Analgesic and anti-edematogenic effects of oral trypsin were abolished after subdiaphragmatic vagotomy and spinal monoaminergic inhibition in rats.

AIMS: Rheumatoid arthritis brings great burdens to the patients. In addition to the highly expensive treatment, they are commonly associated with severe side effects. In such context, the research for safe and affordable treatments is needed. MAIN METHODS: Arthritis was induced by CFA (0.5mg/mL) in female wistar rats. Trypsin was given p.o. (2.95mg/kg; 2mL) 24h after the intra-articular CFA injection. Articular incapacitation was measured daily by counting the paw elevation time (PET; s) during 1-min periods of stimulated walk, throughout the 7-days after intra-articular CFA injection. Articular diameter (AD) was accessed just after each PET measurement, taken the difference between naïve and diseased knee-joint diameter (cm). KEY FINDINGS: The present study showed that orally administered trypsin was able to reduce nociception and edema, effects that could be observed throughout the evaluation period. These effect, however, were not observed in animals underwent subdiaphragmatic vagotomy, suggesting a vagal mediation for trypsin effects. Likewise, these effects were blocked in rats which received intrathecal injection of the neurotoxins 5,7-dihydroxytryptamine or 6-hydroxydopamine, suggesting the involvement of spinal amines from axon terminals. SIGNIFICANCE: The present study proposes that oral trypsin may cause vagal activation, followed by the activation of descending inhibitory pathways and such mechanism may lead to a novel approach for the treatment of arthritis.

Erythrocyte invasions and receptor heterogeneity in field isolates of Nanay river basin Iquitos.

OBJECTIVE: To determine whether the requirements for sialic acid varies and whether several types of silaic acid independent receptors utilized for invasion mechanisms of fresh filed isolates collected around Nanay river basin, Iquitos. METHODS: The field isolates were cultured as described previously by Jensen and Trager and MR4 protocol with little modifications. The erythrocytes preparation and subsequent enzyme treatment was done as described previously by Sharma. with little modification. Invasion assay was performed as described previously by Sharma et al with little modification. RESULTS: The Nanay river basin isolates showed five types of invasion mechanisms or types of receptors-ligand interactions. Here we observed that an equal numbers of neuraminidase sensitive and resistant invasion receptor-ligand interaction profiles as the most common receptor-ligand invasion profiles. Neuraminidase resistance trypsin sensitive chymotrypsin sensitive (NM(R)T(S)CT(S)) invasion of receptor-ligand interaction profile was found in seven isolates, Five field isolates and one reference strain showed neuraminidase sensitive, trypsin sensitive and chymotrypsin resistant (NM(S)T(S)CT(R)) invasion of receptor-ligand interactions, six isolates including one reference strains dd2 showed neuraminidase sensitive, trypsin and chymotrypsin resistance (NM(S)T(R)CT(R)) indicating its dependence on sialic acids and independence of trypsin and chymotrypsin sensitive proteins. Four isolates showed neuraminidase sensitive, trypsin sensitive and chymotrypsin sensitive (NM(S)T(S)CT(S)) invasion of receptor-ligand interactions, seven isolates were neuraminidase resistant, trypsin sensitive and chymotrypsin resistance (NM(R)T(S)CT(R)) invasion of receptor-ligand interactions, indicating its dependence on trypsin sensitive proteins. CONCLUSIONS: The Nanay river basin isolates showed five types of invasion mechanisms or types of receptors-ligand interactions. A full understanding of theses invasion mechanisms may allow the development of novel prophylactic and therapeutic strategies that block erythrocyte receptor-ligand invasion mechanisms.

PAR(2) and temporomandibular joint inflammation in the rat.

The proteinase-activated receptor 2 (PAR(2)) is a putative therapeutic target for arthritis. We hypothesized that the early pro-inflammatory effects secondary to its activation in the temporomandibular joint (TMJ) are mediated by neurogenic mechanisms. Immunofluorescence analysis revealed a high degree of neurons expressing PAR(2) in retrogradely labeled trigeminal ganglion neurons. Furthermore, PAR(2) immunoreactivity was observed in the lining layer of the TMJ, co-localizing with the neuronal marker PGP9.5 and substance-P-containing peripheral sensory nerve fibers. The intra-articular injection of PAR(2) agonists into the TMJ triggered a dose-dependent increase in plasma extravasation, neutrophil influx, and induction of mechanical allodynia. The pharmacological blockade of natural killer 1 (NK(1)) receptors abolished PAR(2)-induced plasma extravasation and inhibited neutrophil influx and mechanical allodynia. We conclude that PAR(2) activation is pro-inflammatory in the TMJ, through a neurogenic mechanism involving NK(1) receptors. This suggests that PAR(2) is an important component of innate neuro-immune response in the rat TMJ.

