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1.
J Exp Biol ; 219(Pt 24): 3981-3987, 2016 12 15.
Artículo en Inglés | MEDLINE | ID: mdl-27802145

RESUMEN

Escape behaviors have been studied in zebrafish by neuroscientists seeking cellular-level descriptions of neural circuits but few studies have examined vertical swimming during escapes. We analyzed three-dimensional swimming paths of zebrafish larvae during visually-evoked and auditory-evoked escapes while the fish were in a cubical tank with equal vertical and lateral range. Visually evoked escapes, elicited by sudden dimming of ambient light, consistently elicited downward spiral swimming (dives) with faster vertical than lateral movement. Auditory taps also elicited rapid escape swimming with equivalent total distance traveled but with significantly less vertical and more lateral movement. Visually evoked dives usually ended with the zebrafish hitting the bottom of the 10 cm3 tank. Therefore, visually evoked dives were also analyzed in a tubular tank with 50 cm of vertical range, and in most cases larvae reached the bottom of that tank during a 120 s dimming stimulus. Light-evoked spiral diving in zebrafish may be an innate defense reflex against specific predation threats. Since visual and auditory escapes are initially similar but dives persist only during visual escapes, our findings lay the groundwork for studying a type of decision-making within zebrafish sensorimotor circuits.


Asunto(s)
Percepción Auditiva/fisiología , Buceo/fisiología , Reacción de Fuga/fisiología , Movimiento (Física) , Natación/fisiología , Percepción Visual/fisiología , Pez Cebra/fisiología , Animales , Larva/fisiología , Movimiento , Estimulación Luminosa , Grabación en Video
2.
Physiol Behav ; 263: 114119, 2023 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-36787812

RESUMEN

Eye contact with another person (social gaze) can evoke emotions, produce autonomic arousal, and influence behavior. Gaze cues can be evocative even when presented in static pictures of faces suggesting that responses depend on low-level visual features of gaze stimuli. The current study examined whether emotional gaze responses depend on the physical stimulus properties of an eye contact experience versus the cognitive evaluation of the social context of gaze. This was done by comparing skin conductance responses (SCR), an index of emotional arousal, during episodes of social gaze and 'self-gaze' (gazing at one's own eyes in a mirror), keeping other aspects of the viewing conditions constant. We compared SCRs during social gaze and self-gaze in forty participant pairs. Each participant engaged in ten, 20 second eye contact trials, alternating between social and self-gaze. Self-gaze episodes produced significant SCRs but social gaze SCR's were larger and occurred more reliably. SCRs decreased across trials (habituation effect) in both conditions. We speculated that social gaze between opposite sex partners might yield larger SCRs but this was not found. Overall, these results conceptually replicate previous findings of (likely top-town) cognitive regulation of autonomic gaze responses based on evaluation of the social context.


Asunto(s)
Emociones , Fijación Ocular , Humanos , Emociones/fisiología , Nivel de Alerta/fisiología , Medio Social , Ojo
3.
J Comp Neurol ; 531(1): 48-57, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36217249

RESUMEN

The neuronal chloride (Cl-) exporter, KCC2, regulates neuron excitability and development and undergoes a stereotypical pattern of delayed upregulation as neurons mature. KCC2 upregulation favors neural inhibition by establishing a negative Cl- gradient, ensuring GABA-induced Cl- currents are inward and inhibitory. We developed a zebrafish fluorescent reporter line, KCC2b:mCitrine, to track KCC2 expression in vivo during early brain development. KCC2b:mCitrine was first detected at 16 h postfertilization and by day 6 labeled most central and peripheral neurons and processes. At 20 h, expression was greatest in the soma-dense basal neuroepithelium but largely absent in apical and mantle zones where differentiation and migration primarily occur, and time lapse imaging at this stage supports a postmigration upregulation of KCC2b. Central dopamine neurons showed low KCC2b expression as observed in other species. KCC2b:mCitrine fluorescence was stable over minutes in most neurons, but brightness transients observed in single cells fit our expectation for real-time tracking of KCC2b upregulation in new neurons. To further assess whether fluorescence brightness tracks KCC2b expression, zebrafish embryos were exposed to bisphenol-A (BPA), which is known to suppress KCC2 expression. Fluorescence decreased after 6 days of BPA exposure but not after 2 or 4 days, suggesting that it is an accurate but delayed indicator of KCC2b expression. KCC2b:mCitrine zebrafish present a new method for visualizing KCC2b's complex dynamics during brain development, and potentially screening compounds aimed at modulating KCC2 expression.


