Orientador: Mary Luci de Souza Queiroz / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-13T18:05:13Z (GMT). No. of bitstreams: 1 Constantino_AndersonThiago_M.pdf: 315170 bytes, checksum: 7e3457066496dcfe611cc5e368b31aeb (MD5) Previous issue date: 2009 / Resumo: As propriedades imunomoduladoras do extrato seco da raiz de Angelica sinensis Diels (EAS) foram avaliadas em camundongos Balb-c machos utilizandose o modelo de infecção por Listeria monocytogenes. Administrou-se profilaticamente doses de 10, 25, 50 e 100mg/Kg de EAS durante 10 dias. As doses de 10, 25 e 50mg/Kg protegeram os camundongos contra uma dose letal de Listeria monocytogenes observando-se uma taxa de sobrevida de 10%, 20% e 30%, respectivamente. Essas doses também impediram a mielossupressão e a esplenomegalia frente a uma dose subletal de Listeria monocytogenes aumentando de forma significativa o número de progenitores de macrófagos e granulócitos (CFU-GM) na medula óssea. A investigação da atividade dos fatores estimuladores de colônia (CSF) demonstrou aumento na atividade estimuladora de colônia no soro (CSA) de animais pré-tratados com EAS. Curiosamente, não se observou efeitos com a dose 100 mg/kg, em comparação com controles infectados não tratados, sugerindo estimulação dose-dependente da mielopoiese e CSA, onde a dose biológica ativa ótima foi a de 50 mg / kg. Esta dose foi utilizada nos experimentos para investigar os níveis de INF-y e TNF-a. Observou-se aumento nos níveis de INF-y e TNF-a em culturas de macrófagos esplênicos de animais tratados com EAS, sugerindo aumento na atividade microbicida de macrófagos. Estes resultados sugerem que EAS modula a atividade imune de forma indireta e provavelmente inibe a atividade supressora da LM por induzir um aumento na reserva de progenitores mielóide da medula óssea em conseqüência de uma liberação ativa de citocinas (CFS, INF-y e TNF-a). / Abstract: The immunomodulatory properties of dry extract of the roots of Angelica sinensis Diels (ASE) were evaluated in Male BALB/c mice using the model of infection with Listeria monocytogenes. Prophylactic administration of ASE (10, 25, 50 and 100 mg/kg) stimulated marrow myelopoiesis in a dose-dependent manner and reduced spleen colony formation to control values. Evaluation of the colonystimulating factors (CSF) showed an increase in the colony-stimulating activity (CSA) in the serum of animals pre-treated with ASE. Interestingly, no effects were observed with the 100 mg/Kg dose, compared with infected non-treated controls, suggesting a stimulation of myelopoiesis and CSA occurred in a dose-dependent manner, with a peak being reached with dose of 50 mg/kg. This dose was used to investigate levels of INF-y and TNF-a. There was an increase in the levels of INF-y and TNF-a in culture of splenic macrophages from animals treated with ASE, and this result points to increased microbicide activity of macrophages. All together, the results suggest that the ASE indirectly modulates the immune activity and probably disengages LM-induced suppression of these responses by inducing a higher reserve of myeloid progenitors in the bone marrow in consequence of biologically active cytokine release (CFS, INF-y and TNF-a). / Mestrado / Farmacologia / Mestre em Farmacologia

In the exploration into new therapeutic agents for human disease, medicinal herbs offer an enormous resource due to their wide range of biologically active components. However, because of these biologically active components, medicinal herbs can also have toxic side effects. The focus of this thesis is the effect of herbal therapies, both good and bad, on chronic kidney disease (CKD) and tubulointerstitial fibrosis. Tubulointerstitial fibrosis is considered one of the defining characteristics of CKD. In Chapter 1, the literature regarding the pathogenesis of tubulointerstitial fibrosis is reviewed, beginning with the mechanisms of its development, the main structural and functional features, and the molecular mediators. The structural features include activation of resident fibroblasts and transition of tubular epithelial cells into myofibroblasts, deposition of extracellular matrix proteins, increased apoptosis of normal cells of the renal nephron and development of tubular atrophy, increased renal oxidative stress, and hypoxia of renal tissues. Molecular mediators that are explored include angiotensin II, transforming growth factor-ß1 and numerous other cytokines and growth factors. Pharmacological manipulation of these features and their molecular mediators for regression of tubulointerstitial fibrosis is then discussed. Currently, the gold standard of therapy for people with CKD is blockade of the renin-angiotensin-aldosterone system with angiotensin converting enzyme inhibitors (ACEIs) and/or angiotensin receptor