As prostaglandinas (PGs) são derivadas do metabolismo do ácido aracdônico pela via das enzimas cicloxigenases (COX-1 e COX-2) e participam do controle do metabolismo ósseo. Os anti-inflamatórios não-esteroidais (AINEs), inibidores das COX, podem interferir negativamente com a formação óssea, atrasando o reparo de fratura de ossos longos, a fusão espinhal e a osseointegração de implantes. O presente trabalho teve por objetivo avaliar, quantitativamente, o efeito de diferentes tipos de AINEs (convencional, preferencial e seletivo para COX-2), assim como de um analgésico com efeito anti-inflamatório fraco, sobre o reparo ósseo alveolar, em ratos machos. Os animais foram divididos em 5 grupos experimentais: a) controle (administração de 1 mL água/dia), b) cetorolaco de trometamina (inibidor não-seletivo COX-1/COX-2; ingestão de 4 mg/kg/dia), c) nimesulida (inibidor preferencial de COX-2; ingestão de 5 mg/kg/dia), d) paracetamol (efeito anti-inflamatório fraco; ingestão de 80 mg/kg/dia), e) etoricoxibe (inibidor seletivo de COX-2; ingestão de 10 mg/kg/dia). As dosagens foram baseadas em trabalhos experimentais da literatura e na equivalência com a terapêutica humana. A administração foi realizada por gavage gástrica, iniciando logo após a extração do incisivo superior direito e seguindo por um periódo de 14 dias, após o que os ratos foram sacrificados, as hemi-maxilas contendo os alvéolos em reparação foram coletadas e processadas para inclusão em parafina, orientada de maneira a permitir cortes semi-seriados longitudinais de 6 μm de espessura (a intervalos de 60 μm), que foram corados pela hematoxilina e eosina. O percentual de tecido ósseo neoformado foi estimado por método de contagem diferencial de pontos, utilizando-se um microscópio óptico munido de câmera digital de vídeo para captura de imagens e um programa para histometria. Foram contados cerca de 1200 pontos (1182,9 ± 47,6 pontos; média ± EPM) no terço cervical alveolar de cada animal, em cerca de 8 secções histológicas intercaladas (8,6 ± 0,3 secções; média ± EPM). Após a aplicação de teste que comprovou a normalidade de todas as distribuições (teste de Kolmogorov-Smirnov, p > 0,10) aplicou-se a Análise de Variância (gl=4; F = 1,52; x2 = 0,13), que comprovou que o tratamento com os diferentes tipos de AINEs não interferiu com a formação óssea reparacional, neste modelo experimental. Os presentes resultados, obtidos em animais, não devem ser diretamente extrapolados para humanos, nem conduzir a uma inferência sobre o uso de AINEs na clínica odontológica. No entanto, as numerosas evidências experimentais e clínicas de que os diferentes tipos de AINEs podem ter efeitos indesejados na clínica ortopédica, somadas ao número reduzido de estudos voltados especificamente para a área odontológica, indicam a necessidade de mais investigações nessa área, com variação dos parâmetros experimentais e das ferramentas de avaliação, antes que se descarte a possibilidade de que os AINEs possam ter efeitos indesejados em procedimentos odontológicos que necessitam de formação óssea, principalmente no caso de utilização prolongada. / The cyclooxygenase enzymes COX-1 and COX-2 catalyze the conversion of arachidonic acid to prostaglandins (PGs), eicosanoids important for control of bone metabolism. The non-steroidal anti-inflammatory drugs (NSAIDs), which are COX inhibitors, may negatively interfere with bone formation and delay long bone fracture healing, spinal fusion and implant osseointegration. The aim of the present study was to investigate quantitatively whether different types of NSAIDs (conventional, preferential and COX-2-selective), as well as an analgesic drug with a weak anti-inflammatory action, can hinder alveolar bone healing, in male rats. The animals were divided in 5 experimental groups: a) control (oral administration of 1 mL water/day), b) cetorolac (non-selective COX-1/COX-2 inhibito - 4 mg/kg/day oral dose), c) nimesulide (preferential COX-2 inhibitor - 5 mg/kg/day oral dose), paracetamol (weak anti-inflammatory - 80 mg/kg/day oral dose), etoricoxib (selective COX-2 inhibitor - 10 mg/kg/day oral dose). The doses of NSAIDs were compatible to human therapy and in the range of investigations carried out in laboratory animals. The drugs were administered by gavage from the day of extraction of the upper right incisors until death 2 weeks later, when the hemi-maxillae containing the alveolar sockets were collected, decalcified and processed for paraffin embedding. Semi-serial longitudinal 6-μm-thick sections were cut at 60-μm intervals and stained with hematoxylin and eosin. The degree of new bone formation inside the alveolar socket was estimated by a differential point-counting method, using an optical microscopy with a digital camera for image capture and a public domain histometry software. A total of 1182,9 ± 47,6 points (mean ± SEM) were counted in the cervical alveolar third, in 8,6 ± 0,3 (mean ± SEM) histological sections per alveolus (final magnification 100x), the percentage of points lying on bone trabeculae being proportional to their volume density. After confirmation of a normal distribution (Kolmogorov-Smirnov normality test, p>0,10) and comparison among groups by Analysis of Variance (gl = 4; F = 1,52; x2 = 0,13), histometric data confirmed that none of the anti-inflammatory drugs have detrimental effects in the volume fraction of new bone trabeculae filling the tooth extraction socket. Although experimental results obtained in animals may not be directly extrapolated to human neither induce to inferences about the clinical use of NSAIDs, numerous evidences have confirmed the deleterious effects of NSAIDs in the orthopedic clinic. Considering the reduced amount of studies on this subject pertaining to the dental field, more investigations are needed varying the experimental parameters and techniques, before the possibility of deleterious effects of NSAIDs in dental procedures requiring new bone formation are discharged.

