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Lipidomics (Technologies and Applications) || Mediator Lipidomics in Inflammation Research

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11 Mediator Lipidomics in Inflammation Research Makoto Arita, Ryo Iwamoto, and Yosuke Isobe 11.1 Introduction Polyunsaturated fatty acids (PUFAs) exhibit a range of biological effects, many of which are mediated through the formation and actions of lipid mediators such as prostaglandins (PGs), leukotrienes (LTs), lipoxins (LX), resolvins, and protectins. These lipid mediators are potent endogenous regulators of inammation and related diseases. To better understand the molecular and cellular mechanisms underlying the coordinated processes of inammation and resolution, it is impor- tant to know when, where, and how much of those lipid mediators are formed in the inammatory sites. Mediator lipidomics in general, when combined with infor- mation on metabolic pathways such as Kyoto Encyclopedia of Genes and Genomes (KEGG), have broad applications in understanding the role of bioactive lipid media- tors under certain physiological and/or pathological conditions. The potential chal- lenges of lipid mediator analyses are low abundance, labile, and overlapping parent masses and products. In this chapter, we will introduce LC-ESI-MS/MS-based lipi- domics, which is suitable for quantifying lipid mediators in complex samples because this system can provide superior sensitivity, selectivity, and rapid analysis. 11.2 PUFA-Derived Lipid Mediators: Formation and Action PUFA-derived lipid mediators are formed by enzymatic oxidation through the action of cyclooxygenases (COX), lipoxygenases (LOX), and cytochrome P450 monooxygenases (CYP). Arachidonic acid (20:4 n-6) is a common precursor of many eicosanoids, which are bioactive lipid mediators that control inammatory responses. When cells are stimulated, arachidonic acid is released from membrane phospholipids by phospholipase A 2 (PLA 2 ), which hydrolyzes the acyl ester bond. This is the rst step in the arachidonic acid cascade, and is the overall rate- determining step in the generation of eicosanoids. Mammals have three types of PLA 2 , which are classied as secretory, cytoplasmic, and calcium-independent Lipidomics, First Edition. Edited by Kim Ekroos. # 2012 Wiley-VCH Verlag GmbH & Co. KGaA. Published 2012 by Wiley-VCH Verlag GmbH & Co. KGaA. j219
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Page 1: Lipidomics (Technologies and Applications) || Mediator Lipidomics in Inflammation Research

11Mediator Lipidomics in Inflammation ResearchMakoto Arita, Ryo Iwamoto, and Yosuke Isobe

11.1Introduction

Polyunsaturated fatty acids (PUFAs) exhibit a range of biological effects, many ofwhich are mediated through the formation and actions of lipid mediators such asprostaglandins (PGs), leukotrienes (LTs), lipoxins (LX), resolvins, and protectins.These lipid mediators are potent endogenous regulators of inflammation andrelated diseases. To better understand the molecular and cellular mechanismsunderlying the coordinated processes of inflammation and resolution, it is impor-tant to know when, where, and how much of those lipid mediators are formed inthe inflammatory sites. Mediator lipidomics in general, when combined with infor-mation on metabolic pathways such as Kyoto Encyclopedia of Genes and Genomes(KEGG), have broad applications in understanding the role of bioactive lipid media-tors under certain physiological and/or pathological conditions. The potential chal-lenges of lipid mediator analyses are low abundance, labile, and overlapping parentmasses and products. In this chapter, we will introduce LC-ESI-MS/MS-based lipi-domics, which is suitable for quantifying lipid mediators in complex samplesbecause this system can provide superior sensitivity, selectivity, and rapid analysis.

11.2PUFA-Derived Lipid Mediators: Formation and Action

PUFA-derived lipid mediators are formed by enzymatic oxidation through theaction of cyclooxygenases (COX), lipoxygenases (LOX), and cytochrome P450monooxygenases (CYP). Arachidonic acid (20:4 n-6) is a common precursor ofmany eicosanoids, which are bioactive lipid mediators that control inflammatoryresponses. When cells are stimulated, arachidonic acid is released from membranephospholipids by phospholipase A2 (PLA2), which hydrolyzes the acyl ester bond.This is the first step in the arachidonic acid cascade, and is the overall rate-determining step in the generation of eicosanoids. Mammals have three types ofPLA2, which are classified as secretory, cytoplasmic, and calcium-independent

Lipidomics, First Edition. Edited by Kim Ekroos.# 2012 Wiley-VCH Verlag GmbH & Co. KGaA. Published 2012 by Wiley-VCH Verlag GmbH & Co. KGaA.

