9. Characteristic features :
PG
Show the
effects near
the site of
synthesis(auto
crine &
Paracrine
effects)
Are not
stored in
the body
Are very
potent in
action.
Even in
minute
very short
life span, are
destroyed
within
seconds or
few minutes
Production
increases or
decreases in
response to
diverse
stimuli or
drugs
Act as
local
hormones
4/5/2015 9
10. PROSTAGLANDINS - FUNCTIONS
Effects on GIT
Effects on
Inflammation
Effects on
Respiratory
tract
Effects on
uterus
Effects on
CVS
4/5/2015 10
22. 4/5/2015 22
Leukotrienes are a hundred times more potent than histamine
which provided a rapid response to an allergen
23. Lipoxins
Lipoxins are a family of conjugated
tetraenes also arising in leukocytes.
They are formed by the combined
action of more than one lipoxygenase.
24. Inhibition of Eicosanoid Synthesis :
NSAIDs usually do not inhibit lipoxygenase activity at concentrations that inhibit COX
activity.
NSAIDs may cause more substrate to be metabolized through the lipoxygenase
pathways.
This leads to an increased formation of the leukotrienes.
A 5-LOX inhibitor and antagonists of the leukotriene receptors are used clinically in
asthma.
Corticosteroids also block all the known pathways of eicosanoid synthesis.
4/5/2015 24
27. 1)Cardiovascular uses- pulmonary
arterial hypertension, peripheral
vascular disease. for keeping the ductus
arteriosus open until surgery in
neonates carrying certain cardiac
malformations and platelet anti-
aggregating agents.
2) Digestive Uses- indicated in the
treatment of gastro duodenal ulcer
and for the prevention of NSAID-
induced ulcers.
4/5/2015 27
28. 3) Ulcerative Colitis-
Mesalamine(mesalazine) or 5
aminosalicyclic acid has antiinflammatory
properties in the colon and is used in the
treatment of ulcerative colitis (Crohn's
disease) it also inhibits lipoxygenases.
4)Bronchial Asthma- PGE2 agonists
and leukotrienes receptor
antagonists are used for the
treatment of bronchial asthma.
4/5/2015 28
29. 5) Ophthalmologic Use-
lower intraocular
pressure
6) Anti- inflammatory use-
Inhibitors of cyclo-
oxygenases include NSAID
4/5/2015 29
30. . NSAID The useful effects in
therapeutics are-
anti-inflammatory effect
analgesic effect
antipyretic effect
inhibition of platelet aggregation
and decrease of
thromboembolic risk (well-
known with aspirin at low
doses)
4/5/2015 30
32. Aspirin inhibits the COX pathway and consequently diverts
arachidonic acid metabolites to the LO pathway.
This also leads to a decrease in the levels of PGE2, the anti-
inflammatory PG.
LTC4 synthase overexpression further increases the number
of cysteinyl LTs, tilting the balance toward inflammation and
broncho constriction
Reason for Aspirin induced Asthma
4/5/2015 32
Prostaglandins are all derivatives of the hypothetical C20 fatty acid prostanoic acid in which carbon atoms 8 to 12 form a cyclopentane ring (Fig. 25-66a). Prostaglandins A through I differ in the substituents on the cyclopentane ring (Fig. 25-66b):PGAs are ,-unsaturated ketones,PGEs are-hydroxy ketones, PGFs are 1,3-diols, etc. In PGF, the C9 OH group is on the same side of the ring as R1; it is on the
opposite side in PGF.The numerical subscript in the namerefers to the number of double bonds contained on the side chains of the cyclopentane ring (Fig. 25-66c).
In humans, the most prevalent prostaglandin precursor is
arachidonic acid (5,8,11,14-eicosatetraenoic acid), a C20
polyunsaturated fatty acid that has four nonconjugated double
bonds.The double bond at C14 is six carbon atoms from
the terminal carbon atom (the carbon atom), making
arachidonic acid an –6 fatty acid. As Sune Bergström and
Bengt Samuelsson demonstrated, arachidonic acid is synthesizedsynthesized
from the essential fatty acid linoleic acid (also an
–6 fatty acid). This occurs via its desaturation with a 6-
desaturase to yield -linolenic acid (GLA), followed by
elongation and a second desaturation, this time with a 5-
desaturase (Fig. 25-67; Section 25-4E). Prostaglandins with
the subscript 1 (the “series-1” prostaglandins) are synthesized
from dihomo--linolenic acid (DGLA; 8,11,14-
eicosatrienoic acid), whereas “series-2” prostaglandins are
synthesized from arachidonic acid. -Linolenic acid
(ALA), another essential fatty acid since the 15-desaturase
required for its synthesis occurs only in plants, is a precursor
of 5,8,11,14,17-eicosapentaenoic acid (EPA) and the
“series-3” prostaglandins. Since arachidonate is the primary
prostaglandin precursor in humans, we shall mostly refer to
the series-2 prostaglandins in our examples. Note, however,
that when dietary linoleic acid and -linolenic acid are
equally available, the relative activities of the 5- and 6-
desaturases are important in determining the relative
amounts of these prostaglandin precursors.
Hvon Euler thought that these compounds originated in the
prostate gland (hence their name) but they were later
shown to be synthesized in the seminal vesicles.