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1.
Leuk Res ; 35(11): 1467-71, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21846577

RESUMO

Brain damage related to intrathecal methotrexate in children with acute lymphoblastic leukemia (ALL) is still unclear. Neuroinflammatory mechanisms and intracerebral production of specific biomarkers, play a key role in determining neuroprotective mechanisms after brain injury. To determine whether the CSF concentrations of neuron-specific enolase (NSE), neurotrophic factors and doublecortin (DCX) are influenced by repeated intrathecal methotrexate administrations, we prospectively collected CSF samples from 10 children with ALL and 10 controls. Our results showed an increased expression of the liquoral markers. This up-regulation could be interpreted as a neuroprotective response of the brain against the neuronal damages induced by MTX.


Assuntos
Lesões Encefálicas/diagnóstico , Metotrexato/efeitos adversos , Proteínas Associadas aos Microtúbulos/líquido cefalorraquidiano , Fatores de Crescimento Neural/líquido cefalorraquidiano , Neuropeptídeos/líquido cefalorraquidiano , Fármacos Neuroprotetores/líquido cefalorraquidiano , Fosfopiruvato Hidratase/líquido cefalorraquidiano , Leucemia-Linfoma Linfoblástico de Células Precursoras/líquido cefalorraquidiano , Adolescente , Antimetabólitos Antineoplásicos/efeitos adversos , Biomarcadores Tumorais/líquido cefalorraquidiano , Western Blotting , Lesões Encefálicas/líquido cefalorraquidiano , Lesões Encefálicas/induzido quimicamente , Criança , Pré-Escolar , Proteínas do Domínio Duplacortina , Proteína Duplacortina , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/patologia , Prognóstico , Estudos Prospectivos , Regulação para Cima
2.
Childs Nerv Syst ; 27(12): 2117-22, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21720818

RESUMO

AIM: The effects on neural repair of intraparenchymal nerve growth factor (NGF) administration were evaluated in neonate Wistar rats with experimentally induced focal microgyria. METHODS: A freezing focal polymicrogyric lesion was induced on the frontal cortex in 35 newborn Wistar rats on postnatal day 1. NGF was administered in 15 cases, with 20 pups as controls. Animals were sacrificed at 72 h and 7 days after NGF administration. Real-time PCR was used for the quantification of the expression of TrkA, p75, and doublecortin (DCX) at the level of the cortical lesion in seven different groups of animals: control 72 h (n = 5), control 7 days (n = 5), microgyria 72 h (n = 5), microgyria 7 days (n = 5), microgyria + NGF 72 h (n = 5), microgyria + NGF 7 days (n = 5), and control + NGF (n = 5). RESULTS: A significant increase in TrkA expression was found in the microgyria + NGF 7 days group compared to the others. TrkA upregulation was already visible 72 h after NGF administration. Unlike TrkA, p75 expression increased in animals subjected to the experimental focal microgyria and decreased markedly after NGF administration. DCX expression in injured animals was observed to increase strongly 7 days after NGF administration compared with other groups. CONCLUSIONS: NGF administration interferes with neural repair mechanisms at the polymicrogyric lesion site by means of TrkA and DCX upregulation which possibly counteracts the process of apoptosis caused by the brain injury.


Assuntos
Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Malformações do Desenvolvimento Cortical/tratamento farmacológico , Malformações do Desenvolvimento Cortical/metabolismo , Fator de Crescimento Neural/administração & dosagem , Animais , Animais Recém-Nascidos , Modelos Animais de Doenças , Proteínas do Domínio Duplacortina , Proteína Duplacortina , Congelamento/efeitos adversos , Malformações do Desenvolvimento Cortical/etiologia , Proteínas Associadas aos Microtúbulos/genética , Proteínas Associadas aos Microtúbulos/metabolismo , Fator de Crescimento Neural/farmacologia , Proteínas do Tecido Nervoso , Neuropeptídeos/genética , Neuropeptídeos/metabolismo , RNA Mensageiro/metabolismo , Ratos , Ratos Wistar , Receptor trkA/genética , Receptor trkA/metabolismo , Receptores de Fatores de Crescimento , Receptores de Fator de Crescimento Neural/genética , Receptores de Fator de Crescimento Neural/metabolismo , Fatores de Tempo
3.
J Trauma ; 65(1): 80-5, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18580535

RESUMO

BACKGROUND: In the adult brain, migrating neuroblasts can replace damaged neurons after severe traumatic brain injury (TBI). Little is known about which factors determine the magnitude and amplification of neurogenesis after TBI, but there are some evidences that the nerve growth factor (NGF) and the doublecortin (DCX) can influence neurogenesis and neuronal repair. METHODS: This study investigates the NGF and DCX levels in the cerebrospinal fluid of 12 children with severe TBI and 12 matched controls, to determine the correlation between the expression of both these factors and the patients outcome. We collected cerebrospinal fluid samples 2 hours (Time T1) and 48 hours (Time T2) after brain injury. NGF levels were measured using a two-site immunoenzymatic assay, whereas the DCX expression by a Western blot analysis. RESULTS: At time T1 and T2, children with the best outcomes had higher levels of NGF than children with poor outcomes. Evaluating the change of NGF levels from time T1 to time T2, we found that the NGF up-regulation in the early time after injury was significantly associated with good outcomes of patients. Concomitantly, the expression of DCX increased only in patients with NGF up-regulation from time T1 to time T2. In others patients and in controls the expression of DCX remained unchanged. CONCLUSION: Based on these results, we hypothesize that NGF and DCX contribute to the mechanisms of neuroprotection and neuronal connection reorganization after TBI, playing a key role in the outcome of these patients.