Orientador: Arielle Cristina Arena / Resumo: Os anti-inflamatórios não esteroidais (AINEs), entre eles o Ibuprofeno, são amplamente utilizados para o tratamento da dor e de processos inflamatórios, e estão entre as classes de medicamentos mais utilizadas por gestantes. Através da inibição da enzima ciclo-oxigenase, os AINEs inibem a síntese de prostaglandinas, compostos eicosanoides que atuam não somente como mediadores e moduladores inflamatórios, mas também em diversos processos fisiológicos do organismo, como no mecanismo de diferenciação sexual hipotalâmica. O processo de masculinização do hipotálamo é dependente de testosterona, que por ação da enzima citocromo P450 aromatase, é convertida em estradiol. Este hormônio regula positivamente a expressão da enzima ciclo-oxigenase no hipotálamo, aumentando a produção de prostaglandina do subtipo E2 (PGE2), que atua aumentando a formação de espinhas dendríticas no núcleo sexualmente dimórfico da área pré-optica (SDN-POA). Em virtude da importância da PGE2 no processo de diferenciação sexual hipotalâmica, torna-se preocupante o uso de anti-inflamatórios durante a gestação. Desta forma, o objetivo desse estudo foi avaliar os possíveis efeitos resultantes da exposição in utero e lactacional ao ibuprofeno e suas repercussões tardias sobre parâmetros reprodutivos masculinos em ratos machos. Para tanto, ratas prenhes foram expostas a três doses de ibuprofeno (10; 30; 60 mg/kg) entre a última semana de prenhez (Dias gestacionais 15-21) até o final da lactação (Dias pós-natal 21)... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Non-steroidal anti-inflammatory drugs (NSAID), including Ibuprofen, are widely used in the treatment of pain and inflammatory processes, and are of the most commonly classes of drugs used by pregnant women. By inhibiting the cyclooxygenase enzyme (COX), NSAID inhibit the synthesis of prostaglandins, eicosanoids compounds that act not only as mediators and inflammatory modulators, but also in various physiological processes of the organism, such as in the mechanism of sexual hypothalamic differentiation. The hypothalamus masculinization process is testosterone dependent, which by action of the aromatase cytochrome P450 enzyme is metabolized to estradiol. This hormone upregulates the expression of COX enzyme in the hypothalamus, increasing the production of prostaglandin E2, which acts by increasing the formation of dendritic spines in the neurons of the sexually dimorphic nucleus of the preoptic area in males (SDN-POA). Due to the importance of prostaglandin E2 in the process of hypothalamic sexual differentiation, the use of anti-inflammatory drugs during pregnancy is of concern. Thus, the aim of this study was to evaluate the possible effects resulting from in utero and lactation exposure to non-steroidal anti-inflammatory ibuprofen and its late repercussions on male reproductive parameters in male rats. For this, pregnant rats were exposed to three doses of ibuprofen (10; 30; 60 mg/kg) between the last week of pregnancy (Gestational Days 15-21) until the end of lactation (P... (Complete abstract click electronic access below) / Mestre

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Thymol, a monoterpene phenol derivative of cymene, is found in abundance in the essential oils produced by numerous herbs and spices such as thyme (Thymus vulgaris L.), oregano (Origanum vulgaris L.) and Lippia alba (mill.). Several biological effects have been described for thymol such as antioxidant, anti-inflammatory, local anesthetics, antinoceptive, healing and antibacterial properties. It was described the application of thymol in food Science, as herbicidad and inseticides. Moreover, essential oils containing thymol have been used in folk medicine to treat various physiological disorders such as gastrites, indigestion and stomach pains. The present study investigated the gastroprotective actions of thymol (10, 30 and 100 mg/kg, p.o.) in the acute indomethacin and ethanol and chronic acetic acid-induced ulcer models in rats. Some of the mechanisms underlying to the gastroprotective effect of thymol were investigated in the ethanol-induced ulcer model. Gastric secretion parameters (volume, pH, and total acidity) were also evaluted by the pylorus ligature model, and the mucus in the gastric content was determined. The antimicrobial activity against Helicobacter pylori of thymol was performed using the agar-well diffusion method. Thymol produced a dose dependent reduction (p < 0.01) on the total lesion area in the ethanol-induced ulcer model. This gastroprotection was also evaluated microscopically showing that the thymol at all doses decreased the loss of epithelial cells. The gastroprotective response caused by thymol (30 mg/kg) was signigicantly attenuated (P < 0.001) by intraperitoneal treatment of rats with indomethacin (a non-selective inhibitior of cyclo-oxygenase, 10 mg/kg) and glibenclamide (ATP-sensitive K channel blocker), but not by DL-Propargylglycine (PAG, a cystathionine-γ-lyase inhibitor) and Nw-nitro-L-arginine methyl ester hydrochloride (L-NAME, a non-selective inhibitor of nitric oxide synthase). Thymol (30 and 100 mg/kg) also reduced the ulcer index (p < 0.05) and the total lesion area (p < 0.001) in the indomethacin and acetic-induced ulcer models, respectively. In the model of pylorus ligature, the treatment with thymol failed to significantly change the gastric secretion parameters. However, after treatment with thymol (30 and 100 mg/kg) there was a significant increase (p < 0.01) in mucus production. Thymol showed no antimicrobial activity against H. pilory in vitro. Collectively, the present results provide evidence that thymol displays gastroprotective actions on the acute and chronic ulcer models involving mechanisms as increased amount of mucus, prostaglandins, and ATP-sensitive K+ channels. / O timol, um monoterpeno fenólico derivado do cimeno encontrado abundantemente em óleos essenciais, é produzido por numerosas plantas aromáticas e especiarias tais como tomilho (Timus vulgaris L.), orégano (Origanum vulgaris L.) e Lippia alba (mill.). Diversos efeitos biológicos têm sido descritos para o timol tais como antioxidante, anti-inflamatório, anestésico local, antinoceptivo, cicatrizante e antibactericida. É