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ROBUST EXPERIMENTAL DESIGN FOR ESTIMATING MYOCARDIAL BETA ADRENERGIC RECEPTOR CONCENTRATION USING POSITRON EMISSION TOMOGRAPHYSalinas, Cristian Andres 03 April 2006 (has links)
No description available.
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The effects of prenatal hypoxia on the levels of the α-subunits of G proteins in the heart of the Broiler chicken (<em>Gallus gallus</em>)Rashdan, Nabil January 2010 (has links)
<p>Environmental stress during embryonic development could lead to growth restriction of the embryo, and act as a risk factor for the development of cardiovascular disease in adult life. A common environmental stressor that causes growth restriction is prenatal hypoxia, which has been shown to adversely affect adult health in mammalian models. Prenatal hypoxia causes an increase in catecholamines which results in over stimulation of the cardiac β-adrenergic receptors. Previous work on chickens has shown that prenatal hypoxia causes an increase in the sensitivity of β-adrenergic receptors to epinephrine in the embryonic heart. The sensitivity of these receptors was found to be decreased in prenatal hypoxic juvenile. Prenatal hypoxia has no significant effect on the density of these receptors in neither the embryo nor the juvenile. The lack of change in receptor density implies that the effects of hypoxia are further down stream in the signalling cascade. The β2 adrenergic receptor can couple to both the stimulatory Gα subunit (Gsα) and the inhibitory Gα subunit (Giα). We hypothesized that prenatal hypoxia would cause an increase in the Gsα in the sensitized embryos, while increasing Giα in the desensitized juveniles. This study evaluated the relative levels of Gsα and Giα in the hypoxic chicken embryo, and in the prenatally hypoxic juvenile, Using western blotting. Hypoxia considerably increased Giα in the chicken embryo while having no effect on Gsα. In the prenatally hypoxic juvenile Gsα was significantly increased while no changes were found in Giα. This dissociation between the levels of Gα subunit and receptor sensitivity implies that that hypoxia affects the signaling cascade downstream of the Gα subunit.</p>
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Efeitos dos hormônios tireoidianos sobre a regulação da expressão de proteínas envolvidas com a lipólise no tecido adiposo branco subcutâneo e visceral. / Effects of thyroid hormones on the regulation of the expression of proteins involved on lipolysis in subcutaneous and visceral white adipose tissue.Silva, Mariana de França Oliveira da 21 August 2015 (has links)
Os hormônios tireoidianos (HT) executam um papel lipolítico importante no Tecido Adiposo Branco (TAB), sendo este efeito mediado por meio do aumento da expressão de receptores beta adrenérgicos na membrana do adipócito, o que aumenta a sensibilidade deste tecido as catecolaminas. Sabe-se que os principais efetores da ação lipolítica nesse tecido são a lipase hormônio sensível (LHS) e a lipase dos triglicerídeos dos adipócitos (ATGL), as quais hidrolisam os triglicerídeos em ácidos graxos e glicerol. Além disso, outros componentes estão envolvidos na atividade lipolítica, como as perilipinas, proteínas estas que envolvem a gota de gordura, formando uma barreira contra a ação da LHS e ATGL, de modo que precisam ser fosforiladas para que a LHS e ATGL possam exercer seu efeito lipolítico. Considerando: (a) a importância do tecido adiposo na homeostase energética e como fonte de citocinas, as quais estão relacionadas com a sensibilidade tecidual à insulina; (b) que a função e o metabolismo do tecido adiposo variam com a sua distribuição regional, e (c) que as ações lipolíticas dos HT, importantes reguladores da homeostase energética, têm sido muito pouco exploradas, pretendemos