identified by the cysteinyl-leukotrienes (cys-LTs). The different profiles of biological activity for these two classes of metabolites were the initial basis for these categories and were supported by structure-activity data obtained in studies with a variety of compounds that selectively antagonized the different ligands. Activation of the BLT receptors initially was shown to produce potent chemotactic activities on leukocytes whereas the latter class (CysLT receptors) stimulated smooth muscle as well as other cells. However, the structures of the leukotriene receptors have recently been deduced from the nucleotide sequences of the cDNAs and the encoding proteins are now known for human, mouse, and rat. These data have permitted the IUPHAR committee to establish the nomenclature for the leukotriene receptors, and this is presented in Table 2. The phylogenic tree for the different eicosanoid and bioactive lipid G-protein-coupled receptors (GPCR) is illustrated in Fig. 2 and shows the molecular families with the relationship between leukotrienes and lipoxins as well as other proteins with seven transmembrane helices.


                              
View this table:
[in this window]
[in a new window]
 
TABLE 2
Human cloned leukotriene receptorsa

Data are from the following references: Fiore et al., 1992, 1994; Perez et al., 1992; Maddox et al., 1997; Takano et al., 1997; Yokomizo et al., 1997; Lynch et al., 1999; Sarau et al., 1999; Heise et al., 2000; Nothacker et al., 2000; Takasaki et al., 2000; Figueroa et al., 2001.



View larger version (24K):
[in this window]
[in a new window]
 
Fig. 2.   Dendogram of several GPCRs. The major receptor families for lipid mediators are indicated in this phylogenic tree. There are four known cell surface GPCRs for the leukotrienes, which are classified as either chemoattractants (BLT1 and BLT2) or nucleotide receptors (CysLT1 and CysLT2). The lipoxin receptor (ALX) is also included in the chemoattractant receptor class along with formyl peptide receptors (FPL). This evolutionary tree was constructed using the sequences from the receptors. Construction was performed by using the "All All Program" at the Computational Biochemistry Server at ETHZ (http://cbrg.inf.ethz.ch/ServerBooklet/chapter2-3.html).

The lipoxins, are chemically and functionally different from the leukotrienes (Fig. 1). Although LXA4 and LXB4 are similar in structure, these mediators display biological activities that are quite distinct. LXA4 interactions with neutrophils involves binding sites that are not recognized by LXB4 (Nigam et al., 1990; Fiore et al., 1992). LXB4 is a potent agonist for stimulating proliferation and differentiation of granulocyte-monocyte colonies from human mononuclear cells (Popov et al., 1989), increasing the S-phase in the cell cycle and enhancing nuclear protein kinase C activity (Beckman et al., 1992) actions, which have not been reported for LXA4. However, LXB4 has also been shown to share actions with LXA4, such as, both selectively stimulate human peripheral blood monocytes (Maddox and Serhan, 1996) and enhance growth of myeloid progenitor cells (Stenke et al., 1991). Furthermore, LXA4 does not activate BLT (Fiore et al., 1992) but activates FPRL-1 receptors (Chiang et al., 2000; Resnati et al., 2002; Perretti et al., 2002). These investigators have shown that ALX and FPRL-1 are the same receptor and that LXA4 is the natural and most potent ligand. In addition, Takano et al. (1997) have identified the amino acid sequence for the receptor associated with the LXA4 responses. In line with the IUPHAR nomenclature directives, this committee recommends that ALX be used to designate the receptor that has been cloned and is activated by the native ligand LXA4 (Table 2). LXB4-induced responses, although different from those of LXA4, have not to date provided sufficient evidence to specify another receptor. Since this receptor has not been cloned, the LXB4 response is associated with activation of a putative receptor.

The aim of this review is to present the evidence that led to the leukotriene nomenclature. To this end, information not only from the molecular database but also derived from the properties and significance of leukotriene receptors will be presented. Furthermore, the above nomenclature for the LX receptors is recommended as the framework for this evolving area of receptor research.


    III. Molecular Database for Leukotriene Receptors
Top
Previous
Next
References

A. Molecular and Structural Aspects of Dihydro-Leukotriene Receptors

1. BLT1. The cloning and characterization of the BLT1 receptor was achieved by cDNA subtraction using human leukemic cells HL-60, which were differentiated into granulocyte-like cells (Yokomizo et al., 1997). The BLT1 receptor was identified as a putative seven transmembrane domain receptor with 352 amino acids. This receptor had been initially misidentified as a purinergic receptor, P2Y7 (Akbar et al., 1996). BLT1 shares low homology to P2Y receptors and belongs to a family of receptors for chemoattractants including complement receptors and a recently identified novel prostaglandin D2 receptor, CRTH2 (Hirai et al., 2001). The homology between the BLT1 receptor for mouse and humans is presented in Fig. 3.



View larger version (69K):
[in this window]
[in a new window]
 
Fig. 3.   The sequence alignment of BLT1 and BLT2 from human and mouse receptors. The amino acid sequences were aligned using ClustalW and converted using Boxshade 3.21. The putative transmembrane domains of hBLT1 predicted by Kyte-Doolittle hydrophobicity analysis are overlined and labeled as I-VII. Consensus matches are boxed and shaded with darker shading for identities and light shading for conservative substitutions. The amino acid identity between human and mouse BLT1 was 78.6% whereas BLT2 was 92.7%. The mouse sequence data are available from Swiss-Prot under accession numbers (mBLT1: no entry presently available) and (mBLT2: Q9JJL9).