blockers (ARBs). Because of the complexity of the pathogenesis of renal fibrosis and the multiple mechanisms by which ACEIs and ARBs work, this portion of the thesis focuses on the qualities that additional agents should have to complement their actions. These additional agents could work by decreasing oxidative damage, by decreasing fibroblast numbers through apoptosis, through the interruption of inflammatory, fibrotic mediators, by increasing anti-inflammatory mediators or through other mechanisms. The literature review therefore continues with a discussion of the historical use of medicinal herbs in genitourinary pathologies and the known contributions that medicinal herbs can make to the treatment or development of tubulointerstitial fibrosis and CKD. From this review, a large number of herbs were identified as having traditional use in renal disorders or as being of interest, currently, to researchers of renal pathologies. However, much information is lacking regarding the mechanisms by which the hypothesised benefits occur, making it impossible to assess which herb(s) may offer valuable additive support or alternative treatments to the therapies currently given to people with CKD. Furthermore, there is a lack of information regarding toxicity of these herbs; many herbs have never been assessed in cell culture or in animal toxicity studies. It was apparent that preliminary in vitro work was necessary before in vivo pharmacological work could be undertaken. This thesis, therefore, aimed to test the following hypotheses: (1) That medicinal herbs used currently for treatment of renal dysfunction have high anti-oxidant properties that can be further enhanced by specific extraction processes; (2) That the in vitro testing of selected extracts from medicinal herbs, identified in (1), will reveal some anti-oxidant benefits or indications of toxicity that need careful analysis in animal studies; (3) That careful in vivo testing of specific toxic medicinal herbs identified in these leadup studies will define specific pathological processes that predict an outcome of CKD; and (4) That careful in vivo testing of selected medicinal herbs, used in conjunction with more conventional medicines for CKD, will show an additive benefit when used to ameliorate development of CKD induced using an established animal model. The subsequent laboratory work was designed to test the validity of these hypotheses and the results are then presented in Chapters that each comprise a publication. The aim of Chapter 2 was to present a systematic analysis of the oxidant properties of 55 medicinal herbs that have been used traditionally to treat kidney and urinary disorders or have been of recent interest to researchers of renal disorders. Since different extraction processes yield different constituents, each of the herbs was sequentially extracted with three solvents of decreasing polarity. An assay was performed on each of the fractions to determine the oxygen radical absorbance capacity. The aim of Chapter 3 was to test the benefit or otherwise of each of the three extracts of the chosen herbs using an in vitro cell study. Each extract was tested for potential toxic, apoptotic, mutagenic and antioxidant activity on normal mammalian renal tubular epithelial cells (NRK-52E). The effect of the extracts on renal fibroblasts (NRK-49F) was also analysed. Several specific hypotheses arose from the combination of the systematic analyses and the literature review regarding benefits and toxicities of a number of the extracts. The subsequent in vivo work was designed to test the validity of two of these hypotheses. The aim of Chapter 4 was to test the hypotheses developed from the results of the previous Chapter. The herb Dioscorea villosa had demonstrated extreme cytotoxicity to mammalian renal epithelial cells and had caused transdifferentiation of epithelial cells into fibroblasts. An in vivo rodent model was used to test chronic dosage with this herb and its toxicity and predisposition for induction of CKD verified. The aim of Chapter 5 was to determine whether a herbal preparation (Angelica sinensis and Astragalus membranaceus) that had some support from the literature and the results from Chapters 2 and 3, could complement the actions of ACEIs in a rodent model of renal fibrosis (unilateral ureteral obstruction). The combination of herbal medicines and the ACEI was significantly more effective than the ACEI alone in ameliorating several characteristics of CKD development. To conclude the thesis, Chapter 6 provides an overview discussion of the results and a critical analysis of the methods used. Further, Chapter 6 looks towards future experiments that are planned to further resolve issues of concern about effects on renal health from use of medicinal herbs. .

