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Role of AKAP5 in postsynaptic signaling complexesZhang, Mingxu 01 July 2010 (has links)
Noradrenergic signaling has important functions in the central nervous system (CNS) with respect to emotion, learning and memory. Activation of β- adrenergic receptors (β ARs) stimulates protein kinase A via Gs-protein, adenylyl cyclase, and cAMP. Synaptic β←2 -adrenergic receptors, targets of the neurotransmitter norephinephrin, are associated with the GluA1 subunit of AMPA-type glutamate receptors, which mediate most excitatory synaptic transmission in mammalian CNS. PKA-mediated phosphorylation of GluA1 on Ser845 is important for GluA1 surface expression, activity induced postsynaptic accumulation, and synaptic plasticity. Postsynaptic localization of PKA is mediated by a major scaffolding protein `A kinase anchor protein 5 (AKAP5)'. AKAP5 associates with AMPA receptors via SAP97 and PSD95.
We have two strains of AKAP5 mutant mice: AKAP5 knockout and AKAP5 D36. AKAP5 KO mice have a complete loss of AKAP5 gene expression. D36 mice miss the last 36 residues (PKA binding site) of AKAP5 but without affecting other interactions. These mutant mice provide us with appropriate in vivo models for studying the functional roles of AKAP5.
We compared the functional and physical association of β2AR and AMPA receptors among wild type, AKAP5 KO, and AKAP5 D36 mice. Although AKAP5 was not necessary for the assembly of the β2AR / GluA1 complex, we found that AKAP5 anchored PKA activity was required for full β2AR stimulation-induced GluA1 Ser845 phosphorylation. Recording and analysis of field EPSPs (fEPSPs) of CA1 pyramidal neurons with brief bath perfusion of the β2AR agonist isoproterenol indicated a role of AKAP5 anchored PKA in the regulation of postsynaptic AMPAR responses by norephinephrin.
Moreover, we observed a delayed extinction of contextual fear memory in AKAP5 D36 mice, which suggests the involvement of AKAP5 anchored PKA in memory formation and modification.
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A STUDY OF THE MECHANISM BY WHICH BETA2-ADRENERGIC RECEPTOR STIMULATION ON A B CELL REGULATES IgE PRODUCTIONMcAlees, Jaclyn Walisa 08 September 2009 (has links)
No description available.
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Beta2-agonists use during pregnancy and the risk of congenital malformationsEltonsy, Sherif 12 1900 (has links)
Selon les lignes directrices de traitement de l'asthme pendant la grossesse, les beta2-agonistes inhalés à courte durée d’action (SABA) sont les médicaments de choix pour tous les types d’asthme [intermittent, persistant, léger, modéré et sévère] comme médicaments de secours rapide et dans la gestion des exacerbations aiguës. D’autre part, les beta2-agonistes inhalés à longue durée d’action (LABA) sont utilisés pour les patients atteints d'asthme persistant, modéré à sévère, qui ne sont pas entièrement contrôlés par des corticostéroïdes inhalés seuls. Malgré que plusieurs études aient examinées l’association entre les LABA, les SABA et les malformations congénitales chez les nouveau-nés, les risques réels restent controversés en raison de résultats contradictoires et des difficultés inhérentes à la réalisation d'études épidémiologiques chez les femmes enceintes. L'objectif de cette étude était d'évaluer l'association entre l'exposition maternelle aux SABA et LABA pendant le premier trimestre de grossesse et le risque de malformations congénitales chez les nouveau-nés de femmes asthmatiques. Une cohorte de grossesses de femmes asthmatiques ayant accouchées entre le 1er janvier 1990 et le 31 décembre 2002 a été formée en croisant trois banques de données administratives de la province de Québec (Canada). Les issues principales de cette étude étaient les malformations congénitales majeures de touts types. Comme issues secondaires, nous avons considéré des malformations congénitales spécifiques. L'exposition principale était la prise de SABA et/ou de LABA au cours du premier trimestre de grossesse. L'exposition secondaire étudiée était le nombre moyen de doses de SABA par semaine au cours du premier trimestre.
L'association entre les malformations congénitales et la prise de SABA et de LABA a été évaluée en utilisant des modèles d’équations généralisées (GEE) en ajustant pour plusieurs variables confondantes reliées à la grossesse, l’asthme de la mère et la santé de la mère et du foetus.
Dans la cohorte formée de 13 117 grossesses de femmes asthmatiques, nous avons identifié 1 242 enfants avec une malformation congénitale (9,5%), dont 762 avaient une malformation majeure (5,8%). Cinquante-cinq pour cent des femmes ont utilisé des SABA et 1,3% ont utilisé des LABA pendant le premier trimestre. Les rapports de cotes ajustées (IC à 95%) pour une malformation congénitale associée à l'utilisation des SABA et des LABA étaient de 1,0 (0,9-1,2) et 1,3 (0,9-2,1), respectivement. Les résultats correspondants étaient de 0,9 (0,8-1,1) et 1,3 (0,8-2,4) pour les malformations majeures. Concernant le nombre moyen de doses de SABA par semaine, les rapports de cotes ajustées (IC à 95%) pour une malformation congénitale était de 1.1 (1.0-1.3), 1.1 (0.9-1.3), et 0.9 (0.7-1.1) pour les doses >0-3, >3-10, and >10 respectivement. Les résultats correspondants étaient de 1.0 (0.8-1.2), 0.8 (0.7-1.1), et 0.7 (0.5-1.0) pour les malformations majeures. D'autre part, des rapports de cotes (IC à 95%) statistiquement significatifs ont été observés pour les malformations cardiaques (2.4 (1.1-5.1)), les malformations d'organes génitaux (6.8 (2.6-18.1)), et d'autres malformations congénitales (3.4 (1.4 à 8.5)), en association avec les LABA pris pendant le premier trimestre.
