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A deficiência de vitamina A é um problema global de saúde pública que afeta especialmente crianças com menos de 5 anos, mulheres durante o parto e 1 ano pós-parto e é a principal causa de cegueira evitável em crianças. Biofortificação é uma estratégia que visa reduzir as deficiências de micronutrientes em populações vulneráveis ao redor do mundo através do aumento da concentração de nutrientes nos alimentos básicos. Investigou-se os efeitos de genótipos e estilos de cocção sobre o conteúdo, retenção e biodisponibilidade de ?-caroteno (?C) em mandiocas biofortificadas e batatas-doces de polpa laranja (BDPL). Cinco genótipos de mandioca biofortificada, três acessos parentais, e uma mandioca branca foram fornecidos por dois programas de melhoramento. Adicionalmente, foram avaliados dois genótipos de BDPL e duas marcas de alimentos infantis. Tanto as raízes de mandioca quanto de batatas-doces foram analisadas cruas, cozidas em água a 100°C, e fritas em óleo de soja a 180°C após cozimento. Os carotenoides foram extraídos e analisados por HPLC-DAD. A biodisponibilidade foi determinada utilizando a digestão oral, gástrica e duodenal in vitro e absorção por culturas celulares Caco-2. Somente o ?C foi detectado em todos os genótipos de mandioca, embora os teores tenham variado significativamente dependendo do genótipo. As mandiocas melhoradas continham pelo menos 10 vezes mais ?C do que a branca. O cozimento e a fritura foram associados com a perda e isomerização de ?C na mandioca bem como na BDPL. Houve interação significativa entre genótipo e processamento nos perfis e teores de ?C. Eficiência de micelarização do trans-?C nas mandiocas cozidas foi menor do que nas fritas. As mandiocas biofortificadas prontas para consumo podem fornecer até 28% da IDR de retinol. A absorção pelas células Caco-2 do trans-?C foi analisada em quatro genótipos. Dois deles não foram afetados pela cocção em relação à absorção celular, no entanto, os outros dois genótipos apresentaram aumento com a fritura. Com relação às batatas-doces, o trans-?C foi o principal carotenoide encontrado, embora também tenham sido identificados três isómeros do ?C e ?-caroteno em quantidades menores. O teor do trans-?C em um dos genótipos de BDPL foi duas vezes maior do que nos alimentos infantis. Nos alimentos infantis foi encontrada presença relativa de 13-cis-?C maior do que nas BDPLs. A eficiência de micelarização de trans-?C das batatas-doces foi considerada baixa, e não teve diferença com os processamentos. A absorção por Caco-2 não foi diferente para os genótipos de BDPL e alimentos infantis investigados. A quantidade intracelular acumulada de trans-?C foi proporcional à concentração do material inicial. Em resumo, as culturas biofortificadas estudadas podem aumentar a concentração de ?C na dieta. A mandioca frita apresenta mais ?C biodisponível do que ela cozida. Tanto o genótipo da mandioca quanto o tipo de processamento influenciam a absorção de trans-?C. Por outro lado, não foram encontradas evidências de que a redução de partículas, utilizada no alimento infantil, ofereça maior biodisponibilidade de beta-caroteno das BDPLs / Vitamin A deficiency is a world public health problem that affects especially infants, children less than 5 years of age, women during birthing and 1 year post-partum and is the primary cause of avoidable blindness in children. Biofortification is a strategy aimed at decreasing global micronutrient deficiencies in vulnerable populations by increasing the nutrient density in staple food crops. It was investigated the effects of genotype and cooking styles on the content, retention and bioavailability of ?-carotene (?C) in biofortified cassava and orange fleshed sweet-potatoes (OFSP). Five genotypes of biofortified cassava, three parental accessions, and one white cassava were provided by two different breeding programs. Additionally, two genotypes of OFSP and two brands of high processed baby foods were evaluated. Both cassava and OFSP roots were analyzed raw, after boiling in water at 100°C only or after subsequent frying in soybean oil at 180°C. Carotenoids were extracted and analyzed by HPLC-DAD. Bioavailability was assessed using an in vitro oral, gastric and small intestinal digestion coupled with the Caco-2 human intestinal cell model. Only ?C was detected in all tested genotypes of cassava root, although its content varied markedly depending on genotype. Biofortified