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eicosanoids and prostaglandins.pdf
1.
08-03-2023 Eicosanoids Classification Eicosa 20 C compounds Eicosanoids - PG and related c ompouncts Synthesized from arachidon icacid Prostaglandin Prostaglandin (PGs) Prostacyclin (PGIs) Thromboxane (TXs) Metabolic regulators Local hormones (G proti couplec receptors) Leukotriene & Lipoxin Structure-Prostaglandins Prostaglandins (PGs) Isolated from prostatic tissues Present in almost all cells except RBC ( lacl: Cox) cOOH Cyclopentane ring(C8-C12) Substituent groups ( Keto or hydroxyl) - A to J Naturally occurring PGs alpha oriented OH ggp at C-15 pros ancc acid Structure Series 1-Linolenic acid 1 double bond - 13-14(frans) Series 2- Arachidonic acid 2 double bond-13-14 (fran) 5-6 (cis) Series 3-- Eicosapentaengte acid 3 double bond - 13 - 14(trans) 4 5-6 (cis) &7-18(trans) Subscript- Number of double bond - PGE,. PGE2 PGI has additional ring Thromboxanes are similar but have a 6-member ing
2.
-03-2023 Phospholipid PL Eplnephrine or Bradykinin+ Phospholipase A Cortisol Phospholipase A2 Arachidonic acid Arachidonic acid CYCLOOxYGENASE (Cox) Prostaglandin G Prostaglandin H Synthase LIPOOXYGENASE CYCLOOXYGENASE 2GSM PEROXIDASE G-S-S-G Prostaglandin &Thromboxane Leukotriene Prostaglandin Ha & Lipoxin Prostaglandin H, ENZYMES Prostacyclin synthase Thromboxane synthase PGH synthase ( COX& Peroxidase) 2 isoenzymes PGHS-1 (cox 1) - Constitutive enzymes - PG synthesis PGHS-2 (cox 2)-Inducible - responsible for inflammatory response PG I2 TX A2 lsomerase isomerase Reductase PG D, PG F2 COX-suicide enzyme Short lived and rapidly inactivated PG E2 Prevents excessive production of prostaglandins
3.
8-03-202 Inhibition of PG synthesis Degradation of Prostaglandins Phospholipase A2 Metabolised rapidly Corticosteroids Lungs &Liver Enzymes involved are 15-hydroxyprostaglandin dehydrogenase 13-prostaglandin reductase (less significant) COX-Anti-inflammatory drugs Aspirin ireversibly inhiblits COX Indomethacin 1. Effect on CVS - regulation of blood pressure Prostacyclin/ PG Synthesized from vascular endothelium Biological Functions & Vasodilator Clinical Applications of Prostaglandins Inhibits platelet aggregation & prevents thrombu: formation Thromboxane / TXA2 Synthesized by platelets Vasoconstrictor Increases platelet aggregation
4.
8-03-202 Clinical Application 2. Effect on respiratory system PGE-Bronchodilator PGF2-Bronchoconstrictor Used in the treatment of hypertension Clinical Application Prostacyclin &Thromboxane are anliaonistic in their action. PGE Used in the treatment of astima In co-ordination they function to balae the blood homeostasis 3. Effect on uterine muscles & ovaries 4. Effect on GIT PGF2 Stimulates uterine muscle contrachio PGE2 Supress gastric secretion Increases intestinal motility Causes LH induced ovulation Clinical Application Induction of labour Clinical Application Medical gemination of pregnanc y[hTP) Aresting of post partum hemorhege Used in the treatment of peptic ulcer
5.
8-03-202 5. Effect on inflammation & immunity Other effects PGE2 Decreases lipolysis Increases glycogenesis Increases calcium mobiliiabn from one Increases GFR and promes i urine oi tput Increases sodium & potasm excretion Increases capillary permeability Induces swelling, redness and oedema Reduces both T cell and Bcell functions 6. Effect on pain and fever Pyrogens promote PGs synthesis PGE2 causes pain PGE2 causes migraine Therapeutic applications of Prostaglandins Leukotrienes Produced in leucocytes, platele, macrophag s.. Oxidation of arachidonic acid bs-Lipooxyge nase LT-grouped into five classes (Ae) LTA, LTB, LTC, LTD LTE Asthma Hypertenslon Peptic ulcer Induction of labour Medical germination of pregnancy(MTP) Aresting of post partum hemorhage Patent Ductus arterlosus PGE2
6.
8-03-202 Functions Actlvate the immune response LTB4-most potent cheriagectic age nt Modiators of hypersensiti vg reaction Induce contraction of smoD th musce, bronchoconstriction, vasodi{btation-seen during anaphylactic shock Mixluro of LT C4, D4 and E4-Lentified a: slow reacking substance of anapylAxis (SRS-A) Thist mixture is 100-1000 timesmpre potent than histamine and prostaglanding (as a const ictor of Bronoial Smooth Muscle) Over production of LT case asthm«itic attacks Lipoxins Produced by leucocytes Conjugated tetraenes LXA4, LXB4, LXC4, LXD4, LxE4 Anti-inflammatory actior
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