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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.
631

Glycopolymer Polyelectrolyte Multilayers Based on Maltose-Modified Hyperbranched Poly(ethyleneimine) For Future Drug Delivery Coatings and Biomedical Applications

Salem, Samaa 01 July 2015 (has links)
Establishing highly sophisticated polymer films for delivery systems in a biological environment and bioanalytical tasks, the formation, thickness, swelling behavior, and (physiological) stability of highly biocompatible polyelectrolyte multilayers (PEMs) are described. These PEMs are composed of the very weak polycation maltose-modified hyperbranched poly(ethyleneimine) (PEI-Mal), strongly polyanion heparin sodium salt (HE − Na +) or weakly charged polyanion hyaluronic acid sodium salt (HA-Na+) deposited on Si wafer substrates. Two different glyco architectures for PEI-Mal are used, characterized by two different degrees of maltose decoration on a PEI scaffold. Using three pH-dependent deposition approaches for optimizing the (physiological) PEM stability and swelling, PEMs are characterized by (in situ) ellipsometry, atomic force microscopy (AFM), and (in situ) attenuated total reflection-Fouriertransform infrared (ATR-FTIR). Thus, PEMs reveal significantly different thicknesses, growth mechanisms (linear versus exponential), and swelling behavior in dependence of both the polycation architectures and the deposition protocol. These PEMs will allow the study of their complexation and release properties as preswollen PEMs against anionic drug molecules, adenosine triphosphate sodium salt (ATP), especially under physiological conditions for future drug delivery coatings.
632

Understanding How O-GlcNAcylation and Phosphorylation Regulates the Mitochondrial Fission Machinery in Glioblastoma

Akinbiyi, Elizabeth O. 25 January 2022 (has links)
No description available.
633

Pdx-1 modulates endoplasmic reticulum calcium homeostasis in the islet β cell via transcriptional enhancement of SERCA2b

Johnson, Justin Sean January 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Diabetes mellitus affects an estimated 285 million people worldwide, and a central component of diabetes pathophysiology is diminished pancreatic islet beta cell function resulting in the inability to manage blood glucose effectively. The beta cell is a highly specialized metabolic factory that possesses a number of specialized characteristics, chief among these a highly developed endoplasmic reticulum (ER). The sarco endoplasmic reticulum Ca2+ ATPase 2b (SERCA2b) pump maintains a steep Ca2+ gradient between the cytosol and ER lumen, and while the Pancreatic and duodenal homeobox 1 (Pdx-1) transcription factor is known to play an indispensable role in beta cell development and function, recent data also implicate Pdx-1 in the maintenance of ER health. Our data demonstrates that a decrease of beta cell Pdx-1 occurs in parallel with decreased SERCA2b expression in models of diabetes, while in silico analysis of the SERCA2b promoter reveals multiple putative Pdx-1 binding sites. We hypothesized that Pdx-1 loss under inflammatory and diabetic conditions leads to decreased SERCA2b with concomitant alterations in ER health. To test this, siRNA-mediated knockdown of Pdx-1 was performed in INS-1 cells. Results revealed reduced SERCA2b expression and decreased ER Ca2+, which was measured using an ER-targeted D4ER adenovirus and fluorescence lifetime imaging microscopy. Co-transfection of human Pdx-1 with a reporter fused to the human SERCA2 promoter increased luciferase activity three-fold relative to the empty vector control, and direct binding of Pdx-1 to the proximal SERCA2 promoter was confirmed by chromatin immunoprecipitation. To determine whether restoration of SERCA2b could rescue ER stress induced by Pdx-1 loss, Pdx1+/- mice were fed high fat diet for 8 weeks. Isolated islets from these mice demonstrated increased expression of spliced Xbp1, signifying ER stress, while subsequent SERCA2b overexpression in isolated islets reduced spliced Xbp1 levels to that of wild-type controls. These results identify SERCA2b as a direct transcriptional target of Pdx-1 and define a novel role for altered ER Ca2+ regulation in Pdx-1 deficient states.
634

Adenosine nucleotides identified in Actinobacillus pleuropneumoniae supernatant inhibit porcine reproductive and respiratory syndrome virus replication in vitro

