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1.
Endocrinology ; 153(10): 4818-29, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22822161

RESUMO

Neurokinin B (NKB), encoded by Tac2 in rodents, and its receptor, NK3R, have recently emerged as important regulators of reproduction; NKB has been proposed to stimulate kisspeptin output onto GnRH neurons. Accordingly, NKB has been shown to induce gonadotropin release in several species; yet, null or even inhibitory effects of NKB have been also reported. The basis for these discrepant findings, as well as other key aspects of NKB function, remains unknown. We report here that in the rat, LH responses to the NK3R agonist, senktide, display a salient sexual dimorphism, with persistent stimulation in females, regardless of the stage of postnatal development, and lack of LH responses in males from puberty onward. Such dimorphism was independent of the predominant sex steroid after puberty, because testosterone administration to adult females failed to prevent LH responses to senktide, and LH responsiveness was not restored in adult males treated with estradiol or the nonaromatizable androgen, dihydrotestosterone. Yet, removal of sex steroids by gonadectomy switched senktide effects to inhibitory, both in adult male and female rats. Sexual dimorphism was also evident in the numbers of NKB-positive neurons in the arcuate nucleus (ARC), which were higher in adult female rats. This is likely the result of differences in sex steroid milieu during early periods of brain differentiation, because neonatal exposures to high doses of estrogen decreased ARC NKB neurons at later developmental stages. Likewise, neonatal estrogenization resulted in lower serum LH levels that were normalized by senktide administration. Finally, we document that the ability of estrogen to inhibit hypothalamic Tac2 expression seems region specific, because estrogen administration decreased Tac2 levels in the ARC but increased them in the lateral hypothalamus. Altogether, our data provide a deeper insight into relevant aspects of NKB function as major regulator of the gonadotropic axis in the rat, including maturational changes, sexual dimorphism, and differential regulation by sex steroids.


Assuntos
Núcleo Arqueado do Hipotálamo/metabolismo , Hormônio Luteinizante/sangue , Neurocinina B/metabolismo , Fragmentos de Peptídeos/farmacologia , Receptores da Neurocinina-3/metabolismo , Maturidade Sexual/fisiologia , Substância P/análogos & derivados , Androgênios/metabolismo , Androgênios/farmacologia , Animais , Núcleo Arqueado do Hipotálamo/efeitos dos fármacos , Di-Hidrotestosterona/farmacologia , Estradiol/metabolismo , Estradiol/farmacologia , Estrogênios/metabolismo , Estrogênios/farmacologia , Feminino , Masculino , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Ratos , Ratos Wistar , Receptores da Neurocinina-3/agonistas , Caracteres Sexuais , Fatores Sexuais , Maturidade Sexual/efeitos dos fármacos , Substância P/farmacologia , Testosterona/metabolismo , Testosterona/farmacologia
2.
Endocrinology ; 152(11): 4265-75, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21914775

RESUMO

Kisspeptin (Kiss1) and neurokinin B (NKB) (encoded by the Kiss1 and Tac2 genes, respectively) are indispensable for reproduction. In the female of many species, Kiss1 neurons in the arcuate nucleus (ARC) coexpress dynorphin A and NKB. Such cells have been termed Kiss1/NKB/Dynorphin (KNDy) neurons, which are thought to mediate the negative feedback regulation of GnRH/LH secretion by 17ß-estradiol. However, we have less knowledge about the molecular physiology and regulation of Kiss1/Kiss1-expressing neurons in the ARC of the male. Our work focused on the adult male mouse, where we sought evidence for coexpression of these neuropeptides in cells in the ARC, assessed the role of Kiss1 neurons in negative feedback regulation of GnRH/LH secretion by testosterone (T), and investigated the action of NKB on KNDy and GnRH neurons. Results showed that 1) the mRNA encoding Kiss1, NKB, and dynorphin are coexpressed in neurons located in the ARC; 2) Kiss1 and dynorphin A mRNA are regulated by T through estrogen and androgen receptor-dependent pathways; 3) senktide, an agonist for the NKB receptor (neurokinin 3 receptor, encoded by Tacr3), stimulates gonadotropin secretion; 4) KNDy neurons express Tacr3, whereas GnRH neurons do not; and 5) senktide activates KNDy neurons but has no discernable effect on GnRH neurons. These observations corroborate the putative role for KNDy neurons in mediating the negative feedback effects of T on GnRH/LH secretion and provide evidence that NKB released from KNDy neurons is part of an auto-feedback loop that generates the pulsatile secretion of Kiss1 and GnRH in the male.


