Malonaldehyde, a very reactive member of the homologous series of dialdehydes, is associated with the autoxidative deterioration of lipids. Its measurement, in autoxidized lipid systems is an expression of the extent of oxidation, in lipids. Malonaldehyde lends itself well to such determinations because of the sensitivity and specificity of its quantification in complex lipid systems. Complete knowledge of the formation of malonaldehyde in autoxidized lipids. is lacking. Such knowledge would undoubtedly promote a better understanding of lipid autoxidation mechanisms. In this investigation, a method for detecting malonaldehyde through the use of its reaction with p-aminobenzoic acid was developed. This was adapted for use in measuring malonaldehyde in lipids and in tissue samples. The reaction between p-aminobenzoic acid and malonaldehyde was partially characterized, and a mechanism for the formation of the reaction product was postulated. The quantification of malonaldehyde in lipid systems by the use of p-aminobenzoic acid involves the use of a mild reducing agent such as stannous chloride to prevent interference from hyd roperoxides present in the system. The p-aminobenzoic acid reaction is highly specific for malonaldehyde and proceeds smoothly and rapidly at room temperature in a non-aqueous chloroform-methanol solvent system to yield a highly colored compound having a maximum absorbance at 406 mμ. and with a molar absorptivity of 73,500. The absorbance value may be converted directly to parts-per-million malonaldehyde through the use of a conversion factor in a simple equation. The limits of detectability of themethod are on the order of one ppm malonaldehyde. The measurement of malonaldehyde in the lipid fraction of tissue samples involves the prior extraction of the lipid with a non-aqueous chloroform-methanol solvent, by an extraction method which was developed for this purpose. The reaction of malonaldehyde with p-aminobenzoic acid involves the condensation of two molecules of p-aminobenzoic acid with one molecule of malonaldehyde. The reaction exhibits a rate maximum at a hydrogen ion concentrations of about 0.1 molar, and also exhibits rate dependencies upon the concentrations of both malonaldehyde and p-aminobenzoic acid. This strongly suggests that the reaction proceeds according to an S [subscript N] 2 mechanism. A postulated mechanism involves nucleophilic 1,4-addition of the amino nitrogen of p-aminobenzoic acid to the enol of malonaldehyde followed by-loss of water to form the enamine. The reaction with a second molecule of p-aminobenzoic acid involves nucleophilic substitution of the amino nitrogen at the carbonyl function of malonaldehyde followed by loss of water to form an imine linkage. / Graduation date: 1968

FundaÃÃo de Amparo à Pesquisa do Estado do Cearà / A anemia falciforme (AF) se caracteriza por anemia hemolÃtica crÃnica e com fenÃmenos vaso-oclusivos, seguidos de lesÃes a ÃrgÃos alvos, responsÃveis pela mortalidade associada a esta doenÃa. O fenÃmeno vaso-oclusivo està associado ao processo inflamatÃrio desencadeado pela polimerizaÃÃo da HbS desoxigenada, favorecendo a impactaÃÃo das hemÃcias na microcirculaÃÃo e subseqÃente obstruÃÃo da luz do endotÃlio. Numerosas evidÃncias sugerem que a reduÃÃo da biodisponibilidade do Ãxido nÃtrico (NO) pode ser um fator que favoreÃa a vaso-oclusÃo e que os radicais livres formados induzem à peroxidaÃÃo lipÃdica e à subseqÃente produÃÃo de quantidades anormais de malonaldeÃdo (MDA), que provoca alteraÃÃo da permeabilidade da membrana eritrocitÃria. Dentre os fatores genÃticos que modulam a clÃnica da AF consta os nÃveis de HbF. A hidroxiurÃia (HU) à utilizada no tratamento da AF e alÃm de aumentar os nÃveis