Asunto(s)
Simportadores , Animales , Simportadores/metabolismo , Pez Cebra/metabolismo , Neuronas/metabolismo , Encéfalo/metabolismo
4.
Behav Brain Res ; 194(2): 138-45, 2008 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-18655807

RESUMEN

Cytokine-induced CNS inflammation has been theorized to contribute to cognitive dysfunction in sickness and neurodegenerative disease. We investigated the effects of systemic endotoxin-induced acute immune activation and inflammation on working memory and attention functions in pigeons assessed through two variations of an operant symbolic matching-to-sample (SMTS) task, employing doses of lipopolysaccharide (LPS) sufficient to induce fever. LPS produced moderate impairments in comparison to saline on the SMTS task designed to measure visual vigilance and attention, but the impairments were not as marked as those produced by chlordiazepoxide (CDP) which is known to disrupt attention. In contrast, LPS had no significant effect on short-term working memory performance compared to saline, while scopolamine, a cholinergic antagonist known to disrupt working memory, did impair performance. The results have implications for the cognitive impairments seen in illnesses characterized by chronic cytokine activation (e.g., Alzheimer's disease) as well as illnesses treated with cytokines (e.g., multiple sclerosis) suggesting that some cognitive failures attributed to working memory impairments per se may better be attributed to prior attention impairments.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/inducido químicamente , Lipopolisacáridos/administración & dosificación , Memoria a Corto Plazo/efectos de los fármacos , Análisis de Varianza , Animales , Conducta Animal/efectos de los fármacos , Temperatura Corporal/efectos de los fármacos , Columbidae , Pruebas Neuropsicológicas , Tiempo de Reacción/efectos de los fármacos
5.
PLoS Genet ; 1(5): e66, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16311625

RESUMEN

The visual system converts the distribution and wavelengths of photons entering the eye into patterns of neuronal activity, which then drive motor and endocrine behavioral responses. The gene products important for visual processing by a living and behaving vertebrate animal have not been identified in an unbiased fashion. Likewise, the genes that affect development of the nervous system to shape visual function later in life are largely unknown. Here we have set out to close this gap in our understanding by using a forward genetic approach in zebrafish. Moving stimuli evoke two innate reflexes in zebrafish larvae, the optomotor and the optokinetic response, providing two rapid and quantitative tests to assess visual function in wild-type (WT) and mutant animals. These behavioral assays were used in a high-throughput screen, encompassing over half a million fish. In almost 2,000 F2 families mutagenized with ethylnitrosourea, we discovered 53 recessive mutations in 41 genes. These new mutations have generated a broad spectrum of phenotypes, which vary in specificity and severity, but can be placed into only a handful of classes. Developmental phenotypes include complete absence or abnormal morphogenesis of photoreceptors, and deficits in ganglion cell differentiation or axon targeting. Other mutations evidently leave neuronal circuits intact, but disrupt phototransduction, light adaptation, or behavior-specific responses. Almost all of the mutants are morphologically indistinguishable from WT, and many survive to adulthood. Genetic linkage mapping and initial molecular analyses show that our approach was effective in identifying genes with functions specific to the visual system. This collection of zebrafish behavioral mutants provides a novel resource for the study of normal vision and its genetic disorders.


