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Volume 271, Number 30, Issue of July 26, 1996 pp. 17944-17948
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.

Release of Leukotriene A4 Versus Leukotriene B4 from Human Polymorphonuclear Leukocytes*

(Received for publication, March 29, 1996, and in revised form, May 6, 1996)

Angelo Sala , Manlio Bolla , Simona Zarini , Reiner Müller-Peddinghaus Dagger and Giancarlo Folco §

From the Center for Cardiopulmonary Pharmacology, Institute of Pharmacological Sciences, School of Pharmacy, University of Milano, Via Balzaretti 9, 20133 Milano, Italy and the Dagger  Pharma Research Center, Bayer AG, 42096 Wuppertal, Federal Republic of Germany

ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
FOOTNOTES
Acknowledgment
REFERENCES


ABSTRACT

The reactive intermediate formed by 5-lipoxygenase metabolism of arachidonic acid, leukotriene A4, is known to be released from cells and subsequently taken up by other cells for biochemical processing. The objective of this study was to determine the relative amount of leukotriene A4 synthesized by human polymorphonuclear leukocytes (PMNL) that is available for transcellular biosynthetic processes. This was accomplished by diluting cell suspensions and measuring the relative amounts of enzymatic versus nonenzymatic leukotriene A4-derived metabolites after challenge with the Ca2+ ionophore A23187. Nonenzymatic leukotriene A4-derived metabolites were used as a quantitative index of the amount of leukotriene A4 released into the extracellular milieu. The results obtained demonstrated that in human PMNL, the relative amounts of nonenzymatic versus enzymatic leukotriene A4-derived metabolites increased with decreasing cell concentrations. After a 20-fold dilution of PMNL in cell preparations, a doubling in the amount of nonenzymatic leukotriene A4-derived metabolites was observed following challenge (from 53.9 ± 1.3 to 110.4 ± 8.9 pmol/106 PMNL, p < 0.01). Reduction of possible cell-cell interactions by dilution suggested that over 50% of leukotriene A4 synthesized is released from the PMNL. These data provide evidence that, in human PMNL preparations, transfer of leukotriene A4 to neighboring PMNL is taking place, resulting in additional formation of leukotriene B4 and its omega -oxidized metabolites 20-hydroxy- and 20-carboxy-leukotriene B4. Neutrophil reuptake of extracellular leukotriene A4 leads to an underestimation of the fraction of leukotriene A4 that is in fact available for transcellular metabolism when tight cell-cell interactions occur, such as during PMNL adhesion to the microvascular endothelium and diapedesis.


INTRODUCTION

Arachidonic acid oxidation, catalyzed by cyclo-oxygenase or 5-lipoxygenase, leads to potent biologically active molecules such as thromboxane, prostacyclin, and leukotrienes (1, 2). While most biochemical studies have focused on cells that possess cyclooxygenase or 5-lipoxygenase (5-LO),1 it is now clear that the formation of eicosanoids is not strictly limited to those cells which have these primary oxidative enzymes. The discovery of reactive intermediate transfer in eicosanoid biosynthesis was made by Marcus (3) who showed that platelet-derived endoperoxides could be transformed into prostacyclin by adjacent endothelial cells. More recently, conversion of LTA4 to LTB4 and cysteinyl leukotrienes LTC4, LTD4, and LTE4 has been shown in cells that do not possess 5-LO activity, such as red blood cells (4), platelets (5), endothelial cells (6, 7), and smooth muscle cells (8).

Polymorphonuclear leukocytes (PMNL) possess relatively large amounts of 5-lipoxygenase, the enzyme catalyzing the sequential conversion of arachidonic acid to 5-hydroperoxyeicosatetraenoic acid (5-HPETE) and LTA4 (9). Upon cell activation, significant amounts of LTB4 and its omega -oxidized metabolites 20-hydroxy- and 20-carboxy-LTB4 are released into the extracellular milieu together with nonenzymatic breakdown products of LTA4, namely Delta 6-trans-LTB4 isomers and 5,6-dihydroxyeicosatetraenoic acids (5,6-diHETEs) (10, 11, 12). Recent studies in complex organ systems (13, 14, 15, 16, 17, 18) showed that perfusion of PMNL in the isolated lung or heart of the rabbit only caused a significant increase in the production of cysteinyl leukotrienes when PMNL were activated during the perfusion process. These data suggest that transcellular biosynthesis of cysteinyl leukotrienes might indeed be of physiopathological relevance when tight cell-cell interactions occur, such as during adhesion and diapedesis of PMNL through the microvascular endothelium of a functioning organ system.

