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1.
BMC Anesthesiol ; 18(1): 96, 2018 07 27.
Article in English | MEDLINE | ID: mdl-30053804

ABSTRACT

BACKGROUND: Several hypnotic drugs have been previously identified as modulators of food intake, but exact mechanisms remain unknown. Feeding behavior implicates several neuronal populations in the hypothalamic arcuate nucleus including orexigenic neuropeptide Y and anorexigenic pro-opiomelanocortin producing neurons. The aim of this study was to investigate in mice the impact of different hypnotic drugs on food consumption and neuropeptide Y or pro-opiomelanocortine mRNA expression level in the hypothalamic arcuate nucleus. METHODS: Saline control, isoflurane, thiopental, midazolam or propofol were administered to C57Bl/6 mice. Feeding behavior was evaluated during 6 h. In situ hybridization of neuropeptide Y and pro-opiomelanocortine mRNAs in the hypothalamus brain region was also performed. Data were analyzed by Kruskal Wallis test and analysis of variance (p < 0.05). RESULTS: Midazolam, thiopental and propofol induced feeding behavior. Midazolam and thiopental increased neuropeptide Y mRNA level (respectively by 106 and 125%, p < 0.001) compared with control. Propofol and midazolam decreased pro-opiomelanocortine mRNA level by 31% (p < 0,01) compared with control. Isoflurane increased pro-opiomelanocortine mRNA level by 40% compared with control. CONCLUSION: In our murine model, most hypnotics induced food consumption. The hypnotic-induced regulation of neuropeptide Y and pro-opiomelanocortine hypothalamic peptides is associated with this finding. Our data suggest that administration of some hypnotic drugs may affect hypothalamic peptide precursor and neuropeptide expression and concomittantly modulate food intake. Thus, this questions the choice of anesthetics for better care management of patients undergoing major surgery or at risk of undernutrition.


Subject(s)
Anesthetics/pharmacology , Arcuate Nucleus of Hypothalamus/metabolism , Feeding Behavior/drug effects , Neuropeptide Y/biosynthesis , Pro-Opiomelanocortin/biosynthesis , Animals , Male , Mice
2.
Neuroimage ; 142: 465-473, 2016 Nov 15.
Article in English | MEDLINE | ID: mdl-27402596

ABSTRACT

Ghrelin regulates energy homeostasis in various species and enhances memory in rodent models. In humans, the role of ghrelin in cognitive processes has yet to be characterized. Here we show in a double-blind randomized crossover design that acute administration of ghrelin alters encoding-related brain activity, however does not enhance memory formation in humans. Twenty-one healthy young male participants had to memorize food- and non-food-related words presented on a background of a virtual navigational route while undergoing fMRI recordings. After acute ghrelin administration, we observed decreased post-encoding resting state fMRI connectivity between the caudate nucleus and the insula, amygdala, and orbitofrontal cortex. In addition, brain activity related to subsequent memory performance was modulated by ghrelin. On the next day, however, no differences were found in free word recall or cued location-word association recall between conditions; and ghrelin's effects on brain activity or functional connectivity were unrelated to memory performance. Further, ghrelin had no effect on a cognitive test battery comprising tests for working memory, fluid reasoning, creativity, mental speed, and attention. In conclusion, in contrast to studies with animal models, we did not find any evidence for the potential of ghrelin acting as a short-term cognitive enhancer in humans.


Subject(s)
Brain/drug effects , Brain/physiology , Cognition/physiology , Connectome/methods , Ghrelin/pharmacology , Memory, Long-Term/physiology , Mental Recall/physiology , Adult , Brain/diagnostic imaging , Cognition/drug effects , Cross-Over Studies , Double-Blind Method , Ghrelin/administration & dosage , Humans , Magnetic Resonance Imaging , Male , Memory, Long-Term/drug effects , Mental Recall/drug effects , Young Adult
3.
Neuroscience ; 290: 472-84, 2015 Apr 02.
Article in English | MEDLINE | ID: mdl-25639232

