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Chart of significant eicosanoids and their effects

Prostanoids: Prostaglandins & Thromboxanes

(produced in most cells via enzymes COX-1 (housekeeping) and COX-2 (mostly induced under stress conditions)

PGE1

Directly derived from: Omega-6 DGLA  in breast milk. via COX enzymes.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumes or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to more inflammatory  /active eicosanoids PG2, TX2, LT4. and EX4. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence  for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids.Sufficient omega-3 SDA (in blackcurrant / wild seed oil or derived from omega-3 ALA foods) must be present to ensure COX enzyme conversion of Omega-6 DGLA to anti-inflammatory PG1 series (incl. PGE1) by competing for Δ5D enzymes, instead of COX conversion to Omega-6 AA and then the more active eicosanoids.

EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.

P G E 1 ALL CELLS  

Anti-inflammatory

Reduce Pain
Sesame lignans promote conversion of omega-6 DGLA to anti-inflammatory PGE1 in favor of pro-inflammatory omega-6 AA

Inhibit cell proliferation

P G E 1

BLOOD / LYMPH

VESSELS

 

Vasodilator

P G E 1 PLATELETS Inhibits platelet aggregation (clotting)
P G E 1 IMMUNE SYSTEM CELLS  Enhance ISI.S. Booster
P G E 1 BRONCHIAL AIRWAYS   BronchodilatingDilator

PGD2

Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for COX-1 or COX-2 enzymes reducing their conversion of Omega-6 AA to PGD2 and other inflammatory  /active eicosanoids: PG2, TX2,, LT4. and EX4.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to inflammatory  /active eicosanoids: PG2 (incl. PGD2), TX2, LT4. and EX4 via COX enzymes.. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence  for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
P G D 2 AIRWAYS; Constricted airwayPotent Contractor
Released by I.S. Mast cells – Involved in allergic rhinitis and allergic bronchial asthma. Attracts neutrophils (WBCs that fight infection and heal injuries). Involved in late phase reactions to allergens (6 hrs after exposure). PGD2 has 10 times higher concentration in asthma patients compared to control patients.
P G D 2 PULMONARY PLACENTAL VESSELS Potent vasoconstrictor
Released by I.S. Mast cells – PGD2 is a potent vasoconstrictor via thromboxane/endoperoxide (TX/E) receptor activation in pulmonary vessels, but this mechanism is not responsible for vasoconstriction in systemic vessels or in airway. King, 1991
P G D 2 BLOOD / LYMPH VESSELS Potent vasoconstrictor Raise BP
PubMed
P G D 2 UTERINE blood vessels MILD Vasodilator
Released by Mast Cells – PGD2 can promote mild vasodilation if TX/E is blocked.  King, 1991  PGD2 dilates uterine blood vessels. Together with its ability to constrict placental blood vessels, it may control utero-placental blood flow.
P G D 2 Mast cells in BRAIN
Most abundant prostanoid in mammalian brain; PGD2 promotes sleep [Encyclopedia of Sleep, 2013]
P G D 2 Mast cells in SKIN

vasodilation effectsVasodilator
PGD2 is the primary mediator of vasodilation after taking niacin (vitamin B3) – the so-called “niacin flush“. Involved in urticuria (hives), and balding- a causal link was found between elevated levels of localized PGD2 and hair growth inhibition (byincreasing Prostaglandin D2 synthase). Garza et al, 2012.

PGE2

Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for COX-1 or COX-2 enzymes reducing their conversion of Omega-6 AA to PGD2 and other inflammatory  /active eicosanoids: PG2, TX2,, LT4. and EX4.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to inflammatory  /active eicosanoids: PG2 (incl. PGE2), TX2, LT4. and EX4 via COX enzymes.. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence  for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
P G E 2 BRAIN; JOINTS Inflammatory /Increase Pain Via Cox-2 – Promotes all signs of classic inflammation: i.e. redness, swelling and pain. Redness and edema result from increased blood flow into the inflamed tissue through PGE2-mediated increase in arterial dilation and microvascular permeability. Pain results from the action of PGE2 on peripheral sensory neurons and on central sites within the spinal cord and the brain Quercetin reduces PGE2 in RA joints Link
P G E 2 AIRWAYS Dilator
P G E 2 Walls of: BLOOD / LYMPH VESSELS. STOMACH, INTESTINE, BLADDER, UTERUS  

