ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO.
Main Author: | |
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Publication Date: | 2018 |
Format: | Doctoral thesis |
Language: | por |
Source: | Biblioteca Digital de Teses e Dissertações da UFMA |
dARK ID: | ark:/70116/001300000665s |
Download full: | https://tedebc.ufma.br/jspui/handle/tede/2175 |
Summary: | Osteoarthritis (OA) is a multifactorial disease involving diarthrosis, characterized by cellular stress and degradation of the extracellular matrix, associated with micro and macrolesions, that activate maladaptive repair responses. Strontium ranelate (SrRan) has the potential to interfere with the progression of OA. The aim of this experiment was to test the prophylactic and therapeutic effects of the use of SrRan on knee OA. At the first moment of the research, an experimental protocol with induction of knee OA was performed by intra-articular injection of sodium monoiodoacetate. Thirty Wistar rats were divided into five groups with six animals: control group, without interventions; group which received prophylactically SrRan at a daily oral dose of 25 m g/kg for 28 days before induction of OA; groups treated with 25 or 50 mg/kg/day for 28 days after induction; and a group receiving saline after induction. Clinical parameters of pain, (joint incapacity, mechanical hyperalgesia and motor activity) were asse ssed at days zero, seven, 14, 21 and 28 after induction. In the second phase of the research, 30 Wistar rats were distributed in groups similar to the first one, now receiving higher doses of SrRan: the prophylactic group received daily dose of 250 mg/kg for 28 days before induction; and the treated groups received doses of 250 or 500 mg/kg/day for 28 days after induction of OA; besides the control group and the saline group. Behavioral tests, histological evaluation and dosage of synovial inflammatory cytokines (IL-6, IL-10, TNF-α and INF-γ) were performed. The use of smaller doses of SrRan did not promote analgesia in the model studied. As doses increased, an improvement in joint discomfort was observed, both with prophylactic and therapeutic use. The prophylactic use and doses of 500 mg/kg/day also showed improvement of mechanical hyperalgesia. IL-6, IL-10, TNF-α and IFN-γ dosages and histopathological evaluation for the groups receiving SrRan and the control group showed similar means. This work described a possible protective effect of SrRan, both prophylactic and therapeutic, on the articular cartilage, probably associated with an anti-inflammatory action of the drug, with beneficial effect in clinical and morphological parameters in experimental model of OA in rats. |
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GARCIA, João Batista Santos135.570.488-02http://lattes.cnpq.br/0424234103760462CARTÁGENES, Maria do Socorro de Sousa407.888.653-15GARCIA, João Batista Santos135.570.488-02http://lattes.cnpq.br/0424234103760462LIBÉRIO, Rosane Nassar Meireles GuerraNINA, Vinicius José da SilvaVIEIRA, Érica Brandão de Moraeshttp://lattes.cnpq.br/2265220151524135CABRAL, Flávia Castello Branco Vidal903.693.783-34http://lattes.cnpq.br/3694330594230199RODRIGUES, Thiago Alves2018-04-17T18:52:17Z2018-04-02Rodrigues, Thiago Alves. Análise da ação do ranelato de estrôncio em modelo experimental de osteoartrite em rato. 2018. [137 folhas]. Tese( PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBS) - Universidade Federal do Maranhão, São Luis.https://tedebc.ufma.br/jspui/handle/tede/2175ark:/70116/001300000665sOsteoarthritis (OA) is a multifactorial disease involving diarthrosis, characterized by cellular stress and degradation of the extracellular matrix, associated with micro and macrolesions, that activate maladaptive repair responses. Strontium ranelate (SrRan) has the potential to interfere with the progression of OA. The aim of this experiment was to test the prophylactic and therapeutic effects of the use of SrRan on knee OA. At the first moment of the research, an experimental protocol with induction of knee OA was performed by intra-articular injection of sodium monoiodoacetate. Thirty Wistar rats were divided into five groups with six animals: control group, without interventions; group which received prophylactically SrRan at a daily oral dose of 25 m g/kg for 28 days before induction of OA; groups treated with 25 or 50 mg/kg/day for 28 days after induction; and a group receiving saline after induction. Clinical parameters of pain, (joint incapacity, mechanical hyperalgesia and motor activity) were asse ssed at days zero, seven, 14, 21 and 28 after induction. In the second phase of the research, 30 Wistar rats were distributed in groups similar to the first one, now receiving higher doses of SrRan: the prophylactic group received daily dose of 250 mg/kg for 28 days before induction; and the treated groups received doses of 250 or 500 mg/kg/day for 28 days after induction of OA; besides the control group and the saline group. Behavioral tests, histological evaluation and dosage of synovial inflammatory cytokines (IL-6, IL-10, TNF-α and INF-γ) were performed. The use of smaller doses of SrRan did not promote analgesia in the model studied. As doses increased, an improvement in joint discomfort was observed, both with prophylactic and therapeutic use. The prophylactic use and doses of 500 mg/kg/day also showed improvement of mechanical hyperalgesia. IL-6, IL-10, TNF-α and IFN-γ dosages and histopathological evaluation for the groups receiving SrRan and the control group showed similar means. This work described a possible protective effect of SrRan, both prophylactic and therapeutic, on the articular cartilage, probably associated with an anti-inflammatory action of the drug, with beneficial effect in clinical and morphological parameters in experimental model of OA in rats.A osteoartrite (OA) é uma doença de etiologia multifatorial que envolve diartroses, caracterizada por estresse celular e degradação da matriz extracelular, associados a micro e macrolesões, que ativam respostas mal-adaptativas de reparação. O ranelato de estrôncio (SrRan) possui potencial de interferir na progressão da OA. O objetivo deste estudo foi testar os efeitos profilático e terapêutico do uso de SrRan na OA de joelho. No primeiro momento da pesquisa, realizou -se indução de OA de joelho, pela injeção intra-articular de monoiodoacetato de sódio. Trinta ratos Wistar foram divididos em cinco grupos com seis animais: grupo controle, sem intervenções; grupo que recebeu profilaticamente SrRan, via oral diária, de 25 mg/kg por 28 dias antes da indução de OA; grupos tratados com 25 ou 50 mg/kg/dia por 28 dias após a indução; e grupo que recebeu solução salina após a indução. Foram avaliados parâmetros clínicos de dor (incapacidade articular, hiperalgesia mecânica e atividade motora), nos dias zero, sete, 14, 21 e 28 após a indução. No segundo momento da pesquisa, 30 ratos Wistar foram distribuídos em grupos de forma semelhante à do primeiro momento, agora recebendo doses maiores de SrRan: o grupo profilático recebeu dose diária de 250 mg/kg por 28 dias antes da indução; e os grupos tratados receberam doses de 250 e 500 mg/kg/dia por 28 dias após a indução de OA; além do grupo controle e do grupo que recebeu salina. Foram realizados testes comportamentais, avaliação histológica e dosagem de citocinas inflamatórias no líquido sinovial (IL-6, IL-10, TNF-α e INF-γ). O uso de doses menores de SrRan não promoveu analgesia no modelo estudado. Com o aumento das doses, foi observada melhora no desconforto articular, tanto com utilização profilática, quanto terapêutica. O uso profilático e de doses de 500 mg/kg/dia também revelaram melhora da hiperalgesia mecânica. As dosagens de IL-6, IL-10, TNF-α e IFN-γ e a avaliação histopatológica dos grupos que receberam SrRan e do grupo com animais sadios demonstraram valores médios semelhantes. Este trabalho descreveu um possível efeito protetor do SrRan, tanto profilático quanto terapêutico, sobre a cartilagem articular, associado, provavelmente, a uma ação anti-inflamatória do fármaco, com efeito benéfico