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1.
Mol Biochem Parasitol ; 242: 111350, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33422580

RESUMO

Parasitic infections are a widespread health problem and research of novel anthelmintic compounds is of the utmost importance. In this study we performed a virtual screening campaign by coupling ligand-based pharmacophore, homology modeling and molecular docking. The virtual screening campaign was conducted using a joined pool of the Drugbank database and a library of purchasable compounds in order to identify drug like compounds with similar pharmacological activity. Our aim was to identify compounds with a potential antihelmintic modulatory effect on nicotinic acetylcholine receptors (nAChR). We derived a 3D pharmacophore model based on the chemical features of known Ascaris suum nAChR modulators. To evaluate the in silico predictions, we tested selected hit compounds in contraction assays using somatic muscle flaps of the Ascaris suum neuromuscular tissue. We tested the modulatory effects of GSK575594A, diazepam and flumazenil hit compounds on nematode contractions induced by acetyl choline (ACh). The compound GSK575594A (3 µM) increased the Emax by 21 % with the EC50 dose ratio of 0.96. Diazepam (100 µM) decreased the Emax by 15 % (1.11 g to 0.95 g) with the EC50 ratio of 1.42 (shifted to the left from 11.25 to 7.93). Flumazenil decreased the EC50 value (from 11.22 µM to 4.88 µM) value showing dose ratio of 2.30, and increased the Emax by 4 % (from 1.54 g to 1.59 g). The observed biological activity was rationalized by molecular docking calculations. Docking scores were calculated against several binding sites within the Ascaris suum homology model. We constructed the homology model using the ACR-16 subunit sequence. The compound GSK575594A showed strong affinity for the intersubunit allosteric binding site within the nAChR transmembrane domain. The binding modes of diazepam and flumazenil suggest that these compounds have a comparable affinity for orthosteric and allosteric nAChR binding sites. The selected hit compounds displayed potential for further optimization as lead compounds. Therefore, such compounds may be useful in neutralizing the growing resistance of parasites to drugs, either alone or in combination with existing conventional anthelmintics.


Assuntos
Anti-Helmínticos/farmacologia , Diazepam/farmacologia , Flumazenil/farmacologia , Proteínas de Helminto/química , Músculos/efeitos dos fármacos , Piperazinas/farmacologia , Receptores Nicotínicos/química , Acetilcolina/farmacologia , Animais , Anti-Helmínticos/química , Ascaris suum/efeitos dos fármacos , Ascaris suum/metabolismo , Sítios de Ligação , Proteínas de Caenorhabditis elegans/química , Proteínas de Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/metabolismo , Bases de Dados de Compostos Químicos , Diazepam/química , Flumazenil/química , Expressão Gênica , Proteínas de Helminto/agonistas , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Ensaios de Triagem em Larga Escala , Humanos , Ligantes , Simulação de Acoplamento Molecular , Piperazinas/química , Ligação Proteica , Conformação Proteica em alfa-Hélice , Conformação Proteica em Folha beta , Domínios e Motivos de Interação entre Proteínas , Receptores Nicotínicos/genética , Receptores Nicotínicos/metabolismo , Homologia Estrutural de Proteína , Técnicas de Cultura de Tecidos , Interface Usuário-Computador
2.
Sci Rep ; 10(1): 11207, 2020 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-32641726

RESUMO

Prevention therapy against Dirofilaria immitis in companion animals is currently threatened by the emergence of isolates resistant to macrocyclic lactone anthelmintics. Understanding the control over developmental processes in D. immitis is important for elucidating new approaches to heartworm control. The nuclear receptor DAF-12 plays a role in the entry and exit of dauer stage in Caenorhabditis elegans and in the development of free-living infective third-stage larvae (iL3) of some Clade IV and V parasitic nematodes. We identified a DAF-12 ortholog in the clade III nematode D. immitis and found that it exhibited a much higher affinity for dafachronic acids than described with other nematode DAF-12 investigated so far. We also modelled the DimDAF-12 structure and characterized the residues involved with DA binding. Moreover, we showed that cholesterol derivatives impacted the molting process from the iL3 to the fourth-stage larvae. Since D. immitis is unable to synthesize cholesterol and only completes its development upon host infection, we hypothesize that host environment contributes to its further molting inside the host vertebrate. Our discovery contributes to a better understanding of the developmental checkpoints of D. immitis and offers new perspectives for the development of novel therapies against filarial infections.


