To understand the role of eicosanoids, particularly 15(S)-HETE, in retinal neovascularization, we first studied the effect of hypoxia on the expression of 15-LOX1/2 using qRT-PCR. Hypoxia induced a time-dependent increase in the expression of 15-LOX1 mRNA and a time-dependent decrease in the expression of 15-LOX2 mRNA
(Fig. 1A) . To obtain additional evidence for the effect of hypoxia on the expression of 15-LOX1/2, we also measured their protein levels. Western blot analysis of an equal amount of protein from control and various time points of hypoxia-treated HRMVEC using 15-LOX1– and 15-LOX2–specific antibodies showed a time-dependent increase in the levels of 15-LOX1 and a time-dependent decrease in the levels of 15-LOX2 in response to hypoxia
(Fig. 1B) . 15-LOX1 converts AA to 15(S)-HETE and 12(S)-HETE in a 3:1 ratio. On the other hand, 15-LOX2 metabolizes AA exclusively to 15(S)-HETE.
27 To determine whether hypoxia-induced expression of 15-LOX1 correlates with the production of 15(S)-HETE and 12(S)-HETE, HRMVECs were prelabeled with [
3H]-AA, subjected to quiescence for 24 hour, and subjected to hypoxia for 6 hours in the presence and absence of NDGA, a potent inhibitor of LOXs.
37 The eicosanoids released into the medium were extracted and analyzed by reverse-phase HPLC. Hypoxia induced the production of 15-HETE and 12-HETE in an approximately 2:1 ratio in HRMVECs. NDGA, at a concentration of 25 μM, completely suppressed their production
(Fig. 2A) . Although 15(S)-HETE/12(S)-HETE is formed by enzymatic actions of 15-LOX1/2 on AA, 15(R)-HETE is formed by nonenzymatic conversion of AA. Therefore, to find the source of production of 15-HETE, quiescent HRMVECs were exposed to hypoxia for 30 minutes in the presence of 10 μCi [
3H]-AA and 10 μM calcium ionophore A23187, and the eicosanoids released into the medium were extracted and analyzed by reverse-phase HPLC. The eluate of the peak, with a retention time of 50 minutes, was collected and subjected to chiral-phase HPLC. The chiral-phase HPLC analysis of 50-minute reverse-phase HPLC fractions indicated the presence of 15(S)-HETE to a major level (90%) and 15(R)-HETE to a minor level (10%;
Fig. 2B ). This result confirms the enzymatic production of 15(S)-HETE by HRMVECs in response to hypoxia. To understand the potential role of the 15-LOX1 to 15(S)-HETE axis in hypoxia-induced angiogenesis, we studied the effect of NDGA on hypoxia-induced HRMVEC migration and tube formation. As shown in
Figure 2C -E, NDGA inhibited hypoxia-induced HRMVEC migration and tube formation.