OBJECTIVE-Lipoxygenases are regulators of chronic inflamation and oxidative stress generation. We evaluated the role of 5-and 12-lipoxygenases in the development of diabetic retinopathy.RESEARCH DESIGN AND METHODS-Wild-type mice, 5-lipoxygenase-deficient mice, and 12/15-lipoxygenase-deficient mice were assessed 1) after 9 months of diabetes for retinal histopathology and leukotriene receptor expression and 2) after 3 months of diabetes for leukostasis and retinal superoxide generation.RESULTS-Diabetic wild-type mice developed the expected degeneration of retinal capillaries and pericytes and increases in both leukostasis and superoxide production (P Ͻ 0.006). We found no evidence of diabetes-induced degeneration of retinal ganglion cells in these animals. The vascular histopathology was significantly inhibited in 5-lipoxygenase-deficient mice, but not in 12/15-lipoxygenase-deficient mice. Retinas from diabetic 5-lipoxygenase-deficient mice also had significantly less leukostasis, superoxide production, and nuclear factor-B (NF-B) expression (all P Ͻ 0.006), whereas retinas from diabetic 12/15-lipoxygenase-deficient mice had significantly less leukostasis (P Ͻ 0.005) but not superoxide production or NF-B expression. Retinas from diabetic wild-type mice were enriched with receptors for the 5-lipoxygenase metabolite leukotriene B 4 . Diabetesinduced histological and biochemical alterations were significantly reduced in 5-lipoxygenase-deficient mice, but not 12/15-lipoxygenase-deficient mice. M any recent studies support the hypothesis that inflammatory insults to the retina play an important role in development of the early stages of diabetic retinopathy (1-4). A hallmark lesion of this early retinopathy is degeneration of retinal capillaries (5-7). This capillary degeneration is believed to be important because when the capillary degeneration is extensive enough, the retina is believed to become ischemic, ultimately leading to retinal neovascularization. The inflammatory response in early diabetic retinopathy includes diabetes-induced increases in 1) cytokine activation, 2) leukostasis, 3) vascular permeability, and 4) nuclear factor-B (NF-B)-regulated expression of proinflammatory molecules, including inducible NO (nitric oxide) synthase, cyclooxygenase-2, and intracellular adhesion molecule-1 (ICAM-1) (4,8 -13). The inflammation might damage retinal capillaries through the generation of reactive oxygen species, occlusion of vessels by leukostasis, promotion of retinal vascular leakage, and induction of endothelial cell death (1,14 -16).
CONCLUSIONS-5-LipoxygenasePrior studies have elucidated that metabolites of arachidonic acid, collectively known as the eicosanoids, are critical in the pathogenesis of chronic inflammatory states such as in asthma, arthritis, and colitis (17-19). 5-Lipoxygenase metabolites of arachidonic acid, the leukotrienes, play a role in these inflammatory processes. Generation of leukotrienes starts with the release of arachidonic acid from phospholipids by cPLA 2 (cytosolic phospholipase ...