Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 265
Filtrar
1.
Folia Microbiol (Praha) ; 65(2): 245-264, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31773556

RESUMEN

The prebiotics and probiotics market is constantly growing due to the positive effects of its consumption on human health, which extends beyond the digestive system. In addition, the synbiotic products market is also expanding due to the synergistic effects between pre- and probiotics that provide additional benefits to consumers. Pre- and probiotics are being evaluated for their effectiveness to treat and prevent infectious diseases in other parts of the human body where microbial communities exist. This review examines the scientific data related to the effects of pre- and probiotics on the treatment of diseases occurring in the skin, female urogenital tract, and respiratory tract. The evidence suggests that probiotics consumption can decrease the presence of eczema in children when their mothers have consumed probiotics during pregnancy and lactation. In women, probiotics consumption can effectively prevent recurrent urinary tract infections. The consumption of synbiotic products can reduce respiratory tract infections and their duration and severity. However, the outcomes of the meta-analyses are still limited and not sufficiently conclusive to support the use of probiotics to treat infectious diseases. This is largely a result of the limited number of studies, lack of standardization of the studies, and inconsistencies between the reported results. Therefore, it is advisable that future studies consider these shortcomings and include the evaluation of the combined use of pre- and probiotics.


Asunto(s)
Prebióticos/administración & dosificación , Probióticos/administración & dosificación , Sistema Respiratorio/efectos de los fármacos , Piel/efectos de los fármacos , Sistema Urogenital/efectos de los fármacos , Femenino , Humanos , Masculino , Sistema Respiratorio/microbiología , Piel/microbiología , Sistema Urogenital/microbiología
2.
Environ Sci Pollut Res Int ; 26(36): 36434-36440, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31724128

RESUMEN

The aim of this study was to examine the effect of the secondary biological treatment plant effluent administration on the kidneys, urinary bladder, and testis of Wistar rats in relation to lead (Pb) and cadmium (Cd) accumulation, since such an effluent is used for irrigation of edible plants. Male Wistar rats, randomly assigned into 5 groups, were treated with domestic sewage effluent (DSE) for 24 months. Cadmium and lead concentrations in the DSE, rats' tissues, and urine were estimated by means of atomic spectroscopy. Lead was rapidly accumulated in high amounts in rats' kidney and to a lesser extent in the testis whereas Cd concentration was raised in all tissues examined. Deposition of Cd and Pd in the kidney of the rats resulted in profound damage over time. The results showed that long-term administration to DSE as drinking water exposes living organisms to urogenital stress related to heavy metal concentration and pH of the effluent.


Asunto(s)
Cadmio/toxicidad , Agua Potable/química , Plomo/toxicidad , Sistema Urogenital/efectos de los fármacos , Contaminantes Químicos del Agua/toxicidad , Purificación del Agua/métodos , Animales , Cadmio/orina , Plomo/orina , Masculino , Ratas , Ratas Wistar , Aguas del Alcantarillado/química , Sistema Urogenital/metabolismo , Sistema Urogenital/patología , Contaminantes Químicos del Agua/orina
3.
BMJ Open Diabetes Res Care ; 7(1): e000725, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31641524

RESUMEN

Objective: Sodium glucose cotransporter-2 inhibitors (SGLT2i) exert cardiorenal protection in people with diabetes. By inducing glycosuria, SGLT2i predispose to genital infections. In addition, rare occurrence of Fournier's gangrene (FG) has been reported. We aimed to investigate such association through the U.S. Food and Drug Administration (FDA) adverse event (AE) reporting system (FAERS). Research design and methods: We mined the FAERS up to 2018q3 (before FDA warning about SGLT2i-associated FG) to retrieve reports including FG as an AE and SGLT2i as suspect or concomitant drugs, and calculated proportional reporting ratios (PRR). Results: We retrieved 47 cases of FG and 17 cases of other severe AEs of the genital area associated with SGLT2i. Patients with FG were ~10 years older than those with other severe genital AEs. Overall, 77% occurred in men. Three patients were concomitantly treated with systemic immunosuppressive drugs. Increased reporting frequency emerged for SGLT2i compared with other drugs, with a PRR ranging from 5 to 10. The disproportional reporting of FG with SGLT2i remained robust and consistently significant when restricting to the period when SGLT2i were available, to reports filed for glucose-lowering medications or for drugs with the diabetes indication, and after refining the definition of FG. FG was disproportionally associated with psoriasis and with the combination of immunosuppressants and SGLT2i. Conclusions: Although causality cannot be demonstrated, SGLT2i may predispose to FG and other severe genital AEs. Since the use of SGLT2i is expected to increase significantly, clinicians should be aware of these severe, although rare, AEs and their predisposing factors.


