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1.
Pharmazie ; 78(6): 100-105, 2023 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-37537769

RESUMEN

Cardiac rehabilitation in patients with diabetes mellitus and heart failure may be affected by anti-diabetic drugs. However, there are few reports on the effects of sodium-glucose cotransporter-2 (SGLT2) inhibitors on cardiac rehabilitation. Thus, we retrospectively investigated the patient backgrounds and effects of cardiac rehabilitation in 44 patients admitted to our hospital with heart failure and pre-existing diabetes mellitus. Our results showed that the patients tended to be older, and those who received SGLT2 inhibitors had lower systolic blood pressure and left ventricular ejection fraction on admission than those who did not. Cardiac rehabilitation significantly improved the Short Physical Performance Battery (SPPB) score in all patients, and there was no significant difference in body mass index or in body weight. There were no significant differences in SPPB score at admission, discharge, or change from admission to discharge with or without SGLT2 inhibitors. These results suggest that SGLT2 inhibitors do not affect the change in SPPB scores. SGLT2 inhibitors may thus be used safely without affecting cardiac rehabilitation while adhering to the necessary safety precautions.


Asunto(s)
Rehabilitación Cardiaca , Diabetes Mellitus Tipo 2 , Insuficiencia Cardíaca , Inhibidores del Cotransportador de Sodio-Glucosa 2 , Humanos , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Insuficiencia Cardíaca/tratamiento farmacológico , Estudios Retrospectivos , Inhibidores del Cotransportador de Sodio-Glucosa 2/uso terapéutico , Inhibidores del Cotransportador de Sodio-Glucosa 2/farmacología , Volumen Sistólico , Función Ventricular Izquierda
3.
Int J Oral Maxillofac Surg ; 37(2): 190-3, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17913460

RESUMEN

Systemic sclerosis (SSc) is a relatively rare condition characterized by the excessive production and deposition of collagen within tissue. This condition is thought to be immunologically mediated and, in addition to its notorious cutaneous manifestations, often involves multiple organs. A case is presented of systemic sclerosis associated with extensive tumoural calcinosis in the temporomandibular joint. There has been no evidence of recurrence or complications during approximately 2 years of follow up, but long-term follow up is essential.


Asunto(s)
Calcinosis/etiología , Esclerodermia Sistémica/complicaciones , Trastornos de la Articulación Temporomandibular/etiología , Calcinosis/patología , Cartílago/patología , Colágeno/análisis , Tejido Conectivo/patología , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Trastornos de la Articulación Temporomandibular/patología
4.
J Clin Invest ; 92(6): 2653-9, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8254021

RESUMEN

Solute-free water diuretics (aquaretics) by antagonizing hydrosmotic vasopressin receptors (V2) may be useful in treating water-retaining diseases. The effects of intravenous administration of a newly developed nonpeptide, selective V2 antagonist, OPC-31260, at doses ranging from 0.017 to 1.0 mg/kg to groups of healthy, normally hydrated men were compared with those of 0.33 mg/kg furosemide and placebo. OPC-31260 increased the hypotonic urine volume dose dependently for the first 4 h, while furosemide induced sodium diuresis for 2 h. The absolute increase in the cumulative response in the urine to the highest doses of OPC-31260 was not significantly different from that to furosemide. The higher doses of OPC-31260 rapidly lowered urine osmolality for 2 h, particularly between minutes 15 and 45 (e.g., 1.0-mg/kg dose: 63 +/- 2 mOsm/kg in urine collected between minutes 30 and 45). In a marked hypotonic diuresis, mean free water clearance of the 4-h urine increased dose proportionally into the positive range, reaching 1.80 +/- 0.21 ml/min at 1.0 mg/kg. Whereas furosemide induced marked Na and K diuresis, OPC-31260 increased urinary Na excretion only slightly. At 4 h, 0.75 and 1.0 mg/kg of OPC-31260 almost doubled the plasma arginine vasopressin; and the higher doses increased plasma osmolality and plasma Na slightly, but did not alter plasma K, blood pressure, or heart rate. OPC-31260 thus safely induced a potent aquaretic effect in men.


Asunto(s)
Antagonistas de los Receptores de Hormonas Antidiuréticas , Arginina Vasopresina/sangre , Benzazepinas/farmacología , Diuresis/efectos de los fármacos , Diuréticos/farmacología , Adulto , Aldosterona/sangre , Análisis de Varianza , Presión Sanguínea/efectos de los fármacos , Cloruros/orina , Relación Dosis-Respuesta a Droga , Furosemida/farmacología , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Masculino , Concentración Osmolar , Potasio/orina , Renina/sangre , Sodio/sangre , Sodio/orina , Factores de Tiempo , Orina
5.
J Neuroendocrinol ; 19(4): 285-92, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17355318

