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1.
Acta cir. bras ; 33(4): 362-374, Apr. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-886283

RESUMO

Abstract Purpose: To investigate the prophylactic and therapeutical effects of sildenafil in a model of acute radiation proctitis (ARP). Methods: All experimental procedures of this study was examined by histopathological, immunohistochemical and transmission electron microscopic analysis. Results: Our histopathological evaluations indicated significant increases in lesion severity, cryptic apsis, cryptitis, cryptic distortion, reactive atypia and infiltration depth of the control (proctitis) group. While the prophylaxis group and the treatment group had significantly lower scores. High-dose group showed similar results as prophylaxis group. Histopathological findings of the prophylaxis group was more significant than the treatment group. Immunoreactivities of IL-1β, FGF-2, TNF- α and HIF-1α increased in the control group especially in the epithelial and cryptic regions. On the contrary, sildenafil application caused significant decreases of inflammatory markers in all treatment groups, specifically better results in the prophylaxis group. Conclusion: The sildenafil has anti-inflammatory effects on ARP, as well as protective effects against ARP and the protective effect of sildenafil surpasses its therapeutic effect histopathologically.


Assuntos
Animais , Proctite/etiologia , Proctite/tratamento farmacológico , Lesões Experimentais por Radiação/tratamento farmacológico , Profilaxia Pós-Exposição/métodos , Citrato de Sildenafila/farmacologia , Anti-Inflamatórios/farmacologia , Proctite/patologia , Lesões Experimentais por Radiação/patologia , Reto/patologia , Fatores de Tempo , Índice de Gravidade de Doença , Imuno-Histoquímica , Distribuição Aleatória , Reprodutibilidade dos Testes , Fator 2 de Crescimento de Fibroblastos/análise , Fator de Necrose Tumoral alfa/análise , Resultado do Tratamento , Substâncias Protetoras/farmacologia , Fator A de Crescimento do Endotélio Vascular/análise , Microscopia Eletrônica de Transmissão , Subunidade alfa do Fator 1 Induzível por Hipóxia/análise , Interleucina-1beta/análise
2.
Braz. j. otorhinolaryngol. (Impr.) ; 84(2): 206-211, Mar.-Apr. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-889365

RESUMO

Abstract Introduction To manage the complications of irradiation of head and neck tissue is a challenging issue for the otolaryngologist. Definitive treatment of these complications is still controversial. Recently, hyperbaric oxygen therapy is promising option for these complications. Objective In this study, we used biochemical and histopathological methods to investigate the efficacy of hyperbaric oxygen against the inflammatory effects of radiotherapy in blood and laryngeal tissues when radiotherapy and hyperbaric oxygen are administered on the same day. Methods Thirty-two Wistar Albino rats were divided into four groups. The control group was given no treatment, the hyperbaric oxygen group was given only hyperbaric oxygen therapy, the radiotherapy group was given only radiotherapy, and the radiotherapy plus hyperbaric oxygen group was given both treatments on the same day. Results Histopathological and biochemical evaluations of specimens were performed. Serum tumor necrosis factor-α, interleukin-1β, and tissue inflammation levels were significantly higher in the radiotherapy group than in the radiotherapy plus hyperbaric oxygen group, whereas interleukin-10 was higher in the radiotherapy plus hyperbaric oxygen group. Conclusion When radiotherapy and hyperbaric oxygen are administered on the same day, inflammatory cytokines and tissue inflammation can be reduced in an early period of radiation injury.


Resumo Introdução O manejo das complicações da irradiação do tecido da cabeça e pescoço é uma questão desafiadora para o otorrinolaringologista. O tratamento definitivo dessas complicações ainda é controverso. Recentemente, a oxigenoterapia hiperbárica tem sido uma opção promissora para essas complicações. Objetivo Nesse estudo foram usados métodos bioquímicos e histopatológicos para investigar a eficácia do oxigênio hiperbárico contra os efeitos inflamatórios da radioterapia no sangue e nos tecidos laríngeos, quando a radioterapia e oxigênio hiperbárico são administrados no mesmo dia. Métodos Trinta e dois ratos Wistar albinos foram divididos em quatro grupos. O grupo controle nao recebeu tratamento, o grupo de oxigenio hiperbarico recebeu apenas oxigenoterapia hiperbarica, o grupo de radioterapia recebeu apenas radioterapia e o grupo de radioterapia com oxigenio hiperbarico recebeu ambos os tratamentos no mesmo dia. Resultados Foram realizadas avaliaçoes histopatologicas e bioquimicas dos especimes. Os niveis sericos de fator de necrose tumoral-α, interleucina-1β e inflamaçao tecidual foram significativamente maiores no grupo de radioterapia do que no grupo de radioterapia mais oxigenio hiperbarico, enquanto que a interleucina-10 foi maior no grupo de radioterapia mais oxigenio hiperbarico. Conclusão Quando a radioterapia e o oxigênio hiperbárico são administrados no mesmo dia, as citocinas inflamatórias e a inflamação tecidual podem ser reduzidas no período inicial da radiação.


