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1.
Reprod Sci ; 29(2): 526-539, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34494233

RESUMO

Preserving the spermatogonial stem cells (SSCs) in long periods of time during the treatment of male infertility using stem cell banking systems and transplantation is an important issue. Therefore, this study was conducted to develop an optimal cryopreservation protocol for SSCs using 10 mM pentoxifylline (PTX) as an antioxidant in basal freezing medium. Testicular torsion-a mouse model for long-term infertility-was used to transplant fresh SSCs (n = 6), fresh SSCs treated with PTX (n = 6), cryopreserved SSCs with basal freezing medium (n = 6), and cryopreserved SSCs treated with PTX (n = 6). Eight weeks after germ cell transplantation, samples were assessed for proliferation, through evaluation of Ddx4 and Id4 markers, and differentiation via evaluation of C-Kit and Sycp3, Tnp1, Tnp2, and Prm1 markers. According to morphological and flow cytometry results, SSCs are able to form colonies and express Gfra1, Id4, α6-integrin, and ß1-integrin markers. We found positive influence from PTX on proliferative and differentiative markers in SSCs transplanted to azoospermic mice. In the recipient testis, donor SSCs formed spermatogenic colonies and sperm. Respecting these data, adding pentoxifylline is a practical way to precisely cryopreserve germ cells enriched for SSCs in cryopreservation, and this procedure could become an efficient method to restore fertility in a clinical setup. However, more studies are needed to ensure its safety in the long term.


Assuntos
Células-Tronco Germinativas Adultas/transplante , Azoospermia/etiologia , Crioprotetores/uso terapêutico , Pentoxifilina/uso terapêutico , Torção do Cordão Espermático/complicações , Células-Tronco Germinativas Adultas/efeitos dos fármacos , Animais , Criopreservação , Modelos Animais de Doenças , Masculino , Camundongos
2.
PLoS One ; 16(11): e0259571, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34784361

RESUMO

Cryopreservation is a key step for the effective delivery of many cell therapies and for the maintenance of biological materials for research. The preservation process must be carefully controlled to ensure maximum, post-thaw recovery using cooling rates slow enough to allow time for cells to cryodehydrate sufficiently to avoid lethal intracellular ice. This study focuses on determining the temperature necessary at the end of controlled slow cooling before transfer to cryogenic storage which ensures optimal recovery of the processed cell samples. Using nucleated, mammalian cell lines derived from liver (HepG2), ovary (CHO) and bone tissue (MG63) this study has shown that cooling must be controlled to -40°C before transfer to long term storage to ensure optimal cell recovery. No further advantage was seen by controlling cooling to lower temperatures. These results are consistent with collected differential scanning calorimetry data, that indicated the cells underwent an intracellular, colloidal glass transition between -49 and -59°C (Tg'i) in the presence of the cryoprotective agent dimethyl sulfoxide (DMSO). The glass forms at the point of maximum cryodehydration and no further cellular dehydration is possible. At this point the risk of lethal intracellular ice forming on transfer to ultra-low temperature storage is eliminated. In practice it may not be necessary to continue slow cooling to below this temperature as optimal recovery at -40°C indicates that the cells have become sufficiently dehydrated to avoid further, significant damage when transferred into ultra-low temperature storage.


Assuntos
Criopreservação/métodos , Crioprotetores/uso terapêutico , Animais , Células CHO , Varredura Diferencial de Calorimetria , Cricetulus , Feminino , Células Hep G2 , Humanos , Temperatura
3.
Cell Transplant ; 30: 963689721999617, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33757335

RESUMO

The origins of low-temperature tissue storage research date back to the late 1800s. Over half a century later, osmotic stress was revealed to be a main contributor to cell death during cryopreservation. Consequently, the addition of cryoprotective agents (CPAs) such as dimethyl sulfoxide (DMSO), glycerol (GLY), ethylene glycol (EG), or propylene glycol (PG), although toxic to cells at high concentrations, was identified as a necessary step to protect against rampant cell death during cryopreservation. In addition to osmotic stress, cooling and thawing rates were also shown to have significant influence on cell survival during low temperature storage. In general, successful low-temperature cell preservation consists of the addition of a CPA (commonly 10% DMSO), alone or in combination with additional permeating or non-permeating agents, cooling rates of approximately 1ºC/min, and storage in either liquid or vapor phase nitrogen. In addition to general considerations, cell-specific recommendations for hepatocytes, pancreatic islets, sperm, oocytes, and stem cells should be observed to maximize yields. For example, rapid cooling is associated with better cryopreservation outcomes for oocytes, pancreatic islets, and embryonic stem cells while slow cooling is recommended for cryopreservation of hepatocytes, hematopoietic stem cells, and mesenchymal stem cells. Yields can be further maximized by implementing additional pre-cryo steps such as: pre-incubation with glucose and anti-oxidants, alginate encapsulation, and selecting cells within an optimal age range and functional ability. Finally, viability and functional assays are critical steps in determining the quality of the cells post-thaw and improving the efficiency of the current cryopreservation methods.


