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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
511

Fisiologia molecular digestiva da larva de Musca domestica / Digestive molecular physiology of Musca domestica larvae

Pimentel, André Coppe 21 November 2011 (has links)
A digestão nos insetos ocorre no intestino médio de forma compartimentada. A digestão inicial dos polímeros ocorre no interior da membrana peritrófica. Os oligômeros resultantes difundem-se para o espaço luminal exterior à membrana peritrófica onde são atacados por outras enzimas. Na digestão final os dímeros resultantes são hidrolisados por enzimas imobilizadas na superfície do epitélio do intestino médio. Após o processo de digestão final os monômeros são absorvidos pelas células do epitélio intestinal. Os Díptera ditos superiores, incluindo a mosca doméstica, apresentam peculiaridades digestivas que aparentemente resultam de adaptações para digerir uma dieta que consiste principalmente de bactérias. No ventrículo anterior ocorre uma diminuição no conteúdo de amido do bolo alimentar. Na porção seguinte, o bolo alimentar passa para o ventrículo médio onde as bactérias são mortas pela ação combinada de baixo pH, uma lisozima digestiva e uma proteinase tipo catepsina D. O material liberado das bactérias é digerido no ventrículo posterior, como ocorre no ventrículo inteiro da maioria dos insetos de outros grupos taxonômicos. Com o objetivo de compreender a peculiar digestão em Musca domestica, foram utilizadas suas larvas para identificar funcionalmente as regiões absortivas de nutrientes, identificar as moléculas envolvidas na absorção de nutrientes, identificar as moléculas envolvidas com tamponamento e fluxos de fluidos intestinais, sequenciar as enzimas digestivas principais e identificar os seus sítios de secreção. Experimentos fisiológicos de absorção de glicose e análises de atividade enzimática permitiram acessar de maneira direta os aspectos da digestão. Contudo, experimentos de sequenciamento de bibliotecas de cDNA, análise de sequências transcritas e verificação de expressão de genes em diferentes tecidos foram abordagens fundamentais na identificação das moléculas subjacentes aos processos fisiológicos intestinas de Musca domestica. Os indícios de que absorção de glicose no intestino de Musca domestica se dê por transportadores do tipo SGLT, com a possível participação de facilitadores do tipo GLUT, permitem estabelecer um foco para futuros estudos. A descrição de sequências relacionadas ao tamponamento intestinal permitiu ampliar a discussão sobre tal processo. Ao detalhar os sítios de expressão da subunidade a da V-ATPase, do canal de cloreto e do transportador de amônia foi possível testar o modelo de tamponamento proposto anteriormente e propor a participação de outras moléculas no processo. Sequências correspondentes as atividades de carboxipeptidase, maltase e aminopeptidase descritas na literatura foram pesquisadas, gerando sequências candidatas a codificarem as referidas enzimas. Com isso, é possível descrever a digestão de oligômeros e dímeros com base nos genes transcritos e nas sequências de aminoácidos que formam as enzimas digestivas. A descoberta da sequência que transcreve uma metaloproteinase, por sua vez, abre caminhos para a descrição e caracterização de sua atividade proteolítica nos tecidos digestivos da larva de Musca domestica. Essa análise permitiu também elucidar a localização dos sítios de expressão e, portanto, as zonas de secreção de enzimas. De maneira geral, este estudo contribuiu para a compreensão de diversos aspectos da digestão de Musca domestica, elucidando questões da particular fisiologia digestiva desse inseto. / Digestion in insects occurs in the midgut in a compartmentalized way. Initial digestion takes place inside the peritrophic membrane. The resulting oligomers diffuse into the luminal space outside the peritrophic membrane where they are hydrolyzed by other enzymes. In the final digestion, the resulting dimers are hydrolyzed by enzymes immobilized on the midgut epithelium. After the final digestion, the monomers are absorbed by intestinal epithelial cells. The so-called higher Diptera, including the house fly, have digestive peculiarities apparently resulting of adaptations to digest a diet consisting mainly of bacteria. In the anterior midgut there is a decrease in the starch content of the food bolus. The bolus now passes into the middle midgut, where bacteria are killed by the combined action of low pH, a special lysozyme and a cathepsin D-like proteinase. Finally, the material released by bacteria is digested in the posterior midgut, as is observed in the whole midgut of insects of other taxa. In order to understand the peculiar digestion in Musca domestica, the larvae were used to identify (a) the functionally the nutrient absorptive regions, (b) the molecules involved in the absorption of nutrients, (c) the molecules involved in buffering and fluid flows, (d) the cDNA sequences corresponding to intestinal digestive enzymes, (e) the main sites of secretion. Physiological experiments of glucose absorption and enzyme activity analysis allowed a direct access to aspects of digestion. Otherwise, cDNA library sequencing followed by sequence annotation and tissue-specific expression analysis were fundamental approaches in the understanding of intestinal physiology of Musca domestica. Evidence that glucose absorption in the gut of Musca domestica occurs through SGLT-like transporters, with the possible participation of facilitators GLUT-like, allowed us to establish a focus for future studies. The description of cDNA sequences corresponding to proteins putatively responsible for intestinal buffering widened the discussion of this process. The finding of the expression sites of V-ATPase subunits, chloride channel, and ammonia transporter led to revising the present buffering model and the inclusion of other molecules in the process. The cDNA sequences corresponding to the activities of carboxypeptidase, aminopeptidase and maltase described in the literature were searched for as candidate sequences to encode those enzymes. This made it possible to describe the digestion of oligomers and dimers based on transcribed genes and enzyme amino acid sequences. The discovery of the metalloproteinase transcribing sequence opened a new research line: the description and characterization of its proteolytic activity in the midgut of the Musca domestica larvae. This study also allowed elucidating the location of digestive enzyme expression sites and, therefore, the putative zones of enzyme secretion. Overall, this study contributed to understanding many aspects of digestion of Musca domestica, clarifying aspects of the peculiar digestive physiology of this insect.
512