Asunto(s)
Conducta Animal , Visión Ocular , Animales , Axones , Etilnitrosourea/farmacología , Regulación de la Expresión Génica , Ligamiento Genético , Técnicas Genéticas , Mutagénesis , Fenómenos Fisiológicos Oculares , Fenotipo , Células Fotorreceptoras , Pez Cebra
6.
J Neurosci ; 25(40): 9294-303, 2005 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-16207889

RESUMEN

Many vertebrates are efficient hunters and recognize their prey by innate neural mechanisms. During prey capture, the internal representation of the prey's location must be constantly updated and made available to premotor neurons that convey the information to spinal motor circuits. We studied the neural substrate of this specialized visuomotor system using high-speed video recordings of larval zebrafish and laser ablations of candidate brain structures. Seven-day-old zebrafish oriented toward, chased, and consumed paramecia with high accuracy. Lesions of the retinotectal neuropil primarily abolished orienting movements toward the prey. Wild-type fish tested in darkness, as well as blind mutants, were impaired similarly to tectum-ablated animals, suggesting that prey capture is mainly visually mediated. To trace the pathway further, we examined the role of two pairs of identified reticulospinal neurons, MeLc and MeLr, located in the nucleus of the medial longitudinal fasciculus of the tegmentum. These two neurons extend dendrites into the ipsilateral tectum and project axons into the spinal cord. Ablating MeLc and MeLr bilaterally impaired prey capture but spared several other behaviors. Ablating different sets of reticulospinal neurons did not impair prey capture, suggesting a selective function of MeLr and MeLc in this behavior. Ablating MeLc and MeLr neurons unilaterally in conjunction with the contralateral tectum also mostly abolished prey capture, but ablating them together with the ipsilateral tectum had a much smaller effect. These results suggest that MeLc and MeLr function in series with the tectum, as part of a circuit that coordinates prey capture movements.


Asunto(s)
Percepción de Movimiento/fisiología , Neuronas/fisiología , Conducta Predatoria/fisiología , Desempeño Psicomotor/fisiología , Techo del Mesencéfalo/citología , Visión Ocular/fisiología , Animales , Animales Modificados Genéticamente , Conducta Animal , Conducta Exploratoria/efectos de la radiación , Lateralidad Funcional/fisiología , Proteínas Fluorescentes Verdes/biosíntesis , Proteínas Hedgehog , Larva , Actividad Motora/fisiología , Orientación/fisiología , Tiempo de Reacción/fisiología , Colículos Superiores/fisiología , Transactivadores/metabolismo , Factores de Transcripción/biosíntesis , Factores de Transcripción/genética , Vías Visuales/citología , Vías Visuales/fisiología , Pez Cebra
7.
Neurotoxicol Teratol ; 52(Pt A): 51-6, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26546233

RESUMEN

Dopamine signaling is conserved across all animal species and has been implicated in the disease process of many neurological disorders, including Parkinson's disease (PD). The primary neuropathology in PD involves the death of dopaminergic cells in the substantia nigra (SN), an anatomical region of the brain implicated in dopamine production and voluntary motor control. Increasing evidence suggests that the neurotransmitter dopamine may have a neurotoxic metabolic product (DOPAL) that selectively damages dopaminergic cells. This study was designed to test this theory of oxidative damage in an animal model of Parkinson's disease, using a transgenic strain of zebrafish with fluorescent labeling of cells that express the dopamine transporter. The pretectum and ventral diencephalon exhibited reductions in cell numbers due to L-DOPA treatment while reticulospinal neurons that do not express the DAT were unaffected, and this was partially rescued by monoamine oxidase inhibition. Consistent with the MPTP model of PD in zebrafish larvae, spontaneous locomotor behavior in L-DOPA treated animals was depressed following a 24-h recovery period, while visually-evoked startle response rates and latencies were unaffected.


Asunto(s)
Proteínas de Transporte de Dopamina a través de la Membrana Plasmática/metabolismo , Neuronas Dopaminérgicas/efectos de los fármacos , Neuronas Dopaminérgicas/metabolismo , Levodopa/toxicidad , Actividad Motora/efectos de los fármacos , Animales , Diencéfalo/efectos de los fármacos , Diencéfalo/metabolismo , Modelos Animales de Enfermedad , Estrés Oxidativo/efectos de los fármacos , Área Pretectal/efectos de los fármacos , Área Pretectal/metabolismo , Pez Cebra
8.
J Comp Neurol ; 459(2): 186-200, 2003 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-12640669

