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1.
J Physiol Pharmacol ; 71(5)2020 Oct.
Article in English | MEDLINE | ID: mdl-33475094

ABSTRACT

Myrtus communis has anti-inflammatory, neuroprotective and anticholinesterase activities yet there have been limited studies examining effects of Myrtus communis on cognitive functions. This study investigated the possible effects of Myrtus communis on changes in the cognitive functions of experimental renovascular hypertensive rats. Fifty-six Wistar-Albino rats were equally divided into 4 groups; sham-operated control, renovascular hypertension (RVH), ramipril (RVH + Ram) and Myrtus communis extract (RVH + MC) treatment groups. Goldblatt's 2-kidney 1-clip (2K1C) method was used to induce RVH. At the end of 9 weeks of treatment, after blood pressure recording, the animals underwent new object recognition test and Morris water maze (MWM) task. Following these tests, blood brain barrier (BBB) integrity was examined in 6 animals from each group. In the others after decapitation, osteopontin and interleukin (IL)-10 levels were measured in blood samples; while matrix metalloproteinase (MMP)-13, sodium potassium adenosine triphosphatase (Na+,K+-ATPase), cluster of differentiation (CD) 36, amyloid beta (Aß), neprilysin levels, and acetylcholinesterase (AChE) activity were investigated in hippocampal tissues. In RVH group, high systolic blood pressure decreased serum IL-10 levels, increased serum osteopontin levels and also impaired BBB permeability. Hippocampal MMP-13, CD36, Aß, neprilysin levels and AChE activities were elevated, while there were decreases in Na+,K+-ATPase levels. In new objet recognition test, discrimination index (DI) was determined as lower in saline-treated RVH group compared to control animals. In MWM training trail, 4th day performance in finding platform was significantly reduced in saline-treated RVH group compared to control group. RVH also decreased the time spent in target quadrant in probe test of MWM task compared to control group. In both of the treatment groups, all biochemical parameters were restored in parallel with improvement in the behavioral test performances. The results of this study suggest that Myrtus communis extract may improve the cognitive dysfunctions in hypertension through antihypertensive, anti-inflammatory and anticholinesterase activities.


Subject(s)
Cognitive Dysfunction/drug therapy , Hypertension, Renovascular/drug therapy , Myrtus , Plant Extracts/therapeutic use , Animals , Blood Pressure/drug effects , Blood-Brain Barrier , CD36 Antigens/analysis , Cognitive Dysfunction/etiology , Female , Hippocampus/chemistry , Hypertension, Renovascular/complications , Interleukin-10/blood , Male , Morris Water Maze Test , Plant Extracts/pharmacology , Rats
2.
J Physiol Pharmacol ; 68(5): 765-777, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29375052

ABSTRACT

In order to elucidate the contribution of cycloxygenase (COX) enzymes in the anti-oxidant and anti-inflammatory mechanisms of nesfatin-1, which improves the healing process of chronic gastric ulcers, either acetic acid (80%; ulcer groups; n = 40) or saline (control groups; n = 40) was applied to the serosal surface of male Sprague Dawley rats' stomachs for 1 min. Both the control and ulcer groups were treated daily with either i.p. saline or nesfatin-1 (0.3 µg/kg; for 3 days). Nesfatin-1-treatment was preceded with i.p. saline, COX-2 inhibitor NS-398 (2 mg/kg), COX-1 inhibitor ketorolac (3 mg/kg) or non-selective COX inhibitor indomethacin (5 mg/kg) for 3 days. The rats were decapitated at the end of the third day, and their trunk blood was collected for the measurements of tumor necrosis factor-α (TNF-α), interleukin-1ß (IL-1ß) and IL-10 using ELISA. The induction of ulcers resulted in increased macroscopic scores, along with elevated gastric malondialdehyde, luminol- and lucigenin-enhanced chemiluminescence levels and myeloperoxidase activity. On the other hand, nesfatin-1 treatment abolished these elevations. Depleted glutathione, superoxide dismutase and catalase activity levels in the saline-treated ulcer group were preserved in the nesfatin-1-treated ulcer group. Increased levels of serum TNF-α, IL-1ß, IL-10 in the saline-treated ulcer group, as compared to control group, were significantly decreased in the nesfatin-1-treated ulcer group. The inhibition of COX-1, and/or COX-2 reversed most of the alterations induced with nesfatin-1, but COX-2-blockade was consistently more effective to abolish all nesfatin-1-induced changes. Our results suggest that nesfatin-1 ameliorates ulcer-induced inflammatory response through the modulation of oxidant-antioxidant balance. As selective pharmacological inhibition of COX-1 or COX-2 suppresses the antioxidant/anti-inflammatory effects of nesfatin-1, it appears that nesfatin-1 decreases inflammatory mediators and neutrophil migration by a COX-dependent mechanism, especially by a COX-2- dependent mechanism, during the ulcer healing stage.


