Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos

Detalhes bibliográficos
Autor(a) principal: Silva, Pamella Campos
Data de Publicação: 2013
Outros Autores: cbabdtd@gmail.com
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
Texto Completo: http://www.bdtd.uerj.br/handle/1/17536
Resumo: Obesity and its metabolic complications affects the endocrine system and multiple organs such as the testes. This study aimed to evaluate the effects of different high-fat diets (rich in saturated and / or polyunsaturated fatty acids) on body mass, carbohydrate metabolism and testicular morphology in rats at seven months old. 39 male Wistar rats (three months old) were divided into four groups: SC (standard chow, n = 9), HF-S (high fat diet rich in saturated fatty acids, n = 10), HF-P (high fat diet rich in polyunsaturated fatty acids, n = 10), HF-SP (high fat diet rich in saturated and polyunsaturated fatty acids, n = 10). Body mass was monitored weekly until the end of the experiment. At the sacrifice (seven months old), blood samples were collected and the testes were dissected, weighed and processed for histomorphometrical, immunohistochemical and biochemical analysis. Genital fat deposits were dissected and weighed. Data were analyzed by one-way ANOVA and Bonferroni post hoc test, considering p < 0.05. Different high-fat diets promoted an increased in body mass compared with the SC group (p < 0.0001). Accordingly, the genital fat deposits were higher in the high-fat groups (HF-S, HF-P, HF-SP) than in the SC group, showing an increase of 67%, 91% and 90%, respectively (p = 0.0004). Regarding serum parameters, the animals in the HF-S and HF-SP groups presented hyperglycemia (p = 0.0060), hyperinsulinemia (p = 0.0030), hypercholesterolemia (p = 0.0021). All of the hyperlipidemic groups showed hyperleptinemia (p = 0.0019). Serum triglyceride and serum testosterone levels did not differ among the groups. Concerning the testis, the SC, HF-P and HF-SP groups showed an increase on seminiferous epithelium height compared with the HF-S group (p = 0.0003). As the seminiferous tubule diameter, there was a decrease in the HF-SP group in comparison with the SC group (p = 0.0010). Cell proliferation was reduced in HF-S group compared with the SC group (p = 0.0450). Among the groups, no difference was observed in the testicular mass and in collagen level. In conclusion, the high fat diet administration, independent of the lipid quality, promotes overweight. Diet rich in saturated fatty acids (lard) alters the carbohydrate metabolism and the testicular morphology with reductions of seminiferous epithelium height, seminiferous tubule diameter and cell proliferation which could be related to a disturbance of spermatogenesis
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spelling Gregório, Bianca MartinsCosta, Waldemar SilvaNascimento, Fernanda Amorim de MoraisGallo, Carla Braga ManoSilva, Pamella Camposcbabdtd@gmail.com2022-04-12T13:21:28Z2013-08-29SILVA, Pamella Campos. Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos. 2013. 60 f. Dissertação (Mestrado em Fisiopatologia e Ciências Cirúrgicas) - Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013 .http://www.bdtd.uerj.br/handle/1/17536Obesity and its metabolic complications affects the endocrine system and multiple organs such as the testes. This study aimed to evaluate the effects of different high-fat diets (rich in saturated and / or polyunsaturated fatty acids) on body mass, carbohydrate metabolism and testicular morphology in rats at seven months old. 39 male Wistar rats (three months old) were divided into four groups: SC (standard chow, n = 9), HF-S (high fat diet rich in saturated fatty acids, n = 10), HF-P (high fat diet rich in polyunsaturated fatty acids, n = 10), HF-SP (high fat diet rich in saturated and polyunsaturated fatty acids, n = 10). Body mass was monitored weekly until the end of the experiment. At the sacrifice (seven months old), blood