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Lipoxygenase

Lipoxygenases (LOXs) are a family of non-heme iron-containing dioxygenases that catalyze the stereospecific oxygenation of polyunsaturated fatty acids, such as and , by inserting molecular oxygen to form hydroperoxy derivatives like 5-hydroperoxyeicosatetraenoic acid (5-HPETE) and 15-hydroperoxyeicosatetraenoic acid (15-HPETE). These hydroperoxides act as precursors for bioactive mediators, including leukotrienes, lipoxins, hepoxilins, and hydroxy fatty acids, which are essential for regulating , immune responses, and cellular signaling. The catalytic mechanism relies on a ferric iron (Fe³⁺) cofactor, where inactive iron (Fe²⁺) is activated by hydroperoxides, enabling the enzyme's role in pathways. In mammals, lipoxygenases are encoded by six functional genes in humans—ALOX5 (5-LOX), ALOX12 (12-LOX), ALOX15 (15-LOX-1), ALOX15B (15-LOX-2), ALOX12B (12R-LOX), and ALOXE3 (epidermal LOX-3)—with most located on chromosome 17 except ALOX5 on chromosome 10; mice possess seven isoforms. These isoforms exhibit tissue-specific expression and positional specificity, determining the carbon atom where oxygenation occurs (e.g., 5-LOX at position 5, 12-LOX at position 12), and are found across kingdoms including , fungi, and , where they contribute to development, stress responses, and . For instance, 5-LOX predominates in immune cells like leukocytes, while 12R-LOX and eLOX-3 are expressed in epithelial cells. Lipoxygenases play pivotal roles in and , influencing , , , and membrane remodeling through production. Dysregulation is implicated in diseases such as (via 5-LOX-derived leukotrienes), (through 15-LOX-mediated LDL oxidation), cancer (e.g., 12-LOX in tumor progression), skin disorders like (due to 12R-LOX and eLOX-3 mutations), and neurodegeneration. Their products also promote —a form of iron-dependent —and , highlighting their dual pro- and functions in resolving or exacerbating tissue damage.

Biochemistry

Definition and general properties

Lipoxygenases (EC 1.13.11.-) constitute a of non-heme iron-containing dioxygenases that catalyze the stereospecific dioxygenation of polyunsaturated fatty acids (PUFAs), such as and , to form hydroperoxy derivatives. These enzymes require molecular oxygen as a cosubstrate and incorporate one oxygen atom from O₂ into the PUFA substrate at a specific position, with the iron cofactor playing a central role in the oxidative process. Most lipoxygenase isoforms exhibit molecular weights in the range of 75-100 and are widely distributed across diverse organisms, including , , fungi, and . This broad occurrence underscores the evolutionary conservation of the lipoxygenase domain, a catalytic unit preserved across prokaryotic and eukaryotic kingdoms, reflecting ancient origins and functional adaptations in . The enzyme family was first identified in the 1930s through studies on seeds, where and Horeau described an activity termed "lipoxidase" that promotes the peroxidation of unsaturated fatty acids. Mammalian lipoxygenases were subsequently discovered in the mid-1970s, with the initial reports focusing on isoforms in platelets and leukocytes that oxygenate .

