Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 67
Filtrar
Más filtros

Medicinas Complementárias
País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Sci Rep ; 11(1): 4213, 2021 02 18.
Artículo en Inglés | MEDLINE | ID: mdl-33603087

RESUMEN

Early-life gut microbial colonisation is known to influence host physiology and development, shaping its phenotype. The developing gastro-intestinal tract of neonatal piglets provides a "window of opportunity" for programming their intestinal microbiota composition and corresponding intestinal development. Here, we investigated the impact of early feeding on jejunum and colon microbiota composition, and intestinal maturation in suckling piglets. From two days of age, early-fed (EF; n = 6 litters) piglets had access to solid feed containing a mixture of fibres till weaning (day29) in addition to sow's milk, whereas the control (CON; n = 6 litters) piglets exclusively fed on sow's milk. Early feeding elicited a significant impact on the colon microbiota, whereas no such effect was seen in the jejunal and ileal microbiota. Quantified eating behavioural scores could significantly explain the variation in microbiota composition of EF piglets and support their classification into good, moderate, and bad eaters. Members of the Lachnospiraceae family, and the genera Eubacterium, Prevotella, and Ruminococcus were quantitatively associated with eating scores. EF piglets were found to have a decreased pH in caecum and colon, which coincided with increased short-chain fatty acid (SCFA) concentrations. Moreover, they also had increased weights and lengths of several intestinal tract segments, as well as a decreased villus-crypt ratio in jejunal mucosa and an increased abundance of proliferative cells in colon mucosa. The approaches in this study indicate that early feeding of a mixed-fibre (pre-weaning) diet changes the microbiota composition, pH, and fermentation products in the distal gut of piglets, while it also alters both macroscopic and microscopic intestinal measurements. These results exemplify the potential of early feeding to modulate intestinal development in young piglets.


Asunto(s)
Sistema Digestivo/fisiopatología , Microbioma Gastrointestinal/fisiología , Mucosa Intestinal/microbiología , Alimentación Animal , Animales , Animales Recién Nacidos , Proliferación Celular/fisiología , Dieta , Fibras de la Dieta/metabolismo , Suplementos Dietéticos , Sistema Digestivo/metabolismo , Sistema Digestivo/microbiología , Ácidos Grasos Volátiles/metabolismo , Fermentación/fisiología , Concentración de Iones de Hidrógeno , Mucosa Intestinal/metabolismo , Leche/metabolismo , Porcinos
2.
J Insect Physiol ; 111: 32-40, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30393142

RESUMEN

Despite its great potentiality, little attention has been paid to modelling gastrointestinal symptoms of Parkinson's disease (PD) in Drosophila melanogaster (Dm). Our previous studies on standardized Mucuna pruriens extract (Mpe) have shown usefulness in the Drosophila model of PD. In this communication, we provide new information on the effect of Mpe on basal and serotonin treated contractions in the crop (i.e., an important and essential part of the gut) in Drosophila PD mutant for PTEN-induced putative kinase 1 (PINK1B9) gene. The effect of Mpe on PINK1B9 supplied with standard diet to larvae and/or adults, were assayed on 10-15 days old flies. Conversely from what we observed in the wild type flies, recordings demonstrated that exogenous applications of serotonin on crop muscles of untreated PINK1B9 affect neither the frequency nor the amplitude of the crop contraction, while the same muscle parameters are enhanced following brain injections of serotonin, thus suggesting that PINK1B9 mutants may likely have an impairment in the serotonergic pathways. Also, the mitochondrial morphology in the crop muscles is strongly compromised, as demonstrated by the transmission electron microscopy analysis. The Mpe treatment rescued the crop muscle parameters and also the mitochondrial morphology when supplied to both larvae and adults. Overall, this study strengthens the relevance of using PINK1B9 Dm as a translational model to study the gastrointestinal symptoms in PD and also confirms the useful employment of M. pruriens for PD treatment.


Asunto(s)
Sistema Digestivo/efectos de los fármacos , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/efectos de los fármacos , Mucuna/química , Contracción Muscular/efectos de los fármacos , Enfermedad de Parkinson/tratamiento farmacológico , Extractos Vegetales/farmacología , Proteínas Serina-Treonina Quinasas/metabolismo , Animales , Sistema Digestivo/fisiopatología , Sistema Digestivo/ultraestructura , Modelos Animales de Enfermedad , Drosophila melanogaster/fisiología , Microscopía Electrónica de Transmisión , Mitocondrias/efectos de los fármacos , Mitocondrias/ultraestructura , Enfermedad de Parkinson/fisiopatología
3.
Am J Gastroenterol ; 108(2): 270-6, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23295280

