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1.
Inflamm Res ; 51(10): 511-8, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12477081

RESUMO

OBJECTIVE AND DESIGN: The consequences of Kupffer cell phagocytosis blockade were studied in endotoxemic rats with obstructive jaundice. MATERIAL OR SUBJECTS: 159 male Wistar rats. TREATMENT: Obstructive jaundice was induced by bile duct ligation (BDL). Gadolinium chloride (1 mg/100 g iv) was given 6 days after BDL to inhibit Kupffer cell activity and the animals were challenged with 1 microg/g endotoxin 24 h later. METHODS: Endotoxin sensitivity, tumor necrosis factor-alpha and interleukin-6 production were studied, liver and lung injury were assessed by neutrophil infiltration assay, tissue adenosine triphosphate, aspartate aminotransferase, alanine aminotransferase level determinations and histology, respectively. For statistics non-parametric methods were used. RESULTS: BDL sensitized the animals to endotoxin, increased endotoxin-induced tumor necrosis factor-alpha and interleukin-6 production and reduced ATP contents of the liver and the lung. Kupffer cell blockade significantly increased the resistance against endotoxin, diminished the inflammatory cytokine release and reduced endotoxin-induced tissue injury in BDL animals. CONCLUSION: Attenuation of Kupffer cell function decreases endotoxin-induced lethality and morbidity in obstructive jaundice.


Assuntos
Colestase/patologia , Endotoxemia/patologia , Gadolínio/farmacologia , Células de Kupffer/imunologia , Fagocitose/efeitos dos fármacos , Trifosfato de Adenosina/metabolismo , Alanina Transaminase/sangue , Animais , Aspartato Aminotransferases/sangue , Colestase/complicações , Citocinas/biossíntese , Citocinas/sangue , Endotoxemia/complicações , Interleucina-6/biossíntese , Interleucina-6/sangue , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Testes de Função Hepática , Pulmão/efeitos dos fármacos , Pulmão/metabolismo , Pulmão/patologia , Masculino , Peroxidase/metabolismo , Ratos , Ratos Wistar , Análise de Sobrevida , Fator de Necrose Tumoral alfa/biossíntese
2.
Hepatology ; 33(2): 406-12, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11172342

RESUMO

Porphyria cutanea tarda (PCT), a liver disease with skin lesions caused by excess liver production of uroporphyrin (URO), is associated with consumption of alcoholic beverages or estrogens, and moderate iron overload. Recently, it has been shown that many PCT patients carry mutations in the HFE gene, which is responsible for hereditary hemochromatosis. Mice homozygous for either the null mutation in the Hfe gene or the C282Y missense mutation rapidly accumulate hepatic parenchymal iron similar to patients with hemochromatosis. Here we investigated whether disruption of the murine Hfe gene would result in hepatic uroporphyria. Mice homozygous for the Hfe-null mutation accumulated high levels of hepatic URO when fed 5-aminolevulinate (ALA). Hfe (+/-) mice also accumulated hepatic URO when fed ALA, but at a much slower rate. The amount of accumulated URO in the null mutant mice was similar to that in wild-type mice treated with iron carbonyl in the diet, or injected with iron dextran. Iron in both wild-type and Hfe (+/-) mice was mostly in Kupffer cells. In contrast, Hfe (-/-) mice had considerable parenchymal iron deposition as well, in a pattern similar to that observed in wild-type mice treated with iron carbonyl. URO accumulation was accompanied by 84% and 33% decreases in hepatic uroporphyrinogen decarboxylase activities in Hfe (-/-) and Hfe (+/-) mice, respectively. No increases in CYP1A2 or other cytochrome P450s were detected in the Hfe-null mutant mice. We conclude that this experimental model of uroporphyria is a valid model for further investigations into the mechanism of PCT.


Assuntos
Ácido Aminolevulínico , Hemocromatose/genética , Ferro/fisiologia , Mutação/fisiologia , Porfiria Cutânea Tardia/genética , Uroporfirinas/metabolismo , Ácido Aminolevulínico/farmacologia , Animais , Citocromo P-450 CYP1A2/metabolismo , Modelos Animais de Doenças , Ferro/metabolismo , Compostos Carbonílicos de Ferro , Complexo Ferro-Dextran/farmacologia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Camundongos , Compostos Organometálicos/farmacologia , Porfiria Cutânea Tardia/metabolismo , Valores de Referência , Uroporfirinogênio Descarboxilase/metabolismo
3.
Acta Anaesthesiol Sin ; 38(3): 113-21, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11125685

RESUMO

BACKGROUND: The Langendorff model was used to determine whether pretreatment with sevoflurane, isoflurane, or ischemic preconditioning (IP) could protect the myocardium of rats against global ischemia. METHODS: After 15-min perfusion, each isolated heart was assigned to (1) CONTROL GROUP: no pretreatment, (2) Sevoflurane group: 20-min exposure of 1.7% sevoflurane prior to ischemia, (3) Isoflurane group: exposure of 1.4% isoflurane prior to ischemia, or (4) IP group: two 5-min ischemic periods separated by 5-min perfusion. Following pretreatment, each heart was exposed to 20-min global normothermic ischemia followed by 60-min reperfusion. Heart rate (HR), left ventricular end-diastolic pressure (LVEDP), left ventricular developed pressure (LVDP), HR x LVDP, left ventricular contractility (+dLVP/dt), and coronary flow were recorded continuously. Myocardial damage was assessed by hematoxylin and eosin (H&E) staining. RESULTS: No significant differences (P > 0.05) in hemodynamic variables were recorded among the four groups before the experiment. After ischemia during reperfusion, sevoflurane, isoflurane and IP pretreated hearts recovered left ventricular function significantly better than control hearts. After 60-min reperfusion, +dLVP/dt recovered to 6.84 +/- 1.06%, 23.3 +/- 4.80%, 42.3 +/- 3.16%, and 59.6 +/- 5.75% of baseline values respectively for control, sevoflurane, isoflurane and IP groups. HR x LVDP recovered to 8.9 +/- 1.7%, 27.9 +/- 6.42%, 38.7 +/- 2.78%, and 59.6 +/- 3.98% respectively. H&E staining supported the hemodynamic data in that hearts pretreated with sevoflurane, isoflurane and IP showed significantly less ischemic damage when compared to control hearts. CONCLUSIONS: Our study shows pretreatment with sevoflurane or isoflurane provided moderate protection to the isolated heart against prolonged periods of global ischemia.


Assuntos
Anestésicos Inalatórios/farmacologia , Isquemia/patologia , Precondicionamento Isquêmico Miocárdico , Isoflurano/farmacologia , Éteres Metílicos/farmacologia , Anestésicos Inalatórios/administração & dosagem , Animais , Técnicas In Vitro , Isquemia/fisiopatologia , Isoflurano/administração & dosagem , Masculino , Éteres Metílicos/administração & dosagem , Ratos , Ratos Sprague-Dawley , Sevoflurano
4.
Toxicol Appl Pharmacol ; 168(2): 114-22, 2000 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-11032766

RESUMO

CYP2E1 has been reported to have an essential role in alcohol-mediated increases in hepatic steatosis and acetaminophen hepatotoxicity. We found that pretreatment of Cyp2e1(-/-) mice with ethanol plus isopentanol, the predominant alcohols in alcoholic beverages, for 7 days resulted in micro- and macrovesicular steatosis in the livers of all mice, as well as a dramatic increase in acetaminophen hepatotoxicity. In Cyp2e1(-/-) mice administered up to 600 mg acetaminophen/kg alone and euthanized 7 h later, there was no increase in serum levels of ALT. In Cyp2e1(-/-) mice pretreated with ethanol and isopentanol, subsequent exposure to 400 or 600 mg acetaminophen/kg resulted in centrilobular necrosis in all mice with maximal elevation in serum levels of ALT. Acetaminophen-mediated liver damage was similar in males and females. Hepatic microsomal levels of APAP activation in untreated females were similar to those in males treated with the alcohols. However, the females, like the males, required pretreatment with the alcohols in order to increase APAP hepatotoxicity. These findings suggest that, in the Cyp2e1(-/-) mice, the alcohol-mediated increase in acetaminophen hepatotoxicity involves the contribution of other factors, in addition to induction of CYP(s) that activate acetaminophen. Alternatively, CYP-mediated activation of acetaminophen measured in vitro may not reflect the actual activity in vivo. Our findings that a 7-day treatment with ethanol and isopentanol causes extensive hepatic steatosis and increases acetaminophen hepatotoxicity in Cyp2e(-/-) mice indicate that CYP2E1 is not essential for either response.


Assuntos
Acetaminofen/toxicidade , Analgésicos não Narcóticos/toxicidade , Doença Hepática Induzida por Substâncias e Drogas , Citocromo P-450 CYP2E1/metabolismo , Etanol/toxicidade , Fígado Gorduroso Alcoólico/etiologia , Pentanóis/toxicidade , Acetaminofen/farmacocinética , Analgésicos não Narcóticos/farmacocinética , Animais , Benzoquinonas/metabolismo , Biotransformação/efeitos dos fármacos , Citocromo P-450 CYP2E1/genética , Sinergismo Farmacológico , Fígado Gorduroso Alcoólico/enzimologia , Feminino , Iminas/metabolismo , Fígado/efeitos dos fármacos , Fígado/enzimologia , Fígado/patologia , Hepatopatias/enzimologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Fatores Sexuais
6.
Biochem Pharmacol ; 59(4): 445-54, 2000 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-10644054

