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Hero B. Sabr
4/5/2015 1
4/5/2015 2
4/5/2015 3
Eicosanoids
prostanoids
Prostaglandin
PG
Prostacycline
PGI
Thromboxane
TX
Leukotrienes
LT
Lipoxines
4/5/2015 4
4/5/2015 5
4/5/2015 General pathology 6
CELL PRODUCT
Neutrophils Leukotrienes
Macrophage/Monocyte Prostaglandins+Leukotriene
Platelets Thromboxane
Endothelial Cells Prostacyclin
CELL SPECIFICITY OF ARACHIDONIC ACID-
DERIVED PRODUCTS
PROSTAGLANDINS
Why PG?
Structure
Location
4/5/2015 7
PROSTAGLANDINS[PG]
Nomenclature
Classification
Subscript
due to difference
in structure of
cyclopentane ring.
4/5/2015 8
Characteristic features :
PG
Show the
effects near
the site of
synthesis(auto
crine &
Paracrine
effects)
Are not
stored in
the body
Are very
potent in
action.
Even in
minute
very short
life span, are
destroyed
within
seconds or
few minutes
Production
increases or
decreases in
response to
diverse
stimuli or
drugs
Act as
local
hormones
4/5/2015 9
PROSTAGLANDINS - FUNCTIONS
Effects on GIT
Effects on
Inflammation
Effects on
Respiratory
tract
Effects on
uterus
Effects on
CVS
4/5/2015 10
PROSTAGLANDINS - FUNCTIONS
PGI2
Vasodilatation
Inhibits platelet aggregation
PGA and PGE class
prostaglandins lower blood
pressure.
Effects
on CVS
4/5/2015 11
PROSTAGLANDINS - FUNCTIONS
PGF2
Inducing
labor
Effects
on
uterus
4/5/2015 12
PROSTAGLANDINS - FUNCTIONS
PGF-Bronchoconstriction
PGE-Bronchodilator
Effects on
Respiratory
tract
4/5/2015 13
PROSTAGLANDINS - FUNCTIONS
PGE2
Involved in inflammatory
response
Effects on
Inflammation
4/5/2015 14
PROSTAGLANDINS - FUNCTIONS
PGE2
suppress
gastric acid
secretion
Effects
on GIT
4/5/2015 15
Prostacyclins - Chemistry
1)Prostacyclins(PGI) contain
another ring between
6 th and 9th carbon atoms &
They are synthesized in
heart and vascular
endothelial cells.
Inhibit platelet and leukocyte aggregation
Decrease T-cell proliferation
lymphocyte migration
Induce vasodilatation
prevent clot formation
prostacycline - Functions
4/5/2015 17
Subscript number denotes number of double bonds
have a six membered Oxane ring.
Most
common
Thromboxanes [TX]
4/5/2015 18
Increase platelet aggregation
Vasoconstriction
Mobilize intracellular calcium
Smooth muscle contraction
Bronchoconstriction
Thromboxanes - FUNCTIONS
4/5/2015 19
Grouped into 5 classes [A to E]
LTC4
Leukotrines [LT]
4/5/2015 20
Increase chemotaxis
Facilitate inflammation & allergic reactions
Contraction of smooth muscle
Bronchoconstriction (asthmatic constriction )
Vasoconstriction
Leukotrines - Functions
4/5/2015 21
4/5/2015 22
Leukotrienes are a hundred times more potent than histamine
which provided a rapid response to an allergen
Lipoxins
Lipoxins are a family of conjugated
tetraenes also arising in leukocytes.
They are formed by the combined
action of more than one lipoxygenase.
Inhibition of Eicosanoid Synthesis :
NSAIDs usually do not inhibit lipoxygenase activity at concentrations that inhibit COX
activity.
NSAIDs may cause more substrate to be metabolized through the lipoxygenase
pathways.
This leads to an increased formation of the leukotrienes.
A 5-LOX inhibitor and antagonists of the leukotriene receptors are used clinically in
asthma.
Corticosteroids also block all the known pathways of eicosanoid synthesis.