Assuntos
Lesões Encefálicas/líquido cefalorraquidiano , Proteínas Associadas aos Microtúbulos/líquido cefalorraquidiano , Fator de Crescimento Neural/líquido cefalorraquidiano , Neuropeptídeos/líquido cefalorraquidiano , Adolescente , Lesões Encefálicas/terapia , Estudos de Casos e Controles , Criança , Pré-Escolar , Estudos de Coortes , Cuidados Críticos , Proteínas do Domínio Duplacortina , Proteína Duplacortina , Feminino , Humanos , Masculino , Índices de Gravidade do Trauma , Resultado do Tratamento
4.
J Neurotrauma ; 25(3): 225-34, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18352836

RESUMO

Secondary brain damage after traumatic brain injury (TBI) involves neuro-inflammatory mechanisms that are mainly dependent on the intracerebral production of cytokines. Interleukin-6 (IL-6) may have a role both in the pathogenesis of neuronal damage and in the recovery mechanisms of injured neurons through the modulation of nerve growth factor (NGF) biosynthesis. However, the relationship between IL-6 and NGF expression and the severity and outcome of TBI remains controversial. We have conducted a prospective observational clinical study to determine whether the concentration of IL-6 and NGF in the cerebrospinal fluid (CSF) of children with TBI correlates with the severity of the injury and neurologic outcome of patients. CSF samples were collected from 29 children at 2 h (time T1) and 48 h (time T2) after severe TBI, and from 31 matched controls. TBI severity was evaluated by Glasgow Coma Scale (GCS) and neurologic outcome by Glasgow Outcome Score (GOS). CSF concentrations of IL-6 and NGF were measured by immunoenzymatic assays. Early NGF concentrations (T1) correlated significantly with head injury severity, whereas no correlation was found between GCS and IL-6. Furthermore, IL-6 and NGF upregulation after injury was associated with better neurologic outcomes. Based on these findings, we posit that NGF expression is a useful marker of brain damage following severe TBI. Moreover, the early upregulation of both IL-6 and NGF, which correlates with a favorable neurologic outcome, may reflect an endogenous attempt at neuroprotection in response to the damaging biochemical and molecular cascades triggered by traumatic insult.


Assuntos
Lesões Encefálicas/líquido cefalorraquidiano , Encéfalo/metabolismo , Interleucina-6/líquido cefalorraquidiano , Degeneração Neural/líquido cefalorraquidiano , Fator de Crescimento Neural/líquido cefalorraquidiano , Adolescente , Biomarcadores/análise , Biomarcadores/líquido cefalorraquidiano , Encéfalo/fisiopatologia , Lesões Encefálicas/complicações , Lesões Encefálicas/fisiopatologia , Criança , Pré-Escolar , Citoproteção/fisiologia , Encefalite/etiologia , Encefalite/metabolismo , Encefalite/fisiopatologia , Feminino , Escala de Resultado de Glasgow , Humanos , Lactente , Masculino , Degeneração Neural/etiologia , Degeneração Neural/fisiopatologia , Neurônios/metabolismo , Neurônios/patologia , Valor Preditivo dos Testes , Prognóstico , Recuperação de Função Fisiológica/fisiologia , Fatores de Tempo , Regulação para Cima/fisiologia
5.
Neurol Res ; 30(3): 223-8, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18282376

RESUMO

OBJECTIVE AND IMPORTANCE: Hypoxic-ischemic brain injuries in childhood are associated with poor neurological outcome. Recently, experimental and clinical works show that nerve growth factor (NGF) reduces neurological deficits and promotes endothelial cells proliferation and angiogenesis following hypoxic-ischemic brain injuries. After brain stroke, new neurons express a protein, called doublecortin (DCX), which indicates a new marker for neurogenesis and migrating neuroblasts. This study investigates the effects of intraventricular NGF administration in two infants with severe hypoxic-ischemic brain damage and its role in both the cerebral perfusion and neurogenesis. CLINICAL PRESENTATION: Two infants, aged 8 and 13 months, with hypoxic-ischemic brain damage, secondary to prolonged cardiorespiratory arrest, were treated with intraventricular NGF administration. Before the therapy, both infants were comatose, aphasic and showed flaccid tetraparesis. After 1 month NGF treatment, their neurological conditions improved, electro-encephalography (EEG) examinations showed increased alpha/theta ratio, and single photon emission computed tomography (SPECT) works demonstrated a better cerebral perfusion. The DCX expression in the cerebrospinal fluid (CSF) increased concomitantly with increasing levels of NGF. INTERVENTION: The drug utilized was 2.5S NGF purified and lyophilized from male mouse submaxillary glands. The NGF administration was started 4 months after ischemic brain injury. NGF (0.1 mg) was administered via the external drainage catheter into the right cerebral ventricle once a day for 10 consecutive days. CONCLUSION: Our study shows that the intraventricular NGF administration improves the cerebral perfusion and stimulates the pathway of neurogenesis differentiation with the activation of DCX biosynthesis.


