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1.
J Pharmacol Sci ; 153(2): 84-88, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37640473

RESUMEN

Pulmonary vessels play a pivotal role in oxygen circulation. We previously demonstrated that pimaric acid (PiMA) activated large-conductance Ca2+-activated K+ (BKCa) channels and inhibited voltage-dependent Ca2+ channels (VDCCs). In the present study, PiMA attenuated vasoconstriction induced by high K+ or endothelin-1 in rat pulmonary arterial smooth muscles (PASMs). PiMA also reduced high K+-induced cytosolic [Ca2+] increase in PASM cells. PiMA increased BKCa currents and decreased VDCC currents. BKCa channels and VDCCs were formed by the α/ß1 and α1C/α1D/ß2/ß3 subunits, respectively. These results indicate that PiMA induces vasorelaxation through the dual effects of BKCa channel activation and VDCC inhibition in PASMs.


Asunto(s)
Hipertensión Pulmonar , Vasoconstricción , Animales , Ratas , Canales de Calcio Tipo L , Yoduro de Potasio , Músculo Liso
2.
Biosci Biotechnol Biochem ; 87(8): 833-838, 2023 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-37169915

RESUMEN

The development of repellents as alternatives to insecticides has expanded in recent years. However, their use in isopod pest control is limited. To develop an isopod repellent, a plant extract library from wild plants native to the Kochi Prefecture was screened for repellent activity against pillbugs, and 82 samples (87%) exhibited repellent activity. Among them, (E)-7-phenyl-2-heptene-4,6-diyn-1-ol was isolated and identified as a repellent from the root of Bidens pilosa. It had a half-maximal effective concentration of 0.20 µm, with a strong repellency. A study of the structure-activity relationship to (E)-7-phenyl-2-heptene-4,6-diyn-1-ol revealed that the presence of a hydroxyl group and an aromatic at both ends of the length of the seven-carbon chain is important for the expression of repellency. These results can potentially lead to a new repellent of phenylalkyl alcohol.


Asunto(s)
Bidens , Isópodos , Animales , Extractos Vegetales/farmacología
3.
Med Mol Morphol ; 52(3): 173-180, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30706191

RESUMEN

Glucocorticoids and hypoxia is considered to promote osteocyte apoptosis and necrosis, which are observed in glucocorticoid-associated osteonecrosis and osteoporosis. Heme oxygenase-1 (HO-1) induced by hemin is reported to have cytoprotective effects in ischemic diseases. The objective of this study was to evaluate the effect of HO-1 on osteocyte death caused by glucocorticoids and hypoxia. We confirmed that hemin induced HO-1 expression in MLO-Y4 mouse osteocytes. MLO-Y4 was cultured with dexamethasone (Dex) under hypoxia (DH group). Furthermore, these cells were cultured with hemin (DH-h group) or hemin and zinc protoporphyrin IX (an HO-1 inhibitor) (DH-h-PP group). The rates of apoptosis and necrosis of these groups were analyzed by flow cytometry and compared with cells cultured under normal condition. Both apoptosis and necrosis increased in the DH group. Hemin administration significantly reduced cell death caused by glucocorticoids and hypoxia in the DH-h group, and its effect was attenuated by the HO-1 inhibitor in DH-h-PP group. Capase-3 activity significantly decreased in the DH-h group. This implied that the cell death inhibition effect due to hemin is mediated by HO-1 and caspase-3. HO-1 induction may be useful in the treatment of glucocorticoid-associated osteonecrosis and osteoporosis.


