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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Identification et étude fonctionnelle de médiateurs gliaux impliqués dans la physiopathologie des maladies inflammatoires chroniques de l'intestin / Identification and functional study of glial mediators involved in the pathophysiology of chronic inflammatory bowel disease

Pochard, Camille 24 October 2017 (has links)
Les maladies inflammatoires chroniques de l’intestin (MICI) telles que la maladie de Crohn et la rectocolite hémorragique sont des maladies chroniques dans lesquelles interviennent des facteurs environnementaux, immunologiques et génétiques. Récemment, il a été montré que la barrière épithéliale intestinale (BEI) était impliquée dans la physiopathologie des MICI, et des approches visant à améliorer la résistance et la réparation de cette BEI représentent de nouvelles pistes thérapeutiques prometteuses. Notre laboratoire a largement contribué ces dernières années à identifier les cellules gliales entériques (CGE), comme un nouveau composant clé du microenvironnement de la BEI, renforçant la protection de la BEI et sa cicatrisation. A l'inverse, chez les patients MICI, les CGE sont altérées à la fois d'un point de vue phénotypique et fonctionnel. Dans ce contexte, outre une meilleure compréhension des mécanismes physiopathologiques, le but de ce projet visait à identifier les CGE comme une nouvelle cible d’intérêt thérapeutique dans les MICI. Grâce à une analyse lipidomique, nous avons mis en évidence une sousproduction de différents médiateurs lipidiques par les CGE de patients MICI. Parmi eux, le 15-HETE et la PGI2 étaient capables de réguler la perméabilité de la BEI, à la fois in vitro et in vivo. De plus, ils semblaient capables de restaurer les fonctions perdues chez les patients MICI. Ainsi, nos travaux suggèrent qu'une sous-production des ces médiateurs lipidiques par les CGE de patients MICI pourraient concourir aux mécanismes physiopathologiques, et représentent une nouvelle piste thérapeutique majeure. / Chronic inflammatory bowel disease (IBD) such as Crohn's disease and ulcerative colitis are chronic diseases involving environmental, immunological and genetic factors. Recently, the intestinal epithelial barrier (IEB) has been shown to be involved in the pathophysiology of IBD, and approaches to improve the resistance and repair of this IEB represent promising new therapeutic pathways. Our laboratory has made a significant contribution in recent years to identifying enteric glial cells (EGC) as a key new component of the IEB microenvironment, enhancing IEB protection and healing. Conversely, in IBD patients, EGC are altered both phenotypically and functionally. In this context, in addition to a better understanding of physiopathological mechanisms, the aim of this project was to identify EGC as a new therapeutic target in IBD. Using a lipidomic analysis, we have demonstrated the underproduction of various lipid mediators by the EGC from IBD patients. Among them, 15-HETE and PGI2 were able to regulate the permeability of the IEB, both in vitro and in vivo. In addition, they appeared to be able to restore functions lost in IBD patients. Thus, our work suggests that underproduction of these lipid mediators by EGC from IBD patients could contribute to pathophysiological mechanisms and represent a new major therapeutic target.
2

Use of Surface Enhanced Raman Spectroscopy for the Detection of Bioactive Lipids

Ohlhaver, Christopher M 01 January 2018 (has links)
The detection and analysis of lipids in biological matrices for clinical applications poses many challenges, but rapid and reliable detection will prove invaluable for clinical diagnosis. Herein, we report the application of drop-casted Ag nanoplatelets as surface enhanced Raman scattering (SERS) substrates for qualitative detection of 20-hydroxyeicosatetraenoic acid (20-HETE), which is a potential biomarker for diagnosis of hypertensive disorders. Biomarker peaks of 20-HETE can be reliably detected and differentiated from those of the structurally similar lipids (arachidonic acid, eicosapentaenoic acid, and docosahexaenoic acid) commonly found in human blood, even 1 pM concentrations. Additionally, one study mixed 20-HETE with three structurally similar lipids at concentrations several orders of magnitude greater than the target lipid and 20-HETE could still be detected under these conditions. These experiments demonstrate the viability of SERS for the rapid and reliable detection of endogenous bioactive lipids, which has significant clinical impact in enabling point of care diagnostics.
3

Plasma and rectal mucosal oxylipin levels during aspirin and eicosapentaenoic acid treatment in the seAFOod polyp prevention trial

