A epilepsia compreende um grupo de alterações neurológicas frequentes em humanos e animais, caracterizada pela ocorrência periódica de crises convulsivas. A causa do processo pode ter várias origens sendo necessária a realização de exames complementares para o diagnóstico definitivo. A análise de biomarcadores, em especial as proteínas de fase aguda, como a proteína C-reativa (PCR), auxilia na identificação de doenças neurológicas inflamatórias e infecciosas, já que após serem produzidas pelo fígado conseguem atingir o tecido danificado e ter suas concentrações elevadas rapidamente na circulação. A concentração de PCR está diretamente relacionada à resposta de fase aguda, independentemente da origem ou natureza do estímulo, podendo ser um processo inflamatório, infeccioso ou até mesmo de origem neoplásica. Embora a PCR tenha sido estudada e monitorada em pacientes com as mais variadas doenças, até o momento não foi determinada a presença de PCR no soro e líquor de cães com epilepsia idiopática. O objetivo deste estudo foi avaliar as concentrações de PCR no líquor e soro de cães apresentando epilepsia idiopática e verificar se essa protéina pode ser utilizada como biomarcador para auxiliar no diagnóstico da doença. Para tanto foram compostos três grupos. O primeiro, denominado A, com 23 animais clinicamente normais; o segundo denomindo B, composto por 17 cães manifestando convulsão em até 24 horas anteriores ao momento da coleta de mateiral; e o terceiro denominado C, com 16 cães apresentando convulsões de 24 horas até 120 horas antecedendo o momento da coleta do líquor e do soro. Foram mensuradas as proteínas totais séricas e realizadas as eletroforeses, além da análise do líquor e tomografia computadorizada. Animais com alterações estruturais detectadas na tomografia foram excluidos do estudo. As concentrações de PCR séricas foram avaliadas por meio da técnica ELISA utilizando-se kit comercial Tridelta Development Ltd, espécie específico. Além desta avaliação, os grupos B e C foram alivados quanto à concentração de PCR no liquor. Os resultados foram analisados pelo teste de Kruskal Wallis, seguido pelo teste de Dunn, enquanto para eletroforese e análise de PCR no líquor utilizou-se teste T não pareado. Não houve diferença significante em relação à eletroforese de proteínas séricas nos três grupos, assim como não se observaram alterações na análise do líquor nos grupos B e C. As concentrações séricas de PCR em cães normais variaram níveis não detectáveis a 6,36 µg/mL, com média de 0,98 µg/mL. As concentrações séricas nos animais do grupo B variaram de 1,04 µg/mL a 5,03 µg/mL, com média 2,14 µg/mL, enquanto no grupo C as concentrações foram de níveis não detectáveis a 1,9 µg/mL com média 0,51 µg/mL. A análise estatística demonstrou diferença significante entre os grupos sendo a média do grupo B superior aos demais (p= 0,0002). As concentrações liquóricas de PCR foram muito baixas quando comparadas àquelas observadas em cães com afecções inflamatórias e infecciosas e não foram em sua maioria detectáveis no líquor quando o período entre a convulsão e a coleta foi superior ao período de 24 horas. Concluiu-se que as convulsões associadas à epilepsia idiopática promovem uma resposta de fase aguda caracterizada pelo aumento de PCR sérica e liquórica nas primeiras 24 horas e que essas concentrações decaem após esse período, podendo estar associadas à liberação de mediadores inflamatórios no SNC e às contrações musculares. Assim sendo, a PCR sérica pode ser utilizada como um biomarcador para diferenciar a epilepsia idiopática de outras causas de convulsão. A técnica ELISA para análise de PCR no líquor, pode se somar às outras análises liquóricas, necessitando ainda de validação. / Epilepsy is a group of neurological disorders of humans and animals characterized by recurrent seizures. Epilepsy can have a number of causes and some complementary tests can help with a precise diagnosis. Biomarkers analysis, in special acute protein phase such as C reactive protein (PCR) can help identify inflammatory and infection neurological disease. Acute phase proteins are produced by liver and reach damaged tissue increasing blood concentration. Today studies show that increases in the PCR blood concentration is related to acute inflammatory response independent of mint, whether it is inflammatory, neoplastic or infection. Although PCR has been studied in many diseases, in special neurological disorder followed or not by seizures, until now PCR has not been founded in