User:David.Throop/Eicosanoid

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In biochemistry, eicosanoids are signaling molecules made by oxygenation of twenty-carbon essential fatty acids, (EFAs). They exert complex control over many bodily systems, mainly in inflammation or immunity, and as messengers in the central nervous system. The networks of controls that depend upon eicosanoids are among the most complex in the human body.

Eicosanoids derive from either omega-3 (ω-3) or omega-6 (ω-6) EFAs. The ω-6 eicosanoids are generally pro-inflammatory; ω-3's are much less so. The amounts and balance of these fats in a person's diet will affect the body's eicosanoid-controlled functions, with effects on cardiovascular disease, triglycerides, blood pressure, and arthritis. Anti-inflammatory drugs such as aspirin and other NSAIDs act by downregulating eicosanoid synthesis.

There are four families of eicosanoids—the prostaglandins (PG), prostacyclins (PGI), the thromboxanes (TX) and the leukotrienes (LT). For each, there are two or three separate series, derived either from an ω-3 or ω-6 EFA. These series' different activities largely explain the health effects of ω-3 and ω-6 fats.^{[1] [2] [3] [4] [5]}

Contents 1 Overall Description 1.1 Background on EFAs 1.1.1 Dietary sources 1.1.1.1 Paleo source 1.1.2 Series 2 as bad actors 1.1.2.1 in popular culture 1.1.3 Series 2 as necessary 1.1.3.1 Similarities in action 1.1.4 Balance between ω-3 and ω-6 1.2 General list of actions 1.2.1 Leukotrienes in inflammation 1.2.1.1 Site of synthesis steps, within the cell 1.3 Not circulating hormones, but on demand 1.4 Elongation and desaturation 1.4.1 Bio source of eicosanoids 2 Nomenclature 2.1 Derivation of names 2.2 Classic and Nonclassic Eicosanoids 3 Blocks effects on the chain 3.1 Dietary blocks 3.2 Things that help 3.3 3/6 imbalance 3.3.1 Source of imbalance 3.4 Deficiencies as blocks 3.5 Metabolic and health conditions as blocks 3.6 Pregnancy and lactation 3.7 Old age 3.8 Vegans and Vegetarians 4 Biosynthesis 4.1 Role in living things 4.2 Nomenclature for biosynthesis 4.2.1 Four character abbreviation 4.2.2 Introduce COX and LO 4.3 Overview of the pathway from EFA to (prostanoid or leukotriene) to inactivation 4.4 Biosynthesis initiation 4.5 Peroxidation and reactive oxygen species 4.5.1 ROS can caused damage 4.5.2 Evolutionary purpose for peroxidation danger 4.6 Prostanoid pathways 4.6.1 cox-1 and -2 invoked by different stimulii 4.6.2 competition for COX by n-3, -6 4.6.3 discovery of synthetic pathways 4.6.4 control of which prostanoid path after PGH 4.6.5 discussion of different stimuli and the resulting different products 4.6.6 control of removal, disactivation 4.6.7 sites of synthesis in the human body 4.6.8 use of inactive end-products to monitor short-lived prostanoids 4.6.9 Chemical characteristics of individual prostanoids 4.7 Leukotriene pathways 4.7.1 cut much of the chemical detail 4.7.2 signals which initiate lk synthesis 4.7.3 n-3/n-6 competition 4.7.4 lipoxygenase inhibitors 4.7.5 sites in the body where lks are synthesized 4.7.6 overall control of lk production 5 Function and pharmacology 5.1 Pharmo-kinetics 5.2 Dietary effects on pharmacology 5.3 Receptors 5.4 The ω-3 and ω-6 series 5.5 Overview of series-2 vs -3 5.5.1 Competing cascades 5.5.2 Dietary recommendations on ω-3 5.5.3 PUFA effects other than eicosanoids 5.5.4 Mechanisms of ω-3 action 5.6 Role in inflammation 5.7 Action of prostanoids 5.7.1 Signals in nucleus 5.7.2 Pharma role of COX 5.8 Action of leukotrienes 5.8.1 slow reacting substance of anaphylaxis 6 History 7 References 8 External links