Notre étude procure des données rassurantes pour l’utilisation des SABA pendant la grossesse, ce qui est en accord avec les lignes directrices de traitement de l’asthme. Toutefois, d'autres études sont nécessaires avant de pouvoir se prononcer sur l’innocuité des LABA pendant la grossesse. / According to asthma management guidelines during pregnancy, short-acting β2-agonists (SABA) are the drug of choice in all types of asthma [intermittent or persistent, mild, moderate and severe] as a quick reliever medication and in the management of acute exacerbations or emergency hospitalizations. On the other hand, long-acting β2-agonists (LABA) are used for patients with moderate and severe persistent asthma not fully controlled with inhaled corticosteroids alone. While many studies examined their associations with congenital malformations in newborns, the actual risks remain controversial due to the discordance between different risk reports and the difficulties in performing epidemiological studies on pregnant women. The objective of this study is to investigate the association between maternal exposure to SABA and LABA during the first trimester of pregnancy and the risk of congenital malformations in the newborns among asthmatic women.
Through the linkage of three administrative databases from Québec, a cohort of pregnancies from asthmatic women insured by the RAMQ drug insurance plan was formed between January 1, 1990 and December 31, 2002. The primary outcomes were major and any congenital malformations and the secondary outcomes were specific malformations. The primary exposure was the separate exposure to SABA and LABA during the first trimester, while the secondary exposure was the average number of doses of SABA per week taken during the first trimester. The association between congenital malformations and SABA and LABA exposure was assessed using generalized estimating equation models while adjusting for sociodemographic, asthma, maternal and fetal variables.
We identified 1242 infants with a congenital malformation (9.5%), 762 of which had a major malformation (5.8%) within the cohort formed of 13117 pregnancies. Fifty-five percent of the women used SABA during the first trimester, and 1.3% used LABA. The adjusted odds ratio (95% CI) for any malformation associated with the use of SABA and LABA were 1.0 (0.9-1.2) and 1.3 (0.9-2.1), respectively. The corresponding figures were 0.9 (0.8-1.1) and 1.3 (0.8-2.4) for major malformations. Regarding the average number of doses of SABA per week, the adjusted odds ratio (95% CI) for any malformation were 1.1 (1.0-1.3), 1.1 (0.9-1.3), and 0.9 (0.7-1.1) for doses >0-3, >3-10, and >10 respectively. The corresponding figures were 1.0 (0.8-1.2), 0.8 (0.7-1.1), and 0.7 (0.5-1.0) for major malformations. On the other hand, significant increased risks, odds ratio (95% CI), of cardiac malformations 2.4 (1.1-5.1), genital organ malformations 6.8 (2.6-18.1), and other congenital malformations 3.4 (1.4-8.5) were observed with LABA use in the 1st trimester.
Our study adds evidence, in concordance with asthma management guidelines, to the safety of SABA during pregnancy. However, more research is needed before we can decide on the safety of LABA during pregnancy.
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Modulation von Proliferation und Migration boviner kornealer Endothelzellen in Kultur durch humanes Kammerwasser, Transforming Groth Factor-Beta 2 und AscorbinsäureRyseck, Ilona 17 July 2000 (has links)
Einleitung: Die Wundheilung kornealer Endothelzellen erfolgt hauptsächlich durch Migration benachbarter Zellen. Die Endothelzellen sind in vivo ständig in Kontakt mit Kammerwasser (KW). TGF-ß2 und Ascorbin- säure (AS) sind in hoher Konzentration im KW enthalten. Der Einfluß von humanem KW, TGF-ß2 und AS auf Proliferation und Migration boviner kornealer Endothelzellen (BCEC) in Kultur wurde untersucht. Methoden: Proliferation: BCEC der 1.Passage wurden zu 1,5x104 Zellen/Well ausgesät. Mit frischem Medium und Zusatz von humanem KW (10% und 100%), TGF-ß2 (0,1; 1 und 10 ng/ml) und AS (50, 100 und 200 µg/ml) wurden die Kulturen für 72 oder 96 h inkubiert und anschließend gezählt. Migration: Konfluente Zellkulturen der 1.Passage wurden verwendet. Mit einem modifizierten Trepan (Durchmesser 5,5 mm) wurde eine zentrale, zirkuläre "Wunde" gesetzt. Die Kulturen wurden mit frischem Medium, das humanes KW, TGF-ß2 und AS in den o. g. Konzentrationen enthielt, für 72 oder 96 h inkubiert. Zur Auswertung wurden die in den Wundbereich migrierten Zellen an 5 verschiedenen Stellen, ausgehend vom Wundrand, gezählt. Ergebnisse: Die Proliferation der BCEC wurde durch humanes KW (unverdünntes KW: nahezu 100%; 10%iges KW: 30%) und Ascorbinsäure (ca. 90% bei AS 200 µg/ml) gehemmt. TGF-ß2 stimulierte die Proliferation bis zu einem 3fachen Wert der Kontrollen. Die Migration wurde durch humanes KW (unverdünntes KW: nahezu 100%; 10%iges KW: 30%) und