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1.
Neurosci Bull ; 34(3): 476-484, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29508251

RESUMO

Previous studies have shown that electroacupuncture (EA) promotes recovery of motor function in Parkinson's disease (PD). However the mechanisms are not completely understood. Clinically, the subthalamic nucleus (STN) is a critical target for deep brain stimulation treatment of PD, and vesicular glutamate transporter 1 (VGluT1) plays an important role in the modulation of glutamate in the STN derived from the cortex. In this study, a 6-hydroxydopamine (6-OHDA)-lesioned rat model of PD was treated with 100 Hz EA for 4 weeks. Immunohistochemical analysis of tyrosine hydroxylase (TH) showed that EA treatment had no effect on TH expression in the ipsilateral striatum or substantia nigra pars compacta, though it alleviated several of the parkinsonian motor symptoms. Compared with the hemi-parkinsonian rats without EA treatment, the 100 Hz EA treatment significantly decreased apomorphine-induced rotation and increased the latency in the Rotarod test. Notably, the EA treatment reversed the 6-OHDA-induced down-regulation of VGluT1 in the STN. The results demonstrated that EA alleviated motor symptoms and up-regulated VGluT1 in the ipsilateral STN of hemi-parkinsonian rats, suggesting that up-regulation of VGluT1 in the STN may be related to the effects of EA on parkinsonian motor symptoms via restoration of function in the cortico-STN pathway.


Assuntos
Eletroacupuntura/métodos , Doença de Parkinson Secundária/terapia , Núcleo Subtalâmico/metabolismo , Regulação para Cima/fisiologia , Proteína Vesicular 1 de Transporte de Glutamato/metabolismo , Adrenérgicos/toxicidade , Animais , Apomorfina/farmacologia , Modelos Animais de Doenças , Agonistas de Dopamina/farmacologia , Lateralidade Funcional/efeitos dos fármacos , Masculino , Feixe Prosencefálico Mediano/lesões , Atividade Motora/efeitos dos fármacos , Atividade Motora/fisiologia , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Oxidopamina/toxicidade , Doença de Parkinson Secundária/induzido quimicamente , Doença de Parkinson Secundária/fisiopatologia , Ratos , Ratos Sprague-Dawley , Núcleo Subtalâmico/efeitos dos fármacos , Núcleo Subtalâmico/patologia , Tirosina 3-Mono-Oxigenase/metabolismo , Regulação para Cima/efeitos dos fármacos
2.
Brain Struct Funct ; 223(6): 2733-2751, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29574585

RESUMO

The acoustic startle reflex (ASR) is a short and intense defensive reaction in response to a loud and unexpected acoustic stimulus. In the rat, a primary startle pathway encompasses three serially connected central structures: the cochlear root neurons, the giant neurons of the nucleus reticularis pontis caudalis (PnC), and the spinal motoneurons. As a sensorimotor interface, the PnC has a central role in the ASR circuitry, especially the integration of different sensory stimuli and brain states into initiation of motor responses. Since the basal ganglia circuits control movement and action selection, we hypothesize that their output via the substantia nigra (SN) may interplay with the ASR primary circuit by providing inputs to PnC. Moreover, the pedunculopontine tegmental nucleus (PPTg) has been proposed as a functional and neural extension of the SN, so it is another goal of this study to describe possible anatomical connections from the PPTg to PnC. Here, we made 6-OHDA neurotoxic lesions of the SN pars compacta (SNc) and submitted the rats to a custom-built ASR measurement session to assess amplitude and latency of motor responses. We found that following lesion of the SNc, ASR amplitude decreased and latency increased compared to those values from the sham-surgery and control groups. The number of dopamine neurons remaining in the SNc after lesion was also estimated using a stereological approach, and it correlated with our behavioral results. Moreover, we employed neural tract-tracing techniques to highlight direct projections from the SN to PnC, and indirect projections through the PPTg. Finally, we also measured levels of excitatory amino acid neurotransmitters in the PnC following lesion of the SN, and found that they change following an ipsi/contralateral pattern. Taken together, our results identify nigrofugal efferents onto the primary ASR circuit that may modulate motor responses.


Assuntos
Vias Auditivas/fisiologia , Movimento/fisiologia , Reflexo de Sobressalto/fisiologia , Formação Reticular/fisiologia , Substância Negra/fisiologia , Estimulação Acústica , Animais , Vias Auditivas/efeitos dos fármacos , Biotina/análogos & derivados , Biotina/metabolismo , Conectoma , Dextranos/metabolismo , Lateralidade Funcional/efeitos dos fármacos , Masculino , NADPH Desidrogenase/metabolismo , Neurotoxinas/toxicidade , Neurotransmissores/metabolismo , Oxidopamina/toxicidade , Ratos , Ratos Wistar , Tempo de Reação/efeitos dos fármacos , Tempo de Reação/fisiologia , Reflexo de Sobressalto/efeitos dos fármacos , Formação Reticular/efeitos dos fármacos , Medula Espinal/citologia , Medula Espinal/efeitos dos fármacos , Estilbamidinas/metabolismo , Substância Negra/lesões , Tirosina 3-Mono-Oxigenase/metabolismo
3.
Schizophr Res ; 195: 168-175, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29079060

RESUMO

The aim of the study was to assess changes in cortical thickness related to the use of n-3 polyunsaturated fatty acids (PUFA) as add-on therapy in patients with first episode schizophrenia. A double-blind randomized controlled study was conducted using a 26-week intervention composed of concentrated fish oil containing 2.2g/d of eicosapentaenoic (EPA) and docosahexaenoic acid (DHA) or placebo (olive oil). Participants underwent MRI scanning twice to assess changes in cortical thickness: at the beginning and at the end of intervention. Data of suitable quality was obtained from 29 participants. The T1-weighted images for each participant were analyzed using FreeSurfer methodology for longitudinal pipeline. Significant differences in cortical thickness loss were observed between the groups in the parieto-occipital regions of Brodmann areas 7 and 19 of the left hemisphere, dysfunctions in which may be involved in schizophrenia symptomatology. The results of the study support the previous observations carried out in older individuals and patients with mild cognitive impairment, indicating that n-3 PUFA may have neuroprotective properties, especially at early stages of neurodegenerative diseases, such as schizophrenia. If replicated, the results of the present study may encourage clinicians to consider n-3 PUFA as a promising addition to antipsychotics for long-term treatment of schizophrenia.


