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1.
Acta Histochem ; 126(3): 152156, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38518508

RESUMEN

Neuropeptides are involved in numerous brain activities and are responsible for a wide spectrum of higher mental functions. The main purpose of this outline structural qualitative study was to identify the possible immunoreactivity of classical neuropeptides, as well as novel ones such as nesfatin-1, phoenixin (PNX), spexin (SPX), neuromedin U (NMU) and respective receptors within the rat claustrum for the first time. The study shows the novel identification of peptidergic neurotransmission in the rat claustrum which potentially implicates a contribution of this neuropeptide to numerous central neurosecretory mechanisms.

2.
Pharmacol Rep ; 75(6): 1610-1618, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37874531

RESUMEN

BACKGROUND: Gaseous neurotransmitters have been thought to be novel factors involved in the mechanisms of mental disorders pathogenesis for quite some time. However, little is known about the potential crosstalk between neuronal gasotransmitter signaling and neuroleptics action. The present work was, therefore, focused on gene expression of H2S and CO-producing enzymes in the brains of rats chronically treated with olanzapine, an atypical antipsychotic drug. METHODS: Studies were carried out on adult, male Sprague-Dawley rats that were divided into 2 groups: control and experimental animals treated with olanzapine (28-day-long intraperitoneal injection, at a dose of 5 mg/kg daily). All individuals were sacrificed under anesthesia and the whole brains excised. Immunohistochemical procedure was used for histological assessment of the whole brain and for quantitative analysis of cystathionine ß-synthase (CBS) and heme oxygenase 2 (HO-2) protein distribution in selected brain structures. RESULTS: Long-term treatment with olanzapine is reflected in different changes in the number of enzymes-expressing cells in the rat brain. Olanzapine decreased the number of CBS-expressing cells and possibly reduced H2S synthesis in the hippocampus and striatum. The antipsychotic administration increased the number of HO-2 immunopositive cells and probably stimulated the CO production in the hippocampus. CONCLUSIONS: Modulatory effect of olanzapine on cellular mechanisms of gasotransmitter synthesis may be an alternative way of their pharmacological action.


Asunto(s)
Antipsicóticos , Gasotransmisores , Sulfuro de Hidrógeno , Animales , Masculino , Ratas , Antipsicóticos/farmacología , Cistationina betasintasa/genética , Cistationina betasintasa/metabolismo , Gasotransmisores/metabolismo , Hemo Oxigenasa (Desciclizante)/genética , Hemo Oxigenasa (Desciclizante)/metabolismo , Hipocampo , Sulfuro de Hidrógeno/metabolismo , Olanzapina/farmacología , Ratas Sprague-Dawley
3.
J Neurosci Res ; 101(11): 1728-1736, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37496289

RESUMEN

Neuromedin U (NMU) belongs to a family of multifunctional neuropeptides that modulate the activity of several neural networks of the brain. Acting via metabotropic receptor NMUR2, NMU plays a role in the regulation of multiple systems, including energy homeostasis, stress responses, circadian rhythms, and endocrine signaling. The involvement of NMU signaling in the central regulation of important neurophysiological processes and its disturbances is a potential target for pharmacological modulation. Number of preclinical studies have proven that both modified NMU analogues such as PASR8-NMU or F4R8-NMU and designed NMUR2 agonists, for example, CPN-116, CPN-124 exhibit a distinct pharmacological activity especially when delivered transnasally. Their application can potentially be useful in the more convenient and safe treatment of obesity, eating disorders, Alzheimer's disease-related memory impairment, alcohol addiction, and sleep disturbances. Accumulating findings suggest that pharmacomodulation of the central NMU signaling may be a promising strategy in the treatment of several neuropsychiatric disorders.


Asunto(s)
Neuropéptidos , Obesidad , Humanos , Neuropéptidos/metabolismo , Homeostasis , Encéfalo/metabolismo , Receptores de Neurotransmisores
4.
Neurosci Res ; 180: 58-71, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35219722

RESUMEN

We hypothesized that there is a relationship between the orexinergic system (OX) alterations and changes elicited by escitalopram or venlafaxine in adult rats subjected to maternal separation (MS). This animal model of childhood adversity induces long-lasting consequences in adult physiology and behavior. Male Wistar rats from the control and MS groups were injected with escitalopram or venlafaxine (10 mg/kg) IP from postnatal day (PND) 69-89. Adult rats were subjected to behavioral assessment, estimation of hypothalamic-pituitary-adrenal (HPA) axis activity and analysis of the OX system (quantitative PCR and immunohistochemistry) in the hypothalamus and amygdala. MS caused anxiety- and depressive-like behavior, endocrine stress-related response, and up-regulation of the OX system in the hypothalamus. Escitalopram, but not venlafaxine, increased the activity of hypothalamic OX system in the control rats and both drugs had no effect on OXs in the MS group. The disturbed signaling of the OX pathway may be significant for harmful long-term consequences of early-life stress. Our data show that the normal brain and brain altered by MS respond differently to escitalopram. Presumably, anti-anxiety and antidepressant effects of this drug do not depend on the activity of hypothalamic OX system.


Asunto(s)
Escitalopram , Hipotálamo , Estrés Psicológico , Animales , Masculino , Ratas , Escitalopram/farmacología , Hipotálamo/metabolismo , Privación Materna , Ratas Wistar , Estrés Psicológico/metabolismo , Regulación hacia Arriba
5.
Nutr Neurosci ; 24(11): 896-906, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31736434

RESUMEN

OBJECTIVES: It is hypothesized that novel neuropeptides such as phoenixin (PNX), spexin (SPX), and kisspeptin (KISS) are involved in the pathogenesis of eating disorders. The study presented here analyzed neuropeptide concentrations during the course of anorexia nervosa (AN) and aimed to correlate those values with anthropometric and psychometric measurements. METHODS: A longitudinal study was carried outin 30 AN adolescent patients and 15 age-matched healthy female controls. Selected neuroprotein serum levels were analyzed in malnourished patients (accAN) and following partial weight recovery (norAN), and these values were compared with the control group. RESULTS: In accAN patients, decreased serum PNX levels were detected while SPX serum concentrations were lower in the accAN and norAN patients. No differences were observed in KISS concentrations in all studied groups. CONCLUSIONS: In malnourished adolescent inpatients with AN, serum PNX and SPX level were decreased. The partial weight recovery normalized PNX concentrations but failed to normalize SPX levels. Therefore these two neuropeptides might be crucial for the etiology and course of the AN. The KISS levels did not change in the course of AN. The PNX levels were associated with some symptoms of eating disorders which may indicate its potential contribution in the regulation of emotions and behaviors in AN.


Asunto(s)
Anorexia Nerviosa , Kisspeptinas/sangre , Neuropéptidos , Hormonas Peptídicas/sangre , Adolescente , Anorexia Nerviosa/psicología , Femenino , Humanos , Pacientes Internos , Estudios Longitudinales , Neuropéptidos/sangre
6.
J Chem Neuroanat ; 111: 101883, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33161073

RESUMEN

Neuropeptides are involved in numerous brain activities being responsible for a wide spectrum of higher mental functions. The purpose of this concise, structural and qualitative investigation was to map the possible immunoreactivity of the novel neuropeptide spexin (SPX) within the human magnocellular hypothalamus. SPX is a newly identified peptide, a natural ligand for the galanin receptors (GALR) 2/3, with no molecular structure similarities to currently known regulatory factors. SPX seems to have multiple physiological functions, with an involvement in reproduction and food-intake regulation recently revealed in animal studies. For the first time we describe SPX expressing neurons in the supraoptic (SON) and paraventricular (PVN) nuclei of the human hypothalamus using immunohistochemical and fluorescent methods, key regions involved in the mechanisms of osmotic homeostasis, energy expenditure, consummatory behaviour, reproductive processes, social recognition and stress responses. The vast majority of neurons located in both examined neurosecretory nuclei show abundant SPX expression and this may indirectly implicate a potential contribution of SPX signalling to the hypothalamic physiology in the human brain.


