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Moraes MM, Marques AL, Borges L, Hatanaka E, Heller D, Núñez-Espinosa C, Gonçalves DAP, Soares DD, Wanner SP, Mendes TT, Arantes RME. Sleep impairment and altered pattern of circadian biomarkers during a long-term Antarctic summer camp. Sci Rep 2023; 13:15959. [PMID: 37749123 PMCID: PMC10519969 DOI: 10.1038/s41598-023-42910-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Accepted: 09/15/2023] [Indexed: 09/27/2023] Open
Abstract
Antarctic expeditions include isolation and exposure to cold and extreme photoperiods (with continuous natural light during summer) that may influence psychophysiological responses modulated by luminosity and sleep. We assessed changes in night sleep patterns by actigraphy, salivary biomarkers, and perceptual variables in seven participants in the following time points along a 50-day camping expedition in Antarctica (Nelson Island): Pre-Field (i.e., on the ship before camp), Field-1, Field-2, Field-3, Field-4 (from 1st to 10th, 11th to 20th, 21st to 35th and 36th to 50th days in camp, respectively), and Post-Field (on the ship after camp). We also characterized mood states, daytime sleepiness, and sleep quality by questionnaires. Staying in an Antarctic camp reduced sleep efficiency (5.2%) and increased the number of awakenings and wakefulness after sleep onset (51.8% and 67.1%, respectively). Furthermore, transient increases in time in bed (16.5%) and sleep onset latency (4.8 ± 4.0 min, from Pre- to Field-3) was observed. These changes were accompanied by an altered pattern of the emerging circadian marker β-Arrestin-1 and a trend to reduce nocturnal melatonin [57.1%; P = 0.066, with large effect size (ES) from Pre-Field to Field-2 (ES = 1.2) and Field-3 (ES = 1.2)]. All changes returned to Pre-Field values during the Post-Field. The volunteers reported sleep-related physical complaints (feeling of cold and pain, discomfort to breathe, and cough or loud snoring), excessive daytime sleepiness, and reduced vigor during the camp. Thus, a 50-day camp alters neuroendocrine regulation and induces physical discomfort, which may explain the impaired sleep pattern and the consequent daytime sleepiness and mood changes.
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Affiliation(s)
- Michele Macedo Moraes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais (NUPAD-FM/UFMG), Belo Horizonte, MG, Brazil
| | - Alice Lamounier Marques
- Post-Graduation Program in Social Sciences in Development, Culture and Society, Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ, Brazil
| | - Leandro Borges
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Debora Heller
- Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
- Post-Graduate Studies in Dentistry, Universidade Cruzeiro Do Sul, São Paulo, SP, Brazil
- Department of Periodontology, School of Dentistry, UT Health San Antonio, San Antonio, TX, USA
| | - Cristian Núñez-Espinosa
- Escuela de Medicina, Universidad de Magallanes, Punta Arenas, Chile
- Centro Asistencial Docente y de Investigación, Universidad de Magallanes, Punta Arenas, Chile
- Interuniversity Center for Healthy Aging, Chilecito, Chile
| | - Dawit Albieiro Pinheiro Gonçalves
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Danusa Dias Soares
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Samuel Penna Wanner
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Thiago Teixeira Mendes
- Department of Physical Education, Faculty of Education, Universidade Federal da Bahia, Salvador, BA, Brazil
| | - Rosa Maria Esteves Arantes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais (NUPAD-FM/UFMG), Belo Horizonte, MG, Brazil.
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2
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Silva J, Borges L, Weimann E, Belmiro Dias B, Gomes Faria F, Ferreira Salgado B, de Freitas P, Cristina Pithon-Curi T, Hatanaka E. A Single Bout of High Heels Dancing Causes an Increase in Circulating Markers of Muscle Tissue Degradation and MMP-3 in Young Healthy Women. Transl Sports Med 2023; 2023:8852889. [PMID: 38654916 PMCID: PMC11022759 DOI: 10.1155/2023/8852889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/08/2023] [Accepted: 05/26/2023] [Indexed: 04/26/2024]
Abstract
Prolonged wearing of high heels can cause chronic injury and inflammation. Herein, we investigated the presence of muscle injury, inflammation, and neutrophil function in young women after a single bout of stiletto dance class. Sixteen volunteers (23.4 ± 3.8 years; 61.7 ± 8.1 kg; 23.4 ± 2.3 kg/m2; and 27.2 ± 3.8% body fat) participated in the study. The plasma biomarkers matrix metalloproteinase 3 (MMP-3), muscle damage (myoglobin (Mb), total creatine kinase (CK), and lactate dehydrogenase (LDH)), and inflammation (interleukin 8 (IL-8), tumour necrosis factor-alpha (TNF-α), interleukin (IL]-1β, and IL-6) were quantified before and immediately after a single stiletto class (60 min) of moderate intensity. After class, our data showed that the plasma concentration of MMP-3, Mb, and CK increased by 56% (p = 0.04; d = 0.8), 113% (p = 0.007; d = 1.1), and 21% (p < 0.001; d = 0.4), respectively. Reactive oxygen species produced by neutrophils and the plasma concentration of IL-8, TNF-α, IL-1β, and IL-6 were not affected under the study conditions. We concluded that a single bout of stiletto dance class caused muscle damage but did not alter the plasma concentration of proinflammatory cytokines. These findings are crucial in preventing the progress of chronic injuries that are often noted in dancers with synovitis and arthritis.
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Affiliation(s)
- Jamila Silva
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Leandro Borges
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Eleine Weimann
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Beatriz Belmiro Dias
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Flavio Gomes Faria
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Beatriz Ferreira Salgado
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Paulo de Freitas
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Tania Cristina Pithon-Curi
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Elaine Hatanaka
- Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
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3
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Barquilha G, Dos Santos CMM, Caçula KG, Santos VC, Polotow TG, Vasconcellos CV, Gomes-Santos JAF, Rodrigues LE, Lambertucci RH, Serdan TDA, Levada-Pires AC, Hatanaka E, Cury-Boaventura MF, de Freitas PB, Pithon-Curi TC, Masi LN, Barros MP, Curi R, Gorjão R, Hirabara SM. Fish Oil Supplementation Improves the Repeated-Bout Effect and Redox Balance in 20-30-Year-Old Men Submitted to Strength Training. Nutrients 2023; 15:1708. [PMID: 37049548 PMCID: PMC10096819 DOI: 10.3390/nu15071708] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/23/2023] [Accepted: 03/29/2023] [Indexed: 04/03/2023] Open
Abstract
Herein, we investigated the effect of fish oil supplementation combined with a strength-training protocol, for 6 weeks, on muscle damage induced by a single bout of strength exercise in untrained young men. Sixteen men were divided into two groups, supplemented or not with fish oil, and they were evaluated at the pre-training period and post-training period. We investigated changes before and 0, 24, and 48 h after a single hypertrophic exercise session. Creatine kinase (CK) and lactate dehydrogenase (LDH) activities, plasma interleukin-6 (IL-6) and C-reactive protein (CRP) levels, and the redox imbalance were increased in response to the single-bout session of hypertrophic exercises at baseline (pre-training period) and decreased during the post-training period in the control group due to the repeated-bout effect (RBE). The fish oil supplementation exacerbated this reduction and improved the redox state. In summary, our findings demonstrate that, in untrained young men submitted to a strength-training protocol, fish oil supplementation is ideal for alleviating the muscle injury, inflammation, and redox imbalance induced by a single session of intense strength exercises, highlighting this supplementation as a beneficial strategy for young men that intend to engage in strength-training programs.
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Affiliation(s)
- Gustavo Barquilha
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Cesar Miguel Momesso Dos Santos
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
- ENAU Faculty, Ribeirão Pires 09424-130, Brazil
- United Metropolitan Colleges, Centro Universitário FMU, Sao Paulo 01503-001, Brazil
| | - Kim Guimaraes Caçula
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Vinícius Coneglian Santos
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil
| | - Tatiana Geraldo Polotow
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Cristina Vardaris Vasconcellos
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - José Alberto Fernandes Gomes-Santos
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Luiz Eduardo Rodrigues
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | | | - Tamires Duarte Afonso Serdan
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
- Department of Molecular Pathobiology, New York University, New York, NY 10010, USA
| | - Adriana Cristina Levada-Pires
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Elaine Hatanaka
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Maria Fernanda Cury-Boaventura
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Paulo Barbosa de Freitas
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Tania Cristina Pithon-Curi
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Laureane Nunes Masi
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Marcelo Paes Barros
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Rui Curi
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
- Instituto Butantan, Sao Paulo 05503-900, Brazil
| | - Renata Gorjão
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
| | - Sandro Massao Hirabara
- Interdisciplinary Post-Graduate Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo 01506-000, Brazil
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4
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Moraes MM, Mendes TT, Borges L, Marques AL, Núñez-Espinosa C, Gonçalves DAP, Simões CB, Vieira TS, Ladeira RVP, Lourenço TGB, Ribeiro DV, Hatanaka E, Heller D, Arantes RME. A 7-Week Summer Camp in Antarctica Induces Fluctuations on Human Oral Microbiome, Pro-Inflammatory Markers and Metabolic Hormones Profile. Microorganisms 2023; 11:microorganisms11020339. [PMID: 36838304 PMCID: PMC9960157 DOI: 10.3390/microorganisms11020339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 01/13/2023] [Accepted: 01/14/2023] [Indexed: 01/31/2023] Open
Abstract
Antarctic camps pose psychophysiological challenges related to isolated, confined, and extreme (ICE) conditions, including meals composed of sealed food. ICE conditions can influence the microbiome and inflammatory responses. Seven expeditioners took part in a 7-week Antarctic summer camp (Nelson Island) and were evaluated at Pre-Camp (i.e., at the beginning of the ship travel), Camp-Initial (i.e., 4th and 5th day in camp), Camp-Middle (i.e., 19th-20th, and 33rd-34th days), Camp-Final (i.e., 45th-46th day), and at the Post-Camp (on the ship). At the Pre-Camp, Camp-Initial, and Camp-Final, we assessed microbiome and inflammatory markers. Catecholamines were accessed Pre- and Post-Camp. Heart rate variability (HRV), leptin, thyroid stimulating hormone (TSH), and thyroxine (T4) were accessed at all time points. Students' t-tests or repeated-measures analysis of variance (one or two-way ANOVA) followed by Student-Newman-Keuls (post hoc) were used for parametric analysis. Kruskal-Wallis test was applied for non-parametric analysis. Microbiome analysis showed a predominance of Pseudomonadota (34.01%), Bacillota (29.82%), and Bacteroidota (18.54%), followed by Actinomycetota (5.85%), and Fusobacteria (5.74%). Staying in a long-term Antarctic camp resulted in microbiome fluctuations with a reduction in Pseudomonadota-a "microbial signature" of disease. However, the pro-inflammatory marker leptin and IL-8 tended to increase, and the angiogenic factor VEGF was reduced during camp. These results suggest that distinct Antarctic natural environments and behavioral factors modulate oral microbiome and inflammation.
