Orientador: Ivanira Jose Bechara / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-11T09:34:23Z (GMT). No. of bitstreams: 1 Bockelmann_PetraKarla_D.pdf: 29179947 bytes, checksum: 8c02cdd38976a29e54d61610a6bfd9fe (MD5) Previous issue date: 2008 / Resumo: As nadadeiras caudais de teleósteos, quando parcialmente amputadas, passam por um rápido processo de regeneração chamado de regeneração epimórfica, caracterizado pela formação de uma massa de células indiferenciadas, diferenciação dessas células, síntese e deposição de matriz extracelular e restauração morfológica. A regeneração da nadadeira é extremamente sensível a fatores físicos e químicos externos, tais como variações na temperatura, intensidade da luz, ação de alguns agentes contaminantes ambientais e ação de algumas drogas que podem interferir na capacidade regenerativa das nadadeiras dos peixes teleósteos. Existem relatos na literatura, que drogas anti-inflamatórias não esteróides, podem interferir de alguma forma na restauração tecidual de diversos organismos, uma vez que inibem a ação da enzima ciclooxigenase e, conseqüentemente, a conversão do ácido araquidônico em prostaglandina, elementos que desempenham funções importantes na proteção celular, crescimento, angiogênese e produção de matriz extracelular. Em vista disso, este trabalho teve como objetivo avaliar os efeitos de drogas antiinflamatórias não esteróides, naproxeno e indometacina, durante o processo regenerativo da nadadeira caudal de peixe teleósteo Cyprinus carpio (carpa). Para isso, foram montados experimentos com cinco grupos: grupo formado com peixes que serviram como controle, grupo formado com peixes que entraram em contato com o naproxeno, na dose de 15,6 mg/L, e três grupos formados por peixes que tiveram contato com a indometacina nas doses 10, 20 e 30 mg/L cada. Os peixes foram anestesiados e suas nadadeiras caudais foram amputadas transversalmente e, após a amputação os peixes foram divididos entre os cinco grupos e permaneceram nos aquários até que a regeneração ocorresse. Os animais foram anestesiados, sacrificados e as nadadeiras em regeneração foram excisadas e fixadas em intervalos de 1, 2, 4, 5, 6, 8, 10 e 12 dias após a amputação. As amostras foram processadas para permitir uma análise histoquímica, ultra-estrutural e morfométrica das possíveis alterações no processo regenerativo da nadadeira caudal de teleósteo em contato com as drogas em questão. Os grupos tratados com o naproxeno e a indometacina utilizada na dose de 10 mg/L apresentaram o processo de regeneração de forma semelhante ao grupo controle, ou seja, não afetaram a formação da capa epidermal, a formação do blastema, a diferenciação das células blastemais, bem como a síntese, deposição, organização e mineralização dos componentes da matriz lepidotriquial e a síntese das actinotriquias durante o processo regenerativo da nadadeira caudal. No entanto, os peixes tratados com a indometacina nas doses de 20 e 30 mg/L apresentaram um atraso no processo de regeneração da lepidotriquia e da actinotriquia quando comparados com os peixes do grupo controle. Estudos mais detalhados sobre os mecanismos de ação das drogas anti-inflamatórias não esteróides e a ação dessas drogas sob a expressão ou a inibição da expressão de alguns genes envolvidos no processo de regeneração da nadadeira caudal de teleósteo talvez possam responder a razão das diferenças de efeitos entre essas duas drogas / Abstract: The fins of teleosts, when partially amputated, they pass for a quick regenerative process called epimorphic regeneration, characterized by the formation of a mass of undifferentiated cells, by the differentiation of these cells, by the synthesis and the deposition of the extracellular matrix and morphological restoration. The regeneration of the fin is extremely sensitive to external physical and chemical factors such as temperature variations, light intensity, the action of some environmental contaminants and the action of some drugs that can interfere in the regenerative capacity of teleost fins. There are some studies that show that nonsteroids anti-inflammatory drugs can interfere somehow in the tissue restoration of many organisms, as they inhibit the action of ciclooxygenase enzyme and, consequently, the conversion of arachidonic acid in prostaglandins, elements that execute important roles in cell protection, growth, angiogenesis and in the production of extracellular matrix. In this sense, this study aimed to evaluate the effects of nonsteroid anti-inflammatory drugs, naproxen and indomethacin, during the regenerative process of the teleost tail fin Cyprinus carpio (carp). Therefore, experiments were undertaken in five groups: the control group fish, group of fish in touch with naproxen in doses of 15.6 mg/L, and three groups of fish in contact with indomethacin in doses of 10, 20 and 