Assuntos
Córtex Cerebral/patologia , Ácidos Docosa-Hexaenoicos/uso terapêutico , Ácidos Graxos Ômega-3/uso terapêutico , Substância Cinzenta/efeitos dos fármacos , Esquizofrenia/patologia , Esquizofrenia/terapia , Adulto , Antipsicóticos/uso terapêutico , Córtex Cerebral/efeitos dos fármacos , Suplementos Nutricionais , Método Duplo-Cego , Ácidos Graxos Ômega-3/administração & dosagem , Feminino , Lateralidade Funcional/efeitos dos fármacos , Substância Cinzenta/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Escalas de Graduação Psiquiátrica , Esquizofrenia/diagnóstico por imagem , Adulto Jovem
4.
Exp Neurol ; 294: 32-44, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28457906

RESUMO

Cortical demyelination is a common finding in patients with chronic multiple sclerosis (MS) and contributes to disease progression and overall disability. The exact pathomechanism that leads to cortical lesions is not clear. Research is limited by the fact that standard animal models of multiple sclerosis do not commonly affect the cortex, or if they do in some variants, the cortical demyelination is rather sparse and already remyelinated within a few days. In an attempt to overcome these limitations we implanted a tissue-compatible catheter into the cortex of Dark Agouti rats. After 14days the rats were immunized with 5µg myelin oligodendrocyte glycoprotein (MOG) in incomplete Freund's Adjuvant, which did not cause any clinical signs but animals developed a stable anti-MOG antibody titer. Then the animals received an injection of proinflammatory cytokines through the catheter. This led to a demyelination of cortical and subcortical areas starting from day 1 in a cone-like pattern spreading from the catheter area towards the subarachnoid space. On day 3 cortical demyelination already expanded to the contralateral hemisphere and reached its peak between days 9-15 after cytokine injection with a widespread demyelination of cortical and subcortical areas of both hemispheres. Clinically the animals showed only discrete signs of fatigue and recovered completely after day 15. Even on day 30 we still were able to detect demyelination in subpial and intracortical areas along with areas of partial and complete remyelination. Loss of cortical myelin was accompanied with marked microglia activation. A second injection of cytokines through the catheter on day 30 led to a second demyelination phase with the same symptoms, but again no detectable motor dysfunction. Suffering of the animals appeared minor compared to standard Experimental Autoimmune Encephalomyelitis and therefore, even long-term observation and repeated demyelination phases seem ethically acceptable.


Assuntos
Córtex Cerebral/patologia , Citocinas/toxicidade , Doenças Desmielinizantes/induzido quimicamente , Doenças Desmielinizantes/patologia , Encefalomielite Autoimune Experimental/patologia , Lateralidade Funcional/fisiologia , Animais , Proteínas de Ligação ao Cálcio/metabolismo , Caspase 3/metabolismo , Citocinas/metabolismo , Modelos Animais de Doenças , Encefalomielite Autoimune Experimental/induzido quimicamente , Encefalomielite Autoimune Experimental/diagnóstico por imagem , Encefalomielite Autoimune Experimental/imunologia , Fibrina/metabolismo , Adjuvante de Freund/efeitos adversos , Lateralidade Funcional/efeitos dos fármacos , Imunização/efeitos adversos , Lipídeos/efeitos adversos , Masculino , Proteínas dos Microfilamentos/metabolismo , Microscopia Confocal , Atividade Motora , Proteína Proteolipídica de Mielina/metabolismo , Glicoproteína Associada a Mielina/efeitos adversos , Glicoproteína Associada a Mielina/sangue , Proteínas do Tecido Nervoso/metabolismo , Ratos , Estatísticas não Paramétricas
5.
Neurotoxicology ; 57: 13-21, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27565678

RESUMO

Some volatile aromatic solvents have similar or opposite effects to anesthetics in the central nervous system. Like for anesthetics, the mechanisms of action involved are currently the subject of debate. This paper presents an in vivo study to determine whether direct binding or effects on membrane fluidity best explain how solvents counterbalance anesthesia's depression of the middle-ear reflex (MER). Rats were anesthetized with a mixture of ketamine and xylazine while also exposed to solvent vapors (toluene, ethylbenzene, or one of the three xylene isomers) and the amplitude of their MER was monitored. The depth of anesthesia was standardized based on the magnitude of the contraction of the muscles involved in the MER, determined by measuring cubic distortion product oto-acoustic emissions (DPOAEs) while triggering the bilateral reflex with contralateral acoustic stimulation. The effects of the aromatic solvents were quantified based on variations in the amplitude of the DPOAEs. The amplitude of the alteration to the MER measured in anesthetized rats did not correlate with solvent lipophilocity (as indicated by logKow values). Results obtained with the three xylene isomers indicated that the positions of two methyl groups around the benzene ring played a determinant role in solvent/neuronal cell interaction. Additionally, Solid-state Nuclear Magnetic Resonance (NMR) spectra for brain microsomes confirmed that brain lipid fluidity was unaffected by solvent exposure, even after three days (6h/day) at an extremely high concentration (3000ppm). Therefore, aromatic solvents appear to act directly on the neuroreceptors involved in the acoustic reflex circuit, rather than on membrane fluidity. The affinity of this interaction is determined by stereospecific parameters rather than lipophilocity.