blood or liquor of dogs with idiopathic epilepsy. The purpose of this study is to evaluate PCR concentration in blood and liquor of patients with idiopathic epilepsy and verify if the protein can be considered a biomarker to help its diagnose. The study has 3 groups. The first named control group A, with 23 healthy animals, the second named B with 17 dogs that have had seizures within 24h, and the third named C with 16 dog that have had seizures after 24 to 120 hours from blood or liquor collection. The investigation is based on analyzing total protein and electrophoretic protein profile, liquor analysis and tomography. Patients with structural brain damages detected by tomography were excluded from the study. In the control group PCR concentration were analyzed by ELISA method and kit Tridelta Development Ltd, species specific. In groups B and C were also procedure PCR analyses in liquor sample. The results were analyzed by the Kruskal Wallis test and the Dun test, while electrophorese and PCR of liquor where analyzed by the T test not parried. There was no significant difference in electrophorese in the three groups and there were not found alterations in the liquor analyzes of the groups B and C. PCR blood concentration in healthy dogs vary between not detectable values to 6,36mcg/ml, with an average of 0,98mcg/ml. Blood concentrations from animal of group B vary from 1,04 mcg/ml to 5,03, with and average of 2,14mcg/ml. Meanwhile in group C blood concentration values were from not detectable to 1,9 mcg/dl, with an average 0,50 mcg/ml. Statistic analyses show significant difference between groups. Group B average was higher (p=0,0002). PCR liquor concentration was lower to those found on dogs with inflammatory infection diseases and the majority were not detectable in the liquor when the sample has been collected after 24 hours from the seizures. It is able to conclude that seizures associated with idiopathic epilepsy promote an acute phase response characterized by an increase of blood and liquor PCR concentrations within 24 hours, and after this period PCR concentrations declined due to the liberation of inflammatory mediators by the CNS and muscle contractions. Therefore blood can be used as a biomarker to differentiate idiopathic epilepsy from other seizures causes. The ELISA technique for PCR liquor analysis still needs to be validated.

As Fosfolipases A2 (PLA2) são enzimas que atuam desconstruindo membranas celulares, resultando em ácidos graxos e lisofosfolipidios, causando inflamação tecidual. Evidências indicam que serpentes possuem uma resistência natural devido a propriedades presentes no sangue, que inibem ações de proteínas presentes no veneno. Portanto, no presente trabalho foi isolado e caracterizado bioquimicamente e biologicamente o primeiro inibidor de PLA2 do tipo gama (γPLI) do soro da serpente B. jararaca, denominado PLI_BJ. O inibidor de PLA2 foi isolado utilizando dois passos cromatográficos. O PLI_BJ mostrou, por SDS-PAGE, uma massa molecular aparente de 25 000 e 20 000 em condições redutoras e não redutoras, respectivamente. A sequência de aminoácidos parcial de PLI_BJ foi determinada por espectrometria de massa e corresponde a 72% e 68% de cobertura da sequência de aminoácidos de duas proteínas já descritas como PLI. O PLI_BJ mostrou também atividade inibitória satisfatória nos três testes realizados sugerindo um papel deste inibidor nos efeitos de envenenamento da serpente. / Phospholipases A2 (PLA2) are enzymes that act on cell membrane phospholipids resulting in fatty acids and lysophospholipids, deconstructing the cell wall causing tissue inflammation. Evidence indicates that snakes have natural resistance due to protective properties of blood that inhibits the action of proteins present in the venom. This study aimed to purify and characterize PLA2 inhibitors (PLI) from serum of the Bothrops jararaca snakes. PLA2 inhibitor was isolated using two chromatographic steps, and was named PLI_BJ. The purity of the PLI_BJ was confirmed by HPLC and SEC. The PLI_BJ showed, by SDS-PAGE, an molecular mass of 25,000 and 20,000 under reducing and non-reducing conditions, respectively. The partial amino acid sequence of PLI_BJ was determined by mass spectrometry and it corresponds to 72% and 68% of coverage of the amino acid sequence of two proteins already described as PLI. The PLI_BJ also showed satisfactory inhibitory activity in the three tests performed suggesting a role of this inhibitor in snake envenomation effects.

