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The pathway diagrammed below should look vaguely familiar to you from your previous discussion on inflammation.

Recall that when properly activated during the inflammatory process, phospholipase will cause the release of arachidonic acid from cell membranes, which will then be further metabolized via either the cyclooxygenase or lipoxygenase pathway. As a reminder, aspirin (acetylsalicylic acid) functions as a platelet aggregation inhibitor by blocking the cyclooxygenase pathway. It only stays in the body for a few hours but the effects of aspirin on platelets are permanent and last for the life of the platelet exposed. Since aspirin mitigates platelet aggregation, if a patient with atherosclerotic coronary arteries who was taking aspirin were to experience a plaque rupture, the possibility of a thrombus forming on the ruptured area would be reduced; in some cases that could mean the difference between life and death due to a myocardial infarction. Phospholipase s Aspiri n Arachidonic Acid

5-Lipoxygenase 5-HPETE

Cyclooxygenase Prostaglandin G2

Leukotriene A4 Leukotriene C4 Leukotriene D4 Leukotriene E4 PGD2

Prostaglandin H2 Prostacyclin Thromboxane A2

PGE2

PGF2

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