30 mg/L each. The fish were anesthetized and their fins transversally amputated and, after amputations the fish were divided among the five groups described above and were left in the aquaria until the occurrence of regeneration. The animals were anesthetized, sacrificed and the regenerating fins excised and fixed in intervals of 1, 2, 4, 5, 6, 8, 10 and 12 days after amputation. The samples were processed in order to permit a histochemical, ultra-structural and morphometric analysis of the possible alterations in the regenerative process of the tail fin of the teleosts in contact with the drugs mentioned above. The group treated with naproxen and indomethacin in a 10 mg/L dose showed a regenerative process similar to the control group, thus, it did not affect the formation of the epidermal layer, the formation of blastema, and the differentiation of blastemal cells, as well as its synthesis, deposition, organization and mineralization of the lepidotrichial matrix and the synthesis of actinotrichia during the process of regeneration of the tail fin. However, the fish treated with indomethacin in doses of 20 and 30 mg/L presented a delay in the regenerative process of the lepidotrichia and actinotrichia when compared to the control group fish. Detailed studies about the mechanisms of nonsteroids anti-inflammatory drugs action and the action of these drugs under the expression or inhibition of expression of some genes involved in the teleost tail fin regenerative process could explain more precisely the reason of the differences of effect between these two drugs / Doutorado / Histologia / Doutor em Biologia Celular e Estrutural

O objetivo do presente estudo foi sintetizar e caracterizar um material reparador para uso endodôntico com propriedades anti-inflamatória, antimicrobiana e remineralizante. A pasta experimental tem como propósito ser um sistema carreador de fármacos para regiões de difícil acesso em Odontologia. A apresentação do material é em forma de pó:líquido. No pó se encontra α-fosfato tricálcico, tungstato de cálcio e microesferas de amoxicilina (AMX-MS), já no líquido estão contidas nanocápsulas de indometacina (IndOHNC). A pasta experimental foi testada em relação a suas características físicoquímicas e biológicas. As AMX-MS obtiveram tamanho de 1,604 μm ± 0,08, forma esférica confirmada por MEV e teor da droga foi 1,63 mg g-1. As IndOHNC obtiveram tamanho de 162 ± 7,5 nm e forma esférica confirmada por MET. O teor do fármaco foi de 1 mg mL-1 ± 0,02. O escoamento da pasta foi de 18.56 ± 0.29, a espessura de película obtida foi 33 μm e radiopacidade de 1,81 mmAl. A pasta experimental demonstrou atividade antibacteriana contra o Enterococcus faecalis. A maior concentração de pasta experimental apresentou o maior valor em relação à viabilidade celular, com 187,03% no teste SRB. A atividade da enzima fosfatase alcalina e a formação de nódulos mineralizados obtiveram um gradual aumento em função do tempo. A migração celular demonstrou fechamento da ferida, e a pasta experimental foi capaz de acelerar o processo (p<0.05). Em conclusão, a pasta experimental demonstrou propriedades físico químicas e biológicas confiáveis, podendo ser um material promissor para o reparo da região periapical. / The aim of this study was to synthesize and characterize a new reparative material with anti-inflammatory, antimicrobial and remineralizing properties. The reparative material was developed to be a drug delivery system for regions with difficult access in Dentistry. The formulation is presented in powder/liquid. The powder is composed of α-tricalcium phosphate, calcium tungstate and amoxicillin microspheres (AMX-MS). The liquid is composed of nanocapsules containing indomethacin (IndOH-NC). The physicochemical and biological properties of the experimental endodontic paste were evaluated. The AMX-MS obtained a mean size of 1.604 μm ± 0.08, spherical shape and the encapsulation capacity was 1.63 mg g-1. IndOH-NCs obtained a mean size of 162 ± 7.5 nm and spherical shape confirm by MET. The content of the encapsulated drug was 1 mg mL-1 ± 0.02. The experimental paste flow was 18.56 ± 0.29 mm, mean film thickness was 33 μm and radiopacity equivalent to 1.81 mmAl. The experimental paste showed antibacterial activity against Enterococcus faecalis. The highest concentration of experimental paste presented the highest value in cell viability (187.03% in SRB test). The activity of the phosphatase alkaline enzyme and the formation of mineralized nodules showed a gradual increase as a function of time. Cell proliferation showed continuous wound closure, and the experimental paste was able to accelerate the process (p<0.05). In conclusion, the experimental paste demonstrated reliable physicochemical and biological properties, and it could be a promising material for periapical region repair.