In light of these observations it was of interest to assess the relative amount of LTA4 released from PMNL and therefore available for transcellular biosynthesis of cysteinyl leukotrienes, with respect to total LTA4 synthesized. The release of LTA4 into the extracellular milieu would remove this intermediate from intracellular LTA4 hydrolase that catalyzes conversion of LTA4 into LTB4. Intracellular LTB4 can be further metabolized by a specific cytochrome P-450 to 20-hydroxy-LTB4 and 20-carboxy-LTB4 (19). The extracellular (released) LTA4 will react with water with a half-life lower than 30 s (20) to yield the nonenzymatic products, Delta 6-trans-LTB4, Delta 6-trans-12-epi-LTB4, and 5,6-dihydroxyeicosatetraenoic acid isomers. But PMNL are able to take up exogenously added LTA4 (21) and metabolize it into LTB4, thus reducing the fraction of released LTA4 that is actually available for transcellular metabolism (or nonenzymatic hydrolysis).

In the present study experiments were designed to test the effect of dilution on the quantitative profile of LTA4 metabolites produced after challenge with the Ca2+ ionophore A23187. The hypothesis that in diluted cell preparations LTA4 would have less chance of being reabsorbed and metabolized by vicinal PMNL has been tested. In a previous study, Cluzel et al. (22) showed that the use of diluted cell suspensions provided important information concerning the amount of platelet activating factor and LTB4 released by PMNL. Using a similar approach, we provide evidence that significant transcellular metabolism of LTA4 does indeed take place in purified human PMNL preparations.


EXPERIMENTAL PROCEDURES

Chemicals and Reagents

All chemicals used were reagent-grade and obtained from commercial sources. Eicosanoids were purchased from Cayman Chemical Co. (Ann Arbor, MI). 12-O-Methyl,all-trans-LTB4 derivatives were prepared by reacting LTA4 (20 nmol) with methanol (1 ml) acidified with HCl and purified by RP-HPLC. HPLC-grade solvents were obtained from Merck (Darmstadt). Type I ``plus'' water was obtained using a MilliQ Plus water purifier (Millipore, Molsheim), fed with double distilled water.

Preparation of Human Polymorphonuclear Leukocytes

Human polymorphonuclear leukocytes (PMNL) were obtained from blood withdrawn from healthy donors that had not taken medications for at least 1 week; blood was collected into a 50-ml polypropylene centrifuge tube containing 5.7 ml of ACD (41 mM citric acid × H2O, 100 mM sodium citrate × 2H2O, 136 mM glucose) and carefully mixed. After centrifugation for 15 min at room temperature (RT) and 280 × g, platelet-rich plasma was removed, and residual blood was combined with an equal volume of saline and 0.5 volume of dextran T-500 (6%, w/v, in saline), followed by thorough mixing, and allowed to stand at RT for 30 min. The leukocyte-enriched upper phase was centrifuged for 15 min at RT and 280 × g. The pelleted cells were then subjected to erythrocyte lysis by gentle resuspension in 1 volume of a 0.2%, w/v, NaCl solution and further dilution with 1 volume of a solution of the following composition, 3.98 g of NaCl + 0.5 g of sucrose in 250 ml of distilled water at +4 °C. Mononuclear cells were separated by centrifugation on Ficoll cushions (density 1.077 g/ml) for 30 min at RT and 400 × g. The pellet was then resuspended and the obtained PMNL washed twice with 10-15 ml of phosphate-buffered saline without Ca2+ and Mg2+ (PBS2-). Cells were finally resuspended at a final concentration of approximately 20-30 × 106 cells ml-1 in PBS2- and kept on ice until used. This preparation contained more than 95% PMNL as assessed by differential count on May-Grunwald/Giemsa-stained cytocentrifugates.

