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NS
Bhumika Sharma
B M S III year
Introduction
These are a class of eicosanoids and were
discovered through their effect on smooth
muscle.
Produced & released by nearly all mammalian
cells; (Except RBCs)
Perform a variety of functions
These are produced in minute amounts and are
not stored.
classification
STRUCTURE
The structure of PG is based on hypothetical 20C
parent saturated acid called “Prostanoic Acid”
ARACHIDONIC ACID
CYCLIC-E NDO-
PEROXIDES
P eroxidase
PHYSIOLOGICAL EFFECT
CYTOTEC
Also known as misoprostol, manufactured by Searle (pfizer)
Cytotec was approved 12 years ago by the FDA for its intended
purpose: to prevent ulcers in people who take non-steroidal anti-
inflammatory drugs like aspirin or naproxen. misoprostol is a
synthetic PGE1 analogue
When administered,misoprostol
stimulates increased secretion of the protective mucus that lines
the gastrointestinal tract
increases mucosal blood flow, thereby increasing mucosal
integrity.
It is sometimes co-prescribed with non-steroidal anti-
inflammatory drugs (NSAIDs) to prevent the occurrence of
gastric ulceration, a common adverse effect of the NSAIDs.
Used for inducing labor at or near term :0.5mg/ml
Used for terminating pregnancy: 5μg/ml
PHYSIOLOGICAL EFFECTS
PHYSIOLOGICAL EFFECT
Platelet Aggregation &
Thrombosis
PGI2: ( InhibitAggregation)
Released by endothelial cells
Responsible non-
for adherence
of platelets to
healthy blood vessels
PGE2 & TXA2: ( Promote
Clotting Process)
Produced by platelets,
accounts for spontaneous
aggregation of platelets to
thrombin, collagen at the site
of injury
.
Eicosanoid Major Site(s) of Major Biological Activities
Synthesis
inhibits platelet and leukocyte aggregation, decreases T-cell
proliferation and lymphocyte migration and secretion of
P GD 2 mast cells
IL-1Α and IL-2; induces vasodilation and production of
cAMP
Mepacrine - Inhibits
phospholipase A
Gluco-corticoids Cortisol, Inhibit the
Betam ethasone transcription of
PGHS-2
NSAIDS Aspirin, Inhibit COO
in domet h a cin ,
ibuprofen
Cu++ & Inhibit PGE
dih ydr olipoamide formation but
increses PGF
STIMULANTS
Trauma, hypoxia, angiotensin II,bradikinin,Vassopressin,
increase PG synthesis by activating Phospholipase A2
Catecholamines enhance PG synthesis by activating
COO
Addition of G-SH stimulates synthesis of PGE
NSAID: ASPIRIN
Acetyl salicylic acid (Aspirin) is an effective anti-platelet aggregator.
It irreversibly acetylates the platelets C O O system and inhibits it thus hampering in
formation of ThromboxaneA2
At time same time it opposes the formation of PGI2 in the endothelial cells, which is
a vasodilator.
CLINICAL USES:
Management of angina & MI