ABSTRACT

Astrocytes synthesize and release endozepines, a family of regulatory neuropeptides, including diazepam-binding inhibitor (DBI) and its processing fragments such as the octadecaneuropeptide (ODN). At the molecular level, ODN interacts with two types of receptors, i.e. it acts as an inverse agonist of the central-type benzodiazepine receptor (CBR), and as an agonist of a G protein-coupled receptor (GPCR). ODN exerts a wide range of biological effects mediated through these two receptors and, in particular, it regulates astrocyte activity through an autocrine/paracrine mechanism involving the metabotropic receptor. More recently, it has been shown that Müller glial cells secrete phosphorylated DBI and that bisphosphorylated ODN ([bisphospho-Thr(3,9)]ODN, bpODN) has a stronger affinity for CBR than ODN. The aim of the present study was thus to investigate whether bpODN is released by mouse cortical astrocytes and to compare its potency to ODN. Using a radioimmunoassay and mass spectrometry analysis we have shown that bpODN as well as ODN were released in cultured astrocyte supernatants. Both bpODN and ODN increased astrocyte calcium event frequency but in a very different range of concentration. Indeed, ODN stimulatory effect decreased at concentrations over 10(-10)M whereas bpODN increased the calcium event frequency at similar doses. In vivo effects of bpODN and ODN were analyzed in two behavioral paradigms involving either the metabotropic receptor (anorexia) or the CBR (anxiety). As previously described, ODN (100ng, icv) induced a significant reduction of food intake. Similar effect was achieved with bpODN but at a 10 times higher dose (1000 ng, icv). Similarly, and contrasting with our hypothesis, bpODN was also 10 times less potent than ODN to induce anxiety-related behavior in the elevated zero maze test. Thus, the present data do not support that phosphorylation of ODN is involved in receptor selectivity but indicate that it rather weakens ODN activity.


Subject(s)
Astrocytes/metabolism , Diazepam Binding Inhibitor/metabolism , Diazepam Binding Inhibitor/pharmacology , Neuropeptides/metabolism , Neuropeptides/pharmacology , Peptide Fragments/metabolism , Peptide Fragments/pharmacology , Animals , Anti-Obesity Agents/pharmacology , Anxiety/chemically induced , Calcium/metabolism , Cells, Cultured , Diazepam Binding Inhibitor/analysis , Eating/drug effects , Exploratory Behavior/drug effects , Male , Maze Learning , Mice , Mice, Inbred C57BL , Neuropeptides/analysis , Peptide Fragments/analysis , Psychotropic Drugs/pharmacology , Rats
4.
Eur J Obstet Gynecol Reprod Biol ; 182: 136-9, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25305660

ABSTRACT

BACKGROUND: Recurrence is a frequent complaint of patients with vulvovaginal candidiasis (VVC). Although the pathogenesis of VVC remains a controversial issue, disruption of the balance between the vaginal microbiota may facilitate overgrowth by Candida. Some probiotic bacterial strains can suppress Candida albicans; Lactobacillus plantarum P17630 is able to attach to vaginal epithelial cells and significantly reduce the adhesion of C. albicans. OBJECTIVE: To evaluate the effect of the application of Lactobacillus plantarum P17630 in restoring the vaginal microbiota and prevention of relapses among women with acute VVC undergoing conventional (azole) local and main therapy. METHODS: Retrospective comparative study. We recruited 89 women with a diagnosis of VVC, who were placed into two groups on the basis of reported treatment. The control group was treated with a daily dose of 2% clotrimazole vaginal cream at bedtime for 3 days, followed by vaginal application of a capsule containing lubricant once a day for 6 days and then once a week for another 4 weeks. The probiotic group was treated with the same azole-based protocol but followed by vaginal application of a capsule containing Lactobacillus plantarum P17630 (>108 CFU) once a day for 6 days and then once a week for another 4 weeks beginning the day following clotrimazole discontinuation. Clinical and diagnostic patterns were monitored for three months of follow-up. RESULTS: At the end of study the probiotic-treated women showed a statistically significant increase in Lactobacillus values "+++" (80% versus 40%, p<0.001) and a better subjective resolution of symptoms such as vaginal discomfort described as burning or itching (90% versus 67.5%, p<0.03). Among controls there was a non-significant increase at 3 months of recurrence of infection, but a significant increase of women with value of pH=5 or >5. CONCLUSION: Although the results of different studies are controversial, most have suggested use of probiotics in the prevention or treatment of VVC, and no adverse effects have been reported. Our data with L. plantarum P17630 (Gyno-Canesflor - Bayer) confirm the role of this specific strain as a potential empirical preventive agent for reducing vaginal discomfort after conventional treatment of acute VVC and shifting the vaginal milieu toward a predominance of lactobacilli with an improvement of the vaginal pH value.


Subject(s)
Candidiasis, Vulvovaginal/prevention & control , Lactobacillus plantarum , Probiotics/administration & dosage , Secondary Prevention/methods , Vagina/microbiology , Administration, Intravaginal , Adolescent , Adult , Antifungal Agents/therapeutic use , Clotrimazole/therapeutic use , Female , Humans , Microbiota , Middle Aged , Recurrence , Retrospective Studies , Vaginal Creams, Foams, and Jellies/therapeutic use , Young Adult
5.
Ann Fr Anesth Reanim ; 33(4): 256-65, 2014 Apr.
Article in French | MEDLINE | ID: mdl-24631003

ABSTRACT

During stress, the relationship between the central nervous system and the immune system is essential to maintain homeostasis. The main neuroendocrine system involved in this interaction is the hypothalamic-pituitary-adrenal axis (HPA), which via the synthesis of glucocorticoids will modulate the intensity of the inflammatory response. Anaesthetic agents could be interacting with the HPA axis during surgery. Although etomidate currently remains in the center of the discussions, it seems, at least experimentally, that most hypnotics have the capacity to modulate the synthesis of adrenal steroids. Nevertheless, with the large literature on this subject, etomidate seems to be the most deleterious hypnotic agent on the HPA axis function. Its use should be limited when HPA axis is already altered.


