Expressão do Mg+2, CK, AST e LDH em equinos finalistas de provas de enduro / Endurance horses finalists: expression of Mg+2, CK, AST and LDH in horse finalists of endurance race

Nos últimos anos, o equino atleta vem sendo cada vez mais requerido. Dessa forma, as exigências por alto desempenho têm fomentado o interesse pelo estudo das afecções relacionadas com a fisiopatologia de diversas enfermidades dos equinos. A relação entre o íon magnésio e o exercício físico tem recebido atenção significativa visto que este íon está intimamente relacionado ao tecido muscular estriado esquelético. Além disso, dentre as principais estratégias para a detecção e acompanhamento clínico de lesões musculares, destacam-se a avaliação das atividades das enzimas creatino quinase (CK), lactato desidrogenase (LDH) e aspartato aminotransferase (AST). A busca pelo estabelecimento de parâmetros que se relacionam entre si é um fator determinante na compreensão de alterações fisiológicas encontradas diante do esforço em equinos atletas. Desta forma, o presente trabalho teve como objetivo determinar como as concentrações sanguíneas do íon magnésio e as atividades enzimáticas das enzimas CK, LDH e AST comportaram-se em equinos Puro Sangue Árabe finalistas de provas de enduro de 90km e relacionar as possíveis alterações com o tipo de esforço físico desempenhado pelos animais. Foram avaliadas a atividade enzimática das enzimas CK, LDH, AST e a concentração do íon magnésio no exercício em relação ao repouso de 14 equinos clinicamente hígidos da raça Puro Sangue Árabe, sendo 9 machos e 5 fêmeas, com idades variando entre 6 a 12 anos, submetidos a treinamento para enduro e participantes de provas de 90 km. Pode-se observar que as variáveis acima mencionadas sofreram aumento com diferença estatística em relação ao repouso. O exercício físico de enduro determinou a ocorrência de alterações nas atividades enzimáticas das enzimas CK (p≤0,001), LDH (p=0,0001), AST (p=0,0007) e na concentração do íon magnésio (p=0,0004), no exercício em relação ao repouso (p≤0,05). Fato que determinou alteração de permeabilidade das células musculares estriadas esqueléticas, sugerindo o estabelecimento de um processo inflamatório agudo. Devido à expressão da atividade enzimática da CK (p≤0,001), por sua especificidade em relação à ocorrência de danos na musculatura estriada esquelética, juntamente com o íon magnésio (p=0,0004) que participa de várias reações celulares. Houve alterações na concentração de proteína plasmática total (p=0,0009) e hematócrito (p=0,0001), entre os momentos avaliados. Portanto estes resultados servem como valores de referência de equinos finalistas de provas de enduro de 90 km, auxiliando na prevenção da ocorrência de possíveis danos musculares e processos inflamatórios severos.

In recent years, due to rising competitive demands, the equine athlete is being increasingly required. Thus, the demands for high performance have fostered interest in the study of pathophysiology of various horse diseases. The relationship between magnesium and exercise has received significant attention because this ion is closely related with the skeletal muscle tissue. Moreover, among the main strategies for the detection and monitoring of clinical muscle damage, features the evaluation of the activity of the enzymes creatine kinase (CK), lactate dehydrogenase (LDH) and aspartate aminotransferase (AST). The search for the establishment of parameters that relate to each other is a determining factor in understanding the physiological changes found on athletic horses in effort. Thus, this study aimed to determine how the blood concentrations of magnesium ion and the enzymatic activities of the enzymes CK, LDH and AST behave in Arabian finalist horses in endurance races of 90km and to relate possible changes to the type of physical effort played by animals. It was evaluated the enzymatic activities of the enzymes CK, LDH, AST e the concentration of the ion magnesium in exercise in relation to the rest state of 14 clinically healthy Arabian horses, 9 males and 5 females, with ages ranging from 6 to 12 years, undergoing endurance training and participants in 90 km distance rides. All variables evaluated had an increase with statistical differences in relation to rest. The physical endurance exercise determined the occurrence of changes in enzyme activities of CK (p≤0.001), LDH (p=0.0001), AST (p=0.0007) and in the concentration of magnesium ion (p=0.0004), in exercise in relation to rest (p≤0.05). Fact that determined changes in permeability of striated skeletal muscle cells, suggesting the establishment of an acute inflammatory process. Mainly due to the expression of enzymatic activity of CK (p≤0.001), for its specificity in relation to the damage to skeletal striated muscles, along with the magnesium ion (p=0.0004) that actively acts in various cellular reactions. There were changes in total plasma protein concentrations (p=0.0009) and hematocrit (p=0.0001), between the evaluated moments. Therefore, these results serve as a reference of support equine finalists in an endurance race of 90 km, aiding in the prevention of the occurrence muscle damage and severe inflammatory processes.

Ovarian Sertoli-Leydig Cell Tumors with Heterologous Gastrointestinal Type Epithelium or with Striated Skeletal Muscle: report of two cases

Sertoli-Leydig cell tumors of the ovary are rare, accounting for no more than 0.5% of all ovarian neoplasms. These tumors occur predominantly in women 10 to 30 years of age. Heterologous elements are found in over 20% of the moderately and poorly differentiated Sertoli- Leydig cell tumors. The most common element is gastrointestinal mucin-secreting epithelium, found in approximately 20% of all cases. Approximately 4% of Sertoli-Leydig cell tumors contain immature skeletal muscle and/or cartilaginous elements. The origin of these neoplasms is regarded as neometaplasia of the mesodermal neoplastic element. While the degree of differentiation of Sertoli-Leydig cell tumors is probably of greater importance in determining prognosis than the presence of heterologous components, recent evidence does point to an unfavorable effect on clinical outcome when heterologous mesenchymal components such as cartilage and striated muscle are present. We experienced two cases of ovarian heterologous Sertoli-Leydig cell tumors with gastrointestinal type epithelium and striated skeletal muscle in 20 and 21 year-old females, respectively. One case involved a patient who had complained of amenorrhea for 3 years while the other case involved a patient who had complained of left lower abdominal tenderness and amenorrhea for one and one half years. It was determined by ultrasonography of the pelvis that the two patients suffered from right and left ovarian masses. Both patients underwent adnexectomy. These tumors were large with partly solid and partly cystic areas. Based on light microscopic examination one case was classified as an intermediate Sertoli-Leydig cell tumor with heterologous gastrointestinal type epithelium, while the other case was classified as a poorly differentiated Sertoli-Leydig cell tumor with heterologous striated skeletal muscle.