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1.
Psychopharmacology (Berl) ; 225(3): 579-94, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22983144

RESUMEN

Metabotropic glutamate-5 receptors (mGluR5), which physically and functionally interact with N-methyl-D-Aspartate (NMDA) receptors, likewise control cognitive processes and have been proposed as targets for novel classes of antipsychotic agent. Since social cognition is impaired in schizophrenia and disrupted by NMDA receptor antagonists like dizocilpine, we evaluated its potential modulation by mGluR5. Acute administration (0.63-40 mg/kg) of the mGluR5 positive allosteric modulators (PAMs), 3-cyano-N-(1,3-diphenyl-1H-pyrazol-5-yl)benzamide (CDPPB) and ADX47273, reversed a delay-induced impairment in social novelty discrimination (SND) in adult rats. The action of CDPPB was blocked by the mGluR5 antagonist, 2-methyl-6-(phenylethynyl)-pyridine (2.5-10 mg/kg), and was also expressed upon microinjection into frontal cortex (0.63-10 µg/side), but not striatum. Supporting an interrelationship between mGluR5 and NMDA receptors, enhancement of SND by CDPPB was blocked by dizocilpine (0.08 mg/kg) while, reciprocally, dizocilpine-induced impairment in SND was attenuated by CDPPB (10 mg/kg). The SND deficit elicited by post-natal administration of phencyclidine (10 mg/kg, days 7-11) was reversed by CDPPB or ADX47273 in adults at week 8. This phencyclidine-induced impairment in cognition emerged in adult rats from week 7 on, and chronic, pre-symptomatic treatment of adolescent rats with CDPPB over weeks 5-6 (10 mg/kg per day) prevented the appearance of SND deficits in adults until at least week 13. In conclusion, as evaluated by a SND procedure, mGluR5 PAMs promote social cognition via actions expressed in interaction with NMDA receptors and exerted in frontal cortex. MGluR5 PAMs not only reverse but also (when given during adolescence) prevent the emergence of cognitive impairment associated with a developmental model of schizophrenia.


Asunto(s)
Envejecimiento/psicología , Conducta Animal/efectos de los fármacos , Discriminación en Psicología/efectos de los fármacos , Fenciclidina/farmacología , Receptores de Glutamato Metabotrópico/metabolismo , Conducta Social , Envejecimiento/efectos de los fármacos , Envejecimiento/metabolismo , Regulación Alostérica , Animales , Animales Recién Nacidos , Benzamidas/farmacología , Encéfalo/efectos de los fármacos , Encéfalo/crecimiento & desarrollo , Encéfalo/metabolismo , Maleato de Dizocilpina/farmacología , Relación Dosis-Respuesta a Droga , Masculino , Microinyecciones , Oxadiazoles/farmacología , Piperidinas/farmacología , Pirazoles/farmacología , Ratas , Ratas Wistar , Receptor del Glutamato Metabotropico 5 , Receptores de Glutamato Metabotrópico/antagonistas & inhibidores , Receptores de N-Metil-D-Aspartato/antagonistas & inhibidores , Receptores de N-Metil-D-Aspartato/metabolismo , Esquizofrenia/inducido químicamente , Esquizofrenia/metabolismo , Esquizofrenia/prevención & control
2.
EMBO Mol Med ; 4(10): 1043-56, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23027611

RESUMEN

Cognitive deficits in schizophrenia severely compromise quality of life and are poorly controlled by current antipsychotics. While 5-HT(6) receptor blockade holds special promise, molecular substrates underlying their control of cognition remain unclear. Using a proteomic strategy, we show that 5-HT(6) receptors physically interact with several proteins of the mammalian target of rapamycin (mTOR) pathway, including mTOR. Further, 5-HT(6) receptor activation increased mTOR signalling in rodent prefrontal cortex (PFC). Linking this signalling event to cognitive impairment, the mTOR inhibitor rapamycin prevented deficits in social cognition and novel object discrimination induced by 5-HT(6) agonists. In two developmental models of schizophrenia, specifically neonatal phencyclidine treatment and post-weaning isolation rearing, the activity of mTOR was enhanced in the PFC, and rapamycin, like 5-HT(6) antagonists, reversed these cognitive deficits. These observations suggest that recruitment of mTOR by prefrontal 5-HT(6) receptors contributes to the perturbed cognition in schizophrenia, offering new vistas for its therapeutic control.


