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Nucleotídeos na alimentação de leitões recém-desmamados / Nucleotides in weanling pig dietsCarla de Andrade 04 March 2013 (has links)
Foram utilizados 160 leitões recém-desmamados, com peso médio inicial de 6,43 ± 0,71 kg, com o objetivo de avaliar os efeitos dos nucleotídeos sobre o desempenho, a frequência de diarreia, a morfometria de órgãos, a histologia do epitélio intestinal e a microbiota intestinal. Foram testados cinco tratamentos em um experimento em blocos casualizados, com oito repetições (blocos) por tratamento e quatro animais por unidade experimental (dois machos castrados e duas fêmeas). Os tratamentos foram: dieta basal à base de milho, farelo de soja, derivados lácteos e plasma com inclusão de 120 ppm de clorohidroxiquinolina (antimicrobiano) e dieta basal contendo 0, 100, 150 e 200 ppm de nucleotídeos. Para a determinação das variáveis de desempenho, os animais foram pesados ao 1º, 14º e 34º dia de experimentação e foram quantificadas as rações fornecidas e desperdiçadas. Para avaliar a frequência de diarreia, foram observadas presença e ausência de diarreia na baia, diariamente, no período da manhã. Ao final do experimento, um animal de cada baia (unidade experimental) foi abatido para avaliação da morfometria de órgãos (estômago vazio, intestino delgado vazio, pâncreas, fígado e baço) e da histologia do epitélio intestinal (altura e largura de vilosidade, profundidade de cripta, relação altura de vilosidade: profundidade de cripta), além da coleta de amostras do conteúdo do duodeno e do jejuno para avaliação da microbiota intestinal dos leitões (mesófilos, Gram positivos totais, Gram negativos totais, Lactobacillus spp., Escherichia coli, Salmonella spp., Staphylococcus aureus e Clostridium perfringens). No período de 1 a 14 dias de experimentação, as variáveis de desempenho não foram influenciadas (P>0,05) pelos tratamentos. Para o período total (1 a 34 dias), houve efeito linear benéfico da inclusão dos nucleotídeos no peso final (P=0,005; P34 = 0,0033X + 23,657, R2 = 0,87) e no ganho diário de peso (P=0,008; GDP = 0,0002X + 0,4955, R2 = 0,83) dos animais. Os leitões alimentados com o antibiótico tiveram menor (P=0,049) frequência de diarreia comparados aos animais alimentados com nucleotídeos no período de 1 a 14 dias de experimentação. Por outro lado, no período de 1 a 34 dias de experimentação, os tratamentos não afetaram (P>0,05) a frequência de diarreia, a morfometria de órgãos, a histologia do epitélio intestinal e a microbiota intestinal. Assim, de maneira geral, a inclusão de até 200 ppm de nucleotídeos em dietas complexas para leitões recém-desmamados melhora o desempenho dos animais, sem afetar a frequência de diarreia, a morfometria de órgãos, a histologia do epitélio intestinal e a microbiota intestinal de leitões na fase de creche. / The purpose of this study was to evaluate the effects of dietary nucleotide levels on performance, occurrence of diarrhea, organ morphometry, intestinal histology and intestinal microbiota of weanling pigs fed complex diets containing corn, soybean meal, milk products, and spray-dried plasma. One hundred and sixty 21d-weaned pigs, averaging 6.43 ± 0.71 kg BW, were used in a randomized complete block design experiment with 5 treatments, 8 replications (blocks) per treatment and 4 animals per experimental unit (pen). The treatments were: basal diet with 120 ppm of chloro-hydroxyquinoline (antimicrobial treatment), and basal diet with 0, 100, 150, and 200 ppm of nucleotides. The ADG, ADFI, G:F and occurrence of diarrhea were calculated during 1 to 14 and 1 to 34 d of experimental period. A day after the end of the experimental period, an animal from each pen was slaughtered to evaluate of organ morphometry (empty stomach, empty small intestine, pancreas, liver and spleen), intestinal histology (villus height, villus width, crypt depth and villus height-to-crypt depth ratio), and intestinal microbiota (mesophiles, Gram-positive bacteria, Gram-negative bacteria, Lactobacillus spp., Escherichia coli, Salmonella spp., Staphylococcus spp., and Clostridium perfringens). During 1-14 d of experimental period, performance was not affected (P>0.05) by treatments. For the total experimental period (1-34 d), beneficial linear effects of dietary levels of nucleotides on final BW (P=0.005; BW = 0.0033X + 23.657, R2 = 0.87) and ADG (P = 0.008; ADG = 0.0002X + 0.4955, R2 = 0.83) were observed, but not (P>0.05) on ADFI and G:F. Pigs fed antimicrobial treatment had lower (P=0.049) occurrence of diarrhea from d 1 to 14 than those fed nucleotide treatments. However, for the total experimental period (1-34 d), treatments did not affect (P>0.05) occurrence of diarrhea, organ morphometry, intestinal histology and intestinal microbiota. Therefore, adding up to 200 ppm of dietary nucleotides to complex diets for weanling pigs showed beneficial effect on growth performance, without affecting organ morphometry, intestinal histology, intestinal microbiota and occurrence of diarrhea of nursery pigs.