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Affiliation(s)
- Michele M. Moraes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais, NUPAD-FM/UFMG, Belo Horizonte 30130-100, MG, Brazil
| | - Thiago T. Mendes
- Department of Physical Education, Faculty of Education, Universidade Federal da Bahia, Salvador 40170-110, BA, Brazil
| | - Leandro Borges
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo 01506-000, SP, Brazil
| | - Alice L. Marques
- Post-Graduation Program in Social Sciences in Development, Culture and Society of the Universidade Federal Rural do Rio de Janeiro, Seropédica 23890-000, RJ, Brazil
| | - Cristian Núñez-Espinosa
- School of Medicine, Universidad de Magallanes, Punta Arenas 6200000, Chile
- Austral Integrative Neurophysiology Group, Centro Asistencial Docente y de Investigación, Universidad de Magallanes, Punta Arenas 6200000, Chile
- Interuniversity Center for Healthy Aging, Punta Arenas 6200000, Chile
| | - Dawit A. P. Gonçalves
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
- Sports Training Center, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
| | - Carolina B. Simões
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
- Sports Training Center, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
| | - Tales S. Vieira
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
| | - Roberto V. P. Ladeira
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais, NUPAD-FM/UFMG, Belo Horizonte 30130-100, MG, Brazil
| | - Talita G. B. Lourenço
- Oral Microbiology Laboratory, Institute of Microbiology Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-902, RJ, Brazil
| | - Danielle V. Ribeiro
- Hospital Israelita Albert Einstein, São Paulo 05652-900, SP, Brazil
- Post-Graduate Studies in Dentistry, Universidade Cruzeiro do Sul, São Paulo 430-0926, SP, Brazil
| | - Elaine Hatanaka
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo 01506-000, SP, Brazil
| | - Debora Heller
- Hospital Israelita Albert Einstein, São Paulo 05652-900, SP, Brazil
- Post-Graduate Studies in Dentistry, Universidade Cruzeiro do Sul, São Paulo 430-0926, SP, Brazil
- Department of Periodontology, School of Dentistry, UT Health San Antonio, San Antonio, TX 78229, USA
| | - Rosa M. E. Arantes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais, NUPAD-FM/UFMG, Belo Horizonte 30130-100, MG, Brazil
- Correspondence: ; Tel.: +55-(31)-999037400
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5
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Peres FP, Levada-Pires AC, Vieira M, Hatanaka E, Cury-Boaventura MF, Folador A, Gorjão R, Hirabara SM, Santos-Silva PR, Deuster PA, Curi R, Pithon-Curi TC. Hydrolyzed whey protein enriched with glutamine dipeptide attenuates skeletal muscle damage and improves physical exhaustion test performance in triathletes. Front Sports Act Living 2023; 4:1011240. [PMID: 36685057 PMCID: PMC9853540 DOI: 10.3389/fspor.2022.1011240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 12/08/2022] [Indexed: 01/07/2023] Open
Abstract
Purpose To investigate the effects of hydrolyzed whey protein enriched with glutamine dipeptide on the percentage of oxygen consumption, second ventilatory threshold, duration and total distance covered, and skeletal muscle damage during an exhaustion test in elite triathletes. Methods The study was a randomized, double-blinded, placebo-controlled, crossover trial. Nine male triathletes performed a progressive incremental test on a treadmill ergometer (1.4 km h-1·3 min-1) 30 min after ingesting either 50 g of maltodextrin plus four tablets of 700 mg hydrolyzed whey protein enriched with 175 mg of glutamine dipeptide diluted in 250 ml of water (MGln) or four tablets of 700 mg maltodextrin plus 50 g maltodextrin diluted in 250 ml of water (M). Each athlete was submitted to the two dietary treatments and two corresponding exhaustive physical tests with an interval of one week between the interventions. The effects of the two treatments were then compared within the same athlete. Maximal oxygen consumption, percentage of maximal oxygen consumption, second ventilatory threshold, and duration and total distance covered were measured during the exhaustion test. Blood was collected before and immediately after the test for the determination of plasma lactate dehydrogenase (LDH) and creatine kinase (CK) activities and lactate concentration (also measured 6, 10, and 15 min after the test). Plasma cytokines (IL-6, IL-1β, TNF-α, IL-8, IL-10, and IL-1ra) and C-reactive protein levels were also measured. Results A single dose of MGln increased the percentage of maximal oxygen consumption, second ventilatory threshold duration, and total distance covered during the exhaustion test and augmented plasma lactate levels 6 and 15 min after the test. MGln also decreased plasma LDH and CK activities indicating muscle damage protection. Plasma cytokine and C-reactive protein levels did not change across the study periods. Conclusion Conditions including overnight fasting and a single dose of MGln supplementation resulted in exercising at a higher percentage of maximal oxygen consumption, a higher second ventilatory threshold, blood lactate levels, and reductions in plasma markers of muscle damage during an exhaustion test in elite triathletes. These findings support oral glutamine supplementation's efficacy in triathletes, but further studies require.
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Affiliation(s)
- Fabiano Pinheiro Peres
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, Universidade de São Paulo, São Paulo, Brazil
| | - Adriana Cristina Levada-Pires
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil,Correspondence: Adriana Cristina Levada-Pires
| | - Marcelo Vieira
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Maria Fernanda Cury-Boaventura
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Alessandra Folador
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, Universidade de São Paulo, São Paulo, Brazil
| | - Renata Gorjão
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Sandro Massao Hirabara
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Paulo Roberto Santos-Silva
- Institute of Orthopedics and Traumatology, School of Medicine, Universidade de São Paulo, São Paulo, Brazil
| | - Patricia A. Deuster
- Department of Military and Emergency Medicine, Consortium for Health and Military Performance, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - Rui Curi
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, Universidade de São Paulo, São Paulo, Brazil,Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil,Department of Military and Emergency Medicine, Consortium for Health and Military Performance, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - Tania Cristina Pithon-Curi
- Institute of Physical Activity Sciences and Sports, Interdisciplinary Post-graduate Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, Brazil,Department of Military and Emergency Medicine, Consortium for Health and Military Performance, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
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6
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dos Santos AAC, Rodrigues LE, Alecrim-Zeza AL, de Araújo Ferreira L, Trettel CDS, Gimenes GM, da Silva AF, Sousa-Filho CPB, Serdan TDA, Levada-Pires AC, Hatanaka E, Borges FT, de Barros MP, Cury-Boaventura MF, Bertolini GL, Cassolla P, Marzuca-Nassr GN, Vitzel KF, Pithon-Curi TC, Masi LN, Curi R, Gorjao R, Hirabara SM. Molecular and cellular mechanisms involved in tissue-specific metabolic modulation by SARS-CoV-2. Front Microbiol 2022; 13:1037467. [PMID: 36439786 PMCID: PMC9684198 DOI: 10.3389/fmicb.2022.1037467] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 10/26/2022] [Indexed: 09/09/2023] Open
Abstract
Coronavirus disease 2019 (COVID-19) is triggered by the SARS-CoV-2, which is able to infect and cause dysfunction not only in lungs, but also in multiple organs, including central nervous system, skeletal muscle, kidneys, heart, liver, and intestine. Several metabolic disturbances are associated with cell damage or tissue injury, but the mechanisms involved are not yet fully elucidated. Some potential mechanisms involved in the COVID-19-induced tissue dysfunction are proposed, such as: (a) High expression and levels of proinflammatory cytokines, including TNF-α IL-6, IL-1β, INF-α and INF-β, increasing the systemic and tissue inflammatory state; (b) Induction of oxidative stress due to redox imbalance, resulting in cell injury or death induced by elevated production of reactive oxygen species; and (c) Deregulation of the renin-angiotensin-aldosterone system, exacerbating the inflammatory and oxidative stress responses. In this review, we discuss the main metabolic disturbances observed in different target tissues of SARS-CoV-2 and the potential mechanisms involved in these changes associated with the tissue dysfunction.
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Affiliation(s)
| | - Luiz Eduardo Rodrigues
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Amanda Lins Alecrim-Zeza
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Liliane de Araújo Ferreira
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Caio dos Santos Trettel
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Gabriela Mandú Gimenes
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Adelson Fernandes da Silva
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | | | - Tamires Duarte Afonso Serdan
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
- Department of Molecular Pathobiology, University of New York, New York, NY, United States
| | - Adriana Cristina Levada-Pires
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Elaine Hatanaka
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Fernanda Teixeira Borges
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
- Divisão de Nefrologia, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Marcelo Paes de Barros
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Maria Fernanda Cury-Boaventura
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Gisele Lopes Bertolini
- Department of Physiological Sciences, Biological Science Center, State University of Londrina, Londrina, PR, Brazil
| | - Priscila Cassolla
- Department of Physiological Sciences, Biological Science Center, State University of Londrina, Londrina, PR, Brazil
| | | | - Kaio Fernando Vitzel
- School of Health Sciences, College of Health, Massey University, Auckland, New Zealand
| | - Tania Cristina Pithon-Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Laureane Nunes Masi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Rui Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
- Instituto Butantan, São Paulo, Brazil
| | - Renata Gorjao
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
| | - Sandro Massao Hirabara
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brazil
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7
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Lobato TB, Gennari-Felipe M, Pauferro JRB, Correa IS, Santos BF, Dias BB, de Oliveira Borges JC, dos Santos CS, de Sousa Santos ES, de Araújo MJL, Ferreira LA, Pereira SA, Serdan TDA, Levada-Pires AC, Hatanaka E, Borges L, Cury-Boaventura MF, Vinolo MAR, Pithon-Curi TC, Masi LN, Curi R, Hirabara SM, Gorjão R. Leukocyte metabolism in obese type 2 diabetic individuals associated with COVID-19 severity. Front Microbiol 2022; 13:1037469. [PMID: 36406408 PMCID: PMC9670542 DOI: 10.3389/fmicb.2022.1037469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 10/12/2022] [Indexed: 03/27/2024] Open
Abstract
Recent studies show that the metabolic characteristics of different leukocytes, such as, lymphocytes, neutrophils, and macrophages, undergo changes both in the face of infection with SARS-CoV-2 and in obesity and type 2 diabetes mellitus (DM2) condition. Thus, the objective of this review is to establish a correlation between the metabolic changes caused in leukocytes in DM2 and obesity that may favor a worse prognosis during SARS-Cov-2 infection. Chronic inflammation and hyperglycemia, specific and usual characteristics of obesity and DM2, contributes for the SARS-CoV-2 replication and metabolic disturbances in different leukocytes, favoring the proinflammatory response of these cells. Thus, obesity and DM2 are important risk factors for pro-inflammatory response and metabolic dysregulation that can favor the occurrence of the cytokine storm, implicated in the severity and high mortality risk of the COVID-19 in these patients.
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Affiliation(s)
- Tiago Bertola Lobato
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Matheus Gennari-Felipe
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | | | - Ilana Souza Correa
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Beatriz Ferreira Santos
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Beatriz Belmiro Dias
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - João Carlos de Oliveira Borges
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Camila Soares dos Santos
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | | | - Maria Janaína Leite de Araújo
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Liliane Araújo Ferreira
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Sara Araujo Pereira
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | | | - Adriana Cristina Levada-Pires
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Elaine Hatanaka
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Leandro Borges
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Maria Fernanda Cury-Boaventura
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Marco Aurélio Ramirez Vinolo
- Laboratory of Immunoinflammation, Department of Genetics, Evolution, Microbiology, and Immunology, Institute of Biology, University of Campinas, Campinas, Brazil
| | - Tania Cristina Pithon-Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Laureane Nunes Masi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Rui Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
- Immunobiological Production Section, Bioindustrial Center, Butantan Institute, São Paulo, Brazil
| | - Sandro Massao Hirabara
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | - Renata Gorjão
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
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8
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Gennari-Felipe M, Borges L, Dermargos A, Weimann E, Curi R, Pithon-Curi TC, Hatanaka E. Hypertonic Solution in Severe COVID-19 Patient: A Potential Adjuvant Therapy. Front Med (Lausanne) 2022; 9:917008. [PMID: 35801207 PMCID: PMC9253300 DOI: 10.3389/fmed.2022.917008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Accepted: 06/06/2022] [Indexed: 11/13/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19) features hyper-inflammation, cytokine storm, neutrophil function changes, and sodium chloride (NaCl) homeostasis disruption, while the treatment with NaCl hypertonic solutions (HS) controls electrolytic body homeostasis and cell functions. HS treatment is a simple, popular, economic, and feasible therapy to regulate leukocyte function with a robust anti-inflammatory effect in many inflammatory diseases. The purpose of this narrative review is to highlight the knowledge on the use of HS approaches against viral infection over the past years and to describe the mechanisms involved in the release of neutrophil extracellular traps (NETs) and production of cytokine in severe lung diseases, such as COVID-19. We reported the consequences of hyponatremia in COVID-19 patients, and the immunomodulatory effects of HS, either in vitro or in vivo. We also described the relationship between electrolyte disturbances and COVID-19 infection. Although there is still a lack of clinical trials, hypertonic NaCl solutions have marked effects on neutrophil function and NETs formation, emerging as a promising adjuvant therapy in COVID-19.
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Affiliation(s)
- Matheus Gennari-Felipe
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Leandro Borges
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Alexandre Dermargos
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Eleine Weimann
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Rui Curi
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
- Seção de Produção de Imunobiológicos, Centro Bioindustrial, Instituto Butantan, São Paulo, Brazil
| | | | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil
- *Correspondence: Elaine Hatanaka,
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9
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Borges L, Gennari-Felipe M, Dias BB, Hatanaka E. Melatonin, Zinc, and Vitamin C: Potential Adjuvant Treatment for COVID-19 Patients. Front Nutr 2022; 8:821824. [PMID: 35155533 PMCID: PMC8826215 DOI: 10.3389/fnut.2021.821824] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 12/27/2021] [Indexed: 12/14/2022] Open
Abstract
The use of nutraceutical approaches may regulate the immune system, performing a potential strategy to contain the worst outcomes of COVID-19. We reviewed the current evidence surrounding nutritional/nutraceutical approaches for the therapy in patients with COVID-19. We searched the PubMed database to report randomized controlled trials (RCTs) and observational research that used melatonin, zinc, or vitamin C supplementation as an intervention for COVID-19 treatment. To date, we found only three concluded studies that assessed zinc supplementation and melatonin therapy in patients with COVID-19, but with inconclusive data, relatively small sample size, and early termination of the trial. On the other hand, vitamin C therapy appears to reduce hyperinflammation and improve the oxygen support status of patients with COVID-19. However, a large part of this research involves pilot trials, and there are still conflicting data regarding mortality rate, mechanical ventilation, and duration of symptoms of patients with COVID-19. Melatonin, zinc, and vitamin C supplementation should be investigated further on the nutritional status-immune response, and data from ongoing trials are needed to understand these molecules as a therapy strategy in patients COVID-19.
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Affiliation(s)
- Leandro Borges
- Interdisciplinary Program of Health Sciences, Cruzeiro Do Sul University, São Paulo, Brazil
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10
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Gorjão R, Hirabara S, Masi L, Serdan T, Gritte R, Hatanaka E, Souza-Siqueira T, Pithon-Curi A, Lima TD, Pithon-Curi T, Marchini J, Machado M, Souza H, Curi R. Poor prognosis indicators of type-2 diabetic COVID-19 patients. Braz J Med Biol Res 2022; 55:e11819. [PMID: 35766706 PMCID: PMC9224823 DOI: 10.1590/1414-431x2022e11819] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 03/17/2022] [Indexed: 12/24/2022] Open
Abstract
Diabetes is associated with a worse prognosis and a high risk of morbidity and mortality in COVID-19 patients. We aimed to evaluate the main factors involved in the poor prognosis in diabetic patients. A total of 984 patients diagnosed with COVID-19 admitted to the hospital were included in this study. Patients were first divided into type-2 diabetic (DM+) and non-diabetic (DM–) groups. The participants were analyzed based on the National Early Warning Score (NEWS) and on the Quick-Sequential Organ Failure Assessment (qSOFA) to find the best prognostic risk score for our study. The DM+ and DM– groups were divided into non-severe and severe groups. Comparative and correlative analyses were used to identify the physiological parameters that could be employed for creating a potential risk indicator for DM+ COVID-19 patients. We found a poorer prognosis for the DM+ COVID-19 patients with a higher ICU admission rate, mechanical ventilation rate, vasopressor use, dialysis, and longer treatment times compared with the DM– group. DM+ COVID-19 patients had increased plasma glucose, lactate, age, urea, NEWS, and D-dimer levels, herein referred to as the GLAUND set, and worse prognosis and outcomes when compared with infected DM– patients. The NEWS score was a better indicator for assessing COVID-19 severity in diabetic patients than the q-SOFA score. In conclusion, diabetic COVID-19 patients should be assessed with the NEWS score and GLAUND set for determining their prognosis COVID-19 prognosis.
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Affiliation(s)
- R. Gorjão
- Universidade Cruzeiro do Sul, Brasil
| | | | - L.N. Masi
- Universidade Cruzeiro do Sul, Brasil
| | - T.D.A. Serdan
- Universidade Cruzeiro do Sul, Brasil; New York University, USA
| | | | | | | | | | | | | | | | | | | | - R. Curi
- Universidade Cruzeiro do Sul, Brasil; Instituto Butantan, Brasil
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11
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Tang Y, Serdan TDA, Alecrim AL, Souza DR, Nacano BRM, Silva FLR, Silva EB, Poma SO, Gennari-Felipe M, Iser-Bem PN, Masi LN, Tang S, Levada-Pires AC, Hatanaka E, Cury-Boaventura MF, Borges FT, Pithon-Curi TC, Curpertino MC, Fiamoncini J, Leandro CG, Gorjao R, Curi R, Hirabara SM. A simple mathematical model for the evaluation of the long first wave of the COVID-19 pandemic in Brazil. Sci Rep 2021; 11:16400. [PMID: 34385538 PMCID: PMC8361144 DOI: 10.1038/s41598-021-95815-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 07/23/2021] [Indexed: 12/03/2022] Open
Abstract
We propose herein a mathematical model to predict the COVID-19 evolution and evaluate the impact of governmental decisions on this evolution, attempting to explain the long duration of the pandemic in the 26 Brazilian states and their capitals well as in the Federative Unit. The prediction was performed based on the growth rate of new cases in a stable period, and the graphics plotted with the significant governmental decisions to evaluate the impact on the epidemic curve in each Brazilian state and city. Analysis of the predicted new cases was correlated with the total number of hospitalizations and deaths related to COVID-19. Because Brazil is a vast country, with high heterogeneity and complexity of the regional/local characteristics and governmental authorities among Brazilian states and cities, we individually predicted the epidemic curve based on a specific stable period with reduced or minimal interference on the growth rate of new cases. We found good accuracy, mainly in a short period (weeks). The most critical governmental decisions had a significant temporal impact on pandemic curve growth. A good relationship was found between the predicted number of new cases and the total number of inpatients and deaths related to COVID-19. In summary, we demonstrated that interventional and preventive measures directly and significantly impact the COVID-19 pandemic using a simple mathematical model. This model can easily be applied, helping, and directing health and governmental authorities to make further decisions to combat the pandemic.
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Affiliation(s)
- Yuanji Tang
- Applied NanoFemto Technologies, LLC, Lowell, MA, USA
| | - Tamires D A Serdan
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Amanda L Alecrim
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Diego R Souza
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Bruno R M Nacano
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Flaviano L R Silva
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Eliane B Silva
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Sarah O Poma
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Matheus Gennari-Felipe
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Patrícia N Iser-Bem
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Laureane N Masi
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Sherry Tang
- Kaiser Southern California Permanente Medical Group, Riverside, CA, 92505, USA
| | - Adriana C Levada-Pires
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Elaine Hatanaka
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Maria F Cury-Boaventura
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Fernanda T Borges
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Tania C Pithon-Curi
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Marli C Curpertino
- Medical School, Faculdade Dinâmica do Vale do Piranga, Ponte Nova, MG, Brazil.,Laboratory of Epidemiological and Computational Methods in Health, Department of Medicine and Nursing, Universidade Federal de Viçosa, Viçosa, MG, Brazil
| | - Jarlei Fiamoncini
- School of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo, Brazil.,Food Research Center (FoRC), Sao Paulo, Brazil
| | | | - Renata Gorjao
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil
| | - Rui Curi
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil.,Butantan Institute, Sao Paulo, Brazil
| | - Sandro Massao Hirabara
- Interdisciplinary Program of Health Sciences, Cruzeiro do Sul University, Rua Galvao Bueno, 868, Liberdade, Sao Paulo, SP, 01506-000, Brazil.
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12
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Ishihara R, Barros MPD, Silva CMD, Borges LDS, Hatanaka E, Lambertucci RH. Melatonin improves the antioxidant capacity in cardiac tissue of Wistar rats after exhaustive exercise. Free Radic Res 2021; 55:776-791. [PMID: 34100318 DOI: 10.1080/10715762.2021.1939024] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
We investigated the effects of melatonin on the onset and resolution of the oxidative stress in the cardiac muscle in melatonin-treated and nontreated rats subjected to an exhaustive exercise session. Forty male rats were divided into: melatonin-treated (20 mg/kg supplemented for 10 d) and control. On the 10th day, each group was subdivided according to euthanasia moments: control or melatonin-treated not exercised (C0h and M0h); immediately after the exercise (CIA and MIA); and 2 h after exercise (C2h and M2h). The heart of animals was removed and the levels of oxidative stress index (OSI) and the formation of thiobarbituric acid reactive substances (TBARS), protein carbonyl, and the activities of aconitase, catalase (CAT), glutathione peroxidase (GPx), and superoxide dismutase (SOD) were evaluated. Total antioxidant status (TAS), total oxidant status (TOS), and the protein expression of CAT, GPx, and SOD was also measured. Our data revealed significant differences on: (i) OSI (p=.029), CAT activity (p=.016), CAT content (p<.001), GPx content (p=.014), reduced glutathione levels (p<.001), and aconitase activity (p<.001) for interaction of melatonin; (ii) GPx activity (p=.005), reduced glutathione (p=.004), protein carbonyl (p=.035), and TBARS levels (p=.028) between groups, and (iii) TBARS levels (p=.016) for significance between moments. Although the exhaustive exercise protocol imposed mild oxidative stress on the cardiac tissue of rats, melatonin induced antioxidant responses that rebalanced the redox status of the cardiac tissue, especially after exhaustive exercise.
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Affiliation(s)
- Rafael Ishihara
- Department of Biosciences, Federal University of Sao Paulo, Santos, Brazil
| | - Marcelo Paes de Barros
- Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, Brazil
| | | | - Leandro da Silva Borges
- Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, Brazil
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13
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Borges L, Dermargos A, Hatanaka E. Technical bioanalytical considerations for detection and quantification of cytokines in ELISA assays. Cytokine 2021; 151:155615. [PMID: 34127354 DOI: 10.1016/j.cyto.2021.155615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 06/01/2021] [Indexed: 11/28/2022]
Abstract
Enzyme-linked Immunosorbent Assays (ELISAs) techniques are widely known for the robust signal amplification with high sensitivity and specificity for the quantitation of antibodies and antigens in complex biological fluids. However, strict caution in the pre-analytical, analytical, and post-analytical phases is crucial to warrant an immunoassay quality. Since analytical errors are commonly seen in papers, this study aimed to discuss the main principles and guidelines to guarantee the specificity and sensitivity in the post-analytical phase of the ELISA method. Briefly, we highlighted the relevance of the analytical noise, as well as the limit of detection and quantitation, in the sensitivity of an immunoassay. Moreover, strategies involving the use of reverse pipetting and the spike-and-recovery test can decrease the inter-assay variance, while the linearity-of-dilution assay may protect against the prozone (or hook) effect. Addressed to researchers from different fields, we offer recommendations to limit variability and increase the usefulness of the ELISA assay in a practical way that will assist scientists to prevent future analytical errors.
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Affiliation(s)
- Leandro Borges
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, SP, Brazil.
| | - Alexandre Dermargos
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
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14
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Borges L, Dermargos A, Gorjão R, Cury-Boaventura MF, Hirabara SM, Abad CC, Pithon-Curi TC, Curi R, Barros MP, Hatanaka E. Updating futsal physiology, immune system, and performance. Res Sports Med 2021; 30:659-676. [PMID: 34028324 DOI: 10.1080/15438627.2021.1929221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Futsal promotes stress by handling the ball, physical contact, and exhaustive muscle contractions, elevating the risks for injury, oxidative stress, and inflammation after a training session or a match. In this review, we critically evaluate the more recent advances in the performance and health of futsal players. We searched the effects of futsal on performance, physiological parameters, muscle injury, inflammation, and oxidative stress. Although the stressful factors apply to all futsal players, goalkeepers require special attention during the competition and the recovery phase. We also show that the FIFA injury prevention programme, called The 11+, is effective in improving athletic performance and avoiding injury in futsal players. Research with different training durations and intensities and a wider range of studies involving oxidative stress, inflammation, and physiological mechanisms are of interest to design a more precise map of the biochemical regulation of training load and competition season in futsal.
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Affiliation(s)
- Leandro Borges
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Alexandre Dermargos
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil.,Universidade Paulista (UNIP), São Paulo, Brasil
| | - Renata Gorjão
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Maria F Cury-Boaventura
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Sandro M Hirabara
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Cesar C Abad
- Faculdade Lusófona de São Paulo, São Paulo, Brasil
| | - Tania C Pithon-Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Rui Curi
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil.,Immunobiological Production Sector, Bioindustrial Center, Butantan Institute, São Paulo, Brasil
| | - Marcelo P Barros
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
| | - Elaine Hatanaka
- Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Instituto de Ciências da Atividade Física e Esportes (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brasil
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15
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Lima KCA, Santos GOC, Donato SSV, Borges L, Hatanaka E, de Freitas PB. Grip and load force control and coordination in individuals with diabetes in different manipulation tasks. Hum Mov Sci 2021; 77:102793. [PMID: 33845277 DOI: 10.1016/j.humov.2021.102793] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 01/25/2021] [Accepted: 04/01/2021] [Indexed: 10/21/2022]
Abstract
The study aimed to investigate the control and coordination of grip force (normal component) and load force (tangential component) in three different manipulation tasks in individuals with diabetes with and with no diagnosis of diabetic peripheral neuropathy (DPN) and healthy controls. Twenty-four individuals with type 2 diabetes mellitus, 12 with no (nDPN) and 12 with DPN (wDPN), and 12 healthy controls performed three manipulation tasks (static holding, lifting and holding, and oscillation) with the dominant hand, using an instrumented handle. Relative safety margin (% of GF exerted above the minimum GF needed to hold the object) was measured in all tasks. Individuals with diabetes from the nDPN and wDPN groups set lower relative safety margin than controls only in the static holding task. No other group effect was revealed, except a lower coefficient of friction between skin and object surface in individuals with DPN. The coordination between grip and load force and grip force control was not affected by the diabetes during dynamic manipulation tasks (lifting and holding and oscillation). However, when individuals with diabetes without and with DPN performed a manipulation task in which the inflow of cutaneous information was small and stable (static holding), grip force control was affected by the disease. This finding indicates that individuals with type 2 diabetes mellitus not diagnosed with DPN, already show mild impairments in the nervous system that could affect grip force control and that could be one of the first signs of neuropathy caused by the diabetes.
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Affiliation(s)
- Kauê C A Lima
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Gabriela O C Santos
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Stephanie S V Donato
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Leandro Borges
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Paulo B de Freitas
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil.
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16
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Borges L, Moraes MM, Arantes RME, Hatanaka E. The COVID-19 Pandemic: Impact and Strategies for Sports and Exercise Medicine Researchers during Large-Scale Social Restrictions. J Med Syst 2021; 45:56. [PMID: 33768285 PMCID: PMC7994054 DOI: 10.1007/s10916-021-01734-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 03/18/2021] [Indexed: 12/03/2022]
Affiliation(s)
- Leandro Borges
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, Liberdade, 01506-000, São Paulo, SP, Brazil.
| | - Michele M Moraes
- Department of Pathology, Institute of Biological Sciences; Mediantar Research Group; Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rosa M E Arantes
- Department of Pathology, Institute of Biological Sciences; Mediantar Research Group; Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, Liberdade, 01506-000, São Paulo, SP, Brazil
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17
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Passos MEP, Borges L, dos Santos-Oliveira LC, Alecrim-Zeza AL, Lobato TB, de Oliveira HH, Santos CMM, Diniz VLS, Iser-Bem PN, Manoel R, Murata GM, Hirabara SM, Curi R, Pithon-Curi TC, Hatanaka E, Gorjao R. Recreational Dance Practice Modulates Lymphocyte Profile and Function in Diabetic Women. Int J Sports Med 2020; 42:749-759. [DOI: 10.1055/a-1309-2037] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
AbstractThis study aimed to investigate the impact of a 16-week dance-based aerobic exercise program on lymphocyte function in healthy and type 2 diabetes mellitus (T2DM) women. We enrolled 23 women: 11 with T2DM and 12 non-diabetic controls. Initially, we performed anthropometry and body composition measurements, afterwards, plasma levels of C-reactive protein, lipids, and glucose were determined. We used flow cytometry to measure the CD25 and CD28 expression in circulating lymphocytes, T-regulatory (Treg) cell percentage, lymphocyte proliferation, and cytokines released by cultured lymphocytes. The T2DM group had a lower proportion of CD28+ cells and a higher percentage of Treg lymphocytes and proliferative capacity at the baseline compared with the control group. After 16 weeks of the program, differences in lymphocytes between the T2DM and the control groups disappeared. The dance program promoted IL-10 increase in both groups. We found decreased IL-4, IL-2, and IL-6 secretion in lymphocytes from the control group and increased IL-17 secretion and IL-10/IL-17 ratio in the T2DM group after the program. The program promoted marked changes in lymphocytes in diabetic women, leading to a balance between the different profiles.
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Affiliation(s)
- Maria Elizabeth Pereira Passos
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
- Department of Laboratory Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil
| | - Leandro Borges
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | | | | | - Tiago Bertola Lobato
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | | | | | | | | | - Richelieau Manoel
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Gilson Masahiro Murata
- Department of Medical Clinic, Sao Paulo University Faculty of Medicine, Sao Paulo, Brazil
| | - Sandro Massao Hirabara
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Rui Curi
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
- Butantan Institute, Sao Paulo, Brazil
| | | | - Elaine Hatanaka
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Renata Gorjao
- Interdisciplinary Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
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Bortolon JR, Murata GM, Borges L, Weimann E, Silva MBB, Dermargos A, Hatanaka E. Recovery of Diabetic Rats After Physical Exhaustion: Kinetic Alterations in Muscle Inflammation and Muscle-Signaling Proteins to Atrophy and Hypertrophy. Front Physiol 2020; 11:573416. [PMID: 33281615 PMCID: PMC7688783 DOI: 10.3389/fphys.2020.573416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 10/09/2020] [Indexed: 01/16/2023] Open
Abstract
The complexity of the adaptive response of diabetics to intense exercise is still poorly understood. To optimize exercise interventions in diabetics, the chronology of inflammatory mediators in muscle and the signaling involved in muscle hypertrophy/atrophy must be understood. Herein, we studied the kinetic inflammatory profile and cellular signaling pathways modulated by physical exhaustion after the induction of type 1 diabetes by streptozotocin in rats. Soleus muscle samples were obtained from diabetic and control groups at the following moments: baseline (no exercise); immediately after exhaustive exercise; and at 2 h, 24 h, 48 h, and 72 h after a treadmill exhaustive exercise. Kinetic production of cytokines and kinetic activation of proteins related to muscle synthesis (p70S6K and Akt) and degradation (GSK3, MuRF1, and MAFbx) were measured in the soleus muscle. We observed that the muscle TNF-α (0.9-fold; p = 0.0007), IL-1β (0.8-fold; p = 0.01), IL-6 (0.8-fold; p = 0.0013), L-selectin (1.0-fold; p = 0.0019), and CINC-2α/β (0.9-fold; p = 0.04) levels were higher in almost all stages of the study in the diabetic animals compared with the control group. Our data showed that exhaustive exercise decreased MAFbx expression in diabetic animals compared to the control group in a time-dependent manner. The decreased activation ratios of MAFbx were followed by a decrease in TNF-α, IL-1β, and IL-6 levels. p70S6k phosphorylation was also decreased in the diabetic group compared to the control group after physical exhaustion. Regarding the activation of proteins related to muscle synthesis and degradation, we found that the alterations induced by exhaustive exercise in the diabetic rats might involve pathways related to synthesis and muscle breakdown. Moreover, after an exhaustive exercise session, the recovery of the inflammatory response in the diabetic animals was slower than that in the control rats while the return of inflammatory cytokines to baseline levels was more effective in the diabetic animals.
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Affiliation(s)
- José Ricardo Bortolon
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Gilson Masahiro Murata
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Leandro Borges
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Eleine Weimann
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | - Maysa Braga Barros Silva
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
| | | | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esporte (ICAFE), Universidade Cruzeiro do Sul, São Paulo, Brazil
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19
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Borges L, Gorjão R, Gray SR, Martins TR, Santos VC, Momesso CM, Pithon-Curi TC, Hatanaka E. Lymphocyte activation after a high-intensity street dance class. PLoS One 2020; 15:e0239516. [PMID: 32956398 PMCID: PMC7505442 DOI: 10.1371/journal.pone.0239516] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 09/09/2020] [Indexed: 01/15/2023] Open
Abstract
Intense dance training leads to inflammation, which may impair the health and performance of the practitioners. Herein, we evaluate the effect of a single street dancing class on the profile of muscle enzymes, lymphocyte activation, and cell surface CD62L expression. We also investigated the correlation between muscle enzymes, adhesion molecules, and lymphocyte activation in dancers. Fifteen male participants (mean ± standard error: age 22.4 ± 1.08 years, body mass index 24.8 ± 0.69 kg/m2, body fat 12.3 ± 1.52%), who were amateur dancers, had blood samples collected previously and subsequent to a high-intensity street dance class. After the class, dancers showed an increase in total lymphocyte count (2.0-fold), creatine kinase (CK)-NAC (4.87%), and CK-MB (3.36%). We also observed a decrease (2.5-fold) in reactive oxygen species (ROS) produced by lymphocytes, under phorbol myristate acetate-stimulated environments. Following the dance class, CD62L expression in lymphocytes decreased (51.42%), while there was a negative correlation between the intensity of the exercise and CD62L expression (r = -0.73; p = 0.01). Lymphocytes were less responsive to stimuli after a single bout of street dancing, indicating transient immunosuppression.
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Affiliation(s)
- Leandro Borges
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Renata Gorjão
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Stuart R. Gray
- Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Thaís Reis Martins
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Vinicius Coneglian Santos
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Cesar Miguel Momesso
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Tania Cristina Pithon-Curi
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity and Sport Sciences (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
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20
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Gomes-Santos JAF, Lambertucci RH, Vardaris CV, Passos MEP, Silva-Junior EP, Hatanaka E, Gorjão R, McAnulty SR, Souza-Junior TP, Barros MPD. Early Signs of Inflammation With Mild Oxidative Stress in Mixed Martial Arts Athletes After Simulated Combat. J Strength Cond Res 2019; 36:180-186. [PMID: 31714459 DOI: 10.1519/jsc.0000000000003383] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Gomes-Santos, JAF, Lambertucci, RH, Vardaris, CV, Passos, MEP, Silva-Junior, EP, Hatanaka, E, Gorjão, R, McAnulty, SR, Souza-Junior, TP, and Barros, MP. Early signs of inflammation with mild oxidative stress in Mixed Martial Arts athletes after simulated combat. J Strength Cond Res XX(X): 000-000, 2019-Combat sports involve a combination of strenuous physical activity, usually at the anaerobic threshold, followed by intermittent low-intensity recovery periods for energy re-establishment. Oxidative stress and inflammation are inevitable exercise-related processes that could drastically affect athletic performance and practitioners' health, unless efficiently controlled during and after physical activities. This study aims to measure oxidative stress and inflammation biomarkers in the plasma of 12 top ranked professional Mixed Martial Arts (MMAs) athletes before and after simulated combats under official rules (pre-post study). Our results show that the athletes exhibited mild oxidative imbalances in plasma, evidenced by significant (p < 0.01) higher contents of both reduced (+7.3%) and oxidized glutathione (+28%), uric acid (+21%), and "free" iron (+21%) after combat, whereas variation tendencies (0.05 < p < 0.01) were observed in the antioxidant capacity in plasma (-40%), and SOD (-27%) or GPX (+20%) antioxidant activities in erythrocytes. However, a clear pro-inflammatory state was detected by increases in circulating cytokines IL-6 (+6,020%), IL-1β (+4,357%), and tumor necrosis factor alpha (+63%), and by an abrupt drop of the anti-inflammatory cytokine IL-10 (-98%). A significant correlation was observed between pre-post variations of IL-6 and GSH/GSSG ratio in plasma (p < 0.0001), which reinforces the integration between oxidative stress and inflammation during MMA combats. Considering metabolic and mechanical stresses (imposed by combat techniques, e.g., punches and joint locks), this study indicates pre-existing inflammation, although minor oxidative stress, in MMA professionals after combat.
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Affiliation(s)
| | - Rafael Herlich Lambertucci
- Department of Human Movement Sciences, Institute for Health and Society, Federal University of São Paulo (UNIFESP), Santos, São Paulo, Brazil
| | - Cristina Vasconcelos Vardaris
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Maria Elizabeth Pereira Passos
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Edenilson Pinto Silva-Junior
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Renata Gorjão
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
| | - Steven Roy McAnulty
- Department of Health & Exercise Science, Appalachian State University, Boone, North Carolina
| | - Tácito Pessoa Souza-Junior
- Department of Health & Exercise Science, Appalachian State University, Boone, North Carolina.,Department of Physical Education, Federal University of Parana (UFPR), Curitiba, Puerto Rico, Brazil
| | - Marcelo Paes de Barros
- Program in Health Sciences, Institute of Physical Activity and Sports Science (ICAFE), Cruzeiro do Sul University, São Paulo, SP, Brazil
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21
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Sampaio RC, Moura NRD, Barros MPD, Hatanaka E, Priviero FBM, Moraes CD. Twice-weekly exercise training reduces oxidative stress and proinflammatory cytokine levels in elder women. Motriz: rev educ fis 2019. [DOI: 10.1590/s1980-6574201900030001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
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22
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Gorjao R, Dos Santos CMM, Serdan TDA, Diniz VLS, Alba-Loureiro TC, Cury-Boaventura MF, Hatanaka E, Levada-Pires AC, Sato FT, Pithon-Curi TC, Fernandes LC, Curi R, Hirabara SM. New insights on the regulation of cancer cachexia by N-3 polyunsaturated fatty acids. Pharmacol Ther 2018; 196:117-134. [PMID: 30521881 DOI: 10.1016/j.pharmthera.2018.12.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Cancer cachexia is a multifactorial syndrome that develops during malignant tumor growth. Changes in plasma levels of several hormones and inflammatory factors result in an intense catabolic state, decreased activity of anabolic pathways, anorexia, and marked weight loss, leading to cachexia development and/or accentuation. Inflammatory mediators appear to be related to the control of a highly regulated process of muscle protein degradation that accelerates the process of cachexia. Several mediators have been postulated to participate in this process, including TNF-α, myostatin, and activated protein degradation pathways. Some interventional therapies have been proposed, including nutritional (dietary, omega-3 fatty acid supplementation), hormonal (insulin), pharmacological (clenbuterol), and nonpharmacological (physical exercise) therapies. Omega-3 (n-3) polyunsaturated fatty acids (PUFAs), especially eicosapentaenoic acid (EPA) and docosahexaenoic acid, are recognized for their anti-inflammatory properties and have been used in therapeutic approaches to treat or attenuate cancer cachexia. In this review, we discuss recent findings on cellular and molecular mechanisms involved in inflammation in the cancer cachexia syndrome and the effectiveness of n-3 PUFAs to attenuate or prevent cancer cachexia.
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Affiliation(s)
- Renata Gorjao
- Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo, Brazil
| | | | | | | | | | | | - Elaine Hatanaka
- Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo, Brazil
| | | | - Fábio Takeo Sato
- Institute of Biology, State University of Campinas, Campinas, Brazil; School of Biomedical Sciences, Monash University, Melbourne, Australia
| | | | | | - Rui Curi
- Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo, Brazil; Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Sandro Massao Hirabara
- Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, Sao Paulo, Brazil; Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil.
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23
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Weimann E, Silva MBB, Murata GM, Bortolon JR, Dermargos A, Curi R, Hatanaka E. Topical anti-inflammatory activity of palmitoleic acid improves wound healing. PLoS One 2018; 13:e0205338. [PMID: 30307983 PMCID: PMC6181353 DOI: 10.1371/journal.pone.0205338] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 09/24/2018] [Indexed: 01/01/2023] Open
Affiliation(s)
- Eleine Weimann
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Maysa Braga Barros Silva
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Gilson Masahiro Murata
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Jose Ricardo Bortolon
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Alexandre Dermargos
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
- Universidade Paulista, São Paulo, SP, Brazil
| | - Rui Curi
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
- * E-mail:
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24
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Cury-Boaventura MF, Gorjão R, de Moura NR, Santos VC, Bortolon JR, Murata GM, Borges LDS, Momesso CM, Dermargos A, Pithon-Curi TC, Hatanaka E. The Effect of a Competitive Futsal Match on T Lymphocyte Surface Receptor Signaling and Functions. Front Physiol 2018; 9:202. [PMID: 29599721 PMCID: PMC5862818 DOI: 10.3389/fphys.2018.00202] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 02/23/2018] [Indexed: 12/11/2022] Open
Abstract
In this study, the lymphocyte activation status (surface expression of CD95, CD28, CD25, and CTLA-4), lymphocyte number, lymphocyte subpopulations, lymphocyte necrosis and/or apoptosis, and lymphocyte release of reactive oxygen species (ROS) were investigated in blood samples from 16 futsal athletes before and immediately following a competitive match. Lymphocytes were isolated from the blood samples, and the cellular parameters were assessed by flow cytometry. The futsal match induced lymphocytosis and lymphocyte apoptosis, as indicated by phosphatidylserine externalization, CD95 expression, and DNA fragmentation. Additionally, the competitive match induced the necrotic death of lymphocytes. No differences in the percentage of CD4+ and CD8+ T cells or in the T-helper/suppressor profile between before and immediately after the match were observed. Additionally, after the futsal match, the CD95 and CD28 expression levels were decreased, and the lymphocytes spontaneously released higher levels of ROS. Regardless of the origin, the situation-specific knowledge of lymphocyte behavior obtained herein may facilitate the design of strategies to control the processes that result in infection and tissue injury and that subsequently decrease athletic performance.
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Affiliation(s)
- Maria F Cury-Boaventura
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Renata Gorjão
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Nivaldo R de Moura
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Vinicius C Santos
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - José R Bortolon
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Gilson M Murata
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Leandro da Silva Borges
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - César M Momesso
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | | | - Tania C Pithon-Curi
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, São Paulo, Brazil
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25
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Alves de Lima NC, Ratti BA, Souza Bonfim Mendonça PD, Murata G, Araujo Pereira RR, Nakamura CV, Lopes Consolaro ME, Estivalet Svidzinski TI, Hatanaka E, Bruschi ML, Oliveira Silva SD. Propolis increases neutrophils response against Candida albicans through the increase of reactive oxygen species. Future Microbiol 2018; 13:221-230. [PMID: 29302986 DOI: 10.2217/fmb-2017-0112] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
AIM To investigate whether Brazilian green propolis improves the immune response against recurrent form isolate recurrent vulvovaginal candidiasis (RVVC) caused by Candida albicans by increasing neutrophil oxidative burst. MATERIALS & METHODS We evaluated oxidant species production, oxygen consumption, microbicidal activity and myeloperoxidase activity in neutrophils previously treated with propolis and activated with different isolates of C. albicans (RVVC), vulvovaginal candidiasis, asymptomatic isolates and the reference strain. RESULTS Propolis significantly increased oxidant species production, oxygen consumption, microbicidal activity and myeloperoxidase activity of neutrophils against different isolates of C. albicans including RVVC isolate that are considered resistant to the microbicidal activity of neutrophils. CONCLUSION Brazilian green propolis may increase neutrophil burst oxidative response to RVVC leading to an efficient removal of C. albicans.
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Affiliation(s)
- Nayara Cristina Alves de Lima
- Bioscience & Physiopathology Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | - Bianca Altrao Ratti
- Bioscience & Physiopathology Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | | | - Gilson Murata
- Institute of Physical Activity & Sport Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Raphaela Regina Araujo Pereira
- Pharmaceutical Science Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | - Celso Vataru Nakamura
- Pharmaceutical Science Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | - Marcia Edilaine Lopes Consolaro
- Bioscience & Physiopathology Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | | | - Elaine Hatanaka
- Institute of Physical Activity & Sport Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Marcos Luciano Bruschi
- Pharmaceutical Science Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
| | - Sueli de Oliveira Silva
- Bioscience & Physiopathology Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil.,Pharmaceutical Science Graduate Program, Universidade Estadual de Maringá (UEM), Av Colombo 5790, 87025-210 Maringá, PR, Brazil
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Amorim MGS, de Oliveira MD, Soares DS, da Silva Borges L, Dermargos A, Hatanaka E. Effects of exergaming on cardiovascular risk factors and adipokine levels in women. J Physiol Sci 2017; 68:671-678. [PMID: 29189992 PMCID: PMC6096946 DOI: 10.1007/s12576-017-0581-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Accepted: 11/21/2017] [Indexed: 11/25/2022]
Abstract
The aim of this study was to examine the effects of exergaming on the cardiovascular risk factors and adipokine levels of women engaged in the music video game Just Dance using the Xbox 360 Kinect console. Triglycerides, total cholesterol, HDL, LDL, FFA, CRP, TNF-α, Il-1β, IL-6, leptin, and resistin were measured in sedentary women before and 1 month after the practice of exergaming. We also evaluated anthropometric parameters. Our results indicate that total serum cholesterol, triglycerides, and LDL were reduced by 64, 29, and 12%, respectively. HDL levels were not altered in the conditions of this study. A significant decrease was also found in the concentrations of TNF-α (57%), CRP (84.7%), resistin (68.4%), leptin (35%), FFA (90%), body mass index (10.5%), fat percentage (10.9%), weight (5.6%), abdominal circumference (2.3%), hip circumference (2.5%), and waist circumference (1.9%) after the training period. We concluded that exergaming was successful in reducing body fat, serum adipokine levels, and lipid profiles, thus reducing cardiovascular risks for women.
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Affiliation(s)
- Maria Guadalupe Soares Amorim
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Maurício Dias de Oliveira
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Daiane Santos Soares
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Leandro da Silva Borges
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Alexandre Dermargos
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil
- Universidade Paulista (UNIP), São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, Rua Galvão Bueno, 868, 13° Andar, Bloco B, Liberdade, São Paulo, SP, 01506-000, Brazil.
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27
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Lima KCDA, Borges LDS, Hatanaka E, Rolim LC, de Freitas PB. Grip force control and hand dexterity are impaired in individuals with diabetic peripheral neuropathy. Neurosci Lett 2017; 659:54-59. [PMID: 28867590 DOI: 10.1016/j.neulet.2017.08.071] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2017] [Revised: 08/24/2017] [Accepted: 08/24/2017] [Indexed: 11/19/2022]
Abstract
Diabetic peripheral neuropathy (DPN) affects the sensory function of the hands and, consequently, may negatively impact hand dexterity, maximum grip strength (GSMax), and hand grip force (GF) control during object manipulation. The aims of this study were to examine and compare the GF control during a simple holding task as well as GSMax and hand dexterity of individuals with DPN and healthy controls. Ten type 2 diabetic individuals diagnosed with DPN and ten age- and gender-matched healthy controls performed two traditional timed hand dexterity tests (i.e., nine-hole peg test and Jebsen-Taylor hand function test), a GSMax test, and a GF control test (i.e., hold a instrumented handle). The results indicated that individuals with DPN and controls produced similar GSMax. However, individuals with DPN took longer to perform the hand dexterity tests and set lower safety margin (exerted lower GF) than controls when holding the handle. The findings showed that mild to moderate DPN did not significantly affect maximum hand force generation, but does impair hand dexterity and hand GF control, which could impair the performance of daily living manipulation tasks and put them in risk of easily dropping handheld objects.
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Affiliation(s)
- Kauê Carvalho de Almeida Lima
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Leandro da Silva Borges
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil
| | - Luiz Clemente Rolim
- Endocrinology Division, Diabetes Center of Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, Brazil
| | - Paulo Barbosa de Freitas
- Institute of Physical Activity and Sports Sciences and Interdisciplinary Graduate Program in Health Sciences, Cruzeiro do Sul University, Sao Paulo, Brazil.
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Malvestiti R, Borges LDS, Weimann E, Junior EPDS, Levada‐Pires AC, Dermargos A, Lambertucci RH, Hatanaka E. The effect of macadamia oil intake on muscular inflammation and oxidative profile kinetics after exhaustive exercise. EUR J LIPID SCI TECH 2017. [DOI: 10.1002/ejlt.201600382] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Rosane Malvestiti
- Institute of Physical Activity and Sport SciencesCruzeiro do Sul UniversityBrazil
| | | | - Eleine Weimann
- Institute of Physical Activity and Sport SciencesCruzeiro do Sul UniversityBrazil
| | | | | | | | | | - Elaine Hatanaka
- Institute of Physical Activity and Sport SciencesCruzeiro do Sul UniversityBrazil
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29
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Almeida GPL, Trombetta IC, Cepeda FX, Hatanaka E, Curi R, Mostarda C, Irigoyen MC, Barreto-Filho JAS, Krieger EM, Consolim-Colombo FM. The Role of Acute Intermittent Hypoxia in Neutrophil-Generated Superoxide, Sympathovagal Balance, and Vascular Function in Healthy Subjects. Front Physiol 2017; 8:4. [PMID: 28167915 PMCID: PMC5253395 DOI: 10.3389/fphys.2017.00004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 01/04/2017] [Indexed: 11/27/2022] Open
Abstract
Introduction: Recurrent hypoxia (HPX), a hallmark of the obstructive sleep apnea (OSA), impairs autonomic balance, and increases arterial blood pressure (BP). Oxidative stress is one of the mechanisms involved in these alterations. The cumulative effect of acute intermittent HPX and the chronicity may determine whether the response crosses the threshold from having protective value to pathology. However, the impact of acute intermittent HPX–reoxygenation on markers of oxidative stress in healthy individuals remains to be fully understood. Objective: To analyze the effects of the acute intermittent HPX on the generation of neutrophil-derived superoxide, sympathovagal balance, and vascular function in healthy subjects. Methods: We applied six cycles of intermittent HPX (10% O2 and 90% N2) for 5 min followed by 2 min of room-air in 15 healthy volunteers (34 ± 2 years; 22.3 ± 0.46 kg/m2), without OSA (polysomnography), during wakefulness. During the experimental protocol, we recorded O2 saturation, end-tidal CO2, heart rate (HR), systolic, and diastolic BP, cardiac output (CO) and peripheral resistance (PR). Cardiac sympathovagal balance was determined by HR variability analysis (low frequency and high frequency bands, LF/HF). Superoxide generation in polymorphonuclear neutrophil cells were established using relative luminescence units (PMNs RLU) at baseline (pre-HPX) and immediately after hypoxia induction (post-HPX6). Results: The studied subjects had normal levels of BP, plasma glucose, lipid profile, and inflammatory marker (C-reactive protein). Acute intermittent HPX increased HR, systolic BP, CO, and decreased PR. Additionally, acute intermittent HPX increased PMNs RLU, measured post-HPX6 (470 ± 50 vs. 741 ± 135, P < 0.05). We found a similar increase in LF/HF post-HPX6 (0.91 ± 0.11 vs. 2.85 ± 0.40, P < 0.05). PR was diminished from pre-HPX to post-HPX6 (1.0 ± 0.03 vs. 0.85 ± 0.06, P < 0.05). Further analysis showed significant association between O2 saturation and PMNs RLU (R = −0.62, P = 0.02), and with LF/HF (R = −0.79, P = 0.02) post-HPX6. In addition, an association was found between PMNs RLU and PR post-HPX6 (R = 0.58, P = 0.04). Conclusion: Acute exposure to intermittent HPX not only increased superoxide generation in neutrophils, but also impaired cardiac sympathovagal balance in healthy subjects. These data reinforce the role of intermittent HPX in superoxide generation on neutrophils, which may lead to an impairment in peripheral vascular resistance.
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Affiliation(s)
- Germana P L Almeida
- Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo, Brazil; Departamento de Medicina Clínica, Federal University of CearáCeará, Brazil
| | - Ivani C Trombetta
- Graduate Program in Medicine, Uninove, Universidade Nove de Julho São Paulo, Brazil
| | - Felipe X Cepeda
- Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo São Paulo, Brazil
| | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul São Paulo, Brazil
| | - Rui Curi
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo São Paulo, Brazil
| | - Cristiano Mostarda
- Programa de Pós-Graduação em Saúde do Adulto e da Criança, Federal University of Maranhão Maranhão, Brazil
| | - Maria C Irigoyen
- Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo São Paulo, Brazil
| | | | - Eduardo M Krieger
- Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo São Paulo, Brazil
| | - Fernanda M Consolim-Colombo
- Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo, Brazil; Graduate Program in Medicine, Uninove, Universidade Nove de JulhoSão Paulo, Brazil
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Passos MEP, Alves HHO, Momesso CM, Faria FG, Murata G, Cury-Boaventura MF, Hatanaka E, Massao-Hirabara S, Gorjão R. Differential effects of palmitoleic acid on human lymphocyte proliferation and function. Lipids Health Dis 2016; 15:217. [PMID: 27964715 PMCID: PMC5154135 DOI: 10.1186/s12944-016-0385-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 12/02/2016] [Indexed: 02/13/2023] Open
Abstract
BACKGROUND Palmitoleic acid (PA) is a n-7 monounsaturated fatty acid (MUFA) secreted by adipose tissue and related to decreased insulin resistance in peripheral tissues. Evidences have been shown that PA also decreased proinflammatory cytokine expression in cultured macrophages. Although studies have shown that other fatty acids (FAs) modulate several lymphocyte functions, the specific effect of PA on these cells is unknown. The aim of the present study was to evaluate the possible influence of PA on activation and differentiation of human lymphocytes in comparison to oleic acid (OA). METHODS Human lymphocytes were isolated from peripheral blood of health men and cultured in the presence of growing concentrations of PA or OA (5 to 200 μM), for 24 h. After that, cells were collected and cytotoxicity evaluated by flow cytometry. Then, we analyzed proliferative capacity in lymphocytes treated with non toxic concentrations of PA and OA (25 and 50 μM, respectively), in the presence or absence of concanavalin A (ConA). The Th1/Th2/Th17 cytokine production was determined by the Cytometric Bead Array. CD28 and CD95 surface expression and T regulatory cell percentage were determined by flow cytometry. RESULTS We observed that PA is toxic to lymphocytes above 50 μM. PA promoted a decrease of lymphocyte proliferation stimulated by ConA in both concentrations. PA also decreased CD28 externalization and increased CD95. On the other hand, OA did not alter these parameters. In the same way, PA reduced IL6, IFN-gamma, TNF-alpha and IL17A production in both concentration and IL2 only at 50 μM (in the presence of ConA). OA promoted IFN-gamma reduction in both concentrations and an increase of IL-2, IL4 and IL10 at 25 μM. Both fatty acids decreased the percentage of T regulatory cells. CONCLUSION In conclusion, PA promoted a suppressive effect on lymphocyte proliferation characterized by a decrease of Th1 and Th17 response, and co-stimulatory molecule (CD28). However, OA increased lymphocyte proliferation through IL2 production and Th2 response. These results also show a more suppressive effect of PA on lymphocytes in comparison to OA.
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Affiliation(s)
- M E P Passos
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil.
| | - H H O Alves
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - C M Momesso
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - F G Faria
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - G Murata
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - M F Cury-Boaventura
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - E Hatanaka
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - S Massao-Hirabara
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil
| | - R Gorjão
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, Rua Galvão Bueno, 868, Liberdade, CEP: 01506 000, São Paulo, SP, Brazil.
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31
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Masi LN, Serdan TDA, Levada-Pires AC, Hatanaka E, Silveira LDR, Cury-Boaventura MF, Pithon-Curi TC, Curi R, Gorjão R, Hirabara SM. Regulation of Gene Expression by Exercise-Related Micrornas. Cell Physiol Biochem 2016; 39:2381-2397. [DOI: 10.1159/000452507] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2016] [Indexed: 11/19/2022] Open
Abstract
Gene expression control by microRNAs (miRs) is an important mechanism for maintenance of cellular homeostasis in physiological and pathological conditions as well as in response to different stimuli including nutritional factors and exercise. MiRs are involved in regulation of several processes such as growth and development, fuel metabolism, insulin secretion, immune function, miocardium remodeling, cell proliferation, differenciation, survival, and death. These molecules have also been proposed to be potential biomarkers and/or therapeutical targets in obesity, type 2 diabetes mellitus, cardiovascular diseases, metabolic syndrome, and cancer. MiRs are released by most cells and potentially act on intercellular communication to borderer or distant cells. Various studies have been performed to elucidate the involvement of miRs in exercise-induced effects. The aims of this review are: 1) to bring up the main advances for the comprehension of the mechanisms of action of miRs; 2) to present the main results on miR involvement in physical exercise; 3) to discuss the physiological effects of miRs modified by exercise. The state of the art and the perspectives on miRs associated with physical exercise will be presented. Thus, this review is important for updating recent advances and driving further strategies and studies on the exercise-related miR research.
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Polotow TG, Poppe SC, Vardaris CV, Ganini D, Guariroba M, Mattei R, Hatanaka E, Martins MF, Bondan EF, Barros MP. Redox Status and Neuro Inflammation Indexes in Cerebellum and Motor Cortex of Wistar Rats Supplemented with Natural Sources of Omega-3 Fatty Acids and Astaxanthin: Fish Oil, Krill Oil, and Algal Biomass. Mar Drugs 2015; 13:6117-37. [PMID: 26426026 PMCID: PMC4626682 DOI: 10.3390/md13106117] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 09/14/2015] [Accepted: 09/16/2015] [Indexed: 12/15/2022] Open
Abstract
Health authorities worldwide have consistently recommended the regular consumption of marine fishes and seafood to preserve memory, sustain cognitive functions, and prevent neurodegenerative processes in humans. Shrimp, crabs, lobster, and salmon are of particular interest in the human diet due to their substantial provision of omega-3 fatty acids (n-3/PUFAs) and the antioxidant carotenoid astaxanthin (ASTA). However, the optimal ratio between these nutraceuticals in natural sources is apparently the key factor for maximum protection against most neuro-motor disorders. Therefore, we aimed here to investigate the effects of a long-term supplementation with (n-3)/PUFAs-rich fish oil, ASTA-rich algal biomass, the combination of them, or krill oil (a natural combination of both nutrients) on baseline redox balance and neuro-inflammation indexes in cerebellum and motor cortex of Wistar rats. Significant changes in redox metabolism were only observed upon ASTA supplementation, which reinforce its antioxidant properties with a putative mitochondrial-centered action in rat brain. Krill oil imposed mild astrocyte activation in motor cortex of Wistar rats, although no redox or inflammatory index was concomitantly altered. In summary, there is no experimental evidence that krill oil, fish oil, oralgal biomass (minor variation), drastically change the baseline oxidative conditions or the neuro-inflammatory scenario in neuromotor-associated rat brain regions.
