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1.
Brain Struct Funct ; 229(3): 695-703, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38308043

RESUMO

The pathophysiology of Fronto Temporal Dementia (FTD) remains poorly understood, specifically the role of astroglia. Our aim was to explore the hypothesis of astrocytic alterations as a component for FTD pathophysiology. We performed an in-depth tri-dimensional (3-D) anatomical and morphometric study of glial fibrillary acidic protein (GFAP)-positive and glutamine synthetase (GS)-positive astrocytes in the human entorhinal cortex (EC) of FTD patients. The studies at this level in the different types of human dementia are scarce. We observed a prominent astrocyte atrophy of GFAP-positive astrocytes and co-expressing GFAP/GS astrocytes, characterised by a decrease in area and volume, whilst minor changes in GS-positive astrocytes in FTD compared to non-dementia controls (ND) samples. This study evidences the importance of astrocyte atrophy and dysfunction in human EC. We hypothesise that FTD is not only a neuropathological disease, but also a gliopathological disease having a major relevance in the understanding the astrocyte role in FTD pathological processes and development.


Assuntos
Córtex Entorrinal , Demência Frontotemporal , Humanos , Córtex Entorrinal/patologia , Astrócitos/metabolismo , Demência Frontotemporal/patologia , Atrofia/patologia , Proteína Glial Fibrilar Ácida/metabolismo
2.
Acta Histochem ; 126(1): 152131, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38159478

RESUMO

The study of astrocytes and its role in the development and evolution of neurodegenerative diseases, including Alzheimer's disease (AD) is essential to fully understand their aetiology. The aim if this study is to deepen into the concept of the heterogeneity of astrocyte subpopulations in the EC and in particular the identification of differentially functioning astrocyte subpopulations that respond differently to AD progression. S100ß protein belongs to group of small calcium regulators of cell membrane channels and pumps that are expressed by astrocytes and is hypothesised to play and have a relevant role in AD development. We analysed the selective differentiation of S100ß-positive astrocytes into Glutamine synthetase (GS) and Glial fibrillary acidic protein (GFAP)-positive sub-groups in the entorhinal cortex (EC) of AD triple transgenic animal model (3xTg-AD). EC is the brain region earliest affected in humans AD but also in this closest animal model regarding their pathology and time course. We observed no changes in the number of S100ß-positive astrocytes between 1 and 18 months of age in the EC of 3xTg-AD mice. However, we identified relevant morphological changes in S100ß/GFAP positive astrocytes showing a significant reduction in their surface and volume whilst an increase in number and percentage. Furthermore, the percentage of S100ß/GS positive astrocyte population was also increased in 18 months old 3xTg-AD mice compared to the non-Tg mice. Our findings reveal the presence of differentially controlled astrocyte populations that respond differently to AD progression in the EC of 3xTg-AD mice. These results highpoints the major astrocytic role together with its early and marked affection in AD and arguing in favour of its importance in neurogenerative diseases and potential target for new therapeutic approaches.


Assuntos
Doença de Alzheimer , Animais , Humanos , Lactente , Camundongos , Doença de Alzheimer/genética , Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/metabolismo , Astrócitos/metabolismo , Modelos Animais de Doenças , Córtex Entorrinal/metabolismo , Córtex Entorrinal/patologia , Proteína Glial Fibrilar Ácida/genética , Proteína Glial Fibrilar Ácida/metabolismo , Glutamato-Amônia Ligase/genética , Glutamato-Amônia Ligase/metabolismo , Camundongos Transgênicos
3.
Brain Struct Funct ; 228(9): 2103-2113, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37730895

RESUMO

Pathophysiology of sporadic Alzheimer's disease (SAD) and familial Alzheimer's disease (FAD) remains poorly known, including the exact role of neuroglia and specifically astroglia, in part because studies of astrocytes in human Alzheimer's disease (AD) brain samples are scarce. As far as we know, this is the first study of a 3-D immunohistochemical and microstructural analysis of glial fibrillary acidic protein (GFAP)- and glutamine synthetase (GS)-positive astrocytes performed in the entorhinal cortex (EC) of human SAD and FAD samples. In this study, we report prominent atrophic changes in GFAP and GS astrocytes in the EC of both SAD and FAD characterised by a decrease in area and volume when compared with non-demented control samples (ND). Furthermore, we did not find neither astrocytic loss nor astrocyte proliferation or hypertrophy (gliosis). In contrast with the astrogliosis classically accepted hypothesis, our results show a highly marked astrocyte atrophy that could have a major relevance in AD pathological processes being fundamental and key for AD mnesic and cognitive alterations equivalent in both SAD and FAD.