Catalytic mechanism and kinetics

Lipoxygenases catalyze the regioselective and stereospecific dioxygenation of polyunsaturated fatty acids (PUFAs) with a 1,4-cis,cis-pentadiene moiety, converting them into hydroperoxy derivatives. The reaction proceeds via a initiated by the moiety (III-OH) at the non-heme iron center, which abstracts a from the bis-allylic of the substrate through (PCET). This step generates a delocalized pentadienyl and reduces the iron to the aquo complex (II-OH2). The pentadienyl radical then reacts with triplet molecular oxygen, which adds to one terminus of the radical system in a regioselective manner, forming a product peroxyl radical; this oxygen insertion occurs on the face opposite to the initial hydrogen abstraction. Finally, the peroxyl radical is reduced, yielding the hydroperoxy fatty acid product and regenerating the FeIII state to complete the catalytic cycle. The non-heme iron thus cycles between FeII and FeIII oxidation states, with activation of the resting FeII form often requiring hydroperoxy fatty acids as redox cofactors. The overall transformation is summarized by the equation: \text{PUFA} + \text{O}_2 \rightarrow \text{PUFA-OOH} For instance, mammalian 5-lipoxygenase converts to 5-S-hydroperoxyeicosatetraenoic acid (5-HPETE). The hydrogen abstraction is suprafacial with respect to the plane, while oxygenation is antarafacial, ensuring the formation of chiral products with specific S or R configurations at the oxygenated carbon. This stereochemical relationship has been confirmed using stereospecifically labeled fatty acids, such as those with or at the reactive methylene, revealing nearly complete retention of configuration during abstraction. Lipoxygenases follow Michaelis-Menten kinetics, with Km values for arachidonic acid typically ranging from 10 to 50 μM in mammalian isoforms like 5-lipoxygenase, reflecting efficient substrate binding at physiological concentrations. Vmax varies by isoform and conditions, but catalytic turnover numbers reach approximately 300 s-1 for well-studied examples such as soybean lipoxygenase-1 and coral 8R-lipoxygenase. The enzymes exhibit pH optima between 7 and 9; for example, plant lipoxygenase-1 optima at pH 8–9, while mammalian 5-lipoxygenase peaks at pH 7.5, aligning with cellular environments where activity is modulated by local pH shifts.

Structure

Three-dimensional architecture

Lipoxygenases share a conserved overall fold comprising two distinct domains: an N-terminal PLAT (polycystin-1, lipoxygenase, α-toxin) domain and a larger C-terminal catalytic domain. The PLAT domain adopts an eight-stranded antiparallel β-barrel structure, which facilitates membrane binding and targeting of the enzyme to lipid bilayers where substrates are abundant. In contrast, the catalytic domain is predominantly α-helical, featuring a bundle of four helices (N-terminal helices I–IV) that form the core, surrounded by additional helices and five antiparallel β-sheets. This architecture is preserved across diverse lipoxygenases from plants, animals, and other organisms, underscoring its evolutionary stability despite sequence variations. The first high-resolution crystal structures of lipoxygenases were reported in the mid-1990s, revealing this conserved domain organization. lipoxygenase-1 (LOX-1), a , was solved at 1.4 in 1996 (PDB: 1YGE), showing the β-barrel domain (residues 1–146) connected via a flexible linker to the catalytic domain (residues 147–839). Shortly thereafter, the structure of rabbit 15-lipoxygenase (15-LOX) was determined at 2.1 in 1997 (PDB: 1LOX), confirming the similarity to the and identifying the domain as a common feature in mammalian lipoxygenases. More recently, the of human 5-lipoxygenase (5-LOX) was elucidated in 2011 at 2.4 (PDB: 3O8Y), further validating the domain architecture while highlighting subtle adaptations in the mammalian isoform. Lipoxygenases typically function as monomers in solution, but certain isoforms exhibit dimerization through specific interfaces, often involving the catalytic domain's helical regions or the domain, which can modulate stability and activity. For instance, human 5-LOX forms dimers under physiological conditions, with the interface mediated by hydrophobic interactions at the N-terminal helices. Oligomeric states vary by isoform and environmental factors, such as , with some lipoxygenases assembling into higher-order oligomers like tetramers or hexamers in environments. This structural conservation persists despite relatively low sequence identity of approximately 20–30% between lipoxygenases from distant species, such as plants and mammals, enabling functional divergence while maintaining the core scaffold essential for . Comparative analyses of these structures highlight invariant elements, including the positioning of the domain relative to the catalytic core, which supports membrane recruitment across evolutionary lineages.

