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1.
Psychopharmacology (Berl) ; 239(10): 3345-3353, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36056214

RESUMEN

RATIONALE: Trace amine-associated receptor 1 (TAAR1) is the best-studied receptor of trace amines, a group of biogenic amines expressed at a relatively low level in the mammalian brain. Growing evidence suggests that TAAR1 plays a critical role in various neuropsychiatric disorders. Given that selective TAAR1 agonists were shown to produce pro-cognition and antipsychotic-like effects as well as to suppress drug use and relapse, they have been proposed to be novel treatments for mental disorders such as schizophrenia and addiction. However, the aversive effects of selective TAAR1 agonists remain largely unknown. OBJECTIVES: Here, we evaluated whether the selective TAAR1 full agonist RO5166017 and partial agonist RO5263397 could induce conditioned taste aversion (CTA). RESULTS: We found that RO5166017 and RO5263397 produced significant aversions to both saccharin and NaCl taste novelty. Furthermore, RO5166017 produced CTA to saccharin in TAAR1 heterozygous knockout (taar1±) and wild-type rats but not in TAAR1 homozygous knockout rats (taar1-/-), suggesting that TAAR1 was sufficient for the taste aversive stimulus property of RO5166017. CONCLUSIONS: Taken together, our data indicate that selective TAAR1 agonists could produce strong CTA. Our study urges careful evaluations of the aversive effects of TAAR1 agonists before translating them to clinical use for the treatment of mental disorders.


Asunto(s)
Antipsicóticos , Receptores Acoplados a Proteínas G , Percepción del Gusto , Animales , Antipsicóticos/química , Antipsicóticos/farmacología , Agentes Aversivos/química , Agentes Aversivos/farmacología , Humanos , Mamíferos , Oxazoles , Fenetilaminas/farmacología , Ratas , Receptores Acoplados a Proteínas G/agonistas , Sacarina/farmacología , Cloruro de Sodio , Gusto/efectos de los fármacos , Percepción del Gusto/efectos de los fármacos
2.
Adv Mater ; 33(39): e2103857, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34369002

RESUMEN

Wireless, skin-integrated devices for continuous, clinical-quality monitoring of vital signs have the potential to greatly improve the care of patients in neonatal and pediatric intensive-care units. These same technologies can also be used in the home, across a broad spectrum of ages, from beginning to end of life. Although miniaturized forms of such devices minimize patient burden and improve compliance, they represent life-threatening choking hazards for infants. A materials strategy is presented here to address this concern. Specifically, composite materials are introduced as soft encapsulating layers and gentle adhesives that release chemical compounds designed to elicit an intense bitter taste when placed in the mouth. Reflexive reactions to this sensation strongly reduce the potential for ingestion, as a safety feature. The materials systems described involve a non-toxic bitterant (denatonium benzoate) as a dopant in an elastomeric (poly(dimethylsiloxane)) or hydrogel matrix. Experimental and computational studies of these composite materials and the kinetics of release of the bitterant define the key properties. Incorporation into various wireless skin-integrated sensors demonstrates their utility in functional systems. This simple strategy offers valuable protective capabilities, with broad practical relevance to the welfare of children monitored with wearable devices.


Asunto(s)
Monitoreo Fisiológico/métodos , Dispositivos Electrónicos Vestibles , Agentes Aversivos/química , Agentes Aversivos/metabolismo , Dimetilpolisiloxanos/química , Humanos , Hidrogeles/química , Lactante , Cinética , Monitoreo Fisiológico/instrumentación , Compuestos de Amonio Cuaternario/química , Compuestos de Amonio Cuaternario/metabolismo
3.
Carbohydr Polym ; 260: 117703, 2021 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-33712119

RESUMEN

Present research work was aimed at masking the bitter taste of anti- viral drug Oseltamivir phosphate (Ost) by complexing it with pea starch maltodextrin- Kleptose Linecaps® (Mld). The Ost groups involved in triggering the bitter sensation were identified by computationally assessing its interaction with human bitter taste receptor hTAS2R 38. A series of exhaustive molecular dynamics (MD) simulation was run using Schrodinger® suite to understand the type of interaction of Ost with Mld. Experimentally, complexes of Ost with Mld were realized by solution method. The complexes were characterized using differential scanning colorimetry (DSC), fourier transform-infrared spectroscopy (FT-IR), powder X-ray diffraction (PXRD), hot stage microscopy (HSM), scanning electron microscopy (SEM), proton NMR (1H-NMR) and Carbon-13 nuclear magnetic resonance (13C-NMR). Ost-oral dispersible mini tablets (ODMT) were prepared by direct compression and optimised using mixture designs. Finally, bitter taste perception of Ost-ODMT was evaluated in healthy human volunteers of either sex. Computational assessment, involving interaction of Ost with bitter receptor, predicted the involvement of free amino group of Ost in triggering the bitter response whereas, MD simulation predicted the formation of stable complex between Ost and double helical confirmation of Mld. Different characterization techniques confirmed the findings of MD simulation. Results from the taste assessment in human volunteers revealed a significant reduction in bitter taste of prepared Ost-ODMT.


Asunto(s)
Composición de Medicamentos , Oseltamivir/química , Polisacáridos/química , Agentes Aversivos/química , Agentes Aversivos/farmacología , Femenino , Humanos , Gripe Humana/tratamiento farmacológico , Masculino , Simulación de Dinámica Molecular , Oseltamivir/uso terapéutico , Solubilidad , Percepción del Gusto/efectos de los fármacos , Adulto Joven
4.
Food Chem ; 347: 129085, 2021 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-33493837

RESUMEN

Zanthoxylum Bungeanum Maxim. is an important seasoning in Chinese cooking, but its bitter taste limits its use by some consumers. In this study, metabolomic analysis based on ultra-high-performance liquid chromatograph-tandem mass spectrometry (UPLC-MS) was used to screen out a vast number of potential non-volatile bitter compounds in Z. bungeanum. Results showed that there were 37 potential bitter compounds in Z. bungeanum, and possible mechanisms underlying its bitter taste were provided. Further, instrumental analyses combined with sensory evaluation were used to identify the key bitter compounds in Gou jiao, a wild variant of Z. Bungeanum with a strong bitter taste. Totally 15 key bitter compounds were identified, most of which have a low bitterness recognition threshold. This study is the first comprehensive identification of non-volatile bitter compounds in Z. bungeanum and provides a basis for future investigations into mitigating bitterness and uncovering how the interaction between different bitter compounds affects taste.


Asunto(s)
Agentes Aversivos/análisis , Metabolómica/métodos , Gusto/fisiología , Zanthoxylum/química , Adulto , Agentes Aversivos/química , Cromatografía Líquida de Alta Presión , Femenino , Frutas/química , Frutas/metabolismo , Humanos , Masculino , Espectrometría de Masas en Tándem , Umbral Gustativo , Adulto Joven , Zanthoxylum/metabolismo
5.
Chem Senses ; 45(5): 383-390, 2020 05 29.
Artículo en Inglés | MEDLINE | ID: mdl-32382729

RESUMEN

Genetic variability in the ability to taste thiourea compounds has been studied for 80+ years. Over the last 3 decades, many studies have reported perceived intensity of concentrated propylthiouracil (PROP) associates with greater intensity from a broad range of stimuli, including nonbitter tastants, irritants, and retronasally delivered odorants. Thus, PROP phenotype has become a common measure of individual differences in orosensation. Much, but not all, of the phenotypic variation in PROP bitterness is explained by TAS2R38 polymorphisms. While differences in PROP bitterness are clearly due to genetic variation, mechanistically it is challenging to envision how this receptor (narrowly tuned to the N-C=S moiety) relates to overall orosensory response. Here, we report data for 200+ individuals who had been genotyped for TAS2R38 and phenotyped for PROP in a laboratory setting. Participants also reported the intensity of quinine, capsaicin, and sucrose on a general Labeled Magnitude Scale. Our data recapitulate earlier reports associating PROP bitterness with the intensity of the predominant qualities of sucrose, quinine, and capsaicin; however, we also find correlations between the intensities of sucrose, quinine, and capsaicin were much stronger with each other than with PROP. As expected, TAS2R38 diplotype did not associate with the intensity of sucrose, quinine, or capsaicin. The strength of PROP-capsaicin and PROP-sucrose relationships increased after grouping participants by TAS2R38 diplotype, with the greatest increases in association observed within homozygotes. Collectively, this suggests the suprathreshold intensity of PROP is a confounded phenotype that captures both genetic variation specific to N-C=S compounds and overall orosensation.


Asunto(s)
Agentes Aversivos/química , Capsaicina/química , Propiltiouracilo/química , Quinina/química , Receptores Acoplados a Proteínas G/genética , Sacarosa/química , Gusto/fisiología , Adolescente , Adulto , Agentes Aversivos/farmacología , Genotipo , Humanos , Persona de Mediana Edad , Fenotipo , Polimorfismo de Nucleótido Simple , Psicofísica , Quinina/administración & dosificación , Gusto/efectos de los fármacos , Adulto Joven
6.
Br J Pharmacol ; 176(17): 3364-3377, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31207668

RESUMEN

BACKGROUND AND PURPOSE: Like chili peppers, gingers produce pungent stimuli by a group of vanilloid compounds that activate the nociceptive transient receptor potential vanilloid 1 (TRPV1) ion channel. How these compounds interact with TRPV1 remains unclear. EXPERIMENTAL APPROACH: We used computational structural modelling, functional tests (electrophysiology and calcium imaging), and mutagenesis to investigate the structural mechanisms underlying ligand-channel interactions. KEY RESULTS: The potency of three principal pungent compounds from ginger -shogaol, gingerol, and zingerone-depends on the same two residues in the TRPV1 channel that form a hydrogen bond with the chili pepper pungent compound, capsaicin. Computational modelling revealed binding poses of these ginger compounds similar to those of capsaicin, including a "head-down tail-up" orientation, two specific hydrogen bonds, and important contributions of van der Waals interactions by the aliphatic tail. Our study also identified a novel horizontal binding pose of zingerone that allows it to directly interact with the channel pore when bound inside the ligand-binding pocket. These observations offer a molecular level explanation for how unique structures in the ginger compounds affect their channel activation potency. CONCLUSIONS AND IMPLICATIONS: Mechanistic insights into the interactions of ginger compounds and the TRPV1 cation channel should help guide drug discovery efforts to modulate nociception.


Asunto(s)
Agentes Aversivos/farmacología , Capsaicina/farmacología , Canales Catiónicos TRPV/antagonistas & inhibidores , Zingiber officinale/química , Animales , Agentes Aversivos/química , Calcio/análisis , Capsaicina/química , Células Cultivadas , Relación Dosis-Respuesta a Droga , Células HEK293 , Humanos , Ligandos , Ratones , Simulación del Acoplamiento Molecular , Estructura Molecular , Relación Estructura-Actividad , Canales Catiónicos TRPV/metabolismo
7.
Int J Mol Sci ; 20(3)2019 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-30754631

RESUMEN

Pungent traditional Chinese medicines (TCMs) play a vital role in the clinical treatment of hepatobiliary disease, gastrointestinal diseases, cardiovascular diseases, diabetes, skin diseases and so on. Pungent TCMs have a vastness of pungent flavored (with pungent taste or smell) compounds. To elucidate the molecular mechanism of pungent flavored compounds in treating cardiovascular diseases (CVDs) and liver diseases, five pungent TCMs with the action of blood-activating and stasis-resolving (BASR) were selected. Here, an integrated systems pharmacology approach is presented for illustrating the molecular correlations between pungent flavored compounds and their holistic efficacy at the special organ level. First, we identified target proteins that are associated with pungent flavored compounds and found that these targets were functionally related to CVDs and liver diseases. Then, based on the phenotype that directly links human genes to the body parts they affect, we clustered target modules associated with pungent flavored compounds into liver and heart organs. We applied systems-based analysis to introduce a pungent flavored compound-target-pathway-organ network that clarifies mechanisms of pungent substances treating cardiovascular diseases and liver diseases by acting on the heart/liver organ. The systems pharmacology also suggests a novel systematic strategy for rational drug development from pungent TCMs in treating cardiovascular disease and associated liver diseases.


Asunto(s)
Agentes Aversivos/química , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacocinética , Medicina Tradicional China , Algoritmos , Biología Computacional/métodos , Bases de Datos Farmacéuticas , Aromatizantes/química , Humanos , Especificidad de Órganos/efectos de los fármacos
8.
Food Chem ; 283: 611-620, 2019 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-30722919

RESUMEN

The comprehensive mechanistic understanding of pungency and the binding interactions between pungent capsaicinoids from foods and their receptors have attracted increasing attention in food sensory and pharmaceutical fields. In this study, linear and quadratic statistically significant quantitative structure-pungency correlations have firstly been established for capsaicinoids by combining genetic function approximation and brute force approach and subsequently validated by the tests of cross validation, randomization, external prediction, Roy's rm2 metrics and Golbraikh-Tropsha's criteria. The resultant optimal predictive correlation models have strong internal and external predictive capacities (r2 = 0.949-0.989, r2CV = 0.860-0.955, r2pred = 0.859-0.904), which elucidate the elementary electrostatic, hydrogen bonding, hydrophobic and steric structural requirements for the pungent perception of capsaicinoids. Finally, a series of new capsaicinoids was designed based on the insights from the established correlation models, and most of which showed excellent predicted pungency potency and acceptable ADMET properties.


Asunto(s)
Capsaicina/química , Relación Estructura-Actividad Cuantitativa , Agentes Aversivos/química , Capsicum/química , Capsicum/metabolismo , Enlace de Hidrógeno , Interacciones Hidrofóbicas e Hidrofílicas , Teoría Cuántica , Electricidad Estática
9.
Food Chem ; 283: 621-627, 2019 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-30722920

RESUMEN

Bitter sensation is mediated by various bitter taste receptors (T2Rs), thus T2R antagonists are actively explored. Our objective was to look for novel T2R blockers in hen protein hydrolysate (HPH). We screened the least bitter HPH fractions using electronic tongue, and analyzed their peptide sequences and calcium mobilization in HEK293T cells expressing T2Rs. The results showed that the HPH fractions with higher bitterness intensity had higher hydrophobicity, more hydrophobic amino acids, and more positively charged peptides, but fewer known umami peptides. The peptide fractions from the least bitter HPH fraction significantly inhibited quinine bitterness (P < 0.05), and also significantly inhibited quinine- or diphenhydramine-dependent calcium mobilization of HEK293T cells expressing human T2R4, T2R7, or T2R14 (P < 0.05). Among them, the first eluted (least bitter) peptide fraction showed the strongest bitter-inhibitory effect. In conclusion, HPH peptides are the blockers of T2R4, T2R7, and T2R14.


Asunto(s)
Péptidos/metabolismo , Receptores Acoplados a Proteínas G/metabolismo , Secuencia de Aminoácidos , Animales , Agentes Aversivos/química , Calcio/metabolismo , Pollos/metabolismo , Cromatografía de Fase Inversa , Nariz Electrónica , Células HEK293 , Humanos , Interacciones Hidrofóbicas e Hidrofílicas , Péptidos/química , Péptidos/aislamiento & purificación , Hidrolisados de Proteína/química , Hidrolisados de Proteína/metabolismo , Isoformas de Proteínas/antagonistas & inhibidores , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Quinina/química , Quinina/metabolismo , Receptores Acoplados a Proteínas G/antagonistas & inhibidores , Receptores Acoplados a Proteínas G/genética
10.
Nucleic Acids Res ; 47(D1): D1179-D1185, 2019 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-30357384

RESUMEN

BitterDB (http://bitterdb.agri.huji.ac.il) was introduced in 2012 as a central resource for information on bitter-tasting molecules and their receptors. The information in BitterDB is frequently used for choosing suitable ligands for experimental studies, for developing bitterness predictors, for analysis of receptors promiscuity and more. Here, we describe a major upgrade of the database, including significant increase in content as well as new features. BitterDB now holds over 1000 bitter molecules, up from the initial 550. When available, quantitative sensory data on bitterness intensity as well as toxicity information were added. For 270 molecules, at least one associated bitter taste receptor (T2R) is reported. The overall number of ligand-T2R associations is now close to 800. BitterDB was extended to several species: in addition to human, it now holds information on mouse, cat and chicken T2Rs, and the compounds that activate them. BitterDB now provides a unique platform for structure-based studies with high-quality homology models, known ligands, and for the human receptors also data from mutagenesis experiments, information on frequently occurring single nucleotide polymorphisms and links to expression levels in different tissues.


Asunto(s)
Biología Computacional/métodos , Bases de Datos Factuales , Receptores Acoplados a Proteínas G/genética , Gusto , Animales , Agentes Aversivos/química , Agentes Aversivos/metabolismo , Gatos , Pollos , Biología Computacional/tendencias , Humanos , Internet , Ligandos , Ratones , Mutación , Polimorfismo de Nucleótido Simple , Receptores Acoplados a Proteínas G/química , Receptores Acoplados a Proteínas G/metabolismo , Especificidad de la Especie
11.
J Agric Food Chem ; 66(34): 9010-9033, 2018 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-30068078

RESUMEN

Ginger, a popular functional food, has been widely used throughout the world for centuries. However, its metabolic behaviors remain unclear, which entails an obstacle to further understanding of its functional components. In this study, the metabolic profiles of ginger in rats were systemically investigated by UPLC-Q/TOF-MS. The results included the characterization of 92 components of ginger based on the summarized fragmentation patterns and self-building chemical database. Furthermore, four representative compounds were selected to explore the typical metabolic pathways of ginger. Consequently, 141 ginger-related xenobiotics were characterized, following the metabolic spots of the pungent phytochemicals were summarized. These findings indicated that the in vivo effective components of ginger were mainly derived from [6]-gingerol and [6]-shogaol. Meanwhile, hydrogenation, demethylation, glucuronidation, sulfation, and thiolation were their major metabolic reactions. These results expand our knowledge about the metabolism of ginger, which will be important for discovering its functional components and the further mechanism research.


Asunto(s)
Agentes Aversivos/química , Alimentos Funcionales/análisis , Extractos Vegetales/química , Zingiber officinale/química , Animales , Agentes Aversivos/metabolismo , Catecoles/análisis , Catecoles/metabolismo , Cromatografía Líquida de Alta Presión , Alcoholes Grasos/análisis , Alcoholes Grasos/metabolismo , Zingiber officinale/metabolismo , Masculino , Metaboloma , Extractos Vegetales/metabolismo , Ratas , Ratas Sprague-Dawley , Espectrometría de Masas en Tándem , Xenobióticos/química , Xenobióticos/metabolismo
12.
Chem Senses ; 43(4): 239-247, 2018 04 23.
Artículo en Inglés | MEDLINE | ID: mdl-29688449

RESUMEN

In the course of our ongoing studies of odor-cued taste avoidance (OCTA) to measure olfactory capabilities in animals, we observed that mice could rapidly learn to use the vapor of the classical bitterant quinine hydrochloride to avoid contact with the tastant. Here we expand on this observation to determine which among several compounds generally classed as bitter could be detected at a distance. Since mice were initially naïve we were able to assess whether the vapors of the bitter compounds tested were innately aversive as are their tastes. CD-1 mice could readily use vapor cues from quinine hydrochloride, denatonium benzoate (DB), and 6-propyl-2-thiouracil to avoid their taste. Although mice did not hesitate to make contact with these solutions on their first exposure, they did learn to do so typically after only 1 or 2 exposures. Bilaterally bulbectomized mice did not learn or retain the ability to avoid quinine and DB solutions by vapor alone, implicating olfaction as the mode of detection. Saturated aqueous solutions of sucrose octaacetate and caffeine which are bitter to humans and some strains of mice were not aversive in our studies. The very low vapor concentrations of the 3 bitterant solutions that mice detected at a distance, suggest that impurities in the reagent grade solutions, rather than the bitter molecules themselves were the basis of detection. Implications of these findings for taste testing and the role of odor in food acceptance/rejections decisions are discussed.


Asunto(s)
Agentes Aversivos/química , Reacción de Prevención/fisiología , Olfato , Gusto/fisiología , Animales , Cafeína/química , Señales (Psicología) , Femenino , Ratones , Bulbo Olfatorio/cirugía , Propiltiouracilo/química , Compuestos de Amonio Cuaternario/química , Quinina/química , Sacarosa/análogos & derivados , Sacarosa/química
13.
Chem Pharm Bull (Tokyo) ; 66(1): 71-77, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29311514

RESUMEN

The purpose of this study was to examine the ability of the artificial taste sensor to evaluate the bitterness of drugs by comparing the responses of the taste sensor with documented responses of human TASTE2 receptors (hTAS2Rs). For this purpose 22 bitter compounds, used as ingredients of pharmaceutical medicines in Japan and known ligands of hTAS2Rs, were selected for testing. Their solutions (0.01, 0.03, 0.1 mM) were evaluated by five different taste sensors (AC0, AN0, BT0, C00, AE1). Correlations between physicochemical parameters of the compounds and the responses of the taste sensors and hTAS2Rs were evaluated. From taste sensor measurements, diphenidol, haloperidol, diphenhydramine, dextromethorphan and papaverine, all ligands of hTAS2R 10 and/or hTAS2R14, were predicted to express strong bitterness, surpassing that of quinine. Responses of taste sensors BT0 were found to be significantly correlated with responses of hTAS2R14. High log P values (≧2.73) and responses of hTAS2R14 were also significantly correlated (** p<0.01, chi-square test). In conclusion, taste sensor BT0 is highly sensitive to bitterness and correlates significantly with hTAS2R14, making it useful for evaluating the bitterness of hydrophobic compounds which respond to hTAS2R14 and their inhibitors.


Asunto(s)
Agentes Aversivos/farmacología , Receptores Acoplados a Proteínas G/antagonistas & inhibidores , Gusto/efectos de los fármacos , Agentes Aversivos/química , Humanos , Japón , Ligandos , Receptores Acoplados a Proteínas G/metabolismo
14.
Sci Rep ; 6: 26904, 2016 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-27245112

RESUMEN

The human TAS2R38 gene encodes a bitter taste receptor that regulates the bitterness perception and differentiation of ingested nutritional/poisonous compounds in the oral cavity and gastrointestinal tract. TAS2R38 gene variants are associated with alterations in individual sensitivity to bitter taste and food intake; hence, these genetic variants may modify the risk for diet-related diseases, including cancer. However, little is known about the association between TAS2R38 polymorphisms and gastric cancer susceptibility. The present case-control study examined the influence of TAS2R38 polymorphisms on food intake and determined whether they predict gastric cancer risk in Koreans. A total of 1,580 subjects, including 449 gastric cancer cases, were genotyped for TAS2R38 A49P, V262A, I296V and diplotypes. Dietary data were analysed to determine the total consumption of energy, fibre, vegetables, fruits, sweets, fats, alcohol and cigarettes. TAS2R38 diplotype was not associated with food, alcohol or cigarette consumption, either independent or dependent of gastric cancer phenotype. However, the PAV/AVI diplotype significantly increased gastric cancer risk (adjusted odds ratio: 1.513; 95% confidence interval: 1.148-1.994) independent of dietary intake. Findings suggest that TAS2R38 may be associated with the risk for gastric cancer in Koreans, although the TAS2R38 diplotype did not influence dietary intake.


Asunto(s)
Polimorfismo de Nucleótido Simple , Receptores Acoplados a Proteínas G/genética , Neoplasias Gástricas/genética , Gusto/genética , Adulto , Anciano , Consumo de Bebidas Alcohólicas/fisiopatología , Pueblo Asiatico , Agentes Aversivos/química , Agentes Aversivos/metabolismo , Estudios de Casos y Controles , Carbohidratos de la Dieta/administración & dosificación , Fibras de la Dieta/administración & dosificación , Ingestión de Alimentos/fisiología , Femenino , Frutas/química , Expresión Génica , Predisposición Genética a la Enfermedad , Humanos , Masculino , Persona de Mediana Edad , Fenotipo , Receptores Acoplados a Proteínas G/metabolismo , Riesgo , Fumar/fisiopatología , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/etnología , Neoplasias Gástricas/patología , Verduras/química
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