Em nosso laboratório foi demonstrado que ratos submetidos à restrição crônica de sal na dieta apresentaram maior peso corpóreo (PC), menor sensibilidade à insulina e alterações pressóricas em comparação com ratos submetidos à sobrecarga crônica de sal na dieta. No presente estudo, o objetivo foi avaliar alguns mecanismos de obesidade e alterações hormonais associados à dieta hipossódica. Foram utilizados ratos Wistar machos submetidos à dieta hipo (HO: 0,15% NaCl), normo (NO: 1,27% NaCl) ou hipersódica (HR: 7,94% NaCl) desde o desmame até 12 semanas de idade. Nestes animais foram realizadas medidas de pressão arterial (PA), freqüência cardíaca (FC), consumo de ração, PC, perfil dos hormônios [leptina (LEP), GH, insulina (INSh - anticorpo anti-insulina humana), T3, T4 e TSH] e decaimento da 125I-insulina (DEC-INS). O consumo de ração foi avaliado durante sete dias consecutivos com um (1G) ou quatro (4G) ratos por gaiola de plástico e com um rato por gaiola metabólica (1GM). O PC também foi medido neste período. Glicemia (GLI) e insulinemia (INSr - anticorpo anti-insulina de rato) basais foram quantificadas antes da realização do estudo do DEC-INS. Para avaliar o DEC-INS, foi injetado 1mCi de 125I-insulina humana pelo cateter implantado na veia jugular, após 6 a 8 horas de jejum fisiológico. As amostras de sangue foram coletadas pelo cateter implantado na carótida a cada 30 segundos durante 2 minutos e depois a cada 1 minuto até 10 minutos de experimento. Os resultados obtidos demonstraram que ratos submetidos à dieta HR apresentaram maior PA em comparação a ratos em dieta NO e HO. Os ratos submetidos à dieta HO apresentaram menor FC cardíaca em relação ao grupo NO. A avaliação de ingestão alimentar revelou que ratos em dieta HR consumiram maiores quantidades de ração (1G e 4G) em comparação com ratos em dieta NO e HO. O grupo HO apresentou maior PC em comparação com os grupos de ratos NO e HR. Os ratos em dieta HR ou HO apresentaram níveis diminuídos de LEP em comparação com ratos submetidos à dieta NO. Os ratos que receberam dieta HO apresentaram níveis elevados de INSr em comparação com ratos em dieta HR e NO. Os ratos em dieta HR apresentaram níveis elevados de T4 total e níveis reduzidos de TSH em comparação com animais em dieta NO e HO. INSr e GLI basais foram maiores nos ratos em dieta HO do que nos ratos que receberam dieta HR e NO. O DEC-INS (decaimento exponencial) foi mais rápido no grupo HR demonstrado por meio de menor meia-vida da 125I-insulina. Os resultados sugerem que maior PC nos ratos sob restrição salina crônica é devido a maior eficiência metabólica (maior PC e menor consumo de dieta) que pode estar relacionada com alterações hormonais e com a dieta HO. Palavras-chave: Pressão arterial, sal, sódio, ingestão alimentar e perfil hormonal. / Previous studies from our laboratory have shown that chronic salt restriction decreases blood pressure, increases insulin resistance, and body weight (BW) in Wistar rats. The aim of this study was to evaluate some mechanisms of obesity and hormonal alterations associated with chronic salt restriction. Male Wistar rats were fed a low (LSD: 0,15% NaCl), normal (NSD: 1,27% NaCl), or high salt diet (HSD: 7,94% NaCl) from weaning. At the 12th week of age, tail-cuff blood pressure (TCBP), intra arterial blood pressure (BP), heart rate ((HR), food intake, BW, hormonal levels [leptin (LEP), growth hormone (GH), insulin (INSh - antibody anti-human insulin), T3, T4 and TSH] and 125I insulin decay study (DECAY-INS) were measured. To evaluate the food intake and body weight, each dietary group was divided in 3 subgroups, according to housing conditions: one (1C) or four (4C) rats per cage and one rat per metabolic cage (1MC) for daily food consumption and BW determinations during 7 days. Fasting plasma glucose (GLU) and insulin (INSr - antibody anti-rat insulin) were measured before the DECAY-INS. To evaluate the DECAY-INS, 1mCi human 125I-insulin was injected through the jugular catheter after 6-8 hours of food restriction. Blood samples were withdrawn through the carotid catheter every 30 sec during 2min, and in sequence, every 1 min for additional 10 minutes. 125Iinsulin was determined by RIA for human insulin. Rats on HSD had higher intra arterial BP and TCBP compared to rats on NSD and LSD. Heart rate was lower on LSD than on NSD. In all housing conditions, BW was higher on LSD than on NSD and HSD. Food intake was higher on HSD (1C and 4C) than on NSD and LSD. Plasma GH and LEP were higher on NSD than on the 68 other two groups. Plasma INSh was higher in LSD compared to HSD and NSD rats. Plasma total T4 was higher on HSD than on the NSD and LSD, TSH was lower on HSD than on NSD and HSD, and T3 was not different among all groups. Fasting GLU and INSr were higher on LSD compared to HSD and NSD rats. The exponential insulin decay was faster on HSD demonstrated by a lower 125I-INS half-life. These results suggest that obesity in rats on chronic LSD is due to a higher metabolic efficiency (higher body weight and lower diet consumption), that may be related to the hormonal consequences of LSD. Key Words: blood pressure, salt, sodium, food intake and hormonal profile.