PMID- 31333461 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 10 DP - 2019 TI - New Lipid Mediators in Retinal Angiogenesis and Retinopathy. PG - 739 LID - 10.3389/fphar.2019.00739 [doi] LID - 739 AB - Retinal diseases associated with vascular destabilization and the inappropriate proliferation of retinal endothelial cells have major consequences on the retinal vascular network. In extreme cases, the development of hypoxia, the upregulation of growth factors, and the hyper-proliferation of unstable capillaries can result in bleeding and vision loss. While anti-vascular endothelial growth factor therapy and laser retinal photocoagulation can be used to treat the symptoms of late stage disease, there is currently no treatment available that can prevent disease progression. Cytochrome P450 enzymes metabolize endogenous substrates (polyunsaturated fatty acids) to bioactive fatty acid epoxides that demonstrate biological activity with generally protective/anti-inflammatory and insulin-sensitizing effects. These epoxides are further metabolized by the soluble epoxide hydrolase (sEH) to fatty acid diols, high concentrations of which have vascular destabilizing effects. Recent studies have identified increased sEH expression and activity and the subsequent generation of the docosahexaenoic acid-derived diol; 19,20-dihydroxydocosapentaenoic acid, as playing a major role in the development of diabetic retinopathy. This review summarizes current understanding of the roles of cytochrome P450 enzyme and sEH-derived PUFA mediators in retinal disease. FAU - Fleming, Ingrid AU - Fleming I AD - Institute for Vascular Signalling, Centre for Molecular Medicine, Goethe-University, Frankfurt, Germany. AD - German Centre for Cardiovascular Research (DZHK) partner site RheinMain, Frankfurt, Germany. LA - eng PT - Journal Article PT - Review DEP - 20190705 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC6624440 OTO - NOTNLM OT - 19,20-dihydroxydocosapentaenoic acid OT - cytochrome P450 OT - diabetic retinopathy OT - epoxyeicosatrienoic acid OT - soluble epoxide hydrolase EDAT- 2019/07/25 06:00 MHDA- 2019/07/25 06:01 PMCR- 2019/07/05 CRDT- 2019/07/24 06:00 PHST- 2019/04/14 00:00 [received] PHST- 2019/06/07 00:00 [accepted] PHST- 2019/07/24 06:00 [entrez] PHST- 2019/07/25 06:00 [pubmed] PHST- 2019/07/25 06:01 [medline] PHST- 2019/07/05 00:00 [pmc-release] AID - 10.3389/fphar.2019.00739 [doi] PST - epublish SO - Front Pharmacol. 2019 Jul 5;10:739. doi: 10.3389/fphar.2019.00739. eCollection 2019.