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1.
Br J Clin Pharmacol ; 84(6): 1380-1383, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29444348

RESUMO

Abacavir is a widely used nucleotide reverse transcriptase inhibitor, for which cerebrospinal fluid (CSF) exposure has been previously assessed in twice-daily recipients. We studied abacavir CSF concentrations in 61 and nine HIV-positive patients taking abacavir once daily and twice daily, respectively. Patients on once-daily abacavir had higher plasma and CSF concentrations (96 vs. 22 ng ml-1 , P = 0.038 and 123 vs. 49 ng ml-1 , P = 0.038) but similar CSF-to-plasma ratios (0.8 vs. 0.5, P = 0.500). CSF abacavir concentrations were adequate in patients receiving once-daily treatment.


Assuntos
Fármacos Anti-HIV/administração & dosagem , Fármacos Anti-HIV/líquido cefalorraquidiano , Didesoxinucleosídeos/administração & dosagem , Didesoxinucleosídeos/líquido cefalorraquidiano , Infecções por HIV/tratamento farmacológico , Adulto , Fármacos Anti-HIV/sangue , Cromatografia Líquida de Alta Pressão , Didesoxinucleosídeos/sangue , Esquema de Medicação , Monitoramento de Medicamentos/métodos , Feminino , Infecções por HIV/sangue , Infecções por HIV/líquido cefalorraquidiano , Infecções por HIV/diagnóstico , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Espectrometria de Massas em Tandem , Fatores de Tempo , Resultado do Tratamento
2.
J Antimicrob Chemother ; 72(3): 855-865, 2017 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-27999048

RESUMO

Objectives: To evaluate the maintenance of virological suppression (VS) in antiretroviral-treated HIV-1-suppressed patients switching to a tenofovir/emtricitabine/rilpivirine (TDF/FTC/RPV) single-tablet regimen, by considering pre-existent resistance (pRes). Methods: pRes was evaluated according to resistance on all previous plasma genotypic resistance tests. Probability and predictors of virological rebound (VR) were evaluated. Results: Three hundred and nine patients were analysed; 5.8% of them showed resistance to both NRTIs and NNRTIs, while 12.6% showed resistance to only one of these drug classes. By 72 weeks, the probability of VR was 11.3%. A higher probability of VR was found in the following groups: (i) patients with NRTI + NNRTI pRes compared with those harbouring NRTI or NNRTI pRes and with those without reverse transcriptase inhibitor pRes (39.2% versus 11.5% versus 9.4%, P < 0.0001); (ii) patients with a virus with full/intermediate resistance to both tenofovir/emtricitabine and rilpivirine compared with those having a virus with full/intermediate resistance to tenofovir/emtricitabine or rilpivirine and those having a virus fully susceptible to TDF/FTC/RPV (36.4% versus 17.8% versus 9.7%, P < 0.001); and (iii) patients with pre-therapy viraemia >500 000 copies/mL compared with those with lower viraemia levels (>500 000: 16.0%; 100 000-500 000: 9.3%; <100 000 copies/mL: 4.8%, P = 0.009). pRes and pre-therapy viraemia >500 000 copies/mL were independent predictors of VR by multivariable Cox regression. Conclusions: TDF/FTC/RPV as a treatment simplification strategy shows a very high rate of VS maintenance. The presence of pRes to both NRTIs and NNRTIs and a pre-therapy viraemia >500 000 copies/mL are associated with an increased risk of VR, highlighting the need for an accurate selection of patients before simplification.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Emtricitabina/uso terapêutico , Infecções por HIV/tratamento farmacológico , Rilpivirina/uso terapêutico , Tenofovir/uso terapêutico , Carga Viral/efeitos dos fármacos , Adulto , Fármacos Anti-HIV/administração & dosagem , Desoxicitidina/uso terapêutico , Combinação de Medicamentos , Emtricitabina/administração & dosagem , Feminino , Infecções por HIV/virologia , HIV-1/efeitos dos fármacos , HIV-1/genética , Humanos , Masculino , Pessoa de Meia-Idade , RNA Viral/sangue , Inibidores da Transcriptase Reversa/uso terapêutico , Rilpivirina/administração & dosagem , Comprimidos , Tenofovir/administração & dosagem
3.
J Antimicrob Chemother ; 70(6): 1865-73, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25712318

