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1.
Shock ; 13(2): 117-25, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10670841

RESUMO

Previously we found the structural integrity of the aortic endothelium was maintained after the administration of endotoxin in type 1 interleukin-1 (IL-1) receptor knockout mice. In this study, we investigated further the integrity of pulmonary vascular endothelium, airway epithelial, pulmonary microvasculature, and neutrophil infiltration into the microvasculature and respiratory air spaces. Adult male C57BL/129J wild-type mice and C57BL/129J knockout mice possessing a homozygous deletion of the type 1 IL-1 receptor received the following intraperitoneal injections; 1) Escherichia coli endotoxin (ENDT) (10 mg/kg), 2) ENDT (2 mg/kg given for 4 days), or (3) saline vehicle. Wild-type and knockout control animals receiving saline vehicle showed normal endothelial and epithelial ultrastructure with intact membranes. Pulmonary endothelial cell damage was found only in wild-type mice given a single 10 mg/kg endotoxin dose. Airway epithelial damage was found only in wild-type mice given a repetitive dose of endotoxin (2 mg/kg for 4 days). Neutrophil infiltration increased only in mice given a single dose of endotoxin (10 mg/kg) with the wild-type increasing by 32% and the knockouts by 6% compared with the saline control for that group respectively. Serum IL-6 and nitric oxide (indicators of septic shock severity and lethality) significantly increased only in the mice given 10 mg/kg of endotoxin. The maintenance of pulmonary endothelial and epithelial cell integrity and the decrease of neutrophil infiltration in the IL-1 knockout mice suggest that IL-1 contributes significantly to the severity of endotoxin-induced sepsis.


Assuntos
Infecções por Escherichia coli/sangue , Infecções por Escherichia coli/patologia , Receptores de Interleucina-1/metabolismo , Sistema Respiratório/patologia , Choque Séptico/sangue , Choque Séptico/patologia , Animais , Líquido da Lavagem Broncoalveolar/citologia , Endotélio Vascular/ultraestrutura , Endotoxinas , Infecções por Escherichia coli/induzido quimicamente , Interleucina-6/sangue , Pulmão/irrigação sanguínea , Pulmão/ultraestrutura , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Infiltração de Neutrófilos , Óxido Nítrico/sangue , Organelas/ultraestrutura , Alvéolos Pulmonares/ultraestrutura , Receptores de Interleucina-1/deficiência , Receptores Tipo I de Interleucina-1 , Mucosa Respiratória/ultraestrutura , Choque Séptico/induzido quimicamente , Traqueia/irrigação sanguínea , Traqueia/ultraestrutura
2.
Shock ; 7(2): 105-10, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9035286

RESUMO

The derangement of arterial endothelial cell morphology is a good indicator of a severe shock state. Because interleukin (IL)-1 has been implicated in this process, we examined the structural integrity of aortic endothelial cells in conjunction with serum IL-6 concentrations and nitric oxide levels, which are known to increase during endotoxemia in animals genetically devoid of the type 1 IL-1 receptor. Endotoxin (10 mg/kg Escherichia coli, injected intraperitoneally) (LD100) or saline vehicle was administered to adult male C57BL/129J wild-type control mice and C57BL/129J knockout mice possessing a homozygous deletion of the type 1 IL-1 receptor. The integrity of the aortic endothelium was determined by comparisons of ultrastructure. Mice injected with sterile vehicle showed normal endothelial ultrastructure with intact membranes. Wild-type and knockout control animals receiving saline vehicle showed a complete aortic endothelium (29.11 +/- .27 and 30.85 +/- .21 intact endothelial cells per millimeter of internal elastic lamina (IEL), respectively, p = N.S.). Endotoxin-treated wild-type animals showed extensive endothelial damage with most sections showing only denuded IEL on the luminal surface (1.83 +/- .38 cells/mm IEL, p < .001 vs. control). Knockout animals treated with endotoxin showed complete maintenance of endothelial structural integrity (34.08 +/- .57 cells/mm IEL, p < .001 vs. endotoxin-treated wild type) with ultrastructural morphology appearing identical to those given saline vehicle. Also, no apparent correlation was observed between serum IL-6 concentrations or serum nitric oxide levels and aortic endothelial damage. The maintenance of endothelial integrity in animals devoid of the IL-1 receptor confirms earlier observations of endothelial cell protection with IL-1 receptor antagonism and suggests that IL-1 contributes significantly to sepsis-induced endothelial damage.


