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1.
Asian Pac J Cancer Prev ; 24(5): 1797-1808, 2023 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-37247303

RESUMEN

BACKGROUND: Prostate-specific membrane antigen (PSMA) was first noticed in prostate cancer cells, thereafter, It has been found in the endothelial cells of neovasculature in a variety of tumors, but not in normal vascular endothelium, This specificity makes PSMA an ideal molecule for vascular targeting in Cancer theranostics (i.e., combined diagnostic and therapeutic). OBJECTIVES: The objective of this study was to evaluate the immunohistochemical (IHC) expression of PSMA in the neovasculature (identified by CD 31) of high-grade gliomas (HGGs) and to Correlate PSMA IHC expression in HGGs with clinicopathological features, to detect its possible role in tumor angiogenesis, where PSMA can be used as a future diagnostic and therapeutic target. MATERIALS AND METHODS: This retrospective study included a total of 69 archived, formalin-fixed, paraffin-embedded tissue blocks of HGGs, including 52 cases classified as WHO grade IV (75.4%) and 17 cases as WHO grade III (24.6%). The samples were immunohistochemically analyzed for PSMA expression (in both TMV and parenchymal tumor cells) which was assessed using the composite PSMA immunostaining score. A score (0) was considered negative while scores 1-7 were considered positive (1-4, 5-6, or 7; weak, moderate, or strong respectively). RESULTS: PSMA is expressed specifically and significantly in endothelial cells of tumor microvessels (TMV) of HGGs, A statistically significant relationship was detected between PSMA IHC expression in both TMV and in parenchymal tumor cells (TC) and various glioma subtypes (P-value < 0.05 and <0.001 respectively).  Positive PSMA immunostaining in TMV was detected in all anaplastic ependymoma cases and in near all cases of classic GB and GB with oligodendroglial features more than other subtypes, with P-value specifically for PSMA positivity/negativity in TMV statistically significant (0.022). While for Tumor cells, Positive PSMA immunostaining was detected in all anaplastic ependymoma, most anaplastic astrocytoma and classic GB cases in contrary to other variants, with P-value statistically extremely significant (< 0.001). Comparing PSMA IHC expression in TMV and its expression in TC, it was significantly expressed in TMV of 82.7% versus TC of 51.9% of grade IV cases. Likewise, in GB with oligodendroglial features and gliosarcoma, the majority of cases showed positive staining in their TMV [8/8 (100%), 9/13 (69.2%) respectively], and, the reverse occurs in tumor cells where the majority of cases did NOT show staining in the tumor cells for PSMA (5/8 (62.5%), 11/13 (84.6%) of cases respectively), which was statistically significant (P-value ≤ 0.05) besides the significant difference in the pattern of staining according to composite PSMA scoring (P-value ≤ 0.05). CONCLUSION: PSMA has a possible role in tumor angiogenesis, therefore it might be considered a potential promising endothelial target for Cancer theranostics with PSMA-based agents, in addition, PSMA was expressed significantly in TC of HGGs, thus, it appears to be involved in biologic behavior, carcinogenesis and tumor progression.


Asunto(s)
Ependimoma , Glioma , Neoplasias de la Próstata , Humanos , Masculino , Antígenos de Superficie/metabolismo , Células Endoteliales/metabolismo , Glutamato Carboxipeptidasa II/metabolismo , Neovascularización Patológica/metabolismo , Próstata/patología , Neoplasias de la Próstata/patología , Estudios Retrospectivos
2.
J Adv Res ; 32: 119-131, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34484831

RESUMEN

INTRODUCTION: Optimal charging of RC circuits is a well-studied problem in the integer-order domain due to its importance from economic and system temperature hazards perspectives. However, the fractional-order counterpart of this problem requires investigation. OBJECTIVES: This study aims to find approximate solutions of the most energy-efficient input charging function in fractional-order RC circuits. METHODS: This paper uses a meta-heuristic optimization technique called Cuckoo search optimizer to attain the maximum charging efficiency of three common fractional-order RC circuits. An analytical expression of the fractional capacitor voltage is suggested such that it satisfies the boundary conditions of the optimal charging problem. The problem is formulated as a fractional-order calculus of variations problem with compositional functional. The numerical solutions are obtained with the meta-heuristic optimization algorithm's help to avoid the complexities of the analytical approach. RESULTS: he efficiency surfaces and input voltage charging curves are discussed for fractional-order in the range 0.5 < α ≤ 1 . CONCLUSION: The optimized charging function can approximate the optimal charging curve using at most 4 terms. The charging time and the resistive parameters have the most dominant effect on charging efficiency at constant fractional-order α .

