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1.
Molecules ; 25(24)2020 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-33317096

RESUMO

Galega officinalis L. has been known for centuries as an herbal medicine used to alleviate the symptoms of diabetes, but its comprehensive chemical composition and pharmacological activity are still insufficiently known. The current study involved the qualitative and quantitative phytochemical analysis and in vitro evaluation of the antioxidative and methylglyoxal (MGO) trapping properties of galega herb. Ultra high-performance liquid chromatography coupled with both the electrospray ionization mass spectrometer and diode-array detector (UHPLC-ESI-MS and UHPLC-DAD) were used to investigate the composition and evaluate the anti-MGO capability of extracts and their components. Hot water and aqueous methanol extracts, as well as individual compounds representing phytochemical groups, were also assessed for antioxidant activity using DPPH (2,2-diphenyl-1-(2,4,6-trinitrophenyl)hydrazyl) and ABTS (2,2'-azino-bis(3-ethylbenz-thiazoline-6-sulfonic acid) assays. Quercetin and metformin were used as a positive control. We confirmed the presence of tricyclic quinazoline alkaloids, guanidines, flavonoids, and hydroxycinnamic acids (HCAs) in galega extracts. The polyphenolic fraction was dominated by mono-, di-, and triglycosylated flavonols, as well as monocaffeoylhexaric acids. The in vitro tests indicated which G. officinalis components exhibit beneficial antioxidative and MGO trapping effects. For galega extracts, flavonols, and HCAs, a potent antiradical activity was observed. The ability to trap MGO was noted for guanidines and flavonoids, whereas HCA esters and quinazoline alkaloids were ineffective. The formation of mono-MGO adducts of galegine, hydroxygalegine, and rutin in the examined water infusion was observed.


Assuntos
Antioxidantes/química , Galega/química , Compostos Fitoquímicos/química , Alcaloides/química , Antioxidantes/farmacologia , Cromatografia Líquida de Alta Pressão , Flavonoides/química , Guanidinas/química , Hidroxibenzoatos/química , Técnicas In Vitro , Medicina Tradicional , Estrutura Molecular , Compostos Fitoquímicos/farmacologia , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Preparações de Plantas/química , Preparações de Plantas/farmacologia , Plantas Medicinais/química , Polifenóis/química , Aldeído Pirúvico/análogos & derivados , Aldeído Pirúvico/química , Quinazolinas/química , Espectrometria de Massas por Ionização por Electrospray
2.
World J Microbiol Biotechnol ; 35(6): 88, 2019 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-31134435

RESUMO

In this work, the biosynthesis of silver nanoparticles by Galega officinalis extract using AgNO3 as a precursor was reported. The reaction parameters for the biosynthesis and efficiency in their antimicrobial control against Escherichia coli, Staphylococcus aureus and Pseudomonas syringae were determined. For biosynthesis, a central composite design combined with response surface methodology was used to optimize the process parameters (pH, AgNO3 and extract concentration), and the design was assessed through the size distribution, zeta potential and polydispersity index of the nanoparticles. The results demonstrated that at pH 11, 1.6 mM of AgNO3 and 15% vv-1 of G. officinalis extract were the optimal reaction parameters. Transmission electron microscope (TEM) images and X-ray diffraction (XRD) confirmed the formation of small spherical silver nanoparticles. Antimicrobial assays showed a high inhibitory effect against E. coli, S. aureus and P. syringae, and that effect was larger with silver nanoparticles of a smaller size (23 nm). This work demonstrates that G. officinalis extract is a feasible medium for the synthesis of silver nanoparticles and that the control of the reaction parameters can determine the nanoparticle characteristics and therefore their antimicrobial effectiveness.


