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1.
Rev. bras. plantas med ; 18(2): 473-479, 2016. tab
Artigo em Inglês | LILACS | ID: lil-787938

RESUMO

ABSTRACT ndustrial chemicals that control pests in stored seed can cause damage to health by residual effects remaining in the grains. Studies of products with potential insecticide and repellent properties are required to decrease post-harvest losses. Thus, the aim of this study was to evaluate the quality and efficiency of seed treatment in beans stored under the following treatments: dried leaves and crushed laurel (Laurus nobilis L.), rosemary (Rosmarinus officinalis L.) and basil (Ocimum basilicum L.), cinnamon powder (Cinnamomum zeylanicum Breyn) and ground cloves (Syzygium aromaticum L.) over eight months. An untreated control and a treatment with diatomaceous earth were used to compare the results. At the beginning and at 30 days, percentages of normal and abnormal seedlings as well as seeds that did not germinate, mass of onehundred seeds, water content and infested seeds were analyzed. At 210 and 240 days, free choice arena and repellency testswere conducted. Treatments did not affect germination, mass of 100 seeds or water content; however, all plants tested showed a repellent effect on the bean weevil.


RESUMO Produtos químicos industriais que controlam pragas de sementes e grãos armazenados podem causar danos à saúde pelo efeito residual que proporcionam. Assim, são necessários estudos de produtos que apresentem repelência e potencial inseticida e reduzam perdas pós-colheita sem causar danos à saúde. Neste contexto, o objetivo deste trabalho foi avaliar a qualidade e eficiência do tratamento com plantas aromáticas: folhas desidratadas e moídas de louro (Laurus nobilis), alecrim (Rosmarinus officinalis) e manjericão (Ocimum basilicum L.), canela em pó (Cinnamomum zeylanicum Breyn) e cravo moído (Syzygium aromaticum L.), em sementes de feijão carioca armazenadas durante oito meses. Uma testemunha sem tratamento e outra com terra de diatomáceas foram utilizadas para comparação dos resultados. No início e a cada 30 dias foram realizadas as determinações de plântulas normais, anormais, sementes não germinadas, massa de cem sementes, teor de água e sementes infestadas. Os testes de arena de livre escolha e repelência foram realizados aos 210 e 240 dias. Os tratamentos não influenciaram a germinação, massa de cem sementes, teor de água. Entretanto, todas as plantas testadas apresentaram efeito repelente sobre o caruncho do feijão.


Assuntos
Sementes/classificação , Inseticidas/análise , Grão Comestível/classificação , Gorgulhos/classificação
2.
J Fr Ophtalmol ; 37(4): 329-36, 2014 Apr.
Artigo em Francês | MEDLINE | ID: mdl-24655791

RESUMO

Syphilis is a sexually transmitted disease caused by Treponema pallidum. Previously known as the "great imitator", this disease can have numerous and complex manifestations. The ophthalmologist should suspect the diagnosis in patients with uveitis or optic neuropathy and high-risk sexual behavior and/or another sexually transmitted disease (such as HIV) or those presenting with posterior placoid chorioretinitis or necrotising retinitis. Ocular involvement in acquired syphilis is rare, tending to occur during the secondary and tertiary stages of the disease. Syphilis may affect all the structures of the eye, but uveitis (accounting for 1-5% of the uveitis in a tertiary referral center) is the most common ocular finding. Granulomatous or non-granulomatous iridocyclitis (71%), panuveitis, posterior uveitis (8%) and keratouveitis (8%) are often described. In the secondary stage, the meninges and the central nervous system can be affected, sometimes with no symptoms, which justifies performing lumbar puncture in patients with uveitis and/or optic neuropathy. The diagnosis of ocular syphilis requires screening with a non-treponemal serology and confirmation with a treponemal-specific test. Parenterally administered penicillin G is considered first-line therapy for all stages of ocular syphilis. Systemic corticosteroids are an appropriate adjunct treatment for posterior uveitis, scleritis and optic neuritis if ocular inflammation is severe. Prolonged follow-up is necessary because of the possibility of relapse of the disease. With proper diagnosis and prompt antibiotic treatment, the majority of cases of ocular syphilis can be cured.