Fuller, H., Race, Amanda D., Fenton, H., Burke, L., Downing, A., Williams, E.A., Rees, C.J., Brown, L.C., Loadman, Paul, Hull, M.A. 05 October 2023 (has links)
Yes / Aspirin and eicosapentaenoic acid (EPA) have colorectal polyp prevention activity, alone and in combination. This study measured levels of plasma and rectal mucosal oxylipins in participants of the seAFOod 2 × 2 factorial, randomised, placebo-controlled trial, who received aspirin 300 mg daily and EPA 2000 mg free fatty acid, alone and in combination, for 12 months. Resolvin (Rv) E1, 15-epi-lipoxin (LX) A4 and respective precursors 18-HEPE and 15-HETE (with chiral separation) were measured by ultra-high performance liquid chromatography-tandem mass spectrometry in plasma taken at baseline, 6 months and 12 months, as well as rectal mucosa obtained at trial exit colonoscopy at 12 months, in 401 trial participants. Despite detection of S- and R- enantiomers of 18-HEPE and 15-HETE in ng/ml concentrations, RvE1 or 15‑epi-LXA4 were not detected above a limit of detection of 20 pg/ml in plasma or rectal mucosa, even in individuals randomised to both aspirin and EPA. We have confirmed in a large clinical trial cohort that prolonged (12 months) treatment with EPA is associated with increased plasma 18-HEPE concentrations (median [inter-quartile range] total 18-HEPE 0.51 [0.21-1.95] ng/ml at baseline versus 0.95 [0.46-4.06] ng/ml at 6 months [P
4

Comparação entre 2 protocolos para indução do DM2 e avaliação do efeito do exercício físico moderado sobre a lipotoxicidade e os eicosanóides / Comparison between 2 protocols for T2D induction and evaluation of the effect of moderate physical exercise on lipotoxicity and eicosanoids

Lima, Kamila Lauany Lucas 26 October 2018 (has links)
Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2018-11-19T11:23:59Z No. of bitstreams: 2 Dissertação - Kamila Lauany Lucas Lima - 2018.pdf: 1815959 bytes, checksum: bc2167df3f3d8cab7e32728d28ff5a43 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-11-19T11:32:54Z (GMT) No. of bitstreams: 2 Dissertação - Kamila Lauany Lucas Lima - 2018.pdf: 1815959 bytes, checksum: bc2167df3f3d8cab7e32728d28ff5a43 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-11-19T11:32:54Z (GMT). No. of bitstreams: 2 Dissertação - Kamila Lauany Lucas Lima - 2018.pdf: 1815959 bytes, checksum: bc2167df3f3d8cab7e32728d28ff5a43 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-10-26 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / The present study aimed to test whether: 1) the high fat diet can induce T2D without the administration of streptozotocin (STZ); 2) the high fat caloric intake causes metabolic, behavioral and morphological changes, similar to t2D and; 3) the practice of moderate physical exercise is effective to reverse the metabolic changes caused by T2D and of the high fat diet. To test these hypotheses, we used 57 Wistar 8 week old rats. They were splited into the five experimental groups: group D (N = 25) who received a single intraperitoneal dose of streptozotocin (STZ diluted in citrate buffer, pH 4.5-25mg / kg body weight of the animal) and were fed with high fat diet. To test the effect only of the high fat diet, the HL group (N = 8) was fed with high fat diet but did not receive the STZ injection. Animals with similar ages were used as control (CO, N = 24) and fed with a balanced diet. At the end of the third week, animals of CO and D and HL groups were subdivided into two other groups: sedentary (SE) and exercised (EF). EF groups were submitted to swimming for 6 weeks. The D-SE, D-EF and HL-SE groups presented significant changes in body weight gain, abdominal fat gain, caloric intake, food efficiency, lipid profile and fasting and capillary glucose levels, when compared to control groups. There was no significant difference in the concentrations of arachidonic acid products and the renal tissue did not present morphological alterations. Physical exercise increased high density lipoproteins (HDL), but did not change others evaluated parameters. We conclude that consumption of the high fat diet when associated with sedentary behavior may cause metabolic alterations similar to T2D and that physical exercise was efficient to improve the lipid profile. / Os objetivos do presente estudo foram investigar as seguintes hipóteses: 1) a dieta hiperlipídica pode induzir o Diabetes Mellitus tipo 2 (DM2) sem a administração de streptozotocina (STZ); a ingestão de dieta hiperlipídica e hipercalórica causam alterações metabólicas, comportamentais e morfológicas, similares ao DM2 e; 3) a prática de exercício físico moderado tem potencial sobre as alterações metabólicas causadas pelo DM2 e pela dietahiperlipídica. Para testarmos essas hipóteses foram utilizados 57 ratos Wistar com 8 semanas de idade, distribuídos nos seguintes grupos experimentais: grupo D (N=25) que receberam uma única injeção intraperitoneal de estreptozotocina (STZ diluído em tampão de citrato, pH 4,5 - 25mg/kg de peso corporal do animal) e foram alimentados com dieta hiperlipídica. Para testar o efeito somente da dieta hiperlipídica, o grupo HL (N=8), recebeu uma dieta hiperlipídica, mas não recebeu a injeção de STZ. Animais com idades similares foram utilizados como controle (CO, N=24) e alimentados com dieta balanceada. No final da terceira semana, animais dos grupos CO e D e HL foram subdivididos em dois grupos: sedentário (SE) e exercitado (EF). Os grupos EF foram submetidos a um protocolo de natação durante 6 semanas. Após o protocolo experimental, os grupos D-SE, D-EF e HL-SE apresentaram alterações significativas no ganho de massa, gordura abdominal, ingestão calórica, eficiência alimentar, perfil lipídico e glicemia em jejum e capilar quando comparados aos animais controles. Não houve diferença significativa nas concentrações dos produtos do ácido araquidônico e o tecido renal não apresentou alterações morfológicas. O exercício físico aumentou as lipoproteínas de alta densidade (HDL), mas não alterou os demais parâmetros avaliados. Concluímos que o consumo da dieta hiperlipídica quando associada ao comportamento sedentário pode causar alterações metabólicas similares ao DM2 e que o exercício físico foi eficiente para melhorar o perfil lipídico.
5

