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1.
Toxicol Ind Health ; 37(11): 695-704, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34643460

RESUMO

Acrylonitrile (AN) is a known animal carcinogen and suspected human carcinogen. Recently, occupational exposure to AN has considerably increased. Previously, we demonstrated that streptozotocin-induced diabetes potentiates AN-induced acute toxicity in rats and that the induced cytochrome P450 2E1 (CYP2E1) is responsible for this effect. In the present study, we examined whether induction of CYP2E1 is also the underlying mechanism for the potentiation of AN-induced acute toxicity in type 2 diabetes in db/db mice. The effect of phenethyl isothiocyanate (PEITC) in reducing potentiation was also investigated. The mice were randomly divided into the normal control, diabetic control, AN, diabetes + AN, PEITC + AN, and diabetes + PEITC + AN groups. PEITC (40 mg/kg) was orally administered to rats for 3 days, and 1 h after the last PEITC gavage, 45 mg/kg AN was intraperitoneally injected. Time to death was observed. The CYP2E1 level and enzymatic activity, cytochrome c oxidase (CCO) activity, and reactive oxygen species (ROS) levels were measured. The survival rate was decreased in AN-treated db/db mice compared with that in AN-treated wild-type mice. The hepatic CYP2E1 level and enzymatic activity remained unaltered in db/db mice. Phenethyl isothiocyanate alleviated AN-induced acute toxicity in db/db mice as evident in the increased survival rate, restored CCO activity, and decreased ROS level in both the liver and brain. The study results suggested that CYP2E1 may not be responsible for the sensitivity to AN-induced acute toxicity in db/db mice and that PEITC reduced the potentiation of AN-induced acute toxicity in db/db mice.


Assuntos
Acrilonitrila/farmacologia , Diabetes Mellitus Tipo 2/metabolismo , Animais , Citocromo P-450 CYP2E1/análise , Isotiocianatos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Espécies Reativas de Oxigênio , Taxa de Sobrevida
2.
Mod Pathol ; 34(12): 2222-2228, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34385605

RESUMO

Angiomyofibroblastoma and superficial myofibroblastoma are distinctive benign mesenchymal tumors occurring in the female lower genital tract. Despite their significant overlapping clinicopathologic features, including the presence of bland-looking spindle or oval cells with myofibroblastic or myoid differentiation, the tumors have been regarded as separate entities. Although subepithelial, hormone-sensitive mesenchymal cells of the female lower genital tract are considered as their potential common progenitor cells, their potential kinship or pathogenetic similarities remain elusive. Based on the identification of a novel RNA sequencing-based MTG1-CYP2E1 fusion transcript in an angiomyofibroblastoma index case, we investigated an additional ten samples of the tumor and its site-specific histological mimics, including eight superficial myofibroblastomas, four deep angiomyxomas, four cellular angiofibromas, three fibroepithelial stromal polyps, and eight non-site-specific mesenchymal tumors occurring in the female lower genital tract. Using reverse transcription-polymerase chain reaction, we showed that the MTG1-CYP2E1 fusion transcripts were consistently detectable in angiomyofibroblastomas (5/5, 100%) and often in superficial myofibroblastomas (3/5, 60%) but were not detected in the other examined site-specific or non-site-specific mesenchymal tumors. Our immunohistochemical experiments showed that CYP2E1, an isoenzyme belonging to the cytochrome P450 superfamily, exhibited increased positivity in tumors with MTG1-CYP2E1 than was observed in fusion-negative tumors (RR = 6.56, p = 0.001). The results of our study provide further evidence supporting the assertion that angiomyofibroblastoma and superficial myofibroblastoma represent phenotypic variants of site-specific mesenchymal tumors and share a common oncogenic mechanism.


Assuntos
Angiofibroma/genética , Biomarcadores Tumorais/genética , Citocromo P-450 CYP2E1/genética , GTP Fosfo-Hidrolases/genética , Fusão Gênica , Neoplasias dos Genitais Femininos/genética , Neoplasias de Tecido Muscular/genética , Adulto , Angiofibroma/enzimologia , Angiofibroma/patologia , Biomarcadores Tumorais/análise , Citocromo P-450 CYP2E1/análise , Feminino , Predisposição Genética para Doença , Neoplasias dos Genitais Femininos/enzimologia , Neoplasias dos Genitais Femininos/patologia , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Neoplasias de Tecido Muscular/enzimologia , Neoplasias de Tecido Muscular/patologia , Fenótipo , RNA-Seq , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Adulto Jovem
3.
Chem Res Toxicol ; 33(7): 1623-1632, 2020 07 20.
Artigo em Inglês | MEDLINE | ID: mdl-32529832

RESUMO

Acrylonitrile (ACN), which is a widely used industrial chemical, induces cancers in the mouse via unresolved mechanisms. For this report, complementary and previously described methods were used to assess in vivo genotoxicity and/or mutagenicity of ACN in several mouse models, including (i) female mice devoid of cytochrome P450 2E1 (CYP2E1), which yields the epoxide intermediate cyanoethylene oxide (CEO), (ii) male lacZ transgenic mice, and (iii) female (wild-type) B6C3F1 mice. Exposures of wild-type mice and CYP2E1-null mice to ACN at 0, 2.5 (wild-type mice only), 10, 20, or 60 (CYP2E1-null mice only) mg/kg body weight by gavage for 6 weeks (5 days/week) produced no elevations in the frequencies of micronucleated erythrocytes, but induced significant dose-dependent increases in DNA damage, detected by the alkaline (pH >13) Comet assay, in one target tissue (forestomach) and one nontarget tissue (liver) of wild-type mice only. ACN exposures by gavage also caused significant dose-related elevations in the frequencies of mutations in the hypoxanthine-guanine phosphoribosyltransferase (Hprt) reporter gene of T-lymphocytes from spleens of wild-type mice; however, Hprt mutant frequencies were significantly increased in CYP2E1-null mice only at a high dose of ACN (60 mg/kg) that is lethal to wild-type mice. Similarly, drinking water exposures of lacZ transgenic mice to 0, 100, 500, or 750 ppm ACN for 4 weeks caused significant dose-dependent elevations in Hprt mutant frequencies in splenic T-cells; however, these ACN exposures did not increase the frequency of lacZ transgene mutations above spontaneous background levels in several tissues from the same animals. Together, the Comet assay and Hprt mutant frequency data from these studies indicate that oxidative metabolism of ACN by CYP2E1 to CEO is central to the induction of the majority of DNA damage and mutations in ACN-exposed mice, but ACN itself also may contribute to the carcinogenic modes of action via mechanisms involving direct and/or indirect DNA reactivity.


