Exploring porcine kidney explants as a model for the study of nephrotoxins and the therapeutic potential of phytic acid.

The use of in vivo models to assess nephrotoxicity has faced ethical limitations. A viable alternative is the ex vivo model that combines the 3 R principles with the preservation of tissue histology. Here, we established a gentamicin nephrotoxicity model using pigs` kidney explants and investigated the effect of phytic acid (IP6) against gentamicin- induced nephrotoxicity. A total of 360 kidney explants were divided into control, gentamicin (10 mM), IP6 (5 mM), and gentamicin+IP6 groups. The activity of gammaglutamyltransferase (GGT), creatinine levels, histological assessment, oxidative stress, and inflammatory cytokine expression were analyzed. Exposure to gentamicin induced an increase in GGT activity, creatinine levels, lesion score, lipoperoxidation and IL-8 expression. Explants exposed to IP6 remained like the control. The addition of IP6 to gentamicin prevented tissue damage, increasing the antioxidant status and gene expression of IL-10. This model proved to be an adequate experimental approach for identifying nephrotoxins and potential products to modulate the toxicity.

Animal performance and biochemical parameters are sex-dependent in peripubertal rats exposed to deoxynivalenol.

Deoxynivalenol (DON), a mycotoxin produced mainly by Fusarium graminearum and F. culmorum commonly contaminates food commodities across the globe. Due to this, exposure to DON might pose potential health hazards to humans and animals. Biological factors like sex and age can influence the toxicity of DON. However, in toxicological studies involving DON, the sex and age-dependent response has been often overlooked. Thereby, the objective of this study was to evaluate if sex differences are evident in DON's systemic effects in peripubertal rats. Juvenile animals (n = 24) with 28 days postnatal day were randomly assigned to two experimental groups: Control group (n = 12, 6 females and 6 males, mycotoxin-free diet) and DON group (n = 12, 6 females and 6 males, diet containing 10 mg DON/kg of feed). During 28 days of treatment, the animals were weighed weekly and body weight gain and food intake were calculated for each week. After the experimental period, blood samples, intestine, liver, and kidney were collected and destined for biochemical, hematological, histopathological, and oxidative stress analyses. Greater anorectic responses were seen in males, while only females showed increased levels of creatinine and triglycerides. Regardless of sex, DON induces an increased number of white blood cells, particularly lymphocytes and a significant reduction in the levels of hemoglobin, hematocrit, mean corpuscular hemoglobin, and neutrophils. In males and females fed a DON-contaminated diet, histological lesions were observed in the intestine, liver, and kidney. Ingestion of DON induced a significant increase in the antioxidant potential in the intestine, liver, and kidney. However, this effect was not able to prevent oxidative stress in the renal tissue. Taken together, our results showed a sex-related response in food intake, weight gain, and biochemical parameters in rats exposed to DON during the juvenile and peripubertal periods. In addition, we have verified that oxidative stress is an important mechanism in the nephrotoxicity of DON.

Lactobacillus plantarum metabolites reduce deoxynivalenol toxicity on jejunal explants of piglets.

The deterioration of food and feed stuffs and toxic intestinal effects due to fungal colonization and concomitant production of mycotoxins is an increasing concern. The development of fungi resistance to many commonly used chemical preservatives adds further alarm. Therefore, effective detoxification methods would be useful in counteracting this problem. Biotransformation/adsorption of mycotoxins by lactic acid bacteria and their metabolites is a promising approach to minimize the deleterious effects of mycotoxins. The objective of the present study was to evaluate the beneficial effects of Lactobacillus plantarum metabolites in reducing deoxynivalenol intestinal toxicity. To achieve this aim, histological, morphometrical and oxidative stress analyses were performed in the intestinal mucosa of piglets exposed to deoxynivalenol alone or associated with two strains (SN1 and SN2) of L. plantarum subsp. plantarum metabolites. Metabolites were obtained after dichloromethane (D) or ethyl acetate (A) extraction. Jejunal explants were exposed to the following treatments for 2 and 4 h a) culture medium (control group); b) deoxynivalenol (DON, 10 µM); c) L. plantarum metabolites DSN1; d) L. plantarum metabolites DSN1+DON; e) L. plantarum metabolites DSN2; f) L. plantarum metabolites DSN2+DON; g) L. plantarum metabolites ASN1; h) L. plantarum metabolites ASN1+DON; i) L. plantarum metabolites ASN2; j) L. plantarum metabolites ASN2+DON. The metabolites were incubated 1 h previously to DON challenge (one and 3 h of exposure). Histological assessment showed DON-treated explants with villi fusion and atrophy, multifocal apical necrosis and cuboid or flattened enterocytes with 2 and 4 h of exposure, while LP metabolites groups individually or associated with DON remained like control. The density of goblet cells in villi and crypts was reduced in DON explants compared to control group with 2 and 4 h of exposure; on the other hand, a significant increase in this parameter was achieved in LP metabolites groups compared to DON. Morphometric evaluation showed no difference in villi height or crypts depth in any treated explants. Overall, oxidative stress response assessments showed that explants exposed to SN1 extracted with dichloromethane and ethyl acetate, and SN2 extracted with dichloromethane reduced superoxide anion production. In conclusion, L. plantarum metabolites induced beneficial effects in intestinal mucosa, reducing the toxic effects of DON on intestinal morphology and oxidative response.