Assuntos
Animais , Feminino , Ratos , Lesões Experimentais por Radiação/prevenção & controle , Oxigenoterapia Hiperbárica , Inflamação/prevenção & controle , Lesões Experimentais por Radiação/patologia , Lesões Experimentais por Radiação/sangue , Fator de Necrose Tumoral alfa/sangue , Interleucina-10/sangue , Ratos Wistar , Estresse Oxidativo , Interleucina-1beta/sangue , Inflamação/patologia , Inflamação/sangue , Pescoço
3.
Braz. oral res. (Online) ; 32: e004, 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-889501

RESUMO

Abstract Radiation combined injury, a life-threatening condition, has higher mortality than simple radiation injury. The aim of the present study was to analyze the efficiency of Aloe vera and silver nanoparticles in improving the healing of ulcerated oral mucosa after irradiation. Thirty male Albino mice were divided into five groups: control, radiation, Aloe vera (AV), silver nanoparticles (NS), and AV+NS. The mice were exposed to whole body 6Gy gamma-radiation. After one hour, 20% acetic acid was injected into the submucosal layer of the lower lip for ulcer induction. The animals received topical treatment with the assigned substances for 5 days. Lip specimens were subjected to hematoxylin and eosin and anti alpha-smooth muscle actin immunohistochemical staining. Results demonstrated occurance of ulcer three days post irradiation in all groups except in the AV+NS group where only epithelial detachment was developed. After seven days, data revealed persistent ulcer in radiation group, and almost normal epithelium in the AV+NS group. A significant reduction of epithelial thickness was detected in all groups at the third day as compared to control. At the seventh day, only the AV+NS group restored the epithelial thickness. Area percent of alpha-smooth muscle actin expression was significantly decreased in radiation group at the third day followed by significant increase at the seventh day. However, all treatment groups showed significant increase in alpha-smooth muscle actin at the third day, which decreased to normal level at the seventh day. Our study demonstrated the efficiency of Aloe vera and silver nanoparticles in enhancing ulcer healing after irradiation.


Assuntos
Animais , Masculino , Camundongos , Aloe/química , Raios gama/efeitos adversos , Nanopartículas Metálicas/uso terapêutico , Úlceras Orais/tratamento farmacológico , Úlceras Orais/etiologia , Lesões Experimentais por Radiação/tratamento farmacológico , Prata/uso terapêutico , Ácido Acético , Actinas/análise , Administração Tópica , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/efeitos da radiação , Fibroblastos/efeitos dos fármacos , Imuno-Histoquímica , Microscopia Eletrônica de Transmissão , Úlceras Orais/patologia , Lesões Experimentais por Radiação/patologia , Valores de Referência , Reprodutibilidade dos Testes , Fatores de Tempo , Resultado do Tratamento , Cicatrização/efeitos dos fármacos
4.
Acta cir. bras ; 32(4): 319-324, Apr. 2017. graf
Artigo em Inglês | LILACS | ID: biblio-837703

RESUMO

Abstract Purpose: To describe a new model of actinic enteritis that does not use radiotherapy machines. Methods: Sixteen Wistar rats were divided into four groups, consisting of four animals each: control (group A), two weeks after irradiation (group B), five weeks after irradiation (group C) and eight weeks after irradiation (group D). Animals were given a 10Gy radiation from a Cobalt-60 natural source in a nuclear technology research center. Protections of the surrounding tissues were obtained through the usage of plumb devices with a hole in the center, which served as a collimator. We obtained irradiated and non-irradiated colons from each animal. Results: In group B we found an important inflammatory response in the irradiated colon, which appeared in a reduced way in group C and was minimal in group D, in which we found a relevant collagen submucosal deposition/fibrosis. In all groups, the non-irradiated colon had a lower pathological damage in comparison with the irradiated colon. Conclusion: We thus described an efficient and feasible technique for obtaining an animal model of actinic enteritis.


