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1.
Curr Protoc Immunol ; 126(1): e83, 2019 09.
Article in English | MEDLINE | ID: mdl-31483106

ABSTRACT

The blood-brain barrier (BBB) is an active and selective barrier that shields the brain from endogenous and exogenous insults. Different stimuli may lead to the disruption of this barrier, including inflammation and trauma. Several methods are used to evaluate BBB disruption. The most widely used method is Evans blue (EB) dye extravasation. EB cannot normally pass through the BBB and thus its presence in brain tissue indicates alterations in permeability. This protocol details the steps of EB extravasation in rodents. Important aspects regarding critical steps and advantages are also provided. © 2019 by John Wiley & Sons, Inc.


Subject(s)
Blood-Brain Barrier/pathology , Brain Injuries, Traumatic/pathology , Brain/pathology , Evans Blue/metabolism , Inflammation/pathology , Animals , Blood-Brain Barrier/metabolism , Brain/metabolism , Mice , Rats
2.
Malar J ; 15(1): 393, 2016 07 30.
Article in English | MEDLINE | ID: mdl-27473068

ABSTRACT

BACKGROUND: Malaria-associated acute respiratory distress syndrome (MA-ARDS) is a potentially lethal complication of clinical malaria. Acute lung injury in MA-ARDS shares features with ARDS triggered by other causes, including alveolar inflammation and increased alveolar-capillary permeability, leading to leak of protein-rich pulmonary oedema fluid. Mechanisms and physiologic alterations in MA-ARDS can be examined in murine models of this syndrome. Integrin αDß2 is a member of the leukocyte, or ß2 (CD18), sub-family of integrins, and emerging observations indicate that it has important activities in leukocyte adhesion, accumulation and signalling. The goal was to perform analysis of the lungs of mice wild type C57Bl/6 (a D (+/+) ) and Knockout C57Bl/6 (a D (-/-) ) with malaria-associated acute lung injury to better determine the relevancy of the murine models and investigate the mechanism of disease. METHODS: C57BL/6 wild type (a D (+/+) ) and deficient for CD11d sub-unit (a D (-/-) ) mice were monitored after infection with 10(5) Plasmodium berghei ANKA. CD11d subunit expression RNA was measured by real-time polymerase chain reaction, vascular barrier integrity by Evans blue dye (EBD) exclusion and cytokines by ELISA. Protein and leukocytes were measured in bronchoalveolar lavage fluid (BALF) samples. Tissue cellularity was measured by the point-counting technique, F4/80 and VCAM-1 expression by immunohistochemistry. Respiratory function was analysed by non-invasive BUXCO and mechanical ventilation. RESULTS: Alveolar inflammation, vascular and interstitial accumulation of monocytes and macrophages, and disrupted alveolar-capillary barrier function with exudation of protein-rich pulmonary oedema fluid were present in P. berghei-infected wild type mice and were improved in αDß2-deficient animals. Key pro-inflammatory cytokines were also decreased in lung tissue from α D (-/-) mice, providing a mechanistic explanation for reduced alveolar-capillary inflammation and leak. CONCLUSIONS: The results indicate that αDß2 is an important inflammatory effector molecule in P. berghei-induced MA-ARDS, and that leukocyte integrins regulate critical inflammatory and pathophysiologic events in this model of complicated malaria. Genetic deletion of integrin subunit αD in mice, leading to deficiency of integrin αDß2, alters lung inflammation and acute lung injury in a mouse model of MA-ARDS caused by P. berghei.