RESUMEN

Arginine vasopressin (AVP) plays an important role in stress-induced activation of the hypothalamic-pituitary adrenal axis. In the present study, AVP-enhanced green fluorescent protein (eGFP) transgenic rats were used to investigate changes in AVP-eGFP expression in the hypothalamic paraventricular nucleus (PVN) and the median eminence (ME) upon exposure to stress conditions. The eGFP fluorescence in the parvocellular division of the PVN (pPVN) was markedly increased 5 days after bilateral adrenalectomy (ADX) and it was colocalised with corticotrophin-releasing hormone-like immunoreactivity in the pPVN. Peripheral administration of dexamethasone completely suppressed the increase of eGFP fluorescence in the pPVN and the external layer of the ME (eME) after bilateral ADX. Significant increases of eGFP fluorescence were observed in the pPVN 6, 12, 24 and 48 h after intraperitoneal (i.p.) administration of lipopolysaccharide (LPS). In the eME, eGFP fluorescence was significantly increased 48 h after i.p. administration of LPS. By contrast, eGFP fluorescence changed neither in the magnocellular division of the PVN, nor the internal layer of the ME after i.p. administration of LPS. Our results indicate that AVP-eGFP transgenic rats are useful animal model to study dynamic changes of AVP expression in the hypothalamus under stressful conditions.


Asunto(s)
Proteínas Fluorescentes Verdes/metabolismo , Hipotálamo/metabolismo , Estrés Psicológico/metabolismo , Vasopresinas/metabolismo , Adrenalectomía , Animales , Animales Modificados Genéticamente , Femenino , Glucocorticoides/fisiología , Proteínas Fluorescentes Verdes/genética , Inflamación/metabolismo , Masculino , Modelos Animales , Ratas , Ratas Wistar
6.
J Neuroendocrinol ; 19(1): 54-65, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17184486

RESUMEN

The effects of intraperitoneal (i.p.) administration of 2-buten-4-olide (2-B4O), an endogenous sugar acid, on the hypothalamo-adenohypophysial system were examined in Lewis rats that were normal and in adjuvant-induced arthritic (AA) rats. In comparison with vehicle-treated rats, the plasma corticosterone and c-fos mRNA levels in the paraventricular nucleus (PVN) of normal rats increased significantly after i.p. administration of 2-B4O. Dual immunostaining revealed that almost all corticotrophin-releasing factor (CRF)-immunopositive neurones in the parvocellular division of the PVN exhibited Fos-like immunoreactivity (LI) 120 min after i.p. administration of 2-B4O (100 mg/kg). In the AA rats, repeated i.p. administration of 2-B4O (100 mg/kg) after immunisation significantly suppressed the expression of clinical symptoms and significantly increased plasma concentrations of corticosterone. Further, repeated i.p. administration of 2-B4O significantly increased CRF mRNA levels in the PVN and pro-opiomelanocortin mRNA levels in the anterior pituitary; however, they did not change arginine vasopressin mRNA levels in the parvocellular division of the PVN. These results suggest that i.p. administration of 2-B4O activates the hypothalamo-pituitary-adrenal (HPA) axis via the activation of CRF neurones in the PVN, and the activation of the HPA axis by i.p. administration of 2-B4O may be associated with the inhibition of AA in rats.


Asunto(s)
4-Butirolactona/análogos & derivados , Artritis Experimental , Sistema Hipotálamo-Hipofisario/efectos de los fármacos , Sistema Hipófiso-Suprarrenal/efectos de los fármacos , 4-Butirolactona/administración & dosificación , 4-Butirolactona/farmacología , Adyuvantes Inmunológicos , Animales , Depresores del Apetito/farmacología , Arginina Vasopresina/metabolismo , Artritis Experimental/sangre , Artritis Experimental/metabolismo , Corticosterona/sangre , Hormona Liberadora de Corticotropina/metabolismo , Sistema Hipotálamo-Hipofisario/metabolismo , Inyecciones Intraperitoneales , Masculino , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas , Ratas Endogámicas Lew
7.
Mol Biol Cell ; 8(2): 279-86, 1997 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9190207

RESUMEN

Prolonged treatment with guanosine 5'-[gamma-thio]triphosphate (GTP gamma S; 5-16 h, 50 microM) of smooth muscle permeabilized with Staphylococcus aureus alpha-toxin down-regulated (abolished) the acute Ca2+ sensitization of force by GTP gamma S, AIF-4, phenylephrine, and endothelin, but not the response to phorbol dibutyrate or a phosphatase inhibitor, tautomycin. Down-regulation also abolished the GTP gamma S-induced increase in myosin light chain phosphorylation at constant [Ca2+] and was associated with extensive translocation of p21rhoA to the particulate fraction, prevented its immunoprecipitation, and inhibited its ADP ribosylation without affecting the immunodetectable content of G-proteins (p21rhoA, p21ras, G alpha q/11, G alpha i3, and G beta) or protein kinase C (types alpha, beta 1, beta 2, delta, epsilon, eta, theta, and zeta). We conclude that the loss of GTP gamma S- and agonist-induced Ca2+ sensitization through prolonged treatment with GTP gamma S is not due to a decrease in the total content of either trimeric (G alpha q/11, G alpha i3, and G beta) or monomeric (p21rhoA and p21ras) G-protein or protein kinase C but may be related to a structural change of p21rhoA and/or to down-regulation of its (yet to be identified) effector.