TGF-ß2 (ca. 50% bei allen Konzentrationen) gehemmt. AS hatte einen stimulierenden Einfluß (20-50%) auf die Migration. Schlußfolgerung: Noch ist unklar, welche Substanzen im KW für den proliferationshemmenden Einfluß auf korneale Endothelzellen verantwortlich sind. Sowohl AS als auch TGF-ß2 zeigten einen gegensätzlichen Effekt auf Proliferation und Migration kultivierter BCEC. Die Bedeutung dieser Beobachtungen für die Wundheilung humaner kornealer Endothelzellen in vivo ist Gegenstand weiterer Untersuchungen. / Purpose: Corneal endothelial cells are non-proliferating, wound healing primarily occurs by migration of adjacent cells. Endothelial cells in vivo are constantly exposed to aqueous humor (AH). Elevated concentrations of TGF-ß2 and ascorbic acid (AA) are present in aqueous humor. The influence of human AH, TGF- ß2 and AA on proliferation and migration of bovine corneal endothelial cells in vitro was investigated. Methods: Proliferation assays: BCEC at first passage were seeded at 1.5x104 cells/well. Fresh medium containing human AH (10% and 100%), TGF-ß2 (0,1;1 and 10 ng/ml) and AA (50, 100 and 200 µg/ml) was added to the cells. 72 or 96 hours later the cells were counted. Migration assays: BCEC at first passage were grown to confluency. A central, circular "wound" was made with an especially designed trephine (diameter 5.5 mm). The cultures were incubated with fresh medium containing human AH, TGF-ß2 and AA in the same concentrations for 72 or 96 hours. The cells were then counted in five randomly chosen sections from the wound edge. Results: Proliferation of BCE cells was inhibited by human AH (pure AH: nearly 100%, 10% AH: 30%) and AA (about 90% at 200 µg/ml). TGF-ß2 stimulated the proliferation up to 3 fold compared to the controls. Migration was inhibited by human AH (pure AH: nearly 100%, 10% AH: 30%) and TGF-ß2 (about 50% at all concentrations). AA had a stimulatory effect (20-50%) on migration. Conclusion: Presently, it remains unknown which substances in AH are responsible for the inhibiting effect on corneal endothelial proliferation. Both TGF-ß2 and AA showed to have a differential effect on proliferation and migration of cultured BCE cells. The significance of these observations for wound healing of human corneal endothelial cells in vivo has to be investigated.
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Pathogenese der equinen Endometrose: Bedeutung der Wachstumsfaktoren Transforming growth factor-alpha, -beta1, -beta2 und -beta3 sowie der Matrixmetalloproteinase-2.Kiesow, Claudia 10 February 2011 (has links) (PDF)
Ziel der vorliegenden Arbeit war die immunhistologische Charakterisierung der Expression der profibrotischen Wachstumsfaktoren Transforming growth factor-beta-1, -beta2 und -beta3 und des Enzyms Matrixmetalloproteinase-2 (MMP-2) im equinen Endometrium während des Zyklus sowie innerhalb der verschiedenen Erscheinungsformen der equinen Endometrose. Zudem wurde der potentielle Einfluss einer gleichzeitig auftretenden Endometritis auf die glanduläre und stromale Wachstumsfaktor- und Enzym-Expression untersucht. Die Ergebnisse dieser Studie sollten klären, ob und inwieweit den untersuchten Wachstumsfaktoren unter Beteiligung von MMP-2 in der Pathogenese der equinen Endometrose eine mit anderen Organfibrosen vergleichbare Schlüsselrolle zukommt.
Zu diesem Zweck standen an definierten Tagen entnommene Endometriumbioptate (n=21) von drei zyklisch aktiven, klinisch und gynäkologisch gesunden Maidenstuten sowie Endometriumbioptate von 60 Stuten mit graduell variabler Endometrose unterschiedlichen Charakters und Endometriumbioptate von 22 Stuten mit mittelgradiger Endometrose und gleichzeitiger mittelgradiger eitriger (n=16) bzw. nichteitriger (n=6) Endometritis aus dem Routineeinsendungsmaterial des Institutes für Veterinär-Pathologie der Universität Leipzig zur Verfügung.
Die Wachstumsfaktoren TGF-beta1, -beta2 und -beta3 sowie das Enzym MMP-2 zeigen im Zyklus ein typisches, zellspezifisches Reaktionsmuster, das unterschiedlichen Regulations-mechanismen zu unterliegen scheint. Ein Maximum der TGF-beta1-Expression in den luminalen Epithelzellen, Stroma- und Drüsenzellen kann in der endometrialen Sekretionsphase mit Anstieg bzw. einem Maximum der Serumprogesteron-Konzentration beobachtet werden. Im Gegensatz dazu tritt eine Expression von MMP-2 in den Stromazellen in der Sekretionsphase mit Abfall der Progesteronkonzentration im Serum auf. Das luminale Epithel und die Stromazellen zeigen eine maximale Expression von TGF-beta2 beim Vorliegen hoher Progesteronspiegel im Serum bzw. mit Abfall der Serumprogesteron-Konzentration in der Sekretionsphase. TGF-beta3 weist im luminalen Epithel ein ähnliches Expressionsmuster auf, eine deutliche Abhängigkeit zu den Serumhormon-Konzentrationen lässt sich jedoch nicht feststellen. Die stromale Expression von TGF-alpha unterliegt im equinen Endometrium keinen zyklusabhängigen Variationen.