genotypes contained at least 10-fold higher ?C than the white variety. Boiling and frying were associated with loss and isomerization of ?C in cassava as well as OFSP. There was an interaction of genotype and cooking style on profile of ?C contents. Efficiency of micellarization of trans-?C in boiled cassava was lower than in fried. Biofortified cassava ready to eat can provide up to 28% of the IDR of retinol. Uptake of trans-?C in micelles generated during digestion by Caco-2 cells was analyzed for the four of the five biofortified genotypes. Cell uptake of ?C from two genotypes were not affected by processing, however the other two genotypes had increased with frying. Regarding sweet-potatoes, trans-?C was the major carotenoid found, although it was identified three ?C isomers and ?-carotene in minimal quantities. The concentration of trans-?C in one genotype of OFSP was two times higher than baby foods and the other genotype. Baby foods had relative presence of the 13-cis-?C higher than in the OFSP. Efficiency of micellarization of trans-?C from cooked OFSP or Baby foods was considered low, and had no statistic differences between boiling and frying. The Caco-2 cells uptake were not different for the genotypes and baby foods investigated. The absolute amount of accumulated trans-?C intracellular was proportional to the concentration of the starting material. In summary, biofortified crops can increase ?C contents in diet. Fried cassava presents more bioavailable ?C than boiled. Cassava genotype and cooking style may influence uptake of trans-?C by absorptive intestinal cells. In contrast, there is no evidence that high processed OFSP has more bioavailability of ?C than homemade boiled or fried OFSP

A deficiência de vitamina A é um problema global de saúde pública que afeta especialmente crianças com menos de 5 anos, mulheres durante o parto e 1 ano pós-parto e é a principal causa de cegueira evitável em crianças. Biofortificação é uma estratégia que visa reduzir as deficiências de micronutrientes em populações vulneráveis ao redor do mundo através do aumento da concentração de nutrientes nos alimentos básicos. Investigou-se os efeitos de genótipos e estilos de cocção sobre o conteúdo, retenção e biodisponibilidade de ?-caroteno (?C) em mandiocas biofortificadas e batatas-doces de polpa laranja (BDPL). Cinco genótipos de mandioca biofortificada, três acessos parentais, e uma mandioca branca foram fornecidos por dois programas de melhoramento. Adicionalmente, foram avaliados dois genótipos de BDPL e duas marcas de alimentos infantis. Tanto as raízes de mandioca quanto de batatas-doces foram analisadas cruas, cozidas em água a 100°C, e fritas em óleo de soja a 180°C após cozimento. Os carotenoides foram extraídos e analisados por HPLC-DAD. A biodisponibilidade foi determinada utilizando a digestão oral, gástrica e duodenal in vitro e absorção por culturas celulares Caco-2. Somente o ?C foi detectado em todos os genótipos de mandioca, embora os teores tenham variado significativamente dependendo do genótipo. As mandiocas melhoradas continham pelo menos 10 vezes mais ?C do que a branca. O cozimento e a fritura foram associados com a perda e isomerização de ?C na mandioca bem como na BDPL. Houve interação significativa entre genótipo e processamento nos perfis e teores de ?C. Eficiência de micelarização do trans-?C nas mandiocas cozidas foi menor do que nas fritas. As mandiocas biofortificadas prontas para consumo podem fornecer até 28% da IDR de retinol. A absorção pelas células Caco-2 do trans-?C foi analisada em quatro genótipos. Dois deles não foram afetados pela cocção em relação à absorção celular, no entanto, os outros dois genótipos apresentaram aumento com a fritura. Com relação às batatas-doces, o trans-?C foi o principal carotenoide encontrado, embora também tenham sido identificados três isómeros do ?C e ?