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1.
J Dairy Sci ; 103(6): 5525-5531, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32253037

ABSTRACT

It is well established that intravenous administration of lipopolysaccharides (LPS)-cell wall components from gram-negative bacteria-induce acute inflammatory responses in dairy calves, but the effect of oral administration of LPS to dairy calves is currently unknown. To evaluate the effects of oral administration of LPS derived from Escherichia coli (serotype O111:B4) on innate immune responses in milk-fed Holstein calves, 20 visually healthy calves (34 ± 1 d) received 4 L of milk with LPS (12 µg/kg body weight; n = 10; LPS) or without LPS (n = 10; control) at the morning feeding. Samples were collected at 0.5 h before the morning feeding and at 3, 6, 24, 48, 72, and 168 h after the morning feeding to measure rectal temperature and heart rate, as well as plasma-negative and plasma-positive acute phase proteins (i.e., haptoglobin, serum amyloid A, albumin, total protein, and fibrinogen) and immunoglobulin concentrations (IgG, IgM, and IgA). None of these measurements was affected by the oral administration of LPS. Oral administration of LPS at 12 µg/kg of body weight did not induce an acute inflammatory response in visually healthy milk-fed Holstein calves when administered in milk.


Subject(s)
Cattle/immunology , Escherichia coli/chemistry , Immunity, Innate/drug effects , Lipopolysaccharides/immunology , Acute-Phase Proteins/analysis , Acute-Phase Proteins/drug effects , Administration, Oral , Animals , Body Weight , Immunoglobulins/blood , Lipopolysaccharides/administration & dosage , Male , Milk/metabolism , Serogroup
2.
Pediatr Crit Care Med ; 17(2): 121-7, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26509817

ABSTRACT

OBJECTIVES: Plasma neutrophil gelatinase-associated lipocalin is a kidney injury marker used in pediatric heart surgery. Neutrophil gelatinase-associated lipocalin is also a constituent of specific granules of neutrophils. Corticosteroids are widely used in pediatric heart surgery. Methylprednisolone inhibits degranulation of neutrophil-specific granules. Use of corticosteroids has not been taken into account in studies of neutrophil gelatinase-associated lipocalin in pediatric heart surgery. We studied the influence of systemically administered methylprednisolone on plasma neutrophil gelatinase-associated lipocalin concentrations in pediatric heart surgery. DESIGN: Two separate double-blinded randomized trials. SETTING: PICU at a university-affiliated hospital. PATIENTS: Forty neonates undergoing open-heart surgery and 45 children undergoing ventricular and atrioventricular septal defect correction. INTERVENTIONS: First trial (neonate trial), 40 neonates undergoing open-heart surgery received either 30 mg/kg IV methylprednisolone (n = 20) or placebo (n = 20). Second trial (ventricular septal defect trial), 45 children undergoing ventricular or atrioventricular septal defect correction received one of the following: 30 mg/kg of methylprednisolone IV after anesthesia induction (n = 15), 30 mg/kg methylprednisolone in the cardiopulmonary bypass prime solution (n = 15), or placebo (n = 15). MEASUREMENTS AND MAIN RESULTS: Plasma neutrophil gelatinase-associated lipocalin and creatinine were measured in both series. Lactoferrin levels were measured as a marker of neutrophil-specific granules in the ventricular septal defect trial only. No differences in creatinine levels occurred between the groups of either trial. Preoperative, neutrophil gelatinase-associated lipocalin did not differ between the study groups of either trial. Preoperatively administered methylprednisolone in the neonate trial reduced neutrophil gelatinase-associated lipocalin by 41% at 6 hours postoperatively (p = 0.002). Preoperatively administered methylprednisolone in the ventricular septal defect trial reduced neutrophil gelatinase-associated lipocalin by 47% (p = 0.010) and lactoferrin by 52% (p = 0.013) 6 hours postoperatively. Lactoferrin levels in the ventricular septal defect trial correlated with neutrophil gelatinase-associated lipocalin (R = 0.492; p = 0.001) preoperatively and after weaning from cardiopulmonary bypass (R = 0.471; p = 0.001). CONCLUSIONS: Preoperatively administered methylprednisolone profoundly decreases plasma neutrophil gelatinase-associated lipocalin levels. Neutrophil gelatinase-associated lipocalin seems to originate to a significant extent from activated neutrophils. Preoperative methylprednisolone is a confounding factor when interpreting plasma neutrophil gelatinase-associated lipocalin levels as a kidney injury marker in pediatric heart surgery.


Subject(s)
Acute Kidney Injury/blood , Biomarkers/blood , Cardiac Surgical Procedures , Glucocorticoids/administration & dosage , Lipocalins/blood , Methylprednisolone/administration & dosage , Proto-Oncogene Proteins/blood , Acute Kidney Injury/etiology , Acute-Phase Proteins/drug effects , Double-Blind Method , Female , Hospitals, University , Humans , Infant , Infant, Newborn , Intensive Care Units, Pediatric , Lipocalin-2 , Lipocalins/drug effects , Male , Proto-Oncogene Proteins/drug effects
3.
Ann Thorac Surg ; 99(4): 1392-8, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25669667

ABSTRACT

BACKGROUND: Hyperfibrinogenemia, which can create a procoagulant milieu, is frequently observed in patients supported with the Berlin EXCOR (Berlin Heart GmbH, Berlin, Germany) ventricular assist device (VAD). We began initiating corticosteroids in patients with systemic inflammatory response syndrome (SIRS) episodes to mitigate hyperfibrinogenemia. We set forth to describe the impact of corticosteroids on the hyperfibrinogenemic state in our institutional experience. METHODS: Retrospective data was collected on 44 consecutive patients implanted with the Berlin EXCOR VAD from April 15, 2005 through May 6, 2013. Pertinent information was abstracted from the electronic medical record. The reduction of C-reactive protein (CRP) and fibrinogen levels among days from corticosteroid treatment were described. Infections and insulin use were reported based on whether patients received steroids and if steroids were given for SIRS. RESULTS: Over the initial 44 Berlin EXCOR VAD implantations, 14 patients were treated with 21 courses of corticosteroids for SIRS episodes as identified by clinical features and rise in CRP. Treatment with corticosteroids reduced fibrinogen levels by day 2 to a statistically significant degree (p = 0.008). No difference in hyperglycemia or infections occurred among patients receiving corticosteroids for SIRS. CONCLUSIONS: Treatment with corticosteroids can potentially mitigate the SIRS response among children supported on the Berlin EXCOR VAD. In patients who received corticosteroids to mitigate inflammation, there was no increase in infections or hyperglycemia requiring insulin administration compared with patients who did not receive steroids.