Asunto(s)
Diabetes Mellitus Tipo 1/tratamiento farmacológico , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/etiología , Gangrena de Fournier/inducido químicamente , Farmacovigilancia , Inhibidores del Cotransportador de Sodio-Glucosa 2/efectos adversos , Sistema Urogenital/efectos de los fármacos , Adulto , Anciano , Biomarcadores/análisis , Glucemia/análisis , Diabetes Mellitus Tipo 1/patología , Diabetes Mellitus Tipo 2/patología , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/patología , Femenino , Estudios de Seguimiento , Gangrena de Fournier/patología , Enfermedades de los Genitales Femeninos/inducido químicamente , Enfermedades de los Genitales Femeninos/patología , Enfermedades de los Genitales Masculinos/inducido químicamente , Enfermedades de los Genitales Masculinos/patología , Hemoglobina Glucada/análisis , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Transportador 2 de Sodio-Glucosa/química
4.
Arch Gynecol Obstet ; 300(4): 1067-1082, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31529363

RESUMEN

PURPOSE: The aim of the study was to investigate the oxidative damage and inflammatory effects of sepsis on the urogenital system in the Lipopolysaccharide (LPS)-induced sepsis model and ameliorating role of Pregabalin (PGB). METHODS: Twenty-four female Wistar Albino rats (12 months old) were divided into 3 groups as follows: Sepsis group (Group S) (5 mg/kg LPS, i.p, single dose); Sepsis+ PGB group (Group SP) (5 mg/kg LPS, i.p, single dose and 30 mg/kg PGB); Control group (Group C) (0.1 ml/oral and i.p. saline, single dose), 6 h after LPS administration, the animals were killed. Subsequently, analyses of urogenital tissue oxidant/antioxidant status, histopathological and immunohistochemical analyses were performed. RESULTS: Total oxidative status (TOS) and oxidative stress index (OSI) values in the urogenital tissues were increased in Group S (Total anti-oxidative status (TAS) decreased) compared to the Control group (p < 0.05). PGB improved these values (p < 0.05). The immunohistochemical markers [Caspase-3, granulocyte colony-stimulating factor (G-CSF), interleukin-6 (IL-6), Serum Amyloid A (SAA) and inducible nitric oxide synthase (iNOS)] were significantly increased in Group S except for bladder (p < 0.001). Statistically significant immunohistochemical positiveness was found only for IL-6 in urinary bladder, though all the others values were negative. With the administration of PGB (Group SP), the expressions of these immunoreactions were markedly decreased (p < 0.001). CONCLUSIONS: These findings demonstrated that sepsis caused oxidative stress and inflammation in the urogenital tissues. We have revealed that PGB ameliorated tissue damage caused by sepsis.


Asunto(s)
Antioxidantes/uso terapéutico , Pregabalina/uso terapéutico , Sepsis/tratamiento farmacológico , Sistema Urogenital/efectos de los fármacos , Animales , Biomarcadores/metabolismo , Caspasa 3/metabolismo , Femenino , Inflamación/metabolismo , Interleucina-6 , Lipopolisacáridos , Óxido Nítrico Sintasa de Tipo II/metabolismo , Oxidación-Reducción , Estrés Oxidativo/efectos de los fármacos , Ratas , Ratas Wistar , Sistema Urogenital/inmunología , Sistema Urogenital/metabolismo
5.
Arch Gynecol Obstet ; 300(4): 941-955, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31435776

RESUMEN

PURPOSE: The aim of the study was to evaluate the harmful effects of sepsis on the urogynecological tissues and the ability of Lacosamide (LCM) on Lipopolysaccharide (LPS)-induced cytokine production, oxidative stress and apoptotic pathways, in the experimental rat sepsis model. METHODS: Twenty-four female Wistar albino rats (12 months old) were divided into 3 groups as follows: control group (Group I) (0.1 ml/oral and i.p. saline, single dose), sepsis group (Group II) (5 mg/kg LPS, i.p. single dose) and sepsis + LCM group (Group III) (5 mg/kg LPS, i.p. single dose and 40 mg/kg LCM). Six hours after the last LPS administration, the animals were sacrificed. Subsequently, the analyses of urogenital tissues total oxidant/antioxidant status, histopathological and immunohistochemical analyses were performed. RESULTS: Total oxidant capacity (TOC) and oxidative stress index (OSI) values in the urogenital tissues were increased in the urogenital tissues in Group II [Total antioxidant capacity (TAC) was decreased] compared to group I (p < 0.05). LCM improved these values (p < 0.05). The immunohistochemical markers (Tumor Necrosis Factor-alpha (TNF-α), interleukin-1 beta (IL-1ß), heat shock protein 70 (HSP-70), C-reactive protein (CRP), Malondialdehyde (MDA) were significantly increased in Group II (p < 0.001). With the administration of LCM (Group III), the expressions of above-mentioned markers were markedly decreased (p < 0.001). Marked hyperemia and slight hemorrhages with neutrophil leukocyte infiltrations were seen histopathologically in Group II. LCM treatment ameliorated the pathological findings. CONCLUSION: These findings demonstrated that sepsis caused oxidative stress, apoptosis and inflammation in the urogenital tissues. We revealed that LCM ameliorated the damage caused by sepsis in urogenital tissue.


