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1.
Anal Chem ; 91(9): 5968-5972, 2019 05 07.
Artículo en Inglés | MEDLINE | ID: mdl-30916922

RESUMEN

We present a simple and fast methodology for measuring the two-photon (2P) action cross section of phototriggers. The method uses a standard 2P microscopy setup for both uncaging and detection and a set of lithographically made microcuvettes in order to reduce the total excitation volume and, thus, the photolysis time. The procedure does not need a standard and can be used for any caged compounds that present different emission properties before and after uncaging. We tested the method with 2P active ruthenium-based caged serotonin and compared the obtained value with a standard measure involving fluorescein as reference.

2.
Methods Appl Fluoresc ; 12(1)2023 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-37751748

RESUMEN

Fluorescence microscopy can provide valuable information about cell interior dynamics. Particularly, mean squared displacement (MSD) analysis is widely used to characterize proteins and sub-cellular structures' mobility providing the laws of molecular diffusion. The MSD curve is traditionally extracted from individual trajectories recorded by single-particle tracking-based techniques. More recently, image correlation methods like iMSD have been shown capable of providing averaged dynamic information directly from images, without the need for isolation and localization of individual particles. iMSD is a powerful technique that has been successfully applied to many different biological problems, over a wide spatial and temporal scales. The aim of this work is to review and compare these two well-established methodologies and their performance in different situations, to give an insight on how to make the most out of their unique characteristics. We show the analysis of the same datasets by the two methods. Regardless of the experimental differences in the input data for MSD or iMSD analysis, our results show that the two approaches can address equivalent questions for free diffusing systems. We focused on studying a range of diffusion coefficients between D = 0.001µm2s-1and D = 0.1µm2s-1, where we verified that the equivalence is maintained even for the case of isolated particles. This opens new opportunities for studying intracellular dynamics using equipment commonly available in any biophysical laboratory.

3.
Chemphyschem ; 13(4): 1087-92, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22298327

RESUMEN

Labeling cells and tissues with fluorescent probes, such as organic dyes and quantum dots (Qdots) is a widespread and successful technique for studying molecular dynamics both in vitro and in vivo. However, those probes usually suffer from undesirable photophysical/photochemical processes, such as blinking and photobleaching, limiting their utilization. The main challenges in fluorescent probe design are to improve their absorption/emission properties, and to provide higher stability against photobleaching. In the last few years, metallic nanoparticles (NPs) of various sizes, shapes, and compositions have been used as a new alternative for cellular microscopy. This is in part because-unlike common organic dyes and Qdots-metallic NPs do not bleach or blink upon continuous illumination, are extremely stable, very bright, and their luminescence spans over the visible spectrum. These characteristics make them attractive contrast agents for cell imaging both in vitro and in vivo. For these reasons, the emission of metallic NPs in bulk solutions has already been extensively characterized. In contrast with bulk experiments, where billions of molecules are measured simultaneously, single-particle techniques allow the observation of characteristics and dynamical processes otherwise hidden in the measured average. A full understanding of the photophysical properties of the NPs is critical when they are used for single-molecule applications. Photophysical processes can be a source of artifacts if they are not interpreted accordingly, and thus a careful characterization of these labels at the single-particle level became crucial for the correct interpretation of the experimental results. Herein, we study some of their unique optical properties at the single-particle level and show examples that illustrate their intrinsic heterogeneity when used in biological environments.


Asunto(s)
Oro/química , Nanopartículas del Metal/química , Animales , Células CHO , Cricetinae , Cricetulus , Hidrazinas/química , Microscopía Fluorescente , Polietileneimina/química
4.
Soft Matter ; 8(30): 7919-7927, 2012 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-25152766

RESUMEN

Three-dimensional single-particle tracking (SPT) was used to calculate the mean square displacement (MSD) and the diffusion coefficients of multicomponent cationic liposome-DNA complexes (lipoplexes) in CHO-K1 living cells. In untreated (NT) control cells, we found that the intracellular lipoplex motion was either directed or Brownian with active transportation being definitely more frequent (more than 70%) than Brownian diffusion. The MSD analysis was supported by the calculation of the three-dimensional asphericity, A3, which was close to unity, denoting the preponderant occurrence of movement along a direction. To elucidate the role of the cytoskeleton structure in the lipoplex trafficking, cells were treated with cytoskeleton (actin microfilaments and microtubules) polymerization inhibitors (latrunculin B and nocodazole, respectively). When cells were treated with inhibitors, the lipoplex movement tended towards a random walk at the expense of directed motion. The disassembly of microtubules had a stronger effect on the reduction of directional movement than that of actin microfilaments. Relevance of the results for enhanced gene delivery is discussed.