Asunto(s)
Calcio/metabolismo , Regulación hacia Abajo , Proteínas de Unión al GTP/metabolismo , Guanosina 5'-O-(3-Tiotrifosfato)/farmacología , Músculo Liso Vascular/efectos de los fármacos , Piranos , Compuestos de Espiro , Compuestos de Aluminio/farmacología , Animales , Antifúngicos/farmacología , Toxinas Bacterianas/farmacología , Detergentes , Endotelinas/farmacología , Fluoruros/farmacología , Proteínas Hemolisinas/farmacología , Técnicas In Vitro , Masculino , Músculo Liso Vascular/metabolismo , Cadenas Ligeras de Miosina/metabolismo , Fenilefrina/farmacología , Forbol 12,13-Dibutirato/farmacología , Monoéster Fosfórico Hidrolasas/antagonistas & inhibidores , Fosforilación , Vena Porta/efectos de los fármacos , Vena Porta/metabolismo , Pruebas de Precipitina , Proteína Quinasa C/metabolismo , Proteínas Proto-Oncogénicas p21(ras)/metabolismo , Conejos , Solubilidad , Factores de Tiempo , Proteína de Unión al GTP rhoA
8.
Mol Biol Cell ; 8(12): 2437-47, 1997 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9398666

RESUMEN

Pretreatment of intact rabbit portal vein smooth muscle with the chimeric toxin DC3B (10(-6) M, 48 h; ; ) ADP-ribosylated endogenous RhoA, including cytosolic RhoA complexed with rhoGDI, and inhibited the tonic phase of phenylephrine-induced contraction and the Ca2+-sensitization of force by phenylephrine, endothelin and guanosine triphosphate (GTP)gammaS, but did not inhibit Ca2+-sensitization by phorbol dibutyrate. DC3B also inhibited GTPgammaS-induced translocation of cytosolic RhoA () to the membrane fraction. In DC3B-treated muscles the small fraction of membrane-associated RhoA could be immunoprecipitated, even after exposure to GTPgammaS, which prevents immunoprecipitation of non-ADP-ribosylated RhoA. Dissociation of cytosolic RhoA-rhoGDI complexes with SDS restored the immunoprecipitability and ADP ribosylatability of RhoA, indicating that both the ADP-ribosylation site (Asn 41) and RhoA insert loop (Wei et al., 1997) are masked by rhoGDI and that the long axes of the two proteins are in parallel in the heterodimer. We conclude that RhoA plays a significant role in G-protein-, but not protein kinase C-mediated, Ca2+ sensitization and that ADP ribosylation inhibits in vivo the Ca2+-sensitizing effect of RhoA by interfering with its binding to a membrane-associated effector.


Asunto(s)
ADP Ribosa Transferasas/farmacología , Adenosina Difosfato/metabolismo , Toxinas Botulínicas , Calcio/antagonistas & inhibidores , Toxina Diftérica/farmacología , Proteína de Unión al GTP rhoA/metabolismo , Animales , Transporte Biológico/efectos de los fármacos , Calcio/metabolismo , Calcio/farmacología , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Citosol/efectos de los fármacos , Citosol/metabolismo , Endotelinas/antagonistas & inhibidores , Endotelinas/farmacología , Inhibidores de Disociación de Guanina Nucleótido/metabolismo , Guanosina 5'-O-(3-Tiotrifosfato)/antagonistas & inhibidores , Guanosina 5'-O-(3-Tiotrifosfato)/metabolismo , Guanosina 5'-O-(3-Tiotrifosfato)/farmacología , Técnicas In Vitro , Contracción Isométrica/efectos de los fármacos , Músculo Liso Vascular/efectos de los fármacos , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/fisiología , Fragmentos de Péptidos/farmacología , Fenilefrina/antagonistas & inhibidores , Fenilefrina/farmacología , Forbol 12,13-Dibutirato/farmacología , Vena Porta/efectos de los fármacos , Vena Porta/metabolismo , Vena Porta/fisiología , Pruebas de Precipitina , Unión Proteica/efectos de los fármacos , Conejos , Proteínas Recombinantes de Fusión/farmacología , Dodecil Sulfato de Sodio/farmacología , Inhibidores de la Disociación del Nucleótido Guanina rho-Específico , Proteína de Unión al GTP rhoA/antagonistas & inhibidores
9.
Neuroscience ; 141(2): 1069-1086, 2006 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-16730416

