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Centre de Recherche en Rhumatologie et Immunologie, Centre de Recherche du Centre Hospitalier Universitaire de Québec (Pavillon Centre Hospitalier de lUniversité Laval) et Faculté de Médecine, Université Laval, Ste-Foy, Québec, Canada; and
Hôpital du Saint-Sacrement, Québec, Canada
Studies were undertaken to define the role of 5-lipoxygenase (5-LO)
products and, in particular, of leukotriene (LT) B4 in the
polymorphonuclear leukocyte (PMN) emigration process using a rabbit
model of dermal inflammation. Our results show that i.v. administration
to rabbits of MK-0591, a compound that inhibits LT biosynthesis in
blood and tissues when administered in vivo, significantly reduced
51Cr-labeled PMN accumulation in response to intradermally
injected chemotactic agonists, including IL-8, FMLP, C5a, and
LTB4 itself. In addition, pretreatment of the labeled PMN
with MK-0591 ex vivo before their injection in recipient animals was
equally effective in reducing 51Cr-labeled PMN emigration
to dermal inflammatory sites. These results support a role for de novo
synthesis of 5-LO metabolites by PMN for their chemotactic response to
inflammatory mediators. Other studies demonstrated that elevated
intravascular concentration of LTB4 interferes with PMN
extravasation inasmuch as a continuous i.v. infusion of
LTB4, in the range of 5300 ng/min/kg, dose-dependently
inhibited extravascular PMN accumulation to acute inflammatory skin
sites elicited by the chemoattractants LTB4, FMLP, C5a, and
IL-8 and by TNF-
, IL-1ß, and LPS; such phenomena may constitute a
natural protective mechanism from massive tissue invasion by activated
PMN in specific pathologic conditions such as ischemia (and
reperfusion). These studies demonstrate additional functions of 5-LO
products in the regulation of PMN trafficking, distinct from the
well-characterized chemotactic activity of LTB4 present in
the extravascular compartment.
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