1. Eicosanoids

2. Deficiency symptoms in the absence of essential fatty acids from the diet: Nonlipid diet plus vitamins A and D Rat –––––––––––––––––––––––––––––––– Reduced growth rate and reproductive deficiency Deficiency syndrome was cured by the addition of linoleic,  -linolenic, and arachidonic acids to the diet. Essential fatty acids are found in structural lipids of the cell and are concerned with structural integrity of mitochondrial membrane. Arachidonic acid is present in membranes and accounts for 5-15% of the fatty acids in phospholipids.

3. SOME MAJOR POLYUNSATURATED FATTY ACIDS NameStructureTypeSignificance Linoleic18:2(9,12)ω-6Essential FA Linolenic18:3(9,12,15)ω-3Essential FA Arachidonic20:4(5,8,11,14)ω-6Prostaglandin precursor

4. Linoleic (18:2) (ω-6) arachidonic (AA) (20:4) (ω-6) Linolenic (18:3)(ω-3) eicosapentanoic acid (EPA) (20:5) (ω-3) and docosahexanoic acid (DHA) (22:6) (ω-3) METABOLISM OF LINOLEIC VERSUS LINOLENIC INTO POLYUNSATURATED FATTY ACIDS (PUFAS): Dietary linoleic acid is the precursor. It is elongated and further desaturated to 20-carbon, 3, 4, or 5 double bond FAs

5. Omega-3 fatty acids EPA & DHA are precursors for different eicosanoids than arachidonic acid Fish oils have high content of ω-3 FA

6. METABOLISM OF UNSATURATED FATTY ACIDS AND EICOSANOIDS Humans have limited ability in desaturating fatty acids. Dietary intake of certain polyunsaturated fatty acids derived from a plant source is necessary. These essential fatty acids give rise to eicosanoic (C20) fatty acids, from which are derived families of compounds known as eicosanoids. Eicosanoids include prostaglandins, prostacyclins, thromboxanes, leukotrienes, and lipoxins.

7. Eicosanoids The eicosanoids are considered "local hormones.“ Eicosanoids have strong hormone-like actions in the tissues where they are produced  They have specific effects on target cells close to their site of formation.  They are rapidly degraded, so they are not transported to distal sites within the body. Eicosanoids are not stored and are very unstable

8. Biological actions of eicosanoids Biologic actions of eicosanoids are diverse in various organs: – vasodilation, constriction, platelet aggregation, contraction of smooth muscle, chemotaxis of leukocytes, release of lysosomal enzymes

9. Biological actions of eicosanoids ……. 2  Also, they have roles in: regulation of blood pressure, blood clotting and immune system modulation Excess production symptoms: pain, inflammation, fever, nausea, vomiting

10. Arachidonic acid, 20:4 (5, 8, 11, 14), is the precursor of many eicosanoids Arachidonic acid is normally part of membrane phospholipids (especially phosphatidylinositol). Arachidonic acid is released by a specialized phospholipase A 2

11. Arachidonic acid is released from phospholipids by hydrolysis catalyzed by Phospholipase A 2. This enzyme hydrolyzes the ester linkage between a fatty acid and the OH at C2 of the glycerol backbone, releasing the fatty acid & a lysophospholipid as products. The fatty acid arachidonic acid is often esterified to OH on C2 of glycerophospho- lipids, especially phosphatidyl inositol.

12. After PI is phosphorylated to PIP 2, cleavage via Phospholipase C yields diacylglycerol (and IP 3 ). Phosphatidyl inositol signal cascades may lead to release of arachidonic acid.

14. Prostaglandins all have a cyclopentane ring.  A letter code is based on ring modifications (e.g., hydroxyl or keto groups).  A subscript refers to the number of double bonds in the two side-chains. Thromboxanes are similar but have instead a 6-member ring.

15. CLINICAL ASPECTS: Thromboxanes are similar but have instead a 6-member ring. Thromboxanes are synthesized in platelets and upon release cause vasoconstriction and platelet aggregation. Their synthesis is inhibited by low-dose aspirin.

17. Prostaglandin H 2 Synthase catalyzes the committed step in the “cyclic pathway” that leads to production of prostaglandins, prostacyclins, & thromboxanes. Different cell types convert PGH 2 to different compounds. Mast cells attracts immune cells

18. Corticosteroids are anti-inflammatory because they prevent inducible Phospholipase A 2 expression, reducing arachidonic acid release. There are multiple Phospholipase A 2 enzymes, subject to activation via different signal cascades.  The inflammatory signal platelet activating factor is involved in activating some Phospholipase A 2 variants.  arachidonic acid may give rise to inflammatory or anti-inflammatory eicosanoids in different tissues.

19. Ibuprofen and related compounds block the hydrophobic channel by which arachidonic acid enters the cyclooxygenase active site. Non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and derivatives of ibuprofen, inhibit cyclooxygenase activity of PGH 2 Synthase.  They inhibit formation of prostaglandins involved in fever, pain, & inflammation.  They inhibit blood clotting by blocking thromboxane formation in blood platelets.

20. There are at least two isozymes of PGH 2 Synthase (COX-1 and COX- 2) COX-1 is constitutively expressed at low levels in many cell types Specifically, COX-1 is known to be essential for maintaining the integrity of the gastrointestinal epithelium.

21. COX-2 expression is stimulated by growth factors, cytokines, and endotoxin COX-2 levels increase in inflammatory disease states such as arthritis and cancer Up-regulation of COX-2 is responsible for the increased formation of prostaglandins associated with inflammation

24. Next generation NSAIDs Older NSAIDs inhibit both COX-1 & COX-2: – acetylsalicylate (Aspirin®, Disprin®, etc.) – ibuprofen ( Brufen®, etc.) Newer generation drugs are specific COX-2 inhibitors: – Celebrex® – Vioxx®

25. Thromboxane A 2 stimulates blood platelet aggregation, essential to the role of platelets in blood clotting.  Many people take a daily aspirin for its anti-clotting effect, attributed to inhibition of thromboxane formation in blood platelets.  This effect of aspirin is long-lived because platelets lack a nucleus and do not make new enzyme.

26. LIPOXYGENASE PATHWAY: –Produces leukotrienes from eicosanoic acids in leukocytes, mast cells, platelets, and macrophages in response to both immunologic and nonimuunologic stimuli.

27. SYNTHESIS OF LEUKOTRIENES FROM ARACHIDONIC ACID Leukotrienes are produced from arachidonic acid via a different enzyme: lipoxygenase HPETE Hydroxyperoxytetraenoic

30. LEUKOTRIENES HAVE ROLES IN INFLAMMATION. They are produced in areas of inflammation in blood vessel walls as part of the pathology of atherosclerosis. Leukotrienes are also implicated in asthmatic constriction of the bronchioles.

31. ANTI-ASTHMA MEDICATIONS INCLUDE:  inhibitors of 5-Lipoxygenase, e.g., Zyflo (zileuton)  drugs that block leukotriene-receptor interactions e.g., Singulair (montelukast) & Accolate (zafirlukast) block binding of leukotrienes to their receptors on the plasma membranes of airway smooth muscle cells.

32. Therapeutic Uses of Eicosanoids Induction of midtrimester abortion Treatment of peptic ulcer Maintain patency of ductus arteriosus (?) Ischemic disease. Impotence (intracavernous injection of PGE 2 )

33. Prostaglandin H 2 Synthase catalyzes the committed step in the “cyclic pathway” that leads to production of prostaglandins, prostacyclins, & thromboxanes. Different cell types convert PGH 2 to different compounds. Cyclic pathway: