Alanyl-glutamine protects the intestinal barrier function in trained rats against the impact of acute exhaustive exercise

Strenuous exercise triggers deleterious effects on the intestinal epithelium, but their mechanisms are still uncertain. Here, we investigated whether a prolonged training and an additional exhaustive training protocol alter intestinal permeability and the putative effect of alanyl-glutamine (AG) pretreatment in this condition. Rats were allocated into 5 different groups: 1) sedentary; 2 and 3) trained (50 min per day, 5 days per week for 12 weeks) with or without 6 weeks oral (1.5 g/kg) AG supplementation; 4 and 5) trained and subjected to an additional exhaustive test protocol with or without oral AG supplementation. Venous blood samples were collected to determine gasometrical indices at the end of the 12-week protocol or after exhaustive test. Lactate and glucose levels were determined before, during, and after the exhaustive test. Ileum tissue collected after all experimental procedures was used for gene expression analysis of Zonula occludens 1 (ZO-1), occludin, claudin-2, and oligopeptide transporter 1 (PepT-1). Intestinal permeability was assessed by urinary lactulose/mannitol test collected after the 12-week protocol or the exhaustive test. The exhaustive test decreased pH and base excess and increased pCO2. Training sessions delayed exhaustion time and reduced the changes in blood glucose and lactate levels. Trained rats exhibited upregulation of PEPT-1, ZO-1, and occludin mRNA, which were partially protected by AG. Exhaustive exercise induced intestinal paracellular leakage associated with the upregulation of claudin-2, a phenomenon protected by AG treatment. Thus, AG partially prevented intestinal training adaptations but also blocked paracellular leakage during exhaustive exercise involving claudin-2 and occludin gene expression.

Manutenção da permeabilidade dos dispositivos de acesso venoso central em pacientes com câncer / Maintenance of central venous access devices permeability in cancer patients / Mantenimiento de la permeabilidad de los dispositivos de acceso venoso central en pacientes con câncer

Objetivo: atualizar o conhecimento sobre a manutenção da permeabilidade dos Dispositivos de Acesso Vascular Central (DAVC) em paciente com câncer. Conteúdo: os pacientes que fazem uso de quimioterápicos muitas vezes necessitam de DAVC seguros e de longa permanência; a obstrução ocorre em 36% dos pacientes com DAVC inseridos no período de 2 anos, que pode ser classificada como mecânica, por precipitação de medicamento/minerais e pela formação de coágulos. A equipe de enfermagem é responsável por realizar os cuidados para manter a permeabilidade desses dispositivos através do Flushing e Locking. O uso de heparina demonstrou baixa evidência quando comparado ao Soro Fisiológico (SF), em relação a diminuição da obstrução. Conclusão: o uso de SF na manutenção dos DAVC mostra-se seguro, eficaz e com menor custo financeiro.

Objective: to update the knowledge on the maintenance of permeability of Central Vascular Access Devices (CVAD) in cancer patients. Content: Patients on chemotherapy often require safe, long-term CKD. Obstruction occurs in 36% of patients with CVAD inserted in a 2-year period, which can be classified as mechanical due to drug / mineral precipitation and clot formation. The nursing staff is responsible for taking care to maintain the permeability of these devices through Flushing and Locking. The use of heparin showed low evidence when compared to saline (SF), regarding the reduction of obstruction. Conclusion: the use of DES to maintain CVAD is safe, effective and has a lower financial cost.

Objetivo: actualizar los conocimientos sobre el mantenimiento de la permeabilidad del dispositivo de acceso vascular central (DAVC) en pacientes con cáncer. Contenido: los pacientes que usan quimioterápicos a menudo necesitan DAVC seguros y de larga permanência. La obstrucción ocurre en el 36% de los pacientes con DAVC insertados en el período de 2 años y puede ocorir por precipitación de medicamento / minerales y por la formación de coágulos. El equipo de enfermería es responsable de realizar los cuidados para mantener la permeabilidad de estos dispositivos a través del Flushing y Locking. El uso de heparina demostró una baja evidencia en comparación con el Suero Fisiológico (SF), en relación con la disminución de la obstrucción. Conclusión: el uso de SF en el mantenimiento de los DAVC se muestra seguros, eficaz y con menor costo financiero.

Statistical investigation of Kluyveromyces lactis cells permeabilization with ethanol by response surface methodology

The aim of our study was to select the optimal operating conditions to permeabilize Kluyveromyces lactis cells using ethanol as a solvent as an alternative to cell disruption and extraction. Cell permeabilization was carried out by a non-mechanical method consisting of chemical treatment with ethanol, and the results were expressed as β-galactosidase activity. Experiments were conducted under different conditions of ethanol concentration, treatment time and temperature according to a central composite rotatable design (CCRD), and the collected results were then worked out by response surface methodology (RSM). Cell permeabilization was improved by an increase in ethanol concentration and simultaneous decreases in the incubation temperature and treatment time. Such an approach allowed us to identify an optimal range of the independent variables within which the β-galactosidase activity was optimized. A maximum permeabilization of 2,816 mmol L-1 oNP min-1 g-1 was obtained by treating cells with 75.0% v/v of ethanol at 20.0 °C for 15.0 min. The proposed methodology resulted to be effective and suited for K. lactis cells permeabilization at a lab-scale and promises to be of possible interest for future applications mainly in the food industry.

Ensaio de permeabilidade em membrana artificial paralela (PAMPA): investigação das variáveis do ensaio para o estudo da permeabilidade de fármacos / Parallel artificial membrane permeability assay (PAMPA): investigation of the assay variables in drug permeability study

O acesso à permeabilidade é uma etapa crucial na definição da via de administração de um fármaco, além de ser um dos parâmetros utilizados para a avaliação e seleção de moléculas durante as fases iniciais da pesquisa por novos fármacos. Diversos modelos in vitro têm sido descritos para a realização dos estudos de permeabilidade, mas ainda é evidente a carência de padronização de seus protocolos. O modelo de Permeabilidade em Membrana Artificial Paralela (PAMPA) é rápido e simples, podendo ser facilmente incorporado à rotina de um laboratório. Não obstante, tem apresentado excelente correlação com modelos in vitro quando na avaliação da permeabilidade de fármacos transportados pela via passiva transcelular. O principal objetivo deste trabalho foi investigar a influência das principais variáveis do método de PAMPA e seu impacto na permeabilidade de fármacos. Para tanto, foram selecionados 9 fármacos com características físico-químicas distintas, em função dos seguintes critérios: lipofilicidade (logP); Área de Superfície Polar (PSA); Volume Molecular (VM); pKa; Peso Molecular (PM); Número doadores de ligação de hidrogênio (HBD) e Sistema de Classificação Biofarmacêutica (SCB). Os fármacos selecionados foram listados quanto à sua permeabilidade em jejuno humano (Peff) e em cultura de células Caco-2, além de Fração de Absorção (FA%) em humanos. Para o estudo das variáveis da técnica de PAMPA, a ferramenta de Desenho de Experimentos (DOE) foi utilizada e as seguintes condições de ensaio foram exploradas: gradiente de pH do meio do compartimento doador, presença ou ausência de ácido glicocólico no meio do compartimento receptor, variação do tempo de incubação, presença ou ausência de agitação das placas durante a incubação e variação da composição lipídica da membrana artificial. A combinação fatorial completa das condições de ensaio a serem exploradas resultou em 96 experimentos, os quais foram executados em triplicata. Os resultados obtidos apontaram que as variações do pH do meio do compartimento doador, do tempo de incubação e da composição do meio do compartimento receptor foram as condições do ensaio de PAMPA que mais impactaram a permeabilidade dos fármacos. Os resultados obtidos nos 96 experimentos do DOE foram relacionados, a partir de regressão linear, com os parâmetros fisico-químicos e dados de permeabilidade dos fármacos do estudo. O experimento de DOE que apresentou melhor correlação com os dados de permeabilidade em jejuno humano para os fármacos contemplados neste estudo teve um R2=0,858. As condições de ensaio consideradas para este experimento foram: pH 4,5 no compartimento doador, incubação de 15 horas, ausência de agitação das placas, membrana composta por fosfatidilcolina 10% (p/v) e colesterol 0,5% (p/v) e presença de ácido glicocólico 0,5% (p/v) no compartimento receptor. Dentre as propriedades físico-químicas, o PM, PSA e VM foram propriedades comuns a grupos de fármacos cuja permeabilidade foi favorecida pelas mesmas condições de ensaio de PAMPA. Os maiores valores de permeabilidade em PAMPA foram obtidos para fármacos com Peff entre 1 e 2 *10-4 cm/s, permeabilidade em células Caco-2 entre 20 e 27 *10-6 cm/s, faixa de logP entre 0 e 3 além de PM abaixo de 300 Da e PSA abaixo de 90Å2

The permeability access is a critical step when defining the route of administration of a drug, besides from being one of the parameters considered for selecting the best candidates during the initial stages of new molecules discovery. For this reason, there is a need to implement high capacity and low cost models, which have a high correlation with in vivo permeability. Several in vitro models have been described for the studies of permeability, but the lack of standardization of protocols is still evident. Parallel Artificial Membrane Permeability Assay (PAMPA) is fast and simple and can be easily incorporated into the routine of a laboratory. Nevertheless, it has shown excellent correlation with in vitro models when evaluating the permeability of drugs that are transported primarily by passive transcellular route. The aim of this project was to investigate the influence of key variables of PAMPA on the permeability of drugs. Therefore, nine drugs with different physicochemical characteristics were selected based on the following criteria: lipophilicity (logP), Polar Surface Area (PSA), Molecular Volume (MV), pKa, Molecular Weight (MW), number of Hydrogen Bond Donors (HBD) and Biopharmaceutical Classification System (BCS). In addition, the drugs were listed for their permeability in human jejunum, Caco-2 and Fraction of Absorption (FA%) in humans. Design of Experiments (DOE) was considered to plan the PAMPA experiments, and the following assay conditions were explored: pH gradient in the donor compartment, glycocholic acid presence or absence in the acceptor compartment, variations in the incubation time, presence or absence of plate agitation and variations in the lipid composition of the artificial membranes. Full factorial combination of the assay variables resulted in 96 experiments, which were performed in triplicate. The results showed that the pH of the donor compartment, the incubation time and acceptor compartment composition were the assay conditions which most impacted the PAMPA results of drugs. The 96 DOE experiments results were then correlated, by linear regression, with both the physic-chemical and permeability data of the selected drugs. The DOE experiment that showed the best correlation with the permeability in human jejunum (R2 = 0.858) for the drugs included in this study had the following test conditions: pH 4.0 in the donor compartment, incubation of 15 hours, without plate agitation, artificial membrane composed of phosphatidylcholine 10% (w/v) and cholesterol 0.5% (w/v) in dodecane and presence of glycocholic acid 0.5% (w/v) in the receptor compartment. Among the studied physicochemical properties, the molecular weight (MW), polar surface area (PSA) and molecular volume (VM) were the best drivers for determining PAMPA most suitable assay conditions. The highest PAMPA values were obtained for drugs with Peff between 1 and 2 *10-4 cm/s and Caco-2 permeability between 20 and 27 *10-6 cm/s, besides from logP between 0 and 3, MW below 300 Da and PSA below 90Å2

Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

OBJECTIVE: Apolipoprotein E4 may benefit children during early periods of life when the body is challenged by infection and nutritional decline. We examined whether apolipoprotein E4 affects intestinal barrier function, improving short-term growth and long-term cognitive outcomes in Brazilian shantytown children. METHODS: A total of 213 Brazilian shantytown children with below-median height-for-age z-scores (HAZ) received 200,000 IU of retinol (every four months), zinc (40 mg twice weekly), or both for one year, with half of each group receiving glutamine supplementation for 10 days. Height-for-age z-scores, weight-for-age z-scores, weight-forheight z-scores, and lactulose:mannitol ratios were assessed during the initial four months of treatment. An average of four years (range 1.4-6.6) later, the children underwent cognitive testing to evaluate non-verbal intelligence, coding, verbal fluency, verbal learning, and delayed verbal learning. Apolipoprotein E4 carriage was determined by PCR analysis for 144 children. RESULTS: Thirty-seven children were apolipoprotein E4(+), with an allele frequency of 13.9 percent. Significant associations were found for vitamin A and glutamine with intestinal barrier function. Apolipoprotein E4(+) children receiving glutamine presented significant positive Pearson correlations between the change in height-for-age z-scores over four months and delayed verbal learning, along with correlated changes over the same period in weight-for-age z-scores and weight-for-height z-scores associated with non-verbal intelligence quotients. There was a significant correlation between vitamin A supplementation of apolipoprotein E4(+) children and improved delta lactulose/mannitol. Apolipoprotein E4(-) children, regardless of intervention, exhibited negative Pearson correlations between the change in lactulose-to-mannitol ratio over four months and verbal learning and non-verbal intelligence. CONCLUSIONS: During development, apolipoprotein E4 may function concomitantly with gut-tropic nutrients to benefit immediate nutritional status, which can translate into better long-term cognitive outcomes.

Preparation and evaluation of 5, 9-dimethyl-2-cyclopropyl-2-decanol as a penetration enhancer for drugs through rat skin

In the present study a new alcohol derivative of tetrahydrogeraniol [THG], an acyclic monoterpene, has been prepared by using Grignard reagent and methyl cyclopropyl ketone. Penetration enhancing effects of THG and the synthesized derivative 5,9-dimethyl-2-cyclopropyl-2-decanol [DICNOL] on the transdermal penetration of 5-fluorouracil [5-FU] and tramadol hydrochloride [tramadol HC1] across the excised rat skin were studied by an in vitro permeation technique using Franz diffusion cells. Azone was used as standard enhancer for comparison. DICNOL and THG significantly enhanced 5-FU and tramadol HC1 penetration through rat skin compared with the control. DICNOL enhanced the permeability of 5-FU and tramadol HC1 across full thickness skin by about 11 and 20 fold, respectively. Increased partition coefficient and diffusion coefficient values were obtained by these enhancers. The results suggest that the amount of DICNOL in the skin, especially in the stratum corneum, may be related to its penetration enhancing effects

Contribution of Nitric Oxide Synthase [NOS] Activity in Blood-Brain Barrier Disruption and Edema after Acute Ischemia/ Reperfusion in Aortic Coarctation-Induced Hypertensive Rats

Nitric oxide synthase [NOS] activity is increased during hypertension and cerebral ischemia. NOS inactivation reduces stroke-induced cerebral injuries, but little is known about its role in blood-brain barrier [BBB] disruption and cerebral edema formation during stroke in acute hypertension. Here, we investigated the role of NOS inhibition in progression of edema formation and BBB disruptions provoked by ischemia/reperfusion injuries in acute hypertensive rats. Rats were made acutely hypertensive by aortic coarctation. After 7 days, the rats were randomly selected for the recording of carotid artery pressure, or regional cerebral blood flow [rCBF] using laser Doppler. Ishcemia induced by 60-min middle cerebral artery occlusion [MCAO], followed by 12-h reperfusion. A single i.p. dose of L-NAME [1 mg/kg] was injected before MCAO. After evaluation of neurological disabilities, rats were slaughtered under deep anesthesia to assess cerebral infarction volume, edema, or BBB disruption. A 75-85% reduction in rCBF was occurred during MCAO which returned to pre-occluded levels during reperfusion. Profound neurological disabilities were evidenced after MCAO alongside with severe cerebral infarctions [628 +/- 98 mm[3]], considerable edema [4.05 +/- 0.52%] and extensive BBB disruptions [Evans blue extravasation, 8.46 +/- 2.03 [microg/g]. L-NAME drastically improved neurological disabilities, diminished cerebral infarction [264 +/- 46 mm[3]], reduced edema [1.49 +/- 0.47%] and BBB disruption [2.93 +/- 0.66 microg/g]. The harmful actions of NOS activity on cerebral microvascular integrity are intensified by ischemia/reperfusion injuries during acute hypertension. NOS inactivation by L-NAME preserved this integrity and diminished cerebral edema