Asunto(s)
Apoptosis , Hemo-Oxigenasa 1/metabolismo , Osteocitos/patología , Animales , Glucocorticoides/farmacología , Hemo-Oxigenasa 1/fisiología , Hipoxia , Ratones , Osteocitos/enzimología , Osteocitos/metabolismo , Osteoporosis/enzimología , Osteoporosis/metabolismo , Osteoporosis/fisiopatología
4.
Electromagn Biol Med ; 37(2): 84-94, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29708772

RESUMEN

This study aimed to evaluate femoral perfusion using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) for two weeks after the simultaneous initiation of electrical stimulation (ES) and steroid treatment in a steroid-induced osteonecrosis (ON) model. A single dose of methylprednisolone was injected into 14 rabbits. Seven rabbits underwent ES (ES group), and seven rabbits did not (control group). DCE-MRI was performed before steroid administration and 1, 5, 10, and 14 days after steroid administration. Regions of interest were set in the bilateral proximal femora. The enhancement ratio, initial slope, and area under the curve were analyzed. These parameters were evaluated after steroid administration in each group and between the two groups, and the ratios of ON in both groups were compared. In the control group, the minimum values of all parameters decreased significantly after steroid administration (P < 0.05), but in the ES group, the parameters did not decrease. In the ES group, all parameter values were significantly increased on the 10th and 14th days (P < 0.05). All parameter values in the ES group were significantly higher than those in the control group on the 14th day (P < 0.05). In the control group, ON was detected in three of five rabbits (in three of ten femora). In the ES group, ON was not detected. These results suggest that increased femoral blood flow elicited by ES may be related to ON prevention after steroid administration.


Asunto(s)
Medios de Contraste , Estimulación Eléctrica , Fémur/irrigación sanguínea , Imagen por Resonancia Magnética , Osteonecrosis/fisiopatología , Flujo Sanguíneo Regional , Esteroides/efectos adversos , Animales , Modelos Animales de Enfermedad , Fémur/diagnóstico por imagen , Fémur/efectos de los fármacos , Fémur/patología , Masculino , Osteonecrosis/inducido químicamente , Osteonecrosis/diagnóstico por imagen , Conejos , Flujo Sanguíneo Regional/efectos de los fármacos , Factores de Tiempo
5.
Genome Announc ; 5(8)2017 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-28232447

RESUMEN

Pichia membranifaciens KS47-1 is capable of growing on hydrolysate containing high concentrations of acetate and other growth inhibitors. To reveal the acetate-resistant associate genes of strain KS47-1, we present the 11.4-Mb draft genome sequence.

6.
Biosci Biotechnol Biochem ; 80(10): 2058-64, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27251083

RESUMEN

Eleven biosurfactant-producing strains were newly isolated from environmental samples using a drop-collapse assay and thin-layer chromatography (TLC). According to the TLC analysis, the separation patterns of the glycolipid spots of nine dominant strains corresponded to that of the sophorolipids produced by a Starmerella bombicola type strain. The retention factor values of the spot patterns of two strains were less than those of the others. Two representative major products were purified, and their molecular structures were determined. The major products were identified as diacetylated lactonic and acidic sophorolipids. The fatty acid moieties of both compounds were estimated to be 17-hydroxymethyl hexadecenoic acid. The amounts of glycolipids ranged from 5.0 to 22.9 g/L after 4 d of cultivation. According to a phylogenetic analysis, the strains were identified as Starmerella bombicola and Candida floricola.


Asunto(s)
Glucolípidos/biosíntesis , Saccharomycetales/aislamiento & purificación , Saccharomycetales/metabolismo , Filogenia , Saccharomycetales/clasificación , Tensoactivos/metabolismo
7.
J Orthop Sci ; 21(4): 407-413, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27062553

RESUMEN

BACKGROUND: Steroid (glucocorticoid)-induced osteonecrosis of the femoral head (ONFH) in young adults has been a challenging disorder due to frequent incidence of collapse of the femoral head and resulting dysfunction of the hip joint and impairing quality of life. In Japan, the working group on ONFH in the Specific Disease Investigation Committee under auspices of the Japanese Ministry of Health, Labor and Welfare was founded in 1975, clinical and related basic research on ONFH have been continued for more than 40 years. EPIDEMIOLOGY AND CLINICAL COURSE: A national epidemiologic survey in 2004 estimated that 2200 new patients per year would be diagnosed with ONFH in Japan. ONFH was associated with steroid intake (51%), heavy alcohol intake (31%), both (3%), and neither (15%). The male-to-female ratio was 5:4, and the peak decades of age at definitive diagnosis were the 40s in male patients and the 30s in females. MRI studies revealed that ONFH would have occurred in early phase after start of steroid administration and no expansion of necrotic lesion within the femoral head in spite of continued steroid use. To standardize ONFH diagnosis and treatment strategy, the Committee established validated diagnostic criteria, a radiological staging system, and type categorization. TREATMENT OPTIONS: Most symptomatic patients with collapse of the femoral head require various surgical procedures. Joint preserving surgery, such as transtrochanteric rotational osteotomy and curved varus osteotomy, should be the treatment choice for young patients with healthy areas without severe collapse of the femoral head. CLINICAL AND RELATED BASIC RESEARCH: Clinical and basic research has been performed to determine the pathogenesis of steroid-induced ONFH. Low hepatic CYP3A activity has been reported to significantly contribute to the risk of steroid-induced ONFH. Several gene polymorphisms related to steroid metabolism were shown to be associated with the occurrence of ONFH.