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Activation and maintenance of intestinal intraepithelial lymphocytes (IELs)Frising, Ulrika Cecilia January 2019 (has links)
The intestinal tissue is charged with a delicate immunological task. The intestinal immune system needs to be tolerant towards nutrients and microbiota present in the intestinal lumen, while simultaneously detecting and responding to dangers such as pathogens. A single-cell layer of intestinal epithelial cells (IECs) acts as a first line of defence. There is a T cell population located between the IECs that have been named intraepithelial lymphocytes (IELs). As the main lymphoid population within the intestinal barrier, IELs are thought to have an important role in intestinal homeostasis maintenance, as well as a role in intestinal inflammatory and autoimmune diseases such as inflammatory bowel disease and celiac disease. Despite extensive research on IEL biology, there are still questions remaining in terms of the development, maintenance and activation of IELs. Furthermore, IELs survive poorly in vitro, which hinders mechanistic insights. In this thesis, a co-culture system between IELs and intestinal organoids, "mini-guts", provides an in vitro model for IELs. With this IEL-organoid co-culture system, IELs associated with the organoids survive for at least 4 days. Additional findings suggest that IELs are kept in a poised state of activation due to differences in their mitochondria compared to other T cells found in spleen, lung and skin. Upon activation or intestinal inflammation, the mitochondrial mass in IELs increases. This increase correlates with effector functions such as cytokine production and proliferation. In addition, the composition of the mitochondria-specific lipid, cardiolipins, alters drastically in IELs after activation. These data support a model of mitochondria-dependent activation of IELs. The mitochondria-dependent activation in IELs appears to have at least two pathways: one T cell receptor-dependent and one microbiota-dependent. The latter pathway suggests a model in which IELs can become activated regardless of the cause of intestinal epithelial barrier damage.
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Spatiotemporal dynamics of cell division in intestinal homeostasisCarroll, Thomas Duncan January 2016 (has links)
Intestinal homeostasis is governed by fate choices of stem cells residing in the intestinal crypt base. This must involve niche-specific co-ordination of cell division to guarantee that epithelial cells divide at the right time and place. These mechanisms operate to ensure precise control of the numbers of stem and differentiated cells. Little is known about how proliferative fate decisions are regulated in intestinal crypts. Both the placement of daughter cells within a particular niche, and their decision to enter and progress through the cell cycle, contribute. This thesis investigates the spatiotemporal control of cell division in intestinal crypts to understand the relationship between cell-cycle specific fate choices and intestinal homeostasis. Firstly, I describe a novel mode of asymmetric cell division within intestinal crypts. Using high resolution microscopy of intestinal organoids, I show that a subset of mitoses produce daughters that become displaced from one another after cytokinesis. This post-mitotic separation or the ‘positional asymmetry’ of daughter cells occurs in all cycling epithelial cells. These divisions may facilitate divergent fate of daughter cells and provides a general mechanism for stochastic niche exit. Post-mitotic separation is facilitated by interkinetic nuclear migration and selective tethering to the basement membrane during mitosis. Importantly, these mechanisms are altered in tissue carrying mutations in Adenomatous polyposis coli (Apc), highlighting its importance for normal tissue homeostasis. Secondly, I aimed to understand the dynamics of cell-cycle commitment in intestinal crypt compartments by investigating the DNA Replication Licensing System. The licensing system is a master regulator of proliferative fate in all cells in adult tissue. At its core is the regulated loading of the Mcm2-7 protein complex onto origins of replication exactly once per cell cycle. Engagement of the licensing system directly indicates commitment to proliferative cell fate. A technique to visualise licensing in intestinal crypts was