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Nature Medicine 8, 1018 - 1023 (2002)
Published online: 12 August 2002 | doi:10.1038/nm748

Multi-pronged inhibition of airway hyper-responsiveness and inflammation by lipoxin A4

Bruce D. Levy1,2, George T. De Sanctis2, Pallavi R. Devchand1, Eugene Kim1, Kate Ackerman2, Birgitta A. Schmidt1, Wojciech Szczeklik1, Jeffrey M. Drazen2 & Charles N. Serhan1


The prevalence of asthma continues to increase and its optimal treatment remains a challenge. Here, we investigated the actions of lipoxin A4 (LXA4) and its leukocyte receptor in pulmonary inflammation using a murine model of asthma. Allergen challenge initiated airway biosynthesis of LXA4 and increased expression of its receptor. Administration of a stable analog of LXA4 blocked both airway hyper-responsiveness and pulmonary inflammation, as shown by decreased leukocytes and mediators, including interleukin-5, interleukin-13, eotaxin, prostanoids and cysteinyl leukotrienes. Moreover, transgenic expression of human LXA4 receptors in murine leukocytes led to significant inhibition of pulmonary inflammation and eicosanoid-initiated eosinophil tissue infiltration. Inhibition of airway hyper-responsiveness and allergic airway inflammation with a stable LXA4 analog highlights a unique counter-regulatory profile for the LXA4 system and its leukocyte receptor in airway responses. Moreover, our findings suggest that lipoxin and related pathways offer novel multi-pronged therapeutic approaches for human asthma.


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