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1.
Pestic Biochem Physiol ; 143: 1-7, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29183576

RESUMO

Popillia japonica is a generalist herbivore that feeds on >300 host plant species in at least 72 plant families. It is unknown why P. japonica, despite possessing active detoxification enzymes in its gut, is paralyzed when feeding on the petals of one of its preferred host plant, Pelargonium×hortorum, or on artificial diet containing quisqualic acid (QA), the active compound in zonal geranium. We hypothesized that Pelargonium×hortorum or QA do not induce activity of the cytochrome P450, glutathione S transferase (GST), and carboxylesterase (CoE) detoxification enzymes in P. japonica. In this study, P. japonica were fed petals of zonal geranium or agar plugs containing QA, or rose petals, another preferred but non-toxic host. Midgut enzyme activities of P450, GST, and CoE were then assayed after 6, 12, or 24h of feeding. In most cases, P450, GST, and CoE activities were significantly induced in P. japonica midguts by geranium petals and QA, though the induction was slower than with rose petals. Induced enzyme activity reached a peak at 24h after consumption, which coincides with the period of highest recovery from geranium and QA paralysis. This study shows that toxic geranium and QA induce detoxification enzyme activity, but the induced enzymes do not effectively protect P. japonica from paralysis by QA. Further investigation is required through in vitro studies to know if the enzymes induced by geranium are capable of metabolizing QA. This study highlights a rare physiological mismatch between the detoxification tool kit of a generalist and its preferred host.


Assuntos
Besouros/efeitos dos fármacos , Geranium/toxicidade , Ácido Quisquálico/toxicidade , Animais , Carboxilesterase/metabolismo , Besouros/enzimologia , Sistema Enzimático do Citocromo P-450/metabolismo , Citosol/efeitos dos fármacos , Citosol/enzimologia , Indução Enzimática/efeitos dos fármacos , Flores/toxicidade , Glutationa Transferase/metabolismo , Inativação Metabólica , Intestinos/efeitos dos fármacos , Intestinos/enzimologia , Microssomos/efeitos dos fármacos , Microssomos/enzimologia , Paralisia/induzido quimicamente , Paralisia/enzimologia , Rosa/toxicidade
2.
Exp Neurol ; 261: 646-53, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25151458

RESUMO

Agrin, a heparan sulfate proteoglycan functioning as a neuro-muscular junction inducer, has been shown to inhibit neuropathic pain in sciatic nerve injury rat models, via phosphorylation of N-Methyl-d-aspartate receptor NR1 subunits in gamma-aminobutyric acid neurons. However, its effects on spinal cord injury-induced neuropathic pain, a debilitating syndrome frequently encountered after various spine traumas, are unknown. In the present investigation, we studied the 50kDa agrin isoform effects in a quisqualic acid dorsal horn injection rat model mimicking spinal cord injury-induced neuropathic pain. Our results indicate that 50kDa agrin decreased only in the dorsal horn of neuropathic animals and increased 50kDa agrin expression in the dorsal horn, via intra-spinal injection of adeno-associated virus serum type two, suppressed spinal cord injury-induced neuropathic pain. Also, the reason why 50kDa agrin only activates the N-Methyl-d-aspartate receptor NR1 subunits in the GABA neurons, but not in sensory neurons, is unknown. Using immunoprecipitation and Western-blot analysis, two dimensional gel separation, and mass spectrometry, we identified several specific proteins in the reaction protein complex, such as neurofilament 200 and mitofusin 2, that are required for the activation of the NR1 subunits of gamma-aminobutyric acid inhibitory neurons by 50kDa agrin. These findings indicate that 50kDa agrin is a promising agent for neuropathic pain treatment.