Asunto(s)
Hipotálamo/metabolismo , Neuronas/metabolismo , Hormonas Peptídicas/metabolismo , Receptores de Galanina/metabolismo , Humanos , Núcleo Hipotalámico Paraventricular/metabolismo , Núcleo Supraóptico/metabolismo
7.
Mol Biol Rep ; 47(10): 8273-8278, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32914264

RESUMEN

Neuropeptides are important, multifunctional regulatory factors of the nervous system, being considered as a novel, atypical sites of antidepressants action. It has already been proven that some of them, such as selective serotonin reuptake inhibitors (SSRI), are able to affect peptidergic pathways in various brain regions. Despite these reports, there is so far no reports regarding the effect of treatment with SSRIs on brain proopiomelanocortin (POMC), kisspeptin, Kiss1R and MCHR1 gene expression. In the current study we examined POMC, kisspeptin, Kiss1R and MCHR1 mRNA expression in the selected brain structures (hypothalamus, hippocampus, amygdala, striatum, cerebellum and brainstem) of rats chronically treated with a 10 mg/kg dose of escitalopram using quantitative Real-Time PCR. Long-term treatment with escitalopram led to the upregulation of MCHR1 expression in the rat amygdala. Kisspeptin mRNA level was also increased in the amygdala, but Kiss1R mRNA expressions were elevated in the hippocampus, hypothalamus and cerebellum. POMC mRNA expressions were in turn decreased in the hippocampus, amygdala, cerebellum and brainstem. These results may support the hypothesis that these neuropeptides may be involved in the site-dependent actions of SSRI antidepressants. This is the first report of the effects of escitalopram on POMC, kisspeptin, Kiss1R and MCHR1 in animal brain. Our findings shed a new light on the pharmacology of SSRIs and may contribute to a better understanding of the alternative, neuropeptide-dependent modes of antidepressant action.


Asunto(s)
Encéfalo/metabolismo , Citalopram/farmacología , Regulación de la Expresión Génica/efectos de los fármacos , Kisspeptinas/biosíntesis , Proopiomelanocortina/biosíntesis , Receptores de Kisspeptina-1/biosíntesis , Receptores de Somatostatina/biosíntesis , Animales , Masculino , Ratas , Ratas Sprague-Dawley
8.
J Neural Transm (Vienna) ; 126(3): 349-355, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30770997

RESUMEN

Neuropeptides are involved in various brain activities being able to control a wide spectrum of higher mental functions. The purpose of this concise structural investigation was to detect the possible immunoreactivity of the novel multifunctional neuropeptide nesfatin-1 within the human bed nucleus of the stria terminalis (BNST). The BNST is involved in the mechanism of fear learning, integration of stress and reward circuits, and pathogenesis of addiction. Nesfatin-1-expressing neurons were identified for the first time in several regions of the BNST using both immunohistochemical and fluorescent methods. This may implicate a potential contribution of this neuropeptide to the BNST-related mechanisms of stress/reward responses in the human brain.


Asunto(s)
Neuronas/citología , Neuronas/metabolismo , Nucleobindinas/biosíntesis , Núcleos Septales/citología , Núcleos Septales/metabolismo , Humanos
9.
Clin Exp Pharmacol Physiol ; 46(4): 350-359, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30609107

RESUMEN

The recently discovered peptide phoenixin (PNX) and its receptor GPR173 are novel factors that exhibit a large spectrum of regulatory activity, especially when considered as a central modulator of GnRH-related hormonal control of reproductive processes. It has been already proven that GnRH agonists and antagonists can modulate peptidergic signalling in the HPG axis. Despite these findings, there is so far no information regarding the influence of treatment with GnRH analogues on SMIM20/phoenixin signalling in the hypothalamic-pituitary-gonadal axis. In the current study, SMIM20/phoenixin and GPR173 mRNA levels were measured in the hypothalamus, pituitary and ovaries of female rats in the dioestrus phase following treatment with GnRH-R agonist (buserelin) and antagonist (cetrorelix) using quantitative real-time PCR. The serum PNX concentrations were also estimated with ELISA technique. The hypothalamic, hypophyseal and especially ovarian levels of SMIM20 mRNA were increased after both buserelin and cetrorelix administration. The GPR173 expressions were in turn decreased in the hypothalamus and pituitary. Treatment with the GnRH analogues led to the modulation of SMIM20/phoenixin and GPR173 mRNA expression in the female rat hypothalamic-pituitary-gonadal axis. By identifying buserelin and cetrorelix as novel modulators of phoenixin signalling in the animal HPG axis, these results cast new light on the GnRH analogues mode of action and contribute to a better understanding of the mechanisms responsible for the hormonal control of reproduction.

