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1.
J Vet Intern Med ; 22(1): 31-6, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18289286

RESUMO

BACKGROUND: Sodium phosphate (NaP) is a low-volume, hyperosmolar laxative that is an effective bowel-cleansing agent in humans. HYPOTHESIS: NaP will be as safe and efficacious as polyethylene glycol (PEG) bowel preparation for colonoscopy in dogs. ANIMALS: Eight purpose-bred healthy dogs. METHODS: In phase I, standard (NaP and enemas; NaP(1)) and control preparations (PEG and enemas) were compared in a crossover design to determine the safety and efficacy of NaP. Serial clinical and serum analytical evaluations were used to determine the safety of NaP. In phase II, the efficacy of the standard NaP preparation was compared with 3 other NaP variations, which excluded enema or included bisacodyl, with or without enemas in a crossover design. An observer blinded to the bowel preparation assigned a score of 1-4 (1=clean colon; 4=unacceptable colon cleansing preventing adequate endoscopic evaluation) to each of 5 regions of the colon. RESULTS: The mean total colon cleansing score (TCS), defined as the sum of scores from each region, of the control (9.4) was less than NaP(1) (13.6) (P < 0.05). There were no significant differences in regional or TCS for the remaining 4 NaP protocols. NaP(1) resulted in moderate, but clinically occult, hyperphosphatemia and hypocalcemia, which resolved within 24 hours. CONCLUSIONS AND CLINICAL IMPORTANCE: Despite the safety and ease of administration of the NaP preparations, the NaP bowel-cleansing preparations used in this study cannot be recommended for use because of the inadequate quality of bowel preparation compared with the protocol using PEG-containing fluids.


Assuntos
Catárticos/administração & dosagem , Doenças do Colo/veterinária , Colonoscopia/veterinária , Doenças do Cão/diagnóstico , Fosfatos/administração & dosagem , Cuidados Pré-Operatórios/veterinária , Animais , Catárticos/efeitos adversos , Doenças do Colo/diagnóstico , Estudos Cross-Over , Doenças do Cão/induzido quimicamente , Cães , Feminino , Masculino , Fosfatos/efeitos adversos , Vômito/induzido quimicamente , Vômito/veterinária
2.
J Vet Intern Med ; 20(1): 144-50, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16496934

RESUMO

To evaluate the relationship between endostatin and vascular endothelial growth factor (VEGF) in cancers of dogs, circulating concentrations of these 2 tumor-associated markers were measured prospectively in healthy dogs (n = 44), dogs with tumors (n = 54), and dogs with nonneoplastic diseases (n = 42 for endostatin; n = 16 for VEGF). A canine-directed enzyme-linked immunosorbent assay kit was used for determination of endostatin, and a human-directed kit was validated for detection of canine VEGF. Concentrations of endostatin for all dogs were 28-408 ng/mL. Increasing serum endostatin concentration was associated with increasing age (P = .0396). Concentrations of endostatin were not different among groups of dogs (P = .1989) when adjusted for age. Mean endostatin concentrations for all dogs were higher in dogs (P = .0124) with detectable VEGF concentrations. Endostatin concentrations, when corrected for age, were related to decreasing PCV (P = .032) but not white blood cell count (P = .225) or platelet count (P = .1990). Measurable VEGF (> or = 2.5 pg/mL) was detected in 3 (7.0%) of 43 healthy dogs. Dogs with tumors had detectable VEGF in 24 (44%) of 54 dogs, with concentrations ranging from 2.5-274 pg/mL; only 1 dog with a nonneoplastic disease process had detectable VEGF. VEGF concentrations for all dogs after correcting for age, endostatin, and disease categories were associated with increased white blood cell count (P = .0032) and platelet counts (P = .0064) and decreased PCV (P = .0017). Linkage between increased endostatin and VEGF concentrations suggests that similar factors may influence concentrations of these markers. Further evaluation of endostatin and VEGF associations in dogs with tumors may provide information on the extent and progression of the disease.


