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Arachidonic acid metabolic enzymes (AA metabolic enzymes)

Target
AA metabolic enzymes
Molecular classification
Enzyme
01

Overview

Arachidonic acid metabolic enzymes represent a group of catalytic proteins, including phospholipase A2 (PLA2), cyclooxygenases (COX-1 and COX-2), and lipoxygenases (e.g., 5-LOX), that govern the production of bioactive lipid mediators known as eicosanoids [4]. These enzymes are central to the inflammatory response, as they convert membrane-derived arachidonic acid into prostaglandins, thromboxanes, and leukotrienes, which mediate pain, fever, and vascular changes [1, 4]. PLA2 initiates the process by releasing free arachidonic acid from phospholipids, which is then channeled into the COX pathway for prostaglandin synthesis or the LOX pathway for leukotriene production [2, 3]. Pharmacological suppression of these enzymes is a primary therapeutic strategy for managing conditions such as rheumatoid arthritis, osteoarthritis, and asthma [1, 5]. Common drugs like nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit COX enzymes, while agents like zileuton target 5-LOX to reduce airway inflammation [1, 3]. However, because these enzymes also play vital roles in maintaining the gastric mucosa and renal function, their systemic inhibition can lead to significant safety concerns, including gastrointestinal bleeding and cardiovascular risks [3, 4].

Other names
Arachidonic acid cascade enzymesEicosanoid biosynthetic enzymesProstaglandin and leukotriene synthesis enzymesCyclooxygenase and lipoxygenase enzymesAA metabolic enzymes
02

Mechanism of action

Inhibition of cyclooxygenase (COX-1/COX-2), lipoxygenase (5-LOX), or phospholipase A2 (PLA2) activity to reduce the synthesis of pro-inflammatory eicosanoids [1, 2].

03

Biological functions

Lipid metabolism [4]Inflammation [1]Signal transduction [3]Immune response [1]Platelet aggregation [4]Vascular tone regulation [4]
04

Disease associations

Inflammation [1]Pain [1]Asthma [1]Cardiovascular disease [4]Cancer [4]Rheumatoid arthritis [3]
05

Safety considerations

Gastrointestinal ulceration and bleeding [3]Increased risk of cardiovascular events (e.g., myocardial infarction) [3]Renal impairment [4]Aspirin-exacerbated respiratory disease (AERD) [3]
06

Interacting drugs

Aspirin

7 more in the full profile.

07

Biomarkers

Prostaglandin E2 (PGE2) levels [4]Thromboxane B2 (TXB2) levels [4]Leukotriene B4 (LTB4) levels [4]Urinary 11-dehydro-thromboxane B2 [4]6-keto-prostaglandin F1-alpha (PGI2 metabolite) [4]

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