investigar, em ratos, (i) se os HT interferem na expressão da LHS, ATGL, perilipina A e dos receptores beta3 adrenérgicos no tecido adiposo branco, e (ii) se essas ações diferem nos distintos depósitos de gordura, o que poderia ampliar o campo de conhecimento sobre os efeitos lipolíticos destes hormônios e a nossa compreensão sobre a contribuição deles nas complicações associadas à obesidade e suas co-morbidades. / Thyroid hormones (TH) play an important lipolytic role in white adipose tissue (WAT). This effect is mediated by increased expression of beta-adrenergic receptors on adipocytes membrane, which increases the sensitivity of that tissue to catecholamines. It is known that the main effectors of the lipolytic action in WAT enzymatic activity, especially: hormone sensitive lipase (HSL) and adipose triglyceride lipase (ATGL), which hydrolyze triglycerides into fatty acids and glycerol. In addition, other components are involved in the lipolytic activity, such as perilipin. These proteins support the fat droplet, forming a protective barrier against HSL and ATGL action. Considering: (a) the importance of adipose tissue in energy homeostasis and as a source of cytokines which are related to insulin tissue sensitivity; (b) function and metabolism of adipose tissue vary with their regional distribution; and (c) lipolytic actions of HT, important regulators of energy homeostasis, have been little explored, we investigated in rats with hypothyroidism and submitted to T3 treatment: (i) TH effects on the expression of hormone sensitive lipase (HSL), adipose triglyceride lipase (ATGL),perilipin A and beta-3 adrenergic receptors in WAT, and (ii) if this action are different on subcutaneous and visceral fat depot. This study has increased our understanding about the contribution of these hormones on WAT metabolism and metabolic disease as obesity.
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The effects of prenatal hypoxia on the levels of the α-subunits of G proteins in the heart of the Broiler chicken (Gallus gallus)Rashdan, Nabil January 2010 (has links)
Environmental stress during embryonic development could lead to growth restriction of the embryo, and act as a risk factor for the development of cardiovascular disease in adult life. A common environmental stressor that causes growth restriction is prenatal hypoxia, which has been shown to adversely affect adult health in mammalian models. Prenatal hypoxia causes an increase in catecholamines which results in over stimulation of the cardiac β-adrenergic receptors. Previous work on chickens has shown that prenatal hypoxia causes an increase in the sensitivity of β-adrenergic receptors to epinephrine in the embryonic heart. The sensitivity of these receptors was found to be decreased in prenatal hypoxic juvenile. Prenatal hypoxia has no significant effect on the density of these receptors in neither the embryo nor the juvenile. The lack of change in receptor density implies that the effects of hypoxia are further down stream in the signalling cascade. The β2 adrenergic receptor can couple to both the stimulatory Gα subunit (Gsα) and the inhibitory Gα subunit (Giα). We hypothesized that prenatal hypoxia would cause an increase in the Gsα in the sensitized embryos, while increasing Giα in the desensitized juveniles. This study evaluated the relative levels of Gsα and Giα in the hypoxic chicken embryo, and in the prenatally hypoxic juvenile, Using western blotting. Hypoxia considerably increased Giα in the chicken embryo while having no effect on Gsα. In the prenatally hypoxic juvenile Gsα was significantly increased while no changes were found in Giα. This dissociation between the levels of Gα subunit and receptor sensitivity implies that that hypoxia affects the signaling cascade downstream of the Gα subunit.
