Hisaki Ryohei, Fujita Hirotaka, Saito Fumio, Kanmatsuse Katsuo
Nihon University Surugadai Hospital, Department of Cardiology.
Nihon Rinsho. 2004 Jan;62(1):187-92.
The arachidonic cascade involves three types of metabolic pathways; cyclo-oxygenase, lipoxygenase(LO), and cytochrome P450. The products of LO pathway participate in the pathogenesis of variety of disease such as allergic diseases and hypertension. In particular, 12-hydroxyeicosatetraenoic acid(12-HETE); product of 12-LO pathway, is concerned in the development of hypertension induced by angiotensin-II. In fact, several investigators have reported that 12-HETE has a critical role in hypertension and LO inhibitors have antihypertensive effects in experimental animals. And so, we can expect organ-protective effects of LO inhibitors as well as antihypertensive effects. Besides 12-LO, several investigators mentioned that 5- and 15-LO also have influences to cardiovascular systems. Therefore, we can expect further elucidation of the mechanism of 12-LO's participation in the organ damage and the clinical roles of 12-LO inhibitors to prevent from organ failure in future.
环氧化酶、脂氧合酶(LO)和细胞色素P450。脂氧合酶途径的产物参与多种疾病的发病机制,如过敏性疾病和高血压。特别是12-羟基二十碳四烯酸(12-HETE),即12-脂氧合酶途径的产物,与血管紧张素-II诱导的高血压发展有关。事实上,几位研究者报告称,12-HETE在高血压中起关键作用,脂氧合酶抑制剂在实验动物中具有降压作用。因此,我们可以预期脂氧合酶抑制剂具有器官保护作用以及降压作用。除了12-脂氧合酶,几位研究者提到5-脂氧合酶和15-脂氧合酶也对心血管系统有影响。因此,我们可以期待未来能进一步阐明12-脂氧合酶参与器官损伤的机制以及12-脂氧合酶抑制剂在预防器官衰竭方面的临床作用。