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1.
Mol Endocrinol ; 27(5): 781-800, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23542164

RESUMEN

The uptake of iodide into the thyroid, an essential step in thyroid hormone synthesis, is an active process mediated by the sodium-iodide symporter (NIS). Despite its strong dependence on TSH, the master regulator of the thyroid, the NIS gene was also reported to be regulated by non-TSH signaling pathways. In the present study we provide evidence that the rat NIS gene is subject to regulation by sterol regulatory element-binding proteins (SREBPs), which were initially identified as master transcriptional regulators of lipid biosynthesis and uptake. Studies in FRTL-5 thyrocytes revealed that TSH stimulates expression and maturation of SREBPs and expression of classical SREBP target genes involved in lipid biosynthesis and uptake. Almost identical effects were observed when the cAMP agonist forskolin was used instead of TSH. In TSH receptor-deficient mice, in which TSH/cAMP-dependent gene regulation is blocked, the expression of SREBP isoforms in the thyroid was markedly reduced when compared with wild-type mice. Sterol-mediated inhibition of SREBP maturation and/or RNA interference-mediated knockdown of SREBPs reduced expression of NIS and NIS-specific iodide uptake in FRTL-5 cells. Conversely, overexpression of active SREBPs caused a strong activation of the 5'-flanking region of the rat NIS gene mediated by binding to a functional SREBP binding site located in the 5'-untranslated region of the rat NIS gene. These findings show that TSH acts as a regulator of SREBP expression and maturation in thyroid epithelial cells and that SREBPs are novel transcriptional regulators of NIS.


Asunto(s)
Proteínas de Unión a los Elementos Reguladores de Esteroles/metabolismo , Simportadores/genética , Glándula Tiroides/citología , Glándula Tiroides/metabolismo , Regiones no Traducidas 5'/genética , Animales , Secuencia de Bases , Núcleo Celular/efectos de los fármacos , Núcleo Celular/metabolismo , Colforsina/farmacología , AMP Cíclico/agonistas , Regulación de la Expresión Génica/efectos de los fármacos , Técnicas de Silenciamiento del Gen , Células Hep G2 , Humanos , Yoduros/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Datos de Secuencia Molecular , Unión Proteica/efectos de los fármacos , Ratas , Receptores de Tirotropina/metabolismo , Elementos de Respuesta/genética , Esteroles/farmacología , Simportadores/metabolismo , Glándula Tiroides/efectos de los fármacos , Tirotropina/farmacología , Transcripción Genética/efectos de los fármacos
2.
Ann Nutr Metab ; 52(1): 58-67, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18309235

RESUMEN

BACKGROUND: Recently, we have shown that activation of peroxisome proliferator-activated receptor (PPAR)-alpha by clofibrate leads to an upregulation of novel organic cation transporter (OCTN)-2, a carnitine transporter, and in turn increases the carnitine concentration in the liver of rats. In this study, we tested the hypothesis that fasting and caloric restriction, conditions under which PPARalpha activation also occurs, cause similar effects. METHODS: Three groups of rats received the diet either ad libitum (control rats) or 10.5 g diet/day (70% of energy requirement for maintenance, E70 rats) or 6 g diet/day (40% of energy requirement for maintenance, E40 rats) for 10 days. A 4th group received the diet ad libitum for 9 days and was then fasted for 24 h (fasted rats). RESULTS: Fasted and calorie-restricted rats had increased mRNA concentrations of acyl-CoA oxidase and carnitine palmitoyltransferase-1 in the liver, heart and kidneys compared to control rats (p < 0.05), indicative of activation of PPARalpha in these tissues. E70 rats had increased OCTN2 mRNA concentrations in liver (2.6-fold) and kidneys (1.5-fold) and increased total carnitine concentrations in these tissues compared to control rats. E40 rats had increased OCTN2 mRNA concentrations in the liver (3.3-fold), skeletal muscle (2.2-fold), heart (2.3-fold) and kidneys (3.5-fold) and increased total carnitine concentrations in these four tissues compared to control rats. Fasted rats had increased OCTN2 mRNA concentrations in the liver (4.0-fold), heart (2.1-fold) and kidneys (2.0-fold) and increased total carnitine concentrations in these three tissues (p < 0.05). CONCLUSION: The study shows that fasting and caloric restriction lead to an upregulation of OCTN2 in several tissues, probably mediated by activation of PPARalpha. Increased tissue carnitine concentrations in fasted and calorie-restricted rats might be at least in part due to increased uptake of carnitine by OCTN2.