Cell Incubations

Challenge of PMNL samples at different concentrations was carried out with the calcium ionophore A23187 (Calbiochem, 5 µM) for 2 or 10 min at 37 °C, after addition of Ca2+ (2 mM) and Mg2+ (0.5 mM) and 5 min of thermal equilibration. In selected experiments, human serum albumin (Sigma) was added to a final concentration of 10 mg ml-1; in order to achieve 5-LO activation, concentration of A23187 was raised to 50 µM. LTA4 free acid was obtained through base hydrolysis of LTA4 methyl ester using ice-cold acetone/NaOH 0.25 M (4:1, v/v) at room temperature for 60 min. LTA4 free acid was added either to increasing amounts of human PMNL (1-20 × 106) at a final concentration of 0.4 µM or to a fixed amount of 20 × 106 PMNL ml-1 in increasing concentrations (0.1-10 µM). Metabolism of exogenous LTA4 was allowed to proceed for 10 min at 37 °C.

Incubations were terminated with 2 volumes of ice-cold methanol containing the HPLC internal standard PGB2 (25 ng) and samples analyzed by RP-HPLC.

RP-HPLC Analysis

Samples were diluted with water to a final methanol concentration lower than 20%, and extraction was quickly carried out using a solid phase cartridge (Supelclean LC-18, Supelco, Bellafonte, PA). The retained material was eluted using 90% aqueous MeOH. After evaporation, the dried extract was reconstituted in 600 µl of HPLC mobile phase A (methanol/acetonitrile/water/acetic acid, 10:10:80:0.02, v/v/v/v, pH 5.5, with ammonium hydroxide) and injected into an HPLC gradient pump system (model 126, Beckman Analytical, Palo Alto, CA) connected to a diode array UV detector (model 168, Beckman Analytical) using a microprocessor-controlled autosampler (Jasco 851-AS, Tokio, J), with sample kept at 4 °C. UV absorbance was monitored at 280 nm, and full UV spectra (210-340 nm) were acquired at a rate of 0.5 Hz.

A multilinear gradient from solvent A to solvent B (50% methanol, 50% acetonitrile), at a flow rate of 0.5 ml/min, was used to elute a 3 × 150-mm column (RP-18 endcapped Ecocart Superspher, 4 µm, Merck). Solvent B was increased to 35% over 6 min, to 65% over 25 min, and to 100% over 3 min. This method allows separation of LTB4 from 5(S),12(S)-dihydroxyeicosatetraenoic acid (5,12-diHETE) as well as from nonenzymatic LTA4 metabolites.

Positive identification of enzymatic and nonenzymatic LTA4 metabolites was obtained through UV spectral analysis of chromatographic peaks eluting at characteristic retention times. Quantitation was carried out on positively identified peaks only, using their HPLC peak areas relative to that of PGB2 at 280 nm and calculated from the responses of standard compounds. The ratio (enzymatic-LTA4 metabolites)/(nonenzymatic-LTA4 metabolites) was calculated from the HPLC data. Enzymatic-LTA4 metabolites was used as a collective name for LTC4, LTB4, 20-hydroxy-LTB4, and 20-carboxy-LTB4; nonenzymatic-LTA4 metabolites was used as a collective name for Delta 6-trans-LTB4 isomers, 5,6-dihydroxyeicosatetraenoic acids, and 12-O-methyl-Delta 6-trans-LTB4 isomers (12).

LTA4 metabolites were defined as (enzymatic-LTA4 metabolites) + (nonenzymatic-LTA4 metabolites).

Normalized data were obtained expressing as 100% the total amount of LTA4-derived metabolites observed in a given sample.

Data Analysis

Comparison of enzymatic- and nonenzymatic-LTA4 metabolites in different cell concentration groups was carried out by analysis of variance and post hoc analysis performed with the Hsu MCB test to assess whether means were lower than the unknown maximum (or greater than the unknown minimum). Comparison of LTA4 metabolites at 2 and 10 min were carried out by Student's t test.

