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1.
Part Fibre Toxicol ; 20(1): 2, 2023 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-36624477

RESUMO

BACKGROUND: Polypropylene (PP) is used in various products such as disposable containers, spoons, and automobile parts. The disposable masks used for COVID-19 prevention mainly comprise PP, and the disposal of such masks is concerning because of the potential environmental pollution. Recent reports have suggested that weathered PP microparticles can be inhaled, however, the inhalation toxicology of PP microparticles is poorly understood. RESULTS: Inflammatory cell numbers, reactive oxygen species (ROS) production, and the levels of inflammatory cytokines and chemokines in PP-instilled mice (2.5 or 5 mg/kg) increased significantly compared to with those in the control. Histopathological analysis of the lung tissue of PP-stimulated mice revealed lung injuries, including the infiltration of inflammatory cells into the perivascular/parenchymal space, alveolar epithelial hyperplasia, and foamy macrophage aggregates. The in vitro study indicated that PP stimulation causes mitochondrial dysfunction including mitochondrial depolarization and decreased adenosine triphosphate (ATP) levels. PP stimulation led to cytotoxicity, ROS production, increase of inflammatory cytokines, and cell deaths in A549 cells. The results showed that PP stimulation increased the p-p38 and p-NF-κB protein levels both in vivo and in vitro, while p-ERK and p-JNK remained unchanged. Interestingly, the cytotoxicity that was induced by PP exposure was regulated by p38 and ROS inhibition in A549 cells. CONCLUSIONS: These results suggest that PP stimulation may contribute to inflammation pathogenesis via the p38 phosphorylation-mediated NF-κB pathway as a result of mitochondrial damage.


Assuntos
Microplásticos , Pneumonia , Polipropilenos , Animais , Camundongos , Citocinas/metabolismo , Inflamação/induzido quimicamente , Inflamação/metabolismo , Microplásticos/toxicidade , NF-kappa B/metabolismo , Pneumonia/induzido quimicamente , Polipropilenos/toxicidade , Espécies Reativas de Oxigênio/metabolismo
2.
Proc Natl Acad Sci U S A ; 114(31): 8372-8377, 2017 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-28716936

RESUMO

There is often overlap in the diagnostic features of common pathologic processes such as infection, sterile inflammation, and cancer both clinically and using conventional imaging techniques. Here, we report the development of a positron emission tomography probe for live bacterial infection based on the small-molecule antibiotic trimethoprim (TMP). [18F]fluoropropyl-trimethoprim, or [18F]FPTMP, shows a greater than 100-fold increased uptake in vitro in live bacteria (Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa) relative to controls. In a rodent myositis model, [18F]FPTMP identified live bacterial infection without demonstrating confounding increased signal in the same animal from other etiologies including chemical inflammation (turpentine) and cancer (breast carcinoma). Additionally, the biodistribution of [18F]FPTMP in a nonhuman primate shows low background in many important tissues that may be sites of infection such as the lungs and soft tissues. These results suggest that [18F]FPTMP could be a broadly useful agent for the sensitive and specific imaging of bacterial infection with strong translational potential.


Assuntos
Antibacterianos/farmacologia , Infecções por Escherichia coli/diagnóstico , Escherichia coli/metabolismo , Tomografia por Emissão de Pósitrons/métodos , Infecções por Pseudomonas/diagnóstico , Pseudomonas aeruginosa/metabolismo , Infecções Estafilocócicas/diagnóstico , Staphylococcus aureus/metabolismo , Trimetoprima/farmacologia , Animais , Linhagem Celular , Modelos Animais de Doenças , Infecções por Escherichia coli/microbiologia , Radioisótopos de Flúor/química , Células HCT116 , Humanos , Macaca mulatta , Camundongos , Camundongos Endogâmicos BALB C , Testes de Sensibilidade Microbiana , Infecções por Pseudomonas/microbiologia , Compostos Radiofarmacêuticos/farmacologia , Infecções Estafilocócicas/microbiologia , Trimetoprima/química
3.
Mol Ther ; 25(1): 120-126, 2017 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-28129108