4/5/2015 24
4/5/2015 25
CVS
GIT
NSAID
Bronchial Asthma-
Ulcerative Colitis
Ophthalmologic
Pharmacological applications of Eicosanoids
4/5/2015 26
1)Cardiovascular uses- pulmonary
arterial hypertension, peripheral
vascular disease. for keeping the ductus
arteriosus open until surgery in
neonates carrying certain cardiac
malformations and platelet anti-
aggregating agents.
2) Digestive Uses- indicated in the
treatment of gastro duodenal ulcer
and for the prevention of NSAID-
induced ulcers.
4/5/2015 27
3) Ulcerative Colitis-
Mesalamine(mesalazine) or 5
aminosalicyclic acid has antiinflammatory
properties in the colon and is used in the
treatment of ulcerative colitis (Crohn's
disease) it also inhibits lipoxygenases.
4)Bronchial Asthma- PGE2 agonists
and leukotrienes receptor
antagonists are used for the
treatment of bronchial asthma.
4/5/2015 28
5) Ophthalmologic Use-
lower intraocular
pressure
6) Anti- inflammatory use-
Inhibitors of cyclo-
oxygenases include NSAID
4/5/2015 29
. NSAID The useful effects in
therapeutics are-
anti-inflammatory effect
analgesic effect
antipyretic effect
inhibition of platelet aggregation
and decrease of
thromboembolic risk (well-
known with aspirin at low
doses)
4/5/2015 30
4/5/2015 31
Aspirin inhibits the COX pathway and consequently diverts
arachidonic acid metabolites to the LO pathway.
This also leads to a decrease in the levels of PGE2, the anti-
inflammatory PG.
LTC4 synthase overexpression further increases the number
of cysteinyl LTs, tilting the balance toward inflammation and
broncho constriction
Reason for Aspirin induced Asthma
4/5/2015 32
Reason for Aspirin induced Asthma
4/5/2015 33
4/5/2015 34
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arachidonic acid. by hero salayee

Editor's Notes

  1. Prostaglandins are all derivatives of the hypothetical C20 fatty acid prostanoic acid in which carbon atoms 8 to 12 form a cyclopentane ring (Fig. 25-66a). Prostaglandins A through I differ in the substituents on the cyclopentane ring (Fig. 25-66b):PGAs are ,-unsaturated ketones,PGEs are-hydroxy ketones, PGFs are 1,3-diols, etc. In PGF, the C9 OH group is on the same side of the ring as R1; it is on the opposite side in PGF.The numerical subscript in the namerefers to the number of double bonds contained on the side chains of the cyclopentane ring (Fig. 25-66c). In humans, the most prevalent prostaglandin precursor is arachidonic acid (5,8,11,14-eicosatetraenoic acid), a C20 polyunsaturated fatty acid that has four nonconjugated double bonds.The double bond at C14 is six carbon atoms from the terminal carbon atom (the carbon atom), making arachidonic acid an โ€“6 fatty acid. As Sune Bergstrรถm and Bengt Samuelsson demonstrated, arachidonic acid is synthesizedsynthesized from the essential fatty acid linoleic acid (also an โ€“6 fatty acid). This occurs via its desaturation with a 6- desaturase to yield -linolenic acid (GLA), followed by elongation and a second desaturation, this time with a 5- desaturase (Fig. 25-67; Section 25-4E). Prostaglandins with the subscript 1 (the โ€œseries-1โ€ prostaglandins) are synthesized from dihomo--linolenic acid (DGLA; 8,11,14- eicosatrienoic acid), whereas โ€œseries-2โ€ prostaglandins are synthesized from arachidonic acid. -Linolenic acid (ALA), another essential fatty acid since the 15-desaturase required for its synthesis occurs only in plants, is a precursor of 5,8,11,14,17-eicosapentaenoic acid (EPA) and the โ€œseries-3โ€ prostaglandins. Since arachidonate is the primary prostaglandin precursor in humans, we shall mostly refer to the series-2 prostaglandins in our examples. Note, however, that when dietary linoleic acid and -linolenic acid are equally available, the relative activities of the 5- and 6- desaturases are important in determining the relative amounts of these prostaglandin precursors. Hvon Euler thought that these compounds originated in the prostate gland (hence their name) but they were later shown to be synthesized in the seminal vesicles.