Subject(s)
Acute-Phase Proteins/metabolism , Adrenal Cortex Hormones/administration & dosage , Heart Failure/surgery , Heart-Assist Devices/adverse effects , Systemic Inflammatory Response Syndrome/drug therapy , Acute-Phase Proteins/drug effects , Biomarkers/blood , C-Reactive Protein/drug effects , C-Reactive Protein/metabolism , Child , Child, Preschool , Cohort Studies , Extracorporeal Membrane Oxygenation/adverse effects , Extracorporeal Membrane Oxygenation/methods , Female , Fibrinogen/drug effects , Fibrinogen/metabolism , Follow-Up Studies , Heart Failure/diagnosis , Humans , Infant , Male , Retrospective Studies , Risk Assessment , Systemic Inflammatory Response Syndrome/etiology , Systemic Inflammatory Response Syndrome/physiopathology , Treatment Outcome
4.
Acta Cir Bras ; 29(8): 515-21, 2014 Aug.
Article in English | MEDLINE | ID: mdl-25140593

ABSTRACT

PURPOSE: To investigate whether allopurinol exerts a protective effect on kidneys by measuring new kidney injury biomarkers (NGALp, NGALu, KIM 1 and IL 18) and analysing the renal function and histology in uninephrectomised rats subjected to ischaemia-reperfusion injury. METHODS: Thirty two Wistar rats were randomly allocated to four groups: Sham (S): laparotomy; Control (C): laparotomy and ischaemia-reperfusion in the left kidney; Control Allopurinol (CA): laparotomy and allopurinol at a dose of 100mg·kg 1·d 1; and Allopurinol (A): laparotomy ischaemia-reperfusion in the left kidney and allopurinol at a dose of 100mg·kg 1·d 1. The NGALp, NGALu, KIM 1, IL 18 and creatinine levels and the kidney histology were analysed. The significance level was established as p<0.05. RESULTS: Creatinine level increased in all the groups, with A ≈ C > S ≈ CA. The NGALp, NGALu and IL 18 levels exhibited similar behaviour in all the groups. KIM 1 was higher in group A than C and showed intermediate values in groups S and CA. Severity of injury in the left kidney was greater in groups C and A compared to S and CA. CONCLUSION: Allopurinol did not exert protective or damaging effects on the kidneys of rats subjected to ischaemia-reperfusion injury.


Subject(s)
Acute-Phase Proteins/analysis , Allopurinol/pharmacology , Antimetabolites/pharmacology , Interleukin-18/analysis , Ischemia/drug therapy , Kidney/blood supply , Kidney/drug effects , Lipocalins/analysis , Proto-Oncogene Proteins/analysis , Acute-Phase Proteins/drug effects , Animals , Biomarkers/blood , Creatinine/blood , Kidney/pathology , Lipocalin-2 , Lipocalins/drug effects , Male , Proto-Oncogene Proteins/drug effects , Random Allocation , Rats, Wistar , Reperfusion Injury/drug therapy , Reperfusion Injury/pathology
5.
Acta cir. bras ; 29(8): 515-521, 08/2014. tab, graf
Article in English | LILACS | ID: lil-719184

ABSTRACT

PURPOSE: To investigate whether allopurinol exerts a protective effect on kidneys by measuring new kidney injury biomarkers (NGALp, NGALu, KIM 1 and IL 18) and analysing the renal function and histology in uninephrectomised rats subjected to ischaemia-reperfusion injury. METHODS: Thirty two Wistar rats were randomly allocated to four groups: Sham (S): laparotomy; Control (C): laparotomy and ischaemia-reperfusion in the left kidney; Control Allopurinol (CA): laparotomy and allopurinol at a dose of 100mg·kg 1·d 1; and Allopurinol (A): laparotomy ischaemia-reperfusion in the left kidney and allopurinol at a dose of 100mg·kg 1·d 1. The NGALp, NGALu, KIM 1, IL 18 and creatinine levels and the kidney histology were analysed. The significance level was established as p<0.05. RESULTS: Creatinine level increased in all the groups, with A ≈ C > S ≈ CA. The NGALp, NGALu and IL 18 levels exhibited similar behaviour in all the groups. KIM 1 was higher in group A than C and showed intermediate values in groups S and CA. Severity of injury in the left kidney was greater in groups C and A compared to S and CA. CONCLUSION: Allopurinol did not exert protective or damaging effects on the kidneys of rats subjected to ischaemia-reperfusion injury. .


Subject(s)
Animals , Male , Acute-Phase Proteins/analysis , Allopurinol/pharmacology , Antimetabolites/pharmacology , /analysis , Ischemia/drug therapy , Kidney/blood supply , Kidney/drug effects , Lipocalins/analysis , Proto-Oncogene Proteins/analysis , Acute-Phase Proteins/drug effects , Biomarkers/blood , Creatinine/blood , Kidney/pathology , Lipocalins/drug effects , Proto-Oncogene Proteins/drug effects , Random Allocation , Rats, Wistar , Reperfusion Injury/drug therapy , Reperfusion Injury/pathology
6.
Toxicol Lett ; 226(2): 228-35, 2014 Apr 21.
Article in English | MEDLINE | ID: mdl-24518829

