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1.
Folia Microbiol (Praha) ; 65(2): 245-264, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31773556

RESUMO

The prebiotics and probiotics market is constantly growing due to the positive effects of its consumption on human health, which extends beyond the digestive system. In addition, the synbiotic products market is also expanding due to the synergistic effects between pre- and probiotics that provide additional benefits to consumers. Pre- and probiotics are being evaluated for their effectiveness to treat and prevent infectious diseases in other parts of the human body where microbial communities exist. This review examines the scientific data related to the effects of pre- and probiotics on the treatment of diseases occurring in the skin, female urogenital tract, and respiratory tract. The evidence suggests that probiotics consumption can decrease the presence of eczema in children when their mothers have consumed probiotics during pregnancy and lactation. In women, probiotics consumption can effectively prevent recurrent urinary tract infections. The consumption of synbiotic products can reduce respiratory tract infections and their duration and severity. However, the outcomes of the meta-analyses are still limited and not sufficiently conclusive to support the use of probiotics to treat infectious diseases. This is largely a result of the limited number of studies, lack of standardization of the studies, and inconsistencies between the reported results. Therefore, it is advisable that future studies consider these shortcomings and include the evaluation of the combined use of pre- and probiotics.


Assuntos
Prebióticos/administração & dosagem , Probióticos/administração & dosagem , Sistema Respiratório/efeitos dos fármacos , Pele/efeitos dos fármacos , Sistema Urogenital/efeitos dos fármacos , Feminino , Humanos , Masculino , Sistema Respiratório/microbiologia , Pele/microbiologia , Sistema Urogenital/microbiologia
2.
Environ Sci Pollut Res Int ; 26(36): 36434-36440, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31724128

RESUMO

The aim of this study was to examine the effect of the secondary biological treatment plant effluent administration on the kidneys, urinary bladder, and testis of Wistar rats in relation to lead (Pb) and cadmium (Cd) accumulation, since such an effluent is used for irrigation of edible plants. Male Wistar rats, randomly assigned into 5 groups, were treated with domestic sewage effluent (DSE) for 24 months. Cadmium and lead concentrations in the DSE, rats' tissues, and urine were estimated by means of atomic spectroscopy. Lead was rapidly accumulated in high amounts in rats' kidney and to a lesser extent in the testis whereas Cd concentration was raised in all tissues examined. Deposition of Cd and Pd in the kidney of the rats resulted in profound damage over time. The results showed that long-term administration to DSE as drinking water exposes living organisms to urogenital stress related to heavy metal concentration and pH of the effluent.


Assuntos
Cádmio/toxicidade , Água Potável/química , Chumbo/toxicidade , Sistema Urogenital/efeitos dos fármacos , Poluentes Químicos da Água/toxicidade , Purificação da Água/métodos , Animais , Cádmio/urina , Chumbo/urina , Masculino , Ratos , Ratos Wistar , Esgotos/química , Sistema Urogenital/metabolismo , Sistema Urogenital/patologia , Poluentes Químicos da Água/urina
3.
BMJ Open Diabetes Res Care ; 7(1): e000725, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31641524

RESUMO

Objective: Sodium glucose cotransporter-2 inhibitors (SGLT2i) exert cardiorenal protection in people with diabetes. By inducing glycosuria, SGLT2i predispose to genital infections. In addition, rare occurrence of Fournier's gangrene (FG) has been reported. We aimed to investigate such association through the U.S. Food and Drug Administration (FDA) adverse event (AE) reporting system (FAERS). Research design and methods: We mined the FAERS up to 2018q3 (before FDA warning about SGLT2i-associated FG) to retrieve reports including FG as an AE and SGLT2i as suspect or concomitant drugs, and calculated proportional reporting ratios (PRR). Results: We retrieved 47 cases of FG and 17 cases of other severe AEs of the genital area associated with SGLT2i. Patients with FG were ~10 years older than those with other severe genital AEs. Overall, 77% occurred in men. Three patients were concomitantly treated with systemic immunosuppressive drugs. Increased reporting frequency emerged for SGLT2i compared with other drugs, with a PRR ranging from 5 to 10. The disproportional reporting of FG with SGLT2i remained robust and consistently significant when restricting to the period when SGLT2i were available, to reports filed for glucose-lowering medications or for drugs with the diabetes indication, and after refining the definition of FG. FG was disproportionally associated with psoriasis and with the combination of immunosuppressants and SGLT2i. Conclusions: Although causality cannot be demonstrated, SGLT2i may predispose to FG and other severe genital AEs. Since the use of SGLT2i is expected to increase significantly, clinicians should be aware of these severe, although rare, AEs and their predisposing factors.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 2/tratamento farmacológico , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/etiologia , Gangrena de Fournier/induzido quimicamente , Farmacovigilância , Inibidores do Transportador 2 de Sódio-Glicose/efeitos adversos , Sistema Urogenital/efeitos dos fármacos , Adulto , Idoso , Biomarcadores/análise , Glicemia/análise , Diabetes Mellitus Tipo 1/patologia , Diabetes Mellitus Tipo 2/patologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/patologia , Feminino , Seguimentos , Gangrena de Fournier/patologia , Doenças dos Genitais Femininos/induzido quimicamente , Doenças dos Genitais Femininos/patologia , Doenças dos Genitais Masculinos/induzido quimicamente , Doenças dos Genitais Masculinos/patologia , Hemoglobinas Glicadas/análise , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Transportador 2 de Glucose-Sódio/química
4.
Arch Gynecol Obstet ; 300(4): 1067-1082, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31529363