Subject(s)
Hypnotics and Sedatives/adverse effects , Hypothalamo-Hypophyseal System/drug effects , Intraoperative Complications/chemically induced , Pituitary-Adrenal System/drug effects , Adrenal Cortex Hormones/biosynthesis , Drug Interactions , Humans , Surgical Procedures, Operative/adverse effects
6.
Neuropharmacology ; 79: 234-48, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24291465

ABSTRACT

In patients, cancer and treatments provoke cognitive impairments referred to "chemofog". Here a validated neurobehavioral animal model, the unique way to explore causal direct links between chemotherapy used in clinical practices and brain disorders, allowed investigation of the direct long-term impact of colo-rectal cancer chemotherapy on cognition and cerebral plasticity. Young and aged mice received three injections every 7 days during 2 weeks of 5-fluorouracil either alone (5-FU, 37.5 mg/kg) or in combination with oxaliplatin (3 mg/kg) or with glucose (5%). The long-term effects (from day 24 to day 60) of chemotherapy were tested on emotional reactivity, learning and memory, behavioral flexibility and hippocampal cell plasticity. 5-FU (in saline)-treated aged and also young mice exhibited specific altered cognitive flexibility and behavioral hyper-reactivity to novelty, whereas the combination 5-FU (in saline)/oxaliplatin (in glucose) did not provoke any cognitive dysfunction. We thus observed that glucose counteracted 5-FU-induced altered executive functions and hippocampal cell proliferation in vivo, and protected neural stem cells in vitro from toxicity of 5-FU or oxaliplatin. In conclusion, these data suggest that the lasting chemotherapy-induced selective impairment of executive functions, whatever the age, and associated with a reduced number of hippocampal proliferating cells, can be counteracted by co-administration with glucose.


Subject(s)
Antimetabolites, Antineoplastic/adverse effects , Antineoplastic Agents/adverse effects , Fluorouracil/adverse effects , Glucose/therapeutic use , Nootropic Agents/therapeutic use , Organoplatinum Compounds/adverse effects , Age Factors , Animals , Cell Proliferation/drug effects , Cell Survival/drug effects , Chemotherapy, Adjuvant , Cognition/drug effects , Cognition/physiology , Cognition Disorders/drug therapy , Cognition Disorders/etiology , Cognition Disorders/physiopathology , Executive Function/drug effects , Executive Function/physiology , Hippocampus/drug effects , Hippocampus/physiopathology , Male , Mice , Mice, Inbred C57BL , Neural Stem Cells/drug effects , Neural Stem Cells/physiology , Neuropsychological Tests , Oxaliplatin , Time Factors
7.
Horm Metab Res ; 45(13): 955-9, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24062091

ABSTRACT

The hypothalamus senses hormones and nutrients in order to regulate energy balance. In particular, detection of hypothalamic glucose levels has been shown to regulate both feeding behavior and peripheral glucose homeostasis, and impairment of this regulatory system is believed to be involved in the development of obesity and diabetes. Several data clearly demonstrate that glial cells are key elements in the perception of glucose, constituting with neurons a "glucose-sensing unit". Characterization of this interplay between glia and neurons represents an exciting challenge, and will undoubtedly contribute to identify new candidates for therapeutic intervention. The purpose of this review is to summarize the current data that stress the importance of glia in central glucose-sensing. The nature of the glia-to-neuron signaling is discussed, with a special focus on the endozepine ODN, a potent anorexigenic peptide that is highly expressed in hypothalamic glia.


Subject(s)
Cell Communication/physiology , Glucose/metabolism , Hypothalamus , Neuroglia , Neurons , Signal Transduction/physiology , Animals , Humans , Hypothalamus/cytology , Hypothalamus/metabolism , Neuroglia/cytology , Neuroglia/metabolism , Neurons/cytology , Neurons/metabolism
8.
J Neuroendocrinol ; 25(3): 312-21, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23163696

