SUMMARY
The role of inflammation in obesity-related pathologies is well established. We investigated the therapeutic potential of LipoxinA4 (LXA4:5(S),6(R),15(S)-trihydroxy-7E,9E,11Z,13E,-eicosatetraenoic acid) and a synthetic 15(R)-Benzo-LXA4-analogue, as interventions in a 3-month high-fat-diet [HFD; 60%fat]-induced obesity model. Obesity caused distinct pathologies, including impaired glucose-tolerance, adipose inflammation, fatty liver and chronic-kidney-disease (CKD). Lipoxins (LXs) attenuated obesity- induced CKD; reducing glomerular expansion, mesangial matrix and urinary H2O2. Furthermore, LXA4 reduced liver weight, serum alanine-aminotransferase and hepatic triglycerides. LXA4 decreased obesity-induced adipose inflammation, attenuating TNF-α and CD11c+ M1-macrophages (MΦs), while restoring CD206+ M2-MΦs and increasing Annexin-1. LXs did not affect renal or hepatic MΦs, suggesting protection occurred via attenuation of adipose inflammation. LXs restored adipose expression of autophagy markers LC3-II and p62. LX-mediated protection was demonstrable in adiponectin−/− mice, suggesting that the mechanism was adiponectin independent. In conclusion, LXs protect against obesity- induced systemic disease and these data support a novel therapeutic paradigm for treating obesity and associated pathologies.