Leukotriene C4 synthase
Leukotriene C4 Synthase (LTC4S) is an enzyme that plays a crucial role in the biosynthesis of leukotrienes, which are lipid compounds involved in inflammation and allergic reactions. This enzyme catalyzes the conjugation of glutathione to leukotriene A4 (LTA4), a reaction that forms leukotriene C4 (LTC4), the parent compound of the cysteinyl leukotrienes (LTC4, LTD4, LTE4), which are potent mediators of allergic and inflammatory responses.
Function
Leukotriene C4 Synthase is primarily found in cells involved in the immune response, such as mast cells, eosinophils, and macrophages. By producing cysteinyl leukotrienes, LTC4S plays a significant role in the pathophysiology of asthma, allergic rhinitis, and other inflammatory conditions. These leukotrienes contribute to bronchoconstriction, increased vascular permeability, mucus production, and recruitment of inflammatory cells to the site of inflammation.
Genetics
The gene encoding for Leukotriene C4 Synthase is located on human chromosome 5q35. This gene has been a subject of research due to its association with increased risk of asthma and other allergic diseases. Polymorphisms in the LTC4S gene may affect the enzyme's expression or activity, thereby influencing the severity of inflammatory responses and susceptibility to allergic diseases.
Structure
Leukotriene C4 Synthase is a membrane-bound enzyme that belongs to the MAPEG (Membrane Associated Proteins in Eicosanoid and Glutathione metabolism) family. Its structure has been elucidated through various biochemical and biophysical methods, revealing insights into its catalytic mechanism and how it interacts with substrates and other proteins involved in leukotriene biosynthesis.
Clinical Significance
Given its central role in the production of cysteinyl leukotrienes, LTC4S is a target for therapeutic intervention in diseases characterized by excessive inflammation and allergic reactions. Inhibitors of LTC4S, as well as antagonists of cysteinyl leukotriene receptors, are used in the treatment of asthma and allergic rhinitis to reduce symptoms and improve quality of life.
Research
Research on Leukotriene C4 Synthase encompasses its genetic variations, regulation of expression, mechanism of action, and its role in disease pathogenesis. Understanding the intricacies of LTC4S function and regulation can lead to the development of more effective therapies for inflammatory and allergic conditions.
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Contributors: Prab R. Tumpati, MD