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Chronic Pelvic Pain M
Guidelines on Chronic Pelvic Pain M. Fall (chair), A.P. Baranowski, S. Elneil, D. Engeler, J. Hughes, E.J. Messelink, F. Oberpenning, A.C. de C. Williams © European Association of Urology 2008 TABLE OF CONTENTS PAGE 1. INTRODUCTION 5 1.1 The guideline 5 1.1.1 Publication history 5 1.2 Level of evidence and grade recommendations 5 1.3 References 6 1.4 Definition of pain (World Health Organization [WHO]) 6 1.4.1 Innervation of the urogenital system 7 1.4.2 References 8 1.5 Pain evaluation and measurement 8 1.5.1 Pain evaluation 8 1.5.2 Pain measurement 8 1.5.3 References 9 2. CHRONIC PELVIC PAIN 9 2.1 Background 9 2.1.1 Introduction to urogenital pain syndromes 9 2.2 Definitions of chronic pelvic pain and terminology (Table 4) 11 2.3 Classification of chronic pelvic pain syndromes 12 Table 3: EAU classification of chronic urogenital pain syndromes (page 10) Table 4: Definitions of chronic pain terminology (page 11) Table 5: ESSIC classification of types of bladder pain syndrome according to the results of cystoscopy with hydrodistension and of biopsies (page 13) 2.4 References 13 2.5 An algorithm for chronic pelvic pain diagnosis and treatment 13 2.5.1 How to use the algorithm 13 2.6 Prostate pain syndrome (PPS) 15 2.6.1 Introduction 16 2.6.2 Definition 16 2.6.3 Pathogenesis 16 2.6.4 Diagnosis 17 2.6.5 Treatment 17 2.6.5.1 Alpha-blockers 17 2.6.5.2 Antibiotic therapy 17 2.6.5.3 Non-steroidal anti-inflammatory drugs (NSAIDs) 17 2.6.5.4 Corticosteroids 17 2.6.5.5 Opioids 17 2.6.5.6 5-alpha-reductase inhibitors 18 2.6.5.7 Allopurinol 18 2.6.5.8 -
A Review of the Effects of Pain and Analgesia on Immune System Function and Inflammation: Relevance for Preclinical Studies
Comparative Medicine Vol 69, No 6 Copyright 2019 December 2019 by the American Association for Laboratory Animal Science Pages 520–534 Overview A Review of the Effects of Pain and Analgesia on Immune System Function and Inflammation: Relevance for Preclinical Studies George J DeMarco1* and Elizabeth A Nunamaker2 One of the most significant challenges facing investigators, laboratory animal veterinarians, and IACUCs, is how to bal- ance appropriate analgesic use, animal welfare, and analgesic impact on experimental results. This is particularly true for in vivo studies on immune system function and inflammatory disease. Often times the effects of analgesic drugs on a particu- lar immune function or model are incomplete or don’t exist. Further complicating the picture is evidence of the very tight integration and bidirectional functionality between the immune system and branches of the nervous system involved in nociception and pain. These relationships have advanced the concept of understanding pain as a protective neuroimmune function and recognizing pathologic pain as a neuroimmune disease. This review strives to summarize extant literature on the effects of pain and analgesia on immune system function and inflammation in the context of preclinical in vivo studies. The authors hope this work will help to guide selection of analgesics for preclinical studies of inflammatory disease and immune system function. Abbreviations and acronyms: CB,Endocannabinoid receptor; CD,Crohn disease; CFA, Complete Freund adjuvant; CGRP,Calcitonin gene-related -
[6]-Gingerol in Db/Db Mice
International Journal of Medicine and Medical Sciences. Vol. 1(12), pp. 536-544, December, 2009. Available online at http://www.academicjournals.org/ijmms ISSN 2006-9723 ©2009 Academic Journals Full Length Research Paper Anti-hyperglycaemic, lipid lowering and anti-oxidant properties of [6]-gingerol in db/db mice Amar Bahadur Singh1, Akanksha2, Nilendra Singh3, Rakesh Maurya2 and Arvind Kumar Srivastava1* 1Biochemistry Division, Central Drug Research Institute, Lucknow-226001, India. 2Medicinal and Process Chemistry Division, CDRI, Lucknow-226001, India. 3Pharmacology Division CDRI, Lucknow-226001, India. Accepted 3 August, 2009 In the present study, we investigated the blood glucose lowering, lipid lowering and antioxidant effect of [6]- gingerol in type 2 diabetic db/db mice. Treatment of db/db mice with [6]-gingerol (100 mg/kg bw) for 12 days significantly (p<0.05) lowered fasting blood glucose and improved the glucose tolerance in db/db mice. Oral administration of [6]-gingerol also significantly (p < 0.05) decreased plasma triglycerides (TG), total cholesterol (TC), free fatty acid (FFA), low-density lipoprotein cholesterol (LDL-C) and plasma insulin concentration. In addition, [6]-gingerol significantly (p < 0.05) reduces the content of hydrogen peroxide or suppresses the reactive oxygen species (ROS) generation and restores the enzyme activity of catalase (CAT), glutathione peroxidase (GPx) and superoxide dismutase (SOD) in db/db mice. These findings suggest that [6]-gingerol exhibits a significant potential as an anti-hyperglycaemic, lipid lowering and anti- oxidant agent for the treatment of type 2 diabetes. Key words: Antihyperglycaemic, antioxidant, antilipidemic, reactive oxygen species, db/db mice, [6]-gingerol. INTRODUCTION Diabetes mellitus is a chronic metabolic disease which stress, which is believed to be a pathogenetic factor in now afflicts approximately 3% of the world population. -
Phase II Study of the Effects of Ginger Root Extract on Eicosanoids in Colon Mucosa in People at Normal Risk for Colorectal Cancer
Published OnlineFirst October 11, 2011; DOI: 10.1158/1940-6207.CAPR-11-0224 Cancer Prevention Research Article Research Phase II Study of the Effects of Ginger Root Extract on Eicosanoids in Colon Mucosa in People at Normal Risk for Colorectal Cancer Suzanna M. Zick1, D. Kim Turgeon3, Shaiju K. Vareed6, Mack T. Ruffin1, Amie J. Litzinger1, Benjamin D. Wright1, Sara Alrawi1, Daniel P. Normolle2, Zora Djuric1, and Dean E. Brenner3,4,5 Abstract Inhibitors of COX indicate that upregulation of inflammatory eicosanoids produced by COX, and in particular prostaglandin E2 (PGE2), are early events in the development of colorectal cancer (CRC). Ginger has shown downregulation of COX in vitro and decreased incidence/multiplicity of adenomas in rats. This study was conducted to determine if 2.0 g/d of ginger could decrease the levels of PGE2, 13-hydroxy- octadecadienoic acids, and 5-, 12-, and 15-hydroxyeicosatetraenoic acid (5-, 12-, and 15-HETE), in the colon mucosa of healthy volunteers. To investigate this aim, we randomized 30 subjects to 2.0 g/d ginger or placebo for 28 days. Flexible sigmoidoscopy at baseline and day 28 was used to obtain colon biopsies. A liquid chromatography mass spectrometry method was used to determine eicosanoid levels in the biopsies, and levels were expressed per protein or per free arachidonic acid. There were no significant differences in mean percent change between baseline and day 28 for any of the eicosanoids, when normalized to protein. There was a significant decrease in mean percent change in PGE2 (P ¼ 0.05) and 5-HETE (P ¼ 0.04), and a trend toward significant decreases in 12-HETE (P ¼ 0.09) and 15-HETE (P ¼ 0.06) normalized to free arachidonic acid. -
Purinergic P2 Receptors As Targets for Novel Analgesics
Pharmacology & Therapeutics 110 (2006) 433 – 454 www.elsevier.com/locate/pharmthera Purinergic P2 receptors as targets for novel analgesics Geoffrey Burnstock * Autonomic Neuroscience Centre, Royal Free and University College Medical School, Rowland Hill Street, London NW3 2PF, UK Abstract Following hints in the early literature about adenosine 5V-triphosphate (ATP) injections producing pain, an ion-channel nucleotide receptor was cloned in 1995, P2X3 subtype, which was shown to be localized predominantly on small nociceptive sensory nerves. Since then, there has been an increasing number of papers exploring the role of P2X3 homomultimer and P2X2/3 heteromultimer receptors on sensory nerves in a wide range of organs, including skin, tongue, tooth pulp, intestine, bladder, and ureter that mediate the initiation of pain. Purinergic mechanosensory transduction has been proposed for visceral pain, where ATP released from epithelial cells lining the bladder, ureter, and intestine during distension acts on P2X3 and P2X2/3, and possibly P2Y, receptors on subepithelial sensory nerve fibers to send messages to the pain centers in the brain as well as initiating local reflexes. P1, P2X, and P2Y receptors also appear to be involved in nociceptive neural pathways in the spinal cord. P2X4 receptors on spinal microglia have been implicated in allodynia. The involvement of purinergic signaling in long-term neuropathic pain and inflammation as well as acute pain is discussed as well as the development of P2 receptor antagonists as novel analgesics. D -
