Balancing prostanoid activity in the human vascular system.

Abstract:

:The imbalance theory proposes that arterial thrombosis is dependent on a ratio or balance between the cyclooxygenase (COX)-1-dependent generation of thromboxane in platelets and the COX-2-dependent generation of prostacyclin in the endothelium. Accordingly, by reducing endothelium-derived prostacyclin levels, selective COX-2 inhibitors would increase susceptibility to vasoconstriction, platelet activation and atherothrombosis. This imbalance theory has been frequently used to legitimize the potential for increased cardiovascular risk associated with the use of these agents. Surprisingly, the imbalance theory is based not on human vascular biology but on the analysis of urinary prostacyclin metabolites. In this review, I discuss the theory in the context of direct studies of human vascular biology, which indicate that the imbalance theory is based on incorrect assumptions and is not plausible.

journal_name

Trends Pharmacol Sci

authors

Flavahan NA

doi

10.1016/j.tips.2007.01.003

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

106-10

issue

3

eissn

0165-6147

issn

1873-3735

pii

S0165-6147(07)00022-3

journal_volume

28

pub_type

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