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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2025.13451</article-id>
<article-id pub-id-type="publisher-id">MMR-31-4-13451</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Lipid mediators obtained from docosahexaenoic acid by soybean lipoxygenase alleviate ovalbumin‑induced allergic asthma in mice by reducing airway inflammation and oxidative stress</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Su</surname><given-names>Yan</given-names></name>
<xref rid="af1-mmr-31-4-13451" ref-type="aff">1</xref>
<xref rid="af2-mmr-31-4-13451" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Choi</surname><given-names>Hack Sun</given-names></name>
<xref rid="af3-mmr-31-4-13451" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Kwon</surname><given-names>Soon Kyu</given-names></name>
<xref rid="af1-mmr-31-4-13451" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Han</surname><given-names>Yunjon</given-names></name>
<xref rid="af1-mmr-31-4-13451" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Cho</surname><given-names>Soon-Chang</given-names></name>
<xref rid="af4-mmr-31-4-13451" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Shin</surname><given-names>Jin Hyuk</given-names></name>
<xref rid="af4-mmr-31-4-13451" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Jang</surname><given-names>Yong-Suk</given-names></name>
<xref rid="af2-mmr-31-4-13451" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Choi</surname><given-names>Jong Hyun</given-names></name>
<xref rid="af1-mmr-31-4-13451" ref-type="aff">1</xref>
<xref rid="c1-mmr-31-4-13451" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Seo</surname><given-names>Jeong-Woo</given-names></name>
<xref rid="af1-mmr-31-4-13451" ref-type="aff">1</xref>
<xref rid="c1-mmr-31-4-13451" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-31-4-13451"><label>1</label>Microbial Biotechnology Research Center, Korea Research Institute of Bioscience and Biotechnology, Jeongeup, Jeollabuk 56212, Republic of Korea</aff>
<aff id="af2-mmr-31-4-13451"><label>2</label>Department of Bioactive Material Sciences, Jeonbuk National University, Jeonju, Jeollabuk 54896, Republic of Korea</aff>
<aff id="af3-mmr-31-4-13451"><label>3</label>Department of Biochemistry and Molecular Biology, Yonsei University College of Medicine, Seoul 03722, Republic of Korea</aff>
<aff id="af4-mmr-31-4-13451"><label>4</label>Biocorp Co., Ltd., Goheung-gun, Jeollanam 59551, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-31-4-13451"><italic>Correspondence to</italic>: Dr Jeong-Woo Seo or Dr Jong Hyun Choi, Microbial Biotechnology Research Center, Korea Research Institute of Bioscience and Biotechnology, 181 Ipsin-gil, Sinjeong-dong, Jeongeup, Jeollabuk 56212, Republic of Korea, E-mail: <email>jhchoi@kribb.re.kr jwseo@kribb.re.kr </email></corresp>
</author-notes>
<pub-date pub-type="collection">
<month>04</month>
<year>2025</year></pub-date>
<pub-date pub-type="epub">
<day>03</day>
<month>02</month>
<year>2025</year></pub-date>
<volume>31</volume>
<issue>4</issue>
<elocation-id>86</elocation-id>
<history>
<date date-type="received"><day>08</day><month>10</month><year>2024</year></date>
<date date-type="accepted"><day>09</day><month>01</month><year>2025</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 Su et al.</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Asthma is a chronic allergic respiratory disease lacking effective therapies. The present study investigated the anti-asthmatic properties of lipid mediators using an ovalbumin (OVA)-induced allergic asthma model. Lipid mediators (LM; 17S-monohydroxy docosahexaenoic acid, resolvin D5 and protectin DX at a ratio of 3:47:50) were derived from docosahexaenoic acid through soybean lipoxygenase. LM treatment significantly alleviated major features of allergic asthma, including inflammatory cell infiltration, with a particular reduction in eosinophils in bronchoalveolar lavage fluid, downregulation of Th2 cytokine expression, attenuation of airway remodeling, and oxidative stress, thereby closely resembling the normal condition. Additionally, a significant increase in the serum levels of interleukin-6 [167.12&#x00B1;6.25 pg/ml; P&#x003C;0.0001 vs. negative control (NC) group], tumor necrosis factor-&#x03B1; (109.17&#x00B1;7.17 pg/ml; P&#x003C;0.0001 vs. NC group) and IgE (90.24&#x00B1;5.98 ng/ml; P&#x003C;0.0001 vs. NC group) was observed following OVA challenge; however, oral administration of LM resulted in a notable reduction in these levels to 99.45&#x00B1;6.12 pg/ml (P&#x003C;0.001 vs. OVA group), 62.51&#x00B1;4.03 pg/ml (P&#x003C;0.001 vs. OVA group) and 56.50&#x00B1;2.70 ng/ml (P&#x003C;0.001 vs. OVA group), respectively. Furthermore, the heightened expression of Th2-related cytokines induced by OVA was observed to be restored closely to normal conditions following LM treatment, as demonstrated for both gene and protein expression levels. Histological analysis demonstrated that LM mitigated inflammatory cell infiltration while reducing mucus secretion. Additionally, LM effectively ameliorated oxidative stress in OVA-induced asthma, with a significant increase in the activity of superoxide dismutase (&#x007E;185&#x0025; vs. OVA group; P&#x003C;0.001), elevated levels of glutathione (&#x007E;74&#x0025; higher than the OVA group; P&#x003C;0.001) and reduced content of malondialdehyde (&#x007E;40&#x0025; lower than the OVA group; P&#x003C;0.001) in lung tissues. Collectively, these findings suggested that LM effectively protected lung tissues from inflammation and oxidative stress, thereby representing a promising therapeutic option for the treatment of allergic asthma.</p>