Assuntos
Circulação Cerebrovascular/efeitos dos fármacos , Regulação da Expressão Gênica/efeitos dos fármacos , Hipóxia-Isquemia Encefálica/tratamento farmacológico , Hipóxia-Isquemia Encefálica/metabolismo , Proteínas Associadas aos Microtúbulos/líquido cefalorraquidiano , Fator de Crescimento Neural/administração & dosagem , Neuropeptídeos/líquido cefalorraquidiano , Animais , Circulação Cerebrovascular/fisiologia , Proteínas do Domínio Duplacortina , Proteína Duplacortina , Eletroencefalografia , Humanos , Hipóxia-Isquemia Encefálica/diagnóstico por imagem , Hipóxia-Isquemia Encefálica/patologia , Lactente , Injeções Intraventriculares/métodos , Imageamento por Ressonância Magnética/métodos , Camundongos , Fator de Crescimento Neural/metabolismo , Exame Neurológico , Glândula Submandibular/química , Fatores de Tempo , Tomografia Computadorizada de Emissão de Fóton Único/métodos
6.
Childs Nerv Syst ; 24(1): 119-24, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17639417

RESUMO

BACKGROUND: Pain is the most common discomfort experienced by children undergoing major operations. It is most often not adequately treated because of inexperience and unfounded fears related to the use of opioid drugs. In adults, patient-controlled analgesia (PCA) is widely administered, while in children, its use with opioid drugs is still under evaluation for safety and efficacy. OBJECTIVES: The objective of the study is to evaluate the safety and efficacy of an opioid drug (fentanil) administered by PCA associated with a sedative-adjuvant drug (midazolam) administered by continuous infusion in children having undergone major neurosurgical procedures. MATERIALS AND METHODS: Sixteen children with moderate to severe postoperative pain were treated with fentanil by PCA (booster doses of 1 microg/kg) plus continuous infusion of midazolam (2 microg/kg per min) by an intravenous route. To evaluate safety and efficacy of this analgesic protocol, different subjective and objective parameters were monitored at 4-h intervals. In addition, patients' satisfaction was assessed by a questionnaire at the end of the treatment. MAIN RESULTS: All children experienced a good degree of analgesia and did not require any other analgesic drug during the treatment. Both subjective and objective parameters improved after starting pain-relieving treatment, and no major side effects occurred. The analysis of the answers of the questionnaire administered to the children showed a high grade of satisfaction. CONCLUSIONS: PCA with fentanil plus continuous infusion of midazolam is a safe and efficacious method for analgesia in children with moderate to severe postoperative neurosurgical pain. The association of midazolam to fentanil also contributes to control anxiety and stress in this subset of patients and does not show any important side effects.


Assuntos
Fentanila/uso terapêutico , Midazolam/uso terapêutico , Doenças do Sistema Nervoso/cirurgia , Procedimentos Neurocirúrgicos/efeitos adversos , Dor Pós-Operatória/tratamento farmacológico , Adolescente , Analgesia Controlada pelo Paciente/efeitos adversos , Analgesia Controlada pelo Paciente/métodos , Anestésicos Intravenosos/administração & dosagem , Anestésicos Intravenosos/efeitos adversos , Anestésicos Intravenosos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Pressão Sanguínea/fisiologia , Criança , Feminino , Fentanila/administração & dosagem , Fentanila/efeitos adversos , Humanos , Injeções Intraventriculares , Masculino , Midazolam/administração & dosagem , Midazolam/efeitos adversos , Procedimentos Neurocirúrgicos/métodos , Dor Pós-Operatória/etiologia , Satisfação Pessoal , Estudos Prospectivos , Inquéritos e Questionários , Resultado do Tratamento
7.
Eur J Paediatr Neurol ; 12(3): 195-204, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-17881264

