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Wheeless' Textbook of Orthopaedics
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Thromboxane





- Discussion:
  - principal metabolite of arachidonic acid in platelets;
  - stimulates platelet activation, and assists in intravascular
      aggregation of platelets;
  - ASA irreversibly inhibits cyclooxygenase by acetylation of
    serine residue at its active site;
    - cyclooxygenase must be continuously produced in endothelial cells,
          since they recover their ability to synthesize Prostacyclin
          within a few hours;
    - platelets cannot produce cyclooxygenase, & thromboxane synthesis
          recovers only as new platelets enter circulation;



Original Text by Clifford R. Wheeless, III, MD.