Assuntos
Anti-Infecciosos/metabolismo , Química Verde/métodos , Nanopartículas Metálicas/química , Prata/química , Antibacterianos/química , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Escherichia coli/efeitos dos fármacos , Galega/química , Testes de Sensibilidade Microbiana , Microscopia Eletrônica de Transmissão , Tamanho da Partícula , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Folhas de Planta/química , Pseudomonas syringae/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos , Difração de Raios X
3.
BMC Complement Altern Med ; 18(1): 4, 2018 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-29310643

RESUMO

BACKGROUND: An impaired leukocytes function is the factor causing the susceptibility of patients with diabetes mellitus to infections. The outmost importance for the understanding of the immunological processes involved in diabetes pathogenesis is to give the characteritics of the immunological profile and changes therein, during the course of desease. Long-used in folk medicine to treat diabetes Galega officinalis L. has been chosen for the correction of the immune system dysfunction. METHODS: The experiments were conducted on male Wistar rats. Fractionation of bone marrow cells suspension was performed in a three-layer ficoll-sodium amidotrizoate density gradient. The lymphocytic-granulocytic cells proliferative activity was studied using enzyme immunoassay with 5-bromo-2'-deoxyuridine (BrdU). For staining of bone marrow preparations May-Gruenwald-Romanowsky-Giemsa (Pappenheim) method was used. To evaluate the content of cationic proteins and myeloperoxidase in neutrophilic leukocytes cytochemical studies were performed. Content of tumor necrosis factor alpha was carried out by immuno-enzymatic analysis. Lymphocytes apoptosis was examined by fluorescent analysis using annexin V. RESULTS: Diabetes mellitus development was accompanied with violation of neutrophils and lymphocytes proliferation, increased activity of myeloperoxidase and enhanced apoptosis process. Administration of Galega officinalis extract under the condition of diabetes promotes the restoration of neutrophils bone marrow pool and the reduction of lymphoblasts number and causes inhibition of the lymphocytes apoptosis process. CONCLUSIONS: Investigated medicine has a pronounced immunocorrective effect under the conditions of diabetes mellitus and can become the basis for creating a new generation of antidiabetic drugs.


Assuntos
Apoptose/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Diabetes Mellitus/metabolismo , Galega/química , Extratos Vegetais/farmacologia , Animais , Leucócitos/efeitos dos fármacos , Masculino , Neutrófilos/efeitos dos fármacos , Extratos Vegetais/química , Ratos , Ratos Wistar
4.
Minerva Pediatr ; 69(6): 531-537, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27901335

RESUMO

Maternal milk is the optimal food for newborns. To this end, a number of interventions are used to enhance milk production. However, pharmacological interventions may be associated with a perceived risk of adverse effects and therefore many mothers prefer to rely on natural herbal remedies. Several herbal remedies have been traditionally used to this purpose. However, the level of evidence supporting their use is mixed. Among different currently-employed natural remedies, Galega officinalis has emerged to be one of those sustained by the strongest evidence. In this paper, we comment on a galega-based product. It is a standardized food supplement used to support breastfeeding mothers and to promote milk production containing Galega officinalis and other substances, including vitamins and magnesium, with potential effect on mother's well-being. In a recent product evaluation on a large sample of Italian women, the wide majority of mothers have declared to be satisfied with this product, and two third of them reported that the milk production was improved with the use of this product. Noteworthy, this galega-based food supplement was also reported to promote psychological benefit. The evidence of a perceived psychological benefit associated with this product is of particular importance, given the high degree of distress often experienced by mothers during the post-partum period. Last, a high level of safety was perceived by the participants. This galega-based food supplement does have a role in supporting breastfeeding mothers and enhance milk production during lactation. Further clinical trials could provide further evidence on the effectiveness of the product.


Assuntos
Galactagogos/uso terapêutico , Galega/química , Lactação/efeitos dos fármacos , Aleitamento Materno , Suplementos Nutricionais , Feminino , Galactagogos/efeitos adversos , Galactagogos/isolamento & purificação , Humanos , Recém-Nascido , Itália , Mães , Satisfação do Paciente
5.
Crit Rev Food Sci Nutr ; 56 Suppl 1: S149-61, 2016 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-26507574