Kato et al. (2000) reported that the BLT1 gene consists of three exons located in a region of 5 kbp on chromosome 14. Whereas the open reading frame (ORF) for BLT1 is in the last exon (exon 3), the basal promoter activity is found 100-bp upstream from the transcriptional initiation site. This report and the data of Yokomizo et al. (2000) demonstrated that there was no TATA or CAT element near the transcription site. However, they did observe the presence of an Sp-1 site at -50 bp, which played a major role in the basal transcription of BLT1. Since the promoter region of BLT1 is rich in GC sequences and methylated in nonleukocyte cells but nonmethylated in leukocyte cells expressing BLT1, Kato et al. (2000) have suggested that the methylation state may, in part, be responsible for transcription of the BLT1 gene.

COS-7 membranes transfected with human BLT1 exhibited [3H]LTB4 binding with a Kd of 0.15 nM, comparable to the Kd of 0.14 nM for the differentiated HL-60 cells (Fiore et al., 1993; Yokomizo et al., 1997; Table 3). Various eicosanoids also competed for the [3H]LTB4 binding to COS-7 membranes expressing human BLT1 and the potency ranking (Ki values) were: LTB4 (0.38 nM) > 20-hydroxy-LTB4 (7.6 nM) = 12-oxo-LTB4 (7.6 nM) > 12R-HETE (30 nM) > 20-COOH-LTB4 (190 nM). This profile agrees with the previously characterized LTB4 binding sites in human granulocytes. The structures and potencies of several antagonist for these receptors in Chinese hamster ovary (CHO) cells expressing human BLT (CHO-BLT) are presented in Table 4.


                              
View this table:
[in this window]
[in a new window]
 
TABLE 3
Recombinant BLT receptors in transfected cells and [3H]LTB4 binding

[3H]LTB4 binding in transfected cells. Kd and Bmax indicate affinity and receptor density, respectively. Values are mean data from the references indicated.


                              
View this table:
[in this window]
[in a new window]
 
TABLE 4
Several BLT antagonists and structures

BLT1 mRNA is predominantly expressed in leukocytes, granulocytes, macrophages, and eosinophils with high amounts of BLT1 in human and mouse cells (Yokomizo et al., 1997; Huang et al., 1998). In addition, BLT1 expression is inducible in activated macrophages (Toda et al., 1999) and eosinophils treated with IL-5 (Huang et al., 1998), suggesting an association of BLT1 with various inflammatory diseases. BLT1-transgenic mice showed enhanced PMN responses in the lung following ischemia-reperfusion and increased expression of 5-lipoxygenase in peritonitis (Chiang et al., 1999). Recently, two lines of BLT1-deficient mice have been reported, and a reduction in leukocytes migration was demonstrated (Haribabu et al., 2000; Tager et al., 2000).

2. BLT2. During the analysis of transcriptional regulation of human BLT1 gene (Kato et al., 2000), a putative ORF for a novel GPCR with structural similarity to BLT1 was identified (Yokomizo et al., 2000). This novel receptor was also found in a human genome sequence database, reported to act as a low-affinity receptor activated by LTB4 (Kamohara et al., 2000; Tryselius et al., 2000; Wang et al., 2000) and subsequently referred to as the BLT2 receptor (Yokomizo et al., 2001b). The gene structure for BLT2 has also been established (Yokomizo et al., 2001b). Of considerable interest is that the promoter region (Fig. 4) of human BLT1 overlaps BLT2 ORF (Kato et al., 2000). This represents the "promoter in ORF", as has been reported in prokaryotes but the biological significance of this rare gene structure is presently not clear. However, there is sufficient evidence that BLT1 and BLT2 form a gene cluster both in human (chromosome 14 q11.2-q12;) and mouse (Yokomizo et al., 2000) chromosomes suggesting that these receptors may be generated by gene duplication.



View larger version (12K):
[in this window]
[in a new window]
 
Fig. 4.   Structure of the human genomic DNA containing BLT1 and BLT2 located on human chromosome 14q11.2-q12. Chromosome 14 is indicated by the line; the transcribed segments are indicated by open boxes; putative ORFs are shown as filled boxes. Note that the promotor region for BLT1 is located in the ORF of BLT2. This is the first mammalian example of "promotor in ORF" (Yokomizo et al., 2001b).

The Kd values for LTB4 derived from transfection assays were 23 nM in human embryonic kidney (HEK)-293 cells (Yokomizo et al., 2000), and a Kd value of 0.17 nM in COS-7 cells (Wang et al., 2000). Although there are differences in the reported Kd values (Table 3 and Table 4), generally BLT2 is considered as a low-affinity receptor since the pEC50 value of LTB4 required for adenylyl cyclase inhibition and the concentrations required for LTB4-dependent chemotaxis were higher than those for BLT1 receptor activaton (Kamohara et al., 2000; Yokomizo et al., 2000). The tissue distribution of BLT2 assessed by different groups using Northern blots are varied. Using the ORF probe of BLT2 (Kamohara et al., 2000; Yokomizo et al., 2000) the highest expression was found in spleen, followed by leukocytes and ovary. Other groups reported that BLT2 is expressed highest in liver and intestine (Tryselius et al., 2000; Wang et al., 2000) using the 5'-UTR probes. The abundance of low-affinity binding sites for LTB4 in spleen membrane supports the data showing BLT2 expression in spleen (Showell et al., 1998). Of interest, the rank order of potency of several eicosanoids for BLT2 activation was LTB4 > 12-epi-LTB4 > 12S-HETE > 12S-HPETE > 12R-HETE > 20-hydroxy-LTB4, which is quite different from BLT1 (Yokomizo et al., 2001c). Currently, there are no data on specific in vivo functions for BLT2 receptors, however, lymphocytes have been suggested to be the target, since BLT2 is highly expressed in splenic T-cells (Yokomizo et al., 2001a).