RESUMEN

We report here the pattern of axonal branching for 11 descending cell types in the larval brainstem; eight of these cell types are individually identified neurons. Large numbers of brainstem neurons were retrogradely labeled in living larvae by injecting Texas-red dextran into caudal spinal cord. Subsequently, in each larva a single identified cell was injected in vivo with Alexa 488 dextran, using fluorescence microscopy to guide the injection pipette to the targeted cell. The filling of cells via pressure pulses revealed distinct and often extensive spinal axon collaterals for the different cell types. Previous fills of the Mauthner cell had revealed short, knob-like collaterals. In contrast, the two segmental homologs of the Mauthner cell, cells MiD2cm and MiD3cm, showed axon collaterals with extensive arbors recurring at regular intervals along nearly the full extent of spinal cord. Furthermore, the collaterals of MiD2cm crossed the midline at frequent intervals, yielding bilateral arbors that ran in the rostral-caudal direction. Other medullary reticulospinal cells, as well as cells of the nucleus of the medial longitudinal fasciculus (nMLF), also exhibited extensive spinal collaterals, although the patterns differed for each cell type. For example, nMLF cells had extensive collaterals in caudal medulla and far-rostral spinal cord, but these collaterals became sparse more caudally. Two cell types (CaD and RoL1) showed arbors projecting ventrally from a dorsally situated stem axon. Additional cell-specific features that seemed likely to be of physiological significance were observed. The rostral-caudal distribution of axon collaterals was of particular interest because of its implications for the descending control of the larva's locomotive repertoire. Because the same individual cell types can be identified from fish to fish, these anatomical observations can be directly linked to data obtained in other kinds of experiments. For example, 9 of the 11 cell types examined here have been shown to be active during escape behaviors.


Asunto(s)
Tronco Encefálico/anatomía & histología , Tronco Encefálico/crecimiento & desarrollo , Neuronas/citología , Nervios Espinales/citología , Pez Cebra/anatomía & histología , Animales , Transporte Axonal/fisiología , Tronco Encefálico/química , Tronco Encefálico/enzimología , Colorantes Fluorescentes/análisis , Inmunohistoquímica , Larva , Neuronas/química , Tractos Piramidales/anatomía & histología , Tractos Piramidales/química , Tractos Piramidales/embriología , Tractos Piramidales/crecimiento & desarrollo , Nervios Espinales/química , Nervios Espinales/embriología , Pez Cebra/embriología , Pez Cebra/crecimiento & desarrollo
9.
Soc Neurosci ; 9(5): 504-13, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24933604

RESUMEN

Experiences of social exclusion elicit social pain responses. The current study examined the ability of social exclusion to activate physiological stress responses and adaptively modulate affect and empathy consistent with "defensive emotional analgesia." Measures of affect and empathy, and saliva samples for cortisol and alpha-amylase (sAA) analysis, were collected before and after subjects participated in a computer game ("Cyberball") designed to manipulate feelings of social exclusion. Contrary to our hypotheses, social exclusion was associated with a reduction in cortisol, and social inclusion with an increase in cortisol. Both Cyberball groups showed increases in sAA and decreases in both positive and negative affect, with the greatest drop in affect occurring after social exclusion. Empathy did not differ between the social exclusion and inclusion groups and was not correlated with cortisol or sAA levels. These results support the presence of a defensive response to social exclusion in which central stress pathways controlling cortisol release are inhibited. Cortisol and sAA were shown to have distinct patterns of responses to psychological stress, with sAA responding more rapidly. Related methodological concerns for the use of these physiological stress markers and of Cyberball in social neuroscience research are discussed.


Asunto(s)
Empatía/fisiología , Distancia Psicológica , Estrés Psicológico/fisiopatología , Afecto/fisiología , Femenino , Humanos , Hidrocortisona/metabolismo , Masculino , Modelos Neurológicos , Pruebas Neuropsicológicas , Saliva/metabolismo , Juegos de Video , Adulto Joven , alfa-Amilasas/metabolismo
10.
PLoS One ; 7(5): e37292, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22624008