RESUMO

PURPOSE: The aim of the study was to investigate the oxidative damage and inflammatory effects of sepsis on the urogenital system in the Lipopolysaccharide (LPS)-induced sepsis model and ameliorating role of Pregabalin (PGB). METHODS: Twenty-four female Wistar Albino rats (12 months old) were divided into 3 groups as follows: Sepsis group (Group S) (5 mg/kg LPS, i.p, single dose); Sepsis+ PGB group (Group SP) (5 mg/kg LPS, i.p, single dose and 30 mg/kg PGB); Control group (Group C) (0.1 ml/oral and i.p. saline, single dose), 6 h after LPS administration, the animals were killed. Subsequently, analyses of urogenital tissue oxidant/antioxidant status, histopathological and immunohistochemical analyses were performed. RESULTS: Total oxidative status (TOS) and oxidative stress index (OSI) values in the urogenital tissues were increased in Group S (Total anti-oxidative status (TAS) decreased) compared to the Control group (p < 0.05). PGB improved these values (p < 0.05). The immunohistochemical markers [Caspase-3, granulocyte colony-stimulating factor (G-CSF), interleukin-6 (IL-6), Serum Amyloid A (SAA) and inducible nitric oxide synthase (iNOS)] were significantly increased in Group S except for bladder (p < 0.001). Statistically significant immunohistochemical positiveness was found only for IL-6 in urinary bladder, though all the others values were negative. With the administration of PGB (Group SP), the expressions of these immunoreactions were markedly decreased (p < 0.001). CONCLUSIONS: These findings demonstrated that sepsis caused oxidative stress and inflammation in the urogenital tissues. We have revealed that PGB ameliorated tissue damage caused by sepsis.


Assuntos
Antioxidantes/uso terapêutico , Pregabalina/uso terapêutico , Sepse/tratamento farmacológico , Sistema Urogenital/efeitos dos fármacos , Animais , Biomarcadores/metabolismo , Caspase 3/metabolismo , Feminino , Inflamação/metabolismo , Interleucina-6 , Lipopolissacarídeos , Óxido Nítrico Sintase Tipo II/metabolismo , Oxirredução , Estresse Oxidativo/efeitos dos fármacos , Ratos , Ratos Wistar , Sistema Urogenital/imunologia , Sistema Urogenital/metabolismo
5.
Arch Gynecol Obstet ; 300(4): 941-955, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31435776

RESUMO

PURPOSE: The aim of the study was to evaluate the harmful effects of sepsis on the urogynecological tissues and the ability of Lacosamide (LCM) on Lipopolysaccharide (LPS)-induced cytokine production, oxidative stress and apoptotic pathways, in the experimental rat sepsis model. METHODS: Twenty-four female Wistar albino rats (12 months old) were divided into 3 groups as follows: control group (Group I) (0.1 ml/oral and i.p. saline, single dose), sepsis group (Group II) (5 mg/kg LPS, i.p. single dose) and sepsis + LCM group (Group III) (5 mg/kg LPS, i.p. single dose and 40 mg/kg LCM). Six hours after the last LPS administration, the animals were sacrificed. Subsequently, the analyses of urogenital tissues total oxidant/antioxidant status, histopathological and immunohistochemical analyses were performed. RESULTS: Total oxidant capacity (TOC) and oxidative stress index (OSI) values in the urogenital tissues were increased in the urogenital tissues in Group II [Total antioxidant capacity (TAC) was decreased] compared to group I (p < 0.05). LCM improved these values (p < 0.05). The immunohistochemical markers (Tumor Necrosis Factor-alpha (TNF-α), interleukin-1 beta (IL-1ß), heat shock protein 70 (HSP-70), C-reactive protein (CRP), Malondialdehyde (MDA) were significantly increased in Group II (p < 0.001). With the administration of LCM (Group III), the expressions of above-mentioned markers were markedly decreased (p < 0.001). Marked hyperemia and slight hemorrhages with neutrophil leukocyte infiltrations were seen histopathologically in Group II. LCM treatment ameliorated the pathological findings. CONCLUSION: These findings demonstrated that sepsis caused oxidative stress, apoptosis and inflammation in the urogenital tissues. We revealed that LCM ameliorated the damage caused by sepsis in urogenital tissue.


