O transplante de hepatócitos é uma modalidade terapêutica atrativa para as doenças hepáticas, assim como uma alternativa para o transplante hepático. O objetivo do presente estudo é investigar a efetividade do transplante de hepatócitos de ratos nos modelos de hepatotoxicidade aguda induzida por paracetamol (1g/kg e 1,5g/kg). Os hepatócitos foram isolados de ratos Wistar machos e transplantados 24 horas após em receptoras fêmeas com hepatotoxicidade de 1g/kg. Os ratos fêmeas receberam 1x107 hepatócitos (grupo 1, n=20) ou PBS (grupo 2, n=24) através da veia porta ou no baço. A análise de sobrevida em 3 dias demonstrou que todos os animais do grupo 1 sobreviveram, enquanto 5 animais do grupo 2 morreram (P=0,03), todas as mortes ocorreram nos ratos que receberam PBS através da veia porta (P=0,001). Os níveis de alanina aminotransferase e fator V que foram medidos no experimento não mostraram diferença entre o grupo 1 e o grupo 2 em nenhum momento. A análise molecular e a histologia mostraram a presença de hepatócitos no fígado de animais transplantados através da veia porta ou pelo baço. O modelo de hepatotoxicidade aguda induzida por paracetamol (1g/kg) demonstrou que o transplante de hepatócitos de ratos aumenta a sobrevida quando o local de injeção é na veia porta. No modelo de hepatotoxicidade aguda induzida por paracetamol (1,5g/kg), os hepatócitos foram isolados de ratos Wistar machos, e transplantados 6 horas após em receptoras fêmeas. Os ratos fêmeas receberam 1x107 hepatócitos (grupo 1, n=33) ou PBS (grupo 2, n=24) no baço. A análise de sobrevida em 3 dias demonstrou que 9 animais do grupo 1, e 9 animais do grupo 2 morreram no dia 2. Não houve diferença estatística significativa na análise de sobrevida entre o grupo 1 e o grupo 2. Nossos dados demonstram que o isolamento de hepatócitos é um procedimento factível. O transplante de hepatócitos é uma técnica que pode ser aplicada em modelos animais de IHA levando ao aumento da sobrevida. Entretanto, o modelo utilizado no presente estudo apresentou um alto grau de variabilidade, tornando necessária a avaliação do transplante de hepatócitos em um modelo mais reprodutível. / Hepatocyte transplantation is an attractive therapeutic modality for liver disease as an alternative for liver transplantation. The aim of the current study was to investigate the effectiveness of rat hepatocyte transplantation in the acetaminophen-induced acute hepatotoxicity models (1g/kg and 1,5g/kg). Hepatocytes were isolated from male Wistar rats and transplanted 24 hours later in female recipients with hepatotoxicity of 1g/kg of acetaminophen. Female rats received either 1x107 hepatocytes (group1, n=20) or PBS (group 2, n=24) through the portal vein or into the spleen. Survival analyses in 3 days showed that all animals from group 1 survived, whereas 5 rats from group 2 died (P=0.03), all deaths occurred in rats that received PBS into the portal vein (P=0.001). Alanine aminotransferase and factor V levels measured within the experiment did not differ between groups 1 and 2 at any time point. Molecular analysis and histology showed presence of hepatocytes in liver of transplanted animals injected either through portal vein or spleen. Our data in acetaminophen-induced hepatotoxicity model (1g/kg) demonstrate that rat hepatocyte transplantation increases survival when the site of injection is into portal vein in this hepatotoxicity model. In the acetaminophen-induced acute hepatotoxicity model (1,5g/kg), hepatocytes were isolated from male Wistar rats and transplanted 6 hours later in female recipients. Female rats received either 1x107 hepatocytes (group1, n=33) or PBS (group 2, n=24) into the spleen. Survival analyses in 3 days showed that 9 rats from group 1 and 9 rats from group 2 died at day 2. There was no statistical significance in survival between group 1 and group 2. Our data demonstrate that hepatocyte isolation is a feasible procedure. Hepatocyte transplantation can be used in animal models of acute liver failure increasing survival. The model of the present study show a higher variability, therefore it´s necessary to evaluate hepatocyte transplantation in a more reproducible model.