Ginseng Total Saponin Improves Podocyte Hyperpermeability Induced by High Glucose and Advanced Glycosylation Endproducts

Early diabetic nephropathy is characterized by glomerular hyperpermeability as a result of impaired glomerular filtration structure caused by hyperglycemia, glycated proteins or irreversible advanced glycosylation endproducts (AGE). To investigate the effect of ginseng total saponin (GTS) on the pathologic changes of podocyte ZO (zonula occludens)-1 protein and podocyte permeability induced by diabetic conditions, we cultured mouse podocytes under: 1) normal glucose (5 mM, = control); 2) high glucose (HG, 30 mM); 3) AGE-added; or 4) HG plus AGE-added conditions and treated with GTS. HG and AGE increased the dextran filtration of monolayered podocytes at early stage (2-8 hr) in permeability assay. In confocal imaging, ZO-1 colocalized with actin filaments and beta-catenin at cell contact areas, forming intercellular filtration gaps. However, these diabetic conditions suppressed ZO-1 immunostainings and disrupted the linearity of ZO-1. In Western blotting, diabetic conditions also decreased cellular ZO-1 protein levels at 6 hr and 24 hr. GTS improved such quantitative and qualitative changes. These findings imply that HG and AGE have an influence on the redistribution and amount of ZO-1 protein of podocytes thereby causing hyperpermeability at early stage, which can be reversed by GTS.

Intestinal permeability assessed by 51Cr-EDTA in rats with CCl4 - induced cirrhosis / Permeabilidade intestinal ao 51-Cr-EDTA em ratos com cirrose induzida por CCl4

CONTEXT: The straight relationship between cirrhosis and impaired intestinal barrier has not been elucidated yet. OBJECTIVES: To verify 51Cr-EDTA-intestinal permeability in rats with CCl4-induced cirrhosis and controls. METHOD: Fifty male Wistar rats weighing 150-180 g were separated in three groups: 25 animals received CCl4 0.25 mL/kg with olive oil by gavage with 12 g/rat/day food restriction for 10 weeks (CCl4-induced cirrhosis); 12 received the same food restriction for 10 weeks (CCl4-non exposed). Other 13 rats received indomethacin 15 mg/kg by gavage as positive control of intestinal inflammation. RESULTS: The median (25-75 interquartile range) 51Cr-EDTA-IP values of cirrhotic and CCl4-non exposed rats were 0.90 percent (0.63-1.79) and 0.90 percent (0.60-1.52) respectively, without significant difference (P = 0.65). Animals from indomethacin group showed 51Cr-EDTA-IP, median 7.3 percent (5.1-14.7), significantly higher than cirrhotic and CCl4-non exposed rats (P<0.001). CONCLUSION: This study showed the lack of difference between 51Cr-EDTA-intestinal permeability in rats with and without cirrhosis. Further studies are necessary to better clarify the relationship between intestinal permeability and cirrhosis.

CONTEXTO: A relação direta entre cirrose e alterações na barreira intestinal ainda não foi devidamente esclarecida. OBJETIVO: Verificar a permeabilidade intestinal ao 51Cr-EDTA em ratos com cirrose induzida por tetracloreto de carbono (CCl4) e controles. MÉTODO: Cinquenta ratos Wistar machos pesando 150-180 g foram separados em três grupos: 25 animais receberam CCl4 0,25 mL/kg diluído em óleo de oliva por gavagem com restrição dietética de 12 g/rato/dia por 10 semanas (grupo cirrose induzida por CCl4); 12 receberam a mesma restrição dietética por 10 semanas (grupo não exposto ao CCl4). Outros 13 ratos receberam indometacina 15 mg/kg por gavagem como controle positivo de inflamação intestinal. RESULTADOS: A mediana (intervalo interquartil 25-75) dos valores de permeabilidade intestinal ao 51Cr-EDTA dos grupos cirrose induzida por CCl4 e não exposto ao CCl4 foram 0,90 por cento (0,63-1,79) e 0,90 por cento (0,60-1,52), respectivamente, sem significância estatística (P = 0,65). Os animais do grupo indometacina apresentaram uma mediana de permeabilidade intestinal ao 51Cr-EDTA de 7,3 por cento (5,1-14,7), sendo significativamente maior do que os grupos cirrose induzida por CCl4 e não exposto ao CCl4 (P<0,001). CONCLUSÃO: Este estudo não demonstrou diferenças entre a permeabilidade intestinal ao 51Cr-EDTA em ratos com e sem cirrose. Mais estudos são necessários para melhor esclarecer a relação entre a permeabilidade intestinal e cirrose.

