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1.
Antioxidants (Basel) ; 13(2)2024 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-38397799

RESUMO

Retinitis pigmentosa is a common cause of inherited blindness in adults, which in many cases is associated with an increase in the formation of reactive oxygen species (ROS) that induces DNA damage, triggering Poly-ADP-Ribose Polymerase 1 (PARP1) activation and leading to parthanatos-mediated cell death. Previous studies have shown that resveratrol (RSV) is a promising molecule that can mitigate PARP1 overactivity, but its low bioavailability is a limitation for medical use. This study examined the impact of a synthesized new acylated RSV prodrug, piceid octanoate (PIC-OCT), in the 661W cell line against H2O2 oxidative stress and in rd10 mice. PIC-OCT possesses a better ADME profile than RSV. In response to H2O2, 661W cells pretreated with PIC-OCT preserved cell viability in more than 38% of cells by significantly promoting SIRT1 nuclear translocation, preserving NAD+/NADH ratio, and suppressing intracellular ROS formation. These effects result from expressing antioxidant genes, maintaining mitochondrial function, reducing PARP1 nuclear expression, and preventing AIF nuclear translocation. In rd10 mice, PIC-OCT inhibited PAR-polymer formation, increased SIRT1 expression, significantly reduced TUNEL-positive cells in the retinal outer nuclear layer, preserved ERGs, and enhanced light chamber activity (all p values < 0.05). Our findings corroborate that PIC-OCT protects photoreceptors by modulating the SIRT1/PARP1 axis in models of retinal degeneration.

2.
Front Cell Dev Biol ; 11: 1112270, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36819107

RESUMO

Introduction: Retinitis pigmentosa (RP) and Leber congenital amaurosis (LCA) are two groups of inherited retinal diseases (IRDs) where the rod photoreceptors degenerate followed by the cone photoreceptors of the retina. A genetic diagnosis for IRDs is challenging since >280 genes are associated with these conditions. While whole exome sequencing (WES) is commonly used by diagnostic facilities, the costs and required infrastructure prevent its global applicability. Previous studies have shown the cost-effectiveness of sequence analysis using single molecule Molecular Inversion Probes (smMIPs) in a cohort of patients diagnosed with Stargardt disease and other maculopathies. Methods: Here, we introduce a smMIPs panel that targets the exons and splice sites of all currently known genes associated with RP and LCA, the entire RPE65 gene, known causative deep-intronic variants leading to pseudo-exons, and part of the RP17 region associated with autosomal dominant RP, by using a total of 16,812 smMIPs. The RP-LCA smMIPs panel was used to screen 1,192 probands from an international cohort of predominantly RP and LCA cases. Results and discussion: After genetic analysis, a diagnostic yield of 56% was obtained which is on par with results from WES analysis. The effectiveness and the reduced costs compared to WES renders the RP-LCA smMIPs panel a competitive approach to provide IRD patients with a genetic diagnosis, especially in countries with restricted access to genetic testing.

3.
J Clin Med ; 11(8)2022 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-35456263

RESUMO

BACKGROUND: Gene therapy is a therapeutic possibility for retinitis pigmentosa (RP), in which therapeutic transgenes are currently delivered to the retina by adeno-associated viral vectors (AAVs). Although their safety and efficacy have been demonstrated in both clinical and preclinical settings, AAVs present some technical handicaps, such as limited cargo capacity and possible immunogenicity in repetitive doses. The development of alternative, non-viral delivery platforms like nanoparticles is of great interest to extend the application of gene therapy for RP. METHODS: Amino-functionalized mesoporous silica-based nanoparticles (N-MSiNPs) were synthesized, physico-chemically characterized, and evaluated as gene delivery systems for human cells in vitro and for retinal cells in vivo. Transgene expression was evaluated by WB and immunofluorescence. The safety evaluation of mice subjected to subretinal injection was assessed by ophthalmological tests (electroretinogram, funduscopy, tomography, and optokinetic test). RESULTS: N-MSiNPs delivered transgenes to human cells in vitro and to retinal cells in vivo. No adverse effects were detected for the integrity of the retinal tissue or the visual function of treated eyes. N-MSiNPs were able to deliver a therapeutic transgene candidate for RP, PRPF31, both in vitro and in vivo. CONCLUSIONS: N-MSiNPs are safe for retinal delivery and thus a potential alternative to viral vectors.

