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1.
Int J Mol Sci ; 24(1)2022 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-36613503

RESUMEN

Dapsone (DDS) therapy can frequently lead to hematological side effects, such as methemoglobinemia and DNA damage. In this study, we aim to evaluate the protective effect of racemic alpha lipoic acid (ALA) and its enantiomers on methemoglobin induction. The pre- and post-treatment of erythrocytes with ALA, ALA isomers, or MB (methylene blue), and treatment with DDS-NOH (apsone hydroxylamine) was performed to assess the protective and inhibiting effect on methemoglobin (MetHb) formation. Methemoglobin percentage and DNA damage caused by dapsone and its metabolites were also determined by the comet assay. We also evaluated oxidative parameters such as SOD, GSH, TEAC (Trolox equivalent antioxidant capacity) and MDA (malondialdehyde). In pretreatment, ALA showed the best protector effect in 2.5 µg/mL of DDS-NOH. ALA (1000 µM) was able to inhibit the induced MetHb formation even at the highest concentrations of DDS-NOH. All ALA tested concentrations (100 and 1000 µM) were able to inhibit ROS and CAT activity, and induced increases in GSH production. ALA also showed an effect on DNA damage induced by DDS-NOH (2.5 µg/mL). Both isomers were able to inhibit MetHb formation and the S-ALA was able to elevate GSH levels by stimulating the production of this antioxidant. In post-treatment with the R-ALA, this enantiomer inhibited MetHb formation and increased GSH levels. The pretreatment with R-ALA or S-ALA prevented the increase in SOD and decrease in TEAC, while R-ALA decreased the levels of MDA; and this pretreatment with R-ALA or S-ALA showed the effect of ALA enantiomers on DNA damage. These data show that ALA can be used in future therapies in patients who use dapsone chronically, including leprosy patients.


Asunto(s)
Metahemoglobina , Ácido Tióctico , Metahemoglobina/metabolismo , Antioxidantes/farmacología , Ácido Tióctico/farmacología , Dapsona/farmacología , Superóxido Dismutasa , Daño del ADN
3.
Haemophilia ; 26(4): e187-e193, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32530133

RESUMEN

INTRODUCTION AND AIM: Haemarthroses cause major morbidity in haemophilia resulting in chronic haemophilic synovitis (CHS) and arthropathy. Oxidation of haemoglobin-coupled iron released in synovium after haemolysis induces chondrocytes death and cartilage damage, allowing postulate using iron-chelating drugs as potential therapeutic tool for haemophilic joint damage. Considering that albumin, the most abundant plasma protein, is a physiologic iron chelator, we aim to demonstrate that impediment of haemoglobin oxidation is exerted by plasma as a mechanism involved in the therapeutic effect of intra-articular injection of platelet-rich plasma in CHS. METHODS: Oxidation of haemoglobin (Hb) to methaemoglobin (MeHb) through Fenton reaction was induced in vitro by addition of potassium ferricyanide in the presence or absence of peripheral blood-derived platelets-rich or platelets-poor plasma (PRP/PPP) or albumin. The relevance of in vitro findings was analysed in synovial fluid (SF) samples from one patient with CHS obtained before and after 6 months of PRP intra-articular injection. RESULTS: MeHb formation was completely impaired either by of PPP, PRP or albumin indicating that PRP exerts an anti-oxidative effect, probably due by plasma albumin. Analysis of SF samples revealed the presence of MeHb levels and haemosiderin-laden macrophages in SF obtained before PRP treatment. Reduction of synovial MeHb, normalization of cellular composition and improvement of health joint haemophilic score, pain and bleeding episodes were registered after 6 months of PRP intra-articular injection. CONCLUSION: Inhibition of Fenton reaction and the consequent normalization of joint cellular composition is a noncanonical mechanism underlying the therapeutic effect of PRP intra-articular injection in CHS.


Asunto(s)
Cartílago Articular/fisiopatología , Hemartrosis/prevención & control , Hemofilia A/complicaciones , Plasma Rico en Plaquetas/metabolismo , Sinovitis/terapia , Adolescente , Albúminas/farmacología , Argentina/epidemiología , Cartílago Articular/metabolismo , Hemartrosis/complicaciones , Humanos , Inyecciones Intraarticulares , Quelantes del Hierro/uso terapéutico , Masculino , Metahemoglobina/efectos de los fármacos , Metahemoglobina/metabolismo , Plasma Rico en Plaquetas/química , Membrana Sinovial/metabolismo , Membrana Sinovial/patología
4.
Am J Trop Med Hyg ; 96(5): 1171-1175, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28440745

