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The interaction of different formulations of the antifungal drug amphotericin B (AmB) with model cell membranes was studied and new techniques of measuring this interaction using electrochemical and/or spectroscopic methods were developed. Two model cell membrane systems were used: sterol-free lipid monolayers adsorbed to a Hg electrode and sterol-free or sterol-containing floating lipid monolayers on a Langmuir trough. Electrochemical control over the adsorbed monolayer allowed the defectiveness of the layer to be varied and the interaction of AmB with both well-ordered and defective monolayers characterized. Measurements of monolayer capacitance and permeability were used to indicate the nature of the interaction. Capacitance provides a measure of the lipid organization, while permeability was measured via electro reduction of thallium (I)cation. The three AmB formulations and two control samples were examined and showed different interaction behaviour. The disruption of lipid order and permeabilization induced by the two commercial formulations correlated generally with in vivo studies of their toxicity. An experimental and possibly less toxic AmB formulation made monolayer significantly more permeable. In situ fluorescence microscopy of the monolayer on Hg was carried out after introducing a low concentration of fluorophore into the layer. Fluorescence intensity as a function of electrode potential was measured and was used to characterize the lipid on Hg model membrane system before we attempted to measure AmB's influence on the fluorescence. The fluorescence excitation and emission spectra of AmB itself were measured ex situ for two of the formulations. Using added surfactant to control AmB aggregation state, the relationship between AmB aggregation and its fluorescence properties was examined. We discovered AmB to have unusual dual fluorescence properties, the extent of which differed between formulations. We measured AmB's fluorescence in situ as the drug interacted with floating lipid monolayers on the Langmuir trough. Both the variation in fluorescence during compression of a mixed AmB/lipid monolayer and penetration of AmB into a phospholipid monolayer were measured. This experimental setup was configured to collect fluorescence only from AmB at the monolayer, and not from AmB in bulk solution. Fluorescence excitation was made using a laser diode extracted from a consumer electronics device.

The interaction of different formulations of the antifungal drug amphotericin B (AmB) with model cell membranes was studied and new techniques of measuring this interaction using electrochemical and/or spectroscopic methods were developed. Two model cell membrane systems were used: sterol-free lipid monolayers adsorbed to a Hg electrode and sterol-free or sterol-containing floating lipid monolayers on a Langmuir trough. Electrochemical control over the adsorbed monolayer allowed the defectiveness of the layer to be varied and the interaction of AmB with both well-ordered and defective monolayers characterized. Measurements of monolayer capacitance and permeability were used to indicate the nature of the interaction. Capacitance provides a measure of the lipid organization, while permeability was measured via electro reduction of thallium (I)cation. The three AmB formulations and two control samples were examined and showed different interaction behaviour. The disruption of lipid order and permeabilization induced by the two commercial formulations correlated generally with in vivo studies of their toxicity. An experimental and possibly less toxic AmB formulation made monolayer significantly more permeable. In situ fluorescence microscopy of the monolayer on Hg was carried out after introducing a low concentration of fluorophore into the layer. Fluorescence intensity as a function of electrode potential was measured and was used to characterize the lipid on Hg model membrane system before we attempted to measure AmB's influence on the fluorescence. The fluorescence excitation and emission spectra of AmB itself were measured ex situ for two of the formulations. Using added surfactant to control AmB aggregation state, the relationship between AmB aggregation and its fluorescence properties was examined. We discovered AmB to have unusual dual fluorescence properties, the extent of which differed between formulations. We measured AmB's fluorescence in situ as the drug interacted with floating lipid monolayers on the Langmuir trough. Both the variation in fluorescence during compression of a mixed AmB/lipid monolayer and penetration of AmB into a phospholipid monolayer were measured. This experimental setup was configured to collect fluorescence only from AmB at the monolayer, and not from AmB in bulk solution. Fluorescence excitation was made using a laser diode extracted from a consumer electronics device.

