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Master's Dissertation
DOI
10.11606/D.17.2017.tde-20072016-141046
Document
Author
Full name
Luís Henrique Angenendt da Costa
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2015
Supervisor
Committee
Rocha, Maria Jose Alves da (President)
Saia, Rafael Simone
Stabile, Angelita Maria
Title in Portuguese
Avaliação do comprometimento hipotalâmico na secreção de vasopressina durante a sepse
Keywords in Portuguese
Apoptose
Barreira hematoencefálica
Micróglia
Núcleo supraóptico
Abstract in Portuguese
Sepse e suas complicações (sepse grave e choque séptico) ainda são a principal causa de morte nas unidades de terapia intensiva em todo o mundo. Estudos clínicos e experimentais têm demonstrado que na fase inicial da sepse a concentração plasmática de arginina vasopressina (AVP) está elevada. No entanto, durante o processo fisiopatológico os níveis plasmáticos da mesma permanecem inadequadamente baixos, apesar de haver hipotensão persistente. Uma das hipóteses sugeridas para essa deficiência relativa de AVP é a apoptose de neurônios vasopressinérgicos. Nosso objetivo foi identificar elementos envolvidos na morte celular hipotalâmica, além de avaliar o comportamento de células gliais e da barreira hematoencefálica (BHE) durante a sepse. Ratos Wistar foram submetidos à sepse por ligadura e punção cecal (CLP) ou não manipulados (naive) como controle e então divididos em dois grupos. No primeiro, foram perfundidos e os cérebros coletados para imunohistoquímica. Outro grupo foi decapitado para a retirada de sangue para dosagem de interferon- gama (IFN-?) e encéfalo para análise da expressão de proteínas no hipotálamo ou nos núcleos supraópticos (SON) e paraventriculares (PVN). Um terceiro foi separado para investigação da permeabilidade da BHE. Apesar de aumento da imunomarcação de CD8 e MHC-I no SON dos animais sépticos, não encontramos indícios de morte celular mediada por células imunes. No SON e PVN de animais sépticos, a expressão de fatores envolvidos na ativação da via extrínseca de apoptose (tBID, caspase-8 clivada) se manteve inalterada, enquanto fatores anti-apoptóticos relacionados à via intrínseca (BCL-2, BCL-xL) estavam diminuídos no hipotálamo. No SON destes animais a micróglia assumiu uma morfologia associada à sua ativação, concomitante com o aumento plasmático de IFN-?. Houve rompimento transitório da BHE no hipotálamo após 6 horas do CLP. Os resultados indicam que a via intrínseca de apoptose parece ser a responsável pela morte celular que é observada nos núcleos vasopressinérgicos e essa condição está temporalmente associada à ativação microglial e rompimento da BHE
Title in English
Evaluation of hypothalamic impairment in vasopressin secretion during sepsis
Keywords in English
Apoptosis
Blood-brain barrier
Microglia
Supraoptic nucleus
Abstract in English
Sepsis and its complications (severe sepsis and septic shock) remain as the main cause of death in intensive care units worldwide. Clinical and experimental studies have shown that in the early phase of sepsis the plasma concentration of arginine vasopressin (AVP) is increased. However, during the pathophysiological process the plasma levels remain inadequately low, despite of persistent hypotension. One of the hypothesis suggested for this relative deficiency is the apoptosis of vasopressinergic neurons. Our objective was to identify elements involved in the hypothalamic cellular death and evaluate the modifications of glial cells and blood-brain-barrier (BBB) during sepsis. Wistar rats were submitted to sepsis by cecal ligation and puncture (CLP) or non-manipulated (naïve), as control and then divided in two groups. In the first one, they were perfused and brains were collected for immunohistochemistry. In another one they were decapitated for blood collection and further plasma interferongama (IFN-?) analysis by ELISA. Brain was also collected for apoptosis-related proteins expression analysis in the hypothalamus or in the supraoptic (SON) and paraventricular (PVN) nuclei. A third set was separated for the investigation of BBB permeability. Despite of increased immunostaining for CD8 and MHC-I in the SON of septic animals, we did not find evidence of cell death mediated by immune cells. In the SON and PVN of septic animals, the expression of proteins involved in the activation of the extrinsic apoptosis pathway (tBID, cleaved caspase-8) was not altered, whereas anti-apoptotic factors related to the intrinsic pathway (BCL-2, BCLxL) were decreased. In the SON of these animals, microglia assumed a morphology related to its activation, associated with the increase of plasma IFN-?. There was a transitory breakdown of BBB in hypothalamus after 6 hours following CLP. The results indicate that the intrinsic apoptosis pathway seems to be responsible for the cell death observed in vasopressinergic nuclei and this condition is temporally associated with microglial activation and BBB leaking
 
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Publishing Date
2017-03-30
 
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