3. Phenotypes Involving BLT Receptors. Investigations with transgenic mice expressing the human BLT1 receptor on leukocytes (Chiang et al., 1999) as well as targeted gene disruption of the BLT1 receptor in knockout mice (BLT-/-) indicate that an apparent phenotypic difference (Haribabu et al., 2000; Tager et al., 2000) from wild type littermates is not observed unless the animals are subject to experimental disease or injury, which are known to stress the effector immune system (vide infra).

In BLT1-/- mice (Haribabu et al., 2000; Tager et al., 2000) leukocytes exhibited a normal response to C5a and platelet-activating factor (PAF), however, there was a selective loss of responsiveness to exogenous LTB4. Tager et al. (2000) also reported that adhesion to the endothelium in response to LTB4 was diminished in leukocytes from BLT1-/- animals. These findings are in line with earlier observations with LTB4 in the hamster cheek pouch (Raud et al., 1991) and suggest that the BLT receptor is pivotal for the LTB4-induced leukocyte activation.

Unfortunately, there are only a limited number of investigations examining the relative input of LTB4 in chemotaxis during inflammation in vivo in genetically modified animals. Two groups (Haribabu et al., 2000; Tager et al., 2000) have provided evidence that peritoneal inflammation is suppressed in these deficient mice. Interestingly, Haribabu et al. (2000) described a loss of this protection at 72 h between -/- and +/+ animals, whereas Tager and colleagues (2000) observed an increase in protection between -/- and +/+ with time intervals greater than 50 h. These latter investigators also reported a marked diminution in the number of eosinophils, which accounted for virtually all of the changes in cellular influx. In contrast, Haribabu et al. (2000) noted reductions in both PMNs and macrophage populations. The basis for these differences is presently not known, but may be related to the different stimuli (zymosan versus thioglycollate) used to induce the inflammatory cellular infiltration in vivo.

Expression of the human BLT1 receptor in leukocytes has also been carried out using the CD11b promoter (Chiang et al., 1999). BLT receptor-transgenic mice displayed enhanced leukocyte responsiveness in acute dermal inflammation, with leukocyte trafficking to remote organs (as in secondary organ reperfusion injury), or in leukocyte recruitment following a peritoneal challenge. These results are consistent with the interpretation that LTB4 is associated with an excessive activation of leukocytes and the 5-LO pathway provoking leukocyte-mediated injury. Expression of the human BLT1 receptor in vivo lead to an up-regulation of 5-LO expression and leukotriene biosynthesis (Chiang et al., 1999). These results suggest that receptor expression may amplify proinflammatory circuits in vivo.

B. Molecular and Structural Aspects of Cysteinyl-Leukotriene Receptors

1. CysLT1. The cloning and characterization of the human CysLT1 receptor (hCysLT1) was achieved by two groups under the general program of identifying cognate ligands for orphan GPCRs, a process which has been termed "ligand fishing" (Lynch et al., 1999; Sarau et al., 1999). The hCysLT1 receptor was identified as a 337-amino acid putative seven transmembrane domain receptor, termed either HG55 (Lynch et al., 1999) or HMTMF81 (Sarau et al., 1999) (Fig. 5). The former investigators demonstrated that LTD4 produced activation of a calcium-activated chloride channel in Xenopus laevis oocytes expressing the cRNA for HG55 but not in control cells or oocytes expressing other GPCRs. This LTD4-induced stimulation of oocytes was blocked by the selective CysLT1 receptor antagonist MK-571 (Lynch et al., 1999) (Table 5). Similar results were obtained using the X. laevis melanophore signaling assay and in mammalian monkey kidney COS-7 cells expressing the HG55 (hCysLT1) receptor (Lynch et al., 1999).



View larger version (39K):
[in this window]
[in a new window]
 
Fig. 5.   Comparison of amino acid sequences of the human CysLT1 and CysLT2 receptors. A G-protein-coupled receptor snake diagram depiction of the amino acid sequences of the human CysLT1 and CysLT2 receptors. The amino acid identities between the hCysLT1 and hCysLT2 receptors is 37.3%.


                              
View this table:
[in this window]
[in a new window]
 
TABLE 5
CysLT1-selective and nonselective antagonists and structures

Researchers at SmithKline Beecham identified a GPCR (HMTMF81) that, when expressed in HEK-293 cells, responded selectivity with calcium mobilization to LTC4, LTD4, or LTE4 (0.1-10 µM) but not to more than 900 other ligands, including greater than 200 ligands for GPCRs.

The genomic organization of the hCysLT1 receptor has not been reported but consists of at least three exons with all of the open reading frame of the receptor in one exon (M. Metzker, Merck unpublished results). Three single nucleotide polymorphisms have been identified in the hCysLT1 receptor but none relate to the asthmatic phenotype (J. Drazen, unpublished data). The hCysLT1 receptor is located to chromosome Xq13-q21 (Lynch et al., 1999) and has 31% amino acid identity to the P2Y purinoceptor (Sarau et al., 1999).