Assuntos
Orelha Média/fisiologia , Fluidez de Membrana/efeitos dos fármacos , Reflexo Acústico/efeitos dos fármacos , Solventes/farmacologia , Estimulação Acústica , Animais , Encéfalo/metabolismo , Orelha Média/efeitos dos fármacos , Lateralidade Funcional/efeitos dos fármacos , Espectroscopia de Ressonância Magnética , Masculino , Fluidez de Membrana/fisiologia , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Ratos , Reflexo Acústico/fisiologia , Solventes/metabolismo , Tolueno/farmacologia , Trítio/farmacocinética
6.
J Neural Transm (Vienna) ; 123(12): 1403-1413, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27506955

RESUMO

"Mirror pain" or mirror-image pain (MP) is pain opposite to the side of injury. Mechanism and frequency in humans are not known. There is no consent on therapy. Here we report that unilaterally injected botulinum toxin type A (BT-A) has bilateral effect in experimental MP, thus deserves to be investigated as therapy for this condition. We examined the localization of BT-A's bilateral antinociceptive action in MP induced by 3 % carrageenan intramuscular injection in Wistar rats. BT-A was applied peripherally (5 U/kg), into ipsilateral or contralateral hind paw pad (i.pl.) and centrally (1 U/kg), at spinal (intrathecally, i.t.) or supraspinal (intracisternally, i.c.) level. Additionally, we examined the involvement of central opioid and GABAergic systems, as well as the contribution of peripheral capsaicin-sensitive neurons to BT-A's bilateral antinociceptive effect. Ipsilateral i.pl. and i.t. BT-A reduced the bilateral mechanical sensitivity to von Frey filaments, while contralateral i.pl. and i.c. treatments had no effect on either tested side. Bilateral antinociceptive effect of ipsilateral i.pl. BT-A was prevented by µ-opioid antagonist naloxonazine (1.5 µg/10 µl) and GABAA antagonist bicuculline (1 µg/10 µl) if applied at the spinal level, in contrast to supraspinal application of the same doses. Local treatment of sciatic nerve with 2 % capsaicin 5 days following BT-A i.pl. injection caused desensitization of sciatic capsaicin-sensitive fibers, but did not affect bilateral antinociceptive effect of BT-A and the presence of cleaved SNAP-25 at the spinal cord slices. Present experiments suggest segmental actions of peripheral BT-A at spinal level, which are probably not solely dependent on capsaicin-sensitive neurons.


Assuntos
Analgésicos/uso terapêutico , Toxinas Botulínicas Tipo A/farmacologia , Toxinas Botulínicas Tipo A/uso terapêutico , Lateralidade Funcional/efeitos dos fármacos , Dor/tratamento farmacológico , Analgésicos/farmacologia , Animais , Bicuculina/uso terapêutico , Peptídeo Relacionado com Gene de Calcitonina/metabolismo , Capsaicina/toxicidade , Carragenina/toxicidade , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Vias de Administração de Medicamentos , Hiperalgesia/tratamento farmacológico , Hiperalgesia/fisiopatologia , Masculino , Naloxona/análogos & derivados , Naloxona/uso terapêutico , Dor/induzido quimicamente , Dor/patologia , Medição da Dor , Ratos , Ratos Wistar , Medula Espinal/efeitos dos fármacos , Medula Espinal/metabolismo , Proteína 25 Associada a Sinaptossoma/metabolismo
7.
J Neurophysiol ; 116(3): 949-59, 2016 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-27281750

RESUMO

Mechanisms that could mitigate the effects of hypoxia on neuronal signaling are incompletely understood. We show that axonal performance of a locust visual interneuron varied depending on oxygen availability. To induce hypoxia, tracheae supplying the thoracic nervous system were surgically lesioned and action potentials in the axon of the descending contralateral movement detector (DCMD) neuron passing through this region were monitored extracellularly. The conduction velocity and fidelity of action potentials decreased throughout a 45-min experiment in hypoxic preparations, whereas conduction reliability remained constant when the tracheae were left intact. The reduction in conduction velocity was exacerbated for action potentials firing at high instantaneous frequencies. Bath application of octopamine mitigated the loss of conduction velocity and fidelity. Action potential conduction was more vulnerable in portions of the axon passing through the mesothoracic ganglion than in the connectives between ganglia, indicating that hypoxic modulation of the extracellular environment of the neuropil has an important role to play. In intact locusts, octopamine and its antagonist, epinastine, had effects on the entry to, and recovery from, anoxic coma consistent with octopamine increasing overall neural performance during hypoxia. These effects could have functional relevance for the animal during periods of environmental or activity-induced hypoxia.


Assuntos
Agonistas alfa-Adrenérgicos/farmacologia , Hipóxia/patologia , Fibras Nervosas Amielínicas/efeitos dos fármacos , Condução Nervosa/efeitos dos fármacos , Octopamina/farmacologia , Potenciais de Ação/efeitos dos fármacos , Agonistas alfa-Adrenérgicos/uso terapêutico , Animais , Inibidores Enzimáticos/farmacologia , Lateralidade Funcional/efeitos dos fármacos , Gafanhotos , Oxigenoterapia Hiperbárica/métodos , Masculino , Movimento/efeitos dos fármacos , Fibras Nervosas Amielínicas/fisiologia , Octopamina/uso terapêutico , Técnicas de Patch-Clamp , Estimulação Luminosa , Azida Sódica/farmacologia , Nervos Torácicos/patologia , Fatores de Tempo
8.
Int J Neurosci ; 126(2): 174-81, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-25562174

RESUMO

PURPOSE: To examine the effects of hyperbaric oxygen (HBO) therapy and knockout of toll-like receptor 4 (TLR4) on the outcome of temporary middle cerebral artery occlusion (MCAO) in a mouse model. MATERIALS AND METHODS: MCAO was induced in anesthetized male C57Bl/6 mice (WT) and TLR4 knockout mice (TLR4(-/-)) using an intra-arterial filament method. After 30 or 90 min, the filament was removed, and the mice were given either no treatment (WT and TLR4(-/-) groups) or HBO (WT only). Mice were euthanized 24 h after MCAO, and the brain infarct area was examined using 2,3,5-triphenyltetrazolium chloride (TTC) staining. RESULTS: In the WT group, without treatment, lesion volume was 120 ± 13 mm(3) in the mice subjected to 30 min' MCAO and 173 ± 23 mm(3) in the mice subjected to 90 min' MCAO. Respective values with HBO treatment were 66.5 ± 36.7 mm(3) and 53.2 ± 17.2 mm(3). The difference was significant only for 90-minute MCAO (p < 0.01, nonparametric test). In the TLR4(-/-) group (all untreated), lesion volume was 95.9 ± 17.9 after 90 min of MCAO, which was significantly lower than in the untreated WT animals (p < 0.05, nonparametric test). CONCLUSIONS: A single treatment of HBO immediately after MCAO followed by 24 h' reperfusion significantly reduces edema and may improve perfusion. TLR4 knockout protects mice from MCAO damage, but to a lesser extent than HBO treatment.


