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3682. Antimykotická léčba invazivních mykóz imunosuprimovaných nemocných
- Creator:
- Diatková, Jana, Tošková, Martina, Kocmanová, Iva, Mayer, Jiří, and Ráčil, Zdeněk
- Format:
- braille, text, and regular print
- Type:
- model:article, article, Text, and TEXT
- Subject:
- imunosuprese--škodlivé účinky, mykózy--diagnóza--epidemiologie--patologie--terapie, oportunní infekce--klasifikace--terapie, antifungální látky--aplikace a dávkování--klasifikace--terapeutické užití, polyeny--aplikace a dávkování--klasifikace--škodlivé účinky--terapeutické užití, azoly--aplikace a dávkování--klasifikace--škodlivé účinky--terapeutické užití, echinokandiny--aplikace a dávkování--klasifikace--škodlivé účinky--terapeutické užití, kandidóza invazivní--etiologie--terapie, aspergilóza--terapie, plicní aspergilóza--terapie, antibakteriální látky--škodlivé účinky, klinické zkoušky jako téma, směrnice pro lékařskou praxi jako téma, lidé, invazivní mykotické infekce, and antimykotika
- Language:
- Czech and English
- Description:
- V průběhu posledních let dochází k nárůstu počtu imunosuprimovaných nemocných a tím i k vzestupu invazivních mykotických onemocnění. Terapie hlubokých mykóz je mnohdy obtížná, mortalita a morbidita těchto infekčních komplikací jsou vysoké. Stále lepší dostupnost nových antimykotik rozšiřuje naše léčebné možnosti a zlepšuje výsledky terapie těchto invazivních mykotických infekcí. Předkládaná práce podává informace o využití jednotlivých antimykotik v léčbě invazivních mykóz, shrnuje léčbu invazivní aspergilózy (IA), invazivní kandidózy (IC) a empirickou antimykotickou terapii. Doporučení vychází ze závěrů prezentovaných Europen Conference on Infection in Leukemia (ECIL)., The frequency of invasive fungal infections has significantly increased with the rise in at-risk populations of patients in the last years. Management of deep fungal infection is difficult and the morbidity and mortality of these infections are very high. New antifungal agents provide the managment options and improve therapeutic outcomes of these infections. This article informs about the role of available antifungal agents in the management of invasive fungal infections and reviews empirical antifungal treatmnet and the treatment of invasive aspergillus and candida infections. Recommendations presented below are based on the resume of the Europen Conference on Infection in Leukemia (ECIL)., Jana Diatková, Martina Tošková, Iva Kocmanová, Jiří Mayer, Zdeněk Ráčil, and Literatura
- Rights:
- http://creativecommons.org/publicdomain/mark/1.0/ and policy:public
3683. Antioxidant and pro-oxidant effects of epinephrine and isoprenaline on peroxidation of LDL and lipid liposomes
- Creator:
- Ondriaš, K., Staško, A., Gergeľ, D., Hromadová, M., and Mišík, V.
- Type:
- article, model:article, and TEXT
- Subject:
- antioxidant, epinephrine, isoprenaline, peroxidation, low density lipoprotein, lipoxidase, and iron
- Language:
- English
- Description:
- Antioxidant or pro-oxidant properties of epinephrine (EPI) and isoprenaline (ISO) were studied in the absence and presence of Fe2+ , Fe3+ and Cu2+ ions. EPI and ISO (>2 /tmol/1) inhibited peroxidation of low density lipoprotein (LDL) induced by 2, 2’-azobis(2-amidino-propane) (AAPH). EPI had a similar inhibitory potency as ISO, but their potency was several times higher than the potency of a-tocopherol (a-TOC). When the LDL peroxidation was induced by 5 /tmol/1 CUSO4, EPI and ISO enhanced LDL peroxidation at low concentrations (10/mol/l) and decreased peroxidation at higher concentrations (30 /tmol/1). The compounds had a similar tendency to inhibit the peroxidation of phosphatidylcholine liposomes. EPI (3-30 //¿mol/1) inhibited lipid peroxidation of phosphatidylcholine liposomes induced by 2 mmol/1 of AAPH, but it was less effective and even increased the peroxidation, when the samples contained 2 mmol/1 AAPH with 50 /¿mol/l FeSC>4 or 2 mmol/1 AAPH with 20/imol/l FeCb. Inhibition of lipid peroxidation by EPI was also observed when studying decreased oxygen consumption, when the peroxidation of linoleic acid was induced by lipoxidase. In conclusion, EPI and ISO reduced lipid peroxidation, but they exhibit pro-oxidant properties in the presence of Fe2+, Fe3+ or Cu2+ ions, depending on the catecholamine and ionic concentration.
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3684. Antioxidant and regulatory role of mitochondrial uncoupling protein UCP2 in pancreatic β-cells
- Creator:
- Petr Ježek, Olejár, T., Katarína Smolková, Jan Ježek, Andrea Dlasková, Plecitá-Hlavatá, L., Zelenka, J., Tomáš Špaček, Hana Engstová, Pajuelo Reguera, D., and Martin Jabůrek
- Format:
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, mitochondrie, mitochondrias, mitochondrial uncoupling protein UCP2, pancreatic β-cells, homeostasis of reactive oxygen species, redox regulations, glucose-stimulated insulin secretion, 14, and 612
- Language:
- English
- Description:
- Research on brown adipose tissue and its hallmark protein, mitochondrial uncoupling protei n UCP1, has been conducted for half a century and has been traditionally studied in the Institute of Physiology (AS CR, Prague), likewise UCP2 residing in multiple tissues for the last two decades. Our group has significantly contributed to the elucidation of UCP uncoupling mechanism, fully dependent on free fatty acids (FFAs) within the inner mitochondrial membrane. Now we review UCP2 physiological roles emphasizing its roles in pancreatic β-cells, such as antioxidant role, possible tuning of redox homeostasis (consequently UCP2 participation in redox regulations), and fine regulation of glucose-stimulated insulin secretion (GSIS). For example, NADPH has been firmly established as being a modulator of GSIS and since UCP2 may influence redox homeostasis, it likely affects NADPH levels. We also point out the role of phospholipase iPLA2 isoform γ in providing FFAs for the UCP2 antioxidant function. Such initiation of mild uncoupling hypothetically precedes lipotoxicity in pancreatic β-cells until it reaches the pathological threshold, after which the antioxidant role of UCP2 can be no more cell-protective, for example due to oxidative stress-accumulated mutations in mtDNA. These mechanisms, together with impaired autocrine insulin function belong to important causes of Type 2 diabetes etiology., P. Ježek ... [et al.]., and Obsahuje bibliografii a bibliografické odkazy
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3685. Antioxidant and vascular effects of gliclazide in type 2 diabetic rats fed high-fat diet
- Creator:
- Sena, C. M., Louro, T., Matafome, P., Nunes, E., Monteiro, P., and Seiça, R.
- Format:
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, fyziologie, endotel, oxid dusnatý, diabetes mellitus, oxidační stres, physiology, endothelium, nitric oxide, oxidative stress, gliclazide, 14, and 612
- Language:
- English
- Description:
- Diabetes mellitus is characterized by oxidative stress, which in turn determines endothelial dysfunction. Gliclazide is a sulphonylurea antidiabetic drug with antioxidant effects due to its azabicyclo-octyl ring. It has been reported to potentially protect the vasculature through improvements in plasma lipid levels and platelet function. We hypothesized that gliclazide has a beneficial effect on endothelial function in Goto-Kakizaki rats (GK), an animal model of type 2 diabetes fed an atherogenic diet for 4 months. We evaluated the influence of gliclazide on both metabolic and oxidative status and NO-mediated vasodilation. GKAD rats showed increased oxidative stress and impaired endothelium-dependent vasodilation. GKAD rats treated with gliclazide showed increased sensitivity to NO-mediated vasodilation, a significant decrease in fasting glycemia and insulinemia, and a significant decrease in systemic oxidative stress. In conclusion, our results suggest that gliclazide treatment improves NO-mediated vasodilation in diabetic GK rats with dyslipidemia probably due to its antioxidant effects, although we cannot rule out substantial benefits due to a reduction in fasting blood glucose. The availability of a compound that simultaneously decreases hyperglycemia, hyperinsulinemia, and inhibits oxidative stress is a promising therapeutic candidate for the prevention of vascular complications of diabetes., C. M. Sena ... [et al.]., and Obsahuje seznam literatury
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3686. Antioxidant defense is increased in aged hearts following omega-3 supplementation in the absence of changes in inflammation
- Creator:
- Lennon-edwards, S., Schellhardt, T. A., and Kuczmarski, J. M.
- Format:
- print, bez média, and svazek
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, stárnutí, oxidační stres, omega-3 mastné kyseliny, záněty, aging, oxidative stress, inflammations, omega-3 fatty acids, 14, and 612
- Language:
- English
- Description:
- The purpose of this study was to determine the effect of a 15-week omega-3 rich diet on age-related differences in myocardial antioxidant defense and inflammation. 20 mature (M) (6 mo.) and 20 old (O) (15 mo.) male Fisher 344 rats were assigned to two diet groups: Control (CON) or Fish Oil (FO). Following the diet, animals were sacrificed and left ventricular (LV) heart tissue was harvested for biochemical assays and western blot analysis. No differences were observed in expression of LV interleukin-6 (IL-6) and tumor necrosis factor-α as well as hydrogen peroxide (H2O2) production between MCON and OCON. However, LV catalase protein expression and activity were increased in OCON vs. MCON and accompanied by increased expression of superoxide dismutase (SOD)-1. In contrast, LV IL-6 was lower in MFO vs. old rats, and LV H2O2 was decreased in MFO and OFO relative to respective control groups. Protein expression and activity of LV catalase and SOD-1 expression were increased in OFO similarly to OCON, but LV SOD activity was also increased in OFO vs. mature rats. In summary, FO supplementation increased myocardial antioxidant defense in all animals and augmented age-associated increases in antioxidant capacity in the absence of changes in inflammation., S. Lennon-Edwards, T. A. Schellhardt, J. M. Kuczmarski., and Obsahuje bibliografii
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3687. Antioxidant status and lipid peroxidation in diabetic rats under hyperbaric oxygen exposure
- Creator:
- Matsunami, T., Sato, Y., Sato, T., and Yukawa, M.
- Format:
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, oxidační stres, oxidative stress, hyperbaric oxygen, diabetic rats, lipid peroxidation, antioxidant enzyme, 14, and 612
- Language:
- English
- Description:
- Hyperglycemia is known to cause oxidative stress that leads mainly to enhanced production of mitochondrial reactive oxygen species (ROS). It has been demonstrated that hyperbaric oxygen (HBO) treatment also increases the formation of ROS. There are, however, no comprehensive evaluations of such oxidative effects in diabetes which requires HBO treatment. The purpose of this study is to investigate the influence of a clinically-recommended HBO treatment on glucose homeostasis and oxidative stress in rats with streptozotocin (STZ)-induced diabetes. Under the clinically-used HBO exposure protocol, the levels of blood glucose, thiobarbituric acid reactive substances (TBARS) as a lipid peroxidation marker, and the activity of superoxide dismutase (SOD) as an antioxidant enzyme marker were investigated in the erythrocytes, liver, pancreas, skeletal muscle, and brain of rats with STZ-induced diabetes. The levels of blood glucose and TBARS increased significantly (p<0.05), and the activity of SOD decreased significantly (p<0.05) in the erythrocytes and all organs of rats with diabetes subjected to HBO exposure. These results suggested that HBO exposure might boost glucose autoxidation and increase ROS production in STZ-induced diabetes as side-effects of administering HBO treatment for the first time., T. Matsunami ... [et al.]., and Obsahuje bibliografii a bibliografické odkazy
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3688. Antioxidant status, lipoprotein profile and liver lipids in rats fed on high-cholesterol diet containing currant oil rich in n-3 and n-6 polyunsaturated fatty acids
- Creator:
- Rostislav Večeřa, Nina Škottová, Petr Váňa, Ludmila Kazdová, Chmela, Z., Zdeněk Švagera, Daniela Walterová, Jitka Ulrichová, and Šimánek, V.
- Format:
- print, bez média, and svazek
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, fyziologie, lipidy, physiology, lipids, polyunsaturated fatty acids, currant oil, antioxidant status, lipoprotein profile, liver lipids, 14, and 612
- Language:
- English
- Description:
- Plant-based n-3 polyunsaturated fatty acids (PUFA) possess a prospective antiatherogenic potential. Currant oil from Ribes nigrum L. is one of the few plant oils containing PUFAn-3 (15.3 mol%) in addition to PUFAn-6 (60.5 mol%). This study was aimed at comparing the effects of currant oil with those of lard fat, rich in saturated (43.8 mol%) and monounsaturated (47.0 mol%) fatty acids, on antioxidant parameters, the lipoprotein profile and liver lipids in rats fed on 1 % (w/w) cholesterol diets containing either 10 % of currant oil (COD) or lard fat (LFD). After 3 weeks of feeding, the COD induced a significant decrease in blood glutathione (GSH) and an increase in Cu2+ induced oxidizability of serum lipids, but did not affect liver GSH and t-butyl hydroperoxide-induced lipoperoxidation of liver microsomes. Although the COD did not cause accumulation of liver triacylglycerols as LFD, the lipoprotein profile (VLDL, LDL, HDL) was not significantly improved after COD. The consumption of PUFAn-3 was reflected in LDL as an increase in eicosapentaenoic and docosahexaenoic acid. These results suggest that currant oil affects positively the lipid metabolism in the liver, above all it does not cause the development of a fatty liver. However, adverse effects of currant oil on the antioxidant status in the blood still remain of concern., R. Večeřa, N. Škottová, P. Váňa, L. Kazdová, Z. Chmela, Z. Švagera, D. Walterová, J. Ulrichová, V. Šimánek., and Obsahuje bibliografii
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3689. Antioxidant vitamin levels and glutathione peroxidase activity during ischemia/reperfusion in myocardial infarction
- Creator:
- Mužáková, V., Roman Kanďár, Pavel Vojtíšek, Jiří Skalický, Vaňková, R., Alexander Čegan, and Zuzana Červinková
- Format:
- print, bez média, and svazek
- Type:
- article, články, model:article, and TEXT
- Subject:
- Fyziologie člověka a srovnávací fyziologie, infarkt myokardu, oxidační stres, myocardial infarction, oxidative stress, malondialdehyde, glutathione peroxidase, alpha tocopherol, beta carotene, 14, and 612
- Language:
- English
- Description:
- The consequences of increased oxidative stress, measured as the level of malondialdehyde (MDA) during ischemia/reperfusion, were studied in 48 patients in the acute phase of myocardial infarction (AMI) and a control group (21 blood donors). The serum levels of a-tocopherol and b-carotene were followed. Immediately after the treatment onset the level of a-tocopherol started to decrease, reaching a plateau after 24 h. The consumption of b-carotene was delayed by 90 min. Steady decline was detected during the whole time interval studied (48 h). Glutathione peroxidase (GPx) activity, as a representative of antioxidant enzymes, was estimated in whole blood. The influx of oxygenated blood was accompanied by a stimulation of GPx activity, which reached its maximum at the time of completed reperfusion. When comparing the AMI patients with the control group, the levels of MDA were found significantly increased, which indicates that oxidative stress is already increased during ischemia. Lower antioxidant levels found in the patients might either already be the result of vitamin consumption during ischemia or be a manifestation of their susceptibility to AMI. Monitored consumption of a-tocopherol and b-carotene during reperfusion indicated that in the case of patients, whose level of antioxidant vitamins is below the threshold limit, a further substantial decrease of antioxidant vitamins during reperfusion could enhance the oxidative damage of the myocardium., V. Mužáková, R. Kanďár, P. Vojtíšek, J. Skalický, R. Vaňková, A. Čegan, Z. Červinková., and Obsahuje bibliografii
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public
3690. Antioxidant Vitamin Levels Do Not Exhibit Negative Correlation with the Extent of Acute Myocardial Infarction
- Creator:
- Mužáková, V., Vojtíšek, P., Meloun, M., Vaňková, R., Roušar, T., and Červinková, Z.
- Type:
- article, model:article, and TEXT
- Subject:
- Antioxidant vitamins, α-Tocopherol, β-Carotene, Ascorbic acid, and Myocardial infarction
- Language:
- English
- Description:
- Serum levels of vitamin E (VE), β-carotene (BC) and vitamin C (VC) were determined in 50 patients with the first acute myocardial infarction (AMI) before starting thrombolytical treatment. VE and BC were determined by HPLC, VC spectrophotometrically. The reperfused patients were divided according to vitamin concentrations into four groups. The lowest quartile was compared with the rest of the studied population (VE: group with high (H) > 15.6 μM > group with low (L), BC: H > 0.07 μM > L, VC: H > 25 μM > L) in the following parameters: extent of myocardial damage (area under the curves of troponin I, CK-MB during 48 h), arrhythmia and congestive heart failure occurrence, size of ejection fraction, positivity of ventricular late potentials. No significant differences between groups H and L for either VE, BC or VC were found (P±0.05). As no correlation between serum concentrations of vitamins E, C and β-carotene and the extent and clinical course of AMI was found, the actual vitamin concentrations may be important for prevention of ischemic heart a disease, but they do not play a decisive role in the acute phase of myocardial infarction in humans.
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public