Analysis of variance and regression analysis were used to examine the relationship between the cell concentration and different parameters studied. Values were expressed as mean ± standard error of the mean (S.E.) of 3-5 different PMNL preparations. A value of p < 0.05 was considered to be of statistical significance.


RESULTS

Human Polymorphonuclear Leukocyte Cell Incubations

Administration of synthetic LTA4 free acid to human PMNL resulted in a cell number-dependent formation of enzymatic-LTA4 metabolites (data not shown).

Purified human PMNL preparations (20 × 106 cells ml-1) produced the expected profile of LTA4-derived metabolites (19, 23) after challenge with the calcium ionophore A23187 (5 µM, 10 min, 37 °C), identified by HPLC-UV spectral analysis. The major LTA4-derived metabolite detected was 20-hydroxy-LTB4 (20-OH-LTB4), accounting for more than 60% of LTA4-derived products. The remaining 40% was composed of 20-COOH-LTB4, LTB4, and nonenzymatic-LTA4 metabolites. LTC4 was present in minor and variable amounts (<1-20 pmol/106 PMNL), possibly arising from eosinophils or platelet contamination (5, 24) (Fig. 1, panel A).


Fig. 1. Effect of human PMNL concentration on the relative amounts of enzymatic- and nonenzymatic-LTA4 metabolites. UV absorbance profile at 280 nm from the RP-HPLC of human PMNL at different concentrations that were challenged with the calcium ionophore A23187 (5 µM for 10 min at 37 °C). Panel A, 20 × 106 PMNL ml-1. Panel B, 1 × 106 PMNL ml-1.
[View Larger Version of this Image (26K GIF file)]

Decreasing PMNL concentration from 20 to 1 × 106 cells ml-1 resulted in a significant increase in nonenzymatic-LTA4 metabolites (from 53.9 ± 1.9 to 110.4 ± 8.3 pmol/106 PMNL, p < 0.01) (Fig. 1, panel B), whereas the total LTA4-derived metabolites, on a per cell basis, did not change (252.4 ± 11.3 and 272.6 ± 23.8 pmol/106 PMNL, at 20 × 106 and 106 PMNL ml-1, respectively). The amount of nonenzymatic-LTA4 metabolites expressed as a percent of the total LTA4-derived metabolites showed a progressive increase from 21.5% at 20 × 106 PMNL ml-1 to 41.1% at 1 × 106 PMNL ml-1.

The correlation between the concentration of PMNL ml-1 and the ratio of (enzymatic-LTA4 metabolites)/(nonenzymatic-LTA4 metabolites) best fitted a square polynomial correlation (r2 = 0.72, p < 0.0001) (Fig. 2), indicating a possible saturation of enzymatic metabolism of LTA4 in concentrated PMNL preparations. To test this hypothesis, increasing concentrations of synthetic LTA4 were added to PMNL (20 × 106 cells ml-1), resulting in preferential nonenzymatic metabolism at concentrations of LTA4 higher than 1 µM (Fig. 3). In fact, nonenzymatic-LTA4 metabolites represented 18.3% at 1 µM, 41.7% at 3 µM, and 62.6% at 10 µM. Detectable amounts of 5-keto-(7E,9E,11Z,14Z)-eicosatetraenoic acid (25), identified by RP-HPLC retention time and on-line UV spectral analysis, were observed when synthetic LTA4 was used at concentrations higher than 1 µM.