-caroteno em quantidades menores. O teor do trans-?C em um dos genótipos de BDPL foi duas vezes maior do que nos alimentos infantis. Nos alimentos infantis foi encontrada presença relativa de 13-cis-?C maior do que nas BDPLs. A eficiência de micelarização de trans-?C das batatas-doces foi considerada baixa, e não teve diferença com os processamentos. A absorção por Caco-2 não foi diferente para os genótipos de BDPL e alimentos infantis investigados. A quantidade intracelular acumulada de trans-?C foi proporcional à concentração do material inicial. Em resumo, as culturas biofortificadas estudadas podem aumentar a concentração de ?C na dieta. A mandioca frita apresenta mais ?C biodisponível do que ela cozida. Tanto o genótipo da mandioca quanto o tipo de processamento influenciam a absorção de trans-?C. Por outro lado, não foram encontradas evidências de que a redução de partículas, utilizada no alimento infantil, ofereça maior biodisponibilidade de beta-caroteno das BDPLs / Vitamin A deficiency is a world public health problem that affects especially infants, children less than 5 years of age, women during birthing and 1 year post-partum and is the primary cause of avoidable blindness in children. Biofortification is a strategy aimed at decreasing global micronutrient deficiencies in vulnerable populations by increasing the nutrient density in staple food crops. It was investigated the effects of genotype and cooking styles on the content, retention and bioavailability of ?-carotene (?C) in biofortified cassava and orange fleshed sweet-potatoes (OFSP). Five genotypes of biofortified cassava, three parental accessions, and one white cassava were provided by two different breeding programs. Additionally, two genotypes of OFSP and two brands of high processed baby foods were evaluated. Both cassava and OFSP roots were analyzed raw, after boiling in water at 100°C only or after subsequent frying in soybean oil at 180°C. Carotenoids were extracted and analyzed by HPLC-DAD. Bioavailability was assessed using an in vitro oral, gastric and small intestinal digestion coupled with the Caco-2 human intestinal cell model. Only ?C was detected in all tested genotypes of cassava root, although its content varied markedly depending on genotype. Biofortified genotypes contained at least 10-fold higher ?C than the white variety. Boiling and frying were associated with loss and isomerization of ?C in cassava as well as OFSP. There was an interaction of genotype and cooking style on profile of ?C contents. Efficiency of micellarization of trans-?C in boiled cassava was lower than in fried. Biofortified cassava ready to eat can provide up to 28% of the IDR of retinol. Uptake of trans-?C in micelles generated during digestion by Caco-2 cells was analyzed for the four of the five biofortified genotypes. Cell uptake of ?C from two genotypes were not affected by processing, however the other two genotypes had increased with frying. Regarding sweet-potatoes, trans-?C was the major carotenoid found, although it was identified three ?C isomers and ?-carotene in minimal quantities. The concentration of trans-?C in one genotype of OFSP was two times higher than baby foods and the other genotype. Baby foods had relative presence of the 13-cis-?C higher than in the OFSP. Efficiency of micellarization of trans-?C from cooked OFSP or Baby foods was considered low, and had no statistic differences between boiling and frying. The Caco-2 cells uptake were not different for the genotypes and baby foods investigated. The absolute amount of accumulated trans-?C intracellular was proportional to the concentration of the starting material. In summary, biofortified crops can increase ?C contents in diet. Fried cassava presents more bioavailable ?C than boiled. Cassava genotype and cooking style may influence uptake of trans-?C by absorptive intestinal cells. In contrast, there is no evidence that high processed OFSP has more bioavailability of ?C than homemade boiled or fried OFSP

In the gastrointestinal tract, probiotics have been shown to promote host immunity and to regulate immune signaling pathways. This study used Caco-2 cell line to examine the effects of a Lactobacillus rhamnosus isolate from “amabere amaruranu” a Kenyan traditional cultured milk, on the production inflammatory cytokines in enterocytes. Live Lactobacillus rhamnosus (MRS6AN), its cytoplasmic fraction (CF), filtered spent broth (FSB) or heat inactivated FSB (HIB) were used as treatments on differentiated Caco-2 cell monolayer in transwells. Cytokine content in the cell lysates, apical and basolateral supernatants were determined using ELISA. Caco-2 cell lysate treatments showed significantly increased anti-inflammatory TGF-β (ng/ml) levels on average about 100x more compared to the increase in pro-inflammatory IL-8 (pg/ml) levels. These levels were significantly reduced after inhibition of NF-κB. In conclusion, live Lactobacillus rhamnosus, its CF, FSB or HIB seemed to modulate the production of inflammatory cytokines in enterocytes partly via the NF-κB signaling pathway.