Subject(s)
Acetic Acid/toxicity , Calcium-Binding Proteins/therapeutic use , Cyclooxygenase 1/metabolism , Cyclooxygenase 2/metabolism , DNA-Binding Proteins/therapeutic use , Membrane Proteins/metabolism , Nerve Tissue Proteins/therapeutic use , Stomach Ulcer/drug therapy , Stomach Ulcer/metabolism , Animals , Anti-Inflammatory Agents/pharmacology , Anti-Inflammatory Agents/therapeutic use , Calcium-Binding Proteins/pharmacology , DNA-Binding Proteins/pharmacology , Dose-Response Relationship, Drug , Male , Membrane Proteins/antagonists & inhibitors , Nerve Tissue Proteins/pharmacology , Nucleobindins , Random Allocation , Rats , Rats, Sprague-Dawley , Stomach Ulcer/chemically induced
3.
J Physiol Pharmacol ; 67(1): 45-55, 2016 Feb.
Article in English | MEDLINE | ID: mdl-27010894

ABSTRACT

The importance of physical activity in the management of renovascular diseases is well-known, but lacks evidence of underlying mechanisms. The purpose of the study was to elucidate the protective/therapeutic effects of regular exercise on experimental renovascular hypertension (RVH)-induced oxidative stress and cardiac dysfunction. Wistar albino rats underwent a RVH surgery (2K1C, Goldblatt). Three weeks later half of the rats started swimming exercise for 9 weeks (n = 15), while the sedentary RVH group (n = 15) had no exercise during that period. Sham-operated control rats (n = 10), had the similar surgical procedures but the left renal artery was left unclipped. Body weights were monitored, and blood pressures were measured weekly using tail-cuff. Echocardiographic evaluation was performed on the 3(rd) week and on the 12(th) week of the experiment before the rats were decapitated. Heart and thoracic aorta were removed and serum was collected, while aortic samples were put in a 10% formaldehyde solution for immunochemistry. Cardiac tissue samples obtained from each animal were used for the determination of tissue myeloperoxidase (MPO) and catalase (CAT) activities, malondialdehyde (MDA), and glutathione (GSH) levels. In the sedentary RVH group, aortic contractile response (contraction/relaxation in isolated organ bath), left ventricular diastolic and systolic dimensions, and immunohistochemical staining of aortic inducible nitric oxide synthase (iNOS) were increased, while ejection fraction and aortic endothelial nitric oxide synthase (eNOS) staining were decreased. RVH in the sedentary rats resulted in increased pro-inflammatory cytokines (TNF-α, IL-2, IL-6), lipid peroxidation (malondialdehyde) and neutrophil infiltration (myeloperoxidase activity) along with reductions in antioxidant glutathione and catalase levels in the cardiac tissue. Exercise after RVH increased the immunohistochemical staining of aortic eNOS, decreased iNOS staining and reversed the alterations in echocardiographic and oxidative parameters. Regular exercise commenced after RVH surgery alleviated renovascular hypertension-induced oxidative injury, by modulating oxidant-antioxidant balance via the involvement of the endothelial NO system.


Subject(s)
Endothelium/physiopathology , Heart/physiopathology , Hypertension, Renovascular/physiopathology , Physical Conditioning, Animal/physiology , Animals , Antioxidants/metabolism , Blood Pressure/physiology , Catalase/metabolism , Endothelium/metabolism , Glutathione/metabolism , Hypertension, Renovascular/metabolism , Interleukin-2/metabolism , Interleukin-6/metabolism , Lipid Peroxidation/physiology , Male , Malondialdehyde/metabolism , Neutrophils/metabolism , Nitric Oxide/metabolism , Nitric Oxide Synthase Type II/metabolism , Nitric Oxide Synthase Type III/metabolism , Oxidation-Reduction , Oxidative Stress/physiology , Rats , Rats, Wistar , Tumor Necrosis Factor-alpha/metabolism
4.
Physiol Res ; 56(3): 315-322, 2007.
Article in English | MEDLINE | ID: mdl-16792473

ABSTRACT

Leptin regulates energy homeostasis and body weight by balancing energy intake and expenditure. It was recently reported that leptin, released into the gut lumen during the cephalic phase of gastric secretion, is capable of initiating intestinal nutrient absorption. Vagal afferent neurons also express receptors for both CCK and leptin, which are believed to interact in controlling food intake. The present study was undertaken to investigate the central and peripheral effects of leptin on gastric emptying rate. Under anesthesia, male Sprague-Dawley rats (250-300 g) were fitted with gastric Gregory cannulas (n=12) and some had additional cerebroventricular cannulas inserted into their right lateral ventricles. Following recovery, the rate of gastric emptying of saline (300 mOsm/kg H(2)O) was determined after instillation into the gastric fistula (3 ml, 37 degrees C, containing phenol red, 60 mg/l as a non-absorbable dilution marker). Gastric emptying rate was determined from the volume and phenol red concentrations recovered after 5 min. Leptin, injected intraperitoneally (i.p.; 10, 30, 60, 100 microg/kg) or intracerebroventricularly (i.c.v.; 5, 15 microg/rat) 15 min before the emptying, delayed gastric emptying rate of saline at the dose of 30 microg/kg or 15 microg/rat (p<0.001). When CCK(1) receptor blocker L-364,718 (1 mg/kg, i.p.), CCK(2) receptor blocker L-365,260 (1 mg/kg, ip) or adrenergic ganglion blocker bretylium tosylate (15 mg/kg, i.p.) was administered 15 min before ip leptin (30 microg/kg) injections, leptin-induced delay in gastric emptying was abolished only by the CCK(1) receptor blocker (p<0.001). However, the inhibitory effect of central leptin on gastric emptying was reversed by adrenergic blockade, but not by either CCK antagonists. Our results demonstrated that leptin delays gastric emptying. The peripheral effect of leptin on gastric motility appears to be mediated by CCK(1) receptors, suggesting the release of CCK and the involvement of vagal afferent fibers. On the other hand, the central effect of leptin on gastric emptying is likely to be mediated by adrenergic neurons. These results indicate the existence of a functional interaction between leptin and CCK receptors leading to inhibition of gastric emptying and short-term suppression of food intake, providing an additional feedback control in producing satiety.