Assuntos
Doenças do Cão/sangue , Endostatinas/sangue , Neoplasias/veterinária , Fator A de Crescimento do Endotélio Vascular/sangue , Envelhecimento , Animais , Cães , Feminino , Saúde , Hematócrito , Humanos , Contagem de Leucócitos , Masculino , Neoplasias/sangue , Contagem de Plaquetas , Kit de Reagentes para Diagnóstico/veterinária , Reprodutibilidade dos Testes
3.
Equine Vet J ; 37(4): 347-50, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16028625

RESUMO

REASONS FOR PERFORMING STUDY: There is no current veterinary information with regard to data entry on a website. We therefore completed a prospective study on use of analgesics in relation to the need for abdominal surgery using a web-based survey instrument. OBJECTIVES: To establish an internet-based data entry system that could be used to record prospective data on horses with colic. HYPOTHESIS: Failure of horses to respond to the initial administration of an analgesic is an indicator of the need for abdominal surgery. METHODS: A survey was developed to determine if the response to administration of an analgesic during a veterinarian's first examination of a horse with colic was related to the need for surgery. Veterinarians were contacted via AAEP and ECN listservs requesting submission of cases using a log-in system at a data entry website. The survey was completed by submission of a data entry page. RESULTS: Twenty-seven veterinarians submitted details of 119 cases of colic, 28 of which required surgery. The need for surgery was significantly associated with moderate or severe pain observed during the first examination compared to mild or no pain, and with constant pain or return of pain after administration of one or more analgesics and the need to administer a second analgesic treatment. Abnormal findings on rectal examination were not associated with the need for surgery, whereas total absence or decrease of intestinal sounds was significantly related to the odds that surgery was needed. The web-based data collection was successful in collecting all data points on the survey for each case. CONCLUSIONS: This study reinforced veterinarians' use of response to therapy as a way to determine the need for abdominal surgery. POTENTIAL RELEVANCE: When a specific diagnosis has not been made, lack of response or resumption of colic after analgesic administration should be considered as an indicator of the need for surgery. Web-based collection of data allows veterinary practitioners to participate in clinical research by providing prospective data.


Assuntos
Analgésicos/uso terapêutico , Cólica/veterinária , Doenças dos Cavalos/cirurgia , Internet , Dor/veterinária , Medicina Veterinária/métodos , Animais , Cólica/cirurgia , Intervalos de Confiança , Coleta de Dados , Tomada de Decisões , Feminino , Cavalos , Masculino , Razão de Chances , Dor/tratamento farmacológico , Dor/prevenção & controle , Estudos Prospectivos , Inquéritos e Questionários , Medicina Veterinária/normas
4.
Vet Immunol Immunopathol ; 106(1-2): 23-38, 2005 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-15910990

RESUMO

The effect of recombinant equine IL-1beta (EqIL-1beta) on steady-state mRNA levels of equine articular chondrocytes in high-density monolayer culture was investigated using a customized cDNA array analysis. Total RNA samples isolated from chondrocytes cultured in media alone or with the addition of 1 ng/ml EqIL-1beta for 1-, 3-, and 6-h durations of exposure were reverse transcribed, radiolabeled, and hybridized to a customized 380-target cDNA array. Means of duplicate log base 2 transformed hybridization signals were normalized to equine glyceraldehyde 3-phosphate dehydrogenase (GAPDH) mean signal intensities. Differentially expressed transcripts were identified using a two-stage mixed linear analysis of variance model (Statistical Analysis Software, Cary, NC). A time-dependent pattern was observed in the number of transcripts increased > or =two-fold in response to EqIL-1beta after 1, 3 and 6h (1, 2 and 109 transcripts, respectively). At 6 h of EqIL-1beta stimulation, signal intensities for 88 cDNA targets with purported function in processes related to cell cycle, intracellular signaling, transcription, translation, extracellular matrix turnover, and inflammation, as well as a number of cDNAs lacking homology to previously reported cDNA sequences, were increased >two-fold and were associated with p<0.05. Principal component analysis identified a vector component ( approximately 10% of the total variation) corresponding to a potential EqIL-1beta co-regulation of cell cycle associated gene transcription. These results support and expand our existing comprehension of the complex role of IL-1 in modulated chondrocyte gene expression and suggest the involvement of specific target gene up-regulation and activation of downstream inflammatory cascade mediators. This study adds to the current understanding of the molecular events associated with an IL-1 induced inflammation and pathobiologic processes that may be associated with the development of equine osteoarthritis.


Assuntos
Condrócitos/metabolismo , Cavalos/metabolismo , Interleucina-1/fisiologia , RNA Mensageiro/metabolismo , Animais , Cartilagem Articular/efeitos dos fármacos , Cartilagem Articular/metabolismo , Células Cultivadas , Condrócitos/efeitos dos fármacos , Regulação da Expressão Gênica/efeitos dos fármacos , Interleucina-1/farmacologia , Análise de Sequência com Séries de Oligonucleotídeos/veterinária , Proteínas Recombinantes/farmacologia , Fatores de Tempo
5.
Immunol Invest ; 34(1): 71-89, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15773573

RESUMO

Diabetes mellitus alters placental structure and function, events that may be related to embryopathy. Three different methods of maternal immune stimulation that modulate placental function and that result in approximately equal reduction of diabetic embryopathy were studied: footpad injection with complete Freund's adjuvant, intraperitoneal injection with granulocyte-macrophage colony stimulating factor (GM-CSF), or intraperitoneal injection with interferon-gamma (IFN-gamma). A gene microarray was then used to examine expression of 151 placental genes. We hypothesized that maternal immune stimulation may overcome an embryopathy-inducing effect of diabetes on placenta, that might be detected by a shared profile of placental gene expression changes induced by the different immune stimulation procedures. However, the immune stimulation that caused the greatest reduction in birth defect incidence, IFN-gamma, did not change the placental gene expression profile as compared to control or diabetes. Complete Freund's adjuvant and GM-CSF significantly changed placental gene expression relative to control or diabetes, but differentially affected such genes. No common pattern of improved cytokine, cell-cycle, apoptotic, transcription factor, or other gene expression was identified, that might explain the ability of this procedure to reduce birth defects. These data suggest that maternal immune stimulation reduces birth defects in diabetic mice by a mechanism independent of placenta.


Assuntos
Anormalidades Congênitas/imunologia , Diabetes Mellitus Experimental/imunologia , Expressão Gênica/fisiologia , Placenta/metabolismo , Análise de Variância , Animais , Feminino , Fator Estimulador de Colônias de Granulócitos e Macrófagos/genética , Fator Estimulador de Colônias de Granulócitos e Macrófagos/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos ICR , Gravidez , Análise de Componente Principal , Estreptozocina
6.
J Anim Physiol Anim Nutr (Berl) ; 88(3-4): 122-30, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15059236

RESUMO

Twenty-seven wether lambs were utilized to evaluate select innate immunity and oxidative stress in response to diet and heat stress. Dietary treatments were: (i) control (tall fescue) hay = no Tasco (tradename for the extract of the brown seaweed, Ascophyllum nodosum, Acadian Sealants Ltd, Nova Scotia, Canada); (ii) pre-harvest Tasco-Forage-treated hay and (iii) control hay + post-harvest Tasco-EX. Tasco-Forage and Tasco-EX are two forms of the Tasco extract that are either applied to foliage or used for direct feeding, respectively. All lambs were supplemented with soyabean meal and trace mineralized salt. Heat stress was applied for 10 days with measurements obtained at days 0, 4 and 10. A heat x treatment interaction indicated hay with Tasco enhanced monocyte oxidative burst through short duration (p < 0.05) and long duration (p < 0.10) heat stress. Phagocytic activity was influenced by days of heat stress (p < 0.001) and treatment (p = 0.02) with post-harvest Tasco lambs exhibiting the greatest immune enhancement (p < 0.05). Red and white blood cell glutathione peroxidase increased by heat stress day 10 in Tasco lambs. Superoxide dismutase activity was increased and lipid hydroperoxide metabolites minimized (p < 0.01) through long duration heat stress in the pre-harvest Tasco group. Tasco treatment of tall fescue hay prior to harvest appears to provide residual effects on animal antioxidant availability in short-duration heat stress. Tasco supplementation to post-harvest fescue hay enhances immune function and protects against prolonged heat-induced oxidative stress.


Assuntos
Antioxidantes/metabolismo , Temperatura Alta/efeitos adversos , Estresse Oxidativo/imunologia , Poaceae , Alga Marinha , Ovinos/imunologia , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Transtornos de Estresse por Calor/imunologia , Transtornos de Estresse por Calor/metabolismo , Transtornos de Estresse por Calor/prevenção & controle , Transtornos de Estresse por Calor/veterinária , Imunidade Inata , Peroxidação de Lipídeos , Masculino , Phaeophyceae , Extratos Vegetais , Poaceae/microbiologia , Distribuição Aleatória , Doenças dos Ovinos/imunologia , Doenças dos Ovinos/metabolismo , Doenças dos Ovinos/prevenção & controle , Superóxido Dismutase/metabolismo , Fatores de Tempo
7.
Int Immunopharmacol ; 3(12): 1639-55, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14555289

