Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios
Ano de defesa: | 2020 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Mestrado em Medicina
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2768 |
Resumo: | Hypertensive disorders, including preeclampsia (PE), complicate in about 3 to 7% of pregnancies, being the main cause of maternal and perinatal morbidity and mortality in Brazil and worldwide. Gestational hypertension (HG) is the appearance of arterial hypertension in the second half of pregnancy and when this condition is added to proteinuria greater than 300 mg in 24-hour urine, it is possible to assure that there is a pre eclampsia (PE). A defect in the invasion of the cytotrophoblast in the endometrium causes vasoconstriction of the arterioles that reach the placenta causing a placental hypoflow, which releases in the blood several inflammatory, autoimmune and antiangiogenic factors, inducing endothelial dysfunction. Placental hypoxia determines restriction of fetal growth into the uterus. The definitive treatment of PE is childbirth. The Low Level Laser Therapy (LLLT) presents a power lower than 1 Watt as well as it should not raise the temperature above 1ºC into the target tissue. Some of our team's studies have demonstrated the LLLT effect in the improvement of hypertension and organ perfusion in humans, including hypertensive pregnant women and animal models, justifying our work in an attempt to establish action mechanisms for this purpose. Umbilical cord segments were collected from normotensive and hypertensive pregnant women and extracted cells from the cord vein. These cells were separated and treated with laser. Then, a right amount of TNF-α and IL6 cytokines were analyzed by ELISA assay. To evaluate the photobiomodulation effect on umbilical cord cells by pregnant women with preeclampsia were analyzing inflammatory factors. The results indicated an increase in TNF-α and a decrease in IL6 following 60 minutes of laser application. Discussion: The PBMT results on the inflammatory process can be interpreted with decreased IL 6 levels by 60 minutes post laser irradiation. The various studies analysis of our team in this research field of laser application by hypertensive individuals and pregnancy women, allows us to suggest that PBMT could be an effective weapon against hypertension, requiring more studies in this sense. |
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Chavantes, Maria Cristinahttp://lattes.cnpq.br/9684711829191051Zamuner, Stella Reginahttp://lattes.cnpq.br/1935805744318404Chavantes, Maria Cristinahttp://lattes.cnpq.br/9684711829191051Dalboni, Maria Aparecidahttp://lattes.cnpq.br/9818040147487320Passarelli, Marisahttp://lattes.cnpq.br/7324507764759039Peraçoli, Jose Carloshttp://lattes.cnpq.br/8499437381595614Baptista, Ivany Machado de Carvalhohttp://lattes.cnpq.br/1879603722432341http://lattes.cnpq.br/7306801490549938Madi, Otavio2021-11-18T21:35:41Z2020-10-16Madi, Otavio. Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios. 2020. 57 f. Tese( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2768Hypertensive disorders, including preeclampsia (PE), complicate in about 3 to 7% of pregnancies, being the main cause of maternal and perinatal morbidity and mortality in Brazil and worldwide. Gestational hypertension (HG) is the appearance of arterial hypertension in the second half of pregnancy and when this condition is added to proteinuria greater than 300 mg in 24-hour urine, it is possible to assure that there is a pre eclampsia (PE). A defect in the invasion of the cytotrophoblast in the endometrium causes vasoconstriction of the arterioles that reach the placenta causing a placental hypoflow, which releases in the blood several inflammatory, autoimmune and antiangiogenic factors, inducing endothelial dysfunction. Placental hypoxia determines restriction of fetal growth into the uterus. The definitive treatment of PE is childbirth. The Low Level Laser Therapy (LLLT) presents a power lower than 1 Watt as well as it should not raise the temperature above 1ºC into the target tissue. Some of our team's studies have demonstrated the LLLT effect in the improvement of hypertension and organ perfusion in humans, including hypertensive pregnant women and animal models, justifying our work in an attempt to establish action mechanisms for this purpose. Umbilical cord segments were collected from normotensive and hypertensive pregnant women and extracted cells from the cord vein. These cells were separated and treated with laser. Then, a right amount of TNF-α and IL6 cytokines were analyzed by ELISA assay. To evaluate the photobiomodulation effect on umbilical cord cells by pregnant women with preeclampsia were analyzing inflammatory factors. The results indicated an increase in TNF-α and