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1.
PLoS Pathog ; 12(3): e1005524, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27031111

RESUMEN

Mucosal-Associated Invariant T (MAIT) cells, present in high frequency in airway and other mucosal tissues, have Th1 effector capacity positioning them to play a critical role in the early immune response to intracellular pathogens, including Mycobacterium tuberculosis (Mtb). MR1 is a highly conserved Class I-like molecule that presents vitamin B metabolites to MAIT cells. The mechanisms for loading these ubiquitous small molecules are likely to be tightly regulated to prevent inappropriate MAIT cell activation. To define the intracellular localization of MR1, we analyzed the distribution of an MR1-GFP fusion protein in antigen presenting cells. We found that MR1 localized to endosomes and was translocated to the cell surface upon addition of 6-formyl pterin (6-FP). To understand the mechanisms by which MR1 antigens are presented, we used a lentiviral shRNA screen to identify trafficking molecules that are required for the presentation of Mtb antigen to HLA-diverse T cells. We identified Stx18, VAMP4, and Rab6 as trafficking molecules regulating MR1-dependent MAIT cell recognition of Mtb-infected cells. Stx18 but not VAMP4 or Rab6 knockdown also resulted in decreased 6-FP-dependent surface translocation of MR1 suggesting distinct pathways for loading of exogenous ligands and intracellular mycobacterially-derived ligands. We postulate that endosome-mediated trafficking of MR1 allows for selective sampling of the intracellular environment.


Asunto(s)
Presentación de Antígeno/inmunología , Endosomas/metabolismo , Antígenos de Histocompatibilidad Clase I/metabolismo , Activación de Linfocitos/inmunología , Mycobacterium tuberculosis/inmunología , Transporte de Proteínas/fisiología , Antígenos de Histocompatibilidad Clase I/inmunología , Humanos , Antígenos de Histocompatibilidad Menor , Membrana Mucosa/metabolismo , Receptores de Antígenos de Linfocitos T alfa-beta/genética , Subgrupos de Linfocitos T/inmunología
2.
Neuron ; 50(6): 897-909, 2006 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-16772171

RESUMEN

Members of the Wnt signaling family are important mediators of numerous developmental events, including activity-dependent dendrite development, but the pathways regulating expression and secretion of Wnt in response to neuronal activity are poorly defined. Here, we identify an NMDA receptor-mediated, Ca2+-dependent signaling pathway that couples neuronal activity to dendritic arborization through enhanced Wnt synthesis and secretion. Activity-dependent dendritic outgrowth and branching in cultured hippocampal neurons and slices is mediated through activation by CaM-dependent protein kinase kinase (CaMKK) of the membrane-associated gamma isoform of CaMKI. Downstream effectors of CaMKI include the MAP-kinase pathway of Ras/MEK/ERK and the transcription factor CREB. A serial analysis of chromatin occupancy screen identified Wnt-2 as an activity-dependent CREB-responsive gene. Neuronal activity enhances CREB-dependent transcription of Wnt-2, and expression of Wnt-2 stimulates dendritic arborization. This novel signaling pathway contributes to dynamic remodeling of the dendritic architecture in response to neuronal activity during development.


Asunto(s)
Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Proteína de Unión a Elemento de Respuesta al AMP Cíclico/fisiología , Dendritas/fisiología , Transcripción Genética/genética , Proteína wnt2/metabolismo , Animales , Animales Recién Nacidos , Proteína Quinasa Tipo 1 Dependiente de Calcio Calmodulina , Proteínas Quinasas Dependientes de Calcio-Calmodulina/genética , Proteínas Quinasas Dependientes de Calcio-Calmodulina/fisiología , Células Cultivadas , Proteína de Unión a Elemento de Respuesta al AMP Cíclico/genética , Dendritas/enzimología , Dendritas/genética , Activación Enzimática/fisiología , Hipocampo/citología , Hipocampo/enzimología , Hipocampo/metabolismo , Hipocampo/fisiología , Técnicas de Cultivo de Órganos , Ratas , Ratas Sprague-Dawley , Proteína wnt2/genética
3.
Peptides ; 30(2): 210-8, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19028534

