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1.
Nat Commun ; 15(1): 7572, 2024 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-39217140

RESUMO

Neurons receive thousands of inputs onto their dendritic arbour, where individual synapses undergo activity-dependent plasticity. Long-lasting changes in postsynaptic strengths correlate with changes in spine head volume. The magnitude and direction of such structural plasticity - potentiation (sLTP) and depression (sLTD) - depend upon the number and spatial distribution of stimulated synapses. However, how neurons allocate resources to implement synaptic strength changes across space and time amongst neighbouring synapses remains unclear. Here we combined experimental and modelling approaches to explore the elementary processes underlying multi-spine plasticity. We used glutamate uncaging to induce sLTP at varying number of synapses sharing the same dendritic branch, and we built a model incorporating a dual role Ca2+-dependent component that induces spine growth or shrinkage. Our results suggest that competition among spines for molecular resources is a key driver of multi-spine plasticity and that spatial distance between simultaneously stimulated spines impacts the resulting spine dynamics.


Assuntos
Espinhas Dendríticas , Plasticidade Neuronal , Sinapses , Animais , Plasticidade Neuronal/fisiologia , Espinhas Dendríticas/fisiologia , Sinapses/fisiologia , Dendritos/fisiologia , Cálcio/metabolismo , Modelos Neurológicos , Ácido Glutâmico/metabolismo , Ratos , Neurônios/fisiologia , Masculino , Hipocampo/fisiologia , Hipocampo/citologia
2.
Commun Biol ; 6(1): 930, 2023 09 11.
Artigo em Inglês | MEDLINE | ID: mdl-37696988

RESUMO

Our brains continuously acquire and store memories through synaptic plasticity. However, spontaneous synaptic changes can also occur and pose a challenge for maintaining stable memories. Despite fluctuations in synapse size, recent studies have shown that key population-level synaptic properties remain stable over time. This raises the question of how local synaptic plasticity affects the global population-level synaptic size distribution and whether individual synapses undergoing plasticity escape the stable distribution to encode specific memories. To address this question, we (i) studied spontaneously evolving spines and (ii) induced synaptic potentiation at selected sites while observing the spine distribution pre- and post-stimulation. We designed a stochastic model to describe how the current size of a synapse affects its future size under baseline and stimulation conditions and how these local effects give rise to population-level synaptic shifts. Our study offers insights into how seemingly spontaneous synaptic fluctuations and local plasticity both contribute to population-level synaptic dynamics.


Assuntos
Encéfalo , Plasticidade Neuronal , Densidade Demográfica , Dinâmica Populacional
3.
Neuroscience ; 525: 38-46, 2023 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-37295597

RESUMO

Astrocytes have been increasingly acknowledged to play active roles in regulating synaptic transmission and plasticity. Through a variety of metabotropic and ionotropic receptors expressed on their surface, astrocytes detect extracellular neurotransmitters, and in turn, release gliotransmitters to modify synaptic strength, while they can also alter neuronal membrane excitability by modulating extracellular ionic milieu. Given the seemingly large repertoire of synaptic modulation, when, where and how astrocytes interact with synapses remain to be fully understood. Previously, we have identified a role for astrocyte NMDA receptor and L-VGCCs signaling in heterosynaptic presynaptic plasticity and promoting the heterogeneity of presynaptic strengths at hippocampal synapses. Here, we have sought to further clarify the mode by which astrocytes regulate presynaptic plasticity by exploiting a reduced culture system to globally evoke NMDA receptor-dependent presynaptic plasticity. Recording from a postsynaptic neuron intracellularly loaded with BAPTA, briefly bath applying NMDA and glycine induces a stable decrease in the rate of spontaneous glutamate release, which requires the presence of astrocytes and the activation of A1 adenosine receptors. Upon preventing astrocyte calcium signaling or blocking L-VGCCs, NMDA + glycine application triggers an increase, rather than a decrease, in the rate of spontaneous glutamate release, thereby shifting the presynaptic plasticity to promote an increase in strength. Our findings point to a crucial and surprising role of astrocytes in controlling the polarity of NMDA receptor and adenosine-dependent presynaptic plasticity. Such a pivotal mechanism unveils the power of astrocytes in regulating computations performed by neural circuits and is expected to profoundly impact cognitive processes.


