ABSTRACT
Introdução: A infecção endodôntica ocasionada por Enterococcus faecalis é um problema sério no tratamento de dentes comprometidos. É de preocupação do cirurgião dentista um completo saneamento do sistema de canais radiculares pela aplicação de medicação antisséptica entre sessões. Dentre estas medicações, a pasta de hidróxido de cálcio tem sido associada a diferentes veículos para potencializar sua ação. Objetivos: Diante disto, este estudo objetivou avaliar e comparar a eficiência da atividade antimicrobiana in vitro de diferentes pastas de hidróxido de cálcio frente ao E. faecalis. Material e Métodos: Os testes foram executados em 49 blocos de dentina infectados com E. faecalis e tratados com pastas de hidróxido de cálcio em diferentes veículos por uma semana. A eficiência das pastas foi avaliada pela microscopia confocal de varredura a laser. Para comparação entre as pastas foi empregado o teste de Kruskal-Wallis e pelo teste de Dunn para comparações individuais com nível de significância estabelecido em 5%. Resultados: A aplicação das diferentes pastas proporcionou uma significativa alteração na proporção de bactérias viáveis e não viáveis encontradas no biovolume celular total dos blocos de dentina. Conclusão: A pasta que revelou melhor desempenho antimicrobiano foi aquela cujo veículo foi água destilada. A pasta de hidróxido de cálcio associada ao extrato propilenoglicólico de guaçatonga não apresentou desempenho antimicrobiano sobre células de E. faecalis. (AU)
Introduction: The endodontic infection caused by Enterococcus faecalis is a serious problem in the treatment of compromised teeth. It is a concern to the dental surgeon a complete sanitation of the root canal system by applying antiseptic medication between sessions. Among these medications, the calcium hydroxide paste has been linked to different vehicles to enhance its action. Objectives: Thus, this study aimed to evaluate and compare the efficiency of in vitro antimicrobial activity of different pastes of calcium hydroxide against E. faecalis. Material and Methods: Tests were performed in 49 blocks dentin infected with E. faecalis and treated with calcium hydroxide pastes in different vehicles for a week. The efficiency of the pastes was evaluated by confocal laser scanning. The Kruskal-Wallis test was used to compare the pastes and the Dunn test was used for individual comparisons with a significance level set at 5%. Results: The application of different pastes provided a significan change in the proportion of viable and non-viable bacteria found in the total cell biovolume of the blocks of dentin. Conclusion: The paste that revealed the best antimicrobial performance was the one whose vehicle was distilled water. The calcium hydroxide paste associated with the extract of guaçatonga in propylene glycol showed no antimicrobial performance on cells of E. faecalis. (AU)
Subject(s)
Animals , Cattle , Calcium Hydroxide/pharmacology , Enterococcus faecalis/drug effects , Dentin/drug effects , Anti-Bacterial Agents/adverse effects , In Vitro Techniques , Materials Testing , Microscopy, Confocal/methodsABSTRACT
Background Tumor necrosis factor plays a critical role in the pathogenesis of gastric diseases such as gastric cancer, and an abnormal inflammatory response has frequently been observed in dyspeptic patients. Helicobacter pylori infection can induce a gastric mucosal inflammatory response that may be influenced by -308 (G > A) polymorphisms and gene expression of theTNF-α gene. Methods One hundred and thirty-four gastric biopsy samples were collected from patients of both genders (61♂ and 73♀, mean age 40.3 ± 24.2 years) with gastric symptoms. The -308 (G > A) polymorphism of TNF-α; was characterized using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). The expression level was measured using real-time PCR, and relative quantification (RQ) was calculated using the comparative CT method (2-ΔΔCT). Results The analysis revealed an increase in TNF-α gene expression in patients with gastritis; on the other hand, no statistical differences were observed in patients with gastric cancer. In addition, no association was found among -308 polymorphism genotypes, virulence markers, or TNF-α gene expression. Conclusions Helicobacter pylori induces a large increase in TNF-α expression in patients with gastritis, regardless of tissue inflammation, but after the tissue becomes neoplastic, the presence of bacteria did not influence expression. These results suggest that the TNF-α; pathway may play an important role in the progression from gastritis to gastric cancer(AU)
Subject(s)
Stomach Neoplasms , Biomarkers , Gene Expression , Helicobacter pylori , BiopsyABSTRACT
Background Tumor necrosis factor plays a critical role in the pathogenesis of gastric diseases such as gastric cancer, and an abnormal inflammatory response has frequently been observed in dyspeptic patients. Helicobacter pylori infection can induce a gastric mucosal inflammatory response that may be influenced by -308 (G > A) polymorphisms and gene expression of theTNF- gene. Methods One hundred and thirty-four gastric biopsy samples were collected from patients of both genders (61 and 73, mean age 40.3 ± 24.2 years) with gastric symptoms. The -308 (G > A) polymorphism of TNF- was characterized using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). The expression level was measured using real-time PCR, and relative quantification (RQ) was calculated using the comparative CT method (2-CT). Results The analysis revealed an increase in TNF- gene expression in patients with gastritis; on the other hand, no statistical differences were observed in patients with gastric cancer. In addition, no association was found among -308 polymorphism genotypes, virulence markers, or TNF- gene expression. Conclusions Helicobacter pylori induces a large increase in TNF- expression in patients with gastritis, regardless of tissue inflammation, but after the tissue becomes neoplastic, the presence of bacteria did not influence expression. These results suggest that the TNF- pathway may play an important role in the progression from gastritis to gastric cancer.