Active site features

The of lipoxygenases centers on a non-heme iron atom that cycles between Fe(II) and Fe(III) oxidation states during . In the well-studied lipoxygenase-1 (LOX-1), the iron is coordinated in an octahedral geometry by the nitrogen atoms of three conserved residues (His499 Nδ, His504 Nε, and His690 Nε), the oxygen atom of (Asn694 Oδ), the carboxylate oxygen of the C-terminal (Ile839), and a water molecule. This positions the iron deep within the protein, approximately 15–20 Å from the surface, facilitating activation while maintaining flexibility; mutations such as His499Ala or His504Ala disrupt iron binding and abolish enzymatic activity. Spectroscopic studies, including (EPR) and Mössbauer spectroscopy, confirm the high-spin Fe(III) state in the resting enzyme (S = 5/2), with EPR revealing characteristic g-values around 6.0, 4.3, and 2.0 indicative of a distorted octahedral environment, while Mössbauer data support the assignments and detect subtle changes upon to Fe(II). The substrate-binding channel leading to the iron active site is a narrow, hydrophobic pocket extending approximately 25 from the protein surface, lined primarily by nonpolar residues such as leucines, s, and phenylalanines that accommodate the polyunsaturated chain. Specificity for positional oxygenation is governed by steric determinants within this , including small residues like (e.g., Gly523 in soybean LOX-1 homologs) that permit deeper tail insertion for ω-end attack, versus bulkier or residues that restrict access and favor α-end positioning; site-directed mutagenesis of these residues, such as Gly to Val, shifts product profiles from 13- to 9-hydroperoxy derivatives in linoleate substrates. Recent high- cryo-electron microscopy (cryo-EM) structures of full-length, membrane-bound human 12S-lipoxygenase (12-LOX) at 1.7–2.8 reveal conserved features in the context, with the iron site embedded in a helical bundle and the binding pocket oriented for membrane substrate access.

Classification

Positional and stereospecific types

Lipoxygenases are classified based on their positional specificity, which refers to the carbon atom on the substrate where molecular oxygen is inserted to form the product. In mammals, common types include 5-lipoxygenase (5-LOX), which oxygenates at the C5 position; 12-lipoxygenase (12-LOX), acting at C12; and 15-lipoxygenase (15-LOX), targeting C15. Other variants such as 8-LOX and 11-LOX oxygenate at C8 and C11, respectively, though less prevalent. In , positional specificity is typically defined using as substrate, yielding 9-LOX at C9 or 13-LOX at C13. Stereospecificity describes the chirality (S or R configuration) at the hydroperoxide carbon in the product. Mammalian lipoxygenases predominantly produce the S enantiomer, such as (S)-5-hydroperoxyeicosatetraenoic acid (5-HPETE) from 5-LOX or (S)-15-HPETE from 15-LOX. In contrast, plant lipoxygenases exhibit more variability, with many forming S-hydroperoxides like (13S)-hydroperoxyoctadecadienoic acid (13S-HPODE), though some isoforms can generate R products. Certain mammalian enzymes, like 12R-LOX, specifically yield the R configuration at C12. Some lipoxygenases display dual positional specificity, producing mixtures of products depending on conditions like or orientation. For instance, certain isoforms function as 9/13-LOX, generating both 9-HPODE and 13-HPODE from , often in ratios influenced by the enzyme's flexibility. This classification aligns with Enzyme Commission (EC) numbering under EC 1.13.11.- for lipoxygenases. Specific examples include EC 1.13.11.34 for arachidonate 5-lipoxygenase, EC 1.13.11.31 for the 12S variant, and EC 1.13.11.33 for arachidonate 15-lipoxygenase. In , linoleate 13S-lipoxygenase is designated EC 1.13.11.12. Biochemical assays confirm positional and stereospecific types through . Reverse-phase (RP-HPLC) separates positional isomers based on retention times, while chiral phase HPLC resolves enantiomers to determine S/R configuration, often after enzymatic reduction of hydroperoxides to hydroxy acids for better resolution.