Assuntos
Acrilonitrila/toxicidade , Carcinógenos/toxicidade , Citocromo P-450 CYP2E1/metabolismo , Hipoxantina Fosforribosiltransferase/metabolismo , Acrilonitrila/administração & dosagem , Acrilonitrila/metabolismo , Administração Oral , Animais , Biomarcadores/análise , Carcinógenos/administração & dosagem , Carcinógenos/metabolismo , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/genética , Dano ao DNA , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Feminino , Hipoxantina Fosforribosiltransferase/análise , Hipoxantina Fosforribosiltransferase/genética , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Testes de Mutagenicidade , Mutação , Baço/efeitos dos fármacos , Baço/metabolismo , Linfócitos T/efeitos dos fármacos , Linfócitos T/metabolismo
4.
Cad Saude Publica ; 35(7): e00198618, 2019 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-31411285

RESUMO

Benzene is one of the most important substances for assessment, due to its significant use, the environmental contamination resulting from its emission and the effects on human health. It is classified by the International Agency for Research on Cancer (IARC) as a known carcinogen to humans (group 1) and associated with the development of leukemia. In general, the population is exposed to this substance by inhaling contaminated air, which varies according to the location and intensity of its potential sources. The petrochemical industry is one of the most important sources of this compound. The municipality of Duque de Caxias, specifically the Campos Elíseos district, in Rio de Janeiro State, Brazil, houses the Industrial Complex of Campos Elíseos (PICE), a grouping of over 25 industries, which includes the second largest oil refinery in Brazil. Environmental contamination from the PICE has been recognized, but there is a lack of studies concerning its impact on the health of the surrounding population. S-phenylmercapturic acid (S-PMA) concentrations ranging from 0.80 to 8.01µg.g-1 creatinine were observed in the local population, apparently related to hematological changes also observed in exposed population. The quantifiable presence of urinary S-PMA from the benzene metabolism is associated with the fact that 60% of the participants present specific hematological changes, which may be due to the environmental benzene exposure. The allele and genotype frequencies of the CYP2E1 and NQO1 enzymes observed in the study population were similar to those reported in other studies. The presence of the variant allele in the NQO1 genotype may be a risk factor for the observed hematological changes.


Assuntos
Acetilcisteína/análogos & derivados , Benzeno , Exposição Ambiental , Polimorfismo Genético/genética , Acetilcisteína/urina , Benzeno/efeitos adversos , Biomarcadores/urina , Brasil , Causalidade , Indústria Química , Creatinina/urina , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/genética , Exposição Ambiental/efeitos adversos , Feminino , Frequência do Gene/genética , Inquéritos Epidemiológicos/estatística & dados numéricos , Doenças Hematológicas/induzido quimicamente , Humanos , Masculino , NAD(P)H Desidrogenase (Quinona)/análise , NAD(P)H Desidrogenase (Quinona)/genética , Razão de Chances , Características de Residência/estatística & dados numéricos
5.
Cad. Saúde Pública (Online) ; 35(7): e00198618, 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1011709

RESUMO

Benzene is one of the most important substances for assessment, due to its significant use, the environmental contamination resulting from its emission and the effects on human health. It is classified by the International Agency for Research on Cancer (IARC) as a known carcinogen to humans (group 1) and associated with the development of leukemia. In general, the population is exposed to this substance by inhaling contaminated air, which varies according to the location and intensity of its potential sources. The petrochemical industry is one of the most important sources of this compound. The municipality of Duque de Caxias, specifically the Campos Elíseos district, in Rio de Janeiro State, Brazil, houses the Industrial Complex of Campos Elíseos (PICE), a grouping of over 25 industries, which includes the second largest oil refinery in Brazil. Environmental contamination from the PICE has been recognized, but there is a lack of studies concerning its impact on the health of the surrounding population. S-phenylmercapturic acid (S-PMA) concentrations ranging from 0.80 to 8.01μg.g-1 creatinine were observed in the local population, apparently related to hematological changes also observed in exposed population. The quantifiable presence of urinary S-PMA from the benzene metabolism is associated with the fact that 60% of the participants present specific hematological changes, which may be due to the environmental benzene exposure. The allele and genotype frequencies of the CYP2E1 and NQO1 enzymes observed in the study population were similar to those reported in other studies. The presence of the variant allele in the NQO1 genotype may be a risk factor for the observed hematological changes.


O benzeno é uma das substâncias mais importantes para a biomonitorização, em função do uso disseminado, da contaminação ambiental que resulta da emissão e dos efeitos sobre a saúde humana. O benzeno é classificado pela Agência Internacional de Pesquisa em Câncer (IARC) como carcinógeno conhecido em seres humanos (grupo 1) e está associado ao desenvolvimento de leucemias. Em geral, a população fica exposta a essa substância através da inalação do ar contaminado, que varia de acordo com a localização e a intensidade das fontes potenciais. A indústria petroquímica é uma das fontes mais importantes desse composto. O Município de Duque de Caxias, especificamente o Distrito de Campos Elíseos, no Estado do Rio de Janeiro, Brasil, é sede do Polo Industrial de Campos Elíseos (PICE), um conjunto de mais de 25 indústrias que inclui a segunda maior refinaria de petróleo no Brasil. A contaminação ambiental produzida pelo PICE já é conhecida, mas faltam estudos sobre o impacto na saúde da população local. Foram observadas concentrações de ácido S-fenilmercaptúrico (S-PMA) entre 0,80 e 8,01μg.g-1 creatinina na população local, aparentemente implicadas nas alterações hematológicas também observadas na população exposta. A presença quantificável do S-PMA urinário do metabolismo do benzeno está associada ao fato de 60% dos participantes apresentarem alterações hematológicas específicas, o que pode ser devido à exposição ambiental ao benzeno. As frequências alélicas e genotípicas das enzimas CYP2E1 e NQO1, observadas na população do estudo, foram semelhantes àquelas relatadas em outros estudos. A presença da variante alélica do genótipo NQO1 pode ser um fator de risco para as alterações hematológicas observadas.


