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1.
Molecules ; 29(4)2024 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-38398534

RESUMO

Vaccinium dunalianum leaf buds make one of the most commonly used herbal teas of the Yi people in China, which is used to treat articular rheumatism, relax tendons, and stimulates blood circulation in the body. In addition, 6'-O-caffeoylarbutin (CA) is a standardized extract of V. dunalianum, which has been found in dried leaf buds, reaching levels of up to 31.76%. Because of the uncommon phenomenon, it is suggested that CA may have a potential therapeutic role in hyperlipidemia and thrombosis. This study was designed to study the efficacy of CA on treating hyperlipidemia and thrombosis and the possible mechanisms behind these effects. Hyperlipidemia and thrombosis zebrafish models were treated with CA to observe variations of the integrated optical density within the vessels and the intensity of erythrocyte staining within the hearts. The possible mechanisms were explored using network pharmacology and molecular docking. The results demonstrate that CA exhibits an excellent hypolipidemic effect on zebrafish at concentrations ranging from 3.0 to 30.0 µg/mL and shows thrombosis inhibitory activity in zebrafish at a concentration of 30.0 µg/mL, with an inhibition rate of 44%. Moreover, network pharmacological research shows that MMP9, RELA, MMP2, PRKCA, HSP90AA1, and APP are major targets of CA for therapy of hyperlipidemia and thrombosis, and may relate to pathways in cancer, chemical carcinogenesis-receptor activation, estrogen signaling pathway, and the AGE-RAGE signaling pathway in diabetic complications.


Assuntos
Arbutina , Ácidos Cafeicos , Medicamentos de Ervas Chinesas , Hiperlipidemias , Trombose , Animais , Arbutina/análogos & derivados , Fibrinolíticos/farmacologia , Hiperlipidemias/tratamento farmacológico , Simulação de Acoplamento Molecular , Farmacologia em Rede , Trombose/tratamento farmacológico , Peixe-Zebra
2.
Food Funct ; 13(9): 5299-5316, 2022 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-35441652

RESUMO

Que Zui tea (QT), a traditional herbal tea in China, has a significant hepatoprotective effect. 6'-O-Caffeoylarbutin (CA) is the most abundant chemical compound in the QT. However, the hepatoprotective effect of CA has not been investigated. This study is aimed to evaluate the protective effect of CA on acetaminophen (APAP) induced hepatotoxicity in vivo and in vitro and its possible underlying mechanism. In APAP-induced HepG-2 cells, CA inhibited intracellular ROS accumulation and cell apoptosis, and improved the expression of antioxidants including SOD, CAT and GSH. In APAP-administrated mice, CA pretreatment remarkably ameliorated the histopathological damage and inflammatory response, and antioxidant enzyme activity in the serum and liver tissues. Moreover, the immunohistochemistry and immunofluorescence assay results revealed that the CA markedly reduced ROS production and apoptosis, and activated antioxidant transcription factor Nrf2 in the liver. Meanwhile, molecular docking results showed that the strong binding force of CA and PI3K was due to the higher number of hydrogen- and π-bonds with active site residues. Notably, CA pretreatment significantly regulated the expression of PI3K, Akt, Nrf2, NQO1, HO-1, Bcl-2, Bax, caspase-3, and caspase-9 proteins in APAP-treated liver tissues. These data demonstrated that CA had a protective effect against APAP-induced hepatotoxicity via regulating the PI3K/Akt and Nrf2 signaling pathway.