RESUMEN

Inflammation-associated cachexia is associated with multiple chronic diseases and involves activation of appetite regulating centers in the arcuate nucleus of the hypothalamus (ARH). The nucleus of the solitary tract (NTS) in the brainstem has also been implicated as an important nucleus involved in appetite regulation. We set out to determine whether the NTS may be involved in inflammation-associated anorexia by injecting IL-1 beta into the 4th ventricle and assessing food intake and NTS neuronal activation. Injection of IL-1 beta produced a decrease in food intake at 3 and 12h after injection which was ameliorated at the 12h time point by a sub-threshold dose of agouti-related peptide (AgRP). Investigation into neuron types in the NTS revealed that IL-1 beta injection was associated with an increase in c-Fos activity in NTS neurons expressing tyrosine hydroxylase (TH). Additionally, injection of IL-1 beta into the 4th ventricle did not produce c-Fos activation of neurons expressing pro-opiomelanocortin (POMC) in the ARH, cells known to be involved in producing anorexia in response to systemic inflammation. Double-label in situ hybridization revealed that TH neurons did not express IL-1 receptor I (IL1-RI) transcript, demonstrating that c-Fos activation of TH neurons in this setting was not via direct stimulation of IL-1 beta on TH neurons themselves. We conclude that IL-1 beta injection into the 4th ventricle produces anorexia and is accompanied by an increase in activation in TH neurons in the NTS. This provides evidence that the brainstem may be an important mediator of anorexia in the setting of inflammation.


Asunto(s)
Proteína Relacionada con Agouti/farmacología , Anorexia/inducido químicamente , Interleucina-1beta/administración & dosificación , Neuronas/enzimología , Núcleo Solitario/metabolismo , Tirosina 3-Monooxigenasa/metabolismo , Animales , Anorexia/metabolismo , Núcleo Arqueado del Hipotálamo/metabolismo , Tronco Encefálico/metabolismo , Hipotálamo/metabolismo , Inflamación/metabolismo , Inyecciones Intraventriculares , Interleucina-1beta/farmacología , Neuronas/efectos de los fármacos , Neuronas/metabolismo , Proopiomelanocortina/metabolismo , Ratas , Ratas Sprague-Dawley , Núcleo Solitario/citología
4.
Endocrinology ; 149(10): 4837-45, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18583425

RESUMEN

Agouti-related protein (AgRP) is an orexigenic neuropeptide produced by neurons in the hypothalamic arcuate nucleus (ARC) that is a key component of central neural circuits that control food intake and energy expenditure. Disorders in energy homeostasis, characterized by hypophagia and increased metabolic rate, frequently develop in animals with either acute or chronic diseases. Recently, studies have demonstrated that proopiomelanocortin-expressing neurons in the ARC are activated by the proinflammatory cytokine IL-1beta. In the current study, we sought to determine whether inflammatory processes regulate the expression of AgRP mRNA and to characterize the response of AgRP neurons to IL-1beta. Here, we show by real-time RT-PCR and in situ hybridization analysis that AgRP mRNA expression in rodents is increased in models of acute and chronic inflammation. AgRP neurons were found to express the type I IL-1 receptor, and the percentage of expression was significantly increased after peripheral administration of lipopolysaccharide. Furthermore, we demonstrate that IL-1beta inhibits the release of AgRP from hypothalamic explants. Collectively, these data indicate that proinflammatory signals decrease the secretion of AgRP while increasing the transcription of the AgRP gene. These observations suggest that AgRP neurons may participate with ARC proopiomelanocortin neurons in mediating the anorexic and metabolic responses to acute and chronic disease processes.