RESUMO

The discovery of bioactive molecules from botanical sources is an expanding field, preferentially oriented to plants having a tradition of use in medicine and providing high yields and availability. Temperate forage legumes are Fabaceae species that include worldwide-important crops. These plants possess therapeutic virtues that have not only been used in veterinary and folk medicine, but have also attracted the interest of official medicine. We have examined here Medicago sativa (alfalfa), Trifolium pratense and T. repens (clovers), Melilotus albus and M. officinalis (sweet clovers), Lotus corniculatus (birdsfoot trefoil), Onobrychis viciifolia (sainfoin), Lespedeza capitata (roundhead lespedeza), and Galega officinalis (goat's rue). The phytochemical complexes of these species contain secondary metabolites whose pharmacological potentials deserve investigation. Major classes of compounds include alkaloids and amines, cyanogenic glycosides, flavonoids, coumarins, condensed tannins, and saponins. Some of these phytochemicals have been related to antihypercholesterolemia, antidiabetic, antimenopause, anti-inflammatory, antiedema, anthelmintic, and kidney protective effects. Two widely prescribed drugs have been developed starting from temperate forage legumes, namely, the antithrombotic warfarin, inspired from sweet clover's coumarin, and the antidiabetic metformin, a derivative of sainfoin's guanidine. Available evidence suggests that temperate forage legumes are a potentially important resource for the extraction of active principles to be used as nutraceuticals and pharmaceuticals.


Assuntos
Fabaceae/química , Compostos Fitoquímicos/farmacologia , Plantas Medicinais/química , Animais , Anti-Inflamatórios/análise , Anti-Inflamatórios/farmacologia , Ensaios Clínicos como Assunto , Cumarínicos/análise , Cumarínicos/farmacologia , Modelos Animais de Doenças , Fibrinolíticos/análise , Fibrinolíticos/farmacologia , Flavonoides/análise , Flavonoides/farmacologia , Galega/química , Humanos , Hipoglicemiantes/análise , Hipoglicemiantes/farmacologia , Lespedeza/química , Lotus/química , Medicago/química , Medicago sativa/química , Melilotus/química , Compostos Fitoquímicos/análise , Proantocianidinas/análise , Proantocianidinas/farmacologia , Saponinas/análise , Saponinas/farmacologia , Trifolium/química , Varfarina/análise , Varfarina/farmacologia
6.
Biomolecules ; 9(12)2019 12 09.
Artigo em Inglês | MEDLINE | ID: mdl-31835318

RESUMO

Interest has grown in studying the possible use of well-known anti-diabetic drugs as anti-cancer agents individually or in combination with, frequently used, chemotherapeutic agents and/or radiation, owing to the fact that diabetes heightens the risk, incidence, and rapid progression of cancers, including breast cancer, in an individual. In this regard, metformin (1, 1-dimethylbiguanide), well known as 'Glucophage' among diabetics, was reported to be cancer preventive while also being a potent anti-proliferative and anti-cancer agent. While meta-analysis studies reported a lower risk and incidence of breast cancer among diabetic individuals on a metformin treatment regimen, several in vitro, pre-clinical, and clinical studies reported the efficacy of using metformin individually as an anti-cancer/anti-tumor agent or in combination with chemotherapeutic drugs or radiation in the treatment of different forms of breast cancer. However, unanswered questions remain with regards to areas such as cancer treatment specific therapeutic dosing of metformin, specificity to cancer cells at high concentrations, resistance to metformin therapy, efficacy of combinatory therapeutic approaches, post-therapeutic relapse of the disease, and efficacy in cancer prevention in non-diabetic individuals. In the current article, we discuss the biology of metformin and its molecular mechanism of action, the existing cellular, pre-clinical, and clinical studies that have tested the anti-tumor potential of metformin as a potential anti-cancer/anti-tumor agent in breast cancer therapy, and outline the future prospects and directions for a better understanding and re-purposing of metformin as an anti-cancer drug in the treatment of breast cancer.


