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1.
Addict Biol ; 29(6): e13405, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38837586

RESUMO

AIMS: Abuse of methamphetamine has aroused concern worldwide. Stimulant use and sexual behaviours have been linked in behavioural and epidemiological studies. Although methamphetamine-related neurofunctional differences are reported in previous studies, only few studies have examined neurofunctional changes related to methamphetamine and sexual cues in methamphetamine dependence from short- to long-term abstinence. METHODS: Neurofunctional changes were measured using a cue-reactivity task involving methamphetamine, sexual, and neutral cues in 20 methamphetamine abusers who were evaluated after a short- (1 week to 3 months) and long-term (10-15 months) abstinence. RESULTS: Five brain regions mainly involved in the occipital lobe and the parietal lobe were found with the group-by-condition interaction. Region-of-interest analyses found higher sexual-cue-related activation than other two activations in all five brain regions in the long-term methamphetamine abstinence group while no group differences were found. Negative relationships between motor impulsivity and methamphetamine- or sexual-cue-related activations in the left middle occipital gyrus, the superior parietal gyrus and the right angular gyrus were found. CONCLUSIONS: The findings suggested that methamphetamine abstinence may change the neural response of methamphetamine abusers to methamphetamine and sexual cues, and the neurofunction of the five brain regions reported in this study may partly recover with long-term methamphetamine abstinence. Given the use and relapse of methamphetamine for sexual purposes, the findings of this study may have particular clinical relevance.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas , Sinais (Psicologia) , Metanfetamina , Comportamento Sexual , Humanos , Transtornos Relacionados ao Uso de Anfetaminas/fisiopatologia , Masculino , Adulto , Comportamento Sexual/efeitos dos fármacos , Imageamento por Ressonância Magnética , Lobo Parietal/fisiopatologia , Lobo Parietal/efeitos dos fármacos , Feminino , Lobo Occipital/fisiopatologia , Encéfalo/fisiopatologia , Encéfalo/efeitos dos fármacos , Estimulantes do Sistema Nervoso Central/farmacologia , Adulto Jovem , Comportamento Impulsivo/efeitos dos fármacos , Mapeamento Encefálico/métodos , Fatores de Tempo
2.
Neuroimage ; 249: 118887, 2022 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-34999203

RESUMO

An essential core function of one's cognitive flexibility is the use of acquired knowledge and skills to adapt to ongoing environmental changes. Animal models have highlighted the influence serotonin has on neuroplasticity. These effects have been predominantly demonstrated during emotional relearning which is theorized as a possible model for depression. However, translation of these mechanisms is in its infancy. To this end, we assessed changes in effective connectivity at rest and during associative learning as a proxy of neuroplastic changes in healthy volunteers. 76 participants underwent 6 weeks of emotional or non-emotional (re)learning (face-matching or Chinese character-German noun matching). During relearning participants either self-administered 10 mg/day of the selective serotonin reuptake inhibitor (SSRI) escitalopram or placebo in a double-blind design. Associative learning tasks, resting-state and structural images were recorded before and after both learning phases (day 1, 21 and 42). Escitalopram intake modulated relearning changes in a network encompassing the right insula, anterior cingulate cortex and right angular gyrus. Here, the process of relearning during SSRI intake showed a greater decrease in effective connectivity from the right insula to both the anterior cingulate cortex and right angular gyrus, with increases in the opposite direction when compared to placebo. In contrast, intrinsic connections and those at resting-state were only marginally affected by escitalopram. Further investigation of gray matter volume changes in these functionally active regions revealed no significant SSRI-induced structural changes. These findings indicate that the right insula plays a central role in the process of relearning and SSRIs further potentiate this effect. In sum, we demonstrated that SSRIs amplify learning-induced effective connections rather than affecting the intrinsic task connectivity or that of resting-state.


Assuntos
Aprendizagem por Associação , Conectoma , Córtex Insular , Rede Nervosa , Plasticidade Neuronal , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Adulto , Aprendizagem por Associação/efeitos dos fármacos , Aprendizagem por Associação/fisiologia , Citalopram/farmacologia , Feminino , Giro do Cíngulo/diagnóstico por imagem , Giro do Cíngulo/efeitos dos fármacos , Giro do Cíngulo/fisiologia , Humanos , Córtex Insular/diagnóstico por imagem , Córtex Insular/efeitos dos fármacos , Córtex Insular/fisiologia , Imageamento por Ressonância Magnética , Masculino , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/efeitos dos fármacos , Rede Nervosa/fisiologia , Plasticidade Neuronal/efeitos dos fármacos , Plasticidade Neuronal/fisiologia , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/fisiologia , Descanso , Inibidores Seletivos de Recaptação de Serotonina/administração & dosagem , Adulto Jovem
3.
J Alzheimers Dis ; 81(2): 787-796, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33814437

RESUMO

BACKGROUND: Epidemiological studies have shown that dairy product consumption is beneficial for cognitive function in elderly individuals. ß-lactolin is a Gly-Thr-Trp-Tyr lacto-tetrapeptide rich in fermented dairy products that improves memory retrieval, attention, and executive function in older adults with subjective cognitive decline and prevents the pathology of Alzheimer's disease in rodents. There has been no study on the effects of ß-lactolin on neural activity in humans. OBJECTIVE: We investigated the effects of ß-lactolin on neural activity and cognitive function in healthy adults. METHODS: In this randomized, double-blind, placebo-controlled study, 30 participants (45-64 years old) consumed ß-lactolin or placebo for 6 weeks. Neural activity during auditory and language tasks was measured through 64-channel electroencephalography. Moreover, verbal fluency tests were performed at baseline and after 6 weeks. RESULTS: The ß-lactolin group had a significantly higher P300 amplitude at the Cp2 site (a part of the parietal lobe near the center of brain, p = 0.011), and C4 site (the area between the frontal and parietal lobe, p = 0.02) during the auditory tasks after 6 weeks than the placebo group. Thus, ß-lactolin supplementation promoted neural activity in the parietal area, which increases concentration and attention during auditory cognitive tasks. Compared with the placebo group, the ß-lactolin group also showed significant changes in the scores of verbal fluency test after 6 weeks (p = 0.033). CONCLUSION: Our findings provide insight into the mechanisms underlying the effects of ß-lactolin on attention in healthy adults.


