Thromboxane A
2 (TXA
2) is a type of
thromboxane
Thromboxane is a member of the family of lipids known as eicosanoids. The two major thromboxanes are thromboxane A2 and thromboxane B2. The distinguishing feature of thromboxanes is a 6-membered ether-containing ring.
Thromboxane is named for ...
that is produced by activated
platelets
Platelets or thrombocytes () are a part of blood whose function (along with the coagulation factors) is to react to bleeding from blood vessel injury by clumping to form a blood clot. Platelets have no cell nucleus; they are fragments of cyto ...
during
hemostasis
In biology, hemostasis or haemostasis is a process to prevent and stop bleeding, meaning to keep blood within a damaged blood vessel (the opposite of hemostasis is hemorrhage). It is the first stage of wound healing. Hemostasis involves three ...
and has prothrombotic properties: it stimulates activation of new platelets as well as increases platelet aggregation. This is achieved by activating the
thromboxane receptor
The thromboxane receptor (TP) also known as the prostanoid TP receptor is a protein that in humans is encoded by the ''TBXA2R'' gene, The thromboxane receptor is one among the five classes of prostaglandin receptor, prostanoid receptors and was ...
, which results in platelet-shape change, inside-out activation of
integrin
Integrins are transmembrane receptors that help cell–cell and cell–extracellular matrix (ECM) adhesion. Upon ligand binding, integrins activate signal transduction pathways that mediate cellular signals such as regulation of the cell cycle, o ...
s, and
degranulation. Circulating
fibrinogen
Fibrinogen (coagulation factor I) is a glycoprotein protein complex, complex, produced in the liver, that circulates in the blood of all vertebrates. During tissue and vascular injury, it is converted Enzyme, enzymatically by thrombin to fibrin ...
binds these receptors on adjacent platelets, further strengthening the
clot
A thrombus ( thrombi) is a solid or semisolid aggregate from constituents of the blood (platelets, fibrin, red blood cells, white blood cells) within the circulatory system during life. A blood clot is the final product of the blood coagulatio ...
. TXA
2 is also a known
vasoconstrictor and is especially important during tissue injury and inflammation. It is also regarded as responsible for
Prinzmetal's angina.
Receptors that mediate TXA
2 actions are
thromboxane A2 receptors. The human TXA
2 receptor (TP) is a typical G protein-coupled receptor (GPCR) with seven transmembrane segments. In humans, two TP receptor splice variants – TPα and TPβ – have so far been cloned.
Synthesis and breakdown
Thromboxane A
2 (TXA
2) is generated from
prostaglandin H2 by
thromboxane-A synthase in a metabolic reaction which generates approximately equal amounts of
12-hydroxyheptadecatrienoic acid (12-HHT).
Aspirin
Aspirin () is the genericized trademark for acetylsalicylic acid (ASA), a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain, fever, and inflammation, and as an antithrombotic. Specific inflammatory conditions that aspirin is ...
irreversibly inhibits platelet
cyclooxygenase 1 preventing the formation of prostaglandin H
2, and therefore TXA
2. Contrastly, TXA
2 vascular tissue synthesis is stimulated by angiotensin II which promotes cyclooxygenase I's metabolism of arachidonic acid. An angiotensin II dependent pathway also induces hypertension and interacts with TXA
2 receptors.
TXA
2 is very unstable in aqueous solution, since it is hydrated within about 30 seconds to the biologically inactive
thromboxane B2. 12-HHT, while once thought to be an inactive byproduct of TXA
2 synthesis, has recently been shown to have a range of potentially important actions, some of which relate to the actions of TXA
2 (see
12-Hydroxyheptadecatrienoic acid). Due to its very short half life, TXA
2 primarily functions as an autocrine or paracrine mediator in the nearby tissues surrounding its site of production. Most work in the field of TXA
2 is done instead with synthetic analogs such as
U46619
U46619 is a stable synthetic Structural analog, analog of the endoperoxide prostaglandin PGH2 first prepared in 1975, and acts as a thromboxane A2 (TP) receptor agonist. It potently stimulates TP receptor-mediated, but not other prostaglandin rec ...
and
I-BOP.
In human studies,
11-dehydrothromboxane B2 levels are used to indirectly measure TXA
2 production.
References
{{Prostanoidergics
Eicosanoids