Histopathological and ultrastructural findings induced by heat-inactivated Lactobacillus plantarum and the culture supernatant on the intestinal mucosa of piglets: an ex vivo approach / Achados histopatológicos e ultraestruturais induzidos por Lactobacillus plantarum inativado pelo calor na mucosa intestinal de leitões: estudo ex-vivo

In the present study, histological, morphometrical and ultrastructural analysis were performed to investigate intestinal mucosa changes in piglets jejunal explants exposed to two concentration of heat-inactivated Lactobacillus plantarum and their respective culture supernatants. Jejunal explants were incubated for 4 hours in DMEM culture medium with a) only culture medium (control group), b) heat-inactivated Lactobacillus plantarum strain1 - LP1 (1.1 x 108CFU/ml), c) heat-inactivated Lactobacillus plantarum strain2 - LP2 (2.0 x 109CFU/ml), d) heat-inactivated Lactobacillus plantarum strain1 culture supernatant (CS1), and e) heat-inactivated Lactobacillus plantarum strain2 culture supernatant (CS2). Explants exposed to heat-inactivated L. plantarum strain 1 and 2 showed multifocal to difuse villi atrophy, villi apical necrosis and enterocyte flattening. Morphological assessment revealed similar results with bacterial adhesion to mucus and intestinal epithelial cells and, morphometric analysis showed a decreased villi height compared to the control group. Alterations in explants treated with the culture supernatant of both strains include mild villi atrophy and mild enterocyte apical necrosis. Morphological assesment reveled numerous well delineated villi and, morphometric analysis showed a significant increase in villi height compared to the control group. In general, exposure to the culture supernatants improved the intestinal morphology.(AU)

No presente estudo, foram realizadas análises histológica, morfométrica e ultraestrutural para investigar as alterações da mucosa intestinal em explantes jejunais de leitões expostos a duas cepas e concentrações de Lactobacillus plantarum inativado pelo calor e seus sobrenadantes de cultura. Os explantes jejunais foram incubados durante quatro horas, em meio de cultura DMEM com: a) meio de cultura (grupo controle); b) Lactobacillus plantarum, cepa 1 - LP1 (1,1 x 108CFU/mL); c) Lactobacillus plantarum, LP2 (2,0 x 109CFU/mL); d) sobrenadante da cultura do Lactobacillus plantarum, cepa 1 (SC1); e e) sobrenadante da cultura do Lactobacillus plantarum, cepa 2 (SC2). Os explantes expostos às cepas 1 e 2 do L. plantarum inativado pelo calor mostraram atrofia difusa de vilosidades, necrose apical das vilosidades e achatamento de enterócitos. A avaliação morfológica revelou resultados semelhantes, com adesão bacteriana ao muco e às células epiteliais intestinais, e a análise morfométrica mostrou uma diminuição da altura das vilosidades em relação ao grupo controle. Alterações nos explantes tratados com o sobrenadante da cultura de ambas as cepas caracterizaram-se por atrofia leve das vilosidades e necrose apical leve dos enterócitos. A avaliação morfológica revelou vilosidades bem delineadas, e a análise morfométrica mostrou um aumento significativo na altura das vilosidades em comparação ao grupo controle. Em geral, a exposição aos sobrenadantes da cultura melhora a morfologia intestinal.(AU)

Effects of chito-oligosaccharide on piglet jejunal explants: an histological approach.