de HbF parece contribuir como um doador de Ãxido nÃtrico. Nesse contexto, os objetivos do presente trabalho foram avaliar o estresse oxidativo por meio da dosagem sÃrica de MDA e determinar os nÃveis de NO e de lactato desidrogenase lÃctica (LDH) em pacientes com AF em acompanhamento ambulatorial no Hospital UniversitÃrio Walter CantÃdeo (HUWC) e correlacionar com o uso da HU. Desta forma foram utilizadas 65 amostras de sangue perifÃrico de pacientes adultos com AF em uso ou nÃo de HU, e um grupo controle foi elaborado por 20 doadores do banco de sangue com HbAA. Os nÃveis de NO, MDA e LDH foram determinados por mÃtodos bioquÃmicos. Os participantes da pesquisa foram selecionados junto ao centro de hematologia e hemoterapia do Cearà (HEMOCE). Todos os indivÃduos assinaram o termo de consentimento livre e esclarecido (TCLE) e foram submetidos a um questionÃrio prÃ-estruturado. Os dados obtidos foram expressos como mÃdias  desvio padrÃo e analisados utilizando-se o programa estatÃstico SPSS15.0, utilizamos os coeficientes de correlaÃÃo de Pearsaon e de Spearman para o estudo das correlaÃÃes entre MDA, NO, LDH, HbF e Hb. Para comparar os trÃs grupos atravÃs dos nÃveis de MDA, NO e LDH obtemos os resultados atravÃs da anÃlise de deviance (ANODEV). verificamos um predomÃnio do sexo feminino, e das raÃas parda (grupo I) e negra (grupo II), sendo a grande maioria desses pacientes com idade variando de 20 a 35 anos (grupo I) e 20 a 40 anos (grupo II) e procedentes do estado de CearÃ. Em sua maioria, nÃo faziam uso de fumoetilismo e de suplementaÃÃo de vitaminas (C e E). Os nÃveis de MDA nos trÃs grupos sÃo todos diferentes, isto Ã, o grupo controle apresentou um nÃvel mÃdio de MDA superior ao grupo II, e este por sua vez superior ao grupo I. NÃo encontramos diferenÃa nos nÃveis sÃricos de NO em relaÃÃo ao uso de HU. Nos trÃs grupos observamos que apenas o grupo controle difere, apresentando uma mÃdia bem inferior a dos dois grupos de pacientes quanto aos nÃveis de LDH. Observamos uma correlaÃÃo inversamente proporcional entre os de nÃveis NO e de HbF para o grupo I, enquanto que para o grupo II nÃo houve correlaÃÃo. Em relaÃÃo à concentraÃÃo da Hb nÃo houve correlaÃÃo tanto no grupo I quanto no grupo II, com os nÃveis de NO. NÃo houve correlaÃÃo significativa entre os nÃveis de MDA e Hb e HbF para nenhum dos grupos estudados. Encontramos uma correlaÃÃo inversamente proporcional entre os nÃveis de LDH e de Hb para o grupo I. Observou-se nÃveis elevados de MDA em pacientes do grupo II que realizaram duas ou mais transfusÃes no decorrer do ano, que apresentaram Ãlcera de perna maleolar e que tiveram trÃs ou mais crises vaso-oclusivas para ambos os grupos. NÃo encontramos nenhuma relaÃÃo do NO com as variÃveis clÃnicas. CONCLUSÃO: Nossos resultados mostram que os paciente em uso de HU nÃo estÃo protegidos contra a peroxidaÃÃo lipÃdica, hemÃlise quanto ao consumo de NO disponÃvel. / The sickle-cell disease (SCD) is characterized by hemolytic chronic anemia and with vase-occlusive phenomena, followed by target organs which are responsible for the mortality associated with this disease. The vase-occlusive phenomenon is associated with the inflammatory process unleashed by the polymerization of deoxygenated HbS, which favors the polymerization of erythrocytes in the microcirculation and the subsequent obstruction of endothelia light. Several evidences suggest that the reduction of the bioavailability of the nitric oxide (NO) can be a factor to favor the vase-occlusion and that the free radicals produced give rise to the lipidic peroxidation and the subsequent production of the abnormal quantities of malonaldehyde (MDA), which induce the permeability of the red cell membrane. Among the