Anti-inflammatories Flashcards
What is the precursor to histamine?
Histadine
What are the roles of histamine?
Tissue repair
inflammation
vasodilation
allergic/anaphylactic reactions
Where is histamine found?
In mast cells
Where are mast cells produced?
Bone marrow
What is the IgE receptor on mast cells?
FcER1
How does mast cell degranulation occur?
Exposure to allergen creates IgE antibodies which bind to mast cells
second exposure to mast cells bind to IgE on mast cell surface and activates mast ecll
What can inhibit histamine release?
cAMP
What is the main histamine receptor called?
H1
What does the H1 receptor cause?
Systemic vasodilation
increased vascular permeability
itching
What are used to treat allergies?
H1 receptor antagonists
What are the two types of H1 receptor antagonists?
1st gen - shorter generation, cross blood brain barrier
2nd gen - longer, dont cross
What do H2 receptors do?
Inhibit gastric acid secretion
treat gastric ulcers
What is used to treat anaphylaxis?
Adrenaline
What are eicosanoids generated from and when?
Phospholipids, on demand rather than stored
What is the intermediate form of eicosanoids?
Arachidonic acid
What is the enzyme which changes phospholipids into arachidonic acid/eicosanoids?
Phospholipase A2
What are the 3 eicosanoids?
Prostaglandins
Thromboxanes
Leukotrienes
What can stimulate phospholipase A2?
Bradykinin Mast cells thrombin complement cell damage
Which prostaglandins are involved in inflammation?
PGE2 and PGI2
What converts arachidonic acid to prostaglandins?
Cyclooxygenase
What are the two isoforms of cyclooxygenase?
COX1 and COX2