Heart failure is a syndrome in which the heart is unable to supply the entire body with oxygen. It is manifested in shortness of breath and exercise intolerance. One class of drugs that have proven effective in managing the progression of heart failure is β-blockers. These drugs bind to β-adrenergic receptors with high affinity, thus preventing the binding of endogenous catecholamines such as epinephrine and norepinephrine to the receptors by outcompeting them. The most common explanation of how β-blockers help manage the progression of heart failure is that by slowing the heart rate, it reduces the strain put on the heart. There may however be other ways that β-blockers help decrease morbidity and mortality of heart failure. Alternative reasons to how β-blockers aid the treatment of heart failure have been proposed based on the literature. It was found that the compensatory mechanisms intended to alleviate failure may be the main reasons that actually worsen it. Prolonged stimulation by epinephrine and norepinephrine damage the myocardium through oxidative damage, signaling for apoptosis and cardiac remodeling, as well as causing an increase in blood volume through the RAS-system. By blocking these maladaptive responses, β-blockers such as Carvedilol, Metoprolol and Nebivolol, together with other drugs such as ACE-inhibitors, and lifestyle changes help manage the progression of heart failure as well as increase the quality of life for the patients suffering from it

The beneficial effects of angiotensin II type 1 (AT1) receptor blockers (ARB) in cerebrovascular disease have been shown in clinical trials. However, the effects of ARBs vary based on their unique pharmacologic properties. In this study, we focused on telmisartan, a fat-soluble ARB with selective peroxisome proliferator-activated receptor-γ (PPARγ) agonist activity, and investigated its effects on ischemic injury in cerebral vasculature using murine models of both transient and permanent focal ischemia. Analysis by triphenyltetrazolium-staining revealed that pre-treatment of mice with telmisartan reduced stroke volume 72 h after the transient ischemic insult in a dose-dependent manner, though such treatment did not reduce stroke volume due to permanent ischemia. Transient ischemia induced pro-inflammatory adhesion molecules, such as ICAM-1 and P-selectin in the ischemic region, and treatment with telmisartan diminished the expression of these adhesion molecules with diminished infiltration of inflammatory cells. The beneficial effect of telmisartan was attenuated, in part, by administration of a PPARγ antagonist. Treatment with valsartan (an ARB without PPARγ agonist activity) also decreased ischemic injury after transient ischemia, though to a lesser extent than telmisartan. Our findings indicate that telmisartan has a beneficial effect in a murine model of ischemia/reperfusion injury through blockade of AT1 receptors, and, in addition, due to a positive effect via its specific anti-inflammatory PPARγ agonist activity.

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第13126号 / 論医博第2135号 / 新制||医||1024(附属図書館) / (主査)教授 湊谷 謙司, 教授 椛島 健治, 教授 岩井 一宏 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

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This thesis is dedicated to all volleyball fans and mainly to volleyball coaches who are interested in problematics of a set in volleyball. The thesis contains chapters on the history of volleyball, characteristics of playing actions of an individual, game systems, and what does the setter do. The practical part deals with the most frequently played signals by setter and blocker in two the best teams of women`s extraleague volleyball. Powered by TCPDF (www.tcpdf.org)