RESUMO

Maternal immune stimulation in mice decreases fetal abnormalities caused by diverse etiologies. Growth factors produced by activated immune cells were proposed to be key mediators that may exert their effects on placenta or embryo. Diabetes disrupts the secretion of cytokines, which may associate with diabetic embryopathy. Three different methods of maternal immune stimulation that result in approximately equal reduction of diabetic embryopathy were used in the present studies: footpad injection with complete Freund's adjuvant (CFA), intraperitoneal (i.p.) injection with granulocyte-macrophage colony-stimulating factor (GM-CSF), or i.p. injection with interferon-gamma (IFN-gamma). A gene microarray was then used to examine expression of a selected gene panel in splenic leukocytes. We hypothesized that maternal immune stimulation may act by overcoming altered gene expression patterns of immune cells in the diabetic mice, which partially mitigates the teratogenic effect of diabetes. It further seemed likely that a shared profile of splenic gene expression changes induced by the different immune stimulation procedures may be identified and related to reduced teratogenesis. The three procedures produced a common altered gene expression profile. Significantly affected genes included apoptotic and anti-apoptotic genes, and genes controlling cellular proliferation, and likely reflect a state of immune activation. The GM-CSF gene was up-regulated by all three immune stimulation procedures. The protein product of this gene regulates placental development, and was recently associated with reduced cleft palate in immune-stimulated pregnant mice after exposure to urethane. These data suggest that further studies of GM-CSF as mediator of reduced birth defects in teratogen-challenged, immune-stimulated mice are warranted.


Assuntos
Anormalidades Congênitas/imunologia , Diabetes Mellitus Experimental/genética , Fator Estimulador de Colônias de Granulócitos e Macrófagos/genética , Substâncias de Crescimento/genética , Imunização , Baço/metabolismo , Análise de Variância , Animais , Apoptose/genética , Anormalidades Congênitas/patologia , Citocinas/genética , Diabetes Mellitus Experimental/imunologia , Regulação para Baixo , Feminino , Adjuvante de Freund/farmacologia , Expressão Gênica/efeitos dos fármacos , Expressão Gênica/imunologia , Regulação da Expressão Gênica/efeitos dos fármacos , Fator Estimulador de Colônias de Granulócitos e Macrófagos/farmacologia , Fator Estimulador de Colônias de Granulócitos e Macrófagos/fisiologia , Imunização/métodos , Interferon gama/farmacologia , Camundongos , Camundongos Endogâmicos ICR , Análise de Sequência com Séries de Oligonucleotídeos , Oncogenes/genética , Fosfotransferases/genética , Gravidez , Análise de Componente Principal , Baço/química , Fatores de Transcrição/genética , Regulação para Cima
8.
Res Vet Sci ; 74(2): 179-82, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12589743

RESUMO

Objectives of this study were to determine occurrence of urinary tract infection and describe results of urine analysis and urine culture in dogs with experimentally induced hyperadrenocorticism. Dogs were randomly assigned to receive either hydrocortisone (nine dogs) or placebo (eight dogs) for 49 consecutive days. Before and on day 49 of treatment, evaluation of dogs included physical examination, abdominal ultrasound, urine culture, urinalysis, adrenal function testing, and measurement of urine protein and creatinine and activity of serum alkaline phosphatase. All dogs in the experimental group had clinical and laboratory findings of hyperadrenocorticism. Urine specific gravity was significantly decreased and urine protein-to-creatinine ratio was significantly increased in dogs with hyperadrenocorticism. Urinary tract infection did not occur in any dogs. We conclude that administration of hydrocortisone created a model of hyperadrenocorticism; however, urinary tract infection did not occur. Additional evaluation is needed to determine association between urinary tract infection and hyperadrenocorticism.


Assuntos
Doenças do Cão/induzido quimicamente , Hiperaldosteronismo/complicações , Hiperaldosteronismo/veterinária , Infecções Urinárias/complicações , Infecções Urinárias/veterinária , Animais , Anti-Inflamatórios/farmacologia , Cães , Feminino , Hidrocortisona/farmacologia , Hiperaldosteronismo/induzido quimicamente , Masculino
9.
Equine Vet J ; 34(5): 505-9, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12358055

RESUMO

Although large intestine impactions are commonly treated with i.v. fluids combined with the osmotic laxative MgSO4, enteral fluids are less expensive and also appear to be efficacious for impactions. Therefore, this study was conducted to compare the systemic and gastrointestinal effects of enteral fluids with the changes produced by i.v. fluids combined with MgSO4. Four horses with a fistula in the right dorsal colon alternately received both treatments in 2 periods one week apart. Sixty litres of fluids were administered continuously (10 l/h) through a venous catheter or a nasogastric tube. Magnesium sulphate (1 g/kg bwt) was administered via nasogastric tube before i.v. fluid therapy. Two horses had mild abdominal discomfort at the end of enteral fluid therapy. Pollakiuria, hypostenuria, increased bodyweight, increased faecal and ingesta hydration, and decreased PCV, plasma protein and plasma magnesium were produced by both treatments. Abdominal distention and more pronounced changes in bodyweight and ingesta hydration were seen with enteral fluids. Intravenous fluids plus MgSO4 produced hypocalcaemia and more pronounced changes in plasma protein. These results indicate that enteral fluid therapy is more effective in promoting ingesta hydration and produces less pronounced systemic effects than i.v. fluid therapy plus MgSO4.