El benceno es una de las sustancias más importantes susceptibles de estudio, debido a su uso significativo, la contaminación ambiental resultante de sus emisiones y sus efectos sobre la salud humana. Está clasificado por el Centro Internacional de Investigaciones sobre el Cáncer (IARC) como un conocido carcinógeno para los humanos (grupo 1) y está asociado con el desarrollo de leucemias. En general, la población está expuesta a esta sustancia por inhalación de aire contaminado, que varía según el lugar y la intensidad de las emisiones. La industria petroquímica es un de las fuentes emisoras más importantes de este compuesto. La municipalidad de Duque de Caxias, específicamente el distrito de Campos Elíseos, en Río de Janeiro, Brasil, alberga el Complejo Industrial de Campos Elíseos (PICE), un conglomerado de más de 25 industrias, que incluye la segunda mayor refinería de petróleo en Brasil. La contaminación ambiental procedente del PICE ya ha sido reconocida, pero es notable la falta de estudios respecto a su impacto en la salud de la población circundante. Se observaron en la población local concentraciones de ácido s-fenilmercaptúrico (SPMA por sus siglas en inglés) que oscilan entre los 0,80 a 8,01μg.g-1 creatinina, aparentemente relacionadas con cambios hematológicos también hallados en la población expuesta. La presencia cuantificable de SPMA en la orina, procedente del metabolismo del benceno, está asociada con el hecho de que un 60% de los participantes presenta cambios específicos hematológicos, los cuales tal vez se deben a la exposición ambiental al benceno. Las frecuencias alélicas y genotípicas del CYP2E1 y enzimas NQO1 observadas en el estudio fueron similares a las reportadas en otros estudios. La presencia de la variante alélica en el genotipo NQO1 podría ser un factor de riesgo para los cambios hematológicos observados.


Assuntos
Humanos , Masculino , Feminino , Polimorfismo Genético/genética , Acetilcisteína/análogos & derivados , Benzeno/efeitos adversos , Exposição Ambiental/efeitos adversos , Acetilcisteína/urina , Brasil , Biomarcadores/urina , Razão de Chances , Indústria Química , Características de Residência/estatística & dados numéricos , Causalidade , Inquéritos Epidemiológicos/estatística & dados numéricos , NAD(P)H Desidrogenase (Quinona)/análise , NAD(P)H Desidrogenase (Quinona)/genética , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/genética , Creatinina/urina , Frequência do Gene/genética , Doenças Hematológicas/induzido quimicamente
6.
Toxicol Sci ; 149(1): 111-20, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26443840

RESUMO

UNLABELLED: Patients with cirrhosis have an increased risk of developing liver cancer and a higher rate of mortality. Cirrhosis currently has no known cure, and patients may benefit from new agents aimed at alleviating their complications and slowing down the rate of disease progression. Therefore, the effects of the orally bioavailable synthetic triterpenoid 2-cyano-3,12-dioxooleana- 1,9(11)-dien-28-oate-ethyl amide (CDDO-EA, RTA 405), which has potent antioxidative and antiinflammatory properties, was evaluated in a chronic carbon tetrachloride (CCl(4))-induced model of liver cirrhosis and hepatocellular carcinoma (HCC). Mice were injected with CCl(4) (to induce fibrosis and cirrhosis) or placebo biweekly for 12 weeks followed by CDDO-EA in the diet for 18 weeks with continued biweekly injections of CCl(4). Chronic CCl(4) administration resulted in cirrhosis, ascites, and HCC formation, associated with increased serum transforming growth factor-ß1, hepatic hydroxyproline content, and increased serum bilirubin. CDDO-EA, whose administration commenced after establishment of liver fibrosis, decreased liver fibrosis progression, serum bilirubin, ascites, and HCC formation and markedly increased overall survival. CDDO-EA also attenuated -TNFα (tumor necrosis factor-α), α-SMA (alpha smooth muscle actin), augmented -IL-10 levels, and improved histologic and serologic markers of fibrosis. CONCLUSIONS: CDDO-EA mitigates the progression of liver fibrosis induced by chronic CCl(4) administration, which is associated with the induction of antifibrogenic genes and suppression of profibrogenic genes.


Assuntos
Cirrose Hepática Experimental/tratamento farmacológico , Neoplasias Hepáticas Experimentais/tratamento farmacológico , Ácido Oleanólico/análogos & derivados , Animais , Tetracloreto de Carbono , Linhagem Celular Tumoral , Citocromo P-450 CYP2E1/análise , Citocinas/análise , Progressão da Doença , Humanos , Cirrose Hepática Experimental/complicações , Cirrose Hepática Experimental/mortalidade , Neoplasias Hepáticas Experimentais/patologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Fator 2 Relacionado a NF-E2/fisiologia , Ácido Oleanólico/uso terapêutico
7.
Arch Toxicol ; 89(2): 211-20, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24770590

