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1.
Lupus ; 28(12): 1468-1472, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31551033

RESUMO

Signal transducer and activator of transcription (STAT) 3 is a regulator of T-cell responses to external stimuli, such as pro-inflammatory cytokines and chemokines. We have previously shown that STAT3 is activated (phosphorylated) at high levels in systemic lupus erythematosus (SLE) T cells and mediates chemokine-induced migration and T:B cell interactions. Stattic, a small molecular STAT3 inhibitor, can partially ameliorate lupus nephritis in mice. To understand the role of STAT3 better in T-cell pathophysiology in lupus nephritis and its potential as a treatment target, we silenced its expression in T cells using a cd4-driven CRE-Flox model. We found that lupus-prone mice that do not express STAT3 in T cells did not develop lymphadenopathy, splenomegaly, or glomerulonephritis. Moreover, the production of anti-dsDNA antibodies was decreased in these mice compared to controls. To dissect the mechanism, we also used a nephrotoxic serum model of nephritis. In this model, T cell-specific silencing of STAT3 resulted in amelioration of nephrotoxic serum-induced kidney damage. Taken together, our results suggest that in mouse models of autoimmune nephritis, T cell-specific silencing of STAT3 can hamper their ability to help B cells to produce autoantibodies and induce cell tissue infiltration. We propose that STAT3 inhibition in T cells represents a novel approach in the treatment of SLE and lupus nephritis in particular.


Assuntos
Lúpus Eritematoso Sistêmico/imunologia , Nefrite Lúpica/sangue , Fator de Transcrição STAT3/deficiência , Linfócitos T/metabolismo , Animais , Autoanticorpos/sangue , Quimiocinas/metabolismo , Óxidos S-Cíclicos/efeitos adversos , Óxidos S-Cíclicos/metabolismo , Citocinas/metabolismo , Humanos , Lúpus Eritematoso Sistêmico/patologia , Lúpus Eritematoso Sistêmico/terapia , Lúpus Eritematoso Sistêmico/veterinária , Nefrite Lúpica/fisiopatologia , Nefrite Lúpica/terapia , Nefrite Lúpica/veterinária , Camundongos , Camundongos Knockout/sangue , Camundongos Knockout/urina , Fator de Transcrição STAT3/metabolismo , Fator de Transcrição STAT3/farmacologia , Linfócitos T/patologia
2.
J Proteome Res ; 14(5): 2036-45, 2015 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-25849460

RESUMO

The International Mouse Phenotyping Consortium program has been established to ascribe biological functions to systematically knocked-out (KO) genes by in vivo and ex vivo phenotyping. The plasma clinical chemistry screen includes an assessment of liver, kidney, and bone function and provides a basic lipid profile and histopathology reports on 32 tissues. We report on the inclusion of plasma analysis by proton nuclear magnetic resonance ((1)H NMR) spectroscopy. (1)H NMR spectroscopy data are summarized from 116 running baseline controls with 18 homozygous and 2 heterozygous KO mouse lines along with wild-type controls (typically n = 7 per gender). For the baseline group, the intersample variation of (1)H NMR glucose measurement was 12%, and the (1)H NMR spectroscopy data were influenced by gender and feeding status. There were good correlations between the clinical chemistry and the (1)H NMR spectroscopy measurements for glucose, triglycerides, and HDL cholesterol. Significant differences were observed in two KO lines, Agl (MGI: 1924809) and Bbs5 (MGI: 1919819), by (1)H NMR spectroscopy, clinical chemistry, and histopathology. In a further two KO lines, Elmod1 (MGI: 3583900) and Emc10 (MGI: 1916933), (1)H NMR metabolic differences were observed, but no other ex vivo changes were detected. In the remaining 16 lines, no ex vivo abnormal phenotypes were observed. Plasma (1)H NMR spectroscopy can therefore provide a novel perspective on the function of knocked-out genes.