Análise comparativa dos efeitos da acidose metabólica e respiratória sobre a isoforma 3 do trocador sódio hidrogênio (NHE3). / Comparative analysis of metabolic and respiratory acidosis effects on the sodium hydrogen exchanger isoform 3 (NHE3).

Silva, Pedro Henrique Imenez 16 June 2014 (has links)
O parálogo 3 do trocador Na+/H+ (NHE3) é essencial para a reabsorção de HCO3- nos túbulos proximais renais e sua expressão e função adaptam-se às diferentes condições ácido-base do organismo. O objetivo desta tese foi avaliar quais as diferenças entre os efeitos da acidose metabólica (AM) e respiratória (AR) sobre a regulação do NHE3 e identificar variáveis responsáveis pelas respostas adaptativas observadas. Em células OKP, a AM foi simulada diminuindo a [HCO3-] do meio de cultura e a AR aumentando a pCO2 ambiente por 24 h. Foram observados os efeitos das acidoses sobre o RNAm-Nhe3, a presença da proteína-NHE3 na membrana celular e a atividade promotora do gene do Nhe3. Concluiu-se que o pH extracelular não é a variável físico-química responsável por estimular a expressão do NHE3, contudo é um importante candidato à variável responsável por regular o tráfego da proteína para a membrana. Além disso, a região de -471 a -153 pb em relação ao sítio de início de transcrição do promotor do gene do Nhe3 contém prováveis reguladores positivos que atuam em resposta à AM. / The Na+/H+ exchanger 3 (NHE3) is essential for HCO3- reabsorption in renal proximal tubules and its expression and function must adapt to acid-base conditions. The goal of the presente study was to evaluate whether there are differences between metabolic (MA) and respiratory acidosis (RA) with regard to NHE3 modulation and to identify variables that may trigger these distinct adaptive responses. In OKP cells, MA was achieved by lowering [HCO3-] in the cell culture medium and RA by increasing pCO2 in the incubator chamber for 24 h. The effects of both acidosis on Nhe3 mRNA levels, cell-surface NHE3 expression and promoter activity were evaluated. In summary, it was concluded that low extracellular pH is not the physical-chemical variable that up-regulates NHE3 expression, however, extracellular pH is a candidate for the variable related to the NHE3 displacement to the apical membrane. Moreover, the Nhe3 gene promoter region spanning from -471 to -153 base pairs upstream from the transcriptional start site contains putative enhancers regulated in response to MA.
513