Isoforms across

Lipoxygenases (LOXs) are encoded by multigene families across various , with isoforms exhibiting distinct substrate specificities and expression patterns. In , particularly Arabidopsis thaliana, the genome contains six LOX genes (LOX1 through LOX6), which are classified based on their positional specificity for oxygenation of polyunsaturated fatty acids. LOX1 and LOX5 encode 9-LOX isoforms that primarily oxygenate at the 9-position, while LOX2, LOX3, LOX4, and LOX6 are 13-LOX isoforms that act at the 13-position. For instance, LOX2 is prominently expressed in response to wounding and signaling, contributing to defense mechanisms. In mammals, LOX isoforms are similarly diverse, with humans possessing six functional genes: ALOX5 (encoding 5-LOX), ALOX12 (12-LOX), ALOX15 (15-LOX), ALOX15B (also known as 15-LOX-2), ALOX12B (12R-LOX), and ALOXE3 (epidermal LOX). These genes are clustered on 17, except for ALOX5, which resides on 10. The ALOX5 gene spans approximately 71.9 kb and consists of 14 exons, encoding a protein that is calcium-dependent for membrane translocation and activation. In mice, there are seven functional LOX orthologs: Alox5, Alox12, Alox12b, Alox15, Alox8, Aloxe3, and Aloxe12, which mirror the human isoforms in specificity but show species-specific expression, such as Alox12b in epithelia. Fungal LOXs include specialized isoforms like the 10R-dioxygenase (10R-DOX) in Aspergillus species, such as A. nidulans (encoded by PpoA), which oxygenates linoleic acid to form 10R-hydroperoxyoctadecadienoic acid as part of oxylipin biosynthesis pathways. In bacteria, LOXs are less common but notable in pathogens like Pseudomonas aeruginosa, where the loxA gene encodes a secreted 15-LOX (LoxA) that acts on arachidonic acid, potentially aiding in host immune evasion.

Biological Functions

Roles in plants

In plants, lipoxygenases (LOXs) play a central role in the biosynthesis of (), a key oxylipin that mediates wound responses and pathogen defense. The process begins with 13-LOX isoforms oxygenating to form 13-hydroperoxylinolenic acid, which is then converted through subsequent enzymatic steps into 12-oxo-phytodienoic acid and ultimately . A chloroplast-localized 13-LOX in is essential for wound-induced accumulation, highlighting its specificity in initiating the octadecanoid pathway during tissue damage. In , the 13-LOX isoform GmLOX6 positively regulates production under salt stress, enhancing tolerance by coordinating downstream defense signaling. Similarly, in , the LOX gene OsRCI-1 contributes to herbivore-induced biosynthesis, balancing plant defense against growth trade-offs. LOXs also contribute to the formation of flavor and aroma compounds via the 9-LOX pathway, producing green leaf volatiles (GLVs) such as (Z)-3-hexenal from in . These C6 aldehydes and alcohols are released upon mechanical damage or during , imparting characteristic "green" scents to crops like and . In cucumber, LOXs generate these volatiles, which not only influence sensory quality but also serve as indirect defense signals attracting natural enemies of herbivores. Recombinant plant 9-LOXs have been used to biosynthesize GLVs, underscoring their efficiency in producing these compounds from polyunsaturated fatty acids. During plant development, LOXs facilitate lipid mobilization and signaling critical for seed and maturation. In , the type I LOX OsLOX2 promotes seed by degrading storage lipids but inversely affects seed longevity, illustrating its dual regulatory function in early seedling establishment. Brassica napus seeds predominantly express 13-LOXs acting on free fatty acids during , aiding in the breakdown of triacylglycerols to provide and carbon skeletons for growth. In development, lox3 lox4 double mutants exhibit male sterility due to impaired JA-mediated proliferative in anther tissues, emphasizing LOXs' role in reproductive maturation. relies on LOX activity alongside lipases for body mobilization, ensuring sufficient for tube growth and fertilization. LOXs are integral to stress responses, including oxidative bursts triggered by or herbivory, where specific isoforms amplify signaling through oxylipin production. In , the isoform TomloxA is upregulated during wounding and challenge, contributing to -dependent defenses against herbivores. Under , CaLOX1 enhances osmotic stress tolerance by modulating membrane lipid peroxidation and levels, with transgenic overexpression improving survival rates. In , CmLOX10 positively regulates via signaling, as knockdown lines show reduced root growth and heightened sensitivity. For herbivory, LOX2 drives defense against caterpillars by initiating oxylipin bursts that activate antinutritional protein expression.

