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Prostacyclin (or PGI2) is a member of the family of lipid molecules known as eicosanoids. As a drug, it is also known as "epoprostenol". The terms are sometimes used interchangeably. ProductionEicosanoid synthesis. (Prostacyclin near bottom center.)It is produced in endothelial cells from prostaglandin H2 (PGH2) by the action of the enzyme prostacyclin synthase. Although prostacyclin is considered an independent mediator, it is called PGI2 (prostaglandin I2) in eicosanoid nomenclature, and is a member of the prostanoids (together with the prostaglandins and thromboxane). The series-3 prostaglandin PGH3 also follows the prostacyclin synthase pathway, yielding another prostacyclin, PGI3. The unqualified term 'prostacyclin' usually refers to PGI2. PGI2 is derived from the ω-6 arachidonic acid. PGI3 is derived from the ω-3 EPA. From Wikipedia under the
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357 x 321 | 62.00kB 23 The actions of PGI2 oppose those of thromboxane A2 (TXA2 ), which is primarily released from platelets and causes vasoconstriction and increased platelet aggregation23 (see Figure). x Although the exact mechanisms that cause PPH are unknown, some scientists theorize that a precipitating noxious event in PPH-susceptible persons causes endothelial cell stress and damage. source page head.gif
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