RESUMEN

AbstractPrimaquine is the only licensed drug available for the elimination of Plasmodium vivax hypnozoites. Methemoglobinemia is currently reported in the course of treatment. There is evidence that metabolites of primaquine formed by the cytochrome pathway are responsible for methemoglobin formation; a genetic polymorphism of cytochrome isoforms; and a potential influence of gender in the activities of these enzymes requiring the establishment of dose × response curves profiles in different population groups. Concentrations of primaquine in plasma and methemoglobin levels were investigated in 54 patients with malaria due to P. vivax during the course of the standard regimen of chloroquine with primaquine (0.25 mg/kg/day for 14 days). All study subjects lived in an endemic area of the Brazilian Amazon Basin. The blood samples were collected before initiation of treatment and 3 hours (range 2-4 hours) after the administration of antimalarial drugs on days 2, 7, and 14. Plasma primaquine concentrations were similar in both genders (males: range = 164-191 ng/mL, females: range = 193-212 ng/mL). Methemoglobin levels ranged from 3.3% to 5.9% in males and from 3.1% to 6.5% in females. There were no significant correlations between the plasma primaquine concentrations or total dose and methemoglobin levels, suggesting that unidentified metabolites rather than parent drug were likely responsible for changes in methemoglobin levels. There was no significant influence of gender on primaquine concentrations in plasma or methemoglobin levels.


Asunto(s)
Antimaláricos/sangre , Cloroquina/uso terapéutico , Malaria Vivax/tratamiento farmacológico , Metahemoglobina/metabolismo , Primaquina/sangre , Adolescente , Adulto , Antimaláricos/farmacocinética , Brasil , Esquema de Medicación , Quimioterapia Combinada , Femenino , Humanos , Malaria Vivax/sangre , Malaria Vivax/parasitología , Masculino , Metahemoglobinemia/sangre , Metahemoglobinemia/inducido químicamente , Persona de Mediana Edad , Plasmodium vivax/efectos de los fármacos , Plasmodium vivax/fisiología , Primaquina/farmacocinética , Estudios Prospectivos
5.
PLoS One ; 10(8): e0134768, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26284371

RESUMEN

Dapsone (DDS) hydroxylamine metabolites cause oxidative stress- linked adverse effects in patients, such as methemoglobin formation and DNA damage. This study evaluated the ameliorating effect of the antioxidant resveratrol (RSV) on DDS hydroxylamine (DDS-NHOH) mediated toxicity in vitro using human erythrocytes and lymphocytes. The antioxidant mechanism was also studied using in-silico methods. In addition, RSV provided intracellular protection by inhibiting DNA damage in human lymphocytes induced by DDS-NHOH. However, whilst pretreatment with RSV (10-1000 µM significantly attenuated DDS-NHOH-induced methemoglobinemia, but it was not only significantly less effective than methylene blue (MET), but also post-treatment with RSV did not reverse methemoglobin formation, contrarily to that observed with MET. DDS-NHOH inhibited catalase (CAT) activity and reactive oxygen species (ROS) generation, but did not alter superoxide dismutase (SOD) activity in erythrocytes. Pretreatment with RSV did not alter these antioxidant enzymes activities in erythrocytes treated with DDS-NHOH. Theoretical calculations using density functional theory methods showed that DDS-NHOH has a pro-oxidant effect, whereas RSV and MET have antioxidant effect on ROS. The effect on methemoglobinemia reversion for MET was significantly higher than that of RSV. These data suggest that the pretreatment with resveratrol may decrease heme-iron oxidation and DNA damage through reduction of ROS generated in cells during DDS therapy.


Asunto(s)
Antioxidantes/farmacología , Dapsona/análogos & derivados , Sustancias Protectoras/farmacología , Estilbenos/farmacología , Adulto , Catalasa/metabolismo , Células Cultivadas , Dapsona/farmacología , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Femenino , Humanos , Masculino , Metahemoglobina/metabolismo , Metahemoglobinemia/tratamiento farmacológico , Metahemoglobinemia/metabolismo , Persona de Mediana Edad , Oxidación-Reducción/efectos de los fármacos , Estrés Oxidativo/efectos de los fármacos , Especies Reactivas de Oxígeno/metabolismo , Resveratrol , Superóxido Dismutasa/metabolismo , Adulto Joven
6.
PLoS One ; 9(1): e85712, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24465659

RESUMEN

This study aims to assess the oxidative stress in leprosy patients under multidrug therapy (MDT; dapsone, clofazimine and rifampicin), evaluating the nitric oxide (NO) concentration, catalase (CAT) and superoxide dismutase (SOD) activities, glutathione (GSH) levels, total antioxidant capacity, lipid peroxidation, and methemoglobin formation. For this, we analyzed 23 leprosy patients and 20 healthy individuals from the Amazon region, Brazil, aged between 20 and 45 years. Blood sampling enabled the evaluation of leprosy patients prior to starting multidrug therapy (called MDT 0) and until the third month of multidrug therapy (MDT 3). With regard to dapsone (DDS) plasma levels, we showed that there was no statistical difference in drug plasma levels between multibacillary (0.518±0.029 µg/mL) and paucibacillary (0.662±0.123 µg/mL) patients. The methemoglobin levels and numbers of Heinz bodies were significantly enhanced after the third MDT-supervised dose, but this treatment did not significantly change the lipid peroxidation and NO levels in these leprosy patients. In addition, CAT activity was significantly reduced in MDT-treated leprosy patients, while GSH content was increased in these patients. However, SOD and Trolox equivalent antioxidant capacity levels were similar in patients with and without treatment. These data suggest that MDT can reduce the activity of some antioxidant enzyme and influence ROS accumulation, which may induce hematological changes, such as methemoglobinemia in patients with leprosy. We also explored some redox mechanisms associated with DDS and its main oxidative metabolite DDS-NHOH and we explored the possible binding of DDS to the active site of CYP2C19 with the aid of molecular modeling software.


Asunto(s)
Clofazimina/uso terapéutico , Dapsona/uso terapéutico , Lepra/tratamiento farmacológico , Estrés Oxidativo/efectos de los fármacos , Rifampin/uso terapéutico , Adulto , Análisis de Varianza , Catalasa/sangre , Citocromo P-450 CYP2C19/metabolismo , Dapsona/sangre , Dapsona/metabolismo , Quimioterapia Combinada , Femenino , Glutatión/sangre , Cuerpos de Heinz/efectos de los fármacos , Cuerpos de Heinz/metabolismo , Humanos , Leprostáticos/uso terapéutico , Lepra/sangre , Masculino , Metahemoglobina/metabolismo , Persona de Mediana Edad , Oxidación-Reducción , Unión Proteica , Especies Reactivas de Oxígeno/sangre , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
7.
Toxicon ; 68: 9-17, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23506857

RESUMEN

The effects of prolonged exposure to microcystins (MCs) on health are not yet sufficiently understood and this type of poisoning is often undiagnosed. Even though chronic exposure has been linked with liver cancer and alterations have been described in liver damage marker enzymes in exposed populations, there are not profile parameters that indicate prolonged exposure to microcystins. The aim of this work is to determine, based on an animal model of prolonged exposure to successive i.p. doses of 25 µg MC-LR/kg body weight, several plasma parameters which could be useful as exposure biomarkers. Hemoglobin (Hb) and methemoglobin (MetHb) levels were determined on blood samples. We also studied plasma levels of hydroperoxides (ROOHs), α-tocopherol, glutathione and lipid profile as well as superoxide dismutase (SOD) and catalase (CAT) erythrocyte activities. In addition, the determination of MC-LR levels in liver, kidney, plasma, urine and feces of treated mice was carried out. We found that alteration in MetHb, ROOHs, glutathione, α-tocopherol levels, SOD activity and plasma lipid profile, correlates with those expected if the alteration derived from hepatic damage. The alterated plasma paramenters together with MC-LR determination could be used as biomarkers, helpful tools in screening and epidemiological studies.


Asunto(s)
Biomarcadores/sangre , Microcistinas/sangre , Microcistinas/toxicidad , Animales , Antioxidantes/análisis , Antioxidantes/metabolismo , Catalasa/sangre , Eritrocitos/metabolismo , Glutatión/sangre , Hemoglobinas/análisis , Hemoglobinas/metabolismo , Peróxido de Hidrógeno/sangre , Riñón/efectos de los fármacos , Riñón/metabolismo , Lípidos/sangre , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Toxinas Marinas , Metahemoglobina/análisis , Metahemoglobina/metabolismo , Ratones , Estrés Oxidativo/efectos de los fármacos , Organismos Libres de Patógenos Específicos , Superóxido Dismutasa/sangre , alfa-Tocoferol/sangre
8.
Neurosci Lett ; 528(1): 1-5, 2012 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-22982145

RESUMEN

The bacteriostatic agent 4,4'-diaminodiphenylsulfone or dapsone (DDS) and some of its N,N'-dialkylated analogs have shown anticonvulsant and neuroprotective properties in different experimental models. In this study, we tested the ability of five DDS analogs (N,N'-dimethyldapsone, N,N'-diethyldapsone, N,N'-dipropyldapsone, N,N'-dibutyldapsone and N,N'-ditosyldapsone) to attenuate quinolinic acid-induced toxicity in vivo. Male Wistar rats were treated with either DDS or analogs (12.5mg/kg and equimolar doses respectively) 30 min before quinolinic acid intrastriatal stereotaxic injection (240 nmol/µl). Six days after injury, circling behavior was evaluated by counting ipsilateral turns for 1h after apomorphine challenge (1mg/kg, sc). Twenty-four hours later, rats were sacrificed and their corpora striata were dissected out to determine GABA content. Hemotoxicity of the analogs was assessed as the ability to produce methemoglobin (MHb) in vivo. Blood was sampled from tail vein within 18 h after drugs administration. Methemoglobin levels were determined by visible spectrophotometry and mean profiles of MHb-percentage versus time were obtained. All of the analogs tested decreased the number of ipsilateral turns/hour, reducing up to 67% the turns counting (p<0.05) when compared to those induced in animals receiving quinolinic acid with no treatment. N,N'-dimethylated, N,N'-diethylated and N,N'-dibutylated analogs significantly prevented the decrease of intrastriatal GABA content (p<0.05). Methemoglobin produced by the administration of analogs was significantly lower than the levels of the group receiving dapsone (p<0.05). The neuroprotective effect of analogs and their diminished hemotoxicity make them potential candidates for therapeutic applications.