Assuntos
Sobrevivência Celular/fisiologia , Criopreservação/métodos , Crioprotetores/uso terapêutico , Humanos
4.
World Neurosurg ; 149: e582-e591, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33556597

RESUMO

OBJECTIVE: The aim of this article was to study the outcome of patients who underwent cranioplasty with cryopreserved autologous bone after decompressive craniectomy. METHODS: Data from 74 patients were retrospectively analyzed. They were divided into groups according to the storage time and the age at cranioplasty. To assess the predictive potential for complication, factors were related to successive stages (preoperative, craniectomy, tissue processing, cranioplasty, and postoperative). Cooling and warming rates applied on bone flap were calculated. The ability to inhibit microbial growth was determined exposing bone fragments to a panel of microorganisms. The concentration of antibiotics eluted from the bone was also determined. A bone explant culture method was used to detect living cells in the thawed cranial bone. RESULTS: Hydrocephalus was significantly more frequent in pediatric patients (26.7%) than in adults (5.1%). The overall rate of bone flap resorption was 21.6% (43.7% of which required reoperation). Surgical site infection after cranioplasty was detected in 6.8% of patients. There was no correlation between infection as a postoperative complication and previous microbiological-positive culture during processing. The cause of craniectomy did not influence the risk of bone flap contamination. Vancomycin was the only antibiotic detected in the supernatant where the bone was incubated. Outgrowth from bone explants was observed in 36.8% of thawed skulls. An early start of bone flap processing at the tissue bank had a positive effect on cell viability. CONCLUSIONS: The outcome after autologous cranioplasty is a multifactorial process, which is modulated by patient-related, surgery-related, and bone-related factors.


Assuntos
Criopreservação/métodos , Crioprotetores/uso terapêutico , Dimetil Sulfóxido/uso terapêutico , Procedimentos de Cirurgia Plástica/métodos , Complicações Pós-Operatórias/epidemiologia , Crânio/cirurgia , Retalhos Cirúrgicos , Adolescente , Adulto , Antibacterianos/uso terapêutico , Autoenxertos , Reabsorção Óssea/epidemiologia , Edema Encefálico/cirurgia , Lesões Encefálicas Traumáticas/cirurgia , Craniectomia Descompressiva , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/cirurgia , Infecção da Ferida Cirúrgica/epidemiologia , Fatores de Tempo , Adulto Jovem
5.
J Glaucoma ; 29(11): 1065-1069, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32890110

RESUMO

PRECIS: Glycerin-preserved, human-donor, corneoscleral patch grafts are effective and safe for glaucoma drainage device (GDD) implantation, and they are comparable to previously reported materials. It can be preserved with the sterile technique for up to 12 months. PURPOSE: To evaluate the efficacy and safety of glycerin-preserved human donor corneoscleral tissue as the patch graft for GDD implantation. PATIENTS AND METHODS: This was a retrospective noncomparative study from the medical records of 102 eyes from 102 glaucoma patients who underwent GDD implantation by or under supervision of a single surgeon (N.K.) at the Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand between January 2006 and December 2016. The glycerin-preserved human-donor corneoscleral tissue was used as the patch graft to cover the tube portion of GDD over the sclera. The primary outcome measure was the occurrence of patch graft-related complications. RESULTS: There were 64 males and 38 females with the mean age of 52.8±18.5 years. The underlying diseases included failed filtration surgery with primary open-angle glaucoma 32 eyes and primary angle-closure glaucoma 15 eyes, congenital glaucoma 3 eyes and secondary glaucoma 52 eyes. The mean of ocular surgeries before GDD implantation was 2.3±1.1. Patch graft-related complications included tube exposure in 4 eyes (3.9%) and wound leakage in 4 eyes (3.9%). Eyes with tube exposure underwent regrafting 3 eyes and tube reposition 1 eye. Eyes with wound leaking resolved spontaneously 2 eyes and underwent conjunctival resuturing 2 eyes. The 5-year survival rate of the corneoscleral graft was 95.7%. There was no recurrence of graft-related complications after surgical procedure to correct the complications. Postoperatively, the mean of intraocular pressure and antiglaucoma medications decreased significantly from 27.4±9.8 mm Hg and 3.8±0.93 to 13.8±6.4 mm Hg (P<0.001) and 1.6±1.5 (P<0.001) at the last visit, respectively. The mean follow-up time was 59.9 months (range, 1 to 144.7 mo). CONCLUSION: The glycerin-preserved human-donor corneoscleral tissue using as the patch graft was a safe alternative for GDD tube coverage. The patch graft-related complications was comparable to other materials.


