PGE1 is the theoretical cyclooxygenase metabolite of dihomo-γ-linolenic acid (DGLA), but it is virtually undetectable in the plasma of normal humans or other animals.1 Its pharmacology includes vasodilation, hypotension, and anti-platelet activities. The IC50 of PGE1 for the inhibition of ADP-induced human platelet aggregation is 40 nM.2,3 The vasorelaxant and anti-hypertensive effects of PGE1 are used to treat male erectile dysfunction and to provide emergency vasodilation of the patent ductus arteriosus in infants whose cardiac anomalies require pulmonary shunting for survival.4,5 In human males, the intracavernosal effective dose range for PGE1 is 2 to 80 µg, and the transurethral range is 125 to 1,000 µg.4
1
Cawello, W., Schweer, H., Dietrich, B., et al. Pharmacokinetics of prostaglandin E1 and its main metabolites after intracavernous injection and short-term infusion of prostaglandin E1 in patients with erectile dysfunction. J Urol 158 1403-1407 (1997).
2
Kobzar, G., Mardla, V., Järving, I., et al. Antiaggregating potency of E-type prostaglandins in human and rabbit platelets. Proc Est Acad Sci Chem 40 179-180 (1991).
3
Okada, F., Nukada, T., Yamauchi, Y., et al. The hypotensive effect of prostaglandin E1 on hypertensive cases of various types. Prostaglandins 7 99-106 (1974).
4
Padma-Nathan, H., Hellstrom, W.J.G., Kaiser, F.E., et al. Treatment of men with erectile dysfunction with transurethral alprostadil. N Engl J Med 336 1-7 (1997).
5
Olley, P.M., and Coceani, F. Prostaglandins and the ductus arteriosus. Annu Rev Med 32 375-3785 (1981).
Virag, R., Shoukry, K., Floresco, J., et al. Intracavernous self-injection of vasoactive drugs in the treatment of impotence: 8-Year experience with 615 cases. J Urol 145 287-293 (1991).
Earle, C.M., Keogh, E.J., Wisniewski, Z.S., et al. Prostaglandin E1 therapy for impotence, comparison with papaverine. J Urol 143 57-59 (1990).
Kobzar, G., Mardla, V., Järving, I., et al. Antiaggregating potency of E-type prostaglandins in human and rabbit platelets. Proc Est Acad Sci Chem 40 179-180 (1991).
Feld, S., Li, G., Amirian, J., et al. Enhanced thrombolysis, reduced coronary reocclusion and limitation of infarct size with liposomal prostaglandin E1 in a canine thrombolysis model. J Am Coll Cardiol 24 1382-1390 (1994).
Anderson, K., and Wagner, G. Physiology of penile errection. Physiol Rev 75 191-236 (1995).
Okada, F., Nukada, T., Yamauchi, Y., et al. The hypotensive effect of prostaglandin E1 on hypertensive cases of various types. Prostaglandins 7 99-106 (1974).
Wijkander, J., O'Flaherty, J.T., Nixon, A.B., et al. 5-Lipoxygenase products modulate the activity of the 85-kDa phospholipase A2 in human neutrophils. J Biol Chem 270 26543-26549 (1995).
Olley, P.M., and Coceani, F. Prostaglandins and the ductus arteriosus. Annu Rev Med 32 375-3785 (1981).
Cawello, W., Schweer, H., Dietrich, B., et al. Pharmacokinetics of prostaglandin E1 and its main metabolites after intracavernous injection and short-term infusion of prostaglandin E1 in patients with erectile dysfunction. J Urol 158 1403-1407 (1997).
Ramwell, P.W., Shaw, J.E., Corey, E.J., et al. Biological activity of synthetic prostaglandins. Nature 221 1251-1253 (1969).
Egashira, T., Kim, Y.I., Takayama, F., et al. Lipo-PGE1, prostaglandin E1 incorporated in lipid microspheres, protects injury of the liver caused by warm ischemia reperfusion. Free Radic Biol Med 21 353-356 (1996).
Padma-Nathan, H., Hellstrom, W.J.G., Kaiser, F.E., et al. Treatment of men with erectile dysfunction with transurethral alprostadil. N Engl J Med 336 1-7 (1997).
Antoine, C., Murphy, R.C., Henson, P.M., et al. Time-dependent utilization of platelet arachidonic acid by the neutrophil in formation of 5-lipoxygenase products in platelet-neutrophil co-incubations. Biochim Biophys Acta 1128 139-146 (1992).
Van Hijfte, L., and Kolb, M. Towards a large scale preparation of mexiprostil. Tetrahedron 48 6393-6402 (1992).
Miledi, R., and Woodward, R.M. Membrane currents elicited by prostaglandins, atrial natriuretic factor and oxytocin in follicle-enclosed Xenopus oocytes. J Physiol 416 623-643 (1989).
Schweer, H., and Fischer, S. Negative ion chemical ionization and collisionally activated decomposition mass spectra of O-2,3,4,5,6-pentafluorobenzyloxime derivatives of prostaglandins. Biol Mass Spectrom 23 47-56 (1994).
Kobzar, G., Mardla, V., Järving, I., et al. Comparison of the inhibitory effect of E-prostaglandins in human and rabbit platelet-rich plasma and washed platelets. Comp Biochem Physiol 106(2) 489-494 (1993).
Kim, E.D., and McVary, K.T. Topical prostaglandin-E1 for the treatment of erectile dysfunction. J Urol 153 1828-1830 (1995).
Jacobs, H.A., Okano, T., and Kim, S.W. Antithrombogenic surfaces: Characterization and bioactivity of surface immobilized PGE1-heparin conjugate. J Biomed Mater Res 23 611-630 (1989).
Holcroft, J.W., Vassar, M.J., and Weber, C.J. Prostaglandin E1 and survival in patients with the adult respiratory distress syndrome. Ann Surg 203 371-378 (1986).
Bergström, S., and Samuelsson, B. Isolation of prostaglandin E1 from human seminal plasma. Prostaglandins and related factors 11. J Biol Chem 237 PC3005-PC3006 (1962).
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