Subject(s)
CD11 Antigens/metabolism , Integrin alpha Chains/metabolism , Malaria/complications , Respiratory Distress Syndrome/pathology , Animals , Bronchoalveolar Lavage Fluid/chemistry , Bronchoalveolar Lavage Fluid/cytology , Cytokines/analysis , Disease Models, Animal , Enzyme-Linked Immunosorbent Assay , Evans Blue/metabolism , Gene Expression Profiling , Immunohistochemistry , Leukocyte Count , Lung/pathology , Mice, Inbred C57BL , Mice, Knockout , Permeability , Plasmodium berghei/growth & development , Proteins/analysis , Real-Time Polymerase Chain Reaction , Respiratory Function Tests
3.
Braz J Microbiol ; 46(2): 415-24, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26273256

ABSTRACT

Dyes are the most difficult constituents to remove by conventional biological wastewater treatment. Colored wastewater is mainly eliminated by physical and chemical procedures, which are very expensive and have drawbacks. Therefore, the advantage of using biological processes, such as the biotransformation of dyes, is that they may lead to complete mineralization or formation of less toxic products. To prove the possibility of using fungal processes for decolorization and other applications, the analysis of the toxicity of the processes' products is required. The decolorization of the mixture of two dyes from different classes - triphenylmethane brilliant green and azo Evans blue (GB - total concentration 0.08 g/L, proportion 1:1 w/w) - by Pleurotus ostreatus (BWPH and MB), Gloeophyllum odoratum (DCa), RWP17 (Polyporus picipes) and Fusarium oxysporum (G1) was studied. Zootoxicity (Daphnia magna) and phytotoxicity (Lemna minor) changes were estimated at the end of the experiment. The mixture of dyes was significantly removed by all the strains that were tested with 96 h of experimental time. However, differences among strains from the same species (P. ostreatus) were noted. Shaking improved the efficacy and rate of the dye removal. In static samples, the removal of the mixture reached more than 51.9% and in shaken samples, more than 79.2%. Tests using the dead biomass of the fungi only adsorbed up to 37% of the dye mixture (strain BWPH), which suggests that the process with the living biomass involves the biotransformation of the dyes. The best results were reached for the MB strain, which removed 90% of the tested mixture under shaking conditions. Regardless of the efficacy of the dye removal, toxicity decreased from class V to class III in tests with D. magna. Tests with L. minor control samples were classified as class IV, and samples with certain strains were non-toxic. The highest phytotoxicity decrease was noted in shaken samples where the elimination of dye mixture was the best.


Subject(s)
Basidiomycota/growth & development , Basidiomycota/metabolism , Evans Blue/metabolism , Fusarium/growth & development , Fusarium/metabolism , Rosaniline Dyes/metabolism , Wastewater/microbiology , Animals , Araceae/drug effects , Araceae/physiology , Biotransformation , Cell Survival/drug effects , Daphnia/drug effects , Daphnia/physiology , Evans Blue/toxicity , Rosaniline Dyes/toxicity , Water Purification/methods
4.
Braz. j. microbiol ; Braz. j. microbiol;46(2): 415-424, Apr-Jun/2015. tab, graf
Article in English | LILACS | ID: lil-749732

ABSTRACT

Dyes are the most difficult constituents to remove by conventional biological wastewater treatment. Colored wastewater is mainly eliminated by physical and chemical procedures, which are very expensive and have drawbacks. Therefore, the advantage of using biological processes, such as the biotransformation of dyes, is that they may lead to complete mineralization or formation of less toxic products. To prove the possibility of using fungal processes for decolorization and other applications, the analysis of the toxicity of the processes' products is required. The decolorization of the mixture of two dyes from different classes - triphenylmethane brilliant green and azo Evans blue (GB - total concentration 0.08 g/L, proportion 1:1 w/w) - by Pleurotus ostreatus (BWPH and MB), Gloeophyllum odoratum (DCa), RWP17 (Polyporus picipes) and Fusarium oxysporum (G1) was studied. Zootoxicity (Daphnia magna) and phytotoxicity (Lemna minor) changes were estimated at the end of the experiment. The mixture of dyes was significantly removed by all the strains that were tested with 96 h of experimental time. However, differences among strains from the same species (P. ostreatus) were noted. Shaking improved the efficacy and rate of the dye removal. In static samples, the removal of the mixture reached more than 51.9% and in shaken samples, more than 79.2%. Tests using the dead biomass of the fungi only adsorbed up to 37% of the dye mixture (strain BWPH), which suggests that the process with the living biomass involves the biotransformation of the dyes. The best results were reached for the MB strain, which removed 90% of the tested mixture under shaking conditions. Regardless of the efficacy of the dye removal, toxicity decreased from class V to class III in tests with D. magna. Tests with L. minor control samples were classified as class IV, and samples with certain strains were non-toxic. The highest phytotoxicity decrease was noted in shaken samples where the elimination of dye mixture was the best.


