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1.
J Cell Biol ; 147(5): 929-36, 1999 Nov 29.
Artículo en Inglés | MEDLINE | ID: mdl-10579714

RESUMEN

Inositol-1,4,5-trisphosphate (InsP(3))-mediated calcium signals represent an important mechanism for transmitting external stimuli to the cell. However, information about intracellular spatial patterns of InsP(3) itself is not generally available. In particular, it has not been determined how the interplay of InsP(3) generation, diffusion, and degradation within complex cellular geometries can control the patterns of InsP(3) signaling. Here, we explore the spatial and temporal characteristics of [InsP(3)](cyt) during a bradykinin-induced calcium wave in a neuroblastoma cell. This is achieved by using a unique image-based computer modeling system, Virtual Cell, to integrate experimental data on the rates and spatial distributions of the key molecular components of the process. We conclude that the characteristic calcium dynamics requires rapid, high-amplitude production of [InsP(3)](cyt) in the neurite. This requisite InsP(3) spatiotemporal profile is provided, in turn, as an intrinsic consequence of the cell's morphology, demonstrating how geometry can locally and dramatically intensify cytosolic signals that originate at the plasma membrane. In addition, the model predicts, and experiments confirm, that stimulation of just the neurite, but not the soma or growth cone, is sufficient to generate a calcium response throughout the cell.


Asunto(s)
Inositol 1,4,5-Trifosfato/fisiología , Neuritas/fisiología , Transducción de Señal/fisiología , Animales , Bradiquinina/farmacología , Señalización del Calcio/efectos de los fármacos , Simulación por Computador , Perros , Procesamiento de Imagen Asistido por Computador , Inositol 1,4,5-Trifosfato/metabolismo , Ratones , Microscopía Fluorescente , Modelos Biológicos , Neuritas/efectos de los fármacos , Neuroblastoma , Transducción de Señal/efectos de los fármacos , Células Tumorales Cultivadas
2.
J Clin Invest ; 95(2): 888-94, 1995 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-7860772

RESUMEN

The molecular basis of human heart failure is unknown. Alterations in calcium homeostasis have been observed in failing human heart muscles. Intracellular calcium-release channels regulate the calcium flux required for muscle contraction. Two forms of intracellular calcium-release channels are expressed in the heart: the ryanodine receptor (RyR) and the inositol 1,4,5-trisphosphate receptor (IP3R). In the present study we showed that these two cardiac intracellular calcium release channels were regulated in opposite directions in failing human hearts. In the left ventricle, RyR mRNA levels were decreased by 31% (P < 0.025) whereas IP3R mRNA levels were increased by 123% (P < 0.005). In situ hybridization localized both RyR and IP3R mRNAs to human cardiac myocytes. The relative amounts of IP3 binding sites increased approximately 40% compared with ryanodine binding sites in the failing heart. RyR down-regulation could contribute to impaired contractility; IP3R up regulation may be a compensatory response providing an alternative pathway for mobilizing intracellular calcium release, possibly contributing to the increased diastolic tone associated with heart failure and the hypertrophic response of failing myocardium.


Asunto(s)
Canales de Calcio/biosíntesis , Cardiomiopatías/metabolismo , Insuficiencia Cardíaca/metabolismo , Proteínas Musculares/biosíntesis , Miocardio/metabolismo , Receptores Citoplasmáticos y Nucleares/biosíntesis , Adolescente , Adulto , Northern Blotting , Canales de Calcio/análisis , Canales de Calcio/metabolismo , Células Cultivadas , Sondas de ADN , Femenino , Expresión Génica , Trasplante de Corazón , Homeostasis , Humanos , Hibridación in Situ , Inositol 1,4,5-Trifosfato/metabolismo , Receptores de Inositol 1,4,5-Trifosfato , Masculino , Persona de Mediana Edad , Proteínas Musculares/análisis , Proteínas Musculares/metabolismo , ARN Mensajero/análisis , ARN Mensajero/biosíntesis , Receptores Citoplasmáticos y Nucleares/análisis , Receptores Citoplasmáticos y Nucleares/metabolismo , Rianodina/metabolismo , Canal Liberador de Calcio Receptor de Rianodina
3.
Biochim Biophys Acta ; 812(2): 333-44, 1985 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-2578288