RESUMEN

OBJECTIVES: Heavy alcohol intake may exacerbate gastrointestinal (GI) symptoms in adults with irritable bowel syndrome (IBS); however, the role of alcohol in IBS is unclear. We investigated prospective associations between daily patterns of alcohol intake and next day's GI symptoms using daily diaries. METHODS: In an observational study of women aged 18-48 years with IBS and healthy controls, participants recorded daily GI symptoms, alcohol intake, caffeine intake, and cigarette smoking for ≈ 1 month. GI symptoms included abdominal pain, abdominal bloating, intestinal gas, diarrhea, constipation, nausea, stomach pain, heartburn, and indigestion. Binge drinking was defined as 4+ alcohol-containing drinks/day. RESULTS: Patterns of alcohol intake did not differ between IBS patients and controls. Although patterns of drinking were associated with GI symptoms among women with IBS, this was not the case with the healthy controls. The strongest associations for IBS patients were between binge drinking and the next day's GI symptoms (e.g., diarrhea, P=0.006; nausea, P=0.01; stomach pain, P=0.009; and indigestion, P=0.004), whereas moderate and light drinking either were not associated or weakly associated with GI symptoms. Associations between alcohol intake and GI symptoms were stronger for women with IBS-diarrhea than for IBS-constipation or IBS-mixed. Effects of binge drinking on GI symptoms were strongest when comparing between individuals (rather than within individuals). CONCLUSIONS: Our findings indicate that IBS symptoms differ according to the pattern of alcohol intake among IBS patients, suggesting that the pattern of drinking may in part explain the inconsistent findings between alcohol and IBS symptoms.


Asunto(s)
Consumo Excesivo de Bebidas Alcohólicas/complicaciones , Sistema Digestivo/efectos de los fármacos , Sistema Digestivo/fisiopatología , Etanol/efectos adversos , Síndrome del Colon Irritable/complicaciones , Dolor Abdominal/etiología , Adulto , Consumo de Bebidas Alcohólicas/efectos adversos , Cafeína/administración & dosificación , Estudios de Casos y Controles , Café/efectos adversos , Estreñimiento/etiología , Diarrea/etiología , Dispepsia/etiología , Etanol/administración & dosificación , Femenino , Flatulencia/etiología , Pirosis/etiología , Humanos , Persona de Mediana Edad , Modelos Estadísticos , Náusea/etiología , Estudios Prospectivos , Factores de Riesgo , Fumar/efectos adversos , Encuestas y Cuestionarios
4.
J Hepatol ; 57(5): 1069-75, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22760010

RESUMEN

BACKGROUND & AIMS: Although antiviral treatment for hepatitis C (HCV) is highly effective, side effects often occur, including weight loss, digestive symptoms, and impaired quality of life. We aimed at exploring the beneficial effects of preventive nutritional support. METHODS: In a randomized controlled trial, 53 HCV patients were allocated to "on demand" support (n=26: nutritional intervention if weight loss >5%) or preventive support (n=27: regular dietary advice plus energy- and protein-rich evening snack). Nutritional state (including validated Jamar Hand Grip Strength), digestive symptoms (visual analog score), and quality of life (SF-36 survey) were evaluated at baseline, and after 24 and 48 weeks of peginterferon α-2b and ribavirin treatment. RESULTS: The primary end point (weight loss at 24 weeks) was reached in 22 patients in both groups. Weight decreased markedly in the "on demand" group (decrease at 24 weeks: 5.4 kg or 6.9%, p<0.001), but not in the preventive group (decrease 0.3 kg or 0.3%, p=n.s.). Jamar Hand Grip Strength deteriorated in the "on demand" group (from 40.3 ± 15.5 kg to 32.0 ± 13.1 kg, p<0.001) but not in the preventive group (from 40.7 ± 10.4 kg to 39.7 ± 8.9 kg, p=n.s.). Intake of energy, proteins, and fat decreased markedly in the "on demand" group but increased in the preventive group. Although digestive symptoms and quality of life deteriorated, impairment was significantly less in the preventive group. CONCLUSIONS: Preventive nutritional advice plus supplementation prevents weight loss and catabolic state during HCV antiviral therapy, with improved digestive symptoms and quality of life.


Asunto(s)
Antivirales/uso terapéutico , Enfermedades del Sistema Digestivo/prevención & control , Hepatitis C/tratamiento farmacológico , Interferón-alfa/uso terapéutico , Terapia Nutricional , Polietilenglicoles/uso terapéutico , Ribavirina/uso terapéutico , Adulto , Anciano , Sistema Digestivo/fisiopatología , Enfermedades del Sistema Digestivo/fisiopatología , Femenino , Fuerza de la Mano/fisiología , Hepatitis C/fisiopatología , Humanos , Interferón alfa-2 , Masculino , Persona de Mediana Edad , Estado Nutricional/fisiología , Calidad de Vida , Proteínas Recombinantes/uso terapéutico , Resultado del Tratamiento
5.
J Med Food ; 13(4): 992-8, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20482282