Asunto(s)
Cognición , Receptores de Serotonina/metabolismo , Esquizofrenia/fisiopatología , Serina-Treonina Quinasas TOR/metabolismo , Animales , Línea Celular , Humanos , Masculino , Ratones , Mapeo de Interacción de Proteínas , Proteoma/análisis , Proteómica/métodos , Ratas
3.
J Pharmacol Exp Ther ; 340(3): 765-80, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22178753

RESUMEN

The present studies characterized the functional profile of N-[4-methoxy-3-(4-methylpiperazin-1-yl)phenyl]-1,2-dihydro-3-H-benzo[e]indole-3-carboxamide) (S32212), a combined serotonin (5-HT)(2C) receptor inverse agonist and α(2)-adrenoceptor antagonist that also possesses 5-HT(2A) antagonist properties (J Pharmacol Exp Ther 340:750-764, 2012). Upon parenteral and/or oral administration, dose-dependent (0.63-40.0 mg/kg) actions were observed in diverse procedures. Both acute and subchronic administration of S32212 reduced immobility time in a forced-swim test in rats. Acutely, it also suppressed marble burying and aggressive behavior in mice. Long-term administration of S32212 was associated with rapid (1 week) and sustained (5 weeks) normalization of sucrose intake in rats exposed to chronic mild stress and with elevated levels of mRNA encoding brain-derived neurotrophic factor in hippocampus and amygdala (2 weeks). S32212 accelerated the firing rate of adrenergic perikarya in the locus coeruleus and elevated dialysis levels of noradrenaline in the frontal cortex and hippocampus of freely moving rats. S32212 also elevated the frontocortical levels of dopamine and acetylcholine, whereas 5-HT, amino acids, and histamine were unaffected. These neurochemical actions were paralleled by "promnemonic" properties: blockade of scopolamine-induced deficits in radial maze performance and social recognition and reversal of delay-induced impairments in social recognition, social novelty discrimination, and novel object recognition. It also showed anxiolytic actions in a Vogel conflict procedure. Furthermore, in an electroencephalographic study of sleep architecture, S32212 enhanced slow-wave and rapid eye movement sleep, while decreasing waking. Finally, chronic administration of S32212 neither elevated body weight nor perturbed sexual behavior in male rats. In conclusion, S32212 displays a functional profile consistent with improved mood and cognitive performance, together with satisfactory tolerance.


Asunto(s)
Antagonistas de Receptores Adrenérgicos alfa 2/farmacología , Antidepresivos/farmacología , Conducta Animal/efectos de los fármacos , Química Encefálica/efectos de los fármacos , Indoles/farmacología , Piperazinas/farmacología , Receptor de Serotonina 5-HT2C/efectos de los fármacos , Acetilcolina/análisis , Agresión/efectos de los fármacos , Amígdala del Cerebelo/metabolismo , Animales , Factor Neurotrófico Derivado del Encéfalo/genética , Dopamina/análisis , Relación Dosis-Respuesta a Droga , Agonismo Inverso de Drogas , Hipocampo/metabolismo , Masculino , Ratones , Actividad Motora/efectos de los fármacos , Norepinefrina/análisis , Ratas , Ratas Wistar , Escopolamina/farmacología , Conducta Sexual Animal/efectos de los fármacos , Sueño/efectos de los fármacos , Sueño/fisiología , Natación
4.
Neuropsychopharmacology ; 37(3): 770-86, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22030711