In the course of this study, several endogenous compounds and model substances were used to mimic the conditions in patients suffering from hypertension. As endogenous compounds, angiotensin II and aldosterone were chosen. As model substances, 4-nitroquinoline-1-oxide (NQO), hydrogen peroxide and phorbol 12-myristate 13-acetate (PMA) were selected. Benfotiamine as well as α-tocopherol proved in the course of the experiments to be able to prevent angiotensin II-induced formation of oxidative DNA strand breaks and micronuclei. This could be due to a prior inhibition of the release of reactive oxygen species and is in contrast to results which were achieved using thiamine. Furthermore, experiments in which cells were pre-incubated with benfotiamine followed by incubation with NQO showed that benfotiamine was not able to prevent the induction of oxidative stress. The hypothesis that benfotiamine has, like α-tocopherol, direct antioxidative capacity was fortified by measurements in cell free systems. In brief, a new working mechanism for benfotiamine in addition to the ones already known could be provided. In the second part of the study, angiotensin II was shown to be dose-dependently genotoxic. This effect is mediated via the angiotensin II type 1 receptor (AT1R) which. Further experiments were extended from in vitro settings to the isolated perfused kidney. Here it could be shown that angiotensin II caused vasoconstriction and DNA strand breaks. Co-perfusion of kidneys with angiotensin II and candesartan prevented vasoconstriction and formation of strand breaks. DNA strand break formation due to mechanical stress or hypoxia could be ruled out after additional experiments with the thromboxane mimetic U 46619. Detailed investigation of the DNA damage in vitro revealed that angiotensin II induces single strand breaks, double strand breaks and 8-hydroxydeoxyguanosine (8-oxodG)-adducts as well as abasic sites. Investigations of the effects of aldosterone-treatment in kidney cells showed an increase of oxidative stress, DNA strand breaks and micronuclei which could be prevented by the steroidal mineralocorticoid receptor antagonist eplerenone. Additional experiments with the non-steroidal mineralocorticoid receptor antagonist (S)-BR-4628 revealed that this substance was also able to prevent oxidative stress and genomic damage and proved to be more potent than eplerenone. In vivo, hyperaldosteronism was imitated in rats by aid of the deoxycorticosteroneacetate (DOCA) salt model. After this treatment, levels of DNA strand breaks and chromosomal aberrations in the kidney could be observed. Furthermore, an increase in the release of ROS could be measured. Treatment of these animals with spironolactone , BR-4628 and enalaprile revealed that all antagonists were effective BR-4628 was the most potent drug. Finally, rosuvastatin was investigated. In HL-60 cells phorbol 12-myristate 13-acetate caused oxidative stress. Rosuvastatin was able to prevent the release of ROS and subsequent oxidative DNA damage when co-incubated with PMA. Furthermore, not only an inhibition of PMA-induced oxidative stress but also inhibition of the unspecific release of ROS induced by hydrogen peroxide was observable. Addition of farnesyl pyrophosphate (FPP), geranylgeranyl pyrophosphate (GGPP), and mevalonate, intermediates of the cholesterol pathway, caused only a marginal increase of oxidative stress in cells treated simultaneously with PMA and rosuvastatin, thus indicating the effect of rosuvastatin to be HMG-CoA-reductase-independent. Investigation of the gene expression of subunits of NAD(P)H oxidase revealed a down-regulation of p67phox following rosuvastatin-treatment. Furthermore, it could be shown that rosuvastatin treatment alone or in combination with PMA increased total glutathione levels probably due to an induction of the gene expression and enzyme activity of γ-glutamylcysteine synthetase (γ-GCS). / Im Zuge dieser Studie wurden sowohl endogene Substanzen als auch Modellsubstanzen eingesetzt, um die pathologischen Verhältnisse in Patienten, die an Bluthochdruck leiden, zu imitieren. Als endogene Substanzen wurden Angiotensin II und Aldosteron ausgewählt. Als Modellsubstanzen wurden 4-Nitrochinolin-1-oxid (NQO), Wasserstoffperoxid und Phorbol-12-myristat-13-gewählt. Der erste Teil dieser Arbeit beschäftigt sich mit zwei Vitaminen, nämlich Benfotiamin und α-Tocopherol. Sowohl Benfotiamin als auch α-Tocopherol zeigten im Laufe der Experimente, dass sie in der Lage sind, durch Angiotensin II verursachte DNA-Strangbrüche und chromosomale Aberrationen zu verhindern. Dies ist möglicherweise auf eine ebenfalls beobachtbare vorausgegangene Inhibition der Freisetzung reaktiver Sauerstoffspezies zurückzuführen. Zusammenfassend konnte ein neuer Wirkmechanismus für Benfotiamin vorgestellt werden. Im zweiten Teil dieser Studie konnte nachgewiesen werden, dass Angiotensin II eine dosisabhängige Gentoxizität verursacht. Dieser Effekt wird durch den Angiotensin II-Rezeptor Typ 1 vermittelt. Im weiteren Verlauf der Studie wurden die in vitro Experimente auf das Modell der isolierten perfundierten Mäuseniere ausgeweitet. Hier konnte gezeigt werden, dass Angiotensin II Vasokonstriktion und DNA-Strangbrüche verursacht. Co-Perfusion der Nieren mit Angiotensin II und Candesartan verhinderte hingegen die Vasokonstriktion und die Bildung von DNA-Strangbrüchen. Die Verursachung von Strangbrüchen durch mechanischen Stress oder Hypoxie konnte ausgeschlossen werden. Die Untersuchung der ex vivo beobachteten DNA-Schäden in vitro ließ erkennen, dass Angiotensin II Einzelstrangbrüche, Doppelstrangbrüche, die Bildung des DNA-Addukts 8-OxodG und abasische Stellen induziert. Ein Reparatur-Comet Assay, parallel durchgeführt mit der Messung des phosphorylierten Histons 2AX (γ-H2AX) über 24 h, zeigte eine vollständige Reparatur der Einzelstrangbrüche, wohingegen die Zahl der Doppelstrangbrüche in diesem Zeitraum sogar zunahm. Untersuchungen der Effekte, die eine Aldosteron-Behandlung auf Nierenzellen hat, zeigten einen Anstieg des oxidativen Stress, der DNA Strangbrüche und der Mikrokerne. Diese Effekte konnten durch Eplerenon verhindert werden. Weitere Experimente mit dem nicht-steroidalen Mineralocorticoid Rezeptor-Antagonisten (S)-BR-4628 zeigten, dass auch diese Substanz oxidativen Stress und DNA Schäden verhindern konnte, im Gegensatz hierzu hatte das (R)-Isomer, das keine Aktivität am Mineralocorticoid Rezeptor zeigt, keine präventiven Effekte. In vivo wurde der Hyperaldosteronismus mit Hilfe des Deoxycorticosteronacetat- (DOCA) Salzmodells nachgeahmt. Unter dieser Behandlung konnten Level an DNA-Strangbrüchen und chromosomalen Aberrationen beobachtet werden. Des Weiteren konnten in den DOCA-Tieren erhöhte Level an oxidativem Stress gemessen werden. Wurden die Versuchstiere zusätzlich zur DOCA-Behandlung mit Spironolacton, BR-4628 und dem Enalapril behandelt, konnte gezeigt werden, dass BR-4628 potenter war als Spironolacton Enalapril. Zuletzt wurde mit Rosuvastatin eine Substanz untersucht, die die antioxidative Abwehr der Zellen aktivieren kann. In der humanen Leukämie-Zelllinie HL-60 verursachte Phorbol-12-myristat-13-acetat (PMA) oxidativen Stress. Rosuvastatin war in der Lage, die Freisetzung von ROS und daraus resultierende DNA-Strangbrüche bei Co-Inkubation mit PMA zu verhindern. Außerdem konnte gezeigt werden, dass Rosuvastatin nicht nur PMA-induzierten oxidativen Stress, sondern auch die unspezifische Wasserstoffperoxid-induzierte Freisetzung von ROS verhinderte. Die Untersuchung der Genexpression von Untereinheiten der NAD(P)H Oxidase ergab, dass p67phox nach Rosuvastatin-Behandlung herabreguliert wurde. Behandlung mit Rosuvastatin allein oder zusammen mit PMA konnte außerdem die Glutathion-Spiegel erhöhen. Dies ist vermutlich auf die Induktion der Genexpression und der Enzymaktivität der γ-Glutamylcystein-Synthetase (γ-GCS), des Schrittmacherenzyms des Glutathionsystems, zurückzuführen.