Assuntos
Córnea , Crioprotetores/uso terapêutico , Implantes para Drenagem de Glaucoma , Glaucoma/cirurgia , Glicerol/uso terapêutico , Preservação de Órgãos/métodos , Esclera , Adulto , Idoso , Feminino , Glaucoma/fisiopatologia , Humanos , Pressão Intraocular/fisiologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Implantação de Prótese/métodos , Estudos Retrospectivos , Tailândia , Doadores de Tecidos , Tonometria Ocular
6.
Andrology ; 8(6): 1642-1650, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32598551

RESUMO

BACKGROUND: The sperm vitrification developed by this group is based on the ultrarapid freezing of a vitrification solution composed of a non-permeable cryoprotectant (saccharides and protein), in which previously selected spermatozoa are resuspended, free of seminal plasma, and then plunged directly into liquid nitrogen. Compared to traditional sperm freezing, vitrification does not cause chemical or physical damage to the intracellular structures and reduces the damage to the plasma membrane because no ice crystals form, thus preserving motility and DNA integrity. OBJECTIVES: This manuscript is a review of the vitrification methodology developed by the authors' research group, including studies showing the application in human reproduction therapy. MATERIALS AND METHODS: The authors perform a review of the work initiated more than a decade ago by this research group, on the implementation of sperm vitrification, a more effective technique for cryopreservation of human spermatozoa, discussing the results obtained by other authors and the projection of this technique. RESULTS AND DISCUSSION: The vitrification technique has been developed in selected spermatozoa free of seminal plasma supplemented with saccharides such as sucrose, trehalose, and dextran, together with albumin, providing a high motility rate and protective structures of the cytoskeleton. In patients, it can be used to preserve their fertility for oncological reasons, genetics, inflammatory diseases, or reproductive medicine techniques. The possibility that vitrified spermatozoa can be preserved at temperatures of -80°C can simplify sample storage, optimizing the space and time as well as operator safety. CONCLUSION: Vitrification techniques have demonstrated the preservation of selected spermatozoa without seminal plasma and with non-permeable cryoprotectants and protein. Currently, it is one of the most effective ways to maintain sperm function and has been used in in vitro fertilization or intrauterine insemination in humans, achieving healthy live births.


Assuntos
Criopreservação , Crioprotetores/uso terapêutico , Preservação da Fertilidade , Infertilidade/terapia , Preservação do Sêmen , Espermatozoides/efeitos dos fármacos , Crioprotetores/efeitos adversos , Difusão de Inovações , Feminino , Fertilidade , Preservação da Fertilidade/efeitos adversos , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Gravidez , Fatores de Risco , Preservação do Sêmen/efeitos adversos , Espermatozoides/patologia , Resultado do Tratamento , Vitrificação
7.
Acta Biomater ; 102: 403-415, 2020 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-31734413

RESUMO

High warming rates during cryopreservation are crucial and essential for successful vitrification. However, realizing a faster warming rate in low-concentration cryoprotective agents appears to be challenging for conventional warming process through convective heat transfer. Herein, we developed a liquid metal (LM) nanosystem that can act as a spatial source to significantly enhance the warming rates with near-infrared laser irradiation during the warming process. The synthetic Pluronic F127-liquid metal nanoparticles (PLM NPs) displayed multiple performances with uniform particle size, superior photothermal conversion efficiency (52%), repeatable photothermal stability, and low cytotoxicity. Particularly, it is more difficult for the liquid PLM NPs with less surface free energy to form crystal nucleation than other solid NPs such as gold and Fe3O4, which is beneficial for the cooling process during cryopreservation. The viability of human bone marrow-derived mesenchymal stem cells postcryopreservation reached 78±3%, which is threefold higher than that obtained by the conventional warming method (25±6%). Additionally, the cells postcryopreservation maintained their normal attachment, proliferation, surface marker expression, and intact multilineage differentiation properties. Moreover, the results of mouse tails including blood vessel cryopreservation showed a relatively improved intact structure when using PLM NP rewarming compared with the results of conventional warming. The new LM nanosystem provides a universal platform for cryopreservation that is expected to have potential for widespread applications including bioengineering, cell-based medicine, and clinical translation. STATEMENT OF SIGNIFICANCE: In this study, we fabricated soft liquid metal nanoparticles with high photothermal conversion efficiency, repeatable photothermal stability, and low cytotoxicity. Particularly, soft liquid metal nanoparticles with less surface free energy and suppression effects of ice formation were first introduced to mediate cryopreservation. Superior ice-crystallization inhibition is achieved as a result of less crystal nucleation and ultrarapid rewarming during the freezing and warming processes of cryopreservation, respectively. Collectively, cryopreservation of human bone marrow stromal cells (HBMSCs) and mouse tails including blood vessels can be successfully performed using this new nanoplatform, showing great potential in the application of soft nanoparticles in cryopreservation.