RESUMO

OBJECTIVES: Integrase drug resistance monitoring deserves attention because of the increasing number of patients being treated with integrase strand-transfer inhibitors. Therefore, we evaluated the integrase genotyping success rate at low-level viraemia (LLV, 51-1000 copies/mL) and resistance in raltegravir-failing patients. METHODS: An integrase genotypic resistance test (GRT) was performed on 1734 HIV-1 samples collected during 2006-13. Genotyping success rate was determined according to the following viraemia levels: 51-500, 501-1000, 1001-10 000, 10 001-100 000 and >100 000 copies/mL. The reproducibility of integrase GRT was evaluated in 41 plasma samples processed in duplicate in two reference centres. The relationship between LLV and resistance prevalence was evaluated in a subset of 120 raltegravir-failing patients. RESULTS: Overall, the integrase genotyping success rate was 95.7%. For viraemia levels 51-500 and 501-1000 copies/mL, the rate of success was 82.1% and 94.0%, respectively. GRT was reproducible, producing sequences with a high similarity and an equal resistance profile regardless of the sequencing centre or viraemia level. Resistance was detected both at LLV and at viraemia >1000 copies/mL (51-500 copies/mL = 18.2%; 501-1000 = 37.5%; 1001-10 000 = 53.7%; 10 001-100 000 = 30.0%; and >100 000 = 30.8%). At viraemia ≤500 copies/mL, Q148H/K/R and N155H had the same prevalence (9.1%), while the Y143C/H/R was completely absent. At early genotyping (within 3 months of raltegravir treatment), Q148H/K/R and N155H mutations were detected regardless of the viraemia level, while Y143C/H/R was observed only in samples with viraemia >1000 copies/mL. CONCLUSIONS: Our findings prove the reliability of HIV-1 integrase genotyping and reinforce the concept that this assay may be useful in the management of failures even at LLV.


Assuntos
Técnicas de Genotipagem/métodos , Infecções por HIV/virologia , Integrase de HIV/genética , HIV-1/genética , Testes de Sensibilidade Microbiana/métodos , Mutação de Sentido Incorreto , Adulto , Feminino , Infecções por HIV/tratamento farmacológico , HIV-1/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade , Carga Viral , Viremia/virologia
4.
Cell Death Dis ; 3: e335, 2012 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-22739987

RESUMO

Loss of the mitochondrial protease HtrA2 (Omi) in mice leads to mitochondrial dysfunction, neurodegeneration and premature death, but the mechanism underlying this pathology remains unclear. Using primary cultures from wild-type and HtrA2-knockout mice, we find that HtrA2 deficiency significantly reduces mitochondrial membrane potential in a range of cell types. This depolarisation was found to result from mitochondrial uncoupling, as mitochondrial respiration was increased in HtrA2-deficient cells and respiratory control ratio was dramatically reduced. HtrA2-knockout cells exhibit increased proton translocation through the ATP synthase, in combination with decreased ATP production and truncation of the F1 α-subunit, suggesting the ATP synthase as the source of the proton leak. Uncoupling in the HtrA2-deficient mice is accompanied by altered breathing pattern and, on a cellular level, ATP depletion and vulnerability to chemical ischaemia. We propose that this vulnerability may ultimately cause the neurodegeneration observed in these mice.


Assuntos
Trifosfato de Adenosina/metabolismo , Potencial da Membrana Mitocondrial/fisiologia , Mitocôndrias/metabolismo , Proteínas Mitocondriais/genética , ATPases Translocadoras de Prótons/metabolismo , Serina Endopeptidases/genética , Sequência de Aminoácidos , Animais , Respiração Celular , Serina Peptidase 2 de Requerimento de Alta Temperatura A , Camundongos , Camundongos Knockout , Proteínas Mitocondriais/metabolismo , Dados de Sequência Molecular , Fosforilação Oxidativa , Espécies Reativas de Oxigênio/metabolismo , Serina Endopeptidases/metabolismo
5.
Cell Death Differ ; 19(8): 1308-16, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22301916

RESUMO

Protein misfolding has a key role in several neurological disorders including Parkinson's disease. Although a clear mechanism for such proteinopathic diseases is well established when aggregated proteins accumulate in the cytosol, cell nucleus, endoplasmic reticulum and extracellular space, little is known about the role of protein aggregation in the mitochondria. Here we show that mutations in both human and fly PINK1 result in higher levels of misfolded components of respiratory complexes and increase in markers of the mitochondrial unfolded protein response. Through the development of a genetic model of mitochondrial protein misfolding employing Drosophila melanogaster, we show that the in vivo accumulation of an unfolded protein in mitochondria results in the activation of AMP-activated protein kinase-dependent autophagy and phenocopies of pink1 and parkin mutants. Parkin expression acts to clear mitochondria with enhanced levels of misfolded proteins by promoting their autophagic degradation in vivo, and refractory to Sigma P (ref(2)P), the Drosophila orthologue of mammalian p62, is a critical downstream effector of this quality control pathway. We show that in flies, a pathway involving pink1, parkin and ref(2)P has a role in the maintenance of a viable pool of cellular mitochondria by promoting organellar quality control.