RESUMO

There is a need for improved methods to image genetically engineered cells, including immune cells used for cell-based therapy. Given the genetic manipulation inherent to gene therapy, the use of a reporter protein is a logical solution and positron emission tomography (PET) can provide the desired sensitivity and spatial localization. We developed a broadly applicable PET imaging strategy based on the small bacterial protein E. coli dihydrofolate reductase (Ec dhfr) and its highly specific small molecule inhibitor, trimethoprim (TMP). The difference in TMP affinity for bacterial compared to mammalian DHFR suggests that a TMP radioligand would have a low background in unmodified mammalian tissues and high retention in Ec dhfr engineered cells, providing high contrast imaging. Here, we describe the in vitro properties of [11C]TMP and show over 10-fold increased signal in transgenic Ec dhfr cells compared to control. In a mouse xenograft model, [11C]TMP rapidly accumulated in Ec dhfr carrying cells within minutes of intravenous administration. Moreover, [11C]TMP can identify less than a million xenografted cells in a small volume in tissues other than the abdominal compartment. This limit of detection is a clinically relevant number and bodes well for clinical translation especially given that [11C]TMP is an isotopologue of clinically approved antibiotic.


Assuntos
Radioisótopos de Carbono , Genes Reporter , Imagem Molecular , Tomografia por Emissão de Pósitrons/métodos , Trimetoprima , Animais , Linhagem Celular , Camundongos , Sensibilidade e Especificidade , Microtomografia por Raio-X
4.
Bioorg Med Chem Lett ; 21(19): 5765-9, 2011 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-21885280

RESUMO

Alzheimer's disease is characterized by the accumulation of ß-amyloid (Aß) plaques and neurofibrillary tangles (NFTs) in the brain. We previously developed [(18)F]fluoropropylcurcumin ([(18)F]FP-curcumin), which demonstrated excellent binding affinity (K(i)=0.07 nM) for Aß(1-40) aggregates and good pharmacokinetics in normal mouse brains. However, its initial brain uptake was poor (0.52% ID/g at 2 min post-injection). Therefore, in the present study, fluorine-substituted 4,4'-bissubstituted or pegylated curcumin derivatives were synthesized and evaluated. Their binding affinities for Aß(1-42) aggregates were measured and 1-(4-fluoroethyl)-7-(4'-methyl)curcumin (1) had the highest binding affinity (K(i)=2.12 nM). Fluorescence staining of Tg APP/PS-1 mouse brain sections demonstrated high and specific labeling of Aß plaques by 1 in the cortex region, which was confirmed with thioflavin-S staining of the same spots in the adjacent brain sections. Radioligand [(18)F]1 was found to have an appropriate partition coefficient (logP(o/w)=2.40), and its tissue distribution in normal mice demonstrated improved brain permeability (1.44% ID/g at 2 min post-injection) compared to that of [(18)F]FP-curcumin by a factor of 2.8 and fast wash-out from mouse brains (0.45% ID/g at 30 min post-injection). These results suggest that [(18)F]1 may hold promise as a PET radioligand for Aß plaque imaging.


Assuntos
Doença de Alzheimer/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Curcumina/análogos & derivados , Radioisótopos de Flúor , Placa Amiloide/metabolismo , Compostos Radiofarmacêuticos , Doença de Alzheimer/metabolismo , Peptídeos beta-Amiloides/química , Peptídeos beta-Amiloides/metabolismo , Animais , Barreira Hematoencefálica/metabolismo , Encéfalo/metabolismo , Curcumina/química , Curcumina/metabolismo , Curcumina/farmacocinética , Avaliação Pré-Clínica de Medicamentos , Radioisótopos de Flúor/metabolismo , Radioisótopos de Flúor/farmacocinética , Humanos , Camundongos , Camundongos Transgênicos , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/metabolismo , Permeabilidade , Placa Amiloide/diagnóstico por imagem , Cintilografia , Compostos Radiofarmacêuticos/síntese química , Compostos Radiofarmacêuticos/química , Compostos Radiofarmacêuticos/farmacocinética , Sensibilidade e Especificidade , Distribuição Tecidual
5.
J Med Chem ; 51(12): 3630-4, 2008 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-18503263

