Abstract

Acute inflammatory responses are host-protective and normally self-limited; these responses can maintain cell homeostasis and promote defense against various infections and damage factors. However, when improperly managed or inappropriately activated, acute inflammation can lead to persistent and uncontrolled chronic inflammation, which is associated with many other chronic diseases including cardiovascular disease and metabolic disease. Recently, studies have shown that resolution of acute inflammation is a biosynthetically active process. Specialized proresolving lipid mediators (SPMs) known as resolvins and protectins are autacoids that resolve inflammation. A new family of anti-inflammatory and proresolving lipid mediators have recently been reported, known as maresins, which are biosynthesized from docosahexaenoic acid (DHA) by macrophages, have a conjugated double-bond system, and display strong anti-inflammatory and proresolving activity. Here, we review the biological actions, pathways, and mechanisms of maresins, which may play pivotal roles in the resolution of inflammation.

Highlights

  • Acute inflammatory responses are defined as the activation of the innate immune system when the body is damaged or invaded by pathogens; leukocytes migrate from the circulation to the site of trauma or microbial invasion, forming inflammatory exudates and the release of inflammatory mediators of interleukin, tumor necrosis factor-α (TNF-α), high mobility group box-1 protein (HMGB1), prostaglandins, and so forth

  • When uncontrolled or inappropriately activated, acute inflammation can lead to persistent chronic inflammation, causing asthma and neurological degenerative disorders, as well as metabolic diseases, including diabetes, obesity, cardiovascular disease, and even cancer; if the inflammatory response is left unchecked, many inflammatory mediators are released into the blood, causing sepsis, which can lead to death [2]

  • Researchers identified these mediators from human milk, mouse exudates, and human macrophages [17], and they cause lipoxygenation of docosahexaenoic acid (DHA), producing a maresin-epoxide intermediate that is converted to sulfido-conjugate (SC) with triene double bonds, which belongs to the maresin family

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Summary

Introduction

Acute inflammatory responses are defined as the activation of the innate immune system when the body is damaged or invaded by pathogens; leukocytes migrate from the circulation to the site of trauma or microbial invasion, forming inflammatory exudates and the release of inflammatory mediators of interleukin (interleukin, IL-1β, IL-6), tumor necrosis factor-α (TNF-α), high mobility group box-1 protein (HMGB1), prostaglandins, and so forth. This is followed by local vascular expansion, increase in permeability, leukocyte exudation, and, removal of pathogens. Many studies have shown the benefits of these lipid mediators that can limit tissue infiltration of polymorphonuclear leukocytes (PMNs), reduce collateral tissue damage by phagocytes, shorten the resolution interval (Ri), enhance macrophage phagocytosis and efferocytosis, and counterregulate proinflammatory chemical mediators [9]

Synthesis and Classification of Maresins
Key Biosynthesis Enzymes of Maresins
Biological Actions of Maresins
Maresins in Lung Disease
Maresins in Vascular Disease
Maresins in Metabolic Disease
Maresins in Inflammatory Bowel Disease
Maresins Stimulate Tissue Regeneration and Control Pain
10. Conclusion and Prospects
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