ABSTRACT

The environmental toxicant cadmium (Cd) enters the food chain. A substantial proportion of Cd in nutrients of plant origin is present as Cd-metallothionein (CdMT) and Cd-phytochelatin (CdPC) complexes, which may be absorbed and transcytosed intact by colonic enterocytes following bacterial fermentation and contribute to systemic Cd toxicity, e.g. in liver and kidneys. We have recently demonstrated that the receptor for human neutrophil gelatinase-associated lipocalin (hNGAL) is expressed in human colon and colon-like Caco-2 BBE cells where it mediates transcytosis of MT and PC. Here we show in colon-like Caco-2 BBE cells that hNGAL receptor (hNGAL-R) dependent toxicity is significantly higher with CdMT than with CdPC3 (2.5-50µM Cd(2+) complexed to MT or PC3 for ≤24h), using MTT assay. Fluorescence-labelled A546-MT, but not A488-PC3 (both 700nM), co-localizes with the lysosomal marker cathepsin-B, as determined by confocal microscopy. In transwell experiments with confluent monolayers, transcytosis efficiency (i.e. the ratio of basal delivery to apical decrease) of A546-MT is decreased compared to A488-PC3 (both 700nM). The tubulin polymerization disruptor nocodazole (16.7µM) almost abolished CdMT and CdPC3 toxicity, reduced apical uptake of both A546-MT and A488-PC3, but increased transcytosis efficiency of A546-MT compared to that of A488-PC3 by preventing trafficking of A546-MT to lysosomes. Hence, following hNGAL-R dependent endocytosis of CdMT/CdPC3 in colonic epithelia, a nocodazole-sensitive trafficking pathway may preferentially target CdMT, but not CdPC3, to lysosomes, causing increased colonic epithelial toxicity but reduced systemic toxicity.


Subject(s)
Acute-Phase Proteins/metabolism , Cadmium/metabolism , Intestinal Mucosa/metabolism , Lipocalins/metabolism , Metallothionein/metabolism , Phytochelatins/metabolism , Proto-Oncogene Proteins/metabolism , Transcytosis , Acute-Phase Proteins/drug effects , Caco-2 Cells , Cadmium/toxicity , Cathepsin B/metabolism , Cell Survival/drug effects , Dose-Response Relationship, Drug , Humans , Intestinal Mucosa/drug effects , Intestinal Mucosa/pathology , Kinetics , Ligands , Lipocalin-2 , Lipocalins/drug effects , Lysosomes/metabolism , Metallothionein/toxicity , Phytochelatins/toxicity , Protein Transport , Proto-Oncogene Proteins/drug effects , Tubulin Modulators/pharmacology
7.
Hepatology ; 58(4): 1349-61, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23696034

ABSTRACT

UNLABELLED: Lipocalin-2 (Lcn2) is preferentially expressed in hepatocellular carcinoma (HCC). However, the functional role of Lcn2 in HCC progression is still poorly understood, particularly with respect to its involvement in invasion and metastasis. The purpose of this study was to investigate whether Lcn2 is associated with the epithelial-mesenchymal transition (EMT) in HCC and to elucidate the underlying signaling pathway(s). Lcn2 was preferentially expressed in well-differentiated HCC versus liver cirrhosis tissues, and its expression was positively correlated with the stage of HCC. The characteristics of EMT were reversed by adenoviral transduction of Lcn2 into SH-J1 cells, including the down-regulation of N-cadherin, vimentin, alpha-smooth muscle actin, and fibronectin, and the concomitant up-regulation of CK8, CK18, and desmoplakin I/II. Knockdown of Lcn2 by short hairpin RNA (shRNA) in HKK-2 cells expressing high levels of Lcn2 was associated with EMT. Epidermal growth factor (EGF) or transforming growth factor beta1 (TGF-ß1) treatment resulted in down-regulation of Lcn2, accompanied by an increase in Twist1 expression and EMT in HCC cells. Stable Lcn2 expression in SH-J1 cells reduced Twist1 expression, inhibited cell proliferation and invasion in vitro, and suppressed tumor growth and metastasis in a mouse model. Furthermore, EGF or TGF-ß1 treatment barely changed EMT marker expression in SH-J1 cells ectopically expressing Lcn2. Ectopic expression of Twist1 induced EMT marker expression even in cells expressing Lcn2, indicating that Lcn2 functions downstream of growth factors and upstream of Twist1. CONCLUSION: Together, our findings indicate that Lcn2 can negatively modulate the EMT in HCC cells through an EGF (or TGF-ß1)/Lcn2/Twist1 pathway. Thus, Lcn2 may be a candidate metastasis suppressor and a potential therapeutic target in HCC.


Subject(s)
Acute-Phase Proteins/metabolism , Carcinoma, Hepatocellular/pathology , Epithelial-Mesenchymal Transition/physiology , Lipocalins/metabolism , Liver Neoplasms/pathology , Nuclear Proteins/metabolism , Proto-Oncogene Proteins/metabolism , Signal Transduction/physiology , Transforming Growth Factor beta1/metabolism , Twist-Related Protein 1/metabolism , Acute-Phase Proteins/drug effects , Acute-Phase Proteins/genetics , Animals , Carcinoma, Hepatocellular/metabolism , Cell Line, Tumor , Cell Proliferation , Disease Models, Animal , Disease Progression , Down-Regulation/drug effects , Heterografts , Humans , In Vitro Techniques , Lipocalin-2 , Lipocalins/drug effects , Lipocalins/genetics , Liver Neoplasms/metabolism , Mice , Mice, Nude , Neoplasm Invasiveness/pathology , Phenotype , Proto-Oncogene Proteins/drug effects , Proto-Oncogene Proteins/genetics , RNA, Small Interfering/pharmacology
8.
J Clin Rheumatol ; 17(7): 358-62, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21946459