RESUMO

Ethanol and isopentanol are the predominant alcohols in alcoholic beverages. We have reported previously that pretreatment of rats with a liquid diet containing 6.3% ethanol plus 0.5% isopentanol for 7 days results in a synergistic increase in acetaminophen hepatotoxicity, compared with rats treated with either alcohol alone. Here, we investigated the role of CYP3A in acetaminophen hepatotoxicity associated with the combined alcohol treatment. Triacetyloleandomycin, a specific inhibitor of CYP3A, protected rats pretreated with ethanol along with isopentanol from acetaminophen hepatotoxicity. At both 0.25 and 0.5 g acetaminophen/kg, triacetyloleandomycin partially prevented elevations in serum levels of alanine aminotransferase. At 0.25 g acetaminophen/kg, triacetyloleandomycin completely protected 6 of 8 rats from histologically observed liver damage, and partially protected the remaining 2 rats. At 0.5 g acetaminophen/kg, triacetyloleandomycin decreased histologically observed liver damage in 7 of 15 rats. In rats pretreated with ethanol plus isopentanol, CYP3A, measured immunohistochemically, was decreased by acetaminophen treatment. This effect was prevented by triacetyloleandomycin. These results suggest that CYP3A has a major role in acetaminophen hepatotoxicity in animals administered the combined alcohol treatment. We also found that exposure to ethanol along with 0.1% isopentanol for only 3 days resulted in maximal increases in acetaminophen hepatotoxicity by the combined alcohol treatment, suggesting that short-term consumption of alcoholic beverages rich in isopentanol may be a risk for developing liver damage from acetaminophen.


Assuntos
Acetaminofen/toxicidade , Hidrocarboneto de Aril Hidroxilases , Doença Hepática Induzida por Substâncias e Drogas , Etanol/farmacologia , Pentanóis/farmacologia , Troleandomicina/farmacologia , Analgésicos não Narcóticos/toxicidade , Animais , Citocromo P-450 CYP3A , Inibidores das Enzimas do Citocromo P-450 , Sistema Enzimático do Citocromo P-450/metabolismo , Interações Medicamentosas , Etanol/administração & dosagem , Hepatopatias/enzimologia , Hepatopatias/patologia , Hepatopatias/prevenção & controle , Masculino , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Oxirredutases N-Desmetilantes/metabolismo , Pentanóis/administração & dosagem , Substâncias Protetoras/farmacologia , Ratos , Ratos Endogâmicos F344
7.
Arch Biochem Biophys ; 384(2): 383-90, 2000 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-11368328

RESUMO

Porphyria cutanea tarda is a liver disease characterized by excess production of uroporphyrin. We previously reported that acetone, an inducer of CYP2E1, enhances hepatic uroporphyrin accumulation in mice treated with iron dextran (Fe) and 5-aminolevulinic acid (ALA). Cyp2e1(-/-) mice treated with Fe and ALA were used to investigate whether CYP2E1 is required for the acetone effect. Hepatic uroporphyrin accumulation was stimulated by acetone in Cyp2e1(-/-) mice to the same extent as in wild-type mice. In the absence of acetone, uroporphyrin accumulated in Cyp2e1(-/-) mice treated with Fe and ALA, but less than in wildtype mice. However, in Cypla2(-/-) mice, uroporphyrin accumulation caused by Fe and ALA, with or without acetone, was completely prevented. Acetone was not an inducer of hepatic CYP1A2 in the wild-type mice. Although acetone is an inducer of CYP2E1, CYP1A2 appears to have the essential role in acetone-enhancement of uroporphyria.


Assuntos
Acetona/farmacologia , Citocromo P-450 CYP1A2/fisiologia , Citocromo P-450 CYP2E1/fisiologia , Uroporfirinas/biossíntese , Ácido Aminolevulínico/farmacologia , Animais , Citocromo P-450 CYP1A2/genética , Citocromo P-450 CYP2E1/genética , Sistema Enzimático do Citocromo P-450/metabolismo , Ferro/metabolismo , Ferro/farmacologia , Fígado/efeitos dos fármacos , Fígado/enzimologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Microssomos Hepáticos/efeitos dos fármacos , Microssomos Hepáticos/enzimologia , Oxirredutases/metabolismo , Porfiria Cutânea Tardia/enzimologia , Uroporfirinogênios/metabolismo
8.
Acta Physiol Hung ; 87(2): 161-6, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11205964

RESUMO

Glucocorticoids are important modulators of immune reactions. They are capable of antagonising several effects of the bacterial endotoxin by inhibiting endotoxin-induced leukocyte activation, and the production of cytokines and inflammatory mediators. We earlier demonstrated that the antiglucocorticoid RU 38486 enhances the cytokine production induced by endotoxin and aggravates the course of experimental endotoxic and septic shock. In the present study we investigated the effect of the glucocorticoid Oradexon on the endotoxin-induced peritoneal cell response. For measurement of the peritoneal cell response, male CFLP mice (20-25 g) were injected i.p. with 10 microg/10 g body weight endotoxin (E. coli 026:B6 LPS, Difco Lab, Detroit, lot 110273JB). Dexamethasone (Oradexon, N.V, Organon Oss, The Netherlands) was administered i.p., i.v. or s.c. in a dose of 0.1 mg/10 g body weight, alone or concomitantly with endotoxin. We found that bacterial endotoxin increased the total cell count due to neutrophilia at 24 hours and, due to increases in the number of macrophages and lymphocytes 48 and 72 hours after treatment, respectively. The i.p., i.v., and s.c. injection of Oradexon, increased the total cell count and the macrophage count at 24, 48 and 72 hours. The i.p., s.c. and i.v. injection of Oradexon, concomitantly with endotoxin, reduced the total cell count at 48 and 72 hours, due to decreases in the macrophage count. The i.p., i.v. or s.c. administration of Oradexon concomitantly with LPS decreased the lymphocyte count and the neutrophil count at 24 and 72 hours. These results prove that glucocorticoids are capable of modifying the immune cell reactions induced by endotoxin.


Assuntos
Anti-Inflamatórios/farmacologia , Dexametasona/farmacologia , Endotoxinas/antagonistas & inibidores , Imunidade Celular/efeitos dos fármacos , Mediadores da Inflamação/metabolismo , Ativação de Macrófagos/efeitos dos fármacos , Animais , Anti-Inflamatórios/administração & dosagem , Dexametasona/administração & dosagem , Endotoxinas/toxicidade , Granulócitos/efeitos dos fármacos , Granulócitos/imunologia , Injeções Intraperitoneais , Injeções Intravenosas , Injeções Subcutâneas , Lipopolissacarídeos/antagonistas & inibidores , Lipopolissacarídeos/toxicidade , Linfócitos/efeitos dos fármacos , Linfócitos/imunologia , Masculino , Camundongos , Infiltração de Neutrófilos/efeitos dos fármacos , Cavidade Peritoneal/citologia
9.
Biochem Pharmacol ; 58(2): 375-82, 1999 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-10423181

RESUMO

Previous work has implicated CYP1A2 in experimental uroporphyria caused by polyhalogenated aromatic compounds, and in uroporphyria caused by iron and 5-aminolevulinate (ALA) in the absence of inducers of CYP1A2. Here we examined whether the different susceptibilities of SWR and C57BL/6 strains of mice to uroporphyria in the absence of inducers of CYP1A2 are related to different levels of CYP1A2. Enzymological assays (ethoxy- and methoxyresorufin dealkylases, and uroporphyrinogen oxidation) and immunoblots indicated that there was about twice the amount of hepatic CYP1A2 in SWR mice compared with C57BL/6 mice. Immunohistochemistry revealed that CYP1A2 was located centrilobularly in the liver, and the staining was more intense in SWR mice than in C57BL/6 mice. Hepatic non-heme iron was about double in SWR compared with C57BL/6 mice. In SWR mice given iron dextran, hepatic iron was 1.7-fold that of C57BL/6 mice given iron dextran. SWR mice administered ALA in the drinking water accumulated much less hepatic protoporphyrin than did C57BL/6 mice. To confirm the importance of small increases in CYP1A2, C57BL/6 mice were given a low dose of 3-methylcholanthrene (MC) (15 mg/kg), as well as iron and ALA. There was about a 5- to 6-fold increase in hepatic uroporphyrin accumulation after 32 days on ALA compared with animals not given MC. In these animals, CYP1A2 was increased by 10-fold at 2 days, but returned to basal levels by 14 days. We conclude that small and transient differences in CYP1A2 may be important in the development of uroporphyria.


Assuntos
Ácido Aminolevulínico/farmacologia , Citocromo P-450 CYP1A2/metabolismo , Ferro/farmacologia , Fígado/enzimologia , Uroporfirinas/urina , Animais , Citocromo P-450 CYP1A2/análise , Imuno-Histoquímica , Fígado/efeitos dos fármacos , Fígado/patologia , Camundongos , Camundongos Endogâmicos C57BL , Especificidade da Espécie , Uroporfirinas/metabolismo
10.
Ann Clin Lab Sci ; 29(2): 87-103, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10219695

RESUMO

History of the concept and definition of hepatitis is briefly reviewed. The landmarks of progress are based on better understanding of liver structure and introduction of biopsy techniques to follow the pathologic alterations in acute and chronic hepatitis, cirrhosis, dysplasia and hepatoma. Modern achievements are recognition of the etiologic agents of viral hepatitis A through G, viral nucleic acid sequencing, viral genome and gene products leading to development of immunologic tests to etiologic diagnosis. Viral particles are visualized by electron microscopy. In tissue, localization of viral products is obtained by histochemical, immunologic and by in situ hybridization methods. Diagnostic criteria for each of the viral etiologic agents is reviewed, as is cirrhosis and its occurrence in viral hepatitis and alcohol abuse.


Assuntos
Hepatite/história , Cirrose Hepática/história , Hepatite/diagnóstico , Hepatite Autoimune/diagnóstico , Hepatite Autoimune/história , Hepatite Viral Humana/diagnóstico , Hepatite Viral Humana/história , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História Antiga , Humanos , Cirrose Hepática/diagnóstico
11.
Arch Tierernahr ; 51(4): 341-8, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9850801

RESUMO

Two bulls, each fitted with rumen and duodenal cannulas, received (in addition to a hay-grain diet) twice daily an infusion of 200 g glycerol into the rumen over a period of six days. During this preliminary in vivo investigation, the influence of a glycerol application on the rumen environment over a six-day adaptation period was examined. Samples of rumen fluid were collected daily, two hours after glycerol infusion. An additional 15N-urea application into the rumen was given on days 1 (without glycerol infusion), 3 and 7 (with glycerol infusion). Extra samples of rumen fluid and blood plasma (from puncture of vena jungularis) were taken through the 12th hour following urea application. Rumen fluid pH was reduced due to glycerol intake from 6.3 (day 1, without glycerol) to 5.4 by day 7. Molar proportion of acetic acid to propionic acid decreased from 3.5 (day 1) to 2.1 (days 6 and 7). Average glycerol disappearance rate from the rumen was 4.7 gl-1 h-1 for the first hour. Only small amounts of glycerol could be detected in the duodenal digesta. Blood plasma glycerol content was significantly higher after glycerol application (0.061 mmol l-1 vs. 0.019 mmol l-1). The incorporation of 15N into the rumen bacteria and the proportion of bacterial N (as percent of TCA-precipitable N in the rumen fluid) were lower after glycerol influsion. These results, coupled with the lower concentration of iso-acids (isobutyric and isovaleric acids) in the rumen fluid, indicate that the high amount of glycerol infusion (10% of DMI) reduced protein metabolism of rumen bacteria throughout the experimental period.


Assuntos
Bovinos/metabolismo , Glicerol/metabolismo , Rúmen/metabolismo , Adaptação Fisiológica , Animais , Duodeno/química , Ácidos Graxos Voláteis/análise , Glicerol/análise , Glicerol/sangue , Concentração de Íons de Hidrogênio , Masculino , Rúmen/química , Rúmen/microbiologia
12.
Chem Res Toxicol ; 11(11): 1274-82, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9815187

RESUMO

Novel thiazolidine prodrugs were prepared by the condensation of L-cysteine with aldose disaccharides. Using a disaccharide in prodrug construction allows for a terminal cyclic sugar moiety to be present on the prodrug, which may allow the delivery of the agent to specific receptors, such as the asialoglycoprotein receptor (ASGPR) of hepatocytes, that require specific structural motifs for recognition. Three L-cysteine prodrugs were synthesized with a pendant cyclic galactose moiety; two related glucose-bearing prodrugs were synthesized for comparison. The prodrugs were designed to release L-cysteine, which is then available to support glutathione (GSH) biosynthesis and provide cytoprotection against a variety of toxic insults. Protection studies in Swiss-Webster mice used acetaminophen (575 mg/kg), a well-documented hepatotoxin which depletes GSH at overdose. Three prodrugs performed exceptionally well against acetaminophen-induced hepatotoxicity, as measured by increased survival and improved histological profiles of liver tissue after 48 h. In further experimentation, two of the disaccharide-based prodrugs, prepared from alpha- and beta-lactose, were compared with the monosaccharide-based compound prepared from ribose. Co-administration of the selected prodrugs with a 400 mg/kg dose of acetaminophen to Swiss-Webster mice prevented the short-term depletion in hepatic GSH and also reduced hepatotoxicity as determined by histological damage and serum levels of alanine aminotransferase. A single dose of the prodrugs alone had no effect on hepatic drug metabolizing enzymes [glutathione S-transferase (GST), NAD(P)H:quinone oxidoreductase (QOR), UDP-glucuronosyltransferase (UGT), and cytochrome P450], but, concordant with the reduction of hepatotoxicity, the latentiated forms prevented the significant elevation in QOR activity and mRNA and GST mRNA elicited by acetaminophen itself. GST activity, UGT activity and mRNA, and cytochrome P450 concentration were all unaffected by acetaminophen or the prodrugs. These studies identified novel L-cysteine prodrugs with potentially useful hepatoprotective activity. However, no structure-activity relationships were obvious. In addition, the occurrence of targeted delivery to hepatocytes remains ambiguous.