Assuntos
Colestenos/farmacologia , Dirofilaria immitis/crescimento & desenvolvimento , Dirofilariose/prevenção & controle , Doenças do Cão/prevenção & controle , Proteínas de Helminto/metabolismo , Receptores Citoplasmáticos e Nucleares/metabolismo , Animais , Colestenos/uso terapêutico , Colesterol/metabolismo , Dirofilaria immitis/efeitos dos fármacos , Dirofilaria immitis/metabolismo , Dirofilariose/parasitologia , Doenças do Cão/parasitologia , Cães , Proteínas de Helminto/agonistas , Interações Hospedeiro-Parasita , Larva/efeitos dos fármacos , Larva/metabolismo , Ligantes , Camundongos , Simulação de Acoplamento Molecular , Muda/efeitos dos fármacos , Células NIH 3T3 , Domínios Proteicos , Receptores Citoplasmáticos e Nucleares/agonistas
3.
Bull Exp Biol Med ; 162(6): 773-776, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28429227
4.
J Clin Invest ; 127(4): 1165-1171, 2017 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-28165341

RESUMO

Parasitic worms infect billions of people worldwide. Current treatments rely on a small group of drugs that have been used for decades. A shortcoming of these drugs is their inability to target the intractable infectious stage of the parasite. As well-known therapeutic targets in mammals, nuclear receptors have begun to be studied in parasitic worms, where they are widely distributed and play key roles in governing metabolic and developmental transcriptional networks. One such nuclear receptor is DAF-12, which is required for normal nematode development, including the all-important infectious stage. Here we review the emerging literature that implicates DAF-12 and potentially other nuclear receptors as novel anthelmintic targets.


Assuntos
Antinematódeos/uso terapêutico , Sistemas de Liberação de Medicamentos/métodos , Proteínas de Helminto , Nematoides , Receptores Citoplasmáticos e Nucleares , Animais , Proteínas de Helminto/agonistas , Proteínas de Helminto/antagonistas & inibidores , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Humanos , Nematoides/genética , Nematoides/metabolismo , Infecções por Nematoides/tratamento farmacológico , Infecções por Nematoides/genética , Infecções por Nematoides/metabolismo , Receptores Citoplasmáticos e Nucleares/agonistas , Receptores Citoplasmáticos e Nucleares/antagonistas & inibidores , Receptores Citoplasmáticos e Nucleares/genética , Receptores Citoplasmáticos e Nucleares/metabolismo
5.
PLoS Negl Trop Dis ; 10(9): e0004986, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27611863

RESUMO

Schistosomiasis is a debilitating disease that affects over 240 million people worldwide and is considered the most important neglected tropical disease following malaria. Free-swimming freshwater cercariae, one of the six morphologically distinct schistosome life stages, infect humans by directly penetrating through the skin. Cercariae identify and seek the host by sensing chemicals released from human skin. When they reach the host, they burrow into the skin with the help of proteases and other contents released from their acetabular glands and transform into schistosomula, the subsequent larval worm stage upon skin infection. Relative to host invasion, studies have primarily focused on the nature of the acetabular gland secretions, immune response of the host upon exposure to cercariae, and cercaria-schistosomulum transformation methods. However, the molecular signaling pathways involved from host-seeking through the decision to penetrate skin are not well understood. We recently observed that heat shock factor 1 (Hsf1) is localized to the acetabular glands of infectious schistosome cercariae, prompting us to investigate a potential role for heat shock proteins (HSPs) in cercarial invasion. In this study, we report that cercarial invasion behavior, similar to the behavior of cercariae exposed to human skin lipid, is regulated through an Hsp70-dependent process, which we show by using chemical agents that target Hsp70. The observation that biologically active protein activity modulators can elicit a direct and clear behavioral change in parasitic schistosome larvae is itself interesting and has not been previously observed. This finding suggests a novel role for Hsp70 to act as a switch in the cercaria-schistosomulum transformation, and it allows us to begin elucidating the pathways associated with cercarial host invasion. In addition, because the Hsp70 protein and its structure/function is highly conserved, the model that Hsp70 acts as a behavior transitional switch could be relevant to other parasites that also undergo an invasion process and can apply more broadly to other organisms during morphological transitions. Finally, it points to a new function for HSPs in parasite/host interactions.


