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Professor Biochemistry
Lecture-Eicosanoids metabolism
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Learning Objectives At the end of the class the student will be able to define
and describe :
Eicosanoids ; prostanoids; leucotrienes;
(KNOWLEDGE) Synthesis ; catabolism and regulation of prostanoids and
leucotrienes) (KNOWLEDGE)
Functions of Eicosanoids (prostaglandins; prostacyclins;
leucotrienes) and their role as local hormones(COMPREHENSION)
Role of Aspirin as effective anti platelet aggregator andSRS-A in hypersensitivity (APPLICATION)
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Case1 A 26-year-old primigravid woman at 42 weeks' gestation
comes to the delivery ward for induction of labor. At 35 weeks was positive for group B Streptococcus. The patient is started on lactated Ringer's IV solution.
Sterile vaginal examination shows that the patient's cervixis long, thick, and closed.
Prostaglandin (PGE2) gel is placed into the vagina, andelectronic fetal heart rate monitoring is continued. In approximately 60 minutes, the uterus shows to be
contracting. Which of the following was most likely the cause of the
uterine contractions. A. Infection B. IV fluids C. Prostaglandin (PGE2) gel E. Vaginal examination
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Metabolism of the Eicosanoids
The eicosanoids consist of :
Prostaglandins (PGs)
Thromboxanes (TXs)
leukotrienes (LTs)
The PGs and TXs are collectively called asprostanoids.
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Structural Characteristic features
Prostaglandins wereoriginally shown to besynthesized in the prostategland.
Thromboxane's fromplatelets (thrombocytes).
Leukotriene's from
leukocytes.
Hence the derivation oftheir names.
But they are present in almost all tissues.
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Synthesis
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Eicosanoids
In Greek (eicosi=20) .They are 20 carboncompounds derived from arachidonic acid.
All mammalian cells synthesize eicosanoids.
Most potent biologically active substances,
Low concentrations 1ng/ml of PG will causesmooth muscle contraction.
Diverse roles of PG confer on them the status as
local hormones.
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Classification of Prostaglandins
1. All PGs have 20carbonatoms.2. They have cyclopentane
ring.3. All of them have OH group
at 15 position4. Trans double bond at 13
position5. Series-1: one double bond6. Series 2: most common
variety occurring in thebody having two doublebond
7. Series-3: having threedouble bonds
8. PG/D/E/F
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Common types
Only 5 PGs are widely distributed in the body.
PGD2
PGE2 PGF2 PGI2 Thromboxane A2
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Synthesis The phospholipids which
are stored in cell
membranes on variousstimuli by the Action ofPhospholipase A2 producearachidonic acid. This is the
rate limiting action. PGHSynthase: contains two
separate enzyme activities,cycloxygenase and
peroxidase. PGH2 is a precursor for
prostaglandins (PG) ,prostacyclins (PGI) and
thromboxanes.
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Regulation PLA2 is :
Activated byepinephrine,thrombin and
Inhibited by steroids.
Cyclooxygenase is :
Activated bycatecholamine'sand
Inhibited by NSAIDlike aspirin andindomethacin.
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Suicidal enzyme
Cyclooxygenase is a suicidal enzyme undergoes self-catalyzed cell destruction, (switching off) rapidlyinactivates the enzyme. This would preventexcessive production of PGS.
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Isoforms of Cxcloxygenase Cxcloxygenase exists in
two different forms:Cox1, Cox2.
COX1 is constitutiveproduces PGS thatmediate gastric, renal,and platelet function.
COX2 inducible formmediates inflammatoryresponse .
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DEGRADATION
Almost all the eicosanoids are inactivated rapidly
mainly in the lung and liver by the enzyme 15hydroxy dehydrogenase.
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Mechanism of action These are local hormones they function through
G-Protein Coupled Receptors in most tissues.
PGs and PGI act by increasing cAMP. TXA act by inhibitingcAMP and thereby
decreasing.
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ComparisonPGI
2TXA
2
Structure cyclopentane Oxane ring
Site of formation Endothelium PlateletscAMP level Increased Decreased
Plateletaggregation
inhibited Enhanced
Blood vessels Vasodilatation ConstrictionBronchioles Relaxation Constriction
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BIOLOGICAL FUNCTIONS
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Effect on CVS
Platelet aggregation andthrombosis PG I2(prostacyclins) synthesized by the vascular
endothelium inhibitplatelet aggregation Thromboxane's promoteplatelet aggregation and
blood clotting that might lead to thrombosis.
Thus prostacyclins and thromboxanes are
antagonist in their actions. PGI2 acts vasodilator while thromboxanes as
vasoconstrictors.
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Pain and fever
Pyrogens (fever producing
agents ) promote PG synthesisleading to formation of PGE2 inthe hypothalamus, the site ofregulation of body temperature.
PGE2 along with histamine andbradykinincause pain.
Influence on Inflammation:
PGE1 and E2 induce thesymptoms of inflammation(erythema and wheal areproduced at the site of injury)due to vasodilatation byincreasing capillarypermeability.
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Reproduction
PGE2 and F2 stimulate the uterine contractionsand cervical dilatation so used for the medicaltermination of pregnancy and induction of labor.
Effects on respiratory functions:-
PG E is a bronchodilator so used in thetreatment of bronchial asthma .
Influence on renal system:-
PG E increases GFR and promotes urine output.Excretion of sodium and potassium is alsoincreased.
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Regulation of gastric secretion
PGEinhibits gastric secretion and increasesintestinal motility.
so used for the treatment of acid peptic disease.
Effect on metabolism:-
PG E decreases lipolysis and increasesglycogenformation and promotescalcium mobilization from
the bones.
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Learning check
Aspirin is useful inprevention of MI andcerebral stroke.
With the help of theadjacent diagram
explain?
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Learning check How marine fish lipids reduce the risk of MI?
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Explanation These are Eicosa penteanoic acidwhich decreases
cholesterol and Triglyceride.
Also inhibits TXA2 so reducesplatelet aggregation and
thrombosisreducing risk of MI.
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Leukotrienes
These are a family ofconjugated trienes
formed from arachidonicacid in leukocytes,platelets, macrophagesby lipoxygenase pathwayin response to bothimmunologic and nonimmunologic stimuli.
They have threeconjugated doublebonds.
5HPETE (5-hydro peroxy-eicosa-tetra-enoic acid)
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Functions
1. Mediators ininflammation and
anaphylaxis.
2. Smooth musclecontraction.
3. Bronchospasm
4. SRS-A slow reactingsubstance ofanaphylaxis containsLTC4, LTD4, LTE4.