RESUMEN
Meloxicam is the non-steroidal anti-inflammatory drug most used in small animals; however, studies on genotoxicity, oxidative stress, and histopathologic alterations in cardiac tissue are limited, especially at therapeutical doses used in these animals. This study evaluated the toxic effects caused by the treatment involving repeated low at higher doses of meloxicam in mice, by genotoxicity, oxidative stress, and histopathological parameters. Mice (CF1, male) received, by gavage, meloxicam at the therapeutic dose indicated for small animals (0.1 mg/kg) and at higher doses (0.5 and 1 mg/kg) for 28 days. Later, they were euthanized for blood and organ analysis. Oxidative stress was analyzed by the plasma ferric reduction capacity (FRAP) and catalase, and genotoxicity, by the comet assay and the micronucleus test. Heart, liver, lung, and kidney tissues were analyzed by the histology, and stomach and duodenum were analyzed with a magnifying glass. The relative weight of organs did not present significant alterations. However, congestion of duodenum vessels was observed at the three tested doses and caused hyperemia of stomach mucosa at 1 mg/kg. In the heart histology there was a reduction in the number of cardiomyocytes, accompanied by an increase in cell diameter (possible cell hypertrophy) dose-dependent. The highest tested dose of meloxicam also increased the DNA damage index, without alterations in the micronucleus test. Meloxicam did not affect the catalase activity but increased the FRAP (1 mg/kg). Meloxicam at the dose prescribed for small animals could potentially cause cardiac histopathologic alterations and genotoxic effects.
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Daño del ADN , Corazón , Animales , Ensayo Cometa , Hígado , Masculino , Meloxicam/toxicidad , Ratones , Pruebas de MicronúcleosRESUMEN
Schizophrenia is a psychiatric disorder that affects 1% of the world population and is treated with antipsychotics, which may induce important biochemical and hematological alterations. Since it is necessary to verify the safety of new molecules with antipsychotic potential, the present study aimed to evaluate the oral toxicity of PT-31, a putative α2-adrenoreceptor agonist, after acute (2000 mg/kg) and repeated doses (28 days) gavage treatment, in three different doses: minimum effective dose in animal models (10 mg/kg), twice the dose (20 mg/kg), and four times the dose (40 mg/kg), as recommended by the OECD guidelines. Balb/C female adult mice were used, and biochemical, hematological, and histopathological analyses were performed. PT-31 10 and 20 mg/kg did not cause biochemical alterations related to hepatic and renal toxicity, and neither altered glycemic and lipid profiles. The preclinical dose of PT-31 also did not promote mice histopathological changes in the liver, kidney, and brain. In the hematimetric parameters, PT-31 only increased HGB at 20 mg/kg, and MCH and MCHC at 40 mg/kg. However, all the tested doses of PT-31 showed platelet increase, which must be better investigated. Therefore, further studies are needed to investigate the safety of PT-31 as a potential antipsychotic drug.
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Antipsicóticos , Animales , Antipsicóticos/toxicidad , Femenino , Humanos , Riñón , Lípidos , Hígado , Ratones , Pruebas de Toxicidad AgudaRESUMEN
Evidence of changes in central noradrenergic activity has been reported in schizophrenic patients and studies indicate that activation of the α2-adrenoceptor improves memory and neuroprotection. In this study, a new imidazolidine derivative 3-(2-chloro-6-fluorobenzyl)-imidazolidine-2,4-dione, PT-31, a putative α2A-adrenoceptor agonist, was evaluated in mouse models predictive of efficacy in the treatment of positive and cognitive symptoms of schizophrenia, as well as its ability to promote cerebellar granule cell survival in vitro, in the presence or absence of glutamate (100 µmol/l). PT-31 prevented apomorphine-induced climbing and the ketamine-induced hyperlocomotion, without inducing catalepsy or motor impairment. PT-31 protected against the impairment of prepulse inhibition induced by apomorphine, (±)-DOI, and ketamine. The molecule did not affect mouse short nor long-term memory per se, but it protected against ketamine-induced memory impairment when administered at different stages of the memory process (acquisition, consolidation, and retrieval) in the novel object recognition task. When added to cultured cerebellar granule neurons, PT-31 was not toxic per se and protected neurons from glutamate-induced apoptosis. In conclusion, PT-31 displayed a preclinical pharmacology predictive of neuroprotective effects and efficacy in relieving schizophrenia symptoms, without inducing motor side effects, suggesting that it could represent a molecular scaffold for antipsychotic drug development.