ABSTRACT

The present study aimed to investigate the distribution of the octadecaneuropeptide (ODN) in the goldfish brain and to look for a possible effect of ODN on somatolactin (SL) release from pituitary cells. A discrete population of ODN-immunoreactive neurones was localised in the lateral part of the nucleus lateralis tuberis. These neurones sent projections through the neurohypophyseal tract towards the neurohypophysis, and nerve fibres were seen in the close vicinity of SL-producing cells in the pars intermedia. Incubation of cultured goldfish pituitary cells with graded concentrations of ODN (10(-9) -10(-5 ) m) induced a dose-dependent stimulation of SL-ß, but not SL-α, release. ODN-evoked SL release was blocked by the metabotrophic endozepine receptor antagonist cyclo(1-8) [DLeu(5) ]OP but was not affected by the central-type benzodiazepine receptor antagonist flumazenil. ODN-induced SL release was suppressed by treatment with the phospholipase C (PLC) inhibitor U-73122 but not with the protein kinase A (PKA) inhibitor H-89. These results indicate that, in fish, ODN produced by hypothalamic neurones acts as a hypophysiotrophic neuropeptide stimulating SL release. The effect of ODN is mediated through a metabotrophic endozepine receptor positively coupled to the PLC/inositol 1,4,5-trisphosphate/protein kinase C-signalling pathway.


Subject(s)
Fish Proteins/metabolism , Glycoproteins/metabolism , Neuropeptides/pharmacology , Pituitary Gland/drug effects , Pituitary Hormones/metabolism , Animals , Cells, Cultured , Cyclic AMP-Dependent Protein Kinases/antagonists & inhibitors , Dose-Response Relationship, Drug , Enzyme Inhibitors/pharmacology , Goldfish , Immunohistochemistry , Pituitary Gland/cytology , Pituitary Gland/metabolism , Type C Phospholipases/antagonists & inhibitors
9.
Neuroscience ; 181: 100-8, 2011 May 05.
Article in English | MEDLINE | ID: mdl-21382452

ABSTRACT

I.c.v. administration of the octadecaneuropeptide (ODN), a peptide derived from diazepam-binding inhibitor (DBI), induces anorexigenic and anxiogenic-like actions in rodents. We have recently shown that, in goldfish, i.c.v. injection of ODN also reduces food consumption via the metabotropic endozepine receptor. However, there is little information regarding the structure of DBI and the psychophysiological roles of endozepines in fish. Therefore, in the present study, we isolated and cloned a cDNA encoding goldfish DBI. The deduced sequence exhibits high similarity with non-mammalian DBIs, and we investigated the effect of homologous ODN on psychomotor activity in goldfish. i.c.v. injection of synthetic goldfish ODN at 10 pmol/g body weight (BW) stimulated locomotor activity. Since intact goldfish placed in a tank with both black and white background areas prefers the black compartment, we developed a method for measuring the time taken for fish to move from the black to the white area. I.c.v. administration of diazepam (35 and 350 pmol/g BW) decreased, whereas i.c.v. administration of ODN (10 pmol/g BW) or the central-type benzodiazepine receptor inverse agonist FG-7142 (9 pmol/g BW) increased the time taken to move from the black to the white background area. The anxiogenic-like effect of ODN was blocked by the central-type benzodiazepine receptor antagonist flumazenil (100 pmol/g BW), but was not affected by the metabotropic endozepine receptor antagonist cyclo1-8[d-Leu(5)]octapeptide (100 pmol/g BW). These data indicate that ODN can potently affect locomotor and psychomotor activities in goldfish and that this action is mediated via the central-type benzodiazepine receptor-signaling pathway.


Subject(s)
Anxiety Disorders/chemically induced , Anxiety Disorders/physiopathology , Diazepam Binding Inhibitor/physiology , Goldfish/physiology , Motor Activity/physiology , Neuropeptides/physiology , Peptide Fragments/physiology , Animals , Behavior, Animal/physiology , Diazepam Binding Inhibitor/genetics , Diazepam Binding Inhibitor/isolation & purification , Disease Models, Animal , Female , Male , Neuropeptides/genetics , Neuropeptides/isolation & purification , Peptide Fragments/genetics , Peptide Fragments/isolation & purification
10.
J Mol Endocrinol ; 44(5): 295-9, 2010 May.
Article in English | MEDLINE | ID: mdl-20219854

ABSTRACT

In the central nervous system of mammals, the gene encoding diazepam-binding inhibitor (DBI) is exclusively expressed in glial cells. Previous studies have shown that central administration of a DBI processing product, the octadecaneuropeptide ODN, causes a marked inhibition of food consumption in rodents. Paradoxically, however, the effect of food restriction on DBI gene expression has never been investigated. Here, we show that in mice, acute fasting dramatically reduces DBI mRNA levels in the hypothalamus and the ependyma bordering the third and lateral ventricles. I.p. injection of insulin, but not of leptin, selectively stimulated DBI expression in the lateral ventricle area. These data support the notion that glial cells, through the production of endozepines, may relay peripheral signals to neurons involved in the central regulation of energy homeostasis.