</abstract>
<kwd-group>
<kwd>asthma</kwd>
<kwd>airway inflammation</kwd>
<kwd>oxidative stress</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Microbial Biotechnology Research Center, Korea Research Institute of Bioscience and Biotechnology from the Ministry of Science and ICT</funding-source>
<award-id>KGM5482423</award-id>
</award-group>
<award-group>
<funding-source>National Research Foundation of Korea grant funded by the Korean government</funding-source>
<award-id>NRF2021R1A2C2013498</award-id>
</award-group>
<funding-statement>The present study was supported by the Microbial Biotechnology Research Center, Korea Research Institute of Bioscience and Biotechnology from the Ministry of Science and ICT (grant no. KGM5482423) and the National Research Foundation of Korea grant funded by the Korean government (grant no. NRF2021R1A2C2013498).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Allergic asthma, the most common type of asthma, is an airway inflammatory disease driven by the many kinds of inflammatory cells (<xref rid="b1-mmr-31-4-13451" ref-type="bibr">1</xref>,<xref rid="b2-mmr-31-4-13451" ref-type="bibr">2</xref>). The primary characteristic of allergic asthma is the narrowing of airway due to the infiltration of immune cells, particularly eosinophils, leading to a range of phenomena, including enhanced mucus production and airway wall remodeling (<xref rid="b3-mmr-31-4-13451" ref-type="bibr">3</xref>&#x2013;<xref rid="b5-mmr-31-4-13451" ref-type="bibr">5</xref>). Allergic asthma is characterized by a Th2 cell response, aberrant accumulation of Th2 cytokines [interleukin (IL)-4, IL-5, IL-9, and IL-13], and Th2-oriented cytokines (IL-6 and IL-33), which contribute to goblet cell dysplasia and accumulation of mucus (<xref rid="b6-mmr-31-4-13451" ref-type="bibr">6</xref>,<xref rid="b7-mmr-31-4-13451" ref-type="bibr">7</xref>). Therefore, targeting Th2 cytokines is a potential therapeutic approaches for severe asthma (<xref rid="b8-mmr-31-4-13451" ref-type="bibr">8</xref>&#x2013;<xref rid="b11-mmr-31-4-13451" ref-type="bibr">11</xref>).</p>
<p>The activation of inflammatory cells in allergic asthma subsequently leads to the generation of a substantial amount of reactive oxygen species (ROS) (<xref rid="b12-mmr-31-4-13451" ref-type="bibr">12</xref>). During the normal condition, the antioxidant and oxidant systems maintain balance; however, with the excessive accumulation of ROS, the balance was damaged, resulting in oxidative stress. Various cellular antioxidants can mitigate oxidative stress, such as superoxide dismutase (SOD), catalase, and glutathione (GSH) (<xref rid="b13-mmr-31-4-13451" ref-type="bibr">13</xref>,<xref rid="b14-mmr-31-4-13451" ref-type="bibr">14</xref>). Furthermore, the activation of nuclear factor-kappaB (NF-&#x03BA;B) pathway promotes the production of pro-inflammatory cytokines and recruits eosinophils, that play crucial roles in allergic inflammation and oxidative stress (<xref rid="b15-mmr-31-4-13451" ref-type="bibr">15</xref>&#x2013;<xref rid="b17-mmr-31-4-13451" ref-type="bibr">17</xref>).</p>
<p>Previous studies suggested that dietary supplementation of omega-3 fatty acids, enriched with docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), exerts beneficial effects in inflammatory diseases, including asthma (<xref rid="b18-mmr-31-4-13451" ref-type="bibr">18</xref>&#x2013;<xref rid="b20-mmr-31-4-13451" ref-type="bibr">20</xref>). Notably, it has been observed that intake of omega-3 fatty acids can elevate the levels of specialized pro-resolving mediators (SPMs), potentially serving as the primary mechanism by which omega-3 fatty acids reduce inflammation (<xref rid="b21-mmr-31-4-13451" ref-type="bibr">21</xref>,<xref rid="b22-mmr-31-4-13451" ref-type="bibr">22</xref>). SPMs act as potent regulators of cytokines and chemokines production, thereby facilitating a return to tissue homeostasis (<xref rid="b23-mmr-31-4-13451" ref-type="bibr">23</xref>,<xref rid="b24-mmr-31-4-13451" ref-type="bibr">24</xref>). Additionally, studies have demonstrated that SPMs exhibit both anti-inflammatory and pro-resolution properties at more than thousands times lower doses compared to omega-3 fatty acids (<xref rid="b25-mmr-31-4-13451" ref-type="bibr">25</xref>&#x2013;<xref rid="b27-mmr-31-4-13451" ref-type="bibr">27</xref>). Thus, SPMs are promising methods for asthma. Lipid mediators (LM;17S-monohydroxy docosahexaenoic acid, resolvin D5, and protectin DX at 3:47:50 ratio), produced from DHA by soybean lipoxygenase, attenuate atopic dermatitis, which is an allergic condition involving the inhibition of inflammatory cytokines and mediators (<xref rid="b28-mmr-31-4-13451" ref-type="bibr">28</xref>). Thus, we hypothesized that LM could mediate allergic asthma and evaluated the underlying mechanism of LM on allergic asthma in OVA-challenged mice.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Animals</title>
