![]() |
|
|
Vol. 54, Issue 2, 445-451, August 1998
Institute of Pharmaceutical Chemistry, University of Frankfurt, D-60439 Frankfurt, Germany
| |
Summary |
|---|
|
|
|---|
Nonredox type 5-lipoxygenase (5-LO) inhibitors, such as ZM 230487, its
methyl analogue ZD 2138, or the Merck compound L-739,010, suppress
cellular leukotriene synthesis of ionophore stimulated granulocytes
with IC50 values of about 50 nM. However, in
cell homogenates or in preparations of purified enzyme, up to 150-fold higher concentrations are required for similar inhibition of 5-LO activity. This loss of 5-LO inhibition in cell homogenates was reversed
by addition of glutathione or dithiothreitol, which increased the
inhibitory potency of ZM 230487 or L-739,010 by about 100 to 150-fold
so that 5-LO inhibition was comparable with that of intact cells. In
the presence of thiols, addition of hydroperoxide [13(S)-HpODE], glutathione-peroxidase inhibition by
iodacetate or selenium-deficiency lead to impaired 5-LO
inhibition by ZM 230487 in cell homogenates. Moreover, addition of
glutathione peroxidase was required for efficient inhibition of
purified human 5-LO by ZM 230487. The data suggest that low
hydroperoxide concentrations are important for efficient 5-LO
inhibition by ZM 230487. The kinetic analysis revealed a noncompetitive
inhibition of 5-LO by ZM 230487 at low hydroperoxide levels, whereas it
acted as a competitive inhibitor with low affinity under nonreducing
conditions in granulocyte homogenates. No such redox-dependent effects
were observed with the 5-LO inhibitor BWA4C, the 5-LO activating
protein-inhibitor MK-886 or the pentacyclic triterpene
acetyl-11-keto-
-boswellic acid. These data suggest that
physiological conditions associated with oxidative stress and increased
peroxide levels lead to impaired efficacy of nonredox type 5-LO
inhibitors like ZM 230487 or L-739,010. This could explain the reported
lack of activity of this class of 5-LO inhibitors in chronic
inflammatory processes.
| |
Introduction |
|---|
|
|
|---|
Leukotrienes
are important mediators of inflammatory and allergic reactions which
are produced by granulocytes, monocytes/macrophages, and mast cells
after stimulation (Samuelsson et al., 1987
). 5-LO catalyzes
the two initial steps in leukotriene biosynthesis from arachidonic acid
(Samuelsson, 1983
). The activity of the enzyme that has been purified
from various sources depends on Ca2+ and ATP
(Jakschik et al., 1980
; Rouzer and Samuelsson, 1987
). In
intact cells, 5-LO requires the presence of the membrane-bound FLAP for
leukotriene synthesis (Miller et al., 1990
). It has been shown that the enzyme activity is further regulated by the cellular redox status (Bryant et al., 1982
) and that a threshold
level of hydroperoxides is required for the activation of the enzyme (Rouzer and Samuelsson, 1986
). Recently, it was found that
selenium-dependent peroxidases are responsible for suppression of 5-LO
activity in B-lymphocytes and immature myeloid cells (Werz and
Steinhilber, 1996
). In vitro, 5-LO is activated under
conditions that promote lipid peroxidation (Riendeau et al.,
1989
) [e.g., by increasing the levels of hydroperoxides via depletion
of glutathione (Hatzelmann and Ullrich, 1987
; Hatzelmann et
al., 1989
) or selenium (Weitzel and Wendel, 1993
)]. In
vivo, there is an enhanced formation of activated oxygen species
at inflammatory sites which, among other signals, are involved in 5-LO
activation and subsequent leukotriene synthesis in activated
leukocytes.
The biological profile of leukotrienes suggests that inhibitors of the
5-LO pathway may have therapeutic potential in a variety of
inflammatory and allergic diseases. 5-LO inhibitors can be classified
according to the mechanism of enzyme inhibition. Redox type inhibitors
like phenidone or BW-755C reduce the active site iron of the enzyme
into the ferrous form (Fe2+) and keep the enzyme
in its inactive state. However, redox-active compounds also interact
with other biological redox systems, which leads to side-effects like
methaemoglobin formation (Lau et al., 1992
). Iron ligand
inhibitors represent a class of drugs that inhibit leukotriene
synthesis by chelating the iron in the catalytic center of 5-LO. Most
of the compounds of this class are hydroxamic acid or
N-hydroxyurea derivatives, such as the orally active
compounds Zileuton and BWA4C (Tateson et al.,
1988
; Falgueyret and Riendeau, 1993
). N-hydroxyureas and
hydroxamates are weak redox active compounds and it is presumed that
the 5-LO inhibitory action of these drugs might be related in part to
these properties (Riendeau et al., 1991
; Rouzer et
al., 1991
).