The diagnosis of antibody-mediated rejection after liver transplantation is complicated, due to the fact that the clinical and pathological signs of this life- threatening complication are often overlapping with non-immunological symptoms, like biliary obstruction, ischemia, thrombosis and others. Furthermore, the transplanted liver is to a great extent resistant to this type of rejection. Like in the transplanted kidney and heart, the main pathological factors of graft injury are antibodies directed to the mismatched HLA antigens of the organ donor, i.e. donor- specific antibodies. Besides analysis of HLA specificity of antibodies, research lately has been directed to define whether these antibodies are complement-binding or not. Literature data on this are however up till now limited. Therefore, the aim of this diploma thesis was to study the clinical relevance of complement-binding antibodies against HLA antigens in patients after liver transplantation. Our preliminary results suggest that there might be a correlation between the presence of complement-binding antibodies and the development of antibody-mediated rejection. This finding may play a role for improvement of the prognosis of patients after liver transplantation. Key words HLA, antibodies, C4d, complement, liver transplantation

Gender differences in myocardial apoptosis of the patients after heart transplantation Background: Many functions of the cardiovascular apparatus are influenced by gender. The aim of our study was to find out the sensitivity to perioperative ischemia of the donor female and male myocardium; and determine how the organism affects the donor myocardium of the other sex after heart transplantation (detection of apoptosis), and whether the investigated biomarkers can predict primary graft dysfunction (PGD). Methods: The research was divided into three prospective studies. The Study 1 included 81 patients undergoing heart transplantation from September 2010 to January 2013. Patients were divided into two groups according to male allograft and female allograft. In order to prove myocardial necrosis the high-sensitive cardiac troponin T (hs-cTnT) method was used. Apoptosis was determined by immunohistochemical detection of caspase-3, Bcl-2, and by the TUNEL method. The Study 2 includeded 58 patients divided into four groups according to gender; both of the recipient and the donor. Apoptosis (caspase-3, Bcl-2, TUNEL) was analysed in these groups during the two-year follow-up. Into Study 3 64 patients were involved. We investigated the relationship in between these biomarkers and the development of PGD after...

O Transplante de Células-tronco hematopoiéticas (TCTH) alogênico é um procedimento com grande potencial de cura para uma variedade de doenças malignas e não malignas, tanto no grupo pediátrico como em pacientes adultos. O objetivo do trabalho foi descrever o perfil dos pacientes pediátricos submetidos ao TCTH alogênico no Hospital de Clínicas de Porto Alegre, assim como verificar a incidência das principais complicações e seus possíveis fatores de risco. Foi realizado um estudo de coorte retrospectivo de 100 pacientes entre 0 e 21 anos submetidos ao TCTH alogênico no HCPA entre 1995 e 2011. A mediana de idade do receptor foi 9,5 anos, sendo 55% do sexo masculino. As principais doenças de base foram as leucemias agudas (48%), onde 60,4% eram LLA, 37,5% LMA e 2,1% leucemia secundária. 73% dos transplantes foram de doadores aparentados e a medula óssea foi a principal fonte empregada (85,4%). A incidência de DECH aguda foi de 46% e de DECH crônica de 30,8%. Vinte pacientes recaíram da doença de base e 38 evoluíram para o óbito. A SG em 10 anos foi de 57% e a SLD para as leucemias agudas foi de 45%. Em análise multivariada, o doador não aparentado, o uso de TBI e a recaída da doença de base foram fatores de risco para a SG. Para a DECH crônica, o uso de outras profilaxias para DECH exceto CSA+MTX foi fator de risco. Nosso trabalho foi importante para descrever as características, principais desfechos e fatores de risco associados do TCTH no grupo pediátrico de nossa instituição. / Allogeneic hematopoietic stem cell transplantation (HSCT) is a potentially curative procedure for a variety of malignant and non-malignant diseases. The aim of this study was to describe the pediatric population submited to HSCT at Hospital de Clínicas de Porto Alegre and identify the incidence and risk factors of the main outcomes. We retrospectively reviewed 100 patients from 0 to 21 years old who underwent allogeneic HSCT between 1995 and 2011. The median age was 9,5 years and 55% were male. Acute leukemia was the most prevalent disease in this group (48%), from which 60,4% were ALL, 37,5% AML and 2,1% secondary leukemia. 73% of the transplants were from related donors and the bone marrow was the source in 85,4% of the procedures. The incidence of acute GVHD was 46% and of chronic GVHD was 30,8%. Twenty patients relapsed and 38 died. The OS at 10 years was 57% and the DFS for the group transplanted with acute leucemia was 45%. Unrelated donor, TBI and relapse were associated with a worse survival on multivariate analysis. Other GVHD prophylaxis than CSA+MTX was a risk factor for chronic GVHD on multivariate analysis. Our study was important to understand the characteristics, outcomes and risk factors for the HSCT in the pediatric group of a single institution in Brazil.

