Mediators Flashcards
Mediators
Amino acid derivatives?
Histamine & Serotonin
Mediators
Endogenous peptides?
Kinins
Mediators
Fatty acid derivatives?
Eicosanoids (prostaglandins, leukotrienes, lipoxins)
Mediators
Gas?
NO (Nitric oxide)
Stored in mast cells, basophils, lung, intestinal mucosa?
HISTAMINE
Smooth muscle,Endothelial cells, Brain
Which receptor?
H1
Major Biologic Effects:
Acute allergic responses
H1 which locate in: Smooth muscle,Endothelial cells, Brain
Gastric parietal cells,Cardiac muscle, Mast cells, Brain have which receptor?
H2
Major Biologic Effects:
Secretion of gastric acid
H2: Gastric parietal cells,Cardiac muscle, Mast cells, Brain
Histamine H1 receptor blockers
First generation?
Diphenhydramine, Promethazine.
Has a sedating effect
Histamine H1 receptor blockers
Second generation?
Loratidine
Non-sedating effect
Blockers of H2 receptors inhibit gastric acid secretion
Ranitidine
Ranitidine Used for treatment of:
¢ Gastritis
¢ Peptic ulcers
Used in treatment of : ¢ Vertigo of Ménière’s disease & other balance
disturbances of vestibular origin
H3- receptor blockers e.g. Betahistine
Side effects: ¢ May produce headache & insomnia.
Cause vasodilatation of vascular smooth muscle?
PROSTAGLANDINS
Remember histamine for contracts smooth muscle!!