Full Scatchard analyses of [3H]LTD4 binding to the HG55 (hCysLT1) COS-7 membranes demonstrated a Kd of 0.3 nM and Bmax of 50 fmol/mg of protein (Lynch et al., 1999). In the structure-affinity relationships, the IC50 for the agonists were LTD4 (0.9 nM), LTC4 (350 nM), and LTE4 (200 nM). The affinities of antagonists (Table 5) were similar to that demonstrated functionally in other systems for the CysLT1 receptor as well as in binding experiments on human lung or U937 cells (Frey et al., 1993; Lynch et al., 1999). Likewise the HMTMF81 (hCysLT1) receptor expressed in HEK-293 cells responded selectively to the cys-LTs with rank order of potency (pEC50 value) were LTD4 (2.5 nM) > LTC4 (24 nM) > LTE4 (240 nM) (Sarau et al., 1999). In these functional studies LTE4 was shown to be a partial agonist of the HMTMF18 (hCysLT1) receptor expressed in HEK-293 cells (Sarau et al., 1999). This is similar to evidence derived from the human bronchus (Labat et al., 1992), sheep trachea (Mong et al., 1988), and U937 cells (Saussy et al., 1989). [3H]LTD4 binding and LTD4-induced calcium mobilization in HEK-293 cells expressing the HMTMF18 (hCysLT1) receptor were potently inhibited by the structurally distinct CysLT receptor antagonists and the rank order of potency in this system was pranlukast = zafirlukast > montelukast > pobilukast (Sarau et al., 1999). LTD4-induced calcium mobilization in HEK-293 cells expressing the HMTMF18 (hCysLT1) receptor was not affected by pertussis toxin and appeared to result from the release of intracellular calcium stores (Sarau et al., 1999). In X. laevis melanophore signaling system, the HG55 (hCysLT1) receptor was shown not to couple via Galpha i (Lynch et al., 1999).

Northern analyses of human tissues showed that the hCysLT1 mRNA was detected as an approximately 2.8-kb species and was expressed in spleen, peripheral blood leukocytes, less strongly in lung, bronchus small intestine, colon, skeletal muscle, pancreas, placenta, and weakly in the prostate, heart, brain, liver, kidney, and adipose tissues (Lynch et al., 1999; Sarau et al., 1999). Further work is necessary to confirm whether expression in some of these tissues may be attributable to expression of the receptor on interstitial myeloid cells. The receptor was also detected in U937 cells and HL-60 cells, with an increase observed in dimethyl sulfoxide-differentiated HL-60 cells (Sarau et al., 1999). In HL-60 cells differentiated with sodium butyrate to eosinophilic-like cells, interleukin-5 treatment resulted in a 5-fold increase in the expression of the hCysLT1 (Thivierge et al., 2000). Northern analysis in normal and asthmatic lungs suggested no total differences in hCysLT1 mRNA expression, although in situ studies in asthmatic tissues have not been reported (Sarau et al., 1999). Using in situ hybridization, the hCysLT1 mRNA was shown in lung smooth muscle cells and interstitial macrophages, with little or no expression in epithelial cells (Lynch et al., 1999). These in situ findings were confirmed with immunohistochemical localization of the receptor protein using a specific hCysLT1 antiserum (Figueroa et al., 2001). In addition, the hCysLT1 mRNA and protein have been detected recently in normal peripheral blood eosinophils, subsets of monocytes and macrophages and in pregranulocytic CD34+ cells (Figueroa et al., 2001). The hCysLT1 protein was not observed on CD4+ or CD8+ peripheral T cell populations (Figueroa et al., 2001). In situ and immunohistochemical studies of the hCysLT1 in diseased lung and other tissues are needed to determine whether the expression of the hCysLT1 changes in asthma, allergy, or other pulmonary and inflammatory diseases.

Two isoforms of the mouse CysLT1 receptor (mCysLT1) have been cloned from a mouse lung cDNA library (Maekawa et al., 2001; Martin et al., 2001; Mollerup et al., 2001). A short isoform cDNA containing two exons encodes a polypeptide of 339 amino acids with 87.3% amino acid identity to the hCysLT1 (Lynch et al., 1999; Sarau et al., 1999, Maekawa et al., 2001). A long isoform has two additional exons and an in-frame upstream start codon resulting in a 13-amino acid extension at the N terminus of the receptor (Maekawa et al., 2001). Northern blot analysis of the mCysLT1 detecting both isoforms of the receptor showed expression of a 3.5-kb transcript in the lung and skin, whereas reverse transcriptase polymerase chain reaction showed wide expression of the long isoform, with strongest expression in the lung and skin. Unlike the hCysLT1, neither form of the mouse receptor is expressed in the spleen. In addition, the long rather than the short isoform of the mCysLT1 receptor is the closer counterpart to the human receptor, and that is expressed more abundantly in the mouse tissues. The mCysLT1 receptor maps to the X chromosome at band XD. LTD4-induced intracellular calcium mobilization in CHO cells stably expressing either isoform of mCysLT1 was blocked by the CysLT1 receptor antagonist MK-571 (Maekawa et al., 2001). The rank order agonist functional potency for calcium mobilization or the potency for competition of LTD4 binding to the recombinant mouse receptor was similar to that described above for the human receptor, except that LTC4 was relatively less potent for the mouse than for hCysLT1 (Lynch et al., 1999; Sarau et al., 1999; Maekawa et al., 2001).

2. CysLT2. The cloning and characterization of the CysLT2 receptor (hCysLT2) was initially reported by Heise et al. (2000) (Fig. 5). This publication confirmed the previous pharmacological characterization of a human CysLT2 receptor in different tissues, based upon the relative potencies of the cys-LT agonists and the lack of sensitivity of the responses to classical CysLT1 receptor antagonists, and the antagonist activity of the partial agonist BAY u9773 (Labat et al., 1992; Tudhope et al., 1994; Heise et al., 2000). Subsequent to this initial publication, the Takeda group published an article confirming the identification of the hCysLT2 (Takasaki et al., 2000), and then a third report by the Nothacker et al. (2000), on the characteristics of the hCysLT2 was published, which revealed similar distribution and functional data to the previous publications but with more details on the partial agonist activity of BAY u9773 (Nothacker et al., 2000). Recently, the cloned mCysLT2 has also been reported (Hui et al., 2001).