Assuntos
Cólica/veterinária , Hidratação/veterinária , Doenças dos Cavalos/terapia , Obstrução Intestinal/veterinária , Sulfato de Magnésio/administração & dosagem , Animais , Cólica/terapia , Colo/efeitos dos fármacos , Feminino , Hidratação/métodos , Cavalos , Infusões Intravenosas/veterinária , Obstrução Intestinal/terapia , Intubação Gastrointestinal/veterinária , Masculino , Soluções para Reidratação
11.
J Vet Intern Med ; 15(4): 401-6, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11467600

RESUMO

Medical records and endoscopy images were examined for 209 horses that had gastroscopic examinations performed with a 2.5- or 3-m-long endoscope by one of the authors (MJM) during a 4-year period (1996-2000). The antrum and pylorus were viewed in 162 horses, and the duodenum was viewed in 94 horses. Of these 162 horses, the gastric squamous mucosa was seen in 157 horses and 50% or more of the glandular mucosa of the body of the stomach was seen in 156 horses. Erosions or ulcers were seen in the gastric squamous mucosa in 91 (58%) horses. Erosions or ulcers were seen in the glandular mucosa of the body of the stomach in only 8% of the horses. Lesions consisting of erosion or ulceration were seen in the antrum or pylorus in 94 (58%) horses. Lesions consisting of hyperemia and a rough or "bumpy" appearance were seen in the mucosa of the duodenum of 16 horses. An association between the presence of lesions in the squamous mucosa and the presence of lesions in the mucosa of the antrum/pylorus was examined by Fisher's exact test, and the linear association of lesion severity scores between the squamous mucosa and the mucosa of the antrum/pylorus was tested using a Monte Carlo estimate for linear-by-linear association. There was no association (P = .88) between these sites for presence of lesions or lesion severity scores. Similarly, there was no association between scores for the glandular mucosa in the gastric body and those in the antrum/pylorus. Because of the high prevalence of lesions in the antrum and pylorus of the stomachs of adult horses examined in a hospital setting, the entire stomach should be viewed during a gastroscopic examination.


Assuntos
Doenças dos Cavalos/epidemiologia , Doenças dos Cavalos/patologia , Úlcera Gástrica/veterinária , Animais , Cruzamento , Duodenoscopia/veterinária , Feminino , Cavalos , Masculino , Prevalência , Antro Pilórico/patologia , Registros/veterinária , Estudos Retrospectivos , Úlcera Gástrica/epidemiologia , Úlcera Gástrica/patologia , Virginia/epidemiologia
12.
Am J Vet Res ; 62(4): 567-71, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11327465

RESUMO

OBJECTIVES: To compare results of a nonradioactive colorimetric microplate assay with results of a traditional radioactive proliferation assay for determination of its use as a reliable and accurate alternative method for determination of proliferative activity of feline lymphocytes. SAMPLE POPULATION: Blood samples from 10 clinically normal domestic shorthair cats. PROCEDURE: Double-density gradient separation was used to isolate mononuclear cells. Isolated cells were stimulated with various concentrations of concanavalin A (Con-A) and cultured for 72 hours. Lymphocyte proliferation was measured by radioactive ([3H]thymidine) and nonradioactive (colorimetric) techniques. Immunophenotypic analysis with feline-specific CD4+ and CD8+ monoclonal antibody was performed, using flow cytometry. RESULTS: Mononuclear cells were successfully isolated (97 to 99% purity and viability) from blood samples. A similar dose-dependent proliferative response to Con-A stimulation was measured with [3H]thymidine incorporation and the colorimetric assay. For both techniques, concentrations of 0.1 and 1.0 microg of Con-A/ml were submitogenic, and 100 microg/ml was toxic to cultured cells. For both techniques, maximal proliferation was observed with 5 microg of Con-A/ml. CONCLUSIONS AND CLINICAL RELEVANCE: These results indicate that the nonradioactive colorimetric technique is a reliable and accurate method for measuring proliferative activity of feline lymphocytes. Clinically, this assay can be used as part of a screening process to determine immunocompetence of at-risk cats and to evaluate treatments for cats with immune-mediated or T-cell-dependent diseases.