Asunto(s)
Encéfalo/efectos de los fármacos , Dapsona/farmacología , Metahemoglobina/metabolismo , Fármacos Neuroprotectores/farmacología , Animales , Conducta Animal/efectos de los fármacos , Encéfalo/metabolismo , Dapsona/análogos & derivados , Dapsona/metabolismo , Masculino , Metahemoglobina/análisis , Fármacos Neuroprotectores/metabolismo , Ácido Quinolínico/toxicidad , Ratas , Ratas Wistar , Ácido gamma-Aminobutírico/análisis
9.
Biophys Chem ; 163-164: 44-55, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22397813

RESUMEN

Glossoscolex paulistus hemoglobin (HbGp) was studied by dynamic light scattering (DLS) and small angle X-ray scattering (SAXS). DLS melting curves were measured for met-HbGp at different concentrations. SAXS temperature studies were performed for oxy-, cyanomet- and met-HbGp forms, at several pH values. At pH 5.0 and 6.0, the scattering curves are identical from 20 to 60 °C, and Rg is 108 Å, independent of the oxidation form. At pH 7.0, protein denaturation and aggregation occurs above 55 °C and 60 °C, for oxy and met-HbGp, respectively. Cyanomet-HbGp, at pH 7.0, is stable up to 60 °C. At alkaline pH (8.0-9.0) and higher temperature, an irreversible dissociation process is observed, with a decrease of Rg, Dmax and I(0). Analysis by p(r), obtained from GNOM, and OLIGOMER, was used to fit the SAXS experimental scattering curves by a combination of theoretical curves obtained for HbLt fragments from the crystal structure. Our results show clearly the increasing contribution of smaller molecular weight fragments, as a function of increasing pH and temperature, as well as, the order of thermal stabilities: cyanomet->oxy->met-HbGp.


Asunto(s)
Hemoglobinas/química , Luz , Oligoquetos/metabolismo , Dispersión de Radiación , Dispersión del Ángulo Pequeño , Difracción de Rayos X , Animales , Hemoglobinas/metabolismo , Concentración de Iones de Hidrógeno , Hierro/química , Metahemoglobina/análogos & derivados , Metahemoglobina/química , Metahemoglobina/metabolismo , Oxidación-Reducción , Estabilidad Proteica , Temperatura
10.
Hematology ; 14(3): 168-72, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19490763

RESUMEN

The mature human erythrocyte, when submitted to oxidative stress, can demonstrate depletion of reduced glutathione, oxidation of the hemoglobin molecule and aggregation of complexes of iron close to the membrane. These can produce abnormalities in the erythrocyte membrane and hemolysis. The aim of this work was to study the antioxidative action of vitamin C (vit. C), deferroxamine (DFO) and the flavonoids quercetin and rutin in normal human erythrocytes, submitted to in vitro oxidative stress induced by tert-butylhydroperoxide ((t)BHP). Venous blood was collected in citrate-phosphate-dextrose (CPD) solution, as anticoagulant, from healthy adult individuals after informed consent. The erythrocytes were resuspended in PBS to obtain 35% globular volume, and then submitted to the oxidative action of (t)BHP for up to 30 min, with or without previous incubation for 60 min with vit. C, DFO, quercetin and rutin. Decrease in the GSH concentration, G6-PD and GR activities, and increase in the methemoglobin and Heinz bodies (HB) formation, occurred with the increase in (t)BHP concentration. (t)BHP did not effect on the membrane proteins detected by SDS-PAGE. Quercetin, partially prevented the GSH decrease and the formation of HB, but did not prevent MetHb formation from oxidative damage by (t)BHP. Rutin, after (t)BHP induction, prevented the GSH decrease and the formation of HB. Vit. C, had no influence on the depletion of GSH, inhibited partially the metHb formation, and it protected GR, but not G6-PD from oxidative damage by (t)BHP. DFO partially inhibited the metHb formation and GSH decrease, but it did not protect GR and G6-PD from oxidative damage by (t)BHP. The results obtained suggest that vit. C, DFO and the flavonoids quercetin and rutin contribute to the decrease in the oxidative stress caused by (t)BHP.