j219

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PLA2s (sPLA2s, cPLA2s, iPLA2s), respectively [1]. The different types of PLA2 areregulated differently and are expressed in different tissues. Unesterified intra-cellular arachidonic acid is immediately metabolized by COX, LOX, or CYP. TheCOX pathway leads to the formation of prostaglandins and thromboxanes (TX); theLOX pathway leads to leukotrienes, lipoxins, and hydroeicosatetraenoic acids(HETE); and the CYP pathway leads to HETEs and epoxyeicosatrienoic acids (EET)(Figure 11.1). As a class, these molecules act as autacoids that are rapidly synthe-sized in response to specific stimuli, act quickly at the immediate locality, andremain active for only a short time before degradation.Arachidonic acid-derived eicosanoids are important in many physiological pro-

cesses. Under nondisease conditions, PGs contribute to the maintenance ofhomeostasis, for example, they have cytoprotective roles in the gastric mucosa,

R : choline, ethanolamine,serine, inositol, and so on

Cleavage site

Phospholipids

Phospholipase A2

Arachidonic acid (AA)

LipoxygenaseCyclooxygenase

Cytochrome P450(LOX)

(COX)(CYP P450)

LeukotrienesLipoxinsHydroxyeicosa-

ProstaglandinsThromboxane

Epoxyeicosa-tetraenoic acids(EETs)

tetraenoic acids(HETEs)

HETEs

Figure 11.1 Eicosanoid production fromarachidonic acid. Phospholipase A2 cleaves theester bond of phospholipids marked by thearrow to release arachidonic acid. Freearachidonic acid is used as a substrate for thecyclooxygenase (COX), lipoxygenase (LOX), andcytochrome P450 monooxygenase (CYP)

pathways. The COX pathway producesprostaglandins and thromboxane. The LOXpathway produces leukotrienes, lipoxins, andhydroxyeicosatetraenoic acids (HETEs). TheCYP pathway produces epoxyeicosatrienoicacids (EETs) and HETEs.

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respiratory tract, and renal parenchyma. PGs are also involved in proinflammatoryprocesses and are responsible for many of the hallmark signs of inflammation suchas heat, redness, swelling, and pain [2]. COX occurs in two isoforms, calledthe constitutive isoform (COX-1) and the inducible isoform (COX-2) [3]. Theseenzymes may contribute to the production of different sets of eicosanoids atdifferent locations at different times. The LOX pathway represents another majorpathway to produce LTs and LXs. Mammals have at least three LOXs, 5-, 12-, and15-LOX present in mammalian systems [4, 5]. 5-LOX-derived LTs (LTB4, cysteinylLTs) are involved in proinflammatory processes such as neutrophil infiltration, increased vascular permeability, and smooth muscle contraction [6]. In contrast, 5-and 15-LOX-derived LXA4 counterregulate the proinflammatory processes and maybe important in the resolution of inflammation [7]. An imbalance in lipoxin–leuko-triene homeostasis may be a key factor in the pathogenesis of inflammatory diseases. The epoxygenation of arachidonic acid by CYP generates EETs, which may haveroles in the regulation of smooth muscle cells and vascular tone [8]. Many of theeicosanoids signal via seven-transmembrane G-protein-coupled receptors [9].Eicosapentaenoic acid (EPA) (20:5 n-3) and docosahexaenoic acid (DHA) (22:6

n-3) are n-3 PUFAs that are abundant in fish oils. EPA-derived mediators include3-series PGs, 5-series LTs and LXs, hydroxyeicosapentaenoic acids (HEPE), andepoxyeicosatetraenoic acids (EpETE) (Figure 11.2). DHA is also converted to

AA

Prostaglandins

LeukotrienesLipoxins

HETEsEETs

EPA

Three-series-Prostaglandins

Five-series-LeukotrienesLipoxins

E-series-Resolvins

DHA

D-series-ResolvinsDocosatrienesProtectinMaresin

Leukotriene B4

Prostaglandin E2 Lipoxin A4

Resolvin E1

10,17-Docosatriene(Protectin D1)

Figure 11.2 Scheme of eicosanoid, docosanoid, and hydroxy-fatty acid production fromarachidonic acid (AA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA).