Asunto(s)
Lacosamida/uso terapéutico , Sepsis/complicaciones , Sepsis/tratamiento farmacológico , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/patología , Bloqueadores del Canal de Sodio Activado por Voltaje/uso terapéutico , Animales , Femenino , Lacosamida/farmacología , Masculino , Ratas , Ratas Wistar , Sepsis/patología , Bloqueadores del Canal de Sodio Activado por Voltaje/farmacología
6.
Menopause ; 26(7): 714-719, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30939535

RESUMEN

OBJECTIVE: The aim of the study was to evaluate knowledge, attitudes, and practice patterns of physicians prescribing topical estrogen for women with urogenital atrophy and a history of breast cancer. METHODS: A cross-sectional survey of breast surgeons, urogynecologists, and gynecologists was distributed via their professional societies: the American Society of Breast Surgeons (ASBrS), the American Urogynecologic Society (AUGS), and the Society of Gynecologic Surgeons (SGS). Providers reported level of comfort prescribing vaginal estrogen for urogenital symptoms for women with different categories of breast cancer and current treatment: estrogen receptor (ER) negative, ER positive no longer on endocrine therapy, and ER positive currently on adjuvant endocrine therapy. General knowledge questions assessed agreement on a 5-point Likert scale to statements about vaginal estrogen safety and pharmacology. RESULTS: A total of 820 physicians completed the survey: 437 responses from the ASBrS (response rate, 26.7%), 196 from AUGS (15%), and 187 from SGS (44.5%). The majority of physicians (84%), regardless of specialty, felt comfortable prescribing vaginal estrogen to women with a history of ER-negative cancer: 65.7% felt comfortable prescribing for women with ER-positive breast cancer no longer on endocrine therapy; 51.3% for women on an aromatase inhibitor; and 31.4% for women on tamoxifen. Urogynecologists were significantly more comfortable than breast surgeons prescribing vaginal estrogen for the lowest risk patients, whereas breast surgeons had the highest level of comfort for women currently on endocrine therapy. CONCLUSIONS: This study highlights heterogeneity in practice patterns both within and across specialties. The clinical variation seen in this study suggests providers may benefit from increased knowledge regarding vaginal estrogen.


Asunto(s)
Neoplasias de la Mama/complicaciones , Neoplasias de la Mama/terapia , Estrógenos/administración & dosificación , Pautas de la Práctica en Medicina/estadística & datos numéricos , Sistema Urogenital/patología , Administración Intravaginal , Adulto , Atrofia , Neoplasias de la Mama/química , Estudios Transversales , Estrógenos/efectos adversos , Femenino , Ginecología , Encuestas de Atención de la Salud , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/prevención & control , Oncólogos , Médicos , Receptores de Estrógenos/análisis , Cirujanos , Sistema Urogenital/efectos de los fármacos , Urólogos
7.
Regul Toxicol Pharmacol ; 103: 1-9, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30634019

RESUMEN

Isopsoralen is a major active and quality-control component of Fructus Psoraleae, but lacks a full safety evaluation. We evaluated the oral toxicity of isopsoralen in Wistar rats treated for 3 months at doses of 0, 3.5, 7.0, and 14 mg/kg. Additionally, the plasma metabolomics of isopsoralen in male and female rats treated for 3 months at doses of 0 and 14 mg/kg were investigated by gas chromatography-mass spectrometry. Many abnormalities were observed in the isopsoralen-treated rats, including suppression of body weight gain, and changes in serum biochemical parameters and visceral coefficients. Histopathological changes in liver, pancreatic, and reproductive system tissues were also observed in the isopsoralen-treated rats. The metabolomic analyses showed alterations in many metabolites (19 in female rats; 28 in male rats) after isopsoralen administration. The significant changes in these metabolites revealed metabolomic alterations in the isopsoralen-treated rats, especially in amino acid metabolism regardless of sex, including phenylalanine, tyrosine, and tryptophan biosynthesis and glycine, serine, and threonine metabolism. Furthermore, fatty acid metabolism comprised the main affected pathways in female rats, while lipid metabolism and energy metabolism were the main affected pathways in male rats.