Fig. 2. Correlation between the ratio of enzymatic-/nonenzymatic-LTA4 metabolites and cell concentration in human PMNL preparations. Human PMNL at different concentrations were challenged with the calcium ionophore A23187 (5 µM for 10 min at 37 °C). Means ± S.E. are of 3-5 different PMNL preparations, with each sample run in duplicate.
[View Larger Version of this Image (17K GIF file)]


Fig. 3. Metabolism of increasing concentrations of exogenous LTA4 by human PMNL. Human PMNL (20 × 106) were incubated with increasing amounts of synthetic LTA4 (0.1-10 µM for 10 min at 37 °C). Values of enzymatic and nonenzymatic LTA4 metabolites are expressed as means ± S.E. of three different PMNL preparations, with each sample run in duplicate.
[View Larger Version of this Image (21K GIF file)]

Decreasing the concentration of PMNL caused a marked increase of LTB4 with respect to 20-OH- and 20-COOH-LTB4 (Figs. 1 and 4), in agreement with previous data (22, 26) and suggesting that omega -oxidation of LTB4 is mainly carried out after reuptake of released LTB4.


Fig. 4. Normalized percent composition of human PMNL LTB4 metabolites. Human PMNL at different concentrations were challenged with the calcium ionophore A23187 (5 µM for 10 min at 37 °C). Values are expressed as percent of total (20-COOH-LTB4 + 20-OH-LTB4 + LTB4) LTB4 metabolites. Means ± S.E. are of 3-5 different PMNL preparations, with each sample run in duplicate.
[View Larger Version of this Image (24K GIF file)]

Reducing the incubation time for A23187 challenge from 10 to 2 min resulted in the appearance of methyl trapping metabolites of LTA4 (10, 27), indicating the presence of intact LTA4 (4.5 ± 1.1% of total LTA4 metabolites in diluted and 11.3 ± 0.6% in concentrated PMNL preparations) at this shorter incubation time.

The relative amounts of nonenzymatic-LTA4 metabolites represented 41.1 ± 1.6 and 50.3 ± 1.5% at 10 and 2 min, respectively, in diluted PMNL incubations (p < 0.01). A similar shift toward nonenzymatic-LTA4 metabolites was observed in concentrated PMNL incubations (Table I), where nonenzymatic metabolites represented 23.1 ± 1.3% at 10 min and 37.7 ± 1.4% at 2 min after challenge (p < 0.001). Total amounts of LTA4 metabolites per million cells were also significantly lower at the shorter incubation time studied (Table I).

Table I.

Effect of HSA on LTA4 metabolism in PMNL

LTA4-derived metabolites (expressed as pmol/106 cells) and relative amounts of nonenzymatic-LTA4 metabolites (expressed as percent of LTA4-derived metabolites) were synthesized by diluted and concentrated human PMNL preparations, after challenge with the calcium ionophore A23187 (5 µM, 37 °C for 10 and 2 min or 50 µM for 2 min in presence of human serum albumin, 10 mg ml-1). Means ± S.E. of four different PMNL preparations, with each sample run in duplicate.
Time after challenge PMNL concentration LTA4-derived metabolites Nonenzymatic-LTA4 metabolites

min 106 cells ml-1 pmol per 106 PMNL % of total LTA4 metabolites
10 1 330.3  ± 30.6 41.1  ± 1.6
2 1 262  ± 24.1a 50.3  ± 1.5b
2 + HSA % 1 125  ± 9.5 43.3  ± 1.8c
10 20 311.5  ± 37 23.1  ± 1.3
2 20 162.8  ± 16.9b 37.7  ± 1.4d
2 + HSA % 20 61.7  ± 2.2 43.5  ± 2c

a  p < 0.05 versus 10 min.
b  p < 0.01 versus 10 min.
c  p < 0.05 versus 2 without human serum albumin.
d  p < 0.001 versus 10 min.

Human serum albumin, at a final concentration of 10 mg ml-1, totally inhibited the production of 5-LO metabolites after challenge with A23187 5 µM for 2 min (22), possibly due to binding to albumin itself (28). Increasing the concentration of A23187 to 50 µM restored a well detectable production of LTA4-derived metabolites (Table I). Interestingly, the quota of nonenzymatic metabolites was significantly decreased in diluted cell incubations (43.4 ± 1.8 versus 50.2 ± 1.5%, p < 0.05 versus without albumin) but increased in concentrated PMNL preparations (43.5 ± 2 versus 37.7 ± 1.4%, p < 0.05 versus without albumin) if compared with samples without albumin. In agreement with the stabilizing effect of albumin, intact LTA4, represented by 12-O-methyl-all-trans-LTB4-derivatives, was 18.4 ± 0.8 and 26.5 ± 1.8% of total LTA4-derived metabolites, in diluted and concentrated PMNL preparation, respectively.