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Affiliation(s)
- Tatiana G Polotow
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
| | - Sandra C Poppe
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
| | - Cristina V Vardaris
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
| | - Douglas Ganini
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
- Free Radical Metabolism Group, Laboratory of Toxicology and Pharmacology, National Institute of Environmental Health Sciences, NIEHS, Research Triangle Park, NC 27709, USA.
| | - Maísa Guariroba
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
| | - Rita Mattei
- Department of Psychobiology, Federal University of Sao Paulo (UNIFESP), Sao Paulo SP 04023062, Brazil.
| | - Elaine Hatanaka
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
| | - Maria F Martins
- Department of Environmental and Experimental Pathology, Paulista University (UNIP), Sao Paulo SP 04026002, Brazil.
- Program in Veterinary Medicine, Biological Sciences and Health (CBS), Cruzeiro do Sul University, Sao Paulo SP 01506-000, Brazil.
| | - Eduardo F Bondan
- Department of Environmental and Experimental Pathology, Paulista University (UNIP), Sao Paulo SP 04026002, Brazil.
- Program in Veterinary Medicine, Biological Sciences and Health (CBS), Cruzeiro do Sul University, Sao Paulo SP 01506-000, Brazil.
| | - Marcelo P Barros
- Postgraduate program in Health Sciences, Institute of Physical Activity and Sports Sciences (ICAFE), Cruzeiro do Sul University, R. Galvao Bueno, 868, Building B, 13th floor, Sao Paulo SP 01506000, Brazil.
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Ract JNR, Soares FASDM, Rodrigues HG, Bortolon JR, Murata GM, Gonçalves MIA, Hatanaka E, Curi R, Gioielli LA. Production of vegetable oil blends and structured lipids and their effect on wound healing. BRAZ J PHARM SCI 2015. [DOI: 10.1590/s1984-82502015000200019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
<p>Two oil blends (sunflower/canola oils 85/15 (BL1) and canola/linseed oils 70/30 (BL2)), were prepared and enzymatically interesterified to be applied to surgically-induced wounds in rats. Following surgery, the animals were submitted to the Treatment with Physiological Saline (TPS) (control group), Blends (TBL), and Structured Lipids (TSL). The control group (TPS) received physiological saline solution for 15 days. In TBL, BL1 was administered during the inflammation phase (days 0-3) and BL2 in the tissue formation and remodeling phase (days 4-15). In TSL, Structured Lipid 1 (SL1) and Structured Lipid 2 (SL2) were used instead of BL1 and BL2, respectively. The aim of this study was to compare wound closure evolution among rats treated with the blends or structured lipids versus control rats treated with physiological saline. The wound healing process was evaluated by measuring the wound areas along the treatments and the concentrations of cytokines. An increase in the areas of wounds treated with the blends and structured lipids in the inflammatory phase was observed, followed by a steeper closure curve compared to wounds treated with physiological saline. The changes observed during the inflammatory phase suggest a potential therapeutic application in cutaneous wound healing which should be further investigated.</p>
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Affiliation(s)
| | | | | | | | | | | | | | - Rui Curi
- Universidade de São Paulo, Brazil
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Momesso dos Santos CM, Sato FT, Cury-Boaventura MF, Guirado-Rodrigues SH, Caçula KG, Gonçalves Santos CC, Hatanaka E, de Oliveira HH, Santos VC, Murata G, Borges-Silva CN, Hirabara SM, Pithon-Curi TC, Gorjão R. Effect of regular circus physical exercises on lymphocytes in overweight children. PLoS One 2015; 10:e0120262. [PMID: 25826263 PMCID: PMC4380297 DOI: 10.1371/journal.pone.0120262] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Accepted: 01/21/2015] [Indexed: 12/26/2022] Open
Abstract
Obesity associated with a sedentary lifestyle can lead to changes in the immune system balance resulting in the development of inflammatory diseases. The aim of this study was to compare lymphocyte activation mechanisms between overweight children practicing regular circus physical exercises with non-exercised children. The study comprised 60 pubescent children randomly divided into 4 groups: Overweight Children (OWC) (10.67 ± 0.22 years old), Overweight Exercised Children (OWE) (10.00 ± 0.41 years old), Eutrophic Children (EC) (11.00 ± 0.29 years old) and Eutrophic Exercised Children (EE) (10.60 ± 0.29 years old). OWE and EE groups practiced circus activities twice a week, for 4.3 ± 0.5 and 4.4 ± 0.5 months, respectively. Percentage of T regulatory cells (Treg) and the expression of CD95 and CD25 in CD4+ lymphocytes were evaluated by flow cytometry. Lymphocyte proliferation capacity was measured by [14C]-thymidine incorporation and mRNA expression of IL-35, TGF-beta, IL-2 and IL-10 by real-time PCR. Lymphocyte proliferation was higher in OWC and OWE groups compared with the EC (3509 ± 887; 2694 ± 560, and 1768 ± 208 cpm, respectively) and EE (2313 ± 111 cpm) groups. CD95 expression on lymphocytes was augmented in the EC (953.9 ± 101.2) and EE groups (736.7 ± 194.6) compared with the OWC (522.1 ± 125.2) and OWE groups (551.6 ± 144.5). CTLA-4 expression was also lower in the OWC and OWE groups compared with the EC and EE groups. Percentage of Treg, IL-35, and IL-10 mRNA expression were lower in the OWC and OWE groups compared with the EC and EE groups. In conclusion, overweight children present altered immune system balance characterized by elevated lymphocyte proliferation due to a decrease in T regulatory cell percentage. These effects were partially reverted by moderate physical exercise, as demonstrated by decreased lymphocyte proliferation.
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Affiliation(s)
- Cesar Miguel Momesso dos Santos
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Fábio Takeo Sato
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Maria Fernanda Cury-Boaventura
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Silvia Helena Guirado-Rodrigues
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Kim Guimaraes Caçula
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Cristiane Cassoni Gonçalves Santos
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil; Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Heloisa Helena de Oliveira
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Vinicius Coneglian Santos
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Gilson Murata
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Cristina Neves Borges-Silva
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Sandro Massao Hirabara
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
| | - Tania Cristina Pithon-Curi
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil; Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Renata Gorjão
- Institute of Physical Activity Sciences and Sports, Post-Graduate Program in Human Movement Sciences, Cruzeiro do Sul University, São Paulo, Brazil
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Borges LDS, Dermargos A, da Silva Junior EP, Weimann E, Lambertucci RH, Hatanaka E. Melatonin decreases muscular oxidative stress and inflammation induced by strenuous exercise and stimulates growth factor synthesis. J Pineal Res 2015; 58:166-72. [PMID: 25546615 DOI: 10.1111/jpi.12202] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 12/19/2014] [Indexed: 12/14/2022]
Abstract
Strenuous exercise is detrimental to athletes because of the overproduction of reactive oxygen species. Melatonin, a classic antioxidant, has been shown to exhibit beneficial effects regarding intense exercise and tissue repair. In this study, we evaluated the onset and resolution of inflammation in melatonin-treated and nontreated rats subjected to a strenuous exercise session. We also analyzed the formation of thiobarbituric acid reactive substances (TBARS) and the activities of catalase (CAT), glutathione peroxidase (GPx), and superoxide dismutase (SOD). Control and treated rats were subjected to exhaustive exercise after a period of 10 days of melatonin treatment (20 mg/dL). Plasma and muscle levels of tumor necrosis factor-alpha (TNF-α), interleukin 1 beta (IL-1β), interleukin 6 (IL-6), cytokine-induced neutrophil chemoattractant-2-alpha/beta (CINC-2α/β), l-selectin, macrophage inflammatory protein-3-alpha (MIP-3α), and vascular endothelial growth factor (VEGF) were measured prior to, immediately after, and 2 hr after exercise. Our data revealed decreases in the muscle concentrations of IL-1β (35%), TNF-α (13%), IL-6 (48%), and TBARS (40%) in the melatonin-treated group compared with the control group. We also observed decreases in the plasma concentrations of IL-1β (17%) in the melatonin-treated group. VEGF-α concentrations and SOD activity increased by 179% and 22%, respectively, in the melatonin-treated group compared with the control group. We concluded that muscle inflammation and oxidative stress resulting from exhaustive exercise were less severe in the muscles of melatonin-treated animals than in the muscles of control animals. Thus, melatonin treatment may reverse exercise-induced skeletal muscle inflammation and stimulate growth factor synthesis.
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Affiliation(s)
- Leandro da Silva Borges
- Institute of Physical Activity and Sport Sciences, Cruzeiro do Sul University, Sao Paulo, SP, Brazil
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Bonfim-Mendonça PDS, Ratti BA, Godoy JDSR, Negri M, de Lima NCA, Fiorini A, Hatanaka E, Consolaro MEL, de Oliveira Silva S, Svidzinski TIE. β-Glucan induces reactive oxygen species production in human neutrophils to improve the killing of Candida albicans and Candida glabrata isolates from vulvovaginal candidiasis. PLoS One 2014; 9:e107805. [PMID: 25229476 PMCID: PMC4168232 DOI: 10.1371/journal.pone.0107805] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 08/14/2014] [Indexed: 12/02/2022] Open
Abstract
Vulvovaginal candidiasis (VVC) is among the most prevalent vaginal diseases. Candida albicans is still the most prevalent species associated with this pathology, however, the prevalence of other Candida species, such as C. glabrata, is increasing. The pathogenesis of these infections has been intensely studied, nevertheless, no consensus has been reached on the pathogenicity of VVC. In addition, inappropriate treatment or the presence of resistant strains can lead to RVVC (vulvovaginal candidiasis recurrent). Immunomodulation therapy studies have become increasingly promising, including with the β-glucans. Thus, in the present study, we evaluated microbicidal activity, phagocytosis, intracellular oxidant species production, oxygen consumption, myeloperoxidase (MPO) activity, and the release of tumor necrosis factor α (TNF-α), interleukin-8 (IL-8), IL-1β, and IL-1Ra in neutrophils previously treated or not with β-glucan. In all of the assays, human neutrophils were challenged with C. albicans and C. glabrata isolated from vulvovaginal candidiasis. β-glucan significantly increased oxidant species production, suggesting that β-glucan may be an efficient immunomodulator that triggers an increase in the microbicidal response of neutrophils for both of the species isolated from vulvovaginal candidiasis. The effects of β-glucan appeared to be mainly related to the activation of reactive oxygen species and modulation of cytokine release.