RESUMEN

Because consumption of whey protein hydrolysates is on the increase, the possibility that prolonged ingestion of whey protein hydrolysates affect the digestive system of mammals has prompted us to evaluate the enzymatic activities of pepsin, leucine-aminopeptidase, chymotrypsin, trypsin, and glutaminase in male Wistar rats fed diets containing either a commercial whey isolate or a whey protein hydrolysate with medium degree of hydrolysis and to compare the results with those produced by physical training (sedentary, sedentary-exhausted, trained, and trained-exhausted) in the treadmill for 4 weeks. The enzymatic activities were determined by classical procedures in all groups. No effect due to the form of the whey protein in the diet was seen in the activities of pepsin, trypsin, chymotrypsin, and leucine-aminopeptidase. Training tended to increase the activity of glutaminase, but exhaustion promoted a decrease in the trained animals, and consumption of the hydrolysate decreased it even further. The results are consistent with the conclusion that chronic consumption of a whey protein hydrolysate brings little or no modification of the proteolytic digestive system and that the lowering of glutaminase activity may be associated with an antistress effect, counteracting the effect induced by training in the rat.


Asunto(s)
Proteínas en la Dieta/administración & dosificación , Sistema Digestivo/enzimología , Ejercicio Físico , Glutaminasa/metabolismo , Proteínas de la Leche/administración & dosificación , Hidrolisados de Proteína/administración & dosificación , Animales , Sistema Digestivo/química , Sistema Digestivo/fisiopatología , Glutaminasa/análisis , Humanos , Masculino , Modelos Animales , Ratas , Ratas Wistar , Proteína de Suero de Leche
6.
J Biol Regul Homeost Agents ; 24(1): 93-8, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20385075

RESUMEN

"Functional dyspepsia" represents a clinical condition of pain and/or persistent or recurrent discomfort that concerns a large portion of the healthy population. It has already been shown that some herbs (Melissa Officinalis, Cynara scolymus) can have favorable effects on digestion. The principal aim of this study is to determine whether the ingestion of "Gran Soleil" dessert, with or without herbs, after meals can be beneficial to health in subjects suffering from functional dyspepsia. For this purpose, thirty subjects with functional dyspepsia were enrolled and were asked to consume "Gran Soleil" with or without herbs; these subjects reported the course of their symptoms on VAS scale, during the basal period and after the ingestion "Gran Soleil" with and without herbs. It has been shown that the ingestion of "Gran Soleil" without herbs can induce a reduction both in the number of events connected to a dyspeptic syndrome and in their intensity; moreover the assumption of "Gran Soleil" with the addition of herbs helped to intensify this effect.


Asunto(s)
Dispepsia/dietoterapia , Dispepsia/tratamiento farmacológico , Fitoterapia , Plantas Medicinales , Frío , Cynara scolymus , Sistema Digestivo/efectos de los fármacos , Sistema Digestivo/fisiopatología , Dispepsia/fisiopatología , Femenino , Humanos , Masculino , Melissa
7.
Pediatr Clin North Am ; 56(5): 1161-83, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19931069

RESUMEN

Malnutrition is common in infants and children with chronic liver disease (CLD) and may easily be underestimated by clinical appearance alone. The cause of malnutrition in CLD is multifactorial, although insufficient dietary intake is probably the most important factor and is correctable. Fat malabsorption occurs in cholestatic disorders, and one must also consider any accompanying fat-soluble vitamin and essential fatty acid deficiencies. The clinician should proactively evaluate, treat, and re-evaluate response to treatment of nutritional deficiencies. Because a better nutritional state is associated with better survival before and after liver transplantation, aggressive nutritional management is an important part of the care of these children.


Asunto(s)
Suplementos Dietéticos , Sistema Digestivo/fisiopatología , Hepatopatías/complicaciones , Hepatopatías/metabolismo , Desnutrición/dietoterapia , Desnutrición/prevención & control , Micronutrientes/metabolismo , Adolescente , Metabolismo Basal , Bilis/metabolismo , Enfermedades de las Vías Biliares/metabolismo , Niño , Preescolar , Colestasis/complicaciones , Colestasis/metabolismo , Enfermedad Crónica , Carbohidratos de la Dieta/metabolismo , Grasas de la Dieta/metabolismo , Proteínas en la Dieta/metabolismo , Sistema Digestivo/metabolismo , Ingestión de Energía , Humanos , Desnutrición/etiología , Desnutrición/metabolismo , Evaluación Nutricional , Oligoelementos/metabolismo , Vitaminas/metabolismo
8.
Biol Psychol ; 80(2): 149-57, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18765268