4.
Micromachines (Basel) ; 12(12)2021 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-34945319

RESUMO

Printed circuit board (PCB) technology is well known, reliable, and low-cost, and its application to biomedicine, which implies the integration of microfluidics and electronics, has led to Lab-on-PCB. However, the biocompatibility of the involved materials has to be examined if they are in contact with biological elements. In this paper, the solder mask (PSR-2000 CD02G/CA-25 CD01, Taiyo Ink (Suzhou) Co., Ltd., Suzhou, China) of a commercial PCB has been studied for retinal cultures. For this purpose, retinal explants have been cultured over this substrate, both on open and closed systems, with successful results. Cell viability data shows that the solder mask has no cytotoxic effect on the culture allowing the application of PCB as the substrate of customized microelectrode arrays (MEAs). Finally, a comparative study of the biocompatibility of the 3D printer Uniz zSG amber resin has also been carried out.

6.
Nat Commun ; 12(1): 3866, 2021 06 23.
Artigo em Inglês | MEDLINE | ID: mdl-34162866

RESUMO

Sight depends on the tight cooperation between photoreceptors and pigmented cells, which derive from common progenitors through the bifurcation of a single gene regulatory network into the neural retina (NR) and retinal-pigmented epithelium (RPE) programs. Although genetic studies have identified upstream nodes controlling these networks, their regulatory logic remains poorly investigated. Here, we characterize transcriptome dynamics and chromatin accessibility in segregating NR/RPE populations in zebrafish. We analyze cis-regulatory modules and enriched transcription factor motives to show extensive network redundancy and context-dependent activity. We identify downstream targets, highlighting an early recruitment of desmosomal genes in the flattening RPE and revealing Tead factors as upstream regulators. We investigate the RPE specification network dynamics to uncover an unexpected sequence of transcription factors recruitment, which is conserved in humans. This systematic interrogation of the NR/RPE bifurcation should improve both genetic counseling for eye disorders and hiPSCs-to-RPE differentiation protocols for cell-replacement therapies in degenerative diseases.


Assuntos
Perfilação da Expressão Gênica/métodos , Regulação da Expressão Gênica no Desenvolvimento , Redes Reguladoras de Genes , Morfogênese/genética , Epitélio Pigmentado da Retina/metabolismo , Peixe-Zebra/genética , Animais , Animais Geneticamente Modificados , Sequenciamento de Cromatina por Imunoprecipitação/métodos , Análise por Conglomerados , Humanos , Células-Tronco Pluripotentes Induzidas/citologia , Células-Tronco Pluripotentes Induzidas/metabolismo , RNA-Seq/métodos , Epitélio Pigmentado da Retina/citologia , Epitélio Pigmentado da Retina/embriologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fatores de Transcrição/classificação , Fatores de Transcrição/genética , Peixe-Zebra/embriologia
7.
Orphanet J Rare Dis ; 16(1): 222, 2021 05 17.
Artigo em Inglês | MEDLINE | ID: mdl-34001227

RESUMO

Mutations in the EYS gene are one of the major causes of autosomal recessive retinitis pigmentosa. EYS-retinopathy presents a severe clinical phenotype, and patients currently have no therapeutic options. The progress in personalised medicine and gene and cell therapies hold promise for treating this degenerative disease. However, lack of understanding and incomplete comprehension of disease's mechanism and the role of EYS in the healthy retina are critical limitations for the translation of current technical advances into real therapeutic possibilities. This review recapitulates the present knowledge about EYS-retinopathies, their clinical presentations and proposed genotype-phenotype correlations. Molecular details of the gene and the protein, mainly based on animal model data, are analysed. The proposed cellular localisation and roles of this large multi-domain protein are detailed. Future therapeutic approaches for EYS-retinopathies are discussed.