The search for specific and highly potent nonredox 5-LO inhibitors led
to the development of the methoxytetrahydropyran derivatives, such as
ZD 2138, its ethyl analogue ZM 230487, or L-739,010, which inhibit 5-LO
activity in ex vivo whole-blood assays with
IC50 values of 20-50 nM
(Crawley et al., 1993
).
However, despite its strong potency in several ex vivo and
in vitro models, ZD 2138 failed to strongly inhibit
leukotriene synthesis at sites of chronic inflammation (Kusner et
al., 1994
; Turner et al., 1996
). Significantly higher
doses were required for same effects in functional in vivo
assays than in comparable ex vivo models (Smith et
al., 1995
).
Interestingly, a striking difference in 5-LO inhibition was also
observed in vitro, when the inhibitory potency of ZM 230487 in broken cell preparations or purified human recombinant enzyme (Smith
et al., 1995
; Werz et al., 1997
) was compared
with intact cell assays. 20-100-fold higher concentrations of ZM
230487 were required for similar inhibition of 5-LO in 100,000 × g supernatants than in intact cells (Werz et al.,
1997
).
In the present study, we examined the mechanisms leading to the different 5-LO inhibitory activity of ZM 230487 in intact cells and broken cell preparations. We could show that these differences are caused by the reduced glutathione peroxidase activity in cell homogenates in the absence of GSH or DTT. The data suggest that low fatty acid hydroperoxide levels are required for efficient 5-LO inhibition by ZM 230487 and L-739,010.
| |
Experimental Procedures |
|---|
|
|
|---|
Materials.
RPMI 1640 medium was from GIBCO, fetal calf serum
was obtained from Boehringer Mannheim. Insulin was a gift from
Hoechst-Roussel (Frankfurt, Germany). The plasmid pT3-5LO
(Zhang et al., 1992
) was kindly provided by Dr. Olof
Rådmark (Karolinska Institute, Stockholm).
-boswellic acid (AKBA)
was a gift from Dr. H. Safayhi (University of Tübingen, Tübingen, Germany). BWA4C was kindly provided by Dr. L.G. Garland (Wellcome Research Laboratories, Kent, UK), ZM 230487 and MK 886 were gifts from Dr. R. M. McMillan (Zeneca Pharmaceuticals plc, Macclesfield, UK) and Dr. A. W. Ford-Hutchinson (Merck-Frosst, Quebec, Canada). Dithiothreitol, GSH-peroxidase (G6137) and iodacetate were purchased from Sigma (Deisenhofen, Germany),
13(S)-HpODE and 13(S)-HODE were from Biomol
(Hamburg, Germany). Reduced glutathione was obtained from Serva
(Heidelberg, Germany).
Cells.
BL41-E95-A cells were kindly provided by Dr.
Hans-Erik Claesson (Karolinska Institute, Stockholm, Sweden) and
maintained in RPMI 1640 medium supplemented with 10% fetal calf serum,
100 µg/ml streptomycin, and 100 units/ml penicillin. For serum-free
culture, serum was replaced by 5 µg/ml human transferrin and 10 µg/ml bovine insulin (Breitman et al., 1980
). Cells were
cultured in serum-free medium for three passages (one passage
corresponds to 3 or 4 days). Cultures were seeded at a density of
2 × 105 cells/ml. All cultures were grown
in the presence of the indicated additives for 4 days before 5-LO
activity was determined. Human granulocytes were isolated from
leukocyte concentrates derived from healthy donors at St. Markus
Krankenhaus (Frankfurt, Germany) as described previously (Böyum,
1968
).
Determination of 5-LO activity.