RESUMEN

The two-stage model of disgust differentiates between core and animal-reminder (AR) disgust [Rozin P., Fallon A., 1987. A perspective on disgust. Psychological Review 94, 23-41]. This study investigates whether core and A-R disgust elicit distinct physiological reaction patterns. Further, in line with the idea that A-R disgust is critically involved in blood phobia and may explain typical phenomenology of psychopathological symptoms (e.g., dizziness), we investigated whether physiological patterns (if present) would differ specifically for A-R disgust between high and low blood-fearful participants. Therefore, high (n=30) and low (n=30) blood-fearful individuals engaged in guided imagery of core disgust, A-R disgust, and neutral stimuli. Overall, both disgust scripts lead to increased activity in the digestive component of the autonomic nervous system (ANS). For cardiac components, sympathetic activity decreased, whereas no parasympathetic reactivity was observed compared to the neutral script. No differences were observed in physiological reactivity between the A-R and core disgust scripts. Meanwhile, in line with the idea that disgust is involved in blood phobia, subjective symptoms of vomit and dizziness did differentiate between high and low blood-fearful participants, as subjective symptoms were most pronounced in the high blood-fearful group. Contrary to our expectations, increases in subjective symptoms were apparent for both disgust types and not specifically for A-R disgust. So, physiological reactivity appeared relatively independent of type of disgust elicitor which, in turn, may reflect a general hard-wired protective mechanism to prevent contamination with pathogens.


Asunto(s)
Sistema Cardiovascular/fisiopatología , Sistema Digestivo/fisiopatología , Emociones/fisiología , Trastornos Fóbicos/fisiopatología , Trastornos Fóbicos/psicología , Adolescente , Adulto , Sangre , Presión Sanguínea/fisiología , Electromiografía/métodos , Femenino , Respuesta Galvánica de la Piel/fisiología , Frecuencia Cardíaca , Humanos , Imaginación/fisiología , Masculino , Dimensión del Dolor , Saliva/fisiología , Autoimagen , Encuestas y Cuestionarios , Adulto Joven
9.
Artículo en Inglés | MEDLINE | ID: mdl-18313343

RESUMEN

Several peptides that are derived from proglucagon including glucagon, glucagon-like peptide-1 (GLP-1), and oxyntomodulin (OXM) cause satiety in mammals. Glucagon and GLP-1 also cause satiety in the avian, but the effects of OXM on avian appetite-related processes are not reported. Thus, this study was conducted to elucidate whether OXM induces satiety in chicks and to determine its mechanism of induction. Intracerebroventricular (ICV) OXM, in a linear-dose dependent manner, potently decreased feed and water intake. However, we found that the effect on water intake was secondary to a reduction in feed intake. Chicks treated with ICV OXM had decreased c-Fos immunoreactivity in the regio lateralis hypothalami, but the nucleus infundibuli hypothalami (homologue to the mammalian arcuate nucleus) had increased c-Fos immunoreactivity. ICV OXM also caused total alimentary canal transit time to be decreased. We conclude that changes in the hypothalamus and gut may contribute to anorexigenic effects after ICV OXM in chicks. Through divergent evolution of birds and mammals, the central anorexigenic effects of OXM may have been conserved.


Asunto(s)
Anorexia/fisiopatología , Anorexia/veterinaria , Pollos/metabolismo , Sistema Digestivo/fisiopatología , Hipotálamo/metabolismo , Oxintomodulina/efectos adversos , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales/efectos de los fármacos , Animales , Anorexia/inducido químicamente , Depresores del Apetito/administración & dosificación , Depresores del Apetito/efectos adversos , Regulación del Apetito/efectos de los fármacos , Ingestión de Líquidos/efectos de los fármacos , Tránsito Gastrointestinal/efectos de los fármacos , Inyecciones , Oxintomodulina/administración & dosificación , Proteínas Proto-Oncogénicas c-fos/efectos de los fármacos , Proteínas Proto-Oncogénicas c-fos/genética , Respuesta de Saciedad/efectos de los fármacos
10.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 26 Suppl: 53-5, 2006 Jun.
Artículo en Chino | MEDLINE | ID: mdl-17569347

RESUMEN

OBJECTIVE: To observe the effect of Banxia Xiexin Decoction (BD) and its components in the rats with electrogastric dysrhythmia, explore the mechanism of BD' s "relieving distension and fullness, and dissolving lumps" and study BD' s compatibility regularity. METHODS: Rat model of electrogastric dysrhythmia was established, the effects of BD and its components on the coefficient of variability of the model' s slow wave electrogastric rhythm were determined. RESULTS: Compared with the model group, BD and all the components groups had better effects on all the aspects (P <0. 05 ), Among which the group containing herbs with pungent and bitter flavour (Rhizoma Pinelliae, Rhizoma Zingiberis, Radix Scutellariae, Radix Berberidis julianae) was the best. CONCLUSION: BD and all the components have the effects of rectifying electrogastric dysrhythmias in various degrees, and the herbs with pungent and bitter flavour are best. This study provides the experimental foundations for further understanding the mechanism of BD' s treating principle-using bitter drugs for purgation and pungent drugs for dispersion, normalizing the functional activities of qi.


