Purpose of the review
Lipid peroxidation has long been established as a key player in the pathophysiology of critical care illnesses. Recent developments in oxidative lipidomics have aided in deciphering the molecular mechanisms of lipid oxidation. This review discusses the achievements and recent developments of oxidative lipidomics and its contribution to the understanding of critical illness.
Recent findings
Most studies involving acute injury focus on identifying the end products of lipid peroxidation. This misses the early events and targets of peroxidation mechanisms. Recent developments in LC-MS based oxidative lipidomics have enabled the identification of a wide variety of enzymatically generated lipid oxidation products both in clinical as well as animal injury models. Such lipid mediators have been found to play an important role in injury, inflammation, and recovery in disease states such as sepsis or head trauma.
Summary
Oxidative stress produces multiple lipid oxidation products either through enzymatic pathways or through free radical reactions. These products are often biologically active and can contribute to the regulation of cellular signaling. Oxidative lipidomics has contributed to the understanding of lipid peroxidation products, the mechanism of their production, time course of development after injury, and synergistic functioning with other regulatory processes in the body. These advances in knowledge will help guide the future development of interventions in critical illness.