5.
Allergy ; 58(6): 503-10, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12757452

RESUMEN

BACKGROUND: The present study investigates immunological cross-reactivity between Par o 1, the major pollen allergen of Parietaria, and the VP4 protein of rotavirus, a microorganism that is world-wide the main etiological agent of gastroenteritis in children. METHODS: IgG and IgE cross-reactivity was assessed by direct binding and competitive inhibition assays (ELISA and DARIA), using recombinant VP4 from rhesus infectious rotavirus (RR), synthetic peptides and Par o 1-specific antibodies affinity purified from pooled and individual human sera. RESULTS: Antibodies specifically binding Par o 1, affinity purified from the sera of 35 individuals with skin test positivity to Parietaria and from 14 pools, were extensively cross-reactive with RRVP4. Cross-reactive binding was specifically inhibited by synthetic peptides derived from the C-terminal sequences of the VP4 proteins from human and rhesus infectious rotavirus. CONCLUSIONS: This study reports the first evidence of cross-reactivity between an allergen and a viral antigen.


Asunto(s)
Alérgenos/inmunología , Proteínas de la Cápside/inmunología , Reacciones Cruzadas , Proteínas de Plantas/inmunología , Anticuerpos/inmunología , Reacciones Cruzadas/efectos de los fármacos , Ensayo de Inmunoadsorción Enzimática , Humanos , Inmunoglobulina E/inmunología , Inmunoglobulina G/inmunología , Péptidos/farmacología , Radioinmunoensayo/métodos
6.
Allergy ; 54(10): 1048-57, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10536883

RESUMEN

The pollen of Parietaria, a weed of the Urticaceae family, is a major cause of respiratory allergy in Europe, where the most common species are P. judaica and P. officinalis. Previously, we reported that a beta-galactosidase fusion protein (6a-BG) expressing a 26-bp cDNA fragment (6a cDNA) contained a dominant IgE-binding epitope (6a epitope) of the major allergens Par o 1 and Par j 1. The present study aimed to define the amino-acid sequence containing the 6a epitope. We analyzed the reactivity of anti-Par o 1 antibodies affinity purified from allergic patient sera with: 1) a panel of synthetic peptides deduced from the 6a nucleotide sequence using different reading frames 2) glutathione S-transferase (GST) fusion proteins containing selected peptides. The peptide NSARARADSCRI (p102) specifically bound anti-Par o 1 antibodies affinity purified from allergic patient sera or from rabbit anti-Par o 1 antiserum (ELISA). The related peptide NSARAGTSSCRI (p101) reacted to human but not to rabbit, anti-Par o 1 antibodies. GST fusion proteins containing p101 (GST 3.5) or p102 (GST 3.2) extensively inhibited the binding between Par o 1 and IgE or IgG antibodies from an allergic patient serum pool according to a dose-response curve. Percent inhibition of IgE antibodies binding obtained by absorbing a solution (50 microl) of affinity-purified antibodies with 5 microg of GST 3.2 or with 1.2 mg of GST 3.5 was 69% and 66%, respectively. In conclusion, the results of the present study indicate that the amino-acid sequences NSARARADSCRI (p102) and NSARAGTSSCRI (p101) contain the dominant epitope of Par o 1 and Par j 1 for human IgE and IgG antibodies indicated as 6a epitope. Moreover, the study shows that the epitope is conserved in recombinant molecules containing these peptides, irrespective of the fused polypeptide (beta-galactosidase or GST). The knowledge of the amino-acid sequence of this dominant epitope is important in therapeutic approaches to the development of allergen-derived haptens.


