Orientador: Aarão Mendes Pinto-Neto / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-19T08:21:35Z (GMT). No. of bitstreams: 1 ClaroJunior_Francisco_M.pdf: 1505915 bytes, checksum: 78bcbaa4da8cbfbdd83f72a8939d4506 (MD5) Previous issue date: 2011 / Resumo: Introdução: a enxertia de gordura autóloga lipoaspirada na topografia mamária permanece controversa quanto a efetividade para fins estéticos e reparadores e a segurança do procedimento. O objetivo do estudo foi realizar uma revisão sistemática da literatura sobre a aplicabilidade clínica do procedimento e a segurança em relação às complicações clínicas, as alterações radiológicas e o risco oncológico. Métodos: busca digital na Cochrane Library, MEDLINE, EMBASE e SCIELO, entre julho de 1986 a junho de 2011. A revisão incluiu artigos com casos originais, em mulheres, enxertia de gordura autóloga recém-lipoaspirada, topografia mamária, descrição de complicações clínicas e/ou alterações radiológicas e/ou recidiva de câncer mamário. Resultados: Foram incluídos nesta revisão 60 artigos, que totalizaram 4739 casos. A lipoenxertia mamária foi utilizada satisfatoriamente para o tratamento estético e reconstrutivo das mamas. Foram identificadas 155 complicações clínicas, sendo 60% de enduramento e/ou nodulação palpável. A sua incidência, avaliada em 21 estudos, foi de 64/3015. A incidência de alterações radiológicas, avaliada em 17 estudos, foi de 266/2560. Imagens compatíveis com cisto à mamografia e/ou ultrassonografia e/ou ressonância nuclear magnética foram identificadas em mais da metade destes casos. Não foi identificado um único caso de câncer de mama primário. A incidência de recorrência local foi avaliada em três estudos, sendo 14/616 e não foi diferente nas mulheres mastectomizadas sem lipoenxertia. Conclusão: Foi identificada ampla aplicabilidade clínica da lipoenxertia autóloga na mama com baixo índice de complicações e sem evidência de comprometimento na detecção do câncer de mama. Em relação ao risco oncológico, pelo pequeno número de casos, os resultados embora aparentemente seguros, não foram conclusivos / Abstract: Background: Autologous fat grafting to the breast for cosmetic and reconstructive purposes is still controversial regarding the safety and efficacy of the procedure. The aim of this study was to conduct a systematic review on clinical applicability and safety of the technique concerning clinical complications, radiographic changes and oncological risk. Methods: an online search of the Cochrane Library, MEDLINE, EMBASE and SCIELO was conducted from July 1986 to June 2011. Studies included original articles of autologous liposuctioned fat grafting to the female breast with description of clinical complications and/or radiographic changes and/or local breast cancer recurrence. Results: This review included 60 articles (total: 4739 patients). Thirty studies use fat grafting for augmentation and 41 for reconstructive procedures. It was satisfactory in aesthetic and reconstructive breast treatment. Clinical complications incidence identified in 21 studies was 64/3015, the majority of them were induration and/or palpable nodulation. The incidence of radiographic changes was 266/2560 in 17 studies. Fifty per cent of Images changes were consistent with cysts on mammography and/or ultrasound and/or magnetic resonance. There were no cases of primary breast cancer. The incidence of local recurrence (14/616) was evaluated in just three studies and among them only one is prospective and none is randomised. Conclusion: a broad clinical applicability of autologous fat grafting to the breast was found. Complication rate was low and there was no evidence of interference with breast cancer detection. Although apparently safe, study results concerning oncological risk are not clear at present / Mestrado / Oncologia Ginecológica e Mamária / Mestre em Ciências da Saúde