Assuntos
Núcleo Arqueado do Hipotálamo/metabolismo , Kisspeptinas/metabolismo , Neurocinina B/metabolismo , Neurônios/metabolismo , Animais , Dinorfinas/metabolismo , Retroalimentação Fisiológica/fisiologia , Hormônio Liberador de Gonadotropina/metabolismo , Masculino , Camundongos , Receptores de Estrogênio/metabolismo , Receptores de Progesterona/metabolismo , Transdução de Sinais/fisiologia
3.
J Neuroendocrinol ; 21(10): 813-21, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19678868

RESUMO

Pulsatile release of gonadotrophin-releasing hormone (GnRH) is indispensable to maintain normal gonadotrophin secretion. The pulsatile secretion of GnRH is associated with synchronised electrical activity in the mediobasal hypothalamus (i.e. multiple unit activity; MUA), which is considered to reflect the rhythmic oscillations in the activity of the neuronal network that drives pulsatile GnRH secretion. However, the cellular source of this ultradian rhythm in GnRH activity is unknown. Direct input from kisspeptin neurones in the arcuate nucleus (ARC) to GnRH cell bodies in the medial preoptic area or their terminals in the median eminence could be the intrinsic source for driving the GnRH pulse generator. To determine whether kisspeptin signalling could be responsible for producing pulsatile GnRH secretion, we studied goats, measured plasma levels of luteinising hormone (LH) and recorded MUA in the posterior ARC, where the majority of kisspeptin neuronal cell bodies are located. Rhythmic volleys of MUA were found to be accompanied by LH pulses with regular intervals in the ARC, where kisspeptin neuronal cell bodies were found. Exogenous administration of kisspeptin stimulated a sustained increase in LH secretion, without influencing MUA, suggesting that the GnRH pulse generator, as reflected by MUA, originated from outside of the network of GnRH neurones, and could plausibly reflect the pacemaker activity of kisspeptin neurones, whose projections reach the median eminence where GnRH fibres project. These observations suggest that the kisspeptin neurones in the ARC may be the intrinsic source of the GnRH pulse generator.


Assuntos
Núcleo Arqueado do Hipotálamo/fisiologia , Hormônio Liberador de Gonadotropina/metabolismo , Hipotálamo/fisiologia , Neurônios/fisiologia , Periodicidade , Sequência de Aminoácidos , Animais , Eletrodos Implantados , Cabras , Humanos , Imuno-Histoquímica , Hibridização In Situ , Kisspeptinas , Hormônio Luteinizante/sangue , Masculino , Dados de Sequência Molecular , Vias Neurais/fisiologia , Orquiectomia , Homologia de Sequência de Aminoácidos , Proteínas Supressoras de Tumor/genética , Proteínas Supressoras de Tumor/metabolismo
4.
Am J Physiol Endocrinol Metab ; 291(6): E1281-9, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16849629

RESUMO

Reproductive function is exquisitely sensitive to adequacy of nutrition and fuel reserves, through mechanisms that are yet to be completely elucidated. Galanin-like peptide (GALP) has recently emerged as another neuropeptide link that couples reproduction and metabolism. However, although the effects of GALP on luteinizing hormone (LH) secretion have been studied, no systematic investigation on how these responses might differ along sexual maturation and between sexes has been reported. Moreover, the influence of metabolic status and potential interplay with other relevant neurotransmitters controlling LH secretion remain ill defined. These facets of GALP physiology were addressed herein. Intracerebral injection of GALP to male rats induced a dose-dependent increase in serum LH levels, the magnitude of which was significantly greater in pubertal than in adult males. In contrast, negligible LH responses to GALP were detected in pubertal or adult female rats at diestrus. Neonatal androgen treatment to females failed to "masculinize" the pattern of LH response to GALP. In addition, metabolic stress by short-term fasting did not prevent but rather amplified LH responses to GALP in pubertal males, whereas these responses were abrogated by pharmacological inhibition of nitric oxide synthesis. We conclude that the ability of GALP to evoke LH secretion is sexually differentiated, with maximal responses at male puberty, a phenomenon which was not reverted by manipulation of sex steroid milieu during the critical neonatal period and was sensitive to metabolic stress. This state of LH hyperresponsiveness may prove relevant for the mechanisms relaying metabolic status to the reproductive axis in male puberty.


Assuntos
Peptídeo Semelhante a Galanina/farmacologia , Hormônio Luteinizante/metabolismo , Maturidade Sexual/fisiologia , Androgênios/farmacologia , Animais , Animais Recém-Nascidos , Interpretação Estatística de Dados , Relação Dose-Resposta a Droga , Aminoácidos Excitatórios/farmacologia , Jejum/metabolismo , Feminino , Kisspeptinas , Masculino , Óxido Nítrico/fisiologia , Proteínas/metabolismo , Radioimunoensaio , Ratos , Ratos Wistar , Caracteres Sexuais
5.
Mol Cell Endocrinol ; 254-255: 91-6, 2006 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-16762492

RESUMO

Kisspeptins, which are products of the Kiss1 gene, and their receptor, GPR54, have emerged as key players in the regulation of gonadotropin-releasing hormone (GnRH) secretion. Mutations or targeted deletions of GPR54 produce isolated hypogonadotropic hypogonadism in humans and mice, indicating that signaling through this receptor is a prerequisite for sexual maturation. Centrally administered kisspeptins stimulate GnRH and gonadotropin secretion in prepubertal and adult animals. Kisspeptin-expressing neurons are direct targets for the negative and positive feedback actions of sex steroids, which differentially regulate the expression of KiSS-1 mRNA in various regions of the forebrain. This review highlights what is currently known about kisspeptin-GPR54 signaling in the regulation of the neuroendocrine reproductive axis.