Assuntos
Proteínas de Drosophila/genética , Drosophila melanogaster/genética , Proteínas Mitocondriais/genética , Animais , Animais Geneticamente Modificados , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/enzimologia , Drosophila melanogaster/metabolismo , Células HEK293 , Humanos , Mitocôndrias/enzimologia , Proteínas Mitocondriais/metabolismo , Dobramento de Proteína , Proteínas Serina-Treonina Quinases/genética , Proteínas Serina-Treonina Quinases/metabolismo , Transporte Proteico , Ubiquitina-Proteína Ligases/genética , Ubiquitina-Proteína Ligases/metabolismo
6.
J Dairy Sci ; 94(8): 3856-67, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21787922

RESUMO

The objectives of this study were to evaluate the effects of protection from solar radiation and whole flaxseed supplementation on milk yield and milk fatty acid profile in lactating ewes exposed to high ambient temperature. The experiment was conducted during summer and involved 40 ewes divided into 4 groups. The ewes were either exposed (not offered shade) or protected from solar radiation (offered shade). For each solar radiation treatment, ewes were supplemented with whole flaxseed or not. Milk samples from each ewe were collected at the morning and afternoon milking every week, and analyzed for pH, total protein, casein, fat, and lactose content, somatic cell count, and renneting parameters (clotting time, rate of clot formation, and clot firmness after 30 min). At the beginning of the experiment, and then at d 23 and 44, milk samples were analyzed for milk fatty acids using gas chromatography. Flaxseed supplementation significantly increased milk yield, fat, protein, and casein yields, and somatic cell count, and increased fat and lactose contents of milk. A decrease of saturated fatty acids from C6:0 to C16:0 and an increase of C18:1 trans-11 and C18:2 cis-9,trans-11 was observed in milk from flaxseed-supplemented ewes. Flaxseed supplementation decreased saturated fatty acids content and increased total monounsaturated fatty acids content, the total content of isomers of conjugated linoleic acid, and polyunsaturated fatty acids content in milk. Flaxseed also increased the α-linolenic acid content of milk. As a result, milk from supplemented groups showed an increase in n-3 fatty acid content. Flaxseed supplementation decreased short-chain and medium-chain fatty acids, and increased long-chain fatty acid content of milk. On average, flaxseed supplementation increased the C18:2 cis-9,trans-11/C18:1 trans-11 Δ(9)-desaturase index starting from d 23 of the experiment, in correspondence with the highest C18:2 cis-9,trans-11 content of milk from flaxseed-supplemented ewes. Flaxseed decreased atherogenic and thrombogenic indices of milk. Protection from solar radiation during summer did not improve yield and composition of ewe milk. Nevertheless, milk from ewes exposed to solar radiation showed decreased long-chain fatty acid and polyunsaturated fatty acids contents, and in particular, decreased vaccenic acid, rumenic acid, and total conjugated linoleic acid contents.


Assuntos
Ração Animal , Ácidos Graxos/análise , Linho , Lactação/efeitos dos fármacos , Leite/metabolismo , Ovinos/fisiologia , Luz Solar , Animais , Suplementos Nutricionais , Feminino , Lactação/efeitos da radiação , Leite/química
7.
Neuroscience ; 173: 76-81, 2011 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-20807561

RESUMO

Adult neurogenesis is impaired in the hippocampus of transgenic R6 mouse models of Huntington's disease (HD). The phenotypes of R6 transgenic mice mimic several symptoms and signs of the disease (Li et al., 2005). They exhibit neurological and endocrine changes resembling some symptoms seen in humans. The reduction in neurogenesis is only apparent in the dentate gyrus as the number of newborn neurons in the subventricular zone, and olfactory bulb, is normal in R6 mice. The mechanism(s) underlying the reduction in hippocampal neurogenesis is still not fully understood. Here we show that the number of neuroblasts, but not granule neuron progenitors, is greatly reduced in 11-week old transgenic mice compared with wild-type (WT) controls. We demonstrate that NeuroD1 expression is reduced in the hippocampus. This is coupled to a decreased expression of downstream markers doublecortin and calretinin in maturing neurons. Taken together, our results suggest that mutant huntingtin (Htt) causes alterations of proteins expression in hippocampal progenitors, which might contribute to cognitive deficits in Huntington's disease.


Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/biossíntese , Doença de Huntington/metabolismo , Neurogênese/fisiologia , Animais , Western Blotting , Diferenciação Celular/fisiologia , Modelos Animais de Doenças , Feminino , Hipocampo/metabolismo , Hipocampo/patologia , Doença de Huntington/patologia , Imuno-Histoquímica , Masculino , Camundongos , Camundongos Transgênicos , Neurônios/patologia
8.
J Endocrinol Invest ; 32(10): 816-20, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19605973