Cells were harvested by
centrifugation (200 × g, 10 min at room temperature)
and washed once in Dulbecco's PBS. When intact cells were assayed, the
cells (2-10×106) were finally
resuspended in 1 ml PBS (with 1 mM
Ca2+, 1 g/liter glucose) and preincubated for
5-10 min with the test compounds at room temperature. Then, the
reaction was started by addition of arachidonic acid and ionophore
A23187 in 10 µl of methanol (40 µM and 10 µM final concentrations, respectively). After 10 min at
37°, the reaction was stopped with 1 ml of methanol and 30 µl of
1N HCl, 200 ng of Prostaglandin B1
(internal standard) and 500 µl of PBS were added. After
centrifugation (10 min, 800 × g), the samples were
applied to C-18 solid phase extraction columns (100 mg), which were
conditioned with 1 ml of methanol and 1 ml of water. The columns were
washed with 1 ml of water and 1 ml of 25% methanol. 5-LO metabolites
were extracted with 300 µl of methanol. The extract was diluted with
120 µl of water and 100 µl of the diluted extract were analyzed by
HPLC as described (Steinhilber et al., 1989
).
Expression of 5-LO in Escherichia coli.
Expression of 5-LO was performed in E. coli JM 109 cells,
transfected with pT3-5LO, as described by Zhang et al.
(1992
, 1993
). The cells were harvested by centrifugation at 10,000 × g for 10 min and the pellet was lysed by incubation in 50 ml of 50 mM triethanolamine/HCl, pH 8.0, 5 mM
EDTA, soybean trypsin inhibitor (60 µg/ml), 1 mM phenylmethysulfonyl fluoride and lysozyme (500 µg/ml) for 5 min at
room temperature followed by 25 min on ice. Lysed cells were homogenized by sonication (3 × 15 sec) using a Bandelin
Sonoplus Disruptor HD 200 at 50% and centrifuged at 19,000 × g for 15 min. The supernatant was collected, whereas the
pellet was subjected to a second round of lysis and sonication in 25 ml
of buffer as described above. Supernatants were pooled and proteins
(including 5-LO) were precipitated with 50% saturated ammonium sulfate
during stirring on ice for 40 min. The precipitate was collected by
centrifugation at 16,000 × g for 25 min and the pellet
was stored at
20° or resuspended in 20 ml of PBS-buffer containing
1 mM EDTA and 1 mM phenylmethylsulfonyl
fluoride.
Purification of 5-LO from E. coli and granulocytes. Homogenates from granulocytes were prepared as described above and centrifuged for 20 min at 10,000 × g and 4°. The resulting supernatant or the resuspended pellet of the (NH4)2SO4 precipitate of the E. coli proteins were centrifuged at 100,000 × g for 70 min at 4°.
The 100,000 × g supernatant was applied to an ATP-agarose column (Sigma A2767; bed volume, 2 ml) equilibrated with PBS containing 1 mM EDTA (equilibration buffer). The column was first washed with equilibration buffer (7 ml), followed by 50 mM phosphate buffer, pH 7.4, 0.5 M NaCl, 1 mM EDTA (10 ml), 50 mM phosphate buffer, pH 7.4, and 1 mM EDTA (10 ml). 5-LO enzyme was eluted with 50 mM phosphate buffer, pH 7.4, 1 mM EDTA/20 mM ATP (10 ml). The ATP eluate was concentrated by ultrafiltration (YM 10 membrane; Amicon) to 2.5 ml. Then, the buffer was changed to 50 mM phosphate buffer, pH 7.4, 1 mM EDTA by gel filtration on a prepacked column (PD-10; Pharmacia, Freiburg, Germany). The resulting sample was further purified by anion-exchange chromatography using a ResourceQ column (Pharmacia; bed volume, 1 ml) equilibrated in 50 mM Tris buffer, pH 7.9, 1 mM EDTA (ResourceQ-equilibration buffer). After the elution of unabsorbed material at a flow rate of 1 ml/min, the flow rate was increased to 2.5 ml/min and the column was developed with a linear gradient of 0-0.3 M NaCl in the ResourceQ-equilibration buffer over 10 min. Fractions containing 5-LO were combined and used for the 5-LO assay. Purity of the 5-LO preparations was about 50% as determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis, respectively. Granulocyte preparations contained a 37-kDa protein, whereas two proteins (25 and 72 kDa) were the major contaminants in the E. coli preparations.| |
Results |
|---|
|
|
|---|
ZM 230487 and L-739,010 are significantly less potent 5-LO
inhibitors in broken cell preparations than in intact cells.
The
efficacy of compounds that represent different types of leukotriene
synthesis inhibitors were tested in intact cells and homogenates of
human granulocytes or HL 60 cells. Identical arachidonic acid
concentrations were used in the intact cell and the homogenate assay.
As expected, the FLAP inhibitor MK-886 was only active in intact cells
but not in the corresponding cell homogenates (Table
1). BWA4C, a redox active hydroxamic acid
derivative, had a 3-fold lower IC50 value in
intact cells than in broken cell preparations of differentiated HL 60 cells (0.05 and 0.15 µM, respectively). Similar
differences were found for AKBA, a novel type 5-LO inhibitor (Safayhi
et al., 1992
, 1995
) (IC50 values of 15 and 50 µM, respectively). The nonredox 5-LO inhibitors ZM 230487 and L-739,010 inhibited cellular 5-LO activity in granulocytes at the nanomolar range with IC50 values of 50 nM and 20 nM, respectively. Interestingly, 50- to 150-fold higher concentrations of these drugs were required for
similar inhibition of 5-LO activity in the corresponding cell
homogenates (Table 1).
|
Thiols are required for the strong 5-LO inhibitory potency of ZM
230487 and L-739,010 in broken cell preparations.
The cellular
redox status is an important parameter for 5-LO activation in intact
cells. Recently, we and others showed that selenium-dependent
peroxidases are involved in the regulation of cellular 5-LO activity in
a variety of cell types (Bryant et al., 1982
; Weitzel and
Wendel, 1993
; Werz and Steinhilber, 1996
). Because peroxidases require
millimolar concentrations of thiols as cosubstrates, 1 mM
GSH or DTT was added as a cosubstrate to obtain peroxidase activity in
the homogenate assays. As shown in Fig.
1, addition of thiols increased the
inhibitory potency of ZM 230487 and L-739,010 by about 100-fold.
|
|
Hydroperoxide addition or inhibition of peroxidase by iodacetate or selenium deficiency leads to impaired efficacy of ZM 230487. To study the role of glutathione peroxidases, 13-HpODE was added to homogenates to counteract peroxidase-mediated effects. Fig. 3 shows that addition of 3 µM 13(S)-HpODE to DTT-supplemented homogenates resulted in a shift of the IC50 value of ZM 230487 from 50 to 450 nM. The corresponding alcohol, 13(S)-HODE, only marginally affected the IC50 value (70 nM). Almost identical dose response curves were obtained with 15-hydroperoxy-6,8,11,14-eicosatetraenoic acid and 15-hydroxy-6,8,11,14-eicosatetraenoic acid, respectively. Thus, in the presence of increased peroxide levels, ZM 230487 is less potent in blocking 5-LO activity.
|
|
Glutathione peroxidase strongly enhances the inhibitory potency of
ZM 230487 on purified human 5-LO.
Human recombinant 5-LO was
expressed in E. coli and purified as described in
Experimental Procedures. Inhibition of the recombinant enzyme by ZM
230487 was checked in the absence or presence of purified glutathione
peroxidase (Fig. 5). In the absence of
glutathione peroxidase, the IC50 value of ZM
230487 was 0.6 µM, which is comparable with data reported
in the literature (Smith et al., 1995
). GSH alone did not
significantly affect 5-LO inhibition by ZM 230487. However, in the
presence of glutathione peroxidase (20 milliunits/ml), an enhanced
sensitivity of 5-LO against ZM 230487 was observed and the resulting
IC50 value was 30 nM. A similar
pattern was found for the purified LO from human granulocytes (data not
shown). Thus, it can be concluded that glutathione peroxidase is
required for efficient inhibition of purified 5-LO by ZM 230487.
|
Noncompetitive and competitive inhibition of 5-LO activity by ZM 230487 depends on the 5-LO redox status. Nonredox inhibitors are considered to be competitive, active, site-directed 5-LO inhibitors that bind to an acid-binding pocket distal to the active site of the enzyme. Studies with the isolated 5-LO suggested a competitive inhibition of 5-LO by these compounds. However, stimulation of granulocytes with ionophore (10 µM) in the presence of arachidonic acid (40 µM) lead to a strong increase in cellular 5-LO activity compared with ionophore stimulation alone, but 5-LO inhibition by ZM 230487 was barely affected. Thus, it was of interest to study whether ZM 230487 is a competitive or noncompetitive inhibitor in the presence of high concentrations of fatty acid hydroperoxides which are usually generated in crude or purified 5-LO preparations when thiols and/or GSH-peroxidases are absent and at low peroxide levels which are usually found in resting intact cells.
Granulocyte homogenates were incubated with various concentrations of arachidonic acid in the presence or absence of DTT (1 mM) and the indicated concentrations of ZM 230487. The results are given as Lineweaver-Burke plots. As shown in Fig. 6 there is a competitive inhibition of 5-LO by ZM 230487 in the absence of DTT (Fig. 6A). However, under conditions with low levels of fatty acid hydroperoxides (i.e., in the presence of DTT and endogenous glutathione peroxidase), 5-LO was inhibited by ZM 230487 in a noncompetitive manner and 5-LO inhibition was independent of the arachidonic acid concentration (Fig. 6B).
|
Oxidative stress leads to the reduced inhibition of cellular 5-LO activity by ZM 230487. The data obtained with crude 5-LO preparations and purified enzyme suggested that an increased cellular peroxide tone could lead to a reduced inhibition of 5-LO activity of intact cells by ZM 230487. To test this possibility, granulocytes were stimulated with ionophore A23187 (10 µM) in the presence of the indicated concentrations of ZM 230487 and 13-HpODE (3 µM) or the oxidizing agent diamide (500 µM). As can be seen from Fig. 7, diamide and 13-HpODE shifted the IC50 value of ZM 230487 from 50 to 290 and 400 nM, respectively. No such effects of 13-HpODE were observed when the FLAP inhibitor MK-886 was tested (data not shown).
|
| |
Discussion |
|---|
|
|
|---|
L-739,010 and methoxytetrahydropyran derivatives like ZM 230487 or
ZD 2138 are selective and potent inhibitors of 5-LO in several ex
vivo assays with IC50 values of 20 to 50 nM in human whole blood and 3 nM in murine
macrophages (Crawley et al., 1993
). However, 100 to 150-fold
higher concentrations were required for similar inhibition of purified
5-LO or 5-LO activity in broken cell preparations (Fig. 1). In a first
series of experiments, we found that this shift in 5-LO inhibition was
not caused by differences in arachidonic acid availability; rather, it
was caused by differences in the peroxide tone generated under the
various assay conditions.
Addition of thiols to the homogenates strongly increased the potency of ZM 230487 and L-739,010, and the resulting 5-LO inhibition was comparable with that of intact cells (Fig. 1). In contrast to ZM 230487, no significant shifts of the IC50-values by DTT were found for the novel nonredox type inhibitor AKBA and the iron ligand BWA4C (Fig. 2).
In the presence of DTT, 5-LO inhibition by ZM 230487 in broken cell preparations was strongly reduced when selenium-dependent peroxidases were inhibited by iodacetate or when exogenous 13(S)-HpODE was added, whereas 13(S)-HODE, the corresponding alcohol, only slightly affected 5-LO inhibition by ZM 230487 (Figs. 4 and 3). These results and the inability of GSH to potentiate the efficacy of ZM 230487 in homogenates from selenium-deficient BL41-E95-A cells clearly indicate the participation of glutathione peroxidases. These findings were confirmed with the purified enzymes. Inhibition of purified recombinant 5-LO by ZM 230487 was not affected by GSH alone but ZM 230487 was about 20-fold more potent when glutathione peroxidase was included (Fig. 5). The data suggest that strong 5-LO inhibition by ZM 230487 can only be achieved under conditions that allow the efficient reduction of hydroperoxides by glutathione peroxidases. These effects were confirmed with intact cells. Elevation of the cellular peroxide tone either by addition of 13-HpODE or diamide leads to a shift of the IC50 value of ZM 230487 from 50 to 400 and 290 nM, respectively (Fig. 7). No such effects were observed with MK-886. The data obtained with compounds belonging to various classes of 5-LO inhibitors suggest that the peroxide dependent 5-LO inhibition could be a unique feature of such nonredox type inhibitors ZM 230487 and L-739,010, because no such effects were observed with BWA4C, AKBA or MK-886.
Kinetic analysis revealed that there is a competitive inhibition of
5-LO activity by ZM 230487 under nonreducing conditions, whereas the
compound acts as noncompetitive inhibitor when the hydroperoxide level
is low (Fig. 6). The fact that elevated peroxide levels significantly
reduce the efficacy and inhibitory properties of ZM 230487 might be of
relevance for the in vivo pharmacology of these drugs.
Leukotrienes are autocrine and paracrine inflammatory mediators that
are released from activated leukocytes at inflammatory sites.
Inflammatory reactions are characterized by the release of activated
oxygen species which can induce peroxidation of polyunsaturated fatty
acids (Comporti, 1985
; Chanock et al., 1994
). Thus, it is possible that the elevated hydroperoxide levels found at sites of
chronic inflammation, after activation of 12- or 15-LO pathways, during
reperfusion injury or other pathophysiological processes cause a
reduced local efficacy of these compounds. This could explain why ZD
2138, the methyl analogue of ZM 230487, did not prevent pulmonary
inflammation and the development of airway hyperresponsiveness although
the ex vivo LTB4 levels and the in vivo LTE4
production was significantly reduced (Turner et al., 1996
)
and although data from FLAP- and 5-LO knock-out mice suggested a
significant involvement of the 5-LO pathway in these diseases (Funk,
1996
; Griffiths et al., 1997
; Irvin et al.,
1997
). In this context, it is also of interest that ZD 2138 was
effective in several cases of acute asthma but failed to inhibit more
chronic inflammatory processes (Nasser et al., 1994
; Turner
et al., 1996
).
The determination of LO inhibition in cell homogenates in the presence and absence of GSH or DTT provides a powerful and easy method to study the fatty acid hydroperoxide dependence of LO inhibition by drugs. Because this might be of importance for the in vivo pharmacology of 5- and also 12- or 15-LO inhibitors, it will be of interest to investigate a larger number of compounds belonging to the various classes of LO inhibitors and to characterize LO inhibitors that are under development now.
| |
Footnotes |
|---|
Received January 21, 1998; Accepted May 8, 1998
This study was supported by Grant Ste 458/3-2from Deutsche Forschungsgemeinschaft (D.S.), and European Union Grant BMH4 CT 96-0229, and a grant from Fonds der Chemischen Industrie.
Send reprint requests to: Dr. Dieter Steinhilber, Institute of Pharmaceutical Chemistry, University of Frankfurt, Marie-Curie-Str. 9, 60439 Frankfurt, Germany. E-mail: steinhilber{at}em.uni-frankfurt.de
| |
Abbreviations |
|---|
LO, lipoxygenase;
13(S)-HpODE, 13(S)-hydroperoxy-(9Z,11E)-octadecadienoic
acid;
13(S)-HODE, 13(S)-hydroxy-(9Z,11E)-octadecadienoic
acid;
PBS, phosphate buffered saline, pH 7.4;
GSH, glutathione;
DTT, dithiothreitol;
FLAP, 5-lipoxygenase activating protein;
AKBA, acetyl-11-keto-
-boswellic acid;
diamide, azodicarboxylic acid
bis-(dimethylamide);
HPLC, high performance liquid chromatography;
LTB, leukotriene B4;
RT, reverse transcription.
| |
References |
|---|
|
|
|---|
-boswellic acid.
Mol Pharmacol
47:
1212-1216[Abstract].This article has been cited by other articles:
![]() |
D. Poeckel, L. Tausch, N. Kather, J. Jauch, and O. Werz Boswellic Acids Stimulate Arachidonic Acid Release and 12-Lipoxygenase Activity in Human Platelets Independent of Ca2+ and Differentially Interact with Platelet-Type 12-Lipoxygenase Mol. Pharmacol., September 1, 2006; 70(3): 1071 - 1078. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Burkert, C. Arnold, T. Hammarberg, O. Radmark, D. Steinhilber, and O. Werz The C2-like {beta}-Barrel Domain Mediates the Ca2+-dependent Resistance of 5-Lipoxygenase Activity Against Inhibition by Glutathione Peroxidase-1 J. Biol. Chem., October 31, 2003; 278(44): 42846 - 42853. [Abstract] [Full Text] [PDF] |
||||
![]() |
O. Werz, E. Burkert, B. Samuelsson, O. Radmark, and D. Steinhilber Activation of 5-lipoxygenase by cell stress is calcium independent in human polymorphonuclear leukocytes Blood, February 1, 2002; 99(3): 1044 - 1052. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||