Asunto(s)
Glicoproteínas/inmunología , Proteínas de Plantas , Alérgenos/química , Alérgenos/inmunología , Animales , Anticuerpos/inmunología , Reacciones Antígeno-Anticuerpo/inmunología , Ensayo de Inmunoadsorción Enzimática , Humanos , Hipersensibilidad/sangre , Epítopos Inmunodominantes/sangre , Polen/inmunología , Conejos , Proteínas Recombinantes de Fusión/inmunología , beta-Galactosidasa/inmunología
7.
Hum Immunol ; 60(12): 1250-8, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10626739

RESUMEN

In this study, we used the affected sibling-pairs approach to investigate the linkage of HLA (human leukocyte antigen)-DRB* with phenotypes related to allergy to Parietaria, the most common pollinosis in Mediterranean countries. The study population consisted of 51 nuclear families (235 subjects). Linkage was detected with Parietaria skin test positivity (p < (0.01), presence of IgG and IgE antibodies specific for the major allergen Par o 1 (p < 0.020 and p < 0.025, respectively), and absence of Par o 1-specific IgE (p < 0.020). High levels of Par o 1-specific IgG were associated with DRB1*1101 and/or DRB1*1104 (p < 0.0001 and p < 0.0119, respectively) in parents and probands. High levels of Par o 1-specific IgE were associated with DRB*1104 in parents (p < 0.017) and with DRB1*1101 in probands (p < 0.0146). When siblings were categorized according to high/low total IgE levels (> or =125 IU/ml and <125 IU/ml, respectively), high IgE antibody response was associated with DRB1*1104 in siblings with low total IgE (p < 0.034) and with DRB1*1101 in siblings with high total IgE (p < 0.05). These results demonstrate that HLA-DRB1*, or genes in linkage disequilibrium, contributes to susceptibility to Parietaria allergy and that total IgE levels can discriminate population subsets where different alleles (at the HLA region or at loci in linkage disequilibrium) contribute to control allergen-specific IgE synthesis.


Asunto(s)
Ligamiento Genético , Glicoproteínas/inmunología , Antígenos HLA-DR/genética , Hipersensibilidad/genética , Proteínas de Plantas , Adulto , Alelos , Alérgenos/inmunología , Femenino , Antígenos HLA-DR/inmunología , Cadenas HLA-DRB1 , Humanos , Hipersensibilidad/inmunología , Inmunoglobulina E/inmunología , Inmunoglobulina G/inmunología , Masculino , Persona de Mediana Edad , Polen/inmunología
8.
Hum Immunol ; 46(2): 100-6, 1996 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-8727208

RESUMEN

Parietaria, a plant belonging to the family of Urticaceae, is a major source of allergenic pollen in Europe. In the context of a multinational study, we investigated whether in allergic subjects antibody response towards Par o 1, the major allergen from P. officinalis, was associated with defined HLA-DRB1* alleles. The study population consisted of 234 allergic patients: 65 from Bulgaria, 30 from Israel, 99 from Italy, and 40 from Spain. In the Italian study group, the prevalence of ST positivity to Parietaria was 77%. In Parietaria ST-positive subjects, the prevalences of IgG and IgE serum Ab towards Par o 1 were 91% and 75%, respectively. HLA-DRB1*1101 and/or 1104 were significantly positively associated with the presence of IgG Ab and with high levels of IgE Ab towards this allergen (p = 0.0007 and p = 0.012, respectively). In the Spanish study group, the positive association of DR1100 with responsiveness to Par o 1 was confirmed (p = 0.02, RR = 4, and p = 0.002, RR = 7, for IgG and IgE Ab, respectively). None of the Bulgarian patients had IgE Ab to Par o 1, whereas IgG Ab response was observed in 7 out of 65 subjects and was positively associated with DRB1*1101 and/or 1104 (p = 0.025). In the Israeli study group, responsiveness to Par o 1 was not associated with specific HLA-DRB1* alleles. In conclusion, this study shows that in allergic patients from three European populations antibody response to the major allergen from the pollen of Parietaria is associated with HLA-DRB1*1101 and/or 1104. Our data suggest that this association is stronger in subjects monosensitized to Parietaria.