RESUMEN

Calcium accumulation by two fractions of sarcoplasmic reticulum presumably derived from longitudinal tubules (light vesicles) and terminal cisternae (heavy vesicles) was examined radiochemically in the presence of various free Mg2+ concentrations. Both fractions of sarcoplasmic reticulum exhibited a Mg2+-dependent increase in phosphate-supported calcium uptake velocity, though half-maximal velocity in heavy vesicles occurred at a much higher free Mg2+ concentration than that in light vesicles (i.e., approx. 0.90 mM vs. approx. 0.02 mM Mg2+). Calcium uptake velocity in light vesicles correlated with Ca2+-dependent ATPase activity, suggesting that Mg2+ stimulated the calcium pump. Calcium uptake velocity in heavy vesicles did not correlate with Ca2+-dependent ATPase activity, although a Mg2+-dependent increase in calcium influx was observed. Thus, Mg2+ may increase the coupling of ATP hydrolysis to calcium transport in heavy vesicles. Analyses of calcium sequestration (in the absence of phosphate) showed a similar trend in that elevation of Mg2+ from 0.07 to 5 mM stimulated calcium sequestration in heavy vesicles much more than in light vesicles. This difference between the two fractions of sarcoplasmic reticulum was not explained by phosphoenzyme (EP) level or distribution. Analyses of calcium uptake, Ca2+-dependent ATPase activity, and unidirectional calcium flux in the presence of approx. 0.4 mM Mg2+ suggested that ruthenium red (0.5 microM) can also increase the coupling of ATP hydrolysis to calcium transport in heavy vesicles, with no effect in light vesicles. These functional differences between light and heavy vesicles suggest that calcium transport in terminal cisternae is regulated differently from that in longitudinal tubules.


Asunto(s)
Calcio/metabolismo , Magnesio/farmacología , Retículo Sarcoplasmático/metabolismo , Adenosina Trifosfato/metabolismo , Animales , Hidrólisis , Técnicas In Vitro , Cinética , Fosfatos/metabolismo , Conejos , Rojo de Rutenio/farmacología , Retículo Sarcoplasmático/efectos de los fármacos , Espectrofotometría
4.
Biochim Biophys Acta ; 931(3): 354-63, 1987 Dec 10.
Artículo en Inglés | MEDLINE | ID: mdl-2445386

RESUMEN

Inositol 1,4,5-trisphosphate-induced calcium release from canine aortic smooth muscle sarcoplasmic reticulum vesicles was examined using the calcium indicator antipyrylazo III. Calcium release was initiated by addition of inositol 1,4,5-trisphosphate (IP3) to aortic vesicles 7 min after initiation of ATP-supported calcium uptake. Half-maximal calcium release occurred at 1 microM IP3, with maximal calcium release amounting to 25 +/- 2% of the intravesicular calcium (n = 12, 9 preparations). Ruthenium red (10-20 microM), which has been reported to block IP3-induced calcium release from skeletal muscle sarcoplasmic reticulum, did not inhibit aortic IP3-induced calcium release. Elevation of Mg2+ concentration from 0.06 to 7.8 mM inhibited aortic IP3-induced calcium release 75%, which contrasts with the Mg2+-insensitive IP3-induced calcium release from platelet reticular membranes. The IP3-dependence of aortic calcium release suggested that Mg2+ acted as a noncompetitive inhibitor. Thus, aortic sarcoplasmic reticulum vesicles contain an IP3-sensitive calcium pathway which is inhibited by millimolar concentrations of Mg2+, but which is not inhibited by Ruthenium red and so differs from the previously described IP3-sensitive calcium pathways in skeletal muscle and platelet reticular membranes.


