Objetivos: O objetivo deste estudo foi comparar os índices de Pulsatilidade (IP) e Resistência (IR) das artérias uterinas, o volume uterino e a espessura endometrial após o uso do Sistema Intra-uterino de Levonorgestrel (SIU-LNG) ou do agonista do GnRHa (GnRHa) em pacientes portadoras de endometriose pélvica. Pacientes e métodos: Setenta e nove mulheres voluntárias, com idade entre 18 e 40 anos, foram incluídas neste ensaio clínico comparativo, prospectivo, randomizado e controlado. Dezoito foram eliminadas do estudo baseadas nos critérios de exclusão, As 61 pacientes remanescentes foram divididas em dois grupos: 31 pacientes fizeram parte do grupo SIU-LNG (uma foi excluída antes da inserção por apresentar-se grávida) e 30 fizeram parte do grupo GnRHa. Foram submetidasa exame ultra-sonográfico transvaginal bidimensional no dia em que iniciaram o tratamento (inserção do SIU-LNG ou administração de uma ampola de 3,75 mg de GnRHa por via intra-muscular) e seis meses após, avaliando a espessura endometrial, o volume uterino e os IR e IP das artérias uterinas. Resultados: Ambos tratamentos promoveram redução da espessura endometrial (6.08±3.00mm para 2.70±0.98mm e 6.96±3.82mm para 3.23±2.32mm - média ±SD, grupo SIU-LNG e grupo GnRHa, respectivamente). O volume uterino teve redução no grupo usuário do GnRHa (86.67±28.38cm3 para 55.27±25.52cm3) sem alteração significativa nas usuárias do SIU-LNG (75.77±20.88cm3 para 75.97±26.62cm3). Em relação à ascularização uterina, notamos incremento dos IP das artérias uterinas em ambos os grupos (grupo SIU-LNG: artéria uterina direita de 2.38±0.72 para 2.76±0.99 (média ±SD) e artéria uterina esquerda 2.46±0.70 para 2.87±0.96, e grupo GnRHa: artéria uterina direita 2.04±0.59 para 3.12±0.98 eartéria uterina esquerda 2.24±0.59 para 3.15±0.89). Em relação ao IR das artérias uterinas, observamos incremento no grupo GnRHa em ambas artérias e somente na artéria uterina esquerda no grupo SIU-LNG (grupoSIU-LNG - artéria uterina direita de 0.85±0.08 para 0.88±0.07 e artéria uterina esquerda de 0.86±0.07 para 0.89±0.06, e grupo GnRHa: artéria uterina direita de 0.81±0.07 para 0.93±0.09 e artéria uterina esquerda 0.84±0.06 para 0.93±0.09). No entanto, ao compararmos as diferenças, a elevação foi significativamente maior nas usuárias do GnRHa. Conclusões: Ambos GnRHa e SIU-LNG promoveram redução na espessura endometrial e aumento no IP das artérias uterinas. Houve redução do volume uterino nas usuárias do grupo GnRHa, não se alterando no grupo SIU-LNG. Em relação ao IR, houve incremento em ambas as artérias nas usuárias de GnRHa e somente na artéria uterina esquerda nas usuárias do SIU-LNG. / Objectives:The objective of the present study was to compare the uterine arteries pulsatility index (PI) and resistence index (IR), uterine volume and endometrial thickness changes promoted by the use of the levonorgestrel intrauterine device (LNG-IUD) and the gonadotropin-releasing hormone analogue (GnRHa)in patients with endometriosis. Methods: Seventy nine women aged 18 to 40 years were included in this randomized controlled trial. Eighteen was excluded based on the exclusion criteria. The patients were randomly allocated in two groups: 31 women who used the LNG-IUD (since one became pregnant before insertion and wasexcluded) and 30 who used monthly GnRHa injections. They were submitted to a transvaginal two dimensional ultrasound scan on the day the treatment started and 6 months later, for the evaluation of uterine arteries PI, uterine arteries RI, uterine volume and endometrial thickness. Results: The use of LNG-IUD promoted an ndometrial thickness decrease (6.08±3.00mm to 2.7±0.98mm; mean±SD) as does the use of GnRHa (6.96±3.82mm to 3.23±2.32mm). The uterine volume decreased in the GnRHa group (86.67±28.38cm3to 55.27±25.52cm3), but not in the LNG-IUD group (75.77±20.88cm3 to 75.97±26.62cm3). Uterine arteries PI increased in both groups : Uterine arteries PI: LNG-IUD right uterine arterie 2.38 ± 0.72 to 2.76 ± 0.99 and left uterine arterie 2.46 ± 0.70 to 2.87 ± 0.96, and GnRHa right uterine arterie 2.04 ± 0.59 to 3.12 ± 0.98 and left uterine arterie 2.24±0.59 to 3.15 ± 0.89. Uterine arteries RI increased in both arteries in GnRHa and only in the left uterine arterie in the LNG-IUD :Uterine arteries RI : LNG-IUD right uterine arterie 0.85 ± 0..08 to 0.88 ± 0.07 and left uterine arterie 0.86 ± 0.07 to 0.89 ± 0.06, and GnRHa right uterine arterie 0.81 ± 0.07 to 0.93 ± 0.09 and left uterine arterie 0.84 ± 0.06 to 0.93 ± 0.09 . However, the increase was significant higher in the GnRHa group. Conclusions: Both GnRHa and LNG-IUD promoted an endometrial thickness decrease and an increase in the uterine arteries PI. The uterine volume decreased in women who used GnRHa, but not in those who used LNG-IUD.