Asunto(s)
Alelos , Alérgenos/inmunología , Glicoproteínas/inmunología , Antígenos HLA-DR/genética , Antígenos HLA-DR/inmunología , Proteínas de Plantas , Polen/inmunología , Adolescente , Adulto , Cadenas HLA-DRB1 , Humanos , Inmunoglobulina E/inmunología , Inmunoglobulina G/inmunología , Pruebas Intradérmicas , Persona de Mediana Edad
9.
Clin Exp Allergy ; 26(2): 223-31, 1996 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8835131

RESUMEN

BACKGROUND: The pollens from Parietaria judaica and Parietaria officinalis are a major cause of pollinosis in Europe. Par o I (13.5 kDa) and Par j I (12 kDa), the major allergens from these species, are highly crossreactive. METHODS: We have immunoscreened a P. judaica pollen cDNA expression library with a rabbit antiserum specific for Par j I and with a serum pool from allergic patients. An immunopositive clone containing a 26 bp insert was further characterized. The insert sequence was determined and the beta-galactosidase fusion protein was partially purified by electroelution from sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels. RESULTS: This fusion protein specifically and extensively inhibited Par o I and Par j I binding of a rabbit antiserum and of a serum pool obtained from allergic patients. The antifusion-protein antiserum obtained in a rabbit (anti 6a) specifically precipitated radioiodinated purified Par o I in the double antibody radioimmunoassay (DARIA) and competed with antibodies of sera from allergic patients for the binding to Parietaria pollen extract allergens by enzyme linked immunosorbent assay (ELISA). We investigated the prevalence of antibody response towards the 6a epitope in patients naturally sensitized to Parietaria. The presence of 6a specific IgE antibodies was assessed in the sera of 33 patients using inhibition assays. All sera had antibodies with this specificity: the extensive percentage of inhibition reached suggested that they dominated individual ab response. CONCLUSION: In conclusion, the antibody response induced by natural exposure to the pollen of Parietaria appears to be higly focused on a single linear antigenic determinant of the major allergens which may play a relevant role in the development of clinical allergy. This report is, to our knowledge, the first description of a dominant linear epitope of a major allergen.


Asunto(s)
Alérgenos/química , Antígenos/química , Epítopos/análisis , Glicoproteínas/química , Proteínas de Plantas , Polen/química , Animales , Secuencia de Bases , Western Blotting , ADN Complementario , Electroforesis en Gel de Agar , Ensayo de Inmunoadsorción Enzimática , Glicoproteínas/genética , Humanos , Inmunoglobulina E/sangre , Inmunoglobulina G/sangre , Datos de Secuencia Molecular , Conejos
11.
Brain Res Bull ; 37(2): 111-8, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7606485

RESUMEN

The aim of these studies was to map the neural consequences of exposure to a spatial novelty on the expression of immediate gene (IEG) and on unscheduled brain DNA synthesis (UBDS) in two genetic models of altered activity and hippocampal functions, i.e., the Naples High- (NHE) and Low-excitability (NLE) rats. Adult male rats of NLE and NHE lines, and of a random-bred stock (NRB) were tested in a Làt-maze, and corner crossings, rearings, and fecal boli were counted during two 10-min tests 24 h apart. For IEG expression, rats were exposed to a Làt-maze with nonexposed or repeatedly exposed rats used as controls, and were sacrificed at different time intervals thereafter. For UBDS, rats were sacrificed immediately after the first or the second exposure o a Làt-maze. IEG expression was measured by immunocytochemistry for the FOS and JUN proteins. NRB rats exposed for the first time to the maze showed extensive FOS and JUN positive cells in the reticular formation, the granular and pyramidal neurons of hippocampus, the amygdaloid nuclei, all layers of somatosensory cortex, and the granule cells of the cerebellar cortex. The positivity, stronger in rats exposed for the first time, was present between 2 and 6 h and was prevented by the NMDA receptor antagonist CPP (5 mg/kg). The positivity was very low in NHE rats, and it was stronger in NLE compared to NRB rats. UBDS was measured in ex vivo homogenates of brain areas by the incorporation into DNA of 3H-[methyl]-thymidine given intraventricularly 15 min before test trial 1 or 2 (pulse of 0.5 h).(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Encéfalo/metabolismo , ADN/biosíntesis , Genes Inmediatos-Precoces , Aprendizaje por Laberinto/fisiología , Análisis de Varianza , Animales , Genotipo , Italia , Masculino , Plasticidad Neuronal/genética , Proteínas Proto-Oncogénicas c-fos/biosíntesis , Proteínas Proto-Oncogénicas c-jun/biosíntesis , Ratas , Ratas Mutantes , Ratas Sprague-Dawley , Transcripción Genética/fisiología
12.
Brain Res Bull ; 37(1): 9-16, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7606484