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2018-02-19T18:29:22Z No. of bitstreams: 2 Dissertação - Edmêe Aparecida Fleury Curado - 2017.pdf: 2300652 bytes, checksum: ae7a412a9c9e2fff2ee8706032b1b995 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-02-20T11:03:42Z (GMT) No. of bitstreams: 2 Dissertação - Edmêe Aparecida Fleury Curado - 2017.pdf: 2300652 bytes, checksum: ae7a412a9c9e2fff2ee8706032b1b995 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-02-20T11:03:42Z (GMT). No. of bitstreams: 2 Dissertação - Edmêe Aparecida Fleury Curado - 2017.pdf: 2300652 bytes, checksum: ae7a412a9c9e2fff2ee8706032b1b995 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-10-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Due to the current trade and technology used in equine breeding, there is a search for effective reproductive methods, seeking to optimize the resources provided by the animal and the environment. Hormonal mare characteristics already known and used with a positive reproductive effect, such as the use of equine pituitary extract (EPE) to induce ovulation, may be better employed if we eliminate the heterogenicity of the samples at the moment of collection. This experiment was conducted with the objective of inducing estrus and ovulation in mares at the end of the mating season, with the use of EPE collected separately at different times of the year - summer and winter. The protocols were 14 cross bred mares, of which 7 were submitted to treatment with EPE collected in the summer and the others with EPE collected in the winter. All of these animals were initially treated as a control group, that is, being monitored daily for ovarian, uterine and behavioral changes from the start of the breending season. From the beginning of March 2017 (03/03/2017), these animals were randomly assigned to one of the treatments, which consisted of an intramuscular application of 125 IU EPE every 12 hours, until one or more more follicles with 34/35 mm, when each one received a single intravenous EPE application containing 500 IU to induce ovulation. The only difference between the groups was the EPE collection season. The results obtained in this experiment allowed to conclude that the reduction of the light incidence after the summer solstice reduces the diameter of the ovulatory follicle. In addition, EPE-summer was more effective when used with the objective of maintaining follicular growth in mares during the end of the breeding season, resulting in larger ovulatory follicles. / Devido ao atual comércio e tecnologia empregada na criação de equinos, existe procura por métodos reprodutivos efetivos, buscando a otimização dos recursos proporcionados pelo animal e pelo ambiente. Caracteristicas hormonais da égua já conhecidas e usadas com efeito reprodutivo positivo, como o uso do extrato de pituitária equina (EPE) para induzir ovulação, pode ser melhor empregado se eliminarmos a heterogenicidade das amostras no momento da coleta. Este experimento foi conduzido com o objetivo de induzir o estro e a ovulação em éguas no final da estação de monta, com o uso de EPE coletado separadamente em diferentes épocas do ano - verão e inverno. Foram submetidas aos protocolos, 14 éguas sem raça definida, sendo 7 delas submetidas ao tratamento com EPE coletado no verão e as outras com EPE coletado no inverno. Todos estes animais foram inicialmente tratados como grupo controle, isto é, sendo monitoradas diariamente quanto as modificações ovarianas, uterinas e comportamentais, desde o início da Estação de Monta. A partir do início de março de 2017 (03/03/2017), estes animais foram randomicamente dividos para um dos tratamentos, que consistiram em uma aplicação por via intramuscular de 125 UI de EPE a cada 12 horas, até a verificação de um ou mais folículos com 34/35 mm, quando então cada uma recebia uma única aplicação de EPE via endovenosa contendo 500 UI, para induzir a ovulação, sendo a única diferença entre os grupos a época de coleta do EPE. Os resultados obtidos neste experimento permitiram concluir que a redução da incidência luminosa após o solstício de verão reduz o diâmetro do folículo ovulatório. Além de que o EPE-verão foi mais eficaz quando utilizado com o objetivo de manter o crescimento folicular em éguas durante o final da estação reprodutiva, resultando em folículos ovulatórios maiores.

