. 5-Lipoxygenase and human pulmonary artery endothelial cell proliferation. Am J Physiol Heart Circ Physiol 282: H585-H593, 2002; 10.1152/ajpheart.00003.2001.-Increased 5-lipoxygenase (5LO) expression in pulmonary artery endothelial cells (PAECs) has been observed in primary pulmonary hypertension, a disorder associated with pulmonary vascular remodeling and aberrant endothelial cell proliferation. To examine whether 5LO plays a role in endothelial cell proliferation, we analyzed the effect of 5LO inhibitors on cultured human PAECs. Analysis of [3 H]thymidine incorporation showed that 5LO and 5LO-activating protein inhibitors AA-861, nordihydroguaiaretic acid (NDGA), and MK-886 all inhibited PAEC growth in a dose-dependent manner, with maximal inhibition of Ͼ90% and IC50 values of 3.9, 1.8, and 0.48 M, respectively. The effect of AA-861 and NDGA correlated with their effect on 5LO activity in PAECs. Concentrations of these inhibitors at or below their IC90 values did not cause significant cell death as determined by lactate dehydrogenase release, but decreased cell doubling, as measured by cell counting at 24 h after serum replenishment. Analysis of DNA content suggested that the inhibitors led to an accumulation of PAECs at the G0/G1 phase. Antisense oligonucleotides to 5LO mRNA delivered at a transfection efficiency of ϳ60% inhibited cell growth by 40 Ϯ 26% compared with that of a sequence-unrelated oligonucleotide. Indomethacin had no effect on PAEC growth over a range of concentrations (0.3-5 M). These data show that 5LO inhibitors impaired the proliferative response of the cultured PAECs, suggesting that this enzyme may contribute to PAEC growth under certain pathological conditions. antisense oligonucleotides; MK-886; nordihydroguaiaretic acid; AA-861; human pulmonary artery endothelial cells 5-LIPOXYGENASE (5LO) catalyzes the first two reactions in the biosynthesis of leukotrienes, which are potent mediators involved in inflammation and allergic reactions (20). A number of studies have also shown a role for 5LO in cell proliferation, although the effect of the enzyme on cell growth is cell-type specific: [5LO facilitates the growth of lung carcinoma (7, 38), adenocarcinoma of the prostate (5, 22, 25), pancreatic adenocarcinoma (17), adenocarcinoma of the colon (26), and chronic myelogenous leukemia (3)], but it suppresses the growth of other cells, including glioma (21, 32), adenocarcinoma of the breast (36), and murine Leydig cell tumors (33). In addition, 5LO has been found to mediate cytokine-induced lymphocyte (30) and murine thymocyte (40) growth and to facilitate epidermal cell proliferation (12).The mechanism of 5LO-associated cell proliferation is not yet completely understood. Some studies (7,22) have shown that 5-hydroxy-eicosatetraenoeic acid (5-HETE), a reduced derivative of the first product of 5LO, stimulates cell proliferation and reverses the effect of 5LO inhibition on cell growth. Other studies have demonstrated an apoptotic effect induced by 5LO inhibitors (2,18,22). A variety of 5LO in...