Assuntos
Acetaminofen/antagonistas & inibidores , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Cisteína/análogos & derivados , Cisteína/farmacologia , Acetaminofen/toxicidade , Animais , Doença Hepática Induzida por Substâncias e Drogas/enzimologia , Dissacarídeos/química , Glutationa/metabolismo , Camundongos , Pró-Fármacos/química , Quinona Redutases/metabolismo , RNA Mensageiro/biossíntese
13.
Biochem Pharmacol ; 55(10): 1557-65, 1998 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-9633991

RESUMO

This commentary focuses on the roles of CYP3A and CYP2E in alcohol-mediated increases in acetaminophen hepatotoxicity. CYP2E has been considered to be the main form of P450 responsible for such toxicity in animals and humans. However, CYP3A, which is also induced by alcohol, has been shown to have a greater affinity for acetaminophen than CYP2E. Previous experiments implicating CYP2E in alcohol-mediated increases in acetaminophen hepatotoxicity have used inhibitors of this form of P450 that are now proving to be non-specific. Triacetyloleandomycin (TAO) is a potent inhibitor of CYP3A that maintains specificity in vitro over a large concentration range. In rats treated with ethanol or the combination of ethanol and isopentanol, the major higher chain alcohol in alcoholic beverages, TAO protects animals from increases in acetaminophen hepatotoxicity, suggesting a major role of CYP3A. CYP2E may not have a major role due to the rapid loss of induced levels in the absence of continued exposure to ethanol. Knockout mice, which are being used to define the role of particular proteins in biological responses, have been developed for CYP2E1 and CYP1A2 but not CYP3A. Cyp2e1(-/-) and Cyp1a2(-/-) mice are more resistant to acetaminophen hepatotoxicity than wild-type strains, even though the amounts of the other forms of P450s are unaltered in the liver. These findings suggest that the relative amounts of P450s and not just kinetic characteristics determine their role in acetaminophen hepatotoxicity. The clinical implications of the findings that CYP3A can have a major role in acetaminophen-mediated hepatotoxicity are discussed.


Assuntos
Acetaminofen/efeitos adversos , Hidrocarboneto de Aril Hidroxilases , Citocromo P-450 CYP2E1/metabolismo , Sistema Enzimático do Citocromo P-450/metabolismo , Etanol/farmacologia , Fígado/efeitos dos fármacos , Oxirredutases N-Desmetilantes/metabolismo , Acetaminofen/farmacocinética , Animais , Biotransformação , Inibidores do Citocromo P-450 CYP2E1 , Citocromo P-450 CYP3A , Inibidores das Enzimas do Citocromo P-450 , Sinergismo Farmacológico , Inibidores Enzimáticos/farmacologia , Etanol/efeitos adversos , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Síndrome de Abstinência a Substâncias
14.
Ann Clin Lab Sci ; 27(3): 216-23, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9142374

RESUMO

New Hampshire and Vermont currently have two rabies epizootics occurring in raccoon and fox populations. These are continuations of the established raccoon strain which has been migrating northward from the mid-Atlantic and the fox strain which is migrating south and eastward from Canada and New York. These started in the early 1990s, and the wild animal cases have increased from 0 to 1 case per year in Vermont in the late 1980s to 179 in 1995, and from 0 to 4 cases in New Hampshire to 152 in 1995. Since 1992 there has been a slight increase in domestic animal cases, but no human cases have been reported. The cost of prophylaxis and animal testing has greatly increased, including one episode where 665 persons were exposed to a rabid kitten and underwent postexposure prophylaxis at an estimated cost of $1.5 million. This paper gives epidemiologic data for the two states and reviews the current literature to discuss history, clinical features, testing, postexposure prophylaxis, and treatment of rabies.


Assuntos
Raposas , Raiva/epidemiologia , Raiva/veterinária , Guaxinins , Animais , New Hampshire , Raiva/diagnóstico , Raiva/economia , Raiva/prevenção & controle , Raiva/terapia , Vermont
15.
Toxicol Appl Pharmacol ; 143(2): 315-23, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9144448

RESUMO

CYP2E is considered the only form of cytochrome P450 responsible for ethanol-mediated increases in acetaminophen hepatotoxicity. However, in experimental systems used for investigating ethanol-mediated increases in acetaminophen hepatotoxicity, animals are withdrawn from ethanol for 16 to 24 hr before the administration of acetaminophen to ensure the clearance of ethanol from the circulation. In rats, CYP2E has been shown to decrease to control levels after this time period of withdrawal from ethanol. We have previously shown in cultured human and rat hepatocytes, and in intact rats, that ethanol induces CYP3A in addition to CYP2E. To determine if there might be a role for CYP3A in ethanol-mediated APAP hepatotoxicity in addition to the recognized role for CYP2E, we investigated the effect of triacetyloleandomycin (TAO) on acetaminophen hepatotoxicity in ethanol-pretreated rats, as well as the effect of 11 hr withdrawal from ethanol on hepatic levels of CYP3A and CYP2E. TAO was dissolved in saline instead of dimethylsulfoxide, the solvent most usually employed, since dimethylsulfoxide inhibits CYP2E. Rats were administered 6.3% ethanol as part of the Lieber-DeCarli diet for 7 days, followed by replacement of the liquid diet with water for 11 hr. This 11-hr withdrawal from ethanol resulted in a decrease in hepatic levels of ethanol-induced CYP2E; however, considerable induction was still evident. There was no significant decrease in CYP3A. TAO completely prevented the histologically observed liver damage from acetaminophen in ethanol-pretreated rats, but did not prevent the increase in serum levels of AST. In ethanol-pretreated rats, exposure to APAP in the absence of TAO was associated with a 75% decrease in CYP3A, compared to animals exposed to APAP in the presence of TAO. These results suggest that CYP3A may have been suicidally inactivated by acetaminophen in the absence of TAO. Our findings suggest that CYP3A has a major role in ethanol-mediated increases in acetaminophen hepatotoxicity.