Subject(s)
Diazepam Binding Inhibitor/metabolism , Fasting , Neuroglia/metabolism , Neuropeptides/metabolism , Peptide Fragments/metabolism , Animals , Down-Regulation , Ependyma/metabolism , Hypothalamus/metabolism , Injections, Intraperitoneal , Insulin/administration & dosage , Lateral Ventricles/metabolism , Leptin/administration & dosage , Male , Mice , Neuropeptides/genetics , Peptide Fragments/genetics , Protein Binding , Third Ventricle/metabolism , Transcription, Genetic
11.
Autoimmunity ; 42(4): 289-91, 2009 May.
Article in English | MEDLINE | ID: mdl-19811279

ABSTRACT

High levels of oxidized low-density liprotein/beta2 glycoprotein 1 (oxLDL/beta2GPI) complexes and anti-complex IgG as well as IgM have been reported in SLE. We analysed this complex and Ab against the complex in SLE patients and evaluated their relationship with clinical and serological findings, traditional risk factors for atherosclerosis, and subclinical atherosclerosis. The prevalence and the levels of the complex and of anti-complex Ab were significantly higher in systemic lupus erythematosus (SLE) patients than in normal healthy donors (NHD). The titers of oxLDL/beta2GPI were significantly higher in patients with renal involvement and previous thromboembolic episodes and were correlated with the number of risk factors for atherosclerosis, whereas they were significantly lower in patients with neurological involvement. Both IgG and IgM anti-complex Ab were associated with antiphospholipid (APL). In conclusion, the oxLDL/beta2GPI complex as well as Ab against the complex are prevalent in SLE where they seem to be involved in organ damage.


Subject(s)
Antigen-Antibody Complex/blood , Lipoproteins, LDL/blood , Lupus Erythematosus, Systemic/blood , beta 2-Glycoprotein I/blood , Adult , Antibodies, Antiphospholipid/blood , Atherosclerosis/immunology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Immunoglobulin G/blood , Immunoglobulin G/immunology , Immunoglobulin M/blood , Immunoglobulin M/immunology , Lupus Erythematosus, Systemic/complications , Lupus Erythematosus, Systemic/immunology , Male , Prevalence , Risk Factors
12.
Clin Rev Allergy Immunol ; 37(1): 36-43, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19016000

ABSTRACT

Atherosclerosis is a disease of the vascular wall, which predominantly affects large and medium-sized arteries. It represents a leading cause of morbidity and mortality in the Western world. In the last few decades, it has been clearly shown that immune system plays a relevant role in atherogenesis. The effectors of both innate and adaptive immunity, including immune cells, cell or soluble receptors, cytokines, chemokines, complement components or coagulation systems, and autoantibodies are able to modulate atherosclerosis. Among proteins belonging to innate immunity, the highly conserved pentraxin family, which encompass C-reactive protein (CRP), serum amyloid P (SAP), and the long pentraxin 3 (PTX3) seems to be directly involved in the induction and progression of atherosclerosis. By immunohistochemical staining, pentraxins were found within the atherosclerotic plaques where they could play a key role interacting with atherogenic-modified lipoproteins, favoring the formation of foam cells, and exerting a proinflammatory action. Pentraxin serum levels have been shown to be associated with clinical and subclinical atherosclerosis in general population. Antibodies against pentraxins have been demonstrated in patients with autoimmune diseases, but their role in atherogenesis is still controversial.


Subject(s)
Atherosclerosis/immunology , Autoantibodies , Autoantibodies/blood , Autoantibodies/immunology , Autoantigens/immunology , Autoimmunity , C-Reactive Protein/analysis , C-Reactive Protein/immunology , Humans , Immunity, Innate , Serum Amyloid P-Component/analysis , Serum Amyloid P-Component/immunology
13.
Autoimmun Rev ; 8(1): 24-8, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18703174

ABSTRACT

A growing body of experimental and clinical evidence supports the pivotal role of infections in the induction or exacerbation of systemic lupus erythematosus (SLE). Infections can be responsible for aberrant immune response leading to a loss of tolerance towards native proteins. Molecular mimicry, especially between Sm or Ro autoantigens and EBV Nuclear Antigen-1 response, as well as the over-expression of type 1 INF genes are among the major contributors to SLE development. On the other hand infections are very common in SLE patients, where they are responsible for 30-50% of morbidity and mortality. Several factors, either genetic, including complement deficiencies or mannose-binding lectin deficiency or acquired such as severe disease manifestations or immunosuppressant use, predispose SLE patients to infections. All types of infections, including bacterial, viral and opportunistic infections, have been reported and the most frequently involved sites of infections are the same as those observed in the general population, including respiratory, skin, and urinary tract infections. Some preventive measures could be adopted in order to reduce the rate of infections in SLE patients: i.e. screening for Mycobacterium tuberculosis and for some chronic viral infections before immunosuppressive treatment; adequate prophylaxes or drug adjustments when indicated, and pneumococcal and influenza vaccinations in patients with stable disease.


