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1.
Sci Rep ; 11(1): 21007, 2021 10 25.
Artículo en Inglés | MEDLINE | ID: mdl-34697366

RESUMEN

Nowadays, there is a growing concern about contamination of toxic metals (TM) in pet food due to the great potential for health risks of these elements. TM concentrations in commercial pet foods (n = 100) as well as in ingredients used in their composition (n = 100) were analyzed and compared to the Food and Drug Administration (FDA) maximum tolerable level (MTL), and the TM concentrations found in the different sources of carbohydrate, protein, and fat were compared. The TM concentrations were determined by inductively coupled plasma with optical emission spectrometry (ICP-OES). Concentrations above the MTL for aluminum, mercury, lead, uranium, and vanadium were observed in both dog and cat foods, and the percentage of dog foods that exceeded the MTL of these TM were: 31.9%; 100%; 80.55%; 95.83%; and 75%, respectively, and in cat foods: 10.71%; 100%; 32.14%; 85.71%; 28.57%, respectively. The MTL values of these TMs and the mean values in dog foods (mg/kg dry matter basis) (MTL [mean ± standard deviation]) were: aluminum: 200 (269.17 ± 393.74); mercury: 0.27 (2.51 ± 1.31); lead: 10 (12.55 ± 4.30); uranium: 10 (76.82 ± 28.09); vanadium: 1 (1.35 ± 0.69), while in cat foods were: aluminum: 200 (135.51 ± 143.95); mercury: 0.27 (3.47 ± 4.31); lead: 10 (9.13 ± 5.42); uranium: 10 (49.83 ± 29.18); vanadium: 1 (0.81 ± 0.77). Dry foods presented higher concentrations of most TM (P < 0.05) than wet foods (P < 0.05). Among the carbohydrate sources, there were the highest levels of all TM except cobalt, mercury, and nickel in wheat bran (P < 0.05), while among the protein sources, in general, animal by-products had higher TM concentrations than plant-based ingredients. Pork fat had higher concentrations of arsenic, mercury, and antimony than fish oil and poultry fat. It was concluded that the pet foods evaluated in this study presented high concentrations of the following TM: aluminum, mercury, lead, uranium, and vanadium.


Asunto(s)
Alimentación Animal/análisis , Ingredientes Alimentarios/análisis , Metales Pesados/análisis , Alimentación Animal/toxicidad , Animales , Gatos , Perros , Análisis de los Alimentos , Ingredientes Alimentarios/toxicidad , Intoxicación por Metales Pesados/veterinaria
2.
Ecotoxicology ; 30(10): 1969-1982, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34505200

RESUMEN

Heavy metals accumulated in the environment due to the mining industry may impact on the health of exposed wild animals with consequences at the population level via survival and selection of the most resistant individuals. The detection and quantification of shifts in gene frequencies or in the genetic structure in populations inhabiting polluted sites may be used as early indicators of environmental stress and reveal potential 'candidate gene biomarkers' for environmental health assessment. We had previously observed that specimens of the Greater white-toothed shrew (Crocidura russula) from two heavy metal mines in Southern Portugal (the Aljustrel and the Preguiça mines) carried physiological alterations compared to shrews from an unpolluted site. Here, we further investigated whether these populations showed genetic differences in genes relevant for physiological homeostasis and/or that are associated with pathways altered in animals living under chronic exposure to pollution, and which could be used as biomarkers. We analysed the mitochondrial cytochrome b (Cytb) gene and intronic and/or exonic regions of four nuclear genes: CYP1A1, LCAT, PRPF31, and p53. We observed (1) population differences in allele frequencies, types of variation, and diversity parameters in the Cytb, CYP1A1, and p53 genes; (2) purifying selection of Cytb in the mine populations; (3) genetic differentiation of the two mine populations from the reference by the p53 gene. Adding to our previous observations with Mus spretus, we provide unequivocal evidence of a population effect exerted by the contaminated environment of the mines on the local species of small mammals.


