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1.
Eur J Histochem ; 63(2)2019 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-31113191

RESUMO

Extrahepatic bile ducts are characterized by the presence of peribiliary glands (PBGs), which represent stem cell niches implicated in biliary regeneration. Orthotopic liver transplantation may be complicated by non-anastomotic strictures (NAS) of the bile ducts, which have been associated with ischemic injury of PBGs and occur more frequently in livers obtained from donors after circulatory death than in those from brain-dead donors. The aims of the present study were to investigate the PBG phenotype in bile ducts after transplantation, the integrity of the peribiliary vascular plexus (PVP) around PBGs, and the expression of vascular endothelial growth factor-A (VEGF-A) by PBGs. Transplanted ducts obtained from patients who underwent liver transplantation were studied (N=62). Controls included explanted bile duct samples not used for transplantation (N=10) with normal histology. Samples were processed for histology, immunohistochemistry and immunofluorescence. Surface epithelium is severely injured in transplanted ducts; PBGs are diffusely damaged, particularly in ducts obtained from circulatory-dead compared to brain-dead donors. PVP is reduced in transplanted compared to controls. PBGs in transplanted ducts contain more numerous progenitor and proliferating cells compared to controls, show higher positivity for VEGF-A compared to controls, and express VEGF receptor-2. In conclusion, PBGs and associated PVP are damaged in transplanted extrahepatic bile ducts; however, an activation of the PBG niche takes place and is characterized by proliferation and VEGF-A expression. This response could have a relevant role in reconstituting biliary epithelium and vascular plexus and could be implicated in the genesis of non-anastomotic strictures.


Assuntos
Ductos Biliares Extra-Hepáticos/lesões , Ductos Biliares Extra-Hepáticos/patologia , Glândulas Exócrinas/lesões , Glândulas Exócrinas/patologia , Transplante de Fígado/efeitos adversos , Fator A de Crescimento do Endotélio Vascular/metabolismo , Ductos Biliares Extra-Hepáticos/irrigação sanguínea , Glândulas Exócrinas/irrigação sanguínea , Humanos , Estudos Retrospectivos , Nicho de Células-Tronco
2.
Anat Histol Embryol ; 37(3): 177-80, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18162098

RESUMO

This study focused on the morphological characteristics of the uropygial glands of the Japanese quail and silver polish, particularly the arterial nourishment. With this respect, coloured-latex injected animals were dissected and their glands and related arteries were observed. The gland in the Japanese quail was relatively longer than that in the silver polish. The first caudal segmental arteries in the Japanese quail were specialized as the uropygial gland artery while the fourth caudal segmental ones were continued as the uropygial gland artery in the silver polish. Branches from the second and third caudal segmental arteries and skin also contributed bilaterally to the vascularization of the gland in the Japanese quail. Observing the more complex arterial structure in the Japanese quail suggests more active uropygial gland in this species, when compared with the silver polish.


Assuntos
Artérias/anatomia & histologia , Galinhas/anatomia & histologia , Coturnix/anatomia & histologia , Glândulas Exócrinas/irrigação sanguínea , Animais , Feminino , Masculino
3.
Anat Histol Embryol ; 33(3): 155-7, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15144283

RESUMO

This study aims to observe the morphological characteristics of the uropygial gland (Glandula uropygialis), specifically the arterial vascularization, in rock partridges (Alectoris graeca) living in Turkey. Coloured-latex-injected animals were dissected and the gland and related arteries were observed. Mostly, the fourth paired caudal segmental arteries (Aa. segmentales caudales) arising from the median caudal artery (A. mediana caudae) were specified as the uropygial gland arteries. These arteries, in turn, gave the following rami: the muscular ramus (Ramus muscularis) to the levator coccygeus and lateral caudal muscles, the lateral ramus (Ramus lateralis) to the lateral coccygeus muscle and a small ventro-lateral division of the caudal component of the gland, and the medial rami (Ramus medialis) to the dorsal surface of the gland.