Assuntos
Animais , Feminino , Ratos , Lesões Experimentais por Radiação/patologia , Radioisótopos de Cobalto , Colo/efeitos da radiação , Relação Dose-Resposta à Radiação , Ratos Wistar , Colo/patologia , Modelos Animais de Doenças
5.
Int. braz. j. urol ; 42(3): 603-607, tab, graf
Artigo em Inglês | LILACS | ID: lil-785742

RESUMO

ABSTRACT Objectives To investigate the protective effect of L-Glutamine in animals undergone to ventral radiation when the target organ is not the prostate. Materials and Methods Wistar rats were divided into groups of 10 animals each: Controls (C), maintained under standard conditions and not exposed to radiation, Radiated group (R) undergone to abdominal radiation only and Radiated plus supplemented by L-glutamine group (R+G). The animals of group R+G were supplemented with L-glutamine at the beginning of the experiment until death in the 22nd day. The ventral prostate was dissected and processed for morphometrical analysis. The epithelial height, collagen density and acinar area were objectively assessed in histological sections. Results Epithelial height was significantly reduced in R group in comparison to C group (p= 0.005). However, there was no statistical difference between the C and R+G groups. Collagen surface density in the C and R groups were not statistically different, but a significant difference was observed when comparing groups R+G and R (p= 0.040). The R+G group values did not differ significantly from C group. The acinar prostate area of group R was similar to that of C (p= 0.971), but in R+G it was significantly reduced when compared with the C (p= 0.038) and R (p= 0.001) groups. Conclusions Pelvic radiation promotes structural modifications in ventral prostate of rats, which can be reduced by L-Glutamine.


Assuntos
Animais , Masculino , Próstata/efeitos da radiação , Lesões Experimentais por Radiação/prevenção & controle , Protetores contra Radiação/administração & dosagem , Glutamina/administração & dosagem , Próstata/efeitos dos fármacos , Próstata/patologia , Lesões Experimentais por Radiação/patologia , Distribuição Aleatória , Administração Oral , Reprodutibilidade dos Testes , Colágeno/análise , Colágeno/efeitos da radiação , Ratos Wistar
6.
Acta cir. bras ; 28(11): 751-755, Nov. 2013. ilus, tab
Artigo em Inglês | LILACS, SES-SP | ID: lil-695953

RESUMO

PURPOSE: To describe an experimental model of cutaneous radiation injury in rabbits. METHODS: On this study eight six-month-old New Zealand male rabbits, with an average weight of 2.5kg were used. They were distributed in four groups (n=2 per group). The control group did not receive radiotherapy and the others received one radiotherapy session of 2000, 3000 and 4500 cGy, respectively. Photographic analysis and histopathological evaluation of the irradiated areas were carried out. RESULTS: After 30 days, the animals from the control group had all their hair grown. In spite of that, the animals from group 2000 cGy had a 60-day alopecia and from group 3000 cGy, a 90-day alopecia. After the 30th day, the 3000cGy group demonstrated 90-day cutaneous radiation injuries, graded 3 and 4. One of the animals from group 4500 cGy died on the 7th day with visceral necrosis. The other from the same group had total skin necrosis. A progressive reduction of glands and blood vessels count and an increase on collagen deposition was observed. CONCLUSION: The proposed experimental model is reproductable. This study suggests that the dosage 4500cGy is excessive and the 3000 cGy is the most effective for this experimental model of cutaneous radiation injury in rabbits.