Assuntos
Acetaminofen/toxicidade , Analgésicos não Narcóticos/toxicidade , Hidrocarboneto de Aril Hidroxilases , Depressores do Sistema Nervoso Central/farmacologia , Doença Hepática Induzida por Substâncias e Drogas/enzimologia , Citocromo P-450 CYP2E1/biossíntese , Sistema Enzimático do Citocromo P-450/biossíntese , Etanol/farmacologia , Fígado/enzimologia , Oxirredutases N-Desmetilantes/biossíntese , Animais , Antibacterianos/farmacologia , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Doença Hepática Induzida por Substâncias e Drogas/patologia , Citocromo P-450 CYP3A , Inibidores das Enzimas do Citocromo P-450 , Esquema de Medicação , Interações Medicamentosas , Indução Enzimática/efeitos dos fármacos , Fígado/efeitos dos fármacos , Fígado/patologia , Masculino , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Ratos , Ratos Endogâmicos F344 , Troleandomicina/farmacologia
16.
Ann Clin Lab Sci ; 27(1): 57-62, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-8997458

RESUMO

Cytochrome P450 2E (CYP2E) is considered responsible for ethanol-mediated increases in acetaminophen (APAP) hepatotoxicity. However, it has been shown in cultured human and rat hepatocytes and intact rats that ethanol induces CYP3A in addition to CYP2E. Therefore, an investigation was made in rats to see whether or not an inhibitor of CYP3A, triacetyloleandomycin (TAO), would protect against ethanol-mediated increases in APAP hepatotoxicity. Rats, treated with 6.3 percent ethanol in the Lieber-DeCarli diet for 7 days, were administered APAP (lg/kg, i.g.) 11 hrs after removal of the diet. Triacetyloleandomycin (500 mg/kg, saline solution) was injected i.p. 2 hrs before the administration of APAP. In rats pretreated with ethanol, treatment with APAP for 7 hrs resulted in focal centrilobular congestion and steatosis. Triacetyloleandomycin completely prevented the histological liver damage in all 8 animals. These results suggest that, in ethanol-treated rats, CYP3A plays a major role in increasing APAP hepatotoxicity.


Assuntos
Acetaminofen/toxicidade , Hidrocarboneto de Aril Hidroxilases , Inibidores das Enzimas do Citocromo P-450 , Etanol/farmacologia , Fígado/metabolismo , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Troleandomicina/farmacologia , Animais , Citocromo P-450 CYP3A , Sistema Enzimático do Citocromo P-450/metabolismo , Inibidores Enzimáticos/farmacologia , Histocitoquímica , Fígado/citologia , Fígado/lesões , Masculino , Oxirredutases N-Desmetilantes/metabolismo , Ratos , Ratos Endogâmicos F344
17.
Leuk Lymphoma ; 23(1-2): 165-71, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9021701

RESUMO

Although most common, malignant lymphoma and Kaposi's sarcoma are not the only malignancies encountered in lymph nodes from HIV-infected patients. An increased frequency of testicular germ cell tumors in HIV-infected individuals has been reported. We report here the first case, to our knowledge, of a metastatic seminoma in an HIV-infected hemophiliac. The atypical clinical presentation, cervical and axillary adenopathy, simulated malignant lymphoma. The diagnosis was first suspected when a fine needle aspiration biopsy from an enlarged cervical node revealed a mixture of benign appearing lymphocytes and loosely cohesive large tumor cells in a "tigroid" background. Immunocytochemistry and a subsequent excisional biopsy confirmed the cytologic diagnosis. Metastatic germ cell tumors should be considered in the differential diagnosis of HIV-related lymphadenopathy.


Assuntos
Hemofilia A/complicações , Linfoma Relacionado a AIDS/diagnóstico , Seminoma/diagnóstico , Adulto , Citodiagnóstico , Diagnóstico Diferencial , Humanos , Masculino , Indução de Remissão/métodos , Seminoma/radioterapia , Seminoma/secundário
18.
Biochem Pharmacol ; 50(11): 1743-8, 1995 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-8615851