Assuntos
Endotélio Vascular/patologia , Receptores de Interleucina-1/deficiência , Choque Séptico/patologia , Animais , Interleucina-6/sangue , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Nitratos/sangue , Óxido Nítrico/sangue , Nitritos/sangue , Receptores Tipo I de Interleucina-1 , Choque Séptico/sangue
3.
J Toxicol Clin Toxicol ; 35(4): 365-9, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9204096

RESUMO

BACKGROUND: Cocaine and ethanol use is widespread in our society and is not uncommon in pregnant women. Previous work has demonstrated that acute exposure to cocaine produced significant effects on the configuration of human fetal myocardial action potentials and contractility in vitro. It has been hypothesized that these target-specific effects of cocaine may provide a plausible mechanism to account for fetal arrhythmia or sudden fetal death in utero. OBJECTIVE: This study was conducted to determine if treatment with a low concentration of ethanol (200 mg/L) would predispose human fetal myocardium to cocaine-induced toxicity in vitro. METHODS: Fetal hearts (12-14 weeks) were obtained at the time of elective abortion and transported to the laboratory in cold physiological salt solution. The force of muscle contractions and transmembrane potentials of ventricular walls were studied during external electrical stimulation in a specially constructed superfusion chamber. RESULTS: When a concentration of cocaine (200 micrograms/L physiological salt solution) that singly produced only modest myocardial depression was used in combination with a concentration of ethanol which alone produced nonsignificant changes, marked depression and block of action potentials and contractility resulted. CONCLUSION: The combined use of ethanol and cocaine produces fetal myocardial depression which is greater than that predicted from the effects of these chemicals individually and may have significant in utero implications.


Assuntos
Potenciais de Ação/efeitos dos fármacos , Depressores do Sistema Nervoso Central/farmacologia , Cocaína/farmacologia , Etanol/farmacologia , Coração Fetal/efeitos dos fármacos , Entorpecentes/farmacologia , Depressão Química , Sinergismo Farmacológico , Estimulação Elétrica , Humanos , Contração Miocárdica/efeitos dos fármacos
5.
Gen Pharmacol ; 23(4): 733-8, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1356876

RESUMO

1. Using conventional microelectrode techniques a biphasic effect of tetraethylammonium (5 mmol/l) on the configuration of action potentials recorded from isolated canine Purkinje fibres: action potentials were first shortened (early effect) and then lengthened (late effect) by tetraethylammonium. 2. The early effect of tetraethylammonium also included lengthening of phase 1 duration and elevation of the plateau amplitude. These early effects reached steady-state within the first 3 min of superfusion and were readily reversed within 3 min of initiating washout of the drug. 3. The late effect (gradual lengthening of repolarisation during phase 3) failed to reach steady-state within the initial 60 min of superfusion and was not reversible. 4. The early effects of tetraethylammonium were more marked at slow driving rates and were not affected by blockade of alpha- and beta-adrenoceptors using 1 mumol/l phentolamine and 1 mumol/l propranolol. 5. The early effects of tetraethylammonium were mimicked by 4-aminopyridine (0.5 mmol/l), and in the presence of 4-aminopyridine tetraethylammonium failed to induce further changes in action potential morphology. 6. The early effects of tetraethylammonium may be due to inhibition of the transient outward current. 7. The rapid onset and reversibility of these early effects suggest that tetraethylammonium may act from outside the cell membrane.


Assuntos
Potenciais de Ação/efeitos dos fármacos , Ramos Subendocárdicos/efeitos dos fármacos , Compostos de Tetraetilamônio/farmacologia , Antagonistas Adrenérgicos alfa/farmacologia , Antagonistas Adrenérgicos beta/farmacologia , Animais , Membrana Celular/efeitos dos fármacos , Cães , Feminino , Masculino , Microeletrodos , Compostos de Tetraetilamônio/antagonistas & inibidores
6.
Int J Biochem ; 24(2): 255-61, 1992 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1733791

RESUMO

1. Dioxygenase activity and the ability of pregnant rat lung lipoxygenase to oxidize xenobiotics were examined in vitro under a variety of experimental conditions. 2. More than 90% of the dioxygenase activity towards linoleic acid in the lung homogenate was found to be associated with the cytosolic fraction. The cytosolic enzyme exhibited pH optima at 6.5 and 9.5, the activity being two-fold greater at pH 9.5. To observe maximal dioxygenase activity (about 0.7 mumol of 13-hydroperoxylinoleic acid formed/min per mg protein) at pH 9.5, the presence of 6.0 mM linoleic acid was required. 3. Benzidine oxidation occurred at maximal rate of pH 6.5 when the reaction medium contained 1.0 mM benzidine and 13.5 mM linoleic acid. All eight xenobiotics tested were oxidized at significant rates by the lung cytosolic lipoxygenase. 4. Both dioxygenase activity and benzidine oxidation were inhibited by the inhibitors of lipoxygenase, viz. nordihydroguaiaretic acid, BHT, caffeic acid, esculetin, and gossypol, in a concentration-dependent manner. 5. The results suggest that oxidation of xenobiotics by lipoxygenase may be an important pathway of metabolism in the mammalian lung.


Assuntos
Lipoxigenase/metabolismo , Pulmão/enzimologia , Xenobióticos/metabolismo , Animais , Feminino , Ácidos Linoleicos/metabolismo , Inibidores de Lipoxigenase/farmacologia , Oxirredução , Gravidez , Ratos , Ratos Endogâmicos , Especificidade por Substrato
7.
Gen Pharmacol ; 23(1): 1-5, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1592216

RESUMO

1. Toxicity of 1,2-dibromoethane requires bioactivation via glutathione S-transferase. Since this enzyme is undetectable in the fetus of several laboratory animal species during early gestation, in vitro studies were carried out with human fetal liver to assess potential fetotoxicity. 2. Glutathione S-transferase occurs abundantly in the human fetal liver cytosol and its titer is equal to or exceeds that found in adult human liver when estimated using 1-chloro-2,4-nitrobenzene as the second substrate. 3. Human fetal liver cytosolic glutathione S-transferase metabolized 1,2-dibromoethane with a high efficiency (mean +/- SD specific activity of 3.10 +/- 0.83 nmol/min/mg protein). This reaction was enzymatic in nature and the rate of conjugation was proportional to the concentration of reduced glutathione, 1,2-dibromoethane and the enzyme present in the reaction medium. 4. A significant bioactivation with a possibility of only limited detoxication via cytochrome P-450-dependent oxidation suggests that human fetus may be at greater risk from 1,2-dibromoethane toxicity than adult.


Assuntos
Dibrometo de Etileno/farmacocinética , Fígado/metabolismo , Biotransformação , Citosol/metabolismo , Dibrometo de Etileno/metabolismo , Feto/metabolismo , Glutationa/metabolismo , Glutationa Transferase/metabolismo , Humanos , Fígado/embriologia
8.
Dev Pharmacol Ther ; 16(1): 22-8, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1879248

RESUMO

Although the electromechanical properties of, and the cholinergic innervation to adult airway smooth muscle has been extensively studied, the little information is available on developing human airway smooth muscle, and the role of cholinergic mechanisms in regulating bronchomotor tone. A total of 7 tracheae obtained at the time of elective abortion and between 12-16 weeks of gestational development were used in this study. For each trachea, muscle tension and transmembrane potentials were measured simultaneously using an isometric force transducer and a standard 3-M KCl-filled glass microelectrode. All preparations showed spontaneous electrical oscillations approximately 8 mV in amplitude, which could be increased using electrical field stimulation, or exogenously applied acetylcholine. This was accompanied by a corresponding increase in muscle tension. Atropine (0.1 microM) abolished this potentiation, but had no apparent effect on the oscillations. Slow-wave activity was completely suppressed in the absence of extracellular Ca2+, or in the presence of verapamil (1 microM) or quinidine (1 microM). It appears that these oscillations of membrane potential may be potentiated by cholinergic mechanisms which regulate cell membrane ion channels, thus serving to change excitability in a rhythmic manner.