RESUMO

Overdose of acetaminophen (APAP) causes necrosis of centrilobular cells of the liver. Accumulating evidence suggests that innate immune system may contribute to APAP-induced hepatotoxicity. Interaction between RANTES and its receptor C-C chemokine receptor (CCR) 5 is related to recruitment of macrophages to sites of inflammation. In this study, we examined effects of CCR5 deficiency on APAP-mediated liver injury by employing CCR5 knockout (KO) mice. CCR5 wild-type (WT) and KO mice received intraperitoneal injection of APAP (300 mg/kg) and were killed 24 h after the injection. Hepatic injury was determined by using histological and biochemical analyses. Intraperitoneal APAP caused the hepatocytic necrosis, as evidenced by hematoxylin and eosin staining and an increase in alanine transaminase and aspartate transaminase levels in serum. Hepatic damage appeared to be larger in CCR5 WT animals compared with KO animals. There were no differences in cytochrome P450 2E1 between CCR5 WT and KO animals suggesting that the resistance of CCR5 KO mice did not come from alterations in APAP metabolism. Infiltration of macrophages into the liver was reduced in CCR5 KO mice, and this was accompanied decreased inflammatory responses. Inhibition of macrophage activity by pretreatment of gadolinium chloride significantly blocked APAP-caused hepatotoxicity. These results indicate that recruitment of macrophage into the inflammatory sites significantly contributes to APAP-mediated hepatocytic death and CCR5 gene deletion protects from APAP-induced liver injury by alleviating macrophage recruitment and inflammatory responses. This study represents a critical role of CCR5 in macrophage infiltration into the liver and subsequent hepatotoxicity upon challenge of APAP.


Assuntos
Acetaminofen/toxicidade , Analgésicos não Narcóticos/toxicidade , Movimento Celular/efeitos dos fármacos , Fígado/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Receptores CCR5/fisiologia , Animais , Citocromo P-450 CYP2E1/análise , Fígado/patologia , Macrófagos/citologia , Macrófagos/fisiologia , Camundongos Endogâmicos C57BL , Camundongos Knockout
8.
J Pharm Biomed Anal ; 88: 536-41, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24184659

RESUMO

CYP2E1 is an important cytochrome P450 isoform in many endogenous processes and in the metabolism of organic solvents, a number of drugs and pre-carcinogens. Information on the abundance of the enzyme may be valuable in various types of research in the field of toxicology and pharmacology. An indirect ELISA for the quantification of CYP2E1 in human liver microsomes was developed and successfully validated. All samples, including validation samples and calibrators, were diluted to a final concentration of microsomal protein of 10µg/ml. Detection of the antigen was obtained through binding of a polyclonal antibody raised against the full length protein, followed by the addition of horseradish peroxidase conjugated secondary antibodies and enzymatic detection. A five-parameter logistics function with 1/x weighting was used for quantification within the concentration range of 4-256pmol CYP2E1/mg microsomal protein. The method showed acceptable intra- and inter-assay precision, with calculated coefficients of variation of 6.3-15.2% and 11.3-21.0%, respectively. The relative error varied between -2.3 and 8.9%, and the total error between 16.0 and 27.2%. No significant cross reactivity with other abundant CYP isoforms was observed. The method was evaluated through the analysis of samples from a pharmacokinetic study, and the comparison with the CYP2E1 activity in those samples.


Assuntos
Citocromo P-450 CYP2E1/análise , Microssomos Hepáticos/enzimologia , Animais , Anticorpos/química , Hidrocarboneto de Aril Hidroxilases/química , Calibragem , Citocromo P-450 CYP2E1/química , Ensaio de Imunoadsorção Enzimática , Humanos , Insetos , Microssomos Hepáticos/química , Proteínas Recombinantes/química , Reprodutibilidade dos Testes
9.
J Nutr ; 141(4): 603-10, 2011 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-21346097

RESUMO

Emerging evidence suggests that the lack of PPARα enhances hepatic steatosis and inflammation in Ppara-null mice when fed a high-fat diet (HFD). Thus, the aim of this study was to determine whether Ppara-null mice are more susceptible to nonalcoholic steatohepatitis (NASH) than their wild-type (WT) counterparts following short-term feeding with a HFD. Age-matched male WT and Ppara-null mice were randomly assigned to consume ad libitum a standard Lieber-DeCarli liquid diet (STD) (35% energy from fat) or a HFD (71% energy from fat) for 3 wk. Liver histology, plasma transaminase levels, and indicators of oxidative/nitrosative stress and inflammatory cytokines were evaluated in all groups. Levels of lobular inflammation and the NASH activity score were greater in HFD-exposed Ppara-null mice than in the other 3 groups. Biochemical analysis revealed elevated levels of ethanol-inducible cytochrome P450 2E1 and TNFα accompanied by increased levels of malondialdehyde as well as oxidized and nitrated proteins in Ppara-null mice. Elevated oxidative stress and inflammation were associated with activation of c-Jun-N-terminal kinase and p38 kinase, resulting in increased hepatocyte apoptosis in Ppara-null mice fed a HFD. These results, with increased steatosis, oxidative stress, and inflammation observed in Ppara-null mice fed a HFD, demonstrate that inhibition of PPARα functions may increase susceptibility to high fat-induced NASH.


Assuntos
Gorduras na Dieta/administração & dosagem , PPAR alfa/fisiologia , Animais , Apoptose , Citocromo P-450 CYP2E1/análise , Fígado Gorduroso/patologia , Fígado Gorduroso/prevenção & controle , Proteínas Quinases JNK Ativadas por Mitógeno/metabolismo , Peroxidação de Lipídeos , Fígado/patologia , Masculino , Camundongos , Óxido Nítrico Sintase Tipo II/análise , Hepatopatia Gordurosa não Alcoólica , Tamanho do Órgão , Proteínas/metabolismo , Fator de Necrose Tumoral alfa/análise , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
10.
J Occup Health ; 49(5): 363-9, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17951967

RESUMO

Excessive alcohol consumption is associated with increased risks of many diseases including cancer. We evaluated oxidative DNA damage in Aldh2 +/+ and Aldh2 -/- mice after they had been subjected to acute ethanol exposure. Olive tail moment, which was measured using a comet assay, was not increased by ethanol treatment in both Aldh2 +/+ and Aldh2 -/- mice. However, after controlling for the effect of ethanol exposure, the Aldh2 genotype was a significant determinant for Olive tail moments. Although the ethanol treatment significantly increased the hepatic 8-OHdG generation in only Aldh2 +/+ mice, the level of 8-OHdG was the highest in Aldh2 -/- ethanol treated mice. The increase in the level of 8-OHdG was associated with hepatic expression of cytochrome P450 2E1 (CYP2E1). The levels of Olive tail moment and the hepatic 8-OHdG in the Aldh2 -/- control group were significantly higher than those of the Aldh2 +/+ control group. The level of CYP2E1 in liver tissue showed a similar pattern to those of the oxidative DNA damage markers. This study shows that acute ethanol consumption increases oxidative DNA damage and that expression of CYP2E1 protein may play a pivotal role in the induction of oxidative DNA damage. The finding that oxidative DNA damage was more intense in Aldh2 -/- mice than in Aldh2 +/+ mice suggests that ALDH2-deficient individuals may be more susceptible than wild-type ALDH2 individuals to ethanol-mediated liver disease, including cancer.


