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1.
Arch Toxicol ; 98(4): 1135-1149, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38446233

RESUMEN

A-series agent A-234 belongs to a new generation of nerve agents. The poisoning of a former Russian spy Sergei Skripal and his daughter in Salisbury, England, in March 2018 led to the inclusion of A-234 and other A-series agents into the Chemical Weapons Convention. Even though five years have already passed, there is still very little information on its chemical properties, biological activities, and treatment options with established antidotes. In this article, we first assessed A-234 stability in neutral pH for subsequent experiments. Then, we determined its inhibitory potential towards human recombinant acetylcholinesterase (HssAChE; EC 3.1.1.7) and butyrylcholinesterase (HssBChE; EC 3.1.1.8), the ability of HI-6, obidoxime, pralidoxime, methoxime, and trimedoxime to reactivate inhibited cholinesterases (ChEs), its toxicity in rats and therapeutic effects of different antidotal approaches. Finally, we utilized molecular dynamics to explain our findings. The results of spontaneous A-234 hydrolysis showed a slow process with a reaction rate displaying a triphasic course during the first 72 h (the residual concentration 86.2%). A-234 was found to be a potent inhibitor of both human ChEs (HssAChE IC50 = 0.101 ± 0.003 µM and HssBChE IC50 = 0.036 ± 0.002 µM), whereas the five marketed oximes have negligible reactivation ability toward A-234-inhibited HssAChE and HssBChE. The acute toxicity of A-234 is comparable to that of VX and in the context of therapy, atropine and diazepam effectively mitigate A-234 lethality. Even though oxime administration may induce minor improvements, selected oximes (HI-6 and methoxime) do not reactivate ChEs in vivo. Molecular dynamics implies that all marketed oximes are weak nucleophiles, which may explain the failure to reactivate the A-234 phosphorus-serine oxygen bond characterized by low partial charge, in particular, HI-6 and trimedoxime oxime oxygen may not be able to effectively approach the A-234 phosphorus, while pralidoxime displayed low interaction energy. This study is the first to provide essential experimental preclinical data on the A-234 compound.


Asunto(s)
Reactivadores de la Colinesterasa , Compuestos de Pralidoxima , Taurina/análogos & derivados , Ratas , Humanos , Animales , Reactivadores de la Colinesterasa/farmacología , Trimedoxima/farmacología , Butirilcolinesterasa , Acetilcolinesterasa , Oximas/farmacología , Compuestos de Piridinio/farmacología , Antídotos/farmacología , Inhibidores de la Colinesterasa/toxicidad , Fósforo , Oxígeno
2.
Toxicology ; 480: 153317, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-36096317

RESUMEN

At high exposure levels, organophosphorus insecticides (OPs) exert their toxicity in mammals through the inhibition of brain acetylcholinesterase (AChE) leading to the accumulation of acetylcholine in cholinergic synapses and hyperactivity of the nervous system. Currently, there is a concern that low-level exposure to OPs induces negative impacts in developing children and the chemical most linked to these issues is chlorpyrifos (CPF). Our laboratory has observed that a difference in the susceptibility to repeated exposure to CPF exists between juvenile mice and rats with respect to the inhibition of brain AChE. The basis for this difference is unknown but differences in the levels of the detoxification mechanisms could play a role. To investigate this, 10-day old rat and mice pups were exposed daily for 7 days to either corn oil or a range of dosages of CPF via oral gavage. Four hours following the last administration of CPF on day 16, brain, blood, and liver were collected. The inhibition of brain AChE activity was higher in juvenile rats as compared to juvenile mice. The levels of activity of the detoxification enzymes and the impact of CPF exposure on their activity were determined in the two species at this age. In blood and liver, the enzyme paraoxonase-1 (PON1) hydrolyzes the active metabolite of CPF (CPF-oxon), and the enzymes carboxylesterase (CES) and cholinesterase (ChE) act as alternative binding sites for CPF-oxon removing it from circulation and providing protection. Both species had similar levels of PON1 activity in the liver and serum. Mice had higher ChE activity in liver and serum than rats but, following CPF exposure, the percentage inhibition was similar between species at an equivalent dosage. Even though rats had slightly higher liver CES activity than mice, the level of inhibition following exposure was higher in rats. In serum, juvenile mice had an 8-fold higher CES activity than rats, and exposure to a CPF dosage that almost eliminated CES activity in rats only resulted in 22% inhibition in mice suggesting that the high serum CES activity in mice as compared to rats is a key component in this species difference. In addition, there was a species difference in the sensitivity of CES to inhibition by CPF-oxon with rats having a lower IC50 in both liver and serum as compared to mice. This greater enzyme sensitivity suggests that saturation of CES would occur more rapidly in juvenile rats than in mice, resulting in more CPF reaching the brain to inhibit AChE in rats.


Asunto(s)
Cloropirifos , Insecticidas , Acetilcolina , Acetilcolinesterasa/metabolismo , Animales , Arildialquilfosfatasa , Carboxilesterasa/metabolismo , Cloropirifos/análogos & derivados , Cloropirifos/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Colinesterasas/metabolismo , Aceite de Maíz , Insecticidas/metabolismo , Insecticidas/toxicidad , Mamíferos/metabolismo , Ratones , Ratas , Ratas Sprague-Dawley
3.
Food Chem Toxicol ; 165: 113189, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35636641

RESUMEN

The toxicity of D. tripetala fruit extract to mice was investigated using data obtained from lipidomic analyses, comet and Acetylcholinesterase (AChE) assays. Mice (n = 8) were exposed for 30 days via oral gavage to vehicle (5% Tween 80) (negative control), D. tripetala extract (100, 200 and 400 mg/kg) and 40 mg/kg methyl methanesulfonate (MMS) (positive control). The profile of compounds in the fruit extract was analyzed using gas chromatography-mass spectrometry. Out of the total of 32 compounds identified, considerable amount of established insecticidal compounds such as 2-phenylnitroethane, cis-vaccenic acid, linalool and linoleic acid were detected. Fruit extract did not induce DNA damage relative to negative control. Percentage gain in body weights differed significantly across the four weeks. Significantly highest and lowest brain AChE activity was observed in animals exposed to 200 and 400 mg/kg D. tripetala, respectively. Fruit extract modulated the brain phospholipid profile due to significant fold changes of 48 lipid species out of the total of 280 lipid species. High number of differentially expressed phosphatidylcholine (PC) species and significant levels of phosphatidylethanolamine (PE) at 400 mg/kg suggests that activation of inflammation and methylation pathways are the most plausible mechanisms of D. tripetala toxicity to mouse brain tissue.