Assuntos
Metaboloma , Camundongos Knockout/sangue , Fenótipo , Animais , Osso e Ossos/química , Osso e Ossos/metabolismo , Feminino , Heterozigoto , Homozigoto , Rim/química , Rim/metabolismo , Fígado/química , Fígado/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout/genética , Análise de Componente Principal , Espectroscopia de Prótons por Ressonância Magnética
3.
Behav Brain Res ; 244: 130-6, 2013 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-23376700

RESUMO

Recently, several studies have shown different conclusions regarding the effect of oxytocin (OT) on the social behaviors of male mice. Most of these studies used exogenous OT, but currently, investigations of the neural bases of social behavior are increasingly employing gene inactivation. This study aimed to analyze the role of OT in the modulation of social behaviors (i.e., sexual and social interaction behaviors) in male mice with selective deletions of the OT gene (OTKO) and the influence of this deletion in basal vasopressin (AVP) plasma concentrations. Our results showed that in the social interaction test, OTKO mice exhibited lower levels of social behaviors and higher levels of non-social behaviors compared to the wild type (WT) group. Additionally, the OTKO group showed a decrease in the number of agonistic behaviors delivered, and consequently, their dominance score was lower than that of the WT group. In the ethological analysis, the OTKO group had a lower aggressive performance and increased social investigation than the WT group. No significant differences were observed in the sexual behavior between groups. Finally, we found lower AVP plasma concentrations in the OTKO compared with the WT group. In conclusion, our data suggest that OT modulates social investigation behavior and the aggressiveness of male mice. The decrease in AVP concentrations in the OTKO group allows us to infer that AVP is physiologically relevant to these behavioral modulations. However, sexual behaviors do not seem to be affected by the lack of OT or by a decrease in the AVP concentration.


Assuntos
Ocitocina/fisiologia , Comportamento Sexual Animal/fisiologia , Comportamento Social , Agressão/fisiologia , Animais , Arginina Vasopressina/sangue , Feminino , Masculino , Camundongos , Camundongos Knockout/sangue , Ocitocina/genética
4.
Chem Res Toxicol ; 24(11): 1891-8, 2011 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-21875074

RESUMO

The LD(50) for soman is 10-20-fold higher for a mouse than a human. The difference in susceptibility is attributed to the presence of carboxylesterase in mouse but not in human plasma. Our goal was to make a mouse lacking plasma carboxylesterase. We used homologous recombination to inactivate the carboxylesterase ES1 gene on mouse chromosome 8 by deleting exon 5 and by introducing a frame shift for amino acids translated from exons 6 to 13. ES1-/- mice have no detectable carboxylesterase activity in plasma but have normal carboxylesterase activity in tissues. Homozygous ES1-/- mice and wild-type littermates were tested for response to a nerve agent model compound (soman coumarin) at 3 mg/kg sc. This dose intoxicated both genotypes but was lethal only to ES1-/- mice. This demonstrated that plasma carboxylesterase protects against a relatively high toxicity organophosphorus compound. The ES1-/- mouse should be an appropriate model for testing highly toxic nerve agents and for evaluating protection strategies against the toxicity of nerve agents.


Assuntos
Carboxilesterase/genética , Inibidores da Colinesterase/efeitos adversos , Engenharia Genética/métodos , Camundongos Knockout/genética , Soman/efeitos adversos , Alelos , Animais , Cruzamento , Carboxilesterase/antagonistas & inibidores , Carboxilesterase/deficiência , Substâncias para a Guerra Química/efeitos adversos , Inibidores da Colinesterase/administração & dosagem , Feminino , Genótipo , Recombinação Homóloga , Homozigoto , Humanos , Injeções Subcutâneas , Dose Letal Mediana , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout/sangue , Fenótipo , Soman/administração & dosagem , Soman/análogos & derivados
5.
Clin Exp Pharmacol Physiol ; 36(5-6): 547-53, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19673938

