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Doctoral Thesis
DOI
10.11606/T.10.2014.tde-07012015-084614
Document
Author
Full name
Carolina Akiko Sato Cabral de Araujo
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2014
Supervisor
Committee
Ortolani, Enrico Lippi (President)
Antonelli, Alexandre Coutinho
Leal, Marta Lizandra do Rêgo
Libera, Alice Maria Melville Paiva Della
Sucupira, Maria Claudia Araripe
Title in Portuguese
Perfil metabólico e hormonal de ovelhas superalimentadas submetidas à hipercetonemia e hiperlipidemia, e tratadas com somatotropina recombinante bovina (r-bST)
Keywords in Portuguese
β Hidroxibutirato (BHB)
Ácidos Graxos Não Esterificados (AGNEs)
Ovelhas
Somatotropina e tratamento
Abstract in Portuguese
O objetivo deste trabalho consistiu em esclarecer os mecanismos bioquímicos e hormonais da ação da somatotropina recombinante bovina (r-bST), recomendada no tratamento de toxemia da prenhez (TP). Para tal, foram realizados dois experimentos nos quais induziram-se quadros de hipercetonemia ou hiperlipidemia em 39 ovelhas com elevada condição corporal tratadas ou não previamente com 160 mg de um produto comercial de r-bST, pela via subcutânea. A hipercetonemia foi provocada pela infusão IV de 5 mM/kg P.V. de beta hidroxibutirato (BHB) no decorrer de duas horas e a hiperlipidemia com injeção IV de solução 20% de óleo de peixe, perfazendo 0,54g de triacilglicerol/kg P.V. no decorrer de quatro dias. Essas quantidades infundidas lograram provocar os quadros esperados. No primeiro experimento, o tratamento com r-bST promoveu aumento significativo da gliconeogênese por meio da conversão de BHB em glicose, maiores teores de insulina, com consequente aumento da resistência insulínica, incremento na concentração de IGF1 que levou a mobilização de nitrogênio ureico para os depósitos e maior atividade de GGT. No segundo experimento, o rbST gerou destacado aumento da gliconeogênese, pela metabolização dos AGNEs e de BHB em glicose, com maior destaque aos AGNEs, elevação dos teores de insulina e do percentual de resistência insulínica, e maior atividade da AST e GGT e bilirrubinal direta e total. Assim, conclui-se que a atuação farmacológica do r-bST se baseia na vigorosa capacidade do aumento da gliconeogênese, diminuindo concomitantemente os nefastos catabólitos (AGNEs e BHB) no processo da TP. Foi realizado ainda um experimento subsidiário para comparar a capacidade diagnóstica da detecção de BHB, em sangue total, entre o kit diagnóstico enzimático (Randox®), padrão ouro, e tiras reativas comerciais (Precision Xceed®) lidas em dosímetro portátil. Foram obtidas 247 amostras de sangue das ovelhas nas quais tinham sido infundida solução de BHB, no experimento um. Duas faixas de acetonemia foram consideradas: de 0,7 a 1,5 mM caracterizada como cetose inaparente e acima deste valor como cetose clínica. A correlação entre os métodos foi alta (r = 0,98 ; P < 0,001). Na cetose inaparente as tiras reativas apresentaram sensibilidade de 0,97 e especificidade de 0,89 e na cetose aparente sensibilidade de 0,99 e especificidade de 0,75, respectivamente. As tiras reativas podem ser empregadas eficientemente no diagnóstico precoce de casos de TP, com custo baixo e rápida leitura ao pé dos animais.
Title in English
Metabolic and Hormonal Profile of overnourished sheep submited to Hyperketonemia and hyperlipidemia, and treated with recombinat bovine somatotropin
Keywords in English
β Hidroxibutyrate
Ewes
Nonsterified Fatty Acids (NEFA)
Somatotropin and treatment
Abstract in English
The aim of this study was to clarify the biochemical and hormonal mechanisms of action of recombinant bovine somatotropin (r-bST), recommended in the treatment of pregnancy toxemia (PT). Two experiments were conducted inducing hyperlipidemia or hyperketonemia in 39 high body condition sheep pretreated or no with 160 mg of a commercial product of rbST subcutaneously. The hyperketonemia was caused by IV infusion of 5 mM / kg BW of beta-hydroxybutyrate (BHB) during two hours and hyperlipidemia with IV injection of a 20% fish oil solution corresponding to 0.54 g of triglyceride / kg BW in four days course. These infusions successfully caused the expected effects. In the first experiment, treatment with rbST caused a significant increase of gluconeogenesis by converting BHB into glucose, higher levels of insulin, with consequent increased insulin resistance, increase in the concentration of IGF1 leading to mobilization of urea nitrogen for deposits and increased activity of GGT. In the second experiment, the r-bST greatly increased gluconeogenesis generated by metabolism of non esterified fatty acids (NEFA), BHB and glucose, with emphasis on NEFA, elevated levels of insulin and the percentage of insulin resistance, and increased activity of AST and GGT and bilirrubin direct and total. In conclusion, the pharmacological action of r-bST is based on vigorous increase capacity on gluconeogenesis, concomitantly reducing the adverse catabolites (NEFA and BHB) in the PT process. An additional experiment was performed to compare the diagnostic capability of detecting BHB in whole blood, between the enzymatic diagnostic kit (Randox®), considered gold standard, and commercial test strips (Precision Xceed®) read in hand-held meter. 247 sheep blood samples were obtained in the first experiment in which BHB solution had been infused. Two ketonemic tracks were considered: 0.7 to 1.5 mM characterized as unapparent ketosis and above this value as a clinical ketosis. The correlation between the methods was high (r = 0.98, P <0.001). In test strips method, ketosis unapparent showed sensitivity of 0.97 and specificity of 0.89 and in ketosis apparent sensitivity of 0.99 and specificity of 0.75, respectively. The test strips can be used efficiently in the early diagnosis of cases of TP, with fast reading and low cost.
 
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Publishing Date
2015-03-03
 
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