Roles in mammals

In mammals, lipoxygenases (LOXs) play crucial roles in eicosanoid-mediated signaling and maintenance of physiological , particularly through the metabolism of into bioactive that regulate immune responses and tissue integrity. The 5-LOX isoform is predominantly expressed in leukocytes, where it catalyzes the initial oxygenation of to form 5-hydroperoxyeicosatetraenoic acid (5-HPETE), which is subsequently converted into leukotriene A4 (LTA4). LTA4 serves as a precursor for (LTB4), a potent chemoattractant that promotes migration and activation at sites of , facilitating immune cell recruitment and . Additionally, LTA4 can be hydrolyzed by LTA4 hydrolase or conjugated with by LTC4 synthase to produce cysteinyl leukotrienes (LTC4, LTD4, and LTE4), which induce contraction, including in the airways, thereby contributing to and airway tone regulation during host defense. Another key physiological function involves the transcellular biosynthesis of (LXs), anti-inflammatory mediators derived from collaborative LOX activities across cell types. In this pathway, 15-LOX, often expressed in epithelial and endothelial cells, oxygenates at the 15-position to form 15-hydroperoxyeicosatetraenoic acid (15-HPETE), which is then transferred to neighboring leukocytes containing 5-LOX. The 5-LOX further metabolizes 15-HPETE into A4 (LXA4) and B4 (LXB4), or aspirin-acetylated can initiate analogous 15-epi-LX formation. These lipoxins actively promote the of by inhibiting leukocyte recruitment, stimulating monocyte of apoptotic cells, and counteracting pro-inflammatory cytokines, thus restoring without . In platelets, 12-LOX (encoded by ALOX12) generates 12-hydroperoxyeicosatetraenoic acid (12-HPETE), which is reduced to 12-hydroxyeicosatetraenoic acid (12-HETE), a that enhances platelet aggregation and dense secretion in response to agonists like and . This process supports primary by stabilizing platelet plugs at vascular injury sites, preventing excessive bleeding while modulating formation. Studies in platelet-specific 12-LOX-deficient mice demonstrate impaired aggregation and prolonged tail bleeding times, underscoring its essential role in normal . Epidermal LOXs, including ALOXE3 (epidermis-type LOX-3), ALOX12B (12R-LOX), and ALOX15B (15-LOX type B), are vital for barrier formation during . These enzymes sequentially process ultra-long-chain ω-hydroxyceramides and free fatty acids in corneocytes, releasing esterified that covalently bind to the , forming the water-impermeable barrier that prevents and pathogen entry. Deficiency in ALOX12B or ALOXE3 disrupts this processing, leading to unbound corneocyte envelopes and impaired barrier acquisition in models. ALOX15B contributes similarly by generating hepoxilins that aid in within the . Mouse models further illuminate these roles, revealing context-dependent impacts on and . knockout mice exhibit normal under basal conditions but rescue subfertility in models of , such as heterozygous mutants, by reducing in spermatozoa and improving , highlighting 15-LOX's involvement in male . Platelet 12-LOX deficiency exacerbates pulmonary inflammation and worsens outcomes in infection models, indicating its broader role in modulating inflammatory via oxylipin production like 12-HETrE.

Physiological and Pathological Roles

Involvement in inflammation and immunity

Lipoxygenases play a pivotal role in mammalian and immunity through the production of bioactive lipid mediators derived from . The 5-lipoxygenase (5-LOX) isoform is central to pro-inflammatory responses, catalyzing the formation of (LTB4), a potent chemoattractant that recruits s to sites of and . LTB4 enhances neutrophil adhesion, migration, and activation, amplifying acute inflammatory cascades in conditions such as infections. Additionally, 5-LOX generates cysteinyl leukotrienes (LTC4, LTD4, LTE4), which promote , , and recruitment, contributing to allergic responses and exacerbations. These mediators are particularly elevated during challenges, underscoring their role in type 2 immune reactions. In contrast, the resolution phase of inflammation involves 12/15-LOX and 15-LOX isoforms, which produce like lipoxins (LXs) and resolvins that actively dampen excessive immune responses. Lipoxins, such as LXA4, inhibit transmigration and promote efferocytosis, thereby limiting tissue damage. Resolvins derived from 15-LOX pathways similarly counter pro-inflammatory signals by modulating production and enhancing regulatory T-cell activity. A 2024 study demonstrated that lymphatic 15-LOX expression promotes resolution in by increasing T-regulatory cell populations and reducing persistent . Lipoxygenase expression is tightly regulated in immune cells to fine-tune these processes. 5-LOX is predominantly expressed in mast cells and , where it drives release upon activation by allergens or pathogens. Meanwhile, 12/15-LOX isoforms are highly expressed in macrophages, supporting the shift from pro-inflammatory to pro-resolving phenotypes through lipid mediator synthesis. Beyond , lipoxygenases exhibit antiviral potential via mechanisms that disrupt viral envelopes. A 2025 study revealed that lipoxygenase activity inhibits replication of virus (SFTSV) by generating peroxidized lipids that compromise viral integrity and entry into host cells. This suggests a broader role in innate antiviral immunity. biosynthesis, particularly via 5-LOX, is regulated by the 5-lipoxygenase-activating protein (FLAP), an that facilitates substrate presentation and enzyme translocation to the . FLAP is essential for efficient production in activated leukocytes, providing a key feedback mechanism in inflammatory signaling.