Asunto(s)
Motilidad Gastrointestinal/efectos de los fármacos , Extractos Vegetales/farmacología , Gastropatías/fisiopatología , Animales , Sistema Digestivo/efectos de los fármacos , Sistema Digestivo/fisiopatología , Electrodiagnóstico , Medicina Tradicional China , Complejo Mioeléctrico Migratorio/efectos de los fármacos , Ratas
11.
Proc Natl Acad Sci U S A ; 101(31): 11465-70, 2004 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-15272078

RESUMEN

Dopamine (DA) controls a wide variety of physiological functions in the central nervous system as well as in the neuroendocrine and gastrointestinal systems. DA signaling is mediated by five cloned receptors named D1-D5. Knockout mouse models for the five receptors have been generated, and, albeit impaired for some important DA-mediated functions, they are viable and can reproduce. D1 and D2 receptors are the most abundant and widely expressed DA receptors. Cooperative/synergistic effects mediated by these receptors have been suggested, in particular, in the control of motor behaviors. To analyze the extent of such interrelationship, we have generated double D1/D2 receptor mutants. Interestingly, in contrast to single knockouts, we found that concurrent ablation of the D1 and D2 receptors is lethal during the second or third week after birth. This dramatic phenotype is likely to be related to altered feeding behavior and dysfunction of the gastrointestinal system, especially because major anatomical changes were not identified in the brain. Similarly, in the absence of functional D1, heterozygous D2 mutants (D1r(-/-);D2r(+/-)) showed severe growth retardation and did not survive their postweaning period. The analysis of motor behavior in D1r/D2r compound mutants showed that loss of D2-mediated functions reduces motor abilities, whereas the effect of D1r ablation on locomotion strongly depends on the experimental paradigms used. These studies highlight the interrelationship between D1 and D2 receptor-mediated control of motor activity, food intake, and gastrointestinal functions, which has been elusive in the single-gene ablation studies.


Asunto(s)
Insuficiencia de Crecimiento/genética , Insuficiencia de Crecimiento/fisiopatología , Receptores de Dopamina D1/genética , Receptores de Dopamina D2/genética , Transducción de Señal/fisiología , Animales , Sistema Digestivo/fisiopatología , Ingestión de Alimentos , Conducta Alimentaria , Femenino , Genes Letales , Hipotálamo/fisiopatología , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Mutantes , Neuronas Motoras/fisiología , Fenotipo , Receptores de Dopamina D1/metabolismo , Receptores de Dopamina D2/metabolismo
13.
Nihon Igaku Hoshasen Gakkai Zasshi ; 64(1): 22-30, 2004 Jan.
Artículo en Japonés | MEDLINE | ID: mdl-14994507

RESUMEN

The modified Brown's method is commonly used in Japan as preparation for barium enema; however, in a few cases, its cleansing effect is not satisfactory even with the use of adequate diet. To develop a new method of preparation for barium enema, we examined the use of an oral intestinal lavage solution (PEG-ELS) with mosapride and compared it with the modified Brown's method. We administered mosapride and PEG-ELS by four different methods. These methods were assessed by the amount of remaining feces and the adequacy of barium coating. Methods in which mosapride was taken separately before and after the intake of PEG-ELS were more effective than the method using mosapride and the modified Brown's method. Lesion detection was almost the same as that with the modified Brown's method. In conclusion, preparation for barium enema using mosapride before and after PEG-ELS intake is more effective than the modified Brown's method.


Asunto(s)
Sulfato de Bario , Benzamidas , Sistema Digestivo/diagnóstico por imagen , Lavado Gástrico , Fármacos Gastrointestinales , Morfolinas , Polietilenglicoles , Administración Oral , Benzamidas/normas , Sistema Digestivo/fisiopatología , Enema , Estudios de Evaluación como Asunto , Femenino , Fármacos Gastrointestinales/normas , Humanos , Persona de Mediana Edad , Morfolinas/normas , Radiografía , Soluciones
14.
JPEN J Parenter Enteral Nutr ; 27(4): 241-5, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12903886