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hydroxydocosahexaenoic acids (HDoHE) and epoxy-fatty acids by enzymatic oxida-tion (Figure 11.2). Dietary supplementation of n-3 PUFA has beneficial effects inmany inflammatory disorders, including cardiovascular disease, arthritis, colitis,and metabolic syndrome [10]. Also, elevation in n-3 PUFA levels in n-3 desaturase(fat-1) transgenic mice protected against inflammatory disease models [11]. n-3PUFAs are thought to act via several mechanisms. One role is to serve as an alternative substrate for COX or LOX, resulting in the production of less potent prod-ucts [12]. Another role is to be converted to potent anti-inflammatory and protectivemediators. For example, E-series resolvins are produced from EPA, and D-series resolvins, protectin, and maresin are produced from DHA (Figure 11.2) [13]. Thesemetabolites may have some roles in the beneficial actions of n-3 PUFAs in control-ling inflammation and related diseases.

11.3LC-ESI-MS/MS-Based Lipidomics

A powerful approach for the analysis of mono- and polyhydroxylated fatty acids isliquid chromatography tandem mass spectrometry (LC-ESI-MS/MS). The develop-ment of electrospray ionization (ESI) technology provided an ideal interfacebetween LC and MS, which paved the way for the analysis of hydroxy-fatty acidswithout derivatization and decomposition. ESI is a soft ionization technology usedto form either positive or negative ions through the addition of a proton to form[MþH]þ or through the removal of a proton to form [M�H]�. In case of fattyacid-derived mediators, ESI results in [M�H]� carboxylate ions that can bedetected with relatively high sensitivity. A triple quadrupole mass spectrometer iscapable of carrying out an MS/MS method called multiple reaction monitoring(MRM). A specified precursor ion is selected according to its mass-to-charge ratioin the first quadrupole mass filter and is fragmented into product ions in the sec-ond chamber by collision-induced dissociation (CID). Then, the third quadrupolemass filter is locked on its specified product ion. This MRM mode leads to furtherimprovement of the detection and quantification limits when combined with high-resolution LC separations. We have developed a comprehensive LC-ESI-MS/MSmethod that can simultaneously detect and quantify more than 250 PUFA metabo-lites, including PGs, LTs, LXs, resolvins, protectins, and other AA-, EPA-, DHA-derived products (Figure 11.3).

11.3.1Sample Preparation

Liquid samples are adjusted to 67% methanol (v/v) and kept at �20 �C. Frozen tis-sue samples are homogenized in ice-cold methanol using Precellys 24 biologicalsample grinder (Bertin Technologies). The samples are centrifuged to remove pre-cipitated proteins. The supernatants are diluted with ice-cold water and adjusted to10% (v/v) methanol. Internal standards (1 ng of PGE2-d4, LTB4-d4, 15-HETE-d8,

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and arachidonic acid-d8) are added to each sample, and the clear supernatants acid-ified to pH 4.0 are immediately applied to preconditioned solid-phase extractioncartridges (Sep-Pak C18, Waters) to extract the lipid mediators. Sep-Pak cartridgesare first washed with 20ml water and then with 20ml hexane, and finally the lipidmediators (hydroxy-fatty acids) are eluted with 10ml methyl formate. The lipidextracts are dried under a gentle stream of nitrogen gas, dissolved in 60% metha-nol, and stored at �20 �C before analysis.

11.3.2LC-ESI-MS/MS Analysis

LC-MS/MS-based lipidomic analyses are performed on an Acquity UPLC BEHC18 column (1.0mm� 150mm� 1.7 mm) using an Acquity UltraPerformanceLC system (UPLC; Waters) coupled to an electrospray (ESI) triple quadrupolemass spectrometer (5500 QTRAP; AB SCIEX). Instrument control and dataacquisition are performed using Analyst 1.5.1 (AB SCIEX). Samples are elutedwith a mobile phase consisting of water/acetate (100 : 0.1, v/v) and acetonitri-le/methanol (4 : 1, v/v) (73 : 27) for 5min and ramped to 30 : 70 after 15min, to20 : 80 after 25min and held for 8min, to 0 : 100 after 35min and held for10min with flow rates of 50 ml/min (0–30min), 80 ml/min (30–33min), and100 ml/min (33–45min). MS/MS analyses are conducted in negative ion mode,and fatty acid metabolites are detected and quantified by scheduled MRM withdwell times of �10ms and interchannel delay of 3ms, giving a total cycle timeof 1.3 s. Conditions for the detection of each compound by MRM are repre-sented in Table 11.1. Identification of the target compounds is based on the LCretention time of the analyte compared to that of a standard and on the ratio ofabundance of two specific MRM transitions. For quantification, composite stan-dard solutions ranging from 0.1 to 100 pg/ml are prepared, and calibration linesare calculated by the least-squares linear regression method, as represented inFigure 11.4.