em parâmetros clínicos e morfológicos em modelo experimental de OA em ratos.Submitted by Maria Aparecida (cidazen@gmail.com) on 2018-04-17T18:52:17Z No. of bitstreams: 1 Thiago Alves Rodrigues.pdf: 3705754 bytes, checksum: 508e5332a3e1248e921bc7720298c159 (MD5)Made available in DSpace on 2018-04-17T18:52:17Z (GMT). No. of bitstreams: 1 Thiago Alves Rodrigues.pdf: 3705754 bytes, checksum: 508e5332a3e1248e921bc7720298c159 (MD5) Previous issue date: 2018-04-02application/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBSUFMABrasilDEPARTAMENTO DE SAÚDE PÚBLICA/CCBSranelato de estrôncio; osteoartrite; dor; inflamaçãostrontium ranelate; osteoarthritis; pain; inflammationAnálise e Controle e Medicamentos.ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO.ANALYSIS OF THE ACTION OF STRONTIUM RANELATE IN EXPERIMENTAL OSTEOARTHRITIS MODEL IN RAT.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALThiago Alves Rodrigues.pdfThiago Alves Rodrigues.pdfapplication/pdf3705754http://tedebc.ufma.br:8080/bitstream/tede/2175/2/Thiago+Alves+Rodrigues.pdf508e5332a3e1248e921bc7720298c159MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82255http://tedebc.ufma.br:8080/bitstream/tede/2175/1/license.txt97eeade1fce43278e63fe063657f8083MD51tede/21752018-04-17 15:52:17.792oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttps://tedebc.ufma.br/jspui/PUBhttp://tedebc.ufma.br:8080/oai/requestrepositorio@ufma.br||repositorio@ufma.bropendoar:21312018-04-17T18:52:17Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA)false |
dc.title.por.fl_str_mv |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
dc.title.alternative.eng.fl_str_mv |
ANALYSIS OF THE ACTION OF STRONTIUM RANELATE IN EXPERIMENTAL OSTEOARTHRITIS MODEL IN RAT. |
title |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
spellingShingle |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. RODRIGUES, Thiago Alves ranelato de estrôncio; osteoartrite; dor; inflamação strontium ranelate; osteoarthritis; pain; inflammation Análise e Controle e Medicamentos. |
title_short |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
title_full |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
title_fullStr |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
title_full_unstemmed |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
title_sort |
ANÁLISE DA AÇÃO DO RANELATO DE ESTRÔNCIO EM MODELO EXPERIMENTAL DE OSTEOARTRITE EM RATO. |
author |
RODRIGUES, Thiago Alves |
author_facet |
RODRIGUES, Thiago Alves |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
GARCIA, João Batista Santos |
dc.contributor.advisor1ID.fl_str_mv |
135.570.488-02 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0424234103760462 |
dc.contributor.advisor-co1.fl_str_mv |
CARTÁGENES, Maria do Socorro de Sousa |
dc.contributor.advisor-co1ID.fl_str_mv |
407.888.653-15 |
dc.contributor.referee1.fl_str_mv |
GARCIA, João Batista Santos |
dc.contributor.referee1ID.fl_str_mv |
135.570.488-02 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0424234103760462 |
dc.contributor.referee2.fl_str_mv |
LIBÉRIO, Rosane Nassar Meireles Guerra |
dc.contributor.referee3.fl_str_mv |
NINA, Vinicius José da Silva |
dc.contributor.referee4.fl_str_mv |
VIEIRA, Érica Brandão de Moraes |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/2265220151524135 |
dc.contributor.referee5.fl_str_mv |
CABRAL, Flávia Castello Branco Vidal |
dc.contributor.authorID.fl_str_mv |
903.693.783-34 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3694330594230199 |
dc.contributor.author.fl_str_mv |
RODRIGUES, Thiago Alves |
contributor_str_mv |
GARCIA, João Batista Santos CARTÁGENES, Maria do Socorro de Sousa GARCIA, João Batista Santos LIBÉRIO, Rosane Nassar Meireles Guerra NINA, Vinicius José da Silva VIEIRA, Érica Brandão de Moraes CABRAL, Flávia Castello Branco Vidal |
dc.subject.por.fl_str_mv |
ranelato de estrôncio; osteoartrite; dor; inflamação |
topic |
ranelato de estrôncio; osteoartrite; dor; inflamação strontium ranelate; osteoarthritis; pain; inflammation Análise e Controle e Medicamentos. |