samples were collected and the testes were dissected, weighed and processed for histomorphometrical, immunohistochemical and biochemical analysis. Genital fat deposits were dissected and weighed. Data were analyzed by one-way ANOVA and Bonferroni post hoc test, considering p < 0.05. Different high-fat diets promoted an increased in body mass compared with the SC group (p < 0.0001). Accordingly, the genital fat deposits were higher in the high-fat groups (HF-S, HF-P, HF-SP) than in the SC group, showing an increase of 67%, 91% and 90%, respectively (p = 0.0004). Regarding serum parameters, the animals in the HF-S and HF-SP groups presented hyperglycemia (p = 0.0060), hyperinsulinemia (p = 0.0030), hypercholesterolemia (p = 0.0021). All of the hyperlipidemic groups showed hyperleptinemia (p = 0.0019). Serum triglyceride and serum testosterone levels did not differ among the groups. Concerning the testis, the SC, HF-P and HF-SP groups showed an increase on seminiferous epithelium height compared with the HF-S group (p = 0.0003). As the seminiferous tubule diameter, there was a decrease in the HF-SP group in comparison with the SC group (p = 0.0010). Cell proliferation was reduced in HF-S group compared with the SC group (p = 0.0450). Among the groups, no difference was observed in the testicular mass and in collagen level. In conclusion, the high fat diet administration, independent of the lipid quality, promotes overweight. Diet rich in saturated fatty acids (lard) alters the carbohydrate metabolism and the testicular morphology with reductions of seminiferous epithelium height, seminiferous tubule diameter and cell proliferation which could be related to a disturbance of spermatogenesisA obesidade e suas complicações metabólicas afetam o sistema endócrino e vários órgãos, tais como os testículos. Portanto, o objetivo deste estudo foi avaliar os efeitos da ingestão de diferentes dietas hiperlipídicas (rica em ácidos graxos saturados e/ou poliinsaturados) na massa corporal, no metabolismo de carboidratos e na morfologia testicular em ratos aos sete meses de idade. 39 ratos machos Wistar (três meses de idade) foram divididos em 4 grupos: SC (standard chow; n = 9), HF-S (dieta hiperlipídica rica em ácidos graxos saturados; n = 10), HF-P (dieta hiperlipídica rica em ácidos graxos poliinsaturados; n = 10), HF-SP (dieta hiperlipídica rica em ácidos graxos saturados e poliinsaturados; n = 10). A massa corporal foi monitorada semanalmente, até o final do experimento. Ao sacrifício (sete meses de idade), amostras de sangue foram coletadas e os testículos foram dissecados, pesados e processados para análises histomorfométrica, imunohistoquímica e bioquímica. Os depósitos de gordura genital foram dissecados e pesados. Os dados foram analisados por ANOVA e pós-teste de Bonferroni, considerando p < 0,05. As dietas hiperlipídicas promoveram aumento na massa corporal dos animais quando comparado ao grupo SC (p < 0,0001). Corroborando com esse resultado, os depósitos de gordura genital dos grupos hiperlipídicos (HF-S, HF-P e HF-SP) apresentaram aumento de 67%, 91% e 90% (p = 0,0004) em relação ao grupo SC, respectivamente. Quanto aos parâmetros séricos, os animais dos grupos HF-S e HF-SP apresentaram hiperglicemia (p = 0,0060), hiperinsulinemia (p = 0,0030), hipercolesterolemia (p = 0,0021). Todos os grupos hiperlipídicos apresentaram hiperleptinemia (p = 0,0019). Os níveis de triglicerídeos e testosterona não diferiram entre os grupos. Em relação ao testículo, os grupos SC, HF-P e HF-SP apresentaram maior altura do epitélio seminífero quando comparado ao grupo HF-S (p = 0,0003). No que diz respeito ao diâmetro dos túbulos seminíferos, verificou-se uma diminuição no grupo HF-SP, em comparação ao grupo SC (p = 0,0010). A proliferação celular foi reduzida no grupo HF-S comparado ao grupo SC (p = 0,0450). Não foram observadas diferenças na massa testicular e na concentração de colágeno. Diante do exposto, a administração