RESUMEN

The effects of i.c.v. administration of prolactin-releasing peptide on neurons in the paraventricular nucleus of rats and plasma corticosterone levels were examined by measuring changes in Fos-like immunoreactivity, c-fos mRNA using in situ hybridization histochemistry, and plasma corticosterone using a specific radioimmunoassay. Approximately 80% of corticotropin-releasing hormone immunoreactive cells exhibited Fos-like immunoreactivity in the parvocellular division of the paraventricular nucleus 90 min after i.c.v. administration of prolactin-releasing peptide. The greatest induction of the c-fos mRNA expression in the paraventricular nucleus was observed 30 min after administration of prolactin-releasing peptide, and occurred in a dose-related manner. Plasma corticosterone levels were also significantly increased 30 min after administration of prolactin-releasing peptide. Next, the effects of restraint stress, nociceptive stimulus and acute inflammatory stress on the expression of the prolactin-releasing peptide mRNA in the dorsomedial hypothalamic nucleus, nucleus of the solitary tract and ventrolateral medulla were examined using in situ hybridization histochemistry for prolactin-releasing peptide mRNA. Restraint stress and acute inflammatory stress upregulated the prolactin-releasing peptide mRNA expression in the nucleus of the solitary tract and ventrolateral medulla. Nociceptive stimulus upregulated the prolactin-releasing peptide mRNA expression in the ventrolateral medulla. Finally, we observed that pretreatment (i.c.v. administration) with an anti-prolactin-releasing peptide antibody significantly attenuated nociceptive stimulus-induced c-fos mRNA expression in the paraventricular nucleus. These results suggest that prolactin-releasing peptide is a potent and important mediator of the stress response in the brain through the hypothalamic paraventricular nucleus.


Asunto(s)
Encéfalo/fisiopatología , Hormonas Hipotalámicas/fisiología , Neuronas/metabolismo , Neuropéptidos/fisiología , Núcleo Hipotalámico Paraventricular/fisiología , Estrés Fisiológico/metabolismo , Análisis de Varianza , Animales , Antiinflamatorios no Esteroideos/administración & dosificación , Encéfalo/efectos de los fármacos , Corticosterona/sangre , Hormona Liberadora de Corticotropina/metabolismo , Relación Dosis-Respuesta a Droga , Hormonas Hipotalámicas/inmunología , Inmunoglobulina G/administración & dosificación , Indometacina/administración & dosificación , Lipopolisacáridos/toxicidad , Masculino , Neuropéptidos/inmunología , Dimensión del Dolor/métodos , Núcleo Hipotalámico Paraventricular/citología , Núcleo Hipotalámico Paraventricular/efectos de los fármacos , Hormona Liberadora de Prolactina , Proteínas Proto-Oncogénicas c-fyn/genética , Proteínas Proto-Oncogénicas c-fyn/metabolismo , Radioinmunoensayo/métodos , Ratas , Ratas Wistar , Restricción Física/métodos , Estrés Fisiológico/etiología
10.
J Neuroendocrinol ; 18(10): 776-85, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16965296

RESUMEN

We examined the effects of chronic salt loading on the hypothalamic expressions of the enhanced green fluorescent protein (eGFP), arginine vasopressin (AVP) and oxytocin (OXT) genes in AVP-eGFP transgenic rats that expressed eGFP in the hypothalamic AVP-containing neurones. In these rats, salt loading for 5 days caused a marked increase of the eGFP fluorescence in the magnocellular divisions of the paraventricular nucleus (PVN), the supraoptic nucleus (SON) and the internal layer of the median eminence. Expression of the eGFP gene was increased seven- to eight-fold in the PVN and SON of salt-loaded rats in comparison with euhydrated rats. By contrast, none of these changes were observed in the suprachiasmatic nucleus. The expression of the AVP and OXT genes was increased 1.5- to two-fold in the PVN and SON of salt-loaded nontransgenic (control) and transgenic rats. There were no differences in the expression levels of the AVP and OXT genes in the PVN and SON between nontransgenic (control) and transgenic animals under normal conditions and after salt loading. In the posterior pituitary gland, the intensity of the eGFP fluorescence did not change after salt loading for 5 days, but increased after 10 days of salt loading. Upon salt loading, significant increases in the plasma AVP concentrations, plasma osmolality and plasma Na+ were observed. Furthermore, there were no significant differences in changes of water intake, food intake, urine volume, urine osmolality, urine Na+ concentrations, and the body weights in both models under normal or salt-loaded conditions. Our results show that the response of the AVP-eGFP fusion gene to chronic salt loading is exaggerated, and humoral responses such as AVP and OXT and the body fluid homeostasis are maintained in AVP-eGFP transgenic rats. The AVP-eGFP transgenic rat gives us a new opportunity to study the dynamics of the AVP system in vivo.


Asunto(s)
Arginina Vasopresina/biosíntesis , Arginina Vasopresina/genética , Homeostasis/fisiología , Cloruro de Sodio/farmacología , Equilibrio Hidroelectrolítico/fisiología , Animales , Animales Modificados Genéticamente , Arginina Vasopresina/fisiología , Péptido Similar a Galanina/metabolismo , Proteínas Fluorescentes Verdes/biosíntesis , Proteínas Fluorescentes Verdes/genética , Hibridación in Situ , Masculino , Microscopía Fluorescente , Concentración Osmolar , Oxitocina/biosíntesis , Oxitocina/sangre , Oxitocina/fisiología , ARN Mensajero/biosíntesis , ARN Mensajero/genética , Radioinmunoensayo , Ratas , Ratas Wistar , Núcleo Supraquiasmático/efectos de los fármacos , Núcleo Supraquiasmático/metabolismo , Equilibrio Hidroelectrolítico/efectos de los fármacos
11.
J Neuroendocrinol ; 17(9): 609-15, 2005 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16101900

RESUMEN

In the present study, we investigated the effects of the cannabinoid receptor agonist CP55,940 on excitatory and inhibitory synaptic transmission in the rat supraoptic nucleus. Whole-cell patch clamp recordings were performed on supraoptic neurones in in vitro brain slice preparations. CP55,940 significantly reduced the frequency of spontaneous excitatory and inhibitory postsynaptic currents in a concentration-dependent manner. These changes were potently reversed by the CB1 receptor antagonist AM251. The results indicate that cannabinoids modulate the activity of magnocellular neurosecretory neurones by presynaptic inhibition of both excitatory and inhibitory synaptic transmission.