RESUMO

BACKGROUND: Physiological needs during prolonged exercise are a potent stimulus for the hypothalamic-pituitary-adrenal (HPA) axis. Hence, athletes undergoing daily endurance training sessions may have frequent and prolonged phases of endogenous hypercortisolism. Since chronic glucocorticoids treatment leads to down-regulation of glucocorticoid receptor alpha (GR-alpha) mRNA expression, endurance training could lead to modulation of GR expression. AIM: The aim of the study was to evaluate GR-alpha and GR-beta mRNA expressions in peripheral blood mononuclear cells and plasma cortisol, ACTH and cortisol binding globulin (CBG) concentrations at rest in subjects undergoing different training regimes. SUBJECTS AND METHODS: Nine high trained (HT) swimmers (training volume: 21.6+/-1.7 hours/week in 10-12 sessions) were compared with two age-matched control groups represented by 8 low trained (LT) runners (training volume: 6.4+/-2.6 h/week in 3-5 sessions) and 9 untrained subjects. Expression of GR was determined by RT-PCR of total RNA. Hormone levels were determined by radioimmunoassay methods. RESULTS: HT athletes showed 10 times less GR-alpha mRNA expression than the untrained subjects, while LT athletes exhibited values about twofold less than the untrained subjects. GR-beta mRNA expression was undetectable in all subjects. No differences were observed among the three groups in hormone levels. CONCLUSIONS: GR- alpha mRNA expression is repressed in proportion to the amount and frequency of the stressful stimuli due to training. Hence, this down-regulation may be a consequence of the frequent and prolonged exposure to cortisol acute elevations induced by training. GR-beta did not play an important role in inducing the down-regulation of GR-alpha mRNA expression observed.


Assuntos
Leucócitos Mononucleares/metabolismo , Resistência Física/fisiologia , Aptidão Física/fisiologia , Receptores de Glucocorticoides/metabolismo , Hormônio Adrenocorticotrópico/sangue , Adulto , Análise de Variância , Atletas , Proteínas de Transporte/sangue , Células Cultivadas , Humanos , Hidrocortisona/sangue , Ensaio Imunorradiométrico , Masculino , Isoformas de Proteínas/genética , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Radioimunoensaio , Receptores de Glucocorticoides/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Corrida/fisiologia , Inquéritos e Questionários , Natação/fisiologia
9.
Vet Parasitol ; 163(1-2): 81-6, 2009 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-19414222

RESUMO

Gastrointestinal (GI) strongyle infections remain one of the main constraints to goat production worldwide. Although several indicators of GI strongyle infections have been proposed, faecal egg count (FEC) techniques are the most common approaches for the estimation of prevalence and intensity of these parasites. However, FEC may be subjected to a within-individual variation due to factors such as weather, season, random day-to-day variation and phase of the parasitic infection. A longitudinal study of GI strongyle FEC was conducted on 63 dairy goats to evaluate the effects of hour of sample collection on FEC and the relationship between FEC and worm burden. The goats were naturally infected with Teladorsagia circumcincta, Haemonchus contortus, Trichostrongylus colubriformis and Oesophagostomum venulosum. Every 3 weeks for 14 months faeces were collected every 2 h for 24 h from three individually caged goats. The faeces were those passed by the goats during the 2 h preceding each collection. For each goat a sample from this material was analyzed using the Flotac double technique. To explore relationships between FECs and adult parasite counts, on the day following sampling, the three goats were euthanized and the nematodes present in the abomasa and intestines were recovered, identified and counted. The results of the general linear model did not show any significant effect of the hour of faecal sample collection on GI strongyle FEC, whereas a significant effect of the month of faecal sample collection was found. The results of the Pearson correlation showed a significant (P=0.000) positive relationship between FEC and worm burden (r=0.6), in particular regarding H. contortus (r=0.9). In conclusion, the present study showed that the hour of sample collection does not influence the GI strongyle FEC and that there is a good relationship between FEC and total GI strongyle worm burden in goats.


Assuntos
Fezes/parasitologia , Doenças das Cabras/parasitologia , Contagem de Ovos de Parasitas , Infecções por Strongylida/veterinária , Animais , Ritmo Circadiano , Feminino , Cabras , Enteropatias Parasitárias/parasitologia , Enteropatias Parasitárias/veterinária , Estações do Ano , Infecções por Strongylida/parasitologia , Fatores de Tempo
10.
Cell Death Differ ; 16(3): 449-64, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19023330

RESUMO

Cellular stress responses can be activated following functional defects in organelles such as mitochondria and the endoplasmic reticulum. Mitochondrial dysfunction caused by loss of the serine protease HtrA2 leads to a progressive movement disorder in mice and has been linked to parkinsonian neurodegeneration in humans. Here, we demonstrate that loss of HtrA2 results in transcriptional upregulation of nuclear genes characteristic of the integrated stress response, including the transcription factor CHOP, selectively in the brain. We also show that loss of HtrA2 results in the accumulation of unfolded proteins in the mitochondria, defective mitochondrial respiration and enhanced production of reactive oxygen species that contribute to the induction of CHOP expression and to neuronal cell death. CHOP expression is also significantly increased in Parkinson's disease patients' brain tissue. We therefore propose that this brain-specific transcriptional response to stress may be important in the advance of neurodegenerative diseases.