Assuntos
Doença de Alzheimer/tratamento farmacológico , Cognição/efeitos dos fármacos , Função Executiva/efeitos dos fármacos , Memória/efeitos dos fármacos , Oligopeptídeos/farmacologia , Proteínas do Soro do Leite/farmacologia , Atenção/efeitos dos fármacos , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Lobo Parietal/efeitos dos fármacos
4.
Neuroimage ; 236: 118039, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-33852940

RESUMO

Animal studies using selective serotonin reuptake inhibitors (SSRIs) and learning paradigms have demonstrated that serotonin is important for flexibility in executive functions and learning. SSRIs might facilitate relearning through neuroplastic processes and thus exert their clinical effects in psychiatric diseases where cognitive functioning is affected. However, translation of these mechanisms to humans is missing. In this randomized placebo-controlled trial, we assessed functional brain activation during learning and memory retrieval in healthy volunteers performing associative learning tasks aiming to translate facilitated relearning by SSRIs. To this extent, seventy-six participants underwent three MRI scanning sessions: (1) at baseline, (2) after three weeks of daily associative learning and subsequent retrieval (face-matching or Chinese character-noun matching) and (3) after three weeks of relearning under escitalopram (10 mg/day) or placebo. Associative learning and retrieval tasks were performed during each functional MRI (fMRI) session. Statistical modeling was done using a repeated-measures ANOVA, to test for content-by-treatment-by-time interaction effects. During the learning task, a significant substance-by-time interaction was found in the right insula showing a greater deactivation in the SSRI cohort after 21 days of relearning compared to the learning phase. In the retrieval task, there was a significant content-by-time interaction in the left angular gyrus (AG) with an increased activation in face-matching compared to Chinese-character matching for both learning and relearning phases. A further substance-by-time interaction was found in task performance after 21 days of relearning, indicating a greater decrease of performance in the placebo group. Our findings that escitalopram modulate insula activation demonstrates successful translation of relearning as a mechanism of SSRIs in human. Furthermore, we show that the left AG is an active component of correct memory retrieval, which coincides with previous literature. We extend the function of this region by demonstrating its activation is not only stimulus dependent but also time constrained. Finally, we were able to show that escitalopram aids in relearning, irrespective of content.


Assuntos
Aprendizagem por Associação/efeitos dos fármacos , Córtex Cerebral , Citalopram/farmacologia , Rememoração Mental/efeitos dos fármacos , Plasticidade Neuronal/efeitos dos fármacos , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Adulto , Mapeamento Encefálico , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/efeitos dos fármacos , Córtex Cerebral/fisiologia , Citalopram/administração & dosagem , Método Duplo-Cego , Feminino , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética , Masculino , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Inibidores Seletivos de Recaptação de Serotonina/administração & dosagem , Adulto Jovem
5.
PLoS One ; 16(4): e0250262, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33878144

RESUMO

Valproic acid (VPA) treatment is associated with autism spectrum disorder in humans, and ferrets can be used as a model to test this; so far, it is not known whether ferrets react to developmental VPA exposure with gyrencephalic abnormalities. The current study characterized gyrification abnormalities in ferrets following VPA exposure during neonatal periods, corresponding to the late stage of cortical neurogenesis as well as the early stage of sulcogyrogenesis. Ferret pups received intraperitoneal VPA injections (200 µg/g of body weight) on postnatal days (PD) 6 and 7. BrdU was administered simultaneously at the last VPA injection. Ex vivo MRI-based morphometry demonstrated significantly lower gyrification index (GI) throughout the cortex in VPA-treated ferrets (1.265 ± 0.027) than in control ferrets (1.327 ± 0.018) on PD 20, when primary sulcogyrogenesis is complete. VPA-treated ferrets showed significantly smaller sulcal-GIs in the rostral suprasylvian sulcus and splenial sulcus but a larger lateral sulcus surface area than control ferrets. The floor cortex of the inner stratum of both the rostral suprasylvian and splenial sulci and the outer stratum of the lateral sulcus showed a relatively prominent expansion. Parvalbumin-positive neuron density was significantly greater in the expanded cortical strata of sulcal floors in VPA-treated ferrets, regardless of the BrdU-labeled status. Thus, VPA exposure during the late stage of cortical neurogenesis may alter gyrification, primarily in the frontal and parietotemporal cortical divisions. Altered gyrification may thicken the outer or inner stratum of the cerebral cortex by increasing parvalbumin-positive neuron density.


Assuntos
Anticonvulsivantes/efeitos adversos , Lobo Frontal/efeitos dos fármacos , Neurônios/efeitos dos fármacos , Lobo Parietal/efeitos dos fármacos , Lobo Temporal/efeitos dos fármacos , Ácido Valproico/efeitos adversos , Animais , Animais Recém-Nascidos , Biomarcadores/metabolismo , Mapeamento Encefálico , Contagem de Células , Furões , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/patologia , Expressão Gênica , Humanos , Imuno-Histoquímica , Injeções Intraperitoneais , Imageamento por Ressonância Magnética , Masculino , Morfogênese/efeitos dos fármacos , Neurogênese/efeitos dos fármacos , Neuroimagem , Neurônios/metabolismo , Neurônios/patologia , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/patologia , Parvalbuminas/genética , Parvalbuminas/metabolismo , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/patologia
6.
BMC Med Imaging ; 21(1): 53, 2021 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-33740903