Assuntos
Vasos Sanguíneos/metabolismo , Crioprotetores/uso terapêutico , Células-Tronco Mesenquimais/metabolismo , Nanopartículas Metálicas/uso terapêutico , Poloxâmero/uso terapêutico , Ligas/química , Animais , Sobrevivência Celular/efeitos dos fármacos , Criopreservação/métodos , Crioprotetores/química , Crioprotetores/efeitos da radiação , Crioprotetores/toxicidade , Feminino , Gálio/química , Humanos , Índio/química , Nanopartículas Metálicas/química , Nanopartículas Metálicas/efeitos da radiação , Nanopartículas Metálicas/toxicidade , Camundongos Endogâmicos BALB C , Terapia Fototérmica/métodos , Poloxâmero/química , Poloxâmero/efeitos da radiação , Poloxâmero/toxicidade , Reaquecimento , Cauda/irrigação sanguínea , Cauda/metabolismo
8.
Exp Oncol ; 41(4): 353-356, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31868328

RESUMO

AIM: To evaluate the quality of life (QoL) parameters in patients with acute leukemia (AL) during standard induction chemotherapy, depending on the presence of concomitant ischemic heart disease and to improve them by the prevention of anthracycline cardiotoxicity with L-arginine. MATERIALS AND METHODS: A total of 147 adult AL patients (72 males and 75 females with the mean age 54.7 ± 9.3 years) were enrolled in the study. QoL assessment was performed at baseline and after induction chemotherapy using SF-36 questionnaire. Both physical and mental parameters were evaluated. RESULTS: The QoL analysis of patients with AL at the time of initial diagnosis showed extremely low QoL level in all subgroups compared with healthy individuals. It should be noted that the level of patients' QoL after achieving remission remained significantly lower than those of practically healthy, which is primarily due to the need for further long-term treatment and, probably, the fear of the disease relapse development. It was found that the administration of L-arginine during induction chemotherapy in order to reduce the risk of anthracycline cardiotoxicity development has allowed improving the QoL in patients with concomitant ischemic heart disease. CONCLUSION: L-arginine decreases the risk of anthracycline-induced myocardial injury and improves QoL in AL patients.


Assuntos
Antraciclinas/uso terapêutico , Antibióticos Antineoplásicos/uso terapêutico , Arginina/uso terapêutico , Cardiotoxicidade/prevenção & controle , Crioprotetores/uso terapêutico , Leucemia Mieloide Aguda/tratamento farmacológico , Adulto , Antraciclinas/efeitos adversos , Antibióticos Antineoplásicos/efeitos adversos , Cardiotoxicidade/epidemiologia , Comorbidade , Feminino , Humanos , Quimioterapia de Indução , Leucemia Mieloide Aguda/epidemiologia , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/epidemiologia , Qualidade de Vida
9.
Plast Reconstr Surg ; 133(4): 815-826, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24675187

RESUMO

BACKGROUND: Adipose tissue is widely used in plastic surgery. The main obstacle is that it can be used only immediately after liposuction, while reconstruction often requires several procedures to achieve optimal results. This study aimed to develop a cryopreservation protocol directly applicable to clinical situations, allowing repetitive procedures without multiple tissue harvests. METHODS: The authors first tested scalable bags suitable for therapeutic uses. All subsequent experiments were performed in those bags. The authors evaluated in vitro, on the basis of cell viability, cell number, phenotype, and stromal cell proliferation, the efficacy of six cryopreservation media composed of an external cryoprotectant (human albumin or hydroxylethyl starch) with or without an internal cryoprotectant (dimethyl sulfoxide). Two storage temperatures (-196°C and -80°C) were tested in vitro and in vivo (subcutaneous graft in 30 nude mice) with the selected medium. RESULTS: The combination of 5% dimethyl sulfoxide and 95% hydroxylethyl yielded in vitro results that were good and the most consistent. With this cryoprotective solution, the authors observed no significant difference in vitro for a storage period of 7 days. When the storage was extended to 1 month, the cell viability was decreased by 10 percent for both storage temperatures. The in vivo experiments assessed the superiority of cryopreservation at -80°C with less graft resorption (60 percent and 70 percent, respectively, for -80°C and -196°C) and less fibrosis. CONCLUSION: The study's protocol with a chemically defined cryoprotective solution, specific scalable bags constrained in an aluminum holder, and a storage temperature of -80°C is promising for long-term adipose tissue cryopreservation.


