Resultados preliminares do nosso grupo de pesquisa demonstraram que a inibição da síntese de NO por período de tempo prolongado reduz o recrutamento de leucócitos para focos inflamatórios, dependente, pelo menos em parte, da inibição da interação leucócito-endotélio e da expressão de L-selectina. 0 presente trabalho visou complementar os estudos sobre os mecanismos envolvidos nesta ação antiinflamatória. Para tanto, ratos Wistar machos (180 a 220g) receberam L-NAME (20mg/Kg; v.o.; 14 dias) ou água pela mesma via e período de tempo. Foi avaliada a atividade das enzimas óxido nítrico sintases (NOS) no tecido cerebral por radioimunoensaio; o recrutamento leucocitário para cavidade peritoneal induzido pelo LPS (5mg/kg, 4 horas); as expressões de moléculas de adesão em leucócitos do sangue circulante, no músculo cremaster e nos sinusóides hepáticos por ensaios de citometria de fluxo ou imunohistoquímica; as expressões gênicas de moleculas de adesão, quantificadas por PCR e a secreção/produção de mediadores inflamatórios em leucócitos por ensaios imunoenzimáticos, reacao de Griess ou quimiluminescência. Os resultados obtidos mostraram que: 1) o tratamento com L-NAME reduziu em torno de 90% a atividade das NOS dependentes de Ca+2 em condições basais ou após estimulação in vivo com LPS; 2) as concentrações de NO no plasma e no peritônio inflamado estavam reduzidos em animais tratados com L-NAME (30% vs. controles); 3) a migração de leucócitos polimorfonucleares (PMN) para o peritônio inflamado estava reduzida em animais tratados com L-NAME (40% vs. controles); 4) as expressões de L-selectina e PECAM-1 em leucócitos circulantes; de PECAM-1 no endotélio do músculo cremaster e de VAP-1 no endotélio dos sinusóides hepáticos e músculo cremaster de animais tratados com L-NAME estavam reduzidas; 5) a redução na expressão de L-selectina foi dependente de inibição de sua síntese; 6) a concentração de IL-10 estava major no soro de animais tratados com L-NAME em relação aos controles; 7) a maior concentração de IL-10 circulante pode refletir a produção desta citocina por leucócitos na circulação, uma vez que a concentração de IL-10 também estava maior no sobrenadante de leucócitos circulantes de animais tratados com L-NAME; 8) concentrações reduzidas de IL-1β e LTB4 foram detectadas nos sobrenadantes de neutrófilos obtidos de animais tratados com L-NAME; 9) macrófagos obtidos de animais tratados com L-NAME produziram maiores concentrações de IL-1β, TNF-α e IL-6, e menores concentrações de IL-10 na ausência de estimulação; na vigência estimulação in vitro com LPS os macrófagos de animais tratados com L-NAME produziram menores concentrações de NO. Em conjunto, os resultados obtidos neste trabalho mostram que o tratamento com L-NAME por período prolongado de tempo inibe a atividade das NOS dependentes de Ca+2 e nesta condição reduz as concentrações de NO circulante e no foco da inflamação, além de inibir a migração de leucócitos para o foco inflamatório, confirmando propriedades pro-inflamatórias do NO. Os mecanismos envolvidos na inibição da migração celular parecem compreender a modulação da expressão e/ou síntese das moléculas de adesão constitutivas expressas em leucócitos e no endotélio, além da modulação da secreção de mediadores pró ou antiinflamatórios em leucócitos circulantes e neutrófilos. Por outro lado, os efeitos do tratamento com L-NAME sobre a secreção de mediadores químicos por macrófagos induzem a secreção destes e corroboram a dualidade dos efeitos do NO no processo de recrutamento celular. / Our previous results have demonstrated that in vivo chronic inhibition of nitric oxide synthesis reduces leukocyte recruitment into inflammatory focus, dependent, at least in part, on impaired leukocyte-endothelial interactions and expression of L-selectin. This study aimed to clarify the mechanisms involved in the reduced leukocyte migration observed in L-NAME-treated rats. For this purpose, male Wistar rats (180-220g) were treated with L-NAME (20 mg/kg, oral route, 14 days, dissolved in drinking water); controls animals received water by the same route and period of time. The effectiveness of L-NAME treatment was investigated by examining the activity of nitric oxide synthases (NOS) in the brain tissue using radioimmunoassay. In addition, effects of L-NAME treatment were evaluated in LPS-induced leukocyte recruitment into peritoneal cavity (5mg/kg, 4 hours); expression of adhesion molecules was determined in circulating leukocytes, cremaster muscle and liver sinusoids by flow cytometry and immunohistochemistry assay; gene expressions of adhesion molecules were quantified by PCR and leukocyte secretion of inflammatory mediators was measured by immunoenzimatics assays, Griess reaction or chemiluminescence. Our results show that: 1) L-NAME treatment reduced, around 90%, Ca+2 - dependent NOS activity in the presence or not of in vivo inflammation; 2) concentrations of NO in the plasma and into inflamed peritoneum were reduced in L-NAME-treated animals (30% vs. control animals); 3) migration of PMN leukocytes into inflammed peritoneum was impaired in L-NAME-treated rats (40% vs. control animals); 4) expressions of L-selectin and PECAM-1 in circulating leukocytes, PECAM-1 in endothelium from cremaster muscle and VAP-1 in endothelium from liver sinusoids and cremaster muscle were reduced in L-NAME-treated rats; 5) decrease in L-selectin expression was dependent on inhibition of its synthesis; 6) concentrations of IL-10 was higher in serum from L-NAME-treated rats in comparison to control rats; 7) these higher concentrations of circulating IL-10 can reflect the production of this cytokine by leukocytes from circulation, as IL-10 levels was greater in the supernatant of circulating leukocytes obtained from L-NAME-treated animals; 8) L-NAME treatment disturbed neutrophils ability to secrete IL-1β e LTB4, since these concentrations were lower in the supernatants of neutrophils from L-NAME-treated