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1.
Chemistry ; 30(33): e202400933, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609334

RESUMO

A relaxin-like gonad-stimulating peptide (RGP), Aso-RGP, featuring six cysteine residues, was identified in the Crown-of-Thorns Starfish (COTS, Acanthaster cf. solaris) and initially produced through recombinant yeast expression. This method yielded a single-chain peptide with an uncleaved C-peptide (His Tag) and suboptimal purity. Our objective was to chemically synthesize Aso-RGP in its mature form, comprising two chains (A and B) and three disulfide bridges, omitting the C-peptide. Furthermore, we aimed to synthesize a newly identified relaxin-like peptide, Aso-RLP2, from COTS, which had not been previously synthesized. This paper reports the first total chemical synthesis of Aso-RGP and Aso-RLP2. Aso-RGP synthesis proceeded without major issues, whereas the A-chain of Aso-RLP2, in its reduced and unfolded state with two free thiols, presented considerable challenges. These were initially marked by "messy" RP-HPLC profiles, typically indicative of synthesis failure. Surprisingly, oxidizing the A-chain significantly improved the RP-HPLC profile, revealing the main issue was not synthesis failure but the peptide's aggregation tendency, which initially obscured analysis. This discovery highlights the critical need to account for aggregation in peptide synthesis and analysis. Ultimately, our efforts led to the successful synthesis of both peptides with purities exceeding 95 %.


Assuntos
Dissulfetos , Peptídeos , Estrelas-do-Mar , Estrelas-do-Mar/química , Dissulfetos/química , Peptídeos/química , Peptídeos/síntese química , Animais , Cromatografia Líquida de Alta Pressão , Sequência de Aminoácidos , Cisteína/química , Oxirredução
2.
Artigo em Inglês | MEDLINE | ID: mdl-38951991

RESUMO

Alveolar ridge resorption following tooth extraction poses significant challenges for future dental restorations. This study investigated the efficacy of fish scale-derived hydroxyapatite (FSHA) as a socket preservation graft material to maintain alveolar bone volume and architecture. FSHA was extracted from *Labeo rohita* fish scales and characterized using Fourier transform infrared (FTIR) analysis. In vitro, biocompatibility and osteogenic potential were assessed using Saos-2 human osteosarcoma cells. Cell viability, migration, and proliferation were evaluated using MTT and scratch assays. In vivo performance was assessed in a rat model, and FSHA was compared to a commercial xenograft (Osseograft) and ungrafted controls. Histological analysis was performed at 8-week post-implantation to quantify new bone formation. FTIR confirmed the purity and homogeneity of FSHA. In vitro, FSHA enhanced Saos-2 viability, migration, and proliferation compared to controls. In vivo, FSHA demonstrated superior bone regeneration compared to Osseograft and ungrafted sites, with balanced graft resorption and new bone formation. Histological analysis revealed an active incorporation of FSHA into new bone, with minimal gaps and ongoing remodeling. Approximately 50%-60% of FSHA was resorbed by 8 weeks, closely matching the rate of new bone deposition. FSHA stimulated more bone formation in the apical socket region than in coronal areas. In conclusion, FSHA is a promising biomaterial for alveolar ridge preservation, exhibiting excellent biocompatibility, osteogenic potential, and balanced resorption. Its ability to promote robust bone regeneration highlights its potential as an effective alternative to currently used graft materials in socket preservation procedures.

3.
Int J Mol Sci ; 24(16)2023 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-37628851

RESUMO

Human relaxin-2 (H2 relaxin) is a peptide hormone with potent vasodilatory and anti-fibrotic effects, which is of interest for the treatment of heart failure and fibrosis. H2 relaxin binds to the Relaxin Family Peptide Receptor 1 (RXFP1). Native H2 relaxin is a two-chain, three-disulfide-bond-containing peptide, which is unstable in human serum and difficult to synthesize efficiently. In 2016, our group developed B7-33, a single-chain peptide derived from the B-chain of H2 relaxin. B7-33 demonstrated poor affinity and potency in HEK cells overexpressing RXFP1; however, it displayed equivalent potency to H2 relaxin in fibroblasts natively expressing RXFP1, where it also demonstrated the anti-fibrotic effects of the native hormone. B7-33 reversed organ fibrosis in numerous pre-clinical animal studies. Here, we detail our efforts towards a minimal H2 relaxin scaffold and attempts to improve scaffold activity through Aib substitution and hydrocarbon stapling to re-create the peptide helicity present in the native H2 relaxin.


Assuntos
Insuficiência Cardíaca , Hormônios Peptídicos , Relaxina , Animais , Humanos , Relaxina/farmacologia , Fibroblastos , Insuficiência Cardíaca/tratamento farmacológico , Domínios Proteicos
4.
Int J Mol Sci ; 24(7)2023 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-37047588

RESUMO

Human relaxin-2 (H2 relaxin) is therapeutically very important due to its strong anti-fibrotic, vasodilatory, and cardioprotective effects. Therefore, relaxin's receptor, relaxin family peptide receptor 1 (RXFP1), is a potential target for the treatment of fibrosis and related disorders, including heart failure. H2 relaxin has a complex two-chain structure (A and B) and three disulfide bridges. Our laboratory has recently developed B7-33 peptide, a single-chain agonist based on the B-chain of H2 relaxin. However, the peptide B7-33 has a short circulation time in vitro in serum (t1/2 = ~6 min). In this study, we report structure-activity relationship studies on B7-33 utilizing different fatty-acid conjugations at different positions. We have shown that by fatty-acid conjugation with an appropriate spacer length, the in vitro half-life of B7-33 can be increased from 6 min to 60 min. In the future, the lead lipidated molecule will be studied in animal models to measure its PK/PD properties, which will lead to their pre-clinical applications.


Assuntos
Relaxina , Animais , Humanos , Relaxina/farmacologia , Receptores Acoplados a Proteínas G/química , Relação Estrutura-Atividade , Fibrose
5.
Chembiochem ; 21(24): 3463-3475, 2020 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-32656966

RESUMO

This review highlights the predominant role that NMR has had in determining the structures of cyclotides, a fascinating class of macrocyclic peptides found in plants. Cyclotides contain a cystine knot, a compact structural motif that is constrained by three disulfide bonds and able to resist chemical and biological degradation. Their resistance to proteolytic degradation has made cyclotides appealing as drug leads. Herein, we examine the developments that led to the identification and conclusive determination of the disulfide connectivity of cyclotides and describe in detail the structural features of exemplar cyclotides. We also review the role that X-ray crystallography has played in resolving cyclotide structures and describe how racemic crystallography opened up the possibility of obtaining previously inaccessible X-ray structures of cyclotides.


Assuntos
Ciclotídeos/química , Ressonância Magnética Nuclear Biomolecular , Cristalografia por Raios X , Modelos Moleculares , Plantas/química , Conformação Proteica
6.
Part Fibre Toxicol ; 14(1): 16, 2017 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-28545487

RESUMO

BACKGROUND: Epidemiological studies have linked exposures to ambient fine particulate matter (PM2.5) and traffic with autonomic nervous system imbalance (ANS) and cardiac pathophysiology, especially in individuals with preexisting disease. It is unclear whether metabolic syndrome (MetS) increases susceptibility to the effects of PM2.5. We hypothesized that exposure to traffic-derived primary and secondary organic aerosols (P + SOA) at ambient levels would cause autonomic and cardiovascular dysfunction in rats exhibiting features of MetS. Male Sprague Dawley (SD) rats were fed a high-fructose diet (HFrD) to induce MetS, and exposed to P + SOA (20.4 ± 0.9 µg/m3) for 12 days with time-matched comparison to filtered-air (FA) exposed MetS rats; normal diet (ND) SD rats were separately exposed to FA or P + SOA (56.3 ± 1.2 µg/m3). RESULTS: In MetS rats, P + SOA exposure decreased HRV, QTc, PR, and expiratory time overall (mean effect across the entirety of exposure), increased breathing rate overall, decreased baroreflex sensitivity (BRS) on three exposure days, and increased spontaneous atrioventricular (AV) block Mobitz Type II arrhythmia on exposure day 4 relative to FA-exposed animals receiving the same diet. Among ND rats, P + SOA decreased HRV only on day 1 and did not significantly alter BRS despite overall hypertensive responses relative to FA. Correlations between HRV, ECG, BRS, and breathing parameters suggested a role for autonomic imbalance in the pathophysiologic effects of P + SOA among MetS rats. Autonomic cardiovascular responses to P + SOA at ambient PM2.5 levels were pronounced among MetS rats and indicated blunted vagal influence over cardiovascular physiology. CONCLUSIONS: Results support epidemiologic findings that MetS increases susceptibility to the adverse cardiac effects of ambient-level PM2.5, potentially through ANS imbalance.


Assuntos
Poluentes Atmosféricos/toxicidade , Arritmias Cardíacas/fisiopatologia , Sistema Nervoso Autônomo/efeitos dos fármacos , Barorreflexo/efeitos dos fármacos , Coração/efeitos dos fármacos , Síndrome Metabólica/fisiopatologia , Emissões de Veículos/toxicidade , Animais , Arritmias Cardíacas/etiologia , Modelos Animais de Doenças , Coração/inervação , Coração/fisiopatologia , Exposição por Inalação , Masculino , Síndrome Metabólica/complicações , Ratos Sprague-Dawley
7.
Biochem Pharmacol ; 224: 116238, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38677442

RESUMO

INSL5 and relaxin-3 are relaxin family peptides with important roles in gut and brain function, respectively. They mediate their actions through the class A GPCRs RXFP4 and RXFP3. RXFP4 has been proposed to be a therapeutic target for colon motility disorders whereas RXFP3 targeting could be effective for neurological conditions such as anxiety. Validation of these targets has been limited by the lack of specific ligands and the availability of robust ligand-binding assays for their development. In this study, we have utilized NanoBiT complementation to develop a SmBiT-conjugated tracer for use with LgBiT-fused RXFP3 and RXFP4. The low affinity between LgBiT:SmBiT should result in a low non-specific luminescence signal and enable the quantification of binding without the tedious separation of non-bound ligands. We used solid-phase peptide synthesis to produce a SmBiT-labelled RXFP3/4 agonist, R3/I5, where SmBiT was conjugated to the B-chain N-terminus via a PEG12 linker. Both SmBiT-R3/I5 and R3/I5 were synthesized and purified in high purity and yield. Stable HEK293T cell lines expressing LgBiT-RXFP3 and LgBiT-RXFP4 were produced and demonstrated normal signaling in response to the synthetic R3/I5 peptide. Binding was first characterized in whole-cell binding kinetic assays validating that the SmBiT-R3/I5 bound to both cell lines with nanomolar affinity with minimal non-specific binding without bound and free SmBiT-R3/I5 separation. We then optimized membrane binding assays, demonstrating easy and robust analysis of both saturation and competition binding from frozen membranes. These assays therefore provide an appropriate rigorous binding assay for the high-throughput analysis of RXFP3 and RXFP4 ligands.


Assuntos
Proteínas , Receptores Acoplados a Proteínas G , Receptores de Peptídeos , Relaxina , Relaxina/metabolismo , Relaxina/química , Humanos , Receptores Acoplados a Proteínas G/metabolismo , Ligantes , Células HEK293 , Receptores de Peptídeos/metabolismo , Receptores de Peptídeos/genética , Proteínas/metabolismo , Proteínas/química , Insulina/metabolismo , Ligação Proteica/fisiologia , Peptídeos/metabolismo , Peptídeos/química , Peptídeos/farmacologia , Proteínas Recombinantes de Fusão/metabolismo , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/genética , Sequência de Aminoácidos
8.
Biochem Pharmacol ; 224: 116239, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38679208

RESUMO

Human insulin-like peptide 5 (INSL5) is a gut hormone produced by colonic L-cells, and its biological functions are mediated by Relaxin Family Peptide Receptor 4 (RXFP4). Our preliminary data indicated that RXFP4 agonists are potential drug leads for the treatment of constipation. More recently, we designed and developed a novel RXFP4 antagonist, A13-nR that was shown to block agonist-induced activity in cells and animal models. We showed that A13-nR was able to block agonist-induced increases in colon motility in mice of both genders that express the receptor, RXFP4. Our data also showed that colorectal propulsion induced by intracolonic administration of short-chain fatty acids was antagonized by A13-nR. Therefore, A13-nR is an important research tool and potential drug lead for the treatment of colon motility disorders, such as bacterial diarrhea. However, A13-nR acted as a partial agonist at high concentrations in vitro and demonstrated modest antagonist potency (∼35 nM). Consequently, the primary objective of this study is to pinpoint novel modifications to A13-nR that eliminate partial agonist effects while preserving or augmenting antagonist potency. In this work, we detail the creation of a series of A13-nR-modified analogues, among which analogues 3, 4, and 6 demonstrated significantly improved RXFP4 affinity (∼3 nM) with reduced partial agonist activity, enhanced antagonist potency (∼10 nM) and maximum agonist inhibition (∼80 %) when compared with A13-nR. These compounds have potential as candidates for further preclinical evaluations, marking a significant stride toward innovative therapeutics for colon motility disorders.


Assuntos
Insulina , Receptores Acoplados a Proteínas G , Receptores de Peptídeos , Receptores Acoplados a Proteínas G/antagonistas & inibidores , Receptores Acoplados a Proteínas G/metabolismo , Receptores Acoplados a Proteínas G/agonistas , Animais , Humanos , Camundongos , Masculino , Receptores de Peptídeos/metabolismo , Receptores de Peptídeos/antagonistas & inibidores , Receptores de Peptídeos/agonistas , Insulina/metabolismo , Feminino , Motilidade Gastrointestinal/efeitos dos fármacos , Células HEK293 , Camundongos Endogâmicos C57BL , Proteínas
9.
ACS Infect Dis ; 10(8): 2899-2912, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39087267

RESUMO

The control of malaria, a disease caused by Plasmodium parasites that kills over half a million people every year, is threatened by the continual emergence and spread of drug resistance. Therefore, new molecules with different mechanisms of action are needed in the antimalarial drug development pipeline. Peptides developed from host defense molecules are gaining traction as anti-infectives due to theood of inducing drug resistance. Human platelet factor 4 (PF4) has intrinsic activity against P. falciparum, and a macrocyclic helix-loop-helix peptide derived from its active domain recapitulates this activity. In this study, we used a stepwise approach to optimize first-generation PF4-derived internalization peptides (PDIPs) by producing analogues with substitutions to charged and hydrophobic amino acid residues or with modifications to terminal residues including backbone cyclization. We evaluated the in vitro activity of PDIP analogues against P. falciparum compared to their overall helical structure, resistance to breakdown by serum proteases, selective binding to negatively charged membranes, and hemolytic activity. Next, we combined antiplasmodial potency-enhancing substitutions that retained favorable membrane and cell-selective properties onto the most stable scaffold to produce a backbone cyclic PDIP analogue with four-fold improved activity against P. falciparum compared to first-generation peptides. These studies demonstrate the ability to modify PDIP to select for and combine desirable properties and further validate the suitability of this unique peptide scaffold for developing a new molecule class that is distinct from existing antimalarial drugs.


Assuntos
Antimaláricos , Peptídeos , Plasmodium falciparum , Fator Plaquetário 4 , Plasmodium falciparum/efeitos dos fármacos , Antimaláricos/farmacologia , Antimaláricos/química , Humanos , Fator Plaquetário 4/química , Fator Plaquetário 4/farmacologia , Peptídeos/farmacologia , Peptídeos/química , Relação Estrutura-Atividade
10.
Methods Mol Biol ; 2371: 117-142, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34596846

RESUMO

Sunflower trypsin inhibitor-1 (SFTI-1) is a 14 amino acid cyclic peptide which has been effectively employed as a scaffold for engineering a range of peptide therapeutic candidates. Typically, synthesis of SFTI-1-based therapeutics is performed via solid-phase peptide synthesis and native chemical ligation, with significant financial and environmental costs associated. In planta synthesis of SFTI-1 based therapeutics serves as a greener approach for environmentally sustainable production. Here, we detail the methods for the transient expression, production, and purification of SFTI-1-based therapeutic peptides in Nicotiana benthamiana using a scalable and high-throughput approach. We demonstrate that a prerequisite for this is the co-expression of specialized asparaginyl endopeptidases (AEPs) that perform the backbone cyclization of SFTI-1. In our founding study, we were able to achieve in planta yields of a plasmin inhibitor SFTI-1 peptide at yields of ~60 µg/g of dried plant material.


Assuntos
Peptídeos Cíclicos/biossíntese , Ciclização , Peptídeos , Nicotiana/metabolismo , Tripsina/metabolismo , Inibidores da Tripsina
11.
Front Chem ; 10: 875233, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35494637

RESUMO

The day is rapidly approaching where current antibiotic therapies will no longer be effective due to the development of multi-drug resistant bacteria. Antimicrobial peptides (AMPs) are a promising class of therapeutic agents which have the potential to help address this burgeoning problem. Proline-rich AMPs (PrAMPs) are a sub-class of AMPs, that have multiple modes of action including modulation of the bacterial protein folding chaperone, DnaK. They are highly effective against Gram-negative bacteria and have low toxicity to mammalian cells. Previously we used an in silico approach to identify new potential PrAMPs from the DRAMP database. Four of these peptides, antibacterial napin, attacin-C, P9, and PP30, were each chemically assembled and characterized. Together with synthetic oncocin as a reference, each peptide was then assessed for antibacterial activity against Gram-negative/Gram-positive bacteria and for in vitro DnaK modulation activity. We observed that these peptides directly modulate DnaK activity independently of eliciting or otherwise an antibiotic effect. Based on our findings, we propose a change to our previously established PrAMP definition to remove the requirement for antimicrobial activity in isolation, leaving the following classifiers: >25% proline, modulation of DnaK AND/OR the 70S ribosome, net charge of +1 or more, produced in response to bacterial infection AND/OR with pronounced antimicrobial activity.

12.
ACS Infect Dis ; 7(11): 2959-2970, 2021 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-34587737

RESUMO

Oral dental infections are one of the most common diseases affecting humans, with caries and periodontal disease having the highest incidence. Caries and periodontal disease arise from infections caused by oral bacterial pathogens. Current misuse and overuse of antibiotic treatments have led to the development of antimicrobial resistance. However, recent studies have shown that cationic antimicrobial peptides are a promising family of antibacterial agents that are active against oral pathogenic bacteria and also possess less propensity for development of antimicrobial resistance. This timely Review has a focus on two primary subjects: (i) the oral bacterial pathogens associated with dental infections and (ii) the current development of antimicrobial peptides targeting oral pathogens.


Assuntos
Peptídeos Catiônicos Antimicrobianos , Microbiota , Antibacterianos/farmacologia , Peptídeos Catiônicos Antimicrobianos/farmacologia , Bactérias , Humanos
13.
Nat Commun ; 11(1): 275, 2020 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-31937779

RESUMO

FeRh attracts intensive interest in antiferromagnetic (AFM) spintronics due to its first-order phase transition between the AFM and ferromagnetic (FM) phase, which is unique for exploring spin dynamics in coexisting phases. Here, we report lateral spin pumping by which angular momentum is transferred from FM domains into the AFM matrix during the phase transition of ultrathin FeRh films. In addition, FeRh is verified to be both an efficient spin generator and an efficient spin sink, by electrically probing vertical spin pumping from FM-FeRh into Pt and from Py into FeRh, respectively. A dramatic enhancement of damping related to AFM-FeRh is observed during the phase transition, which we prove to be dominated by lateral spin pumping across the FM/AFM interface. The discovery of lateral spin pumping provides insight into the spin dynamics of magnetic thin films with mixed-phases, and the significantly modulated damping advances its potential applications, such as ultrafast spintronics.

14.
Sci Adv ; 3(9): e1701704, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28975152

RESUMO

Magnetic skyrmions are topologically protected whirls that decay through singular magnetic configurations known as Bloch points. We used Lorentz transmission electron microscopy to infer the energetics associated with the topological decay of magnetic skyrmions far from equilibrium in the chiral magnet Fe1-x Co x Si. We observed that the lifetime τ of the skyrmions depends exponentially on temperature, [Formula: see text]. The prefactor τ0 of this Arrhenius law changes by more than 30 orders of magnitude for small changes of the magnetic field, reflecting a substantial reduction of the lifetime of skyrmions by entropic effects and, thus, an extreme case of enthalpy-entropy compensation. Such compensation effects, being well known across many different scientific disciplines, affect topological transitions and, thus, topological protection on an unprecedented level.

15.
J Sports Med Phys Fitness ; 45(3): 428-33, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16230997

RESUMO

AIM: Few studies have examined the physiology of cricket, including the difference in ability between batsmen to make controlled contact with a ball bowled at high speed. METHODS: We therefore measured visual evoked potentials and choice reaction times with dominant eyes, non-dominant eyes, and both eyes together, in 15 elite batsmen and 10 elite bowlers (aged 20.9 SD 1.9 years) and 9 control subjects (aged 20.2 SD 1.5 years). The latency and amplitude of waves N70, P100 and N145 were determined for each visual evoked potential (VEP). In addition interpeak latencies and peak to peak amplitudes were measured. The subjects also completed a choice reaction test to a visual stimulus. RESULTS: We found that cricketers were not more likely to have crossed dominance (dominant eye contralateral to dominant hand) than controls. Cricketers had a faster latency for VEP wave N70 than controls (p=0.03). However reaction time was not different between cricketers and the control group. Across all subjects, in comparison to monocular testing, binocular testing led to a faster choice reaction time (p=0.02) and larger amplitudes of VEP wave N70 (p=0.01). CONCLUSION: Visual processing during the first 100(-1)50 ms of the balls flight together with binocular vision facilitates retinal activation in talented cricketers.


Assuntos
Dominância Ocular/fisiologia , Potenciais Evocados Visuais/fisiologia , Tempo de Reação/fisiologia , Esportes/fisiologia , Adulto , Estudos de Casos e Controles , Humanos
16.
Med Sci Sports Exerc ; 28(4): 473-81, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8778553

RESUMO

We measured somatosensory-evoked potentials in athletes to determine whether there were differences in somatosensory pathways related to sports performance or training. Seven sedentary subjects, 10 endurance runners, and seven elite gymnasts of similar height and weight were investigated. Peak latencies and amplitudes were measured of P9, P11, P13/14, N20, P25, and N30 waves, following electrical stimulation of the median nerve at the wrist. Central and peripheral conduction speeds of the sensory pathway were calculated. The subjects also completed a simple reaction test to a visual stimulus. There were no significant differences between the groups in any of the attributes we measured. The was a positive correlation between years of training undergone and the amplitude of N20, a negative correlation between the amplitudes of P11 and P13/14 and the number of hours of training undertaken per week, and a positive correlation between the amplitude of N30 and the simple visual reaction time. We conclude that the gymnasts, runners and sedentary subjects had no differences in somatosensory pathways, as measured using standard clinical procedures for evaluating somatosensory-evoked potentials.


Assuntos
Potenciais Somatossensoriais Evocados , Ginástica/fisiologia , Corrida/fisiologia , Adulto , Feminino , Humanos , Masculino , Condução Nervosa , Tempo de Reação
17.
Am J Orthopsychiatry ; 65(3): 364-79, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7485422

RESUMO

Comparison of 25 addicted mothers and 25 nonaddicted controls revealed a high incidence of emotional and physical neglect among the addict group, as well as greater tendency toward depression and more chaotic child-rearing environments. A separate study compared the cognitive, language, and emotional development of 20 cocaine-exposed preschool children and 24 nonexposed children. Although few differences in cognitive and language development were found, group differences in emotional and behavioral status, assessed through maternal report, were significant. Directions for future research are suggested.


Assuntos
Filho de Pais com Deficiência/psicologia , Cocaína Crack , Relações Mãe-Filho , Poder Familiar/psicologia , Desenvolvimento da Personalidade , Meio Social , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/psicologia , Maus-Tratos Infantis/psicologia , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/psicologia , Pré-Escolar , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/psicologia , Cocaína Crack/efeitos adversos , Depressão/psicologia , Depressão/reabilitação , Feminino , Humanos , Lactente , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos do Desenvolvimento da Linguagem/psicologia , Masculino , Gravidez , Efeitos Tardios da Exposição Pré-Natal , Carência Psicossocial , Transtornos Relacionados ao Uso de Substâncias/reabilitação
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