Orientador: Luiz Cláudio Nogueira Mendes / Coorientador: Juliana Regina Peiró / Banca: Valéria Marçal Félix de Lima / Banca: José Paes de Oliveira Filho / Resumo: Objetivando-se avaliar as concentrações séricas de Interleucina 6 (IL-6) e proteinograma de ovinos submetidos à endotoxemia experimental. Dez ovinos (4 anos) foram divididos em dois grupos, Grupo Controle (GC, n=4) inoculados com NaCl 0,9 %, IV e Grupo Tratado (GT, n= 6) inoculados com 400 ng/Kg de LPS de Escheria coli. O exame físico foi realizado, imediatamente antes da inoculação (M0), bem como a coleta de sangue para perfil hematológico e bioquímico, dosagem de IL-6 e proteinograma. As amostras foram coletadas em M0 e após 2, 4, 6, 12, 24, 36, 48 e 60 horas, de realizada a inoculação. A dosagem de IL-6 foi feita pelo método de ELISA e o proteinograma pelo método de eletroforese em poliacrilamida com dodecil sulfato de sódio (SDS-PAGE), para o perfil hematológico utilizou-se contador de células automático (BCVet- 2800), o perfil bioquímico foi realizado utilizando-se kits comerciais (Labtest®) e por fim, a concentração de glicose foi mensurada por meio de um monitor de glicemia (Breeze 2, Bayer®). Constatou-se um aumento na concentração de IL-6 60 horas pós-inoculação de LPS. O pico febril ocorreu quatro horas pós-indução endotoxêmica. Constatou- se leucopenia com neutropenia e redução na concentração da proteína total, albumina e glicoproteína ácida duas horas após a administração de LPS, acompanhados por uma elevação inicial na concentração de glicose, seguida de redução, seis horas pós-inoculação. Concluiu-se que a dosagem de Interleucina 6 e o proteinograma sérico são métodos de diagnósticos eficientes para detectar e monitorar a progressão e gravidade de processos inflamatórios provenientes de uma endotoxemia induzida experimentalmente em ovinos / Abstract: Aiming to evaluate serum concentrations of interleukin 6 (IL-6) and proteinogram of sheep undergoing experimental endotoxemia. Ten animals (4 years old) were divided into two groups, Control Group (CG, n= 4) inoculated with NaCl 0,9%, IV and Treated Group (TG, n= 6) inoculated with 400 ng/Kg of LPS from Escheria coli. The physical examination was performed immediately before inoculation (M0), as well as blood collection for hematological and biochemical profiles, dosage of IL-6 and proteinogram. Samples were collected at M0 and after 2, 4, 6, 12, 24, 36, 48 and 60 hours after of inoculation. The dosage of IL-6 was done by ELISA and the proteinogram by method of eletrophoresis in polyacrylamide sodium dodecyl sulphate (SDS-PAGE), for hematological profile was used automatic cell counter (BC-2800Vet), the biochemical profile was performed using commercial kits (Labtest®) and the glucose concentrations was measured using glucose monitor (Breeze2, Bayer®). It was found an increase in the dosage of IL-6 60 hours after LPS injection. The fever peak occurred four hours after induction of endotoxemia. There was leukopenia, with neutropenia and reduction in concentration of total protein, albumin and acid glycoprotein two hours after LPS administration, accompanied by an initial increase in glucose concentrations followed by a reduction six hours post-inoculation. It was conclude that the dosage of IL-6 and the proteinogram are effective diagnostic methods to detect and monitor the progression and severity of inflammatory processes from an experimentallay induced endotoxemia in sheep / Mestre

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21954号 / 医博第4496号 / 新制||医||1037(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 渡邉 大, 教授 伊佐 正, 教授 椛島 健治 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22320号 / 医博第4561号 / 新制||医||1041(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 椛島 健治, 教授 大森 孝一, 教授 森田 智視 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