Assuntos
Doença de Alzheimer , Humanos , Doença de Alzheimer/patologia , Astrócitos/metabolismo , Neuroglia/metabolismo , Atrofia/patologia , Córtex Entorrinal/patologia , Proteína Glial Fibrilar Ácida/metabolismo
4.
Neurosci Lett ; 802: 137167, 2023 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-36894021

RESUMO

Astrocytes contribute to the progression of neurodegenerative diseases, including Alzheimer's disease (AD). Here, we report the neuroanatomical and morphometric analysis of astrocytes in the entorhinal cortex (EC) of the aged wild type (WT) and triple transgenic (3xTg-AD) mouse model of AD. Using 3D confocal microscopy, we determined the surface area and volume of positive astrocytic profiles in male mice (WT and 3xTg-AD) from 1 to 18 months of age. We showed that S100ß-positive astrocytes were equally distributed throughout the entire EC in both animal types and showed no changes in Nv (number of cells/mm3) nor in their distribution at the different ages studied. These positive astrocytes, demonstrated an age-dependent gradual increase in their surface area and in their volume starting at 3 months of age, in both WT and 3xTg-AD mice. This last group demonstrated a large increase in both surface area and volume at 18 months of age when the burden of pathological hallmarks of AD is present (69.74% to 76.73% in the surface area and the volume, for WT and 3xTg-AD mice respectively). We observed that these changes were due to the enlargement of the cell processes and to less extend the somata. In fact, the volume of the cell body was increased by 35.82% in 18-month-old 3xTg-AD compared to WT. On the other hand, the increase on the astrocytic processes were detected as soon as 9 months of age where we found an increase of surface area and volume (36.56% and 43.73%, respectively) sustained till 18 month of age (93.6% and 113.78%, respectively) when compared age-matched non-Tg mice. Moreover, we demonstrated that these hypertrophic S100ß-positive astrocytes were mainly associated with Aß plaques. Our results show a severe atrophy in GFAP cytoskeleton in all cognitive areas; whilst within the EC astrocytes independent to this atrophy show no changes in GS and S100ß; which can play a key role in the memory impairment.


Assuntos
Doença de Alzheimer , Córtex Entorrinal , Camundongos , Masculino , Animais , Camundongos Transgênicos , Astrócitos/metabolismo , Doença de Alzheimer/metabolismo , Modelos Animais de Doenças , Envelhecimento , Atrofia/patologia
5.
Biochim Biophys Acta Biomembr ; 1859(9 Pt B): 1648-1656, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28315303

RESUMO

Stroke modifies the composition of cell membranes by eliciting the breakdown of membrane phospholipids whose products, such as arachidonic acid (AA), are released in the cytosol. The action of enzymes such as cyclooxygenases on AA leads to inflammatory stimuli and increases the cell oxidative stress. We report here the neuroprotective effect of 2-hydroxyarachidonic acid (2OAA), a cyclooxygenase inhibitor derived from AA, as a promising neuroprotective therapy against stroke. The effect of a single dose of 2OAA, administered intragastrically 1h after the ischaemic insult, in a rat model of transient middle cerebral artery occlusion (tMCAO) was tested after 24h of reperfusion. Infarct volume was measured by TTC method to evaluate the neuroprotective effect. Levels of phospholipids and neutral lipids were measured by thin-layer chromatography. The expression of cPLA2 and sPLA2 phospholipases responsible for the cleavage of membrane phospholipids, as well as the expression of antioxidant enzymes, was measured by qPCR. Lipid peroxidation was measured as the concentration of malondialdehyde and 4-hydroxynonenal. The treatment with 2OAA reduced the infarct volume and prevented ischaemia-induced increases in transcription levels of free fatty acid (FFAs), as well as in both phospholipases A2 (cPLA2 and sPLA2). The lipid peroxidation and the transcription levels of antioxidant enzymes induced by ischaemia were also decreased by this treatment. We conclude that 2OAA treatment results in a strong neuroprotective effect that seems to rely on a decrease in PLA2 transcriptional activity. This would reduce their action on the membrane phospholipids reducing reactive oxygen and nitrogen species generated by FFAs. Based on the transcriptional activity of the antioxidant enzymes, we conclude that the treatment prevents oxidative stress rather than promoting the antioxidant response. This article is part of a Special Issue entitled: Membrane Lipid Therapy: Drugs Targeting Biomembranes edited by Pablo V. Escribá.