Salmin, Abdulrahman Fuad 08 1900 (has links)
Le virus du syndrome reproducteur et respiratoire porcin (VSRRP) est un pathogène ayant d’énormes conséquences pour les producteurs porcins. Il est la cause d’une des maladies les plus coûteuses à l’industrie au Québec et, à ce jour, il n’y a aucun traitement efficace commercialement disponible contre le virus. Il a été précédemment démontré que le surnageant de culture de bactéries Actinobacillus pleuropneumoniae (App) - l’agent causant la pleuropneumonie porcine - possède une activité antivirale in vitro contre le VSRRP. Ces études ont déterminé que cette activité était en fait médiée par des métabolites excrétés par les bactéries d’App, résistants à la chaleur et de faible poids moléculaire. Cependant, l’identité de ces métabolites demeurait inconnue, menant ainsi aux objectifs de ce projet : (I) produire un surnageant actif d’App; (II) caractériser et identifier les métabolites actifs utilisant la spectrométrie de masse à haute résolution (HRMS); (III) tester et évaluer l’activité antivirale des composés purifiés. De nombreux métabolites de nucléotides de l’adénosine en haute concentration dans le surnageant d’App ont ainsi été identifiés par HRMS. Pour confirmer l’effet antiviral du surnageant et des métabolites actifs identifiés, un modèle d’infection de cellules SJPL permissives au VSRRP et de l’imagerie à immunofluorescence ont été employés. Les métabolites ont en effet montré une inhibition de la réplication du VSRRP dans les cellules et leurs mécanismes d’actions sont déjà bien répertoriés; soit l’inhibition des polymérases d’ARN cellulaire et virale par la forme de triphosphate de nucléoside, ainsi que l’arrêt de synthèse des acides nucléiques lors de la réplication virale. Cette étude propose donc de nouvelles ouvertures, basé sur les mécanismes d’actions cellulaires responsables de l’effet antiviral, pour développer des traitements préventifs contre le VSRRP / Porcine reproductive and respiratory syndrome virus (PRRSV) is one of the most devastating viruses in the swine industry. It causes major economic losses worldwide on an annual basis. To date, there has not been an effective treatment for this virus. Previous studies conducted in our group have shown that the culture supernatant of Actinobacillus pleuropneumoniae (App), the causative agent of porcine pleuropneumonia, possesses an antiviral activity in vitro against PRRSV. These studies have shown that the antiviral activity was mediated by small molecular weight, heat resistant metabolites present in the App supernatant ultrafiltrates. However, the identity of those metabolites remained unknown, which led us to the objectives of this study: (I)generate an active supernatant; (II)characterize and identify the active metabolites using high resolution mass spectrometry; (III)evaluate the antiviral activity of the purified compounds following identification. In this study we utilized a virus infection model using SJPL cells and immunofluorescence imagery to confirm the antiviral activity of the App supernatant as our first approach. Subsequently, using high resolution mass spectrometry we identified several adenosine nucleotide metabolites present in App supernatants in high concentrations. Following testing, we revealed that several adenosine nucleotide metabolites inhibit PRRSV replication in SJPL cells. Interestingly, the antiviral mechanism of action of adenosine nucleotide analogs is already known. The nucleoside triphosphate form functions by inhibiting cellular and viral RNA polymerases and during viral RNA replication, incorporates nucleoside analogs into nascent RNA chains resulting in termination of nucleic acid synthesis. This study may suggest new approaches to develop prophylactic treatment for PRRSV
635

Rôle de CD73 dans la fonction et la transformation des lymphocytes B ainsi que dans le métabolisme cellulaire