10.
CNS Neurol Disord Drug Targets ; 17(6): 458-463, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29952270

RESUMEN

BACKGROUND & OBJECTIVE: Continuously active neurogenic regions in the adult brain are located in the subventricular zone (SVZ) of the lateral ventricles and subgranular zone of the hippocampal dentate gyrus. Neurogenesis is modulated by many factors such as growth factors, neurotransmitters and hormones. Neuropsychiatric drugs, especially antidepressants, mood stabilizers and antipsychotics may also affect the origin of neuronal cells. METHOD: The purpose of this study was to determine the effects of chronic olanzapine treatment on adult rat neurogenesis at the level of the SVZ. The number of neuroblasts was evaluated using immunohistochemical and fluorescent detection of sex determining region Y-box 2 and doublecortin expressing cells. RESULTS & CONCLUSION: The results indicate that olanzapine has proneurogenic effects on the adult rat SVZ, as the mean number of sex determining region Y-box 2 and doublecortin-positive cells increased significantly, while there was a similar tendency in the subgranular zone. Collectively, these results suggest that long-term treatment with olanzapine may stimulate neurogenic stem cell formation in the SVZ which supports adult neurogenesis.


Asunto(s)
Antipsicóticos/farmacología , Ventrículos Laterales/citología , Proteínas Asociadas a Microtúbulos/metabolismo , Neurogénesis/efectos de los fármacos , Neuronas/efectos de los fármacos , Neuropéptidos/metabolismo , Olanzapina/farmacología , Factores de Transcripción SOXB1/metabolismo , Animales , Proteínas de Dominio Doblecortina , Proteína Doblecortina , Ventrículos Laterales/efectos de los fármacos , Masculino , Ratas , Ratas Sprague-Dawley
11.
J Neural Transm (Vienna) ; 125(7): 1099-1105, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29488100

RESUMEN

Neuroleptics modulate the expression level of some regulatory neuropeptides in the brain. However, if these therapeutics influence the peptidergic circuits in the amygdala remains unclear. This study specifies the impact profile of the classical antipsychotic drugs on mRNA expression of the spexin/NPQ, kisspeptin-1 and POMC in the rat amygdala. Animals were treated with haloperidol and chlorpromazine for 28 days prior to transcript quantification via qPCR. Haloperidol and chlorpromazine induced a change in the expression of all neuropeptides analyzed. Both drugs led to the decrease of Kiss-1 expression, whereas in POMC and spexin/NPQ their up-regulation in the amygdala was detected. These modulating effects on may represent alternative, so far unknown mechanisms, of classical antipsychotic drugs triggering pharmacological responses.


Asunto(s)
Amígdala del Cerebelo/efectos de los fármacos , Antipsicóticos/farmacología , Kisspeptinas/efectos de los fármacos , Hormonas Peptídicas/efectos de los fármacos , Proopiomelanocortina/efectos de los fármacos , Amígdala del Cerebelo/metabolismo , Animales , Expresión Génica/efectos de los fármacos , Kisspeptinas/biosíntesis , Masculino , Hormonas Peptídicas/biosíntesis , Proopiomelanocortina/biosíntesis , ARN Mensajero/análisis , ARN Mensajero/biosíntesis , Ratas , Ratas Sprague-Dawley
12.
Eur J Drug Metab Pharmacokinet ; 42(2): 251-259, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27180066

RESUMEN

BACKGROUND AND OBJECTIVES: Although many synthetic gonadoliberin analogs have been developed, only a few of them, including buserelin, were introduced into clinical practice. Dalarelin, which differs from buserelin by just one aminoacid in the position 6 (D-Ala), is not widely used so far. Gonadotropin-releasing hormone (GnRH) analogs are used to treat many different illnesses and are available in different forms like solution for injection, nasal spray, microspheres, etc. Unfortunately, none of the above drug formulations can release the hormones for 24 h. We assumed that classical suspension could solve this problem. METHODS: Two sets of experiments were performed. In the first one, buserelin and dalarelin were injected into mature female rats in two forms: suspension, in which the analogs are bounded by Zn2+ ions and solution. The pharmacokinetic parameters and bioavailability of the analogs were calculated, based on their concentration in the plasma measured by high-performance liquid chromatography method (HPLC). In the second experiment, the hormones in two different forms were injected into superovulated immature female rats and then the concentration of Luteinizing hormone (LH), Follicle-stimulating hormone (FSH) and 17ß-estradiol in the serum was measured by radioimmunological method. RESULTS: The Extent of Biological Availability (EBA), calculated on the base of AUC0-∞, showed that in the form of solution buserelin and dalarelin display, respectively, only 13 and 8 % of biological availability of their suspension counterparts. Comparing both analogs, the EBA of dalarelin was half (53 %) that of buserelin delivered in the form of solution and 83 % when they were delivered in the form of suspension. The injection of buserelin or dalarelin, in the form of solution or suspension, into superovulated female rats increased LH, FSH and estradiol concentration in the serum. However, after injection of the analogs in the form of suspension, the high concentration of LH and FSH in the serum persisted longer. CONCLUSION: Performed studies indicate that GnRH analogs in the form of suspension have higher bioavailability than their solution counterparts. It influences the effects of their action, especially in relation to LH and FSH.


Asunto(s)
Buserelina/administración & dosificación , Hormona Liberadora de Gonadotropina/análogos & derivados , Zinc/química , Animales , Área Bajo la Curva , Disponibilidad Biológica , Buserelina/farmacocinética , Buserelina/farmacología , Cromatografía Líquida de Alta Presión/métodos , Estradiol/sangre , Femenino , Hormona Folículo Estimulante/sangre , Hormona Liberadora de Gonadotropina/administración & dosificación , Hormona Liberadora de Gonadotropina/farmacocinética , Hormona Liberadora de Gonadotropina/farmacología , Inyecciones Subcutáneas , Hormona Luteinizante/sangre , Soluciones Farmacéuticas , Ratas , Ratas Wistar , Suspensiones , Factores de Tiempo
13.
Pharmacol Rep ; 68(6): 1326-1331, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27710862

RESUMEN

BACKGROUND: Spexin (SPX) is a recently discovered neuropeptide that exhibits a large spectrum of central and peripheral regulatory activity, especially when considered as a potent anorexigenic factor. It has already been proven that antidepressants, including selective serotonin reuptake inhibitors (SSRI), can modulate peptidergic signaling in various brain structures. Despite these findings, there is so far no information regarding the influence of treatment with the SSRI antidepressant escitalopram on brain SPX expression. METHODS: In this current study we measured SPX mRNA and protein expression in the selected brain structures (hypothalamus, hippocampus and striatum) of rats chronically treated with a 10mg/kg dose of escitalopram using quantitative Real-Time PCR and immunohistochemistry. RESULTS: Strikingly, long-term (4 week) drug treatment led to the downregulation of SPX expression in the rat hypothalamus. This supports the hypothesis that SPX may be involved in the hypothalamic serotonin-dependent actions of SSRI antidepressants and possibly also in the central mechanism of body mass increase. Conversely, SPX expression increased in the hippocampus and striatum. CONCLUSIONS: This is the first report of the effects of a neuropsychiatric medication on SPX expression in animal brain. Our findings shed a new light on the pharmacology of antidepressants and may contribute to a better understanding of the alternative mechanisms responsible for antidepressant action.


Asunto(s)
Citalopram/farmacología , Cuerpo Estriado/efectos de los fármacos , Hipocampo/efectos de los fármacos , Hipotálamo/efectos de los fármacos , Hormonas Peptídicas/metabolismo , Inhibidores Selectivos de la Recaptación de Serotonina/farmacología , Animales , Cuerpo Estriado/metabolismo , Regulación de la Expresión Génica , Hipocampo/metabolismo , Hipotálamo/metabolismo , Masculino , Hormonas Peptídicas/antagonistas & inhibidores , Hormonas Peptídicas/genética , Ratas , Ratas Sprague-Dawley
14.
Pharmacol Rep ; 68(5): 990-5, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27391358

RESUMEN

BACKGROUND: This study aimed to evaluate the effect of extended olanzapine, clozapine and haloperidol administration on NMDA-R subunit immunoexpression in the rat neocortex and diencephalon. METHODS: To explore NR1, NR2A and NR2B subunit protein expression, densytometric analysis of immunohistochemically stained brain slices was performed. RESULTS: Interestingly, all neuroleptics caused a downregulation of NMDA-R subunit expression in the thalamus but increased the level of NR1 in the hypothalamus. Olanzapine upregulated hypothalamic NR2A expression, while clozapine and haloperidol decreased hypothalamic levels. We observed no significant changes in NR2B immunoreactivity. None of the studied medications had significant influence on NMDA-R subunit expression in the neocortex. CONCLUSIONS: Neuroleptic-induced reduction in the expression of thalamic NMDA-R subunits may play an important role in the regulation of glutamatergic transmission disorders in cortico-striato-thalamo-cortical loop in schizophrenia. A decrease in NMDA signaling in this region after long-term neuroleptic administration may also cautiously explain the incomplete effectiveness of these drugs in the therapy of schizophrenia-related cognitive disturbances.


Asunto(s)
Antipsicóticos/farmacología , Diencéfalo/efectos de los fármacos , N-Metilaspartato/metabolismo , Neocórtex/efectos de los fármacos , Subunidades de Proteína/metabolismo , Animales , Benzodiazepinas/farmacología , Clozapina/farmacología , Diencéfalo/metabolismo , Regulación hacia Abajo/efectos de los fármacos , Haloperidol/farmacología , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Hipotálamo/efectos de los fármacos , Masculino , Neocórtex/metabolismo , Olanzapina , Ratas , Ratas Sprague-Dawley , Regulación hacia Arriba/efectos de los fármacos
15.
Acta Neuropsychiatr ; 28(2): 110-6, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26467816

RESUMEN

OBJECTIVE: The brainstem-derived neuropeptide S (NPS) has a multidirectional regulatory activity, especially as a potent anxiolytic factor. Accumulating data suggests that neuroleptics affect peptidergic signalling in various brain structures. However, there is no information regarding the influence of haloperidol on NPS and NPS receptor (NPSR) expression. METHODS: We assessed NPS and NPSR mRNA levels in brains of rats treated with haloperidol using quantitative real-time polymerase chain reaction. RESULTS: Chronic haloperidol treatment (4 weeks) led to a striking upregulation of NPS and NPSR expression in the rat brainstem. Conversely, the NPSR mRNA expression was decreased in the hippocampus and striatum. CONCLUSIONS: This stark increase of NPS in response to haloperidol treatment supports the hypothesis that this neuropeptide is involved in the dopamine-dependent anxiolytic actions of neuroleptics and possibly also in the pathophysiology of mental disorders. Furthermore, our findings underline the complex nature of potential interactions between dopamine receptors and brain peptidergic pathways, which has potential clinical applications.


Asunto(s)
Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Regulación de la Expresión Génica/efectos de los fármacos , Haloperidol/farmacología , Neuropéptidos/genética , Receptores de Neuropéptido/genética , Animales , Tronco Encefálico/efectos de los fármacos , Tronco Encefálico/metabolismo , Cuerpo Estriado/efectos de los fármacos , Cuerpo Estriado/metabolismo , Regulación hacia Abajo/efectos de los fármacos , Regulación hacia Abajo/genética , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Masculino , Ratas , Regulación hacia Arriba/efectos de los fármacos , Regulación hacia Arriba/genética
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