Assuntos
Degeneração Retiniana , Retinose Pigmentar , Animais , Análise Mutacional de DNA , Eletrorretinografia , Proteínas do Olho/genética , Humanos , Mutação/genética , Degeneração Retiniana/genética , Degeneração Retiniana/terapia
8.
Stem Cell Res ; 53: 102301, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33773389

RESUMO

Retinal dystrophies associated to mutations in the CRB1 gene comprise a wide array of clinical presentations. A blood sample from a patient with a family history of CRB1-retinal dystrophy was used to prepare the iPSC line ESi082-A. The genotype of the donor, affected of a perifoveal-bilateral macular dystrophy includes one frameshift deletion and one hypomorphic allele. ESi082-A cell line has been characterized for pluripotency and will be used to prepare retinal cellular models to study the dysfunction leading to the disease.


Assuntos
Células-Tronco Pluripotentes Induzidas , Degeneração Macular , Distrofias Retinianas , Proteínas do Olho/genética , Humanos , Degeneração Macular/genética , Proteínas de Membrana/genética , Mutação , Proteínas do Tecido Nervoso/genética , Linhagem , Fenótipo , Distrofias Retinianas/genética
9.
ACS Appl Bio Mater ; 4(4): 3035-3040, 2021 04 19.
Artigo em Inglês | MEDLINE | ID: mdl-35014391

RESUMO

Human induced pluripotent stem cells (hiPSCs) represent the most promising biological material for regenerative medicine applications. In this work, a 3D solid nanofibrous matrix of defined composition (Colamigel-S) consisting of 97 wt % gelatin, 2.6 wt % atelocollagen, and 0.4 wt % laminin has been reproducibly processed and characterized and exhibits a homogeneous nanofibrillar network of high surface area, interconnected microcavities, and typical D-periodic collagen fibril nanostructural features. The purpose of the study was to test the performance of Colamigel-S as substrate for in vitro hiPSCs culture, finding that these cells efficiently attach and grow keeping their characteristic stem morphology and undifferentiated state.


Assuntos
Materiais Biocompatíveis/química , Células-Tronco Pluripotentes Induzidas/citologia , Nanofibras/química , Células Cultivadas , Colágeno/química , Gelatina/química , Humanos , Laminina/química , Teste de Materiais , Tamanho da Partícula
10.
Adv Exp Med Biol ; 1185: 457-462, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31884654

RESUMO

It has been reported that resveratrol (RES) has a therapeutic effect in different neurodegenerative and ocular diseases. However, RES is rapidly eliminated from the organism, and high doses need to be administered resulting in potential toxic side effects. We hypothesized that a RES prodrug such as 3,4'-diglucosyl resveratrol (JC19) would reduce RES metabolism to produce a neuroprotective effect. Here, we have examined the protective effect of JC19 in an experimental mouse model of autosomal recessive RP. Rd10 mice at postnatal day 13 (P13) were subretinally injected with vehicle and two different doses of JC19. Electroretinogram (ERG) and histological evaluation were performed 15 days after injections. The amplitude of a- and b-waves was quantified in ERG recordings, and the number of photoreceptor nuclei in the outer nuclear layer was counted. In addition, the mouse retinas were immunostained with anti-rhodopsin antibodies. JC19 treatment delayed the loss of rod photoreceptor in rd10 mice, maintaining the expression of rhodopsin and preserving their electrical responses to light stimuli. The exact mechanism by which RES delays retinal degeneration in rd10 mice remains to be elucidated, but Sirtuin 1 activation could be one of the key molecular pathways involved in its neuroprotective effect.


Assuntos
Pró-Fármacos/farmacologia , Resveratrol/farmacologia , Retinose Pigmentar/tratamento farmacológico , Animais , Modelos Animais de Doenças , Camundongos , Camundongos Endogâmicos C57BL , Neuroproteção , Retinose Pigmentar/genética , Sirtuína 1
11.
Stem Cell Res ; 38: 101473, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31176916

RESUMO

Age-related macular degeneration (AMD) is the leading cause of adult blindness in developed countries and is characterized by progressive degeneration of the macula, the central region of the retina. A human induced pluripotent stem cell (hiPSC) line was derived from peripheral blood mononuclear cells (PBMCs) from a patient with a clinical diagnosis of dry AMD carrying the CFH Y402H polymorphism. Sendai virus was using for reprogramming and the pluripotent and differentiation capacity of the cells were assessed by immunocytochemistry and RT-PCR.