[edit] Overall Description

When fed a fat-free diet, mammals will develop a deficiency disease—their skin becomes patchy, they are lethargic and cannot reproduce. Even small amounts of any of several polyunsaturated fats (PUFA—polyunsaturated fatty acids) will reverse this deficiency. Research shows there are two families of fats—the ω-3 and ω-6 fatty acids—that are necessary for bodily health; they are so-called the essential fatty acids (EFA).

These fats have several vital roles in the body. Most notably, they are the source of a bewilderingly^[6] large family of lipid hormones—the eicosanoids—which control many different bodily functions. Fatty acid deficiency starves the body's ability to make eicosanoids; this explains most of the pathologies seen in the condition.^[2] Eicosanoids orchestrate the movement of calcium, sodium and other ions into and out of cells. They control tissue dilation and contraction, the inhibition and promotion of clotting, regulation of digestive juices. They set the tempo of fertility, cell division and growth. But their most prominent functions—and the best studied—are their parts in inflammation.

The EFAs from vegetable sources (e.g. corn or canola oils) are short—with a chain eighteen carbons long, (short-chain EFA.)  Foods from animals (and a few odd kelps) are the dietary source of long-chain EFA. The body makes eicosanoids from twenty-carbon long-chain EFA; they cannot be made from short-chain EFA directly. The body can—slowly—lengthen the short-chain EFA into long-chain EFA, but the process is inefficient. Long chain EFA are several-fold more potent in relieving EFA deficiency.^[7]

[edit] Background on EFAs

• Any EFA can relieve the worst deficiency symptoms
• LC-EFA several times more effective than SC-EFA.
• ω-3 fats are also needed to form the brain. The long-chain ω-3 DHA is the most abundant fat in neural tissue, where it is the source of a related family of lipid hormones, the docosanoids.

[edit] Dietary sources

[edit] Paleo source

[edit] Series 2 as bad actors

[edit] in popular culture

Popularly, in the works of Barry Sears^[8] and others,^[9] the ω-6 eicosanoids are described as "bad" while the ω-3 are taken as "good".

[edit] Series 2 as necessary

[edit] Similarities in action

Humans must obtain both ω-3 and ω-6 EFA through our diet. Humans—and other vertebrates—cannnot synthesize them de novo. Both EFA types can support important physiological and developmental processes, can form eicosanoids, and can be metabolically elongated and desaturated to a variety of highly unsaturated fatty acids. The ω-6 acids are vigorously converted to potent ω-6 eicosanoids that exert intense agonist actions at eicosanoid receptors. But the ω-3 acids less vigorously form ω-3 eicosanoids that often produce less intense actions.^[7]

[edit] Balance between ω-3 and ω-6

Both FA types travel the same biochemical pathways, from short-chain EFA, through conversion to long-chain EFA, incorporation into cell membranes, release in response to stimulation, conversion into eicosanoids, and actions at eicosanoid receptors. At each step, the ω-3 and ω-6 EFA are mutually inhibitory—they compete for the same cellular machinery. In particular, ω-3 fatty acids 'put the brakes on' the inflammatory ω-6 eicosanoids.^[7] The two FA types are thus in dietary balance—a balance that ensures a balance between the ω-3 and ω-6 eicosanoids.

If the diet is poor in long-chain ω-3 (EPA and DHA) then the body corrects the balance, to some extent, by synthesizing more from vegetable sources (linoleic and linolenic acids).