Asunto(s)
Antioxidantes/farmacología , Ácido Ascórbico/farmacología , Deferoxamina/farmacología , Eritrocitos/efectos de los fármacos , Quercetina/farmacología , Rutina/farmacología , terc-Butilhidroperóxido/efectos adversos , Adulto , Eritrocitos/metabolismo , Femenino , Glucosafosfato Deshidrogenasa/metabolismo , Glutatión/metabolismo , Cuerpos de Heinz/efectos de los fármacos , Cuerpos de Heinz/metabolismo , Humanos , Masculino , Metahemoglobina/metabolismo , Persona de Mediana Edad , Estrés Oxidativo/efectos de los fármacos , Adulto Joven
11.
Toxicology ; 211(1-2): 97-106, 2005 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-15863252

RESUMEN

The effects of dapsone (DDS) treatment (30 mg/kg body wt, twice a day, for 4 days) on biliary secretory function, with special emphasis on bile salt independent bile flow (BSIF), were investigated in male and in female Wistar rats. Because DDS is metabolized to its N-hydroxylated parent compound only in male rats, any gender difference in DDS effect can be causally attributed to this metabolite. The two main driving forces for BSIF, the biliary secretion of HCO(3)(-) and glutathione species, were assessed. BSIF was decreased by about 20% in male but not in female rats after DDS treatment. Basal biliary HCO(3)(-) secretion was decreased also by 20% in males. This was associated with a diminished (-37%) expression of the HCO(3)(-) canalicular transporter, anion exchanger 2 (AE2), detected by western blotting. Biliary output of reduced glutathione (GSH) was not modified by DDS irrespective of gender, whereas excretion of oxidized glutathione (GSSG) was increased by 830% in males. This latter finding confirmed a gender-dependent oxidative stress associated with formation of the N-hydroxylated metabolite of DDS. The expression of multidrug resistance-associated protein 2 (Mrp2), a putative transporter of glutathione species, was decreased by 38% as detected by western blotting, clearly dissociating from preserved or increased biliary excretion of GSH and GSSG. In conclusion, our results show an impairment of BSIF by DDS mainly due to a decreased AE2-mediated biliary excretion of HCO(3)(-), formation of the N-hydroxylated metabolite of DDS being a likely mediator. The clinical relevance of these findings is discussed.


Asunto(s)
Antiinfecciosos/farmacología , Ácidos y Sales Biliares/fisiología , Bilis/fisiología , Dapsona/farmacología , Animales , Proteínas de Transporte de Anión/metabolismo , Antiinfecciosos/farmacocinética , Antiportadores/metabolismo , Bicarbonatos/metabolismo , Dapsona/farmacocinética , Femenino , Hidroxilación , Masculino , Metahemoglobina/metabolismo , Proteínas Mitocondriales/metabolismo , Ratas , Ratas Wistar , Proteínas Ribosómicas/metabolismo , Proteínas SLC4A , Proteínas de Saccharomyces cerevisiae/metabolismo
12.
Comp Biochem Physiol C Toxicol Pharmacol ; 139(1-3): 135-9, 2004 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-15556075

RESUMEN

Environmental increase in nitrite impairs the function of several aquatic species, including fishes. Nitrite reacts with hemoglobin yielding the non-functional methemoglobin (metHb), and many physiological disturbances can arise. The physiological mechanisms to cope with nitrite are still unclear in fish. Hematological parameters, the role of NADH-methemoglobin reductase system and the electrolytic balance were studied in the freshwater teleost Brycon cephalus (matrinxã) exposed to 0.2, 0.4 and 0.6 mg/L of nitrite N-NO(2) for 24 and 96 h. Hematocrit, total hemoglobin and the red blood cell (RBC) number decreased. Methemoglobin content increased from 1% to 69% for 24 h of exposure and drastically from 5-6% to 90% for 96 h. The activity of NADH-methemoglobin reductase system displayed a tendency of increase in response to nitrite concentration or time of exposure. In the plasma, nitrite was accumulated to values 30-fold higher than the environmental concentration. The plasma K(+) concentration increased only in fish exposed to NO(2) for 24 h. No changes in plasma protein and Na(+) were observed during nitrite exposure but Cl-presented a punctual increase at 0.2 mg/L N-NO(2)-96 h. The hematological data suggest that nitrite caused functional and hemolytic anemia. Furthermore, the electrolytic balance was relatively undisturbed, and the nitrite clearance in matrinxã is likely depending on other factors than NADH-methemoglobin reductase system.