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Efeitos dos hormônios tireoidianos sobre a regulação da expressão de proteínas envolvidas com a lipólise no tecido adiposo branco subcutâneo e visceral. / Effects of thyroid hormones on the regulation of the expression of proteins involved on lipolysis in subcutaneous and visceral white adipose tissue.Mariana de França Oliveira da Silva 21 August 2015 (has links)
Os hormônios tireoidianos (HT) executam um papel lipolítico importante no Tecido Adiposo Branco (TAB), sendo este efeito mediado por meio do aumento da expressão de receptores beta adrenérgicos na membrana do adipócito, o que aumenta a sensibilidade deste tecido as catecolaminas. Sabe-se que os principais efetores da ação lipolítica nesse tecido são a lipase hormônio sensível (LHS) e a lipase dos triglicerídeos dos adipócitos (ATGL), as quais hidrolisam os triglicerídeos em ácidos graxos e glicerol. Além disso, outros componentes estão envolvidos na atividade lipolítica, como as perilipinas, proteínas estas que envolvem a gota de gordura, formando uma barreira contra a ação da LHS e ATGL, de modo que precisam ser fosforiladas para que a LHS e ATGL possam exercer seu efeito lipolítico. Considerando: (a) a importância do tecido adiposo na homeostase energética e como fonte de citocinas, as quais estão relacionadas com a sensibilidade tecidual à insulina; (b) que a função e o metabolismo do tecido adiposo variam com a sua distribuição regional, e (c) que as ações lipolíticas dos HT, importantes reguladores da homeostase energética, têm sido muito pouco exploradas, pretendemos investigar, em ratos, (i) se os HT interferem na expressão da LHS, ATGL, perilipina A e dos receptores beta3 adrenérgicos no tecido adiposo branco, e (ii) se essas ações diferem nos distintos depósitos de gordura, o que poderia ampliar o campo de conhecimento sobre os efeitos lipolíticos destes hormônios e a nossa compreensão sobre a contribuição deles nas complicações associadas à obesidade e suas co-morbidades. / Thyroid hormones (TH) play an important lipolytic role in white adipose tissue (WAT). This effect is mediated by increased expression of beta-adrenergic receptors on adipocytes membrane, which increases the sensitivity of that tissue to catecholamines. It is known that the main effectors of the lipolytic action in WAT enzymatic activity, especially: hormone sensitive lipase (HSL) and adipose triglyceride lipase (ATGL), which hydrolyze triglycerides into fatty acids and glycerol. In addition, other components are involved in the lipolytic activity, such as perilipin. These proteins support the fat droplet, forming a protective barrier against HSL and ATGL action. Considering: (a) the importance of adipose tissue in energy homeostasis and as a source of cytokines which are related to insulin tissue sensitivity; (b) function and metabolism of adipose tissue vary with their regional distribution; and (c) lipolytic actions of HT, important regulators of energy homeostasis, have been little explored, we investigated in rats with hypothyroidism and submitted to T3 treatment: (i) TH effects on the expression of hormone sensitive lipase (HSL), adipose triglyceride lipase (ATGL),perilipin A and beta-3 adrenergic receptors in WAT, and (ii) if this action are different on subcutaneous and visceral fat depot. This study has increased our understanding about the contribution of these hormones on WAT metabolism and metabolic disease as obesity.
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The Role of Osteopontin in Extracellular Matrix Remodeling Following Chronic Sympathetic Stimulation in The Aging HeartDavis, Danisha Marie, Dalal, Suman, James, Connor, Foster, Cerrone R., Singh, Krishna 12 April 2019 (has links)
Cardiovascular disease (CVD) is the leading cause of death in the United States. A common feature in most cardiac pathologies is the dysregulation of beta-adrenergic receptors (β-AR) and changes in the extracellular matrix (ECM). The ECM maintains strength and normal organization of cardiac tissue, while fibrosis (connective tissue scarring) is necessary for repair of damaged cardiac tissue. However, the dysregulation of the ECM leads to a number of cardiac disease pathologies. Osteopontin (OPN) is a protein with diverse biological functions in regulating the ECM such as bone resorption and calcification, wound healing, cell adhesion, cell survival, and apoptosis. OPN is expressed at low levels in the heart but increases with injury by promoting collagen synthesis, cardiac fibroblast growth, and adhesions to ECM proteins. Furthermore, as the heart ages, increases in ECM reorganization leads to cardiac damage and failure. Several studies have examined the role of OPN in the heart, but to date, no studies exist on the role of OPN in response to β-AR signaling and cardiac remodeling or the role that aging plays in this response. The goal of this study was to examine the effects of OPN on cardiac ECM remodeling following chronic beta-adrenergic stimulation. We proposed that OPN expression increases cardiac remodeling and dysfunction following ISO treatment in the aging heart evidenced by increased fibrosis. For this study, young (4 months) and middle age (14 months) mice with (WT) and without (KO) the OPN gene were treated with isoproterenol (ISO) for 28 days. Echocardiography was used to assess cardiac function. Mice were euthanized, and the hearts were analyzed for fibrosis using Masson’s Trichrome Staining. Results showed ISO increased fibrosis in the WT-ISO, but not KO-ISO compared to the respective controls (SHAM, no ISO treatment) for the middle age mice (p≤0.05). Furthermore, the aged WT-ISO group exhibited a 3-fold increase in fibrosis compared to the young WT-ISO group. Results from echocardiography will be analyzed and we expect to see compromised cardiac function in the WT-ISO groups compared to KO-ISO groups. OPN is currently being examined as a potential biomarker in heart failure. The results from this study will provide new insight on changes in the cardiac vasculature in the aging heart following injury and the role OPN plays in this process.