Allard, David 08 1900 (has links)
L’axe adénosinergique est au cœur de divers processus pathophysiologiques. L’enzyme CD73 joue un rôle pivot dans la génération de l’adénosine en catalysant la déphosphorylation de l’adénosine monophosphate. L’adénosine contribue à un éventail large de processus biologiques et pathologiques, principalement via l’activation de récepteurs transmembranaires. L’adénosine est principalement reconnue pour son activité régulatrice des cellules immunitaires et CD73 pour son rôle dans l’accumulation de l’adénosine dans le microenvironnement tumoral. En effet, en altérant la réponse immunitaire anti-tumorale via l’inhibition des fonctions effectrices de divers types de cellules immunes, CD73 et l’adénosine sont fréquemment associés à la progression tumorale et s’inscrivent comme cibles thérapeutiques intéressantes. Les rôles de CD73 et l’adénosine dans d’autres processus immunitaires physiologiques ne sont pas tous aussi bien compris, notamment concernant les processus d’immunisations. En utilisant un modèle murin d’immunisation contre le pneumocoque, cette thèse démontre un rôle positif, mais non essentiel, de CD73 et de l’adénosine dans la commutation isotypique des lymphocytes B et la génération d’une immunité protectrice contre l’infection au S. pneumoniae. Cette découverte est pertinente au développement de stratégies thérapeutiques afin d’augmenter l’efficacité d’immunisation dépendante des cellules B, plus particulièrement chez les populations à risque en bas âge. Ensuite, alors que la modulation de l’axe adénosinergique, notamment via l’inhibition de CD73, est une avenue thérapeutique étudiée dans divers contextes de tumeurs solides, ce potentiel thérapeutique demeure largement inexploré dans des modèles de néoplasmes sanguins. En utilisant un modèle de souris transgénique de leucémie spontanée, cette thèse démontre un rôle pro-tumorigénique, avec un biais sexuel, de CD73 dans la leucémie lymphoïde chronique des lymphocytes B (LLC), via l’altération de l’immunité anti-tumorale. Enfin, alors que les rôles immunosuppressifs de CD73 et l’adénosine sont bien décrits, leurs activités pro-tumorigéniques qui s’étendent au-delà de l’immunité anti-tumorale sont peu connues. En accord avec la littérature, cette thèse explore plusieurs hypothèses selon lesquelles CD73 module l’activité métabolique mitochondriale des cellules cancéreuses. Les résultats présentés dans cette thèse suggèrent un rôle pro-tumorigénique à l’enzyme CD73, indépendant de la signalisation adénosinergique et de l’inhibition de l’immunité anti-tumorale, qui favorise la flexibilité métabolique et plus particulièrement la respiration mitochondriale des cellules cancéreuses, via la voie de récupération de la biosynthèse du nicotinamide (NAD+). En résumé, cette thèse apporte plusieurs précisions quant aux rôles biologiques de l’enzyme CD73 qui sont pertinents à l’immunisation dépendante des lymphocytes B, à la pathogénèse de la LLC ainsi qu’à la régulation de l’activité métabolique des cellules cancéreuses. Cette thèse offre de nouvelles pistes de réflexion quant au potentiel thérapeutique que renferme l’axe adénosinergique et plus particulièrement CD73, en approfondissant nos connaissances quant à l’éventail de ses fonctions. / The adenosinergic axis is central to a plethora of pathophysiological processes. The enzyme CD73 is key to the generation of adenosine by catalyzing the dephosphorylation of adenosine monophosphate. Adenosine’s contribution to biological and pathological processes is mainly carried through the activation of transmembrane receptors. Adenosine is mostly appreciated for its regulatory activity on a variety of immunes cells whereas CD73 is often referred to the enzyme responsible for adenosine accumulation within tumor microenvironment. Thus, by hindering antitumoral immune responses, CD73 and adenosine are frequently associated with cancer progression and targeting these offers great therapeutic potential in clinic. CD73 and adenosine’s role in other immune physiological processes are not fully understood, notably regarding immunization processes. Using a murine model of pneumococcal immunization, this thesis herein demonstrates a positive, but non-essential, role for CD73 and adenosine in B cells’ isotype class switching required to protective immunity against S. pneumoniae. This finding is particularly relevant to the development of novel strategies aimed at enhancing B cell-dependent immunization in high-risk populations such as young infants. While targeting the adenosinergic axis, particularly CD73, was extensively proven efficient in restoring antitumor immunity in many solid tumor contexts, its therapeutic potential in blood neoplastic malignancies remain largely unexplored. Using a transgenic mouse model of spontaneous leukemia, this thesis identifies a sex-oriented pro-tumorigenic role for CD73 in favoring B cells chronic lymphocytic leukemia (CLL) progression, through the inhibition of antitumor immunity. Finally, while immunosuppression by CD73 and adenosine is well described in cancer, other immune-independent pro-tumorigenic roles of CD73 are poorly understood. In accordance with literature, this thesis explores various hypotheses by which CD73 regulates cancer cells’ mitochondrial metabolic activity. Results presented herein suggest an immune- and adenosine signaling-independent pro-tumorigenic function for CD73 in favoring cancer cells’ metabolic flexibility and more particularly mitochondrial respiration through the nicotinamide (NAD+) salvage biosynthesis pathway. In sum, this thesis brings many insights into CD73’s biological functions relevant to B cells-dependent immunization, in CLL pathogenesis and in cancer cells’ metabolic activity. By expanding our knowledge of the extend of CD73’s biological functions, this thesis further discusses novel potential therapeutic opportunities.
636