RESUMEN

Dopamine D(3) receptor antagonists exert pro-cognitive effects in both rodents and primates. Accordingly, this study compared the roles of dopamine D(3) vs D(2) receptors in social novelty discrimination (SND), which relies on olfactory cues, and novel object recognition (NOR), a visual-recognition task. The dopamine D(3) receptor antagonist, S33084 (0.04-0.63 mg/kg), caused a dose-related reversal of delay-dependent impairment in both SND and NOR procedures in adult rats. Furthermore, mice genetically deficient in dopamine D(3) receptors displayed enhanced discrimination in the SND task compared with wild-type controls. In contrast, acute treatment with the preferential dopamine D(2) receptor antagonist, L741,626 (0.16-5.0 mg/kg), or with the dopamine D(3) agonist, PD128,907 (0.63-40 µg/kg), caused a dose-related impairment in performance in rats in both tasks after a short inter-trial delay. Bilateral microinjection of S33084 (2.5 µg/side) into the prefrontal cortex (PFC) of rats increased SND and caused a dose-related (0.63-2.5 µg/side) improvement in NOR, while intra-striatal injection (2.5 µg/side) had no effect on either. In contrast, bilateral microinjection of L741,626 into the PFC (but not striatum) caused a dose-related (0.63-2.5 µg/side) impairment of NOR. These observations suggest that blockade of dopamine D(3) receptors enhances both SND and NOR, whereas D(3) receptor activation or antagonism of dopamine D(2) receptor impairs cognition in these paradigms. Furthermore, these actions are mediated, at least partly, by the PFC. These data have important implications for exploitation of dopaminergic mechanisms in the treatment of schizophrenia and other CNS disorders, and support the potential therapeutic utility of dopamine D(3) receptor antagonism.


Asunto(s)
Discriminación en Psicología/efectos de los fármacos , Antagonistas de Dopamina/farmacología , Antagonistas de los Receptores de Dopamina D2 , Corteza Prefrontal/efectos de los fármacos , Receptores de Dopamina D3/antagonistas & inhibidores , Reconocimiento en Psicología/efectos de los fármacos , Animales , Benzopiranos/farmacología , Relación Dosis-Respuesta a Droga , Indoles/farmacología , Masculino , Ratones , Ratones Noqueados , Microinyecciones , Piperidinas/farmacología , Corteza Prefrontal/metabolismo , Pirroles/farmacología , Ratas , Ratas Wistar , Receptores de Dopamina D2/metabolismo , Receptores de Dopamina D3/metabolismo
5.
Int J Neuropsychopharmacol ; 13(8): 1035-51, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20663270

RESUMEN

Although dopamine D(3) receptor antagonists have been shown to enhance frontocortical cholinergic transmission and improve cognitive performance in rodents, data are limited and their effects have never been examined in primates. Accordingly, we characterized the actions of the D(3) receptor antagonist, S33138, in rats and rhesus monkeys using a suite of procedures in which cognitive performance was disrupted by several contrasting manipulations. S33138 dose-dependently (0.01-0.63 mg/kg s.c.) blocked a delay-induced impairment of novel object recognition in rats, a model of visual learning and memory. Further, S33138 (0.16-2.5 mg/kg s.c.) similarly reduced a delay-induced deficit in social novelty discrimination in rats, a procedure principally based on olfactory cues. Adult rhesus monkeys were trained to perform cognitive procedures, then chronically exposed to low doses of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine which produced cognitive impairment without motor disruption. In an attentional set-shifting task of cognitive flexibility involving an extra-dimensional shift, deficits were reversed by S33138 (0.04 and 0.16 mg/kg p.o.). S33138 also significantly improved accuracy (0.04 and 0.16 mg/kg p.o.) at short (but not long) delays in a variable delayed-response task of attention and working memory. Finally, in a separate set of experiments performed in monkeys displaying age-related deficits, S33138 significantly (0.16 and 0.63 mg/kg p.o.) improved task accuracies for long delay intervals in a delayed matching-to-sample task of working memory. In conclusion, S33138 improved performance in several rat and primate procedures of cognitive impairment. These data underpin interest in D(3) receptor blockade as a strategy for improving cognitive performance in CNS disorders like schizophrenia and Parkinson's disease.