Assuntos
Aves/anatomia & histologia , Glândulas Exócrinas/irrigação sanguínea , Animais , Animais Selvagens , Artérias/anatomia & histologia , Feminino , Masculino , Turquia
4.
J Morphol ; 260(2): 247-54, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15108163

RESUMO

The parotoid glands of toads (Bufonidae) consist of large aggregations of granular glands located between the otic region of the skull and the scapular region. To determine the circulatory pattern of these glands, we perfused the vascular systems of Bufo alvarius, B. marinus, B. terrestris, and B. valliceps with either India ink or Microfil, a fine latex. The perfused glands were studied by gross dissection, microscopic examination, and histology. The vascular patterns of the parotoid glands were compared to the arrangement of vessels in the dorsal skin of Rana sphenocephala (Ranidae), a frog that lacks parotoid glands. The parotoid glands of the four species of toads are supplied with blood by the lateral and dorsal cutaneous arteries and are drained by one or more branches of the internal jugular vein. The dorsal cutaneous artery supplies most of the blood to the parotoid glands in B. terrestris and B. valliceps. In B. alvarius and B. marinus, both the lateral and dorsal cutaneous arteries serve major roles in the blood supply of the glands. These patterns of blood flow have not been described previously for parotoid glands and conflict with earlier accounts for B. alvarius and B. marinus. The arteries and veins associated with the parotoid glands of toads are present in R. sphenocephala, but are arranged differently. In R. sphenocephala, the lateral cutaneous artery supplies the dorsal and lateral skin posterior to the shoulder region, whereas the dorsal cutaneous artery supplies the skin of the shoulder region. In toads, both the lateral and dorsal cutaneous arteries supply the skin of the shoulder region and ramify into subcutaneous capillaries that surround the secretory units of the parotoid glands. Extensive vasculature presumably is important for delivering cholesterol and other precursor molecules to the parotoid glands, where those compounds are converted into toxins.


Assuntos
Bufonidae/anatomia & histologia , Glândulas Exócrinas/irrigação sanguínea , Ranidae/anatomia & histologia , Pele/anatomia & histologia , Animais , Colesterol/metabolismo , Glândulas Exócrinas/anatomia & histologia , Glândulas Exócrinas/metabolismo , Microcirculação , Ranidae/metabolismo , Pele/metabolismo , Crânio/anatomia & histologia
5.
Anat Histol Embryol ; 29(5): 291-3, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11103518

RESUMO

In the present study, arterial vascularization of the uropygial glands (Gl. uropygialis) of 10 adult geese (Anser anser) and 10 adult ducks (Anas platyrhynches) were studied. Takilon was injected into the median coccygeal arteries of six specimens from each species, and Latex (a natural rubber with ammonia) into those of four specimens. Takilon-injected specimens were corrosion casted, and arteries nourishing the gland were revealed via dissection. Vascularization of the uropygial glands of both the goose and the duck was observed to be the right (a. gl. uropygii dextra), left (a. gl. uropygi sinistra) and ventral (a. gl. uropygi ventralis) glandular uropygial arteries, arising from the median coccygeal (a. coccygea media) artery. Both the right and left glandular uropygial arteries were observed, divided into four branches as follows; muscular ramus (ramus muscularis), medial ramus (ramus medialis), ventral ramus (ramus ventralis) and lateral ramus (ramus lateralis). Of these, as the lateral, medial and ventral branches feed the gland, the muscular branch provides blood for the lateral coccygeal (m. coccygealis lateralis) and levator coccygeal (m. levator coccygealis) muscles, and the skin. Among the arteries mentioned above, anastomosis between the first and the second branches of the right ventral uropygial arteries in the five geese and five ducks was found.


Assuntos
Patos/anatomia & histologia , Glândulas Exócrinas/irrigação sanguínea , Gansos/anatomia & histologia , Neovascularização Fisiológica , Animais , Artérias/anatomia & histologia
6.
Microsc Res Tech ; 37(5-6): 489-96, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9220426

