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Prostaglandin



 
 
A prostaglandin is any member of a group of lipid
Lipid

Lipids are broadly defined as any fat-soluble , naturally-occurring molecule, such as fats, oils, waxes, cholesterol, sterols, fat-soluble vitamins , monoglycerides, diglycerides, phospholipids, and others....
 compounds that are derived enzymatically from fatty acid
Fatty acid

In chemistry, especially biochemistry, a fatty acid is a carboxylic acid often with a long unbranched aliphatic tail , which is either saturation or Unsaturated compound....
s and have important functions in the animal
Animal

Animals are a major group of multicellular, eukaryotic organisms of the Kingdom Animalia or Metazoa. Their body plan eventually becomes fixed as they develop, although some undergo a process of metamorphosis later on in their life....
 body. Every prostaglandin contains 20 carbon
Carbon

Carbon is a chemical element with chemical symbol C and atomic number 6. As a member of group 14 on the periodic table, it is nonmetallic and tetravalence?making four electrons available to form covalent bond chemical bonds....
 atoms, including a 5-carbon ring. They are mediators and have a variety of strong physiological
Physiology

Physiology is the study of the mechanical, physical, and biochemical functions of living organisms. Physiology has traditionally been divided between plant physiology and animal and all living things physiology but the principles of physiology are universal, no matter what particular organism is being studied....
 effects; although they are technically hormone
Hormone

Hormones are chemicals released by cells that affect cells in other parts of the body. Only a small amount of hormone is required to alter cell metabolism....
s, they are rarely classified as such.

The prostaglandins together with the thromboxane
Thromboxane

Thromboxane is a member of the family of lipids known as eicosanoids. The two major thromboxanes are thromboxane A2 and thromboxane B2.Thromboxane is named for its role in clot formation ....
s and prostacyclin
Prostacyclin

Prostacyclin 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....
s form the prostanoid
Prostanoid

Prostanoid is the term used to describe a subclass of eicosanoids consisting of: the prostaglandins , the thromboxanes and the prostacyclins...
 class of fatty acid derivatives; the prostanoid class is a subclass of eicosanoid
Eicosanoid

In biochemistry, eicosanoids are lipid signaling made by oxygenation of twenty-carbon essential fatty acids, .They exert complex control over many bodily systems, mainly in inflammation or Immune system, and as messengers in the central nervous system....
s.

name prostaglandin derives from the prostate gland.






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Encyclopedia


A prostaglandin is any member of a group of lipid
Lipid

Lipids are broadly defined as any fat-soluble , naturally-occurring molecule, such as fats, oils, waxes, cholesterol, sterols, fat-soluble vitamins , monoglycerides, diglycerides, phospholipids, and others....
 compounds that are derived enzymatically from fatty acid
Fatty acid

In chemistry, especially biochemistry, a fatty acid is a carboxylic acid often with a long unbranched aliphatic tail , which is either saturation or Unsaturated compound....
s and have important functions in the animal
Animal

Animals are a major group of multicellular, eukaryotic organisms of the Kingdom Animalia or Metazoa. Their body plan eventually becomes fixed as they develop, although some undergo a process of metamorphosis later on in their life....
 body. Every prostaglandin contains 20 carbon
Carbon

Carbon is a chemical element with chemical symbol C and atomic number 6. As a member of group 14 on the periodic table, it is nonmetallic and tetravalence?making four electrons available to form covalent bond chemical bonds....
 atoms, including a 5-carbon ring. They are mediators and have a variety of strong physiological
Physiology

Physiology is the study of the mechanical, physical, and biochemical functions of living organisms. Physiology has traditionally been divided between plant physiology and animal and all living things physiology but the principles of physiology are universal, no matter what particular organism is being studied....
 effects; although they are technically hormone
Hormone

Hormones are chemicals released by cells that affect cells in other parts of the body. Only a small amount of hormone is required to alter cell metabolism....
s, they are rarely classified as such.

The prostaglandins together with the thromboxane
Thromboxane

Thromboxane is a member of the family of lipids known as eicosanoids. The two major thromboxanes are thromboxane A2 and thromboxane B2.Thromboxane is named for its role in clot formation ....
s and prostacyclin
Prostacyclin

Prostacyclin 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....
s form the prostanoid
Prostanoid

Prostanoid is the term used to describe a subclass of eicosanoids consisting of: the prostaglandins , the thromboxanes and the prostacyclins...
 class of fatty acid derivatives; the prostanoid class is a subclass of eicosanoid
Eicosanoid

In biochemistry, eicosanoids are lipid signaling made by oxygenation of twenty-carbon essential fatty acids, .They exert complex control over many bodily systems, mainly in inflammation or Immune system, and as messengers in the central nervous system....
s.

