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1.
Hum Exp Toxicol ; 35(6): 585-97, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26270564

RESUMO

INTRODUCTION: Thyroid epithelial cells produce moderate amounts of reactive oxygen species that are physiologically required for thyroid hormone synthesis. Nevertheless, when they are produced in excessive amounts, they may become toxic. OBJECTIVE: The present study is aimed to compare the lipid peroxidation (LPO), antioxidant enzymes - superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx) and non-protein thiols (reduced glutathione (GSH)) in human thyroid tissues with malignant and non-malignant disorders. DESIGN AND METHODS: The study used human thyroid tissues and blood samples from 157 women (147 diseased and 10 normal). Thyroid hormones, oxidative stress markers and antioxidants were estimated by standard methods. RESULTS: LPO significantly increased in most of the papillary thyroid carcinoma (PTC: 82.9%) and follicular thyroid adenoma (FTA: 72.9%) tissues, whilst in a majority of nodular goitre (69.2%) and Hashimoto's thyroiditis (HT: 73.7%) thyroid tissues, it remained unaltered. GSH increased in PTC (55.3%), remained unaltered in FTA (97.3%) and all other goiter samples studied. SOD increased in PTC (51.1%) and all other malignant thyroid tissues studied. CAT remained unaltered in PTC (95.7%), FTA (97.3%) and all other non-malignant samples (HT, MNG, TMNG) studied. GPx increased in PTC (63.8%), all other malignant thyroid tissues and remained unaltered in many of the FTA (91.9%) tissues and all other non-malignant samples (HT, MNG, TMNG) studied. CONCLUSIONS: In the case of non-malignant thyroid tumours, the oxidant-antioxidant balance was undisturbed, whilst in malignant tumours the balance was altered, and the change in r value observed in the LPO and SOD pairs between normal and PTC tissues and also in many pairs with multi-nodular goitre (MNG)/toxic MNG tissues may be used as a marker to differentiate/detect different malignant/non-malignant thyroid tumours.


Assuntos
Antioxidantes/metabolismo , Carcinoma/metabolismo , Bócio/metabolismo , Peroxidação de Lipídeos , Glândula Tireoide/metabolismo , Neoplasias da Glândula Tireoide/metabolismo , Adulto , Carcinoma/cirurgia , Catalase/sangue , Feminino , Glutationa Peroxidase/sangue , Bócio/cirurgia , Humanos , Pessoa de Meia-Idade , Superóxido Dismutase/sangue , Glândula Tireoide/cirurgia , Hormônios Tireóideos/sangue , Neoplasias da Glândula Tireoide/cirurgia , Tireotropina/sangue
2.
J Steroid Biochem Mol Biol ; 130(1-2): 105-24, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22386953

RESUMO

Gender bias in the incidence of thyroid cancer is well known, however, the underlying mechanism is largely unknown. The current study determines variations in the molecular characteristics of thyroid cancers between men and women. Normal and cancerous thyroid tissues were collected from a total of 125 men and women who underwent surgical thyroidectomy. Testosterone levels in serum and thyroid cancer tissues were elevated in women while it decreased in men compared to respective control groups; whereas, ligand binding activity increased in men and decreased in women. Androgen receptor (AR) mRNA expression increased in a majority of men while it decreased in a majority of women except those with follicular thyroid carcinoma (FTC). In thyroid cancers of women, Pearson's correlation analysis showed a positive correlation of AR mRNA with AR protein, CBP and Sp1, whereas AR mRNA showed a negative correlation with p53. In case of men, AR mRNA showed a positive correlation with AR and cyclin D1 proteins in papillary thyroid carcinoma (PTC); and CBP and Sp1 in follicular thyroid adenoma (FTA), whereas AR mRNA showed a positive correlation with p53. Our study identified for the first time that AR is posttranscriptionally regulated by miR-124a in thyroid cancer tissues. Further, our in vitro studies with a PTC cell line (NPA-87-1) showed miR-124a as the potent inhibitor of AR that impairs cell proliferation even in the presence of testosterone. Thus, the current study suggests that: (i) the varying pattern of testosterone level and AR status in thyroid tissues of men and women may predispose to the gender specific incidence of thyroid tumors and (ii) miR-124a plays a significant role in determining the AR gene expression pattern and thus, androgen mediated thyroid tumor growth.


