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1.
Acta Cir Bras ; 36(3): e360302, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729331

RESUMEN

PURPOSE: To investigate the efficacy of cordycepin, an adenosine analogue, on prevention of esophageal damage and stricture formation due to esophageal caustic burns in rat model comparing with prednisolone. METHODS: Caustic esophageal burn was introduced by 37.5% of NaOH to distal esophagus. Thirty-two Wistar albino rats were divided in four groups: sham rats undergone laparotomy, treated with 0.9% NaCl; control rats injured with NaOH without cordycepin treatment; cordycepin group injured with NaOH, treated with 20 mg/kg cordycepin; prednisolone group injured with NaOH, treated with 1 mg/kg prednisolone for 28 days. Efficacy was assessed by histopathological and immunohistochemical analysis of esophageal tissues. RESULTS: Cordycepin treatment significantly decreased inflammation, granulation tissue and fibrous tissue formation and prevented formation of esophageal strictures shown by histopathological damage score and stenosis indexes compared to control group (p < 0.01). These effects are relatively more substantial than prednisolone, probably based on attenuation of elevation of proinflammatory cytokines hypoxia-inducible factor 1-alpha (HIF-1?), tumor necrosis factor alpha (TNF-?), proliferative and fibrotic factor fibroblast growth factor 2 (FGF2) and angiogenic factor vascular endothelial growth factor A (VEGFA) (p < 0.05). CONCLUSIONS: The findings suggest that cordycepin has a complex multifactorial healing process in alkali-burned tissue, more successful than prednisolone in preventing the formation of esophageal strictures and may be used as a therapeutic agent in the acute phase of esophageal alkali-burn.


Asunto(s)
Quemaduras Químicas , Cáusticos , Estenosis Esofágica , Álcalis/uso terapéutico , Animales , Antiinflamatorios/uso terapéutico , Quemaduras Químicas/tratamiento farmacológico , Cáusticos/uso terapéutico , Cáusticos/toxicidad , Desoxiadenosinas , Estenosis Esofágica/inducido químicamente , Estenosis Esofágica/tratamiento farmacológico , Estenosis Esofágica/prevención & control , Ratas , Ratas Wistar , Factor A de Crecimiento Endotelial Vascular/uso terapéutico
2.
Acta cir. bras. ; 36(3): e360302, 2021. ilus, tab
Artículo en Inglés | VETINDEX | ID: vti-30531

RESUMEN

Purpose To investigate the efficacy of cordycepin, an adenosine analogue, on prevention of esophageal damage and stricture formation due to esophageal caustic burns in rat model comparing with prednisolone. Methods Caustic esophageal burn was introduced by 37.5% of NaOH to distal esophagus. Thirty-two Wistar albino rats were divided in four groups: sham rats undergone laparotomy, treated with 0.9% NaCl; control rats injured with NaOH without cordycepin treatment; cordycepin group injured with NaOH, treated with 20 mg/kg cordycepin; prednisolone group injured with NaOH, treated with 1 mg/kg prednisolone for 28 days. Efficacy was assessed by histopathological and immunohistochemical analysis of esophageal tissues. Results Cordycepin treatment significantly decreased inflammation, granulation tissue and fibrous tissue formation and prevented formation of esophageal strictures shown by histopathological damage score and stenosis indexes compared to control group (p 0.01). These effects are relatively more substantial than prednisolone, probably based on attenuation of elevation of proinflammatory cytokines hypoxia-inducible factor 1-alpha (HIF-1?), tumor necrosis factor alpha (TNF-?), proliferative and fibrotic factor fibroblast growth factor 2 (FGF2) and angiogenic factor vascular endothelial growth factor A (VEGFA) (p 0.05). Conclusions The findings suggest that cordycepin has a complex multifactorial healing process in alkali-burned tissue, more successful than prednisolone in preventing the formation of esophageal strictures and may be used as a therapeutic agent in the acute phase of esophageal alkali-burn.(AU)


Asunto(s)
Animales , Ratas , Estenosis Esofágica/prevención & control , Estenosis Esofágica/veterinaria , Álcalis , Quemaduras/veterinaria , Quemaduras/terapia
3.
Acta cir. bras ; Acta cir. bras;36(3): e360302, 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1152706