Assuntos
Ácidos Araquidônicos/uso terapêutico , Infarto da Artéria Cerebral Média/tratamento farmacológico , Fármacos Neuroprotetores/uso terapêutico , Animais , Modelos Animais de Doenças , Infarto da Artéria Cerebral Média/metabolismo , Peroxidação de Lipídeos , Masculino , Camundongos , Estresse Oxidativo/efeitos dos fármacos , Fosfolipases A2/metabolismo , Ratos , Ratos Sprague-Dawley
6.
Biomaterials ; 71: 100-109, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26321058

RESUMO

In the present work new highly biocompatible nanovesicles were developed using polyanion sodium hyaluronate to form polymer immobilized vesicles, so called hyalurosomes. Curcumin, at high concentration was loaded into hyalurosomes and physico-chemical properties and in vitro/in vivo performances of the formulations were compared to those of liposomes having the same lipid and drug content. Vesicles were prepared by direct addition of dispersion containing the polysaccharide sodium hyaluronate and the polyphenol curcumin to a commercial mixture of soy phospholipids, thus avoiding the use of organic solvents. An extensive study was carried out on the physico-chemical features and properties of curcumin-loaded hyalurosomes and liposomes. Cryogenic transmission electron microscopy and small-angle X-ray scattering showed that vesicles were spherical, uni- or oligolamellar and small in size (112-220 nm). The in vitro percutaneous curcumin delivery studies on intact skin showed an improved ability of hyalurosomes to favour a fast drug deposition in the whole skin. Hyalurosomes as well as liposomes were biocompatible, protected in vitro human keratinocytes from oxidative stress damages and promoted tissue remodelling through cellular proliferation and migration. Moreover, in vivo tests underlined a good effectiveness of curcumin-loaded hyalurosomes to counteract 12-O-tetradecanoilphorbol (TPA)-produced inflammation and injuries, diminishing oedema formation, myeloperoxydase activity and providing an extensive skin reepithelization. Thanks to the one-step and environmentally-friendly preparation method, component biocompatibility and safety, good in vitro and in vivo performances, the hyalurosomes appear as promising nanocarriers for cosmetic and pharmaceutical applications.


Assuntos
Curcumina/administração & dosagem , Dermatite/prevenção & controle , Ácido Hialurônico/química , Pele/efeitos dos fármacos , Cicatrização/efeitos dos fármacos , Animais , Células Cultivadas , Curcumina/química , Curcumina/farmacologia , Humanos , Microscopia Eletrônica de Transmissão , Suínos
8.
Eur J Pain ; 19(1): 111-22, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24824524

RESUMO

BACKGROUND: Recently, fatty acids have been shown to modulate sensory function in animal models of neuropathic pain. In this study, the antinociceptive effect of 2-hydroxyoleic acid (2-OHOA) was assessed following spared nerve injury (SNI) with reflex and cerebrally mediated behavioural responses. METHODS: Initial antinociceptive behavioural screening of daily administration of 2-OHOA (400 mg/kg, p.o.) was assessed in Wistar rats by measuring hindlimb reflex hypersensitivity to von Frey and thermal plate stimulation up to 7 days after SNI, while its modulatory effect on lumbar spinal dorsal horn microglia reactivity was assessed with OX-42 immunohistochemistry. In vitro the effect of 2-OHOA (120 µM) on cyclooxygenase protein expression (COX-2/COX-1 ratio) in lipopolysaccharide-activated macrophage cells was tested with Western blot analysis. Finally, the effects of 2-OHOA treatment on the place escape aversion paradigm (PEAP) and the open-field-induced anxiety test were tested at 21 days following nerve injury compared with vehicle-treated sham and pregabalin-SNI (30 mg/kg, p.o.) control groups. RESULTS: Oral 2-OHOA significantly reduced ipsilateral mechanical and thermal hypersensitivity up to 7 days after SNI. Additionally 2-OHOA decreased the COX-2/COX-1 ratio in lipopolysaccharide-activated macrophage cells and OX-42 expression within the ipsilateral lumbar spinal dorsal horn 7 days after SNI. 2-OHOA significantly restored inner-zone exploration in the open-field test compared with the vehicle-treated sham group at 21 days after SNI. CONCLUSIONS: Oral administration of the modified omega 9 fatty acid, 2-OHOA, mediates antinociception and prevents open-field-induced anxiety in the SNI model in Wistar rats, which is mediated by an inhibition of spinal dorsal horn microglia activation.


