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1.
Int J Mol Sci ; 22(16)2021 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-34445489

RESUMO

An original synthetic route was developed for the preparation of previously unknown unsaturated polyaromatic macrolactones containing a 1Z,5Z-diene moiety in 48-71% yields and with >98% stereoselectivity. The method is based on intermolecular cyclocondensation of aromatic dicarboxylic acids with α,ω-alka-nZ,(n+4)Z-dienediols (1,12-dodeca-4Z,8Z-dienediol, 1,14-tetradeca-5Z,9Z-dienediol, 1,18-octadeca-7Z,11Z-dienediol) mediated by N-(3-dimethylaminopropyl)-N'-ethylcarbodiimide hydrochloride (EDC)/4-dimethylaminopyridine (DMAP). The unsaturated diols were prepared by successive homo-cyclomagnesiation of tetrahydropyran ethers of O-containing 1,2-dienes with EtMgBr in the presence of Mg metal and the Cp2TiCl2 catalyst (10 mol.%) and subsequent treatment with 0.1 equiv. of para-toluenesulfonic acid of pyran ethers formed after the acid hydrolysis of magnesacyclopentanes. The resulting cyclophanes exhibited high cytotoxic activity in vitro against Jurkat, K562, U937, and HL60 cancer lines. Additionally, the synthesized products were studied for their effect on mitochondria, ability to induce apoptosis, and influence on the cell cycle using modern flow cytometry methods.


Assuntos
Antineoplásicos/síntese química , Éteres Cíclicos/síntese química , Compostos Organometálicos/química , Antineoplásicos/química , Antineoplásicos/farmacologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Reação de Cicloadição , Éteres Cíclicos/química , Éteres Cíclicos/farmacologia , Citometria de Fluxo , Células HL-60 , Humanos , Células Jurkat , Células K562 , Estrutura Molecular
2.
Mar Drugs ; 19(5)2021 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-33947080

RESUMO

Marine polycyclic ether natural products have gained significant interest from the chemical community due to their impressively huge molecular architecture and diverse biological functions. The structure assignment of this class of extraordinarily complex natural products has mainly relied on NMR spectroscopic analysis. However, NMR spectroscopic analysis has its own limitations, including configurational assignment of stereogenic centers within conformationally flexible systems. Chemical shift deviation analysis of synthetic model compounds is a reliable means to assign the relative configuration of "difficult" stereogenic centers. The complete configurational assignment must be ultimately established through total synthesis. The aim of this review is to summarize the indispensable role of organic synthesis in stereochemical assignment of marine polycyclic ethers.


Assuntos
Organismos Aquáticos/metabolismo , Éteres Cíclicos/síntese química , Técnicas de Química Sintética , Ciguatoxinas/síntese química , Ciguatoxinas/isolamento & purificação , Éteres/síntese química , Éteres/isolamento & purificação , Éteres Cíclicos/isolamento & purificação , Humanos , Espectroscopia de Ressonância Magnética , Toxinas Marinhas/síntese química , Toxinas Marinhas/isolamento & purificação , Estrutura Molecular , Oxocinas/síntese química , Oxocinas/isolamento & purificação , Polímeros/síntese química , Polímeros/isolamento & purificação , Metabolismo Secundário , Estereoisomerismo , Relação Estrutura-Atividade
3.
Bioorg Med Chem Lett ; 40: 127899, 2021 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-33722739

RESUMO

We report a practical two-step approach involving a Ugi 4-CR/ azide-alkyne cycloaddition for the synthesis of biaryl-containing cyclophanes. The series represents an extension of our previously reported macrocycles as an effort to enhance the anti-proliferative activity of this scaffold. In this variant, we incorporate a biphenyl moiety in the framework, thus enhancing the macrocycle size, lipophilicity, and structural diversity. Macrocycles were tested against different cell lines, being more cytotoxic against prostate (PC-3 and DU-145) and breast (MCF-7) tumor cells. Gratifyingly, the most active compound showed a significative enhancement of PC-3 growth inhibition with respect to our previous series, reaffirming the potential anti-proliferative activity of this kind of cyclophanes.


Assuntos
Antineoplásicos/síntese química , Éteres Cíclicos/síntese química , Piperidinas/síntese química , Triazóis/química , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Compostos de Bifenilo/química , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Reação de Cicloadição , Ensaios de Seleção de Medicamentos Antitumorais , Éteres Cíclicos/farmacologia , Humanos , Piperidinas/farmacologia , Relação Estrutura-Atividade
4.
Sci Rep ; 9(1): 8656, 2019 06 17.
Artigo em Inglês | MEDLINE | ID: mdl-31209263

RESUMO

Despite their outstanding antitumour activity in mice, the limited supply from the natural sources has prevented drug discovery/development based on intact halichondrins. We achieved a total synthesis of C52-halichondrin-B amine (E7130) on a >10 g scale with >99.8% purity under GMP conditions. Interestingly, E7130 not only is a novel microtubule dynamics inhibitor but can also increase intratumoural CD31-positive endothelial cells and reduce α-SMA-positive cancer-associated fibroblasts at pharmacologically relevant compound concentrations. According to these unique effects, E7130 significantly augment the effect of antitumour treatments in mouse models and is currently in a clinical trial. Overall, our work demonstrates that a total synthesis can address the issue of limited material supply in drug discovery/development even for the cases of complex natural products.


Assuntos
Antineoplásicos Fitogênicos/síntese química , Neoplasias da Mama/tratamento farmacológico , Carcinoma de Células Escamosas/tratamento farmacológico , Éteres Cíclicos/síntese química , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Macrolídeos/síntese química , Moduladores de Tubulina/síntese química , Actinas/genética , Actinas/metabolismo , Animais , Antineoplásicos Fitogênicos/farmacologia , Protocolos de Quimioterapia Combinada Antineoplásica , Produtos Biológicos/síntese química , Produtos Biológicos/farmacologia , Neoplasias da Mama/mortalidade , Neoplasias da Mama/patologia , Fibroblastos Associados a Câncer/efeitos dos fármacos , Fibroblastos Associados a Câncer/metabolismo , Fibroblastos Associados a Câncer/patologia , Carcinoma de Células Escamosas/mortalidade , Carcinoma de Células Escamosas/patologia , Cetuximab/farmacologia , Descoberta de Drogas , Células Endoteliais/efeitos dos fármacos , Células Endoteliais/metabolismo , Células Endoteliais/patologia , Éteres Cíclicos/farmacologia , Feminino , Expressão Gênica/efeitos dos fármacos , Neoplasias de Cabeça e Pescoço/mortalidade , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Macrolídeos/farmacologia , Camundongos , Camundongos Endogâmicos BALB C , Molécula-1 de Adesão Celular Endotelial a Plaquetas/genética , Molécula-1 de Adesão Celular Endotelial a Plaquetas/metabolismo , Análise de Sobrevida , Moduladores de Tubulina/farmacologia , Carga Tumoral/efeitos dos fármacos , Ensaios Antitumorais Modelo de Xenoenxerto
5.
J Pept Sci ; 24(4-5): e3075, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29582500

RESUMO

Maleimide-thiol coupling is a popular bioconjugation strategy, but little is known about the stereoselectivity and the stereodynamics of the succinimide thioether formed in a biopolymer environment. We used thiol 1,4-addition for the macrocyclisation of 5 designed pentapeptides with the ringsize of hexapeptides because they incorporate the succinimide thioether (4-8). Both succinimide diastereomers are observed in the constrained macrocyclic rings in each case. In spite of the low diastereoselectivity of the macrocyclisation reaction, there is a significant influence of the amino acid environment on the epimerization rate of the succinimide. Its half life can be as short as several hours at room temperature when Gly is the amino acid following the succinimide (peptide 8). On the contrary, no epimerization is detectable even after several weeks in the case of d-Phe C-terminal to the succinimide in peptide 4. Already the small selection of examples shows how big the differences in epimerization rates can be and that the local environment has a significant influence. The variation of amino acids in the vicinity of the ligation site points the way towards the synthesis of bioconjugates which are obtained as stable and separable diastereomers.


Assuntos
Éteres Cíclicos/síntese química , Peptídeos/síntese química , Succinimidas/química , Sulfetos/química , Ciclização , Éteres Cíclicos/química , Meia-Vida , Modelos Moleculares , Estrutura Molecular , Peptídeos/química
6.
Org Biomol Chem ; 15(40): 8513-8517, 2017 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-28862280

RESUMO

Peptide-based cavitands (resorcin[4]arenes substituted with histidine and glutamine hydrazides) exist as monomeric species in polar solvents (DMSO and methanol). Upon complexation of fullerenes, the cavitands wrap around the hydrophobic guests forming dimeric capsular shells (as evidenced by DOSY). The self-assembly of the cavitands is based on the formation of beta-sheet-like binding motifs around the hydrophobic core. In a polar environment, these hydrogen bonded structures are kinetically stable and highly ordered as manifested by a 100-fold increase of intensity of circular dichroism bands, as well as a separate set of signals and substantial differences in chemical shifts in NMR spectra. This behavior resembles a protein folding process at the molten globule stage with non-specific hydrophobic interactions creating a protective and favourable local environment for the formation of secondary structures of proteins.


Assuntos
Éteres Cíclicos/síntese química , Peptídeos/química , Resorcinóis/síntese química , Éteres Cíclicos/química , Ligação de Hidrogênio , Interações Hidrofóbicas e Hidrofílicas , Estrutura Molecular , Resorcinóis/química
7.
Org Lett ; 19(12): 3303-3306, 2017 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-28585839

RESUMO

Solid-phase peptide synthesis (SPPS) is used to create peptidomimetics in which one of the backbone amide C═O bonds is replaced by a four-membered oxetane ring. The oxetane containing dipeptide building blocks are made in three steps in solution, then integrated into peptide chains by conventional Fmoc SPPS. This methodology is used to make a range of peptides in high purity including backbone modified derivatives of the nonapeptide bradykinin and Met- and Leu-enkephalin.


Assuntos
Éteres Cíclicos/síntese química , Estrutura Molecular , Peptídeos , Técnicas de Síntese em Fase Sólida
8.
Pharmacol Ther ; 162: 1-9, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-26706239

RESUMO

The development of natural product-derived drugs has some unique problems associated with the process, which can be best described as the "problem of supply". In this short review, four examples are given demonstrating how the "supply problem" was overcome using as examples the development of Picato® from a plant, Kyprolis® modified from a microbial metabolite, Halaven® a totally synthetic compound based on a marine sponge metabolite and Yondelis® isolated from a marine tunicate and now known to be from an as yet uncultured microbe in the tunicate. The methods used are described in each case and show how all scientific disciplines are necessary to succeed. All of these are antitumor agents and the time involved ranged from a low of 13years to greater than 29years from the initial identification of an active compound.


Assuntos
Antineoplásicos/provisão & distribuição , Produtos Biológicos/provisão & distribuição , Actinobacteria/metabolismo , Animais , Dioxóis/síntese química , Dioxóis/metabolismo , Dioxóis/provisão & distribuição , Diterpenos/síntese química , Diterpenos/metabolismo , Diterpenos/provisão & distribuição , Éteres Cíclicos/síntese química , Éteres Cíclicos/metabolismo , Éteres Cíclicos/provisão & distribuição , Furanos/síntese química , Furanos/provisão & distribuição , Humanos , Cetonas/síntese química , Cetonas/provisão & distribuição , Macrolídeos/síntese química , Macrolídeos/metabolismo , Macrolídeos/provisão & distribuição , Oligopeptídeos/síntese química , Oligopeptídeos/metabolismo , Oligopeptídeos/provisão & distribuição , Poríferos/metabolismo , Tetra-Hidroisoquinolinas/síntese química , Tetra-Hidroisoquinolinas/metabolismo , Tetra-Hidroisoquinolinas/provisão & distribuição , Trabectedina , Urocordados/metabolismo
9.
Nat Prod Commun ; 11(8): 1135-1142, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30725576

RESUMO

- Preparation of 13- to 19-membered carbocycles (metacyclophanes) from 1,3-disubstituted benzene derivatives has been successfully carried out using the RCM reaction, but similar starting materials having diphenyl ether did not cyclize to 15-membered compounds, whose ground state conformations were calculated and discussed. Several attempts to cyclize to form platycarynol are described.


Assuntos
Éteres Cíclicos/síntese química , Ciclização , Modelos Moleculares , Estrutura Molecular
10.
J Am Chem Soc ; 137(36): 11586-9, 2015 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-26322370

RESUMO

Here, a palladium-catalyzed functionalization of unactivated sp(3) C-H bonds with internal alcohol nucleophiles is described. Directed by an oxime-masked alcohol, annulation chemoselectively occurs at the ß position, leading to a range of aliphatic cyclic ethers with four- to seven-membered rings. Tethered primary, secondary, and tertiary free hydroxyl groups can all react to give the corresponding cyclized products. In addition, benzyl and silyl protected alcohols can also be directly coupled. An sp(3) C-H activation/intramolecular SN2 pathway was proposed.


Assuntos
Éteres Cíclicos/síntese química , Hidrogênio/química , Paládio/química , Catálise
11.
Org Lett ; 17(3): 744-7, 2015 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-25627786

RESUMO

The more cytotoxic, thermodynamically less stable (+)-attenol B was isolated as a minor isomer of the spiroketal attenol A and synthesized previously as a minor product. Herein, we report a new strategy that for the first time led to asymmetric synthesis of (+)-attenol B as an exclusive product, featuring sequential Achmatowicz rearrangement/bicycloketalization to efficiently construct the 6,8-dioxabicyclo[3.2.1]octane core. In addition, (-)-attenol A was obtained with 91% yield by isomerization of (+)-attenol B in CDCl3.


Assuntos
Antineoplásicos/síntese química , Compostos Bicíclicos Heterocíclicos com Pontes/síntese química , Éteres Cíclicos/síntese química , Animais , Antineoplásicos/química , Antineoplásicos/farmacologia , Bivalves/química , Compostos Bicíclicos Heterocíclicos com Pontes/química , Compostos Bicíclicos Heterocíclicos com Pontes/farmacologia , Éteres Cíclicos/química , Éteres Cíclicos/farmacologia , Estrutura Molecular , Estereoisomerismo
12.
Eur J Med Chem ; 94: 497-508, 2015 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-25455639

RESUMO

Modulators of microtubule dynamics have received increasing attention because of their potential to stop cancer growth. Although it belongs to the category of complex protein-protein interactions (PPIs), which are generally considered difficult to modulate through small molecules, the use of microtubule is considered a well-validated target. There are a number of bioactive natural products and related compounds that are currently in use as drugs or in clinical trials as next generation anti-cancer agents. The present review article is focused on two such bioactive natural products, epothilone and halichondrin B, and covers some of the key papers published after 2005 that outline various synthetic approaches to obtain next generation structural analogs as well as the synthesis of hybrid compounds.


Assuntos
Produtos Biológicos/farmacologia , Epotilonas/farmacologia , Éteres Cíclicos/farmacologia , Macrolídeos/farmacologia , Moduladores de Tubulina/farmacologia , Tubulina (Proteína)/metabolismo , Animais , Produtos Biológicos/síntese química , Produtos Biológicos/química , Epotilonas/síntese química , Epotilonas/química , Éteres Cíclicos/síntese química , Éteres Cíclicos/química , Humanos , Macrolídeos/síntese química , Macrolídeos/química , Estrutura Molecular , Relação Estrutura-Atividade , Moduladores de Tubulina/síntese química , Moduladores de Tubulina/química
13.
Chem Rec ; 14(4): 678-703, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25092231

RESUMO

More than thirty years after the discovery of polycyclic ether marine natural products, they continue to receive intense attention from the chemical, biological, and pharmacological communities because of their potent biological activities and highly complex molecular architectures. Gambieric acids are intriguing polycyclic ethers that exhibit potent antifungal activity with minimal toxicity against mammals. Despite the recent advances in the synthesis of this class of natural products, gambieric acids remain unconquered due to their daunting structural complexity, which poses a formidable synthetic challenge to organic chemists. This paper reviews our long-term studies on the total synthesis, complete configurational reassignment, and structure-activity relationships of gambieric acid A over the last decade.


Assuntos
Antifúngicos/síntese química , Antineoplásicos/síntese química , Produtos Biológicos/síntese química , Técnicas de Química Sintética/métodos , Ciguatoxinas/síntese química , Dinoflagellida/química , Éteres Cíclicos/síntese química , Animais , Antifúngicos/química , Antifúngicos/farmacologia , Antineoplásicos/química , Antineoplásicos/farmacologia , Produtos Biológicos/química , Produtos Biológicos/farmacologia , Ciguatoxinas/química , Ciguatoxinas/farmacologia , Éteres Cíclicos/química , Éteres Cíclicos/farmacologia , Humanos , Modelos Moleculares , Micoses/tratamento farmacológico , Neoplasias/tratamento farmacológico , Estereoisomerismo , Relação Estrutura-Atividade
14.
Nat Prod Commun ; 8(7): 929-34, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23980426

RESUMO

A new variant of fused cyclic ether synthesis based on Ireland-Claisen rearrangement and ring-closing olefin metathesis (RCM) was developed. The Ireland-Claisen rearrangement of a (Z)-3-alkoxyprop-2-en-1-yl glycolate ester having a cyclic ether on the oxygen at C3 of the (Z)-prop-2-en-1-yl group stereoselectively produced an anti-alpha,beta-dialkoxyester, which was successfully transformed to a fused bicyclic ether via a reaction sequence including RCM.


Assuntos
Éteres Cíclicos/síntese química , Ciclização , Estereoisomerismo
15.
Angew Chem Int Ed Engl ; 52(2): 625-8, 2013 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-23172717

RESUMO

Complexity from simplicity: polycyclic ethers are synthesized by cascade reactions involving the use of epoxides as electrophilic traps in the transposition of allylic alcohols. Stereogenic centers are created by functionalizing prochiral sites under thermodynamic control, and remote stereoinduction can be achieved through the use of ketones as conduits.


Assuntos
Compostos de Epóxi/química , Éteres Cíclicos/síntese química , Compostos Policíclicos/síntese química , Propanóis/química , Catálise , Éteres Cíclicos/química , Estrutura Molecular , Compostos Policíclicos/química , Propanóis/síntese química , Estereoisomerismo
16.
J Org Chem ; 77(18): 7883-90, 2012 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-22913294

RESUMO

Laureatin, a metabolite of the red algae Laurencia nipponica, has shown potent activity as a mosquito larvicide. The two previously published syntheses of laureatin involved an initial preparation of the 8-membered cyclic ether, followed by formation of the oxetane ring. Our strategy was the reverse, i.e., to utilize an oxetane as the framework to construct the larger ring. During this work, attempted N-bromosuccinimide (NBS)-mediated cyclization of oxetane alcohol 17, prepared from readily accessible 2-methyleneoxetane 12, yielded epoxytetrahydrofuran 19 rather than the expected laureatin core. Further derivatization of 19 yielded trans fused bis-tetrahydrofuran 32. The synthesis of 19 and 32, as well as structural and stereochemical elucidation studies, are described.


Assuntos
Éteres Cíclicos/química , Ciclização , Éteres Cíclicos/síntese química , Estrutura Molecular
17.
ChemMedChem ; 6(3): 399-409, 2011 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-21302362

RESUMO

Marine natural products have become a major source of new chemical entities in the discovery of potential anticancer agents that potently suppress various molecular targets. In particular, the marine macrolides, which include an array of novel biomolecules endowed with outstanding cytotoxic and/or antiproliferative activities, are a prominent class of marine natural products that offer continued promise for breakthroughs in anticancer research. Herein we highlight some recent studies of promising marine macrolides, paying particular attention to their discovery, anticancer activities, mechanisms of action, chemical synthesis, and representative analogues.


Assuntos
Antineoplásicos/química , Macrolídeos/química , Antineoplásicos/síntese química , Antineoplásicos/farmacologia , Organismos Aquáticos/química , Briostatinas/síntese química , Briostatinas/química , Briostatinas/farmacologia , Éteres Cíclicos/síntese química , Éteres Cíclicos/química , Éteres Cíclicos/farmacologia , Macrolídeos/síntese química , Macrolídeos/farmacologia
18.
Org Lett ; 13(4): 696-9, 2011 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-21247192

RESUMO

The first and highly efficient total synthesis of (-)-brevisin has been achieved. The title compound was synthesized in only 29 steps (longest linear sequence) from commercially available starting materials. The synthesis provided over 70 mg of a marine polycyclic ether compound.


Assuntos
Éteres Cíclicos/síntese química , Compostos Policíclicos/síntese química , Dinoflagellida/química , Éteres Cíclicos/química , Biologia Marinha , Estrutura Molecular , Compostos Policíclicos/química , Estereoisomerismo
20.
Bioorg Med Chem ; 18(18): 6725-33, 2010 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-20724170

RESUMO

P-glycoprotein (P-gp) is known to mediate multidrug resistance (MDR) by acting as an efflux pump to actively transport chemotherapeutic agents out of carcinoma cells. Inhibition of P-gp function may represent one of the strategies to reverse MDR. We have previously reported that marchantin C (MC), a macrocyclic bisbibenzyl compound from liverworts, exerts anti-tumor activity as an antimitotic agent. This study was designed to evaluate the possible modulatory effect of MC and its three synthetic derivatives (MC1, MC2 and MC3) on P-gp in VCR-resistant KB/VCR cells. Results of the cytotoxicity assay revealed that MC was the most potent inhibitor of cell proliferation in both KB and KB/VCR cells among these four compounds, while the three MC-derived chemicals had little anti-proliferative activity under the same condition. However, in P-gp-expressing MDR cells, analysis of potency of these compounds in enhancing cytotoxicity of VCR led to the identification of MC2 as a more effective chemical on reversal of resistance. Further study showed that MC2 was able to reduce efflux of rhodamine-123, and in turn, increase the accumulation of rhodamine-123 and adriamycin in KB/VCR cells, indicating that MC2 re-sensitized cells to VCR by inhibition of the P-gp transport activity. In addition, the combination of MC2 and VCR at a concentration that does not inhibit cell growth resulted in an induction of apoptosis in KB/VCR cells. These results suggest that MC2, as a novel and effective inhibitor of P-gp, may find potential application as an adjunctive agent with conventional chemotherapeutic drugs to reverse MDR in P-gp overexpressing cancer cells.


Assuntos
Membro 1 da Subfamília B de Cassetes de Ligação de ATP/antagonistas & inibidores , Antineoplásicos/toxicidade , Bibenzilas/química , Catecóis/química , Éteres Cíclicos/química , Éteres Fenílicos/química , Estilbenos/química , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Antineoplásicos/síntese química , Antineoplásicos/química , Bibenzilas/síntese química , Bibenzilas/toxicidade , Catecóis/síntese química , Catecóis/toxicidade , Linhagem Celular Tumoral , Doxorrubicina/metabolismo , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Éteres Cíclicos/síntese química , Éteres Cíclicos/toxicidade , Humanos , Éteres Fenílicos/síntese química , Éteres Fenílicos/toxicidade , Rodamina 123/metabolismo , Estilbenos/síntese química , Estilbenos/toxicidade , Vincristina/farmacologia
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