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1.
Dig Dis Sci ; 53(10): 2667-70, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18320321

RESUMO

UNLABELLED: The immunomodulator effect of Bioflora probiotic on T (CD4+) and B (CD20) lymphocytes in gastrointestinal mucosa and intestinal bacterial translocation was studied using Wistar rats (n = 10 per group). Two experiments were used: (I) stress with immobilization and water immersion at 22 degrees C for 7 h plus the application of indomethacin (Indo) 10 mg/kg SC every 24 h for 3 days (comparator group), and (II) stress experiment I with the addition of 1 mL of Bioflora applied through a orogastric tube every 12 h for 3 days. At the 4th day, in asepsis, a dissection laparotomy of liver, spleen, mesenteric lymphatic nodes, and cecum was performed for microbiological culture, and stomach, ileum, and colon were also dissected for immunohistochemical and quantification of CD4+ and CD20. Findings in experiment I revealed cecum bacterial overdevelopment of 6 x 10(10) +/- 2.3 x 10(9) colony-forming units (CFU) (P < 0.01) and positive cultures in liver, spleen, and all mesenteric lymphatic nodes. On the other hand, in the group treated with Probiotic Bioflora, cecum without overdevelopment (3 x 10(6) +/- 1.3 x 10(5) CFU), negative cultures in liver and spleen, and in lymphatic nodes two positive and eight negative cultures for E. coli and P. vulgaris (P < 0.01) were observed. Immunohistochemistry revealed a relevant increase of T lymphocytes (CD4+) in ileum and colon. CONCLUSIONS: Bioflora probiotic was shown to be an intestinal immunomodulator that induced increased T (CD4+) lymphocytes that also offer prophylaxis of intestinal bacterial translocation in a stressed rat model.


Assuntos
Linfócitos B/efeitos dos fármacos , Translocação Bacteriana/efeitos dos fármacos , Linfócitos T CD4-Positivos/efeitos dos fármacos , Fatores Imunológicos/farmacologia , Probióticos/farmacologia , Animais , Anti-Inflamatórios não Esteroides/farmacologia , Antígenos CD20/metabolismo , Linfócitos B/imunologia , Feminino , Imersão , Sistema Imunitário/efeitos dos fármacos , Indometacina/farmacologia , Modelos Animais , Ratos , Ratos Wistar , Restrição Física
2.
Acta Gastroenterol Latinoam ; 33(4): 183-5, 2003.
Artigo em Espanhol | MEDLINE | ID: mdl-14708469

RESUMO

In randomized groups of Wistar rats, the effect inhibitor of selective NASAID over the COX-1, COX-2 and COX-3 the synchronizes inhibition of COX-1 and COX-2, COX-1 and COX-3, COX-2 and COX-3, and COX-1, COX-2 and COX-3 were studied. The conclusions were that the selective inhibition of COX-1, COX-2 and COX-3 no given gastrointestinal damage; the synchronizes inhibition of COX-1 and COX-2 given preferential gastric damage; in contrast the inhibition of COX-2 and COX-3 given massive necrosis preferential in small intestine.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Inibidores de Ciclo-Oxigenase/efeitos adversos , Trato Gastrointestinal/efeitos dos fármacos , Isoenzimas/antagonistas & inibidores , Animais , Ciclo-Oxigenase 1 , Ciclo-Oxigenase 2 , Inibidores de Ciclo-Oxigenase 2 , Feminino , Gastroenteropatias/induzido quimicamente , Gastroenteropatias/enzimologia , Trato Gastrointestinal/enzimologia , Proteínas de Membrana , Prostaglandina-Endoperóxido Sintases , Ratos
3.
Acta gastroenterol. latinoam ; 33(4): 183-185, 2003. tab
Artigo em Espanhol | BINACIS | ID: bin-4801

RESUMO

In randomized groups of Wistar rats, the effect inhibitor of selective NASAID over the COX-1, COX-2 and COX-3 the synchronizes inhibition of COX-1 and COX-2, COX-1 and COX-3, COX-2 and COX-3, and COX-1, COX-2 and COX-3 were studied. The conclusions were that the selective inhibition of COX-1, COX-2 and COX-3 no given gastrointestinal damage; the synchronizes inhibition of COX-1 and COX-2 given preferential gastric damage; in contrast the inhibition of COX-2 and COX-3 given massive necrosis preferential in small intestine.(AU)