Asunto(s)
Restricción Calórica , Carnitina/metabolismo , Ayuno/metabolismo , Proteínas de Transporte de Catión Orgánico/agonistas , PPAR alfa/agonistas , Animales , Femenino , Riñón/metabolismo , Hígado/metabolismo , Miocardio/metabolismo , Proteínas de Transporte de Catión Orgánico/metabolismo , PPAR alfa/metabolismo , ARN Mensajero/metabolismo , Distribución Aleatoria , Ratas , Ratas Sprague-Dawley , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Regulación hacia Arriba
3.
Eur J Pharmacol ; 583(1): 11-7, 2008 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-18258227

RESUMEN

Recent studies have shown that treatment of rodents with agonists of peroxisome proliferator-activated receptor (PPAR)-alpha causes an up-regulation of novel organic cation transporter (OCTN)-2, a carnitine transporter, and increases carnitine concentration in the liver. This study was performed to investigate whether such effects occur also in pigs which like humans have a lower expression of PPAR alpha and are less responsive to treatment with PPAR alpha agonists than rodents. An experiment with 18 pigs was performed which were fed a control diet or the same diet supplemented with 5 g clofibrate/kg for 28 days. Pigs treated with clofibrate had higher relative mRNA concentrations of OCTN2 in liver (3.1-fold), skeletal muscle (1.5-fold) and epithelial cells from small intestine (1.8-fold) than control pigs (P<0.05). Pigs treated with clofibrate had also higher concentrations of free and total carnitine in the liver and a higher concentration of free carnitine in skeletal muscle than control pigs (P<0.05). Concentrations of gamma-butyrobetaine, the precursor of endogenous formation of carnitine, in liver, muscle and plasma did not differ between both groups; the activity of gamma-butyrobetaine dioxygenase, the rate limiting enzyme of carnitine synthesis, in the liver was lower in pigs treated with clofibrate than in control pigs (P<0.05). This study shows for the first time that treatment with a PPAR alpha agonist causes an up-regulation of OCTN2 in liver, muscle and enterocytes from small intestine of pigs. This in turn increases carnitine concentrations in liver and muscle probably by enhancing carnitine uptake into cells.


Asunto(s)
Clofibrato/farmacología , Hipolipemiantes/farmacología , Proteínas de Transporte de Catión Orgánico/biosíntesis , Animales , Betaína/análogos & derivados , Betaína/farmacocinética , Peso Corporal/efectos de los fármacos , Carnitina/biosíntesis , Carnitina/metabolismo , Carnitina/farmacocinética , Ingestión de Alimentos/efectos de los fármacos , Enterocitos/efectos de los fármacos , Enterocitos/metabolismo , Expresión Génica/efectos de los fármacos , Homeostasis/efectos de los fármacos , Técnicas In Vitro , Hígado/citología , Hígado/efectos de los fármacos , Masculino , Proteínas de Transporte de Catión Orgánico/genética , PPAR alfa/agonistas , ARN/biosíntesis , ARN/genética , ARN Mensajero/biosíntesis , ARN Mensajero/genética , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Porcinos , Distribución Tisular , Regulación hacia Arriba/efectos de los fármacos , gamma-Butirobetaína Dioxigenasa/metabolismo
4.
Br J Nutr ; 98(5): 882-9, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17524183