<p>The aim of this study was to investigate the effect the plant matrix and the structure of the flavonoid (i.e. whether aglycone or glycoside) may have on the gastrointestinal uptake and metabolism of luteolin derivatives from Artemisia afra traditional plant medicine. Specifically, how these two factors influenced the intestinal uptake and disposition of luteolin derivatives in pure and in Artemisia afra plant extract forms were to be assessed by investigating the uptake and metabolism of the luteolin derivatives in human intestinal epithelial Caco-2 cells and the perfused rat intestinal loop. To realize this aim, the following were determined: (1) identification and characterization of major luteolin derivatives found in Artemisia afra, (2) the effect of the plant matrix on the uptake of luteolin derivatives in Artemisia afra aqueous-extract forms across the Caco-2 cell monolayer, (3) the effect of the plant matrix on the absorption and metabolism of luteolin derivatives in Artemisia afra aqueous-extract forms in the perfused rat small intestine, (4) the effect of gut contents on the uptake and metabolism of luteolin derivatives in intestinal loop and (5) the metabolic profiles of luteolin derivatives obtained for the pure solutions versus plant aqueous extract solutions in Caco-2 cells and the rat intestine.</p>

<p>The aim of this study was to investigate the effect the plant matrix and the structure of the flavonoid (i.e. whether aglycone or glycoside) may have on the gastrointestinal uptake and metabolism of luteolin derivatives from Artemisia afra traditional plant medicine. Specifically, how these two factors influenced the intestinal uptake and disposition of luteolin derivatives in pure and in Artemisia afra plant extract forms were to be assessed by investigating the uptake and metabolism of the luteolin derivatives in human intestinal epithelial Caco-2 cells and the perfused rat intestinal loop. To realize this aim, the following were determined: (1) identification and characterization of major luteolin derivatives found in Artemisia afra, (2) the effect of the plant matrix on the uptake of luteolin derivatives in Artemisia afra aqueous-extract forms across the Caco-2 cell monolayer, (3) the effect of the plant matrix on the absorption and metabolism of luteolin derivatives in Artemisia afra aqueous-extract forms in the perfused rat small intestine, (4) the effect of gut contents on the uptake and metabolism of luteolin derivatives in intestinal loop and (5) the metabolic profiles of luteolin derivatives obtained for the pure solutions versus plant aqueous extract solutions in Caco-2 cells and the rat intestine.</p>

Abstract Colorectal cancer is the second most common malignancy in the Western World. The overall 5-year survival is still only 50–60%. Thus, better prognostic markers are needed to improve survival of the disease. Most colorectal cancers develop from pre-existing adenomas including conventional, flat and serrated adenomas. The most important prognostic factors include tumour stage, histologic subtype and poor differentiation. The prognosis of colorectal cancer depends mainly on tumour stage. The growth of colorectal cancer is determined by cell proliferation, differentation and apoptosis. The progression of colorectal cancer is associated with the growth pattern of colorectal cancer and its invasive margin. Cancer cell budding means the presence of cells scattered in the stroma at the invasive margin, and is associated with β-catenin, an adhesion protein involved in the nuclear Wnt/β-catenin pathway. Hormones may be directly involved in the growth of a cancer, for example sex hormones play an important role in the development of most gynaecological cancers. The knowledge about the dependency of cancers on other hormones, such as thyroid hormones, is