The amyloidoses are biochemically heterogeneous diseases with patholophysiologic deposits of various proteins. Amyloid deposits can occur either localized to one organ or tissue or as part of a systemic disease with deposits in many different tissue. The clinical course, prognosis and therapy are different for each type of amyloidosis and therefore a type specific diagnosis is demanded as early as possible. We describe a method for typing of the most common systemic amyloidoses based on Western blot analysis combined with specific in- house antibodies, using subcutaneous fat biopsies. We found that the method is reliable and easy to perform and the tissue sample needed is obtained by minor surgery. In the aortic intima amyloid deposits are often associated with atherosclerosis plaques. In our study we also investigated the prevalence of intimal amyloid from 10 patients age 58-94, amyloid deposits were present in 50% of the cases. / Amyloidos är ett sjukdomstillstånd där proteiner som normalt är lösliga i kroppen felveckas och formar långa olösliga fibriller som ansamlas i vävnader och organ såsom t.ex. hjärta, hjärna och lever. Det finns cirka 25 proteiner som kan ge upphov till amyloidos. Man kan skilja på två huvudgrupper av amyloidos, systemisk och lokaliserad. Vid lokal amyloidos kan inlagringar förekomma i specifika vävnader vid framför allt vissa åldersberoende sjukdomar som t.ex. Alzheimers sjukdom. Vid systemisk amyloidos förekommer inlagringar i praktiskt taget alla vävnader. Symtomatologin vid systemisk amyloidos är variabel och sjukdomsbilden kan vara svårtolkad men tidig och specifik diagnostik ger möjlighet till riktad terapi mot den bakomliggande sjukdomen. Syftet med denna studie var att utvärdera en Western blot metod som använts för typning av vanligaste formerna av systemisk amyloidos. De slutsatser som nåtts är att denna metod är snabbt, pålitligt och enkel att utföra. Diagnos erhölls med finnålsbiopsi av bukfettvävnad som är enkel, snabb och billig metod med liten risk för patienternas hälsa. Vi lyckades också med hjälp av immunhistokemisk infärgning titta på prevalens av amyloid i aortas intima.

No description available.

Obesity results from an excess of adipose tissue and is a major risk factor for type 2 diabetes, cardiovascular disease, and cancer. Adipose tissue exists in two main forms: white adipose tissue (WAT), which stores energy as triglycerides, and brown adipose tissue (BAT), which dissipates stored energy as heat. White adipose tissue is composed of several subcutaneous and visceral depots, each possessing distinct molecular and functional characteristics. Brown-like adipocytes can emerge in WAT depots in response to cold or beta-adrenergic stimulation. These cells have been called “beige” or “brite” (brown-in-white) cells. The reduction of obesity in mice treated with beta-adrenergic agonists is correlated with the emergence of beige cells. Beige cell development occurs most readily in subcutaneous depots, and to the least extent in visceral depots. Understanding the molecular mechanisms underlying beige cell development in different WAT depots may be important in discovering new therapies against obesity and related diseases. Our lab has previously discovered that Tyrosine Kinase 2 (Tyk2), an important mediator of cytokine signaling, promotes the development of classical brown adipose tissue. Due to the lack of functional BAT, Tyk2-knockout (Tyk2-/-) mice become grossly obese with age and develop several symptoms of the metabolic syndrome. In the present study, we have found a potential role of Tyk2 in the development of beige cells. Here, we show that mRNA expression of BAT-selective genes (UCP1, Cidea, Cox8b, and Elovl3) is significantly reduced in subcutaneous WAT of Tyk2-knockout (Tyk2-/-) mice compared to wild-type mice. Surprisingly, BAT-selective genes are induced in Tyk2-/- subcutaneous WAT by acute starvation. These findings suggest that Tyk2 is required for the development of beige cells under ambient conditions, and that the need for Tyk2 in beige cell development is bypassed during nutritional stress, a stimulus of the sympathetic response.

Thesis is focused on the analysis of intersexual differences in adiposity markers within urban population of Czech children from 11,00 to 15,99 years. This age range encompasses puberty which is one of the critical periods for the possible development of overweight and obesity. The sample PRAHA 2013 consists of 356 girls and 353 boys which were surveyed for basic anthropometric indicators - body height, body weight, BMI, mid- upper arm circumference and the thickness of four skinfolds. Intersexual differences discovered in measured parameters show statistical significance (p<0,01 resp. p<0,001) and it corresponds with the characteristic changes of pubertal development in both of genders. Testing file PRAHA 2013 against reference standards and its comparison with the results of the last Czechoslovak spartakiade in 1985 points to positive secular trend of increasing body height. However increase in weight parametres is still continuing. Probands from the year 2013 reach higher body weight values, BMI and skinfold thickness in comparison with children of the same age in 1985, 1991 resp. 2001. Significant differences were found out in the most of age categories in both of genders. Keywords: adiposity tissue, subcutaneous fat, skinfolds, body fat distribution, sexual dimorphism, obesity, secular trend