Asunto(s)
Frutas , Piper nigrum , Acetilcolinesterasa , Animales , Inhibidores de la Colinesterasa/análisis , Inhibidores de la Colinesterasa/toxicidad , Daño del ADN , Frutas/química , Ratones , Fosfolípidos/análisis , Extractos Vegetales/química
4.
Toxicol Appl Pharmacol ; 419: 115512, 2021 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-33785355

RESUMEN

Nerve agents are highly toxic organophosphorus compounds that inhibit acetylcholinesterase resulting in rapid accumulation of the neurotransmitter acetylcholine (ACh) causing a cholinergic syndrome including respiratory failure. In the present study, respiratory responses and antimuscarinic treatment efficacy was evaluated ex vivo using rat precision-cut lung slices (PCLS) exposed to the nerve agent VX. The respiratory effects were evaluated either by adding exogenous ACh directly to the culture medium or by applying electric-field stimulation (EFS) to the PCLS to achieve a release of endogenous ACh from neurons in the lung tissue. The airway contraction induced by both methods was enhanced by VX and resulted in lingering airway recovery, in particular when airways were exposed to a high VX-dose. Both contractions induced by EFS and exogenously added ACh were significantly reduced by administration of the antimuscarinic drugs atropine or scopolamine. Two additions of atropine or scopolamine after maximal ACh-induced airway response was demonstrated effective to reverse the contraction. By adding consecutive doubled doses of antimuscarinics, high efficiency to reduce the cholinergic airway response was observed. However, the airways were not completely recovered by atropine or scopolamine, indicating that non-muscarinic mechanisms were involved in the smooth muscle contractions. In conclusion, it was demonstrated that antimuscarinic treatment reversed airway contraction induced by VX but supplemental pharmacological interventions are needed to fully recover the airways. Further studies should therefore clarify the mechanisms of physiological responses in lung tissue following nerve agent exposures to improve the medical management of poisoned individuals.


Asunto(s)
Atropina/farmacología , Fibras Colinérgicas/efectos de los fármacos , Inhibidores de la Colinesterasa/toxicidad , Pulmón/inervación , Antagonistas Muscarínicos/farmacología , Contracción Muscular/efectos de los fármacos , Músculo Liso/inervación , Compuestos Organotiofosforados/toxicidad , Escopolamina/farmacología , Acetilcolina/metabolismo , Acetilcolina/farmacología , Acetilcolinesterasa/metabolismo , Animales , Fibras Colinérgicas/enzimología , Relación Dosis-Respuesta a Droga , Estimulación Eléctrica , Femenino , Proteínas Ligadas a GPI/antagonistas & inhibidores , Proteínas Ligadas a GPI/metabolismo , Ratas Sprague-Dawley
5.
Biomolecules ; 10(9)2020 09 18.
Artículo en Inglés | MEDLINE | ID: mdl-32962160

RESUMEN

Donepezil (DPZ) is an acetylcholinesterase inhibitor used for the clinical treatment of mild cognitive impairment. However, DPZ has been reported to have adverse effects, including causing abnormal cardiac rhythm, insomnia, vomiting, and muscle cramps. However, the existence of these effects in subjects without Dementia is unknown. In this study, we use zebrafish to conduct a deeper analysis of the potential adverse effects of DPZ on the short-term memory and behaviors of normal zebrafish by performing multiple behavioral and biochemical assays. Adult zebrafish were exposed to 1 ppm and 2.5 ppm of DPZ. From the results, DPZ caused a slight improvement in the short-term memory of zebrafish and induced significant elevation in aggressiveness, while the novel tank and shoaling tests revealed anxiolytic-like behavior to be caused by DPZ. Furthermore, zebrafish circadian locomotor activity displayed a higher reduction of locomotion and abnormal movement orientation in both low- and high-dose groups, compared to the control group. Biomarker assays revealed that these alterations were associated with an elevation of oxytocin and a reduction of cortisol levels in the brain. Moreover, the significant increases in reactive oxygen species (ROS) and malondialdehyde (MDA) levels in muscle tissue suggest DPZ exposure induced muscle tissue oxidative stress and muscle weakness, which may underlie the locomotor activity impairment. In conclusion, we show, for the first time, that chronic waterborne exposure to DPZ can severely induce adverse effects on normal zebrafish in a dose-dependent manner. These unexpected adverse effects on behavioral alteration should be carefully addressed in future studies considering DPZ conducted on zebrafish or other animals.


Asunto(s)
Conducta Animal/efectos de los fármacos , Encéfalo/efectos de los fármacos , Donepezilo/toxicidad , Exposición a Riesgos Ambientales/efectos adversos , Pruebas de Toxicidad Crónica/métodos , Pez Cebra/fisiología , Animales , Encéfalo/metabolismo , Inhibidores de la Colinesterasa/toxicidad , Locomoción/efectos de los fármacos , Locomoción/fisiología , Malondialdehído/metabolismo , Memoria a Corto Plazo/efectos de los fármacos , Memoria a Corto Plazo/fisiología , Actividad Motora/efectos de los fármacos , Actividad Motora/fisiología , Músculos/efectos de los fármacos , Músculos/metabolismo , Músculos/fisiología , Especies Reactivas de Oxígeno/metabolismo , Superóxido Dismutasa/metabolismo
6.
J Med Chem ; 63(17): 10030-10044, 2020 09 10.
Artículo en Inglés | MEDLINE | ID: mdl-32787113

RESUMEN

To discover novel BChE inhibitors, a hierarchical virtual screening protocol followed by biochemical evaluation was applied. The most potent compound 8012-9656 (eqBChE IC50 = 0.18 ± 0.03 µM, hBChE IC50 = 0.32 ± 0.07 µM) was purchased and synthesized. It inhibited BChE in a noncompetitive manner and could occupy the binding pocket forming diverse interactions with the target. 8012-9656 was proven to be safe in vivo and in vitro and showed comparable performance in ameliorating the scopolamine-induced cognition impairment to tacrine. Additionally, treatment with 8012-9656 could almost entirely recover the Aß1-42 (icv)-impaired cognitive function to the normal level and showed better behavioral performance than donepezil. The evaluation of the Aß1-42 total amount confirmed its anti-amyloidogenic profile. Moreover, 8012-9656 possessed blood-brain barrier (BBB) penetrating ability, a long T1/2, and low intrinsic clearance. Hence, the novel potential BChE inhibitor 8012-9656 can be considered as a promising lead compound for further investigation of anti-AD agents.