Asunto(s)
Necrosis de la Cabeza Femoral , Glucocorticoides/efectos adversos , Necrosis de la Cabeza Femoral/epidemiología , Necrosis de la Cabeza Femoral/patología , Necrosis de la Cabeza Femoral/terapia , Humanos , Japón/epidemiología , Investigación
9.
Bioelectromagnetics ; 36(5): 349-57, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25808585

RESUMEN

This study was designed to evaluate femoral perfusion after pulsed electromagnetic field (PEMF) stimulation in a steroid-induced osteonecrosis rabbit model by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). Steroid-induced osteonecrosis was produced by single intramuscular injection of methylprednisolone in 15 rabbits. Eight rabbits underwent PEMF stimulation (PEMF group) and seven did not (control group). DCE-MRI was performed before PEMF stimulation, immediately before steroid administration, and 1, 5, 10, and 14 days after steroid administration. Regions of interest were set in the bilateral proximal femora. Enhancement ratio (ER), initial slope (IS), and area under the curve (AUC) were analyzed. ER, IS, and AUC in the control group significantly decreased after steroid administration compared with before administration (P<0.05). In PEMF group, IS significantly decreased; however, ER and AUC showed no significant differences after steroid administration compared with before. ER and IS in PEMF group were higher than in control group until 10th day, and AUC was higher until 5th day after steroid administration (P<0.05). PEMF stimulation restrains the decrease in blood flow after steroid administration.


Asunto(s)
Terapia por Estimulación Eléctrica/métodos , Fémur/irrigación sanguínea , Fémur/fisiopatología , Osteonecrosis/fisiopatología , Osteonecrosis/terapia , Animales , Área Bajo la Curva , Modelos Animales de Enfermedad , Imagen por Resonancia Magnética , Masculino , Metilprednisolona , Conejos , Flujo Sanguíneo Regional , Factores de Tiempo , Resultado del Tratamiento
10.
J Magn Reson Imaging ; 41(4): 935-40, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24723501

RESUMEN

PURPOSE: To evaluate perfusion during the early phase after steroid administration in vivo using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with a high magnetic field MRI system. The main pathogenesis of steroid-induced osteonecrosis is considered to be ischemia. MATERIALS AND METHODS: A single dose of methylprednisolone (MPSL) was injected into nine rabbits. DCE-MRI was performed for these rabbits before MPSL administration and 1, 5, 10, and 14 days after administration. Time-signal intensity curves were created for each femur based on the signal intensity to evaluate perfusion. Enhancement ratio (ER), initial slope (IS), and area under the curve (AUC) were calculated and the value before MPSL administration and the minimal value after administration were compared statistically. RESULTS: ER, IS, and AUC values after MPSL administration significantly decreased (P < 0.05, P < 0.01, and P < 0.01, respectively). All of them decreased by the 5th day in 56% of the femora and by the 14th day in 83%, and some femora even showed a decrease from the 1st day. CONCLUSION: In this study, decreased perfusion in the femora after steroid administration was proven. Additionally, we could show that it occurred from the early days after steroid administration.