The initial CysLT2 receptor identification was made through homology to a rat CysLT receptor homolog, namely, RSPBT32, followed by cloning of a human homolog of RSPBT32 (Heise et al., 2000). Using FASTA, the hCysLT2 was shown to have 37.5% amino acid identity with the hCysLT1 over a 315-amino acid overlap and the extreme carboxyl termini of these proteins have little homology (Heise et al., 2000). The hCysLT2 receptor was also identified from the Helix Research Institute database (Takasaki et al., 2000). The human chromosomal localization of the hCysLT2 in 13q14, a region that has been identified as a polygenic atopic linkage (Kimura et al., 1999).

The cRNA for the hCysLT2 was expressed in X. laevis oocytes and either LTD4 or LTC4 produced a calcium-dependent chloride flux in these cells that was not blocked by the selective CysLT1 receptor antagonist, MK-571, but was inhibited by the dual CysLT1/CysLT2 receptor antagonist BAY u9773 (Heise et al., 2000). In addition, LTD4 and LTC4 elicited a concentration-dependent activation of calcium flux in HEK-293 cells coexpressing the aequorin bioluminescent protein and the recombinant hCysLT2 (Heise et al., 2000). This activation was blocked by BAY u9773 but not significantly by the CysLT1 antagonists MK-571, montelukast, zafirlukast, or pranlukast (Heise et al., 2000). Experiments involving radiolabeled LTD4 binding to COS-7 cell membranes expressing the hCysLT2 demonstrated high-affinity competition by LTD4 and LTC4, with weaker competition by LTE4 and no effect by LTB4 (Heise et al., 2000). Similar studies using radiolabeled LTD4 binding to COS-7 cell membranes expressing the hCysLT2, showed that the dual antagonist BAY u9773 fully competed for the binding, whereas CysLT1 antagonists showed no or minimal competition (Heise et al., 2000). Furthermore, Kamohara et al. (2001) have shown by in situ hybridization the presence of hCysLT2 mRNA in human atrium, ventricle, and at intermediate coronary arteries with little detection of hCysLT1. These investigators also reported that human coronary smooth muscle cells stimulated with LTC4 caused an increase in calcium mobilization. Thus the existence of a CysLT2 functional receptor in the human heart has been documented.

Northern blot analyses of hCysLT2 expression showed high expression in the human heart, adrenals, peripheral blood leukocytes, placenta, spleen, and lymph nodes with weaker expression in the brain (Heise et al., 2000; Nothacker et al., 2000; Takasaki et al., 2000). A reverse transcription polymerase chain reaction comparison of the CysLT receptors showed negligible hCysLT1 expression but high expression of hCysLT2, in the heart and eosinophils (Mita et al., 2001), whereas only hCysLT1 was expressed in tracheal tissue (Takasaki et al., 2000). Both receptors were highly expressed in spleen (Heise et al., 2000; Nothacker et al., 2000; Takasaki et al., 2000). In situ hybridization analyses in the human lung demonstrated hCysLT2 mRNA strongly expressed on interstitial macrophages and weak expression on smooth muscle cells (Heise et al., 2000). In human peripheral blood monocytes, about 30% of cells expressed the hCysLT2, whereas greater than 90% of purified human eosinophils expressed the receptor (Heise et al., 2000). In the adrenal gland, in situ hybridization for the hCysLT2 demonstrated localization to the chromaffin-containing adrenal medulla cells (Heise et al., 2000). In the heart, the hCysLT2 was expressed in Purkinje fiber conducting cells (Heise et al., 2000).

The recent molecular cloning, expression and characterization of the hCysLT1 and hCysLT2 receptors (Table 2) represents a significant milestone in the history of CysLT research and is predicted to lead to a renaissance in interest in this area of biology and therapeutics. The findings have confirmed much of the earlier pharmacological characterization of the two receptors, which were based solely on the functional profiling of the effects of agonists and antagonists in different cellular and tissue systems. However, there are some unexpected findings with regard to genomic structure and tissue expression, as well as the relatively low homology (38%) between the two receptors. The cloning of the receptors allows the generation of tools to investigate in more detail the regulation of CysLT1 and CysLT2 receptor expression, the roles of these CysLT receptors in normal and diseased states, and their potential as new therapeutic targets. The ultimate goals will be the identification of potent and selective CysLT2 receptor antagonists and combined CysLT1/CysLT2 receptor antagonists and their clinical evaluation in the diverse diseases in which the cys-LTs have been implicated as significant pathophysiological mediators.

C. Lipoxin Receptors

Of the nonprostanoid eicosanoid GPCRs, the LXA4 receptor (ALX) was the first recognized at the molecular level (Fiore et al., 1993, 1994). In addition, ALX was initially identified as the only inhibitory or anti-inflammatory receptor that acts via an agonist role as a "stop signal" (Fiore et al., 1994; Serhan, 1994, 1997; Takano et al., 1997). This action appears to be a unique flexibility of GPCR that functions within the immune system. Since LXA4 shares some structural features with LTC4 and LTD4 as well as prostaglandins, LXA4 competed for CysLT1 receptors identified on isolated human vascular endothelial cells (Gronert et al., 2001) and mesangial cells (McMahon et al., 2000) and antagonized either LTC4- or LTD4-induced bronchoconstriction in humans (Christie et al., 1992) and animals (Badr et al., 1989; Gronert et al., 2001). In addition, lipoxin B4 has also been reported to activate another receptor. The present nomenclature for the lipoxin receptors is therefore based on the cloned receptor sequence as well as the observation that LXA4 is the natural and most potent ligand. In contrast, the putative receptor activated by LXB4 has not been cloned. ALX activation has been reported to generate intracellular stop signals (Serhan et al., 1994; Levy et al., 1997, 1999) and thereby promote resolution of inflammation.

