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1.
Dis Esophagus ; 31(1): 1-6, 2018 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29346598

RESUMO

This study assessed the accuracy of preoperative staging in patients undergoing oncological esophagectomy for adenocarcinoma and squamous cell carcinoma. All patients undergoing surgery for resectable esophageal cancer in a university hospital from 2005 to 2016 were identified from our institutional database. Patients with neoadjuvant treatment were excluded to avoid bias from down-staging effects. Routinely, all patients had an upper endoscopy with biopsy, a thoracoabdominal CT scan, an 18-FEG PET-CT, and endoscopic ultrasound. Preoperative staging was compared to histopathological staging of surgical specimen that was considered as gold standard. There were 51 patients with a median age of 65 years (IQR: 59.3-73 years) having 21 squamous cell carcinoma and 30 adenocarcinoma, respectively. T- and N-stages were correctly predicted in 26 (51%) and 37 patients (72%), respectively. Overall, 18 patients (35%) were preoperatively diagnosed with a correct T- and N-stage. There was no difference between adenocarcinoma and squamous cell carcinoma. Accuracy of the T-stage was not influenced by the smoking status. The N-stage was not correct in 7/22 smoking patients (32%) and 6/29 nonsmoking patients (21%).The N-stage was underestimated in smoking patients as 6/22 patients (27%) had a histologically confirmed N+ who were preoperatively classified as N0. In conclusion, only 35% of patients had a correct assessment. Separate T- and N-stage prediction was improved with 51% and 72%, respectively. Major efforts are needed for improvement.


Assuntos
Adenocarcinoma/patologia , Carcinoma de Células Escamosas/patologia , Neoplasias Esofágicas/patologia , Estadiamento de Neoplasias/estatística & dados numéricos , Cuidados Pré-Operatórios/métodos , Adenocarcinoma/diagnóstico por imagem , Adenocarcinoma/cirurgia , Idoso , Biópsia/métodos , Carcinoma de Células Escamosas/diagnóstico por imagem , Carcinoma de Células Escamosas/cirurgia , Endossonografia/métodos , Neoplasias Esofágicas/diagnóstico por imagem , Neoplasias Esofágicas/cirurgia , Carcinoma de Células Escamosas do Esôfago , Esofagectomia , Esôfago/diagnóstico por imagem , Esôfago/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias/métodos , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada/métodos , Valor Preditivo dos Testes , Estudos Prospectivos , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos
2.
Protein Pept Lett ; 15(7): 700-8, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18782065
3.
Braz J Med Biol Res ; 51(3): e7033, 2018 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-29340527

RESUMO

In the present study, we successfully demonstrated for the first time the existence of cardiac proteomic differences between non-selectively bred rats with distinct intrinsic exercise capacities. A proteomic approach based on two-dimensional gel electrophoresis coupled to mass spectrometry was used to study the left ventricle (LV) tissue proteome of rats with distinct intrinsic exercise capacity. Low running performance (LRP) and high running performance (HRP) rats were categorized by a treadmill exercise test, according to distance run to exhaustion. The running capacity of HRPs was 3.5-fold greater than LRPs. Protein profiling revealed 29 differences between HRP and LRP rats (15 proteins were identified). We detected alterations in components involved in metabolism, antioxidant and stress response, microfibrillar and cytoskeletal proteins. Contractile proteins were upregulated in the LVs of HRP rats (α-myosin heavy chain-6, myosin light chain-1 and creatine kinase), whereas the LVs of LRP rats exhibited upregulation in proteins associated with stress response (aldehyde dehydrogenase 2, α-crystallin B chain and HSPß-2). In addition, the cytoskeletal proteins desmin and α-actin were upregulated in LRPs. Taken together, our results suggest that the increased contractile protein levels in HRP rats partly accounted for their improved exercise capacity, and that proteins considered risk factors to the development of cardiovascular disease were expressed in higher amounts in LRP animals.


