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Eicosanoid pathway mediator

Molecular classification
Other
01

Overview

Eicosanoid pathway mediators are a diverse class of bioactive lipids primarily derived from arachidonic acid and other polyunsaturated fatty acids through the actions of key metabolic enzymes: cyclooxygenases (COX-1, COX-2), lipoxygenases (LOX), and cytochrome P450s (CYP)[1][4][8]. Major subclasses include prostaglandins, thromboxanes, leukotrienes, and specialized pro-resolving mediators (SPMs) such as resolvins and lipoxins[2][4][3]. These mediators play crucial roles in homeostasis and pathophysiology, particularly in regulating inflammation, immune responses, blood flow, reproduction, pain, and fever[1][5][2][3]. Eicosanoid dysregulation is implicated in a wide range of diseases including disorders of inflammation (asthma, arthritis), cardiovascular disease, cancer, and neurodegeneration[1][8][6]. While many drugs target enzymes or receptors in eicosanoid pathways, "Eicosanoid pathway mediators" as a term does not specify a unique therapeutic target but rather a family and network of important signaling molecules[4][5][3]. Because "Eicosanoid pathway mediators" encompasses a family of molecules, not a specific protein or receptor, this entry is not suitable as a canonical therapeutic target record. For structured pharmacological or biological target databases, specifics such as "Cyclooxygenase-2 (COX-2)", "Leukotriene B4 receptor 1", or "Prostaglandin E2 receptor" are canonical targets that should be used instead[4][5][8].

Other names
Eicosanoidseicosanoid mediatorseicosanoid metaboliteslipid mediators of inflammation
02

Mechanism of action

Enzyme inhibition (e.g. COX, LOX, CYP inhibitors), Receptor antagonism (e.g. leukotriene receptor antagonists), Modulation of signaling through G protein-coupled receptors (GPCRs), Pro-resolution modulation (via SPMs)

03

Biological functions

Signal transductionImmune responseInflammationCell proliferationVascular regulationPain perceptionFeverApoptosisWound healingReproductive processes
04

Disease associations

InflammationCardiovascular diseaseCancerNeurodegenerative diseaseInfectionAsthmaAllergyAutoimmune diseaseArthritis
05

Safety considerations

Gastrointestinal bleeding (COX inhibition)Cardiovascular risks (COX-2 inhibitors)Immunosuppression (glucocorticoids)Bronchospasm (leukotriene modulators)Renal toxicityImpaired wound healing
06

Interacting drugs

NSAIDs (e.g. aspirin, ibuprofen)

5 more in the full profile.

07

Biomarkers

Prostaglandin E2 (PGE2)Leukotriene B4 (LTB4)Thromboxane B2 (TxB2)20-HETEEETsSPMs (resolvins, protectins, maresins)plasma/urine eicosanoid profiles

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