Asunto(s)
Sistema Digestivo/efectos de los fármacos , Sistema Digestivo/metabolismo , Furocumarinas/toxicidad , Caracteres Sexuales , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/metabolismo , Animales , Peso Corporal/efectos de los fármacos , Sistema Digestivo/patología , Relación Dosis-Respuesta a Droga , Femenino , Furocumarinas/administración & dosificación , Furocumarinas/metabolismo , Cromatografía de Gases y Espectrometría de Masas , Masculino , Ratas , Ratas Wistar , Pruebas de Toxicidad , Sistema Urogenital/patología
8.
Int J Radiat Oncol Biol Phys ; 103(5): 1061-1067, 2019 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-30557672

RESUMEN

PURPOSE: Limited pelvic nodal relapse of prostatic cancer is a paramount challenge for locoregional salvage treatments. Salvage whole pelvis radiation therapy as considered in the BLINDED trial is an attractive option, but there are concerns about its toxicity. This article describes early toxicity with the technique. METHODS AND MATERIALS: BLINDED was a prospective multicenter phase 2 trial investigating high-dose salvage pelvic irradiation with an additional dose to the fluorocholine-based positron emission tomography-positive pelvic lymph nodes, combined with 6-month androgen blockade. The prescribed dose was 54 Gy in 1.8 Gy fractions with up to 66 Gy in 2.2 Gy fractions to the pathologic pelvic lymph nodes. Early toxicity was defined as toxicity until 1 year after radiation therapy. Patients quality of life was assessed using the European Organisation for Research and Treatment of Cancer questionnaires (QLQ-C30 and QLQ-PR25). RESULTS: Seventy-four patients were recruited in 15 French radiation oncology departments between August 2014 and July 2016. Seven were excluded before treatment because of violation of the inclusion criteria. The intention-to-treat analysis therefore included 67 patients. Half had received prior prostatic irradiation. Median age was 67.7 ± 6.5 years. Grade 2 acute urinary toxicity was observed in 9 of 67 patients (13.4%), and grade 2 1-year toxicity occurred in 4 of 67 patients (6%). Three patients (4.4%) had grade 3 urinary toxicity. Grade 2 acute digestive toxicity was observed in 10 of 67 patients (14.9%), and grade 2 1-year toxicity occurred in 4 of 67 patients (6%). Patients with prior prostate bed irradiation did not exhibit increased urinary or digestive toxicity. The European Organisation for Research and Treatment of Cancer questionnaire scores at 1 year did not worsen significantly. CONCLUSIONS: The acute and 1-year toxicity of the BLINDED protocol was satisfactory, even in patients with a history of prostatic irradiation.


Asunto(s)
Antagonistas de Andrógenos/efectos adversos , Ganglios Linfáticos/efectos de la radiación , Irradiación Linfática/efectos adversos , Neoplasias de la Próstata/tratamiento farmacológico , Neoplasias de la Próstata/radioterapia , Terapia Recuperativa/efectos adversos , Anciano , Antagonistas de Andrógenos/uso terapéutico , Colina/análogos & derivados , Sistema Digestivo/efectos de los fármacos , Sistema Digestivo/efectos de la radiación , Fraccionamiento de la Dosis de Radiación , Radioisótopos de Flúor , Francia , Humanos , Análisis de Intención de Tratar , Ganglios Linfáticos/diagnóstico por imagen , Ganglios Linfáticos/patología , Irradiación Linfática/métodos , Metástasis Linfática , Masculino , Pelvis , Estudios Prospectivos , Neoplasias de la Próstata/diagnóstico por imagen , Calidad de Vida , Reirradiación/efectos adversos , Terapia Recuperativa/métodos , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/efectos de la radiación
10.
Eur J Obstet Gynecol Reprod Biol ; 222: 75-79, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29367168

RESUMEN

OBJECTIVES: OAB is a common finding in postmenopausal women. Hypoestrogenism is the root cause of many signs and symptoms of Genitourinary Syndrome of Menopause (vaginal dryness, atrophy, dyspareunia, urinary disorders, etc.). As such the aim of this study was to evaluate the urodynamic effects of ultralowdose estriol vaginal gel formulation to treat women with Genitourinary Syndrome of Menopause and Overactive Bladder Syndrome. STUDY DESIGN: This open-labeled, single center, prospective study involved 37 women with OAB recruited in our Urogynecological Unit between January and July 2016. They received estriol 50 mcg/g vaginal gel, one applicator-dose per day for 3 weeks followed by one dose twice a week for 12 weeks. Objective and subjective parameters were evaluated before and after treatment through the urodynamic examination, Overactive Bladder symptom score and Short Form Health Survey-36 questionnaires. RESULTS: Vaginal atrophy symptoms and signs as well as the overactive bladder subjective symptom parameter improved significantly. Urodynamic evaluation showed significant improvement in first desire to void and maximum cystometric capacity after estriol usage. Patients who had detrusor overactivity did not show any improvement for this parameter after treatment. The voiding function parameters did not significantly change. Short form-36 showed a better quality of life after treatment especially for the emotional role, as well as mental and general health. CONCLUSIONS: A local ultra-low dose concentration of estriol could be effective in women with vaginal atrophy and Overactive Bladder Syndrome for improving both subjective symptoms and urodynamic parameters of storage function not affecting voiding function.


