2-Hydroxy Arachidonic Acid: A New Non-Steroidal Anti-Inflammatory Drug

Background Nonsteroidal anti-inflammatory drugs (NSAIDs) are a family of COX1 and COX2 inhibitors used to reduce the synthesis of pro-inflammatory mediators. In addition, inflammation often leads to a harmful generation of nitric oxide. Efforts are being done in discovering safer NSAIDs molecules capable of inhibiting the synthesis of pro-inflammatory lipid mediators and nitric oxide to reduce the side effects associated with long term therapies. Methodology/Principal Findings The analogue of arachidonic acid (AA), 2-hydroxy-arachidonic acid (2OAA), was designed to inhibit the activities of COX1 and COX2 and it was predicted to have similar binding energies as AA for the catalytic sites of COX1 and COX2. The interaction of AA and 2OAA with COX1 and COX2 was investigated calculating the free energy of binding and the Fukui function. Toxicity was determined in mouse microglial BV-2 cells. COX1 and COX2 (PGH2 production) activities were measured in vitro. COX1 and COX2 expression in human macrophage-like U937 cells were carried out by Western blot, immunocytochemistry and RT-PCR analysis. NO production (Griess method) and iNOS (Western blot) were determined in mouse microglial BV-2 cells. The comparative efficacy of 2OAA, ibuprofen and cortisone in lowering TNF-α serum levels was determined in C57BL6/J mice challenged with LPS. We show that the presence of the –OH group reduces the likelihood of 2OAA being subjected to H* abstraction in COX, without altering significantly the free energy of binding. The 2OAA inhibited COX1 and COX2 activities and the expression of COX2 in human U937 derived macrophages challenged with LPS. In addition, 2OAA inhibited iNOS expression and the production of NO in BV-2 microglial cells. Finally, oral administration of 2OAA decreased the plasma TNF-α levels in vivo. Conclusion/Significance These findings demonstrate the potential of 2OAA as a NSAID.


Introduction
Chemical modification of fatty acids is an experimental approach used to inhibit cyclooxygenase 1 (COX1) and cyclooxygenase 2 (COX2) activity [1]. We rationally designed and synthesized 2-hydroxy-arachidonic acid (2OAA), which contains a hydroxyl group on the a-carbon of arachidonic acid (AA), a modification that was designed to inhibit the AA pro-inflammatory pathway by interacting with the active site of COX1 and COX2. AA is the most abundant n-6 polyunsaturated fatty acid found in the cell membrane [2], where it is stored. When phospholipase A2 (PLA2) is activated by different inflammatory stimuli, including bacterial lipopolysaccharides (LPS), cytokines and allergens [3,4], AA is released into the cytosol and then metabolized by cyclooxygenases (COXs), lipoxygenases (LOXs) and cytochrome P450 [2]. Two major COXs isoforms have been described, the constitutive (COX1) and the inducible (COX2) [5]. When metabolized by COX1 and COX2, AA is converted by a variety of downstream enzymes (isomerases, reductases and synthases), including the prostaglandins (PGs) and thromboxanes (TXs). The LOX pathway metabolizes the AA to hydroxyacids and leukotrienes and the P450 pathway to epoxyeicosatrienoic acids or 20hydroxyeicosatetraenoic acid. Finally the AA-derived bioactive products are released from activated cells to modulate the inflammatory response [6,7].
An additional key process in inflammation is the synthesis of nitric oxide (NO) by one of the three nitric oxide synthase (NOS) isoenzymes: the constitutive, neuronal and inducible (iNOS) isoforms [8]. The iNOS isoform is upregulated by a variety of proinflammatory stimuli and it mediates pathogen killing, vasodilatation and vascular permeability [9]. Moreover, nitric oxide is also oxidized and converted to peroxinitrite, which exerts a variety of cytotoxic effects [9]. Acute and chronic inflammatory responses induced by AA metabolites and NOS activity are associated with important pathological processes, such as rheumatoid arthritis [10], asthma [11], cystic fibrosis [12], cancer [13] and Alzheimer's disease [14].
Here, we demonstrate that the 2-hydroxy-modified form of AA, 2OAA, inhibits COX1 and COX2 activity, as well as COX2 expression in macrophages. Moreover, it diminishes iNOS expression and NO production in microglia cells, and it decreases tumor necrosis factor alpha (TNF-a) levels in vivo when C57BL6/J mice are challenged with LPS. Taken together, the ease of administration (orally), and strong efficacy of 2OAA suggest that this compound potentially constitutes a useful anti-inflammatory drug.

Ethics Statement
This study was carried out in strict accordance with National Legislation (Real decreto 1201 2005 according to European law 86609/CE (UE).
The protocol was approved by the Bioethics Committee of the University of Balearic Islands (Permit Number: 2622007, 6352007). All efforts were made to minimize suffering.

Binding energy study: molecular docking simulations
The preparation of the COX1 (pdb entry 2OYE) and COX2 (pdb entry 1DCX) structure was performed as described previously [15], using the final conformation of COX2 to reorient the COX1 structure. This operation permitted the binding box to be superimposed and easy automatization of the docking screening. Molecular dynamics calculations were carried out using Yasara software [16], using a simulation box of 107.11 Å , 75.44 Å , and 85.73 Å for the a, b, and c axes, respectively, under periodic boundary conditions. Simulations were carried out under the NPT ensemble at 310K and 1 atm by coupling the system to a Berendsen thermostat and controlling the pressure in the manometer pressure control mode [17].
The AMBER03 force field [18] was used to calculate the binding energies for the R and S 2OAA enantiomers, and force field parameters were generated using the Autosmiles method [19]. Briefly, the geometry of monomers was optimized using the semi-empirical AM1 method and the COSMO solvation model. Partial atomic charges were calculated using the same theory level as in the Mulliken point charge approach, and they were then improved by applying the AM1 Bond Charge Correction.
Electrostatic interactions were calculated with a cut-off of 7.86 Å , and long-range electrostatic interactions were handled with the Particle Mesh Ewald algorithm using a sixth-order Bspline interpolation and a grid spacing of 1 Å . After removal of the conformational stress by short steepest descent minimization, the procedure was continued by simulated annealing (time step 1 fs, atom velocities scaled down by 0.9 every 10 th step) until convergence was reached (i.e., the energy improved by less than 0.0002 kcal/mol per atom over 200 steps).
To determine the flexibility of COX receptors, we ran docking experiments on the 10 structures obtained by sampling every 1 ns with dynamics of 10 ns. Binding energies were calculated using the Autodock 4 program [20] with the AMBER03 force field.
Measurement of the binding energy is insufficient to evaluate the potential inhibitory activity of 2OAA and it is also important to estimate the energy required to extract a hydrogen from the carbon C13 in AA and 2OAA. One of the most effective and best known methods to assess the reactivity of a chemical species a priori is the frontier orbital theory of Fukui, further developed by Parr and Yang [21]. This method relates the reactivity of a molecule, with respect to electrophilic, nucleophilic, and radical attack, to the charge density. These so-called Fukui functions provide a qualitative means of measuring and displaying the reactivity of regions of a molecule. Specifically, the f 0 (r) measures the sensitivity of the charge density, r(r), to the loss or gain of electrons via the following equation: A molecule is susceptible to radical attack at sites where f 0 (r) is large. The calculation was performed using the DMol3 program [22] with functional pwc, TNP basis set, Fermi occupation, and a global cutoff of 3 Å . The grid resolution was set to 0.15 Å .

Cell culture
The human monocyte U937 cell line (ATCCH CRL-593.2 TM ) was kindly provided by Dr Amanda Iglesias (Hospital Universitario Son Dureta, Balearic Islands, Spain). These cells were cultured at 37uC in RPMI 1640 medium supplemented with 10% FBS (Fetal Bovine Serum), HEPES (10 mM), penicillin (100 units/ ml) and streptomycin (0.1 mg/ml), and in a humidified atmosphere with 5% CO 2 . To differentiate U937 cells to a macrophage-like phenotype, they were plated onto 6-well collagen coated plates at a density of 8610 5 cells/well in the presence of Phorbol Myristate Acetate (PMA; 100 nM) diluted in dimethyl sulfoxide (DMSO) and incubated for 72 h. DMSO was always present at a final concentration of 0.1%.
Differentiated macrophage-like cells were characterized by their attachment to the collagen-coated plates, the presence of filopodia and the expression of the intercellular adhesion molecule 1, as determined in Western blots (data not shown). Once differentiated, the culture medium was removed and replaced with fresh RPMI 1640 medium containing 5% FBS, HEPES (10 mM), penicillin (100 units/ml) and streptomycin (0.1 mg/ml).

