Endogenous lipid mediators in the resolution of airway inflammation

Eur Respir J. 2007 Nov;30(5):980-92. doi: 10.1183/09031936.00005807.

Abstract

Acute inflammation in the lung is fundamentally important to host defence, but chronic or excessive inflammation leads to several common respiratory diseases, including asthma and acute respiratory distress syndrome. The resolution of inflammation is an active process. In health, events at the onset of acute inflammation establish biosynthetic circuits for specific chemical mediators that later serve as agonists to orchestrate a return to tissue homeostasis. In addition to an overabundance of pro-inflammatory stimuli, pathological inflammation can also result from defects in resolution signalling. The understanding of anti-inflammatory, pro-resolution molecules and their counter-regulatory signalling pathways is providing new insights into the molecular pathophysiology of lung disease and opportunities for the design of therapeutic strategies. In the present review, the growing family of lipid mediators of resolution is examined, including lipoxins, resolvins, protectins, cyclopentenones and presqualene diphosphate. Roles are uncovered for these compounds, or their structural analogues, in regulating airway inflammation.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Apoptosis
  • CD59 Antigens / biosynthesis
  • CD59 Antigens / immunology
  • Cyclopentanes / immunology
  • Docosahexaenoic Acids / immunology
  • Humans
  • Inflammation / drug therapy
  • Inflammation / immunology*
  • Inflammation / metabolism
  • Inflammation / pathology
  • Inflammation Mediators / immunology*
  • Inflammation Mediators / metabolism
  • Lipoxins / biosynthesis
  • Lipoxins / immunology
  • Lung Diseases / drug therapy
  • Lung Diseases / immunology*
  • Lung Diseases / metabolism
  • Lung Diseases / pathology
  • Polyisoprenyl Phosphates / biosynthesis
  • Polyisoprenyl Phosphates / immunology

Substances

  • CD59 Antigens
  • Cyclopentanes
  • Inflammation Mediators
  • Lipoxins
  • Polyisoprenyl Phosphates
  • resolvin D1
  • Docosahexaenoic Acids
  • cyclopentenone