RESUMO

The insulo-acinar portal system in the rat, guinea pig, and dog was comparatively analyzed using corrosion casting method in scanning electron microscopy and confocal laser scanning microscopy. In all animals examined, there were three types of arterioles according to their destination: 1) the arteriole which supplied the capillary glomerulus of the islet, 2) the arterioles which directly branched out into capillaries around the acini, and 3) the arterioles which supplied the duct system. In the rat, the afferent vessel usually ended in the cortical layer of the islet and its main branches ran along this layer before giving secondary capillary branches into the deeper regions, while in the dog and guinea pig, the region where the afferent arterioles branched out into secondary capillary branches varied among individual islets. There were three types of efferent vessels of the islet: 1) the insulo-acinar portal vessels that radiated from the islet to join the capillary network in the exocrine pancreas, 2) the emissary venules of the islet, leading directly into the systemic circulation, and 3) the insulo-ductal portal vessels which drained into the peri-ductal capillary network. In the rat and guinea pig, the intralobular islets possessed both the insulo-acinar portal vessels and the emissary venules, while the interlobular islets possessed emissary venules with occasionally occurring insulo-acinar portal vessels. In the dog, most of the islets were located within the lobule and possessed preferentially the insulo-acinar portal vessels. In this animal, the lobule was supplied by several microvascular units, in the center of which was located the capillary glomerulus of the islet. The peri-insular zone of the unit was mainly supplied by the insulo-acinar portal vessels, while the periphery, the tele-insular zone, was directly supplied by arterioles as well. The venules originated at the periphery of the unit. The islet in the dog had virtually no emissary venules. Confocal laser scanning microscopy of the rat islets showed that B cells occupied the core of all islets. The microvascular architecture within the rat islet appeared to be organized as to drain blood from the A and D cell area to the B cell area of the islet.


Assuntos
Cães/anatomia & histologia , Cobaias/anatomia & histologia , Pâncreas/anatomia & histologia , Sistema Porta/anatomia & histologia , Sistema Porta/ultraestrutura , Ratos/anatomia & histologia , Animais , Arteríolas/anatomia & histologia , Arteríolas/ultraestrutura , Capilares/anatomia & histologia , Capilares/ultraestrutura , Molde por Corrosão , Glândulas Exócrinas/irrigação sanguínea , Ilhotas Pancreáticas/irrigação sanguínea , Ilhotas Pancreáticas/citologia , Microscopia Confocal , Microscopia Eletrônica de Varredura , Pâncreas/ultraestrutura , Ductos Pancreáticos/irrigação sanguínea , Ratos Wistar , Vênulas/anatomia & histologia , Vênulas/ultraestrutura
7.
Microsc Res Tech ; 37(5-6): 418-33, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9220421

RESUMO

The pancreas is involved in two major bodily functions: production of hormones involved in the control of carbohydrate metabolism and the production of enzymes essential to digestion. Pancreatic function is mediated by both neurological and humoral control. The major pathway for humoral control is through the circulatory system, the level of action being in the microcirculation. This introductory paper explores the need for a deeper understanding of the dynamic morphology, i.e. the actual flow patterns in the microcirculation, as a function of the physiological state and demand to complement the careful ultrastructural mapping of the microvasculature. The current state of knowledge in this field is reviewed as a basis for identifying important areas of knowledge and ignorance, and some suggestions are made as to possible procedures for further experimental studies, particularly in the microscopic observation of the dynamics of the microcirculation with special emphasis on the need for transport studies in both directions across the microvascular wall.


Assuntos
Pâncreas/irrigação sanguínea , Pâncreas/fisiologia , Animais , Capilares/metabolismo , Capilares/fisiologia , Capilares/ultraestrutura , Permeabilidade Capilar/fisiologia , Cricetinae , Cães , Glândulas Exócrinas/irrigação sanguínea , Glândulas Exócrinas/metabolismo , Glândulas Exócrinas/ultraestrutura , Glicoproteínas/metabolismo , Glicosaminoglicanos/metabolismo , Hormônios/metabolismo , Humanos , Ilhotas Pancreáticas/irrigação sanguínea , Ilhotas Pancreáticas/metabolismo , Ilhotas Pancreáticas/ultraestrutura , Camundongos , Microcirculação/fisiologia , Microcirculação/ultraestrutura , Microscopia Eletrônica , Microscopia Eletrônica de Varredura , Modelos Biológicos , Pâncreas/ultraestrutura , Ratos , Transdução de Sinais
8.
Microsc Res Tech ; 37(5-6): 497-508, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9220427

RESUMO

Scanning electron microscopy of vascular casts prepared by arterial injections of intentionally reduced amounts of resin showed that in the rat pancreas, the casting medium fills blood capillaries in the endocrine islets more promptly than those in the exocrine lobules and secretory ducts. Furthermore, the exocrine lobules containing endocrine islets allowed a more rapid resin flow through the insulo-acinar portal route than those lobules lacking an islet. The capillaries of secretory ducts were the last portions to be filled with resin. Since the resin used in this study was as viscous as blood and injected under a physiological pressure, the microcirculatory patterns demonstrated by the present method reflect the physiological flow pattern of blood in the pancreas.