O conhecimento das implicações da variabilidade genética em populações de inimigos naturais, principalmente parasitoides, é de vital importância para a otimização de programas de controle biológico. Desta forma, o presente trabalho teve por objetivo determinar como a variabilidade genética influencia diferentes parâmetros biológicos de Trichogramma pretiosum Riley, 1879 em experimentos de laboratório e de campo. Para que este objetivo fosse atingido, foram avaliados: 1) o efeito da seleção de isolinhagens de T. pretiosum em condições de laboratório, marcadas por meio do DNA mitocondrial, no subsequente desempenho de campo; 2) como a UR afeta a capacidade de voo de isolinhagens, marcadas por meio do DNA mitocondrial, de espécimes de T. pretiosum oriundas do Brasil e EUA; 3) a compatibilidade reprodutiva entre isolinhagens norteamericanas e brasileira de T. pretiosum, avaliada por meio de uma abordagem integrativa e 4) o possível estabelecimento de uma linhagem de T. pretiosum proveniente da Colômbia num novo ecossistema, no Nordeste brasileiro. Com base nos resultados do presente trabalho conclui-se que a variabilidade genética de T. pretiosum exerce grande influência em parâmetros biológicos do parasitoide, uma vez que: 1) os diferentes desempenhos reprodutivos das isolinhagens em condições de laboratório foram correspondentes àqueles em condições de campo, sendo as sequências mitocondriais uma técnica de marcação precisa e eficiente para avaliação do desempenho de T. pretiosum em condições de campo; 2) para algumas isolinhagens, as condições ambientais do local onde se pretende liberar T. pretiosum, se distintas do hábitat natural do parasitoide, podem afetar negativamente o voo deste inseto; 3) foi registrada incompatibilidade reprodutiva leve e diferenças morfológicas mais pronunciadas entre as isolinhagens americanas e brasileira, geneticamente variáveis; 4) foram observados fortes indícios de que uma linhagem de T. pretiosum, introduzida em Petrolina, PE há 22 anos, trazida de Palmira, Colômbia, se estabeleceu naquela região. / The knowledge on genetic variability in populations of natural enemies, especially parasitoids, has a vital importance for the optimization of biological control programs. Thus, this study aimed to determine the influences of genetic variability on different biological parameters of Trichogramma pretiosum Riley, 1879, in laboratory and field experiments. We evaluated: 1) the effect of selection of T. pretiosum isofemale strains in laboratory conditions, marked by mitochondrial DNA, on the subsequent field performance; 2) the effects of RH on flight capacity isofemale lines, marked by the mitochondrial DNA, of T. pretiosum specimens from Brazil and the USA; 3) the reproductive compatibility between USA and Brazilian isofemale lines of T. pretiosum, through an integrative approach, and 4) the possible establishment of a T. pretiosum strain from Colombia in a new ecosystem in the Brazilian Northeast. The results allow to conclude that genetic variability of T. pretiosum has great influence on biological parameters of the parasitoid, since: 1) the different reproductive performance of isofemale strains in laboratory conditions corresponded to those under field conditions, and mitochondrial DNA was accurate and efficient, marking technique for the evaluation of T. pretiosum performance in field conditions; 2) for some isofemale lines, the environmental conditions of the release sites, if distinct from the natural habitat of the parasitoid, may adversely affect flight capacity of the parasitoid; 3) slight reproductive incompatibility and more pronounced morphological differences were observed between American and Brazilian isofemale lines, genetically variable; 4) there is strong evidence that T. pretiosum line introduced in Petrolina, PE, 22 years ago, brought from Palmira, Colombia, has established in that region.