Assuntos
Neoplasias da Mama/tratamento farmacológico , Galega/química , Metformina/farmacologia , Extratos Vegetais/farmacologia , Antineoplásicos/farmacologia , Protocolos de Quimioterapia Combinada Antineoplásica , Produtos Biológicos/farmacologia , Linhagem Celular Tumoral , Proliferação de Células , Resistencia a Medicamentos Antineoplásicos , Feminino , Humanos , Hipoglicemiantes/farmacologia
7.
Br J Pharmacol ; 153(8): 1669-77, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18297106

RESUMO

BACKGROUND AND PURPOSE: Galegine and guanidine, originally isolated from Galega officinalis, led to the development of the biguanides. The weight-reducing effects of galegine have not previously been studied and the present investigation was undertaken to determine its mechanism(s) of action. EXPERIMENTAL APPROACH: Body weight and food intake were examined in mice. Glucose uptake and acetyl-CoA carboxylase activity were studied in 3T3-L1 adipocytes and L6 myotubes and AMP activated protein kinase (AMPK) activity was examined in cell lines. The gene expression of some enzymes involved in fat metabolism was examined in 3T3-L1 adipocytes. KEY RESULTS: Galegine administered in the diet reduced body weight in mice. Pair-feeding indicated that at least part of this effect was independent of reduced food intake. In 3T3-L1 adipocytes and L6 myotubes, galegine (50 microM-3 mM) stimulated glucose uptake. Galegine (1-300 microM) also reduced isoprenaline-mediated lipolysis in 3T3-L1 adipocytes and inhibited acetyl-CoA carboxylase activity in 3T3-L1 adipocytes and L6 myotubes. Galegine (500 microM) down-regulated genes concerned with fatty acid synthesis, including fatty acid synthase and its upstream regulator SREBP. Galegine (10 microM and above) produced a concentration-dependent activation of AMP activated protein kinase (AMPK) in H4IIE rat hepatoma, HEK293 human kidney cells, 3T3-L1 adipocytes and L6 myotubes. CONCLUSIONS AND IMPLICATIONS: Activation of AMPK can explain many of the effects of galegine, including enhanced glucose uptake and inhibition of acetyl-CoA carboxylase. Inhibition of acetyl-CoA carboxylase both inhibits fatty acid synthesis and stimulates fatty acid oxidation, and this may to contribute to the in vivo effect of galegine on body weight.


Assuntos
Ingestão de Alimentos/efeitos dos fármacos , Guanidinas/farmacologia , Complexos Multienzimáticos/efeitos dos fármacos , Proteínas Serina-Treonina Quinases/efeitos dos fármacos , Redução de Peso/efeitos dos fármacos , Proteínas Quinases Ativadas por AMP , Acetil-CoA Carboxilase/antagonistas & inibidores , Acetil-CoA Carboxilase/metabolismo , Animais , Linhagem Celular , Ácidos Graxos/metabolismo , Galega/química , Regulação Enzimológica da Expressão Gênica/efeitos dos fármacos , Glucose/metabolismo , Humanos , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Complexos Multienzimáticos/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Ratos
8.
Breastfeed Med ; 13(1): 67-69, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29148822

RESUMO

AIMS: To investigate the efficacy of a galactagogue, containing Sylimarin-phosphatidylserine (SILITIDIL) and galega consumed in the first month after delivery by mothers of preterm infants, in maintaining milk production during the first 3-6 months after delivery. MATERIALS AND METHODS: Mothers of infants born at gestational age (GA) between 27 and 32 weeks, enrolled in our previous prospective, double-blind, randomized trial and randomly allocated to receive either the galactagogue (GG) or a placebo (PG), were asked about their milk production at 3 and 6 months after delivery. RESULTS: Of the 100 mothers involved in this study, 45 of GG and 44 of PG responded comprehensively to the questions asked. At the third month after delivery, exclusive human milk administration was reported by 22 mothers of GG and 12 mothers of PG (p < 0.05), whereas 29 mothers of GG and 18 mothers of PG were able to administer >50% of the amount of milk assumed. At the sixth month of life, only eight infants received exclusive human milk (six and two of GG and PG, respectively), and the data are not sufficient for a meaningful clinical evaluation. CONCLUSIONS: It is assumed that a galactagogue during the first month after delivery improves human milk administration to preterm neonates after discharge and for the first 3 months of life.


