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1.
Acta Vet Scand ; 60(1): 68, 2018 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-30376885

RESUMO

BACKGROUND: Pregnancy loss is a major source of infertility in dairy cows. Despite a fertilization rate after insemination (AI) of approximately 90%, calving rates are 30%-50%, indicating the occurrence of extensive embryonic and foetal losses. The aim of this study was to establish the extent and pattern of embryonic and foetal loss in Swedish Red (SR) and Swedish Holstein (SH) dairy cows, as well as, the relationship to oestrus intensity (OI) and progesterone (P4) concentration. In total, 2130 AIs and 16,176 milk P4 samples from 359 SR and 212 SH dairy cows were included in the study. Pregnancy losses were estimated using data from P4 values combined with AI information and calving data. RESULTS: Total pregnancy loss from AI to the day of calving was 65%. Early embryonic loss, late embryonic loss and foetal loss were estimated to be 29, 14 and 13%, respectively. There is strong evidence in the literature that P4 concentrations at different time points are associated with pregnancy loss. In the present study, cows with pregnancy losses had significantly higher P4 levels at the day of AI and significantly lower P4 concentration at days 10, 21 and 30 after AI compared to pregnant cows. Swedish Red cows had significantly lower total pregnancy losses compared to SH cows (62% and 68% respectively, P = 0.017). Early embryonic loss was 6.7% points lower for cows inseminated at a stronger OI (OI = 3) compared to at a weaker OI (OI = 2, P = 0.006). Cows inseminated at ovulation number ≥ 5 had significantly lower early pregnancy losses compared to cows inseminated at first or second ovulation (11.5 and 8% points, respectively, P < 0.05). With an increase of one SD of milk (448 kg ECM) during the first 60 days in milk, early embryonic loss increased by 4.7% points (P = 0.006). CONCLUSIONS: It is important to increase the number of cows calving per insemination by reducing embryo/foetal loss. This outcome can be achieved by management and breeding for optimal P4 levels at critical time points, and by considering oestrus expression in the breeding programmes to facilitate the correct timing of insemination.


Assuntos
Bovinos/fisiologia , Indústria de Laticínios , Detecção do Estro/métodos , Leite/metabolismo , Resultado da Gravidez/veterinária , Progesterona/metabolismo , Aborto Animal , Animais , Feminino , Inseminação Artificial/veterinária , Lactação/fisiologia , Gravidez , Suécia
2.
Acta Vet Scand ; 58(1): 79, 2016 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-27832812

RESUMO

BACKGROUND: Acute puerperal metritis affects cows during the early postpartum period and causes fever, fetid vaginal discharge and general depression. The disease is severe and treatment with antimicrobials is often required. This study followed 79 Swedish dairy cows with acute puerperal metritis with registered treatment and outcome in terms of recovery. Bacteria isolated from the uterus and their susceptibility to penicillin were studied. Clinical cases were assigned by participating practitioners who examined the cows, performed uterine swab sampling, decided treatment and provided information about cow health and calving conditions. Fertility and culling data were collected from the official Swedish milk and health recording scheme. Recovery from disease was defined in four levels; as a cow that survived 1 or 4 months, was inseminated and subsequently became pregnant. Intervals from dates of first and latest calving to insemination date were studied. RESULTS: The most common bacterial findings were a mixed culture of Escherichia coli and bacteria such as Gram positive cocci, Fusobacterium necrophorum, Clostridium spp. or Trueperella pyogenes. The Gram positive cocci, Pasteurella spp. and F. necrophorum were generally susceptible to penicillin. The majority of cows (70%) were treated with penicillin in accordance with the Swedish policy on treatment of metritis while 19% were treated with tetracycline and 8% were not treated with antimicrobials. Recovery rates were similar between treatments. Besides "calving to last insemination" interval (CLI) that was 5 days shorter than the national mean, fertility was slightly reduced compared to national means. "Calving to first insemination" interval (CFI) was 4 days longer than national mean and number of inseminations/cow increased from 1.9 to 2.1. Escherichia coli culture positive cows did not become pregnant to the same extent as cows without E. coli in the uterus (P = 0.046). Twin births resulted in a longer CFI (P = 0.034). The culling rate was generally high (42% within 300 days after occurrence of metritis), though death associated with acute disease was low (6%). CONCLUSIONS: Escherichia coli was the most common bacterial pathogen isolated from cases of acute puerperal metritis in the present study. This bacterium is inherently resistant to penicillin, but although most cows were treated with penicillin, death due to acute disease was low and recovery and final fertility results were acceptable. In times of emerging antimicrobial resistance and demand for prudent antimicrobial use, we suggest that penicillin is a "good enough" choice if antimicrobial treatment of acute puerperal metritis is needed.