Die Stromazellen innerhalb der verschiedenen Endometroseherde zeigen, im Vergleich zum unveränderten Endometrium, vor allem eine verminderte Expression von TGF-alpha. Das Expressionsmuster der TGF-beta-Wachstumsfaktoren ist grundsätzlich variabel, es fällt jedoch auf, dass die Stromazellen insbesondere in inaktiven Endometrosen eine geringere Expression der TGF-beta-Isoformen aufweisen. Ursache ist möglicherweise eine gestörte hormonelle Stimulation bzw. eine stromale Synthesestörung in Folge veränderter epithelial/stromaler Wechselwirkungen. Das Enzym MMP-2 wird dagegen in den Stromazellen aller Endometroseherde, unabhängig von deren Differenzierung und dem Auftreten glandulärer Alterationen, deutlich vermehrt nachgewiesen. Dies ist sehr wahrscheinlich Folge der Extra-zellularmatrix-Akkumulation innerhalb der Endometroseherde und für die fortschreitende Zerstörung der glandulären Basalmembranen verantwortlich. Die glanduläre Expression innerhalb der Endometroseherde gleicht weitgehend der der unveränderten Drüsenzellen, lediglich in destruierenden Endometrosen werden TGF-alpha, TGF-beta2 und MMP-2 in den involvierten Drüsenzellen vermehrt nachgewiesen. Mögliche Ursachen wären eine Diffusion durch die geschädigte glanduläre Basalmembran bzw. eine Anregung der Synthese im Rahmen der epithelialen Wundheilung. Eine Anregung der glandulären und stromalen Expression der untersuchten Wachstumsfaktoren und des Enzyms MMP-2 im Rahmen der Endometrose durch die Anwesenheit von Entzündungszellen konnte nicht nachgewiesen werden.
Eine der Leber- und Lungenfibrose ähnelnde, überschießende Wundheilungsreaktion durch eine primär epithelial bedingte, vermehrte TGF-Wachstumsfaktorproduktion sowie direkte Zusammenhänge zwischen der MMP-2- und TGF-beta-Wachstumsfaktor-Expression waren in der equinen Endometrose nicht festzustellen. Da vor allem die Stromazellen in der Endometrose eine veränderte Expression der Wachstumsfaktoren aufwiesen, ist möglicherweise eine primäre stromale Fehldifferenzierung der Ausgangspunkt für die Entstehung der Endometrose. Eine mit der Leber- und Lungenfibrose vergleichbare Schlüsselrolle der TGF-Wachstumsfaktoren in der Pathogenese der equinen Endometrose konnte nicht eindeutig belegt werden.
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Beta2-agonists use during pregnancy and the risk of congenital malformationsEltonsy, Sherif 12 1900 (has links)
Selon les lignes directrices de traitement de l'asthme pendant la grossesse, les beta2-agonistes inhalés à courte durée d’action (SABA) sont les médicaments de choix pour tous les types d’asthme [intermittent, persistant, léger, modéré et sévère] comme médicaments de secours rapide et dans la gestion des exacerbations aiguës. D’autre part, les beta2-agonistes inhalés à longue durée d’action (LABA) sont utilisés pour les patients atteints d'asthme persistant, modéré à sévère, qui ne sont pas entièrement contrôlés par des corticostéroïdes inhalés seuls. Malgré que plusieurs études aient examinées l’association entre les LABA, les SABA et les malformations congénitales chez les nouveau-nés, les risques réels restent controversés en raison de résultats contradictoires et des difficultés inhérentes à la réalisation d'études épidémiologiques chez les femmes enceintes. L'objectif de cette étude était d'évaluer l'association entre l'exposition maternelle aux SABA et LABA pendant le premier trimestre de grossesse et le risque de malformations congénitales chez les nouveau-nés de femmes asthmatiques. Une cohorte de grossesses de femmes asthmatiques ayant accouchées entre le 1er janvier 1990 et le 31 décembre 2002 a été formée en croisant trois banques de données administratives de la province de Québec (Canada). Les issues principales de cette étude étaient les malformations congénitales majeures de touts types. Comme issues secondaires, nous avons considéré des malformations congénitales spécifiques. L'exposition principale était la prise de SABA et/ou de LABA au cours du premier trimestre de grossesse. L'exposition secondaire étudiée était le nombre moyen de doses de SABA par semaine au cours du premier trimestre.
L'association entre les malformations congénitales et la prise de SABA et de LABA a été évaluée en utilisant des modèles d’équations généralisées (GEE) en ajustant pour plusieurs variables confondantes reliées à la grossesse, l’asthme de la mère et la santé de la mère et du foetus.
Dans la cohorte formée de 13 117 grossesses de femmes asthmatiques, nous avons identifié 1 242 enfants avec une malformation congénitale (9,5%), dont 762 avaient une malformation majeure (5,8%). Cinquante-cinq pour cent des femmes ont utilisé des SABA et 1,3% ont utilisé des LABA pendant le premier trimestre. Les rapports de cotes ajustées (IC à 95%) pour une malformation congénitale associée à l'utilisation des SABA et des LABA étaient de 1,0 (0,9-1,2) et 1,3 (0,9-2,1), respectivement. Les résultats correspondants étaient de 0,9 (0,8-1,1) et 1,3 (0,8-2,4) pour les malformations majeures. Concernant le nombre moyen de doses de SABA par semaine, les rapports de cotes ajustées (IC à 95%) pour une malformation congénitale était de 1.1 (1.0-1.3), 1.1 (0.9-1.3), et 0.9 (0.7-1.1) pour les doses >0-3, >3-10, and >10 respectivement. Les résultats correspondants étaient de 1.0 (0.8-1.2), 0.8 (0.7-1.1), et 0.7 (0.5-1.0) pour les malformations majeures. D'autre part, des rapports de cotes (IC à 95%) statistiquement significatifs ont été observés pour les malformations cardiaques (2.4 (1.1-5.1)), les malformations d'organes génitaux (6.8 (2.6-18.1)), et d'autres malformations congénitales (3.4 (1.4 à 8.5)), en association avec les LABA pris pendant le premier trimestre.
