Specialized proresolving mediators in infection and lung injury

Biofactors. 2021 Jan;47(1):6-18. doi: 10.1002/biof.1691. Epub 2020 Nov 28.

Abstract

Specialized proresolving mediators (SPMs) are endogenous lipid metabolites of long-chain polyunsaturated fatty acids that are involved in promoting the resolution of inflammation. Many disease conditions characterized by excessive inflammation have impaired or altered SPM biosynthesis, which may lead to chronic, unresolved inflammation. Exogenous administration of SPMs in infectious conditions has been shown to be effective at improving infection clearance and survival in preclinical models. SPMs have also shown tremendous promise in the context of inflammatory lung conditions, such as acute respiratory distress syndrome and chronic obstructive pulmonary disease, mostly in preclinical settings. To date, SPMs have not been studied in the context of the novel Coronavirus, severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2), however their preclinical efficacy in combatting infections and improving acute respiratory distress suggest they may be a valuable resource in the fight against Coronavirus disease-19 (COVID-19). Overall, while the research on SPMs is still evolving, they may offer a novel therapeutic option for inflammatory conditions.

Keywords: COVID-19; acute respiratory distress syndrome; inflammation resolution; lung injury; specialized proresolving mediators.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • COVID-19 / metabolism
  • COVID-19 / pathology
  • COVID-19 / virology
  • COVID-19 Drug Treatment*
  • Docosahexaenoic Acids / therapeutic use*
  • Herpes Simplex / drug therapy
  • Herpes Simplex / metabolism
  • Herpes Simplex / pathology
  • Humans
  • Influenza, Human / drug therapy
  • Influenza, Human / metabolism
  • Influenza, Human / pathology
  • Lipoxins / therapeutic use*
  • Lung / drug effects
  • Lung / metabolism
  • Lung / pathology
  • Lung Injury / drug therapy*
  • Lung Injury / metabolism
  • Lung Injury / pathology
  • Lung Injury / virology
  • Periodontitis / drug therapy
  • Periodontitis / metabolism
  • Periodontitis / pathology
  • Pulmonary Disease, Chronic Obstructive / drug therapy*
  • Pulmonary Disease, Chronic Obstructive / metabolism
  • Pulmonary Disease, Chronic Obstructive / pathology
  • Pulmonary Disease, Chronic Obstructive / virology
  • Respiratory Distress Syndrome / drug therapy*
  • Respiratory Distress Syndrome / metabolism
  • Respiratory Distress Syndrome / pathology
  • Respiratory Distress Syndrome / virology
  • SARS-CoV-2 / pathogenicity
  • Sepsis / drug therapy
  • Sepsis / metabolism
  • Sepsis / pathology
  • Tuberculosis, Pulmonary / drug therapy
  • Tuberculosis, Pulmonary / metabolism
  • Tuberculosis, Pulmonary / pathology

Substances

  • Anti-Inflammatory Agents
  • Lipoxins
  • Docosahexaenoic Acids