Assuntos
Cercárias/patogenicidade , Proteínas de Choque Térmico HSP70/metabolismo , Proteínas de Helminto/metabolismo , Schistosoma mansoni/patogenicidade , Animais , Cercárias/efeitos dos fármacos , Proteínas de Choque Térmico HSP70/agonistas , Proteínas de Choque Térmico HSP70/antagonistas & inibidores , Proteínas de Helminto/agonistas , Proteínas de Helminto/antagonistas & inibidores , Interações Hospedeiro-Parasita , Humanos , Ácido Linoleico/farmacologia , Filogenia , Schistosoma mansoni/efeitos dos fármacos , Caramujos/parasitologia , Sulfonamidas/farmacologia
6.
Toxicol Ind Health ; 32(8): 1373-1380, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25548374

RESUMO

The hsp70 and hsp90 expression patterns and catalase (CAT) activity in the freshwater planaria Dugesia japonica exposed to cadmium (Cd) under laboratory conditions were investigated. Planaria were exposed to a range of Cd concentrations (0-150 µg Cd/L) for 24 h. The expression levels of hsp70 and hsp90 were determined by relative quantitative real-time polymerase chain reaction. Within the overall dose range in the experiment, the expression level of hsp70 and the activity of CAT in D. japonica were altered significantly. Hsp70 was induced in D. japonica upon Cd exposure concentrations as low as 9.375 µg Cd/L. No significant effect on the expression level of hsp90 was observed. Our findings demonstrated that stress gene hsp70, but not hsp90, was responsive to Cd contamination in D. japonica CAT activity was significantly induced at concentrations of 18.75, 37.5, and 75 µg Cd/L after 24-h exposure. We recommend that the use of hsp70 as a biomarker should be complemented by evidence of changes in other parameters, such as CAT activity, in D. japonica.


Assuntos
Cádmio/toxicidade , Catalase/metabolismo , Proteínas de Choque Térmico HSP70/metabolismo , Proteínas de Helminto/metabolismo , Planárias/efeitos dos fármacos , Regulação para Cima/efeitos dos fármacos , Poluentes Químicos da Água/toxicidade , Animais , Biomarcadores/metabolismo , Catalase/química , China , Proteínas de Choque Térmico HSP70/agonistas , Proteínas de Choque Térmico HSP70/genética , Proteínas de Choque Térmico HSP90/genética , Proteínas de Choque Térmico HSP90/metabolismo , Proteínas de Helminto/agonistas , Proteínas de Helminto/genética , Concentração Osmolar , Estresse Oxidativo/efeitos dos fármacos , Planárias/enzimologia , Planárias/isolamento & purificação , Planárias/metabolismo , RNA de Helmintos/metabolismo , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Reação em Cadeia da Polimerase Via Transcriptase Reversa
7.
Toxicol Ind Health ; 32(9): 1675-83, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25812565

RESUMO

The activities of antioxidant enzymes and the levels of glutathione (GSH) and malondialdehyde (MDA) were determined when freshwater planarian Dugesia japonica was exposed to different concentrations of 1-octyl-3-methylimidazolium bromide ([C8mim]Br) for one, three, and five days. The results showed that superoxide dismutase (SOD) activity began to increase in all treated groups after three days of exposure, while catalase (CAT) activity was inhibited after the first day, but increased notably on the fifth day except for the lowest concentration group. The activity of glutathione peroxidase (GPX) was induced from the first day of exposure and increased significantly after five days in all treated groups. During the experiment, the levels of intracellular GSH in all treated groups were higher than that of the control group. Changes in MDA suggest that [C8mim]Br is toxic to D japonica and may result in lipid peroxidation in planarian. Our results also indicate that GPX as well as GSH seem to be more sensitive biomarkers of oxidative stress compared with SOD and CAT.