Assuntos
Cálcio/fisiologia , Desenvolvimento Embrionário e Fetal , Músculo Liso/embriologia , Traqueia/embriologia , Acetilcolina/farmacologia , Eletrofisiologia , Feminino , Humanos , Técnicas In Vitro , Potenciais da Membrana/efeitos dos fármacos , Contração Muscular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Gravidez , Primeiro Trimestre da Gravidez , Quinidina/farmacologia , Receptores Colinérgicos/efeitos dos fármacos , Traqueia/efeitos dos fármacos , Verapamil/farmacologia
9.
Eur J Pharmacol ; 186(2-3): 331-4, 1990 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-1981189

RESUMO

We examined the effects of a new anti-asthmatic drug, azelastine, and its principal metabolite, desmethylazelastine, on the in vitro electromechanical response of human airway smooth muscle during cholinergic stimulation. Membrane potential and isometric force were simultaneously measured using an intracellular microelectrode and a microforce transducer. Desmethylazelastine significantly suppressed acetylcholine-induced depolarization and contraction at 10(-6) M, whereas azelastine produced similar results at 10(-4) M, suggesting that the metabolite may be the principal compound acting upon the airway smooth muscle cell.


Assuntos
Acetilcolina/antagonistas & inibidores , Antagonistas dos Receptores Histamínicos H1/farmacologia , Músculo Liso/efeitos dos fármacos , Ftalazinas/farmacologia , Acetilcolina/farmacologia , Eletrofisiologia , Humanos , Técnicas In Vitro , Contração Isométrica , Potenciais da Membrana/efeitos dos fármacos , Microeletrodos , Contração Muscular/efeitos dos fármacos , Traqueia/efeitos dos fármacos
10.
Pharmacol Toxicol ; 66(2): 150-4, 1990 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2315267

RESUMO

We examined the acute in vitro effects of cocaine on cell membrane potentials and contractility of 12-16 week old human foetal heart, to better assess the potential for the induction of serious arrhythmia, in utero, by this abused substance. Ventricular preparations were maintained in a tissue bath, and continuously provided with oxygen and glucose during the measurement of membrane potentials with microelectrodes, and developed force of contractions with microforce transducers. Cocaine (600 ng/ml) had a significant effect on the ability of the heart to produce action potentials of normal rising velocity, amplitude, and duration. Within 90 min., all electromechanical activity had ceased. Under the conditions of our study, the effects of cocaine were reversible, however, reversibility in vitro may have no counterpart in utero, and irreversible loss of cardiac function may result.


Assuntos
Arritmias Cardíacas/induzido quimicamente , Cocaína/farmacologia , Morte Fetal/fisiopatologia , Coração Fetal/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Arritmias Cardíacas/fisiopatologia , Feminino , Humanos , Técnicas In Vitro , Isoproterenol/farmacologia , Potenciais da Membrana/efeitos dos fármacos , Contração Miocárdica/efeitos dos fármacos , Consumo de Oxigênio/efeitos dos fármacos , Gravidez
11.
Toxicon ; 28(9): 1105-11, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2260108

