Oral mucositis is frequently a toxic effect of chemotherapeutic and/or radiotherapeutic treatment, resulting from complex multifaceted biological events involving DNA damage. The clinical manifestations have a negative impact on the life quality of cancer patients. Preventive measures and curative treatment of mucositis are still not well established. The glycine has anti-inflammatory, immunomodulatory, and cytoprotective actions, being a potential therapeutic in mucositis. The objective was to evaluate the effects of glycine on the expression of collagen and growth factors, platelet and epidermal in a hamster model oral mucositis. The mucositis was induced by the protocol of Sonis. There were 40 hamsters used, divided into two groups: Group I-control; Group II-supplemented with 5% intraperitoneal glycine, 2.0 mg/g diluted in hepes. Histopathological sections were used to perform the immune-histochemical method, the evaluation of collagen expression, and the growth factors: Epidermal growth factor (EGF) and platelet (PDGF). It was observed that the group supplemented with glycine experienced higher amounts of collagen expression and predominance type of collagen I. The glycine group presented lower immunoexpression of the growth factors, EGF and PDGF. The group supplemented with glycine showed a marked healing process of the oral mucosite, demonstrated by the predominance of collagen type I and reduction of growth factors, EGF and PDGF.
Objective: Oral mucositis (OM) is a devastating toxicity associated with cytotoxic cancer therapy. The OM pathogenesis and the complex interactions occur in response to tissue insult. Application of this evolving model has aided in the development of mechanistically based therapies for the prevention and treatment of mucositis. The present study was to assess the effects of glycine supplementation on chemotherapy-induced oral mucositis. Methods: In a hamster cheek pouch model of chemotherapy-induced oral mucositis, one group of 20 animals received systemic glycine supplementation for 7 days, while another similar control group did not. Clinical mucositis severity and neutrophil infiltrate (on histology) were assessed by blinded examiners. Free radical production was measured as malondialdehyde (MDA) levels. Results: As compared to control animals, glycine-treated animals demonstrated a highly significant reduction in clinical severity of oral mucositis, neutrophil infiltrate, and MDA levels (p < 0.001 for all). Conclusions: Glycine supplementation reduces the severity of chemotherapy-induced oral mucositis in an animal model. This effect is at least partly mediated through inhibition of the inflammatory response and reduced production of damaging free radicals.
Oral mucositis is most frequently a toxic effect of chemotherapeutic and/or radiotherapeutic treatment, resulting from complex multifaceted biological events involving DNA damage. The clinical manifestations have a negative impact on the life quality of cancer patients. Preventive measures and curative treatment of mucositis are still not well established. The glycine has anti-inflammatory, immunomodulatory and cytoprotective actions, being a potential therapeutic in mucositis. The objective was to evaluate the effects of glycine on the expression of collagen and growth factors, platelet and epidermal in oral mucositis. The mucositis of which was induced by the protocol of Sonis. 40 hamsters were used, divided into two groups: Group I- control; Group II- supplemented with 5% intraperitoneal glycine, 2,0 mg/g diluted in hepes. Histopathological sections were used to perform the immune-histochemical method, the evaluation collagen expression and the growth factors: EGF and PDGF. It was observed that the group supplemented with glycine higher amounts of collagen expression and predominance type of collagen I. The glycine group presented lower immunoexpression of the growth factors, EGF and PDGF. The group supplemented with glycine showed a marked healing process of the oral mucosite, demonstrated by the predominance of collagen type I and reduction of growth factors, EGF and PDGF.
Objetivo: Avaliar os efeitos da suplementação na função cognitiva e estado nutricional em idosos com Alzheimer de instituição filantrópica. Métodos: Estudo de casos múltiplos, aprovado pelo comitê de ética e pesquisa da CONEP/Plataforma Brasil (N°2.423.431). Foi realizado diagnóstico nutricional: peso, altura, IMC, circunferência da cintura e panturrilha e a avaliação da função cognitiva pelo mini exame mental; após iniciou-se a suplementação de ômega 3 (2 cápsulas sendo 1000mg de DHA), magnésio (1 cápsula de 400 mg) e vitamina B12 (1 cápsula de 500µg) no período de 90 dias, reavaliados a cada 30 dias. Foram avaliados 8 idosos, divididos em 02 grupos: Grupo Controle (N= 4, não suplementados) e Grupo Suplementado (N=4).Resultados: Os idosos com Alzheimer apresentavam sobrepeso e risco elevado DCV e baixa função cognitiva no período inicial, posteriormente observou-se diferença significativa no aumento do peso após 60 dias quando comparado com período inicial (p-valor ≤ 0,05) e na circunferência da cintura. O grupo suplementado aumentou sua pontuação total de 55,8%, enquanto grupo controle reduziu para 25,3% (p-valor ≤ 0,05). Conclusão: A Suplementação em idosos com Alzheimer ocasionou melhoria significativa na função cognitiva, quanto ao estado nutricional houve alterações relevantes no peso e circunferência da cintura, após 60 dias.
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