Subject(s)
Infections/etiology , Influenza Vaccines , Lupus Erythematosus, Systemic/complications , Molecular Mimicry , Chronic Disease , Epstein-Barr Virus Nuclear Antigens/immunology , Epstein-Barr Virus Nuclear Antigens/metabolism , Humans , Immune Tolerance , Immunosuppressive Agents/therapeutic use , Infections/immunology , Influenza, Human/immunology , Lupus Erythematosus, Systemic/drug therapy , Lupus Erythematosus, Systemic/immunology , Lupus Erythematosus, Systemic/mortality , Mass Screening , Mycobacterium tuberculosis , Pneumococcal Vaccines , Ribonucleoproteins/immunology , Ribonucleoproteins/metabolism , snRNP Core Proteins/immunology , snRNP Core Proteins/metabolism
14.
Clin Exp Rheumatol ; 26(1 Suppl 48): S18-26, 2008.
Article in English | MEDLINE | ID: mdl-18570750

ABSTRACT

In genetically predisposed individuals, viruses, bacteria, or parasitic infectious agents are suspected of inducing autoimmunity and/or exacerbating autoimmune rheumatic diseases (ARD) once self-tolerance is broken. Although direct evidence for this association is still lacking, numerous data from animal models as well as from humans support the hypothesis of a direct contribution of pathogens to the induction of several ARD. This review focuses on the possible role of infectious agents as triggers of autoimmunity in systemic lupus erythematosus, polymyositis-dermatomyositis, antiphospholipid antibody syndrome, and primary vasculitis. Indeed, vasculitis may be a clinical manifestation of an infectious disease (secondary vasculitis). In addition, immune response abnormalities and immunosuppressive medications may be responsible for the high percentage of infectious complications in ARD patients. Recent therapeutic approaches aimed at lowering doses of cytotoxic agents and shortening duration of treatment with the most toxic drugs, have proved to be as effective as conventional regimens. New drugs and strategies aimed at preventing infections could further improve the outcome of ARD patients.


Subject(s)
Connective Tissue Diseases , Infections/complications , Infections/immunology , Vasculitis , Connective Tissue Diseases/immunology , Connective Tissue Diseases/microbiology , Connective Tissue Diseases/virology , Humans , Vasculitis/immunology , Vasculitis/microbiology , Vasculitis/virology
15.
Rheumatology (Oxford) ; 47 Suppl 3: iii13-5, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18504277

ABSTRACT

The knowledge about the risk of pregnancy in vasculitides mostly derives from single case reports or at best from retrospective studies with all the caveats that these observations include. Primary systemic vasculitides are uncommon, encompassing a broad spectrum of severity, from mild to life-threatening manifestations and with different natural histories, from self-limiting to relapsing or chronic active disease. The treatments require a cautious use of immunosuppressants tailored to each specific condition. Furthermore, most of the cytotoxic drugs necessary to treat vasculitis act by modifying the cell cycle and cell differentiation, biological effects that are particularly hazardous for the foetus. In order to have an uncomplicated pregnancy, conception should be planned when the disease is inactive. Moreover, organ failure or damage, due to previous disease activity, must also be taken into account since it can lead to adverse obstetrical and fetal outcomes.


Subject(s)
Counseling , Preconception Care/methods , Vasculitis/immunology , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Anticoagulants/therapeutic use , Aspirin/therapeutic use , Contraception , Female , Heparin/therapeutic use , Humans , Pregnancy , Pregnancy Complications/drug therapy , Risk , Vasculitis/drug therapy
16.
Neuroscience ; 150(2): 425-32, 2007 Dec 05.
Article in English | MEDLINE | ID: mdl-17936516

ABSTRACT

An endogenous ligand of central-type benzodiazepine receptors (CBR), the endozepine octadecaneuropeptide (ODN), is a very potent inhibitor of food intake in rodents. Although endozepines have been localized and characterized in the trout hypothalamus, so far, the action of these neuropeptides on feeding behavior has never been investigated in fish. In the present study, we have examined the effect of i.c.v. administration of synthetic rat ODN, its C-terminal octapeptide (OP) and the head-to-tail cyclic analog cyclo(1-8)OP (cOP) on feeding behavior in the goldfish model. i.c.v. injection of graded doses of ODN (2.5-10 pmol/g body weight (BW)) induced a dose-dependent inhibition of food intake, a significant decrease in cumulative food intake during the 60-min period after feeding being observed at doses of 5 and 10 pmol/g BW. The inhibitory effect of a 10 pmol/g BW dose of ODN on food consumption (-39%) was mimicked by an equimolar dose of OP (-42%) and cOP (-53%). The food intake-suppressing activity of ODN (10 pmol/g BW) was not affected by pre-injection of the CBR antagonist flumazenil (200 pmol/g BW). In contrast, the anorexigenic effect of ODN (10 pmol/g BW) was totally suppressed by a selective antagonist of metabotropic endozepine receptors, cyclo(1-8)[dLeu(5)]OP. These data indicate that, in goldfish as in rodents, ODN is a potent inhibitor of food consumption, and that the anorexigenic effect of ODN is not mediated through CBR but through the metabotropic endozepine receptor.


Subject(s)
Appetite Regulation/drug effects , Brain/drug effects , Diazepam Binding Inhibitor/pharmacology , Neuropeptides/pharmacology , Peptide Fragments/pharmacology , Receptors, GABA-A/drug effects , Animals , Appetite Regulation/physiology , Brain/metabolism , Diazepam Binding Inhibitor/chemistry , Dose-Response Relationship, Drug , Eating/drug effects , Eating/physiology , Feeding Behavior/drug effects , Feeding Behavior/physiology , Female , Flumazenil/pharmacology , GABA Modulators/pharmacology , Goldfish , Ligands , Male , Neuropeptides/chemistry , Peptide Fragments/chemistry , Receptors, GABA-A/metabolism
17.
FEBS Lett ; 581(17): 3149-56, 2007 Jul 10.
Article in English | MEDLINE | ID: mdl-17572408

ABSTRACT

We have identified a novel vertebrate-specific gene by applying a Differential Display method on two distinct subtypes of pituitary melanotropes showing divergent secretory phenotypes of hypo- and hypersecretion. A paralogue of this gene was also identified. The existence of a long coiled-coil domain and a C-terminal transmembrane domain in the sequences, together with the Golgi distribution of the proteins in transfected cells, suggest that they can be considered as new members of the golgin family of proteins. Both genes were primarily expressed in (neuro)endocrine tissues in vertebrates thus supporting a role for these proteins in the regulated secretory pathway.


Subject(s)
Melanotrophs/metabolism , Membrane Proteins/genetics , Neurosecretory Systems/metabolism , Amino Acid Sequence , Animals , Cells, Cultured , Cloning, Molecular , Gene Expression Profiling , Humans , Membrane Proteins/metabolism , Molecular Sequence Data , Protein Structure, Tertiary/genetics , Rana ridibunda , Rats , Rats, Wistar , Sequence Homology, Amino Acid , Tissue Distribution
18.
Brain Res ; 1119(1): 50-7, 2006 Nov 13.
Article in English | MEDLINE | ID: mdl-16963002

ABSTRACT

In peripheral organs, gonadal and adrenal steroids regulate diazepam-binding inhibitor (DBI) mRNA expression. In order to further investigate the involvement of peripheral steroid hormones in the modulation of brain DBI mRNA expression, we studied by semiquantitative in situ hybridization the effect of adrenalectomy (ADX) and castration (CX) and short-term replacement therapy on DBI mRNA levels in the male mouse hypothalamus. Cells expressing DBI mRNA were mostly observed in the arcuate nucleus, the median eminence and the ependyma bordering the third ventricle. In the median eminence and the ependyma bordering the third ventricule, the DBI gene expression was decreased in ADX rats and a single injection of corticosterone to ADX rats induced a significant increase in DBI gene expression at 3 and 12 h time intervals without completely restoring the basal DBI mRNA expression observed in intact mice. In the arcuate nucleus, ADX and corticosterone administration did not modify DBI mRNA expression. CX down-regulated DBI gene expression in the ependyma bordering the third ventricle. The administration of dihydrotestosterone (3-24 h) completely reversed the inhibitory effect of CX. In the median eminence and arcuate nucleus, neither CX or dihydrotestosterone administration modified DBI mRNA levels. These results suggest that the effects of glucocorticoids on the hypothalamo-pituitary-adrenocortical axis and androgens on the hypothalamo-pituitary-gonadal axis are mediated by DBI.


Subject(s)
Androgens/metabolism , Diazepam Binding Inhibitor/metabolism , Glucocorticoids/metabolism , Hypothalamus/metabolism , Neurons/metabolism , RNA, Messenger/metabolism , Adrenalectomy , Androgens/pharmacology , Animals , Arcuate Nucleus of Hypothalamus/anatomy & histology , Arcuate Nucleus of Hypothalamus/drug effects , Arcuate Nucleus of Hypothalamus/metabolism , Corticosterone/metabolism , Corticosterone/pharmacology , Dihydrotestosterone/metabolism , Dihydrotestosterone/pharmacology , Down-Regulation/drug effects , Down-Regulation/physiology , Ependyma/anatomy & histology , Ependyma/drug effects , Ependyma/metabolism , Gene Expression Regulation/drug effects , Gene Expression Regulation/physiology , Glucocorticoids/pharmacology , Hypothalamo-Hypophyseal System/drug effects , Hypothalamo-Hypophyseal System/metabolism , Hypothalamus/anatomy & histology , Hypothalamus/drug effects , Male , Median Eminence/anatomy & histology , Median Eminence/drug effects , Median Eminence/metabolism , Mice , Mice, Inbred C57BL , Neurons/drug effects , Neurosecretory Systems/drug effects , Neurosecretory Systems/metabolism , Orchiectomy , Pituitary-Adrenal System/drug effects , Pituitary-Adrenal System/metabolism , RNA, Messenger/drug effects
19.
Gen Comp Endocrinol ; 147(2): 222-30, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16480985