limited. This thesis focuses on factors affecting growth and prognosis in colorectal cancer. Antibodies for Ki-67, caspase cleavage site for keratin 18, β-catenin and TRβ1 were used to determine their possible associations with colorectal cancer growth patterns and the characteristics of the invasive margin. Apoptosis and proliferation were decreased at the invasive margin, particularly in serrated adenocarcinomas. The invasive margin showed a presence of budding cell clusters in 24.0% of the cases and this predicted a very poor 5-year-survival (15.4%, P &lt; 0.00001), but nuclear β-catenin accumulation did not predict budding. Thyroid hormone receptor TRβ1 was associated with polypoid growth, presence of KRAS mutations and also with a higher WHO histological grade and advanced Dukes' stage, and in in vitro analysis, thyroid hormone T3 had a modulatory effect on colorectal cancer cell protein synthesis and apoptosis. In conclusion, the growth type of colorectal cancer, i.e. conventional polypoid, flat or serrated, has an association with the characteristics of the invasive margin. Budding margin is associated with poor prognosis in colorectal cancer, and could be utilised in diagnostic pathology. Association of TRβ1 expression with polypoid growth pattern and the presence of KRAS mutations suggest that abnormalities in thyroid hormone signalling involving TRβ1 play a role in the development of some types of colorectal adenocarcinomas.

Changes in the human gastrointestinal microbiome are associated with several diseases. To infer causality, experiments in representative models are essential, but widely used animal models exhibit limitations. Here we present a modular, microfluidics-based model (HuMiX, human-microbial crosstalk), which allows co-culture of human and microbial cells under conditions representative of the gastrointestinal human-microbe interface. We demonstrate the ability of HuMiX to recapitulate in vivo transcriptional, metabolic and immunological responses in human intestinal epithelial cells following their co-culture with the commensal Lactobacillus rhamnosus GG (LGG) grown under anaerobic conditions. In addition, we show that the co-culture of human epithelial cells with the obligate anaerobe Bacteroides caccae and LGG results in a transcriptional response, which is distinct from that of a co-culture solely comprising LGG. HuMiX facilitates investigations of host-microbe molecular interactions and provides insights into a range of fundamental research questions linking the gastrointestinal microbiome to human health and disease.

Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Radek Machan Supervisor: PharmDr. Lukáš Červený, Ph.D. Title of diploma thesis: Determination of permeability and active transport of selected butyrylcholinesterase inhibitors in vitro European Medicine Agency (EMA) and Food and Drug Administration agency (FDA) emphasise drug membrane permeability and drug-drug interactions on ABC transporters expressed in physiological barriers should be investigated for compounds in preclinical studies or for those already clinically used but evidence free. In this work we aimed to assess the capability of several experimental butyrylcholinesterase inhibitors that had been designed to treat dementia to permeate blood-brain barrier and to elucidate role of ATP-binding (ABC) cassette transporters in this transport. For this purpose, we employed in vitro bidirectional transport study across monolayers formed by polarized and highly differentiated Caco-2 cells. The permeability values gained from measurements were similar to values of several commonly used drugs for treatment of CNS disorders (e.g. antidepressants, antiepileptics). In addition, the compounds showed values of efflux ratio (basolateral- to-apical/apical-to-basolateral) approximately one...