Assuntos
Ansiedade/tratamento farmacológico , Hiperalgesia/tratamento farmacológico , Neuralgia/dietoterapia , Ácidos Oleicos/uso terapêutico , Traumatismos dos Nervos Periféricos/complicações , Reflexo Anormal/efeitos dos fármacos , Administração Oral , Animais , Ansiedade/etiologia , Ansiedade/fisiopatologia , Hiperalgesia/etiologia , Hiperalgesia/metabolismo , Hiperalgesia/fisiopatologia , Masculino , Microglia/efeitos dos fármacos , Microglia/metabolismo , Neuralgia/etiologia , Neuralgia/fisiopatologia , Ácidos Oleicos/administração & dosagem , Limiar da Dor/efeitos dos fármacos , Traumatismos dos Nervos Periféricos/fisiopatologia , Ratos , Ratos Wistar
9.
Curr Alzheimer Res ; 7(5): 428-38, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20043808

RESUMO

One mechanism leading to neurodegeneration during Alzheimer's disease (AD) is amyloid beta peptide (Abeta)-induced neurotoxicity. Among the factors proposed to potentiate Abeta toxicity is its covalent modification through carbohydrate-derived advanced glycation endproducts (AGEs). Other experimental evidence, though, indicates that certain polymeric carbohydrates like the glycosaminoglycan (GAG) chains found in proteoglycan molecules attenuate the neurotoxic effect of Abeta in primary neuronal cultures. Pretreatment of the 42-residue Abeta fragment (Abeta1-42) with the ubiquitous brain carbohydrates, glucose, fructose, and the GAG chondroitin sulfate B (CSB) inhibits Abeta1-42-induced apoptosis and reduces the peptide neurotoxicity on neuroblastoma cells, a cytoprotective effect that is partially reverted by AGE inhibitors such as pyridoxamine and L-carnosine. Thioflavin T fluorescence measurements indicate that at concentrations close to physiological, only CSB promotes the formation of Abeta amyloid fibril structure. Atomic force microscopy imaging and Western blot analysis suggest that glucose favours the formation of globular oligomeric structures derived from aggregated species. Our data suggest that at short times carbohydrates reduce Abeta1-42 toxicity through different mechanisms both dependent and independent of AGE formation.


Assuntos
Peptídeos beta-Amiloides/toxicidade , Sulfatos de Condroitina/farmacologia , Glucose/farmacologia , Fragmentos de Peptídeos/toxicidade , Doença de Alzheimer/metabolismo , Peptídeos beta-Amiloides/antagonistas & inibidores , Peptídeos beta-Amiloides/metabolismo , Morte Celular/efeitos dos fármacos , Morte Celular/fisiologia , Linhagem Celular Tumoral , Relação Dose-Resposta a Droga , Produtos Finais de Glicação Avançada/antagonistas & inibidores , Produtos Finais de Glicação Avançada/metabolismo , Humanos , Fragmentos de Peptídeos/antagonistas & inibidores , Fragmentos de Peptídeos/metabolismo
10.
Eur Respir J ; 27(3): 525-8, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16507852

RESUMO

Telomeres are complex DNA-protein structures located at the end of eukaryotic chromosomes. Telomere length shortens with age in all replicating somatic cells. It has been shown that tobacco smoking enhances telomere shortening in circulating lymphocytes. The present study investigated whether this effect was further amplified in smokers who develop chronic obstructive pulmonary disease. Telomere length was determined by fluorescence in situ hybridisation in circulating lymphocytes harvested from 26 never-smokers, 24 smokers with normal lung function and 26 smokers with moderate-to-severe airflow obstruction (forced expiratory flow in one second 48+/-4% predicted). In contrast to never-smokers, telomere length significantly decreased with age in smokers. There was also a dose-effect relationship between the cumulative long-life exposure to tobacco smoking (pack-yrs) and telomere length. The presence and/or severity of chronic airflow obstruction did not modify this relationship. The results of the current study confirm that smoking exposure enhances telomere shortening in circulating lymphocytes. It also demonstrates a dose-effect relationship between exposure to tobacco smoking and telomere length, but failed to show that this effect is amplified in smokers who develop chronic obstructive pulmonary disease.