RESUMEN

ABSTRACT Purpose To investigate the efficacy of cordycepin, an adenosine analogue, on prevention of esophageal damage and stricture formation due to esophageal caustic burns in rat model comparing with prednisolone. Methods Caustic esophageal burn was introduced by 37.5% of NaOH to distal esophagus. Thirty-two Wistar albino rats were divided in four groups: sham rats undergone laparotomy, treated with 0.9% NaCl; control rats injured with NaOH without cordycepin treatment; cordycepin group injured with NaOH, treated with 20 mg/kg cordycepin; prednisolone group injured with NaOH, treated with 1 mg/kg prednisolone for 28 days. Efficacy was assessed by histopathological and immunohistochemical analysis of esophageal tissues. Results Cordycepin treatment significantly decreased inflammation, granulation tissue and fibrous tissue formation and prevented formation of esophageal strictures shown by histopathological damage score and stenosis indexes compared to control group (p < 0.01). These effects are relatively more substantial than prednisolone, probably based on attenuation of elevation of proinflammatory cytokines hypoxia-inducible factor 1-alpha (HIF-1?), tumor necrosis factor alpha (TNF-?), proliferative and fibrotic factor fibroblast growth factor 2 (FGF2) and angiogenic factor vascular endothelial growth factor A (VEGFA) (p < 0.05). Conclusions The findings suggest that cordycepin has a complex multifactorial healing process in alkali-burned tissue, more successful than prednisolone in preventing the formation of esophageal strictures and may be used as a therapeutic agent in the acute phase of esophageal alkali-burn.


Asunto(s)
Animales , Ratas , Quemaduras Químicas/tratamiento farmacológico , Cáusticos/toxicidad , Cáusticos/uso terapéutico , Estenosis Esofágica/inducido químicamente , Estenosis Esofágica/prevención & control , Estenosis Esofágica/tratamiento farmacológico , Desoxiadenosinas , Ratas Wistar , Factor A de Crecimiento Endotelial Vascular/uso terapéutico , Álcalis/uso terapéutico , Antiinflamatorios/uso terapéutico
4.
Acta Cir Bras ; 34(12): e201901204, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32074166

RESUMEN

PURPOSE: To examine the therapeutic effect of external adenosine on an acetic acid-induced acute ulcerative colitis model in rats. METHODS: Thirty male mature rats were divided into three groups as control, acute colitis (AC) and AC+adenosine group (AC+AD). AC was induced by rectal administration of 4% acetic acid (AA). 5mg/kg/day adenosine was performed i.p for 4 weeks to AC+AD group. Rectum and colon were excised for microscopic and histopathological histopathologic evaluations, and immunohistochemical analysis of nuclear factor kappa B (NF-kB). Blood samples were collected for biochemical detection of TNF-α, Pentraxin-3 and malondialdehyde (MDA) levels. RESULTS: AC group had generalized hyperemia and hemorrhage with increased macroscopic and histopathological scores compared with control (P <0.0001) while adenosine treatment decreased these scores significantly (P <0.001), with reduced distribution of disrupted epithelium, leukocyte infiltrates, and focal hemorrhage. AC group showed significantly increased immunoexpression of NF-kB in rectum, plasma and tissue levels of TNF-α, plasma Pentraxin-3 and MDA levels (P <0.0001) while adenosine reduced these levels (P < 0.05). CONCLUSION: Adenosine appears to promote healing of colon and rectum exposed to AA-induced AC, suggesting a boosting effect of adenosine on the intestinal immune system to cure ulcerative colitis.


Asunto(s)
Adenosina/uso terapéutico , Antiinflamatorios/uso terapéutico , Colitis Ulcerosa/tratamiento farmacológico , Ácido Acético , Enfermedad Aguda , Animales , Proteína C-Reactiva/análisis , Colitis Ulcerosa/inducido químicamente , Colitis Ulcerosa/patología , Colon/patología , Ensayo de Inmunoadsorción Enzimática , Inmunohistoquímica , Masculino , Malondialdehído/sangre , FN-kappa B/análisis , Ratas Sprague-Dawley , Recto/patología , Valores de Referencia , Reproducibilidad de los Resultados , Componente Amiloide P Sérico/análisis , Sustancias Reactivas al Ácido Tiobarbitúrico , Factores de Tiempo , Resultado del Tratamiento , Factor de Necrosis Tumoral alfa/análisis
5.
Acta cir. bras. ; 34(12): e201901204, 2019. ilus, tab
Artículo en Inglés | VETINDEX | ID: vti-13670