Assuntos
Lacosamida/uso terapêutico , Sepse/complicações , Sepse/tratamento farmacológico , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/patologia , Bloqueadores do Canal de Sódio Disparado por Voltagem/uso terapêutico , Animais , Feminino , Lacosamida/farmacologia , Masculino , Ratos , Ratos Wistar , Sepse/patologia , Bloqueadores do Canal de Sódio Disparado por Voltagem/farmacologia
6.
Menopause ; 26(7): 714-719, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30939535

RESUMO

OBJECTIVE: The aim of the study was to evaluate knowledge, attitudes, and practice patterns of physicians prescribing topical estrogen for women with urogenital atrophy and a history of breast cancer. METHODS: A cross-sectional survey of breast surgeons, urogynecologists, and gynecologists was distributed via their professional societies: the American Society of Breast Surgeons (ASBrS), the American Urogynecologic Society (AUGS), and the Society of Gynecologic Surgeons (SGS). Providers reported level of comfort prescribing vaginal estrogen for urogenital symptoms for women with different categories of breast cancer and current treatment: estrogen receptor (ER) negative, ER positive no longer on endocrine therapy, and ER positive currently on adjuvant endocrine therapy. General knowledge questions assessed agreement on a 5-point Likert scale to statements about vaginal estrogen safety and pharmacology. RESULTS: A total of 820 physicians completed the survey: 437 responses from the ASBrS (response rate, 26.7%), 196 from AUGS (15%), and 187 from SGS (44.5%). The majority of physicians (84%), regardless of specialty, felt comfortable prescribing vaginal estrogen to women with a history of ER-negative cancer: 65.7% felt comfortable prescribing for women with ER-positive breast cancer no longer on endocrine therapy; 51.3% for women on an aromatase inhibitor; and 31.4% for women on tamoxifen. Urogynecologists were significantly more comfortable than breast surgeons prescribing vaginal estrogen for the lowest risk patients, whereas breast surgeons had the highest level of comfort for women currently on endocrine therapy. CONCLUSIONS: This study highlights heterogeneity in practice patterns both within and across specialties. The clinical variation seen in this study suggests providers may benefit from increased knowledge regarding vaginal estrogen.


Assuntos
Neoplasias da Mama/complicações , Neoplasias da Mama/terapia , Estrogênios/administração & dosagem , Padrões de Prática Médica/estatística & dados numéricos , Sistema Urogenital/patologia , Administração Intravaginal , Adulto , Atrofia , Neoplasias da Mama/química , Estudos Transversais , Estrogênios/efeitos adversos , Feminino , Ginecologia , Pesquisas sobre Atenção à Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/prevenção & controle , Oncologistas , Médicos , Receptores de Estrogênio/análise , Cirurgiões , Sistema Urogenital/efeitos dos fármacos , Urologistas
7.
Regul Toxicol Pharmacol ; 103: 1-9, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30634019

RESUMO

Isopsoralen is a major active and quality-control component of Fructus Psoraleae, but lacks a full safety evaluation. We evaluated the oral toxicity of isopsoralen in Wistar rats treated for 3 months at doses of 0, 3.5, 7.0, and 14 mg/kg. Additionally, the plasma metabolomics of isopsoralen in male and female rats treated for 3 months at doses of 0 and 14 mg/kg were investigated by gas chromatography-mass spectrometry. Many abnormalities were observed in the isopsoralen-treated rats, including suppression of body weight gain, and changes in serum biochemical parameters and visceral coefficients. Histopathological changes in liver, pancreatic, and reproductive system tissues were also observed in the isopsoralen-treated rats. The metabolomic analyses showed alterations in many metabolites (19 in female rats; 28 in male rats) after isopsoralen administration. The significant changes in these metabolites revealed metabolomic alterations in the isopsoralen-treated rats, especially in amino acid metabolism regardless of sex, including phenylalanine, tyrosine, and tryptophan biosynthesis and glycine, serine, and threonine metabolism. Furthermore, fatty acid metabolism comprised the main affected pathways in female rats, while lipid metabolism and energy metabolism were the main affected pathways in male rats.