Etude de l'émission prompte des sursauts gamma: Expérience HETE-2

BARRAUD, Céline 28 June 2004 (has links) (PDF)
Les sursauts gamma sont des phénomènes cosmologiques très brefs (de quelques millisecondes à plusieurs centaines de secondes), extrêmement intenses et énergétiques: l'énergie émise est reçue essentiellement autour de quelques centaines de keV. Depuis leur découverte à la fin des années soixante par les satellites américains de la série VELA, le mécanisme d'émission des sursauts gamma reste en partie inconnu aux astrophysiciens. Depuis 30 ans, ces phénomènes sont sources de surprises, interrogations, avancés technologiques, physiques, théoriques. Le satellite HETE-2, lancé en Octobre 2000, est dédié à l'observation des sursauts gamma dans une large gamme d'énergie s'étendant de 2 keV à 400 keV. L'instrument principal, le détecteur gamma FREGATE (6--400 keV), fut construit par le CESR à Toulouse. Je présente dans cette thèse l'étude spectrale de 64 sursauts gamma détectés par HETE-2 entre Octobre 2000 et Avril 2004. En particulier, HETE-2 confirma l'existence de sursauts ``mous'', précédemment découverts par le satellite Beppo SAX. Deux classes de sursauts ont été définis: les X-Ray Flash et les sursauts X-Ray Rich qui sont issus avec les sursauts gamma ``classiques'' d'un unique phénomène dont la gamme d'énergie s'étend de quelques keV à quelques MeV (en incluant les sursauts les plus énergétiques détectés par BATSE, expérience qui de 1991 à 2000 recueilli avec succès de nombreuses données sur les sursauts gamma). En mettant en commun les données de FREGATE et de la WXM (instrument X de HETE-2 dont la gamme d'énergie est comprise entre 2 keV et 25 keV), j'ai étudié les spectres dans une gamme d'énergie particulièrement large et qui se situe à basse énergie (2--400 keV). Cette gamme d'énergie m'a permis d'étudier en détails les spectres de ces sursauts mous, qui représentent approximativement les trois quart de l'échantillon total des sursauts détectés par HETE-2. J'ai montré que ces sursauts étaient simplement des sursauts gamma mous, avec les mêmes caractéristiques temporelles et spectrales que les sursauts gamma de BATSE. J'ai ensuite étudié un modèle théorique simplifié des chocs internes qui explique l'émission prompte des sursauts gamma. Ce modèle, aujourd'hui accepté par la majorité de la communauté met en jeu l'émission d'un vent relativiste au sein duquel se forment des chocs: les chocs internes qui, par émission synchrotron principalement, émettent des photons gamma de hautes énergies, formant l'émission prompte. Cette étude m'a permis, à partir de simulations numériques de générer un nombre important de sursauts gamma synthétiques. En utilisant les contraintes déterminées des caractéristiques spectrales des sursauts X-Ray Flashes et X-Ray Rich observés par HETE-2, j'ai déterminer les principales caractéristiques intrinsèques du modèle qui permettent de produire des X-Ray Flashes.
6