animals; 9) in absence of stimulation, macrophages obtained from L-NAME-treated rats produced higher concentrations of IL-1β, TNF-α e IL-6, and lower concentrations of IL-10, whereas in presence of in vitro LPS these cells produced lower concentrations of NO. Taken together, our results show that L-NAME treatment administrated for a prolonged period of time inhibits Ca+2 -dependent NOS activity, and in this condition, reduces concentrations of NO in plasma and into inflammatory focus and decreases leukocyte migration to the inflammatory focus thus confirming pro-inflammatory properties of NO. The mechanisms involved in impaired cellular migration seem to involve the modulation of expression and/or synthesis of constitutive adhesion molecules in leukocytes and endothelium, and to interfere in the secretion of pro or anti inflammatory mediators. On the other hand, actions of NO in secreation of chemical mediators by macrophages induces the production of inflammatory mediators and support the duality of NO in the cellular recruitment process.

<p>Collagenous colitis (CC) is an inflammatory bowel disease of unknown etiology. It is characterized by watery diarrhoea without blood, normal endoscopic findings but microscopically colonic mucosal inflammation and increased thickness of the subepithelial collagen band, the latter being a pathognomonic sign. The inflammatory infiltrate in the mucosa of CC contains lymphocytes, plasma cells, eosinophils, mast cells but few neutrophils. The pathophysiological roles of the thickened collagen band and the inflammatory infiltrate in CC are not fully understood. The aims of the present study were to develop a colonoscope based segmental perfusions technique and to analyze local intestinal secretion of inflammatory mediators: Eosinophilic Cationic Protein (ECP), Myeloperoxidase (MPO), Basic Fibroblast Growth Factor (bFGF), Vascular Endothelial Growth Factor (VEGF) and permeability marker albumin in CC patients without medication and also during steroid treatment. Furthermore, the colonic mucosal distribution of bFGF and VEGF were studied by immunohistochemical methods.</p><p>Colonoscope-based segmental perfusions were performed in totally 22 patients and the success rate was 76% in both rectal and descending colon segments. The analysis showed high intraluminal concentrations of ECP, bFGF, VEGF and albumin in ten CC patients compared to 10 control patients. Further, albumin had correlations with ECP and VEGF. However, elevated concentrations of MPO, an important feature of ulcerative colitis, were only observed in a few CC patients. Immunohistochemistry visualized bFGF and VEGF in the colonic epithelium but also deeper in the lamina propria. The steroid treatment study (including 12 patients) showed that the perfusate concentrations of ECP, bFGF and VEGF declined significantly in parallel with decreased frequency of diarrhoea. </p><p>In conclusion, a safe colonoscope-based, segmental perfusion technique was developed and perfusions of the rectum and descending colon were performed. CC patients had elevated perfusate concentrations of ECP, VEGF and bFGF. There was a marked reduction of these mediators during steroid treatment supporting the hypothesis that these inflammatory mediators separately or synergistically participate in the inflammatory reaction and tissue remodelling in CC patients. The finding of correlations between albumin and ECP or VEGF implies that permeability is increased in CC and may be triggered by ECP and VEGF. </p>

Collagenous colitis (CC) is an inflammatory bowel disease of unknown etiology. It is characterized by watery diarrhoea without blood, normal endoscopic findings but microscopically colonic mucosal inflammation and increased thickness of the subepithelial collagen band, the latter being a pathognomonic sign. The inflammatory infiltrate in the mucosa of CC contains lymphocytes, plasma cells, eosinophils, mast cells but few neutrophils. The pathophysiological roles of the thickened collagen band and the inflammatory infiltrate in CC are not fully understood. The aims of the present study were to develop a colonoscope based segmental perfusions technique and to analyze local intestinal secretion of inflammatory mediators: Eosinophilic Cationic Protein (ECP), Myeloperoxidase (MPO), Basic Fibroblast Growth Factor (bFGF), Vascular Endothelial Growth Factor (VEGF) and permeability marker albumin in CC patients without medication and also during steroid treatment. Furthermore, the colonic mucosal distribution of bFGF and VEGF were studied by immunohistochemical methods. Colonoscope-based segmental perfusions were performed in totally 22 patients and the success rate was 76% in both rectal and descending colon segments. The analysis showed high intraluminal concentrations of ECP, bFGF, VEGF and albumin in ten CC patients compared to 10 control patients. Further, albumin had correlations with ECP and VEGF. However, elevated concentrations of MPO, an important feature of ulcerative colitis, were only observed in a few CC patients. Immunohistochemistry visualized bFGF and VEGF in the colonic epithelium but also deeper in the lamina propria. The steroid treatment study (including 12 patients) showed that the perfusate concentrations of ECP, bFGF and VEGF declined significantly in parallel with decreased frequency of diarrhoea. In conclusion, a safe colonoscope-based, segmental perfusion technique was developed and perfusions of the rectum and descending colon were performed. CC patients had elevated perfusate concentrations of ECP, VEGF and bFGF. There was a marked reduction of these mediators during steroid treatment supporting the hypothesis that these inflammatory mediators separately or synergistically participate in the inflammatory reaction and tissue remodelling in CC patients. The finding of correlations between albumin and ECP or VEGF implies that permeability is increased in CC and may be triggered by ECP and VEGF.