Notre étude procure des données rassurantes pour l’utilisation des SABA pendant la grossesse, ce qui est en accord avec les lignes directrices de traitement de l’asthme. Toutefois, d'autres études sont nécessaires avant de pouvoir se prononcer sur l’innocuité des LABA pendant la grossesse. / According to asthma management guidelines during pregnancy, short-acting β2-agonists (SABA) are the drug of choice in all types of asthma [intermittent or persistent, mild, moderate and severe] as a quick reliever medication and in the management of acute exacerbations or emergency hospitalizations. On the other hand, long-acting β2-agonists (LABA) are used for patients with moderate and severe persistent asthma not fully controlled with inhaled corticosteroids alone. While many studies examined their associations with congenital malformations in newborns, the actual risks remain controversial due to the discordance between different risk reports and the difficulties in performing epidemiological studies on pregnant women. The objective of this study is to investigate the association between maternal exposure to SABA and LABA during the first trimester of pregnancy and the risk of congenital malformations in the newborns among asthmatic women.
Through the linkage of three administrative databases from Québec, a cohort of pregnancies from asthmatic women insured by the RAMQ drug insurance plan was formed between January 1, 1990 and December 31, 2002. The primary outcomes were major and any congenital malformations and the secondary outcomes were specific malformations. The primary exposure was the separate exposure to SABA and LABA during the first trimester, while the secondary exposure was the average number of doses of SABA per week taken during the first trimester. The association between congenital malformations and SABA and LABA exposure was assessed using generalized estimating equation models while adjusting for sociodemographic, asthma, maternal and fetal variables.
We identified 1242 infants with a congenital malformation (9.5%), 762 of which had a major malformation (5.8%) within the cohort formed of 13117 pregnancies. Fifty-five percent of the women used SABA during the first trimester, and 1.3% used LABA. The adjusted odds ratio (95% CI) for any malformation associated with the use of SABA and LABA were 1.0 (0.9-1.2) and 1.3 (0.9-2.1), respectively. The corresponding figures were 0.9 (0.8-1.1) and 1.3 (0.8-2.4) for major malformations. Regarding the average number of doses of SABA per week, the adjusted odds ratio (95% CI) for any malformation were 1.1 (1.0-1.3), 1.1 (0.9-1.3), and 0.9 (0.7-1.1) for doses >0-3, >3-10, and >10 respectively. The corresponding figures were 1.0 (0.8-1.2), 0.8 (0.7-1.1), and 0.7 (0.5-1.0) for major malformations. On the other hand, significant increased risks, odds ratio (95% CI), of cardiac malformations 2.4 (1.1-5.1), genital organ malformations 6.8 (2.6-18.1), and other congenital malformations 3.4 (1.4-8.5) were observed with LABA use in the 1st trimester.
Our study adds evidence, in concordance with asthma management guidelines, to the safety of SABA during pregnancy. However, more research is needed before we can decide on the safety of LABA during pregnancy.
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Pathogenese der equinen Endometrose: Bedeutung der Wachstumsfaktoren Transforming growth factor-alpha, -beta1, -beta2 und -beta3 sowie der Matrixmetalloproteinase-2.Kiesow, Claudia 12 October 2010 (has links)
Ziel der vorliegenden Arbeit war die immunhistologische Charakterisierung der Expression der profibrotischen Wachstumsfaktoren Transforming growth factor-beta-1, -beta2 und -beta3 und des Enzyms Matrixmetalloproteinase-2 (MMP-2) im equinen Endometrium während des Zyklus sowie innerhalb der verschiedenen Erscheinungsformen der equinen Endometrose. Zudem wurde der potentielle Einfluss einer gleichzeitig auftretenden Endometritis auf die glanduläre und stromale Wachstumsfaktor- und Enzym-Expression untersucht. Die Ergebnisse dieser Studie sollten klären, ob und inwieweit den untersuchten Wachstumsfaktoren unter Beteiligung von MMP-2 in der Pathogenese der equinen Endometrose eine mit anderen Organfibrosen vergleichbare Schlüsselrolle zukommt.
Zu diesem Zweck standen an definierten Tagen entnommene Endometriumbioptate (n=21) von drei zyklisch aktiven, klinisch und gynäkologisch gesunden Maidenstuten sowie Endometriumbioptate von 60 Stuten mit graduell variabler Endometrose unterschiedlichen Charakters und Endometriumbioptate von 22 Stuten mit mittelgradiger Endometrose und gleichzeitiger mittelgradiger eitriger (n=16) bzw. nichteitriger (n=6) Endometritis aus dem Routineeinsendungsmaterial des Institutes für Veterinär-Pathologie der Universität Leipzig zur Verfügung.
Die Wachstumsfaktoren TGF-beta1, -beta2 und -beta3 sowie das Enzym MMP-2 zeigen im Zyklus ein typisches, zellspezifisches Reaktionsmuster, das unterschiedlichen Regulations-mechanismen zu unterliegen scheint. Ein Maximum der TGF-beta1-Expression in den luminalen Epithelzellen, Stroma- und Drüsenzellen kann in der endometrialen Sekretionsphase mit Anstieg bzw. einem Maximum der Serumprogesteron-Konzentration beobachtet werden. Im Gegensatz dazu tritt eine Expression von MMP-2 in den Stromazellen in der Sekretionsphase mit Abfall der Progesteronkonzentration im Serum auf. Das luminale Epithel und die Stromazellen zeigen eine maximale Expression von TGF-beta2 beim Vorliegen hoher Progesteronspiegel im Serum bzw. mit Abfall der Serumprogesteron-Konzentration in der Sekretionsphase. TGF-beta3 weist im luminalen Epithel ein ähnliches Expressionsmuster auf, eine deutliche Abhängigkeit zu den Serumhormon-Konzentrationen lässt sich jedoch nicht feststellen. Die stromale Expression von TGF-alpha unterliegt im equinen Endometrium keinen zyklusabhängigen Variationen.