O estudo que se apresenta tem como objeto a Política de Transplante do Estado do Rio de Janeiro e as suas particularidades, visando captar as transformações que este vem sofrendo, especialmente na atualidade, quando se observa importantes transformações na Política de Saúde Brasileira e Estadual. As disputas entre os diferentes projetos de saúde na atualidade o Projeto Privatista e o Projeto de Reforma Sanitária - vem impactando na configuração da política pública de transplante. No caso do Rio de Janeiro, observa-se uma forte tendência de fortalecimento do Projeto Privatista com a criação do Programa Estadual de Transplantes. Repasse maior de recursos financeiros públicos em unidades privadas, a ampliação da oferta de transplantes através de parcerias privadas e a contratação de funcionários por contratos e outros vínculos que não garantem os direitos dos trabalhadores são as principais estratégias que foram adotadas pelo Estado do Rio. Identificar essas estratégias de privatização se torna essencial para a construção de respostas democráticas para combatê-las e fortalecer o SUS. / The study that is presented focuses the policy of the State of Transplantation Rio de Janeiro and its special features , aiming to capture the transformations that this is suffering , especially today , when we observe significant changes in the Brazilian and State Health Policy . Disputes between different health projects today - the privatizing Project and Project Health Reform - has impacted the setting of public policy transplantation. In the case of Rio de Janeiro, there is a strong trend towards the strengthening of the privatized project with the creation of the State Program of Transplantation. Greater transfer of public funds into private units , expanding the supply of transplants through private partnerships and hiring employees for contracts and other links that do not ensure workers' rights are the main strategies that have been adopted by the State of Rio identify these privatization strategies becomes essential for building democratic responses to combat them and strengthen the SUS

The afflictions suffered by immunocompromised individuals have historically been attributed to overt infections caused by bacterial and fungal pathogens. For this reason, treatment methods have focused on resolving these infections, with great success in terms of reducing short-term morbidity and mortality rates. This initial success only served to reinforce the dogmatic opinion that to ‘cure’ immunodeficiency, one needs only to resolve and prevent recurrence of bacterial and fungal infections. However, reports of long-term health problems in immunocompromised cohorts suggest that treatment of bacterial and fungal infections alone does not resolve all aspects of the disease, and that viruses may play a greater role than previously expected. This thesis investigates whether viral infections do indeed have a significant impact in the immunocompromised patient. The overall prevalence of blood-borne viral infections in immunocompromised cohorts was determined through the combined use of unbiased, metagenomic sequencing and qPCR. The viral species detected were compared with patient records in order to determine whether there were any correlations between viral presence and patient outcome following treatment. Furthermore, by investigating a cross-section of cohorts with both inherited and acquired immunodeficiences, commonalities and differences could be found in terms of the types of viruses that infect these cohorts and their abundance in patients with different types of immunodeficiency. The findings of this work suggest that a large number of clinically undiagnosed viruses infect immunocompromised patients, however the prevalence of these viruses varies according to the form of immunodeficiency and, to a lesser extent, according to differences between individuals in the same cohort. Importantly, some of the more common viruses detected appear to be correlated with poor patient outcomes such as graft rejection and future infectious complications. Overall, these results suggest that viral infections do indeed play a larger role in the health of immunocompromised patients than has previously been thought although whether this is due to a direct cause or as a consequence is yet to be determined.

