Consequences of tissue trauma on heme catabolism, reactive oxygen species, and polyunsaturated fatty acid metabolism.
Notes: Top panel: following tissue trauma, release of free heme can serve as a signal for proinflammatory events. The oxidative degradation of heme by heme oxygenase removes free heme, and generates catabolites with antioxidant and anti-inflammatory effects.– Iron released from heme by heme oxygenase catabolism can be stored by ferritin, preventing its participation in redox reactions. Middle panel: acute inflammation is associated with an increase in reactive oxygen species, which are regulated by cellular enzymes involved in redox reactions.,, Reactive oxygen species can have proinflammatory effects, and chronic inflammatory diseases are often associated with oxidative stress.,,, In some cases, reactive oxygen species can have anti-inflammatory effects., lower panel: in response to proinflammatory stimuli, phospholipase A2 mediates release of arachidonic acid from the cell membrane., an increase in inducible prostaglandin-endoperoxide synthase 2 also occurs.,– During the early inflammatory response, arachidonic acid is metabolized by prostaglandin synthases and lipoxygenases to generate eicosanoids and leukotrienes,,,– which is followed, at later times, by “lipid mediator class switching.” The latter is thought to serve as a switch from the production of proinflammatory lipid mediators to those involved in programmed resolution.,,–
Abbreviations: GSH, reduced glutathione; GSSG, glutathione disulfide; PGD2, prostaglandin D2; PGE2, prostaglandin E2; PGG2, prostaglandin G2; PGH2, prostaglandin H2; PGI2, prostaglandin I2; PUFA, polyunsaturated fatty acid.