Assuntos
Encéfalo/metabolismo , Mitocôndrias/metabolismo , Proteínas Mitocondriais/metabolismo , Estresse Oxidativo , Serina Endopeptidases/metabolismo , Transcrição Gênica , Animais , Antioxidantes/metabolismo , Respiração Celular/fisiologia , Corpo Estriado/metabolismo , Corpo Estriado/patologia , Serina Peptidase 2 de Requerimento de Alta Temperatura A , Humanos , Camundongos , Camundongos Knockout , Proteínas Mitocondriais/genética , Dados de Sequência Molecular , Neurônios/citologia , Neurônios/metabolismo , Neurônios/patologia , Doença de Parkinson/metabolismo , Doença de Parkinson/patologia , Doença de Parkinson/fisiopatologia , Espécies Reativas de Oxigênio/metabolismo , Serina Endopeptidases/genética , Distribuição Tecidual , Fator de Transcrição CHOP/genética , Fator de Transcrição CHOP/metabolismo
12.
Vet Parasitol ; 156(3-4): 340-5, 2008 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-18644674

RESUMO

The present paper was aimed at assessing the benefit of strategic anthelmintic treatments on milk production in four commercial dairy sheep farms in Southern Italy whose animals were naturally infected by gastrointestinal (GI) strongyles and Dicrocoelium dendriticum. The scheme was based on two treatments timed in relationship to parturition, i.e. the first with moxidectin in the periparturient period and the second with netobimin at the mid/end of lactation. On each farm, two similar groups (20 animals each) were formed, one untreated control group and one group treated according to the above-mentioned scheme. Faecal egg counts (FEC) were performed on each study animal at the start of the trial and then monthly until the end of the study; in addition, milk production was recorded for each animal fortnightly in each farm for the lactation period. The results showed a significant increase in milk yield across all four farms that ranged from 19% to 44% improvement in milk yield. The benefit in milk yield in addition to considerably reduced egg output of the treated animals provide clear evidence that the two main aims of prophylactic parasite control, i.e. to maintain or improve animal performance and to reduce pasture contamination, can be achieved using strategic anthelmintic treatments.


Assuntos
Anti-Helmínticos/administração & dosagem , Anti-Helmínticos/uso terapêutico , Gastroenteropatias/veterinária , Lactação/efeitos dos fármacos , Doenças dos Ovinos/tratamento farmacológico , Infecções por Strongylida/veterinária , Animais , Anti-Helmínticos/efeitos adversos , Indústria de Laticínios , Esquema de Medicação , Fezes/parasitologia , Feminino , Gastroenteropatias/tratamento farmacológico , Gastroenteropatias/parasitologia , Guanidinas/administração & dosagem , Guanidinas/efeitos adversos , Guanidinas/uso terapêutico , Macrolídeos/administração & dosagem , Macrolídeos/efeitos adversos , Macrolídeos/uso terapêutico , Leite , Gravidez , Complicações Parasitárias na Gravidez/tratamento farmacológico , Complicações Parasitárias na Gravidez/veterinária , Ovinos , Doenças dos Ovinos/parasitologia , Infecções por Strongylida/tratamento farmacológico
13.
Acta Diabetol ; 45(1): 53-9, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18180864

RESUMO

Glycemic control in elderly persons with type 2 diabetes mellitus (T2DM) is challenging because they are more likely to have other age-associated medical conditions and to experience hypoglycemia during intensive therapy. A best therapeutic strategy for these patients has not yet been defined. We investigated the efficacy and safety of adding once-daily insulin glargine to patients' current oral antidiabetic drugs (OAD) regimen, compared to increasing the OAD doses. The study enrolled patients aged 65 years or more, with poor glycemic control. Patients were randomized to two groups and entered a 3-week titration period in which their actual therapy was adjusted to meet the study's glycemic goals, by either adding insulin glargine to current therapy (group A, 27 patients) or increasing current OAD dosages (group B, 28 patients). Thereafter, therapies were continued unchanged for a 24-week observation period. The mean therapeutic dosage of insulin glargine in group A was 14.9 IU/day (SD = 5.0 IU/day). During the observation period, mean levels of glycosylated hemoglobin (HbA1c) reduced by 1.5% in group A and 0.6% in group B (P = 0.381). An HbA1c level <7.0% was achieved by five patients in each group. Mean fasting blood glucose levels reduced by 29 and 15% in groups A and B, respectively (P = 0.029). Group A had fewer total hypoglycemic events (23 vs. 79, P = 0.030) and fewer patients experiencing any such event (9 vs. 17, P = 0.045). Neither a serious hypoglycemic event nor other adverse event occurred. These results suggest that, compared to increasing OAD dosage, the addition of insulin glargine to current OAD therapy is as effective but safer in terms of the risk for hypoglycemia in elderly patients with T2DM.