We hypothesized that carcass subcutaneous fat location would affect sensory and quality traits. Five carcass fat sources were tested: brisket, chuck, plate, flank, and round. Ground beef was formulated using each fat source and extra-lean beef trim (>95% lean) to contain 80% lean trim and 20% fat trim. Patties (100 g) were evaluated for color, lipid oxidation, fatty acid composition and consumer evaluation. Flavor was analyzed using a Gas chromatography with mass spectrometry (GC/MS) on the headspace above a cooked (74 degrees C) patty in a heated (60 degrees C) 473 mL glass jar with a solid phase micro-extraction (SPME) fiber. Color, thiobarbituric acid reactive substance assay (TBARS), consumer sensory, and cook/freezer loss data showed no differences (P > 0.05) among carcass locations. Percentage stearic acid was lower (P = 0.044) in the brisket than in the chuck and flank. The brisket was higher in percentage cis-vaccenic acid (P = 0.016) and in the saturated fatty acid to monounsaturated fatty acid ratio (P = 0.018), and lower (P = 0.004) in the percentage of total saturated fatty acids than all other sources of subcutaneous fat. Butanedione was highest (P = 0.013) in the flank and plate fat. Brisket tended to be higher (P = 0.054) than flank, plate, and round in 1-octen-3-ol. Brisket was higher (P = 0.008) than chuck, flank, and round, but not different (P > 0.05) than plate in octanedione. Brisket was higher (P = 0.003) than all other sources for beefy aroma. Flank was higher (P = 0.047) than chuck and round for chemical aroma. Brisket was higher (P = 0.004) than all other sources except flank for floral aromas. Plate was higher (P = 0.029) than all other sources for heated oil aromas. For secondary aroma descriptor, round was higher (P < 0.001) than flank, plate, and chuck for dairy. While differences in some key fatty acids and aromatics existed among carcass locations, when the fat was diluted with a common lean source, fat source did not have a negative effect on sensory or quality traits. Therefore, formulating ground beef using subcutaneous fat from specific locations on a carcass may improve the beef aromatics without negatively affecting sensory or quality traits.

La tesi es compon de tres estudis que es van realitzar amb la finalitat de disminuir el cost analític que suposa la determinació rutinària de la greix intramuscular (GIM) i de l'àcid oleic, així com d’investigar els mecanismes biològics de la deposició del greix. En el primer estudi, es va desenvolupar un mètode analític d'alt rendiment per a la quantificació de l'àcid oleic en carn de porc, mitjançant un sistema d'anàlisi per injecció de flux basat en una espectrometria de masses amb ionització per electrosprai. El nou mètode, que permet una quantificació ràpida del contingut en àcid oleic en mostres petites, podria ser adequat per a la classificació de porcs i canals pel seu contingut en àcid oleic. El segon estudi, avalua l'ús d'indicadors lipídics en sèrum com biomarcadors precoços de la composició i contingut del GIM i del greix subcutani. Cap dels indicadors lipídics investigats es recomanen com un biomarcador precoç del greix. En l’últim estudi, es va examinar l'efecte de la selecció contra greix dorsal a GIM constant sobre el patró d'expressió proteica hepàtica i la composició d'àcids grassos en fetge, múscul i greix subcutani . Es conclou, que el patró d'expressió proteica hepàtica en porcs està afectat per la selecció contra greix dorsal / La tesis se compone de tres estudios que se realizaron con el fin de disminuir el coste analítico que supone la determinación rutinaria de la grasa intramuscular (GIM) y del ácido oleico, así cómo de investigar los mecanismos biológicos de la deposición de la grasa. En el primer estudio se desarrolló un método analítico de alto rendimiento para la cuantificación del ácido oleíco en carne de cerdo usando un sistema de análisis por inyección de flujo basado en una espectrometría de masas con ionización por electrospray. El nuevo método, el cual permite una cuantificación rápida del contenido en oleico en muestras pequeñas, podría ser adecuado para la clasificación de cerdos y canales por su contenido en oleico. El segundo estudio evalúa el uso de indicadores lipídicos en suero cómo biomarcadores de la composición y contenido de la GIM y la grasa subcutánea a edades tempranas. Ninguno de los indicadores lipídicos investigados se recomiendan que se usen cómo un biomarcador precoz de la grasa. El último estudio examinó el efecto de la selección contra grasa dorsal a constante GIM sobre la expresión proteíca hepática, y la composición de ácidos grasos en hígado, músculo y grasa subcutánea. Se concluye que el patrón de expresión proteíca hepática en cerdos es afectada por la selección contra grasa dorsal. / The thesis comprises of three studies, with the aim at decreasing the cost of routinely intramuscular fat (IMF) and acid oleic determinations, as well as investigating the biological mechanisms of fat deposition. In the first study, it was developed a high-throughput analytical method for oleic fatty acid quantification in pork using a flow injection analysis system based on electrospray ionisation mass spectrometry. The new method, which allows for a rapid quantification of oleic content in small pork samples, may be used as a suitable method for ranking pigs and carcasses by oleic content. The second study assesses the usefulness of serum lipid indicators as early biomarkers of IMF and subcutaneous fat content and composition. None of the serum lipid indicators investigated is recommended to be used as an early biomarker of fatness. The last study examined the effect of selection against backfat thickness at constant IMF on hepatic protein expression and fatty acid composition in liver, muscle, and subcutaneous fat. It is concluded that hepatic protein expression pattern in pigs is affected by selection for decreased backfat thickness.