de dieta HF, independentemente da qualidade do lipídio, promoveu o sobrepeso em ratos adultos. No entanto, a dieta rica em ácidos graxos saturados (banha de porco) promoveu alterações no metabolismo dos carboidratos e na morfologia testicular, com redução no diâmetro dos túbulos seminíferos, na altura do epitélio seminífero e na proliferação das células da linhagem espermatogênica. Estas alterações estão possivelmente relacionadas à distúrbios na espermatogêneseSubmitted by Thais Vieira NPROTEC (thaisvieira.uerj@gmail.com) on 2022-04-12T13:21:28Z No. of bitstreams: 1 Dissertação - Pamella Campos Silva - 2013 - Completa.pdf: 1844573 bytes, checksum: cc8acb0b8a7cb02851a8d5d491ef62e2 (MD5)Made available in DSpace on 2022-04-12T13:21:28Z (GMT). No. of bitstreams: 1 Dissertação - Pamella Campos Silva - 2013 - Completa.pdf: 1844573 bytes, checksum: cc8acb0b8a7cb02851a8d5d491ef62e2 (MD5) Previous issue date: 2013-08-29Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Fisiopatologia e Ciências CirúrgicasUERJBrasilCentro Biomédico::Faculdade de Ciências MédicasÁcidos graxos poliinsaturadosÁcidos graxos saturadosDietas hiperlipídicasObesidadeRato WistarTestículoPolyunsaturated fatty acidsSaturated fatty acidsHigh-fat dietsObesityWistar ratsTestisCIENCIAS DA SAUDE::MEDICINA::CIRURGIA::CIRURGIA EXPERIMENTALEfeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultosMetabolic and testicular effects of long-term administration of different high-fat diets in adult ratsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertação - Pamella Campos Silva - 2013 - Completa.pdfDissertação - Pamella Campos Silva - 2013 - Completa.pdfapplication/pdf1844573http://www.bdtd.uerj.br/bitstream/1/17536/2/Disserta%C3%A7%C3%A3o+-+Pamella+Campos+Silva+-+2013+-+Completa.pdfcc8acb0b8a7cb02851a8d5d491ef62e2MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82123http://www.bdtd.uerj.br/bitstream/1/17536/1/license.txte5502652da718045d7fcd832b79fca29MD511/175362022-04-12 10:21:28.692oai:www.bdtd.uerj.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032022-04-12T13:21:28Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false
dc.title.por.fl_str_mv Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
dc.title.alternative.eng.fl_str_mv Metabolic and testicular effects of long-term administration of different high-fat diets in adult rats
title Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
spellingShingle Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
Silva, Pamella Campos
Ácidos graxos poliinsaturados
Ácidos graxos saturados
Dietas hiperlipídicas
Obesidade
Rato Wistar
Testículo
Polyunsaturated fatty acids
Saturated fatty acids
High-fat diets
Obesity
Wistar rats
Testis
CIENCIAS DA SAUDE::MEDICINA::CIRURGIA::CIRURGIA EXPERIMENTAL
title_short Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
title_full Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
title_fullStr Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
title_full_unstemmed Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
title_sort Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos
author Silva, Pamella Campos
author_facet Silva, Pamella Campos
cbabdtd@gmail.com
author_role author
author2 cbabdtd@gmail.com
author2_role author
dc.contributor.advisor1.fl_str_mv Gregório, Bianca Martins
dc.contributor.advisor-co1.fl_str_mv Costa, Waldemar Silva
dc.contributor.referee1.fl_str_mv Nascimento, Fernanda Amorim de Morais
dc.contributor.referee2.fl_str_mv Gallo, Carla Braga Mano
dc.contributor.author.fl_str_mv Silva, Pamella Campos
cbabdtd@gmail.com
contributor_str_mv Gregório, Bianca Martins
Costa, Waldemar Silva
Nascimento, Fernanda Amorim de Morais
Gallo, Carla Braga Mano
dc.subject.por.fl_str_mv Ácidos graxos poliinsaturados
Ácidos graxos saturados
Dietas hiperlipídicas
Obesidade
Rato Wistar
Testículo
topic Ácidos graxos poliinsaturados
Ácidos graxos saturados
Dietas hiperlipídicas
Obesidade
Rato Wistar
Testículo
Polyunsaturated fatty acids