RESUMO

Crude preparations of brevetoxin (PBTX) produce airway contraction; however, it is not known if this toxin-induced mechanical response is coupled to changes in airway smooth muscle membrane potential. Membrane potentials and contractility of in vitro canine trachealis smooth muscle preparations were simultaneously measured with a microelectrode and microforce transducer before and during exposure to either the crude toxin (0.01-1.2 micrograms/ml), or the purified fractions PBTX-2 or PBTX-3 (0.01-0.07 micrograms/ml). Membrane potentials in cultured airway smooth muscle-reaggregate preparations were similarly studied. Toxins produced concentration-dependent depolarizations and contractions in in vitro preparations. These responses were not obtained in the presence of either the muscarinic blocking agent atropine, the sodium channel blocker tetrodotoxin (TTX), 0 mM extracellular Ca2+, or the Ca2+ channel blocker verapamil. The toxins were without effect in cultured cells, whereas acetylcholine produced depolarizations which were blocked in the presence of atropine, but not TTX. This suggested the presence of functional cholinergic receptors in cultured cells, and the PBTX-induced release of endogenous acetylcholine from peripheral nerve endings in the in vitro airway smooth muscle response.


Assuntos
Dinoflagellida/análise , Toxinas Marinhas/farmacologia , Oxocinas , Traqueia/efeitos dos fármacos , Acetilcolina/metabolismo , Animais , Cães , Relação Dose-Resposta a Droga , Feminino , Técnicas In Vitro , Masculino , Potenciais da Membrana/efeitos dos fármacos , Tetrodotoxina/farmacologia , Traqueia/fisiologia
12.
Res Commun Chem Pathol Pharmacol ; 66(2): 287-96, 1989 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2513625

RESUMO

The interaction of H2O2 with soyabean lipoxygenase was investigated in the presence of linoleic acid. Dioxygenase activity was significantly higher at pH 9.0 than at pH 6.0. H2O2 at concentrations less than 1.0 nM stimulated linoleic acid oxidation synergistically and the magnitude of synergism was higher at pH 9.0. Linoleic acid dependent peroxidase activity towards benzidine, guaiacol, tetramethylbenzidine (TMBD) and tetramethylphenylenediamine (TMPD) was higher at pH 9.0, whereas pyrogallol and ABTS oxidation rates were higher at pH 6.0. H2O2 supported oxidation of benzidine, guaiacol, pyrogallol and ABTS was higher at pH 6.0, whereas TMPD, TMBD exhibited higher oxidation rates at pH 9.0. H2O2 in the presence of linoleic acid produced synergism in xenobotic metabolism and depending upon the substrate in question upto 11-fold increase in oxidation rate was noted.


Assuntos
Glycine max/enzimologia , Peróxido de Hidrogênio/farmacologia , Ácidos Linoleicos/farmacologia , Lipoxigenase/metabolismo , Sinergismo Farmacológico , Oxigenases/metabolismo , Peroxidases/metabolismo
13.
Eur J Pharmacol ; 167(1): 155-60, 1989 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-2550255

RESUMO

The effects of moderate concentrations of ethanol (8-34 mM) on the electromechanical activity of airway smooth muscle cells of canine trachealis, stimulated by the spasmogen tetraethylammonium (TEA), are described for in vitro and cultured reaggregate preparations. Ethanol produced a concentration-dependent hyperpolarization, and suppression of action potentials in smooth muscle preparations, in vitro, whereas it was without effect in cultured airway smooth muscle cells. In the presence of the beta-adrenoceptor antagonist propranolol (1 microM), ethanol had no effect on in vitro preparations. Isoproterenol (0.1 microM) produced hyperpolarization and suppression of action potentials in airway smooth muscle of both preparations. These effects were not observed when propranolol was additionally present. This suggests that both in vitro, and cultured airway smooth muscle preparations maintained their beta-receptors, and that ethanol caused the release of endogenous catecholamine from adrenergic nerve endings which apparently remained intact in in vitro, but not in cultured airway smooth muscle preparations.