Asunto(s)
Velocidad del Flujo Sanguíneo , Arteria Femoral/fisiopatología , Angiografía por Resonancia Magnética/métodos , Metilprednisolona , Osteonecrosis/inducido químicamente , Osteonecrosis/fisiopatología , Algoritmos , Animales , Medios de Contraste , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Masculino , Osteonecrosis/patología , Conejos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Esteroides
11.
Acta Orthop ; 85(3): 266-70, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24786907

RESUMEN

BACKGROUND AND PURPOSE: It has been suggested that avascular osteonecrosis (AVN) of the femoral head occurs early after systemic steroid administration. The purpose of this study was to investigate the risks regarding development of AVN at a very early stage after renal transplantation. METHODS: The presence or absence of AVN was determined by MRI at 4 weeks, at 6-12 weeks, at 24 weeks, and at 12 months after renal transplantation in 286 patients (183 males) with a mean age of 39 (16-65) years. The relationship between AVN and age, sex, absence or presence of acute rejection (AR), type of transplanted kidney (living or cadaveric), type of immune suppressor, and total dose of orally administered steroids given in the 2-week period after transplantation was investigated. RESULTS: There were no statistically significant correlations between the development of AVN and age, sex, absence or presence of AR, type of transplanted kidney, or type of immune suppressor. A significant dose-response relationship was found between development of AVN and the total dose of steroid administered in the first 2 weeks after surgery. INTERPRETATION: We found a relationship between AVN development and steroid dose in the early postoperative period, and we also showed a dose-response relationship.


Asunto(s)
Corticoesteroides/efectos adversos , Necrosis de la Cabeza Femoral/diagnóstico , Necrosis de la Cabeza Femoral/epidemiología , Trasplante de Riñón , Periodo Posoperatorio , Administración Intravenosa , Administración Oral , Adolescente , Corticoesteroides/administración & dosificación , Adulto , Anciano , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Femenino , Necrosis de la Cabeza Femoral/patología , Humanos , Incidencia , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo , Adulto Joven
12.
Mol Reprod Dev ; 80(10): 871-80, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23913406

RESUMEN

We developed a spermatogonial transplantation technique to produce donor-derived gametes in surrogate fish. Our ultimate aim is to establish surrogate broodstock that can produce bluefin tuna. We previously determined that only type A spermatogonia (ASG) could colonize recipient gonads in salmonids. Therefore, it is necessary to develop a precise molecular marker that can distinguish ASG in order to develop efficient spermatogonial transplantation methods. In this study, the Pacific bluefin tuna (Thunnus orientalis) dead end (BFTdnd) gene was identified as a specific marker for ASG. In situ hybridization and RT-PCR analysis with various types of spermatogenic cell populations captured by laser microdissection revealed that localization of BFTdnd mRNA was restricted to ASG, and not detected in other differentiated spermatogenic cells. In order to determine if BFTdnd can be used as a molecular marker to identify germ cells with high transplantability, transplantation of dissociated testicular cells isolated from juvenile, immature, and mature Pacific bluefin tuna, which have different proportions of dnd-positive ASG, were performed using chub mackerel as the surrogate recipient species. Colonization of transplanted donor germ cells was only successful with testicular cells from immature Pacific Bluefin tuna, which contained higher proportions of dnd-positive ASG than juvenile and mature fish. Thus, BFTdnd is a useful tool for identifying highly transplantable ASG for spermatogonial transplantation.


Asunto(s)
Cyprinidae/embriología , Proteínas de Peces/metabolismo , Proteínas de Unión al ARN/metabolismo , Espermatogonias/trasplante , Atún/embriología , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Femenino , Proteínas de Peces/genética , Marcadores Genéticos/genética , Masculino , Datos de Secuencia Molecular , Ovario/embriología , ARN Mensajero/genética , ARN Mensajero/metabolismo , Proteínas de Unión al ARN/genética , Análisis de Secuencia de ADN , Espermatogonias/clasificación , Espermatogonias/metabolismo , Testículo/citología
13.
Biol Reprod ; 86(6): 176, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22460666