Assuntos
Galactagogos/uso terapêutico , Galega/química , Lactação/efeitos dos fármacos , Fosfatidilserinas/uso terapêutico , Silimarina/uso terapêutico , Aleitamento Materno , Método Duplo-Cego , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Itália , Leite Humano , Estudos Prospectivos , Fatores de Tempo
9.
Prikl Biokhim Mikrobiol ; 42(3): 368-73, 2006.
Artigo em Russo | MEDLINE | ID: mdl-16878556

RESUMO

The experimental conditions for the sulfation of legume galactomannans were found, which allow for the obtainment of polysaccharides with a high degree of substitution. Sulfate esters of four galactomannans of different composition (galactose content, 16.4-47.5%) were synthesized using the SO3-pyridine complex in dimethylformamide as a sulfating agent. The degree of substitution was as high as 1.4-1.8; it did not correlate with the content of galactose in the polysaccharides. It was found that the degree of sulfation depended on the reaction temperature in the range of 19-60 degrees C.


Assuntos
Galega/química , Mananas/síntese química , Sementes/química , Sulfatos/síntese química , Ésteres do Ácido Sulfúrico/síntese química , Galactose/análogos & derivados , Mananas/química , Sulfatos/química , Ésteres do Ácido Sulfúrico/química
10.
Ukr Biochem J ; 87(4): 78-86, 2015.
Artigo em Ucraniano | MEDLINE | ID: mdl-26547967

RESUMO

The effect of alkaloid-free fraction from Galega officinalis extract on the process of formation of reactive oxygen species and indicators of prooxidant-antioxidant balance was investigated in rat peripheral blood under conditions of experimental diabetes mellitus. It was shown that alkaloid-free fraction from Galega officinalis extract prevents oxidative stress development in rats with streptozotocin-induced diabetes, providing antioxidant and antiradical mobilization mechanisms to protect the blood system. In the case of extract application to animals with studied pathology, one can observe a reducing effect of reactive oxygen species generation in leukocytes, inhibition of proteins and lipids oxidative modification processes and increased activity of key enzymes of rat peripheral blood antioxidant system (superoxide dismutase, catalase and glutathione peroxidase). The revealed biological effect could be explained by the presence of biologically active substances with antioxidant properties in the extract composition (phytol and flavonoids).


Assuntos
Diabetes Mellitus Experimental/tratamento farmacológico , Galega/química , Hipoglicemiantes/farmacologia , Estresse Oxidativo/efeitos dos fármacos , Extratos Vegetais/farmacologia , Animais , Catalase/sangue , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/enzimologia , Diabetes Mellitus Experimental/patologia , Eritrócitos/efeitos dos fármacos , Eritrócitos/enzimologia , Eritrócitos/patologia , Flavonoides , Glutationa Peroxidase/sangue , Hipoglicemiantes/isolamento & purificação , Leucócitos Mononucleares/efeitos dos fármacos , Leucócitos Mononucleares/enzimologia , Leucócitos Mononucleares/patologia , Peroxidação de Lipídeos/efeitos dos fármacos , Masculino , Fitol , Extratos Vegetais/isolamento & purificação , Ratos , Espécies Reativas de Oxigênio/antagonistas & inibidores , Espécies Reativas de Oxigênio/metabolismo , Estreptozocina , Superóxido Dismutase/sangue
11.
FEMS Microbiol Lett ; 219(2): 225-32, 2003 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-12620625

RESUMO

Rhizobial nodD genes produce transcriptional regulators that, together with appropriate inducer compounds, activate the other symbiotic nodulation (nod) genes and initiate the nodule formation process. Two nodD homologues, nodD1 and nodD2, are present in the Rhizobium galegae strain HAMBI 1174. In this work we analysed their ability to induce the nodA promoter with synthetic inducers known to activate nod genes in other rhizobia. According to phylogenetic analysis, the inducer-specific carboxy-terminal part of the R. galegae nodD protein sequence groups together with those of Rhizobium leguminosarum and Sinorhizobium meliloti. However, the respective inducer compounds for their NodD proteins are not highly effective with R. galegae nodD products. The best inducer discovered with R. galegae nodD1 was the root exudate of the host plant of R. galegae, Galega orientalis. HPLC analyses revealed the presence of many divergent flavonoid compounds in the G. orientalis root exudate. The most effective HPLC fractions induced R. galegae nodD1 up to the level obtained by intact G. orientalis root exudate while apigenin and luteolin, which were also present in the root exudate, were only moderate inducers. A UV-Vis diode array spectrum of the most active peak indicated that the main inducer present in the G. orientalis root exudate is an unidentified chalcone-type compound. In the Galega-R. galegae interaction the first recognition between the NodD protein and the flavonoid inducer secreted from the roots of Galega is specific for these organisms, and thus partly responsible of the strict host specificity of this symbiosis.