Dietary Compounds for Targeting Prostate Cancer
Review Dietary Compounds for Targeting Prostate Cancer Seungjin Noh 1, Eunseok Choi 1, Cho-Hyun Hwang 1, Ji Hoon Jung 2, Sung-Hoon Kim 2 and Bonglee Kim 1,2,* 1 College of Korean Medicine, Kyung Hee University, Seoul 02453, Korea; [email protected] (S.N.); [email protected] (E.C.); [email protected] (C.-H.H.) 2 Department of Pathology, College of Korean Medicine, Graduate School, Kyung Hee University, Seoul 02453, Korea; [email protected] (J.H.J.); [email protected] (S.-H.K.) * Correspondence: [email protected]; Tel.: +82-2-961-9217 Received: 10 August 2019; Accepted: 17 September 2019; Published: 8 October 2019 Abstract: Prostate cancer is the third most common cancer worldwide, and the burden of the disease is increased. Although several chemotherapies have been used, concerns about the side effects have been raised, and development of alternative therapy is inevitable. The purpose of this study is to prove the efficacy of dietary substances as a source of anti-tumor drugs by identifying their carcinostatic activities in specific pathological mechanisms. According to numerous studies, dietary substances were effective through following five mechanisms; apoptosis, anti-angiogenesis, anti- metastasis, microRNA (miRNA) regulation, and anti-multi-drug-resistance (MDR). About seventy dietary substances showed the anti-prostate cancer activities. Most of the substances induced the apoptosis, especially acting on the mechanism of caspase and poly adenosine diphosphate ribose polymerase (PARP) cleavage. These findings support that dietary compounds have potential to be used as anticancer agents as both food supplements and direct clinical drugs. -
Transient Receptor Potential Channels and Metabolism
Molecules and Cells Minireview Transient Receptor Potential Channels and Metabolism Subash Dhakal and Youngseok Lee* Department of Bio and Fermentation Convergence Technology, Kookmin University, BK21 PLUS Project, Seoul 02707, Korea *Correspondence: [email protected] https://doi.org/10.14348/molcells.2019.0007 www.molcells.org Transient receptor potential (TRP) channels are nonselective Montell, 2007). These cationic channels were first charac- cationic channels, conserved among flies to humans. Most terized in the vinegar fly, Drosophila melanogaster. While TRP channels have well known functions in chemosensation, a visual mechanism using forward genetic screening was thermosensation, and mechanosensation. In addition to being studied, a mutant fly showed a transient response to being sensing environmental changes, many TRP channels constant light instead of the continuous electroretinogram are also internal sensors that help maintain homeostasis. response recorded in the wild type (Cosens and Manning, Recent improvements to analytical methods for genomics 1969). Therefore, the mutant was named as transient recep- and metabolomics allow us to investigate these channels tor potential (trp). In the beginning, researchers had spent in both mutant animals and humans. In this review, we two decades discovering the trp locus with the germ-line discuss three aspects of TRP channels, which are their role transformation of the genomic region (Montell and Rubin, in metabolism, their functional characteristics, and their 1989). Using a detailed structural permeation property anal- role in metabolic syndrome. First, we introduce each TRP ysis in light-induced current, the TRP channel was confirmed channel superfamily and their particular roles in metabolism. as a six transmembrane domain protein, bearing a structural Second, we provide evidence for which metabolites TRP resemblance to a calcium-permeable cation channel (Mon- channels affect, such as lipids or glucose. -
Phytochem Referenzsubstanzen