Asunto(s)
Proteína Relacionada con Agouti/genética , Proteína Relacionada con Agouti/metabolismo , Núcleo Arqueado del Hipotálamo/fisiología , Inflamación/fisiopatología , Transcripción Genética/inmunología , Animales , Antiinflamatorios no Esteroideos/farmacología , Núcleo Arqueado del Hipotálamo/citología , Trasplante de Tejido Encefálico , Enfermedad Crónica , Modelos Animales de Enfermedad , Inflamación/inducido químicamente , Inflamación/inmunología , Interleucina-1beta/metabolismo , Ketorolaco/farmacología , Fallo Renal Crónico/inmunología , Fallo Renal Crónico/fisiopatología , Lipopolisacáridos/farmacología , Masculino , Ratones , Ratones Endogámicos C57BL , Neoplasias/inmunología , Neoplasias/fisiopatología , Neuronas/fisiología , Prostaglandinas/metabolismo , Proteínas Proto-Oncogénicas c-fos/genética , ARN Mensajero/genética , Ratas , Ratas Endogámicas F344 , Ratas Sprague-Dawley , Receptores de Interleucina-1/genética
5.
Endocrinology ; 148(9): 4217-25, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17525125

RESUMEN

Anorexia and involuntary weight loss are common and debilitating complications of a number of chronic diseases and inflammatory states. Proinflammatory cytokines, including IL-1 beta, are hypothesized to mediate these responses through direct actions on the central nervous system. However, the neural circuits through which proinflammatory cytokines regulate food intake and energy balance remain to be characterized. Here we report that IL-1 beta activates the central melanocortin system, a key neuronal circuit in the regulation of energy homeostasis. Proopiomelanocortin (POMC) neurons in the arcuate nucleus of the hypothalamus (ARC) were found to express the type I IL-1 receptor. Intracerebroventricular injection of IL-1 beta induced the expression of Fos protein in ARC POMC neurons but not in POMC neurons in the commissural nucleus of the tractus solitarius. We further show that IL-1 beta increases the frequency of action potentials of ARC POMC neurons and stimulates the release of alpha-MSH from hypothalamic explants in a dose-dependent fashion. Collectively, our data support a model in which IL-1 beta increases central melanocortin signaling by activating a subpopulation of hypothalamic POMC neurons and stimulating their release of alpha-MSH.


Asunto(s)
Interleucina-1beta/fisiología , Melanocortinas/fisiología , Transducción de Señal/fisiología , Animales , Anorexia/fisiopatología , Recuento de Células , Citocinas/fisiología , Ojo/citología , Genes Reporteros , Inflamación/fisiopatología , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Proopiomelanocortina/genética , Proteínas Proto-Oncogénicas c-fos/genética , Ratas , Ratas Sprague-Dawley , Pérdida de Peso/fisiología
6.
J Neurosci ; 24(15): 3786-94, 2004 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-15084659

RESUMEN

Calcium and calmodulin (CaM) are important signaling molecules that regulate axonal or dendritic extension and branching. The Ca2+-dependent stimulation of neurite elongation has generally been assumed to be mediated by CaM-kinase II (CaMKII), although other members of the CaMK family are highly expressed in developing neurons. We have examined this assumption using a combination of dominant-negative CaMKs (dnCaMKs) and other specific CaMK inhibitors. Here we report that inhibition of cytosolic CaMKI, but not CaMKII or nuclear CaMKIV, dramatically decreases axonal outgrowth and branching in cultured neonatal hippocampal and postnatal cerebellar granule neurons. CaMKI is found throughout the cell cytosol, including the growth cone. Growth cones of neurons expressing dnCaMI or dnCaMKK, the upstream activator of CaMKI, exhibit collapsed morphology with a prominent reduction in lamellipodia. Live-cell imaging confirms that these morphological changes are associated with a dramatic decrease in growth cone motility. Treatment of neurons with 1,8-naphthoylene benzimidazole-3-carboxylic acid (STO-609), an inhibitor of CaMKK, causes a similar change in morphology and reduction in growth cone motility, and this inhibition can be rescued by transfection with an STO-609-insensitive mutant of CaMKK or by transfection with constitutively active CaMKI. These results identify CaMKI as a positive transducer of growth cone motility and axon outgrowth and provide a new physiological role for the CaMKK-CaMKI pathway.


Asunto(s)
Axones/fisiología , Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Conos de Crecimiento/fisiología , Animales , Animales Recién Nacidos , Axones/efectos de los fármacos , Axones/enzimología , Bencimidazoles/farmacología , Quinasa de la Proteína Quinasa Dependiente de Calcio-Calmodulina , Proteína Quinasa Tipo 1 Dependiente de Calcio Calmodulina , Proteína Quinasa Tipo 2 Dependiente de Calcio Calmodulina , Proteína Quinasa Tipo 4 Dependiente de Calcio Calmodulina , Proteínas Quinasas Dependientes de Calcio-Calmodulina/antagonistas & inhibidores , Proteínas Quinasas Dependientes de Calcio-Calmodulina/genética , Células Cultivadas , Inhibidores Enzimáticos/farmacología , Genes Dominantes , Conos de Crecimiento/efectos de los fármacos , Conos de Crecimiento/enzimología , Isoquinolinas/farmacología , Naftalimidas , Inhibidores de Proteínas Quinasas , Proteínas Quinasas/genética , Proteínas Quinasas/metabolismo , Proteínas Serina-Treonina Quinasas/antagonistas & inhibidores , Proteínas Serina-Treonina Quinasas/genética , Proteínas Serina-Treonina Quinasas/metabolismo , Seudópodos/efectos de los fármacos , Seudópodos/fisiología , Ratas , Ratas Sprague-Dawley , Transfección
7.
PLoS One ; 7(10): e48119, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23118937

RESUMEN

Our group recently demonstrated that maternal high-fat diet (HFD) consumption is associated with non-alcoholic fatty liver disease, increased apoptosis, and changes in gluconeogenic gene expression and chromatin structure in fetal nonhuman primate (NHP) liver. However, little is known about the long-term effects that a HFD has on hepatic nervous system development in offspring, a system that plays an important role in regulating hepatic metabolism. Utilizing immunohistochemistry and Real-Time PCR, we quantified sympathetic nerve fiber density, apoptosis, inflammation, and other autonomic components in the livers of fetal and one-year old Japanese macaques chronically exposed to a HFD. We found that HFD exposure in-utero and throughout the postnatal period (HFD/HFD), when compared to animals receiving a CTR diet for the same developmental period (CTR/CTR), is associated with a 1.7 fold decrease in periportal sympathetic innervation, a 5 fold decrease in parenchymal sympathetic innervation, and a 2.5 fold increase in hepatic apoptosis in the livers of one-year old male animals. Additionally, we observed an increase in hepatic inflammation and a decrease in a key component of the cholinergic anti-inflammatory pathway in one-year old HFD/HFD offspring. Taken together, these findings reinforce the impact that continuous exposure to a HFD has in the development of long-term hepatic pathologies in offspring and highlights a potential neuroanatomical basis for hepatic metabolic dysfunction.


Asunto(s)
Dieta Alta en Grasa/efectos adversos , Hígado/inervación , Efectos Tardíos de la Exposición Prenatal/etiología , Sistema Nervioso Simpático/embriología , Animales , Apoptosis , Citocinas/genética , Citocinas/metabolismo , Femenino , Expresión Génica , Regulación del Desarrollo de la Expresión Génica , Transportador de Glucosa de Tipo 2/genética , Transportador de Glucosa de Tipo 2/metabolismo , Glucógeno/metabolismo , Hepatitis/etiología , Hepatitis/metabolismo , Hepatitis/patología , Mediadores de Inflamación/metabolismo , Hígado/embriología , Hígado/crecimiento & desarrollo , Hígado/metabolismo , Macaca , Masculino , Intercambio Materno-Fetal , Neuropéptido Y/metabolismo , Embarazo , Efectos Tardíos de la Exposición Prenatal/metabolismo , Efectos Tardíos de la Exposición Prenatal/patología , Receptores de Neuropéptido Y/genética , Receptores de Neuropéptido Y/metabolismo , Receptores Nicotínicos/genética , Receptores Nicotínicos/metabolismo , Fibras Simpáticas Posganglionares/metabolismo , Fibras Simpáticas Posganglionares/patología , Sistema Nervioso Simpático/crecimiento & desarrollo , Sistema Nervioso Simpático/metabolismo , Tirosina 3-Monooxigenasa/metabolismo
8.
PLoS One ; 6(2): e17261, 2011 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-21364873

