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dc.contributor.advisorSilva, Paulo Goberlânio de Barros-
dc.contributor.authorAragão, André da Rocha-
dc.date.accessioned2025-07-04T17:39:12Z-
dc.date.available2025-07-04T17:39:12Z-
dc.date.issued2025-06-17-
dc.identifier.urihttps://repositorio.unichristus.edu.br/jspui/handle/123456789/1950-
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dc.description.abstractIntrodução: A osteonecrose dos maxilares induzida por bisfosfonatos (OMB) é um grave efeito adverso da terapia com bisfosfonatos, em especial o Ácido Zoledrônico (AZ) e está diretamente relacionada a estresse oxidativo. Objetivo: Avaliar a influência do bloqueio da Óxido Nítrico Sintase induzida (iNOS) no controle da OMB em ratos tratados com AZ. Materiais e métodos: Para isso foram selecionados 48 ratos Wistar machos que foram divididos em um grupo controle negativo tratado com solução salina e.v, um grupo controle positivo, tratado com 0,2mg/kg de AZ e.v., um grupo controle aminoguanidina tratado com 200 mg/kg de aminoguanidina e três grupos testes tratados com AZ e co-tratados com aminoguanidina 50, 100 e 200mg/kg s.c três vezes por semana desde o início do protocolo até o final do estudo. Quatro semanas após as três administrações semanais consecutivas de AZ os animais foram submetidos a exodontia dos primeiros molares inferiores esquerdos e na semana seguinte, dose adicional de AZ foi administrada. A eutanásia foi realizada quatro semanas após exodontia (dia 70) e as mandíbulas foram removidas para análise radiomorfométrica da área sugestiva de OMB e análise histomorfométrica (contagem de lacunas de osteócitos vazias, osteoclastos viáveis e apoptóticos e células inflamatórias polimorfonucleares e mononucleares). Teste ANOVA/Bonferroni foi utilizado para análise estatística (p<0,05, GraphPad Prism 5.0). Resultados: Os animais do grupo AMG.200 e os animais dos grupos AZ+AMG.100 e AZ+AMG.200 mostraram redução significativa do ganho de massa corporal comparados com os grupos salina e AZ (p<0,001). Os animais do grupo AZ apresentaram aumento do percentual de lacunas osteócitos vazios e os grupos AZ+AMG.100 e AZ+AMG.200 mostraram retorno aos níveis basais (p<0,001). A contagem de osteoclastos também foi aumentada no grupo AZ e os grupos AZ+AMG.100 e AZ+AMG.200 mostraram retorno aos níveis basais (p=0,006) e a contagem de PMN foi aumentada no grupo AZ e reduzida em todos os grupos AZ+AMG (p=0,045). Não houve diferença significativa na contagem de MN (p=0,864). Conclusão: O tratamento com aminoguanidina reverte a OMB, mas possui toxicidade sistêmica significativa.pt_BR
dc.subjectBisfosfonatospt_BR
dc.subjectOsteonecrose dos maxilares induzida por medicamentospt_BR
dc.subjectinflamaçãopt_BR
dc.titleINFLUÊNCIA DO BLOQUEIO DA ÓXIDO NÍTRICO SINTASE INDUZIDA POR AMINOGUANIDINA NA SEVERIDADE DE OSTEONECROSE DOS MAXILARES INDUZIDA POR ÁCIDO ZOLEDRÔNICO EM RATOSpt_BR
dc.typeTCCpt_BR
dc.title.inglesINFLUENCE OF AMINOGUANIDINE-INDUCED NITRIC OXIDE SYNTHASE BLOCKADE ON THE SEVERITY OF ZOLEDRONIC ACID-INDUCED JAW OSTEONECROSIS IN RATSpt_BR
dc.description.resumo_abstractIntroduction: Bisphosphonate-related osteonecrosis of the jaws (BRONJ) is a severe adverse effect associated with bisphosphonate therapy, particularly with Zoledronic Acid (ZA), and is directly linked to oxidative stress. Objective: To evaluate the influence of inducible nitric oxide synthase (iNOS) inhibition on the control of BRONJ in rats treated with ZA. Materials and Methods: Forty-eight male Wistar rats were selected and allocated into the following groups: a negative control group treated with intravenous saline solution; a positive control group treated with 0.2 mg/kg of ZA intravenously; an aminoguanidine (AMG) control group treated with 200 mg/kg AMG; and three experimental groups treated with ZA and co-treated with AMG at doses of 50, 100 and 200mg/kg subcutaneously, three times per week from the beginning of the protocol until the end of the study. Four weeks after three consecutive weekly administrations of ZA, the animals underwent extraction of the left mandibular first molars. In the following week, an additional dose of ZA was administered. Euthanasia was performed four weeks post-extraction (day 70), and mandibles were harvested for radiomorphometric analysis of the suspected BRONJ area and histomorphometric evaluation (quantification of empty osteocyte lacunae, viable and apoptotic osteoclasts, and polymorphonuclear and mononuclear inflammatory cells). ANOVA followed by Bonferroni post-hoc test was used for statistical analysis (p<0.05, GraphPad Prism 5.0). Results: Animals in the AMG.200 group and those in the AZ+AMG.100 and AZ+AMG.200 groups exhibited a significant reduction in body mass gain compared to the saline and ZA groups (p<0.001). The ZA group demonstrated an increased percentage of empty osteocyte lacunae, whereas the AZ+AMG.100 and AZ+AMG.200 groups showed a return to baseline levels (p<0.001). Osteoclast counts were elevated in the ZA group but returned to baseline in the AZ+AMG.100 and AZ+AMG.200 groups (p=0.006). Polymorphonuclear cell count was increased in the ZA group and reduced in all AZ+AMG groups (p=0.045), while mononuclear cell count showed no significant differences (p=0.864). Conclusion: Aminoguanidine treatment reverses BRONJ; however, it is associated with significant systemic toxicity.pt_BR
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