Subject(s)
Animals , Basidiomycota/growth & development , Basidiomycota/metabolism , Evans Blue/metabolism , Fusarium/growth & development , Fusarium/metabolism , Rosaniline Dyes/metabolism , Wastewater/microbiology , Araceae/drug effects , Araceae/physiology , Biotransformation , Cell Survival/drug effects , Daphnia/drug effects , Daphnia/physiology , Evans Blue/toxicity , Rosaniline Dyes/toxicity , Water Purification/methods
5.
Braz. J. Microbiol. ; 46(2): 415-424, Apr.-Jun. 2015. tab, graf
Article in English | VETINDEX | ID: vti-481412

ABSTRACT

Dyes are the most difficult constituents to remove by conventional biological wastewater treatment. Colored wastewater is mainly eliminated by physical and chemical procedures, which are very expensive and have drawbacks. Therefore, the advantage of using biological processes, such as the biotransformation of dyes, is that they may lead to complete mineralization or formation of less toxic products. To prove the possibility of using fungal processes for decolorization and other applications, the analysis of the toxicity of the processes' products is required. The decolorization of the mixture of two dyes from different classes - triphenylmethane brilliant green and azo Evans blue (GB - total concentration 0.08 g/L, proportion 1:1 w/w) - by Pleurotus ostreatus (BWPH and MB), Gloeophyllum odoratum (DCa), RWP17 (Polyporus picipes) and Fusarium oxysporum (G1) was studied. Zootoxicity (Daphnia magna) and phytotoxicity (Lemna minor) changes were estimated at the end of the experiment. The mixture of dyes was significantly removed by all the strains that were tested with 96 h of experimental time. However, differences among strains from the same species (P. ostreatus) were noted. Shaking improved the efficacy and rate of the dye removal. In static samples, the removal of the mixture reached more than 51.9% and in shaken samples, more than 79.2%. Tests using the dead biomass of the fungi only adsorbed up to 37% of the dye mixture (strain BWPH), which suggests that the process with the living biomass involves the biotransformation of the dyes. The best results were reached for the MB strain, which removed 90% of the tested mixture under shaking conditions. Regardless of the efficacy of the dye removal, toxicity decreased from class V to class III in tests with D. magna. Tests with L. minor control samples were classified as class IV, and samples with certain strains were non-toxic. The highest phytotoxicity decrease was noted in shaken samples where the elimination of dye mixture was the best.(AU)


Subject(s)
Animals , Basidiomycota/growth & development , Basidiomycota/metabolism , Evans Blue/metabolism , Fusarium/growth & development , Fusarium/metabolism , Rosaniline Dyes/metabolism , Wastewater/microbiology , Araceae , Araceae/physiology , Biotransformation , Cell Survival , Daphnia , Daphnia/physiology , Evans Blue/toxicity , Rosaniline Dyes/toxicity , Water Purification/methods
6.
PLoS Negl Trop Dis ; 9(3): e0003577, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25774662