developed. This revealed distinct proliferation zones in intestinal crypts. Mcm licensing was most prevalent in the lower transit-amplifying compartment, the zone enriched for early TA progenitors. Licensing is inhibited in terminally differentiated cells, and not detected in the transit-amplifying cells most proximal to the differentiated zone. Strikingly, the majority of ‘active’ intestinal stem cells were found in an unlicensed state. These data suggest that licensing decisions are delayed or inhibited until late G1 phase in intestinal stem cells and explains their longer cell-cycle. We postulate that this may provide a time window for niche cues to act, either stimulating cell-cycle entry or allowing retention in a ‘shallow’ G0 state. High resolution imaging of cell-cycle phases throughout the epithelium revealed remarkable cell-cycle co-ordination. This manifested in uninterrupted ‘ribbons’ of cells in similar cell-cycle states. This was due to lineage specific cell cycle co-ordination where adjacent daughter cells progress through the cell cycle at the same rate. These field effects are the result of co-ordinated cell-cycle progression between daughter cells. These observations were validated using living organoids expressing fluorescent ubiquitination-based cell cycle indicators (FUCCI). These ribbons were occasionally interrupted by cells in other cell cycle phases suggesting the separation of sisters by daughters from another lineage. This suggests that cell-cycle coordination can facilitate post-mitotic separation, and influence stochastic niche exit.
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Inhibitory effect of dimethylthiourea on endotoxin-induced mucus secretion in intestinal gland cellsChang, Chien-Yu 27 July 2007 (has links)
Endotoxin, a kind of lipopolysaccharide (LPS), is the glycolipid composition of cell walls of all Gram negative bacteria. The main biological reaction triggered by LPS is inflammation reaction. The
surface epithelium of intestinal mucosa contains a large number of goblet cells which function as secreting mucus to soak chime and form a protection for digestive tract. The purpose of this experiment was to study the variations of the mucus secretion of intestinal gland goblet cells and whether dimethylthiourea (DMTU), a hydroxyl radical scavenger, could exert an inhibitory effect at different time points after LPS application. Sprague-Dawley rats received an intravenous injection of LPS (15 mg/kg, over 5 seconds) through the femoral vein. India ink was used to label the leaky microvessels where the extravasated colloidal particles of dye were
trapped between the endothelium and basement membrane. 5 and 30 minutes after LPS injection, strips of intestinal tissues were dehydrated
and embedded with glycol methacrylate. Tissue sections 2 micrometers in thickness were histochemically stained with Alcian blue-PAS reagent. The number of goblet cells in intestinal glands of duodenum and ileum were counted. Mucus area and epithelial area of sampled glands were recorded
with SimplePCI and statistically analyzed. 5 or 30 minutes after LPS, the percent (%) of the number of discharging goblet cells in intestinal glands
significantly increased to 7-8 times as the saline control in duodenum. In the ileum, the number of discharging goblet cells in intestinal glands
significantly increased to 5-18 times as the saline control. 30 min after LPS, the percent (%) of goblet cell mucus in epithelial area of intestinal glands decreased to half the value of control. DMTU prior to LPS, the mucus-discharging ability of goblet cells was inhibited. In duodenum, DMTU pretreatment 30 min earlier than LPS, the percent (%) of goblet
cell mucus in epithelial area of intestinal glands increased to 1.4 times and the percent (%) of the number of discharging goblet cells in intestinal
glands significantly was reduced by 90%. In ileum, DMTU pretreatment 5 min earlier than LPS, the percent (%)of the number of discharging
goblet cells in intestinal glands decreased to one half as the control. From the experiment results, we could come to a conclusion that intravenous injection of a high dose of LPS induced an compound exocytotic release of mucus granules resulting in cavitation of goblet cell supranuclear cytoplasm and the released mucus temporarily accumulated in the lumen of glands. It is suggested that hydroxyl radicals were involved in LPS-induced mucus release from goblet cells.