Assuntos
Sistemas Neurossecretores/fisiologia , Receptores Acoplados a Proteínas G/fisiologia , Reprodução/fisiologia , Transdução de Sinais/fisiologia , Proteínas Supressoras de Tumor/fisiologia , Animais , Regulação da Expressão Gênica , Hormônios Esteroides Gonadais/metabolismo , Hormônio Liberador de Gonadotropina/metabolismo , Humanos , Kisspeptinas , Modelos Biológicos , Neurônios/metabolismo , Puberdade/fisiologia , RNA Mensageiro/metabolismo , Receptores Acoplados a Proteínas G/metabolismo , Receptores de Kisspeptina-1 , Proteínas Supressoras de Tumor/metabolismo
6.
J Neuroendocrinol ; 18(4): 298-303, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16503925

RESUMO

Leptin is an adipocyte-derived hormone that acts on the hypothalamus to influence feeding, metabolism and reproduction, but the cellular and molecular targets for the action of leptin in the brain have yet to be fully elucidated. Kisspeptins are encoded by the Kiss1 gene, which is expressed in the hypothalamus and has been implicated in the neuroendocrine regulation of gonadotrophin-releasing hormone secretion. We tested the hypothesis that kisspeptin-expressing neurones are targets for leptin. First, we examined whether leptin regulates the expression of Kiss1 by comparing levels of KiSS-1 mRNA in the arcuate nucleus among groups of mice having different circulating levels of leptin: (i) wild-type (WT); (ii) leptin-deficient ob/ob; and (iii) ob/ob mice treated with leptin. All mice were castrated to control for endogenous concentrations of gonadal steroids. KiSS-1 mRNA was significantly reduced in ob/ob compared to WT mice and levels of KiSS-1 mRNA in ob/ob mice treated with leptin were increased, but not fully restored to that found in WT animals. Second, we performed double-label in situ hybridisation for KiSS-1 mRNA and the leptin receptor (Ob-Rb) mRNA and found that almost one-half (approximately 40%) of KiSS-1 mRNA-expressing cells in the arcuate nucleus expressed Ob-Rb mRNA. These results demonstrate that KiSS-1 neurones are direct targets for regulation by leptin and suggest that the reproductive deficits associated with leptin-deficient states may be attributable, in part, to diminished expression of Kiss1.


Assuntos
Núcleo Arqueado do Hipotálamo/metabolismo , Hipotálamo/metabolismo , Leptina/fisiologia , Neurônios/metabolismo , Proteínas/metabolismo , Animais , Núcleo Arqueado do Hipotálamo/citologia , Corticosterona/sangue , Hipotálamo/citologia , Kisspeptinas , Leptina/deficiência , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Obesos , Proteínas/genética , RNA Mensageiro/análise , Receptores de Superfície Celular/genética , Receptores de Superfície Celular/metabolismo , Receptores para Leptina , Distribuição Tecidual , Tri-Iodotironina/metabolismo
7.
Neuroscience ; 133(2): 371-80, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15885921

RESUMO

The functional interactions of the neuropeptide galanin (GAL) occur through its binding to three G protein-coupled receptor subtypes: galanin receptor (GALR) 1, GALR2 and GALR3. Previously, we demonstrated that GALR1 mRNA expression was increased in the CA1 region of the hippocampus and discrete hypothalamic nuclei in galanin transgenic (GAL-tg) mice. This observation suggested a compensatory adjustment in cognate receptors in the face of chronic GAL exposure. To evaluate the molecular alterations to GALR2 and GALR3 in the forebrain of GAL overexpressing mice, we performed complementary quantitative, real-time PCR (qPCR), in situ hybridization, and immunohistochemistry in select forebrain regions of GAL-tg mice to characterize the neuronal distribution and magnitude of GAL mRNA and peptide expression and the consequences of genetically manipulating the neuropeptide GAL on the expression of GALR2 and GALR3 receptors. We found that GAL-tg mice displayed dramatic increases in GAL mRNA and peptide in the frontal cortex, posterior cortex, hippocampus, septal diagonal band complex, amygdala, piriform cortex, and olfactory bulb. Moreover, there was evidence for ectopic neuronal GAL expression in forebrain limbic regions that mediate cognitive and affective behaviors, including the piriform and entorhinal cortex and amygdala. Interestingly, regional qPCR analysis failed to reveal any changes in GALR2 or GALR3 expression in the GAL-tg mice, suggesting that, contrary to GALR1, these receptor genes are not under ligand-mediated regulatory control. The GAL-tg mouse model may provide a useful tool for the investigation of GAL ligand-receptor relationships and their role in normal cognitive and affective functions as well as in the onset of neurological disease.