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Modulação da expressão de VEGF-C por mediador relacionado ao estresse em culturas de carcinomas espinocelulares de boca / Modulation of VEGF-C expression by stress related mediator in oral squamous cell carcinoma cell linesBruna Maria Rodrigues Vilardi 18 May 2011 (has links)
Os mediadores do estresse, epinefrina e norepinefrina, participam da modulação de diversos processos celulares como a proliferação, a migração celular e a apoptose durante a tumorigênese, influenciando assim, o crescimento e a progressão tumoral. A presença de receptores beta-adrenérgicos e sua expressiva resposta ao estímulo do neurohormônio norepinefrina foram identificadas em várias linhagens de células tumorais, incluindo o carcinoma espinocelular de boca. O objetivo deste estudo foi investigar a influência da norepinefrina na expressão do fator de crescimento endotelial vascular do tipo C (VEGF-C) em cultura de células de carcinoma espinocelular de boca que continham receptores beta adrenérgicos. As linhagens celulares (SCC-9 e SCC-25) foram estimuladas com norepinefrina em diferentes concentrações (0,1; 1 e 10 M) e com 1M de propranolol, sendo analisadas após 1, 6 e 24 horas. A expressão gênica e proteica de VEGF-C foram avaliadas, respectivamente, por RT-PCR em tempo real e por ELISA. A produção de RNAm para VEGF-C teve um comportamento irregular, com tendências a variações da expressão gênica (aumento e inibição). A dosagem proteica nos sobrenadantes das culturas de células malignas não refletiu a expressão gênica de VEGF-C. Somente na linhagem SCC-25 ocorreu uma inibição significativa da produção de VEGF-C (p<0,001) pelas células neoplásicas no ensaio de 24 horas após o estímulo com 10M de norepinefrina. Estes resultados sugerem que a expressão de VEGF-C nas linhagens de carcinomas espinocelulares humanos de boca, parece não ser mediado pela norepinefrina, via receptores beta-adrenérgicos. / The mediators of stress, epinephrine and norepinephrine, are involved in modulation of many cellular processes such as proliferation, migration and apoptosis influencing the tumor growth and progression. The presence of beta-adrenergic receptors and their significant response to stimulation of neurohormone norepinephrine has been identified in various tumor cell lines, including oral squamous cell carcinoma. The aim of this study was to investigate the influence of norepinephrine on the expression of vascular endothelial growth factor type C (VEGF-C) in oral squamous carcinomas cell lines that contained beta-adrenergic receptors. Cell lines (SCC-9 and SCC-25) were stimulated with different concentrations of norepinephrine (0.1, 1 and 10 mM) and 1 M of propranolol, and analyzed after 1, 6 and 24 hours. Gene and protein expressions of VEGF-C were evaluated, respectively, by real time PCR and by ELISA. The results showed an irregular behavior of the oral squamous carcinoma cell lines, with trends to increase or to inhibit the VEGF-C gene expression. Dosage protein in supernatant cultures of malignant cells did not reflect the gene expression of VEGF-C. Only in the SCC-25 cell line was detected a significant inhibition of VEGF-C production by neoplastic cells, twenty-four hours after stimulation with 10M norepinephrine (p<0,001). These results suggest that VEGF-C expression in oral squamous carcinomas cell lines seems not to be mediated by norepinephrine through the beta adrenergic receptor pathway.