5.
Nano Lett ; 11(11): 4656-60, 2011 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-21919444

RESUMEN

Using near-infrared femtosecond pulses, we move single gold nanoparticles (AuNPs) along biological fibers, such as collagen and actin filaments. While the AuNP is sliding on the fiber, its trajectory is measured in three dimensions (3D) with nanometer resolution providing a high-resolution image of the fiber. Here, we systematically moved a single AuNP along nanometer-size collagen fibers and actin filament inside chinese hamster ovary K1 living cells, mapping their 3D topography with high fidelity.


Asunto(s)
Actinas/ultraestructura , Colágeno/ultraestructura , Oro , Imagenología Tridimensional/métodos , Imagen Molecular/métodos , Nanopartículas , Pinzas Ópticas , Animales , Células CHO , Cricetinae , Cricetulus , Oro/efectos de la radiación , Aumento de la Imagen/métodos , Rayos Infrarrojos , Conformación Molecular , Movimiento (Física) , Nanopartículas/efectos de la radiación
6.
Methods Appl Fluoresc ; 10(4)2022 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-36067776

RESUMEN

Eisosomes are nanoscale plasma membrane domains shaped as furrow-like invaginations. InSaccharomyces cerevisiaethese relatively immobile and uniform structures are mainly composed of two cytoplasmic proteins Pil1 and Lsp1. The present work uses fluctuation of fluorescence signals and analytical methods to determine Pil1 and Lsp1 dynamics at different subcellular locations. Using scanning techniques and autocorrelation analysis we determine that the cytoplasmic pools of Pil1 and Lsp1 behave mainly by passive diffusion. Single-point FCS experiments performed at several subcellular locations reveal that Pil1 mobility is faster in daughter cells. Furthermore, pair correlation function analysis indicates a rapid dynamic of Pil1 near the plasma membrane of growing yeast buds, where the membrane is expected to be actively assembling eisosomes.


Asunto(s)
Proteínas de Saccharomyces cerevisiae , Membrana Celular/metabolismo , Femenino , Humanos , Madres , Fosfoproteínas/química , Fosfoproteínas/metabolismo , Saccharomyces cerevisiae , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/metabolismo
7.
Methods Mol Biol ; 2409: 99-117, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34709638

RESUMEN

It has become increasingly evident that unveiling the mechanisms of virus entry, assembly, and virion release is fundamental for identifying means for preventing viral spread and controlling viral disease. Due to virus mobility and structural and/or functional heterogeneity among viral particles, high spatiotemporal resolution single-virus/single-particle techniques are required to capture the behavior of viral particles inside infected cells.In this chapter, we present fluorescence imaging analysis methods for studying the mobility of fluorescently labeled dengue virus (DENV) proteins in live infected cells. Some of the most recent Fluorescence Fluctuation Spectroscopy (FFS) methods will be presented and, in particular, the pair Correlation Functions (pCF) approach will be discussed. The pCF method does not require individual molecule isolation, as in a particle-tracking experiment, to capture single viral protein behavior. In this regard, image acquisition is followed by the spatiotemporal cross-correlation function at increasing time delays, yielding a quantitative view of single-particle mobility in intact live infected cells.We provide a general overview and a practical guidance for the implementation of advanced FFS techniques, and the pair Correlation Functions analysis, as quantitative tools to reveal insights into previously unreported DENV mechanisms. We expect this protocol report will serve as an incentive for further applying correlation imaging studies in virology research.