Assuntos
Sistema Digestório/efeitos dos fármacos , Sistema Digestório/metabolismo , Furocumarinas/toxicidade , Caracteres Sexuais , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/metabolismo , Animais , Peso Corporal/efeitos dos fármacos , Sistema Digestório/patologia , Relação Dose-Resposta a Droga , Feminino , Furocumarinas/administração & dosagem , Furocumarinas/metabolismo , Cromatografia Gasosa-Espectrometria de Massas , Masculino , Ratos , Ratos Wistar , Testes de Toxicidade , Sistema Urogenital/patologia
8.
Int J Radiat Oncol Biol Phys ; 103(5): 1061-1067, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-30557672

RESUMO

PURPOSE: Limited pelvic nodal relapse of prostatic cancer is a paramount challenge for locoregional salvage treatments. Salvage whole pelvis radiation therapy as considered in the BLINDED trial is an attractive option, but there are concerns about its toxicity. This article describes early toxicity with the technique. METHODS AND MATERIALS: BLINDED was a prospective multicenter phase 2 trial investigating high-dose salvage pelvic irradiation with an additional dose to the fluorocholine-based positron emission tomography-positive pelvic lymph nodes, combined with 6-month androgen blockade. The prescribed dose was 54 Gy in 1.8 Gy fractions with up to 66 Gy in 2.2 Gy fractions to the pathologic pelvic lymph nodes. Early toxicity was defined as toxicity until 1 year after radiation therapy. Patients quality of life was assessed using the European Organisation for Research and Treatment of Cancer questionnaires (QLQ-C30 and QLQ-PR25). RESULTS: Seventy-four patients were recruited in 15 French radiation oncology departments between August 2014 and July 2016. Seven were excluded before treatment because of violation of the inclusion criteria. The intention-to-treat analysis therefore included 67 patients. Half had received prior prostatic irradiation. Median age was 67.7 ± 6.5 years. Grade 2 acute urinary toxicity was observed in 9 of 67 patients (13.4%), and grade 2 1-year toxicity occurred in 4 of 67 patients (6%). Three patients (4.4%) had grade 3 urinary toxicity. Grade 2 acute digestive toxicity was observed in 10 of 67 patients (14.9%), and grade 2 1-year toxicity occurred in 4 of 67 patients (6%). Patients with prior prostate bed irradiation did not exhibit increased urinary or digestive toxicity. The European Organisation for Research and Treatment of Cancer questionnaire scores at 1 year did not worsen significantly. CONCLUSIONS: The acute and 1-year toxicity of the BLINDED protocol was satisfactory, even in patients with a history of prostatic irradiation.


Assuntos
Antagonistas de Androgênios/efeitos adversos , Linfonodos/efeitos da radiação , Irradiação Linfática/efeitos adversos , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/radioterapia , Terapia de Salvação/efeitos adversos , Idoso , Antagonistas de Androgênios/uso terapêutico , Colina/análogos & derivados , Sistema Digestório/efeitos dos fármacos , Sistema Digestório/efeitos da radiação , Fracionamento da Dose de Radiação , Radioisótopos de Flúor , França , Humanos , Análise de Intenção de Tratamento , Linfonodos/diagnóstico por imagem , Linfonodos/patologia , Irradiação Linfática/métodos , Metástase Linfática , Masculino , Pelve , Estudos Prospectivos , Neoplasias da Próstata/diagnóstico por imagem , Qualidade de Vida , Reirradiação/efeitos adversos , Terapia de Salvação/métodos , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/efeitos da radiação
10.
Eur J Obstet Gynecol Reprod Biol ; 222: 75-79, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29367168

RESUMO

OBJECTIVES: OAB is a common finding in postmenopausal women. Hypoestrogenism is the root cause of many signs and symptoms of Genitourinary Syndrome of Menopause (vaginal dryness, atrophy, dyspareunia, urinary disorders, etc.). As such the aim of this study was to evaluate the urodynamic effects of ultralowdose estriol vaginal gel formulation to treat women with Genitourinary Syndrome of Menopause and Overactive Bladder Syndrome. STUDY DESIGN: This open-labeled, single center, prospective study involved 37 women with OAB recruited in our Urogynecological Unit between January and July 2016. They received estriol 50 mcg/g vaginal gel, one applicator-dose per day for 3 weeks followed by one dose twice a week for 12 weeks. Objective and subjective parameters were evaluated before and after treatment through the urodynamic examination, Overactive Bladder symptom score and Short Form Health Survey-36 questionnaires. RESULTS: Vaginal atrophy symptoms and signs as well as the overactive bladder subjective symptom parameter improved significantly. Urodynamic evaluation showed significant improvement in first desire to void and maximum cystometric capacity after estriol usage. Patients who had detrusor overactivity did not show any improvement for this parameter after treatment. The voiding function parameters did not significantly change. Short form-36 showed a better quality of life after treatment especially for the emotional role, as well as mental and general health. CONCLUSIONS: A local ultra-low dose concentration of estriol could be effective in women with vaginal atrophy and Overactive Bladder Syndrome for improving both subjective symptoms and urodynamic parameters of storage function not affecting voiding function.