History and name

The name prostaglandin derives from the prostate gland. When prostaglandin was first isolated from seminal fluid in 1935 by the Swedish physiologist
Physiology

Physiology is the study of the mechanical, physical, and biochemical functions of living organisms. Physiology has traditionally been divided between plant physiology and animal and all living things physiology but the principles of physiology are universal, no matter what particular organism is being studied....
 Ulf von Euler
Ulf von Euler

Ulf Svante von Euler was a Swedish Physiology and pharmacologist. He won a Nobel Prize in Physiology or Medicine in 1970 for his work on neurotransmitters....
, and independently by M.W. Goldblatt, it was believed to be part of the prostatic secretions (in actuality prostaglandins are produced by the seminal vesicles); it was later shown that many other tissues secrete prostaglandins for various functions.

In 1971, it was determined that aspirin
Aspirin

Aspirin , also known as acetylsalicylic acid , is a salicylate medication, often used as an analgesic to relieve minor aches and pains, as an antipyretic to reduce fever, and as an anti-inflammatory medication....
-like drugs could inhibit the synthesis of prostaglandins. The biochemist
Biochemist

Biochemists are scientists who are trained in biochemistry. Typical biochemists study chemical processes and chemical transformations in living organisms....
s Sune K. Bergström, Bengt I. Samuelsson
Bengt I. Samuelsson

Bengt Ingemar Samuelsson is a Swedish biochemist.He was born in Halmstad in southwest Sweden and studied at Stockholm University, where he became a professor in 1967....
 and John R. Vane jointly received the 1982 Nobel Prize in Physiology or Medicine
Nobel Prize in Physiology or Medicine

The Nobel Prize in Physiology or Medicine is awarded once a year by the Swedish Karolinska Institutet. It is one of the five Nobel Prizes established by the will of Alfred Nobel in 1895, awarded for outstanding contributions in Nobel Prize in Physics, Nobel Prize in Chemistry, Nobel Prize in Literature, Nobel Peace Prize, and Physiology or Medic...
 for their research on prostaglandins.

Biochemistry


Biosynthesis


Prostaglandins are found in virtually all tissues and organs. They are produced by all nucleated cells except lymphocytes. They are autocrine and paracrine lipid mediators that act upon platelet
Platelet

Platelets, or Thrombocyte, are small, irregularly shaped anuclear cells, 2-4?m in diameter, which are derived from fragmentation of precursor megakaryocytes....
s, endothelium
Endothelium

The endothelium is the thin layer of cell that line the interior surface of blood vessels, forming an interface between circulating blood in the lumen and the rest of the vessel wall....
, uterine
Uterus

The uterus is a major female hormone-responsive reproductive sex organ of most mammals, including humans. It is within the uterus that the fetus develops during gestation....
 and mast cell
Mast cell

A mast cell is a resident cell of several types of tissues and contains many Granule rich in histamine and heparin. Although best known for their role in allergy and anaphylaxis, mast cells play an important protective role as well, being intimately involved in wound healing and defense against pathogens....
s, among others. They are synthesized in the cell from the essential fatty acid
Essential fatty acid

Essential fatty acids, or EFAs, are fatty acids that cannot be constructed within an organism from other components by any known chemical pathways, and therefore must be obtained from the diet....
s (EFAs).

An intermediate is created by phospholipase-A2
Phospholipase A2

Phospholipases A2 are upstream regulators of many inflammatory processes. This particular phospholipase specifically recognizes the sn-2 acyl bond of phospholipids and catalytically hydrolyzes the bond releasing arachidonic acid and lysophospholipids....
, then passed into one of either the cyclooxygenase pathway
Cyclooxygenase

Cyclooxygenase is an enzyme that is responsible for formation of important biological mediators called prostanoids . Pharmacological inhibition of COX can provide relief from the symptoms of inflammation and pain; this is the method of action of non-steroidal anti-inflammatory drugs, such as the well-known aspirin and ibuprofen....
 or the lipoxygenase pathway
Lipoxygenase