Assuntos
Animais , Feminino , Ratos , /efeitos adversos , Inibidores de Ciclo-Oxigenase , Trato Gastrointestinal/efeitos dos fármacos , Isoenzimas/antagonistas & inibidores , Prostaglandina-Endoperóxido Sintases , Trato Gastrointestinal/enzimologia , Trato Gastrointestinal/patologia , Gastroenteropatias/induzido quimicamente , Gastroenteropatias/enzimologia
4.
Acta gastroenterol. latinoam ; 33(4): 183-185, 2003. tab
Artigo em Espanhol | LILACS | ID: lil-359981

RESUMO

In randomized groups of Wistar rats, the effect inhibitor of selective NASAID over the COX-1, COX-2 and COX-3 the synchronizes inhibition of COX-1 and COX-2, COX-1 and COX-3, COX-2 and COX-3, and COX-1, COX-2 and COX-3 were studied. The conclusions were that the selective inhibition of COX-1, COX-2 and COX-3 no given gastrointestinal damage; the synchronizes inhibition of COX-1 and COX-2 given preferential gastric damage; in contrast the inhibition of COX-2 and COX-3 given massive necrosis preferential in small intestine.


Assuntos
Animais , Feminino , Ratos , Anti-Inflamatórios não Esteroides/efeitos adversos , Inibidores de Ciclo-Oxigenase , Trato Gastrointestinal/efeitos dos fármacos , Isoenzimas/antagonistas & inibidores , Gastroenteropatias/induzido quimicamente , Gastroenteropatias/enzimologia , Trato Gastrointestinal/enzimologia , Trato Gastrointestinal/patologia , Prostaglandina-Endoperóxido Sintases
5.
Acta gastroenterol. latinoam ; 33(4): 183-5, 2003.
Artigo em Espanhol | BINACIS | ID: bin-38812

RESUMO

In randomized groups of Wistar rats, the effect inhibitor of selective NASAID over the COX-1, COX-2 and COX-3 the synchronizes inhibition of COX-1 and COX-2, COX-1 and COX-3, COX-2 and COX-3, and COX-1, COX-2 and COX-3 were studied. The conclusions were that the selective inhibition of COX-1, COX-2 and COX-3 no given gastrointestinal damage; the synchronizes inhibition of COX-1 and COX-2 given preferential gastric damage; in contrast the inhibition of COX-2 and COX-3 given massive necrosis preferential in small intestine.

6.
Acta Gastroenterol Latinoam ; 32(1): 17-20, 2002 May.
Artigo em Espanhol | MEDLINE | ID: mdl-12136686

RESUMO

Dexketoprofene (De) NSAID was studied as a selective COX-1 inhibitor in comparison with Ketorolac (Ke), a mainly COX-1 inhibitor. De and Ke were administered to different groups of animals in a dose-dependent manner, i.e., 3-15 and 25 mgs/kg. The gastrointestinal mucosa damage was macroscopically and microscopically quantified at 24 hs, as well as leukocyte infiltration (LI) and neosinophilia. Similarly, Indomethacin (Indo) damage (COX-1-COX-2), with 25 mgs/kg. Dose was compared. On the other hand, De and Ke at inhibitory selective COX-1 dose (3 mg/kg) plus Celecoxib, selective COX-2 inhibitor, yielding no gastrointestinal damage, with decreased LI and without neutrophilia, the same as Ke (n.s.). Similarly De at higher dose (2.5 mgs/kg), produced minimal gastrointestinal lesions, showing a preferential COX-1 inhibitor behavior. Ke and Indo produced important gastrointestinal necrotic and erosive lesions with remarkable LI and neutrophilia (p < 0.001). On the other hand, COX-1 De dose plus Celecoxib produced evident gastrointestinal lesions, increased LI and neutrophilia, the same as Indo, pointing out that the gastrointestinal damage is due to COX-1 and COX-2 inhibition.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Inibidores de Ciclo-Oxigenase/efeitos adversos , Mucosa Intestinal/efeitos dos fármacos , Cetoprofeno/análogos & derivados , Cetoprofeno/efeitos adversos , Trometamina/análogos & derivados , Trometamina/efeitos adversos , Análise de Variância , Animais , Celecoxib , Avaliação Pré-Clínica de Medicamentos , Mucosa Gástrica/efeitos dos fármacos , Humanos , Cetorolaco/farmacologia , Pirazóis , Ratos , Ratos Wistar , Sulfonamidas/farmacologia
7.
Acta gastroenterol. latinoam ; 32(1): 20-17, maiy 2002. tab
Artigo em Espanhol | LILACS | ID: lil-316193