Assuntos
Etanol/farmacologia , Músculo Liso/efeitos dos fármacos , Receptores Adrenérgicos beta/metabolismo , Compostos de Tetraetilamônio/farmacologia , Traqueia/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Animais , Células Cultivadas , Cães , Feminino , Isoproterenol/farmacologia , Masculino , Relaxamento Muscular/efeitos dos fármacos , Músculo Liso/fisiologia , Propranolol/farmacologia , Tetraetilamônio , Traqueia/fisiologia
14.
Dev Pharmacol Ther ; 13(1): 51-6, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2776585

RESUMO

The effects of ethanol, although well studied in the adult myocardium, have been little studied in fetal tissue. Experiments in pregnant animals suggest that ethanol compromises fetal myocardial performance, in utero; however, the physiological mechanism(s) remains obscure. The present report examines, in vitro, the effects of a moderate concentration of ethanol (20 mM) directly on cell membrane potentials and contractility of human fetal left ventricle as determined using intracellular microelectrodes and microforce transducers. We observed significant decreases in action potential amplitude, upstroke velocity, duration of repolarization, and the force of contractions. These effects were reversible. As ethanol crosses the placenta, our findings suggest that moderate concentrations of ethanol, as occur during 'social drinking', may temporarily compromise fetal myocardial performance in utero.


Assuntos
Etanol/farmacologia , Coração Fetal/efeitos dos fármacos , Feto/efeitos dos fármacos , Contração Miocárdica/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Eletrofisiologia , Etanol/administração & dosagem , Ventrículos do Coração/efeitos dos fármacos , Humanos , Técnicas In Vitro , Potenciais da Membrana/efeitos dos fármacos , Propranolol/farmacologia
15.
J Appl Physiol (1985) ; 62(1): 175-9, 1987 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-3031001

RESUMO

Using intracellular microelectrodes, we investigated whether exogenous dibutyryl adenosine 3',5'-cyclic monophosphate (DBcAMP) or forskolin influenced the electrical effects of tetraethylammonium (TEA) on canine tracheal smooth muscle. We found that 20 mM TEA depolarized airway smooth muscle cells from a resting membrane potential (Em) of -59 +/- 4 mV (mean +/- SD) to -45 +/- 2 mV and caused spontaneous action potentials (AP's) to develop, which were 33 +/- 2 mV in amplitude. These were totally abolished in 0 Ca2+ solution. DBcAMP (1 mM) suppressed the development of this TEA-induced electrical activity and the phasic contractions electrically coupled to it. DBcAMP had no significant effect on Em in the absence of TEA however. Forskolin (1 microM) produced similar effects. Our findings suggest that Ca2+ is the principal ion responsible for the inward current associated with the TEA-induced AP's in airway smooth muscle, and that adenosine 3',5'-cyclic monophosphate may suppress the electrogenesis of this current.


Assuntos
Cálcio/farmacologia , AMP Cíclico/fisiologia , Músculo Liso/fisiologia , Compostos de Tetraetilamônio/farmacologia , Traqueia/fisiologia , Potenciais de Ação/efeitos dos fármacos , Animais , Bucladesina/farmacologia , Colforsina/farmacologia , Cães , Feminino , Masculino , Potenciais da Membrana/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Tetraetilamônio , Traqueia/efeitos dos fármacos
16.
Eur J Pharmacol ; 128(3): 299-302, 1986 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-3024999

RESUMO

Using intracellular microelectrodes, we investigated whether 8-bromo-guanosine 3':5'-cyclic monophosphate (cGMP) influenced the electromechanical effects of tetraethylammonium (TEA) on canine tracheal smooth muscle. We found that 20 mM TEA depolarized airway smooth muscle cells from -58 +/- 3 mV (means +/- S.D.) to -44 +/- 2 mV and caused spontaneous action potentials (APs) to develop which were 31 +/- 2 mV in amplitude. These APs, and the phasic contractions electrically coupled to them, were totally abolished in buffer containing 0.1 mM cGMP. Our findings suggest that cGMP markedly affects the channels mediating TEA-induced APs in airway smooth muscle.


Assuntos
GMP Cíclico/análogos & derivados , Músculo Liso/efeitos dos fármacos , Compostos de Tetraetilamônio/antagonistas & inibidores , Potenciais de Ação/efeitos dos fármacos , Animais , GMP Cíclico/farmacologia , Cães , Feminino , Técnicas In Vitro , Cinética , Masculino , Traqueia/efeitos dos fármacos
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