Assuntos
Doenças dos Bovinos/microbiologia , Endometrite/veterinária , Infecção Puerperal/veterinária , Animais , Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Bactérias/isolamento & purificação , Bovinos , Doenças dos Bovinos/tratamento farmacológico , Estudos de Coortes , Indústria de Laticínios , Resistência Microbiana a Medicamentos , Endometrite/tratamento farmacológico , Endometrite/microbiologia , Feminino , Estudos Longitudinais , Penicilinas/farmacologia , Penicilinas/uso terapêutico , Infecção Puerperal/tratamento farmacológico , Infecção Puerperal/microbiologia , Suécia
3.
Acta Vet Scand ; 58(Suppl 1): 66, 2016 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-27766972

RESUMO

BACKGROUND: Insulin has been used as a stimulatory factor for in vitro cell culture since many years. Even for routine in vitro embryo production (IVP), insulin is added to the media during different steps. There is a strong difference in concentrations used in vitro compared to what is measured in vivo in follicular fluid or serum. We performed a pilot study on insulin stability to explain possible reasons for that variation. RESULTS: We measured insulin concentrations before and after bovine oocyte maturation in an experiment by using a quantitative ELISA (Mercodia bovine insulin ELISA immunoassay) and found that concentrations were stable up to 22 h of incubation. We compared our results with eleven in vivo studies measuring insulin in either serum or follicular fluid and nine IVP-protocols using insulin. In all studies, in vitro concentrations were much higher compared with those found physiologically in vivo. Limited knowledge is available concerning the different activity and stability of insulin in vitro versus in vivo. CONCLUSIONS: The concentrations of insulin used in vitro are quite high in comparison to physiological concentrations found in serum or follicular fluid. One explanation may be a different stability or activity of insulin in vitro even if we could measure stable concentrations of insulin in our pilot study. More precise dose-effect studies have to be performed to draw clear conclusions about the consequences of the use of such high doses as they might have negative consequences for the developing embryo. Insulin has direct effects on the regulation of the metabolism and could even influence the epigenetic programming of the metabolism with unknown consequences for the offspring later in life.


Assuntos
Meios de Cultura/normas , Técnicas de Cultura Embrionária/veterinária , Insulina/metabolismo , Animais , Bovinos , Estabilidade de Medicamentos , Técnicas de Cultura Embrionária/normas , Técnicas In Vitro , Insulina/análise , Projetos Piloto
4.
Reprod Fertil Dev ; 2016 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-26922243