Asunto(s)
Cannabinoides/farmacología , Núcleo Supraóptico/fisiología , Sinapsis/efectos de los fármacos , Anestésicos Locales/farmacología , Animales , Ciclohexanoles/farmacología , Potenciales Postsinápticos Excitadores/efectos de los fármacos , Técnicas In Vitro , Masculino , Potenciales de la Membrana/efectos de los fármacos , Neuronas Aferentes/efectos de los fármacos , Técnicas de Placa-Clamp , Piperidinas/farmacología , Pirazoles/farmacología , Ratas , Ratas Wistar , Receptor Cannabinoide CB1/antagonistas & inhibidores , Receptores Presinapticos/efectos de los fármacos , Núcleo Supraóptico/efectos de los fármacos , Tetrodotoxina/farmacología
12.
J Neuroendocrinol ; 17(4): 227-37, 2005 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15842234

RESUMEN

Monitoring the expression of immediate early genes (IEGs) is useful for following stress-induced cellular responses in the neuroendocrine system. We have examined the transcriptional activities of four IEGs (c-fos, junB, NGFI-A and NGFI-B) and of the arginine vasopressin (AVP) gene in the hypothalamic paraventicular (PVN) and supraoptic nuclei (SON) of rats after acute osmotic stimuli, using in situ hybridization histochemistry. After intraperitoneal (i.p.) administration of hypertonic saline (2% body weight, 900 mOsm/kg), the expression levels of all IEG mRNAs were increased significantly both in the PVN and SON at as early as 10 min, peaked at 30 min and remained elevated until 60 min. The expression of AVP heteronuclear (hn)RNA also peaked at 30 min, and remained elevated until 180 min. Thirty min after i.p. administration of hypertonic saline (600 mOsm/kg), the expression levels of all IEG mRNAs in the PVN and SON were significantly increased in comparison with those after i.p. administration of isotonic saline (290 mOsm/kg). Regression analysis revealed that expression levels of the IEG mRNAs and AVP hnRNA were positively correlated with the plasma concentration of sodium, and the rates of increase of the expression levels of all IEG mRNAs were similar. The expression levels of all IEG mRNAs examined are useful markers for following the changes of the AVP gene transcription in the PVN and SON after acute osmotic stimuli in rats.


Asunto(s)
Arginina Vasopresina/genética , Proteínas Inmediatas-Precoces/genética , Núcleo Hipotalámico Paraventricular/metabolismo , ARN Nuclear Heterogéneo/metabolismo , Núcleo Supraóptico/metabolismo , Equilibrio Hidroelectrolítico/genética , Animales , Arginina Vasopresina/metabolismo , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Relación Dosis-Respuesta a Droga , Proteína 1 de la Respuesta de Crecimiento Precoz , Regulación de la Expresión Génica , Proteínas Inmediatas-Precoces/metabolismo , Masculino , Miembro 1 del Grupo A de la Subfamilia 4 de Receptores Nucleares , Presión Osmótica , Proteínas Proto-Oncogénicas c-fos/genética , Proteínas Proto-Oncogénicas c-fos/metabolismo , Proteínas Proto-Oncogénicas c-jun/genética , Proteínas Proto-Oncogénicas c-jun/metabolismo , ARN Mensajero/análisis , Ratas , Ratas Wistar , Receptores Citoplasmáticos y Nucleares/genética , Receptores Citoplasmáticos y Nucleares/metabolismo , Receptores de Esteroides/genética , Receptores de Esteroides/metabolismo , Solución Salina Hipertónica/administración & dosificación , Sodio/sangre , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Transcripción Genética/fisiología
13.
J Cereb Blood Flow Metab ; 21(5): 529-40, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11333363

