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1.
Future Med Chem ; 16(2): 139-155, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38131191

RESUMO

Aim: The assessment of the antileishmanial potential of 22 vanillin-containing 1,2,3-triazole derivatives against Leishmania braziliensis is reported. Materials & methods: Initial screening was performed against the parasite promastigote form. The most active compound, 4b, targeted parasites within amastigotes (IC50 = 4.2 ± 1.0 µmol l-1), presenting low cytotoxicity and a selective index value of 39. 4D quantitative structure-activity relationship and molecular docking studies provided insights into structure-activity and biological effects. Conclusion: A vanillin derivative with significant antileishmanial activity was identified. Enhanced activity was linked to increased electrostatic and Van der Waals interactions near the benzyl ring of the derivatives. Molecular docking indicated the inhibition of the Leishmania amazonensis sterol 14α-demethylase, using Leishmania infantum sterol 14α-demethylase as a model, without affecting the human isoform. Inhibition was active site competition with lanosterol.


Assuntos
Antiprotozoários , Benzaldeídos , Relação Quantitativa Estrutura-Atividade , Humanos , Simulação de Acoplamento Molecular , Antiprotozoários/farmacologia , Antiprotozoários/química , Triazóis/farmacologia , Esteróis , Relação Estrutura-Atividade
2.
Arch Pharm (Weinheim) ; 356(6): e2200653, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36922908

RESUMO

Vanillin is the main component of natural vanilla extract and is responsible for its flavoring properties. Besides its well-known applications as an additive in food and cosmetics, it has also been reported that vanillin can inhibit fungi of clinical interest, such as Candida spp., Cryptococcus spp., Aspergillus spp., as well as dermatophytes. Thus, the present work approaches the synthesis of a series of vanillin derivatives with 1,2,3-triazole fragments and the evaluation of their antifungal activities against Candida albicans, Candida glabrata, Candida parapsilosis, Candida tropicalis, Cryptococcus neoformans, Cryptococcus gattii, Trichophyton rubrum, and Trichophyton interdigitale strains. Twenty-two vanillin derivatives were obtained, with yields in the range of 60%-91%, from copper(I)-catalyzed alkyne-azide cycloaddition (CuAAC) click reaction between two terminal alkynes prepared from vanillin and different benzyl azides. In general, the evaluated compounds showed moderate activity against the microorganisms tested, with minimum inhibitory concentration (MIC) values ranging from 32 to >512 µg mL-1 . Except for compound 3b against the C. gattii R265 strain, all vanillin derivatives showed fungicidal activity for the yeasts tested. The predicted physicochemical and ADMET (absorption, distribution, metabolism, excretion, and toxicity) properties for the compounds indicated favorable profiles for drug development. In addition, a four-dimensional structure-activity relationship (4D-SAR) analysis was carried out and provided useful insights concerning the structures of the compounds and their biological profile. Finally, molecular docking calculations showed that all compounds bind favorably at the lanosterol 14α-demethylase enzyme active site with binding energies ranging from -9.1 to -12.2 kcal/mol.


Assuntos
Fungicidas Industriais , Fungicidas Industriais/farmacologia , Simulação de Acoplamento Molecular , Relação Estrutura-Atividade , Antifúngicos/química , Triazóis/farmacologia , Testes de Sensibilidade Microbiana
3.
Br J Nutr ; : 1-10, 2022 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-36184880

RESUMO

Depression and obesity are highly prevalent and are considered inflammatory pathologies; in addition, they are also associated with dietary patterns including types of fatty acids (FA). Changes in the FA composition in the brain are determined by changes in the content and quality of dietary and serum FA. The aim of this study was to verify the relationships between serum-free FA, inflammatory processes and depressive symptoms in obese adolescents. This was a cross-sectional study that analysed a database composed of 138 post-pubertal adolescents. Data regarding the depressive symptoms, body composition, glucose metabolism, lipid profile, FA profile, leptin concentration, as well as adiponectin, IL-A, IL-6, IL-10, TNF-α, C-reactive protein and plasminogen activator inhibitor-1 levels of the subjects were collected. A total of 54·6 % of the adolescents presented with depressive symptoms, and there were positive correlations between depressive symptoms and serum saturated fatty acids (SFA) content, body fat, and inflammatory adipokines, such as leptin, IL-6, and the leptin/adiponectin ratio. Moreover, the content of n-3 polyunsaturated fatty acids (PUFA) was negatively correlated with depressive symptoms, suggesting that eicosatrienoic acid (C20:2n6) and dihomo-γ-linolenic acid (C20:3n-6) are independently associated with depressive symptom scores and can be critical predictors of poor mental health in humans. These results point to the relationship between SFA and depressive symptoms in obese adolescents. However, longitudinal studies are needed to confirm the causality between dietary SFA and depression in obese individuals.