RESUMO

Dexketoprofene (De) NSAID was studied as a selective COX-1 inhibitor in comparison with Ketorolac (Ke), a mainly COX-1 inhibitor. De and Ke were administered to different groups of animals in a dose-dependent manner, i.e., 3-15 and 25 mgs/kg. The gastrointestinal mucosa damage was macroscopically and microscopically quantified at 24 hs, as well as leukocyte infiltration (LI) and neosinophilia. Similarly, Indomethacin (Indo) damage (COX-1-COX-2), with 25 mgs/kg. Dose was compared. On the other hand, De and Ke at inhibitory selective COX-1 dose (3 mg/kg) plus Celecoxib, selective COX-2 inhibitor, yielding no gastrointestinal damage, with decreased LI and without neutrophilia, the same as Ke (n.s.). Similarly De at higher dose (2.5 mgs/kg), produced minimal gastrointestinal lesions, showing a preferential COX-1 inhibitor behavior. Ke and Indo produced important gastrointestinal necrotic and erosive lesions with remarkable LI and neutrophilia (p < 0.001). On the other hand, COX-1 De dose plus Celecoxib produced evident gastrointestinal lesions, increased LI and neutrophilia, the same as Indo, pointing out that the gastrointestinal damage is due to COX-1 and COX-2 inhibition


Assuntos
Humanos , Animais , Ratos , Inibidores de Ciclo-Oxigenase , Mucosa Intestinal , Cetoprofeno , Trometamina , Análise de Variância , Mucosa Gástrica , Mucosa Intestinal , Cetorolaco , Ratos Wistar , Sulfonamidas
8.
Acta gastroenterol. latinoam ; 32(1): -1720, maiy 2002. tab
Artigo em Espanhol | BINACIS | ID: bin-7927

RESUMO

Dexketoprofene (De) NSAID was studied as a selective COX-1 inhibitor in comparison with Ketorolac (Ke), a mainly COX-1 inhibitor. De and Ke were administered to different groups of animals in a dose-dependent manner, i.e., 3-15 and 25 mgs/kg. The gastrointestinal mucosa damage was macroscopically and microscopically quantified at 24 hs, as well as leukocyte infiltration (LI) and neosinophilia. Similarly, Indomethacin (Indo) damage (COX-1-COX-2), with 25 mgs/kg. Dose was compared. On the other hand, De and Ke at inhibitory selective COX-1 dose (3 mg/kg) plus Celecoxib, selective COX-2 inhibitor, yielding no gastrointestinal damage, with decreased LI and without neutrophilia, the same as Ke (n.s.). Similarly De at higher dose (2.5 mgs/kg), produced minimal gastrointestinal lesions, showing a preferential COX-1 inhibitor behavior. Ke and Indo produced important gastrointestinal necrotic and erosive lesions with remarkable LI and neutrophilia (p < 0.001). On the other hand, COX-1 De dose plus Celecoxib produced evident gastrointestinal lesions, increased LI and neutrophilia, the same as Indo, pointing out that the gastrointestinal damage is due to COX-1 and COX-2 inhibition (AU)


Assuntos
Humanos , Animais , Ratos , Cetoprofeno/farmacologia , Cetoprofeno/análogos & derivados , Trometamina/análogos & derivados , Trometamina/farmacologia , Inibidores de Ciclo-Oxigenase/farmacologia , Mucosa Intestinal/efeitos dos fármacos , Ratos Wistar , Análise de Variância , Mucosa Intestinal/patologia , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/patologia , Cetorolaco/farmacologia , Sulfonamidas/farmacologia
9.
Acta gastroenterol. latinoam ; 32(1): 17-20, 2002 May.
Artigo em Espanhol | BINACIS | ID: bin-39198

RESUMO

Dexketoprofene (De) NSAID was studied as a selective COX-1 inhibitor in comparison with Ketorolac (Ke), a mainly COX-1 inhibitor. De and Ke were administered to different groups of animals in a dose-dependent manner, i.e., 3-15 and 25 mgs/kg. The gastrointestinal mucosa damage was macroscopically and microscopically quantified at 24 hs, as well as leukocyte infiltration (LI) and neosinophilia. Similarly, Indomethacin (Indo) damage (COX-1-COX-2), with 25 mgs/kg. Dose was compared. On the other hand, De and Ke at inhibitory selective COX-1 dose (3 mg/kg) plus Celecoxib, selective COX-2 inhibitor, yielding no gastrointestinal damage, with decreased LI and without neutrophilia, the same as Ke (n.s.). Similarly De at higher dose (2.5 mgs/kg), produced minimal gastrointestinal lesions, showing a preferential COX-1 inhibitor behavior. Ke and Indo produced important gastrointestinal necrotic and erosive lesions with remarkable LI and neutrophilia (p < 0.001). On the other hand, COX-1 De dose plus Celecoxib produced evident gastrointestinal lesions, increased LI and neutrophilia, the same as Indo, pointing out that the gastrointestinal damage is due to COX-1 and COX-2 inhibition.