The Rtg1 and Rtg3 proteins are novel transcription factors regulated by the yeast hog1 mapk upon osmotic stress

Noriega Esteban, Núria 27 February 2009 (has links)
La adaptación de la levadura Saccharomyces cerevisiae a condiciones de alta osmolaridad está mediada por la vía de HOG ((high-osmolarity glycerol). La activación de esta vía induce una serie de respuestas que van a permitir la supervivencia celular en respuesta a estrés. La regulación génica constituye una respuesta clave para dicha supervivencia. Se han descrito cinco factores de transcripción regulados por Hog1 en respuesta a estrés osmótico. Sin embargo, éstos no pueden explicar la totalidad de los genes regulados por la MAPK Hog1. En el presente trabajo describimos cómo el complejo transcripcional formado por las proteínas Rtg1 y Rtg3 regula, a través de la quinasa Hog1, la expresión de un conjunto específico de genes. Hog1 fosforila Rtg1 y Rtg3, aunque ninguna de estas fosforilaciones son esenciales para regulación transcripcional en respuesta a estrés. Este trabajo también muestra cómo la deleción de proteínas RTG provoca osmosensibilidad celular, lo que indica que la integridad de la vía de RTG es esencial para la supervivencia celular frente a un estrés osmótico. / In Saccharomyces cerevisiae the adaptation to high osmolarity is mediated by the HOG (high-osmolarity glycerol) pathway, which elicits different cellular responses required for cell survival upon osmostress. Regulation of gene expression is a major adaptative response required for cell survival in response to osmotic stress. At least five transcription factors have been reported to be controlled by the Hog1 MAPK. However, they cannot account for the regulation of all of the genes under the control of the Hog1 MAPK. Here we show that the Rtg1/3 transcriptional complex regulates the expression of specific genes upon osmostress in a Hog1-dependent manner. Hog1 phosphorylates both Rtg1 and Rtg3 proteins. However, none of these phosphorylations are essential for the transcriptional regulation upon osmostress. Here we also show that the deletion of RTG proteins leads to osmosensitivity at high osmolarity, suggesting that the RTG-pathway integrity is essential for cell survival upon stress.
637

Effects of iron and omega-3 supplementation on the immune system of iron deficient children in South Africa : a randomised controlled trial / Linda Malan