Made available in DSpace on 2015-10-06T13:03:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-23. Added 1 bitstream(s) on 2015-10-06T13:18:55Z : No. of bitstreams: 1 000847355.pdf: 1190450 bytes, checksum: 198ab4a47eec622beaa61096061775a2 (MD5) / Introdução: A córnea é uma túnica transparente responsável por 60% do poder refrativo do olho. Segundo a Organização Mundial da Saúde (OMS), doenças que afetam a transparência da córnea são responsáveis por 5,1% do total de cerca de 45 milhões de cegos. O Brasil é o país que mais realiza transplantes de córnea na América Latina. A taxa de perda endotelial gira em torno de 0,6/ano em pessoas normais. Essa taxa é acelerada após cirurgias oculares ou glaucoma. Essa perda, após o transplante penetrante devido trauma inicial, reação imune, glaucoma secundário, interação celular entre o doador e receptor, seria de 7,8%/ano nos primeiros cinco anos e 4,2%/ano após 10 anos. Alguns estudos sugerem perda endotelial maior no Descemet's stripping automated endothelial keratoplasty/Ceratoplastia endothelial automatizada stripping de Descemet (DSAEK) (34% após seis meses) do que no transplante penetrante (11%) enquanto outros mostram que a perda endotelial após um ano é maior no transplante penetrante. A sobrevida do enxerto em ambas as técnicas foram semelhantes e o resultado óptico superior na técnica DSAEK. Há quase um século o transplante penetrante tem sido a técnica cirúrgica de escolha no manejo de alterações corneais. Apesar das vantagens de procedimentos lamelares, como menor risco de complicações intra-oculares e rejeição do enxerto, o transplante penetrante ainda mostra ser a técnica de preferência da maioria dos transplantadores mundiais. Entretanto, nos últimos anos, várias técnicas de ceratoplastia lamelar têm sido desenvolvidas, modificadas ou melhoradas, principalmente técnicas para substituição da porção posterior para correção da ceratopatia bolhosa. A escolha de ceratopatia bolhosa pós facectomia foi por esta ser a principal causa de transplantes relacionados a disfunções endoteliais. Objetivo: Avaliar a eficá cia e a seguranç a d a ceratoplastia endotelial quando... / Introduction: The cornea is a transparent organ responsible for 60% of the refractive power of the eye. According to the World Health Organization (WHO), diseases affecting the transparency of the cornea are responsible for 5.1% of total of about 45 million blind. Brazil is the country that performs corneal transplants in Latin America. Endothelial loss rate is around 0.6 / year in normal people. This rate is accelerated after eye surgery or glaucoma. This loss after penetrating keratoplasty because initial trauma, immune reaction, secondary glaucoma, cell interaction between donor and recipient, it would be 7.8% / year in the first five years and 4.2% / year after 10 years. Some studies suggest a greater endothelial cell loss in DSAEK (34% after six months) than in penetrating keratoplasty (11%) while others show that endothelial cell loss after one year is higher in penetrating keratoplasty. Graft survival in both techniques were similar and higher optical result in DSAEK technique. For nearly a century the penetrating keratoplasty has been surgical technique of choice in the management of corneal changes. Despite the advantages of lamellar procedures such as intraocular lower risk of complications and graft rejection further shows penetrating keratoplasty is the preferred technique of most of the world transplant. However, in recent years, several lamellar keratoplasty techniques have been developed, modified or improved, especially techniques for replacement of the posterior portion for correction of bullous keratopathy. Objective: To evaluate the efficacy and safety in endothelial keratoplasty when compared to penetrating keratoplasty for the improvement of visual acuity in aphakic and pseudophakic bullous keratopathy. Methods: Systematic review of randomized controlled trials (RCTs) and / or quasirandomized studies that assessed endothelial keratoplasty versus penetrating keratoplasty in adults diagnosed with aphakic or ...