1. Molecular and Structural Aspects of Lipoxin Receptors. Based on the finding that functional ALX are inducible in promyelocytic lineages (HL-60 cells) (Fiore et al., 1993), several putative receptor cDNAs cloned earlier from myeloid lineages and designated orphans were screened for their ability to bind and signal in response to LXA4 (Fiore et al., 1994). When transfected into CHO cells, one of the orphans (previously denoted as pINF114 or a formyl peptide receptor-like-1 (FPRL-1), displayed both specific [3H]LXA4 binding with high affinity (Kd of 1.7 nM) and demonstrated ligand selectivity when compared with LXB4, LTB4, LTD4, and prostaglandin E2 (Fiore et al., 1994). LXB4 did not act via the ALX receptor and interacted with a specific receptor present on human leukocytes (Maddox and Serhan, 1996). In transfected CHO cells, LXA4 activated both GTPase and released arachidonic acid from membrane phospholipids, indicating that this cDNA encodes a functional receptor for ALX in myeloid cells. A mouse ALX receptor cDNA was also identified and cloned from a spleen cDNA library. This receptor expressed in CHO cells displayed specific [3H]LXA4 binding, and LXA4 initiated GTPase activity (Takano et al., 1997).

The ALX cDNA was originally cloned by several groups who were evaluating fMLP receptor (FPR) using the FPR cDNA as a probe under low-stringency hybridization conditions. ALX has high sequence homology (~70%) to FPR. In light of this homology, the term FPRL1 (FPR-like-1) (Murphy et al., 1992) or FPRH1 (Bao et al., 1992) was designated by different research groups. Similarly this receptor was also known as FPR2 (Ye et al., 1992) or RFP (receptor related to FPR) (Perez et al., 1992). ALX was also cloned by Nomura et al. (1993) from human monocyte cDNA library and was designated as an orphan receptor (HM63). Both human and mouse ALX cDNA contain an open reading frame of 1051 nucleotides that encode a protein of 351 amino acids. Northern blot analysis demonstrated that ALX mRNA is ~1.4 kb in both human and mouse (Takano et al., 1997). Deduced amino acid sequences indicated that ALX belongs to the GPCR superfamily characterized by seven putative transmembrane segments with N termini on the extracellular side of the membrane and C terminus on the intracellular side.

The overall homology between human and mouse ALX is 76% in nucleotide sequence and 73% in deduced amino acid (Takano et al., 1997). A high homology was present in the sixth transmembrane segment and the second intracellular loop, a finding that suggests an essential role for these regions in ligand recognition and signaling. The molecular evolution, as assessed from computer-based sequence analyses indicates that ALX (Fig. 2) is not related to prostanoid receptors and belongs to a rapidly growing cluster of chemoattractive peptide and chemokine receptors, exemplified by fMLP, C5a, and IL-8 receptors (Toh et al., 1995). The BLT1 receptor cloned from human HL-60 cells (Yokomizo et al., 1997) and mouse eosinophils (Huang et al., 1998) shares an overall homology of ~30% with ALX in deduced amino acid sequences.

Human and mouse ALX cDNA, when transfected into CHO cells, displayed specific binding to [3H]LXA4, with a Kd of 1.7 nM (Fiore et al., 1994) and 1.5 nM (Takano et al., 1997), respectively. Human ALX-transfected CHO cells were also tested for binding with other eicosanoids, including LXB4, LTD4, LTB4, and prostaglandin E2. Only LTD4 shows competition with [3H]LXA4 binding, with a Ki value of 80 nM (Fiore et al., 1994). Moreover, LXA4 does not compete with radiolabeled LTB4 binding to either recombinant human BLT1 or isolated human peripheral blood neutrophils (Fiore et al., 1992; Chiang et al., 2000). Hence, the ability of LXA4 and 15-epi-LXA4 to block LTB4-induced responses in vivo and in isolated PMNs may not be via direct interactions at either BLT1 or BLT2. Although ALX shares ~70% homology with FPR, ALX binds [3H]fMLP with only low affinity (Kd ~5 µM) and therefore is selective for LXA4 by 3 orders of magnitude (Fiore and Serhan, 1995).

Preparation of radiolabeled [11,12-3H]LXA4 (Brezinski and Serhan, 1991) enabled the direct characterization of specific LXA4 binding sites present on PMNs (Fiore et al., 1992). Intact PMN demonstrated specific and reversible [11,12-3H]LXA4 binding (Kd ~0.5 nM and Bmax ~1,830 sites/PMN) that are modulated by guanosine stable analogs. These LXA4-specific binding sites are inducible in HL-60 cells exposed to differentiating agents (e.g., retinoic acid, dimethyl sulfoxide, and phorbol 12-myristate 13-acetate) and confer LXA4-induced phospholipase D activation in these cells (Fiore et al., 1993). The various ligands that activate the ALX receptor are presented in Table 6. These results provided further evidence that LXA4 interacts with specific membrane-associated receptors on human leukocytes. These binding data have corroborated with the functional results for LXA4. In contrast, although functional studies (Maddox et al., 1998) have indicated the existence of a receptor activated by LXB4, this receptor has not been cloned and is presently referred to as a putative receptor. In addition, the receptor binding investigations with LXB4 must await the synthesis of a suitable LXB4 radiolabel with high specificity. Such an analog has proven to be quite difficult to achieve.