Assuntos
Gatos/imunologia , Colorimetria/veterinária , Ativação Linfocitária/imunologia , Linfócitos/imunologia , Animais , Relação CD4-CD8/veterinária , Sobrevivência Celular/efeitos dos fármacos , Centrifugação com Gradiente de Concentração/veterinária , Colorimetria/métodos , DNA/análise , DNA/biossíntese , Feminino , Citometria de Fluxo/veterinária , Imunofenotipagem , Subpopulações de Linfócitos/química , Masculino , Monócitos/fisiologia , Timidina/metabolismo , Trítio
13.
Endocr Pract ; 7(1): 52-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11250770

RESUMO

OBJECTIVE: To analyze the proposed mechanisms of action of recombinant interferon-alpha (IFN-a) in causing autoimmune thyroid dysfunction, to identify pretreatment risk factors, and to provide recommendations for screening and monitoring of thyroid dysfunction during IFN-a therapy for chronic hepatitis C. METHODS: Selected publications were reviewed to analyze the proposed mechanisms of autoimmune thyroid disorders. In addition, we examined the interrelationship of the thyroid and the liver, the occurrence of thyroid dysfunction in patients with chronic hepatitis C before and after IFN-a therapy, and the presence or absence of antithyroid antibodies in association with thyroid disease. Case reports were selected to demonstrate various IFN-a-induced thyroid dysfunction. RESULTS: IFN-a induces thyroid dysfunction in 3 to 14% of all treated patients with chronic hepatitis C, leading to hypothyroidism, hyperthyroidism, or thyroiditis. In a few patients, thyroid disease will develop in the absence of antithyroid antibodies, a scenario that suggests a nonimmune-mediated mechanism. More frequently, patients develop antithyroid antibodies, which may progress to overt thyroid dysfunction. Through its immunomodulatory properties, IFN-a seems to act through major histocompatibility complex class I antigens to produce antithyroid antibodies and thyroid disease. CONCLUSION: In patients receiving IFN-a therapy for chronic hepatitis C infection, identifiable risk factors for developing autoimmune thyroid dysfunction are preexisting overt thyroid or autoimmune disease, subclinical thyroid or autoimmune thyroid disease, and female gender. Pretreatment screening is recommended for all patients in whom IFN-a therapy is being considered, and periodic monitoring should be performed during such therapy. Thyroid disease need not be a contraindication to IFN-a therapy; early detection of subclinical or overt thyroid disease may allow uninterrupted continuation of IFN-a treatment.


Assuntos
Antivirais/efeitos adversos , Doenças Autoimunes/induzido quimicamente , Hepatite C Crônica/tratamento farmacológico , Interferon-alfa/efeitos adversos , Doenças da Glândula Tireoide/imunologia , Adulto , Antivirais/uso terapêutico , Autoanticorpos/sangue , Feminino , Hepatite C Crônica/imunologia , Humanos , Interferon-alfa/uso terapêutico , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Glândula Tireoide/imunologia
14.
Vet Parasitol ; 95(2-4): 187-95, 2001 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-11223199

RESUMO

Horses that are exposed to Sarcocystis neurona, a causative agent of equine protozoal myeloencephalitis, produce antibodies that are detectable in serum by western blot (WB). A positive test is indicative of exposure to the organism. Positive tests in young horses can be complicated by the presence of maternal antibodies. Passive transfer of maternal antibodies to S. neurona from seropositive mares to their foals was evaluated. Foals were sampled at birth (presuckle), at 24h of age (postsuckle), and at monthly intervals. All foals sampled before suckling were seronegative. Thirty-three foals from 33 seropositive mares became seropositive with colostrum ingestion at 24h of age, confirming that passive transfer of S. neurona maternal antibodies occurs. Thirty-one of the 33 foals became seronegative by 9 months of age, with a mean seronegative conversion time of 4.2 months. These results indicate that evaluation of exposure to S. neurona by WB analysis of serum may be misleading in young horses.


Assuntos
Anticorpos Antiprotozoários/análise , Doenças dos Cavalos/diagnóstico , Sarcocystis/isolamento & purificação , Sarcocistose/veterinária , Fatores Etários , Animais , Western Blotting/veterinária , Colostro/imunologia , Feminino , Doenças dos Cavalos/parasitologia , Cavalos , Imunidade Materno-Adquirida , Imunoglobulina G/análise , Masculino , Sarcocystis/imunologia , Sarcocistose/diagnóstico , Fatores de Tempo
15.
J Vet Intern Med ; 15(6): 547-52, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11817059

RESUMO

Endoscopic balloon dilation of benign esophageal strictures was performed in 18 dogs and 10 cats with a median age of 4 years. Stricture formation was associated with a recent anesthetic episode in 18 patients. Regurgitation was the most common clinical sign and was present a median of 4 weeks before dilation. Most animals had a single stricture; median diameter was 5 mm, and median length was 1 cm. Esophagitis and mucosal fibrosis were detected in 9 patients each. Dilation was performed with progressively increasing diameter balloons, from 6 to 20 mm. After dilation, mucosal hemorrhage was mild to moderate in most patients. Esophageal perforation was the only serious complication and occurred in 1 patient. Postdilation therapy consisted of administration of cimetidine, metoclopramide, sucralfate, and prednisone in most animals. The median number of dilation procedures performed in each animal was 2, with a range of 1-5. The median interval between dilations was 13 days. Stricture diameter markedly increased with subsequent dilations. Median duration of follow-up was 131 weeks. A successful outcome occurred in 88% of patients, with most animals able to eat canned, mashed, or dry food without regurgitation. Mucosal fibrosis was associated with a better clinical response score, while increasing age was weakly associated with fewer dilations. The dilation protocol used in this group of animals was safe and efficacious.


Assuntos
Doenças do Gato/terapia , Cateterismo/veterinária , Doenças do Cão/terapia , Endoscopia/veterinária , Estenose Esofágica/veterinária , Fatores Etários , Animais , Cateterismo/métodos , Gatos , Cães , Ingestão de Alimentos , Endoscopia/métodos , Perfuração Esofágica , Estenose Esofágica/terapia , Feminino , Fibrose/etiologia , Refluxo Gastroesofágico/etiologia , Refluxo Gastroesofágico/veterinária , Mucosa Intestinal/patologia , Masculino , Prognóstico , Estudos Retrospectivos , Resultado do Tratamento
17.
Teratology ; 62(6): 413-9, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11091363

RESUMO

BACKGROUND: Maternal immune stimulation has reported, but unconfirmed, efficacy for reducing chemical-induced morphologic defects in mice. METHODS: Teratogenic chemicals (2,3,7, 8-tetrachlorodibenzo-p-dioxin [TCDD], ethyl carbamate [urethane], methylnitrosourea [MNU], or valproic acid [VA]) were given to pregnant mice to induce cleft palate (TCDD, urethane), digital defects (urethane, MNU), or exencephaly (VA). Before teratogen administration, the immune system of female mice was stimulated by intraperitoneal (IP) administration of pyran copolymer or attenuated bacillus Calmette Guérin (BCG), or by footpad injection with Freund's complete adjuvant (FCA). RESULTS: Fetal defects caused by all four chemicals studied were reduced by maternal immunostimulation, sometimes dramatically. In addition to reducing VA-induced exencephaly, immunostimulation with FCA resulted in fetal mice displaying anury (absence of tails). Activated maternal immune cells could not be detected in fetal circulation using flow cytometry and a fluorescent cell-tracking probe. CONCLUSIONS: For the chemicals tested, maternal immune stimulation has efficacy in reducing fetal defects. Immune protection against teratogenesis may be an indirect effect of maternal immune cell activation.


Assuntos
Anormalidades Induzidas por Medicamentos/prevenção & controle , Anormalidades Múltiplas/prevenção & controle , Adjuvantes Imunológicos/uso terapêutico , Vacina BCG/uso terapêutico , Adjuvante de Freund/uso terapêutico , Metilnitrosoureia/toxicidade , Dibenzodioxinas Policloradas/toxicidade , Gravidez/imunologia , Copolímero de Pirano/uso terapêutico , Teratogênicos/toxicidade , Uretana/toxicidade , Ácido Valproico/toxicidade , Anormalidades Induzidas por Medicamentos/embriologia , Anormalidades Induzidas por Medicamentos/etiologia , Anormalidades Múltiplas/embriologia , Anormalidades Múltiplas/etiologia , Adjuvantes Imunológicos/administração & dosagem , Animais , Vacina BCG/administração & dosagem , Vacina BCG/imunologia , Fissura Palatina/induzido quimicamente , Fissura Palatina/prevenção & controle , Cruzamentos Genéticos , Feminino , Sangue Fetal/citologia , Citometria de Fluxo , , Adjuvante de Freund/administração & dosagem , Adjuvante de Freund/imunologia , Injeções , Injeções Intraperitoneais , Deformidades Congênitas dos Membros/induzido quimicamente , Deformidades Congênitas dos Membros/prevenção & controle , Troca Materno-Fetal , Camundongos , Camundongos Endogâmicos C3H , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos ICR , Defeitos do Tubo Neural/induzido quimicamente , Defeitos do Tubo Neural/prevenção & controle , Copolímero de Pirano/administração & dosagem
18.
Teratology ; 62(6): 420-8, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11091364