Asunto(s)
Eritrocitos/efectos de los fármacos , Peces/metabolismo , Metahemoglobina/efectos de los fármacos , Nitrito de Sodio/farmacología , Clima Tropical , Animales , Cloruros/sangre , Relación Dosis-Respuesta a Droga , Recuento de Eritrocitos , Índices de Eritrocitos , Eritrocitos/metabolismo , Agua Dulce , Hematócrito , Metahemoglobina/metabolismo , NAD/sangre , NADP/sangre , Nitritos/sangre , Fotometría , Potasio/sangre , Sodio/sangre , Nitrito de Sodio/sangre , Factores de Tiempo
13.
J. bras. patol. med. lab ; J. bras. patol. med. lab;40(4): 249-259, jul.-ago. 2004. ilus, tab
Artículo en Portugués | LILACS | ID: lil-364495

RESUMEN

A doença falciforme é um termo genérico usado para determinar um grupo de alterações genéticas caracterizadas pelo predomínio de hemoglobina (Hb) S. Os principais genótipos que compõem o grupo de doença falciforme são os seguintes: SS, SF [S/beta0 talassemia e S/persistência hereditária de Hb fetal (PHHF)], SFA (S/beta+ talassemia), SC, SD e SH (S/alfa talassemia). O presente trabalho analisa os resultados das avaliações de produtos provenientes da oxidação da Hb S, identificados pela concentração da metemoglobina e de eritrócitos com corpos de Heinz em dois genótipos da doença falciforme (SS e S/beta0 talassemia) e no traço falcêmico (AS), em comparação com o genótipo normal (AA). A análise dos produtos da degradação oxidativa da hemoglobina, evidenciados pelo aumento dos valores das médias referentes à concentração de metemoglobina e do número de eritrócitos com corpos de Heinz, está diretamente relacionada com o aumento da concentração da Hb S. Assim, a degradação oxidativa da hemoglobina decresce entre os genótipos estudados da seguinte forma: SS>SF>AS>AA. É importante destacar que as análises indicaram que a simples presença de Hb S no eritrócito, como é o caso do genótipo AS, é capaz de causar elevação da concentração de metemoglobina em 52,62% das amostras analisadas e de induzir a precipitação de corpos de Heinz em 73,68% dos casos estudados. Explicações referentes aos processos oxidativos e redutores das hemoglobinas estudadas são apresentados no texto. Destaca-se, entre os resultados apresentados, a identificação por meio de eletroforese em agarose alcalina da fração de globina alfa-livre em todas as amostras do genótipo SF provenientes de pessoas com Hb S/beta0 talassemia. É proposto um esquema para explicar a origem da globina alfa-livre, especialmente para o genótipo S/beta0 talassemia, e a importância da sua identificação no diagnóstico laboratorial de Hb S/beta0 talassemia.


Sickle cell disease is a generic term used to determine a group of genetic alterations characterized by a dominance of Hb S. The main genotypes which compose the sickle cell disease group are as follows: SS, SF (S/b0 thalassemia and S/Hereditary Persistence of Fetal Hemoglobin or HPFH), SFA (S/b+ thalassemia), SC, SD and SH (S/a thalassemia). This study analyzes the products resulting from the oxidization of hemoglobin, identified by the methemoglobin concentration and by red blood cells with Heinz bodies, in two sickle cell genotypes (SS and S/b0 thalassemia) and in the sickle cell trait (AS) compared with the normal genotype (AA). Analysis of the products resulting from hemoglobin oxidative damage, characterized by an increase in the mean levels of methemoglobin and of the number of red blood cells with Heinz bodies, which are directly related to the increase in the Hb S concentration. Thus, oxidative damage of hemoglobin diminishes among the studied genotypes in the following manner: SS>SF>AS>AA. It is important to stress that these results indicate that the simple presence of Hb S in the red blood cell, as in the AS genotype, is capable of increasing the methemoglobin concentration in 52.62% of the assessed samples and inducing the precipitation of Heinz bodies in 73.68% of cases. Elucidation of the oxidative and reductive processes of the studied hemoglobins is presented in the paper. Highlighted among the presented results is the identification, by means of alkaline agarose gel electrophoresis, of the free alpha globin fraction in all SF genotype samples originating from Hb S/b0 thalassemia individuals. A hypothesis to explain the origin of free alpha globin, especially in the S/b0 thalassemia genotype is proposed, as is the importance of its identification in the laboratorial diagnosis of S/b0 thalassemia.


Asunto(s)
Humanos , Anemia de Células Falciformes/sangre , Eritrocitos/metabolismo , Hemoglobinas/metabolismo , Metahemoglobina/metabolismo , Oxidación-Reducción
14.
Artículo en Inglés | MEDLINE | ID: mdl-15683835

RESUMEN

Hemolytic anemia accompanied by changes in the immunology system is one of the sulfide intoxication harmful effects on Hoplosternum littorale. Hematological parameters are considered as effective indicators of stress caused by this hydrogen sulfide. During sulfide exposure, H. littorale neither alters the methemoglobin concentration nor forms sulfhemoglobin in the presence of high levels of dissolved sulfide in the water. Cytochrome c oxidase shows little activity in the gills and blood of H. littorale when exposed to sulfide. Alternative metabolic routes are suggested through which the accumulation of pyruvate leads to the formation of an end product other than lactate.