The role of kinin B1 and B2 receptors in the scratching behaviour induced by proteinase-activated receptor-2 agonists in mice.

BACKGROUND AND PURPOSE: Activation of the proteinase-activated receptor-2 (PAR-2) induces scratching behaviour in mice. Here, we have investigated the role of kinin B(1) and B(2) receptors in the pruritogenic response elicited by activators of PAR-2. EXPERIMENTAL APPROACH: Scratching was induced by an intradermal (i.d.) injection of trypsin or the selective PAR-2 activating peptide SLIGRL-NH(2) at the back of the mouse neck. The animals were observed for 40 min and their scratching response was quantified. KEY RESULTS: I.d. injection of trypsin or SLIGRL-NH(2) evoked a scratching behaviour, dependent on PAR-2 activation. Mice genetically deficient in kinin B(1) or B(2) receptors exhibited reduced scratching behaviour after i.d. injection of trypsin or SLIGRL-NH(2). Treatment (i.p.) with the non-peptide B(1) or B(2)receptor antagonists SSR240612 and FR173657, respectively, prevented the scratching behaviour caused by trypsin or SLIGRL-NH(2). Nonetheless, only treatment i.p. with the peptide B(2)receptor antagonist, Hoe 140, but not the B(1)receptor antagonist (DALBK), inhibited the pruritogenic response to trypsin. Hoe 140 was also effective against SLIGRL-NH(2)-induced scratching behaviour when injected by i.d. or intrathecal (i.t.) routes. Also, the response to SLIGRL-NH(2) was inhibited by i.t. (but not by i.d.) treatment with DALBK. Conversely, neither Hoe 140 nor DALBK were able to inhibit SLIGRL-NH(2)-induced scratching behaviour when given intracerebroventricularly (i.c.v.). CONCLUSIONS AND IMPLICATIONS: The present results demonstrated that kinins acting on both B(1) and B(2) receptors played a crucial role in controlling the pruriceptive signalling triggered by PAR-2 activation in mice.

Cultivo de cardiomiócitos suínos / Culture of swine cardiomyocites

A insuficiência cardíaca é uma das doenças mais deletérias no mundo ocidental. Muitas pesquisas foram desenvolvidas com o intuito de promover novos e mais eficientes abordagens terapêuticas para a doença. Estas novas propostas terapêuticas tem ênfase nas origens dos processos patológicos e no reestabelecimento da funcionalidade, tal como nos transplantes de células lisas ou estriadas musculares, de cardiomiócitos fetais e adultos no tecido cardíaco fibrosado. Neste estudo, protocolos desenvolvidos e testados em ratos e camundongos e previamente publicados foram adaptados para cardiomiócitos suínos, objetivando estabelecer um protocolo para cultivo de cardiomiocitos em suínos. Três protocolos foram testados (A- digestão enzimática em coração de adulto, B- digestão enzimática em coração fetal e C- explante de coração adulto e fetal) e apenas um produziu resultados confiáveis (protocolo B) sugerindo a formação de fibras cardíacas, no entanto, faz-se necessária avaliação imunocitoquímica e análises ultraestruturais para a confirmação da hipótese.

Cardiac insufficiency is one of the most harmful disease in the occidental world; A range of researches have been developed in order to provide new and more efficient therapeutics for the disease. New therapeutics purposes have been directed to the origin of the pathological process and aim to re-establish functional physiology, as in transplants of cells like smooth or striated muscular cells, fetal or adult cardiomyocytes into the fibroid myocardium. In this study, previous published protocols developed in rats and mice were adapted for swine cardiomyocytes. The main goal was to stablish a viable protocol for swine cardiomiocyte culture, and the establishment of an experimental model using swine. Three protocols were tested (A - enzimatic digestion in adult heart; B- enzimatic digestion in fetal heart; C - explant of samples of adult and fetal hearts. We observed that protocol B produced a reliable result suggesting cardiac fibre formation, although, further immunecitochemistry and ultrastructural will be investigated to confirm the hypothesis.

Evidence for the role of neurogenic inflammation components in trypsin-elicited scratching behaviour in mice.