Assuntos
Galanina/metabolismo , Regulação da Expressão Gênica/genética , Prosencéfalo/metabolismo , Receptor Tipo 2 de Galanina/metabolismo , Receptor Tipo 3 de Galanina/metabolismo , Animais , Galanina/genética , Imuno-Histoquímica/métodos , Hibridização In Situ/métodos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Prosencéfalo/anatomia & histologia , RNA Mensageiro/metabolismo , Receptor Tipo 2 de Galanina/genética , Receptor Tipo 3 de Galanina/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos
8.
Ther Umsch ; 62(2): 127-38, 2005 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-15756923

RESUMO

In Gynaecology there have been many innovative developments towards minimal invasive surgery. Today patients can profit of these new techniques in all fields of gynaecological surgery, some of which are described: The treatment of benign adnexal pathology including ectopic pregnancy is a domain of laparoscopy. Also symptomatic myomas can be enucleated by laparoscopy with favourable pregnancy outcome. The role of endoscopy in malignant disease has still to be defined though pelvic and paraaortal lymphonodectomy and even radical hysterectomy have been shown to be feasible. Pathology of the uterine cavity (myomas, polyps, septae) is routinely treated by hysteroscopy. The concept of operative treatment of stress urinary incontinence has changed since the minimal invasive TVT procedure has shown to be as successful as the classic colposuspension. For patients with breast cancer there has been a change from (ultra-) radical surgery to breast conserving treatment. Furthermore with the concept of the sentinel lymphnode a reduction of the morbidity of the classical lymphonodectomy is achieved without loss of information about the axillary lymphnode status.


Assuntos
Doenças dos Genitais Femininos/cirurgia , Histeroscopia , Laparoscopia , Procedimentos Cirúrgicos Minimamente Invasivos , Anexos Uterinos/cirurgia , Adulto , Neoplasias da Mama/cirurgia , Endometriose/cirurgia , Tubas Uterinas/cirurgia , Feminino , Humanos , Histerectomia/métodos , Leiomioma/cirurgia , Excisão de Linfonodo , Mastectomia Segmentar , Pessoa de Meia-Idade , Cistos Ovarianos/cirurgia , Gravidez , Gravidez Ectópica , Ensaios Clínicos Controlados Aleatórios como Assunto , Biópsia de Linfonodo Sentinela , Incontinência Urinária/cirurgia , Neoplasias Uterinas/cirurgia
9.
Horm Behav ; 46(5): 551-7, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15555496

RESUMO

Galanin-like peptide (GALP) is a recently described neuropeptide, which shares a partial sequence identity with galanin but is derived from a separate gene. Central injections of GALP stimulate the secretion of gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH) and induce the expression of Fos in several brain areas known to regulate male sexual behavior in the rat. We postulated that GALP may also stimulate sexual behavior in concert with its stimulatory effect on the hypothalamic-pituitary-gonadal (HPG) axis. To test this hypothesis, we administered GALP, galanin, or the vehicle (artificial cerebrospinal fluid, aCSF) alone to sexually experienced male rats and assessed the effects of these agents on sexual behavior. We observed that compared to aCSF alone, GALP significantly increased all aspects of male-typical sexual behavior, whereas galanin inhibited all of these same behaviors. To examine whether the stimulatory effects of GALP on sexual behavior were mediated by GALP's stimulatory effects on the HPG axis, we castrated the same male rats and repeated the behavioral experiment. We found that GALP maintained its inductive action on male-typical sexual behaviors in the castrated animals, suggesting that the effects of GALP on sexual behavior are not the result of GALP's ability to stimulate testosterone secretion. These observations suggest that GALP neurons are part of the hypothalamic circuitry controlling sexual behavior in the male rat.