QUEIROZ, Ismael Nilo Lino de. Caracterização estrutural preliminar e efeitos na inflamação da lectina da alga marinha verde Caulerpa cupressoides. 115 f. : Dissertação (Mestrado em Bioquímica) - Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará Fortaleza-CE, 2013. / Submitted by Eric Santiago (erichhcl@gmail.com) on 2016-05-23T13:42:40Z No. of bitstreams: 1 2013_dis_inlqueiroz.pdf: 2778929 bytes, checksum: 1ecf927693bc8e91aabb5a746c3dfbce (MD5) / Approved for entry into archive by José Jairo Viana de Sousa (jairo@ufc.br) on 2016-07-05T19:19:39Z (GMT) No. of bitstreams: 1 2013_dis_inlqueiroz.pdf: 2778929 bytes, checksum: 1ecf927693bc8e91aabb5a746c3dfbce (MD5) / Made available in DSpace on 2016-07-05T19:19:39Z (GMT). No. of bitstreams: 1 2013_dis_inlqueiroz.pdf: 2778929 bytes, checksum: 1ecf927693bc8e91aabb5a746c3dfbce (MD5) Previous issue date: 2013 / Lectins seaweed have various pharmacological applications. This work was partially characterize the structure and evaluate the effects on classical models of inflammation lectin of the green seaweed Caulerpa cupressoides. The Caulerpa cupressoides lectin (CcL) was extracted with Tris-HCl 25 mM, pH 7.5 and isolated by ion exchange chromatography on DEAE-cellulose. Structural characterization showed a partial aminoterminal sequence with 31 amino acid residues, obtained according to the method of Edman degradation, while in nuclear magnetic resonance spectroscopy to the CcL 1H-NMR purified by Sephadex G-100 and DEAE-cellulose obtained by was demonstrated similarity between signals obtained in both spectra. The anti-inflammatory activity was evaluated in male Wistar rats (n = 6), using the model of paw edema induced by carrageenan (700 μg/paw), dextran (500 μg/paw), histamine (100 μg/paw), serotonin (20 μg/paw) or bradykinin (30 μg/paw). Groups of animals were treated with CcL (0.1, 1.0 or 10.0 mg/kg, i.v.) 30 min before the inflammatory stimulus. Was evaluated the involvement of CcL (1.0 mg/kg) towards heme oxygenase-1. Groups were used that were treated with inhibitor CcL linked mucin (8.0 mg/kg, i.v.) or only mucin (8.0 mg/kg, i.v.) and dexamethasone (1.0 mg/kg, s.c.) were used as controls. The effect edematogenic CcL was evaluated by applying the doses of 0.1, 1.0 or 10 mg/kg (i.pl.). In the trial of paw edema induced by carrageenan, CcL reduced edema formation was confirmed by determining tissue levels of myeloperoxidase. CcL (1.0 mg/kg) showed no mucin linked to anti-inflammatory effect on the paw edema induced by carrageenan, except in the first hour after stimulation. In dextran-induced edema, CcL also inhibited the osmotic swelling. Only the dose of 1.0 mg/kg was used in reducing histamine-induced edema by 40% the edema within 30 min CcL (1.0 mg/kg), however, did not reduce the edema induced by serotonin or bradykinin. Besides, in the histological analysis of tissue subplantar, CcL (1.0 and 10.0 mg/kg) was able to reduce cell migration. In the presence of ZnPP IX (3.0 mg/kg, s.c.), CcL has lost its ability to inhibit the carrageenan-induced edema, exerting its mechanism of action anti-inflammatory pathway through the involvement of HO-1. While in immunohistochemistry, CcL (10 mg/kg) reduced the expression of IL-1β, but intense staining occurred cytokines TNF-α and IL-6, and expression of HO-1 in the groups treated with the same dose of CcL. In relation the effect edematogenic, CcL was able to induce intense inflammatory process with dose-dependent effect. However, the induced edema at a dose of 10 mg/kg was CcL was inhibited by indomethacin, meclizine, pentoxifylline and