Diss. (sammanfattning) Umeå : Umeå universitet, 2006. / Härtill 4 uppsatser.

Desde o início de 1990, a enxertia de gordura na prega vocal é descrita como um método para reparar a insuficiência glótica. O objetivo deste estudo é avaliar os efeitos da aplicação tópica de mitomicina-C no processo cicatricial de enxertos autólogos de gorduras inseridos em pregas vocais de coelhos através da medida da deposição de colágeno. Vinte e oito coelhos foram submetidos a enxertia de gordura em ambas pregas vocais. As pregas vocais direitas recebeu previamente a aplicação tópica de mitomicina-C (0,4mg/ml) durante cinco minutos enquanto que as pregas vocais esquerdas formavam o grupo controle (sem mitomicina-C). Quatro grupos com 6 coelhos cada foram sacrificados com 7, 14, 30 e 90 dias após a cirurgia de enxertia. As pregas vocais foram removidas para estudo histológico com a intenção de quantificar a deposição de colágeno através da coloração por Picrossírius Red sob microscopia polarizada. A deposição de colágeno foi menor em todos os grupos de pregas vocais que receberam aplicação tópica de mitomicina-C quando comparada com as pregas vocais do grupo controle. No presente estudo, a aplicação tópica de mitomicina-C antes da enxertia de gordura reduziu significativamente a deposição de colágeno (p = 0,05). / Since the early 1990s, fat implantation in the vocal fold is described as a method of repairing glottal insufficiency. The aim of this study was to evaluate the effect of topical application of mitomycin in the healing process with collagen deposition measurement around of autologous fat implants inserted in rabbits vocal folds. Twenty-eight rabbits were submitted to a fat implant in the both vocal folds. The right vocal folds received previously topical application of mitomycin (0,4mg/ml) for five minutes and the left vocal folds were the control group (without mitomycin). Four groups of 6 rabbits each were sacrificed 7, 14, 30 and 90 days after the implantation. The samples of the vocal folds were collected for histological analysis with the purpose of quantifying the collagen deposition by Picrosirius Red stain under polarization microscopy. The collagen deposition was lower in all groups of vocal folds with topical application of mitomycin than in control groups. In the present study, the topical application of mitomycin before the fat grafts reduced significantly the collagen deposition (p = 0,05).

Desde o início de 1990, a enxertia de gordura na prega vocal é descrita como um método para reparar a insuficiência glótica. O objetivo deste estudo é avaliar os efeitos da aplicação tópica de mitomicina-C no processo cicatricial de enxertos autólogos de gorduras inseridos em pregas vocais de coelhos através da medida da deposição de colágeno. Vinte e oito coelhos foram submetidos a enxertia de gordura em ambas pregas vocais. As pregas vocais direitas recebeu previamente a aplicação tópica de mitomicina-C (0,4mg/ml) durante cinco minutos enquanto que as pregas vocais esquerdas formavam o grupo controle (sem mitomicina-C). Quatro grupos com 6 coelhos cada foram sacrificados com 7, 14, 30 e 90 dias após a cirurgia de enxertia. As pregas vocais foram removidas para estudo histológico com a intenção de quantificar a deposição de colágeno através da coloração por Picrossírius Red sob microscopia polarizada. A deposição de colágeno foi menor em todos os grupos de pregas vocais que receberam aplicação tópica de mitomicina-C quando comparada com as pregas vocais do grupo controle. No presente estudo, a aplicação tópica de mitomicina-C antes da enxertia de gordura reduziu significativamente a deposição de colágeno (p = 0,05). / Since the early 1990s, fat implantation in the vocal fold is described as a method of repairing glottal insufficiency. The aim of this study was to evaluate the effect of topical application of mitomycin in the healing process with collagen deposition measurement around of autologous fat implants inserted in rabbits vocal folds. Twenty-eight rabbits were submitted to a fat implant in the both vocal folds. The right vocal folds received previously topical application of mitomycin (0,4mg/ml) for five minutes and the left vocal folds were the control group (without mitomycin). Four groups of 6 rabbits each were sacrificed 7, 14, 30 and 90 days after the implantation. The samples of the vocal folds were collected for histological analysis with the purpose of quantifying the collagen deposition by Picrosirius Red stain under polarization microscopy. The collagen deposition was lower in all groups of vocal folds with topical application of mitomycin than in control groups. In the present study, the topical application of mitomycin before the fat grafts reduced significantly the collagen deposition (p = 0,05).