Assuntos
Testes de Função Cardíaca/métodos , Miocárdio/metabolismo , Condicionamento Físico Animal/fisiologia , Proteínas/metabolismo , Corrida/fisiologia , Animais , Proteínas Contráteis/metabolismo , Proteínas do Citoesqueleto/metabolismo , Desmina/metabolismo , Eletroforese em Gel Bidimensional , Ventrículos do Coração/metabolismo , Proteínas de Choque Térmico/metabolismo , Masculino , Espectrometria de Massas , Tamanho do Órgão , Proteínas/isolamento & purificação , Proteômica , Ratos , Ratos Endogâmicos
4.
Toxicon ; 95: 67-71, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25576236

RESUMO

Chemical analyses of the hemagglutinating fraction from Scorpaena plumieri venom revealed that it contains five components (Sp-CL 1-5) with similar chromatographic elution profiles (35-38% of acetonitrile), molecular masses (16,800-17,000 Da) and N-terminal sequences, suggesting that they are isoforms of the same protein. The amino acid sequence of Sp-CL4 was determined and shown to have homology with fish C-type lectins. These data demonstrate for the first time the presence of C-type isolectins in a scorpionfish venom.


Assuntos
Venenos de Peixe/química , Lectinas/isolamento & purificação , Perciformes , Sequência de Aminoácidos , Animais , beta-Globulinas/química , beta-Globulinas/isolamento & purificação , Venenos de Peixe/isolamento & purificação , Lectinas/química , Lectinas Tipo C/química , Lectinas Tipo C/isolamento & purificação , Dados de Sequência Molecular , Peso Molecular , Alinhamento de Sequência
5.
Brain Res ; 831(1-2): 297-300, 1999 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-10412010

RESUMO

We report the characterization of a new class of glutamate uptake inhibitors isolated from Phoneutria nigriventer venom. Glutamate transport activity was assayed in rat cerebrocortical synaptosomes by using [(3)H]-L-glutamate. PhTx4 inhibited glutamate uptake in a dose dependent manner. The IC(50) value obtained was 2.35+/-0.9 microg/ml which is in the observed range reported for glutamate uptake blockers. Tx4-7, one of PhTx4 toxins, showed the strongest inhibitory activity (50.3+/-0.69%, n=3).


Assuntos
Córtex Cerebral/efeitos dos fármacos , Ácido Glutâmico/metabolismo , Neuropeptídeos/toxicidade , Neurotoxinas/toxicidade , Venenos de Aranha/química , Sinaptossomos/efeitos dos fármacos , Animais , Córtex Cerebral/metabolismo , Córtex Cerebral/ultraestrutura , Ratos , Ratos Wistar , Venenos de Aranha/classificação , Sinaptossomos/metabolismo
6.
Toxicon ; 39(2-3): 309-17, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-10978749

RESUMO

A new insecticidal toxin Tx4(5-5) was isolated from the fraction PhTx4 of the venom of the spider Phoneutria nigriventer by reverse phase high performance liquid chromatography (HPLC) and anion exchange HPLC. The complete amino acid sequence determined by automated Edman degradation showed that Tx4(5-5) is a single chain polypeptide composed of 47 amino acid residues, including 10 cysteines, with a calculated molecular mass of 5175 Da. Tx4(5-5) shows 64% of sequence identity with Tx4(6-1), another insecticidal toxin from the same venom. Tx4(5-5) was highly toxic to house fly (Musca domestica), cockroach (Periplaneta americana) and cricket (Acheta domesticus ), producing neurotoxic effects (knock-down, trembling with uncoordinated movements) at doses as low as 50 ng/g (house fly), 250 ng/g (cockroach) and 150 ng/g (cricket). In contrast, intracerebroventricular injections (30 microg) into mice induced no behavioural effects. Preliminary electrophysiological studies carried out on whole-cell voltage-clamped rat hippocampal neurones indicated that Tx4(5-5) (at 1 microM) reversibly inhibited the N-methyl-D-aspartate-subtype of ionotropic glutamate receptor, while having little or no effect on kainate-, alpha-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid- or gamma-aminobutyric acid-activated currents.