<p>Female BALB/c mice (6 weeks) were obtained from Orient Bio (Gyeonggi, Korea). The animals were housed at under controlled conditions of temperature (21&#x2013;23&#x00B0;C), relative humidity (60&#x2013;70&#x0025;), and a 12-h light/dark cycle. This study was reviewed and approved by the Institutional Animal Care and Use Committee and Institutional Animal Ethics Committee of the Korea Research Institute of Bioscience and Biotechnology (Daejeon, Korea) (KRIBB-AEC-23236).</p>
</sec>
<sec>
<title>Animal model and treatment</title>
<p>Ovalbumin (OVA), the chief globular egg white protein, has been widely used for allergic models (<xref rid="b29-mmr-31-4-13451" ref-type="bibr">29</xref>,<xref rid="b30-mmr-31-4-13451" ref-type="bibr">30</xref>). The mice were divided into three groups and the allergic asthma model was induced by OVA. As depicted in <xref rid="f1-mmr-31-4-13451" ref-type="fig">Fig. 1</xref>, sensitization of the mice occurred through intraperitoneal (i.p.) administration of 100 &#x00B5;g of OVA (Sigma-Aldrich, St. Louis, MO) on days 1, 7, and 14. Subsequently, 150 &#x00B5;g of OVA was intranasally (i.n.) administered to the mice from days 21 to 24. In the normal control group (NC) and OVA alone group, saline was orally administered; however, in the OVA &#x002B; LM group, LM (10 &#x00B5;g/kg) was orally treated. The mice were sacrificed for blood, bronchoalveolar lavage fluid (BALF), and lung tissue collection on Day 25. The dosage selection for LM was based on a previous study (<xref rid="b28-mmr-31-4-13451" ref-type="bibr">28</xref>,<xref rid="b31-mmr-31-4-13451" ref-type="bibr">31</xref>). The mice were euthanized via 5&#x0025; isoflurane in oxygen until breathing ceases.</p>
</sec>
<sec>
<title>Collection of BALF</title>
<p>The BALF was obtained by lavaging the lungs with phosphate-buffered saline (PBS), ensuring a slow rinse to protect the epithelial cells in the bronchioalveolar space. Subsequently, centrifugation for 10 min was performed to separate the supernatants for cytokines analysis and resuspend the cell pellets for cell counting (<xref rid="b32-mmr-31-4-13451" ref-type="bibr">32</xref>).</p>
</sec>
<sec>
<title>Measurement of cytokines and IgE level</title>
<p>IL-4, IL-5, IL-13, and IL-33 levels in BALF and IL-6, TNF-&#x03B1;, and IgE levels in serum were measured using ELISA kits (Abcam, Cambridge, MA) based on the manufacturer&#x0027;s protocols.</p>
</sec>
<sec>
<title>Histological analysis</title>
<p>After dissecting the lungs, tissue sections were fixed in 4&#x0025; paraformaldehyde. Subsequently, they underwent dehydration using ethanol and xylene. The dehydrated tissue was then embedded in paraffin and stained with H&#x0026;E (Sigma) to evaluate the infiltration of inflammatory cells. The inflammatory score was determined by assigning grades: 0, no inflammation; 1, minimal inflammation; 2, mild inflammation; 3, moderate inflammation; and 4, severe inflammation (<xref rid="b11-mmr-31-4-13451" ref-type="bibr">11</xref>). Additionally, the slides were subjected to periodic acid Schiff (PAS; Abcam) staining for assessing mucus production.</p>
</sec>
<sec>
<title>Oxidative stress assays in lung tissue</title>
<p>The level of malondialdehyde (MDA) was quantified by lipid peroxidation colorimetric/fluorometric assay kit (ab118970), GSH was determined by GSH assay colorimetric kit (ab239727), and the activity of SOD was analyzed by superoxide dismutase activity assay kit (ab65354) based on the protocols accompanying the kits from Abcam.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>The protein was isolated from homogenized lung tissue via radio immunoprecipitation assay buffer with protein inhibitors. Subsequently, the proteins were separated by sodium dodecyl sulfate-polyacrylamide gel and transferred onto polyvinylidene fluoride membranes, followed by incubation with blocking buffer and incubation of primary antibodies against p-p65 (1:1,000, ab76302, Abcam), p65 (1:1,000, ab16502, Abcam), IkB (1:2,000, ab32518, Abcam), and p-IkB (1:1,000. ab133462, Abcam). Finally, horseradish peroxidase-conjugated goat anti-rabbit antibodies (1:20,000, ab205718, Abcam) were applied to the membranes for a period of 2 h. The relative levels of protein were calculated using ImageJ software (1.48v; National Institutes of Health).</p>
</sec>
<sec>