ABSTRACT

BACKGROUND: Effectiveness of anti-tumor necrosis factor (anti-TNF) agents in colchicine-resistant familial Mediterranean fever (FMF) patients has attracted attention in recent years. OBJECTIVE: We analyzed the effect of anti-TNF agents on clinical findings of colchicine-resistant FMF patients with chronic arthritis and/or sacroiliitis. METHODS: Data from 10 FMF patients (5 male and 5 female patients: mean age, 30.1 [SD, 8.5] years) with chronic arthritis and/or sacroiliitis who were on anti-TNF agents are reviewed. Frequency of FMF attacks before and after treatment with anti-TNF agents was recorded from hospital files. The effects of the anti-TNF treatment were determined by using the number of tender and/or swollen joints, serum acute phase reactant levels, and Bath Ankylosing Spondylitis Disease Activity Index scores. Change in urine protein loss was also evaluated in patients with amyloidosis. In 6 patients, FMF attacks had been considered to be unresponsive to colchicine, and 4 patients were partial responders before treatment with anti-TNF agents. RESULTS: Mean attack frequency of the patients in the 3 months' period before anti-TNF agent treatment was 3.8 (SD, 3.1). After anti-TNF treatment, in 3 patients, FMF attack frequency decreased, and in the remaining 7 patients, no attack occurred. Serum acute phase reactant levels were decreased significantly at 3 and 6 months after anti-TNF treatment (P < 0.05 for all). After anti-TNF treatment Bath Ankylosing Spondylitis Disease Activity Index scores were also decreased significantly (6.2 [SD], 1.7 vs. 2.1 [SD], 1.7; P = 0.012). In all 3 patients with amyloidosis, urine protein loss decreased without any increase in serum creatinine levels. CONCLUSION: Anti-TNF treatment can have beneficial effects for controlling FMF attacks in FMF patients with chronic arthritis and/or sacroiliitis.


Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Rheumatoid/drug therapy , Colchicine/administration & dosage , Drug Resistance , Familial Mediterranean Fever/drug therapy , Sacroiliitis/drug therapy , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Acute-Phase Proteins/drug effects , Adalimumab , Adult , Antibodies, Monoclonal/therapeutic use , Antibodies, Monoclonal, Humanized/therapeutic use , Arthritis, Rheumatoid/physiopathology , Etanercept , Familial Mediterranean Fever/physiopathology , Female , Gout Suppressants/administration & dosage , Humans , Immunoglobulin G/therapeutic use , Infliximab , Male , Receptors, Tumor Necrosis Factor/therapeutic use , Retrospective Studies , Sacroiliitis/physiopathology , Severity of Illness Index , Young Adult
9.
Pharmacol Rep ; 63(2): 501-17, 2011.
Article in English | MEDLINE | ID: mdl-21602606

ABSTRACT

Nitrogranulogen (NTG) may modify the character of inflammatory reactions. These modifications are a result of cytotoxic and mutagenic effects. NTG has high affinity to DNA and causes disorders in the synthesis of acute phase proteins (e.g., haptoglobin, transferrin, fibrinogen, and complement protein C3). Our previous studies have shown that small doses of NTG can enhance immunological defense reactions in the organism. The aim of the current studies was to determine how different NTG doses cause changes in the values of biochemical parameters in pleuritis-induced rats. The animals were randomized into five groups: Group I - control group; Group II - IP (induced pleuritis) group; Group III - NTG5 group; Group IV - NTG50 group; Group V - NTG600 group. Blood was collected from all groups of animals at 24, 48, and 72 h after the initiation of the carrageenin-induced inflammatory reaction. These investigations revealed that a dose of 5 µg NTG/kg b.w. (body weight) can change the character of the inflammation. Our studies also show that a dose of 600 µg NTG/kg b.w. causes a rapid decrease in the level of C3 at the 72 h of the experiment (after 3 applications every 24 h), which indicates a cytotoxic action of such a large NTG dose. NTG used at doses of 50 and 600 µg/kg b.w. causes the opposite metabolism of albumins and other serum proteins. Our studies show that the different doses of NTG have distinct effects on the inflammatory reaction.


Subject(s)
Alkylating Agents/pharmacology , Mechlorethamine/pharmacology , Pleurisy/drug therapy , Acute-Phase Proteins/biosynthesis , Acute-Phase Proteins/drug effects , Alkylating Agents/administration & dosage , Alkylating Agents/toxicity , Animals , Carrageenan , Complement C3/biosynthesis , Complement C3/drug effects , Complement C3/metabolism , Disease Models, Animal , Dose-Response Relationship, Drug , Female , Mechlorethamine/administration & dosage , Mechlorethamine/toxicity , Pleurisy/physiopathology , Rats , Rats, Inbred BUF , Time Factors
10.
Rhinology ; 49(1): 100-6, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21468383

ABSTRACT

BACKGROUND: Mast cells are crucial effector cells in the allergic cascade. The cross-linking of the high affinity IgE receptor (FcεRI) activates mast cells and basophils. Spleen tyrosine kinase (Syk) is positioned upstream of the IgE receptor signal transducing pathway and may represent an important target for the treatment of nasal inflammatory diseases. OBJECTIVE: We measured effects of a specific Syk inhibitor in the release of mast cell mediators in human cord blood-derived mast cells (CBDMCs) (in-vitro) and in human nasal tissue (ex-vivo). METHODS: Surgical samples were collected from patients with nasal polyposis who underwent sinus surgery. Tissue cubes of +- 0.9 mm3 were primed with myeloma IgE (1 microg/ml), preincubated with Syk inhibitor NVP-QAB205 in different concentrations and then stimulated with tissue culture medium, anti-IgE 10 microg/ml and anti-IgE 30 microg/ml. Supernatants were analysed for concentrations of histamine, LTC4/LTD4/LTE4 and PGD2. CBDMCs were likewise pre-incubated with compound, prior to stimulation with anti-IgE at 10 microg/ml. RESULTS: In CBDMCs, the Syk inhibitor prevented degranulation assessed by measurement of histamine release and the production of LTC4/LTD4/LTE4 and PGD2. Furthermore, the Syk inhibitor was similarly able to significantly inhibit the release of these granules and newly synthesized mediators by nasal polyp mast cells in a dose dependent manner. CONCLUSION: Although the critical role of Syk in the IgE receptor signal transduction pathway has been well documented in vitro, this study supports the importance of Syk in IgE receptor-mediated degranulation of mast cells ex-vivo within nasal tissue. Thus, inhibition of Syk may represent an important therapeutic strategy for the treatment of upper airway disease with mast cell involvement, such as allergic rhinitis.