Assuntos
Receptores Androgênicos/genética , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/metabolismo , Adenocarcinoma Folicular , Adulto , Linhagem Celular Tumoral , Feminino , Humanos , Masculino , MicroRNAs/genética , MicroRNAs/metabolismo , Preconceito , Receptores Androgênicos/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
3.
Endocrinology ; 149(1): 219-31, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17901226

RESUMO

In ruminants, endometrial prostaglandin F(2alpha) (PGF(2alpha)) is the luteolytic hormone. Cellular transport of PGF(2alpha) in the uterine endometrium is critical for regulation of the estrous cycle. Molecular mechanisms responsible for control of PGF(2alpha) transport in endometrium during luteolysis are largely unknown. In the present study, we characterized the prostaglandin transporter (PGT) in ovine endometrium. Ovine PGT cDNA consists of 1935 nucleotides that encode 644 amino acids. In ovine endometria, PGT is highly expressed during the period of luteolysis, between d 14 and 16 of the estrous cycle, in luminal and glandular epithelia. Pharmacological and genomic inhibition of PGT indicates that it is responsible for influx and efflux of PGF(2alpha) in ovine endometrial epithelial cells. Inhibition of PGT during the period of luteolysis prevents the release of oxytocin-induced PGF(2alpha) pulses, and maintains functional corpus luteum and its secretion of progesterone. In ovine endometrial epithelial cells, protein kinase A and protein kinase C pathways are involved in regulating the influx of PGF(2alpha), whereas epidermal growth factor receptor pathways are implicated in regulation of influx and efflux of PGF(2alpha.) The ERK1/2 pathway is associated with efflux of PGF(2alpha), whereas Jun-amino-terminal kinase/stress-activated protein kinase pathways are involved in both efflux and influx of PGF(2alpha.) Phosphatidylinositol 3-kinase pathways are not involved in either influx or efflux of PGF(2alpha) in ovine endometrial epithelial cells. These are the first results to demonstrate a functional role for PGT in regulation of PGF(2alpha) efflux and influx in ovine endometrial cells that influence luteolytic mechanisms in ruminants.


Assuntos
Dinoprosta/metabolismo , Endométrio/metabolismo , Transportadores de Ânions Orgânicos/genética , Ovinos/genética , Transdução de Sinais/fisiologia , Ácido 4,4'-Di-Isotiocianoestilbeno-2,2'-Dissulfônico/farmacologia , Sequência de Aminoácidos , Animais , Clonagem Molecular , Células Epiteliais/metabolismo , Ciclo Estral/genética , Ciclo Estral/metabolismo , Feminino , Regulação da Expressão Gênica , Luteólise/efeitos dos fármacos , Luteólise/genética , Modelos Biológicos , Dados de Sequência Molecular , Especificidade de Órgãos , Transportadores de Ânions Orgânicos/antagonistas & inibidores , Transportadores de Ânions Orgânicos/metabolismo , Transportadores de Ânions Orgânicos/fisiologia , Transdução de Sinais/genética
4.
Endocrinology ; 149(3): 1180-9, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18039779

