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2.
Annu Rev Anim Biosci ; 3: 513-32, 2015.
Article in English | MEDLINE | ID: mdl-25387108

ABSTRACT

The thermal environment is the most important ecological factor determining the growth, development, and productivity of domestic animals. Routes of energy exchange (sensible heat and latent heat) between animals and their environment are greatly influenced by body weight, fat deposition, hair-coat properties, functional activity, and number of sweat glands, as well as the presence or absence of anatomical respiratory countercurrent heat exchange capability. Differences in these anatomical features across species have led to specialization of heat exchange. Thermal plasticity and degree of acclimation are critical factors determining the ability of animals to respond to environmental change. Increases in productive capability of domestic animals can compromise thermal acclimation and plasticity, requiring greater investments in housing systems that reduce variability of the thermal environment. The combination of steadily increasing metabolic heat production as domestic animal productivity increases and a rising world temperature poses ongoing and future challenges to maintaining health and well-being of domestic animals.


Subject(s)
Body Temperature Regulation/physiology , Livestock/physiology , Poultry/physiology , Acclimatization/physiology , Adaptation, Physiological , Animals , Temperature , Thermogenesis/physiology
3.
Annu Rev Anim Biosci ; 2: 353-74, 2014 Feb.
Article in English | MEDLINE | ID: mdl-25384147

ABSTRACT

Serotonin (5-hydroxytryptamine, 5-HT) is a very simple molecule that plays key roles in complex communication mechanisms within the animal body. In the mammary glands, serotonin biosynthesis and secretion are induced in response to dilation of the alveolar spaces. Since its discovery several years ago, mammary 5-HT has been demonstrated to perform two homeostatic functions. First, serotonin regulates lactation and initiates the transition into the earliest phases of involution. Second, serotonin is a local signal that induces parathyroid hormone-related peptide (PTHrP), which allows the mammary gland to drive the mobilization of calcium from the skeleton. These processes use different receptor types, 5-HT7 and 5-HT2, respectively. In this review, we provide synthetic perspectives on the fundamental processes of lactation homeostasis and the adaptation of calcium homeostasis for lactation. We analyze the role of the intrinsic serotonin system in the physiological regulation of the mammary glands. We also consider the importance of the mammary serotonin system in pathologies and therapies associated with lactation and breast cancer.


Subject(s)
Epithelium/metabolism , Mammary Glands, Animal/metabolism , Mammary Glands, Human/metabolism , Serotonin/metabolism , Animals , Female , Gene Expression Regulation/physiology , Humans , Serotonin/genetics
4.
J Am Vet Med Assoc ; 245(5): 550-64, 2014 Sep 01.
Article in English | MEDLINE | ID: mdl-25148097

ABSTRACT

OBJECTIVE: To provide an updated evaluation of the efficacy and safety of sometribove zinc suspension (rbST-Zn), a form of recombinant bovine somatotropin, in lactating dairy cows. DESIGN: Meta-analysis. SAMPLE: 26 studies published in peer-reviewed journals or reviewed by a regulatory agency. PROCEDURES: To be included, a study had to involve the use of the rbST-Zn formulation available to US producers in accordance with the label instructions for treatment initiation (57 to 70 days postpartum), dose (500 mg, q 14 d), and route (SC). RESULTS: For cows treated with rbST-Zn, mean milk, 3.5% fat-corrected milk, fat, and protein yields were increased by 4.00, 4.04, 0.144, and 0.137 kg/d (8.8, 8.89, 0.32, and 0.30 lb/d), respectively; however, the concentration of milk components did not change. Pregnancy proportion for the first 2 breeding cycles was increased by 5.4%, and pregnancy proportion for the duration of the trial was reduced by 5.5% for rbST-Zn-treated cows, compared with proportions for untreated cows. Mean body condition score (1 to 5 scale) was reduced by 0.06 points during the period of rbST-Zn use for treated cows. Administration of rbST-Zn had no effect on milk somatic cell count, the number of days to pregnancy, or inseminations per pregnancy; rates of fetal loss, twins, cystic ovaries, clinical lameness, lameness lesions, or traumatic lesions of the integumentary system; and odds of clinical mastitis or culling. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that rbST-Zn administration to dairy cows effectively increases milk production with no adverse effects on cow health and well-being.