RESUMO

BACKGROUND: Adult-attention-deficit-hyperactive-disorder (ADHD) is often unrecognized condition. FMRI examination along with neuropsychological testing might strengthen the diagnosis. We hypothesized that ADHD-adults with and without medication would show different fMRI pattern compared to healthy controls while testing tasks of motor inhibition and cognitive switching. METHODS: 45 subjects in three age-matched groups: (1) controls, (2) ADHD-adults under medication (ADHD+) and (3) medication-naïve adults with ADHD (ADHD-) underwent fMRI and neuropsychological testing. Group analysis and population-based statistics were performed. RESULTS: DTVP-A, intellectual ability as well as attention capability, visual-perceptual and visual-motor abilities showed no significant differences between the groups. However, fMRI revealed statistically significant differences between the ADHD+, ADHD- and control groups on tasks of motor inhibition and cognitive switching on adults in bilateral fronto-striatal brain regions, inferior fronto-frontal, fronto-cingulate and fronto-parietal networks as well as in the parietal lobe (p < 0.05). CONCLUSIONS: fMRI offers the potential to differentiate between the ADHD+, ADHD- and control groups. FMRI possibly opens a new window for monitoring the therapeutic effect of ADHD medication. TRIAL REGISTRATION: NCT02578342, registered at August 2015 to clinical trial registry ( https://ichgcp.net/clinical-trials-registry/NCT02578342 ).


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Adulto , Atenção/efeitos dos fármacos , Atenção/fisiologia , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Transtorno do Deficit de Atenção com Hiperatividade/fisiopatologia , Encéfalo/efeitos dos fármacos , Encéfalo/fisiopatologia , Estudos de Casos e Controles , Cognição/efeitos dos fármacos , Cognição/fisiologia , Corpo Estriado/diagnóstico por imagem , Corpo Estriado/efeitos dos fármacos , Diagnóstico Diferencial , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/efeitos dos fármacos , Humanos , Inteligência/efeitos dos fármacos , Inteligência/fisiologia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Desempenho Psicomotor/efeitos dos fármacos , Desempenho Psicomotor/fisiologia , Tempo de Reação , Percepção Visual/efeitos dos fármacos , Percepção Visual/fisiologia , Adulto Jovem
7.
Neuroimage ; 231: 117841, 2021 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-33577934

RESUMO

In recent years, specific cortical networks have been proposed to be crucial for sustaining consciousness, including the posterior hot zone and frontoparietal resting state networks (RSN). Here, we computationally evaluate the relative contributions of three RSNs - the default mode network (DMN), the salience network (SAL), and the central executive network (CEN) - to consciousness and its loss during propofol anaesthesia. Specifically, we use dynamic causal modelling (DCM) of 10 min of high-density EEG recordings (N = 10, 4 males) obtained during behavioural responsiveness, unconsciousness and post-anaesthetic recovery to characterise differences in effective connectivity within frontal areas, the posterior 'hot zone', frontoparietal connections, and between-RSN connections. We estimate - for the first time - a large DCM model (LAR) of resting EEG, combining the three RSNs into a rich club of interconnectivity. Consistent with the hot zone theory, our findings demonstrate reductions in inter-RSN connectivity in the parietal cortex. Within the DMN itself, the strongest reductions are in feed-forward frontoparietal and parietal connections at the precuneus node. Within the SAL and CEN, loss of consciousness generates small increases in bidirectional connectivity. Using novel DCM leave-one-out cross-validation, we show that the most consistent out-of-sample predictions of the state of consciousness come from a key set of frontoparietal connections. This finding also generalises to unseen data collected during post-anaesthetic recovery. Our findings provide new, computational evidence for the importance of the posterior hot zone in explaining the loss of consciousness, highlighting also the distinct role of frontoparietal connectivity in underpinning conscious responsiveness, and consequently, suggest a dissociation between the mechanisms most prominently associated with explaining the contrast between conscious awareness and unconsciousness, and those maintaining consciousness.


Assuntos
Anestésicos/administração & dosagem , Rede de Modo Padrão/fisiologia , Lobo Frontal/fisiologia , Redes Neurais de Computação , Lobo Parietal/fisiologia , Inconsciência/fisiopatologia , Estado de Consciência/efeitos dos fármacos , Estado de Consciência/fisiologia , Rede de Modo Padrão/efeitos dos fármacos , Eletroencefalografia/efeitos dos fármacos , Eletroencefalografia/métodos , Feminino , Lobo Frontal/efeitos dos fármacos , Humanos , Masculino , Lobo Parietal/efeitos dos fármacos , Propofol/administração & dosagem , Inconsciência/induzido quimicamente , Adulto Jovem
8.
Proc Natl Acad Sci U S A ; 118(3)2021 01 19.
Artigo em Inglês | MEDLINE | ID: mdl-33431672

RESUMO

The link between synaptic plasticity and reorganization of brain activity in health and disease remains a scientific challenge. We examined this question in Parkinson's disease (PD) where functional up-regulation of postsynaptic D2 receptors has been documented while its significance at the neural activity level has never been identified. We investigated cortico-subcortical plasticity in PD using the oculomotor system as a model to study reorganization of dopaminergic networks. This model is ideal because this system reorganizes due to frontal-to-parietal shifts in blood oxygen level-dependent (BOLD) activity. We tested the prediction that functional activation plasticity is associated with postsynaptic dopaminergic modifications by combining positron emission tomography/functional magnetic resonance imaging to investigate striatal postsynaptic reorganization of dopamine D2 receptors (using 11C-raclopride) and neural activation in PD. We used covariance (connectivity) statistics at molecular and functional levels to probe striato-cortical reorganization in PD in on/off medication states to show that functional and molecular forms of reorganization are related. D2 binding across regions defined by prosaccades showed increased molecular connectivity between both caudate/putamen and hyperactive parietal eye fields in PD in contrast with frontal eye fields in controls, in line with the shift model. Concerning antisaccades, parietal-striatal connectivity dominated in again in PD, unlike frontal regions. Concerning molecular-BOLD covariance, a striking sign reversal was observed: PD patients showed negative frontal-putamen functional-molecular associations, consistent with the reorganization shift, in contrast with the positive correlations observed in controls. Follow-up analysis in off-medication PD patients confirmed the negative BOLD-molecular correlation. These results provide a link among BOLD responses, striato-cortical synaptic reorganization, and neural plasticity in PD.