<title>Reverse transcription-quantitative PCR (RT-qPCR)</title>
<p>The lung tissue was subjected to RNA isolation using a MiniBEST kit (TaKaRa, Tokyo, Japan). Briefly, transcript levels were quantified using a One-Step AccuPower GreenStar RT-qPCR PreMix kit (Bioneer Corporation, Daejeon, Korea). RT-qPCR analysis was performed on the CFX Connect system (Bio-Rad, CA, USA). The relative mRNA expression of target genes was determined using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method. Gene-specific primers utilized in this study are listed in <xref rid="tI-mmr-31-4-13451" ref-type="table">Table I</xref> (<xref rid="b33-mmr-31-4-13451" ref-type="bibr">33</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data were shown as means &#x00B1; standard deviations (SDs). Statistical analysis was conducted using GraphPad Prism 9.0 software (GraphPad, San Diego, CA, USA). The Shapiro-Wilk test was used to test for normality. Comparisons were analyzed by ANOVA, followed by Dunnett&#x0027;s test as the post hoc test; or by Kruskal-Wallis test followed by Dunn&#x0027;s test as the post hoc test. Statistical significance was defined as P&#x003C;0.05.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>LM reduces the level of inflammatory cells in the BALF in OVA-induced asthma</title>
<p>As shown in <xref rid="f2-mmr-31-4-13451" ref-type="fig">Fig. 2A and B</xref>, OVA-challenged mice exhibited a higher level in both total cell number (P&#x003C;0.0001) and eosinophil percentage (P&#x003C;0.0001) compared to the normal condition. However, treatment with LM effectively attenuated the accumulation of OVA-induced eosinophils (P&#x003C;0.0001 vs. OVA group). These findings suggest that LM possesses the ability to suppress the infiltration of inflammatory cells, particularly eosinophils, in lung tissue following OVA exposure.</p>
</sec>
<sec>
<title>LM decreases Th2 cytokines in BALF</title>
<p>OVA challenge resulted in elevated levels of IL-4 (78.21&#x00B1;4.10 pg/ml, P&#x003C;0.0001 vs. NC group), IL-5 (64.09&#x00B1;2.21 pg/ml, P&#x003C;0.0001 vs. NC group), and IL-13 (57.02&#x00B1;3.96 pg/ml, P&#x003C;0.0001 vs. NC group) in BALF; however, treatment with LM markedly reduced the expression of these cytokines, as evidenced by a reduction in IL-4 level to 30.24&#x00B1;3.76 pg/ml (P&#x003C;0.0001 vs. OVA group), IL-5 to 37.99&#x00B1;2.78 pg/ml (P&#x003C;0.0001 vs. OVA group), and IL-13 to 15.16&#x00B1;1.10 pg/ml (P&#x003C;0.0001 vs. OVA group) (<xref rid="f2-mmr-31-4-13451" ref-type="fig">Fig. 2C-E</xref>). Lung epithelial cells produce IL-33, a type of Th2-oriented cytokine that promotes IL-5 production (<xref rid="b34-mmr-31-4-13451" ref-type="bibr">34</xref>). The IL-33 level was markedly enhanced almost 2 times in OVA mice (45.83&#x00B1;2.69 pg/ml, P&#x003C;0.0001) compared to the normal control group. However, LM treatment recovered IL-33 to 26.00&#x00B1;1.41 pg/ml (P&#x003C;0.0001 vs. OVA group), close to the normal level (<xref rid="f2-mmr-31-4-13451" ref-type="fig">Fig. 2F</xref>).</p>
</sec>
<sec>
<title>LM inhibits pro-inflammatory cytokines and IgE level in the serum</title>
<p>The levels of IL-6 and TNF-&#x03B1;, which are representative inflammatory cytokines, were significantly elevated in the serum of asthmatic animals (167.12&#x00B1;6.25 pg/ml, P&#x003C;0.0001; 109.17&#x00B1;7.17 pg/ml, P&#x003C;0.0001, respectively) compared to normal controls (58.97&#x00B1;6.35 pg/ml; 30.50&#x00B1;3.81 pg/ml, respectively). However, treatment with LM effectively suppressed the expression of both cytokines induced by OVA allergen (99.45&#x00B1;6.12 pg/ml, P&#x003C;0.001, vs. OVA group; 62.51&#x00B1;4.03 pg/ml, P&#x003C;0.001 vs. OVA group) (<xref rid="f3-mmr-31-4-13451" ref-type="fig">Fig. 3A and B</xref>). The OVA-induced asthma group exhibited a significant increase in IgE level, reaching to 90.24&#x00B1;5.98 ng/ml (P&#x003C;0.0001 vs. NC group), which was nearly three times of the control group. However, treatment with LM resulted in a substantial reduction in IgE level to 56.50&#x00B1;2.70 ng/ml (P&#x003C;0.001 vs. OVA group) (<xref rid="f3-mmr-31-4-13451" ref-type="fig">Fig. 3C</xref>).</p>
</sec>
<sec>
<title>LM inhibits the expression of inflammatory cytokine in OVA-induced asthma</title>
<p>The expression levels of IL-4, IL-5, and IL-13 were upregulated in lung tissues following OVA challenge compared to the normal control group (P&#x003C;0.01, P&#x003C;0.01, P&#x003C;0.001, respectively). However, treatment with LM effectively suppressed these cytokines at the gene level in allergic asthma (P&#x003C;0.01, P&#x003C;0.01, P&#x003C;0.0001 vs. OVA group, respectively) (<xref rid="f4-mmr-31-4-13451" ref-type="fig">Fig. 4A-C</xref>). Additionally, LM treatment resulted in downregulation of IL-6 and TNF-&#x03B1; expressions compared to OVA-induced asthma (P&#x003C;0.001, P&#x003C;0.0001, respectively) (<xref rid="f4-mmr-31-4-13451" ref-type="fig">Fig. 4D and E</xref>).</p>
</sec>
<sec>
<title>LM modulates antioxidant markers in OVA-induced asthma</title>
