RESUMO
Adventitious roots (ARs) are post-embryonic roots essential for plant survival and propagation. Indole-3-acetic acid (IAA) is the auxin that controls AR formation; however, its precursor indole-3-butyric acid (IBA) is known to enhance it. Ethylene affects many auxin-dependent processes by affecting IAA synthesis, transport and/or signaling, but its role in AR formation has not been elucidated. This research investigated the role of ethylene in AR formation in dark-grown Arabidopsis thaliana seedlings, and its interaction with IAA/IBA. A number of mutants/transgenic lines were exposed to various treatments, and mRNA in situ hybridizations were carried out and hormones were quantified In the wild-type, the ethylene precursor 1-aminocyclopropane-1-carboxylic acid (ACC) at 0.1 µM enhanced AR formation when combined with IBA (10 µM), but reduced it when applied alone; this effect did not occur in the ein3eil1 ethylene-insensitive mutant. ACC inhibited the expression of the IAA-biosynthetic genes WEI2, WEI7, and YUC6, but enhanced IBA-to-IAA conversion, as shown by the response of the ech2ibr10 mutant and an increase in the endogenous levels of IAA. The ethylene effect was independent of auxin-signaling by TIR1-AFB2 and IBA-efflux by ABCG carriers, but it was dependent on IAA-influx by AUX1/LAX3.Taken together, the results demonstrate that a crosstalk involving ethylene signaling, IAA-influx, and IBA-to-IAA conversion exists between ethylene and IAA in the control of AR formation.
Assuntos
Arabidopsis/crescimento & desenvolvimento , Etilenos/metabolismo , Ácidos Indolacéticos/metabolismo , Reguladores de Crescimento de Plantas/fisiologia , Raízes de Plantas/crescimento & desenvolvimento , Arabidopsis/fisiologia , Hibridização In Situ , Indóis/metabolismo , Raízes de Plantas/fisiologiaRESUMO
Exposure to topoisomerase II inhibitors is linked to the generation of leukemia involving translocations of the MLL gene, normally restricted to an 8.3 kbp tract, the breakpoint cluster region (BCR). Using an in vitro assay, apoptotic activators, including radiation and anti-CD95 antibody, trigger site-specific cleavage adjacent to exon 12 within the MLL BCR and promote translocation of the MLL gene in cells that can survive. To explore the mechanism of cleavage and rearrangement in more detail, the entire MLL BCR was placed into the pREP4 episomal vector and transfected into human lymphoblastoid TK6 cells. Episomes containing either the MLL BCR, or deletion constructs of 367 bp or larger, were cleaved at the same position as genomic MLL after exposure to apoptotic stimuli. Further analysis of sequence motifs surrounding the cleaved region of MLL showed the presence of both a predicted nuclear matrix attachment sequence and a potential strong binding site for topoisomerase II, flanking the site of cleavage. Inactivation of topoisomerase II by the catalytic inhibitor merbarone did not inhibit MLL cleavage, suggesting that the initial cleavage step for MLL rearrangement is not mediated by topoisomerase II.
Assuntos
Apoptose , DNA Topoisomerases Tipo II/metabolismo , Rearranjo Gênico , Proteína de Leucina Linfoide-Mieloide/genética , Deleção de Sequência , Motivos de Aminoácidos , Sítios de Ligação , Linhagem Celular Tumoral , Histona-Lisina N-Metiltransferase , Humanos , Proteínas Associadas à Matriz Nuclear , Proteínas de Fusão Oncogênica/genética , Proteínas Proto-Oncogênicas c-bcr/genética , TransfecçãoRESUMO
The concept that cells subjected to chromatin cleavage during apoptosis are destined to die is being challenged. The execution phase of apoptosis is characterized by the activation of effector caspases, such as caspase-3, that cleave key regulatory or structural proteins and in particular activate apoptotic nucleases such as the caspase activated deoxyribonuclease (CAD). It is apparent that caspases of this type may become active both through non-apoptotic processing and potentially within cells that exhibit apoptotic morphology but are subsequently able to survive. In such systems caspase suppressor molecules, the inhibitors of apoptotic proteins or IAP's, may rescue cells from apoptotic nuclease(s) attack initiated by transient caspase activation. The MLL gene is involved in leukemogenic translocations in ALL and AML and is a target of nuclease cleavage during apoptosis. Translocations initiated at the site of apoptotic nuclease attack within MLL have been identified and may offer a model, with clinical relevance, for DNA damage mediated by the apoptosis system in cells destined to survive. The specificity of apoptotic cleavage combined with the potential for recovery from the execution phase of apoptosis suggests a novel and pathogenic role for apoptosis in creating translocations with leukemogenic potential.