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Assessment of Intestinal Microbiota in Non-alcoholic Fatty Liver DiseaseMouzaki, Marialena 26 November 2012 (has links)
Non-alcoholic fatty liver disease (NAFLD) includes simple hepatic steatosis (SS) and non-alcoholic steatohepatitis (NASH). NAFLD is tightly linked to obesity and is thought to be secondary to various noxious signals, some of which may originate from the intestinal microbiota (IM). Despite a growing body of evidence supporting a link between obesity and altered IM, there are no studies assessing the IM of patients with NAFLD. In this cross-sectional study we aimed at comparing fecal levels of total bacteria, Bacteroidetes, C. coccoides, C. leptum, Bifidobacteria, E. coli, and Archaea between healthy controls (HC) and patients with SS or NASH. We found higher C. coccoides levels in NASH compared to SS and lower percentage Bacteroidetes in NASH compared to SS and HC. Controlling for body mass index and fat intake we found an association between presence of NASH and percentage Bacteroidetes. The latter inversely correlated with insulin resistance.
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Development of macroarray technology to profile bacterial composition of intestinal communitiesGoldfinch, Angela Dawn 17 September 2007
The gastrointestinal tract is colonized by an abundant and diverse community of microorganisms which has a profound impact on the health of the host. The profiling of these microbial communities with traditional culture-based methods identifies only a fraction of microbes present with limited specificity, high labour costs and limited sample throughput. To overcome these limitations, a molecular hybridization assay was developed and characterized using the target gene chaperonin 60 (cpn60). The interspecies discriminatory ability of the hybridization assay was determined by hybridizing cpn60 gene fragments from a known species to a series of cpn60 gene fragments derived from related species with distinct but similar cpn60 sequences. Species with less than 85% cpn60 sequence identity to the probe DNA were effectively distinguished using the hybridization approach. To characterize complex microbial communities, universal PCR primers were used to amplify a fragment of 549-567 nucleotides from cpn60 (the cpn60 universal target (UT)) using template DNA extracted from the ileal contents of pigs fed diets based on corn (C), barley (B), or wheat (W), or from plasmids containing the cpn60 UT selected from a clone library generated from these contents. The intensity of hybridization signals generated using labelled probes prepared from library clones designated B1 (Bacillales-related), S1 (Streptococcus-related), C1 (Clostridiales-related), and L10 (Lactobacillales-related) and targets prepared from ileal contents of C, W, or B-fed pigs correlated closely with the number of genomes of each bacterial group as determined by quantitative PCR. Universal PCR primers were also used to amplify genomic DNA extracted from jejeunal contents of pre- and post-weaning piglets. Labelled probe DNA was prepared from S1, L10, LV (Lactobacillus vaginalis-related) and EC (E.coli) library clones. The resulting signal intensities correlated with quantitative polymerase chain reaction (qPCR) data for L10 and LV, but minimal correlation was observed for the S1 and EC groups. A cpn60- based macroarray has potential as a tool for identification and semi-quantification of shifts in colonization abundance of bacteria in complex communities, providing a similar amount of data as techniques such as denaturation gradient gel electrophoresis or terminal restriction fragment length polymorphism analysis.
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Eficàcia dels tocotrienols com a estratègia de tractament de la fibrosi intestinalLuna Cornadó, Jeroni 31 October 2011 (has links)
En el patró fibroestenosant de la malaltia de Crohn els fibroblasts intestinals augmenten en número contribuint al desenvolupament de la fibrosi. Un dels principals promotors de la proliferació d’aquestes cèl•lules és el bFGF. En el present estudi la fracció rica en tocotrienol ha demostrat tenir efectes antiproliferatius en fibroblasts intestinals humans independentment de la procedència dels fibroblasts. Els tocotrienols redueixen tant la proliferació basal com la induïda per bFGF en fibroblasts.
L’apoptosi de les cèl•lules efectores en el desenvolupament de la fibrosi sembla ser el principal mecanisme de la seva resolució. Els tocotrienols instauraren un procés complert d’apoptosi en els fibroblasts. A diferència del que passa amb la majoria d’agents proapoptòtics, els tocotrienols provoquen l’activació tant de la via extrínseca com de la via intrínseca de l’apoptosi ja que activa les caspases 8 i 9.
Sorprenentment, l’addició de ciclosporina A (CsA), un conegut inhibidor de la via intrínseca de l’apoptosi, bloqueja completament el procés d’apoptosi induït per FRT. Això demostra que tot i l’activació de la caspasa 8 i per tant, de la via extrínseca, en el tractament amb tocotrienols la predominant és la via intrínseca.