Subject(s)
Gastric Emptying/physiology , Leptin/pharmacology , Receptors, Cholecystokinin/metabolism , Vagus Nerve/physiology , Animals , Gastric Emptying/drug effects , Leptin/metabolism , Male , Rats , Rats, Sprague-Dawley , Vagus Nerve/drug effects
5.
J Endocrinol ; 189(2): 257-69, 2006 May.
Article in English | MEDLINE | ID: mdl-16648293

ABSTRACT

The objective of this study was to examine the potential radioprotective properties of propylthiouracil (PTU)-induced hypothyroidism against oxidative organ damage induced by irradiation. Sprague-Dawley rats were pre-treated with saline or PTU (10 mg/kg i.p.) for 15 days, and were then exposed to whole-body irradiation (800 cGy). A group of rats were decapitated at 6 h after exposure to irradiation, while another group was followed for 72 h after irradiation, during which saline or PTU injections were repeated once daily. Lung, liver, kidney and ileum samples were obtained for the determination of malondialdehyde (MDA; an index of lipid peroxidation) and glutathione (GSH, an antioxidant) levels, myeloperoxidase activity (MPO; an index of tissue neutrophil accumulation) and collagen contents, while oxidant-induced DNA fragmentation was evaluated in the ileal tissues. All tissues were also examined microscopically and assayed for the production of reactive oxidants using chemiluminescence (CL). Lactate dehydrogenase (LDH), an indicator of tissue damage, and tumour necrosis factor-alpha (TNFalpha) were assayed in serum samples. Irradiation caused a significant decrease in GSH level, which was accompanied by significant increases in MDA levels, MPO activity, CL levels and collagen content of the tissues studied (P<0.05-0.001). Similarly, serum TNFalpha and LDH were elevated in the irradiated rats as compared with the control group. On the other hand, PTU treatment reversed all these biochemical indices, as well as histopathological alterations induced by irradiation. Our results suggested that PTU-induced hypothyroidism reduces oxidative damage in the lung, hepatic, renal and ileal tissues probably due to hypometabolism, which is associated with decreased production of reactive oxygen metabolites and enhancement of antioxidant mechanisms.


Subject(s)
Antithyroid Agents/pharmacology , Hypothyroidism/metabolism , Propylthiouracil/pharmacology , Radiation, Ionizing , Animals , Antioxidants/analysis , Collagen/analysis , DNA Fragmentation/drug effects , DNA Fragmentation/radiation effects , Glutathione/analysis , Ileum/drug effects , Ileum/radiation effects , Intestinal Mucosa/physiology , Kidney/drug effects , Kidney/radiation effects , L-Lactate Dehydrogenase/blood , Lipid Peroxidation/drug effects , Lipid Peroxidation/radiation effects , Liver/drug effects , Liver/radiation effects , Lung/drug effects , Lung/radiation effects , Male , Malondialdehyde/analysis , Oxidative Stress/physiology , Oxidative Stress/radiation effects , Peroxidase/metabolism , Radiation Protection , Rats , Rats, Sprague-Dawley , Tumor Necrosis Factor-alpha/analysis , Whole-Body Irradiation/methods
6.
Cell Biol Toxicol ; 22(1): 47-60, 2006 Jan.
Article in English | MEDLINE | ID: mdl-16463019

ABSTRACT

Methotrexate (MTX), a folic acid antagonist widely used for the treatment of a variety of tumors and inflammatory diseases, affects normal tissues that have a high rate of proliferation, including the hematopoietic cells of the bone marrow and the gastrointestinal mucosal cells. To elucidate the role of free radicals and leukocytes in MTX-induced oxidative organ damage and the putative protective effect of L-carnitine (L-Car), Wistar albino rats were administered a single dose of MTX (20 mg/kg) followed by either saline or L-Car (500 mg/kg) for 5 days. After decapitation of the rats, trunk blood was obtained, and the ileum, liver, and kidney were removed for histological examination and for the measurement of malondialdehyde (MDA) and glutathione (GSH) levels, myeloperoxidase (MPO) activity, and collagen content. Our results showed that MTX administration increased the MDA and MPO activities and collagen content and decreased GSH levels in all tissues, while these alterations were reversed in L-Car-treated group. The elevated serum TNF-alpha level observed following MTX treatment was depressed with L-Car. The oxidative burst of neutrophils stimulated by Annexin V was reduced in the saline-treated MTX group, while L-Car abolished this inhibition. Similarly, flow cytometric measurements revealed that leukocyte apoptosis was increased in MTX-treated animals, while L-Car reversed these effects. Severe degeneration of the intestinal mucosa, liver parenchyma, and glomerular and tubular epithelium observed in the saline-treated MTX group was improved by L-Car treatment. These results suggest that L-Car, possibly via its free radical scavenging and antioxidant properties, ameliorates MTX-induced oxidative organ injury and inhibits leukocyte apoptosis. Thus, supplementation with L-Carnitine as an adjuvant therapy may be promising in alleviating the systemic side-effects of chemotherapeutics.