Assuntos
Circulação Sanguínea , Pâncreas/irrigação sanguínea , Pâncreas/ultraestrutura , Ratos Wistar/anatomia & histologia , Animais , Artérias/anatomia & histologia , Artérias/ultraestrutura , Capilares/anatomia & histologia , Capilares/ultraestrutura , Glândulas Exócrinas/irrigação sanguínea , Glândulas Exócrinas/fisiologia , Glândulas Exócrinas/ultraestrutura , Ilhotas Pancreáticas/irrigação sanguínea , Ilhotas Pancreáticas/fisiologia , Ilhotas Pancreáticas/ultraestrutura , Masculino , Microcirculação/fisiologia , Microscopia Eletrônica de Varredura/métodos , Pâncreas/fisiologia , Ductos Pancreáticos/irrigação sanguínea , Ductos Pancreáticos/ultraestrutura , Sistema Porta/fisiologia , Sistema Porta/ultraestrutura , Ratos
9.
Arch Oral Biol ; 41(7): 699-704, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9015572

RESUMO

The aim was to examine whether (1) blood flow and vascular resistance are altered in response to exogenous nitric oxide and (2) whether endogenous synthesis of nitric oxide participates in the haemodynamic regulation of the submandibular, parotid and pancreatic glands. Experiments were performed on anaesthetized, artificially ventilated cats. Mean arterial blood pressure, heart rate, blood gases, cardiac output and tissue blood flow were determined before and 15 min after intravenous administration of either the nitric oxide donor SIN-1 (3-morpholinosydnonimine, 1 mg/kg, n = 10) or the competitive nitric oxide synthase inhibitor NOLA (NG-nitro-L-arginine, 30 mg/kg, n = 9) blood flow was measured by a radioactive-labelled microsphere method. In the SIN-1 group, in spite of a serious decrease in mean arterial blood pressure (p < 0.001), the blood flow in the glands remained unchanged. The vascular resistance decreased after SIN-1 in the submandibular and pancreatic glands (p < 0.001 and p < 0.05, respectively), and was slightly reduced in the parotid. The NOLA increased mean arterial blood pressure (p < 0.01) and reduced the blood flow in the submandibular and pancreatic glands (p < 0.01 and p < 0.001, respectively), but the decrease in the parotid was not significant. Vascular resistance increased after NOLA in all three glands (p < 0.05, p < 0.001 and p < 0.05). These findings suggest that basal nitric oxide production in these exocrine glands is sufficient to modulate vascular resistance. Moreover, the release of endogenous NO from the nerves and/or endothelium is probably involved in the regulation of vascular tone. The nitric oxide-dependent component of blood-flow regulation, however, seems to be less pronounced in the parotid gland.


Assuntos
Glândulas Exócrinas/irrigação sanguínea , Hemodinâmica/efeitos dos fármacos , Óxido Nítrico Sintase/metabolismo , Óxido Nítrico/fisiologia , Animais , Velocidade do Fluxo Sanguíneo/efeitos dos fármacos , Pressão Sanguínea/efeitos dos fármacos , Gatos , Endotélio Vascular/enzimologia , Endotélio Vascular/inervação , Inibidores Enzimáticos/farmacologia , Glândulas Exócrinas/enzimologia , Masculino , Molsidomina/análogos & derivados , Molsidomina/farmacologia , Fibras Nervosas/metabolismo , Óxido Nítrico/biossíntese , Óxido Nítrico/farmacologia , Óxido Nítrico Sintase/análise , Óxido Nítrico Sintase/antagonistas & inibidores , Nitroarginina/farmacologia , Pâncreas/irrigação sanguínea , Pâncreas/enzimologia , Glândula Parótida/irrigação sanguínea , Glândula Parótida/enzimologia , Fluxo Sanguíneo Regional/efeitos dos fármacos , Glândula Submandibular/irrigação sanguínea , Glândula Submandibular/enzimologia , Resistência Vascular/efeitos dos fármacos , Vasodilatadores/farmacologia
10.
J Exp Zool ; 254(3): 237-47, 1990 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2189020