RESUMO

Endometriosis is a debilitating disease characterized by the presence of functional endometrial glandular epithelium and stroma outside the uterine cavity that affects up to 20% of women of child-bearing age. Cyclooxygenase-2 (COX-2), a rate-limiting enzyme in the biosynthesis of prostaglandin E(2) (PGE(2)), is highly expressed in endometriotic tissues and results in increased concentrations of peritoneal PGE(2) in women. In this study, we determined the expression of COX-2 protein in ectopic and eutopic endometria in humans and the role of COX-2 in endometriotic cell survival, migration, and invasion in humans. Our results indicate that COX-2 protein is abundantly expressed in ectopic endometria compared with eutopic endometria. Comparatively, expression of COX-2 protein is higher in eutopic endometria from women with endometriosis compared with women without endometriosis. Inhibition of COX-2 decreases survival, migration, and invasion of endometriotic cells that are associated with decreased production of PGE(2). Cell growth inhibitory effects of COX-2 inhibition/silencing are mediated through nuclear poly (ADP-ribose) polymerase-mediated apoptosis. Cell motility and invasion inhibitory effects of COX-2 inhibition/silencing are mediated through matrix metalloproteinase-2 and -9 activities. Interestingly, effects of COX-2 inhibition is more profound in endometriotic epithelial than in stromal cells. Furthermore, inhibition of COX-2 affects invasion rather than migration of endometriotic epithelial and stromal cells. It is the first evidence showing that inhibition of COX-2 decreases endometriotic epithelial and stromal cell survival, migration, and invasion in humans. Our results support the emerging concept that COX-2/PGE(2) promotes the pathophysiology and pathogenesis of endometriosis in humans.


Assuntos
Movimento Celular/fisiologia , Ciclo-Oxigenase 2/metabolismo , Endométrio/metabolismo , Células Epiteliais/metabolismo , Células Estromais/metabolismo , Apoptose/fisiologia , Sobrevivência Celular/fisiologia , Células Cultivadas , Ciclo-Oxigenase 2/genética , Dinoprostona/metabolismo , Endometriose/fisiopatologia , Endométrio/efeitos dos fármacos , Endométrio/patologia , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/patologia , Feminino , Humanos , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Poli(ADP-Ribose) Polimerases/metabolismo , RNA Interferente Pequeno/farmacologia , Células Estromais/efeitos dos fármacos , Células Estromais/patologia
5.
Med J Malaysia ; 62(2): 173-4, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18705459

RESUMO

An extremely rare case of a right cerebellopontine angle medulloblastoma in a five year old Malay girl which had eroded into the petrous bone and extended into the temporal fossa is reported. Combined subtemporal and retromastoid approach to achieve gross total surgical resection was achieved followed by radiotherapy and chemotherapy.


Assuntos
Neoplasias Cerebelares/terapia , Ângulo Cerebelopontino , Meduloblastoma/terapia , Neoplasias Cerebelares/diagnóstico , Neoplasias Cerebelares/patologia , Pré-Escolar , Terapia Combinada , Feminino , Humanos , Meduloblastoma/diagnóstico , Meduloblastoma/patologia
6.
Biol Reprod ; 73(2): 230-6, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15814899

RESUMO

Uteroplacental prostaglandins (PGs) play pivotal roles in the maintenance and termination of pregnancy in mammals. In the present study, we have characterized the expression of prostaglandin transporter (PGT) in placentome caruncles, intercaruncular tissues, fetal membranes, and utero-ovarian plexus during pregnancy in cattle. Pregnant bovine uteri were collected and classified into six groups covering the entire gestational length. In caruncles and intercaruncular tissues, PGT mRNA (also known as SLC02A1) and PGT protein were highly expressed at the late stage of pregnancy compared to the early and mid stages, whereas the level of expression is constant and low in fetal membranes throughout pregnancy. PGT mRNA and PGT protein were expressed at a constant level in the utero-ovarian plexus both ipsilateral and contralateral to corpus luteum throughout the course of pregnancy. Overall, the relative expression of PGT mRNA and PGT protein were higher in caruncles than in intercaruncular tissue and fetal membranes, whereas no differences were detected between intercaruncular tissues and fetal membranes at any stage of gestation. Immunohistochemistry indicated that PGT was preferentially expressed in caruncular epithelial cells of placentomes and endometrial luminal epithelial and myometrial smooth muscle cells of the intercaruncular regions. The level of PGT expression was comparatively higher in maternal components than in fetal components. In conclusion, differential spatiotemporal tissue-specific expression of PGT in uterine and intrauterine tissues suggests a role for this transporter in the exchange of PGs between the maternal and the fetal compartments, as well as for intrauterine metabolism of PGs during pregnancy.