Asunto(s)
Virus del Dengue , Dengue , Cápside , Proteínas de la Cápside , Humanos , Virión , Internalización del Virus
8.
Sci Rep ; 11(1): 24415, 2021 12 24.
Artículo en Inglés | MEDLINE | ID: mdl-34952906

RESUMEN

Flaviviruses are major human disease-causing pathogens, including dengue virus (DENV), Zika virus, yellow fever virus and others. DENV infects hundreds of millions of people per year around the world, causing a tremendous social and economic burden. DENV capsid (C) protein plays an essential role during genome encapsidation and viral particle formation. It has been previously shown that DENV C enters the nucleus in infected cells. However, whether DENV C protein exhibits nuclear export remains unclear. By spatially cross-correlating different regions of the cell, we investigated DENV C movement across the nuclear envelope during the infection cycle. We observed that transport takes place in both directions and with similar translocation times (in the ms time scale) suggesting a bidirectional movement of both C protein import and export.Furthermore, from the pair cross-correlation functions in cytoplasmic or nuclear regions we found two populations of C molecules in each compartment with fast and slow mobilities. While in the cytoplasm the correlation times were in the 2-6 and 40-110 ms range for the fast and slow mobility populations respectively, in the cell nucleus they were 1-10 and 25-140 ms range, respectively. The fast mobility of DENV C in cytoplasmic and nuclear regions agreed with the diffusion coefficients from Brownian motion previously reported from correlation analysis. These studies provide the first evidence of DENV C shuttling from and to the nucleus in infected cells, opening new venues for antiviral interventions.


Asunto(s)
Proteínas de la Cápside/ultraestructura , Virus del Dengue/ultraestructura , Dengue/virología , Transporte Activo de Núcleo Celular , Animales , Línea Celular , Cricetinae
9.
Sci Rep ; 10(1): 8751, 2020 05 29.
Artículo en Inglés | MEDLINE | ID: mdl-32472078

RESUMEN

Dengue is the single most important human viral infection transmitted by insects. The function of the viral proteins andtheir interactions with the host cell is under exhaustive investigation with the aim of identifying antiviral strategies. Here,using recombinant full-length dengue virus genomes, carrying a fluorescent mCherry fused to capsid, we studied biophysicalproperties of the viral protein during one infectious cycle in living cells. Dengue virus capsid protein associates to differentcellular compartments but its function in these locations is largely unknown. We evaluated the diffusion of capsid inside the celland determined a higher effective diffusion coefficient in the cytoplasm than in the nucleus. Using advanced fluorescencecorrelation methods, including the recently developed two-dimensional pair correlation analysis, we constructed for the first timehigh resolution maps of capsid mobility in an infected cell. We observed that the motion of capsid in the nucleoplasm-nucleolusinterface was highly organized, indicating an obstacle in this interface. Although nucleoli are membraneless structures, theydisplayed liquid-liquid phase separation. Once inside nucleoli, the protein showed isotropic mobility, indicating free diffusion orimmobilized capsid inside these structures. This is the first study presenting spatial and temporal dynamics of the dengue viruscapsid protein during infection.


Asunto(s)
Proteínas de la Cápside/metabolismo , Virus del Dengue/fisiología , Dengue/virología , Animales , Proteínas de la Cápside/genética , Compartimento Celular , Línea Celular , Sistemas de Computación , Cricetinae , Difusión , Fibroblastos , Genes Reporteros , Humanos , Proteínas Luminiscentes/análisis , Proteínas Luminiscentes/genética , Mesocricetus , Microscopía Confocal , Movimiento (Física) , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo , Espectrometría de Fluorescencia , Fracciones Subcelulares/química , Imagen de Lapso de Tiempo , Proteína Fluorescente Roja
10.
Microsc Res Tech ; 82(11): 1835-1842, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31318476

RESUMEN

The localization of surfaces inhomogeneities is central to many areas of technology, chemistry and biology, ranging from surface defects in industry to the identification and screening of early bio-defects inside cells. The development of methods that enable direct, sensitive, and rapid detection of those inhomogeneities is both relevant and timely. To address this challenge, we developed a far-field nanoimaging method to detect the presence of surface's nanodefects that modify the signal emitted by gold nanoparticles (AuNPs) under laser irradiation. Our technique is based on the formation of hot spots due to the confinement of light in the proximity of the AuNP, whose positions depend on the polarization direction of the incident beam. An inhomogeneity is detected as an increase in the intensity collected from the hot spots when a laser beam is orbiting the nanoparticle and the incident polarization direction of the laser beam is changed periodically.

