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Arachidonate 15-lipoxygenase (ALOX15, commonly referred to as 15-LOX or 15-LOX-1) is an enzyme that catalyzes the stereo-specific peroxidation of polyunsaturated fatty acids, particularly the addition of a hydroperoxy group at carbon 15 of arachidonic acid to generate 15(S)-hydroperoxyeicosatetraenoic acid (15(S)-HpETE), which is rapidly reduced to 15(S)-HETE[3][5][6]. This enzyme is crucial for the biosynthesis of specialized pro-resolving lipid mediators and is highly expressed in certain immune cells, especially macrophages, where it regulates the oxidation of membrane phospholipids and supports the non-immunogenic removal of apoptotic cells during inflammation resolution[4]. Variants of ALOX15 activity or expression are implicated in a range of disorders, notably inflammatory and cardiovascular diseases, cancer, asthma, and neurodegeneration[3][5][6]. Several small-molecule inhibitors have been developed to study the therapeutic potential of modulating ALOX15 activity in these conditions, but clinical use remains limited mostly to research settings.
Enzyme inhibition (by small molecule inhibitors, reducing formation of pro-inflammatory and pro-resolving lipid mediators) Modulation of lipid mediator biosynthesis (affecting downstream pathways in inflammation and cell survival)
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