Assuntos
Técnicas de Reprogramação Celular , Células-Tronco Pluripotentes Induzidas , Degeneração Macular , Polimorfismo Genético , Idoso de 80 Anos ou mais , Linhagem Celular , Fator H do Complemento/genética , Fator H do Complemento/metabolismo , Feminino , Humanos , Células-Tronco Pluripotentes Induzidas/metabolismo , Células-Tronco Pluripotentes Induzidas/patologia , Degeneração Macular/genética , Degeneração Macular/metabolismo , Degeneração Macular/patologia
12.
Tissue Eng Part A ; 25(9-10): 799-808, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30963803

RESUMO

IMPACT STATEMENT: In the promising field of cellular therapy for retinal degenerative diseases, a new biomaterial is proposed as a scaffold to grow and surgically introduce a monolayer of retinal pigment epithelial cells into the subretinal space, keeping the orientation of the cells for a proper functional integration of the transplant. The use of induced pluripotent stem cells as the starting material for retinal pigment epithelial cells is intended to advance toward a personalized medicine approach.


Assuntos
Células-Tronco Pluripotentes Induzidas/metabolismo , Degeneração Macular , Monócitos/metabolismo , Epitélio Pigmentado da Retina/metabolismo , Epitélio Pigmentado da Retina/transplante , Animais , Técnicas de Reprogramação Celular , Modelos Animais de Doenças , Células-Tronco Pluripotentes Induzidas/patologia , Degeneração Macular/metabolismo , Degeneração Macular/patologia , Degeneração Macular/terapia , Camundongos , Monócitos/patologia , Epitélio Pigmentado da Retina/patologia , Suínos
13.
Stem Cell Res ; 36: 101426, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30921587

RESUMO

PRPF31 gene codes for a ubiquitously expressed splicing factor but mutations affect exclusively the retina, producing the progressive death of photoreceptor cells. We have identified a novel PRPF31 mutation in a patient with autosomal dominant retinitis pigmentosa. A blood sample was obtained and mononuclear cells were reprogrammed using the non-integrative Sendai virus to generate the cell line CABi001-A. The iPSC line has been characterized for pluripotency and differentiation capacity and will be differentiated toward photoreceptors and retinal pigment epithelium cells to study the molecular mechanism of the disease and test possible therapeutic strategies.


Assuntos
Linhagem Celular , Proteínas do Olho/genética , Células-Tronco Pluripotentes Induzidas , Retinose Pigmentar/genética , Idoso , Diferenciação Celular , Técnicas de Reprogramação Celular , Feminino , Heterozigoto , Humanos , Cariótipo , Leucócitos Mononucleares , Mutação Puntual
14.
Mol Med ; 26(1): 1, 2019 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-31892304

RESUMO

BACKGROUND: Mutations in pre-mRNA splicing factor PRPF31 can lead to retinitis pigmentosa (RP). Although the exact disease mechanism remains unknown, it has been hypothesized that haploinsufficiency might be involved in the pathophysiology of the disease. METHODS: In this study, we have analyzed a mouse model containing the p.A216P mutation in Prpf31 gene. RESULTS: We found that mutant Prpf31 protein produces cytoplasmic aggregates in the retinal pigment epithelium and decreasing the protein levels of this splicing factor in the nucleus. Additionally, normal protein was recruited in insoluble aggregates when the mutant protein was overexpressed in vitro. In response to protein aggregation, Hspa4l is overexpressed. This member of the HSP70 family of chaperones might contribute to the correct folding and solubilization of the mutant protein, allowing its translocation to the nucleus. CONCLUSIONS: Our data suggests that a mechanism haploinsufficiency and dominant-negative is involved in retinal degeneration due to mutations in PRPF31. HSP70 over-expression might be a new therapeutic target for the treatment of retinal degeneration due to PRPF31 mutations.