This balancing can break down. Infants and young children—whose neural systems are growing rapidly—have greater needs for ω-3 EFA. Adult men do not have the same ability to synthesize long-chain EFA as well as women do, and the ability declines with age. Medical conditions such as diabetes interefere.^[10] Trans fat inhibit Δ-6-desaturase—the enzyme that lengthens the EFA from 18 to 20 carbons. The resulting effect on eicosanoids is part of the mechanism by which trans fat promotes heart disease.^[11] Deficiencies of biotin, vitamin E, protein, zinc, B12 and B6 all interfere with the action of Δ-6 desaturase and other enzymes involved in eicosanoid production.^[12]

[edit] General list of actions

• PG strengthens the contractions of the heart.^[13]
• Most investigated area is inflammation
  • Initiation, resolution, chronic

Acute inflammation: ^[1]

• Marked by the accumulation of fluid edema and
• the migration of white blood cells (leukocytes, mainly neutrophils)

[edit] Leukotrienes in inflammation

Eicosanoids and the actions of leukotrienes^[14]

• macrophages, neutrophils, platelets, and mast cells, all of which are involved in eicosanoid biosynthesis.^[14]
• tumor necrosis factor and interleukin-1, can lead to arachidonic acid release and leukotriene formation in leukocytes
• Only white blood cells (specifically, myeloid cells) can make LTA. But they export it and other cells have the enzymes to convert it to LTB or LTC
  • Active secretion of LTA4 has been shown in vitro in both mast cells and neutrophils
• Endothelial cells and platelets (= thrombocytes--control formation of clots) contain LTC4 synthase and can generate LTC4 from neutrophil-derived LTA4.
• In human bronchial or parenchymal strips, LTC4 and D4 exert a contractile potency 1000 times greater than either histamine or prostaglandin F2_α
• Increased levels of LTC4 are found in the nasal lavage fluid of aspirin-intolerant asthmatic patients after challenge with aspirin

[edit] Site of synthesis steps, within the cell

• Influx of Ca++ through the cell membrane.
• EFA released from lipids in the cell membrane
• Two step process (AA -> HPETE -> LTA4)
• The cysteinyl leukotrienes
  • finally undergo oxidative degradation by oxygen species released by activated phagocytes to form biologically inactive sulfoxides
  • constituents of the slow-reacting substance of anaphylaxis.
  • their capacity for inducing airway, gastrointestinal, and mesangial smooth-muscle contraction is perhaps the best characterized of the biological activities
  • play a multifaceted role within the inflammatory process, inducing vasoconstriction, increasing vasopermeability, enhancing mucous secretion, and acting as immunomodulatory agents

[edit] Not circulating hormones, but on demand

Eicosanoids are fat-soluble; they can diffuse through lipid membranes. As such, they are not stored in vesicles. Instead, they are made rapidly, 'on demand', act at short distances, and are rapidly inactivated. Unlike the enodcrine hormones, which circulate throughout the body, eicosanoids act upon the cells that release them, or on their neighbors; (they are autocrine and paracrine hormones.)

[edit] Elongation and desaturation

[edit] Bio source of eicosanoids

• Perhaps some of the small detail should find a home in Eicosanoid biosynthesis.
• Must follow introduction to the ideas that
  • The body makes the C20 it needs from C18.
  • n-3 and n-6 in balance

[edit] Nomenclature

See related detail at Essential Fatty Acid Interactions—Nomenclature

"Eicosanoid" (eicosa-, Greek for "twenty"; see icosahedron) is the collective term^[15] for oxygenated derivatives of three different 20-carbon essential fatty acids:

• Eicosapentaenoic acid (EPA), an ω-3 fatty acid with 5 double bonds;
• Arachidonic acid (AA), an ω-6 fatty acid, with 4 double bonds;
• Dihomo-gamma-linolenic acid (DGLA), an ω-6, with 3 double bonds.

[edit] Derivation of names

• Holman proposed the ω nomenclature.^[5]
• Who came up with the term eicosanoid?
• Prostaglandin from the prostate
• Thromboxane for the role in thrombosis
• Prostacyclin is a prostaglandin with an extra cycle.
• Leukotrienes affect leukocytes (how?) and have three conjugated double bonds.
• 'Arachidonic acid cascade' as the name.