Assuntos
Tecido Adiposo , Criopreservação/instrumentação , Criopreservação/métodos , Procedimentos de Cirurgia Plástica , Tecido Adiposo/citologia , Tecido Adiposo/transplante , Adulto , Animais , Células Cultivadas , Crioprotetores/uso terapêutico , Desenho de Equipamento , Feminino , Xenoenxertos , Humanos , Masculino , Camundongos , Camundongos Nus , Modelos Animais , Células Estromais/citologia
10.
Hepatology ; 55(3): 921-30, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22031447

RESUMO

UNLABELLED: Pathophysiological alterations in the endothelial phenotype result in endothelial dysfunction. Flow cessation, occurring during organ procurement for transplantation, triggers the endothelial dysfunction characteristic of ischemia/reperfusion injury, partly due to a reduction in the expression of the vasoprotective transcription factor Kruppel-like Factor 2 (KLF2). We aimed at (1) characterizing the effects of flow cessation and cold storage on hepatic endothelial phenotype, and (2) ascertaining if the consequences of cold stasis on the hepatic endothelium can be pharmacologically modulated, improving liver graft function. Expression of KLF2 and its vasoprotective programs was determined in (i) hepatic endothelial cells (HEC) incubated under cold storage conditions with or without the KLF2-inducer simvastatin, and (ii) rat livers not cold stored or preserved in cold University of Wisconsin solution (UWS) supplemented with simvastatin or its vehicle. In addition, upon warm reperfusion hepatic vascular resistance, endothelial function, nitric oxide vasodilator pathway, apoptosis, inflammation, and liver injury were evaluated in not cold stored livers or livers preserved in cold UWS supplemented with simvastatin or vehicle. Expression of KLF2 and its vasoprotective programs decrease in HEC incubated under cold storage conditions. Cold-stored rat livers exhibit a time-dependent decrease in KLF2 and its target genes, liver injury, increased hepatic vascular resistance, and endothelial dysfunction. The addition of simvastatin to the storage solution, maintained KLF2-dependent vasoprotective programs, prevented liver damage, inflammation, and oxidative stress and improved endothelial dysfunction. CONCLUSION: Our results provide a rationale to evaluate the beneficial effects of a vasoprotective preservation solution on human liver procurement for transplantation.


Assuntos
Crioprotetores/uso terapêutico , Endotélio Vascular/fisiopatologia , Fígado/irrigação sanguínea , Soluções para Preservação de Órgãos/uso terapêutico , Traumatismo por Reperfusão/prevenção & controle , Sinvastatina/uso terapêutico , Adenosina/farmacologia , Adenosina/uso terapêutico , Alopurinol/farmacologia , Alopurinol/uso terapêutico , Animais , Células Cultivadas , Crioprotetores/farmacologia , Endotélio Vascular/metabolismo , Endotélio Vascular/patologia , Glutationa/farmacologia , Glutationa/uso terapêutico , Insulina/farmacologia , Insulina/uso terapêutico , Fatores de Transcrição Kruppel-Like/metabolismo , Fígado/efeitos dos fármacos , Fígado/fisiopatologia , Transplante de Fígado/métodos , Masculino , Modelos Animais , Preservação de Órgãos/métodos , Soluções para Preservação de Órgãos/farmacologia , Fenótipo , Rafinose/farmacologia , Rafinose/uso terapêutico , Ratos , Ratos Wistar , Traumatismo por Reperfusão/patologia , Traumatismo por Reperfusão/fisiopatologia , Sinvastatina/farmacologia
12.
Nephrol Dial Transplant ; 25(12): 3859-67, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20513771

RESUMO

BACKGROUND: Successful clinical organ preservations are a prerequisite for organ transplantation. Diazoxide (DE), which shows a concentration-dependent selectivity for mitoK(+-)-ATP over plasma membrane K(+-)-ATP, displays protective effects during organ preservation. The current study investigated possible protective effects of DE on rat kidneys injured by hypothermic preservation. METHODS: Forty-eight Sprague-Dawley rats were randomly divided into six groups (n = 8): Celsior groups with kidneys preserved in Celsior solution for 0, 24 and 48 h and DE groups with kidneys preserved in DE (30 µM) plus Celsior solution for 0, 24 and 48 h. Superoxide dismutase (SOD) activity and the quantity of malonaldehyde (MDA) in the kidneys from each group were measured, and the levels of C/EBP homologous protein (CHOP) and caspase-12 were determined by immunohistochemistry staining and real-time reverse transcription quantitative polymerase chain reaction analysis. RESULTS: SOD activity was significantly higher and the quantity of MDA was significantly lower in the DE groups compared with the Celsior groups at both 24 and 48 h (P < 0.05). The expressions of CHOP and caspase-12 were also lower in DE groups at 24 and 48 h (P < 0.05). CONCLUSIONS: The present results demonstrate that DE exerts protective effects by attenuating oxidative stress injury through up-regulation of SOD activity and down-regulation of MDA quantity and by decreasing the cell apoptosis in kidneys by reducing the levels of CHOP and caspase-12 during hypothermic preservation.