In an effort to elucidate the mechanism by which indomethacin (IN) lessens the stimulatory effect of estradiol (E2) on rabbit splenic red pulp macrophages (RPMs), 39 female New Zealand White rabbits were divided into 10 groups: ovariectomized (OVX) and OVX/ IN at 0.1 and 5.0 mg/kg body weight (bw)/day; sham OVX (SOVX) and SOVX/IN at 0.1 and 5.0 mg/kg bw/day; OVX/25 mg E2 and OVX/25 mg E2/IN at 0.1 and 5.0 mg/kg bw/day; and intact control. Changes in RPM population in response to treatment were measured using a 0-4 histologic grade. Estradiol treatment resulted in increased RPM grade when compared to the OVX groups. Indomethacin addition lowered mean RPM grade in the SOVX/IN 5.0 group when compared to its E2 control group. Indomethacin administration had no significant effect on levels of prostaglandin E 2 in spleen, urine, or blood. Hematocrits were reduced in both OVX and OVX/E2 groups; this decrease was exacerbated by the high IN dose. In summary, the results from this study suggest that the effect of IN on E2-induced RPM activation may be mediated through a nonprostaglandin pathway. The observed hematocrit changes are possibly the result of direct action of IN and E2 on erythrocytes, resulting in their accelerated clearance from the circulation by splenic RPM.

No description available.

PART I: MARKERS OF INFLAMMATION IN DELAYED MUSCLE SORENESS Fifty-five untrained males were assigned to an experimental (E) or a control group (C), to re-examine the concept that DMS represents an acute inflammatory response. Subjects were assigned to receive either Indocin (Id; 100 mg per day) for 2 days prior to the treatment and a placebo (P) for 2 days after (Id-P); or the reverse combination (P-Id); or Id for- 4 days (Id-Id); or placebo (P-P). On the treatment day, to induce DMS, E subjects performed 30 min of bench-stepping with one leg leading throughout; C subjects rested for 30 min. Immediately before and after stepping/resting, all subjects used their right and left leg to perform 19 maximal and 15 submaximal repetitions on the Cybex II. Blood samples were collected -5 min before, immediately after bench stepping (0 h), 2 h after and 24, 48 and 72 h, to evaluate WBC. DMS was also monitored 0, 24, 48 and 72 h. All E subjects experienced a significant amount of DMS (p<.01) which peaked at 48 h after exercise (E=7.58 ± .79 vs 0 for C, X±SEM); however, no significant differences in soreness perception were observed between drug and placebo groups. Total WBC count ( cells/mm³ ) was significantly greater at 0 h (8,340±380) than at -5 min (6,699±365) for both E and C; this increase was most likely a response to Cybex exercise. At 2 h there was a significant increase in total WBC count for E ( 9,603±389) and no change for C ( 8,336±273}. Neutrophils increased significantly at 2 h for E only (6,428±375 vs 4,988±261 for C}. Bench-stepping leads to increases in DMS and increases in WBC count, particularly in neutrophils, 2 h after stepping; this data suggests that inflammation is involved in DMS. PART II: EFFECT OF AN ASPIRIN-LIKE DRUG ON PERCEIVED EXERTION DURING BENCH STEPPING The object of this study was to determine whether perceived exertion (RPE) for the limb performing predominantly positive work was significantly greater than for the limb performing predominantly negative work, during 30 min of bench stepping. A second objective was to determine the effects of indomethacin (Id) on RPE. Thirty-nine males were randomly assigned to a drug (Id) or placebo (P) group and administered 150 mg indomechacin or placebo, beginning 36 h prior to stepping. Results indicated no significant differences between RPE for "concentric" and "eccentric" limbs of the P group inspite of the fact that the metabolic demand of the "concentric" limb was much greater. Indomethacin did not significantly alter RPE during stepping however, when RPE scores were totaled over the entire bench stepping period, the Id condition was associated with a greater (p < .01) psychological cost for the "concentric" leg effort as compared to P; this indicated that indomethacin might alter effort sense related to concentric contractions. / Ph. D.