                              
View this table:
[in this window]
[in a new window]
 
TABLE 6
Ligand specificity for human ALX

Northern blot analysis of multiple murine tissues demonstrated that, in the absence of challenge to the host, ALX mRNA is most abundant in neutrophils, spleen, and lung with lesser amounts in heart and liver (Takano et al., 1997). In humans, ALX mRNA is also abundant in PMNs, as well as in spleen, lung, placenta, and liver (Fiore et al., 1994; Takano et al., 1997). In human enterocytes, ALX is inducible by IL-13 and interferon present in crypt and brush-border colonic epithelial cells (Gronert et al., 1998). The location of this receptor provides additional evidence that ALX is not associated with bacterial chemotaxis as observed for N-formyl peptide FPR-signaling since the gastrointestinal tract always has a very high level of bacteria present.

D. Receptors and Cellular Signals

Whereas the cascades of cellular events subsequent to GPCR activation have been the subject of many investigations, the exact signal transduction mechanisms for either the leukotrienes or the lipoxins have not been completely elucidated. Generally, agonist interactions with GPCRs involve activation of heterotrimeric G-proteins associated with a group of conventional cellular events. However, effectors for GPCRs that are independent of G-proteins are also known to exist (Hall et al., 1999). G-proteins, composed of alpha -, beta -, and gamma -subunits each encoded by a different gene, appear often to be cell specific. Upon ligand-receptor activation, the Galpha - and Gbeta gamma -subunits stimulate a variety of intracellular molecular systems. Furthermore, G-protein activation leads to increases in intracellular Ca2+ and modifications in a number of membrane ion channels.

The cellular responses to ligand activation of GPCRs can also be up-regulated through priming of cells and down-regulated by desensitization. Two types of desensitization have been described, one that results from phosphorylation of the agonist-occupied receptor by G-protein-coupled receptor kinases. These phosphorylated receptors are associated with the arrestin family of proteins. A second type of rapid desensitization (loss of response) following phosphorylation by either second messenger-activated kinases (protein kinase A, protein kinase C) or inhibition of phospholipase C, which are activated by different receptors or signaling processes. Generally, this second type of desensitization does not require agonist-receptor occupancy. In addition, Didsbury et al. (1991) also demonstrated "cross-receptor desensitization", a phenomenon that has been reported for the chemoattractant family receptors. Presently, an exploration of these latter mechanisms associated with the actions of leukotrienes and lipoxins at the molecular level has received little attention.

1. BLT. Investigations involving the intracellular signaling of BLT receptor activation have been performed in peripheral leukocytes specifically granulocytes. One of the problems involved in such studies is that these cells have a limited life span (24 h) making drug and transfection studies difficult. These limitations have caused several investigators to use either CHO cells expressing human BLT receptors (Yokomizo et al., 1997) or to perform reconstitutional studies with the heterotrimeric GTP-binding proteins (Miki et al., 1990; Igarashi et al., 1999). Although high-affinity binding of LTB4 (BLT1 receptor) is found essentially in leukocytes and macrophages, the G-proteins associated with the functions in these cells has not been clearly established. Furthermore, the intracellular signaling pathways for BLT may depend on the G-proteins expressed in the different cells. For example, most of the LTB4-dependent signals in granulocytes appear to be mediated by Gi-like G-proteins, (granulocytes express abundant Galpha i proteins, mainly Galpha i2), whereas in the nervous system Gi1 and Go are mainly present (Simon et al., 1991). In several cell types, LTB4 signals via Gi-proteins are inhibited by pretreatment of pertussis toxin (PTX). However, LTB4-induced calcium mobilization in CHO-BLT1 was not affected by PTX, suggesting the coupling with Gq-like molecules in these latter cells. Chemotaxis and inhibition of adenylyl cyclase by LTB4 were completely PTX-sensitive in CHO-BLT1 cells. The coupling of BLT1 with various Galpha -subunits was examined by cotransfection studies using COS-7 cells, and BLT1-mediated phospholipase C activation was shown to be mediated by Galpha i6- and Gbeta gamma -subunits released from Galpha i (Gaudreau et al., 1998). When expressed heterologously in CHO, HeLa, and COS-7 cells, BLT2 activation led to the inhibition of adenylyl cyclase and an increase in calcium. However, BLT2 activation was less potent in mobilizing calcium than BLT1 receptor activation (Yokomizo et al., 2000). BLT2 was also shown to mediate LTB4-dependent chemotaxis through Gi-like G-proteins (Kamohara et al., 2000; Yokomizo et al., 2000). Recently, Woo et al. (2002) have suggested that LTB4 stimulation of the Rac-extracellular signal-regulated kinase cascade associated with the generation of reactive oxygen species-mediated chemotaxis in Rat-2 cells was via activation of the BLT2 receptor. This suggestion, although not conclusive, was supported by the observations that BLT1 expression has not been detected in Rat-2 fibroblasts whereas BLT2 was expressed. Furthermore, the LTB4 stimulation of reactive oxygen species was observed at high concentrations (0.3-1 µM), which are within the range for BLT2 activation and are 2 orders of magnitude higher than that observed for activation of BLT1. In addition, this LTB4 stimulation was blocked by ZK 158252. In an attempt to understand the mechanisms involved in BLT receptor desensitization, Gaudreau et al. (2002) have reported some initial molecular evidence. These investigators showed that the cytoplasmic tail of BLT1 receptor was intimately involved in the regulation of desensitization and that the amino acid threonine (Thr308) was implicated in the GPCR-specific kinase phosphorylation associated with this phenomenon. This study therefore provides pertinent leads for understanding those structural elements associated with BLT1 receptor regulation.

The exact role of calcium activation subsequent to the interaction of LTB4 with a specific receptor exhibits similar complexity. Chemotaxis of human PMN or monocytes to LTB4 does not absolutely require the mobilization of intracellular Ca2+ (Romano et al., 1996; Kuhns et al., 1998). While activation of the LTB4 receptor does stimulate intracellular Ca2+ mobilization (Powell et al., 1996), this Ca2+ appears not to be essential for chemotaxis and plays a role only in degranulation and other responses of human neutrophils (Serhan et al., 1982; Luscinskas et al., 1990; Rola-Pleszczynski et al., 1993). Such studies indicate that the unraveling of the intracellular events associated with the BLT receptor activation with the second messenger cascades are only beginning to be understood.