Asunto(s)
Citocromo P-450 CYP1A1 , Citocromos b , Intoxicación por Metales Pesados , Musarañas , Proteína p53 Supresora de Tumor , Animales , Biomarcadores , Monitoreo del Ambiente , Intoxicación por Metales Pesados/veterinaria , Humanos , Metales Pesados/análisis , Ratones , Minería , Musarañas/metabolismo
3.
Pesqui. vet. bras ; 40(9): 651-661, Sept. 2020. tab, ilus
Artículo en Inglés | LILACS, VETINDEX | ID: biblio-1143423

RESUMEN

Copper is an essential micromineral in animal feed; however, when consumed in excess, it can cause liver necrosis, hemolytic crisis, hemoglobinuric nephrosis and death in cattle. Although uncommon in this species, copper poisoning occurs as a result of exacerbated supplementation, deficiency of antagonist microminerals, or previous liver lesions. An outbreak of chronic copper poisoning is reported in semi-confined cattle after supplementation with 50 mg/Kg of dry matter copper. The cattle showed clinical signs characterized by anorexia, motor incoordination, loss of balance, jaundice, brownish or black urine, diarrhea and death, or were found dead, 10 to 302 days after consumption. Of the 35 cattle that died, 20 underwent necropsy, whose frequent findings were jaundice, enlarged liver with evident lobular pattern, black kidneys, and urinary bladder with brownish to blackish content. Microscopically, the liver showed vacuolar degeneration and/or zonal hepatocellular centrilobular or paracentral coagulative necrosis, in addition to cholestasis, mild periacinal fibrosis, apoptotic bodies, and mild to moderate mononuclear inflammation. Degeneration and necrosis of the tubular epithelium and intratubular hemoglobin cylinders were observed in the kidneys. Copper levels in the liver and kidneys ranged from 5,901.24 to 28,373.14 µmol/kg and from 303.72 to 14,021 µmol/kg, respectively. In conclusion, copper poisoning due to excessive nutritional supplementation is an important cause of jaundice, hemoglobinuria, and death in semi-confined cattle.(AU)


Cobre é um micromineral essencial, que quando em excesso induz necrose hepática, crise hemolítica, nefrose hemoglobínurica e morte em bovinos. As intoxicações, apesar de incomuns nessa espécie, ocorrem devido a suplementação exacerbada de cobre, pela deficiência de microminerais antagonistas ou secundária a lesão hepática prévia. Relata-se um surto de intoxicação crônica por cobre em bovinos semiconfinados após suplementação com 50mg/kg de cobre em matéria seca. Os bovinos manifestaram sinais clínicos caracterizados por anorexia, incoordenação motora, perda de equilíbrio, icterícia, urina acastanhada ou negra, diarreia e morte ou foram encontrados mortos, após 10 a 302 dias do início de consumo. De 35 bovinos que morreram 20 foram submetidos à necropsia sendo achada frequente icterícia, fígado aumentado e com padrão lobular evidente, rins pretos e bexiga urinária repleta de conteúdo acastanhado a enegrecida. Microscopicamente, no fígado havia degeneração vacuolar e ou necrose coagulativa hepatocelular zonal, centrolobular ou paracentral, além de degeneração vacuolar com corpúsculos de Councilman, colestase, fibrose periascinar leve, e inflamação de discreta a moderada. Nos rins havia degeneração e necrose do epitélio tubular assim como cilindros de hemoglobina intratubulares. Os níveis de cobre no fígado e rim foram de 5.901,24 a 28.373,14µmol/kg e 303,72 a 14.021µmol/kg respectivamente. A suplementação nutricional excessiva com cobre pode causar doença hemolítica com icterícia, hemoglobinúria e morte de bovinos mantidos em sistema de semiconfinamento.(AU)


Asunto(s)
Animales , Bovinos , Enfermedades de los Bovinos/etiología , Cobre/envenenamiento , Intoxicación por Metales Pesados/patología , Intoxicación por Metales Pesados/veterinaria , Intoxicación por Metales Pesados/epidemiología , Pastizales
4.
Fish Shellfish Immunol ; 95: 635-643, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31678183