Assuntos
Doença Hepática Crônica Induzida por Substâncias e Drogas , Doença Hepática Induzida por Substâncias e Drogas , Acetaminofen/metabolismo , Acetaminofen/toxicidade , Animais , Antioxidantes/metabolismo , Antioxidantes/farmacologia , Arbutina/análogos & derivados , Ácidos Cafeicos , Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Doença Hepática Crônica Induzida por Substâncias e Drogas/metabolismo , Fígado/metabolismo , Camundongos , Simulação de Acoplamento Molecular , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Estresse Oxidativo , Fosfatidilinositol 3-Quinases/genética , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/genética , Proteínas Proto-Oncogênicas c-akt/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais , Chá/metabolismo
3.
Int J Mol Sci ; 22(23)2021 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-34884914

RESUMO

DeoxyArbutin (dA) is a tyrosinase inhibitor that has effective skin-lightening activity and has no obvious cytotoxicity toward melanocytes. With the aim of directly evaluating the effects of microemulsions containing dA on cells, we developed oil-in-water (O/W) microemulsions with relatively lower cytotoxicities by using polysorbate-series surfactants. Measurement of the transparent properties and particle size analysis at different storage time periods revealed that the developed microemulsions were stable. Moreover, the developed microemulsions had direct effects on B16-F10 mouse melanoma cells. The anti-melanogenesis activities of dA-containing microemulsions were evidently better than that of the free dA group. The results demonstrated that the developed microemulsion encapsulating dA may allow the use of deoxyArbutin instead of hydroquinone to treat dermal hyperpigmentation disorders in the future.


Assuntos
Arbutina/análogos & derivados , Cosméticos/farmacologia , Melaninas/metabolismo , Melanoma Experimental/metabolismo , Animais , Arbutina/química , Arbutina/farmacologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Cosméticos/química , Composição de Medicamentos , Emulsões , Melanoma Experimental/tratamento farmacológico , Camundongos , Tamanho da Partícula
4.
Biochem Biophys Res Commun ; 547: 75-81, 2021 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-33610043

RESUMO

Excessive melanin formation has been linked to various skin disorders such as hyperpigmentation and skin cancer. Tyrosinase is the most prominent target for inhibitors of melanin production. In this study, we investigated whether arbutin and its prodrug, arbutin undecylenic acid ester, might inhibit phenoloxidase (PO), a tyrosinase-like enzyme. Molecular docking simulation results suggested that arbutin and arbutin undecylenic acid ester can bind to the substrate-binding pocket of PO. Arbutin undecylenic acid ester with an IC50 6.34 mM was effective to inhibit PO compared to arbutin (IC50 29.42 mM). In addition, arbutin undecylenic acid ester showed low cytotoxicity in Drosophila S2 cells and the compound inhibited the melanization reaction. Therefore, the results of this study have demonstrated that arbutin undecylenic acid ester as a potential inhibitor of PO. We successfully designed a new platform utilizing Drosophila melanogaster and Bombyx mori as animal models propounding fast, cheap, and high effectiveness in method to screen tyrosinase inhibitors.


Assuntos
Arbutina/análogos & derivados , Arbutina/química , Arbutina/farmacologia , Monofenol Mono-Oxigenase/antagonistas & inibidores , Monofenol Mono-Oxigenase/química , Ácidos Undecilênicos/química , Ácidos Undecilênicos/farmacologia , Animais , Bombyx , Drosophila melanogaster , Hiperpigmentação/tratamento farmacológico , Hiperpigmentação/metabolismo , Melaninas/biossíntese , Simulação de Acoplamento Molecular
5.
Int J Mol Med ; 41(2): 1048-1054, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29207077

RESUMO

Arbutin, a natural polyphenol isolated from the bearberry plant Arctostaphylos uvaursi, possesses whitening and anticancer properties. The effects of arbutin on melanogenesis and its pro-apoptotic effect on B16 murine melanoma cells have not yet been reported. In the present study, acetylated arbutin was prepared in order to improve the biological effects of arbutin, and it was found to significantly inhibit the biosynthesis of melanin and tyrosinase activity compared with parent arbutin in B16 murine melanoma cells. Interestingly, only acetylated arbutin strongly inhibited B16 murine melanoma cell migration in a dose-dependent manner. Both arbutin and acetylated arbutin significantly reduced cell viability, promoted cell apoptosis, caused G1 cell cycle arrest and induced mitochondrial disruption in B16 murine melanoma cells. Furthermore, reduced expression of B-cell lymphoma­extra large (Bcl-xL) and Bcl-2 were observed in arbutin- and acetylated arbutin-treated cells. Therefore, arbutin and acetylated arbutin were found to exert pro-apoptotic effects on B16 murine melanoma cells, mediated through the mitochondrial pathway. The findings of the present study also support the use of acetylated arbutin as a new potential candidate agent for skin whitening and melanoma treatment.