The Asymmetric Phase-Transfer Catalyzed Alkylation of Imidazolyl Ketones and Aryl Acetates and Their Applications to Total Synthesis

Christiansen, Michael Andrew 10 March 2010 (has links) (PDF)
Phase-transfer catalysts derived from the cinchona alkaloids cinchonine and cinchonidine are widely used in the asymmetric alkylation of substrates bearing moieties that resonance stabilize their enolates. The investigation of α-oxygenated esters revealed decreased α-proton acidity, indicating the oxygen's overall destabilizing effect on enolates by electron-pair repulsion. Alkylation of α-oxygenated aryl ketones with various alkyl halides proved successful with a cinchonidine catalyst, giving products with high yield and enantioselectivity. The resulting compounds were converted to esters through modified Baeyer-Villiger oxidation. Alkylation with indolyl electrophiles gave products that underwent decomposition under Baeyer-Villiger conditions. Alternative N-methylimidazolyl ketones were explored. Alkylated imidazolyl ketones, obtained in high yield and enantioselectivity, could be converted to esters through treatment with methyl triflate and basic methanol. This technique has the advantage of not requiring stoichiometric addition of chiral reagents, which is requisite when employing traditional chiral auxiliaries. This method's utility is demonstrated in the total asymmetric syntheses of (+)-kurasoin B and analogs, and 12-(S)-HETE. Kurasoin B is a fungal-derived natural compound possessing moderate farnesyl transfer (FTase) inhibitive activity (IC50 = 58.7 μM). FTase catalyzes post-translation modifications of membrane-bound Ras proteins, which function in signal cell transduction that stimulates cell growth and division. The oncogenic nature of mutated Ras proteins is demonstrated by their commonality in human tumors. Thus, FTase inhibitors like (+)-kurasoin B possess potential as cancer chemotherapy leads. Derivatization may enable structure-activity-relationship studies and greater FTase inhibition activity to be found. 12-(S)-HETE, a metabolite from a 12-lipoxygenase pathway from arachidonic acid, has been found to participate in a large number of physiological processes. Its transient presence in natural tissues makes total synthesis an attractive avenue for obtaining sufficient quantities for further study. Five asymmetric syntheses of 12-(S)-HETE have been reported. Three require chiral resolutions of racemates, with the undesired enantiomers being discarded or used for other applications. Asymmetric PTC alkylation is also described for aryl acetates, whose products were enantioenriched through recrystallization. This technique is applied to a total synthesis of the anti-inflammatory drug (S)-Naproxen.
7

Rôle de l’acide 12- Hydroxyeicosatétraénoïque dans la régulation des réponses inflammatoires et cataboliques dans les tissus articulaires dans la pathogenèse de l'arthrose