Assuntos
Peptídeo Semelhante a Galanina/fisiologia , Galanina/fisiologia , Comportamento Sexual Animal/fisiologia , Animais , Feminino , Galanina/administração & dosagem , Peptídeo Semelhante a Galanina/administração & dosagem , Sistema Hipotálamo-Hipofisário/fisiologia , Injeções Intraventriculares , Masculino , Orquiectomia , Ratos , Ratos Sprague-Dawley , Testículo/fisiologia
10.
Endocrinology ; 145(9): 4073-7, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15217982

RESUMO

Kisspeptins are products of the KiSS-1 gene, which bind to a G protein-coupled receptor known as GPR54. Mutations or targeted disruptions in the GPR54 gene cause hypogonadotropic hypogonadism in humans and mice, suggesting that kisspeptin signaling may be important for the regulation of gonadotropin secretion. To examine the effects of kisspeptin-54 (metastin) and kisspeptin-10 (the biologically active C-terminal decapeptide) on gonadotropin secretion in the mouse, we administered the kisspeptins directly into the lateral cerebral ventricle of the brain and demonstrated that both peptides stimulate LH secretion. Further characterization of kisspeptin-54 demonstrated that it stimulated both LH and FSH secretion, at doses as low as 1 fmol; moreover, this effect was shown to be blocked by pretreatment with acyline, a potent GnRH antagonist. To learn more about the functional anatomy of kisspeptins, we mapped the distribution of KiSS-1 mRNA in the hypothalamus. We observed that KiSS-1 mRNA is expressed in areas of the hypothalamus implicated in the neuroendocrine regulation of gonadotropin secretion, including the anteroventral periventricular nucleus, the periventricular nucleus, and the arcuate nucleus. We conclude that kisspeptin-GPR54 signaling may be part of the hypothalamic circuitry that governs the hypothalamic secretion of GnRH.


Assuntos
Hipotálamo/metabolismo , Hormônio Luteinizante/metabolismo , Proteínas/genética , Proteínas/metabolismo , Animais , Hormônio Liberador de Gonadotropina/metabolismo , Hipotálamo/efeitos dos fármacos , Injeções Intraventriculares , Kisspeptinas , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Proteínas/farmacologia , RNA Mensageiro/análise , Receptores Acoplados a Proteínas G , Receptores de Kisspeptina-1 , Receptores de Neuropeptídeos/metabolismo
11.
Mol Cell Biol ; 24(7): 2978-85, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15024085

RESUMO

Neuropeptide Y (NPY) and galanin have both been implicated in the regulation of body weight, yet mice bearing deletions of either of these molecules have unremarkable metabolic phenotypes. To investigate whether galanin and NPY might compensate for one another, we produced mutants lacking both neuropeptides (GAL(-/-)/NPY(-/-)). We found that male GAL(-/-)/NPY(-/-) mice ate significantly more and were much heavier (30%) than wild-type (WT) controls. GAL(-/-)/NPY(-/-) mice responded to a high-fat diet by gaining more weight than WT mice gain, and they were unable to regulate their weight normally after a change in diet. GAL(-/-)/NPY(-/-) mice had elevated levels of leptin, insulin, and glucose, and they lost more weight than WT mice during chronic leptin treatment. Galanin mRNA was increased in the hypothalamus of NPY(-/-) mice, providing evidence of compensatory regulation in single mutants. The disruption of energy balance observed in GAL(-/-)/NPY(-/-) double knockouts is not found in the phenotype of single knockouts of either molecule. The unexpected obesity phenotype may result from the dysregulation of the leptin and insulin systems that normally keep body weight within the homeostatic range.


Assuntos
Sistema Endócrino/fisiopatologia , Galanina/metabolismo , Neuropeptídeo Y/metabolismo , Obesidade/genética , Obesidade/metabolismo , Animais , Peso Corporal , Ritmo Circadiano , Gorduras na Dieta , Núcleo Hipotalâmico Dorsomedial/citologia , Núcleo Hipotalâmico Dorsomedial/metabolismo , Ingestão de Alimentos , Galanina/genética , Hormônios/sangue , Insulina/metabolismo , Leptina/administração & dosagem , Leptina/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos , Camundongos Knockout , Atividade Motora/fisiologia , Neuropeptídeo Y/genética , Fenótipo
12.
Br J Cancer ; 90(4): 805-9, 2004 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-14970857

RESUMO

Benign as well as malignant tumour tissues of the breast demonstrate higher fluorescence intensity (FI) than normal breast tissue after application of a photosensitiser. As a follow-up study, we evaluated the FI of metastatic sentinel lymph nodes and metastatic axillary lymph nodes compared to nonmetastatic sentinel and axillary lymph nodes in patients with breast cancer. In all, 11 patients received 30 mg 5-aminolevulinic acid (ALA) kg(-1) bodyweight orally 3 h prior to surgery. The sentinel lymph node was marked with Nanocoll preoperatively and with a blue dye intraoperatively. Tumour excision, excision of the sentinel lymph node and an axillary lymph node dissection were performed during the same surgical session. The operation site was illuminated with blue light (400 nm) to obtain macroscopic tissue characterisation of fluorescence. Tissue samples were stored protected from light, and analysed using a fluorescence microscope. Results were correlated with histopathology. In all, 14 sentinel lymph nodes, seven axillary lymph nodes and seven primary tumours were analysed. Metastatic sentinel lymph nodes demonstrated a statistically significant higher FI than nonmetastatic sentinel lymph nodes (2630 vs 526, P<0.0001). The FI of metastatic sentinel lymph nodes, of metastatic axillary lymph nodes and of the primary tumour were comparably high, and were statistically significantly higher compared to the normal mammary tissue. Intraoperatively, only in a few cases, it was possible to recognise the metastatic sentinel lymph node macroscopically with blue light. Our study indicates that photodynamic diagnosis with ALA has a potential in the diagnosis and detection of the sentinel lymph node in patients with breast cancer, and is worth to be further investigated and developed for intraoperative photodynamic diagnosis and possibly therapy.