In vitro produced bovine embryos are critical to the cattle industry. However, these embryos have altered morphology, epigenetics, and metabolism when compared to their in vivo counterparts. The aim of this thesis was to alter maturation and culture media to improve the developmental competence of in vitro bovine embryos. This thesis is comprised of three experiments and one proof of concept study. Each experiment followed the same general layout: oocyte aspiration from Jersey or Holstein ovaries, oocyte maturation for 24 hours, fertilization with bull semen for 24 hours, then embryo culture for 7-8 days in 38.5 °C in 5% O2, 5% CO2 and 90% N2. A proportion of stage 7 grade 1 blastocysts were fixed and stained with Nile Red to evaluate lipid content, Mitotracker Red CMX-Rosamine to measure mitochondrial activity, or Cell Rox Green to assess reactive oxygen species (ROS). Using a confocal microscope, images were taken of each stained embryo to detect and measure fluorescence. Any stage 7 embryos that were not imaged were slow frozen and evaluated for re-expansion when thawed. Experiment 1 was a one-way treatment designed to compare the conventional maturation media (control) containing fetal bovine serum (FBS), to an alternative media replacing FBS with a human platelet lysate serum substitute (SS). Both abattoir and ovum pick up (OPU) oocytes were used. The results suggested that maturing in vitro and OPU oocytes with serum substitute maintained developmental competence, including a similar yield of embryos and re-expansion rate. Resulting in vitro SS embryos had lower lipid content (p<0.05) and ROS levels compared (p<0.05) to the FBS control. Experiment 2 was a 2x2 factorial design testing how the addition of FGF2, LIF, and IGF1 cytokines to maturation and culture media affected in vitro embryo development. The first factor was maturation media (Mcon: industry standard and Mcyt: added cytokines) and the second factor was culture media (Ccon: industry standard and Ccyt: added cytokines). The two maturation media crossed with the two culture media equated to four treatments, including a control. The results suggested that cytokine addition had no effect on blastocyst rate or re-expansion rate. The combination of MCyt x CCyt media produced the lowest lipid levels (p<0.05) while the MCon x CCon treatment led to the highest mitochondrial activity (p<0.05). Experiment 3 was a 2x2 factorial design testing how the addition of melatonin to cytokine supplemented maturation media affected embryo developmental competence. The maturation factor had two levels: no supplementation (NoM) and melatonin with cytokine supplementation (MM). The culture factor had two levels: no supplementation (NoC) and cytokine supplementation (CC). We found no difference in blastocyst or re-expansion rate between any treatments. NoM showed higher mitochondrial activity than MM (p<0.05). NoC showed higher mitochondrial activity than CC (p<0.05). The NoM x NoC treatment showed the highest lipid levels of any treatment (p<0.05). The NoM x NoC treatment showed the highest mitochondrial activity of any treatment (p<0.05). The final part to this thesis focused on the preliminary use of phasor-fluorescence lifetime imaging microscopy (FLIM) and deep imaging via emission recovery (DIVER) technologies to autofluoresce endogenous compounds and predict the viability of an embryo without the use of invasive labels. In conjunction with the University of California Irvine, we tested the technologies on morula and blastocyst stage embryos to see if developmental competence was altered. Results suggested FLIM successfully captured NADH levels and DIVER successfully captured ROS and lipid content. Future studies are planned to fully investigate the effects of the microscopes on development and to accurately predict bovine embryo viability for transfer. Overall, human platelet lysate was a successful replacement for FBS, likely due to its similar content of protein and growth factors. Neither cytokine nor melatonin supplementation had conclusive results, further trials are needed to fully determine effectiveness.

The development of total hip arthroplasty has reached a state when quality prostheses are made, whose longevity is influenced significantly by material properties, design, component fixation and rate of wear of the articulating surfaces. It is the wear rate which is the most important factor influencing successful results for the use of total hip prostheses. The aim of this thesis is to perform a research on the various combinations of hip prostheses and its loading conditions. Also an experimental measurements of Bovine serum lubricating film thickness between the artificial femoral head and a glass disc are performed for different contact kinematic conditions.