High pure reference substances Phytochem Hochreine Standardsubstanzen for research and quality für Forschung und management Referenzsubstanzen Qualitätssicherung Nummer Name Synonym CAS FW Formel Literatur 01.286. ABIETIC ACID Sylvic acid [514-10-3] 302.46 C20H30O2 01.030. L-ABRINE N-a-Methyl-L-tryptophan [526-31-8] 218.26 C12H14N2O2 Merck Index 11,5 01.031. (+)-ABSCISIC ACID [21293-29-8] 264.33 C15H20O4 Merck Index 11,6 01.032. (+/-)-ABSCISIC ACID ABA; Dormin [14375-45-2] 264.33 C15H20O4 Merck Index 11,6 01.002. ABSINTHIN Absinthiin, Absynthin [1362-42-1] 496,64 C30H40O6 Merck Index 12,8 01.033. ACACETIN 5,7-Dihydroxy-4'-methoxyflavone; Linarigenin [480-44-4] 284.28 C16H12O5 Merck Index 11,9 01.287. ACACETIN Apigenin-4´methylester [480-44-4] 284.28 C16H12O5 01.034. ACACETIN-7-NEOHESPERIDOSIDE Fortunellin [20633-93-6] 610.60 C28H32O14 01.035. ACACETIN-7-RUTINOSIDE Linarin [480-36-4] 592.57 C28H32O14 Merck Index 11,5376 01.036. 2-ACETAMIDO-2-DEOXY-1,3,4,6-TETRA-O- a-D-Glucosamine pentaacetate 389.37 C16H23NO10 ACETYL-a-D-GLUCOPYRANOSE 01.037. 2-ACETAMIDO-2-DEOXY-1,3,4,6-TETRA-O- b-D-Glucosamine pentaacetate [7772-79-4] 389.37 C16H23NO10 ACETYL-b-D-GLUCOPYRANOSE> 01.038. 2-ACETAMIDO-2-DEOXY-3,4,6-TRI-O-ACETYL- Acetochloro-a-D-glucosamine [3068-34-6] 365.77 C14H20ClNO8 a-D-GLUCOPYRANOSYLCHLORIDE - 1 - High pure reference substances Phytochem Hochreine Standardsubstanzen for research and quality für Forschung und management Referenzsubstanzen Qualitätssicherung Nummer Name Synonym CAS FW Formel Literatur 01.039. -
Trpa1) Activity by Cdk5
MODULATION OF TRANSIENT RECEPTOR POTENTIAL CATION CHANNEL, SUBFAMILY A, MEMBER 1 (TRPA1) ACTIVITY BY CDK5 A dissertation submitted to Kent State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy by Michael A. Sulak December 2011 Dissertation written by Michael A. Sulak B.S., Cleveland State University, 2002 Ph.D., Kent State University, 2011 Approved by _________________, Chair, Doctoral Dissertation Committee Dr. Derek S. Damron _________________, Member, Doctoral Dissertation Committee Dr. Robert V. Dorman _________________, Member, Doctoral Dissertation Committee Dr. Ernest J. Freeman _________________, Member, Doctoral Dissertation Committee Dr. Ian N. Bratz _________________, Graduate Faculty Representative Dr. Bansidhar Datta Accepted by _________________, Director, School of Biomedical Sciences Dr. Robert V. Dorman _________________, Dean, College of Arts and Sciences Dr. John R. D. Stalvey ii TABLE OF CONTENTS LIST OF FIGURES ............................................................................................... iv LIST OF TABLES ............................................................................................... vi DEDICATION ...................................................................................................... vii ACKNOWLEDGEMENTS .................................................................................. viii CHAPTER 1: Introduction .................................................................................. 1 Hypothesis and Project Rationale -
A Rapid Capsaicin-Activated Current in Rat Trigeminal Ganglion Neurons (Pain/Taste/Nociceptive Fibers/Ph/Capsazepine) L
Proc. Natl. Acad. Sci. USA Vol. 91, pp. 738-741, January 1994 Neurobiology A rapid capsaicin-activated current in rat trigeminal ganglion neurons (pain/taste/nociceptive fibers/pH/capsazepine) L. LIu* AND S. A. SIMONt Departments of *Neurobiology and tAnesthesiology, Duke University Medical Center, Durham, NC 27710 Communicated by Irving T. Diamond, October 15, 1993 ABSTRACT A subpopulation of pain fibers are activated Na2HPO4, 5.6 mM D-glucose, and 10 mM Hepes. They were by capsaicin, the ingredient in red peppers that produces a then incubated for 40 min at 37°C in HBSS containing 1 mg burning sensation when eaten or placed on skin. Previous of collagenase per ml (type XI-S), triturated with a flamed studies on dorsal root ganglion neurons indicated thatcapsaicin Pasteur pipette, and finally incubated at 37°C for 6 min with activates sensory nerves via a single slowly activating and 0.1 mg of DNase I per ml (type IV). Then they were inactivating inward current. In rat trigeminal neurons, we retriturated and washed/centrifuged three times in HBSS. identified a second capsaicin-activated inward current. This They were then resuspended in F-14 medium (GIBCO) current can be distinguished from the slow one in that it rapidly containing 10%o fetal calf serum in a Petri dish. The cultures activates and inactivates, requires Ca2+ for activation, and is were maintained in an incubator at 37°C equilibrated with 5% insensitive to the potent capsaicin agonist resiniferatoxin. The CO2. Most patch clamp experiments were done on cells rapid current, like the slower one, is inhibited by ruthenium cultured for 12-24 hr. -