Mba Dassi, Habib 08 1900 (has links)
Mémoire en recherche-création / L'arthrose (OA) est la maladie musculosquelettique la plus fréquente au monde et peut affecter toutes les articulations. L’arthrose est caractérisée par la dégradation progressive du cartilage, l’inflammation de la synoviale et le remodelage de l’os sous-chondral. Ces changements sont dus à une augmentation d’expression des médiateurs pro-inflammatoires tels que la cyclooxygénase 2 (COX-2) et de facteurs cataboliques, notamment les métalloprotéinases 1 et 13 (MMP-1 et 13). Les métabolites de la 12-lipoxygénase jouent un rôle important dans de nombreux processus physiologiques et pathologiques. À la suite des réactions d'oxygénation / réduction de la 12 LOX, un facteur eicosanoïde particulier est produit: le 12-HydroxyEicosaTétraÉnoique (12-HETE), dont le rôle dans la pathogenèse de l’OA n’est pas caractérisé. L’objectif de ce travail est de définir le rôle de la 12-HETE dans la régulation des réponses inflammatoires et cataboliques dans les tissus articulaires, chondrocytes et synoviocytes, humains. Nous avons démontré que la 12-HETE n’affecte pas la prolifération (test MTT) des chondrocytes et des synoviocytes et n’a aucun effet sur leur migration (test de rayure). Un traitement avec la 12-HETE augmente l’induction de l’expression de la COX-2 dans les deux types cellulaires. La 12-HETE n’avait aucun effet sur l’expression de la MMP-1 et la MMP-13. La 12-HETE induit ses effets à l’aide d’un récepteur couplé à la protéine G : la GRP31. Nous avons décrit l’arthrose sur des coupes histologiques humaines, puis nous avons observé que l’expression de GPR31 était similaire dans le cartilage dégradé et le cartilage non dégradé. Finalement, nous avons montré que les chondrocytes et les synoviocytes expriment la GPR31 et son niveau est diminué en présence de l’interleukine-1 béta (IL-1β). En conclusion, nous avons démontré que la 12-HETE a des effets divers sur les réponses inflammatoires et cataboliques dans les tissus articulaires : elle augmente l’expression de la cyclooxygénase 2 (COX- 2) et n’a pas d’effet sur l’expression de la MMP-1 et la MMP-13. / Osteoarthritis (OA) is the world's most common musculoskeletal disease and can affect all joints. Osteoarthritis is characterized by progressive degradation of cartilage, inflammation of the synovium and remodelling of the subchondral bone. These changes are due to increased expression of pro-inflammatory mediators such as cyclooxygenase 2 (COX-2) and catabolic factors including metalloproteinases 1 and 13 (MMP-1 and 13). 12-lipoxygenase metabolites play an important role in many physiological and pathological processes. Following the oxygenation/reduction reactions of 12 LOX, a particular eicosanoid factor is produced: 12-HydroxyEicosaTetraenoic (12-HETE), whose role in the pathogenesis of AO is uncharacterized. This work aims to define the role of 12-HydroxyEicosaTetraenoic (12-HETE) in regulating inflammatory and catabolic responses in human joint tissues, chondrocytes and synoviocytes. We have demonstrated that 12-HETE does not affect the proliferation (MTT assay) of chondrocytes and synoviocytes and has no effect on their migration (scratch assay). Treatment with 12-HETE increased the induction of COX-2 expression in both cell types. 12-HETE had no effects on MMP-1 and MMP-13 expression. 12-HETE induces its effects using a G protein-coupled receptor: GRP31. We described osteoarthritis on human histological sections and then observed that GPR31 expression was the same in degraded and non-degraded cartilage. Finally, we showed that chondrocytes and synoviocytes express GPR31 and its level is decreased in the presence of Interleukin-1 beta (IL-1β). In conclusion, we demonstrated that 12-HETE has different effects on inflammatory and catabolic responses in joint tissues by increasing COX-2 expression and has no effect on MMP-1 and MMP-13 expression.
8

Aspirin-triggered 15-epi-lipoxin A4 predicts cyclooxygenase-2 in the lungs of LPS-treated mice but not in the circulation: implications for a clinical test.

Kirkby, N.S., Chan, M.V., Lundberg, M.H., Massey, Karen A., Edmands, W.M.B., MacKenzie, L.S., Homes, E., Nicolaou, Anna, Warner, T.D., Mitchell, J.A. 21 October 2013 (has links)
Inhibition of cyclooxygenase (COX)-2 increases cardiovascular deaths. Identifying a biomarker of COX-2 is desirable but difficult, since COX-1 and COX-2 ordinarily catalyze formation of an identical product, prostaglandin H2. When acetylated by aspirin, however, COX-2 (but not COX-1) can form 15(R)-HETE, which is metabolized to aspirin-triggered lipoxin (ATL), 15-epi-lipoxin A4. Here we have used COX-1- and COX-2-knockout mice to establish whether plasma ATL could be used as a biomarker of vascular COX-2 in vivo. Vascular COX-2 was low but increased by LPS (10 mg/kg; i.p). Aspirin (10 mg/kg; i.v.) inhibited COX-1, measured as blood thromboxane and COX-2, measured as lung PGE2. Aspirin also increased the levels of ATL in the lungs of LPS-treated wild-type C57Bl6 mice (vehicle: 25.5±9.3 ng/ml; 100 mg/kg: 112.0±7.4 ng/ml; P<0.05). Despite this, ATL was unchanged in plasma after LPS and aspirin. This was true in wild-type as well as COX-1−/− and COX-2−/− mice. Thus, in mice in which COX-2 has been induced by LPS treatment, aspirin triggers detectable 15-epi-lipoxin A4 in lung tissue, but not in plasma. This important study is the first to demonstrate that while ATL can be measured in tissue, plasma ATL is not a biomarker of vascular COX-2 expression.—Kirkby, N. S., Chan, M. V., Lundberg, M. H., Massey, K. A., Edmands, W. M. B., MacKenzie, L. S., Holmes, E., Nicolaou, A., Warner, T. D., Mitchell, J. A. Aspirin-triggered 15-epi-lipoxin A4 predicts cyclooxygenase-2 in the lungs of LPS-treated mice but not in the circulation: implications for a clinical test.
9