Assuntos
Citocinas/metabolismo , Oxigenoterapia Hiperbárica , Infarto da Artéria Cerebral Média/genética , Infarto da Artéria Cerebral Média/terapia , Receptor 4 Toll-Like/deficiência , Animais , Edema Encefálico/etiologia , Edema Encefálico/terapia , Citocinas/genética , Modelos Animais de Doenças , Lateralidade Funcional/efeitos dos fármacos , Lateralidade Funcional/genética , Regulação da Expressão Gênica/efeitos dos fármacos , Regulação da Expressão Gênica/genética , Infarto da Artéria Cerebral Média/mortalidade , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Reperfusão/métodos , Estatísticas não Paramétricas , Receptor 4 Toll-Like/genética
9.
Hum Brain Mapp ; 36(12): 5287-300, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26441146

RESUMO

Heroin addiction is a severe relapsing brain disorder associated with impaired cognitive control, including deficits in attention allocation. The thalamus has a high density of opiate receptors and is critically involved in orchestrating cortical activity during cognitive control. However, there have been no studies on how acute heroin treatment modulates thalamic activity. In a cross-over, double-blind, vehicle-controlled study, 29 heroin-maintained outpatients were studied after heroin and placebo administration, while 20 healthy controls were included for the placebo condition only. Resting-state functional magnetic resonance imaging was used to analyze functional integration of the thalamus by three different resting state analysis techniques. Thalamocortical functional connectivity (FC) was analyzed by seed-based correlation, while intrinsic thalamic oscillation was assessed by analysis of regional homogeneity (ReHo) and the fractional amplitude of low frequency fluctuations (fALFF). Relative to the placebo treatment and healthy controls, acute heroin administration reduced thalamocortical FC to cortical regions, including the frontal cortex, while the reductions in FC to the mediofrontal cortex, orbitofrontal cortex, and frontal pole were positively correlated with the plasma level of morphine, the main psychoactive metabolite of heroin. Furthermore, heroin treatment was associated with increased thalamic ReHo and fALFF values, whereas fALFF following heroin exposure correlated negatively with scores of attentional control. The heroin-associated increase in fALFF was mainly dominated by slow-4 (0.027-0.073 Hz) oscillations. Our findings show that there are acute effects of heroin within the thalamocortical system and may shed new light on the role of the thalamus in cognitive control in heroin addiction. Future research is needed to determine the underlying physiological mechanisms and their role in heroin addiction.


Assuntos
Córtex Cerebral/patologia , Dependência de Heroína/tratamento farmacológico , Heroína/uso terapêutico , Entorpecentes/uso terapêutico , Tálamo/efeitos dos fármacos , Tálamo/patologia , Adulto , Córtex Cerebral/efeitos dos fármacos , Estudos Cross-Over , Método Duplo-Cego , Imagem Ecoplanar , Feminino , Lateralidade Funcional/efeitos dos fármacos , Lateralidade Funcional/fisiologia , Heroína/sangue , Dependência de Heroína/sangue , Dependência de Heroína/patologia , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Vias Neurais/efeitos dos fármacos , Vias Neurais/patologia , Pacientes Ambulatoriais , Oxigênio/sangue , Escalas de Graduação Psiquiátrica , Estatística como Assunto , Tálamo/irrigação sanguínea , Adulto Jovem
10.
PLoS One ; 10(9): e0137462, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26339901

RESUMO

Hypothalamus is the highest center and the main crossroad of numerous homeostatic regulatory pathways including reproduction and energy metabolism. Previous reports indicate that some of these functions may be driven by the synchronized but distinct functioning of the left and right hypothalamic sides. However, the nature of interplay between the hemispheres with regard to distinct hypothalamic functions is still unclear. Here we investigated the metabolic asymmetry between the left and right hypothalamic sides of ovariectomized female rats by measuring mitochondrial respiration rates, a parameter that reflects the intensity of cell and tissue metabolism. Ovariectomized (saline injected) and ovariectomized+estrogen injected animals were fed ad libitum or fasted to determine 1) the contribution of estrogen to metabolic asymmetry of hypothalamus; and 2) whether the hypothalamic asymmetry is modulated by the satiety state. Results show that estrogen-priming significantly increased both the proportion of animals with detected hypothalamic lateralization and the degree of metabolic difference between the hypothalamic sides causing a right-sided dominance during state 3 mitochondrial respiration (St3) in ad libitum fed animals. After 24 hours of fasting, lateralization in St3 values was clearly maintained; however, instead of the observed right-sided dominance that was detected in ad libitum fed animals here appeared in form of either right- or left-sidedness. In conclusion, our results revealed estrogen- and satiety state-dependent metabolic differences between the two hypothalamic hemispheres in female rats showing that the hypothalamic hemispheres drive the reproductive and satiety state related functions in an asymmetric manner.


