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Rheumatol Int ; 32(11): 3517-23, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22083611

RESUMO

The aim of this study was to evaluate the morphological changes in the spleen, the thymus and the knee joints of rats with experimental adjuvant arthritis induced by Mycobacterium butyricum in the incomplete Freund's adjuvant and the effect of treatment with methotrexate (MTX). Particular attention was aimed on the redistribution of granulocytes in the tissues during the inflammatory process. Clinical parameters, e.g., joint edema, body weight and of gamma glutamyl transferase (GGT) activity as an inflammatory marker, have also been determined. Induction of adjuvant arthritis caused a significant decrease in granulocyte number in the spleen and vice versa a significant increase in the knee joints, but without significant changes in the thymus. Treatment with methotrexate reversed this phenomenon by increasing the granulocyte number in the spleen and decreasing it in knee joints. MTX decreased the joint edema as well as the activity of GGT in the spleen, modified the size of the white pulp of the spleen and increased the cortex/medulla ratio in the thymus. The observed changes support the anti-inflammatory and immunomodulatory properties of MTX supporting its use as the first-line medication in patients with rheumatoid arthritis.


Assuntos
Antirreumáticos/farmacologia , Artrite Experimental/tratamento farmacológico , Artrite Reumatoide/tratamento farmacológico , Granulócitos/efeitos dos fármacos , Metotrexato/farmacologia , Animais , Antirreumáticos/uso terapêutico , Artrite Experimental/enzimologia , Artrite Experimental/patologia , Artrite Reumatoide/enzimologia , Artrite Reumatoide/patologia , Cartilagem Articular/efeitos dos fármacos , Cartilagem Articular/enzimologia , Cartilagem Articular/patologia , Granulócitos/enzimologia , Granulócitos/patologia , Articulação do Joelho/efeitos dos fármacos , Articulação do Joelho/enzimologia , Articulação do Joelho/patologia , Masculino , Metotrexato/uso terapêutico , Ratos , Ratos Endogâmicos Lew , Baço/efeitos dos fármacos , Baço/enzimologia , Baço/patologia , Membrana Sinovial/efeitos dos fármacos , Membrana Sinovial/enzimologia , Membrana Sinovial/patologia , Timo/efeitos dos fármacos , Timo/enzimologia , Timo/patologia , gama-Glutamiltransferase/metabolismo
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