[edit] Classic and Nonclassic Eicosanoids

Current usage limits the term eicosanoid to the leukotrienes and three types of prostanoids—prostaglandins prostacyclins, and thromboxanes. This is the definition used in this article. However, several other classes can technically be termed eicosanoid, including the hepoxilins, resolvins, isofurans, isoprostanes, lipoxins, epi-lipoxins, epoxyeicosatrienoic acids (EETs) and endocannabinoids. LTs and prostanoids are sometimes termed 'classic eicosanoids' ^[16][17][18] in contrast to the 'novel', 'eicosanoid-like' or 'nonclassic eicosanoids'.^{[19][20][21][22]}

[edit] Blocks effects on the chain

[edit] Dietary blocks

trans fats, alcohol, protein deficiency?

[edit] Things that help

Antioxidants, lauric acid? Eating long chain

[edit] 3/6 imbalance

[edit] Source of imbalance

[edit] Deficiencies as blocks

Enig: Deficiencies of biotin, vitamin E, protein, zinc, B12 and B6 all interfere with the action of delta-6 desaturase

[edit] Metabolic and health conditions as blocks

[edit] Pregnancy and lactation

Human breastmilk contains long chain EFA, but standard infant formula—at least until recently—has not. Blood concentrations of long chain EFA concentrations are markedly higher in breast-fed infants than the bottle-fed.^[23]

[edit] Old age

[edit] Vegans and Vegetarians

[edit] Biosynthesis

Main article: Eicosanoid biosynthesis

[edit] Role in living things

Eicosanoids are found in most living things. In humans, eicosanoids are local hormones that are released by most cells, act on that same cell or nearby cells (i.e., they are autocrine and paracrine mediators), and then are rapidly inactivated. They are not stored within cells, but are synthesized as required. They derive from the fatty acids that make up the cell membrane and nuclear membrane.

[edit] Nomenclature for biosynthesis

[edit] Four character abbreviation

A particular eicosanoid is denoted by a four-character abbreviation, composed of:

• Its two letter abbreviation (above),^[24]
• One A-B-C sequence-letter;^[25] and
• A subscript, indicating the number of double bonds.

Examples are:

• The EPA-derived prostanoids have three double bonds, (e.g. PGG₃, PGH₃, PGI₃, TXA₃) while its leukotrienes have five, (LTB₅).
• The AA-derived prostanoids have two double bonds, (e.g. PGG₂, PGH₂, PGI₂, TXA₂) while its leukotrienes have four, (LTB₄).

[edit] Introduce COX and LO

Two families of enzymes catalyze fatty acid oxygenation to produce the eicosanoids:

• Cyclooxygenase, or COX, generates the prostanoids.
• Lipoxygenase, in several forms. 5-lipoxygenase (5-LO) generates the leukotrienes.

[edit] Overview of the pathway from EFA to (prostanoid or leukotriene) to inactivation

[edit] Biosynthesis initiation

Eicosanoid biosynthesis begins when cell is activated by mechanical trauma, cytokines, growth factors or other stimuli. (The stimulus may even be an eicosanoid from a neighboring cell; the pathways are complex.) Phospholipase is released at the cell wall and travels to the nuclear membrane. There, it frees 20-carbon essential fatty acids. This event appears to be the rate-determining step for eicosanoid formation.

Next, the free fatty acid is oxygenated along any of several pathways; see the Pathways table. The classical pathways add molecular oxygen (O₂) via lipoxygenase or COX. Although the fatty acid is symmetric, the resulting eicosanoids are chiral; the oxidation proceeds with high stereospecificity.