4.
J Enzyme Inhib Med Chem ; 37(1): 287-298, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34894959

RESUMO

We synthesised and screened 18 aromatic derivatives of guanylhydrazones and oximes aromatic for their capacity to bind to dengue virus capsid protein (DENVC). The intended therapeutic target was the hydrophobic cleft of DENVC, which is a region responsible for its anchoring in lipid droplets in the infected cells. The inhibition of this process completely suppresses virus infectivity. Using NMR, we describe five compounds able to bind to the α1-α2 interface in the hydrophobic cleft. Saturation transfer difference experiments showed that the aromatic protons of the ligands are important for the interaction with DENVC. Fluorescence binding isotherms indicated that the selected compounds bind at micromolar affinities, possibly leading to binding-induced conformational changes. NMR-derived docking calculations of ligands showed that they position similarly in the hydrophobic cleft. Cytotoxicity experiments and calculations of in silico drug properties suggest that these compounds may be promising candidates in the search for antivirals targeting DENVC.


Assuntos
Antivirais/farmacologia , Proteínas do Capsídeo/antagonistas & inibidores , Vírus da Dengue/efeitos dos fármacos , Hidrazonas/farmacologia , Oximas/farmacologia , Antivirais/síntese química , Antivirais/química , Proteínas do Capsídeo/metabolismo , Vírus da Dengue/metabolismo , Relação Dose-Resposta a Droga , Hidrazonas/síntese química , Hidrazonas/química , Interações Hidrofóbicas e Hidrofílicas , Testes de Sensibilidade Microbiana , Estrutura Molecular , Oximas/síntese química , Oximas/química , Relação Estrutura-Atividade
5.
J Pept Sci ; 28(5): e3382, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-34859535

RESUMO

Disintegrins comprise a family of small proteins that bind to and alter the physiological function of integrins, especially integrins that mediate platelet aggregation in blood. Here, we report a lysine-glycine-aspartic acid (KGD) disintegrin-like motif present in a 15-amino acid residue peptide identified in a cDNA library of the amphibian Hypsiboas punctatus skin. The original peptide sequence was used as a template from which five new analogs were designed, chemically synthesized by solid phase, and tested for disintegrin activity and tridimensional structural studies using NMR spectroscopy. The original amphibian peptide had no effect on integrin-mediated responses. Nevertheless, derived peptide analogs inhibited integrin-mediated platelet function, including platelet spreading on fibrinogen.


Assuntos
Desintegrinas , Peptídeos , Anfíbios/genética , Anfíbios/metabolismo , Animais , DNA Complementar/genética , Desintegrinas/química , Desintegrinas/genética , Desintegrinas/farmacologia , Peptídeos/química , Peptídeos/genética , Peptídeos/farmacologia , Agregação Plaquetária/fisiologia
6.
J Environ Manage ; 277: 111316, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32980636