Asunto(s)
Acetanilidas/uso terapéutico , Benzopiranos/uso terapéutico , Trastornos del Conocimiento/tratamiento farmacológico , Antagonistas de Dopamina/uso terapéutico , Receptores de Dopamina D3/antagonistas & inhibidores , Acetanilidas/metabolismo , Acetanilidas/farmacología , Animales , Benzopiranos/metabolismo , Benzopiranos/farmacología , Trastornos del Conocimiento/metabolismo , Trastornos del Conocimiento/psicología , Antagonistas de Dopamina/metabolismo , Antagonistas de Dopamina/farmacología , Relación Dosis-Respuesta a Droga , Femenino , Macaca mulatta , Masculino , Ratas , Ratas Wistar , Receptores de Dopamina D3/metabolismo , Especificidad de la Especie
6.
Eur Neuropsychopharmacol ; 19(1): 23-33, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18793829

RESUMEN

Though D(3) receptor antagonists can enhance cognitive function, their sites of action remain unexplored. This issue was addressed employing a model of social recognition in rats, and the actions of D(3) antagonists were compared to D(1) agonists that likewise possess pro-cognitive properties. Infusion of the highly selective D(3) antagonists, S33084 and SB277,011 (0.04-2.5 microg/side), into the frontal cortex (FCX) dose-dependently reversed the deficit in recognition induced by a delay. By contrast, the preferential D(2) antagonist, L741,626 (0.63-5.0) had no effect. The action of S33084 was regionally specific inasmuch as its injection into the nucleus accumbens or striatum was ineffective. A similar increase of recognition was obtained upon injection of the D(1) agonist, SKF81297 (0.04-0.63), into the FCX though it was also active (0.63) in the nucleus accumbens. These data suggest that D(3) receptors modulating social recognition are localized in FCX, and underpin their pertinence as targets for antipsychotic agents.


Asunto(s)
Antagonistas de los Receptores de Dopamina D2 , Corteza Prefrontal/efectos de los fármacos , Receptores de Dopamina D1/agonistas , Receptores de Dopamina D3/antagonistas & inhibidores , Reconocimiento en Psicología/efectos de los fármacos , Conducta Social , Animales , Benzazepinas/farmacología , Benzopiranos/farmacología , Agonistas de Dopamina/farmacología , Antagonistas de Dopamina/farmacología , Indoles/farmacología , Masculino , Microinyecciones , Nitrilos/farmacología , Piperidinas/farmacología , Pirroles/farmacología , Ratas , Ratas Wistar , Tetrahidroisoquinolinas/farmacología
7.
J Pharmacol Exp Ther ; 324(3): 1212-26, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18096759

RESUMEN

In contrast to clinically available antipsychotics, the novel benzopyranopyrrolidine derivative, S33138 (N-[4-[2-[(3aS,9bR)-8-cyano-1,3a,4,9b-tetrahydro[1]benzopyrano[3,4-c]pyrrol-2(3H)-yl)-ethyl]phenyl-acetamide), behaves as a preferential antagonist of D(3) versus D(2) receptors and does not interact with histamine H(1) and muscarinic receptors. In contrast to haloperidol, clozapine, olanzapine, and risperidone, S33138 (0.16-2.5 mg/kg s.c.) did not disrupt performance in passive-avoidance and five-choice serial reaction time procedures. Furthermore, upon either systemic administration (0.04-2.5 mg/kg s.c.) or introduction into the frontal cortex (0.04-0.63 mug/side), S33138 potently attenuated the perturbation of social recognition by scopolamine or a prolonged intersession delay. Over a comparable and low-dose range, S33138 (0.04-0.63 mg/kg s.c.) elevated dialysis levels of acetylcholine in the frontal cortex of freely moving rats. At higher doses (2.5-10.0 mg/kg s.c.), S33138 also increased frontocortical levels of histamine, whereas monoamines, glutamate, glycine, and GABA were unaffected. By analogy to the other antipsychotics, S33138 (0.63-10.0 mg/kg s.c.) inhibited conditioned avoidance responses in rats, apomorphine-induced climbing in mice, and hyperlocomotion elicited by amphetamine, cocaine, dizocilpine, ketamine, and phencyclidine in rats. S33138 (0.16-2.5 mg/kg s.c.) also blocked the reduction of prepulse inhibition elicited by apomorphine. In comparison with the above actions, only "high" doses of S33138 (10.0-40.0 mg/kg s.c.) elicited catalepsy. To summarize, reflecting preferential blockade of D(3) versus D(2) receptors, S33138 preserves and/or enhances cognitive function, increases frontocortical cholinergic transmission, and is active in models of antipsychotic properties at doses well below those inducing catalepsy. In comparison with clinically available agents, S33138 displays, thus, a distinctive and promising profile of potential antipsychotic properties.


Asunto(s)
Acetanilidas/farmacología , Acetanilidas/uso terapéutico , Antipsicóticos/farmacología , Antipsicóticos/uso terapéutico , Benzopiranos/farmacología , Benzopiranos/uso terapéutico , Antagonistas de los Receptores de Dopamina D2 , Receptores de Dopamina D3/antagonistas & inhibidores , Animales , Antagonistas de Dopamina/farmacología , Antagonistas de Dopamina/uso terapéutico , Masculino , Desempeño Psicomotor/efectos de los fármacos , Desempeño Psicomotor/fisiología , Trastornos Psicóticos/tratamiento farmacológico , Trastornos Psicóticos/fisiopatología , Ratas , Ratas Wistar , Tiempo de Reacción/efectos de los fármacos , Tiempo de Reacción/fisiología , Receptores de Dopamina D2/fisiología , Receptores de Dopamina D3/fisiología
8.
Psychopharmacology (Berl) ; 196(1): 93-104, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17922111

RESUMEN

RATIONALE: 5-HT6 receptor antagonists improve cognitive processes in rodents. However, their site(s) of action remains unexplored and their influence upon social memory has been little investigated. OBJECTIVES: We examined the influence of 5-HT6 receptor ligands upon social memory in rats by use of systemic or local administration into the frontal cortex (FCX), striatum, or nucleus basalis magnocellularis (NBM). MATERIALS AND METHODS: The social recognition test is based upon the ability of an adult rat to recognize a younger conspecific during the second of two 5-min sessions. In a procedure without an inter-session interval, the actions of drugs alone and the ability to reverse "amnesia" induced by the muscarinic antagonist, scopolamine (1.25 mg/kg, s.c.), were examined. The potential promnesic effect of drugs was also investigated in another procedure where a spontaneous deficit of recognition was induced by a 120-min inter-session interval. RESULTS: The 5-HT6 receptor agonist, WAY-181187 (10.0 mg/kg, i.p.), significantly impaired social recognition. This effect was abolished by the 5-HT6 receptor antagonists, SB-271046 (20.0 mg/kg, i.p.) and SB-258585 (10.0 mg/kg, i.p.). These agents also abolished scopolamine-induced amnesia (10.0 and 2.5 mg/kg, i.p., respectively) and reversed the delay-induced deficit (10.0-20.0 and 2.5-10.0 mg/kg, i.p., respectively). WAY-181187 into the FCX significantly impaired social recognition (0.16-0.63 microg/side). Conversely, SB-271046 into the FCX (2.5-5.0 microg/side), but neither into the striatum nor the NBM, significantly reversed spontaneous deficit. CONCLUSION: These results indicate that 5-HT6 receptors modulate social recognition by actions in the FCX and underpin their pertinence as targets for the treatment of psychiatric disorders in which cognitive function is compromised.


Asunto(s)
Lóbulo Frontal/efectos de los fármacos , Recuerdo Mental/efectos de los fármacos , Piperazinas/farmacología , Receptores de Serotonina/efectos de los fármacos , Antagonistas de la Serotonina/farmacología , Conducta Social , Sulfonamidas/farmacología , Tiofenos/farmacología , Animales , Núcleo Basal de Meynert/efectos de los fármacos , Cuerpo Estriado/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Inyecciones Intraperitoneales , Inyecciones Subcutáneas , Masculino , Microinyecciones , Ratas , Ratas Wistar , Escopolamina/antagonistas & inhibidores , Escopolamina/farmacología
9.
Eur Neuropsychopharmacol ; 16(6): 417-28, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16376525

RESUMEN

The anxiolytic potential of melatonin and agomelatine, a potent MT(1/2) receptor agonist, and their combined effects with diazepam, were investigated in rats using the punished drinking test, the safety signal withdrawal operant paradigm, the elevated-plus-maze and hypophagia-induced novelty. In the punished drinking test, evening injections of melatonin (80 mg/kg, IP, but not 20 and 40 mg/kg) and agomelatine (40 mg/kg, IP) increased the number of foot shocks received. However, neither melatonin (40-80 mg/kg) nor agomelatine (20-40 mg/kg) released response suppression during the period associated with the safety signal withdrawal and affected rats' behaviour in the elevated-plus-maze. Furthermore, agomelatine (40 mg/kg) did not enhance food consumption in unfamiliar environment. However, the co-administration of melatonin (80 mg/kg) or agomelatine (20-40 mg/kg) with diazepam, at a dose (0.25 mg/kg) inactive on its own, induced an anxiolytic-like effect in the punished drinking test and the elevated plus-maze. These results indicate that, although mostly devoid of anxiolytic-like action per se, melatonin and agomelatine can potentiate the anxiolytic effects of diazepam.


Asunto(s)
Acetamidas/uso terapéutico , Ansiedad/tratamiento farmacológico , Diazepam/uso terapéutico , Melatonina/uso terapéutico , Acetamidas/metabolismo , Acetamidas/farmacología , Animales , Ansiedad/metabolismo , Ansiedad/psicología , Condicionamiento Operante/efectos de los fármacos , Condicionamiento Operante/fisiología , Diazepam/metabolismo , Diazepam/farmacología , Relación Dosis-Respuesta a Droga , Interacciones Farmacológicas/fisiología , Masculino , Melatonina/metabolismo , Actividad Motora/efectos de los fármacos , Actividad Motora/fisiología , Ratas , Ratas Wistar
10.
Psychopharmacology (Berl) ; 182(1): 24-32, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-15986188

RESUMEN

RATIONALE: Substance P receptor [neurokinin1 (NK1-R)] antagonists and melatonin(1/2) receptor (MT(1/2)-R) agonists have been claimed to be potential antidepressants (ADs). In animals, these compounds are active in validated models responsive to ADs, such as forced swimming test and chronic mild stress paradigms. Classical AD drugs are also known to be effective in pathologies characterized by an impulse control deficiency. In line with this clinical observation, previous studies demonstrated that classical ADs increased the capacity to wait for food reward in rats subjected to a paradigm aimed at assessing impulsive-related behaviour. OBJECTIVES: This study was conducted to investigate the effects of two MT(1/2)-R agonists, melatonin and agomelatine, and a NK1-R antagonist, GR205171, on tolerance to delay of food reward in rats. METHODS: Fasting rats were trained in a T-maze and allowed to choose between two magnitudes of reward: immediate but small reward (two pellets) vs 25-s delayed but large reward (ten pellets). Under this alternative, vehicle-injected rats selected the large-but-delayed reinforcer in less than 40% of the trials. RESULTS: Like the established ADs clomipramine (8 mg kg(-1), i.p.) and fluvoxamine (4 mg kg(-1), i.p.), melatonin (3 and 10 mg kg(-1), i.p.), agomelatine (10 and 30 mg kg(-1), i.p.) and GR205171 (30 mg kg(-1) but not 10 mg kg(-1), s.c.) significantly increased the number of choices of the large-but-delayed reward. The effect of melatonin (3 mg kg(-1), i.p.) was not counteracted by the MT(1/2)-R antagonist S22153 (40 mg kg(-1), i.p.) that exerted no effect on its own. CONCLUSION: These results suggest that MT(1/2)-R agonists and NK1-R antagonists enhance rats' tolerance to delay of gratification, an effect which may reflect their ability to improve impulse control. Further investigations are necessary to clarify the neurobiological mechanisms responsible for this effect.


Asunto(s)
Acetamidas/farmacología , Antidepresivos/farmacología , Conducta Impulsiva/psicología , Melatonina/farmacología , Antagonistas del Receptor de Neuroquinina-1 , Piperidinas/farmacología , Receptor de Melatonina MT1/agonistas , Receptor de Melatonina MT2/agonistas , Tetrazoles/farmacología , Animales , Conducta Apetitiva/efectos de los fármacos , Condicionamiento Operante/efectos de los fármacos , Masculino , Motivación , Ratas , Ratas Wistar , Esquema de Refuerzo , Tiofenos/farmacología
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