The increasing use of antibiotics has led to a huge problem for society, as some bacteria have developed resistance towards many of the antibiotics currently available. To help find solutions to this problem we studied small molecules that inhibit bacterial virulence, the ability to cause disease. The type III secretion system (T3SS) is a conserved virulence system found in several gram-negative bacteria, including human and plants pathogens, such as Yersinia spp., Pseudomonas aeruginosa, Chlamydia spp., Salmonella spp., Shigella spp, enteropathogenic Escherichia coli (EPEC), enterohemorrhagic Escherichia coli (EHEC), and Erwinia spp. One class of virulence-blocking compounds is the salicylidene acylhydrazides. They were first identified in a screen towards the T3SS in Yersinia pseudotuberculosis and have since been shown to block the T3SS in a panel of gram-negative bacteria such as Chlamydia spp. Salmonella enterica, Shigella flexneri and EPEC. We designed and synthesized a library of 58 salicylidene acylhydrazides and evaluated their activity as virulence-blocking compounds in Y. pseudotuberculosis followed by calculations of quantitative structure activity relationships (QSARs). Four QSAR models were calculated, and when used in consensus they correctly classified between five out of eight compounds for Y. pseudotuberculosis as active or inactive and six out of eight compounds for C. trachomatis. Since the target and mode of action of the salicylidene acylhydrazides were unknown, we used solution and solid phase synthesis to synthesize three different affinity reagents. One of these affinity reagents was used in affinity chromatography experiments, where 19 putative target proteins from an E. coli O157 bacterial lysate were identified. We studied four of the proteins, Tpx, WrbA, FolX, and AdhE, in more detail in Y. pseudotuberculosis and E. coli O157. We believe that the salicylidene acylhydrazides act on multiple targets that together result in down-regulation of T3SS functions. A knockout of AdhE in E. coli O157 showed a similar phenotype as salicylidene acylhydrazide treated E. coli, suggesting that this protein may be particularly interesting as a drug target. Many of the antibiotics used today originate form natural sources. In contrast, most virulence-blocking compounds towards the T3SS are small synthetic organic molecules. Therefore, a prefractionated natural product library with marine and terrestrial biota samples was screened towards the T3SS in Y. pseudotuberculosis. Neohopeaphenol A was identified as a hit and shown to have micromolar activity towards Y. pseudotuberculosis and P. aeruginosa in cell-based infection models. / Det ökande användandet av antibiotika har lett till stora problem för samhället. Många bakterier har utvecklat resistens mot de antibiotika som finns tillgängliga. För att försöka hitta en möjlig lösning på detta problem, arbetar vi med en strategi där vi med hjälp av små organiska molekyler inhiberar bakteriernas virulenssystem, deras förmåga att orsaka sjukdom. Traditionella antibiotika är antingen, bakteriocida, avdödande eller bakteriostatiska, tillväxthämmande. Bakteriernas enda sätt för att överleva antibiotikabehandlingen är att utveckla resistens. Forskarvärlden tror att molekyler som inhiberar bakteriernas virulenssystem, leder till ett minskat tryck att utveckla resistens mot dessa molekyler, eftersom de inte dödar eller hämmar bakterietillväxten, utan bara avväpnar bakterierna. Typ III sekretionssystemet är ett virulenssystem som finns i många gram-negativa bakterier, t.ex., Yersinia spp., Pseudomonas aeruginosa, Chlamydia spp., Salmonella spp., Shigella spp, enteropatogena Escherichia coli (EPEC) och Erwinia spp. Salicylidenacylhydraziderna är en substansklass virulensblockare som inhiberar typ III sekretionssystemet i de ovan nämnda bakterierna. I denna avhandling har vi designat och syntetiserat ett bibliotek med 58 salicylidenacylhydrazider och utvärderat deras biologiska aktivitet som virulensblockare i Y. pseudotuberculosis. Vi relaterade den biologiska aktiviteten till de kemiska egenskaperna hos salicylidenacylhydraziderna i kvantitativa strukturaktivitetssamband. Med hjälp av dessa samband kunde vi prediktera och validera aktiviteten till aktiv eller inaktiv för fem av åtta nya salicylidenacylhydrazider i Y. pseudotuberculosis och sex av åtta i C. trachomatis. Eftersom verkningsmekanismen för salicylidenacylhydraziderna var okänd, så syntetiserade vi tre olika affinitetsmolekyler med kombinerad lösnings- och fastfas-syntes. En av affinitetsmolekylerna användes sedan för att ”fiska ut” och identifiera 19 potentiella målproteiner i ett bakterielysat från E. coli. Fyra av dessa proteiner, TpX, WrbA, FolX och AdhE har vi studerat vidare i Y. pseudotuberculosis och E. coli. Utifrån resultaten tror vi att salicylidenacylhydraziderna interagerar med flera proteiner som tillsammans resulterar i en nedreglering av type III sekretionssystemen. Vår samarbetspartner, Andrew Roe och hans forskargrupp (Universitetet i Glasgow), har studerat AdhE i E. coli.  De har visat att E. coli som saknar genen för proteinet AdhE, har samma fenotyp som E. coli behandlad med salicylidenacylhydraziderna, d.v.s. ett nedreglerat T3SS, vilket gör AdhE till ett speciellt intressant målprotein. I jämförelse med många av våra nuvarande antibiotika som har ett naturligt ursprung så är de flesta studerade virulensblockare små syntetiska organiska molekyler. Därför testades en stor kollektion av naturprodukter från marina och landlevande växter och invertebrater från Sydostasien, för att hitta nya inhibitorer mot typ III sekretionssystemet i Y. pseudotuberculosis. Neohopeaphenol A som kommer från barken på Hopea hainanensis, ett träd som växer i sydostasiens regnskogar, identifierades som en ny virulensblockare. Neohopeaphenol A visade sig vara en potent virulensblockare i in vitro infektionsförsök med Y. psudotuberkulosis eller Pseudomonas aeruginosa. Forskningen i denna avhandling visar att virulensblockare kan hjälpa oss att förstå hur bakterier orsakar sjukdom. Förhoppningsvis kan det i framtiden leda till nya typer av läkemedel mot infektionssjukdomar.