RESUMEN

Purpose To examine the therapeutic effect of external adenosine on an acetic acid-induced acute ulcerative colitis model in rats. Methods Thirty male mature rats were divided into three groups as control, acute colitis (AC) and AC+adenosine group (AC+AD). AC was induced by rectal administration of 4% acetic acid (AA). 5mg/kg/day adenosine was performed i.p for 4 weeks to AC+AD group. Rectum and colon were excised for microscopic and histopathological histopathologic evaluations, and immunohistochemical analysis of nuclear factor kappa B (NF-kB). Blood samples were collected for biochemical detection of TNF-α, Pentraxin-3 and malondialdehyde (MDA) levels. Results AC group had generalized hyperemia and hemorrhage with increased macroscopic and histopathological scores compared with control (P <0.0001) while adenosine treatment decreased these scores significantly (P <0.001), with reduced distribution of disrupted epithelium, leukocyte infiltrates, and focal hemorrhage. AC group showed significantly increased immunoexpression of NF-kB in rectum, plasma and tissue levels of TNF-α, plasma Pentraxin-3 and MDA levels (P <0.0001) while adenosine reduced these levels (P < 0.05). Conclusion Adenosine appears to promote healing of colon and rectum exposed to AA-induced AC, suggesting a boosting effect of adenosine on the intestinal immune system to cure ulcerative colitis.(AU)


Asunto(s)
Animales , Masculino , Ratas , Colitis Ulcerosa/tratamiento farmacológico , Adenosina/uso terapéutico , FN-kappa B/antagonistas & inhibidores , Modelos Animales
6.
Acta cir. bras ; Acta cir. bras;34(12): e201901204, 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1100881

RESUMEN

Abstract Purpose To examine the therapeutic effect of external adenosine on an acetic acid-induced acute ulcerative colitis model in rats. Methods Thirty male mature rats were divided into three groups as control, acute colitis (AC) and AC+adenosine group (AC+AD). AC was induced by rectal administration of 4% acetic acid (AA). 5mg/kg/day adenosine was performed i.p for 4 weeks to AC+AD group. Rectum and colon were excised for microscopic and histopathological histopathologic evaluations, and immunohistochemical analysis of nuclear factor kappa B (NF-kB). Blood samples were collected for biochemical detection of TNF-α, Pentraxin-3 and malondialdehyde (MDA) levels. Results AC group had generalized hyperemia and hemorrhage with increased macroscopic and histopathological scores compared with control (P <0.0001) while adenosine treatment decreased these scores significantly (P <0.001), with reduced distribution of disrupted epithelium, leukocyte infiltrates, and focal hemorrhage. AC group showed significantly increased immunoexpression of NF-kB in rectum, plasma and tissue levels of TNF-α, plasma Pentraxin-3 and MDA levels (P <0.0001) while adenosine reduced these levels (P < 0.05). Conclusion Adenosine appears to promote healing of colon and rectum exposed to AA-induced AC, suggesting a boosting effect of adenosine on the intestinal immune system to cure ulcerative colitis.


Asunto(s)
Animales , Masculino , Colitis Ulcerosa/tratamiento farmacológico , Adenosina/uso terapéutico , Antiinflamatorios/uso terapéutico , Recto/patología , Valores de Referencia , Factores de Tiempo , Proteína C-Reactiva/análisis , Componente Amiloide P Sérico/análisis , Ensayo de Inmunoadsorción Enzimática , Inmunohistoquímica , Colitis Ulcerosa/inducido químicamente , Colitis Ulcerosa/patología , Enfermedad Aguda , Reproducibilidad de los Resultados , FN-kappa B/análisis , Factor de Necrosis Tumoral alfa/análisis , Resultado del Tratamiento , Sustancias Reactivas al Ácido Tiobarbitúrico , Ratas Sprague-Dawley , Colon/patología , Ácido Acético , Malondialdehído/sangre
7.
Acta Cir Bras ; 33(4): 362-374, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29768539

RESUMEN

PURPOSE: To investigate the prophylactic and therapeutical effects of sildenafil in a model of acute radiation proctitis (ARP). METHODS: All experimental procedures of this study was examined by histopathological, immunohistochemical and transmission electron microscopic analysis. RESULTS: Our histopathological evaluations indicated significant increases in lesion severity, cryptic apsis, cryptitis, cryptic distortion, reactive atypia and infiltration depth of the control (proctitis) group. While the prophylaxis group and the treatment group had significantly lower scores. High-dose group showed similar results as prophylaxis group. Histopathological findings of the prophylaxis group was more significant than the treatment group. Immunoreactivities of IL-1ß, FGF-2, TNF- α and HIF-1α increased in the control group especially in the epithelial and cryptic regions. On the contrary, sildenafil application caused significant decreases of inflammatory markers in all treatment groups, specifically better results in the prophylaxis group. CONCLUSION: The sildenafil has anti-inflammatory effects on ARP, as well as protective effects against ARP and the protective effect of sildenafil surpasses its therapeutic effect histopathologically.