The interaction of different formulations of the antifungal drug amphotericin B (AmB) with model cell membranes was studied and new techniques of measuring this interaction using electrochemical and/or spectroscopic methods were developed. Two model cell membrane systems were used: sterol-free lipid monolayers adsorbed to a Hg electrode and sterol-free or sterol-containing floating lipid monolayers on a Langmuir trough. Electrochemical control over the adsorbed monolayer allowed the defectiveness of the layer to be varied and the interaction of AmB with both well-ordered and defective monolayers characterized. Measurements of monolayer capacitance and permeability were used to indicate the nature of the interaction. Capacitance provides a measure of the lipid organization, while permeability was measured via electro reduction of thallium (I)cation. The three AmB formulations and two control samples were examined and showed different interaction behaviour. The disruption of lipid order and permeabilization induced by the two commercial formulations correlated generally with in vivo studies of their toxicity. An experimental and possibly less toxic AmB formulation made monolayer significantly more permeable. In situ fluorescence microscopy of the monolayer on Hg was carried out after introducing a low concentration of fluorophore into the layer. Fluorescence intensity as a function of electrode potential was measured and was used to characterize the lipid on Hg model membrane system before we attempted to measure AmB's influence on the fluorescence. The fluorescence excitation and emission spectra of AmB itself were measured ex situ for two of the formulations. Using added surfactant to control AmB aggregation state, the relationship between AmB aggregation and its fluorescence properties was examined. We discovered AmB to have unusual dual fluorescence properties, the extent of which differed between formulations. We measured AmB's fluorescence in situ as the drug interacted with floating lipid monolayers on the Langmuir trough. Both the variation in fluorescence during compression of a mixed AmB/lipid monolayer and penetration of AmB into a phospholipid monolayer were measured. This experimental setup was configured to collect fluorescence only from AmB at the monolayer, and not from AmB in bulk solution. Fluorescence excitation was made using a laser diode extracted from a consumer electronics device. / Science, Faculty of / Chemistry, Department of / Graduate

Recentemente, pesquisadores têm descrito resultados promissores oriundos da Biomembrana de Látex Natural (BML). Estudos vêm sendo desenvolvidos para comprovar as características indutoras de neovascularização e regeneração tecidual que foram atribuídas a esse material. Entretanto, a biocompatibilidade tem sido considerada um dos mais importantes itens para validar um biomaterial para sua aplicação em humanos. A proposta deste estudo foi investigar qualitativa e quantitativamente os efeitos deste biopolímero, confeccionado à partir da extração de látex vegetal oriundos da árvore da borracha, Hevea brasiliensis, em pele de ratos escaldados. Foram usados 22 ratos, Wistar machos, com pesos entre 200 e 300g, divididos em três grupos: Controle negativo - normais (GI), Controle positivo - queimados (GII) e Tratados com a BML (GIII). A lesão térmica foi realizada por escaldamento (LTE), padronizada pelo peso corpóreo e usando água quente (85ºC for 10 segundos), e a ortoeutanásia dos animais ocorreu nos períodos de 4 e 14 dias pós-lesão. Os animais foram mantidos sob as mesmas condições de alojamento, alimentação, temperatura, umidade e luz. O grupo GIII apresentou melhor cicatrização comparado àqueles do grupo GII. Observou-se que as fibras colágenas e elásticas apresentaram-se em uma rede melhor organizada no grupo GIII e observou-se, ainda, que o número de vasos também foi maior neste grupo. Como vistos em estudos anteriores, a BML favoreceu a cicatrização em áreas queimadas e a neoangiogênese, sugerindo que este biomaterial é um promissor recurso terapêutico para a cicatrização da pele, particularmente nos casos em que a revascularização tecidual seja importante. / Recent investigations have described promising results obtained with the Natural Latex Biomembrane (BML). Several studies had been performed to prove the inductive characteristics of vascularization and tissue regeneration that has been attributed to this material. However biocompatibility has been considered one of the most important items to validate a biomaterial for its application in human beings. The aim of this study was to investigate qualitatively and quantitatively the effects of a biopolymer based on vegetal latex extracted from the Hevea brasiliensis rubber tree in scalded rat skin. Twenty two male Wistar rats weighing between 200 300 g, were divided in three groups: Negative control - normal (GI), Positive control - scalded (GII), and Treated with the BML (GIII). The thermal burn standardized with the body weight, was made using hot water (85ºC for 10 seconds). Euthanasia was performed at 4, and 14 days pos-burn. Animals were kept under the same conditions of accommodation, feeding, temperature, humidity, and light. The burn area with satisfactory healing was greater in GIII than in GII. Collagen and elastic fibers could be seen in a very organized fashion in GIII group, in a similar arrangement that GI. The number of vessels was higher in GIII that others groups. Similar to earlier studies, the BML seemed to benefit cicatrization and neoangiogenesis in the burn skin, suggesting that this biomaterial might be a new type of therapeutic resource for skin burn replacement, especially in cases of desirable tissue revascularization.