Assuntos
Linfócitos , Doença Pulmonar Obstrutiva Crônica/genética , Fumar/genética , Telômero/ultraestrutura , Adulto , Fatores Etários , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença Pulmonar Obstrutiva Crônica/sangue , Fumar/sangue
11.
Thorax ; 59(6): 483-7, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15170030

RESUMO

BACKGROUND: Weight loss, mostly due to skeletal muscle atrophy, is a frequent and clinically relevant problem in patients with chronic obstructive pulmonary disease (COPD). The molecular mechanisms underlying this phenomenon are unclear. This study sought to investigate whether activation of the nuclear transcription factor NF-kappaB and upregulation of the inducible form of nitric oxide synthase (iNOS) occur in the skeletal muscle of patients with COPD and low body weight as potential molecular mechanisms leading to cachexia METHODS: NF-kappaB DNA binding activity was determined by electromobility shift assay and the immunoreactivity of its inhibitory subunit IkappaB-kappa and that of iNOS by Western blot analysis in biopsy specimens of the quadriceps femoris muscle of seven COPD patients with normal body mass index (BMI, 27.5 (1) kg/m(2)) and seven patients with low BMI (18.5 (1) kg/m(2)). RESULTS: Compared with patients with normal body weight, those with low BMI showed a 30% increase in NF-kappaB DNA binding activity, a lower expression of IkappaB-alpha (3.37 (0.47) IOD v 5.96 (0.75) IOD, p<0.05; mean difference 2.59; 95% CI -4.53 to -0.65) and higher iNOS expression (1.51 (0.29) IOD v 0.78 (0.11) IOD, p<0.05; mean difference 0.74; 95% CI 0.04 to 1.42). CONCLUSIONS: NF-kappaB activation and iNOS induction occur in skeletal muscle of COPD patients with low body weight. These changes might contribute to the molecular pathogenesis of cachexia in COPD.


Assuntos
Músculo Esquelético/metabolismo , NF-kappa B/metabolismo , Óxido Nítrico Sintase/metabolismo , Doença Pulmonar Obstrutiva Crônica/metabolismo , Índice de Massa Corporal , Peso Corporal , Humanos , Pessoa de Meia-Idade , Óxido Nítrico Sintase Tipo II , Regulação para Cima
13.
Am J Med Genet A ; 122A(2): 108-14, 2003 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-12955761

RESUMO

Fragile X syndrome is the most common form of inherited mental retardation. It is caused by the increase in length of a stretch of CGG triplet repeats within the FMR1 gene. A full mutation (> 200 repeats) leads to methylation of the CpG island and silencing of the FMR1 gene. We present here two sisters that are compound heterozygotes for a full mutation and a 53 repeat intermediate allele, one of them showing mental retardation and clinical features of an affected male (speech delay, hyperactivity, large ears, prominent jaw, gaze aversion), while the other is borderline normal (mild delay). Southern blot and FMRP expression analysis showed that the sister with mental retardation had the normal FMR1 gene totally methylated and no detectable protein, while her sister had 70% of her cells with the normal FMR1 gene unmethylated and normal FMRP levels. We found that the observed phenotypic differences between both sisters who are cytogenetically normal, are caused by extreme skewed X-chromosome inactivation. Analysis of the extended family showed that most of the other female family members that carry a pre-mutation or a full mutation showed some degree of skewing in their X-chromosome inactivation. The presence of several family members with skewed X inactivation and the direction and degree of skewing is inconsistent with a mere selection during development, and suggests a genetic origin for this phenomenon.