SampleSolid-phaseextraction HPLC ESI Triple quadrupole

MS/MS

Multiple reaction monitoring (MRM)

Figure 11.3 Flow chart depicting the system of LC-ESI-MS/MS-based lipidomics. After solid-phase extraction, samples are separated by HPLC and fatty acid metabolites are detected andquantified by multiple reaction monitoring (MRM) using triple quadrupole MS/MS.

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Table 11.1 Multiple reaction monitoring (MRM) transitions and LC retention times of lipidmediators and hydroxy-fatty acids.

Compound MRM transition (m/z) Retention time (min)

PGE2 351> 271 14.9PGD2 351> 271 15.315-Keto-PGE2 349> 235 15.4PGE2-20-OH 367> 287 6.415-Deoxy-PGJ2 315> 271 20.9PGF2a 353> 193 14.66-Keto-PGF1a 369> 163 12.3TXB2 369> 195 13.9LTB4 335> 195 18.5LTB4-20-OH 351> 195 12.6HXB3 335> 183 20.6LXA4 351> 217 15.9LXB4 351> 221 15.05-HETE 319> 115 24.45,6-EET 319> 191 26.75,6-DHT 337> 145 21.48-HETE 319> 155 23.59-HETE 319> 123 24.08,9-EET 319> 155 26.38,9-DHT 337> 127 20.611-HETE 319> 167 23.012-HETE 319> 179 23.411,12-EET 319> 167 25.911,12-DHT 337> 167 20.115-HETE 319> 219 22.414,15-EET 319> 219 25.014,15-DHT 337> 207 19.516-HETE 319> 189 21.617-HETE 319> 247 21.418-HETE 319> 261 21.219-HETE 319> 275 20.820-HETE 319> 289 21.05,6-Di-HETE 335> 219 20.85,15-Di-HETE 335> 201 18.18,15-Di-HETE 335> 235 17.75-Oxo-ETE 317> 203 25.812-Oxo-ETE 317> 179 23.915-Oxo-ETE 317> 113 22.9AA-d8 311> 267 31.115-HETE-d8 327> 226 22.2LTB4-d4 339> 197 18.4PGE2-d4 355> 275 14.8PGB2-d4 227> 179 17.18-Iso-PGF2a-d4 357> 197 13.7PGE3 349> 233 13.8

(continued )

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Table 11.1 (Continued)

Compound MRM transition (m/z) Retention time (min)

PGD3 349> 189 14.1PGF3a 351> 191 13.5D17-6-Keto-PGF1a 367> 207 10.5TXB3 367> 169 12.7LTB5 333> 195 17.2LXA5 349> 115 14.7RvE1 349> 195 12.2RvE2 333> 115 16.65-HEPE 317> 115 21.88-HEPE 317> 155 21.29-HEPE 317> 149 21.511-HEPE 317> 167 20.912-HEPE 317> 179 21.215-HEPE 317> 219 20.814,15-EpETE 317> 207 23.118-HEPE 317> 259 20.417,18-EpETE 317> 259 22.517,18-Di-HETE 335> 247 18.119-HEPE 317> 229 19.420-HEPE 317> 287 20.14-HDoHE 343> 101 24.77-HDoHE 343> 141 23.58-HDoHE 343> 189 23.710-HDoHE 343> 153 22.911-HDoHE 343> 121 23.213-HDoHE 343> 193 22.614-HDoHE 343> 205 22.916-HDoHE 343> 233 22.317-HDoHE 343> 245 22.416,17-EpDPE 343> 233 25.120-HDoHE 343> 241 21.919,20-EpDPE 343> 241 24.419,20-Di-HDoPE 361> 229 19.421-HDoHE 343> 255 21.522-HDoHE 343> 269 21.44,14-Di-HDoHE 359> 101 19.17,14-Di-HDoHE 359> 113 18.67,17-Di-HDoHE 359> 199 18.110,17-Di-HDoHE(PD1) 359> 153 18.0RvD1 375> 141 15.7RvD2 375> 175 15.0AA 303> 259 31.3EPA 301> 257 28.9DHA 327> 283 30.6DPA n-3 329> 285 32.0DPA n-6 329> 285 33.4