descrita a aplicação do timol em ciências dos alimentos, herbicida e inseticidas. Além disso, óleos essenciais contendo timol tem sido usados pela medicina popular para tratar diversas desordens fisiológicas como gastrite, indigestão e dores estomacais. O presente estudo investigou ações gastroprotetoras do timol (10, 30 e 100 mg/kg, v.o.) em modelos de úlcera aguda induzida por indometacina e etanol, e crônica induzida por ácido acético em ratos. Alguns dos mecanismos subjacentes ao efeito gastroprotetor do timol foram investigados em modelo de úlcera induzida por etanol. Parâmetros da secreção gástrica (volume, pH; e acidez total) também foram avaliados pelo modelo de ligadura de piloro, e o conteúdo do muco gástrico foi determinado. A atividade contra Helicobacter pylori do timol foi realizada pelo método de difusão em ágar. O timol produziu efeito dose-dependente reduzindo (p < 0,01) a área total de lesão em modelo de úlcera induzida por etanol. Esta gastroproteção também foi avaliada microscopicamente mostrando que o timol, em todas as doses, diminuiu a perda das células epiteliais. A resposta gastroprotetora causada pelo timol (30 mg/kg) foi significativamente atenuada (p < 0,001) pelo tratamento intraperitoneal dos ratos com indometacina (um inibidor não-seletivo da ciclo-oxigenase, 10 mg/kg) e glibenclamida (bloqueador de canais para potássio sensíveis a ATP), mas não pela DL-Propargilglicina (PAG, inibidor da cistationina-γ-liase) ou Nw-nitro-L-arginina metil éster cloridrato (L-NAME, um inibidor não-seletivo da sintase do óxido nítrico). O timol (30 e 100 mg/kg) também reduziu o índice de úlcera (p < 0,05) e área total de lesão (p < 0,001) por indometacina e por ácido acético, respectivamente. Em modelo de ligadura de piloro, o tratamento com timol não alterou os parâmetros de secreção gástrica. No entanto, após o tratamento com o timol houve um aumento significativo (p < 0,01) na produção do muco. O timol não apresentou atividade contra H. pylori in vitro. Coletivamente, os resultados apresentados fornecem evidências de que o timol exibe ações gastroprotetoras sobre os modelos de úlceras agudas e crônicas envolvendo mecanismos como o aumento da quantidade de muco, prostaglandinas e canais para potássio sensíveis a ATP.

The effects of parathyroid hormone (PTH), prostaglandins (PGE1, PGE2, PGF2a), cAMP, cAMP-analogues, phosphodiesterase (PDE) inhibitors and la (OH) D3 on bone resorption and associated cellular process have been studied in a bone organ culture system using half- calvaria from 6-7 day-old mice. Bone resorption was assessed by determining the release of calcium (Ca2+), inorganic phosphate (Pi) and 45Ca from the calvarial bones to the culture media. The release of lysosomal enzymes was studied by analysing the activities of β-glucuronidase, β-N-acetyl- glucosaminidase, β-galactosidase and p-nitrophenyl phosphatase in bone expiants and culture media. The release of non-lysosomal enzymes was followed by assaying the activities of lactate dehydrogenase (LDH), aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT) in the expiants as well as the media. In addition glucose consumption and lactate production was registered. The findings may be summarized as follows: 1. cAMP and PDE-inhibitors have the capacity to inhibit the initial stages of spontaneous as well as PTH- PGE1- and PGE2-stimulated bone resorption. 2. cAMP and PDE-inhibitors produce after a lag period, or a period of reduced bone resorption, a stimulatory effect on bone resorption. 3. There is a significant correlation between bone resorption and lysosomal enzyme release both as regards the inhibitory and stimulatory effect of cAMP. 4. PGE2 and la (OH) D3 increase the release of lysosomal enzymes in parallel with bone resorption. 5. Bone resorption stimulated by cAMP and PGE2 is associated with increased glucose consumption and lactate production, while la (OH) D3 promotes bone resorption without any change with regard to these parameters of glucose metabolism. It is concluded that the initial stages of bone resorption stimulated by PTH, PGE1 and PGE2 is medited by cAMP-independent mechanisms, but that this nucleotide may be an intracellular mediator of these hormones of later stages of bone resorption. It is suggested that the role played by cAMP may be related to the capacity of PTH and PGE2 to develop new osteoclasts. The observations further support the concept that lysosomal enzyme release is intimately associated with bone resorption. Finally it is concluded that increased lactate production seems to be related to bone resorption stimulated by agents which increase the level of cAMP (PTH, PGE2, dbcAMP), but that it is not an indispensible part of the mechanism by which the osteoclasts solubilize bone mineral. / digitalisering@umu.se

Corpus luteum (CL), a transient endocrine structure formed from the ruptured ovarian follicle after ovulation, secretes progesterone (P4) that is essential for establishment and maintenance of pregnancy in mammals. The biosynthesis and secretion of P4 from CL depends, in general, on trophic hormones of the anterior pituitary gland and on hormones or factors originating from ovary, uterus, embryo and placenta. The structure and function of CL tissue is regulated by intricate interplay between two types of factors, namely, the luteotrophic factors, which stimulate CL growth and function, i.e., P4 secretion, and the luteolytic factors, which inhibit CL function and lead to luteal regression. In monoovulatory species such as higher primates and bovines, a striking diversity in the regulation of CL function exists not only between species, but also within the species during different stages of the luteal phase. In higher primates, unlike other species, one of the important characteristics of CL regulation is that, during non-fertile cycle, circulating LH appears to be the sole trophic factor responsible for maintenance of its function, and during fertile cycle, chorionic gonadotropin (CG), an LH analogue, originating from placenta maintains CL function. In higher primates, the role/involvement of luteolytic factors during luteolysis remains elusive. On the other hand, in the bovine species, the role/involvement of luteolytic factor, prostaglandin (PG) F2α during luteolysis