Assuntos
Inseticidas/isolamento & purificação , Neurotoxinas/isolamento & purificação , Receptores de N-Metil-D-Aspartato/antagonistas & inibidores , Venenos de Aranha/isolamento & purificação , Venenos de Aranha/toxicidade , Sequência de Aminoácidos , Animais , Membrana Celular/efeitos dos fármacos , Células Cultivadas , Cromatografia Líquida de Alta Pressão , Baratas , Eletroforese em Gel de Poliacrilamida , Gryllidae , Hipocampo/efeitos dos fármacos , Inseticidas/toxicidade , Dose Letal Mediana , Camundongos , Dados de Sequência Molecular , Neurotoxinas/toxicidade , Técnicas de Patch-Clamp , Ratos
7.
Toxicon ; 39(7): 1009-19, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11223090

RESUMO

We report here the isolation by a two-step chromatographic procedure of two new toxins from the South American scorpion Tityus bahiensis. Their amino-acid sequences and some of their biological features were established. The two toxins have different biological properties. Toxin TbIT-I had almost no activity or pharmacological effects in vertebrate tissues whereas it was lethal to house flies (LD50 80.0 ng/house fly). In contrast, Tb2-II was active against both mammals (intracerebroventricular injection of 100 ng/mouse was lethal) and insects (LD50 40.0 ng/house fly). The amino-acid sequences of these toxins were established and found to be similar (60-95%) to previously described beta-toxins from the Tityus genus. Based on the available comparative information, this study attempts identify possible structure-function relationships that may be responsible for the differences in bioactivity displayed by these toxins.


Assuntos
Insetos/fisiologia , Venenos de Escorpião/química , Escorpiões/fisiologia , Toxinas Biológicas/química , Toxinas Biológicas/toxicidade , Sequência de Aminoácidos , Animais , Cromatografia em Gel , Eletroforese em Gel de Poliacrilamida , Ensaio de Imunoadsorção Enzimática , Gryllidae , Moscas Domésticas , Ativação do Canal Iônico/efeitos dos fármacos , Modelos Moleculares , Periplaneta , Canais de Sódio/efeitos dos fármacos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
8.
Toxicon ; 31(1): 35-42, 1993 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8446961

RESUMO

Six neurotoxic peptides (Tx3-1 to Tx3-6) were purified from the venom of the spider Phoneutria nigriventer by a combination of gel filtration, reverse phase FPLC on PEP-RPC and PRO-RPC columns, reverse phase HPLC on Vydac C18, and ion exchange HPLC on cationic and anionic columns. These toxins caused different neurological symptoms in mice after intracerebroventricular injection. At dose levels of 5 micrograms/mouse, Tx3-3 and Tx3-4 caused rapid general flaccid paralysis followed by death in 10-30 min; Tx3-2 induced immediate clockwise gyration and flaccid paralysis after 6 hr; Tx3-1, Tx3-5 and Tx3-6 produced paralysis only in the posterior limbs and gradual decreases in movement and aggression during 24 hr. The mol. wt of these cystine-rich peptides were found to be in the range of 3500-8500 by mass spectroscopy and SDS-PAGE. The complete amino acid sequences of the neurotoxins Tx3-1 (40 residues), Tx3-2 (34 residues) and Tx3-6 (55 residues), and the N-terminal sequences of Tx3-3 (34 res.), Tx3-4 (40 res.) and Tx3-5 (36 res.) were established by direct automated Edman degradation, and manual DABITC/PITC microsequence analyses of peptides obtained from digests with various proteases. The structures of these Tx3 neurotoxins from Phoneutria nigriventer exhibited sequence similarities to one another and to the neurotoxins from the venoms of the spiders Hololena curta and Agelenopsis aperta, which were most evident in the location of the Cys residues.