Assuntos
Antiporters/biossíntese , Bovinos/metabolismo , Proteínas de Ligação a DNA/biossíntese , Membranas Extraembrionárias/metabolismo , Placenta/metabolismo , Prenhez/metabolismo , Útero/metabolismo , Animais , Antiporters/genética , Northern Blotting/veterinária , Western Blotting/veterinária , Proteínas de Ligação a DNA/genética , Feminino , Feto , Imuno-Histoquímica/veterinária , Transportadores de Ânions Orgânicos , Gravidez , RNA Mensageiro/biossíntese , RNA Mensageiro/genética
7.
Endocrinology ; 145(11): 5280-93, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15308607

RESUMO

Recognition and establishment of pregnancy involve several molecular and cellular interactions among the conceptus, uterus, and corpus luteum (CL). In ruminants, interferon-tau (IFNtau) of embryonic origin is recognized as the pregnancy recognition signal. Endometrial prostaglandin F(2alpha) (PGF(2alpha)) is the luteolysin, whereas PGE(2) is considered a luteoprotective or luteotrophic mediator at the time of establishment of pregnancy. The interplay between IFNtau and endometrial PGs production, transport, and signaling at the time of maternal recognition of pregnancy (MRP) is not well understood. We have studied the expression of enzymes involved in metabolism of PGE(2) and PGF(2alpha), cyclooxygenase-1 (COX-1) and COX-2, PG synthases (PGES and PGFS), PG 15-dehydrogenase, and PG transporter as well as PGE(2) (EP2 and EP3) and PGF(2alpha) receptors. IFNtau influences cell-specific expression of COX-2, PGFS, EP2, and EP3 in endometrium, myometrium, and CL in a spatio-temporal and tissue-specific manner, whereas it does not alter COX-1, PGES, PG 15-dehydrogenase, PG transporter, or PGF(2alpha) receptor expression in any of these tissues. In endometrium, IFNtau decreases PGFS in epithelial cells and increases EP2 in stroma. In myometrium, IFNtau decreases PGFS and increases EP2 in smooth muscle cells. In CL, IFNtau increases PGES and decreases EP3. Together, our results show that IFNtau directly or indirectly increases PGE(2) biosynthesis and EP2-associated signaling in endometrium, myometrium, and CL during MRP. Thus, PGE(2) may play pivotal roles in endometrial receptivity, myometrial quiescence, and luteal maintenance, indicating polycrine (endocrine, exocrine, paracrine, and autocrine) actions of PGE(2) at the time of MRP. Therefore, the establishment of pregnancy may depend not only on inhibition of endometrial PGF(2alpha), but also on increased PGE(2) production in cattle.


Assuntos
Dinoprostona/metabolismo , Interferon Tipo I/farmacologia , Proteínas da Gravidez/farmacologia , Prenhez/metabolismo , Transdução de Sinais/efeitos dos fármacos , Animais , Bovinos , Ciclo-Oxigenase 1 , Ciclo-Oxigenase 2 , Dinoprostona/biossíntese , Endométrio/fisiologia , Feminino , Expressão Gênica , Hidroxiprostaglandina Desidrogenases/genética , Oxirredutases Intramoleculares/genética , Isoenzimas/genética , Miométrio/fisiologia , Gravidez , Prostaglandina-E Sintases , Prostaglandina-Endoperóxido Sintases/genética , RNA Mensageiro/análise , Receptores de Prostaglandina/genética , Receptores de Prostaglandina E/genética , Receptores de Prostaglandina E Subtipo EP2 , Receptores de Prostaglandina E Subtipo EP3
8.
Endocrinology ; 145(5): 2551-60, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-14736737