Assuntos
Agrina/fisiologia , Neuralgia/metabolismo , Neuralgia/terapia , Ácido gama-Aminobutírico/metabolismo , Adenoviridae/genética , Agrina/administração & dosagem , Agrina/biossíntese , Animais , Modelos Animais de Doenças , Agonistas de Aminoácidos Excitatórios/toxicidade , Regulação da Expressão Gênica/efeitos dos fármacos , Hiperalgesia/fisiopatologia , Injeções Espinhais , Masculino , Peso Molecular , Neuralgia/etiologia , Neuralgia/patologia , Medição da Dor , Limiar da Dor/fisiologia , Ácido Quisquálico/toxicidade , Ratos , Ratos Sprague-Dawley , Traumatismos da Medula Espinal/induzido quimicamente , Traumatismos da Medula Espinal/complicações , Fatores de Tempo
3.
Exp Brain Res ; 231(1): 19-26, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23925342

RESUMO

Studies of humans, monkeys and rodents have implicated combined gray and white matter damage as important for development of chronic pain following spinal cord injury (SCI). Below-level chronic pain and hyperalgesia following injury to the spinal white matter, including the spinothalamic tract (STT), can be enhanced by excitotoxic influences within the gray matter at the site of SCI. Also, excitotoxic injury of thoracic gray matter without interruption of the STT results in below-level heat hyperalgesia. The present study evaluates the possibility that thoracolumbar gray matter injury increases sensitivity to nociceptive heat stimulation by altering spinal sympathetic outflow. Thermal preferences of rats for heat (45 °C) versus cold (15 °C) were evaluated before and after thoracolumbar injections of quisqualic acid (QUIS). A pre-injury preference for heat changed to a post-injury preference for cold. Systemic activation of the sympathetic nervous system by restraint stress decreased the heat preference pre-injury and increased the cold preference post-injury. The heat aversive effect of stress was magnified and prolonged post-injury, compared to pre-injury. Also, peripheral sympathetic activation by nociceptive stimulation was evaluated pre- and post-injury by measuring thermal transfer through a hindpaw during stimulation with 44.5 °C. Skin temperature recordings revealed enhanced sympathetic activation by nociceptive heat stimulation following spinal QUIS injury. However, increased sympathetic activation with peripheral vasoconstriction should enhance cold aversion, in contrast to the observed increase in heat aversion. Thus, peripheral sympathetic vasoconstriction can be ruled out as a mechanism for heat hyperalgesia following excitotoxic gray matter injury.


Assuntos
Agonistas de Aminoácidos Excitatórios/toxicidade , Vias Neurais/fisiopatologia , Percepção da Dor/fisiologia , Ácido Quisquálico/toxicidade , Traumatismos da Medula Espinal/fisiopatologia , Medula Espinal/fisiopatologia , Sistema Nervoso Simpático/fisiopatologia , Animais , Comportamento Animal/fisiologia , Temperatura Baixa , Interpretação Estatística de Dados , Feminino , Pé/inervação , Pé/fisiologia , Temperatura Alta , Hiperalgesia/fisiopatologia , Hiperalgesia/psicologia , Vias Neurais/patologia , Ratos , Ratos Long-Evans , Restrição Física , Temperatura Cutânea/fisiologia , Traumatismos da Medula Espinal/patologia , Traumatismos da Medula Espinal/psicologia , Estresse Psicológico/psicologia
4.
Proc Natl Acad Sci U S A ; 108(4): 1217-21, 2011 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-21205899

RESUMO

The Japanese beetle (JB), Popillia japonica, exhibits rapid paralysis after consuming flower petals of zonal geranium, Pelargonium x hortorum. Activity-guided fractionations were conducted with polar flower petal extracts from P. x hortorum cv. Nittany Lion Red, which led to the isolation of a paralysis-inducing compound. High-resolution-MS and NMR ((1)H, (13)C, COSY, heteronuclear sequential quantum correlation, heteronuclear multiple bond correlation) analysis identified the paralytic compound as quisqualic acid (C(5)H(7)N(3)O(5)), a known but rare agonist of excitatory amino acid receptors. Optical rotation measurements and chiral HPLC analysis determined an L-configuration. Geranium-derived and synthetic L-quisqualic acid demonstrated the same positive paralytic dose-response. Isolation of a neurotoxic, excitatory amino acid from zonal geranium establishes the phytochemical basis for induced paralysis of the JB, which had remained uncharacterized since the phenomenon was first described in 1920.