Endocytosis controlled by monolayer area asymmetry

Ohlwein, Nina 03 November 2011 (has links)
Endozytose erfordert hohe Membrankrümmung und führt zu Flächenänderungen der Membranhälften. Dies kann durch eine Oberflächendifferenz zwischen den Schichten initiiert werden, die durch geänderte Lipidzusammensetzungen hervorgerufen werden kann. Daher wurde die Hypothese aufgestellt, dass Lipid-Transporter zu Beginn der Endozytose für veränderte Flächenverhältnisse verantwortlich sind. Um den Einfluss veränderter Flächen auf Endozytose zu untersuchen, wurden die Oberflächenverhältnisse der Membran durch Zugabe von Phospholipiden verändert und anschließend Endozytose gemessen. Abhängig von der Sorte wurden die Lipide nur in die äußere Schicht eingebaut oder auch auf die innere Seite transportiert, wodurch die entsprechende Seite vergrößert wurde. Die Zugabe verschiedener Aminophospholipide, die auf die innere Membranseite transportiert werden, führte zu gesteigerter „bulk flow“ Endocytose in K562-Zellen. Darüber hinaus deuten die Ergebnisse darauf hin, dass Clathrin-vermittelte Endozytose von Hep2-Zellen ebenfalls stimuliert wurde. Umgekehrt hatte die Zugabe von Lipiden, die auf der äußeren Hälfte bleiben, reduzierte „bulk flow“- oder Clathrin-vermittelte Endozytose in verschiedenen Zelllinien zur Folge. Bemerkenswert ist, dass auch Clathrin-vermittelte Endozytose durch die Lipidzugabe beeinflusst wurde, obwohl gerade in diesem Weg viele Proteine involviert sind, die Krümmung induzieren können. Dies passt zu einem neuen Modell wie Lipidtransporter in Endozytose involviert sind. Durch den Transport von Lipiden und die zusätzliche Interaktion mit Endozytoseproteinen, könnten diese Transporter zwei Mechanismen zur Erzeugung von Krümmung miteinander verbinden: Membrankrümmung induziert durch eine Flächenasymmetrie zwischen den Membranhälften und durch Wechselwirkung mit Proteinen. Die Ergebnisse dieser Arbeit deuten darauf hin, dass die für Endozytose notwendige Krümmung durch die durch Lipidtransport induzierte Flächenasymmetrie der Membranschichten unterstützt wird. / Endocytic engulfment requires high local membrane curvature and causes significant area changes of the membrane leaflets. This can be initiated by differences between the surface areas of the two monolayers related to leaflet specific modulation of lipid composition. Thus, it was proposed that lipid translocators, pumping phospholipids from the outer to the inner leaflet, account for monolayer area asymmetry as an early step in endocytosis. To elucidate the influence of this asymmetry on endocytosis, surface area relation was altered by adding exogenous phospholipids to living cells and changes in endocytic activity were quantified. Depending on the lipid species, exogenous lipids were only incorporated into the outer layer or subsequently translocated across the plasma membrane thereby increasing either the outer or inner surface area. Addition of different analogues of aminophospholipids, which are translocated to the inner leaflet, led to an enhancement of bulk flow endocytosis in K562 cells. Moreover, our data indicate that clathrin-mediated endocytosis of Hep2 cells was stimulated as well. Inversely, addition of phospholipids, which remain on the outer layer, reduced bulk flow or clathrin-mediated endocytosis in various cell lines. Notably, also clathrin-mediated endocytosis was influenced by the addition of lipids, although many proteins noted for their ability to induce membrane curvature are known to be implicated in this pathway. This corroborates a recent model how aminophospholipid translocases are implicated in endocytosis. Upon translocating lipids and additionally interacting with endocytic accessory proteins, lipid translocators could integrate two processes to generate curvature: membrane bending based on monolayer area asymmetry and protein-related mechanisms. Collectively, findings in the present study suggest that curvature generation in endocytosis is supported by the induction of monolayer area asymmetry mediated by the translocation of lipids.
514