RESUMO

The corpus luteum (CL) is a transient ovarian endocrine gland formed from the ovulated follicle. Progesterone is the primary secretory product of CL and is essential for establishment of pregnancy in mammals. In the cyclic female, the life span of CL is characterized by luteal development, maintenance, and regression regulated by complex interactions between luteotrophic and luteolytic mediators. It is universally accepted that prostaglandin (PG) F(2a) is the luteolysin whereas PGE(2) is considered as a luteotropin in most mammals. New emerging concepts emphasize the autocrine and paracrine actions of luteal PGs in CL function. However, there is no report on selective biosynthesis and cellular transport of luteal PGE(2) and PGF(2alpha) in the CL of any species. We have studied the expression of enzymes involved in the metabolism of PGE(2) and PGF(2alpha), cyclooxygenase (COX)-1 and -2, PGE and F synthases, PG 15-dehydrogenase, and PG transporter as well as receptors (EP2, EP3, and FP) throughout the CL life span using a bovine model. COX-1, PGF synthase, and PG 15-dehydrogenase are expressed at constant levels whereas COX-2, PGE synthase, PG transporter, EP2, EP3, and FP are highly modulated during different phases of the CL life span. The PG components are preferentially expressed in large luteal cells. The results indicate that PGE(2) biosynthesis, transport, and signaling cascades are selectively activated during luteal maintenance. By contrast the PGF(2alpha) system is activated during luteal regression. Collectively, our results suggest an integrated role for luteal PGE(2) and PGF(2alpha) in autoregulation of CL function.


Assuntos
Corpo Lúteo/fisiologia , Homeostase , Prostaglandinas/biossíntese , Prostaglandinas/metabolismo , Transdução de Sinais , Animais , Antiporters/genética , Transporte Biológico , Bovinos , Corpo Lúteo/enzimologia , Ciclo-Oxigenase 1 , Ciclo-Oxigenase 2 , Proteínas de Ligação a DNA/genética , Dinoprosta/metabolismo , Dinoprostona/metabolismo , Feminino , Expressão Gênica , Hidroxiprostaglandina Desidrogenases/genética , Oxirredutases Intramoleculares/genética , Isoenzimas/genética , Transportadores de Ânions Orgânicos , Prostaglandina-E Sintases , Prostaglandina-Endoperóxido Sintases/genética , RNA Mensageiro/análise , Receptores de Prostaglandina/genética , Receptores de Prostaglandina E/genética , Receptores de Prostaglandina E Subtipo EP2 , Receptores de Prostaglandina E Subtipo EP3
9.
Endocrinology ; 145(1): 407-17, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14500566

RESUMO

Uteroplacental prostaglandins (PGs) play pivotal roles in maintenance and /or termination of pregnancy in mammals. Regulation of PG biosynthetic and signaling mechanisms in uteroplacental tissues during maintenance of pregnancy is largely unknown. In the present study, we have characterized the expression of PGE2 receptors (EP2, EP3, EP4), PGF2alpha receptor (FP), and cyclooxygenase (COX) types 1 and 2 in placentome caruncle (CAR), intercaruncle, and fetal membrane tissues during pregnancy in cattle. Pregnant bovine uteri were collected and classified into six groups covering the entire gestational length. The levels of expression of EP2, EP3, and FP mRNAs differ depending on tissues and days of gestation (days <50 to >250). EP4 mRNA was undetectable in all the tissues studied. The expression levels of PG receptor mRNAs were as follows: placentome CAR FP>EP2>P3, intercaruncle EP2>EP3> or =FP, and fetal membranes EP3> or =EP2 >>FP. EP2 and EP3 expressions were modulated in uteroplacental tissues, depending on days of pregnancy, whereas FP was uniformly expressed. COX-1 mRNA and protein were constitutively expressed, whereas COX-2 was highly modulated in uteroplacental tissues throughout pregnancy. Immunohistochemistry showed that EP2 and COX-2 proteins were colocalized in most cell types of placentome CAR, endometrium, and myometrium. Our study indicates that EP2 is the primary cAMP-generating PGE2 receptor expressed in uteroplacental tissues during bovine pregnancy. Temporal and tissue-specific expression of PGE2 and PGF2alpha receptors and COX-1 and -2 at the maternal-fetal interface suggests a selective and distinctive role for PGE2 and PGF2alpha in uterine activities during pregnancy in bovine.


