Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 5 uppsatser.

The purpose of this study was to investigate natural killer cell activity and the possible role of beta- endorphin in a natural model of autoimmune orchitis, the dark mink. An assay was developed to study natural killer cell activity in the mink and base-line levels of activity in this specie were determined. Natural killer cell activity was assessed in fertile mutation mink, primary infertile dark mink and secondary infertile Utah dark mink with autoimmune orchitis. The study included three sampling times: November, March and April. Natural killer cell activity was significantly lower in mink studied in April than it was in. mink studied in March or November, and there was a significant correlation of activity to fertility. The addition of beta-endorphin to natural killer cell cultures had no effect on activity. A preliminary study was done to determine concentration levels of beta-endorphin in mink plasma, pituitary, hypothalamus and testes. Measurable amounts were found in all tissue types studied. Although the number of samples was too limited to draw significant conclusions, there appears to be a trend toward lower beta-endorphin concentration, in pituitary tissue and plasma samples, of mink with autoimmune orchitis. Beta-endorphin levels did not appear to correlate with natural killer cell activity in the mink. Two assays, the natural killer assay and the blasto-genesis assay, were used to insure that the beta-endorphin preparation used in this study were active. Natural killer cell activity had been reported to be enhanced by the addition of beta-endorphin. In the present study natural killer cell activity of human peripheral blood mononuclear cells (PBMC) was enhanced in the presence of betaendorphin, suggesting that the peptide was active. In addition, the blastogenic response of human PBMC was enhanced by the addition of beta-endorphin to cultures in the present study.

No description available.

Labor may perhaps be the most painful a woman might experience, although characterized by large inter-individual variability. The perceived pain during labor is the result of diverse factors, i.e. her previous pain experiences, the analgesia she receives and maybe also her genes. The overall aim of this thesis was to investigate biological and psychological mechanisms underlying inter-individual differences in labor pain related behaviors. The mechanisms that characterize endogenous pain relief during labor are not fully understood, though it is known to be partly explained by the effects of β-endorphin (BE). BE plasma levels were followed longitudinally in a cohort of pregnant women and were found to remain unchanged between early and late pregnancy, although with a nadir in the beginning of the third trimester. Furthermore, women with low levels of BE in plasma at the end of the third trimester, required second line labor analgesia to a significantly higher extent than women with normal levels. In a population-based sample of 814 pregnant women we investigated if inter-individual differences in labor pain related behavior was influenced by the pain-protective single nucleotide polymorphism (SNP) combination of guanosine triphosphate cyclohydrolase (GCH1) and the opioid receptor µ-1 gene (OPRM1) A118G SNP. We identified a possible association between the pain-protective SNP combination of GCH1 and use of second line analgesia. No association was found between the OPRM1 and use of analgesia or labor pain related behavior. The association between self-rated antenatal depressed mood and anxiety in relation to pain behaviors and self-reported pain during labor was investigated. We found that depressed mood during pregnancy is associated with early arrival to the delivery department, whereas antenatal anxiety is associated with increased self-rated pain prior to labor analgesia.  In conclusion, although an increasing number of studies strongly suggest that genetic predisposition plays an important role in pain and pain-related mechanisms, GCH1 and OPRM1 has little to offer in terms of individual counseling on labor analgesia. To enable the future use of genetic variability for pre-labor testing and counseling, a number of different genes reflecting pain mediation pathways, involving biological and psychological mechanisms, need to be analyzed in combination.