A perimenopausa é caracterizada como o período de transição da vida reprodutiva para a não reprodutiva em mulheres, e inicia-se com o aparecimento dos sintomas clínicos, prolongandose até um ano após a última menstruação. Esta fase é caracterizada pela ocorrência de ciclos menstruais irregulares, alterações na produção hormonal, bem como por mudanças comportamentais, neuroendócrinas e metabólicas, sendo o período de maior vulnerabilidade a desordens afetivas quando comparado às outras fases da vida. Apesar dos diversos estudos desenvolvidos acerca das manifestações destes sintomas durante a perimenopausa, ainda pouco se sabe a respeito das modificações na atividade do eixo hipotálamo-hipófise-adrenal (HPA) e da resposta ao estresse. O reagente químico diepóxido de 4-vinilciclohexeno (VCD) acelera o processo natural de atresia folicular, possibilitando estudos desta fase da vida reprodutiva. Assim sendo, sua aplicação em roedores constitui um excelente modelo experimental capaz de simular em animais o que ocorre durante a perimenopausa. Assim, os objetivos deste trabalho foram avaliar, neste modelo animal de perimenopausa: 1) as respostas endócrinas (corticosterona e progesterona) e neuroniais (atividade das subdivisões parvocelulares medial e posterior - PaMP e PaPo do núcleo paraventricular do hipotálamo (PVN) e do locus coeruleus - LC) ao estresse de contenção e 2) a influência da terapia hormonal sobre estas respostas. Para tanto, ratas Wistar receberam injeções subcutâneas de Óleo ou VCD por 15 dias consecutivos, a partir do 28° dia de vida. Ao redor do 56º ao 66º dia do início da administração de Óleo ou VCD, as ratas dos grupos a serem estressados receberam implantes subcutâneos de um pellet contendo placebo (PL), estradiol (E2), progesterona (P4) ou estradiol+progesterona (E2P4). O estresse de contenção foi aplicado por 30 minutos entre 09:00h e 10:00h na fase do diestro, ou 20 dias após o início da terapia hormonal (grupos VCD+E2, VCD+P4 e VCD+E2P4), de 75 a 85 dias após o início da administração de VCD/Óleo. O sangue foi coletado imediatamente (0min) e 60min após o final do estresse, quando os animais foram anestesiados e perfundidos para obtenção do tecido cerebral e posterior estudo imunohistoquímico das áreas de interesse. As concentrações basais de corticosterona foram semelhantes entre os grupos Óleo e VCD não estressadas. Contudo, asecreção de corticosterona em resposta ao estresse das ratas em periestropausa foi 72% menor que a do grupo controle. As concentrações basais de progesterona das ratas em periestropausa foram menores do que aquelas das ratas controles, mas o aumento da secreção deste hormônio induzido pelo estresse agudo por contenção não foi diferente entre os grupos. Centralmente, nas subdivisões PaMP e PaPo do PVN, assim como no LC, o número de neurônios c-Fos positivos expressos não foi diferente entre ratas VCD e óleo e o estresse aumentou de maneira semelhante o número de neurônios ativados em ambos os grupos. A secreção de corticosterona de animais em periestropausa tratados com estradiol, associado ou não à progesterona, foi ainda mais atenuada. Por outro lado, nas ratas tratadas com progesterona, as concentrações de corticosterona após o estresse mostraram-se mais elevadas que as do grupo VCD estressado sem tratamento hormonal. Todos os grupos tratados com hormônios aumentaram a secreção de progesterona em resposta ao estresse, no entanto esta resposta foi amplificada pelo estradiol. Nenhum dos tratamentos hormonais modificou a atividade neuronial após o estresse na PaMP, embora todos tenham atenuado esta resposta na PaPo. No LC, todos os tratamentos bloquearam o aumento de atividade neuronial induzida pelo estresse. Uma hora após o final do estresse, as concentrações de corticosterona e progesterona retornaram aos níveis basais observados nas ratas não estressadas. No entanto, nos grupos tratados com estradiol, os níveis de progesterona não retornaram aos basais, sendo estes níveis significantemente maiores após o fim do estímulo. Em conjunto, nossos resultados demonstram que na periestropausa, embora a secreção de progesterona em resposta ao estresse esteja preservada, a capacidade da adrenal em secretar corticosterona está reduzida. Esta redução parece não estar associada à deficiência central no funcionamento do eixo HPA (PVN) ou do sistema simpático central (LC), mas sim, a disfunções na esteroidogênese adrenal, que foram parcialmente corrigidas pela progesterona exógena. A diminuição da atividade neuronial do LC pelos esteróides ovarianos sugere uma possível atenuação do tônus simpático por estes hormônios. Ainda, a capacidade de recuperação pós-estresse da secreção de corticosterona e de progesterona se mostrou preservada neste modelo experimental. / Perimenopause is characterized as the period of transition from reproductive to nonreproductive life in women, and begins with the onset of clinical symptoms, lasting up to one year after the last menstrual period. This phase is characterized by irregular menstrual cycles, alterations in hormonal production, as well as by behavioral, neuroendocrine and metabolic changes, and increased vulnerability to affective disorders when compared to other phases of life. Despite the various studies on the manifestations of these symptoms during perimenopause, little is known about the changes in hypothalamic-pituitary-adrenal (HPA) axis activity and the response to stress. The chemical reagent diepoxide 4-vinylcyclohexene (VCD) accelerates the natural process of follicular atresia, enabling studies of this phase of reproductive life. Therefore, its application in rodents constitutes an excellent experimental model capable of simulating in animals what occurs during perimenopause. Thus, the objective of this study was to evaluate, in an animal model of perimenopause: 1) the endocrine responses (corticosterone and progesterone) as well as the neuronal response (parvocellular subdivisions of PVN, medial- PaMP) and posterior-PaPO and locus coeruleus - LC) to restraint stress and 2) the influence of hormonal therapy on these responses. Female Wistar rats received subcutaneous injections of Oil or VCD for 15 consecutive days, from the 28th day of life. Around the 56th to 66th day of the onset of Oil or VCD administration, the rats of the groups to be stressed received subcutaneous implants of a pellet containing placebo (PL), estradiol (E2), progesterone (P4) or estradiol + progesterone (E2P4 ). Restraint stress was applied for 30 minutes between 09:00 and 10:00 in the diestrus phase, or 20 days after the onset of hormonal therapy (VCD + E2, VCD + P4 and VCD + E2P4 groups), from 75 to 85 days after starting VCD / Oil administration. The blood was collected immediately (0min) and 60min after the end of stress, when the animals were anesthetized and perfused to take the brain for immunohistochemistry of PVN and LC. Basal corticosterone concentrations were similar between the non-stressed Oil and VCD groups. However, corticosterone secretion in response to stress was 72% lower than that of the control group. The basal progesterone concentrations of periestropausal rats were lower than those of the control rats, but the increase in the secretion of this hormone induced by stress was not different between thegroups. Centrally, in the PaMP and PaPO subdivisions of PVN as well as LC, the number of c-Fos positive neurons expressed was not different between VCD and Oil rats and the stress increased similarly the number of activated neurons in both groups. Corticosterone secretion from estradiol-treated periestropause rats, associated or not with progesterone, was further attenuated. On the other hand, in rats treated with progesterone, post-stress corticosterone concentrations were higher than those in the stressed VCD group without hormonal treatment. All groups treated with hormones increased progesterone secretion in response to stress, however this response was amplified by estradiol. None of the hormone treatments modified neuronal activity after stress in PaMP, although all hormone treatment attenuated this response in PaPo. In the LC, all treatments blocked the increase of neuronal activity induced by stress. One hour after the end of stress, corticosterone and progesterone concentrations returned to the baseline levels observed in the non-stressed rats. However, in the estradioltreated groups, progesterone levels did not return to the basal levels, these levels being significantly higher after the end of the stimulus. Taken together, our results demonstrate that in periestropause, although progesterone secretion in response to stress is preserved, the ability of the adrenal to secrete corticosterone is reduced. This reduction appears not to be associated with a central deficiency in HPA axis (PVN) or central sympathetic (LC) function, but rather to dysfunctions in adrenal steroidogenesis, which have been partially corrected by exogenous progesterone. The reduction of neuronal LC activity by ovarian steroids suggests a possible attenuation of sympathetic tone by these hormones. Furthermore, the post-stress recovery capacity of corticosterone and progesterone secretion seems to be preserved in this experimental model.

Objetivo: Estimar a utilização de recursos e custos diretos relacionados à terapia endócrina (TE) versus quimioterapia (QT) no tratamento de câncer de mama avançado (CMA) receptores hormonais positivos (RH+) em pacientes pós menopáusicas,depois de pelo menos uma TE anterior. Métodos: Estudo longitudinal retrospectivo analisou pacientes pós menopáusicas com CMA em tratamento com fulvestranto ou QT entre 2006 e 2008, em um serviço público de oncologia ambulatorial. Apenas pacientes sem crise visceral e com pelo menos uma terapia anterior hormonal foram considerados elegíveis. Os prontuários foram revisados e as informações sobre diagnóstico, tratamento, e utilização de recursos foram obtidas. Resultados: As pacientes eram do sexo feminino e a idade média foi de 64,6 ± 12,6 anos. As pacientes estavam bem balanceados entre os grupos, considerando as características basais. Vinte e cinco pacientes foram incluídas no estudo, 13 pacientes receberam QT e 12 pacientes receberam fulvestranto. O esquema de QT mais usado foi o regime com paclitaxel (n = 5, 38%). O número médio de ciclos foi de 7,6 e 5,8 para fulvestranto e QT, respectivamente. O custo médio de tratamento por paciente foi de R$ 16.679 (USD11,914, 2005 índice de paridade de poder de compra 1USD = 1,4BRL) para fulvestranto e BRL 32946 (USD 23, 533) para QT. O custo médio por ciclo foi de R$ 2,199 (US$ 1,571) e BRL 5,710 (USD 4,079) para fulvestranto e QT, respectivamente, resultando em BRL 3,511(USD 2,508) de custo incremental por ciclo. Conclusões: Nossos resultados indicam que TE com fulvestranto pode ser economicamente adequada em pacientes com CMA RH + que falharam a pelo menos uma linha anterior de TE. Futuras pesquisas são necessárias para validar estes resultados em outros contextos, mas consideramos que as nossas estimativas refletem o mundo real da prática clínica no Brasil / OBJECTIVES: To estimate the resource utilization and costs related to endocrine therapy (ET) versus chemotherapy (CT) in the treatment of hormonal receptor positive (HR+), advanced breast cancer (ABC) patients, after at least one previous ET. METHODS: This retrospective longitudinal study analyzed ABC patients treatment with fulvestrant or CT between 2006 and 2008 in a public oncology outpatient service. Only patients without visceral crisis and with at least one previous hormonal therapy were considered eligible. Medical charts were reviewed by two investigators and information about diagnosis, course of treatment, and resource utilization was obtained. RESULTS: Patients were all female and the mean age was 64,6 ± 12,6 years. Patients were well matched between groups considering baseline characteristics. Twenty-five patients were enrolled in the study, 13 patients received CT and 12 patients received fulvestrant. The most common CT regimen was paclitaxel (n = 5, 38%). The mean number of cycles was 7,6 and 5,8 for fulvestrant and CT, respectively. The mean treatment cost per patient was BRL 16,679 (USD 11,914; 2005 purchasing power parity index 1USD = 1.4BRL) for fulvestrant and BRL 32,946 (USD 23,533) for CT. The mean cost per cycle was BRL 2,199 (USD 1,571) and BRL 5,710 (USD 4,079) for fulvestrant and CT, respectively, resulting in BRL 3,511 (USD 2,508) incremental cost per cycle. CONCLUSIONS: Our study results indicate that subsequent ET with fulvestrant can be economically appropriate among HR+ ABC patients. Further researches could validate these findings in other contexts, but we consider that our estimations reflect the real world clinical practice in Brazil