Subject(s)
Animals , Tumor Necrosis Factor-alpha , Helicobacter pylori/genetics , Stomach Neoplasms , Polymorphism, GeneticABSTRACT
Only a few Helicobacter pylori-infected individuals develop severe gastric diseases and virulence factors of H. pylori appear to be involved in such clinical outcomes. Duodenal ulcer promoting gene A (dupA) is a novel virulence factor of Helicobacter pylori that is associated with duodenal ulcer development and reduced risk for gastric carcinoma in some populations. The aims of the present study were to determine the presence of dupA gene and evaluate the association among dupA and other virulence factors including cagA and vacA in Brazilian patients. Gastric biopsies were obtained from 205 dyspeptic patients (100 children and 105 adults). DNA was extracted and analyzed for the presence of H. pylori and its virulence factors using the polymerase chain reaction method.
Subject(s)
Animals , Helicobacter pylori/pathogenicity , Virulence , Peptic Ulcer , Polymerase Chain ReactionABSTRACT
Epidemiological investigations have indicated that Helicobacter pylori induces inflammation in the gastric mucosa regulated by several interleukins. The genes IL1B and IL8 are suggested as key factors in determining the risk of gastritis. The aim of this paper was to evaluate the association of gene polymorphism of interleukin-1 and interleukin-8 with chronic gastrits in H. pylori infected patients. A total of 60 patients underwent endoscopic procedure. Biopsy samples were collected for urease test, histopathological and molecular exams. The DNA of theses samples was extracted for detection of H. pylori and analysis of the genes mentioned above. Patients with gastritis had a higher frequency of H. pylori-positive samples.
Subject(s)
Animals , Gastritis/pathology , Helicobacter , Interleukin-1 , Polymorphism, Genetic/geneticsABSTRACT
Only a few Helicobacter pylori-infected individuals develop severe gastric diseases and virulence factors of H. pylori appear to be involved in such clinical outcomes. Duodenal ulcer promoting gene A (dupA) is a novel virulence factor of Helicobacter pylori that is associated with duodenal ulcer development and reduced risk for gastric carcinoma in some populations. The aims of the present study were to determine the presence of dupA gene and evaluate the association among dupA and other virulence factors including cagA and vacA in Brazilian patients. Gastric biopsies were obtained from 205 dyspeptic patients (100 children and 105 adults). DNA was extracted and analyzed for the presence of H. pylori and its virulence factors using the polymerase chain reaction method.
Subject(s)
Animals , Helicobacter pylori/pathogenicity , Peptic Ulcer , Virulence , Polymerase Chain ReactionABSTRACT
Epidemiological investigations have indicated that Helicobacter pylori induces inflammation in the gastric mucosa regulated by several interleukins. The genes IL1B and IL8 are suggested as key factors in determining the risk of gastritis. The aim of this paper was to evaluate the association of gene polymorphism of interleukin-1 and interleukin-8 with chronic gastrits in H. pylori infected patients. A total of 60 patients underwent endoscopic procedure. Biopsy samples were collected for urease test, histopathological and molecular exams. The DNA of theses samples was extracted for detection of H. pylori and analysis of the genes mentioned above. Patients with gastritis had a higher frequency of H. pylori-positive samples.
Subject(s)
Animals , Gastritis/pathology , Helicobacter , Interleukin-1 , Polymorphism, Genetic/geneticsABSTRACT
Introdução: o Helicobacter pylori é um importante patógeno associado ao desenvolvimento de gastrite crônica, úlcera péptica e doenças gástricas. Vários autores relataram que a infiltração de células inflamatórias, incluindo neutrófilos, é um traço da patologia da mucosa gástrica associada com a infecção. Há evidências de que a inflamação está associada à gravidade das lesões gástricas. A interleucina 8 (IL-8), um membro da família das citocinas, é um ativador quimiotático de neutrófilos e linfócitos e tem sido descrito que o aumento dos níveis de IL-8 na mucosa gástrica pode estar associado com a infecção por H.pylori. Objetivos: os objetivos deste trabalho foram (i) caracterizar o polimorfismo da Interleucina-8 -251T>A (ii) e verificar a possível relação entre este polimorfismo e infecção por H.pylori. Métodos: cento e sessenta pacientes sintomáticos (com idade média de 48,7 anos) participaram do estudo: 107 pacientes positivos para H.pylori e 53 negativos, previamente diagnosticados por PCR. Os genótipos da IL-8 -251 T>A foram determinados através da reação em cadeia da polimerase (PCR) e utilização de enzimas de restrição (RFLP). Resultados e Conclusões: nossos resultados indicam que não há associação entre o polimorfismo da IL-8 -251 T>A e a infecção por H.pylori ou pelo gênero dos pacientes.
Background: Helicobacter pylori is an important pathogen associated with the development of chronic gastritis, peptic ulcer disease and gastric disease. Several authors reported that the infiltration of inflammatory cells, including neutrophils is the trace of the pathology of gastric mucosa, associated with the infection. There is high evidence that inflammation is associated with severity of gastric lesions. Interleukin-8 (IL-8), a member of cytokines family, is an activator and chemoattractant of neutrophils and lymphocytes. It has been reported that increased gastric mucosal levels of IL-8 is associated with H. pylori infection. Objective: the objectives of this paper were (i) characterize Interleukin-8 -251T>A polymorphism and (ii) to examine the possible relationship between this polymorphism and the H. pylori infection. Methods: one hundred and sixty patients, (with a mean age 48.7 years) presenting recurrent abdominal pain participated in the study: 107 H. pylori positives and 53 H. pylori negatives previously diagnosed by PCR. IL8 -251T>A genotypes were determined using a polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). Results and Conclusions: our findings indicate that there is no association of IL-8 -251T>A with H. pylori-infected patients or gender of these patients and these conclusions were consistent with other reports from different population samples.