RESUMO

BACKGROUND: Secondary brain damage after traumatic brain injury (TBI) involves neuro-inflammatory mechanisms, mainly dependent on the intracerebral production of cytokines. In particular, interleukin 1beta (IL-1beta) is associated with neuronal damage, while interleukin 6 (IL-6) exerts a neuroprotective role due to its ability to modulate neurotrophins biosynthesis. However, the relationship between these cytokines and neurotrophins with the severity and outcome of TBI remains still controversial. AIMS: To determine whether the concentration of IL-1beta and IL-6 and neurotrophins (nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic factor (GDNF)) in the cerebrospinal fluid (CSF) of children with TBI correlates with the severity of the injury and its neurologic outcome. METHODS: Prospective observational clinical study in a university hospital. CSF samples were collected from 27 children at 2h (Time T1) and 48 h (Time T2) after severe TBI, and from 21 matched controls. Severity of TBI was evaluated by GCS and neurologic outcome by GOS. CSF concentrations of cytokines and neurotrophins were measured by immunoenzymatic assays. RESULTS: Early NGF and IL-1beta concentrations (T1) correlated significantly with the severity of head injury, whereas no correlation was found for IL-6, BDNF, and GDNF. Furthermore, higher NGF and IL-6 and lower IL-1beta expression at T2 were associated with better neurologic outcomes. No significant association was found between BDNF or GDNF expression and neurologic outcome. CONCLUSIONS: NGF concentration in CSF is a useful marker of brain damage following severe TBI and its up-regulation, in the first 48 h after head injury together with lower IL-1beta expression, correlates with a favorable neurologic outcome. Clinical and prognostic information may also be obtained from IL-6 expression.


Assuntos
Biomarcadores/líquido cefalorraquidiano , Lesões Encefálicas/líquido cefalorraquidiano , Fator de Crescimento Neural/líquido cefalorraquidiano , Recuperação de Função Fisiológica , Adolescente , Fator Neurotrófico Derivado do Encéfalo/líquido cefalorraquidiano , Criança , Pré-Escolar , Feminino , Escala de Coma de Glasgow , Escala de Resultado de Glasgow , Fator Neurotrófico Derivado de Linhagem de Célula Glial/líquido cefalorraquidiano , Humanos , Imunoensaio , Lactente , Interleucina-1beta/líquido cefalorraquidiano , Interleucina-6/líquido cefalorraquidiano , Masculino
8.
J Neurotrauma ; 25(12): 1477-81, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19125682

RESUMO

Glial-derived neurotrophic factor (GDNF) is one of several powerful survival factors for spinal motoneurons that play a key role in sprouting, synaptic plasticity, and reorganization after spinal cord damage. The aim of this study was to investigate the expression of GDNF in plasma of children with spina bifida (SB) and to determine its correlation with both the severity of spinal cord damage and the motor function of these patients. To measure the GDNF expression, we collected plasma samples from 152 children with SB and in 149 matched controls. Endogenous GDNF levels were quantified using a two-site immuno-enzymatic assay. The statistical analysis was performed using the Mann-Whitney two-tailed two-sample test. In children with SB the mean levels of GDNF (131.2 +/- 69.6 pg/mL) were significantly higher (p < 0.001) with respect to the mean levels of the control group (102.7 +/- 6.8 pg/mL). Moreover, in open SB, the GDNF levels (139.2 +/- 81.1 pg/mL) were significantly higher (p < 0.05) with respect to closed SB (117.2 +/- 41.3 pg/mL). In terms of the motor function of patients, we found that in children with poorer motor function, the GDNF levels (134.5 +/- 67.4 pg/mL) were higher, but not statistically significant (p < 0.1), than in patients with better motor outcome (122.3 +/- 72.2 pg/mL). Our study demonstrates GDNF over-expression in children with SB. This upregulation is significantly associated with the severity of spinal cord damage in SB patients and appears to correlate with poor motor function of children, representing an important biochemical marker of the severity of spine injury.


Assuntos
Fator Neurotrófico Derivado de Linhagem de Célula Glial/sangue , Espinha Bífida Cística/sangue , Espinha Bífida Oculta/sangue , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Estudos de Coortes , Deambulação com Auxílio/fisiologia , Feminino , Humanos , Masculino , Atividade Motora/fisiologia , Espinha Bífida Cística/patologia , Espinha Bífida Cística/fisiopatologia , Espinha Bífida Oculta/patologia , Espinha Bífida Oculta/fisiopatologia
9.
Pediatr Neurol ; 33(5): 331-6, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16243220

RESUMO

This study investigates the expression of some neurotrophic factors (brain-derived neurotrophic factor, glial-derived neurotrophic factor, and nerve growth factor) in the cerebrospinal fluid of infants suffering from idiopathic congenital central hypoventilation syndrome and determines their correlations with this syndrome. Cerebrospinal fluid samples were collected from three infants suffering from idiopathic congenital central hypoventilation syndrome and 15 control subjects with obstructive hydrocephalus to measure the expression of brain-derived neurotrophic factor, glial-derived neurotrophic factor, and nerve growth factor using an immunoenzymatic assay. In the cerebrospinal fluid of patients, analysis of neurotrophic factors expression indicated a reduction, not statistically significant, of brain-derived neurotrophic factor compared with the mean level of the control group (1554 pg/mL, 1509 pg/mL, and 1582 pg/mL respectively, in comparison to 1954 +/- 103 pg/mL), whereas nerve growth factor and glial-derived neurotrophic factor did not undergo significant variations in either group. Neurotrophic factors, namely brain-derived neurotrophic factor, regulate the maturation and differentiation of respiratory neurons. The reduced expression of brain-derived neurotrophic factor in the cerebrospinal fluid samples of infants with Ondine's curse, although not statistically significant, is suggestive of a dysregulation in the brain-derived neurotrophic factor synthesis that could play an important role in the breathing disorders observed in patients with idiopathic congenital central hypoventilation syndrome.


