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1.
Acta Neurol Scand ; 129(4): 276-81, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24032478

RESUMO

OBJECTIVES: In the last decade, increasing evidence suggests a key role of adenosine in Parkinson's disease (PD) and A2A adenosine receptors (A2A ARs) as an important pharmacological target in PD. An overexpression of A2A ARs has been found in putamen and in peripheral blood cells of PD patients. The primary aim of this study was to verify whether the alterations in A2A ARs in lymphocytes of PD subjects correlate with disease severity. MATERIAL AND METHODS: A consecutive sample of PD patients was enrolled. A clinical examination and a face-to-face interview were carried out. A2A ARs were investigated to verify the affinity and receptor density in lymphocyte membranes. The data were compared with those found in healthy controls. Moreover, the correlation between A2A AR density and affinity and clinical variables was evaluated in PD patients. RESULTS: In human lymphocyte membranes from PD patients, an increase in A2A AR density and a decrease in A2A AR affinity were found if compared with healthy subjects. A statistically significant correlation between the A2A AR density or affinity and specific clinical parameters as motor and cognitive impairment was detected. Patients with higher A2A AR density and lower affinity were more likely to exhibit motor complications. CONCLUSIONS: Parkinson's disease patients show an A2A AR upregulation in lymphocyte membranes if compared with healthy subjects. The correlation found between A2A AR density or affinity and clinical parameters highlights the central role of A2A AR modulation in the pharmacological treatment for PD and could suggest the putative role of A2A AR as a candidate biomarker of PD severity.


Assuntos
Doença de Parkinson/complicações , Doença de Parkinson/patologia , Receptor A2A de Adenosina/metabolismo , Agonistas do Receptor A2 de Adenosina/farmacocinética , Idoso , Progressão da Doença , Relação Dose-Resposta a Droga , Discinesias/etiologia , Feminino , Humanos , Linfócitos/efeitos dos fármacos , Linfócitos/metabolismo , Masculino , Pessoa de Meia-Idade , Ligação Proteica/efeitos dos fármacos , Estatísticas não Paramétricas , Triazinas/farmacocinética , Triazóis/farmacocinética , Trítio/farmacocinética
2.
J Cell Physiol ; 227(6): 2461-9, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21830213

RESUMO

Synovial fibroblasts (SFs) contribute to the development of osteoarthritis (OA) by the secretion of a wide range of pro-inflammatory mediators, including cytokines and lipid mediators of inflammation. Previous studies suggest that electromagnetic fields (EMFs) may represent a potential therapeutic approach to limit cartilage degradation and control inflammation associated to OA, and that they may act through the adenosine pathway. Therefore, we investigated whether EMFs might modulate inflammatory activities of human SFs from OA patients (OASFs) treated with interleukin-1ß (IL-1ß), and the possible involvement of adenosine receptors (ARs) in mediating EMF effects. EMF exposure induced a selective increase in A(2A) and A(3) ARs. These increases were associated to changes in cAMP levels, indicating that ARs were functionally active also in EMF-exposed cells. Functional data obtained in the presence of selective A(2A) and A(3) adenosine agonists and antagonists showed that EMFs inhibit the release of prostaglandin E(2) (PGE(2)) and the proinflammatory cytokines interleukin-6 (IL-6) and interleukin-8 (IL-8), while stimulating the release of interleukin-10 (IL-10), an antinflammatory cytokine. These effects seem to be mediated by the EMF-induced upregulation of A(2A) and A(3) ARs. No effects of EMFs or ARs have been observed on matrix degrading enzyme production. In conclusion, this study shows that EMFs display anti-inflammatory effects in human OASFs, and that these EMF-induced effects are in part mediated by the adenosine pathway, specifically by the A(2A) and A(3) AR activation. Taken together, these results open new clinical perspectives to the control of inflammation associated to joint diseases.


Assuntos
Citocinas/metabolismo , Dinoprostona/metabolismo , Campos Eletromagnéticos , Fibroblastos/metabolismo , Mediadores da Inflamação/metabolismo , Osteoartrite do Quadril/metabolismo , Receptores Purinérgicos P1/metabolismo , Membrana Sinovial/metabolismo , Proteínas ADAM/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Células Cultivadas , AMP Cíclico/metabolismo , Relação Dose-Resposta a Droga , Feminino , Fibroblastos/efeitos dos fármacos , Fibroblastos/imunologia , Fibroblastos/patologia , Humanos , Interleucina-10/metabolismo , Interleucina-1beta/metabolismo , Interleucina-6/metabolismo , Interleucina-8/metabolismo , Masculino , Metaloproteinases da Matriz/metabolismo , Pessoa de Meia-Idade , Osteoartrite do Quadril/genética , Osteoartrite do Quadril/imunologia , Osteoartrite do Quadril/patologia , Agonistas do Receptor Purinérgico P1/farmacologia , Antagonistas de Receptores Purinérgicos P1/farmacologia , RNA Mensageiro/metabolismo , Receptor A2A de Adenosina/metabolismo , Receptor A3 de Adenosina/metabolismo , Receptores Purinérgicos P1/efeitos dos fármacos , Receptores Purinérgicos P1/genética , Membrana Sinovial/efeitos dos fármacos , Membrana Sinovial/imunologia , Membrana Sinovial/patologia
3.
Osteoarthritis Cartilage ; 17(2): 252-62, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18640059