[edit] Peroxidation and reactive oxygen species

The generation of eicosanoids is hazardous to the cell, particularly as it occurs close to the nucleus. There are elaborate mechanisms to prevent unwanted oxidation. COX, the lipoxygenases and the phospholipases are tightly controlled—there are at least eight proteins activated to coordinate generation of leukotrienes. Several of these exist in multiple isoforms.^[4]

[edit] ROS can caused damage

Oxidation releases reactive oxygen species (ROS). Further, the initial products in eicosanoid generation are themselves highly reactive peroxides. E.g., LTA₄ can form adducts with tissue DNA. Lipoxygenase can generate cellular damage; murine models implicate 15-lipoxygenase in the pathogenesis of atherosclerosis.^[26][27]

[edit] Evolutionary purpose for peroxidation danger

What benefit does the realize from generating lipid hydroperoxides close-by its nucleus? PGs and LTs may signal or regulate DNA-transcription there; LTB₄ is a ligand for PPARα,^[2] (see diagram at PPAR). Perhaps eicosanoid signaling evolved from the detoxification of ROS. Several of enzymes which are biosynthetic for eicosanoids belong to families whose functions are largely involved with cellular detoxification.

Structures of Selected Eicosanoids

Prostaglandin E1. The 5-member ring is characteristic of the class.	Thromboxane A2. Oxygens have moved into the ring.		Leukotriene B4. Note the 3 conjugated double bonds.
Prostacyclin I2. The second ring distinguishes it from the prostaglandins.		Leukotriene E4, an example of a cysteinyl leukotriene.

[edit] Prostanoid pathways

Several drugs lower inflammation by blocking prostanoid synthesis; see detail at Cyclooxygenase, Aspirin and NSAID.

[edit] cox-1 and -2 invoked by different stimulii

[edit] competition for COX by n-3, -6

[edit] discovery of synthetic pathways

[edit] control of which prostanoid path after PGH

[edit] discussion of different stimuli and the resulting different products

[edit] control of removal, disactivation

[edit] sites of synthesis in the human body

[edit] use of inactive end-products to monitor short-lived prostanoids

Cyclooxygenase (COX) comes in at least three isoforms, COX-1, -2, -3.^[28] COX-1 is responsible for basal prostaglandin synthesis, while COX-2 is important in inflammatory and "induced" settings.^[2] COX-3 is active in nervous tissue.^[3] COX catalyzes the conversion of the free essential fatty acids to prostanoids by a two-step process. First, two molecules of O₂ are added as two peroxide linkages, and a 5-member carbon ring is forged near the middle of the fatty acid chain. This forms the short-lived, unstable intermediate Prostaglandin G (PGG). Next, one of the peroxide linkages sheds a single oxygen, forming PGH. (See diagrams and more detail of these steps at Cyclooxygenase).

[edit] Chemical characteristics of individual prostanoids

All three classes of prostanoids originate from PGH. All have distinctive rings in the center of the molecule. They differ in their structures. The PGH compounds (parents to all the rest) have a 5-carbon ring, bridged by two oxygens (a peroxide.) As the example in Structures of Selected Eicosanoids figure shows, the derived prostaglandins contain a single, unsaturated 5-carbon ring. In prostacyclins, this ring is conjoined to another oxygen-containing ring. In thromboxanes the ring becomes a 6-member ring with one oxygen. The leukotrienes do not have rings. (See more detail, including the enzymes involved, in diagrams at Prostanoid.)

[edit] Leukotriene pathways

[edit] cut much of the chemical detail

[edit] signals which initiate lk synthesis

[edit] n-3/n-6 competition

[edit] lipoxygenase inhibitors

[edit] sites in the body where lks are synthesized

[edit] overall control of lk production

The enzyme 5-lipoxygenase (5-LO) uses 5-lipoxygenase activating protein (FLAP) to convert arachidonic acid into 5-hydroperoxyeicosatetraenoic acid (5-HPETE), which spontaneously reduces to 5-hydroxyeicosatetraenoic acid (5-HETE). The enzyme 5-LO acts again on 5-HETE to convert it into leukotriene A₄ (LTA₄), which may be converted into LTB₄ by the enzyme leukotriene A4 epoxide hydrolase. Eosinophils, mast cells, and alveolar macrophages use the enzyme leukotriene C4 synthase to conjugate glutathione with LTA₄ to make LTC₄, which is transported outside the cell, where a glutamic acid moiety is removed from it to make LTD₄. The leukotriene LTD₄ is then cleaved by dipeptidases to make LTE₄. The leukotrienes LTC₄, LTD₄ and LTE₄ all contain cysteine and are collectively known as the cysteinyl leukotrienes.