Assuntos
Apoptose , Animais , Caspase 3 , Caspases/metabolismo , Dano ao DNA , Ativação Enzimática , Humanos , Modelos Biológicos , Transporte ProteicoRESUMO
Translocations involving the MLL gene at 11q23 are a frequent finding in therapy-related leukemia and are concentrated within a short, 8.3-kb tract of DNA, the breakpoint cluster region. In addition, a specific site adjacent to exon 12 within this region of MLL is cleaved in cells undergoing apoptosis. We show here, using human TK6 lymphoblastoid cells, that irradiation and the apoptotic trigger anti-CD95 antibody are each able to initiate translocations at the MLL exon 12 cleavage site. The translocation junctions produced contain regions of microhomology consistent with operation of the nonhomologous end joining (NHEJ) repair process. Participation of the NHEJ process is supported by the identification of the NHEJ component DNA-PKcs at the site of apoptotic cleavage. Suppression of DNA-PKcs function by the phosphatidylinositol 3-kinase inhibitor wortmannin compromises DNA end joining, increases site-specific cleavage within MLL, and eliminates MLL-restricted translocations. We propose that activation of apoptotic effector nucleases alone is sufficient to generate proleukemogenic translocations and raises the possibility that some of these may persist in cells that evade apoptotic execution and survive.
Assuntos
Apoptose/fisiologia , Reparo do DNA/fisiologia , Proteínas de Ligação a DNA/genética , Proteínas Tirosina Quinases , Proteínas Proto-Oncogênicas , Proto-Oncogenes , Fatores de Transcrição , DNA/genética , DNA/metabolismo , DNA/efeitos da radiação , Dano ao DNA , Proteína Quinase Ativada por DNA , Histona-Lisina N-Metiltransferase , Humanos , Linfócitos/citologia , Linfócitos/diagnóstico por imagem , Linfócitos/fisiologia , Proteína de Leucina Linfoide-Mieloide , Proteínas Nucleares , Proteínas Oncogênicas/genética , Proteínas Serina-Treonina Quinases/antagonistas & inibidores , Proteínas Serina-Treonina Quinases/metabolismo , Proteínas Proto-Oncogênicas c-bcr , Radiografia , Translocação GenéticaRESUMO
Single cell gel electrophoresis (SCGE), or comet assay, appears to be a promising tool to estimate DNA damage at the single cell level and it provides information on the presence of damage among individual cells. A follow-up study of 90 smokers who ceased smoking was undertaken to determine the possible decrease of DNA damage in their leukocytes. Before beginning the trial, volunteers smoked on average 26.1 +/- 8.4 cigarettes/day. Comet length did not correlate with the number of cigarettes/day or with the condensate tar content. At the end of the study, 28 volunteers had abandoned the trial, 40 volunteers relapsed into smoking at different times, but with a reduced number of cigarettes/day, whereas 22 fully succeeded in smoking cessation. Throughout the 5 sampling times, a great variability of comet length at individual level was found. However, after 1 year of follow-up, comet length means were found to be significantly shorter (p < 0.0001) in those volunteers who completely quit smoking compared to those who relapsed into smoking (27.2 +/- 1.6 vs. 31.9 +/- 5.1 microns, respectively), irrespective of the amount of cigarettes previously smoked. No effect of age or sex was found. Six months later, these results were confirmed by a further study carried out on a reduced sample of volunteers. The present data strongly suggest that, in spite of the great variability observed, 1 year of smoking cessation is associated with a significant reduction of DNA damage in circulating leukocytes.