Assuntos
Aldeído Desidrogenase/genética , Citocromo P-450 CYP2E1/genética , Dano ao DNA/genética , Etanol/toxicidade , Hepatopatias/genética , Fígado/efeitos dos fármacos , Estresse Oxidativo/genética , Polimorfismo Genético , 8-Hidroxi-2'-Desoxiguanosina , Aldeído Desidrogenase/deficiência , Aldeído-Desidrogenase Mitocondrial , Análise de Variância , Animais , Western Blotting , Doença Hepática Induzida por Substâncias e Drogas , Ensaio Cometa , Citocromo P-450 CYP2E1/análise , Desoxiguanosina/análogos & derivados , Desoxiguanosina/análise , Desoxiguanosina/genética , Modelos Animais de Doenças , Predisposição Genética para Doença , Fígado/enzimologia , Masculino , Camundongos , Camundongos Knockout/genética , Microssomos Hepáticos/efeitos dos fármacos , Microssomos Hepáticos/enzimologia , Estresse Oxidativo/efeitos dos fármacos
11.
J Hepatol ; 47(4): 556-64, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17459514

RESUMO

BACKGROUND/AIMS: Adipose tissue produces a number of adipocytokines, including adiponectin, leptin, and tumor necrosis factor-alpha. Obesity, which is associated with low plasma adiponectin levels, is an independent risk factor for various liver diseases including nonalcoholic steatohepatitis (NASH). The aim of this study was to examine the effects of adiponectin on the progression of NASH to cirrhosis and tumor formation using adiponectin-knockout (KO) mice. METHODS: Using a choline-deficient L-amino acid-defined (CDAA) diet-induced mouse NASH model, liver histology and oxidative stress markers were investigated in KO and wild-type (WT) mice. RESULTS: Hepatic steatosis was enhanced to a greater extent in KO mice, compared to WT mice after a 1-week CDAA diet. After 24 weeks, 6 out of 14 KO mice developed liver cirrhosis and hepatic tumors, whereas the 15 WT mice showed only simple steatosis. In KO mice, hepatic cytochrome P450 2E1 levels were upregulated, and markers of oxidative stress (thiobarbituric acid reactive substances, 8-hydroxydeoxyguanosine-positive cells) were significantly increased compared with WT mice. CONCLUSIONS: Our results indicate that lack of adiponectin enhances the progression of hepatic steatosis, fibrosis, and hepatic tumor formation in an animal model of NASH. Hypoadiponectinemia in obesity could be a risk factor for NASH-related hepatic tumor formation.


Assuntos
Adiponectina/sangue , Fígado Gorduroso/complicações , Hepatite Animal/complicações , Neoplasias Hepáticas/etiologia , Adiponectina/genética , Aminoácidos/administração & dosagem , Animais , Biomarcadores/sangue , Deficiência de Colina , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/metabolismo , Dieta , Modelos Animais de Doenças , Progressão da Doença , Fígado Gorduroso/patologia , Hepatite Animal/patologia , Lipogênese/genética , Fígado/enzimologia , Cirrose Hepática/etiologia , Cirrose Hepática/patologia , Camundongos , Camundongos Knockout
12.
Alcohol Clin Exp Res ; 31(1 Suppl): S72-6, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17331170

RESUMO

BACKGROUND: The pathogenetic correlation between chronic alcohol consumption and development of colon cancer is not clear. The role of alcohol abuse in the carcinogenic action of 1,1-dimethylhydrazine (DMH), which induces tumors in the colon, was evaluated. METHODS: Twenty male rats were fed liquid diets containing ethanol or carbohydrates for 39 weeks. DMH (20 mg/kg body weight, once a week) was injected subcutaneously from the 5th to the 20th week. Pair feeding was stopped at 10:00 am and DMH was administered at 02:00 pm. Ethanol was not detected in the blood at the time of injection. Liquid diets were provided again at 05:00 pm until 10:00 am next day. The animals were killed at the end of the 39th week, and the colons were removed for examination for the number of aberrant crypt foci (ACF) by methylene blue staining. Tissue sections were stained for histology and cytochrome P4502E1 (CYP2E1) expression. RESULTS: The number of ACF in colons obtained from ethanol-fed rats with DMH was 24 (n=5, 4.4+/-2.5/rat), which was significantly (p<0.001) more than that of the other treated rats: only 3 (n=5, 0.6+/-0.5/rat) in the pair-fed control rats with DMH, and none in the ethanol-fed or control-fed rats without DMH. Cytochrome P4502E1 staining demonstrated marked expression in the colon mucosa from ethanol-fed rats, but not in the pair-fed control rats. CONCLUSIONS: The increased expression of CYP2E1 induced by chronic ethanol consumption promotes the development of DMH-induced colon cancer.