11.
Opt Express ; 16(25): 20597-602, 2008 Dec 08.
Artículo en Inglés | MEDLINE | ID: mdl-19065198

RESUMEN

We present an experimental and theoretical study of a new scheme for Near-Field Fluorescence Correlation Spectroscopy that, using the field enhancement by optical nanoantennas, allows the reduction of the observation volume 4 orders of magnitude below the diffraction limit. This reduction can be used in two different ways: to increase the sample concentration and to improve the spatial resolution of the dynamics under study. Our experimental results using individual gold nanoparticles and a 150 microM Rose Bengal solution in glycerol confirm the volume reduction.


Asunto(s)
Diseño Asistido por Computadora , Modelos Teóricos , Nanoestructuras/química , Nanoestructuras/ultraestructura , Espectrometría de Fluorescencia/instrumentación , Espectrometría de Fluorescencia/métodos , Simulación por Computador , Diseño de Equipo , Análisis de Falla de Equipo , Luz , Reproducibilidad de los Resultados , Dispersión de Radiación , Sensibilidad y Especificidad
12.
Methods Appl Fluoresc ; 6(1): 014003, 2017 12 19.
Artículo en Inglés | MEDLINE | ID: mdl-28901956

RESUMEN

Most accepted single particle tracking methods are able to obtain high-resolution trajectories for relatively short periods of time. In this work we apply a straightforward combination of single-particle tracking microscopy and metallic nanoparticles internalization on mouse chromaffin cells to unveil the intracellular trafficking mechanism of metallic-nanoparticle-loaded vesicles (MNP-V) complexes after clathrin dependent endocytosis. We found that directed transport is the major route of MNP-Vs intracellular trafficking after stimulation (92.6% of the trajectories measured). We then studied the MNP-V speed at each point along the trajectory, and found that the application of a second depolarization stimulus during the tracking provokes an increase in the percentage of low-speed trajectory points in parallel with a decrease in the number of high-speed trajectory points. This result suggests that stimulation may facilitate the compartmentalization of internalized MNPs in a more restricted location such as was already demonstrated in neuronal and neuroendocrine cells (Bronfman et al 2003 J. Neurosci. 23 3209-20). Although further experiments will be required to address the mechanisms underlying this transport dynamics, our studies provide quantitative evidence of the heterogeneous behavior of vesicles mobility after endocytosis in chromaffin cells highlighting the potential of MNPs as alternative labels in optical microscopy to provide new insights into the vesicles dynamics in a wide variety of cellular environments.


Asunto(s)
Clorpromazina/farmacología , Células Cromafines/metabolismo , Clatrina/metabolismo , Oro/administración & dosificación , Nanopartículas del Metal/administración & dosificación , Animales , Células Cultivadas , Endocitosis/efectos de los fármacos , Femenino , Masculino , Ratones , Potasio/farmacología , Imagen Individual de Molécula
14.
PLoS One ; 10(4): e0124975, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25909648

RESUMEN

Metallic nanoparticles (NPs) are able to modify the excitation and emission rates (plasmonic enhancement) of fluorescent molecules in their close proximity. In this work, we measured the emission spectra of 20 nm Gold Nanoparticles (AuNPs) fixed on a glass surface submerged in a solution of different fluorophores using a spectral camera and 2-photon excitation. While on the glass surface, we observed the presence in the emission at least 3 components: i) second harmonic signal (SHG), ii) a broad emission from AuNPS and iii) fluorescence arising from fluorophores nearby. When on the glass surface, we found that the 3 spectral components have different relative intensities when the incident direction of linear polarization was changed indicating different physical origins for these components. Then we measured by fluctuation correlation spectroscopy (FCS) the scattering and fluorescence signal of the particles alone and in a solution of 100 nM EGFP using the spectral camera or measuring the scattering and fluorescence from the particles. We observed occasional fluorescence bursts when in the suspension we added fluorescent proteins. The spectrum of these burst was devoid of the SHG and of the broad emission in contrast to the signal collected from the gold nanoparticles on the glass surface. Instead we found that the spectrum during the burst corresponded closely to the spectrum of the fluorescent protein. An additional control was obtained by measuring the cross-correlation between the reflection from the particles and the fluorescence arising from EGFP both excited at 488 nm. We found a very weak cross-correlation between the AuNPs and the fluorescence confirming that the burst originate from a few particles with a fluorescence signal.