Assuntos
Brometos/toxicidade , Imidazóis/toxicidade , Líquidos Iônicos/toxicidade , Estresse Oxidativo/efeitos dos fármacos , Planárias/efeitos dos fármacos , Poluentes Químicos da Água/toxicidade , Animais , Biomarcadores/metabolismo , Catalase/antagonistas & inibidores , Catalase/metabolismo , China , Glutationa/metabolismo , Glutationa Peroxidase/química , Glutationa Peroxidase/metabolismo , Proteínas de Helminto/agonistas , Proteínas de Helminto/metabolismo , Peroxidação de Lipídeos/efeitos dos fármacos , Malondialdeído/metabolismo , Concentração Osmolar , Planárias/isolamento & purificação , Planárias/metabolismo , Rios , Superóxido Dismutase/química , Superóxido Dismutase/metabolismo , Fatores de Tempo
8.
PLoS Pathog ; 11(4): e1004794, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25928899

RESUMO

Monoamines, such as 5-HT and tyramine (TA), paralyze both free-living and parasitic nematodes when applied exogenously and serotonergic agonists have been used to clear Haemonchus contortus infections in vivo. Since nematode cell lines are not available and animal screening options are limited, we have developed a screening platform to identify monoamine receptor agonists. Key receptors were expressed heterologously in chimeric, genetically-engineered Caenorhabditis elegans, at sites likely to yield robust phenotypes upon agonist stimulation. This approach potentially preserves the unique pharmacologies of the receptors, while including nematode-specific accessory proteins and the nematode cuticle. Importantly, the sensitivity of monoamine-dependent paralysis could be increased dramatically by hypotonic incubation or the use of bus mutants with increased cuticular permeabilities. We have demonstrated that the monoamine-dependent inhibition of key interneurons, cholinergic motor neurons or body wall muscle inhibited locomotion and caused paralysis. Specifically, 5-HT paralyzed C. elegans 5-HT receptor null animals expressing either nematode, insect or human orthologues of a key Gαo-coupled 5-HT1-like receptor in the cholinergic motor neurons. Importantly, 8-OH-DPAT and PAPP, 5-HT receptor agonists, differentially paralyzed the transgenic animals, with 8-OH-DPAT paralyzing mutant animals expressing the human receptor at concentrations well below those affecting its C. elegans or insect orthologues. Similarly, 5-HT and TA paralyzed C. elegans 5-HT or TA receptor null animals, respectively, expressing either C. elegans or H. contortus 5-HT or TA-gated Cl- channels in either C. elegans cholinergic motor neurons or body wall muscles. Together, these data suggest that this heterologous, ectopic expression screening approach will be useful for the identification of agonists for key monoamine receptors from parasites and could have broad application for the identification of ligands for a host of potential anthelmintic targets.


Assuntos
Animais Geneticamente Modificados/metabolismo , Anti-Helmínticos/farmacologia , Comportamento Animal/efeitos dos fármacos , Caenorhabditis elegans/efeitos dos fármacos , Agonistas dos Canais de Cloreto/farmacologia , Descoberta de Drogas/métodos , Agonistas do Receptor 5-HT1 de Serotonina/farmacologia , Animais , Animais Geneticamente Modificados/genética , Caenorhabditis elegans/genética , Caenorhabditis elegans/metabolismo , Proteínas de Caenorhabditis elegans/agonistas , Proteínas de Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/metabolismo , Proteínas de Drosophila/agonistas , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster , Subunidades alfa de Proteínas de Ligação ao GTP/química , Subunidades alfa de Proteínas de Ligação ao GTP/genética , Subunidades alfa de Proteínas de Ligação ao GTP/metabolismo , Haemonchus , Proteínas de Helminto/agonistas , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Humanos , Soluções Hipotônicas/toxicidade , Interneurônios/efeitos dos fármacos , Interneurônios/metabolismo , Atividade Motora/efeitos dos fármacos , Proteínas do Tecido Nervoso/agonistas , Proteínas do Tecido Nervoso/genética , Proteínas do Tecido Nervoso/metabolismo , Receptores de Amina Biogênica/agonistas , Receptores de Amina Biogênica/genética , Receptores de Amina Biogênica/metabolismo , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo
9.
PLoS Negl Trop Dis ; 7(4): e2164, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23593527