Subject(s)
Intracellular Signaling Peptides and Proteins/antagonists & inhibitors , Intracellular Signaling Peptides and Proteins/physiology , Mast Cells/immunology , Nasal Polyps/immunology , Protein-Tyrosine Kinases/antagonists & inhibitors , Protein-Tyrosine Kinases/physiology , Acute-Phase Proteins/drug effects , Acute-Phase Proteins/immunology , Cell Degranulation/immunology , Histamine Release/drug effects , Histamine Release/immunology , Humans , Nasal Mucosa/immunology , Receptors, IgE/immunology , Signal Transduction/drug effects , Syk Kinase
11.
Pediatr Clin North Am ; 56(6): 1401-19, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19962028

ABSTRACT

Acute rheumatic fever and rheumatic heart disease are diseases of socioeconomic disadvantage. These diseases are common in developing countries and in Indigenous populations in industrialized countries. Clinicians who work with Indigenous populations need to maintain a high index of suspicion for the potential diagnosis of acute rheumatic fever, particularly in patients presenting with joint pain. Inexpensive medicines, such as aspirin, are the mainstay of symptomatic treatment of rheumatic fever; however, antiinflammatory treatment has no effect on the long-term rate of progression or severity of chronic valvular disease. The current focus of global efforts at prevention of rheumatic heart disease is on secondary prevention (regular administration of penicillin to prevent recurrent rheumatic fever), although primary prevention (timely treatment of streptococcal pharyngitis to prevent rheumatic fever) is also important in populations in which it is feasible.


Subject(s)
Population Groups , Rheumatic Fever , Rheumatic Heart Disease , Acute-Phase Proteins/drug effects , Acute-Phase Proteins/metabolism , Alaska/epidemiology , Arthritis/etiology , Australia/epidemiology , Blood Sedimentation , Child , Chorea/etiology , Diagnosis, Differential , Fever/etiology , Humans , Myocarditis/etiology , New Zealand/epidemiology , Population Groups/statistics & numerical data , Prevalence , Primary Prevention , Rheumatic Fever/complications , Rheumatic Fever/diagnosis , Rheumatic Fever/epidemiology , Rheumatic Fever/physiopathology , Rheumatic Fever/prevention & control , Rheumatic Fever/therapy , Rheumatic Heart Disease/complications , Rheumatic Heart Disease/diagnosis , Rheumatic Heart Disease/epidemiology , Rheumatic Heart Disease/physiopathology , Rheumatic Heart Disease/prevention & control , Rheumatic Heart Disease/therapy , Secondary Prevention , Social Justice , United States/epidemiology
12.
Diabetes Care ; 32(1): 129-31, 2009 Jan.
Article in English | MEDLINE | ID: mdl-18852336

ABSTRACT

OBJECTIVE: Lipocalin-2, a novel adipokine, has been shown to be elevated in obese, insulin-resistant, and diabetic subjects. We therefore sought to study the ex vivo and in vivo effects of insulin on lipocalin-2 levels in humans. RESEARCH DESIGN AND METHODS: We investigated the in vivo effects of insulin (hyperinsulinemia) on circulating lipocalin-2 levels by enzyme-linked immunosorbent assay via a prolonged insulin-glucose infusion. The ex vivo effect of insulin on adipose tissue lipocalin-2 protein production and secretion into conditioned media was assessed by Western blotting and enzyme-linked immunosorbent assay, respectively. RESULTS: Hyperinsulinemic induction in human subjects significantly increased circulating lipocalin-2 levels (P < 0.01). Also, in omental adipose tissue explants, insulin caused a significant dose-dependent increase in lipocalin-2 protein production and secretion into conditioned media (P < 0.05, P < 0.01, respectively); these effects were negated by both phosphatidylinositol 3-kinase and mitogen-activated protein kinase kinase inhibitors. CONCLUSIONS: Lipocalin-2 is upregulated by insulin via phosphatidylinositol 3-kinase and mitogen-activated protein kinase signaling pathways.


Subject(s)
Lipocalins/blood , Proto-Oncogene Proteins/blood , Acute-Phase Proteins/drug effects , Acute-Phase Proteins/metabolism , Adipose Tissue/metabolism , Adult , Body Mass Index , Circadian Rhythm , Homeostasis , Humans , Insulin/pharmacology , Lipocalin-2 , Lipocalins/drug effects , Lipocalins/metabolism , Mitogen-Activated Protein Kinases/metabolism , Phosphatidylinositol 3-Kinases/metabolism , Proto-Oncogene Proteins/drug effects , Proto-Oncogene Proteins/metabolism , Reference Values , Signal Transduction , Young Adult
13.
J Am Coll Cardiol ; 52(25): 2190-7, 2008 Dec 16.
Article in English | MEDLINE | ID: mdl-19095138

ABSTRACT

OBJECTIVES: The aim of this substudy was to ascertain whether long-term treatment with fenofibrate reduces surrogate measures of atherosclerosis, biomarkers of inflammation, and endothelial activation in patients with type 2 diabetes. BACKGROUND: Some fibrates may decrease cardiovascular events, improve endothelial function, and reduce levels of acute-phase proteins. In the FIELD (Fenofibrate Intervention and Event Lowering in Diabetes) study, fenofibrate failed to decrease the primary end point of coronary events in patients with type 2 diabetes. METHODS: A total of 170 patients with type 2 diabetes of the FIELD Helsinki cohort were randomly assigned to micronized fenofibrate 200 mg/day or placebo in a double-blind design. Carotid intima-media thickness (IMT) and the augmentation index (a measure of large artery stiffness) were measured at baseline and at second- and fifth-year visits. Plasma levels of interleukin (IL)-6, C-reactive protein (CRP), serum amyloid A (SAA), secretory phospholipase A2 IIA (SPLA2), E-selectin, vascular cellular adhesion molecule (VCAM)-1, and intercellular adhesion molecule (CAM)-1 were determined by commercial enzyme-linked immunosorbent assay kits at the same visits. RESULTS: IMT and the augmentation index increased similarly in both treatment groups during the study. Plasma levels of CRP, IL-6, SPLA2, SAA, VCAM-1, ICAM-1, and E-selectin remained unchanged in both groups. CONCLUSIONS: Fenofibrate treatment was not associated with beneficial changes in IMT, augmentation index, or biomarkers of inflammation and endothelial function. (Fenofibrate Intervention and Event Lowering in Diabetes; NCT00132886).