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Esquizofrenia/tratamiento farmacológico , Animales , Antipsicóticos/farmacología , Apomorfina/farmacología , Catalepsia/inducido químicamente , Cognición/efectos de los fármacos , Modelos Animales de Enfermedad , Agonistas de Dopamina/farmacología , Imidazolidinas/farmacología , Masculino , Memoria/efectos de los fármacos , Trastornos de la Memoria/tratamiento farmacológico , Memoria a Largo Plazo/efectos de los fármacos , Ratones , Ratones Endogámicos , Ratas , Ratas Wistar , Receptores Adrenérgicos/metabolismo , Psicología del EsquizofrénicoRESUMEN
Quillaja saponaria Molina represents the main source of saponins for industrial applications. Q. saponaria triterpenoids have been studied for more than four decades and their relevance is due to their biological activities, especially as a vaccine adjuvant and immunostimulant, which have led to important research in the field of vaccine development. These saponins, alone or incorporated into immunostimulating complexes (ISCOMs), are able to modulate immunity by increasing antigen uptake, stimulating cytotoxic T lymphocyte production (Th1) and cytokines (Th2) in response to different antigens. Furthermore, antiviral, antifungal, antibacterial, antiparasitic, and antitumor activities are also reported as important biological properties of Quillaja triterpenoids. Recently, other saponins from Q. brasiliensis (A. St.-Hill. & Tul.) Mart. were successfully tested and showed similar chemical and biological properties to those of Q. saponaria barks. The aim of this manuscript is to summarize the current advances in phytochemical and pharmacological knowledge of saponins from Quillaja plants, including the particular chemical characteristics of these triterpenoids. The potential applications of Quillaja saponins to stimulate further drug discovery research will be provided.
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Saponinas de Quillaja/química , Quillaja/química , Terpenos/química , Células TH1/efectos de los fármacos , Humanos , ISCOMs/química , ISCOMs/uso terapéutico , Inmunomodulación/efectos de los fármacos , Saponinas de Quillaja/uso terapéutico , Linfocitos T Citotóxicos/efectos de los fármacos , Terpenos/uso terapéutico , Células TH1/inmunología , Células Th2/efectos de los fármacosRESUMEN
Previously we designed a series of pyridinic anticholinesterasic compounds based on molecular hybridization between tacrine and the natural piperidine alkaloid (-)-3-O-acetylspectaline isolated from Senna spectabilis. Based on the information that the cholinergic system has an important role in the treatment of schizophrenia and depression, we herein report the evaluation of a series of pyridinic compounds in animal models for antipsychotic and antidepressant-like activities. Compound 2 decreased the immobility time of mice in the forced swimming test (5 and 10mg/kg p.o.) and prevented the climbing behavior induced by apomorphine (10mg/kg, p.o.), without impairing animals locomotor activity.