is well established. It should be pointed out that in both the species, the mechanism of luteolysis is still poorly understood and the work presented in this thesis attempts to address these lacunae. Further, in bovines, studies have been carried out to examine potential trophic factor(s) responsible for the maintenance of CL function. Chapter I provides an extensive review of literature on CL structure and function with emphasis on factors that influence its growth, development, function and demise in primates and bovines. In Chapter II, employing bonnet monkey (Macaca radiata) as the representative animal model for higher primates, various studies have been conducted to examine the role of molecular modulators involved in regulation of CL function, particularly during spontaneous luteolysis. Although, it is well established that LH is essential for the maintenance of CL function in higher primates, the mechanism(s) responsible for the decline in serum P4 levels at the end of non-fertile cycles, without a concomitant change in circulating LH milieu, remains to be addressed. Several experiments have been conducted to examine the component(s) of luteotrophic (LH/CG) signaling that is/are modulated during luteolysis in the bonnet monkey CL. To understand the relative lack of responsiveness of CL to the circulating LH during the late luteal phase, LH/CG receptor (R) dynamics (expression of LH/CGR and its various transcript variants) was examined throughout the luteal phase and during different functional states of the monkey CL. The results indicated presence of LH/CGR mRNA, its transcript variants and functional LH/CGR protein in the monkey CL on day 1 of menses. Moreover, the functionality of receptors was tested by confirming the biological response of the CL to bolus administration of exogenous LH preparations, which eventually suggested factor(s) downstream of LH/CGR activation to account for the decline in CL function observed during non-fertile cycle. Studies have been conducted to identify molecular modulators that would selectively exploit intraluteal processes to regulate trophic signaling pathways that are critical to the control of luteal function. Immunoblot and qPCR analyses were carried out to examine presence and activation of Src family of kinases (SFKs) and cAMP-phosphodiesterases (PDEs) during various functional states of CL. The results revealed an increased activation of Src (phosphorylated at Tyr 416) during spontaneous and PGF2α/CET-induced luteolysis that may participate in the regulation of cAMP levels in part by increasing the cAMP-PDE activity observed during spontaneous luteolysis. This observation raised the question on the possible mechanism by which CG, an analog of pituitary LH, rescues CL function during early pregnancy. Thus, subsequent experiments involving LH/hCG administration in CET-treated animals as well as simulated early pregnancy animal model were conducted and the results revealed that, a bolus of LH/hCG decreased Src activation and cAMP-PDE activity accompanying a momentous increase in cAMP levels in both these models that further led to a concomitant increase in P4 secretion. Although the mechanisms of action of LH/CG involve modulation of a number of signaling pathways in the CL, by far, the results from various experiments suggested that it leads to activation of Src kinase and cAMP-PDE, thus causing inhibition of various elements of the primary signaling cascade- AC/cAMP/PKA/CREB during spontaneous luteolysis. One of the consequences of activation of Src kinase and cAMP-PDE was the regulation of expression of genes associated with steroidogenesis and it was observed that expression of SR-B1, a membrane receptor associated with trafficking of HDL-CE into the luteal cells, was lower in the regressed CL. The results taken together suggest that the decrease in responsiveness of CL to LH milieu during non-fertile cycles is not associated with changes in LH/CGR dynamics, but, is instead coupled to the activation of Src kinase and cAMP-PDE, inhibition of molecules downstream of LH signaling, and a decrease in the SR-B1 expression that regulates cholesterol economy of the luteal cell, and in turn, P4 secretion. The control of primate CL function appears to be dominated by the luteotrophic factors (LH/CG) over the luteolytic factors, since the process of luteal regression was overcome by administration of LH/CG. Further, in the primate CL, the molecular modulators of LH/CG signaling (Src kinase and PDE) are maintained in the repressed state by the luteotrophic factor LH/CG for maximum steroidogenic function. In contrast, in non-primate species, without invoking a role for the luteotrophic factor, essentially the synthesis and secretion of luteolytic factor, PGF2α, from the uterus is kept in check during pregnancy by the trophoblast derived IFN- and thus allowing CL to continue to function that is essential for maintenance of pregnancy. In the bovine species, the mechanism of PGF2α-induced luteolysis that involves a change in expression of genes associated with various processes of cellular function is poorly understood. Experiments were conducted utilizing buffalo cows (Bubalus bubalis) as a model system, to determine temporal changes in the global gene expression profile of the CL in response to PGF2α treatment. For this purpose, CL tissues were collected on day 11 of estrous cycle without treatment (designated as 0 h) and at 3, 6 and 18 h post PGF2α treatment for various analyses. Global changes in gene expression pattern in the CL were investigated employing Affymetrix GeneChip bovine genome array and the results are presented in Chapter III. The hybridization intensity values obtained by microarray analysis were subjected to R/Bioconductor tool. Following the application of highly stringent statistical filters to eliminate false positives, a set of differentially expressed genes were identified. The differentially expressed genes were further classified based on a fold change cut-off filter of ≥2, and the analysis revealed 127 genes to be differentially expressed within 3 h of PGF2α administration, of these 64 and 63 genes were up-regulated and down-regulated, respectively. Analysis of microarray data at 6 h post PGF2α administration revealed 