RESUMEN

In a rat forebrain ischemia model, the authors examined whether loss of cytochrome c from mitochondria correlates with ischemic hippocampal CA1 neuronal death and how cytochrome c release may shape neuronal death. Forebrain ischemia was induced by bilateral common carotid artery occlusion with simultaneous hypotension for 10 minutes. After reperfusion, an early rapid depletion of mitochondrial cytochrome c and a late phase of diffuse redistribution of cytochrome c occurred in the hippocampal CA1 region, but not in the dentate gyrus and CA3 regions. Intracerebroventricular administration of Z-DEVD-FMK, a relatively selective caspase-3 inhibitor, provided limited but significant protection against ischemic neuronal damage on day 7 after reperfusion. Treatment with 3 minutes of ischemia (ischemic preconditioning) 48 hours before the 10-minute ischemia attenuated both the early and late phases of cytochrome c redistribution. In another subset of animals treated with cycloheximide, a general protein synthesis inhibitor, the late phase of cytochrome c redistribution was inhibited, whereas most hippocampal CA1 neurons never regained mitochondrial cytochrome c. Examination of neuronal survival revealed that ischemic preconditioning prevents, whereas cycloheximide only delays, ischemic hippocampal CA1 neuronal death. DNA fragmentation detected by terminal deoxytransferase-mediated dUTP-nick end labeling (TUNEL) in situ was largely attenuated by ischemic preconditioning and moderately reduced by cycloheximide. These results indicate that the loss of cytochrome c from mitochondria correlates with hippocampal CA1 neuronal death after transient cerebral ischemia in relation to both caspase-dependent and -independent pathways. The amount of mitochondrial cytochrome c regained may determine whether ischemic hippocampal CA1 neurons survive or succumb to late-phase death.


Asunto(s)
Apoptosis , Caspasas/fisiología , Grupo Citocromo c/metabolismo , Hipocampo/patología , Neuronas/patología , Vasoespasmo Intracraneal/patología , Animales , Western Blotting , Caspasa 3 , Inhibidores de Caspasas , Cicloheximida/farmacología , Fragmentación del ADN , Inhibidores Enzimáticos/farmacología , Técnica del Anticuerpo Fluorescente , Hipocampo/ultraestructura , Etiquetado Corte-Fin in Situ , Precondicionamiento Isquémico , Masculino , Mitocondrias/metabolismo , Oligopéptidos/farmacología , Prosencéfalo/irrigación sanguínea , Inhibidores de la Síntesis de la Proteína/farmacología , Ratas , Ratas Wistar , Vasoespasmo Intracraneal/metabolismo
14.
Pain ; 84(2-3): 169-73, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10666521

RESUMEN

Preemptive analgesia (PA) is effective in animal models but its clinical effectiveness remains controversial. We examined the effect of preexisting pain on PA. Subjects were recruited from patients needing orthopedic surgery. Some had presurgical pain (fracture surgery and arthritic surgery), while others had no presurgical pain (removal surgery for a tumor, nail or plate). Epidural morphine or a saline control was given preemptively before surgery and maintained until skin closure. Following skin closure, naloxone or placebo was injected intravenously to erase the aftereffects of the morphine. After total recovery, the PCA pump was set to inject epidural morphine. Pain intensity after surgery was measured by a visual analogue scale (VAS), and the amount of morphine used within 48h after surgery. PA was significantly effective for removal surgery, but ineffective for fracture or arthritic surgery. For the fracture and arthritic surgery PA treatment groups, there was a significant correlation between pre- and postsurgical (6h) spontaneous pain, while the corresponding control groups showed no significant correlation. Postsurgical VAS values in the fracture and arthritic surgery control groups increased significantly compared with presurgical VAS values. PA was effective when presurgical pain was absent, but ineffective when presurgical pain was present. We propose that central sensitization is already established by presurgical pain, and preserved until the termination of surgery. The ineffectiveness of PA did not depend on whether the pain was acute (fracture surgery) or chronic (arthritic surgery).


Asunto(s)
Analgesia , Morfina/uso terapéutico , Ortopedia , Dolor/tratamiento farmacológico , Dolor/prevención & control , Cuidados Preoperatorios , Adulto , Anciano , Método Doble Ciego , Femenino , Humanos , Bombas de Infusión , Inyecciones Epidurales , Masculino , Persona de Mediana Edad , Morfina/administración & dosificación , Naloxona/uso terapéutico , Dolor/fisiopatología , Dimensión del Dolor , Cuidados Posoperatorios , Periodo Posoperatorio
15.
Neuroscience ; 115(2): 341-8, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12421601

RESUMEN

Sleep deprivation has been shown to affect the production of steroid hormones in peripheral steroidogenic organs, but little is known about the influence of sleep disturbance on the metabolism of steroid hormones in the brain. To elucidate a possible association of the sleep-wake cycle with brain neurosteroid metabolism, the influence of short-term sleep disturbance on the expression of mRNA encoding steroid 5alpha-reductase, the enzyme converting progesterone and other steroid hormones to their neuroactive 5alpha-reduced metabolites, was investigated. Rats were first subjected to non-selective disturbance of the sleep-wake cycle, and the expression of steroid 5alpha-reductase mRNA in rat hippocampus and brainstem was determined using a semi-quantitative one-step RT-PCR technique. Non-selective disturbance of the sleep-wake cycle resulted in the elevation of 5alpha-reductase mRNA levels in the brainstem, but not in the hippocampus, and the elevated mRNA expression returned to the basal levels after a short period of the sleep recovery. Further studies showed that selective REM sleep deprivation significantly elevated 5alpha-reductase mRNA levels in both hippocampus and brainstem, thus proposing the possibility that REM sleep reduction may largely contribute to the elevation of steroid 5alpha-reductase mRNA levels observed during short-term disturbance of the sleep-wake cycle. Since the enhancement of steroid 5alpha-reductase gene expression may result in the elevation of neuroactive 5alpha-reduced steroid production in the brainstem, the findings presented here provide further evidence for suggesting that neuroactive steroids may play a physiologically important role in the neuronal network for REM sleep initiation and maintenance.