Assuntos
Besouros/efeitos dos fármacos , Aminoácidos Excitatórios/toxicidade , Flores/química , Geranium/química , Ácido Quisquálico/toxicidade , Animais , Cromatografia Líquida de Alta Pressão , Relação Dose-Resposta a Droga , Agonistas de Aminoácidos Excitatórios/química , Agonistas de Aminoácidos Excitatórios/toxicidade , Aminoácidos Excitatórios/química , Aminoácidos Excitatórios/isolamento & purificação , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Ácido Quisquálico/química , Ácido Quisquálico/isolamento & purificação , Estereoisomerismo
5.
Br J Pharmacol ; 152(1): 151-60, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17603549

RESUMO

BACKGROUND AND PURPOSE: Blockade of AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid) receptors is a good treatment option for a variety of central nervous system disorders. The present study evaluated the neuroprotective and anticonvulsant effects of EGIS-8332, a non-competitive AMPA receptor antagonist, as a potential drug candidate. EXPERIMENTAL APPROACH: AMPA antagonist effects of EGIS-8332 were measured using patch-clamp techniques. Neuroprotective and anticonvulsant effects of EGIS-8332 were evaluated in various experimental models, relative to those of GYKI 53405. KEY RESULTS: EGIS-8332 inhibited AMPA currents in rat cerebellar Purkinje cells and inhibited the AMPA- and quisqualate-induced excitotoxicity in primary cultures of telencephalon neurons (IC(50)=5.1-9.0 microM), in vitro. Good anticonvulsant actions were obtained in maximal electroshock-, sound- and chemically-induced seizures (range of ED(50)=1.4-14.0 mg kg(-1) i.p.) in mice. Four days after transient global cerebral ischaemia, EGIS-8332 decreased neuronal loss in the hippocampal CA1 area in gerbils and rats. EGIS-8332 dose-dependently reduced cerebral infarct size after permanent middle cerebral artery occlusion in mice and rats (minimum effective dose=3 mg kg(-1) i.p.). Side effects of EGIS-8332 emerged much above its pharmacologically active doses. A tendency for better efficacy of GYKI 53405 than that of EGIS-8332 was observed in anticonvulsant tests that reached statistical significance in few cases, while the contrary was perceived in cerebral ischaemia tests. CONCLUSIONS AND IMPLICATIONS: EGIS-8332 seems suitable for further development for the treatment of epilepsy, ischaemia and stroke based on its efficacy in a variety of experimental disease models, and on its low side effect potential.


Assuntos
Anticonvulsivantes/farmacologia , Benzodiazepinas/farmacologia , Isquemia Encefálica/prevenção & controle , Encéfalo/efeitos dos fármacos , Fármacos Neuroprotetores/farmacologia , Receptores de AMPA/antagonistas & inibidores , Convulsões/prevenção & controle , Animais , Anticonvulsivantes/efeitos adversos , Anticonvulsivantes/farmacocinética , Anticonvulsivantes/uso terapêutico , Benzodiazepinas/metabolismo , Benzodiazepinas/uso terapêutico , Encéfalo/metabolismo , Encéfalo/patologia , Isquemia Encefálica/metabolismo , Isquemia Encefálica/patologia , Células Cultivadas , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Agonistas de Aminoácidos Excitatórios/toxicidade , Gerbillinae , Masculino , Potenciais da Membrana/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos DBA , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Fármacos Neuroprotetores/efeitos adversos , Fármacos Neuroprotetores/farmacocinética , Fármacos Neuroprotetores/uso terapêutico , Técnicas de Patch-Clamp , Células de Purkinje/efeitos dos fármacos , Células de Purkinje/metabolismo , Ácido Quisquálico/toxicidade , Ratos , Ratos Sprague-Dawley , Ratos Wistar , Receptores de AMPA/metabolismo , Convulsões/etiologia , Convulsões/metabolismo , Telencéfalo/efeitos dos fármacos , Telencéfalo/metabolismo , Fatores de Tempo , Ácido alfa-Amino-3-hidroxi-5-metil-4-isoxazol Propiônico/metabolismo
6.
J Mol Neurosci ; 31(1): 13-21, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17416966