Malan, Linda January 2014 (has links)
Background Iron deficiency (ID) is the world‟s most prevalent micronutrient deficiency and predominantly affects developing countries, also South Africa. In areas with low fish consumption and high n-6 PUFA vegetable oil intake, there is a risk for having inadequate n-3 PUFA status. Both iron and n-3 PUFA play important roles in the immune response, and supplementation is a strategy to alleviate deficiencies. However, little is known about potential interactive effects between concurrent iron and n-3 PUFA supplementation on the immune system. This is also important in the context that iron supplementation may be unsafe and may increase morbidity and mortality. Aim The overall aim of this thesis was to assess the effects of iron and docosahexaenoic (DHA)/eicosapentaenoic acid (EPA) supplementation, alone and in combination, on the immune system of ID children. More specifically, these effects were investigated on the occurrence and duration of illness and school-absenteeism due to illness, peripheral blood mononuclear cell (PBMC), red blood cell (RBC) and plasma total phospholipid fatty acid composition, iron status, fatty acid-derived immune modulators and targeted PBMC gene expression. Furthermore, association of PBMC, RBC and plasma total phospholipid fatty acid composition with allergic disease, were also examined. Design In a 2-by-2 factorial, randomised, double-blind, placebo-controlled trial, South African children (n = 321, aged 6–11 y) were randomly assigned to receive oral supplements of either 1) iron (50 mg as ferrous sulphate) plus placebo; 2) DHA/EPA (420/80 mg) plus placebo; 3) iron plus DHA/EPA (420/80 mg); or 4) placebo plus placebo for 8.5 mo, four times per week. Absenteeism and illness symptoms were recorded and biochemical parameters for compliance as well as parameters fundamental to immune function were assessed at baseline and endpoint. Furthermore, in a cross-sectional design, associations of allergic disease with baseline fatty acid composition of PBMC, RBC and plasma were examined. Results The combination of iron and DHA/EPA significantly attenuated respiratory illness caused by iron supplementation. DHA/EPA supplementation alone improved respiratory symptoms at school, but increased headache-related absenteeism. DHA/EPA and iron supplementation individually tended to increase and decrease anti-inflammatory DHA and EPA-derived mediators, respectively. Furthermore the anti-inflammatory DHA-derived immune mediator, 17HDHA was higher in the DHA/EPA plus placebo and iron plus DHA/EPA groups than in the iron plus placebo group. Also, the pro-inflammatory arachidonic acid (AA)-derived modulators (5- and 15-hydroxyeicosapentaenoic acid) were significantly lower in the iron plus DHA/EPA group compared to the placebo plus placebo groups. In the study population, 27.2% of the children had allergic disease and AA in PBMC phospholipids was significantly lower in the allergic children than in the non-allergic children. In RBC phospholipids dihomo-gamma-linolenic acid (DGLA) and the ratio of DGLA: linoleic acid (LA) correlated negatively and the n-6:n-3 PUFA ratio positively with total immunoglobulin E (tIgE). Furthermore, trans-C18:1n-9, tended to be higher in the allergic group. Conclusion DHA/EPA prevented respiratory illness caused by iron supplementation and although DHA/EPA on its own reduced respiratory morbidity when the children were present at school, surprisingly it increased the likelihood of being absent with headache and fever. The biochemical findings compliment the clinical results and support previous observations about DHA/EPA supplementation to reduce inflammation, but add to the current knowledge base that a relatively high oral dose of non-haem iron modulates circulating lipid-derived immune modulators and related gene expression. Furthermore, when supplementing with iron and DHA/EPA combined, in this ID population with low fish intake, the anti-inflammatory effect of DHA/EPA is maintained concurrently with attenuation of respiratory morbidity. This finding support the notion that excess iron (probably as non-transferrin bound iron) becomes available for pathogens and is probably why we found that iron increased respiratory infectious morbidity. The improved clinical outcome with combined supplementation seems to be related to increased lipid-mediator synthesis gene expression and the availability of DHA/EPA, leading to a more pro-resolving profile and enhanced immune competence. Overall these results give better insight into immune function and infectious morbidity in relation to n-3 PUFA and iron status and treatment, as well as the possible association of fatty acid status with allergic disease in young South-African school children. / PhD (Nutrition), North-West University, Potchefstroom Campus, 2015
638

Effects of iron and omega-3 supplementation on the immune system of iron deficient children in South Africa : a randomised controlled trial / Linda Malan