RESUMEN

BACKGROUND: This research was conducted to evaluate the effect of enterally administered glutamine (gln) dipeptide on metabolic, gastrointestinal, and outcome parameters after severe burn injury. METHODS: Forty thermally injured patients with total body surface burns ranging between 50% and 80%, and third-degree burns ranging between 20% and 40% and without respiratory injuries, were randomized into a prospective, double-blind, controlled clinical trial. One group received gln-enriched enteral nutrition and the other group received the standard enteral formulation. Tube feedings were initiated on postburn day 1 (PBD +1), and isocaloric and isonitrogenous feedings were administered to both groups until PBD +12. The gln was given as the dipeptide of alanyl-gln (Ajinomoto, Tokyo, Japan), which provided 0.35 g gln/kg body weight/d. Plasma amino acid profiles, serum endotoxin concentrations, and the lactulose/mannitol absorption ratio (which reflects gut permeability) were measured at specific times throughout the clinical course. Wound healing at day 30 was assessed, and length of hospital stay and total costs were determined at discharge. RESULTS: The 2 groups were similar in terms of age and extent of injury. Plasma gln concentrations were approximately 300 umol/L in both groups on PBD +1 and remained low in the control group (399 +/- 40 umol/L, mean +/- SD) but increased toward normal in the supplemented group to 591 +/- 74 (p = .048). Lactulose/mannitol ratios were increased above normal on POD +1 (control, 0.221 +/- 0.169; gln, 0.268 +/- 0.202; not significant), reflecting increased intestinal permeability after burn injury. On POD +3, the ratio in the gln group was lower than control (0.025 +/- 0.008 versus 0.049 +/- 0.016; p = .0001), and both groups returned toward normal ratios with time. Endotoxin levels on PBD +1 were elevated in both groups (control, 0.089 +/- 0.023 EU/mL; gln, 0.103 +/- 0.037 EU/mL; NS) but decreased significantly on PBD +3 in the patients receiving gln. Hospital stay was significantly shorter in the gln group than controls (67 +/- 4 days versus 73 +/- 6; p = .026). On day 30, wound healing was 86% +/- 2% complete in the gln group compared with 72% +/- 3% in controls (p = .041). Total cost of hospitalization was 62794 +/- 6178 RMB (dollar 7593 +/- 747 US dollars) in the gln group and 68996 +/- 8620RMB (dollar 8343 +/- 1042, p = .031) in controls, although the cost of the enteral nutrition was higher in the gln-supplemented patients. CONCLUSION: Enteral gln supplementation using a commercially available dipeptide supported plasma gln levels, improved gut permeability, and initially decreased plasma endotoxin levels in severely thermally injured patients. These alterations were associated with a reduction in the length of hospitalization and lower costs.


Asunto(s)
Quemaduras/terapia , Sistema Digestivo/fisiopatología , Nutrición Enteral , Glutamina/administración & dosificación , Glutamina/sangre , Resultado del Tratamiento , Adolescente , Adulto , Quemaduras/microbiología , Quemaduras/fisiopatología , China , Suplementos Dietéticos , Método Doble Ciego , Endotoxinas/sangre , Infecciones por Escherichia coli/epidemiología , Alimentos Formulados , Humanos , Persona de Mediana Edad , Infecciones por Pseudomonas/epidemiología , Infecciones Estafilocócicas/epidemiología , Factores de Tiempo , Pérdida de Peso , Cicatrización de Heridas , Infección de Heridas/epidemiología , Infección de Heridas/microbiología , Infección de Heridas/prevención & control
15.
Ann Rheum Dis ; 62(5): 423-6, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12695153

RESUMEN

OBJECTIVE: To study factors associated with toxicity, final dose, and efficacy of methotrexate (MTX) in patients with rheumatoid arthritis (RA). METHODS: Data were used from a randomised clinical 48 week trial on 411 patients with RA all treated with MTX, comparing folates and placebo. Logistic regression was used to study the relation between baseline variables and various dependent factors, including hepatotoxicity (alanine aminotransferase >/=3 x upper limit of normal), MTX withdrawal, final MTX dose >/=15 mg/week, and MTX efficacy. RESULTS: Addition of folates to MTX treatment was strongly related to the lack of hepatotoxicity. Next to this, high body mass index was related to the occurrence of hepatotoxicity. Prior gastrointestinal (GI) events and younger age were related to the adverse event, diarrhoea. Hepatotoxicity and GI adverse events were the main reason for MTX withdrawal, which in turn was associated with the absence of folate supplementation, body mass index, prior GI events, and female sex. Renal function (creatinine clearance >/=50 ml/min) was not associated with toxicity. Reaching a final dose of MTX of >/=15 mg/week was related to folate supplementation and the absence of prior GI events. Efficacy of MTX treatment was associated with low disease activity at baseline, male sex, use of non-steroidal anti-inflammatory drugs (NSAIDs), and lower creatinine clearance. CONCLUSIONS: MTX toxicity, final dose, and efficacy are influenced by folate supplementation. Baseline characteristics predicting the outcome of MTX treatment are mainly prior GI events, body mass index, sex, use of NSAIDs, and creatinine clearance.