Assuntos
Dano ao DNA , Análise Mutacional de DNA/métodos , Leucócitos/química , Testes de Mutagenicidade/métodos , Fumar , Adulto , Idoso , Monóxido de Carbono/análise , Eletroforese em Gel de Ágar/métodos , Seguimentos , Humanos , Pessoa de Meia-Idade , Fatores de TempoRESUMO
The present experiment examined whether discrimination learning shapes the single-peaked response distributions usually obtained with the peak procedure. Two sources of learning in pigeons were disclosed: learning to respond near the time of reinforcement on fixed interval (FI) trials and learning to withhold responding once the FI duration had elapsed on peak interval (PI) trials. Pigeons also produced a highly unexpected second peak in responding on nonreinforced PI trials at 3 times the FI duration. Follow-up experiments showed that a 1:4 FI:PI duration ratio supported double peaks, but only 1 peak was obtained with a 1:8 FI:PI duration ratio. Finally, 4 peaks could be observed on extra-long PI trials under a 1:4:8 FI:PI:PI ratio procedure. The multiple-peaked response distributions are an unprecedented finding that present a major challenge to any theory of time perception.
Assuntos
Comportamento Apetitivo , Atenção , Aprendizagem por Discriminação , Percepção do Tempo , Animais , Aprendizagem por Associação , Columbidae , Motivação , Esquema de ReforçoRESUMO
Although from the clinical point of view a GI motor disorder can be suspected in celiac disease, objective evidence for this is still lacking. We therefore conducted a study on children with active celiac disease to detect possible GI motor abnormalities in this disease. Fourteen children (age range, 1-13 years) were studied; they underwent fasting and fed manometric recordings in the gastroduodenojejunal area. Four patients were restudied after a 6-month gluten-free diet. Data were compared with those obtained in eight control children. As compared with controls, celiac disease patients showed a shorter duration of activity fronts (p < 0.01) and a significant (p < 0.01) reduction of the postprandial antral motility index; furthermore, > 90% of the patients displayed marked fasting and/or fed motor abnormalities, suggesting a neuropathic disorder. Interestingly, gut dysmotilities disappeared in the four subjects reassessed after the gluten-free diet. It is concluded that celiac disease frequently affects the motor behavior of the gut and that its effects may be reversed by appropriate diet.
Assuntos
Doença Celíaca/fisiopatologia , Motilidade Gastrointestinal , Adolescente , Doença Celíaca/dietoterapia , Criança , Pré-Escolar , Duodeno/fisiopatologia , Jejum , Feminino , Alimentos , Glutens/administração & dosagem , Humanos , Lactente , Jejuno/fisiopatologia , MasculinoRESUMO
The comet test (single cell gel electrophoresis, SCGE) appears to be a promising tool to estimate DNA damage at the single cell level and it provides information on the presence of damage among individual cells. Previously, we analyzed the degree of DNA damage in peripheral human lymphocytes from 100 healthy subjects living in Pisa (Italy) taking into account age, gender and smoking habit, and we also reported some results aiming at the assessment of the comet test (Betti el al., 1994). In addition, SCE analysis was carried out in order to compare the two endpoints. Because of the interesting results obtained, the present study was extended to 200 individuals, and data analyzed included information concerning number of cigarettes smoked a day, tar/cigarette and job. Data obtained confirmed that the SCGE is more sensitive than SCE in revealing smoking habit effects but comet induction did not seem to be related to the amount of cigarette tar inhaled. Moreover, sampling time was found to play a greater role in the comet assay as compared to SCE. Job position did not significantly influence SCE mean/subject or comet length mean/subject.