Le rôle de la 12/15-Lipoxygénase dans la pathogenèse de l'arthrose

Habouri, Loures 04 1900 (has links)
No description available.
10

Perturbations of arachidonic acid metabolism in the metabolic syndrome

Tsai, I-Jung January 2009 (has links)
[Truncated abstract] Arachidonic acid is oxidised in vivo by non-enzymatic (free radical) or enzymatic pathways (cyclooxygenase, lipoxygenase, and cytochrome P450) to form a range of biologically active eicosanoids. Specifically, arachidonic acid is metabolised by cytochrome P450 -hydroxylase to produce vasoactive 20-hydroxyeicosatetraenoic acid (20-HETE), and by 5-lipoxygenase to produce proinflammatory leukotriene B4 (LTB4), which can further be metabolised by -hydroxylase to from 20-OH-LTB4 and 20-COOH-LTB4. F2-Isoprostanes (F2-IsoPs) are produced through free radical attack on arachidonic acid and have been recognised as the most reliable markers of lipid peroxidation in vivo. The metabolic syndrome (MetS) is characterised by abdominal obesity, hypertension, insulin resistance, glucose intolerance, and dyslipidemia. It is associated with low-grade inflammation and oxidative stress and an increased risk of developing cardiovascular diseases. Dietary weight loss is strongly recommended for the management of the MetS and can potentially minimise the risk of cardiovascular diseases and diabetes in individuals with the MetS. Little is known regarding the role of these arachidonic acid metabolites in the MetS and the effect of weight loss on their metabolism. Chapter three comprised of three in vitro studies aimed to examine 20-HETE synthesis in human blood cells. 20-HETE acts as a second messenger for vasoconstrictor actions of angiotensin II (Ang II) and endothelin-1 (ET-1) in renal and mesenteric beds. Human neutrophils and platelets are integral to the inflammatory process. ... Production of LTB4 and 20-OH-LTB4 was significantly lower compared with controls (P<0.005) and remained so after adjustment for neutrophil count (P<0.05).The weight loss intervention resulted in a 4.6kg reduction in body weight and a 6.6cm decrease in waist circumference and a significant increase in LTB4 and 20-OH- LTB4 in the weight loss group. Chapter Five continued to investigate the role of other arachidonic acid metabolites, 20-HETE and F2-IsoPs in the MetS and the effect of weight loss. In the case-control study (Human study 1), plasma and urinary 20-HETE and F2-IsoPs were significantly elevated in the MetS group, but no significant difference was found in stimulated-neutrophil 20-HETE. A significant gender x group interaction was observed in that women with the MetS had higher urinary 20-HETE and F2-IsoPs compared to controls (P<0.0001). In a randomised controlled trial (Human study 2), relative to the weight- maintenance group, a 4.6 kg loss in weight resulted in a 2 mmHg fall in blood pressure but did not alter the production of 20-HETE or F2-IsoPs. No significant differences were shown in 20-HETE released from stimulated-neutrophils before and after weight loss. 20-HETE and oxidative stress may be important mediators of cardiovascular disease risk in the MetS. Although a 4% reduction in body weight reduced BP, there were no changes in plasma or urinary 20-HETE or F2-IsoPs. In summary, in vitro studies show that human neutrophils and platelets can produce 20-HETE in response to Ang II and ET-1, and human studies demonstrate that the presence of MetS has a significant impact on arachidonic acid metabolism and effective weight loss can restore leukocyte synthesis of LTB4.

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