RESUMEN

To begin to understand the contributions of maternal obesity and over-nutrition to human development and the early origins of obesity, we utilized a non-human primate model to investigate the effects of maternal high-fat feeding and obesity on breast milk, maternal and fetal plasma fatty acid composition and fetal hepatic development. While the high-fat diet (HFD) contained equivalent levels of n-3 fatty acids (FA's) and higher levels of n-6 FA's than the control diet (CTR), we found significant decreases in docosahexaenoic acid (DHA) and total n-3 FA's in HFD maternal and fetal plasma. Furthermore, the HFD fetal plasma n-6:n-3 ratio was elevated and was significantly correlated to the maternal plasma n-6:n-3 ratio and maternal hyperinsulinemia. Hepatic apoptosis was also increased in the HFD fetal liver. Switching HFD females to a CTR diet during a subsequent pregnancy normalized fetal DHA, n-3 FA's and fetal hepatic apoptosis to CTR levels. Breast milk from HFD dams contained lower levels of eicosopentanoic acid (EPA) and DHA and lower levels of total protein than CTR breast milk. This study links chronic maternal consumption of a HFD with fetal hepatic apoptosis and suggests that a potentially pathological maternal fatty acid milieu is replicated in the developing fetal circulation in the nonhuman primate.


Asunto(s)
Apoptosis/efectos de los fármacos , Grasas de la Dieta/efectos adversos , Ácidos Grasos Omega-3/sangre , Feto/efectos de los fármacos , Hígado/efectos de los fármacos , Fenómenos Fisiologicos Nutricionales Maternos , Animales , Apoptosis/fisiología , Dieta Aterogénica , Ácidos Grasos Omega-3/análisis , Ácidos Grasos Omega-3/metabolismo , Femenino , Sangre Fetal/química , Sangre Fetal/metabolismo , Feto/metabolismo , Feto/patología , Humanos , Hígado/embriología , Hígado/patología , Embarazo , Efectos Tardíos de la Exposición Prenatal/patología , Primates , Distribución Aleatoria
9.
J Endocrinol ; 206(1): 121-30, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20371568

RESUMEN

The central melanocortin system plays a key role in the regulation of food intake and energy homeostasis. We investigated whether genetic or pharmacologic blockade of central melanocortin signaling attenuates cardiac cachexia in mice and rats with heart failure. Permanent ligation of the left coronary artery (myocardial infarction (MI)) or sham operation was performed in wild-type (WT) or melanocortin-4 receptor (MC4R) knockout mice. Eight weeks after surgery, WT-Sham mice had significant increases in lean body mass (LBM; P<0.05) and fat mass (P<0.05), whereas WT-MI did not gain significant amounts of LBM or fat mass. Resting basal metabolic rate (BMR) was significantly lower in WT-Sham mice compared to WT-MI mice (P<0.001). In contrast, both MC4-Sham and MC4-MI mice gained significant amounts of LBM (P<0.05) and fat mass (P<0.05) over the study period. There was no significant difference in the BMR between MC4-Sham and MC4-MI mice. In the second experiment, rats received aortic bands or sham operations, and after recovery received i.c.v. injections of either artificial cerebrospinal fluid (aCSF) or the melanocortin antagonist agouti-related protein (AGRP) for 2 weeks. Banded rats receiving AGRP gained significant amount of LBM (P<0.05) and fat mass (P<0.05) over the treatment period, whereas banded rats receiving aCSF did not gain significant amounts of LBM or fat mass. These results demonstrated that genetic and pharmacologic blockade of melanocortin signaling attenuated the metabolic manifestations of cardiac cachexia in murine and rat models of heart failure.


Asunto(s)
Caquexia/prevención & control , Cardiopatías/complicaciones , Insuficiencia Cardíaca/complicaciones , Melanocortinas/fisiología , Proteína Relacionada con Agouti/administración & dosificación , Animales , Aorta , Metabolismo Basal , Composición Corporal , Caquexia/etiología , Enfermedad Crónica , Constricción , Vasos Coronarios/cirugía , Insuficiencia Cardíaca/etiología , Inyecciones Intraventriculares , Ligadura , Masculino , Melanocortinas/antagonistas & inhibidores , Melanocortinas/genética , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Infarto del Miocardio/complicaciones , Ratas , Ratas Wistar , Receptor de Melanocortina Tipo 4/deficiencia , Receptor de Melanocortina Tipo 4/genética , Receptor de Melanocortina Tipo 4/fisiología , Transducción de Señal/efectos de los fármacos , Transducción de Señal/genética
10.
Genes Cancer ; 1(4): 388-402, 2010 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-20811506