Assuntos
Núcleo Caudado/metabolismo , Lobo Frontal/metabolismo , Plasticidade Neuronal , Lobo Parietal/metabolismo , Doença de Parkinson/metabolismo , Putamen/metabolismo , Receptores de Dopamina D2/metabolismo , Idoso , Mapeamento Encefálico , Estudos de Casos e Controles , Núcleo Caudado/diagnóstico por imagem , Núcleo Caudado/efeitos dos fármacos , Núcleo Caudado/patologia , Dopamina/metabolismo , Antagonistas de Dopamina/uso terapêutico , Feminino , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/efeitos dos fármacos , Lobo Frontal/patologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Plasticidade Neuronal/efeitos dos fármacos , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Neurônios/patologia , Oxigênio/sangue , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/patologia , Doença de Parkinson/diagnóstico por imagem , Doença de Parkinson/tratamento farmacológico , Doença de Parkinson/patologia , Tomografia por Emissão de Pósitrons , Putamen/diagnóstico por imagem , Putamen/efeitos dos fármacos , Putamen/patologia , Racloprida/uso terapêutico , Movimentos Sacádicos/fisiologia , Sinapses/efeitos dos fármacos , Sinapses/metabolismo , Sinapses/patologia
9.
Alcohol Clin Exp Res ; 44(12): 2481-2493, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33067870

RESUMO

BACKGROUND: Long-term alcohol consumption has been linked to structural and functional brain abnormalities. Furthermore, with persistent exposure to ethanol (EtOH), nutrient deficiencies often develop. Thiamine deficiency is a key contributor to alcohol-related brain damage and is suspected to contribute to white matter pathology. The expression of genes encoding myelin proteins in several cortical brain regions is altered with EtOH exposure. However, there is limited research regarding the impact of thiamine deficiency on myelin dysfunction. METHODS: A rat model was used to assess the impact of moderate chronic EtOH exposure (CET; 20% EtOH in drinking water for 1 or 6 months), pyrithiamine-induced thiamine deficiency treatment (PTD), both conditions combined (CET-PTD), or CET with thiamine injections (CET + T) on myelin-related gene expression (Olig1, Olig2, MBP, MAG, and MOG) in the frontal and parietal cortices and the cerebellum. RESULTS: The CET-PTD treatments caused the greatest suppression in myelin-related genes in the cortex. Specifically, the parietal cortex was the region that was most susceptible to PTD-CET-induced alterations in myelin-related genes. In addition, PTD treatment, with and without CET, caused minor fluctuations in the expression of several myelin-related genes in the frontal cortex. In contrast, CET alone and PTD alone suppressed several myelin-related genes in the cerebellum. Regardless of the region, there was significant recovery of myelin-related genes with extended abstinence and/or thiamine restoration. CONCLUSION: Moderate chronic EtOH alone had a minor effect on the suppression of myelin-related genes in the cortex; however, when combined with thiamine deficiency, the reduction was amplified. There was a suppression of myelin-related genes following long-term EtOH and thiamine deficiency in the cerebellum. However, the suppression in the myelin-related genes mostly occurred 24 h after EtOH removal or following thiamine restoration; within 3 weeks of abstinence or thiamine recovery, gene expression rebounded.


Assuntos
Cerebelo/efeitos dos fármacos , Córtex Cerebral/efeitos dos fármacos , Etanol/efeitos adversos , Bainha de Mielina/metabolismo , Deficiência de Tiamina/complicações , Animais , Fatores de Transcrição Hélice-Alça-Hélice Básicos/metabolismo , Cerebelo/metabolismo , Córtex Cerebral/metabolismo , Lobo Frontal/efeitos dos fármacos , Lobo Frontal/metabolismo , Expressão Gênica/efeitos dos fármacos , Masculino , Bainha de Mielina/efeitos dos fármacos , Glicoproteína Associada a Mielina/metabolismo , Glicoproteína Mielina-Oligodendrócito/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Fator de Transcrição 2 de Oligodendrócitos/metabolismo , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/metabolismo , Ratos , Ratos Sprague-Dawley
10.
Clin Neurophysiol ; 131(11): 2566-2577, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32927212

RESUMO

OBJECTIVE: We investigated whether pre-anesthesia dynamic frontal-parietal functional connectivity was correlated with the observed interindividual differences in propofol susceptibility. METHODS: Three resting-state EEG datasets were used in the study (N = 29, N = 21 and N = 20). We estimated the pre-anesthesia strength and fluctuations of frontal-parietal functional connectivity by using sliding-window analysis. Propofol served as the sole anesthetic drug, and it was administered by using a target-controlled infusion system. Individual susceptibility to propofol was assessed by the induction time, from infusion onset until a bispectral index value of 60 was reached, for subjects in dataset-1 and dataset-2, and susceptibility was assessed by behavioral data for subjects in the external dataset. RESULTS: We observed in the three datasets that subjects with high susceptibility to propofol had lower pre-anesthesia strength and lower fluctuation of frontal-parietal functional connectivity than the low-susceptibility group at alpha band. Moreover, the induction time was significantly correlated with the estimated pre-anesthesia frontal-parietal functional connectivity measures. We also validated the robustness of these findings by using different window lengths in sliding-window analysis. CONCLUSIONS: Subjects with weaker pre-anesthesia dynamic frontal-parietal communication are more likely to be anesthetized. SIGNIFICANCE: These observations suggest that the titration procedure for propofol should consider the pre-anesthesia brain functional state.