<p>To investigate the role of LM in oxidative stress, we quantified key antioxidant biochemical markers in lung tissue, including MDA, SOD, and GSH (<xref rid="b35-mmr-31-4-13451" ref-type="bibr">35</xref>,<xref rid="b36-mmr-31-4-13451" ref-type="bibr">36</xref>). In OVA-induced mice, MDA level was significantly increased to 9.14&#x00B1;0.62 nmol/g (P&#x003C;0.0001 vs. NC group) (<xref rid="f5-mmr-31-4-13451" ref-type="fig">Fig. 5A</xref>), while the crucial antioxidants SOD and GSH were significantly reduced to 1.34&#x00B1;0.11 U/mg protein (P&#x003C;0.0001 vs. NC group) and 6.52&#x00B1;0.66 &#x00B5;mol/g (P&#x003C;0.0001 vs. NC group) in lung tissue (<xref rid="f5-mmr-31-4-13451" ref-type="fig">Fig. 5B and C</xref>). Notably, administration of LM effectively restored these mediators to near-normal levels, with MDA decreasing to 5.55&#x00B1;0.53 nmol/g (P&#x003C;0.001 vs. OVA group), SOD increasing to 2.48&#x00B1;0.17 U/mg protein (P&#x003C;0.001 vs. OVA group), and GSH enhancing to 11.42&#x00B1;0.52 &#x00B5;mol/g (P&#x003C;0.001 vs. OVA group). Overall, LM exhibited the ability to modulate oxidative stress in an OVA-induced asthma model.</p>
</sec>
<sec>
<title>LM ameliorates the histopathological changes in OVA-induced asthma</title>
<p>As depicted in <xref rid="f6-mmr-31-4-13451" ref-type="fig">Fig. 6</xref>, OVA stimulation resulted in inflammatory cell infiltration in both bronchi and alveoli of lung tissues (P&#x003C;0.0001 vs. NC group); however, treatment with LM significantly modulated the inflammatory cell profile within the lung (P&#x003C;0.001 vs. OVA group) (<xref rid="f6-mmr-31-4-13451" ref-type="fig">Fig. 6A-C</xref>). Furthermore, the inflammatory score was markedly elevated in the OVA group (P&#x003C;0.0001 vs. NC group), which was then attenuated by LM (P&#x003C;0.05 vs. OVA group) (<xref rid="f6-mmr-31-4-13451" ref-type="fig">Fig. 6D</xref>). Goblet cell hyperplasia and mucus excessive production are commonly employed to assess the airway remodeling (<xref rid="b37-mmr-31-4-13451" ref-type="bibr">37</xref>). As shown in <xref rid="f7-mmr-31-4-13451" ref-type="fig">Fig. 7</xref>, OVA stimulation induced goblet cell dysplasia in the asthma group (P&#x003C;0.0001 vs. NC group), which was mitigated by LM treatment (P&#x003C;0.0001 vs. OVA group). Furthermore, LM treatment suppressed OVA-induced mucus secretion in the bronchi (P&#x003C;0.0001 vs. OVA group). These findings suggest that LM modulated the histopathological alterations associated with OVA-induced asthma.</p>
</sec>
<sec>
<title>LM suppresses NF-&#x03BA;B signaling pathway during OVA-induced asthma</title>
<p>In this study, we postulated that LM could effectively inhibit NF-&#x03BA;B signaling in OVA-induced asthma. As shown in <xref rid="f8-mmr-31-4-13451" ref-type="fig">Fig. 8</xref>, OVA challenge upregulated the phosphorylated I&#x03BA;B and NF-&#x03BA;B (p65) expression, and increased the degradation of I&#x03BA;B (P&#x003C;0.0001 vs. NC group, respectively). However, treatment with LM significantly suppressed NF-&#x03BA;B activation as evidenced by inhibition of I&#x03BA;B degradation (P&#x003C;0.0001 vs. OVA group), and downregulated levels of p-I&#x03BA;B (P&#x003C;0.001 vs. OVA group) and p-p65 (P&#x003C;0.01 vs. OVA group). These findings demonstrate the anti-inflammatory potential of LM through inhibition of the NF-&#x03BA;B pathway in OVA-sensitized mice.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The main features of allergic asthma include inflammation, excessive mucus production, and remodeling in the airway (<xref rid="b32-mmr-31-4-13451" ref-type="bibr">32</xref>). Despite the availability of a few drugs, it is imperative to explore more effective approaches for treating asthma. Over the years, there have been numerous conflicting reports regarding the supplementation of omega-3 fatty acids in asthma management. Several studies have demonstrated that intake of omega-3 fatty acids exerts a protective effect in asthma (<xref rid="b38-mmr-31-4-13451" ref-type="bibr">38</xref>&#x2013;<xref rid="b42-mmr-31-4-13451" ref-type="bibr">42</xref>). However, other findings suggest that omega-3 fatty acid supplementation may either exacerbate pulmonary inflammation or exhibit no significant reduction in its severity, rendering it ineffective in human trials (<xref rid="b43-mmr-31-4-13451" ref-type="bibr">43</xref>,<xref rid="b44-mmr-31-4-13451" ref-type="bibr">44</xref>). Conversely, SPMs, derived from DHA or EPA, are demonstrated robust and favorable effects on inflammatory diseases even at doses thousands of times lower than DHA or EPA, including asthma (<xref rid="b45-mmr-31-4-13451" ref-type="bibr">45</xref>&#x2013;<xref rid="b47-mmr-31-4-13451" ref-type="bibr">47</xref>). Revealing the involvement of SPMs in inflammatory responses associated with asthma enhances the comprehension of dysfunctional inflammation resolution mechanisms and unveils potential therapeutic targets for managing this condition. In this study, OVA exposure successfully induced asthmatic features in mice including elevated eosinophils in BALF and lung pro-inflammatory symptoms along with goblet cell hyperplasia, increased mucus production, and oxidative stress. Furthermore, treatment with LM significantly reduced inflammatory cell infiltration into the airway and lung while attenuating airway remodeling and modulating oxidative stress levels. These findings demonstrate the efficacy of LM in regulating inflammation in asthma (<xref rid="f9-mmr-31-4-13451" ref-type="fig">Fig. 9</xref>).</p>