Die Bedeutung der ABC-Transportsysteme ABCB1 und Abcb11 in der Arzneimitteltherapie und bei cholestatischen Lebererkrankungen

Gerloff, Thomas 05 March 2004 (has links)
ABC-Transmembrantransporter sind an der Aufnahme, Verteilung und Ausscheidung vieler Arznei- und Fremdstoffe beteiligt. Sie spielen eine Schlüsselrolle in der Pharmakokinetik und in der Ausscheidung toxischer endogener oder exogener Substanzen. Das Ziel der hier präsentierten Untersuchungen war deshalb, den Einfluss genetischer Polymorphismen des bekanntesten Vertreters dieser Proteinfamilie, MDR1 (ABCB1) zu untersuchen. Darüberhinaus sollte der ebenfalls zur ABC-Transporterfamilie gehörende hepatozelluläre Exporter für monoanionische Gallensäuren identifiziert und charakterisiert werden. MDR1 erwies sich als ein hochpolymorphes Gen mit zahlreichen Einzelbasenaustauschen (SNPs). Die meisten SNPs waren intronisch oder stumm. Für den nichtkodierenden SNP im Exon 26 3435C>T ergab sich bei homozygoten Trägern des T-Allels eine im Vergleich zum Wildtyp geringere intestinale P-Glykoprotein Expression mit einer entsprechend höheren und schnelleren Absorption von Digoxin. Die Auswertung pharmakokinetischer Profile von Digoxin in Individuen mit MDR1-Haplotypen der miteinander verbundenen SNPs in Exon 21 2677 und Exon 26 3435 untermauerte die beobachteten pharmakogenetischen Effekte. Nach oraler Einzelgabe von 1 mg Digoxin konnten wahrscheinlich aufgrund der Überschreitung der P-Glykoprotein Transportkapazität keine genotypischen Unterschiede beobachtet werden. Der biliäre Exporter für monoanionische Gallensäuren (Bsep) konnte als ein 160 kDa Glykoprotein aus einer Rattenleber cDNA-Bibliothek identifiziert werden und gehört ebenfalls zur ABC Transporter-Familie. Die transkriptionelle Regulation und Möglichkeiten der Modulation der Expression des Bsep-Gens wurden in vitro und in Tiermodellen der Cholestase untersucht. Dabei zeigte sich, dass Gallensäuren über ein proximales FXRE-Motiv die Bsep Promotoraktivität stimulierten. Arzneistoffe hatten ebenfalls einen Einfluss auf die Transkription des Bsep-Gens. Die adaptive Regulation hepatozellulärer Transporter während der Cholestase ergab eine verminderte Expression der meisten basolateralen Aufnahmetransporter und eine unveränderte oder heraufregulierte Proteinmasse kanalikulärer (apikaler) Efflux-Transporter. Dieses Regulationsmuster dient dem Schutz der Leberzelle, indem eine intrazelluläre Anreicherung toxischer Gallensäuren vermindert und der Gallefluss für eine intakte biliäre Clearance aufrechterhalten wird. / ABC transmembrane transporters are involved in absorption, distribution and excretion of diverse drugs and xenobiotics. They are key factors in pharmacokinetics and in the elimination of toxic endogenous or exogenous compounds. Therefore, the aim of the present study was to investigate the influence of genetic polymorphisms of the best known member of this protein family, MDR1 (ABCB1). In addition, the identity of another ABC transporter assumed to be the major hepatocellular export pump for monoanionic bile acids should be revealed and characterized. MDR1 turned out as a highly polymorphic gene with many single nucleotide polymorphisms (SNPs). Most of the SNPs were intronic or silent. Homozygous carriers of the non-coding SNP in exon 26 3435C>T had lower intestinal P-glycoprotein expression rates and thus enhanced absorption of the model compound digoxin as compared to wildtype controls. The analysis of pharmacokinetic profiles in different MDR1-haplotypes of the linked SNPs in exon 21 2677 and exon 26 3435 supported the above data. An oral single dose of 1 mg digoxin did not result in genotypic differences of tested genotypes, probably because this dose was above the maximal transport capacity of P-glycoprotein. The biliary export pump for monoanionic bile acids (Bsep) was identified as an 160 kDa glycoprotein of the ABC transporter family by screening a rat liver cDNA library. The transcriptional regulation and modulatory factors of Bsep (Abcb11) gene expression were analyzed in vitro and in animal models of cholestasis. The promoter activity of Bsep was stimulated by bile acids via a proximal FXRE motif. Drugs were also able to modify Bsep gene transcription. Adaptive regulation of hepatocellular transporters during cholestasis followed a pattern of diminished expression of most basolateral uptake carrier systems and maintained or even upregulated protein mass of canalicular (apical) exporters. This pattern serves as a protective mechanism of the liver cells preventing intracellular accumulation of toxic bile acids and providing unimpaired biliary flow and clearance.
515

