Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 21 - Section 21.2 - Nonspecific Resistance - Apply What You Know - Page 823: 1

Answer

Eicosanoids are a class of signaling molecules derived from polyunsaturated fatty acids, primarily arachidonic acid. They play a significant role in mediating various physiological processes, including inflammation, by acting as local hormones. Eicosanoid synthesis involves the enzymatic conversion of arachidonic acid, typically released from cell membrane phospholipids, into different types of eicosanoids, such as prostaglandins, thromboxanes, and leukotrienes. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used to ease pain and reduce inflammation. It exerts its effects by inhibiting an enzyme called cyclooxygenase (COX), which is involved in the conversion of arachidonic acid into prostaglandins. There are two isoforms of COX: COX-1 and COX-2. COX-1 is constitutively expressed and involved in producing prostaglandins that play important roles in maintaining normal physiological functions, such as protecting the stomach lining and promoting platelet aggregation. COX-2, on the other hand, is induced during inflammation and produces prostaglandins that contribute to pain, fever, and inflammation. Here's how aspirin eases the pain of inflammation: 1. **Inhibition of COX Enzymes:** Aspirin irreversibly inhibits the activity of both COX-1 and COX-2 enzymes by acetylating a serine residue in their active sites. This prevents the conversion of arachidonic acid into prostaglandins. 2. **Reduced Prostaglandin Production:** By inhibiting COX enzymes, aspirin decreases the production of prostaglandins. Prostaglandins are lipid mediators that sensitize pain receptors, promote vasodilation, and contribute to the inflammatory response. With reduced prostaglandin production, pain, inflammation, and fever are attenuated. 3. **Anti-Inflammatory Effect:** Since aspirin reduces the production of prostaglandins, it mitigates some of the local inflammatory responses that contribute to pain and swelling. This anti-inflammatory effect is particularly relevant in conditions such as arthritis, where excessive prostaglandin production is a major contributor to pain and joint damage. It's important to note that while aspirin's inhibition of COX enzymes provides pain relief and anti-inflammatory effects, it can also have side effects. COX-1 inhibition can lead to disruptions in the stomach's protective lining and contribute to gastrointestinal side effects like ulcers. Aspirin's anti-platelet effects due to COX-1 inhibition also contribute to its use in preventing clot formation and reducing the risk of cardiovascular events. Aspirin's mechanism of action exemplifies how understanding the synthesis and functions of eicosanoids can guide the development of therapeutic interventions to alleviate pain and inflammation while considering potential risks and benefits.

Work Step by Step

Eicosanoids are a class of signaling molecules derived from polyunsaturated fatty acids, primarily arachidonic acid. They play a significant role in mediating various physiological processes, including inflammation, by acting as local hormones. Eicosanoid synthesis involves the enzymatic conversion of arachidonic acid, typically released from cell membrane phospholipids, into different types of eicosanoids, such as prostaglandins, thromboxanes, and leukotrienes. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used to ease pain and reduce inflammation. It exerts its effects by inhibiting an enzyme called cyclooxygenase (COX), which is involved in the conversion of arachidonic acid into prostaglandins. There are two isoforms of COX: COX-1 and COX-2. COX-1 is constitutively expressed and involved in producing prostaglandins that play important roles in maintaining normal physiological functions, such as protecting the stomach lining and promoting platelet aggregation. COX-2, on the other hand, is induced during inflammation and produces prostaglandins that contribute to pain, fever, and inflammation. Here's how aspirin eases the pain of inflammation: 1. **Inhibition of COX Enzymes:** Aspirin irreversibly inhibits the activity of both COX-1 and COX-2 enzymes by acetylating a serine residue in their active sites. This prevents the conversion of arachidonic acid into prostaglandins. 2. **Reduced Prostaglandin Production:** By inhibiting COX enzymes, aspirin decreases the production of prostaglandins. Prostaglandins are lipid mediators that sensitize pain receptors, promote vasodilation, and contribute to the inflammatory response. With reduced prostaglandin production, pain, inflammation, and fever are attenuated. 3. **Anti-Inflammatory Effect:** Since aspirin reduces the production of prostaglandins, it mitigates some of the local inflammatory responses that contribute to pain and swelling. This anti-inflammatory effect is particularly relevant in conditions such as arthritis, where excessive prostaglandin production is a major contributor to pain and joint damage. It's important to note that while aspirin's inhibition of COX enzymes provides pain relief and anti-inflammatory effects, it can also have side effects. COX-1 inhibition can lead to disruptions in the stomach's protective lining and contribute to gastrointestinal side effects like ulcers. Aspirin's anti-platelet effects due to COX-1 inhibition also contribute to its use in preventing clot formation and reducing the risk of cardiovascular events. Aspirin's mechanism of action exemplifies how understanding the synthesis and functions of eicosanoids can guide the development of therapeutic interventions to alleviate pain and inflammation while considering potential risks and benefits.
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