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1.
Astrobiology ; 18(3): 259-293, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29489386

RESUMO

Critical to the origin of life are the ingredients of life, of course, but also the physical and chemical conditions in which prebiotic chemical reactions can take place. These factors place constraints on the types of Hadean environment in which life could have emerged. Many locations, ranging from hydrothermal vents and pumice rafts, through volcanic-hosted splash pools to continental springs and rivers, have been proposed for the emergence of life on Earth, each with respective advantages and certain disadvantages. However, there is another, hitherto unrecognized environment that, on the Hadean Earth (4.5-4.0 Ga), would have been more important than any other in terms of spatial and temporal scale: the sedimentary layer between oceanic crust and seawater. Using as an example sediments from the 3.5-3.33 Ga Barberton Greenstone Belt, South Africa, analogous at least on a local scale to those of the Hadean eon, we document constant permeation of the porous, carbonaceous, and reactive sedimentary layer by hydrothermal fluids emanating from the crust. This partially UV-protected, subaqueous sedimentary environment, characterized by physical and chemical gradients, represented a widespread system of miniature chemical reactors in which the production and complexification of prebiotic molecules could have led to the origin of life. Key Words: Origin of life-Hadean environment-Mineral surface reactions-Hydrothermal fluids-Archean volcanic sediments. Astrobiology 18, 259-293.


Assuntos
Sedimentos Geológicos/química , Origem da Vida , Temperatura , Água , Planeta Terra , Silicatos , Erupções Vulcânicas
2.
Psychol Med ; 47(11): 2017-2027, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28478767

RESUMO

BACKGROUND: Post-traumatic stress disorder (PTSD) is often associated with attention allocation and emotional regulation difficulties, but the brain dynamics underlying these deficits are unknown. The emotional Stroop task (EST) is an ideal means to monitor these difficulties, because participants are asked to attend to non-emotional aspects of the stimuli. In this study, we used magnetoencephalography (MEG) and the EST to monitor attention allocation and emotional regulation during the processing of emotionally charged stimuli in combat veterans with and without PTSD. METHOD: A total of 31 veterans with PTSD and 20 without PTSD performed the EST during MEG. Three categories of stimuli were used, including combat-related, generally threatening and neutral words. MEG data were imaged in the time-frequency domain and the network dynamics were probed for differences in processing threatening and non-threatening words. RESULTS: Behaviorally, veterans with PTSD were significantly slower in responding to combat-related relative to neutral and generally threatening words. Veterans without PTSD exhibited no significant differences in responding to the three different word types. Neurophysiologically, we found a significant three-way interaction between group, word type and time period across multiple brain regions. Follow-up testing indicated stronger theta-frequency (4-8 Hz) responses in the right ventral prefrontal (0.4-0.8 s) and superior temporal cortices (0.6-0.8 s) of veterans without PTSD compared with those with PTSD during the processing of combat-related words. CONCLUSIONS: Our data indicated that veterans with PTSD exhibited deficits in attention allocation and emotional regulation when processing trauma cues, while those without PTSD were able to regulate emotion by directing attention away from threat.


Assuntos
Atenção/fisiologia , Córtex Cerebral/fisiopatologia , Distúrbios de Guerra/fisiopatologia , Emoções/fisiologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Teste de Stroop , Veteranos , Adulto , Humanos , Magnetoencefalografia , Masculino , Adulto Jovem
3.
Anaesthesist ; 63(12): 958-60, 2014 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-25277285