Alkoholkranke Patienten haben postoperativ ein 2- bis 4fach erhöhtes Infektionsrisiko und eine verlängerte intensivmedizinische Behandlungszeit. Als Ursache werden durch chronischen Alkoholkonsum und operativen Stress induzierte Veränderungen der Hypothalamus-Hypophysen-Nebennieren (HHN) Achse diskutiert. Ziel dieser Studie war es, zu klären, ob die Intervention mit niedrig dosiertem Ethanol, Morphin oder Ketoconazol im Vergleich zu Placebo einen Einfluss auf die HHN-Achse hat und ob dadurch die postoperative Infektionsrate und intensivstationäre Behandlungszeit verkürzt werden können. 64 alkoholkranke Patienten mit elektiver Tumorresektion des oberen Aerodigestivtraktes wurden in diese randomisierte, doppelblinde, kontrollierte Studie eingeschlossen. Chronisch alkoholkranke Patienten konsumierten täglich >60g Alkohol und erfüllten die DSM-IV Kriterien für Alkoholabhängigkeit oder –abusus. Die perioperative Intervention begann am Vorabend der Operation und endete am 3. postoperativen Tag. Blutproben zur Bestimmung von ACTH, beta-Endorphin und Cortisol wurden präoperativ sowie am 1., 3. und 7. postoperativen Tag entnommen. Chirurgischer Stress induzierte in der Placebo-Gruppe einen signifikanten postoperativen Anstieg von ACTH und Cortisol. Ethanol, Morphin und Ketoconazol verhinderten den postoperativen Anstieg von ACTH und Cortisol. Für den perioperativen Verlauf von beta-Endorphin gab es keine signifikanten Unterschiede. Placebo-Patienten hatten eine deutlich erhöhte postoperative Infektionsrate, die jede der Interventionen signifikant reduzierte. Zusätzlich konnte im Vergleich zu Placebo-Patienten die intensivstationäre Behandlungszeit um 9 Tage gesenkt werden. Eine prophylaktische Intervention mit niedrig dosiertem Ethanol, Morphin oder Ketoconazol verhinderte ein perioperatives Entgleisen der HHN-Achse bei alkoholkranken Patienten. Dadurch wurden die postoperative Infektionsrate und die intensivstationäre Behandlungsdauer bei diesen Patienten reduziert. / Postoperative infections are 2- to 4-times more frequent in patients with alcohol use disorders with the sequel of prolonged ICU stay. Its association with an altered perioperative hypothalamic-pituitary-adrenal (HPA) axis as response to chronic alcohol consumption and surgical stress is discussed. The aim of this study was to evaluate an intervention with low-dose ethanol, morphine or ketoconazole compared to placebo on the HPA axis and the postoperative infections rate as well as the ICU stay in chronic alcoholic patients. 64 patients with alcohol use disorders undergoing elective surgery of the aerodigestive tract were included in this randomized, double-blind controlled study. Chronic alcoholic patients were defined as having a daily ethanol consumption of at least 60 g and fulfilling the DSM-IV criteria for either alcohol abuse or dependence. Perioperative intervention was started on the evening before surgery and continued for three days after surgery. Blood samples to analyze ACTH, immune reactive beta-endorphine and cortisol were obtained on the morning before intervention and continued on day 1, 3 and 7 after surgery. In the placebo group surgical stress induced a significant increase of ACTH and cortisol. Perioperative intervention with ethanol, morphin or ketoconazol decreased the postoperative ACTH and cortisol increase in these patients. Plasma immune reactive beta-endorphine levels did not differ between groups. Placebo patients had a significantly increased postoperative infections rate whereas any intervention decreased the incidence of infections. Additionally ICU stay was reduced by 9 days in each intervention group compared to placebo. Prophylactic intervention with low dose ethanol, morphine or ketoconazole prevented a postoperative alteration of the HPA axis in chronic alcoholic patients. This was associated with a decreased postoperative infections rate and decreased ICU stay in these patients.

Genes and environment interact to determine an individual’s vulnerability or resilience to several psychiatric disorders, including alcohol use disorder (AUD). Alcohol use is often initiated during adolescence and early onset drinking is associated with increased risk for later AUD. Childhood and adolescence are periods of extensive brain maturation, which makes young individuals more susceptible to environmental influence. However, little is known about early environmental influence on reward pathways and behaviors involved in the development of AUD. Changes in the endogenous opioid and dopamine systems, as well as individual differences in risk behaviors are all believed to play important roles in the increased vulnerability seen after adverse early life events and early onset drinking. The overall aim of the thesis was therefore to investigate the influence of early environmental factors on adolescent alcohol intake, endogenous opioids, dopamine dynamics and alcohol-induced effects in rats to increase our knowledge of neurobiological factors underlying vulnerability to AUD. Furthermore, individual behavioral differences and their correlation to basal and drug-induced neurobiological responses in rats were also investigated. Animal models of different early environments, e.g. maternal separation and social vs. single housing, and adolescent alcohol consumption have been used to study effects on behavior, endogenous opioid peptides and dopamine dynamics. The results identified the amygdala and dorsal striatum as interesting brain regions in which endogenous opioids and dopamine, respectively, are impacted by early environmental factors. The amygdala and the dorsal striatum are both hypothesized to be involved in the shift from initial drug use to compulsive use and changes in these areas may be underlying environmentally increased vulnerability to AUD. Furthermore, behavioral phenotypes in relation to individual neurobiological responses were identified. High risk-taking behavior was associated with a more pronounced response to amphetamine, but the inherent dopamine response was instead associated with risk-assessment behavior. In conclusion, several brain regions of interest for future research were identified. Furthermore, the results contribute to increased understanding of factors involved in the development of vulnerability for AUD in adolescents and young adults.