ABSTRACT

Cysticidal treatment of neurocysticercosis, an infection of humans and pig brains with Taenia solium, results in an early inflammatory response directed to cysts causing seizures and focal neurological manifestations. Treatment-induced pericystic inflammation and its association with blood brain barrier (BBB) dysfunction, as determined by Evans blue (EB) extravasation, was studied in infected untreated and anthelmintic-treated pigs. We compared the magnitude and extent of the pericystic inflammation, presence of EB-stained capsules, the level of damage to the parasite, expression of genes for proinflammatory and regulatory cytokines, chemokines, and tissue remodeling by quantitative PCR assays between treated and untreated infected pigs and between EB-stained (blue) and non stained (clear) cysts. Inflammatory scores were higher in pericystic tissues from EB-stained cysts compared to clear cysts from untreated pigs and also from anthelmintic-treated pigs 48 hr and 120 hr after treatment. The degree of inflammation correlated with the severity of cyst wall damage and both increased significantly at 120 hours. Expression levels of the proinflammatory genes for IL-6, IFN-γ, TNF-α were higher in EB-stained cysts compared to clear cysts and unaffected brain tissues, and were generally highest at 120 hr. Additionally, expression of some markers of immunoregulatory activity (IL-10, IL-2Rα) were decreased in EB-stained capsules. An increase in other markers for regulatory T cells (CTLA4, FoxP3) was found, as well as significant increases in expression of two metalloproteases, MMP1 and MMP2 at 48 hr and 120 hr post-treatment. We conclude that the increase in severity of the inflammation caused by treatment is accompanied by both a proinflammatory and a complex regulatory response, largely limited to pericystic tissues with compromised vascular integrity. Because treatment induced inflammation occurs in porcine NCC similar to that in human cases, this model can be used to investigate mechanisms involved in host damaging inflammatory responses and agents or modalities that may control damaging post treatment inflammation.


Subject(s)
Brain Diseases/immunology , Cysts/immunology , Inflammation/etiology , Neurocysticercosis/immunology , Swine Diseases/immunology , Animals , Anthelmintics/therapeutic use , Brain Diseases/veterinary , Capillary Permeability , Cysts/veterinary , Evans Blue/metabolism , Neurocysticercosis/drug therapy , Neurocysticercosis/metabolism , Neurocysticercosis/veterinary , Swine , Swine Diseases/drug therapy , Swine Diseases/metabolism
7.
PLoS One ; 9(10): e110551, 2014.
Article in English | MEDLINE | ID: mdl-25333369

ABSTRACT

BACKGROUND: Temperature, humidity, vision, and particularly odor, are external cues that play essential roles to mosquito blood feeding and oviposition. Entomological and behavioral studies employ well-established methods to evaluate mosquito attraction or repellency and to identify the source of the blood meal. Despite the efficacy of such methods, the costs involved in the production or acquisition of all parts, components and the chemical reagents involved are unaffordable for most researchers from poor countries. Thus, a simple and relatively low-cost method capable of evaluating mosquito preferences and the blood volume ingested is desirable. PRINCIPAL FINDINGS: By using Evans blue (EB) vital dye and few standard laboratory supplies, we developed and validated a system capable of evaluating mosquito's choice between two different host sources of blood. EB-injected and PBS-injected mice submitted to a number of situations were placed side by side on the top of a rounded recipient covered with tulle fabric and containing Aedes aegypti mosquitoes. Homogenates from engorged mosquitoes clearly revealed the blood source (EB- or PBS-injected host), either visually or spectrometrically. This method was able to estimate the number of engorded mosquitoes, the volume of blood ingested, the efficacy of a commercial repellent and the attractant effects of black color and human sweat. SIGNIFICANCE: Despite the obvious limitations due to its simplicity and to the dependence of a live source of blood, the present method can be used to assess a number of host variables (diet, aging, immunity, etc) and optimized for several aspects of mosquito blood feeding and vector-host interactions. Thus, it is proposed as an alternative to field studies, and it could be used for initial screenings of chemical compound candidates for repellents or attractants, since it replicates natural conditions of exposure to mosquitoes in a laboratory environment.