Vasodilator Normalize BPNormalize BP Smooth muscle relaxer
Dilates blood vessels in kidneys PubMed Relaxes Vascular SMCs which form the supporting tissue of arteries, veins, capillaries & lymphatic vessels) and SMCs in walls of other hollow organs: stomach, intestine, bladder, uterus, others
P G E 2 PLATELETS
STOMACH /INTESTINAL MUCOSA Image gastric mucosa
P G E 2 Via Cox1 – Protects stomach and intestinal lining; Gastric mucosa: ↑ mucous /bicarbonate secretion; mucosa blood flow; ↓ gastric acid /PEPSIN secretion; Intestinal mucosa:  ↑  duodenal mucus secretion Provides gastrointestinal integrity (via Cox-2?)
TUMORS Cell proliferation Image cell proliferation
P G E 2 Promotes tumor growth: PGE2 is the most abundant prostaglandin found in various human malignancies, including colon, lung, breast, and head and neck cancer, also often associated with a poor prognosis. In contrast, the enzyme that catalyzes the degradation of PGE2 (15-PGDH, an antagonist /suppressor of Cox-2) is highly expressed in normal tissues but is ubiquitously lacking in human colon, gastric, lung and breast cancer resulting in increased endogenous PGE2 levels in these tumors. Furthermore, there may be a negative feedback loop, since a product of the Cox-2 enzymatic pathway, upregulates the expression of 15-PGDH in breast cancer MDA-MD-231 cells. 15-PGDH is being investigated as a potential avenue for tissue regeneration.  PubMed. Prostaglandin E Synthase (PGES) converts PGH to PGE
FERTILITY
Regulates immune responses; Involved in fertility
UTERUS
Dinoprostone (PGE2)  is an FDA approved drug for evacuating the uterus (i.e. promoting abortion or inducing labor; helps dilate cervix)

PGF2α

Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for COX-1 or COX-2 enzymes reducing their conversion of Omega-6 AA to PGF2α and other inflammatory  /active eicosanoids: PG2, TX2,, LT4. and EX4.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to inflammatory  /active eicosanoids: PG2 (incl. PGF2α), TX2, LT4. and EX4 via COX enzymes.. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence  for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
P G F 2 α AIRWAYS 

Constricting; Anomaly: Promoted by Cox1 inhibitors (aspirin, traditional NSAIDs) Harrington, 2008
P G F 2 α Walls of: BLOOD / LYMPH VESSELS. STOMACH, INTESTINE, BLADDER, UTERUS Vaso- Constricting Image contracting SMC
Via Cox2 –CONSTRICTS Vascular SMCs which form the supporting tissue of blood vessels in arteries, veins, lymphatic vessels;  uterus CONTRACTS SMCs in other hollow organs: stomach walls, intestine, bladder, uterus
P G F 2 α EYES
P G F 2 α STOMACH  Gastric mucosa

PGI2

Prostacyclin

Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for COX-1 or COX-2 enzymes reducing their conversion of Omega-6 AA to PGI2 (Prostacyclin) and ALSO reducing conversion to inflammatory  /active eicosanoids: PG2, TX2,, LT4. and EX4.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to mostly  inflammatory  /active eicosanoids: PG2  (includes calming PGI2), TX2, LT4. and EX4 series via COX enzymes.. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence  for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
P G I 2 BLOOD / LYMPH VESSELS:
Normalize BPvasodilation
Vasodilator
vasodilation
Potent inhibitor of platelet aggregation 3
PGI2 released by endothelial cells(ECs) lining blood and lymphatic vessels; (Via Cox-1 and Cox-2).  Potent inhibitor of platelet aggregation (clot formation), also inhibits fibroblast proliferation, and leukocyte adhesion.
P G I 2 SMOOTH MUSCLE CELLS (SMCs)
SMC Relaxer
PGI2 regulates smooth muscle cells; counteracts Thromboxane A2 (TXA2)
P G I 2 BRONCHIAL  AIRWAYS
Bronchodilating
Bronchial dilator
Released by epithelial cells (EPCs) lining airways, Prostacyclin (PGI2) has a beneficial effect on allergic airway responses and pulmonary hypertension. e.g. in asthma. Zhou, 2016
P G I 2 PLATELETS image for deaggregation Potent Inhibitor
Via Cox2PGI2 is a potent inhibitor of clot formation
P G I 2 KIDNEY, LIVER, LIVER, LUNG, HEART Anti-inflammatory
P G I 2 STOMACH Gastric mucosa vasodilationVasodilator Via Cox1. Protects stomach (gastrointestinal) lining / epithelial cells

TXA2

Thromboxane

(TXA2 ==>TXB2)
Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for COX-1 or COX-2 enzymes reducing their conversion of Omega-6 AA to PGF2α and other inflammatory  /active eicosanoids: PG2, TX2,, LT4. and EX4.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to inflammatory  /active eicosanoids: PG2, TX2 (incl. TXA2),, LT4. and EX4 via COX enzymes. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence for Δ5D, Δ6D and COX enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
T X A 2 BLOOD   / LYMPH VESSELS Vaso -constricting ECs via Cox2
T X A 2 PLATELETS Blood clotting¹ Via Cox1 Involved in thrombosis
T X A 2

VSMC

proliferation

Cell proliferation aids damage repair. Involved in development of atherosclerosis;
T X A 2 AIRWAYS
An anomaly is that bronchoconstriction is promoted by Cox-1 inhibitors (aspirin, traditional NSAIDs), but not selective Cox-2 inhibitors. Harrington, 2008
T X A 2 PLACENTA
T X A 2 KIDNEY
T X A 2 Macrophages