[edit] Function and pharmacology

Metabolic actions of selected prostanoids and leukotrienes^†[29]

PGD2	Promotion of sleep	TXA2	Stimulation of platelet aggregation; vasoconstriction
PGE2	Smooth muscle contraction; inducing pain, heat, fever; bronchoconstriction	15d-PGJ2	Adipocyte differentiation
PGF2α	Uterine contraction	LTB4	Leukocyte chemotaxis
PGI2	Inhibition of platelet aggregation; vasodilation; embryo implantation	Cysteinyl-LTs	Anaphylaxis; bronchial smooth muscle contraction.
†Shown eicosanoids are AA-derived; EPA-derived generally have weaker activity

[edit] Pharmo-kinetics

Eicosanoids have a short half-life, ranging from seconds to minutes.

[edit] Dietary effects on pharmacology

Dietary antioxidants inhibit the generation of some inflammatory eicosanoids, e.g. trans-resveratrol against thromboxane and some leukotrienes.^[30]

[edit] Receptors

Most eicosanoid receptors are members of the G protein-coupled receptor superfamily; see the Receptors table or the article eicosanoid receptors.

Receptors: There are specific receptors for all eicosanoids (see also: eicosanoid receptors)

Leukotrienes: CysLT1 (Cysteinyl leukotriene receptor type 1) CysLT2 (Cysteinyl leukotriene receptor type 2) BLT1 (Leukotriene B4 receptor)

Prostanoids: PGD2: DP-(PGD2) PGE2: EP1-(PGE2) EP2-(PGE2) EP3-(PGE2) EP4-(PGE2) PGF2α: FP-(PGF2α) PGI2 (prostacyclin): IP-(PGI2) TXA2 (thromboxane): TP-(TXA2)

[edit] The ω-3 and ω-6 series

Main article: Essential fatty acid interactions

“	The reduction in AA-derived eicosanoids and the diminished activity of the alternative products generated from ?-3 fatty acids serve as the foundation for explaining some of the beneficial effects of greater ?-3 intake.	”
—Kevin Fritsche, Fatty Acids as Modulators of the Immune Response[31]

Arachidonic acid (AA; 20:4 ?-6) sits at the head of the 'arachidonic acid cascade'—more than twenty different eicosanoid-mediated signaling paths controlling a wide array of cellular functions, especially those regulating inflammation, immunity and the central nervous system.^[3]

[edit] Overview of series-2 vs -3

[edit] Competing cascades

In the inflammatory response, two other groups of dietary essential fatty acids form cascades that parallel and compete with the arachidonic acid cascade. EPA (20:5 ω-3) provides the most important competing cascade. DGLA (20:3 ω-6) provides a third, less prominent cascade. These two parallel cascades soften the inflammatory effects of AA and its products. Low dietary intake of these less-inflammatory essential fatty acids, especially the ω-3s, has been linked to several inflammation-related diseases, and perhaps some mental illnesses.

[edit] Dietary recommendations on ω-3

The U.S. National Institutes of Health and the National Library of Medicine state that there is 'A' level evidence ('strong scientific evidence') that increased dietary ω-3 improves outcomes in hypertriglyceridemia, secondary cardiovascular disease prevention and hypertension. There is 'B' level evidence ('good scientific evidence') for increased dietary ω-3 in primary prevention of cardiovascular disease, rheumatoid arthritis and protection from ciclosporin toxicity in organ transplant patients. They also note more preliminary evidence showing that dietary ω-3 can ease symptoms in several psychiatric disorders.^[32]

[edit] PUFA effects other than eicosanoids

Besides the influence on eicosanoids, dietary polyunsaturated fats modulate immune response through three other molecular mechanisms. They (a) alter membrane composition and function, including the composition of lipid rafts; (b) change cytokine biosynthesis and (c) directly activate gene transcription.^[31] Of these, the action on eicosanoids is the best explored.

