Mechanism of aspirin action is
**Core Concept**
Aspirin, also known as acetylsalicylic acid, is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits the production of prostaglandins, which are key mediators of inflammation and pain. The mechanism of aspirin action involves the inhibition of an enzyme responsible for the synthesis of prostaglandins.
**Why the Correct Answer is Right**
Aspirin exerts its effect by irreversibly inhibiting the enzyme cyclooxygenase (COX), specifically the COX-1 and COX-2 isoforms. COX is responsible for the conversion of arachidonic acid to prostaglandin H2, which is then further converted to various prostaglandins. By inhibiting COX, aspirin reduces the production of prostaglandins, leading to a decrease in inflammation, pain, and fever. The inhibition of COX is also responsible for aspirin's antiplatelet effect, as prostaglandin I2 (PGI2) is a potent inhibitor of platelet aggregation.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not specify the mechanism of aspirin action. While aspirin may have some effect on the enzyme phospholipase A2, this is not its primary mechanism of action.
**Option B:** This option is incorrect because it refers to a different class of drugs, the nonsteroidal anti-inflammatory drugs (NSAIDs), which include aspirin but do not accurately describe its mechanism of action.
**Option C:** This option is incorrect because it refers to a different enzyme, cytochrome P450, which is involved in the metabolism of aspirin but not its mechanism of action.
**Clinical Pearl / High-Yield Fact**
Aspirin's ability to irreversibly inhibit COX-1 explains its antiplatelet effect, which is useful in preventing cardiovascular events. However, this also increases the risk of bleeding, particularly in patients with gastrointestinal ulcers or other bleeding disorders.
**Correct Answer: A. Inhibition of cyclooxygenase (COX) enzyme.**