Assuntos
Dano ao DNA , Linfócitos/citologia , Linfócitos/fisiologia , Troca de Cromátide Irmã , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Demografia , Eletroforese/métodos , Monitoramento Ambiental , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Valores de Referência , Fatores Sexuais , FumarRESUMO
Micronucleus (Mn) and metaphase chromosome analyses were performed in mouse bone marrow cells with two known and eight suspected mitotic spindle poisons. Polychromatic (PCEs) and normochromatic (NCEs) erythrocytes were scored for presence of Mn, while structural (CAs) and numerical chromosome aberrations (NCAs), i.e. hyperploid cells, were evaluated by metaphase analysis. CAs were scored in first, and NCAs in the second metaphases, identified by BrdUrd differential staining. Hydroquinone induced Mn, NCAs and CAs; colchicine, vinblastine and, to a lesser extent, chloral hydrate, diazepam and econazole induced both Mn and NCAs; cadmium chloride and thimerosal induced Mn and CAs, while pyrimethamine and thiabendazole induced Mn only. The proposed stepwise protocol allowed satisfactory statistical evaluation of the effects induced with a reduction in the number of animals killed. An acceptable agreement was found between induction of Mn and NCAs, suggesting a possible use of the Mn test for revealing compounds with aneugenic properties.
Assuntos
Aberrações Cromossômicas/fisiologia , Metáfase , Testes para Micronúcleos , Fuso Acromático/efeitos dos fármacos , Animais , Células da Medula Óssea , Cádmio/farmacologia , Cloreto de Cádmio , Células Cultivadas/efeitos dos fármacos , Hidrato de Cloral/farmacologia , Cloretos/farmacologia , Colchicina/farmacologia , Diazepam/farmacologia , Econazol/farmacologia , Hidroquinonas/farmacologia , Masculino , Camundongos , Pirimetamina/farmacologia , Tiabendazol/farmacologia , Timerosal/farmacologia , Vimblastina/farmacologiaRESUMO
No study to date has objectively investigated whether the motor behavior of the small bowel is abnormal in celiac sprue. The purpose of this study was to systematically address this topic by means of intraluminal pressure recordings in a series of such patients. Sixteen subjects (nine adults, seven children, age range 2-69 years) with celiac sprue were recruited and studied while untreated. Manometric examination was carried out for 6 hr during fasting and 3 hr after a meal. Adult celiac patients displayed a significantly (mean +/- SEM) greater frequency of migrating motor complexes in comparison to controls during fasting (4.44 +/- 1.6 vs 2.45 +/- 0.20, P < 0.01), whereas no differences were found in the pediatric group with respect to this variable. Fasting motor abnormalities, chiefly represented by discrete clustered contractions, giant jejunal contractions, and bursts of nonpropagated contractions, were discovered in a high percentage in both groups of celiac subjects (89% in adults and 44% in children, respectively). Similar abnormalities were observed in the postprandial period, especially in adults. In conclusion, patients with celiac sprue frequently display discrete gastrointestinal motor abnormalities, which though perhaps nonspecific may account for several symptoms complained of by such patients.
Assuntos
Doença Celíaca/fisiopatologia , Motilidade Gastrointestinal/fisiologia , Adulto , Idoso , Criança , Pré-Escolar , Ingestão de Alimentos/fisiologia , Jejum/fisiologia , Feminino , Humanos , Masculino , Manometria , Pessoa de Meia-IdadeRESUMO
BACKGROUND: Gastrointestinal involvement is frequent in patients with scleroderma. Erythromycin, a macrolide antibiotic, has been shown to accelerate gastric emptying in normal subjects and diabetic patients. The present study investigated the effects of acute erythromycin administration on gastric and gallbladder motility in patients with scleroderma and gastrointestinal involvement. METHODS: Twelve scleroderma patients and 14 healthy subjects were investigated. Each subject was investigated on 4 different days. Gastric and gallbladder emptying and gastric motility were determined by sonography and manometry, and the effect of 2 mg/kg/h erythromycin in fasted patients or after semisolid meal evaluated. RESULTS: The half-time of gastric emptying in response to semisolid meal was 121.3 +/- 14.0 min (SE) in scleroderma patients and 45.7 +/- 10.4 min in healthy subjects (P < 0.01). The peak of gallbladder emptying occurred later in scleroderma patients (95.0 +/- 5.0 min) than in healthy subjects (45.0 +/- 8.0 min) (P < 0.01). Erythromycin stimulated gastric and gallbladder motility in fasted subjects, as shown by manometry and sonography, and accelerated gastric and gallbladder emptying when administered immediately before the meal (P < 0.01). CONCLUSIONS: Erythromycin accelerates gastric and gallbladder emptying in scleroderma patients and might be helpful in the treatment of gastrointestinal motor abnormalities in these patients.