Assuntos
Estradiol/farmacologia , Lateralidade Funcional/efeitos dos fármacos , Hipotálamo/efeitos dos fármacos , Mitocôndrias/efeitos dos fármacos , Animais , Transporte de Elétrons/efeitos dos fármacos , Transporte de Elétrons/fisiologia , Jejum/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Hipotálamo/anatomia & histologia , Hipotálamo/fisiologia , Mitocôndrias/metabolismo , Ovariectomia , Fosforilação Oxidativa/efeitos dos fármacos , Ratos , Ratos Wistar , Saciação/fisiologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-26217192

RESUMO

The degeneration of dopaminergic neurons in the substantia nigra pars compacta leads to parkinsonian motor symptoms via changes in electrophysiological activity throughout the basal ganglia. High-frequency deep brain stimulation (DBS) partially treats these symptoms, but the mechanisms are unclear. We hypothesize that motor symptoms of Parkinson's disease (PD) are associated with increased information transmission from basal ganglia output neurons to motor thalamus input neurons and that therapeutic DBS of the subthalamic nucleus (STN) treats these symptoms by reducing this extraneous information transmission. We tested these hypotheses in a unilateral, 6-hydroxydopamine-lesioned rodent model of hemiparkinsonism. Information transfer between basal ganglia output neurons and motor thalamus input neurons increased in both the orthodromic and antidromic directions with hemiparkinsonian (hPD) onset, and these changes were reversed by behaviorally therapeutic STN-DBS. Omnidirectional information increases in the parkinsonian state underscore the detrimental nature of that pathological information and suggest a loss of information channel independence. Therapeutic STN-DBS reduced that pathological information, suggesting an effective increase in the number of independent information channels. We interpret these data with a model in which pathological information and fewer information channels diminishes the scope of possible motor activities, driving parkinsonian symptoms. In this model, STN-DBS restores information-channel independence by eliminating or masking the parkinsonism-associated information, and thus enlarges the scope of possible motor activities, alleviating parkinsonian symptoms.


Assuntos
Estimulação Encefálica Profunda/métodos , Rede Nervosa/fisiologia , Transtornos Parkinsonianos/patologia , Transtornos Parkinsonianos/terapia , Núcleo Subtalâmico/fisiologia , Tálamo/patologia , Potenciais de Ação/fisiologia , Adrenérgicos/toxicidade , Animais , Biofísica , Modelos Animais de Doenças , Feminino , Lateralidade Funcional/efeitos dos fármacos , Lateralidade Funcional/fisiologia , Masculino , Feixe Prosencefálico Mediano/fisiologia , Oxidopamina/toxicidade , Transtornos Parkinsonianos/induzido quimicamente , Ratos , Ratos Long-Evans
12.
Restor Neurol Neurosci ; 32(4): 533-46, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24927788

RESUMO

PURPOSE: Tongxinluo, a well-known traditional Chinese medicine complex, has been widely used for the treatment of cerebrovascular diseases in China. The present study was to explore whether treatment with tongxinluo could improve neurological function and alleviate secondary damage in the ipsilateral thalamus after focal cortical infarction in hypertensive rats. METHODS: Tongxinluo was given through oral gavage starting 24 h after distal middle cerebral artery occlusion (MCAO). Neurological function was assessed and then rats were sacrificed 7 and 14 days after MCAO. Brains were harvested for examining infarction volume, Nissl staining and immunofluorescence analysis. RESULTS: Compared with vehicle treatment, tongxinluo remarkably improved neurological function without reducing infarction volume, attenuated neuronal loss and astrocyte activation in the ipsilateral thalamus 7 and 14 days after MCAO (all p < 0.05). Also, tongxinluo markedly increased the number of BrdU+/nestin+ and BrdU+/NeuN+ cells 14 days after MCAO. Moreover, vascular density, the number of BrdU+ vascular endothelial cells, and vascular perimeter in the ipsilateral thalamus were markedly increased in the tongxinluo group relative to that of the vehicle group (all p < 0.05). CONCLUSION: Administration of tongxinluo 24 h after cortical infarction may promote neurogenesis and angiogenesis in the ipsilateral thalamus and improves neurological function after cortical infarction in rats.


Assuntos
Infarto Cerebral/tratamento farmacológico , Medicamentos de Ervas Chinesas/uso terapêutico , Hipertensão , Neovascularização Patológica/tratamento farmacológico , Neurogênese/efeitos dos fármacos , Fármacos Neuroprotetores/uso terapêutico , Tálamo/efeitos dos fármacos , Animais , Morte Celular/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Infarto Cerebral/etiologia , Modelos Animais de Doenças , Lateralidade Funcional/efeitos dos fármacos , Hipertensão/patologia , Hipertensão/fisiopatologia , Infarto da Artéria Cerebral Média/complicações , Masculino , Neovascularização Patológica/etiologia , Proteínas do Tecido Nervoso/metabolismo , Neuroglia/efeitos dos fármacos , Neuroglia/patologia , Neurônios/efeitos dos fármacos , Neurônios/patologia , Ratos , Ratos Sprague-Dawley , Tálamo/patologia , Fatores de Tempo
13.
Exp Brain Res ; 232(9): 2721-9, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24770863

RESUMO

The aim of this study was to explore the effect of electroacupuncture (EA) applied in the Zusanli (ST36) and Sanyinjiao (SP6) points on the N1 component of the cord dorsum potential (CDP) evoked by electrical stimulation of the sural nerve (SU) in the rat. The experiments were performed in 44 Wistar rats (250-300 g) anesthetized with ketamine (100 mg/kg) and xylazine (2 mg/kg). A bilateral laminectomy was performed to expose the L3 to S2 segments of the spinal cord. The SU nerve was exposed and placed on pairs of hook electrodes for electrical stimulation. The N1-CDPs were recorded with three silver-ball electrodes located on the dorsal surface of the L5 to S1 segments. Ipsilateral high and low EA stimulation (100, 2 Hz, 6 mA, 30 min) induced a considerable reduction in the amplitude (45 ± 5.6, 41 ± 6.2%) of the N1-CDP recorded at the L6 segmental level. Recovery of the N1-CDP amplitude occurred approximately 1-3 s after EA. Sectioning of the saphenous and superficial peroneal nerves reduced the depressing effect provoked by the EA stimulation (18.7 ± 1.3, 27 ± 3.8%). Similarly, sectioning of the posterior and anterior tibial, deep peroneal and gastrocnemius nerves partially reduced the effect provoked by EA (11 ± 1.5, 9.8 ± 1.1, 12.6 ± 1.9%). Intravenous picrotoxin (1 mg/kg) also reduced the action of low and high EA (23 ± 4.8, 27 ± 5.2%). It is suggested that EA stimulation depresses non-painful sensory pathways through the activation of specific inhibitory pathways that receive modulatory actions from other sensory and muscle afferent inputs in the rat spinal cord.


