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MD05 [Mar96] Aspirin:

A. At low doses inhibits prostacyclin
B. Reversibly inhibits lipoxygenase
C. Non-competitively inhibits cycloxygenase
D. Can cause asthmatic reactions
E. ?

1 Answer

2 votes

Final answer:

Aspirin, a nonsteroidal anti-inflammatory drug, irreversibly inhibits cyclooxygenase enzymes, reducing prostaglandin synthesis and affecting blood clotting. It does not inhibit lipoxygenase nor does it act on COX in a reversible or non-competitive way, and can cause asthmatic reactions in some individuals.

Step-by-step explanation:

Aspirin, also known as acetylsalicylic acid, is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used to reduce pain, inflammation, and fever. Its mechanism of action involves the inhibition of the cyclooxygenase (COX) enzymes, which are essential in the synthesis of prostaglandins, substances that contribute to the inflammatory response and pain. Specifically, at low doses, aspirin has been shown to irreversibly inhibit COX-1 by acetylating a serine residue within the enzyme, leading to a decrease in thromboxane production, which can have anticoagulant effects. This can reduce the risk of heart attacks and strokes, but it may also increase the risk of bleeding. Moreover, aspirin can indeed cause asthmatic reactions in some individuals, as it can lead to the alteration of arachidonic acid metabolism in sensitive populations. However, aspirin does not inhibit prostacyclin at low doses and it does not act on the lipoxygenase pathway; therefore, it does not inhibit lipoxygenase, nor does it affect cyclooxygenase in a reversible or non-competitive manner.

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