Asunto(s)
Antirreumáticos/efectos adversos , Artritis Reumatoide/tratamiento farmacológico , Metotrexato/efectos adversos , Adulto , Factores de Edad , Anciano , Antirreumáticos/administración & dosificación , Artritis Reumatoide/fisiopatología , Índice de Masa Corporal , Enfermedad Hepática Inducida por Sustancias y Drogas , Creatinina/farmacocinética , Sistema Digestivo/fisiopatología , Relación Dosis-Respuesta a Droga , Femenino , Ácido Fólico/administración & dosificación , Humanos , Masculino , Metotrexato/administración & dosificación , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Factores Sexuales , Resultado del Tratamiento
16.
Nutrition ; 18(10): 805-13, 2002 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12361771

RESUMEN

Space travelers experience a flight duration-dependent loss in weight and body mass while in a microgravity environment, despite the absence of increased energy expenditure. Anorexia in space can lead to in-flight caloric deficits of 1330 kcal per 70 kg astronaut per day in the presence of abundant food and has a critical effect on endurance and performance. Microgravity, alterations in the light-and-dark cycle, and exposure to radiation energy are the environmental stresses believed to influence appetite, food intake, and gastrointestinal function during space flight. Review of data and recent studies in rodents during microgravity showed a release of stress hormones and complex neuroendocrine and physiologic changes involving the modulation of hypothalamic activity, food intake-related hormones, and cytokines. The shift of dietary preference to carbohydrates, which occurs in astronauts, denotes a stress physiologic response and augments free-plasma tryptophan concentration in the brain, the precursor of the potent anorexic agent, serotonin (5-HT). Alterations of other neuroendocrine mediators, including corticotropin-releasing factor (CRF), coordinate the stress response, leading to a decrease in appetite and gastrointestinal function. Our laboratories used the antiorthostatic tail-suspension technique to successfully mimic some of these anorexia-related stress responses and to directly demonstrate the role of 5-HT in microgravity-related decreased food intake and delayed gastric emptying. Further rodent studies from our laboratories demonstrated the adverse effect of altered dark-and-light cycles on food intake and body weight. Radiation energy, through its documented effects on appetite, probably contributes to the decreased caloric intake by astronauts. Modulation of hypothalamic activity, 5-HT, and CRF play a critical role in anorexia related to microgravity and circadian rhythm alterations. Specific gene knockout mice (e.g., 5-HT or CRF and their respective receptors) may prove fruitful in defining the pathways by which anorexia in space occurs. An understanding of these pathophysiologic problems as they relate to appetite, food intake, gastric emptying and gastrointestinal function, sufficiently to derive successful practical solutions, may lead to a quantitative enhancement of physiologic well-being and performance status, serving as a productive countermeasure in space.


Asunto(s)
Adaptación Fisiológica , Anorexia/etiología , Apetito/fisiología , Vuelo Espacial , Estrés Fisiológico/fisiopatología , Medicina Aeroespacial , Animales , Anorexia/sangre , Astronautas , Carbohidratos de la Dieta/administración & dosificación , Sistema Digestivo/fisiopatología , Metabolismo Energético/fisiología , Preferencias Alimentarias/fisiología , Suspensión Trasera , Humanos , Hipotálamo/fisiología , Ratones , Modelos Biológicos , Serotonina/sangre , Triptófano/sangre , Ingravidez/efectos adversos , Simulación de Ingravidez
17.
Artículo en Ruso | MEDLINE | ID: mdl-12221840

RESUMEN

The authors describe morphofunctional changes in gastroduodenal tract in patients with chronic gastroduodenitis. Some of them have previously undergone laparoscopic cholecystectomy for cholelithiasis. Balneotherapy with mineral water "Uvinskaya" has a good effect in the above disease and therefore is recommended for prevention and treatment of patients with chronic gastroduodenitis as well as for prevention of repeated cholelithiasis after cholecystectomy.


Asunto(s)
Balneología , Sistema Digestivo/anatomía & histología , Sistema Digestivo/fisiopatología , Duodenitis/terapia , Gastritis/terapia , Aguas Minerales , Calcio , Duodenitis/fisiopatología , Gastritis/fisiopatología , Humanos , Sulfatos
18.
Crit Rev Biomed Eng ; 30(4-6): 419-57, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12739756

RESUMEN

Electrical stimulation of the gastrointestinal (GI) tract, analogous to pacing the human heart, is an attractive idea. This is because these organs, like the heart, have their own natural pacemakers, and the electrical signals they generate can be altered by externally delivering certain types of electric currents via intraluminal or serosal electrodes to certain areas of the GI tract. A number of studies on animals have been accomplished successfully to treat a variety of disease models, including gastroparesis, dumping, and short bowel syndrome. Over the past 10 years or so, electrical stimulation of the GI tract has received increasing attention among researchers and clinicians because of new techniques, such as implantable devices, and promising results achieved in treatment of gastroparesis and morbid obesity. The objective of this article is to review the advances in electrical stimulation of the gastrointestinal tract. First the electrophysiology of the GI tract and history of GI electrical stimulation are introduced. Then various methods of electrical stimulation of the stomach and small bowel in healthy animals and models of GI diseases are reviewed. Finally clinical applications of electrical stimulation to GI disorders and their possible mechanisms are discussed.