Assuntos
Vias Aferentes/fisiologia , Eletroacupuntura , Potenciais Evocados/fisiologia , Medula Espinal/fisiologia , Pontos de Acupuntura , Vias Aferentes/efeitos dos fármacos , Animais , Estimulantes do Sistema Nervoso Central/farmacologia , Potenciais Evocados/efeitos dos fármacos , Lateralidade Funcional/efeitos dos fármacos , Laminectomia , Masculino , Picrotoxina/farmacologia , Ratos , Ratos Wistar , Medula Espinal/efeitos dos fármacos , Nervo Sural/efeitos dos fármacos , Nervo Sural/fisiologia
14.
PLoS One ; 8(8): e70089, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23936378

RESUMO

Prefrontal left-right functional imbalance and disrupted prefronto-thalamic circuitry are plausible mechanisms for treatment-resistant depression (TRD). Add-on repetitive transcranial magnetic stimulation (rTMS), effective in treating antidepressant-refractory TRD, was administered to verify the core mechanisms underlying the refractoriness to antidepressants. Thirty TRD patients received a 2-week course of 10-Hz rTMS to the left dorsolateral prefrontal cortex (DLPFC). Depression scores were evaluated at baseline (W0), and the ends of weeks 1, 2, and 14 (W14). Responders were defined as those who showed an objective improvement in depression scores ≥50% after rTMS. Left-right frontal alpha asymmetry (FAA) was measured by magnetoencephalography at each time point as a proxy for left-right functional imbalance. Prefronto-thalamic connections at W0 and W14 were assessed by studying couplings between prefrontal alpha waves and thalamic glucose metabolism (PWTMC, reflecting intact thalamo-prefrontal connectivity). A group of healthy control subjects received magnetoencephalography at W0 (N = 50) to study whether FAA could have a diagnostic value for TRD, or received both magnetoencephalography and positron-emission-tomography at W0 (N = 10) to confirm the existence of PWTMC in the depression-free state. We found that FAA changes cannot differentiate between TRD and healthy subjects or between responders and non-responders. No PWTMC were found in the TRD group at W0, whereas restitution of the PWTMC was demonstrated only in the sustained responders at W14 and euthymic healthy controls. In conclusion, we affirmed impaired prefronto-thalamic functional connections, but not frontal functional imbalance, as a core deficit in TRD.


Assuntos
Antidepressivos/farmacologia , Transtorno Depressivo Resistente a Tratamento , Lateralidade Funcional/efeitos dos fármacos , Magnetoencefalografia , Tomografia por Emissão de Pósitrons , Córtex Pré-Frontal/patologia , Tálamo/patologia , Estimulação Magnética Transcraniana , Adulto , Feminino , Glucose/metabolismo , Voluntários Saudáveis , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Córtex Pré-Frontal/efeitos dos fármacos , Tálamo/efeitos dos fármacos
15.
J Neurosci ; 33(11): 4935-46, 2013 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-23486964

RESUMO

Associative stimulation causes enduring changes in the nervous system based on the Hebbian concept of spike-timing-dependent plasticity. The present study aimed to characterize the immediate and long-term electrophysiological effects of associative stimulation at the level of spinal cord and to test how trans-spinal direct current stimulation (tsDC) modulates associative plasticity. The effect of combined associative stimulation and tsDC on locomotor recovery was tested in a unilateral model of spinal cord injury (SCI). Two associative protocols were tested: (1) spino-sciatic associative (SSA) protocol, in which the first stimulus originated from the sciatic nerve and the second from the spinal cord; and (2) cortico-sciatic associative (CSA) protocol, in which the first stimulus originated from the sciatic nerve and the second from the motor cortex. In addition, those two protocols were repeated in combination with cathodal tsDC application. SSA and CSA stimulation produced immediate enhancement of spinal and cortical outputs, respectively, depending on the duration of the interstimulus interval. Repetitive SSA or CSA stimulation produced long-term potentiation of spinal and cortical outputs, respectively. Applying tsDC during SSA or CSA stimulation markedly enhanced their immediate and long-term effects. In behaving mice with unilateral SCI, four consecutive 20 min sessions of CSA + tsDC markedly reduced error rate in a horizontal ladder-walking test. Thus, this form of artificially enhanced associative connection can be translated into a form of motor relearning that does not depend on practice or experience.


Assuntos
Córtex Cerebral/fisiologia , Terapia por Estimulação Elétrica/métodos , Recuperação de Função Fisiológica/fisiologia , Nervo Isquiático/fisiologia , Traumatismos da Medula Espinal/terapia , Medula Espinal/fisiologia , 6-Ciano-7-nitroquinoxalina-2,3-diona/farmacologia , Animais , Biofísica , Modelos Animais de Doenças , Eletrodos , Potencial Evocado Motor/efeitos dos fármacos , Potencial Evocado Motor/fisiologia , Antagonistas de Aminoácidos Excitatórios/farmacologia , Lateralidade Funcional/efeitos dos fármacos , Ácido Cinurênico/farmacologia , Masculino , Camundongos , Vias Neurais/fisiologia , Plasticidade Neuronal/fisiologia , Desempenho Psicomotor/efeitos dos fármacos , Tempo de Reação/efeitos dos fármacos , Medula Espinal/efeitos dos fármacos , Fatores de Tempo , Caminhada/fisiologia
16.
Exp Neurol ; 241: 45-55, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23261767