Assuntos
Anestésicos Intravenosos/administração & dosagem , Lobo Frontal/fisiologia , Rede Nervosa/fisiologia , Lobo Parietal/fisiologia , Propofol/administração & dosagem , Adolescente , Adulto , Eletroencefalografia , Feminino , Lobo Frontal/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Rede Nervosa/efeitos dos fármacos , Vias Neurais/efeitos dos fármacos , Vias Neurais/fisiologia , Lobo Parietal/efeitos dos fármacos , Adulto Jovem
11.
CNS Neurol Disord Drug Targets ; 19(4): 290-305, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32533819

RESUMO

INTRODUCTION: Lisdexamfetamine (LDX) is a drug used to treat ADHD/impulsive patients. Impulsivity is known to affect inhibitory, emotional and cognitive function. On the other hand, smell and odor processing are known to be affected by neurological disorders, as they are modulators of addictive and impulsive behaviors specifically. We hypothesize that, after LDX ingestion, inhibitory pathways of the brain would change, and complementary behavioral regulation mechanisms would appear to regulate decision-making and impulsivity. METHODS: 20 children were studied in an aleatory crossover study. Imaging of BOLD-fMRI activity, elicited by olfactory stimulation in impulsive children, was performed after either LDX or placebo ingestion. RESULTS: Findings showed that all subjects who underwent odor stimulation presented activations of similar intensities in the olfactory centers of the brain. This contrasted with inhibitory regions of the brain such as the cingulate cortex and frontal lobe regions, which demonstrated changed activity patterns and intensities. While some differences between the placebo and medicated states were found in motor areas, precuneus, cuneus, calcarine, supramarginal, cerebellum and posterior cingulate cortex, the main changes were found in frontal, temporal and parietal cortices. When comparing olfactory cues separately, pleasant food smells like chocolate seemed not to present large differences between the medicated and placebo scenarios, when compared to non-food-related smells. CONCLUSION: It was demonstrated that LDX, first, altered the inhibitory pathways of the brain, secondly it increased activity in several brain regions which were not activated by smell in drug-naïve patients, and thirdly, it facilitated a complementary behavioral regulation mechanism, run by the cerebellum, which regulated decision-making and impulsivity in motor and frontal structures.


Assuntos
Encéfalo/efeitos dos fármacos , Estimulantes do Sistema Nervoso Central/farmacologia , Comportamento Impulsivo/efeitos dos fármacos , Dimesilato de Lisdexanfetamina/farmacologia , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Criança , Estudos Cross-Over , Sinais (Psicologia) , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/efeitos dos fármacos , Neuroimagem Funcional , Giro do Cíngulo/diagnóstico por imagem , Giro do Cíngulo/efeitos dos fármacos , Humanos , Imageamento por Ressonância Magnética , Masculino , Inibição Neural/efeitos dos fármacos , Odorantes , Córtex Olfatório/diagnóstico por imagem , Córtex Olfatório/efeitos dos fármacos , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/efeitos dos fármacos
12.
J Neurovirol ; 26(4): 590-601, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32572834

RESUMO

Although neuropsychological studies of human immunodeficiency virus (HIV)-infected patients have demonstrated heterogeneity in neurocognitive impairment and neuroimaging studies have reported diverse brain regions affected by HIV, it remains unclear whether individual differences in neurocognitive impairment are underpinned by their neural bases. Here, we investigated spatial distribution patterns of correlation between neurocognitive function and regional gray matter (GM) volume across patients with HIV. Thirty-one combination antiretroviral therapy-treated HIV-infected Japanese male patients and 33 age- and sex-matched healthy controls were included in the analysis after strict exclusion criteria, especially for substance use. Fifteen neurocognitive tests were used, and volumetric magnetic resonance imaging was performed. We used voxel-based morphometry to compare GM volume between groups and identify regional GM volumes that correlated with neurocognitive tests across patients. Using the Frascati criteria, 10 patients were diagnosed with asymptomatic neurocognitive impairment, while the others were not diagnosed with HIV-associated neurocognitive disorders. Patients showed a significantly lower performance in five neurocognitive tests as well as significantly reduced GM volume relative to controls, with volume-reduced regions spread diffusely across the whole brain. Different aspects of neurocognitive impairment (i.e., figural copy, finger tapping, and Pegboard) were associated with different GM regions. Our findings suggest a biological background constituting heterogeneity of neurocognitive impairment in HIV infection and support the clinical importance of considering individual differences for tailor-made medicine for people living with HIV.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Disfunção Cognitiva/fisiopatologia , Substância Cinzenta/fisiopatologia , Infecções por HIV/fisiopatologia , Adulto , Terapia Antirretroviral de Alta Atividade , Doenças Assintomáticas , Atenção/efeitos dos fármacos , Estudos de Casos e Controles , Disfunção Cognitiva/diagnóstico por imagem , Disfunção Cognitiva/tratamento farmacológico , Disfunção Cognitiva/virologia , Função Executiva/efeitos dos fármacos , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/efeitos dos fármacos , Substância Cinzenta/virologia , Giro do Cíngulo/diagnóstico por imagem , Giro do Cíngulo/efeitos dos fármacos , Giro do Cíngulo/fisiopatologia , Giro do Cíngulo/virologia , Infecções por HIV/diagnóstico por imagem , Infecções por HIV/tratamento farmacológico , Infecções por HIV/virologia , Hipocampo/diagnóstico por imagem , Hipocampo/efeitos dos fármacos , Hipocampo/fisiopatologia , Hipocampo/virologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Memória/efeitos dos fármacos , Testes de Estado Mental e Demência , Pessoa de Meia-Idade , Destreza Motora/efeitos dos fármacos , Neuroimagem/métodos , Lobo Occipital/diagnóstico por imagem , Lobo Occipital/efeitos dos fármacos , Lobo Occipital/fisiopatologia , Lobo Occipital/virologia , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/fisiopatologia , Lobo Parietal/virologia , Córtex Pré-Frontal/diagnóstico por imagem , Córtex Pré-Frontal/efeitos dos fármacos , Córtex Pré-Frontal/fisiopatologia , Córtex Pré-Frontal/virologia , Índice de Gravidade de Doença , Fala/efeitos dos fármacos
13.
Learn Mem ; 27(6): 222-235, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32414940

RESUMO

Perineuronal nets (PNNs) are specialized extracellular matrix structures that surround subsets of neurons throughout the central nervous system (CNS). They are made up of chondroitin sulfate proteoglycans (CSPGs), hyaluronan, tenascin-R, and many other link proteins that together make up their rigid and lattice-like structure. Modulation of PNNs can alter synaptic plasticity and thereby affect learning, memory, and cognition. In the present study, we degraded PNNs in the medial prefrontal (mPFC) and posterior parietal (PPC) cortices of Long-Evans rats using the enzyme chondroitinase ABC (ChABC), which cleaves apart CSPGs. We then measured the consequences of PNN degradation on spatial working memory (WM) with a trial-unique, non-matching-to location (TUNL) automated touchscreen task. All rats were trained with a standard 6 sec delay and 20 sec inter-trial interval (ITI) and then tested under four different conditions: a 6 sec delay, a variable 2 or 6 sec delay, a 2 sec delay with a 1 sec ITI (interference condition), and a 20 sec delay. Rats that received mPFC ChABC treatment initially performed TUNL with higher accuracy, more selection trials completed, and fewer correction trials completed compared to controls in the 20 sec delay condition but did not perform differently from controls in any other condition. Rats that received PPC ChABC treatment did not perform significantly differently from controls in any condition. Posthumous immunohistochemistry confirmed an increase in CSPG degradation products (C4S stain) in the mPFC and PPC following ChABC infusions while WFA staining intensity and parvalbumin positive neuron number were decreased following mPFC, but not PPC, ChABC infusions. These findings suggest that PNNs in the mPFC play a subtle role in spatial WM, but PNNs in the PPC do not. Furthermore, it appears that PNNs in the mPFC are involved in adapting to a challenging novel delay, but that they do not play an essential role in spatial WM function.


Assuntos
Condroitina ABC Liase/farmacologia , Proteoglicanas de Sulfatos de Condroitina/efeitos dos fármacos , Matriz Extracelular/efeitos dos fármacos , Memória de Curto Prazo/efeitos dos fármacos , Lobo Parietal/efeitos dos fármacos , Córtex Pré-Frontal/efeitos dos fármacos , Desempenho Psicomotor/efeitos dos fármacos , Memória Espacial/efeitos dos fármacos , Animais , Comportamento Animal/efeitos dos fármacos , Masculino , Ratos , Ratos Long-Evans , Fatores de Tempo
14.
Bull Exp Biol Med ; 168(4): 521-524, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32152848

RESUMO

The effect of glyproline-containing peptide MGHPPGP (Met-Glu-His-Phe-Pro-Gly-Pro) was studied in experiments on male Wistar rats with modeled traumatic brain injury. The peptide was administered intraperitoneally in a dose of 1 mg/kg in 3 h and on days 2, 3, 4, 5 after injury. We evaluated morphometric parameters of the epithelial cells of the tongue, small intestine, and liver cells (AgNOR staining), neuronal layers II and V of the neocortex of the parietal lobe and hippocampal CA1 field (staining with gallocyanin) were evaluated in the post-traumatic period. Traumatic brain injury (TBI) was induced in rats by using the impact model (WDM; weight drop method). MGHPPGP peptide corrected the activity indicators of the nuclear organizer regions in epitheliocytes of the tongue.


Assuntos
Lesões Encefálicas Traumáticas/tratamento farmacológico , Região CA1 Hipocampal/efeitos dos fármacos , Células Epiteliais/efeitos dos fármacos , Neocórtex/efeitos dos fármacos , Neurônios/efeitos dos fármacos , Fármacos Neuroprotetores/farmacologia , Oligopeptídeos/farmacologia , Animais , Lesões Encefálicas Traumáticas/patologia , Modelos Animais de Doenças , Células Epiteliais/ultraestrutura , Hepatócitos/efeitos dos fármacos , Hepatócitos/ultraestrutura , Injeções Intraperitoneais , Intestino Delgado/efeitos dos fármacos , Fígado/efeitos dos fármacos , Masculino , Neurônios/ultraestrutura , Lobo Parietal/efeitos dos fármacos , Ratos , Ratos Wistar , Língua/efeitos dos fármacos
15.
Neuron ; 106(1): 66-75.e12, 2020 04 08.
Artigo em Inglês | MEDLINE | ID: mdl-32053769

RESUMO

Functional MRI and electrophysiology studies suggest that consciousness depends on large-scale thalamocortical and corticocortical interactions. However, it is unclear how neurons in different cortical layers and circuits contribute. We simultaneously recorded from central lateral thalamus (CL) and across layers of the frontoparietal cortex in awake, sleeping, and anesthetized macaques. We found that neurons in thalamus and deep cortical layers are most sensitive to changes in consciousness level, consistent across different anesthetic agents and sleep. Deep-layer activity is sustained by interactions with CL. Consciousness also depends on deep-layer neurons providing feedback to superficial layers (not to deep layers), suggesting that long-range feedback and intracolumnar signaling are important. To show causality, we stimulated CL in anesthetized macaques and effectively restored arousal and wake-like neural processing. This effect was location and frequency specific. Our findings suggest layer-specific thalamocortical correlates of consciousness and inform how targeted deep brain stimulation can alleviate disorders of consciousness.