RESUMEN

Although the yellowtail (Seriola quinqueradiata) is the fish most commonly farmed in Japan, breeding of this species has not yet started. This is primarily due to the lack of sufficiently sophisticated methods for manipulating gametogenesis, which makes it difficult to collect gametes from specific dams and sires. If it were possible to produce large numbers of surrogate fish by transplanting germ cells isolated from donor individuals harboring desirable genetic traits, then the probability of acquiring gametes carrying the donor-derived haplotype would increase, and breeding programs involving this species might increase as a result. As a first step, we established a method for the allogeneic transplantation of yellowtail spermatogonia and the production of donor-derived offspring. Donor cells were collected from immature (10-month-old) yellowtail males with testes containing abundant type A spermatogonia, labeled with PKH26 fluorescent dye, and transferred into the peritoneal cavities of 8-day-old larvae. Fluorescence observation at 28 days post-transplantation revealed that PKH26-labeled cells were incorporated into recipients' gonads. To assess whether donor-derived spermatogonia could differentiate into functional gametes in the allogeneic recipient gonads, gametes collected from nine male and four female adult recipients were fertilized with wild-type eggs and milt. Analysis of microsatellite DNA markers confirmed that some of the first filial (F(1)) offspring were derived from donor fish, with the average contribution of donor-derived F(1) offspring being 66% and the maximum reaching 99%. These findings confirmed that our method was effective for transplanting yellowtail spermatogonia into allogeneic larvae to produce donor-derived offspring.


Asunto(s)
Cruzamiento/métodos , Perciformes/fisiología , Espermatogonias/trasplante , Animales , Acuicultura , Femenino , Genitales Masculinos/citología , Masculino , Trasplante Homólogo
14.
J Orthop Sci ; 15(5): 661-5, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20953928

RESUMEN

BACKGROUND: Pulsed electromagnetic field (PEMF) therapy has been widely used in clinical practice for bone fracture healing. However, the mechanism of its action remains to be elucidated. Our object was to investigate the mechanism by which PEMF accelerates bone fracture healing. METHODS: We used 20 mice in this study. Ten mice received PEMF for 10 h/day for 1 week via the coils of a PEMF stimulation device (PEMF group), while the remaining 10 mice did not (control group). The femurs were harvested immediately after euthanasia to examine the proteins included in the bone marrow. The proteins examined by Western blotting were growth factors with angiogenetic activities, including tunica interna endothelial cell kinase-2, angiopoietin-1, angiopoietin-2, fibroblast growth factor-2, and vascular endothelial growth factor. The expression levels of angiogenesis-related proteins extracted from the bone marrow of each mouse were compared. RESULTS: The expression levels of angiopoietin-2 and fibroblast growth factor-2 were significantly higher in the PEMF group than in the control group. This difference suggests that PEMF may induce an angiogenesis-prone environment in the bone marrow. Such angiogenesis acceleration represents one possible mechanism for the acceleration of bone fracture healing by PEMF. There were no significant differences between the two groups for the expression levels of tunica interna endothelial cell kinase-2, angiopoietin-1, and vascular endothelial growth factor. The lack of increase in tunica interna endothelial cell kinase-2 expression may indicate that PEMF does not unnecessarily increase blood vessels in normal bone marrow. The lack of an increase in the expression level of vascular endothelial growth factor suggests that PEMF does not have invasive effects including the induction of hypoxic conditions and inflammation on the bone marrow. CONCLUSION: The angiogenesis-promoting function of PEMF may contribute to its mechanism to noninvasively accelerate bone fracture healing.


Asunto(s)
Angiopoyetina 2/metabolismo , Médula Ósea/metabolismo , Factor 2 de Crecimiento de Fibroblastos/metabolismo , Magnetoterapia , Regulación hacia Arriba , Animales , Fémur , Curación de Fractura , Masculino , Ratones , Ratones Endogámicos ICR , Neovascularización Fisiológica , Receptor TIE-2/metabolismo , Factor A de Crecimiento Endotelial Vascular/metabolismo
15.
Cell Physiol Biochem ; 25(4-5): 511-22, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20332632