Subject(s)
Carnitine/therapeutic use , Free Radical Scavengers/therapeutic use , Leukocytes/drug effects , Methotrexate/adverse effects , Oxidative Stress/drug effects , Animals , Apoptosis/drug effects , Collagen/metabolism , Female , Glutathione/metabolism , Ileum/drug effects , Ileum/enzymology , Ileum/metabolism , Ileum/pathology , Kidney/drug effects , Kidney/enzymology , Kidney/metabolism , Kidney/pathology , Lipid Peroxides/metabolism , Liver/drug effects , Liver/enzymology , Liver/metabolism , Liver/pathology , Male , Peroxidase/metabolism , Rats , Rats, Wistar
7.
J Physiol Pharmacol ; 56(4): 543-53, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16391413

ABSTRACT

Pineal hormone melatonin is proposed as a potential treatment for severe sleep disturbances, and various gastrointestinal disorders. It was shown that melatonin increases intestinal motility and influences the activity of myoelectric complexes of the gut. The aim of the study was to evaluate the mechanisms of the effect of exogenous melatonin on gastric emptying rate. Male Sprague-Dawley rats were fitted with gastric cannulas under anesthesia. The rate of gastric emptying of saline was determined after instillation into the gastric fistula, from the volume and phenol red concentrations recovered after 5 min. Melatonin injected intraperitoneally (ip; 0.001-100 mg/kg) delayed gastric emptying rate of saline at 3 and 10 mg/kg doses. When administered ip 15 min before melatonin (10 mg/kg) injections, CCK2 (L-365,260, 1 mg/kg) or 5-HT3 receptor (ramosetrone, 50 microg/kg) blockers abolished melatonin-induced delay in gastric emptying rate, while the blockade of sympathetic ganglia (bretylium tosylate, 15 mg/kg) significantly reduced the delay in gastric emptying rate. CCK1 receptor blocker (L-364,718, 1 mg/kg) had no significant effect on the delaying action of melatonin. Our results indicate that pharmacological doses of melatonin delay gastric emptying via mechanisms that involve CCK2 and 5-HT3 receptors. Moreover, it appears that exogenous melatonin inhibits gastric motility in part by activating sympathetic neurons.


Subject(s)
Gastric Emptying/drug effects , Gastrointestinal Tract/drug effects , Melatonin/pharmacology , Adrenergic Antagonists/pharmacology , Animals , Autonomic Nerve Block , Benzimidazoles/pharmacology , Benzodiazepinones/pharmacology , Bretylium Tosylate/pharmacology , Capsaicin/pharmacology , Dose-Response Relationship, Drug , Ganglia, Sympathetic/drug effects , Gastrointestinal Tract/innervation , Gastrointestinal Tract/metabolism , Male , Neurons, Afferent/drug effects , Phenylurea Compounds/pharmacology , Rats , Rats, Sprague-Dawley , Receptor, Cholecystokinin B/antagonists & inhibitors , Receptor, Cholecystokinin B/metabolism , Receptors, Serotonin, 5-HT3/metabolism , Serotonin 5-HT3 Receptor Antagonists , Vagus Nerve/drug effects
8.
J Endocrinol ; 187(3): 399-406, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16423819

ABSTRACT

Alendronate sodium, a primary amino bisphosphonate, is widely used in the treatment of various diseases that are associated with bone resorption, such as postmenopausal osteoporosis and Paget's disease of bone. Although the adverse effects of biphosphonates on the gastrointestinal system have been demonstrated in experimental and clinical studies, the exact mechanisms underlying this damage are not clear yet. Ghrelin, a 28 amino acid peptide produced predominantly by the stomach, was shown to exert a potent protective action on the stomach of rats exposed to ethanol or stress. Our objective was to evaluate the possible anti-oxidant and anti-inflammatory effects of ghrelin against alendronate-induced gastric damage. Wistar albino rats were administered alendronate (20 mg/kg) by gavage for 4 days, along with either ghrelin (10 ng/kg per day) or saline given i.p. After decapitation, stomach tissues were removed for the determination of malondialdehyde (MDA) and glutathione (GSH) levels, myeloperoxidase (MPO) activity and tissue collagen content, while the extent of tissue damage was analyzed microscopically. Formation of reactive oxygen species was determined by chemiluminesence using a luminol probe in fresh gastric tissues. Serum tumor necrosis factor (TNF-alpha) and lactate dehydrogenase levels were assessed in trunk blood. Oral administration of alendronate-induced significant gastric damage, accompanied by increased MPO activity, collagen content, MDA and luminol levels (P < 0.01-P < 0.001), while tissue GSH was decreased (P < 0.01). On the other hand, ghrelin treatment reversed these alterations (P < 0.05-P < 0.001) as well as elevating serum TNF-alpha levels significantly (P < 0.001). The findings of the present study suggest that alendronate induces oxidative gastric damage by a local irritant effect, and ghrelin ameliorates this damage by its possible antioxidant and anti-inflammatory properties.