Aprofundamos o estudo dos efeitos farmacológicos da dexametasona, indometacina e tenoxicam e de uma droga citostática (metotrexato), assim como a análise dos mecanismos envolvidos na estimulação flogógena causada por agentes de intensidades fraca, média e forte. Para isso. empregamos o teste edemogênico, que demonstrou ser os fármacos antiinflamatórios não esteróides (tenoxicam e indometacina), os de maior potência na inibição da exsudação plasmática induzida pela paracoccidioidina. Todavia, com agentes flogógenos de intensidade média (carragenina), o metotrexato foi o medicamento mais potente; enquanto que com a placa microbiana dental (agente forte), a dexametasona e a indometacina foram os de maior potência antiinflamatória. Por meio da análise histomorfométrica relativa dos granulomas induzidos por esse último agente, verificamos, até 14 dias, a maior potência antiinflamatória apresentada pelo tenoxicam, comparativamente à da indometacina - em relação à inibição da região central de necrose supurativa-, demonstrando efeito semelhante ao da dexametasona; não obstante, nesse período experimental, em relação à inibição da densidade do volume do tecido granulomatoso, os fármacos mais potentes terem sido a indometacina e a dexametasona. Após 14 dias, foi constatada diferença não significativa (p>0.05) entre o efeito apresentado pelo tenoxicam e o da indometacina. O acentuado efeito apresentado pelos NSAIDs em relação à inibição da densidade de volume dos macrófagos, semelhante ao do metotrexato, sugeriu que os NSAIDs inibiram a proliferação das células progenitoras mielóides dos monócitos/macrófagos. Também agiram tanto aumentando (21 dias) como inibindo (28 dias) a densidade de volume ocupada pelas fibras colágenas; enquanto que a dexametasona apresentou efeito contrário. Tais resultados indicaram que no processo inflamatório induzido por agentes flogógenos de intensidade forte (PMD), estimulores da acentuada produção de LTs e PGs, o emprego de antiinflamatórios esteróides e não esteróides foi vantajosa em relação ao fármaco citostátco. / Was studied comparatively the mechanisms of action and the antiinflammatory effect presented by dexamethasone, tenoxican, indomethacin and methotrexate in acute and chronic inflammation induced by agent flogogenous of minim, media and elevated intensity. With the employ of edemogenic test was verified that the effect presented by nonsteroid antiinflammatory (tenoxican and indomethacin), in relation to inhibition of the plasmatic exsudation induced by paracoccidioidin, was more potent than other medicaments tested. Meanwhile, in the inhibition of the acute inflammation caused by carrageenan and dental microbian plaque, methotrexate, dexamethasone and indomethacin were the most potent pharmacs, respectively. The injection of the dental microbian plaque in the air pouch model induced two experimental granulomas susceptive to the antiinflammatory effects presented for the pharmacs tested, which were utilized in the determination of the weights and of the volume density occupied by structures presents in the periods experimental of 7, 14, 21 and 28 days. With relation the inhibition of the differential mid and dry weights, methotrexate and dexamethasone followed by indomethacin and tenoxican were the most effective pharmacs in decrescent order of potency. The histomorphometric studies of the volume density of the granulomatous tissue revealed that indomethacin reduced this structure comparatively to the tenoxican at 14 days. After this experimental period tenoxican presented the most potent anti-inflammatory effect; however, without significant statistical difference to indomethacin. Tenoxican too presented elevated inhibitory effect of the volume density of the region of supurative necrose (similar to dexamethasone) particularly along to first week. NSAIDs also showed in relation the inhibition of volume density of the collagen effect stimulator (21 days) and inhibitor (28 days), while that dexamethasone revealed contrary effect. The accentuate inhibitory effect of the volume density of macrophages presented by NSAIDs was similar to methotrexate, indicating that these medicaments possibly presented anti-mitotic effect to the progenitors myeloid cells of monocytes/macrophages. These results indicated that in the inflammatory process induced by flogogenous of strong intensity, stimulators of increased production of LTS and PGs, the administration of steroids and non-steroids anti-inflammatory was advantageous in relation to methotrexate.