Antibiotics have been widely used in piglet diets to promote growth performance and reduce diarrhea incidence. However, the resistance of pathogens to antibiotics and the risk of residues of antibiotics in animal products induced a growing interest in the use of alternatives to in-feed antibiotics. Chito-oligosaccharide (COS), a natural alkaline polymer of glucosamine is currently being tested as a substitute for in-feed antibiotics. In weaned piglets, COS has positive effects on promoting growth, which may be related to its action on intestinal morphology, immune ability and beneficial microbiota. However, previous studies shown variable results with effective doses ranging from 30 mg/kg to 5 g/kg. Therefore, the goal of this study was to test the hypothesis that the use of COS can be an alternative to in-feed antibiotics by improve the intestinal morphology of piglets, using the jejunal explant model. The intestinal explants were exposed for 4 h to following treatments: control - only culture media and culture media with COS in doses of 0.025 mg/ml, 0.05 mg/ml, 0.1 mg/ml and 0.15 mg/ml. After the incubation period the explants were processed for histological and morphometrical analysis. The histological changes were evaluated using an adapted histological score based on the intensity and severity of lesions. Mild histological changes were observed in jejunal explants exposed to different treatments; however, no significant difference in the histological score, villi height, crypt depth or villus : crypt ratio were observed between the COS-groups and the control. In addition, goblet cells density in intestinal explants exposed to COS remained statistically similar to control group. Our results indicate that COS exposure in levels ranging from 0.025 to 0.15 mg/ml induced no effect on intestinal morphology of pig's explants. The research will provide guidance on the low dosage of COS supplementation on weaning pigs.

Influence of follicle-stimulating hormone concentrations on the integrity and development of bovine follicles cultured in vitro.

SummaryThis study investigated the in vitro culture of bovine follicles included in ovarian tissue for 2 or 6 days (D2 or D6), with the addition of different concentrations of follicle-stimulating hormone (FSH) (0, 10, 50, 100 or 200 ng/ml). Data were compared for follicular development, morphological integrity and diameter of follicles and oocytes. Ovaries (n = 10) from Nelore cows (n = 5) were divided into fragments (n = 11 per ovary) and were immediately fixed in Bouin's solution (D0) or were individually cultured for 2 or 6 days in one of the described concentrations of FSH and then processed for histology. Compared with the rates of follicular development at D2 for minimal essential medium (MEM) (75.0%) and 50 ng/ml of FSH (71.1%), the best rates of follicular development at D2 were obtained with 10 (84.7%), 100 (87.5%) and 200 ng/ml of FSH (85.0%; P<0.05). After 6 days of cultivation, there were no differences among treatments regarding follicular growth. The morphological integrity of preantral follicles was better maintained by 100 ng/ml FSH for 2 and 6 days of cultivation (51.2 and 40.4%, respectively; P<0.05) than that for MEM (D2: 30.9%, D6: 20.8%), 10 (D2: 39.2%, D6: 22.8%), 50 (D2: 30.4%, D6: 28.8%) and 200 ng/ml FSH (D2: 45.2%, D6: 36.8%). FSH at 100 ng/ml provided the highest mean diameter averages: 34.5±10.8 µm at D2 and 33.2±12.5 µm at D6 (P<0.05). We concluded that the medium supplemented with 100 ng/ml FSH during in vitro culture provided appropriate conditions for the development and morphological integrity of preantral follicles in cattle.

Lactobacillus plantarum culture supernatants improve intestinal tissue exposed to deoxynivalenol.