RESUMO

Metabolic imbalance impairs fertility, because changes in concentrations of metabolites and hormones in the blood and follicular fluid create an unfavourable environment for early embryonic development. Insulin is a key metabolic hormone known for its effects on fertility: insulin concentrations are increased during energy balance disturbances in diabetes or metabolic syndrome. Still, insulin is frequently used at supraphysiological concentrations for embryo in vitro culture with unknown consequences for the developmental potential of the offspring. In the present study we investigated the effects of insulin exposure during in vitro bovine oocyte maturation on developmental rates, embryo quality and gene expression. Supplementation of the maturation media with insulin at 10 or 0.1 µg mL-1 decreased blastocyst rates compared with an insulin-free control (19.8 ± 1.3% and 20.4 ± 1.3% vs 23.8 ± 1.3%, respectively; P < 0.05) and led to increased cell numbers (nearly 10% more cells on Day 8 compared with control; P < 0.05). Transcriptome analysis revealed significant upregulation of genes involved in lipid metabolism, nuclear factor (erythroid-derived 2)-like 2 (NRF2) stress response and cell differentiation, validated by quantitative polymerase chain reaction. To conclude, the results of the present study demonstrate that insulin exposure during in vitro oocyte maturation has a lasting effect on the embryo until the blastocyst stage, with a potential negative effect in the form of specific gene expression perturbations.

5.
Vet J ; 198(3): 644-8, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24144773

RESUMO

A detailed study of 398,237 lactations of Danish Holstein dairy cows was undertaken. The objective was to investigate the information gained by evaluating vaginal discharge in cows from 5 to 19 days post-partum (p.p.) using an ordinal scale from 0 to 9. The study focused on the interval from calving to first insemination (CFI) and the non-return rate 56 days after first insemination (NR56), adjusted for the confounders milk production and body condition score (BCS). For the analyses, BCS was evaluated on the same day that the uterine score was made. Milk production was defined as test-day milk yield in the first month p.p. The study showed that the evaluation of vaginal discharge according to this score system permitted ranking of cows according to CFI and NR56, i.e. an increasing uterine score was associated with a significantly longer time from calving to first insemination and significantly reduced the probability of success of the first insemination. Reproductive success was already affected if the uterine score had reached 4 (i.e. before the discharge smelled abnormally). The negative effect on CFI and NR56 increased as the uterine score increased, which suggested that the uterine scoring system was a useful guide to dairy producers.


Assuntos
Doenças dos Bovinos/fisiopatologia , Indústria de Laticínios/métodos , Reprodução , Útero/fisiopatologia , Descarga Vaginal/veterinária , Animais , Composição Corporal , Bovinos , Dinamarca , Feminino , Inseminação , Lactação , Descarga Vaginal/fisiopatologia
6.
Acta Vet Scand ; 54: 36, 2012 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-22682104

RESUMO

BACKGROUND: There is a discrepancy in the reproductive performance between different cattle breeds. Using abattoir-derived ovaries and data base information we studied the effects of breed on in vitro fertilization and early embryo development. METHODS: The in vitro developmental competence of oocytes from cattle (n = 202) of Swedish Red (SR), Swedish Holstein (SH) and mixed beef breeds was compared, retrospectively tracing donors of abattoir-derived ovaries using a combination of the national animal databases and abattoir information. Age was significantly lower and carcass conformation score was higher in the beef breeds than in the dairy breeds.Cumulus oocyte complexes (n = 1351) were aspirated from abattoir-derived ovaries from animals of known breed (visual inspection confirmed through databases), age (databases), and abattoir information. Oocytes were matured, fertilized (frozen semen from two dairy bulls) and cultured according to conventional protocols. On day 8, blastocysts were graded and the number of nuclei determined. RESULTS: Cleavage rate was not different between the breeds but was significantly different between bulls. The percentage of blastocysts on day 8 was significantly higher when the oocyte donor's breed was beef or SR than SH. There was no significant difference in blastocyst grades or stages between the breeds, but the number of nuclei in day 8 blastocysts was significantly lower in SH compared to the beef. CONCLUSIONS: The use of abattoir-derived ovaries from animals whose background is traceable can be a valuable tool for research. Using this approach in the present study, oocyte donor breed was seen to affect early embryo development during in vitro embryo production, which may be a contributing factor to the declining fertility in some dairy breeds seen today.