Asunto(s)
Estriol/uso terapéutico , Estrógenos/uso terapéutico , Enfermedades Urogenitales Femeninas/tratamiento farmacológico , Vejiga Urinaria Hiperactiva/tratamiento farmacológico , Vejiga Urinaria/efectos de los fármacos , Urodinámica/efectos de los fármacos , Sistema Urogenital/efectos de los fármacos , Anciano , Anciano de 80 o más Años , Esquema de Medicación , Estriol/administración & dosificación , Estriol/efectos adversos , Estrógenos/administración & dosificación , Estrógenos/efectos adversos , Femenino , Enfermedades Urogenitales Femeninas/fisiopatología , Humanos , Menopausia , Persona de Mediana Edad , Dolor/inducido químicamente , Pacientes Desistentes del Tratamiento , Dolor Pélvico/inducido químicamente , Estudios Prospectivos , Autoinforme , Índice de Severidad de la Enfermedad , Vejiga Urinaria/fisiopatología , Vejiga Urinaria Hiperactiva/fisiopatología , Sistema Urogenital/fisiopatología , Vagina/efectos de los fármacos , Vagina/inervación , Cremas, Espumas y Geles Vaginales/administración & dosificación , Cremas, Espumas y Geles Vaginales/efectos adversos , Cremas, Espumas y Geles Vaginales/uso terapéutico
11.
PLoS One ; 12(7): e0179542, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28704429

RESUMEN

Forty percent of American women are obese and at risk for type II diabetes, impaired immune function, and altered microbiome diversity, thus impacting overall health. We investigated whether obesity induced by an excess calorie, high fat diet containing hydrogenated fats, fructose, and coconut oil (HFD) altered glucose homeostasis, peripheral immunity, and urogenital microbial dynamics. We hypothesized that HFD would cause hyperglycemia, increase peripheral inflammation, and alter urogenital microbiota to favor bacterial taxonomy associated with inflammation. We utilized female Ossabaw mini-pigs to model a 'thrifty' metabolic phenotype associated with increased white adipose tissue mass. Pigs were fed HFD (~4570 kcal/pig/day) or lean (~2000 kcal/pig/day) diet for a total of 9 estrous cycles (~6 months). To determine the effect of cycle stage on cytokines and the microbiome, animals had samples collected during cycles 7 and 9 on certain days of the cycle: D1, 4, 8, 12, 16, 18. Vaginal swabs or cervical flushes assessed urogenital microbiota. Systemic fatty acids, insulin, glucose, and cytokines were analyzed. Pig weights and morphometric measurements were taken weekly. Obese pigs had increased body weight, length, heart and belly girth but similar glucose concentrations. Obese pigs had decreased cytokine levels (IL-1ß, TNF-α, IL-4, IL-10), arachidonic acid and plasma insulin, but increased levels of vaccenic acid. Obese pigs had greater urogenital bacterial diversity, including several taxa known for anti-inflammatory properties. Overall, induction of obesity did not induce inflammation but shifted the microbial communities within the urogenital tract to an anti-inflammatory phenotype. We postulate that the coconut oil in the HFD oil may have supported normal glucose homeostasis and modulated the immune response, possibly through regulation of microbial community dynamics and fatty acid metabolism. This animal model holds promise for the study of how different types of obesity and high fat diets may affect metabolism, immune phenotype, and microbial dynamics.


Asunto(s)
Glucemia/efectos de los fármacos , Citocinas/metabolismo , Inflamación/inmunología , Obesidad/complicaciones , Aceites de Plantas/administración & dosificación , Sistema Urogenital/microbiología , Animales , Aceite de Coco , Dieta Alta en Grasa , Modelos Animales de Enfermedad , Femenino , Humanos , Microbiota , Obesidad/inducido químicamente , Obesidad/inmunología , Aceites de Plantas/efectos adversos , Porcinos , Porcinos Enanos , Sistema Urogenital/efectos de los fármacos
12.
Am J Clin Nutr ; 104(6): 1583-1593, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-27797706