RESUMO

A series of cases of postoperative bleeding were reported to the Drug Commission of the German Medical Association (Arzneimittelkommission der deutschen Ärzteschaft, AkdÄ) within the spontaneous reporting system after the regimen for postoperative pain treatment was changed from diclofenac (150 mg per day) to celecoxib (400 mg per day). All patients underwent elective gynecological surgery and 7 out of 11 patients with postoperative bleeding required revision surgery. Although alternative causes for the hemorrhage incidents could not be excluded, the documented circumstances could have been indicative of a possible causal association. Studies on perioperative pain treatment with celecoxib had previously shown no increased risk of hemorrhage. The tendency to hemorrhage observed in the registered cases could not be pharmacologically explained; however, due to the high dosages of celecoxib and the extensive co-medications used, a relative overdosing due to drug interactions or differences in the metabolism of the affected patients was conceivable. Celecoxib is not approved for the treatment of acute postoperative pain although a number of studies were carried out on the effectiveness and safety in patients undergoing surgery.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Procedimentos Cirúrgicos em Ginecologia/efeitos adversos , Manejo da Dor/métodos , Hemorragia Pós-Operatória/induzido quimicamente , Pirazóis/efeitos adversos , Sulfonamidas/efeitos adversos , Anti-Inflamatórios não Esteroides/farmacocinética , Anti-Inflamatórios não Esteroides/uso terapêutico , Celecoxib , Overdose de Drogas , Feminino , Humanos , Uso Off-Label , Dor Pós-Operatória/tratamento farmacológico , Hemorragia Pós-Operatória/epidemiologia , Hemorragia Pós-Operatória/terapia , Pirazóis/farmacocinética , Pirazóis/uso terapêutico , Sulfonamidas/farmacocinética , Sulfonamidas/uso terapêutico , Resultado do Tratamento
4.
Biochim Biophys Acta ; 1828(8): 1962-72, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23590994

RESUMO

The pore forming toxin Hla (α-toxin) from Staphylococcus aureus is an important pathogenic factor of the bacterium S. aureus and also a model system for the process of membrane-induced protein oligomerisation and pore formation. It has been shown that binding to lipid membranes at neutral or basic pH requires the presence of a phosphocholine-headgroup. Thus, sphingomyelin and phosphatidylcholine may serve as interaction partners in cellular membranes. Based on earlier studies it has been suggested that rafts of sphingomyelin are particularly efficient in toxin binding. In this study we compared the oligomerisation of Hla on liposomes of various lipid compositions in order to identify the preferred interaction partners and conditions. Hla seems to have an intrinsic preference for sphingomyelin compared to phosphatidylcholine due to a higher probability of oligomerisation of membrane bound monomer. We also can show that increasing the surface density of Hla-binding sites enhances the oligomerisation efficiency. Thus, preferential binding to lipid rafts can be expected in the cellular context. On the other hand, sphingomyelin in the liquid disordered phase is a more favourable binding partner for Hla than sphingomyelin in the liquid ordered phase, which makes the membrane outside of lipid rafts the more preferred region of interaction. Thus, the partitioning of Hla is expected to strongly depend on the exact composition of raft and non-raft domains in the membrane.


Assuntos
Toxinas Bacterianas/metabolismo , Membrana Celular/metabolismo , Proteínas Hemolisinas/metabolismo , Bicamadas Lipídicas/metabolismo , Lipídeos de Membrana/metabolismo , Fosfatidilcolinas/metabolismo , Esfingomielinas/metabolismo , Staphylococcus aureus/metabolismo , Toxinas Bacterianas/química , Toxinas Bacterianas/genética , Sítios de Ligação , Membrana Celular/química , Proteínas Hemolisinas/química , Proteínas Hemolisinas/genética , Bicamadas Lipídicas/química , Lipídeos de Membrana/química , Microdomínios da Membrana , Microscopia de Fluorescência , Mutação/genética , Transição de Fase , Fosfatidilcolinas/química , Multimerização Proteica , Esfingomielinas/química , Lipossomas Unilamelares
5.
Ann N Y Acad Sci ; 1257: 199-206, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22671607

RESUMO

Peripheral neurons are surrounded by the perineurium that forms the blood-nerve barrier and protects the nerve. Although the barrier serves as protection, it also hampers drug delivery of analgesic drugs to the peripheral nerve. We previously showed that opening of the barrier using hypertonic solutions facilitates drug delivery, for example, of hydrophilic opioids, which selectively target nociceptors. The perineurial barrier is formed by tight junction proteins, including claudin-1, claudin-5, and occludin. Under pathophysiological conditions such as nerve crush injury, the perineurial barrier is opened and tight junction proteins are no longer present. After several days, tight junction proteins reappear and the barrier reseals. Similarly, perineurial injection of hypertonic saline transiently opens the barrier, claudin-1 disappears, and hydrophilic analgesic drugs are effective. In the future, these findings could be used to reseal the barrier breakdown and could be applied to other barriers like the blood-brain or the intestinal mucosal barrier.