RESUMO

T-lymphocytes promote cerebral inflammation, thus aggravating neuronal injury after stroke. Fingolimod, a sphingosine 1-phosphate receptor analog, prevents the egress of lymphocytes from primary and secondary lymphoid organs. Based on these findings, we hypothesized fingolimod treatment would reduce the number of T-lymphocytes migrating into the brain, thereby ameliorating cerebral inflammation following experimental intracerebral hemorrhage (ICH). We investigated the effects of fingolimod in two well-established murine models of ICH, implementing intrastriatal infusions of either bacterial collagenase (cICH) or autologous blood (bICH). Furthermore, we tested the long term neurological improvements by Fingolimod in a collagenase-induced rat model of ICH. Fingolimod, in contrast to vehicle administration alone, improved neurological functions and reduced brain edema at 24 and 72 h following experimental ICH in CD-1 mice (n=103; p<0.05). Significantly fewer lymphocytes were found in blood and brain samples of treated animals when compared to the vehicle group (p<0.05). Moreover, fingolimod treatment significantly reduced the expression of intercellular adhesion molecule-1 (ICAM-1), interferon-γ (INF-γ), and interleukin-17 (IL-17) in the mouse brain at 72 h post-cICH (p<0.05 compared to vehicle). Long-term neurocognitive performance and histopathological analysis were evaluated in Sprague-Dawley rats between 8 and 10 weeks post-cICH (n=28). Treated rats showed reduced spatial and motor learning deficits, along with significantly reduced brain atrophy and neuronal cell loss within the basal ganglia (p<0.05 compared to vehicle). We conclude that fingolimod treatment ameliorated cerebral inflammation, at least to some extent, by reducing the availability and subsequent brain infiltration of T-lymphocytes, which improved the short and long-term sequelae after experimental ICH in rodents.


Assuntos
Córtex Cerebral/patologia , Hemorragia Cerebral/tratamento farmacológico , Hemorragia Cerebral/patologia , Imunossupressores/uso terapêutico , Linfócitos/efeitos dos fármacos , Propilenoglicóis/uso terapêutico , Esfingosina/análogos & derivados , Análise de Variância , Animais , Gânglios da Base/patologia , Comportamento Animal/efeitos dos fármacos , Comportamento Animal/fisiologia , Transfusão de Sangue Autóloga/efeitos adversos , Edema Encefálico/etiologia , Edema Encefálico/prevenção & controle , Complexo CD3/metabolismo , Contagem de Células , Hemorragia Cerebral/induzido quimicamente , Hemorragia Cerebral/complicações , Hemorragia Cerebral/etiologia , Hemorragia Cerebral/imunologia , Colagenases/toxicidade , Modelos Animais de Doenças , Cloridrato de Fingolimode , Membro Anterior/fisiopatologia , Lateralidade Funcional/efeitos dos fármacos , Molécula 1 de Adesão Intercelular/metabolismo , Interferon gama/metabolismo , Interleucina-17/metabolismo , Leucócitos/efeitos dos fármacos , Linfócitos/metabolismo , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Camundongos , Doenças do Sistema Nervoso/etiologia , Doenças do Sistema Nervoso/prevenção & controle , Propilenoglicóis/farmacologia , Transtornos Psicomotores/tratamento farmacológico , Transtornos Psicomotores/etiologia , Ratos , Ratos Sprague-Dawley , Percepção Espacial/efeitos dos fármacos , Esfingosina/farmacologia , Esfingosina/uso terapêutico , Fatores de Tempo
17.
Brain ; 135(Pt 4): 1210-23, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22396394

RESUMO

Stroke is the dominant cause of sensorimotor disability that primarily affects the elderly. We now show that neuroplasticity and functional recovery after stroke is constrained by inhibitory chondroitin sulphates. In two blinded, randomized preclinical trials, degradation of chondroitin sulphate using chondroitinase ABC reactivated neuroplasticity and promoted sensorimotor recovery after stroke in elderly rats. Three days after stroke, chondroitinase ABC was microinjected into the cervical spinal cord to induce localized plasticity of forelimb sensorimotor spinal circuitry. Chondroitinase ABC effectively removed chondroitin sulphate from the extracellular matrix and perineuronal nets. Three different tests of sensorimotor function showed that chondroitinase ABC promoted recovery of forelimb function. Anterograde and retrograde tracing showed that chondroitinase ABC also induced sprouting of the contralesional corticospinal tract in the aged treated hemicord. Chondroitinase ABC did not neuroprotect the peri-infarct region. We show for the first time delayed chondroitinase ABC treatment promotes neuroanatomical and functional recovery after focal ischaemic stroke in an elderly nervous system.


Assuntos
Envelhecimento , Condroitina ABC Liase/administração & dosagem , Transtornos Neurológicos da Marcha/tratamento farmacológico , Transtornos Neurológicos da Marcha/etiologia , Plasticidade Neuronal/efeitos dos fármacos , Recuperação de Função Fisiológica/efeitos dos fármacos , Acidente Vascular Cerebral , Estimulação Acústica/efeitos adversos , Amidinas , Análise de Variância , Animais , Biotina/análogos & derivados , Biotina/metabolismo , Infarto Encefálico/tratamento farmacológico , Infarto Encefálico/etiologia , Proteoglicanas de Sulfatos de Condroitina/metabolismo , Dextranos/metabolismo , Modelos Animais de Doenças , Método Duplo-Cego , Feminino , Membro Anterior/fisiopatologia , Lateralidade Funcional/efeitos dos fármacos , Injeções Espinhais/métodos , Masculino , Transtornos dos Movimentos/etiologia , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Lectinas de Plantas , Desempenho Psicomotor/efeitos dos fármacos , Tratos Piramidais/patologia , Ratos , Ratos Long-Evans , Receptores de N-Acetilglucosamina , Transtornos de Sensação/etiologia , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/tratamento farmacológico , Acidente Vascular Cerebral/patologia , Fatores de Tempo
18.
Mov Disord ; 27(4): 519-25, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22344604

RESUMO

The purpose of this study was investigate functional alteration in the brains of patients with hemifacial spasm using positron emission tomography (PET). We studied cerebral glucose metabolism using PET with (18) F-fluorodeoxyglucose in 13 patients with right lateral hemifacial spasm and 13 with left lateral hemifacial spasm. All patients underwent 2 PET scans before treatment (active state) and after treatment (suppressive state) with the botulinum neurotoxin type A. At the time of the PET scans, the severity of the spasm was rated according to the Jankovic Disability Rating Scale. We also used magnetic resonance imaging to evaluate the grade of neurovascular compression in each patient using scores of 1 to 3 (1 = mild, 3 = severe). Fifty-two normal volunteers were examined as controls. Compared with controls, patients with right and left hemifacial spasm showed bilateral cerebral glucose hypermetabolism in the thalamus in both the active and suppressive states. However, thalamic glucose metabolism after the suppressive state was significantly reduced compared with that in the active state using region of interest analysis. There was a positive correlation between the severity of the spasm in the active state and the score of neurovascular compression (rs = 0.65) that was estimated using Spearman order correlation coefficient. We observed bilateral cerebral glucose hypermetabolism in the thalamus of patients with hemifacial spasm. The thalamic glucose hypermetabolism may be attributed to multiple sources, including afferent input from the skin and muscle spindle, antidromic conduction of the facial nerve, and secondary alteration in the central nervous system.