Assuntos
Bovinos/crescimento & desenvolvimento , Oócitos/crescimento & desenvolvimento , Matadouros , Animais , Blastocisto/citologia , Bovinos/genética , Desenvolvimento Embrionário , Feminino , Fertilização in vitro/veterinária , Masculino , Estudos Retrospectivos
7.
Acta Vet Scand ; 54: 26, 2012 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-22510614

RESUMO

BACKGROUND: Declining fertility is a major concern for dairy farmers today. One explanation is shorter and weaker expression of oestrus in dairy cows making it difficult to determine optimal time for artificial insemination (AI). Chemical communication is of interest in the search for tools to detect oestrus or to synchronise or enhance oestrous periods. Pheromones, used in chemical communication within species, can influence reproduction in different ways. The aim here was to investigate whether oestrous cycle length, and duration and intensity of oestrous expression in dairy heifers could be manipulated through exposure to pheromones in oestrual substances from other females. METHODS: Beginning on day 16 of two consecutive control oestrous cycles, ten heifers of the Swedish Red Breed (SRB) were exposed to water. During the two following cycles the heifers were exposed to urine and vaginal mucus, obtained from cows in oestrus. Cyclicity parameters were monitored through hormone measurements, oestrus detection and ultrasonographic examination. RESULTS: We found no difference in cycle length or in duration of standing oestrus between control and treatment. We did, however, find a tendency of interaction between type of exposure (control or treatment) and cycle number within type of exposure for cycle length (p = 0.068), with the length differing less between the treatment cycles. We also found a tendency of effect of type of exposure on maximal concentration (p = 0.073) and sum of concentrations (p = 0.063) of LH during the LH surge, with values being higher for the control cycles. There were also significant differences in when the different signs of oestrus occurred and in the intensity of oestrous expression. The score for oedema and hyperaemia of external genitalia was significantly higher (p = 0.004) for the control cycles and there was also a significant interaction between type of exposure and time period for restlessness (p = 0.011), with maximum score occurring earlier for treatment cycles. CONCLUSIONS: No evidence of altered oestrous cycle length or duration of oestrus after exposure of females to oestrous substances from other females was found. Expression of oestrus, and maybe also LH secretion, however, seemed influenced by the exposure, with the effect of treatment being suppressive rather than enhancing.


Assuntos
Bovinos/fisiologia , Ciclo Estral/fisiologia , Folículo Ovariano/fisiologia , Atrativos Sexuais/farmacologia , Animais , Bovinos/sangue , Estradiol/sangue , Feminino , Hormônio Luteinizante/sangue , Progesterona/sangue
8.
Acta Vet Scand ; 54: 5, 2012 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-22289201

RESUMO

BACKGROUND: Overall reproductive performance of dairy herds is monitored by various indicators. Most of them do not consider all eligible animals and do not consider different management strategies at farm level. This problem can be alleviated by measuring the proportion of pregnant cows by specific intervals after their calving date or after a fixed time period, such as the voluntary waiting period. The aim of this study was to evaluate two reproductive performance indicators that consider the voluntary waiting period at the herd. The two indicators were: percentage of pregnant cows in the herd after the voluntary waiting period plus 30 days (PV30) and percentage of inseminated cows in the herd after the voluntary waiting period plus 30 days (IV30). We wanted to assess how PV30 and IV30 perform in a simulation of herds with different reproductive management and physiology and to compare them to indicators of reproductive performance that do not consider the herd voluntary waiting period. METHODS: To evaluate the reproductive indicators we used the SimHerd-program, a stochastic simulation model, and 18 scenarios were simulated. The scenarios were designed by altering the reproductive management efficiency and the status of reproductive physiology of the herd. Logistic regression models, together with receiver operating characteristics (ROC), were used to examine how well the reproductive performance indicators could discriminate between herds of different levels of reproductive management efficiency or reproductive physiology. RESULTS: The logistic regression models with the ROC analysis showed that IV30 was the indicator that best discriminated between different levels of management efficiency followed by PV30, calving interval, 200-days not-in calf-rate (NotIC200), in calf rate at100-days (IC100) and a fertility index. For reproductive physiology the ROC analysis showed that the fertility index was the indicator that best discriminated between different levels, followed by PV30, NotIC200, IC100 and the calving interval. IV30 could not discriminate between the two levels. CONCLUSION: PV30 is the single best performance indicator for estimating the level of both herd management efficiency and reproductive physiology followed by NotIC200 and IC100. This indicates that PV30 could be a potential candidate for inclusion in dairy herd improvement schemes.