RESUMO

OBJECTIVE: To investigate the role of adenosine analogs and electromagnetic field (EMF) stimulation on prostaglandin E(2) (PGE(2)) release and cyclooxygenase-2 (COX-2) expression in bovine synovial fibroblasts (SFs). METHODS: SFs isolated from synovia were cultured in monolayer. Saturation and binding experiments were performed by using typical adenosine agonists: N6-cyclohexyladenosine (CHA, A(1)), 2-[p-(2-carboxyethyl)-phenetyl-amino]-5'-N-ethylcarboxamidoadenosine (CGS 21680, A(2A)), 5'-N-ethylcarboxamidoadenosine (NECA, non-selective), N6-(3-iodobenzyl)2-chloroadenosine-5'-N-methyluronamide (Cl-IB-MECA, A(3)). SFs were treated with TNF-alpha (10 ng/ml) and lipopolysaccharide (LPS) (1 microg/ml) to activate inflammatory response. Adenosine analogs were added to control and TNF-alpha- or LPS-treated cultures both in the absence and in the presence of adenosine deaminase (ADA) which is used to deplete endogenous adenosine. Parallel cultures were exposed to EMFs (75 Hz, 1.5 mT) during the period in culture (24h). PGE(2) release was measured by immunoassay. COX-2 expression was evaluated by RT-PCR. RESULTS: TNF-alpha and LPS stimulated PGE(2) release. All adenosine agonists, except for Cl-IB-MECA, significantly inhibited PGE(2) production. EMFs inhibited PGE(2) production in the absence of adenosine agonists and increased the effects of CHA, CGS 21680 and NECA. In ADA, the inhibition on PGE(2) release induced by CHA, CGS and NECA was stronger than in the absence of ADA and the EMF-inhibitory effect was lost. Changes in PGE(2) levels were associated to modification of COX-2 expression. CONCLUSIONS: This study supports anti-inflammatory activities of A(1) and A(2A) adenosine receptors and EMFs in bovine SFs. EMF activity appears mediated by an EMF-induced up-regulation of A(2A) receptors. Biophysical and/or pharmacological modulation of adenosine pathways may play an important role to control joint inflammation.


Assuntos
Adenosina/agonistas , Dinoprostona/metabolismo , Campos Eletromagnéticos , Fibroblastos/metabolismo , Líquido Sinovial/metabolismo , Adenosina/farmacologia , Animais , Ligação Competitiva , Bovinos , Células Cultivadas , Colforsina/farmacologia , Ciclo-Oxigenase 2/metabolismo , Relação Dose-Resposta a Droga , Fibroblastos/efeitos dos fármacos , Lipopolissacarídeos/farmacologia , Receptores Purinérgicos P1/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Líquido Sinovial/citologia , Líquido Sinovial/efeitos dos fármacos , Fator de Necrose Tumoral alfa/farmacologia
4.
Osteoarthritis Cartilage ; 16(11): 1421-9, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18448363

RESUMO

OBJECTIVE: The aim of the present study is that of characterizing, for the first time in a quantitative way, from a biochemical, physico chemical and functional point of view P2X(1) and P2X(3) purinergic receptors in bovine chondrocytes. The affinity and the potency of typical purinergic ligands were studied through competition binding experiments and their role in modulating chondrocyte actvities was investigated by analyzing nitric oxide (NO) and prostaglandin E2 (PGE(2)) release. METHODS: Saturation, competition binding experiments, western blotting and immunohistochemistry assays on the P2X(1) and P2X(3) purinergic receptors in bovine chondrocytes were performed. Thermodynamic analysis of the P2X(1) and P2X(3) purinergic binding was studied to investigate the forces driving drug-receptor coupling. In the functional assays (NO and PGE(2) release) the potency of purinergic agonists and antagonists was evaluated. RESULTS: Bovine chondrocytes expressed P2X(1) and P2X(3) purinergic receptors and thermodynamic parameters indicated that purinergic binding is enthalpy- and entropy-driven for agonists and totally entropy-driven for antagonists. Typical purinergic agonists such as adenosine 5'-triphosphate (ATP) and alpha,beta-methyleneATP were able to increase NO and PGE(2) release. A purinergic antagonist, A317491, was able to block the stimulatory effect on functional experiments mediated by the agonists. CONCLUSIONS: These data demonstrate for the first time the presence of functional P2X(1) and P2X(3) purinergic receptors in bovine chondrocytes. Agonists and antagonists are thermodynamically discriminated and are able to modulate functional responses such as NO and PGE(2) release. These results suggest the potential role of novel purinergic antagonists in the treatment of pathophysiological diseases linked to the inflammation and involved in articular cartilage resorption.


Assuntos
Condrócitos/metabolismo , Dinoprostona/metabolismo , Óxido Nítrico/metabolismo , Receptores Purinérgicos P2/metabolismo , Animais , Ligação Competitiva , Biomarcadores/metabolismo , Bovinos , Células Cultivadas , Receptores Purinérgicos P2X , Receptores Purinérgicos P2X3
5.
J Biomed Mater Res A ; 105(2): 510-520, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27667508

RESUMO

Wear-particle osteolysis affects prosthesis survival leading to implant loosening up to 70% of revisions. Therapeutic strategies are increasing, however alternative testing methods to experimentally evaluate such treatments are lacking. The aim of this study was to reproduce an in vitro osteolysis model recapitulating the events that, starting from the exposure of macrophages to polyethylene, lead to the establishment of osteoclastogenesis and inflammation. Responses to polyethylene, at 3 and 7 days, in a macrophage cell line, RAW 264.7, were determined by DNA quantification, immunofluorescence, pit assay, gene expression, cytokine production and NF-kB activation. Results showed that 3 days exposure to particles could induce a significant production of Tumor Necrosis Factor alpha (p < 0.0005) and Prostaglandin E2 (p < 0.005) compared to controls. Particles also induced macrophages to spontaneously differentiate into mature and active osteoclasts, in terms of identification of multinucleated cells by Phalloidin staining and by the analysis of osteoclast-specific gene markers. In particular, at 3 days polyethylene induced a significant up-regulation of Nuclear Factor of Activated T-cells, cytoplasmic 1, Receptor Activator of Nuclear factor Kappa-B and Receptor Activator of Nuclear Factor Kappa-B Ligand genes (p < 0.0005) compared to controls. At protein level, the particles induced a significant increase of Receptor Activator of Nuclear Factor Kappa-B Ligand at day 7 over controls (p < 0.0005). Osteoclasts were capable to resorb bone even in absence of differentiating factors. The possible mechanism, beside spontaneous osteoclastogenesis mediated by wear debris, was identified in an autocrine up-regulation of Receptor activator of nuclear factor kappa-B ligand gene expression and protein synthesis. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 510-520, 2017.