Assuntos
Membranas Extraembrionárias/fisiologia , Isoenzimas/genética , Prenhez/fisiologia , Prostaglandina-Endoperóxido Sintases/genética , Receptores de Prostaglandina E/genética , Útero/fisiologia , Animais , Bovinos , Ciclo-Oxigenase 1 , Ciclo-Oxigenase 2 , Feminino , Expressão Gênica , Gravidez , Receptores de Prostaglandina/genética , Receptores de Prostaglandina E Subtipo EP2 , Receptores de Prostaglandina E Subtipo EP3 , Receptores de Prostaglandina E Subtipo EP4
10.
Endocrinology ; 144(7): 3076-91, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12810564

RESUMO

Prostaglandins (PGs) play important functions in the reproductive system, and PGE(2) appears necessary for recognition of pregnancy. We have found that PGE(2) is able to increase cAMP generation in the bovine endometrium. There are two PGE(2) receptors (EP), EP2 and EP4, that are coupled to adenylate cyclase to generate cAMP, but these receptors have not been studied in the bovine. We have cloned and characterized bovine EP2 and EP4 receptors and studied their expression in the uterus. The amino acid sequences of bovine EP2 and EP4 possess a high degree (>80%) of identity with the other mammalian homologs. EP2 is expressed in most tissues, and EP4 is expressed only in intestine and testis. EP2 mRNA and protein are expressed in endometrium and myometrium during the estrous cycle, whereas EP4 is undetectable. The Western analysis indicates that EP2 is maximally expressed in both endometrium and myometrium between d 10 and 18 of the estrous cycle. Immunohistochemical localization reveals that EP2 protein is expressed in all cell types of endometrium and myometrium. On d 18, pregnancy up-regulates EP2 protein, primarily in endometrial stroma and myometrial smooth muscle cells. In conclusion, EP2 is the major cAMP-generating PGE(2) receptor expressed and regulated in the bovine uterus during the estrous cycle and early pregnancy.


Assuntos
Endométrio/fisiologia , Ciclo Estral/fisiologia , Miométrio/fisiologia , Prenhez/fisiologia , Receptores de Prostaglandina E/genética , Animais , Especificidade de Anticorpos , Sequência de Bases , Northern Blotting , Southern Blotting , Bovinos , Clonagem Molecular , Feminino , Expressão Gênica/fisiologia , Dados de Sequência Molecular , Gravidez , Receptores de Prostaglandina E/imunologia , Receptores de Prostaglandina E Subtipo EP2 , Receptores de Prostaglandina E Subtipo EP4 , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Homologia de Sequência de Aminoácidos
11.
Endocr Res ; 27(4): 447-63, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11794468

RESUMO

Experimental and clinical data from cancerous thyroid tissue suggest gender as one of the major factors influencing thyroid growth. However, there is not much information on the effect of sex steroids on the normal development and growth of the thyroid. The aim of the present study was to examine the effect of sex steroids on thyroid growth, serum TSH and TSH receptors in the thyroid, at various stages of sexual maturation. Normal Wistar male and female rats from immature to adult age (day 21, 30, 45, 60 and 160 post partum (PP)) were used in the present study. One group of rats was gonadectomized (GDX) (Group II); another 2 groups of GDX rats (Groups III and IV) were treated with replacement doses (i.e. physiological amounts) of either testosterone or estradiol. Thyroid growth indices (thyroid weight, concentration of DNA, mitotic index and numerical density of thyrocytes), serum TSH and concentration of TSH receptors in the thyroid were assessed. It is concluded from the present study that (i) sex steroids influence thyroid growth by interfering with the secretion of TSH and regulating its receptor number in the thyroid (ii) while testosterone facilitates the mitogenic activity of the thyroid gland of rats irrespective of sex and age, estradiol plays a gender-specific stimulatory role on thyroid growth.


Assuntos
Estradiol/farmacologia , Testosterona/farmacologia , Glândula Tireoide/efeitos dos fármacos , Glândula Tireoide/crescimento & desenvolvimento , Envelhecimento , Animais , Contagem de Células , DNA/análise , Feminino , Masculino , Índice Mitótico , Orquiectomia , Tamanho do Órgão , Ovariectomia , Ratos , Ratos Wistar , Receptores da Tireotropina/análise , Glândula Tireoide/química , Tireotropina/sangue
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