Asunto(s)
Bagres/sangre , Bagres/metabolismo , Sulfuros/toxicidad , Animales , Complejo IV de Transporte de Electrones/sangre , Complejo IV de Transporte de Electrones/metabolismo , Branquias/metabolismo , Glucosa/metabolismo , Pruebas Hematológicas , Ácido Láctico/sangre , Ácido Láctico/metabolismo , Hígado/metabolismo , Metahemoglobina/metabolismo , Músculos/metabolismo , Miocardio/metabolismo , Ácido Pirúvico/sangre , Ácido Pirúvico/metabolismo
15.
Antioxid Redox Signal ; 5(6): 691-7, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14588141

RESUMEN

Heart and liver mitochondria isolated from rats treated with enalapril, 3-30 mg/kg/day in the drinking water for 7-120 days, showed a time- and dose-dependent increased nitric oxide (NO) production in the range of 14-250%. Heart and liver mitochondria from control rats produced 0.69 and 0.50 nmol of NO/min/mg of protein, respectively, as determined by dual wavelength spectrophotometry (577-591 nm) following hemoglobin oxidation to methemoglobin. The response to enalapril treatment, attributed to a gene-mediated up-regulation of mitochondrial nitric oxide synthase (mtNOS) activity, was half-maximal at 5-6 days and was maintained up to 120 days. Enalapril-treated animals showed an increased mtNOS functional activity in heart mitochondria that inhibited state 3 O(2) uptake (from 22% in control rats to 43%) and increased state 4 hydrogen peroxide (H(2)O(2)) production (from 30% in control rats to 52%). Calculated heart intramitochondrial NO and H(2)O(2) steady-state concentrations were increased 66% and 20%, respectively, by enalapril treatment. Signaling pathways dependent on mitochondrial NO and H(2)O(2) may account for the beneficial effects of enalapril in aging mammals.


Asunto(s)
Enalapril/farmacología , Hígado/metabolismo , Mitocondrias/metabolismo , Miocardio/metabolismo , Óxido Nítrico Sintasa/metabolismo , Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Animales , Relación Dosis-Respuesta a Droga , Hemoglobinas/metabolismo , Peróxido de Hidrógeno/farmacología , Masculino , Metahemoglobina/metabolismo , Modelos Biológicos , Óxido Nítrico/metabolismo , Oxidación-Reducción , Oxígeno/metabolismo , Ratas , Ratas Wistar , Transducción de Señal , Espectrofotometría , Superóxido Dismutasa/metabolismo , Factores de Tiempo , Regulación hacia Arriba , Agua/metabolismo
16.
Arch Med Res ; 30(2): 116-9, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-10372444

RESUMEN

BACKGROUND: Heparin and heparin derivatives with low anticoagulant activity exhibit a wide spectrum of biological functions affecting adhesion, activation and trafficking of leukocytes. METHODS: We investigated the in vitro effect of heparin and a low molecular weight heparin derivative (LMWH) on nitric oxide (NO) production by human polymorphonuclear leukocytes (PMN). RESULTS: N-formyl-methionyl-leucyl-phenylalanine (fMLP)-stimulated NO production was significantly decreased by heparin at doses of 0.5 and 5 micrograms/mL, while LMWH was only effective at doses of 50 and 200 micrograms/mL by means of a mechanism not related to NO synthase (NOS) activity. CONCLUSIONS: These results support the hypothesis that heparin and LMWH derivatives may offer therapeutic benefit for inflammatory diseases where NO plays a protagonic role.


Asunto(s)
Heparina de Bajo-Peso-Molecular/farmacología , Heparina/farmacología , Neutrófilos/metabolismo , Óxido Nítrico/biosíntesis , Humanos , Metahemoglobina/metabolismo , N-Formilmetionina Leucil-Fenilalanina/farmacología
17.
Rev Lat Am Enfermagem ; 7(2): 79-85, 1999 Apr.
Artículo en Portugués | MEDLINE | ID: mdl-10734954

RESUMEN

In this clinical investigation 35 patients under mechanical ventilation were studied. It was possible to establish the precision of two pulse oximeters of different brands. The performance of these equipments was evaluated by comparing data with the hemo-oximeter and a statistical analysis employed the student t test. Results showed that bias between oximeters reading and hemo-oximeter was similar for both instruments. Eventually critical patients may present conditions that limit the use of this technique. The study showed that the discrepancy in the results observed may be attributed to the presence of the methemoglobin and possible to anaemia associated to hypoxia.