Assuntos
Proteínas do Olho/metabolismo , Proteínas de Choque Térmico HSP70/metabolismo , Mutação , Epitélio Pigmentado da Retina/patologia , Retinose Pigmentar/genética , Animais , Linhagem Celular , Núcleo Celular/metabolismo , Citoplasma/metabolismo , Modelos Animais de Doenças , Proteínas do Olho/química , Proteínas do Olho/genética , Haploinsuficiência , Humanos , Camundongos , Agregados Proteicos , Epitélio Pigmentado da Retina/metabolismo , Retinose Pigmentar/metabolismo , Retinose Pigmentar/patologia
15.
Stem Cell Res ; 33: 251-254, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30471616

RESUMO

Retinitis pigmentosa (RP) is an inherited retinal degenerative disease. Mutations in EYS have been associated with autosomal recessive RP. The human iPS cell line, CABi002-A, derived from peripheral blood mononuclear cells from a patient carrying a heterozygous double mutation in EYS gene was generated by non-integrative reprogramming technology, using hOCT3/4, hSOX2, hc-MYC and hKLF4 reprogramming factors. Pluripotency and differentiation capacity were assessed by immunocytochemistry and RT-PCR. This iPSC line can be further differentiated towards the affected cells to understand the pathophysiology of the disease and test new therapeutic strategies.


Assuntos
Proteínas do Olho/genética , Células-Tronco Pluripotentes Induzidas/metabolismo , Retinose Pigmentar/genética , Adulto , Humanos , Masculino , Mutação
16.
Nanomedicine ; 12(8): 2251-2260, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27381066

RESUMO

Retinitis pigmentosa (RP) is the most common cause of inherited blindness in adults. Mutations in the PRPF31 gene produce autosomal dominant RP (adRP). To date there are no effective treatments for this disease. The purpose of this study was to design an efficient non-viral vector for human PRPF31 gene delivery as an approach to treat this form of adRP. Span based nanoparticles were developed to mediate gene transfer in the subretinal space of a mouse model of adRP carrying a point mutation (A216P) in the Prpf31 gene. Funduscopic examination, electroretinogram, optomotor test and optical coherence tomography were conducted to further in vivo evaluate the safety and efficacy of the nanosystems developed. Span-polyarginine (SP-PA) nanoparticles were able to efficiently transfect the GFP and PRPF31 plasmid in mice retinas. Statistically significant improvement in visual acuity and retinal thickness were found in Prpf31A216P/+ mice treated with the SP-PA-PRPF31 nanomedicine.


Assuntos
Proteínas do Olho/administração & dosagem , Terapia Genética/métodos , Nanopartículas , Retinose Pigmentar/terapia , Animais , Arginina , Análise Mutacional de DNA , Genes Dominantes , Humanos , Camundongos , Mutação , Linhagem
17.
Hum Mol Genet ; 22(8): 1507-15, 2013 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-23297361

RESUMO

Ataxia-telangiectasia and Rad3 (ATR), a sensor of DNA damage, is associated with the regulation and control of cell division. ATR deficit is known to cause Seckel syndrome, characterized by severe proportionate short stature and microcephaly. We used a mouse model for Seckel disease to study the effect of ATR deficit on retinal development and function and we have found a new role for ATR, which is critical for the postnatal development of the photoreceptor (PR) layer in mouse retina. The structural and functional characterization of the ATR(+/s) mouse retinas displayed a specific, severe and early degeneration of rod and cone cells resembling some characteristics of human retinal degenerations. A new localization of ATR in the cilia of PRs and the fact that mutant mice have shorter cilia suggests that the PR degeneration here described results from a ciliary defect.