Assuntos
Analgésicos Opioides/farmacologia , Nociceptores/efeitos dos fármacos , Nervos Periféricos/efeitos dos fármacos , Receptores Opioides/metabolismo , Proteínas de Junções Íntimas/antagonistas & inibidores , Analgesia , Animais , Claudinas/antagonistas & inibidores , Claudinas/fisiologia , Humanos , Metaloproteases/metabolismo , Nociceptores/fisiologia , Ocludina/antagonistas & inibidores , Ocludina/fisiologia , Manejo da Dor , Nervos Periféricos/fisiologia , Ratos , Junções Íntimas/efeitos dos fármacos , Junções Íntimas/fisiologia
6.
Astrobiology ; 12(5): 426-35, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22680689

RESUMO

To understand the chemical behavior of organic molecules in the space environment, amino acids and a dipeptide in pure form and embedded in meteorite powder were exposed in the PROCESS experiment in the EXPOSE-E facility mounted on the European Technology Exposure Facility (EuTEF) platform on board the International Space Station (ISS). After exposure to space conditions for 18 months, the samples were returned to Earth and analyzed in the laboratory for reactions caused by solar UV and cosmic radiation. Chemical degradation and possible racemization and oligomerization, the main reactions caused by photochemistry in the vacuum ultraviolet domain (VUV, wavelength range 100-200 nm for photon energy from 6.2 to 12.4 eV) were examined in particular. The molecules were extracted and derivatized by silylation and analyzed by gas chromatograph coupled to a mass spectrometer (GC-MS) to quantify the rate of the degradation of the compounds. Laboratory exposure in several wavelength ranges from UV to VUV was carried out in parallel in the Cologne Deutsches Zentrum für Luft- und Raumfahrt (DLR) Center and Centre de biophysique moléculaire (CBM) laboratories. The results show that resistance to irradiation is a function of the chemical nature of the exposed molecules and the wavelengths of the UV light. The most altered compounds were the dipeptide, aspartic acid, and aminobutyric acid. The most resistant were alanine, valine, glycine, and aminoisobutyric acid. Our results also demonstrate the protective effect of meteorite powder, which reemphasizes the importance of exogenic contribution to the inventory of prebiotic organics on early Earth.


Assuntos
Aminoácidos/química , Astronave , Simulação por Computador , Radiação Cósmica , Evolução Química , Meio Ambiente Extraterreno , Meteoroides , Voo Espacial
7.
Anaesthesist ; 60(7): 647-52, 2011 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-21424309

RESUMO

Veno-venous extracorporeal membrane oxygenation (ECMO) may be lifesaving in multiple injured patients with acute respiratory distress syndrome (ARDS) due to chest trauma. To prevent circuit thrombosis or thromboembolic complications during ECMO systemic anticoagulation is recommended. Therefore, ECMO treatment is contraindicated in patients with intracranial bleeding. The management of veno-venous ECMO without systemic anticoagulation in a patient suffering from traumatic lung failure and severe traumatic brain injury is reported.


Assuntos
Lesões Encefálicas/terapia , Oxigenação por Membrana Extracorpórea , Lesão Pulmonar/terapia , Hemorragia Cerebral Traumática/complicações , Hemorragia Cerebral Traumática/terapia , Contraindicações , Oxigenação por Membrana Extracorpórea/efeitos adversos , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia Torácica , Síndrome do Desconforto Respiratório/etiologia , Síndrome do Desconforto Respiratório/terapia , Trombose/etiologia , Trombose/prevenção & controle , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ferimentos e Lesões/terapia
8.
J Neuroimmunol ; 230(1-2): 65-73, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20869777

RESUMO

In complete Freund's adjuvants (CFA) inflammation opioid containing neutrophils release opioid peptides upon stimulation and mediate peripheral analgesia. Neutrophil migration is regulated partially by chemokines, but other mediators e.g. formyl peptides could also contribute. In vitro, formyl peptides but not Mycobacterium butyricum (CFA component) induced migration of neutrophils. In contrast, local formyl peptide injection did not induce leukocyte recruitment in vivo due to insufficient up-regulation of adhesion molecule expression. Furthermore, leukocyte recruitment and peripheral opioid-mediated analgesia were unaffected by systemic formyl peptide receptor blockade in CFA inflammation. Thus, while formyl peptides do not regulate migration they directly stimulate opioid peptide release.