Assuntos
Eritromicina/análogos & derivados , Esvaziamento da Vesícula Biliar/efeitos dos fármacos , Motilidade Gastrointestinal/efeitos dos fármacos , Escleroderma Sistêmico/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ingestão de Alimentos , Eritromicina/farmacologia , Eritromicina/uso terapêutico , Jejum , Feminino , Humanos , Masculino , Manometria , Pessoa de Meia-Idade , Escleroderma Sistêmico/diagnóstico por imagem , UltrassonografiaRESUMO
Idiopathic chronic constipation is a frequent and disabling symptom, but its pathophysiological grounds are still poorly understood. In particular, there is little knowledge about the relationships between distal (anorectal area) and proximal (colonic area) motor abnormalities in this condition, especially concerning high-amplitude propagated colonic activity. For this purpose, we studied 25 patients complaining of severe idiopathic constipation and categorized them as normal- or slow-transit constipation according to colonic transit time. Twenty-five age-matched controls were also studied. Investigations included standard anorectal motility testing and prolonged (24-hr) colonic motility studies. Analysis of results showed that both groups of constipated patients displayed significantly different (P < 0.05) minimum relaxation volumes of the internal anal sphincter, defecatory sensation thresholds, and maximum rectal tolerable volumes with respect to controls. Patients with normal-transit constipation also showed lower internal anal sphincter pressure with respect to slow-transit constipation and controls (P < 0.001 and P < 0.02, respectively). The daily number of high-amplitude propagated contractions (mass movements) as well as their amplitude and duration, was significantly reduced in both subgroups of constipated patients (P < 0.02 vs controls). We conclude that (1) in normal-transit constipation, motor abnormalities are not limited to the anorectal area; (2) patients with slow-transit constipation probably have a severe neuropathic rectal defect; (3) prolonged colonic motility studies may highlight further the functional abnormalities in constipated subjects; and (4) an approach taking into account proximal and distal colon motor abnormalities might be useful to understand pathophysiological grounds of chronic constipation and lead to better therapeutic approaches.
Assuntos
Colo/fisiopatologia , Constipação Intestinal/fisiopatologia , Reto/fisiopatologia , Adolescente , Adulto , Canal Anal/fisiopatologia , Doença Crônica , Feminino , Motilidade Gastrointestinal , Humanos , Masculino , Manometria , Pessoa de Meia-IdadeRESUMO
Microscopic examination of individual human lymphocytes embedded in agarose, subjected to electrophoresis and stained with a fluorescent DNA-binding dye, provides a novel way of measuring DNA damage as extent of migration of DNA fragments, mainly single-strand breaks. With this relatively simple method, DNA damage arising as a consequence of smoking, age and other factors was examined in peripheral human lymphocytes from 100 healthy individuals living in Pisa (Italy). The extent of DNA migration was found to be significantly increased by smoking. It is noteworthy that the effect of smoking was more significant in men than in women and that DNA migration was similar in the young and in the older people. SCE analysis did not reveal any significant effect of smoking, sex or age in the same population, suggesting a higher responsiveness of the comet test to DNA-damaging agents.