RESUMO

The role of tumor necrosis factor-alpha (TNF-alpha) after spinal cord injury (SCI) is well characterized in the cord, but the impact of this inflammatory process on supraspinal levels is unknown. This study examines TNF-alpha mRNA and protein levels in the brains and spinal cords of mice after SCI. Mice received intraspinal injections of quisqualic acid (QUIS) to create an excitotoxic injury that is known to result in pain behaviors. An ELISA determined serum levels of TNF-alpha, whereas real-time PCR and Western blot analysis were used to determine mRNA and protein levels, respectively, at 3, 6, 12, 24, 48, 72 h, or 14 d postinjury. No difference existed in serum TNF-alpha levels between sham- and QUIS-injected animals. TNF-alpha mRNA in the cord was increased at 3, 6, 12, and 24 h in QUIS-injected animals relative to shams. TNF-alpha protein was elevated at 12 and 48 h postinjury. TNF-alpha mRNA levels in the brain were elevated at 12 and 24 h, with elevated protein levels at 6 h. Animals that developed pain behaviors had increased levels of TNF-alpha mRNA in the brain. Excitotoxic SCI results in altered TNF-alpha mRNA and protein levels in the cords and brains of mice within 6 h of injury. These changes likely contribute to the pathogenesis of injury within the cord. The role of TNF-alpha in the brain postinjury has not been defined but might contribute to the development of pain post-SCI.


Assuntos
Traumatismos da Medula Espinal/imunologia , Medula Espinal/imunologia , Medula Espinal/patologia , Fator de Necrose Tumoral alfa/metabolismo , Animais , Encéfalo/citologia , Encéfalo/metabolismo , Encéfalo/patologia , Agonistas de Aminoácidos Excitatórios/toxicidade , Asseio Animal , Humanos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Dor/metabolismo , Ácido Quisquálico/toxicidade , RNA Mensageiro/metabolismo , Medula Espinal/citologia , Traumatismos da Medula Espinal/induzido quimicamente , Traumatismos da Medula Espinal/patologia , Fator de Necrose Tumoral alfa/genética
7.
J Physiol Pharmacol ; 56(2): 233-45, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15985705

RESUMO

Estrogens exert protective effects against neurotoxic changes induced by over-activation of ionotrophic glutamate receptors, whereas little is known about their interaction with changes mediated by metabotropic glutamate receptors. We evaluated effects of estrone on quisqualate (QA)-induced toxicity in neuronal cell cultures on 7 and 12 day in vitro (DIV). Twenty four hour exposure to QA (150 microM and 300 microM) significantly decreased cell survival in 7 day old cultures, but the 12 day old cultures were more resistant to its toxicity. DNQX (10 microM), an AMPA/kainate receptor antagonist, partly attenuated the toxic effects of QA, whereas LY 367 385 (100 microM), a selective mGluR1a antagonist, completely reversed the above effect. QA did not activate, but suppressed spontaneous caspase-3-like activity. Estrone (100 nM and 500 nM) attenuated QA-mediated neurotoxic effects independently of estrogen receptors, as indicated with ICI 182, 780 and without affecting the caspase-3-like activity. At early stage of development in vitro (7 DIV) toxic effects of QA were more profound and mediated mainly by metabotropic glutamate receptors of group I, whereas later (12 DIV) they were mediated mostly by ionotropic AMPA/kainate receptors. The toxic effects of QA were partly accompanied by anti-apoptotic action against spontaneous caspase-3-like activity, possibly due to modulation of neuronal plasticity.


