Ch 23 biochemistry

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Questions and Answers

What is the primary function of thromboxane (TXA 2) in the vascular system?

  • Vasoconstriction (correct)
  • Vasodilation
  • Increasing capillary permeability
  • Decreasing platelet aggregation

Which prostaglandin is primarily responsible for promoting sleep?

  • PGF 2α
  • PGE 2
  • TXA 2
  • PGD2 (correct)

How do prostaglandins affect cAMP levels in renal tubule cells?

  • They reduce cAMP levels (correct)
  • They increase cAMP levels
  • They do not affect cAMP levels
  • They stabilize cAMP levels

Which effect is NOT associated with PGF 2α in the gastrointestinal tract?

<p>Relaxes circular muscle (A)</p> Signup and view all the answers

What primary effect does PGE 2 have when administered into the posterior hypothalamus?

<p>Causes wakefulness (C)</p> Signup and view all the answers

What role do cysteinyl leukotrienes play in respiratory function?

<p>They stimulate mucus secretion (B)</p> Signup and view all the answers

Which prostaglandins are predominantly associated with promoting inflammation?

<p>PGE 2 and PGI 2 (D)</p> Signup and view all the answers

What effect does high concentration of PGE 2 have on uterine muscle?

<p>Causes relaxation (A)</p> Signup and view all the answers

Which of the following statements about TXA 2 is TRUE?

<p>It promotes smooth muscle cell proliferation. (A)</p> Signup and view all the answers

What role do leukotrienes C4, D4, and E4 play in the respiratory system?

<p>They constrict bronchial airway musculature (D)</p> Signup and view all the answers

Which of the following statements regarding the effects of PGE compounds is correct?

<p>PGE compounds enhance leukocyte infiltration during inflammation. (C)</p> Signup and view all the answers

What is one of the key roles of PGF 2α in female reproductive physiology?

<p>Essential for onset of parturition (A)</p> Signup and view all the answers

What impact does aspirin have on the synthesis and release of PGE 2?

<p>It blocks synthesis and release. (D)</p> Signup and view all the answers

What is the primary function of leukotrienes in the body?

<p>They are involved in inflammatory responses. (C)</p> Signup and view all the answers

Which enzyme is specifically responsible for the formation of leukotrienes?

<p>5-lipoxygenase (C)</p> Signup and view all the answers

Which eicosanoid is primarily involved in enhancing penile erection by relaxing smooth muscle?

<p>PGE 1 (D)</p> Signup and view all the answers

What symptoms are associated with essential fatty acid deficiency in humans?

<p>Skin lesions and lipid impairment (D)</p> Signup and view all the answers

What effect do NSAIDs have on norepinephrine release in vivo?

<p>They increase norepinephrine release. (C)</p> Signup and view all the answers

What is the role of endogenous pyrogens in the synthesis of PGE 2?

<p>They promote the synthesis and release of PGE 2. (B)</p> Signup and view all the answers

In response to what types of stimuli do leukotrienes get formed?

<p>Both immunologic and nonimmunologic stimuli (A)</p> Signup and view all the answers

What modifications in the diet are recommended to reduce the risk of coronary heart disease?

<p>Increased polyunsaturated fatty acids (A)</p> Signup and view all the answers

Which of the following diseases is associated with abnormal metabolism of essential fatty acids?

<p>Cystic fibrosis (C)</p> Signup and view all the answers

What is the effect of blocking lipoxygenase action with sulfasalazine or indomethacin?

<p>Prolongs half-life of prostaglandins (D)</p> Signup and view all the answers

What roles do lipoxins play in the body?

<p>They are involved in the resolution of inflammation. (C)</p> Signup and view all the answers

Flashcards

Prostaglandins' role in fever

Prostaglandin E2 (PGE2) raises body temperature primarily via EP3 receptors, with EP1 also involved. Other prostaglandins like PGF2α trigger fevers, while others don't.

Prostaglandins & Sleep

Prostaglandin D2 (PGD2) in the brain induces sleep via DP1 receptors and adenosine release; PGE2 promotes wakefulness.

Prostaglandins & Neurotransmission

Prostaglandins (PGE compounds) inhibit norepinephrine release from nerve endings; NSAIDs increase norepinephrine and prostaglandins have role in vasodilation/vasoconstriction.