Subject(s)
Alendronate/adverse effects , Anti-Inflammatory Agents/pharmacology , Antioxidants/pharmacology , Bone Density Conservation Agents/adverse effects , Peptide Hormones/pharmacology , Stomach/drug effects , Administration, Oral , Alendronate/administration & dosage , Animals , Bone Density Conservation Agents/administration & dosage , Collagen/analysis , Female , Ghrelin , Glutathione/analysis , L-Lactate Dehydrogenase/blood , Luminol/analysis , Male , Malondialdehyde/analysis , Peroxidase/metabolism , Rats , Rats, Wistar , Reactive Oxygen Species/analysis , Tumor Necrosis Factor-alpha/analysis
9.
Eur Surg Res ; 36(6): 362-6, 2004.
Article in English | MEDLINE | ID: mdl-15591745

ABSTRACT

AIM: Although frequency of gastroesophageal reflux (GER) increases after gastrostomy, the role of gastric emptying in GER has not been evaluated. In this study, we examined the effects of Stamm gastrostomy on gastric emptying rate in rats and whether Stamm gastrostomy induces GER or not. METHODS: Sprague-Dawley rats were divided into three groups. Stamm gastrostomy was done in the first group (SG). Sham operation was carried out in group 2 and the 3rd group served as control. Gastric emptying was assessed using both liquid and solid meals in each group at postoperative 14th day. For solid meal emptying, after fasting of 16 h, the rats were fed for 3 h and gastric emptying rate was measured at the fifth hour. Methylcellulose was used for emptying of liquids and it was given after the animals were fasted for 16 h and gastric emptying rate was measured 30 min later. Histological evaluation for GER was performed in all groups. RESULTS: GER was observed pathophysiologically in 5 of the 7 rats in SG group. Gastric emptying rates of liquid and solid meals were found to be similar in control, SG or sham groups. CONCLUSION: Surgical gastrostomy does not affect the gastric emptying of solid and liquid meals in rats. Other mechanisms should be considered in the development of GER observed following gastrostomy.


Subject(s)
Gastric Emptying/physiology , Gastroesophageal Reflux/etiology , Gastrostomy/adverse effects , Animals , Male , Models, Animal , Rats , Rats, Sprague-Dawley
10.
Curr Protein Pept Sci ; 5(6): 457-73, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15581416

ABSTRACT

The neuropeptides, as well as their respective receptors, are widely distributed throughout the mammalian central nervous system. During learning and memory processes, besides structural synaptic remodeling, changes are observed at molecular and metabolic levels with the alterations in neurotransmitter and neuropeptide synthesis and release. While there is consensus that brain cholinergic neurotransmission plays a critical role in the processes related to learning and memory, it is also well known that these functions are influenced by a tremendous number of neuropeptides and non-peptide molecules. Arginine vasopressin (AVP), oxytocin, angiotensin II, insulin, growth factors, serotonin (5-HT), melanin concentrating hormone, histamine, bombesin and gastrin-releasing peptide (GRP), glucagon-like peptide-1 (GLP-1), cholecystokinin (CCK), dopamine, corticotropin releasing factor (CRF) have modulatory effects on learning and memory. Among these peptides CCK, 5-HT and CRF play strategic roles in the modulation of memory processes under stressful conditions. CRF is accepted as the main neuropeptide involved in both physical and emotional stress, with a protective role during stress, possibly through the activation of the hypothalamo-pitiuitary (HPA) axis. The peptide CCK has been proposed to facilitate memory processing and CCK-like immunoreactivity in the hypothalamus was observed upon stress exposure, suggesting that CCK may participate in the central control of stress response and stress-induced memory dysfunction. On the other hand, 5-HT appears to play a role in behaviors that involve a high cognitive demand and stress exposure activates serotonergic systems in a variety of brain regions. The physiological role and therapeutic efficacy of various neuropeptides and the impact of stress exposure in the acquisition and consolidation of memory will be reviewed thoroughly.


Subject(s)
Learning/physiology , Memory/physiology , Peptides/physiology , Stress, Physiological/physiopathology , Animals , Humans
11.
Adv Physiol Educ ; 27(1-4): 53-61, 2003 Dec.
Article in English | MEDLINE | ID: mdl-12760841

ABSTRACT

The aim of the present study was to evaluate the strong or weak aspects of an interactive study module introduced during the "Cardiovascular and Respiratory Systems Subject Committee" in the second year of the medical program. Five study groups consisting of 25 students attended two-hour module sessions for six weeks with the same tutor. According to the module assessment questionnaire, the majority of the students assessed the module as excellent or good. The students reported that they had gained not only in knowledge but also in skills development. The general opinion of the students was that both the organization and the implementation of the module met their expectations. Nearly one-half of the students reported that their expectations with regard to the educational environment and the participation of students were fully met. The major weakness in this new educational trial appears to be assessment of the module.


Subject(s)
Education, Medical , Physiology/education , Teaching Materials , Feedback , Group Processes , Humans , Interpersonal Relations , Students, Medical , Surveys and Questionnaires , Teaching
12.
J Endocrinol ; 177(3): 471-6, 2003 Jun.
Article in English | MEDLINE | ID: mdl-12773128