Asunto(s)
Aminoquinolinas/farmacología , Bencimidazoles/farmacología , Butirilcolinesterasa/metabolismo , Inhibidores de la Colinesterasa/farmacología , Fármacos Neuroprotectores/farmacología , Aminoquinolinas/síntesis química , Aminoquinolinas/metabolismo , Aminoquinolinas/toxicidad , Animales , Bencimidazoles/síntesis química , Bencimidazoles/metabolismo , Bencimidazoles/toxicidad , Línea Celular Tumoral , Inhibidores de la Colinesterasa/síntesis química , Inhibidores de la Colinesterasa/metabolismo , Inhibidores de la Colinesterasa/toxicidad , Descubrimiento de Drogas , Evaluación Preclínica de Medicamentos , Femenino , Humanos , Masculino , Ratones Endogámicos ICR , Microsomas Hepáticos/metabolismo , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular , Fármacos Neuroprotectores/síntesis química , Fármacos Neuroprotectores/metabolismo , Fármacos Neuroprotectores/toxicidad , Unión Proteica , Bibliotecas de Moléculas Pequeñas/síntesis química , Bibliotecas de Moléculas Pequeñas/metabolismo , Bibliotecas de Moléculas Pequeñas/farmacología , Bibliotecas de Moléculas Pequeñas/toxicidad
7.
Fish Physiol Biochem ; 46(4): 1549-1560, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32424629

RESUMEN

This study highlighted the effects of chronic chlorpyrifos (CPF) exposure on Nile tilapia (Oreochromis niloticus) and the benefits of using dietary Chlorella vulgaris (Ch) to ameliorate CPF-induced toxicity. Genes encoding antioxidant enzymes and stress-responsive proteins in the liver as well as cytokine expression in the spleen and head kidney were evaluated in O. niloticus fed with a basal diet or diets containing 1, 2, and 3% of supplementary Ch against 15 mg/L CPF at 4 and 8 weeks. CPF-exposed groups displayed a notable induction in the hepatic expression of heat shock protein 70/hsp70, glutathione peroxidase/GPx, and glutathione synthase/GSS, while glutathione reductase/GSR was markedly decreased. The mRNA levels of interleukin 1ß/IL-1ß, TNF-α, transforming growth factor ß1/TGFß1, and interleukin 8/ IL-8 in the spleen and head kidney increased significantly after CPF exposure. Interestingly, Ch supplementation, particularly at levels 2 and 3%, was able to modulate the stress and immune-related genes of Nile tilapia sub-chronically exposed to CPF. These outcomes provide valuable insights regarding the toxic impact of chronic exposure to CPF in fish at the molecular level and a better understanding of the Ch dietary vital roles. Besides, our findings encourage adequate monitoring of pesticide levels owing to its impacts on fish health and human as a final consumer.


Asunto(s)
Chlorella vulgaris/metabolismo , Cloropirifos/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Cíclidos , Suplementos Dietéticos , Insecticidas/toxicidad , Animales , Antioxidantes/metabolismo , Chlorella vulgaris/inmunología , Cíclidos/crecimiento & desarrollo , Cíclidos/inmunología , Cíclidos/metabolismo , Citocinas/genética , Citocinas/metabolismo , Glutatión Peroxidasa/metabolismo , Glutatión Reductasa/metabolismo , Glutatión Sintasa/metabolismo , Proteínas HSP70 de Choque Térmico/metabolismo , Riñón/metabolismo , Hígado/enzimología , Hígado/metabolismo , Distribución Aleatoria , Bazo/metabolismo
8.
Neurobiol Dis ; 133: 104537, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31454548

RESUMEN

The initiation and maintenance phases of cholinergic status epilepticus (SE) are associated with maladaptive trafficking of synaptic GABAA and glutamate receptors. The resulting pharmacoresistance reflects a decrease in synaptic GABAA receptors and increase in NMDA and AMPA receptors, which tilt the balance between inhibition and excitation in favor of the latter. If these changes are important to the pathophysiology of SE, both should be treated, and blocking their consequences should have therapeutic potential. We used a model of benzodiazepine-refractory SE (RSE) (Tetz et al., 2006) and a model of soman-induced SE to test this hypothesis. Treatment of RSE with combinations of the GABAAR agonists midazolam or diazepam and the NMDAR antagonists MK-801 or ketamine terminated RSE unresponsive to high-dose monotherapy with benzodiazepines, ketamine or other antiepileptic drugs (AEDs). It also reduced RSE-associated neuronal injury, spatial memory deficits and the occurrence of spontaneous recurrent seizures (SRS), tested several weeks after SE. Treatment of sc soman-induced SE similarly showed much greater reduction of EEG power by a combination of midazolam with ketamine, compared to midazolam monotherapy. When treating late (40 min after seizure onset), there may not be enough synaptic GABAAR left to be able to restore inhibition with maximal GABAAR stimulation, and further benefit is derived from the addition of an AED which increases inhibition or reduces excitation by a non-GABAergic mechanism. The midazolam-ketamine-valproate combination is effective in terminating RSE. 3-D isobolograms demonstrate positive cooperativity between midazolam, ketamine and valproate, without any interaction between the toxicity of these drugs, so that the therapeutic index is increased by combination therapy between GABAAR agonist, NMDAR antagonist and selective AEDs. We compared this drug combination based on the receptor trafficking hypothesis to treatments based on clinical practice. The midazolam-ketamine-valproate combination is far more effective in stopping RSE than the midazolam-fosphenytoin-valproate combination inspired from clinical guidelines. Furthermore, sequential administration of midazolam, ketamine and valproate is far less effective than simultaneous treatment with the same drugs at the same dose. These data suggest that we should re-evaluate our traditional treatment of RSE, and that treatment should be based on pathophysiology. The search for a better drug has to deal with the fact that most monotherapy leaves half the problem untreated. The search for a better benzodiazepine should acknowledge the main cause of pharmacoresistance, which is loss of synaptic GABAAR. Future clinical trials should consider treating both the failure of inhibition and the runaway excitation which characterize RSE, and should include an early polytherapy arm.


