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INTRODUCTION AND AIM: Haemarthroses cause major morbidity in haemophilia resulting in chronic haemophilic synovitis (CHS) and arthropathy. Oxidation of haemoglobin-coupled iron released in synovium after haemolysis induces chondrocytes death and cartilage damage, allowing postulate using iron-chelating drugs as potential therapeutic tool for haemophilic joint damage. Considering that albumin, the most abundant plasma protein, is a physiologic iron chelator, we aim to demonstrate that impediment of haemoglobin oxidation is exerted by plasma as a mechanism involved in the therapeutic effect of intra-articular injection of platelet-rich plasma in CHS. METHODS: Oxidation of haemoglobin (Hb) to methaemoglobin (MeHb) through Fenton reaction was induced in vitro by addition of potassium ferricyanide in the presence or absence of peripheral blood-derived platelets-rich or platelets-poor plasma (PRP/PPP) or albumin. The relevance of in vitro findings was analysed in synovial fluid (SF) samples from one patient with CHS obtained before and after 6 months of PRP intra-articular injection. RESULTS: MeHb formation was completely impaired either by of PPP, PRP or albumin indicating that PRP exerts an anti-oxidative effect, probably due by plasma albumin. Analysis of SF samples revealed the presence of MeHb levels and haemosiderin-laden macrophages in SF obtained before PRP treatment. Reduction of synovial MeHb, normalization of cellular composition and improvement of health joint haemophilic score, pain and bleeding episodes were registered after 6 months of PRP intra-articular injection. CONCLUSION: Inhibition of Fenton reaction and the consequent normalization of joint cellular composition is a noncanonical mechanism underlying the therapeutic effect of PRP intra-articular injection in CHS.

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Aquatic environmental factors are very changeable in short periods. Among these factors are pH, temperature, dissolved oxygen, ammonia and ions. Nitrite, as one ion naturally present in aquatic systems, deserves particular consideration as it is highly toxic for many species. Among fish, nitrite may have harmful effects, such as methemoglobin (MtHb) formation, disruption to the gill and hepatic structure, which could result in hemolytic anemia and cell hypoxia by reducing the functional hemoglobin content. In this work, we compared hematological and metabolical responses of pacu and its hybrid tambacu exposed to 20 ppm of environmental nitrite. It was observed that the MtHb content was less than 18 percent in tambacu while pacu reached nearly 8 percent. These data reflect specific differences in nitrite uptake by the gill. The hematocrit of both fish was distinct; pacu did not have a typical response of poisoning by nitrite. This fact shows less skill of the hybrid to cope with environmental nitrite. Incipient hemolytic anemia was observed in pacu and both species presented a neoglycogenic profile. The glucose-provider character of the liver was more evident in tambacu. The white muscle of both species presented distinct metabolic behavior. While in pacu the white muscle was predominantly oxidative, in tambaqui the lactic fermentation was the most important metabolic profile. Metabolic and hematological observations in both species show that they present distinct metabolical strategies to cope with toxic effects of nitrite and there is no evidence that the hybrid is more resistant to nitrite.

Os fatores ambientais nos meios aquáticos são muito flutuantes em curtos intervalos de tempo. Valores de pH, temperatura, oxigênio dissolvido, amônia e íons podem estar freqüentemente variando. Entre esses íons, o nitrito merece especial atenção por ser altamente tóxico para muitas espécies. Entre os peixes, o nitrito pode apresentar efeitos danosos como a formação de metahemoglobina (MtHB), lesão às estruturas branquiais e hepática, podendo levar a quadros de anemia hemolítica e hipóxia celular pela redução do teor de hemoglobina funcional. Neste trabalho, foram comparadas as respostas hematológicas e metabólicas do pacu e de seu híbrido tambacu expostos a 20 ppm de nitrito ambiental, e verificou-se que o teor de MtHb no tambacu foi menor que 18 por cento, enquanto no pacu atingiu valores de 8 por cento. Esses valores refletem diferenças específicas na captação de nitrito pelas brânquias. O hematócrito de ambas as espécies foi diferente; o pacu não apresentou uma resposta típica à intoxicação pelo nitrito. Este fato revelou uma diminuição na capacidade do híbrido em resistir ao nitrito ambiental. Observou-se no pacu um princípio de anemia hemolítica. As duas espécies mostraram um perfil bioquímico neoglicogênico. O papel glicemiante do fígado foi mais evidente no tambacu. O músculo branco de ambas as espécies mostrou um comportamento metabólico distinto. Enquanto o músculo do pacu foi predominantemente oxidativo, o músculo branco do tambaqui exposto ao nitrito realizou fermentação láctica. As observações metabólicas e hematológicas em ambas as espécies indicam que estas apresentam estratégias metabólicas diferentes para enfrentar os efeitos tóxicos do nitrito ambiental, não sendo evidenciada qualquer vantagem do híbrido neste particular.