Assuntos
Aciltransferases/genética , Proteínas de Bactérias/genética , Flavonoides/farmacologia , Galega/química , Rhizobium/genética , Flavonoides/síntese química , Flavonoides/química , Regulação Bacteriana da Expressão Gênica , Mutagênese Insercional , Filogenia , Extratos Vegetais/farmacologia , Raízes de Plantas/química , Raízes de Plantas/microbiologia , Regiões Promotoras Genéticas , Rhizobium/efeitos dos fármacos , Rhizobium/metabolismo , Sensibilidade e Especificidade , Alinhamento de Sequência , Análise de Sequência de DNA , Ativação Transcricional
12.
J Med Food ; 5(4): 229-34, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12639398

RESUMO

A fraction from crude extract of Galega officinalis L. was purified by gel filtration on Sephadex G-25, Sepharose 4B, and ion-exchange chromatography on diethylaminoethyl (DEAE)-cellulose. The fraction with molecular weight 100-140 kDa appears to have a polysaccharide nature, including protein. The fraction inhibits platelet aggregation initiated by 25 microM adenosine 5'-diphosphate (ADP), 100 microg/ml collagen, and 0.8 U/ml thrombin with the 50% inhibiting concentration (IC(50)) being 11.2 microg/ml for ADP, and the IC(100) being 15.1 microg/ml for collagen and IC(100) 19.6 microg/ml for thrombin.


Assuntos
Galega/química , Inibidores da Agregação Plaquetária/farmacologia , Agregação Plaquetária/efeitos dos fármacos , Difosfato de Adenosina , Cromatografia em Gel , Cromatografia por Troca Iônica , Colágeno , DEAE-Celulose , Humanos , Peso Molecular , Extratos Vegetais/farmacologia , Trombina
13.
Ann Endocrinol (Paris) ; 74(2): 123-9, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23582849

RESUMO

Although considerable efforts have been made since the 1950s to better understand the action of metformin, the first line therapeutic for type 2 diabetes, its mechanisms of action has not been fully elucidated. The main antidiabetic effect of this drug is to decrease hepatic glucose production. A plausible molecular mechanism of action now emerges from recent breakthroughs that place metformin at the control of energy homeostasis. Metformin was shown to induce a mild and transient inhibition of the mitochondrial respiratory chain complex 1. The resulting decrease in hepatic energy state activates the AMP-activated protein kinase (AMPK), a cellular metabolic sensor, and provided a generally accepted mechanism for metformin action on hepatic gluconeogenic program. However, the role of AMPK activation in metformin action has recently been challenged by loss-of-function experiments. Recent evidence showed that metformin-induced inhibition of hepatic glucose output is mediated by reducing cellular energy charge rather than direct inhibition of gluconeogenic gene expression. Furthermore, recent data support a novel mechanism of action for metformin involving antagonism of glucagon signaling pathways by inducing the accumulation of AMP, which inhibits adenylate cyclase and reduced levels of cAMP.


Assuntos
Hipoglicemiantes/farmacologia , Fígado/efeitos dos fármacos , Metformina/farmacologia , Animais , Diabetes Mellitus Tipo 2/tratamento farmacológico , Galega/química , História do Século XX , História do Século XXI , História Medieval , Humanos , Hipoglicemiantes/farmacocinética , Fígado/metabolismo , Fígado/fisiologia , Metformina/farmacocinética , Fitoterapia/história
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