Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da FAMERP |
Texto Completo: | http://bdtd.famerp.br/handle/tede/276 |
Resumo: | The prostate is an accessory gland of genital system responsible for producing an alkaline liquid which ensures sperm survival and capacitation. Its development occurs under the influence of an androgen and estrogen regulated and precise control, so sensible interferences may predispose this gland to developing diseases such as benign prostatic hyperplasia and cancer during adult and senile life. Inappropriate exposure to exogenous estrogens in embryonic and neonatal development period has been related to permanent disturbances in morphophysiology of various organs of the male reproductive system. Epidemiological studies indicate that men who were exposed to estrogenic compounds during intrauterine and neonatal development had higher probability of infertility and testicular and prostate cancer. Until now, it is not possible to say whether there are intrinsic factors of development that may predispose prostatic gland to the development of cancer with age. However, as early exposure to steroid hormones can permanently alter various reproductive organs, it is questionable whether such agents may interfere in the prostate structure and physiology. Based on these reports, the aim of this study was to analyze morphologically the ventral prostate of adult gerbils exposed to ethynylestradiol (EE) during the first week of prenatal development. To this, we employed morphological, stereological-morphometrical, immunohistochemical and ultrastructural methods. The results showed that the postnatal exposure to EE duplicated the prostatic complex weight, increasing the relative frequency of epithelial and stromal compartments, besides the secretory activity of the ventral lobe of the prostate. All glands exposed to EE showed strong stromal reshuffling and some foci of epithelial hyperplasia and inflammatory infiltrated in both luminal and epithelial or stromal compartments. Cells positive for AR and PCNA increased into the epithelial and stromal tissues. ERα-positive cells, which are normally found into stromal compartment of intact prostates, were frequently observed in the prostatic epithelial of treated animals. This study demonstrated that the exposure to EE during the postnatal development causes histophysiological alterations of this gland, predisposing to the development of prostatic lesions during life. These results are important taking account public health, considering the EE has been largely used by women worldwide. Moreover, the bioaccumulation of this chemical has been increased in different ecosystems. |
id |
FMRP_2b6e1b1f3cfa218ede0bc9fd4c940310 |
---|---|
oai_identifier_str |
oai:localhost:tede/276 |
network_acronym_str |
FMRP |
network_name_str |
Biblioteca Digital de Teses e Dissertações da FAMERP |
repository_id_str |
4711 |
spelling |
Vilamaior, Patricia Simone LeiteFochi, Ricardo AlexandreCastiglioni, Lilian11810897866http://lattes.cnpq.br/2998228218181254Falleiros Junior, Luiz Roberto2016-06-22T19:13:02Z2015-09-28Falleiros Junior, Luiz Roberto. Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos. 2015. 74 p. Dissertação (Programa de Pós-graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.1168http://bdtd.famerp.br/handle/tede/276The prostate is an accessory gland of genital system responsible for producing an alkaline liquid which ensures sperm survival and capacitation. Its development occurs under the influence of an androgen and estrogen regulated and precise control, so sensible interferences may predispose this gland to developing diseases such as benign prostatic hyperplasia and cancer during adult and senile life. Inappropriate exposure to exogenous estrogens in embryonic and neonatal development period has been related to permanent disturbances in morphophysiology of various organs of the male reproductive system. Epidemiological studies indicate that men who were exposed to estrogenic compounds during intrauterine and neonatal development had higher probability of infertility and testicular and prostate cancer. Until now, it is not possible to say whether there are intrinsic factors of development that may predispose prostatic gland to the development of cancer with age. However, as early exposure to steroid hormones can permanently alter various reproductive organs, it is questionable whether such agents may interfere in the prostate structure and physiology. Based on these reports, the aim of this study was to analyze morphologically the ventral prostate of adult gerbils exposed to ethynylestradiol (EE) during the first week of prenatal development. To this, we employed morphological, stereological-morphometrical, immunohistochemical and ultrastructural methods. The results showed that the postnatal exposure to EE duplicated the prostatic complex weight, increasing the relative frequency of epithelial and stromal compartments, besides the secretory activity of the ventral lobe of the prostate. All glands exposed to EE showed strong stromal reshuffling and some foci of epithelial hyperplasia and inflammatory infiltrated in both luminal and epithelial or stromal compartments. Cells positive for AR and PCNA increased into the epithelial and stromal tissues. ERα-positive cells, which are normally found into stromal compartment of intact prostates, were frequently observed in the prostatic epithelial of treated animals. This study demonstrated that the exposure to EE during the postnatal development causes histophysiological