RESUMEN

Small heat shock proteins (sHSPs) are ATP-independent chaperones and involved into various physiological and stress processes. In the present study, a 28.6-kD sHSP coding gene, MnHSP28.6, was cloned and characterized from the oriental river prawn Macrobrachium nipponense. Tissue distribution analysis via qPCR and western blot revealed that MnHSP28.6 predominantly expressed in muscle. The temporal transcription of MnHSP28.6 in muscle after bacterial challenge, heavy metal exposure and doxorubicin (DOX) injection was investigated by qPCR. The results showed that the expression of MnHSP28.6 were strongly enhanced by both Cd2+ and Cu2+ exposure, as well as DOX injection, but not by bacterial infection. Aggregation assays showed that recombinant MnHSP28.6 could effectively prevent temperature-induced aggregation of citrate synthase, and reduction-induced aggregation of insulin in vitro. MnHSP28.6 also could protect muscle extracts from heat-induced protein denaturation and superoxide dismutase (SOD) inactivation. Expressing MnHSP28.6 in E. coli conferred host cell impressive protection against H2O2 compared to control. These results suggest a protective role of MnHSP28.6 in maintaining protein homeostasis, preventing aggregation, promoting resistance to heavy metal and keeping redox balance.


Asunto(s)
Proteínas de Artrópodos/metabolismo , Proteínas de Choque Térmico Pequeñas/metabolismo , Intoxicación por Metales Pesados/veterinaria , Estrés Oxidativo , Palaemonidae/genética , Animales , Proteínas de Artrópodos/genética , Proteínas de Choque Térmico Pequeñas/genética , Intoxicación por Metales Pesados/prevención & control , Calor , Chaperonas Moleculares/genética , Músculos/metabolismo , Oxidación-Reducción , Sustancias Protectoras , Proteostasis
5.
Res Vet Sci ; 124: 334-337, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31048181

RESUMEN

The aims of the current study were to assess the inclusion levels of grape byproduct replacing jiggs hay in lambs diets and to evaluate signs of copper poisoning. Thirty-four Texel and Corriedale crossbred female lambs were used in a randomized block experimental design. The treatments comprised four levels of grape byproduct (0; 100; 200 and 300 g/kg DM) in replacement of jiggs hay. The diets were adjusted to the same ZnCu ratio (6:1) of the basal diet. Grape byproduct consumption at up to 30%, led to similar weight gain in the different treatments (P = .92), which was suitable for growing lambs. Grape byproduct in the diet had linear effect on GGT (P < .001) and AST (P < .0001) enzymes as well as on total bilirubin (P = .05). In addition, the highest grape byproduct addition showed the highest consumption of hay (P < .01). Hay replacement by grape byproduct at up to 300 g/kg in the DM was satisfactory to weight gain and did not negatively affect feed intake and weight gain of growing lambs. Maintaining zinc:copper ratio in sheep diets is not effective in preventing liver damage caused by increased dietary copper concentrations over a period of 70 days.


Asunto(s)
Cobre/envenenamiento , Intoxicación por Metales Pesados/veterinaria , Oveja Doméstica/fisiología , Vitis/química , Zinc/metabolismo , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Dieta/veterinaria , Suplementos Dietéticos/análisis , Femenino , Intoxicación por Metales Pesados/prevención & control , Zinc/administración & dosificación
7.
Sci Rep ; 9(1): 4253, 2019 03 12.
Artículo en Inglés | MEDLINE | ID: mdl-30862878

RESUMEN

Heavy metal toxicity is an ecological concern in regions affected by processes like mining, industry, and agriculture. At sufficiently high concentrations, heavy metals are lethal to honey bees, but little is known about how sublethal doses affect honey bees or whether they will consume contaminated food. We investigated whether honey bees reject sucrose solutions contaminated with three heavy metals - cadmium, copper, and lead - as a measure of their ability to detect the metals, and whether ingesting these metals altered the bees' sucrose sensitivity. The metals elicited three different response profiles in honey bees. Cadmium was not rejected in any of the assays, and ingesting cadmium did not alter sucrose sensitivity. Copper was rejected following antennal stimulation, but was readily consumed following proboscis stimulation. Ingestion of copper did not alter sucrose sensitivity. Lead appeared to be palatable at some concentrations and altered the bees' sensitivity to and/or valuation of sucrose following antennal stimulation or ingestion of the metal. These differences likely represent unique mechanisms for detecting each metal and the pathology of toxicity. The bees' ability to detect and consume these toxic metals highlights the risk of exposure to these elements for bees living in or near contaminated environments.


