Leukocyte type 12-lipoxygenase (12-LO) catalyzes the conversion of ara
chidonic acid (AA; C20:4) to 12-hydroperoxyeicosatetraenoic acid (12-H
PETE) and linoleic acid (LA; C18:2) to 13-hydroperoxyoctadecadienoic a
cid (13-HPODE). Previous studies have demonstrated that 12-LO, but not
5- or 15-lipoxygenase (5-LO, 15-LO respectively), is specifically exp
ressed in pancreatic beta-cells and is involved in regulating glucose-
stimulated insulin secretion. Lipoxygenase products also have been lin
ked with inflammatory pathways in endothelial cells, kidney mesangial
cells, inflammatory bowel disease, and corneal epithelial cells. There
fore, 12-LO may play a role in cytokine mediated inflammation in pancr
eatic beta-cells (i.e. beta-cell dysfunction and cytotoxicity). Cytoki
nes such as IL-1 beta stimulate both de novo 12-LO protein synthesis a
nd enzyme activity in pancreatic beta-cells. The products generated by
12-LO may ultimately be involved in cellular events that lead to lipi
d peroxidation. Hydroperoxide and free radical production in beta-cell
s can activate intracellular signaling pathways that lead to cell deat
h or may directly damage mitochondrial and plasma membranes. Increased
12-LO expression has also been found in islets from prediabetic Zucke
r fatty rats, a model that demonstrates insulin secretory defects simi
lar to human type 2 diabetes. In this review, we present an overview o
f the 12-LO pathway in regulating glucose-stimulated insulin secretion
in beta-cells as well as more recent data which supports the hypothes
is that the 12-LO pathway participates in cytokine mediated beta-cell
dysfunction and cytotoxicity.