Assuntos
Estriol/uso terapêutico , Estrogênios/uso terapêutico , Doenças Urogenitais Femininas/tratamento farmacológico , Bexiga Urinária Hiperativa/tratamento farmacológico , Bexiga Urinária/efeitos dos fármacos , Urodinâmica/efeitos dos fármacos , Sistema Urogenital/efeitos dos fármacos , Idoso , Idoso de 80 Anos ou mais , Esquema de Medicação , Estriol/administração & dosagem , Estriol/efeitos adversos , Estrogênios/administração & dosagem , Estrogênios/efeitos adversos , Feminino , Doenças Urogenitais Femininas/fisiopatologia , Humanos , Menopausa , Pessoa de Meia-Idade , Dor/induzido quimicamente , Pacientes Desistentes do Tratamento , Dor Pélvica/induzido quimicamente , Estudos Prospectivos , Autorrelato , Índice de Gravidade de Doença , Bexiga Urinária/fisiopatologia , Bexiga Urinária Hiperativa/fisiopatologia , Sistema Urogenital/fisiopatologia , Vagina/efeitos dos fármacos , Vagina/inervação , Cremes, Espumas e Géis Vaginais/administração & dosagem , Cremes, Espumas e Géis Vaginais/efeitos adversos , Cremes, Espumas e Géis Vaginais/uso terapêutico
11.
PLoS One ; 12(7): e0179542, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28704429

RESUMO

Forty percent of American women are obese and at risk for type II diabetes, impaired immune function, and altered microbiome diversity, thus impacting overall health. We investigated whether obesity induced by an excess calorie, high fat diet containing hydrogenated fats, fructose, and coconut oil (HFD) altered glucose homeostasis, peripheral immunity, and urogenital microbial dynamics. We hypothesized that HFD would cause hyperglycemia, increase peripheral inflammation, and alter urogenital microbiota to favor bacterial taxonomy associated with inflammation. We utilized female Ossabaw mini-pigs to model a 'thrifty' metabolic phenotype associated with increased white adipose tissue mass. Pigs were fed HFD (~4570 kcal/pig/day) or lean (~2000 kcal/pig/day) diet for a total of 9 estrous cycles (~6 months). To determine the effect of cycle stage on cytokines and the microbiome, animals had samples collected during cycles 7 and 9 on certain days of the cycle: D1, 4, 8, 12, 16, 18. Vaginal swabs or cervical flushes assessed urogenital microbiota. Systemic fatty acids, insulin, glucose, and cytokines were analyzed. Pig weights and morphometric measurements were taken weekly. Obese pigs had increased body weight, length, heart and belly girth but similar glucose concentrations. Obese pigs had decreased cytokine levels (IL-1ß, TNF-α, IL-4, IL-10), arachidonic acid and plasma insulin, but increased levels of vaccenic acid. Obese pigs had greater urogenital bacterial diversity, including several taxa known for anti-inflammatory properties. Overall, induction of obesity did not induce inflammation but shifted the microbial communities within the urogenital tract to an anti-inflammatory phenotype. We postulate that the coconut oil in the HFD oil may have supported normal glucose homeostasis and modulated the immune response, possibly through regulation of microbial community dynamics and fatty acid metabolism. This animal model holds promise for the study of how different types of obesity and high fat diets may affect metabolism, immune phenotype, and microbial dynamics.


Assuntos
Glicemia/efeitos dos fármacos , Citocinas/metabolismo , Inflamação/imunologia , Obesidade/complicações , Óleos de Plantas/administração & dosagem , Sistema Urogenital/microbiologia , Animais , Óleo de Coco , Dieta Hiperlipídica , Modelos Animais de Doenças , Feminino , Humanos , Microbiota , Obesidade/induzido quimicamente , Obesidade/imunologia , Óleos de Plantas/efeitos adversos , Suínos , Porco Miniatura , Sistema Urogenital/efeitos dos fármacos
12.
Am J Clin Nutr ; 104(6): 1583-1593, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27797706

RESUMO

BACKGROUND: Approximately 50% of newly diagnosed cancer patients start taking dietary supplements. Men's health supplements (MHSs), which we define as supplements that are specifically marketed with the terms men's health and prostate health (or similar permutations), are often mislabeled as having potential anticancer benefits. OBJECTIVE: We evaluated the effects of MHSs on patient outcomes and toxicities in patients who were undergoing definitive intensity-modulated radiation therapy (IMRT) for localized prostate cancer. DESIGN: This retrospective analysis included patients who were being treated at a National Cancer Institute-designated comprehensive cancer center and consented to have information stored in a prospective database. MHSs were queried online. Outcome measures were freedom from biochemical failure (FFBF) (biochemical failure was defined with the use of the prostate-specific antigen nadir + 2-ng/mL definition), freedom from distant metastasis (FFDM), cancer-specific survival (CSS), and overall survival (OS) as well as toxicities. Kaplan-Meier analysis, log-rank tests, Fine and Gray competing-risk regression (to adjust for patient and lifestyle factors), and Cox models were used. RESULTS: From 2001 to 2012, 2207 patients were treated with IMRT with a median dose of 78 Gy, and a median follow-up of 46 mo. Of these patients, 43% were low risk, 37% were intermediate risk, and 20% were high risk; 10% used MHSs. MHSs contained a median of 3 identifiable ingredients (range: 0-78 ingredients). Patients who were taking an MHS compared with those who were not had improved 5-y OS (97% compared with 92%, respectively; P = 0.01), but there were no differences in the FFBF (94% compared with 89%, respectively; P = 0.12), FFDM (96% compared with 97%, respectively; P = 0.32), or CSS (100% compared with 99%, respectively; P = 0.22). The unadjusted association between MHS use and improved OS was attenuated after adjustment for patient lifestyle factors and comorbidities. There was no difference in toxicities between the 2 groups (late-grade 3-4 genitourinary <3%; gastrointestinal <4%). CONCLUSION: The use of MHSs is not associated with outcomes or toxicities.


Assuntos
Suplementos Nutricionais , Saúde do Homem , Micronutrientes/administração & dosagem , Neoplasias da Próstata/radioterapia , Radioterapia de Intensidade Modulada , Adulto , Idoso , Idoso de 80 Anos ou mais , Relação Dose-Resposta à Radiação , Seguimentos , Trato Gastrointestinal/metabolismo , Trato Gastrointestinal/efeitos da radiação , Humanos , Estimativa de Kaplan-Meier , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Antígeno Prostático Específico/sangue , Radioterapia de Intensidade Modulada/efeitos adversos , Estudos Retrospectivos , Fatores de Risco , Resultado do Tratamento , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/metabolismo
14.
Biomed Res Int ; 2016: 9162631, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27631011

RESUMO

Schistosomiasis is a major public health problem in Africa. However, it is only recently that its burden has become recognised as a significant component impacting on the health and development of preschool-aged children. A longitudinal study was conducted in Zimbabwean children to determine the effect of single praziquantel treatment on Schistosoma haematobium-related morbidity markers: microhaematuria, proteinuria, and albuminuria. Changes in these indicators were compared in 1-5 years versus 6-10 years age groups to determine if treatment outcomes differed by age. Praziquantel was efficacious at reducing infection 12 weeks after treatment: cure rate = 94.6% (95% CI: 87.9-97.7%). Infection rates remained lower at 12 months after treatment compared to baseline in both age groups. Among treated children, the odds of morbidity at 12 weeks were significantly lower compared to baseline for proteinuria: odds ratio (OR) = 0.54 (95% CI: 0.31-0.95) and albuminuria: OR = 0.05 (95% CI: 0.02-0.14). Microhaematuria significantly reduced 12 months after treatment, and the effect of treatment did not differ by age group: OR = 0.97 (95% CI: 0.50-1.87). In conclusion, praziquantel treatment has health benefits in preschool-aged children exposed to S. haematobium and its efficacy on infection and morbidity is not age-dependent.


Assuntos
Praziquantel/uso terapêutico , Esquistossomose/tratamento farmacológico , Instituições Acadêmicas , Sistema Urogenital/parasitologia , Animais , Biomarcadores/urina , Criança , Pré-Escolar , Estudos de Coortes , Demografia , Relação Dose-Resposta a Droga , Feminino , Humanos , Lactente , Masculino , Morbidade , Praziquantel/farmacologia , Schistosoma haematobium/efeitos dos fármacos , Esquistossomose/urina , Resultado do Tratamento , Sistema Urogenital/efeitos dos fármacos
15.
Klin Lab Diagn ; 61(2): 114-6, 2016 Feb.
Artigo em Russo | MEDLINE | ID: mdl-27455567

RESUMO

The effectiveness of application of test-system "Choice of antibiotic" was evaluated as a tool for incubation of maximal amount of bacteria from pathological material under acute cystitis. The results of meta-genome analysis established that test-system permits supporting growth of practically all bacteria detected in urine, including ones relating to "uncultivated for the present". The comparison of results of standard detection of sensitivity of bacteria to antibiotics and identification of effective pharmaceutical according the results of application of test-system "Choice of antibiotic" as well was implemented It is demonstrated that test- system permits choosing antibiotic during 6-20 hours wiihout isolation of pure strain.


Assuntos
Antibacterianos/farmacologia , Cistite/tratamento farmacológico , Testes Diagnósticos de Rotina/métodos , Infecções por Enterobacteriaceae/tratamento farmacológico , Enterobacteriaceae/efeitos dos fármacos , Infecções Urinárias/tratamento farmacológico , Doença Aguda , Antibacterianos/classificação , Cistite/diagnóstico , Cistite/microbiologia , Enterobacteriaceae/classificação , Enterobacteriaceae/crescimento & desenvolvimento , Infecções por Enterobacteriaceae/diagnóstico , Infecções por Enterobacteriaceae/microbiologia , Ensaios de Triagem em Larga Escala , Humanos , Metagenoma , Testes de Sensibilidade Microbiana , Infecções Urinárias/diagnóstico , Infecções Urinárias/microbiologia , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/microbiologia
16.
Environ Toxicol Pharmacol ; 43: 94-102, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26970683

RESUMO

Study of the joint action of xenobiotics is important to fully explore their toxicity and complete risk analysis. In this study, we investigated the effects of low-dose and combined exposure of bisphenol A (BPA) and diethylstilbestrol (DES) on the reproductive system in adult male rats. The results showed that the sperm motility decreased in the BPA/DES and combined groups. Sperm deformity ratios and histological lesions of the testes were significantly higher and more significant, respectively, in the combined group compared with the single treated groups. No dose-effect relationship or significant additive effect on serum hormone levels was observed after combined exposure to BPA/DES. Ultrastructural results showed lesions of the Sertoli and Leydig cells, mainly in the endoplasmic reticulum (ER), in all treated groups. ER stress molecular sensor IRE1 was phosphorylated and activated after BPA and DES treatment in this study. The protein levels of ES stress molecular marker CHOP were significantly up-regulated after exposure to BPA, DES, and BPA and DES combined. These findings indicate that ER stress is important in BPA/DES-induced damage in rat testes. Low-dose and combined exposure to BPA and DES may have toxic effects on male fertility in the adult population.


Assuntos
Compostos Benzidrílicos/toxicidade , Dietilestilbestrol/toxicidade , Disruptores Endócrinos/toxicidade , Estrogênios não Esteroides/toxicidade , Fenóis/toxicidade , Animais , Relação Dose-Resposta a Droga , Masculino , Ratos , Ratos Sprague-Dawley , Motilidade dos Espermatozoides/efeitos dos fármacos , Espermatozoides/efeitos dos fármacos , Testículo/efeitos dos fármacos , Testes de Toxicidade , Sistema Urogenital/efeitos dos fármacos
17.
Crit Rev Oncol Hematol ; 97: 328-34, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26481950

RESUMO

The significant improvement of cancer treatments entailed a longer life in cancer survivors and raised expectations for higher quality of life with minimized long-term toxicity. Infertility and gonadal dysfunction are adverse effects of anticancer therapy or may be related to specific tumors. In female cancer survivors, premature ovarian failure is common after antineoplastic treatments resulting in infertility and other morbidities related to oestrogen deficiency such as osteoporosis. In male cancer survivors, infertility and persistent a zoospermia is a more common long-term adverse effect than hypogonadism because germ cells are more sensitive to chemotherapy and radiotherapy than leydig cells. Gonadal toxicity and compromise of reproductive functions will be more efficiently prevented and treated if addressed before treatment initiation. This review focuses on these issues in young cancer survivors of childbearing age, where methods of protecting or restoring endocrine function and fertility need to be considered.


Assuntos
Antineoplásicos/efeitos adversos , Preservação da Fertilidade/métodos , Fertilidade/efeitos dos fármacos , Fertilidade/efeitos da radiação , Neoplasias/terapia , Antineoplásicos/uso terapêutico , Feminino , Humanos , Infertilidade/etiologia , Masculino , Qualidade de Vida , Radioterapia/efeitos adversos , Sobreviventes , Sistema Urogenital/efeitos dos fármacos , Sistema Urogenital/efeitos da radiação
18.
Fertil Steril ; 105(1): 44, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26688558

RESUMO

MacLeod J, Pazianos A, Ray B. The restoration of human spermatogenesis and of the reproductive tract with urinary gonadotropins following hypophysectomy. Fertil Steril 1966;17(1):7-23. "No precedent was available in the male for the amount of [human menopausal gonadotropin] to be given in order to initiate spermatogenesis, if the latter could be done at all." "In this experiment, the evidence is strongly in favor of FSH activity being exerted first at the level of the spermatogonium, inducing mitosis and proliferation of this cell."