Cell viability assays
Cell proliferation in the absence and presence of 2OAA were determined using the methylthiazolyl diphenyl tetrazolium bromide (MTT) method [23] and the Trypan blue staining method [24]. 2OAA was sinthetized and purchased from Lipopharma Therapeutics (Mallorca, Spain).
MTT: BV-2 cells were plated in 96-well plates at a density of 3610 3 cells/well and with 150 ml culture medium (10% FBS) per well. After incubating overnight to allow cell attachment, cells were treated with 30610 26 -240610 26 M of 2OAA or AA for 24 h, after which 10% MTT (5 mg/ml in PBS 1X) reagent was added and the cells were incubated for a further 4 h. The medium was removed and 200 ml of DMSO was added to the cells and the plates gently shaken. Absorbance at 550 nm was measured 5 min later using a micro plate reader (Asys Hitech, Eugendorf, Austria).
Trypan Blue staining: BV-2 cells were plated in 6-well plates at densities of 3610 5 cells/well with 2 ml of culture medium (10% FBS) per well. After incubating overnight to allow cell attachment, cells were treated with 30610 26 -240610 26 M of 2OAA or AA for 24 h, Trypan blue staining was done as previously described [24]. Briefly, 10 ml of sample (cell suspension) was mixed with 10 ml of trypan blue (Invitrogen), and pipetted into a CountessH chamber slide (Invitrogen) that was inserted in the CountessH Automated Cell Counter (Invitrogen).

Assays of COX1 and COX2 inhibition in vitro
The effect of 2OAA and AA was assessed on purified COX1 and purified COX2 proteins using an in vitro cell free-system inhibitor assay kit provided by Cayman Chemicals (Ann Arbor, MI, USA). in accordance with the manufacturer directions. Both assays quantifyed the levels of prostaglandin H 2 (PGH 2 ) produced by purified COX1 or purified COX2 [25]. The results were expressed as the percentage of COX1 or COX2 activity in the presence or absence (control 100%) of 2OAA (250610 26 M) or AA (250610 26 M).

Western blotting and protein quantification
To quantify COX1 and COX2 protein, U937 cells were differentiated in 6-well plates at a density of 8610 5 cells/well, and incubated for 24 h in culture medium containing 5% FBS (6 ml/ well). Next, the culture medium was removed and replaced with fresh medium containing 2OAA (120610 26 M) for 1 h or incubated with fresh culture medium alone (control). The cells were then washed twice with PBS and the cells previously treated with 2OAA were challenged for 6 h with LPS (62 ng/ml) plus 2OAA (120610 26 M) in fresh medium, while untreated control cells were challenged with LPS alone (62 ng/ml).
To study COX2 protein decay, U937 cells were differentiated in 6-well plates as above and after removing the culture medium, the cells were treated for 6 h with LPS (62 ng/ml) plus 2OAA To quantify the iNOS protein, BV-2 cells were plated in 6-well plates as described above, and the culture medium was then removed and replaced with fresh medium containing 2OAA (120610 26 M) for 1 h (or with fresh culture medium alone, control). The cells were then washed twice with PBS and 2OAAtreated cells were challenged for 24 h with LPS (1 mg/ml) plus 2OAA (120610 26 M) dissolved in fresh medium. Untreated control cells were incubated for 24 h in the presence or absence of LPS (1 mg/ml) dissolved in fresh medium.
After removing the primary antibody, the membranes were washed three times for 10 min with PBS and incubated for 1 h at room temperature in fresh blocking solution containing horseradish peroxidase-linked goat anti-mouse IgG (1:2000; Amersham Pharmacia). Immunoreactivity was detected by Enhanced Chemiluminescence (ECL; Western Blot Detection system, Amersham Pharmacia), followed by exposure to ECL hyperfilm (Amersham Pharmacia). The films were scanned at 600 dpi and quantified using Foto Look 32 software (Agfa Gevaert, Leverkusen, Germany), analyzing the images with Quantity One software (Bio-Rad, Hercules, CA, USA). The concentration of a given protein was normalized to the a-tubulin content of the same sample.