Subject(s)
Cattle Diseases/chemically induced , Growth Hormone/pharmacology , Lactation/drug effects , Animals , Cattle , Female , Milk , Recombinant Proteins
5.
PLoS One ; 8(10): e76325, 2013.
Article in English | MEDLINE | ID: mdl-24098476

ABSTRACT

BACKGROUND: Carboxyethylpyrrole (CEP) adducts are oxidative modifications derived from docosahexaenoate-containing lipids that are elevated in ocular tissues and plasma in age-related macular degeneration (AMD) and in rodents exposed to intense light. The goal of this study was to determine whether light-induced CEP adducts and autoantibodies are modulated by pretreatment with AL-8309A under conditions that prevent photo-oxidative damage of rat retina. AL-8309A is a serotonin 5-HT1A receptor agonist. METHODS: Albino rats were dark adapted prior to blue light exposure. Control rats were maintained in normal cyclic light. Rats were injected subcutaneously 3x with 10 mg/kg AL-8309A (2 days, 1 day and 0 hours) before light exposure for 6 h (3.1 mW/cm(2), λ=450 nm). Animals were sacrificed immediately following light exposure and eyes, retinas and plasma were collected. CEP adducts and autoantibodies were quantified by Western analysis or ELISA. RESULTS: ANOVA supported significant differences in mean amounts of CEP adducts and autoantibodies among the light + vehicle, light + drug and dark control groups from both retina and plasma. Light-induced CEP adducts in retina were reduced ~20% following pretreatment with AL-8309A (n = 62 rats, p = 0.006) and retinal CEP immunoreactivity was less intense by immunohistochemistry. Plasma levels of light-induced CEP adducts were reduced at least 30% (n = 15 rats, p = 0.004) by drug pretreatment. Following drug treatment, average CEP autoantibody titer in light exposed rats (n = 22) was unchanged from dark control levels, and ~20% (p = 0.046) lower than in vehicle-treated rats. CONCLUSIONS: Light-induced CEP adducts in rat retina and plasma were significantly decreased by pretreatment with AL-8309A. These results are consistent with and extend previous studies showing AL-8309A reduces light-induced retinal lesions in rats and support CEP biomarkers as possible tools for monitoring the efficacy of select therapeutics.


Subject(s)
Macular Degeneration/metabolism , Pyrroles/metabolism , Animals , Autoantibodies/blood , Autoantibodies/immunology , Biomarkers/blood , Biomarkers/metabolism , Disease Models, Animal , Docosahexaenoic Acids/chemistry , Docosahexaenoic Acids/metabolism , Light/adverse effects , Macular Degeneration/blood , Macular Degeneration/immunology , Male , Oxidation-Reduction , Pyrroles/blood , Pyrroles/chemistry , Pyrroles/immunology , Rats , Retina/drug effects , Retina/immunology , Retina/metabolism , Retina/pathology
6.
Invest Ophthalmol Vis Sci ; 52(11): 8108-16, 2011 Oct 11.
Article in English | MEDLINE | ID: mdl-21467172

ABSTRACT

PURPOSE: Increasing evidence supports a role for complement in the pathogenesis of age-related macular degeneration (AMD). This study evaluated retinal microglia, T-lymphocytes, and complement deposition in a light-induced retinopathy model. The effect of a serotonin (5-hydroxytryptamine, 5-HT(1A)) agonist on these processes was investigated. METHODS: Rats were dark adapted for 24 hours before a 6-hour blue light exposure. Some animals were predosed subcutaneously with AL-8309A. Retinas were evaluated at different times after light exposure. Paraffin sections were stained with antibody for a microglial marker (Iba1), a T-lymphocyte marker (CD3), and complement components C1q, C3, factor B, factor H, and membrane attack complex (MAC). RESULTS: Light exposure resulted in substantial photoreceptor and RPE loss. Robust microglia activation and migration to the outer retina occurred rapidly. Substantial T-lymphocyte recruitment did not occur. Complement alternative pathway was strongly activated, resulting in the deposition of C3, factor B, factor H, and MAC in the area of photic lesions. Dosing with AL-8309A prevented retinal lesions and decreased microglia activation/recruitment and complement deposition in the outer retina. CONCLUSIONS: In blue light exposed retinas, microglia were activated and migrated toward the outer retina, whereas a T-lymphocyte response was minimal. The innate immune system was markedly activated, with substantial complement deposition in the outer retina after light exposure. This complement deposition was prevented by AL-8309A. This model may be useful in the evaluation of complement inhibitors and other neuroprotectants intended for ocular use. AL-8309 is under evaluation in the clinic and may be useful in the treatment of AMD.