Asunto(s)
Calcio/metabolismo , Fosfatos de Inositol/farmacología , Músculo Liso Vascular/efectos de los fármacos , Retículo Sarcoplasmático/efectos de los fármacos , Fosfatos de Azúcar/farmacología , Animales , Aorta , Transporte Biológico Activo/efectos de los fármacos , Cafeína/farmacología , Perros , Corazón/efectos de los fármacos , Inositol 1,4,5-Trifosfato , Magnesio/farmacología , Músculo Liso Vascular/metabolismo , Miocardio/metabolismo , Rojo de Rutenio/farmacología , Retículo Sarcoplasmático/metabolismo
5.
Biochim Biophys Acta ; 769(2): 429-39, 1984 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-6199041

RESUMEN

Calcium release from sarcoplasmic reticulum vesicles presumably derived from longitudinal tubules (LSR) and terminal cisternae (HSR) of rabbit skeletal muscle was investigated by dual wavelength spectrophotometry using the calcium-indicator antipyrylazo III. In 120 mM KCl, 5 mM MgCl2, 30 microM, CaCl2, 50 microM MgATP, 100 microM antipyrylazo III, 40 mM histidine (pH 6.8, 25 degrees C), LSR and HSR sequestered approx. 115 nmol calcium/mg, and then spontaneously released calcium. Analysis of ATP hydrolysis and phosphoenzyme level during LSR and HSR calcium sequestration indicated that this calcium release process was passive, occurring in the virtual absence of ATP and phosphoenzyme. Moreover, subsequent addition of ATP reinitiated the calcium sequestration-release sequence. Calcium release by HSR was more than 4-times faster than that by LSR. Analysis of the calcium release phase demonstrated a biexponential decay for both LSR (0.10 and 0.63 min-1) and HSR (0.26 and 1.65 min-1), suggestive of heterogeneity within each fraction. Replacement of 120 mM KCl with either 120 mM choline chloride, 240 mM sucrose, or H2O reduced maximal calcium sequestration by LSR, but had less effect on LSR calcium release rate constants. In the case of HSR, these changes in the ionic composition of the medium drastically reduced calcium release rate constants with little effect on calcium content. These marked differences between LSR and HSR are consistent with the hypothesis that the calcium permeability of the terminal cisternae is greater and more sensitive to the ionic environment than is that of the longitudinal tubules of sarcoplasmic reticulum.


Asunto(s)
Calcio/metabolismo , Retículo Sarcoplasmático/metabolismo , Adenosina Trifosfato/metabolismo , Animales , Gramicidina/farmacología , Peso Molecular , Concentración Osmolar , Conejos , Retículo Sarcoplasmático/efectos de los fármacos , Espectrofotometría , Valinomicina/farmacología
6.
Biochim Biophys Acta ; 687(1): 17-26, 1982 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-7074105

RESUMEN

Low concentrations of fatty acids inhibited initial Ca uptake by sarcoplasmic reticulum vesicles, the extent of inhibition varying with chain length and unsaturation in a series of C14-C20 fatty acids. Oleic acid was a more potent inhibitor of initial Ca uptake than stearic acid at 25 degrees C, whereas at 5 degrees C there was less difference between the inhibitory effects of low concentrations of these fatty acids. When the fatty acids were added later, during the phase of spontaneous Ca release that follow Ca uptake in reactions carried out at 25 degrees C 1-4 microM oleic and stearic acids caused Ca content to increase. This effect was due to marked inhibition of Ca efflux and slight stimulation of Ca influx. At concentrations of greater than 4 microM, both fatty acids inhibited the Ca influx that occurs during spontaneous Ca release; in the case of oleic acid, this inhibition resembled that of initial Ca uptake at 5 degrees C. The different effects of fatty acids at various times during Ca uptake reactions may be explained in part if alterations in the physical state of the membranes occur during the transition from the phase of initial Ca uptake to that of spontaneous Ca release.


Asunto(s)
Calcio/metabolismo , Ácidos Grasos no Esterificados/farmacología , Músculos/metabolismo , Retículo Sarcoplasmático/metabolismo , Animales , Transporte Biológico Activo/efectos de los fármacos , Cinética , Ácido Oléico , Ácidos Oléicos/farmacología , Conejos , Retículo Sarcoplasmático/efectos de los fármacos , Ácidos Esteáricos/farmacología , Relación Estructura-Actividad
7.
J Gen Physiol ; 110(5): 529-38, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9348325