effects of some permeability enhancers on the percutaneous absorption of lidocaine

local anesthesia of the intact skin is difficult because of the barrier properties of skin to epicutaneous penetration of local anesthetic drugs. Using local anesthetics with combination of penetration enhancers could overcome this problem. The main objective of this study was to assess the effects of some permeability enhancers on the percutaneous permeation of lidocaine. The effect of polysorbate 80, polysorbate 20, dimethylsulfoxide [DMSO], tert-butyl cyclohexanol [TBCH], and a-terpinol in different concentrations and various ratios of lidocaine to enhancers was evaluated. The results showed that polysorbate 80 and polysorbate 20 has no detectable penetration enhancing effects in guinea pig skin mounted to diffusion cells. The same results were obtained to water/oil] ratio and the type of oil phase [liguid paraffin vs. castor oil]. Addition of DMSO to the previous formulations had a comiderable enhancing effect According to the data, the extent of lidocaine permeation was proportional to me concentration of DMSO in fAese formulations. The best results belonged to the addition of terpenes but interestingly there wasn't any linear relationship between the concentrations of alpha terpinol/ or TBCH and the duration of antinociceptive effects of lidocaine. Based on the results of this study the ratio of 1: 4 from a- terpinol or TBCH to lidocaine results in a better antinociceptive effect and a- terpinol was the best one among of these compounds. This effect was proven with in vivo tail-immersion test to assess the antinociceptive effect of formulations which have shown more penetration

Interference of enalaprilat on glomerular permeability to macromolecules (IGG) in acute unilateral ureteral obstruction in rats

INTRODUCTION: Unilateral ureteral obstruction breaks out events that cause the transitory increase of glomerular permeability to macromolecules, both in the obstructed kidney and in the contralateral kidney, suggesting the presence of some factor, with a systemic action, liberated as a response to the obstruction. We know that the rennin-angiotensin system is activated by acute ureteral obstruction. We have developed an experiment to assess the role of angiotensin II on the glomerular permeability to IgG due to acute ureteral obstruction, using enalaprilat, an angiotensin enzyme conversion inhibitor, to block the effects of the activation of the rennin-angiotensin system. MATERIALS AND METHODS: We have used 45 adult Wistar female rats, distributed into 3 main groups: a control group with 5 animals and 2 experiment groups each one with 10 animals submitted to unilateral ureteral obstruction and nephrectomy at 60 and 120 minutes. Each experiment group had its simulation correspondent (sham). We have studied both kidneys through the direct immunofluorescence method. RESULTS: We have found positive permeation in animals without enalaprilat in both kidneys and negative permeation in those in which the drug was used. CONCLUSION: We have concluded that enalaprilat interferes in this alteration of permeability, suggesting that angiotensin II is involved in the loss of selectivity of the glomerular membrane.

Stimulation of inflammatory mediators secretion by chemotactic peptides in rat colitis model

Colonic inflammation was produced in rats by chemotactic peptides acting on polymorphonuclear leucocytes. Instillation during one hour of formylated tripeptide: formylmethionyl-leucy-phenylalanine (FMLP) and a tetrapeptide: alanine-glycine-sefine-glutamine (AGSG) into rat colon caused erosions and exulcerations. Neutrophils increased secondary to instillation, predominantly with FMLP, and mucus depletion was marked in the cecum. Chloride ion secretion and mucosal permeability were significatively greater in the colonic lumen with the chemotactic peptides. Histamine and serotonin concentration were greater in the colonic fluid in animals treated with the peptides. These observations could suggest that the presence of chemotactic peptides at the colonic lumen produce changes at the mucosal wall, that would participate in generation and perpetuation of the colonic inflammation.