RESUMEN

BACKGROUND: Approximately 50% of newly diagnosed cancer patients start taking dietary supplements. Men's health supplements (MHSs), which we define as supplements that are specifically marketed with the terms men's health and prostate health (or similar permutations), are often mislabeled as having potential anticancer benefits. OBJECTIVE: We evaluated the effects of MHSs on patient outcomes and toxicities in patients who were undergoing definitive intensity-modulated radiation therapy (IMRT) for localized prostate cancer. DESIGN: This retrospective analysis included patients who were being treated at a National Cancer Institute-designated comprehensive cancer center and consented to have information stored in a prospective database. MHSs were queried online. Outcome measures were freedom from biochemical failure (FFBF) (biochemical failure was defined with the use of the prostate-specific antigen nadir + 2-ng/mL definition), freedom from distant metastasis (FFDM), cancer-specific survival (CSS), and overall survival (OS) as well as toxicities. Kaplan-Meier analysis, log-rank tests, Fine and Gray competing-risk regression (to adjust for patient and lifestyle factors), and Cox models were used. RESULTS: From 2001 to 2012, 2207 patients were treated with IMRT with a median dose of 78 Gy, and a median follow-up of 46 mo. Of these patients, 43% were low risk, 37% were intermediate risk, and 20% were high risk; 10% used MHSs. MHSs contained a median of 3 identifiable ingredients (range: 0-78 ingredients). Patients who were taking an MHS compared with those who were not had improved 5-y OS (97% compared with 92%, respectively; P = 0.01), but there were no differences in the FFBF (94% compared with 89%, respectively; P = 0.12), FFDM (96% compared with 97%, respectively; P = 0.32), or CSS (100% compared with 99%, respectively; P = 0.22). The unadjusted association between MHS use and improved OS was attenuated after adjustment for patient lifestyle factors and comorbidities. There was no difference in toxicities between the 2 groups (late-grade 3-4 genitourinary <3%; gastrointestinal <4%). CONCLUSION: The use of MHSs is not associated with outcomes or toxicities.


Asunto(s)
Suplementos Dietéticos , Salud del Hombre , Micronutrientes/administración & dosificación , Neoplasias de la Próstata/radioterapia , Radioterapia de Intensidad Modulada , Adulto , Anciano , Anciano de 80 o más Años , Relación Dosis-Respuesta en la Radiación , Estudios de Seguimiento , Tracto Gastrointestinal/metabolismo , Tracto Gastrointestinal/efectos de la radiación , Humanos , Estimación de Kaplan-Meier , Estilo de Vida , Masculino , Persona de Mediana Edad , Modelos de Riesgos Proporcionales , Estudios Prospectivos , Antígeno Prostático Específico/sangre , Radioterapia de Intensidad Modulada/efectos adversos , Estudios Retrospectivos , Factores de Riesgo , Resultado del Tratamiento , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/metabolismo
14.
Biomed Res Int ; 2016: 9162631, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27631011

RESUMEN

Schistosomiasis is a major public health problem in Africa. However, it is only recently that its burden has become recognised as a significant component impacting on the health and development of preschool-aged children. A longitudinal study was conducted in Zimbabwean children to determine the effect of single praziquantel treatment on Schistosoma haematobium-related morbidity markers: microhaematuria, proteinuria, and albuminuria. Changes in these indicators were compared in 1-5 years versus 6-10 years age groups to determine if treatment outcomes differed by age. Praziquantel was efficacious at reducing infection 12 weeks after treatment: cure rate = 94.6% (95% CI: 87.9-97.7%). Infection rates remained lower at 12 months after treatment compared to baseline in both age groups. Among treated children, the odds of morbidity at 12 weeks were significantly lower compared to baseline for proteinuria: odds ratio (OR) = 0.54 (95% CI: 0.31-0.95) and albuminuria: OR = 0.05 (95% CI: 0.02-0.14). Microhaematuria significantly reduced 12 months after treatment, and the effect of treatment did not differ by age group: OR = 0.97 (95% CI: 0.50-1.87). In conclusion, praziquantel treatment has health benefits in preschool-aged children exposed to S. haematobium and its efficacy on infection and morbidity is not age-dependent.


Asunto(s)
Praziquantel/uso terapéutico , Esquistosomiasis/tratamiento farmacológico , Instituciones Académicas , Sistema Urogenital/parasitología , Animales , Biomarcadores/orina , Niño , Preescolar , Estudios de Cohortes , Demografía , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Lactante , Masculino , Morbilidad , Praziquantel/farmacología , Schistosoma haematobium/efectos de los fármacos , Esquistosomiasis/orina , Resultado del Tratamiento , Sistema Urogenital/efectos de los fármacos
15.
Klin Lab Diagn ; 61(2): 114-6, 2016 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-27455567

RESUMEN

The effectiveness of application of test-system "Choice of antibiotic" was evaluated as a tool for incubation of maximal amount of bacteria from pathological material under acute cystitis. The results of meta-genome analysis established that test-system permits supporting growth of practically all bacteria detected in urine, including ones relating to "uncultivated for the present". The comparison of results of standard detection of sensitivity of bacteria to antibiotics and identification of effective pharmaceutical according the results of application of test-system "Choice of antibiotic" as well was implemented It is demonstrated that test- system permits choosing antibiotic during 6-20 hours wiihout isolation of pure strain.