Assuntos
Neurotoxinas/isolamento & purificação , Venenos de Aranha/química , Sequência de Aminoácidos , Animais , Camundongos , Dados de Sequência Molecular , Neurotoxinas/química
9.
Toxicon ; 33(1): 83-93, 1995 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7778132

RESUMO

An insecticidal peptide referred to as Tx4(6-1) was purified from the venom of the spider Phoneutria nigriventer by a combination of gel filtration, reverse-phase fast liquid chromatography on Pep-RPC, reverse-phase high performance liquid chromatography (HPLC) on Vydac C18 and ion-exchange HPLC on cationic columns. Tx4(6-1) is highly toxic to house flies. At levels of 0.5 ng/house fly it caused excitatory symptoms immediately after intrathoracical injection. However, in mice injections of 0.03 mg of the toxin intracerebroventricularly resulted in no apparent symptoms of intoxication. These results demonstrate that Tx4(6-1) of P. nigriventer has no toxicity for mice, and suggest that it is a specific anti-insect toxin. The mol. wt (5244.6) and purity of the toxin were determined by desorption mass spectroscopy. The complete amino acid sequence of this toxin was established by direct automated Edman degradation and manual 4-N,N'-dimethylaminoazobenzene-4'isothiocyanate/phenyl-isothiocyanate microsequence analyses of peptides obtained from digests with various proteases. The protein contains 48 amino acids including 10 Cys and 6 Lys. The N-terminal and C-terminal residues were Cys. The Tx4(6-1) sequence differs from that of previously characterized neurotoxins found in the same and other venom spiders, but exhibited sequence similarities in the location of the Cys residues.


Assuntos
Inseticidas/isolamento & purificação , Neurotoxinas/isolamento & purificação , Venenos de Aranha/toxicidade , Sequência de Aminoácidos , Animais , Dípteros , Camundongos , Dados de Sequência Molecular , Neurotoxinas/química
10.
Toxicon ; 40(7): 1041-5, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12076659

RESUMO

Enzymes with gelatinolytic activity were detected in Tityus bahiensis and Tityus serrulatus venom. Their activity was optimal at pH 8.0 in SDS-PAGE-gelatin. They were inhibited by PMSF but not by iodoacetamide, pepstatin or phenantrolin in the assay conditions used. This suggests that these enzymes are serine proteases. The presence of metal ions did not affect the proteolytic activity of these enzymes. Several possible functions may be envisaged for these enzymes: in tissue permeabilization, pancreatitis and toxin processing.


Assuntos
Gelatinases/metabolismo , Venenos de Escorpião/enzimologia , Escorpiões/fisiologia , Animais , Eletroforese em Gel de Poliacrilamida , Gelatinases/análise , Fluoreto de Fenilmetilsulfonil/metabolismo , Inibidores de Proteases/metabolismo , Venenos de Escorpião/química
11.
Toxicon ; 56(4): 487-96, 2010 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-20493199

RESUMO

A new vasoactive cytolytic toxin, referred to as Sp-CTx, has been purified from the venom of the scorpionfish Scorpaena plumieri by a combination of gel filtration and anion exchange chromatographies. An estimation of Sp-CTx native molecular mass, performed by size exclusion chromatography, demonstrated that it is a 121 kDa protein. Further physicochemical studies revealed its glycoproteic nature and dimeric constitution, comprising subunits of approximately 65 kDa (MALDI-TOF-MS). Such protein has proved to possess a potent hemolytic activity on washed rabbit erythrocytes (EC(50) 0.46 nM), whose effect was strongly reduced after treatment with antivenom raised against stonefish venom -Synanceja trachynis (SFAV). This cross-reactivity has been confirmed by western blotting. Like S. plumieri whole venom (100 microg/mL), Sp-CTx (1-50 nM) caused a biphasic response on phenylephrine pre-contracted rat aortic rings, characterized by an endothelium- and dose-dependent relaxation phase followed by a contractile phase. The vasorelaxant activity has been abolished by l-NAME, demonstrating the involvement of nitric oxide on the response. We report here the first isolation of a cytolytic/vasoactive protein from scorpionfish venom and the data provided suggest structural and functional similarities between Sp-CTx and previously published stonefish hemolytic toxins.