Assuntos
Cruzamento , Bovinos/fisiologia , Indústria de Laticínios/métodos , Reprodução , Criação de Animais Domésticos , Animais , Feminino , Inseminação , Modelos Logísticos , Modelos Biológicos , Gravidez , Curva ROC , Processos Estocásticos , Fatores de Tempo
9.
Trop Anim Health Prod ; 39(6): 395-403, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17966269

RESUMO

A two-year longitudinal study was conducted to assess the reproductive and lactation performances of smallholder crossbred dairy cattle in Fitche, central Ethiopia. Twenty-four smallholder dairy farms were monitored and data on reproductive, breeding, lactation and management aspects of crossbred dairy cows (n=69) were collected and analysed. Moreover, milk samples were collected and analysed for progesterone. The overall Least-squares means for calving interval (CI), calving to conception interval (CCI) and first observed oestrus after calving were 516, 253 and 141 days, respectively. Suckling significantly prolonged these intervals. The mean first onset of luteal activity (OLA) after calving was 52 days, while 67.4% n=43) had a delayed (>55 days) return to cyclicity after calving. Suckling and parity number significantly (p < 0.05) influenced the OLA. The mean lactation length was 54.4 weeks. The overall daily mean milk yield for the first 43 weeks of lactation after calving was 11.7 L/day. The estimated daily milk yield increased slowly and reached peak (13.8 L/day) around the 11th week post partum and declined gradually and steadily. Suckling status, season of calving and parity number significantly influenced the estimated daily milk yield. In conclusion, the present study indicated that the smallholder crossbred dairy cows in the study area had prolonged intervals to first oestrus after calving, to conception and to the next calving, and thus their reproductive performance is unsatisfactory. Delayed first onset of luteal activity (postpartum anoestrus) contributed to these extended intervals. Further detailed investigation is suggested to examine the effects of other relevant factors on the reproductive and lactation performances of smallholder crossbred dairy cows for appropriate intervention.


Assuntos
Bovinos/fisiologia , Indústria de Laticínios/métodos , Lactação/fisiologia , Leite/metabolismo , Prenhez/fisiologia , Reprodução/fisiologia , Animais , Animais Lactentes , Cruzamentos Genéticos , Estro/fisiologia , Etiópia , Feminino , Leite/química , Paridade , Gravidez , Taxa de Gravidez , Progesterona/análise , Estações do Ano , Fatores de Tempo
10.
Acta Vet Scand ; 48: 23, 2006 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-17121683

RESUMO

BACKGROUND: The present study describes the clinical features and plasma profiles of bovine pregnancy-associated glycoprotein 1 (bPAG1), the main metabolite of prostaglandin F2alpha (PG metabolite) and progesterone (P4) in heifers in which early abortions were induced. METHODS: Early abortions were induced in four heifers with cloprostenol and monitored by ultrasonography. Blood samples were collected and the plasma were analyzed for bPAG 1, P4 and PG metabolite. RESULTS: The foetal heartbeat rates varied from 170-186 beats per minute for all foetuses up to the date of cloprostenol treatment. Foetal death was confirmed within two days after cloprostenol treatment. Prior to cloprostenol injection, blood plasma concentrations of bPAG1, PG metabolite and P4 varied from 8.4-40.0 ng/mL, 158-275 pmol/L and 20.7-46.9 nmol/L, respectively. After the foetus expelled, the plasma level of bPAG1 began to decrease but the decrease was small and gradual. The estimated half-life of bPAG1 was 1.8-6.6 days. The plasma level of the PG metabolite started to have short lasting peaks (above 300 pmol/L) within three hours after cloprostenol treatment. The plasma concentrations of P4 dropped sharply to less than 4 nmol/L after 24 hours of cloprostenol injection. CONCLUSION: The current findings indicated that after early closprostenol-induced foetal death, the plasma concentration of bPAG1 decreased gradually and showed a tendency of variation with the stages of pregnancy.


