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prostacyclin prostaglandin i2 pgi2 eicosanoid lipid molecule phosphatidylcholine pc lecithin sphingomyelin phosphatidylethanolamine phospholipid membrane choline cell arachidonic acid lipid phosphocholine cholesterol fatty ceramide lysophosphatidylcholine bilayer surfactant glycerophospholipid phosphatidylserine lipophilic platelet activation vasodilator epoprostenol hemostasis blood clot pulmonary fibrosis arterial hypertension atherosclerosis raynaud's phenomenon metabolite metabolism biosynthesis mechanism biosynthetic intermediate biogenesis precursor synthesis derivative bioprecursor endogenous 3d