Water permeability properties of the human small intestine in vitro: effects of Escherichia coli heat-stable enterotoxin

The net absorptive water flux (Jw), the transepithelial potential difference (PD) and the short-circuit current (Isc) were simultaneously measured in the human small intestine in vitro with the following results: 1) An absorptive Jw was observed when the jejunum or the ileum were mounted between two identical standard solutions in the presence of an hydrostatic pressure gradient (delta P) of 13 cm of water (mucosal side positive). 2) The absorptive Jw was a linear function of the applied delta P or the imposed osmotic transepithelial gradient (deltaOsm) in both intestinal segments. The hydrostatic (Phydr) and osmotic (Posm) permeabilities to water for jejunum and ileum were: 0.349 ñ 0.049 cm/s vs. 0.156 ñ 0.022 cm/s and 0.0012 ñ 0.0001 cm/s vs. 0.0019 ñ O.0003, respectively. 3) A fraction of this absorptive Jw was independent of the presence of any hydrostatic, osmotic or chemical gradient and represented the transport associated to movement of water (Jwt). 4) PD and Isc values were similar in the jejunum and in the ileum but the transepithelial resistance (Rt) was significantly greater in ileum than in jejunum. 5) 2 mug/ml of E. coli heat-stable enterotoxin (STa) caused a significant inhibition of the absorptive Jw without modification of Phydr, Posm or Isc. 6) After STa treatment, the absorptive Jwt reverted to a secretory one in the jejunum. In the ileum, STa action caused a 48 per cent decrease in the absorptive Jwt values.

Permeabilidade epitelial pulmonar no lúpus eritematoso sistêmico através da taxa de depuraçäo pulmonar do radioaerosol de 99mTc-DTPA / Lung epithelial permeability in systemic lupus erythematosus assessed by the pulmonary clearence of 99mTc-DTPA

OBJETIVO: Avaliar a permeabilidade epitelial pulmonar,através da taxa de depuraçäo pulmonar do 99mTc-DTPA, no lúpus eritematoso sistêmico (LES), correlacionando os achados com a atividade da doença, alteraçöes radiológicas do tórax, testes de funçäo pulmonar e indicadores de atividade inflamatória. TIPO DE ESTUDO: corte transversal, prospectivo, controlado, com enfoque diagnóstico. PACIENTES: Foram estudados 24 pacientes com LES, divididos em dois grupos, conforme os critérios de atividade da doença de Urowitz e col. Vinte e sete indivíduos normais foram utilizados como grupo- controle da técnica diagnóstica. INTERVENÇÖES:Realizaram-se em todos os indivíduos estudados, cintilografia pulmonar com o radioaerossol de 99mTc-DTPA para avaliar a taxa de depuraçäo pulmonar deste radiofármaco, exame radiológico do tórax e, nos pacientes com LES, espirometria, gasometria arterial, exames laboratoriais de escala de Urowitz e exames indicadores de atividade inflamatória sistêmica. RESULTADOS: As médias das taxas de depuraçäo pulmonar no LES sem atividade foram 92,69 minutos para o pulmäo esquerdo e 87,61 minutos para o pulmäo direito; no LES em atividade, de 69,85 e 68,57 minutos; e nos indivíduos normais, de 86,78 e 82,81 minutos. O grupo com LES em atividade diferiu estatisticamente do grupo-controle quanto às taxas de depuraçäo dos dois pulmöes (p<0,05); os dois grupos com LES diferiram estatisticamente apenas quanto à taxa do pulmäo esquerdo (p< 0,05). Os dois grupos de pacientes lúpicos näo diferiram estatisticamente quanto às variáveis de funçäo pulmonar e aos achados radiológicos. Observaram-se correlaçöes estatisticamente significantes entre as taxas de depuraçäo pulmonar e o CH100 (p <0,01). CONCLUSÄO: Os resultados do presente estudo sugerem que a permeabilidade epitelial pulmonar, estudada através da taxa de depuraçäo pulmonar do 99mTc-DTPA, está aumentada em pacientes com LES em atividade.