- Action:
- powerful vasodilator and inhibits platelet aggregation thru activation of adenylate cyclase, which leads to an increase in intracellular cyclic adenosine monophosphate;
- prostacyclin and thromboxane A(sub 2) are formed from arachidonic acid, w/ endoperoxides & prostaglandins G2 and H2 as
intermediates;
- variety of drugs with diverse mechanisms of action are reputed to increase prostacyclin production;
- include calcium antagonists, captopril, dipyridamole, diuretic agents, nitrates, and streptokinase;
- fall in BP induced by several antihypertensive drugs, including propranolol, is reduced by Aspirin, suggesting that prostacyclin may
have a more general role in their activity;
- it causes relaxation of the underlying smooth muscle, and in the lumen it prevents platelets and perhaps other blood cells from clumping
onto the endothelium;
- Steroids:
- inhibit prostacyclin synthesis in endothelial & other cells by stimulating formation of lipocortin, endogenous inhibitor of
phospholipase A(sub 2) activity;
- inhibits phospholipase A(sub 2), & Aspirin-like drugs, by inhibiting cyclooxygenase, reduce synthesis of prostacyclin & Thromboxane