Associations with diseases

Lipoxygenases (LOXs) play significant roles in numerous diseases, primarily through the production of bioactive mediators such as leukotrienes, hydroxyeicosatetraenoic acids (HETEs), and lipoxins, which modulate , , and . Dysregulated LOX activity contributes to pathological processes in inflammatory, neoplastic, cardiovascular, neurological, and metabolic disorders, with specific isoforms like 5-LOX, 12-LOX, and 15-LOX implicated in distinct mechanisms. In inflammatory diseases, 5-LOX is central to and allergic responses by catalyzing the synthesis of cysteinyl leukotrienes (LTC4, LTD4) and LTB4, which promote , mucus secretion, and recruitment. Inhibition of 5-LOX with drugs like zileuton reduces these effects in clinical settings. Similarly, 12/15-LOX pathways drive chronic inflammation in conditions like and , where 12-HETE and 15-HETE enhance adhesion and production. In chronic liver diseases such as non-alcoholic (NASH) and , 5-LOX-derived LTB4 activates hepatic stellate cells, promoting deposition, while 15-LOX metabolites like 15-HETE correlate with disease progression. LOXs are associated with various cancers, where they influence tumor growth, , and . 5-LOX upregulation in , often linked to Apc mutations, supports tumor progression via leukotriene-mediated inflammation and infiltration. 12-LOX (ALOX12) is overexpressed in and cancers, with genetic variants like rs9904779 increasing risk in certain populations and hypermethylation correlating with poor prognosis. Conversely, 15-LOX can exert tumor-suppressive effects in colon and cancers by producing 13S-HODE, which induces , though its downregulation in advanced stages favors . Cardiovascular diseases involve LOX-mediated oxidation of (LDL) and . 15-LOX promotes by oxidizing LDL in macrophages, leading to formation in animal models like ApoE mice. 12-LOX contributes to and through 12-HETE-induced vascular smooth muscle proliferation and renal , with polymorphisms like rs2271316 associated with coronary . In , both type 1 and type 2, 12-LOX upregulation in exacerbates β-cell destruction and , as evidenced by protection from β-cell destruction in 12-LOX mice. Neurological disorders highlight LOX involvement in neuroinflammation and neurodegeneration. 5-LOX is elevated in (AD) brains, where it enhances amyloid-β production via γ-secretase activation and phosphorylation, increasing AD risk by 1.41- to 1.79-fold through genetic variants like rs4769874. 5-LOX inhibitors like zileuton mitigate synaptic loss and glial activation in AD models. In , 5-LOX and its metabolites contribute to loss via , while 12/15-LOX correlates with oxidative damage in affected brain regions. Additionally, 12-LOX variants are linked to and through altered integrity. Other pathologies include disorders, where mutations in 12R-LOX cause autosomal recessive congenital by impairing the epidermal barrier. In renal diseases like , 12-LOX promotes glomerular injury via inflammatory signaling. Overall, these associations underscore LOXs as promising therapeutic targets, with isoform-specific inhibitors showing potential in preclinical models across these conditions.