Malan, Linda January 2014 (has links)
Background Iron deficiency (ID) is the world‟s most prevalent micronutrient deficiency and predominantly affects developing countries, also South Africa. In areas with low fish consumption and high n-6 PUFA vegetable oil intake, there is a risk for having inadequate n-3 PUFA status. Both iron and n-3 PUFA play important roles in the immune response, and supplementation is a strategy to alleviate deficiencies. However, little is known about potential interactive effects between concurrent iron and n-3 PUFA supplementation on the immune system. This is also important in the context that iron supplementation may be unsafe and may increase morbidity and mortality. Aim The overall aim of this thesis was to assess the effects of iron and docosahexaenoic (DHA)/eicosapentaenoic acid (EPA) supplementation, alone and in combination, on the immune system of ID children. More specifically, these effects were investigated on the occurrence and duration of illness and school-absenteeism due to illness, peripheral blood mononuclear cell (PBMC), red blood cell (RBC) and plasma total phospholipid fatty acid composition, iron status, fatty acid-derived immune modulators and targeted PBMC gene expression. Furthermore, association of PBMC, RBC and plasma total phospholipid fatty acid composition with allergic disease, were also examined. Design In a 2-by-2 factorial, randomised, double-blind, placebo-controlled trial, South African children (n = 321, aged 6–11 y) were randomly assigned to receive oral supplements of either 1) iron (50 mg as ferrous sulphate) plus placebo; 2) DHA/EPA (420/80 mg) plus placebo; 3) iron plus DHA/EPA (420/80 mg); or 4) placebo plus placebo for 8.5 mo, four times per week. Absenteeism and illness symptoms were recorded and biochemical parameters for compliance as well as parameters fundamental to immune function were assessed at baseline and endpoint. Furthermore, in a cross-sectional design, associations of allergic disease with baseline fatty acid composition of PBMC, RBC and plasma were examined. Results The combination of iron and DHA/EPA significantly attenuated respiratory illness caused by iron supplementation. DHA/EPA supplementation alone improved respiratory symptoms at school, but increased headache-related absenteeism. DHA/EPA and iron supplementation individually tended to increase and decrease anti-inflammatory DHA and EPA-derived mediators, respectively. Furthermore the anti-inflammatory DHA-derived immune mediator, 17HDHA was higher in the DHA/EPA plus placebo and iron plus DHA/EPA groups than in the iron plus placebo group. Also, the pro-inflammatory arachidonic acid (AA)-derived modulators (5- and 15-hydroxyeicosapentaenoic acid) were significantly lower in the iron plus DHA/EPA group compared to the placebo plus placebo groups. In the study population, 27.2% of the children had allergic disease and AA in PBMC phospholipids was significantly lower in the allergic children than in the non-allergic children. In RBC phospholipids dihomo-gamma-linolenic acid (DGLA) and the ratio of DGLA: linoleic acid (LA) correlated negatively and the n-6:n-3 PUFA ratio positively with total immunoglobulin E (tIgE). Furthermore, trans-C18:1n-9, tended to be higher in the allergic group. Conclusion DHA/EPA prevented respiratory illness caused by iron supplementation and although DHA/EPA on its own reduced respiratory morbidity when the children were present at school, surprisingly it increased the likelihood of being absent with headache and fever. The biochemical findings compliment the clinical results and support previous observations about DHA/EPA supplementation to reduce inflammation, but add to the current knowledge base that a relatively high oral dose of non-haem iron modulates circulating lipid-derived immune modulators and related gene expression. Furthermore, when supplementing with iron and DHA/EPA combined, in this ID population with low fish intake, the anti-inflammatory effect of DHA/EPA is maintained concurrently with attenuation of respiratory morbidity. This finding support the notion that excess iron (probably as non-transferrin bound iron) becomes available for pathogens and is probably why we found that iron increased respiratory infectious morbidity. The improved clinical outcome with combined supplementation seems to be related to increased lipid-mediator synthesis gene expression and the availability of DHA/EPA, leading to a more pro-resolving profile and enhanced immune competence. Overall these results give better insight into immune function and infectious morbidity in relation to n-3 PUFA and iron status and treatment, as well as the possible association of fatty acid status with allergic disease in young South-African school children. / PhD (Nutrition), North-West University, Potchefstroom Campus, 2015
639

Analysis of mouse models of insulin secretion disorders

Kaizik, Stephan Martin January 2010 (has links)
No description available.
640

Contribuição à investigação das alterações hemostáticas induzidas pelo veneno da serpente Bothrops jararaca em coelhos: estudo das glicoproteínas da membrana, função, secreção e sobrevivência plaquetárias. / Contribution to the investigation of hemostatic disturbances induced by Bothrops jararaca snake venom in rabbits: study of platelet membrane glycoproteins, function, secretion and survival.