[edit] Mechanisms of ω-3 action

“	The arachidonic acid cascade is arguably the most elaborate signaling system neurobiologists have to deal with.	”
—Daniele Piomelli, Arachidonic Acid[3]

The eicosanoids from AA generally promote inflammation. Those from EPA and from GLA (via DGLA) are generally less inflammatory, or inactive, or even anti-inflammatory. The figure shows the ω-3 and -6 synthesis chains, along with the major eicosanoids from AA, EPA and DGLA.

Dietary ω-3 and GLA counter the inflammatory effects of AA's eicosanoids in three ways, along the eicosanoid pathways:

• Displacement—Dietary ω-3 decreases tissue concentrations of AA, so there is less to form ω-6 eicosanoids.
• Competitive inhibition—DGLA and EPA compete with AA for access to the cyclooxygenase and lipoxygenase enzymes. So the presence of DGLA and EPA in tissues lowers the output of AA's eicosanoids.
• Counteraction—Some DGLA and EPA derived eicosanoids counteract their AA derived counterparts.

[edit] Role in inflammation

Since antiquity, the cardinal signs of inflammation have been known as: calor (warmth), dolor (pain), tumor (swelling) and rubor (redness). The eicosanoids are involved with each of these signs.

Pharmacy: Eicosanoid, eicosanoid analogs and receptor agonists used as medicines

Medicine	Type	Medical condition or use
Alprostadil	PGI1	Erectile dysfunction, maintaining a patent ductus arteriosus in the fetus
Beraprost	PGI1 analog	Pulmonary hypertension, avoiding reperfusion injury
Bimatoprost	PG analog	Glaucoma, ocular hypertension
Carboprost	PG analog	Labor induction, abortifacient in early pregnancy
Dinoprostone	PGE2	Labor induction
Iloprost	PGI2 analog	Pulmonary arterial hypertension
Latanoprost	PG analog	Glaucoma, ocular hypertension
Misoprostol	PGE1 analog	Stomach ulcers, labor induction, abortifacient
Montelukast, Zafirlukast Pranlukast	Cysteinal-LT receptor antagonists	Asthma, seasonal allergies
Zileuton	5-lipoxygenase inhibitor	asthma
Travoprost	PG analog	Glaucoma, ocular hypertension
Treprostinil	PGI analog	Pulmonary hypertension
U46619	Longer lived TX analog	Research only
Zafirlukast	LT receptor antagonist	Asthma

Redness—An insect's sting will trigger the classic inflammatory response. Short acting vasoconstrictors—PGI₂ and TXA₂—are released quickly after the injury. The site may momentarily turn pale. Then TXA₂ mediates the release of the vasodilators PGE₂ and LTB₄. The blood vessels engorge and the injury reddens.
Swelling—LTB₄ makes the blood vessels more permeable. Plasma leaks out into the connective tissues, and they swell. The process also looses pro-inflammatory cytokines.
Pain—The cytokines increase COX-2 activity. This elevates levels of PGE₂, sensitizing pain neurons.
Heat—PGE₂ is a also potent pyretic agent. Aspirin and NSAIDS—drugs that block the COX pathways and stop prostanoid synthesis—limit fever or the heat of localized inflammation.

[edit] Action of prostanoids

Main articles: Prostaglandin, Prostacyclin and Thromboxane

Prostanoids mediate local symptoms of inflammation: vasoconstriction or vasodilation, coagulation, pain and fever. COX-2 is responsible for pain and inflammation, while COX-1 is responsible for platelet clotting actions. Prostanoids play pivotal functions inflammation, platelet aggregation, and vasoconstriction/relaxation.