genetic factors that modulate the clinic of the AF, there is the HbF levels. The hydroxyurea (HU) is used in the treatment of SCD and apart from increasing the HbF levels it also seems to contribute as a nitric oxide donator. In this context, the present work aims to evaluate the oxidative stress by means of seric dosage of the MDA and to determinate the levels of NO and lactate desidogenase lactica (LDH) in patients with SCD by means within the Walter CantÃdeo University Hospital (HUWC) and to correlate with the use of HU. This way, it was used 65 samples of peripheral blood of adult patients with AF with either HU or not, and a control group was composed by 20 donors of the blood bank with HbAA. The levels of NO, MDA and LDH were determined by biochemical methods. The participants of the research were selected in the Center of Hematology and Hemotherapy of Cearà State (HEMOCE). All the participants have signed a document stating free consent and approval (TCLE) and they were submitted to a previously elaborated questionnaire. The obtained data were expressed as averages  pattern deviation and analyzed by using a statistics software SPSS15.0, using Pearson and Spearman correlation coefficients for the study of the correlations among MDA, NO, LDH, HbF and Hb. In order to compare the three groups through the levels of MDA, NO and LDH, the results were obtained by means of deviance analysis (ANODEV). It has been observed a majority of females and fallow race (group I) and black (group II), in which the most part of these patients have ages in the range of 20-35 (group I) and 20-40 (group II) and come from Cearà State. Most of them did not smoke, drink alcohol nor use vitamin supplements (C and E). The levels of MDA in the three groups are all different, i. e., the control group showed an average level of MDA higher than group II, and the later higher than that of the group one. It was not verified difference in the seric levels of NO in relation to the use of HU. In the three groups, it was observed that only the control group is different, showing an average much lower than those of the other two groups of patients regarding the levels of LDH. It was also observed a correlation inversely proportional between the two levels of NO and HbF for the group I, while in the group II there was no correlation. Regarding to the concentration of Hb, there was no correlation both in the group I and in the group II, with levels of NO. There was no significantly correlation among the levels of MDA, Hb and HbF for the studied groups. It was found a correlation inversely proportional between the levels of LDH and Hb for the group I. It was observed accentuated levels of MDA in patients of group II who have made two or more transfusions throughout the year, who had leg ulcers and who had three or more vase-occlusive crises form both the groups. It was found no relation of NO with the clinic variables. CONCLUSÃO: Our results have shown that patients who use HU are not protected against lipidic peroxidation, hemolysis and consume of available NO

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / The protective role of dimethylsulfoxide (DMSO), lipoic acid (LA) and ternatin (TN), known free radical scavengers and cell membrane protectants were evaluated in an experimental model of testis ischemia/reperfusion. One hundred and twenty young male Wistar rats, mean weight 172.5Â15g, were randomized in five equal groups (GS - Sham, GC â Control, GD â Dimethylsulfoxide, GA â Lipoic acid and GT/D â Ternatin/DMSO). Rats of each group were distributed into four subgroups (T-0, T-1, T-3 and T-6), each comprising six animals. All surgical procedures were performed under inhalatory ether anesthesia. Experimental rats received intraperitoneal (i.p.) injections of 3% aqueous solution of DMSO (10 ml/kg, GD), LA (10 mg/kg, GA) or TN/DMSO (12 mg/kg, suspended in 3% aqueous solution of DMSO), GT/D) 24, 12 and 4 hours before cord detorsion. Last dose was given 1 hour before ischemia induction or second Sham operation. Sham (GS) and Control (GC) rats received NaCl 0.9% 10 ml/Kg i.p. Thiobarbituric acid reactive substances (TBARS) and reduced glutathione (GSH) levels (Âmol/g wet tissue) were assayed in testis. Total Antioxidant Power (TAP) (ÂM) was measured in blood plasma. Data were first analyzed by Kolmorogov-Smirnov test to assess differences in the general shapes of distribution. Comparisons between groups were made using the t test for normally distributed data and the Mann-Whitney U test for non-normally distributed data. P values of <0.05 were considered to indicate statistical significance. Comparisons between antioxidant-treated and saline-treated rats (Control group, GC) were made using Dunnettâs test. Spermatic cord torsion induced significant decrease in testis MDA levels during ischemia and reperfusion in DMSO (GD) and LA (GA) and in TN/DMSO (GT/D) treated rats during reperfusion, compared with respective controls. MDA levels were significantly increased in GC compared with Sham (GS) rats at the end of the ischemia and during reperfusion as well as one hour after detorsion (T-1) in GC rats compared with T-0, in the same group, indicating additional damage imposed by the afflux of oxygenated blood (reperfusion) to the ischemic tissues. GSH levels decreased significantly in saline-treated (GC) compared with Sham-operated rats and increased significantly in DMSO and LA treated rats at the end of ischemia and during reperfusion. The model utilized in this study did not induce systemic effects. TAP was significantly increased during reperfusion (T-1) in LA (GA) and TN/DMSO (GT/D) pretreated rats, compared with respective controls. The results of the present study reinforce the hypothesis that ischemia and reperfusion are free radicals generating processes. The different antioxidants studied here have demonstrated great efficacy in cell membrane protection by decreasing lipid peroxidation in all experiments. Increased reduced glutathione levels in DMSO and LA treated rats support the view that these substances can exert a protective effect against testis oxidative stress injury caused by ischemia/reperfusion in rats subjected to torsion of the spermatic cord lasting three hours. TN protective effects in reducing lipoperoxidation were more pronounced in ischemic tissues. / O efeito protetor do dimetilsulfÃxido (DMSO), do Ãcido lipÃico (LA) e da ternatina (TN), conhecidos seqÃestradores de radicais livres e protetores da membrana celular foram avaliados utilizando um modelo experimental de isquemia/reperfusÃo do testÃculo. Cento e vinte ratos Wistar jovens com peso mÃdio de 174 g foram distribuÃdos ao acaso em cinco grupos (GS - Simulado, GC â Controle, GD â DimetilsulfÃxido. GA â Ãcido lipÃico e GT/D â Ternatina/DMSO) numericamente iguais e posteriormente redistribuÃdos em quatro subgrupos (T-0, T-1, T-3 e T-6), com seis animais cada. Todos os procedimentos cirÃrgicos foram realizados sob os efeitos da anestesia geral inalatÃria. Os animais receberam injeÃÃes intraperitoniais (i.p.) de soluÃÃo aquosa de DMSO a 3% (10 ml/kg, GD), LA (10 mg/kg, GA) ou TN+DMSO (12 mg/kg, GT/D, em soluÃÃo aquosa de DMSO a 3%) 24, 12 e 4 horas antes da destorÃÃo do cordÃo espermÃtico. A Ãltima dose foi administrada uma hora antes da induÃÃo da isquemia ou da segunda operaÃÃo simulada (Sham). Os ratos do grupo Simulado (GS) e do grupo Controle (GC) receberam de NaCl 0,9% (10 ml/Kg) i.p. Foram determinadas as concentraÃÃes de substÃncias reativas ao Ãcido tiobarbitÃrico (TBARS) e glutationa reduzida (GSH) no tecido (testÃculo), e a capacidade antioxidante total (CAP) do plasma. Para determinaÃÃo do padrÃo de distribuiÃÃo das amostras utilizou-se o teste de Kolmorogov-Smirnov. As comparaÃÃes entre os grupos foram feitas utilizando-se o t teste ou o teste U de Mann-Whittney quando assim indicado. Para as comparaÃÃes dos grupos tratados com antioxidantes ao grupo Controle (GC) utilizou-se o teste de Dunnett. Valores de p<0,05 foram considerados significantes. A torÃÃo do cordÃo espermÃtico induziu uma reduÃÃo significante das concentraÃÃes de MDA, no tempo mÃximo de isquemia e na reperfusÃo, em tratos prÃ-tratados com DMSO (GD) e LA (GA) e durante a reperfusÃo naqueles prÃ-tratados com TN/DMSO (GT/D), comparados com seus respectivos controles. Os nÃveis de MDA estavam significantemente elevados nos ratos do grupo GC comparados aos animais do grupo GS, no tempo mÃximo de isquemia e durante a reperfusÃo, bem como uma hora apÃs a destorÃÃo (T-1) comparada ao T-0, demonstrando o dano adicional decorrente do afluxo de sangue oxigenado (reperfusÃo) ao tecido isquÃmico. As concentraÃÃes de GSH diminuÃram nos ratos prÃ-tratados com soluÃÃo salina e aumentaram significativamente nos ratos prÃ-tratados com DMSO ou LA, no tempo mÃximo de isquemia e durante a reperfusÃo. O modelo isquÃmico utilizado nÃo foi capaz de gerar efeitos sistÃmicos. A capacidade antioxidante total aumentou significantemente durante a reperfusÃo (T-1) nos ratos prÃ-tratados com LA (GA) e TN/DMSO (GT/D) comparados aos respectivos controles. Esses resultados fortalecem a hipÃtese de que a isquemia e reperfusÃo sÃo processos geradores de radicais livres. Os diferentes antioxidantes estudados mostraram grande eficiÃncia na proteÃÃo da membrana celular, reduzindo a peroxidaÃÃo lipÃdica, em todos os experimentos. O aumento dos nÃveis de glutationa reduzida, nos ratos prÃ-tratados com DMSO e LA, mostra que estes antioxidantes exercem uma proteÃÃo eficaz contra o estresse oxidativo induzido pela isquemia/reperfusÃo em ratos submetidos à torÃÃo do cordÃo espermÃtico por trÃs horas. Os efeitos protetores da ternatina se manifestam com maior intensidade no tecido isquÃmico, no controle da peroxidaÃÃo lipÃdica.

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / O efeito da L-alanil-glutamina foi testado numa situaÃÃo de estresse oxidativo induzida por um modelo experimental de isquemia/reperfusÃo testicular atravÃs de torÃÃo do cordÃo espermÃtico. Oitenta e quatro ratos Wistar jovens foram distribuÃdos aleatoriamente em 6 grupos da seguinte forma: Grupo Salina 1h (GSa1) e Grupo Ala-Gln 1h (GAg1), tendo sido os animais submetidos à 1 hora de isquemia e 6 horas de reperfusÃo, tratados 30 minutos antes da torÃÃo, por via intravenosa, com soluÃÃo salina e L-alanil-glutamina (0,75g/Kg) respectivamente; Grupo Salina 3h (GSa3) e Grupo Ala-Gln 3h (GAg3), tendo sido os animais submetidos a 3 horas de isquemia e 6 horas de reperfusÃo, tratados 30 minutos antes da torÃÃo, por via intravenosa, com soluÃÃo salina ou L-alanil-glutamina (0,75g/Kg) respectivamente; cada grupo, constituÃdo por 18 ratos, foi distribuÃdo equitativamente, , em 3 subgrupos (T-0, T-2, T-6), cada um com 6 animais, os quais representavam os tempos de coleta do testÃculo, sendo T-0 o tempo mÃximo de isquemia, T-2 apÃs 2 horas de reperfusÃo e T-6 apÃs 6 horas de reperfusÃo. Dois grupos simulados (Sham), cada um com 6 animais, mimetizava o procedimento de induÃÃo de isquemia por 1 ou 3 horas, seguido de um perÃodo de pÃs-trauma de 2 horas, sendo a coleta realizada neste momento. Foram determinadas as concentraÃÃes das substÃncias reativas ao Ãcido tiobarbitÃrico (TBARS) e glutationa reduzida (GSH) nas amostras de tecido (testÃculo) obtidas nos diversos subgrupos. As comparaÃÃes entre os grupos foram realizadas utilizando-se o teste de Mann-Whitney e Kruskal-Wallis com comparaÃÃes temporais pelo teste de Dunn. A significÃncia estatÃstica foi com valores de p<0,05. Houve aumento significante das concentraÃÃes de GSH, no testÃculo dos ratos submetidos à 1 hora de isquemia seguida de 6 horas reperfusÃo, tratados com L-Ala-Gln em todos os tempos estudados, quando comparados ao grupo controle; nos animais submetidos à 3 horas de isquemia, demonstrou-se aumento significativo de GSH no tempo mÃximo de isquemia e apÃs 6 horas de reperfusÃo. Houve reduÃÃo significante nas concentraÃÃes de TBARS, no testÃculo dos ratos submetidos à 3 horas de isquemia seguida de reperfusÃo, nos animais tratados L-Ala-Gln no tempo mÃximo de isquemia e apÃs 2 horas de reperfusÃo. Estes resultados demonstram um efeito protetor que a glutamina exerce no testÃculo durante a isquemia/reperfusÃo, mostrando-se eficaz na manutenÃÃo dos nÃveis teciduais de GSH nos dois modelos de torÃÃo do cordÃo espermÃtico, reduzindo a magnitude do estresse oxidativo e tambÃm reduzindo a peroxidaÃÃo lipÃdica nos animais submetidos à 3 horas de isquemia, atà a segunda hora de reperfusÃo. / The effect of L-alanil-glutamine was tested in a situation of oxidative stress induced by torsion of the spermatic cord. Eighty four male young Wistar rats were distributed randomly in 6 groups: Saline group 1h (GSa1) and Ala-Gln Group 1h (GAg1), animals of these groups were submitted to 1 hour of ischemia and 6 hours of reperfusion and were treated 30 minutes before the torsion, by intravenous way, with saline solution and L-alanil-glutamine (0,75g/Kg) respectively; Saline group 3h (Gsa3) and Ala-Gln Group 3h (Gag3), animals of these groups were submitted to 3 hours of ischemia and 6 hours of reperfusion, had been treated, 30 minutes before the torsion, by intravenous way, with saline solution and L-alanil-glutamine (0,75g/Kg) respectively; each group, consisting of 18 rats, was distributed equitable, in 3 sub-groups (T-0, T-2, T-6), each one with 6 animals, which represented the times that testis were colected, being T-0 the maximum time of ischemia, T-2 after 2 hours of reperfusion and T-6 after 6 hours of reperfusion. Two groups (Sham 1h and Sham 3h) were submitted to sham operation, being the testis colected two hours after simulated trauma. Thiobarbituric acid reactive substances (TBARS) and reduced glutathione levels were assayed in testis. Comparasion between groups were made using Mann-Whitney e Kruskal-Wallis tests, and temporal comparations were made using Dunn test. P values of <0,05 were considered to indicate statistical significance. GSH concentration was significantly increased in testis of the rats submitted to 1 hour of ischemia, followed by 6 hours of reperfusion, treated with L-Ala-Gln in all the studied times, when compared with the control group; in the animals submitted to the 3 hours of ischemia, significant increase of GSH was demonstrated in the maximum time of ischemia and 6 hours of reperfusion time. Significant decrease of TBARS levels were seen in rats submitted to 3 hours of ischemia followed by reperfusion, treated with L-alanil-glutamine, in maximum time of ischemia and after 6 hours of reperfusion. These results demonstrates that glutamine may play a role in the maintenance of the tecidual levels of GSH in two models of ischemia/reperfusion of the testis studied, by an antioxidant effect, and may promote cell membrane protection during the ischemia (3h)/reperfusion by decreasing lipid peroxidation

科学研究費補助金 研究種目:一般研究(B) 課題番号:06453174 研究代表者:川岸 舜朗 研究期間:1994-1995年度