Assuntos
Injúria Renal Aguda/etiologia , Injúria Renal Aguda/prevenção & controle , Caspase 12/metabolismo , Crioprotetores/uso terapêutico , Diazóxido/uso terapêutico , Hipotermia/complicações , Fator de Transcrição CHOP/metabolismo , Injúria Renal Aguda/metabolismo , Animais , Apoptose/efeitos dos fármacos , Crioprotetores/farmacologia , Diazóxido/farmacologia , Dissacarídeos/farmacologia , Regulação para Baixo/efeitos dos fármacos , Eletrólitos/farmacologia , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Glutamatos/farmacologia , Glutationa/farmacologia , Histidina/farmacologia , Túbulos Renais/efeitos dos fármacos , Túbulos Renais/metabolismo , Túbulos Renais/patologia , Masculino , Malondialdeído/metabolismo , Manitol/farmacologia , Modelos Animais , Soluções para Preservação de Órgãos/farmacologia , Estresse Oxidativo/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley , Superóxido Dismutase/metabolismo
13.
Invest Ophthalmol Vis Sci ; 51(2): 775-81, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19737874

RESUMO

PURPOSE: To compare the microstructural differences in fresh corneal tissue (FCT) with glycerin-cryopreserved corneal tissue (GCCT) used during deep anterior lamellar keratoplasty (DALK). METHODS: The medical records of 48 consecutive patients who underwent DALK for stromal opacity without endothelial abnormalities were retrospectively reviewed. Patients were divided into two groups: an FCT group (n = 22) and a GCCT group (n = 26), according to the corneal tissue used. The best corrected visual acuity (BCVA), slit lamp, corneal topography, pachymetry, and laser scanning in vivo confocal microscopy examinations at 2 weeks and 1, 3, 6, 12, and 24 months after surgery were analyzed. RESULTS: No graft rejection developed in the GCCT group, whereas stromal rejection developed in one eye in the FCT group. There were no significant differences in spherical equivalent (P = 0.37), astigmatism (P = 0.26), BCVA (P = 0.64), central corneal thickness (P = 0.73), or endothelial cell density (P = 0.49) between the two groups at 24 months. Confocal microscopy showed that GCCT was acellular, whereas dendritelike cells and keratocytes were found in the FCT group 2 weeks after surgery. The keratocyte density improved significantly in the GCCT group at 3 months after surgery, whereas it decreased significantly after surgery in the FCT group during follow-up. No significant difference in regeneration of nerve fibers was found in the subbasal layer and anterior stroma between the two groups at 24 months. CONCLUSIONS: DALK using GCCT provides clinical results comparable to FCT. GCCT can be used safely and effectively for DALK and may minimize stromal rejection after surgery.


Assuntos
Córnea , Opacidade da Córnea/cirurgia , Transplante de Córnea/métodos , Criopreservação , Crioprotetores/uso terapêutico , Glicerol/uso terapêutico , Adulto , Contagem de Células , Substância Própria/patologia , Topografia da Córnea , Endotélio Corneano/citologia , Feminino , Sobrevivência de Enxerto/fisiologia , Humanos , Masculino , Microscopia Confocal , Pessoa de Meia-Idade , Refração Ocular/fisiologia , Estudos Retrospectivos , Doadores de Tecidos , Tomografia de Coerência Óptica , Acuidade Visual/fisiologia , Adulto Jovem
14.
Cytotherapy ; 12(1): 31-7, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-19878080

RESUMO

BACKGROUND AIMS: Bone marrow (BM) mesenchymal stromal cells (MSC) represent a novel therapy for severe heart failure with extensive myocardial scarring, especially when performed concurrently with conventional revascularization. However, stem cells are difficult to transport in culture media without risk of contamination, infection and reduced viability. We tested the feasibility and safety of off-site MSC culture and expansion with freeze-controlled cryopreservation and subsequent rapid thawing of cells immediately prior to implantation to treat severe dilated ischemic cardiomyopathy. METHODS: We recruited three consecutive patients with end-stage ischemic heart failure with evidence of full-thickness myocardial scarring. MSC was isolated from 20 mL BM aspiration, expanded and cryopreserved using 10% dimethyl sulfoxide (DMSO). Cells were transported in a cryoshipper. Patients underwent concurrent coronary artery bypass graft (CABG) with intramyocardial MSC injection. RESULTS: The cell viability after thawing exceeded 90% for all samples. The supernatant was free from bacterial and fungal growth. All patients underwent the procedure safely. There were no arrhythmias noted. There was significant improvement in cardiac function and volume, resolution of scarring and increased wall thickness for all patients on cardiac magnetic resonance imaging at 6 months compared with baseline. The magnitude of improvement was more than was expected with CABG alone. Patients remained well at 1 year. CONCLUSIONS: Rate-controlled freezing with 10% DMSO is a safe, feasible and practical method of cryopreserving MSC for cell storage and transportation without risk of contamination or cell death. Direct MSC injection may be beneficial as an adjunct to cardiac revascularization.