10.
Dig Dis Sci ; 46(4): 779-84, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11330413

RESUMO

Five experimental models were developed in different groups of Wistar rats (N = 15) to study selective COX-2-inhibitor NSAIDs such as celecoxib and rofecoxib, as follows: (1) dose-dependent oral Celecoxib and Rofecoxib for 5 days, and 24 hr after oral indomethacin; (2) Same as 1 but subcutaneously; (3) gastric ulcer induced by glacial acetic acid; (4) duodenal ulcer induced by cysteamine; and (5) stress by immobilization and immersion in water at 15 degrees C for 6 hr. Celecoxib and Rofecoxib, either orally or subcutaneously, did not produce necrotic lesions in healthy gastrointestinal mucosa (0%), showing normal histology. In contrast, previously indomethacin-induced lesions were aggravated (90%, P < 0.001). Total necrosis in the small intestine as well as increased ulcers and perforation of gastric and duodenal ulcers induced by acetic acid and cysteamine were observed. There was also aggravation of the necrotic gastric area in stress (60-90%, P < 0.05). Celecoxib and rofecoxib showed neutrophilia (5000/mm3) similar to that with indomethacin. In contrast, there was no leukocyte infiltration in the gastric múcosa; thus, we can consider it a selective COX-2 NSAID. In conclusion, celecoxib and rofecoxib at doses causing COX-2 but not COX-1 inhibition did not produce toxic lesions in healthy gastrointestinal mucosa, yielding a broad therapeutic margin. In contrast, when administered in altered gastrointestinal mucosa, they aggravated and complicated gastric ulcers as well as necrosis in the small intestine, consequently restricting their clinical use.


Assuntos
Inibidores de Ciclo-Oxigenase/toxicidade , Sistema Digestório/efeitos dos fármacos , Sistema Digestório/patologia , Lactonas/toxicidade , Sulfonamidas/toxicidade , Animais , Celecoxib , Feminino , Masculino , Pirazóis , Ratos , Ratos Wistar , Sulfonas
11.
Medicina (B Aires) ; 60(2): 221-4, 2000.
Artigo em Espanhol | MEDLINE | ID: mdl-10962812

RESUMO

In 5 random groups of Wistar rats (n = 15 for each group), ulcerogenic doses of NSAIDs COX-1-COX-2 inhibitors such as indomethacin were compared with Celecoxib (COX-2 inhibitor); the production of antrum gastric ulcers and bowel and colon necrotic areas was studied. Celecoxib was given each 12 hs orally and subcutaneously during 5 days and gastrointestinal lesions were not found; in contrast, Celecoxib given after indomethacin aggravated antrum gastric ulcers (p < 0.001); intestinal massive necrosis and death were observed in all the rats. We conclude that Celecoxib does not induce gastrointestinal lesions in healthy mucosa; in contrast, Celecoxib amplifies the gastrointestinal lesions induced by indomethacin.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Inibidores de Ciclo-Oxigenase/toxicidade , Sistema Digestório/efeitos dos fármacos , Indometacina/efeitos adversos , Úlcera Gástrica/induzido quimicamente , Sulfonamidas/toxicidade , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Celecoxib , Inibidores de Ciclo-Oxigenase/administração & dosagem , Feminino , Indometacina/administração & dosagem , Masculino , Necrose , Antro Pilórico/lesões , Pirazóis , Ratos , Ratos Wistar , Úlcera Gástrica/patologia , Sulfonamidas/administração & dosagem
12.
Dig Dis Sci ; 45(7): 1359-65, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10961715