BACKGROUND AND PURPOSE: We investigated the mechanisms underlying the pruritogenic response induced by trypsin in mice, to assess the relevance of neurogenic inflammation components in this response. EXPERIMENTAL APPROACH: Itching was induced by an intradermal injection of trypsin in the mouse neck. The animals were observed for 40 min and their scratching behaviour was quantified. KEY RESULTS: Trypsin-induced itching was blocked by the lima bean trypsin inhibitor, the selective proteinase-activated receptor-2 (PAR-2) antagonist FSLLRY and PAR-2 receptor desensitization. An important involvement of mast cells was observed, as chronic pretreatment with the mast cell degranulator compound 48/80 or the mast cell stabilizer disodium cromoglycate prevented scratching. Also, trypsin response was inhibited by the selective COX-2 inhibitor celecoxib and by the selective kinin B2 (FR173657) and B1 (SSR240612) receptor antagonists. Moreover, an essential role for the mediators of neurogenic inflammation was established, as the selective NK1 (FK888), NK3 (SR142801) and calcitonin gene-related peptide (CGRP(8-37) fragment) receptor antagonists inhibited trypsin-induced itching. Similarly, blockade of transient receptor potential vanilloid 1 (TRPV1) receptors by the selective TRPV1 receptor antagonist SB366791, or by genetic deletion of TRPV1 receptor reduced this behaviour in mice. C-fibre desensitization showed a very similar result. CONCLUSIONS AND IMPLICATIONS: Trypsin intradermal injection proved to be a reproducible model for the study of itching and the involvement of PAR-2 receptors. Also, trypsin-induced itching seems to be widely dependent on neurogenic inflammation, with a role for TRPV1 receptors. In addition, several other mediators located in the sensory nerves and skin also seem to contribute to this process.

O efeito das enzimas hialuronidase e tripsina na liquefação do sêmen de macacos pregos (Cebus apella) / The effect of hyaluronidase and trypsin ensymes on liquefaction of semen in capuchin monkey (Cebus apella)

Os efeitos das enzimas hialuronidase e tripsina foram avaliados quanto à liquefação, motilidade, vigor e integridade do acrossoma, no sêmen de seis macacos pregos (Cebus apeiia), mantidos na Fundação Parque Zoológico de São Paulo. O sêmen foi colhido por eletroejaculação, após anestesia geral, e a fração líquida foi imediatamente avaliada. A fração coagulada do sêmen foi tratada com as enzimas hialuronidase e tripsina, na dose de 1mg/ml, diluídas em meio 199 (Nutricel, Campinas/SP, Brasil), na proporção 1:4 e examinada após 5 e 15 minutos. Test t de Student foi utilizado para comparar os tratamentos. Não houve diferença significativa quanto a motilidade, vigor e integridade de acrossoma (p > 0.05), entre a fração de sêmen coagulado diluído em hialuronidase e tripsina, após cinco ou quinze minutos. No entanto, houve diferença significativa quanto a motilidade e vigor entre a fração líquida e a coagulada do sêmen (p < 0.05), após quinze minutos. Não houve diferença significativa com relação à integridade de acrossoma (p > 0.05) entre a fração líquida e coagulada do sêmen, após 15 minutos. De acordo com os resultados, podemos concluir que não houve efeito aparente na fração coagulada do sêmen tratado com as enzimas hialuronidase e tripsina com relação a motilidade, vigor e integridade do acrossoma. No entanto, houve diferença significativa entre a fração líquida e coagulada do sêmen com relação a motilidade e vigor, porém não quanto à integridade do acrossoma. De maneira geral, em ambos os tratamentos, não houve a completa dissolução do coágulo.

The effect of the enzymes hyaluronidase and trypsin were recorded on the motility, vigor and acrosome integrity in the semen of capuchin monkey (Cebus apella). The animals (n=6) were maintained at Fundação Parque Zoológico de São Paulo. Under anesthesia semen samples were collected by electroejaculation. Immediately after the ejaculation, the semen liquid fraction was analyzed for volume (ml), pH, motility (%), vigor (0-5), concentration (cells/ml), defects (%) and percentage of intact acrosome (%). The coagulated fraction was treated with a solution of hyaluronidase or trypsin, 1mg/ml in commercial medium (199-Nutricel, Campinas/SP, Brazil) in a proportion of 1:4 and the samples were examined after 5 and 15 minutes. The Student T Test (95%) was used to compare the treatments. There was no significant difference in the motility, vigor or acrossome integrity (p > 0.05) between coagulated fraction diluted either in trypsin or in hyaluronidase, after 5 or 15 minutes. However, there was significant difference in motility and vigor between liquid and coagulated fraction, after 15 minutes, for both treatments (p<0.05), but there were no difference in acrosome integrity (p > 0.05). In conclusion, there were no apparent effects in the coagulum for both treatments regarding motility, vigor and acrosome integrity. There were significant differences between liquid and coagulated fractions regarding motility and vigor, but not for acrosome integrity. In both enzyme treatments there were no complete dissolution of the coagulum.