dexamethasone. Therefore, when the CcL partially characterized presented in its aminoterminal sequence of 43% identity with the protein from unicellular green alga Chlamydomonas reinhardtii and showed anti-and pro-inflammatory therapeutic agent is considered a potential for future studies in inflammatory processes. / As lectinas de algas marinhas possuem várias aplicações farmacológicas. O objetivo deste trabalho foi caracterizar parcialmente a estrutura e avaliar os efeitos em modelos clássicos de inflamação da lectina da alga marinha verde Caulerpa cupressoides. A lectina de Caulerpa cupressoides (LCc) foi extraída com tampão Tris-HCl 25 mM, pH 7,5 e isolada por cromatografia de troca iônica em coluna de DEAE-celulose. A caracterização estrutural parcial apresentou uma sequência aminoterminal com 31 resíduos de aminoácidos, obtida de acordo com o método de degradação de Edman, enquanto que na espectroscopia de ressonância magnética nuclear unidimensional 1H para a LCc purificada por Sephadex G-100 e obtida por DEAE-celulose, foi demostrado uma similaridade entre os sinais obtidos em ambos os espectros. A atividade anti-inflamatória foi avaliada em ratos Wistar machos (n=6), utilizando o modelo de edema de pata induzidos por carragenana (700 μg/pata), dextrana (500 μg/pata), histamina (100 μg/pata), serotonina (20 μg/pata) ou bradicinina (30 μg/pata). Grupos de animais foram submetidos ao tratamento com LCc (0,1; 1,0 ou 10,0 mg/kg; i.v.), 30 min antes do estímulo inflamatório. Foi avaliado o envolvimento da LCc (1,0 mg/kg) na via da Heme oxigenase-1. Foram utilizados grupos que receberam tratamento com LCc ligada ao inibidor mucina (8,0 mg/kg; i.v.) ou somente mucina (8,0 mg/kg; i.v.) e dexametasona (1,0 mg/kg; s.c.) foram utilizados como controles. O efeito edematogênico de LCc foi avaliado aplicando as doses de 0,1; 1,0 ou 10 mg/kg (i.pl.). No ensaio de edema de pata induzido por carragenana, LCc reduziu a formação de edema sendo confirmado pela determinação dos níveis teciduais de mieloperoxidase. A LCc (1,0 mg/kg) ligada a mucina não apresentou efeito anti-inflamatório no edema de pata induzido por carragenana, exceto na primeira hora após o estímulo. No edema induzido por dextrana, LCc também inibiu o edema osmótico. Apenas a dose de 1,0 mg/kg foi utilizada no edema induzido por histamina reduzindo em 40% o edema no intervalo de 30 min LCc (1,0 mg/kg), entretanto, não reduziu a formação de edema induzido por serotonina ou bradicinina. Além disso, na análise histológica do tecido subplantar, LCc (1,0 e 10,0 mg/kg) foi capaz de reduzir a migração celular. Na presença de ZnPP IX (3,0 mg/kg; s.c.), LCc perdeu sua capacidade inibir o edema induzido por carragenana, exercendo seu mecanismo de ação anti-inflamatório através do envolvimento da via da HO-1. Enquanto que na imunohistoquímica, LCc (10 mg/kg) reduziu a expressão de IL-1β, porém ocorreu intensa marcação das citocinas TNF-α e IL-6, além da expressão de HO-1, nos grupos tratados com a mesma dose de LCc. Com relação ao efeito edematogênico, LCc foi capaz de induzir intenso processo inflamatório com efeito dose-dependente. No entanto, o edema induzido com a dose de 10 mg/kg de LCc foi foi inibido por indometacina, meclizina, pentoxifilina e dexametasona. Portanto, a LCc quando parcialmente caracterizada apresentou na sua sequência aminoterminal uma identidade de 43% com a proteína da alga verde unicelular Chlamydomonas reinhardtii e apresentou propriedades anti- e pró-inflamatórias, sendo considerada um agente terapêutico em potencial para estudos futuros nos processos inflamatórios.