Assuntos
Citotoxinas/química , Venenos de Peixe/química , Peixes Venenosos , Hemolíticos/química , Vasodilatadores/química , Animais , Aorta/efeitos dos fármacos , Citotoxinas/isolamento & purificação , Citotoxinas/toxicidade , Eritrócitos/efeitos dos fármacos , Venenos de Peixe/isolamento & purificação , Venenos de Peixe/toxicidade , Hemolíticos/isolamento & purificação , Hemolíticos/toxicidade , Técnicas In Vitro , Contração Miocárdica/efeitos dos fármacos , Coelhos , Ratos , Vasodilatadores/isolamento & purificação , Vasodilatadores/toxicidade
12.
Artigo em Inglês | MEDLINE | ID: mdl-17218159

RESUMO

Arachnids have a venom apparatus and secrete a complex chemical mixture of low molecular mass organic molecules, enzymes and polypeptide neurotoxins designed to paralyze or kill their prey. Most of these toxins are specific for membrane voltage-gated sodium channels, although some may also target calcium or potassium channels and other membrane receptors. Scorpions and spiders have provided the greatest number of the neurotoxins studied so far, for which, a good number of primary and 3D structures have been obtained. Structural features, comprising a folding that determines a similar spatial distribution of charged and hydrophobic side chains of specific amino acids, are strikingly common among the toxins from spider and scorpion venoms. Such similarities are, in turn, the key feature to target and bind these proteins to ionic channels. The search for new insecticidal compounds, as well as the study of their modes of action, constitutes a current approach to rationally design novel insecticides. This goal tends to be more relevant if the resistance to the conventional chemical products is considered. A promising alternative seems to be the biotechnological approach using toxin-expressing recombinant baculovirus. Spider and scorpion toxins having insecticidal activity are reviewed here considering their structures, toxicities and action mechanisms in sodium channels of excitable membranes.


Assuntos
Aracnídeos/fisiologia , Proteínas de Insetos/toxicidade , Canais Iônicos/efeitos dos fármacos , Neurotoxinas/toxicidade , Peptídeos/toxicidade , Venenos de Aranha/toxicidade , Animais , Axônios/efeitos dos fármacos , Axônios/fisiologia , Proteínas de Insetos/química , Canais Iônicos/antagonistas & inibidores , Canais Iônicos/metabolismo , Neurotoxinas/química , Peptídeos/química , Controle Biológico de Vetores , Dobramento de Proteína , Escorpiões/fisiologia , Venenos de Aranha/química , Aranhas/fisiologia
13.
Cell Mol Neurobiol ; 27(1): 129-46, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17151945

RESUMO

Various neurotoxins have been described from the venom of the Brazilian spider Phoneutria nigriventer, but little is known about the venoms of the other species of this genus. In the present work, we describe the purification and some structural and pharmacological features of a new toxin (PRTx3-7) from Phoneutria reidyi that causes flaccid paralysis in mice. The observed molecular mass (4627.26 Da) was in accordance with the calculated mass for the amidated form of the amino acid sequence (4627.08 Da). The presence of an alpha-amidated C-terminus was confirmed by MS/MS analysis of the C-terminal peptide, isolated after enzymatic digestion of the native protein with Glu-C endoproteinase. The purified protein was injected (intracerebro-ventricular) into mice at dose levels of 5 microg/mouse causing immediate agitation and clockwise gyration, followed by the gradual development of general flaccid paralysis. PRTx3-7 at 1 microM inhibited by 20% the KCl-induced increase on [Ca2+]i in rat brain synaptosomes. The HEK cells permanently expressing L, N, P/Q and R HVA Ca2+ channels were also used to better characterize the pharmacological features of PRTx3-7. To our surprise, PRTx3-7 shifted the voltage-dependence for activation towards hyperpolarized membrane potentials for L (-4 mV), P/Q (-8 mV) and R (-5 mV) type Ca2+ currents. In addition, the new toxin also affected the steady state of inactivation of L-, N- and P/Q-type Ca2+ currents.


