Test 3: 64-65 Flashcards
inflammation mediators derived from eicosanoids are ___
postaglandins and leukotreines
eicosanoids contribute to mediating and ___ inflammation
resolution (stopping inflammation)
how do eicosanoids stop inflammation
neutrophils- short lived cells, do their job then die
Macrophages switch what arachidonic acid is produced from leukotrienes to lipoxins, anti-inflamatory cytokines, TGFB and IL10, stop TNFa production
___ are a family of oxygenated natural lipid products
eicosanoids
Eicosanoids are formed from PUFAs by pathways involving at least one step of dioxygen-dependent oxidation by ___
cycloocygenases, lipocygenases and cytochrome P450
Eicosanoids are typically not stores in tissues but rather formed ___ by liberation of precursor ___ forms of fatty acids
on demand
esterified
Numerous enzymes metabolize eicosanoids into ___ products that possess divers biologic activities
secondary
major function of eicosanoids
modulators of inflammation:
pro inflammatory, anti-inflammatory/resolution of inflammation
vascular tone and platelet function
eicosanoids play a role in reproductive and perinatal processes by ___
patent ductus arteriosus
preeclampsia
estrus synchronization
eicosanoids play a role in cardiovascular effects by ___
vascular homeostasis
platelet aggregation
atherosclerosis/ myocardial infarct/ stroke
eicosanoids play a role in bone marrow by __
endosteal niche
hematopoiesis
example of PUFA that is used as precursor to eicosanoids
arachidonic acid AA
archidonic acid is an example of a ___ used as a precursor to eicosanoids.
PUFA
arachidonic acid is an omega-6 fatty acid with four double bonds in the cis configuration
is it a ___ associated fatty acid
membrane phospholipid
phospholipase A2s is triggered by mechanical trauma, ischemia, other physical perturbations, pathogens or paracrine factors such as chemotactic factors, cytokines, growth factors and certain ___
eicosanoids
___ esterase activity releases ω-6 and ω-3 fatty acids bound in ester linkage to the SN2 position of membrane PLs
PLA2 (phospholipase A2)
breaks PUFAs into unesterified fatty acid chain (free AA) and phospolipid side chains
the free AA will either by re-esterified or acted upon by COX, LOX or cytochrome P450.
arachidonic acid is the principal substrate for ___synthesis in animal tissues
eicosanoid
arachidonic acid is an essential fatty acid derived from the diet - directly or following synthesis from dietary ___
linoleic acid
arachidonic acid is stored in ___ form in the phospholipid fraction of cell membranes
esterified
arachidonic acid is released from membrane phospholipids by the acyl hydrolase ___
PLA2 (phospholipase A2)
when arachidonic acid is broken into free AA (un-esterified fatty acid chain) by PLA2 it is either immediately re-esterified or acted upon by ___
COX, LOX and cytochrome P450 pathways to make eicosanoids
cyclooxygenase take ___ and turn it into prostaglandins, thromboxanes and prostacyclins
arachidonic acid
forms eicosanoids
COX-1 which turns arachidonic acid into prostaglandins, thromboxanes and prostacyclins works by ___
constitutive active enzyme to make eicosanoids that are involved in homeostatic processes
COX2 is an ___ enzyme that is associated with pro inflammatory processes
inducible
____ is a constitutive active enzyme to make eicosanoids that are involved in homeostatic processes
COX1
one of the PUMA used to make eicosanoids from arachidonic acid
what type of eicosanoids do cycloocygenases make ___
prostaglandin, thromboxanes, prostacyclins
arachidonic acid (lipoxygenase)=
–Hydroxyeicosatetraenoic acids (HETEs)
–Leukotrienes (LT)
–Eoxins
eicosanoids can have a potent and often opposing effects on eg, smooth muscle (vasculature and myometrium), platelets, inflammatory cells, etc. e.g. PG12 vs ___
PGI2
Thromboxane A2
omega-6 series of eicosanoids derived from dihomo-gamma-linolenic acid give rise to ___
TXA2
omega-3 series of eicosanoids derived from eicosanpenteanoic acid give rise to ___
resolvins of the E series
RvE1, 183 Rv E1, RvE2 and RvE3
eicosanoids that have a pro-inflammatory response are ___
leukotriene B4 and C4
Eicosanoids that have an anti- inflammatory response are ___
resolvins and protectins
COX-1 or COX-2 converts aracidonic acid to prostaglandin G2 which is rapidly converted to prostaglandin H2 via COX and ___
peroxidase activity
prostaglanins are oxygenated ___ containing a cyclopentane ring
PUFAs
polyunsaturated fatty acids
COX1 is a ___ enzyme made at ___ levels used for house keeping functions such as ___
constitutive
constant (low level prostaglandin production)
platelet regulation (blood clotting), kidney function, stomach acid regulation
COX2 is a ___ enzyme that makes ___ to maintain inflammation response such as ___
inducible (needs inflammatory stimuli)
acute high level prostaglandin production (transient gets stimulated, makes something then stops)
pain, heat, swelling
prostaglandin H2 (___) = prostaglandin E2
prostaglanin E2 synthase
three types of prostaglandin E2 synthase
mPGES-1 (membrane)
mPGES-2 (mitochondrial)
cPGES (cytoplasmic)
prostaglandin E2 binds to __ receptors
PTGER 1-4
the function of prostaglanin E2 is
pro-inflammatory response: fever, pain perception
parturition
___ inhibit prostaglandin E2’s productions to reduce inflammation, fever and pain
NSAID
___ if given in very high doses or early in gestation can cause abortion
PGF2 alpha
PGH2 (____) =PGD2
prostaglandin D2 synthase
what receptors does PGD2 act on?
