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Master's Dissertation
DOI
10.11606/D.23.2016.tde-24052016-121129
Document
Author
Full name
Vanessa Juliana Gomes Carvalho
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2015
Supervisor
Committee
Domaneschi, Carina (President)
Gallo, Camila de Barros
Rabelo, Gustavo Davi
Title in Portuguese
Expressão dos genes codificadores de canais de sódio Nav 1.7, Nav 1.8 e Nav 1.9 em portadores da Síndrome de Ardência Bucal
Keywords in Portuguese
Canais de sódio
Dor neuropática
Nav 1.7
Nav 1.8
Nav 1.9
RT-PCR em tempo real
Síndrome de Ardência Bucal
Abstract in Portuguese
A síndrome de ardência bucal (SAB) é uma condição caracterizada pelo sintoma de ardência na mucosa oral, na ausência de qualquer sinal clínico. Sua etiologia é desconhecida e, até o momento, não dispõe de tratamento efetivo. Há entretanto características de doença neuropática que justificam investigações nesse sentido. O objetivo desse estudo foi mensurar a expressão gênica dos receptores de canais de sódio, Nav 1.7, Nav 1.8 e Nav 1.9, nos pacientes portadores de SAB. A casuística foi composta por dois grupos sendo o grupo de estudo composto por 12 pacientes portadores de SAB, selecionados através do critério estabelecido pela International Headache Society, em 2013 e o grupo controle composto por 4 pacientes não portadores de SAB. As amostras analisadas foram coletadas do dorso lingual, por meio de biópsia realizada com punch de 3 mm e profundidade de 3 mm, estas foram submetidas ao método de análise RT-PCR em tempo real. A expressividade dos genes de canais de sódio foi avaliada nos indivíduos portadores de SAB em relação aos do grupo controle, sendo esta calculada a partir da normalização dos dados da quantificação destes com os da expressão do gene constitutivo (GAPDH), pelo método de Cicle Threshold comparativo e analisados estatisticamente por meio do teste estatístico Mann-Whitnney. Observou-se o aumento da expressão gênica do Nav 1.7 (fold-change = 38.70) e diminuição da expressão gênica do Nav 1.9 (fold-change = 0.89), porém sem diferenças estatisticamente significativas entre os grupos analisados. O gene Nav 1.8 não foi expresso em nenhuma das amostras analisadas. O Nav 1.7 expressa-se tanto em neurônios nociceptivos quanto no sistema nervoso autônomo e mutações no Nav 1.9 tem sido associada a perda de percepção dolorosa. Os resultados obtidos embora não estatisticamente significativos são compatíveis com as características da doença, justificando a extensão dos estudos na linha expressão de genes codificadores dos canais de sódio em pacientes com SAB.
Title in English
Expression of coding genes sodium channel Nav 1.7, Nav 1.8 and Nav 1.9 in patients with Burning Mouth Syndrome
Keywords in English
Burning Mouth Syndrome
Nav 1.7
Nav 1.8
Nav 1.9
Neuropathic pain
RT-PCR in real-time
Sodium channel
Abstract in English
Burning mouth syndrome (BMS) is a condition characterized by symptoms of burning in the oral mucosa, in the absence of any clinical signs. Its etiology is unknown and so far, it has no effective treatment. It is important to mention that BMS exhibits some traits of a neuropathic disease, what justifies a thorough investigation of this subject.The objective of this study was to measure the gene expression of the sodium channel receptors, Nav 1.7, Nav 1.8 and Nav 1.9, in patients with BMS.The sample was composed of two groups, being the study group formed by 12 patients with SAB, selected according to the criteria established by the International Headache Society in 2013, while the compound control group had 4 patients without SAB. The analyzed samples were collected from the tongue, by the biopsy technique with a 3 mm punch and 3mm depth. These samples were processed in real time, following the guidelines set forth by the RT-PCR method. The expressiveness of the sodium channels was evaluated in the individuals with BMS in relation to control group, which was calculated from the normalization of these data with the quantification of the expression of a constitutive gene (GAPDH) by the Cycle Threshold comparative methods and statistically compared by Man-Whitnney test. We observed an increased gene expression of Nav 1.7 (fold-change = 38.70) and a decreased gene expression of Nav 1.9 (fold-change = 0.89), but no statistically significant differences between the groups. Nav 1.8 gene was not expressed in any of the samples. Nav 1.7 is expressed in both nociceptive neurons as the autonomic nervous system and changes in Nav 1.9 has been associated with loss of pain perception. The results although not statistically significant are consistent with the disease characteristics, justifying the extension line of the studies on the expression of genes encoding the sodium channel in patients with SAB.
 
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Publishing Date
2016-06-23
 
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