DISCUSSION

Over the last 5 years an increasing body of evidence has indicated the importance of transcellular metabolism of leukotriene A4 in complex organ systems. Grimminger and co-workers (13, 14, 15) showed that perfusion and activation of PMNL in the isolated lung of the rabbit resulted in the production of significantly increased amounts of cysteinyl leukotrienes, with respect to activation of PMNL alone. Similar results were obtained in our laboratory using a PMNL-perfused isolated rabbit heart (16, 18). These reports have raised the issue of determining how much of the LTA4 synthesized by PMNL can be made available to adhering cells (namely endothelial or smooth muscle cells). The overall potential for LTA4 transfer from PMNL (donor cell) to acceptor cells (29) has usually been quantitated by evaluating the production of nonenzymatic-LTA4 metabolites in purified PMNL incubations (13, 14, 16). Nevertheless, given the capacity of PMNL to actively take up LTA4 from the extracellular milieu and convert it to LTB4 (21), such a calculation would still underestimate the amount of LTA4 provided by PMNL to neighboring cells. The evidence presented in this report clearly demonstrates that LTA4 represents the major metabolite released from PMNL to the extracellular milieu. Diluted cell suspensions have been used as an approach to limit the quota of LTA4 that, once released into the extracellular milieu, is available for further enzymatic metabolism by neighboring PMNL. Challenge of sequentially diluted PMNL preparations with the calcium ionophore A23187 resulted in increased amounts of nonenzymatic-LTA4 metabolites (namely Delta 6-trans-LTB4 isomers and 5,6-diHETEs) with respect to enzymatic-LTA4 metabolites (LTB4 and its omega -oxidized metabolites). 5-Keto-(7E,9E,11Z,14Z)-eicosatetraenoic acid (25), a reported nonenzymatic-LTA4 metabolite, was not observed in A23187-challenged PMNL preparations, whereas it was present in detectable amounts when synthetic LTA4 was used at concentrations higher than 1 µM. The decrease in the ratio of (enzymatic metabolites)/(nonenzymatic metabolites) was well correlated with the decreased concentration of PMNL, although regression analysis suggested that a progressive saturation of enzymatic metabolism was observed at the higher PMNL concentrations used. Administration of increasing concentrations of synthetic LTA4 to PMNL at a concentration of 20 × 106 ml-1 supported this hypothesis, in agreement with previous data indicating that the LTA4 hydrolase, and not 5-lipoxygenase, is the limiting factor in the synthesis of LTB4 in human leukocytes (30). Concentrations of LTA4 upon challenge with A23187, as estimated from the total amount of LTA4-derived metabolites observed, resulted in approximately 1.13, 2.3, and 5 µM in PMNL preparations at 5, 10, and 20 × 106 PMNL ml-1, respectively. These LTA4 concentrations are very compatible with saturation of the enzymatic metabolite formation observed with exogenous LTA4.

The O-methyl trapping products of LTA4 were observed in incubations terminated 2 min after A23187 challenge, indicating the presence of intact LTA4 even after this time period. The total amounts of LTA4-derived metabolites was significantly lower if compared with amounts observed after 10 min, both in diluted and in concentrated PMNL preparations. However, shortening the incubation time after challenge led to a significant shift toward nonenzymatic-LTA4 metabolites at both concentrations studied. This would be consistent with a time-dependent reuptake of LTA4 into the PMNL and subsequent conversion into LTB4.

It is known that albumin is able to stabilize LTA4, increasing its half-life at physiological pH from a few seconds to over 20 min (20). The effect of human serum albumin, at a concentration of 10 mg ml-1, was studied in diluted and concentrated PMNL preparations, after challenge with A23187 for 2 min. The results obtained showed that in diluted cell preparations, stabilization of LTA4 by albumin was able to partially revert the effect of dilution, allowing intact LTA4 to travel to distant PMNL and be enzymatically transformed into LTB4. On the other end, in the presence of higher concentrations of LTA4, such as in concentrated cell preparations, a favorable competition by the bound LTA4 versus that LTA4 which can be taken up from the albumin complex by the human PMNL exists, resulting in the trapping of intact LTA4 in the extracellular milieu.