ABSTRACT

Depression of metabolism by hypothyroidism decreases oxidant production and thus protects tIssues against oxidant damage. Moreover, it is well-known that abnormal gut motility is a common manifestation in hypo/hyperthyroidism. In this study, we aimed to investigate the putative beneficial effects of methimazole on oxidative injury and dysmotility in a rat colitis model. Methimazole (0.04%) was administered in drinking water starting 15 days prior to induction of colitis. Colitis was induced by intracolonic administration of trinitrobenzene sulfonic acid (30 mg/ml; 0.8 ml) in ethanol. Six days after the induction of colitis, the fecal output was measured and used as an index for colonic motility. All rats were decapitated on the seventh day. The distal colon was weighed and the mucosal lesions were scored. Colonic lipid peroxidation (LP) and glutathione (GSH) measurements were performed. The macroscopic score, the colonic wet weight and LP values of the euthyroid colitis group were found to be higher than those of the control group (P<0.05-0.001). All these parameters were reduced in the methimazole-treated colitis group (P<0.01-0.001). The decrease in colonic GSH levels in the colitis group was completely abolished in the methimazole-treated colitis rats (P<0.01). Induction of colitis increased the average fecal output compared with the control group (P<0.05) and methimazole in the colitis group exaggerated the fecal output (P<0.001). In conclusion, methimazole reduces colonic oxidative injury probably due to hypometabolism, which is associated with a decrease in the production of reactive oxygen intermediates and an increase in the response of antioxidant systems.


Subject(s)
Colitis/metabolism , Colon/metabolism , Hypothyroidism/metabolism , Oxidative Stress , Analysis of Variance , Animals , Antithyroid Agents/pharmacology , Colitis/physiopathology , Colon/physiopathology , Defecation , Feces , Female , Gastrointestinal Motility , Glutathione/analysis , Lipid Peroxidation , Male , Methimazole/pharmacology , Models, Animal , Rats , Rats, Wistar
13.
Curr Pharm Des ; 9(12): 1013-22, 2003.
Article in English | MEDLINE | ID: mdl-12678868

ABSTRACT

Bombesin (BBS) is proved to have a wide variety of the pharmacologic effects, including effects on the release of gastrointestinal hormones and control of gastrointestinal motility. More recently, the role of BBS in tumor growth, cellular proliferation and inflammation has attracted attention. There is evidence that increased BBS receptor expression may be considered as a specific marker for small-cell lung cancer, colorectal adenocarcinoma, gastric and pancreatic cancer, prostate, ovarian and breast cancer, neuroblastoma, renal cell carcinoma, malignant melanoma and thyroid carcinoma. BBS expression was found to be correlated with the histological grade of the tumor. Similarly, BBS treatment significantly improves the healing of chronic gastric ulcers and ameliorates the severity of burn- or colitis-induced gut injury. Although there is much complexity still to be elucidated to understand fully the physiologic and pathologic roles of BBS-like peptides several clinical or experimental trials have addressed that circulating or tissue levels of BBS-like peptides or their receptor expression may be used as diagnostic or prognostic markers of neoplastic disease, and incorporation of BBS receptor antagonists in the treatment of human cancer could provide substantial benefit to the cancer patients. Moreover, trophic, anti-ulcerogenic and anti-inflammatory actions of exogenous BBS make this peptide a potential supplement in minimizing or reversing tissue damage against several injurious challenges. In conclusion, based on the evidence summarized herein, related to the mitogenic and anti-inflammatory effects of BBS-like peptides, further investigations are needed to derive the benefit of BBS-like peptides in pharmacologic strategies.


Subject(s)
Bombesin/metabolism , Bombesin/therapeutic use , Animals , Anti-Inflammatory Agents/metabolism , Anti-Inflammatory Agents/therapeutic use , Antimicrobial Cationic Peptides/metabolism , Antimicrobial Cationic Peptides/therapeutic use , Eating/drug effects , Eating/physiology , Humans , Mitogens/metabolism , Mitogens/therapeutic use
14.
Physiol Res ; 51(6): 619-27, 2002.
Article in English | MEDLINE | ID: mdl-12511187

ABSTRACT

We investigated the gastric response to an ulcerogenic irritant and the change in gastric functions in an experimental rat model of obstructive jaundice, with or without biliary drainage. After biliary obstruction for 14 days, rats with ligated bile duct (BDL) were randomly divided into three groups: BDL group without biliary drainage, BDL followed by choledochoduodenostomy (CD) or a choledochovesical fistula (CVF). The gastric functions were evaluated 2 weeks after the surgery. Gastric damage, induced by orogastric administration of ethanol, was evaluated 30 min later using a lesion index and microscopic scoring was then performed on fixed stomachs. Basal gastric acid secretion was measured by the pyloric ligation method. The lesion index and maximum lesion depth did not differ in the BDL and sham groups, while they were significantly reduced in the CD group. Gastric acid output and secretory volume were reduced in the BDL group compared to the sham group, while these reductions were abolished in the CD group. Afferent denervation with capsaicin further reduced the ulcer index in the later group. Our data suggest that gastric mucosal susceptibility to injury is dependent on the normal flow of bile into the duodenal lumen, which appears to be a requirement for adaptive gastric cytoprotection.