Quantitative Real Time-Polymerase Chain Reaction (qRT-PCR) and mRNA quantification
To quantify COX2 mRNA, U937 cells were differentiated in 6well plates as described above and the culture medium was then replaced with fresh medium containing 2OAA (120610 26 M) for 1 h, or incubated with fresh culture medium alone (control). The cells were washed twice with PBS, and those previously treated with 2OAA were challenged for 6 h with LPS (62 ng/ml) plus 2OAA (120610 26 M) in fresh medium, while control cells were challenged for 6 h with LPS alone (62 ng/ml). Total cellular RNA was extracted from the cells using the RNeasy Mini kit in combination with the RNase-Free DNase kit (Qiagen, Hilden Germany), following the manufacturer's instructions, and the total amount and purity of RNA was measured using a Nanodrop 1000 spectrophotometer (ThermoFisher Scientific, Waltham, MA) at 260 and 280 nm. The integrity of the RNA was tested by electrophoresis on 2% agarose gel and visualized by ethidium bromide staining. Reverse transcription was carried out in a final volume of 20 ml using the Transcriptor First Strand cDNA Synthesis Kit (Roche, Mannheim, Germany) in a thermal cycler (Eppendorf Master Cycler Gradient). The RNA samples (1 mg) were mixed with oligonucleotides as primers (1 ml; 500 mg/ml) and made up to a final volume of 13 ml with H 2 O. The samples were then incubated at 65uC for 10 min and then the tubes were chilled quickly on ice. Next, a reaction mix was added containing 56firststrand buffer (4 ml), 10 mM dNTPmix (dGTP, dCTP, dATP, and dTTP; 2.5 ml), Protector Rnase inhibitor (0.5 ml; 40 units/ml) and the reverse transcriptase (0.5 ml; 20 units/ml). The reaction mixtures were incubated at 25uC for 10 min, 55uC for 30 min, and 85uC for 5 min, and the cDNA samples obtained were stored at 220uC.
For PCR amplification, primers were designed based on specific human COX2 sequences obtained from the SDSC Biology Workbench Program: forward primer, 59-TGA GCA TCT ACG GTT TGC TG-3; reverse primer, 59-TGC TTG TCT GGA ACA ACT GC-39. As an endogenous control, the expression of b-actin was quantified in parallel using the forward primer 59-GCG GGA AAT CGT GCG TGA CAT T-39 and the reverse primer 5-CTA CCT CAA CTT CCA TCA AAG CAC-39. RT-qPCR amplifications were carried out in a Step One Plus v 2.0 thermal cycler (Applied Biosystems) using the SYBRH Premix Ex Taq kit (Perfect Real Time, Takara), which contains TaKaRa Ex Taq TM HS, dNTP mixture, Mg 2+ , SYBRH, Green I and ROX TM Reference Dye. Thermal cycling was preceded by an initial denaturation step at 95uC for 30 s. and DNA amplification and fluorescence quantification was performed over 35 cycles with a denaturation step at 95uC for 5 s, followed by an annealing and extension step at 60uC for 34 s. Fluorescence quantification was carried out after each DNA extension step, and StepOne software (v2.0) was used to analyze the data, also producing a melting curve analysis of the final products.
The ratio of COX2 expression to that of b-actin RNA (whose expression is not modulated by 2OAA) was expressed as ddCT values (as a percentage) using the following formula: ddCT = EX (Ctc-Ctx) /E Bact (Ctc-Ctx) , where Efficiency (E) = 10 (21/m), and (m) = slope of the graph formed by Ct values of mRNA vs the logarithm (log) of its concentration (ng/ml). Finally, this value was used to calculate the relative expression of COX2 in 2OAAtreated cells with respect to the untreated control cells. The NO produced by the cells was determined by assaying the amount of nitrite generated using Griess reagent [26]. Briefly, aliquots of the conditioned medium were mixed with an equal volume of 1% sulfanilamide in 5% phosphoric acid and 0.1% N-1-naphthylenediamine-dihydrochloride in water. After incubating for 10 min at room temperature, the absorbance of the reaction mixture at 540 nm was determined in a microtiter plate reader, using sodium nitrite diluted in culture medium at concentrations of 1.5-25 mM to generate a standard curve.