Author of this dissertation presentation discuss in the begining definition and historical consequences of origin and consecutive evolution of the method of percutaneous electrogastrography. Intimately is described physiology, anatomy, embryology and function of gastrointestinal tract with special interest on construction and function of the stomach. Next to this author analyses current knowledge about location and function of the gastric pace setter. The technique of used perctutaneous electrogastrography equipmentt is described. In the second part results of original studies monitoring restoration of peristalsis in perioperative period at patients after open and laparoscopic cholecystectomy and laparoscopic non-adjustable gastric banding are discussed. Furthermore results of EGG measurement of patients with mechanic, vascular and paralytic intestinal obstruction are presented in correlation with plasma levels of interleukin 1β, interleukin-6, procalcitonin and C-reactive protein. Key words: Percutanous electrogastrography, laparoscopic cholecystectomy, laparoscopic gastric bandage, inflammatory mediators, intestinal obstruction.

O escorpião Tityus serrulatus é considerado uma das espécies mais perigosas para os seres humanos no Brasil, e sua peçonha induz resposta inflamatória local e sistêmica. Neste projeto, tivemos como objetivo estudar a produção de mediadores inflamatórios, as vias de ativação celular e os receptores da imunidade inata responsáveis pelo reconhecimento da peçonha do escorpião T. serrulatus (TsV), bem como de suas toxinas. Nós demonstramos que TsV, e suas toxinas Ts1 e Ts6 induzem a produção de NO, IL-6 e TNF-? por células J774.1, as quais podem ser potencializadas pela presença de LPS. No entanto, Ts2 apresenta atividade anti-inflamatória por induzir produção de IL-10 e inibe a liberação de NO, IL-6 e TNF-?, induzida pelo LPS. Mostramos ainda que Ts2 ou Ts6 isoladas do TsV, além das citocinas, induzem a produção dos mediadores lipídicos (LTB4 e PGE2), e estes contribuem para o recrutamento de leucócitos para a cavidade peritoneal. Em conjunto, os nossos dados demonstraram que Ts2 e Ts6 induzem inflamação por mecanismos dependentes da produção de citocinas e mediadores lipídicos, e que Ts2 pode desempenhar papel regulador da resposta. No entanto, os mecanismos responsáveis pelo reconhecimento da peçonha e indução da liberação de mediadores inflamatórios por células de mamíferos, são desconhecidos. Assim, dando continuidade aos nossos estudos, demonstramos que os receptores TLR2, TLR4 e CD14 reconhecem TsV, e medeiam a produção de citocinas e mediadores lipídicos. Além disso, nós demonstramos que TsV ativa NF-?B dependente de MyD88, e o fator c-Jun, independente de MyD88. Semelhante ao TsV, a sua toxina majoritária, Ts1, induz a fosforilação de NF-?B dependente de MyD88, via reconhecimento por TLR2 e TLR4, enquanto a ativação c-Jun é via TLR4, mas independente de MyD88. Dentro deste contexto, nós propusemos o termo Padrões Moleculares Associados à Venenos (VAMP) para se referir às moléculas que são introduzidas no hospedeiro por picadas e são reconhecidas por receptores de reconhecimento padrão (PRRs), resultando em inflamação. Demonstramos ainda, a formação de corpúsculos lipídios (CLs) e a geração de eicosanóides, após o reconhecimento do TsV por TLR2 e TLR4. Nossos dados mostraram que a formação de eicosanóides se correlaciona com a formação dos CLs, que por sua vez são dependentes de TLR2 e TLR4, e da ativação de PPAR?, sugerindo que este receptor nuclear pode modular a produção de citocinas pró-inflamatórias. Assim, concluímos que PPAR? pode ser um candidato-alvo atrativo para novas estratégias terapêuticas para prevenção dos efeitos deletérios resultantes da intensa liberação sistêmica de mediadores inflamatórios após envenenamento. / Tityus serrulatus is the scorpion considered one of the most dangerous species to humans in Brazil, which venom induces local and systemic inflammatory response. In this project, we aimed to study In this project, we aimed to study the inflammatory mediators production, cell activation and receptors of innate immunity responsible for recognition of the venom of the scorpion T. serrulatus (TsV) as well as their toxins. We have demonstrated that TsV and their toxins Ts1 and Ts6 induce NO, IL-6 and TNF-? production in J774.1 cells, which may be potentiated by presence of LPS. However, Ts2 exhibits anti-inflammatory activity due induction of IL-10 production and inhibits the release of NO, IL- 6 and TNF-? induced by LPS. We also show that Ts2 or Ts6 isolated of TsV, besides of the cytokines, induce the production of lipid mediators (LTB4 and PGE2), and these mediators contribute to leukocytes recruitment into the peritoneal cavity. Taken together, our data demonstrated that Ts2 and Ts6 induce inflammation by mechanisms dependent on the production of cytokines and lipid mediators, and that Ts2 may play regulatory role on the cell response. Furthermore, continuing our studies, we demonstrated that TLR2, TLR4 and CD14 receptors recognize TsV, mediating cytokines and lipid mediators production. We also showed TsV MyD88- dependent activation of NF-?B, and a MyD88-independent activation of the factor c-Jun. Similar to TsV, the majority toxin Ts1 induces MyD88-dependent phosphorylation of NF-kB via TLR2 and TLR4 recognition, while the c-Jun activation is through TLR4 recognition, but independent of MyD88. Within this context, we propose the term Venom-Associated Molecular Pattern (VAMP), to refer molecules that are introduced into the host by st ings and recognized by PRRs, resulting in inflammation. Finally, we investigated the formation of lipid bodies (LBs) and generation of eicosanoids, through TsV recognition by TLR2 and TLR4. Our data showed that eicosanoid production correlates with the LBs formation, which are dependent on TLR2, TLR4 and PPAR? activation, suggesting that this nuclear receptor can modulate cytokines inflammatory. Thus, we suggest that PPAR? may be an attractive candidate target for novel therapeutic strategies to prevent the deleterious effects of intense systemic release of inflammatory mediators after envenomation.

Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-06-21T18:42:55Z No. of bitstreams: 1 Heliodora Leao Casalechi.pdf: 2679810 bytes, checksum: f981677bdc05834caca5e26029e42566 (MD5) / Made available in DSpace on 2018-06-21T18:42:55Z (GMT). No. of bitstreams: 1 Heliodora Leao Casalechi.pdf: 2679810 bytes, checksum: f981677bdc05834caca5e26029e42566 (MD5) Previous issue date: 2015-06-24 / Tendinitis is a common disorder of the musculoskeletal system with multiple pathological manifestations. Although most tendons have the ability to spontaneously repair after injury, scar tissue is formed that can prevent the tendon to perform normal functions. Studies have been conducted using phototherapy in different health areas, using low-intensity lasers and LEDs. However, there are few studies with LEDs therapy. The aim of this study was to investigate the effect of phototherapy with Laser (830nm) and LED (945nm) in the repair process of the calcaneus tendonitis in rats. The inflammation was induced by controlled contusion in the medial region of the Achilles tendon of the animals. Was used 112 young male Wistar rats (240 ± 20g), divided into 14 groups with two different experimental periods. Groups CONT (control group), TEND (tendinitis group) during periods 7 and 14 days, LEDT (LED therapy, from th to 7th day and from 1th to 14th day), and LEDT delay (LED therapy from 7th to 14th day). The therapy was initiated 12h after the tendinitis induction, with a 48h interval between irradiations (dose 6J/point). The control animals received simulation of treatment; the same experimental design was used for Laser treatment. All groups were euthanized on the 7th or 14th day after the induction. The tendons were dissected, extracted, and sent for analysis. Were performed biomechanical and histological analysis to evaluate neutrophils and collagen, were also quantitated the inflammatory mediators by real-time polymerase chain reaction (RT-PCR) and the IL-6 and TNF- α levels by ELISA. The results showed that treatments with low-intensity lasers in the parameters used and the times studied reduces migration of inflammatory cells and improves the quality of repair, but the LED even decreasing the inflammation was not effective of biomechanical properties of tendon tissue. / A tendinite é uma desordem comum do sistema musculoesquelético. Embora os tendões tenham habilidade de reparação espontânea após ferimento, o tecido da cicatrização que é formado pode impedir o tendão de executar as funções normais. Estudos vêm sendo realizados utilizando a fototerapia em diferentes áreas da saúde, empregando tanto laseres quanto LEDs de baixa intensidade. Contudo, existe um número reduzido de estudos com a utilização da terapia com LEDs. O objetivo deste estudo foi investigar os efeitos anti-inflamatórios e as propriedades mecânicas do tecido após a ação da fototerapia utilizando LASER (830nm) e LEDs (945nm), na região do infravermelho, na tendinite induzida por trauma mecânico em tendão de Aquiles de ratos. Foram utilizados 112 ratos machos albinos da linhagem Wistar (240 ± 20g), distribuídos em 14 grupos e dois períodos experimentais diferentes. Grupos CONT (grupo controle), os grupos TEND (grupos tendinite) nos períodos de 7 e 14 dias, o LEDT (grupos terapia LED), do 1º ao 7º dia e do 1º ao 14º dia) e o grupo LEDT delay (terapia LED do 7º ao 14º dia). A terapia teve início 12 horas após a indução da tendinite, utilizando uma dose de 6J no ponto de aplicação, com intervalos de 48 em 48 horas. A fototerapia foi aplicada transcutaneamente em um único ponto sobre a região lesionada. Os animais dos grupos controle foram submetidos à simulação da aplicação com o aparelho desligado, o mesmo desenho experimental foi utilizado feito para o tratamento Laser. As eutanásias ocorreram ao 7º e 14º dia do experimento. Foi realizada análise biomecânica, histopatológica para avaliação de neutrófilos e colágeno, também foram quantificados os mediadores inflamatórios por meio da RT-PCR e os níveis de IL-6 e TNF- α foram avaliados pelo teste imunoenzimático (ELISA). Por meio dos resultados encontrados, é possível inferir que os tratamentos com Laser de baixa intensidade, nos parâmetros utilizados e nos tempos estudados melhora a qualidade do reparo do tecido tendíneo, a biomecânica e reduz a migração de células inflamatórias, já o LED de baixa intensidade apesar de diminuir a inflamação não foi eficiente na manutenção da biomecânica do tendão.