Assuntos
Apoptose/efeitos dos fármacos , Arbutina/administração & dosagem , Melanoma Experimental/tratamento farmacológico , Pigmentação da Pele/efeitos dos fármacos , Acetilação , Animais , Arbutina/análogos & derivados , Sobrevivência Celular/efeitos dos fármacos , Humanos , Melaninas/biossíntese , Melanoma Experimental/patologia , Camundongos , Monofenol Mono-Oxigenase/genética
6.
Sci Rep ; 7(1): 7197, 2017 08 03.
Artigo em Inglês | MEDLINE | ID: mdl-28775302

RESUMO

Deoxyarbutin (DeoxyArbutin, dA), a natural compound widely used in skin lighting, displayed selectively cytotoxicity in vitro. In the study, we found that dA significantly inhibited viability/proliferation of B16F10 melanoma cells, induced tumour cell arrest and apoptosis. Furthermore, dA triggered its pro-apoptosis through damaging the mitochondrial function (membrane potential loss, ATP depletion and ROS overload generation etc.) and activating caspase-9, PARP, caspase-3 and the phosphorylation of p38. Treatment with p38 agonist confirmed the involvement of p38 pathway triggered by dA in B16F10 cells. The in vivo finding also revealed that administration of dA significantly decreased the tumour volume and tumour metastasis in B16F10 xenograft model by inhibiting tumour proliferation and inducing tumour apoptosis. Importantly, the results indicated that dA was specific against tumour cell lines and had no observed systemic toxicity in vivo. Taken together, our study demonstrated that dA could combate tumour in vitro and in vivo by inhibiting the proliferation and metastasis of tumour via a p38-mediated mitochondria associated apoptotic pathway.


Assuntos
Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Arbutina/análogos & derivados , Sistema de Sinalização das MAP Quinases/efeitos dos fármacos , Melanoma/metabolismo , Mitocôndrias/efeitos dos fármacos , Mitocôndrias/metabolismo , Animais , Antineoplásicos/química , Arbutina/química , Arbutina/farmacologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Melanoma/tratamento farmacológico , Melanoma/patologia , Melanoma Experimental , Camundongos , Modelos Biológicos , Carga Tumoral/efeitos dos fármacos
7.
Int J Mol Sci ; 18(5)2017 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-28467382

RESUMO

Arbutin (Arb) and deoxyArbutin (dA) are both effective hypopigmentation agents. However, they are glucoside derivatives of hydroquinone (HQ), which may be decayed into HQ under higher energy environments. Therefore, safety and toxicity are very important issues when considering the usage of these compounds. However, no study has verified the properties of Ultra-Violet B (UVB)-irradiated Arb and dA. In this work, we investigated the cytotoxicity and hypopigmentation effects of UVB-irradiated Arb and dA in Detroit 551 human fibroblast cells and B16-F10 mouse melanoma cells. The results showed that UVB-irradiated Arb and dA have strong cytotoxicity for the fibroblast cells, especially for dA, the caspase-3 is also activated by the treatment of UVB-irradiated dA in Detroit 551 cells. The results correlated with the produced HQ. In addition, UVB-irradiated Arb and dA suppressed the production of melanin in melanoma cells; this is due to the release of HQ that compensates for the UVB triggered Arb and dA decomposition.


Assuntos
Arbutina/análogos & derivados , Sobrevivência Celular/efeitos dos fármacos , Hidroquinonas/toxicidade , Hipopigmentação/induzido quimicamente , Animais , Arbutina/efeitos da radiação , Arbutina/toxicidade , Caspase 3/efeitos dos fármacos , Células Cultivadas , Fibroblastos/efeitos dos fármacos , Glucosídeos , Humanos , Hidroquinonas/efeitos da radiação , Melaninas/antagonistas & inibidores , Melanócitos/efeitos dos fármacos , Melanoma Experimental , Camundongos , Raios Ultravioleta
8.
PLoS One ; 11(10): e0165338, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27776184

RESUMO

Safe and effective ingredients capable of removing undesired hyperpigmentation from facial skin are urgently needed for both pharmaceutical and cosmetic purposes. Deoxyarbutin (4-[(tetrahydro-2H-pyran-2-yl) oxy] phenol, D-Arb) is a glucoside derivative of hydroquinone. Here, we investigated the toxicity and efficacy of D-Arb at the sub-cellular level (directly on melanosomes) and skin pigmentation using in vivo and in vitro models to compare with its parent compound hydroquinone (1,4-benzenediol, HQ). At first, we examined the ultrastructural changes of melanosomes in hyperpigmented guinea pig skin induced by 308-nm monochromatic excimer lightand/or treated with HQ and D-Arb using transmission electron microscopy. The results showed that prominent changes in the melanosomal membrane, such as bulb-like structure and even complete rupture of the outer membranes, were found in the skin after topical application of 5% HQ for 10 days. These changes were barely observed in the skin treated with D-Arb. To further clarify whether membrane toxicity of HQ was a direct result of the compound treatment, we also examinedultrastructural changes of individual melanosomes purified from MNT1 human melanoma cells. Similar observations were obtained from the naked melanosome model in vitro. Finally, we determined the effects of melanosomal fractions exposed to HQ or D-Arb on hydroxyl radical generation in the Fenton reaction utilizing an electron spin resonance assay. D-Arb-treated melanosomesexhibit a moderate hydroxyl radical-scavenging activity, whereas HQ-treated melanosomessignificantly generate more hydroxyl free radicals. This study suggests that D-Arb possesses a potent ability in skin lightening and antioxidation with less melanosome cytotoxicity.


Assuntos
Arbutina/análogos & derivados , Melanossomas/efeitos dos fármacos , Preparações Clareadoras de Pele/farmacologia , Pele/efeitos dos fármacos , Animais , Arbutina/farmacologia , Linhagem Celular Tumoral , Espectroscopia de Ressonância de Spin Eletrônica , Cobaias , Melanossomas/metabolismo , Microscopia Eletrônica de Transmissão , Pele/ultraestrutura , Frações Subcelulares/metabolismo
9.
Chem Pharm Bull (Tokyo) ; 62(4): 364-72, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24695346

RESUMO

From the 1-BuOH-soluble fraction of a MeOH extract of the leaves of Grevillea robusta, new arbutin derivatives and related compounds, named grevillosides J-Q (1-8), together with eight known compounds (9-18) were isolated. Various kind of acyl groups were attached to ß-D-glucose at the 6-position through an ester linkage. Their structures were mainly elucidated from one- and two-dimensional NMR spectroscopic data. For exploitation as skin-lightening and anti-chloasma agents, the inhibitory activities of the isolated compounds as well as ones isolated in previous experiments (19-31) toward tyrosinase and melanin-producing B16 cells were assayed. Several compounds showed promising activity.


Assuntos
Arbutina/análogos & derivados , Arbutina/química , Proteaceae/química , Preparações Clareadoras de Pele/química , Preparações Clareadoras de Pele/farmacologia , Animais , Arbutina/síntese química , Arbutina/isolamento & purificação , Arbutina/farmacologia , Avaliação Pré-Clínica de Medicamentos/métodos , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacologia , Concentração Inibidora 50 , Espectroscopia de Ressonância Magnética , Melanoma Experimental/tratamento farmacológico , Camundongos , Estrutura Molecular , Monofenol Mono-Oxigenase/antagonistas & inibidores , Folhas de Planta/química , Neoplasias Cutâneas/tratamento farmacológico
10.
Biosci Biotechnol Biochem ; 77(5): 1127-30, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23649246

RESUMO

Arbutin and deoxy arbutin may release hydroquinone under some conditions. We therefore investigated the photostability of arbutin and deoxy arbutin in an aqueous solution. The results revealed arbutin and deoxy arbutin to be photolabile in an aqueous solution. Deoxy arbutin was less stable than arbutin when exposed to UV radiation. The hydroquinone concentration was also increased during the radiation period in both solutions. Benzophenone-4 could clearly improve the photostability of arbutin during the period of UV radiation, but only slightly enhance the photostability of deoxy arbutin.


Assuntos
Arbutina/análogos & derivados , Benzofenonas/química , Processos Fotoquímicos , Protetores Solares/química , Raios Ultravioleta , Água/química , Arbutina/química , Estabilidade de Medicamentos , Solubilidade
11.
J Biosci Bioeng ; 109(6): 554-6, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20471593

RESUMO

Direct and regioselective acylation of arbutin with aromatic or aliphatic acid using a lipase obtained from Candida antarctica in an organic solvent was investigated. We achieved the enzymatic synthesis of feruloyl arbutin and lipoyl arbutin without the need of vinyl ferulate and vinyl lipoate as acyl donors, respectively.


Assuntos
Arbutina/análogos & derivados , Flavonoides/biossíntese , Lipase/metabolismo , Acilação , Candida/enzimologia , Catálise , Enzimas Imobilizadas/metabolismo , Ésteres , Ácidos Graxos/química , Flavonoides/química , Fenóis/química , Polifenóis
12.
Bioorg Med Chem Lett ; 17(11): 3105-8, 2007 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-17418566

RESUMO

Transesterification of arbutin and undecylenic acid vinyl ester was catalyzed by alkaline protease, Bioprase, in dimethylformamide to get arbutin derivative having undecylenic acid at 6-position of glucose moiety, 6-O-undecylenoyl p-hydroxyphenyl beta-D-glucopyranoside. The reaction rate increased with increase of arbutin concentration, and when its concentration was 0.9 M, the conversion rate was more than 90% under addition of 2 M undecylenic acid vinyl ester. The obtained arbutin ester significantly suppressed melanin production in murine B16 melanoma cells.


Assuntos
Arbutina/análogos & derivados , Ésteres/farmacologia , Melaninas/antagonistas & inibidores , Melanoma Experimental/metabolismo , Neoplasias Cutâneas/metabolismo , Ácidos Undecilênicos/farmacologia , Animais , Arbutina/biossíntese , Arbutina/farmacologia , Proteínas de Bactérias/química , Linhagem Celular Tumoral , Endopeptidases/química , Melaninas/biossíntese , Camundongos
13.
J Cosmet Sci ; 57(4): 291-308, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16957809

RESUMO

Several tyrosinase inhibitors have been developed and utilized to ameliorate various cutaneous hyperpigmentary disorders and complexion discolorations. Deoxyarbutin (dA) (i.e., 4-[(tetrahydro-2H-pyran-2-yl)oxy]phenol), designed using quantitative structure-activity relationships (QSAR), demonstrates effective inhibition of mushroom tyrosinase and skin-lightening capability (1). However, its comparative safety, effectiveness, and reversibility to other known tyrosinase inhibitors in human melanocytes had not been determined. The effect of dA was assessed in cultured human skin cells, on xenographs, and with a clinical trial. Using cultured human melanocytes, the maximum concentration of dA that allowed 95% viability was fourfold greater than for hydroquinone (HQ), indicating that dA is less cytotoxic/cytostatic than HQ. The viability of cultured human keratinocytes and fibroblasts was also less compromised by increasing concentrations of dA as opposed to HQ. At the maximum concentration allowing normal cellular viability, dA effectively inhibited tyrosinase activity and melanin content in human melanocytes, whereas HQ was marginally inhibitory. Upon removal of dA, tyrosinase activity and melanin content was normalized within five days. Topical application of dA on human xenografts resulted in a gradual and visually apparent skin lightening effect during an eight-week period. In a clinical trial, dA facilitated fading of pre-tanned skin to a statistically significant greater extent than either HQ or no treatment. These results demonstrate that dA is a potentially safe, effective, and reversible tyrosinase inhibitor.


Assuntos
Arbutina/análogos & derivados , Hiperpigmentação/tratamento farmacológico , Monofenol Mono-Oxigenase/antagonistas & inibidores , Pigmentação da Pele/efeitos dos fármacos , Administração Tópica , Adolescente , Adulto , Animais , Arbutina/farmacologia , Biópsia , Sobrevivência Celular/efeitos dos fármacos , Feminino , Humanos , Hidroquinonas/farmacologia , Hiperpigmentação/enzimologia , Masculino , Melanócitos/efeitos dos fármacos , Melanócitos/metabolismo , Camundongos , Camundongos SCID , Pessoa de Meia-Idade , Monofenol Mono-Oxigenase/metabolismo , Pele/efeitos dos fármacos , Pele/enzimologia , Organismos Livres de Patógenos Específicos , Transplante Heterólogo
14.
J Asian Nat Prod Res ; 8(4): 373-7, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16864450

RESUMO

A new phenolic glycoside, 6'-[(E)-2''-hydroxymethyl, 2''-butenoyl] arbutin (1), and two known phenolic glycosides, 6'-[(E)-4''-hydroxycinnamoyl] arbutin (2) and 6'-[(E)-3'',4''-dihydroxycinnamoyl] arbutin (3), were isolated from the leaves of Heliciopsis lobata (Merr.) Sleum. Their structures were elucidated by various spectroscopic methods including 2D NMR spectroscopy.


Assuntos
Arbutina/análogos & derivados , Glicosídeos/química , Fenóis/química , Folhas de Planta/química , Proteaceae/química , Arbutina/química , Arbutina/isolamento & purificação , Linhagem Celular Tumoral , Glicosídeos/isolamento & purificação , Humanos , Estrutura Molecular , Fenóis/isolamento & purificação
15.
Exp Dermatol ; 14(8): 601-8, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16026582

RESUMO

Modulation of melanogenesis in the melanocytes can be achieved using chemicals that share structural homologies with the substrate tyrosine and as thus competitively inhibit the catalytic function of tyrosinase. We have developed a new tyrosinase inhibitor, deoxyArbutin (dA), based on this premise. DeoxyArbutin demonstrates effective inhibition of mushroom tyrosinase in vitro with a Ki that is 10-fold lower that hydroquinone (HQ) and 350-fold lower than arbutin. In a hairless, pigmented guinea pig model, dA demonstrated rapid and sustained skin lightening that was completely reversible within 8 weeks after halt in topical application. In contrast, HQ induced a short but unsustained skin lightening effect whereas kojic acid and arbutin exhibit no skin lightening effect. Results from a panel of safety tests supported the overall establishment of dA as an actionable molecule. In a human clinical trial, topical treatment of dA for 12 weeks resulted in a significant or slight reduction in overall skin lightness and improvement of solar lentigines in a population of light skin or dark skin individuals, respectively. These data demonstrate that dA has potential tyrosinase inhibitory activity that can result in skin lightening and may be used to ameliorate hyperpigmentary lesions.


Assuntos
Arbutina/análogos & derivados , Inibidores Enzimáticos/farmacologia , Hiperpigmentação/tratamento farmacológico , Monofenol Mono-Oxigenase/antagonistas & inibidores , Pigmentação da Pele/efeitos dos fármacos , Agaricales/metabolismo , Animais , Arbutina/farmacologia , Proliferação de Células , Ensaios Clínicos como Assunto , Relação Dose-Resposta a Droga , Avaliação Pré-Clínica de Medicamentos , Escherichia coli/metabolismo , Cobaias , Humanos , Hidroquinonas/farmacologia , Imunossupressores/farmacologia , Cinética , Lentigo/tratamento farmacológico , Luz , Linfonodos/patologia , Camundongos , Camundongos Endogâmicos CBA , Modelos Químicos , Monofenol Mono-Oxigenase/metabolismo , Pele/efeitos dos fármacos , Pele/patologia , Fatores de Tempo
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