Inhibitors and Therapeutics

Natural and synthetic inhibitors

Lipoxygenases (LOXs) are inhibited by a variety of natural compounds, primarily through mechanisms that target the enzyme's iron cofactor or by competitive binding to the . represent a prominent class of natural inhibitors, with acting as a potent competitive of 5-LOX by undergoing oxidative degradation within the enzyme to form protocatechuic , which binds near the iron and disrupts catalysis. A 2024 study demonstrated that flavonoid-rich extracts from , obtained via ultrasound-assisted extraction, exhibit mixed-mode inhibition of LOX activity, increasing the Michaelis constant (Km) from 0.283 µM to 0.435 µM and reducing maximum velocity (Vmax) from 0.22 µM/min to 0.058 µM/min, highlighting their potential as broad-spectrum natural modulators. Additionally, bioactive peptides derived from protein hydrolysates of sources such as millet grains, proteins, and proteins serve as LOX inhibitors by acting as scavengers or through competitive/non-competitive binding; for instance, the millet-derived EQGFLPGPEESGR shows an of 84.35 µg/mL against LOX-1, as detailed in a 2023 review. Plant-derived from soy, including and , function as inhibitors of by reducing the active ferric iron to its inactive state, with displaying an IC50 of 107 µM against soybean and a Ki of 60 µM, thereby preventing formation and aiding in by minimizing oxidative off-flavors in soy products. Synthetic inhibitors of LOXs are classified into agents, which chelate the iron cofactor, and competitive inhibitors, which block the substrate-binding channel. Nordihydroguaiaretic acid (NDGA), a classic inhibitor, potently suppresses 5-LOX with an IC50 of 0.6 µM by stabilizing the iron state and exhibits non-selective activity across isoforms. In contrast, operates as a competitive substrate channel blocker for 12/15-LOX isoforms, inhibiting human platelet 12-LOX with an of 0.64 µM and 15-LOX-1 with an of 1.6 µM. Zileuton, the only FDA-approved 5-LOX , exemplifies isoform selectivity as an iron-chelating agent with an of 0.5 µM against 5-LOX, effectively halting without significant impact on 12- or 15-LOX. For 15-LOX-2 selectivity, PD146176 binds to the leukocyte-type 12/15-LOX , disrupting with high specificity over other isoforms. Recent advancements from the in 2024 identified novel synthetic inhibitors for human 15-LOX-2 via , such as compounds 10 and 13, which exhibit mixed-type inhibition (binding both free and enzyme-substrate ) with Ki values of 16.4 ± 8.1 μM and 15.1 ± 7.6 μM, respectively, and demonstrate preferential to 15-LOX-2 over 5-LOX and 12-LOX. These modes underscore the therapeutic potential of targeting specific LOX isoforms through iron for inhibition or channel occlusion for competitive blockade.

Emerging clinical applications

Zileuton, a 5-lipoxygenase (5-LOX) inhibitor, was approved by the FDA in 1996 for the prophylaxis and chronic treatment of in adults and children over 12 years old. Masoprocol, another 5-LOX inhibitor, received approval for topical treatment of , demonstrating efficacy in reducing lesion counts through twice-daily application over 14 to 28 days. Recent pipeline developments include novel inhibitors of human 15-lipoxygenase-2 (h15-LOX-2) identified through by researchers at the Center for Processes in (Redoxoma) in 2024, targeting inflammation-related pathways such as . For hyperinflammatory responses akin to severe , a 2025 study highlighted 12-lipoxygenase (12-LOX) inhibition as a promising strategy, showing reduced and improved outcomes in SARS-CoV-2-infected mouse models. In , techniques have been applied to engineer lipoxygenase variants, such as those from Enterovibrio norvegicus (EnLOX), enhancing catalytic activity and for applications in as of 2023. Key challenges in advancing lipoxygenase inhibitors to clinical use involve achieving isoform selectivity among the six human isoforms to avoid unintended effects, as well as mitigating off-target impacts that could exacerbate side effects. Combination therapies pairing lipoxygenase inhibitors with (COX) blockers are being explored to synergistically address pathway dysregulation in inflammatory conditions. Looking ahead, activation of lipoxygenases has shown antiviral potential, with a 2024 study demonstrating their virucidal activity against virus (SFTSV) via peroxidation of the viral envelope. In , a 2024 review emphasized ongoing interest in lipoxygenase inhibitors for trials, noting their role in suppressing tumor progression through isoforms like 5-LOX and 12-LOX while 15-LOX-2 may exert protective effects. As of October 2025, research on 12-LOX inhibitors, such as VLX-1005, has shown promise in improving glucose homeostasis in models of , with phase 2 clinical trials underway for conditions like .

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