RESUMO

The aim of the present work was to study in vivo COX-2-COX-1 selectivity of 16 nonsteroidal anti-inflammatory drugs (NSAIDs) in equipotent ulcerogenic doses in two in vivo experimental models. Indomethacin, ibuprofen, nimesulide, aceclofenac, aspirin, sodium diclofenac, meloxicam, naproxene, paracetamol, piroxicam, tenoxicam, nabumetone, ketoprofen, mefenamic acid, etodolac, and ketorolac were administered to female Wistar rats (N = 10 each group). In experiment I, solid food plus subcutaneous NSAIDs were given. In experiment II, NSAIDs were given by oral gavage and in bolus. Macroscopic gastric antral ulcer area (30%) and intestinal erosiva area (295 mm2) in experiment I and necrotic gastric fundus area (65%) and erosive intestinal area (182 mm2), "in vivo" the NSAIDs COX-1 was showed. Neutrofilia assessed in gastric intestinal mucosa where also ibuprofen and paracetamol not given neotrophilic infiltration. In conclusion, COX-2-COX-1 selectivity was demonstrated in vivo with the drugs aceclofenac, nabumetone, meloxicam, nimesulide, and paracetamol.


Assuntos
Anti-Inflamatórios não Esteroides , Úlcera Péptica/induzido quimicamente , Administração Oral , Animais , Anti-Inflamatórios não Esteroides/farmacologia , Ciclo-Oxigenase 1 , Ciclo-Oxigenase 2 , Inibidores de Ciclo-Oxigenase 2 , Inibidores de Ciclo-Oxigenase/farmacologia , Ingestão de Alimentos/fisiologia , Jejum/fisiologia , Feminino , Injeções Subcutâneas , Intestino Delgado/efeitos dos fármacos , Intestino Delgado/patologia , Isoenzimas/antagonistas & inibidores , Proteínas de Membrana , Úlcera Péptica/patologia , Prostaglandina-Endoperóxido Sintases , Ratos , Ratos Wistar , Estômago/efeitos dos fármacos , Estômago/patologia
13.
Acta Gastroenterol Latinoam ; 30(1): 27-33, 2000.
Artigo em Espanhol | MEDLINE | ID: mdl-10855352

RESUMO

UNLABELLED: Five experimental models were carried out in different groups of Wistar rats (n = 15) in order to study selective (cyclo-oxygenase) COX-2 non-steroid antiinflammatory inhibitors, such as celecoxib and rofecoxib, as follows: 1) Dose-dependent oral celecoxib and rofecoxib for 5 days, and 24 hours after oral indomethacin. 2) Same as 1, but subcutaneously. 3) Gastric ulcer induced by means of glacial acetic acid. 4) Duodenal ulcer induced by means of cysteamine. 5) Stress due to being kept under restraint and immersion in water at 15 degrees C for 6 hours. Celecoxib and rofecoxib, either orally or subcutaneously, did not produce necrotic injuries in healthy gastrointestinal mucosa (0%), showing normal histology. On the other hand, the injuries previously induced by indomethacin worsened (90%, p < 0.001). Total necrosis of small intestine as well as increased ulcer and perforation of gastric and duodenal ulcers induced by acetic acid and cysteamine were observed. There was also worsening of gastric necrotic area with stress (60-90%, p < 0.05). Celecoxib and rofecoxib showed neutrophilia (5,000/mm3) similar to that presented by indomethacin, but there was no leukocyte infiltration in the gastric mucosa; thus we can consider it a COX-2 selective NSAID (non-steroidal anti-inflammatory drug). CONCLUSION: Dose-dependent administration of celecoxib and rofecoxib as COX-2 inhibitors and non-COX-1 inhibitors, respectively, did not produce toxic injuries on healthy gastrointestinal mucosa, thus providing a broad therapeutic spectre. On the other hand, when administered in presence of altered gastrointestinal mucosa, they worsened and complicated gastric ulcers, and also induced necrosis in the small intestine, thereby restricting their clinical use.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Inibidores de Ciclo-Oxigenase/efeitos adversos , Inibidores Enzimáticos/efeitos adversos , Lactonas/efeitos adversos , Sulfonamidas/efeitos adversos , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Celecoxib , Inibidores de Ciclo-Oxigenase/administração & dosagem , Modelos Animais de Doenças , Inibidores Enzimáticos/administração & dosagem , Feminino , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/patologia , Intestino Delgado/efeitos dos fármacos , Intestino Delgado/patologia , Lactonas/administração & dosagem , Masculino , Úlcera Péptica Perfurada/induzido quimicamente , Pirazóis , Ratos , Ratos Wistar , Úlcera Gástrica/induzido quimicamente , Sulfonamidas/administração & dosagem , Sulfonas
14.
Acta gastroenterol. latinoam ; 30(1): 27-33, mar. 2000. ilus, tab
Artigo em Espanhol | BINACIS | ID: bin-12469