L’excès de poids est un facteur de risque reconnu de cancer du sein après la ménopause, et les études tendent à montrer qu’il s’agit aussi d’un facteur de mauvais pronostic chez les femmes ayant eu un cancer du sein. Cependant, peu d’études ont caractérisé le type d’obésité impliqué dans ces associations, ainsi que l’impact de l’historique d’évolution de la corpulence. De plus, alors que le rôle de certains mécanismes impliqués dans ces associations est connu, le rôle d’autres dérèglements fréquemment associés à un excès d’adiposité, comme les dérèglements du métabolisme lipidique, est mal connu.Nous avons utilisé les données de la cohorte E3N, incluant 98995 femmes nées entre 1925 et 1950 et suivies depuis 1990, afin d’étudier les associations de différentes mesures de la corpulence avant diagnostic, ainsi que de la corpulence de l’enfance à l’âge adulte avec la survie chez les femmes ayant eu un cancer du sein. De plus, à partir d’une étude cas-témoin nichée dans la cohorte, nous avons évalué les associations entre lipides sériques et cancer du sein (risque et survie).Nous avons mis en évidence une association entre un tour de hanche élevé avant diagnostic et la survie après cancer du sein. Une corpulence croissante au cours de la vie a également été associée à une moins bonne survie. En revanche, les lipides sériques n’étaient pas associés avec le risque de cancer du sein ou la survie après cancer du sein.Ce travail souligne donc l’importance de limiter au maximum, tout au long de la vie, l’excès d’adiposité, ainsi que la nécessité de mieux caractériser les mécanismes impliqués dans les associations entre excès de poids et survie après cancer du sein. / Excess adiposity is a known risk factor for postmenopausal breast cancer and studies suggest that excess adiposity is also associated with a poor breast cancer survival. However, only few studies have characterized the type of adiposity involved in these associations, as well as the influence of body size changes during life. In addition, despite the fact that several biological mechanisms have been suggested to explain the obesity-cancer relationship, the influence of other metabolic changes frequently associated with excess adiposity, such as dysregulation of lipid metabolism, is not established.Using data from the E3N cohort study, which includes 98 995 women born between 1925 and 1950 and followed since 1990, we studied the associations between several measures of prediagnosis adiposity, as well as body size at several periods in life and body size changes, and survival after breast cancer. Lastly, we focused on the associations between several serum markers of lipid metabolism and risk and survival after breast cancer, in a case-control study nested within the cohort.A higher prediagnosis hip circumference and an increase in lifetime body size were both associated with a poor breast cancer survival. On the contrary, serum lipids were not associated with breast cancer risk or survival.Together, those results underline the necessity of reducing excess adiposity over the life course as much as possible and of a better understanding of the biological mechanisms underlying the obesity-breast cancer survival relationship.

Background: Serumlipid concentrations are thought to be risk factors for the development of cardiovascular disease. The present study aims to investigate the prevalence of dyslipidemia and provide sex- and age-related reference values for triglycerides, total cholesterol, LDL and HDL cholesterol as well as apolipoproteins A1 and B by using modern analytical approaches. Materials and methods: Venous blood and anthropometric data were collected from 2571 subjects of the LIFE Child study, aged between 0.5 and 16 years. Age- and gender-related reference intervals (3rd and 97th percentiles) were established by using Cole's LMS method. Results: Serumconcentrations of TC, LDL-C, TG and ApoBwere higher in girls than in boys. In girls TC reached peak levels two years earlier than in boys. Triglyceride levels initially declined until the school age.Until early adolescence there was a steady increase. The LDL-C concentrations in girls and boys followed similar patterns to that of TC. Up to the age of 8 years, a continuous increase in HDL levels for both sexeswas found. Due to the strong correlation between HDL-C and ApoA1 (r=0.87) or rather between LDL-C and ApoB (r=0.93), the respective percentiles showed very similar patterns. Dyslipidemia prevalence were as follows: increased TC 7.8%, increased LDL 6.1%, increased TG 0–9 years 22.1%, increased TG 10–16 years 11.7%, and decreased HDL 8.0%. Conclusion: Age- and sex-related trends for all parameters are similar to those of the German KIGGS study. With the exception of HDL cholesterol, the prevalence of dyslipidemias in the German LIFE Child cohort are similar to the US-American prevalence.:I Abkürzungsverzeichnis - 03 - 1 Bibliographische Beschreibung - 04 - 2 Einleitung - 05 - 2.1 Hintergrund - 05 - 2.2 Serumlipide, Apolipoproteine und Dyslipidämien - 05 - 2.3 Referenzintervalle - 08 - 2.4 Soziodemographische Faktoren - 10 - 2.5 Die LIFE-Child Studie - 12 - 2.6 Hypothesen, Frage- und Zielstellungen - 13 - 3 Publikationen - 14 - 3.1 Pediatric reference data of serum lipids and prevalence of dyslipidemia: results from a population-based cohort in Germany - 15 - 3.2 Serum lipid levels were related to socio-demographic characteristics in a German population-based child cohort. Serum lipid levels and social class - 25 - 4 Zusammenfassung - 33 - 5 Literaturverzeichnis - 36 - II Anhang - 45 - III Erklärung über die eigenständige Abfassung der Arbeit - 64 - IV Curriculum vitae - 65 - V Danksagung - 66 - / Aim: Socio-demographic factors affect the development and lives of children and adolescents. We examined links between serum lipids and apolipoproteins and sociodemographic factors in the Leipzig Research Centre for Civilization Diseases Child (LIFE Child) study. Methods: The Winkler index and the Family Affluence Scale were used to define characteristics of the social status of 938 boys and 860 girls aged from birth to 19 years. We then used univariate and multivariate regression analyses to examine the sociodemographic impact on total cholesterol, low-density lipoprotein (LDL) cholesterol, highdensity lipoprotein (HDL), cholesterol triglycerides and apolipoproteins A1 (ApoA1) and B (ApoB). Results: No significant influences on the Winkler index or the Family Affluence Scale were observed regarding the concentrations of serum lipids for total cholesterol or LDL cholesterol. However, and most importantly, children and adolescents with high social status and high family affluence showed significantly higher HDL cholesterol and ApoA1 levels than those with lower individual totals. A higher Winkler index was associated with significantly lower values for triglycerides and ApoB. Conclusion: Adolescents with higher family wealth and social status showed a lower cardiovascular risk profile, as measured by the concentrations of HDL cholesterol and triglycerides as well as ApoA1 and B.:I Abkürzungsverzeichnis - 03 - 1 Bibliographische Beschreibung - 04 - 2 Einleitung - 05 - 2.1 Hintergrund - 05 - 2.2 Serumlipide, Apolipoproteine und Dyslipidämien - 05 - 2.3 Referenzintervalle - 08 - 2.4 Soziodemographische Faktoren - 10 - 2.5 Die LIFE-Child Studie - 12 - 2.6 Hypothesen, Frage- und Zielstellungen - 13 - 3 Publikationen - 14 - 3.1 Pediatric reference data of serum lipids and prevalence of dyslipidemia: results from a population-based cohort in Germany - 15 - 3.2 Serum lipid levels were related to socio-demographic characteristics in a German population-based child cohort. Serum lipid levels and social class - 25 - 4 Zusammenfassung - 33 - 5 Literaturverzeichnis - 36 - II Anhang - 45 - III Erklärung über die eigenständige Abfassung der Arbeit - 64 - IV Curriculum vitae - 65 - V Danksagung - 66 -

Background: The method of serum bactericidal assay represents an alternative possibility of optimization of anti-infectious therapy and administration of antibiotics. It mirrors the real activity of one or more administered antibiotics in the complex system of the antibacterial effect of patient's serum. The paper aimed to confirm non-inferiority of bactericidal testing using the broth dilution method according to CLSI M21-A Guidelines (time to results 48, 72 hours) in comparison with modified methods of testing on the basis of turbidimetry (time to result 6, 8, 24 hours) and resazurin color (time to results 8, 24 hours). Methods: Four antibiotics were tested: gentamicin, amikacin, piperacillin/tazobactam and meropenem with 30 Escherichia coli strains isolated from blood cultures of 29 pacients hospitalised in different wards, University Hospital in Hradec Kralove. Human blood sera (n = 76) from ten hematological patients (4th Department of Clinical Medicine, University Hospital, Hradec Kralove) were tested to establish bactericidal titer. Patients' blood was withdrawn prior to and in the course of the first and third day of antibiotic therapy of febrile neutropenia. Testing employed the reference strain Escherichia coli ATCC 25922. Results: A comparison with the standard CSLI showed that the...