Target intelligence / Profile preview

Resolvin (Rv)

Target
Rv
Molecular classification
Lipid mediator, Endogenous autacoid, Specialized pro-resolving mediator, Agonist/ligand for G protein-coupled receptors (e.g., ALX/FPR2, ChemR23, GPR32)
01

Overview

Resolvins are a family of endogenous lipid mediators derived from omega-3 fatty acids (EPA, DHA, n-3 DPA) that play a central role in actively resolving inflammation and restoring tissue homeostasis[1][3][5]. Formed by enzymatic pathways involving lipoxygenases, cyclooxygenases, and cytochrome P450, resolvins bind and activate specific GPCRs, triggering anti-inflammatory and pro-resolving mechanisms via reduced leukocyte infiltration, enhanced phagocytosis of cellular debris, and suppression of pro-inflammatory mediator production[4][5][7]. Multiple resolvin species (e.g., RvD1, RvD2, RvE1) exert disease-modifying effects in cancer, cardiovascular, neurodegenerative, metabolic, and inflammatory diseases, with promising but as-yet-unproven efficacy and safety in clinical settings[2][4][6][8]. Their clinical potential as therapeutics lies in mimicking or enhancing the body's natural resolution pathways without the immunosuppression or toxicity seen with conventional anti-inflammatory agents[2][8].

Other names
Specialized pro-resolving mediators (SPM)SPMsPro-resolving lipid mediatorsD-series resolvin (RvD1, RvD2)E-series resolvin (RvE1, RvE2, RvE3)RvT series (13-series resolvins)Protectins, maresins, and lipoxins are related but distinct families
02

Mechanism of action

Activation of specific G protein-coupled receptors (GPCRs), notably ALX/FPR2 (RvD1), ChemR23 (RvE1), GPR32 (RvD1), and BLT-1 antagonism (RvE1 and RvE2). Downregulation of NF-κB and MAPK signaling pathways. Suppression of pro-inflammatory cytokines (e.g., TNF-α, IL-6, IL-1β). Induction of apoptosis in neutrophils and promotion of macrophage-mediated clearance. Inhibition of platelet activation and leukocyte adhesion. Augmentation of antioxidant defense (e.g., SOD, HO-1).

03

Biological functions

Resolution of inflammationPromotion of non-phlogistic phagocytosis (clearance of apoptotic cells and debris)Regulation of pro- and anti-inflammatory cytokine productionModulation of immune cell trafficking (blocking neutrophil infiltration, promoting macrophage activity)NeuroprotectionRegulation of pain perceptionLimiting tissue destruction and promoting wound healing
04

Disease associations

Inflammation (acute and chronic)Cancer (suppression of tumor growth; modulation of therapy-related debris-induced tumor stimulation)Cardiovascular disease (atherosclerosis, vascular injury)Metabolic syndrome and diabetes mellitusAutoimmune disease (rheumatoid arthritis, systemic lupus erythematosus)Neurodegenerative diseases (ALS, Alzheimer's, Huntington's, Parkinson’s)Allergic diseases (asthma, rhinitis)Acute lung injury/acute respiratory distress syndrome (ALI/ARDS)
05

Safety considerations

Generally considered nontoxic and nonimmunosuppressive in preclinical studiesUnknown long-term safety of synthetic analogsMinimal side effects compared to NSAIDs and steroids, but full clinical safety profiles are not established due to ongoing developmentPotential off-target immunomodulation or altered host defense with chronic use; not yet established in humans
06

Interacting drugs

Direct: Synthetic resolvin analogs (under development, but not yet marketed)

2 more in the full profile.

07

Biomarkers

Levels of individual resolvins (e.g., RvD1, RvE1) in plasma/tissueG protein-coupled receptor expression levels (e.g., ALX/FPR2, ChemR23)Changes in inflammatory cytokine and chemokine profiles after therapyPhagocytic marker expression on immune cells (e.g., CD11b, TIM4, CCR5)

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