autocoids Flashcards
give examples of 3 major autacoids?
- Histamine
- Prostanoids
- Leukotrienes
what are the main sites of storage of histamine?
- mast cells
- some neurones in CNS and GI tract
when is histamine released from mast cells?
Most commonly released from mast cells during inflammatory and allergic reaction
how is histamine released from mast cells?
- by the interaction of antigen with cell-fixed IgE antibodies
- interaction of C3a and C5a with their receptors
how else can histamine be released (without antibody interaction)?
can be released by many basic drugs such as morphine, radiocontrast media, tubocurarine, vancomycin etc.
what is histamine secretion associated with?
rise in cytosolic Ca2+ conc.
what inhibits histamine secretion?
Agents that increase cAMP formation (β-adrenoceptor agonists)
how does histamine work?
Produces its action by acting on three main types of histamine receptors
what are the 3 types of histamine receptors?
H1
H2
H3
where are H1 receptors found?
Located mainly on smooth muscles of GI tract, lungs, uterus, blood vessels, sensory nerve endings and in CNS.
where are H2 receptors found?
Parietal cells of gastric mucosa, heart etc.
where are H3 receptors found?
Presynaptic terminals of histaminergic neurones in CNS and GI tract that regulate release of histamine and other transmitters
what are H1 receptors responsible for?
- vasodilation
- increased capillary permeability
- contraction of ileal smooth muscles
- contraction of bronchial smooth muscles
- itch and pain
what are H2 receptors responsible for?
- gastric acid secretion
- increases heart rate and output
what causes the triple response to histamine?
Intradermal injection of histamine elicits the characteristic “triple response”
what does the triple response to histamine include?
- a red spot
- flare/brighter red flush
- a wheal
what causes the red spot in the triple response to histamine?
the direct vasodilator effect of histamine
what causes the flare in the triple response to histamine?
results from histamine-induced stimulations of axon reflexes that cause vasodilation indirectly
what causes the wheal in the triple response to histamine?
results from the histamines capacity to increase capillary permeability.
what are the pathophysiological roles of histamine?
- a mediator of type 1 hypersensitivity reactions
- a stimulant of gastric acid secretion
how can gastro-oesophageal reflux disease and similar conditions be treated?
treated with H2 receptor antagonists.
why are antihistamines only effective in some types of allergies?
because there are many other mediators released which can produce the same effects as histamines.
what are examples of older antihistamines?
Chlorpheneramine, Promethazine, Diphenhydramine
what was the problem with older antihistamines?
can cause sedation
what are examples of non-sedating antihistamines?
Terfenadine, fexofenadine, loratadine, desloratadine, acrivastine, cetirizine, levocetirizine
what are H1 receptor antagonists (antihistamines) used to treat?
- hay fever (seasonal rhinoconjunctivitis)
- urticaria
what are examples of H2 receptor antagonists?
Cimetidine, ranitidine, famotidine, nazatidine.