RESUMO

BACKGROUND: Toll-like receptor (TLR) ligands have been explored as vaccine adjuvants for tumor and virus immunotherapy, but few TLR ligands affecting schistosoma vaccines have been characterized. Previously, we developed a partially protective DNA vaccine encoding the 26-kDa glutathione S-transferase of Schistosoma japonicum (pVAX1-Sj26GST). METHODOLOGY/PRINCIPAL FINDINGS: In this study, we evaluated a TLR7/8 ligand (R848) and a TLR9 ligand (CpG oligodeoxynucleotides, or CpG) as adjuvants for pVAX1-Sj26GST and assessed their effects on the immune system and protection against S. japonicum. We show that combining CpG and R848 with pVAX1-Sj26GST immunization significantly increases splenocyte proliferation and IgG and IgG2a levels, decreases CD4(+)CD25(+)Foxp3(+) regulatory T cells (Treg) frequency in vivo, and enhances protection against S. japonicum. CpG and R848 inhibited Treg-mediated immunosuppression, upregulated the production of interferon (IFN)-γ, tumor necrosis factor (TNF)-α, interleukin (IL)-4, IL-10, IL-2, and IL-6, and decreased Foxp3 expression in vitro, which may contribute to prevent Treg suppression and conversion during vaccination and allow expansion of antigen-specific T cells against pathogens. CONCLUSIONS: Our data shows that selective TLR ligands can increase the protective efficacy of DNA vaccines against schistosomiasis, potentially through combined antagonism of Treg-mediated immunosuppression and conversion.


Assuntos
Imidazóis/uso terapêutico , Oligodesoxirribonucleotídeos/uso terapêutico , Vacinas Protozoárias/uso terapêutico , Schistosoma japonicum/imunologia , Schistosoma japonicum/metabolismo , Esquistossomose/tratamento farmacológico , Esquistossomose/terapia , Receptor 7 Toll-Like/metabolismo , Receptor 8 Toll-Like/metabolismo , Vacinas de DNA/uso terapêutico , Animais , Feminino , Glutationa Transferase/metabolismo , Proteínas de Helminto/agonistas , Proteínas de Helminto/genética , Camundongos , Schistosoma japonicum/patogenicidade , Baço/citologia , Receptor 7 Toll-Like/agonistas , Receptor 8 Toll-Like/agonistas , Receptor Toll-Like 9/agonistas , Receptor Toll-Like 9/metabolismo
10.
Mol Biochem Parasitol ; 183(1): 1-7, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22343182

RESUMO

This review is designed to summarize the information on monoamine-dependent paralysis as a target for anthelmintic development, examine the conservation of monoamine receptors in the genomes of both free-living and parasitic nematodes, and highlight the utility of the Caenorhabditis elegans model system for dissecting the monoaminergic modulation of locomotory decision-making.


Assuntos
Aminas/farmacologia , Antinematódeos/farmacologia , Descoberta de Drogas , Nematoides/efeitos dos fármacos , Nematoides/metabolismo , Receptores de Superfície Celular/metabolismo , Animais , Antinematódeos/uso terapêutico , Proteínas de Helminto/agonistas , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Humanos , Nematoides/genética , Infecções por Nematoides/tratamento farmacológico , Filogeografia , Receptores de Superfície Celular/agonistas , Receptores de Superfície Celular/genética , Transdução de Sinais
11.
Life Sci ; 80(18): 1650-5, 2007 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-17363006

