• No results found

8 Utvidet sammendrag med kommentarer

8.7 Vibrasjon

8.7.2 Hånd-arm-vibrasjon

Os objectivos propostos para esta investigação foram alcançados. Foi estudada a actividade angiogénica na nurse cell de T. spiralis utilizando uma combinação de abordagens histológicas, caracterizou-se a expressão do Factor de Crescimento Vascular Endotelial (VEGF) na nurse cell de

T. spiralis, quantificaram-se os novos vasos formados pelo processo de angiogénese e as células

responsáveis pela sua maturação, e correlacionaram-se todos os dados com o tempo de infecção. Tendo em conta as condições de realização do estudo, o modelo animal estudado, a estirpe de T. spiralis e os dias de infecção definidos para o abate, foi possível concluir que:

a) A expressão de VEGF ocorre em todo o período de infecção estudado (45 a 120 dias); b) Os locais morfológicos onde é expresso o VEGF são o citoplasma da nurse cell, o

infiltrado inflamatório adjacente e a larva;

c) Existe uma relação entre a expressão de VEGF e o número de dias pós-infecção: a quantidade de péptido de VEGF no citoplasma das nurse cells tende a diminuir com o tempo, mas mantém-se nas larvas e nas células inflamatórias;

d) Existe uma relação entre a intensidade de VEGF e os locais morfológicos de expressão: a intensidade é geralmente forte na larva e infiltrado inflamatório e moderada no citoplasma das nurse cells, o que em termos semi-quantitativos se traduziu numa expressão fortemente positiva do péptido em todos os parâmetros avaliados;

e) Existe uma relação entre o aumento do número de vasos e os dias pós-infecção: o número de novos vasos aumenta com o tempo, indicando angiogénese em todo o período;

147 f) Existe uma relação entre as células que expressam AML e os dias pós-infecção: o número

de células de músculo liso diminui com o tempo indicando que a maturação dos vasos é mais activa no início do período estudado;

g) Existem relações entre os factores VEGF, número de vasos formados e maturação dos vasos: com o decorrer da infecção mantém-se a expressão de VEGF, aumenta o número de vasos formados e diminuí a maturação dos vasos.

Os resultados do presente estudo são de interesse científico na medida em que contribuem para o aumento do conhecimento da biologia de T. spiralis. Por outro lado, os dados obtidos mostram que a triquinelose é um processo em que a angiogénese não corresponde apenas a um evento. Se complementados com estudos bioquímicos e moleculares, estes resultados poderão elucidar sobre a produção da rede vascular na nurse cell de T. spiralis e sobre as vias utilizadas pelo parasita na indução da angiogénese. O bloqueio dessas vias poderá levar à inibição da angiogénese e à consequente regressão da doença. Desta forma, o conhecimento da actividade angiogénica do parasita poderá levar ao desenvolvimento de biomarcadores do sangue ou urina expressos mesmo antes dos sintomas da doença se manifestarem, bem como a abordagens preventivas e terapêuticas para a triquinelose.

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