Assuntos
Interface Osso-Implante , Osteoclastos/metabolismo , Osteólise/metabolismo , Polietilenos , Animais , Antígenos de Diferenciação/biossíntese , Técnicas de Cocultura , Camundongos , Osteoclastos/patologia , Osteólise/patologia , Polietilenos/química , Polietilenos/farmacologia , Células RAW 264.7 , Fatores de Tempo
6.
Biochim Biophys Acta ; 1267(2-3): 145-51, 1995 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-7612668

RESUMO

Periodate oxidation of eight N6-substituted adenosine derivatives was performed with the aim of oxidizing the vicinal 2' and 3' hydroxyl groups of the ribose moiety. A thermodynamical and pharmacological characterization of the products of this transformation allowed us to verify that oxidized adenosine analogues act as agonists at adenosine A1 receptors. The dependence of their association constants on temperature indicates that their binding is entropy driven, a feature typical of adenosine A1 receptor agonists; moreover all synthesized compounds were able to fully inhibit the forskolin induced c-AMP accumulation in rat isolated adipocytes. This is the first report suggesting that the presence of an intact ribose moiety is not necessary for agonistic activity at adenosine A1 receptor. In fact periodate oxidation of the ribose moiety yields a dialdehyde and it is recognized that nucleoside dialdehydes are complex equilibrium mixtures of cyclic and acyclic hydrates and hemiacetals.


Assuntos
Adenosina/análogos & derivados , Ácido Periódico/farmacologia , Agonistas do Receptor Purinérgico P1 , Adenosina/química , Adipócitos/efeitos dos fármacos , Adipócitos/metabolismo , Animais , Encéfalo/metabolismo , Colforsina/antagonistas & inibidores , AMP Cíclico/análise , Técnicas In Vitro , Masculino , Oxirredução , Ratos , Ratos Wistar , Termodinâmica
7.
Circulation ; 102(3): 285-9, 2000 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-10899090

RESUMO

BACKGROUND-We determined whether repeated caffeine administration at different dosages and for different periods of time (400 or 600 mg/d for 1 week or 400 mg/d for 2 weeks) upregulates human platelet adenosine A(2A) receptors and is accompanied by increases in cAMP accumulation and decreases in aggregation and calcium levels after stimulation of A(2A) receptors by the selective agonist 2-hexynyl-5'-N-ethylcarboxamidoadenosine (HE-NECA). METHODS AND RESULTS-Platelets were obtained from peripheral venous blood of 45 healthy human volunteers at the end of 2 weeks of caffeine abstinence and at 12, 60, and 108 hours after the last dose of caffeine. The lowest dose of caffeine, when given for only 7 days, had no effect. Increasing the total dose, either by giving 400 mg/d for 14 days or giving 600 mg/d, resulted in binding assays performed with the adenosine A(2A) receptor radioligand [(3)H]SCH 58261 [5-amino-7(phenylethyl)-2-(2-furyl)-pyrazolo[4,3-e]-1,2,4-triazolo[1, 5-c]pyrimidine], in the upregulation of A(2A) receptors. Moreover, the potency of HE-NECA to produce antiaggregatory effects, a rise in cAMP accumulation, and a decrease in calcium levels was significantly increased. CONCLUSIONS-Chronic caffeine intake can lead to upregulation of adenosine A(2A) receptors, which is accompanied by sensitization, in a time- and dose-dependent manner, to the actions of the agonist HE-NECA.


Assuntos
Plaquetas/metabolismo , Cafeína/farmacologia , Receptores Purinérgicos P1/sangue , Adenosina-5'-(N-etilcarboxamida)/análogos & derivados , Adenosina-5'-(N-etilcarboxamida)/farmacologia , Adulto , Cálcio/metabolismo , AMP Cíclico/metabolismo , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Miocárdio/metabolismo , Agregação Plaquetária/efeitos dos fármacos , Inibidores da Agregação Plaquetária/farmacologia , Agonistas do Receptor Purinérgico P1 , Pirimidinas/metabolismo , Receptor A2A de Adenosina , Receptores Purinérgicos P1/fisiologia , Fatores de Tempo , Triazóis/metabolismo , Regulação para Cima
8.
Neuropharmacology ; 95: 68-82, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25769232

RESUMO

JWH-018 is a synthetic CB1 and CB2 agonist illegally marketed as products named "Spice" or "herbal blend" for its psychoactive effects which are much higher than those produced by cannabis. In the last year, the European Monitoring Centre for Drugs and Drug Addiction reported to the Italian National Early Warning System the seizure of plant material containing new halogenated derivatives of JWH-018 (JWH-018 Cl and JWH-018 Br). The present study aimed to investigate the in vitro and in vivo activity of these two new synthetic cannabinoids in mice. In vitro competition binding experiments performed on mouse and human CB1 receptors revealed a high affinity and potency of the halogenated compounds. Synthetic cannabinoids (0.01-6 mg/kg i.p.) impaired motor activity and induced catalepsy in mice and their effects were more severe with respect to those evoked by Δ(9)-THC. Moreover, they increased the mechanical and thermal pain threshold and induced a marked hypothermia. It is interesting to note that whereas high doses of JWH-018 cause seizures, myoclonia and hyperreflexia, the halogenated compounds, in particular JWH-018Br, were less effective. Behavioral and neurological changes were prevented by the selective CB1 receptor antagonist AM 251. These data demonstrate for the first time that JWH-018 Cl and JWH-018 Br act similarly to JWH-018 while inducing less convulsive episodes and myoclonias. These data support the hypothesis that the halogenated compounds may have been introduced onto market to produce similar intoxicating effects as JWH-018 while causing less side effects.