Assuntos
Infecções Oculares Bacterianas , Sífilis , Árvores de Decisões , Infecções Oculares Bacterianas/diagnóstico , Infecções Oculares Bacterianas/terapia , Humanos , Sífilis/diagnóstico , Sífilis/terapia , Uveíte/diagnóstico , Uveíte/microbiologia , Uveíte/terapia
3.
Transplant Proc ; 42(1): 9-14, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20172270

RESUMO

Chronic intestinal pseudo-obstruction (CIPO), one of the most severe gastrointestinal motility disorders, is a condition characterized by a clinical picture mimicking small bowel occlusion with related symptoms and signs in the absence of demonstrable mechanical obstruction. Analysis of full-thickness biopsy samples may unravel structural changes of the neuromuscular layer involving the whole gut, although the midgut is usually worst affected. Intestinal pseudo-obstruction can occur in association with systemic neurological, endocrine, and connective tissue diseases or malignancy but, when no recognizable etiology is found, CIPO is referred to as idiopathic (CIIPO). The latter form can be diagnosed early in life due to a genetic etiology or in adulthood when a viral origin may be considered. This review addresses the hypothesis that some systemic neurotrophic viral infections can affect the enteric nervous system thereby altering normal peristaltic activity. Available data are reviewed, focusing specifically on herpesviruses or polyomaviruses (JC virus). These suggest that in comparison to a proportion of CIIPO patients, healthy controls rarely harbor viral DNA in the myenteric plexus, leaving open the possibility that a viral infection might have an etiologic role in the development of CIIPO. The review thus provides some new perspectives in the pathophysiology and perhaps targeted treatment of CIIPO.


Assuntos
Pseudo-Obstrução Intestinal/virologia , Adolescente , Animais , Doença Crônica , Infecções por Vírus de DNA/complicações , Vírus de DNA , Herpesviridae , Infecções por Herpesviridae/complicações , Humanos , Vírus JC , Masculino , Infecções por Polyomavirus/complicações , Infecções Tumorais por Vírus/complicações
4.
Gut ; 58(1): 25-32, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18593810

RESUMO

BACKGROUND AND AIMS: Chronic idiopathic intestinal pseudo-obstruction (CIIP) is characterised by severe impairment of intestinal propulsive motility that mimics bowel obstruction. JC virus (JCV) is a polyomavirus that can infect brain glial cells causing a fatal disease, but may also be found throughout the normal gastrointestinal tract. The hypothesis that JCV infects the myenteric plexuses of patients with CIIP was tested. METHODS: 10 patients with CIIP and 61 normal specimens (30 ascending colon and 31 ileum) from patients with uncomplicated colon cancer were studied. DNA was extracted from the myenteric plexuses, and JCV T antigen (TAg) DNA and the viral regulatory region were detected by PCR and sequencing. Immunohistochemistry was performed to detect JCV viral protein expression, neuronal and glial markers. Fluorescence in situ hybridisation was performed for cellular localisation of the JCV infection. RESULTS: Clinical studies demonstrated neurogenic impairment, and pathological analyses showed neuropathy in each patient with CIIP. JCV TAg DNA was found in the myenteric plexuses of 8/10 (80%) of the patients with CIIP and 3/31 (9.7%) of the control patients (p<0.001). All samples were JCV Mad-1 strains. Seven of the 10 CIIP specimens expressed both JCV TAg and the JCV viral protein VP1, while none of the controls expressed either. JCV infection co-localised with glial fibrillary acidic protein expression, a marker of enteric glial cells. CONCLUSION: JCV infection occurs in the myenteric plexuses of patients with CIIP. The JCV localisation in enteroglial cells suggests a possible pathological role for this virus in enteric neuropathy.


Assuntos
Pseudo-Obstrução Intestinal/virologia , Vírus JC/isolamento & purificação , Neuroglia/virologia , Infecções por Polyomavirus/complicações , Infecções Tumorais por Vírus/complicações , Adulto , Doença Crônica , DNA Viral/análise , Feminino , Humanos , Pseudo-Obstrução Intestinal/patologia , Pseudo-Obstrução Intestinal/fisiopatologia , Intestino Delgado/fisiopatologia , Masculino , Manometria/métodos , Microdissecção , Pessoa de Meia-Idade , Plexo Mientérico/virologia , Adulto Jovem
5.
Naunyn Schmiedebergs Arch Pharmacol ; 378(4): 421-9, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18545984

RESUMO

Proton pump inhibitors exert their preventive and healing effects on gastropathy induced by nonsteroidal anti-inflammatory drug (NSAIDs) by a dual action: the antisecretory and the antioxidant effect. The latter was investigated by using esomeprazole against indomethacin-induced gastric mucosa lesions in rats and assessed by a histomorphometric analysis. Treatment by intragastric gavage were 1% methocel as vehicle; esomeprazole 10, 30, or 60 micromol/kg; indomethacin 100 micromol/kg; and esomeprazole 10, 30, or 60 micromol/kg plus indomethacin 100 micromol/kg. The evaluation of glutathione (GSH) levels and respiratory chain complex activities [nicotinamide adenine dinucleotide, reduced (NADH)-ubiquinone oxidoreductase, succinate dehydrogenase, cytochrome C reductase, cytochrome oxidase] was performed in the isolated gastric mucosa. Esomeprazole (10-60 micromol/kg) dose dependently reversed, up to complete recovery, the inhibitory effect of indomethacin on GSH levels (approximately 60% inhibition) and mitochondrial enzyme activities (inhibition ranging from 60% to 75%). Indomethacin-induced mucosal injuries were reduced by esomeprazole. Thus, in addition to inhibiting acid secretion, the gastroprotective effect of esomeprazole can be ascribed to a reduction in gastric oxidative injury.