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Affiliation(s)
| | - Bianca Altrão Ratti
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
| | | | - Melyssa Negri
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
| | | | - Adriana Fiorini
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
| | - Elaine Hatanaka
- Instituto de Ciências da Atividade Física e Esporte, Universidade Cruzeiro do Sul, São Paulo, São Paulo, Brasil
| | | | - Sueli de Oliveira Silva
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
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Borges LS, Bortolon JR, Coneglian VS, Moura NR, Cury-Boaventura MF, Gorjão R, Phiton-Curi TC, Hatanaka E. Chronic Inflammation And Neutrophil Activation As Possible Causes Of Joint Diseases In Ballet Dancers. Med Sci Sports Exerc 2014. [DOI: 10.1249/01.mss.0000495127.90002.76] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Levada-Pires AC, Batista LCC, Momesso CM, Hatanaka E, Passos ME, Pithon-Curi TC, Gorjão R. The Effects Of Resistive Exercise And Macadamia Nut Oil Supplementation On Plasma Lipids Profile In Overweight Women. Med Sci Sports Exerc 2014. [DOI: 10.1249/01.mss.0000494958.94085.fd] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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de Moura NR, Borges LS, Santos VC, Joel GB, Bortolon JR, Hirabara SM, Cury-Boaventura MF, Pithon-Curi TC, Curi R, Hatanaka E. Muscle Lesions and Inflammation in Futsal Players According to Their Tactical Positions. J Strength Cond Res 2013; 27:2612-8. [DOI: 10.1519/jsc.0b013e31827fd835] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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de Moura NR, Cury-Boaventura MF, Santos VC, Levada-Pires AC, Bortolon J, Fiamoncini J, Pithon-Curi TC, Curi R, Hatanaka E. Inflammatory Response and Neutrophil Functions in Players After a Futsal Match. J Strength Cond Res 2012; 26:2507-14. [DOI: 10.1519/jsc.0b013e31823f29b5] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Magdalon J, Vinolo MAR, Rodrigues HG, Paschoal VA, Torres RP, Mancini-Filho J, Calder PC, Hatanaka E, Curi R. Oral Administration of Oleic or Linoleic Acids Modulates the Production of Inflammatory Mediators by Rat Macrophages. Lipids 2012; 47:803-12. [DOI: 10.1007/s11745-012-3687-9] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Accepted: 05/23/2012] [Indexed: 11/30/2022]
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Rodrigues HG, Vinolo MAR, Magdalon J, Vitzel K, Nachbar RT, Pessoa AFM, dos Santos MF, Hatanaka E, Calder PC, Curi R. Oral Administration of Oleic or Linoleic Acid Accelerates the Inflammatory Phase of Wound Healing. J Invest Dermatol 2012; 132:208-15. [DOI: 10.1038/jid.2011.265] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Magdalon J, Hatanaka E, Romanatto T, Rodrigues HG, Kuwabara WMT, Scaife C, Newsholme P, Curi R. A proteomic analysis of the functional effects of fatty acids in NIH 3T3 fibroblasts. Lipids Health Dis 2011; 10:218. [PMID: 22114894 PMCID: PMC3281802 DOI: 10.1186/1476-511x-10-218] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2011] [Accepted: 11/24/2011] [Indexed: 11/20/2022] Open
Abstract
Previous studies have demonstrated that long chain fatty acids influence fibroblast function at sub-lethal concentrations. This study is the first to assess the effects of oleic, linoleic or palmitic acids on protein expression of fibroblasts, as determined by standard proteomic techniques. The fatty acids were not cytotoxic at the concentration used in this work as assessed by membrane integrity, DNA fragmentation and the MTT assay but significantly increased cell proliferation. Subsequently, a proteomic analysis was performed using two dimensional difference gel electrophoresis (2D-DIGE) and MS based identification. Cells treated with 50 μM oleic, linoleic or palmitic acid for 24 h were associated with 24, 22, 16 spots differentially expressed, respectively. Among the identified proteins, α-enolase and far upstream element binding protein 1 (FBP-1) are of importance due to their function in fibroblast-associated diseases. However, modulation of α-enolase and FBP-1 expression by fatty acids was not validated by the Western blot technique.
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Affiliation(s)
- Juliana Magdalon
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Elaine Hatanaka
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
- Institute of Physical Activity and Sport Sciences, University Cruzeiro do Sul, Sao Paulo, Brazil
| | - Talita Romanatto
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Hosana G Rodrigues
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Wilson MT Kuwabara
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Caitriona Scaife
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
- School of Biomolecular and Biomedical Science, University College Dublin, Dublin, Ireland
| | - Philip Newsholme
- School of Biomolecular and Biomedical Science, University College Dublin, Dublin, Ireland
- School of Biomedical Sciences, Curtin University, Perth, Western Australia 6845, Australia
| | - Rui Curi
- Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil
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Lorenço-Lima L, Monteiro TS, Nakama FH, Pithon-Curi TC, Hatanaka E, Hirabara SM. Use of Snorkel During Maximal Physical Activity does not Cause Hemoglobin Desaturation in Fighters. Med Sci Sports Exerc 2011. [DOI: 10.1249/01.mss.0000402654.47280.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Márquez JL, Hirabara SM, Fiamoncini J, Hatanaka E, Alba-Loureiro TC, Lima-Salgado TMD, Curi R, Salazar LA. La Inactividad Física en Etapas Tempranas del Desarrollo Disminuye la Expresión de Akt en el Músculo Sóleo de Ratas. INT J MORPHOL 2011. [DOI: 10.4067/s0717-95022011000100043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Hatanaka E, Dermargos A, Armelin HA, Curi R, Campa A. Serum amyloid A induces reactive oxygen species (ROS) production and proliferation of fibroblast. Clin Exp Immunol 2010; 163:362-7. [PMID: 21175596 DOI: 10.1111/j.1365-2249.2010.04300.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Serum amyloid A (SAA) levels are elevated highly in acute phase response and elevated slightly and persistently in chronic diseases such as rheumatoid arthritis and diabetes. Given that fibroblasts exert profound effects on progression of inflammatory chronic diseases, the aim of this study was to investigate the response of fibroblasts to SAA. A dose-dependent increase in O(2) (-) levels was observed by treatment of fibroblasts with SAA (r = 0·99 and P ≤ 0·001). In addition, the expression of p47-phox was up-regulated by SAA (P < 0·001) and diphenyliodonium (DPI), a nicotinamide adenine dinucleotide phosphate (NADPH) oxidase inhibitor, reduced the release of O(2) (-) by 50%. Also, SAA raised fibroblast proliferation (P < 0·001) and this effect was completely abolished by the addition of anti-oxidants (P < 0·001). These findings support the notion that, in chronic inflammatory sites, SAA activated fibroblast proliferation and ROS production.
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Affiliation(s)
- E Hatanaka
- Instituto de Ciências da Atividade Física e Esportes, Universidade Cruzeiro do Sul, São Paulo, Brazil.
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Vinolo MAR, Rodrigues HG, Hatanaka E, Sato FT, Sampaio SC, Curi R. Suppressive effect of short-chain fatty acids on production of proinflammatory mediators by neutrophils. J Nutr Biochem 2010; 22:849-55. [PMID: 21167700 DOI: 10.1016/j.jnutbio.2010.07.009] [Citation(s) in RCA: 438] [Impact Index Per Article: 31.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2009] [Revised: 07/16/2010] [Accepted: 07/20/2010] [Indexed: 12/17/2022]
Abstract
Short chain fatty acids (SCFAs) are fermentation products of anaerobic bacteria. More than just being an important energy source for intestinal epithelial cells, these compounds are modulators of leukocyte function and potential targets for the development of new drugs. The aim of this study was to evaluate the effects of SCFAs (acetate, propionate and butyrate) on production of nitric oxide (NO) and proinflammatory cytokines [tumor necrosis factor α (TNF-α) and cytokine-induced neutrophil chemoattractant-2 (CINC-2αβ)] by rat neutrophils. The involvement of nuclear factor κB (NF-κB) and histone deacetylase (HDAC) was examined. The effect of butyrate was also investigated in vivo after oral administration of tributyrin (a pro-drug of butyrate). Propionate and butyrate diminished TNF-α, CINC-2αβ and NO production by LPS-stimulated neutrophils. We also observed that these fatty acids inhibit HDAC activity and NF-κB activation, which might be involved in the attenuation of the LPS response. Products of cyclooxygenase and 5-lipoxygenase are not involved in the effects of SCFAs as indicated by the results obtained with the inhibitors of these enzymes. The recruitment of neutrophils to the peritonium after intraperitoneal administration of a glycogen solution (1%) and the ex vivo production of cytokines and NO by neutrophils were attenuated in rats that previously received tributyrin. These results argue that this triglyceride may be effective in the treatment of inflammatory conditions.
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Affiliation(s)
- Marco A R Vinolo
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil 05508-900.
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Belotto MF, Magdalon J, Rodrigues HG, Vinolo MAR, Curi R, Pithon-Curi TC, Hatanaka E. Moderate exercise improves leucocyte function and decreases inflammation in diabetes. Clin Exp Immunol 2010; 162:237-43. [PMID: 20846161 DOI: 10.1111/j.1365-2249.2010.04240.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The genesis and progression of diabetes occur due in part to an uncontrolled inflammation profile with insulin resistance, increased serum levels of free fatty acids (FFA), proinflammatory cytokines and leucocyte dysfunction. In this study, an investigation was made of the effect of a 3-week moderate exercise regimen on a treadmill (60% of VO₂(max) , 30 min/day, 6 days a week) on inflammatory markers and leucocyte functions in diabetic rats. The exercise decreased serum levels of tumour necrosis factor (TNF)-α (6%), cytokine-induced neutrophil chemotactic factor 2 alpha/beta (CINC-2α/β) (9%), interleukin (IL)-1β (34%), IL-6 (86%), C-reactive protein (CRP) (41%) and FFA (40%) in diabetic rats when compared with sedentary diabetic animals. Exercise also attenuated the increased responsiveness of leucocytes from diabetics when compared to controls, diminishing the reactive oxygen species (ROS) release by neutrophils (21%) and macrophages (28%). Exercise did not change neutrophil migration and the proportion of neutrophils and macrophages in necrosis (loss of plasma membrane integrity) and apoptosis (DNA fragmentation). Serum activities of creatine kinase (CK) and lactate dehydrogenase (LDH) were not modified in the conditions studied. Therefore, physical training did not alter the integrity of muscle cells. We conclude that moderate physical exercise has marked anti-inflammatory effects on diabetic rats. This may be an efficient strategy to protect diabetics against microorganism infection, insulin resistance and vascular complications.
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Rodrigues HG, Vinolo MAR, Magdalon J, Fujiwara H, Cavalcanti DMH, Farsky SHP, Calder PC, Hatanaka E, Curi R. Dietary free oleic and linoleic acid enhances neutrophil function and modulates the inflammatory response in rats. Lipids 2010; 45:809-19. [PMID: 20730605 DOI: 10.1007/s11745-010-3461-9] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2010] [Accepted: 08/06/2010] [Indexed: 01/13/2023]
Abstract
The high ingestion of oleic (OLA) and linoleic (LNA) acids by Western populations, the presence of inflammatory diseases in these populations, and the importance of neutrophils in the inflammatory process led us to investigate the effects of oral ingestion of unesterified OLA and LNA on rat neutrophil function. Pure OLA and LNA were administered by gavage over 10 days. The doses used (0.11, 0.22 and 0.44 g/kg of body weight) were based on the Western consumption of OLA and LNA. Neither fatty acid affected food, calorie or water intake. The fatty acids were not toxic to neutrophils as evaluated by cytometry using propidium iodide (membrane integrity and DNA fragmentation). Neutrophil migration in response to intraperitoneal injection of glycogen and in the air pouch assay, was elevated after administration of either OLA or LNA. This effect was associated with enhancement of rolling and increased release of the chemokine CINC-2alphabeta. Both fatty acids elevated L-selectin expression, whereas no effect on beta(2)-integrin expression was observed, as evaluated by flow cytometry. LNA increased the production of proinflammatory cytokines (IL-1beta and CINC-2alphabeta) by neutrophils after 4 h in culture and both fatty acids decreased the release of the same cytokines after 18 h. In conclusion, OLA and LNA modulate several functions of neutrophils and can influence the inflammatory process.
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Affiliation(s)
- Hosana Gomes Rodrigues
- Department of Physiology and Biophysics, Institute of Biomedical Sciences, São Paulo University, Avenida Prof. Lineu Prestes, 1524, Butantã, São Paulo, SP, 05508-900, Brazil.
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Pithon-Curi TC, Levada-Pires AC, Cury-Boaventura MF, Hatanaka E, Peres CM, Loureiro TCA, Puggina EF, Curi R. Effect Of Long Triathlon Competition On Neutrophil Function. Med Sci Sports Exerc 2010. [DOI: 10.1249/01.mss.0000385806.06594.3f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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