RESUMEN

The inositol 1,4,5-trisphosphate (InsP3)-gated Ca channel in cerebellum is tightly regulated by Ca (Bezprozvanny, I., J. Watras, and B.E. Ehrlich. 1991. Nature (Lond.). 351:751-754; Finch, E.A., T. J. Turner, and S.M. Goldin. 1991. Science (Wash. DC). 252:443-446; Hannaert-Merah, Z., J.F. Coquil, L. Combettes, M. Claret, J.P. Mauger, and P. Champeil. 1994. J. Biol. Chem. 269:29642-29649; Iino, M. 1990. J. Gen. Physiol. 95:1103-1122; Marshall, I., and C. Taylor. 1994. Biochem. J. 301:591-598). In previous single channel studies, the Ca dependence of channel activity, monitored at 2 microM InsP3, was described by a bell-shaped curve (Bezprozvanny, I., J. Watras, and B.E. Ehrlich. 1991. Nature (Lond.). 351:751-754). We report here that, when we used lower InsP3 concentrations, the peak of the Ca-dependence curve shifted to lower Ca concentrations. Unexpectedly, when we used high InsP3 concentrations, channel activity persisted at Ca concentrations as high as 30 microM. To explore this unexpected response of the channel, we measured InsP3 binding over a broad range of InsP3 concentrations. We found the well-characterized high affinity InsP3 binding sites (with Kd < 1 and 50 nM) (Maeda, N., M. Niinobe, and K. Mikoshiba. 1990. EMBO (Eur. Mol. Biol. Organ.) J. 9:61-67; Mignery, G., T.C. Sudhof, K. Takei, and P. De Camilli. 1989. Nature (Lond.). 342:192-195; Ross, C.A., J. Meldolesi, T.A. Milner, T. Satoh, S. Supattapone, and S.H. Snyder. 1989. Nature (Lond.). 339:468-470) and a low affinity InsP3 binding site (Kd = 10 microM). Using these InsP3 binding sites, we developed a new model that accounts for the shift in the Ca-dependence curve at low InsP3 levels and the maintained channel activity at high Ca and InsP3 levels. The observed Ca dependence of the InsP3-gated Ca channel allows the cell to abbreviate the rise of intracellular Ca in the presence of low levels of InsP3, but also provides a means of maintaining high intracellular Ca during periods of prolonged stimulation.


Asunto(s)
Canales de Calcio/fisiología , Calcio/fisiología , Inositol 1,4,5-Trifosfato/fisiología , Receptores Citoplasmáticos y Nucleares/fisiología , Transducción de Señal/fisiología , Animales , Unión Competitiva , Canales de Calcio/metabolismo , Cerebelo/metabolismo , Perros , Retículo Endoplásmico/metabolismo , Inositol 1,4,5-Trifosfato/metabolismo , Receptores de Inositol 1,4,5-Trifosfato , Modelos Biológicos , Receptores Citoplasmáticos y Nucleares/metabolismo
8.
J Gen Physiol ; 113(6): 837-49, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10352034

RESUMEN

Cytosolic calcium acts as both a coagonist and an inhibitor of the type 1 inositol 1,4,5-trisphosphate (InsP3)-gated Ca channel, resulting in a bell-shaped Ca dependence of channel activity (Bezprozvanny, I., J. Watras, and B.E. Ehrlich. 1991. Nature. 351:751-754; Finch, E.A., T.J. Turner, and S.M. Goldin. 1991. Science. 252: 443-446; Iino, M. 1990. J. Gen. Physiol. 95:1103-1122). The ability of Ca to inhibit channel activity, however, varies dramatically depending on InsP3 concentration (Combettes, L., Z. Hannaert-Merah, J.F. Coquil, C. Rousseau, M. Claret, S. Swillens, and P. Champeil. 1994. J. Biol. Chem. 269:17561-17571; Kaftan, E.J., B.E. Ehrlich, and J. Watras. 1997. J. Gen. Physiol. 110:529-538). In the present report, we have extended the characterization of the effect of cytosolic Ca on both InsP3 binding and InsP3-gated channel kinetics, and incorporated these data into a mathematical model capable of simulating channel kinetics. We found that cytosolic Ca increased the Kd of InsP3 binding approximately 3.5-fold, but did not influence the maximal number of binding sites. The ability of Ca to decrease InsP3 binding is consistent with the rightward shift in the bell-shaped Ca dependence of InsP3-gated Ca channel activity. High InsP3 concentrations are able to overcome the Ca-dependent inhibition of channel activity, apparently due to a low affinity InsP3 binding site (Kaftan, E.J., B.E. Ehrlich, and J. Watras. 1997. J. Gen. Physiol. 110:529-538). Constants from binding analyses and channel activity determinations were used to develop a mathematical model that fits the complex Ca-dependent regulation of the type 1 InsP3-gated Ca channel. This model accurately simulated both steady state data (channel open probability and InsP3 binding) and kinetic data (channel activity and open time distributions), and yielded testable predictions with regard to the regulation of this intracellular Ca channel. Information gained from these analyses, and our current molecular model of this Ca channel, will be important for understanding the basis and regulation of intracellular Ca waves and oscillations in intact cells.