RESUMEN

This study identifies a novel organic anion transporter Oat9 expressed in mouse liver and kidney. Two variants were detected by screening a mouse liver cDNA library; these varients consist of 1815 (designated Oat9S) and 2165 (Oat9L) base pairs which encode 443 and 551 amino acid proteins, respectively. Oat9S has a predicted structure containing eight transmembrane domains (TMD); whereas, Oat9L possesses twelve TMD. Oat9 mRNA expression was detected in kidney and liver. This transporter was located at the apical side of the late portion of proximal tubules and at the sinusoidal side of hepatocytes. When expressed in Xenopus oocytes, Oat9S mediated the transport of L-carnitine (Km = 2.9 microM), a representative zwitterion, as well as cimetidine (Km = 16.1 microM) and salicylic acid (Km = 175.5 microM), while Oat9L did not show any transport activity. Oat9S-mediated L-carnitine uptake was inhibited by D-carnitine, acetylcarnitine, octanoylcarnitine, betaine, and other organic compounds, suggesting that quaternary ammonium cation bulkiness and relative hydrophobicity are important factors for Oat9S-substrate interactions. Among OATs, Oat9S appears to be the first member to mediate the transport of carnitine and possesses eight TMD. Overall, these new results provide added insight into the structure-activity relationship comprising the organic ion-permeation pathway.


Asunto(s)
Carnitina/metabolismo , Riñón/metabolismo , Hígado/metabolismo , Transportadores de Anión Orgánico/metabolismo , Secuencia de Aminoácidos , Animales , Transporte Biológico , Ratones , Datos de Secuencia Molecular , Oocitos/metabolismo , Transportadores de Anión Orgánico/análisis , Transportadores de Anión Orgánico/clasificación , Transportadores de Anión Orgánico/genética , Alineación de Secuencia , Xenopus laevis
16.
Acta Orthop ; 81(1): 154-60, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20146637

RESUMEN

BACKGROUND AND PURPOSE: Prevention of osteonecrosis after corticosteroid administration would be important. We examined the potential of vitamin E (alpha-tocopherol) to reduce the incidence of corticosteroid-induced osteonecrosis in an animal model. METHODS: Japanese white rabbits were divided into 2 groups; the control group was fed a normal diet and the experimental group was fed alpha-tocopherol-supplemented diet in which alpha-tocopherol (600 mg/kg diet) was added to the normal diet. To induce osteonecrosis, high-dose methylprednisolone acetate (MPSL) (20 mg/kg body weight) was injected once into the right gluteus medius muscle of all rabbits. 4 weeks after the injection of MPSL, the presence or absence of osteonecrosis of bilateral femurs was examined histopathologically. The tocopherol/cholesterol ratios were calculated. The plasma levels of thiobarbituric acid-reactive substances (TBARS) were measured. RESULTS: Alpha-tocopherol-supplemented diet reduced the incidence of osteonecrosis, which developed in 14 of 20 rabbits in the control group and 5 of 21 rabbits in the experimental group (p = 0.004). The tocopherol/cholesterol ratio was higher in the experimental group than in the control group after the alpha-tocopherol administration. The plasma TBARS level was lower in the experimental group than in the control group at 4 weeks after the MPSL administration. INTERPRETATION: Our findings may offer a new approach for the prevention of corticosteroid-induced osteonecrosis.


Asunto(s)
Necrosis de la Cabeza Femoral/prevención & control , Glucocorticoides/efectos adversos , Metilprednisolona/efectos adversos , Osteonecrosis/prevención & control , alfa-Tocoferol/administración & dosificación , Animales , Modelos Animales de Enfermedad , Necrosis de la Cabeza Femoral/inducido químicamente , Glucocorticoides/administración & dosificación , Masculino , Metilprednisolona/administración & dosificación , Osteonecrosis/inducido químicamente , Osteonecrosis/patología , Conejos , Vitaminas/administración & dosificación
17.
Clin Orthop Relat Res ; 466(5): 1068-73, 2008 May.
Artículo en Inglés | MEDLINE | ID: mdl-18350347