Assuntos
Esomeprazol/farmacologia , Mucosa Gástrica/efeitos dos fármacos , Glutationa/metabolismo , Indometacina/toxicidade , Mitocôndrias/efeitos dos fármacos , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/toxicidade , Antiulcerosos/administração & dosagem , Antiulcerosos/farmacologia , Relação Dose-Resposta a Droga , Complexo I de Transporte de Elétrons/metabolismo , Complexo II de Transporte de Elétrons/metabolismo , Esomeprazol/administração & dosagem , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patologia , Dissulfeto de Glutationa/metabolismo , Indometacina/administração & dosagem , Intubação Gastrointestinal , Masculino , Proteínas de Membrana Transportadoras/metabolismo , Mitocôndrias/metabolismo , Necrose , Fosforilação Oxidativa/efeitos dos fármacos , Ratos , Ratos Wistar , Espectrofotometria/métodos , Gastropatias/induzido quimicamente , Gastropatias/metabolismo , Gastropatias/patologia
6.
Digestion ; 76(3-4): 171-8, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18046084

RESUMO

Proton pump inhibitors (PPIs) are antisecretory agents that are widely used in the short- and long-term management of gastroesophageal reflux disease (GERD) to relieve symptoms, heal esophagitis, and prevent complications, such as strictures and Barrett's esophagus. The total healthcare costs of GERD are high, especially for maintenance treatment. Therefore, the choice of cost-effective therapeutic options is an ineluctable challenge for public health authorities, third-party payers, and patients. In some European Union countries, a recent trend of public health authorities is to promote the choice of less expensive PPIs, regardless of their antisecretory potency--this in spite of the evidence that newer PPIs provide superior symptom relief and esophageal erosion healing compared to earlier drugs. Several large clinical trials have demonstrated the superiority of esomeprazole over other PPIs at standard doses for both initial and continuous maintenance therapy in patients with moderate/severe erosive esophagitis. The non-erosive GERD poses a major challenge as this condition appears more frequently to be less responsive to PPIs. The use of PPIs with the strongest antisecretory properties might reveal to be more adequate and cost-effective, particularly for this indication.


Assuntos
Refluxo Gastroesofágico/tratamento farmacológico , Inibidores da Bomba de Prótons/administração & dosagem , Esomeprazol/farmacologia , Esomeprazol/uso terapêutico , Refluxo Gastroesofágico/economia , Humanos , Inibidores da Bomba de Prótons/economia , Ensaios Clínicos Controlados Aleatórios como Assunto
7.
Br J Pharmacol ; 150(2): 220-6, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17179955

RESUMO

BACKGROUND AND PURPOSE: Nitric oxide (NO) and vasoactive intestinal peptide (VIP) are considered transmitters of non-adrenergic, non-cholinergic (NANC) relaxations in guinea-pig trachea, whereas the role of carbon monoxide (CO) is unknown. This study was designed to assess the participation of CO, and to investigate the localization of haem oxygenase-2 (HO-2), the CO-producing enzyme, in tracheal neurons. EXPERIMENTAL APPROACH: NANC responses to electrical field stimulation (EFS) at 3 and 10 Hz were evaluated in epithelium-free whole tracheal segments as intraluminal pressure changes. Drugs used were: L-nitroarginine methyl ester (L-NAME, 100 microM) to inhibit NO synthase (NOS), alpha-chymotrypsin (2 U ml(-1)) to inactivate VIP, zinc protoporphyrin-IX (ZnPP-IX, 10 microM) to inhibit HO-2, and 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ, 10 microM), a soluble guanylyl cyclase inhibitor. For immunohistochemistry, tissues were exposed to antibodies to PGP 9.5, a general neuronal marker, HO-2 and NOS, and processed with an indirect immunofluorescence method. KEY RESULTS: alpha-Chymotrypsin did not affect NANC relaxations. ODQ inhibited NANC responses by about 60%, a value similar to that obtained by combining L-NAME and ZnPP-IX. The combination of ODQ, L-NAME and ZnPP-IX reduced the responses by 90%. Subpopulations of HO-2 positive neurons containing NOS were detected in tracheal sections. CONCLUSIONS AND IMPLICATIONS: In the guinea-pig trachea, NANC inhibitory responses at 3 and 10 Hz use NO and CO as main transmitters. Their participation is revealed following inhibition of NOS, HO-2 and soluble guanylyl cyclase. The involvement of CO as a relaxing transmitter paves the way for novel therapeutic approaches in the treatment of airway obstruction.