Assuntos
Astrócitos , Sinalização do Cálcio , Astrócitos/metabolismo , Sinalização do Cálcio/fisiologia , Receptores de N-Metil-D-Aspartato/metabolismo , N-Metilaspartato/farmacologia , N-Metilaspartato/metabolismo , Transmissão Sináptica/fisiologia , Sinapses/metabolismo , Glutamatos/metabolismo , Glicina/metabolismo , Cálcio/metabolismo , Plasticidade Neuronal
4.
FEBS J ; 290(14): 3512-3526, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-35647709

RESUMO

Astrocytes are increasingly gaining attention as a major player in regulating brain functions. Not only are astrocytes important for their supporting roles in maintaining optimal neuronal activity, they also dynamically interact with synapses through their highly ramified morphology to directly influence information processing by the neural circuits and the behaviours that depend on it. Here, we take a close look at astrocyte-synapse interactions involved in the coordination of synaptogenesis and astrocyte maturation in the developing brain through to the contribution of astrocytes in synaptic plasticity in the adult brain, and end with a perspective on astrocyte function in behaviours and diseases. In particular, we focus on the roles of synapse adhesion proteins. While cell adhesion proteins that form a bridge between the presynaptic and the postsynaptic compartments have been extensively studied, recent reports highlighting the striking participation of astrocytic cell adhesion proteins in synapse formation and function underscores the importance of reconsidering the conventional neurocentric view of synaptic adhesive interactions and the underlying logic.


Assuntos
Astrócitos , Sinapses , Astrócitos/metabolismo , Sinapses/metabolismo , Neurônios/metabolismo , Moléculas de Adesão Celular/genética , Moléculas de Adesão Celular/metabolismo , Hipocampo/metabolismo
5.
Front Mol Neurosci ; 15: 893111, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35875665

RESUMO

Excitatory-inhibitory (E-I) imbalance has been shown to contribute to the pathogenesis of a wide range of neurodevelopmental disorders including autism spectrum disorders, epilepsy, and schizophrenia. GABA neurotransmission, the principal inhibitory signal in the mature brain, is critically coupled to proper regulation of chloride homeostasis. During brain maturation, changes in the transport of chloride ions across neuronal cell membranes act to gradually change the majority of GABA signaling from excitatory to inhibitory for neuronal activation, and dysregulation of this GABA-shift likely contributes to multiple neurodevelopmental abnormalities that are associated with circuit dysfunction. Whilst traditionally viewed as a phenomenon which occurs during brain development, recent evidence suggests that this GABA-shift may also be involved in neuropsychiatric disorders due to the "dematuration" of affected neurons. In this review, we will discuss the cell signaling and regulatory mechanisms underlying the GABA-shift phenomenon in the context of the latest findings in the field, in particular the role of chloride cotransporters NKCC1 and KCC2, and furthermore how these regulatory processes are altered in neurodevelopmental and neuropsychiatric disorders. We will also explore the interactions between GABAergic interneurons and other cell types in the developing brain that may influence the GABA-shift. Finally, with a greater understanding of how the GABA-shift is altered in pathological conditions, we will briefly outline recent progress on targeting NKCC1 and KCC2 as a therapeutic strategy against neurodevelopmental and neuropsychiatric disorders associated with improper chloride homeostasis and GABA-shift abnormalities.

6.
Front Synaptic Neurosci ; 14: 833782, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35387308

RESUMO

Neurotransmission is critically dependent on the number, position, and composition of receptor proteins on the postsynaptic neuron. Of these, α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid receptors (AMPARs) are responsible for the majority of postsynaptic depolarization at excitatory mammalian synapses following glutamate release. AMPARs are continually trafficked to and from the cell surface, and once at the surface, AMPARs laterally diffuse in and out of synaptic domains. Moreover, the subcellular distribution of AMPARs is shaped by patterns of activity, as classically demonstrated by the synaptic insertion or removal of AMPARs following the induction of long-term potentiation (LTP) and long-term depression (LTD), respectively. Crucially, there are many subtleties in the regulation of AMPARs, and exactly how local and global synaptic activity drives the trafficking and retention of synaptic AMPARs of different subtypes continues to attract attention. Here we will review how activity can have differential effects on AMPAR distribution and trafficking along with its subunit composition and phosphorylation state, and we highlight some of the controversies and remaining questions. As the AMPAR field is extensive, to say the least, this review will focus primarily on cellular and molecular studies in the hippocampus. We apologise to authors whose work could not be cited directly owing to space limitations.