RESUMEN

Establishing a means to prevent osteonecrosis after corticosteroid administration is an important theme. We asked whether pulsed electromagnetic field stimulation, a noninvasive treatment, could prevent osteonecrosis. Ninety rabbits were divided into four treatment groups: (1) exposure of 10 hours per day to electromagnetic stimulation for 1 week, followed by injection of methylprednisolone (20 mg/kg), and exposure of 10 hours per day to electromagnetism for a further 4 weeks (n = 40); (2) methylprednisolone injection only (n = 40); (3) no treatment (n = 5); and (4) exposure of 10 hours per day to electromagnetism for 5 weeks (n = 5). After 5 weeks, we harvested and histologically examined femurs bilaterally. The frequency of osteonecrosis was lower in the steroid-electromagnetism group (15/40) than in the steroid-only group (26/40). No necrotic lesions were found in the two control groups. We observed no clear effects of electromagnetism on the number, location, extent, and repair of necrotic lesions and intramedullary fat cell size in affected rabbits. Pulsed electromagnetic field stimulation reportedly augments angiogenesis factors and dilates blood vessels; these effects may lower the frequency of osteonecrosis. Exposure to pulsed electromagnetic field stimulation before corticosteroid administration could be an effective means to reduce the risk of osteonecrosis.


Asunto(s)
Terapia por Estimulación Eléctrica/métodos , Campos Electromagnéticos , Necrosis de la Cabeza Femoral/prevención & control , Fémur/efectos de la radiación , Adipocitos/efectos de la radiación , Animales , Células de la Médula Ósea/efectos de la radiación , Tamaño de la Célula , Modelos Animales de Enfermedad , Terapia por Estimulación Eléctrica/instrumentación , Diseño de Equipo , Fémur/patología , Necrosis de la Cabeza Femoral/inducido químicamente , Necrosis de la Cabeza Femoral/patología , Masculino , Metilprednisolona , Conejos , Factores de Tiempo
18.
Clin Calcium ; 17(6): 856-62, 2007 Jun.
Artículo en Japonés | MEDLINE | ID: mdl-17548924

RESUMEN

Steroid-induced osteonecrosis of the femoral head (steroid-induced ONF) is an aseptic and ischemic disease developing after steroid therapy. Functions of hip joint are markedly disturbed when collapse is developed on the femoral head. Steroid-induced ONF accounted for the majority of the ONF. The occurrence mechanism is unknown, and prevention methods and fundamental remedies remain to be established. The timing of the occurrence of steroid-induced ONF is within several months after steroid administration. During the continuous steroid administration, no expansion of necrotic area was found. Recurrence was not also noticed. Patients have no symptoms when steroid-induced ONF occurs due to the establishment of ischemic conditions, and pain appears when the collapse of femoral head develops. There is an interval of several months or years between the occurrence of ONF and the onset of symptoms. Generally, conservative treatment is chosen during the asymptomatic period, and surgical treatment is considered after the symptoms appear. Appropriate screening and early detection are important to rational remedy for steroid-induced ONF.


Asunto(s)
Necrosis de la Cabeza Femoral/inducido químicamente , Glucocorticoides/efectos adversos , Adulto , Anciano , Femenino , Cabeza Femoral/diagnóstico por imagen , Cabeza Femoral/patología , Necrosis de la Cabeza Femoral/clasificación , Necrosis de la Cabeza Femoral/diagnóstico , Necrosis de la Cabeza Femoral/fisiopatología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Radiografía , Cintigrafía
19.
J Orthop Sci ; 12(3): 199-206, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17530370