RESUMO

We synthesized 16-cyclopentadienyl tricarbonyl 99mTc 16-oxo-hexadecanoic acid (99mTc-CpTT-16-oxo-HDA, 1) and investigated its potential as a radiotracer for evaluating fatty acid metabolism in myocardium. Radiotracer 1 was synthesized in 22.6 +/- 6.3% decay-corrected yield by a double ligand transfer reaction between the ferrocene adduct of methyl hexadecanoate ( 2) and Na99mTcO 4 in the presence of Cr(CO)6 and CrCl3, followed by hydrolysis of the methyl ester group. Radiotracer 1 was found to be chemically stable (99% at 6 h) when incubated in human serum. A tissue distribution study in mice showed that high radioactivity accumulated in heart (9.03%ID/g at 1 min and 5.41%ID/g at 5 min postinjection) with rapid clearance and that heart to blood uptake ratios increased with time (2.13 at 5 min and 3.76 at 30 min postinjection). Metabolite analysis of the heart tissues using a simple extraction method showed that 99mTc-CpTT-4-oxo-butyric acid was detected as the major radioactive metabolite by HPLC, suggesting that 1 is metabolized to 99mTc-CpTT-4-oxo-butyric acid via beta-oxidation in myocardium.


Assuntos
Ácidos Graxos/metabolismo , Miocárdio/metabolismo , Compostos de Organotecnécio/síntese química , Compostos Radiofarmacêuticos/síntese química , Animais , Coração/diagnóstico por imagem , Humanos , Técnicas In Vitro , Masculino , Camundongos , Camundongos Endogâmicos ICR , Compostos de Organotecnécio/química , Compostos de Organotecnécio/farmacocinética , Cintilografia , Compostos Radiofarmacêuticos/química , Compostos Radiofarmacêuticos/farmacocinética , Distribuição Tecidual
6.
ACS Omega ; 3(4): 4486-4493, 2018 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-30221226

RESUMO

A series of chalcone and heterocyclic isosteres, in which the enone moiety was replaced with an isoxazole and pyrazole ring system, was synthesized and their affinities for alpha synuclein (Asyn), amyloid beta (Aß), and tau fibrils were measured in vitro. The compounds were found to have a modest affinity and selectivity for Asyn versus Aß fibrils and low affinity for tau fibrils. Insertion of a double bond to increase the extendable surface area resulted in an increase in affinity and improvement in selectivity for Asyn versus Aß and tau fibrils. The results of this study indicate that compound 11 is a secondary lead compound for structure-activity relationship studies aimed at identifying a suitable compound for positron emission tomography-imaging studies of insoluble Asyn aggregates in Parkinson's disease.

7.
ACS Chem Neurosci ; 9(11): 2521-2527, 2018 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-29750499

RESUMO

The fibrillary aggregation of the protein alpha synuclein (Asyn) is a hallmark of Parkinson's disease, and the identification of small molecule binding sites on fibrils is essential to the development of diagnostic imaging probes. A series of molecular modeling, photoaffinity labeling, mass spectrometry, and radioligand binding studies were conducted on Asyn fibrils. The results of these studies revealed the presence of three different binding sites within fibrillar Asyn capable of binding small molecules with moderate to high affinity. A knowledge of the amino acid residues in these binding sites will be important in the design of high affinity probes capable of imaging fibrillary species of Asyn.


Assuntos
Encéfalo/metabolismo , Doença de Parkinson/metabolismo , Agregados Proteicos , alfa-Sinucleína/química , Sítios de Ligação , Encéfalo/diagnóstico por imagem , Humanos , Espectrometria de Massas , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Doença de Parkinson/diagnóstico por imagem , Marcadores de Fotoafinidade , Tomografia por Emissão de Pósitrons , Conformação Proteica em Folha beta , Ensaio Radioligante , alfa-Sinucleína/metabolismo
8.
Nucl Med Biol ; 34(6): 625-31, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17707802

RESUMO

2-Methoxyestradiol (1) is an endogenous metabolite of estradiol that has been shown to inhibit cell proliferation and angiogenesis. In this study, 2-[methyl-(11)C]methoxyestradiol ([(11)C]1) was synthesized and evaluated for in vivo studies on angiogenesis. Radiotracer [(11)C]1 was synthesized at a decay-corrected radiochemical yield of 25-34% from [(11)C]CH(3)I with a specific activity of 34-38 GBq/micromol. In vitro human umbilical vein endothelial cell uptake studies demonstrated that [(11)C]1 uptake increased time-dependently and that this uptake was inhibited by 70% in the presence of Compound 1, indicating its specific binding to cells. Tissue distribution in mice implanted with Lewis lung carcinoma cells showed high radioactivity accumulation in the liver, lungs and kidneys, and a tumor-to-muscle uptake ratio of 2.36. Pharmacokinetic analysis in mice intravenously injected with [(11)C]1 demonstrated a t(1/2)alpha of 0.36 min, a t(1/2)beta of 19 min, a clearance of 0.36 ml/min and a volume of distribution of 52.9 ml. In addition, Compound 1 showed linear pharmacokinetics at dose levels between 0.14 and 8.5 microg in mice. Taken together, [(11)C]1 may be useful for in vivo studies on angiogenesis.


Assuntos
Estradiol/análogos & derivados , Neovascularização Patológica/diagnóstico por imagem , Compostos Radiofarmacêuticos , 2-Metoxiestradiol , Animais , Área Sob a Curva , Biotransformação , Radioisótopos de Carbono , Carcinoma Pulmonar de Lewis/metabolismo , Células Cultivadas , Cromatografia Líquida de Alta Pressão , Estradiol/síntese química , Estradiol/farmacocinética , Meia-Vida , Humanos , Indicadores e Reagentes , Camundongos , Músculo Liso Vascular/citologia , Músculo Liso Vascular/metabolismo , Transplante de Neoplasias , Cintilografia , Compostos Radiofarmacêuticos/síntese química , Compostos Radiofarmacêuticos/farmacocinética , Distribuição Tecidual
9.
Nucl Med Commun ; 28(7): 561-6, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17538398

RESUMO

OBJECTIVES: Alzheimer's disease (AD) is characterized by reduced acetylcholinesterase (AChE) activity in the post-mortem tissues of AD patients. Therefore, AChE has been an attractive target for the diagnosis of AD. In the present study, 5,7-dihydro-3-[2-(1-(phenylmethyl)-4-piperidinyl)ethyl]-6H-pyrrolo[3,2-f]-1,2-benzisoxazol-6-one (CP-118,954), a potent AChE inhibitor, was labelled with radioiodine and evaluated as an AChE imaging agent for SPECT. METHODS: Radioiodine-labelled CP-118,954 was prepared from CP-144,885 and [(125)I]iodobenzyl bromide, and anti-AChE activities of iodine-substituted CP-118,954 were measured. Metabolism studies were carried out in samples of blood and whole brain of mice injected with 2-[(123)I]iodo-CP-118,954 ((123)I-1). Tissue distribution studies were also performed in mice injected with I-1, and samples of blood, thyroid, stomach, and brain tissue (cerebellum, striatum and cortex) were removed, weighed and counted. RESULTS: Of the ligands, 2-iodo-CP-118,954 exhibited higher binding affinity for AChE (IC50=24 nM) than the other positional isomers. 2-[(125)I]Iodo-CP-118,954 was found to have a lipophilicity (log P=2.1) favouring brain permeability and metabolic stability in mouse brain, but a marginal target (striatum) to non-target (cerebellum) uptake ratio (1.1) in mouse brain. CONCLUSION: This result demonstrates that 2-[(125)I]iodo-CP-118,954 may be unsuitable for AChE imaging. These findings suggest that radioligands suitable for AChE imaging should have not only a specific structure but also a sub-nanomolar to low nanomolar IC50.


