Navegando por Assunto "Tendinopatia"

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Acesso aberto (Open Access)
Efeito do tratamento com Euterpe Oleracea (Açaí) no processo de reparo do tendão de aquiles em ratos
(Universidade Federal do Pará, 2016-09-09) SILVA, Dlânio Gabriel Figuêredo; MORAES, Suellen Alessandra Soares de; http://lattes.cnpq.br/6278397231382779
Achilles tendon is the largest and strongest tendon in the human body, its excessive use induces microtrauma and activation of signaling pathways that lead to an inflammatory response. The ethanolic extract of Euterpe oleracea(açaí) is a natural product extracted from the fruit of the palm tree.Although evidence suggests an anti-inflammatory and antioxidant effect of this product, there is no data in the literature about such effects on tendon lesion. The aim of this study was to investigate the anti-inflammatory and pro-regenerative effects of ethanolic extract of Euterpe oleracea in a rat model of total Achilles tendon rupture. This study was approved by the Animal Research Ethics Committee (CEPAE-UFPA/206-14). The animals were divided into four groups (n = 24): control; vehicle (0.9% saline); E. oleracea extract (125 μg/mL ethanolic extract of Euterpe oleracea) and methylprednisolone (30 mg/ml). After the respective treatments, the tissue was analyzed at 7, 14 or 21 days post-injury (dpi) by immunohistochemistry with hematoxylin/eosin and collagen autofluorescence. Immunofluorescence for COX2 and measurement of nitrite levels by Griess method were performed at 7 dpi. Treatment with E. oleracea extract accelerated tissue organization and orientation of the cells, similarly to the anti-inflammatory steroid methylprednisolone. This natural product led to an early alignment in collagen fibers as well as in the overall matrix structure when compared to the other groups, which was observed at 7 dpi and maintained at both 14 and 21 dpi. Treatment with E. oleracea extract or methylprednisolone reduced COX2 labeling in comparison to the vehicle at 7 dpi. Reduction in nitrite tissue levels was observed at 7 dpi in groups treated with E. oleracea extract (20.80 ± 2.54 μm/ml) and methylprednisolone (19.40 ± 2.31 μm/ml) compared to vehicle group (29.33 ± 3.98 μm/ml). Treatment with E. oleracea extract improved tissue organization and reduced both COX2 labeling and nitrite levels, suggesting anti-inflammatory and antioxidant effects. Our findings highlight E. oleracea extract as a natural product with potential application in Achilles tendon repair.
Acesso aberto (Open Access)
Efeito do tratamento combinado com laserterapia e gel de açaí na fase proliferativa de reparo em modelo de lesão por ruptura tendínea total em ratos
(Universidade Federal do Pará, 2023-08-13) MENDES, Aurea Gabriela Rodrigues; MORAES, Suellen Alessandra Soares de; http://lattes.cnpq.br/6278397231382779; BATISTA, Evander de Jesus Oliveira; http://lattes.cnpq.br/2206444845201080
Acai extract has been investigated as a pharmacological strategy due to its anti- inflammatory, antioxidant and antinociceptive effects. Furthermore, studies report that low-intensity laser (LBT) may favor tissue repair due to its proliferative effects in increasing the number of fibroblasts and collagen synthesis. Therefore, the combined use of açaí with LBT may be a therapeutic alternative in the management of tendon repair. The aim of this study was to evaluate the effects of combined treatment with açaí gel and LBT on the morphofunctional and nociceptive aspects of Achilles tendon injury in the proliferative phase of repair. For this, 40 Wistar rats were divided into control group (CTRL), injury (INJURY), 10% açaí gel (INJURY+GA), 2J infrared laser, (INJURY+LAS) and combined treatment (INJURY+LAS+GA). The Von Frey test, Joint Angle and Achilles Functional Index were performed at 0-, 3-, 7- , and 14-days post-injury (DPL). After 14 days, the tendons were collected and the tissue organization pattern was analyzed by H&E or Alcian Blue to assess variations in glycosaminoglycans in the extracellular matrix, staining with DAPI to quantify the number of cells and collagen autofluorescence to assess the orientation pattern of collagen fibers. We demonstrated improvement in the macroscopic characteristics of the tendon in the treatment groups in relation to INJURY, which may be correlated with better organization and tissue orientation, as well as collagen fibers in these groups. The increase in the number of cells and fibroblasts was more evident in the laser group, emphasizing the proliferative role of the laser. Functional recovery was observed in 7 DPL in the isolated laser group, while the combined treatment improved nociception in the acute phase (7th DPL). In the proliferative phase (14th DPL), the IFA showed improvement in functional aspects in the combined treatment group. On the other hand, nociceptive sensitivity was reestablished in all treatment groups. In summary, our findings indicate that the combined use of açaí gel with LBT may be a therapeutic alternative in the management of tendon injury repair.