Determination of TNF-a serum levels
We measured the effect of oral 2OAA administration on TNF-a serum levels in a model of transient endotoxemia: C57BL6/J mice (Charles River, Paris, France) challenged with LPS. The protocol used in this study was approved by the Animal Ethics Committee of the University of the Balearic Islands. C57BL6/J mice (15-16 g; 6-8 weeks old) were fed a standard laboratory diet with ad libitum access to water and they were maintained on a 12-h light-dark cycle at 22uC. The mice were randomly distributed into 5 groups of 5 animals, of which three groups were administered 2OAA dissolved in PBS (50, 200 or 500 mg/kg, p.o.), while the remaining two groups received PBS (vehicle) alone (control). Doses of 2OAA in mice were calculated following the guidelines of the Food and Drug Administration of the U.S.A (FDA) [27]. After 90 min, the mice were challenged with LPS dissolved in PBS (20 mg, i.p.), while one of the control groups received an i.p. injection of PBS alone. After establishing the optimal dose of 2OAA required to decrease TNF-a serum level, we compared its efficacy with that of cortisone and ibuprofen. Four groups of mice (5 mice per group) were treated with 2OAA (500 mg/kg, p.o.), AA (500 mg/kg, p.o.), or with therapeutic doses of oral ibuprofen (12.5 mg/kg, p.o.) or cortisone (7.5 mg/kg, i.p.), while another two groups (5 mice per group) received PBS alone (control groups). After 90 min the mice were challenged with LPS in PBS (20 mg, i.p.), while one of the control groups received an i.p. injection of PBS alone. Three hours later the mice were sacrificed by decapitation, their blood was collected and the serum separated by centrifugation, and the TNFa levels were determined by ELISA (Invitrogen, Barcelona, Spain) according to the manufacturer's instructions.

Statistical analysis
The results are expressed as the mean 6 SEM values of at least three independent experiments. Statistical analyses were performed using the Student's t test (GraphPad Prism version 5.00 for Windows) and the level of statistical significance was set at p,0.05.

Computational simulations based on molecular docking
We compared the binding energy of AA and 2OAA to COX1 and COX2 using computational simulations based on molecular docking. For COX1, the binding energies of AA and 2OAA enantiomers (R2OAA and S2OAA) were very similar ( Table 1). The two carboxyl oxygens (O1 and O2) of AA established hydrogen bonds with Arg 120, and AA exhibited close hydrophobic contact with Phe 205, Val 344 and Tyr 348 (Fig. 1A). The orientation of S2OAA (as well as R2OAA, which is not represented in the figure) was very similar to that in AA, with the oxygens O1 and O2 occupying the same positions (Fig. 1B). The hydroxyl oxygen (O*) of R2OAA and S2OAA formed a hydrogen bond with Glu 524 of COX1, although this favorable interaction was counterbalanced by a distortion of the carbon backbone (the RMSD between AA and S2OAA was 1.39 Å ). The S enantiomer exhibited a better global interaction with the binding site and the binding energy was slightly higher than that of AA. In summary, the carboxyl groups of the inhibitors were essentially superimposable, and only modest differences in the binding of AA, R2OAA and S2OAA were detected (Table 1).
For COX2, the binding energies of the 2OAA enantiomers, R2OAA (11.09 kcal/mol) and S2OAA (10.93 kcal/mol), were higher than that of AA (10.25 kcal/mol: Table 1), with a higher degree of hydrogen bonding between 2OAA and the receptor. The carboxyl group of AA was coordinated with Arg 120 via one hydrogen bond (Fig. 1C), while both R2OAA and S2OAA exhibited 5 hydrogen bonds, two of which were severely distorted (Fig. 1D).
Interestingly, in COX2 the O* oxygen of 2OAA occupied the position of O1 of AA ( Fig. 1C and 1D), while in an analogous manner, O1 of R2OAA and S2OAA occupied the position of the AA O2. Finally, O2 of R2OAA and S2OAA was free to form a hydrogen bond with Tyr 355.
The map of the Fukui radical function for the total electron density (Fig. 1E) clearly indicates the more favorable sites for radical attack and the arrows highlight C13, the carbon involved in H* abstraction in COX. Thus, it can be thus concluded that the -OH group in C2 reduces the likelihood of 2OAA being subjected to enzymatic alteration by COX isozymes.