a decrease in IL6 following 60 minutes of laser application. Discussion: The PBMT results on the inflammatory process can be interpreted with decreased IL 6 levels by 60 minutes post laser irradiation. The various studies analysis of our team in this research field of laser application by hypertensive individuals and pregnancy women, allows us to suggest that PBMT could be an effective weapon against hypertension, requiring more studies in this sense.As desordens hipertensivas, incluindo a pré-eclâmpsia (PE), complicam em cerca de 3 a 7% das gestações, sendo a principal causa de morbidade e mortalidade materna e perinatal no Brasil bem como ao redor do mundo. Hipertensão gestacional (HG) é o aparecimento de hipertensão arterial na segunda metade da gestação e quando a essa condição se soma a proteinúria maior de 300 mg em urina de 24 horas tem-se a pré eclâmpsia (PE). Um defeito na invasão do citotrofoblasto no endométrio provoca vasoconstrição das arteríolas, que chegam a placenta ocasionando um hipofluxo placentário, que libera no sangue de fatores inflamatórios, auto imunes e antiangiogênicos, induzindo a disfunção endotelial. A hipóxia placentária determina restrição do crescimento fetal intra útero. O tratamento definitivo da PE é o parto. O Laser de baixa intensidade (LBI) denota uma potência inferior a 1 Watt, o qual não deve elevar a temperatura acima de 1ºC no tecido alvo. Alguns trabalhos de nossa equipe tem demonstrado efeito do LBI na melhora da hipertensão e perfusão de órgãos em humanos, inclusive gestantes hipertensas como também em modelos animais, justificando este nosso trabalho na tentativa de se estabelecer mecanismos de ação para este efeito. Foram coletados segmentos de cordão umbilical de gestantes normotensas e hipertensas e extraídas as células da veia do cordão. Estas células foram separadas e tratadas com laser e foram analisadas as citocinas TNF-α e IL6 por ensaio de ELISA. Objetivo: Avaliar o efeito da fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia por meio da análise dos fatores inflamatórios. Os resultados evidenciaram incremento de TNF-α e diminuição da IL6 após 60 minutos da aplicação do laser. O efeito da FBMT na processo inflamatório pode ser interpretado com a diminuição dos níveis com IL 6 e incremento dos níveis de TNF-α, 60 minutos após aplicação do laser. A análise dos vários trabalhos do nosso grupo na linha de pesquisa do uso do Laser em indivíduos hipertensos e na gestação nos permite sugerir que a FBMT pode ser um processo capaz de auxiliar nesse combate a hipertensão, necessitando de mais estudos a fim de sinalizar a resposta neste sentido.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-11-18T21:35:41Z No. of bitstreams: 1 Otávio Madi.pdf: 923607 bytes, checksum: 83e2bc74020aa2365703815d065f8146 (MD5)Made available in DSpace on 2021-11-18T21:35:41Z (GMT). No. of bitstreams: 1 Otávio Madi.pdf: 923607 bytes, checksum: 83e2bc74020aa2365703815d065f8146 (MD5) Previous issue date: 2020-10-16application/pdfporUniversidade Nove de JulhoPrograma de Mestrado em MedicinaUNINOVEBrasilSaúdepré-eclâmpsiafotobiomodulaçãolasercélulas do cordão umbilical gestantelaser de baixa intensidadeLLLTlow-level laser therapyPBMTpreeclampsiahuman umbilical cordhypertensionCIENCIAS DA SAUDEFotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatóriosPhotobiomodulation in umbilical cord cells of preclamptic pregnant women: pilot study. Analysis of inflammatory factorsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALOtávio Madi.pdfOtávio Madi.pdfapplication/pdf923607http://localhost:8080/tede/bitstream/tede/2768/2/Ot%C3%A1vio+Madi.pdf83e2bc74020aa2365703815d065f8146MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2768/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/27682021-11-18 19:35:41.41oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2021-11-18T21:35:41Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
dc.title.alternative.eng.fl_str_mv |
Photobiomodulation in umbilical cord cells of preclamptic pregnant women: pilot study. Analysis of inflammatory factors |
title |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
spellingShingle |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios Madi, Otavio pré-eclâmpsia fotobiomodulação laser células do cordão umbilical gestante laser de baixa intensidade LLLT low-level laser therapy PBMT preeclampsia human umbilical cord hypertension CIENCIAS DA SAUDE |
title_short |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
title_full |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
title_fullStr |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
title_full_unstemmed |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
title_sort |
Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios |
author |
Madi, Otavio |