Assuntos
Ácido Aminolevulínico , Neoplasias da Mama/patologia , Metástase Linfática/diagnóstico , Fármacos Fotossensibilizantes , Agregado de Albumina Marcado com Tecnécio Tc 99m , Administração Oral , Adulto , Axila , Neoplasias da Mama/cirurgia , Feminino , Humanos , Luz , Microscopia de Fluorescência , Sensibilidade e Especificidade , Biópsia de Linfonodo Sentinela
13.
J Neuroendocrinol ; 16(1): 10-8, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14962070

RESUMO

Galanin-like peptide (GALP) mRNA is expressed in neurones of the hypothalamic arcuate nucleus and within pituicytes in the neurohypophysis. Several neuropeptides that are expressed in the arcuate nucleus participate in the neuroendocrine regulation of pituitary hormone secretion. Our objective was to determine the extent to which GALP might be a target for regulation by pituitary hormones or their downstream targets in the rat. The expression of GALP mRNA in the arcuate nucleus was reduced by hypophysectomy as determined by in situ hybridization. However, this did not appear to be attributable to the loss of either gonadal or adrenal steroids because castrated, ovariectomized and adrenalectomized rats had GALP mRNA expression that was indistinguishable from their respective controls. Next, we investigated the effects of growth hormone deficiency on GALP mRNA expression by studying dwarf rats and found that GALP gene expression was not different between dwarf rats and controls. We found that thyroidectomy led to a significant reduction in GALP mRNA expression compared to intact controls, and thyroidectomized rats implanted with thyroxine pellets had GALP mRNA expression that was similar to intact controls. Thus, the reduction of GALP mRNA expression seen in hypophysectomized animals may reflect, in part, a selective loss of thyroid hormone. We also found that the expression of GALP mRNA was increased in the neurohypophysis of lactating rats compared to nonlactating rats, whereas GALP mRNA expression in the arcuate nucleus was unaffected by lactation. This suggests that the induction of GALP gene expression in pituicytes is physiologically associated with activation of oxytocin and vasopressin secretion during lactation.


Assuntos
Núcleo Arqueado do Hipotálamo/metabolismo , Peptídeo Semelhante a Galanina/metabolismo , Lactação/metabolismo , Neuro-Hipófise/metabolismo , Adrenalectomia , Animais , Castração , Peptídeo Semelhante a Galanina/genética , Hormônio do Crescimento/deficiência , Hormônio do Crescimento/fisiologia , Hipofisectomia , Lactação/genética , Hormônio Luteinizante/fisiologia , Masculino , Ovariectomia , RNA Mensageiro/análise , Ratos , Ratos Sprague-Dawley , Tireoidectomia , Tiroxina/fisiologia
14.
Neuroscience ; 117(1): 105-17, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12605897

RESUMO

To learn more about molecular alterations in the brain that occur as a consequence of either the chronic excess or absence of peptide neurotransmitters, we examined the impact of genetically manipulating the neuropeptide galanin on the expression of one of its cognate receptors, galanin receptor 1. First, we examined the distribution of galanin receptor 1 messenger RNA in the mouse forebrain, and found it to be abundantly expressed in many brain regions, including in numerous hypothalamic and other forebrain regions associated with neuroendocrine function. The distribution of galanin receptor 1 messenger RNA in the mouse was similar to previous reports in the rat, with additional expression noted in the caudate putamen and in several midbrain regions. Next, using quantitative in situ hybridization, we measured cellular levels of galanin receptor 1 messenger RNA in the brains of mice that either overexpress galanin (galanin transgenic) or lack a functional galanin gene (galanin knockout). We report that relative to wild-type controls, the expression of galanin receptor 1 messenger RNA was increased in discrete areas of the brain in galanin-transgenic mice, but that depletion of galanin/noradrenergic innervation to the hypothalamus with the neurotoxin 6-hydroxydopamine did not alter levels of galanin receptor 1 messenger RNA. We also report that levels of galanin receptor 1 messenger RNA were not different between galanin-knockout and wild-type mice. These results suggest that compensatory adjustments in the expression of cognate receptors represent one mechanism by which the developing nervous system attempts to maintain homeostasis in response to overexpression of a peptidergic transmitter. However, the lack of significant changes in galanin receptor 1 messenger RNA in galanin-knockout mice suggests that developmentally programmed levels of receptor expression are maintained even in the complete absence of ligand.