Assuntos
Animais , Masculino , Coelhos , Modelos Animais de Doenças , Lesões Experimentais por Radiação , Pele/efeitos da radiação , Alopecia/etiologia , Necrose , Doses de Radiação , Lesões Experimentais por Radiação/patologia , Reprodutibilidade dos Testes , Dermatopatias/etiologia , Dermatopatias/patologia , Pele/patologia , Fatores de Tempo
7.
Acta cir. bras ; 26(6): 475-480, Nov.-Dec. 2011. ilus, tab
Artigo em Inglês | LILACS | ID: lil-604197

RESUMO

PURPOSE: Comparing the ionizing radiation effects on bone neoformation of rats tibiae previously submitted to radiotherapy with a single dosage of 30Gy with the contralateral tibiae that have received secondary radiation. METHODS: In thirty male Wistar rats, 30 days before surgical procedure when round defects would be created on the bone, the right tibia was irradiated with 30Gy and the left tibia received a calculated secondary radiation dose of 7Gy. Sacrifices were performed after 4, 7, 14, 21, 56 and 84 postoperative days and both tibiae were removed for histological processing. RESULTS: The left tibiae that received the dose of 7Gy has shown more bone neoformation from 14th postoperative days, giving evidences of less damage to cellular population responsible by bone neoformation. On the other hand, the dose of 30Gyon right tibiae did not exhibit significant differences among the periods, suggesting damage of long-lasting or even permanent duration. CONCLUSION: Tibiae submitted to radiation dose of 30Gy have shown more damage to bone cells than tibiae that received secondary radiation dose of 7Gy, especially observed on 14th, 56th and 84th postoperative days.


OBJETIVO: Comparar os efeitos da radiação ionizante na reparação óssea em tíbias de ratos, submetidas à radioterapia prévia com doses 30Gy, com as tíbias contralaterais que receberam radiação secundária. MÉTODOS: No total, 30 ratos Wistar machos foram submetidos à cirurgia para realização de defeitos circulares em ambas as tíbias de cada rato, com radioterapia prévia de 30 dias, sendo que a tíbia direita recebeu a dose de 30Gy e tíbia esquerda a dose de radiação secundária calculada em 7Gy. Os sacrifícios ocorreram em 4, 7, 14, 21, 56 e 84 dias da realização do defeito ósseo e as tíbias foram removidas para processamento histológico. RESULTADOS: O grupo de 7Gy apresentou maior neoformação a partir do período de 14 dias, indicando pouco dano aos elementos celulares responsáveis pela reparação óssea, enquanto que o grupo de 30Gy não apresentou diferenças significantes entre os períodos, sugerindo um dano de efeito prolongado ou até mesmo permanente. CONCLUSÃO: As tíbias irradiadas com 30Gy apresentaram maior dano às células ósseas do que as tíbias que receberam radiação secundária de 7Gy, principalmente observadas nos períodos de 14, 56 e 84 dias.


Assuntos
Animais , Masculino , Ratos , Regeneração Óssea/efeitos da radiação , Lesões Experimentais por Radiação/patologia , Tíbia/efeitos da radiação , Fraturas da Tíbia/radioterapia , Modelos Animais de Doenças , Relação Dose-Resposta à Radiação , Doses de Radiação , Ratos Wistar , Lesões Experimentais por Radiação/fisiopatologia , Tíbia/fisiologia , Fraturas da Tíbia/patologia
8.
Braz. j. med. biol. res ; 42(7): 621-628, July 2009. ilus, tab
Artigo em Inglês | LILACS | ID: lil-517792

RESUMO

The effect of ionizing irradiation on testes and the protective effects of melatonin were investigated by immunohistochemical and electron microscopic methods. Eighty-two adult male Wistar rats were divided into 10 groups. The rats in the irradiated groups were exposed to a sublethal irradiation dose of 8 Gy, either to the total body or abdominopelvic region using a 60Co source at a focus of 80 cm away from the skin in the morning or evening together with vehicle (20% ethanol) or melatonin administered 24 h before (10 mg/kg), immediately before (20 mg/kg) and 24 h after irradiation (10 mg/kg), all ip. Caspace-3 immunoreactivity was increased in the irradiated group compared to control (P < 0.05). Melatonin-treated groups showed less apoptosis as indicated by a considerable decrease in caspace-3 immunoreactivity (P < 0.05). Electron microscopic examination showed that all spermatogenic cells, especially primary spermatocytes, displayed prominent degeneration in the groups submitted to total body and abdominopelvic irradiation. However, melatonin administration considerably inhibited these degenerative changes, especially in rats who received abdominopelvic irradiation. Total body and abdominopelvic irradiation induced identical apoptosis and testicular damage. Chronobiological assessment revealed that biologic rhythm does not alter the inductive effect of irradiation. These data indicate that melatonin protects against total body and abdominopelvic irradiation. Melatonin was more effective in the evening abdominopelvic irradiation and melatonin-treated group than in the total body irradiation and melatonin-treated group.


