Local hormones Bi1100en Hormones – Cellular and Molecular Mechanisms Eicosanoids Histamine Serotonin ▪ derived from C20 polyunsaturated fatty acids (PUFAs) - arachidonic acid (AA; 20: 4n-6) - eicosapentaenoic acid (EPA; 20: 5n-3) - dihomo-γ-linolenic acid (DGLA; 20: 3n-6) ▪ precursors in the cytoplasmic and nuclear membrane > released by phospholipase A2 > synthesis of eicosanoids by cyclooxygenases (COX), lipoxygenases (LOX) and other enzymes Eicosanoids Eicosanoids - synthesis ▪ the synthesis takes place mainly in: endothelial cells leukocytes platelets kidneys ▪ biosynthesis in all cell types except red blood cells ▪ eicosanoids are not stored in the cells ▪ four main groups: leukotrienes (LOX) prostaglandins (COX) prostacyclins (COX) thromboxanes (COX) hepoxilins (LOX) lipoxins (LOX) epi-lipoxins (LOX) epoxyeicosatrienoic acid (cytochrome P450 epoxygenase) isoprostanes (cytochrome P450 epoxygenase) ▪ the basis of the COX pathway are prostaglandins G (PGG2) and H (PGH2) prostanoids Eicosanoids - synthesis wikipedia.org Eicosanoids - synthesis ▪ evolutionarily conserved ▪ production is neural- and hormonal-regulated (increase in Ca2+ levels, cell swelling, etc.) ▪ rapid degradation > transport to the long distances is limited ▪ specific effect on target cells near the site of their synthesis ▪ they can also act within intracellular signaling pathways ▪ bound to G protein-coupled receptors (stimulation or inhibition of cAMP synthesis; cleavage of phosphatidylinositol-4,5-bisphosphate and release of Ca2+) or nuclear receptors (peroxisome proliferator-activated receptor, PPARγ) Eicosanoids – mode of action ▪ eicosanoids act even in very low concentrations (like hormones) ▪ short half-life, therefore acting on autocrine and paracrine level (unlike classical hormones) ▪ effects in the body vary not only by species of eicosanoid, but also according to which receptors they can bind at a given tissue Biological role of eicosanoids: ▪ mediate the inflammatory response, especially in the joints (rheumatoid arthritis), skin (psoriasis) and eyes ▪ mediating pain and fever ▪ participate in the regulation of blood pressure ▪ participate in the regulation of coagulation (e.g. platelet aggregation) ▪ mediate immune responses (chemotaxis, nodulation and more) ▪ affect kidney function (vasodilation and regulation of glomerular filtration) ▪ participates in the control of some processes in the reproductive system (e.g. childbirth) ▪ participate in sleep cycle regulation Eicosanoids – mode of action Eicosanoids – mode of action Non-steroidal antiinflammatory drugs (NSAID) ▪ hormone and neurotransmitter ▪ derived from the amino acid histidine (histidine decarboxylase) ▪ produced mainly by nerves, tissue mast cells and basophilic granulocytes, enterochromaffin (ECL) cells in the stomach ▪ during the immune response, its synthesis is stimulated by antigen-antibody complexes (IgE) and activated complement ▪ its production is inhibited by adrenaline, PGE2 and histamine itself ▪ primarily acts locally, but in response to the allergen may cause a wholebody reaction (anaphylactic shock) ▪ histamine receptors (H1- H4) coupled to G proteins Histamine ▪ stimulates vasodilation and increases vascular permeability > edema > lower blood pressure (despite being stimulated via H2 receptors which strengthen heartbeat and increase heart rate) ▪ vasodilation induced directly or indirectly through the promotion of nitric oxide production in the endothelium ▪ affects smooth muscle (contractions of the uterus, bronchi and intestine) ▪ stimulates the parietal cells of the stomach to produce hydrochloric acid ▪ causes irritation of peripheral nerves > itching ▪ histamine causes the symptoms of allergic reaction type I (hives, hay fever) Therapy ▪ antihistamines H1 (allergic reactions), antihistamines H2 (gastric ulcers) ▪ administration of sympathomimetics Histamine – mode of action ▪ derived from the amino acid tryptophan (5-hydroxytryptamine) ▪ hormone and neurotransmitter ▪ production in the CNS (10 %), enterochromaffin intestinal cells (90 %), platelets, proximal renal tubules and bronchi Action: ▪ it is involved mainly in the transmission of nerve impulses ▪ mood control („hormone of happiness") ▪ serotonergic neurons in the brain probably play an important role in alternating circadian rhythms and inducing sleep (part of melatonin synthesis) ▪ stimulates smooth muscle contractions (uterus, bronchi, intestine, blood vessels) ▪ promotes platelet aggregation and thus blood clotting ▪ in relation to the above mentioned, serotonin has a great impact on injuries ▪ can cause headaches by acting on blood vessels (migraine) Serotonin