In addition to affecting LTA4 metabolism, dilution of PMNL preparations influenced the amounts of LTB4 relative to the omega -oxidized metabolites 20-hydroxy-LTB4 and 20-carboxy-LTB4 observed upon A23187 challenge. Decreasing the PMNL concentration, linked with the increase in nonenzymatic-LTA4 metabolites, also resulted in a 4-fold increase in LTB4, with a complementary decrease in 20-COOH- and 20-OH-LTB4. These results, in agreement with previous studies (22, 26), indicate that LTB4 synthesized in purified PMNL preparations is first released and then omega -oxidative metabolism occurs after reuptake by the cells.

The data presented indicate that the amount of nonenzymatic-LTA4 metabolites observed in PMNL challenged by calcium ionophore A23187 in vitro, at the commonly used concentrations of 10-20 × 106 cell/ml, results in a substantial underestimation of the fraction of LTA4 that is indeed available for transcellular metabolism. In the past, the fact that PMNL themselves act as acceptor cells for released LTA4, as well as cells that convert released LTB4 to omega -oxidized metabolites, was evidently overlooked (Fig. 5). The use of diluted human PMNL preparations permitted the estimate that over 50% of the LTA4 synthesized through activation of 5-lipoxygenase by the use of the calcium ionophore A23187 is actually released into the extracellular milieu. Preliminary data, using a different approach, suggested that the fraction of LTA4 secreted by PMNL could represent up to 80% of the total (31).


Fig. 5. Schematic representation of LTA4 biosynthesis and metabolism in purified PMNL preparations.
[View Larger Version of this Image (34K GIF file)]

At variance with what is generally accepted, the data reported here indicate that the majority of LTA4 is released before being metabolized to LTB4 and is therefore available for transcellular biosynthesis to cysteinyl leukotrienes by proximal cells. Inhibition of LTC4 formation arising from the interaction of human PMNL and glomerular endothelial cells, by antibodies against CD18 and L-selectin, has recently been reported (32). Adhesion of PMNL to potential LTA4 acceptor cells would therefore appear to be a key step toward an efficient transfer of LTA4 resulting in the formation of cysteinyl leukotrienes. Close interaction may cause direct transfer of LTA4 from the PMNL to the LTC4 synthase carrying endothelial cells, resulting in substantial changes in the metabolic profile of 5-lipoxygenase-derived products. It has been shown that LTB4 may enhance its own biosynthesis in an autocrine fashion (33); similarly, cysteinyl leukotrienes may amplify their own biosynthetic mechanisms, inducing endothelial cell-dependent neutrophil adhesion and subsequent transcellular metabolism of LTC4 (34). Metabolism of LTA4 to cysteinyl leukotrienes within the microvasculature may have considerable pathophysiological consequences, in light of the ability of LTC4 and LTD4 to induce profound modification of vascular permeability leading to edema formation (35).

The data presented in this work indicate that LTA4, the main 5-LO-derived metabolite released by PMNL, can therefore be considered as a lipid mediator itself, not as much for its intrinsic biological activity as for its ability to promote the production of bioactive compounds in cells other than those in which it is synthesized.


FOOTNOTES

*   The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ``advertisement'' in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
§   To whom correspondence should be addressed. Tel.: 39-2-20488312; Fax 39-2-29404961.
1   The abbreviations used are: 5-LO, 5-lipoxygenase; PMNL, polymorphonuclear leukocytes; LTA, leukotriene A; RP-HPLC, reverse-phase high performance liquid chromatography; diHETE, 5,6-dihydroxyeicosatetraenoic acids; 5-HPETE, 5-hydroperoxyeicosatetraenoic acid; RT, room temperature.

Acknowledgment

We thank Professor R. C. Murphy for critically reviewing the manuscript.


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