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Epidermis-type lipoxygenase 3 (ALOXE3)

Target
ALOXE3
Molecular classification
Enzyme, Lipoxygenase family, Hydroperoxide isomerase, Non-heme iron-containing oxidoreductase
01

Overview

Epidermis-type lipoxygenase 3 (ALOXE3) is a non-heme iron enzyme classified within the lipoxygenase family, but distinct in its catalytic function: instead of directly oxygenating polyunsaturated fatty acids like classical lipoxygenases, it acts as a hydroperoxide isomerase converting fatty acid hydroperoxides into specific hepoxilin-type epoxyalcohols and ketones. ALOXE3’s principal physiological role is in the epidermis, where it is essential for the formation of the lipid envelope of corneocytes necessary for water barrier function; mutations in the gene cause congenital ichthyosis. Beyond the skin, recent research implicates ALOXE3 in adipocyte differentiation via PPARγ activation, fasting-induced improvements in hepatic metabolism, and modulation of neuronal excitability and seizure threshold via arachidonic acid metabolism. Therapeutic interest focuses on metabolic syndrome, diabetes, skin barrier disorders, and neuroinflammatory pain, though no approved drugs directly target ALOXE3 as yet

Other names
Hydroperoxide isomerase ALOXE3eLOX3Epidermal LOX-3Epidermal lipoxygenase-3Epidermis-type lipoxygenase 3Hydroperoxy dehydratase ALOXE3Hydroperoxy icosatetraenoate dehydrataseHydroperoxy icosatetraenoate isomeraseARCI3Lamellar ichthyosis 5LI5arachidonate lipoxygenase 3
02

Mechanism of action

Drugs or gene therapy enhancing ALOXE3 (e.g., adeno-associated virus, trehalose analogues) increase ALOXE3 activity to promote PPARγ-mediated signaling, reduce inflammation, restore barrier function, and modulate neuronal excitability

03

Biological functions

Skin barrier formation and epidermal differentiationMetabolism of fatty acids including arachidonic acid and linoleic acidSynthesis of hepoxilin-type epoxyalcohols and ketonesRegulation of adipocyte differentiation via activation of PPARγModulation of neuronal excitability and seizure susceptibilityRegulation of inflammation in metabolic tissues
04

Disease associations

Congenital ichthyosis (e.g., nonbullous congenital ichthyosiform erythroderma)Metabolic syndrome/diabetes (hepatic insulin sensitivity, steatosis)Inflammation and pain signaling (allodynia)Neurological diseases (seizure susceptibility)
05

Safety considerations

Loss-of-function mutations cause skin barrier defects, dehydration, and infection risk (in congenital ichthyosis)Systemic overactivation may influence glucose and lipid metabolism, potential risk in metabolic disease modulation
06

Interacting drugs

No approved drugs directly targeting ALOXE3 as of September 2025; experimental modulation has been achieved by gene transfer and small molecules like trehalose analogues that upregulate ALOXE3
07

Biomarkers

Mutations in ALOXE3 gene (in ichthyosis diagnosis)Hepoxilin metabolites (hepoxilin A3, B3) in skin and brain tissues

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