O efeito das enzimas hialuronidase e tripsina na liquefação do sêmen de macacos pregos (Cebus apella) / The effect of hyaluronidase and trypsin ensymes on liquefaction of semen in capuchin monkey (Cebus apella)

Os efeitos das enzimas hialuronidase e tripsina foram avaliados quanto à liquefação, motilidade, vigor e integridade do acrossoma, no sêmen de seis macacos pregos (Cebus apeiia), mantidos na Fundação Parque Zoológico de São Paulo. O sêmen foi colhido por eletroejaculação, após anestesia geral, e a fração líquida foi imediatamente avaliada. A fração coagulada do sêmen foi tratada com as enzimas hialuronidase e tripsina, na dose de 1mg/ml, diluídas em meio 199 (Nutricel, Campinas/SP, Brasil), na proporção 1:4 e examinada após 5 e 15 minutos. Test t de Student foi utilizado para comparar os tratamentos. Não houve diferença significativa quanto a motilidade, vigor e integridade de acrossoma (p > 0.05), entre a fração de sêmen coagulado diluído em hialuronidase e tripsina, após cinco ou quinze minutos. No entanto, houve diferença significativa quanto a motilidade e vigor entre a fração líquida e a coagulada do sêmen (p < 0.05), após quinze minutos. Não houve diferença significativa com relação à integridade de acrossoma (p > 0.05) entre a fração líquida e coagulada do sêmen, após 15 minutos. De acordo com os resultados, podemos concluir que não houve efeito aparente na fração coagulada do sêmen tratado com as enzimas hialuronidase e tripsina com relação a motilidade, vigor e integridade do acrossoma. No entanto, houve diferença significativa entre a fração líquida e coagulada do sêmen com relação a motilidade e vigor, porém não quanto à integridade do acrossoma. De maneira geral, em ambos os tratamentos, não houve a completa dissolução do coágulo.(AU)

The effect of the enzymes hyaluronidase and trypsin were recorded on the motility, vigor and acrosome integrity in the semen of capuchin monkey (Cebus apella). The animals (n=6) were maintained at Fundação Parque Zoológico de São Paulo. Under anesthesia semen samples were collected by electroejaculation. Immediately after the ejaculation, the semen liquid fraction was analyzed for volume (ml), pH, motility (%), vigor (0-5), concentration (cells/ml), defects (%) and percentage of intact acrosome (%). The coagulated fraction was treated with a solution of hyaluronidase or trypsin, 1mg/ml in commercial medium (199-Nutricel, Campinas/SP, Brazil) in a proportion of 1:4 and the samples were examined after 5 and 15 minutes. The Student T Test (95%) was used to compare the treatments. There was no significant difference in the motility, vigor or acrossome integrity (p > 0.05) between coagulated fraction diluted either in trypsin or in hyaluronidase, after 5 or 15 minutes. However, there was significant difference in motility and vigor between liquid and coagulated fraction, after 15 minutes, for both treatments (p<0.05), but there were no difference in acrosome integrity (p > 0.05). In conclusion, there were no apparent effects in the coagulum for both treatments regarding motility, vigor and acrosome integrity. There were significant differences between liquid and coagulated fractions regarding motility and vigor, but not for acrosome integrity. In both enzyme treatments there were no complete dissolution of the coagulum.(AU)

Use of a trypsin, Peru balsam, and castor oil spray on the oral mucosa: case report and review of the literature.

Granulex is an aerosolized spray (Dow B. Hickman Pharmaceuticals, Sugar Land, TX 77487) that contains trypsin, Peru balsam, and castor oil. It has been available for many years as a topical spray for the treatment of decubitus ulcers. We used Granulex to promote tissue healing of a necrotic ulcer of the oral mucosa in a patient with advanced oropharyngeal squamous cell carcinoma.