RESUMEN
The aim of this study was to address the effect of endurance training on tissue sensitivity to glucocorticoids (GC) in both resting and exercising conditions. In vitro dexamethasone inhibition of LPS-induced interleukin-6 secretion in cultures of peripheral monocytes was compared in untrained subjects (UT) and in endurance-trained men (ET) at the end of a 2-h run and during exercise recovery. We demonstrated an in vitro plasticity of sensitivity of monocytes to GC in ET men, superimposed to changes in systemic cortisol concentrations (plasma and saliva). Compared with sedentary men, similar resting cortisol levels in ET men are associated with decreased sensitivity of monocytes to GC 8 and 24 h after the end of the last training session (P < 0.05, ET vs. UT). Moreover, in these ET subjects, an acute bout of exercise increased the sensitivity of monocytes to GC (at 1000 and 1200; ET vs. UT, P > 0.05). This acute exercise-induced increase in tissue sensitivity to GC, which is synchronous with activation of the hypothalamo-pituitary adrenal axis, may act to shut off muscle inflammatory reaction and cytokine synthesis and then decrease exercise-induced muscle damage or inflammatory response. By contrast, the decreased sensitivity of monocytes to GC reported in ET men 24 h after the last bout of exercise may be related to the process of desensitization that may act to protect the body from prolonged, exercise-induced cortisol secretion. These acute and chronic effects of exercise on tissue sensitivity to GC demonstrate an adaptation of the hypothalamo-pituitary adrenal axis to repeated and prolonged exercise-induced increases in GC secretion.
Asunto(s)
Ejercicio Físico/fisiología , Glucocorticoides/farmacología , Adulto , Glucemia/metabolismo , Volumen Sanguíneo/fisiología , Dexametasona/farmacología , Hormonas/metabolismo , Humanos , Técnicas In Vitro , Interleucina-6/metabolismo , Lipopolisacáridos/antagonistas & inhibidores , Masculino , Monocitos/efectos de los fármacos , Monocitos/metabolismo , Aptitud Física/fisiología , Descanso/fisiología , Saliva/metabolismoRESUMEN
OBJECTIVE: The aim of this study was to address the effect of endurance training on monocyte glucocorticoid sensitivity in vitro. METHODS: For this purpose, in vitro dexamethasone inhibition of lipopolysaccharide (LPS)-induced interleukin-6 (IL-6) secretion in cultures of peripheral monocytes was compared in 6 untrained subjects (UT) and in 6 endurance-trained (ET) men at 0800 h, 24 h after the end of the last session of exercise (ET men). Moreover, to test the plasticity of these monocytes glucocorticoid sensitivity in ET men, the effect of an acute bout of exercise was further studied 2 h after the end of a 2-h run at 65-75% VO2max (1200 h) and compared to the results of UT after 4 h of rest. RESULTS: At 0800 h, monocytes from ET were more sensitive to LPS: lower LPS concentration in ET compared to UT men (0.003 vs. 0.03 microg/ml) induced similar IL-6 concentrations in both ET and UT men (168.4 +/- 29.9 pg/ml with 0.003 microg/ml LPS vs. 160.1 +/- 34.4 pg/ml with 0. 03 microg/ml LPS, ET vs. UT, respectively, P > 0.05 for IL-6). No effect of sampling time was observed in UT subjects (0800 h vs. 1200 h). This was not the case for ET as at 1200 h, compared to pre-exercise values, the LPS-induced IL-6 production was not significantly different from that obtained in UT. Moreover, when sensitivity to dexamethasone (Dex) was studied and expressed as the percent inhibition of stimulated IL-6 production with 0.3 microg/ml LPS, at 0800 h the percent inhibition was lower in ET subjects compared to UT (P < 0.01 ET vs. UT men) for each Dex concentration used [10-11-10-8 M]. After exercise, the inhibitory effect of Dex on LPS-induced IL-6 production was restored in ET and was no longer significantly different from that obtained in UT. CONCLUSION: We demonstrate in vitro plasticity of monocyte glucocorticoid sensitivity of endurance trained men, with training-induced decreased glucocorticoid sensitivity and acute exercise-induced return to the levels of the control untrained men.
Asunto(s)
Dexametasona/farmacología , Ejercicio Físico/fisiología , Glucocorticoides/farmacología , Interleucina-6/metabolismo , Monocitos/efectos de los fármacos , Resistencia Física/fisiología , Adulto , Análisis de Varianza , Glucemia/análisis , Estudios de Casos y Controles , Células Cultivadas , Relación Dosis-Respuesta a Droga , Humanos , Hidrocortisona/sangre , Lipopolisacáridos/farmacología , Masculino , Monocitos/metabolismo , Estimulación QuímicaRESUMEN
A model was developed to study inhibitors present in feces which prevent the use of PCR for the detection of Helicobacter pylori. A DNA fragment amplified with the same primers as H. pylori was used to spike samples before extraction by a modified QIAamp tissue method. Inhibitors, separated on an Ultrogel AcA44 column, were characterized. Inhibitors in feces are complex polysaccharides possibly originating from vegetable material in the diet.
Asunto(s)
Heces/microbiología , Helicobacter pylori/aislamiento & purificación , Reacción en Cadena de la Polimerasa/métodos , Polisacáridos , Heces/químicaRESUMEN
A 59-year-old woman with a history of papillary carcinoma of the thyroid gland developed three reddish nodules on the scalp. A skin biopsy showed a dermal tumor composed of sheets of clearly differentiated thyroid vesicles. Cutaneous metastases of thyroid carcinoma are very rare and this case is the first case confirmed by immunoperoxidase studies using monoclonal antithyroglobulin antibody. Positive reactions were obtained in colloid and at apices of thyrocytes. Monoclonal antibodies to human thyroglobulin may offer a unique opportunity to confirm the tissue origin of cutaneous metastasis.