7.
Elife ; 102021 10 25.
Artigo em Inglês | MEDLINE | ID: mdl-34693906

RESUMO

Experience-dependent plasticity is a key feature of brain synapses for which neuronal N-Methyl-D-Aspartate receptors (NMDARs) play a major role, from developmental circuit refinement to learning and memory. Astrocytes also express NMDARs, although their exact function has remained controversial. Here, we identify in mouse hippocampus, a circuit function for GluN2C NMDAR, a subtype highly expressed in astrocytes, in layer-specific tuning of synaptic strengths in CA1 pyramidal neurons. Interfering with astrocyte NMDAR or GluN2C NMDAR activity reduces the range of presynaptic strength distribution specifically in the stratum radiatum inputs without an appreciable change in the mean presynaptic strength. Mathematical modeling shows that narrowing of the width of presynaptic release probability distribution compromises the expression of long-term synaptic plasticity. Our findings suggest a novel feedback signaling system that uses astrocyte GluN2C NMDARs to adjust basal synaptic weight distribution of Schaffer collateral inputs, which in turn impacts computations performed by the CA1 pyramidal neuron.


Assuntos
Região CA1 Hipocampal/fisiologia , Plasticidade Neuronal/fisiologia , Células Piramidais/fisiologia , Receptores de N-Metil-D-Aspartato/genética , Animais , Camundongos , Receptores de N-Metil-D-Aspartato/metabolismo
8.
Curr Opin Neurobiol ; 69: iii-v, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34429214

Assuntos
Neurociências
9.
Cell Rep ; 34(4): 108693, 2021 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-33503435

RESUMO

Dendrites are crucial for integrating incoming synaptic information. Individual dendritic branches are thought to constitute a signal processing unit, yet how neighboring synapses shape the boundaries of functional dendritic units is not well understood. Here, we address the cellular basis underlying the organization of the strengths of neighboring Schaffer collateral-CA1 synapses by optical quantal analysis and spine size measurements. Inducing potentiation at clusters of spines produces NMDA-receptor-dependent heterosynaptic plasticity. The direction of postsynaptic strength change shows distance dependency to the stimulated synapses where proximal synapses predominantly depress, whereas distal synapses potentiate; potentiation and depression are regulated by CaMKII and calcineurin, respectively. In contrast, heterosynaptic presynaptic plasticity is confined to weakening of presynaptic strength of nearby synapses, which requires CaMKII and the retrograde messenger nitric oxide. Our findings highlight the parallel engagement of multiple signaling pathways, each with characteristic spatial dynamics in shaping the local pattern of synaptic strengths.


Assuntos
Dendritos/metabolismo , Plasticidade Neuronal/genética , Sinapses/metabolismo , Humanos
10.
Curr Opin Neurobiol ; 67: 106-114, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33160201

RESUMO

Synapses change in strength following patterns of activity, but in many cases seemingly inactive neighbouring synapses also undergo changes in strength. These heterosynaptic changes occur across developmental time-points in various brain circuits in different species, but their precise molecular mechanisms are not well understood. Additionally, heterosynaptic changes can mirror homosynaptic plasticity or occur in opposition to homosynaptic changes. In this review we consider what useful functionality heterosynaptic dynamics could potentially endow the circuit with, and the underlying signalling events that implement heterosynaptic changes. We discuss what unanswered questions remain, and what the future looks like for understanding the logic of synaptic plasticity.


Assuntos
Plasticidade Neuronal , Sinapses
11.
Nat Rev Neurosci ; 21(10): 524-534, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32879507

RESUMO

The first issue of Nature Reviews Neuroscience was published 20 years ago, in 2000. To mark this anniversary, in this Viewpoint article we asked a selection of researchers from across the field who have authored pieces published in the journal in recent years for their thoughts on notable and interesting developments in neuroscience, and particularly in their areas of the field, over the past two decades. They also provide some thoughts on current lines of research and questions that excite them.


Assuntos
Neurociências/história , História do Século XXI , Humanos
12.
Mol Psychiatry ; 25(11): 2695-2711, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32764691

RESUMO

Despite extensive genetic and neuroimaging studies, detailed cellular mechanisms underlying schizophrenia and bipolar disorder remain poorly understood. Recent progress in single-cell RNA sequencing (scRNA-seq) technologies enables identification of cell-type-specific pathophysiology. However, its application to psychiatric disorders is challenging because of methodological difficulties in analyzing human brains and the confounds due to a lifetime of illness. Brain organoids derived from induced pluripotent stem cells (iPSCs) of the patients are a powerful avenue to investigate the pathophysiological processes. Here, we generated iPSC-derived cerebral organoids from monozygotic twins discordant for psychosis. scRNA-seq analysis of the organoids revealed enhanced GABAergic specification and reduced cell proliferation following diminished Wnt signaling in the patient, which was confirmed in iPSC-derived forebrain neuronal cells. Two additional monozygotic twin pairs discordant for schizophrenia also confirmed the excess GABAergic specification of the patients' neural progenitor cells. With a well-controlled genetic background, our data suggest that unbalanced specification of excitatory and inhibitory neurons during cortical development underlies psychoses.


Assuntos
Córtex Cerebral , Organoides , Transtornos Psicóticos/genética , Transtornos Psicóticos/patologia , Análise de Célula Única , Gêmeos Monozigóticos/genética , Gêmeos Monozigóticos/psicologia , Córtex Cerebral/citologia , Córtex Cerebral/patologia , Humanos , Células-Tronco Pluripotentes Induzidas/patologia , Masculino , Organoides/citologia , Organoides/patologia , Análise de Sequência de RNA
13.
PLoS Biol ; 17(6): e2006223, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31166943

RESUMO

Neurons receive a large number of active synaptic inputs from their many presynaptic partners across their dendritic tree. However, little is known about how the strengths of individual synapses are controlled in balance with other synapses to effectively encode information while maintaining network homeostasis. This is in part due to the difficulty in assessing the activity of individual synapses with identified afferent and efferent connections for a synapse population in the brain. Here, to gain insights into the basic cellular rules that drive the activity-dependent spatial distribution of pre- and postsynaptic strengths across incoming axons and dendrites, we combine patch-clamp recordings with live-cell imaging of hippocampal pyramidal neurons in dissociated cultures and organotypic slices. Under basal conditions, both pre- and postsynaptic strengths cluster on single dendritic branches according to the identity of the presynaptic neurons, thus highlighting the ability of single dendritic branches to exhibit input specificity. Stimulating a single presynaptic neuron induces input-specific and dendritic branchwise spatial clustering of presynaptic strengths, which accompanies a widespread multiplicative scaling of postsynaptic strengths in dissociated cultures and heterosynaptic plasticity at distant synapses in organotypic slices. Our study provides evidence for a potential homeostatic mechanism by which the rapid changes in global or distant postsynaptic strengths compensate for input-specific presynaptic plasticity.


Assuntos
Dendritos/fisiologia , Terminações Pré-Sinápticas/fisiologia , Potenciais Sinápticos/fisiologia , Animais , Axônios , Região CA3 Hipocampal/fisiologia , Dendritos/metabolismo , Potenciais Pós-Sinápticos Excitadores , Hipocampo/fisiologia , Homeostase , Camundongos , Camundongos Endogâmicos C57BL , Modelos Neurológicos , Neurônios/fisiologia , Técnicas de Patch-Clamp , Células Piramidais/fisiologia , Sinapses/fisiologia
14.
Sci Adv ; 5(4): eaau8237, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30989111