Toxicity
To determine the toxicity of AA and 2OAA, we measured the effect of both compounds on BV-2 microglial cell viability by the MTT assay and by the Trypan blue staining method. Cells were incubated for 24 h in the presence or absence (control) of AA or 2OAA (120610 26 or 240610 26 M). BV-2 microglial cell viability was inhibited by AA, reaching ,25% (MTT, Fig. 2A) and ,24% (Trypan blue, Fig. 2B) inhibition at 120610 26 M and ,75% (MTT, Fig. 2A) and ,72% (Trypan blue, Fig. 2B) inhibition at 240610 26 M. By contrast, 2OAA had no negative effect on cell viability at the same concentrations ( Fig. 2C and 2D), indicating that the hydroxyl group present in 2OAA attenuates the toxicity exerted by the natural fatty acid AA and suggesting that 2OAA has no toxic effects at therapeutic doses.

2OAA inhibits COX1 and COX2 activity
We determined the effect of AA and 2OAA on purified COX1 and purified COX2 activity by measuring PGH 2 production in an in vitro quantitative cell-free assay [25]. While 2OAA (250610 26 M) exerted a dramatic inhibitory effect on COX1 activity, and a marked and significant inhibition of COX2 activity ( Fig. 3A and 3B), AA did not significantly affect COX1 or COX2 activity at the same concentration ( Fig. 3A and 3B).

2OAA downregulates COX2 expression in LPS-stimulated U937 cells
To determine the effect of 2OAA administration on the expression of both COX isoforms, differentiated U937 macrophage like cells were challenged with LPS (62 ng/ml; 6 h) in the presence or absence of 2OAA (120610 26 M; 6 h), and COX isoform expression was evaluated in Western blots. As described previously, LPS markedly increased the expression of the inducible COX2 isoform without affecting that of the constitutive COX1 isoform (Fig. 4A) [28]. In LPS-challenged cells, treatment with   2OAA (120610 26 M, 6 h) resulted in a marked reduction in COX2 protein, while those of COX1 remained unchanged (Fig. 4A). To further study the effect of 2OAA on COX2 expression, differentiated U937 cells were challenged for longer with LPS (62 ng/ml; 18 h) in the presence or absence of 2OAA (120610 26 M; 18 h) and they were analyzed by confocal microscopy using an anti-COX2 antibody. After stimulation with LPS, the cells exhibited characteristic perinuclear localization of the induced COX2, although in the presence of 2OAA there was a marked reduction in COX2 expression (Fig. 4B).
We also evaluated the effect of 2OAA on COX2 mRNA expression in differentiated U937 macrophages challenged with LPS (62 ng/ml; 6 h). As expected, LPS markedly increased COX2 mRNA expression and despite its inhibitory effect on COX2 protein expression, exposure to 2OAA (120610 26 M, 6 h) failed to downregulate COX2 mRNA, suggesting the existence of a posttranslational regulatory mechanism (Fig. 5A). It was previously demonstrated that AA downregulates COX2 expression by inducing the degradation of COX2 protein via two distinct mechanisms: ubiquitination and degradation through the ubiquitin-proteasome system; and less well understood mechanism triggered by the binding of AA to COX2, known as suicide inactivation [29]. To study these proteolytic mechanisms, differentiated U937 macrophage-like cells challenged with LPS (62 ng/ ml; 6 h) were treated for 2 h with the ribosome inhibitor CHX