Assuntos
Alcoolismo/patologia , Carcinógenos/toxicidade , Neoplasias do Colo/patologia , Dimetilidrazinas/toxicidade , Etanol/toxicidade , Animais , Transformação Celular Neoplásica/induzido quimicamente , Transformação Celular Neoplásica/patologia , Cocarcinogênese , Colo/efeitos dos fármacos , Colo/patologia , Neoplasias do Colo/induzido quimicamente , Citocromo P-450 CYP2E1/análise , Mucosa Intestinal/efeitos dos fármacos , Mucosa Intestinal/patologia , Fígado/efeitos dos fármacos , Fígado/patologia , Ratos , Ratos Wistar
13.
J Hepatol ; 46(2): 330-9, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17156887

RESUMO

BACKGROUND/AIMS: Alcoholic liver disease is associated with nutritional deficiency and it may aggravate within the context of fatty liver. We investigated the relationship between alcohol intake (whiskey binge drinking) and a choline-deficient diet (CD) and assessed whether stellate cells could contribute to liver injury in this model. RESULTS: Rats fed the CD diet plus whiskey showed increased liver damage compared to rats fed the CD diet, as demonstrated by H&E staining, elevated transaminases, steatosis, TNF-alpha levels, enhanced CYP2E1 activity, impaired antioxidant defense, elevated lipid peroxidation, and protein carbonyls. The combined treatment triggered an apoptotic response as determined by elevated Bax, caspase-3 activity, cytochrome-c release, and decreased Bcl-2 and Bcl-XL. Stellate cells were activated as increased expression of alpha-Sma was observed over that by the CD diet alone. The combined treatment shifted extracellular matrix remodeling towards a pro-fibrogenic response due to up-regulation of collagen I, TIMP1, and Hsp47 proteins, along with down-regulation of MMP13, MMP2, and MMP9 expression, proteases which degrade collagen I. These events were accompanied by increased phosphorylation of p38, a kinase that elevates collagen I. CONCLUSIONS: Repeated alcohol binges in the context of mild steatosis may promote activation of stellate cells and contribute to liver injury.


Assuntos
Bebidas Alcoólicas/toxicidade , Deficiência de Colina/complicações , Colina/metabolismo , Hepatopatias Alcoólicas/etiologia , Animais , Antioxidantes/análise , Antioxidantes/metabolismo , Proteínas Reguladoras de Apoptose/análise , Proteínas Reguladoras de Apoptose/metabolismo , Colina/administração & dosagem , Colagenases/análise , Colagenases/metabolismo , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/metabolismo , Citocromos c/análise , Citocromos c/metabolismo , Dieta , Peroxidação de Lipídeos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Hepatopatias Alcoólicas/metabolismo , Hepatopatias Alcoólicas/patologia , Masculino , Estresse Oxidativo , Fosforilação , Ratos , Ratos Endogâmicos Lew , Fator de Necrose Tumoral alfa/sangue , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
14.
Cancer Sci ; 97(9): 896-904, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16805852

RESUMO

To elucidate the mechanism underlying suppression by curcumin of esophageal carcinogenesis induced by NMBA, we evaluated the CYP level and mutagenic activation of environmental carcinogens, by immunoblot analyses and Ames preincubation test, respectively, and bilirubin, 4-nitrophenol and testosterone UDPGT activities in F344 rats treated with curcumin and/or NMBA. No significant alterations in the hepatic levels of constitutive CYP proteins, mutagenic activation by liver S9 or hepatic UDPGT activities were produced by subcutaneous treatment with 0.5 mg/kg NMBA for 5 weeks and/or feeding of 0.05% and 0.2% curcumin for 6 weeks. In contrast, gavage of 0.2% curcumin decreased esophageal CYP2B1 and 2E1 by up to 60%, compared with vehicle control. Similarly, intragastric treatment with 270 mg/kg curcumin decreased esophageal and gastric CYP2B1 and CYP2E1, but not in lung, kidney or intestine. Conversely, large intestinal CYP2B1 was 2.8-fold higher in the treated rats than in control rats. Mutagenic activities of NOC, including NMBA, in the presence of esophagus and stomach S9 were markedly decreased in the treated rats, whereas those in the presence of large intestine S9 were 2.2-3.0-fold above control. These results show that modifying effects of curcumin on esophageal carcinogenesis can be attributed to a decrease in metabolic activation of NMBA by esophageal CYP2B1 during the initiation phase, without the contribution of metabolic activation and inactivation by liver. Further, the present findings suggest the potential of curcumin for modification of gastric and intestinal carcinogenesis initiated with NOC.


Assuntos
Antineoplásicos/farmacologia , Carcinógenos/metabolismo , Curcumina/farmacologia , Citocromo P-450 CYP2B1/efeitos dos fármacos , Citocromo P-450 CYP2E1/efeitos dos fármacos , Nitrosaminas/metabolismo , Animais , Bilirrubina/metabolismo , Western Blotting , Citocromo P-450 CYP2B1/análise , Citocromo P-450 CYP2B1/metabolismo , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/metabolismo , Dimetilnitrosamina/análogos & derivados , Dimetilnitrosamina/metabolismo , Esôfago/efeitos dos fármacos , Esôfago/enzimologia , Glucuronosiltransferase/efeitos dos fármacos , Glucuronosiltransferase/metabolismo , Intestinos/efeitos dos fármacos , Intestinos/enzimologia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Testes de Mutagenicidade , Nitrofenóis/metabolismo , Ratos , Ratos Endogâmicos F344 , Estômago/efeitos dos fármacos , Estômago/enzimologia , Testosterona/metabolismo , UDP-Glucuronosiltransferase 1A
15.
Life Sci ; 79(11): 1100-7, 2006 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-16624332

RESUMO

Non-alcoholic fatty liver disease (NAFLD) is emerging as a common medical problem. Nonalcoholic steatohepatitis (NASH) is the critical turning point at which NAFLD progresses to more advanced stages such as hepatic fibrosis, cirrhosis and even hepatocellular carcinoma. However, the study of the pathogenic or therapeutic factors involved in NASH has been hampered by the absence of a suitable experimental model. The aim of the present work was to establish a high-fat emulsion-induced rat model of NASH. Male Sprague-Dawley rats were fed a high-fat emulsion via gavage for 6 weeks. Animals were examined for weight gain, serum and hepatic biochemistry, insulin sensitivity, hepatic malondialdehyde (MDA), superoxide dismutase (SOD) and tissue morphology, as well as cytochrome P-450 2E1 (CYP2E1) and peroxisome proliferator-activated receptor alpha (PPARalpha) expression in the liver. The results showed that rats treated with high-fat emulsion became obese, demonstrated abnormal aminotransferase activity, hyperlipoidemia, hyperinsulinemia, hyperglycemia and insulin resistance. The model rats exhibited an increased concentration of serum TNF-alpha, total cholesterol (TC), triglyceride (TG), MDA and reduced SOD levels in the liver. Immunoblot analysis showed that the expression of CYP2E1 was increased, whereas PPARalpha was reduced in the NASH model rat liver. Moreover, morphological evaluation revealed that hepatic steatosis, inflammation and mitochondrial lesions were also reproduced in this model. In conclusion, a practical and repeatable new rat model of steatohepatitis was established by feeding with high-fat emulsion via gavage. This model provides a valuable research tool and reproduces many of the clinical indices of human NASH.