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Enfermedades del Sistema Nervioso Central/tratamiento farmacológico , Piperidinas/síntesis química , Piperidinas/uso terapéutico , Piridinas/síntesis química , Animales , Antidepresivos/síntesis química , Antidepresivos/química , Antidepresivos/farmacología , Conducta Animal/efectos de los fármacos , Modelos Animales de Enfermedad , Ratones , Piperidinas/química , Piperidinas/farmacología , Piridinas/química , Piridinas/farmacología , Esquizofrenia/tratamiento farmacológicoRESUMEN
Diazepam (DZP) is a sedative medication prescribed to treat anxiety and as a sleep inducer, although its residual effects are unfavorable to patients. Nanotechnology represents a tool to improve the pharmacological characteristics of drugs, reducing their side effects. This study aimed to develop and characterize DZP nanocapsules and to evaluate their toxicity in alternative models and the hypnotic-sedative effect in mice. Nanocapsules were prepared by the nanoprecipitation method and properly characterized. Long-term and accelerated stability studies were performed. The in vitro release profile was determined by diffusion in Franz cells. The safety of the formulation was evaluated in the Caenorhabditis elegans (C. elegans) and the oral acute toxicity in mice. Pharmacological evaluation was performed using thiopental-induced sleeping time. DZP was successfully incorporated into Poly-(É-caprolactone) (PCL) nanocapsules, with high entrapment efficiency. The nanocapsule did not affect the development or survival of C. elegans, different from the free drug, which affected the nematode development at the higher tested dose. No signs of toxicity, nor body mass or feed consumption changes were observed during the 14 days evaluated. Finally, this innovative formulation carrying DZP can produce a hypnotic-effect at a reduced dose compared to the free drug, with no toxicity in alternative models.
RESUMEN
BACKGROUND: Vortioxetine hydrobromide (VXT), a new therapeutic option in the treatment of major depressive disorder, is a poorly soluble drug, and instability under stress conditions has been reported. The aim of the present study was to prepare VXT liposomes (VXT-Ls) with an antidepressant-like effect, to improve drug stability and reduce toxicity of the free drug. METHODS: Liposomes were prepared using the thin lipid film hydration method and properly characterized. Forced degradation studies were conducted in photolytic and oxidative conditions. The cytotoxicity was evaluated in VERO cells through MTT assay and in vivo toxicity was assessed in mice. The antidepressant-like effect in mice was confirmed using the open-field test paradigm and tail suspension test. RESULTS: The optimized VXT-Ls have multilamellar vesicles with an average size of 176.74 nm ± 2.43. The liposomal formulation increased the stability of VXT. VERO cell viability was maintained at around 40% when the VXT-Ls were tested at higher concentrations and no signs of acute toxicity were observed in mice. The antidepressant-like effect was effective, for VXT-Ls, at doses ranging from 2.5 mg/kg to 10 mg/kg, measured by the tail suspension test in mice. The non-liposomal formulation was effective at a dose of 10 mg/kg. The open field test was performed and any unspecific changes in locomotor activity were revealed. CONCLUSIONS: Liposomes seem to be a promising alternative for an oral VXT formulation at lower doses (2.5 mg/kg).
Asunto(s)
Trastorno Depresivo Mayor , Liposomas , Chlorocebus aethiops , Ratones , Animales , Estabilidad de Medicamentos , Vortioxetina , Células Vero , Antidepresivos/toxicidad , LípidosRESUMEN
Background and aim: Campomanesia xanthocarpa Berg. (Myrtaceae) present several pharmacological actions, but there are no reports on its antidepressant-like potential. This study investigated the antidepressant-like effect and mechanism of action of Campomanesia xanthocarpa seeds extract obtained from supercritical CO2 (40 °C, 250 bar). Experimental procedure: Mice were orally treated with the extract 1 h before the TST. To investigate the involvement of the monoaminergic system in the antidepressant-like activity of the extract, pharmacological antagonists were administered prior to the acute oral administration of the extract (60 mg/kg). Also, the interaction of the extract with antidepressants was assessed in the tail suspension test (TST). The in vitro inhibitory potential of C. xanthocarpa seeds extract towards MAO A and MAO B enzymes was tested in vitro. Results and conclusion: Animals treated with Campomanesia xanthocarpa seeds extract showed a significant reduction in the immobility time in the TST. Mice pretreatment with SCH23390, sulpiride, prazosin, yohimbine, and p-chlorophenylalanine prevented the anti-immobility effect of the extract in the TST. The combined administration of sub-effective doses of the extract with imipramine, bupropion and fluoxetine significantly reduced mice immobility time in the TST. The extract showed MAO A inhibitory activity (IC50 = 151.10 ± 5.75 µg/mL), which was greater than that toward MAO B (IC50 > 400 µg/mL).The extract of Campomanesia xanthocarpa seeds obtained by supercritical CO2 shows antidepressant-like activity, which relies on the activation of the monoaminergic neurotransmission (serotoninergic, dopaminergic and noradrenergic), suggesting that this species might represent a resource for developing new antidepressants.