Recentemente, pesquisadores têm descrito resultados promissores oriundos da Biomembrana de Látex Natural (BML). Estudos vêm sendo desenvolvidos para comprovar as características indutoras de neovascularização e regeneração tecidual que foram atribuídas a esse material. Entretanto, a biocompatibilidade tem sido considerada um dos mais importantes itens para validar um biomaterial para sua aplicação em humanos. A proposta deste estudo foi investigar qualitativa e quantitativamente os efeitos deste biopolímero, confeccionado à partir da extração de látex vegetal oriundos da árvore da borracha, Hevea brasiliensis, em pele de ratos escaldados. Foram usados 22 ratos, Wistar machos, com pesos entre 200 e 300g, divididos em três grupos: Controle negativo - normais (GI), Controle positivo - queimados (GII) e Tratados com a BML (GIII). A lesão térmica foi realizada por escaldamento (LTE), padronizada pelo peso corpóreo e usando água quente (85ºC for 10 segundos), e a ortoeutanásia dos animais ocorreu nos períodos de 4 e 14 dias pós-lesão. Os animais foram mantidos sob as mesmas condições de alojamento, alimentação, temperatura, umidade e luz. O grupo GIII apresentou melhor cicatrização comparado àqueles do grupo GII. Observou-se que as fibras colágenas e elásticas apresentaram-se em uma rede melhor organizada no grupo GIII e observou-se, ainda, que o número de vasos também foi maior neste grupo. Como vistos em estudos anteriores, a BML favoreceu a cicatrização em áreas queimadas e a neoangiogênese, sugerindo que este biomaterial é um promissor recurso terapêutico para a cicatrização da pele, particularmente nos casos em que a revascularização tecidual seja importante. / Recent investigations have described promising results obtained with the Natural Latex Biomembrane (BML). Several studies had been performed to prove the inductive characteristics of vascularization and tissue regeneration that has been attributed to this material. However biocompatibility has been considered one of the most important items to validate a biomaterial for its application in human beings. The aim of this study was to investigate qualitatively and quantitatively the effects of a biopolymer based on vegetal latex extracted from the Hevea brasiliensis rubber tree in scalded rat skin. Twenty two male Wistar rats weighing between 200 300 g, were divided in three groups: Negative control - normal (GI), Positive control - scalded (GII), and Treated with the BML (GIII). The thermal burn standardized with the body weight, was made using hot water (85ºC for 10 seconds). Euthanasia was performed at 4, and 14 days pos-burn. Animals were kept under the same conditions of accommodation, feeding, temperature, humidity, and light. The burn area with satisfactory healing was greater in GIII than in GII. Collagen and elastic fibers could be seen in a very organized fashion in GIII group, in a similar arrangement that GI. The number of vessels was higher in GIII that others groups. Similar to earlier studies, the BML seemed to benefit cicatrization and neoangiogenesis in the burn skin, suggesting that this biomaterial might be a new type of therapeutic resource for skin burn replacement, especially in cases of desirable tissue revascularization.

