Which of the following decrease platelet aggregation & cause vasodilatation?


Which of the following decrease platelet aggregation & cause vasodilatation? ( select best answer )

a. Prostaglandin E2 (PGE2)
b. Prostaglandin (PGF2α )
c. Thromboxane A2 (TXA2)
d. Prostaglandin D2 (PGD2)
e. Prostacyclin (PGI2 )


Answer 
Prostacyclin (PGI2 )

Discussion 
a. functions of Prostaglandin E2 (PGE2)
  • Reduce gastric acid secretion 
  • Increase Gastric mucus secretion 
  • Contraction of uterus 
  • Contraction of GI tract smooth muscle 
  • Inhibit lipolysis 
  • Increase  autonomic neurotransmitters 

b. Prostaglandin (PGE2α )
  • Contraction of uterus 
  • Bronchoconstriction 
c. Functions of Thromboxane A2 (TXA2)
  • Vasoconstriction 
  • Platelet aggregation 
d. Functions of Prostaglandin D2 (PGD2)
  • Bronchoconstriction 
  • Vasodilatation 
e. Prostacyclin (PGI2 ) 
  • Opposite effects of Thromboxane A2


Factors that cause vasoconstriction

Local factors

  • Decreased local temperature 
  • Autoregulation 
Endothelial products
  • Endothelin-1 
  • Locally released platelet serotonin 
  • Thromboxane A2 
Circulating hormones 
  • Epinephrine (except in skeletal muscle and liver) 
  • Norepinephrine 
  • AVP 
  • Angiotensin II 
  • Circulating Na+-K+ ATPase inhibitor 
  • Neuropeptide Y 

Neural factors
  • Increased discharge of sympathetic nerves 

Factors that cause   vasodilation 

Local factors 
  • Increased CO2 and decreased O2
  • Increased K+, adenosine, lactate, etc
  • Decreased local pH 
  • Increased local temperature 
Endothelial products
  • NO 
  • Kinins 
  • Prostacyclin 
Circulating hormones
  • Epinephrine in skeletal muscle and liver 
  • CGRP 
  • Substance P 
  • Angiotensin II 
  • Histamine 
  • ANP 
  • VIP 
Neural factors
  • Decreased discharge of sympathetic nerves 
  • Activation of sympathetic cholinergic vasodilator nerves to skeletal muscle 
Reference
1.Ganong's review of medical physiology 23rd edition 


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