RESUMO

Studies on soil degradation are essential for environmental preservation. Since almost 30% of the global soils are degraded, it is important to study and map them for improving their management and use. We aimed to obtain a Soil Degradation Index (SDI) based on multi-temporal satellite images associated with climate variables, land use, terrain and soil attributes. The study was conducted in a 2598 km2 area in São Paulo State, Brazil, where 1562 soil samples (0-20 cm) were collected and analyzed by conventional methods. Spatial predictions of soil attributes such as clay, cation exchange capacity (CEC) and soil organic matter (OM) were performed using machine learning algorithms. A collection of 35-year Landsat images was used to obtain a multi-temporal bare soil image, whose spectral bands were used as soil attributes predictors. The maps of clay, CEC, climate variables, terrain attributes and land use were overlaid and the K-means clustering algorithm was applied to obtain five groups, which represented levels of soil degradation (classes from 1 to 5 representing very low to very high soil degradation). The SDI was validated using the predicted map of OM. The highest degradation level obtained in 15% of the area had the lowest OM content. Levels 1 and 4 of SDI were the most representative covering 24% and 23% of the area, respectively. Therefore, satellite images combined with environmental information significantly contributed to the SDI development, which supports decision-making on land use planning and management.


Assuntos
Tecnologia de Sensoriamento Remoto , Solo , Brasil , Clima , Meio Ambiente , Monitoramento Ambiental
7.
Biochim Biophys Acta Proteins Proteom ; 1869(2): 140580, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33278593

RESUMO

Tyrosinase is a multifunctional, glycosylated and copper-containing oxidase enzyme that can be found in animals, plants, and fungi. It is involved in several biological processes such as melanin biosynthesis. In this work, a series of isobenzofuran-1(3H)-ones was evaluated as tyrosinase inhibitors. It was found that compounds phthalaldehydic acid (1), 3-(2,6-dihydroxy-4-isopropylphenyl)isobenzofuran-1(3H)-one (7), and 2-(3-oxo-1,3-dihydroisobenzofuran-1-yl)-1,3-phenylene diacetate (9) were the most potent compounds inhibiting tyrosinase activity in a concentration dependent manner. Ligand-enzyme NMR studies and docking investigations allowed to map the atoms of the ligands involved in the interaction with the copper atoms present in the active site of the tyrosinase. This behaviour is similar to kojic acid, a well know tyrosinase inhibitor and used as positive control in the biological assays. The findings herein described pave the way for future rational design of new tyrosinase inhibitors.


Assuntos
Benzofuranos/química , Cobre/química , Inibidores Enzimáticos/química , Monofenol Mono-Oxigenase/química , Relação Estrutura-Atividade , Domínio Catalítico/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Ligantes , Simulação de Acoplamento Molecular , Estrutura Molecular , Monofenol Mono-Oxigenase/antagonistas & inibidores , Ressonância Magnética Nuclear Biomolecular
8.
Am J Physiol Endocrinol Metab ; 319(2): E427-E437, 2020 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-32663100

RESUMO

Menopause is often accompanied by visceral obesity. With the aim of exploring the consequences of ovarian failure on visceral fat, we evaluated the effects of ovariectomy and estrogen replacement on the proteome/phosphoproteome and on the fatty acid profile of the retroperitoneal adipose depot (RAT) of rats. Eighteen 3-mo-old female Wistar rats were either ovariectomized or sham operated and fed with standard chow for 3 mo. A subgroup of ovariectomized rats received estradiol replacement. RAT samples were analyzed with data-independent acquisitions LC-MS/MS, and pathway analysis was performed with the differentially expressed/phosphorylated proteins. RAT lipid profile was analyzed by gas chromatography. Ovariectomy induced high adiposity and insulin resistance and promoted alterations in protein expression and phosphorylation. Pathway analysis showed that five pathways were significantly affected by ovariectomy, namely, metabolism of lipids (including fatty acid metabolism and mitochondrial fatty acid ß-oxidation), fatty acyl-CoA biosynthesis, innate immune system (including neutrophil degranulation), metabolism of vitamins and cofactors, and integration of energy metabolism (including ChREBP activates metabolic gene expression). Lipid profile analysis showed increased palmitic and palmitoleic acid content. The analysis of the data indicated that ovariectomy favored lipogenesis whereas it impaired fatty acid oxidation and induced a proinflammatory state in the visceral adipose tissue. These effects are consistent with the findings of high adiposity, hyperleptinemia, and impaired insulin sensitivity. The observed alterations were partially attenuated by estradiol replacement. The data point to a role of disrupted lipid metabolism in adipose tissue in the genesis of obesity after menopause.


Assuntos
Tecido Adiposo Branco/metabolismo , Gordura Intra-Abdominal/metabolismo , Metabolismo dos Lipídeos/fisiologia , Ovariectomia , Proteômica , Adiposidade/fisiologia , Animais , Estradiol/administração & dosagem , Terapia de Reposição de Estrogênios , Ácidos Graxos/análise , Feminino , Resistência à Insulina/fisiologia , Gordura Intra-Abdominal/química , Obesidade , Pós-Menopausa , Ratos , Ratos Wistar
9.
Sci Rep ; 10(1): 4461, 2020 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-32157136

RESUMO

The Earth's surface dynamics provide essential information for guiding environmental and agricultural policies. Uncovered and unprotected surfaces experience several undesirable effects, which can affect soil ecosystem functions. We developed a technique to identify global bare surface areas and their dynamics based on multitemporal remote sensing images to aid the spatiotemporal evaluation of anthropic and natural phenomena. The bare Earth's surface and its changes were recognized by Landsat image processing over a time range of 30 years using the Google Earth Engine platform. Two additional products were obtained with a similar technique: a) Earth's bare surface frequency, which represents where and how many times a single pixel was detected as bare surface, based on Landsat series, and b) Earth's bare soil tendency, which represents the tendency of bare surface to increase or decrease. This technique enabled the retrieval of bare surfaces on 32% of Earth's total land area and on 95% of land when considering only agricultural areas. From a multitemporal perspective, the technique found a 2.8% increase in bare surfaces during the period on a global scale. However, the rate of soil exposure decreased by ~4.8% in the same period. The increase in bare surfaces shows that agricultural areas are increasing worldwide. The decreasing rate of soil exposure indicates that, unlike popular opinion, more soils have been covered due to the adoption of conservation agriculture practices, which may reduce soil degradation.

10.
Oncotarget ; 10(60): 6444-6455, 2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31741709

RESUMO

BACKGROUND: Contradictory results are reported for the role of angiopoietin-like 4 (ANGPTL-4) in the development of cancer-cachexia and inflammation, given its importance in angiogenesis and inflammatory signaling. Our aim was to analyze the levels of ANGPTL-4 in colorectal cancer patients with a stable weight and those with cachexia in order to establish a relationship between ANGPTL-4 and the inflammatory process. RESULTS: Plasma and tumor levels of ANGPTL-4 were higher in CC in comparison to other groups. A positive association was verified between plasmatic ANGPTL-4 and NFκB levels in tumor from CC. In WSC, we identified an association between the plasmatic ANGPTL-4, IL-15, and IL-10 in tumor and IL-15 in MES. Increased levels of NFκB and TNF-R1 in MES were detected in CC in comparison to WSC. Specifically in CC-group, a positive correlation was found between ANGPTL-4 levels and those of IL-1ß, TNF-α, and NFκB in tumor, along with an association between ANGPTL-4 levels with IL-1ß and MCP-1 levels in tumor; and ANGPTL-4 and IL-1ß levels in MES. METHODS: We studied 102 patients, who were divided into three groups: control patients (C, n=37), cancer patients with a stable weight (WSC, n=23), and cancer-cachexia patients (CC, n=42). Samples of plasma, tumor, mesenteric (MES) and subcutaneous adipose tissue were removed for the determination of ANGPTL-4 levels and other proinflammatory factors. CONCLUSIONS: ANGPTL-4 levels were higher in plasma and tumor of CC-group, and positively associated with pro-inflammatory and pro-tumorigenic factors. Our results suggest an opposite effect of ANGPTL-4 depending on the concentration and presence of cachexia.

11.
Einstein (Sao Paulo) ; 17(3): eAE4510, 2019 Aug 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432891

RESUMO

OBJECTIVE: To standardize the investigation and clinical management of women with laboratory and/or clinical abnormalities suggestive of thrombophilia, in order to optimize antithrombotic approach and indication of laboratory tests. METHODOLOGY: A discussion was carried out among 107 physicians (gynecologists/obstetricians, hematologists and vascular surgeons) present at a forum held at the Hospital Israelita Albert Einstein, in São Paulo (SP), Brazil. As a minimum criterion, 80% agreement was established in the voting to each recommendation of conduct in the final document. The cases in which there was agreement below 80% were discussed again, reaching a consensual agreement of conduct for the document writing. CONCLUSION: The standardization of an institutional consensus of suggestions of clinical approach contributes to a better management of the group to be evaluated and minimizes risks of intercurrent events. This was the first national consensus on the investigation of thrombophilia in women.


Assuntos
Trombofilia , Brasil , Consenso , Feminino , Humanos , Programas de Rastreamento , Gravidez , Trombofilia/diagnóstico , Trombofilia/tratamento farmacológico , Trombofilia/etiologia
12.
Sci Rep ; 9(1): 10551, 2019 07 22.
Artigo em Inglês | MEDLINE | ID: mdl-31332243

RESUMO

This study tested the effects of ovariectomy, allied or not to high-fat feeding and estradiol replacement, on hormonal, metabolic and behavioral parameters, to explore the connection of obesity and depression after menopause. Wistar rats were either ovariectomized or sham-operated and fed with either standard chow or lard-enriched diet for twelve weeks. Sub-groups of ovariectomized rats received estradiol replacement. Depressive-like behaviors were assessed by the forced swim test and locomotor activity was assessed by the elevated plus maze test. Ovariectomy alone increased body weight gain and feed efficiency and induced hyperleptinemia and glucose intolerance while it increased caloric intake and body adiposity only marginally. High-fat intake alone induced obesity and, in combination with ovariectomy, accentuated the ovariectomy-induced alterations. Estradiol replacement attenuated the hormonal alterations only in chow-fed rats. Ovariectomy combined with high-fat intake induced depressive-like behaviors, which were marginally attenuated by estradiol. Depressive-like behaviors were associated with metabolic and body composition parameters and with estrogen status. The data indicate that the vulnerability to develop depression after menopause is influenced by high-fat intake. It is suggested that weight management is a crucial issue in postmenopausal women, probably having a beneficial role in preventing the appearance of mental health problems.


Assuntos
Depressão/etiologia , Dieta Hiperlipídica/efeitos adversos , Ovariectomia/efeitos adversos , Adiposidade , Animais , Comportamento Animal , Composição Corporal , Depressão/metabolismo , Depressão/psicologia , Modelos Animais de Doenças , Terapia de Reposição de Estrogênios , Estrogênios/metabolismo , Feminino , Glucose/metabolismo , Homeostase , Humanos , Obesidade/complicações , Ratos , Ratos Wistar , Aumento de Peso
13.
PLoS One ; 14(6): e0218567, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31211796

RESUMO

OBJECTIVE: The aim of this study was to evaluate the effect of adding xanthan gum to the diet of rats on the production of cytokines and pro-inflammatory factors and on tumor development in rats inoculated with Walker 256 tumor cells. METHODS: Fifty-six rats were divided into 4 groups: control diet (C), control diet with tumor (TC), xanthan gum diet (XG), xanthan gum diet with tumor (TXG). RESULTS: The ingestion of xanthan gum promotes changes in cytokine content: increasing IL-6 TNF-α and IL-10 in retroperitoneal adipose tissue compared to the control group; and increasing TNF-α in the mesenteric adipose tissue compared to the C and TXG groups. On the contrary, the addition of xanthan gum to the diet did not affect the development of Walker 256 tumors in rats. CONCLUSION: The continuous use of xanthan gum triggered a pro-inflammatory response, promoting an increase in pro-inflammatory cytokines in the adipose tissue, but it did not have an effect on the tumor development in the animals inoculated with Walker 256 tumor cells.


Assuntos
Dieta , Inflamação/etiologia , Inflamação/metabolismo , Polissacarídeos Bacterianos/efeitos adversos , Animais , Área Sob a Curva , Biomarcadores , Linhagem Celular , Células Cultivadas , Citocinas/biossíntese , Mediadores da Inflamação/metabolismo , Masculino , Ratos
14.
Food Res Int ; 121: 641-647, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31108791

RESUMO

Obesity is mainly caused by intake of a high-fat diet and sedentarism, and is considered a public health issue worldwide. Increased intestinal permeability may favour endotoxaemia generated by lipopolysaccharides, a substance present in the cell membrane of Gram-negative bacteria, and, consequently, an increase in systemic inflammation and metabolic diseases. In contrast (On the other hand), consumption of a healthy diet can help in the prevention and treatment of metabolic syndrome. In this way, chia seeds (Salvia hispanica L.), rich in polyunsaturated fatty acids, may present an anti-inflammatory role. In addition, chia is rich in antioxidants like caffeic and gallic acid and fiber. However, few studies have investigated the relationship between chia seeds, inflammatory mechanisms and intestinal permeability. Therefore, the aim of this study was to analyse the effects of chia administration on metabolism in obese mice. Swiss mice were fed a hyperlipidic diet either supplemented with or without 3% chia flour for 16 weeks. The results showed that supplementation could not reduce the deleterious effects of the lipid-rich diet in terms of body composition, glucose intolerance and activity of antioxidants enzymes in the liver. In addition, supplementation with chia in the control diet decreased the amount of occludin in the intestinal colon. In conclusion, although chia did not improve metabolic parameters it seemed to restore the intestinal barriers integrity. The beneficial effects of chia seem to be dependent of the quantity used, since our data conflict with those in the literature; however, it is important to note that other studies, unlike our protocol, used chia in the form of seeds or oil, and not flour.


Assuntos
Glicemia/metabolismo , Dieta Hiperlipídica , Farinha/análise , Índice Glicêmico , Salvia/química , Animais , Antioxidantes/análise , Biomarcadores/sangue , Peso Corporal , Ácidos Cafeicos/análise , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Fibras na Dieta/análise , Ácidos Graxos Insaturados/análise , Ácido Gálico/análise , Teste de Tolerância a Glucose , Masculino , Camundongos , Camundongos Obesos , Sementes/química , Triglicerídeos/sangue
15.
Eur J Nutr ; 58(8): 3059-3068, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30406389

RESUMO

PURPOSE: Intrauterine growth restriction (IUGR) has been shown to induce the programming of metabolic disturbances and obesity, associated with hypothalamic derangements. The present study aimed at investigating the effects of IUGR on the protein and metabolite profiles of the hypothalamus of adult female rats. METHODS: Wistar rats were mated and either had ad libitum access to food (control group) or received only 50% of the control intake (restricted group) during the whole pregnancy. Both groups ate ad libitum throughout lactation. At 4 months of age, the control and restricted female offspring was euthanized for blood and tissues collection. The hypothalami were processed for data independent acquisition mass spectrometry-based proteomics or targeted mass spectrometry-based metabolomics. RESULTS: The adult females submitted to IUGR showed increased glycemia and body adiposity, with normal body weight and food intake. IUGR modulated significantly 28 hypothalamic proteins and 7 hypothalamic metabolites. The effects of IUGR on hypothalamic proteins and metabolites included downregulation of glutamine synthetase, glutamate decarboxylase, glutamate dehydrogenase, isocitrate dehydrogenase, α-ketoglutarate, and up-regulation of NADH dehydrogenase and phosphoenolpyruvate. Integrated pathway analysis indicated that IUGR affected GABAergic synapse, glutamate metabolism, and TCA cycle, highly interconnected pathways whose derangement has potentially multiple consequences. CONCLUSION: The present findings suggested that the effects of IUGR on GABA/glutamate-glutamine cycle may be involved in the programming of obesity and hyperglycemia in female rats.


Assuntos
Retardo do Crescimento Fetal/fisiopatologia , Ácido Glutâmico/metabolismo , Hipotálamo/metabolismo , Metabolômica/métodos , Proteômica/métodos , Ácido gama-Aminobutírico/metabolismo , Animais , Modelos Animais de Doenças , Feminino , Gravidez , Ratos , Ratos Wistar
16.
Menopause ; 26(3): 317-324, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30277920