RESUMO

1. There is continuing uncertainty about the tissue compartments where angiotensin and bradykinin peptide formation occurs. Mice with angiotensin-converting enzyme (ACE) expression targeted to the cardiomyocyte membrane provide a unique experimental model to detect ACE substrates in the extravascular compartment of the heart in vivo. 2. Angiotensin (Ang) I and II, bradykinin-(1-7) and bradykinin-(1-9) were measured in blood and cardiac ventricles of wild-type (WT) mice, mice with a non-functional somatic ACE gene promoter (KO), mice homozygous (8/8) and heterozygous (1/8) for cardiomyocyte-targeted ACE expression and a non-functional somatic ACE gene promoter, and mice heterozygous for cardiomyocyte-targeted ACE expression and heterozygous for the WT ACE allele (WT/8). 3. Cardiac AngII levels of 8/8, 1/8, WT/8 and WT mice were higher than KO levels. Cardiac AngII levels in 8/8 and 1/8 mice were also higher than WT levels, but the levels in WT/8 mice were similar to WT levels. Cardiac bradykinin-(1-9) levels of WT, but not 8/8 mice, were lower than in KO mice, whereas bradykinin-(1-7) levels in 8/8 mice were lower than in KO mice. 4. We conclude that AngI and bradykinin-(1-7) are present in the cardiac extravascular compartment of mice lacking vascular ACE and that extravascular ACE produces AngII and metabolises bradykinin-(1-7) in this compartment. The data suggest that the vascular compartment is the main site of AngI and bradykinin-(1-9) formation and metabolism and that vascular ACE may limit AngI entry to the extravascular compartment of WT mice.


Assuntos
Angiotensinas/metabolismo , Bradicinina/metabolismo , Camundongos Knockout/fisiologia , Modelos Biológicos , Miocárdio/metabolismo , Peptidil Dipeptidase A/genética , Angiotensinas/sangue , Angiotensinas/fisiologia , Animais , Bradicinina/sangue , Bradicinina/fisiologia , Vasos Coronários/metabolismo , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout/sangue , Camundongos Knockout/genética , Fragmentos de Peptídeos/metabolismo , Fragmentos de Peptídeos/fisiologia , Peptidil Dipeptidase A/metabolismo , Regiões Promotoras Genéticas
6.
FEBS J ; 273(22): 5032-43, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17032352

RESUMO

Integrins are the major receptor type known to facilitate cell adhesion and lamellipodia formation on extracellular matrix proteins. However, collagen-related peptide and thrombin have recently been shown to mediate platelet lamellipodia formation when presented as immobilized surfaces. The aims of this study were to establish if there exists a role for the platelet integrin alpha(IIb)beta(3) in this response; and if so, whether signalling from the integrin is required for lamellipodia formation on these surfaces. Real-time analysis was used to compare platelet morphological changes on surfaces of fibrinogen, collagen-related peptide or thrombin in the presence of various pharmacological inhibitors and platelets from 'knockout' mice. We demonstrate that collagen-related peptide and thrombin stimulate distinct patterns of platelet lamellipodia formation and elevation of intracellular Ca(2+) to that induced by the integrin alpha(IIb)beta(3) ligand, fibrinogen. Nevertheless, lamellipodia formation on collagen-related peptide and thrombin is dependent upon engagement of alpha(IIb)beta(3), consistent with release of alpha(IIb)beta(3) ligand(s) from platelet granules. However, the requirement for signalling by the integrin on fibrinogen can be bypassed by the addition of thrombin to the solution. These observations reveal a critical role for alpha(IIb)beta(3) in forming lamellipodia on collagen-related peptide and thrombin which is dependent on its ability to function as an adhesive receptor but not necessarily on its ability to signal. These results suggest that integrins may play an important role in lamellipodia formation triggered by nonintegrin ligands in platelets and possibly in other cell types.


Assuntos
Plaquetas/citologia , Proteínas de Transporte/farmacologia , Fibrinogênio/farmacologia , Peptídeos/farmacologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/fisiologia , Pseudópodes/efeitos dos fármacos , Trombina/farmacologia , Animais , Plaquetas/efeitos dos fármacos , Plaquetas/fisiologia , Cálcio/metabolismo , Proteínas de Transporte/metabolismo , Adesão Celular , Células Cultivadas , Fibrinogênio/metabolismo , Humanos , Integrina alfa2beta1/fisiologia , Camundongos , Camundongos Knockout/sangue , Peptídeos/metabolismo , Fosfolipase C gama/genética , Fosfolipase C gama/fisiologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/genética , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/farmacologia , Pseudópodes/metabolismo , Transdução de Sinais , Trombina/metabolismo
8.
Neurosci Lett ; 307(2): 81-4, 2001 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-11427305