Asunto(s)
Anticonvulsivantes/farmacología , Inhibidores de la Colinesterasa/toxicidad , Estado Epiléptico/inducido químicamente , Estado Epiléptico/tratamiento farmacológico , Animales , Quimioterapia Combinada/métodos , Ketamina/farmacología , Masculino , Midazolam/farmacología , Agonistas Muscarínicos/toxicidad , Agentes Nerviosos/toxicidad , Pilocarpina/toxicidad , Ratas , Ratas Sprague-Dawley , Soman/toxicidad , Ácido Valproico/farmacología
9.
Neurotox Res ; 37(4): 893-903, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31853730

RESUMEN

The level of acetylcholine, a neurotransmitter essential for processing memory and learning, is lower in the brains of patients with Alzheimer's disease due to the higher concentration of the enzyme acetylcholinesterase. The main compounds used for Alzheimer's treatment are acetylcholinesterase inhibitors. Quercetin coordination complexes with the metal ions Cu+2, Zn+2, Ni+2, Co+2, and Fe+2 were synthesized to investigate their potential use against Alzheimer's disease, by evaluating the inhibition of acetylcholinesterase in vitro and in silico, as well as the antioxidant activity, toxicity, and anxiolytic action in the zebrafish (Danio rerio) model. The organic complexes were characterized by UV-Vis and FT-IR. The spectral information suggested that coordination of metals occurs with the carbonyl group and OH linked to the C-3 carbon of quercetin. The quercetin-Fe (QFe) complex presented the best antioxidant and antiacetylcholinesterase actions, and these results were confirmed by molecular docking. In the toxicity and locomotor evaluation, the quercetin molecules and the synthesized complexes, mainly QCu and QZn derivatives, showed the highest degree of inhibition of the fish's locomotor activity, suggesting a possible anxiolytic action. Then, quercetin complexes with metals, mainly with Fe+2, represent valuable compounds and deserve more investigation as promising agents against Alzheimer's disease.


Asunto(s)
Ansiolíticos/síntesis química , Antioxidantes/síntesis química , Inhibidores de la Colinesterasa/síntesis química , Simulación por Computador , Complejos de Coordinación/síntesis química , Compuestos de Hierro/síntesis química , Animales , Ansiolíticos/toxicidad , Antioxidantes/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Complejos de Coordinación/toxicidad , Evaluación Preclínica de Medicamentos/métodos , Compuestos de Hierro/toxicidad , Locomoción/efectos de los fármacos , Locomoción/fisiología , Simulación del Acoplamiento Molecular/métodos , Estructura Secundaria de Proteína , Quercetina , Pez Cebra
10.
J Biochem Mol Toxicol ; 33(8): e22341, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30990955

RESUMEN

Chlorpyrifos (CPF), an organophosphate insecticide has a wider application throughout the world to protect agricultural crops and vegetables from insects. Polyphenolic compounds are considered as beneficial against toxicities induced by organophosphates. The present study was conducted to understand the neuroprotective role of quercetin in chlorpyrifos-induced apoptotic events in rats. Twenty-four male Sprague Dawley rats weighing 170 to 200 g were divided into four groups viz: Control, chlorpyrifos treated (13.5 mg/kg body wt. alternate day), quercetin treated (50 mg/kg body wt. every day) and combined chlorpyrifos + quercetin treated. All the treatments were carried out for a total duration of 60 days. Protein carbonyl content and acetylcholinesterase activity were estimated in serum along with cerebrum and cerebellum to ascertain neurotoxicity. Further, for appraisal of neurodegeneration as a consequence of apoptosis, protein expressions of Bcl-2, Bax, cytochrome c, caspase-8, and caspase-9 were assessed. The results showed that protein carbonyl contents were markedly increased in both serum and brain tissues (cerebrum and cerebellum) of chlorpyrifos-treated rats when compared with control group and were appreciably improved upon simultaneous supplementation with quercetin. Further, chlorpyrifos treatment revealed a significant decrease in the enzyme activity of acetylcholinesterase in serum as well as in cerebrum and cerebellum, which however was increased upon concomitant treatment with quercetin. In chlorpyrifos-treated animals, we have observed a significant decrease in the protein expression level of Bcl-2, but a remarkable increase in the expression levels of Bax, cytochrome c, caspase-8, and caspase-9 in both cerebrum and cerebellum. Interestingly, when chlorpyrifos-treated animals were supplemented with quercetin, a significant increase in the expression of Bcl-2 and an appreciable decline in the expression levels of Bax, cytochrome c, caspase-8, and caspase-9 was observed. In conclusion, the present study advocates that quercetin may prove to be a useful candidate in containing the oxidative-induced apoptotic events during chlorpyrifos exposure.


Asunto(s)
Apoptosis/efectos de los fármacos , Cloropirifos/toxicidad , Estrés Oxidativo/efectos de los fármacos , Quercetina/farmacología , Acetilcolinesterasa/sangre , Acetilcolinesterasa/metabolismo , Animales , Peso Corporal/efectos de los fármacos , Cerebelo/enzimología , Inhibidores de la Colinesterasa/toxicidad , Insecticidas/toxicidad , Masculino , Ratas , Ratas Sprague-Dawley
11.
Bioorg Chem ; 85: 117-127, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30605885

RESUMEN

Butyrylcholinesterase (BChE) is recently considered as a new target for the treatment of Alzheimer's disease (AD). There is an increasing interest in the development of BChE inhibitors. In the present study, a set of pharmacophore models for BChE was developed and validated. Based on the models, virtual screening was performed on five compound collections, from which seventeen potential hits were retained for biological investigation. In total, eight of these seventeen potential hits showed selective BChE inhibitory activity. Moreover, four compounds displayed IC50 values in sub-micromolar range on eqBChE and three displayed IC50 values < 2 µM on huBChE. The diverse scaffolds of the active compounds provided good starting point further development of selective BChE inhibitors. As far as we concerned, here we disclose the first selective pharmacophore model targeting BChE. The high rate of the model in the identification of active hits indicates it is a valuable tool for the development of selective BChE inhibitors, which may benefit the treatment of AD.


Asunto(s)
Butirilcolinesterasa/química , Inhibidores de la Colinesterasa/química , Enfermedad de Alzheimer/tratamiento farmacológico , Animales , Butirilcolinesterasa/metabolismo , Línea Celular Tumoral , Inhibidores de la Colinesterasa/farmacocinética , Inhibidores de la Colinesterasa/toxicidad , Descubrimiento de Drogas , Evaluación Preclínica de Medicamentos , Electrophorus , Caballos , Humanos , Cinética , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular , Estructura Molecular
12.
Drug Chem Toxicol ; 42(6): 585-591, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29648463

RESUMEN

Several studies have shown that oxidative stress and cell damage can occur at very early stages of diazinon (DZN) exposure. The present study was designed to determine the beneficial effect of thymoquinone (Thy), the main component of Nigella sativa (black seed or black cumin), against DZN cardio-toxicity in rats. In the present experimental study, 48 male Wistar rats were randomly divided into six groups: control (corn oil gavages), DZN gavages (20 mg/kg/day), Thy gavages (10 mg/kg/day) and Thy + DVN gavages (2.5, 5 and 10 mg/kg/day). Treatments were continued for 28 days, then the animals were anesthetized by ether and superoxide dismutase (SOD), catalase (CAT), glutathione S-transferase (GST), lactate dehydrogenize (LDH) and glutathione peroxide (GPX) activity was evaluated. In addition, glutathione (GSH) and malondialdehyde (MDA) the heart tissue and creatinephosphokinase-MB (CPK-MB) and troponin (TPI) levels and cholinesterase activity in the blood were evaluated. DZN-induced oxidative damage and elevated the levels of the cardiac markers CK-MB, TPI, MDA and LDH and decreased SOD, CAT and cholinesterase activity and GSH level compared with the control group. Treatment with Thy reduced DZN cardio-toxicity and cholinesterase activity. The success of Thy supplementation against DZN toxicity can be attributed to the antioxidant effects of its constituents. Administration of Thy as a natural antioxidant decreased DZN cardio-toxicity and improved cholinesterase activity in rats through the mechanism of free radical scavenging.


Asunto(s)
Antioxidantes/farmacología , Benzoquinonas/farmacología , Cardiotoxicidad/prevención & control , Diazinón/toxicidad , Animales , Antioxidantes/administración & dosificación , Benzoquinonas/administración & dosificación , Inhibidores de la Colinesterasa/toxicidad , Colinesterasas/efectos de los fármacos , Colinesterasas/metabolismo , Relación Dosis-Respuesta a Droga , Depuradores de Radicales Libres/administración & dosificación , Depuradores de Radicales Libres/farmacología , Insecticidas/toxicidad , Masculino , Nigella sativa/química , Estrés Oxidativo/efectos de los fármacos , Ratas , Ratas Wistar , Superóxido Dismutasa/metabolismo
13.
Environ Sci Pollut Res Int ; 26(4): 3659-3665, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30535736

RESUMEN

The ubiquitous use of diazinon (DZN, an organophosphorus insecticide) has increased the probability of occupational, public, and the ecosystem exposure; these exposures are linked to negative health outcomes. The flavonoids curcumin (CUR) and quercetin (QUE) exert significant anti-inflammatory and antioxidant activities against toxicants, including insecticides. However, it is unclear whether their combination enhances these activities. Therefore, 40 albino rat were divided randomly into the CTR, DZN, CUR + DZN, QUE + DZN, and CUR + QUE + DZN groups, which are treated daily via gavage for 28 days. DZN induced neurohepatic inflammation and oxidative damage, which was confirmed by significant (P < 0.05) induction of aspartate and alanine aminotransferases, alkaline phosphatase, lactate dehydrogenase, γ-glutamyl transferase, and tumor necrosis factor-α and inhibition of acetylcholinesterase activity. Furthermore, the liver and brain of DZN-exposed rats exhibited a notable elevation in MDA level paralleled with reduction in antioxidant molecules, i.e., glutathione, superoxide dismutase, glutathione peroxidase, and catalase. The pretreatment of DZN-intoxicated rats with CUR or QUE substantially mitigated neurohepatic dysfunction and inflammation and improved liver and brain antioxidant status with reducing oxidative stress levels. Furthermore, pretreatment with CUR + QUE synergistically restored the neurohepatic dysfunction and oxidative levels to approximately normal levels. The overall results suggested that CUR or QUE inhibits DZN-mediated neurohepatic toxicity via their favorable anti-inflammatory, antioxidant, and free radical-scavenging activities. Moreover, both QUE and CUR may be mutual adjuvant agents against oxidative stress neurohepatic damages.


Asunto(s)
Curcumina/farmacología , Diazinón/toxicidad , Inflamación/tratamiento farmacológico , Quercetina/farmacología , Acetilcolinesterasa/metabolismo , Animales , Antioxidantes/metabolismo , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Encéfalo/patología , Inhibidores de la Colinesterasa/toxicidad , Sinergismo Farmacológico , Enzimas/metabolismo , Glutatión/metabolismo , Inflamación/inducido químicamente , Inflamación/metabolismo , Insecticidas/toxicidad , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Masculino , Estrés Oxidativo/efectos de los fármacos , Ratas
14.
Pestic Biochem Physiol ; 151: 32-39, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30524149

RESUMEN

The widespread emergence of pyrethroid-resistant Anopheles gambiae has intensified the need to find new contact mosquitocides for indoor residual spraying and insecticide treated nets. With the goal of developing new species-selective and resistance-breaking acetylcholinesterase (AChE)-inhibiting mosquitocides, in this report we revisit the effects of carbamate substitution on aryl carbamates, and variation of the 1-alkyl group on pyrazol-4-yl methylcarbamates. Compared to aryl methylcarbamates, aryl dimethylcarbamates were found to have lower selectivity for An. gambiae AChE (AgAChE) over human AChE (hAChE), but improved tarsal contact toxicity to G3 strain An. gambiae. Molecular modeling studies suggest the lower species-selectivity of the aryl dimethylcarbamates can be attributed to a less flexible acyl pocket in AgAChE relative to hAChE. The improved tarsal contact toxicity of the aryl dimethylcarbamates relative to the corresponding methylcarbamates is attributed to a range of complementary phenomena. With respect to the pyrazol-4-yl methylcarbamates, the previously observed low An. gambiae-selectivity of compounds bearing α-branched 1-alkyl groups was improved by employing ß- and γ-branched 1-alkyl groups. Compounds 22a (cyclopentylmethyl), 21a (cyclobutylmethyl), and 26a (3-methylbutyl) offer 250-fold, 120-fold, and 96-fold selectivity, respectively, for inhibition of AgAChE vs. hAChE. Molecular modeling studies suggests the high species-selectivity of these compounds can be attributed to the greater mobility of the W84 side chain in the choline-binding site of AgAChE, compared to that of W86 in hAChE. Compound 26a has reasonable contact toxicity to G3 strain An. gambiae (LC50 = 269 µg/mL) and low cross-resistance to Akron strain (LC50 = 948 µg/mL), which bears the G119S resistance mutation.


Asunto(s)
Anopheles/efectos de los fármacos , Carbamatos/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Insecticidas/toxicidad , Acetilcolinesterasa/metabolismo , Animales , Anopheles/fisiología , Carbamatos/química , Inhibidores de la Colinesterasa/química , Femenino , Humanos , Resistencia a los Insecticidas/genética , Insecticidas/química , Modelos Moleculares , Mutación
15.
Neurotoxicol Teratol ; 70: 18-27, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30290195

RESUMEN

The objectives of this study were to compare the biological responses in developing zebrafish to two organophosphate insecticides, chlorpyrifos (CPF) and diazinon (DZN). Zebrafish embryos were exposed to either solvent control (0.1% DMSO, v/v), or one dose of 0.1, 1.0, 10.0 and 25.0 µM CPF, as well as one dose of 0.1, 1.0, 10.0 and 100.0 µM DZN for 96 h. CPF at 10.0 and 25.0 µM caused 70-80% and 100% mortality in embryos after 96 h exposure, whereas embryos treated with 10.0 and 100.0 µM DZN showed 30-40% and 70-80% lethality. CPF at 10.0 µM significantly decreased cumulative hatching rate, whereas hatching rate was significantly reduced in embryos treated with 100.0 µM DZN. Spinal lordosis was primarily observed in larvae exposed to 1.0 and 10.0 µM CPF, whereas pericardial edema was mainly detected with 10.0 and 100.0 µM DZN exposure. Embryo exposed to 1.0, 10.0 and 25.0 µM CPF exhibited no mitochondrial dysfunction; exposure to 100.0 µM DZN significantly inhibited mitochondrial bioenergetics. To determine if CPF and DZN affected larval activity, dark photokinesis response was assessed in larvae following 7 days exposure to 0.1 and 1.0 µM CPF, as well as to 0.1 1.0, and 10.0 µM DZN. Larvae exposed to 1.0 µM CPF showed hypoactivity, whereas the activity in the dark was not overtly changed in larvae exposed to DZN. In summary, CPF showed higher developmental toxicity compared to DZN. Moreover, based on the types of morphological deformities noted, as well as differences in locomotor activity, we conclude that OPs have unique chemical-specific modes of action that can result in varied biological responses during early development.


Asunto(s)
Cloropirifos/toxicidad , Insecticidas/toxicidad , Locomoción/efectos de los fármacos , Mitocondrias/efectos de los fármacos , Animales , Conducta Animal/efectos de los fármacos , Inhibidores de la Colinesterasa/toxicidad , Relación Dosis-Respuesta a Droga , Embrión no Mamífero/efectos de los fármacos , Metabolismo Energético/efectos de los fármacos , Larva/efectos de los fármacos , Pez Cebra
16.
Artículo en Inglés | MEDLINE | ID: mdl-30012402

RESUMEN

Fish can be simultaneously or sequentially exposed to various kinds of pollutants, resulting in combined effects. Polycyclic aromatic hydrocarbons induce cytochrome P450 monooxygenase 1A (CYP1A) expression, which catalyzes the conversion of the organophosphorus insecticide chlorpyrifos (CPF) into its most active derivative, CPF-oxon. CPF-oxon inhibits CYP1A and other enzymes, including carboxylesterases (CEs) and acetylcholinesterase (AChE). We studied the effects of an in vivo exposure to crude oil water accommodated fraction (WAF) followed by an ex vivo exposure of liver tissue to CPF on the expression of Cyp1a, AhR and ARNT mRNA, CYP1A protein and on the activity of biomarker enzymes in the rainbow trout (Oncorhynchus mykiss). Juvenile rainbow trout were exposed to WAF (62 µg L-1 TPH) for 48 h. Then, liver was dissected out, sliced and exposed to 20 µg L-1 CPF ex vivo for 1 h. Liver tissue was analyzed for mRNA and protein expression and for CEs, AChE, glutathione S-transferase (GST) and CYP1A (EROD) activity. WAF induced Cyp1a mRNA and CYP1A protein expression by 10-fold and 2.5-8.3-fold, respectively, with no effect of CPF. WAF induced AhR expression significantly (4-fold) in control but not in CPF treated liver tissue. ARNT mRNA expression was significantly lowered (5-fold) by WAF. CPF significantly reduced liver EROD activity, independently of WAF pre-treatment. CEs activity was significantly inhibited in an additive manner following in vivo exposure to WAF (42%) and ex vivo exposure to CPF (19%). CPF exposure inhibited AChE activity (37%) and increased GST activity (42%).