Assuntos
Animais , Masculino , Ratos , Melatonina/uso terapêutico , Lesões Experimentais por Radiação/prevenção & controle , Protetores contra Radiação/uso terapêutico , Testículo/efeitos da radiação , Apoptose , /metabolismo , Imuno-Histoquímica , Microscopia Eletrônica de Transmissão , Melatonina/administração & dosagem , Ratos Wistar , Lesões Experimentais por Radiação/enzimologia , Lesões Experimentais por Radiação/patologia , Protetores contra Radiação/administração & dosagem , Espermatogênese/efeitos dos fármacos , Espermatogênese/efeitos da radiação , Fatores de Tempo , Testículo/efeitos dos fármacos , Testículo/patologia
9.
Acta cir. bras ; 20(supl.1): 139-145, 2005.
Artigo em Português | LILACS | ID: lil-414647

RESUMO

OBJETIVO: Avaliar as alterações estruturais na parede do cólon irradiado, em ratos, verificando se a suplementação de L-glutamina pode prevení-las. MÉTODOS: Foram empregados 30 ratos Wistar, machos, adultos, divididos em três grupos: I - controle, II- irradiado e III - irradiado, com suplementação de L-glutamina durante os 14 dias do estudo. O Grupo Controle foi mantido em condições-padrão de laboratório, enquanto os grupos II e III foram submetidos à irradiação abdominal, com dose única de 1000 cGy, no 8°. dia da experimentação. Todos os animais foram operados no 15°. dia, para ressecção de segmento colônico para análise estereológica. RESULTADOS: O grupo II apresentou volume total da parede colônica significativamente menor que o Grupo Controle, sem alterar os volumes parciais de cada camada histológica. No grupo III, houve manutenção do volume total da parede do cólon, próxima ao Grupo Controle, com aumento significativo da camada mucosa, quando comparada aos grupos I e II. Na camada mucosa do grupo III, houve a manutenção do volume parcial do epitélio, comparado ao Grupo Controle, sem melhora significativa da superfície epitelial. CONCLUSÃO: Sugere-se que a suplementação de L-glutamina seja benéfica na parede do cólon irradiado, em ratos.


Assuntos
Animais , Masculino , Ratos , Colo/efeitos da radiação , Glutamina/uso terapêutico , Lesões Experimentais por Radiação/prevenção & controle , Parede Abdominal , Administração Oral , Colo/efeitos dos fármacos , Colo/patologia , Mucosa Intestinal/efeitos dos fármacos , Mucosa Intestinal/patologia , Mucosa Intestinal/efeitos da radiação , Tamanho do Órgão/efeitos dos fármacos , Tamanho do Órgão/efeitos da radiação , Ratos Wistar , Lesões Experimentais por Radiação/patologia , Estatísticas não Paramétricas , Fatores de Tempo
10.
Indian J Exp Biol ; 2000 Jul; 38(7): 669-74
Artigo em Inglês | IMSEAR | ID: sea-56834

RESUMO

Intestinal protection in mice against radiation injury by WR-2721 (300 mg/kg body wt, i.p., 30 min before irradiation) was studied after whole body gamma irradiation (0.5, 1.5, 3.0, 4.5, or 6.0 Gy). Crypt survival and induction of apoptosis, and abnormal mitoses in crypt cells in the jejunum were studied on day 1, 3 and 7 after irradiation. Irradiation produced a significant decrease in crypt survival, whereas apoptosis and abnormal mitoses showed a significant increase from sham-treated control animals. Maximum changes in all the parameters were observed on day 1 after irradiation and the effect increased linearly with radiation dose. There was recovery at later intervals, which was inversely related to radiation dose. WR-2721 pre-treatment resulted in a significant increase in the number of surviving crypts, whereas the number of apoptotic cells in the crypts showed a significant decrease from respective irradiated controls on day 1 after exposure. The recovery was also faster in WR-2721 pre- treated animals. It is concluded that WR-2721 protects against gastrointestinal death by reducing radiation induced cell death, thereby maintaining a higher number of stem cells in the proliferating compartment.