Made available in DSpace on 2014-06-11T19:22:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-02-18Bitstream added on 2014-06-13T20:08:35Z : No. of bitstreams: 1 freitas_scl_me_ilha.pdf: 1038067 bytes, checksum: de418f750a6f2441df99083abd72c137 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O acelerado desenvolvimento da eletrônica de potência vem desencadeando uma série de transformações no sistema elétrico, sendo possível destacar a constante alteração da natureza das cargas consumidoras, a proliferação da co-geração e o peso crescente de questões ambientais relacionadas à questão da geração. Grande parte das cargas atuais é composta por dispositivos não-lineares que, por muitas vezes, são a causa de problemas relacionados à qualidade da energia elétrica. Considerando a variedade da distribuição sequencial das harmônicas de corrente na utilização dos filtros passivos, destacam-se os filtros e bloqueadores eletromagnéticos, os quais têm merecido especial atenção devido à sua robustez e baixo custo de implantação. Este trabalho está particularmente direcionado à investigações relacionadas ao uso desses dispositivos que possibilitam uma atenuação do fluxo das principais componentes harmônicas que compõe as distorções harmônicas de sequência zero. Neste contexto, esta dissertação apresenta contribuições inéditas relacionadas com o desenvolvimento de modelos matemáticos no domínio da frequência para bloqueadores eletromagnéticos, e um estudo de modelos matemáticos para filtros eletromagnéticos, compondo então, o aqui denominado supressor eletromagnético de componentes de sequência zero. Apresenta-se ainda, a utilização de metodologias para análise de desempenho baseado no comportamento das componentes harmônicas sequenciais. É estabelecida uma base comparativa de natureza experimental que possibilita a avaliação do desempenho e da aderência do modelo proposto. São utilizados protótipos de baixa potência de um filtro e um bloqueador, ambos eletromagnéticos, construídos a partir de análises teóricas. Os modelos desenvolvidos são utilizados na composição de um aplicativo computacional para análise... / The accelerated development of power electronics has promoted a series of changes in the electrical system, so it is possible to highlight the constant changing of consumer loads, the proliferation of co-generation and the growing importance of environmental issues related to generation. Much of the current loads are composed of non-linear devices which, in many cases are the cause of problems related to power quality. Considering the sequential distribution variety of harmonic currents in the use of passive filters, highlight the electromagnetic filters and blockers, which have received special attention due to its robustness and low cost of deployment. This work is particularly directed to investigations related to the use of these devices which enable an attenuation of the flow of the principal harmonic components that compound the zero-sequence harmonic distortion. In this context, this work presents unedited contributions related to the development of mathematical models in the frequency domain for electromagnetic blocking, and a study of mathematical models of electromagnetic filters, making then, the here called electromagnetic zero-sequence components suppressor. It presents also, the use of methodologies for performance analysis based on the sequential behavior of harmonic components. It is established a comparison basis of experimental nature that enables the performance and adherence analysis of the model. Are used a low-power prototypes of a filter and a blocker, both electromagnetic, constructed from theoretical analysis. These models are used in the composition of a software for performance analysis and optimal project of harmonic filtering systems. This tool allows an individualized and systematic investigation of the electrical system behavior for distinct harmonic sequence components. Thus, through a detailed investigation it is possible to identify appropriated actions... (Complete abstract click electronic access below)