Contraception through a vaccine has been a very attractive proposition and several attempts were made in the past. To achieve contraception through immunological means, several points need to be considered. First, the targeted antigen should be an important component of reproduction and interference in its actions should lead to infertility. Second, the antigen must be highly immunogenic and the antibodies elicited should be able to block the functions of the antigen. Third, the antibody titres should be effective and must sustain for longer periods. Gonadotropins fulfill all the above criteria and therefore, have been attractive targets for developing human contraceptive vaccines. The pituitary gonadotropins- Luteinizing hormone (LH) and the Follicle stimulating hormone (FSH) are the principal regulators of the reproduction process in all the mammalian species (McLachlan et al., 1995c; Moudgal et al., 1992b; Murty et al., 1979a; Selvaraj and Moudgal, 1994a; Weinbauer et al., 1991). In males, LH binds to its specific receptor-LHR, expressed on the Leydig cells and regulates the production of testosterone. This testosterone binds to the androgen receptors expressed in the Sertoli cells and along with FSH, which binds to the specific receptors present on the Sertoli cell membranes, regulate the testicular functions and the spermatogenesis (Simoni et al., 1997; Themmen and Huhtaniemi, 2000; Ulloa-Aguirre and Timossi, 1998). The well documented studies have unequivocally established that the specific immunoneutralization of either hormone by active or passive immunization, leads to disruption of the gonadal functions (Fraser et al., 1986a; Marathe et al., 1995; Moudgal et al., 1992b; Murty et al., 1979b; Shetty et al., 1996; Srinath et al., 1983b) and consequent infertility and this observation formed the basis of the human contraceptive vaccines (Moudgal et al., 1997b; Talwar et al., 2011a; Talwar et al., 2009a). Several studies using testosterone as the main male hormonal contraception method (Matsumoto et al., 1986; Matsumoto et al., 1983a) and anti-hCG vaccine as the female hormonal contraceptive vaccine reached Phase I and II clinical trials (Talwar, 1997; Talwar et al., 1994; Talwar et al., 1997) . However, these human contraceptive vaccines faced several limitations. There was a need to inhibit only particular segments of the entire reproduction process whereas others needed to remain completely unaffected. For example, in males, the FSH regulated functions, the sperm production and spermatogenesis needed to be inhibited whereas the LH/testosterone associated functions should be unaffected. Similarly in females, the functions of hCG alone, elaborated by the conceptus should be blocked without affecting either LH or FSH regulated functions, thus, maintaining the normal reproductive cycle. This however is a difficult task especially when the antigens share a large degree of homology and common subunits (Pierce and Parsons, 1981). Moreover, the issues relating to the development and sustenance of high titres of the bioneutralizing antibodies were major limitations of these human contraceptive vaccines. Therefore, despite reaching Phase I and II clinical trials, these studies did not progress further. However, the same concept of an immunocontraceptive vaccine involving the neutralization of the functions of the gonadotropins is an extremely attractive strategy for controlling the animal populations where the reproduction process could be inhibited in its entirety. The overgrowing populations of the stray animals such as dogs and cats pose problems unlike those experienced with the human overpopulation. Thus, there is an immediate need to develop the methods of controlling the populations of these animals both in the developed and the developing countries. Whereas, in countries like the US, the major emphasis is on the domestic animals, in countries like India, the populations of the stray animals need to be controlled. The current methods employed for reducing the numbers of these animals include either castration or culling of the animals. These methods are however, traumatic, unsafe and not widely accepted by the society. The animal contraceptive vaccines currently available are mostly GnRH vaccines which have high cost of production, are not safe for animal use and elicit unwanted side effects. Apart from these, the animals need multiple administrations of these vaccines to elicit high and effective antibody titres, mostly with the use of conventional but non-approved adjuvants (Boedeker et al., 2009; McCoy, 1994). As mentioned above, the gonadotropins, by virtue of their ability to control the mammalian reproduction process, are attractive targets for achieving contraception. Moreover, the ease of administration of this vaccine to neutralize the functions of the endogenous circulating hormones makes them ideal targets for developing animal immunocontraceptive vaccines. This method of neutralizing the functions of the gonadotropins is also humane and safe for the animals as opposed to the current methods which are employed to reduce their numbers. However, in case of animal contraception, particularly for strays such as dogs, where large numbers of animals need to be treated, the challenge is to develop a method to sustain the high levels of the bioneutralizing antibodies for prolonged periods preferably with a single administration of the immunogen and without the use of conventional adjuvants such as the Freund’s adjuvant. In the present study, an attempt has been made develop a strategy to achieve a sustained immune response to small quantities of the hormonal antigens, preferably with a single administration of the immunogen resulting in complete disruption of the gonadal function for prolonged periods. To achieve this goal, recent developments in the field of immunology and vaccinology have been employed. This involves targeting of the hormonal antigens to the dendritic cells. Targeting the antigens to the dendritic cells for vaccination is becoming an extremely fascinating strategy and is being used extensively to target the antigens involved in several diseases (Escudier et al., 2005; Frankel et al., 1998; Garcia et al., 2005; Nouri-Shirazi et al., 2000a; Nouri-Shirazi et al., 2000b; Steinman and Germain, 1998). Most antigens are targeted to the dendritic cells by coupling them to the antibodies specific for the receptors expressed on the dendritic cell surface. One such receptor is the DEC205, which is expressed on most of the dendritic cells (Jiang et al., 1995) and is being widely used to develop vaccines and vaccination strategies. Targeting the antigens to the dendritic cells provides advantages such as ability to induce hundred fold higher immune response to very low doses of antigen without the use of any conventional adjuvant (Bonifaz et al., 2004a). Therefore, in the present study, these features of the dendritic cells have been harnessed to target the hormonal antigens (hCG and hFSH) to the canine DEC205 receptor to induce a long-term immune response capable of disrupting the gonadal functions. Towards this goal of delivering hormonal antigens to the dendritic cells, a fragment of the canine DEC205 corresponding to the Cysteine Rich Fibronectin II domain (CR/FNII) was expressed and used to isolate several canine DEC205 specific recombinant antibodies in the form of single chain fragment variable (ScFvs) from the Tomlinson’s and the yeast human ScFv display libraries. From a pool of eight unique ScFvs screened from the Tomlinson’s libraries, three ScFvs namely B3, G10 and H4 were characterized. All these ScFvs could bind to the human DEC205 receptor but not to the mouse DEC205. Their inability to recognise the mouse DEC205 suggested that mouse could not be used as the model system for these studies and therefore, a surrogate model system was needed. As the canine CR/FNII shared a high degree of homology with the rabbit counterpart, adult rabbits have been used as the surrogate model for immunization studies after confirming the binding of the ScFvs to the rabbit dendritic cells. Since the goal of the study was to deliver the hormonal antigens to the dendritic cells, each ScFv was translationally fused to a core streptavidin fragment, thus creating bi-functional agents (ScFv-CS) capable of binding to the dendritic cells and also to any biotin-tagged antigen, thus delivering the antigen to the dendritic cells. Of the three ScFvs, the ScFv-CS-H4 which could bind to the canine CR/FNII with the KD of 25nM was used for demonstrating the ability of the ScFv-hormone complex to elicit the bioneutralizing antibody response. The ScFv-CS-H4-biotin-hCG or hFSH or both were administered to adult male rabbits along with poly IC: LC, a Toll-like receptor agonist and the antibody titres were monitored. It was possible to maintain high titres of the bioneutralizing antibodies for more than one year with a single administration of the immunogen. Testicular histology of the immunized animals showed extensive disruption of spermatogenesis with most of the germ cells being TUNEL positive undergoing apoptosis. There was complete absence of elongated spermatids and sperms in the testis indicating infertility caused by immunization with the gonadotropins. These data show that targeting the hormonal antigens to the dendritic cells leads to long-term infertility with minimal immunization. Although the ScFvs from the Tomlinson’s libraries were able to deliver the hormonal antigens to the dendritic cells and produce robust and sustained antibody response capable of disrupting the gonadal functions, the affinities of these ScFvs to DEC205 were moderate. It was felt that increasing the affinities of the ScFvs could enhance the effect with respect to the dose of the antigen that needs to be administered and the duration until which the high antibody titres could be maintained. Therefore, the yeast human ScFv display library offering higher diversity of the human ScFvs displayed, was screened for high affinity DEC205 specific binders. From a pool of several ScFvs, six unique ScFvs were characterized. The amino acid sequences of all ScFvs followed the Kabat's rules for identifying the complimentarity determining regions of the heavy and the light chains of the antibodies. All these ScFvs were unique in their amino acid sequences. The dissociation constants of all these antibodies for the canine CR/ FNII ranged from 10-9 to 10-11 M which was 20-300 fold higher than the ScFvs obtained from the Tomlinson’s libraries. The best ScFv obtained from this library was ScFv-92 with a KD value of 8 x10-11 M. All these ScFvs were able to deliver the payload antigen to both, the mouse DEC205 over-expressing cells and the bone marrow derived dendritic cells. Mice immunized with yeast display ScFvs also yielded antibody response to very small quantities of the immunogen with the highest antibody titres obtained with the ScFv-92. It was further demonstrated that all ScFvs also activated the cell-mediated immunity with significant increase in the antigen stimulated T cell proliferation. These ScFvs could also deliver the antigen to the human dendritic cells differentiated from the human monocytes in vitro, thus emphasising their utility in human vaccine development. An attempt was also made to develop nanoparticle (NP) based strategies of delivering the antigen to the dendritic cells. The PLGA-NPs, encapsulating hCG and coated with the DEC205 ScFv-92 was able to elicit high antibody response to very low doses of the antigen. This response could be sustained for 120 days and was higher than the response obtained with similar doses of hCG encapsulated NPs or hCG complexed to ScFv-92 alone. Targeting of the NPs also elicited antigen specific T cell response thus, potentiating their use in cell mediated immunity along with humoral immune responses. In conclusion, this approach of delivering the gonadotropins to the dendritic cells resulted in the production of bioneutralizing antibodies that could disrupt the gonadal functions for a prolonged period and can be effectively used in the fields for controlling the animal populations. This method fulfils all the criteria for any animal contraception. This strategy also elicits both T cell mediated and humoral immunity and can thus be used for producing vaccine against viral and parasitic infections. It can also be used for cancer immunotherapy. Another exciting feature of the strategy used in this study is the usage of ScFv-CS which allows the delivery of any biotin tagged antigen to the rodent and human dendritic cells. As discussed above, the methods for controlling the animal populations are expected to be effective, humane, safe, simple, non-surgical, single shot with long lasting effects, cheap, applicable in the fields and widely accepted by different societies. The methods presented in this study fulfill all these criteria and should be effective in controlling populations of different animal species.