A proposta principal deste estudo foi de avaliar o efeito da prática regular de atividade física por longos anos na imunossenescência, isto é, nas alterações que o sistema imune sofre com o envelhecimento. Para tal, comparou-se os resultados dos exames imunológicos de 20 idosos praticantes de corrida (idade média = 67 anos) aos de 20 idosos sedentários (idade média = 66 anos) e 10 jovens sedentários (idade média = 26 anos). Os idosos corredores eram praticantes da modalidade em média nos últimos 23 anos e vinham percorrendo uma distância semanal média de 39 quilômetros. O consumo máximo de oxigênio (VO2 max) deles foi 52% maior do que o dos idosos sedentários, atingindo valores similares aos dos jovens. Os parâmetros imunológicos analisados foram: contagem de linfócitos e seus subtipos, resposta proliferativa dos linfócitos T a mitógenos, atividade citotóxica das células natural killer e produção de citocinas (interleucinas 2, 3, 4, 6, 10 e 12). A dosagem das mesmas citocinas no soro também foi realizada, porém somente nos dois grupos de idosos. Os idosos corredores apresentaram resposta proliferativa dos linfócitos T a OKT-3 e produção de interleucina-2 significativamente maiores do que as dos idosos sedentários. Eles apresentaram também uma produção de interleucina-3 significativamente menor do que a dos seus pares sedentários. Por outro lado, não apresentaram diferença significativa destes parâmetros em relação aos jovens. Os níveis séricos das interleucinas 3, 6 e 12 dos idosos corredores foram significativamente menores do que os dos idosos sedentários. A influência da prática de atividade física regular sobre os níveis séricos do hormônio de crescimento, da testosterona e da dehidroepiandrosterona sulfato (DHEAS), que sofrem redução com o envelhecimento (\"endocrinossenescência\"), também foi estudada. Não houve diferença significativa entre os níveis séricos destes hormônios anabólicos dos idosos corredores e dos idosos sedentários. O efeito da atividade física regular sobre a beta-endorfina também foi avaliado. Os idosos corredores não apresentaram diferença significativa nos níveis séricos deste neuropeptídeo em relação aos idosos sedentários. Em virtude do possível envolvimento do sistema endócrino na imunossenescência, avaliou-se a correlação entre os hormônios anabólicos e as citocinas. Não se constatou correlação relevante entre eles, especialmente entre a DHEAS e a interleucina-6. Os resultados indicam que a prática regular de atividade física por longos anos tem o potencial de desacelerar a imunossenescência / The main objective of this study was to assess the effect of regular practice of physical activity on immunosenescence, that is, the changes that occur when the immune system is affected by aging. The results of immune tests conducted on 20 elderly runners (mean age = 67 years) were compared to those of 20 elderly sedentary individuals (mean age = 66 years) and to those of 10 young sedentary individuals (mean age = 26 years). On average, the elderly runners had practiced this activity for the last 23 years, running a mean weekly distance of 39 kilometers. Their maximum oxygen consumption (VO2 max) was 52% higher than that of sedentary elderly group, and similar to that of the group of younger individuals. The immune parameters studied were: lymphocyte and lymphocyte subtype counts, the proliferative response of T-lymphocytes to mitogens, cytotoxic activity of natural killer cells and production of cytokines (interleukins 2, 3, 4, 6, 10 and 12). The same cytokines were measured in serum, but only in the two groups of elderly people. Elderly runners presented a significantly higher proliferative response of T-lymphocytes to OKT-3 as well as interleukin-2 production than the sedentary group. The production of interleukin-3 was also significantly lower in the group of runners. On the other hand, the results of these parameters did not differ significantly from those of young subjects. Serum levels of interleukins 3, 6, and 12 were significantly lower in elderly runners than in sedentary individuals. The impact of regular physical activity on serum levels of growth hormone, testosterone, and dehydroepiandrosterone sulfate (DHEAS), which are affected by aging (\"endocrinosenescence\"), was also studied. The serum levels of these anabolic hormones did not differ significantly between the groups of elderly runners and the elderly sedentary individuals. When the impact of regular physical activity on beta-endorphin was studied, again no significant difference in the serum levels of this neuropeptide was found between the two elderly groups. Owing to the possible involvement of the endocrine system in immunosenescence, the correlation between anabolic hormones and cytokines was assessed. No relevant correlation was found, especially between DHEAS and interleukin-6. The results indicate that the regular practice of physical activity for several years may delay immunosenescence