RESUMEN

A series of experiments were designed to study the role of the dorsal noradrenergic bundle (DNB) in the modulation of genomic remodeling in the mammalian brain. A series of experiments were designed to study the role of the dorsal noradrenergic system in relation to nonassociative tasks. Adult male Sprague-Dawley rats were either bilaterally lesioned in the DNB by intrabundle microinjection of 6-hydroxydopamine or were sham lesioned. All rats were given 50 microCi [3H-methyl]-thymidine and were sacrificed 0.5 h later. After the injection of the tracer, rats were either left undisturbed in the home cage or were exposed to a Làt-maze for 15 min after 15 min had passed from the time of injection. During the exposure to the maze, corner crossings and rearings were monitored. The rate of DNA synthesis was determined in several brain regions by measuring the amount of tracer incorporated into the DNA over a 0.5-h duration pulse. Under baseline conditions DNB-lesioned rats showed an increase in DNA synthesis in the hippocampus, hypothalamus, and rest of the brain. On the other hand, following exposure to the Làt-maze, sham-lesioned rats only showed an increase in DNA synthesis in the hippocampus, as compared to baseline conditions. Conversely, DNB-lesioned rats did not show an increase in hippocampal DNA synthesis as in the sham-lesioned rats. In contrast, DNA synthesis was increased in the neocortex and rest of the brain. In conclusion, the data support a role for noradrenergic systems in modulating brain DNA synthesis, probably of the unscheduled type, during information processing and storage.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Encéfalo/metabolismo , ADN/biosíntesis , Locus Coeruleus/fisiología , Aprendizaje por Laberinto/fisiología , Norepinefrina/metabolismo , Animales , Masculino , Ratas , Ratas Sprague-Dawley , Estadística como Asunto
13.
Brain Res Bull ; 37(2): 139-48, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7606489

RESUMEN

Two experiments were carried out in the albino rat to investigate the role of brain adrenergic systems in DNA remodeling. Adult male Sprague-Dawley rats were given an intraventricular microinjection of an adrenergic drug or vehicle followed 2 h later by the intraventricular injection of 50 microCi of [3H-methyl]thymidine. The rats were sacrificed 0.5 h after the injection of the radioactive tracer. The rate of DNA synthesis was determined by measuring the amount of radioactive precursor incorporated into the DNA extracted from homogenates of several brain areas. In Experiment 1, at time 0 rats received the alpha-adrenergic antagonist phentolamine (5 micrograms), the beta antagonist propranolol (10 micrograms), the alpha agonist phenylephrine (1 microgram), the beta agonist isoproterenol (12.5 micrograms), or the vehicle. The latter decreased UBDS in neocortex, and increased it in the septum, neostriatum, hypothalamus, cerebellum, and rest of the brain. The alpha and beta agonists and antagonists induced several significant effects, depending on the brain region. In Experiment 2, rats were bilaterally lesioned in the dorsal noradrenergic bundle (DNB) by injection of 6-hydroxydopamine or were sham lesioned. One week later, at time 0 they were given the alpha agonist phenylephrine (1 microgram), the beta agonist isoproterenol (12.5 micrograms), or the vehicle. The DNB-lesioned rats showed a higher UBDS in the hippocampus, neocortex, and hypothalamus, which was reversed by the alpha or the beta agonist. The results suggest an influence of the DNB, probably as a tonic inhibitor of UBDS in the hippocampus and the hypothalamus which, in turn, are likely to be mediated by beta- and alpha-adrenergic receptors. In addition, a phasic inhibitory effect seems to be mediated by beta and alpha receptors in the neocortex, and by beta receptors in the cerebellum. A modulatory role of central adrenergic systems on unscheduled brain DNA synthesis may be inferred from these findings.