In the present study, histological, morphometrical and ultrastructural analysis were performed to investigate intestinal mucosa changes in piglets exposed to deoxynivalenol alone or associated with two strains of Lactobacillus plantarum and the respective culture supernatants. Jejunal explants were incubated for 4h in culture medium with a) only culture medium (DMEM, control group), b) deoxynivalenol (DON, 10µM), c) heat-inactivated Lactobacillus plantarum strain1 - LP1 (1.1×108 CFU/ml) plus DON, d) heat-inactivated Lactobacillus plantarum strain2-LP2 (2.0×109 CFU/ml) plus DON, e) heat-inactivated Lactobacillus plantarum strain1 culture supernatant (CS1) plus DON, and f) heat-inactivated Lactobacillus plantarum strain1 culture supernatant (CS1) plus DON. Explants exposed to DON and DON plus LP1 and LP2 showed a significant increase in histological changes (mainly villi atrophy and apical necrosis) and a significant decrease in villi height when compared to unexposed explants. However, explants treated with CS1+DON and CS2+DON remained similar to the control group both in histological and morphometrical aspects. DON also induced a significant decrease in goblet cell density compared to control whereas CS1+DON treatment induced an increase in the number of goblet cells in comparison to DON explants. In addition, ultrastructural assessment showed control, CS1+DON and CS2+DON explants with well delineated finger shape villi, meanwhile DON-treated, LP1+DON and LP2+DON explants showed a severe villi atrophy with leukocytes exudation on the intestinal surface. Taken together, our results indicate that the culture supernatant treatment reduced the toxic effects induced by DON on intestinal tissue and may contribute as an alternative strategy to reduce mycotoxin toxicity.

RSUME inhibits VHL and regulates its tumor suppressor function.

Somatic mutations or loss of von Hippel-Lindau (pVHL) happen in the majority of VHL disease tumors, which present a constitutively active Hypoxia Inducible Factor (HIF), essential for tumor growth. Recently described mechanisms for pVHL modulation shed light on the open question of the HIF/pVHL pathway regulation. The aim of the present study was to determine the molecular mechanism by which RSUME stabilizes HIFs, by studying RSUME effect on pVHL function and to determine the role of RSUME on pVHL-related tumor progression. We determined that RSUME sumoylates and physically interacts with pVHL and negatively regulates the assembly of the complex between pVHL, Elongins and Cullins (ECV), inhibiting HIF-1 and 2α ubiquitination and degradation. We found that RSUME is expressed in human VHL tumors (renal clear-cell carcinoma (RCC), pheochromocytoma and hemangioblastoma) and by overexpressing or silencing RSUME in a pVHL-HIF-oxygen-dependent degradation stability reporter assay, we determined that RSUME is necessary for the loss of function of type 2 pVHL mutants. The functional RSUME/pVHL interaction in VHL-related tumor progression was further confirmed using a xenograft assay in nude mice. RCC clones, in which RSUME was knocked down and express either pVHL wt or type 2 mutation, have an impaired tumor growth, as well as HIF-2α, vascular endothelial growth factor A and tumor vascularization diminution. This work shows a novel mechanism for VHL tumor progression and presents a new mechanism and factor for targeting tumor-related pathologies with pVHL/HIF altered function.

RSUME is implicated in HIF-1-induced VEGF-A production in pituitary tumour cells.

The recently cloned small RWD-domain containing protein RSUME was shown to increase protein levels of hypoxia-inducible factor-1α (HIF-1α). The latter is the oxygen-regulated subunit of HIF-1, the most important transcription factor of the cellular adaptive processes to hypoxic conditions. It is also a major regulator of vascular endothelial growth factor-A (VEGF-A), which is critically involved in the complex process of tumour neovascularisation. In this study, the expression and role of RSUME in pituitary tumours was studied. We found that RSUME mRNA was up-regulated in pituitary adenomas and significantly correlated with HIF-1α mRNA levels. Hypoxia (1% O(2)) or treatment with hypoxia-mimicking CoCl(2) enhanced RSUME and HIF-1α expression, induced translocation of HIF-1α to the nuclei and stimulated VEGF-A production both in pituitary tumour cell lines and primary human pituitary adenoma cell cultures. When RSUME expression was specifically down-regulated by siRNA, the CoCl(2)-induced increase VEGF-A secretion was strongly reduced which was shown to be a consequence of the RSUME knockdown-associated reduction of HIF-1α synthesis. Thus, RSUME plays an important role in initiating pituitary tumour neovascularisation through regulating HIF-1α levels and subsequent VEGF-A production and may therefore be critically involved in pituitary adenoma progression.

Vólvulo del ángulo esplénico del colon / No disponible

No disponible

Cirugía laparoscópica en pacientes con sistemas de derivación ventriculoperitoneal / Laparoscopic surgery in patients with a ventriculoperitoneal shunt

No disponible

No disponible

Laparoscopic colectomy for primary colonic lymphoma.