Die Stromazellen innerhalb der verschiedenen Endometroseherde zeigen, im Vergleich zum unveränderten Endometrium, vor allem eine verminderte Expression von TGF-alpha. Das Expressionsmuster der TGF-beta-Wachstumsfaktoren ist grundsätzlich variabel, es fällt jedoch auf, dass die Stromazellen insbesondere in inaktiven Endometrosen eine geringere Expression der TGF-beta-Isoformen aufweisen. Ursache ist möglicherweise eine gestörte hormonelle Stimulation bzw. eine stromale Synthesestörung in Folge veränderter epithelial/stromaler Wechselwirkungen. Das Enzym MMP-2 wird dagegen in den Stromazellen aller Endometroseherde, unabhängig von deren Differenzierung und dem Auftreten glandulärer Alterationen, deutlich vermehrt nachgewiesen. Dies ist sehr wahrscheinlich Folge der Extra-zellularmatrix-Akkumulation innerhalb der Endometroseherde und für die fortschreitende Zerstörung der glandulären Basalmembranen verantwortlich. Die glanduläre Expression innerhalb der Endometroseherde gleicht weitgehend der der unveränderten Drüsenzellen, lediglich in destruierenden Endometrosen werden TGF-alpha, TGF-beta2 und MMP-2 in den involvierten Drüsenzellen vermehrt nachgewiesen. Mögliche Ursachen wären eine Diffusion durch die geschädigte glanduläre Basalmembran bzw. eine Anregung der Synthese im Rahmen der epithelialen Wundheilung. Eine Anregung der glandulären und stromalen Expression der untersuchten Wachstumsfaktoren und des Enzyms MMP-2 im Rahmen der Endometrose durch die Anwesenheit von Entzündungszellen konnte nicht nachgewiesen werden.
Eine der Leber- und Lungenfibrose ähnelnde, überschießende Wundheilungsreaktion durch eine primär epithelial bedingte, vermehrte TGF-Wachstumsfaktorproduktion sowie direkte Zusammenhänge zwischen der MMP-2- und TGF-beta-Wachstumsfaktor-Expression waren in der equinen Endometrose nicht festzustellen. Da vor allem die Stromazellen in der Endometrose eine veränderte Expression der Wachstumsfaktoren aufwiesen, ist möglicherweise eine primäre stromale Fehldifferenzierung der Ausgangspunkt für die Entstehung der Endometrose. Eine mit der Leber- und Lungenfibrose vergleichbare Schlüsselrolle der TGF-Wachstumsfaktoren in der Pathogenese der equinen Endometrose konnte nicht eindeutig belegt werden.
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Papel dos receptores beta 2-adrenérgicos nas alterações musculoesqueléticas desencadeadas pela insuficiência cardíaca. / Role of beta2-adrenergic receptors on skeletal muscle alterations induced by heart failureVoltarelli, Vanessa Azevedo 15 February 2012 (has links)
A insuficiência cardíaca (IC) é uma síndrome complexa que envolve múltiplos sistemas e mecanismos compensatórios neuro-hormonais, acompanhada de altos índices de morbidade e mortalidade, e caracterizada por sintomas clínicos como fadiga, dispneia, e intolerância aos esforços físicos. Embora a IC seja uma síndrome de origem cardíaca, observam-se alterações em outros tecidos, como na musculatura esquelética. As modificações do fenótipo muscular e a perda de massa muscular esquelética observadas na IC contribuem para o mau prognóstico e para o aumento da mortalidade dos pacientes. Considerando que os receptores 2-adrenérgicos medeiam a atividade do sistema nervoso simpático na musculatura esquelética, e que a hiperatividade simpática é um dos principais componentes envolvidos no desenvolvimento da miopatia esquelética observada IC, sugere-se que estes receptores estejam associados às alterações morfofuncionais da musculatura esquelética na síndrome. Na presente Dissertação, avaliamos a contribuição dos receptores 2-adrenérgicos nas alterações metabólicas e morfofuncionais da musculatura esquelética e na intolerância aos esforços físicos decorrentes da IC. Para isso, utilizamos camundongos da linhagem FVB controles e com inativação gênica dos receptores 2-adrenérgicos (2KO) que foram submetidos à cirurgia de infarto ou à cirurgia fictícia (sham). O infarto induziu disfunção e remodelamento cardíacos nos animais controles, acompanhados de aumento nos níveis de noradrenalina e adrenalina circulantes, intolerância ao esforço físico, mudança na tipagem de fibras musculares e rarefação capilar nos músculos sóleo e plantar. Essas mesmas respostas foram observadas nos animais com inativação gênica dos receptores 2-adrenérgicos após o infarto do miocárdio, no entanto, os animais 2KO infartados apresentaram uma maior redução da tolerância ao esforço físico e um quadro mais grave de miopatia esquelética. Acompanhando essa atrofia muscular esquelética presente nos animais 2KO infartados, foi observado aumento da expressão de proteínas relacionadas ao sistema proteolítico ubiquitina-proteassoma, aumento da atividade do 26S-proteassoma e tendência a diminuição na expressão proteica de p-Akt (ser473), p-4E-BP1 (thr37/46) e p-FoxO3 (ser253). Os resultados sugerem que a ausência dos receptores 2-adrenérgicos agrava e/ou antecipa as alterações musculoesqueléticas observadas na insuficiência cardíaca, principalmente a atrofia muscular, e que a ativação do sistema proteolítico ubiquitina proteassoma e a inibição da síntese proteica por meio da via Akt/4E-BP1 parecem colaborar para estas respostas / Heart failure (HF) is a complex syndrome involving multiple systems and neurohumoral compensatory mechanisms accompanied by high morbidity and mortality, and it is characterized by clinical signs like fatigue, dyspnea, and increased exercise intolerance. Although HF is a syndrome of cardiac origin, it