Asunto(s)
Antibacterianos/farmacología , Cistitis/tratamiento farmacológico , Pruebas Diagnósticas de Rutina/métodos , Infecciones por Enterobacteriaceae/tratamiento farmacológico , Enterobacteriaceae/efectos de los fármacos , Infecciones Urinarias/tratamiento farmacológico , Enfermedad Aguda , Antibacterianos/clasificación , Cistitis/diagnóstico , Cistitis/microbiología , Enterobacteriaceae/clasificación , Enterobacteriaceae/crecimiento & desarrollo , Infecciones por Enterobacteriaceae/diagnóstico , Infecciones por Enterobacteriaceae/microbiología , Ensayos Analíticos de Alto Rendimiento , Humanos , Metagenoma , Pruebas de Sensibilidad Microbiana , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/microbiología , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/microbiología
16.
Environ Toxicol Pharmacol ; 43: 94-102, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26970683

RESUMEN

Study of the joint action of xenobiotics is important to fully explore their toxicity and complete risk analysis. In this study, we investigated the effects of low-dose and combined exposure of bisphenol A (BPA) and diethylstilbestrol (DES) on the reproductive system in adult male rats. The results showed that the sperm motility decreased in the BPA/DES and combined groups. Sperm deformity ratios and histological lesions of the testes were significantly higher and more significant, respectively, in the combined group compared with the single treated groups. No dose-effect relationship or significant additive effect on serum hormone levels was observed after combined exposure to BPA/DES. Ultrastructural results showed lesions of the Sertoli and Leydig cells, mainly in the endoplasmic reticulum (ER), in all treated groups. ER stress molecular sensor IRE1 was phosphorylated and activated after BPA and DES treatment in this study. The protein levels of ES stress molecular marker CHOP were significantly up-regulated after exposure to BPA, DES, and BPA and DES combined. These findings indicate that ER stress is important in BPA/DES-induced damage in rat testes. Low-dose and combined exposure to BPA and DES may have toxic effects on male fertility in the adult population.


Asunto(s)
Compuestos de Bencidrilo/toxicidad , Dietilestilbestrol/toxicidad , Disruptores Endocrinos/toxicidad , Estrógenos no Esteroides/toxicidad , Fenoles/toxicidad , Animales , Relación Dosis-Respuesta a Droga , Masculino , Ratas , Ratas Sprague-Dawley , Motilidad Espermática/efectos de los fármacos , Espermatozoides/efectos de los fármacos , Testículo/efectos de los fármacos , Pruebas de Toxicidad , Sistema Urogenital/efectos de los fármacos
17.
Crit Rev Oncol Hematol ; 97: 328-34, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26481950

RESUMEN

The significant improvement of cancer treatments entailed a longer life in cancer survivors and raised expectations for higher quality of life with minimized long-term toxicity. Infertility and gonadal dysfunction are adverse effects of anticancer therapy or may be related to specific tumors. In female cancer survivors, premature ovarian failure is common after antineoplastic treatments resulting in infertility and other morbidities related to oestrogen deficiency such as osteoporosis. In male cancer survivors, infertility and persistent a zoospermia is a more common long-term adverse effect than hypogonadism because germ cells are more sensitive to chemotherapy and radiotherapy than leydig cells. Gonadal toxicity and compromise of reproductive functions will be more efficiently prevented and treated if addressed before treatment initiation. This review focuses on these issues in young cancer survivors of childbearing age, where methods of protecting or restoring endocrine function and fertility need to be considered.


Asunto(s)
Antineoplásicos/efectos adversos , Preservación de la Fertilidad/métodos , Fertilidad/efectos de los fármacos , Fertilidad/efectos de la radiación , Neoplasias/terapia , Antineoplásicos/uso terapéutico , Femenino , Humanos , Infertilidad/etiología , Masculino , Calidad de Vida , Radioterapia/efectos adversos , Sobrevivientes , Sistema Urogenital/efectos de los fármacos , Sistema Urogenital/efectos de la radiación
18.
Fertil Steril ; 105(1): 44, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26688558

RESUMEN

MacLeod J, Pazianos A, Ray B. The restoration of human spermatogenesis and of the reproductive tract with urinary gonadotropins following hypophysectomy. Fertil Steril 1966;17(1):7-23. "No precedent was available in the male for the amount of [human menopausal gonadotropin] to be given in order to initiate spermatogenesis, if the latter could be done at all." "In this experiment, the evidence is strongly in favor of FSH activity being exerted first at the level of the spermatogonium, inducing mitosis and proliferation of this cell."