Asunto(s)
Sistema Digestivo/fisiopatología , Terapia por Estimulación Eléctrica/métodos , Enfermedades Gastrointestinales/terapia , Anastomosis en-Y de Roux/efectos adversos , Animales , Perros , Síndrome de Vaciamiento Rápido/fisiopatología , Síndrome de Vaciamiento Rápido/terapia , Terapia por Estimulación Eléctrica/clasificación , Terapia por Estimulación Eléctrica/instrumentación , Terapia por Estimulación Eléctrica/tendencias , Electroacupuntura/métodos , Enfermedades Gastrointestinales/etiología , Enfermedades Gastrointestinales/fisiopatología , Motilidad Gastrointestinal , Gastrosquisis/terapia , Humanos , Seudoobstrucción Intestinal/fisiopatología , Seudoobstrucción Intestinal/terapia , Obesidad Mórbida/terapia , Síndrome del Intestino Corto/fisiopatología , Síndrome del Intestino Corto/terapia , Porcinos , Síndrome
19.
Am J Physiol Cell Physiol ; 280(1): C126-34, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11121384

RESUMEN

Immunocytochemistry showed expression of aquaporin-1 (AQP1) water channels at sites involved in dietary fat processing, including intrahepatic cholangiocytes, gallbladder, pancreatic microvascular endothelium, and intestinal lacteals. To determine whether AQP1 has a role in dietary fat digestion and/or absorption, mice were placed on a diet that contained 50% fat. Whereas wild-type mice (3-3.5 wk of age, 10-12 g) gained 49 +/- 5% (SE, n = 50) body weight in 8 days, and heterozygous mice gained 46 +/- 4%, AQP1 null mice gained only 4 +/- 3%; weights became similar after return to a 6% fat diet after 6 days. The null mice on a high-fat diet acquired an oily appearance, developed steatorrhea with increased stool triglyceride content, and manifested serum hypotriglyceridemia. Supplementation of the high-fat diet with pancreatic enzymes partially corrected the decreased weight gain in null mice. Absorption of [(14)C]oleic acid from small intestine was not affected by AQP1 deletion, as determined by blood radioactivity after duodenal infusion. Lipase activity in feces and small intestine was remarkably greater in AQP1 null than wild-type mice on low- and high-fat diets. Fluid collections done in older mice (that are less sensitive to a high-fat diet) by ductal cannulation showed threefold increased pancreatic fluid flow in response to secretin/cholecystokinin, but volumes, pH, and amylase activities were affected little by AQP1 deletion, nor were bile flow rates and bile salt concentrations. Together, these results establish a dietary fat misprocessing defect in AQP1 null mice.


Asunto(s)
Acuaporinas/deficiencia , Grasas de la Dieta/metabolismo , Enfermedades del Sistema Digestivo/metabolismo , Sistema Digestivo/metabolismo , Factores de Edad , Animales , Acuaporina 1 , Acuaporinas/genética , Peso Corporal/fisiología , Enfermedad Celíaca/etiología , Enfermedad Celíaca/patología , Enfermedad Celíaca/fisiopatología , Sistema Digestivo/patología , Sistema Digestivo/fisiopatología , Enfermedades del Sistema Digestivo/genética , Enfermedades del Sistema Digestivo/fisiopatología , Ingestión de Alimentos/fisiología , Ácidos Grasos/metabolismo , Alimentos Formulados/efectos adversos , Vesícula Biliar/metabolismo , Vesícula Biliar/patología , Intestino Delgado/metabolismo , Intestino Delgado/patología , Lipasa/metabolismo , Hígado/metabolismo , Hígado/patología , Ratones , Ratones Noqueados , Ratones Transgénicos , Páncreas/metabolismo , Páncreas/patología , Pancrelipasa/farmacología
20.
Eksp Klin Farmakol ; 62(4): 33-6, 1999.
Artículo en Ruso | MEDLINE | ID: mdl-10513333

RESUMEN

The authors studied the effect of perftoran (PF) on the morpho-functional parameters of alimentary system organs (ASO) (liver, pancreas, stomach, duodenum, and small intestine) in rats with experimental chronic acetate duodenal ulcer. Inflammatory-infiltrative and dystrophic changes were found in the ASO tissues which led to activation of the enzymes superoxide dismutase and catalase in their homogenates. PF pharmacotherapy reduces the inflammatory-infiltrative changes in the ASO tissues and normalizes the enzyme systems of antioxidant protection.


Asunto(s)
Sustitutos Sanguíneos/farmacología , Sistema Digestivo/efectos de los fármacos , Úlcera Duodenal/fisiopatología , Fluorocarburos/farmacología , Acetatos , Animales , Sustitutos Sanguíneos/uso terapéutico , Enfermedad Crónica , Sistema Digestivo/enzimología , Sistema Digestivo/fisiopatología , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Úlcera Duodenal/inducido químicamente , Úlcera Duodenal/tratamiento farmacológico , Úlcera Duodenal/enzimología , Fluorocarburos/uso terapéutico , Masculino , Ratas , Factores de Tiempo
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA