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Aspirin-Triggered Lipoxins (15-epi-LX) Are Generated by the Human Lung Adenocarcinoma Cell Line (A549)–Neutrophil Interactions and Are Potent Inhibitors of Cell Proliferation



The mechanism by which aspirin (ASA) acts to protect against human cancer is not yet known. We recently showed that ASA triggers the formation of a new series of potent bioactive eicosanoids, 15-epi-lipoxins (15-epi-LXs or ASA-triggered LX [AIL]), during interactions between prostaglandin endoperoxide synthase-2 (PGHS-2) in endothelial cells and 5-lipoxygenase (LO) in leukocytes. Here, we investigated the transcellular biosynthesis of these eicosanoids during costimulation of the human tumor A549 cell line (alveolar type II epithelial cells) and neutrophils, and evaluated their impact on cell proliferation.

Materials and Methods

A549 cells and isolated neutrophils were coincubated and mRNA expression levels of key enzymes in eicosanoid biosynthesis were measured. In addition, product formation was analysed by physical methods. The effect of LX on cell proliferation was determined by using a soluble microculture tetrazolium (MIT) assay and by measuring [3H]-thymidine incorporation.


Interleukin-1β (IL-1β)-primed A549 cells showed selective elevation in the levels of PGHS-2 mRNA and generated 15-hydroxyeicosatetraenoic acid (15-HETE). ASA markedly increased 15-HETE formation by A549 cells, while treatment with an inhibitor of cytochrome P450 reduced by 50%, implicating both PGHS-2- and cytochrome P450-initiated routes in 15-HETE biosynthesis in these cells. Maximal production of 15-HETE from endogenous sources occurred within 24 hr of cytokine (IL-1β) exposure and declined thereafter. Chiral analysis revealed that 85% of ASA-triggered epithelial-derived 15-HETE carries its carbon 15 alcohol group in the R configuration. Costimulation of ASA-treated A549 cells and polymorphonuclear neutrophilic leukocytes (PMN) led to production of both LXA4 and LXB4, as well as 15-epi-LXA4 and 15-epi-LXB4 (9.5 ± 0.5 ng LX/107 A549 cells). 15-epi-LXA4 accounted for 88% of the total amount of LXA4 produced. In addition to LXs, stimulation of A549 cells and PMN also liberated substantial amounts (77.2 ± 8.2 ng/107 A549 cells) of peptidoleukotrienes (pLTs), which were not generated by either cell type alone. Addition of ASA to these co-incubations led to an increase in the amounts of LXs generated that was paralleled by a decrease in pLTs. LXA4, LXB4, 15-epi-LXA4 and 15-epi-LXB4, as well as dexamethasone, inhibited cell proliferation at 100 nM range with a rank order of activity of 15-epi-LXB4 > LXB4 > dexamethasone ≥ 15-epi-LXA4 > LXA4.


These results indicate that ASA promotes the formation of antiproliferative 15-epi-LXs by epithelial cell-leukocyte interactions. Moreover, they suggest that these novel eicosanoids, when generated within the microenvironment of tissues, may contribute to ASA’s therapeutic role in decreasing the risk of human cancer.


Alveolar epithelial cells constitute the vast air-tissue interface of the distal lung and are strategically located to interact with substances or cells in both the alveolar space and the pulmonary interstitium. These cells play an active role in the immune response by their ability to generate biologically active mediators in response to stimuli (1). In this regard, airway epithelial cells may also interact with leukocytes that have been recruited from peripheral blood to the lung interstitium to produce new mediators by transcellular routes. We hypothesized that lipid mediators generated during these cell-cell interactions within the local microenvironment may serve homeostatic functions and also modulate pathophysiological pulmonary changes such as hyperplasia, fibrosis, and neoplasia.

Lipoxins (LXs) are eicosanoids (a class of compounds derived from polyunsaturated fatty acids, such as arachidonic acid) that carry a conjugated tetraene structure and biological activities that clearly distinguish them from other eicosanoids such as prostaglandins (PGs) and leukotrienes (LTs) (2). In human tissues, LX formation occurs predominantly by cell-cell interactions and two established routes of transcellular LX biosynthesis have been identified to date. These include oxygenation of arachidonic acid by 15-lipoxygenase (15-LO) followed by formation of a 5(6)-epoxytetraene intermediate in leukocytes to give LXA4 and LXB4 (15-H(p)ETE pathway) and/or transformation of leukocyte-derived LTA4 to LXs by platelet 12-LO (LTA4: 12-LO pathway). LX generated by these two pathways carry their CI5 alcohol in the S (>85–90%) configuration (reviewed in Ref. 3). Recently, a new biosynthetic route of transcellular LX formation was identified (4). This pathway is triggered by aspirin (ASA) and involves the formation of a key intermediate from arachidonic acid, namely 15-R-15-hydroxy-eicosatetraenoic acid (15R-HETE), by ASA-acetylated prostaglandin endoperoxide synthase-2 (PGHS-2, cyclooxygenase). In cytokine-treated endothelial cells, this intermediate is released and transformed in activated human leukocytes by 5-LO and subsequent reactions to produce a new series of 15-epimeric LXs (ASA-PGHS-2 pathway).

Evidence is accumulating that ASA has a protective role against human cancer (5). The mechanism by which ASA acts to reduce the incidence and risk of human cancers (including lung, colon, and breast cancers) is not yet known but may be related to its ability to inhibit PGHS-dependent PG biosynthesis (for review see Ref. 6). Given that ASA does not directly affect LO enzymes (2), eicosanoids generated by transcellular biosynthesis in the presence of ASA (i.e., 15-epi-LXs and LX), may be involved in ASA’s newly uncovered chemopreventive therapeutic actions (4,7). Here, we report that ASA stimulates the formation of 15-epi-LXs from the tumor-derived (A549 cells) epithelial cell-PMN interactions and provide evidence for the role of these eicosanoids, in particular 15-epi-LXB4, in inhibiting cell proliferation. Moreover, this is the first report both of formation and of a specific bioaction for 15-epi-LXB4.