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Modulação da expressão de VEGF-C por mediador relacionado ao estresse em culturas de carcinomas espinocelulares de boca / Modulation of VEGF-C expression by stress related mediator in oral squamous cell carcinoma cell linesVilardi, Bruna Maria Rodrigues 18 May 2011 (has links)
Os mediadores do estresse, epinefrina e norepinefrina, participam da modulação de diversos processos celulares como a proliferação, a migração celular e a apoptose durante a tumorigênese, influenciando assim, o crescimento e a progressão tumoral. A presença de receptores beta-adrenérgicos e sua expressiva resposta ao estímulo do neurohormônio norepinefrina foram identificadas em várias linhagens de células tumorais, incluindo o carcinoma espinocelular de boca. O objetivo deste estudo foi investigar a influência da norepinefrina na expressão do fator de crescimento endotelial vascular do tipo C (VEGF-C) em cultura de células de carcinoma espinocelular de boca que continham receptores beta adrenérgicos. As linhagens celulares (SCC-9 e SCC-25) foram estimuladas com norepinefrina em diferentes concentrações (0,1; 1 e 10 M) e com 1M de propranolol, sendo analisadas após 1, 6 e 24 horas. A expressão gênica e proteica de VEGF-C foram avaliadas, respectivamente, por RT-PCR em tempo real e por ELISA. A produção de RNAm para VEGF-C teve um comportamento irregular, com tendências a variações da expressão gênica (aumento e inibição). A dosagem proteica nos sobrenadantes das culturas de células malignas não refletiu a expressão gênica de VEGF-C. Somente na linhagem SCC-25 ocorreu uma inibição significativa da produção de VEGF-C (p<0,001) pelas células neoplásicas no ensaio de 24 horas após o estímulo com 10M de norepinefrina. Estes resultados sugerem que a expressão de VEGF-C nas linhagens de carcinomas espinocelulares humanos de boca, parece não ser mediado pela norepinefrina, via receptores beta-adrenérgicos. / The mediators of stress, epinephrine and norepinephrine, are involved in modulation of many cellular processes such as proliferation, migration and apoptosis influencing the tumor growth and progression. The presence of beta-adrenergic receptors and their significant response to stimulation of neurohormone norepinephrine has been identified in various tumor cell lines, including oral squamous cell carcinoma. The aim of this study was to investigate the influence of norepinephrine on the expression of vascular endothelial growth factor type C (VEGF-C) in oral squamous carcinomas cell lines that contained beta-adrenergic receptors. Cell lines (SCC-9 and SCC-25) were stimulated with different concentrations of norepinephrine (0.1, 1 and 10 mM) and 1 M of propranolol, and analyzed after 1, 6 and 24 hours. Gene and protein expressions of VEGF-C were evaluated, respectively, by real time PCR and by ELISA. The results showed an irregular behavior of the oral squamous carcinoma cell lines, with trends to increase or to inhibit the VEGF-C gene expression. Dosage protein in supernatant cultures of malignant cells did not reflect the gene expression of VEGF-C. Only in the SCC-25 cell line was detected a significant inhibition of VEGF-C production by neoplastic cells, twenty-four hours after stimulation with 10M norepinephrine (p<0,001). These results suggest that VEGF-C expression in oral squamous carcinomas cell lines seems not to be mediated by norepinephrine through the beta adrenergic receptor pathway.