Asunto(s)
Canales de Calcio/química , Calcio/farmacocinética , Inositol 1,4,5-Trifosfato/farmacología , Activación del Canal Iónico/fisiología , Modelos Químicos , Animales , Canales de Calcio/metabolismo , Señalización del Calcio/fisiología , Membrana Celular/química , Membrana Celular/metabolismo , Cerebelo/química , Cerebelo/citología , Perros , Electrofisiología/métodos , Inositol 1,4,5-Trifosfato/metabolismo , Activación del Canal Iónico/efectos de los fármacos , Cinética , Ligandos , Microsomas/química , Microsomas/fisiología
9.
Life Sci ; 32(3): 213-9, 1983 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-6823201

RESUMEN

To elucidate the mechanism by which quercetin enhances the rate of tension development in skinned muscle fibers, effects on calcium release from longitudinal tubule-derived SR (LSR) after phosphate-supported calcium uptake were examined. In all studies, 100 microM quercetin (which inhibits initial calcium uptake velocity 85%) was added at or shortly after the time calcium content reached a maximum at various extravesicular Ca2+ concentrations (Cao). At moderate Cao (0.2-1.0 microM), where spontaneous calcium release rate depended on Cao, quercetin caused a marked stimulation of calcium release. This was accompanied by a 60% reduction in calcium influx and a 30-fold increase in calcium efflux. Thus, the previously reported quercetin-induced increase in the rate of tension development by skinned muscle fibers may result, at least in part, from sensitization of Ca2+-triggered calcium release to lower Cao.


Asunto(s)
Calcio/metabolismo , Flavonoides/farmacología , Contracción Muscular , Quercetina/farmacología , Retículo Sarcoplasmático/metabolismo , Animales , Transporte Biológico Activo/efectos de los fármacos , Cinética , Contracción Muscular/efectos de los fármacos , Conejos
10.
Neoplasma ; 34(3): 241-51, 1987.
Artículo en Inglés | MEDLINE | ID: mdl-3614460

RESUMEN

Some results of the first more complex studies in vitro on radio-sensitizing efficiency, cytotoxicity and reactivity with blood-thiols of a series of 4- or 5-nitroimidazoles substituted in the 5, 4 or 2 position with chlorine are presented. The derivatives of 4-nitroimidazole substituted in 5 position ("ortho" position) with Cl show higher radiosensitizing efficiency than one may expect from their reduction potential, E1/2. At the same time they are extremely toxic, especially for aerobic cells. It is considered that high biological activity of ortho-substituted 4-nitroimidazoles is connected with their considerable chemical reactivity towards thiols and suppression of those natural protective compounds in the cells. The corresponding 5-nitro isomers are about tenfold weaker sensitizers, and simultaneously much less cytotoxic, either in aerobic or in hypoxic conditions. The chloro-4(5)-nitroimidazoles nonsubstituted at N-1 and ionizable in aqueous solution are relatively weaker at the same time less toxic radiosensitizers. It is evaluated that potential application in radiotherapy may have those chloronitroimidazoles which show low aerobic cytotoxicity, moderate radiosensitizing ability and no reactivity towards thiols. On the basis of the study in vitro, we have selected such a compound: 1-methyl-2-chloro-4-nitroimidazole (P13) for screening in vivo.


Asunto(s)
Cloro , Hipoxia , Nitroimidazoles/farmacología , Fármacos Sensibilizantes a Radiaciones/farmacología , Aerobiosis , Animales , Supervivencia Celular/efectos de los fármacos , Glutatión/sangre , Metronidazol/farmacología , Misonidazol/farmacología , Ratas , Relación Estructura-Actividad
11.
Neoplasma ; 34(3): 253-9, 1987.
Artículo en Inglés | MEDLINE | ID: mdl-3614461

RESUMEN

The transplantable rhabdomyosarcoma in WAG/Rij rats was used to test the in vivo effectiveness of 1-methyl-2-chloro-4-nitroimidazole (P13) and its analog 1-(2-hydroxy-3-methoxy-propyl)-2-chloro-4-nitroimidazole (P40) as tumor-cell radiosensitizers after their i.p. administration at low doses. The results indicate that both compounds administered repeatedly at nontoxic concentrations (70-150 mg/kg body wt.) in combination with moderate fractional doses of irradiation (3.7 Gy) enhance the radiation effect on tumors. The local control of tumors on the 210th day in all experimental groups has been higher than in the control ones. In the case of P40 administered in the maximal dose, the increment in local control is statistically significant (p less than 0.05). The regrowth delay has also been longer after treatment with radiosensitizers. In the course of treatment we did not observe any symptoms of neurotoxicity of the compounds. The mean body weight of rats during the administration of compounds remained on the level of control rats whose tumors were irradiated only.


Asunto(s)
Hipoxia , Nitroimidazoles/uso terapéutico , Fármacos Sensibilizantes a Radiaciones/uso terapéutico , Rabdomiosarcoma/radioterapia , Algoritmos , Animales , Dosificación Letal Mediana , Masculino , Ratones , Ratones Endogámicos BALB C , Trasplante de Neoplasias , Nitroimidazoles/toxicidad , Fármacos Sensibilizantes a Radiaciones/toxicidad , Ratas , Ratas Endogámicas
12.
Neoplasma ; 29(4): 407-15, 1982.
Artículo en Inglés | MEDLINE | ID: mdl-7133232

RESUMEN

Radiosensitizing efficiency and cytotoxicity of three 2-methyl-4(5)-nitroimidazoles substituted with electron-withdrawal groups -NO2, -Cl and -OCH3 in 5(4)-position ("ortho" position) have been evaluated in vitro on V 79-379 A cells under aerobic as well as under hypoxic conditions. It has been established that 2-h incubation of cells at 37 degrees C in the presence of increasing (up to 2 mM) concentration of the compounds causes a moderate cytotoxicity for P7(2-methyl-5(4)-chloro-4(5)-nitroimidazole) and P5(2-methyl-4,5-dinitroimidazole). Cytotoxicities of these compounds are much stronger under hypoxic than under aerobic conditions. The compound P9(2-methyl-5(4)-methoxy-4(5)-nitroimidazole) is practically completely nontoxic. The radiosensitizing efficiency of P5, P7, and P9 at 2 mM concentration expressed by ER (enhancement ratio) equals 1.75, 1.57 and 1.14 respectively. A discussion regarding the features of electron-affinity, cytotoxicity and radiosensitizing ability of the compounds studied is presented.


Asunto(s)
Nitroimidazoles/farmacología , Fármacos Sensibilizantes a Radiaciones/farmacología , Animales , Supervivencia Celular/efectos de los fármacos , Cricetinae , Hipoxia/patología , Técnicas In Vitro , Relación Estructura-Actividad
13.
Psychiatr Pol ; 24(3): 189-94, 1990.
Artículo en Polaco | MEDLINE | ID: mdl-2084726

RESUMEN

The group of 60 paranoid schizophrenics and pair-matched group of 60 healthy controls were studied. The level of activation was measured by LPT technique by R. E. Thayer, and J. Brzezinski's Questionnaire for Emotional Control was used. The results indicate no differences between the level of activation among paranoid schizophrenics and controls. Patients, in comparison to healthy subjects, showed low level of emotional control, undeveloped control of emotional expression, impulsiveness, the high threshold of emotional arousal, the lack of resistance to emotions, and low level of control of behaviour in emotional states.


Asunto(s)
Trastornos Disruptivos, del Control de Impulso y de la Conducta/etiología , Emociones/fisiología , Trastornos del Humor/etiología , Esquizofrenia Paranoide/psicología , Psicología del Esquizofrénico , Adolescente , Adulto , Trastornos Disruptivos, del Control de Impulso y de la Conducta/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trastornos del Humor/diagnóstico , Escalas de Valoración Psiquiátrica , Esquizofrenia Paranoide/complicaciones
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