774 genes to be differentially expressed, of which 544 genes were up-regulated, while 230 genes were down-regulated. The microarray analysis performed on CL tissues collected at 18 h post PGF2α administration showed that out of the total 939 differentially expressed genes, 571 genes were up-regulated, while 368 genes were down-regulated. Analysis of the ontology report for the biological processes category showed that initially in response to PGF2α administration, genes regulating steroidogenesis, cell survival and transcription were differentially regulated in the CL, but at later time points, differential expression of genes involved in apoptosis, PGF2α metabolism, tissue remodeling and angiogenesis was observed. Further, involvement of molecules downstream of LH/IGF-1 activation was investigated and the results obtained indicated that PGF2α interfered with the LH/IGF-1 signaling since the expression of LH/CGR, GHR and pAkt were down-regulated following PGF2αadministration. Furthermore, the functional luteolysis observed post PGF2αadministration appeared to be due to an interruption in cholesterol trafficking to inner mitochondrial membrane, since StAR expression was inhibited. The results obtained also demonstrated that the expression of AGTR1, VEGFR2 and R3 were down-regulated following PGF 2α administration. Further, the data obtained also suggested modulation of expression of pro- and anti-angiogenic factors upon PGF2α-treatment indicative of an involvement of other autocrine or paracrine factor(s) in the regression of bovine CL. This was an interesting finding as it suggests a novel and potential functional relationship between angiogenesis and the luteolytic response of CL to PGF2α administration. In bovines, despite extensive research being carried out to examine factors involved in the regulation of development and function of the CL, the trophic factor(s) required for maintenance of CL function, especially, P4 biosynthesis and secretion are not well characterized. It was hypothesized that the function of the CL during its finite lifespan must be responsive to LH as well as to various growth factors. Thus, experiments were conducted to examine the effects of increased LH and GH/IGF-I on the maintenance of CL function during mid luteal phase and post PGF2α administration and the results of these studies are presented in Chapter IV. To elucidate the role of LH as a trophic factor in the regulation of CL function, effects of increased endogenous LH through GnRH administration and exogenous hCG injections were examined. The results indicated an absence of noticeable effect of various hCG/GnRH treatments on circulating P4 levels. On the other hand, administration of GH resulted in increased serum IGF-1 and P4 levels. It was further observed that the administration of a combination of hCG and GH increased serum P4 levels better than treatment with GH alone. Further experiments were carried out to examine the complex reciprocal relationship between LH/GH and PGF2α on expression of genes involved in the regulation of luteal structure and function. In buffalo cows, administration of exogenous hCG and/or GH following inhibition of CL function by PGF2α administration did not prevent the PGF2α-induced decline in serum P4 levels, but PGF2-mediated decrease in expression of LH/CGR and GHR genes was prevented upon GH administration. However, the decrease in StAR expression was not restored by hCG and GH treatments, thereby indicating that PGF2 action was not prevented by hCG and/or GH treatments. Taken together, the results of studies carried out in buffalo cows employing various experimental model systems suggest essential role for LH and GH/IGF-1, however, these factors were unable to reverse PGF2α-induced luteolysis. Further, our crucial findings of the effects of increased endogenous LH and IGF-1, in addition to their relationship with luteolytic agents such as PGF2α will open new avenues for studying the mechanisms involved in the regulation of structural and functional properties of the buffalo CL. It is well known that a large number of buffalo cows experience loss of pregnancy and infertility due to inadequate luteal function and/or failure of timely insemination. Results from our studies suggest that the incorporation of PGF2α and hCG or GH/IGF-1 protocols in buffalo cows to be beneficial for improving their breeding efficiency as these protocols are likely to increase luteal function with defined luteolysis. To summarize, the results of studies described in the present thesis provide new insights into the physiological and molecular mechanisms involved in the regulation of CL function during luteolysis in the monoovulatory species. The results suggest that the maintenance of CL function appears to be dependent on both luteotrophic and luteolytic factors, but with a varied degree of dominance between the two species examined. Further, the results indicate that while the luteotrophic factors (LH/CG) dominate the CL regulation in primates, the regulation of CL function in bovines is dominated by the actions of luteolytic factor (PGF2α). In monoovulatory species, the luteotrophic and luteolytic factors following binding to their specific plasma membrane receptors on the luteal cells, would counteract each other and modulate activation of various downstream signaling molecules subsequently leading to regulation of gene expression and P4 secretion (Fig.5.1). LH: luteinizing hormone; CG: chorionic gonadotropin; LH/CGR: LH/CG receptor; Gαs: stimulatory α-subunit of trimeric G-protein; AC: adenylate cyclase; cAMP: cyclic adenosine monophosphate; PKA: protein kinase A; p: phosphorylation: CREB: cAMP response element binding protein; SR-B1: scavenger receptor class B, type I; SF-1: steroidogenic factor 1; LRH-1: liver receptor homologue 1; P4; progesterone; Src; sarcoma; PDE4D: cAMP phosphodiesterase 4D; StAR, steroidogenic acute regulatory protein; PGF2α: prostaglandin F2α; PTGFR: PGF2α receptor; PLC: phospholipase C; CYP19A1: cytochrome P450 aromatase; PTGR1: Prostaglandin reductase 1; AREG: Amphiregulin; RTK: receptor tyrosine kinase; Akt: protein kinase B; FKHR: forkhead transcription factor; DAPL1: death associated protein like 1; ARG2: Arginase, type II Growth factor LH/CGR RR AC Gαs ? Gα