2. CysLT. Unfortunately, most studies concerning the CysLT receptors have involved only LTD4 activation of CysLT1 receptors. There is little information available concerning G-protein and Ca2+ mobilization when the CysLT2 receptor is activated. Initial studies (Kuehl et al., 1984; Crooke et al., 1989, 1990; Watanabe et al., 1990) demonstrated that LTD4 activation of the CysLT1 receptor lead to G-protein activation and the release of several second intracellular messengers, namely, diacylglycerol, inositol phosphates, and Ca2+, events which were followed by activation of protein kinase C (PKC) and accompanied by the mobilization of Ca2+ derived from both intracellular and extracellular stores. Clark et al. (1985) demonstrated that LTD4 activation of CysLT1 receptors also led to the release of arachidonic acid via stimulation of phospholipase A2, which was associated with an enhanced transciption of phospholipase A2 activating protein. Expression of this latter protein was controlled by activation of topoisomerase I, which in turn was regulated by PKC (Mattern et al., 1991).

LTD4 is known to induce either Ca2+ influx through the plasma membrane without any Ca2+ release from intracellular stores (Baud et al., 1987a; Oliva et al., 1994), or Ca2+ release without influx (Bouchelouche et al., 1990) and in many cell types can induce both Ca2+ influx and release (Mong et al., 1984b, 1987a, 1988; Sjolander et al., 1990). In human airways, Gorenne et al. (1998) demonstrated that LTD4-induced contractions may mobilize Ca2+ via a receptor-operated channel. Recently, Accomazzo et al. (2001) provided evidence that LTD4 contractions in human airways did not elicit a marked elevation in [Ca2+]i but rather activated Ca2+ via a Ca2+-independent isoform of protein kinase C (PKCepsilon ). These observations supported an initial report that PKC activation may be associated with increased force development at constant [Ca2+]i (Masuo et al., 1994). In addition, PKCepsilon was shown to be necessary for the generation of the LTD4-induced Ca2+ signal in intestinal epithelial cells. Together these results suggest that the Ca2+ signaling for LTD4 contractions in human airways may involve several intracellular pathways. Unfortunately, the other ligands (LTC4 and LTE4) have not been examined in these studies. Interestingly, Sjolander et al. (1990) proposed that LTD4 and LTE4 activated different receptors associated with different intracellular signals. However, these observations have not been pursued. The initial observations of Gronroos et al. (1995, 1996, 1998) have recently received support from several investigators (Hoshino et al., 1998; Thodeti et al., 2000; Massoumi and Sjolander, 2001; Paruchuri et al., 2002) and provided evidence that LTD4 activation of an epithelial cell line (THP-1) led to an association of a protein other than the heterotrimeric G-proteins and this mobilization was necessary for the mobilization of calcium. Although these investigators observed that LTD4 activation of THP-1 cells altered mitogen-activated protein kinase via protein kinase C and Raf-1, an effect which was PTX-insensitive, they also reported that the chemotactic response of these cells was PTX-sensitive. These observations suggest that diverse pathways at the G-protein level may also exist when LTD4 interacts with the receptor. However, these investigators did not evaluate different receptor antagonists to determine which receptor was associated with these different pathways.

3. Lipoxins. The cytoplasmic signaling cascade of the ALX receptor is also highly specific and selective for different cell types. In human PMNs, LXA4 stimulates rapid lipid remodeling and release of arachidonic acid via a PTX-sensitive G-protein (Nigam et al., 1990) and blocked intracellular generation of inositol 1,4,5-trisphosphate (Grandordy et al., 1990) as well as Ca2+ mobilization (Lee et al., 1989). In contrast, in human monocytes and THP-1 cells, LXA4 triggers intracellular calcium release (Romano et al., 1996; Maddox et al., 1997), suggesting a different intracellular signaling pathway than in PMNs despite identical receptor sequences. In addition, distinct signaling in monocyte and PMNs was further supported by different responses to LXA4 in these cell types. LXA4 modulates mitogen-activated protein kinase activities in mesangial cells in a PTX-insensitive manner (McMahon et al., 2000), suggesting the presence of an additional ALX receptor subtype and/or signaling pathway for ALX. Since the ALX receptor has been shown to switch recognition and function with certain chemotactic peptides, the G-proteins and intracellular pathways involved may prove to be a difficult but fascinating area to explore. One of the problems presently confronting investigators in this area of research is the availability of the ligands. Studies on G-protein and intracellular messengers are presently limited (Kang et al., 2000), since stable analogs for LXA4 and LXB4 have only recently become available.

E. Summary

Within the last few years, a considerable effort at the molecular level has been undertaken to identify the leukotriene receptors. However, data involving chimeric constructs of the leukotriene receptors have only recently been reported (Gaudreau et al., 2002). In contrast, there are several observations that warrant further investigation. For example, the mouse CysLT1 cloned receptor is activated by all three native ligands and antagonized by MK-571. However, the ligand profile for the mCysLT1 is quite different from that observed in the human CysLT1 receptor, since the mouse CysLT1 receptor exhibited little response to LTC4. An explanation for this difference is not readily apparent. In addition, MK-571 potentiated Ca2+ mobilization in CHO cells transfected with mCysLT1 long isoform cDNA (Maekawa et al., 2001). The exact reason for this specific effect has not been explored. Recently, Ogasawara et al. (2002) reported different pharmacological properties of the CysLT2 receptor between human and mouse, an