Este trabalho teve por objetivo avaliar a modulação autonômica da freqüência cardíaca (FC) durante o repouso, nas posições supina e sentada, e durante teste de esforço físico dinâmico descontínuo do tipo degrau (TEFDD-D) em mulheres jovens e pós-menopausa sem (PMSRH) e com reposição hormonal (PMCRH); determinar o limiar de anaerobiose (LA) a partir da análise das respostas de FC e pela análise dos índices de RMSSD (raiz quadrada da média dos quadrados das diferenças entre os intervalos R-R normais sucessivos), em milissegundos (ms), e comparar o grau de correlação entre estas duas metodologias de análise. Foram estudadas 11 jovens (24 ± 2,77 anos), 13 PMSRH (57 ± 5,28) e 9 PMCRH (55 ± 5,40 anos). O TEFDD-D foi realizado em cicloergômetro, sendo iniciado com a potência de 15 W e com incrementos de 5 em 5 W. A FC (bpm) e os intervalos R-R (ms) foram captados em tempo real, por um período de 360s em repouso, em cada posição, e durante 60s em repouso sentado no cicloergômetro, 240s em exercício e 60s em recuperação, em cada potência do TEFDD-D. Foram calculados as médias da FC (bpm) e os índices de RMSSD dos intervalos R-R (ms) para as condições de repouso e durante 180s do exercício nas potências estudadas; cálculo da variação da FC (bpm) no início do exercício e do tempo (s) desta variação. A determinação do LA foi feita pelo ajuste do modelo matemático e estatístico semiparamétrico (SPM) aos dados de FC e pelos índices de RMSSD dos intervalos R-R (ms). Os testes estatísticos utilizados foram: Wilcoxon, Kruskall-Wallis, Friedman, Dunn e o teste de correlação de Spearman, nível de significância de 5%. Durante o repouso, as jovens apresentaram valores dos índices de RMSSD significativamente (p<0,05) superiores em relação aos outros 2 grupos. As variações da FC das jovens no início do exercício foram maiores que as dos grupos PMSRH e PMCRH, enquanto que o tempo de variação da FC foi similar entre os 3 grupos. Na transição do repouso para o exercício, a FC aumentou progressivamente, enquanto que a variabilidade da freqüência cardíaca (VFC) diminuiu. Na comparação intergrupo dos índices de RMSSD, obtidos em cada nível de potência, foi observada diferença significativa (p<0,05) apenas em 35W. Tanto pelo modelo SPM, como pela análise dos índices de RMSSD, as jovens atingiram o LA em potências superiores comparativamente as PMSRH e PMCRH. Os grupos PMSRH e PMCRH apresentaram resultados similares. Não foram observadas diferenças significativas (p>0,05) na comparação dos 2 métodos. O teste de correlação de Spearman mostrou uma associação significativa (p<0,05) entre os mesmos. Estes dados sugerem que após a menopausa ocorre uma diminuição da modulação vagal sobre o coração tanto em repouso como durante o exercício físico, decorrente do processo do envelhecimento e da redução da capacidade física. A terapia de reposição hormonal não teve nenhuma influência sobre os resultados. As duas metodologias de análise do LA se mostraram similares, sugerindo que a mudança de inclinação da resposta da FC ocorre em níveis de esforço em que a VFC se encontra significativamente reduzida. / The objectives of the present study were to assess the autonomic modulation of the heart rate (HR) at rest, in the supine and sitting position, and during a step type discontinuous dynamic physical effort (STDDPE) in young and postmenopausal women not receiving (PMWtHR) and receiving hormonal replacement treatment (PMWHR); to determine the anaerobiosis threshold (AT) based on the analysis of HR response and the RMSSD indices (square root of the mean squared differences of successive R-R intervals), in milliseconds (ms), and to compare the degree of correlation between these two analysis methodologies. The study was conducted on 11 young women (24 ± 2.77 years), 13 PMWtHR (57 ± 5.28) and 9 PMWHR (55 ± 5.40 years). The STDDPE was performed on a bicycle ergometer at an initial power of 15 W, followed by power increments of 5 W. HR (bpm) and R-R intervals (ms) were obtained in real time over a period of 360 s under resting conditions in each position, during 60 s in the sitting rest position on the bicycle ergometer, 240 s during exercise and 60 s during recuperation at each STDDPE power. Mean HR (bpm) and RMSSD indices of the R-R intervals (ms) were calculated for the resting condition and during 180 s of exercise in the powers studied; the HR variation (bpm) and its time (s) were also calculated in the beginning of exercise. AT was determined by the semiparametric mathematical and statistical model (PMS) and by the RMSSD indices of the R-R intervals (ms). Data were analyzed statistically by the Wilcoxon, Kruskal-Wallis, Friedman, Dunn and Spearman correlation tests, with the level of significance set at 5%. During rest, young women presented significantly higher RMSSD indices (p<0.05) than the other 2 groups. The HR variations in young women in the beginning of the exercise were higher than the ones from the PMWtHR and PMWHR groups, whereas HR variations time was similar for the 3 groups. During the transition from rest to exercise HR increased progressively and HRV decreased. Intergroup comparison of RMSSD indices, obtained in each level of power, showed a significant difference (p<0.05) only at 35 W power. On both PMS model and RMSSD indices analysis, young women reached AT at a higher power compared to PMWtHR and PMWHR groups. The PMWtHR and PMWHR groups presented similar results. No significant differences (p>0.05) were observed when the methods were compared. The Spearman correlation test showed a significant association (p<0.05) between methods. These data suggest that after menopause there is a decrease in vagal modulation of the heart both at rest and during physical exercise due to the aging process and the reduction in physical capacity. Hormonal replacement therapy had no effect on the results. Both methodologies of AT analysis were similar, suggesting that the change in the HR response occurs in levels of effort in which the HRV is significantly reduced.