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Aquatic environmental factors are very changeable in short periods. Among these factors are pH, temperature, dissolved oxygen, ammonia and ions. Nitrite, as one ion naturally present in aquatic systems, deserves particular consideration as it is highly toxic for many species. Among fish, nitrite may have harmful effects, such as methemoglobin (MtHb) formation, disruption to the gill and hepatic structure, which could result in hemolytic anemia and cell hypoxia by reducing the functional hemoglobin content. In this work, we compared hematological and metabolical responses of pacu and its hybrid tambacu exposed to 20 ppm of environmental nitrite. It was observed that the MtHb content was less than 18% in tambacu while pacu reached nearly 8%. These data reflect specific differences in nitrite uptake by the gill. The hematocrit of both fish was distinct; pacu did not have a typical response of poisoning by nitrite. This fact shows less skill of the hybrid to cope with environmental nitrite. Incipient hemolytic anemia was observed in pacu and both species presented a neoglycogenic profile. The glucose-provider character of the liver was more evident in tambacu. The white muscle of both species presented distinct metabolic behavior. While in pacu the white muscle was predominantly oxidative, in tambaqui the lactic fermentation was the most important metabolic profile. Metabolic and hematological observations in both species show that they present distinct metabolical strategies to cope with toxic effects of nitrite and there is no evidence that the hybrid is more resistant to nitrite.

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Environmental increase in nitrite impairs the function of several aquatic species, including fishes. Nitrite reacts with hemoglobin yielding the non-functional methemoglobin (metHb), and many physiological disturbances can arise. The physiological mechanisms to cope with nitrite are still unclear in fish. Hematological parameters, the role of NADH-methemoglobin reductase system and the electrolytic balance were studied in the freshwater teleost Brycon cephalus (matrinxã) exposed to 0.2, 0.4 and 0.6 mg/L of nitrite N-NO(2) for 24 and 96 h. Hematocrit, total hemoglobin and the red blood cell (RBC) number decreased. Methemoglobin content increased from 1% to 69% for 24 h of exposure and drastically from 5-6% to 90% for 96 h. The activity of NADH-methemoglobin reductase system displayed a tendency of increase in response to nitrite concentration or time of exposure. In the plasma, nitrite was accumulated to values 30-fold higher than the environmental concentration. The plasma K(+) concentration increased only in fish exposed to NO(2) for 24 h. No changes in plasma protein and Na(+) were observed during nitrite exposure but Cl-presented a punctual increase at 0.2 mg/L N-NO(2)-96 h. The hematological data suggest that nitrite caused functional and hemolytic anemia. Furthermore, the electrolytic balance was relatively undisturbed, and the nitrite clearance in matrinxã is likely depending on other factors than NADH-methemoglobin reductase system.

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Juvenile tambaqui, Colossoma macropomum, were exposed to sulfide and hypoxia for 12, 24, 48 and 96 h. Hemoglobin concentrations, red blood cell counts, and mean cell hemoglobin, were higher at 12 h in fish exposed to hypoxia. However, control fish and those exposed to sulfide and hypoxia had lower red blood cell count, hemoglobin concentration and hematocrit at 96 h. Methemoglobin was higher than in the controls, probably due to the hypoxemia induced by these stressors. Sulfhemoglobin was not detected in significant amounts in the blood of fish exposed to sulfide (in vivo), yet hemoglobin converted into sulfhemoglobin at 1-15 mM sulfide in vitro. Anaerobic metabolism seemed to be an important mechanism for adapting to sulfide exposure and blood pH returned to control values after 24 h of sulfide, preventing acidosis. The high sulfide tolerance in tambaqui is associated with its high tolerance to hypoxia.

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