Assuntos
Cardiomiopatia Dilatada/terapia , Criopreservação/métodos , Insuficiência Cardíaca/terapia , Transplante de Células-Tronco Mesenquimais/métodos , Isquemia Miocárdica/terapia , Idoso , Cardiomiopatia Dilatada/etiologia , Cardiomiopatia Dilatada/fisiopatologia , Técnicas de Cultura de Células , Células Cultivadas , Cicatriz/fisiopatologia , Cicatriz/prevenção & controle , Cicatriz/terapia , Terapia Combinada/métodos , Ponte de Artéria Coronária/métodos , Crioprotetores/uso terapêutico , Dimetil Sulfóxido/uso terapêutico , Contaminação de Medicamentos/prevenção & controle , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/complicações , Infarto do Miocárdio/fisiopatologia , Infarto do Miocárdio/terapia , Isquemia Miocárdica/complicações , Isquemia Miocárdica/fisiopatologia , Projetos Piloto , Complicações Pós-Operatórias/prevenção & controle , Recuperação de Função Fisiológica/fisiologia , Resultado do Tratamento
15.
Vet Clin North Am Small Anim Pract ; 39(3): 631-52, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19524797

RESUMO

Many medicinal, nutraceutical, and botanic extracts have been used as cytoprotective agents in liver disease. This article explains the mechanisms of action, pertinent pharmacokinetics, side effects, and clinical indications for the use of S-adenosylmethionine, N-acetylcysteine, ursodeoxycholic acid, silymarin, and vitamin E. The literature pertaining to in vitro studies, laboratory animal models, and human and veterinary clinical trials is reviewed with regards to the efficacy and use of these cytoprotective agents in hepatobiliary disease.


Assuntos
Antioxidantes/uso terapêutico , Doenças Biliares/veterinária , Doenças do Gato/tratamento farmacológico , Crioprotetores/uso terapêutico , Doenças do Cão/tratamento farmacológico , Hepatopatias/veterinária , Acetilcisteína/farmacologia , Acetilcisteína/uso terapêutico , Animais , Antioxidantes/farmacologia , Doenças Biliares/tratamento farmacológico , Doenças Biliares/prevenção & controle , Doenças do Gato/prevenção & controle , Gatos , Colagogos e Coleréticos/farmacologia , Colagogos e Coleréticos/uso terapêutico , Crioprotetores/farmacologia , Doenças do Cão/prevenção & controle , Cães , Sequestradores de Radicais Livres/farmacologia , Sequestradores de Radicais Livres/uso terapêutico , Hepatopatias/tratamento farmacológico , Hepatopatias/prevenção & controle , S-Adenosilmetionina/farmacologia , S-Adenosilmetionina/uso terapêutico , Silimarina/farmacologia , Silimarina/uso terapêutico , Ácido Ursodesoxicólico/farmacologia , Ácido Ursodesoxicólico/uso terapêutico , Vitamina E/farmacologia , Vitamina E/uso terapêutico
17.
Rev Med Suisse ; 4(176): 2264-6, 2268, 2008 Oct 22.
Artigo em Francês | MEDLINE | ID: mdl-19025176

RESUMO

Numerous pathologies and their treatments may alter ovarian reserve in women and girls and may harm their future fertility. Oocytes cryopreservation techniques may be used in a limited number of cases, excluding young patients. We hereby report results obtained with our and other teams' ovarian tissue vitrification techniques. This new approach can be offered to young patients before puberty and should not delay both chemotherapy and radiotherapy when needed. Major drawbacks include potential alteration of ovarian reserve, as well as recurrence of the original malignancy. The later can be circumvented using in vitro maturation techniques. It is important to discuss fertility preservation opportunities with every woman or girls facing potential premature ovarian failure.


Assuntos
Fertilidade/fisiologia , Insuficiência Ovariana Primária/terapia , Técnicas de Reprodução Assistida , Adulto , Criopreservação/métodos , Crioprotetores/uso terapêutico , Feminino , Humanos , Recidiva Local de Neoplasia/patologia , Oócitos , Técnicas de Cultura de Órgãos , Neoplasias Ovarianas/tratamento farmacológico , Neoplasias Ovarianas/radioterapia , Ovário , Adulto Jovem
18.
Curr Opin Endocrinol Diabetes Obes ; 15(6): 529-35, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18971682