The role of cation chloride co-transporters (CCCs) as potential neuroprotective targets in ischaemic stroke

Martin-Aragón Baudel, Miguel Ángel Stanislas January 2018 (has links)
Stroke is one of the major causes of death and disability worldwide. The area that surrounds the infarcted core is the location of the continuing damage that takes place hours and days following an insult, and is referred to as the penumbra. By creating an oxygen deprived environment in the neuronal-like PC12 and NT2 cells and an in vivo photothrombotic model of stroke (PTS) in mice, two different strategies were created to replicate the conditions of an ischaemic brain. In differentiated PC12 and NT2 cells, following hypoxia, preferential activation of HIF-2α transcription and protein expression was detected. Increased expression of the neural progenitor stem cell-like markers, thought to be transcriptionally regulated by HIF-2α, were also observed. Furthermore, hypoxia caused loss of neuronal characteristics in differentiated cells. This is highly significant as it shows neuronal cells possess molecular mechanisms which could trigger recovery following ischaemic insult. The expression of the chloride co-transporters, NKCC1 and KCC2, mediators of the GABAergic response, was assessed following hypoxia in differentiated PC12 and NT2 cells and PTS. In PC12 and NT2 cells exposed to hypoxia, the expression of KCC2 was significantly decreased at both the transcript and protein level whereas NKCC1 expression remained unmodified. In the in vivo model, the development of the penumbra in the days following injury was assessed with specific markers allowing the identification of the penumbra up to 200 ❍m from the ischaemic core and a progressive neuronal loss was observed within. Our results show an increase in the number of neurons expressing NKCC1 in the penumbra up to 5 days following the insult when compared to the contralateral hemisphere. On the contrary, KCC2 positive cells were dramatically decreased in this area. In mice treated with bumetanide, an NKCC1 antagonist, a significant reduction in neuronal loss was observed. Our results show a reversal on the chloride co-transporters expression in vitro and in vivo and how treatments targeting these channels might represent a novel strategy to reduce the damage associated with stroke.
516

Cyclic di-AMP homeostasis and osmoregulation in Listeria monocytogenes

Gibhardt, Johannes 31 March 2020 (has links)
No description available.
517

Contributions of COMT and DAT to regulation of phasic dopamine release and reward-guided behaviour