Assuntos
Agonistas de Receptores de Canabinoides/metabolismo , Agonistas de Receptores de Canabinoides/farmacologia , Indóis/metabolismo , Indóis/farmacologia , Naftalenos/metabolismo , Naftalenos/farmacologia , Animais , Ligação Competitiva , Células CHO , Agonistas de Receptores de Canabinoides/química , Agonistas de Receptores de Canabinoides/toxicidade , Canabinoides/química , Canabinoides/farmacologia , Canabinoides/toxicidade , Catalepsia/induzido quimicamente , Cricetulus , Halogenação , Humanos , Hipotermia/induzido quimicamente , Indóis/química , Indóis/toxicidade , Masculino , Camundongos Endogâmicos ICR , Atividade Motora/efeitos dos fármacos , Naftalenos/química , Naftalenos/toxicidade , Limiar da Dor/efeitos dos fármacos , Piperidinas/farmacologia , Pirazóis/farmacologia , Receptor CB1 de Canabinoide/antagonistas & inibidores , Receptor CB1 de Canabinoide/genética , Receptor CB1 de Canabinoide/metabolismo , Receptor CB2 de Canabinoide/agonistas , Receptor CB2 de Canabinoide/genética , Receptor CB2 de Canabinoide/metabolismo , Reflexo Anormal/efeitos dos fármacos , Convulsões/induzido quimicamente
9.
J Hypertens ; 18(2): 217-21, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10694191

RESUMO

OBJECTIVE: Marked alterations have been demonstrated to occur in the platelet alpha2-adrenoceptors of patients with essential hypertension. The purpose of this study was to determine whether antihypertensive treatment with alpha-adrenergic blocker doxazosin or beta-adrenergic blocker propranolol can affect the affinity and the density of platelet alpha2-adrenoceptors in such patients. SUBJECTS AND METHODS: In two groups of 22 previously untreated, essential hypertensive patients, the mean affinity (Kd) and density (B(max)) of platelet alpha2-adrenoceptors were studied by [3H]-UK 14304 binding assays; the first assays were performed before any medication was begun, the second were performed after treatment for up to 13 weeks with doxazosin or propranolol. A third group of 22 healthy normotensive volunteers matched by age, sex and body mass index was used as control. RESULTS: Blood pressure did not differ significantly in the two hypertensive groups, and treatment with the two drugs resulted in closely similar, normal blood pressure levels. Kd and B(max) values were significantly higher in the two hypertensive groups than in controls. After treatment with propranolol the binding parameters did not change significantly, whereas after treatment with doxazosin Kd and B(max) returned to normotensive values. CONCLUSIONS: In previously untreated, essential hypertensive patients platelet alpha2-adrenoceptors have a lower affinity but a higher density than in normotensive subjects. Despite similar effects on blood pressure, the treatment with the alpha-adrenergic blocker doxazosin is followed by restoration of normal findings in the binding assays of platelet alpha2-adrenoceptors whereas the treatment with the beta-adrenergic blocker propranolol does not alter the Kd and B(max) values.


Assuntos
Antagonistas Adrenérgicos alfa/uso terapêutico , Antagonistas Adrenérgicos beta/uso terapêutico , Plaquetas/efeitos dos fármacos , Plaquetas/metabolismo , Doxazossina/uso terapêutico , Hipertensão/sangue , Hipertensão/tratamento farmacológico , Propranolol/uso terapêutico , Receptores Adrenérgicos alfa 2/sangue , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Agonistas alfa-Adrenérgicos/metabolismo , Tartarato de Brimonidina , Estudos de Casos e Controles , Membrana Celular/metabolismo , Feminino , Humanos , Técnicas In Vitro , Cinética , Masculino , Pessoa de Meia-Idade , Quinoxalinas/metabolismo
10.
J Med Chem ; 43(25): 4768-80, 2000 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-11123985

RESUMO

An enlarged series of pyrazolotriazolopyrimidines previously reported, in preliminary form (Baraldi et al. J. Med. Chem. 1999, 42, 4473-4478), as highly potent and selective human A(3) adenosine receptor antagonists is described. The synthesized compounds showed A(3) adenosine receptor affinity in the sub-nanomolar range and high levels of selectivity evaluated in radioligand binding assays at human A(1), A(2A), A(2B), and A(3) adenosine receptors. In particular, the effect of the chain at the N(8) pyrazole nitrogen was analyzed. This study allowed us to identify the derivative with the methyl group at the N(8) pyrazole combined with the 4-methoxyphenylcarbamoyl moiety at the N(5) position as the compound with the best binding profile in terms of both affinity and selectivity (hA(3) = 0.2 nM, hA(1)/hA(3) = 5485, hA(2A)/hA(3) = 6950, hA(2B)/hA(3) = 1305). All the compounds proved to be full antagonists in a specific functional model where the inhibition of cAMP generation by IB-MECA was measured in membranes of CHO cells stably transfected with the human A(3) receptor. The new compounds are among the most potent and selective A(3) antagonists so far described. The derivatives with higher affinity at human A(3) adenosine receptors proved to be antagonists, in the cAMP assay, capable of inhibiting the effect of IB-MECA with IC(50) values in the nanomolar range, with a trend strictly similar to that observed in the binding assay. Also a molecular modeling study was carried out, with the aim to identify possible pharmacophore maps. In fact, a sterically controlled structure-activity relationship was found for the N(8) pyrazole substituted derivatives, showing a correlation between the calculated molecular volume of pyrazolo[4,3-e]1,2, 4-triazolo[1,5-c]pyrimidine derivatives and their experimental K(i) values.


Assuntos
Antagonistas de Receptores Purinérgicos P1 , Pirazóis/química , Pirimidinas/síntese química , Animais , Células CHO , Cricetinae , AMP Cíclico/biossíntese , Humanos , Modelos Moleculares , Estrutura Molecular , Pirimidinas/química , Pirimidinas/farmacologia , Ensaio Radioligante , Receptor A3 de Adenosina , Relação Estrutura-Atividade
11.
J Med Chem ; 44(23): 3946-55, 2001 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-11689081

RESUMO

DMPP is a well-known nicotinic agonist that does not fit any proposed pharmacophore for nicotinic binding and represents a unique ligand among the hundreds of nicotinic agonists studied in the past decades. A systematic modulation of the chemical structure of DMPP, aimed to establish its structure-affinity relationships, is reported. The research has allowed to identify molecules such as 11c, 13c, 14c, and 28c, with affinities for alpha(4)beta(2) receptors in the low nanomolar range, some 2 orders of magnitude lower than the lead compound. The agonistic properties of the most interesting compounds have been assessed by measuring their analgesic activity on mice (hot-plate test). Another result of the research was the identification of DMPP analogues, such as 3a (K(i) = 90 nM) and 14b (K(i) = 180 nM), that maintain affinity for the central nicotinic receptor when the ammonium function is changed into an aminic one and are therefore possible leads for drug development in neurodegenerative diseases.


Assuntos
Iodeto de Dimetilfenilpiperazina/análogos & derivados , Iodeto de Dimetilfenilpiperazina/síntese química , Agonistas Nicotínicos/síntese química , Piperidinas/síntese química , Piridinas/síntese química , Receptores Nicotínicos/metabolismo , Analgésicos/síntese química , Analgésicos/química , Analgésicos/farmacologia , Animais , Córtex Cerebral/metabolismo , Iodeto de Dimetilfenilpiperazina/química , Iodeto de Dimetilfenilpiperazina/farmacologia , Técnicas In Vitro , Ligantes , Masculino , Camundongos , Agonistas Nicotínicos/química , Agonistas Nicotínicos/farmacologia , Medição da Dor , Piperidinas/química , Piperidinas/farmacologia , Piridinas/química , Piridinas/farmacologia , Ensaio Radioligante , Ratos , Ratos Wistar , Relação Estrutura-Atividade
12.
J Med Chem ; 41(12): 2126-33, 1998 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-9622554

RESUMO

New A2A adenosine receptor antagonists in the series of pyrazolo[4, 3-e]-1,2,4-triazolo[1,5-c]pyrimidines, bearing oxygenated substituents on the phenylalkyl chains on the 7-position, have been synthesized. The compounds were tested in binding and functional assays to evaluate affinity, potency, and selectivity for rat A2A compared to rat A1 and human A3 receptor subtypes. The most interesting compounds (5d,e,h) were tested also in binding to human A1 and A2A adenosine receptors. They showed very good affinity (Ki = 0.94 nM for compound 5h) and interesting selectivity with respect to both rA1 and hA3 (compound 5h: rA1/rA2A = 787, hA3/rA2A > 10 000). These important findings make this new series of compounds the first really selective for A2A adenosine receptors. Thermodynamic parameters were evaluated; all the tested compounds displayed an enthalpy-driven binding as expected for antagonists. Moreover, compound 5h showed a negative entropy value. The highly negative enthalpic and entropic contributions could mean that 5h fits very well in the binding site where, probably, an electrostatic interaction is present associated to a scarce solvent reorganization around the receptor binding site. These compounds deserve to be further developed to assess their potential for treatment of neurodegenerative disorders such as Parkinson's disease.


Assuntos
Desenho de Fármacos , Antagonistas de Receptores Purinérgicos P1 , Pirazóis , Pirimidinas , Adenosina/análogos & derivados , Adenosina/metabolismo , Animais , Ligação Competitiva , Plaquetas/efeitos dos fármacos , Plaquetas/metabolismo , Células CHO , Corpo Estriado/efeitos dos fármacos , Corpo Estriado/metabolismo , Cricetinae , AMP Cíclico/metabolismo , Humanos , Masculino , Camundongos , Fenetilaminas/metabolismo , Agonistas do Receptor Purinérgico P1 , Pirazóis/síntese química , Pirazóis/química , Pirazóis/metabolismo , Pirazóis/farmacologia , Pirimidinas/síntese química , Pirimidinas/química , Pirimidinas/metabolismo , Pirimidinas/farmacologia , Ratos , Ratos Wistar , Receptor A2A de Adenosina , Receptor A3 de Adenosina , Receptores Purinérgicos P1/metabolismo , Proteínas Recombinantes/antagonistas & inibidores , Proteínas Recombinantes/metabolismo , Relação Estrutura-Atividade , Termodinâmica , Células Tumorais Cultivadas
13.
J Med Chem ; 43(15): 2805-13, 2000 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-10956188

RESUMO

Three series of nociceptin (NC)-related peptides were synthesized and their abilities (i) to bind to the NC sites expressed in mouse forebrain membranes, (ii) to inhibit the electrically evoked contraction of the mouse vas deferens, and (iii) to inhibit forskolin-stimulated cAMP accumulation in Chinese hamster ovary cells expressing the human recombinant NC receptor (CHONCR) were investigated. The compounds of the first series (a series) have an ordinary Xaa1-Gly2 bond, those of the second series (b series) have a Xaa1psi(CH2-NH)Gly2 pseudopeptide bond, and those of the third series (c series) have a peptoid (Nxaa1-Gly2) structure. The affinity values measured in the binding assay and in the two functional assays with the compounds of the three series showed high levels of correlation. Thus, (I) the compounds of the a series in which Phe1 was substituted with Tyr, Cha, or Leu acted as potent NC receptor agonists; (II) the b series compounds behaved as NC receptor antagonists in the mouse vas deferens and as full agonists in CHO(NCR) cells with different potencies depending on the first amino acid residue, [Phe1psi(CH2-NH)Gly2]NC(1-17)NH2 and [Phe1psi(CH2-NH)Gly2]NC(1-13)NH2 being the most potent compounds; (III) the compounds of the third series were all inactive both as agonists and as antagonists with the exception of [Nphe1]NC(1-17)NH2 and [Nphe1]NC(1-13)NH2, which behaved as NC receptor antagonists both in the isolated tissue and in CHO(NCR) cells (pKB 6.1-6.4). In conclusion, this study demonstrates that chemical requirements for NC receptor agonists are different from those of antagonists. Moreover, modifications of the steric orientation of the aromatic residue Phe1 in the NC sequence as obtained with the pseudopeptide bond between Phe1 and Gly2 or with the displacement of the benzyl side chain by one atom, as in Nphe1, lead respectively to reduction or elimination of efficacy. Indeed, in contrast to [Phe1psi(CH2-NH)Gly2]NC(1-13)NH2 which has been reported to exhibit agonist activity in several assays involving either central or recombinant NC receptors, [Nphe1]NC(1-13)NH2 antagonizes the effect of NC at human recombinant NC receptors and in the mouse tail withdrawal assay.


Assuntos
Antagonistas de Entorpecentes , Peptídeos Opioides/química , Peptídeos/síntese química , Animais , Encéfalo/metabolismo , Células CHO , Cricetinae , AMP Cíclico/metabolismo , Humanos , Técnicas In Vitro , Ligantes , Masculino , Camundongos , Contração Muscular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Músculo Liso/fisiologia , Peptídeos/química , Peptídeos/metabolismo , Peptídeos/farmacologia , Peptoides , Ligação Proteica , Receptores Opioides/agonistas , Proteínas Recombinantes/síntese química , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Proteínas Recombinantes/farmacologia , Relação Estrutura-Atividade , Ducto Deferente/efeitos dos fármacos , Ducto Deferente/fisiologia , Receptor de Nociceptina , Nociceptina
14.
J Med Chem ; 44(23): 3956-64, 2001 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-11689082

RESUMO

A total of 32 compounds was prepared to investigate the functional role of Phe(4) in NC(1-13)-NH(2), the minimal sequence maintaining the same activity as the natural peptide nociceptin. These compounds could be divided into three series in which Phe(4) was replaced with residues that would (i) alter aromaticity or side chain length, (ii) introduce steric constraint, and (iii) modify the phenyl ring. Compounds were tested for biological activity as (a) inhibitors of the electrically stimulated contraction of the mouse vas deferens; (b) competitors of the binding of [(3)H]-NC-NH(2) to mouse brain membranes; and (c) inhibitors of forskolin-stimulated cAMP accumulation in CHO cells expressing the recombinant human OP(4) receptor. Results indicate that all compounds of the first and second series were inactive or very weak with the exception of [N(CH(3))Phe(4)]NC(1-13)-NH(2), which was only 3-fold less potent than NC(1-13)-NH(2). Compounds of the third series showed higher, equal, or lower potencies than NC(1-13)-NH(2). In particular, [(pF)Phe(4)]NC(1-13)-NH(2) (pF) and [(pNO(2))Phe(4)]NC(1-13)-NH(2) (pNO(2)) were more active than NC(1-13)-NH(2) by a factor of 5. In the mVD, these compounds showed the following order of potency: (pF) = (pNO(2)) > or = (pCN) > (pCl) > (pBr) > (pI) = (pCF(3)) = (pOCH(3)) > (pCH(3)) > (pNH(2)) = (pOH). (oF) and especially (mF) maintained high potencies but were less active than (pF). Similar orders of potency were observed in binding competition and cAMP accumulation studies. There was a strong (r(2) > or = 0.66) correlation between data observed in these assays. Biological activity data of compounds of the third series were plotted against some Hansch parameters that are currently used to quantify physicochemical features of the substituents. In the three biological assays agonist potency/affinity positively correlates with the electron withdrawal properties of the groups in the p-position of Phe(4) and inversely with their size.


Assuntos
Peptídeos Opioides/síntese química , Fragmentos de Peptídeos/síntese química , Fenilalanina/química , Receptores Opioides/agonistas , Animais , Encéfalo/metabolismo , Células CHO , Cricetinae , AMP Cíclico/biossíntese , Estimulação Elétrica , Humanos , Técnicas In Vitro , Masculino , Camundongos , Peptídeos Opioides/química , Peptídeos Opioides/farmacologia , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/farmacologia , Relação Estrutura-Atividade , Ducto Deferente/efeitos dos fármacos , Receptor de Nociceptina
15.
Neuroscience ; 92(3): 1043-9, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10426544

RESUMO

An increased response to the activation of receptors mediating excitatory effects may be involved in some forms of epilepsy. In this study, it has been tested whether B1 bradykinin receptors (which mediate excitatory effects in the peripheral nervous system and have little constitutional expression in the central nervous system) may be proposed in this role. Two experimental models of epilepsy (kindling and kainate) have been employed, and glutamate outflow experiments have been performed in hippocampal and cortical slices taken from control, kindled and kainate-treated rats. The endogenous B1 receptor agonist Lys-des-Arg9-bradykinin (10(-7) M) did not affect electrically-evoked glutamate overflow in control animals, but concentration-dependently increased it in kindled rats (maximal effect +40 to + 50%) and, to a lesser extent (+20%), in kainate-treated rats. These effects were fully prevented by the selective B1 receptor antagonist R-715 (10(-6) M), but not by the selective B2 receptor antagonist Hoe 140 (10(-6) M). The observed changes in B1 bradykinin receptor biological activity may play a role in epileptic hyperexcitability.


Assuntos
Córtex Cerebral/metabolismo , Epilepsia/metabolismo , Hipocampo/metabolismo , Receptores da Bradicinina/metabolismo , Animais , Bradicinina/análogos & derivados , Bradicinina/farmacologia , Antagonistas dos Receptores da Bradicinina , Estimulação Elétrica , Epilepsia/induzido quimicamente , Epilepsia/etiologia , Ácido Glutâmico/metabolismo , Técnicas In Vitro , Ácido Caínico , Calidina/análogos & derivados , Calidina/farmacologia , Excitação Neurológica/fisiologia , Masculino , Concentração Osmolar , Ratos , Ratos Sprague-Dawley , Receptores da Bradicinina/agonistas
16.
Br J Pharmacol ; 117(8): 1693-701, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8732278

RESUMO

1. The binding properties of human platelet A2a adenosine receptors, assayed with the A2a-selective agonist, [3H]-2-[p-(2-carboxyethyl)-phenethylamino]-5'-N-ethylcarboxamidoad enosine ([3H]-CGS 21680), are masked by a non-receptorial component, the adenotin site. In order to separate A2a receptors from adenotin sites, human platelet membranes were solubilized with 1% 3-[(3-cholamidopropyl)dimethyl-ammonio]-1-propanesulphonate (CHAPS). The soluble platelet extract was precipitated with polyethylene glycol (PEG) and the fraction enriched in adenosine receptors was isolated from the precipitate by differential centrifugation. 2. The present paper describes the binding characteristics of the selective A2a agonist, [3H]-CGS 21680, to this purified platelet membrane preparation. In addition, receptor affinity and potency of several adenosine agonists and antagonists were determined in binding and adenylyl cyclase studies. 3. Saturation experiments revealed a single class of binding site with Kd and Bmax values of 285 nM and 2.07 pmol mg-1 of protein respectively. Adenosine receptor ligands competed for the binding of 50 nM [3H]-CGS 21680 to purified protein, showing a rank order of potency consistent with that typically found for interactions with the A2a adenosine receptors. In the adenylyl cyclase assay the compounds examined exhibited a rank order of potency very close to that observed in binding experiments. 4. Thermodynamic data indicated that [3H]-CGS 21680 binding to the purified receptor is totally entropy-driven in agreement with results obtained in rat striatal A2a adenosine receptors. 5. It is concluded that in the purified platelet membranes there is a CGS 21680 binding site showing the characteristic properties of the A2a receptor. This makes it possible to use this compound for reliable radioligand binding studies on the A2a adenosine receptor of human platelets.


Assuntos
Adenosina/análogos & derivados , Plaquetas/metabolismo , Fenetilaminas/metabolismo , Receptores Purinérgicos P1/metabolismo , Adenosina/agonistas , Adenosina/metabolismo , Ligação Competitiva , Plaquetas/química , Membrana Celular/química , Membrana Celular/metabolismo , AMP Cíclico/metabolismo , Humanos , Agonistas do Receptor Purinérgico P1 , Receptores Purinérgicos P1/isolamento & purificação
17.
Br J Pharmacol ; 122(2): 386-92, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9313951

RESUMO

1. The present study describes for the first time the characterization of the adenosine A2A receptor in human lymphocyte membranes with the new potent and selective antagonist radioligand, [3H]-5-amino-7-(2-phenylethyl)-2-(2-furyl)-pyrazolo [4,3-e]-1,2,4 triazolo [1,5-c] pyrimidine, ([3H]-SCH 58261). In addition, both receptor affinity and potency of reference adenosine receptor agonists and antagonists were determined in binding and adenylyl cyclase studies. 2. Saturation experiments revealed a single class of binding sites with Kd and Bmax values of 0.85 nM and 35 fmol mg-1 protein, respectively. A series of adenosine receptor ligands were found to compete for the binding of 0.8 nM [3H]-SCH 58261 to human lymphocyte membranes with a rank order of potency consistent with that typically found for interactions with the A2A-adenosine receptor. In the adenylyl cyclase assay the same compounds exhibited a rank order of potency similar to that observed in binding experiments. 3. Thermodynamic data indicate that [3H]-SCH 58261 binding to human lymphocytes is entropy and enthalpy-driven, a finding in agreement with the thermodynamic behaviour of antagonists for rat striatal A2A-adenosine receptors. 4. It is concluded that in human lymphocyte membranes [3H]-SCH 58261 directly labels binding sites showing the characteristic properties of the adenosine A2A-receptor. The presence of A2A-receptors in peripheral tissue such as human lymphocytes strongly suggests an important role for adenosine in modulating immune and inflammatory responses.


Assuntos
Linfócitos/metabolismo , Agonistas do Receptor Purinérgico P1 , Pirimidinas/metabolismo , Triazóis/metabolismo , Membrana Celular/efeitos dos fármacos , AMP Cíclico/biossíntese , Humanos , Linfócitos/efeitos dos fármacos , Pirimidinas/química , Pirimidinas/farmacologia , Receptor A2A de Adenosina , Receptores Purinérgicos P1/sangue , Termodinâmica , Triazóis/química , Triazóis/farmacologia , Trítio
18.
Br J Pharmacol ; 116(8): 3125-32, 1995 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8719786

RESUMO

1. The aim of this study was to investigate the effect of a noradrenergic input in the cortex of morphine-dependent animals. Binding of the alpha 1-adrenoceptor ligand [3H]-prazosin did not change in cortical membranes taken from morphine-dependent as compared to control guinea-pigs. However, binding of the alpha 2-adrenoceptor ligand [3H]-UK 14304 showed decreased KD (-30%) in the absence of significant changes in Bmax, either in cortical membranes or in synaptosomes. 2. Several characteristics of this phenomenon were identified. First, it occurs in a time-dependent fashion, in that it takes 5 days of chronic morphine treatment to start developing. Second, it can be observed after acute administration of high doses of morphine (100 mg kg-1). Third, it does not require a connection with the locus coeruleus or with other subcortical structures, in that it can be reproduced in vitro in isolated cortical slices. Fourth, it requires the integrity of cortical structures, since it cannot be reproduced in vitro in cortical synaptosomes. 3. Release studies were run to attempt identification of a functional correlate of the above observations. No changes were observed in the ability of the alpha 2-adrenoceptor agonist UK 14304 to inhibit 35 mM K(+)-evoked [3H]-noradrenaline outflow from cortical synaptosomes taken from morphine-dependent as compared to control guinea-pigs. However, a large decrease in the IC50 of UK 14304 for the inhibition of 35 mM K(+)-evoked [3H]-gamma-aminobutyric acid ([3H]-GABA) outflow (41 vs. 501 nM) was observed in morphine-dependent as compared to control animals. 4. These data suggest that, in the guinea-pig, chronic morphine treatment is associated with a shift from a low to high affinity agonist state in alpha 2-adrenoceptors on cortical GABA terminals.


Assuntos
Agonistas alfa-Adrenérgicos/farmacologia , Córtex Cerebral/efeitos dos fármacos , Dependência de Morfina/fisiopatologia , Quinoxalinas/farmacologia , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Animais , Tartarato de Brimonidina , Córtex Cerebral/metabolismo , Relação Dose-Resposta a Droga , Feminino , Cobaias , Técnicas In Vitro , Masculino , Dependência de Morfina/metabolismo , Naloxona/farmacologia , Antagonistas de Entorpecentes/farmacologia , Norepinefrina/metabolismo , Quinoxalinas/metabolismo , Receptores Adrenérgicos alfa 2/metabolismo , Síndrome de Abstinência a Substâncias/metabolismo , Sinaptossomos/efeitos dos fármacos , Trítio , Ácido gama-Aminobutírico/metabolismo
19.
Br J Pharmacol ; 123(8): 1723-31, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9605581

RESUMO

1. The present study describes the direct labelling of A2A adenosine receptors in human neutrophil membranes with the potent and selective antagonist radioligand, [3H]-5-amino-7-(2-phenylethyl)-2-(2-furyl)-pyrazolo[4,3-e]-1,2,4 triazolo[l,5-c]pyrimidine, ([3H]-SCH 58261). In addition, both receptor affinity and potency of a number of adenosine receptor agonists and antagonists were determined in binding, adenylyl cyclase and superoxide anion production assays. 2. Saturation experiments revealed a single class of binding sites with Kd and Bmax values of 1.34 nM and 75 fmol mg(-1) protein, respectively. Adenosine receptor ligands competed for the binding of 1 nM [3H]-SCH 58261 to human neutrophil membranes, with a rank order of potency consistent with that typically found for interactions with the A2A adenosine receptors. In the adenylyl cyclase and in the superoxide anion production assays the same compounds exhibited a rank order of potency identical to that observed in binding experiments. 3. Thermodynamic data indicated that [3H]-SCH 58261 binding to human neutrophils is entropy and enthalpy-driven. This finding is in agreement with the thermodynamic behaviour of antagonists binding to rat striatal A2A adenosine receptors. 4. It was concluded that in human neutrophil membranes, [3H]-SCH 58261 directly labels binding sites with pharmacological properties similar to those of A2A adenosine receptors of other tissues. The receptors labelled by [3H]-SCH 58261 mediated the effects of adenosine and adenosine receptor agonists to stimulate cyclic AMP accumulation and inhibition of superoxide anion production in human neutrophils.


Assuntos
Neutrófilos/metabolismo , Pirimidinas/farmacologia , Receptores Purinérgicos P1/efeitos dos fármacos , Triazóis/farmacologia , Adenosina-5'-(N-etilcarboxamida)/farmacologia , Membrana Celular/efeitos dos fármacos , Membrana Celular/metabolismo , AMP Cíclico/metabolismo , Entropia , Humanos , Técnicas In Vitro , Cinética , N-Formilmetionina Leucil-Fenilalanina/farmacologia , Neutrófilos/efeitos dos fármacos , Agonistas do Receptor Purinérgico P1 , Antagonistas de Receptores Purinérgicos P1 , Pirimidinas/metabolismo , Superóxidos/metabolismo , Triazóis/metabolismo
20.
Br J Pharmacol ; 116(2): 1835-42, 1995 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8528568

RESUMO

1. We used electrophysiological and binding techniques to assess the presence of beta 1- and beta 2-adrenoceptors (beta 1AR and beta 2AR) in rat cardiac myocytes and to determine their ratio during aging. Experiments were performed in left ventricular myocytes enzymatically dissociated from the heart of 3-(young) or 22-month-old (old) Wistar Kyoto rats. 2. In patch-clamp experiments, myocytes from old rats showed a prolonged action potential duration (at -20 mV: 41.7 +/- 3.6 vs 26.2 +/- 3.1 ms; at -60 mV: 154.4 +/- 17.7 vs 87.1 +/- 6.9 ms, P < 0.05) and an augmented membrane capacitance (an index of cell size) (271.7 +/- 20.2 vs 164.3 +/- 14.6 pF, P < 0.05) compared to young rats. beta 2AR stimulation, achieved by superfusing myocytes with the selective beta 2AR agonist, zinterol (10 microM) or with (-)-isoprenaline (1 microM) in the presence of the selective beta 1AR antagonist, CGP 20712A (0.1 microM), significantly increased L-type calcium current (ICa,L) in rat ventricular myocytes. The percentage increase was similar in both young and old rats, either with zinterol (26.9 +/- 3.6% and 24.2 +/- 2.8%, respectively) or isoprenaline plus CGP 20712A (30.4 +/- 3.7% and 22.4 +/- 4.1%, respectively). Isoprenaline alone (beta 1AR and beta 2AR stimulation) caused a much smaller increase in ICa,L in old rats (58.4 +/- 12.1%) than in younger ones (95.3 +/- 8.1%) (P = 0.067). 3 The number of ,BAR mg-' protein, measured with saturation binding assays of the non selective ,betaAR antagonist [3H]-CGP 12177 was 1989.4+/-189.5 for 3- and of 1580.7 +/-161.5 for 22-month-old rats.Competition for [3H]-CGP 12177 binding by CGP 20712A gave biphasic curves which demonstrated two classes of binding sites. Densities (as percentages of total PAR density), and affinities for the two binding sites were: 80.4 +/- 2.2% (Ki = 6.6 +/- 1.3 nM) betaAR and 19.6 +/- 2.2% (Ki = 6.9 +/- 2.2 microM) beta2AR in young rats and 66.1 +/- 1.2% (Ki=8.3+/- 1.1 nM) beta1 AR and 33.9+/- 1.2% (Ki=5.2+/-0.6 PM) P2AR in old rats. Thebeta1AR/beta2AR ratio was significantly (P<0.01) reduced in old rats with respect to the younger ones.4 By combining electrophysiological and binding measurements, we calculated beta1AR and beta2ARdensities as number of receptors per microM2 of cell surface. In old rats, beta1 density was significantly decreased compared to young rats (8.4+/-2.0 vs 15.4+/-3.7 receptors microM-2, P<0.05), while beta2AR density remained unchanged at both 3 and 22 months (3.8 +/- 0.7 and 4.2+/-1.1 receptors microM-2, respectively).5 Our results demonstrate that both beta1AR and beta2AR are functionally present in rat ventricular myocytes of young and old rats. The decreased responsiveness to betaAR stimulation during aging appears to be associated with a selective reduction in the density of beta1AR.


Assuntos
Envelhecimento/fisiologia , Coração/efeitos dos fármacos , Coração/fisiologia , Receptores Adrenérgicos beta/classificação , Receptores Adrenérgicos beta/fisiologia , Potenciais de Ação/efeitos dos fármacos , Agonistas Adrenérgicos beta/farmacologia , Animais , Ligação Competitiva , Relação Dose-Resposta a Droga , Etanolaminas/farmacologia , Técnicas de Patch-Clamp , Propanolaminas/farmacologia , Ratos , Ratos Endogâmicos , Receptores Adrenérgicos beta/efeitos dos fármacos , Fatores de Tempo
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