Subject(s)
Aedes/physiology , Evans Blue/chemistry , Feeding Behavior , Animals , Discriminant Analysis , Evans Blue/metabolism , Feeding Behavior/drug effects , Female , Insect Repellents/pharmacology , Male , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Models, Animal , Spectrophotometry, Ultraviolet
8.
Proc Natl Acad Sci U S A ; 110(40): 16229-34, 2013 Oct 01.
Article in English | MEDLINE | ID: mdl-24043768

ABSTRACT

Denervation of skeletal muscles induces atrophy, preceded by changes in sarcolemma permeability of causes not yet completely understood. Here, we show that denervation-induced Evans blue dye uptake in vivo of fast, but not slow, myofibers was acutely inhibited by connexin (Cx) hemichannel/pannexin1 (Panx1) channel and purinergic ionotropic P2X7 receptor (P2X7R) blockers. Denervated myofibers showed up-regulation of Panx1 and de novo expression of Cx39, Cx43, and Cx45 hemichannels as well as P2X7Rs and transient receptor potential subfamily V, member 2, channels, all of which are permeable to small molecules. The sarcolemma of freshly isolated WT myofibers from denervated muscles also showed high hemichannel-mediated permeability that was slightly reduced by blockade of Panx1 channels or the lack of Panx1 expression, but was completely inhibited by Cx hemichannel or P2X7R blockers, as well as by degradation of extracellular ATP. However, inhibition of transient receptor potential subfamily V, member 2, channels had no significant effect on membrane permeability. Moreover, activation of the transcription factor NFκB and higher mRNA levels of proinflammatory cytokines (TNF-α and IL-1ß) were found in denervated WT but not Cx43/Cx45-deficient muscles. The atrophy observed after 7 d of denervation was drastically reduced in Cx43/Cx45-deficient but not Panx1-deficient muscles. Therefore, expression of Cx hemichannels and P2X7R promotes a feed-forward mechanism activated by extracellular ATP, most likely released through hemichannels, that activates the inflammasome. Consequently, Cx hemichannels are potential targets for new therapeutic agents to prevent or reduce muscle atrophy induced by denervation of diverse etiologies.


Subject(s)
Cell Membrane Permeability/physiology , Connexins/metabolism , Denervation , Muscle, Skeletal/metabolism , Muscular Atrophy/metabolism , Sarcolemma/metabolism , Analysis of Variance , Animals , Connexin 43/deficiency , Evans Blue/metabolism , Male , Microscopy, Fluorescence , Muscle, Skeletal/innervation , Rats , Rats, Sprague-Dawley
9.
Curr Neurovasc Res ; 10(3): 197-207, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23713739

ABSTRACT

The functions of rapid eye movement (REM) sleep have remained elusive since more than 50 years. Previous reports have identified several independent processes affected by the loss and subsequent recovery of REM sleep (hippocampal neurogenesis, brain stem neuronal cell death, and neurotransmitter content in several brain regions); however, a common underlying mechanism has not been found. We propose that altered brain homeostasis secondary to blood-brain barrier breakdown may explain all those changes induced by REM sleep loss. Therefore, the present report aimed to study the consequences of REM sleep restriction upon blood-brain barrier permeability to Evans blue. REM sleep restriction was induced by the multiple platform technique; male rats were REM sleep restricted 20h daily (with 4h sleep opportunity) during 10 days; control groups included large platform and intact rats. To study blood-brain barrier permeability Evans blue was intracardially administered; stained brains were sliced and photographed for optical density quantification. An independent experiment was carried out to elucidate the mechanism of blood-brain breakdown by transmission electron microscopy. REM sleep restriction increased blood-brain barrier permeability to Evans blue in the whole brain as compared to both control groups. Brief periods of sleep recovery rapidly and effectively restored the severe alteration of blood-brain barrier function by reducing blood-to-brain transfer of Evans blue. The mechanism of blood-brain barrier breakdown involved increased caveolae formation at brain endothelial cells. In conclusion, our data suggest that REM sleep regulates the physical barrier properties of the blood-brain barrier.


