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Review Article
Mechanisms of Disease
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Volume 357:1841-1854 November 1, 2007 Number 18
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Leukotrienes
Marc Peters-Golden, M.D., and William R. Henderson, Jr., M.D.

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Leukotrienes ("leuko," from white blood cells; and "trienes," three conjugated double bonds) comprise a family of products of the 5-lipoxygenase pathway of arachidonic acid metabolism. The cysteinyl leukotrienes C4, D4, and E4 account for the biologic activity that was previously termed "slow-reacting substance of anaphylaxis," and the efficacy of antagonists to type 1 cysteinyl leukotriene receptor (CysLT1) in asthma validates the importance of cysteinyl leukotrienes and CysLT1 in this disease.1 This article reviews both established understanding and recent advances in our knowledge about leukotrienes.

Synthesis of Leukotrienes

The synthesis of leukotrienes from substrate arachidonic acid is initiated by 5-lipoxygenase in . . . [Full Text of this Article]

Leukotriene Receptors

Blockade of Leukotriene Synthesis and Leukotriene Receptors

Leukotrienes in Disease

Asthma

            Antileukotriene Drugs as Controller Agents

            Effects of Antileukotriene Agents on Airway Remodeling

            Responsiveness to Antileukotriene Agents

            Therapeutic Trials of Antileukotriene Agents

Cardiovascular Disease

Cancer

Leukotrienes in Antimicrobial Defense

Conclusions


Source Information

From the Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor (M.P.-G.); and the Center for Allergy and Inflammation, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle (W.R.H.).

Address reprint requests to Dr. Peters-Golden at the Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Health System, 6301 MSRB III, 1150 W. Medical Center Dr., Ann Arbor, MI 48109-5642, or at petersm@umich.edu.


Related Letters:

Leukotrienes
Taccone-Gallucci M., Manca-di-Villahermosa S., Maccarrone M., Peters-Golden M., Henderson W. R. Jr.
Extract | Full Text | PDF  
N Engl J Med 2008; 358:746, Feb 14, 2008. Correspondence

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