L’autofàgia té un paper molt rellevant en l’aclariment de cossos apoptòtics. Els tocotrienols han demostrat eficàcia en la inducció d’autofàgia en fibroblasts, ja que provoca la maduració de la proteïna LC3 i l’aparició de vacuoles autofàgiques en el citoplasma d’aquestes cèl•lules. Un cop més la CsA reverteix aquest procés, i per tant inhibeix l’autofàgia, demostrant que aquest procés requereix la participació de la mitocòndria.
Les patologies que cursen amb desenvolupament de fibrosi estan associades a alts nivells de TGF-β que resulta en el reclutament de fibroblasts al lloc de la lesió i a un increment en la producció de matriu extracel•lular. A nivell intracel•lular, la fosforilació d’Smad3 és el pas clau que regula les accions del TGF-β. Els tocotrienols han mostrat eficàcia en la disminució dels nivells intracel•lulars d’Smad3 fosforilada induïda per TGF-β.
La fosforilació d’Smad3 té efectes oposats en la regulació de l’expressió gènica. Regula positivament l’expressió de TIMP-1, en canvi, regula negativament l’expressió de MMP-3. Tot i ser efectes oposats en quant a expressió gènica, aquests dos fenòmens afavoreixen l’acumulació de matriu extracel•lular. L’exposició a tocotrienols fa que es reverteixi aquest estat profibrogènic ja que indueix l’expressió de MMP-3 però no afecta als nivells de TIMP-1.
La síntesi de MEC i especialment la síntesi de COL1, COL3 i COL5 està incrementada en la fibrosi intestinal, aquest fet està directament relacionat amb l’activitat de TGF-β en la zona afectada. Els tocotrienols interfereixen en la síntesi de col•lagen.
A més, els tocotrienols disminueixen la fosforilació d’Smad3 induïda per TGF-β, un fet clau en la síntesi de matriu extracel•lular.
Aquests resultats permeten hipotetitzar un potencial antifibrogènic dels tocotrienols. Per a confirmar aquest potencial “in vivo” ens calia disposar d’un model experimental de fibrosi intestinal. A diferència del que succeeix amb la colitis, en la que es disposa d’un gran nombre de models animals, hi ha pocs models experimentals específicament dissenyats per a reproduir la fibrosi intestinal. Aquest fet, ha limitat molt el desenvolupament de noves estratègies de tractament antifibrogènic en l’intestí.
Mitjançant l’administració intracolònica repetida a dosis baixes de l’haptè TNBS vam poder establir fibrosi intestinal en la rata de manera rellevant i reproduïble.
En aquest model de fibrosi intestinal, els animals que van rebre la dosi més alta de tocotrienols provada en aquest estudi van mostrar nivells disminuïts en paràmetres que mesuren la inflamació, això és, es va disminuir l’índex d’activitat de la malaltia i la pèrdua de pes causada pel TNBS així com també va reduir l’expressió de TNF-α. / Excessive fibroblast expansion and extracellular matrix deposition are key events for the development of bowel stenosis in Crohn’s disease patients. Tocotrienols are vitamin E compounds with proven in vitro antifibrogenic effects on rat pancreatic fibroblasts. We aimed at investigating the effects of tocotrienols on human intestinal fibroblast proliferation, apoptosis, autophagy, and synthesis of ECM.
Intestinal fibroblasts isolated from patients with Crohn’s disease were treated with tocotrienol-rich fraction from palm oil.
Tocotrienols significantly reduced proliferation, enhanced cell death by promoting apoptosis and autophagy. Fibroblast apoptosis, but not autophagy, was prevented by the pan-caspase inhibitor zVAD-fmk, whereas both types of cell death were prevented when the mitochondrial permeability transition pore was blocked by cyclosporin A, demonstrating a key role of the mitochondria in these processes. TRF diminished procollagen type I and laminin γ production these cells.
Transforming growth factor-β plays a key role in matrix deposition during fibrosis. Treatment of intestinal fibroblasts with tocotrienol rich fraction prevents Smad3 phosporylation induced by transforming growth factor-β and reduces collagen type 1 and 3 production by these cells.
Besides, in a rat model of intestinal fibrosis, treatment with tocotrienols reduces diarrhea, rectal bleeding and weight loss, as well as levels of colonic tumor necrosis factor-α and vimentin expression demonstrating that this compound has anti-inflammatory effects in vivo.