Subject(s)
Blood-Brain Barrier/metabolism , Blood-Brain Barrier/ultrastructure , Recovery of Function/physiology , Sleep Deprivation/metabolism , Sleep, REM/physiology , Animals , Blood-Brain Barrier/pathology , Evans Blue/metabolism , Male , Random Allocation , Rats , Rats, Wistar , Sleep Deprivation/pathology
10.
Toxicon ; 57(1): 162-7, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20637222

ABSTRACT

Gyroxin is a serine protease enzyme component of the South American rattlesnake (Crotalus durissus terrificus) venom. This toxin displays several activities, including the induction of blood coagulation (fibrinogenolytic activity), vasodilation and neurotoxicity, resulting in an effect called barrel rotation. The mechanisms involved in this neurotoxic activity are not well known. Because gyroxin is a member of a potentially therapeutic family of enzymes, including thrombin, ancrod, batroxobin, trypsin and kallicrein, the identification of the mechanism of gyroxin's action is extremely important. In this study, gyroxin was isolated from crude venom by affinity and molecular exclusion chromatography. Analysis of the isolated gyroxin via sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) revealed a single protein band with a molecular weight of approximately 28 kDa, confirming the identity of the molecule. Furthermore, intravenous administration of purified gyroxin (0.25 µg/g of body weight) to mice resulted in symptoms compatible with barrel rotation syndrome, confirming the neurotoxic activity of the toxin. Mice treated with gyroxin showed an increase in the concentration of albumin-Evans blue in brain extracts, indicating an increase in the blood-brain barrier (BBB) permeability. This gyroxin-induced increase in BBB permeability was time-dependent, reaching a peak within 15 min after exposure, similar to the time span in which the neurotoxic syndrome (barrel rotation) occurs. This work provides the first evidence of gyroxin's capacity to temporarily alter the permeability of the BBB.


Subject(s)
Blood-Brain Barrier/drug effects , Crotalid Venoms/pharmacology , Evans Blue , Neurotoxins/pharmacology , Animals , Behavior, Animal/drug effects , Blood-Brain Barrier/metabolism , Cattle , Chemical Fractionation , Chromatography, Affinity , Crotalid Venoms/chemistry , Electrophoresis, Agar Gel , Evans Blue/metabolism , Male , Mice , Neurotoxins/chemistry , Serum Albumin/metabolism
11.
Phytother Res ; 16(6): 545-9, 2002 Sep.
Article in English | MEDLINE | ID: mdl-12237812

ABSTRACT

The effects of quercetin on substance P-induced plasma protein extravasation (PE) in the rat dura mater, cerebellum, olfactory bulb and cortex and also its modulation by endopeptidases, angiotensin-converting enzyme (ACE) and neutral endopeptidase (NEP) were studied. PE was assessed by photometric measurement of extravasated Evans blue. Substance P (SP) and NEP or ACE inhibitors increased the PE in dura mater. Pretreatment with captopril or phosphoramidon potentiated PE induced by SP in the dura mater and cerebellum, respectively. Quercetin increased the PE in the dura mater, cerebellum and cortex. Further results suggested that the PE induced by SP in the dura mater was enhanced by pretreatment with quercetin, similar to that observed with selective peptidase inhibitors. Quercetin-stimulated extravasation in all tissues was abolished by NK-1 receptor blockade. These results suggest that quercetin increases PE in the dura mater and CNS tissues by inhibiting NEP and/or ACE, showing that the effect induced in the dura mater, cerebellum and cortex occurs through endogenous SP accumulation.