Assuntos
Monóxido de Carbono/fisiologia , Músculo Liso/fisiologia , Traqueia/fisiologia , Animais , Estimulação Elétrica , Cobaias , Heme Oxigenase (Desciclizante)/fisiologia , Imuno-Histoquímica , Técnicas In Vitro , Isoenzimas/fisiologia , Masculino , Relaxamento Muscular , Óxido Nítrico/fisiologia , Peptídeo Intestinal Vasoativo/fisiologia
8.
Neurogastroenterol Motil ; 16(4): 429-38, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15305998

RESUMO

Galanin actions are mediated by distinct galanin receptors (GAL-R), GAL-R1, -R2 and -R3. We investigated the role of GAL-R1 in gastric motility and the expression of GAL-R1 in the rat stomach. In vivo, in urethane-anaesthetized rats, galanin (equipotent for all GAL-Rs) induced a short inhibition of gastric motility, followed by increase in tonic and phasic gastric motility; the latter was significantly reduced by the GAL-R1 antagonist, RWJ-57408. Galanin 1-16 (high affinity for GAL-R1 and -R2) induced a long-lasting decrease of intragastric pressure, which was not modified by RWJ-57408. In vitro, galanin and galanin 1-16 induced increase of intragastric pressure that was not affected by RWJ-57408. Tetrodotoxin (TTX) did not suppress the galanin excitatory effect, whereas the effect of galanin 1-16 on gastric contraction was increased by TTX- or N-nitro-L-arginine, an inhibitor of nitric oxide synthase. GAL-R1 immunoreactivity was localized to cholinergic and tachykinergic neurons and to neurons immunoreactive for nitric oxide synthase or vasoactive intestinal polypeptide. This study suggests that an extrinsic GAL-R1 pathway mediates the galanin excitatory action, whereas an extrinsic, non GAL-R1 pathway is likely to mediate the galanin inhibitory effect in vivo. GAL-R1 intrinsic neurons do not appear to play a major role in the control of gastric motility.


Assuntos
Motilidade Gastrointestinal/fisiologia , Receptor Tipo 1 de Galanina/fisiologia , Animais , Relação Dose-Resposta a Droga , Galanina/farmacologia , Motilidade Gastrointestinal/efeitos dos fármacos , Técnicas In Vitro , Masculino , Rede Nervosa/efeitos dos fármacos , Rede Nervosa/fisiologia , Fragmentos de Peptídeos/farmacologia , Ratos , Ratos Sprague-Dawley , Receptor Tipo 1 de Galanina/agonistas
9.
Neuroscience ; 125(1): 103-12, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15051149

RESUMO

Galanin effects are mediated by distinct receptors, galanin receptor 1 (GAL-R1), GAL-R2 and GAL-R3. Here, we analyzed 1) the role of GAL-R1 in cholinergic transmission and peristalsis in the guinea-pig ileum using longitudinal muscle-myenteric plexus preparations and intact segments of the ileum in organ bath, and 2) the distribution of GAL-R1 immunoreactivity in the myenteric plexus with immunohistochemistry and confocal microscopy. Galanin inhibited electrically stimulated contractions of longitudinal muscle-myenteric plexus preparations with a biphasic curve. Desensitization with 1 microM galanin suppressed the high potency phase of the curve, whereas the GAL-R1 antagonist, RWJ-57408 (1 microM), inhibited the low potency phase. Galanin (3 microM) reduced the longitudinal muscle contraction and the peak pressure, and decreased the compliance of the circular muscle. All these effects were antagonized by RWJ-57408 (1 or 10 microM). RWJ-57408 (10 microM) per se did not affect peristalsis parameters in normal conditions, nor when peristalsis efficiency was reduced by partial nicotinic transmission blockade with hexamethonium. In the myenteric plexus, GAL-R1 immunoreactivity was localized to neurons and to fibers projecting within the plexus and to the muscle. GAL-R1 was expressed mostly by cholinergic neurons and by some neurons containing vasoactive intestinal polypeptide or nitric oxide synthase. This study indicates that galanin inhibits cholinergic transmission to the longitudinal muscle via two separate receptors; GAL-R1 mediates the low potency phase. The reduced peristalsis efficiency could be explained by inhibition of the cholinergic drive, whereas the decreased compliance is probably due to inhibition of descending neurons and/or to the activation of an excitatory muscular receptor. Endogenous galanin does not appear to affect neuronal pathways subserving peristalsis in physiologic conditions via GAL-R1.


Assuntos
Galanina/farmacologia , Íleo/fisiologia , Plexo Mientérico/efeitos dos fármacos , Peristaltismo/fisiologia , Receptor Tipo 1 de Galanina/metabolismo , Acetilcolina/metabolismo , Animais , Relação Dose-Resposta a Droga , Estimulação Elétrica , Cobaias , Imuno-Histoquímica , Microscopia Confocal , Contração Muscular/efeitos dos fármacos , Contração Muscular/fisiologia , Músculo Liso/efeitos dos fármacos , Músculo Liso/fisiologia , Plexo Mientérico/fisiologia , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Técnicas de Cultura de Órgãos , Transmissão Sináptica/efeitos dos fármacos , Transmissão Sináptica/fisiologia
10.
Neuroscience ; 119(1): 33-42, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12763066

RESUMO

Immunohistochemistry and confocal microscopy were used to investigate endocytosis and recycling of the native mu opioid receptor (muOR) in enteric neurons. Isolated segments of the guinea-pig ileum were exposed to increasing concentrations of muOR agonists at 4 degrees C to allow ligand binding and warming to 37 degrees C for 0 min (baseline) to 6 h in ligand-free medium to allow receptor internalization and recycling. The endogenous ligand, [Met]enkephalin, and [D-Ala(2),MePhe(4),Gly-ol(5)] enkephalin (DAMGO), an opioid analog, and the alkaloids, etorphine and fentanyl, induced rapid internalization of muOR immunoreactivity in enteric neurons, whereas morphine did not. muOR internalization was prevented by muOR antagonists. Basal levels of muOR immunoreactivity in the cytoplasm were 10.52+/-2.05%. DAMGO (1 nM-100 microM) induced a concentration-dependent increase of muOR immunofluorescence density in the cytoplasm to a maximum of 84.37+/-2.26%. Translocation of muOR immunoreactivity in the cytoplasm was detected at 2 min, reached the maximum at 15-30 min, remained at similar levels for 2 h, began decreasing at 4 h, and was at baseline values at 6 h. A second exposure to DAMGO (100 nM) following recovery of internalized muOR immunoreactivity at the cell surface induced a translocation of muOR immunoreactivity in the cytoplasm comparable to the one observed following the first exposure (46.89+/-3.11% versus 43.31+/-3.80%). muOR internalization was prevented by hyperosmolar sucrose, phenylarsine oxide or potassium depletion, which inhibit clathrin-mediated endocytosis. muOR recycling was prevented by pre-treatment with bafilomycin A1, an acidotropic agent that inhibits endosomal acidification, but not by the protein synthesis inhibitor, cycloheximide. This study shows that native muOR in enteric neurons undergoes ligand-selective endocytosis, which is primarily clathrin-mediated, and recycles following endosomal acidification. Following recycling, muOR is activated and internalized by DAMGO indicating that recycled receptors are functional.


Assuntos
Analgésicos Opioides/farmacologia , Endocitose/efeitos dos fármacos , Ala(2)-MePhe(4)-Gly(5)-Encefalina/farmacologia , Íleo/efeitos dos fármacos , Neurônios/efeitos dos fármacos , Receptores Opioides mu/metabolismo , Somatostatina/análogos & derivados , Animais , Arsenicais/farmacologia , Relação Dose-Resposta a Droga , Interações Medicamentosas , Encefalinas/farmacologia , Inibidores Enzimáticos/farmacologia , Cobaias , Íleo/metabolismo , Imuno-Histoquímica , Ligantes , Microscopia Confocal/instrumentação , Microscopia Confocal/métodos , Naloxona/farmacologia , Antagonistas de Entorpecentes/farmacologia , Neurônios/metabolismo , Técnicas de Cultura de Órgãos , Potássio/farmacologia , Receptores Opioides mu/efeitos dos fármacos , Somatostatina/farmacologia , Sacarose/farmacologia , Fatores de Tempo
11.
Neuromuscul Disord ; 12(6): 554-7, 2002 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12117479

RESUMO

We report on two unrelated Brazilian families with members affected by two different forms of muscular dystrophy. In the first one, the 35-year-old male proband has limb-girdle muscular dystrophy with proximal weakness, elevated creatine kinase and a myopathic muscle biopsy. All the proteins known to be associated with limb-girdle muscular dystrophy were normal. Two of his sisters also complained of muscle weakness. The oldest sister showed clinical signs consistent with facioscapulohumeral muscular dystrophy, confirmed through molecular analysis. She presented a 30 kb EcoRI/BlnI fragment which was found in another six relatives, but surprisingly not in the affected proband or the other sister. In the second family, a 57-year-old male with a typical facioscapulohumeral muscular dystrophy phenotype has a 17 kb EcoRI/BlnI fragment, which was also present in other affected relatives. However in a 14-year-old severely affected male cousin, confined to a wheelchair since age 12, but without facial weakness, the small fragment was absent. These families illustrate the importance of testing all affected individuals in a family.


Assuntos
Distrofias Musculares/genética , Distrofia Muscular Facioescapuloumeral/genética , Adolescente , Adulto , Biópsia , Brasil , Aberrações Cromossômicas , Eletromiografia , Eletroforese em Gel de Campo Pulsado , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiopatologia , Distrofias Musculares/fisiopatologia , Distrofia Muscular Facioescapuloumeral/fisiopatologia , Linhagem , Fenótipo
14.
Dig Liver Dis ; 33(7): 600-6, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11816552

RESUMO

Awareness of important differences in the pharmacological profile of individual optical isomers of chiral drugs led to the development of esomeprazole, the S-isomer of omeprazole, a new pharmacological entity designed to improve the clinical outcome of available proton pump inhibitors in the management of acid-related disorders. The superior acid control achieved by esomeprazole is mainly due to an advantageous metabolism compared with racemate omeprazole, leading to improved bioavailability and to enhanced delivery of the drug to the gastric proton pump.


Assuntos
Antiulcerosos/farmacologia , Omeprazol/análogos & derivados , Omeprazol/farmacologia , Inibidores da Bomba de Prótons , Antiulcerosos/farmacocinética , Antiulcerosos/uso terapêutico , Interações Medicamentosas , Esomeprazol , Humanos , Omeprazol/farmacocinética , Omeprazol/uso terapêutico , Úlcera Péptica/tratamento farmacológico , Ensaios Clínicos Controlados Aleatórios como Assunto , Síndrome de Zollinger-Ellison/tratamento farmacológico
15.
Cytokine ; 12(12): 1778-83, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11097747

RESUMO

In this study we have analysed the TNFA biallelic polymorphism at the -308 position, in 169 kidney recipients that received the graft in a single Italian transplantation facility and we have then correlated the TNFA genotypes with the post-transplant outcome. To assess the cytokine genotypes, a polymerase chain reaction-sequence specific primer (PCR-SSP) methodology has been utilised. By the analysis of the different genotypes, the corresponding TNF-alpha phenotypes and the level of the TNF-alpha production, were deduced: the TNF(*)1/TNF(*)1 genotype gives a low TNF-alpha production level, TNF(*)1/TNF(*) 2 and TNF(*)2/TNF(*)2 genotypes give a high TNF-alpha production level. Out of the one hundred and sixty-nine patients studied, one hundred and twenty-one recipients (72%) had a low TNF-alpha producer phenotype, whereas forty-eight (28%) had a high TNF-alpha producer phenotype. These frequencies were not statistically different from those of the control group. The incidence of acute rejection episodes, vascular damage (grade III degrees of Banff classification), and serum creatinine levels at 1 month, were significantly greater in high TNF-alpha producers (P=0. 048, 0.031 and 0.007 respectively). The logistical regression model indicated that only the high producer genotype and donor age were significantly and independently correlated with acute graft failure (P=0.02 and P=0.013 respectively). This analysis shows that recipient TNFA polymorphism, previously associated with differential production TNF-alpha by in vitro studies could be related to the clinical outcome of kidney transplantation.


Assuntos
Transplante de Rim , Polimorfismo Genético , Fator de Necrose Tumoral alfa/biossíntese , Fator de Necrose Tumoral alfa/genética , Adulto , Azatioprina/farmacologia , Estudos de Casos e Controles , Feminino , Genótipo , Rejeição de Enxerto , Humanos , Imunossupressores/farmacologia , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Fenótipo , Reação em Cadeia da Polimerase , Fatores de Tempo , Resultado do Tratamento
16.
Br J Pharmacol ; 129(1): 12-20, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10694197

RESUMO

The morphological pattern and motor correlates of nitric oxide (NO) and vasoactive intestinal polypeptide (VIP) innervation in the human isolated gastric fundus was explored. By using the nicotinamide adenine dinucleotide phosphate hydrogen (NADPH)-diaphorase and specific rabbit polyclonal NO-synthase (NOS) and VIP antisera, NOS- and VIP-containing varicose nerve fibres were identified throughout the muscle layer or wrapping ganglion cell bodies of the myenteric plexus. NOS-immunoreactive (IR) neural cell bodies were more abundant than those positive for VIP-IR. The majority of myenteric neurones containing VIP coexpressed NADPH-diaphorase. Electrical stimulation of fundus strips caused frequency-dependent NANC relaxations. N(G)-nitro-L-arginine (L-NOARG: 300 microM) enhanced the basal tone, abolished relaxations to 0.3 - 3 Hz (5 s) and those to 1 Hz (5 min), markedly reduced ( approximately 50%) those elicited by 10 - 50 Hz, and unmasked or potentiated excitatory cholinergic responses at frequencies > or =1 Hz. L-NOARG-resistant relaxations were virtually abolished by VIP (100 nM) desensitization at all frequencies. Relaxations to graded low mechanical distension (< or =1 g) were insensitive to tetrodotoxin (TTX: 1 microM) and L-NOARG (300 microM), while those to higher distensions (2 g) were slightly inhibited by both agents to the same extent ( approximately 25%). In the human gastric fundus, NOS- and VIP immunoreactivities are colocalized in the majority of myenteric neurones. NO and VIP mediate electrically evoked relaxations: low frequency stimulation, irrespective of the duration, caused NO release only, whereas shortlasting stimulation at high frequencies induced NO and VIP release. Relaxations to graded mechanical distension were mostly due to passive viscoelastic properties, with a slight NO-mediated neurogenic component at 2 g distension. The difference between NO and VIP release suggests that in human fundus accommodation is initiated by NO. British Journal of Pharmacology (2000) 129, 12 - 20


Assuntos
Fundo Gástrico/inervação , Neurônios/fisiologia , Óxido Nítrico/fisiologia , Peptídeo Intestinal Vasoativo/fisiologia , Idoso , Idoso de 80 Anos ou mais , Estimulação Elétrica , Feminino , Humanos , Imuno-Histoquímica , Técnicas In Vitro , Masculino , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Relaxamento Muscular/fisiologia , NADPH Desidrogenase/metabolismo , Óxido Nítrico Sintase/metabolismo , Estimulação Física
17.
Am J Gastroenterol ; 94(9): 2357-62, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10483991

RESUMO

OBJECTIVE: We performed a qualitative and quantitative analysis of the nitrinergic neurons in the esophageal and gastric component of the lower esophageal sphincter (LES) and gastric fundus of patients with primary achalasia. METHODS: Four muscle strips were obtained from the esophagogastric junction (two from the esophageal and two from the gastric side of the LES), and two from the gastric fundus of six patients with endstage achalasia who underwent an esophagogastric myotomy plus hemifundoplication. Control specimens were obtained from eight patients who underwent surgery for cancer of the thoracic esophagus. Fixed sections were processed for NADPH-diaphorase histochemistry and the number (mean +/- SE) of nitrinergic neurons per section was visually quantified in each specimen. RESULTS: In the controls, nitric oxide fibers were distributed to the muscle layer and surrounding myenteric neurons of both the LES and the gastric fundus. By contrast, achalasic patients showed a marked decrease of nitric oxide nerves and labeled neurons in both esophageal and gastric components of the LES and the gastric fundus. Quantitative assessment in achalasic patients showed that the mean number of nitrinergic neurons was dramatically reduced in both the esophageal (0.2 +/- 0.1) and the gastric component (2 +/- 0.6) of the LES as compared to those in controls (15 +/- 5 and 12 +/- 4, respectively; p < 0.05); nitrinergic neurons in the gastric fundus (3 +/- 1) were significantly reduced in comparison to those of controls (10 +/- 2) (p < 0.05). CONCLUSIONS: Our results indicate that achalasia is a motor disorder with an intrinsic inhibitory denervation of the esophageal and gastric component of the LES and of the proximal stomach, thus providing further evidence for an extraesophageal extension of the disease.


Assuntos
Acalasia Esofágica/metabolismo , Junção Esofagogástrica/inervação , Junção Esofagogástrica/metabolismo , Fundo Gástrico/inervação , Fundo Gástrico/metabolismo , Óxido Nítrico/biossíntese , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
Ital J Gastroenterol Hepatol ; 30(5): 542-8, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9836115

RESUMO

Constipation is a frequent complaint among patients with different neurological diseases. This review provides a brief account of the numerous conditions affecting the central, peripheral and intrinsic (enteric) nervous systems in which constipation can be the only clinical manifestation or a component of a complex syndrome. Recent neuropathophysiological acquisitions show that any structural or functional impairment of the intrinsic innervation of the gut, including both developmental (i.e., Hirschsprung's disease and intestinal neuronal dysplasia) and acquired (i.e., either degenerative or inflammatory neuropathies) disorders, can be associated with constipation. Constipation may also arise from derangements of the peripheral nervous system, including diabetes and primary chronic autonomic failure (pandysautonomias). Finally, in the central nervous system, a wide array of disorders (post-traumatic, degenerative, ischaemic or neoplastic) are recognized to determine bowel dysfunction, ultimately leading to constipation. Further understanding of the fine pathophysiological mechanisms through which the intrinsic and extrinsic nerve supplies to the digestive system are involved in idiopathic constipation or in diseases generating this symptom will hopefully lead to a better treatment of this frequent pathological condition.


Assuntos
Doenças do Sistema Nervoso Central/complicações , Constipação Intestinal/etiologia , Sistema Digestório/inervação , Doenças do Sistema Nervoso Periférico/complicações , Constipação Intestinal/fisiopatologia , Feminino , Humanos , Masculino
19.
Naunyn Schmiedebergs Arch Pharmacol ; 358(6): 686-9, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9879730

RESUMO

The novel opioid tetrapeptides, endomorphin-1 and endomorphin-2, recently isolated from bovine and human brain bind with high affinity and selectivity to central mu-opioid receptors. In the digestive tract, a comprehensive pharmacological analysis of the receptors involved in endomorphin action has not been reported. In this study, we analyzed the effects of endomorphin-1 and endomorphin-2 on longitudinal muscle-myenteric plexus preparations (LMMPs) from the guinea-pig ileum. Both peptides (30 pM - 1 microM) inhibited (-log EC50 values: 8.61 and 8.59, respectively) the amplitude of electrically-induced twitch contractions in a concentration-dependent fashion, up to its abolition. Conversely, in unstimulated LMMPs, they failed to affect contractions to applied acetylcholine (100 nM). In stimulated LMMPs, the highly selective mu-opioid receptor antagonist, D-Phe-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP), caused a concentration-dependent (30 nM-1 microM), parallel rightward shift of endomorphin-1 and endomorphin-2 inhibitory curves, without depression of their maximum. Following Schild analysis, calculated pA2 values were 7.81 and 7.85, respectively, with slopes not different from unity. Concentration-response curves to both peptides were not affected by 30 nM naltrindole (a selective delta-receptor antagonist) or 30 nM nor-binaltorphimine (a selective kappa-receptor antagonist). These results demonstrate that endomorphins selectively activate mu-opioid receptors located on excitatory myenteric plexus neurons, and that they act as full agonists.


Assuntos
Analgésicos Opioides/farmacologia , Plexo Mientérico/efeitos dos fármacos , Oligopeptídeos/farmacologia , Receptores Opioides mu/efeitos dos fármacos , Acetilcolina/farmacologia , Animais , Relação Dose-Resposta a Droga , Estimulação Elétrica , Feminino , Cobaias , Íleo/efeitos dos fármacos , Intestino Delgado/efeitos dos fármacos , Masculino , Naltrexona/análogos & derivados , Naltrexona/farmacologia , Análise de Regressão , Somatostatina/análogos & derivados , Somatostatina/farmacologia
20.
Naunyn Schmiedebergs Arch Pharmacol ; 356(6): 750-5, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9453460

RESUMO

We investigated whether in human isolated detrusor strips the atropine-resistant contractile response to electrical field stimulation was mediated by ATP (or a related purine), as previously shown in the urinary bladder of other mammalian species. Electrical stimulation (1-50 Hz for 5 s at 1 min intervals, 0.1 ms pulse width, 60 V) elicited reproducible, frequency-dependent twitch contractions, which were markedly reduced by atropine (10 microM). Tetrodotoxin (TTX: 1 microM) inhibited contractile responses to a similar degree. When applied together, atropine and TTX caused an inhibition which was superimposable to that caused by either drug alone. The TTX-resistant contractions were totally unaffected by omega-conotoxin GVIA (omega-CTX: 0.1 microM). The atropine-resistant contractions were unaffected by the P2-purinoceptor antagonists suramin (300 microM) and PPADS (30 microM), at concentrations which virtually suppressed the contractile response induced by applied ATP (10 microM(-1) mM). As previously described, antagonism of the ATP-induced contractions by suramin (30, 100, 300 microM) and PPADS (3, 10, 30 microM) was insurmountable, with apparent 'pA2' values (calculated at the lowest antagonist concentrations) of 4.9 and 5.2, respectively. It is concluded that, under our experimental conditions, the non-cholinergic (atropine-resistant) component of the excitatory transmission in the human detrusor is not mediated by neural release of ATP, in spite of the presence of excitatory P2-purinoceptors on the effector cells. The TTX- and omega-CTX-resistant, non-cholinergic component might be related to the release of unknown transmitter(s) through a mechanism independent of both Na+- and N-type Ca2+-channels. More likely, the atropine-resistant component may reflect direct smooth muscle excitation since the human detrusor has a very short chronaxie (Sibley 1984).


Assuntos
Músculo Liso/fisiologia , Receptores Purinérgicos P2/fisiologia , Bexiga Urinária/fisiologia , Trifosfato de Adenosina/farmacologia , Idoso , Idoso de 80 Anos ou mais , Atropina , Estimulação Elétrica , Feminino , Humanos , Técnicas In Vitro , Masculino , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Músculo Liso/efeitos dos fármacos , Antagonistas do Receptor Purinérgico P2 , Fosfato de Piridoxal/análogos & derivados , Fosfato de Piridoxal/farmacologia , Suramina/farmacologia , Bexiga Urinária/efeitos dos fármacos
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