Author of this dissertation presentation discuss in the begining definition and historical consequences of origin and consecutive evolution of the method of percutaneous electrogastrography. Intimately is described physiology, anatomy, embryology and function of gastrointestinal tract with special interest on construction and function of the stomach. Next to this author analyses current knowledge about location and function of the gastric pace setter. The technique of used perctutaneous electrogastrography equipmentt is described. In the second part results of original studies monitoring restoration of peristalsis in perioperative period at patients after open and laparoscopic cholecystectomy and laparoscopic non-adjustable gastric banding are discussed. Furthermore results of EGG measurement of patients with mechanic, vascular and paralytic intestinal obstruction are presented in correlation with plasma levels of interleukin 1β, interleukin-6, procalcitonin and C-reactive protein. Key words: Percutanous electrogastrography, laparoscopic cholecystectomy, laparoscopic gastric bandage, inflammatory mediators, intestinal obstruction.

La pneumonie est la première cause de mortalité chez l’enfant dans le monde. Elle peut être provoquée par un certain nombre d’agents pathogènes connus mais 15 à 35% des pneumonies de l’enfant restent encore non renseignées d’un point de vue étiologique. L’utilisation d’un test moléculaire de découverte de nouveaux pathogènes nous a permis de découvrir de nouvelles espèces de Torque Teno Mini Virus (TTMV, Anelloviridae), nommées TTMV-LY, dans trois épanchements pleuraux provenant d’enfants hospitalisés avec une pleuro-pneumopathie, dont l’étiologie demeurait inconnue. Les TTMV sont des virus ubiquitaires dont l’implication dans une pathologie reste à déterminer. Les voies respiratoires ayant précédemment été décrites pour être un site d'infection des anellovirus, nous avons entrepris de caractériser ces nouveaux virus, ainsi que d’étudier leur potentiel rôle dans la pathogénèse.Les génomes complets de TTMV-LY ont été isolés, caractérisés puis répliqués in vitro. La réponse des cellules épithéliales alvéolaires, ainsi que des cellules présentatrices d’antigènes (CPA), impliquées dans l’inflammation, a été étudiée après infection par les virions néo-synthétisés.Ces travaux ont démontré que : i) les TTMV-LY peuvent coloniser les poumons en profondeur, ii) les cellules pulmonaires sont permissives aux TTMV-LY et permettent une réplication virale efficace, iii) l’infection virale module les réponses cellulaires et immunitaires des cellules pulmonaires en induisant des dérégulations de l’expression génique et la production de médiateurs inflammatoires, iv) les TTMV-LY seraient capables d’interagir avec les CPA et de réguler ainsi différentiellement le processus inflammatoire.L’ensemble de ces résultats ont permis de mettre en évidence une implication potentielle des TTMV-LY dans la pathogénèse des pneumopathies, et souligné la complexité des mécanismes biologiques mis en jeu lors de l’infection par les virus de cette famille. / Pneumonia is the leading cause of death in children worldwide. It can be caused by a number of known pathogens, but 15-35% of childhood pneumonia are still not associated with an etiologic agent. A pathogen discovery assay allowed us to identify new species of Torque Teno Mini Virus (TTMV, Anelloviridae), named TTMV-LY, in three undiagnosed pleural effusions from children hospitalized with parapneumonic empyema. TTMV are ubiquitous orphan viruses, and their involvement in pathogenesis remains unknown. The respiratory tract was previously described to be a site of anellovirus detection. We investigated the role of these new species in the pathogenesis of severe pneumonia.Full-length TTMV-LY genomes were isolated and in vitro replicated. The response of alveolar epithelial cells, and antigen presenting cells (APC), both involved in the inflammation process, was studied after infection with neo-synthesized virions.This study showed for the first time that: i) TTMV-LY can deeply colonize lungs, ii) alveolar epithelial cells are permissive to the TTMV-LY and allow an efficient replication, iii) viral infection modulates cellular and innate immune responses of alveolar epithelial cells, by inducing gene expression deregulations and inflammatory mediators production, iv) TTMV-LY are able to interact with APC and thereby regulate differentially their inflammatory process.All these results allowed to highlight a potential involvement of TTMV-LY in the pathogenesis of severe pneumonia and brought out the complexity of the biological mechanisms taking place during infection by viruses of this family.