Assuntos
Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Gorduras na Dieta/toxicidade , Modelos Animais de Doenças , Fígado Gorduroso/induzido quimicamente , Ratos/metabolismo , Animais , Doença Hepática Induzida por Substâncias e Drogas/patologia , Citocromo P-450 CYP2E1/análise , Dieta , Gorduras na Dieta/administração & dosagem , Emulsões , Fígado Gorduroso/metabolismo , Fígado Gorduroso/patologia , Fígado/enzimologia , Fígado/metabolismo , Fígado/patologia , Masculino , Tamanho do Órgão , PPAR alfa/análise , Ratos Sprague-Dawley , Fator de Necrose Tumoral alfa/análise , Aumento de Peso
16.
Drug Metab Dispos ; 33(12): 1827-36, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16141365

RESUMO

The pregnane X receptor (PXR) is a transcriptional regulator of xenobiotic metabolizing enzymes, including cytochrome P450 3A (CYP3A), and transporters. Pretreatment of mice and rats with inducers of CYP3A increases acetaminophen (APAP) hepatotoxicity. In untreated mice, the amount of hepatic CYP3A11 mRNA is 4-fold greater in PXR(-/-) mice compared to wild-type mice (Guo et al., 2003), a finding anticipated to increase APAP hepatotoxicity in PXR(-/-) mice. We investigated APAP hepatotoxicity in wild-type and PXR(-/-) mice in a C57BL/6 background, with APAP administered by gavage. Despite a 2.5-fold higher level of total hepatic CYP3A protein and a 3.6-fold higher level of CYP3A activity compared to wild-type mice, PXR(-/-) mice were less sensitive to APAP hepatotoxicity. Hepatic levels of CYP2E1 were identical in the two mouse lines, but hepatic CYP1A2 levels were 3-fold greater in wild-type mice compared to PXR(-/-) mice. Caffeine, an inhibitor of CYP1A2 activity and an enhancer of CYP3A activity, decreased APAP hepatotoxicity in wild-type mice. APAP uptake was 1.5-fold greater in wild-type mice compared to PXR(-/-) mice. No significant differences in the formation of APAP glucuronide and sulfate-conjugated metabolites were observed between wild-type and PXR(-/-) mice. Glutathione levels were similar in the two mouse lines and were transiently decreased to similar amounts after APAP administration. Our finding that APAP hepatotoxicity was decreased in PXR(-/-) mice indicates that PXR is an important modulator of APAP hepatotoxicity, through positive modulation of constitutive CYP1A2 expression and possibly through increased APAP absorption.


Assuntos
Acetaminofen/toxicidade , Fígado/efeitos dos fármacos , Receptores Citoplasmáticos e Nucleares/fisiologia , Receptores de Esteroides/fisiologia , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/fisiologia , Acetaminofen/metabolismo , Animais , Benzoquinonas/metabolismo , Transporte Biológico , Cafeína/farmacologia , Citocromo P-450 CYP1A2/análise , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP3A , Sistema Enzimático do Citocromo P-450/análise , Glutationa/metabolismo , Hepatócitos/efeitos dos fármacos , Hepatócitos/metabolismo , Iminas/metabolismo , Absorção Intestinal , Fígado/enzimologia , Camundongos , Camundongos Endogâmicos C57BL , Receptor de Pregnano X , Transcrição Gênica/efeitos dos fármacos
17.
J Pharmacol Exp Ther ; 312(3): 998-1006, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15494549

RESUMO

Hepatic induction of CYP2E1 is a major pathway involved in oxidative stress and damage caused by chronic ethanol consumption; CYP2E1 also promotes the activation of a variety of hepatotoxins to reactive intermediates. Phorbol esters activate protein kinase C (PKC), thereby blocking cell differentiation and promoting tumor growth. In this study, we examined the possible role of PKC signaling as a survival pathway against CYP2E1-mediated toxicity using transfected HepG2 hepatoma cells stably overexpressing CYP2E1 (E47 cells). Cells were exposed to arachidonic acid (AA) plus Fe, which has been previously reported to cause a synergistic toxicity in E47 cells by a mechanism dependent on CYP2E1 activity and involving oxidative stress and lipid peroxidation. Phorbol ester 12-O-tetradecanoylphorbol 13-acetate (TPA), but not the inactive analog 4-alpha-TPA, prevented lipid peroxidation, glutathione depletion, and loss of viability produced by AA + Fe in E47 cells. TPA also protected against the toxicity caused by AA alone, or by iron alone, in the E47 cells. TPA did not lower but instead induced catalytically active CYP2E1 in these cells. The protective effect of TPA on CYP2E1-dependent AA + Fe toxicity seemed to involve a PKC-related survival mechanism, since PKC inhibitors such as Ro 31-8425 (bisindolylmaleimide X hydrochloride) or staurosporine abolished that protection, and activation of PKC by TPA was an early event that occurs prior to the developing toxicity. In conclusion, PKC activation by TPA prevents CYP2E1-derived acute oxidative stress and toxicity in HepG2 cells, and this appears to involve maintenance of the intracellular redox homeostasis via PKC signal transduction.


Assuntos
Citocromo P-450 CYP2E1/fisiologia , Estresse Oxidativo , Proteína Quinase C/fisiologia , Transdução de Sinais/fisiologia , Ácido Araquidônico/toxicidade , Linhagem Celular , Citocromo P-450 CYP2E1/análise , Glutationa/metabolismo , Humanos , Indóis/farmacologia , Ferro/toxicidade , Peroxidação de Lipídeos/efeitos dos fármacos , Maleimidas/farmacologia , Proteína Quinase C/análise , Estaurosporina/farmacologia , Acetato de Tetradecanoilforbol/farmacologia
18.
J Gastroenterol Hepatol ; 18(11): 1257-63, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14535982

RESUMO

BACKGROUND: Interindividual genetic differences in susceptibility to chemical carcinogens are among the most important host factors in human cancer. The present study was undertaken to reveal the association between the polymorphism of CYP2E1 (CYP2E1/PstI and CYP2E1/DraI) with genetic susceptibility to gastric cancer development in Koreans. METHODS: In the present study, 120 gastric cancer patients and 145 controls with no history of tumors were analyzed. CYP2E1 was determined by polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP), or PCR and direct gel electrophoresis. RESULTS: The overall genotype distribution of CYP2E1 was not significantly different from that of controls. However, the genotype distribution of the patient subgroups with a history of heavy cigarette smoking (>30 pack/year) in the CYP2E1/PstI and CYP2E1/DraI polymorphisms were significantly different from those of non-smoking patients (P = 0.0122 and P = 0.0029, respectively). The difference was also noticeable in the younger patient subgroup (aged

Assuntos
Citocromo P-450 CYP2E1/genética , Predisposição Genética para Doença/genética , Polimorfismo Genético , Neoplasias Gástricas/genética , Citocromo P-450 CYP2E1/análise , Feminino , Predisposição Genética para Doença/epidemiologia , Genótipo , Humanos , Coreia (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Razão de Chances , Reação em Cadeia da Polimerase/métodos , Fatores de Risco , Neoplasias Gástricas/epidemiologia
19.
Cancer Detect Prev ; 27(4): 275-84, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12893075

RESUMO

We evaluated our data on the occupational exposure to styrene in lamination workers. The battery of parameters included markers of external and internal exposure and biomarkers of biological effects and susceptibility. DNA repair capacities have been determined in both exposed and control groups. Styrene workplace concentration significantly correlated with styrene concentration in blood, exhaled air and urinary mandelic acid. Haemoglobin and O(6)-styrene oxide (SO)-guanine DNA adducts were significantly higher in exposed subjects as compared to controls and correlated with exposure parameters. In styrene-exposed workers 1-SO-adenine DNA adducts were detected (2.6 per 10(9) dNp), while in controls these adducts were below the detection limit. 1-SO-adenine adduct levels were affected by both acute and cumulative exposure (P=0.001, F=86.0 and P=0.017, F=59.0, respectively) and associated with cytochrome P450 2E1 (CYP2E1) polymorphisms (R(2)=0.442). Mutant frequencies (MF) at the hypoxanthine-guanine phosphoribosyltransferase (HPRT) locus appeared to accumulate with exposure over time and were associated with glutathione S-transferase P1 (GSTP1) polymorphism. DNA repair capacity increased with the exposure, except for the group exposed to the highest styrene concentration. In this particular group, increased DNA repair capacity to remove oxidative DNA damage was found.


Assuntos
Biomarcadores/análise , Dano ao DNA , Exposição Ocupacional , Estireno/toxicidade , Adulto , Citocromo P-450 CYP2E1/análise , Adutos de DNA/análise , Análise Mutacional de DNA , Reparo do DNA , Feminino , Genótipo , Glutationa Transferase/análise , Glutationa Transferase/genética , Humanos , Hipoxantina Fosforribosiltransferase/análise , Hipoxantina Fosforribosiltransferase/genética , Masculino , Pessoa de Meia-Idade , Estresse Oxidativo , Polimorfismo Genético
20.
J Gastroenterol Hepatol ; 18(4): 386-92, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12653886

RESUMO

BACKGROUND: Increased levels of tumor necrosis factor (TNF)-alpha and oxidative stress have been implicated as factors contributing to hepatic injury in fatty liver diseases. As steatosis is associated with an accelerated progression of fibrosis in chronic hepatitis C (HCV), we hypothesized that the messenger (m)RNA expression of genes involved with the production of reactive oxygen species, inflammation and cellular injury would be increased in liver tissue from subjects with steatosis and chronic HCV. METHODS: Real-time polymerase chain reaction was performed to determine relative mRNA expression levels of collagen I, TNF-alpha, cytochrome P450 2E1 (CYP 2E1), transforming growth factor-beta1 and CD14 in liver biopsies from 38 patients with chronic HCV. The mRNA expression levels were compared between subjects with and without steatosis, fibrosis, and inflammation. RESULTS: Multivariate analysis demonstrated that collagen I mRNA expression was increased by 199% in steatosis (P = 0.02), 85% in moderate to severe fibrosis (P = 0.02) and 157% in inflammation (P = 0.03). Livers of patients with steatosis also had an increase in TNF-alpha mRNA expression by 50% (P = 0.03) and CYP 2E1 expression by 37% (P = 0.04) compared with non-steatotic livers. Tumor necrosis factor-alpha protein was localized to Kupffer cells, bile ducts and portal inflammatory cells by immunohistochemistry. CONCLUSION: Increased expression of TNF-alpha may be involved in the pathogenesis of liver injury and progression of fibrosis in individuals who have steatosis in association with chronic HCV.


Assuntos
Antineoplásicos/análise , Colágeno Tipo I/análise , Colágeno Tipo I/genética , Citocromo P-450 CYP2E1/análise , Citocromo P-450 CYP2E1/genética , Fígado Gorduroso/etiologia , Fígado Gorduroso/genética , Expressão Gênica/genética , Hepatite C Crônica/complicações , Hepatite C Crônica/genética , RNA Mensageiro/análise , RNA Mensageiro/genética , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/genética , Adulto , Fígado Gorduroso/patologia , Feminino , Hepatite C Crônica/patologia , Humanos , Receptores de Lipopolissacarídeos/análise , Receptores de Lipopolissacarídeos/genética , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Índice de Gravidade de Doença , Fator de Crescimento Transformador beta/análise , Fator de Crescimento Transformador beta/genética , Fator de Crescimento Transformador beta1
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