Assuntos
Fatores de Crescimento Neural/líquido cefalorraquidiano , Apneia do Sono Tipo Central/líquido cefalorraquidiano , Apneia do Sono Tipo Central/fisiopatologia , Fator Neurotrófico Derivado do Encéfalo/líquido cefalorraquidiano , Feminino , Fator Neurotrófico Derivado de Linhagem de Célula Glial/líquido cefalorraquidiano , Humanos , Lactente , Recém-Nascido , Masculino , Fator de Crescimento Neural/líquido cefalorraquidiano , Apneia do Sono Tipo Central/congênito
10.
Basic Res Cardiol ; 100(2): 121-30, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15739121

RESUMO

The aim of this study was to investigate the role of stress and nerve growth factor (NGF) on the expression of vascular-endothelial growth factor (VEGF) and NGF high-affinity receptor (tyrosine kinase A, TrKA) in the ascending and abdominal aorta.Adult male rats were exposed to immobilization stress for one hour or injected with purified murine NGF. Four hours after treatments, rats were sacrificed and VEGF, NGF and TrkA expression in ascending and abdominal aorta evaluated. The effects of anti-NGF treatment on arterial VEGF expression and on stress-induced arterial cell proliferation were also studied in control and stressed rats.The data indicated that both stress and NGF injection induced a rapid increase of arterial VEGF associated with an elevated level of NGF and TrkA in arterial tissues. Blocking NGF action by neutralizing NGF-antibodies, results in down-regulation of stress-induced VEGF expression by arteries and in the blockade of stress-induced proliferation of cells from the arterial wall.Overall our data demonstrated that NGF is involved in the regulation of VEGF and in cardiac vessels response after emotional stress.


Assuntos
Aorta/metabolismo , Fator de Crescimento Neural/metabolismo , Receptor trkA/metabolismo , Estresse Psicológico/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismo , Animais , Anticorpos , Aorta/patologia , Aorta Abdominal/metabolismo , Proliferação de Células , Modelos Animais de Doenças , Injeções Intravenosas , Masculino , Camundongos , Fator de Crescimento Neural/administração & dosagem , Fator de Crescimento Neural/imunologia , Ratos , Ratos Sprague-Dawley , Restrição Física , Estresse Psicológico/etiologia , Estresse Psicológico/patologia , Fatores de Tempo
11.
Childs Nerv Syst ; 21(3): 185-93; discussion 194, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15455248

RESUMO

BACKGROUND: Based on the known inflammatory role of interleukins (IL), we evaluated IL-1beta and IL-6 expressions and their association with the severity of traumatic brain injury (TBI; Glasgow Coma Scale [GCS]) and the outcome (Glasgow Outcome Score [GOS]) recorded in a paediatric population. DESIGN: The design was a perspective observational clinical study carried out in the paediatric intensive care unit of the University Hospital. METHODS: We measured the IL-1beta and IL-6 levels in 14 children with severe TBI (patients) and in 12 children with obstructive hydrocephalus (control group). Cerebrospinal fluid (CSF) and plasma samples were collected 2 h (T1) and 24 h (T2) after TBI. Interleukins were assayed using the immunoenzymatic method. RESULTS: The IL-1beta mean level was significantly lower than the IL-6 mean level both in the CSF and plasma of TBI children. In the CSF, the IL-1beta level increased from 55.71+/-72.79 pg/ml at T1 to 106.10+/-142.12 pg/ml at T2 and the IL-6 level increased from 405.43+/-280.28 pg/ml at T1 to 631.57+/-385.35 pg/ml at T2; a similar trend was observed in plasma. We found a statistically significant correlation between the increase in CSF and plasma interleukin levels between T1 and T2 and head injury severity (GCS

Assuntos
Lesões Encefálicas/sangue , Lesões Encefálicas/líquido cefalorraquidiano , Interleucina-1/sangue , Interleucina-1/líquido cefalorraquidiano , Interleucina-6/sangue , Interleucina-6/líquido cefalorraquidiano , Adolescente , Criança , Pré-Escolar , Feminino , Escala de Coma de Glasgow/estatística & dados numéricos , Escala de Resultado de Glasgow/estatística & dados numéricos , Humanos , Hidrocefalia/sangue , Hidrocefalia/líquido cefalorraquidiano , Técnicas Imunoenzimáticas/métodos , Lactente , Masculino , Observação , Estudos Prospectivos , Fatores de Tempo
12.
Childs Nerv Syst ; 20(6): 412-9, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15138791