RESUMO

Dysfunctional mTOR signaling is associated with the pathogenesis of neurodevelopmental and neuropsychiatric disorders. However, it is unclear what molecular mechanisms and pathogenic mediators are involved and whether mTOR-regulated autophagy continues to be crucial beyond neurodevelopment. Here, we selectively deleted Atg7 in forebrain GABAergic interneurons in adolescent mice and unexpectedly found that these mice showed a set of behavioral deficits similar to Atg7 deletion in forebrain excitatory neurons. By unbiased quantitative proteomic analysis, we identified γ-aminobutyric acid receptor-associated protein-like 2 (GABARAPL2) to differentially form high-molecular weight species in autophagy-deficient brains. Further functional analyses revealed a novel pathogenic mechanism involving the p62-dependent sequestration of GABARAP family proteins, leading to the reduction of surface GABAA receptor levels. Our work demonstrates a novel physiological role for autophagy in regulating GABA signaling beyond postnatal neurodevelopment, providing a potential mechanism for the reduced inhibitory inputs observed in neurodevelopmental and neuropsychiatric disorders with mTOR hyperactivation.


Assuntos
Proteínas Reguladoras de Apoptose/metabolismo , Autofagia , Encéfalo/patologia , Proteínas Associadas aos Microtúbulos/metabolismo , Receptores de GABA-A/metabolismo , Comportamento Social , Animais , Humanos , Interneurônios/metabolismo , Camundongos , Camundongos Transgênicos , Neurônios/metabolismo , Prosencéfalo/fisiologia , Agregados Proteicos , Ligação Proteica , Transporte Proteico
15.
Cell Rep ; 20(2): 333-343, 2017 07 11.
Artigo em Inglês | MEDLINE | ID: mdl-28700936

RESUMO

Alternative splicing of pre-mRNAs is prominent in the mammalian brain, where it is thought to expand proteome diversity. For example, alternative splicing of voltage-gated Ca2+ channel (VGCC) α1 subunits can generate thousands of isoforms with differential properties and expression patterns. However, the impact of this molecular diversity on brain function, particularly on synaptic transmission, which crucially depends on VGCCs, is unclear. Here, we investigate how two major splice isoforms of P/Q-type VGCCs (Cav2.1[EFa/b]) regulate presynaptic plasticity in hippocampal neurons. We find that the efficacy of P/Q-type VGCC isoforms in supporting synaptic transmission is markedly different, with Cav2.1[EFa] promoting synaptic depression and Cav2.1[EFb] synaptic facilitation. Following a reduction in network activity, hippocampal neurons upregulate selectively Cav2.1[EFa], the isoform exhibiting the higher synaptic efficacy, thus effectively supporting presynaptic homeostatic plasticity. Therefore, the balance between VGCC splice variants at the synapse is a key factor in controlling neurotransmitter release and presynaptic plasticity.


Assuntos
Processamento Alternativo/fisiologia , Canais de Cálcio Tipo N/genética , Canais de Cálcio Tipo N/metabolismo , Processamento Alternativo/genética , Animais , Células Cultivadas , Eletrofisiologia , Potenciais Pós-Sinápticos Excitadores/efeitos dos fármacos , Potenciais Pós-Sinápticos Excitadores/genética , Antagonistas GABAérgicos/farmacologia , Plasticidade Neuronal/efeitos dos fármacos , Plasticidade Neuronal/genética , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Picrotoxina/farmacologia , Interferência de RNA , Ratos , Sinapses/efeitos dos fármacos , Sinapses/metabolismo , Transmissão Sináptica/efeitos dos fármacos , Transmissão Sináptica/genética
16.
Nat Rev Neurosci ; 17(12): 745-756, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27811927

RESUMO

Integrins are a large family of extracellular matrix (ECM) receptors. In the developing and adult brain, many integrins are present at high levels at synapses. The tetrapartite structure of synapses - which comprises presynaptic and postsynaptic neurons, the ECM and glial processes - places synaptic integrins in an excellent position to sense dynamic changes in the synaptic environment and use this information to coordinate further changes in synapse structure and function that will shape neural circuit properties. Recent developments in our understanding of the cellular and physiological roles of integrins, which range from control of neural process outgrowth and synapse formation to regulation of synaptic plasticity and memory, enable us to attempt a synthesis of synaptic integrin function.