Made available in DSpace on 2014-06-11T19:25:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-08-16Bitstream added on 2014-06-13T19:12:08Z : No. of bitstreams: 1 cury_jrlm_me_botib.pdf: 264091 bytes, checksum: d3c5fa57917230a1a6aae9c3b8f93830 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / O protocolo denominado P36 tem sido amplamente utilizado para induzir ovulação múltipla e permitir a inseminação artificial em tempo fixo (IATF) facilitando o manejo de doadoras de embriões. Estudos recentes com o P36 indicam que a substituição das duas últimas doses de FSH por eCG pode melhorar a produção de embriões, possivelmente por sua atividade LH. Objetiva-se com o presente trabalho comparar o protocolo P36 com o tratamento superestimulatório convencional (com observação do estro) e testar, em vacas da raça Nelore, a substituição da eCG pela aplicação simultânea de FSH e LH no último dia de tratamento superestimulatório. Vacas Nelore (n=16) foram distribuídas aleatoriamente em 4 grupos: superovulação convencional com observação de estro (Controle), P36, P36/eCG e P36/FSH+LH. Os tratamentos foram feitos em modelo cross-over, ou seja todos os animais passaram pelos 4 tratamentos. No grupo Controle, o tratamento superestimulatório iniciou 10 dias após a observação do estro. As aplicações de FSH foram feitas durante 4 dias consecutivos (133mg, IM), duas vezes ao dia em doses decrescentes. Dois dias após o início do tratamento as doadoras receberam uma dose luteolítica de d-cloprostenol (150μg, IM). As inseminações foram realizadas 12 e 24 horas após a detecção do estro. No grupo P36, em dia aleatório do ciclo estral (D0), as doadoras receberam um dispositivo intravaginal de progesterona (1g) e benzoato de estradiol (3 mg, IM). O FSH (133mg, IM) foi administrado em doses decrescentes, 2 vezes ao dia durante o D4 ao D7. No D6, foi aplicado d-cloprostenol (150μg, IM) e o dispositivo intravaginal foi removido 36h mais tarde. No dia 8, a ovulação foi induzida com 12,5mg de pLH e os animais foram inseminados artificialmente em tempo pré-determinado, sem a observação de... / The P36 protocol has been widely used to induce multiple ovulation and allow for fixed-time artificial insemination (FTAI) facilitating the management of embryo donors. Recent studies with the P36 protocol indicate that the replacement of the last two doses of FSH by eCG can improve embryo yield, possibly due to its LH activity. The objective of this study was to compare the P36 protocol with conventional superestimulatory treatments (with estrus observation) and to test, in Nelore cows, the replacement of eCG by the simultaneous administration of FSH and LH on the last day of the superstimulatory treatment. Nelore cows (n=16) were randomly distributed into four groups: conventional superovulation with estrus observation (control); P36; and P36 / eCG P36 / FSH+LH. The treatments were performed in a crossover model, i.e. all animals passed through the four treatments. In the control group, the superstimulatory treatment started 10 days after estrus observation. Administration of FSH was made in 4 consecutive days (133 mg, IM), twice daily in decreasing doses. Two days after the initiation of treatment donors received a luteolytic dose of d-cloprostenol (150 μg, IM). Insemination was performed 12 and 24 h after estrus observation. In the P36 group, in a random day of estrous (D0), donors received a progesterone intravaginal device (1.0 g) and estradiol benzoate (3.0 mg, IM). The FSH (133 mg, IM) was administered at decreasing doses, twice daily from D4 to D7. In D6, d-cloprostenol was administered (150 μg, IM) and the intravaginal device was removed after 36 h. On day 8, ovulation was induced with 12.5 mg of pLH and the FTAI was performed at 12 and 24 h after pLH administration. Cows from the P36/eCG group were treated similarly to P36 group, except that the last two doses of FSH were replaced by two... (Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:33:23Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-07-18Bitstream added on 2014-06-13T19:44:08Z : No. of bitstreams: 1 tondelli_pm_dr_araca.pdf: 1164760 bytes, checksum: f908dee27260dcb11519a6738aa94fba (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação para o Desenvolvimento da UNESP (FUNDUNESP) / Introdução: O presente trabalho apresenta uma metodologia para a movimentação dentária induzida (MDI) e avalia a quantidade de movimentação dentária, as condições ósseas, radiculares e periodontais, após o emprego de força contínua (FC), contínua interrompida (FCI) e intermitente (FI). Material e Métodos: Utilizou-se 54 ratos da linhagem Wistar, em grupos de FC, FCI e FI, nos períodos de 5, 7 e 9 dias. Inicialmente foram realizadas extrações dos incisivos superiores direitos de cada animal, e procedeu-se a obturação retrógrada e reimplante imediato para indução de anquilose. Após 2 semanas, instalou-se molas de NiTi (Sentalloy) com liberação de 50cN de magnitude de força, sendo mantidas, desativadas ou removidas em determinados períodos para estabelecer os tipos de força, FC, FCI e FI. Os dados foram comparados pela análise de variância (ANOVA) e teste de Tukey com nível de significância de 5%. Resultados: Nenhum incisivo induzido à anquilose apresentou erupção ou movimentação após o emprego de forças. A análise histológica