Korn, Clio January 2016 (has links)
Fine temporal regulation of dopamine transmission is critical to its effects on behaviour. Dopamine can be cleared from the synapse either by recycling via the dopamine transporter (DAT) or by enzymatic degradation involving catechol-O-methyltransferase (COMT). DAT recycling predominates in striatum and contributes to dopaminergic regulation of reward-guided behaviour, while COMT degradation predominates in cortex and modulates executive functions. However, human functional imaging studies demonstrate interactive effects of DAT and COMT genotype, suggesting that the traditional division between DAT and COMT is not so clear-cut. Given the interdependence of mesolimbic and mesocortical circuitry and the presence of COMT in the striatum, it is possible that DAT and COMT interact to a greater extent than previously thought. We investigated the contributions of DAT and COMT to regulation of dopamine transmission and reward-guided behaviour by combining in vivo electrochemical recording, pharmacology, and behavioural testing in mice. Using fast scan cyclic voltammetry to record evoked dopamine release in anaesthetised animals, we found that systemic DAT blockade increased the size of dopamine transients in the nucleus accumbens (NAc) but not in the medial frontal cortex (MFC), demonstrating that DAT regulates phasic striatal dopamine release and confirming that DAT makes little contribution to regulation of cortical dopamine transmission. Unexpectedly, COMT inhibition did not affect evoked dopamine transients in either the NAc or the MFC. In agreement with these findings, systemic administration of a DAT blocker, but not of a COMT inhibitor, increased motivation to work for reward in a progressive ratio paradigm. COMT inhibition also had little effect on reinforcement learning (RL) strategies during reward-guided decision making. Intriguingly, however, we found that DAT blockade both decreased the influence of model-free RL and increased the influence of model-based RL on behaviour. Our study confirms that DAT regulates dopamine transmission in striatum but not in cortex and indicates that sub-second changes in dopamine transmission in both regions are largely insensitive to COMT. However, our behavioural data reveal the importance of striatal dopamine in multiple components of reward-guided behaviour, including both motivational aspects traditionally associated with striatum as well as cognitive aspects heretofore mainly associated with cortical function. Together, these findings emphasise that reward processing occurs across corticostriatal circuits and contribute to our understanding of how striatal dopamine transmission regulates reward-guided behaviours.
518

Efeito do hormônio tireoideano sobre a expressão gênica do transportador de creatina (SLC6A8: CreaT) na musculatura esquelética e cardíaca de ratos. / Effect of thyroid hormone upon creatine transporter (CreaT: SLC6A8) gene expression in skeletal and cardiac muscles in rats.

Ferreira, Lucas Guimarães 05 December 2008 (has links)
A creatina (Cr) é uma reserva de fosfato de alta energia, sendo a fonte mais rápida de restauração do ATP intracelular. O hormônios tireoideano participa de forma importante na manutenção da taxa metabólica, aumentando a síntese e consumo de ATP, por meio da regulação de diferentes genes-alvo. Neste sentido, avaliamos o efeitos do HT sobre a expressão gênica do transportador de Cr nos músculos esqueléticos e cardíaco de ratos. O tratamento com o hormônio regula estes processos, porém de forma distinta nos diferentes tipos de músculos. / Creatine (Cr) is a high-energy phosphate reservoir and the fastest source for intracellular ATP regeneration. The thyroid hormone plays a key role on the maintenance of basal metabolic rate, increasing the synthesis and the degradation of ATP through regulation of target-genes. In this study, we explore the effects of thyroid hormone on Cr transporter gene expression and regulation of intracellular pool of Cr in skeletal and cardiac muscles in rats. The hormone can regulate these processes in distinct ways in different muscle types.
519

Study of the metabolic aspects of resilience to intestinal infections in Drosophila melanogaster / Etude des aspects métaboliques de la résilience aux infections intestinales chez la Drosophile