RESUMO

Acetaminophen (APAP) hepatotoxicity was investigated in rats fed ethanol and isopentanol alone or in combination in a liquid diet for 7 days. Serum levels of aspartate aminotransferase (AST) and histological examination of liver slices were used to assess hepatotoxicity. At 7 hr after intragastric administration of 0.5 or 1.0 g APAP/kg, there was no significant increase in serum levels of AST in rats treated with APAP alone, or in rats pretreated with ethanol or isopentanol alone followed by APAP. There was mild central lobular congestion in the livers of rats pretreated with ethanol alone followed by APAP. In contrast, in rats pretreated with the combination of ethanol and isopentanol, administration of APAP caused a dramatic increase in serum levels of AST, along with marked central lobular necrosis, including steatosis and ischemic changes. Hepatic glutathione levels were decreased to 40-50% of control values in APAP-treated rats that had been pretreated with ethanol either alone or in combination with isopentanol. The serum concentrations of APAP were significantly lower in rats pretreated with the combination of ethanol and isopentanol followed by 1 g APAP/kg than in rats treated with APAP alone, suggesting a greater rate of APAP metabolism. We had reported previously that combined treatment of rats with ethanol and isopentanol resulted in additive to synergistic increases in CYP3A, with no further increases in CYP2E than that caused by ethanol alone. CYP3A may, therefore, be responsible for the increased APAP hepatotoxicity caused by the combined alcohol treatment.


Assuntos
Acetaminofen/toxicidade , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Etanol/administração & dosagem , Pentanóis/administração & dosagem , Animais , Aspartato Aminotransferases/sangue , Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Doença Hepática Induzida por Substâncias e Drogas/patologia , Interações Medicamentosas , Glutationa/metabolismo , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Masculino , Necrose , Ratos , Ratos Endogâmicos F344 , Fatores de Tempo
19.
Arch Tierernahr ; 48(3): 245-56, 1995.
Artigo em Alemão | MEDLINE | ID: mdl-8585798

RESUMO

Rumen fluid from sheep (non adapted to glycerol) was incubated up to six hours under anaerobic conditions with buffer and mineral solution. Wheat starch was added as substrate in an amount of 1g DM per vessel. Glycerol was additionally admitted to rumen fluid in amounts of 5 to 50% of starch. Carrier-free 14C-glycerol (1.3-labelled) or 15N-labelled NH4Cl were added to different incubation vessels. The disappearance rate of glycerol depended from the amount of added glycerol and incubation time. More than 90% of glycerol disappeared in 2 hours (5% addition), 4 hours (10% addition) and 6 hours (15 to 25% addition) respectively. The sum of volatile fatty acids elevated significant with a higher glycerol addition and 6 hours incubation time. The concentration of propionic acid increased also in dependence of the added glycerol amount and the longer incubation time. The proportion of acetic acid to propionic acid changed from high values (3.5 to 4.0, without glycerol) to the lowest value from 2.5 after 6 hours incubation time and 25% glycerol addition. The most radioactivity of added 14C-glycerol was found in propionic acid and only up to 11% in CO2. 14C-radioactivity was not detected in methane, lactic acid and acetic acid respectively. The 15N-labelling of TCA-precipitable N-fraction was not influenced by glycerol supplementation but the 15N-incorporation in the bacterial nitrogen fraction was lower in the vessels with glycerol.


Assuntos
Bactérias/metabolismo , Glicerol/metabolismo , Rúmen/fisiologia , Anaerobiose , Animais , Proteínas de Bactérias/biossíntese , Biotransformação , Radioisótopos de Carbono , Cinética , Técnica de Diluição de Radioisótopos , Ovinos , Fatores de Tempo
20.
Arch Tierernahr ; 48(1-2): 173-81, 1995.
Artigo em Alemão | MEDLINE | ID: mdl-8526724

RESUMO

The effective degradability and intestinal digestibility of CP of untreated and with formaldehyde (F) treated sunflower press--cakes (SF), lucerne meal (LM) and field beans (FB) were measured on polycannulated bulls by "in sacco" and "mobile bag" methods. The feeds were treated by F solution in doses from 0.2; 0.4... to 2.0 g F per 100 g CP. The effective CP degradability after treatment was decreased significantly (for SF from 78 to 33%, LM from 73 to 62%, FB from 70 to 47% with max. dose of F). The effect of F was various on individual feeds. The intestinal digestibility of treated feeds, without previous incubation in the rumen, passed from abomasum to feces has been influenced with doses of F non significantly. The digestibility of FB treated with max. dose of F was lower about 20% in the part duodenum feces than in abdomasum feces. The digestibility in the part caecum--feces for all tested feeds has been decreasing with doses of F, similar as in the rumen. The intestinal digestibility of in rumen undegraded crude protein residues of SF has been influenced by the treatment positively. It increased from 43 to 82%. The effect of F on LM was very low. The digestibility has been changed from 75 to 80%.


Assuntos
Proteínas Alimentares , Digestão , Intestinos/fisiologia , Rúmen/fisiologia , Ruminantes/fisiologia , Abomaso/fisiologia , Ração Animal , Animais , Duodeno/fisiologia , Fabaceae , Formaldeído , Hidrólise , Plantas Medicinais , Poaceae
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