RESUMEN
The crude extracts of HYPERICUM species native to South Brazil showed analgesic and antidepressant-like effects in rodents. The chemical characterization of these species revealed that they are rich in flavonoids and phloroglucinol derivatives. In the present study a detailed investigation was performed on the activities of hyperoside (HYP), a common flavonoid in the genus HYPERICUM. Hyperoside was obtained from the aerial parts of H. CAPRIFOLIATUM by chromatographic procedures. Mice treated with single doses (10, 20 and 40 mg/kg i.p.) did not present signs of toxicity or weight loss. At 20 and 40 mg/kg i.p. the mice exploratory behavior in the open field test was reduced. At 20 mg/kg i. p. the pentobarbital sleeping time increased, but not the sleeping latency. No activity was found on the hot-plate (10 and 20 mg/kg i.p.) or in the acetic acid-induced writhing test (20 and 40 mg/kg p.o.). Nevertheless, an antidepressant-like effect in the forced swimming test in mice and rats was observed (HYP 10 and 20 mg/kg i.p. in mice; HYP 1.8 mg/kg/day p.o. in rats). The antidepressant-like effect in rats was prevented by the administration of sulpiride (50 mg/kg i.p.) a D2 antagonist. In conclusion, hyperoside was found to present a depressor effect on the central nervous system as well as an antidepressant-like effect in rodents which is, at least in part, mediated by the dopaminergic system.
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Antidepresivos/uso terapéutico , Conducta Animal/efectos de los fármacos , Depresión/tratamiento farmacológico , Hypericum/química , Fitoterapia , Quercetina/análogos & derivados , Receptores de Dopamina D2/metabolismo , Animales , Antidepresivos/aislamiento & purificación , Antidepresivos/farmacología , Brasil , Depresores del Sistema Nervioso Central/aislamiento & purificación , Depresores del Sistema Nervioso Central/farmacología , Antagonistas de Dopamina/farmacología , Antagonistas de los Receptores de Dopamina D2 , Masculino , Ratones , Ratones Endogámicos , Pentobarbital , Componentes Aéreos de las Plantas , Extractos Vegetales/química , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Quercetina/aislamiento & purificación , Quercetina/farmacología , Quercetina/uso terapéutico , Ratas , Ratas Wistar , Sueño/efectos de los fármacos , Sulpirida/farmacología , NataciónRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Popular medicine use stems of Philodendron bipinnatifidum (Araceae) in inflammation cases, such as in erysipelas, as well as orchitis and rheumatism treatment. The present study, conducted for the first time in literature, investigate the antinociceptive and anti-inflammatory activities of P. bipinnatifidum stems ethyl acetate extract (EPB). MATERIALS AND METHODS: GC/MS and HPLC analysis were performed for EPB extract. We used EPB at 250, 375 and 500â¯mg/kg (oral route, p.o.) in male Swiss mice. The antinociceptive activity of the plant extract assessed by acetic acid induced writhing and formalin tests. To investigate the possible participation of opioid system in EPB-mediated effects, we previously administered naloxone to the mice. Anti-inflammatory activity was evaluated using carrageenan-induced paw oedema. The open-field test aimed to investigate the possible EPB effects on the locomotor and exploratory activities. To assess the protective role of EPB on carrageenan-induced oxidative stress, the levels of NPSH, TBARS, as well as SOD and CAT activities were evaluated in blood and paw tissue. The acute toxicity of the EPB was investigated using OECD 423 guideline. RESULTS: The EPB chemical analysis by GC/MS and HPLC revealed the presence of flavonoids (luteolin and quercetin) and phytosterols (ß-sitosterol and stigmasterol). The oral treatment with the EPB inhibited mice