RESUMO

The three-dimensional microvasculature of the nasal salt gland of the duckling was studied by vascular corrosion casting and scanning electron microscopy. Changes in the vascular volume of the gland in response to osmotic stress were also determined using cast weights and densities. The richly vascularized gland is supplied on its medial surface by large branches of the supraorbital and ethmoidal arteries. Numerous arterial branches enter the gland and distribute to lobes via the interlobar connective tissue. Lobar arterioles penetrate to the periductal areas of the lobes before dividing into capillaries supplying the ductal epithelium and secretory tubules. Capillaries envelope the secretory tubules and run radially from the ducts toward the lobe periphery, so that blood flows counter to the tubular secretion. Blood is collected via venous plexuses seen as distinct drainage units on the periphery of each lobe. Veins exhibit large numbers of bicuspid valves. Following 1 day and 4 days of osmotic loading (feeding 1% NaCl), vascular volume of the gland increased fivefold and ninefold, respectively, a response that precedes and exceeds that of the gland weight or Na,K-ATPase activity. When salt water-adapted ducklings were fed fresh water for only 24 hr (deadaptation), vascular volume fell to 2.8 times the control level. Changes in blood flow to the gland during osmotic adaptation and deadaptation are rapid and dramatic and may represent the initial steps in the control of gland secretion.


Assuntos
Patos/anatomia & histologia , Glândulas Exócrinas/irrigação sanguínea , Cavidade Nasal/irrigação sanguínea , Cloreto de Sódio/metabolismo , Adaptação Fisiológica , Animais , Capilares/ultraestrutura , Patos/metabolismo , Glândulas Exócrinas/ultraestrutura , Técnicas Histológicas/veterinária , Metacrilatos , Cavidade Nasal/metabolismo , Cavidade Nasal/ultraestrutura , Pressão Osmótica , Resinas Vegetais
11.
Arch Histol Cytol ; 51(5): 459-66, 1988 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-3223801

RESUMO

Nerve fibers supplying the Duvernoy's gland, a venom-secreting oral gland, of the Japanese colubrid snake, Rhabdophis tigrinus, were examined by formaldehyde-induced fluorescence (FIF) and acetylcholinesterase (AChE) histochemistry, immunohistochemistry, and electron microscopy. The innervation by the FIF fibers was rather meager and was restricted to the area around the arteries localized in the interlobular connective tissue. The AChE-reactive fibers, in contrast, were abundantly supplied all over the gland, especially to the lobule consisting of secretory units. Peptide histidine isoleucine (PHI)(1-15)-like immunoreactive fibers were also detected in the gland and proved identical to the AChE-reactive fibers. The reactivities for both AChE and PHI (1-15) were particularly prominent around the blood capillaries distributed in the lobules. Under the electron microscope, nerve fibers were frequently seen to terminate near capillaries subjacent to the secretory unit. Those nerve terminals containing small clear vesicles and dense core granules were devoid of Schwann cell coverage on the side facing the blood capillary. These features suggest that the nerve terminals may possibly release at least a portion of their secretory contents into the blood as neurohormones.