Series 3

PGs

Derived from: Omega-3 EPA e.g. in salmon, fish or  krill oil, Brown / red algae. Grass-fed animals and poultry, land animals’ brains testes, adrenals, eyeballs. Mm Mmm Mmmmm! Compete for COX enzymes in prostanoid (prostaglandin and thromboxane)  PG1, TX1, PG2/PG2, TX2 pathways to eicosanoids,
Fish oil capsules Fish oil capsules4
MOST CELLS

ice cubeAnti-inflammatory via Cox1 and Cox 2 COUNTER PG-2s / LT-4s. Compete for COX and 5-LO enzymes
Leukotrienes

Series 4

LTs

Directly derived from: Omega-6 AA in meat and eggs. If present, Omega-3 EPA competes for 5-LO enzymes reducing their conversion of Omega-6 AA to inflammatory /active  LT4 and also EX4 series eicosanoids.
Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumesor Omega-6 DGLA in breast milk, or GLA in borage, evening primrose or blackcurrant oil, which can all ultimately be converted to Omega-6 AA, and then to inflammatory  /active eicosanoids: series PG2 and TX2,  via COX enzymes, or LT4 and EX4 via 5-LO enzymes. However –  this omega-6 AA pathway leading to more inflammatory eicosanoids competes with omega-3 presence for Δ5D, Δ6D and COX and 5-LO enzymes that prefer pathways to the more calming, anti-inflammatory PG1 (incl. PGE1), TX1, PG3, TX3 and LT5 series of eicosanoids. “EFA Conversion Chart” provides a visual aid to understanding these complicated, interacting conversion pathways.
AIRWAYS
COnstricted airway
Constricting
 
Mast cells via 5-LO (concurrent release with histamine). Part of the inflammation response, especially in asthma and allergic rhinitis. Attract white blood cells to sites of tissue damage and cause smooth muscles to contract. LTC4 and LTD4 increase respiratory mucous secretion. PubMed

Series 5

LTs

Directly derived from: Omega-3 EPA e.g. in salmon, fish or  krill oil, Brown / red algae. Grass-fed animals and poultry, land animals’ brains testes, adrenals, eyeballs. Mm Mmm Mmmmm! Compete for 5-LO enzymes in  LT4, EX4 pathways to eicosanoids,
Mast cells via 5-LOIce cube BP

Counters inflammation

Specialized Pro-resolving Mediators (SPMs) Deal with reducing excessive tissue injury and resolving inflammation.

Lipoxins

Derived from: Omega-6 AA in meat and eggs
With sufficient presence of omega-3 EPA : Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumes or Omega-6 DGLA  in breast milk or GLA in borage /evening primrose oil. Low dose aspirin can also trigger LIPOXIN synthesis
Neutrophils Via 15-LO From AA
Erythrocytes, Reticulocytes Via 12-LO From AA
Platelets Via 12-LO From LTA5

Resolvins

 (RVs)

Derived from:< Omega-3 EPA or DHA e.g. in salmon, fish or  krill oil
Newly discovered. Resolve inflammation, Clear away inflammation debris. Modulates immune system (IS). Serhan et al, 2000 Block prostanoid effects

Protectins

 (PDs)

Derived from:< Omega-3 EPA or DHA e.g. in salmon, fish or  krill oil
Tissue protective Protectin D1 (derived from DHA) protects tissue including neuronal tissue from excessive damage Serhan et al. 2002

Eoxins

 (EXs)

Derived from: Omega-6 AA in meat and eggs (competing for
With sufficient presence of omega-3 EPA:  Indirectly derived from: Omega-6 LA in nuts, seeds, vegetable oils, or legumes or Omega-6 DGLA  in breast milk or GLA in borage /evening primrose oil.
Eosinophils (WBCs), Mast cells Via 15-LO-1 Involved in asthma,  lymphoma of Hodgkins disease, prostate cancer, colon cancer, and other cancers

References

Garza, Luis A.; et al. (2012, Mar 12).  “Prostaglandin D Inhibits Hair Growth and Is Elevated in Bald Scalp of Men with Androgenetic Alopecia”. Science Translational Medicine. 4 (126): 126ra34.PubMed

Green, P., Gispan-Herman, I., & Yadid, G. (2005). Increased arachidonic acid concentration in the brain of Flinders Sensitive Line rats, an animal model of depression. Journal of lipid research, 46(6), 1093-1096. PubMed

Multiple functions of endothelial cells

¹Medical gallery of Blausen Medical 2014 CC BY 3.0

²Version 8.25 from the Textbook OpenStax Anatomy and Physiology (Altered) CC BY 4.0

³Guy Waterval, Apache License 2.0

4Fish oil capsules by SemtrioLicensed CC BY 2.0

Nine Life Choices for Vibrant Health

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“Omega-6 – “How-to”
How to obtain good omega-6 fats
Borage, Blackcurrant or Evening Primrose Oils for Omega-6 GLA
EFAs – 5 vital functions:
(1) Cell Membrane integrity
(2) Cellular energy production
(3) Eicosanoids-“First Responders”
• EFA Conversion Chart
• Specific Eicosanoid Effects
(4) Systems Support
(5) Child Development