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Kompartmentalizace beta-adrenergního signálního systému v srdečních buňkách: vliv hypoxie / Compartmentalization of the beta-adrenergic signaling system in cardiac cells: the effect of hypoxiaKarlovská, Ivana January 2016 (has links)
The aim of this thesis was to study the changes that occur in cell line H9c2 after exposure to an oxygen level reduced to 2 % for 24 hours. We monitored changes in compartmentation of chosen members of β-adrenergic signaling system. We found an increase in expression of β1AR and β2AR. Only β2AR showed change in compartmentation after hypoxia, as they relocate from membrane rafts to non-rafts fractions of membrane. AC also showed an increase of expression and was located in membrane rafts. The next aim of this work was to monitore apoptotic markers to determine whether there are activated pro-apoptotic or anti-apoptotic signals under chosen conditions of hypoxia. There was an increase in expression of both pro-apoptotic protein Bax and anti-apoptotic protein Bcl-2. We compare ratios of Bcl-2 to Bax and we found that there is a bigger increase in protein Bax expression. Another apoptotic marker, caspase 3, was tested and we also found that there was an increase in expression of caspase 3 in cells after hypoxia. Furthermore, we studied possible activation of kinase signaling pathways that may contribute to protective effects of hypoxia. Expression of Akt and ERK kinases was increased after hypoxia, but we did not confirm activation by phosphorylation of these kinases. Levels of phosphorylated Akt...
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B-blockers effect in the temporomandibular joint pain in rats and humans and its modulation by gonadal hormones = Efeito dos B-bloqueadores na dor da articulação temporomandibular de ratos e humanos e sua modulação pelos hormônios / Efeito dos B-bloqueadores na dor da articulação temporomandibular de ratos e humanos e sua modulação pelos hormôniosFávaro-Moreira, Nádia Cristina, 1981- 24 August 2018 (has links)
Orientador: Cláudia Herrera Tambeli / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-24T16:27:32Z (GMT). No. of bitstreams: 1
Favaro-Moreira_NadiaCristina_D.pdf: 14440949 bytes, checksum: 19ac7e9f7196c13dfd756bd4150b1456 (MD5)
Previous issue date: 2014 / Resumo: Disfunção temporomandibular (DTM) é um termo coletivo que abrange uma série de problemas clínicos que envolvem os músculos mastigatórios e a articulação temporomandibular (ATM) e está comumente associada à inflamação. Apesar de medicamentos anti-inflamatórios não esteróides (AINEs) serem frequentemente utilizados no controle de dor inflamatória, sabe-se que a dor inflamatória possui um componente simpático que pode predominar em casos menos responsivos a tratamentos com AINEs. Portanto, os objetivos deste estudo foram: (i) avaliar se os hormônios gonadais modulam a resposta antinociceptiva ao bloqueio dos ?-adrenoreceptores (ARs) na ATM de ratos, (ii) avaliar se um e três dias de tratamento com o ?-bloqueador não seletivo para AR ?1 e ?2 nadolol reduzem a dor em pacientes com DTM significativamente mais do que o placebo, (iii) avaliar se as mulheres experimentam relativamente maior benefício com o tratamento com nadolol que os homens dependendo do seu estado hormonal, e (iv ) comparar o efeito do nadolol com o efeito do ibuprofeno. O primeiro objetivo foi desenvolvido em ratos machos e fêmeas, intactos ou gonadectomizados (com ou sem reposição hormonal) através da coadministração de formalina e antagonista específico para AR ?1 , ?2 e ?3 na região da ATM. O comportamento nocieptive foi quantificado e utilizado para a análise estatística. Para o segundo objetivo Nadolol (40 mg/dia), ibuprofeno (400 mg/dia) ou placebo foi administrado em 27 mulheres que não usam contraceptivo oral (CO), 28 mulheres usando CO e 29 homens, que estavam de acordo com os Critérios Diagnósticos para Pesquisa (Research Diagnostic Chriteria) para DTM. Eles completaram um estudo cruzado, aleatorizado, duplo-cego e com controle placebo. As mulheres participaram durante três meses (durante a fase menstrual e durante a fase peri-ovulatória em mulheres que não usam CO, e durante a fase menstrual e durante a fase de uso do CO em mulheres usando CO), em um total de 6 etapas de análise ( 2 por mês), e homens participaram durante um mês com três etapas de análise com um