RESUMO

BACKGROUND: Neurotrophic factors (nerve growth factor [NGF], brain-derived neurotrophic factor [BDNF] and glial-derived neurotrophic factor [GDNF]) are growth factors implicated in the growth and differentiation of brain nerve cells. An involvement of these factors in the biology and progression of some specific tumours has been suggested. In accordance with the role of neurotrophic factors in tumour behaviour the aim of the present study was to investigate their expression in two childhood brain neoplasms, namely low-grade astrocytomas and ependymomas. MATERIALS AND METHODS: We investigated the NGF, BDNF, GDNF and NGF receptors (TrkA and p75) expression in the tumour tissues, cerebrospinal fluid (CSF) and plasma of ten children affected by low-grade astrocytomas and ependymomas. Control tissue samples (together with CSF and plasma samples) were obtained from patients who underwent surgery for cerebral vascular or epileptogenic lesions. RESULTS: The expression of NGF decreases both in tumour samples and in the CSF of affected children compared with controls. BDNF instead increases in CSF, while the expression of GDNF remains unchanged both in tissues and in CSF. No differences were found in neurotrophic factor plasma levels in patients or in controls. Gene expression of NGF and its high-affinity receptor (TrkA) are reduced in tumour tissues, whereas the number of cells immunopositive to the low-affinity NGF receptor (p75) is increased. CONCLUSION: Reduced expression of NGF and TrkA has been shown in low-grade astrocytomas and ependymomas. These findings may be related to the role of this neurotrophin in cell differentiation and apoptosis. The different expression of NGF, BDNF, and GDNF in low-grade astrocytomas and ependymomas suggests that a different degree of redundancy exists among members of the neurotrophic factor family and that their expression may be correlated with the biology and the behaviour of these tumours.


Assuntos
Astrocitoma/metabolismo , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Ependimoma/metabolismo , Fatores de Crescimento Neural/metabolismo , Receptor trkA , Adolescente , Encéfalo/metabolismo , Fator Neurotrófico Derivado do Encéfalo/genética , Proteínas de Transporte/metabolismo , Criança , Pré-Escolar , Feminino , Expressão Gênica , Fator Neurotrófico Derivado de Linhagem de Célula Glial , Humanos , Técnicas Imunoenzimáticas/métodos , Imuno-Histoquímica/métodos , Lactente , Masculino , Proteínas de Membrana/metabolismo , Fatores de Crescimento Neural/genética , RNA Mensageiro/biossíntese , Receptor de Fator de Crescimento Neural/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos
13.
Prog Brain Res ; 146: 279-89, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-14699970

RESUMO

The development of atherosclerotic cardiovascular disease is a common comorbidity in patients with the metabolic syndrome, a concurrence of cardiovascular risk factors in one individual. While multiple growth factors and adipokines are identified in atherosclerotic lesions, as well as neurotrophins implicated in both cardiac ischemia and lipid and glucose metabolism, the potential role of neurotrophins in human coronary atherosclerosis and in the metabolic syndrome still remains to be elucidated. Here we describe and discuss our results that represent a novel attempt to study the cardiovascular and metabolic biology of nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF) and mast cells (MC). The local amount of NGF, the immunolocalization of p75 neurotrophin receptor (p75NTR) and the number of MC were correlatively examined in coronary vascular wall and in the surrounding subepicardial adipose tissue, obtained from autopsy cases in humans with advanced coronary atherosclerosis. We also analyzed the plasma levels of NGF, BDNF and leptin and the number of MC in biopsies from abdominal subcutaneous adipose tissue in patients with a severe form of the metabolic syndrome. The results demonstrate that NGF levels are decreased in atherosclerotic coronary vascular tissue but increased in the subepicardial adipose tissue, whereas both tissues express a greater number of MC and a stronger p75NTR immunoreactivity, compared to controls. Metabolic syndrome patients display a significant hyponeurotrophinemia and an increased number of adipose MC; the later correlates with elevated plasma leptin levels. In effect, we provide the first evidence for (i) an altered presence of NGF, p75NTR and MC in both coronary vascular and subepicardial adipose tissue in human coronary atherosclerosis, and (ii) a significant decrease in plasma NGF and BDNF levels and an elevated amount of plasma leptin and adipose MC in metabolic syndrome patients. Together our findings suggest that neuroimmune mediators such as NGF, BDNF, leptin and MC may be involved in the development of cardiovascular disease and related disorders.


Assuntos
Fator Neurotrófico Derivado do Encéfalo/metabolismo , Doença da Artéria Coronariana/metabolismo , Síndrome Metabólica/metabolismo , Fator de Crescimento Neural/metabolismo , Serina Endopeptidases/metabolismo , Animais , Fator Neurotrófico Derivado do Encéfalo/fisiologia , Vasos Coronários/citologia , Vasos Coronários/metabolismo , Humanos , Leptina/sangue , Mastócitos/metabolismo , Fator de Crescimento Neural/fisiologia , Receptor de Fator de Crescimento Neural , Receptores de Fator de Crescimento Neural/metabolismo
14.
Ann Ist Super Sanita ; 39(2): 189-94, 2003.
Artigo em Italiano | MEDLINE | ID: mdl-14587217

RESUMO

Nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF) are members of a family of structurally related secreted proteins, termed neurotrophins, which promote and regulate the survival of many kinds of neurons in the peripheral nervous system. Aim of the study is to dose the serum level of NGF and BDNF in 8 patients affected by sensorineural hearing loss (SNHL). The results show that in these patients the amount of circulating NGF, but not of BDNF, is significantly lower in comparison to that found in age-matched controls. The preliminary data of the present study suggest that NGF might have a crucial role in the auditory pathway, promoting the survival and preventing the degeneration of sensorineural cells.