Assuntos
Amifostina/farmacologia , Animais , Apoptose/efeitos dos fármacos , Morte Celular/efeitos dos fármacos , Jejuno/efeitos dos fármacos , Masculino , Camundongos , Mitose/efeitos dos fármacos , Lesões Experimentais por Radiação/patologia , Protetores contra Radiação/farmacologia
11.
Biocell ; 20(3): 251-258, Dec. 1996.
Artigo em Inglês | LILACS | ID: lil-335993

RESUMO

Nucleolar organizer regions stained with colloidal silver techniques (AgNOR) evidence sites of active rRNA transcription. It has been proved that AgNOR undergo a rise in number and variations in size and shape in conditions which traditionally involve enhanced cell proliferation and rRNA transcription. AgNOR have been described as a marker of malignant transformation in multiple entities. Our laboratory has previously described their value as markers of radioinduced damage. The finding, at light microscopy level, that silver staining persisted at later post-irradiation times when cells are characteristically inactive, prompted the present study to correlate findings at light microscopy level with the ultrastructural analysis of nucleoli and their AgNOR in a model of irradiated skin. We herein attempt to explain the biological significance of AgNOR variations in the different phases of radioinduced response (which involves cellular hyperactivity followed by regressive features). Ten Wistar rats were submitted to local irradiation of the left leg (the shielded right leg was used as control) with 50 Gy x rays and killed 15 days post- irradiation. Silver staining was performed on ultrathin sections. In the basal layer of control epithelium silver affinity was established for fibrillar centers (FC) and fibrillar dense components (DFC). During the phase of radioinduced hyperplasia (1-3 days post-exposure) basal cells exhibit large reticular nucleoli, with irregular contours and silver staining on DFC. In the regressive phase (4-5 days post-irradiation) silver staining persists despite the halt in transcriptional activity, associated to homogeneous and compact nucleoli. These findings suggest caution in the interpretation of silver staining patterns.


Assuntos
Animais , Ratos , Região Organizadora do Nucléolo/ultraestrutura , Divisão Celular , Queratinócitos/efeitos da radiação , Queratinócitos/ultraestrutura , Coloides , Hiperplasia , Coloração pela Prata , Lesões Experimentais por Radiação/patologia , Pé/patologia , Pé/efeitos da radiação , Ratos Wistar , RNA Ribossômico/biossíntese , Transcrição Gênica
12.
Indian J Med Sci ; 1996 Jul; 50(7): 231-3
Artigo em Inglês | IMSEAR | ID: sea-68268

RESUMO

S-allyl cysteine sulphoxide (SACS), a sulphur containing aminoacid of garlic is the precursor of allicin and garlic oil, and has been found to show significant radio protective effect in albino rats which were whole body irradiated with 400 rads of irradiation by Cobalt 60 source. It markedly reduced the radiation induced mortality and showed significant protection against the tissue damaging effects of irradiation in histopathological sections of liver and lung.


Assuntos
Animais , Alho , Extratos Vegetais/farmacologia , Plantas Medicinais , Lesões Experimentais por Radiação/patologia , Protetores contra Radiação , Ratos
13.
Rev. bras. ciênc. morfol ; 7/8(2/1): 33-7, jul.-jun. 1990/1991. ilus, tab, graf
Artigo em Português | LILACS | ID: lil-163767

RESUMO

Foi estudado o efeito agudo dos raios X, na dose de 154,8mC/kg (660R), exposiçao de corpo inteiro, em núcleos de células do túbulo contorcido proximal de rins de camundongos C57BL, utilizando uma análise morfométrica. A partir dos resultados das contagens de núcleos claros (com predomínio de eucromatina) e escuros (com predomínio de heterocromatina) pôde-se constatar um aumento de hiperecromatismo no período de tempo de 72 horas após a açao dos raios X, o que permitiu estabelcer um novo parâmetro para avaliar os efeitos da radiaçao em rim: o índice de hipercromatismo nuclear.


Assuntos
Animais , Masculino , Camundongos , Contagem de Células/efeitos da radiação , Lesões Experimentais por Radiação/patologia , Túbulos Renais/efeitos da radiação , Fatores de Tempo , Irradiação Corporal Total
16.
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