Aprofundamos o estudo dos efeitos farmacológicos da dexametasona, indometacina e tenoxicam e de uma droga citostática (metotrexato), assim como a análise dos mecanismos envolvidos na estimulação flogógena causada por agentes de intensidades fraca, média e forte. Para isso. empregamos o teste edemogênico, que demonstrou ser os fármacos antiinflamatórios não esteróides (tenoxicam e indometacina), os de maior potência na inibição da exsudação plasmática induzida pela paracoccidioidina. Todavia, com agentes flogógenos de intensidade média (carragenina), o metotrexato foi o medicamento mais potente; enquanto que com a placa microbiana dental (agente forte), a dexametasona e a indometacina foram os de maior potência antiinflamatória. Por meio da análise histomorfométrica relativa dos granulomas induzidos por esse último agente, verificamos, até 14 dias, a maior potência antiinflamatória apresentada pelo tenoxicam, comparativamente à da indometacina - em relação à inibição da região central de necrose supurativa-, demonstrando efeito semelhante ao da dexametasona; não obstante, nesse período experimental, em relação à inibição da densidade do volume do tecido granulomatoso, os fármacos mais potentes terem sido a indometacina e a dexametasona. Após 14 dias, foi constatada diferença não significativa (p>0.05) entre o efeito apresentado pelo tenoxicam e o da indometacina. O acentuado efeito apresentado pelos NSAIDs em relação à inibição da densidade de volume dos macrófagos, semelhante ao do metotrexato, sugeriu que os NSAIDs inibiram a proliferação das células progenitoras mielóides dos monócitos/macrófagos. Também agiram tanto aumentando (21 dias) como inibindo (28 dias) a densidade de volume ocupada pelas fibras colágenas; enquanto que a dexametasona apresentou efeito contrário. Tais resultados indicaram que no processo inflamatório induzido por agentes flogógenos de intensidade forte (PMD), estimulores da acentuada produção de LTs e PGs, o emprego de antiinflamatórios esteróides e não esteróides foi vantajosa em relação ao fármaco citostátco. / Was studied comparatively the mechanisms of action and the antiinflammatory effect presented by dexamethasone, tenoxican, indomethacin and methotrexate in acute and chronic inflammation induced by agent flogogenous of minim, media and elevated intensity. With the employ of edemogenic test was verified that the effect presented by nonsteroid antiinflammatory (tenoxican and indomethacin), in relation to inhibition of the plasmatic exsudation induced by paracoccidioidin, was more potent than other medicaments tested. Meanwhile, in the inhibition of the acute inflammation caused by carrageenan and dental microbian plaque, methotrexate, dexamethasone and indomethacin were the most potent pharmacs, respectively. The injection of the dental microbian plaque in the air pouch model induced two experimental granulomas susceptive to the antiinflammatory effects presented for the pharmacs tested, which were utilized in the determination of the weights and of the volume density occupied by structures presents in the periods experimental of 7, 14, 21 and 28 days. With relation the inhibition of the differential mid and dry weights, methotrexate and dexamethasone followed by indomethacin and tenoxican were the most effective pharmacs in decrescent order of potency. The histomorphometric studies of the volume density of the granulomatous tissue revealed that indomethacin reduced this structure comparatively to the tenoxican at 14 days. After this experimental period tenoxican presented the most potent anti-inflammatory effect; however, without significant statistical difference to indomethacin. Tenoxican too presented elevated inhibitory effect of the volume density of the region of supurative necrose (similar to dexamethasone) particularly along to first week. NSAIDs also showed in relation the inhibition of volume density of the collagen effect stimulator (21 days) and inhibitor (28 days), while that dexamethasone revealed contrary effect. The accentuate inhibitory effect of the volume density of macrophages presented by NSAIDs was similar to methotrexate, indicating that these medicaments possibly presented anti-mitotic effect to the progenitors myeloid cells of monocytes/macrophages. These results indicated that in the inflammatory process induced by flogogenous of strong intensity, stimulators of increased production of LTS and PGs, the administration of steroids and non-steroids anti-inflammatory was advantageous in relation to methotrexate.