abdominal writhings (Pâ¯<â¯0.01) at 375 and 500â¯mg/kg, and reduced the formalin effect at the first-phase (500â¯mg/kg, Pâ¯<â¯0.05) and also at the second-phase (500â¯mg/kg, Pâ¯<â¯0.001) of the test. EPB (375 and 500â¯mg/kg) did not alter spontaneous locomotion in open field test, however the number of fecal bolus was significantly lower for the EPB group at 500â¯mg/kg when compared to the vehicle group (Pâ¯<â¯0.05). The pretreatment with naloxone caused significant inhibition of antinociceptive activity induced by EPB in the formalin test, revealing the possible involvement of opioid receptors. EPB extract administered at 500â¯mg/kg (p.o.) prevented carrageenan-induced paw oedema (Pâ¯<â¯0.05 and 0.01) until 6â¯h after carragenan injection. Evaluation of TBARS and NPSH levels, SOD and CAT activities in the blood and paw tissue of animals submitted to the carrageenan assay suggested that the anti-inflammatory effect of EPB may be linked to oxidative stress inhibition. The acute administration of the EPB (2000â¯mg/kg, p.o.) caused no mortality, demonstrating low toxicity. CONCLUSIONS: The extract of P. bipinnatifidum displays antinociceptive and anti-inflammatory activities, causing no toxicological effects. The pharmacological activity of this vegetal species may be related to the presence of flavonoids and phytosterols. Our results support the ethnomedical use of this vegetal species as analgesic and anti-inflammatory agent.
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Analgésicos/uso terapéutico , Antiinflamatorios/uso terapéutico , Conducta Animal/efectos de los fármacos , Dolor/tratamiento farmacológico , Philodendron/química , Extractos Vegetales/uso terapéutico , Analgésicos/aislamiento & purificación , Animales , Antiinflamatorios/aislamiento & purificación , Edema/inducido químicamente , Edema/tratamiento farmacológico , Inflamación , Masculino , Ratones , Dolor/inducido químicamente , Fitoterapia , Extractos Vegetales/aislamiento & purificaciónRESUMEN
INTRODUCTION: Parkinson's Disease (PD) is a progressive neurodegenerative disorder, hallmark of which is loss of nigral dopaminergic neurons. Since a Hypericum polyanthemum extract inhibits monoamine reuptake and some of its constituents present cytotoxic properties, the aim of this study was to evaluate the effect of this extract in an animal PD model. METHODS: Adult Wistar rats (110 days old) received 6-hydroxydopamine (6-OHDA) infusions into the right medial forebrain bundle. A cyclohexane extract from aerial parts of H. polyanthemum (POL; 90 mg/kg/administration; gavage) was administered in three different regimens. In Regimens 1 and 2, rats received 3 administrations of POL starting 4 or 24 h after 6-OHDA infusion, respectively. In Regimen 3, these administrations were carried out 1 day before any evaluation of ipsilateral rotational activity induced by methylphenidate (MP, 20 mg/kg, i.p.). MP was administered 10, 45, and 85 days after 6-OHDA infusion in all groups. Nigral tyrosine hydroxylase (TH) immunocontent was evaluated 120 days after 6-OHDA infusion in animals submitted to Regimen 2 only. The effect of POL on apomorphine-induced climbing behavior in non-lesioned adult CF1 mice (60 days old) treated with POL was also evaluated. RESULTS: Regimen 2 increased MP-induced rotational activity and decreased nigral TH levels in 6-OHDA-lesioned rats. Rotational activity was not altered in regimens 1 and 3. In addition, no change in climbing behavior was observed in non-lesioned mice. CONCLUSION: Together, these results indicate that, in 6-OHDA-lesioned rats, a cyclohexane H. polyanthemum extract potentiates neurotoxicity and MP-induced motor asymmetry depending on the time of administration. In the short term, it seems to not act directly on mice dopaminergic receptors.