RESUMEN

Pituitary adenomas are classified into functioning and nonfunctioning (silent) tumors on the basis of hormone secretion. However, the mechanism of tumorigenesis and the cell of origin for pituitary adenoma subtypes remain to be elucidated. Employing a tamoxifen-inducible mouse model, we demonstrate that a novel postnatal Pax7(+) progenitor cell population in the pituitary gland gives rise to silent corticotroph macro-adenomas when the retinoblastoma tumor suppressor is conditionally deleted. While Pax transcriptional factors are critical for embryonic patterning as well as postnatal stem cell renewal for many organs, we have discovered that Pax7 marks a restricted cell population in the postnatal pituitary intermediate lobe. This Pax7(+) early progenitor cell population is overlapping but ontologically downstream of the Nestin(+) pituitary stem cell population, yet upstream of another newly discovered Myf6(+) late progenitor cell population. Interestingly, the Pax7(+) progenitor cell population is evolutionarily conserved in primates and humans, and Pax7 expression is maintained not only in murine tumors but also in human functioning and silent corticotropinomas. Taken together, our results strongly suggest that human silent corticotroph adenomas may in fact arise from a Pax7 lineage of the intermediate lobe, a region of the human pituitary bearing closer scientific interest as a reservoir of pituitary progenitor cells.

11.
J Neurobiol ; 66(6): 564-77, 2006 May.
Artículo en Inglés | MEDLINE | ID: mdl-16555239

RESUMEN

Tissue plasminogen activator (tPA) has been implicated in a variety of important cellular functions, including learning-related synaptic plasticity and potentiating N-methyl-D-aspartate (NMDA) receptor-dependent signaling. These findings suggest that tPA may localize to, and undergo activity-dependent secretion from, synapses; however, conclusive data supporting these hypotheses have remained elusive. To elucidate these issues, we studied the distribution, dynamics, and depolarization-induced secretion of tPA in hippocampal neurons, using fluorescent chimeras of tPA. We found that tPA resides in dense-core granules (DCGs) that traffic to postsynaptic dendritic spines and that can remain in spines for extended periods. We also found that depolarization induced by high potassium levels elicits a slow, partial exocytotic release of tPA from DCGs in spines that is dependent on extracellular Ca(+2) concentrations. This slow, partial release demonstrates that exocytosis occurs via a mechanism, such as fuse-pinch-linger, that allows partial release and reuse of DCG cargo and suggests a mechanism that hippocampal neurons may rely upon to avoid depleting tPA at active synapses. Our results also demonstrate release of tPA at a site that facilitates interaction with NMDA-type glutamate receptors, and they provide direct confirmation of fundamental hypotheses about tPA localization and release that bear on its neuromodulatory functions, for example, in learning and memory.


Asunto(s)
Espinas Dendríticas/metabolismo , Hipocampo/metabolismo , Células Piramidales/metabolismo , Transmisión Sináptica/fisiología , Activador de Tejido Plasminógeno/metabolismo , Animales , Proteínas Bacterianas , Señalización del Calcio/efectos de los fármacos , Señalización del Calcio/fisiología , Células Cultivadas , Exocitosis/efectos de los fármacos , Exocitosis/fisiología , Proteínas Luminiscentes , Potenciales de la Membrana/efectos de los fármacos , Potenciales de la Membrana/fisiología , Memoria/fisiología , Microscopía Fluorescente/métodos , Microscopía por Video/métodos , Proteínas Mutantes Quiméricas/metabolismo , Potasio/metabolismo , Potasio/farmacología , Transporte de Proteínas/fisiología , Ratas , Receptores de N-Metil-D-Aspartato/metabolismo , Vesículas Secretoras/metabolismo , Transmisión Sináptica/efectos de los fármacos , Factores de Tiempo , Activador de Tejido Plasminógeno/genética
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