A doença de Chagas é uma parasitose extremamente negligenciada, cujo agente etiológico é o protozoário Trypanosoma cruzi. Atualmente, 21 países da América Latina são considerados regiões endêmicas, onde 75-90 milhões de pessoas estão expostas à infecção, 15-16 milhões estão infectadas e mais de 41 mil novos casos surgem por ano, entretanto, apenas os fármacos nifurtimox e benznidazol estão disponíveis no mercado. Estes, além da baixa eficácia na fase crônica da parasitose, apresentam diversos efeitos colaterais, sendo que no Brasil apenas o benznidazol é utilizado. Essa carência no arsenal terapêutico contra a doença de Chagas conduz à importância de buscar quimioterápicos mais eficazes para o seu tratamento. Face ao exposto, o objetivo do trabalho foi a síntese de compostos com dupla atividade contra o T. cruzi, utilizando a metodologia da latenciação de fármacos, em que os derivados ativos são bioisósteros de compostos nitro-heterocíclicos, sintetizados em nosso grupo de pesquisa. Os derivados propostos são pró-fármacos recíprocos do nitrofural hidroximetilado (NFOH) e de seus bioisósteros, promissores com respeito à inibição da cruzaína, com o grupamento liberador de óxido nítrico. Podem, deste modo, atuar de forma dupla na inibição da enzima cruzaína e, também, em outras cisteíno-proteases através da ação do óxido nítrico liberado. Além disso, poderiam ser inibidores de tripanotiona redutase, como ocorre com outros nitrocompostos. A síntese dos compostos intermediários foi realizada com êxito, com exceção do composto NFSOH, o qual não foi possível ser isolado. A metodologia solvent-free mostrou-se como alternativa para a síntese do NF e análogos contendo semicarbazona. Utilizaram-se diferentes métodos (direto e indireto) e diversas variações nas condições reacionais para a síntese dos ésteres nitratos correspondentes. No entanto, não se obtiveram os pró-fármacos propostos, provavelmente devido à baixa reatividade dos nitro-heterocíclicos hidroximetilados. Em paralelo, efetuaram-se estudos de Modelagem Molecular para se avaliar a possível interação com o alvo molecular, a cruzaína. A análise dos Mapas de Potencial Eletrostático (MEP) sugeriu maior deficiência eletrônica nos compostos com tiossemicarbazona. Entretanto, estudos de docking mostraram possível preferência de ataque nucleofílico da Cys25 ao grupo éster nitrato em relação à carbonila/tiocarbonila, sugerindo inativação da cruzaína pela formação de S-nitrosotiol. / Chagas\' disease is an extremely neglected disease, whose etiologic agent is the protozoan Trypanosoma cruzi. Nowadays, 21 countries in Latin America have been considered endemic area, in which 75-90 million people are exposed to infection, 15-16 million are infected and more than 41 thousands new cases are registered each year. However, nifurtimox and benznidazol are the only drugs available in the market. Besides, their low efficiency in the chronic phase of disease, they cause several side effects and in Brazil only benznidazol is applied. This scarce therapeutic armamentarium shows the importance of seeking for more effective drugs against Chagas\' disease. For these reasons, this study aims the synthesis of compounds with dual activity against T. cruzi, using the prodrug design with the active bioisosters of nitro-heterocyclic, synthesized in our research group. The derivatives proposed are mutual prodrugs of hydroxymethylnitrofurazone (NFOH) and its bioisosters, promising with respect to cruzain inhibition, with NO-releasing group. Thus, they could act with a dual mechanism, in cruzain enzyme and also in other cysteine-proteases through the nitric oxide released action. Besides, they could be trypanothione reductase inhibitors, as stated to other nitro compounds. The synthesis of the intermediate compounds was carried out successfully, except for the NFSOH compound, which could not be isolated. The solvent-free methodology proved to be an alternative for synthesis of nitrofurazone and analogues containing semicarbazone. Different methods (direct and indirect) and several variations in reaction conditions were used for the synthesis of nitrate esters proposed. Nevertheless, the prodrugs were not obtained, probably due to the low reactivity of the hydroxymethyl nitro-heterocyclic employed. At the same time, molecular modeling studies to evaluate the possible interaction with the macromolecular target cruzain were performed. The analysis of electrostatic potential maps (MEP) suggests a greater electronic impairment in compounds containing thiosemicarbazone function. Docking studies, however, showed a possible preference to the nucleofilic attack of Cys25 in the nitrate ester relatively to the carbonyl/tiocarbonyl group, suggesting cruzain inactivation by S-nitrosotiol formation.

