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1.
Int J Mol Sci ; 24(22)2023 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-38003530

RESUMO

Validating animal pain models is crucial to enhancing translational research and response to pharmacological treatment. This study investigated the effects of a calibrated slight exercise protocol alone or combined with multimodal analgesia on sensory sensitivity, neuroproteomics, and joint structural components in the MI-RAT model. Joint instability was induced surgically on day (D) 0 in female rats (N = 48) distributed into sedentary-placebo, exercise-placebo, sedentary-positive analgesic (PA), and exercise-PA groups. Daily analgesic treatment (D3-D56) included pregabalin and carprofen. Quantitative sensory testing was achieved temporally (D-1, D7, D21, D56), while cartilage alteration (modified Mankin's score (mMs)) and targeted spinal pain neuropeptide were quantified upon sacrifice. Compared with the sedentary-placebo (presenting allodynia from D7), the exercise-placebo group showed an increase in sensitivity threshold (p < 0.04 on D7, D21, and D56). PA treatment was efficient on D56 (p = 0.001) and presented a synergic anti-allodynic effect with exercise from D21 to D56 (p < 0.0001). Histological assessment demonstrated a detrimental influence of exercise (mMs = 33.3%) compared with sedentary counterparts (mMs = 12.0%; p < 0.001), with more mature transformations. Spinal neuropeptide concentration was correlated with sensory sensitization and modulation sites (inflammation and endogenous inhibitory control) of the forced mobility effect. The surgical MI-RAT OA model coupled with calibrated slight exercise demonstrated face and predictive validity, an assurance of higher clinical translatability.


Assuntos
Neuropeptídeos , Osteoartrite , Animais , Feminino , Roedores , Dor/tratamento farmacológico , Osteoartrite/patologia , Neuropeptídeos/uso terapêutico , Analgésicos/farmacologia
3.
Am J Vet Res ; 84(6)2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37044376

RESUMO

OBJECTIVE: Osteosarcoma frequently affects the proximal humerus in dogs. In veterinary medicine, no therapeutic option for the treatment of osteosarcoma satisfactorily preserves limb function. 3D-printed personalized endoprosthesis offers a promising treatment option. Morphometric data, necessary for the design of the endoprosthesis, are currently lacking in canine patients. Our objective was to acquire the morphometric data necessary to refine the design of the endoprosthesis. ANIMAL: A single canine cadaveric thoracic limb. PROCEDURES: Sagittal proton-density, and sagittal, dorsal, and transverse T1-weighted sequences of the thoracic limb were acquired with a 1.5 Tesla Magnetic Resonance Imaging (MRI) unit. Nineteen muscles of interest were subsequently identified using medical imaging software (Mimics©) and their volume was reconstructed in 3D using computer-aided design (CATIA©). Mormophetric data were recorded for each of the 19 muscles. The same canine cadaver was then dissected to measure the same parameters. RESULTS: All muscles were successfully identified with data consistent with the dissected cadaveric data. Certain muscles were more challenging to isolate on MRI, namely the heads of the triceps brachii, superficial pectoral, and latissimus dorsi. The relative distribution of muscle volumes was similar to historical data. Muscle tissue density was not significantly affected by freezing (1.059 g/cm3). CLINICAL RELEVANCE: MRI is a useful tool to collect morphometric data but imperfect if used alone. This approach was the first attempt to validate more general morphometric data that could be used to refine the design of custom 3D-printed prostheses for limb-sparing of the proximal humerus. Further imaging studies are warranted to refine our model.


Assuntos
Doenças do Cão , Osteossarcoma , Cães , Animais , Ombro , Úmero/diagnóstico por imagem , Úmero/cirurgia , Imageamento por Ressonância Magnética/veterinária , Imageamento por Ressonância Magnética/métodos , Próteses e Implantes/veterinária , Osteossarcoma/diagnóstico por imagem , Osteossarcoma/cirurgia , Osteossarcoma/veterinária , Impressão Tridimensional , Cadáver , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/cirurgia
4.
Int J Mol Sci ; 23(19)2022 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-36233085

RESUMO

The metrological properties of two performance-based outcome measures of feline osteoarthritis (OA), namely Effort Path (Path) and Stairs Assay Compliance (Stairs), were tested. Cats naturally affected by OA (n = 32) were randomly distributed into four groups (A: 0.40, B: 0.25, C: 0.15, or D: 0.00 mg firocoxib/kg bodyweight) and assessed during baseline, treatment, and recovery periods. For Path, from an elevated walking platform, the cats landed on a pressure-sensitive mattress and jumped up onto a second elevated platform. Analysis included velocity, time to completion, peak vertical force (PVF), and vertical impulse. For Stairs, the number of steps and time to completion were recorded for 16 steps up and down in a 4 min period. Reliability was moderate to very good for Path and poor to good for Stairs. Different normalization methods are described in the manuscript. The placebo group remained stable within-time in Path, whereas treated cats trotted faster on the ramp (p < 0.0001), improved their PVF (p < 0.018) and completed the task quicker (p = 0.003). The percentage of cats completing the Stairs finish line was higher under treatment (p < 0.036), with huge effect size, the placebo group results being stable within-time. Both are promising performance-based outcome measures to better diagnose and manage feline OA pain.


Assuntos
Osteoartrite , 4-Butirolactona/análogos & derivados , Analgésicos/uso terapêutico , Animais , Gatos , Osteoartrite/tratamento farmacológico , Osteoartrite/veterinária , Reprodutibilidade dos Testes , Sulfonas/uso terapêutico
5.
Int J Mol Sci ; 23(18)2022 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-36142319

RESUMO

With osteoarthritis being the most common degenerative disease in pet animals, a very broad panel of natural health products is available on the market for its management. The aim of this systematic review and meta-analysis, registered on PROSPERO (CRD42021279368), was to test for the evidence of clinical analgesia efficacy of fortified foods and nutraceuticals administered in dogs and cats affected by osteoarthritis. In four electronic bibliographic databases, 1578 publications were retrieved plus 20 additional publications from internal sources. Fifty-seven articles were included, comprising 72 trials divided into nine different categories of natural health compound. The efficacy assessment, associated to the level of quality of each trial, presented an evident clinical analgesic efficacy for omega-3-enriched diets, omega-3 supplements and cannabidiol (to a lesser degree). Our analyses showed a weak efficacy of collagen and a very marked non-effect of chondroitin-glucosamine nutraceuticals, which leads us to recommend that the latter products should no longer be recommended for pain management in canine and feline osteoarthritis.


Assuntos
Produtos Biológicos , Canabidiol , Doenças do Gato , Doenças do Cão , Osteoartrite , Animais , Produtos Biológicos/uso terapêutico , Canabidiol/uso terapêutico , Gatos , Condroitina/uso terapêutico , Colágeno/uso terapêutico , Suplementos Nutricionais , Doenças do Cão/tratamento farmacológico , Cães , Glucosamina/uso terapêutico , Osteoartrite/tratamento farmacológico , Osteoartrite/veterinária
6.
Naunyn Schmiedebergs Arch Pharmacol ; 395(6): 703-715, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35318491

RESUMO

PURPOSE: Several observational studies suggest that estrogens could bias pain perception. To evaluate the influence of estrogenic impregnation on pain expression, a prospective, randomized, controlled, blinded study was conducted in a Sprague-Dawley rat model of surgically induced osteoarthritis (OA). METHODS: Female rats were ovariectomized and pre-emptive 17ß-estradiol (0.025 mg, 90-day release time) or placebo pellets were installed subcutaneously during the OVX procedures. Thirty-five days after, OA was surgically induced on both 17ß-estradiol (OA-E) and placebo (OA-P) groups. Mechanical hypersensitivity was assessed by static weight-bearing (SWB) and paw withdrawal threshold (PWT) tests. Mass spectrometry coupled with high-performance liquid chromatography (HPLC-MS) was performed to quantify the spinal pronociceptive neuropeptides substance P (SP), calcitonin gene-related peptide (CGRP), bradykinin (BK), somatostatin (SST), and dynorphin-A (Dyn-A). RESULTS: Compared to control, ovariectomized rats presented higher SP (P = 0.009) and CGRP (P = 0.017) concentrations. OA induction increased the spinal level of SP (+ 33%, P < 0.020) and decreased the release of BK (- 20%, (P < 0.037)). The OA-E rats at functional assessment put more % body weight on the affected hind limb than OA-P rats at D7 (P = 0.027) and D56 (P = 0.033), and showed higher PWT at D56 (P = 0.009), suggesting an analgesic and anti-allodynic effect of 17ß-estradiol. Interestingly, the 17ß-estradiol treatment counteracted the increase of spinal concentration of Dyn-A (P < 0.016) and CGRP (P < 0.018). CONCLUSION: These results clearly indicate that 17ß-estradiol interfers with the development of central sensitization and confirm that gender dimorphism should be considered when looking at pain evaluation.


Assuntos
Peptídeo Relacionado com Gene de Calcitonina , Osteoartrite , Animais , Feminino , Ratos , Peptídeo Relacionado com Gene de Calcitonina/metabolismo , Estradiol/farmacologia , Osteoartrite/tratamento farmacológico , Dor/metabolismo , Estudos Prospectivos , Ratos Sprague-Dawley , Substância P/metabolismo
7.
PLoS One ; 17(1): e0262863, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35073361

RESUMO

Osteosarcoma represents one of the most common bone tumours in dogs. It commonly occurs in the proximal humerus, the most affected anatomic site. Until recently, amputation or limb-sparing surgery leading to an arthrodesis coupled with chemotherapy were the only available treatments, but they often lead to complications, reduced mobility and highly impact dog's quality of life. Prototypes of both articulated and monobloc (no mobility) patient-specific endoprostheses have been designed to spare the limb afflicted with osteosarcoma of the proximal humerus. This study focuses on the biomechanical effects of endoprostheses and shoulder muscle kinematics. For each of the endoprosthesis designs, a minimal number of muscles needed to ensure stability and a certain degree of joint movement during walking is sought. A quasi-static study based on an optimization method, the minimization of the sum of maximal muscle stresses, was carried out to assess the contribution of each muscle to the shoulder function. The identification of the most important muscles and their impact on the kinematics of the prosthetic joint lead to an improvement of the endoprosthesis design relevance and implantation feasibility.


Assuntos
Neoplasias Ósseas , Doenças do Cão , Úmero , Locomoção , Músculo Esquelético , Osteossarcoma , Próteses e Implantes , Escápula , Articulação do Ombro , Animais , Fenômenos Biomecânicos , Neoplasias Ósseas/fisiopatologia , Neoplasias Ósseas/cirurgia , Doenças do Cão/fisiopatologia , Doenças do Cão/cirurgia , Cães , Úmero/fisiopatologia , Úmero/cirurgia , Masculino , Músculo Esquelético/fisiopatologia , Músculo Esquelético/cirurgia , Osteossarcoma/fisiopatologia , Osteossarcoma/cirurgia , Desenho de Prótese , Escápula/fisiopatologia , Escápula/cirurgia , Articulação do Ombro/fisiopatologia , Articulação do Ombro/cirurgia
8.
PLoS One ; 16(12): e0261187, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34928969

RESUMO

The impact of surgical correction of cranial cruciate ligament rupture (CCLR) on 3D kinematics has not been thoroughly evaluated in dogs. The success of current techniques remains limited, as illustrated by suboptimal weightbearing and progression of osteoarthritis. The inability to restore the stifle's 3D kinematics might be a key element in understanding these suboptimal outcomes. The objective of this study was to evaluate the impact of lateral suture stabilization (LSS) on the 3D kinematics of the canine stifle joint. We hypothesized that LSS would not restore 3D kinematics in our model. Ten cadaveric pelvic limbs collected from large dogs (25-40 kg) were tested using a previously validated apparatus that simulates gait. Three experimental conditions were compared: (a) intact stifle; (b) unstable stifle following cranial cruciate ligament transection (CCLt) and (c) CCLt stabilized by LSS. Three-dimensional kinematics were collected through 5 loading cycles simulating the stance phase of gait and curves were analyzed using a Wilcoxon signed-rank test. LSS restored baseline kinematics for the entire stance phase for cranial and lateromedial translation, flexion, and abduction. It restored distraction over 90% of the stance phase. Internal rotation was limited, but not restored. This in vitro study had limitations, as it used a simplified model of stifle motion and weight-bearing. The results of this study report that LSS can restore physiologic 3D kinematics largely comparable to those of healthy stifles. Suboptimal outcome in patients following CCLR stabilization by LSS may therefore result from causes other than immediate postoperative abnormal 3D kinematics.


Assuntos
Lesões do Ligamento Cruzado Anterior/fisiopatologia , Ligamento Cruzado Anterior/fisiopatologia , Articulação do Joelho/fisiopatologia , Joelho de Quadrúpedes/fisiopatologia , Suturas/veterinária , Animais , Fenômenos Biomecânicos , Cães
9.
Aging (Albany NY) ; 12(24): 24778-24797, 2020 12 23.
Artigo em Inglês | MEDLINE | ID: mdl-33361529

RESUMO

Osteoarthritis (OA) is the most common musculoskeletal disorder among the elderly. It is characterized by progressive cartilage degradation, synovial inflammation, subchondral bone remodeling and pain. Lipocalin prostaglandin D synthase (L-PGDS) is responsible for the biosynthesis of PGD2, which has been implicated in the regulation of inflammation and cartilage biology. This study aimed to evaluate the effect of L-PGDS deficiency on the development of naturally occurring age-related OA in mice. OA-like structural changes were assessed by histology, immunohistochemistry, and micro-computed tomography. Pain related behaviours were assessed using the von Frey and the open-field assays. L-PGDS deletion promoted cartilage degradation during aging, which was associated with enhanced expression of extracellular matrix degrading enzymes, matrix metalloprotease 13 (MMP-13) and a disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS-5), and their breakdown products, C1,2C, VDIPEN and NITEG. Moreover, L-PGDS deletion enhanced subchondral bone changes, but had no effect on its angiogenesis. Additionally, L-PGDS deletion increased mechanical sensitivity and reduced spontaneous locomotor activity. Finally, we showed that the expression of L-PGDS was elevated in aged mice. Together, these findings indicate an important role for L-PGDS in naturally occurring age-related OA. They also suggest that L-PGDS may constitute a new efficient therapeutic target in OA.


Assuntos
Envelhecimento/genética , Cartilagem Articular/metabolismo , Oxirredutases Intramoleculares/genética , Lipocalinas/genética , Osteoartrite/genética , Prostaglandina D2/metabolismo , Proteína ADAMTS5/genética , Proteína ADAMTS5/metabolismo , Agrecanas/genética , Agrecanas/metabolismo , Envelhecimento/metabolismo , Envelhecimento/patologia , Animais , Comportamento Animal , Cartilagem Articular/patologia , Contagem de Células , Colágeno Tipo II/genética , Colágeno Tipo II/metabolismo , Fêmur/diagnóstico por imagem , Fêmur/metabolismo , Fêmur/patologia , Imuno-Histoquímica , Locomoção , Metaloproteinase 13 da Matriz/genética , Metaloproteinase 13 da Matriz/metabolismo , Camundongos , Camundongos Knockout , Teste de Campo Aberto , Osteoartrite/diagnóstico por imagem , Osteoartrite/metabolismo , Osteoartrite/patologia , Sinovite , Tíbia/diagnóstico por imagem , Tíbia/metabolismo , Tíbia/patologia , Microtomografia por Raio-X
10.
Arthritis Rheumatol ; 72(9): 1524-1533, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32336048

RESUMO

OBJECTIVE: Lipocalin-type prostaglandin D synthase (L-PGDS) catalyzes the formation of prostaglandin D2 (PGD2 ), which has important roles in inflammation and cartilage metabolism. We undertook this study to investigate the role of L-PGDS in the pathogenesis of osteoarthritis (OA) using an experimental mouse model. METHODS: Experimental OA was induced in wild-type (WT) and L-PGDS-deficient (L-PGDS-/- ) mice (n = 10 per genotype) by destabilization of the medial meniscus (DMM). Cartilage degradation was evaluated by histology. The expression of matrix metalloproteinase 13 (MMP-13) and ADAMTS-5 was assessed by immunohistochemistry. Bone changes were determined by micro-computed tomography. Cartilage explants from L-PGDS-/- and WT mice (n = 6 per genotype) were treated with interleukin-1α (IL-1α) ex vivo in order to evaluate proteoglycan degradation. Moreover, the effect of intraarticular injection of a recombinant adeno-associated virus type 2/5 (rAAV2/5) encoding L-PGDS on OA progression was evaluated in WT mice (n = 9 per group). RESULTS: Compared to WT mice, L-PGDS-/- mice had exacerbated cartilage degradation and enhanced expression of MMP-13 and ADAMTS-5 (P < 0.05). Furthermore, L-PGDS-/- mice displayed increased synovitis and subchondral bone changes (P < 0.05). Cartilage explants from L-PGDS-/- mice showed enhanced proteoglycan degradation following treatment with IL-1α (P < 0.05). Intraarticular injection of rAAV2/5 encoding L-PGDS attenuated the severity of DMM-induced OA-like changes in WT mice (P < 0.05). The L-PGDS level was increased in OA tissues of WT mice (P < 0.05). CONCLUSION: Collectively, these findings suggest a protective role of L-PGDS in OA, and therefore enhancing levels of L-PGDS may constitute a promising therapeutic strategy.


Assuntos
Artrite Experimental/genética , Cartilagem Articular/patologia , Condrócitos/metabolismo , Oxirredutases Intramoleculares/genética , Lipocalinas/genética , Osteoartrite/genética , Proteína ADAMTS5/metabolismo , Animais , Artrite Experimental/diagnóstico por imagem , Artrite Experimental/metabolismo , Artrite Experimental/patologia , Osso e Ossos/diagnóstico por imagem , Cartilagem Articular/metabolismo , Interleucina-1alfa/farmacologia , Oxirredutases Intramoleculares/metabolismo , Lipocalinas/metabolismo , Metaloproteinase 13 da Matriz/metabolismo , Meniscos Tibiais/cirurgia , Camundongos , Camundongos Knockout , Osteoartrite/diagnóstico por imagem , Osteoartrite/patologia , Prostaglandina D2/metabolismo , Proteoglicanas/efeitos dos fármacos , Proteoglicanas/metabolismo , Joelho de Quadrúpedes/diagnóstico por imagem , Joelho de Quadrúpedes/metabolismo , Joelho de Quadrúpedes/patologia , Microtomografia por Raio-X
11.
Vet Comp Oncol ; 18(1): 92-104, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31209977

RESUMO

Limb-sparing for distal radial osteosarcoma has a high rate of complications. Using personalized three-dimensional (3D)-printed implants might improve outcome. The goals of this study were to optimize use of patient-specific, 3D-printed endoprostheses for limb-sparing in dogs in the clinical environment and to report the outcome. This was a pilot study where five client-owned dogs were enrolled. Computed tomography (CT) of the thoracic limbs was performed, which was used to create patient-specific endoprostheses and cutting guides, and repeated on the day of surgery. Intra-arterial (IA) carboplatin was introduced in the clinical management. Limb-sparing was performed. Outcome measures were time required to produce the endoprosthesis and cutting guide, fit between cutting guide and endoprosthesis with host bones, gait analysis, size of the tumour, percent tumour necrosis, complications, disease-free interval (DFI) and survival time (ST). Four dogs received IA carboplatin. Excessive tumour growth between planning CT and surgery did not occur in any dog. The interval between the CT and surgery ranged from 14 to 70 days. Fit between the cutting-guide and endoprosthesis with the host bones was good to excellent. At least one complication occurred in all dogs. Two dogs were euthanized with STs of 192 and 531 days. The other dogs were alive with a follow up of 534 to 575 days. IA chemotherapy is a promising strategy to minimize the risk of excessive tumour growth while waiting for the endoprosthesis and cutting-guide to be made. The design of the cutting-guide was critical for best fit of the endoprosthesis with host bones.


Assuntos
Neoplasias Ósseas/veterinária , Doenças do Cão/cirurgia , Salvamento de Membro/veterinária , Osteossarcoma/veterinária , Próteses e Implantes/veterinária , Animais , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Doenças do Cão/patologia , Cães , Feminino , Salvamento de Membro/métodos , Masculino , Osteossarcoma/patologia , Osteossarcoma/cirurgia , Projetos Piloto , Impressão Tridimensional , Rádio (Anatomia) , Estudos Retrospectivos , Resultado do Tratamento
12.
Can J Vet Res ; 83(4): 317-321, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31571733

RESUMO

The impact of surgical correction of cranial cruciate ligament-deficient stifles (CCDS) on the 3-dimensional (3D) kinematics of the canine stifle has been sparsely evaluated. Tightrope (TR) cranial cruciate ligament (CCL) has been proposed to restore baseline 3D kinematics in CCDS by using isometric points. We hypothesized that TR would restore baseline 3D kinematics of the stifle in our model. Ten pelvic limbs were used with a previously validated apparatus. Three experimental conditions were evaluated: i) intact stifle, ii) cranial cruciate ligament transection (CCLt), and iii) CCLt stabilized with TR; kinematic data was recorded. Tightrope CCL in CCDS did not limit sagittal flexion. Tightrope CCL neutralized internal rotation without restoring baseline curves, but it did not restore abduction, nor did it neutralize or restore cranial translation, but it did restore latero-medial and proximo-distal translations. In our model, TR without pre-conditioning of the FiberTape strands did not restore baseline stifle 3D kinematics and residual cranial translation could result in frequent meniscal tears.


L'impact de la correction chirurgicale d'une déficience du ligament croisé crânial du genou (CCDS) sur la cinématique du grasset canin a été peu étudié. La technique de restauration du ligament croisé crânial (CCL) appelée 'Tightrope' (TR) a été proposée pour restaurer la cinématique 3D lors de CCDS en utilisant des points isométriques. Nous avons émis l'hypothèse que la technique TR restaurerait la cinématique 3D d'origine du grasset dans notre modèle. Dix membres pelviens ont été utilisés avec un appareil préalablement validé. Trois conditions expérimentales furent évaluées : i) grasset intact, ii) transsection du ligament croisé crânial (CCLt), et iii) CCLt stabilisé par TR; et les données de cinématique furent enregistrées. La technique TR lors de CCL n'a pas limité la flexion sagittale. Cette technique neutralisait la rotation interne sans restaurer les courbes d'origine, mais elle ne restaurait pas l'abduction, ni ne neutralisait ou restaurait une translation crâniale, mais elle a restauré les translations latéro-médiale et proximo-distale. Dans notre modèle, la technique TR sans préconditionnement des bandes FiberTape n'a pas restauré la cinématique 3D d'origine et une translation crâniale résiduelle pourrait résulter en des déchirures fréquentes du ménisque.(Traduit par Docteur Serge Messier).


Assuntos
Ligamento Cruzado Anterior/cirurgia , Cães/cirurgia , Procedimentos Ortopédicos/veterinária , Joelho de Quadrúpedes/cirurgia , Animais , Fenômenos Biomecânicos , Cadáver , Procedimentos Ortopédicos/métodos
13.
Med Eng Phys ; 71: 17-29, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31327657

RESUMO

Osteosarcoma is the most common type of bone cancer in dogs, treatable by amputation or limb-sparing surgery. For the latter, commercially available plate - endoprosthesis assemblies require contouring, to be adapted to the patient's bone geometry, and lead to sub-optimal results. The use of additively-manufactured personalized endoprostheses and cutting guides for distal radius limb-sparing surgery in dogs presents a promising alternative. Specialized software is used for the bone structure reconstruction from the patient's CT scans and for the design of endoprostheses and cutting guides. The prostheses are manufactured from a titanium alloy using a laser powder bed fusion system, while the cutting guides are manufactured from an ABS plastic using a fused deposition modeling system. A finite element model of an instrumented limb was developed and validated using experimental testing of a cadaveric limb implanted with a personalized endoprosthesis. Personalized endoprostheses and cutting guides can reduce limb sparing surgery time by 25-50% and may reduce the risk of implant failure. The numerical model was validated using the kinematics and force-displacement diagrams of the implant-limb construct. The model indicated that a modulus of elasticity of an implant material ranging from 25 to 50 GPa would improve the stress distribution within the implant. The results of the current study will allow optimization of the design of the personal implants in both veterinary and human patients.


Assuntos
Análise de Elementos Finitos , Teste de Materiais , Impressão Tridimensional , Próteses e Implantes , Desenho de Prótese/métodos , Animais , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/cirurgia , Cães , Processamento de Imagem Assistida por Computador , Tratamentos com Preservação do Órgão , Osteossarcoma/diagnóstico por imagem , Osteossarcoma/cirurgia , Medicina de Precisão , Tomografia Computadorizada por Raios X
14.
Can J Vet Res ; 83(2): 133-141, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31097875

RESUMO

Osteoarthritis, the leading cause of chronic joint pain, is studied through different animal models, but none of them is ideal in terms of reliability and translational value. In this pilot study of female rats, 3 surgical models of osteoarthritic pain, i.e., destabilization of the medial meniscus (DMM), cranial cruciate ligament transection (CCLT), and the combination of both surgical models (COMBO) and 1 chemical model [intra-articular injection of monosodium iodoacetate (MIA)] were compared for their impact on functional pain outcomes [static weight-bearing (SWB) and punctate tactile paw withdrawal threshold (PWT)] and spinal neuropeptides [substance P (SP), calcitonin gene-related peptide (CGRP), bradykinin (BK), and somatostatin (SST)]. Six rats were assigned to each model group and a sham group. Both the chemical model (MIA) and surgical COMBO model induced functional alterations in SWB and PWT, with the changes being more persistent in the surgical combination group. Both models also produced an increase in levels of pro-nociceptive and anti-nociceptive neuropeptides at different timepoints. Pain comparison with the MIA model showed the advantage of a surgical model, especially the combination of the DMM and CCLT models, whereas each surgical model alone only led to temporary functional alterations and no change in neuropeptidomics.


L'arthrose, la principale cause de douleur chronique articulaire, est étudiée à travers différents modèles animaux, mais aucun d'eux n'est idéal en termes de fiabilité et de valeur translationnelle. Trois modèles chirurgicaux de douleur arthrosique, c'est-à-dire, la déstabilisation du ménisque médial, la transsection du ligament croisé crânial et la combinaison des deux, ainsi qu'un modèle chimique (injection intraarticulaire de mono-iodoacétate de sodium) ont été comparés dans cette étude pilote chez des rattes quant à leurs impacts sur les évaluations fonctionnelles de la douleur (distribution pondérale statique, évaluation ponctuelle de l'allodynie tactile) et les neuropeptides spinaux (substance P, peptide relié au gène de la calcitonine, bradykinine et somatostatine). Six rats ont été assignés à chacun des modèles et un groupe Sham. Autant le modèle du mono-iodoacétate de sodium que celui de la combinaison chirurgicale ont tous les deux induits des altérations fonctionnelles de la distribution pondérale statique et du seuil de retrait de la patte suite à une stimulation ponctuelle tactile, mais avec des changements plus persistants dans le groupe de la combinaison chirurgicale. Ces deux modèles ont également engendré une augmentation des niveaux en neuropeptides pro-nociceptifs et anti-nociceptifs à différents moments. Un intérêt du modèle chirurgical a été démontré suite à la comparaison de la douleur avec le modèle du mono-iodoacétate de sodium, en particulier la déstabilisation du ménisque médial combinée à la transsection du ligament croisé crânial, tandis que les inductions chirurgicales unique entraînaient des altérations fonctionnelles temporaires avec aucun changement neuropeptidomique.(Traduit par les auteurs).


Assuntos
Modelos Animais de Doenças , Regulação da Expressão Gênica/fisiologia , Neuropeptídeos/metabolismo , Osteoartrite/etiologia , Dor/metabolismo , Animais , Feminino , Injeções Intra-Articulares , Medição da Dor , Projetos Piloto , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Suporte de Carga
15.
J Vasc Interv Radiol ; 30(7): 1116-1127, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30935868

RESUMO

PURPOSE: To evaluate if synovial inflammation and hypervascularization are present in a dog model of knee osteoarthritis and can be detected on conventional magnetic resonance imaging (MRI), dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), contrast-enhanced magnetic resonance imaging (CE-MRI), and quantitative digital subtraction angiography (Q-DSA) imaging. MATERIALS AND METHODS: Six dogs underwent MRI and angiography of both knees before and 12 weeks after right knee anterior cruciate ligament injury. Synovial vascularity was evaluated on CE-MRI, DCE-MRI, and Q-DSA by 2 independent observers. Synovial inflammation and vascularity were histologically scored independently. Cartilage lesions and osteophytes were analyzed macroscopically, and cartilage volumetry was analyzed by MRI. Vascularity and osteoarthritis markers on imaging were compared before and after osteoarthritis generation, and between the osteoarthritis model and the control knee, using linear mixed models accounting for within-dog correlation. RESULTS: In all knees, baseline imaging showed no abnormalities. Control knees did not develop significant osteoarthritis changes, synovial inflammation, or hypervascularization. In osteoarthritis knees, mean synovial enhancement score on CE-MR imaging increased by 13.1 ± 0.59 (P < .0001); mean synovial inflammation variable increased from 47.33 ± 18.61 to 407.97 ± 18.61 on DCE-MR imaging (P < .0001); and area under the curve on Q-DSA increased by 1058.58 ± 199.08 (P = .0043). Synovial inflammation, hypervascularization, and osteophyte formations were present in all osteoarthritis knees. Histology scores showed strong correlation with CE-MR imaging findings (Spearman correlation coefficient [SCC] = 0.742; P = .0002) and Q-DSA findings (SCC = 0.763; P < .0001) and weak correlation with DCE-MR imaging (SCC = -0.345; P = .329). Moderate correlation was found between CE-MR imaging and DSA findings (SCC = 0.536; P = .0004). CONCLUSIONS: In this early-stage knee osteoarthritis dog model, synovial inflammation and hypervascularization were found on imaging and confirmed by histology.


Assuntos
Angiografia Digital , Lesões do Ligamento Cruzado Anterior/cirurgia , Articulações/irrigação sanguínea , Articulações/diagnóstico por imagem , Imageamento por Ressonância Magnética , Osteoartrite do Joelho/diagnóstico por imagem , Joelho de Quadrúpedes/irrigação sanguínea , Joelho de Quadrúpedes/diagnóstico por imagem , Sinovite/diagnóstico por imagem , Animais , Modelos Animais de Doenças , Cães , Articulações/patologia , Masculino , Osteoartrite do Joelho/etiologia , Osteoartrite do Joelho/patologia , Valor Preditivo dos Testes , Joelho de Quadrúpedes/patologia , Sinovite/etiologia , Sinovite/patologia
16.
PLoS One ; 13(12): e0207200, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30521538

RESUMO

This study aimed to characterize bone cancer pain (quantitative sensory testing (QST), stance asymmetry index, actimetry, scores of pain and quality of life (QoL)) in dogs with appendicular osteosarcoma (OSA), and to evaluate a stepwise palliative analgesic treatment. The pain profile of thirteen client-owned dogs with OSA was compared with seven healthy dogs. Dogs with OSA were then enrolled in a prospective, open-label, clinical trial. Outcome measures included: primary and secondary mechanical thresholds (MT), conditioned pain modulation (CPM), stance asymmetry index, actimetry (most and least active periods), visual analog scales and QoL. After baseline assessments, stepwise treatment comprised orally administered cimicoxib (2 mg/kg q 24h), amitriptyline (1-1.5 mg/kg q 24h) and gabapentin (10 mg/kg q 8h); re-evaluations were performed after 14 (D14), 21 (D21) and 28 (D28) days, respectively. Statistics used mixed linear models (α = 5%; one-sided). Centralized nociceptive sensitivity (primary and secondary MT, and dynamic allodynia) was recorded in OSA dogs. Healthy dogs had responsive CPM, but CPM was deficient in OSA dogs. Construct validity was observed for the QST protocol. Asymmetry index was significantly present in OSA dogs. The CPM improved significantly at D14. When compared with baseline (log mean ± SD: 4.1 ± 0.04), most active actimetry significantly improved at D14 (4.3 ± 0.04), D21 and D28 (4.2 ± 0.04 for both). When compared with baseline, least active actimetry significantly decreased after treatment at all time-points indicating improvement in night-time restlessness. No other significant treatment effect was observed. Except for tactile threshold and actimetry, all outcomes worsened when gabapentin was added to cimicoxib-amitriptyline. Dogs with bone cancer are affected by widespread somatosensory sensitivity characterized by peripheral and central sensitization and have a deficient inhibitory system. This severe pain is mostly refractory to palliative analgesic treatment, and the latter was only detected by specific and sensitive outcomes.


Assuntos
Osteossarcoma/terapia , Manejo da Dor/métodos , Dor/prevenção & controle , Amitriptilina/uso terapêutico , Analgésicos/uso terapêutico , Animais , Neoplasias Ósseas , Sensibilização do Sistema Nervoso Central/efeitos dos fármacos , Doenças do Cão , Cães , Feminino , Gabapentina/uso terapêutico , Imidazóis/uso terapêutico , Masculino , Osteossarcoma/veterinária , Dor/veterinária , Medição da Dor , Limiar da Dor , Cuidados Paliativos/métodos , Estudos Prospectivos , Qualidade de Vida , Limiar Sensorial , Sulfonamidas/uso terapêutico
17.
Can J Vet Res ; 82(3): 192-197, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30026643

RESUMO

The objective of this study was to evaluate the impact of a trap-neuter-return (TNR) event on the size of free-roaming rural cat colonies in Quebec. This prospective randomized, controlled study included 18 cat colonies around barns and stables that were randomly assigned to either a TNR group (10 colonies of 7 to 27 cats; 14.3 cats on average) or a control group (8 colonies of 7 to 26 cats; 14.5 cats on average). The number of cats in each colony was calculated from the images obtained by camera-trapping at: baseline (T0), 7.5 mo (T7), and 12 mo (T12). At baseline, the TNR group was subjected to a TNR event. When taking into account adults only, a significant growth difference was observed in the number of cats between the TNR group and the control group at T7 (P = 0.03). When including kittens as well as adults, a trend towards a lower growth of the TNR group compared to the control group was noted at T7 (P = 0.06). There was no difference in the number of kittens between the 2 groups at T7 (P = 0.49) or at T12 (P = 0.36). There was a trend towards more emigration in the control group at T12 (P = 0.095). Isolated TNR events have a low and temporary impact on colony size in Quebec's rural cat colonies.


L'objectif de cette étude est d'évaluer l'impact d'une intervention TNR sur la taille des colonies de chats en milieu rural québécois. Cette étude randomisée contrôlée impliquant 18 colonies de chats ayant accès soit à une écurie ou à une ferme. Les colonies ont été aléatoirement attribuées au groupe TNR (10 colonies de 7 à 27 chats; 14,3 chats en moyenne) et au groupe Contrôle (8 colonies de 7 à 26 chats; 14,5 chats en moyenne). Le groupe TNR a participé à un projet TNR au début de l'étude (T0). Par capture photographique, le nombre de chats et de chatons a été calculé, à 3 temps : T0, 7,5 mois (T7) et 12 mois (T12). Une différence significative de croissance des colonies du groupe Contrôle par rapport à celle du groupe TNR est notée à T7 lorsque seulement les adultes sont comptés (P = 0,03). Une tendance vers une plus faible croissance du Groupe TNR par rapport à celle du Groupe Contrôle est observée à T7 (P = 0,06), lorsqu'on inclut tous les individus. Aucune différence n'est notée lors de la comparaison du nombre de chatons des deux groupes (T7 P = 0,49 et T12 P = 0,36). Un nombre plus élevé de disparitions tend à être observé dans le groupe Contrôle à T12 (P = 0,095). Une intervention TNR isolée a un impact faible et temporaire sur la taille des colonies de chats en milieu rural québécois.(Traduit par les auteurs).


Assuntos
Castração/veterinária , Gatos/fisiologia , Bem-Estar do Animal , Animais , Gatos/cirurgia , Fazendas , Densidade Demográfica , Quebeque
18.
Rheumatology (Oxford) ; 57(10): 1851-1860, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29982662

RESUMO

Objective: This study explored the role of the adipokine adipsin in OA. Methods: Control and OA articular tissues, cells and serum were obtained from human individuals. Serum adipsin levels of human OA individuals were compared with cartilage volume loss as assessed by MRI at 48 months. Human adipsin expression was determined by PCR, its production in tissues by immunohistochemistry, and in SF and serum by a specific assay. OA was surgically induced in wild-type (Df+/+) and adipsin-deficient (Df-/-) mice, and synovial membrane and cartilage processed for histology and immunohistochemistry. Results: Adipsin levels were significantly increased in human OA serum, SF, synovial membrane and cartilage compared with controls, but the expression was similar in chondrocytes, synoviocytes and osteoblasts. Multivariate analysis demonstrated that human serum adipsin levels were significantly associated (P = 0.045) with cartilage volume loss in the lateral compartment of the knee. Destabilization of the medial meniscus-Df-/- mice showed a preservation of the OA synovial membrane and cartilage lesions (P ⩽ 0.026), the latter corroborated by the decreased production of cartilage degradation products and proteases (P ⩽ 0.047). The adipsin effect is likely due to a deficient alternative complement pathway (P ⩽ 0.036). Conclusion: In human OA, higher serum adipsin levels were associated with greater cartilage volume loss in the lateral compartment, and adipsin deficiency led to a preservation of knee structure. Importantly, we documented an association between adipsin and OA synovial membrane and cartilage degeneration through the activation of the complement pathway. This study highlights the clinical relevance of adipsin as a valuable biomarker and potential therapeutic target for OA.


Assuntos
Fator D do Complemento/metabolismo , Articulação do Joelho/metabolismo , Joelho/patologia , Osteoartrite do Joelho/metabolismo , Osteoartrite do Joelho/patologia , Animais , Cartilagem Articular/metabolismo , Condrócitos/metabolismo , Humanos , Joelho/diagnóstico por imagem , Articulação do Joelho/diagnóstico por imagem , Imageamento por Ressonância Magnética , Camundongos , Osteoartrite do Joelho/diagnóstico por imagem , Osteoblastos/metabolismo , Membrana Sinovial/citologia , Membrana Sinovial/metabolismo , Sinoviócitos/metabolismo
19.
Can J Vet Res ; 82(2): 159-161, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29755197

RESUMO

This study aimed to describe the peak vertical force (PVF) over a 1-year period in a stabilized canine cranial cruciate deficient stifle model. Our hypothesis was that PVF would be restored to Baseline (intact) at the end of the follow-up. Fifteen (> 20 kg) mixed-breed dogs were included in this study. Cranial cruciate ligament was transected on Day (D) 0 followed by lateral suture stabilization at D28. Peak vertical force was acquired at D-1, D14, D26, D91, D210 and D357. When compared to Baseline, the PVF was significantly decreased at D14, D26, and D91. Values at D210 and D357 were not statistically different to Baseline. This study suggests a return to normal baseline peak vertical force in a canine cranial cruciate deficient stifle model when lateral suture stabilization has been performed 28 days after surgical transection.


Le but de cette étude était de rapporter, chez un modèle canin stabilisé suite à une déficience du genou induite par section transversale du ligament croisé crânial (LCC), l'évolution du pic de force vertical (PFV) sur une année. Notre hypothèse était que le PFV serait normalisé à la fin de la période de suivi.Quinze (> 20 kg) chiens croisés ont été inclus dans l'étude. L'instabilité du genou a été induite par section transversale du ligament croisé crânial au Jour (J) 0, suivie par la stabilisation par suture latérale à J28. Le PFV a été acquis à J−1, J14, J26, J91, J210, et J357.Lorsque comparé à J0, le PFV était significativement diminué à J14, J26 et J91. Les valeurs du PFV à J210 et J357 n'étaient pas différentes qu'à J0.Cette étude suggère le retour des valeurs normales du pic de force verticale chez un modèle d'instabilité induite du genou lorsque la stabilisation a été réalisée 28 jours après la section transversale du ligament croisé crânial.(Traduit par les auteurs).


Assuntos
Ligamento Cruzado Anterior/cirurgia , Doenças do Cão/cirurgia , Osteoartrite/veterinária , Joelho de Quadrúpedes/cirurgia , Animais , Fenômenos Biomecânicos , Cães , Seguimentos , Osteoartrite/cirurgia
20.
J Cell Commun Signal ; 12(1): 379-388, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29488175

RESUMO

Transforming growth factor (TGF)-ß is a multifunctional growth factor with potent pro-fibrotic effects. Endoglin is a TGF-ß co-receptor that strongly regulates TGF-ß signaling in a variety of cell types. Although aberrant regulation of TGF-ß signaling is known to play a key role in fibrotic diseases such as scleroderma and impaired cartilage repair, the significance of endoglin function in regulating these processes is poorly understood. Here we examined whether endoglin haploinsufficiency regulates extracellular (ECM) protein expression and fibrotic responses during bleomycin induced skin fibrosis and surgically induced osteoarthritis, using endoglin-heterozygous (Eng+/-) mice and wild-type (Eng+/+) littermates. Skin fibrosis was induced by injecting mice intradermally with bleomycin or vehicle. Osteoarthritis was induced surgically by destabilization of medial meniscus. Dermal thickness, cartilage integrity and ECM protein expression were then determined. Eng+/- mice subjected to bleomycin challenge show a marked decrease in dermal thickness (P < 0.005) and reduced collagen content and decreased collagen I, fibronectin, alpha-smooth muscle actin levels as compared to Eng+/+ mice, both under basal and bleomycin treated conditions. Eng+/- mice undergoing surgically induced osteoarthritis show no differences in the degree of cartilage degradation, as compared to Eng+/+ mice, although chondrocytes isolated from Eng+/- display markedly enhanced collagen II levels. Our findings suggest that endoglin haploinsufficiency in mice ameliorates bleomycin-induced skin fibrosis suggesting that endoglin represents a pro-fibrotic factor in the mouse skin. However, endoglin haploinsufficiency does not protect these mice from surgically indiced cartilage degradation, demonstrating differential regulation of endoglin action during skin and cartilage repair.

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