Eicosanoids and Prostaglandins Flashcards
What determines which prostaglandins are made in a cell?
The isomerases that are present in the cell.
Where is Arachidonic Acid derived from?
Cell Membrane
What liberates Arachidonic Acid from the cell membrane?
Phospholipase A2
Converts AA to PGH2 Prostaglandin endoperoxide
COX
Phospholipase A2 Substrate and Function
Substrate -Cell membrane phospholipds
Role- Liberate Arachidonic Acid from phospholipids
Cyclooxygenase contains what?
Iron
Cyclooxygenase substrates/cofactor & role
Substrate -Arachidonic Acid(or related PUFA)
Cofactor - O2
Role - converts AA+O2 into PGH2
PGH2 is the pivotal ________ __________
biosynthetic intermediate
PG isomerases- substrates and role
Substrate- PGH2
Role - converts PGH2 into PGD2, PGE2 PGF2alpha
Tx synthase or PGI synthase- substrate & role
Substrate PGH2
Role Converts PGH2 into TxA2 or PGI2
15-OH PG dehydrogenase- substrate & role
Substrates - PGD2, PGE2, PGF2alpha
Role - Inactivation
Prostaglandins or Thromboxane- made or stored in cell?
Made on demand, when proper stimuli activate phospholipase A2
What are some limiting factors in PG or Tx synthesis?
- O2 and AA availability
- Auto-inactivation of Cox enzyme
- Rapid&comprehensive PG enzymatic degradation
- Spontaneous hydrolysis of Tx and PGI2
What dictates whether PG or Tx is made?
Isomerase enzymes
Eicosanoid and Action in Vasculature Endothelium
PGI2
Vasodilation and decreased platelet aggregation
Eicosanoid and Action in Blood Platelets
TxA2
Vasoconstriction and Increased platelet aggregation
Eicosanoid and Action in Vasculature
PGE2
Permeability
Eicosanoid and Action in GI (Gut)
PGE2
Mucosal cytoprotection
Muscle tone
Motility
Eicosanoid and Action in Renal system
PGI2, PGE2
Na+ and H2O excretion
Eicosanoid and Action in Uterus
PGF2alpha, PGE2 Muscle contraction (parturition AKA delivery)
Eicosanoid and Action in CNS
PGE2
Temperature
Eicosanoid and Action in PNS
PGE2
Pain sensitization
Receptors that relax smooth muscles AKA vasodilate blood vessels
EP2, EP4, and IP - Relax smooth muscles
Receptors that contract smooth muscles AKA vasoconstriction
FP and TP - contract smooth muscles
Phospholipase A2 (PLA2) liberates ______
Arachidonic acid from phospholipids of cell membrane
Phospholipase C (PLC) liberates _______
IP3 and DAG from phospholipids
What will happen with excess TxA2:TP receptors and deficient PGI2:IP receptors in coronary arteries?
Vasoconstriction
The difference between COX-1 & COX-2
COX-1 is expressed all the time AKA constitutive
COX-2 is expressed in response to physiological stimuli to regulate physiological functions of PGs and TXs
In the Gut (COX1) - Deficient PGE2 leads to _____
Ulcers
In the Gut (COX1) - Excess PGE2 leads to ______
Diarrhea, cramps
Reproduction - Deficient PGE2 or PGF2alpha (COX1) results in _____
delayed birth
Reproduction (COX1) - Excess PGE2 or PGF2alpha results in _______
Premature labor
What can be used to counteract excess PGE2 and PGF2alpha (COX1) and avoid premature labor?
NSAIDs
Neonatal development (COX1)- role of PGE2: EP (EP4) receptors in neonatal development?
maintain the ductus arteriosus in the open position
Withdrawal of PGE2 (COX1) at birth results in ______
closure of ductus arteriosus
Why might a premature baby be treated with NSAIDs?
NSAIDs tend to negate the effects of prostaglandins (COX1), and in this case they would help close the patent ductus arteriosus.
COX2 is normally expressed where?
the kidneys
COX2 complements COX1 where?
Kidneys and brain
COX2 is induced in “all” tissues at “all” times. T or F
F - just “some” tissues at “some” times
COX2 has a prominent role in responding to pathological stimuli such as ____ and ______
Inflammation and cancer
COX2 and COX1 in the Kidneys - Deficient PGs in Kidney leads to _____ and ______ retention and __________
Na+ and H2O and mild hypertension
Inflammation stimulates __ release and COX1 converts it into __ which causes symptoms of _____, _______, and ______.
Arachidonic Acid, PGE2, Erythema, Edema, Pain
Inflammation stimulates ____ expression which ultimately results in ______ symptoms of PGE2 expression
COX2, amplified
Platelets - Have no nucleus, but make the eicosanoid Thromboxane A2 which _____ blood vessels and amplifies _____ ______
constricts, platelet aggregation
Endothelium - allows blood to flow without clotting. Endothelial cells make prostacyclin (PGI2) which ____ blood vessels and ______ platelet aggregation.
relaxes, inhibits
If most tissues express COX1 how does the body modulate the ratio of TxA2 and PGI2?
Different cells possess different isomerases and synthase enzyme which produce different eicosanoids in different cells.
Platelets- COX1 and Tx synthase produce ___ and __&__ receptors. This leads to
TxA2
TP & IP receptors
Vasoconstriction/increased BP/platelet aggregation
Endothelial cells- COX1 and PGI2 synthase produce ____ and __&__ receptors. This leads to ______
PGI2
TP&IP Receptors
Vasodilation/decreased BP/inhibited platelet aggregation
Collagen ____ platelets
stimulates
Platelets make which Eicosanoid?
Thromboxane
What stops the process of platelet aggregation from spreading throughout the blood stream, and what keeps it local?
Collagen is a local stimulus for Thromboxane synthesis. PGI2 is made by all endothelial cells and PGI2 opposes the action of TxA2 on blood vessels and platelets
COX2 induction in endothelial cells can augment ____ synthesis.
PGI2
COX2 augmentation of PGI2 can lead to good and bad outcomes.
Good:
Bad:
Good: Adaptation to protect against thrombosis
Bad: part of underlying disease process of atherosclerosis..inflamation
COX2 induction in platelets can augment____
NOTHING, COX2 cannot be induced in platelets
Deficient PGI2 in endothelial cells leads to _____
TxA2 domination, platelet aggregation, vessel blockage
PGI2 causes ____ which results in ______
vasodilation/decreased BP
inhibited platelet aggregation
TxA2 causes ____ which results in ______
Vasoconstriction/Increased BP
platelet aggregation
Arachidonic acid metabolism can also occur using an enzyme called _____ to produce ______
5-lipoxygenase, leukotrienes
Leukotriene A4 Leukotriene B4 Leukotriene C4 Leukotriene D4 Leukotriene E4
LTA4 LTB4 LTC4 LTD4 LTE4
Receptors for LTA4
None
Receptors for LTB4
BLT1,2
Receptors for LTC4
CysLT1,2
Receptors for LTD4
CysLT1
Receptors for LTE4
CysLT
Why are Leukotrienes called leukotrienes?
They are made by leukocytes and have a conjugated triene in their structure.