2OAA inhibits NO production in LPS-stimulated BV-2 cells
To investigate the effect of 2OAA on the production of NO, BV-2 cells were challenged with LPS (1 mg/ml; 24 h) in the presence or absence of 2OAA at different concentrations (50610 26 , 120610 26 and 240610 26 M; 24 h). NO production was assessed by quantifying nitrite accumulation in the culture medium (the final stable product of nitric oxide) using the Griess reagent [26]. As expected, LPS induced a significant increase in NO production, although 2OAA (50610 26 , 120610 26 and

2OAA downregulates iNOS expression in LPS-stimulated BV-2 cells
We tested the effect of 2OAA on the expression of iNOS in BV-2 cells challenged with LPS (1 mg/ml; 24 h) and in Western blots, it was evident that exposure to LPS alone markedly increased the expression of iNOS c ompared to that seen in unstimulated cells (Fig. 6B). By contrast, the presence of 2OAA (120610-6 M; 24 h) significantly dampened the expression of iNOS protein induced by LPS stimulation (Fig. 6B).

2OAA reduced the serum TNF-a produced in LPSchallenged mice
To study the in vivo efficacy of 2OAA in a mouse model of inflammation, we orally administered 2OAA (50 to 500 mg/kg) to C57BL6/J mice 90 min before they received a LPS challenge (20 mg/g, i.p.). LPS induced a marked and significant increase in serum TNF-a levels, which was attenuated by 2OAA treatment in a dose-dependent manner (Fig. 7A). This effect of 2OAA in vivo was compared with that of cortisone and ibuprofen and we found that the anti-inflammatory effect of 2OAA in mice (reflected in an attenuation of the LPS-induced increase in TNF-a) was significantly greater than that of ibuprofen and similar to that of cortisone, a steroid compound at therapeutic doses (Fig. 7B).