Assuntos
Mecanismo Genético de Compensação de Dose , Síndrome do Cromossomo X Frágil/genética , Proteínas de Ligação a RNA , Adolescente , Criança , Saúde da Família , Feminino , Proteína do X Frágil da Deficiência Intelectual , Heterozigoto , Humanos , Deficiência Intelectual/genética , Mutação , Proteínas do Tecido Nervoso/genética , Linhagem , Fenótipo , Repetições de Trinucleotídeos
14.
Cell Mol Life Sci ; 60(1): 88-112, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12613660

RESUMO

Species-specific cell adhesion in marine sponges is mediated by a new family of modular proteoglycans whose general supramolecular structure resembles that of hyalectans. However, neither their protein nor their glycan moieties have significant sequence homology to other proteoglycans, despite having protein subunits equivalent to link proteins and to proteoglycan monomer core proteins, and glycan subunits equivalent to hyaluronan and to the glycosaminoglycans of hyalectans. In some species, these molecular components are assembled into a structure with a circular core formed by the link protein- and hyaluronan-like subunits. Besides their involvement in cell adhesion, these sponge proteoglycans, for which we propose the term spongicans, participate in signal transduction processes and are suspected to play a role in sponge self-nonself recognition. Their in vivo roles and the mild methods used to purify large amounts of functionally active spongicans make them ideal models to study the functions and possible new applications of proteoglycans in biomedical research.


Assuntos
Proteínas da Matriz Extracelular , Peptídeos Cíclicos/química , Poríferos/química , Proteoglicanas/química , Sequência de Aminoácidos , Animais , Sítios de Ligação , Cálcio/metabolismo , Adesão Celular , Moléculas de Adesão Celular/ultraestrutura , Ácido Hialurônico/química , Glicoproteínas de Membrana/ultraestrutura , Microscopia de Força Atômica , Modelos Biológicos , Modelos Moleculares , Dados de Sequência Molecular , Peptídeos Cíclicos/metabolismo , Conformação Proteica , Estrutura Terciária de Proteína , Proteínas/química , Proteoglicanas/metabolismo , Proteoglicanas/ultraestrutura , Transdução de Sinais , Especificidade da Espécie , Sequências de Repetição em Tandem
15.
Eur Respir J ; 21(2): 347-60, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12608452

RESUMO

Chronic obstructive pulmonary disease (COPD) is characterised by an inappropriate/excessive inflammatory response of the lungs to respiratory pollutants, mainly tobacco smoking. Recently, besides the typical pulmonary pathology of COPD (i.e. chronic bronchitis and emphysema), several effects occurring outside the lungs have been described, the so-called systemic effects of COPD. These effects are clinically relevant because they modify and can help in the classification and management of the disease. The present review discusses the following systemic effects of chronic obstructive pulmonary disease: 1) systemic inflammation; 2) nutritional abnormalities and weight loss; 3) skeletal muscle dysfunction; and 4) other potential systemic effects. For each of these, the potential mechanisms and clinical implications are discussed and areas requiring further research are highlighted.


Assuntos
Doença Pulmonar Obstrutiva Crônica/complicações , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Doenças Ósseas/etiologia , Doenças Cardiovasculares/etiologia , Humanos , Inflamação/fisiopatologia , Músculo Esquelético/fisiopatologia , Doenças Musculares/etiologia , Doenças do Sistema Nervoso/etiologia , Distúrbios Nutricionais/etiologia , Redução de Peso
16.
Arch Bronconeumol ; 38(4): 172-6, 2002 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-11953269

RESUMO

OBJECTIVE: The circulating blood levels of several inflammatory cytokines and acute phase proteins are higher in patients with stable chronic obstructive pulmonary disease (COPD). However, whether or not these inflammatory markers increase during COPD exacerbation or are modified by corticosteroid treatment has not been investigated. The objective of this study was therefore 1) to describe changes in several inflammatory markers in systemic circulation during COPD exacerbation, and 2) to assess the potential effects of corticosteroid treatment during exacerbation. METHODS: Serum levels of tumor necrosis factor-alpha (TNF-alpha), interleukin 6 (IL-6), interleukin 8 (IL-8) and C-reactive protein (CRP) were determined for 10 patients (65 2 years old) with severe COPD (FEV1 35 4% reference) who were hospitalized for acute respiratory failure (PaO2 57 2 mm Hg; PaCO2 48 3 mm Hg). Blood samples were obtained in the emergency room (before starting intravenous corticosteroid treatment), during the first 24 hours of admission, upon discharge and two months later. Eight healthy non-smokers of a similar age (54 3 years) were also studied as control subjects. RESULTS: The COPD patients had higher concentrations of IL-6 (5.1 1.6 vs. 1.8 0.5 pg/mL, p < 0.05) and CRP (2.2 0.4 vs. 0.6 0.2 mg/dL, p < 0.005) than did controls, but the concentrations of IL-8 were similar (29 11.3 vs. 34.7 10.3 pg/mL, p = ns). No statistically significant changes were seen either during recovery, in spite of intravenous corticosteroid treatment, or two months after discharge.The ELISA test used was unable to detect TNF-alpha in any of the samples obtained from either patients or controls. CONCLUSION: The results show that 1) there is evidence of systemic inflammation during exacerbation of COPD, and 2) such systemic inflammation does not appear to be influenced significantly by intravenous corticosteroid treatment.