Lipoxygenases are a family of iron-containing enzymes that catalyse the dioxygenation of polyunsaturated fatty acids in lipids containing a cis,cis-1,4- pentadiene structure....
 to form either prostaglandin and thromboxane or leukotriene
Leukotriene

Leukotrienes are naturally produced eicosanoid lipid signaling, which may be responsible for the effects of an inflammatory response. Leukotrienes use both autocrine signalling and paracrine signalling to regulate the body's response....
. The cyclooxygenase pathway produces thromboxane
Thromboxane

Thromboxane is a member of the family of lipids known as eicosanoids. The two major thromboxanes are thromboxane A2 and thromboxane B2.Thromboxane is named for its role in clot formation ....
, prostacyclin
Prostacyclin

Prostacyclin 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....
 and prostaglandin D, E and F. The lipoxygenase pathway is active in leukocytes and in macrophage
Macrophage

Macrophages are white blood cells within tissues, produced by the division of monocytes. Human macrophages are about 21 micrometres in diameter....
s and synthesizes leukotrienes.

Name EFA Type Series >- | Gamma-linolenic acid
Gamma-Linolenic acid

?-Linolenic acid is an essential fatty acid found primarily in vegetable oils. It is sold as a dietary supplement for treating problems with inflammation and auto-immune diseases....
 (GLA) via DGLA
Dihomo-gamma-linolenic acid

Dihomo-gamma-linolenic acid is a 20-carbon Omega-6 fatty acid. In physiological literature, it is given the name 20:3 . Chemically, DGLA is a carboxylic acid with a 20-carbon chain and three cis double bonds; the first double bond is located at the sixth carbon from the omega end....
 
?-6
Omega-6 fatty acid

n-6 fatty acids are a family of unsaturated fat fatty acids which have in common a final carbon?carbon double bond#Bond order in the Fatty acid#Nomenclature position; that is, the sixth bond from the end of the fatty acid....
 
- | Arachidonic acid
Arachidonic acid

Arachidonic acid is an omega-6 fatty acid 20:4.It is the counterpart to the saturated arachidic acid found in peanut oil, ...
 (AA)
?-6 - | Eicosapentaenoic acid
Eicosapentaenoic acid

Eicosapentaenoic acid is an omega-3 fatty acid. In physiological literature, it is given the name 20:5. It also has the trivial name timnodonic acid....
 (EPA)
?-3
Omega-3 fatty acid

n-3 fatty acids are a family of unsaturated fat fatty acids that have in common a final carbon?carbon double bond#Bond order in the essential fatty acid#Nomenclature and terminology position; that is, the third bond from the methyl end of the fatty acid....
 
series-3


Release of prostaglandins from the cell


Prostaglandins were originally believed to leave the cells via passive diffusion because of their high lipophilicity. The discovery of the prostaglandin transporter
Prostaglandin transporter

Prostaglandin transporter is a protein which carries prostaglandin across cell membranes.External links...
 (PGT, SLCO2A1), which mediates the cellular uptake of prostaglandin, demonstrated that diffusion cannot explain the penetration of prostaglandin through the cellular membrane. The release of prostaglandin has now also been shown to be mediated by a specific transporter, namely the multidrug resistance protein 4 (MRP4, ABCC4), a member of the ATP-binding cassette transporter superfamily. Whether MRP4 is the only transporter releasing prostaglandins from the cells is still unclear.

Cyclooxygenases

Prostaglandins are produced following the sequential oxidation of AA, DGLA or EPA by cyclooxygenase
Cyclooxygenase

Cyclooxygenase is an enzyme that is responsible for formation of important biological mediators called prostanoids . Pharmacological inhibition of COX can provide relief from the symptoms of inflammation and pain; this is the method of action of non-steroidal anti-inflammatory drugs, such as the well-known aspirin and ibuprofen....
s (COX-1 and COX-2) and terminal prostaglandin synthases. The classic dogma is as follows:
  • COX-1 is responsible for the baseline levels of prostaglandins.
  • COX-2 produces prostaglandins through stimulation.


However, while COX-1 and COX-2 are both located in the blood vessels, stomach
Stomach

In most mammals, the stomach is a hollow muscular organ of the gastrointestinal tract involved in the second phase of digestion, following mastication....
 and the kidneys, prostaglandin levels are increased by COX-2 in scenarios of inflammation
Inflammation

Inflammation is the complex biological response of Blood vessel tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. It is a protective attempt by the organism to remove the injurious stimuli as well as initiate the healing process for the tissue....
. A third form of COX, termed COX-3 is thought to exist in the brain
Brain

The brain is the center of the nervous system in all vertebrate, and most invertebrate, animals. Some primitive animals such as cnidarian and echinoderm have a decentralized nervous system without a brain, while sponges lack any nervous system at all....
 and may be associated with relief of Headaches when on NSAID therapy.