Asunto(s)
Abejas/efectos de los fármacos , Contaminantes Ambientales/toxicidad , Conducta Alimentaria/efectos de los fármacos , Intoxicación por Metales Pesados/veterinaria , Metales Pesados/toxicidad , Animales , Antenas de Artrópodos/efectos de los fármacos , Antenas de Artrópodos/fisiología , Abejas/fisiología , Relación Dosis-Respuesta a Droga , Conducta Alimentaria/fisiología , Intoxicación por Metales Pesados/fisiopatología , Suelo/química , Gusto/fisiología , Estados Unidos , Agua/química
8.
Artículo en Inglés | MEDLINE | ID: mdl-30419360

RESUMEN

The aim of this study was to evaluate the effectiveness of borax (BX) against heavy metal exposure on the transcriptional and biochemical reaction in vivo and alleviating effect on gill and liver tissues of rainbow trout. Due to this aim, fish were fed with different level of BX and/or copper (Cu) (1.25, 2.5 and 5 mg/kg of BX; 500 and 1000 mg/kg of Cu) for 21·days in pre- and co-treatment options. The transcriptional parameters [(heat-shock protein 70 (hsp70), and cytochromes P450 (cyp1a), glutathione peroxidase (GPx), superoxide dismutase (SOD) and catalase (CAT))], antioxidant enzyme activities (SOD, CAT and GPx), malondialdehyde (MDA), oxidative DNA damage (8-hydroxy-2'-deoxyguanosine (8-OHdG) and caspase-3 levels were investigated in different tissues samples of treated and control fish. Our results revealed that antioxidant enzyme activity was increased and levels of 8-OHdG, Caspase-3 and MDA were decreased in the BX and BX combined groups as compared to the copper combination group and to copper-only application during pre- and co-treatment (p < 0.05). Similarly, hsp70 and cyp1a gene expressions were decreased after treatment with BX. As conclusion, we suggest that borax itself is not an antioxidant it supportes antioxidant defense mechanism of fish disrupted by heavy metals.


Asunto(s)
Boratos/farmacología , Intoxicación por Metales Pesados/veterinaria , Oncorhynchus mykiss/metabolismo , Animales , Caspasa 3/metabolismo , Catalasa/metabolismo , Cobre/farmacología , Cobre/toxicidad , Sistema Enzimático del Citocromo P-450/metabolismo , Relación Dosis-Respuesta a Droga , Glutatión Peroxidasa/metabolismo , Proteínas HSP70 de Choque Térmico/metabolismo , Intoxicación por Metales Pesados/metabolismo , Intoxicación por Metales Pesados/prevención & control , Malondialdehído/metabolismo , Superóxido Dismutasa/metabolismo
9.
Poult Sci ; 98(2): 707-711, 2019 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-30265358

RESUMEN

The article reports a case of acute copper sulfate (CuSO4) poisoning in 2-day-old turkeys. The first incidences were noticed 2 h after placing the animals in the poultry house, where turkeys were provided with wood shaving bedding. Post-mortem examination showed wood shavings present in gastric and intestinal contents and numerous lesions in the alimentary tract: dark green color of the koilin lining, and surface erosions, deep ulceration, and severe congestion of the gizzard. The copper (Cu) concentration in samples of the liver, kidney, heart, gizzard content, gizzard muscle, gizzard lining, and wood shavings from the bedding was determined. Our results showed that the level of Cu in the livers of affected birds was more than sevenfold higher than the recommended value and the Cu content in bedding material was above the value considered to be toxic to turkeys. Our investigation identified the bedding disinfected using a CuSO4 solution as a possible cause of turkey fatalities.


Asunto(s)
Sulfato de Cobre/envenenamiento , Desinfectantes/envenenamiento , Intoxicación por Metales Pesados/veterinaria , Enfermedades de las Aves de Corral/diagnóstico , Pavos , Enfermedad Aguda , Animales , Ingestión de Alimentos , Femenino , Contenido Digestivo/química , Intoxicación por Metales Pesados/diagnóstico , Intoxicación por Metales Pesados/etiología , Vivienda para Animales , Masculino , Polonia , Enfermedades de las Aves de Corral/inducido químicamente , Pavos/crecimiento & desarrollo , Madera/química
10.
Environ Pollut ; 236: 862-870, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29475173

RESUMEN

Mercury, a toxic trace metal, has been used extensively as an inexpensive and readily available method of extracting gold from fine-grained sediment. Worldwide, artisanal mining is responsible for one third of all mercury released into the environment. By testing bat hair from museum specimens and field collected samples from areas both impacted and unimpacted by artisanal gold mining in Perú, we show monomethylmercury (MMHg) has increased in the last 100 years. MMHg concentrations were also greatest in the highest bat trophic level (insectivores), and in areas experiencing extractive artisanal mining. Reproductive female bats had higher MMHg concentrations, and both juvenile and adult bats from mercury contaminated sites had more MMHg than those from uncontaminated sites. Bats have important ecological functions, providing vital ecosystem services such as pollination, seed dispersal, and insect control. Natural populations can act as environmental sentinels and offer the chance to expand our understanding of, and responses to, environmental and human health concerns.


Asunto(s)
Quirópteros/metabolismo , Monitoreo del Ambiente/métodos , Contaminantes Ambientales/metabolismo , Intoxicación por Metales Pesados/veterinaria , Mercurio/metabolismo , Minería , Animales , Ecología , Ecosistema , Femenino , Oro , Cabello/química , Masculino , Mercurio/análisis , Perú
11.
Biol Trace Elem Res ; 180(2): 306-313, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28409411

RESUMEN

Silver nanoparticles (AgNPs) have been increasingly used as antimicrobial and disinfectant. However, intestinal model studies have shown that AgNPs induce oxidative stress. Hence, this study aims to investigate the effects of dietary supplemental zinc (Zn) and vitamin E (VE; α-tocopherol acetate) on attenuating AgNP-induced intestinal oxidative stress in broiler chickens. The chickens were divided into two groups as follows: (1) control group fed with a corn-soybean meal basal diet and (2) nano group, received drinking water containing 1000 mg/kg AgNPs. All the nano-exposed birds were divided into six dietary treatment groups, namely, the basal diets supplemented with (1) 60 mg/kg Zn as ZnSO4, (2) 120 mg/kg Zn, (3) 100 mg/kg VE, (4) 200 mg/kg VE, (5) 60 mg/kg Zn and 100 mg/kg VE, and (6) 120 mg/kg Zn and 200 mg/kg VE. Results showed that the AgNPs significantly reduced the body weights of the broilers after 42 days of oral administration of AgNPs (P < 0.05), and this effect was not alleviated by any of the dietary treatments. The activity of superoxide dismutase (CuZn-SOD) increased in all the AgNP-treated birds (P < 0.05); however, CuZn-SOD did not increase in birds fed with basal diet supplemented with 200 mg/kg VE. In this treatment, the VE exerted an antioxidant effect to prevent the activation of the CuZn-SOD enzyme. Furthermore, supplementing Zn increased the activities of catalase and glutathione peroxidase in the jejunal mucosa (P < 0.05), which were accompanied with increased malondialdehyde levels (P < 0.05) in the broilers. AgNP exposure resulted in a significant messenger RNA (mRNA) upregulation of toll-like receptor 4 (TLR4) and TLR2-1 in the jejunal mucosa (P < 0.05). However, supplemental ZnVE did not reduce TLRs' mRNA expression, except for the diminished TLR2-1 mRNA levels in birds fed with basal diet supplemented with 120 mg/kg Zn and 200 mg/kg VE. We concluded that although dietary Zn and VE supplementation did not attenuate growth depression effect of AgNP, it however attenuates intestinal oxidative stress in AgNP-treated broiler chickens.


Asunto(s)
Desinfectantes/toxicidad , Mucosa Intestinal/efectos de los fármacos , Nanopartículas del Metal/toxicidad , Estrés Oxidativo/efectos de los fármacos , Plata/toxicidad , Vitamina E/uso terapéutico , Zinc/uso terapéutico , Administración Oral , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Antioxidantes/administración & dosificación , Antioxidantes/uso terapéutico , Proteínas Aviares/agonistas , Proteínas Aviares/genética , Proteínas Aviares/metabolismo , Pollos , Desinfectantes/administración & dosificación , Regulación del Desarrollo de la Expresión Génica/efectos de los fármacos , Intoxicación por Metales Pesados/etiología , Intoxicación por Metales Pesados/metabolismo , Intoxicación por Metales Pesados/prevención & control , Intoxicación por Metales Pesados/veterinaria , Mucosa Intestinal/enzimología , Mucosa Intestinal/metabolismo , Yeyuno/efectos de los fármacos , Yeyuno/enzimología , Yeyuno/metabolismo , Peroxidación de Lípido/efectos de los fármacos , Nanopartículas del Metal/administración & dosificación , Oxidorreductasas/metabolismo , Enfermedades de las Aves de Corral/etiología , Enfermedades de las Aves de Corral/metabolismo , Enfermedades de las Aves de Corral/prevención & control , Distribución Aleatoria , Plata/administración & dosificación , Vitamina E/administración & dosificación , Zinc/administración & dosificación , Sulfato de Zinc/administración & dosificación , alfa-Tocoferol/administración & dosificación
12.
Biol Trace Elem Res ; 180(2): 285-296, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28353138

RESUMEN

This study aimed to investigate the effects of selenium on the ion profiles in the heart, liver, spleen, and kidney through the oral administration of hexavalent chromium. Approximately 22.14 mg/kg b.w. K2Cr2O7 was added to water to establish a chronic poisoning model. Different selenium levels (0.00, 0.31, 0.63, 1.25, 2.50, and 5.00 mg Na2SeO3/kg b.w.) around the safe dose were administered to the experimental group model. Ca, Mg, Mn, Fe, Cu, and Zn were detected in the organs through flame atomic absorption spectrometry after these organs were exposed to K2Cr2O7 and Na2SeO3 for 14, 28, and 42 days. Results showed that these elements exhibited various changes. Ca contents declined in the heart, liver, and spleen. Ca contents also decreased on the 28th day and increased on the 42nd day in the kidney. Mn contents declined in the heart and spleen but increased in the kidney. Mn contents also decreased on the 28th day and increased on the 42nd day in the liver. Cu contents declined in the heart and spleen. Cu contents increased on the 28th day and decreased on the 42nd day in the liver and kidney. Zn contents declined in the heart and spleen. Zn contents increased on the 28th day and decreased on the 42nd day in the liver and kidney. Fe contents decreased in the heart and liver. Fe contents increased on the 28th day and decreased on the 42nd day in the spleen and kidney. Mg contents did not significantly change in these organs. Appropriate selenium contents enhanced Mn and Zn contents, which were declined by chromium. Conversely, appropriate selenium contents reduced Ca, Fe, and Cu contents, which were increased by chromium. In conclusion, the exposure of chickens to K2Cr2O7 induced changes in different trace elements, and Na2SeO3 supplementation could alleviate this condition.


Asunto(s)
Cromo/envenenamiento , Intoxicación por Metales Pesados/veterinaria , Enfermedades de las Aves de Corral/prevención & control , Sustancias Protectoras/uso terapéutico , Selenito de Sodio/uso terapéutico , Oligoelementos/metabolismo , Desequilibrio Hidroelectrolítico/veterinaria , Administración Oral , Animales , Animales Endogámicos , Pollos , China , Cromo/administración & dosificación , Cromo/química , Relación Dosis-Respuesta a Droga , Corazón/efectos de los fármacos , Intoxicación por Metales Pesados/etiología , Intoxicación por Metales Pesados/fisiopatología , Intoxicación por Metales Pesados/prevención & control , Riñón/efectos de los fármacos , Riñón/metabolismo , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Miocardio/metabolismo , Dicromato de Potasio/administración & dosificación , Enfermedades de las Aves de Corral/etiología , Enfermedades de las Aves de Corral/metabolismo , Enfermedades de las Aves de Corral/fisiopatología , Sustancias Protectoras/administración & dosificación , Distribución Aleatoria , Selenito de Sodio/administración & dosificación , Bazo/efectos de los fármacos , Bazo/metabolismo , Oligoelementos/deficiencia , Desequilibrio Hidroelectrolítico/etiología , Desequilibrio Hidroelectrolítico/prevención & control
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