Subject(s)
Carotid Arteries/drug effects , Carotid Artery Diseases/drug therapy , Diabetes Complications/drug therapy , Diabetes Mellitus, Type 2/complications , Fenofibrate/therapeutic use , Hypolipidemic Agents/therapeutic use , Tunica Intima/drug effects , Tunica Media/drug effects , Acute-Phase Proteins/drug effects , Aged , Biomarkers/blood , C-Reactive Protein/drug effects , Carotid Arteries/pathology , Carotid Artery Diseases/pathology , Carotid Artery Diseases/physiopathology , Diabetes Complications/pathology , Diabetes Mellitus, Type 2/pathology , Diabetes Mellitus, Type 2/physiopathology , Double-Blind Method , Female , Fenofibrate/pharmacology , Humans , Hypolipidemic Agents/pharmacology , Inflammation/blood , Male , Middle Aged , Severity of Illness Index , Time Factors , Treatment Failure , Tunica Intima/pathology , Tunica Media/pathology
14.
Hepatology ; 48(4): 1242-50, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18704925

ABSTRACT

UNLABELLED: Loss of the nuclear hormone receptor hepatocyte nuclear factor 4alpha (HNF4alpha) in hepatocytes results in a complex pleiotropic phenotype that includes a block in hepatocyte differentiation and a severe disruption to liver function. Recent analyses have shown that hepatic gene expression is severely affected by the absence of HNF4alpha, with expression of 567 genes reduced by > or =2.5-fold (P < or = 0.05) in Hnf4alpha(-/-) fetal livers. Although many of these genes are direct targets, HNF4alpha has also been shown to regulate expression of other liver transcription factors, and this raises the possibility that the dependence on HNF4alpha for normal expression of some genes may be indirect. We postulated that the identification of transcription factors whose expression is regulated by HNF4alpha might reveal roles for HNF4alpha in controlling hepatic functions that were not previously appreciated. Here we identify cyclic adenosine monophosphate responsive element binding protein H (CrebH) as a transcription factor whose messenger RNA can be identified in both the embryonic mouse liver and adult mouse liver and whose expression is dependent on HNF4alpha. Analyses of genomic DNA revealed an HNF4alpha binding site upstream of the CrebH coding sequence that was occupied by HNF4alpha in fetal livers and facilitated transcriptional activation of a reporter gene in transient transfection analyses. Although CrebH is highly expressed during hepatogenesis, CrebH(-/-) mice were viable and healthy and displayed no overt defects in liver formation. However, upon treatment with tunicamycin, which induces an endoplasmic reticulum (ER)-stress response, CrebH(-/-) mice displayed reduced expression of acute phase response proteins. CONCLUSION: These data implicate HNF4alpha in having a role in controlling the acute phase response of the liver induced by ER stress by regulating expression of CrebH.


Subject(s)
Acute-Phase Proteins/metabolism , Cyclic AMP Response Element-Binding Protein/metabolism , Endoplasmic Reticulum/metabolism , Hepatocyte Nuclear Factor 4/metabolism , Liver/metabolism , Acute-Phase Proteins/drug effects , Animals , Anti-Bacterial Agents/pharmacology , Cell Differentiation , Cyclic AMP Response Element-Binding Protein/genetics , Gastric Mucosa/metabolism , Hepatocyte Nuclear Factor 4/genetics , Hepatocytes/cytology , Hepatocytes/drug effects , Hepatocytes/metabolism , Intestine, Small/metabolism , Liver/cytology , Liver/embryology , Mice , Mice, Inbred Strains , Mice, Knockout , RNA, Messenger/metabolism , Tunicamycin/pharmacology
15.
Med Clin (Barc) ; 130(20): 773-5, 2008 May 31.
Article in Spanish | MEDLINE | ID: mdl-18579030

ABSTRACT

BACKGROUND AND OBJECTIVE: There is contradictory evidence as to whether the pleiotropic effects of statins improve morbidity/mortality rates in coronary artery bypass grafting with extracorporeal circulation, as they reduce the protein plasma levels in the acute phase. PATIENTS AND METHOD: This randomized prospective study included 44 patients undergoing elective coronary artery bypass grafting with extracorporeal circulation who were allocated to one of 2 groups: group A (n = 22), patients taking simvastatin, and group B, control (n = 22). The plasma levels of interleukin-6, complement 4 and C-reactive protein were determined. RESULTS: No significant differences were noted between the 2 groups with respect to the acute-phase protein levels, or the postoperative complications. In both groups, compared with the initial levels, interleukin-6 levels peaked at 6 h after surgery and C-reactive protein at 48 h. Complement 4 levels decreased from the start of the cardiopulmonary bypass and returned progressively toward the baseline value at 48 h after surgery. CONCLUSIONS: Simvastatin in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass produces no significant differences in the levels of acute-phase protein.