<p>Eosinophils play a pivotal role in allergic inflammation and the development of airway remodeling during Th2-type allergic asthma (<xref rid="b4-mmr-31-4-13451" ref-type="bibr">4</xref>). Th2 cytokines, such as IL-4, IL-5, and IL-13, promote the infiltration of eosinophils into lung tissue (<xref rid="b48-mmr-31-4-13451" ref-type="bibr">48</xref>). IL-5 facilitates the eosinophils to migrate into the lungs (<xref rid="b6-mmr-31-4-13451" ref-type="bibr">6</xref>). IL-4 and IL-13 stimulate B cells to secrete IgE, which subsequently activates mast cells and basophils in allergic diseases (<xref rid="b49-mmr-31-4-13451" ref-type="bibr">49</xref>). Additionally, IL-13 influences smooth muscle activity and airway mucus secretion (<xref rid="b50-mmr-31-4-13451" ref-type="bibr">50</xref>,<xref rid="b51-mmr-31-4-13451" ref-type="bibr">51</xref>). Therefore, these cytokines represent important targets for suppressing asthma. In this study, we observed excessive production of these Th2-related cytokines following OVA induction in mice, suggesting an allergic-like asthma model. Resolvin D1 and resolvin E1 markedly decreased airway eosinophilia and mucus metaplasia, accompanied with decreased Th2 cytokines in mice asthma model (<xref rid="b25-mmr-31-4-13451" ref-type="bibr">25</xref>&#x2013;<xref rid="b27-mmr-31-4-13451" ref-type="bibr">27</xref>). Similarly, treatment with LM significantly reduced levels of Th2-related cytokines, while concurrently decreasing eosinophil counts in BALF and lung tissues. Goblet cell hyperplasia is a pathophysiological characteristic of asthma, significantly augmenting mucus production, thereby leading to airway obstruction (<xref rid="b52-mmr-31-4-13451" ref-type="bibr">52</xref>,<xref rid="b53-mmr-31-4-13451" ref-type="bibr">53</xref>). As anticipated, OVA induced goblet cell hyperplasia and resulted in excessive mucus accumulation; however, oral treatment with LM substantially mitigated goblet cell dysplasia and suppressed mucus secretion, indicating the inhibitory role of LM in asthmatic airway remodeling.</p>
<p>IgE is induced by Th2 cytokines and contributes to the asthma (<xref rid="b10-mmr-31-4-13451" ref-type="bibr">10</xref>,<xref rid="b48-mmr-31-4-13451" ref-type="bibr">48</xref>). In present study, OVA challenge led to an elevated level of IgE in the serum, while LM effectively attenuated the OVA-induced increase in serum IgE. IL-6 and TNF-&#x03B1; are widely recognized as key markers of inflammation (<xref rid="b34-mmr-31-4-13451" ref-type="bibr">34</xref>). TNF-&#x03B1; has recently emerged as a crucial factor in refractory asthma and plays multiple roles in airway pathology during asthmatic conditions (<xref rid="b54-mmr-31-4-13451" ref-type="bibr">54</xref>). Additionally, IL-6 promotes Th2 differentiation and IL-4 production (<xref rid="b55-mmr-31-4-13451" ref-type="bibr">55</xref>). Our findings demonstrate that stimulation with OVA resulted in upregulated expression of both IL-6 and TNF-&#x03B1; in lung tissue and serum, which were significantly suppressed by LM treatment. These results highlight the anti-inflammatory effects of LM on asthma.</p>
<p>Oxidative stress is crucial in the pathogenesis of asthma, as it may contribute to the airway inflammation via airway hyper-responsiveness, mucus secretion, and pro-inflammatory cytokines (<xref rid="b56-mmr-31-4-13451" ref-type="bibr">56</xref>,<xref rid="b57-mmr-31-4-13451" ref-type="bibr">57</xref>). In our study, we observed elevated level of MDA along with decreased SOD activity and GSH level during OVA-induced asthma, indicating oxidative stress in OVA-induced asthma model. Importantly, LM highly mediated these anti-oxidative parameters which were associated with the protective role exerted by LM in mitigating asthma pathology.</p>