Asunto(s)
Colorantes Fluorescentes/química , Oro/química , Nanopartículas del Metal/química , Fotones , Espectrometría de Fluorescencia/métodos
15.
Ther Deliv ; 4(2): 191-202, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23343159

RESUMEN

BACKGROUND: Lipid-mediated delivery of DNA is hindered by extracellular and intracellular barriers that significantly reduce the transfection efficiency of synthetic nonviral vectors. RESULTS: In this study we investigated the role of the actin and microtubule networks on the uptake and cytoplasmic transport of multicomponent cationic liposome-DNA complexes in CHO-K1 live cells by means of confocal laser scanning microscopy and 3D single particle tracking. Treatment with actin (latrunculin B)- and microtubule-disrupting (nocodazole) reagents indicated that intracellular trafficking of complexes predominantly involves microtubule-dependent active transport. We found that the actin network has a major effect on the initial uptake of complexes, while the microtubule network is mainly responsible for the subsequent active transportation to the lysosomes. CONCLUSION: Collectively, a strategy to improve the efficiency of lipid gene vectors can be formulated. We could find a lipid formulation that allows the nanoparticles to avoid the microtubule pathway to lysosomes.


Asunto(s)
Actinas/metabolismo , ADN/administración & dosificación , Lípidos/química , Microtúbulos/metabolismo , Animales , Transporte Biológico Activo , Compuestos Bicíclicos Heterocíclicos con Puentes/farmacología , Células CHO , Cationes , Cricetinae , Cricetulus , Citoplasma/metabolismo , Citoesqueleto/metabolismo , ADN/farmacocinética , Liposomas , Microscopía Confocal , Nocodazol/farmacología , Tiazolidinas/farmacología , Transfección
16.
J Phys Chem B ; 116(7): 2306-13, 2012 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-22235949

RESUMEN

The behavior of a fluorophore near a gold nanoparticle is rationalized by a theoretical description of the parameters that modify the fluorescence emission: nanoparticle-fluorophore distance, fluorescence quantum yield (φ(0)), and fluorophore absorption and emission spectra, to find optimum conditions for designing fluorophore-nanoparticle probes. The theoretical maximum gain in brightness of the nanoparticle-fluorophore system with respect to the isolated molecule increases almost inversely proportional to φ(0). The brightness enhancement in imaging experiments in vitro was assessed by using Au-SiO(2) core-shell nanoparticles deposited on glass. A ~13-fold emission brightness enhancement for weakly fluorescent molecules was observed. A significant increase in fluorophore photostability, rendering longer imaging times, was obtained for fluorophores interacting with gold nanoparticles incorporated by endocytosis in cells. Our results illustrate a way to increase imaging times and to study molecules in the vicinity of a metallic nanoparticle after photobleaching of background fluorescence.


Asunto(s)
Colorantes Fluorescentes/química , Oro/química , Nanopartículas del Metal/química , Microscopía Fluorescente/métodos , Animales , Células Cultivadas , Melanóforos/citología , Dióxido de Silicio/química , Xenopus laevis
17.
Biomed Opt Express ; 2(3): 511-9, 2011 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-21412457

RESUMEN

We describe 3D single particle tracking of gold nanoparticles (AuNPs) moving along collagen fibers in aqueous environment with two-photon excitation conditions. The photoacoustic effect at the collagen fiber caused by the irradiation with ultrashort, near-infrared laser pulses propels the particles adsorbed to the surface of the collagen fibers. We report the tracking of individual AuNPs in three dimensions with high spatial and temporal resolution, of few nanometers and milliseconds, respectively. Due to the emission signal caused by the interaction between the AuNPs and the weak chromophores in the collagen fiber, the trajectories of individual AuNPs reveal the fiber topography with nanometric resolution. The intensity along the trajectory shows that we are sensitive to the distribution of the weak chromophores on the fiber.