RESUMEN

It has been shown that treatment of rats with clofibrate, a synthetic agonist of PPARalpha, increases mRNA concentration of organic cation transporters (OCTN)-1 and -2 and concentration of carnitine in the liver. Since oxidised fats have been demonstrated in rats to activate hepatic PPARalpha, we tested the hypothesis that they also up regulate OCTN. Eighteen rats were orally administered either sunflower-seed oil (control group) or an oxidised fat prepared by heating sunflower-seed oil, for 6 d. Rats administered the oxidised fat had higher mRNA concentrations of typical PPARalpha target genes such as acyl-CoA oxidase, cytochrome P450 4A1 and carnitine palmitoyltransferases-1A and -2 in liver and small intestine than control rats (P < 0.05). Furthermore, rats treated with oxidised fat had higher hepatic mRNA concentrations of OCTN1 (1.5-fold) and OCTN2 (3.1-fold), a higher carnitine concentration in the liver and lower carnitine concentrations in plasma, gastrocnemius and heart muscle than control rats (P < 0.05). Moreover, rats administered oxidised fat had a higher mRNA concentration of OCTN2 in small intestine (2.4-fold; P < 0.05) than control rats. In conclusion, the present study shows that an oxidised fat causes an up regulation of OCTN in the liver and small intestine. An increased hepatic carnitine concentration in rats treated with the oxidised fat is probably at least in part due to an increased uptake of carnitine into the liver which in turn leads to reduced plasma and muscle carnitine concentrations. The present study supports the hypothesis that nutrients acting as PPARalpha agonists influence whole-body carnitine homeostasis.


Asunto(s)
Carnitina/metabolismo , Grasas de la Dieta/farmacología , Intestino Delgado/metabolismo , Hígado/metabolismo , Proteínas de Transporte de Catión Orgánico/biosíntesis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Peso Corporal/efectos de los fármacos , Carnitina/sangre , Proteínas Portadoras/biosíntesis , Proteínas Portadoras/genética , Masculino , Proteínas de la Membrana/biosíntesis , Proteínas de la Membrana/genética , Músculos/metabolismo , Proteínas de Transporte de Catión Orgánico/genética , Oxidación-Reducción , ARN Mensajero/genética , Ratas , Ratas Sprague-Dawley , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Miembro 5 de la Familia 22 de Transportadores de Solutos , Proteínas Transportadoras de Solutos , Simportadores , Regulación hacia Arriba/efectos de los fármacos , Aumento de Peso/efectos de los fármacos
5.
BMC Pharmacol ; 7: 6, 2007 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-17437637

RESUMEN

BACKGROUND: In rodents treatment with fibrates causes hepatocarcinogenesis, probably as a result of oxidative stress and an impaired balance between apoptosis and cell proliferation in the liver. There is some debate whether fibrates could also induce liver cancer in species not responsive to peroxisome proliferation. In this study the effect of clofibrate treatment on peroxisome proliferation, production of oxidative stress, gene expression of pro- and anti-apoptotic genes and proto-oncogenes was investigated in the liver of pigs, a non-proliferating species. RESULTS: Pigs treated with clofibrate had heavier livers (+16%), higher peroxisome counts (+61%), higher mRNA concentration of acyl-CoA oxidase (+66%), a higher activity of catalase (+41%) but lower concentrations of hydrogen peroxide (-32%) in the liver than control pigs (P < 0.05); concentrations of lipid peroxidation products (thiobarbituric acid-reactive substances, conjugated dienes) and total and reduced glutathione in the liver did not differ between both groups. Clofibrate treated pigs also had higher hepatic mRNA concentrations of bax and the proto-oncogenes c-myc and c-jun and a lower mRNA concentration of bcl-XL than control pigs (P < 0.05). CONCLUSION: The data of this study show that clofibrate treatment induces moderate peroxisome proliferation but does not cause oxidative stress in the liver of pigs. Gene expression analysis indicates that clofibrate treatment did not inhibit but rather stimulated apoptosis in the liver of these animals. It is also shown that clofibrate increases the expression of the proto-oncogenes c-myc and c-jun in the liver, an event which could be critical with respect to carcinogenesis. As the extent of peroxisome proliferation by clofibrate was similar to that observed in humans, the pig can be regarded as a useful model for investigating the effects of peroxisome proliferators on liver function and hepatocarcinogenesis.


