Prostaglandin
(PG) biosynthetic pathway. Bis-dioxygenation
and cyclization of arachidonic acid at the cyclooxygenase active site
of COX-1 or COX-2 yields PGG2. Reduction of the 15-hydroperoxyl
group of PGG2 at the peroxidase active site of COX-1 or
COX-2 yields PGH2. PGH2 serves as a substrate
for five different synthases, producing four signaling PG products
(PGE2, PGI2, PGF2α, and PGD2) or thromboxane A2 (TXA2). PGH2 is chemically unstable under physiological conditions, and
in the absence of the synthase enzymes, it is hydrolyzed to a mixture
of PGE2 and PGD2.