In vitro anti-inflammatory effects of vitamin D supplementation may be blurred in hemodialysis patients

OBJECTIVES: This study aimed to evaluate the potential anti-inflammatory effects of vitamin D supplementation under uremic conditions, both in vivo and in vitro, and its effects on the parameters of mineral metabolism. METHODS: Thirty-two hemodialysis patients were randomly assigned to receive placebo (N=14) or cholecalciferol (N=18) for six months. Serum levels of calcium, phosphate, total alkaline phosphatase, intact parathyroid hormone (iPTH), and vitamin D were measured at baseline and after three and six months. The levels of fibroblast growth factor-23 (FGF-23), interleukin-1β (IL-1β), and high-sensitivity C-reactive protein (hs-CRP) were also measured at baseline and at six months. Human monocytes were used for in vitro experiments and treated with cholecalciferol (150 nM) and uremic serum. Cell viability, reactive oxygen species (ROS) production, and cathelicidin (CAMP) expression were evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, dichloro-dihydro-fluorescein diacetate assay, and real time-quantitative polymerase chain reaction, respectively. RESULTS: Both patient groups were clinically and biochemically similar at baseline. After six months, the levels of vitamin D and iPTH were higher and lower, respectively, in the cholecalciferol group than in the placebo group (p<0.05). There was no significant difference between the parameters of mineral metabolism, such as IL-1β and hs-CRP levels, in both groups. Treatment with uremic serum lowered the monocyte viability (p<0.0001) and increased ROS production (p<0.01) and CAMP expression (p<0.05); these effects were counterbalanced by cholecalciferol treatment (p<0.05). CONCLUSIONS: Thus, cholecalciferol supplementation is an efficient strategy to ameliorate hypovitaminosis D in hemodialysis patients, but its beneficial effects on the control of secondary hyperparathyroidism are relatively unclear. Even though cholecalciferol exhibited anti-inflammatory effects in vitro, its short-term supplementation was not effective in improving the inflammatory profile of patients on hemodialysis, as indicated by the IL-1β and hs-CRP levels.

Biomarcadores com lesão do colo uterino / Biomarkers in lesions of the cervix uterine

O câncer do colo do útero é o terceiro timor maligno mais comum do trato genital feminino e é o segundo mais comum em mulheres no mundo. Existem evidências epidemiológicas de que a infecção pelo HPV de alto risco desempenha importante papel no desenvolvimento deste câncer...O objetivo é encontrar imunomarcadores que identifiquem lesões com maior risco de progressão para o câncer invasivo e que possam ser úteis na prática clínica, separando as pacietnes que podem ter abordagem mais mais conservadora daquelas que necessitam de tratamento mais agressivo.

Ação da uleína sobre a produção de óxido nítrico em células RAEC e B16F10 / Uleine effect on the production of nitric oxide in RAEC and B16F10 cells

Foi investigada a influência da fração rica em alcalóides e da substância majoritária desta fração, uleína, isolada das cascas de Himatanthus lancifolius (Muell. Arg.) Woodson, Apocynaceae, popularmente conhecida como agoniada, sobre a produção de óxido nítrico em células RAEC e B16F10 e a correlação com a atividade antioxidante. Os ensaios de atividade antioxidante foram realizados utilizando os métodos de redução do complexo fosfomolibdênico e o da redução do radical livre DPPH. Os resultados demonstraram uma atividade antioxidante de 59,3 ± 0,8 por cento para a fração alcaloídica, enquanto que, para a uleína, esse efeito foi de 0,5 ± 0,1 por cento no ensaio de redução do complexo fosfomolibdênico. No ensaio do DPPH, a fração alcaloídica apresentou IC50 = 196,3 ± 8,9 µg/mL e para a uleína 6475,0 ± 25,0 µg/mL. A uleína, principal alcalóide da fração, estimulou uma produção máxima de óxido nítrico nas concentrações de 0,1 µg/ml (20,9 ± 1,4 µM) e 1 µg/ml (41,1 ± 0,2 µM) utilizando células RAEC e B16F10, respectivamente, demonstrando que o efeito da uleína nas células ocorre através de estímulos nas vias de produção de óxido nítrico e não por um efeito sequestrante de radical livre.

The influence of the rich alkaloidal fraction and of the major substance in this fraction, uleine, isolated from the barks of Himatanthus lancifolius (Muell. Arg.) Woodson, Apocynaceae, popularly known as agoniada, on the nitric oxide production in RAEC and B16F10 cells and its correlation with the antioxidant activity, were investigated. For the antioxidant activity the methods of formation of a phosphomolybdenum complex and the reduction of the free radical DPPH were used. The results demonstrated an antioxidant activity of 59.3 ± 0.8 percent for the alkaloidal fraction, while for uleine the effect was of 0.5 ± 0.1 percent in the reduction of the phosphomolibdenium method. In the assay of DPPH, the alkaloidal fraction presented IC50 = 196.3 ± 8.9 µg/mL and for uleine, 6475.0 ± 25.0 µg/mL. Uleine also stimulated a maximum nitric oxide production in the concentrations of 0.1 µg/mL (20.9 ± 1.4 µM) and 1 µg/mL (41.1 ± 0.2 µM) using RAEC and B16F10 cells, respectively, demonstrating that the effect of uleine in the cells occurs by promoting the nitric oxide production pathway, but not through a free radical scavenger effect.