Assuntos
Glicemia/metabolismo , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/uso terapêutico , Insulina/análogos & derivados , Administração Oral , Idoso , Índice de Massa Corporal , Carbamatos/uso terapêutico , Quimioterapia Combinada , Feminino , Gliclazida/uso terapêutico , Hemoglobinas Glicadas/metabolismo , Humanos , Insulina/uso terapêutico , Insulina Glargina , Insulina de Ação Prolongada , Masculino , Metformina/uso terapêutico , Pioglitazona , Piperidinas/uso terapêutico , Projetos de Pesquisa , Rosiglitazona , Tiazolidinedionas/uso terapêutico
14.
J Dairy Sci ; 90(10): 4569-74, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17881677

RESUMO

Traceability is an essential tool in reassuring consumers and traders that food is as safe, authentic, and of good quality as expected. Today, food traceability procedures often consist of attached documents and declarations, but scientific parameters that could objectively identify a product would be preferable. Scientific efforts in this area are mostly focused on selection and validation of experimental indicators that would be useful for tracing a food product in any step of its commercial life, describing its raw materials, processing procedures, and storage conditions. In this research, milk and cheese samples from zero grazing and grazing goats were studied to identify a tracing parameter correlated to the feeding system. In particular, alpha-tocopherol and cholesterol were analyzed by HPLC on a normal phase column and were combined to calculate the degree of antioxidant protection (DAP). This parameter, expressed as the molar ratio between antioxidant compounds and an oxidation target, is useful for tracing and distinguishing products from grazing and zero-grazing animals. Degree of antioxidant protection values greater than 7.0 x 10(-3) were found in samples from grazing goats and values lower than 7.0 x 10(-3) were found in samples from zero-grazing goats, for both milk and cheese, meaning that cholesterol was highly protected against oxidative reactions when herbage was the only feed or was dominant in the goat diet. The reliability of DAP to measure the antioxidant protection of cholesterol appeared more effective when the feeding system was based on grazing than when cut herbage was utilized indoors by animals. The DAP index was able to distinguish dairy products when the grazed herbage in the goats' diet exceeded 15%.


Assuntos
Antioxidantes/análise , Queijo/análise , Leite/química , Animais , Colesterol/análise , Dieta/veterinária , Grão Comestível/metabolismo , Meio Ambiente , Feminino , Cabras/fisiologia , alfa-Tocoferol/análise
15.
Parasitol Res ; 101(3): 577-81, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17356891

RESUMO

Anthelmintic resistance is widely distributed in small ruminants throughout the world. The extension of resistance seems lower in southern European countries and has not been reported previously in Italy. In the present study, resistance to benzimidazoles, levamisole and ivermectin was evaluated in a multi-breed goat farm of southern Italy. The farm had a history of repeated goat introductions from other flocks and a moderate regimen of anthelmintic treatments using alternatively the three above-mentioned drugs. Resistance of gastrointestinal strongyles was studied on the basis of faecal egg counts, egg hatch assay and necropsies. Resistance to anthelmintics was evidenced for benzimidazoles only, and Trichostrongylus colubriformis was the only resistant strongyle species. Single drug and single species resistance suggest that resistance is on its beginning and that measures for reducing the spread of resistance are of interest and should be promoted.


Assuntos
Anti-Helmínticos/farmacologia , Benzimidazóis/farmacologia , Resistência a Medicamentos , Doenças das Cabras/parasitologia , Trichostrongyloidea/efeitos dos fármacos , Tricostrongiloidíase/veterinária , Criação de Animais Domésticos , Animais , Animais Domésticos , Doenças das Cabras/tratamento farmacológico , Cabras , Haemonchus/efeitos dos fármacos , Itália , Contagem de Ovos de Parasitas , Trichostrongyloidea/classificação , Tricostrongiloidíase/tratamento farmacológico , Tricostrongiloidíase/parasitologia , Trichostrongylus/efeitos dos fármacos
16.
Parassitologia ; 49(4): 201-7, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18689227

RESUMO

The aim of the present paper was to assess benefit of strategic anthelmintic treatments on milk production in six commercial dairy sheep farms, located in southern Italy, whose animals were naturally infected with gastrointestinal strongyles. On each farm, two similar groups were formed, one untreated control group and one treated group. In all the treated groups, the strategic anthelmintic schemes were based on: (i) only one treatment with moxidectin in the periparturient period (February, Farm No. 6), or; (ii) two treatments, i.e. the first with moxidectin performed in the periparturient period (February, Farms Nos. 1, 2, 3 and 4) or in the postparturient period (April, Farm No. 5), and the second with netobimin at the mid/end of lactation (June, Farms Nos. 1, 2, 3, 4 and 5). Faecal egg count reduction (FECR) tests were performed on each farm in order to asses the anthelmintic efficacy of the drugs used. In addition, milk yield measurements for each animal fortnightly in each farm for the lactation period were performed. In terms of FECR, both moxidectin and netobimin were effective in all the 6 studied farms. Regarding milk production, overall in the 6 study farms the mean daily milk productions of the treated groups were higher than those of the control group. However, there were important differences between the 6 farms, i.e. the increase of milk production in the treated groups versus the control groups was as follows: +18.9% (Farm 1), +30.4% (Farm 2), +4.0% (Farm 3), +37.0% (Farm 4), +5.5% (Farm 5) and +40.8% (Farm 6). The results of the study showed that the economic efficacy of an anthelmintic treatment is not a cause-effect issue, but is a multifactorial issue which depends upon the quali-quantitative parasitological status of the animals, the pathogenesis of the species of parasites, the virulence of the strains of parasites, the local epidemiology, the timing of treatment, the breed of animal in terms of genetics and production types, nutrient supply.