RESUMO

BACKGROUND: Maternal immune stimulation reduces malformations caused by chemical teratogens. Mechanisms for this effect are not known. Altered expression of regulatory molecules (e.g., transforming growth factor [TGF-beta], tumor necrosis factor-alpha [TNF-alpha]) has been reported in fetuses from immunostimulated mice, which may affect gene expression. Expression of selected genes that function to control proliferation, differentiation, or apoptosis was evaluated in chemical-exposed fetuses, with or without maternal immunostimulation. METHODS: Ethyl carbamate (urethane) was given to pregnant ICR mice on day 10 of gestation to induce cleft palate. Before teratogen administration, the immune system of the female mice was stimulated by footpad injection with Freund's complete adjuvant (FCA) or by intraperitoneal injection with interferon-gamma (IFN-gamma). RESULTS: Maternal immunostimulation with interferon-gamma (IFN-gamma) decreased severity of the cleft palate lesion caused by urethane, while FCA decreased both incidence and severity of cleft palate. Gestation day 14 fetuses from urethane-exposed mothers displayed decreased expression of cell cycle/apoptotic genes bcl2alpha, bcl2beta, pkCalpha, and p53 in fetal heads. Immune stimulation with IFN-gamma-normalized expression of bcl2alpha, bcl2beta, and pkCalpha to control levels. Urethane also decreased the ratio of expression of bclalpha/p53, bclbeta/p53, and pkCalpha/p53, while maternal injection with IFN-gamma restored these expression ratios to control levels. Maternal immunization with FCA also significantly increased bcl2alpha/p53, bcl2beta/p53, and pkCalpha/p53 gene expression ratios. CONCLUSIONS: These results suggest that (1) the maternal immune system may possess heretofore unrecognized regulatory activity in fetal development, and (2) protection against urethane-induced cleft palate may be mediated through maternal immune regulation of fetal gene expression.


Assuntos
Anormalidades Induzidas por Medicamentos/prevenção & controle , Adjuvantes Imunológicos/farmacologia , Fissura Palatina/prevenção & controle , Adjuvante de Freund/farmacologia , Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Interferon gama/farmacologia , Gravidez/imunologia , Teratogênicos/toxicidade , Uretana/toxicidade , Anormalidades Induzidas por Medicamentos/genética , Adjuvantes Imunológicos/uso terapêutico , Animais , Apoptose/genética , Ciclo Celular/genética , Fissura Palatina/induzido quimicamente , Fissura Palatina/embriologia , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Desenvolvimento Embrionário e Fetal/genética , Feminino , Proteínas Fetais/genética , , Adjuvante de Freund/administração & dosagem , Adjuvante de Freund/uso terapêutico , Genes bcl-2 , Genes p53 , Injeções , Injeções Intraperitoneais , Interferon gama/administração & dosagem , Interferon gama/uso terapêutico , Isoenzimas/genética , Masculino , Camundongos , Camundongos Endogâmicos ICR , Proteína Quinase C/genética , Proteína Quinase C-alfa , RNA Mensageiro/análise , Receptores do Ácido Retinoico/genética , Receptores X de Retinoides , Fatores de Transcrição/genética
19.
J Am Vet Med Assoc ; 216(11): 1769-74, 2000 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-10844969

RESUMO

OBJECTIVE: To determine whether results of magnetic resonance imaging (MRI) and computed tomography (CT) are associated with postoperative outcome in working dogs with degenerative lumbosacral stenosis. DESIGN: Prospective cohort study. ANIMALS: 12 dogs treated surgically for degenerative lumbosacral stenosis. PROCEDURE: The lumbosacral vertebral column was examined before surgery by use of MRI and CT and after surgery by use of CT. Outcome, based on performance in standardized training exercises, was assessed 6 months after decompressive surgery. Associations between imaging results and postoperative outcome were determined by use of a Fisher exact test and logistic regression. RESULTS: None of the dogs were able to perform their duties before surgery. By 6 months after surgery, 8 of 12 dogs had been returned to full active duty. Nerve tissue compression was effectively localized by use of CT and MRI. Significant associations between results of imaging studies and postoperative outcome were not identified. CONCLUSIONS AND CLINICAL RELEVANCE: Surgical intervention is justified in high-performance working dogs with degenerative lumbosacral stenosis. However, results of imaging studies may be less important than clinical or surgical factors for predicting outcome in affected dogs.


Assuntos
Doenças do Cão/cirurgia , Imageamento por Ressonância Magnética/veterinária , Estenose Espinal/veterinária , Tomografia Computadorizada por Raios X/veterinária , Animais , Doenças do Cão/diagnóstico por imagem , Cães , Região Lombossacral/diagnóstico por imagem , Região Lombossacral/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Período Pós-Operatório , Estenose Espinal/diagnóstico por imagem , Estenose Espinal/cirurgia
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