ABSTRACT

The frog intermediate lobe comprises two functionally distinct cell subtypes, referred to as secretory and storage melanotropes, which differ in their ultrastructure, secretory, and synthetic rates, and display dissimilar responses to hypothalamic regulatory factors. All these differences make melanotrope subtypes an excellent model to analyze the expression and regulation of genes involved in the control and maintenance of the secretory state of endocrine cells. However, quantification of the expression levels of genes involved in the secretory process requires the characterization of a gene whose expression remains constant irrespective of the secretory state of the cells. In this study, we have cloned the glyceraldehyde-3-phosphate dehydrogenase (GAPDH) gene from frog pituitary and have evaluated its suitability as internal standard in gene expression studies in melanotropes. A semiquantitative RT-PCR system developed to this end revealed that secretory melanotropes and storage melanotropes possess similar expression levels of GAPDH, whereas, as expected, secretory melanotropes showed higher levels of POMC transcripts than storage cells. Furthermore, we found that the expression of the convertase PC1, an intracellular protease involved in POMC processing, parallels that of POMC, thus suggesting that the higher secretory rate of the POMC-derived peptide alpha-MSH exhibited by secretory melanotropes is supported by their higher PC1 expression levels. In addition, we have shown that both POMC and PC1 mRNAs are up-regulated by the hypothalamic factor TRH in melanotrope cell cultures. In contrast, the inhibitory factor NPY reduced the expression level of the convertase but did not modify that of POMC. Taken together, these results demonstrate that PC1 expression is regulated in melanotropes by both stimulatory (TRH) and inhibitory (NPY) hypothalamic signals, in a manner which essentially parallels that observed for the precursor POMC.


Subject(s)
Glyceraldehyde-3-Phosphate Dehydrogenases/genetics , Pro-Opiomelanocortin/metabolism , Proprotein Convertase 1/metabolism , Rana ridibunda/genetics , Reverse Transcriptase Polymerase Chain Reaction/methods , Amino Acid Sequence , Animals , Base Sequence , Gene Expression Profiling , Glyceraldehyde-3-Phosphate Dehydrogenases/metabolism , Melanocyte-Stimulating Hormones/metabolism , Molecular Sequence Data , Neuropeptide Y/metabolism , Pro-Opiomelanocortin/genetics , Sequence Homology, Amino Acid , Thyrotropin-Releasing Hormone/metabolism
20.
Endocrinology ; 147(3): 1408-18, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16357044

ABSTRACT

Chromogranin A (CgA) and secretogranin II (SgII) are neuroendocrine secretory proteins that participate in regulation of the secretory pathway and also serve as precursors of biologically active peptides. To investigate whether there is a relationship between the expression, distribution, and processing of CgA and SgII and the degree of secretory activity, we employed two melanotrope subpopulations of the pituitary intermediate lobe that exhibit opposite secretory phenotypes. Thus, although one of the melanotrope subtypes shows high secretory activity, the other exhibits characteristics of a hormone storage phenotype. Our data show that SgII expression levels were higher in secretory melanotropes, whereas CgA expression showed similar rates in both cell subsets. The use of various antibodies revealed the presence of the unprocessed proteins as well as three CgA-derived peptides (67, 45, and 30 kDa) and six SgII-derived peptides (81, 66, 55, 37, 32, and 30 kDa) in both subpopulations. However, the smallest molecular forms of both granins predominated in secretory melanotropes, whereas the largest SgII- and CgA-immunoreactive peptides were more abundant in storage melanotropes, which is suggestive of a more extensive processing of granins in the secretory subset. Confocal microscopy studies showed that CgA immunoreactivity was higher in storage cells, but SgII immunoreactivity was higher in secretory melanotropes. Taken together, our results indicate that SgII and CgA are differentially regulated in melanotrope subpopulations. Thus, SgII expression is strongly related to the secretory activity of melanotrope cells, whereas CgA expression may not be related to secretory rate, but, rather, to hormone storage in this endocrine cell type.


Subject(s)
Chromogranins/biosynthesis , Endocrine System/metabolism , Gene Expression Regulation , Animals , Blotting, Western , Chromogranin A , Chromogranins/chemistry , Chromogranins/metabolism , Densitometry , Endocrine System/cytology , Gene Expression , Humans , Immunohistochemistry , Microscopy, Confocal , Models, Statistical , Peptides/chemistry , Phenotype , Pituitary Gland/metabolism , RNA/metabolism , RNA, Messenger/metabolism , Ranidae , Reverse Transcriptase Polymerase Chain Reaction
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