Assuntos
Anti-Helmínticos/uso terapêutico , Indústria de Laticínios/economia , Guanidinas/uso terapêutico , Enteropatias Parasitárias/veterinária , Doenças dos Ovinos/tratamento farmacológico , Ovinos/parasitologia , Infecções por Strongylida/veterinária , Animais , Anti-Helmínticos/economia , Comorbidade , Avaliação de Medicamentos , Feminino , Helmintíase Animal/tratamento farmacológico , Helmintíase Animal/economia , Helmintíase Animal/epidemiologia , Enteropatias Parasitárias/tratamento farmacológico , Enteropatias Parasitárias/economia , Enteropatias Parasitárias/epidemiologia , Itália/epidemiologia , Lactação , Macrolídeos/economia , Macrolídeos/uso terapêutico , Contagem de Ovos de Parasitas , Gravidez , Complicações Infecciosas na Gravidez/tratamento farmacológico , Complicações Infecciosas na Gravidez/economia , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/veterinária , Transtornos Puerperais/tratamento farmacológico , Transtornos Puerperais/economia , Transtornos Puerperais/epidemiologia , Transtornos Puerperais/veterinária , Doenças dos Ovinos/economia , Doenças dos Ovinos/epidemiologia , Doenças dos Ovinos/parasitologia , Infecções por Strongylida/tratamento farmacológico , Infecções por Strongylida/economia , Infecções por Strongylida/epidemiologia
17.
Cell Tissue Res ; 318(3): 599-608, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15578274

RESUMO

The balance between cell death and cell proliferation and its regulation are essential features of many physiological processes and are particularly important in fetal morphogenesis and adult tissue homeostasis. Apoptosis is a type of cell suicide that is activated in two main ways: through a receptor-mediated pathway or through a mitochondrial pathway. We have investigated the immunohistochemical distribution of proteins belonging to these two pathways in human placenta during gestation by comparing their expression levels between the first and third trimester of gestation. In the first trimester, the receptor-mediated pathway prevails over the mitochondrial pathway with a moderate/intense expression of its three components, viz., Fas ligand (FasL), Fas, and caspase-8, and weak positivity of anti-apoptotic FLIP, these proteins being mainly localized in the cytotrophoblast compartment. In the third trimester of gestation, there is an increased expression of mitochondrial pathway proteins, viz., Apaf-1 and caspase-9. We have also investigated the expression level of caspase-3, the primary effector caspase of both pathways, and have observed that it is moderately expressed during gestation, being mainly localized in the cytotrophoblast during the first trimester and in both placental compartments during the third trimester of gestation. Thus, both pathways actively function in human placenta to execute cell death. By means of immunoelectron microscopy, we have further shown that, in human placenta, the two proteins of the mitochondrial pathway together with caspase-3 are localized both in the cytoplasm and in the nucleus. In particular, Apaf-1 and caspase-9 are distributed near to the nuclear envelope suggesting an important role for these two proteins in disrupting the nuclear-cytoplasmic barrier.


Assuntos
Apoptose , Caspases/metabolismo , Proteínas Mitocondriais/metabolismo , Trofoblastos/metabolismo , Receptor fas/metabolismo , Adulto , Fator Apoptótico 1 Ativador de Proteases , Proteína Reguladora de Apoptosis Semelhante a CASP8 e FADD , Núcleo Celular/metabolismo , Citoplasma/metabolismo , Proteína Ligante Fas , Feminino , Idade Gestacional , Humanos , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Glicoproteínas de Membrana/metabolismo , Membrana Nuclear/metabolismo , Gravidez , Proteínas/metabolismo , Trofoblastos/patologia
18.
Artigo em Inglês | MEDLINE | ID: mdl-15170520

RESUMO

The adrenal gland regulates metabolism and maintains normal electrolyte balance. Adrenal hormones are equivalent in all vertebrates; the chromaffin tissue produces adrenaline and noradrenaline and the steroidogenic tissue produces most of the steroid hormones present in mammals. Podarcis sicula belongs to the Squamata family of lizards and it is the most abundant lizard species in southern Italy. This species shows a reproductive annual cycle and the presence of seasonal variations in the activity of the hypothalamus-hypophyseal-thyroid axis. To investigate the existence of an annual cycle of lizard adrenal gland, we have measured plasma concentrations of corticosterone, ACTH, noradrenaline and adrenaline. We have shown that corticosterone rapidly increased from January to March to reach a peak value that persisted until July, then, it slowly decreased until December. ACTH levels increased from January to May and slowly decreased from July to December. Noradrenaline levels were higher in March and then decreased until December. On the contrary, adrenaline levels increased from March to July and slowly decreased until December. Our results demonstrate the existence of an annual cycle of the lizard adrenal gland activity. This is very interesting because its activity is important to rightly regulate the reproductive status of the Podarcis sicula lizard.