Assuntos
Aborto Induzido/veterinária , Ácido Aspártico Endopeptidases/sangue , Bovinos/fisiologia , Cloprostenol/farmacologia , Morte Fetal/induzido quimicamente , Proteínas da Gravidez/sangue , Aborto Induzido/métodos , Animais , Cloprostenol/administração & dosagem , Dinoprosta/sangue , Feminino , Morte Fetal/sangue , Morte Fetal/diagnóstico por imagem , Gravidez , Progesterona/sangue , Fatores de Tempo , Ultrassonografia/veterinária
11.
Scand J Urol Nephrol ; 38(2): 148-52, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15204403

RESUMO

OBJECTIVE: The effects of surgical and medical castration on bone mineral density (BMD) were compared in men receiving castration therapy as a result of prostate cancer. A control group of men of similar age was also included in the study. MATERIAL AND METHODS: A total of 28 men with prostatic cancer who had been selected to undergo medical or surgical castration and 10 healthy men with benign urological disorders were followed from baseline observations and BMD was assessed at 3, 6, 12 and 36 months. Serum hormone levels were also assessed. RESULTS: Orchidectomy and treatment with gonadotrophin-releasing hormone (GnRH) analogues caused an expected rapid decrease in serum testosterone levels, with no difference between these two groups. The mean loss of BMD in the femoral neck measured by means of dual-energy X-ray absorptiometry in surgically castrated men and GnRH-treated men was 0.037 g/cm2 (4.53%; SEM 0.013 g/cm2; p = 0.010) and 0.027 g/cm2 (3.18%; SEM 0.014 g/cm2; p = 0.119), respectively at 12 months, while the controls gained 0.017 g/cm2 (1.26%; SEM 0.013 g/cm2; p = 0.195). In the heel, surgically castrated men lost 9.04% of BMD (p < 0.001), the GnRH-treated men lost 3.58% (p = NS) and the controls gained 1.26% (p = NS). CONCLUSION: We found a more pronounced decrease in BMD in men with metastatic prostate cancer who were treated with surgical castration than in those who were treated with GnRH analogues.


Assuntos
Densidade Óssea , Hormônio Liberador de Gonadotropina/análogos & derivados , Hormônio Liberador de Gonadotropina/efeitos adversos , Orquiectomia , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/cirurgia , Idoso , Idoso de 80 Anos ou mais , Densidade Óssea/efeitos dos fármacos , Neoplasias Ósseas/secundário , Estudos de Casos e Controles , Hormônio Liberador de Gonadotropina/administração & dosagem , Humanos , Masculino , Neoplasias da Próstata/sangue , Neoplasias da Próstata/patologia , Testosterona/sangue
12.
Reprod Fertil Dev ; 15(1-2): 115-23, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12895408

RESUMO

Repeat-breeder heifers (RBH) have been shown to present reproductive perturbations during spontaneous cyclicity, which affects oestrus and ovulation. Some of these disturbances (e.g. deviating hormone patterns) are also present during and after cycles of twice-weekly ovum pick-up (o.p.u.), performed according to an optimized schedule allowing normal oestrous cyclicity. In the present study, the effects of o.p.u. on oocyte competence in in vitro maturation (i.v.m.) and in vitro fertilization (i.v.f.) have been evaluated, as were the effects on expression of oestrus and fertility in five RBH (> or =4 artificial inseminations) and five virgin heifers (VH controls). In total, 269 RBH and 174 VH oocytes were scored for quality prior to i.v.m. and i.v.f. The number of follicles available for puncture was higher in RBH, but the oocyte recovery rate after o.p.u. was lower in RBH compared with VH controls and the recovered RBH oocytes were of lower quality, as judged by their appearance at retrieval. Confocal laser scanning and transmission electron microscopy of immature oocytes did not reveal any differences between RBH and VH control oocytes with respect to nuclear and mitochondrial status. However, after i.v.m., the cytoplasmic spatial reorganization of mitochondria and cortical granules was less advanced in RBH, which could contribute to the subfertility that defines the syndrome. Cleavage rates after i.v.f. were similar in RBH and VH controls. Subsequent to the o.p.u. period, in vivo fertility after controlled artificial insemination was comparable with field fertility rates in both RBH and VH.


Assuntos
Bovinos/fisiologia , Estro , Fertilidade , Oócitos/fisiologia , Folículo Ovariano/fisiologia , Coleta de Tecidos e Órgãos/veterinária , Animais , Cruzamento , Núcleo Celular/ultraestrutura , Células Cultivadas , Fase de Clivagem do Zigoto , Citoplasma/ultraestrutura , Feminino , Fertilização in vitro/veterinária , Inseminação Artificial/veterinária , Microscopia Confocal , Microscopia Eletrônica , Mitocôndrias/ultraestrutura , Oócitos/ultraestrutura , Progesterona/sangue , Coleta de Tecidos e Órgãos/métodos
13.
J Allergy Clin Immunol ; 110(1): 68-71, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12110823

RESUMO

BACKGROUND: In sensitized patients, coupling between IgE and FcepsilonRI receptors on mast cells leads to release of proinflammatory mediators and a subsequent influx of inflammatory cells to the affected organ. Omalizumab (Xolair; formerly rhuMAb-E25) binds to circulating IgE, thus preventing induction of the allergic process. OBJECTIVE: We investigated the effect of treatment with omalizumab on seasonal allergic rhinitis and related changes in inflammatory cell numbers in nasal biopsy specimens. METHODS: Patients were randomized to treatment with omalizumab or placebo before the pollen season; the treatment was started and continued during season. Symptoms and use of medication were recorded, and blood samples and nasal biopsy specimens were obtained before and during season. Immunocytochemistry was performed on biopsy sections through use of the following antibodies: anti-CD4, CD8 (T lymphocytes), EG2, and anti-eosinophil peroxidase (eosinophils), anti-tryptase (mast cells), human neutrophil lipocalin (neutrophils), and antibodies against IgE and FcepsilonRI. RESULTS: During the season, blood eosinophils increased in placebo-treated patients but not in omalizumab-treated patients (P =.01); the difference between the treatment groups was significant (P =.04). Free IgE in serum decreased significantly (P =.0002) in omalizumab-treated patients but not in placebo-treated patients; the difference between the groups was significant (P =.0001). In nasal biopsy specimens, the number of eosinophil peroxidase-positive staining cells increased in the placebo-treated patients (P =.003) but not in the actively treated patients during the season; the difference between the groups was significant (P =.0001). The number of IgE(+) staining cells decreased significantly in the omalizumab group during the season in comparison with the placebo group (P =.04). CONCLUSION: The clinical benefit of treatment with omalizumab is associated with an anti-inflammatory effect on cellular markers in blood and nasal tissue.


Assuntos
Antialérgicos/uso terapêutico , Anticorpos Monoclonais/uso terapêutico , Inflamação/tratamento farmacológico , Rinite Alérgica Sazonal/tratamento farmacológico , Adulto , Anticorpos Anti-Idiotípicos , Anticorpos Monoclonais Humanizados , Biópsia , Eosinófilos , Feminino , Humanos , Imunoglobulina E/sangue , Imuno-Histoquímica , Inflamação/imunologia , Inflamação/fisiopatologia , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Mucosa Nasal/imunologia , Omalizumab , Rinite Alérgica Sazonal/imunologia , Rinite Alérgica Sazonal/fisiopatologia , Resultado do Tratamento
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