Assuntos
Acetilcolinesterase/metabolismo , Encéfalo/diagnóstico por imagem , Encéfalo/enzimologia , Radioisótopos do Iodo/farmacocinética , Isoxazóis/farmacocinética , Piperidinas/farmacocinética , Animais , Inibidores da Colinesterase/síntese química , Inibidores da Colinesterase/farmacocinética , Avaliação Pré-Clínica de Medicamentos , Radioisótopos do Iodo/química , Marcação por Isótopo , Isoxazóis/química , Masculino , Taxa de Depuração Metabólica , Camundongos , Camundongos Endogâmicos ICR , Piperidinas/química , Cintilografia , Compostos Radiofarmacêuticos/síntese química , Compostos Radiofarmacêuticos/farmacocinética , Distribuição Tecidual
10.
Korean J Anesthesiol ; 69(6): 627-631, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27924206

RESUMO

Dexmedetomidine is a highly selective α2-adrenoceptor agonist that demonstrates anxiolytic and analgesic properties without inducing respiratory compromise, which makes it a suitable agent for procedural sedation and imaging studies. In our current case reports, intravenous dexmedetomidine infusion was used to provide sedation to 2 pediatric patients over more than 20 sessions of radiation therapy. On both occasions, dexmedetomidine provided adequate sedation without respiratory depression. However, the required dosage increased with repeated radiation therapy sessions.

11.
Nucl Med Biol ; 43(11): 721-731, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27589334

RESUMO

INTRODUCTION: Nine novel analogues were synthesized including a 6-carbon spacer analogue of ISO-1 (7). They have moderate binding affinity for sigma-2 (σ2) receptors and high selectivity for σ2 receptors relative to sigma-1 (σ1) receptors. METHODS: ([18F]7) was synthesized and evaluated as a candidate ligand for positron emission (PET) imaging of the σ2 receptor in tumors. Radioligand [18F]7 was radiolabeled with 18F via displacement of the corresponding mesylate precursor with [18F]fluoride. Cellular uptake study of [18F]7 was performed in EMT-6 tumor cell, and in vivo biodistribution study of [18F]7 and microPET imaging study of [18F]3 and [18F]7 carried out in female Balb/c mice bearing EMT-6 tumors. RESULTS: [18F]7 had a respectable tumor uptake (1.55%ID/g at 60min post-injection) and high tumor/muscle ratios at 60 and 120min post-injection. MicroPET imaging of [18F]7 in tumor-bearing mice as above showed significant tumor localization and a high tumor/muscle ratio as well. CONCLUSIONS: These results are similar to or better than [18F]ISO-1 ([18F]3), which indicates that [18F]7 has potential for imaging the σ2 receptor status of solid tumors.


Assuntos
Benzamidas/química , Carbono/química , Neoplasias Mamárias Experimentais/diagnóstico por imagem , Tomografia por Emissão de Pósitrons/métodos , Receptores sigma/metabolismo , Tetra-Hidroisoquinolinas/química , Animais , Benzamidas/metabolismo , Benzamidas/farmacocinética , Transporte Biológico , Linhagem Celular Tumoral , Feminino , Camundongos , Conformação Molecular , Radioquímica , Distribuição Tecidual
12.
J Med Chem ; 55(2): 883-92, 2012 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-22236086

RESUMO

In the present study, a styryltriazole and four resveratrol derivatives were synthesized as candidates for ß-amyloid (Aß) plaque imaging. On the basis of their binding affinities to Aß(1-42) aggregates, the styryltriazole (1, K(i) = 12.8 nM) and one resveratrol derivative (5, K(i) = 0.49 nM) were labeled with (18)F. In normal mice, tissue distribution of [(18)F]5 showed good initial brain uptake (3.26% ID/g at 2 min) but slow wash-out from brains (2-to-60 min uptake ratio: 2.9). Furthermore, it underwent in vivo metabolic defluorination (1.88% ID/g at 2 min and 9.73% ID/g at 60 min). In contrast, [(18)F]1 displayed high initial brain uptake (5.38% ID/g at 2 min) with rapid wash-out from brains (0.52% ID/g at 60 min; 2-to-60 min uptake ratio: 10.3). These results indicate that [(18)F]1 has in vivo kinetics comparable to PET radiopharmaceuticals currently under commercial development, demonstrating that [(18)F]1 is a desirable PET radioligand for Aß plaque imaging.