Assuntos
Fator Neurotrófico Derivado do Encéfalo/sangue , Perda Auditiva Neurossensorial/sangue , Fator de Crescimento Neural/fisiologia , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Feminino , Perda Auditiva Neurossensorial/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Fator de Crescimento Neural/sangue , Fator de Crescimento Neural/deficiência
15.
Intensive Care Med ; 29(8): 1329-38, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12845427

RESUMO

OBJECTIVES: We evaluated the neurotrophic factors [nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), glia-derived neurotrophic factor (GDNF)] expression and their association with the severity and outcome of children with traumatic brain injury. DESIGN: Prospective observational clinical study. SETTING: Pediatric intensive care unit. PATIENTS: Fourteen children with severe head injury; 12 controls with obstructive hydrocephalus. MEASUREMENT: Cerebrospinal fluid (CSF) and plasma samples were collected 2 h (T1) and 24 h (T2) after head injury. Neurotrophic factor levels were measured using an immuno-enzymatic assay. MAIN RESULTS: In patients, neurotrophic factor mean levels were significantly different in both CSF and plasma, showing high levels of BDNF compared to NGF and GDNF. Considering T1 and T2 expression, in the CSF the level of NGF increased from 3.5+/-0.4 pg/ml to 48.2+/-11.7 pg/ml ( p<0.001); BDNF decreased from 4854.0+/-1303.7 pg/ml to 593.0+/-114.8 pg/ml ( p<0.001), while GDNF did not undergo significant variations. In plasma, no significant changes were observed. Regarding severity and outcome, BDNF levels showed a sharp peak after head injury, but the only significant association was between NGF expression in the CSF and a good outcome versus a poor outcome ( p=0.007). CONCLUSIONS: The variations in neurotrophic factor levels reflect an endogenous attempt at neuroprotection against biochemical and molecular changes after traumatic head injury. BDNF represents an early marker of brain injury, while NGF expression in the CSF was indicative of a good outcome and the role of this neurotrophin in the treatment of children with severe head injury may be hypothesized.


Assuntos
Lesões Encefálicas/metabolismo , Fatores de Crescimento Neural/sangue , Fatores de Crescimento Neural/líquido cefalorraquidiano , Adolescente , Lesões Encefálicas/patologia , Fator Neurotrófico Derivado do Encéfalo/sangue , Fator Neurotrófico Derivado do Encéfalo/líquido cefalorraquidiano , Criança , Pré-Escolar , Feminino , Fator Neurotrófico Derivado de Linhagem de Célula Glial , Humanos , Lactente , Masculino , Fator de Crescimento Neural/sangue , Fator de Crescimento Neural/líquido cefalorraquidiano , Prognóstico
16.
J Neuroimmunol ; 136(1-2): 130-9, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12620652

RESUMO

In this study, we investigated whether hematopoietic stem cells (HSC) and progenitors present in human cord blood can express nerve growth factor (NGF)-specific receptors, TrkA and p75. Our results showed a marked expression of TrkA and NGF in cord blood CD34(+) cells. A gradient of TrkA and NGF expression exists and is highest in cord blood CD34(+) cells, reduced in cord blood mononuclear cells (MNC) and minimal in mononuclear cells isolated from adult peripheral blood. Our findings suggest that NGF may play a role in the differentiation of hematopoietic progenitors and indicate a different requirement for NGF by immune cells, depending on their state of maturity.


Assuntos
Antígenos CD34/imunologia , Diferenciação Celular/imunologia , Sangue Fetal/citologia , Células-Tronco Hematopoéticas/metabolismo , Fator de Crescimento Neural/metabolismo , Receptor trkA/metabolismo , Adulto , Sangue Fetal/imunologia , Citometria de Fluxo , Imunofluorescência , Células-Tronco Hematopoéticas/imunologia , Humanos , Recém-Nascido , Leucócitos Mononucleares/imunologia , Leucócitos Mononucleares/metabolismo , Pessoa de Meia-Idade , Fator de Crescimento Neural/genética , RNA Mensageiro/metabolismo , Receptor de Fator de Crescimento Neural , Receptor trkA/genética , Receptores de Fator de Crescimento Neural/genética , Receptores de Fator de Crescimento Neural/metabolismo
17.
Neurotoxicol Teratol ; 24(2): 179-91, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11943506

RESUMO

We previously reported that prenatal methylazoxymethanol (MAM) administered on days 11 and 12 of rat pregnancy induces structural changes in the cytoarchitecture of the hippocampal-entorhinal axis. We also showed that young and middle-aged prenatally treated MAM animals displayed changes in brain neurotrophin levels [Neurosci. Lett. 309 (2001) 113; Physiol. Behav. 71 (2000) 57.]. To continue this line of investigation, the working hypothesis adopted was that prenatal MAM administration, by interfering with limbic neurogenesis, could impair learning and memory ability of aged animals in the water maze. It was found that injection of MAM during early rat brain development induced deficits in both the acquisition and retention phases of the Morris maze. These behavioral changes were associated with significant changes in brain nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF), reduced choline acetyltransferase (ChAT) immunoreactivity in forebrain cholinergic neurons and loss of neuropeptide Y (NPY) immunodistribution in cells of the entorhinal cortex. This finding, as well as confirming previous studies showing that injection of prenatal MAM administration induces significant changes in hippocampal-entorhinal axis neurogenesis and marked behavioral deficits in adult life, provides additional experimental evidence supporting the hypothesis that loss of NGF and/or BDNF-receptive or producing cells can co-occur at the onset of neurodevelopmental disorders.