Os tumores hipofisários representam cerca de 10% a 15% das neoplasias intracranianas. Embora a etiopatogenia ainda não seja plenamente caracterizada, muitos mecanismos moleculares envolvidos na tumorigênese hipofisária já foram desvendados. Utilizandose da metodologia de arranjos de cDNA contendo aproximadamente 20.000 genes, nosso grupo recentemente comparou a expressão de duas condições distintas: um pool de quatro adenomas hipofisários clinicamente não funcionantes e a metástase de um carcinoma hipofisário não funcionante. Vários genes mostraram-se diferencialmente expressos, entre eles, CRABP1 (cellular retinoic acid binding protein 1), CRABP2 (cellular retinoic acid binding protein 2), GRP (gastrin-releasing peptide) e RERG (RAS-like, estrogen-regulated, growth inhibitor). Este estudo visou avaliar a expressão desses quatro genes em uma série de 59 adenomas hipofisários (30 adenomas clinicamente não funcionantes, 13 somatotrofinomas, 8 corticotrofinomas e 8 prolactinomas), comparando cada grupo tumoral com um conjunto de tecidos hipofisários normais. Enquanto os prolactinomas demonstraram expressão reduzida do RNAm dos genes CRABP1 e CRABP2 quando comparados ao grupo de tecidos normais, os somatotrofinomas apresentaram expressão reduzida apenas do RNAm de CRABP2. Os adenomas clinicamente não funcionantes, por sua vez, demonstraram menor expressão do RNAm de GRP e maior expressão do RNAm de RERG quando comparados ao grupo de hipófises normais. Portanto, observou-se que tanto o gene CRABP1 quanto os genes CRABP2, GRP e RERG apresentaram diferenças na expressão do transcrito entre os grupos de adenomas de hipófise, contudo, seu papel na tumorigênese hipofisária permanece a ser investigado. / Pituitary tumors account for approximately 10%-15% of the intracranial neoplasms. Although the pathogenesis is not fully characterized, many molecular mechanisms involved in pituitary tumorigenesis have been unraveled. Using the methodology of cDNA microarray containing approximately 20000 genes, our group recently compared the expression of two distinct conditions: a pool of four clinically nonfunctioning pituitary adenomas and a spinal cord metastasis of a nonfunctioning pituitary carcinoma. Several genes were shown to be differentially expressed, among them, CRABP1 (cellular retinoic acid binding protein 1), CRABP2 (cellular retinoic acid binding protein 2), GRP (gastrin-releasing peptide) and RERG (RAS-like, estrogen-regulated, growth inhibitor). This study aimed to evaluate the expression of these four genes in a series of 59 pituitary adenomas (30 nonfunctioning, 13 GH-secreting, 8 ACTH-secreting and 8 PRL-secreting adenomas), comparing each tumor group with a set of normal pituitary tissues. While PRL-secreting adenomas showed lower expression of CRABP1 and CRABP2 mRNA when compared with normal tissues, GH-secreting adenomas had only lower expression of CRABP2 mRNA. Clinically nonfunctioning adenomas showed lower expression of GRP mRNA and higher expression of RERG mRNA when compared with the normal pituitary glands. Therefore, it was observed that not only the CRABP1 gene but also the CRABP2, GRP and RERG genes showed differences in transcript expression between the groups of pituitary adenomas. However, their role in pituitary tumorigenesis remains to be investigated.

Cheng Fu Yip Gheorghe. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 97-116). / Abstracts in English and Chinese. / Acknowledgement --- p.I / Abstract (in English) --- p.III / Abstract (in Chinese) --- p.V / Table of Content --- p.VII / Symbols and Abbreviations --- p.XII / Scientific Names --- p.XIV / List of Tables --- p.XV / List of Figures --- p.XVI / Chapter Chapter 1 --- General Introduction / Chapter 1.1 --- Gonadotropin / Chapter 1.1.1 --- Structure --- p.2 / Chapter 1.1.2 --- Function --- p.3 / Chapter 1.1.3 --- Regulation --- p.4 / Chapter 1.1.3.1 --- Neuroendocrine and endocrine regulation of GTHs --- p.4 / Chapter 1.1.3.1.1 --- Hypothalamic neuropeptides and neurotransmitters --- p.6 / Chapter 1.1.3.1.2 --- Gonadal steroids --- p.7 / Chapter 1.1.3.2 --- Paracrine regulation of GTH --- p.8 / Chapter 1.2 --- Activin / Chapter 1.2.1 --- Structure --- p.8 / Chapter 1.2.2 --- Function --- p.9 / Chapter 1.2.3 --- Regulation of activin activity --- p.12 / Chapter 1.2.3.1 --- Intracellular blockade of activin signaling by Smad7 --- p.12 / Chapter 1.2.3.2 --- Extracellular control of activin access --- p.13 / Chapter 1.2.3.2.1 --- Inhibin --- p.13 / Chapter 1.2.3.2.2 --- Activin-binding protein --- p.14 / Chapter 1.3 --- Follistatin / Chapter 1.3.1 --- Structure --- p.14 / Chapter 1.3.2 --- Function --- p.16 / Chapter 1.3.3 --- Regulation in the pituitary --- p.19 / Chapter 1.4 --- Objectives of the Present Study --- p.20 / Chapter Chapter 2 --- Cloning and Recombinant Production of Goldfish Follistatin / Chapter 2.1 --- Introduction --- p.24 / Chapter 2.2 --- Materials and Methods / Chapter 2.2.1 --- Reagents --- p.26 / Chapter 2.2.2 --- Animal --- p.26 / Chapter 2.2.3 --- Extraction of total RNA and reverse transcription --- p.27 / Chapter 2.2.4 --- Cloning of full-length cDNA encoding goldfish follistatin --- p.27 / Chapter 2.2.5 --- Sequencing of the cDNA --- p.29 / Chapter 2.2.6 --- Distribution of follistatin mRNA in different tissues --- p.29 / Chapter 2.2.7 --- Production of rgFS --- p.30 / Chapter 2.2.8 --- RT-PCR of the rgFS-positive clones --- p.34 / Chapter 2.2.9 --- Extraction of genomic DNA from rgFS-positive clones --- p.34 / Chapter 2.2.10 --- Functional analysis of rgFS --- p.35 / Chapter 2.2.11 --- Data Analysis --- p.37 / Chapter 2.3 --- Results / Chapter 2.3.1 --- Cloning and sequence analysis of goldfish follistatin --- p.37 / Chapter 2.3.2 --- Tissue distribution of follistatin mRNA in the goldfish --- p.39 / Chapter 2.3.3 --- Production and bioassay of rgFS --- p.43 / Chapter 2.4 --- Discussion --- p.47 / Chapter Chapter 3 --- Function and Regulation of Follistatin in the Goldfish Pituitary; Evidence for an Intrinsic Activin/Follistatin Regulatory Feedback Loop / Chapter 3.1 --- Introduction --- p.54 / Chapter 3.2 --- Materials and Methods / Chapter 3.2.1 --- Reagents --- p.57 / Chapter 3.2.2 --- Animals --- p.57 / Chapter 3.2.3 --- Primary culture of dispersed pituitary cells --- p.57 / Chapter 3.2.4 --- RNA extraction and reverse transcription --- p.58 / Chapter 3.2.5 --- Ovariectomy on pituitary follistatin expression --- p.5 9 / Chapter 3.2.6 --- Seasonal expression profile of follistatin --- p.59 / Chapter 3.2.7 --- Validation of semi-quantitative RT-PCR assays --- p.61 / Chapter 3.2.8 --- Real-time PCR for assay on follistatin and β-actin expression --- p.61 / Chapter 3.2.9 --- Data analysis --- p.63 / Chapter 3.3 --- Results / Chapter 3.3.1 --- Expression of follistatin in the goldfish pituitary --- p.64 / Chapter 3.3.2 --- Validation of semi-quantitative RT-PCR assay --- p.64 / Chapter 3.3.3 --- Activin regulation of pituitary follistatin --- p.64 / Chapter 3.3.4 --- Effects of sex steroids on pituitary follistatin expression --- p.69 / Chapter 3.3.5 --- Effect of GnRH on follistatin expression in the pituitary --- p.74 / Chapter 3.3.6 --- Effect of intracellular cAMP level on pituitary follistatin expression --- p.74 / Chapter 3.3.7 --- Seasonal variation profile of goldfish pituitary follistatin --- p.78 / Chapter 3.4 --- Discussion --- p.78 / Chapter Chapter 4 --- General Discussion / Chapter 4.1 --- Overview --- p.89 / Chapter 4.2 --- Contribution of the Present Study / Chapter 4.2.1 --- Cloning of full-length goldfish follistatin cDNA --- p.91 / Chapter 4.2.2 --- Establishment of stable cell line for expression of rgFS --- p.92 / Chapter 4.2.3 --- Evidence for the presence of intrinsic feedback loop of activin in the goldfish pituitary --- p.92 / Chapter 4.2.4 --- Modulation of follistatin expression in the pituitary by sex steroids --- p.93 / Chapter 4.2.5 --- Conclusions --- p.93 / Chapter 4.3 --- Future Prospects / Chapter 4.3.1 --- Production of rgFS --- p.95 / Chapter 4.3.2 --- Regulation of activin-follistatin system in the pituitary --- p.95 / Reference --- p.96

Introdução: A ativação do eixo hormônio liberador de corticotropina (CRH) e da pró-opiomelanocortina (POMC) leva a produção de vários derivados bioativos que incluem o hormônio adrenocorticotrófico (ACTH) e o hormônio estimulador de melanócito alfa (alfa-MSH). Estudos avaliando a participação desse eixo no lúpus eritematoso sistêmico (LES) são escassos, particularmente no envolvimento cutâneo da doença. Objetivo: Avaliar a participação do CRH e das melanocortinas (MCs) na fisiopatologia do lúpus eritematoso sistêmico com envolvimento cutâneo. Métodos: Dezessete pacientes com LES com envolvimento cutâneo foram avaliados clinicamente e biópsias da pele afetada e não afetada e do sangue periférico foram obtidas. Dezessete indivíduos saudáveis foram pareados por idade e gênero. Os fragmentos de pele foram submetidos à análise imuno-histoquímica para avaliação da expressão de CRH, ACTH, alfaMSH, e receptor de melanocortina tipo 1 (MC-1R). Os níveis séricos de alfa-MSH, IL-1, IL-1ra, IL-6, IL-10, IL-12p70, IL-17, TNF-alfa, e IFN-y foram determinados pelo método Multiplex. Resultados: A pele afetada de pacientes com LES apresentaram maior expressão CRH na derme profunda quando comparada à pele não afetada dos mesmos doentes e a pele saudável dos controles (p = 0,024). Níveis séricos de alfa-MSH foram similares entre LES e controles. Dentre as citocinas avaliadas, IFN-y, TNF-alfa e IL-6 foram mais elevadas nos pacientes com LES em relação aos controles (p = 0,041, p = 0,001 e p = 0,049, respectivamente). Embora não significativamente, os níveis de IL-17 também foram mais altos nos pacientes (p = 0,099). A expressão tecidual de ACTH, cortisol, alfa-MSH e seu receptor MC-1R foram semelhantes entre os pacientes e controles. Conclusões: Nossos resultados mostram, pela primeira vez a participação do eixo CRH-POMC na patogênese das lesões cutâneas do LES / Introduction: Corticotropin-releasing hormone (CRH) and pro-opiomelanocortin (POMC) axis activation leads to the production of several bioactive hormones including adrenocorticotrophic hormone (ACTH) and the neuropeptide alfa-melanocyte stimulating hormone (alfa-MSH). There are scarce data regarding their role in systemic lupus erythematosus (SLE) particularly in cutaneous involvement of this disease. Objective: To evaluate the role of CRH and melanocortins (MCs) in the pathophysiology of systemic lupus erythematosus with skin involvement. Methods: Seventeen patients with SLE with skin involvement were evaluated clinically and biopsies of affected and unaffected skin and peripheral blood were obtained. Seventeen healthy subjects were matched for age and gender. The skin fragments were subjected to immunohistochemical analysis for the expression of CRH, ACTH, alfa-MSH and melanocortin receptor type 1 (MC-1R). Serum levels of alfa-MSH, IL-1, IL-1ra, IL-6, IL-10, IL-12p70, IL-17, TNF-alfa and IFN-y were determined by multiplex. Results: The affected skin of SLE patients exhibited greater CRH expression in the deep dermis compared to unaffected skin of the same patients and the control\'s healthy skin (p = 0.024). alfa-MSH were similar between SLE and controls. Among the evaluated cytokines, IFN-y, TNF-alfa and IL-6 were significantly higher in SLE patients compared to controls (p = 0.041, p = 0.001 and p = 0.049, respectively). Although not significant, levels of IL-17 were also higher in patients (p = 0.099). Tissue expression of ACTH, cortisol, alfa-MSH and its receptor MC-1R were similar between patients and controls. Conclusions: Our results show for the first time the involvement of CRH-POMC axis in the pathogenesis of SLE cutaneous lesions through interactions between the brain-skin axis

O núcleo dorsal da rafe é a principal fonte de projeções serotonérgicas que inervam áreas límbicas implicadas na modulação de diferentes funções comportamentais e/ou neurovegetativas. Disfunções neste núcleo têm sido associadas à gênese de transtornos psiquiátricos. Estudos recentes apontam para a heterogeneidade morfológica e funcional do NDR, com destaque para evidências que sugerem a participação seletiva da sub-região denominada asas laterais nos mecanismos fisiopatológicos do transtorno de pânico. Dentre os diversos neurotransmissores presentes nas asas laterais, o papel desempenhado pelo fator liberador de corticotrofina (CRF) na modulação dos neurônios serotonérgicos presentes nesta área tem ganhado amplo destaque. Com base nestas evidências, o objetivo deste trabalho foi o de avaliar o envolvimento da neurotransmissão mediada pelo CRF nas asas laterais de ratos machos Wistar na expressão do comportamento de fuga avaliado no labirinto em T elevado (LTE). Os resultados obtidos mostram que administração local de CRF na dose de 100 ng atenuou a expressão do comportamento de fuga, enquanto que a dose de 0,3 ng facilitou a expressão desse comportamento, sugerindo assim um efeito do tipo panicolítico e panicogênico, respectivamente. A injeção de CRF nas asas laterais não afetou a aquisição da resposta de esquiva inibitória também medida no LTE. Este comportamento defensivo tem sido associado à ansiedade. Além disso, a administração de antalarmina, um antagonista seletivo de CRF1, previamente à dose de 0,3 ng bloqueou o efeito facilitador do CRF sobre a expressão da resposta da fuga, sugerindo então que os receptores de CRF1 estejam envolvidos no efeito panicogênico deste peptídeo. Assim sendo, o efeito do CRF sobre a resposta de fuga no LTE parece ser dependente da dose administrada. Os resultados obtidos, juntamente com dados prévios da literatura, indicam que diferentes subtipos de receptores de CRF sejam recrutados na mediação destes efeitos opostos causados pelo peptídeo. / The dorsal raphe nucleus (DRN) is the main source of serotonergic projections that innervate limbic areas involved in the modulation of different behavioral and/or neurovegetative functions. Dysfunctions in this nucleus have been associated with the genesis of psychiatric disorders. Recent studies point to the morphological and functional heterogeneity of NDR. There is evidence to suggest that the sub-region called lateral wings is involved in the physiopathological mechanisms of panic disorder. Among the several neurotransmitters present in the lateral wings, the role played by the corticotrophin releasing factor (CRF) in the modulation of the serotonergic neurons present in this area has raised attention. Based on these evidences, the objective of this work was to evaluate the involvement of CRFmediated neurotransmission in the lateral wings of male Wistar rats in the expression of the escape behavior evaluated in the elevated T maze test (ETM). The results showed that local administration of CRF at the dose of 100 ng attenuated the expression of escape behavior, whereas the dose of 0.3 ng facilitated the expression of this behavior, thus suggesting a panicolytic- and panicogenic-like effects, respectively. Injection of CRF in the lateral wings did not affect the acquisition of the inhibitory avoidance response, also measured in ETM. This defensive behavior has been associated with anxiety. In addition, the administration of antalarmine, a CRF1 receptor antagonist, prior to the 0.3 ng dose blocked the facilitatory effect of CRF on the expression of the escape response, thus suggesting that CRF1 receptors are involved in the panicogenic effect of this peptide. Thus, the effect of CRF on escape response in the ETM seems to be dose dependent. The results obtained, together with previous literature data, indicate that different subtypes of CRF receptors are recruited in the mediation of these opposite effects caused by the peptide.

O núcleo dorsal da rafe é a principal fonte de projeções serotonérgicas que inervam áreas límbicas implicadas na modulação de diferentes funções comportamentais e/ou neurovegetativas. Disfunções neste núcleo têm sido associadas à gênese de transtornos psiquiátricos. Estudos recentes apontam para a heterogeneidade morfológica e funcional do NDR, com destaque para evidências que sugerem a participação seletiva da sub-região denominada asas laterais nos mecanismos fisiopatológicos do transtorno de pânico. Dentre os diversos neurotransmissores presentes nas asas laterais, o papel desempenhado pelo fator liberador de corticotrofina (CRF) na modulação dos neurônios serotonérgicos presentes nesta área tem ganhado amplo destaque. Com base nestas evidências, o objetivo deste trabalho foi o de avaliar o envolvimento da neurotransmissão mediada pelo CRF nas asas laterais de ratos machos Wistar na expressão do comportamento de fuga avaliado no labirinto em T elevado (LTE). Os resultados obtidos mostram que administração local de CRF na dose de 100 ng atenuou a expressão do comportamento de fuga, enquanto que a dose de 0,3 ng facilitou a expressão desse comportamento, sugerindo assim um efeito do tipo panicolítico e panicogênico, respectivamente. A injeção de CRF nas asas laterais não afetou a aquisição da resposta de esquiva inibitória também medida no LTE. Este comportamento defensivo tem sido associado à ansiedade. Além disso, a administração de antalarmina, um antagonista seletivo de CRF1, previamente à dose de 0,3 ng bloqueou o efeito facilitador do CRF sobre a expressão da resposta da fuga, sugerindo então que os receptores de CRF1 estejam envolvidos no efeito panicogênico deste peptídeo. Assim sendo, o efeito do CRF sobre a resposta de fuga no LTE parece ser dependente da dose administrada. Os resultados obtidos, juntamente com dados prévios da literatura, indicam que diferentes subtipos de receptores de CRF sejam recrutados na mediação destes efeitos opostos causados pelo peptídeo. / The dorsal raphe nucleus (DRN) is the main source of serotonergic projections that innervate limbic areas involved in the modulation of different behavioral and/or neurovegetative functions. Dysfunctions in this nucleus have been associated with the genesis of psychiatric disorders. Recent studies point to the morphological and functional heterogeneity of NDR. There is evidence to suggest that the sub-region called lateral wings is involved in the physiopathological mechanisms of panic disorder. Among the several neurotransmitters present in the lateral wings, the role played by the corticotrophin releasing factor (CRF) in the modulation of the serotonergic neurons present in this area has raised attention. Based on these evidences, the objective of this work was to evaluate the involvement of CRFmediated neurotransmission in the lateral wings of male Wistar rats in the expression of the escape behavior evaluated in the elevated T maze test (ETM). The results showed that local administration of CRF at the dose of 100 ng attenuated the expression of escape behavior, whereas the dose of 0.3 ng facilitated the expression of this behavior, thus suggesting a panicolytic- and panicogenic-like effects, respectively. Injection of CRF in the lateral wings did not affect the acquisition of the inhibitory avoidance response, also measured in ETM. This defensive behavior has been associated with anxiety. In addition, the administration of antalarmine, a CRF1 receptor antagonist, prior to the 0.3 ng dose blocked the facilitatory effect of CRF on the expression of the escape response, thus suggesting that CRF1 receptors are involved in the panicogenic effect of this peptide. Thus, the effect of CRF on escape response in the ETM seems to be dose dependent. The results obtained, together with previous literature data, indicate that different subtypes of CRF receptors are recruited in the mediation of these opposite effects caused by the peptide.

Approximately 1 in 6 infants are born prematurely each year. Typically, these infants spend 25 days in the Neonatal Intensive Care Unit (NICU) where they experience 10-18 painful and inflammatory procedures each day. Remarkably, pre-emptive analgesics and/or anesthesia are administered less than 30% of the time. Unalleviated pain during the perinatal period is associated with permanent decreases in pain sensitivity, blunted cortisol responses and high rates of neuropsychiatric disorders. To date, the mechanism(s) by which these long-term changes in stress and pain behavior occur, and whether such alterations can be prevented by appropriate analgesia at the time of injury, remains unclear. We have previously reported in rats that inflammation experienced on the day of birth permanently upregulates central opioid tone, resulting in a significant reduction in adult pain sensitivity. However, the impact on early life pain on anxiety- and stress-related behavior and HPA axis regulation is not known. Therefore the goal of this dissertation was to determine the long-term impact of a single neonatal inflammatory pain experience on adult anxiety- and stress-related responses. Neuroanatomical changes in stress-associated neurocircuits were also examined. As the endogenous pain control system and HPA axis are in a state of exaggerated developmental plasticity early in postnatal life, and these systems work in concert to respond to noxious or aversive stimuli, this dissertation research aimed to answer the following questions: (1) Does neonatal injury produce deficits in adult stress-related behavior and alter stress-related neuroanatomy through an opioid-dependent mechanism? (2) Does neonatal injury alter receptor systems regulating the activation and termination of the stress response in adulthood? (3) Are stress- and pain-related neurotransmitters altered within the first week following early life pain? (4) Is early activation of the pain system necessary for the long-term changes in anxiety- and stress-related behavior? Together these studies demonstrate the degree, severity and preventability of the long-term deficits in stress responding associated with a single painful experience early in life. The goal of this research is to promote change in the treatment of infant pain in the NICU to reduce long-term sensory and mental health complications associated with prematurity.

Approximately 1 in 6 infants are born prematurely each year. Typically, these infants spend 25 days in the Neonatal Intensive Care Unit (NICU) where they experience 10-18 painful and inflammatory procedures each day. Remarkably, pre-emptive analgesics and/or anesthesia are administered less than 30% of the time. Unalleviated pain during the perinatal period is associated with permanent decreases in pain sensitivity, blunted cortisol responses and high rates of neuropsychiatric disorders. To date, the mechanism(s) by which these long-term changes in stress and pain behavior occur, and whether such alterations can be prevented by appropriate analgesia at the time of injury, remains unclear. We have previously reported in rats that inflammation experienced on the day of birth permanently upregulates central opioid tone, resulting in a significant reduction in adult pain sensitivity. However, the impact on early life pain on anxiety- and stress-related behavior and HPA axis regulation is not known. Therefore the goal of this dissertation was to determine the long-term impact of a single neonatal inflammatory pain experience on adult anxiety- and stress-related responses. Neuroanatomical changes in stress-associated neurocircuits were also examined. As the endogenous pain control system and HPA axis are in a state of exaggerated developmental plasticity early in postnatal life, and these systems work in concert to respond to noxious or aversive stimuli, this dissertation research aimed to answer the following questions: (1) Does neonatal injury produce deficits in adult stress-related behavior and alter stress-related neuroanatomy through an opioid-dependent mechanism? (2) Does neonatal injury alter receptor systems regulating the activation and termination of the stress response in adulthood? (3) Are stress- and pain-related neurotransmitters altered within the first week following early life pain? (4) Is early activation of the pain system necessary for the long-term changes in anxiety- and stress-related behavior? Together these studies demonstrate the degree, severity and preventability of the long-term deficits in stress responding associated with a single painful experience early in life. The goal of this research is to promote change in the treatment of infant pain in the NICU to reduce long-term sensory and mental health complications associated with prematurity.