RESUMEN

BACKGROUND: Nontraumatic osteonecrosis of the femoral head (ONFH) is caused by disruption of blood flow. This disease often occurs in association with steroid treatment. The pathology of steroid-induced ONFH remains unclear, although abnormalities in lipid metabolism have been reported to be involved. In this study, we examined the differences of gene polymorphism frequencies of apolipoprotein B (ApoB) and apolipoprotein A1 (ApoA1), which are important proteins for lipid transport, as well as of lipid parameters, between ONFH cases and referent patients among those who were subjected to renal transplantation. METHODS: Subjects were 158 cases who had undergone renal transplant, including 34 cases that were diagnosed as ONFH after renal transplantation and 124 cases that were not. Four single nucleotide polymorphisms including C7623T and G12619A for the ApoB gene and G75A and C83T for the ApoA1 gene were analyzed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and Taqman real-time PCR chemistry. Also, serum levels of low-density lipoprotein (LDL), high-density lipoprotein (HDL), ApoB, and ApoA1 were measured. Their relationship to ONFH was statistically evaluated. RESULTS: A higher frequency of 7623TT or CT of the ApoB gene was observed in ONFH cases than in referent patients (P = 0.033), resulting in an elevated odds ratio that was statistically significant (adjusted odds ratio = 6.37, 95% CI = 1.53-26.5, P = 0.011). No significant relationship was observed between other genes and ONFH. Regarding lipid parameters, a higher value of ApoB/ApoA1 ratio was observed in cases (P = 0.045). CONCLUSION: For the prediction of ONFH, it is useful to analyze ApoB C7623T and plasma ApoB/ApoA1 ratio before the administration of steroids.


Asunto(s)
Apolipoproteínas B/genética , ADN/genética , Necrosis de la Cabeza Femoral/genética , Glucocorticoides/efectos adversos , Trasplante de Riñón , Polimorfismo de Longitud del Fragmento de Restricción , Prednisolona/efectos adversos , Administración Oral , Adolescente , Adulto , Apolipoproteína A-I/sangre , Apolipoproteína A-I/genética , Apolipoproteínas B/sangre , Biomarcadores/sangre , Niño , Femenino , Necrosis de la Cabeza Femoral/sangre , Necrosis de la Cabeza Femoral/inducido químicamente , Estudios de Seguimiento , Frecuencia de los Genes , Glucocorticoides/administración & dosificación , Rechazo de Injerto/prevención & control , Humanos , Inyecciones Intravenosas , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa , Complicaciones Posoperatorias , Prednisolona/administración & dosificación , Pronóstico , Estudios Retrospectivos , Factores de Riesgo
20.
J Rheumatol ; 34(3): 516-22, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17143965

RESUMEN

OBJECTIVE: Osteonecrosis of the femoral head (ONF) is a necrosis due to disruption of the blood flow. The disease often occurs in association with corticosteroid treatment. The pathology of corticosteroid-induced ONF is unclear, although abnormalities in the coagulation and fibrinolytic systems or in the lipid metabolism have been reported to be involved. We examined the relationships between development of ONF and genetic variations and plasma level of lipoprotein(a) (Lp(a)), which is closely involved in the coagulation and fibrinolytic systems and lipid metabolism. METHODS: The study population consisted of 112 renal transplant patients undergoing corticosteroid treatment. Their apolipoprotein (a) [apo(a)] isoform was determined by Western blotting, and patients were classified into low molecular weight (LMW) or high molecular weight (HMW) groups. The plasma Lp(a) level was measured. Patients were also examined for 3 single-nucleotide polymorphisms (SNP), -773 (G/A), +93 (C/T), and +121 (G/A). Relationships between these 3 genetic factors of Lp(a) and ONF development were examined using statistical methods including multivariate analysis. RESULTS: A strong relationship was observed between the apo(a) molecular weight phenotype and ONF development, with an increased risk of ONF development for the LMW group (adjusted odds ratio 5.75, 95% CI 1.76-18.74, p = 0.0038). No significant relationships were observed between ONF and plasma Lp(a) level and SNP. CONCLUSION: Apo(a) molecular weight phenotype would be a useful predictor of ONF that develops after corticosteroid treatment.


Asunto(s)
Apoproteína(a)/genética , Necrosis de la Cabeza Femoral/inducido químicamente , Glucocorticoides/efectos adversos , Polimorfismo de Nucleótido Simple , Prednisolona/efectos adversos , Apoproteína(a)/sangre , Apoproteína(a)/química , Biomarcadores , Necrosis de la Cabeza Femoral/genética , Necrosis de la Cabeza Femoral/fisiopatología , Fibrinólisis/fisiología , Haplotipos/fisiología , Humanos , Trasplante de Riñón/efectos adversos , Oportunidad Relativa , Fenotipo , Factores de Riesgo , Trombofilia/sangre , Trombofilia/genética , Trombofilia/fisiopatología
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