Socha, Catherine 27 November 2018 (has links)
Lors d’une infection microbienne, la défense de l’hôte comprend deux facettes complémentaires. Premièrement, le système immunitaire cible les pathogènes dans le but de les éliminer, une attaque correspondant à la résistance. Dans un second temps, l’organisme doit réparer les dégâts causés par le pathogène ou par la réponse immunitaire de l’hôte, un mécanisme appelé résilience. J’ai étudié les effets d’une infection intestinale par la bactérie Serratia marcescens chez la drosophile. Nous avons mis en évidence un processus de purge dans l’intestin, lors duquel les enterocytes -les cellules principales de l’intestin- se vident partiellement de leur contenu. L’épithélium intestinal devient alors très fin mais se régénère rapidement, protégeant ainsi la mouche des effets délétères de l’infection. J’ai identifié un transporteur d’acides aminés, CG1139, qui est nécessaire à la régénération de l’intestin. CG1139 est requis pour la mobilisation de certaines réserves métaboliques de la drosophile et pour le transport rétrograde de ces dernières vers l’intestin. / Upon microbial infections, host defenses comprise two complementary facets. First, immune effectors target and kill the invading pathogen, an attack referred to as resistance. Second, the infected host must repair the damages inflicted by microbes or by the immune response itself, a mechanism called resilience. I have studied the effects of an intestinal infection with the bacterium Serratia marcescens in Drosophila. We have discovered a purge mechanism in the intestine, where enterocytes -the main cell type in the gut- extrude some of their internal contents. The intestinal epithelium thus becomes very thin but rapidly recovers its shape, thereby protecting the fly against the deleterious effects of infection. I have identified an amino acid transporter, CG1139, which is required for the intestinal recovery. CG1139 is necessary to mobilize the fly’s internal metabolic reserves and to transport some these metabolic stores back to the gut, in a retrograde manner.
520

Intestinal barriers to oral drug absorption: Cytochrome P450 3A and ABC-transport proteins

Engman, Helena January 2003 (has links)
<p>The subject of this thesis was to study two intestinal barriers to oral drug bioavailability, drug efflux proteins of the ABC-transporter family, and in particular ABCB1/P-glycoprotein (Pgp), and the drug metabolizing enzyme cytochrome P450 (CYP) 3A4. At the onset of this thesis, similarities between CYP3A4 and Pgp in terms of their tissue distribution and gene regulation, along with overlapping substrate specificities, had generated the hypothesis that CYP3A4 and Pgp may have a complementary function and thus form a coordinated intestinal barrier to drug absorption and gut wall metabolism.</p><p>In the first part of this thesis, a cell culture model of the intestinal epithelium that expressed both functional Pgp and CYP3A4 was developed. This model was then used to investigate the steroselective drug efflux and metabolism of R/S-verapamil. In summary, the results indicated that the two barriers in the cell culture model were in agreement with those in the human intestine.</p><p>Both ABC-transporters and CYPs are regulated by drugs that interact with nuclear receptors. However, while the regulation of CYPs is quite well understood, less is known about how repeated drug administration regulates the most abundantly expressed ABC-transporters. Therefore, in the second part of this thesis, the effects of repeated drug administration on the gene regulation of four ABC-transporters and CYP3A4 were studied in intestinal epithelial cell lines in vitro and in the perfused human jejunum in vivo. The in vitro studies revealed that the ABC-transporters are induced by drugs that interact with slightly different sets of nuclear receptors. The in vivo study showed that repeated oral administration of St John’s wort decreased the bioavailability of verapamil, predominantly by induction of intestinal CYP3A4. This part of the thesis provides new information about the regulation of ABC-transporters, shows that the intestinal metabolism is the most significant barrier to oral bioavailability of verapamil and provides evidence for a clinically significant interaction between verapamil and St John’s wort in vivo.</p>

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