RT Journal Article SR Electronic T1 Lipoxins Protect Against Inflammation in Diabetes-Associated Atherosclerosis JF Diabetes JO Diabetes FD American Diabetes Association SP 2657 OP 2667 DO 10.2337/db17-1317 VO 67 IS 12 A1 Brennan, Eoin P. A1 Mohan, Muthukumar A1 McClelland, Aaron A1 de Gaetano, Monica A1 Tikellis, Christos A1 Marai, Mariam A1 Crean, Daniel A1 Dai, Aozhi A1 Beuscart, Ophelie A1 Derouiche, Sinda A1 Gray, Stephen P. A1 Pickering, Raelene A1 Tan, Sih Min A1 Godson-Treacy, Molly A1 Sheehan, Stephen A1 Dowdall, Joseph F. A1 Barry, Mary A1 Belton, Orina A1 Ali-Shah, Syed Tasadaque A1 Guiry, Patrick J. A1 Jandeleit-Dahm, Karin A1 Cooper, Mark E. A1 Godson, Catherine A1 Kantharidis, Phillip YR 2018 UL http://diabetes.diabetesjournals.org/content/67/12/2657.abstract AB Increasing evidence points to the fact that defects in the resolution of inflammatory pathways predisposes individuals to the development of chronic inflammatory diseases, including diabetic complications such as accelerated atherosclerosis. The resolution of inflammation is dynamically regulated by the production of endogenous modulators of inflammation, including lipoxin A4 (LXA4). Here, we explored the therapeutic potential of LXA4 and a synthetic LX analog (Benzo-LXA4) to modulate diabetic complications in the streptozotocin-induced diabetic ApoE−/− mouse and in human carotid plaque tissue ex vivo. The development of diabetes-induced aortic plaques and inflammatory responses of aortic tissue, including the expression of vcam-1, mcp-1, il-6, and il-1β, was significantly attenuated by both LXA4 and Benzo-LXA4 in diabetic ApoE−/− mice. Importantly, in mice with established atherosclerosis, treatment with LXs for a 6-week period, initiated 10 weeks after diabetes onset, led to a significant reduction in aortic arch plaque development (19.22 ± 2.01% [diabetic]; 12.67 ± 1.68% [diabetic + LXA4]; 13.19 ± 1.97% [diabetic + Benzo-LXA4]). Secretome profiling of human carotid plaque explants treated with LXs indicated changes to proinflammatory cytokine release, including tumor necrosis factor-α and interleukin-1β. LXs also inhibited platelet-derived growth factor–stimulated vascular smooth muscle cell proliferation and transmigration and endothelial cell inflammation. These data suggest that LXs may have therapeutic potential in the context of diabetes-associated vascular complications.