período de 6 dias entre cada etapa. Cada etapa consistiu de uma avaliação de basal e duas avaliações durante o tratamento, uma no primeiro e o outra no terceiro dia de tratamento. A dor foi avaliada por meio da utilização da escala visual analógica (VAS) e as comparações foram feitas através do pré-tratamento (basal), o primeiro e o terceiro dia de intervenção (pós-tratamento). O bloqueio dos ARs ? reduz significativamente a nocicepção da ATM em ratos machos e fêmeas, mas as fêmeas são mais sensíveis. Os hormônios gonadais reduziram a resposta ao bloqueio de ARs ? na ATM de machos e fêmeas. No estudo em humanos um e três dias de tratamento com nadolol ou ibuprofeno produz uma analgesia em mulheres e homens significativamente maior que placebo, mas as mulheres são mais sensíveis independente do estado hormonal. Em resumo, estes dados demonstram que os hormonios sexuais podem modular o efeito analgésico de bloqueadores de ARs ? dependendo dos níveis séricos dos hormonios gonadais, do subtipo de ARs ? ativado e da dose de droga administrada. A maior eficácia no tratamento da dor em mulheres é clinicamente relevante uma vez que a DTM é mais prevalente e mais severa em mulheres do que em homens / Abstract: Temporomandibular disorder (TMD) is a collective term embracing a number of clinical problems that involve the masticatory muscles, and the temporomandibular joint (TMJ), commonly associated with inflammation. Despite anti-inflammatory drugs (NSAIDs) are frequently used in the control of inflammatory pain, it is well known that inflammatory pain has a sympathetic component that might predominate in the cases less responsive to NSAIDs treatments. Therefore, the aims of this study were: (i) to evaluate whether gonadal hormones modulate the antinociceptive responsiveness to the blockade of ?-adrenoreceptors (ARs) in the TMJ of rats, (ii) to evaluate whether one and three days of treatment with the nonselective ?1 and ?2-AR antagonist nadolol would reduce clinical pain symptoms in TMD patients significantly more than placebo, (iii) to evaluate whether women would experience relatively greater benefit from nadolol than men depending on their hormonal status, and (iv) compared the effect of nadolol with the effect of ibuprofen. The first aim was developed in male and female rats, intact or gonadectomized (with or without hormone replacement), by coadministration of formalin and specific antagonist for ?1, ?2 and ?3-ARs in the TMJ region. The nocieptive behavior was quantified and used for estatistical analysis. For the second aim Nadolol (40 mg/day), ibuprofen (400 mg/day) or placebo was administrated in 27 women not using oral contraceptive (OC), 28 women using OC, and 29 men which met the Research Diagnostic Criteria for TMD. They completed a randomized, crossover, double¿blind, placebo controlled study. Women participated for three months (during menstrual phase and during peri-ovulatory phase in women not using OC, and during menstrual phase and during OC using phase in women using OC) in a total of 6 stages of analysis (2 per month), and men participated for one month whith three stages of analysis and 6 days of wash out. Each stage consisted of a baseline evaluation and two evaluations during treatment, one on the first and the other on the third day of treatment. Clinical pain ratings were obtained by Visual Analog Scale (VAS) and comparisons were made across the pre-treatment (baseline), the first and the third day of intervention (post-treatment). Blockade of ?-ARs significantly reduce the TMJ nociception in male and female rats, but females are more responsive. The gonadal hormones reduce the responsiveness to the blockade of ?-ARs in the TMJ of males and females rats. In the human study one and three days of treatment with nadolol or ibuprofen produces analgesia in TMD women and men significantly more than placebo, but women are more responsive independent of their hormonal status. In summary, these data demonstrate that gonadal hormones can modulate the analgesic effect of ?-ARs blockers depending on the gonadal hormones serum levels, on the ?-ARs activated subtype and on the dose of drug administered. The greater treatment efficacy in women is of clinical relevance since TMD is more prevalent and severe in women than in men / Doutorado / Fisiologia Oral / Doutora em Odontologia
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