Pro-resolving and anti-inflammatory effects of resolvins and protectins in rheumatoid arthritis

Inflammopharmacology. 2023 Dec;31(6):2995-3004. doi: 10.1007/s10787-023-01343-5. Epub 2023 Oct 13.

Abstract

Rheumatoid arthritis (RA) is typified by persistent joint inflammation, which leads to the deterioration of bone and cartilage and a reduction in overall quality of life. The global prevalence of pain as a primary symptom in RA is influenced by the interplay between inflammation and its resolution. The identification of a family of lipid mediators known as specialized pro-resolving mediators (SPM)s has contributed to the progress of our comprehension of inflammatory conditions. SPMs have been observed to trigger the process of inflammation resolution, thereby reinstating the homeostasis of the inflammatory response. Autacoids are synthesized through the stereo-selective transformation of essential fatty acids, resulting in molecules dynamically modulated during inflammation and possessing strong immunoregulatory properties. This review delves into the available evidence that supports the involvement of certain SPM as protective lipids, biomarkers with potential, and therapeutic targets in the context of RA.

Keywords: Inflammation; Protectins; Resolvin; Rheumatoid arthritis; Specialized pro-resolving mediators.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Arthritis, Rheumatoid* / drug therapy
  • CD59 Antigens / therapeutic use
  • Docosahexaenoic Acids*
  • Humans
  • Inflammation / drug therapy
  • Inflammation Mediators
  • Quality of Life

Substances

  • Docosahexaenoic Acids
  • CD59 Antigens
  • Inflammation Mediators
  • Anti-Inflammatory Agents