Asunto(s)
Cuidados Críticos/métodos , Enfermedad Crítica , Hipoxia/sangre , Oximetría/enfermería , Consumo de Oxígeno , Respiración Artificial/efectos adversos , Sesgo , Análisis de los Gases de la Sangre , Humanos , Hipoxia/etiología , Hipoxia/enfermería , Metahemoglobina/metabolismo , Oximetría/métodos , Reproducibilidad de los Resultados , Respiración Artificial/enfermería
18.
J Biochem Toxicol ; 9(1): 9-15, 1994 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-7512143

RESUMEN

Treatment of rats with daily doses of 20 mg of lindane/kg for 3 consecutive days led to the accumulation of the insecticide in several tissues, including erythrocytes and liver. Lindane did not alter the hematocrit and hemoglobin concentration but reduced methemoglobin levels by 17%. Red blood cells from controls and lindane-treated rats, exposed to t-butyl hydroperoxide, exhibited comparable rates of oxygen uptake and visible chemiluminescence, whereas the induction period that precedes oxygen uptake was significantly enhanced in the latter group. Lindane treatment did not modify the activity of erythrocyte glutathione peroxidase, glucose-6-phosphate dehydrogenase, catalase, and methemoglobin reductase, being the total content of glutathione and superoxide dismutase activity significantly increased. The liver from lindane-treated rats showed an enhanced microsomal pro-oxidant activity, evidenced by higher cytochrome P450 content and NADPH-cytochrome c reductase and NADPH oxidase activities. The higher enzyme activities led to an increased superoxide anion generation (adrenochrome formation) and lipid peroxidation (measured either by the production of thiobarbituric acid reactants and spontaneous visible chemiluminescence). Concomitantly, liver glutathione content and the activity of glutathione peroxidase-glutathione reductase couple were augmented by lindane treatment, without any change in superoxide dismutase activity, together with a reduction in that of catalase. Results suggest that lindane does not alter the prooxidant/antioxidant status of the erythrocyte in conditions of a significant cellular accumulation of the insecticide, which might exert direct action on enzymatic systems leading to enhanced superoxide dismutase activity and glutathione content.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Eritrocitos/efectos de los fármacos , Hexaclorociclohexano/toxicidad , Hígado/efectos de los fármacos , Tejido Adiposo/metabolismo , Animales , Encéfalo/metabolismo , Eritrocitos/enzimología , Hematócrito , Hemoglobinas/metabolismo , Hexaclorociclohexano/administración & dosificación , Hexaclorociclohexano/farmacocinética , Hígado/enzimología , Masculino , Metahemoglobina/metabolismo , Oxidación-Reducción , Consumo de Oxígeno/efectos de los fármacos , Peróxidos/farmacología , Ratas , Ratas Wistar , Especies Reactivas de Oxígeno , Distribución Tisular , terc-Butilhidroperóxido
20.
J Inorg Biochem ; 40(4): 309-21, 1990 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-1964956

RESUMEN

The dehydration of human and bovine methemoglobins was monitored using ESR spectroscopy of the iron signal. The interconversion of the Fe(III) signal between the high spin form (at g approximately 6) in solution and low spin form (at g approximately 2) was quantitatively studied as a function of hydration. The dehydration process leads also to a loss of paramagnetism resulting in the appearance of about 40% Fe(II) below 0.40 grH2O/grHb. The remaining 60% of Fe(III) ESR signal is distributed as the residual high spin form (at g approximately 6, 5%) and low spin form (hemichromes H and P, 55%). The formation of hemichrome P was explained as resulting from the coordination of the cysteine residue at beta 93 with the iron atom which follows the rupture of the proximal histidine bond. Experiments with hemoglobins where the sulphur atom of cysteine beta 93 was blocked (N-ethylmaleimide) did not showed the hemichrome P, confirming the involvement of the sulphur atom. This implies that the dehydration process induces displacements and torsion of the F helix, drastically changing the iron coordination at proximal site. In agreement with this proposition the Fe(II) symmetry is pentacoordinated with the disrupted bond to the proximal histidine at fifth coordination. This is also supported by ESR experiments with nitrosyl complex at low hydrations. All conformational changes were reversibly modulated by hydration degree and partially by lyophilization rate. A one-cycle dehydration of bovine hemoglobin followed by solubilization shows 100% reversibility of hemichrome P. Increasing the number of cycles of dehydration-hydration reduces the reversibility degree. With three cycles a reversibility of 70%-75% is observed. The level of 0.40 grH2O/grHb was the critical hydration for the molecules to return to aquo met form and correspond also to a minimal water content necessary to cover all protein surface as obtained from other techniques.


Asunto(s)
Hierro/metabolismo , Metahemoglobina/metabolismo , Agua/metabolismo , Animales , Bovinos , Cisteína/metabolismo , Espectroscopía de Resonancia por Spin del Electrón , Etilmaleimida/farmacología , Compuestos Férricos/metabolismo , Compuestos Ferrosos/metabolismo , Liofilización , Hemoproteínas/metabolismo , Hemoglobinas/metabolismo , Humanos , Metahemoglobina/química , Conformación Proteica
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