RESUMO

OBJECTIVE: The aim of the study was to investigate the effect of menopause and of postmenopausal stages on depression and anxiety symptoms, and whether these symptoms associate with anthropometric, metabolic, and hormonal parameters in midlife women. METHODS: Postmenopausal women (age 50-65), either at early (EPM, n=33) or late (LPM, n = 23) postmenopause, and 23 premenopausal controls (PreM, age 40-50), matched for BMI with the PM groups, were studied. Blood biochemical and hormonal determinations, bioimpedance anthropometry, and depression and anxiety symptoms (Beck's depression [BDI] and anxiety [BAI] inventories) were conducted. RESULTS: The BAI score was higher in both PM groups than in the PreM group. In contrast, only the LPM group showed a significantly elevated BDI score. All groups presented overweight and abdominal obesity, having similar BMI and waist/hip ratio values. Both PM groups showed insulin resistance, whereas only the LPM group presented decreased skeletal muscle mass and basal metabolic rate. Correlation analysis, including all 79 middle-aged women, showed age, percentage body fat, waist/hip ratio, and leptinemia to correlate positively with the anxiety and depression scores. Multivariate regression showed leptin and age to associate positively with depressive- and anxious-like symptoms. CONCLUSIONS: Postmenopausal women presented impaired body composition, energy expenditure, insulin sensitivity, and mental symptoms, in comparison to similarly overweight premenopausal women. Among all the overweight midlife women, these symptoms were more strongly associated with age and leptin levels than with reproductive aging itself. The data indicate that, among overweight middle-aged women with abdominal obesity, the aging process and the development of leptin resistance are associated with impairment of mental health.


Assuntos
Envelhecimento/fisiologia , Ansiedade/diagnóstico , Depressão/diagnóstico , Leptina/sangue , Menopausa/fisiologia , Adulto , Idoso , Composição Corporal/fisiologia , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade Abdominal/sangue
17.
Einstein (Säo Paulo) ; 17(3): eAE4510, 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1019800

RESUMO

ABSTRACT Objective To standardize the investigation and clinical management of women with laboratory and/or clinical abnormalities suggestive of thrombophilia, in order to optimize antithrombotic approach and indication of laboratory tests. Methodology A discussion was carried out among 107 physicians (gynecologists/obstetricians, hematologists and vascular surgeons) present at a forum held at the Hospital Israelita Albert Einstein, in São Paulo (SP), Brazil. As a minimum criterion, 80% agreement was established in the voting to each recommendation of conduct in the final document. The cases in which there was agreement below 80% were discussed again, reaching a consensual agreement of conduct for the document writing. Conclusion The standardization of an institutional consensus of suggestions of clinical approach contributes to a better management of the group to be evaluated and minimizes risks of intercurrent events. This was the first national consensus on the investigation of thrombophilia in women.


RESUMO Objetivo Padronizar a investigação e o manejo clínico de mulheres com anormalidades clínicas e exames laboratoriais sugestivos de trombofilia, para melhorar a abordagem antitrombótica e otimizar a indicação de exames laboratoriais. Metodologia Foi conduzida discussão incluindo 107 médicos (ginecologistas/obstetras, hematologistas e cirurgiões vasculares) participantes de um fórum realizado no Hospital Israelita Albert Einstein, em São Paulo (SP). Como critério mínimo, estabeleceu-se concordância de 80% em votação para cada recomendação de conduta registrada em documento como diretrizes finais. Os casos em que a concordância esteve abaixo de 80% foram rediscutidos, para definir consenso na conduta. Conclusão A padronização e o estabelecimento de consenso institucional, com sugestões para abordagem clínica, contribui para melhorar o manejo do grupo a ser avaliado e minimizar os riscos de intercorrências. Este foi o primeiro consenso nacional sobre investigação de trombofilia em mulheres.