dc.subject.eng.fl_str_mv |
strontium ranelate; osteoarthritis; pain; inflammation |
dc.subject.cnpq.fl_str_mv |
Análise e Controle e Medicamentos. |
description |
Osteoarthritis (OA) is a multifactorial disease involving diarthrosis, characterized by cellular stress and degradation of the extracellular matrix, associated with micro and macrolesions, that activate maladaptive repair responses. Strontium ranelate (SrRan) has the potential to interfere with the progression of OA. The aim of this experiment was to test the prophylactic and therapeutic effects of the use of SrRan on knee OA. At the first moment of the research, an experimental protocol with induction of knee OA was performed by intra-articular injection of sodium monoiodoacetate. Thirty Wistar rats were divided into five groups with six animals: control group, without interventions; group which received prophylactically SrRan at a daily oral dose of 25 m g/kg for 28 days before induction of OA; groups treated with 25 or 50 mg/kg/day for 28 days after induction; and a group receiving saline after induction. Clinical parameters of pain, (joint incapacity, mechanical hyperalgesia and motor activity) were asse ssed at days zero, seven, 14, 21 and 28 after induction. In the second phase of the research, 30 Wistar rats were distributed in groups similar to the first one, now receiving higher doses of SrRan: the prophylactic group received daily dose of 250 mg/kg for 28 days before induction; and the treated groups received doses of 250 or 500 mg/kg/day for 28 days after induction of OA; besides the control group and the saline group. Behavioral tests, histological evaluation and dosage of synovial inflammatory cytokines (IL-6, IL-10, TNF-α and INF-γ) were performed. The use of smaller doses of SrRan did not promote analgesia in the model studied. As doses increased, an improvement in joint discomfort was observed, both with prophylactic and therapeutic use. The prophylactic use and doses of 500 mg/kg/day also showed improvement of mechanical hyperalgesia. IL-6, IL-10, TNF-α and IFN-γ dosages and histopathological evaluation for the groups receiving SrRan and the control group showed similar means. This work described a possible protective effect of SrRan, both prophylactic and therapeutic, on the articular cartilage, probably associated with an anti-inflammatory action of the drug, with beneficial effect in clinical and morphological parameters in experimental model of OA in rats. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-04-17T18:52:17Z |
dc.date.issued.fl_str_mv |
2018-04-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Rodrigues, Thiago Alves. Análise da ação do ranelato de estrôncio em modelo experimental de osteoartrite em rato. 2018. [137 folhas]. Tese( PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBS) - Universidade Federal do Maranhão, São Luis. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/2175 |
dc.identifier.dark.fl_str_mv |
ark:/70116/001300000665s |
identifier_str_mv |
Rodrigues, Thiago Alves. Análise da ação do ranelato de estrôncio em modelo experimental de osteoartrite em rato. 2018. [137 folhas]. Tese( PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBS) - Universidade Federal do Maranhão, São Luis. ark:/70116/001300000665s |
url |
https://tedebc.ufma.br/jspui/handle/tede/2175 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Federal do Maranhão |
dc.publisher.program.fl_str_mv |
PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE/CCBS |
dc.publisher.initials.fl_str_mv |
UFMA |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
DEPARTAMENTO DE SAÚDE PÚBLICA/CCBS |
publisher.none.fl_str_mv |
Universidade Federal do Maranhão |
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Biblioteca Digital de Teses e Dissertações da UFMA |
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Biblioteca Digital de Teses e Dissertações da UFMA - Universidade Federal do Maranhão (UFMA) |
repository.mail.fl_str_mv |
repositorio@ufma.br||repositorio@ufma.br |
_version_ |
1831313496312119296 |