Assuntos
Estado de Consciência/fisiologia , Lobo Frontal/fisiologia , Núcleos Intralaminares do Tálamo/fisiologia , Lobo Parietal/fisiologia , Sono/fisiologia , Vigília/fisiologia , Anestesia Geral , Anestésicos Inalatórios/farmacologia , Anestésicos Intravenosos/farmacologia , Animais , Córtex Cerebral/efeitos dos fármacos , Córtex Cerebral/fisiologia , Estado de Consciência/efeitos dos fármacos , Estimulação Elétrica , Eletroencefalografia , Retroalimentação , Lobo Frontal/efeitos dos fármacos , Núcleos Intralaminares do Tálamo/efeitos dos fármacos , Isoflurano/farmacologia , Macaca , Vias Neurais/efeitos dos fármacos , Vias Neurais/fisiologia , Lobo Parietal/efeitos dos fármacos , Propofol/farmacologia
16.
Curr HIV Res ; 18(3): 181-193, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32065091

RESUMO

BACKGROUND: Poorer working memory function has previously been associated with alcohol misuse, Human Immunodeficiency Virus (HIV) positive status, and risky behavior. Poorer working memory performance relates to alterations in specific brain networks. OBJECTIVE: The current study examined if there was a relationship between brain networks involved in working memory and reported level of alcohol consumption during an individual's period of heaviest use. Furthermore, we examined whether HIV status and the interaction between HIV and alcohol consumption was associated with differences in these brain networks. METHODS: Fifty adults, 26 of whom were HIV positive, engaged in an n-back working memory task (0-back and 2-back trials) administered in a magnetic resonance imaging (MRI) scanner. The Kreek- McHugh-Schluger-Kellogg (KMSK) scale of alcohol consumption was used to characterize an individual's period of heaviest use and correlates well with their risk for alcohol dependence. Connectivity analyses were conducted using data collected during n-back task. RESULTS: Functional connectivity differences associated with greater alcohol consumption included negative connectivity, primarily from parietal attention networks to frontal networks. Greater alcohol consumption was also associated with positive connectivity from working memory nodes to the precuneus and paracingulate. HIV positive status was associated with more nodes of negative functional connectivity relative to alcohol consumption history alone, particularly in the frontoparietal networks. The HIV positive individuals with heavier drinking history related to negative fronto-parietal connectivity, along with positive connectivity from working memory nodes to mesolimbic regions. CONCLUSION: Findings allow for a better understanding of brain networks affected by HIV and alcohol and may provide avenues for interventions.


Assuntos
Alcoolismo/fisiopatologia , Etanol/toxicidade , Lobo Frontal/fisiopatologia , Infecções por HIV/fisiopatologia , Lobo Parietal/fisiopatologia , Adulto , Alcoolismo/complicações , Alcoolismo/diagnóstico por imagem , Alcoolismo/tratamento farmacológico , Fármacos Anti-HIV/uso terapêutico , Terapia Antirretroviral de Alta Atividade , Conectoma/métodos , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/efeitos dos fármacos , HIV/crescimento & desenvolvimento , HIV/patogenicidade , Infecções por HIV/complicações , Infecções por HIV/diagnóstico por imagem , Infecções por HIV/tratamento farmacológico , Humanos , Imageamento por Ressonância Magnética , Masculino , Memória de Curto Prazo/fisiologia , Pessoa de Meia-Idade , Testes Neuropsicológicos , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/efeitos dos fármacos
17.
Mol Brain ; 13(1): 16, 2020 02 05.
Artigo em Inglês | MEDLINE | ID: mdl-32024548

RESUMO

The return of fear following extinction therapy is an important issue associated with the treatment of many fear-related disorders. Fear renewal is a suitable model, with which context-dependent modulation of the fear response can be examined. In this model, any context outside of an extinction context (e.g., novel or familiar contexts) could evoke relapse of the fear response. However, brain regions associated with context-dependent modulation are not fully understood. The posterior parietal cortex (PPC) is considered a center for integrating multisensory information and making decisions. To study its role in the contextual modulation of fear relapse, we reversibly inactivated the PPC in mice before they were exposed to various contexts after extinction training. When muscimol was infused into the PPC, fear renewal was impaired in a novel context, but not in a familiar context. Fear relapses were blocked during optogenetic inhibition of the PPC, only when animals were placed in a novel context. We propose that the neural activity of the PPC is necessary for the relapse of a precise response to an extinguished conditioned stimulus in a novel context.


Assuntos
Medo/fisiologia , Muscimol/farmacologia , Lobo Parietal/fisiologia , Estimulação Acústica , Animais , Condicionamento Clássico/fisiologia , Sinais (Psicologia) , Tomada de Decisões , Eletrochoque , Extinção Psicológica , Reação de Congelamento Cataléptica , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Optogenética , Lobo Parietal/efeitos dos fármacos
18.
Cereb Cortex ; 30(6): 3451-3466, 2020 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-31989160

RESUMO

Sleep slow waves are known to participate in memory consolidation, yet slow waves occurring under anesthesia present no positive effects on memory. Here, we shed light onto this paradox, based on a combination of extracellular recordings in vivo, in vitro, and computational models. We find two types of slow waves, based on analyzing the temporal patterns of successive slow-wave events. The first type is consistently observed in natural slow-wave sleep, while the second is shown to be ubiquitous under anesthesia. Network models of spiking neurons predict that the two slow wave types emerge due to a different gain on inhibitory versus excitatory cells and that different levels of spike-frequency adaptation in excitatory cells can account for dynamical distinctions between the two types. This prediction was tested in vitro by varying adaptation strength using an agonist of acetylcholine receptors, which demonstrated a neuromodulatory switch between the two types of slow waves. Finally, we show that the first type of slow-wave dynamics is more sensitive to external stimuli, which can explain how slow waves in sleep and anesthesia differentially affect memory consolidation, as well as provide a link between slow-wave dynamics and memory diseases.