Assuntos
Integrinas/metabolismo , Neurogênese/fisiologia , Plasticidade Neuronal/fisiologia , Sinapses/fisiologia , Animais , Matriz Extracelular/metabolismo , Humanos , Memória/fisiologia , Rede Nervosa/metabolismo , Doenças do Sistema Nervoso/metabolismo , Neuroglia/metabolismo , Neurônios/metabolismo , Transdução de Sinais/fisiologia
17.
Proc Natl Acad Sci U S A ; 113(19): E2685-94, 2016 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-27118849

RESUMO

Dendrites are neuronal structures specialized for receiving and processing information through their many synaptic inputs. How input strengths are modified across dendrites in ways that are crucial for synaptic integration and plasticity remains unclear. We examined in single hippocampal neurons the mechanism of heterosynaptic interactions and the heterogeneity of synaptic strengths of pyramidal cell inputs. Heterosynaptic presynaptic plasticity that counterbalances input strengths requires N-methyl-d-aspartate receptors (NMDARs) and astrocytes. Importantly, this mechanism is shared with the mechanism for maintaining highly heterogeneous basal presynaptic strengths, which requires astrocyte Ca(2+) signaling involving NMDAR activation, astrocyte membrane depolarization, and L-type Ca(2+) channels. Intracellular infusion of NMDARs or Ca(2+)-channel blockers into astrocytes, conditionally ablating the GluN1 NMDAR subunit, or optogenetically hyperpolarizing astrocytes with archaerhodopsin promotes homogenization of convergent presynaptic inputs. Our findings support the presence of an astrocyte-dependent cellular mechanism that enhances the heterogeneity of presynaptic strengths of convergent connections, which may help boost the computational power of dendrites.


Assuntos
Astrócitos/fisiologia , Comunicação Celular/fisiologia , Hipocampo/fisiologia , Rede Nervosa/fisiologia , Terminações Pré-Sinápticas/fisiologia , Transmissão Sináptica/fisiologia , Potenciais de Ação/fisiologia , Animais , Sinalização do Cálcio/fisiologia , Potenciais da Membrana/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Ratos
19.
Curr Opin Neurobiol ; 35: 148-55, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26318535

RESUMO

Cell adhesion molecules (CAMs) play a crucial role in organizing the synaptic interface and regulating synapse activity. In turn, CAMs can influence a variety of higher brain functions. In addition to their bona fide interacting partners on the apposed cell surface or the extracellular matrix (ECM) with which they form molecular bridges, synaptic CAMs bind to many other proteins with their intracellular and extracellular domains. The resulting multi-molecular complexes at the active zone and at the postsynaptic density (PSD) are thought to anchor components requisite for synaptic transmission. Recent studies demonstrating the proteolytic cleavage of synaptic CAMs underscore an exciting mechanism through which the synaptic microenvironment can be altered and thereby finely tune the efficacy of synaptic transmission.


Assuntos
Moléculas de Adesão Celular/fisiologia , Proteólise , Transmissão Sináptica/fisiologia , Animais , Humanos
20.
Gan To Kagaku Ryoho ; 42(1): 63-6, 2015 Jan.
Artigo em Japonês | MEDLINE | ID: mdl-25596681

RESUMO

In switching from oraloxycodone to oxycodone injection, clinical guidelines recommend a conversion dose ratio of 0.75. However, in clinical sites, a higher dosage may be needed due to characteristics of cancer pain. In the present study, we investigated changing the dosage amount of oxycodone before and after switching from oraloxycodone administration to oxycodone injection in patients (n=14) who reported suffering from cancer pain. As a result, we found the ratio of the amount used after switching to be 0.91 ± 0.25 (mean ± SD) on the first day, increasing to 1.46 ± 0.48 on the fifth day. Our findings suggest that the dosage amount was the correct one for each patient's condition and also that adequate injection dosage to manage cancer pain was greater than that of calculated by the conversion ratio.


Assuntos
Analgésicos Opioides/administração & dosagem , Neoplasias/complicações , Oxicodona/administração & dosagem , Dor/tratamento farmacológico , Administração Oral , Idoso , Analgésicos Opioides/uso terapêutico , Relação Dose-Resposta a Droga , Feminino , Humanos , Injeções Intravenosas , Masculino , Pessoa de Meia-Idade , Oxicodona/uso terapêutico , Dor/etiologia , Cuidados Paliativos
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