[edit] Signals in nucleus

Prostanoids activate the PPAR_γ members of the steroid/thyroid family of nuclear hormone receptors, directly influencing gene transcription.^[33]

[edit] Pharma role of COX

Inhibition of cyclooxygenase, specifically the inducible COX-2 isoform, is the hallmark of NSAIDs (non-steroidal anti-inflammatory drugs), such as aspirin.

[edit] Action of leukotrienes

Main article: Leukotriene

Leukotrienes play an important role in inflammation. There is a neuroendocrine role for LTC₄ in luteinizing hormone secretion.^[34] LTB₄ causes adhesion and chemotaxis of leukocytes and stimulates aggregation, enzyme release, and generation of superoxide in neutrophils.^[35] Blocking leukotriene receptors can play a role in the management of inflammatory diseases such as asthma (by the drugs montelukast and zafirlukast), psoriasis, and rheumatoid arthritis.

[edit] slow reacting substance of anaphylaxis

The slow reacting substance of anaphylaxis comprises the cysteinyl leukotrienes. These have a clear role in pathophysiological conditions such as asthma, allergic rhinitis and other nasal allergies, and have been implicated in atherosclerosis and inflammatory gastrointestinal diseases.^[36] They are potent bronchoconstrictors, increase vascular permeability in postcapillary venules, and stimulate mucus secretion. They are released from the lung tissue of asthmatic subjects exposed to specific allergens and play a pathophysiological role in immediate hypersensitivity reactions.^[35] Along with PGD, they function in effector cell trafficking, antigen presentation, immune cell activation, matrix deposition, and fibrosis.^[37]

[edit] History

In 1930, gynecologist Raphael Kurzrok and pharmacologist Charles Leib characterized prostaglandin as a component of semen. Between 1929 and 1932, Burr and Burr showed that restricting fat from animal's diets led to a deficiency disease, and first described the essential fatty acids.^[38] In 1935, von Euler identified prostaglandin. In 1964, Bergström and Samuelsson linked these observations when they showed that the "classical" eicosanoids were derived from arachidonic acid, which had earlier been considered to be one of the essential fatty acids.^[39] In 1971, Vane showed that aspirin and similar drugs inhibit prostaglandin synthesis.^[40] Von Euler received the Nobel Prize in medicine in 1970, which Samuelsson, Vane, and Bergström also received in 1982. E. J. Corey received it in chemistry in 1990 largely for his synthesis of prostaglandins.

[edit] References

[edit] External links

• MeSH Eicosanoids

v • d • e Types of Lipids General Saturated fat | Unsaturated fat | Monounsaturated fat | Polyunsaturated fat Geometry Trans fat | Omega-3 fatty acid | Omega-6 fatty acid | Omega-9 fatty acid Phospholipids Phosphatidylserine | Phosphatidylinositol | Phosphatidyl ethanolamine | Cardiolipin | Dipalmitoylphosphatidylcholine Eicosanoids Arachidonic acid | Prostaglandin | Prostacyclin | Thromboxane | Leukotriene Fatty acids Lauric acid | Palmitic acid | Myristic acid | Stearic acid | Caprylic acid Major families of biochemicals Peptides | Amino acids | Nucleic acids | Carbohydrates | Nucleotide sugars | Lipids | Terpenes | Carotenoids | Tetrapyrroles | Enzyme cofactors | Steroids | Flavonoids | Alkaloids | Polyketides | Glycosides

v • d • e Autacoids Angiotensin - Eicosanoid - Histamine - Kinin - Platelet-activating factor - Serotonin

v • d • e Autacoids, unsaturated fatty acids: Eicosanoids Prostanoids Prostaglandins - Thromboxanes (A2, B2) Leukotrienes A4 - B4 - Slow reacting substance of anaphylaxis (C4, D4, E4) Other Arachidonic acids - Eicosapentaenoic acid - Lipoxins