Materials and Methods


Synthetic (55, 6R, 15R)-trihydroxy-7,9,13-trans-11-cis-eicosatetraenoate:carboxymethyl ester (15-epi-LXA4-methyl ester) was prepared by total organic synthesis and was a gift of Prof. N. A. Petasis (Department of Chemistry, University of Southern California). 15-epi-LXA4 free acid was obtained by saponification of 15-epi-LXA4-methyl ester in tetrahydrofuran with LiOH (0.1 M) at 4°C for 24 hr. Synthetic eicosanoid reference samples were from Cascade Biochem Ltd. (Reading, Berkshire, England). Inhibitors of 5-lipoxygenase (Rev 5901 isomer) and cytochrome P450 (17-octadecaynoic acid, 17-ODYA) activities were from Biomol (Plymouth Meeting, PA, U.S.A.). Radiolabeled ([32P]) dCTP and ([3H]) arachidonic acid and methyl-thymidine were from Dupont NEN (Boston, MA, U.S.A.). Ionophore (A23187), ASA, 3,(4,5-dimethylthiazoyl-2-yl) 2,5(diphenyl-tetrazolium bromide) (MIT), and guanidinium isothyocyanate were purchased from Sigma Chemical Co. (St. Louis, MO, U.S.A.). Recombinant human interleukin-1β (IL-1β) was obtained from R&D Systems (Minneapolis, MN, U.S.A.). Dulbecco’s phosphate-buffered saline containing both CaCl2 (0.6 mM) and MgCl2 (1.0 mM) (pH 7.4) (DPBS2+), fetal bovine serum (FBS), penicillin, and streptomycin were from Bio Whittaker (Walkersville, MD, U.S.A.). Hanks’ balanced salt solution (HBSS) and F-12K nutrient mixture were from Gibco Laboratories (Grand Island, NY, U.S.A.). High-pressure liquid chromatography (HPLC) grade solvents and cesium chloride were purchased from JT Baker (Phillipsburg, NJ, U.S.A.), methyl formate was from Eastman Kodak Co. (Rochester, NY, U.S.A.) and Sep-Pak C18 cartridges were from Waters Associates (Milford, MA, U.S.A.). Diazomethane was prepared from N-methyl-N′-nitro-N-nitroguanidine purchased from Aldrich Chemical Co. (Milwaukee, WI, U.S.A.). N,0-bis (trimethylsilyl) trifluoroacetamide (BSTFA) was from Pierce (Rockford, IL, U.S.A.). First strand cDNA synthesis kit and other molecular biology reagents were from Promega (Madison, WI, U.S.A.). Oligonucleotide primers were purchased from Integrated DNA Technologies (Coralville, IA, U.S.A.).

Cell Isolation and Culture

Human type II epithelial A549 cells from human lung carcinoma and normal human skin fibroblast (breast) were obtained from the American Type Culture Collection (Rockville, MD, U.SA.). The A549 cell line originates from a human alveolar cell carcinoma and has proven to be a useful cell line because they are easily assessable and are maintained in culture without contaminating tissue macrophages (8). Fibroblasts were utilized within their limited window of viability and their passage numbers were recorded (results are reported for cells from three to five passages). Epithelial A549 cells were seeded into T-75 cm2 tissue culture flasks and maintained in F-12K medium supplemented with 10% heat-inactivated FBS, penicillin (50 U/ml), and streptomycin (50 µg/ml). Human PMN from healthy donors who had not taken ASA or other medications for at least 2 weeks were obtained by Ficoll-Hypaque gradient centrifugation and dextran sedimentation (9) and suspended in DPBS+ at pH 7.4. Viability of A549 cells and PMN was determined by their ability to exclude trypan blue and were 95 ± 2% and 97 ± 1%, respectively. These values were not significantly altered during the reported incubations.

Incubation Conditions

In incubations involving permeabilized A549 cells (prepared by a rapid freeze-thaw cycle), IL-1β-treated (1 ng/ml, 24 hr) A549 cells (1.5 × 106 cells/ml) were pretreated for 20 min with either vehicle (0.1% EtOH), ASA (500 µM; used throughout), 5 µM 17-ODYA, an inhibitor of cytochrome P450 (10), or 5 mM Rev 5901 isomer, a 5-LO inhibitor, subjected to two cycles of rapid freezing in a dry ice-acetone bath and thawing to room temperature (full cycle <20 min), and incubated with arachidonic acid (20 µM) for 20 min at 37°C in 4 ml of DPBS2+. In experiments involving radiolabeled arachidonic acid, incubations were initiated with the addition of [3H]-arachidonic acid (0.25 µCi/ml) plus unlabeled arachidonic acid (20 µM) for 20 min at 37°C.

For time course experiments involving the generation of 15-HETE from endogenous sources (Fig. 2B), intact A549 cells were exposed to IL-1β (1 ng/ml) for up to 48 hr and then treated with vehicle (containing 0.1% EtOH) or ASA for 20 min followed by addition of ionophore A23187 (5 µM) in 4 ml of HBSS for 30 min at 37°C.

In co-incubation experiments, confluent A549 cells were exposed to IL-1µ (1 ng/ml, 24 hr), washed in HBSS and treated with vehicle alone or ASA for 20 min and arachidonic acid (20 µM) for 60 sec at 37°C. Co-incubations were performed by adding PMN to A549 cell monolayers followed by costimulation with ionophore A23187 (5 µM) in 4 ml of HBSS for 30 min at 37°C.

Analysis of Eicosanoids

Incubations were stopped with two volumes of cold MeOH containing prostaglandin B2 (200 ng) and products were extracted using Sep-Pak C18 cartridges. Materials that eluted in the methyl formate fractions were concentrated under a stream of N2 and scanned for ultraviolet (UV)-absorbing material (in methanol) with a Model 8452 spectrophotometer (Hewlett Packard Co., Palo Alto, CA, U.S.A.) prior to injection into a reversed phase (RP)-HPLC system. This system consisted of a dual pump gradient (LKB, Bromma, Sweden), a diode array detector (Hewlett-Packard 1040M series II) and a HPLC3D ChemStation software. The collected UV data were recalled at 300 nm to monitor conjugated tetraenes, at 270 nm for trienes, and 234 for monoHETEs. All UV spectra were acquired using step = 4 nm, Bw = 10 nm, and range = 220–360 nm with a sampling interval of 0.96 sec.