Subject(s)
Bile Acids and Salts/metabolism , Cholestasis/physiopathology , Stomach Ulcer/prevention & control , Adaptation, Physiological , Animals , Bile Ducts/surgery , Choledochostomy , Cholestasis/complications , Disease Models, Animal , Disease Susceptibility , Drainage/methods , Ethanol , Female , Gastric Acid/metabolism , Gastric Emptying/physiology , Gastric Mucosa/metabolism , Gastric Mucosa/pathology , Male , Random Allocation , Rats , Rats, Wistar , Stomach Ulcer/chemically induced , Stomach Ulcer/etiology
15.
Am J Physiol Gastrointest Liver Physiol ; 281(3): G752-63, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11518688

ABSTRACT

We investigated the effect of acarbose, an alpha-glucosidase and pancreatic alpha-amylase inhibitor, on gastric emptying of solid meals of varying nutrient composition and plasma responses of gut hormones. Gastric emptying was determined with scintigraphy in healthy subjects, and all studies were performed with and without 100 mg of acarbose, in random order, at least 1 wk apart. Acarbose did not alter the emptying of a carbohydrate-free meal, but it delayed emptying of a mixed meal and a carbohydrate-free meal given 2 h after sucrose ingestion. In meal groups with carbohydrates, acarbose attenuated responses of plasma insulin and glucose-dependent insulinotropic polypeptide (GIP) while augmenting responses of CCK, glucagon-like peptide-1 (GLP-1), and peptide YY (PYY). With mixed meal + acarbose, area under the curve (AUC) of gastric emptying was positively correlated with integrated plasma response of GLP-1 (r = 0.68, P < 0.02). With the carbohydrate-free meal after sucrose and acarbose ingestion, AUC of gastric emptying was negatively correlated with integrated plasma response of GIP, implying that prior alteration of carbohydrate absorption modifies gastric emptying of a meal. The results demonstrate that acarbose delays gastric emptying of solid meals and augments release of CCK, GLP-1, and PYY mainly by retarding/inhibiting carbohydrate absorption. Augmented GLP-1 release by acarbose appears to play a major role in the inhibition of gastric emptying of a mixed meal, whereas CCK and PYY may have contributory roles.


Subject(s)
Acarbose/administration & dosage , Cholecystokinin/blood , Enzyme Inhibitors/pharmacology , Gastric Emptying/drug effects , Gastric Emptying/physiology , Glucagon/blood , Peptide Fragments/blood , Protein Precursors/blood , Acarbose/adverse effects , Administration, Oral , Adult , Area Under Curve , Blood Glucose/drug effects , Diarrhea/chemically induced , Dietary Carbohydrates/metabolism , Dietary Carbohydrates/pharmacology , Energy Intake/physiology , Flatulence/chemically induced , Gastric Inhibitory Polypeptide/blood , Glucagon-Like Peptide 1 , Humans , Insulin/blood , Male , Peptide YY/blood , Sucrose/administration & dosage
16.
Inflammation ; 25(5): 311-8, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11820458

ABSTRACT

In order to investigate the effect of bile acids on gastrointestinal inflammations, bile duct ligated rats (BDL) were treated with GCA (25 mM/ml, oral or colonic) or saline I h before ethanol challenge and twice daily for 3 days in the ileitis group, while GCA was given twice daily for 3 days in the colitis group. BDL reduced the macroscopic and microscopic damage scores in the ileitis group compared to sham operated group, while it had no significant effect on ulcer or colitis groups. However, GCA given in BDL group reduced the ulcer index and microscopic damage in colitis group compared to saline-treated groups, but had no effect in ileitis group. Both BDL and GCA administration in BDL group reduced ileitis- or colitis-induced elevations in MPO levels. GCA administration in BDL group inhibited gastric acid output and volume. Our results suggest that oral or colonic administration of primary bile acids may be useful for the treatment of gastrointestinal inflammations.


Subject(s)
Glycocholic Acid/pharmacology , Inflammatory Bowel Diseases/drug therapy , Intestinal Mucosa/drug effects , Animals , Bile Acids and Salts/administration & dosage , Bile Acids and Salts/pharmacology , Bile Ducts , Colitis/drug therapy , Colitis/pathology , Disease Models, Animal , Ethanol , Gastric Acid/metabolism , Glycocholic Acid/administration & dosage , Ileitis/drug therapy , Ileitis/pathology , Inflammatory Bowel Diseases/pathology , Intestinal Mucosa/pathology , Ligation , Peptic Ulcer/drug therapy , Peptic Ulcer/pathology , Peroxidase/metabolism , Rats
17.
Inflamm Res ; 50(12): 585-91, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11822783

ABSTRACT

OBJECTIVE AND DESIGN: The present study was designed to investigate the role of sex steroids in burn-induced remote organ injury. MATERIAL OR SUBJECTS: Male Wistar albino rats were given burn trauma (n=39), and underwent castration or sham operation at 2 h following the burn injury. TREATMENT: Rats were injected sc with either 17beta estradiol benzoate (E2, 10 mg/kg) or an androgen receptor blocker cyproterone acetate (CPA, 25 mg/kg) or vehicle, immediately after burn and at 12 h. METHODS: At 24 h of burn insult, rats were decapitated. Blood samples for RIA of testosterone, estradiol and tumor necrosis factor (TNF)-alpha and the tissue samples for myeloperoxidase activitiy (MPO) were taken. ANOVA student's t test was used for statistical analysis. RESULTS: Castration, antiandrogen and E2 treatments increased plasma estradiol levels and depressed burn-induced elevation in serum TNF-alpha levels. In the liver and lung, burn-induced increase in MPO was reduced by E2 and castration, while CPA was effective in reducing neutrophil infiltration only in the liver. CONCLUSION: We propose that treatment with estrogens or antiandrogens might be applicable in clinical situations to ameliorate systemic inflammation induced by burn.