Asunto(s)
3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/genética , Tronco Encefálico/enzimología , Hipocampo/enzimología , Privación de Sueño/fisiopatología , 3-Oxo-5-alfa-Esteroide 4-Deshidrogenasa/metabolismo , Animales , Regulación Enzimológica de la Expresión Génica/fisiología , Masculino , ARN Mensajero/análisis , Ratas , Ratas Wistar , Privación de Sueño/metabolismo , Sueño REM/fisiología , Esteroides/metabolismo
16.
Neuroscience ; 117(4): 785-9, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12654331

RESUMEN

We have previously reported that clock mutant mice on Jcl:ICR background show about 2-h delayed circadian profiles in body temperature, spontaneous activity and sleep-wake rhythm, and that they appear to be useful as a model of evening-type of individual. Hippocampal acetylcholine (ACh) release which is positively correlated with attention, learning and memory shows a circadian variation. In this study, changes in hippocampal ACh release in transitional phase from light (rest) to dark (active) period in clock mutant mice were monitored using an in vivo microdialysis method. Compared with wild mice, the increase in hippocampal ACh in the first 2 h of the active period in the mutant mice was suppressed in parallel with peak frequency in electroencephalogram theta rhythm. The molecular basis of the circadian system appears to have a strong effect on hippocampal cholinergic function, and is probably associating with individual temporal differences in voluntary behavior, cognition, learning and/or memory performance.


Asunto(s)
Acetilcolina/metabolismo , Ritmo Circadiano/genética , Adaptación a la Oscuridad/genética , Hipocampo/metabolismo , Terminales Presinápticos/metabolismo , Transactivadores/deficiencia , Regulación hacia Arriba/genética , Animales , Proteínas CLOCK , Ratones , Ratones Mutantes , Transactivadores/genética
17.
J Clin Pharmacol ; 33(3): 230-8, 1993 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-8385161

RESUMEN

The pharmacokinetics, safety, and pharmacologic effects of OPC-21268, a nonpeptide orally active vasopressin V1 receptor antagonist, have been investigated in 33 healthy subjects. First, 24 subjects were randomly divided into 3 groups of 8, 6 of whom were given 2 ascending single oral doses out of 6 (10, 50, 150, 300, 450, and 600 mg) of OPC-21268 after an overnight fast. The remaining two subjects in each group received placebo as control at each dosing. Additionally, after this procedure, the 6 subjects who received 50-mg single doses were given the same dose in a nonfasting condition. After the single-dose study was completed and the safety and tolerability were ascertained, the remaining 9 subjects, including 3 controls, were given 300 mg of the drug 3 times daily for 7 days (days 3-9) and were given single 100-mg oral doses before (day 1) and after (day 10) this repeated-dose study. OPC-21268 plasma concentrations declined in a monoexponential or biexponential pattern after reaching the maximum plasma concentrations (Cmax). The mean (+/- standard error of the mean) plasma half-life (t1/2) of the alpha phase ranged from 1.31 +/- 0.11 to 1.78 +/- 0.15 hours, and the mean t1/2 of the beta phase ranged from 4.31 +/- 0.28 to 6.28 +/- 0.59 hours. The area under the concentration (AUC0-infinity) and Cmax were proportional to the dose (P < .001).(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Antagonistas de los Receptores de Hormonas Antidiuréticas , Piperidinas/farmacocinética , Quinolonas/farmacocinética , Administración Oral , Adulto , Esquema de Medicación , Humanos , Japón , Masculino , Piperidinas/efectos adversos , Piperidinas/farmacología , Quinolonas/efectos adversos , Quinolonas/farmacología , Método Simple Ciego , Vasopresinas/sangre , Vasopresinas/orina
18.
J Neurosci Methods ; 107(1-2): 101-6, 2001 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-11389947

RESUMEN

Although many kinds of rat and gerbil cerebral ischemic preconditioning models are available, only a focal ischemic preconditioning model in mice has been reported. As most genetic alterations have been performed in mice, it is urgent to develop mouse ischemic preconditioning models for investigating the molecular mechanisms of ischemic preconditioning in transgenic mice. In the present study, we developed a forebrain ischemic preconditioning model in C57Black/Crj6 (C57BL/6) mice. Forebrain ischemia was induced in C57BL/6 mice (8-10 weeks old) by bilateral common carotid artery occlusion (BCCAO) for 18 min. The conditioning ischemic insult lasting for 6 min was carried out 48 h before the 18-min BCCAO. On the seventh day after BCCAO, neuronal damage was visualized by microtubule-associated protein-2 immunohistochemistry and quantified by cresyl violet staining. Terminal deoxytransferase-mediated dUTP-nick end labeling (TUNEL) was performed 72 h after reperfusion to detect DNA fragmentation. Ischemia for 18 min resulted in injury to the striatum, cortex and hippocampus. In comparison to the hippocampus, striatal neuronal injury was more severe and reproducible. Although the conditioning ischemia itself caused neither noticeable striatal neuronal damage nor DNA fragmentation, it significantly reduced striatal neuronal damage and DNA fragmentation caused by the subsequent 18-min ischemia. These results indicate that striatal neuronal injury after transient BCCAO can be strongly reduced by a sublethal ischemic episode in C57BL/6 mice. As many kinds of gene-altered C57BL/6 mice are available, this preconditioning model may be useful for investigating the molecular mechanisms of ischemic preconditioning in transgenic mice.