RESUMEN

Mapping the detailed connectivity patterns (connectomes) of neural circuits is a central goal of neuroscience. The best quantitative approach to analyzing connectome data is still unclear but graph theory has been used with success. We present a graph theoretical model of the posterior lateral line sensorimotor pathway in zebrafish. The model includes 2,616 neurons and 167,114 synaptic connections. Model neurons represent known cell types in zebrafish larvae, and connections were set stochastically following rules based on biological literature. Thus, our model is a uniquely detailed computational representation of a vertebrate connectome. The connectome has low overall connection density, with 2.45% of all possible connections, a value within the physiological range. We used graph theoretical tools to compare the zebrafish connectome graph to small-world, random and structured random graphs of the same size. For each type of graph, 100 randomly generated instantiations were considered. Degree distribution (the number of connections per neuron) varied more in the zebrafish graph than in same size graphs with less biological detail. There was high local clustering and a short average path length between nodes, implying a small-world structure similar to other neural connectomes and complex networks. The graph was found not to be scale-free, in agreement with some other neural connectomes. An experimental lesion was performed that targeted three model brain neurons, including the Mauthner neuron, known to control fast escape turns. The lesion decreased the number of short paths between sensory and motor neurons analogous to the behavioral effects of the same lesion in zebrafish. This model is expandable and can be used to organize and interpret a growing database of information on the zebrafish connectome.


Asunto(s)
Encéfalo/anatomía & histología , Sistema de la Línea Lateral/anatomía & histología , Modelos Neurológicos , Neuronas/citología , Pez Cebra/anatomía & histología , Animales , Vías Nerviosas/anatomía & histología , Sinapsis/fisiología
11.
Front Behav Neurosci ; 6: 68, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23087630

RESUMEN

One function of glucocorticoids is to restore homeostasis after an acute stress response by providing negative feedback to stress circuits in the brain. Loss of this negative feedback leads to elevated physiological stress and may contribute to depression, anxiety, and post-traumatic stress disorder. We investigated the early, developmental effects of glucocorticoid signaling deficits on stress physiology and related behaviors using a mutant zebrafish, gr(s357), with non-functional glucocorticoid receptors (GRs). These mutants are morphologically inconspicuous and adult-viable. A previous study of adult gr(s357) mutants showed loss of glucocorticoid-mediated negative feedback and elevated physiological and behavioral stress markers. Already at 5 days post-fertilization, mutant larvae had elevated whole body cortisol, increased expression of pro-opiomelanocortin (POMC), the precursor of adrenocorticotropic hormone (ACTH), and failed to show normal suppression of stress markers after dexamethasone treatment. Mutant larvae had larger auditory-evoked startle responses compared to wildtype sibling controls (gr(wt)), despite having lower spontaneous activity levels. Fluoxetine (Prozac) treatment in mutants decreased startle responding and increased spontaneous activity, making them behaviorally similar to wildtype. This result mirrors known effects of selective serotonin reuptake inhibitors (SSRIs) in modifying glucocorticoid signaling and alleviating stress disorders in human patients. Our results suggest that larval gr(s357) zebrafish can be used to study behavioral, physiological, and molecular aspects of stress disorders. Most importantly, interactions between glucocorticoid and serotonin signaling appear to be highly conserved among vertebrates, suggesting deep homologies at the neural circuit level and opening up new avenues for research into psychiatric conditions.

12.
J Neurobiol ; 59(1): 147-61, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15007833

RESUMEN

Behavioral functions are carried out by localized circuits in the brain. Although this modular principle is clearly established, the boundaries of modules, and sometimes even their existence, are still debated. Zebrafish might offer distinct advantages in localizing behaviors to discrete brain regions because of the ability to visualize, record from, and lesion precisely identified populations of neurons in the brain. In addition, genetic screens in zebrafish enable the isolation of mutations that disrupt neural pathways and/or behaviors, as an alternative lesioning technique with complementary strengths to laser ablations. For example, the Mauthner cell, a large identified neuron in the hindbrain, has been postulated to be both necessary and sufficient for the execution of escapes. We discuss in this review how experiments, using laser ablations, calcium imaging, and mutants have eroded this notion. Even in a simple behavior, such as escape, many parallel pathways appear to be involved with no single one being absolutely necessary. Lesion studies and the analysis of behavioral mutants are now also beginning to elucidate the functional architecture of the zebrafish visual system. Although still in an embryonic stage, the neuroanatomy of behaviors in zebrafish has a bright future.