RESUMO

Opioid mu-receptor plays an important role in the regulation of glucose homeostasis in diabetic rats lacking insulin. Opioid mu-receptor knockout mice were employed to identify the essential role of this receptor in the present study. Western blotting analysis characterized the deletion of opioid mu-receptor in liver of knockout mice as compared to that of normal (wild-type) mice. We found that the plasma glucose concentration of diabetic mice induced by intraperitoneal injection of streptozotocin was markedly decreased after exposure to cold-stress in a cold room for 1 h. However, this plasma glucose lowering response to cold-stress was disappeared in diabetic mice lacking opioid mu-receptor. The important role of opioid mu-receptor in the plasma glucose lowering response to cold stress can thus be considered. Moreover, bilateral adrenalectomy abolished this plasma glucose lowering response to cold stress in diabetic mice with opioid mu-receptor, as compared to the shamed-operated animals. Therefore, activation of opioid mu-receptor by opioid from adrenal gland appears to be responsible for the plasma glucose lowering response to cold-stress in diabetic mice with insulin deficiency.


Assuntos
Glicemia/fisiologia , Diabetes Mellitus Experimental/sangue , Receptores Opioides mu/deficiência , Estresse Fisiológico/metabolismo , Glândulas Suprarrenais/metabolismo , Animais , Membrana Celular/metabolismo , Diabetes Mellitus Experimental/fisiopatologia , Hipotermia Induzida/efeitos adversos , Fígado/metabolismo , Masculino , Camundongos , Camundongos Knockout/sangue , Peptídeos Opioides/metabolismo , Receptores Opioides mu/genética , Estresse Fisiológico/fisiopatologia
10.
Atherosclerosis ; 154(2): 399-406, 2001 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-11166772

RESUMO

The rupture of an atherosclerotic plaque is the main underlying cause of coronary artery thrombotic occlusion and subsequent myocardial infarction, but research into the causes and treatment of plaque rupture is hampered by the lack of a suitable animal model. Although complex atherosclerotic plaques can be induced in a number of experimental animal systems, in none of these is plaque rupture an established feature. We have surveyed branch points in the carotid arteries and aortas of apolipoprotein E knockout mice fed a diet supplemented with 21% lard and 0.15% cholesterol for up to 14 months. Six male and five female mice were used. Four of the male mice and four of the female mice died, after 46+/-3 weeks of feeding (range 37-59 weeks). Lumenal thrombus associated with atherosclerotic plaque rupture was observed in three male and all four female mice. In six of these seven mice, an atherosclerotic plaque rupture was found where the brachiocephalic artery branches into the right common carotid and right subclavian arteries. The ruptures were characterised by fragmentation and loss of elastin in the fibrous caps of relatively small and lipid-rich plaques overlying large complex lesions, with intraplaque haemorrhage. Immunocytochemical analysis revealed loss of smooth muscle cells from ruptured caps. These data suggest that long-term fat-feeding of apolipoprotein E knockout mice is a useful and reproducible model of atherosclerotic plaque rupture, and that these ruptures occur predominantly in the brachiocephalic artery.


Assuntos
Apolipoproteínas E/sangue , Arteriosclerose/patologia , Tronco Braquiocefálico/patologia , Camundongos Knockout/sangue , Animais , Arteriosclerose/sangue , Arteriosclerose/induzido quimicamente , Colesterol/sangue , Gorduras na Dieta/toxicidade , Feminino , Masculino , Camundongos , Músculo Liso Vascular/patologia , Fatores de Risco , Ruptura Espontânea
11.
Nephrol Dial Transplant ; 15 Suppl 6: 14-5, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11143973