Subject(s)
Acute-Phase Proteins/analysis , Acute-Phase Proteins/drug effects , Complement C4/analysis , Complement C4/drug effects , Coronary Artery Bypass , Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology , Interleukin-6/blood , Simvastatin/pharmacology , Aged , Female , Humans , Male , Polymerase Chain Reaction , Prospective Studies
16.
Can J Vet Res ; 72(3): 291-6, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18505194

ABSTRACT

The effects of interleukin-8 (IL-8) on bovine mammary functions such as milk protein secretion and the blood-milk barrier during mammary involution were evaluated. Following the final milking, recombinant bovine (rb) IL-8 (5 or 25 microg) and a saline placebo were individually infused into the left- and right-front teat cisterns of 6 cows, respectively. Three cows without treatment at the final milking were also used as controls. Mammary secretions and blood were collected at -24, 0, 10, 24, 72, 168, 336, and 720 h after infusion. In the mammary glands infused with 25 microg of rbIL-8, the increases in somatic cell counts and in the concentrations of serum albumin, IgG1 and IgG2, and the decreases in the concentrations of alpha- and beta-casein and beta-lactoglobulin were greater than in the control glands. In the mammary glands infused with 5 microg of rbIL-8, compared to the glands infused with 25 microg of rbIL-8, these changes were moderate. These results indicate that rbIL-8 impairs the integrity of the blood-milk barrier and suppresses milk-specific protein secretions. In the cows infused with 25 microg of rbIL-8, the rectal temperature and serum haptoglobin level were transiently elevated after the infusion, showing that intramammary infusion of rbIL-8 could elicit systemic inflammation.


Subject(s)
Acute-Phase Proteins/drug effects , Cattle/metabolism , Interleukin-8/pharmacology , Mammary Glands, Animal/drug effects , Milk Proteins/drug effects , Animals , Cattle/physiology , Cell Count/veterinary , Female , Haptoglobins/chemistry , Haptoglobins/drug effects , Infusions, Parenteral/veterinary , Interleukin-8/immunology , Lactation/drug effects , Lactation/metabolism , Mammary Glands, Animal/metabolism , Mastitis, Bovine/metabolism , Milk/chemistry , Milk/cytology , Milk/metabolism , Milk Proteins/chemistry , Random Allocation , Recombinant Proteins/pharmacology , Time Factors
17.
J Dairy Sci ; 89(12): 4660-8, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17106098

ABSTRACT

The objective of this study was to investigate whether administration of L-Gln would affect mediators of acute phase response in postparturient dairy cows. Twenty-four multiparous Holstein cows were blocked by the expected day of calving and randomly assigned to 1 of the 3 treatment groups (n = 8/group): 1) i.v. infusion of 10 L of 0.85% NaCl (control), 2) i.v. infusion of 106, or 3) 212 g/d of L-Gln mixed with 10 L of 0.85% NaCl solution; each treatment was given 8 h/d for each of 7 consecutive days starting on d 1 after calving. Blood samples were collected 1 wk before the expected day of parturition as well as on d 0, 7, 14, and 21 after parturition; plasma concentrations of serum amyloid A (SAA), haptoglobin, and lipopolysaccharide-binding protein were measured by ELISA, and alpha(1)-acid glycoprotein was assessed by radial immunodiffusion. Concentrations of SAA, haptoglobin, and alpha(1)-acid glycoprotein increased in control cows after parturition, reaching peak values on d 0 or 7 postpartum (60, 1,093, and 963 microg/mL, respectively). Cows infused with 106 g/d of L-Gln had greater concentrations of SAA in plasma on d 14 and 21 compared with controls (62.8 vs. 30.2 and 71.1 vs. 34.5 microg/mL, respectively). Cows infused with 212 g/d of L-Gln had greater concentrations of SAA on d 7 (82.5 vs. 53.9 microg/mL) and lower concentrations of haptoglobin on d 14 and 21 postpartum compared with controls (264 vs. 621 and 175 vs. 587 microg/mL, respectively). Cows treated with 106 and 212 g/d of L-Gln had greater plasma lipopolysaccharide-binding protein concentrations on d 7 compared with control group (50.0 and 35.6 vs. 10.8 microg/mL, respectively). There were no treatment differences with respect to milk yield and DM intake during the experimental period. In conclusion, our data indicate that i.v. administration of L-Gln modulated acute phase mediators in dairy cows after parturition and warrants further research into the mechanisms behind these effects.


Subject(s)
Acute-Phase Proteins/drug effects , Acute-Phase Reaction/veterinary , Cattle/immunology , Dairying/methods , Glutamine/pharmacology , Acute-Phase Proteins/analysis , Acute-Phase Reaction/immunology , Animal Feed/analysis , Animals , Diet/veterinary , Eating/drug effects , Female , Glutamine/administration & dosage , Infusions, Parenteral/veterinary , Lactation/drug effects , Least-Squares Analysis , Postpartum Period , Pregnancy , Random Allocation , Time Factors
18.
J Cell Sci ; 119(Pt 5): 889-97, 2006 Mar 01.
Article in English | MEDLINE | ID: mdl-16478789

ABSTRACT

Protein kinase Balpha (PKBalpha) is a key regulator of metabolism, proliferation and differentiation. We have explored the role of PKBalpha in adipogenesis using wild-type and PKBalpha-knockout mouse embryonic fibroblasts (MEFs) and show that lack of PKBalpha prevents MEF differentiation into adipocytes. Expression of ectopic PKBalpha in PKBalpha-deficient cells restores adipogenesis. We identified 80 genes whose expression was upregulated in wild-type MEFs during adipogenesis but whose expression was significantly reduced in PKBalpha-deficient MEFs under the same conditions. Significantly, the regulator of adipogenesis Krüppel-like transcription factor 15 gene expression was downregulated in PKBalpha-deficient MEFs but could be restored by expressing an active PKBalpha in the deficient cells. The level of lipocalin 2, renin 1 and receptor-activity-modifying protein 3 genes expressed by adipose cells was also decreased in PKBalpha-deficient MEFs, and are inhibited by LY294002 treatment during early adipocyte differentiation of 3T3-L1 cells. The results underscore an essential role for PKBalpha in the transcriptional program required for adipogenesis.