alterations of this gland, predisposing to the development of prostatic lesions during life. These results are important taking account public health, considering the EE has been largely used by women worldwide. Moreover, the bioaccumulation of this chemical has been increased in different ecosystems.A próstata é uma glândula acessória do sistema genital responsável pela produção de um líquido alcalino que garante a capacitação e sobrevivência dos espermatozóides. O seu desenvolvimento ocorre sob influência de um controle androgênico e estrogênico regulado e preciso, de forma que sensíveis interferências podem predispor esta glândula a desenvolver doenças como hiperplasia prostática benigna e câncer durante a vida adulta e senil. A exposição inapropriada a estrógenos exógenos no período de desenvolvimento embrionário e neonatal tem sido relacionada a distúrbios permanentes na morfofisiologia de vários órgãos do sistema reprodutor masculino. Estudos epidemiológicos indicam que homens que foram expostos a componentes estrogênicos durante o desenvolvimento intra-uterino e neonatal apresentaram maior probabilidade de ocorrência de infertilidade e de câncer de testículo e próstata. Até o momento, não é possível afirmar se existem fatores intrínsecos do desenvolvimento que podem predispor a glândula prostática ao desenvolvimento de câncer com a idade. Porém, como a exposição precoce a hormônios esteróides é capaz de alterar permanentemente vários órgãos reprodutivos, torna-se questionável se esses agentes também podem interferir na estrutura e fisiologia prostática. Com base nesses relatos, o objetivo deste estudo foi analisar morfologicamente a próstata ventral de gerbilos adultos expostos ao ethynylestradiol (EE) durante a primeira semana de desenvolvimento pós-natal. Para isso, foram empregados métodos morfológicos, morfométricos-estereológicos, imunohistoquímicos e ultraestruturais. Os resultados obtidos demonstraram que a exposição pós-natal ao EE duplicou o peso do complexo prostático, aumentando a frequência relativa dos compartimentos epitelial e estromal e a atividade secretora no lobo ventral da próstata. Todas as glândulas expostas ao EE apresentaram intensa remodelação estromal, focos de hiperplasia epitelial e de infiltrados inflamatórios intersticiais e intraluminais. Células AR e PCNA-positivas tornaram-se significativamente mais frequentes no epitélio e no estroma. Células ERα-positivas, que foram restritas ao compartimento estromal em próstatas controle, foram frequentemente observadas no epitélio prostático dos animais tratados. O presente estudo demonstrou que a exposição ao EE durante o desenvolvimento pós-natal da próstata ventral pode causar alterações organizacionais na histofisiologia deste órgão, predispondo os indivíduos precocemente a lesões prostáticas. Estes resultados são de grande importância para a saúde pública, visto que o EE tem sido cada vez mais utilizado por mulheres em todo o mundo, e que a bioacumulação deste químico ambiental tem atingido níveis cada vez mais altos nos diferentes ecossistemas.Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2016-06-22T19:13:02Z No. of bitstreams: 1 luizrobertofalleirosjunior_dissert.pdf: 2855726 bytes, checksum: 19672bd7d4c60e301a52bec076ff8240 (MD5)Made available in DSpace on 2016-06-22T19:13:02Z (GMT). No. of bitstreams: 1 luizrobertofalleirosjunior_dissert.pdf: 2855726 bytes, checksum: 19672bd7d4c60e301a52bec076ff8240 (MD5) Previous issue date: 2015-09-28Fundação de Amparo à Pesquisa do Estado de São Paulo - FAPESP::-6491868300948288337::600application/pdfporFaculdade de Medicina de São José do Rio PretoPrograma de Pós-Graduação em Ciências da Saúde::1102159680310750095::500FAMERPBrasilFaculdade 1::Departamento 1::306626487509624506::500Ethinyl EstradiolInfant, NewbornProstateGerbillinaeEtinilestradiolRecém-NascidoPróstataGerbillinaeCIENCIAS DA SAUDE::8765449414823306929::600Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da FAMERPinstname:Faculdade de Medicina de São José do Rio Preto (FAMERP)instacron:FAMERPLICENSElicense.txtlicense.txttext/plain; charset=utf-82165bd3efa91386c1718a7f26a329fdcb468MD51ORIGINALluizrobertofalleirosjunior_dissert.pdfluizrobertofalleirosjunior_dissert.pdfapplication/pdf285572619672bd7d4c60e301a52bec076ff8240MD52http://bdtd.famerp.br/bitstream/tede/276/1/license.txthttp://bdtd.famerp.br/bitstream/tede/276/2/luizrobertofalleirosjunior_dissert.pdftede/2762019-02-04 11:05:56.739oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bdtd.famerp.br/PUBhttps://bdtd.famerp.br/oai/requestsbdc@famerp.br||joao.junior@famerp.bropendoar:47112019-02-04T13:05:56Biblioteca Digital de Teses e Dissertações da FAMERP - Faculdade de Medicina de São José do Rio Preto (FAMERP)false |
dc.title.por.fl_str_mv |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
title |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
spellingShingle |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos Falleiros Junior, Luiz Roberto Ethinyl Estradiol Infant, Newborn Prostate Gerbillinae Etinilestradiol Recém-Nascido Próstata Gerbillinae CIENCIAS DA SAUDE::8765449414823306929::600 |
title_short |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
title_full |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
title_fullStr |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
title_full_unstemmed |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
title_sort |
Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos |
author |
Falleiros Junior, Luiz Roberto |
author_facet |
