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1.
Pflugers Arch ; 466(11): 2025-34, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24722829

RESUMEN

In addition to the TSH-cyclic AMP signalling pathway, calcium signalling is of crucial importance in thyroid cells. Although the importance of calcium signalling has been thoroughly investigated for several decades, the nature of the calcium channels involved in signalling is unknown. In a recent series of investigations using the well-studied rat thyroid FRTL-5 cell line, we showed that these cells exclusively express the transient receptor potential canonical 2 (TRPC2) channel. Our results suggested that the TRPC2 channel is of significant importance in regulating thyroid cell function. These investigations were the first to show that thyroid cells express a member of the TRPC family of ion channels. In this review, we will describe the importance of the TRPC2 channel in regulating TSH receptor expression, thyroglobulin maturation, intracellular calcium and iodide homeostasis and that the channel also regulates thyroid cell proliferation.


Asunto(s)
Fenómenos Fisiológicos Celulares/fisiología , Canales Catiónicos TRPC/metabolismo , Glándula Tiroides/metabolismo , Glándula Tiroides/fisiología , Animales , Calcio/metabolismo , Humanos , Ratas , Receptores de Tirotropina/metabolismo , Tiroglobulina/metabolismo
2.
Mol Cell Endocrinol ; 374(1-2): 10-21, 2013 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-23578584

RESUMEN

Mammalian transient receptor potential (TRP) channels are involved in many physiologically important processes. Here, we have studied the significance of the TRPC2 channel in the regulation of rat thyroid FRTL-5 cell proliferation, migration, adhesion and invasion, using stable TRPC2 (shTRPC2) knock-down cells. In the shTRPC2 cells, proliferation was decreased due to a prolonged G1/S cell cycle phase. The tumor suppressor p53 and the cyclin-dependant kinase inhibitors p27 and p21 were upregulated. Cell invasion, adhesion and migration were also attenuated in shTRPC2 cells, probably due to decreased activity of both Rac and calpain, and a decreased secretion and activity of matrix metalloproteinase 2. The attenuated proliferation, migration, invasion and ATP-evoked calcium entry was mimicked by overexpressing a non-conducting, truncated TRPC2 (TRPC2-DN) in wild type cells, and was reversed by overexpression of TRPC2-GFP in shTRPC2 cells. In conclusion, TRPC2 is an important regulator of rat thyroid cell function.


Asunto(s)
Regulación de la Expresión Génica , Canales Catiónicos TRPC/genética , Glándula Tiroides/metabolismo , Adenosina Trifosfato/metabolismo , Animales , Calcio/metabolismo , Calpaína/genética , Calpaína/metabolismo , Adhesión Celular , Línea Celular , Movimiento Celular , Proliferación Celular , Inhibidor p27 de las Quinasas Dependientes de la Ciclina/genética , Inhibidor p27 de las Quinasas Dependientes de la Ciclina/metabolismo , Puntos de Control de la Fase G1 del Ciclo Celular , Técnicas de Silenciamiento del Gen , Metaloproteinasa 2 de la Matriz/genética , Metaloproteinasa 2 de la Matriz/metabolismo , Estructura Terciaria de Proteína , Proteínas Proto-Oncogénicas c-akt/genética , Proteínas Proto-Oncogénicas c-akt/metabolismo , ARN Interferente Pequeño/genética , ARN Interferente Pequeño/metabolismo , Ratas , Transducción de Señal , Canales Catiónicos TRPC/metabolismo , Glándula Tiroides/citología , Proteína p53 Supresora de Tumor/genética , Proteína p53 Supresora de Tumor/metabolismo , Quinasas p21 Activadas/genética , Quinasas p21 Activadas/metabolismo
3.
J Cell Physiol ; 228(4): 814-23, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23018590

RESUMEN

The initial step in a synthesis of thyroid hormones is the uptake of iodide from the circulation. Iodide (I(-)) is transported into thyroid cells via a Na(+)/I(-) symporter (NIS), which is electrogenic and thus sensitive to alterations in membrane potential (V(m)). I(-) is then released to the lumen of thyroid follicles where the hormones are synthesised and stored. The mechanisms of I(-) release to follicle lumen are poorly characterised. Our whole-cell voltage clamp recordings revealed the presence of a Ca(2+) activated Cl(-) current (CaCC) in Fisher rat thyroid cell line 5 (FRTL-5). Transcripts of anoctamin 1 (ANO1) and anoctamin 10 (ANO10), putative molecular constituents of CaCC, were detected. The anion channels underlying CaCC are highly permeable to I(-). Both niflumic acid (NFA) and 2-aminoethyl diphenylborinate (2-APB), antagonists of CaCC and transient receptor potential channels, respectively, inhibited CaCC. Canonical transient receptor potential channel 2 (TRPC2) is the only TRPC member present in FRTL-5 cells. The activation rate of CaCC was markedly slower in shTRPC2 knock-down cells, indicating that Ca(2+) entry via TRPC2 contributes to CaCC activation. The uptake of iodide was enhanced and the resting V(m) was more depolarised in TRPC2 knock-down cells. We suggest that the interplay between TRPC2 and ANO1 may have dual effects on iodide transport, modulating I(-) release via ANO channels and I(-) uptake via the V(m) sensitive NIS.


Asunto(s)
Canales de Cloruro/metabolismo , Homeostasis/fisiología , Yoduros/metabolismo , Canales Catiónicos TRPC/metabolismo , Glándula Tiroides/metabolismo , Canales Aniónicos Dependientes del Voltaje/metabolismo , Animales , Aniones/metabolismo , Anoctamina-1 , Compuestos de Boro/farmacología , Calcio/metabolismo , Línea Celular , Cloruros/metabolismo , Homeostasis/efectos de los fármacos , Potenciales de la Membrana/efectos de los fármacos , Potenciales de la Membrana/fisiología , Proteínas de la Membrana/antagonistas & inhibidores , Proteínas de la Membrana/efectos de los fármacos , Proteínas de la Membrana/metabolismo , Ácido Niflúmico/farmacología , Ratas , Canales Catiónicos TRPC/antagonistas & inhibidores , Glándula Tiroides/efectos de los fármacos
4.
J Biol Chem ; 287(53): 44345-60, 2012 Dec 28.
Artículo en Inglés | MEDLINE | ID: mdl-23144458

RESUMEN

Mammalian non-selective transient receptor potential cation channels (TRPCs) are important in the regulation of cellular calcium homeostasis. In thyroid cells, including rat thyroid FRTL-5 cells, calcium regulates a multitude of processes. RT-PCR screening of FRTL-5 cells revealed the presence of TRPC2 channels only. Knockdown of TRPC2 using shRNA (shTRPC2) resulted in decreased ATP-evoked calcium peak amplitude and inward current. In calcium-free buffer, there was no difference in the ATP-evoked calcium peak amplitude between control cells and shTRPC2 cells. Store-operated calcium entry was indistinguishable between the two cell lines. Basal calcium entry was enhanced in shTRPC2 cells, whereas the level of PKCß1 and PKCδ, the activity of sarco/endoplasmic reticulum Ca(2+)-ATPase, and the calcium content in the endoplasmic reticulum were decreased. Stromal interaction molecule (STIM) 2, but not STIM1, was arranged in puncta in resting shTRPC2 cells but not in control cells. Phosphorylation site Orai1 S27A/S30A mutant and non-functional Orai1 R91W attenuated basal calcium entry in shTRPC2 cells. Knockdown of PKCδ with siRNA increased STIM2 punctum formation and enhanced basal calcium entry but decreased sarco/endoplasmic reticulum Ca(2+)-ATPase activity in wild-type cells. Transfection of a truncated, non-conducting mutant of TRPC2 evoked similar results. Thus, TRPC2 functions as a major regulator of calcium homeostasis in rat thyroid cells.


Asunto(s)
Proteínas de Unión al Calcio/metabolismo , Calcio/metabolismo , Proteínas de la Membrana/metabolismo , Proteína Quinasa C-delta/metabolismo , Canales Catiónicos TRPC/metabolismo , Glándula Tiroides/metabolismo , Animales , Proteínas de Unión al Calcio/genética , Línea Celular Tumoral , Regulación de la Expresión Génica , Homeostasis , Proteínas de la Membrana/genética , Proteína Quinasa C-delta/genética , Ratas , ATPasas Transportadoras de Calcio del Retículo Sarcoplásmico/genética , ATPasas Transportadoras de Calcio del Retículo Sarcoplásmico/metabolismo , Molécula de Interacción Estromal 2 , Canales Catiónicos TRPC/genética , Glándula Tiroides/enzimología
5.
Mol Endocrinol ; 26(12): 2046-57, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23015753

RESUMEN

Transient receptor potential (TRP) cation channels are widely expressed and function in many physiologically important processes. Perturbations in the expression or mutations of the channels have implications for diseases. Many thyroid disorders, as excessive growth or disturbed thyroid hormone production, can be a result of dysregulated TSH signaling. In the present study, we found that of TRP canonicals (TRPCs), only TRPC2 was expressed in Fischer rat thyroid low-serum 5% cells (FRTL-5 cells). To investigate the physiological importance of the channel, we developed stable TRPC2 knockdown cells using short hairpin RNA (shTRPC2 cells). In these cells, the ATP-evoked entry of calcium was significantly decreased. This led to increased cAMP production, because inhibitory signals from calcium to adenylate cyclase 5/6 were decreased. Enhanced cAMP signaling projected to Ras-related protein 1-MAPK kinase 1 (MAPK/ERK kinase 1) pathway leading to phosphorylation of ERK1/2. The activated ERK1/2 pathway increased the expression of the TSH receptor. In contrast, secretion of thyroglobulin was decreased in shTRPC2 cells, due to improper folding and glycosylation of the protein. We show here a novel role for TRPC2 in regulating thyroid cell function.


Asunto(s)
Calcio/metabolismo , AMP Cíclico/metabolismo , Receptores de Tirotropina/metabolismo , Canales Catiónicos TRPC/metabolismo , Tiroglobulina/metabolismo , Glándula Tiroides/metabolismo , Animales , Línea Celular , Quinasas MAP Reguladas por Señal Extracelular/metabolismo , Sistema de Señalización de MAP Quinasas , Procesamiento Proteico-Postraduccional , Interferencia de ARN , ARN Interferente Pequeño , Ratas , Canales Catiónicos TRPC/genética , Glándula Tiroides/citología
6.
Endocr Relat Cancer ; 19(5): 667-80, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22889737

RESUMEN

Anaplastic thyroid cancer (ATC) is the most aggressive form of human thyroid cancer, lacking any effective treatment. Sphingosine 1-phosphate (S1P) receptors and human ether-a'-go-go-related gene (HERG (KCNH2)) potassium channels are important modulators of cell migration. In this study, we have shown that the S1P(1-3) receptors are expressed in C643 and THJ-16T human ATC cell lines, both at mRNA and protein level. S1P inhibited migration of these cells and of follicular FTC-133 thyroid cancer cells. Using the S1P(1,3) inhibitor VPC-23019, the S1P(2) inhibitor JTE-013, and the S1P(2) receptor siRNA, we showed that the effect was mediated through S1P(2). Treatment of the cells with the Rho inhibitor C3 transferase abolished the effect of S1P on migration. S1P attenuated Rac activity, and inhibiting Rac decreased migration. Sphingosine kinase inhibitor enhanced basal migration of cells, and addition of exogenous S1P inhibited migration. C643 cells expressed a nonconducting HERG protein, and S1P decreased HERG protein expression. The HERG blocker E-4031 decreased migration. Interestingly, downregulating HERG protein with siRNA decreased the basal migration. In experiments using HEK cells overexpressing HERG, we showed that S1P decreased channel protein expression and current and that S1P attenuated migration of the cells. We conclude that S1P attenuates migration of C643 ATC cells by activating S1P(2) and the Rho pathway. The attenuated migration is also, in part, dependent on a S1P-induced decrease of HERG protein.


Asunto(s)
Movimiento Celular/fisiología , Canales de Potasio Éter-A-Go-Go/fisiología , Receptores de Lisoesfingolípidos/fisiología , Neoplasias de la Tiroides/metabolismo , Línea Celular Tumoral , Movimiento Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Canal de Potasio ERG1 , Células HEK293 , Humanos , Lisofosfolípidos/farmacología , ARN Mensajero/metabolismo , Esfingosina/análogos & derivados , Esfingosina/farmacología , Carcinoma Anaplásico de Tiroides
7.
Adv Exp Med Biol ; 704: 125-34, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21290292

RESUMEN

Relatively little is known in regard to the physiological significance of TRPC2 and its regulation or interaction with other calcium regulating signalling molecules. In rodents, however, the importance of TRPC2 is indisputable. In mice, transcripts for TRPC2 have been found in testis, sperm, in neurons in the vomeronasal organ, and both in the dorsal root ganglion and in the brain. In rats, TRPC2 is thought to be expressed exclusively in the vomeronasal organ. In mice, TRPC2 is of importance in regulating both sexual and social behaviour. In sperm, TRPC2 is of importance in the acrosome reaction. This review will summarize the known physiological effects of TRPC2 channels, and the regulation of the function of the channel. In addition, some new preliminary data on the role of TRPC2 in rat thyroid cells will be presented.


Asunto(s)
Canales Catiónicos TRPC/fisiología , Animales , Calcio/metabolismo , Humanos , Transporte Iónico , Masculino , Ratones , Ratas , Transducción de Señal , Espermatozoides/metabolismo , Canales Catiónicos TRPC/metabolismo
8.
J Physiol ; 588(Pt 9): 1527-40, 2010 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-20211979

RESUMEN

GABAergic excitatory [K(+)](o) transients can be readily evoked in the mature rat hippocampus by intense activation of GABA(A) receptors (GABA(A)Rs). Here we show that these [K(+)](o) responses induced by high-frequency stimulation or GABA(A) agonist application are generated by the neuronal K(+)-Cl() cotransporter KCC2 and that the transporter-mediated KCl extrusion is critically dependent on the bicarbonate-driven accumulation of Cl() in pyramidal neurons. The mechanism underlying GABAergic [K(+)](o) transients was studied in CA1 stratum pyramidale using intracellular sharp microelectrodes and extracellular ion-sensitive microelectrodes. The evoked [K(+)](o) transients, as well as the associated afterdischarges, were strongly suppressed by 0.5-1 mm furosemide, a KCl cotransport inhibitor. Importantly, the GABA(A)R-mediated intrapyramidal accumulation of Cl(), as measured by monitoring the reversal potential of fused IPSPs, was unaffected by the drug. It was further confirmed that the reduction in the [K(+)](o) transients was not due to effects of furosemide on the Na(+)-dependent K(+)-Cl() cotransporter NKCC1 or on intraneuronal carbonic anhydrase activity. Blocking potassium channels by Ba(2+) enhanced [K(+)](o) transients whereas pyramidal cell depolarizations were attenuated in further agreement with a lack of contribution by channel-mediated K(+) efflux. The key role of the GABA(A)R channel-mediated anion fluxes in the generation of the [K(+)](o) transients was examined in experiments where bicarbonate was replaced with formate. This anion substitution had no significant effect on the rate of Cl() accumulation, [K(+)](o) response or afterdischarges. Our findings reveal a novel excitatory mode of action of KCC2 that can have substantial implications for the role of GABAergic transmission during ictal epileptiform activity.


Asunto(s)
Hipocampo/fisiología , Simportadores/fisiología , Ácido gamma-Aminobutírico/fisiología , Animales , Anticonvulsivantes/farmacología , Bario/farmacología , Bicarbonatos/metabolismo , Región CA1 Hipocampal/metabolismo , Inhibidores de Anhidrasa Carbónica/farmacología , Cloruros/metabolismo , Diuréticos/farmacología , Estimulación Eléctrica , Electrofisiología , Epilepsia/fisiopatología , Furosemida/farmacología , Agonistas del GABA/farmacología , Hipocampo/efectos de los fármacos , Concentración de Iones de Hidrógeno , Ácidos Isonicotínicos/farmacología , Microelectrodos , Potasio/metabolismo , Potasio/farmacología , Células Piramidales/metabolismo , Ratas , Receptores de GABA-A/efectos de los fármacos , Receptores de GABA-A/fisiología , Espectrometría de Fluorescencia , Simportadores/efectos de los fármacos , Cotransportadores de K Cl
9.
Cell Signal ; 22(1): 57-64, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19765650

RESUMEN

The human ether-a-go-go related gene (HERG) potassium channel has elicited intense scientific interest due to its role in cardiac repolarization and its association with arrhythmia and sudden cardiac death. Increasing evidence indicates the involvement of HERG channels in the pathophysiology of cancer. In the present study we investigated the expression of HERG protein in MDA-MB-435S melanoma cells, and its importance in regulating cell proliferation and migration. Our results showed that HERG was expressed on protein and mRNA levels in MDA-MB-435S melanoma cells. In these cells blockade of HERG channels with the HERG blockers E 4301 or cisapride attenuated both proliferation and migration of the cells. Activation of HERG with PD118057 stimulated cell migration. Furthermore, HERG small interfering (si) RNA attenuated the proliferation and migration of the cells. Incubation of MDA-MB-435S cells with E 4301 decreased the phosphorylation of mitogen-activated protein (MAP) kinase and the expression of the c-fos transcription factor. In control experiments, overexpression of HERG channels in HEK-293 cells dramatically increased the proliferation and migration of the cells and blocking HERG in these cells attenuated both proliferation and migration. Our results indicate that MDA-MB-435S cells express HERG channels and blockade of HERG results in the attenuation of both proliferation and migration by a mechanism dependent, at least in part, on an inhibition of the MAP kinase/c-fos pathway.


Asunto(s)
Movimiento Celular , Proliferación Celular , Canales de Potasio Éter-A-Go-Go/metabolismo , Regulación Neoplásica de la Expresión Génica , Melanoma/metabolismo , Melanoma/patología , Línea Celular Tumoral , Movimiento Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Cisaprida/farmacología , Canal de Potasio ERG1 , Canales de Potasio Éter-A-Go-Go/antagonistas & inhibidores , Canales de Potasio Éter-A-Go-Go/genética , Humanos , Melanoma/genética , Fosforilación , ARN Interferente Pequeño/genética
10.
Cell Mol Life Sci ; 67(1): 157-69, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19859662

RESUMEN

The HERG (KCNH2) channel is a voltage-sensitive potassium channel mainly expressed in cardiac tissue, but has also been identified in other tissues like neuronal and smooth muscle tissue, and in various tumours and tumour cell lines. The function of HERG has been extensively studied, but it is still not clear what mechanisms regulate the surface expression of the channel. In the present report, using human embryonic kidney cells stably expressing HERG, we show that diacylglycerol potently inhibits the HERG current. This is mediated by a protein kinase C-evoked endocytosis of the channel protein, and is dependent on the dynein-dynamin complex. The HERG protein was found to be located only in early endosomes and not lysosomes. Thus, diacylglycerol is an important lipid participating in the regulation of HERG surface expression and function.


Asunto(s)
Diglicéridos/farmacología , Canales de Potasio Éter-A-Go-Go/metabolismo , Línea Celular , Dinaminas/metabolismo , Dineínas/metabolismo , Canal de Potasio ERG1 , Fenómenos Electrofisiológicos/efectos de los fármacos , Endocitosis , Endosomas/enzimología , Canales de Potasio Éter-A-Go-Go/antagonistas & inhibidores , Humanos , Inmunoprecipitación , Proteína Quinasa C/metabolismo
11.
J Neurosci ; 23(23): 8237-46, 2003 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-12967985

RESUMEN

The regulation of intracellular chloride has important roles in neuronal function, especially by setting the magnitude and direction of the Cl- flux gated by GABA(A) receptors. Previous studies have shown that GABA(A)-mediated inhibition is less effective in dopaminergic than in GABAergic neurons in substantia nigra. We studied whether this phenomenon may be related to a difference in Cl-regulatory mechanisms. Light-microscopic immunocytochemistry revealed that the potassium-chloride cotransporter 2 (KCC2) was localized only in the dendrites of nondopaminergic (primarily GABAergic) neurons in the substantia nigra, whereas the voltage-sensitive chloride channel 2 (ClC-2) was observed only in the dopaminergic neurons of the pars compacta. Electron-microscopic immunogold labeling confirmed that KCC2 is localized in the dendritic plasma membrane of GABAergic neurons close to inhibitory synapses. Confocal microscopy showed that ClC-2 was selectively expressed in the somatic and dendritic cell membranes of the dopaminergic neurons. Gramicidin-perforated-patch recordings revealed that the GABA(A) IPSP reversal potential was significantly less negative and had a much smaller hyperpolarizing driving force in dopaminergic than in GABAergic neurons. The GABA(A) reversal potential was significantly less negative in bicarbonate-free buffer in dopaminergic but not in GABAergic neurons. The present study suggests that KCC2 is responsible for maintaining the low intracellular Cl- concentration in nigral GABAergic neurons, whereas a sodium-dependent anion (Cl--HCO3-) exchanger and ClC-2 are likely to serve this role in dopaminergic neurons. The relatively low efficacy of GABAA-mediated inhibition in nigral dopaminergic neurons compared with nigral GABAergic neurons may be related to their lack of KCC2.


Asunto(s)
Cloruros/metabolismo , Inhibición Neural/fisiología , Receptores de GABA-A/metabolismo , Sustancia Negra/metabolismo , Animales , Canales de Cloruro CLC-2 , Membrana Celular/metabolismo , Canales de Cloruro/metabolismo , Dendritas/metabolismo , Dopamina/metabolismo , Estimulación Eléctrica , Inmunohistoquímica , Técnicas In Vitro , Masculino , Potenciales de la Membrana/fisiología , Neuronas/metabolismo , Técnicas de Placa-Clamp , Ratas , Ratas Sprague-Dawley , Ratas Wistar , Sustancia Negra/citología , Simportadores/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Cotransportadores de K Cl
12.
J Cell Biol ; 159(5): 747-52, 2002 Dec 09.
Artículo en Inglés | MEDLINE | ID: mdl-12473684

RESUMEN

Pathophysiological activity and various kinds of traumatic insults are known to have deleterious long-term effects on neuronal Cl- regulation, which can lead to a suppression of fast postsynaptic GABAergic responses. Brain-derived neurotrophic factor (BDNF) increases neuronal excitability through a conjunction of mechanisms that include regulation of the efficacy of GABAergic transmission. Here, we show that exposure of rat hippocampal slice cultures and acute slices to exogenous BDNF or neurotrophin-4 produces a TrkB-mediated fall in the neuron-specific K+-Cl- cotransporter KCC2 mRNA and protein, as well as a consequent impairment in neuronal Cl- extrusion capacity. After kindling-induced seizures in vivo, the expression of KCC2 is down-regulated in the mouse hippocampus with a spatiotemporal profile complementary to the up-regulation of TrkB and BDNF. The present data demonstrate a novel mechanism whereby BDNF/TrkB signaling suppresses chloride-dependent fast GABAergic inhibition, which most likely contributes to the well-known role of TrkB-activated signaling cascades in the induction and establishment of epileptic activity.


Asunto(s)
Factor Neurotrófico Derivado del Encéfalo/farmacología , Cloruros/metabolismo , Hipocampo/metabolismo , Neuronas/metabolismo , Receptor trkB/metabolismo , Simportadores/metabolismo , Animales , Regulación hacia Abajo/efectos de los fármacos , Electrofisiología , Hipocampo/citología , Transporte Iónico , Excitación Neurológica/efectos de los fármacos , Excitación Neurológica/fisiología , Cinética , Masculino , Potenciales de la Membrana/efectos de los fármacos , Ratones , Ratones Endogámicos C57BL , Datos de Secuencia Molecular , Factores de Crecimiento Nervioso/farmacología , Neuronas/efectos de los fármacos , Técnicas de Cultivo de Órganos , Células Piramidales/citología , Células Piramidales/efectos de los fármacos , Células Piramidales/metabolismo , ARN Mensajero/metabolismo , Ratas , Ratas Wistar , Receptor trkB/efectos de los fármacos , Proteínas Recombinantes/metabolismo , Factores de Tiempo , Cotransportadores de K Cl
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