Inflammation and Prostaglandins

Prostaglandins E2 and I2 are key inflammatory mediators. They increase blood flow and vascular permeability, promoting edema and leukocyte infiltration.

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Leukotrienes and Asthma

Leukotrienes (SRS-A, C4, D4, E4) cause constriction of the bronchial airways. They are involved in inflammation and hypersensitivity like asthma.

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Prostaglandins for Erection

Some prostaglandins (e.g., PGE1) relax smooth muscles in the penis, helping with erection.

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Prostaglandins and Pain

Prostaglandins (PGE2) can increase excitability of pain nerve endings. This also happens in the central nervous system

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Prostaglandins and Infertility

Low prostaglandin levels in seminal fluid are linked to infertility problems.

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Thromboxane (TXA2) effect on blood vessels

TXA2 is a potent vasoconstrictor, causing blood vessels to narrow.

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PGF2α and smooth muscle contraction

PGF2α constricts smooth muscle in the gastrointestinal tract and uterus, but isn't a muscle-growth promoter.

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Prostaglandin effect on airways

Prostaglandins like PGE2 relax respiratory airway smooth muscle, while PGD2 and TXA2 contract it.

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Leukotrienes and bronchoconstriction

Leukotrienes are potent bronchoconstrictors, meaning they cause tightening of the airways.

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Prostaglandin role in female reproduction

Prostaglandins (like PGE2 and PGF2α) are involved in ovulation, luteolysis, and fertilization in females.

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Prostaglandin role in uterine contractions

PGF2α and low concentrations of PGE2 contract the uterine muscle. High concentrations of PGE2 cause relaxation. It's essential for parturition (labor) in combination with oxytocin

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Prostaglandins in semen

Prostaglandins are found in seminal fluid, but their exact role in semen is unclear.

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Testosterone's effect on prostaglandins

Testosterone promotes the production of prostaglandins in the reproductive system.

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Lipoxygenase pathway

The metabolic pathway for creating leukotrienes and lipoxins from eicosanoic acids.

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Leukotrienes

A family of conjugated trienes formed from eicosanoic acids in various cells, like leukocytes and mast cells.

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Lipoxins

A family of conjugated tetraenes, made by lipoxygenases in leukocytes.

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Essential Fatty Acids (EFA)

Fatty acids the body cannot produce and must obtain from diet for optimal health.

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Essential Fatty Acid Deficiency

Condition arising from inadequate intake of essential fatty acids, often seen in infants and those on prolonged IV nutrition.

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Abnormal Metabolism of EFAs

Disrupted processing of EFAs, linked to several diseases including cystic fibrosis and Reye syndrome.

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High P:S Ratio Diet

Diet with more polyunsaturated than saturated fatty acids linked to lowering serum cholesterol.

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5-lipoxygenase

Specific lipoxygenase that produces leukotrienes.

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Study Notes

Biosynthesis of Fatty Acids & Eicosanoids

  • Fatty acids are synthesized by an extramitochondrial system in the cytosol, forming palmitate from acetyl-CoA.
  • In most mammals, glucose is the primary substrate for lipogenesis; in ruminants, acetate is more prevalent.
  • Critical diseases of the fatty acid pathway synthesis have not been reported in humans.
  • Inhibition of lipogenesis occurs in type 1 diabetes mellitus, and variations in its activity affect obesity.
  • Unsaturated fatty acids in phospholipids maintain cell membrane fluidity.
  • A high polyunsaturated fatty acid to saturated fatty acid ratio (P:S ratio) benefits coronary heart disease prevention.
  • Animal cells have limited fatty acid desaturation capacity, requiring dietary polyunsaturated fatty acids from plants.
  • Essential fatty acids (EFAs) produce eicosanoids—prostaglandins, thromboxanes, leukotrienes, and lipoxins.
  • Prostaglandins regulate inflammatory responses, pain, sleep, blood clotting, and reproduction.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) work by inhibiting prostaglandin synthesis.
  • Leukotrienes affect muscle contractions and attract immune cells (chemotaxis), contributing to inflammation and allergic reactions.
  • Lipoxins also play roles in inflammation.

The Main Pathway for De Novo Synthesis of Fatty Acids (Lipogenesis)

  • Fatty acid synthesis primarily occurs in the cytosol.
  • The cofactors for this process include NADPH, ATP, manganese, biotin, and bicarbonate.
  • Acetyl-CoA is the direct precursor, and the final product is palmitate.