RESUMO

PURPOSE OF REVIEW: To evaluate the present state of research and clinical application of human oocyte cryopreservation in infertility and oncology. RECENT FINDINGS: Recent literature documents have an increasing interest in cryopreserving human eggs. A number of studies report on different freezing protocols and various types of clinical application. Increasing attention is paid to vitrification as an alternative to slow cooling for oocyte cryopreservation. Several studies cover the modification of meiotic spindle during cryopreservation in order to assess the less damaging cryopreservation system. The first births with cryopreserved oocytes in cancer patients are reported. SUMMARY: Egg freezing may circumvent the ethical and legal concerns regarding embryo cryopreservation, increase assisted reproduction flexibility and be a concrete option to save fertility in women with cancer. Recently, egg survival and pregnancy rates improved, with the birth of more than 500 children. The birth rate per thawed oocyte is around 5-6%. As regards safety, data on birth defects seems to be reassuring so far but must be monitored by an international registry. Comparative studies between slow freezing and vitrification in the same patient population are needed to elucidate pros and cons of each technique.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Criopreservação/métodos , Infertilidade/terapia , Oócitos , Técnicas de Reprodução Assistida , Protocolos Clínicos , Crioprotetores/efeitos adversos , Crioprotetores/uso terapêutico , Feminino , Humanos , Infertilidade/induzido quimicamente , Masculino
19.
Arq. bras. med. vet. zootec ; 59(3): 647-653, jun. 2007. tab
Artigo em Português | LILACS | ID: lil-461141

RESUMO

Pintos de corte com um dia de idade foram tratados com microbiota cecal cultivada em condição de aerobiose, nos tempos de congelamento de 90, 200, 290 e 360 dias, e associada aos crioprotetores sacarose, trealose, dimetilsulfóxido (DMSO) e glicerol. Posteriormente as aves foram desafiadas com Salmonella Enteritidis, visando determinar a eficácia dos tratamentos em relação à quantidade de bactérias viáveis da microbiota que foi maior aos 90 dias (10,58 Log10 UFC/ml), quando as aves foram tratadas com sacarose, e menor aos 290 dias, quando tratadas com glicerol (7,73 Log10 UFC/ml). No tempo zero, todas as aves apresentaram Salmonella (100 por cento) quando tratadas com DMSO e glicerol, com colonização cecal de 4,9 e 5,2 Log10 UFC/g do conteúdo cecal, respectivamente; aos 360 dias nenhuma ave foi infectada, independente do tratamento. A microbiota cecal, independente de tratamento, sempre determinou menor quantidade de S. Enteritidis em qualquer um dos parâmetros pesquisados, quando comparada com a das aves não tratadas. O congelamento em nitrogênio líquido foi eficaz na manutenção da viabilidade da microbiota cecal até 360 dias.


One-day-old broiler chicks were treated with cecal microbiota cultivated under aerobiose conditions, frozen during 90, 200, 290 and 360 days and associated with different cryoprotectors such as sucrose, trehalose, DMSO and glycerol. Subsequently, the birds were challenged with Salmonella Enteritidis in order to determine the efficacy of the different treatments in relation to the quantity of viable bacteria, which was higher at 90 days when treated with sucrose (10.58 log10 CFU/ml) and lower at 290 days when treated with glycerol (7.73 log10 CFU/ml). The quantity of infected birds was 100 percent in 0 time, when the cecal colonization by S. Enteritidis was 4.9 and 5.2 log10 CFU/g of cecal content, respectively treated with DMSO and glycerol. No bird was infected at 360 days, irrespectively of the treatment. In all treatments, the cecal microbiota always determined a lesser quantity of S. Enteritidis for all the studied parameters compared to non-treated birds. Frozen in liquid nitrogen was effective in maintaining the viability of cecal microbiota during the experimental period of 360 days.


Assuntos
Animais , Ceco/microbiologia , Crioprotetores/uso terapêutico , Galliformes , Probióticos/uso terapêutico , Salmonella enteritidis/isolamento & purificação , Salmonella enteritidis/patogenicidade
20.
Cryobiology ; 50(2): 174-82, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15843007

RESUMO

Cryosurgery is a minimally invasive surgical technique that employs the destructive effect of freezing to eradicate undesirable tissues. This paper proposes a flexible method to control the size and shape of the iceball by injecting solutions with specific thermal properties into the target tissues, to enhance freezing damage to the diseased tissues while preserving the normal tissues from injury. The cryosurgical procedure was performed using a minimally invasive cryoprobe cooled by liquid nitrogen (LN2) to obtain deep regional freezing. Several needle thermocouples were applied simultaneously to record the transient temperature to detect the freezing effect on the tissues. Simulation experiments on biological tissue (fresh pork) were performed in vitro and four different liquids were injected into the test materials; these were distilled water, an aqueous suspension of aluminum nanoparticles in water, ethanol, and a 10% solution of the cryoprotective agent dimethyl sulfoxide (Me2SO). The experimental results demonstrate that the localized injection of an appropriate solution could enhance the tumor-killing effect without altering the freezing conditions. The study also suggests the potential value of combining cryosurgery with other therapeutic methods, such as electrical, chemical, and thermal treatments, to develop new clinical modalities in the near future.


Assuntos
Criocirurgia/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Animais , Crioprotetores/uso terapêutico , Dimetil Sulfóxido/uso terapêutico , Etanol/uso terapêutico , Congelamento , Soluções , Suínos , Água
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