Falleiros Junior, Luiz Roberto |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Vilamaior, Patricia Simone Leite |
dc.contributor.referee1.fl_str_mv |
Fochi, Ricardo Alexandre |
dc.contributor.referee2.fl_str_mv |
Castiglioni, Lilian |
dc.contributor.authorID.fl_str_mv |
11810897866 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2998228218181254 |
dc.contributor.author.fl_str_mv |
Falleiros Junior, Luiz Roberto |
contributor_str_mv |
Vilamaior, Patricia Simone Leite Fochi, Ricardo Alexandre Castiglioni, Lilian |
dc.subject.eng.fl_str_mv |
Ethinyl Estradiol Infant, Newborn Prostate Gerbillinae |
topic |
Ethinyl Estradiol Infant, Newborn Prostate Gerbillinae Etinilestradiol Recém-Nascido Próstata Gerbillinae CIENCIAS DA SAUDE::8765449414823306929::600 |
dc.subject.por.fl_str_mv |
Etinilestradiol Recém-Nascido Próstata Gerbillinae |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::8765449414823306929::600 |
description |
The prostate is an accessory gland of genital system responsible for producing an alkaline liquid which ensures sperm survival and capacitation. Its development occurs under the influence of an androgen and estrogen regulated and precise control, so sensible interferences may predispose this gland to developing diseases such as benign prostatic hyperplasia and cancer during adult and senile life. Inappropriate exposure to exogenous estrogens in embryonic and neonatal development period has been related to permanent disturbances in morphophysiology of various organs of the male reproductive system. Epidemiological studies indicate that men who were exposed to estrogenic compounds during intrauterine and neonatal development had higher probability of infertility and testicular and prostate cancer. Until now, it is not possible to say whether there are intrinsic factors of development that may predispose prostatic gland to the development of cancer with age. However, as early exposure to steroid hormones can permanently alter various reproductive organs, it is questionable whether such agents may interfere in the prostate structure and physiology. Based on these reports, the aim of this study was to analyze morphologically the ventral prostate of adult gerbils exposed to ethynylestradiol (EE) during the first week of prenatal development. To this, we employed morphological, stereological-morphometrical, immunohistochemical and ultrastructural methods. The results showed that the postnatal exposure to EE duplicated the prostatic complex weight, increasing the relative frequency of epithelial and stromal compartments, besides the secretory activity of the ventral lobe of the prostate. All glands exposed to EE showed strong stromal reshuffling and some foci of epithelial hyperplasia and inflammatory infiltrated in both luminal and epithelial or stromal compartments. Cells positive for AR and PCNA increased into the epithelial and stromal tissues. ERα-positive cells, which are normally found into stromal compartment of intact prostates, were frequently observed in the prostatic epithelial of treated animals. This study demonstrated that the exposure to EE during the postnatal development causes histophysiological alterations of this gland, predisposing to the development of prostatic lesions during life. These results are important taking account public health, considering the EE has been largely used by women worldwide. Moreover, the bioaccumulation of this chemical has been increased in different ecosystems. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-09-28 |
dc.date.accessioned.fl_str_mv |
2016-06-22T19:13:02Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Falleiros Junior, Luiz Roberto. Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos. 2015. 74 p. Dissertação (Programa de Pós-graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto. |
dc.identifier.uri.fl_str_mv |
http://bdtd.famerp.br/handle/tede/276 |
dc.identifier.doi.por.fl_str_mv |
1168 |
identifier_str_mv |
Falleiros Junior, Luiz Roberto. Exposição neonatal ao etinilestradiol aumenta o crescimento da próstata ventral e promove a hiperplasia epitelial e inflamação em gerbilos machos adultos. 2015. 74 p. Dissertação (Programa de Pós-graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto. 1168 |
url |
http://bdtd.famerp.br/handle/tede/276 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina de São José do Rio Preto |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências da Saúde::1102159680310750095::500 |
dc.publisher.initials.fl_str_mv |
FAMERP |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade 1::Departamento 1::306626487509624506::500 |
publisher.none.fl_str_mv |
Faculdade de Medicina de São José do Rio Preto |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da FAMERP instname:Faculdade de Medicina de São José do Rio Preto (FAMERP) instacron:FAMERP |
instname_str |
Faculdade de Medicina de São José do Rio Preto (FAMERP) |
instacron_str |
FAMERP |
institution |
FAMERP |
reponame_str |
Biblioteca Digital de Teses e Dissertações da FAMERP |
collection |
Biblioteca Digital de Teses e Dissertações da FAMERP |
bitstream.url.fl_str_mv |
http://bdtd.famerp.br/bitstream/tede/276/1/license.txt http://bdtd.famerp.br/bitstream/tede/276/2/luizrobertofalleirosjunior_dissert.pdf |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 19672bd7d4c60e301a52bec076ff8240 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da FAMERP - Faculdade de Medicina de São José do Rio Preto (FAMERP) |
repository.mail.fl_str_mv |
sbdc@famerp.br||joao.junior@famerp.br |
_version_ |
1809113651253084160 |