RESUMO

Although CLC chloride channels share a common structure, the sites of expression in the body and their intracellular localization are different among CLCs. CLC-K1 and -K2 are kidney-specific CLC chloride channels. We have clarified their localization in the plasma membranes of tubular cells by immunohistochemistry and proposed their roles in transepithelial chloride transport. Since there exit no good inhibitors for these channels, a gene knockout approach was the only way to establish their roles in kidney. While we were generating CLC-K knockout mice, Simon et al. reported that the mutations of CLC-K2 in human resulted in Bartter's syndrome. This had been anticipated since CLC-K2 is known to be present in the basolateral plasma membranes of the distal nephron where sodium-dependent chloride transporters are present in the apical membranes. Thus, CLC-K2 constitutes an important route for chloride reabsorption as an exit for chloride ions in the basolateral membrane. Another important finding in Simon's report was that no CLC-K (a human homologue of rat CLC-K1) mutation was found in patients with Bartter's syndrome. This suggested that CLC-K1 has a different role in kidney. We believed this to be true, based on the finding that the intrarenal localization of CLC-K1 and CLC-K2 are completely different. In the CLC-K1 knockout mice, we could clearly verify that (i) the high chloride permeability in the tAL was mediated by CLC-K1 and (ii) this chloride transport is necessary for urinary concentration. Further studies are necessary to elucidate the detailed mechanisms of the urinary-concentrating defect in Clcnk1 -/- mice. Exact clearance studies and measurements of osmolality and solute contents in the inner medulla will provide the answer to this question.


Assuntos
Canais de Cloreto/fisiologia , Rim/fisiologia , Animais , Canais de Cloreto/genética , Capacidade de Concentração Renal/fisiologia , Camundongos , Camundongos Knockout/sangue , Camundongos Knockout/genética , Camundongos Knockout/urina
12.
Hypertens Res ; 22(1): 11-6, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10221345

RESUMO

The molecular mechanism responsible for salt sensitivity is poorly understood. Mice heterozygous for the null mutation of the endothelin-1 (ET-1) gene, Edn1, may be a potential tool for studying this mechanism, because they have elevated blood pressure and disturbances in central sympathetic nerve regulation. In the present study, we used this mouse model to examine the degree to which ET-1 contributes to the responses of blood pressure and catecholamine metabolism to high salt loading. Male Edn1+/- heterozygous mice and Edn1+/+ wild-type littermates were given either a high salt (8%) or a normal salt (0.7%) diet for 4 wk. During the normal diet, renal ET-1 levels in Edn1+/- mice were approximately 50% lower than ET-1 levels in wild-type mice, whereas the high salt diet decreased renal ET-1 levels by about 50% in both Edn1+/- and wild-type mice. The high salt diet significantly increased urinary sodium excretion and fractional excretion of sodium (FENa) but did not affect circulating plasma volume, serum electrolytes, creatinine clearance, or systemic blood pressure. In addition, urinary norepinephrine and normetanephrine excretion were significantly increased, indicating that salt loading can increase sympathetic nerve activity in normal mice. These responses to salt loading did not differ between Edn1+/- mice and their wild-type littermates. We conclude that physiological changes in ET-1 production do not affect the responses of blood pressure and catecholamine metabolism to salt loading, although the renal ET-1 content is decreased by salt loading.


Assuntos
Pressão Sanguínea/fisiologia , Catecolaminas/urina , Endotelina-1/fisiologia , Sódio na Dieta/administração & dosagem , Animais , Catecolaminas/sangue , Seguimentos , Testes de Função Renal , Masculino , Camundongos , Camundongos Knockout/sangue , Camundongos Knockout/genética , Camundongos Knockout/urina , Sódio/sangue , Sódio/urina , Sistema Nervoso Simpático/fisiologia
13.
Artigo em Inglês | MEDLINE | ID: mdl-10895255

RESUMO

Recent development of knockout mice with targeted deletion of specific genes encoding various red cell membrane proteins has added valuable armamentarium to red cell membrane structure-function studies. In this chapter we will summarize the various recent developments regarding the structure and function of the red cell membrane derived from studies using knockout mice. In addition to being expressed in red cells, all major red cell membrane proteins are also expressed in cells of various tissues. The potential use of knockout mice to decipher the biological functions of red cell membrane proteins in non-erythroid cells is also explored.


Assuntos
Membrana Eritrocítica/química , Membrana Eritrocítica/fisiologia , Camundongos Knockout/sangue , Camundongos Knockout/genética , Anemia Hemolítica/patologia , Animais , Proteínas do Citoesqueleto/genética , Proteínas do Citoesqueleto/fisiologia , Membrana Eritrocítica/ultraestrutura , Eritrócitos/química , Eritrócitos/ultraestrutura , Proteínas de Membrana/genética , Proteínas de Membrana/fisiologia , Camundongos , Mutação
15.
Endocrinology ; 139(6): 2710-7, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9607776

RESUMO

In this study, we used mice lacking the G11alpha [G11 knockout (KO)] or Gqalpha gene (Gq KO) to examine LH release in response to a metabolically stable GnRH agonist (Buserelin). Mice homozygous for the absence of G11alpha and Gqalpha appear to breed normally. Treatment of (5 wk old) female KO mice with the GnRH agonist Buserelin (2 microg/100 microl, sc) resulted in a rapid increase of serum LH levels (reaching 328 +/- 58 pg/25 microl for G11 KO; 739 +/- 95 pg/25 microl for Gq KO) at 75 min. Similar treatment of the control strain, 129SvEvTacfBr for G11 KO or the heterozygous mice for Gq KO, resulted in an increase in serum LH levels (428 +/- 57 pg/25 microl for G11 KO; 884 +/- 31 pg/25 microl for Gq KO) at 75 min. Both G11 KO and Gq KO male mice released LH in response to Buserelin (2 microg/100 microl of vehicle; 363 +/- 53 pg/25 microl and 749 +/- 50 pg/25 microl 1 h after treatment, respectively). These values were not significantly different from the control strain. In a long-term experiment, Buserelin was administered every 12 h, and LH release was assayed 1 h later. In female G11 KO mice and control strain, serum LH levels reached approximately 500 pg/25 microl within the first hour, then subsided to a steady level (approximately 100 pg/25 microl) for 109 h. In male G11 KO mice and in control strain, elevated LH release lasted for 13 h; however, LH levels in the G11 KO male mice did not reach control levels for approximately 49 h. In a similar experimental protocol, the Gq KO male mice released less LH (531 +/- 95 pg/25 microl) after 13 h from the start of treatment than the heterozygous male mice (865 +/- 57 pg/25 microl), but the female KO mice released more LH (634 +/- 56 pg/25 microl) after 1 h from the start of treatment than the heterozygous female mice (346 +/- 63 pg/25 microl). However, after the initial LH flare, the LH levels in the heterozygous mice never reached the basal levels achieved by the KO mice. G11 KO mice were less sensitive to low doses (5 ng/per animal) of Buserelin than the respective control mice. Male G11 KO mice produced more testosterone than the control mice after 1 h of stimulation by 2 microg of Buserelin, whereas there was no significant difference in Buserelin stimulated testosterone levels between Gq KO and heterozygous control mice. There was no significant difference in Buserelin stimulated estradiol production in the female Gq KO mice compared with control groups of mice. However, female G11 KO mice produced less estradiol in response to Buserelin (2 microg) compared with control strain. Although there were differences in the dynamics of LH release and steroid production in response to Buserelin treatment compared with control groups of mice, the lack of complete abolition of these processes, such as stimulated LH release, and steroid production, suggests that these G proteins are either not absolutely required or are able to functionally compensate for each other.


Assuntos
Busserrelina/farmacologia , Estradiol/metabolismo , Proteínas de Ligação ao GTP/genética , Hormônio Liberador de Gonadotropina/agonistas , Gônadas/metabolismo , Hormônio Luteinizante/metabolismo , Camundongos Knockout/genética , Camundongos Knockout/metabolismo , Testosterona/metabolismo , Animais , Relação Dose-Resposta a Droga , Estradiol/sangue , Feminino , Injeções Subcutâneas , Hormônio Luteinizante/sangue , Masculino , Camundongos , Camundongos Knockout/sangue , Valores de Referência , Testosterona/sangue , Fatores de Tempo
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