Assuntos
Infiltração de Neutrófilos/fisiologia , Neutrófilos/metabolismo , Peptídeos Opioides/metabolismo , Receptores de Formil Peptídeo/metabolismo , Animais , Moléculas de Adesão Celular/metabolismo , Separação Celular , Citometria de Fluxo , Imunofluorescência , Masculino , Dor/metabolismo , Ratos , Ratos Wistar
9.
Astrobiology ; 10(1): 69-76, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20307183

RESUMO

The ultimate goal of terrestrial planet-finding missions is not only to discover terrestrial exoplanets inside the habitable zone (HZ) of their host stars but also to address the major question as to whether life may have evolved on a habitable Earth-like exoplanet outside our Solar System. We note that the chemical evolution that finally led to the origin of life on Earth must be studied if we hope to understand the principles of how life might evolve on other terrestrial planets in the Universe. This is not just an anthropocentric point of view: the basic ingredients of terrestrial life, that is, reduced carbon-based molecules and liquid H(2)O, have very specific properties. We discuss the origin of life from the chemical evolution of its precursors to the earliest life-forms and the biological implications of the stellar radiation and energetic particle environments. Likewise, the study of the biological evolution that has generated the various life-forms on Earth provides clues toward the understanding of the interconnectedness of life with its environment.


Assuntos
Evolução Biológica , Vida , Planetas , Meio Ambiente , Íons , Sistema Solar
10.
Anaesthesist ; 58(12): 1199-209, 2009 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-19902152

RESUMO

In February 2009 a major case of scientific misconduct was discovered. The American pain researcher Dr. S. Reuben had published 21 papers over a period of 15 years that were found to be fraudulent. Suddenly many advances in postoperative pain therapy which had been assumed to be correct seemed questionable. In this review article the lessons which can be learnt from this case are described. This review also reveals that it is almost impossible for reviewers or readers of scientific journals to detect scientific fraud. However, several warning signs can be identified that might be useful when reading clinical papers. In retrospect many of these signs were detectable in Reuben's studies. Based on the fraudulent papers of Reuben it will be shown how and to what extent falsified results can affect other types of literature, such as practice guidelines, meta-analyses, review articles and oral presentations.


Assuntos
Dor Pós-Operatória/tratamento farmacológico , Má Conduta Científica , Pesquisa Biomédica/ética , Pesquisa Biomédica/normas , História do Século XX , História do Século XXI , Humanos , Metanálise como Assunto , Revisão por Pares/normas , Publicações Periódicas como Assunto/normas , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Resultado do Tratamento
11.
Astrobiology ; 9(1): 1-22, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19203238

RESUMO

The discovery of extrasolar planets is one of the greatest achievements of modern astronomy. The detection of planets that vary widely in mass demonstrates that extrasolar planets of low mass exist. In this paper, we describe a mission, called Darwin, whose primary goal is the search for, and characterization of, terrestrial extrasolar planets and the search for life. Accomplishing the mission objectives will require collaborative science across disciplines, including astrophysics, planetary sciences, chemistry, and microbiology. Darwin is designed to detect rocky planets similar to Earth and perform spectroscopic analysis at mid-infrared wavelengths (6-20 mum), where an advantageous contrast ratio between star and planet occurs. The baseline mission is projected to last 5 years and consists of approximately 200 individual target stars. Among these, 25-50 planetary systems can be studied spectroscopically, which will include the search for gases such as CO(2), H(2)O, CH(4), and O(3). Many of the key technologies required for the construction of Darwin have already been demonstrated, and the remainder are estimated to be mature in the near future. Darwin is a mission that will ignite intense interest in both the research community and the wider public.