Santoro, Marcelo Larami 15 May 2002 (has links)
Que o envenenamento pela serpente Bothrops jararaca causa distúrbios hemorrágicos sistêmicos, com alteração da coagulação e fibrinólise sangüíneas, é notório. Contudo, pouco se sabe sobre a ação in vivo desse veneno sobre as plaquetas. Em estudos recentes, demonstrou-se que esse veneno causa trombocitopenia, distúrbios da agregação e diminuição do número de corpos densos plaquetários, que, dessarte, sugeriam a ativação das plaquetas circulantes. Com o escopo de comprovar esta hipótese e melhor caracterizar as ações in vivo desse veneno sobre as plaquetas, serviu-se de um modelo experimental que empregava coelhos para o envenenamento pela B. jararaca. No grupo experimental, os animais foram injetados i.v. com o veneno da B. jararaca (60 µg/kg) e no grupo controle com salina. Previamente à administração de salina ou veneno, os coelhos tiveram suas plaquetas marcadas ex vivo com NHS-biotina. Para a avaliação das alterações plaquetárias, amostras de sangue foram coletadas seqüencialmente, em intervalos de tempo que variaram de 1 a 144 horas após a administração do veneno ou salina. Durante o envenenamento, houve trombocitopenia, hipofibrinogenemia, elevação dos níveis plasmáticos do fator de von Willebrand, diminuição da função plaquetária no sangue total induzida pela botrocetina e pelo colágeno e diminuição da secreção de ATP. Não obstante, os níveis plasmáticos de fator plaquetário 4, um marcador específico da ativação plaquetária in vivo, e os níveis intraplaquetários de serotonina se mantiveram constantes. Pela citometria de fluxo, observou-se um decréscimo significativo da expressão do epítopo da GPIIb-IIIa reconhecido pelo anticorpo monoclonal P2, porém isso não foi observado ao utilizar-se anticorpos policlonais. A expressão de fibrinogênio ou dos produtos de degradação do fibrinogênio/fibrina (PDF) na membrana plaquetária também não sofreu alteração significativa ao longo do tempo. Houve, todavia, elevações significativas da P-selectina plaquetária, um receptor cuja expressão é indicativa de ativação plaquetária, e do epítopo induzido por ligantes (LIBS1) da GPIIIa. A porcentagem de plaquetas reticuladas na circulação, assim como os tempos de sobrevivência plaquetária, não foram estatisticamente diferentes entre os dois grupos. As análises histológicas e imuno-histoquímicas dos órgãos dos coelhos mostraram que as plaquetas circulantes são retidas entre redes de fibrina nos capilares pulmonares. Os resultados obtidos sugerem que a trombina engendrada pelos componentes pró-coagulantes deste veneno desempenha uma função essencial na patogenia dos distúrbios da coagulação e plaquetários observados neste modelo de envenenamento. O aumento da expressão de P-selectina no grupo experimental comprovou a hipótese inicial de que as plaquetas dos coelhos envenenados são verdadeiramente ativadas na circulação. Os dados ora apresentados demonstram definitivamente que a diminuição do fibrinogênio ou o aumento dos PDF não são a causa fundamental da disfunção plaquetária observada no envenenamento botrópico e que outro(s) composto(s) parece(m) estar envolvido(s) com estes distúrbios plaquetários. / In spite of being well established that Bothrops jararaca snake venom causes blood coagulation and fibrinolysis disturbances in patients, scant information about blood platelet disorders during envenomation is available. In recent investigations, thrombocytopenia, platelet aggregation disturbances and decreased numbers of platelet dense bodies were observed following venom administration, suggesting that circulating platelets had been activated. In order to prove this hypothesis and to gain a better characterization of the in vivo role of this venom on platelets, an experimental model of B. jararaca envenomation was utilized. Rabbits were injected i.v. either with B. jararaca venom (60 µg/kg) (experimental group) or saline (control group). Previously to saline or venom administration, rabbit platelets were labeled ex vivo with NHS-biotin. To evaluate platelet disturbances, blood samples were collected consecutively, at time intervals that varied from 1 to 144 hours after venom or saline administration. During envenomation, there were thrombocytopenia, hypofibrinogenemia, elevation of von Willebrand factor plasma levels, reduced botrocetin- and collagen-induced platelet aggregation in whole blood, and decreased ATP secretion. However, plasma levels of platelet factor 4, a specific marker of in vivo platelet activation, and intraplatelet serotonin levels remained constant. By flow cytometry, a significant decrease on the expression of GPIIb-IIIa epitope recognized by P2 monoclonal antibody was observed; however, this was not observed when polyclonal antibodies were employed. Fibrinogen or fibrin(ogen) degradation product (FDP) expression on platelet surface showed no significant alteration. Nonetheless, significant elevations of platelet P-selectin, a receptor whose expression is indicative of platelet activation, and of ligand-induced binding sites (LIBS1) of GPIIIa were noted. The percentage of circulating reticulated platelets, as well as platelet survival times, were not statistically different between the two groups. Histopathological and immunohistochemical analyses of rabbit organs demonstrated that circulating platelets were sequestered among fibrin deposits in pulmonary capillaries. These results suggest that thrombin generated by procoagulating components of B. jararaca venom has an essential role in the pathogenesis of platelet and coagulation disorders in this experimental model. Increased expression of P-selectin in the experimental group proves the initial hypothesis that platelets of envenomed rabbits are indeed activated in the circulation. The data presented herein demonstrate definitively that decreased fibrinogen or increased FDP levels are not the primary cause of the platelet dysfunction observed in bothropic envenomation, but other substances seem to be responsible for it.

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