author_facet |
Madi, Otavio |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Chavantes, Maria Cristina |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9684711829191051 |
dc.contributor.advisor-co1.fl_str_mv |
Zamuner, Stella Regina |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1935805744318404 |
dc.contributor.referee1.fl_str_mv |
Chavantes, Maria Cristina |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9684711829191051 |
dc.contributor.referee2.fl_str_mv |
Dalboni, Maria Aparecida |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/9818040147487320 |
dc.contributor.referee3.fl_str_mv |
Passarelli, Marisa |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/7324507764759039 |
dc.contributor.referee4.fl_str_mv |
Peraçoli, Jose Carlos |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/8499437381595614 |
dc.contributor.referee5.fl_str_mv |
Baptista, Ivany Machado de Carvalho |
dc.contributor.referee5Lattes.fl_str_mv |
http://lattes.cnpq.br/1879603722432341 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7306801490549938 |
dc.contributor.author.fl_str_mv |
Madi, Otavio |
contributor_str_mv |
Chavantes, Maria Cristina Zamuner, Stella Regina Chavantes, Maria Cristina Dalboni, Maria Aparecida Passarelli, Marisa Peraçoli, Jose Carlos Baptista, Ivany Machado de Carvalho |
dc.subject.por.fl_str_mv |
pré-eclâmpsia fotobiomodulação laser células do cordão umbilical gestante laser de baixa intensidade |
topic |
pré-eclâmpsia fotobiomodulação laser células do cordão umbilical gestante laser de baixa intensidade LLLT low-level laser therapy PBMT preeclampsia human umbilical cord hypertension CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
LLLT low-level laser therapy PBMT preeclampsia human umbilical cord hypertension |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Hypertensive disorders, including preeclampsia (PE), complicate in about 3 to 7% of pregnancies, being the main cause of maternal and perinatal morbidity and mortality in Brazil and worldwide. Gestational hypertension (HG) is the appearance of arterial hypertension in the second half of pregnancy and when this condition is added to proteinuria greater than 300 mg in 24-hour urine, it is possible to assure that there is a pre eclampsia (PE). A defect in the invasion of the cytotrophoblast in the endometrium causes vasoconstriction of the arterioles that reach the placenta causing a placental hypoflow, which releases in the blood several inflammatory, autoimmune and antiangiogenic factors, inducing endothelial dysfunction. Placental hypoxia determines restriction of fetal growth into the uterus. The definitive treatment of PE is childbirth. The Low Level Laser Therapy (LLLT) presents a power lower than 1 Watt as well as it should not raise the temperature above 1ºC into the target tissue. Some of our team's studies have demonstrated the LLLT effect in the improvement of hypertension and organ perfusion in humans, including hypertensive pregnant women and animal models, justifying our work in an attempt to establish action mechanisms for this purpose. Umbilical cord segments were collected from normotensive and hypertensive pregnant women and extracted cells from the cord vein. These cells were separated and treated with laser. Then, a right amount of TNF-α and IL6 cytokines were analyzed by ELISA assay. To evaluate the photobiomodulation effect on umbilical cord cells by pregnant women with preeclampsia were analyzing inflammatory factors. The results indicated an increase in TNF-α and a decrease in IL6 following 60 minutes of laser application. Discussion: The PBMT results on the inflammatory process can be interpreted with decreased IL 6 levels by 60 minutes post laser irradiation. The various studies analysis of our team in this research field of laser application by hypertensive individuals and pregnancy women, allows us to suggest that PBMT could be an effective weapon against hypertension, requiring more studies in this sense. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-10-16 |
dc.date.accessioned.fl_str_mv |
2021-11-18T21:35:41Z |
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dc.identifier.citation.fl_str_mv |
Madi, Otavio. Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios. 2020. 57 f. Tese( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2768 |
identifier_str_mv |
Madi, Otavio. Fotobiomodulação em células do cordão umbilical de gestantes com pré-eclâmpsia: estudo piloto. Análise dos fatores inflamatórios. 2020. 57 f. Tese( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2768 |
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por |
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por |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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