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Eicosanoids - UTSW

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Question
Answer
How are eicosanoids different from steroid hormones?   act locally, created then quickly destroyed  
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What do eicosanoids mediate?   inflammatory response, fever, pain, gastric integrity, blood clotting  
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What physiologic responses do eicosanoids control?   vasodilation & constriction, platelet aggregation & inhibition, smooth muscle contraction & relaxation  
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What is the precursor for eicosanoids?   arachidonic acid  
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Where is arachidonic acid stored?   membrane phospholipids  
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What are the 3 types of eicosanoids?   prostaglandins, thromboxanes, and leukotrienes  
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What is the precursor for arachidonic acid?   linoleic acid (essential fatty acid)  
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What regulates amount of eicosanoids?   phospholipase A2  
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What enzyme converts arachidonic acid to leukotrienes?   lipoxygenases  
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What enzyme converts arachidonic acid to prostaglandins & thromboxanes?   Cox 1 & 2 (cyclooxygenases) followed by cell specific synthases  
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Leukotriene synthesis involves what key intermediate?   5-HPETE  
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Besides leukocytes, what cell is involved in leukotriene synthesis?   platelets  
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What 2 signaling mechanisms do eicosanoids use?   autocrine & paracrine  
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Which eicosanoid mediates inflammation, fever, plateletaggregation and disaggretation,induce labor, maintain stomach lining?   prostaglandins  
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Which eicosanoid is produced by platelets, promoteaggregation (blood clotting) andvasoconstriction   thromboxanes  
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Which eicosanoid is produced by mast cells, mediate allergic reactions; SlowReacting Substance of Anaphylaxis(SRS-A), 104X potent than histamineProduced in plasma - smooth musclecell contraction   leukocytes  
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Which enzyme is blocked by cortisol/anit-inflammatories?   Phopsholipase A2  
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Wich enzyme is blocked by NSAIDS?   COX 1 & 2  
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Which enzyme is blocked by anti-asthmatics?   lipoxygenases  
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Why is aspirin imperfect?   It blocks cox 1 & 2, but cox 1 protects stomach lining via PGE2  
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What are the drawbacks to COX2 inhibition?   Since COX2 (PGI2) inhibits platelet aggregation while COX 1 activates it (TGA2), Inhibiting COX 2 can lead to excess clotting  
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How does aspirin prevent heart attacks?   By covalently modifying COX 1 & 2, aspirin leads to their degradation. Since platelets cannot create new cox 1 & 2, this = anticoagulation (however - not all platelets impacted, so some clotting still occurs)  
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