lecture 40: eicosanoids Flashcards

1
Q

what is the fatty-acid needed for eicosanoid synthesis

A

arachidonic acid

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2
Q

what 4 things can arachidonic acid give rise to

A

leukotrienes, prostaglandin H2, prostacyclin, thromboxane

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3
Q

what does prostaglandin H2 synthase do

A

acts on arachidonic acid to form PGG2, and then acts on PGG2 to form PGH2

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4
Q

what enzyme cleaves arachidonic acid from phospholipids

A

phospholipase A2

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5
Q

what is the mechanism of the anti-inflammatory process of NSAIDs

A

they bind to the tunnel in the ER where arachidonic acid has to travel through to reach the active site; block enterancec of arachidonic acid

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6
Q

type of inhibitor that Aspirin is

A

non-selective, suicide inhibitor

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7
Q

type of inhibitor that ibuprofen and naproxen are

A

non-selective, competitive inhibitors

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8
Q

non-selective NSAIDs block what

A

COX-1 and COX-2

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9
Q

what does prolonged usage of non-selective NSAIDs cause

A

GI ulcers or bleeding due to longer inhibition of COX-1

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10
Q

selective NSAIDs block what

A

COX-2 only

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11
Q

celecoxib and rofecoxib are drugs that block what

A

COX-2; selective inhibitor

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12
Q

what does prolonged usage of selective NSAIDs cause

A

increased risks of heart attacks

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13
Q

why is prolonged usage of selective NSAIDs bad mechanistically

A

prostacyclin is regulated by COX-2 for the regulation of blood vessels and clotting. when it is un-regulated it can cause clots by thromboxane accumulation

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