L’objectif général de cette thèse a été d’étudier le potentiel de billes à base de molécules d’α-cyclodextrine et d’huile de soja, pour l’administration orale de principes actifs peu solubles dans l’eau.Nous avons tout d’abord vérifié qu’il était possible d’encapsuler dans les billes des molécules actives (la progestérone et l’indométacine) autres que les rétinoïdes et le diazépam, avec une teneur élevée et un rendement de fabrication satisfaisant. L’étude du comportement des billes nues lyophilisées, en termes de stabilité et de libération dans des milieux digestifs simulés, nous a permis de proposer un mécanisme de libération de la molécule encapsulée qui se déroule en plusieurs étapes: i) hydratation des billes, ii) dissolution de la matrice hydrophile d’α-cyclodextrine, iii) libération de gouttelettes d’huile contenant le principe actif puis de la fraction dissoute dans l’huile par un phénomène de partage, iiii) fragmentation des billes fragilisées et libération totale de l’huile. La présence de sels biliaires dans le milieu, accélère à la fois la libération et la quantité dissoute, en fragilisant les billes et en réduisant la valeur du coefficient de partage du principe actif entre l’huile et le milieu digestif. Nous avons montré in vitro et in vivo qu’il est possible de moduler la libération d’un principe actif à partir d’une même formulation de départ, en jouant sur l’organisation du système (émulsion sèche, billes nues, billes coquées par un nouvel ajout d’α-cyclodextrine sur les billes nues). Les études in vivo chez le rat ont révélé que l’émulsion sèche se comporte comme une forme à libération immédiate, les billes coquées comme une forme à libération prolongée et les billes nues comme une forme à libération intermédiaire. Enfin, la libération du principe actif encapsulé peut également être modulée en modifiant le mode de séchage des billes. Comparativement à la lyophilisation, le séchage à l’étuve modifie les propriétés des billes en augmentant leur résistance dans les milieux digestifs simulés et prolonge la libération de la molécule encapsulée. / The general aim of this thesis was the study of the potential of beads, made of α-cyclodextrin and soybean oil, for the oral delivery of poorly water soluble drugs. We have first verified that it was possible to encapsulate in beads, active molecules (progesterone and indomethacin), other than retinoid and diazepam, with a high drug loading and a satisfying yied. The study of the behaviour of freeze-dried naked beads, in terms of stability and drug release in simulated gastro-intestinal fluids, allowed to propose a mechanism for the release of the encapsulated drug, involving several steps: i) hydration of the freeze-dried beads, ii) dissolution of α-CD hydrophilic matrix, iii) release of oily droplets containing the active drug and then of the fraction of drug dissolved in oil, following a partition phenomenon, iiii) fragmentation of the weakened beads and at last the total release of oil. The presence of bile salts in the medium accelerates both the release and the dissolved amount, by weakening the beads and reducing the partition coefficient value of the active molecule between oil and digestive medium.We have shown in vitro as well as in vivo that it is possible to modulate the release of a model drug from the same initial formulation, according to the degree of organization of the system (dry emulsion, naked beads, coated beads obtained by an additional amount of α-cyclodextrine to the preformed naked beads). In vivo studies in rats have highlighted that dry emulsion behaves as a fast release formulation, the coated beads as a sustained release formulation and the naked beads as an intermediate one. Finally, the release of the encapsulated drug can also be modulated by modifying the drying method of the beads. Compared to freeze-drying, oven-drying modifies the properties of the beads by increasing their resistance in simulated gastro-intestinal fluids and sustaining the release of the encapsulated drug.

A preparação de partículas pela técnica de granulação por solidificação de material fundido em leito fluidizado tem se destacado no âmbito da indústria farmacêutica. As vantagens do uso deste método têm atraído muitos pesquisadores para aprimorar e colocar em prática tal técnica de preparo. A principal vantagem deste processo é dispensar o uso de solventes e diminuir o tempo de preparo dos granulados para compressão. O objetivo do presente trabalho foi o desenvolvimento e estudo desta técnica de granulação, usando a lactose tipo spray-dried como substrato e como agente aglutinante uma dispersão do polímero polietilenoglicol 4000 contendo indometacina como fármaco modelo. Outra motivação para este trabalho foi realizar a caracterização físico-química dos granulados obtidos e avaliar um possível aumento da solubilidade deste fármaco de classe II. Resultados obtidos durante estudos preliminares mostram que a solubilidade da indometacina foi consideravelmente aumentada com o uso do PEG e análises físico-química indicaram que não há interação entre a indometacina e o PEG. O método utilizado na granulação consistiu na atomização da dispersão liquefeita de PEG 4000 