18.
PLoS One ; 6(5): e20201, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21629793

RESUMEN

Methods for tuning extracellular matrix (ECM) mechanics in 3D cell culture that rely on increasing the concentration of either protein or cross-linking molecules fail to control important parameters such as pore size, ligand density, and molecular diffusivity. Alternatively, ECM stiffness can be modulated independently from protein concentration by mechanically loading the ECM. We have developed a novel device for generating stiffness gradients in naturally derived ECMs, where stiffness is tuned by inducing strain, while local mechanical properties are directly determined by laser tweezers based active microrheology (AMR). Hydrogel substrates polymerized within 35 mm diameter Petri dishes are strained non-uniformly by the precise rotation of an embedded cylindrical post, and exhibit a position-dependent stiffness with little to no modulation of local mesh geometry. Here we present the device in the context of fibrin hydrogels. First AMR is used to directly measure local micromechanics in unstrained hydrogels of increasing fibrin concentration. Changes in stiffness are then mapped within our device, where fibrin concentration is held constant. Fluorescence confocal imaging and orbital particle tracking are used to quantify structural changes in fibrin on the micro and nano levels respectively. The micromechanical strain stiffening measured by microrheology is not accompanied by ECM microstructural changes under our applied loads, as measured by confocal microscopy. However, super-resolution orbital tracking reveals nanostructural straightening, lengthening, and reduced movement of fibrin fibers. Furthermore, we show that aortic smooth muscle cells cultured within our device are morphologically sensitive to the induced mechanical gradient. Our results demonstrate a powerful cell culture tool that can be used in the study of mechanical effects on cellular physiology in naturally derived 3D ECM tissues.


Asunto(s)
Fibrina/química , Animales , Bovinos , Hidrogeles/química , Microscopía Confocal , Reología
19.
PLoS One ; 6(9): e25458, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21980464

RESUMEN

BACKGROUND: Distinguishing human neural stem/progenitor cell (huNSPC) populations that will predominantly generate neurons from those that produce glia is currently hampered by a lack of sufficient cell type-specific surface markers predictive of fate potential. This limits investigation of lineage-biased progenitors and their potential use as therapeutic agents. A live-cell biophysical and label-free measure of fate potential would solve this problem by obviating the need for specific cell surface markers. METHODOLOGY/PRINCIPAL FINDINGS: We used dielectrophoresis (DEP) to analyze the biophysical, specifically electrophysiological, properties of cortical human and mouse NSPCs that vary in differentiation potential. Our data demonstrate that the electrophysiological property membrane capacitance inversely correlates with the neurogenic potential of NSPCs. Furthermore, as huNSPCs are continually passaged they decrease neuron generation and increase membrane capacitance, confirming that this parameter dynamically predicts and negatively correlates with neurogenic potential. In contrast, differences in membrane conductance between NSPCs do not consistently correlate with the ability of the cells to generate neurons. DEP crossover frequency, which is a quantitative measure of cell behavior in DEP, directly correlates with neuron generation of NSPCs, indicating a potential mechanism to separate stem cells biased to particular differentiated cell fates. CONCLUSIONS/SIGNIFICANCE: We show here that whole cell membrane capacitance, but not membrane conductance, reflects and predicts the neurogenic potential of human and mouse NSPCs. Stem cell biophysical characteristics therefore provide a completely novel and quantitative measure of stem cell fate potential and a label-free means to identify neuron- or glial-biased progenitors.


Asunto(s)
Diferenciación Celular , Fenómenos Electrofisiológicos , Células-Madre Neurales/citología , Animales , Membrana Celular/metabolismo , Separación Celular , Capacidad Eléctrica , Electroforesis , Femenino , Humanos , Ratones , Neuroglía/citología , Neuronas/citología , Embarazo
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