Subject(s)
Anti-Inflammatory Agents , Burns/pathology , Estrogens/pharmacology , Inflammation/drug therapy , Inflammation/pathology , Animals , Burns/complications , Estrogens/blood , Inflammation/etiology , Male , Peroxidase/metabolism , Radioimmunoassay , Rats , Rats, Wistar , Testosterone/blood , Testosterone/pharmacology , Tumor Necrosis Factor-alpha/metabolism
18.
Dig Dis Sci ; 45(9): 1889-99, 2000 Sep.
Article in English | MEDLINE | ID: mdl-11052339

ABSTRACT

The role of capsaicin-sensitive afferent fibers on cold-restraint stress-induced gastric and hepatic injury was examined at the macroscopic and ultrastructural levels. Wistar albino rats were treated with capsaicin either locally (intragastric, perivagal, and periceliac) or systemically (neonatal, intraperitoneal). Perineural and neonatal treatment with capsaicin was used to denervate afferent fibers, while intragastric capsaicin treatment would have activated mucosal afferent fibers just before the stress exposure. Capsaicin decreased significantly the formation of macroscopic gastric lesions caused by stress in all treatment groups. At the electron microscopic level, however, denervation of vagal afferent fibers with capsaicin was most effective in prevention of cellular injury in gastric mucosa. In the liver, systemic denervation of afferent fibers completely inhibited stress-induced cellular damage, while denervation of afferent fibers in vagus and splanchnic nerve was partially effective. Central neural pathways sensitive to capsaicin may mediate formation of both gastric and hepatic injury resulting from stress.


Subject(s)
Capsaicin/pharmacology , Liver Diseases/physiopathology , Liver/innervation , Neurons, Afferent/physiology , Stomach Ulcer/physiopathology , Stomach/innervation , Stress, Physiological/physiopathology , Animals , Capsaicin/administration & dosage , Cold Temperature , Denervation , Ganglia, Sympathetic/drug effects , Ganglia, Sympathetic/physiopathology , Gastric Mucosa/pathology , Immobilization , Liver Diseases/etiology , Liver Diseases/pathology , Neurons, Afferent/drug effects , Rats , Rats, Wistar , Stomach Ulcer/etiology , Stomach Ulcer/pathology , Stress, Physiological/pathology , Vagus Nerve/drug effects , Vagus Nerve/physiopathology
19.
Br J Pharmacol ; 131(3): 399-404, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11015288

ABSTRACT

Studies in vitro suggest that cephalosporin antibiotics release the gut hormone cholecystokinin. Cholecystokinin is known to inhibit gastric emptying. Here we examine the effects of cefaclor on gastric emptying and intestinal motility. Male Sprague-Dawley rats were fitted with gastric cannulas. Following a 3-week recovery, the rate of gastric emptying of saline, peptone (4.5%) or cefaclor was determined after instillation into the gastric cannula, while intestinal transit was measured by using the propagation of arabic gum + charcoal mixture given intraduodenally. Gastric emptying of saline was significantly delayed by the addition of cefaclor (3, 10, 30 or 100 mM). The CCK-A antagonist SR-27897B (1 mg kg(-1), i.p.) reversed the delay induced by 10 mM cefaclor, whereas the CCK-B antagonist CI-988 (1 mg kg(-1), i.p.) had no significant effect. In capsaicin-treated rats, 10 mM cefaclor emptied more rapidly than in vehicle-treated animals. Thirty-minute intestinal transit was increased at 30 and 100 mM of cefaclor, while the gastric acid secretion following cefaclor instillation was no different than the group which received saline. The cephalosporin antibiotic cefaclor appears to be a potent stimulant of CCK release from gut endocrine cells, resembling the effects of peptone. Cefaclor delays gastric emptying via capsaicin-sensitive afferent pathways, which involve CCK-A receptor interaction.


Subject(s)
Cefaclor/pharmacology , Cephalosporins/pharmacology , Cholecystokinin/metabolism , Gastric Emptying/drug effects , Receptors, Cholecystokinin/physiology , Animals , Aortic Bodies/drug effects , Aortic Bodies/metabolism , Gastric Acid/metabolism , In Vitro Techniques , Intestines/drug effects , Intestines/physiology , Male , Neurons, Afferent/drug effects , Neurons, Afferent/metabolism , Rats , Rats, Sprague-Dawley , Receptor, Cholecystokinin A , Receptors, Cholecystokinin/drug effects
20.
Peptides ; 21(8): 1265-9, 2000 Aug.
Article in English | MEDLINE | ID: mdl-11035214

ABSTRACT

This study was designed to determine the effect of exogenous bombesin (10 microg/kg/day, subcutaneously, three times a day) on intestinal hypomotility and neutrophil infiltration in the early and late phases of burn injury (partial-thickness, second-degree burn of the skin). In acute (2 h after burn injury) or chronic (3 days after) burn groups, intestinal transit was delayed, which was reversed by bombesin treatment. In the acute burn group, but not in the chronic group, increased MPO activity was also reduced by bombesin treatment. The results demonstrate that bombesin ameliorates the intestinal inflammation due to burn injury, involving a neutrophil-dependent mechanism.


Subject(s)
Bombesin/pharmacology , Bombesin/therapeutic use , Burns/drug therapy , Intestines/injuries , Animals , Female , Male , Neutrophils/drug effects , Peroxidase/metabolism , Rats , Rats, Wistar , Time Factors
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