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1.
Braz. j. vet. pathol ; 16(2): 89-95, 2023. tab, ilus
Artigo em Inglês | VETINDEX | ID: biblio-1509560

Resumo

The most significant interest in veterinary oncology is occupied by tumors of a mixed nature, which are represented by the direct interaction of epithelial and mesenchymal components. According to some data, the formation of cell lineage of mesenchymal cells occurs due to the transformation of epidermal basket cells surrounding the glandular epithelium. In this case, the formation of a cartilage anlage with its further transformation into differentiated bone tissue occurs. The article contains information about the structure and features of the location and interaction of mixed tumors' glandular and stromal components in female dogs (n=29). It was revealed that in addition to simple mixed neoplasms, tumors with proplasia of the mesenchymal component into highly differentiated cartilage or bone tissue were also often registered. To confirm subcellular changes in the expression of certain types of proteins, such as a-SMA and vimentin, an IHC study was used. The expression of the studied biomarkers was established in mesenchymal fibroblastic differon cells and myoepithelial cells. The intensity of immunoreactive material expression ranged from moderate (2+) to strong (3+), indicating changes in myoepithelial cells' genotype during the formation of mixed mammary neoplasms.(AU)


Assuntos
Animais , Feminino , Neoplasias Mamárias Animais/diagnóstico , Mioepitelioma/veterinária , Vimentina/análise , Biomarcadores Tumorais/análise , Cães
2.
Braz. j. vet. pathol ; 16(1): 46-50, mar. 2023. ilus
Artigo em Inglês | VETINDEX | ID: biblio-1425330

Resumo

The article describes the case of a 3 year 6 months old Guinea Pig (Cavia porcellus) that was assisted at the Wildlife and Exotic Animal Practice of the Faculty of Veterinary Sciences, National University of Asunción. The patient presented a hard mass in the right hind limb extending from the proximal portion of the femur, projecting caudally to the proximal tuberosity of the calcaneus, with an increase in temperature, and a marked increase in sensitivity. Radiographic diagnosis refers to a mass with amorphous areas of mineral density. Fine needle aspiration puncture revealed an undifferentiated malignant proliferative process, requiring histopathological analysis to characterize the process. Disarticulation was performed and subsequent histopathologic diagnosis under hematoxylin-eosin and Masson's trichrome stain revealed fibroblastic osteosarcoma.(AU)


Assuntos
Animais , Neoplasias Ósseas/veterinária , Osteossarcoma/diagnóstico , Cobaias , Paraguai , Hematoxilina/análogos & derivados
3.
Acta sci. vet. (Impr.) ; 51(supl.1): Pub. 879, 2023. ilus
Artigo em Inglês | VETINDEX | ID: biblio-1434950

Resumo

Background: Multilobular tumor of bone (MTB) is an unusual neoplasm with variable biologic behavior which originates primarily in bone tissues. Radiographs computed tomography (CT), and magnetic resonance imaging (MRI) are useful in diagnoses and surgical planning. Tumor removal with wide surgical margins is the treatment of choice. Immunohistochemistry has been shown as an important tool in veterinary oncology to define therapeutic and prognostic decisions. The goal of this study was to report 2 distinct cases of multilobular tumor of bone, their Cox-2 and Mib-1 immunohistochemical profile and its impact on overall survival. Case: Two bitches were presented at the Oncology Department of the Veterinary Hospital in the Veterinary School of Universidade Federal de Minas Gerais (UFMG). Both had a history of a progressive, painless, circumscribed, and firm facial mass. The 1st patient was a 8-year-old intact bitch mixed breed, weighing 50 kg, that presented a fast growing right infraorbital 3-cm mass, causing eye displacement. The 2nd patient was a 7-year-old spayed bitch Labrador retriever, weighing 28 kg, that presented a left temporal 8-cm mass. Neurologic examination of both bitches was normal. Skin over the nodules was strained, but with no ulceration. Radiographic exams of the head revealed lytic and proliferative bone reaction, with loss of cortical definition in both cases. These alterations were seen on the left zygomatic arch of the retrobulbar region, involving part of the mandible and of the nasal sinus lateral frontal bone in 1st patient, and on the right temporal process of the zygomatic bone in 2nd patient. The last one, also showed a granular solid mass with little contact with skull bones. Complete blood count, biochemistry profile, electrocardiogram, and 3-view thoracic radiographs were performed. Results were within normal ranges for the species and no signs of metastasis was seen on the radiographs. Location, size, and density of the mass, adjacent tissue compression, absence of cranial invasion, and lymph node size were rigorously evaluated with CT, allowing an individualized surgical planning to achieve complete mass removal and maintenance of the function of adjacent structures. Both animals were submitted to surgery. Both tumors were fixed on 10% neutral buffered formalin and sent to the Animal Pathology Department of UFMG for histopathological examination and margin assessment. Both tumors were diagnosed as grade I MTB. Tumor immunohistochemistry was performed to identify prognostic factors that could be used to better define therapeutic treatments and to try to clarify the discrepancy in disease progression between both tumors. The 1st patient expressed 20% of Mib-1 and was considered score 2 of Cox-2. The 2nd one expressed 5% of Mib-1 and was considered score 1 of Cox-2. Considering the diagnoses and histological characteristics of the tumors, it was decided for clinical follow-up of patients without additional therapeutic complementation. Even considering incomplete surgical margins in 2nd patient, adjuvant chemotherapy was not performed, due to low mitotic index and low histological grade. The 1st patient had an overall survival of 240 days, and death was due to recurrence and disease progression; and the 2nd did not show recurrence nor metastasis after 1200 days. Discussion: Proper and individualized surgical planning and histopathological evaluation are extremely important to guide treatment decisions. However, immunohistochemistry can be important in MTB cases, to help define which patients should be submitted to surgery alone and which patients could be benefited from adjuvant chemotherapy.


Assuntos
Animais , Feminino , Cães , Neoplasias de Tecido Ósseo/veterinária , Antígeno Ki-67/análise , Ciclo-Oxigenase 2/análise , Imuno-Histoquímica/veterinária
4.
Acta sci. vet. (Impr.) ; 51(supl.1): Pub. 874, 2023. ilus
Artigo em Inglês | VETINDEX | ID: biblio-1434865

Resumo

Background: Osteosarcoma is the most observed primary bone tumor in dogs, and may affect the appendicular and axial skeletons. In addition, it may be present in extraskeletal form, accounting for only 1% of cases. As shown by few reports in the literature, the involvement of the intestinal region by is rare. The objective of this study was to report the case of a 13-year-old Yorkshire dog, submitted to an exploratory laparotomy for suspected partial intestinal obstruction, diagnosed with extraskeletal osteosarcoma. Case: A 13-year-old dog, Yorkshire Terrier, male, presented clinical signs of gastrointestinal abnormalities. An ultrasound examination was performed and was found a mass in small intestine region with wall and lumen invasion. Then, was realized exploratory laparotomy and detected intestinal obstruction due to a mass with approximately 5.0 x 6.0 x 4.4 cm localized in duodenum. Surgical removal was performed and the sample sent to the veterinary diagnostic laboratory for histopathological examination. The sample had an irregular surface and firm consistency. In addition, when cut, the mass enveloped the intestinal layers and sometimes obstructed the lumen. Then, the sample were processed routinely for histopathology. After that, in microscopy evaluation was detected cell proliferation, affecting all layers of intestine. In detail, cells were elongated with pleomorphism marked and atypical mitosis. In addition, there was production of cartilage and bone matrix. So, due the absence of others sites, the neoplasm was considered primary of intestine. After that, to evaluate the expression of KI-67 and COX-2 was performed, and the cell proliferation index was 54.0% and the COX-2 expression was moderate in less than 10% of neoplastic cells. After the surgery, the patient was hospitalized for a week and continue the treatment in home. Afterwards, the tutor received the diagnosis, but even though he was instructed on the severity of the case, he chose not to undergo chemotherapy. After three months, the patient presented abdominal fluid and nodules in your liver, suggesting metastasis, but without diagnosis confirmation. The patient died five months after the diagnosis of extraskeletal osteosarcoma. However, no necropsy was realized, impossibility the diagnosis confirm. Discussion: The frequency of extraskeletal osteosarcoma in dogs remains unknown, with the mammary glands being the most affected site. In the present study, osteosarcoma affects the duodenal region and no reports of this neoplasm in the duodenum of dogs have been found in the literature. The clinical sign of dyschezia was important for the tutor to refer the animal to the veterinarian and perform the ultrasound in an attempt to elucidate the case, as the tumor mass is not always palpable. Histopathological examination and immunohistochemistry were necessary for the differential diagnosis and to establish the prognosis, although after the surgery the tutor chose not to perform chemotherapy. Extraskeletal osteosarcoma are usually highly metastatic, mainly affecting the lymph nodes and liver. In this case, the patient presented a liver nodule three months after the tumor removal surgery, but unfortunately, there was no diagnostic confirmation. Such neoplastic type is rarer and more aggressive than appendicular and axial osteosarcoma, with an average survival of 1 to 3 months. In this case, as a necropsy was not obtained, we cannot attribute the survival time to the disease. The survival rates of osteosarcomas in dogs are few months, but in the present case, although the patient died five months after surgery, the failure to perform a necropsy compromises the attribution of survival time to extraskeletal osteosarcoma.


Assuntos
Animais , Masculino , Cães , Neoplasias Ósseas/veterinária , Osteossarcoma/veterinária , Duodeno/patologia , Imuno-Histoquímica/veterinária
5.
Braz. j. biol ; 83: e248024, 2023. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1355855

Resumo

Abstract By applying the in-silico method, resveratrol was docked on those proteins which are responsible for bone loss. The Molecular docking data between the resveratrol and Receptor activator of nuclear factor-kappa-Β ligand [RANKL] receptors proved that resveratrol binds tightly to the receptors, showed the highest binding affinities of −6.9, −7.6, −7.1, −6.9, −6.7, and −7.1 kcal/mol. According to in-vitro data, Resveratrol reduced the osteoclasts after treating Marrow-Derived Macrophages [BMM] with Macrophage colony-stimulating factor [MCSF] 20ng / ml and RANKL 50ng / ml, with different concentrations of resveratrol (2.5, 10 μg / ml) For 7 days, the cells were treated with MCSF (20 ng / ml) and RANKL (40 ng / ml) together with concentrated trimethyl ether and resveratrol (2.5, 10 μg / ml) within 12 hours. Which, not affect cell survival. After fixing osteoclast cells with formaldehyde fixative on glass coverslip followed by incubation with 0.1% Triton X-100 in PBS for 5 min and after that stain with rhodamine phalloidin staining for actin and Hoechst for nuclei. Fluorescence microscopy was performed to see the distribution of filaments actin [F.actin]. Finally, resveratrol reduced the actin ring formation. Resveratrol is the best bioactive compound for drug preparation against bone loss.


Resumo Com a aplicação do método in-silico, o resveratrol foi ancorado nas proteínas responsáveis ​​pela perda óssea. Os dados de docking molecular entre o resveratrol e o ligante do receptor ativador do fator nuclear kappa-Β [Receptor Activator of Nuclear Factor kappa-B Ligant (RANKL)] provaram que o resveratrol se liga fortemente aos receptores, mostraram as afinidades de ligação mais altas de −6,9, −7,6, −7,1, −6,9, - 6,7 e -7,1 kcal / mol. De acordo com dados in-vitro, o resveratrol reduziu os osteoclastos após o tratamento de macrófagos derivados da medula óssea [Bone Marrow-derived Macrophage (BMM)] com fator estimulador de colônias de macrófagos [Macrophage Colony-Stimulating Factor (MCSF)] 20ng / ml e RANKL 50ng / ml, com diferentes concentrações de resveratrol (2,5, 10 μg / ml). Durante sete dias, as células foram tratadas com MCSF (20 ng / ml) e RANKL (40 ng / ml) juntamente com éter trimetílico concentrado e resveratrol (2,5, 10 μg / ml) em 12 horas, processo que não afeta a sobrevivência celular. Após a fixação de células de osteoclastos com fixador de formaldeído em lamela de vidro seguido de incubação com 0,1% Triton X-100 em PBS por 5 min, foi realizado posteriormente o procedimento para corar com rodamina faloidina a actina e Hoechst os núcleos. A microscopia de fluorescência foi realizada para ver a distribuição dos filamentos de actina [F.actina]. Finalmente, o resveratrol reduziu a formação do anel de actina. O resveratrol é o melhor composto bioativo para o preparo de medicamentos contra a perda óssea.


Assuntos
Osteoclastos , Ligante RANK , Diferenciação Celular , Simulação de Acoplamento Molecular , Resveratrol/farmacologia
6.
Artigo em Inglês | LILACS-Express | LILACS, VETINDEX | ID: biblio-1484793

Resumo

Abstract Background: Melittin has shown antiproliferative effects on tumor cells. Therefore, it comprises a valuable compound for studies on cancer treatment. To the best of our knowledge, no studies have reported melittin effects on bone metastasis. Herein, we propose an approach based on intrametastatic melittin injection to treat bone metastases in colorectal cancer. Methods: Following the characterization of melittin and antiproliferative tests in vitro, a single dose was injected through intrametastatic route into the mouse bone metastasis model. Following treatment, metastasis growth was evaluated. Results: A single dose of melittin was able to inhibit metastasis growth. Histological analysis showed necrosis and inflammatory processes in melittin-treated metastasis. Except by mild weight loss, no other systemic effects were observed. Conclusion: Our data suggest that melittin might be a promising agent for the future development of treatment strategies aiming to reduce the bone metastasis skeletal-related impact in colorectal cancer patients with bone metastasis.

7.
Artigo em Português | VETINDEX | ID: biblio-1391325

Resumo

O tumor ósseo multilobular, também conhecido como osteocondrossarcoma multilobular ou chondroma rodens, é um tumor maligno de crescimento lento, localmente invasivo, capaz de comprimir e invadir o tecido adjacente. Sua ocorrência é maior nos ossos planos do crânio e palato duro. Os sinais clínicos dependem da localização do tumor e, geralmente, estão relacionados à compressão de estruturas adjacentes. Neste relato, descreve-se um caso de tumor ósseo multilobular em uma cadela de 9 anos de idade, raça yorkshire terrier, com crescimento progressivo em região sobreposta à topografia de arco zigomático esquerdo e porção caudal do ramo mandibular esquerdo. Após realização de avaliação radiográfica de crânio, tomografia computadorizada e investigação laboratorial, foi realizada a remoção cirúrgica e exame histopatológico, que confirmaram a suspeita de tumor ósseo multilobular. Portanto, a avaliação histopatológica associada aos exames de imagem permitiu o estabelecimento do diagnóstico de tumor ósseo multilobular, uma neoplasia pouco descrita na clínica veterinária brasileira em cães de pequeno porte.(AU)


Multilobularbone tumor, also known as multilobular osteochondrosarcoma or chondroma rodens, it is a slow-growing, locally invasive, malignant tumor capable of compressing and invading adjacenttissue. Its occurrence is higher in the flat bones of the skull and hard palate. Clinical signs depend on the location of the tumor and are usually related to compression of adjacent structures. This report describes a case of multilobular bone tumor in a nine-year-old female yorkshire terrier breed, with progressive growth in a region overlapping the topography of the left zygomatic arch and the caudal portion of the left mandibular ramus. After performing a radiographic evaluation of the skull, computed tomography and laboratory investigation, surgical removal and histopathology were performed, which confirmed the suspicion of a multilobular bonetumor. Therefore, the histopathology associated with imaging exams allowed the establishment of a diagnosis of multilobular bonetumor, a neoplasm rarely described in the Brazilian veterinary clinic of small dogs.(AU)


Assuntos
Animais , Cães , Crânio/anatomia & histologia , Neoplasias Ósseas/diagnóstico , Condromatose/diagnóstico , Palato Duro/anatomia & histologia
8.
J. venom. anim. toxins incl. trop. dis ; 28: e20210067, 2022. graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1365078

Resumo

Background: Melittin has shown antiproliferative effects on tumor cells. Therefore, it comprises a valuable compound for studies on cancer treatment. To the best of our knowledge, no studies have reported melittin effects on bone metastasis. Herein, we propose an approach based on intrametastatic melittin injection to treat bone metastases in colorectal cancer. Methods: Following the characterization of melittin and antiproliferative tests in vitro, a single dose was injected through intrametastatic route into the mouse bone metastasis model. Following treatment, metastasis growth was evaluated. Results: A single dose of melittin was able to inhibit metastasis growth. Histological analysis showed necrosis and inflammatory processes in melittin-treated metastasis. Except by mild weight loss, no other systemic effects were observed. Conclusion: Our data suggest that melittin might be a promising agent for the future development of treatment strategies aiming to reduce the bone metastasis skeletal-related impact in colorectal cancer patients with bone metastasis.(AU)


Assuntos
Animais , Osso e Ossos , Técnicas In Vitro , Neoplasias Colorretais , Metástase Neoplásica
9.
Arq. bras. med. vet. zootec. (Online) ; 74(3): 519-524, May-June 2022. ilus
Artigo em Inglês | VETINDEX | ID: biblio-1383775

Resumo

A two-year old mare was referred to the veterinary hospital because of an increase in the volume of the head on the frontal and left side as well as dyspnoea. Radiographic examination showed an osseous radiopaque spherical mass, with a granular aspect, affecting the left frontal, maxillary, and nasal bones. A frontal sinusotomy was performed, and the frontal sinus was found to be totally obliterated by a granular, yellowish, and hard mass containing multiple spicules. Histologically, it was a multilobulated osseous neoplasia diagnosed as a multilobular osseous tumour. Because of poor prognosis, the animal was euthanized. Necropsy showed that the left nasal cavity was totally effaced as were the nasal sinuses and that the nasal turbinate disappeared because of the hard, yellowish, and granular mass measuring 20 × 14 × 14 cm that surrounded the molar teeth and extended to the cribriform plate. This tumour, which was described only once in horses, is more frequently observed in older dogs' skulls, and must be considered as a differential diagnosis in horses with sinonasal diseases.


Uma égua de dois anos de idade foi encaminhada ao Hospital Veterinário devido a um aumento de volume nas regiões frontal e lateral esquerdas da cabeça, associado à dispneia. Exame radiográfico demonstrou a existência de uma massa esférica radiopaca de aspecto granular afetando os ossos frontal, maxilar e nasal esquerdos. Sinusotomia frontal foi realizada e o seio frontal era totalmente obliterado por uma massa amarelada, granular e dura, com múltiplas espículas. Histologicamente, era uma neoplasia óssea multilobulada, diagnosticada como tumor ósseo multilobular. Devido ao prognóstico ruim, a égua foi eutanasiada. Durante a necropsia, observou-se desaparecimento dos turbinados nasais assim como obliteração total da cavidade nasal esquerda e dos seios nasais por uma massa dura, amarelada e granular, de 20x14x14cm, que circundava os dentes molares e estendia-se à placa cribriforme. Esse tumor, que foi descrito apenas uma vez em equinos, é mais frequente no crânio de cães idosos e deve ser considerado como diagnóstico diferencial em equinos com doenças sinonasais.


Assuntos
Animais , Diagnóstico Diferencial , Cavalos , Osso Nasal , Cavidade Nasal , Neoplasias
10.
Acta sci. vet. (Impr.) ; 50(suppl.1): Pub.740-4 jan. 2022. ilus
Artigo em Português | VETINDEX | ID: biblio-1458548

Resumo

Background: Transmissible venereal tumor (TVT) is a highly contagious round cell neoplasm that affects dogs, and itis usually transmitted through coitus. The tumor is mainly located in the genital area; however, the neoplasm can also beextragenital, affecting the nose, mouth, and eyes, as well as the skin and superficial lymph nodes. Cytological examinationis the most commonly used method for definitive diagnosis due to its low cost and fast execution. Chemotherapy, radiotherapy, surgical resection, and other procedures such as cryosurgery are the possible treatment options. The objective ofthis report was to describe a case of extragenital TVT with nasal primary site and metastasis in the bone tissue in a dogtreated at a private veterinary hospital in the city of Belém, Pará, Brazil.Case: A 6-year-old male domiciliary Labrador Retriever dog, weighing 24.2 kg, received oncologic treatment in a privateveterinary hospital in the city of Belém, Pará, Brazil. The animal had a history of neoplastic disease, and he had undergoneTVT resection associated with chemotherapy treatment more than 3 years ago. The clinical examination revealed a volumeincrease in the periorbital region, left lateral ocular displacement, left nostril excessive epistaxis, recurrent sneezing, cough,and pain signs, and tumor metastasis was suspected. Complementary exams of oncological cytology, computed tomography(CT), hemogram, and serum biochemistry were requested for diagnosis and staging of the condition, and supportive therapywas prescribed. The cytological report showed a dense population of neoplastic round cells with characteristics of TVT. CTindicated the presence of a heterogeneous hypodense mass with irregular contours and partially defined limits, with slightuptake of the intravenously injected contrast medium that obliterated the nasal cavity, maxillary recess, nasopharyngealmeatus, frontal sinus, and sphenoid sinus on the left side...


Assuntos
Animais , Cães , Lomustina/uso terapêutico , Neoplasias Nasais/veterinária , Neoplasias Ósseas/secundário , Neoplasias Ósseas/veterinária , Tumores Venéreos Veterinários/complicações , Tumores Venéreos Veterinários/diagnóstico por imagem , Administração Metronômica/veterinária , Tomografia Computadorizada por Raios X/veterinária
11.
Acta sci. vet. (Online) ; 50(suppl.1): Pub. 740, 18 jan. 2022. ilus
Artigo em Português | VETINDEX | ID: vti-33335

Resumo

Background: Transmissible venereal tumor (TVT) is a highly contagious round cell neoplasm that affects dogs, and itis usually transmitted through coitus. The tumor is mainly located in the genital area; however, the neoplasm can also beextragenital, affecting the nose, mouth, and eyes, as well as the skin and superficial lymph nodes. Cytological examinationis the most commonly used method for definitive diagnosis due to its low cost and fast execution. Chemotherapy, radiotherapy, surgical resection, and other procedures such as cryosurgery are the possible treatment options. The objective ofthis report was to describe a case of extragenital TVT with nasal primary site and metastasis in the bone tissue in a dogtreated at a private veterinary hospital in the city of Belém, Pará, Brazil.Case: A 6-year-old male domiciliary Labrador Retriever dog, weighing 24.2 kg, received oncologic treatment in a privateveterinary hospital in the city of Belém, Pará, Brazil. The animal had a history of neoplastic disease, and he had undergoneTVT resection associated with chemotherapy treatment more than 3 years ago. The clinical examination revealed a volumeincrease in the periorbital region, left lateral ocular displacement, left nostril excessive epistaxis, recurrent sneezing, cough,and pain signs, and tumor metastasis was suspected. Complementary exams of oncological cytology, computed tomography(CT), hemogram, and serum biochemistry were requested for diagnosis and staging of the condition, and supportive therapywas prescribed. The cytological report showed a dense population of neoplastic round cells with characteristics of TVT. CTindicated the presence of a heterogeneous hypodense mass with irregular contours and partially defined limits, with slightuptake of the intravenously injected contrast medium that obliterated the nasal cavity, maxillary recess, nasopharyngealmeatus, frontal sinus, and sphenoid sinus on the left side...(AU)


Assuntos
Animais , Cães , Tumores Venéreos Veterinários/complicações , Tumores Venéreos Veterinários/diagnóstico por imagem , Neoplasias Ósseas/secundário , Neoplasias Ósseas/veterinária , Neoplasias Nasais/veterinária , Lomustina/uso terapêutico , Tomografia Computadorizada por Raios X/veterinária , Administração Metronômica/veterinária
12.
Vet. zootec ; 29: 1-6, 2022. ilus
Artigo em Português | VETINDEX | ID: biblio-1400544

Resumo

O osteossarcoma é uma das neoplasias ósseas mais comumente relatadas na medicina veterinária, principalmente em cães de raça grande e gigante, sendo que a forma vertebral possui importante cenário clínico apresentando 5% do total de relatos. Este possui um prognóstico desfavorável e tempo de sobrevida pequeno. A apresentação clínica é variável e podem ser observados sinais de dor intensa a déficits neurológicos em decorrência do envolvimento medular progressivo. O diagnóstico pode ser realizado por imagens através de radiografia ou tomografia computadorizada, e por análises laboratoriais de citopatologia ou histopatologia, sendo o último preferível para classificação de tumores. A ressecção tumoral parcial é uma forma paliativa de tratamento, indicada em alguns casos para aliviar temporariamente os sinais clínicos relacionados a dor e déficits neurológicos. Contudo, quando há possibilidade terapêutica, a excisão completa fornece melhor prognóstico e tempo de sobrevida, principalmente quando associada a quimioterapia ou radioterapia. Mediante procedimento de vertebrectomia, a estabilização cirúrgica é necessária, podendo ser realizada respeitando os princípios para estabilização vertebral por trauma, sendo necessária a colocação de um espaçador vertebral para evitar o colabamento medular. Diversos materiais foram propostos para a confecção do espaçador vertebral. A manufatura aditiva, também conhecida como impressão 3D, tem transformado o conceito de prototipagem rápida em realidade, devido a habilidade de fabricar peças geométricas específicas de alta complexidade e de forma rápida, permitindo elaborar protótipos para uso pré ou transoperatórios em cirurgias ortopédicas de alta complexidade. O polietileno tereftalato glicol (PETG), por ser um termoplástico de alta resistência, não-biodegradável, biocompatível e de baixo custo é foco desse trabalho no desenvolvimento do espaçador vertebral como estabilizador em um procedimento de vertebrectomia em cão.


Osteosarcoma is one of the most commonly reported bone neoplasms in veterinary medicine, especially in large and giant breed dogs, and the vertebral form has an important clinical scenario presenting 5% of the total reports. This has an unfavorable prognosis and a short survival time. The clinical presentation is variable and signs of severe pain to neurological deficits can be observed as a result of progressive spinal cord involvement. The diagnosis can be made by imaging with radiography or computed tomography, and by laboratory analysis of cytopathology or histopathology, the latter being preferable for tumor classification. Partial tumor resection is a palliative form of treatment, indicated in some cases to temporarily relieve clinical signs related to pain and neurological deficits. However, when there is therapeutic possibility, complete excision provides better prognosis and survival time, especially when associated with chemotherapy or radiotherapy. Through the vertebrectomy procedure, surgical stabilization is necessary and can be performed following the principles for vertebral stabilization due to trauma, with the placement of a vertebral spacer being necessary to prevent spinal collapse. Several materials have been proposed for the manufacture of the spinal spacer. Additive manufacturing, also known as 3D printing, has transformed the concept of rapid prototyping into reality, due to its ability to quickly manufacture specific geometric parts of high complexity, allowing the elaboration of prototypes for pre- or trans-operative use in highly complex orthopedic surgeries. Polyethylene terephthalate glycol (PETG), being a high-strength, non-biodegradable, biocompatible and low-cost thermoplastic, is the focus of this work in the development of the vertebral spacer as a stabilizer in a vertebrectomy procedure in a dog.


El osteosarcoma es una de las neoplasias óseas más comúnmente reportadas en medicina veterinaria, principalmente en perros de raza grande y gigante, siendo que la forma vertebral tiene importante escenario clínico presentando el 5% del total de reportes. Tiene un pronóstico desfavorable y un tiempo de supervivencia corto. La presentación clínica es variable y pueden observarse desde signos de dolor intenso hasta déficits neurológicos como resultado de la afectación medular progresiva. El diagnóstico puede realizarse mediante imágenes con radiografía o tomografía computarizada, y mediante análisis de laboratorio de citopatología o histopatología, siendo este último preferible para la clasificación del tumor. La resección parcial del tumor es una forma de tratamiento paliativo, indicada en algunos casos para aliviar temporalmente los signos clínicos relacionados con el dolor y los déficits neurológicos. Sin embargo, cuando hay posibilidad terapéutica, la escisión completa proporciona un mejor pronóstico y tiempo de supervivencia, principalmente cuando se asocia con quimioterapia o radioterapia. Mediante el procedimiento de la vertebrectomía, es necesaria la estabilización quirúrgica, que puede realizarse respetando los principios para la estabilización vertebral por traumatismo, siendo necesaria la colocación de un espaciador vertebral para evitar el colapso medular. Se han propuesto varios materiales para la fabricación del espaciador vertebral. La fabricación aditiva, también conocida como impresión 3D, ha transformado el concepto de prototipado rápido en una realidad, debido a la capacidad de fabricar piezas geométricas específicas de gran complejidad y con rapidez, lo que permite la elaboración de prototipos para su uso pre o trans-operatorio en cirugías ortopédicas de gran complejidad. El polietileno tereftalato glicol (PETG), por ser un termoplástico de alta resistencia, no biodegradable, biocompatible y de bajo costo es el foco de este trabajo en el desarrollo del espaciador vertebral como estabilizador en un procedimiento de vertebrectomía en un perro.


Assuntos
Animais , Cães , Osteossarcoma/terapia , Polietilenotereftalatos/uso terapêutico , Impressão Tridimensional , Vértebras Lombares/cirurgia , Neoplasias Ósseas/veterinária , Substitutos Ósseos/análise
13.
Acta sci. vet. (Impr.) ; 50(suppl.1): Pub.734-4 jan. 2022. ilus
Artigo em Português | VETINDEX | ID: biblio-1458542

Resumo

Background: Transmissible venereal tumors (TVT) are naturally occurring neoplasms that can be transmitted throughcopulation or cell transplantation. It is a disease that affects canines, has no preference for sex or breed, and generallynoticed in the external genital apparatus. Extragenital occurrence may eventually be seen; however, nasal involvementhas been described in only a few reports of studies conducted in Brazil. Therefore, the objective of this study is to report3 cases of nasal TVT in dogs who were treated in 2 municipalities in the mountainous region of Santa Catarina, Brazil.Cases: This case report includes 3 male mixed-breed canines of age 3-13. Only 1 of the animals was castrated. As per themedical history, some points, such as an enlarged nasal region, sneezing, nasal discharge, and hoarseness, reported by thedogs’ respective owners were similar among all the dogs. Likewise, nosebleed was observed on physical examination inall the cases. The result of cytological examination was inconclusive only in 1 case. Rhinoscopy, incisional biopsy, andhistopathological examination were then performed for achieving a definitive diagnosis. In the 2 cases wherein cytologygave conclusive results, the cytological smears showed changes suggestive of TVT, such as cells with eccentric nuclei andlittle cytoplasm, which had vacuoles inside them. In 2 cases, radiographic examinations of the skull were also performed.The images showed changes in bone radiopacity, conformation of trabeculae with areas of bone lysis and cell proliferation,and irregularity in the contour of the nasal bone. After TVT diagnosis was confirmed, chemotherapy was initiated usingvincristine at a dose of 0.75 mg/m2 for 2 cases and 0.025 mg/kg for the remaining case...


Assuntos
Animais , Cães , Nariz/patologia , Tumores Venéreos Veterinários/diagnóstico , Tumores Venéreos Veterinários/terapia , Vincristina/administração & dosagem , Vincristina/uso terapêutico , Brasil , Neoplasias Nasais/veterinária
14.
Acta sci. vet. (Online) ; 50(suppl.1): Pub. 734, 4 jan. 2022. ilus
Artigo em Português | VETINDEX | ID: vti-32741

Resumo

Background: Transmissible venereal tumors (TVT) are naturally occurring neoplasms that can be transmitted throughcopulation or cell transplantation. It is a disease that affects canines, has no preference for sex or breed, and generallynoticed in the external genital apparatus. Extragenital occurrence may eventually be seen; however, nasal involvementhas been described in only a few reports of studies conducted in Brazil. Therefore, the objective of this study is to report3 cases of nasal TVT in dogs who were treated in 2 municipalities in the mountainous region of Santa Catarina, Brazil.Cases: This case report includes 3 male mixed-breed canines of age 3-13. Only 1 of the animals was castrated. As per themedical history, some points, such as an enlarged nasal region, sneezing, nasal discharge, and hoarseness, reported by thedogs respective owners were similar among all the dogs. Likewise, nosebleed was observed on physical examination inall the cases. The result of cytological examination was inconclusive only in 1 case. Rhinoscopy, incisional biopsy, andhistopathological examination were then performed for achieving a definitive diagnosis. In the 2 cases wherein cytologygave conclusive results, the cytological smears showed changes suggestive of TVT, such as cells with eccentric nuclei andlittle cytoplasm, which had vacuoles inside them. In 2 cases, radiographic examinations of the skull were also performed.The images showed changes in bone radiopacity, conformation of trabeculae with areas of bone lysis and cell proliferation,and irregularity in the contour of the nasal bone. After TVT diagnosis was confirmed, chemotherapy was initiated usingvincristine at a dose of 0.75 mg/m2 for 2 cases and 0.025 mg/kg for the remaining case...(AU)


Assuntos
Animais , Cães , Tumores Venéreos Veterinários/diagnóstico , Tumores Venéreos Veterinários/terapia , Nariz/patologia , Vincristina/administração & dosagem , Vincristina/uso terapêutico , Neoplasias Nasais/veterinária , Brasil
15.
Ciênc. Anim. (Impr.) ; 32(1): 183-190, jan.-mar. 2022. ilus
Artigo em Inglês | VETINDEX | ID: biblio-1401997

Resumo

Mammary tumors are the most common in bitches, and bone and pulmonary metastases are not well described. Adenosquamous mammary carcinoma is a rare tumor that can be classified as a type of metaplastic tumor. This report describes the clinical and histopathological findings of this atypical presentation of mammary carcinoma in an 11-year-old, spayed, Poodle. Surgery was performed to remove malignant mammary nodules with a provisional diagnosis of carcinoma on cytologic examination. Thirteen months later, the dog returned showing left pelvic limb lameness that had persisted for 6 months prior to the consultation. The patient showed right pelvic limb lameness and a mass in the same limb. Radiographs of the affected limb revealed a pathological fracture in the femoral diaphysis and proliferation of the periosteum. After clinical staging, a left pelvic limb amputation was performed. A diagnosis of grade II adenosquamous mammary carcinoma was made through histopathology and immunohistochemistry. Although uncommon, bone and pulmonary metastases from mammary tumors, such as adenosquamous carcinoma, can be considered differential diagnoses for bony tumors. This report highlights the aggressive nature and significant metastatic potential of the adenosquamous carcinoma.


Os tumores mamários são os mais comuns em cadelas e as metástases ósseas e pulmonares não são bem descritas. O carcinoma mamário adenoescamoso é um tumor raro que pode ser classificado como um tipo de tumor metaplásico. Este relato descreve os achados clínicos e histopatológicos dessa apresentação atípica de carcinoma mamário em um Poodle de 11 anos de idade, castrado. A cirurgia foi realizada para remover nódulos mamários malignos com diagnóstico provisório de carcinoma no exame citológico. Treze meses depois, a cadela retornou apresentando claudicação do membro pélvico esquerdo que persistia por seis meses antes da consulta. O paciente apresentava claudicação do membro pélvico direito e uma massa no mesmo membro. A radiografia do membro afetado revelou fratura patológica na diáfise femoral, proliferação do periósteo e áreas de osteopenia. Após estadiamento clínico, foi realizada amputação do membro pélvico esquerdo. O diagnóstico de carcinoma adenoescamoso mamário grau II foi feito através da histopatologia e imunohistoquímica. Embora incomuns, as metástases ósseas e pulmonares de tumores mamários, como o carcinoma adenoescamoso, podem ser consideradas diagnósticos diferenciais para tumores ósseos. Este relatório destaca a natureza agressiva e significativo potencial metastático do carcinoma adenoescamoso.


Assuntos
Animais , Feminino , Cães , Neoplasias Mamárias Animais/cirurgia , Carcinoma Adenoescamoso/veterinária , Metaplasia/veterinária , Neoplasias Ósseas/veterinária , Imuno-Histoquímica/veterinária
16.
Vet. zootec ; 29: 1-6, 2022.
Artigo em Português | LILACS-Express | VETINDEX | ID: biblio-1433681

Resumo

El osteosarcoma es una de las neoplasias óseas más comúnmente reportadas en medicina veterinaria, principalmente en perros de raza grande y gigante, siendo que la forma vertebral tiene importante escenario clínico presentando el 5% del total de reportes. Tiene un pronóstico desfavorable y un tiempo de supervivencia corto. La presentación clínica es variable y pueden observarse desde signos de dolor intenso hasta déficits neurológicos como resultado de la afectación medular progresiva. El diagnóstico puede realizarse mediante imágenes con radiografía o tomografía computarizada, y mediante análisis de laboratorio de citopatología o histopatología, siendo este último preferible para la clasificación del tumor. La resección parcial del tumor es una forma de tratamiento paliativo, indicada en algunos casos para aliviar temporalmente los signos clínicos relacionados con el dolor y los déficits neurológicos. Sin embargo, cuando hay posibilidad terapéutica, la escisión completa proporciona un mejor pronóstico y tiempo de supervivencia, principalmente cuando se asocia con quimioterapia o radioterapia. Mediante el procedimiento de la vertebrectomía, es necesaria la estabilización quirúrgica, que puede realizarse respetando los principios para la estabilización vertebral por traumatismo, siendo necesaria la colocación de un espaciador vertebral para evitar el colapso medular. Se han propu


Osteosarcoma is one of the most commonly reported bone neoplasms in veterinary medicine, especially in large and giant breed dogs, and the vertebral form has an important clinical scenario presenting 5% of the total reports. This has an unfavorable prognosis and a short survival time.  The clinical presentation is variable and signs of severe pain to neurological deficits can be observed as a result of progressive spinal cord involvement. The diagnosis can be made by imaging with radiography or computed tomography, and by laboratory analysis of cytopathology or histopathology, the latter being preferable for tumor classification. Partial tumor resection is a palliative form of treatment, indicated in some cases to temporarily relieve clinical signs related to pain and neurological deficits. However, when there is therapeutic possibility, complete excision provides better prognosis and survival time, especially when associated with chemotherapy or radiotherapy. Through the vertebrectomy procedure, surgical stabilization is necessary and can be performed following the principles for vertebral stabilization due to trauma, with the placement of a vertebral spacer being necessary to prevent spinal collapse. Several materials have been proposed for the manufacture of the spinal spacer. Additive manufacturing, also known as 3D printing, has transformed the concept of rapid pr


O osteossarcoma é uma das neoplasias ósseas mais comumente relatadas na medicina veterinária, principalmente em cães de raça grande e gigante, sendo que a forma vertebral possui importante cenário clínico apresentando 5% do total de relatos. Este possui um prognóstico desfavorável e tempo de sobrevida pequeno. A apresentação clínica é variável e podem ser observados sinais de dor intensa a déficits neurológicos em decorrência do envolvimento medular progressivo. O diagnóstico pode ser realizado por imagens através de radiografia ou tomografia computadorizada, e por análises laboratoriais de citopatologia ou histopatologia, sendo o último preferível para classificação de tumores. A ressecção tumoral parcial é uma forma paliativa de tratamento, indicada em alguns casos para aliviar temporariamente os sinais clínicos relacionados a dor e déficits neurológicos. Contudo, quando há possibilidade terapêutica, a excisão completa fornece melhor prognóstico e tempo de sobrevida, principalmente quando associada a quimioterapia ou radioterapia. Mediante procedimento de vertebrectomia, a estabilização cirúrgica é necessária, podendo ser realizada respeitando os princípios para estabilização vertebral por trauma, sendo necessário a colocação de um espaçador vertebral para evitar o colabamento medular. Diversos materiais foram propostos para a confecção do espaçador vertebral. A manufatura ad

17.
Acta cir. bras ; 37(12): e371202, 2022. graf, ilus
Artigo em Inglês | VETINDEX | ID: biblio-1415486

Resumo

Purpose: To investigate the mechanism of polysaccharides from aloe vera (PAV), a main active ingredient of Aloe vera, treatment in pulpitis rats. Methods: Pulpitis were modeled by drilling the occlusal central fossa with Sprague Dawley rats. Next, the rats were treated with 20, 40, and 80 mg/kg PAV for three weeks, respectively. Computed tomography scanning assay, hematoxylin and eosin staining, and tartrate-resistant acid phosphatase staining were used to detect the pathology change. Then, levels of tumor necrosis factor-α, interleukin-1ß, prostaglandin E2, and ciclooxigenase 2 were detected by enzyme-linked immunosorbent assay. The expressions of bone morphogenetic protein 2 human (BMP-2), osteocalcin, osterix, and runt-related transcription factor 2 (Runx2) were quantified by quantitative real-time polymerase chain reaction and Western blotting (WB). Finally, Wnt3a expression, p-GSK3ß/GSK3ß and p-ß-catenin/ß-catenin ratio were analyzed by WB. Results: PAV up regulated the bone mineral density, and reduced the breakage of the crown and cervical structures, and the necrosis of the crown and root pulp of pulpitis rats. In addition, results indicated that PAV could inhibit osteoblast formation. While osteoblasts' number was decreased, proteins of BMP-2, osteocalcin, osterix, and Runx2 were up-regulated by PAV. Furthermore, PAV increased the Wnt3a expression and the p-ß-catenin/ß-catenin ratio, and decreased p-GSK3ß/GSK3ß ratio. Interestingly, these effects were all in dose dependence. Conclusions: PAV could inhibit pulp inflammation and promote osteoblasts differentiation via suppressing the activation of the Wnt/ß-catenin signaling, enhancing the dental bone density.


Assuntos
Animais , Ratos , Osteoblastos , Polissacarídeos/uso terapêutico , Pulpite , Aloe , Animais de Laboratório
18.
Ciênc. rural (Online) ; 52(10): e20210675, 2022. ilus
Artigo em Inglês | VETINDEX, LILACS | ID: biblio-1375119

Resumo

Teratomas rarely occur in domestic species, especially in cattle. These tumors originate in fetal life and are characterized by rapid growth, which justifies their frequent detection in young animals. This study reported a case of ovarian teratoma in a heifer. On physical examination, the main signs identified were apathy, abdominal distention and tension, empty rumen, and mushy diarrhea. During rectal palpation, a mass was identified in the pelvic region, which was suggestive of cysts on ultrasound examination. The animal underwent laparotomy, followed by euthanasia due to a poor prognosis. At necropsy, a 54 x 43 x 52 cm (length x width x thickness) tumor was observed in the right ovary with multiple cystic areas, in addition to masses associated with multiple adhesions of the intestinal loops and peritonitis. On histopathology, muscle, cartilage, bone, nervous and epithelial tissue, glands, hair with follicles, were identified in the affected ovary. There was mixed inflammation and foci of necrosis observed with a complete absence of ovarian architecture in both the ovaries. Infiltrations were identified in the lymph nodes and mesenteric vessels. Glandular ducts were seen from the serosa to the intestinal mucosa. A locally infiltrative and expansile ovarian teratoma was diagnosed accordingly. It is considered that this kind of tumor can induce abdominal distension and absence of estrus in previously healthy, non-pregnant heifers.


Os teratomas são tumores raros nas espécies domésticas, sobretudo em bovinos. Esses tumores são caracterizados por crescimento rápido e origem durante a vida fetal, o que justifica seu diagnóstico frequente em animais jovens. O presente trabalho relata um caso de teratoma ovariano em uma novilha. No exame físico, os principais sinais identificados foram apatia, distensão e tensão abdominal, rúmen vazio e diarreia pastosa. Durante a palpação retal, uma massa foi identificada na região pélvica. Ao exame ultrassonográfico, a massa era sugestiva de cistos. O animal foi submetido a laparotomia, seguido de eutanásia devido ao mau prognóstico. Na necropsia foi observado um tumor de 54 x 43 x 52 cm (comprimento x largura x espessura) no ovário direito com múltiplas áreas císticas, além de massas associadas à múltiplas aderências das alças intestinais e peritonite. Na histopatologia foram identificados no ovário acometido a presença de tecidos muscular, cartilaginoso, ósseo, nervoso e epitelial, com glândulas, pelos e folículos. Havia inflamação mista e focos de necrose com ausência completa de arquitetura ovariana em ambos os ovários. Infiltrações foram identificadas em linfonodos e vasos mesentéricos. Ductos glandulares foram vistos desde a serosa até mucosa intestinal. Diagnosticou-se um teratoma ovariano localmente infiltrativo e expansivo. Considera-se que este tumor pode induzir distensão abdominal e ausência de estro em novilhas previamente sadias e não gestantes.


Assuntos
Animais , Feminino , Bovinos , Neoplasias Ovarianas/veterinária , Ovário/patologia , Teratoma/veterinária , Entorses e Distensões/veterinária , Estro/fisiologia
19.
Ciênc. anim. bras. (Impr.) ; 23: e-72715P, 2022. tab, ilus
Artigo em Inglês | VETINDEX | ID: biblio-1404210

Resumo

Curcuma longa L., also known as turmeric, has been widely studied for its various therapeutic properties, including antineoplastic action. The ethanolic extract of the plant contains several phenolic compounds, especially curcumin. Osteosarcoma is a predominant bone tumor in dogs and humans, characterized by high metastatic potential and an unfavorable prognosis. The aim of this study was to investigate the effects of turmeric ethanol extract on canine osteosarcoma cells from established culture. The cells were cultured and treated with different curcumin concentrations (0, 10 µM, 20 µM, 50 µM, 100 µM, and 1000 µM) and exposure times (24h, 48h, and 72h). We first performed tetrazolium reduction technique (MTT) assay and calculated IC50. An immunocytochemistry assay was performed after extract treatment to verify the expression of mutated p53 and therefore study the proliferative potential of malignant cells; Bcl-2 and Ki-67 were used to assess apoptosis and the degree of malignancy, respectively. The extract enhanced the proliferation of canine osteosarcoma cells, reaching 3,819.74% at 50 µM of curcumin. The extract also significantly altered the expression of mutated p53 and Ki-67 proteins but not that of Bcl-2, suggesting that it did not induce this antiapoptotic pathway. Overall, these results are prerequisite to better understanding how natural compounds such as turmeric ethanolic extract affect cell proliferation and could be used to treat various diseases.


A Curcuma longa L., planta conhecida popularmente como açafrão, tem sido amplamente estudada por suas diversas propriedades terapêuticas, incluindo a ação antineoplásica. O extrato etanólico da planta contém diversos compostos fenólicos, com destaque para a curcumina. O osteossarcoma é um tumor ósseo predominante em cães e humanos, caracterizado por apresentar alto potencial metastático e prognóstico desfavorável. Procurou-se investigar os efeitos de diferentes concentrações de curcumina do extrato etanólico de açafrão sobre células de osteossarcoma canino de cultura estabelecida. As células foram cultivadas e submetidas ao tratamento com extrato com diferentes concentrações de curcumina (0, 10 µM, 20 µM, 50 µM, 100 µM e 1000 µM) e tempos de exposição (24h, 48h e 72h) pelo EEA. Inicialmente, foram realizados: técnica de redução do tetrazólio (MTT) e cálculo da IC50. Posteriormente, após o tratamento com o extrato, realizou-se o ensaio de imunocitoquímica para verificar a expressão de p53 mutada e estudar o potencial proliferativo das células malignas; Bcl-2, com intuito de averiguar o estímulo de via antiapoptótica; e o marcador Ki-67, que sinaliza aumento no grau de malignidade. O extrato promoveu proliferação de células de osteossarcoma canino, com incremento de até 3819,74% na concentração de 50µM de curcumina. O composto também alterou a expressão das proteínas p53 mutante e Ki-67 significativamente, mas não alterou a expressão de Bcl-2, mostrando que não induziu a via antiapoptótica mediada por esta. Estes resultados demonstram que o extrato etanólico do açafrão apresenta potencial proliferativo sobre células de osteossarcoma canino, sugerindo a necessidade de conscientização e conhecimento dos reais efeitos de determinados compostos naturais, considerados seguros ao serem utilizados como tratamento de diversas enfermidades.


Assuntos
Animais , Cães , Neoplasias Ósseas/veterinária , Osteossarcoma/veterinária , Curcumina , Curcuma , Proliferação de Células/efeitos dos fármacos , Técnicas In Vitro/veterinária , Doenças do Cão , Compostos Fitoquímicos
20.
Acta cir. bras ; 37(7): e370704, 2022. tab, ilus
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1402971

Resumo

Purpose: To evaluate the ameliorative effect of mesenchymal stem cells (MSCs) on acetic acid colitis model via Nrf2/HO-1 pathway in rats. Methods: In this study, 30 rats were divided into three groups. Acute colitis was induced by rectal administration of 4% solution of acetic acid. MSCs were injected intraperitoneally in the treatment group. Results: Increased levels of tumor necrosis factor-α (TNF-α), pentraxin-3, and malondialdehyde (MDA) in colitis group were revealed biochemically. Increased level of TNF-α and decreased levels of Nrf2 and interleukin-10 (IL-10) were observed in rectum tissues. Increased fibrous tissue proliferation, vascularization and inflammatory cell infiltration were described in the colitis group. Significant improvement was observed in MSCs treated group histopathologically. Increased immunopositivity of TNF-α, vascular endothelial growth factor (VEGF) and CD68 markers was observed in the colitis group cells, and decreased level of this positivity was observed in MSCs treated group. Conclusions: Biochemical, histopathological and immunohistochemical results strongly support the ameliorative effect of MSCs against acetic induced colitis model via Nrf2/HO-1 pathway in rats.


Assuntos
Animais , Ratos , Colite/veterinária , Ácido Acético/efeitos adversos , Fator A de Crescimento do Endotélio Vascular/fisiologia , Fator 2 Relacionado a NF-E2 , Células-Tronco Mesenquimais
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