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62 Cards in this Set

  • Front
  • Back

What are examples of mediators

Hormones


Cytokines


Nucleosides


Nucleotides


Basic amines


Lipids/ fatty acid


Enzymes


Peptides

What is the criteria for mediators

Released from local cells in sufficient quantity within appropriate time frame


Authentic sample of the proposed mediator reproduces the biological effect


Interference with the synthesis of mediator modified the original biological response

What are eicosanoids

Group of mediators that are generated from fatty acid precursors

Where are eicosanoids not stored

Not stored preformed in the cell

What can eicosanoids mediate

Mediate paracrine and autocrine signalling

What signals do eicosanoids not mediate

Endocrine signalling

Why can eicosanoids not travel far

Because they degrade quickly so cannot travel far (30s to 5 mins)

How do eicosanoids mediate paracrine signalling

Signal produced which leads to eicosanoid synthesis in cell 1 resulting in the eicosanoids travel to the chosen GPCR causing an effect in cell 2

What is the pathway of autocrine signalling

A signal is produced and sent to cell 1 where the eicosanoid is synthesised eicosanoid then travels out of the cell and travels to a GPCR on THE SAME cell causing an effect in cell 1

What is the pathway of eicosanoid in endocrine signalling

Signal is sent to cell 1 where the eicosanoid is synthesised the eicosanoid is then sent outside the cell but fails to travel to cell 2 which leads to the degradation of eicosanoid

What enzyme catalysed the EETs in eicosanoids

Cyt P450


Epoxygenase

What are the steps in cell specific roles of prostanoids

Cell activation leads to local generation of cytosolic phospholipase A2 (cPLA2)


CPLA2 integral player in printing AA metabolism


Event dependant results in AA esterification and mocked in the cell


Depending on the cell that activates depends on the response triggered

What happens in endothelial cells when the cox 2 enzymes is present

Cox2 metabolises AA and promotes synthesis and release of PGI2


This acts in IP receptors on platelets and promotes Gs coupling


This pathway protea a rise in cAMP which reduces platelet aggregation


If binding of PGI2 to smooth muscle cell IP receptors it results in vasodilation

What happens COX1 enzyme catalysed the platelet pathway (shape change)

COX1 metabolised AA


TXA2 is synthesised and upon release will bind to TP receptors on platelets to promote G protein coupling events (Gq, G12/12)


This causes platelet shape to change and secretion and ultimately promote increased platelet aggregation

What happens COX1 enzyme catalysed the platelet pathway (vasoconstriction)

After TXA2 is released it binds to TP receptors on smooth muscle cells then Gq couples event promote vasoconstriction

What do the events of the cox 1 pathways lead to

Thrombosis

What are NSAIDs

Non steroidal anti inflammatory drugs

What do NSAIDs inhibit

Prostaglandin and thromboxane synthesis

What do NSAIDs do

Reduce inflammation

What effects can NSAIDs have

Anti thrombotic and analgesic

What dk patients lacking cox 1 have

Mild bleeding disorders

What enzyme catalyses the reaction to prostanoids in the eicosanoid AA pathway

Cox 1


Cox 2

Why are NSAIDs considered non selective

Inhibit both cox 1-2

What does the inhibition of cox 2 account for

Anti inflammatory features of NSAIDs

What can the inhibition of cox 1 be associated with

Ulcers


Prolonged bleeding


Kidney problems

Why does Cox 1 inhibition in the GI mucosa lead to peptic ulcers and GI bleeding

PGE2 which is produced in pathway provides gastric protection in the form of increased mucus secretion, increased bicarbonate and in Seward mucosal blood flow

Why does the inhibition of Cox 1 and 2 in the kidney cause Na and water retention, hypertension, hemodynamic acute kidney injury

PGE2 and PGI2 which are in the cox 1 and 2 pathway in the kidney produces afferent arteriolar vasodilation, increased Na and water secretion

Why does the inhibition of cox 1 and 2 do in the cardiovascular system lead to strokes and myocardial infarction

Cox 1 and 2 promote PGI2 and TXA2 which leads to vascular vasodilation (COX2-PGI2) and platelet aggregation and vasoconstriction is mediated by cox 1 and TXA2

What do PGE1, PGE2 and PGI2 inhibit

Gastric acid secretion and prevents gastric ulcers

What does the lipoxygenase family of enzymes contain

Iron

What are the 3 enzymes involved in the lipoxygenase family

Leukotrienes LTA4


Hydroxyeicosatetraenoic (5-HETE)


Lipoxins

What happens when LTA4 hydrolyses leukotriene A4

Results in leukotriene B4 formation

What enzyme catalyses the reaction to HETEs, leukotrienes and lipoxins in the eicosanoid AA pathway

LOX

What happens when leukotriene C4 synthesises leukotriene A4

Leukotriene C4, D4 and E4 are formed

How do leukotrienes signal

GPCRs

What are the leukotrienes inflammatory diseases

Asthma cys Lts


Cancer LTB4

What does aspirin promotes the synthesis of

Anti inflammatory lipoxins

What types of tissues can synthesis histamine

All types

When is the rate of histamine increased

When it is present in inflamed tissues

What are the major histamine producing cells

Mast cells


Basophils


ECL cells


Histaminergic neuron

What are the minor producing histamine cells

Dendritic cells


T cells


Macrophages


Neutrophils


Epithelial cells

What are triggers for histamine

Release of mast cells


Anaphylatoxins


Tissue damage


Burns

Where is histamine venerated in granules

Mast cells and WBCs

What do cox 1 and 2 enzymes produce

Prostanoids

What does H1 receptor couple with in GPCR

Gaq

What does H2 couple woth in GPCR

Gas

What do H3 and 4 couple to in GPCR

Gai

What happens after histamine binds to H1 receptor

Influx in Ca2+


Results in smooth muscle contraction


Increased capillary permeability


Vasodilation


Sensory nerve ending pain and itching

Whag happens when histamine binds to H2 receptor

Increase in cAMP production which leads to increased gastric acid secretion


Vasodilation in blood vessels


Increased capillary permeability

What happens when Histamine binds to H3 presynaptic auto receptor

Decrease in cAMP which results in a decrease in histamine release


Decrease in secretion


Vasodilation

Where is the storage and synthesis or serotonin

L-tryptophan taken up into cells


- converted into 5-HTP


- 5-HTP converted into serotonin

What are in enzymes involved in serotonin synthesis and storage

Tryptophan hydroxylase


5-HTP decarboxylase

Where is serotonin stored

Intestine


Blood


Brain

What is the brains physiological function

Regulation of mood


Sleep patterns

What does the oxygenation and cyclization of AA produce

PGG2 and PGH2 intermediates

What is physiological role of the blood vessels

Stored in platelets causes vasoconstriction

What is the physiological role of intestine

5HT mediates motility by activating enteric nee ironed which regulates contraction and relaxation

What are examples of prostanoids

Prostaglandin and thomboxanes

What does aspirin irreversibly inhibit

Cox 1 and 2

What is the cox 1 pathway

AA is esterified in the membrane phospholipid


An inflammatory stimuli promotes phospholipase A2 to form AA


Prostaglandins G2 is formed


Enzyme Cox1 PG2 into PH2

What is cox 2 pathway

AA is formed through esterification in the phospholipid which is stimulated by an inflammatory response forming AA


AA forms PG2 and PGH2

What are the five different prostanoid receptors

PGD2 receptors- DP1 and DP2


E2 receptors- EP1-4


F receptor- FP


I2 receptor- IP1 and IP2


Thromboxane receptor- TXA2 and TP beta