Assuntos
Prosencéfalo/metabolismo , RNA Mensageiro/biossíntese , Receptores de Neuropeptídeos/biossíntese , Animais , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Prosencéfalo/química , RNA Mensageiro/análise , Receptores de Galanina , Receptores de Neuropeptídeos/análise , Receptores de Neuropeptídeos/deficiência , Receptores de Neuropeptídeos/genética
15.
Praxis (Bern 1994) ; 91(46): 1967-74, 2002 Nov 13.
Artigo em Alemão | MEDLINE | ID: mdl-12476602

RESUMO

Abnormal uterine bleeding (DUB) is one of the most frequent gynecologic problems. Not every DUB is pathological, yet most women feel disordered. Recurrent DUB needs a diagnostic work-up and has to be treated frequently. 80% of cases are due to hormonal disorders, called dysfunctional uterine bleeding, the others are of organic cause (polyps, myomas). The diagnostic work-up is essentially based on the vaginal ultrasound. Standard invasive diagnostic includes the combination of hysteroscopy and curettage or guided biopsy. Laboratory tests are rarely indicated. Medical treatment is based on gestagens, estrogens or combinations thereof. If contraception is needed, ovulation inhibitors are chosen. In case of contraindications, non-steroid antirheumatics or antifibrinolytics are efficacious alternatives. Organic causes of abnormal bleeding are treated by hysteroscopy. Relapse may necessitate destruction of the endometrium or hysterectomy.


Assuntos
Distúrbios Menstruais , Hemorragia Uterina , Adolescente , Adulto , Biópsia , Curetagem , Quimioterapia Combinada , Neoplasias do Endométrio/complicações , Estrogênios/administração & dosagem , Estrogênios/uso terapêutico , Feminino , Humanos , Histerectomia , Histeroscopia , Doença Iatrogênica , Leiomioma/complicações , Distúrbios Menstruais/induzido quimicamente , Distúrbios Menstruais/diagnóstico , Distúrbios Menstruais/etiologia , Distúrbios Menstruais/terapia , Pessoa de Meia-Idade , Pólipos/complicações , Gravidez , Progestinas/administração & dosagem , Progestinas/uso terapêutico , Fatores de Tempo , Hemorragia Uterina/diagnóstico , Hemorragia Uterina/etiologia , Hemorragia Uterina/terapia , Neoplasias Uterinas/complicações , Útero/patologia
16.
Obstet Gynecol ; 100(5 Pt 2): 1079-82, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12423812

RESUMO

BACKGROUND: Primary lymphoma of the breast is an unusual clinical entity. Its presence with invasive breast cancer and bilateral Brenner tumors of the ovary is very rare. CASE: We report a 62-year-old woman referred for further evaluation of a palpable mass in her breast. She was diagnosed and treated for simultaneous primary lymphoma of the right breast, contralateral invasive ductal carcinoma, and bilateral Brenner tumors of the ovary. One year after treatment, she is free of recurrence or progression. CONCLUSION: Compared with breast carcinoma, primary breast lymphoma is a rare disease but should be considered in the differential diagnosis of breast masses. The presence of both breast malignancies presents a challenge in treatment decisions.


Assuntos
Neoplasias da Mama , Tumor de Brenner , Carcinoma Ductal de Mama , Linfoma de Células B , Neoplasias Primárias Múltiplas , Neoplasias Ovarianas , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/terapia , Tumor de Brenner/diagnóstico , Tumor de Brenner/terapia , Carcinoma Ductal de Mama/diagnóstico , Carcinoma Ductal de Mama/terapia , Terapia Combinada , Feminino , Humanos , Linfoma de Células B/diagnóstico , Linfoma de Células B/terapia , Imageamento por Ressonância Magnética , Mamografia , Pessoa de Meia-Idade , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Primárias Múltiplas/terapia , Neoplasias Ovarianas/diagnóstico , Neoplasias Ovarianas/terapia
17.
Endocrinology ; 142(12): 5140-4, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11713207

RESUMO

Galanin-like peptide (GALP) is a newly discovered molecule whose expression in the brain is confined to the arcuate nucleus and median eminence. In the rat, cellular levels of GALP mRNA are reduced by fasting and reversed by peripheral administration of leptin. The purpose of this investigation was 1) to clone and map the distribution of GALP mRNA in the brain of the mouse; 2) to compare the pattern and magnitude of GALP mRNA expression in the leptin-deficient obese (ob/ob) mouse with that of wild-type controls; and 3) to examine the effects of leptin delivered into the brain on the expression of GALP mRNA in the ob/ob mouse. We report the sequence of a mouse GALP cDNA and show that GALP mRNA is expressed in the arcuate nucleus, median eminence, infundibular stalk, and the neurohypophysis of this species. The expression of GALP mRNA in the brain was markedly reduced in the ob/ob mice, compared with wild-type animals. Intracerebroventricular infusion of leptin to ob/ob mice increased both the number of GALP mRNA-expressing neurons and their content of GALP mRNA, compared with vehicle-treated controls. These observations demonstrate that GALP mRNA is induced by leptin through a direct action on the brain.