Assuntos
Estrona/farmacologia , Neocórtex/efeitos dos fármacos , Ácido Quisquálico/toxicidade , Animais , Apoptose/efeitos dos fármacos , Caspase 3 , Caspases/metabolismo , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Neocórtex/citologia , Quinoxalinas/farmacologia , Ratos
8.
J Neurotrauma ; 20(9): 883-93, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-14577866

RESUMO

Fifty percent of patients with neurological deterioration from post-traumatic syringomyelia do not respond to treatment. Treatment failure is due in part to an incomplete understanding of the underlying aetiology. An animal model that mimics the human disease is required to investigate underlying pathophysiology and treatment options. A previous study was designed to mimic trauma-induced effects on the spinal cord that result in syringomyelia, combining an excitotoxic insult with kaolin-induced arachnoiditis. In this excitotoxic model, syringes were produced in 82% of animals. The aims of the current study were to improve the model to produce syringes in all animals treated, to examine the relative influences of excitotoxic injury and neuronal loss on syrinx formation, and to use magnetic resonance imaging (MRI) to examine syringes non-invasively. A temporal and dose profile of intraparenchymal quisqualic acid (QA) and subarachnoid kaolin was performed in Sprague Dawley rats. MRI was used to study four syrinx and six control animals. In one subgroup of animals surviving for 6 weeks, 100% (eight of eight) developed syringes. Syrinx formation and enlargement occurred in a dose and time dependent manner, whilst significant neuronal loss was only dose dependent. Animal syrinx histology closely resembled human post-traumatic syringomyelia. Axial T2-weighted MR images demonstrated syrinx presence. The results suggest that the formation of an initial cyst predisposes to syrinx formation in the presence of subarachnoid adhesions.


Assuntos
Agonistas de Aminoácidos Excitatórios/toxicidade , Traumatismos da Medula Espinal/induzido quimicamente , Traumatismos da Medula Espinal/patologia , Siringomielia/induzido quimicamente , Siringomielia/patologia , Animais , Contagem de Células/métodos , Vértebras Cervicais/lesões , Caulim/toxicidade , Imageamento por Ressonância Magnética/métodos , Neurônios/efeitos dos fármacos , Neurônios/patologia , Ácido Quisquálico/toxicidade , Ratos , Ratos Sprague-Dawley , Traumatismos da Medula Espinal/complicações , Siringomielia/etiologia
9.
Spine (Phila Pa 1976) ; 26(17): 1842-9, 2001 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-11568692

RESUMO

STUDY DESIGN: A rat model was developed to elucidate the role of excitatory amino acids and spinal subarachnoid block in the genesis of post-traumatic syringomyelia. This excitotoxic model produces intramedullary cavities rather than the dilation of the central canal (canalicular syringomyelia) created by previous animal models. OBJECTIVES: To produce extracanalicular cysts in the rat spinal cord with quisqualic acid, a potent agonist of multiple excitatory amino acid receptors, and to compare the effects of excitotoxic injury only with that of excitotoxic injury and subarachnoid block with kaolin. SUMMARY OF BACKGROUND DATA: In post-traumatic syringomyelia, primary injury and excitotoxic cell death secondary to elevated levels of excitatory amino acids may initiate a pathologic process leading to the formation of spinal cavities. Subarachnoid block by arachnoiditis may promote enlargement of the cavities. METHODS: Three control rats received a unilateral injection of normal saline into the spinal cord, and another five rats received an injection of kaolin into the spinal subarachnoid space. Quisqualic acid was injected unilaterally into the spinal cord of 20 rats, and 13 additional rats received a unilateral injection of quisqualic acid into the spinal cord after injection of kaolin into the subarachnoid space. Histologic and immunocytochemical assessments were undertaken. RESULTS: In the control groups, no parenchymal cyst developed in any of the animals. Spinal cord cyst formation was observed in 16 of 19 animals in the quisqualic acid groups, but no cysts exceeding two segments in the length of the spinal cord developed in any of the rats. Much larger cavities were seen in 9 of 11 animals in the group with quisqualic acid and kaolin, and cysts exceeding two segments developed in all 9 of these (9/11; 82%). CONCLUSIONS: In post-traumatic syringomyelia, excitotoxic cell death occurring secondarily to elevated levels of excitatory amino acids may contribute to the pathologic process leading to the formation of spinal cord cysts. Subarachnoid block by arachnoiditis is likely to cause enlargement of the cavity.


