Eicosanoids Flashcards
Eicosanoids classification
1) Leukotrienes (LTB4, LTC4,LTD4)
2) Prostaglandins (PGE1, PGE2, PGF2)
Prostacyclin (PGI2)
Thromboxane (TXA2)
Eicosanoids antagonists classification
1) Leukotriene antagonist {synthesis inhibitors and receptor blockers}
2) Prostaglandin antagonist {corticosteroids and NSAIDs}
COX-1 expressed in?
most of the tissues
COX-2 expression in?
brain and kidney
sites of inflammation
vasodilators
PGE2
PGI2
PGE2 functions
pain and inflammation response
increases body temp in fever
facilitates mucous secretion in the stomach
increases sperm motility
helps in labor
PGI2 functions
vasodilation
inhibits platelet agg.
antagonist of TXA2
PGI2
TXA2 functions
vasoconstriction
platelet agg.
bronchoconstriction caused by
excess leukotrienes can cause bronchoconstriction/asthma attack
PGF2α function
reduces intraocular pressure
Misoprostol clinical use
helps in menorrhagia
treat NSAIDs induced ulcers
abortifacient (misoprostol + mifepristone/methotrexate)
Alprostadil clinical use
maintains the patency of ductus arteriosus in infants with transposition of great vessels until surgery
vasodilator
used in male impotence
Dinoprostone clinical use
softens cervix before induction of labor
Epoprostenol clinical use
in severe pulmonary HTN
prevents platelet agg. in dialysis machines