Assuntos
Córtex Cerebral/fisiologia , Neurônios/fisiologia , Receptores Colinérgicos/fisiologia , Sono de Ondas Lentas/fisiologia , Anestesia Geral , Anestésicos Dissociativos/farmacologia , Anestésicos Intravenosos/farmacologia , Animais , Ondas Encefálicas/efeitos dos fármacos , Ondas Encefálicas/fisiologia , Gatos , Córtex Cerebral/efeitos dos fármacos , Agonistas Colinérgicos/farmacologia , Simulação por Computador , Córtex Entorrinal/efeitos dos fármacos , Córtex Entorrinal/fisiologia , Humanos , Técnicas In Vitro , Ketamina/farmacologia , Macaca , Consolidação da Memória , Camundongos , Córtex Motor/efeitos dos fármacos , Córtex Motor/fisiologia , Inibição Neural , Neurônios/efeitos dos fármacos , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/fisiologia , Córtex Pré-Frontal/efeitos dos fármacos , Córtex Pré-Frontal/fisiologia , Córtex Visual Primário/efeitos dos fármacos , Córtex Visual Primário/fisiologia , Ratos , Receptores Colinérgicos/efeitos dos fármacos , Sono de Ondas Lentas/efeitos dos fármacos , Sufentanil/farmacologia , Lobo Temporal/efeitos dos fármacos , Lobo Temporal/fisiologia
19.
J Neurosci ; 40(9): 1849-1861, 2020 02 26.
Artigo em Inglês | MEDLINE | ID: mdl-31949108

RESUMO

Severe loss of excitatory synapses in key brain regions is thought to be one of the major mechanisms underlying stress-induced cognitive impairment. To date, however, the identity of the affected circuits remains elusive. Here we examined the effect of exposure to repeated multiple concurrent stressors (RMS) on the connectivity of the posterior parietal cortex (PPC) in adolescent male mice. We found that RMS led to layer-specific elimination of excitatory synapses with the most pronounced loss observed in deeper cortical layers. Quantitative analysis of cortical projections to the PPC revealed a significant loss of sensory and retrosplenial inputs to the PPC while contralateral and frontal projections were preserved. These results were confirmed by decreased synaptic strength from sensory, but not from contralateral, projections in stress-exposed animals. Functionally, RMS disrupted visuospatial working memory performance, implicating disrupted higher-order visual processing. These effects were not observed in mice subjected to restraint-only stress for an identical period of time. The PPC is considered to be a cortical hub for multisensory integration, working memory, and perceptual decision-making. Our data suggest that sensory information streams targeting the PPC may be impacted by recurring stress, likely contributing to stress-induced cognitive impairment.SIGNIFICANCE STATEMENT Repeated exposure to stress profoundly impairs cognitive functions like memory, attention, or decision-making. There is emerging evidence that stress not only impacts high-order regions of the brain, but may affect earlier stages of cognitive processing. Our work focuses on the posterior parietal cortex, a brain region supporting short-term memory, multisensory integration, and decision-making. We show evidence that repeated stress specifically damages sensory inputs to this region. This disruption of synaptic connectivity is linked to working memory impairment and is specific to repeated exposure to multiple stressors. Altogether, our data provide a potential alternative explanation to ailments previously attributed to downstream, cognitive brain structures.


Assuntos
Rede Nervosa/fisiopatologia , Lobo Parietal/fisiopatologia , Estresse Psicológico/fisiopatologia , Animais , Cognição , Fenômenos Eletrofisiológicos , Lateralidade Funcional , Agonistas GABAérgicos/farmacologia , Imuno-Histoquímica , Masculino , Memória de Curto Prazo , Camundongos , Camundongos Endogâmicos C57BL , Muscimol/farmacologia , Rede Nervosa/efeitos dos fármacos , Ruído , Optogenética , Lobo Parietal/efeitos dos fármacos , Restrição Física , Memória Espacial , Estresse Psicológico/psicologia , Sinapses , Percepção Visual
20.
J Inorg Biochem ; 204: 110871, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31901536

RESUMO

The use of vaccines containing aluminum (Al) adjuvants is widespread in ovine production. Al adjuvants induce an effective immune-response but lead to the formation of post-vaccination granulomas from which Al can disseminate. This work aims to study the accumulation of Al in the central nervous system of sheep subcutaneously inoculated with Al-hydroxide containing products. Lumbar spinal cord and parietal lobe from 21 animals inoculated with 19 doses of Vaccine (n = 7), Adjuvant-only (n = 7) or phosphate-buffered saline as Control (n = 7) were analyzed with transversely heated graphite furnace atomic absorption spectroscopy and lumogallion staining for Al analytical measurements and Al tisular localization respectively. In the lumbar spinal cord, Al median content was higher in both the Adjuvant-only and Vaccine group (p = .001) compared with the Control group. Animals of the Adjuvant-only group showed the higher individual measurements in the lumbar spinal cord (14.36 µg/g and 7.83 µg/g). In the parietal lobe, Al median content tended to be higher in the Adjuvant-only group compared with Control group (p = .074). Except for three replicates of the Adjuvant-only group, Al content was always below 1 µg/g. In the lumbar spinal cord, lumogallion-reactive Al deposits were more abundant in the gray matter than in the white matter in both Vaccine (p = .034) and Adjuvant-only groups (p = .017) and Al deposits were mostly associated with glial-like cells (p = .042). In the parietal lobe, few Al deposits, which were sometimes related to blood vessels, were found. In sheep, Al-hydroxide adjuvants inoculated in the subcutaneous tissue selectively accumulate in the lumbar spinal cord.


Assuntos
Adjuvantes Imunológicos/administração & dosagem , Hidróxido de Alumínio/farmacocinética , Alumínio/farmacocinética , Lobo Parietal/metabolismo , Medula Espinal/metabolismo , Vacinas/administração & dosagem , Adjuvantes Imunológicos/farmacocinética , Hidróxido de Alumínio/administração & dosagem , Animais , Injeções Subcutâneas , Masculino , Lobo Parietal/efeitos dos fármacos , Lobo Parietal/imunologia , Ovinos , Medula Espinal/efeitos dos fármacos , Medula Espinal/imunologia , Distribuição Tecidual
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