Assuntos
Glândulas Exócrinas/ultraestrutura , Fibras Nervosas/ultraestrutura , Serpentes/anatomia & histologia , Acetilcolinesterase/análise , Animais , Capilares/inervação , Glândulas Exócrinas/irrigação sanguínea , Histocitoquímica , Imuno-Histoquímica , Microscopia Eletrônica , Microscopia de Fluorescência , Peptídeo PHI/análise
12.
J Physiol (Paris) ; 80(2): 111-9, 1985.
Artigo em Francês | MEDLINE | ID: mdl-2415698

RESUMO

Exocrine glands extrude both proteins and salt. Fluid secretion is related to a modification of the membrane permeability of secreting cells. This permeability change may be measured as an increase of labelled ion fluxes or as a rise of membrane conductance. It involves Na+, K+, Cl- and Ca2+ ions. Intracellular Ca2+ acts as "second messenger" in the development of the electrical response. Recent recordings using the "patch-clamp" technique have revealed three types of ion channel activated by secretory agents. These channels are sensitive to internal Ca2+ ions. They are respectively selective to K+, Cl- and positively charged monovalent ions. Two models suggesting possible roles for these channels in the secretion process are presented. However, evaluation of such models is presently restricted by numerous uncertainties on the function of secreting cells in vivo. Information is notably lacking concerning the exact composition of the secreted fluid, and the exchanges between exocrine glands and blood circulation.


Assuntos
Glândulas Exócrinas/metabolismo , Canais Iônicos/fisiologia , Animais , Cálcio/fisiologia , Gatos , Permeabilidade da Membrana Celular , Cloretos/fisiologia , Glândulas Exócrinas/irrigação sanguínea , Camundongos , Modelos Biológicos , Neurotransmissores/fisiologia , Potássio/fisiologia , Ratos , Sódio/fisiologia
13.
Cell Tissue Res ; 196(1): 153-62, 1979 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-421247

RESUMO

Microcorrosion casts of blood vessels in the skin of the spotted salamander, Salamandra salamandra L., were studied using scanning eletron microscopy. The investigated vessels include a subepidermal network of respiratory capillaries and the vessels of poison glands. A hypothesis is proposed, according to which both types of vascular beds possess a common origin. Probable factors involved in the differentiation of the primary netword of the subepidermal vessels in larvae are indicated and speculation concerning the supposed mosaic type of circulation in the capillaries of the subepidermal respiratory bed is presented.


Assuntos
Glândulas Exócrinas/irrigação sanguínea , Pele/irrigação sanguínea , Urodelos/anatomia & histologia , Animais , Artérias/ultraestrutura , Capilares/ultraestrutura , Feminino , Venenos , Veias/ultraestrutura
14.
Endocrinology ; 98(2): 403-12, 1976 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1248454

RESUMO

Labeled microspheres were used to measure blood flow to the leg bones of the laying hen at 0, 3, and 30 min after iv injection of parathyroid hormone (PTH) (Wilson) or the synthetic 1 to 34 fragment of bovine parathyroid hormone (PTH 1-34). At 3 min, which corresponds to the hypocalcemic phase of the PTH response, blood flow to the combined femur, tibia, and metatarus was significantly reduced by PTH (Wilson) relative to 0 time and to carrier-injected controls. At 30 min, i.e., the time of maximum hypercalcemia in the hen, blood flow to these bones was significantly increased relative to 0 time. The results obtained with PTH 1-34 were similar, except that the decrease at 3 min was only significant in comparison with the controls injected with inactivated hormone. Femoral blood flow and the venous minus arterial calcium gradients across the femur were positively correlated, irrespective of sampling time (0 or 30 min) or type of injection (PTH [Wilson] or carrier). Taken together, these results suggest that there is a relationship between calcium mobilization from bone and the rate of osseous blood flow. Other organs which showed significant changes in blood flow after PTH (Wilson) were the adrenals, thyroids, and shell gland; the cerebellum, parathyroids, heart, spleen, liver, pancreas, duodenum, magnum, isthmus, and kidneys were not affected.


Assuntos
Cálcio/sangue , Fêmur/irrigação sanguínea , Metatarso/irrigação sanguínea , Hormônio Paratireóideo/farmacologia , Tíbia/irrigação sanguínea , Glândulas Suprarrenais , Animais , Pressão Sanguínea/efeitos dos fármacos , Cálcio/metabolismo , Débito Cardíaco/efeitos dos fármacos , Galinhas , Glândulas Exócrinas/irrigação sanguínea , Feminino , Fêmur/metabolismo , Frequência Cardíaca/efeitos dos fármacos , Hematócrito , Fosfatos/sangue , Fosfatos/metabolismo , Fluxo Sanguíneo Regional/efeitos dos fármacos
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