Asunto(s)
Cloropirifos/toxicidad , Insecticidas/toxicidad , Hígado/efectos de los fármacos , Oncorhynchus mykiss/fisiología , Contaminación por Petróleo/efectos adversos , Petróleo/toxicidad , Contaminantes Químicos del Agua/toxicidad , Acetilcolinesterasa/química , Acetilcolinesterasa/genética , Acetilcolinesterasa/metabolismo , Animales , Acuicultura , Translocador Nuclear del Receptor de Aril Hidrocarburo/antagonistas & inhibidores , Translocador Nuclear del Receptor de Aril Hidrocarburo/genética , Translocador Nuclear del Receptor de Aril Hidrocarburo/metabolismo , Biomarcadores/metabolismo , Hidrolasas de Éster Carboxílico/antagonistas & inhibidores , Hidrolasas de Éster Carboxílico/genética , Hidrolasas de Éster Carboxílico/metabolismo , Cloropirifos/farmacología , Inhibidores de la Colinesterasa/farmacología , Inhibidores de la Colinesterasa/toxicidad , Citocromo P-450 CYP1A1/química , Citocromo P-450 CYP1A1/genética , Citocromo P-450 CYP1A1/metabolismo , Inhibidores Enzimáticos/farmacología , Inhibidores Enzimáticos/toxicidad , Proteínas de Peces/genética , Proteínas de Peces/metabolismo , Regulación del Desarrollo de la Expresión Génica/efectos de los fármacos , Glutatión Transferasa/química , Glutatión Transferasa/genética , Glutatión Transferasa/metabolismo , Insecticidas/farmacología , Hígado/enzimología , Hígado/metabolismo , Residuos de Plaguicidas/farmacología , Residuos de Plaguicidas/toxicidad , Contaminantes Químicos del Agua/farmacología
17.
Exp Lung Res ; 44(8-9): 379-396, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30793995

RESUMEN

The nerve agent VX is one of the most deadly threat agents available in weapons stockpiles for intentional release. While mostly considered a percutaneous toxicant, it can be fatal when aerosolized. The objective of this study was to investigate toxic responses in the lung up to two weeks following a single 10-minute exposure to inhaled VX. Anesthetized rats were exposed singly and only once to VX. The nebulization rate in this system was 0.2-0.3 ml per minute with the delivery of a consistent particle size of 2.1 µm. Following exposure, all rats were removed from the ventilator and allowed to recover in the glovebox for 10-15 minutes. Results showed that inhaled VX altered several respiratory parameters and caused increased lung resistance up to 6 h post-exposure (PE). There was a trending increase in SOD and xanthine oxidoreductase (XOR) activities, both of which are indicative of oxidative stress. Based on increased lung tissue p38 signaling, MAP kinase expression was activated after VX exposure. IL-6 expression was also increased at 6 h post-inhalation for the 31.6 mg/m3 exposed group. Innate survival response mechanisms in rats may be present due to increased lung tissue mRNA AChE expression 6 h after exposure. Immunohistochemistry showed reduced staining for surfactant D and increased expression of iNOS, indicating that the activation of •NO precursor pathways. Bronchoalveloar lavage fluid (BALF) results from 1 h to 2 weeks PE show that inflammatory cells are highly active as evidenced by the increased production of cytokines and chemokines. This is the first study linking VX-induced lung injury to a possible innate survival amplification of AChE and possibly compromised immune function. These results could supplement medical treatment strategies with regard to therapeutic approaches against VX inhalational challenge.


Asunto(s)
Exposición por Inhalación/efectos adversos , Lesión Pulmonar/inducido químicamente , Compuestos Organotiofosforados/toxicidad , Estrés Oxidativo , Acetilcolinesterasa/metabolismo , Administración por Inhalación , Animales , Líquido del Lavado Bronquioalveolar , Sustancias para la Guerra Química/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Óxido Nítrico Sintasa de Tipo II/metabolismo , Surfactantes Pulmonares , Ratas , Superóxido Dismutasa/metabolismo , Xantina Deshidrogenasa/metabolismo
18.
Toxicol Ind Health ; 34(2): 69-82, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29141517

RESUMEN

In this study, we aimed to study the possible preventive effect of docosahexaenoic acid (DHA), a dietary omega-3 fatty acid, on toxicity caused by chlorpyrifos (CPF). Six groups of Sprague Dawley rats (200-250 g) consisting of equal numbers of males and females (n = 8) were assigned to study. The rats were orally given for 5 days. The control group was administered pure olive oil, which was the vehicle for CPF. The CPF challenge groups were administered oral physiological saline, pure olive oil, or DHA (50, 100 and 400 mg/kg dosages) for 5 days. The animals were weighed on the sixth day and then administered CPF (279 mg/kg, subcutaneously). The rats were weighed again 24 h following CPF administration. The body temperatures and locomotor activities of the rats were also measured. Blood samples, brain and liver tissues were collected for biochemical, histopathological and immunohistochemical examinations. A comparison with the control group demonstrated that CPF administration increased malondialdehyde (MDA) levels in blood, brain and liver, while it reduced catalase (CAT), superoxide dismutase (SOD) and glutathione peroxidase (GPx) concentrations ( p < 0.05-0.001). Advanced oxidation protein products (AOPPs) increased only in the brain ( p < 0.001). DHA reduced these changes in MDA and AOPP values ( p < 0.05-0.001), while it increased CAT, SOD and GPx concentrations ( p < 0.05-0.001). Similarly, DHA prevented the decreases in body weight, body temperature and locomotor activities caused by CPF at 100 mg/kg and 400 mg/kg dosages ( p < 0.05-0.001). Similar to the physiological and biochemical changes, the histopathological damage scores, which increased with CPF ( p < 0.05-0.01), decreased at all three dosages of DHA ( p < 0.05-0.01). Our findings suggest that DHA, by supporting the antioxidant mechanism, reduces toxicity caused by CPF.