Assuntos
Proteínas de Ciclo Celular/genética , Células Fotorreceptoras de Vertebrados , Proteínas Serina-Treonina Quinases/genética , Retina/metabolismo , Degeneração Retiniana/genética , Animais , Proteínas Mutadas de Ataxia Telangiectasia , Proteínas de Ciclo Celular/metabolismo , Dano ao DNA , Modelos Animais de Doenças , Nanismo/genética , Nanismo/patologia , Fácies , Regulação da Expressão Gênica no Desenvolvimento , Humanos , Camundongos , Microcefalia/genética , Microcefalia/patologia , Mutação , Células Fotorreceptoras de Vertebrados/metabolismo , Células Fotorreceptoras de Vertebrados/patologia , Cílio Conector dos Fotorreceptores/metabolismo , Cílio Conector dos Fotorreceptores/patologia , Proteínas Serina-Treonina Quinases/metabolismo , Retina/crescimento & desenvolvimento , Degeneração Retiniana/patologia
18.
FEBS Lett ; 583(11): 1753-8, 2009 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-19351534

RESUMO

Cyanobacteria are significant contributors to global photosynthetic productivity, thus making it relevant to study how the different environmental stresses can alter their physiological activities. Here, we review the current research work on the response of cyanobacteria to different kinds of stress, mainly focusing on their response to metal stress as studied by using the modern proteomic tools. We also report a proteomic analysis of plastocyanin and cytochrome c(6) deletion mutants of the cyanobacterium Synechocystis sp. PCC 6803 grown under copper or iron deprivation, as compared to wild-type cells, so as to get a further understanding of the metal homeostasis in cyanobacteria and their response to changing environmental conditions.


Assuntos
Proteínas de Bactérias/metabolismo , Cianobactérias/metabolismo , Proteômica , Cianobactérias/fisiologia , Resposta ao Choque Térmico , Estresse Fisiológico
19.
Brief Funct Genomic Proteomic ; 6(4): 322-9, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18192321

RESUMO

Cyanobacteria, which are considered to be the chloroplast precursors, are significant contributors to global photosynthetic productivity. The ample variety of membrane and soluble proteins containing different metals (mainly, iron and copper) has made these organisms develop a complex homeostasis with different mechanisms and tight regulation processes to fulfil their metal requirements in a changing environment. Cell metabolism is so adapted as to synthesize alternative proteins depending on the relative metal availabilities. In particular, plastocyanin, a copper protein, and cytochrome c(6), a haem protein, can replace each other to play the same physiological role as electron carriers in photosynthesis and respiration, with the synthesis of one protein or another being regulated by copper concentration in the medium. The unicellular cyanobacterium Synechocystis sp. PCC 6803 has been widely used as a model system because of completion of its genome sequence and the ease of its genetic manipulation, with a lot of proteomic work being done. In this review article, we focus on the functional characterization of knockout Synechocystis mutants for plastocyanin and cytochrome c(6), and discuss the ongoing proteomic analyses performed at varying copper concentrations to investigate the cyanobacterial metal homeostasis and cell response to changing environmental conditions.


Assuntos
Cobre/metabolismo , Cianobactérias/metabolismo , Homeostase , Ferro/metabolismo , Proteômica/métodos , Cianobactérias/genética , Mutação/genética
20.
Biochem Biophys Res Commun ; 346(3): 1108-13, 2006 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-16782050

RESUMO

Two synthetic genes coding for human and Arabidopsis cytochrome c, respectively, have been designed and constructed, and the recombinant proteins have been over-expressed in Escherichia coli cells. Thus a comparative analysis of the two heme proteins, including horse cytochrome c as a reference, has been performed. In addition to their physico-chemical properties, the redox behavior of the three proteins has been analyzed by following the kinetics of both their reduction by flavin semiquinones (lumiflavin, riboflavin, and FMN) and oxidation by cytochrome c oxidase. The resulting data indicate that the accessibility and electrostatic charge of the active site do not differ in a significant way among the three proteins, but human cytochrome c exhibits some intriguing differences when interacting with cytochrome c oxidase that could be related to the amino acid changes underwent by the latter along evolution.


Assuntos
Arabidopsis/enzimologia , Citocromos c/metabolismo , Complexo IV da Cadeia de Transporte de Elétrons/metabolismo , Cavalos , Mitocôndrias/enzimologia , Animais , Fenômenos Químicos , Físico-Química , Flavinas/metabolismo , Humanos , Cinética , Oxirredução/efeitos dos fármacos , Cloreto de Potássio/farmacologia
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