Subject(s)
Complement System Proteins/metabolism , Light/adverse effects , Microglia/metabolism , Radiation Injuries, Experimental/prevention & control , Retina/radiation effects , Retinal Degeneration/prevention & control , Serotonin 5-HT1 Receptor Agonists/therapeutic use , Animals , Cell Count , Cell Movement , Complement C3/metabolism , Complement Factor B/metabolism , Complement Factor H/metabolism , Complement Membrane Attack Complex/metabolism , Dark Adaptation , Immunohistochemistry , Injections, Subcutaneous , Oxidative Stress/radiation effects , Radiation Injuries, Experimental/etiology , Radiation Injuries, Experimental/metabolism , Rats , Rats, Sprague-Dawley , Retinal Degeneration/etiology , Retinal Degeneration/metabolism , T-Lymphocytes/immunology
7.
Invest Ophthalmol Vis Sci ; 52(5): 2118-26, 2011 Apr 04.
Article in English | MEDLINE | ID: mdl-21087971

ABSTRACT

PURPOSE: 5-HT(1A) agonists are neuroprotective in CNS injury models. The authors evaluated the efficacy of 5-HT(1A) agonists to protect the retina from severe blue light-induced photo-oxidative damage. METHODS: Albino rats were dosed (subcutaneously) with AL-8309A, 8-OH DPAT, or buspirone once or three times before 6-hour exposure to blue light. Electroretinograms (ERGs) were measured to assess retinal function, and retinal damage was evaluated by light microscopy. Topical ocular dosing with 1.75% AL-8309B was also evaluated. Rats were dosed with WAY-100635, a 5-HT(1A) antagonist, to determine whether protection required activation of the 5-HT(1A) receptor. RESULTS: ERG response amplitudes were significantly (P < 0.05) depressed more than 66% in vehicle-dosed rats after light exposure. ERGs were significantly higher in rats treated with AL-8309A (0.1-30 mg/kg), 8-OH DPAT (0.1-1 mg/kg), buspirone (5-20 mg/kg) or topical ocular with 1.75% AL-8309B. Retinas from AL-8309A and 8-OH DPAT-treated rats were devoid of histologic lesions. Significant protection was measured in rats dosed once 0, 24, or 48 hours before light exposure. Protection provided by dosing with AL-8309B or 8-OH DPAT was inhibited in rats predosed with WAY-100635. CONCLUSIONS: 5-HT(1A) agonists provided potent and complete functional and structural protection. Protection was inhibited by treatment with WAY-100635, confirming the requirement for activating the 5-HT(1A) receptor in initiating this survival pathway. Single-dose experiments with AL-8309A suggest that the mechanism of protection is rapidly activated and protection persists for 48 hours. AL-8309B (1.75%) was effective after topical ocular dosing. AL-8309B is under evaluation in the clinic and may be useful in treating age-related macular degeneration.


Subject(s)
Light , Radiation Injuries, Experimental/prevention & control , Retina/radiation effects , Retinal Degeneration/prevention & control , Serotonin 5-HT1 Receptor Agonists/pharmacology , Animals , Buspirone/pharmacology , Dark Adaptation , Dose-Response Relationship, Drug , Electroretinography , Male , Oxidative Stress , Piperazines/pharmacology , Pyridines/pharmacology , Radiation Injuries, Experimental/etiology , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT1A/metabolism , Retina/drug effects , Retinal Degeneration/etiology , Serotonin Antagonists/pharmacology
8.
Physiol Genomics ; 43(6): 271-85, 2011 Mar 29.
Article in English | MEDLINE | ID: mdl-21189371