[pt] Apesar do conhecimento do comportamento de estruturas sobre base elástica ser importante para a engenharia de forma geral, a motivação deste trabalho está focada na Biomecânica, nos nossos trabalhos envolvendo o grupo de pesquisa da Clínica do Dr.Ivo Pitanguy e da Santa Casa de Misericórdia. Em tese recente de Doutorado, foi realizada uma modelagem da técnica cirúrgica de expansão da pele. A expansão da pele é um processo fisiológico, definido como a capacidade que a pele tem de aumentar sua área superficial em resposta a uma deformação imposta. Durante as expansões acompanhadas pode- se observar que dependendo da região em que o expansor é implantado seu comportamento pode ser bastante distinto. Expansores que são implantados no couro cabeludo iniciam a expansão da pele assim que é introduzida a solução salina no expansor. Quando o expansor é implantado em regiões com mais gordura, como por exemplo na coxa, a expansão da pele não se inicia imediatamente tendo em vista que o expansor se deforma para dentro, pressionando a gordura (que oferece menos resistência) e não a pele. Este comportamento ocasiona abertura dos pontos na cicatriz e pode chegar a inviabilizar todo o processo de expansão naquela região. Para a simulação do processo de expansão da pele, foi feita a expansão com lençol de borracha e para a base elástica foi usado um conjunto que consistia em uma bexiga elástica preenchida com um material viscoso no seu interior. Este trabalho é pioneiro em investigar tanto numérica quanto experimentalmente o comportamento da expansão de lençóis de borracha sobre base rígida e base elástica, comparando o seu comportamento. Os resultados numéricos e experimentais da expansão do lençol de borracha tiveram uma boa concordância e a análise paramétrica da espessura do lençol de borracha comprovou a importância da obtenção mais precisa da espessura da pele pelos médicos, já que as pressões verificadas são bem diferentes para cada espessura. Foram estudadas diversas equações constitutivas, procurando a que melhor descrevesse o processo da expansão da pele. A formulação do material Neo-Hookeano obteve os melhores resultados para o lençol de borracha. Também foi feito um estudo com a formulação de energia de Delfino para estudar a expansão da pele humana. / [en] Despite the knowledge of the behavior of structures on elastic base being important for the engineering of general form, the motivation of this work is focused in the Biomechanics, in our works involving the group of research of the Clinic of the Dr.Ivo Pitanguy and the Saint Casa de Misericórdia. In recent thesis of Dsc., a modeling of the surgical technique of expansion of the skin was carried through. The expansion of the skin is a physiological process, defined as the capacity that the skin has to increase its superficial area in reply to an imposed deformation. During the expansions it could be observed that depending on the region where the expander is implanted its behavior could be sufficiently distinct. Expanders who are implanted on the head initiate the expansion of the skin immediately when the saline solution is introduced in the expander. When the expander is implanted in regions with more fat, as for example in the thigh, the expansion of the skin does not initiate immediately in view of that the expander is deformed to the inner part, pressuring the fat (that offers little resistance) and not the skin. This behavior causes opening of the points in the scar and can make impracticable the process of expansion in that region. For the simulation the process of skin expansion, it was made an expansion with rubber sheet and a set was used for the elastic base that consisted of a filled elastic bladder with a viscous material in its interior. This work is pioneer in investigating numerical and experimentally the behavior of the rubber sheet expansion on rigid base and elastic base, comparing its behavior. The numerical and experimental results of the expansion of the rubber sheet had a good agreement and the parametric analysis of the thickness of the rubber sheet proved the importance of a precise measure of the skin thickness by the doctors, since the verified pressures are different for each thickness. Diverse constituent equations had been studied, looking the one that better described the process of the expansion of the skin. The formularization of the Neo-Hook material got the best results for the rubber sheet. Also a study with the formularization of energy of Delfino was made to study the expansion of the human skin.

A biomenbrana de látex natural (BLN) da serigueira HEVEA brasiliensis, utilizada como curativo no tratamento de úlceras crônicas em humanos, mostra-se eficaz no desbridamento e no estímulo à granulação, acelerando a cicatrização. Seu mecanismo de ação ainda é desconhecido, tornando-se importante avaliar sua atividade como implante na indução tecidual, comparando-a aos outros implantes e à cicatrização normal (SHAM). Foram utilizados camundongos C57BL/6, constituído de 5 grupos distintos pelo implante subcutâneo dorsal (1cm2): 15 implantados com BLN; 15-LUVA cirúrgica (látex desnaturado); 15-ePTFE (PoliTetraFluorEtileno Expandido - implante sintético) e 15-SHAM. A atividade dos implantes foi avaliada no 2º, 7º e 14º dias, sacrificando 5 animais/grupo/tempo para biópsias (punch-4mm). Toda pele da área implantada foi recortada e fotografada. As amostras foram submetidas a estudos histológicos por HE para contagem das células inflamatórias, fibroplasia e angiogênese, utilizando o plugin \"Cell Counter\" no software ImageJ®; pelo Tricrômio de Gomori para