Assuntos
Humanos , Feminino , Gravidez , Trombofilia/diagnóstico , Trombofilia/etiologia , Trombofilia/tratamento farmacológico , Brasil , Programas de Rastreamento , Consenso
19.
J Cachexia Sarcopenia Muscle ; 9(6): 1101-1108, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30284380

RESUMO

BACKGROUND: Cancer cachexia (CC) is a multifactorial syndrome, often irreversible, that affects patients with cancer influenced, in part, by the inflammatory condition. Peritumoural adipose tissue produces adipokines and angiogenic, apoptotic, and growth factors; given the possible crosstalk between the peritumoural adipose tissue and tumour, these may play an important role in cancer biology and carcinogenesis. METHODS: The aim of this study was to evaluate the factors produced by peritumoural adipose tissue in a cohort of 16 colorectal cancer patients with either weight-stable cancer (WSC; n = 7) or CC (n = 9). The study was approved by the Ethics Research Committee (972.914). Samples of peritumoural adipose tissue were analysed for concentrations of TNF-α, IL-1ß, STAT-1, STAT-3, RANTES, IL-1Ra, IP-10, IL-15, MCP-1, IFN-α, GCSF, FADD, and TGF-ß. The cytokines and proteins were measured using Multiplex. Correlations between the proteins and cytokines were evaluated. RESULTS: TNF-α, STAT-1, and FADD, a factor involved in apoptosis, were significantly higher in CC group than in the WSC group. In the peritumoural adipose tissue of the CC group, RANTES showed a significant positive correlation with IL-1Ra and IP-10 and a negative correlation with IFN-α; and GCSF showed significant negative correlations with IL-1Ra, IP-10, IL-15, and MCP-1 and a positive correlation with IFN-α. In the peritumoural adipose tissue of the WSC group, no significant correlations were detected between RANTES, GCSF, IL-3, FADD, and STAT-1 and the cytokines/chemokines analysed. CONCLUSIONS: These results indicated that inflammatory and tumorigenic pathways were altered in peritumoural adipose tissue in CC. Furthermore, inflammatory cytokines were correlated with growth factors in the peritumoural adipose tissue of cachectic patients, suggesting that inflammatory cytokines modulated the proliferative environment closely linked to the tumour.


Assuntos
Tecido Adiposo/patologia , Caquexia/metabolismo , Caquexia/patologia , Citocinas/metabolismo , Mediadores da Inflamação/metabolismo , Neoplasias/metabolismo , Neoplasias/patologia , Idoso , Biomarcadores , Caquexia/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Proteoma , Proteômica
20.
Front Neurosci ; 12: 557, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30233288

RESUMO

Menopause-induced changes may include increased incidence of both depression/anxiety and obesity. We hypothesized that behavioral changes that may develop after ovarian failure could be related to neurochemical and metabolic aspects affected by this condition and that high-fat intake may influence these associations. The present study investigated in rats the effects of ovariectomy, either alone or combined with high-fat diets enriched with either lard or fish-oil, on metabolic, behavioral and monoaminergic statuses, and on gene expression of neuropeptides and receptors involved in energy balance and mood regulation. Female rats had their ovaries removed and received either standard chow (OvxC) or high-fat diets enriched with either lard (OvxL) or fish-oil (OvxF) for 8 weeks. The Sham group received only chow diet. Ovariectomy increased feed efficiency and body weight gain and impaired glucose homeostasis and serotonin-induced hypophagia, effects either maintained or even accentuated by the lard diet but counteracted by the fish diet. The OvxL group developed obesity and hyperleptinemia. Regarding components of hypothalamic serotonergic system, both ovariectomy alone or combined with the fish diet increased 5-HT2C expression while the lard diet reduced 5-HT1B mRNA. Ovariectomy increased the anxiety index, as derived from the elevated plus maze test, while both high-fat groups showed normalization of this index. In the forced swimming test, ovariectomy allied to high-lard diet, but not to fish-oil diet, reduced the latency to immobility, indicating vulnerability to a depressive-like state. Linear regression analysis showed hippocampal AgRP to be negatively associated with the anxiety index and hypothalamic AgRP to be positively associated with the latency to immobility. These AgRp gene expression associations are indicative of a beneficial involvement of this neuropeptide on both depression and anxiety measures. The present findings demonstrate metabolic, neurochemical and behavioral alterations after ovaries removal and highlight a positive effect of high-fat feeding on the anxiety-like behavior shown by ovariectomized animals. Since the polyunsaturated ômega-3 intake (fish diet), unlike the saturated fat intake (lard diet), failed to induce deleterious metabolic or neurochemical consequences, further studies are needed focusing on the potential of this dietary component as an adjuvant anxiolytic agent after menopause.

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