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Development of macroarray technology to profile bacterial composition of intestinal communitiesGoldfinch, Angela Dawn 17 September 2007 (has links)
The gastrointestinal tract is colonized by an abundant and diverse community of microorganisms which has a profound impact on the health of the host. The profiling of these microbial communities with traditional culture-based methods identifies only a fraction of microbes present with limited specificity, high labour costs and limited sample throughput. To overcome these limitations, a molecular hybridization assay was developed and characterized using the target gene chaperonin 60 (cpn60). The interspecies discriminatory ability of the hybridization assay was determined by hybridizing cpn60 gene fragments from a known species to a series of cpn60 gene fragments derived from related species with distinct but similar cpn60 sequences. Species with less than 85% cpn60 sequence identity to the probe DNA were effectively distinguished using the hybridization approach. To characterize complex microbial communities, universal PCR primers were used to amplify a fragment of 549-567 nucleotides from cpn60 (the cpn60 universal target (UT)) using template DNA extracted from the ileal contents of pigs fed diets based on corn (C), barley (B), or wheat (W), or from plasmids containing the cpn60 UT selected from a clone library generated from these contents. The intensity of hybridization signals generated using labelled probes prepared from library clones designated B1 (Bacillales-related), S1 (Streptococcus-related), C1 (Clostridiales-related), and L10 (Lactobacillales-related) and targets prepared from ileal contents of C, W, or B-fed pigs correlated closely with the number of genomes of each bacterial group as determined by quantitative PCR. Universal PCR primers were also used to amplify genomic DNA extracted from jejeunal contents of pre- and post-weaning piglets. Labelled probe DNA was prepared from S1, L10, LV (Lactobacillus vaginalis-related) and EC (E.coli) library clones. The resulting signal intensities correlated with quantitative polymerase chain reaction (qPCR) data for L10 and LV, but minimal correlation was observed for the S1 and EC groups. A cpn60- based macroarray has potential as a tool for identification and semi-quantification of shifts in colonization abundance of bacteria in complex communities, providing a similar amount of data as techniques such as denaturation gradient gel electrophoresis or terminal restriction fragment length polymorphism analysis.
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Intestinal microflora induce host defense after burn through Toll-like Receptor 4 signaling in miceChang, Wei-Jung 23 January 2007 (has links)
The most abundant microflora is present in the distal parts of gut and the majority of the bacteria are Gram-negative anaerobes. Toll-like receptor 4 (TLR4), one of the ¡§pathogen-recognition molecules¡¨, recognize the lipopolysaccharide (LPS), derived from Gram-negative bacteria. TLR4 recognized the intestinal microflora and triggers the inflammatory responses. Although the effect of intestinal microflora on enhancing host to response the challenge from bacteria has been established, the mechanism has not been well studied. In this study, the relationship between TLR4 expression and the inflammatory response under intestinal microflora depletion was investigated. Mice fed with antibiotics for 4 weeks to delete the intestinal commensals and supplemented with or without LPS to stimulate TLR4 at week 3 were under sham or burn treatment. Results showed that thermal injury intestinal permeability, bacterial translocation to mesenteric lymph nodes, and neutrophil deposition in lung. Also, the activation of NF-£MB, expression of HSP70 and TLR4 were induced in intestinal after thermal injury. Moreover, TLR4 expression was increased in lung and peritoneal cells, ICAM and TNF-£\ expression were increased in peritoneal cells after thermal injury. However, NF-£MB activation, expression of TLR4, ICAM, and HSP70 were decreased in intestinal mucosa of mice with microflora depletion after thermal injury. Microflora depletion also significantly decreased the MPO activity in lung, and the phagocytic activity, the TLR4, ICAM, and TNF-£\ expression of peritoneal cells after thermal injury. Interestingly, LPS supplement reversed the effect of microflora depletion, suggest that intestinal microflora can trigger the host defense through TLR4 signaling pathway in thermal injured mice.
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Mécanismes cellulaires et moléculaires des perturbations du renouvellement de l'épithelium intestinal et de l'oncogenèse au cours des maladies inflammatoires chroniques de l'intestinBoisseau Bossard, Céline Mosnier, Jean-François January 2008 (has links)
Reproduction de : Thèse de doctorat : Médecine. Anatomie et cytologie pathologies : Nantes : 2008. / Bibliogr.
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