Assuntos
Gonadotropina Coriônica/uso terapêutico , Hipofisectomia/efeitos adversos , Infertilidade Masculina/tratamento farmacológico , Espermatozoides/efeitos dos fármacos , Sistema Urogenital/efeitos dos fármacos , Humanos , Masculino
19.
Environ Toxicol ; 31(12): 1740-1750, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26443714

RESUMO

Substances that mimic endogenous hormones may alter the cell signaling that govern prostate development and predispose it to developing lesions in adult and senile life. Bisphenol A is able to mimic estrogens, and studies have demonstrated that low levels of exposure to this compound have caused alterations during prostate development. The aim of this study was to describe the prostate development in both male and female neonatal gerbils in normal conditions and under exposure to BPA during intrauterine life, and also to analyze whether the effects of intrauterine exposure to BPA remain in adulthood. Morphological, stereological, three-dimensional reconstruction, and immunohistochemical methods were employed. The results demonstrated that in 1-day-old normal gerbils, the female paraurethral glands and the male ventral lobe are morphologically similar, although its tissue components-epithelial buds (EB), periurethral mesenchyme (PeM), paraurethral mesenchyme (PaM) or ventral mesenchymal pad (VMP), and smooth muscle (SM)-have presented different immunolabeling pattern for androgen receptor (AR), and for proliferating cell nuclear antigen (PCNA). Moreover, we observed a differential response of male and female prostate to intrauterine BPA exposure. In 1-day-old males, the intrauterine exposure to BPA caused a decrease of AR-positive cells in the PeM and SM, and a decrease of the proliferative status in the EB. In contrast, no morphological alterations were observed in ventral prostate of adult males. In 1-day-old females, BPA exposure promoted an increase of estrogen receptor alpha (ERα) positive cells in PeM and PaM, a decrease of AR-positive cells in EB and PeM, besides a reduction of cell proliferation in EB. Additionally, the adult female prostate of BPA-exposed animals presented an increase of AR- and PCNA-positive cells. These results suggest that the prostate of female gerbils were more susceptible to the intrauterine BPA effects, since they became more proliferative in adult life. © 2015 Wiley Periodicals, Inc. Environ Toxicol 31: 1740-1750, 2016.


Assuntos
Compostos Benzidrílicos/toxicidade , Disruptores Endócrinos/toxicidade , Fenóis/toxicidade , Sistema Urogenital/efeitos dos fármacos , Fatores Etários , Animais , Animais Recém-Nascidos , Proliferação de Células/efeitos dos fármacos , Epitélio/efeitos dos fármacos , Epitélio/metabolismo , Receptor alfa de Estrogênio/metabolismo , Feminino , Gerbillinae , Masculino , Exposição Materna/efeitos adversos , Mesoderma/efeitos dos fármacos , Mesoderma/metabolismo , Antígeno Nuclear de Célula em Proliferação/metabolismo , Próstata/citologia , Próstata/efeitos dos fármacos , Próstata/embriologia , Próstata/crescimento & desenvolvimento , Receptores Androgênicos/metabolismo , Fatores Sexuais , Sistema Urogenital/citologia , Sistema Urogenital/embriologia , Sistema Urogenital/crescimento & desenvolvimento
20.
Environ Toxicol Pharmacol ; 40(3): 741-6, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26432770

RESUMO

In utero exposure of neonates to pesticide residues could be damaging to the reproductive tract. Hence, the present study assessed the circulating concentrations of pesticide residues in buffalo and their neonatal calves as well as in the reproductive tract tissue samples of same calves. Also, histopathological alterations were revealed in the reproductive tract of calves. Pesticide residues were high (P<0.05) in the reproductive tract of calves (119.5 ± 20.2 ng/g, 35% positive) in comparison to their blood (32.1 ± 8.4 ng/ml, 15% positive) or blood of their dams (41.5 ± 8.3 ng/ml, 25% positive). The number of histopathological alterations were high (P<0.05) in the reproductive tract of a calf contaminated with high concentrations of pesticide residues (3.43 ± 1.29) in comparison to a tract positive for low residue concentrations (1.57 ± 0.60) or pesticide negative tract (0.28 ± 0.10). In conclusion, in utero exposure of neonatal buffalo calves to pesticide residues may be associated with damaging alterations in their reproductive tract.


Assuntos
Resíduos de Praguicidas/sangue , Efeitos Tardios da Exposição Pré-Natal/veterinária , Sistema Urogenital/química , Sistema Urogenital/efeitos dos fármacos , Animais , Animais Recém-Nascidos , Búfalos , Bovinos , Feminino , Masculino , Resíduos de Praguicidas/análise , Gravidez , Efeitos Tardios da Exposição Pré-Natal/patologia
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