The monohydroxy eicosanoids (i.e., 5-, 12-, and 15-HETE) from A549 cells were analyzed using a Ultrasphere-ODS column (5 µm, 4.6 mm × 25 cm) (Beckman Instruments, Fullerton, CA, U.S.A.) was eluted with MeOH/H2O/acetic acid (65:35:0.01; v/v/v) as phase one (t0 − 20 min), and a linear gradient with MeOH/acetic acid (99.99:0.01, v/v) as phase two (20–45 min) at a flow rate of 1.0 ml/min. The R- and S-enantiomers of 15-HETE were resolved and identified using a chiral HPLC system similar to that reported by Hawkins et al. (11). Briefly, after RP-HPLC material eluting beneath 15-HETE peak was extracted with chloroform and converted into methyl ester by ethereal diazomethane treatment. Chiral analysis was performed with a Bakerbond DNBPG (covalent) chiral column (5 µm, 4.6 mm × 25 cm) (JT Baker, Phillipsburg, NJ, U.SA.) eluted with n-hexane/2-propanol (100:0.4; v/v) at a flow rate of 0.8 ml/min. When indicated, generation of 15-HETE from endogenous sources was monitored by radioimmunoassay (RIA). The antibody was raised against 155-HETE with 0.1% cross-reactivity at 50% B/B0 for 5-HETE (PerSeptive Diagnostics, Cambridge, MA, U.S.A.).

For analysis of lipoxins (including LXs and 15-epi-LX) from A549 cell-PMN, co-incubations were carried out using either a Waters μBondapak C18 (3.9 × 300 nm) column eluted with an isocratic mobile phase MeOH/H2O/acetic acid (60:40:0.01; v/v/v) with a flow rate of 0.6 ml/min or an Altex Ultrasphere ODS column (5 µm, 10 mm × 25 cm) eluted with MeOH/H2O/acetic acid (65:35:0.01; v/v/v) at a flow of 3 ml/min. Peptidoleukotrienes (LTC4 and LTD4) eluted in the MeOH fractions from Sep-Pak cartridge extractions were resolved with a Beckman Ultrasphere-OD S column eluted with MeOH/H2O/acetic acid (65:35:0.01; v/v/v), pH 5.7, at 1 ml/min. Incubations of PMN with 15R-HETE were stopped with MeOH and methyl formate fractions of the Sep-Pak C18 extracted products were injected into an Altex Ultrasphere ODS column (5 µm, 10 mm × 25 cm) eluted with MeOH/H2O/acetic acid (65:35:0.01; v/v/v) using a flow of 3 ml/min. The material beneath peaks absorbing at 300 nm were individually collected after RP-HPLC and analyzed by gas chromatography-mass spectrometry (GC-MS) employing a Hewlett-Packard 5890 GC series II equipped with a 5971A mass-selective quadrapole detector as in Clària and Serhan (4).

Reverse Transcription and PCR

Total RNA was obtained from A549 cells by the guanidinium isothiocyanate-cesium chloride method and cDNA was produced by reverse transcription (RT). Oligonucleotide primers were constructed from published sequences of PGHS-1 and PGHS-2 (5′-TGC CCA GCT CCT GGC CCG CCG CTT-3′ [sense] and 5′-GTG CAT CAA CAC AGG CGC CTC TTC-3′ [antisense], and 5′-TTC AAA TGA GAT TGT GGG AAA ATT GCT-3′ [sense] and 5′-AGA TCA TCT CTG CCT GAG TAT CTT-3′ [antisense], respectively) (12); of 15-LO (5′-ATG GGT CTC TAC CGC ATC CGC GTG TCC ACT-3′ [sense] and 5′-CAC CCA GCG GTA ACA AGG GAA CCT GAC CTC-3′ [antisense] (13); of 12-LO (5′-AGT TCC TCA ATG GTG CCA AC-3′ [sense] and 5′-ACA GTG TTG GGG TTG GAG AG-3′ [antisense]) (14); and of 5-LO (5′-GAA GAC CTG ATG TTT GGC TACC-3′ [sense] and 5′-AGG GTT CTC ATC TCC CGG-3′ [antisense]) (15). Amplification of the glyceraldehyde-3-phosphate dehydrogenase (GAPDH) primers was performed with 5′-CCA CCC ATG GCA AAT TCC ATG GCA-3′ (sense) and 5′-TCT AGA CGG CAG GTC AGG TCC ACC-3′ (antisense). PGHS-1, PGHS-2, and GAPDH samples were amplified for 25 cycles of denaturation at 94°C for 1 min, annealing at 58°C for 2 min and extension at 72°C for 3 min. 5-, 12-, and 15-LO were amplified at 94°C (1 min), 55°C (2 min), and 72°C (2.5 min) for 35 cycles. PCR products were analyzed by electrophoresis in 2% agarose gel and their identity was monitored by restriction enzyme analysis. For detection of specific PCR-amplified targets, 0.5 µCi of [32P]dCTP (3000 Ci/mmol) was added to the PCR mixture and the products were quantified by phosphorimager using Image-Quant programming (Molecular Dynamics, San Lorenzo, CA, U.S.A.).

Cell Proliferation

A microculture 3, (4,5-dimethylthiazoyl-2-yl) 2,5(diphenyl-tetrazolium bromide) (MTT) assay (16) was used to examine the actions of LXs and other eicosanoids on cell proliferation. A549 cells and fibroblasts from exponential-phase maintenance cultures were counted and dispensed within replicate 96-well culture plates in 100-µl volumes of medium (2000 cells/well). Following 24 hr at 37°C, the culture medium was removed, and fresh medium (100 µl) containing either the compounds (5–1000 nM) or vehicle (medium plus 0.15% ethanol) was added to four replicates for each condition studied and the culture plates were then incubated for up to 96 hr at 37°C in a 5% CO2 atmosphere. At the end of this period, 25 µl of freshly prepared MTT in HBSS (5 mg/ml) was added to the wells and the plates were incubated for 4 hr at 37°C. Dye solution was aspirated, wells were washed once with HBSS and dye taken up by the cells was extracted in 100 µ1 of isopropyl alcohol: 1 N HCl (96:4, v/v) and quantitated at 570 nm using a microplate reader (Molecular Devices, Menlo Park, CA, U.S.A.). In some experiments, cells were grown in 12-well culture plates, treated as above and enumerated using a Neubauer hemocytometer. Viability was assessed routinely using trypan blue exclusion assay. For the A549 cells and fibroblasts, a linear relation was established for the MTT values and cell number within the range of the experiments shown (r = 0.995; p < 0.005). A549 cells grown for 72 hr in the presence of the compounds (5–1000 nM) or vehicle (0.15% EtOH) were lysed with 0.25 N NaOH and the cellular protein content was determined by applying the Bio-Rad (Richmond, CA, U.S.A.) microassay method using bovine serum albumin as standard. The mean cellular protein content in resting A549 cells was 46.6 ± 1.5 pg/cell.

Thymidine Incorporation and DNA Synthesis

A549 cells (12 × 104 cells/ml) were seeded in 96-well plates, allowed to settle for 24 hr and grown for an additional 72 hr in the presence of compounds (5–1000 nM) or vehicle (medium plus 0.15% ethanol). Twenty-four hours before the assay, 2 µCi/ml of methyl-[3H]-thymidine (specific activity 6.7 Ci/mmol) were added to each well (17). After pulse-labeling, each well was washed four times with cold DPBS2+, and the cells were lysed with NaOH (O.25 N) and radioactivity measured.

The Student’s t test was used for statistical analysis, and differences were considered significant at a p value of ≤0.05.


Eicosanoids are formed by initial oxygenation of arachidonic acid by PGHS or LO enzymatic pathways (2). To assess which of the eicosanoid-generating enzymes are present and/or regulated by cytokines in A459 cells, mRNA levels of PGHS-1 and -2, and 5-, 12-, and 15-LO from A549 cells grown in the presence or absence of IL-1β were monitored by RT-PCR followed by phosphorimager analysis. As illustrated in Fig. 1, mRNA levels for PGHS-2 were significantly increased (2-fold) after stimulation of A549 cells with IL-1β. In contrast, mRNA levels for PGHS-1 and 5-LO were not significantly altered after exposure of the cells to cytokine (Fig. 1). A549 cells failed to show either 15- or 12-LO expression before or after cytokine induction (Fig. 1). The absence of 15-LO mRNA in A549 cells was further confirmed by performing the RT-PCR in parallel with human lung tissue and peripheral blood monocyte RNA, which are known positive and negative sources of 15-LO mRNA (14), respectively (Fig. 1, inset).

Fig. 1

PGHS and LO expression and monohydroxy products analysis in A549 cells

(A) PGHS and LO expression in A549 cells. Cells were grown for 24 hr at 37°C in T-75 cm2 flasks in the presence or absence of IL-1β (1 ng/ml). Extracted total RNA (1 µg) was taken for RT and PCR using specific oligonucleotides for PGHS-1 and -2, 15-, 12-, and 5-LO, and GAPDH. Radioactive bands were quantified directly by phosphorimager analysis, normalized to the expression of GAPDH, and expressed as fold increase in mRNA levels after exposure to IL-1β. Inset: 15-LO mRNA expression in human lung tissue and peripheral blood monocytes (PBM). ND, not detected. (B) RP-HPLC profile of [3H]-labeled mono-HETEs from permeabilized IL-1β-treated A549 cells (1.5 µ 106 cells/ml) and exposed to [3H]-arachidonic acid (0.25 µCi/ml) plus unlabeled arachidonic acid (20 µM) for 20 min at 37°C. Products were extracted and chromatographed using a linear gradient of methanol:H2O:acetic acid (65:35:0.01; v/v/v) and methanol:acetic acid (99.99:0.01, v/v) at a flow rate of 1.0 ml/min. Arrows denote co-chromatography of synthetic standards.

To characterize the profile of monohydroxy products produced by airway epithelial cells, IL-1β-stimulated A549 cells (1.5 × 106 cells/ml) were permeabilized and incubated with arachidonic acid, and the products formed were extracted and analyzed by RP-HPLC. The chromatographic profile revealed the presence of a major product with strong UV absorbance at 234 nm which coeluted with synthetic 15-HETE (data not shown). Also, when [3H]-arachidonic acid was added to IL-1β-treated A549 cells, radiolabeled material was recovered beneath the peak coeluting with 15-HETE (Fig. 1B). In these experiments, we did not consistently observe the formation of either 5- or 12-HETE. While ASA treatment of A549 cells led to a marked increase in the formation of 15-HETE, incubation of permeabilized A549 cells with 17-ODYA, a reported inhibitor of P450 eicosanoid metabolism (10), resulted in 50% reduction in 15-HETE (Fig. 2A). 17-ODYA is a potent inhibitor of P450 eicosanoid metabolism and does not selectively inhibit either cyclooxygenase or lipoxygenase activity (see Muerhoff et al. [10] and supplier’s supporting materials). The 5-LO inhibitor (Rev-5901 isomer) did not alter the amount of 15-HETE produced by A549 cells in a statistically significant fashion. Heat-denatured A549 cells reduced the quantities of 15-HETE by 90%, suggesting that an enzymatic component is involved in its formation. Intact A549 cells treated with IL-1β (1 ng/ml) for 24 hr also produced 15-HETE from endogenous sources of arachidonate (25.0 ± 10.0 ng/107 cells). Taken together these results indicate that 15-HETE is the main monohydroxy product generated by A549 cells and suggest that both acetylated PGHS-2 and cytochrome P450 contribute to its biosynthesis.

Fig. 2

15-HETE generation

(A) A549 cells (6 × 106 cells/flask) were treated with IL-1β (1 ng/ml) for 24 hr, subjected to freeze-thaw (two cycles), exposed for 20 min to either vehicle (0.1% v/v EtOH), ASA, the cytochrome P450 inhibitor (17-ODYA, 5 µM) or the 5-LO inhibitor (Rev-5901 isomer, 5 µM) and incubated with arachidonic acid (20 µM) for 20 min at 37°C. In some experiments, cells were heat-denatured (100°C, 60 min) before incubation. Incubations were stopped with addition of methanol (2 v), and products were extracted for RP-HPLC. Data are mean ± SEM from four to six separate flasks. *p < 0.05 and **p < 0.01 for treatments versus control. (B) Time course of 15-HETE formation from endogenous sources. A549 cells (1.5 × 106 cells/ml) were grown for 48 hr in the absence or presence of IL-1β (1 ng/ml) and incubated (30 min at 37°C) in 4 ml of HBSS with or without A23187 (5 µ M). 15-HETE levels were determined by RIA. Results represent the mean ± SEM of three different experiments determined by duplicate. *p < 0.05 for treatments versus vehicle.

To investigate the time course for generation of 15-HETE from endogenous sources of arachidonate, intact A549 cells were exposed to IL-1β (1 ng/ml) for up to 48 hr and the amount of immunoreactive 15-HETE present in the cell supernatant was monitored using a specific RIA. In resting conditions, A549 cells produced significant levels of immunoreactive 15-HETE (19.1 ± 10.5 ng/107 cells; n = 3; d = 2). These values were not changed by addition of ionophore A23187 (5µM) in the absence of IL-1β (Fig. 2B). Also, in the absence of ionophore stimulation, addition of IL-1β to A549 cells for up to 48 hr did not result in an augmented generation of 15-HETE (Fig. 2B). In sharp contrast, addition of IL-1β plus A23187 stimulation of A549 cells led to a marked increase in the production of 15-HETE (Fig. 2B). Maximal 15-HETE levels were reached at 24 hr of exposure to the cytokine and declined thereafter.

To determine the stereochemistry of the alcohol in 15-HETE produced by A549 cells, we examined the relative amounts of individual R and S enantiomers of 15-HETE generated by IL-1β-treated A549 cells using a chiral phase HPLC analysis (see Materials and Methods). PGHS-2 and cytochrome P450 are two enzymes other than 15-LO that can convert arachidonic acid to 15-HETE. The carbon (C)-15 alcohol group of 15-HETE derived from ASA-acetylated PGHS-2 is mainly in the R configuration (18). Here, 15-HETE produced by IL-1β-primed A549 cells was converted to its methyl ester and subjected to SP-HPLC chiral analysis. The 15-HETE from activated A549 cells was 65% in the R and 35% in the S configuration (Fig. 3). Pretreatment of A549 cells with ASA (for 20 min at 37°C) resulted in a 3-fold increase in the amount of 15R-HETE, whereas formation of 15S-HETE was not altered (Fig. 3). In the presence of ASA, 15R-HETE accounted for 85% of the total amount of 15-HETE produced by A549 cells. These results indicate that the majority of 15-HETE generated by IL-1β-primed A549 cells in the presence of ASA was in the R configuration.

Fig. 3

Chirality of 15-HETE: ASA triggers 15 R -HETE formation

A549 cells (107 cells/flask) were exposed to IL-1β (1 ng/ml) for 24 hr, treated with vehicle (0.1% v/v ethanol) (□) or ASA (■) for 20 min and then incubated (30 min, 37°C) in HBSS containing arachidonic acid (20 µM) and A23187 (5 µM). Products were chromatographed by RP-HPLC (as in Fig. 1B) and the region containing 15-HETE was collected, extracted with chloroform and treated with diazomethane. Chiral analysis was performed with a Bakerbond DNBPG (see Materials and Methods for details). Results are representative of two separate experiments showing similar results. Inset: Ratio between A549-derived 15R- and 15S-HETE in the absence () or presence (■) of ASA.

Transcellular eicosanoid biosynthesis is an important means of amplifying lipid mediators as well as generating new mediators (7). Costimulation of human endothelial cells and PMN after ASA treatment results in the formation of a new class of bioactive eicosanoids (4). These novel eicosanoids were identified as 15-epi-LXs and their biosynthesis results from the transformation of ASA-triggered endothelial-derived 15R-HETE by leukocytes. In view of these findings, it is possible that formation of new eicosanoids by transcellular biosynthesis also occurs during epithelial cell-PMN interactions. To test this hypothesis, confluent A549 cells were exposed to IL-1β (1 ng/ml, 24 hr), treated with ASA and costimulated with PMN. Figure 4 (left panel) shows a representative HPLC profile of material obtained from stimulated cells exposed to ASA, which revealed the presence of four major products with strong UV absorbance when plotted at 300 nm. On-line spectral analysis of these products showed that they each displayed a triplet of absorbing bands characteristic of conjugated tetraene-containing chromophores indicative of the LX basic structure (maxima at 301 nm and shoulders at 288 and 316 ± 2 nm) (Fig. 4, right panels).

Fig. 4

Products from epithelial cell-PMN costimulation

RP-HPLC chromatogram (left panel) and on-line UV spectra (right panels). Confluent A549 cells were exposed to IL-1β (1 ng/ml) for 24 hr, treated with ASA (20 min) and arachidonic acid (20 µM, 60 s), and each incubated with freshly isolated PMN (A549 cell:PMN cell ratio of 1:8) followed by stimulation with ionophore A23187 (5µM) in 4 ml of HBSS for 30 min at 37°C. Products were extracted and taken to RP-HPLC as described in Materials and Methods. The chromatogram was plotted at 300 nm and is representative of n = 6 experiments. Displayed spectra are from material eluting beneath Peak B (identified as predominantly 15-epi-LXB4) and 15-epi-LXA4 (see text for details). Similar spectra, each showing absorbance consistent with tetraene chromophores, were obtained from LXA4 and Peaks A and C.

LXA4 and 15-epi-LXA4 were identified in the chromatographic profiles on the basis of coelution with synthetic standards and the presence of the characteristic chromophore. In these co-incubations, 15-epi-LXA4 accounted for 88% of the total amount of LXA4 detected, which is in agreement with the observation that the majority of 15-HETE generated by IL-1β-primed A549 cells exposed to ASA is predominantly in the R configuration (Figs. 3 and 4). In this RP-HPLC system, 15-epi-11-trans-LXA4 coeluted with LXB4, and 11-trans-LXA4 with 15-epi-LXB4 (not shown). These LX isomers were not further resolved by HPLC and are denoted in the profile beneath peaks labeled A and B, respectively (Fig. 4, left panel). The compounds beneath Peaks A and B did resolve as OTMS, methyl ester derivatives in GC-MS (vide infra). The products were present in 8:2 ratio in favor of their 15R epimers (n = 3). Compound C (Fig. 4, left panel) did not coelute with any of the previously identified LXs and was also present in the RP-HPLC profile from activated PMN incubated with 15R-HETE (data not shown, n = 5). Material eluting beneath Compound C matched the physical properties of Compound III that we recently isolated from endothelial cell-PMN interactions (4). Although the complete stereochemistry of Compound C remains to be determined, the UV spectral data and chromatographic mobilities suggest that it may be the 15-epimer form of 7-cis-11-trans-LXA4 (19). Thus, the lipoxins generated during epithelial (A549 cell)-PMN costimulation after ASA treatment were predominantly 15-epi-LX (Fig. 4).

In addition to the ability to produce LXs, co-incubations of activated PMN with A549 cells also generate significant amounts (approximately eight times more than tetraene-containing LXs) of peptidoleukotrienes (pLTs; LTC4 and LTD4) in the absence of ASA (Fig. 5). The amounts of both LXs and pLTs produced in these co-incubations were dependent upon individual cell ratios (Fig. 5 A and B, insets). Exposure of airway epithelial A549 cells to ASA 20 min before adding PMN led to an increase in the formation of LXs and a decrease in pLTs (Fig. 5 A and B). Neither PMN nor A549 cells incubated separately in the absence or presence of ASA generated detectable levels of LXs or pLTs (Fig. 5 and data not shown). Taken together, these results indicate that, during A549 cell-PMN interactions, both LXs and pLTs originate from transcellular routes.

Fig. 5

ASA modulates both LX (A) and pLT (B) formation during epithelial cell-PMN costimulation

A549 cells were exposed to IL-1β (1 ng/ml, 24 hr) and treated (20 min, 37°C) with either vehicle (0.1% v/v) or ASA, before the addition of arachidonic acid (20 µM, 1 min) and freshly isolated PMN (A549/PMN cell ratio of 1:5). Costimulations were carried out as in Fig. 4. Results represent the mean ± SEM from three to five separate donors. Insets: Effect of cell ratio on generation of tetraene-containing LXs (LX plus 15-epi-LX) (A) and pLTs (LTC4 plus LTD4) (B) during co-incubations of A549 cells with PMN in the absence () or presence (■) of ASA.

LXs are vasodilators and potent regulators of leukocyte responses, such as inhibition of Chemotaxis, adhesion to endothelial cells, and transmigration across epithelium (reviewed in Ref. 3). In contrast, pLTs possess both vasoconstrictor and proinflammatory actions as well as stimulate the growth of several cell types including fibroblasts, smooth muscle cells, and glomerular epithelial cells (20). LXs reverse the vasoconstrictor action of LTD4 in rat renal hemodynamics and block LTC4-stimulated hematopoiesis (reviewed in Ref. 3). Since ASA enhances 15-epi-LX formation and inhibits pLT biosynthesis (Fig. 5), these eicosanoids may play counterregulatory actions on cell proliferation and contribute to ASA’s protective mechanisms in human cancer. To this end, we tested the effect of these LO products on epithelial cell proliferation (Fig. 6) and compared their actions with that of dexamethasone, a well-established inhibitor, employing a soluble micro-culture tetrazolium (MTT) assay (21). These experiments were performed with synthetic LXA4 and LXB4, which were available in sufficient quantities for bioassay, rather than the 15-epi-LX, which are the major LX produced by these cells. As shown in Fig. 6, LXA4 and LXB4 inhibited A549 cell proliferation in a time- (Fig. 6A) and dose-dependent (Fig. 6B) fashion. LXA4 and LXB4 as well as dexamethasone (1 µM) inhibited A549 cell proliferation after 72 and 96 hr of treatment (Fig. 6A). After 72 hr, LXA4 shared the antiproliferative properties (Fig. 6) observed for dexamethasone with these cells (22). The half-maximum inhibition (IC50) for LXA4 was 80 nM and that for dexamethasone was 7 nM. LXB4 at concentrations of 0.5 and 1 µM was approximately three times more active than either LXA4 or dexamethasone (Fig. 6B). Interestingly, both LXA4 and LXB4 showed essentially equal potency for blocking A549 cell growth when each was added repeatedly to the cells (at 24-hr intervals) for three consecutive days (data not shown; n = 3; d = 4), suggesting that LX may be inactivated by these epithelial cells. Results from additional experiments employing direct cell enumeration (Fig. 7B) and measurement of total cellular protein content (data not shown; n = 3; d = 4) paralleled those obtained with MTT assay, thus confirming the anti-proliferative actions of LXs in A549 cells. Furthermore, DNA synthesis was blocked, as determined by [3H]-thymidine incorporation, when A549 cells were exposed for 72 hr to concentrations of 50 nM or higher of LXB4 or dexamethasone (Fig. 7A). After incubation of A549 cells with these compounds, cells were 98% viable, as determined by trypan blue exclusion assay, indicating that these compounds were not cytotoxic within the range of concentrations used in these experiments.

Fig. 6

LX inhibits A549 cell proliferation

(A) Time-dependent growth arrest. A549 cells in 96-well plates were treated with either vehicle (0.15% EtOH) or equimolar concentrations (10−6 M) of LXA4, LXB4, or Dex for up to 96 hr at 37°C. At the indicated intervals, cells were harvested for the MTT assay. Data are mean ± SEM of three to seven experiments performed in quadruplicate. *p < 0.05 and **p < 0.005 for compounds versus vehicle. (B) Concentration dependence. A549 cells were exposed to LXA4, LXB4, or Dex at the indicated concentrations for 72 hr at 37°C. Results are mean ± SEM of five to eight experiments performed in quadruplicate. Results are expressed as the percent inhibition of proliferation relative to vehicle. *p < 0.05, **p < 0.025, and ***p < 0.005 for compounds versus vehicle.

Fig. 7

Lipoxin inhibits cell proliferation

(A) DNA synthesis. A549 cells were grown for 72 hr in the presence of test compounds (5–500 nM). Twenty-four hours before the assay, methyl-[3H]-thymidine (2 µCi/ml) was added to each well. Cells were subsequently washed four times with DPBS2+ (4°C), lysed with 0.25 N NaOH, and radioactivity incorporation was monitored. Values represent mean ± SEM of three different experiments performed in quadruplicate. Results are expressed as the percentage of [3H]-thymidine incorporation relative to vehicle alone. *p < 0.05 and **p < 0.005 for compounds versus vehicle. (B) Direct cell count. A549 cells were seeded in 12-well culture plates in the presence of compounds (1 µM) and cell counts were obtained at 72 hr by enumerating the trypan-blue excluding cells. Values represent mean ± SEM of three different experiments. Results are expressed as the percentage inhibition of proliferation relative to buffer. *p < 0.05 for compounds versus vehicle.

The 15-hydroxy epimeric forms of LXA4 and LXB4 (15-epi-LXA4 and 15-epi-LXB4, respectively), which were the dominant forms of LX isolated from these cells, proved to also be potent inhibitors of epithelial cell proliferation (Table 1). At equimolar levels (100 nM), 15-epi-LXA4 inhibited A549 cell growth to a similar extent as LXA4. On the other hand, 15-epi-LXB4 isolated from conversion of 15#-HETE by activated PMN and added back to the A549 cells gave a more potent antiproliferative activity than LXB4 (80 versus 34% inhibition of proliferation, p < 0.001; Table 1). This compound was characterized by UV, HPLC, and GC-MS (C value: 23.3). Diagnostic ions for the OTMS methyl ester were m/z 173 (base peak), 203, 289, 379, and less prominent ions at 482 (M+ − 100) (It was not possible to obtain its molecular ion because of the low abundance of this ion). Thus, the predominant material beneath the peak labeled B in Fig. 4 was consistent with that of 15-epi-LXB4, which gave a shorter C value and separated from LXB4 as OTMS, methyl ester derivative in GC-MS analysis. The mass spectra of 15-epi-LXB4 and LXB4 were essentially identical (not shown) but their C values were distinct. Material eluting beneath the peak denoted C (isolated from activated PMN incubated with 15R-HETE) also showed a mild inhibitory action on epithelial cell growth (18 ± 2% inhibition of proliferation; n = 3; d = 4). In sharp contrast 15-epi-trans-LXA4, 11-trans-LXB4, 8,9-acetylenic-LXB4, peptidoleukotrienes (LTC4 and LTD4), and the LX precursors (15S- and 15R-HETE) each tested at 10−6−10−9 M were not able to inhibit significantly A549 cell proliferation (data not shown; n = 3–5; d = 4). These results indicate that LX and 15-epi-LX gave a stereoselective action in blocking cell proliferation in A549 cells. We also tested LXA4 and LXB4 with human skin fibroblasts to determine if they were antiproliferative for this cell type. At 100 nM, both LXA4 and LXB4 inhibited proliferation of fibroblasts. LXB4 gave 38.0 ± 7.5% inhibition and LXA4 10.7 ± 1.8% compared with dexamethasone (29.7 ± 0.4%) as positive control (n = 3).

Table 1 LX and 15-epi-LX actions on cell proliferation


The results of the present study demonstrate that ASA triggers the formation of 15-epi-LXs (ATL) during costimulation of the human adenocarcinoma A549 cell line (epithelial cells) and PMN. Their formation involves transcellular biosynthetic mechanisms that are similar to those described recently for human endothelial cell-PMN interactions (4). These novel eicosanoids were generated by PMN that transform ASA-triggered epithelial-derived 15A-HETE (Figs. 14). Although several routes of 15-HETE biosynthesis were potentially operative in the A549 cells, the observation that these cells do not possess 15-LO activity (if present, 15-LO would have generated predominantly 155-HETE) points to the involvement of PGHS or other enzymes in its generation. This possibility is supported by the observation that IL-1β-primed A549 cells show an increased PGHS-2 expression (Fig. 1) and that formation of 15-HETE is enhanced following either ASA or IL-1β treatment (Fig. 2). Also, chiral analysis of the A549-derived 15-HETE formed in the presence of ASA indicated that its C-15 alcohol was predominantly in the R configuration (Fig. 3). These results are consistent with findings from both human recombinant PGHS-2 and tracheal epithelial cells where ASA acetylates PGHS-2 and modifies its catalytic properties resulting in conversion of arachidonic acid to 15R-HETE and inhibition of PG biosynthesis (Ref. 18 and for review see Ref. 23).

Cytochrome P450-dependent oxygenation of arachidonic acid also results in the stereoselective formation (40% R and 60% S configuration) of 15-HETE (24). The presence of an active cytochrome P450 enzyme system in human airway A549 cells (25) together with the results that inhibition of P450 as well as heat denaturing blocks 15-HETE generation in these cells (Fig. 2A) suggests that this enzyme system in epithelial cells also contributes to 15-HETE biosynthesis and the generation of 15-epi-LX by transcellular routes (Fig. 8). Taken together, these observations (Figs. 14) establish the existence of two separate enzymatic pathways (i.e., ASA-acetylated PGHS-2 and cytochrome P450), which can initiate the formation of 15-epi-LX during airway epithelial cell-PMN interactions (Fig. 8). Also, it should be noted that, in view of ASA’s ability to induce P450 enzymes (26), it is possible that these two independent routes may act in concert to generate 15-epi-LX.

Fig. 8

Proposed scheme for generating 15-epi-LXs

ASA-acetylated PGHS-2 and/or P450 activities contribute to 15R-HETE generation. Epithelial-derived 15R-HETE undergoes transcellular conversion by leukocyte 5-LO to a 15-epi-5(6)-epoxytetraene intermediate, which is common to both 15-epi-LXA4 and 15-epi-LXB4. The complete stereochemistry of 15-epi-LXA4 has been determined (4), and the stereochemical assignment of 15-epi-LXB4 is tentative.

Evidence is presented for the formation of both 15-epi-LXA4 and 15-epi-LXB4 by epithelial cell-PMN interactions (Fig. 4), observations that extend our recent demonstration of 15-epi-LXA4 generation by endothelial-PMN interactions (4). The levels of 15R-HETE produced by epithelial cells were higher than those generated by ASA-treated endothelial cells, which permitted us to consistently identify the LXB4-like product (i.e., m/z 173 base peak in GC-MS) from 15A-HETE, vide infra. The transcellular route of 15-epi-LX biosynthesis is likely to proceed via a 15-epi-5(6)epoxytetraene intermediate (i.e., 15(R)-epoxytetraene) produced by leukocyte 5-LO conversion of epithelial-derived 15R-HETE. This intermediate would be attacked by putative epoxide hydrolases at either C6 to give 15-epi-LXA4 or C14 to give 15-epi-LXB4 (Fig. 8) (which is analogous to the mechanisms proposed for the biosynthesis of LX from 155 oxygenating routes (for review see Ref. 3). By analogy with the physical properties of LXA4 and LXB4 15-epi-LXA4 and 15-epi-LXB4 are also susceptible to isomerization to give their corresponding all-trans isomers (i.e., 15-epi-11-trans-LXA4 and 15-epi-8-trans-LXB4) (Fig. 4). The chromatographic behavior (Fig. 4, Compound B) and diagnostic ions were consistent with the 15-epi-LXB4 structure, yet it should be noted that this assignment of complete stereochemistry of the double bond geometry for 15-epi-LXB4 is tentative (Fig. 8). The 15-epi-5(6)epoxytetraene is also the likely intermediate for enzymatic production of Compound C, which is consistent with the proposed structure of 15-epi-7-cis-11-trans-LXA4 (Fig. 4).

In addition to 15-epi-LXs, incubation of A549 cells together with activated PMN led to formation of pLTs by transcellular routes. Their biosynthesis is likely to involve the export of the epoxide LTA4 from PMN and its further transformation to LTC4 and LTD4 in epithelial cells. Interestingly, ASA inhibited the formation of pLT by co-incubations of epithelial cells and PMN (Fig. 5). This observation is consistent with and may explain at the cellular level the reduction of pLT release from gastric mucosa observed during the oral administration of ASA to euvolemic rats (27). Although nonspecific effects of ASA on, for example, the enzymes phospholipase A2 and/or 5-LO cannot be excluded, the inhibitory effect of ASA on pLT biosynthesis could be explained by a mechanism described earlier for 15S-HETE, which serves as a substrate for the 5-LO (28), namely, that ASA-triggered 15R-HETE conversion by leukocyte 5-LO blocks LT formation and switches to 15-epi-LX. This notion is supported by the result that ASA but not sodium salycilate blocks gastric pLT release in rats, suggesting that acetylation is a key event in blocking pLT formation (27).

The finding that ATL possess marked biological activity is of interest (Figs. 6 and 7; Table 1). Recently, we found that 15-epi-LXA4 prevents LTB4-induced adhesion of PMN to endothelial cells (4). The present results indicate that 15-epi-LXs, in particular 15-epi-LXB4, are also potent inhibitors of airway epithelial cell (Figs. 6 and 7) as well as fibroblast proliferation (see Results). Lungs are exposed to noxious insults (including carcinogens) that cause leukocyte infiltration, mucosecretory and squamous differentiation, and proliferation of epithelial cells and fibroblasts (29). During the course of this process, several pro-inflammatory (i.e., PGs and LTs) and antiinflammatory (i.e., LXs) mediators are likely to be produced via the PGHS and/or LO pathways within the microenvironment. These eicosanoids can exert either stimulatory or inhibitory effects on cell proliferation. pLT, for instance, not only influence epithelial permeability, which can enhance leukocyte migration as well as antigen and mitogen accumulation, but also promote epithelial cell growth (20). ASA, although a well-known blocker of PG biosynthesis, suppresses cell proliferation by unknown mechanisms. Our findings indicating that ASA is responsible for both inhibition of pLT biosynthesis and formation of LXs and 15-epi-LXs (Fig. 5) draw attention to a potential role for these LO-derived eicosanoids in mediating ASA’s antiproliferative properties. Along these lines, we have examined ATL’s ability to stimulate an increase in intracellular cAMP level with the A549 cells. These compounds did not, however, stimulate accumulation of cAMP in these cells (data not shown). Thus, the cellular site(s) of action for ATL’s antiproliferative action remain to be identified.

Evidence is also accumulating that pulmonary cell phenotype changes are also regulated by pleotropic mediators such as IL-1β, which has proven to inhibit epithelial cell proliferation (30). Our observation that IL-1β stimulates PGHS-2 enzymes as well as 15R-HETE generation in A549 (Fig. 1 and 2), thereby providing substrate for leukocyte formation of 15-epi-LXs, suggests that the combination of cytokine gene regulation and PGHS-2 regulation together with ASA could enhance the antineoplastic properties noted for this drug. Although additional work is needed to define further the physiologic and pathophysiologic roles of ATL in vivo, the results of the present investigation suggest the intriguing possibility that formation of 15-epi-LX that display antiproliferative properties (Figs. 6 and 7) may be relevant in ASA’s preventive role against human lung and breast cancers (31). Also, the formation of 15-epi-LXs, in particular 15-epi-LXB4, could be a component in ASA’s protective effect against colorectal neoplasia (5), a setting where intestinal epithelial PGHS-2 expression is known to be up-regulated (32). Since the therapeutic effect of ASA in lowering the risk of cancer was apparent at long durations, in most cases greater than 2 years of treatment (31), it is possible that the generation of LX and their impact in cell proliferation noted in vitro (Figs. 6 and 7; Table 1) may have a cumulative action within the microenvironment in vivo.

In summary, the present results demonstrate that costimulation of epithelial cells and PMN in the presence of ASA leads to the formation of both 15-epi-LXA4 and 15-epi-LXB4. Their formation involves both epithelial ASA-acetylated PGHS-2 and cytochrome P450-derived 15R-HETE that is substrate for leukocyte 5-LO via transcellular events. The finding that P450 can also initiate 15-epi-LX suggests that these compounds can be generated in tissues with P450 activity without requiring ASA triggering and raises the possibility that 15-epi-LX can be generated de novo, and their pathways of formation are enhanced by the presence of ASA. A potent antiproliferative effect of 15-epi-LXs was established in vitro with cultured cells (Fig. 7 and Table 1), which now suggests that formation of these novel eicosanoids may have implications in ASA’s protective effect against human cancer.


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We thank Prof. N. Petasis (Department of Chemistry, University of Southern California) for providing reference samples of synthetic 15-epi-LXA4-methyl ester and M. Halm Small for assistance in manuscript preparation. These studies were supported by National Institutes of Health Grants GM38765 and P01-DK50305 (CNS). JC was the recipient of a Fulbright/Spanish Ministry of Education and Science (MEC) fellowship during the present experiments.

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Clària, J., Lee, M.H. & Serhan, C.N. Aspirin-Triggered Lipoxins (15-epi-LX) Are Generated by the Human Lung Adenocarcinoma Cell Line (A549)–Neutrophil Interactions and Are Potent Inhibitors of Cell Proliferation. Mol Med 2, 583–596 (1996).

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