TT P? Gα K PKP src cAMP ? P Akt PDE4D P PFKHR FKHR CREB P LRH-1CREB P SF-1 Genes associated with Genes associated with apoptosis ? CYP19A1, apoptosis SR-B1 PTGR1 DAPL1 SF-1, LRH-1 AREG ARG 2 P4 biosynthesis Apoptosis? P4 biosynthesis Apoptosis MONKEY BUFFALO COW Shown here is the diagram depicting intracellular signaling pathways regulated by luteotrophic factor (LH) and luteolytic factor (PGF2α) and their cross talk to counteract changes in the expressions of genes associated with the biosynthesis and secretion of P4 and apoptosis in the CL. In primates, LH/CG activates a multitude of intracellular signaling cascades, primarily Gαs/AC/cAMP/PKA/CREB leading to changes in gene expression. LH during early and mid luteal phase and CG during pregnancy maintain the activation of Src and PDE in an inhibitory state. However, during the late luteal phase of non-fertile cycle, results in present study suggests that activated Src levels and PDE activity increase, with accompanying decrease in cAMP and pCREB levels leading to concomitant decrease in SR-B1 expression, and in turn, P4 secretion. Surprisingly, regulation of apoptotic gene expression and CL regression are still unclear. In bovines, PGF2α of uterine origin mediates changes in luteal gene expression and results in decreased P4 secretion, principally by reduction in StAR level. The present study suggests that during luteolysis PGF2α affects the genes regulated by LH, by interfering with LH (and perhaps IGF-1) signaling leading to alteration in the expression of genes crucial for CL structure and function. (Pl refer the abstract file for figures)

O veneno da serpente Crotalus durissus terrificus e seus componentes desencadeiam importantes efeitos biológicos que envolvem direta e/ou indiretamente, componentes do sistema circulatório. Contudo, não há estudos específicos na literatura sobre os efeitos do veneno crotálico ou de suas toxinas, em células endoteliais. As células endoteliais constituem a camada de revestimento interna dos vasos sanguíneos, denominada endotélio. Este tecido é metabolicamente ativo, com função protetora do sistema cardiovascular e desempenha papel central na regulação da função circulatória, através do controle da coagulação, permeabilidade e do tônus vascular. Neste contexto, este estudo teve como objetivo avaliar os efeitos do veneno de Crotalus durissus terrificus (VCdt), do seu componente majoritário, a crotoxina (CTX) e de suas subunidades, fosfolipase A2 (CB) e crotapotina (CA), sobre células endoteliais, em cultura, quanto à: i) viabilidade e proliferação celular; ii) integridade das monocamadas; iii) produção de óxido nítrico, de prostaciclina e mecanismos envolvidos neste efeito. Os resultados obtidos demonstram que o veneno de Crotalus durissus terrificus afetou a viabilidade e a integridade de células endoteliais em cultura, de modo tempo-dependente e apenas na maior concentração, sugerindo sua baixa toxicidade sobre as células endoteliais. A subunidade CB, mas não a CTX nem a crotapotina, reproduziu os efeitos causados pelo VCdt. Em concentrações não citotóxicas, tanto o veneno quanto as toxinas não alteraram a proliferação celular nem a produção basal de óxido nítrico pelas células endoteliais. Por outro lado, o veneno e a subunidade CB, mas não a CTX nem a CA causaram aumento significativo da produção de prostaciclina, via COX-1 e COX-2, sendo que a expressão protéica da isoforma COX-2 foi induzida por estes agentes. Além disso, foi demonstrado que a fosfolipase citosólica é relevante para o aumento da produção de prostaciclina, induzido pela CB. Adicionalmente, foi demonstrado que a atividade catalítica da subunidade CB é essencial para os efeitos descritos. Isto reforça a sugestão de que a subunidade fosfolipásica, isoladamente, possa contribuir para os efeitos do veneno total no endotélio. Nesse sentido, se houver alguma fração desta enzima na sua forma livre, no veneno total, sugere-se que ela contribua, de modo significativo, para os efeitos do veneno de Crotalus durissus terrificus no endotélio. / Crotalus durissus terrificus snake venom (CdtV) and their components induces systemic effects, which interfere with blood vessel system. Endothelial cells (EC) are central elements for haemostasis, regulating blood vessel-wall permeability, blood fluidity and adhesion properties of circulating leukocytes. However, there is no available data on the effects of this venom and its components on endothelial cells. In this study, the effects of CdtV, crotoxin (CTX) which is formed by two distinct subunits named crotapotin (CA) and phospholipase A2 (CB), on endothelial cells in vitro were investigated, analyzing EC viability and proliferation, EC monolayers integrity, release of both nitric oxide and prostacyclin (PGI2). CdtV, at the highest concentration, time-dependently decreased the viability of EC and the integrity of cell monolayers. The CB subunit, but not CTX nor CA, reproduced the effects caused by crude venom. In contrast, neither EC proliferation nor release of oxide nitric were affected by non-cytotoxic concentrations of CdtV or isolated toxins. However, at the same experimental condition, both CdtV and CB increased the prostacyclin release by endothelium through activation of COX-1 and -2 enzyme systems. Moreover, these toxins upregulated protein expression of COX-2 isoform, but did not alter constitutive expression of COX-1. On the other hand, neither CTX nor CA affected basal production of PGI2. Inhibition of cytosolic PLA2 (cPLA2) by AACOCF3 significantly reduced PGI2 increments caused by both CdtV and CB implying that cPLA2 cooperates for the synthesis of PGI2 induced by them. Inhibition of the catalytic activity of CB abrogated its ability to induce the release of PGI2, thus suggesting the importance of the phospholipase A2 enzyme activity for this effect. These findings provide evidence that CdtV and CB can directly activate EC and up-regulate cyclooxygenase pathways for production of prostacyclin, an important mediator of vasodilation and inflammation. Moreover, CB through its catalytic activity may significantly contribute for the stimulatory effect of CdtV in EC. Therefore, these findings indicate novel regulatory mechanisms for both CdtV and venom secretory PLA2 in endothelial cells.