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Conducta Animal/efectos de los fármacos , Hidroxidopaminas/farmacología , Hypericum/metabolismo , Actividad Motora/efectos de los fármacos , Animales , Modelos Animales de Enfermedad , Dopamina/farmacología , Fármacos Neuroprotectores/farmacología , Síndromes de Neurotoxicidad/tratamiento farmacológico , Ratas Wistar , Sustancia Negra/efectos de los fármacos , Sustancia Negra/metabolismo , Tirosina 3-Monooxigenasa/metabolismoRESUMEN
Abstract Schizophrenia is an illness that affects 26 million people worldwide. However, conventional antipsychotics present side effects and toxicity, highlighting the need for new antipsychotics. We aimed to evaluate the cytotoxicity of haloperidol (HAL), clozapine (CLO), and a new molecule with antipsychotic potential, PT-31, in NIH-3T3 cells. The neutral red uptake assay and the MTT assay were performed to evaluate cell viability and mitochondrial activity, morphological changes were assessed, and intracellular reactive oxygen species (ROS) detection was performed. HAL and CLO (0.1 µM) showed a decrease in cell viability in the neutral red uptake assay and in the MTT assay. In addition, cell detachment, content decrease, rounding and cell death were also observed at 0.1 µM for both antipsychotics. An increase in ROS was observed for HAL (0.001, 0.01 and 1 µM) and CLO (0.01 and 1 µM). PT-31 did not alter cell viability in any of the assays, although it increased ROS at 0.01 and 1 µM. HAL and CLO present cytotoxicity at 0.1 µM, possibly through apoptosis and necrosis. In contrast, PT-31 does not present cytotoxicity to NIH-3T3 cells. Further studies must be performed for a better understanding of these mechanisms and the potential risk of conventional antipsychotics
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Esquizofrenia/patología , Antipsicóticos/efectos adversos , Clozapina/análisis , Haloperidol/análisis , Células 3T3 NIH/clasificación , Rojo Neutro/farmacologíaRESUMEN
Abstract Resolution 658/2022 of the Brazilian Regulatory Agency requires the determination of the permitted daily exposure (PDE) of pharmaceutical agents. Ginkgo biloba L. is used therapeutically to treat memory deficits and other brain diseases. However, published results indicate that more studies are needed to confirm the safety of Ginkgo biloba. This study aimed to evaluate the dry extract of Ginkgo biloba L. leaves PDE as an ingredient in an oral pharmaceutical product in preclinical studies using mice. Acute oral toxicity and repeated dose experiments were performed based on OECD guidelines, as well as genotoxicity tests. The results indicate that Ginkgo biloba L. has low acute toxicity, no liver toxicity, and does not alter blood glucose levels. No changes in weight gain were observed, but food intake decreased in males during the first week of treatment at the highest dose. Hematological parameters were not altered in males, whereas females presented lower leukocyte and lymphocyte counts and higher neutrophil counts at the highest dose. The lipid profile was not altered in males, whereas total cholesterol was increased in females. The estimated PDE was 0.1 mg/day and, when related to the maximum residual concentration, indicates that the cleaning process used is safe and does not require reassessment.
