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Prostaglandins & Leukotrienes
DR MUSTANSAR
Eicosanoids
The eicosanoids are a group of signaling
sub-stances that arise from the C-20 fatty

acid arachidonic acid and therefore usually
contain 20 C atom (Greek eicosa=20). As
mediators, they influence a large number of
physiological
Introduction
๏ฝ

Eicosanoids (20 carbons) are found in the animal
kingdom and a variety of plants.

๏ฝ

The eicosanoids are oxygenation products of
acid arachidonic (AA) polyunsaturated fatty
acid.

๏ฝ

Acid arachidonic is released from membrane by
phospholipase A2 (PLA2).
Prostaglandins & Leukotrienes

๏ฝ

Local hormones - very active,many functions..

๏ฝ

Autacoids from 20 C PUFA
Prostaglandins
Prostacyclin
Thromboxanes
Leukotrienes
Functions
๏ฝ Inflammation
๏ฝ Smooth

muscle tone
๏ฝ Blood coagulation
๏ฝ Reproduction
๏ฝ GI secretion
.

.

SYNTHESI
S

PHOSPHOLIPI
DS
PHOSPHOLIPASE A2
ARACHIDON
IC ACID

CYCLOOXYGENASE

5 LIPOOXYGENASE

LT
A4

PG G2

PGH
ISOMERASE

PGE2
PG
D2
PG F2

2

THROMBOXANE
SYNTHASE

PROSTACYCLINE
SYNTHASE

PG
I2

THROMBOXA
NE A2

LT
B4

LT C4
LT D4
Pathways of arachidonic acid (AA) release and
metabolism.
.

PHOSPHOLI
PIDS

STEROIDS
PHOSPHOLIPASE A2

NSAIDS

ARACHIDON
IC ACID

CYCLOOXYGENASE

ZILEUTON
5 LIPOOXYGENASE
LT A4

PG G2

PGH2

PGE2
,PG D2
,PG F2

LT B4

THROMBO
XANE A2

PG I2

LT C4
LT D4
BIOSYNTHESIS OF PROSTAGLANDINS
๏ถ Enzyme

is Cyclo

oxygenase(COX)

COX 1-constitutive.
COX 2-inducible
๏ถ

NSAIDS- Nonselective COX inhibitors.
COXIBS - Selective COX inhibitors

๏ถ Aspirin-

Irreversible inhibition of COX

Other NSAIDS- Reversible inhibition
Actions
Inflammation
Most important mediators..
Synthesised as per need.
NSAIDS
Actions โ€“Smooth muscles

Blood vessels
Pg E2, Prostacycline - vasodilatation
Thromboxane A2 โ€“ constriction
Prostaglandins
Actions :Smooth muscle
Bronchus

PgE2 โ€ข BRONCHO
DILATION
PgI2
PgF2ฮฑ โ€ข CONSTRICTI
ON
TXA2
LT
Uterus
Both uterus &cervix

Cervical
ripening

Initiation
of Labour

โ€ข PgE2

โ€ข PgE1
โ€ข PgF2
Actions
๏ฝ GIT

MUCUS
HCO3ACID

Natural ulcer protectants..
NSAIDS..
๏ฝ

GIT

Motility

Secretio
n

Cramps
Diarrhoe
a
RENAL
PgE2,Prostacyclin -protective..
PgE2,PgI
2
RENAL
VASODILATATI
ON

DIRECT ON TUBULES

RBF

DIURESIS
NATRIURESIS
Coagulation

TXA
2

PgI2

PLATELE
TS

AGGREGATIO
N

ENDOTHELI
UM

(-)
AGGREGATION
.

Pulmonary
vesselsvasodilatation
EYE-โ†“IOT

CNSNeurotransmitte
r
Clinical Application
๏ฝ

Female Reproductive Organ

๏ฝ

Male Reproductive System

๏ฝ

Inflammation & Immunity

๏ฝ

Gastrointestinal Tract

๏ฝ

Respiratory System

๏ฝ

Musculo skeletal

๏ฝ

Cardiovascular

๏ฝ

Glaucoma

๏ฝ

Kidney

๏ฝ

Cancer
Preparations & Uses
Preparations
Prostaglnd Preparation
in
PgEโ‚
Misoprostol ,
Alprostadil,Latanoprost
PgEโ‚‚
Rioprostil , Enprostil
Dinoprostone
PgFโ‚‚ฮฑ
Prostin
15Methyl
Carboprost / Prostodin
PgFโ‚‚ฮฑ
Uses

1.Obstetrics
Therapeutic abortion
Cervical ripening

PgE1/MISOPROST
OL

PgEโ‚/PgE2

Severe Post partum hge

15METHYL
PgF2 im/PgE1
Rectal
2.Peptic ulcer
PgE1/Misoprostol
PgE2/Enprostil,Rioprostil,Arbaprostil

3.Glaucoma : PgE1 / Latanoprost
4-PDA

PgE1/Alprostadil

โ‚‚

5-Primary pulmonary hypertention : PgI
Summary of uses
Use
Abortion
Cervical ripening
Peptic ulcer
Glaucoma
PPH
PDA

Preparation
PgE1
PgE1 / E2
PgE1
PgE1-Latanoprost
PgI2
PgE1
ADR
๏ฝ Vomiting,Diarrhoea,Abdominal

cramps
๏ฝ Uterine cramps
๏ฝ Bronchospasm
LEUKOTRIENES
PHOSPHOLIPIDS

ARACHIDONIC ACID

LIPOOXYGENA
SE

CYCLOOXYGEN
ASE

Zileuton

PROSTAGLANDINS

LEUKOTRIE
NES

LEUKOTRIENE
Monteleuka
RECEPTOR
stZafirleuka
st
Chromoglyca
MAS
te
T
Nedochromil
CELL
Prostaglanden feb (2014)

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Editor's Notes

  1. Pathways of arachidonic acid (AA) release and metabolism.