Assuntos
Exobiologia/métodos , Meio Ambiente Extraterreno , Origem da Vida , Planetas , Voo Espacial , Astronomia , Teorema de Bayes , Processamento de Imagem Assistida por Computador , Astronave , Espectrofotometria Infravermelho , Astros Celestes
12.
Brain Behav Immun ; 23(4): 548-57, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19233260

RESUMO

Inflammatory pain can be controlled by intraplantar opioid injection or by secretion of endogenous opioid peptides from leukocytes in inflamed rat paws. Antinociception requires binding of opioid peptides to opioid receptors on peripheral sensory nerve terminals. In the absence of inflammation, hydrophilic opioid peptides do not penetrate the perineurial barrier and, thus, do not elicit antinociception. This study was designed to examine the conditions under which endogenous, neutrophil-derived hydrophilic opioid peptides (i.e. Met-Enkephalin and beta-endorphin) can raise nociceptive thresholds in noninflamed tissue in rats. Intraplantar injection of the chemokine CXCL2/3 (macrophage inflammatory protein-2) induced selective neutrophil recruitment without overt signs of inflammation or changes in mechanical nociceptive thresholds (paw pressure threshold). Following intraplantar injection of hypertonic saline, the perineurial barrier was permeable for hours and intraplantar injection of opioid peptides increased mechanical nociceptive thresholds. While formyl-Met-Leu-Phe (fMLP) triggered opioid peptide release from neutrophils in vitro, nociceptive thresholds were unchanged in vivo. In vitro, hypertonicity interfered with fMLP-induced p38 mitogen activated kinase (MAPK) phosphorylation and opioid peptide release from neutrophils. These inhibitory effects were fully reversible by washout. In vivo, return to normotonicity occurred within 30min while the perineurium remained permeable for hours. Under these conditions, fMLP triggered MAPK phosphorylation and induced opioid peptide-mediated increases in nociceptive thresholds in the noninflamed paw. Taken together, antinociception mediated by endogenous opioids in noninflamed tissue has two important requirements: (i) opening of the perineurial barrier for opioid peptide access and (ii) opioid peptide release from neutrophils involving p38 MAPK.


Assuntos
Analgesia , Neutrófilos/metabolismo , Peptídeos Opioides/metabolismo , Nervos Periféricos/metabolismo , Analgésicos Opioides/farmacologia , Análise de Variância , Animais , Apoptose/efeitos dos fármacos , Western Blotting , Contagem de Células , Esquema de Medicação , Encefalina Metionina/metabolismo , Encefalina Metionina/farmacologia , Citometria de Fluxo , Imidazóis/farmacologia , Imuno-Histoquímica , Inflamação/induzido quimicamente , Inflamação/metabolismo , Masculino , N-Formilmetionina Leucil-Fenilalanina/farmacologia , Necrose , Limiar da Dor/efeitos dos fármacos , Fosforilação , Piridinas/farmacologia , Radioimunoensaio , Ratos , Ratos Wistar , Solução Salina Hipertônica/administração & dosagem , beta-Endorfina/metabolismo , beta-Endorfina/farmacologia , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
13.
Anaesthesist ; 58(1): 7-15, 2009 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-19156390

RESUMO

Several in vitro and animal studies have demonstrated the immunosuppressive effects of opioids and an increased risk of infection. The clinical relevance of these findings is unclear. In this review the relevant animal and human studies on the relationship of opioid use and risk of infection are summarized. The areas of retroviral infections (i.e. human immunodeficiency virus, HIV), sepsis and pneumonia, postoperative and chronic pain therapy are covered. In the majority of animal studies an increased risk of infection was demonstrated but in human studies these findings were contradictory. However, these studies were frequently underpowered because they involved small patient collectives and do not reflect the standards of evidence-based medicine. In summary, a causal relationship between opioid therapy and an increased risk of infection could neither be conclusively demonstrated nor fully excluded.