Assuntos
Lateralidade Funcional/fisiologia , Glucose/metabolismo , Espasmo Hemifacial/patologia , Tálamo/metabolismo , Adulto , Idoso , Toxinas Botulínicas Tipo A/farmacologia , Toxinas Botulínicas Tipo A/uso terapêutico , Avaliação da Deficiência , Eletromiografia , Feminino , Fluordesoxiglucose F18 , Lateralidade Funcional/efeitos dos fármacos , Espasmo Hemifacial/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Fármacos Neuromusculares/farmacologia , Fármacos Neuromusculares/uso terapêutico , Tomografia por Emissão de Pósitrons , Tálamo/diagnóstico por imagem , Tálamo/efeitos dos fármacos
19.
Neuroscience ; 201: 307-19, 2012 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-22123167

RESUMO

The superior paraolivary nucleus (SPON; alternative abbreviation: SPN for the same nucleus in certain species) is a prominent brainstem structure that provides strong inhibitory input to the auditory midbrain. Previous studies established that SPON neurons encode temporal sound features with high precision. These earlier characterizations of SPON responses were recorded under the influence of ketamine, a dissociative anesthetic agent and known antagonist of N-methyl-d-aspartate glutamate (NMDA) receptors. Because NMDA alters neural responses from the auditory brainstem, single unit extracellular recordings of SPON neurons were performed in the presence and absence of ketamine. In doing so, this study represents the first in vivo examination of the SPON of the mouse. Herein, independent data sets of SPON neurons are characterized that did or did not receive ketamine, as well as neurons that were recorded both prior to and following ketamine administration. In all conditions, SPON neurons exhibited contralaterally driven spikes triggered by the offset of pure tone stimuli. Ketamine lowered both evoked and spontaneous spiking, decreased the sharpness of frequency tuning, and increased auditory thresholds and first-spike latencies. In addition, ketamine limited the range of modulation frequencies to which neurons phase-locked to sinusoidally amplitude-modulated tones.


Assuntos
Analgésicos/farmacologia , Potenciais Evocados Auditivos do Tronco Encefálico/efeitos dos fármacos , Ketamina/farmacologia , Núcleo Olivar/citologia , Células Receptoras Sensoriais/efeitos dos fármacos , Acepromazina/farmacologia , Estimulação Acústica , Potenciais de Ação/efeitos dos fármacos , Animais , Percepção Auditiva/efeitos dos fármacos , Limiar Auditivo/efeitos dos fármacos , Mapeamento Encefálico , Antagonistas de Dopamina/farmacologia , Feminino , Lateralidade Funcional/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos CBA , Tempo de Reação/efeitos dos fármacos , Som
20.
Neuroimage ; 58(2): 508-25, 2011 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-21723949

RESUMO

BACKGROUND: Behavioral and electrophysiological human ketamine models of schizophrenia are used for testing compounds that target the glutamatergic system. However, corresponding functional neuroimaging models are difficult to reconcile with functional imaging and electrophysiological findings in schizophrenia. Resolving the discrepancies between different observational levels is critical to understand the complex pharmacological ketamine action and its usefulness for modeling schizophrenia pathophysiology. METHODS: We conducted a within-subject, randomized, placebo-controlled pharmacoimaging study in twenty-four male volunteers. Subjects were given low-dose S-ketamine (bolus prior to functional imaging: 0.1mg/kg during 5min, thereafter continuous infusion: 0.015625mg/kg/min reduced by 10% every ten minutes) or placebo while performing a visual oddball task during simultaneous functional magnetic resonance imaging (fMRI) with continuous recording of event-related potentials (P300) and electrodermal activity (EDA). Before and after intervention, psychopathological status was assessed using the Positive and Negative Syndrome Scale (PANSS) and the Altered State of Consciousness (5D-ASC) Rating Scale. RESULTS: P300 amplitude and corresponding BOLD responses were diminished in the ketamine condition in cortical regions being involved in sensory processing/selective attention. In both measurement modalities separation of drug conditions was achieved with area under the curve (AUC) values of up to 0.8-0.9. Ketamine effects were also observed in the clinical, behavioral and peripheral physiological domains (Positive and Negative Syndrome Scale, reaction hit and false alarm rate, electrodermal activity and heart rate) which were in part related to the P300/fMRI measures. CONCLUSION: The findings from our ketamine experiment are consistent across modalities and directly related to observations in schizophrenia supporting the validity of the model. Our investigation provides the first prototypic example of a pharmacoimaging study using simultaneously acquired fMRI/EEG.


Assuntos
Encéfalo/efeitos dos fármacos , Antagonistas de Aminoácidos Excitatórios/farmacologia , Ketamina/farmacologia , Desempenho Psicomotor/efeitos dos fármacos , Percepção Visual/efeitos dos fármacos , Estimulação Acústica , Adulto , Análise de Variância , Estudos Cross-Over , Interpretação Estatística de Dados , Método Duplo-Cego , Eletroencefalografia , Potenciais Evocados P300/efeitos dos fármacos , Potenciais Evocados Auditivos/fisiologia , Feminino , Lateralidade Funcional/efeitos dos fármacos , Lateralidade Funcional/fisiologia , Resposta Galvânica da Pele/efeitos dos fármacos , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Oxigênio/sangue , Adulto Jovem
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