promotes changes in other tissues, such as skeletal muscle, where modifications of muscle phenotype and the loss of skeletal muscle mass observed in HF contribute to poor prognosis and increased mortality of patients. Taking into consideration that 2-adrenoceptors mediate the activity of sympathetic nervous system in skeletal muscle and that sympathetic hyperactivity is one of the main components involved in developing skeletal muscle abnormalities in HF, it has been suggested that 2-adrenoceptors would be associated with morphofunctional alterations due to chronic sympathetic hyperactivity in skeletal muscles in HF. In the present study, we evaluated the contribution of 2-adrenoceptors on metabolic and morphofunctional alterations in skeletal muscle and also on exercise intolerance-induced by HF. For this, we used FVB mice and mice lacking 2-adrenoceptors (2KO) that were submitted to myocardial infarction or sham surgery. Myocardial infarction induced cardiac dysfunction and remodeling in FVB mice, which was accompanied by significantly increased plasma levels of norepinephrine and epinephrine, exercise intolerance, changes in muscle fiber type and vascular rarefaction in both soleus and plantaris muscles. These same responses were observed in mice lacking 2-adrenoceptors submitted to myocardial infarction. However, infarcted 2KO mice presented a higher decrease of exercise tolerance and more severe skeletal myopathy. Accompanying the skeletal muscle atrophy of infarcted 2KO mice, it was observed a significantly increased protein expression of proteins related with the ubiquitin-proteasome system, an increased 26S-proteassome activity and a trend toward decreased protein expression of p-Akt (ser473), p-4E-BP1 (thr37/46) and p- FoxO3a (ser253). These results suggest that the lack of 2-adrenoceptors worsens and/or anticipates the skeletal muscle alterations observed in HF, mainly muscular atrophy, and the activation of ubiquitin-proteassome system and inhibition of protein synthesis by Akt/4E-BP1 pathway seem to play an important role in skeletal muscle myopathy
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Contribution of the sympathetic nervous system to the pathogenesis of salt-sensitive hypertensionPazzol, Michael Lee 08 April 2016 (has links)
Dysregulation of the sodium-chloride cotransporter (NCC) is believed to significantly impact blood pressure. Recent studies have implicated overactivity of the sympathetic nervous system as a mechanism driving renal NCC dysregulation to evoke the development of salt-sensitive hypertension. It is proposed that the sympathetic nervous system accomplishes this by norepinephrine (NE)-mediated over-activation of the beta2-adrenergic receptors located in the distal tubules of the kidney. Beta2-adrenoreceptor activation is hypothesized to stimulate the protein kinases SPAK and OxSR1 to phosphorylate and thus activate NCC. This beta2-receptor-SPAK/OxSR1-NCC pathway was elucidated in studies that challenged salt-resistant mice with high-salt diets, bilateral adrenalectomies, and NE infusion. To expand the scope of these studies, we investigated the effects of elevated circulating NE on blood pressure, NCC activity, and expression of NCC proteins, SPAK, and OxSR1 in a different salt-resistant animal species (the Sprague-Dawley rat).
In this study we implanted male Sprague-Dawley rats with osmotic minipumps delivering a subcutaneous infusion of either saline, NE, a 50:50 solution of DMSO/isotonic saline, a combination of NE and the NCC antagonist hydrochlorothiazide, or a combination of NE and the beta-adrenoreceptor antagonist propranolol. Following implantation of the pumps the rats were randomly assigned to either a standard diet (0.4% NaCl) or a high-salt diet (8% NaCl) for two weeks. After fourteen days all animals underwent acute femoral artery, vein, and bladder cannulation in order to monitor heart rate and blood pressure, administer drugs intravenously, and track renal function, respectively. Following surgical recovery, blood pressure and heart rate were measured continuously, and urine was collected in ten-minute intervals in order to assess peak natriuretic responses to amiloride and hydrochlorothiazide. Following this protocol the rats received an intravenous bolus of hexamethonium (30 mg/kg), and their peak drops in blood pressure were recorded. Afterwards both kidneys were harvested and frozen at -80 °C for measurement of NCC proteins, SPAK, and OxSR1 expression.
This study demonstrates that increased circulating NE induces salt-sensitive hypertension in the naturally salt-resistant Sprague-Dawley rat. Chronic infusion of NE raised the blood pressure of the rats, and a high-salt diet exacerbated this effect. Furthermore, NE prevented salt-evoked suppression of NCC activity and NCC, SPAK, and OxSR1 protein expression. Co-infusion of hydrochlorothiazide with NE attenuated NE-mediated hypertension and caused no variance in the blood pressures between the standard salt and high-salt groups. This indicates that chronically antagonizing NCC eliminated the salt-sensitive component of NE-mediated hypertension. Beta-receptor antagonism combined with NE infusion completely eliminated the hypertensive influence of NE and downregulated the expression of NCC proteins, SPAK, and OxSR1. However, NCC activity still remained at a level comparable with that observed in the NE-infused rats, demonstrating dissociation between protein expression and function.