Assuntos
Canais de Cálcio/efeitos dos fármacos , Ativação do Canal Iônico/efeitos dos fármacos , Venenos de Aranha/farmacologia , Sequência de Aminoácidos , Animais , Canais de Cálcio/genética , Canais de Cálcio/fisiologia , Células Cultivadas , Eletrofisiologia , Feminino , Humanos , Masculino , Camundongos , Dados de Sequência Molecular , Ratos , Ratos Wistar , Homologia de Sequência de Aminoácidos , Venenos de Aranha/química , Venenos de Aranha/isolamento & purificação , Aranhas , Sinaptossomos/efeitos dos fármacos , Transfecção
14.
Artigo em Inglês | MEDLINE | ID: mdl-16278100

RESUMO

The proteomes of the venoms of the Brazilian wandering "armed" spiders Phoneutria nigriventer, Phoneutria reidyi, and Phoneutria keyserlingi, were compared using two-dimensional gel electrophoresis. The venom components were also fractionated using a combination of preparative reverse phase HPLC on Vydac C4, analytical RP-HPLC on Vydac C8 and C18 and cation exchange FPLC on Resource S at pH 6.1 and 4.7, or anion exchange HPLC on Synchropak AX-300 at pH 8.6. The amino acid sequences of the native and S-pyridyl-ethylated proteins and peptides derived from them by enzymatic digestion and chemical cleavages were determined using a Shimadzu PPSQ-21(A) automated protein sequencer, and by MS/MS collision induced dissociations. To date nearly 400 peptides and proteins (1.2-27 kDa) have been isolated in a pure state and, of these, more than 100 have had their complete or partial amino acid sequences determined. These sequences demonstrate, as might be expected, that the venoms of P. reidyi and P. keyserlingi (Family: Ctenidae) both contain a similar range of isoforms of the neurotoxins as those previously isolated from P. nigriventer which are active on neuronal ion (Ca(2+), Na(+) and K(+)) channels and NMDA-type glutamate receptors. In addition two new families of small (3-4 kDa) toxins, some larger protein (>10 kDa) components, and two serine proteinases of the venom of P. nigriventer are described. These enzymes may be responsible for some of the post-translational modification observed in some of the venom components.


Assuntos
Neurotoxinas/química , Venenos de Aranha/química , Aranhas , Sequência de Aminoácidos , Animais , Brasil , Feminino , Moscas Domésticas/efeitos dos fármacos , Dose Letal Mediana , Masculino , Camundongos , Dados de Sequência Molecular , Neurotoxinas/isolamento & purificação , Neurotoxinas/toxicidade , Peptídeos/química , Peptídeos/isolamento & purificação , Peptídeos/toxicidade , Proteínas/química , Proteínas/isolamento & purificação , Proteínas/toxicidade , Proteoma , Alinhamento de Sequência , Venenos de Aranha/isolamento & purificação , Venenos de Aranha/toxicidade
15.
J Insect Physiol ; 48(1): 53-61, 2002 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12770132

RESUMO

Tx4(6-1) a neurotoxic peptide from the venom of the aggressive South American 'armed' spider Phoneutria nigriventer, has been previously isolated and sequenced. It shows no detectable activity in mice but affects the peripheral nervous system of insects by stimulating glutamate release at the neuromuscular junction. Here we investigate possible interactions of the toxin with voltage-activated sodium channels (Na(v)). We confirm that it is ineffective on mammalian Na(v) channels, and establish that it competes with the alpha-like toxin 125I-Bom IV, for binding on the site 3 of insect Na(v) channel (IC(50) value around 25nM). The physiological consequences of this binding to the insect Na(v) channel are shown by electrophysiology: Tx4(6-1) prolongs evoked axonal action potentials (APs) (<500&mgr;s duration in control). Prolonged 8-10ms or 'plateau' 500-800ms APs accompanied by repetitive firing at 80-150Hz are recorded after 4-8min of toxin action. This modification of evoked activity is due to a slowing down of sodium current inactivation. Effects of Tx4(6-1) on sodium current are compared with those of a typical scorpion alpha-toxin and of some other spider toxins active on insect Na(v) channels. At the end of long voltage pulses, the maintained inward sodium current may represent 50% of the peak current after scorpion alpha-toxin but only about 8-10% after spider toxins. To understand the slight differences in the effects of alpha-scorpion and spider toxins on the insect Na(v) channel, structural studies of toxin-channels interactions would be necessary.

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