A permeabilidade através do epitélio intestinal tem se tornado um importante aspecto a ser determinado nas avaliações biofarmacotécnicas envolvendo fármacos e medicamentos. A técnica mais empregada para essa determinação in vitro é aquela que utiliza a cultura de células Caco-2. Entretanto, ainda são discutíveis as condições para a realização desses experimentos, uma vez que a padronização das mesmas é fator fundamental para a confiabilidade dos resultados. Nesta tese, foram avaliadas as condições para realização dos estudos de permeabilidade através de membranas de células Caco-2 para a rifampicina, principal fármaco utilizado no tratamento da tuberculose. Para tanto, foram investigados fatores tais como a citotoxicidade da rifampicina em diferentes concentrações, a influência da concentração do fármaco sobre a permeabilidade, do pH de realização dos experimentos e da presença de proteínas do muco intestinal, além da influência de proteínas plasmáticas. Foi também investigado o potencial indutor da rifampicina sobre a expressão da glicoproteína-P (Pgp) e seu impacto na permeabilidade da própria rifampicina. Os estudos foram desenvolvidos utilizando membranas de células Caco-2 provenientes da American Type Culture Collection (ATCC) cultivadas em placas Transwel®, a quantificação da fração permeada foi por cromatografia líquida de alta eficiência com métodos validados. A análise da indução da expressão da Pgp foi realizada por PCR-RT. Demonstrou-se que as concentrações da rifampicina (10,0; 25,0 e 50,0 &#181;g/mL) não ocasionaram danos às células Caco-2 no estudo de citotoxicidade pela técnica que emprega o sal do brometo de 3-(4,5-dimetil-2-tiazoli)-2,5-difenil-2H-tetrazólio (MTT). As concentrações de rifampicina (5,0; 10,0 e 25,0 &#181;g/mL) não resultaram em valores estatisticamente diferentes de permeabilidade aparente (Papp) em células Caco-2 nas condições do estudo. A rifampicina apresentou valor de Papp significativamente maior em pH 6,8 dentre os valores de pH avaliados (5,8 ; 6,8; 7,4). A presença de muco simulado e de soro fetal bovino não resultou em valores de permeabilidade significativamente distintos do resultado obtido sem a sua adição ao experimento. A expressão da Pgp em células Caco-2 é induzida pela adição da rifampicina (10&#181;g/mL), ocasionando diminuição da sua permeabilidade por mecanismo de efluxo. Pelos resultados de permeabilidade obtidos em todas as condições avaliadas, a rifampicina pode ser considerada um fármaco de alta permeabilidade de acordo com o Sistema de Classificação Biofarmacêutica. / The permeability through the intestinal epithelium has become an important aspect to be determined in evaluations involving drugs and pharmaceutical products. The most common technique for this determination in vitro is one that uses the culture of Caco-2 cells. Nevertheless, the conditions for carrying out such experiments are still questionable, since the standardization of them is essential to the reliability of the results. In this thesis, we evaluate the conditions for the studies of permeability of rifampicin through membranes of Caco-2 cells, the main drug used in the treatment of tuberculosis. To this end, we examined factors such as cytotoxicity of rifampicin at different concentrations, the influence of drug concentration on the permeability, as well as the pH of the experiments, the presence of proteins of intestinal mucus, and the influence of plasma proteins. It was also investigated the potential of rifampicin on the expression of P-glycoprotein (Pgp) and its impact on the permeability of rifampicin itself. The studies were developed using membranes of Caco-2 cells from American Type Culture Collection (ATCC) grown on plates Transwel®, and the quantification of the fraction of drug permeated was obtained by high performance liquid chromatography with validated methods. The analysis of induction of expression of Pgp was performed by RT-PCR. It was demonstrated that the concentrations of rifampicin (10,0; 25,0 and 50,0 &#181;g/mL) did not cause damage to Caco-2 cells in the study of the cytotoxicity technique that uses a bromide salt of 3 - (4,5-dimethyl-2 - thiazol) -2,5-diphenyl-2H-tetrazolium (MTT). The concentrations of rifampicin (5,0; 10,0 and 25,0 &#181g/mL) did not result in statistically different values of apparent permeability (Papp) in Caco-2 cells under the conditions of the study. Rifampicin showed a value of Papp significantly higher at pH 6.8 in comparison with other measured pH values (5,8 and 7,4). The presence of mucus simulated and fetal calf serum did not result in permeability values significantly different from the result obtained without its addition to the experiment. The expression of P-gp in Caco-2 cells is induced by the addition of rifampicin (10 &#181;g/ml), decreasing its permeability by efflux mechanism. Taking into account the results of permeability obtained in all conditions, the rifampicin can be considered a high permeability drug according to the biopharmaceutical classification system.