Liver: The formation and actions of aspirin-triggered lipoxins

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Abstract

Eicosanoids play a key role in the initiation, progression and resolution of the inflammatory response. Although most current anti-inflammatory strategies are focused on the pharmacological inhibition of pro-inflammatory eicosanoids, such as prostaglandins and leukotrienes, mounting evidence indicates the existence of potent endogenous eicosanoids able to control inflammation and orchestrate its resolution. The first eicosanoids recognized as anti-inflammatory compounds generated by our own organism were the lipoxins (LXs). More recently, a new series of carbon-15 epimers of LXs, with anti-inflammatory properties similar to those of native LXs, was identified during aspirin treatment. Since their formation is specific to this venerable non-steroidal anti-inflammatory drug, the term aspirin-triggered LXs (ATLs) was coined for these compounds. This chapter deals with the biosynthesis of LXs and ATLs in the liver, the largest solid organ/gland in the body, and discusses the most relevant actions of these lipid mediators in the context of liver inflammation and injury.

Section snippets

The hepatic sinusoid

The liver contains a complex architecture composed of several cell types. To ensure full hepatic functionality, hepatocytes, which represent about 70% of liver cell population, are arranged within the hepatic lobule in a peculiar fenestrated capillary network known as the hepatic sinusoid [1]. The morphological features of the hepatic sinusoid provide a unique environment where each single hepatocyte is in close contact with other hepatocytes as well as with sinusoidal cells. Liver sinusoidal

Biosynthesis of lipoxins and aspirin-triggered lipoxins in the hepatic sinusoid

Lipoxins (LXs) are conjugated trihydroxytetraene-containing eicosanoids generated through cell–cell interactions by a process known as transcellular biosynthesis [6]. Transcellular metabolism is a common finding in eicosanoid formation and involves the processing of a metabolic intermediate generated by one cell (donor cell) by a vicinal cell (acceptor cell) for the production of an active eicosanoid which neither cell can generate alone [7], [8]. In mammals, a major route of transcellular LX

Hepatic actions of LXs and ATL

Unlike other 5-LO products (i.e. LTs), which are pro-inflammatory and facilitate neutrophil adhesion to the vascular wall and recruitment at the site of inflammation and leukocyte respiratory burst and degranulation [27], LXs and ATL display inhibitory activities in leukocytes promoting resolution [6]. In human neutrophils, LXs and ATL and their stable analogs act as “stop-signals” for inflammation and inhibit chemotaxis, selectin- and integrin-mediated adhesion to and transmigration across

Future directions

Considering the anti-inflammatory properties of LXs and ATL and the availability of potent and stable analogs, further studies are warranted to test the therapeutic potential of these compounds in experimental models of liver disease. In addition, it is interesting to characterize the hepatic formation and actions of other recently identified endogenous anti-inflammatory systems, such as those originated from the ω-3 polyunsaturated fatty acids EPA and DHA, termed resolvins [44]. Since

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      However, the anti-inflammatory actions of low-dose aspirin (75–81 mg doses) and its anti-inflammatory capacity with antineutrophil activities were not appreciated until the aspirin-triggered pathways for novel anti-inflammatory mediators were uncovered (Chiang and Serhan, 2004; Morris et al., 2009). It is now apparent from evidence obtained by many investigators (for example, Clària and Planagumà, 2005 and references within Maderna and Godson, 2005 and Wu et al., 2012) that aspirin can jump-start resolution by not only blocking thromboxane and certain prostaglandins, but also by triggering aspirin-triggered lipid mediators, such as the aspirin-triggered lipoxins and the aspirin-triggered resolvins (Serhan et al., 2002). Along these lines, aspirin-triggered lipoxin A4 (LXA4) is produced on dermal challenge (Morris et al., 2009), and a stable aspirin-triggered LXA4 analog 15R/S-methyl-LXA4 was found effective in treating infantile eczema in a double-blind two-center clinical trial (Wu et al., 2012).

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    The authors’ laboratory is supported by grants from the Ministerio de Ciencia y Tecnología (SAF 03/0586) and Instituto de Salud Carlos III (C03/02).

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