Ginger Between 10-Gingerol and the Second Prominent Band DEFINITION Corresponding to 6-Shogaol in Standard Solution A
Printed on: Tue Dec 22 2020, 02:55:47 AM Official Status: Currently Official on 22-Dec-2020 DocId: 1_GUID-4E7E04A2-8C5A-4586-A11D-B67425D4CA8D_2_en-US (EST) Printed by: Jinjiang Yang Official Date: Official as of 01-Aug-2016 Document Type: DIETARY SUPPLEMENTS @2020 USPC 1 variable number of low-intensity dark-gray bands appear Ginger between 10-gingerol and the second prominent band DEFINITION corresponding to 6-shogaol in Standard solution A. In the Ginger is the dried rhizome of Zingiber officinale Roscoe (Fam. distal part of the chromatogram, a dark-purple Zingiberaceae), scraped, partially scraped, or unscraped. It is somewhat diffuse band is observed. Under long-wave known in commerce as unbleached ginger. UV (365 nm), the chromatograms of the Standard solutions exhibit patterns similar to those observed under IDENTIFICATION white light. The bands due to gingerols and shogaols are · A. bright orange; the bands between the origin and the Analysis: Pulverize 5 g of Ginger. To 1 g of the pulverized 6-gingerol band are dark-red to brown, somewhat less Ginger add 5 mL of dilute acetic acid, prepared by diluting prominent than when observed in white light. The 1 part of glacial acetic acid with 1 part of water, and shake bands between 10-gingerol and 6-shogaol are variably for 15 min. Filter, and add a few drops of ammonium colored; frequently, a light-gray band appears halfway oxalate TS to the filtrate. between them, with a light-purple diffuse band between Acceptance criteria: NMT a slight turbidity is produced. it and the orange band due to 6-shogaol. -
Systemic Chemical Desensitization of Peptidergic Sensory Neurons with Resiniferatoxin Inhibits Experimental Periodontitis
The Open Dentistry Journal, 2011, 5, 1-6 1 Open Access Systemic Chemical Desensitization of Peptidergic Sensory Neurons with Resiniferatoxin Inhibits Experimental Periodontitis Torbjørn Breivik1,2,*, Yngvar Gundersen2, Per Gjermo1, Inge Fristad3 and Per Kristian Opstad2 1Department of Periodontology, Faculty of Dentistry, University of Oslo, Norway 2Norwegian Defence Research Establishment, Division for Protection, Kjeller, Norway 3Department of Clinical Dentistry - Endodontics, University of Bergen, Bergen, Norway Abstract: Background and objective: The immune system is an important player in the pathophysiology of periodontitis. The brain controls immune responses via neural and hormonal pathways, and brain-neuro-endocrine dysregulation may be a central determinant for pathogenesis. Our current knowledge also emphasizes the central role of sensory nerves. In line with this, we wanted to investigate how desensitization of peptidergic sensory neurons influences the progression of ligature- induced periodontitis, and, furthermore, how selected cytokine and stress hormone responses to Gram-negative bacterial lipopolysaccharide (LPS) stimulation are affected. Material and methods: Resiniferatoxin (RTX; 50 μg/kg) or vehicle was injected subcutaneously on days 1, 2, and 3 in stress high responding and periodontitis-susceptible Fischer 344 rats. Periodontitis was induced 2 days thereafter. Progres- sion of the disease was assessed after the ligatures had been in place for 20 days. Two h before decapitation all rats re- ceived LPS (150 μg/kg i.p.) to induce a robust immune and stress response. Results: Desensitization with RTX significantly reduced bone loss as measured by digital X-rays. LPS provoked a signifi- cantly higher increase in serum levels of the pro-inflammatory cytokine tumour necrosis factor (TNF)-, but lower serum levels of the anti-inflammatory cytokine interleukin (IL)-10 and the stress hormone corticosterone.