Discussion
Understanding protein structure and structure-function relationships has provided significant insight into the molecular bases of protein-ligand interactions [30,31], also forming the basis for the rational design of drugs to treat human diseases with unmet clinical needs [32]. The goal of the present study was to rationally design a nonsteroidal anti-inflammatory drug (NSAID) with similar potency to that of steroid compounds but that lacked the significant side-effects of these drugs. For this purpose, we first tested AA (the main COX substrate) analogues using computer assisted tools, then comparing the potential toxicity and efficacy of   2OAA with that of AA in cellular and animal models. Our molecular docking simulations predicted similar binding energies for 2OAA and AA to COX1, and an enhanced interaction between 2OAA and COX2 than that of AA. This suggests that 2OAA competes with AA to bind to COX isoforms and therefore, that it interferes with their enzymatic activities to inhibit the synthesis of pro-inflammatory mediators. In this context, the development of COX inhibitors represents a landmark in the evolution of NSAIDs [33]. However, AA derivatives are not usually considered potential anti-inflammatory compounds, possibly because their structure is too similar to that of COX substrates and products. In a cell, AA is metabolized by both COX1 and COX2, is converted into pro-inflammatory PGs and TXs [6,7]. By contrast, we propose that 2OAA is a potent antiinflammatory compound with low toxicity and acting as a COX inhibitor, probably due to its similarity to the natural compound.
While AA (240610 26 M) compromised microglial BV-2 cell viability by 75% as shown by the MTT and Trypan blue staining methods no toxic effects on cell growth were observed for 2OAA under identical experimental conditions, indicating that the 2hydroxylation of AA attenuates its toxic effects.
We compared the effect of AA and this non-toxic analogue on purified COX1 or purified COX2 activities by measuring PGH 2 production in a cell-free system. Although the binding energies predicted by the simulations of molecular docking to COX1 and COX2 were very similar, in vitro 2OAA appeared to inhibit COX1 activity more strongly than AA. This might reflect the fact that the binding of a ligand in a catalytically competent orientation is necessary but not sufficient to induce enzymatic catalysis. Among the initial steps in the formation of PGH 2 , a tyrosine is oxidized to a free radical before catalysis can begin. The subsequent abstraction of the AA 13-pro-S hydrogen by Tyr-385 results in a pentadienyl radical, centered on C11, C13 and C15. In addition, calculation of the Fukui function indicates that the presence of the hydroxyl group reduces the potential reactivity of 2OAA. This observation is consistent with the longer period over which 2OAA remains at the active site of the COX enzymes and it is in agreement with the inhibition observed.
To study the effect of 2OAA on the expression of the inducible COX2, we used human U937 monocytes differentiated to macrophage-like cells, which were stimulated with LPS to simulate inflammation-derived COX2 overexpression. U937-derived macrophages overexpress COX2 protein after LPS stimulation [28], yet 2OAA administration decreases COX2 expression without affecting constitutive COX1 expression. Thus 2OAA not only inhibits the in vitro activity of both COX1 and COX2 but it also significantly reduces COX2 levels while maintaining COX1 protein expression. Previous studies demonstrated that COX2 protein can be ubiquitinated and degraded by the 26 S proteasome, a process that involves exit of the protein from the ER via the ER-associated degradation system [29]. Another mechanism that appears to be independent of the proteasome system (suicide inactivation) involves the degradation of the enzyme after the binding of its natural substrate [6]. In the present study, we demonstrate that both 26S proteasome inhibition (MG-132) and COX2 blockade at the active site (NS-398) prevent proteolytic degradation of COX2. These results suggest that both the proteasome and suicide inactivation pathways are involved in 2OAA-induced COX2 degradation. This anti-inflammatory mode of action, involving COX2 proteolysis, partially explains the potent effect of 2OAA. While this work is focused on the effect of 2OAA on COXs inhibition, it is conceivable that 2OAA could also have a variety of effects at other different levels. For example, membrane AA could be displaced by 2OAA decreasing the concentration of AA available for PLA2. In this context, 2OAA could also bind and interfere with the activity of PLA2 affecting the release of stored AA which is the ratelimiting step for icosanoid generation [2,4]. Another possibility not explored in this work, is the possible effect of 2OAA on LOXs activities and expression. Of particular interest would be the study of the effect of 2OAA on 5LOX due to its important role on the synthesis of hydroxyacids and leukotrienes implicated in inflammatory and allergic disorders.
Microglial cells are the resident macrophage-like cells of the central nervous system and they are broadly implicated in neuronal survival, innate immunity, microbial infection and brain damage. Microglial over-activation (excessive production of PGs, superoxide, NO and cytokines) can lead to inflammatory neuropathologies [34]. Since iNOS expression can be inhibited by natural lipids [35] and by modified lipids, such as oleanolic acid-cyano-derivatives [36], we investigated whether 2OAA also inhibited NO synthesis. Stimulation of microglial BV-2 cells with LPS increased NO production and iNOS expression, as described previously [37], yet these effects were attenuated by 2OAA in a dose dependent manner. These results suggest that 2OAA inhibits the production of NO derivatives such as peroxynitrites, minimizing the damage to proteins by oxidation. The AA, COX2 and iNOS pathways are highly interconnected, with NO stimulating both PLA-2 and COX2 activity, regulating AA release, and promoting eicosanoid and PG synthesis [38]. Thus, 2OAA is an anti-inflammatory AA derivative with a dual-mechanism of action, simultaneously targeting excessive NO and PG synthesis. The 2OAA was originally designed to inhibit COX1 and COX2 activities. Our results showed that besides the inhibition of the activity of both COXs isoforms, 2OAA induced COX2 protein degradation and iNOS down-regulation. Therefore, further studies are required to elucidate the cellular pathways and the mechanisms that are affected by this new compound.
Finally we confirmed the in vivo efficacy of 2OAA by measuring plasma of TNF-a levels. We selected a transient LPS-induced endotoxemia model in C57BL6/J mice [39]. 2OAA readily reduced the serum TNF-a levels in a dose-dependent manner, producing a stronger effect than that of ibuprofen, similar to that of cortisone at the therapeutic doses used. The FDA indicates that the dose to be used in humans should be those used in mice multiplied by 0.08 [27]. Thus, a dose of 500 mg/kg in mice would correspond to 2.8 grams in humans (calculations made for a weight of 70 kg), a dose that falls within the range of the daily amount of NSAIDs currently prescribed (e.g., Ibuprofen). These findings constitute a proof of relevance, demonstrating greater efficacy of 2OAA than a commonly used NSAID like ibuprofen. Furthermore, its comparable efficiency to cortisone and low toxicity suggest that 2OAA may replace this steroidal antiinflammatory drug for certain treatments.