Primary colorectal lymphoma is an infrequent disease of unknown origin and with a growing incidence. Differentiation be-tween primary lymphoma and secondary colorectal involvement is of great therapeutic and prognostic importance. The diagnosis must always be based on histological findings. Different forms of presentation have been described, though all are nonspecific. While full agreement on the best management approach for colorectal lymphoma is lacking, surgical resection is usually the treatment of choice. The role of chemotherapy has not been defined. This study reports on a case of primary lymphoma in the cecum, with clinical manifestations in the form of meteorism and early satiety. The diagnosis was established by colonoscopy and biopsy. The absence of lymph-node involvement, tumor size, existing cardiopulmonary risk factors, and the fact that a full resection of the malignancy proved possible, with tumor-free resection margins, led us to exclude adjuvant chemotherapy. After one year of follow-up the patient remains disease-free.

Tratamiento del linfoma primario de colon mediante colectomía laparoscópica / Laparoscopic colectomy for primary colonic lymphoma

El linfoma primario colorrectal es una enfermedad muy infrecuente,de causa desconocida y con una incidencia en aumento.Diferenciar entre el linfoma primario y la afectación colorrectal secundariaen el linfoma sistémico es de elevada importancia terapéuticay pronóstica. El diagnóstico ha de ser siempre histológico.Se han descrito diferentes formas de presentación, pero todasellas inespecíficas. No existe un total acuerdo sobre cuál es el mejortratamiento del linfoma colorrectal. La resección quirúrgicasuele ser el procedimiento de elección, sin haberse definido el papelde la quimioterapia. Presentamos un caso de linfoma primariolocalizado en el ciego, cuyas manifestaciones clínicas fueron meteorismoy saciedad precoz, siendo diagnosticado mediante colonoscopiay biopsia. La resección asistida por laparoscopia fue eltratamiento de elección. La no afectación ganglionar, tamaño tumoral,resección completa con márgenes libres, así como los factoresde riesgo cardiopulmonares del paciente, llevaron a desestimarla quimioterapia adyuvante. Tras un año de seguimiento elpaciente se encuentra libre de enfermedad

Primary colorectal lymphoma is an infrequent disease of unknownorigin and with a growing incidence. Differentiation betweenprimary lymphoma and secondary colorectal involvement isof great therapeutic and prognostic importance. The diagnosismust always be based on histological findings. Different forms ofpresentation have been described, though all are nonspecific.While full agreement on the best management approach for colorectallymphoma is lacking, surgical resection is usually the treatmentof choice. The role of chemotherapy has not been defined.This study reports on a case of primary lymphoma in the cecum,with clinical manifestations in the form of meteorism and earlysatiety. The diagnosis was established by colonoscopy and biopsy.The absence of lymph-node involvement, tumor size, existing cardiopulmonaryrisk factors, and the fact that a full resection of themalignancy proved possible, with tumor-free resection margins,led us to exclude adjuvant chemotherapy. After one year of follow-up the patient remains disease-free

Suture materials and local recurrence in colorectal cancer: an experimental study.

OBJECTIVE: To investigate the carcinogenic role of suture materials in an experimental model in rats. DESIGN: Laboratory, experimental study. SETTING: University hospital, Spain. SUBJECTS: 125 Sprague-Dawley rats in 5 groups of 25 each. INTERVENTIONS: 3 Different suture materials (silk, polydioxanone, and titanium staples) were implanted in a region of the colon in 75 rats divided into three groups of 25. Another 25 animals were injured by puncture only in the same region, and a further 25 rats were not operated on (controls). Injections of 1-2,dimethylhydrazine were then given for 26 weeks. MAIN OUTCOME MEASURES: Number of rats in each group who had tumours in the region of interest, and level of infiltration of the tumours in each group. RESULTS: There were no differences between the injured and control rats in the number of tumours in the study zone. All groups in which suture material had been inserted had tumours in this zone. Titanium was more carcinogenic than either silk or polydioxanone. The tumours associated with titanium were the most infiltrating. CONCLUSIONS: We recommend the use of absorbable sutures, with a careful follow-up of patients in whom titanium staples have been used.

Laparoscopically treated duodenal hamartoma of Brunner's glands.

Hamartomas of Brunner's glands are extremely rare lesions, with only about 100 cases reported to date in the world literature; of these, fewer than 25 correspond to growths >2 cm in diameter. We report the case of a patient with a large (6-cm diameter) duodenal hamartoma of Brunner's glands treated by laparoscopic surgery. A review of the literature revealed no other cases via this approach.