contendo 25% de indometacina sobre o substrato a fim de obter grânulos contendo estes três componentes. Um estudo prévio da fluidodinâmica da lactose provou ser predominante o regime de leito fluidizado. Para viabilizar a obtenção destas dispersões sólidas, foram estudadas as variáveis do processo como vazão da dispersão carreador/fármaco, vazão do ar de atomização e quantidade total de dispersão adicionada, aplicando para tal um planejamento fatorial tipo Box-Behnken. O leito fluidizado se mostrou eficiente para a granulação e os granulados obtidos foram considerados de boa qualidade baseando-se na sua caracterização por densidades aparente e compactada, fluidez, distribuição granulométrica, doseamento do fármaco e perfil de dissolução in-vitro. Granulados de dois tamanhos médios diferentes e com ótima fluidez foram escolhidos para as análises seguintes. A integridade e ausência de interação do fármaco com os demais componentes destes granulados foram comprovadas por calorimetria exploratória diferencial, difração de raios-X, infravermelho, microscopia de plataforma quente e microscopia de varredura eletrônica. As micrografias mostraram visivelmente que as formas dos cristais de indometacina presentes no granulado apresentaram as características da forma y (II), que é a mesma da indometacina padrão. A dissolução de cápsulas gelatinosas duras contendo os lotes de grânulos escolhidos mostraram que no meio tampão fosfato (pH 7,2) foi liberado até 99% da indometacina. Porém, em meio HCl 0,1N; obteve-se liberação de até 28% da indometacina, o que corresponde a um aumento de 14,5 vezes a liberação obtida com a indometacina padrão. / Recently, there is a renewed interest in the fluidized bed hot melt granulation for the preparation of solid dosage forms in the pharmaceutical industry and academy. The several advantages of this technique have attracted may researchers, but the main advantage are undoubtedly the solvent free operation and the short processing times. The aim of this work was to develop and study this granulation technique using spray-dried lactose as substrate and a dispersion of indomethacin in hot melted polyethylene glycol 4000 and as the binder. Another goal in this work was to characterize the granules obtained and to evaluate any increase in indomethacin solubility in the solid dispersions. The results of preliminary evaluation of indomethacin/polyethylene glycol physical mixtures and solid dispersions showed a considerable increase in the drug solubility, while no chemical or physical interaction with the carrier could be observed. Before the granulation experiments the fluid dynamic behavior of the lactose was characterized as fluidization regime. The method of granulation consisted in the atomization of hot melted polyethylene glycol containing 25% of indomethacin onto the fluidized bed of lactose. In order to study the granulation process, a Box-Behnken design was applied to verify the effects of spray air flow rate, drug/carrier feed rate and total amount of drug/carrier added to granules. The fluidized bed showed to be an effective method for hot melt granulation and the granules quality can be considered adequate, based on their characteristics of apparent and compacted densities, flowability, particle size distribution, indomethacin content and in-vitro dissolution profile. From the whole set of experiments, two granule batches were chosen based on their mean particle sizes and excellent flow indexes, to verify any drug/PEG/lactose interaction during the granulation process. The non existence of interaction was proved by differential scanning calorimetry, X-ray powder diffraction, Fourier transform Infra-red, hot stage microscopy and scanning electron microscopy. The scanning electron microscopy showed that indomethacin crystals with the characteristic shape of the form y (II) could be observed in the granules, indicating that its crystalline form did not change during processing. The dissolution profiles of indomethacin from hard gelatin capsules containing the granules showed the release of 99% of the drug in phosphate buffer media (pH 7.2). However, in acidic media (HCl 0,1N) 28% of the total indomethacin was released, which corresponded to a 14.5 fold increase when compared to the pure indomethacin release under the same conditions.

Durante a resposta inflamatória, diversos mediadores são liberados localmente com o objetivo de estimular a resposta imune celular e humoral. Por meio da ação das enzimas ciclooxigenases e lipoxigenases ocorrerão modificações estruturais na cadeia do ácido araquidônico levando a síntese de prostaglandinas ou leucotrienos e lipoxinas, respectivamente. Tais mediadores são responsáveis pela regulação da expressão dos genes RANK, RANKL e OPG, moduladores da osteoclastogênese. Dessa maneira, o objetivo deste estudo foi avaliar a expressão do RNA mensageiro (RNAm) para as enzimas envolvidas no metabolismo do ácido araquidônico, ciclooxigenase-2 (COX-2) e 5- lipoxigenase (5-LO), e para os mediadores da osteoclastogênese (RANK, RANKL e OPG) no tecido ósseo, após inoculação de lipopolissacarídeo bacteriano (LPS) nos canais radiculares de molares de camundongos. Posteriormente