Saturated fatty acids
High-fat diets
Obesity
Wistar rats
Testis
CIENCIAS DA SAUDE::MEDICINA::CIRURGIA::CIRURGIA EXPERIMENTAL
dc.subject.eng.fl_str_mv Polyunsaturated fatty acids
Saturated fatty acids
High-fat diets
Obesity
Wistar rats
Testis
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::MEDICINA::CIRURGIA::CIRURGIA EXPERIMENTAL
description Obesity and its metabolic complications affects the endocrine system and multiple organs such as the testes. This study aimed to evaluate the effects of different high-fat diets (rich in saturated and / or polyunsaturated fatty acids) on body mass, carbohydrate metabolism and testicular morphology in rats at seven months old. 39 male Wistar rats (three months old) were divided into four groups: SC (standard chow, n = 9), HF-S (high fat diet rich in saturated fatty acids, n = 10), HF-P (high fat diet rich in polyunsaturated fatty acids, n = 10), HF-SP (high fat diet rich in saturated and polyunsaturated fatty acids, n = 10). Body mass was monitored weekly until the end of the experiment. At the sacrifice (seven months old), blood samples were collected and the testes were dissected, weighed and processed for histomorphometrical, immunohistochemical and biochemical analysis. Genital fat deposits were dissected and weighed. Data were analyzed by one-way ANOVA and Bonferroni post hoc test, considering p < 0.05. Different high-fat diets promoted an increased in body mass compared with the SC group (p < 0.0001). Accordingly, the genital fat deposits were higher in the high-fat groups (HF-S, HF-P, HF-SP) than in the SC group, showing an increase of 67%, 91% and 90%, respectively (p = 0.0004). Regarding serum parameters, the animals in the HF-S and HF-SP groups presented hyperglycemia (p = 0.0060), hyperinsulinemia (p = 0.0030), hypercholesterolemia (p = 0.0021). All of the hyperlipidemic groups showed hyperleptinemia (p = 0.0019). Serum triglyceride and serum testosterone levels did not differ among the groups. Concerning the testis, the SC, HF-P and HF-SP groups showed an increase on seminiferous epithelium height compared with the HF-S group (p = 0.0003). As the seminiferous tubule diameter, there was a decrease in the HF-SP group in comparison with the SC group (p = 0.0010). Cell proliferation was reduced in HF-S group compared with the SC group (p = 0.0450). Among the groups, no difference was observed in the testicular mass and in collagen level. In conclusion, the high fat diet administration, independent of the lipid quality, promotes overweight. Diet rich in saturated fatty acids (lard) alters the carbohydrate metabolism and the testicular morphology with reductions of seminiferous epithelium height, seminiferous tubule diameter and cell proliferation which could be related to a disturbance of spermatogenesis
publishDate 2013
dc.date.issued.fl_str_mv 2013-08-29
dc.date.accessioned.fl_str_mv 2022-04-12T13:21:28Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv SILVA, Pamella Campos. Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos. 2013. 60 f. Dissertação (Mestrado em Fisiopatologia e Ciências Cirúrgicas) - Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013 .
dc.identifier.uri.fl_str_mv http://www.bdtd.uerj.br/handle/1/17536
identifier_str_mv SILVA, Pamella Campos. Efeitos metabólicos e testicular da administração em longo prazo de diferentes dietas hiperlipídicas em ratos adultos. 2013. 60 f. Dissertação (Mestrado em Fisiopatologia e Ciências Cirúrgicas) - Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013 .
url http://www.bdtd.uerj.br/handle/1/17536
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dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Fisiopatologia e Ciências Cirúrgicas
dc.publisher.initials.fl_str_mv UERJ
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Centro Biomédico::Faculdade de Ciências Médicas
publisher.none.fl_str_mv Universidade do Estado do Rio de Janeiro
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