2009
DOI: 10.1016/j.jaci.2009.05.046
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The leukotriene E4 puzzle: Finding the missing pieces and revealing the pathobiologic implications

Abstract: The intracellular parent of the cysteinyl leukotrienes (cys-LTs), leukotriene (LT) C4, is formed by conjugation of LTA4 and reduced glutathione by LTC4 synthase in mast cells, eosinophils, basophils, and macrophages. After extracellular export, LTC4 is converted to LTD4 and LTE4 by sequential enzymatic removal of glutamic acid and then glycine. Only LTE4 is sufficiently stable to be prominent in biologic fluids, such as urine or bronchoalveolar lavage fluid of asthmatic individuals and at sites of inflammation… Show more

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Cited by 94 publications
(78 citation statements)
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“…12 Leukotriene C 4 (LTC 4 ), a member of the cysteinyl leukotriene family (CysLT), is a potent pro-inflammatory lipid mediator, produced by inflammatory cells such as mast cells, eosinophils, basophils and macrophages. 13,14 It is a potent spasmogen and vasoconstrictor, promotes mucus secretion, and together with histamine is a known immunomodulatory agent of allergic and inflammatory Carolina Alvarez, 1 María M. Amaral, 1 Cecilia Langellotti 2 and Mó nica Vermeulen 1 1 …”
Section: Introductionmentioning
confidence: 99%
“…12 Leukotriene C 4 (LTC 4 ), a member of the cysteinyl leukotriene family (CysLT), is a potent pro-inflammatory lipid mediator, produced by inflammatory cells such as mast cells, eosinophils, basophils and macrophages. 13,14 It is a potent spasmogen and vasoconstrictor, promotes mucus secretion, and together with histamine is a known immunomodulatory agent of allergic and inflammatory Carolina Alvarez, 1 María M. Amaral, 1 Cecilia Langellotti 2 and Mó nica Vermeulen 1 1 …”
Section: Introductionmentioning
confidence: 99%
“…Leukotriene C 4 (LTC 4 ), 2 LTD 4 , and LTE 4 , collectively called cysteinyl leukotrienes (cys-LTs), are proinflammatory mediators derived from arachidonic acid through the 5-lipoxygenase/ LTC 4 synthase pathway (1,2). Intracellularly synthesized LTC 4 is exported via multidrug resistance-associated proteins and is rapidly metabolized in the extracellular space by cleavage removal of glutamic acid and then glycine to LTD 4 and LTE 4 , respectively.…”
mentioning
confidence: 99%
“…LTD 4 binds CysLT 1 with higher affinity than LTC 4 , whereas CysLT 2 binds these cysLTs with equal affinity. LTE 4 has only weak activity on either CysLT 1 (23,24) or CysLT 2 (25,26) and has therefore been generally considered to be a stable inactive breakdown product, although there is accumulating evidence that LTE 4 can stimulate inflammatory responses through mechanisms independent of CysLT 1 or CysLT 2 (27)(28)(29)(30)(31) CysLT 1 mediates bronchoconstriction and also a range of proinflammatory effects including activation and migration of leukocytes (21,32,33), whereas CysLT 2 may mediate the vasoactive effects of LTC 4 and LTD 4 . The leukotriene antagonists approved for use in asthma and allergic rhinitis, most notably montelukast, block the action of cysLTs (predominantly LTD 4 ) on CysLT 1 but do not inhibit CysLT 2 -mediated effects.…”
mentioning
confidence: 99%