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Representative chromatograms of mono-HEPEs are depicted in Figure 11.5.Among HEPE isomers, 8-HEPE and 12-HEPE did not resolve well using a C18 col-umn (retention time of 21.2min). However, the choice of structure-specific productions allowed their differentiation (8-HEPE m/z 317> 155 and 12-HEPE m/z317> 179). Also, the MRM transition used for 18-HEPE (m/z 317> 215) showedcross-reactivity with 17,18-EpETE, but these hydroxy- and epoxy-fatty acids wereresolved well by C18 column chromatography (retention times of 20.4 and22.5min, respectively). Therefore, the LC-MS/MS system using MRM mode pro-vides structure-specific signal detection and further improves the quantificationlimits when combined with high-resolution LC separations. New MS instrumentssuch as QTRAP 5500 can conduct hundreds of MRM analyses, and high-resolutionLCs such as UPLC can improve quantification by optimal peak separation.

11.4Mediator Lipidomics in Inflammation and Resolution

In many human diseases, uncontrolled inflammation is suspected as a key compo-nent of pathogenesis [14]. Acute inflammation is an indispensable host response toinsult or tissue injury. However, excessive or inappropriate inflammatory responsescan cause local tissue damage and remodeling, which contribute to a range ofchronic diseases. In healthy individuals, acute inflammation is self-limiting andhas an active termination program [15]. Therefore, the mechanisms by which acuteinflammation is resolved are of interest.

Inte

nsity

15-HEPEy = 2562.1x + 16131

R² = 0.99915

1.0E+06

2.0E+06

3.0E+065-HEPEy = 3619.5x + 15783

R² = 0.99956

1.0E+06

2.0E+06

3.0E+06

4.0E+06

0.0E+0010005000

LTB4y = 3651.7x + 32044

R² = 0.99760

2.0E+06

3.0E+06

4.0E+06

0.0E+0010005000

LXA4y = 1607.7x + 1515.4

R² = 0.99875

1.0E+06

2.0E+06

Inte

nsity

/ 10µlpg

0.0E+00

1.0E+06

100050000.0E+00

10005000

/ 10µlpg

Figure 11.4 Representative standard curves for hydroxy-fatty acids.

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The local inflammatory response is characterized by a sequential release of medi-ators and the recruitment of different types of leukocytes that become activated atthe inflamed site [15, 16]. To better understand the molecular and cellular mecha-nisms underlying the coordinated processes of inflammation and resolution, weapplied LC-ESI-MS/MS-based mediator lipidomics to the self-resolving acuteinflammation model, namely, murine zymosan-induced peritonitis [17]. As shownin Figure 11.6, temporal and quantitative differences in the lipid mediator profileswere observed in the course of acute inflammation and resolution. COX pathway

5-HEPE5-HEPE

21.821.8

m/z 317 > 115317 > 11521.221.2

8-HEPE8-HEPE

12-HEPE12-HEPE

21.221.2

20.820.8 m/zm/z 317 > 179317 > 179

m/zm/z 317 > 155317 > 155

15-HEPE15-HEPE

20.420.4

22.522.514.9

18-HEPE18-HEPE 17,18-EpETE17,18-EpETE

m/zm/z 317 > 219317 > 219

m/zm/z 317 > 259317 > 25915.315.3

PGEPGE2

Rel

ativ

e A

bund

ance

Rel

ativ

e A

bund

ance

18.018.0 m/zm/z 351 > 217351 > 217

LXA4

15.915.9 m/zm/z 351 > 271351 > 271

PGDPGD2

LTBLTB4

PD1

18.518.5 m/zm/z 359 > 153359 > 153

m/zm/z 335 > 195335 > 195

TICTIC

Retention Time ( min )Retention Time ( min )10.0 40.040.0

Figure 11.5 Representative MRM chromatograms for hydroxy-fatty acids.