Assuntos
Hipotálamo/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Animais , Encéfalo/metabolismo , Clonagem Molecular , DNA Complementar/genética , Peptídeo Semelhante a Galanina , Leptina/deficiência , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Proteínas do Tecido Nervoso/genética , Obesidade/genética , RNA Mensageiro/metabolismo , Valores de Referência , Distribuição Tecidual
18.
Neuroendocrinology ; 74(1): 12-21, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11435754

RESUMO

Leptin is an adipocyte-derived hormone that has been implicated to serve as a metabolic signal to the reproductive axis. The role of leptin in pubertal maturation, however, has been a much-debated topic. We have previously reported that leptin serves as a permissive signal to the onset of puberty in the female rat. In an attempt to further understand the mechanics of leptin during pubertal maturation in rodent species, we had three experimental objectives: first, to describe the temporal relationship of leptin with development in the male and female rat; second, to seek evidence for an increase in responsiveness of the neuroendocrine axis to leptin by assessing for possible changes in leptin receptor expression during pubertal developmental in the female rat; and, third, to reevaluate the possible role of leptin as a permissive signal to the onset of puberty in the mouse. We found that serum leptin levels remain relatively constant during the prepubertal and postpubertal stages of both sexes. In addition, we could not detect any significant developmental changes in leptin receptor gene expression in the hypothalamus of the female rat. Lastly, we corroborated our findings in the female rat that leptin reversed the delay in pubertal maturation secondary to food restriction but did not advance the onset of puberty in female mice. Together, these results suggest that leptin is not a metabolic trigger for the onset of puberty in the rodent; instead, leptin is one of several permissive factors, whose presence may be necessary but alone is not sufficient to initiate sexual maturation in these species.


Assuntos
Leptina/metabolismo , Receptores de Superfície Celular , Maturidade Sexual/fisiologia , Animais , Peso Corporal , Proteínas de Transporte/genética , Proteínas de Transporte/metabolismo , Ingestão de Alimentos , Feminino , Hormônio Foliculoestimulante/sangue , Hipotálamo/metabolismo , Leptina/sangue , Leptina/farmacologia , Hormônio Luteinizante/sangue , Masculino , Camundongos , Ratos , Ratos Sprague-Dawley , Receptores para Leptina
19.
J Comp Neurol ; 434(2): 158-85, 2001 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-11331523

RESUMO

The distribution of galaninergic immunoreactive (-ir) profiles was studied in the brain of colchicine-pretreated and non-pretreated mice. Galanin (GAL)-ir neurons and fibers were observed throughout all encephalic vesicles. Telencephalic GAL-ir neurons were found in the olfactory bulb, cerebral cortex, lateral and medial septum, diagonal band of Broca, nucleus basalis of Meynert, bed nucleus of stria terminalis, amygdala, and hippocampus. The thalamus displayed GAL-ir neurons within the anterodorsal, paraventricular, central lateral, paracentral, and central medial nuclei. GAL-ir neurons were found in several regions of the hypothalamus. In the midbrain, GAL-ir neurons appeared in the pretectal olivary nucleus, oculomotor nucleus, the medial and lateral lemniscus, periaqueductal gray, and the interpeduncular nucleus. The pons contained GAL-ir neurons within the dorsal subcoeruleus, locus coeruleus, and dorsal raphe. In the medulla oblongata, GAL-ir neurons appear in the anterodorsal and dorsal cochlear nuclei, salivatory nucleus, A5 noradrenergic cells, gigantocellular nucleus, inferior olive, solitary tract nucleus, dorsal vagal motor and hypoglossal nuclei. Only GAL-ir fibers were seen in the lateral habenula nucleus, substantia nigra, parabrachial complex, cerebellum, spinal trigeminal tract, as well as the motor root of the trigeminal and facial nerves. GAL-ir was also observed in several circumventricular organs. The widespread distribution of galanin in the mouse brain suggests that this neuropeptide plays a role in the regulation of cognitive and homeostatic functions.


Assuntos
Encéfalo/metabolismo , Galanina/análise , Camundongos Endogâmicos C57BL/metabolismo , Neurônios/metabolismo , Animais , Encéfalo/citologia , Feminino , Imuno-Histoquímica , Masculino , Camundongos , Camundongos Endogâmicos C57BL/anatomia & histologia , Neurônios/citologia
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