Assuntos
Peptídeos beta-Amiloides/metabolismo , Compostos de Anilina/síntese química , Encéfalo/metabolismo , Placa Amiloide/metabolismo , Compostos Radiofarmacêuticos/síntese química , Estilbenos/síntese química , Estirenos/síntese química , Triazóis/síntese química , Compostos de Anilina/química , Compostos de Anilina/farmacocinética , Animais , Encéfalo/diagnóstico por imagem , Radioisótopos de Flúor , Masculino , Camundongos , Camundongos Endogâmicos ICR , Fragmentos de Peptídeos/metabolismo , Ensaio Radioligante , Cintilografia , Compostos Radiofarmacêuticos/química , Compostos Radiofarmacêuticos/farmacocinética , Resveratrol , Estereoisomerismo , Estilbenos/química , Estilbenos/farmacocinética , Relação Estrutura-Atividade , Estirenos/química , Estirenos/farmacocinética , Distribuição Tecidual , Triazóis/química , Triazóis/farmacocinética , Triazóis/farmacologia
13.
Nucl Med Biol ; 39(6): 840-6, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22406249

RESUMO

KR-31831 ((2R,3R,4S)-6-amino-4-[N-(4-chloropheyl)-N-(1H-imidazol-2ylmethyl)amino]-3-hydroxyl-2-methyl-2-dimethoxymethyl-3,4-dihydro-2H-1-benzopyran), an angiogenesis inhibitor, was evaluated in tumor-bearing mice using molecular imaging technology. Pre-treatment microPET images were acquired on SKOV-3 cell-implanted nude mice after injection with (64)Cu-DOTA-VEGF(121). KR-31831 (50 mg/kg) was then injected intraperitoneally into the treatment group (n=3), while injection vehicle was injected into the control (n=4) and blocking (n=3) groups. After injections occurred daily for 28 days, all groups of mice underwent post-treatment microPET imaging after injection with (64)Cu-DOTA-VEGF(121). The post-treatment images showed high tumor uptake in the control group and reduced tumor uptake in both the blocking and treatment groups. ROI analysis of the tumor images revealed 6.25%±1.18% ID/g at 1 h, 6.55%±0.69% ID/g at 2 h, and 4.68%±0.63% ID/g at 16 h in the control group; 3.87%±0.45% ID/g at 1 h, 4.50%±0.44% ID/g at 2 h, and 3.63%±0.25% ID/g at 16 h in the blocking group; and 4.03%±0.74% ID/g at 1 h, 4.37%±0.67% ID/g at 2 h, and 3.83%±0.90% ID/g at 16 h in the treatment group. Biodistribution obtained after the post-treatment microPET imaging also demonstrated high tumor uptake (3.74%±0.27% ID/g) in the control group and reduced uptakes in both the blocking group (2.69%±0.73% ID/g, P<.05) and the treatment group (3.11%±0.25% ID/g, P<.05), which correlated well with microPET imaging data. Immunofluorescence analysis showed higher levels of VEGFR2 and CD31 expressions in tumor tissues of the control and blocking groups than in tumor tissues of the treatment group. These results suggest that the antiangiogenic activity of KR-31831 is mediated through VEGFR2 and microPET serves as a useful molecular imaging tool for evaluation of a newly developed angiogenesis inhibitor, KR-31831.


Assuntos
Inibidores da Angiogênese/farmacologia , Benzopiranos/farmacologia , Imidazóis/farmacologia , Compostos Organometálicos , Neoplasias Ovarianas/diagnóstico por imagem , Neoplasias Ovarianas/patologia , Tomografia por Emissão de Pósitrons , Fator A de Crescimento do Endotélio Vascular , Ensaios Antitumorais Modelo de Xenoenxerto , Inibidores da Angiogênese/farmacocinética , Animais , Benzopiranos/farmacocinética , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Feminino , Humanos , Imidazóis/farmacocinética , Camundongos , Neoplasias Ovarianas/irrigação sanguínea , Neoplasias Ovarianas/metabolismo
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