quantificação colagênica pelo \"Threshold\" no ImageJ®, e imunohistoquímica para iNOS, IL-1?, VEGF e TGF-?1. A partir do sobrenadante do macerado das biópsias foram realizadas as dosagens de mieloperoxidase (MPO), IL-1? e de TGF-?1 por ELISA. Macroscopicamente, viu-se maior quantidade de tecido neoformado nos animais implantados com BLN já no 2º dia, diferente dos demais grupos. À histologia (HE), constatou-se que a BLN no 2º dia estimulou denso infiltrado inflamatório, principalmente neutrófilos, seguido de maior produção de MPO e de IL-1?, diferente dos demais tratamentos (P<0,01). Com 7 e 14 dias, a quantidade de IL-1? nos grupos LUVA e SHAM foi maior que a da BLN e do ePTFE, mostrando o equilíbrio no estímulo inicial da atividade inflamatória pela BLN. Quanto a angiogênese, os grupos BLN e LUVA com 7 e 14 dias apresentaram maior formação de vasos que o ePTFE e SHAM. Entretanto, na imunohistoquímica observou-se baixa expressão de VEGF no grupo BLN no 7º e 14º dia. Quanto a fibroplasia, o ePTFE com 7 dias apresentou maior fibroplasia que todos os grupos (P<0,01). No 14º dia, a BLN apresentou maior fibroplasia, embora sem diferença estatística entre os grupos. Quanto à colagênese, pelo ImageJ® (\"Threshold\") por Tricrômio de Gomori, os implantes se comportaram de maneira semelhante, inclusive com o SHAM, exceto no 14º dia que o ePTFE apresentou colagênese maior que a LUVA e BLN (P<0,01). O grupo SHAM apresentou maior concentração de TGF-beta1 que os demais grupos no sétimo dia (P<0,01), semelhante à BLN e à LUVA no 14º, entretanto maior que o ePTFE (P<0,01). Conclui-se que a biomembrana de látex da seringueira Hevea brasiliensis atua significativamente na fase inflamatória da cicatrização, importante no recrutamento neutrofílico para o local, confirmado quantitativamente pela concentração de MPO e IL-beta1 e por imunohistoquímica. Este fato parece influenciar diretamente as fases subseqüentes do processo cicatricial, confirmada pela sua capacidade estimuladora de angiogênese, provavelmente não influenciada por VEGF, e pelo estímulo à fibroplasia independente de TGF-beat1 e sem modificação na produção colagênica. / The natural latex biomembrane (NLB) from Hevea brasiliensis rubber tree, used as dressing in the treatment of human chronic ulcers, has been showed efficient in the debridement and the granulation stimulation, accelerating the healing. Its mechanism of action is still unknown, becoming important to evaluate its activity as implantation in the tissue induction, comparing it with the other implants and with the normal healing (SHAM). Mice C57BL/6, consisting of 5 distinct groups had been used of the dorsal subcutaneous implantation (1cm2): 15 implanted with NLB; 15 with surgical GLOVE (unnatural latex); 15 with ePTFE (expanded polytetrafluorethylene - synthetic implantation) and 15 without implant (SHAM). The activity of the implants was evaluated in 2nd, 7th and 14th days. Five animals for group each time were sacrificed for biopsies with 4mm punch. All skin of the implanted area was cut and photographed. The samples had been submitted to the histology studies for haematoxylin-eosin for counting the inflammatory cells, fibroplasia and angiogenesis, using \"Cell Counter\" plugin in the ImageJ® software; by Gomori\'s thrichrome for collagen quantification using \"Threshold\" in the ImageJ®, and iNOS, IL-beta1, VEGF and TGF-beta1 immunohistochemistry. From the biopsies macerated supernatant, the myeloperoxidase assay had been carried through (MPO), IL-beta1 and of TGF-beta1 by ELISA. Macroscopically, it was observed a big amount of new tissue formed in the NLB implanted animals on 2nd day, different of the other groups. In histological analyze by H&E, it was observed that the NLB in 2nd day stimulated dense inflammatory infiltrated, mainly by neutrophils, followed of bigger production of MPO and IL-beta1, different of the other treatments (P<0,01). After 7 and 14 days, the amount of IL-beta1 in the groups GLOVE and SHAM were greater than the NLB and ePTFE, showing the balance in the initial stimulation of the inflammatory activity by the NLB. About angiogenesis, both groups (NLB and GLOVE) after 7 and 14 days had presented greater formation of vessels than ePTFE and SHAM (P<0,01).However, in the immunohistochemistry was observed a low VEGF expression in the NLB group in 7th and 14th days. Related to fibroplasia, ePTFE after 7 days presented greater fibroplasia than all the groups (P<0,01). In 14th day, the NLB presented an important fibroplasia, even so without statistic difference between the groups. The collagen proliferation evaluated by the ImageJ® (\"Threshold\") applied in Gormori\'s thrichrome stained biopsies, the implants showed similar results, also with the SHAM, except in 14th day that ePTFE presented bigger collagen proliferation than the GLOVE (P<0,01).The SHAM group presented greater concentration of TGF-beta1 than the other groups in the seventh day (P<0,01), equal to the NLB and the GLOVE in 14th, however bigger than ePTFE (P<0,01).In conclusion, natural latex biomembrane (NLB) from Hevea brasiliensis rubber tree acts significantly in the inflammatory phase of the healing process, important in the neutrophilic recruitment to injury local, confirmed quantitatively by MPO and IL-beta1 concentrations and by immuno histochemistry. This fact seems to influence directly the subsequent phases of the healing process, confirmed for its stimulatory capacity of the angiogenesis, probably not influenced by VEGF, and the fibroplasia stimulation independent of TGF-beta1 and without modification in the collagen production.