Prostaglandin E synthase

Prostaglandin E2 (PGE2) is generated from the action of prostaglandin E synthase
Prostaglandin E synthase

Prostaglandin E synthase is an enzyme involved in eicosanoid and glutathione metabolism, a member of MAPEG family. It generates prostaglandin E from prostaglandin H2....
s on prostaglandin H2 (PGH2). Several prostaglandin E synthases have been identified. To date, microsomal prostaglandin E synthase-1 emerges as a key enzyme in the formation of PGE2.

Other terminal prostaglandin synthases

Terminal prostaglandin synthases have been identified that are responsible for the formation of other prostaglandins. For example, hematopoietic and lipocalin
Lipocalin

The lipocalins are a family of proteins which transport small hydrophobic molecules such as steroids, Bilin s, retinoids, and lipids. They share limited regions of sequence homology and a common tertiary structure architecture....
 prostaglandin D synthases (hPGDS and lPGDS) are responsible for the formation of PGD2 from PGH2. Similarly, prostacyclin (PGI2) synthase (PGIS) converts PGH2 into PGI2. A thromboxane synthase (TxAS
Thromboxane-A synthase

Thromboxane A synthase 1 , also known as TBXAS1, is an enzyme which in humans is encoded by the TBXAS1 gene....
) has also been identified. Prostaglandin F synthase (PGFS) catalyzes the formation of 9a,11ß-PGF2a,ß from PGD2 and PGF2a from PGH2 in the presence of NADPH. This enzyme has recently been crystallyzed in complex with PGD2 and bimatoprost (a synthetic analogue of PGF2a).

Function

There are currently nine known prostaglandin receptor
Prostaglandin receptor

There are currently nine known prostaglandin receptors on various cell types. Prostaglandins bind to a subfamily of cell surface seven-transmembrane receptors, G-protein-coupled receptors....
s on various cell types. Prostaglandins ligate a subfamily of cell surface seven-transmembrane receptors, G-protein-coupled receptors. These receptors are termed DP1-2, EP1-4, FP, IP, and TP, corresponding to the receptor that ligates the corresponding prostaglandin (e.g., DP1-2 receptors bind to PGD2).

These varied receptors mean that Prostaglandins thus act on a variety of cells, and have a wide variety of actions:

  • cause constriction or dilation in vascular smooth muscle
    Smooth muscle

    Smooth muscle is a type of non-striated muscle, found within the tunica media layer of large and small arteries and veins, the urinary bladder, uterus, male and female reproductive tracts, gastrointestinal tract, respiratory tract, the ciliary muscle, and iris of the eye....
     cells
  • cause aggregation or disaggregation of platelet
    Platelet

    Platelets, or Thrombocyte, are small, irregularly shaped anuclear cells, 2-4?m in diameter, which are derived from fragmentation of precursor megakaryocytes....
    s
  • sensitize spinal neuron
    Neuron

    Neurons are responsive cell in the nervous system that process and transmit information by electrochemical Signal . They are the core components of the brain, the vertebrate spinal cord, the invertebrate ventral nerve cord, and the peripheral nerves....
    s to pain
  • decrease intraocular pressure
  • regulate inflammatory mediation
  • regulate calcium
    Calcium

    Calcium is the chemical element with the symbol Ca and atomic number 20. It has an atomic mass of 40.078 amu. Calcium is a soft grey alkaline earth metal, and is the fifth most abundant element by mass in the earth's Crust ....
     movement
  • control hormone
    Hormone

    Hormones are chemicals released by cells that affect cells in other parts of the body. Only a small amount of hormone is required to alter cell metabolism....
     regulation
  • control cell growth
    Cell growth

    The term cell growth is used in the contexts of Cell development and cell division . When used in the context of cell division, it refers to growth of cell populations, where one cell grows and divides to produce two "daughter cells"....


Prostaglandins are potent but have a short half-life before being inactivated and excreted. Therefore, they exert only a paracrine (locally active) or autocrine (acting on the same cell from which it is synthesized) function.