Assuntos
Analgésicos Opioides/efeitos adversos , Síndromes de Imunodeficiência/induzido quimicamente , Infecções/imunologia , Animais , Doença Crônica , Humanos , Síndromes de Imunodeficiência/epidemiologia , Terapia de Imunossupressão , Infecções/epidemiologia , Dor/complicações , Dor/tratamento farmacológico , Dor/imunologia , Risco
14.
Neurosci Lett ; 437(3): 203-8, 2008 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-18378081

RESUMO

Chemokines are chemotactic mediators controlling cell trafficking under physiological and pathological conditions. Chemokines are not only important under various inflammatory conditions but also play a role in pain and analgesia. While many studies examined the hyperalgesic action of chemokines, recent evidence also points towards antinociceptive effects of chemokines. Such effects are indirect by recruitment of opioid containing leukocytes and stimulation of release of opioid peptides. Opioid peptides then bind to opioid receptors on peripheral sensory neurons eliciting potent analgesia. This review focuses on the analgesic role of chemokines in the periphery under inflammatory and non-inflammatory conditions.


Assuntos
Analgésicos/uso terapêutico , Quimiocinas/uso terapêutico , Dor/tratamento farmacológico , Animais , Anticorpos/uso terapêutico , Quimiocinas/imunologia , Relação Dose-Resposta a Droga , Humanos , Medição da Dor , Limiar da Dor/efeitos dos fármacos
15.
Br J Anaesth ; 101(1): 40-4, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18397920

RESUMO

In inflammation, leucocytes containing opioid peptides migrate into the tissue. Opioid peptides can be released and bind to opioid receptors on peripheral nerve terminals, which counteracts inflammatory pain. Migration of opioid peptide-containing leucocytes is controlled by chemokines and adhesion molecules. Neurokinins, such as, substance P also contribute to the recruitment of these cells. Opioid peptide release from granulocytes can be stimulated by chemokines, such as, CXCR2 ligands. The release is dependent on intracellular calcium and activation of phosphoinositol-3 kinase and p38 mitogen activated kinase. Endogenous opioid peptides produced by leucocytes not only confer analgesia but recent evidence supports the concept that they also prevent the development of tolerance at peripheral opioid receptors. This review presents the discoveries that led to the concept of analgesia produced by immune-derived opioids.


Assuntos
Dor/imunologia , Analgésicos Opioides/uso terapêutico , Animais , Quimiotaxia de Leucócito , Tolerância a Medicamentos , Humanos , Inflamação/imunologia , Leucócitos/metabolismo , Leucócitos/fisiologia , Peptídeos Opioides/metabolismo , Dor/tratamento farmacológico , Ratos
16.
Neuroscience ; 141(2): 989-998, 2006 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-16782281

RESUMO

During local painful inflammation, axonal transport of opioid receptors from dorsal root ganglia toward the periphery is increased, associated with a higher receptor density and enhanced efficacy of opioid analgesics at the injured site. To examine whether this increase is related to transcription, mRNA of the kappa opioid receptor in lumbar dorsal root ganglia was quantified by real time light cycler polymerase chain reaction. In dorsal root ganglia of naive rats, kappa opioid receptor mRNA expression was three-fold higher than previously shown for delta opioid receptor and two times lower than mu opioid receptor mRNA, respectively. After induction of unilateral paw inflammation by Freund's complete adjuvant, kappa opioid receptor mRNA was significantly upregulated with a peak at 12 h in ipsilateral dorsal root ganglia. This effect could be mimicked by intraplantar injection of the proinflammatory cytokine interleukin-1 beta. Kappa opioid receptor mRNA upregulation lasted longer in interleukin-1 beta-treated rats compared with Freund's complete adjuvant-treated rats. Furthermore, a significant increase in kappa opioid receptor positive neurons was detected by immunohistochemistry 24 h after local injection of Freund's complete adjuvant or interleukin-1 beta. In Freund's complete adjuvant-induced inflammation, kappa opioid receptor upregulation was blocked by treatment with interleukin-1 receptor antagonist without changing the leukocyte infiltration in the paw. In conclusion, kappa opioid receptor mRNA and protein in dorsal root ganglia are upregulated in response to peripheral inflammation. This effect can be mimicked by a single local injection of interleukin-1 beta, and Freund's complete adjuvant-induced upregulation in kappa opioid receptor mRNA and protein can be prevented by treatment with interleukin-1 receptor antagonist. These data suggest that the peripheral production of the proinflammatory cytokine interleukin-1 beta is a specific inducer of kappa opioid receptor expression in the dorsal root ganglia.


Assuntos
Gânglios Espinais/efeitos dos fármacos , Inflamação/patologia , Interleucina-1/administração & dosagem , Receptores Opioides kappa/genética , Animais , Relação Dose-Resposta a Droga , Ensaio de Imunoadsorção Enzimática/métodos , Citometria de Fluxo/métodos , Adjuvante de Freund/toxicidade , Gânglios Espinais/metabolismo , Imuno-Histoquímica/métodos , Inflamação/induzido quimicamente , Masculino , RNA Mensageiro/metabolismo , Ratos , Ratos Wistar , Receptores Opioides kappa/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Fatores de Tempo , Regulação para Cima/efeitos dos fármacos , Regulação para Cima/fisiologia
17.
Artigo em Alemão | MEDLINE | ID: mdl-16557449

RESUMO

This review summarizes and critically appraises important and clinically relevant publications dealing with postoperative pain therapy. Several consequences can be drawn from these studies: i) women anticipate postoperative pain more realistically and it occurs more often than in man; however, pain intensity and analgesic consumption are not different; ii) placebos elicit psychological phenomena (e. g. expectation) that trigger neurobiological processes (e. g. activation of endogenous opioid system); iii) COX-2 inhibitors increase the risk for thromboembolic complications (e. g. myocardial infarction, apoplex, pulmonary embolism) and perioperative mortality in patients undergoing aortocoronary bypass surgery; iv) NSAID as supplement to postoperative PCIA with opioids reduce the risk for PONV and sedation; v) preoperative administration of gabapentin reduces preoperative anxiety and postoperative pain; vi) epidural catheters situated at the site of major spinal surgery are promising approach to provide efficient postoperative analgesia; vii) in the literature contradictory results have been reported regarding the effect of perioperative acupuncture on intra- and postoperative consumption of anesthetics or analgesics; acupuncture appears to decrease the incidence of PONV, but no reduction in the postoperative use of antiemetic agents has not been shown yet; viii) laparoscopic versus open colectomy in patients with colon carcinoma results in prolongation of surgery, reduction of postoperative pain and analgesics, earlier mobilization and a reduced hospital stay, if conventional systemic opioid-based pain therapy was used postoperatively.


Assuntos
Dor Pós-Operatória/terapia , Anti-Inflamatórios não Esteroides/uso terapêutico , Inibidores de Ciclo-Oxigenase 2/efeitos adversos , Feminino , Humanos , Masculino , Náusea e Vômito Pós-Operatórios/prevenção & controle , Caracteres Sexuais
18.
Acta Physiol Scand ; 185(2): 141-9, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16168008

RESUMO

AIM: Transgenic mice overexpressing the c-ski proto-oncogene driven by the MSV promoter undergo muscle hypertrophy, most notably fast fibres of the lower limb. This hypertrophy is not accompanied by a correspondingly large increase in force, and individual skinned muscle fibres exhibit a 30% reduction in force per cross-sectional area. In this respect, the MSV ski model is different from most other hypertrophy models and we here aim at describing the mechanisms for the reduced specific force. METHODS: Cyoarchitecture and ultrastructure of muscle fibres from the fast extensor digitorum longus muscle of 2-3 months old MSV ski mice was studied. In addition to electron microscopy, we used in vivo intracellular injections of myonuclear dye to investigate nuclear number. RESULTS: The number of nuclei did not increase in proportion to size, and consequently nuclear domains were increased compared with wild type. The fraction of the cytoplasm occupied by contractile material was reduced by 18%. In addition we observed poor intracellular alignment of Z-discs. Such staggering has been reported to reduce force in desmin deficient mice, but the amount and distribution of desmin in the MSV ski mice seemed normal. The mitochondria of MSV ski mice showed irregularly spaced cristae that were frequently disrupted. CONCLUSION: The reduction in specific force observed in MSV ski mice could be explained by a reduced fraction of contractile material and reduced transversal mechanical coupling. The ultrastructural abnormalities could be related to an increase in nuclear domains.