RESUMO

The effects of the opiates morphine and morphine-6-glucuronide (M6G), the mu opioid receptor specific antagonist D-Phe-Cys-Tyr-D-Trp-Om-Thr-Pen-Thr-NH(2) (CTOP), and the general opiate antagonist naloxone on the latency of response to thermal stimulation were determined in the parasitic nematode Ascaris suum. Thermal detection and avoidance behaviors of the worms were evaluated with a tail flick analgesia meter using a modification of a technique employed for nociception experiments in rodents. Morphine and M6G were shown to have a dose dependent analgesic effect on A. suum's latency of response to heat with morphine being the most potent. The analgesic effect of morphine was reversed by naloxone but not CTOP. Neither naloxone nor CTOP was able to block the analgesia of M6G. CTOP but not naloxone had significant analgesic effects on its own. These findings are generally consistent with previous results on the effects of opiates and nitric oxide release from A. suum tissue. Apparently these nematodes possess opioid receptors that effect nociception.


Assuntos
Analgésicos Opioides/farmacologia , Ascaris suum/metabolismo , Proteínas de Helminto/agonistas , Antagonistas de Entorpecentes/farmacologia , Receptores Opioides mu/agonistas , Animais , Relação Dose-Resposta a Droga , Temperatura Alta , Medição da Dor , Roedores
12.
Thromb Haemost ; 83(4): 571-6, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10780319

RESUMO

The protease activity is mandatory for intracellular activities induced by coagulation factor VIIa (FVIIa), and in this way it resembles signal transduction induced by thrombin and trypsin caused by specific, proteolytic cleavage of protease activated receptors (PARs). The mechanism for FVIIa-induced signal transduction is, however, not known although a mechanism involving PAR cleavage has been deduced from studies of cytosolic Ca2+ release and p44/p42 mitogen activated protein kinase (MAPK) activation. In the present work we have examined the possibilities that i) FVIIa-induced signal transduction involves the activation of one of the four known PARs, or ii) exposure of cells to FVIIa releases a soluble ligand that is responsible for MAPK activation. For this purpose, we evaluated the effects of FVIIa, thrombin, FXa, trypsin and PAR agonist peptides on the Ca2+ release and MAPK activation in tissue factor-(TF) transfected baby hamster kidney (BHK[+TF]) cells and Madin-Darby canine kidney (MDCK) cells. FVIIa induced a significant MAPK signal in BHK(+TF) cells and in MDCK-I and -II cells whereas no MAPK activation was observed with thrombin, FXa or PAR agonist peptides. Thrombin, trypsin, PAR-1 and PAR-2 agonist peptides induced a prominent Ca2+ response in both cell types. In contrast the cells did not respond with a detectable Ca2+ signal when treated with FVIIa. These results suggest that the intracellular activity induced by FVIIa is distinctly different from that induced by trypsin, thrombin and FXa not involving any of the known PARs. Conditioned medium from BHK(+TF) cells treated with FVIIa failed to induce a MAPK response in untreated BHK(+TF) cells when FVIIa was removed by immunoadsorption from the medium prior to its transfer to the untreated BHK(+TF) cells. Although it is not possible entirely to exclude a transient response close to the cell surface, the data suggest that the intracellular response was not induced by an autocrine release of a soluble mediator to the medium.


Assuntos
Proteínas de Caenorhabditis elegans , Sinalização do Cálcio/fisiologia , Proteínas de Transporte/fisiologia , Fator VIIa/fisiologia , Proteínas de Helminto/fisiologia , Peptídeos e Proteínas de Sinalização Intracelular , Sistema de Sinalização das MAP Quinases/fisiologia , Proteínas Serina-Treonina Quinases/fisiologia , Tromboplastina/fisiologia , Animais , Proteínas Reguladoras de Apoptose , Proteínas de Transporte/agonistas , Linhagem Celular , Cricetinae , Meios de Cultivo Condicionados/farmacologia , Cães , Indução Enzimática/efeitos dos fármacos , Fator VIIa/farmacologia , Fator Xa/farmacologia , Proteínas de Helminto/agonistas , Rim , Mesocricetus , Fragmentos de Peptídeos/farmacologia , Proteínas Recombinantes de Fusão/farmacologia , Proteínas Recombinantes de Fusão/fisiologia , Serina Endopeptidases/fisiologia , Trombina/farmacologia , Tromboplastina/genética , Transfecção
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