We have studied aspirin as a potential chemopreventive for colorectal cancer, completing Phase I studies on aspirin pharmacology and potential biomarker assays (prostaglandins, PGE2 and PGF(2α) and cyclooxygenase modulation) in normal human subjects. These studies have determined the optimal dose of aspirin for future Phase IIa and IIb chemopreventive trials in high-risk cohorts of patients for colon cancer. Aspirin's effects on rectal prostaglandins are prolonged, detectable even after aspirin and its metabolite are removed from the plasma. Aspirin-mediated inhibition of prostaglandin production in the human rectal epithelium may be related to direct suppression of cyclooxygenase transcription and not to enzyme inactivation by acetylation. A systematic method to monitor adherence (self- report, telephone contact, pill count, and microelectronic monitoring) has been established for future trials. Strategies to improve recruitment of high-risk cohorts have been developed. Phase IIa non-randomized studies with aspirin at 81 mg in high-risk cohorts (resected Duke's A colon cancer, Duke's C colon cancer treated with adjuvant therapy and disease-free at 5 years, history of colon adenomas > 1 cm, two or more first-degree relatives with colon cancer, and familial adenomatous polyposis and hereditary non-polyposis colorectal cancer syndromes) are currently being conducted for surrogate end- point biomarker (prostaglandins, cyclooxygenase, cellular mucins, and proliferation) modulation.

De två läkemedel som administreras vid medicinsk abort i Sverige idag består av de aktiva substanserna mifepriston respektive misoprostol. Behandlingskuren bygger på effekter hos de endogena ämnena progesteron och prostaglandiner. I denna studie beskrivs fysiologiska processer under graviditeten med avseende på progesteron och prostaglandiner samt vid medicinsk abort med avseende på mifepriston och misoprostol. Valet av fokus på fysiologiska processer speglar biologilärarens didaktiska uppgift i att undervisa om hur människokroppen fungerar och dess interaktion med läkemedel. Slutligen presenteras och diskuteras även möjligheter och svårigheter med undervisning om abort inom ramen för högstadie- och gymnasieskolans biologiundervisning. / The drugs administrated to cause medical abortion consist of one tablet with the active substance mifepristone and one with the active substance misoprostol. The regime is based on effects of the endogenic substances progesterone and prostaglandins. In this study, physiological processes in pregnancy regarding progesterone and prostaglandins are described, as well as the physiological processes in medical abortion with respect to mifepristone and misoprostol. The focus on physiological processes relates to the mission of the biology teacher to explain how the human body works and interacts with medical drugs. Finally, opportunities and difficulties with instructions on abortion in secondary and upper secondary school biology are presented and discussed.