Asunto(s)
Antiinflamatorios/farmacología , Profilaxis Posexposición/métodos , Proctitis/tratamiento farmacológico , Proctitis/etiología , Traumatismos Experimentales por Radiación/tratamiento farmacológico , Citrato de Sildenafil/farmacología , Animales , Factor 2 de Crecimiento de Fibroblastos/análisis , Subunidad alfa del Factor 1 Inducible por Hipoxia/análisis , Inmunohistoquímica , Interleucina-1beta/análisis , Microscopía Electrónica de Transmisión , Proctitis/patología , Sustancias Protectoras/farmacología , Traumatismos Experimentales por Radiación/patología , Distribución Aleatoria , Recto/patología , Reproducibilidad de los Resultados , Índice de Severidad de la Enfermedad , Factores de Tiempo , Resultado del Tratamiento , Factor de Necrosis Tumoral alfa/análisis , Factor A de Crecimiento Endotelial Vascular/análisis
8.
Acta cir. bras. ; 33(4): 362-374, abr. 2018. ilus, tab
Artículo en Inglés | VETINDEX | ID: vti-734642

RESUMEN

Purpose: To investigate the prophylactic and therapeutical effects of sildenafil in a model of acute radiation proctitis (ARP). Methods: All experimental procedures of this study was examined by histopathological, immunohistochemical and transmission electron microscopic analysis. Results: Our histopathological evaluations indicated significant increases in lesion severity, cryptic apsis, cryptitis, cryptic distortion, reactive atypia and infiltration depth of the control (proctitis) group. While the prophylaxis group and the treatment group had significantly lower scores. High-dose group showed similar results as prophylaxis group. Histopathological findings of the prophylaxis group was more significant than the treatment group. Immunoreactivities of IL-1β, FGF-2, TNF-α and HIF-1α increased in the control group especially in the epithelial and cryptic regions. On the contrary, sildenafil application caused significant decreases of inflammatory markers in all treatment groups, specifically better results in the prophylaxis group. Conclusion: The sildenafil has anti-inflammatory effects on ARP, as well as protective effects against ARP and the protective effect of sildenafil surpasses its therapeutic effect histopathologically.(AU)


Asunto(s)
Animales , Femenino , Ratas , Citrato de Sildenafil/farmacología , Citrato de Sildenafil/uso terapéutico , Proctitis/inducido químicamente , Proctitis/tratamiento farmacológico , Proctitis/terapia , Modelos Animales de Enfermedad , Ratas Sprague-Dawley
9.
Acta cir. bras ; Acta cir. bras;33(4): 362-374, Apr. 2018. tab, graf
Artículo en Inglés | LILACS | ID: biblio-886283

RESUMEN

Abstract Purpose: To investigate the prophylactic and therapeutical effects of sildenafil in a model of acute radiation proctitis (ARP). Methods: All experimental procedures of this study was examined by histopathological, immunohistochemical and transmission electron microscopic analysis. Results: Our histopathological evaluations indicated significant increases in lesion severity, cryptic apsis, cryptitis, cryptic distortion, reactive atypia and infiltration depth of the control (proctitis) group. While the prophylaxis group and the treatment group had significantly lower scores. High-dose group showed similar results as prophylaxis group. Histopathological findings of the prophylaxis group was more significant than the treatment group. Immunoreactivities of IL-1β, FGF-2, TNF- α and HIF-1α increased in the control group especially in the epithelial and cryptic regions. On the contrary, sildenafil application caused significant decreases of inflammatory markers in all treatment groups, specifically better results in the prophylaxis group. Conclusion: The sildenafil has anti-inflammatory effects on ARP, as well as protective effects against ARP and the protective effect of sildenafil surpasses its therapeutic effect histopathologically.


Asunto(s)
Animales , Proctitis/etiología , Proctitis/tratamiento farmacológico , Traumatismos Experimentales por Radiación/tratamiento farmacológico , Profilaxis Posexposición/métodos , Citrato de Sildenafil/farmacología , Antiinflamatorios/farmacología , Proctitis/patología , Traumatismos Experimentales por Radiación/patología , Recto/patología , Factores de Tiempo , Índice de Severidad de la Enfermedad , Inmunohistoquímica , Distribución Aleatoria , Reproducibilidad de los Resultados , Factor 2 de Crecimiento de Fibroblastos/análisis , Factor de Necrosis Tumoral alfa/análisis , Resultado del Tratamiento , Sustancias Protectoras/farmacología , Factor A de Crecimiento Endotelial Vascular/análisis , Microscopía Electrónica de Transmisión , Subunidad alfa del Factor 1 Inducible por Hipoxia/análisis , Interleucina-1beta/análisis
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