Involvement of Ischemia-driven 5LPOX-RvE1-ChemR23 axis in the resolution of post-CABG inflammation in Coronary Arteries
Abstract Aims: Expression status of pro-resolving lipid mediators (PLM) and receptors in the post-CABG coronary arteries are largely unknown. Here, we aim to investigate the expression of PLMs in the atherosclerotic post-CABG swine LAD compared to without CABG (LAD-AS), and in isolated coronary artery smooth muscle cells (CASMCs) cultured under ischemia. Methodology: The arteries of interest were harvested from post-CABG atherosclerotic swine and the histomorphology and the expression status of key PLM mediators were quantified using immunostaining. SMCs were cultured under ischemia and confirmed the expression on PLM mediators at transcript and protein level.Results: The histomorphometric analysis revealed considerable alterations in the tissue architecture in LAD-CABG and LAD-AS arteries compared to control. PLM synthetic enzyme 5LPOX was significantly upregulated in LAD-CABG and LAD-AS whereas the other mediators including 12LPOX, 15LPOX, COX2, ChemR23, GPCR18, GPCR120 were decreased in LAD-CABG than control. LPOX enzymes and PLM receptors were upregulated in ischemic CASMCs with respect to control. Western blot showed the upregulation of 5LPOX, and ChemR23. Additionally, higher level of RvE1 was observed in ischemic control CASMCs which was decreased following reperfusion. Conclusion: These findings suggest that the CASMCs withstand the ischemia-triggered proinflammatory episodes by increasing the secretion of RvE1 mediated through 5LPOX and ChemR23 signaling.