3.9 Lipid Mediators + Inflammation Flashcards
Why is the lipid mediator system druggable?
Mediators aren’t stored, but made to-order/on demand only. Therefore specific enzymes can be targetted
How do glucocorticoids affect the lipid mediator system?
+annexin 1 = -PLA2 = -lipid mediators
Lyso-glyceryl-phosphorylcholine is converted to…?
Platelet activating factor (PAF)
What is the effect of PAF on the veins?
Dilation
What is the effect of PAF on the lungs?
Bronchoconstriction, increased vascular permeability (+fluid)
What are the effects of PAF in the immune response?
Chemotaxin– gathers immune cells
What are the 2 types of enzymes affecting AA conversion?
Lipooxgenases (LOX) and cyclooxygenases (COX)
What is the conversion reaction pathway of 5-LOX?
AA –> 5-HpETE –> leukotrienes
Which LOX makes leukotrienes?
5-LOX
Which leukotriene is a chemotaxin?
LTB4
The majority of leukotrienes are…?
Bronchoconstrictors (increase permeability, more fluid in lungs)
What is the general conversion reaction pathway of COX enzymes?
AA –> cyclic endoperoxides –> prostaglandins + TXA2
What type of enzymes generate prostaglandins?
COX
What are the effects of PGI2/prostacyclin?
- Vasodilation
- Hyperalgesia
- Stops platelet aggregation
- Bronchodilation
Of the 2 main COX products, ___ is negative and ___ is positive
PGI2 = -
TXA2 = +
What are the effects of TXA2?
- Vasoconstriction
- Platelet aggregation (thrombotic)
- Bronchoconstriction
What are the notable prostaglandins?
PGI2, PGD-Falpha
Why is PGF2a unique among the prostaglandins?
Myometrial contraction
Most prostaglandins cause…?
Vasodilation