Colorectal cancer is the second leading cause of cancer-related mortality in Hong Kong and lack of selectivity has limited the success of conventional chemotherapy. Given the recent interest in the anti-cancer effects of traditional Chinese medicine (TCM), there are two approaches to studying its bioactivity: as a mixture of ingredients or as single compounds. The objective of the present study is to examine the anti-tumor effects of Angelicae Sinensis Radix (DG) and Garcinia hanburyi resin (TH) using both approaches, respectively, as they are traditionally used to treat inflammation. In the present study, their anti-cancer effects and the mechanisms of actions were examined for the development of potential novel chemotherapeutic drugs for colon cancer since inflammation is a predisposing factor for colon cancer. / DG extract and its three main bioactive phtbalides: n-butylidenephthalide, senkyunolide A and z-ligustilide (LGT), were found to be cytotoxic to HT-29 cells with IC50 values (24 h) of 20.70 +/- 0.85, 72.51 +/- 8.65, 18.74 +/- 1.14 and 41.98 +/- 3.64 mug/ml, respectively. The results evidenced that LGT induced G0/G 1 arrest and apoptosis, triggering cleavage of PARP, pro-caspases-3, -8 and -9 and nuclear fragmentation. LGT and cisplatin synergistically reduced the viability of HT-29 cells. More interestingly, DG extract was more potent than individual phthalides, suggesting that there are other bioactive components and/or synergistic interactions. / Individual compounds purified from TH were investigated because gambogic acid isolated from this herb has been used clinically to treat cancer, 30-Epicambogin (EPC) and guttiferone K (GUTK) showed the highest cytotoxic selectivity and potency on HT-29 cells among 15 isolated compounds. IC50 values (24 h) for EPC and GUTK in HT-29 cells were 5.36+/-0.25 and 5.39+/-0.22 muM, respectively, and both induced G0/G1 arrest by down-regulation of cyclins D1, D3, CDK4 and CDK6, while up-regulation of p21Waf1/CiP1 and p27KiP1. Both compounds triggered the activation of caspases-3, -8 and -9 in apoptosis. The in vivo anti-tumor effects of GUTK were further investigated by using a subcutaneous Colon-26 mouse tumor model. GUTK (10 mg/kg i.p.) reduced tumor volume by 33.6% and potentiated the anti-tumor effects of 5-fluorouracil when administered concurrently. / Our findings revealed that DG rather than individual phthalides, is worthy for further study as a potential anti-cancer drug, due to the synergistic interactions among multi-components in the herb. On the other hand, EPC and GUTK, isolated from TH have potential to be developed as novel anti-tumor candidates for combination use with 5-fluorouracil. The results strongly support the use of different approaches to study TCM for chemotherapy, according to its traditional and empirical use. / Subsequently, the anti-proliferative effects of DG and Chuanxiong Rhizoma (CX) extracts and mixtures containing three phthalides in the proportions similar to their presence in both extracts were examined, since CX also contains the same phthalides, but in different proportions. DG extract was significantly more potent than its corresponding phthalide mixture to inhibit cancer cell proliferation and synergistic interaction was observed among the phthalides and other bioactive components, while the phthalides in CX extract interacted antagonistically with other components. / Kan, Lai Ting Winnie. / Adviser: Ge Lin. / Source: Dissertation Abstracts International, Volume: 73-02, Section: B, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 267-311). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Les reins sont les organes cibles de nombreuses molécules toxiques. Les cellules épithéliales du tubule proximal rénal sont particulièrement vulnérables vis-à-vis de xénobiotiques utilisés comme médicaments ou non. Ces agressions peuvent être corrélées à une augmentation du stress oxydatif et induire la mort cellulaire. Elles peuvent également mener à la perte des caractéristiques phénotypiques des cellules épithéliales, initiant leur dédifférenciation en cellules mésenchymateuses et éventuellement en fibroblastes, principaux responsables de la fibrose rénale.<p>Les stratégies de protection – notamment implémentées en clinique lors de l'administration de médicaments néphrotoxiques – reposant sur une approche pharmacologique restent rares.<p>A partir de données de médecines traditionnelles, nous avons sélectionné une série de plantes considérées utiles pour le traitement ou la prévention de troubles associés aux maladies rénales :Angelicae sinensis radix, Eleutherococci radix, Ginseng radix, Schisandrae chinensis fructus et Silybi mariani fructus.