prostaglandin DP1 and DP2 receptors
prostaglandin D2 functions to regulate ___
allergic reactions
steps of spontaneous dehydration of PGD2
PGD2→ PGJ2→ Δ12-PGJ2 → 15-deoxy-Δ12,14-PGJ2
___ are derived from cyclopentenone PGs
PGD2
15-deoxy-Δ12,14-PGJ2 which is derived form ___ can bind to ___ receptors and functions to ___
PGD2
PPAR gamma, PGDP2 receptors
inhibit inflammation and cell growth
(inhibits diverse inflammatory responses in animal models)
___ made from PGD2 inhibits inflammation and cell growth
15-deoxy-Δ12,14-PGJ2
clinical relevance of 15-deoxy-Δ12,14-PGJ2
inhibits diverse inflammatory responses in animal models
PFH2 (____) = PGI2
prostacyclin synthase
how can you detect PGI2 levels
PGH2 → PGI2 → 6-keto PGF1 alpha
this can be detected and easily measured
PGH2 (___) = TxA2 →
thromboxane synthase
TxB2
function of PGI2
anti platelet activation
vasodilator
counteracts thromboxane A2
iloprost and cisaprost
(synthetic prostacylins (PGI2))
synthetic prostacylins (PGI2) such as ___ and ___ are used as a vasodilatorin severe ___or ischemiaof a limb
iloprost and cisaprost
___ is used to treat pulmonary hypertension
iloprost, cisaprost (syntheic prostacyclin PGI2)
Thromboxane synthase converts ___ into TXA2
PGH2
thromboxane A2 (TXA2) binds to ___ receptors and functions to regulate ___
thromboxane receptors alpha and beta
blood platelet aggregation, blood clotting and allergic reaction
How do NSAIDs effect thromboxane A2
inhibits production to reduce incidence of strokes and MI
(thromboxane A2= clotting)
cyclooxygenase pathway and how NSAID effects it
why does aspirin prevent platelet aggregation?
aspirin = NSAID
blocks both COX1 and CoX2
Prostacyclin (PGI2= anti clot) concentrations however, recover much faster than thromboxane levels (TXA2= clot), so aspirin administration eventually prevents platelet aggregation
Why the difference in recovery?
PGI2 is primarily produced by endothelial cells that over time with aspirin treatment, increase their production of COX enzymes to catalyze the formation of PGI2.
In contrast, TXA2 is released primarily by platelets, which as anucleated cells, are unable to respond to COX inhibition with increased transcription of the COX genes and therefore irreversibly inhibits TXA2 production.
lipoxygenase pathway
arachidonic acid (___) = HPETE
lipoxygenase
5, 15, 12 sometimes 8
aracidonic acid (5 lipoxygenase) =
arachidonic acid (15 LOX) =
15 HPETE → 15 HETE → lipoxins A and B
arachidonic acid (12 LOX)=
12 HPETE → 12 HETE
arachidonic acid (8 LOX) =
8 HPETE
5 LOX need ___ to do their jobs
FLAP (co-factor)
15 LOX is found in ___ and acts on ___ to make ___. the cofactors needed are ___
reticulocytes, macrophages (cytokine-induced)
Arachidonic acid (and others)
15 HPETE, lipoxins, resolvins and protectins
12-HETE, 8-15 diHETE, Eoxin A4
FLAP is a cofactor that helps ___
5-LOX
AA (5LOX)(FLAP)= primary source of leukotreines
(5HETE, LTA4, LTC4, LTD4, LTE4 and LTB4 as well as lipoxins A and B)
LTB4 is made from ___ and its major function is ___
arachidonic acid (5 LOX) → HPETE → LTA4 → LTB4
chemotactic factor for and activator of leukocytes, inflammation
___ are formed by ___ and its major function is vascular permeability, vascular smooth muscle contraction, allergy
LTC4 and LTD4
arachidonic acid (5 LOX) → HPETE → LTA4 → LTC4 → LTD4
___ are antagonists of CYSLTR1 used in ___ as well as other allergic and allergic- like reactions
LTC4 and LTD4
asthma
____ primary function is increased vascular permeability and airway mucin secretion
LTE4
arachidonic acid (5 LOX) → HPETE → LTA4 → LTC4 → LTD4→ LTE4
___ contributes to asthma as well as other allergic and allergic like reactions
LTE4
___ and ___inhibits functions of pro- inflammatory cells
lxA4 and LxB4
(lipoxins A and B)
___ are specialized pro- resolving mediators class of inflammatory reaction suppressors
lipoxins A and B (Lx A4 and LxB4)
___ and ___ inhibits function of pro-inflammatory cells
RvE1 and RvE2
(resolvins 1 and 2)
lipoxins are ___ mediators
anti-inflammatory
__ counteract the pro-inflammatory pathway of lipoxygenases
lipoxins and resolvins
glucocorticoids (steroids) will inhibit ___ in the formation of eicosanoids
phospholipase A2
(1st step) stops membrane phospholipid from breaking down into arachidonic acid
NSAIDs are used to block what part of eicosanoid production
COX 1 and COX2
arachidonic acid → prostaglandins, prostacylins (PGI2) and Thromboxanes (TXA2)
COX-2 specific NSAIDs are used to ___
prevent inflammation instead of preventing COX1 which leads to homeostatic pathways
____ inhibits LOX
zileton
arachidonic acid (LOX) → HETEs, leukotrienes, lipoxins
montelukast is meant to block ___
leukotrienes
arachidonic acid (LOX) → HETEs, leukotrienes, lipoxins