RESUMO

En diferentes grupos de ratas Wistar (n=15), se estudiaron AINEs inhibidores selectivos de la COX-2, como delecoxib y refecoxib, en cinco modelos experimentales: 1) Celecoxib y rofecoxib por vía oral y dosis dependiente durante 5 días y 24 hs. Después de indometacina oral. 2) Similar a 1, pero subcutáneo. 3) Ulcera gástrica inducida por ácido acético glacial. 4) Ulcera duodenal por cisteamina. 5) Estrés por inmovilización e inmersión en agua a 15 grados Celsius durante 6 horas. Celecoxib y rofecoxib por vía oral o SC en mucosa gastrointestinal sana no provaron lesiones necróticas en una superficie del 0 grados Celsius, presentanto histología normal; en cambio, agravaron y complicaron lesiones inducidas en forma previa por indometacina en más del 90 por ciento (p<0,001), con necrosis masiva del intestino delgado, así como ampliaron y causaron perforaciones en las úlceras gástricas y duodenales inducidas por ácido acético y cisteamina. Se produjo asimismo agravación de la zona necrótica gástrica por estrés en un 60-90 por ciento (p<0,05). Celecoxib y rofecoxib condujeron a una neutrofilia de 5000/mm3, similar a la inducida por la indometacina; en cambio, no produjeron infiltración leucocitaria en mucosa gástrica (MPO), siendo un marcador de AINE selectivo COX-2. Se concluyó que celecoxib y rofecoxib, administrados en dosis dependiente como inhibidores de COX-2 y no COX-1, no provocaron en mucosa gastrointestinal sana ninguna lesión por toxicidad, observándose un amplio margen terapéutico. En cambio, suministrados en mucosa gastrointestinal dañada agravaron y complicaron las lesiones ulcerosas gástricas y necróticas intestinales, limitando su uso en clínica. (AU)


Assuntos
Animais , Masculino , Feminino , Ratos , Sulfonamidas/toxicidade , Prostaglandina-Endoperóxido Sintases , Inibidores de Ciclo-Oxigenase/toxicidade , Lactonas/toxicidade , Inibidores Enzimáticos/toxicidade , Úlcera Péptica Perfurada/induzido quimicamente , Úlcera Gástrica/induzido quimicamente , Estresse Fisiológico , Indometacina/toxicidade , Ratos Wistar , Modelos Animais de Doenças , Indometacina , Intestino Delgado/efeitos dos fármacos , Intestino Delgado/patologia , Infiltração de Neutrófilos , Sulfonamidas/administração & dosagem , Lactonas/administração & dosagem , Inibidores Enzimáticos/administração & dosagem , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/patologia
15.
Acta gastroenterol. latinoam ; 30(1): 27-33, mar. 2000. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-262234

RESUMO

En diferentes grupos de ratas Wistar (n=15), se estudiaron AINEs inhibidores selectivos de la COX-2, como delecoxib y refecoxib, en cinco modelos experimentales: 1) Celecoxib y rofecoxib por vía oral y dosis dependiente durante 5 días y 24 hs. Después de indometacina oral. 2) Similar a 1, pero subcutáneo. 3) Ulcera gástrica inducida por ácido acético glacial. 4) Ulcera duodenal por cisteamina. 5) Estrés por inmovilización e inmersión en agua a 15 grados Celsius durante 6 horas. Celecoxib y rofecoxib por vía oral o SC en mucosa gastrointestinal sana no provaron lesiones necróticas en una superficie del 0 grados Celsius, presentanto histología normal; en cambio, agravaron y complicaron lesiones inducidas en forma previa por indometacina en más del 90 por ciento (p<0,001), con necrosis masiva del intestino delgado, así como ampliaron y causaron perforaciones en las úlceras gástricas y duodenales inducidas por ácido acético y cisteamina. Se produjo asimismo agravación de la zona necrótica gástrica por estrés en un 60-90 por ciento (p<0,05). Celecoxib y rofecoxib condujeron a una neutrofilia de 5000/mm3, similar a la inducida por la indometacina; en cambio, no produjeron infiltración leucocitaria en mucosa gástrica (MPO), siendo un marcador de AINE selectivo COX-2. Se concluyó que celecoxib y rofecoxib, administrados en dosis dependiente como inhibidores de COX-2 y no COX-1, no provocaron en mucosa gastrointestinal sana ninguna lesión por toxicidad, observándose un amplio margen terapéutico. En cambio, suministrados en mucosa gastrointestinal dañada agravaron y complicaron las lesiones ulcerosas gástricas y necróticas intestinales, limitando su uso en clínica.