Asunto(s)
Clofibrato/farmacología , Hipolipemiantes/farmacología , Neoplasias Hepáticas Experimentales/inducido químicamente , Neoplasias Hepáticas Experimentales/metabolismo , Hígado/efectos de los fármacos , FN-kappa B/efectos de los fármacos , Proliferadores de Peroxisomas/metabolismo , Acil-CoA Oxidasa/metabolismo , Animales , Clofibrato/efectos adversos , Hipolipemiantes/efectos adversos , Hígado/enzimología , Masculino , Ratones , FN-kappa B/metabolismo , Tamaño de los Órganos/efectos de los fármacos , Porcinos
6.
Am J Physiol Regul Integr Comp Physiol ; 293(1): R70-7, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17363680

RESUMEN

This study investigated the effect of clofibrate treatment on expression of target genes of peroxisome proliferator-activated receptor (PPAR)-alpha and various genes of the lipid metabolism in liver and adipose tissue of pigs. An experiment with 18 pigs was performed in which pigs were fed either a control diet or the same diet supplemented with 5 g clofibrate/kg for 28 days. Pigs treated with clofibrate had heavier livers, moderately increased mRNA concentrations of various PPAR-alpha target genes in liver and adipose tissue, a higher concentration of 3-hydroxybutyrate, and markedly lower concentrations of triglycerides and cholesterol in plasma and lipoproteins than control pigs (P < 0.05). mRNA concentrations of sterol regulatory element-binding proteins (SREBP)-1 and -2, insulin-induced genes (Insig)-1 and Insig-2, and the SREBP target genes acetyl-CoA carboxylase, 3-methyl-3-hydroxyglutaryl-CoA reductase, and low-density lipoprotein receptor in liver and adipose tissue and mRNA concentrations of apolipoproteins A-I, A-II, and C-III in the liver were not different between both groups of pigs. In conclusion, this study shows that clofibrate treatment activates PPAR-alpha in liver and adipose tissue and has a strong hypotriglyceridemic and hypocholesterolemic effect in pigs. The finding that mRNA concentrations of some proteins responsible for the hypolipidemic action of fibrates in humans were not altered suggests that there were certain differences in the mode of action compared with humans. It is also shown that PPAR-alpha activation by clofibrate does not affect hepatic expression of SREBP target genes involved in synthesis of triglycerides and cholesterol homeostasis in liver and adipose tissue of pigs.


Asunto(s)
Tejido Adiposo/metabolismo , Anticolesterolemiantes/farmacología , Clofibrato/farmacología , Hígado/metabolismo , PPAR alfa/biosíntesis , PPAR alfa/genética , Proteínas de Unión a los Elementos Reguladores de Esteroles/genética , Ácido 3-Hidroxibutírico/sangre , Tejido Adiposo/efectos de los fármacos , Animales , Apolipoproteína A-I/biosíntesis , Apolipoproteína A-I/genética , Apolipoproteína A-II/biosíntesis , Apolipoproteína A-II/genética , Apolipoproteína C-III/biosíntesis , Apolipoproteína C-III/genética , Peso Corporal/efectos de los fármacos , Proteínas Portadoras/biosíntesis , Proteínas Portadoras/genética , Colesterol/metabolismo , Ingestión de Alimentos/efectos de los fármacos , Lipoproteínas/sangre , Hígado/efectos de los fármacos , Tamaño de los Órganos/efectos de los fármacos , ARN Mensajero/biosíntesis , ARN Mensajero/genética , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Porcinos , Triglicéridos/metabolismo , Regulación hacia Arriba/efectos de los fármacos
7.
Br J Nutr ; 97(5): 872-82, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17381980