Bakgrund: Endometrios är en av de vanligaste gynekologiska sjukdomarna som drabbar cirka tio procent av den kvinnliga befolkningen i fertil ålder. Sjukdomen är kronisk och associerad med ohälsa samt försämrad livskvalitet hos kvinnor. Hormonell behandling är idag en vanlig behandlingsmetod som även den kan ha en inverkan på kvinnors livskvalitet. Syfte: Att undersöka kvinnors upplevda livskvalitet med hormonell behandling vid endometrios. Metod: En litteraturstudie där 12 kvantitativa originalartiklar granskades och där resultatet sammanställdes och analyserades med en innehållsanalys. Resultat: Majoriteten av de artiklar som ingick i litteraturstudien visade en förbättrad upplevd livskvalitet med hormonell behandling för kvinnor med endometrios. Den upplevda livskvaliteten förbättrades fysisk, psykisk, socialt och sexuellt oberoende av de biverkningar som redovisades. Endast två artiklar visade antingen försämrad eller oförändrad livskvalitet. Slutsats: Endometrios leder till en minskad livskvalitet hos kvinnor som lider av sjukdomen och hormonell behandling kan förbättra livskvaliteten fysisk, psykisk, socialt och sexuellt hos dessa kvinnor oberoende av de biverkningar som förekom. / Background: Endometriosis is one of the most common gynecological diseases affecting approximately ten percent of the female population of reproductive age. It is a chronic disease associated with illness and impaired quality of life among women. A common method of treatment today is hormonal treatment which also has an impact in women's quality of life. Aim: To examine perceived quality of life among women with endometriosis receiving hormonal treatment. Method: A literature review where 12 original articles with quantitative method where reviewed and the results analysed with content analysis. Results: The majority of the included articles showed an improved quality of life among women with endometriosis receiving hormonal treatment. Regardless of the side effects from the hormonal treatment the quality of life was improved in the physical, psychological, social and sexual areas. Only two articles showed either impaired or unchanged quality of life. Conclusion: Endometriosis leads to impaired quality of life in women with the disease and hormonal treatment may improve the quality of life physical, psychological, social and sexual among these women regardless of the side effects that occurred.

Hormonal therapy is a common part of breast carcinoma treatment in patients whose tumors express estrogen and progesterone receptors. The aim of hormonal therapy is to prevent proliferative effect of hormones througt their receptor proteins in order to inhibit tumor growth. However, certain number of tumors is resistant to hormonal therapy despite expression of hormonal receptors. Presently, the reasons of this resistance are not fully understood. Oxysterols are hydroxylated cholesterol derivates, which may play some role in development of the resistance. They may interfere with hormonal therapy effect and influence some signal pathways leading to cancer progression. This study comes with results of gene expression of proteins influenced by oxysterol action, metabolic and transport proteins, transcription factors and members of signaling pathways that may be related to oxysterol effect. This thesis identifies some candidate genes for future analysis on the basis of comparison of gene expression between estrogen receptor positive and negative tumors and correlation with clinopathological data. The final goal should lead to discovery of new diagnostic markers for breast cancer therapy. Powered by TCPDF (www.tcpdf.org)

Title The influence of muscle tonus with hormonal contraception Objective The thesis aims to determine whether and to what extent the use of hormonal contraception affects muscle tension, which can vary depending on the current phase of the menstrual cycle in women. Method The thesis is divided into theoretical part where there is a summary of information on this topic from the literature Czech and world, a special part that is treated as research using noninvasive myotonometer. The measurement is performed in 12 probands four times in four weeks, always at some stage of their menstrual cycle. The measurement results are compared between the two groups by probands and is found to influence hormonal contraceptives on muscle tension during the menstrual cycle. Results Measurement myotonometer shows that hormonal contraceptive use affects muscle tension. The measurement results show a stable and predictable changes in fluctuating muscle tension in probands who use hormonal contraceptives, but the rate changes are subject to interpersonal differences, and these results can not give a general opinion. Key words Menstrual cycle, hormonal contraception, muscle tension, myotonometer

Title: Hormonal changes in strength training Objectives: Perform a systematic review of literature dealing with hormonal changes in strength training. Based on the informations from aforementioned literature, describe wheather acute hormonal response after a bout of strength training significantly influence the proces of hypertrophy or not. Hormone testosterone and changes of its concentrations is for this thesis the most important. Methods: Method of traditional review was used in this thesis. Results: The presence of acute hormonal changes occurred in strength training was confirmed in numerous studies. Role of this hormonal response is because of variability in results not very clear yet. Chronicle changes of resting hormonal levels in strength training are not observed according to results of studies. For better understanding of hormonal strength in strength training, another studies have to be executed. Keywords: endocrinal system, strength training, hormonal response, testosterone, hypertrophy.