Asunto(s)
Encéfalo/anatomía & histología , Neuroanatomía/métodos , Neuronas/fisiología , Visión Ocular/fisiología , Animales , Conducta Animal , Encéfalo/fisiología , Reacción de Fuga/fisiología , Técnicas Genéticas , Rayos Láser , Mutación , Red Nerviosa/citología , Red Nerviosa/fisiología , Vías Visuales/citología , Vías Visuales/fisiología , Pez Cebra
13.
Methods ; 30(1): 49-63, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12695103

RESUMEN

The ability to image neural activity in populations of neurons inside an intact animal, while obtaining single-cell or subcellular spatial resolution, has led to several advances in our understanding of vertebrate locomotor control. This result, first reported in a 1995 study of motoneurons in larval zebrafish, was the beginning of a series of technical developments that exploited the transparency and simplicity of the larval CNS. Presented here, in chronological fashion, is a suite of imaging techniques that have extended the ability to probe and optically dissect neural control systems. Included are methodological details pertaining to: (1). the in vivo optical recording of neural activity, (2). the optical dissection of complex neural architectures, and (3). additional fluorescence imaging-based techniques for the anatomical and physiological characterization of these systems. These approaches have provided insights into the descending neural control of escape and other locomotive behaviors, such as swimming and prey capture. The methods employed are discussed in relation to complementary and alternative imaging techniques, including, for example, the Nipkow disk confocal. While these methodologies focus on descending motor control in the larval zebrafish, the extension of such approaches to other neural systems is viewed as a promising and necessary step if neurobiologists are to bridge the gap between synaptic and brain region levels of analysis. The efficiency of optical techniques for surveying the cellular elements of intricate neural systems is of particular relevance because a comprehensive description of such elements is deemed necessary for a precise understanding of vertebrate neural architectures.


Asunto(s)
Red Nerviosa/fisiología , Neuronas/fisiología , Pez Cebra/fisiología , Animales , Microscopía Confocal/métodos , Red Nerviosa/química , Red Nerviosa/citología , Neuronas/química , Neuronas/citología , Óptica y Fotónica
14.
J Neurophysiol ; 87(1): 608-14, 2002 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11784774

RESUMEN

Zebrafish escape behaviors, which typically consist of a C bend, a counter-turn, and a bout of rapid swimming, are initiated by firing of the Mauthner cell and two segmental homologs. However, after laser-ablation of the Mauthner cell and its homologs, escape-like behaviors still occur, albeit at a much longer latency. This might suggest that additional neurons contribute to this behavior. We therefore recorded the activity of other descending neurons in the brain stem using confocal imaging of cells retrogradely labeled with fluorescent calcium indicators. A large majority of identified descending neurons present in the larval zebrafish, including both ipsilaterally and contralaterally projecting reticulospinal neurons, as well as neurons from the nucleus of the medial longitudinal fasciculus, showed short-latency calcium responses after gentle taps to the head of the larva-a stimulus that reliably evokes an escape behavior. Previous studies had associated such in vivo calcium responses with the firing of action potentials, and because all responding cells have axons projecting into to spinal cord, this suggests that these cells are relaying escape-related information to spinal cord. Other identified neurons failed to show consistent calcium responses to escape-eliciting stimuli. In conjunction with previous lesion studies, these results indicate that the neural control systems for turning and swimming behaviors are widely distributed in the larval zebrafish brain stem. The degree of robustness or redundancy of this system has implications for the descending control of vertebrate locomotion.


Asunto(s)
Tronco Encefálico/fisiología , Reacción de Fuga/fisiología , Red Nerviosa/fisiología , Pez Cebra/fisiología , Potenciales de Acción/fisiología , Animales , Tronco Encefálico/citología , Calcio/metabolismo , Larva , Microscopía Confocal , Red Nerviosa/citología , Neuronas/citología , Neuronas/metabolismo , Estimulación Física , Médula Espinal/fisiología
16.
Methods Cell Biol ; 76: 261-84, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15602880
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