Acesso aberto (Open Access)
Ruptura total do tendão de Aquiles induz resposta inflamatória e ativação glial na medula espinhal de camundongos
(Universidade Federal do Pará, 2022-05) PAULA, Diego Rodrigues de; SILVA, Anderson Manoel Herculano Oliveira da; http://lattes.cnpq.br/8407177208423247
Achilles tendon rupture is a common accident that affects both professional and recreational athletes. Acute and chronic pain are commonly seen in patients after rupture, usually associated with local inflammatory activation. The factors leading to hyperalgesia in symptomatic patients are poorly understood. Evidence suggests that Achilles tendon rupture is not restricted to tissue changes, but is able to evoke changes in the central nervous system (CNS). This study aimed to evaluate the impact of Achilles tendon rupture on the biochemical and histological profile in the spinal cord (L5) and on the nociceptive response in a murine model. The animals after Achilles tendon tenotomy surgery were divided into two groups: control (without rupture) and Rupture (tenotomized). Mechanical sensitivity test (von Frey) was assessed on the 7th and 14th day post-tenotomy (dpt). Glial reactivity was assessed by immunohistochemistry for microglia (IBA-1) and astrocytes (GFAP). Inflammatory activation was assessed by immunofluorescence for NOS-2 and COX2 at 7th and 14th dpt. We show, by the mechanical sensitivity test, an increase in the algesic response in the ipsilateral paw of the ruptured group on the 7th and 14th dpt when compared to the control group. This phenomenon was accompanied by hyperactivation of astrocytes and microglia in sensory processing areas of the L5 spinal cord, predominantly on the ipsilateral side to the tendon injury. We show inflammatory activation by expression of COX-2 and NOS-2, exclusively in the 14th dpt. These data were supported by biochemical findings that demonstrated significant nitrite levels increase in the lumbar spinal cord of animals submitted to Achilles tendon rupture at 7 and 14 dpt. The present study demonstrated for the first time that complete rupture of the Achilles tendon induces a neuroinflammatory response associated with glial activation in the spinal cord (L5) of mice.
Acesso aberto (Open Access)
O tratamento com ácido ascórbico acelera o processo de reparo do tendão calcâneo em modelo de lesão tendínea em ratos
(Universidade Federal do Pará, 2015-02-24) SOUZA, Martha Costa de; SILVA, Anderson Manoel Herculano Oliveira da; http://lattes.cnpq.br/8407177208423247
Tendon rupture affects a large part of the population in special seniors and athletes.The repair process requires more studies which can indicate the possibility of new treatments. The ascorbic acid (AA) is a well known substance by its requirement for proline and lysine hydroxylase activity during the collagen synthesisis and the efficiency of this vitamin for various treatments, because of its antioxidant properties. So, the aim of the present study is to evaluate the local treatments effects with this substance on tissue and functional repair the Achilles tendon from rats. The study was approved by the ethics committee of the institution (CEPAE-UFPA) according to the license 161-13. The animals were submitted to rupture of Achilles tendon, divided into three groups (n=27): control, injury+AA (30 mM), injury+vehicle (0.9% NaCl). All treatments were performed by local injection, from the second day after injury and every other day until day 14 or 21. The walk of the animals was assessed by functional index of Achilles (IFA) on days 7(n=6), 14(n=6) e 21(n=3), cells number was assessed by staining with DAPI and tissue organization by staining with HE and autofluorescence, at 14(n=9) and 21(n=9) days of injury. The animals did not differ in body mass gain. The injury+AA group (-39.51±15.3) showed functional improvement especially at day 14 when compared to the injury+vehicle (-89.22±16.57, p<0.01). The histological examination demonstrated in counting the number of cells that the injury+AA group (762±29.6) showed a smaller number of cells on day 21 (762±29.6) in relation to the groups injury+vehicle (916±57.0, p<0.01). The analysis of autofluorescence of collagen and HE showed that the injury+AA group achieved better ECM organization on day 14 and 21 in relation to the groups injury+vehicle, in turn, differs significantly from the control group. Our results suggest that AA accelerates the healing process of tendon injury, presenting tissue and functional improvements 21 days after injury.
Acesso aberto (Open Access)
O tratamento com meio condicionado em cultura primária de tenócitos acelera o reparo tendíneo em modelo de lesão total do tendão calcâneo
(Universidade Federal do Pará, 2022-10-14) MACIEL, Analú Alves; SILVA, Anderson Manoel Herculano Oliveira da; http://lattes.cnpq.br/8407177208423247
Conventional treatments for tendinopathies are ineffective and most clinical interventions do not provide adequate recovery leaving this tissues more likely to suffer reinjures. Recently, cell based therapies has been shown to be effective for the treatment in connective tissue injuries, such as tendons. Our aim is to evaluate if local treatment with tenocytes conditioned medium promoves tissue and functional improvements in the calcaneal tendon of tenotomized mice. The calcaneal tendon cells of Swiss mice were cultured for conditioning culture medium that will be used as a treatment. The animals were subjected to right calcaneal tenotomy and treated with saline solution (SAL), DMEM without serum (DMEM) and DMEM conditioned in primary tenocyte culture (MC) and compared to the control group (CTRL). Tendon functionality was measured using the Achilles Functional Index (AFI) and mechanical sensitivity through the paw withdrawal threshold (PWT) using the Von Frey test. All analyzes were performed at 7, 14 and 21 days post-injury (dpi). For histological analysis, tissues were stained with HE. Statistics were performed by ANOVA-2 followed by Tukey's post test, p<0.01. The MC group showed functional improvement at 7° and 14°dpi (-40.4±12.6; -36.6±10.4) compared to the DMEM groups (-76.5±11.7; -71, 6±7.9, p<0.01) and SAL (-88.8±15; -71.4±12.6 p<0.01). The MC group showed improvement in the paw withdrawal threshold at 7° and 14°dpl (2.24±1.15; 2.66±1.06) compared to the DMEM groups (0.15±0.07; 0 .45±0.76 p<0.01) SAL (0.13±1.15; 0.77±0.95 p<0.01). In the histological analysis, the MC group showed better tissue organization with cells presenting a format more similar to the control group, while the SAL and DMEM groups were more different from this one. We conclude that treatment with tenocytes conditioned medium accelerates tendon recovery, promoving improvement in mechanical sensitivity, functionality and tissue organization in the proposed injury model.