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products such as PGE2 and PGD2 appeared upon zymosan stimulation and werepresent in both the initiation (4 h) and the early resolution (24 h) phases. In con-trast, 5-LOX pathway products such as LTB4 appeared only in the initiation phase.Of interest, the 12/15-LOX pathway products, including DHA-derived mediatorprotectin D1 (PD1), were present in the lavage of naive mice. Upon zymosan chal-lenge, the concentrations of the 12/15-LOX products decreased in the initiationphase and recovered in the early resolution phase. Especially, the 5-LOX and 12/15-LOX pathway products displayed a reciprocal pattern.Next we examined the temporal and differential profiles of inflammatory cells

(leukocytes in exudates) in the course of acute peritonitis. Acute inflammatoryresponse is characterized by edema formation and neutrophil infiltration followedby monocyte/macrophage accumulation [15]. In zymosan-induced peritonitis, wefound that eosinophils are recruited to the inflamed loci during the resolutionphase of acute inflammation [17]. In vivo depletion of eosinophils by injecting anti-IL-5 monoclonal antibody caused a resolution deficit, and the differential display oflipid mediators using LC-MS/MS revealed that locally activated eosinophils in theearly resolution phase produced 12/15-LOX-derived mediators, including DHA-derived anti-inflammatory/proresolving lipid mediator PD1 (Figure 11.7) [13].Indeed, the predominant population expressing 12/15-LOX in the early resolutionphase was eosinophils, and isolated eosinophils produced a significant amount of12/15-LOX-derived mediators. In the naive peritoneal cavity, resident macrophages

COX 5-LOX 12/15-LOX

200300400500

pg

PGE2

2 3 4 5

ng

LTB4

2 3 4 5

ng

12-HETE

pathway pathway pathway

0100

2520151050

time ( h )

200

PGD2

200

LTB5

0 1

2520151050

time ( h )

0 1

2520151050

time ( h )

300

PD1

0

50

100

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2520151050

pg

time ( h )

0

50

100

150

2520151050

pg

time ( h )

0

100

200

2520151050

pg

time ( h )

Figure 11.6 Temporal profile of lipid mediators in zymosan-induced mouse peritonitis. Timecourse of COX products PGE2 and PGD2, 5-LOX products LTB4 and LTB5, and 12/15-LOXproducts 12-HETE and PD1 in the peritoneal exudates of zymosan-induced mouse peritonitis.

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are the predominant cell population expressing relatively high levels of 12/15-LOX,and are likely responsible for the generation of 12/15-LOX products in the lavage ofnaive mice. The resolution deficit caused by eosinophil depletion was rescued byeosinophil restoration or local administration of PD1, and eosinophils deficient in12/15-LOX were unable to rescue the resolution phenotype. These results indicate

TxA2

AA

15

12-HETE

5-LOX 12/15-LOX

control

eosinophil depletion

0

300

600

TxB2

PGH2

0

40

80

5-HETE LTA4 0

5

10

5

10

15

15-HETE

5

10

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5,15-diHETE

ng

ng

ng

ng

ng

30

60

PGE2

5

10

PGD2

5

10

PGF2α

25

50

LTB4

0

5

0

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200

400

LXA4

ng

ng ng

ng

pg

0 0 0 0 0

EPA

COX 5-LOX 12/15-LOX

DHA

7-HDHA

12/15-LOX

100

200

300

PGE3

5

10

15

5-HEPE LTA5

LTB 15-HEPE

0

500

1000

12-HEPE

0

400

800

0

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3 17-HDHA

0

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13-HDHA

pg

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0 0

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0

60

120

10,17-diHDHA

(PD1)

0

150

300

7,17-diHDHA

pg

pg pg

ng

ng

COX

Figure 11.7 Differential display of LC-MS/MS-based mediator lipidomics. Peritoneal lavagecells in the resolution phase from control IgG-treated (black bars) or anti-IL-5 monoclonalantibody-treated mice (white bars) werestimulated ex vivo with calcium ionophore.Arachidonic acid (AA)-, eicosapentaenoic acid

(EPA)-, and docosahexaenoic acid (DHA)-derived products were quantified by LC-MS/MS.These results indicate that eosinophils in theresolution phase produce 12/15-LOX products,including DHA-derived lipid mediator PD1.12/15-LOX products are boxed. Reprinted fromRef. [17].

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that eosinophils and eosinophil-derived lipid mediators (i.e., 12/15-LOX-derivedmediators) have a role in promoting the resolution of acute inflammation [17].

11.5Conclusion and Future Perspective

The comprehensive lipidomic method described in this chapter has a number ofattractive applications. One of them, as shown above, is a coordinated class switch-ing of lipid mediators in the course of acute inflammation and resolution. Thistechnology could potentially identify the metabolic fingerprint of a disease for clini-cal diagnosis and treatment. Mediator lipidomics concerns the simultaneous andquantitative analysis of bioactive lipid mediators in biological systems. When com-bined with proteomic, transcriptomic, and genomic profiles (multiomics profiling),it can greatly assist in understanding the role of lipid mediators in certain biologicaland/or pathological conditions.

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