Assuntos
Glândulas Suprarrenais/metabolismo , Hormônios/sangue , Estações do Ano , Hormônio Adrenocorticotrópico/sangue , Animais , Catecolaminas/sangue , Cromatografia Líquida de Alta Pressão/métodos , Corticosterona/sangue , Eletroquímica/métodos , Feminino , Lagartos , Masculino , Radioimunoensaio/métodos
19.
Cell Tissue Res ; 317(2): 187-94, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15221443

RESUMO

Progression through the cell cycle in eukaryotic cells is controlled by a family of protein kinases, termed cyclin-dependent kinases (CDKs), and their specific partners, the cyclins. In particular, the control of mammalian cell proliferation occurs largely during the G1 phase of the cell cycle. Five mammalian G1 cyclins have been enumerated to date: cyclins D1, D2, and D3 (D-type cyclins), and cyclins E and E2. By the use of immunohistochemistry and immunoelectron microscopy, we observed that in the first trimester of gestation of human placenta, cyclin D1 was distributed in the nuclei of the cytotrophoblast compartment together with a weak positivity of endothelial cells surrounding blood vessels. The endothelial positivity of cyclin D1 strongly increased in the third trimester of gestation. Moreover, we observed the subcellular localization of cyclin D1 that was present both in the stroma of placental villi and in the nuclei of syncytiotrophoblast cells. Therefore, we observed that CDK4 was localized in the nuclei of the cytotrophoblast compartment during the first and third trimesters and it also had a nuclear positivity in the endothelial cells of blood vessels at the end of the third trimester of gestation. In conclusion we may hypothesize that cyclin D1/CDK4 complex functions to regulate the cell cycle progression in the proliferative compartment of human placenta, the cytotrophoblast, during the first trimester through interaction with p107 and p130. Therefore, cyclin D1 and CDK4 seem to be involved in the control of placental angiogenesis during the third trimester of gestation.


Assuntos
Vilosidades Coriônicas/metabolismo , Ciclina D1/biossíntese , Quinases Ciclina-Dependentes/biossíntese , Primeiro Trimestre da Gravidez/fisiologia , Terceiro Trimestre da Gravidez/fisiologia , Gravidez , Proteínas Proto-Oncogênicas/biossíntese , Ciclo Celular/fisiologia , Núcleo Celular/metabolismo , Vilosidades Coriônicas/irrigação sanguínea , Vilosidades Coriônicas/ultraestrutura , Quinase 4 Dependente de Ciclina , Endotélio Vascular/metabolismo , Endotélio Vascular/ultraestrutura , Feminino , Humanos , Microscopia Eletrônica de Transmissão , Neovascularização Fisiológica/fisiologia , Proteínas Nucleares/metabolismo , Proteínas/metabolismo , Proteína p107 Retinoblastoma-Like , Proteína p130 Retinoblastoma-Like , Trofoblastos/metabolismo , Trofoblastos/ultraestrutura
20.
Histochem J ; 33(11-12): 639-45, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-12197672

RESUMO

The adrenal gland of the lizard Podarcis sicula is formed by a dorsal ribbon of chromaffin cells, generally defined as medullary tissue, arranged along a central part of steroidogenic cells considered as cortical tissue. These two tissues produce catecholamines and steroids as part of the hypothalamo-hypophyseal-adrenal gland axis. Recent studies have demonstrated that Podarcis sicula adrenal gland is not only under hypothalamo-hypophyseal axis control but that several peptides may influence the physiological activity of the gland; among these, vasoactive intestinal peptide is able to enhance strongly both catecholamine and steroid hormone production. The aim of the present study was to verify whether vasoactive intestinal peptide administration could become deleterious. For this reason, we monitored the pattern of expression of two members of the Bcl-2 family, Bcl-2 and Bax, in control and vasoactive intestinal peptide treated specimens. Furthermore, we also tested if peptide treatment induces apoptosis by TUNEL assay.


Assuntos
Glândulas Suprarrenais/efeitos dos fármacos , Lagartos/fisiologia , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Proteínas Proto-Oncogênicas/metabolismo , Peptídeo Intestinal Vasoativo/farmacologia , Glândulas Suprarrenais/metabolismo , Glândulas Suprarrenais/patologia , Animais , Apoptose/efeitos dos fármacos , Feminino , Imuno-Histoquímica , Marcação In Situ das Extremidades Cortadas , Injeções Intraperitoneais , Masculino , Peptídeo Intestinal Vasoativo/administração & dosagem , Proteína X Associada a bcl-2
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