Subject(s)
Adipocytes/physiology , Cell Differentiation/physiology , Fibroblasts/physiology , Proto-Oncogene Proteins c-akt/physiology , Acute-Phase Proteins/drug effects , Acute-Phase Proteins/genetics , Adipocytes/cytology , Adipocytes/drug effects , Adipogenesis/drug effects , Adipogenesis/physiology , Animals , Basic Helix-Loop-Helix Transcription Factors/drug effects , Basic Helix-Loop-Helix Transcription Factors/genetics , Basic Helix-Loop-Helix Transcription Factors/metabolism , Cell Differentiation/drug effects , Cell Line , Cells, Cultured , Chromones/pharmacology , Embryo, Mammalian , Fibroblasts/cytology , Fibroblasts/drug effects , Gene Expression Profiling , Intracellular Signaling Peptides and Proteins/drug effects , Intracellular Signaling Peptides and Proteins/genetics , Lipocalin-2 , Lipocalins , Membrane Proteins/drug effects , Membrane Proteins/genetics , Mice , Mice, Knockout , Morpholines/pharmacology , Oncogene Proteins/drug effects , Oncogene Proteins/genetics , Proto-Oncogene Proteins c-akt/deficiency , Proto-Oncogene Proteins c-akt/drug effects , Receptor Activity-Modifying Proteins , Renin/drug effects , Renin/genetics
19.
J Am Soc Nephrol ; 17(3): 754-64, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16452496

ABSTRACT

Statins have been reported to confer renoprotection in several experimental models of renal disease through pleiotropic actions. The roles of statins in glomerular podocytes have not been explored. The objective of this study was to evaluate the effects of fluvastatin on podocyte and tubulointerstitial injury in puromycin aminonucleoside (PAN)-induced nephrosis. PAN induced massive proteinuria and serum creatinine elevation on day 7, which were significantly suppressed by fluvastatin. Immunofluorescence studies of podocyte-associated proteins nephrin and podocin revealed diminished and discontinuous staining patterns in rats with PAN nephrosis, indicating severe podocyte injury. Fluvastatin treatment dramatically mitigated the abnormal staining profiles. Reduction of nephrin expression by PAN and its reversal by fluvastatin were confirmed by quantitative analyses. By electron microscopy, effacement of foot processes was ameliorated in fluvastatin-treated rats. Fluvastatin also mitigated tubulointerstitial damage in PAN nephrosis, with the repression of PAN-induced NF-kappaB and activator protein-1 activation in the kidneys. In addition, expression of activated membrane-bound small GTPase RhoA was markedly increased in the glomeruli of PAN nephrosis, which was inhibited by fluvastatin treatment. In cultured podocytes, fluvastatin suppressed PAN-evoked activation of RhoA and actin cytoskeletal reorganization. Furthermore, fasudil, a specific Rho-kinase inhibitor, successfully ameliorated PAN-induced podocyte damage and proteinuria. In summary, fluvastatin alleviated podocyte and tubulointerstitial injury in PAN nephrosis. The beneficial effects of fluvastatin on podocytes can be attributable to direct modulation of excessive RhoA activity. Our data suggest a therapeutic role for statins in clinical conditions that are relevant to podocyte injury.


Subject(s)
Acute-Phase Proteins/metabolism , Fatty Acids, Monounsaturated/pharmacology , Indoles/pharmacology , Podocytes/drug effects , Proteinuria/pathology , Acute-Phase Proteins/drug effects , Analysis of Variance , Animals , Blotting, Western , Disease Models, Animal , Fluvastatin , Immunohistochemistry , Male , Podocytes/metabolism , Probability , Puromycin Aminonucleoside , Rats , Rats, Sprague-Dawley , Reverse Transcriptase Polymerase Chain Reaction , Sensitivity and Specificity , Signal Transduction
20.
J Anim Sci ; 84(2): 351-9, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16424263

ABSTRACT

The objective of this study was to determine the effect of carprofen (C) administration before banding or burdizzo castration of bulls on cortisol, in vitro interferon-gamma (IFN-gamma) production, acute-phase proteins, feed intake, and growth. Fifty Holstein Friesian bulls (5.5 mo old; 191 +/- 3.7 kg) were blocked by weight and assigned randomly to 1 of 5 treatments (n = 10/treatment): 1) untreated control (2) banding castration at 0 min (Band); 3) Band following an i.v. injection of 1.4 mg/kg of BW of C at -20 min (Band+C); 4) Burdizzo castration at 0 min (Burd); or 5) Burd following 1.4 mg/kg of BW of C at -20 min (Burd+C). Castration acutely increased plasma cortisol concentrations compared with control; no significant differences occurred in peak and interval to peak cortisol responses between Band and Band+C or Burd and Burd+C groups. The administration of C in Band+C reduced (P < 0.05) the cortisol concentration between 6 and 12 h postcastration compared with Band animals. Overall, the integrated cortisol response was greater (P < 0.05) in the castrates than in control, whereas C treatments tended to reduce this response compared with Band (P = 0.08) and Burd (P = 0.07), respectively. Plasma fibrinogen was elevated in Band animals on d 14 and in Burd animals on d 3 and 14. Carprofen administration reduced Band- and Burd-induced fibrinogen production on d 14 and 3, respectively. Plasma haptoglobin was elevated in Band animals on d 3 and 35 compared with control, and C administration was effective in reducing the haptoglobin elevation on d 35 in Band+C compared with Band. There were no differences among treatments in in vitro IFN-gamma production induced by concanavalin A and phytohemagglutinin on d 1 and 2. Overall from d -1 to 16, there were no DMI differences among treatments. From d -1 to 35, there were no ADG differences among treatments. In conclusion, banding and burdizzo castration increased plasma cortisol with no change in in vitro IFN-gamma production. Carprofen (1.4 mg/kg of BW) tended to reduce the integrated cortisol response, and it reduced cortisol secretion in banded animals between 6 and 12 h postcastration. There was an increased acute-phase protein production following castration; this response was effectively moderated by the administration of C before castration.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Carbazoles/pharmacology , Cattle/physiology , Orchiectomy/veterinary , Acute-Phase Proteins/drug effects , Animals , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Body Temperature , Carbazoles/administration & dosage , Cattle/growth & development , Eating/drug effects , Fibrinogen/analysis , Haptoglobins/analysis , Hydrocortisone/blood , Interferon-gamma/biosynthesis , Interferon-gamma/drug effects , Male , Orchiectomy/methods , Random Allocation , Systole
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