demonstrou que todos os incisivos manipulados apresentaram anquilose. Não houve diferença na quantidade de movimentação entre os grupos FC e FCI, que diferiram de forma estatisticamente significante do FI. Ocorreu maior formação de áreas hialinas no grupo FC, principalmente, no 5º dia de movimentação. Não houve diferença significativa na reabsorção radicular entre os grupos. A avaliação do ligamento periodontal nos molares não movimentados mostrou que a espessura na raiz intermediária é menor do que na raiz mesiovestibular, com diferença estatisticamente significante. Conclusões: A metodologia para indução de anquilose mostrou-se eficaz para a utilização como ancoragem, durante a MDI dos... / Introduction: This paper presents a methodology for induced tooth movement (MDI) and assesses the amount of tooth movement, bone, root and periodontal conditions with continuous (FC), continuous interrupted (FCI) and intermittent (FI) forces. Methods: 54 Wistar rats were used in groups of FC, FCI and FI, in periods of 5, 7 and 9 days. In the upper right incisor of each animal was held extraction, retrograde filling and reimplantation for immediate induction of ankylosis. After two weeks, were installed opened springs NiTi (Sentalloy), releasing 50cN magnitude of force, being maintained, disabled or removed in certain periods to establish the types of force, FC, FCI e FI. Data were compared by analysis of variance (ANOVA) and Tukey's test with a significance level of 5%. Results: None of the incisor induced ankylosis had eruption or movement after the employment of forces, and the eruption rate was zero. Histological examination showed that all of manipulated incisors had ankylosis. There was no difference in the amount of movement between groups FC and FCI, which differed statistically from FI. There was greater formation of hyaline areas in the FC group mainly on the 5th day. There was no significant difference in root resorption between the groups. In molars not moved, the thickness of the periodontal ligament in the middle root is smaller than in the mesiobuccal root, with statistically significant difference. Conclusions: The methodology for inducing ankylosis was effective for use as an anchorage during murine molar MDI. It eliminates the undesirable effects resulting from the continuous eruption of incisors. The continuous forces produce more hyaline areas most likely to generate root resorption. The continuous interrupted... (Complete abstract click electronic access below)

Made available in DSpace on 2014-11-10T11:09:54Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-07-19Bitstream added on 2014-11-10T11:57:44Z : No. of bitstreams: 1 000788398.pdf: 359564 bytes, checksum: 9f9d8433658bf4b20dc7fe6d641d8e84 (MD5) / Vários fatores influenciam no resultado da transferência de embrião (TE) em equinos, sendo que a sincronia entre a doadora e a receptora muitas vezes limita o uso da receptora, pois não há sincronia do ambiente uterino e com o estágio do embrião que será transferido. Éguas doadoras de embriões muitas vezes devido ao manejo distintos das receptoras tendem a apresentar ciclos ovulatórios por mais tempo durante a estação reprodutiva. Atualmente, muitos protocolos e terapias possibilitam uma maior recuperação de embriões por ciclo, mesmo de éguas idosas, dessa forma as receptoras desempenham um importante papel na cadeia da TE. Várias estratégias são utilizadas para maximizar o uso de éguas receptoras e com isso aumentar o número de produtos de TE por estação. Com a intenção de sincronizar ou aumentar o tempo de utilização das receptoras durante a estação de monta, pode-se utilizar progesterona e progestágenos, e estrógenos dessa forma, reduz a relação doadora/receptora, gerando uma redução de custo e tempo, além da utilização de éguas não ciclantes com índices de gestação satisfatórios. O presente estudo teve como objetivo estudar o efeito da utilização do estrógeno e progesterona no diestro para maximizar a utilização de receptoras de embrião. Onde foi observado a taxa de prenhez no grupo diestro de 40%, sendo uma alternativa estratégica em programas de TE quando poucas receptoras estiverem disponíveis / Several factors influence the outcome of embryo transfer (TE) in horses, and the synchrony between donor and recipient often limits the use of the recipient, because there is no synchronization of the uterine environment and the stage of the embryo to be transferred. Mares embryo donors often due to different handling of the recipients tend to have longer ovulatory cycles during the breeding season. Currently many protocols and therapies enable greater recovery of embryos per cycle, even old mares, so the receivers play an important point in the chain of TE. Several strategies are used to maximize the use of recipient mares and thereby increase the number of products per season TE. With the intention of increasing or synchronize the time of use of the receiver during the breeding season may be mentioned progesterone and progestins, estrogens and thus reduces the ratio donor / recipient, resulting in a reduction of cost and time, besides the use mares with ciclantes not satisfactory pregnancy rates. The present study aimed to study the effect of the use of estrogen and progesterone in diestrus to maximize the use of embryo recipients in TE programs