Ralph Schönfelder Untersuchungen zum Einfluss verschiedener Dosierungsintervalle von Dorzolamid, Dorzolamid-Timolol und Latanoprost auf den Intraokulardruck normotensiver Hunde Klinik für Kleintiere, Veterinärmedizinische Fakultät der Universität Leipzig Eingereicht im März 2010 Bibliografische Angaben: 93 S., 27 Abb., 14 Tab., 224 Lit., Anhang mit 2 Abb., 4 Tab. Schlüsselwörter: Glaukom, Intraokulardruck, Prostaglandine, Karboanhydrasehemmer, Timolol, Hund Das Glaukom beim Hund ist ein Notfall, der eine rasche Senkung des erhöhten Intraokulardruckes verlangt, um dem Verlust der Sehfähigkeit und den auftretenden Schmerzen entgegen zu wirken. Die medikamentöse Behandlung ist dabei ein wichtiger Bestandteil. Das Ziel der vorliegenden Arbeit war es, den Effekt der lokal applizierten Wirkstoffe Dorzolamid, Dorzolamid-Timolol und Latanoprost zur Senkung des Intraokulardruckes bei verschiedenen Dosierungsintervallen zu untersuchen. Für jeden Wirkstoff wurden an vier aufeinander folgenden Tagen tonometrische Messungen des Intraokulardruckes mit dem Tonopen-XL als Kontrolle durchgeführt. Anschließend erfolgte eine Verlaufsuntersuchung, in welcher der Einfluss jedes der drei Wirkstoffe auf den Intraokulardruck bei ein- und zweimal täglicher Applikation jeweils vier Tage lang untersucht wurde. Dabei erfolgten Messungen von Intraokularduck, Pupillendurchmesser und konjunktivaler Irritation beider Augen von zehn Hunden (Beagle) jeweils 8.00; 10.00; 12.00; 16.00; 20.00; 22.00; 24.00; 4.00 Uhr. Bei dreimal täglicher Applikation von Dorzolamid und Dorzolamid-Timolol erfolgten zusätzlich 7.00, 15.00 und 23.00 Uhr Tonometrien. Die einmalige Applikation des Wirkstoffes erfolgte 8.00, die zweimalige Applikation 8.00 und 20.00 Uhr sowie 7.00, 15.00 und 23.00 Uhr die dreimalige Applikation. Für jeden Wirkstoff wurde an Tag fünf, nach Beendigung der Applikationen, die Normalisierung des Intraokulardruckes überprüft. Die Ergebnisse wurden nach Applikationshäufigkeit sowie vergleichend analysiert. Dies erfolgte mittels Friedman-Test für drei und mehr k-verbundene Stichproben als Zwei-Weg Varianzanalyse. Ohne Dorzolamidapplikation betrug der Mittelwert des Intraokulardruckes ± SEM am 91 ersten Tag 12,3 ± 0,5 sowie am zweiten, dritten und vierten Tag 12,5 ± 0,4 mmHg, 11,2 ± 0,4 mmHg und 11,0 ± 0,4 mm Hg. Die einmal tägliche Applikation von Dorzolamid führte mit 7,6 ± 0,4 mm Hg am ersten Tag sowie nachfolgend 8,7 ± 0,3 mmHg, 8,6 ± 0,2 sowie 8,3 ± 0,2 mm Hg zu einer signifikanten Drucksenkung. Die zweimalige Applikation von Dorzolamid wies mit 9,6 ± 0,4 mmHg am ersten Tag sowie 7,4 ± 0,4 mmHg, 6,7 ± 0,3 mmHg und 6,6 ± 0,3 mmHg am zweiten, dritten und vierten Tag, das größte Potential zu einer signifikant stärkeren Absenkung des Intraokulardruckes im Vergleich zu Dorzolamid-Timolol und Latanoprost auf. Nach dreimal täglicher Applikation von Dorzolamid trat mit 8,0 ± 0,2 mmHg am ersten Tag und 7,0 ± 0,3 am zweiten sowie 7,6 ± 0,3 mm Hg am dritten und vierten Tag, eine signifikant stärkere, den Intraokulardruck senkende Wirkung im Vergleich zu Dorzolamid-Timolol ein. Ohne Applikation von Dorzolamid-Timolol lag der Mittelwert des IOD ± SEM vom ersten bis vierten Tag bei 10,6 ± 0,4 mmHg, 11,6 ± 0,5 mm Hg, 11,6 ± 0,6 mmHg und 11,2 ± 0,4 mmHg. Bei einmal täglicher Applikation wurden vom ersten bis vierten Tag folgende Werte mit signifikanter Senkung des IOD bestimmt: 7,6 ± 0,4 mmHg, 7,1 ± 0,3 mmHg, 8,6 ± 0,3 mmHg und 9,6 ± 0,3 mmHg. Bei zweimal täglicher Applikation lag der Mittelwert des IOD bei 9,8 ± 0,5 mmHg, am zweiten bis vierten Tag 8,2 ± 0,4 mmHg, 8,6 ± 0,4 mmHg und 7,3 ± 0,2 mmHg. Die dreimalige Applikation führte zu einem Mittelwert des IOD von 8,1 ± 0,3 mmHg am ersten Tag sowie 8,7 ± 0,3 mmHg, 7,8 ± 0,3 mmHg und 7,3 ± 0,3 mmHg am zweiten bis vierten Tag der Studie. Bei der Untersuchung von Latanoprost lag der Mittelwert des IOD ± SEM ohne Applikation bei 9,9 ± 0,3 mmHg am ersten sowie 10,0 ± 0,3 mmHg, 10,0 ± 0,3 mmHg und 9,8 ± 0,2 mmHg am zweiten bis vierten Tag. Bei einmaliger Applikation lag dieser entsprechend bei 9,8 ± 0,3 mmHg, 8,7 ± 0,2 mmHg, 9,0 ± 0,3 und 10,1 ± 0,4 mmHg Nach zweimaliger Applikation betrug er am ersten Tag 9,9 ± 0,3 mmHg, am zweiten bis vierten Tag 9,3 ± 0,4 mmHg, 8,9 ± 0,4 mmHg sowie 8,9 ± 0,3 mmHg. Der Einfluss alller drei Wirkstoffe auf den mittleren Pupillendurchmesser wurde untersucht. Bei einmal- und zweimal-täglicher Applikation von Latanoprost trat mit einer Differenz im Median von 2,5 bzw. 4,7 im Vergleich ohne Applikation eine ausgeprägte Miosis auf. Schließlich wurde die Wirkung auf die Bindehaut durch Ermittlung des Grades der konjunktivalen Irritation bestimmt. Die Applikation von Latanoprost führte dabei zu deutlichen Reizungen der Konjunktiva bis hin zu verstärkter Hyperämie, in einigen Fällen zu konjunktivalem Ödem sowie vereinzelt zu Juckreiz.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.