Asunto(s)
Isquemia Encefálica/metabolismo , Precondicionamiento Isquémico , Ratones Endogámicos C57BL/cirugía , Prosencéfalo/metabolismo , Animales , Isquemia Encefálica/patología , Isquemia Encefálica/fisiopatología , Arteria Carótida Común/cirugía , Supervivencia Celular/fisiología , Trastornos Cerebrovasculares/complicaciones , Trastornos Cerebrovasculares/etiología , Trastornos Cerebrovasculares/fisiopatología , Fragmentación del ADN/fisiología , Modelos Animales de Enfermedad , Hipocampo/metabolismo , Hipocampo/patología , Hipocampo/fisiopatología , Inmunohistoquímica , Etiquetado Corte-Fin in Situ , Masculino , Ratones , Ratones Endogámicos C57BL/metabolismo , Proteínas Asociadas a Microtúbulos/metabolismo , Neostriado/metabolismo , Neostriado/patología , Neostriado/fisiopatología , Degeneración Nerviosa/etiología , Degeneración Nerviosa/patología , Degeneración Nerviosa/fisiopatología , Neuronas/metabolismo , Neuronas/patología , Prosencéfalo/patología , Prosencéfalo/fisiopatología , Tasa de Supervivencia , Factores de Tiempo
19.
Neurosci Lett ; 315(3): 133-6, 2001 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-11716981

RESUMEN

Caspase-3 activation has been implicated in ischemic neuronal death. In the present study, we examined if cerebral ischemic tolerance induced by sublethal ischemia is associated with an attenuation of caspase-3 activation in a mouse forebrain ischemia model. Forebrain ischemia in C57Black/Crj6 strain mice was induced by bilateral common carotid artery occlusion (BCCAO) for 18 min. Two episodes of 6-min ischemia were carried out as preconditioning 48 and 72 h before the 18-min BCCAO. Caspase-3-like activity was determined by fluorescently monitoring the release of amino-4-methylcoumarin from N-acetyl-Asp-Glu-Val-Asp-7-amino-4-methylcoumarin in the striatal protein extracts at 4, 24, and 72 h after reperfusion. The results showed that the ischemic preconditioning significantly attenuated caspase-3 activation at 4, 24, and 72 h after reperfusion, and reduced neuronal loss caused by the 18-min ischemia as examined on the 7th day after reperfusion. The present results suggest that the neuroprotection achieved by ischemic preconditioning is related to an attenuation of caspase-3 activation.


Asunto(s)
Isquemia Encefálica/enzimología , Caspasas/metabolismo , Precondicionamiento Isquémico , Animales , Isquemia Encefálica/patología , Caspasa 3 , Inhibidores de Caspasas , Cuerpo Estriado/metabolismo , Cumarinas/metabolismo , Activación Enzimática , Ratones , Ratones Endogámicos C57BL , Neuronas/patología , Prosencéfalo/enzimología , Prosencéfalo/patología , Reperfusión , Factores de Tiempo
20.
Int J Biol Macromol ; 21(1-2): 115-21, 1997 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-9283025

RESUMEN

The goal of this paper is the characterization of the chemical structure of the water-soluble polysaccharide, CV-70, produced by bacteria Beijerinckia sp. Beijerinckia sp. is a genus of gram-negative, aerobic bacteria, usually found in sugar cane root. The CV-70 polysaccharide was produced in a fermentation medium containing 5% sucrose as the carbon source, tryptose and salts, at 25 degrees C [1]. The polysaccharide was hydrolyzed with 2 N trifluoroacetic acid at 100 degrees C for 16 h, purified, and analyzed by HPLC. Index of refraction was used for the detection of sugars. For GC-MS analysis, the CV-70 polysaccharide was derivatized through methylation and acetylation. Together with the GC-MS data, periodate oxidation studies were used to determine the possible glucosidic linkages. Carbon-13 NMR studies were carried out with hydrolyzed and silylated samples. Glucose, galactose and fucose were identified as the components in the CV-70 polysaccharide, in a 3:1:3 ratio.


Asunto(s)
Polisacáridos Bacterianos/química , Bacterias/química , Conformación de Carbohidratos , Cromatografía Líquida de Alta Presión/métodos , Espectroscopía de Resonancia Magnética/métodos , Espectrometría de Masas/métodos , Monosacáridos/análisis , Polisacáridos Bacterianos/metabolismo
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