Assuntos
Animais , Masculino , Feminino , Ratos , Inibidores de Ciclo-Oxigenase/toxicidade , Inibidores Enzimáticos/toxicidade , Indometacina/toxicidade , Lactonas/toxicidade , Úlcera Péptica Perfurada/induzido quimicamente , Prostaglandina-Endoperóxido Sintases , Úlcera Gástrica/induzido quimicamente , Estresse Fisiológico , Sulfonamidas/toxicidade , Modelos Animais de Doenças , Inibidores Enzimáticos/administração & dosagem , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/patologia , Indometacina , Intestino Delgado/efeitos dos fármacos , Intestino Delgado/patologia , Lactonas/administração & dosagem , Infiltração de Neutrófilos , Ratos Wistar , Sulfonamidas/administração & dosagem
16.
Acta gastroenterol. latinoam ; 30(1): 27-33, 2000.
Artigo em Espanhol | BINACIS | ID: bin-39878

RESUMO

Five experimental models were carried out in different groups of Wistar rats (n = 15) in order to study selective (cyclo-oxygenase) COX-2 non-steroid antiinflammatory inhibitors, such as celecoxib and rofecoxib, as follows: 1) Dose-dependent oral celecoxib and rofecoxib for 5 days, and 24 hours after oral indomethacin. 2) Same as 1, but subcutaneously. 3) Gastric ulcer induced by means of glacial acetic acid. 4) Duodenal ulcer induced by means of cysteamine. 5) Stress due to being kept under restraint and immersion in water at 15 degrees C for 6 hours. Celecoxib and rofecoxib, either orally or subcutaneously, did not produce necrotic injuries in healthy gastrointestinal mucosa (0


), showing normal histology. On the other hand, the injuries previously induced by indomethacin worsened (90


, p < 0.001). Total necrosis of small intestine as well as increased ulcer and perforation of gastric and duodenal ulcers induced by acetic acid and cysteamine were observed. There was also worsening of gastric necrotic area with stress (60-90


, p < 0.05). Celecoxib and rofecoxib showed neutrophilia (5,000/mm3) similar to that presented by indomethacin, but there was no leukocyte infiltration in the gastric mucosa; thus we can consider it a COX-2 selective NSAID (non-steroidal anti-inflammatory drug). CONCLUSION: Dose-dependent administration of celecoxib and rofecoxib as COX-2 inhibitors and non-COX-1 inhibitors, respectively, did not produce toxic injuries on healthy gastrointestinal mucosa, thus providing a broad therapeutic spectre. On the other hand, when administered in presence of altered gastrointestinal mucosa, they worsened and complicated gastric ulcers, and also induced necrosis in the small intestine, thereby restricting their clinical use.

17.
Medicina [B Aires] ; 60(2): 221-4, 2000.
Artigo em Espanhol | BINACIS | ID: bin-39834

RESUMO

In 5 random groups of Wistar rats (n = 15 for each group), ulcerogenic doses of NSAIDs COX-1-COX-2 inhibitors such as indomethacin were compared with Celecoxib (COX-2 inhibitor); the production of antrum gastric ulcers and bowel and colon necrotic areas was studied. Celecoxib was given each 12 hs orally and subcutaneously during 5 days and gastrointestinal lesions were not found; in contrast, Celecoxib given after indomethacin aggravated antrum gastric ulcers (p < 0.001); intestinal massive necrosis and death were observed in all the rats. We conclude that Celecoxib does not induce gastrointestinal lesions in healthy mucosa; in contrast, Celecoxib amplifies the gastrointestinal lesions induced by indomethacin.

18.
Acta Gastroenterol Latinoam ; 29(2): 51-6, 1999.
Artigo em Espanhol | MEDLINE | ID: mdl-10491715

RESUMO

The role of the autonomic nervous system on gastric stress was studied in different groups of Wistar rats (n = 10). The experimental stress model consisted of immobilization and immersion in 15 degrees C water during 6 hours. The percentage of the gastric mucosa macroscopic lesional area was tabulated, and at the same time cortisol, melatonin, noradrenaline, adrenaline, dopamine and serotonin blood levels were measured. The stress control showed a necrotic area (80%) and in blood there was only and increase in noradrenaline and adrenaline. The following dose dependent drugs were studied: beta adrenergics agonists and antagonists, alpha 1 postsinaptical adrenergic antagonists, anticholinergics and cholinergics, endorphin and GABA receptors. Isoproterenol, prazosim, doxasine, tramadol and vigabatrin yielded a remarkable gastric mucosa protection in stress with an area close to 0% (p < 0.001). In contrast, propanolol, acetylholine, atropine, naloxone and flumazenil showed no difference in control stress (p > 0.5). All the drugs under study yielded similar vasoactive amines than the control stress. It is concluded that the protective gastric mechanism of the autonomic nervous system in stress, could be linked to its receptors with an increase in the splanchnic microcirculation.