Assuntos
Proteínas de Ligação a DNA/genética , Músculo Esquelético/patologia , Proteínas Proto-Oncogênicas/genética , Animais , Núcleo Celular/patologia , Desmina/análise , Membro Posterior , Hipertrofia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos CBA , Camundongos Transgênicos , Microscopia Eletrônica/métodos , Mitocôndrias/patologia , Modelos Animais , Contração Muscular , Fibras Musculares Esqueléticas/patologia
19.
Anaesthesist ; 54(10): 1032-6, 1038, 2005 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-16132939

RESUMO

A significant increase in thromboembolic events (i.e. myocardial infarction and stroke) was demonstrated in multicenter studies after several months of treatment with cyclooxygenase 2 (cox-2) inhibitors. In February 2005, the European medical agencies (EMEA) substantially increased the number of contraindications for all cox-2 inhibitors. They are now contraindicated for patients with coronary artery disease. Furthermore, 2 out of 6 cox-2 inhibitors have been withdrawn from the market. In this review, the current state of knowledge on the use of cox-2 inhibitors in perioperative pain therapy is summarized: i) they are equally as potent as other non-opioid analgesics, ii) they decrease opioid consumption, iii) a reduction in postoperative nausea and vomiting (PONV) has not been adequately demonstrated. Regarding side-effects, it can be concluded that i) the incidence of thromboembolic events is increased in patients undergoing coronary artery bypass surgery, ii) perioperative blood loss is not affected, iii) ulcer formation is not promoted, iv) the risk for acute renal failure is probably increased to the same extent as for NSAIDs and v) severe bronchospasm can be triggered in patients with asthma and chronic obstructive pulmonary disease (COPD).


Assuntos
Inibidores de Ciclo-Oxigenase 2/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Dor/tratamento farmacológico , Contraindicações , Doença das Coronárias/complicações , Inibidores de Ciclo-Oxigenase 2/efeitos adversos , Humanos
20.
Neuroscience ; 129(2): 473-9, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15501604

RESUMO

S.c. painful inflammation leads to an increase in axonal transport of opioid receptors from dorsal root ganglia (DRG) toward the periphery, thus causing a higher receptor density and enhanced opioid analgesia at the injured site. To examine whether this increase is related to transcription, the mRNA of Delta- (DOR) and mu-opioid receptor (MOR) in lumbar DRG was quantified by real time Light Cycler polymerase chain reaction (LC-PCR), and correlated to ligand binding in DRG and sciatic nerve. In normal DRG, DOR mRNA was seven times less abundantly expressed than MOR mRNA. After induction of unilateral paw inflammation, mRNA content for DOR remained unchanged, but a bi-phasic upregulation for MOR mRNA with an early peak at 1-2 h and a late increase at 96 h was found in ipsilateral DRG. As no changes were observed in DRG of the non-inflamed side, this effect was apparently not systemically mediated. A significant increase in binding of the MOR ligand DAMGO was detected after 24 h in DRG, and after early and late ligation in the sciatic nerve, indicating an enhanced axonal transport of MOR in response to inflammation. The early increase in MOR mRNA could be completely prevented by local anesthetic blockade of neuronal conduction in sciatic nerve. These data suggest that mRNA of the two opioid receptors DOR and MOR is differentially regulated in DRG during peripheral painful inflammation. The apparently increased axonal transport of MOR in response to this inflammation is preceded by upregulated mRNA-transcription, which is dependent on neuronal electrical activity.


Assuntos
Gânglios Espinais/metabolismo , Inflamação/metabolismo , Condução Nervosa/fisiologia , RNA Mensageiro/biossíntese , Receptores Opioides mu/biossíntese , Anestésicos Locais , Animais , Transporte Axonal/fisiologia , Axônios/fisiologia , DNA Complementar/biossíntese , DNA Complementar/genética , Ligantes , Masculino , Membranas/fisiologia , Bloqueio Nervoso , RNA Mensageiro/análise , Ratos , Ratos Wistar , Receptores Opioides delta/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Nervo Isquiático/metabolismo , Ciática/patologia , Transcrição Gênica , Regulação para Cima/fisiologia
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