Asunto(s)
Gonadotropina Coriónica/uso terapéutico , Hipofisectomía/efectos adversos , Infertilidad Masculina/tratamiento farmacológico , Espermatozoides/efectos de los fármacos , Sistema Urogenital/efectos de los fármacos , Humanos , Masculino
19.
Environ Toxicol ; 31(12): 1740-1750, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26443714

RESUMEN

Substances that mimic endogenous hormones may alter the cell signaling that govern prostate development and predispose it to developing lesions in adult and senile life. Bisphenol A is able to mimic estrogens, and studies have demonstrated that low levels of exposure to this compound have caused alterations during prostate development. The aim of this study was to describe the prostate development in both male and female neonatal gerbils in normal conditions and under exposure to BPA during intrauterine life, and also to analyze whether the effects of intrauterine exposure to BPA remain in adulthood. Morphological, stereological, three-dimensional reconstruction, and immunohistochemical methods were employed. The results demonstrated that in 1-day-old normal gerbils, the female paraurethral glands and the male ventral lobe are morphologically similar, although its tissue components-epithelial buds (EB), periurethral mesenchyme (PeM), paraurethral mesenchyme (PaM) or ventral mesenchymal pad (VMP), and smooth muscle (SM)-have presented different immunolabeling pattern for androgen receptor (AR), and for proliferating cell nuclear antigen (PCNA). Moreover, we observed a differential response of male and female prostate to intrauterine BPA exposure. In 1-day-old males, the intrauterine exposure to BPA caused a decrease of AR-positive cells in the PeM and SM, and a decrease of the proliferative status in the EB. In contrast, no morphological alterations were observed in ventral prostate of adult males. In 1-day-old females, BPA exposure promoted an increase of estrogen receptor alpha (ERα) positive cells in PeM and PaM, a decrease of AR-positive cells in EB and PeM, besides a reduction of cell proliferation in EB. Additionally, the adult female prostate of BPA-exposed animals presented an increase of AR- and PCNA-positive cells. These results suggest that the prostate of female gerbils were more susceptible to the intrauterine BPA effects, since they became more proliferative in adult life. © 2015 Wiley Periodicals, Inc. Environ Toxicol 31: 1740-1750, 2016.


Asunto(s)
Compuestos de Bencidrilo/toxicidad , Disruptores Endocrinos/toxicidad , Fenoles/toxicidad , Sistema Urogenital/efectos de los fármacos , Factores de Edad , Animales , Animales Recién Nacidos , Proliferación Celular/efectos de los fármacos , Epitelio/efectos de los fármacos , Epitelio/metabolismo , Receptor alfa de Estrógeno/metabolismo , Femenino , Gerbillinae , Masculino , Exposición Materna/efectos adversos , Mesodermo/efectos de los fármacos , Mesodermo/metabolismo , Antígeno Nuclear de Célula en Proliferación/metabolismo , Próstata/citología , Próstata/efectos de los fármacos , Próstata/embriología , Próstata/crecimiento & desarrollo , Receptores Androgénicos/metabolismo , Factores Sexuales , Sistema Urogenital/citología , Sistema Urogenital/embriología , Sistema Urogenital/crecimiento & desarrollo
20.
Environ Toxicol Pharmacol ; 40(3): 741-6, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26432770

RESUMEN

In utero exposure of neonates to pesticide residues could be damaging to the reproductive tract. Hence, the present study assessed the circulating concentrations of pesticide residues in buffalo and their neonatal calves as well as in the reproductive tract tissue samples of same calves. Also, histopathological alterations were revealed in the reproductive tract of calves. Pesticide residues were high (P<0.05) in the reproductive tract of calves (119.5 ± 20.2 ng/g, 35% positive) in comparison to their blood (32.1 ± 8.4 ng/ml, 15% positive) or blood of their dams (41.5 ± 8.3 ng/ml, 25% positive). The number of histopathological alterations were high (P<0.05) in the reproductive tract of a calf contaminated with high concentrations of pesticide residues (3.43 ± 1.29) in comparison to a tract positive for low residue concentrations (1.57 ± 0.60) or pesticide negative tract (0.28 ± 0.10). In conclusion, in utero exposure of neonatal buffalo calves to pesticide residues may be associated with damaging alterations in their reproductive tract.


Asunto(s)
Residuos de Plaguicidas/sangre , Efectos Tardíos de la Exposición Prenatal/veterinaria , Sistema Urogenital/química , Sistema Urogenital/efectos de los fármacos , Animales , Animales Recién Nacidos , Búfalos , Bovinos , Femenino , Masculino , Residuos de Plaguicidas/análisis , Embarazo , Efectos Tardíos de la Exposición Prenatal/patología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...