<p>NF-&#x03BA;B is a pivotal mediator in the progression of asthma (<xref rid="b58-mmr-31-4-13451" ref-type="bibr">58</xref>). I&#x03BA;B, which inhibits NF-&#x03BA;B, is bound to NF-&#x03BA;B in the cytoplasm. Within the inducer, I&#x03BA;B was phosphorylated and degraded, resulting in the activation of NF-&#x03BA;B (<xref rid="b59-mmr-31-4-13451" ref-type="bibr">59</xref>). Activation of NF-&#x03BA;B leads to the expression of inflammatory cytokines and chemokines, contributing to the Th2 cell differentiation in allergic asthma (<xref rid="b60-mmr-31-4-13451" ref-type="bibr">60</xref>). In our previous investigations, we found LM attenuated NF-&#x03BA;B signaling pathway in RAW264.7 cells and atopic dermatitis (<xref rid="b28-mmr-31-4-13451" ref-type="bibr">28</xref>,<xref rid="b31-mmr-31-4-13451" ref-type="bibr">31</xref>). In the present study, OVA exposure increased the expression of p-I&#x03BA;B and p-p65, leading to the activation of the NF-&#x03BA;B signaling pathway. Treatment with LM drastically inhibited the degradation and phosphorylation of I&#x03BA;B. Furthermore, LM inhibited the expression of p-p65. Taken together, the results suggest that LM ameliorates OVA-induced allergic asthma by regulating the NF-&#x03BA;B activation.</p>
<p>In conclusion, this study demonstrates that LM shows promise as a viable option for both alternative and adjunctive therapy in the management of asthma. Firstly, LM is endogenous to the human body, ensuring its safety; Secondly, LM exhibits significant improvements at significantly lower doses compared to omega-3 fatty acids, facilitating ease of intake. However, more research is required to explore optimal therapeutic strategies including dose-dependency, administration methods, and clinical testing.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The data generated in the present study may be requested from the corresponding author.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>YS conceptualized and designed the study, performed experiments, analyzed data, and wrote and revised manuscript. HSC analyzed data, contributed to critical revisions and contributed to the final manuscript. SKK and YH performed experiments and analyzed data. SCC and JHS investigated the literature, supplied the materials and analyzed data. YSJ contributed to data analysis and critical revisions of the intellectual content. JHC contributed to data analysis, and the draft and final manuscript. JWS conceptualized the study, and contributed to the draft and final manuscript. YS and JWS confirmed the authenticity of all the raw data. All authors have read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The present study was reviewed and approved by the Institutional Animal Care and Use Committee and Institutional Animal Ethics Committee of the Korea Research Institute of Bioscience and Biotechnology (Daejeon, South Korea; approval no. KRIBB-AEC-23236).</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-mmr-31-4-13451" position="float">
<label>Figure 1.</label>
<caption><p>Schedule of OVA-induced asthma in the present study. Mice were sensitized via i.p. injection of 100 &#x00B5;g OVA emulsified in 5 mg hydroxyl aluminum along with 100 &#x00B5;l PBS on days 1, 7 and 14. Subsequently, the mice underwent i.n. challenge with 150 &#x00B5;g OVA dissolved in 50 &#x00B5;l PBS on days 21, 22, 23 and 24. Oral saline was given to the normal control and OVA groups, while LM (10 &#x00B5;g/kg) was orally administered to the OVA &#x002B; LM group. The mice were sacrificed after a period of 24 h following the final challenge for the collection of blood, BALF and lung tissue. BALF, bronchoalveolar lavage fluid; i.n., intranasal; i.p., intraperitoneal; LM, lipid mediators; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g00.tif"/>
</fig>
<fig id="f2-mmr-31-4-13451" position="float">
<label>Figure 2.</label>
<caption><p>Effects of LM on inflammatory cells and Th2 cytokines in BALF of OVA-induced mice. BALF was collected at 24 h after the last OVA challenge to measure (A) the total cell in BALF, (B) eosinophil count (&#x0025;), and Th2 cytokines, including (C) IL-4, (D) IL-5, (E) IL-13 and (F) IL-33. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. BALF, bronchoalveolar lavage fluid; LM, lipid mediators; NC, negative control; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g01.tif"/>
</fig>
<fig id="f3-mmr-31-4-13451" position="float">
<label>Figure 3.</label>
<caption><p>Effects of LM on pro-inflammatory cytokines and IgE in the serum of OVA-induced mice. Blood was collected at 24 h after the last OVA challenge to measure (A) IL-6, (B) TNF-&#x03B1; and (C) IgE levels. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;&#x002A;P&#x003C;0.001, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. LM, lipid mediators; NC, negative control; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g02.tif"/>
</fig>
<fig id="f4-mmr-31-4-13451" position="float">
<label>Figure 4.</label>
<caption><p>Effects of LM on cytokine expression in the lung tissues of OVA-induced mice. RNA was extracted from lung tissues and analyzed to determine the mRNA expression levels of (A) IL-4, (B) IL-5, (C) IL-13, (D) IL-6 and (E) TNF-&#x03B1; by reverse transcription-quantitative PCR. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. LM, lipid mediators; NC, negative control; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g03.tif"/>
</fig>
<fig id="f5-mmr-31-4-13451" position="float">
<label>Figure 5.</label>