Assuntos
Aminoácidos Excitatórios/fisiologia , Traumatismos da Medula Espinal/patologia , Siringomielia/patologia , Animais , Aracnoidite/induzido quimicamente , Aracnoidite/complicações , Aracnoidite/patologia , Astrócitos/química , Astrócitos/patologia , Cistos/induzido quimicamente , Cistos/etiologia , Cistos/patologia , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Interações Medicamentosas , Agonistas de Aminoácidos Excitatórios/toxicidade , Técnica Indireta de Fluorescência para Anticorpo , Proteína Glial Fibrilar Ácida/análise , Imuno-Histoquímica , Caulim/toxicidade , Longevidade/efeitos dos fármacos , Masculino , Microinjeções , Ácido Quisquálico/toxicidade , Ratos , Ratos Sprague-Dawley , Medula Espinal/química , Medula Espinal/patologia , Traumatismos da Medula Espinal/induzido quimicamente , Traumatismos da Medula Espinal/complicações , Espaço Subaracnóideo/patologia , Siringomielia/induzido quimicamente
10.
Exp Neurol ; 168(1): 144-54, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11170729

RESUMO

Intraspinal injection of quisqualic acid (QUIS) produces excitotoxic injury with pathophysiological characteristics similar to those associated with ischemic and traumatic spinal cord injury (SCI). Responses to QUIS-induced injury include an inflammatory component, as well as the development of spontaneous and evoked pain behaviors. We hypothesized that QUIS-induced inflammation and subsequent gene expression contribute to the development and progression of pain-related behaviors and that blockade of inflammation-related gene expression leads to the amelioration of these behaviors. Using the QUIS model of spinal cord injury, we examined whether interleukin-10 (IL-10), a potent anti-inflammatory cytokine, is able to reduce mRNA levels of inflammatory and cell death-related genes leading to a reduction of pain behaviors. The results demonstrate that animals receiving systemic injection of IL-10, 30 minutes following QUIS-induced SCI, showed a significant delay in the onset of excessive grooming behavior, a significant reduction in grooming severity, and a significant reduction in the longitudinal extent of a pattern of neuronal loss within the spinal cord characterized as "grooming-type damage." QUIS injections also resulted in an increase in mRNA levels of interleukin-1 beta (IL-1 beta), cyclooxygenase-2 (COX-2), inducible nitric oxide synthase (iNOS), CD95 ligand (CD95-L, also called FAS-L/APO-1L), and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL). Results of QUIS injury plus IL-10 treatment resulted in a significant downregulation of IL1-beta and iNOS mRNA and these results were supported by Western blot analysis of protein levels following IL-10 treatment. These data suggest that IL-10 reduces inflammation and that targeting injury-induced inflammation is an effective strategy for limiting the extent of neuronal damage following excitotoxic SCI and thus the onset and progression of injury-induced pain behaviors.


Assuntos
Regulação da Expressão Gênica/fisiologia , Interleucina-10/genética , Interleucina-10/farmacologia , Dor/fisiopatologia , Traumatismos da Medula Espinal/fisiopatologia , Medula Espinal/fisiopatologia , Transcrição Gênica/efeitos dos fármacos , Animais , Proteínas Reguladoras de Apoptose , Ciclo-Oxigenase 2 , Proteína Ligante Fas , Regulação da Expressão Gênica/efeitos dos fármacos , Asseio Animal/efeitos dos fármacos , Humanos , Injeções Espinhais , Interleucina-10/administração & dosagem , Isoenzimas/genética , Masculino , Glicoproteínas de Membrana/genética , Proteínas de Membrana , Óxido Nítrico Sintase/genética , Óxido Nítrico Sintase Tipo II , Pia-Máter , Prostaglandina-Endoperóxido Sintases/genética , Ácido Quisquálico/administração & dosagem , Ácido Quisquálico/toxicidade , Ratos , Ratos Sprague-Dawley , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Pele/efeitos dos fármacos , Pele/patologia , Medula Espinal/efeitos dos fármacos , Medula Espinal/metabolismo , Traumatismos da Medula Espinal/induzido quimicamente , Ligante Indutor de Apoptose Relacionado a TNF , Fatores de Tempo , Fator de Necrose Tumoral alfa/genética
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