<p>A l'aide d'un modèle in vitro reposant sur l'emploi de la lignée cellulaire HK-2, nous avons examiné si ces produits pouvaient apporter une protection efficace vis-à-vis de 3 xénobiotiques néphrotoxiques :les acides aristolochiques, le cisplatine et la ciclosporine. Cinq phénomènes impliqués dans la néphrotoxicité et couramment retrouvés lors du développement de la fibrose rénale ont été investigués :(i) la mortalité cellulaire et l'apoptose ;(ii) la génération de stress oxydatif ;(iii) la modulation des capacités de régénération ;(iv) la production de matrice extracellulaire ;et (v) l'activation de la voie de signalisation de la β-caténine. <p>Parmi les 5 plantes étudiées sur ce modèle, celle présentant l'activité la plus intéressante vis-à-vis de l'un des 3 toxiques a été investiguée plus en détails afin d'identifier le(s) composé(s) responsable(s) de sa bioactivité. Les résultats ont indiqué que l'extrait méthanolique d'Angelica sinensis était le plus efficace pour réduire la néphrotoxicité induite par le cisplatine. Ces principes actifs – l'acide férulique, le Z-ligustilide et le E-ligustilide – ont été testés selon la même méthodologie. <p>L'acide férulique a été le plus efficace pour améliorer la survie cellulaire et diminuer l'apoptose induite par le cisplatine. Il a également permis de réduire la production de matrice extracellulaire, de stimuler les capacités de régénération de cellules saines et d'inhiber partiellement la voie de signalisation de la β-caténine. Il n'a toutefois pas été capable de limiter la génération de stress oxydatif induite par le traitement au cisplatine. <p>L'acide férulique semble être un candidat prometteur pour protéger les tubules rénaux vis-à-vis du cisplatine et pourrait contribuer à limiter l'initiation et le développement de la fibrose rénale. <p>/<p>The kidneys are targets of numerous toxic compounds. Proximal tubular epithelia cells are particularly vulnerable to xenobiotics used as drugs or not. These injuries can be associated with an increased oxidative stress and can trigger cell death. They can also lead to the loss of phenotypic characteristics of epithelial cells and initiate their dedifferentiation in mesenchymal cells, eventually evolving in fibroblasts, major actors responsible for renal fibrosis. <p>Protective strategies – including those implemented in clinical practice during the administration of nephrotoxic drugs – relying on a pharmacological approach remain seldom.<p>By means of data issuing from traditional medicines, we selected a series of herbs potentially useful for the treatment or prevention of troubles associated with kidney diseases: Angelicae sinensis radix, Eleutherococci radix, Ginseng radix, Schisandrae chinensis fructus and Silybi mariani fructus.<p>Using an in vitro model based on HK-2 cell line, we examined if these herbal products could bring an effective protection towards 3 nephrotoxic drugs: aristolochic acids, cisplatin and ciclosporin. Five phenomena involved in nephrotoxicity and regularly occurring during the progression of renal fibrosis were investigated: (i) cell death and apoptosis; (ii) oxidative stress generation; (iii) modulation of regeneration capacities; (iv) extracellular matrix production; and (v) β-catenin pathway activation.<p>Among the 5 herbs that were studied, the one presenting the most interesting effects towards one of the 3 toxicants has been investigated in details in order to identify the compound(s) responsible for its bioactivity. Results indicated that the crude methanolic extract of Angelica sinensis was the most potent for reducing cisplatin-induced nephrotoxicity. Its active principles – ferulic acid, Z-ligustilide and E-ligustilide – were tested according to the same methods.<p>Ferulic acid was the most potent compound for improving cell survival and for alleviating cisplatine-induced apoptosis. It also allowed to restrain the extracellular matrix production, enhanced the regeneration capacities of healthy cells and partially inhibited the activation of the β-catenin pathway. It was however ineffective in preventing the generation of oxidative stress induced during cisplatin treatment. <p>Ferulic acid appears as a promising candidate for protecting renal tubules against cisplatin's nephrotoxicity and could contribute to limit the onset and progression of renal fibrosis. / Doctorat en Sciences biomédicales et pharmaceutiques / info:eu-repo/semantics/nonPublished