O tratamento minimamente invasivo tem sido cada vez mais empregado no tratamento das lesões de cárie dental, especialmente em crianças jovens. Com isso, a remoção do tecido cariado pelo método químico-mecânico permite uma maior conservação das estruturas dentais saudáveis. O Papacárie Duo® é um material de fácil aplicação e possui propriedades bactericidas e anti-inflamatórias. Este material é aplicado sobre a dentina cariada, a fim de promover um amolecimento desta, facilitando a sua remoção. Os efeitos celulares de Papacárie Duo® são pouco conhecidos, dessa forma esta pesquisa teve como objetivo avaliar o efeito do Papacárie Duo® em células indiferenciadas da polpa dental (Capítulo 1) e a capacidade do Papacárie Duo® induzir a ativação de macrófagos e a síntese de mediadores inflamatórios (Capítulo 2). O Papacarie Duo® foi preparado nas concentrações de 0,5 e 5% por meio de diluição seriada, a partir do gel obtido comercialmente. Células OD-21 e macrófagos J774.1 foram mantidas em cultura com os diferentes tratamentos por um período de estimulação de 24 horas para realização do teste de citotoxicidade (Ensaio LDH) e por 36 horas para avaliação da proliferação celular (Ensaio Colorimétrico MTT). A seguir foi realizada avaliação da expressão gênica relativa dos genes Ibsp, Runx2 e Spp1 em células OD-21; e dos genes Il10, Mmp9, Ptgs2 e Tnf em células J774.1, pelo método de transcrição reversa e reação em cadeia de polimerase em tempo real (qRT-PCR), utilizando o sistema TaqMan® após estimulação o período de 24 horas. O Papacárie Duo® a 5% foi citotóxico às células da polpa dental e inibiu a proliferação celular, assim como a expressão de Runx2 e Ibsp. Porém em ambas as concentrações estimulou a expressão de Spp1, a qual foi maior na concentração de 5%. Em macrófagos, o Papacárie Duo® foi citotóxico na concentração de 5%, mas não influenciou a proliferação celular em nenhuma das concentrações (0,5 e 5%). O LPS inibiu a proliferação celular na presença ou não de Papacárie Duo®, sem apresentar citotoxicidade. O Papacárie Duo® induziu a expressão de Ptgs2 e Il10, sem alterar Tnf e Mmp9. Portanto, o Papacárie Duo® foi citotóxico, dependendo da concentração, e apresentou efeito inibitório na diferenciação de células da polpa (OD-21), sem entretanto influenciar a proliferação celular. Papacárie Duo® não impediu a proliferação de macrófagos, porém foi citotóxico na concentração de 5% mas não à 0,5%. Adicionalmente, Papacárie Duo® modulou a ativação de macrófagos pela indução da expressão de Ptgs2 e Il10, sem alterar a expressão de Tnf e Mmp9. / The minimally invasive treatment has been increasingly used in the treatment of dental caries, particularly in young children. Thus, the removal of carious tissue by chemical-mechanical method allows greater conservation of healthy tooth structure. The Papacárie Duo® is an easily applied material, and has bactericidal and anti-inflammatory properties. This material is applied over the carious dentin in order to promote a softening thereof, facilitating its removal. The cellular effects of Papacárie Duo® are little known, therefore this research was to evaluate the effect of Papacárie Duo® in undifferentiated cells from dental pulp (Chapter 1) and the capacity of Papacárie Duo® to induce macrophage activation and synthesis inflammatory mediators (Chapter 2). The Papacárie Duo® was prepared at concentrations of 0.5 and 5% by serial dilution from the gel obtained commercially. OD-21 cells and J774.1 macrophages were maintained in culture with the different treatments for a period of 24 hours to perform the cytotoxicity assay (LDH assay) and for 36 hours for evaluation of cell proliferation (MTT colorimetric assay). The following, was carried out the assessment of the relative gene expression of Ibsp, Runx2 and Spp1 genes in OD-21 cells, and Il10, Mmp9, Tnf and Ptgs2 in J774.1 cells by reverse transcription method and reaction in real time polymerase chain reaction (qRT-PCR) using the TaqMan system after the stimulation period of 24 hours. The 5% Papacárie Duo® was cytotoxic to cells of dental pulp and inhibited cell proliferation and the expression of Runx2 and Ibsp. However, in both concentrations stimulated the expression of Spp1, which was higher at a concentration of 5%. In macrophages, the Papacárie Duo® was cytotoxic at concentrations of 5%, but did not affect the cell proliferation in any of the concentrations (0.5 and 5%). LPS inhibited cell proliferation in the presence or absence of Papacárie Duo® without giving cytotoxicity. The Papacárie Duo® induced the expression of Ptgs2 and Il10, without changing Tnf and Mmp9. Therefore, the Papacárie Duo® was cytotoxic, depending on the concentration, and showed inhibitory effect on the differentiation of pulp cells (OD-21), but without influencing cell proliferation. Papacárie Duo® not prevent macrophage proliferation, but was cytotoxic at a concentration of 5% but not more than 0.5%. Additionally, Papacárie Duo® modulated the activation of macrophages by inducing Il10 and Ptgs2 expression without altering the expression of ,Tnf, and Mmp9.