Assuntos
Fator Neurotrófico Derivado do Encéfalo/metabolismo , Encéfalo/metabolismo , Aprendizagem em Labirinto/efeitos dos fármacos , Acetato de Metilazoximetanol/análogos & derivados , Acetato de Metilazoximetanol/toxicidade , Fator de Crescimento Neural/metabolismo , Efeitos Tardios da Exposição Pré-Natal , Teratogênicos/toxicidade , Animais , Gânglios da Base/metabolismo , Encéfalo/crescimento & desenvolvimento , Colina O-Acetiltransferase/metabolismo , Córtex Entorrinal/citologia , Córtex Entorrinal/metabolismo , Feminino , Hipocampo/citologia , Hipocampo/metabolismo , Imuno-Histoquímica , Neurônios/enzimologia , Neuropeptídeo Y/metabolismo , Gravidez , Ratos , Ratos Wistar
18.
Neurosci Lett ; 323(2): 109-12, 2002 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-11950505

RESUMO

Recent studies suggest that nerve growth factor (NGF), a neurotrophic factor known to play a crucial role in neurite growth and differentiation, may also modulate vascular cell functions. In the present study, it was investigated whether NGF exhibits an angiogenic effect in a mouse model of hindlimb ischemia induced by femoral artery occlusion. Enzyme-linked immunosorbent assay determination revealed an enhanced endogenous NGF production (378 +/- 100 and 54 +/- 26 pg/g tissue in 7 day ischemic and normoperfused adductor muscles, respectively; P<0.05). Furthermore, exogenous NGF, administered subcutaneously for 7 days in ischemic hindlimb, induced a marked increase of arteriole length density (NGF =41 +/- 5 vs. Saline=22 +/- 4 mm/mm(3); P<0.05). However, capillaries were not significantly increased (NGF =1035 +/- 182 vs. Saline= 829 +/- 60 mm/mm(3); P>0.05). In conclusion, the present study provides first evidence that NGF exerts angiogenic properties in vivo.


Assuntos
Modelos Animais de Doenças , Membro Posterior/irrigação sanguínea , Isquemia/metabolismo , Neovascularização Fisiológica/efeitos dos fármacos , Fator de Crescimento Neural/administração & dosagem , Animais , Arteríolas/fisiologia , Membro Posterior/efeitos dos fármacos , Injeções Intraperitoneais , Isquemia/tratamento farmacológico , Isquemia/fisiopatologia , Masculino , Camundongos , Músculo Esquelético/irrigação sanguínea , Músculo Esquelético/fisiologia , Neovascularização Fisiológica/fisiologia , Fator de Crescimento Neural/farmacologia , Fator de Crescimento Neural/uso terapêutico , Regeneração/efeitos dos fármacos
19.
J Gravit Physiol ; 9(2): 29-38, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14638457

RESUMO

In this study we investigate the effects of short-term hypergravity on lung and heart neurotrophins and mast cell distribution. Our results showed that brain derived-neurotrophic factor (BDNF) protein and mRNA expression are increased in the lungs of mice exposed to hypergravity while in the heart hypergravity causes a marked reduction in BDNF mRNA expression, and a decrease in BDNF protein. Compared to controls, nerve growth factor (NGF) protein was expressed more in the heart of rotated mice. These observations demonstrate that altered hypergravity can affect, though differentially, the local expression of NGF and BDNF proteins and their mRNAs in the lung and heart and indicates that short-term exposure to hypergravity causes a marked increase in BDNF, but not in NGF in the lungs of adult mice. Moreover, mast cells, which are NGF-producing cells and implicated in cardiac and respiratory activity, increased in number in proximity to blood vessels in the heart and in lung airway epithelium of rotated mice. This study indicates that hypergravity influences cardiovascular and respiratory tissue and suggests a neurotrophin involvement in the reaction to this environmental exposure.


Assuntos
Fator Neurotrófico Derivado do Encéfalo/metabolismo , Hipergravidade , Pulmão/metabolismo , Mastócitos/citologia , Miocárdio/metabolismo , Fator de Crescimento Neural/metabolismo , Animais , Pulmão/citologia , Masculino , Mastócitos/metabolismo , Camundongos , Camundongos Endogâmicos , Miocárdio/citologia , RNA Mensageiro/metabolismo , Rotação , Estresse Fisiológico/metabolismo
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