OBJECTIVES: To assess the expression of decidual natural killer (dNK) cells and their cytokines in twin pregnancies with preeclampsia. METHODS: This was a prospective case-control study. The inclusion criteria were diamniotic (monochorionic or dichorionic) twin pregnancies in the third trimester with negative serological results for infectious diseases; absence of major fetal abnormalities or twin-twin transfusion syndrome; and no history of administration of corticosteroids in this pregnancy. The control group (CG) included uncomplicated twin pregnancies, and the preeclampsia group (PEG) included twin gestations with clinical and laboratory confirmation of the disease according to well-established criteria. Samples of the decidua were obtained and analyzed by immunohistochemistry for the expression of dNK cells and interleukins (ILs) 10, 12 and 15. In addition, maternal serum samples were collected to determine the levels of these interleukins. RESULTS: Thirty twin pregnancies were selected: 20 in the control group (CG) and 10 in the preeclampsia group (PEG). The PEG showed strong placental immunostaining for IL-15 (p=0.001) and high maternal serum levels of IL-10 (22.7 vs. 11.9 pg/mL, p=0.024) and IL-15 (15.9 vs. 7.4 pg/mL, p=0.024). CONCLUSION: A higher maternal serum concentration of both pro- and anti-inflammatory factors was observed in the twin pregnancies in the PEG. However, no difference in placental expression of IL-10 was found between the groups. These findings may suggest that maternal attempts to balance these interleukins were not sufficient to cause a placental response, and this failure may contribute to the development of preeclampsia.
The decoction of the stem barks from Bowdichia virgilioides KUNTH is a folk remedy used to treat inflammatory disorders in Latin American and Brazil. In the present study, the wound healing activity of aqueous extract of the stem bark from B. virgilioides, called AEBv, was evaluated by the rate of healing by wound contraction and period of epithelization at different days post-wound using the wound excisional model. On day 9, the AEBv-treated animals exhibited significative reduction in the wound area when compared with controls. In wound infected with S. aureus, the AEBv significantly improved the wound contraction when compared to the saline-treated mice. The histological analysis showed that AEBv induced a collagen deposition, increase in the fibroblast count and few inflammatory cells than compared to saline-treated group. The expression of collagen type I was increased in the group treated with AEBv as indicated by immunohistochemical staining. In vitro, the AEBv was effective only against S. aureus but not against P. aeruginosa. Together, the results of this study demonstrate, for the first time, the healing and antimicrobiological effects of aqueous extract of the stem bark from B. virgilioides in the therapy of skin wounds.
A decocção das cascas do caule de Bowdichia virgilioides Kunth é um medicamento popular usado para tratar doenças inflamatórias na América Latina e no Brasil. Neste estudo, a atividade de cicatrização de feridas do extrato aquoso da casca do caule de B. virgilioides, chamado AEBv, foi avaliada pela contração da ferida e pelo período de epitelização em diferentes dias pós-ferida usando o modelo ferida excisional. No nono dia, os animais tratados com AEBv apresentaram uma redução significativa na área da ferida, quando comparados com os controles. Nas feridas infectadas com S. aureus, o AEBv melhorou significativamente a contração da ferida quando comparado com os camundongos tratados com solução salina. A análise histológica mostrou que AEBv induziu uma deposição de colágeno, aumento na contagem de fibroblastos e poucas células inflamatórias do que em relação ao grupo tratado com solução salina. A expressão de colágeno tipo I mostrou-se aumentada no grupo tratado com AEBv como indicado pela coloração imuno histoquímica. In vitro, o AEBv foi eficaz apenas contra S. aureus, mas não contra P. aeruginosa. Juntos, os resultados deste estudo demonstram, pela primeira vez, a cura e os efeitos antimicrobianos do extrato aquoso da casca do caule de B. virgilioides na terapia de feridas cutâneas.