Types

Following is a comparison of the prostaglandin types Prostaglandin I2 (PGI2), Prostaglandin E2
Dinoprostone

In medicine, dinoprostone, is a naturally occurring prostaglandin E2 . It has important effects in labour and also stimulates osteoblasts to release factors which stimulates bone resorption by osteoclasts....
 (PGE2) and Prostaglandin F2a (PGF2a).

Type Receptor
Prostaglandin receptor

There are currently nine known prostaglandin receptors on various cell types. Prostaglandins bind to a subfamily of cell surface seven-transmembrane receptors, G-protein-coupled receptors....
Function
PGI2 IP
  • vasodilation
    Vasodilation

    Vasodilation refers to the widening of blood vessels resulting from relaxation of smooth muscle cells within the vessel walls, particularly in the large arteries, smaller arterioles and large veins....
  • inhibit platelet aggregation
  • bronchodilatation
    Bronchodilatation

    Bronchodilatation is the dilatation of the airways in the lungs due to the relaxation of surrounding smooth muscle. It is the opposite of bronchoconstriction....
PGE2
Dinoprostone

In medicine, dinoprostone, is a naturally occurring prostaglandin E2 . It has important effects in labour and also stimulates osteoblasts to release factors which stimulates bone resorption by osteoclasts....
EP1
  • bronchoconstriction
    Bronchoconstriction

    Bronchoconstriction is the constriction of the airways in the lungs due to the tightening of surrounding smooth muscle, with consequent coughing, wheezing, and shortness of breath....
  • GI tract smooth muscle
    Smooth muscle

    Smooth muscle is a type of non-striated muscle, found within the tunica media layer of large and small arteries and veins, the urinary bladder, uterus, male and female reproductive tracts, gastrointestinal tract, respiratory tract, the ciliary muscle, and iris of the eye....
     contraction
  • EP2
  • bronchodilatation
    Bronchodilatation

    Bronchodilatation is the dilatation of the airways in the lungs due to the relaxation of surrounding smooth muscle. It is the opposite of bronchoconstriction....
  • GI tract smooth muscle
    Smooth muscle

    Smooth muscle is a type of non-striated muscle, found within the tunica media layer of large and small arteries and veins, the urinary bladder, uterus, male and female reproductive tracts, gastrointestinal tract, respiratory tract, the ciliary muscle, and iris of the eye....
     relaxation
  • vasodilatation
  • EP3
  • ? gastric
    Stomach

    In most mammals, the stomach is a hollow muscular organ of the gastrointestinal tract involved in the second phase of digestion, following mastication....
     acid secretion
  • ? gastric
    Stomach

    In most mammals, the stomach is a hollow muscular organ of the gastrointestinal tract involved in the second phase of digestion, following mastication....
     mucus
    Mucus

    In vertebrates, mucus is a slippery secretion produced by, and covering, mucous membranes. It is a viscous colloid containing antiseptic enzymes and immunoglobulins that serves to protect Epithelium in the respiratory,...
     secretion
  • uterus
    Uterus

    The uterus is a major female hormone-responsive reproductive sex organ of most mammals, including humans. It is within the uterus that the fetus develops during gestation....
     contraction (when pregnant)
  • GI tract smooth muscle
    Smooth muscle

    Smooth muscle is a type of non-striated muscle, found within the tunica media layer of large and small arteries and veins, the urinary bladder, uterus, male and female reproductive tracts, gastrointestinal tract, respiratory tract, the ciliary muscle, and iris of the eye....
     contraction
  • lipolysis
    Lipolysis

    Lipolysis is the breakdown of fat stored in fat cells. During this process, free fatty acids are released into the bloodstream and circulate throughout the body....
     inhibition
  • ? autonomic neurotransmitters
  • Unspecified
  • hyperalgesia
    Hyperalgesia

    Hyperalgesia is an increased sensitivity to pain, which may be caused by damage to nociceptors or peripheral nerves. Temporary increased sensitivity to pain also occurs as part of sickness behavior, the evolutionary medicine response to infection.Hart, B....
  • pyrogenic
    Fever

    Fever is a frequent medical sign that describes an increase in internal body temperature to levels above normal. Fever is most accurately characterized as a temporary elevation in the body's thermoregulatory set-point, usually by about 1?2 ?C ....
  • PGF2a FP
  • uterus
    Uterus

    The uterus is a major female hormone-responsive reproductive sex organ of most mammals, including humans. It is within the uterus that the fetus develops during gestation....
     contraction
  • bronchoconstriction
    Bronchoconstriction

    Bronchoconstriction is the constriction of the airways in the lungs due to the tightening of surrounding smooth muscle, with consequent coughing, wheezing, and shortness of breath....