Asunto(s)
Antioxidantes/uso terapéutico , Cloropirifos/toxicidad , Suplementos Dietéticos , Ácidos Grasos Omega-3/uso terapéutico , Insecticidas/toxicidad , Intoxicación por Organofosfatos/prevención & control , Estrés Oxidativo/efectos de los fármacos , Animales , Antioxidantes/administración & dosificación , Conducta Animal/efectos de los fármacos , Biomarcadores/sangre , Biomarcadores/metabolismo , Regulación de la Temperatura Corporal/efectos de los fármacos , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Encéfalo/patología , Cloropirifos/administración & dosificación , Inhibidores de la Colinesterasa/administración & dosificación , Inhibidores de la Colinesterasa/toxicidad , Ácidos Docosahexaenoicos/administración & dosificación , Ácidos Docosahexaenoicos/uso terapéutico , Ácidos Grasos Omega-3/administración & dosificación , Femenino , Inyecciones Subcutáneas , Insecticidas/administración & dosificación , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Locomoción/efectos de los fármacos , Masculino , Neuronas/efectos de los fármacos , Neuronas/metabolismo , Neuronas/patología , Fármacos Neuroprotectores/administración & dosificación , Fármacos Neuroprotectores/uso terapéutico , Intoxicación por Organofosfatos/sangre , Intoxicación por Organofosfatos/metabolismo , Intoxicación por Organofosfatos/patología , Ratas Sprague-Dawley , Pérdida de Peso/efectos de los fármacos
19.
Neurotoxicology ; 65: 264-271, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29174112

RESUMEN

The biological activity of Rhinella icterica toxic secretion (RITS) was evaluated on chick neuromuscular junctions, rat heart́s tissue and mice hippocampal slices. At chick biventer cervicis preparation, RITS (5, 10 and 20µg/mL) produced a concentration-independent irreversible neuromuscular blockade, which was preceded by a transitory increase of muscle twitch tension with the lowest concentration, in 120min recordings. In this set of experiments, RITS incubation partially prevented the curare neuromuscular blockade. The assessment of chick biventer cervicis muscle acetylcholinesterase (AChE) in the presence of RITS showed a significant inhibition of the enzyme, similarly to neostigmine. The incubation of muscles with digoxin or ouabain mimicked the poison activity by increasing the amplitude of the twitches followed by a progressive depression of the muscle strength. In addition, RITS demonstrated a digitalic-like activity, by inhibiting significantly the cardiac Na+, K+-ATPase. When the central nervous system was accessed, RITS induced an increase in the cell viability, in the lowest concentration. In addition, the poison protected slices subject to oxygen/glucose deprivation. Altogether, these data indicate that the poisonous extract of R. icterica is able to interfere with peripheral and central neurotransmission, probably due to a direct interaction with AChE, calcium channels and Na+, K+-ATPase. A further investigation upon the poison toxic components will unveil the components involved in such a pharmacological activity and the potential biotechnological application of this poison.


Asunto(s)
Venenos de Anfibios/toxicidad , Bufonidae , Hipocampo/efectos de los fármacos , Miocardio/metabolismo , Unión Neuromuscular/efectos de los fármacos , Animales , Supervivencia Celular/efectos de los fármacos , Pollos , Inhibidores de la Colinesterasa/toxicidad , Curare/antagonistas & inhibidores , Curare/farmacología , Digoxina/farmacología , Relación Dosis-Respuesta a Droga , Isquemia/prevención & control , Masculino , Ratones , Bloqueantes Neuromusculares/farmacología , Unión Neuromuscular/metabolismo , Ouabaína/farmacología , Ratas , ATPasa Intercambiadora de Sodio-Potasio/antagonistas & inhibidores
20.
Curr Alzheimer Res ; 15(6): 552-560, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29231138

RESUMEN

BACKGROUND: 6-chlorotacrine is a cholinesterase inhibitor showing good inhibitory potential, even better than parent compound tacrine, in vitro. Despite tacrine scaffold is broadly used for design and synthesis of novel compounds with anti-Alzheimer's potential, no in vivo effects have been investigated so far. Thus, basic toxicological and behavioural evaluation has been carried out throughout this study. METHODS: Maximum tolerated dose (MTD) and median lethal dose (LD50) were assessed in BALB/c mice and Wistar rats. Behavioural effects were observed in rats performing the multiple T-maze test, the water maze test and the step-through passive avoidance test. All outcomes were compared with the effects of parent compound - tacrine. RESULTS: The toxicity of 6-chlorotacrine was increased compared to tacrine with MTD 6.0/5.0 mg.kg-1 (i.m., male/female mice), 6.0/5.0 mg.kg-1 (i.p., male/female rats) and LD50 9.0 mg.kg-1 (male rats). At MTD doses, no histopathological changes and blood biochemistry abnormalities were observed except decreased plasma creatinine levels. 6-chlorotacrine showed good effects in the reversal of quinuclidinyl benzilate-induced amnesia. Best results were achieved at the dose of 1.8 mg.kg-1 (20% LD50) in the water maze test; the pro-cognitive effect was stronger than that of tacrine (5.2 mg.kg-1, 20% LD50). Other doses tested (0.9 mg.kg-1 and 2.7 mg.kg-1) showed similar effects as tacrine in the water maze, multiple T-maze and passive avoidance test. CONCLUSION: Observed effects predetermined 6-chlorotacrine as a potent parent compound for the synthesis of novel multifactorial drugs intended to the treatment of Alzheimer's disease. Even though 6- chlorotacrine showed in vivo beneficial effect with no signs of toxicity, further tests on the field of biochemistry and pharmacology are essential to disclose the exact mechanism of action, safety evaluation and the metabolic fate of the compound after the repeated administration.


Asunto(s)
Inhibidores de la Colinesterasa/farmacología , Inhibidores de la Colinesterasa/toxicidad , Tacrina/análogos & derivados , Animales , Reacción de Prevención/efectos de los fármacos , Inhibidores de la Colinesterasa/química , Relación Dosis-Respuesta a Droga , Evaluación Preclínica de Medicamentos , Femenino , Masculino , Aprendizaje por Laberinto/efectos de los fármacos , Ratones Endogámicos BALB C , Nootrópicos/química , Nootrópicos/farmacología , Nootrópicos/toxicidad , Ratas Wistar , Tacrina/química , Tacrina/farmacología , Tacrina/toxicidad
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