A biomenbrana de látex natural (BLN) da serigueira HEVEA brasiliensis, utilizada como curativo no tratamento de úlceras crônicas em humanos, mostra-se eficaz no desbridamento e no estímulo à granulação, acelerando a cicatrização. Seu mecanismo de ação ainda é desconhecido, tornando-se importante avaliar sua atividade como implante na indução tecidual, comparando-a aos outros implantes e à cicatrização normal (SHAM). Foram utilizados camundongos C57BL/6, constituído de 5 grupos distintos pelo implante subcutâneo dorsal (1cm2): 15 implantados com BLN; 15-LUVA cirúrgica (látex desnaturado); 15-ePTFE (PoliTetraFluorEtileno Expandido - implante sintético) e 15-SHAM. A atividade dos implantes foi avaliada no 2º, 7º e 14º dias, sacrificando 5 animais/grupo/tempo para biópsias (punch-4mm). Toda pele da área implantada foi recortada e fotografada. As amostras foram submetidas a estudos histológicos por HE para contagem das células inflamatórias, fibroplasia e angiogênese, utilizando o plugin \"Cell Counter\" no software ImageJ®; pelo Tricrômio de Gomori para quantificação colagênica pelo \"Threshold\" no ImageJ®, e imunohistoquímica para iNOS, IL-1?, VEGF e TGF-?1. A partir do sobrenadante do macerado das biópsias foram realizadas as dosagens de mieloperoxidase (MPO), IL-1? e de TGF-?1 por ELISA. Macroscopicamente, viu-se maior quantidade de tecido neoformado nos animais implantados com BLN já no 2º dia, diferente dos demais grupos. À histologia (HE), constatou-se que a BLN no 2º dia estimulou denso infiltrado inflamatório, principalmente neutrófilos, seguido de maior produção de MPO e de IL-1?, diferente dos demais tratamentos (P<0,01). Com 7 e 14 dias, a quantidade de IL-1? nos grupos LUVA e SHAM foi maior que a da BLN e do ePTFE, mostrando o equilíbrio no estímulo inicial da atividade inflamatória pela BLN. Quanto a angiogênese, os grupos BLN e LUVA com 7 e 14 dias apresentaram maior formação de vasos que o ePTFE e SHAM. Entretanto, na imunohistoquímica observou-se baixa expressão de VEGF no grupo BLN no 7º e 14º dia. Quanto a fibroplasia, o ePTFE com 7 dias apresentou maior fibroplasia que todos os grupos (P<0,01). No 14º dia, a BLN apresentou maior fibroplasia, embora sem diferença estatística entre os grupos. Quanto à colagênese, pelo ImageJ® (\"Threshold\") por Tricrômio de Gomori, os implantes se comportaram de maneira semelhante, inclusive com o SHAM, exceto no 14º dia que o ePTFE apresentou colagênese maior que a LUVA e BLN (P<0,01). O grupo SHAM apresentou maior concentração de TGF-beta1 que os demais grupos no sétimo dia (P<0,01), semelhante à BLN e à LUVA no 14º, entretanto maior que o ePTFE (P<0,01). Conclui-se que a biomembrana de látex da seringueira Hevea brasiliensis atua significativamente na fase inflamatória da cicatrização, importante no recrutamento neutrofílico para o local, confirmado quantitativamente pela concentração de MPO e IL-beta1 e por imunohistoquímica. Este fato parece influenciar diretamente as fases subseqüentes do processo cicatricial, confirmada pela sua capacidade estimuladora de angiogênese, provavelmente não influenciada por VEGF, e pelo estímulo à fibroplasia independente de TGF-beat1 e sem modificação na produção colagênica. / The natural latex biomembrane (NLB) from Hevea brasiliensis rubber tree, used as dressing in the treatment of human chronic ulcers, has been showed efficient in the debridement and the granulation stimulation, accelerating the