Assuntos
Inflamação/etiologia , Doença Pulmonar Obstrutiva Crônica/complicações , Corticosteroides/uso terapêutico , Idoso , Biomarcadores , Proteína C-Reativa/análise , Ensaio de Imunoadsorção Enzimática , Humanos , Inflamação/tratamento farmacológico , Interleucina-6/sangue , Interleucina-8/sangue , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Insuficiência Respiratória/complicações , Fator de Necrose Tumoral alfa/análise
17.
Arch. bronconeumol. (Ed. impr.) ; 38(4): 172-176, abr. 2002.
Artigo em Es | IBECS | ID: ibc-11997

RESUMO

OBJETIVO: La concentración de varias citocinas inflamatorias y proteínas de fase aguda está incrementada en la circulación sistémica de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) en fase estable. Sin embargo, no se ha investigado hasta ahora si estos marcadores de inflamación aumentan durante la agudización de la enfermedad, o se modifican con el tratamiento esteroide. Por este motivo, los objetivos de este estudio son: 1) describir la evolución de varios marcadores inflamatorios en la circulación sistémica durante la agudización de la EPOC, y 2) valorar los potenciales efectos del tratamiento esteroide durante esta agudización. MÉTODOS: Los valores en suero del factor de necrosis tumoral (TNF-), interleucina 6 (IL-6), interleucina 8 (IL-8) y proteína Creactiva (PCR) se determinaron en 10 pacientes (65 ñ 2 años) con EPOC grave (FEV1 35 ñ 4 por ciento referencia), hospitalizados debido a un fracaso respiratorio agudo (PaO2 57 ñ 2 mmHg; PaCO2 48 ñ 3 mmHg). Las muestras de sangre fueron obtenidas en la sala de urgencias (antes de comenzar el tratamiento con esteroides i.v.), en las primeras 24 h de hospitalización, en el momento del alta médica y 2 meses más tarde. Paralelamente se estudiaron 8 sujetos sanos no fumadores de edad similar (54 ñ 3 años) que se utilizaron como casos control. RESULTADOS: En comparación con los casos control, los pacientes de EPOC evidenciaron en la sala de urgencias concentraciones más elevadas de IL-6 (5,1 ñ 1,6 frente a 1,8 ñ 0,5 pg/ml; p < 0,05) y PCR (2,2 ñ 0,4 frente a 0,6ñ 0,2 mg/dl; p < 0,005), pero concentraciones similares de IL-8 (29 ñ 11,3 frente a 34,7 ñ 10,3 pg/ml; p = ns). Durante su recuperación, y a pesar del uso de esteroides i.v., ninguno de estos valores se modificó de manera estadísticamente significativa. Dos meses después del alta hospitalaria tampoco se observaron cambios en los valores de los marcadores estudiados. El ensayo ELISA utilizado no fue capaz de detectar TNFni en los pacientes ni en los casos control en ninguna de las muestras obtenidas. CONCLUSIÓN: Estos resultados indican que: a) existe evidencia de inflamación sistémica durante una agudización del EPOC, y b) esta inflamación sistémica no parece estar influenciada de manera significativa por el tratamiento con esteroides por vía intravenosa (AU)


Assuntos
Idoso , Humanos , Biomarcadores , Interleucina-8 , Interleucina-6 , Insuficiência Respiratória , Doença Pulmonar Obstrutiva Crônica , Proteína C-Reativa , Corticosteroides , Inflamação , Fator de Necrose Tumoral alfa , Ensaio de Imunoadsorção Enzimática
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