<caption><p>Effects of LM on oxidative stress in the lung tissues of OVA-induced mice. (A) MDA, (B) SOD and (C) GSH levels in lung tissues were detected. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;&#x002A;P&#x003C;0.001, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. GSH, glutathione; LM, lipid mediators; MDA, malondialdehyde; NC, negative control; OVA, ovalbumin; SOD, superoxide dismutase.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g04.tif"/>
</fig>
<fig id="f6-mmr-31-4-13451" position="float">
<label>Figure 6.</label>
<caption><p>Effects of LM on inflammation in lung tissues of OVA-induced mice. (A) H&#x0026;E staining of histological sections was performed and evaluated to determine inflammatory cell infiltration in lung tissues. Blue arrows, bronchi; black arrows, alveoli. Scale bar, 100 &#x00B5;m. Relative infiltration of cells in (B) bronchi and (C) alveoli compared with OVA-induced mice. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;&#x002A;P&#x003C;0.001, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. (D) Inflammation score of the lung tissue. Data are presented as the mean &#x00B1; SD. Dunn&#x0027;s test was performed to compare the groups. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. LM, lipid mediators; NC, negative control; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g05.tif"/>
</fig>
<fig id="f7-mmr-31-4-13451" position="float">
<label>Figure 7.</label>
<caption><p>Effects of LM on mucus accumulation in lung tissues of OVA-induced mice. (A) PAS staining of lung tissue sections was performed to examine mucus accumulation in the airways. Black arrows, mucus secretion; red arrows, goblet cell hyperplasia. Scale bar, 100 &#x00B5;m. Relative quantification of (B) goblet cell hyperplasia and (C) mucus secretion in the bronchial mucosal epithelium compared with OVA-induced mice. Data are presented as the mean &#x00B1; SD. ANOVA and Dunnett&#x0027;s test were performed to compare the groups. &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. LM, lipid mediators; NC, negative control; OVA, ovalbumin; PAS, periodic acid-Schiff.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g06.tif"/>
</fig>
<fig id="f8-mmr-31-4-13451" position="float">
<label>Figure 8.</label>
<caption><p>Effects of LM on the NF-&#x03BA;B signaling pathway in OVA-induced mice. (A) p65, p-p65, I&#x03BA;B and p-I&#x03BA;B levels were detected by western blotting. The relative levels of (B) I&#x03BA;B/GAPDH, (C) p-I&#x03BA;B/I&#x03BA;B and (D) p-p65/p65 were calculated using ImageJ software. Data are presented as the mean &#x00B1; SD. Dunnett&#x0027;s test was performed to compare the groups. &#x002A;&#x002A;P&#x003C;0.01, &#x002A;&#x002A;&#x002A;P&#x003C;0.001, &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. LM, lipid mediators; NC, negative control; OVA, ovalbumin; p-, phosphorylated.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g07.tif"/>
</fig>
<fig id="f9-mmr-31-4-13451" position="float">
<label>Figure 9.</label>
<caption><p>LM regulates OVA-induced asthma in lung airways. Sensitization and challenge with OVA induce the production of pro-inflammatory cytokines in the lungs, which recruit inflammatory cells such as eosinophils and macrophages. Additionally, OVA-induced oxidative stress promotes sustained inflammation and mucus secretion. Treatment with LM reduces airway inflammation, oxidative stress, goblet cell hyperplasia and mucus accumulation in lung airways. LM, lipid mediators; OVA, ovalbumin.</p></caption>
<graphic xlink:href="mmr-31-04-13451-g08.tif"/>
</fig>
<table-wrap id="tI-mmr-31-4-13451" position="float">
<label>Table I.</label>
<caption><p>Primer sequences.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Mouse genes</th>
<th align="center" valign="bottom">Sequences (5&#x2032;-3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">IL-4</td>
<td align="left" valign="top">Forward: ATCATCGGCATTTTGAACGAGGTC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: ACCTTGGAAGCCCTACAGACGA</td>
</tr>
<tr>
<td align="left" valign="top">IL-5</td>
<td align="left" valign="top">Forward: GATGAGGCTTCCTGTCCCTACT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: TGACAGGTTTTGGAATAGCATT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">TCC</td>
</tr>
<tr>
<td align="left" valign="top">IL-13</td>
<td align="left" valign="top">Forward: AACGGCAGCATGGTATGGAGTG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: TGGGTCCTGTAGATGGCATTGC</td>
</tr>
<tr>
<td align="left" valign="top">IL-6</td>
<td align="left" valign="top">Forward: TACCACTTCACAAGTCGGAGGC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: CTGCAAGTGCATCATCGTTGTTC</td>
</tr>
<tr>
<td align="left" valign="top">TNF-&#x03B1;</td>
<td align="left" valign="top">Forward: GGTGCCTATGTCTCAGCCTCTT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: GCCATAGAACTGATGAGAGGGAG</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">Forward: CATCACTGCCACCCAGAAGACTG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse: ATGCCAGTGAGCTTCCCGTTCAG</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</article>