  • Role in pharmacology


    Inhibition


    Examples of prostaglandin antagonists are:

    • NSAIDs (inhibit cyclooxygenase)
    • Corticosteroids (inhibit phospholipase A2 production)
    • COX-2 selective inhibitors or coxibs


    However, both NSAIDs and Coxibs can raise the risk of myocardial infarction
    Myocardial infarction

    Myocardial infarction , commonly known as a heart attack, occurs when the Blood flow to part of the heart is interrupted. This is most commonly due to occlusion of a coronary artery following the rupture of a Vulnerable plaque, which is an unstable collection of lipids and white blood cells in the wall of an artery....
    .

    Clinical uses

    Synthetic prostaglandins are used:
    • To induce childbirth
      Childbirth

      Childbirth is the culmination of a human pregnancy or gestation period with the delivery of one or more newborn infants from a woman's uterus. The process of normal human childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and delivery of the infant, and delivery of the placenta.....
       (parturition) or abortion
      Abortion

      An abortion is the termination of a pregnancy by the removal or expulsion of an embryo or fetus from the uterus, resulting in or caused by its death....
       (PGE2 or PGF2, with or without mifepristone
      Mifepristone

      Mifepristone is a synthetic steroid compound used as a Medication. It is used as an abortifacient in the first two months of pregnancy, and in smaller doses as an emergency contraception....
      , a progesterone antagonist);
    • To prevent closure of patent ductus arteriosus
      Patent ductus arteriosus

      Patent ductus arteriosus is a congenital heart defect wherein a child's ductus arteriosus fails to close after Childbirth. Symptoms are uncommon but in the first year of life include increased work of breathing and poor weight gain....
       in newborns with particular cyanotic heart defect
      Cyanotic heart defect

      A cyanotic heart defect is a group-type of congenital congenital heart defect . The patient appears blue , due to deoxygenated blood bypassing the lungs and entering the systemic circulation....
      s (PGE1)
    • To prevent and treat peptic ulcer
      Peptic ulcer

      A peptic ulcer, also known as ulcus pepticum, PUD or peptic ulcer disease, is an ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful....
      s (PGE)
    • As a vasodilator
      Vasodilation

      Vasodilation refers to the widening of blood vessels resulting from relaxation of smooth muscle cells within the vessel walls, particularly in the large arteries, smaller arterioles and large veins....
       in severe Raynaud's phenomenon
      Raynaud's phenomenon

      Raynaud's phenomenon , in medicine, is a vasospasm disorder causing discoloration of the fingers, toes, and occasionally other extremities. This condition can also cause nails to become brittle with longitudinal ridges....
       or ischemia
      Ischemia

      In medicine, ischemia is a restriction in blood supply, generally due to factors in the blood vessels, with resultant damage or dysfunction of tissue....
       of a limb
    • In pulmonary hypertension
      Pulmonary hypertension

      In medicine, pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein, or pulmonary capillaries, together known as the lung Pulmonary circulation, leading to dypsnea, dizziness, fainting, and other symptoms, all of which are exacerbated by exertion....
    • In treatment of glaucoma
      Glaucoma

      Glaucoma is a group of diseases of the optic nerve involving loss of ganglion cell in a characteristic pattern of optic atrophy. Raised intraocular pressure is a significant risk factor for developing glaucoma ....
       (as in bimatoprost
      Bimatoprost

      Bimatoprost is a prostamide used topically to control the progression of glaucoma and in the management of ocular hypertension. It reduces intraocular pressure by increasing the outflow of aqueous humor from the eyes....
       ophthalmic solution, a synthetic prostamide analog with ocular hypotensive activity)
    • To treat erectile dysfunction
      Erectile dysfunction

      Erectile dysfunction is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis sufficient for satisfactory sexual performance....
       or in penile rehabilitation following surgery (PGE1 as alprostadil
      Alprostadil

      Alprostadil is the pharmaceutical name for prostaglandin E1. It is used as a drug in the treatment of erectile dysfunction and has vasodilatory properties....
      ).
    • To treat egg binding
      Egg bound

      In farming, aviculture and animal husbandry, the term egg binding refers to a medical condition in birds where the female is unable to pass an egg that has formed....
       in small birds


    External links