These data, the first report in a rat model of an interaction of NE and a high salt intake that impairs NCC function, demonstrate that increased levels of NE in combination with a high dietary salt intake result in NCC dysregulation and the development of NE-mediated salt-sensitive hypertension. To an extent the data also support the proposition that NE activates the beta-adrenergic receptors to influence the activity of NCC and the expression of NCC proteins, SPAK, and OxSR1. Beta-antagonism combined with NE infusion attenuated the effects of NE on blood pressure and the expression of NCC proteins, SPAK, and OxSR1. However, the NE-mediated elevation of NCC activity still remained high. We propose that the beta-receptors are not the only adrenergic receptors that can influence NCC activity. The presence of alpha-adrenergic receptors in the distal tubules suggests that they may be able to keep NCC activity elevated through a pathway independent of the beta-receptors, SPAK, and OxSR1.
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Papel dos receptores beta 2-adrenérgicos nas alterações musculoesqueléticas desencadeadas pela insuficiência cardíaca. / Role of beta2-adrenergic receptors on skeletal muscle alterations induced by heart failureVanessa Azevedo Voltarelli 15 February 2012 (has links)
A insuficiência cardíaca (IC) é uma síndrome complexa que envolve múltiplos sistemas e mecanismos compensatórios neuro-hormonais, acompanhada de altos índices de morbidade e mortalidade, e caracterizada por sintomas clínicos como fadiga, dispneia, e intolerância aos esforços físicos. Embora a IC seja uma síndrome de origem cardíaca, observam-se alterações em outros tecidos, como na musculatura esquelética. As modificações do fenótipo muscular e a perda de massa muscular esquelética observadas na IC contribuem para o mau prognóstico e para o aumento da mortalidade dos pacientes. Considerando que os receptores 2-adrenérgicos medeiam a atividade do sistema nervoso simpático na musculatura esquelética, e que a hiperatividade simpática é um dos principais componentes envolvidos no desenvolvimento da miopatia esquelética observada IC, sugere-se que estes receptores estejam associados às alterações morfofuncionais da musculatura esquelética na síndrome. Na presente Dissertação, avaliamos a contribuição dos receptores 2-adrenérgicos nas alterações metabólicas e morfofuncionais da musculatura esquelética e na intolerância aos esforços físicos decorrentes da IC. Para isso, utilizamos camundongos da linhagem FVB controles e com inativação gênica dos receptores 2-adrenérgicos (2KO) que foram submetidos à cirurgia de infarto ou à cirurgia fictícia (sham). O infarto induziu disfunção e remodelamento cardíacos nos animais controles, acompanhados de aumento nos níveis de noradrenalina e adrenalina circulantes, intolerância ao esforço físico, mudança na tipagem de fibras musculares e rarefação capilar nos músculos sóleo e plantar. Essas mesmas respostas foram observadas nos animais com inativação gênica dos receptores 2-adrenérgicos após o infarto do miocárdio, no entanto, os animais 2KO infartados apresentaram uma maior redução da tolerância ao esforço físico e um quadro mais grave de miopatia esquelética. Acompanhando essa atrofia muscular esquelética presente nos animais 2KO infartados, foi observado aumento da expressão de proteínas relacionadas ao sistema proteolítico ubiquitina-proteassoma, aumento da atividade do 26S-proteassoma e tendência a diminuição na expressão proteica de p-Akt (ser473), p-4E-BP1 (thr37/46) e p-FoxO3 (ser253). Os resultados sugerem que a ausência dos receptores 2-adrenérgicos agrava e/ou antecipa as alterações musculoesqueléticas observadas na insuficiência cardíaca, principalmente a atrofia muscular, e que a ativação do sistema proteolítico ubiquitina proteassoma e a inibição da síntese proteica por meio da via Akt/4E-BP1 parecem colaborar para estas respostas / Heart failure (HF) is a complex syndrome involving multiple systems and neurohumoral compensatory mechanisms accompanied by high morbidity and mortality, and it is characterized by clinical signs like fatigue, dyspnea, and increased exercise intolerance. Although HF is a syndrome of cardiac origin, it promotes changes in other tissues, such as skeletal muscle, where modifications of muscle phenotype and the loss of skeletal muscle mass observed in HF contribute to poor prognosis and increased mortality of patients. Taking into consideration that 2-adrenoceptors mediate the activity of sympathetic nervous system in skeletal muscle and that sympathetic hyperactivity is one of the main components involved in developing skeletal muscle abnormalities in HF, it has been suggested that 2-adrenoceptors would be associated with morphofunctional alterations due to chronic sympathetic hyperactivity in skeletal muscles in HF. In the present study, we evaluated the contribution of 2-adrenoceptors on metabolic and morphofunctional alterations in skeletal muscle and also on exercise intolerance-induced by HF. For this, we used FVB mice and mice lacking 2-adrenoceptors (2KO) that were submitted to myocardial infarction or sham surgery. Myocardial infarction induced cardiac dysfunction and remodeling in FVB mice, which was accompanied by significantly increased plasma levels of norepinephrine and epinephrine, exercise intolerance, changes in muscle fiber type and vascular rarefaction in both soleus and plantaris muscles. These same responses were observed in mice lacking 2-adrenoceptors submitted to myocardial infarction. However, infarcted 2KO mice presented a higher decrease of exercise tolerance and more severe skeletal myopathy. Accompanying the skeletal muscle atrophy of infarcted 2KO mice, it was observed a significantly increased protein expression of proteins related with the ubiquitin-proteasome system, an increased 26S-proteassome activity and a trend toward decreased protein expression of p-Akt (ser473), p-4E-BP1 (thr37/46) and p- FoxO3a (ser253). These results suggest that the lack of 2-adrenoceptors worsens and/or anticipates the skeletal muscle alterations observed in HF, mainly muscular atrophy, and the activation of ubiquitin-proteassome system and inhibition of protein synthesis by Akt/4E-BP1 pathway seem to play an important role in skeletal muscle myopathy
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