RESUMEN

Recent studies have shown that dietary oxidised fats influence the lipid metabolism in rats by activation of PPARalpha. In this study, we investigated whether a mildly oxidised fat causes activation of PPARalpha in pigs which are non-proliferators like man. Eighteen pigs were assigned to two groups and received either a diet containing 90 g/kg of a fresh fat or the same diet with 90 g/kg of an oxidised fat prepared by heating for 24 h at 180 degrees C in a deep fryer. Pigs fed the oxidised fat had a higher peroxisome count, a higher activity of catalase and a higher mRNA concentration of mitochondrial 3-hydroxy-3-methylglutaryl-CoA synthase in the liver and a higher concentration of 3-hydroxybutyrate in plasma than pigs fed the fresh fat (P< 0.05). Hepatic mRNA concentrations of acyl-CoA oxidase and carnitine palmitoyltransferase- 1 tended to be increased in pigs fed the oxidised fat compared to pigs fed the fresh fat (P< 0.10). Pigs fed the oxidised fat, moreover, had higher mRNA concentrations of sterol regulatory element-binding protein (SREBP)-1 and its target genes acetyl-CoA carboxylase and stearoyl-CoA desaturase in the liver and higher mRNA concentrations of SREBP-2 and its target genes 3-hydroxy-3-methylglutary-CoA reductase and LDL receptor in liver and small intestine. In conclusion, this study shows that even a mildly oxidised fat causes activation of PPARalpha in the liver of pigs. Up-regulation of SREBP and its target genes in liver and small intestine suggests that the oxidised fat could stimulate synthesis of cholesterol and TAG in these tissues.


Asunto(s)
Grasas de la Dieta/administración & dosificación , Hígado/metabolismo , PPAR alfa/metabolismo , Ácido 3-Hidroxibutírico/sangre , Animales , Antioxidantes/análisis , Peso Corporal/fisiología , Colesterol/análisis , Colesterol/sangre , Culinaria , Grasas de la Dieta/metabolismo , Enterocitos/metabolismo , Ácidos Grasos/análisis , Expresión Génica/genética , Metabolismo de los Lípidos/genética , Peroxidación de Lípido/genética , Lipoproteínas/metabolismo , Masculino , Microsomas Hepáticos/metabolismo , Mitocondrias Hepáticas/genética , Mitocondrias Hepáticas/metabolismo , Peroxisomas/metabolismo , ARN Mensajero/análisis , Proteínas de Unión a los Elementos Reguladores de Esteroles/genética , Porcinos , Triglicéridos/análisis , Triglicéridos/sangre
8.
Biochem Biophys Res Commun ; 350(3): 704-8, 2006 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-17011512

RESUMEN

It has been shown that clofibrate treatment increases the carnitine concentration in the liver of rats. However, the molecular mechanism is still unknown. In this study, we observed for the first time that treatment of rats with the peroxisome proliferator activated receptor (PPAR)-alpha agonist clofibrate increases hepatic mRNA concentrations of organic cation transporters (OCTNs)-1 and -2 which act as transporters of carnitine into the cell. In rat hepatoma (Fao) cells, treatment with WY-14,643 also increased the mRNA concentration of OCTN-2. mRNA concentrations of enzymes involved in carnitine biosynthesis were not altered by treatment with the PPARalpha agonists in livers of rats and in Fao cells. We conclude that PPARalpha agonists increase carnitine concentrations in livers of rats and cells by an increased uptake of carnitine into the cell but not by an increased carnitine biosynthesis.


Asunto(s)
Carcinoma Hepatocelular/metabolismo , Proteínas de Transporte de Catecolaminas en la Membrana Plasmática/metabolismo , Clofibrato/administración & dosificación , Hepatocitos/metabolismo , Proteínas de Transporte de Catión Orgánico/metabolismo , PPAR alfa/antagonistas & inhibidores , Animales , Células Cultivadas , Relación Dosis-Respuesta a Droga , Masculino , Transportador 2 de Cátion Orgánico , Ratas , Ratas Sprague-Dawley , Regulación hacia Arriba/efectos de los fármacos
9.
Drug Metab Dispos ; 34(11): 1887-92, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16896063

RESUMEN

In rats, clofibrate acts as a microsomal enzyme inducer and disrupts the metabolism of thyroid hormones by increasing hepatic glucuronidation of thyroxine. Whether similar effects occur in the pig has not yet been investigated. This study was performed to investigate the effect of clofibrate treatment on metabolism of thyroid hormones in pigs. To this end, an experiment with 18 pigs, which were assigned to two groups, was performed. One group received a control diet, and the other group was fed the same diet supplemented with 5 g of clofibrate/kg for 28 days. Pigs treated with clofibrate had higher hepatic activities of T(3)- and T(4)-UDP glucuronosyltransferases (UGT) and lower concentrations of total and free T(4) and total T(3) in plasma than control pigs (P < 0.05). Weights and histology of the thyroid gland (epithelial height, follicle lumen diameter) did not differ between the two groups, but pigs treated with clofibrate had higher mRNA concentrations of various genes in the thyroid responsive to thyroid-stimulating hormone (TSH) such as TSH receptor, sodium iodine symporter, thyroid peroxidase, and cathepsin B than control pigs (P < 0.05). Pigs treated with clofibrate also had lower hepatic mRNA concentrations of proteins involved in plasma thyroid hormone transport [thyroxine-binding globulin (P < 0.10), transthyretin (P < 0.05), and albumin (P < 0.05)] and thyroid hormone receptor alpha(1) (P < 0.05) than control pigs. In conclusion, this study shows that clofibrate treatment induces a strong activation of T(3)- and T(4)-UGT in pigs, leading to increased glucuronidation and markedly reduced plasma concentrations of these hormones, accompanied by a moderate stimulation of thyroid function.


Asunto(s)
Clofibrato/farmacología , Glucuronosiltransferasa/metabolismo , Hipolipemiantes/farmacología , Hígado , Tiroxina/sangre , Triyodotironina/sangre , Animales , Peso Corporal/efectos de los fármacos , Expresión Génica/efectos de los fármacos , Hígado/efectos de los fármacos , Hígado/enzimología , Hígado/metabolismo , Masculino , Tamaño de los Órganos/efectos de los fármacos , PPAR alfa/agonistas , Porcinos , Glándula Tiroides/efectos de los fármacos , Glándula Tiroides/metabolismo , Glándula Tiroides/patología , Triyodotironina/metabolismo
10.
Int J Vitam Nutr Res ; 76(6): 398-406, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17607960

RESUMEN

It has been shown that dietary oxidized fats influence thyroid function in rats and pigs. Mechanism underlying this phenomenon are unknown. This study was performed to investigate whether 13-hydroperoxy-9,11 -octadecadienic acid (13-HPODE), a primary oxidation product of linoleic acid, affects expression of gene involved in thyroid hormone synthesis and formation of hydrogen peroxide in primary porcine thyrocytes. Thyrocytes were treated with 13-HPODE in concentrations between 20 and 100 microM. Cells treated with vehicle alone ("control cells") or with equivalent concentrations of linoleic acid were considered as controls. Treatment of cells with 13-HPODE did not affect cell viability but increased the activities of the antioxidant enzymes superoxide dismutase and glutathione peroxidase (p < 0.05) compared to control cells or cells treated with linoleic acid. Relative mRNA concentrations of genes involved in thyroid hormone synthesis like sodium iodide symporter, thyrotropin receptor, and thyroid peroxidase, as well as iodide uptake, did not differ between cells treated with 13-HPODE and control cells or cells treated with linoleic acid. Treatment of cells with 13-HPODE, however, reduced the relative mRNA concentrations of dual oxidase-2 and the formation of hydrogen peroxide compared to control cells or cells treated with linoleic acid (p < 0.05). Because the production of hydrogen peroxide is rate-limiting for the synthesis of thyroid hormones, it is suggested that 13-HPODE could have an impact on the formation of thyroid hormones in the thyroid gland.


Asunto(s)
Expresión Génica/efectos de los fármacos , Peróxido de Hidrógeno/metabolismo , Yoduros/metabolismo , Ácidos Linoleicos/farmacología , Peróxidos Lipídicos/farmacología , Glándula Tiroides/efectos de los fármacos , Hormonas Tiroideas/biosíntesis , Animales , Catalasa/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Glutatión Peroxidasa/efectos de los fármacos , Yoduros/farmacocinética , ARN Mensajero/efectos de los fármacos , Superóxido Dismutasa/efectos de los fármacos , Porcinos , Glándula Tiroides/citología , Glándula Tiroides/metabolismo , Hormonas Tiroideas/genética
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