A proposta principal deste estudo foi de avaliar o efeito da prática regular de atividade física por longos anos na imunossenescência, isto é, nas alterações que o sistema imune sofre com o envelhecimento. Para tal, comparou-se os resultados dos exames imunológicos de 20 idosos praticantes de corrida (idade média = 67 anos) aos de 20 idosos sedentários (idade média = 66 anos) e 10 jovens sedentários (idade média = 26 anos). Os idosos corredores eram praticantes da modalidade em média nos últimos 23 anos e vinham percorrendo uma distância semanal média de 39 quilômetros. O consumo máximo de oxigênio (VO2 max) deles foi 52% maior do que o dos idosos sedentários, atingindo valores similares aos dos jovens. Os parâmetros imunológicos analisados foram: contagem de linfócitos e seus subtipos, resposta proliferativa dos linfócitos T a mitógenos, atividade citotóxica das células natural killer e produção de citocinas (interleucinas 2, 3, 4, 6, 10 e 12). A dosagem das mesmas citocinas no soro também foi realizada, porém somente nos dois grupos de idosos. Os idosos corredores apresentaram resposta proliferativa dos linfócitos T a OKT-3 e produção de interleucina-2 significativamente maiores do que as dos idosos sedentários. Eles apresentaram também uma produção de interleucina-3 significativamente menor do que a dos seus pares sedentários. Por outro lado, não apresentaram diferença significativa destes parâmetros em relação aos jovens. Os níveis séricos das interleucinas 3, 6 e 12 dos idosos corredores foram significativamente menores do que os dos idosos sedentários. A influência da prática de atividade física regular sobre os níveis séricos do hormônio de crescimento, da testosterona e da dehidroepiandrosterona sulfato (DHEAS), que sofrem redução com o envelhecimento (\"endocrinossenescência\"), também foi estudada. Não houve diferença significativa entre os níveis séricos destes hormônios anabólicos dos idosos corredores e dos idosos sedentários. O efeito da atividade física regular sobre a beta-endorfina também foi avaliado. Os idosos corredores não apresentaram diferença significativa nos níveis séricos deste neuropeptídeo em relação aos idosos sedentários. Em virtude do possível envolvimento do sistema endócrino na imunossenescência, avaliou-se a correlação entre os hormônios anabólicos e as citocinas. Não se constatou correlação relevante entre eles, especialmente entre a DHEAS e a interleucina-6. Os resultados indicam que a prática regular de atividade física por longos anos tem o potencial de desacelerar a imunossenescência / The main objective of this study was to assess the effect of regular practice of physical activity on immunosenescence, that is, the changes that occur when the immune system is affected by aging. The results of immune tests conducted on 20 elderly runners (mean age = 67 years) were compared to those of 20 elderly sedentary individuals (mean age = 66 years) and to those of 10 young sedentary individuals (mean age = 26 years). On average, the elderly runners had practiced this activity for the last 23 years, running a mean weekly distance of 39 kilometers. Their maximum oxygen consumption (VO2 max) was 52% higher than that of sedentary elderly group, and similar to that of the group of younger individuals. The immune parameters studied were: lymphocyte and lymphocyte subtype counts, the proliferative response of T-lymphocytes to mitogens, cytotoxic activity of natural killer cells and production of cytokines (interleukins 2, 3, 4, 6, 10 and 12). The same cytokines were measured in serum, but only in the two groups of elderly people. Elderly runners presented a significantly higher proliferative response of T-lymphocytes to OKT-3 as well as interleukin-2 production than the sedentary group. The production of interleukin-3 was also significantly lower in the group of runners. On the other hand, the results of these parameters did not differ significantly from those of young subjects. Serum levels of interleukins 3, 6, and 12 were significantly lower in elderly runners than in sedentary individuals. The impact of regular physical activity on serum levels of growth hormone, testosterone, and dehydroepiandrosterone sulfate (DHEAS), which are affected by aging (\"endocrinosenescence\"), was also studied. The serum levels of these anabolic hormones did not differ significantly between the groups of elderly runners and the elderly sedentary individuals. When the impact of regular physical activity on beta-endorphin was studied, again no significant difference in the serum levels of this neuropeptide was found between the two elderly groups. Owing to the possible involvement of the endocrine system in immunosenescence, the correlation between anabolic hormones and cytokines was assessed. No relevant correlation was found, especially between DHEAS and interleukin-6. The results indicate that the regular practice of physical activity for several years may delay immunosenescence