Assuntos
Sistema Nervoso Autônomo/fisiopatologia , Mucosa Gástrica/patologia , Estresse Fisiológico/fisiopatologia , Animais , Modelos Animais de Doenças , Microcirculação , Ratos , Ratos Wistar , Receptores Adrenérgicos alfa/fisiologia , Receptores Adrenérgicos beta/fisiologia , Receptores Colinérgicos/fisiologia , Receptores de GABA/fisiologia , Receptores Opioides/fisiologia , Estresse Fisiológico/sangue
19.
Acta gastroenterol. latinoam ; 29(2): 51-6, 1999. ilus, tab
Artigo em Espanhol | BINACIS | ID: bin-15388

RESUMO

En grupos diferentes de ratas Wistar (n=10), se estudió el efecto fisiopatológico del sistema nervioso autónomo en el estrés gástrico, en el modelo experimental de estrés, por inmovilización e inmersión en agua a 15 grados Celsius durante 6 hs., en el que se tabuló el por ciento lesional macroscópica de la mucosa gástrica y en sangre se midió el cortisol, malatonina, nor-adrenalina, adrenalina, dopamina y serotonina. En estrés testigo se encontró un área necrótica gástrica de un 80 por ciento en sangre solo se halló aumento de nor-adrenalina y adrenalina. Se estudiaron fármacos en dosis dependientes, agonistas y antagonistas de los receptores Beta adrenérgicos, antagonistas alpha adrenérgicos postinápticos; colinérgicos y anticolinérgicos, de los receptores endorfínicos y de los GABA. Se encontró que Isoproterenal, Prazosim, Doxazosina, Tramadol y Vgabatrin dieron marcada protección de la mucosa gástrica en el estrés, con un área necrótica cercana al 0 por ciento (P<0.001); en contraste, Propanolol, Acetilcolina, Atropina, Naloxona y Flumazenil no se diferenciaron del estrés testigo (P>0.5). Todos los fármacos estudiados dieron similares aminas vasoactivas que el estrés testigo. Se concluyó que el sistema nervioso autónomo en su vinculado a sus receptores con incremento de la microcirculación esplácnica. (AU)


Assuntos
Animais , Ratos , Estresse Fisiológico/fisiopatologia , Mucosa Gástrica/patologia , Receptores Opioides , Receptores de GABA , Sistema Nervoso Autônomo/fisiologia , Ratos Wistar , Modelos Animais de Doenças , Estresse Fisiológico/sangue , Receptores Adrenérgicos alfa/fisiologia , Receptores Adrenérgicos beta/fisiologia , Receptores Colinérgicos/fisiologia , Microcirculação , Receptores de GABA/fisiologia , Receptores Opioides/fisiologia
20.
Acta gastroenterol. latinoam ; 29(2): 51-6, 1999.
Artigo em Espanhol | BINACIS | ID: bin-39948

RESUMO

The role of the autonomic nervous system on gastric stress was studied in different groups of Wistar rats (n = 10). The experimental stress model consisted of immobilization and immersion in 15 degrees C water during 6 hours. The percentage of the gastric mucosa macroscopic lesional area was tabulated, and at the same time cortisol, melatonin, noradrenaline, adrenaline, dopamine and serotonin blood levels were measured. The stress control showed a necrotic area (80


) and in blood there was only and increase in noradrenaline and adrenaline. The following dose dependent drugs were studied: beta adrenergics agonists and antagonists, alpha 1 postsinaptical adrenergic antagonists, anticholinergics and cholinergics, endorphin and GABA receptors. Isoproterenol, prazosim, doxasine, tramadol and vigabatrin yielded a remarkable gastric mucosa protection in stress with an area close to 0


(p < 0.001). In contrast, propanolol, acetylholine, atropine, naloxone and flumazenil showed no difference in control stress (p > 0.5). All the drugs under study yielded similar vasoactive amines than the control stress. It is concluded that the protective gastric mechanism of the autonomic nervous system in stress, could be linked to its receptors with an increase in the splanchnic microcirculation.

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