Assuntos
Dano ao DNA , Eletroforese em Gel de Ágar , Testes de Mutagenicidade/métodos , Troca de Cromátide Irmã , Adolescente , Adulto , Idoso , Células Cultivadas , Criança , Eletroforese em Gel de Ágar/métodos , Feminino , Humanos , Linfócitos/citologia , Linfócitos/efeitos dos fármacos , Masculino , Pessoa de Meia-IdadeRESUMO
Chronic idiopathic constipation, especially the slow transit type, is a troubling problem often afflicting young women. The pathophysiological basis for this entity is unknown, although a defective cholinergic innervation has been postulated. We tested the hypothesis that cholinergic colonic innervation is deranged in this condition by studying colonic motor activity after strong cholinergic stimulation with edrophonium chloride in 14 women complaining of slow transit constipation. Unlike healthy subjects, constipated patients showed minimal or no response to edrophonium injection. It is concluded that in slow transit constipation there is an important alteration of colonic cholinergic activity and that edrophonium chloride may represent a useful test drug for colonic pathophysiological investigations.
Assuntos
Colo/efeitos dos fármacos , Constipação Intestinal/fisiopatologia , Edrofônio/farmacologia , Motilidade Gastrointestinal/efeitos dos fármacos , Trânsito Gastrointestinal/efeitos dos fármacos , Adulto , Análise de Variância , Doença Crônica , Colo/inervação , Colo/fisiopatologia , Colonoscópios , Colonoscopia/métodos , Constipação Intestinal/epidemiologia , Feminino , Humanos , Análise dos Mínimos Quadrados , Pessoa de Meia-Idade , Estimulação QuímicaRESUMO
Methylmercury chloride (MMC) treatment of resting (G0) human lymphocytes resulted in the formation of chromosome and chromatid aberrations. This treatment also induced aneuploidy in second metaphases, suggesting that MMC produces stable damage involved in chromosome segregation errors. The storage of treated cells (liquid holding for 48 h before cell proliferation) did not result in an important recovery from induced cell toxicity or chromosome damage. Therefore, MMC seems to be an X-ray-like agent, able to produce long-lasting damages giving rise to both structural and numerical chromosome abnormalities.
Assuntos
Aberrações Cromossômicas , Linfócitos/efeitos dos fármacos , Compostos de Metilmercúrio/toxicidade , Mitose/efeitos dos fármacos , Mutagênicos/toxicidade , Aneuploidia , Técnicas Citológicas , Dano ao DNA , Reparo do DNA , Humanos , Soluções Hipotônicas , Masculino , Metáfase/efeitos dos fármacos , Pessoa de Meia-Idade , Fase de Repouso do Ciclo Celular/efeitos dos fármacos , Troca de Cromátide IrmãRESUMO
Human lymphocytes (HL) as well as lymphocytes (RL), hepatocytes (RH), and gastric mucosa cells (GM) of Sprague-Dawley rats were treated in vitro for 1 h with methylmercury chloride (MMC, 0.5-4 micrograms/ml) and dimethylmercury (DMM, 5-40 micrograms/ml). The cytotoxicity of the two organic mercury compounds was assessed by dye exclusion, and the extent of induced DNA fragmentation was measured with a single-cell microgel electrophoresis assay. Both MMC and DMM induced DNA damage and cytotoxicity in a dose-related manner in HL, RL, and GM. MMC was more effective in causing a significant increase in median DNA migration than DMM at doses yielding approximately the same degree of cytotoxicity. In rat hepatocytes the MMC-induced DNA damage was, however, lower than in the other cells. An analysis of repair kinetics following exposure to 2 micrograms/ml MMC was carried out in human lymphocytes obtained from an adult male donor. The bulk of DNA repair occurred 90 min after in vitro exposure, and it was about complete by 120 min following cessation of exposure. Finally, in order to have a basis for extrapolating to the human situation, in vivo studies were performed with Sprague-Dawley rats, also assessing the DNA damage and cytotoxicity in the lymphocytes and gastric mucosa cells. These in vivo results after oral exposure may be directly compared to the in vitro data obtained in the same cells.
Assuntos
Dano ao DNA , Compostos de Metilmercúrio/toxicidade , Mutagênicos/toxicidade , Adulto , Análise de Variância , Animais , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Cromatografia em Gel , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/ultraestrutura , Humanos , Linfócitos/efeitos dos fármacos , Linfócitos/ultraestrutura , Masculino , Testes de Mutagenicidade , Ratos , Ratos Sprague-Dawley , Análise de RegressãoRESUMO
The genotoxicity of methyl mercury chloride (MMC, 0-25 x 10(-6) M) and dimethyl mercury (DMM, 0-434 x 10(-6) M) was evaluated by chromosome metaphase analysis in human lymphocytes treated in vitro for 24 h. Structural (CA) and numerical (AN) chromosomal aberrations were scored for the assessment of induced genotoxic effects, while the variation in mitotic index (MI) was considered a monitor for induced cellular toxicity. MMC induced CA and AN in a dose-related manner at doses exceeding 0.6 x 10(-6) M, and the proportion of cells with CA was constantly and significantly higher than that of cells with AN. DMM was able to induce both effects as well, although to a lesser extent than MMC, CA and AN being induced at doses exceeding 43.4 x 10(-6) M and 1.73 x 10(-6) M, respectively. MMC was 6-fold more effective in inducing CA than DMM at equivalent toxic doses. On the other hand, no significant difference was observed between the two compounds in inducing AN. Therefore MMC was much more clastogenic than DMM, whereas mitotic spindle disturbances appeared to be almost equally induced by both compounds.
Assuntos
Linfócitos/efeitos dos fármacos , Compostos de Metilmercúrio/toxicidade , Mutagênicos/toxicidade , Adulto , Células Cultivadas , Aberrações Cromossômicas , Humanos , MasculinoRESUMO
Because little is known about the pathophysiological mechanisms responsible for chronic idiopathic constipation, we studied colon motor response to eating, one of the most physiological and reproducible stimuli, in a clinically homogeneous group of severely constipated subjects. Fifteen patients (14 women, one man) with slow transit constipation (average duration of symptoms 18 +/- 2 yr) entered the study. After colonoscopic positioning of a manometric probe, 2-h basal and 3-h postprandial (1000 kcal standard mixed meal) recordings were obtained. Comparison of tracings with those of 29 healthy volunteers showed that motor response to eating was decreased in constipated subjects. Patients' response was characterized by a shorter duration of contractile activity in all three colon segments studied, after ingestion of the meal, and significantly less high-amplitude propagated contractions (7% vs. 45%). We conclude that several mechanisms are involved in the pathophysiology of colon contractile motor function of patients with chronic idiopathic constipation.
Assuntos
Colo/fisiopatologia , Constipação Intestinal/etiologia , Constipação Intestinal/fisiopatologia , Ingestão de Alimentos/fisiologia , Motilidade Gastrointestinal , Adulto , Idoso , Doença Crônica , Jejum , Feminino , Trânsito Gastrointestinal , Humanos , Masculino , Manometria , Pessoa de Meia-IdadeRESUMO
Three women with idiopathic severe chronic constipation and inertia colica, who failed to respond to medical treatment, were extensively investigated for gut motor function, especially that of the colon. Twenty-four-hour manometric recordings disclosed that motility was severely reduced throughout the entire colon and response to eating was minimal. One of the patients also was tested for esophageal, gastric, and small bowel motor activity, which gave normal results. Edrophonium chloride stimulation (10 mg iv) provoked no increase in colonic contractile activity in any patient. On these grounds, the patients were submitted to surgical intervention (total colectomy with ileorectal anastomosis two, and left hemicolectomy the other) with fairly good results at follow-up. These results indicate the wisdom of carrying out extensive functional investigations in severely constipated patients before surgery is contemplated.