ABSTRACT

The regulation of mitochondrial biogenesis and function in the lactating mammary cell is poorly understood. The goal of this study was to use proteomics to relate temporal changes in mammary cell mitochondrial function during lactation to changes in the proteins that make up this organelle. The hypothesis tested was that changes in mammary cell mitochondrial biogenesis and function during lactation would be accounted for by coordinated changes in the proteins of the electron transport chain and that some of these proteins might be linked by their expression patterns to PPARGC1α and AMP kinase. The mitochondrial proteome was studied along with markers of mitochondrial biogenesis and function in mammary tissue collected from mice over the course of a single prolonged lactation cycle. Mammary tissue concentrations of AMP and ADP were increased (P < 0.05) during early lactation and then declined with prolonged lactation. Similar changes were also observed for mitochondrial ATP synthesis activity, mitochondrial mass and DNA copy number. Analysis of the mammary cell mitochondrial proteome identified 244 unique proteins. Of these, only two proteins of the electron transport chain were found to increase during early lactation. In contrast, coordinated changes in numerous electron transport chain proteins were observed both during mid- and late lactation. There were six proteins that could be directly linked to PPARGC1α through network analysis. Abundance of PPARGC-1α and phosphorylation of AMP kinase was highest on day 2 postpartum. The results suggest that the increases in mammary mitochondria ATP synthesis activity during early lactation results from changes in only a limited number proteins. In addition, decreases in a handful of proteins linked to lipid oxidation could be temporally linked to decreases in PPARGC1α and phospho-AMP kinase suggesting potential roles for these proteins in coordinating mammary gland metabolism during early lactation.


Subject(s)
Lactation/physiology , Mammary Glands, Animal/metabolism , Mitochondria/metabolism , Adenosine Diphosphate/metabolism , Adenosine Monophosphate/metabolism , Animals , DNA Copy Number Variations , Female , Gene Expression Regulation, Developmental , Mammary Glands, Animal/growth & development , Mice , Oxidative Phosphorylation , Proteomics
9.
J Endocrinol ; 203(1): 123-31, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19654143

ABSTRACT

Recent studies in dairy cows have demonstrated that serotonergic ligands affect milk yield and composition. Correspondingly, serotonin (5-HT) has been demonstrated to be an important local regulator of lactational homeostasis and involution in mouse and human mammary cells. We determined the mRNA expression of bovine 5-HT receptor (HTR) subtypes in bovine mammary tissue (BMT) and used pharmacological agents to evaluate functional activities of 5-HT receptors. The mRNAs for five receptor isoforms (HTR1B, 2A, 2B, 4, and 7) were identified by conventional real-time (RT)-PCR, RT quantitative PCR, and in situ hybridization in BMT. In addition to luminal mammary epithelial cell expression, HTR4 was expressed in myoepithelium, and HTR1B, 2A, and 2B were expressed in small mammary blood vessels. Serotonin suppressed milk protein mRNA expression (alpha-lactalbumin and beta-casein mRNA) in lactogen-treated primary bovine mammary epithelial cell (BMEC) cultures. To probe the functional activities of individual receptors, caspase-3 activity and expression of alpha-lactalbumin and beta-casein were measured. Both SB22489 (1B antagonist) and ritanserin (2A antagonist) increased caspase-3 activity. Expression of alpha-lactalbumin and beta-casein mRNA levels in BMEC were stimulated by low concentrations of SB224289, ritanserin, or pimozide. These results demonstrate that there are multiple 5-HT receptor isoforms in the bovine mammary gland, and point to profound differences between serotonergic systems of the bovine mammary gland and the human and mouse mammary glands. Whereas human and mouse mammary epithelial cells express predominately the protein for the 5-HT(7) receptor, cow mammary epithelium expresses multiple receptors that have overlapping, but not identical, functional activities.


Subject(s)
Caseins/metabolism , Caspase 3/metabolism , Lactalbumin/metabolism , Mammary Glands, Animal/metabolism , Receptors, Serotonin/metabolism , Animals , Apoptosis , Cattle , Cell Line , Epithelial Cells/metabolism , Female , Pregnancy , Protein Isoforms/metabolism , RNA, Messenger/metabolism , Serotonin/metabolism , Serotonin Antagonists , Serotonin Receptor Agonists
10.
Domest Anim Endocrinol ; 35(1): 16-23, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18325721

ABSTRACT

During two studies, effects of recombinant bovine somatotropin (rbST) on plasma and milk IGF's in cows adapted to summer (S; 12 cows) or winter (W; 12 cows) conditions were evaluated. Each study consisted of on-farm periods (30 days) followed by climatology chamber periods (CC; 30 days). Cows were given daily injections of rbST, Sometribove, USAN (25mg/day; 6 cows each study) or saline (control; 6 cows each study). During on-farm periods, blood and milk (am and pm) samples were collected once weekly. During CC periods, blood samples were collected every 2 days and milk samples (am and pm) were collected daily. Plasma IGF-I and IGF-II were increased in cows treated with rbST. A pronounced seasonal pattern in basal and rbST-stimulated plasma IGF-I but not IGF-II was detected. Higher basal and rbST-stimulated plasma IGF-I concentrations in S occurred despite large decreases in feed intake and energy balance. Milk IGF-I and IGF-II was not affected by rbST treatment or season. Although milk IGF-I and IGF-II concentrations were unaffected by rbST treatment, total IGF-output increased due to increased milk yield. The observed seasonal patterns in plasma IGF-I may be indicative of seasonal differences in the coupling of the somatotropin-IGF axis. In particular, we failed to detect an uncoupling of the somatotropin-IGF-I axis in S despite an induced negative energy balance during thermal stress.


Subject(s)
Cattle/metabolism , Growth Hormone/pharmacology , Insulin-Like Growth Factor II/metabolism , Insulin-Like Growth Factor I/metabolism , Milk/metabolism , Seasons , Animals , Dairying , Energy Metabolism/drug effects , Female , Lactation/blood , Lactation/drug effects , Lactation/metabolism , Milk/drug effects , Photoperiod , Plasma/drug effects , Plasma/metabolism , Recombinant Proteins/pharmacology , Stress, Physiological/metabolism , Temperature
11.
Mol Cell Neurosci ; 36(4): 449-61, 2007 Dec.
Article in English | MEDLINE | ID: mdl-17904861

ABSTRACT

The p75 neurotrophin receptor (p75NTR) is a member of the tumor necrosis factor receptor superfamily that paradoxically mediates neuronal survival and differentiation or apoptotic cell death. Cleavage of p75NTR by a constitutively active metalloprotease could result in shedding of its extracellular domain (p75ECD) and generation of a pro-apoptotic intracellular domain (p75ICD). In this study, we established that exposure of a transgenic mouse photoreceptor cell line to intense light upregulated the expression of p75NTR and of the disintegrin metalloprotease tumor necrosis factor-converting enzyme (TACE) and resulted in apoptotic cell death. Light damage promoted TACE cleavage of p75NTR resulting in shedding of the soluble p75ECD and nuclear translocation of the p75ICD. Overexpression of TACE and p75NTR-induced p75NTR cleavage and secretion of p75ECD, but not nuclear transport of p75ICD. Light-induced cleavage of p75NTR, nuclear localization of p75ICD, and apoptosis were inhibited by IC-3, a metalloprotease inhibitor. Increased levels of p75NTR and TACE were observed in photoreceptor cells of animals with photic injury. Our findings support a role for TACE in the proteolytic cleavage of p75NTR and light-induced apoptosis.


Subject(s)
ADAM Proteins/metabolism , Apoptosis/physiology , Photic Stimulation/adverse effects , Photoreceptor Cells/metabolism , Receptor, Nerve Growth Factor/metabolism , Retina/metabolism , ADAM Proteins/radiation effects , ADAM17 Protein , Active Transport, Cell Nucleus/physiology , Active Transport, Cell Nucleus/radiation effects , Animals , Apoptosis/radiation effects , Cell Line , Cell Nucleus/metabolism , Gene Expression Regulation/physiology , Gene Expression Regulation/radiation effects , Intracellular Fluid/metabolism , Metalloproteases/antagonists & inhibitors , Metalloproteases/metabolism , Mice , Mice, Transgenic , Photoreceptor Cells/injuries , Photoreceptor Cells/radiation effects , Protein Structure, Tertiary/physiology , Protein Structure, Tertiary/radiation effects , Rats , Rats, Sprague-Dawley , Receptor, Nerve Growth Factor/radiation effects , Retina/injuries , Retina/radiation effects
12.
Vet Clin North Am Food Anim Pract ; 20(3): 687-701, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15471631

ABSTRACT

Recent studies in high-producing dairy cows have demonstrated the dry period requirement is greatly influenced by parity and management practice. Multiparous cows that were continuously milked and treated with bST demonstrated negligible production losses in the next lactation. First-lactation heifers, however, demonstrated large reductions in milk yield. These reductions were not overcome by using bST or IMF the next lactation. No studies have been performed examining use of LDPP or SDPP in combination with bST and IMF on the dry-period requirement. Cows that are continuously milked demonstrated higher feed intakes during the peripartum period, which may greatly improve metabolic health. Future studies must examine potential benefits of continuous milking on health in the next lactation.


Subject(s)
Cattle/physiology , Dairying/methods , Growth Hormone/administration & dosage , Lactation/physiology , Parity/physiology , Animals , Female , Lactation/drug effects , Photoperiod
13.
Physiol Genomics ; 15(2): 158-64, 2003 Oct 17.
Article in English | MEDLINE | ID: mdl-13130080

ABSTRACT

A cDNA microarray resource has been developed with the goal of providing integrated functional genomics resources for cattle. The National Bovine Functional Genomics Consortium's (NBFGC) expressed sequence tag (EST) collection was established in 2001 to develop resources for functional genomics research. The NBFGC EST collection and microarray contains 18,263 unique transcripts, derived from many different tissue types and various physiologically important states within these tissues. The NBFGC microarray has been tested for false-positive rates using self-self hybridizations and was shown to yield robust results in test microarray experiments. A web-accessible database has been established to provide pertinent data related to NBFGC clones, including sequence data, BLAST results, and ontology information. The NBFGC microarray represents the largest cDNA microarray for a livestock species prepared to date and should prove to be a valuable tool in studying genome-wide gene expression in cattle.


Subject(s)
Cattle/genetics , Oligonucleotide Array Sequence Analysis/veterinary , Animals , Databases, Genetic , Oligonucleotide Array Sequence Analysis/methods
14.
Exp Eye Res ; 74(4): 445-53, 2002 Apr.
Article in English | MEDLINE | ID: mdl-12076088

ABSTRACT

Betaxolol (racemic), a beta-adrenoceptor antagonist that is used to lower intraocular pressure in the treatment of glaucoma, has been shown to protect inner retina cells from various insults. To determine if such protection could be afforded to retinal photoreceptors and retinal pigment epithelial cells (RPE), levobetaxolol (S-betaxolol) was evaluated in a photic-induced retinopathy model. Rats were dosed (IP) with vehicle or levobetaxolol (10 and 20 mg kg(-1)) 48, 24 and 0 hr prior to exposure for 6 hr to fluorescent blue light. The electroretinogram (ERG) and retinal morphology were assessed after a 3 week recovery period. Evaluation of the ERG demonstrated significant protection of retinal function in levobetaxolol (20 mg kg(-1))-dosed rats compared to vehicle-dosed rats. Similarly, the RPE and outer nuclear layer were significantly thicker in levobetaxolol (20 mg kg(-1))-dosed rats compared to vehicle-dosed rats. To elucidate potential mechanism(s) of the neuroprotective activity of levobetaxolol, bFGF and CNTF mRNA levels in normal rat retinas were evaluated 12 hr after a single i.p. injection. Northern blot analysis of levobetaxolol treated retinas demonstrated a 10-fold up-regulation of bFGF and a two-fold up-regulation of CNTF mRNA levels, trophic factors that have been shown to inhibit retinal degeneration in a number of species. These studies suggest that levobetaxolol can be used as a novel neuroprotective agent to ameliorate retinopathy.


Subject(s)
Adrenergic beta-Antagonists/therapeutic use , Betaxolol/therapeutic use , Neuroprotective Agents/therapeutic use , Radiation Injuries/prevention & control , Retinal Degeneration/prevention & control , Animals , Ciliary Neurotrophic Factor/biosynthesis , Ciliary Neurotrophic Factor/genetics , Dose-Response Relationship, Drug , Electroretinography , Fibroblast Growth Factor 2/biosynthesis , Fibroblast Growth Factor 2/genetics , Light , Male , RNA, Messenger/genetics , Rats , Rats, Sprague-Dawley , Retina/metabolism , Up-Regulation/drug effects
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