healing. Its mechanism of action is still unknown, becoming important to evaluate its activity as implantation in the tissue induction, comparing it with the other implants and with the normal healing (SHAM). Mice C57BL/6, consisting of 5 distinct groups had been used of the dorsal subcutaneous implantation (1cm2): 15 implanted with NLB; 15 with surgical GLOVE (unnatural latex); 15 with ePTFE (expanded polytetrafluorethylene - synthetic implantation) and 15 without implant (SHAM). The activity of the implants was evaluated in 2nd, 7th and 14th days. Five animals for group each time were sacrificed for biopsies with 4mm punch. All skin of the implanted area was cut and photographed. The samples had been submitted to the histology studies for haematoxylin-eosin for counting the inflammatory cells, fibroplasia and angiogenesis, using \"Cell Counter\" plugin in the ImageJ® software; by Gomori\'s thrichrome for collagen quantification using \"Threshold\" in the ImageJ®, and iNOS, IL-beta1, VEGF and TGF-beta1 immunohistochemistry. From the biopsies macerated supernatant, the myeloperoxidase assay had been carried through (MPO), IL-beta1 and of TGF-beta1 by ELISA. Macroscopically, it was observed a big amount of new tissue formed in the NLB implanted animals on 2nd day, different of the other groups. In histological analyze by H&E, it was observed that the NLB in 2nd day stimulated dense inflammatory infiltrated, mainly by neutrophils, followed of bigger production of MPO and IL-beta1, different of the other treatments (P<0,01). After 7 and 14 days, the amount of IL-beta1 in the groups GLOVE and SHAM were greater than the NLB and ePTFE, showing the balance in the initial stimulation of the inflammatory activity by the NLB. About angiogenesis, both groups (NLB and GLOVE) after 7 and 14 days had presented greater formation of vessels than ePTFE and SHAM (P<0,01).However, in the immunohistochemistry was observed a low VEGF expression in the NLB group in 7th and 14th days. Related to fibroplasia, ePTFE after 7 days presented greater fibroplasia than all the groups (P<0,01). In 14th day, the NLB presented an important fibroplasia, even so without statistic difference between the groups. The collagen proliferation evaluated by the ImageJ® (\"Threshold\") applied in Gormori\'s thrichrome stained biopsies, the implants showed similar results, also with the SHAM, except in 14th day that ePTFE presented bigger collagen proliferation than the GLOVE (P<0,01).The SHAM group presented greater concentration of TGF-beta1 than the other groups in the seventh day (P<0,01), equal to the NLB and the GLOVE in 14th, however bigger than ePTFE (P<0,01).In conclusion, natural latex biomembrane (NLB) from Hevea brasiliensis rubber tree acts significantly in the inflammatory phase of the healing process, important in the neutrophilic recruitment to injury local, confirmed quantitatively by MPO and IL-beta1 concentrations and by immuno histochemistry. This fact seems to influence directly the subsequent phases of the healing process, confirmed for its stimulatory capacity of the angiogenesis, probably not influenced by VEGF, and the fibroplasia stimulation independent of TGF-beta1 and without modification in the collagen production.

京都大学 / 新制・課程博士 / 博士(工学) / 甲第24586号 / 工博第5092号 / 新制||工||1975(附属図書館) / 京都大学大学院工学研究科高分子化学専攻 / (主査)教授 秋吉 一成, 教授 大塚 浩二, 教授 田中 一生 / 学位規則第4条第1項該当 / Doctor of Philosophy (Engineering) / Kyoto University / DGAM