Production of Malonyl-CoA

  • Bicarbonate is required and acetyl-CoA carboxylase is present.
  • This complex enzyme is a multienzyme protein, containing biotin, biotin carboxyl carrier protein, biotin carboxylase, and carboxyl transferase.
  • The enzyme has a regulatory allosteric site and its function is critical to regulating fatty acid synthesis.
  • The reaction occurs in two steps: carboxylation of biotin and transfer of the carboxyl group to acetyl-CoA.

The Fatty Acid Synthase Complex

  • The synthase complex contains 6 enzymes and is a homodimer with two identical subunits.
  • Its structure is arranged in an X shape, potentially close to the 3-ketoacyl reductase enzyme domain.
  • The complex's function involves combining malonyl-CoA with an initiating acetyl-CoA molecule to gradually extend the fatty acid chain.
  • The complex utilizes pantothenic acid in the form of 4'-phosphopantetheine.

Fatty Acid Synthesis in the Mitochondria

  • Acetyl CoA is the main building block formed from glucose via pyruvate oxidation in the mitochondria.
  • Acetyl CoA is not readily diffusible across the mitochondrial membranes, necessitating a dedicated transport mechanism—using citrate.
  • Citrate, produced by combining acetyl CoA with oxaloacetate, is carried into the cytosol then converted to acetyl CoA and oxaloacetate.
  • NADPH is needed, supplied by the pentose phosphate pathway (it's hydrogen is used in the reductive synthesis of fatty acids)
  • Alternative sources of NADPH for lipogenesis include reactions of malate to pyruvate catalyzed by "malic enzyme" and the isocitrate dehydrogenase reaction.
  • Ruminants rely more on acetate as a precursor for lipogenesis via the extramitochondrial pathway.

Elongation of Fatty Acid Chains

  • The microsomal system elongates saturated and unsaturated acyl-CoAs with from 10 to more carbon atoms.
  • This process uses malonyl-CoA as an acetyl donor with NADPH as the reducing equivalent.
  • The microsomal fatty acid elongases are responsible for this pathway.

Nutritional Control of Lipogenesis

  • Lipogenesis rate is high in well-fed animals due to a higher carbohydrate intake.
  • Depressed by calorie restrictions, high-fat diets, and insulin deficiency like in diabetes mellitus.
  • An inverse relationship between hepatic lipogenesis and circulating free fatty acids.
  • Lipogenesis is elevated when glucose is replaced in the diet with sucrose due to the fructose bypassing the key regulatory point in glycolysis.
  • Regulating mechanisms are short-term (allosteric and covalent modifications of enzymes) or long term (gene expression).
  • Acetyl-CoA carboxylase is the most important regulatory enzyme for lipogenesis, activated by citrate.
  • Pyruvate dehydrogenase is also regulated by acyl-CoA, leading increased intramitochondrial ATP/ADP ratios and inactivation of the enzyme.
  • Insulin increases glucose transport into cells, enabling more pyruvate and glycerol-3-phosphate for fatty acid synthesis and activation of pyruvate dehydrogenase.

Essential Fatty Acid Deficiency and Eicosanoids

  • Deficiency symptoms occur when EFAs are missing from the diet, particularly in rats fed purified nonlipid diets.
  • Deficiency may be cured by including EFAs such as linoleic, alpha-linolenic, and arachidonic acids.
  • EFAs are concentrated in vegetable oils and present in animal carcasses (though in lower quantities).
  • They are part of the structure of phospholipids in the cell and mitochondrial membranes.
  • EFAs are required for prostaglandin, thromboxane, leukotriene, and lipoxin formation.

Clinical Aspects

  • Symptoms of essential fatty acid deficiency in humans may include skin lesions and/or impaired lipid transport.
  • Abnormal essential fatty acid metabolism occurs in various diseases, often connected to dietary deficiencies.
  • Very-long-chain polyunsaturated fatty acids are elevated in some brain diseases such as Zellweger syndrome.
  • High P:S ratios of diests correlate with lower cholesterol levels and reduced risk for coronary heart disease.
  • Trans fatty acid intake has potential negative consequences on health affecting various disorders.
  • Specific aspects of prostaglandins, thromboxanes, leukotrienes, and lipoxins play key roles in the CNS, inflammation, immune response, reproductive processes, and the cardiovascular system.

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