Assuntos
Transtornos Fóbicos/terapia , Psicoterapia , Adulto , Terapia Comportamental , Condicionamento Clássico , Feminino , Humanos , Hipnose , Idioma , Masculino , Transtornos Neuróticos/diagnóstico , Transtornos Neuróticos/terapia , Comunicação Persuasiva , Transtornos Fóbicos/diagnóstico , RelaxamentoAssuntos
Terapia Comportamental , Psicoterapia de Grupo , Gravação em Fita , Adolescente , Adulto , Ansiedade/terapia , Feminino , Humanos , Masculino , Transtornos Mentais/terapia , Métodos , Transtornos da Personalidade/terapia , Transtornos Fóbicos/terapia , Relações Médico-Paciente , Prognóstico , Relaxamento , Descanso , SonoRESUMO
Induction of cell and gland enlargement (growth-in-size) and induction of a group of secretory polypeptides (polypeptides C-G) seem to occur in close relationship in mouse parotid glands stimulated chronically by the nonselective beta-adrenergic agonist isoproterenol. To determine whether beta(1), beta(2), or both subtypes of beta-adrenergic receptors are involved in those responses, dose-dependency studies were carried out during a 7-day period of daily stimulations to assess the relative abilities of the selective beta-adrenergic agonists dobutamine (beta(1)) and salbutamol (beta(2)) to induce polypeptides C-G and growth-in-size. The relative abilities of the selective beta-adrenoceptor antagonists atenolol (beta(1)) and I.C.I. 118.551 (beta(2)) to interfere with the induction of both responses by chronic treatment with the various beta-adrenergic agonists were also studied. Parotid growth-in-size was assessed by evaluating wet weight, whole protein content, and light microscopy histology. The presence of polypeptides C-G was evaluated after SDS-polyacrylamide gel electrophoresis and Coomassie blue staining. Under these experimental conditions, dobutamine was found to be at least one order of magnitude more potent than salbutamol at inducing growth-in-size. Dobutamine was also found to be clearly stronger than salbutamol as an inducer of polypeptides C-G. On the other hand, atenolol was more effective than I.C.I. 118.551 at preventing the induction of polypeptides C-G and growth-in-size by isoproterenol, dobutamine, or salbutamol. Taken together, these results suggest that in mouse parotid glands, polypeptides C-G and growth-in-size are induced preferentially via adrenergic receptors of the beta(1)-subtype.
Assuntos
Glândula Parótida/metabolismo , Glândula Parótida/patologia , Peptídeos/metabolismo , Receptores Adrenérgicos beta 1/metabolismo , Agonistas Adrenérgicos beta/farmacologia , Antagonistas Adrenérgicos beta/farmacologia , Albuterol/farmacologia , Animais , Atenolol/farmacologia , Tamanho Celular/efeitos dos fármacos , Dobutamina/farmacologia , Hipertrofia , Isoproterenol/farmacologia , Masculino , Camundongos , Glândula Parótida/efeitos dos fármacos , Peptídeos/química , Propanolaminas/farmacologiaRESUMO
The chronic daily administration of isoproterenol provokes in mouse parotid glands the induction and progressive accumulation of a family of secretory polypeptides named polypeptides C, D, E, F, and G (polypeptides C-G). These polypeptides, which seem to be part of the family of proline-rich proteins, have been considered as molecular markers of the growth-in-size response in the mouse parotid acinar cells. In the present study, two pharmacological approaches were used to determine whether the induction and the postsecretory reappearance of polypeptides C-G may be distinguished from each other. First, actinomycin D, a transcriptional inhibitor, was found to interfere with the induction by isoproterenol but not with the postsecretory reappearance. Second, pilocarpine, a secretagogue that was found to be a very weak inducer of polypeptides C-G, was able to provoke secretion and then reappearance of the whole group of isoproterenol-induced polypeptides. Accordingly, these data suggest that the induction of polypeptides C-G is dependent on transcriptional activity and that it is unrelated to secretion stimulation. By contrast, the postsecretory reappearance of polypeptides C-G may occur even when transcriptional activity is inhibited and it would be related to the secretory activity.
Assuntos
Glândula Parótida/metabolismo , Peptídeos/metabolismo , Transcrição Gênica , Animais , Biomarcadores , Dactinomicina/farmacologia , Isoproterenol/farmacologia , Masculino , Camundongos , Glândula Parótida/crescimento & desenvolvimento , Peptídeos/antagonistas & inibidores , Pilocarpina/farmacologia , Fatores de TempoAssuntos
Terapia Comportamental , Transtornos Fóbicos/terapia , Psicoterapia de Grupo , Adolescente , Adulto , Feminino , Humanos , Masculino , MétodosRESUMO
Se revisan las indicaciones terapeuticas de los beta-bloqueadores en los sindromes angustiosos, concluyendo que solo son efectivos en los casos que se asocian a un claro sindrome vegetativo beta-adrenergico Se postula la existencia de dos tipos basicos de angustia (angustia de riesgo y angustia de responsabilidad), de diferente semiologia vegetativa y vinculados, respectivamente, al polo neurotico el efecto del propranolol sobre los componentes psiquicos y somaticos de la angustia y se postula que ambas experiencia estan igualmente vinculadas a la respuesta vegetativa y son susceptibles de correcion mediante bloqueo beta-adrenergico.Se discute el mecanismo central o periferico del efecto ansiolitico de los beta-bloqueadores y se senala que este puede ser explicado, en la mayoria de los casos, exclusivamente por el bloqueo de la retroalimentacion aferente sobre el sistema nervioso central
Assuntos
Antagonistas Adrenérgicos beta , Transtornos de Ansiedade , PropranololRESUMO
Se critica el concepto clasico de neurosis fobica y se propone un modelo diagnostico del sintoma fobico neurotico basado principalmente en las observaciones clinicas y experimentales de la reflexologia y del aprendizaje.Este modelo constituye un concepto nosologico mas amplio que permite postular, junto al diagnostico tradicional de neurosis fobica, la existencia de mecanismos fobicos en diferentes sintomas neuroticos y psicosomaticos