foi investigado o efeito do bloqueio farmacológico da via COX-2 induzida pelo LPS, na expressão de mediadores da osteoclastogênese e de genes envolvidos no metabolismo ósseo. Foram utilizados 144 camundongos C57BL/6, com 6 semanas de idade, pesando de 18 a 20 gramas, nos quais os canais radiculares dos primeiros molares foram inoculados com uma solução contendo lipopolissacarídeo bacteriano de E. coli (0,1, 1,0 e 10mg/ml). Decorridos os períodos experimentais de 7, 14, 21 e 28 dias, os animais foram submetidos à eutanásia e os blocos contendo dente e osso foram removidos para extração do RNA total. Em seguida, foi realizada a avaliação da expressão gênica por meio de transcrição reversa e reação da polimerase em cadeia em tempo real (qRT-PCR). A análise global da expressão de RNAm para proteínas envolvidas no metabolismo ósseo foi realizada por meio de um ensaio de PCR Array (Osteogenesis RT² Profiler PCR Array). Os valores de expressão relativa de cada RNAm, para cada grupo, foram comparados por meio da análise de variância (ANOVA) de duas vias seguido pelo pós-teste de Bonferroni ou por ANOVA de uma via seguido pelo pós-teste de Dunnett (&alpha = 0,05). A inoculação de LPS nos canais radiculares de molares de camundongos foi capaz de induzir a expressão dos genes PTGS2 e ALOX5, responsáveis pela codificação das enzimas COX-2 e 5-LO, envolvidas no metabolismo do ácido araquidônico, concomitantemente à modulação da expressão dos genes TNFRSF11A, TNFSF11 e TNFRSF11B, responsáveis pela codificação dos moduladores da osteoclastogênese RANK, RANKL e OPG, respectivamente. A administração de Indometacina, um inibidor não seletivo de COX-2, inibiu a expressão de RNAm para RANK e RANKL e estimulou a expressão de OPG durante os períodos iniciais de resposta à inoculação de LPS nos canais radiculares. A inibição da via COX-2 de metabolismo do ácido araquidônico nos períodos iniciais de resposta à inoculação de LPS nos canais radiculares modulou diferencialmente a expressão de genes envolvidos no catabolismo e anabolismo ósseo, indicando possíveis papéis para os mediadores derivados no ácido araquidônico na regulação do metabolismo ósseo. Estes resultados sugerem alvos terapêuticos importantes para intervenção precoce em doenças inflamatórias, como lesões periapicais para evitar a reabsorção do tecido ósseo. / During an inflammatory response, several mediators are locally released in order to stimulate cellular and humoral immune response. Through the action of cyclooxygenase and lipoxygenase enzymes structural changes occur in the arachidonic acid chain leading to synthesis of prostaglandins or leukotrienes and lipoxins, respectively. Such mediators are responsible for the regulation of RANK, RANKL and OPG gene expression, osteoclastogenesis modulators. Thus, the objective of this study was to evaluate the expression of messenger RNA (mRNA) for the enzymes involved in arachidonic acid metabolism, cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LO), and the osteoclastogenesis mediators (RANK, RANKL and OPG) in bone tissue after injection of bacterial lipopolysaccharide (LPS) in murine dental root canals. Then, COX-2 pathway was pharmacologically blocked for investigation of expression of osteoclastogenesis mediators and genes involved in bone metabolism. We used 144 C57BL/6 mice, 6 weeks-old, weighing 18-20 grams, which had the first molars root canals inoculated with a solution containing LPS from E. coli (0.1, 1.0 and 10 mg/ml). After 7, 14, 21 and 28 days the animals were euthanized and the tooth-and-bone blocks were removed for total RNA extraction. Subsequently, the evaluation of gene expression was performed by reverse transcription and polymerase chain reaction in real time (qRT-PCR). Global analysis of mRNA expression for proteins involved in bone metabolism was performed using PCR arrays (Osteogenesis RT² Profiler PCR Array). The values for relative expression of each mRNA for each group were compared using two-way analysis of variance (ANOVA) followed by Bonferroni post-test or one-way ANOVA followed by Dunnett\'s test (&alpha;=0.05). The injection of LPS into the root canals was induced expression of genes PTGS2 and ALOX5, responsible for encoding COX-2 and 5-LO enzymes, involved in the metabolism of arachidonic acid, simultaneously to the modulation of gene expression of TNFRSF11A, TNFSF11 and TNFRSF11B, responsible for encoding the osteoclastogenesis modulators RANK, RANKL and OPG, respectively. Administration of Indomethacin, a non-selective inhibitor of COX-2, inhibited the expression of mRNA for RANK and RANKL and stimulated the expression of OPG during the initial response to the root canals contamination with LPS. Inhibition of the COX-2 pathway from arachidonic acid metabolism in the initial periods of response to LPS injection into the root canals differentially modulated the expression of genes involved in bone catabolism and anabolism, indicating possible roles for mediators derived from arachidonic acid in the regulation of bone metabolism. These results suggest important therapeutic targets for early intervention in inflammatory diseases such as apical periodontitis to avoid resorption of bone tissue.