Subject(s)
Central Nervous System/drug effects , Dura Mater/drug effects , Neprilysin/antagonists & inhibitors , Peptidyl-Dipeptidase A/drug effects , Quercetin/pharmacology , Animals , Capillary Permeability/drug effects , Captopril/pharmacology , Central Nervous System/blood supply , Central Nervous System/metabolism , Cerebellum/blood supply , Cerebellum/drug effects , Cerebellum/metabolism , Cerebral Cortex/blood supply , Cerebral Cortex/drug effects , Cerebral Cortex/metabolism , Dura Mater/blood supply , Dura Mater/metabolism , Endothelium, Vascular/cytology , Endothelium, Vascular/drug effects , Evans Blue/metabolism , Extravasation of Diagnostic and Therapeutic Materials/prevention & control , Glycopeptides/pharmacology , Jugular Veins/drug effects , Male , Neurokinin-1 Receptor Antagonists , Olfactory Bulb/blood supply , Olfactory Bulb/drug effects , Olfactory Bulb/metabolism , Peptidyl-Dipeptidase A/metabolism , Quercetin/blood , Rats , Rats, Wistar , Substance P/metabolism
12.
J Pharmacol Exp Ther ; 295(2): 824-9, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11046124

ABSTRACT

The present study was conducted to investigate the role of NK(1) receptors and of nitric oxide (NO) on the pathogenesis of cyclophosphamide-induced cystitis, in rats. This bladder toxicity was characterized by marked increases in protein plasma extravasation, urothelial damage, edema, white blood cell infiltrates, and vascular congestion. These changes were associated with appearance of Ca(2+)-independent NO-synthase (NOS) activity [characteristic of inducible NOS (iNOS)] in the bladder and with increases in urinary NO metabolites. GR205171, a selective NK(1) antagonist (10-20 mg/kg, i.p.) reduced cyclophosphamide-induced increases in protein plasma extravasation and in the urinary excretion of NO metabolites. N(G)-Nitro-L-arginine (L-NNA) (10 mg/kg, i.p.), a NOS inhibitor, reduced basal and cyclophosphamide-induced increases in NO metabolites and protected against cyclophosphamide-induced protein plasma extravasation. GR205171 had no effect, whereas L-NNA reduced basal NO metabolite excretion. Combined treatment with the NK(1) antagonist and the NO-synthesis inhibitor produced comparable reduction in protein plasma extravasation than that achieved with each drug given separately. Combined drug treatment ameliorated cyclophosphamideinduced urothelial damage, and the extent of edema, vascular congestion, and white blood cell infiltrates in the bladder. In summary, NK(1) receptors and iNOS play a role in NO formation and on cyclophosphamide-induced cystitis. Activation of NK(1) receptors mainly acts through the formation of NO. It is proposed that cyclophosphamide and/or its metabolites would stimulate primary afferent capsaicin-sensitive fibers in the bladder, releasing neuropeptides, which would activate NK(1) receptors. However, additional mechanisms are involved, because neither the NK(1) receptor antagonist nor the NO synthesis inhibitor, either alone or in combination, were able to completely prevent the toxicity.


Subject(s)
Cyclophosphamide/toxicity , Cystitis/chemically induced , Nitric Oxide/physiology , Receptors, Neurokinin-1/physiology , Animals , Blood Proteins/metabolism , Capillary Permeability/drug effects , Cyclophosphamide/antagonists & inhibitors , Cystitis/pathology , Cystitis/physiopathology , Drug Interactions , Enzyme Inhibitors/pharmacology , Evans Blue/metabolism , Extravasation of Diagnostic and Therapeutic Materials/blood , Male , Neurokinin-1 Receptor Antagonists , Nitrates/urine , Nitric Oxide Synthase/antagonists & inhibitors , Nitric Oxide Synthase/metabolism , Nitric Oxide Synthase Type II , Nitrites/urine , Nitroarginine/pharmacology , Piperidines/pharmacology , Rats , Rats, Wistar , Tetrazoles/pharmacology , Urinary Bladder/drug effects , Urinary Bladder/enzymology , Urinary Bladder/pathology
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