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Animales , Masculino , Femenino , Ratones , Extractos Vegetales/agonistas , Genotoxicidad , Extracto de Ginkgo/análisis , Encefalopatías/patología , Preparaciones Farmacéuticas , Recuento de Linfocitos/clasificación , ToxicidadRESUMEN
Abstract Depression plays an important role in non-adherence to medical recommendations. Fluoxetine is a first line of depression treatment. This study aimed to evaluate adherence to drug therapy in fluoxetine users by different methods. A cross-section study was conducted with 53 depressed patients on fluoxetine for at least six months. Drug therapy adherence was assessed by validated questionnaires [Brief Medication Questionnaire (BMQ) and Morisky-Green test (MG)] and by the blood concentration of fluoxetine and its active metabolite norfluoxetine. Blood samples were taken before the daily first dose of fluoxetine. The plasmatic concentration of fluoxetine and norfluoxetine indicated that 58.5% volunteers were within the recommended therapeutic range and thus considered adherent to drug therapy. However, questionnaires indicated a non-adherent majority: 41.5% patients had a high degree of adherence in MG and only 13.2% were adherent to pharmacological treatment in BMQ. Most fluoxetine users showed a plasma concentration of fluoxetine and norfluoxetine within the therapeutic range, despite the low adherence to the drug therapy evaluated by the questionnaires. Thus, we suggest that plasma levels of fluoxetine and norfluoxetine could be used as the main method to check adherence to treatment.
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Humanos , Masculino , Femenino , Persona de Mediana Edad , Fluoxetina/análisis , Encuestas y Cuestionarios/estadística & datos numéricos , Depresión/diagnósticoRESUMEN
Introdução: A cirurgia cardíaca é realizada quando a probabilidade de uma vida útil de um paciente é maior com o tratamento cirúrgico do que com o clínico. Na cirurgia ocorre a resposta metabólica ao trauma, que é potencializada pelo jejum pré-operatório prolongado. O objetivo deste estudo foi analisar o comportamento dos pacientes submetidos à cirurgia cardíaca com abreviação do jejum pré-operatório a partir da administração de suplemento nutricional oral com carboidratos e proteínas. Método: Realizada uma pesquisa do tipo estudo de caso na Unidade de Terapia Intensiva Adulta de um Hospital Público da região metropolitana de Porto Alegre, Rio Grande do Sul. Os casos analisados foram de pacientes que realizaram abreviação de jejum pré-operatório de cirurgia cardíaca, no período de outubro a novembro de 2015. Resultados: Avaliados três pacientes, do sexo masculino, com idade entre 47 e 73 anos, que realizaram cirurgia cardíaca com abreviação do jejum pré-operatório três horas antes da cirurgia com suplemento nutricional com carboidrato e proteína, isento de lipídeos e fibras. Dois pacientes apresentaram complicações pós-operatórias, não relacionadas à abreviação do jejum. A média da glicemia capilar pós-operatória foi de 112 mg/dl. Não houve casos de broncoaspiração, náuseas ou vômitos. O tempo médio de internação hospitalar foi de 7,8 dias. Conclusão: A abreviação do jejum pré-operatório em cirurgia cardíaca é relevante para melhorar o desfecho do paciente cirúrgico, em função da melhoria do perfil glicêmico, redução da resposta metabólica ao trauma, maior satisfação do paciente, menor tempo de internação hospitalar e consequente redução dos custos.(AU)
Introduction: Cardiac surgery is performed when the likelihood of life span of a patient is higher with surgery than with medical treatment. During surgery, the metabolic response to trauma takes place, which is enhanced by prolonged preoperative fasting. The objective of this study was to analyze the behavior of patients undergoing cardiac surgery with abbreviation of preoperative fasting from oral nutritional supplement administration with carbohydrates and protein. Methods: We conducted a case study research at the Adult Intensive Care Unit (ICU) of a public hospital located in the metropolitan area of Porto Alegre, Rio Grande do Sul, Brazil. We analyzed cases from patients undergoing reduced preoperative fasting time prior to cardiac surgery during the months of October and November 2015. Results: We evaluated three male patients, aged 47 to 73 years old. Three hours prior to surgery they were given a carbohydrate and protein enriched nutritional supplement, which was lipid and fiber free. Two of the patients had postoperative complications unrelated to the reduced fasting time. The average postoperative blood glucose was 112 mg/dl. There were no cases of pulmonary aspiration, nausea, or vomiting. The average hospital stay was 7.8 days. Conclusion: The reduction of preoperative fasting time in cardiac surgery appears to improve the outcome of surgical patients. This is shown here by the improved glucose profiles; reduced metabolic response to trauma; patient satisfaction; shorter hospital stay; and cost reduction observed.(AU)
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Humanos , Masculino , Femenino , Cirugía Torácica , Ayuno , Atención Perioperativa , MetabolismoRESUMEN
Hypericum polyanthemum, a South Brazilian species showed antidepressant-like and antinociceptive effects in rodents. Since limited information is available on the toxicity and safety profile of the Hypericum genus, we therefore investigated whether H. polyanthemum cyclo-hexane extract (POL) treatment could be associated with toxicity in preclinical setting using mice as an experimental model. These toxicity studies were based on the guidelines of the Organization for Economic Cooperation and Development (OECD-guidelines 423 and 407). Animals received POL single dose (2000 mg/kg, p.o.) or daily for 28-days (90, 450 and 900 mg/kg, p.o.). Acute toxicity study did not detect any clinical signs, changes in behavior or mortality. In repeated dose toxicity study, POL affected the body weight gain and induced biochemical, hematological and liver histological changes at 450 and 900 mg/kg. Mice treated with POL 90 mg/kg did not show any toxicity signs. In conclusion H. polyanthemum can be classified as safe (category 5) according to OECD acute toxicity parameters. However, the alterations observed after repeated treatment with high doses suggest that the liver could be the target organ on potential H. polyanthemum toxicity and point to the need of further toxicity studies.
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Hypericum/química , Extractos Vegetales/toxicidad , Animales , Cromatografía Líquida de Alta Presión , Relación Dosis-Respuesta a Droga , Conducta Alimentaria/efectos de los fármacos , Masculino , Ratones , Tamaño de los Órganos/efectos de los fármacos , Pruebas de Toxicidad Aguda , Aumento de Peso/efectos de los fármacosRESUMEN
Neste trabalho foi realizado um levantamento bibliográfico etnobotânico sobre plantas utilizadas pela população brasileira no tratamento de sinais e sintomas relacionados às infecções fúngicas. Foram citadas 409 espécies, distribuídas em 98 famílias, com maior concentração em Fabaceae e Asteraceae. Para as dez espécies mais citadas, foi realizada uma busca relativa a estudos de atividade antifúngica na base de dados MEDLINE-PubMed. Somente foram encontrados estudos para Phytolacca americana L., Rosmarinus officinalis L., Mirabilis jalapa L., Schinus molle L. Entre as dez espécies mais utilizadas, seis correspondem a espécies nativas: Anacardium occidentale L., Cecropia peltata L., Schinus molle L., Schinus terebinthinfolius Raddi, Stryphnodendron adstringens (Mart.) Coville e Tabebuia heptaphylla (Vell.) Toledo.
The aim of this work was to draw up a list of plants used by Brazilian population for the treatment of signs and symptoms related to fungal infections and to verify the existence of scientific data related to the antifungal activity in the databasis MEDLINE-PubMed. Four hundread and nine species were listed, which are distributed in ninety eight families, mainly Fabaceae and Asteraceae. Among the more frequently mentioned species (10), only four were evaluated regarding to the antifungal activity: Phytolacca americana L., Rosmarinus officinalis L., Mirabilis jalapa L. and Schinus molle L. From those ten species, six are native (Anacardium occidentale L., Cecropia peltata L., Schinus molle L., Schinus terebinthifolius Raddi, Stryphnodendron adstringens (Mart.) Coville e Tabebuia heptaphylla (Vell.) Toledo.