Asunto(s)
ADN/biosíntesis , Receptores Adrenérgicos alfa/efectos de los fármacos , Receptores Adrenérgicos beta/efectos de los fármacos , Vías Aferentes/efectos de los fármacos , Animales , Isoproterenol/farmacología , Masculino , Norepinefrina/metabolismo , Oxidopamina , Fentolamina/farmacología , Fenilefrina/farmacología , Propranolol/farmacología , Ratas , Ratas Sprague-Dawley , Timidina/metabolismo
14.
Biol Reprod ; 48(4): 761-7, 1993 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-8485240

RESUMEN

Regulatory mechanisms of male germ cell proliferation in mammals were investigated by using in vitro organ culture of immature rat testis. Nutritional and hormonal requirements for maintenance and differentiation of germ cells in vitro were first characterized by testing different culture conditions. FSH was essential for the progression of type A spermatogonia up to the stage of pachytene spermatocytes after 3 wk of in vitro culture, while vitamins A, C, and E, LH, and testosterone were not effective. The proliferative activity of Sertoli cells markedly declined after 1 wk of in vitro culture, irrespectively of the presence of FSH in the medium. In addition, basal testosterone production by Leydig cells was maintained after 1 wk of culture, provided that FSH was present in the medium. The appearance of differentiating type I and type B spermatogonia and meiotic cells in the seminiferous cords throughout culture was accompanied by a significant reduction in the number of undifferentiated spermatogonia. Moreover, a similar labeling index of undifferentiated spermatogonia was observed in both unstimulated and FSH-stimulated testis fragments at all culture times considered. Therefore, FSH did not influence the mitotic activity of undifferentiated spermatogonia, suggesting a differential role of this gonadotropin during the mitotic phase of spermatogenesis. These results indicate that the organ culture system of immature rat testis represents a useful experimental model for studying regulatory mechanisms of spermatogonial cell proliferation.


Asunto(s)
Espermatogonias/citología , Testículo/citología , Animales , Diferenciación Celular , Hormona Folículo Estimulante/farmacología , Células Intersticiales del Testículo/citología , Células Intersticiales del Testículo/metabolismo , Masculino , Mitosis , Técnicas de Cultivo de Órganos , Ratas , Ratas Wistar , Células de Sertoli/citología , Testículo/efectos de los fármacos , Testículo/metabolismo , Testosterona/biosíntesis
15.
Pharmacol Biochem Behav ; 25(3): 651-8, 1986 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-3774832

RESUMEN

We have examined the incorporation of [3H-methyl]thymidine into DNA extracted from several brain regions of rats learning a reverse handedness task, of control rats allowed to use their preferred paw, and of control rats left in their home cages. In learning animals, decrements in percent incorporation were observed in the visual cortex, remaining brain, hippocampus and entorhinal cortex. In the latter two regions less marked decreases were present in the active control group. No variation occurred in the sensory-motor cortex. In learning rats the specific radioactivity of neuronal DNA was markedly decreased in the hippocampus and remaining brain. In the former region, a less marked decrease was present in active control rats. In subcellular fractionation studies it was observed that decreases in DNA specific radioactivity prevailed in the mitochondrial fraction isolated from the hippocampus and visual cortex of learning rats. Brain radioactive DNA was widely distributed among fractions differing in their degree of repetitiveness. Its pattern of distribution did not coincide with that of bulk DNA and differed significantly among behavioural groups. The results suggest a non random origin of newly-synthesized brain DNA and its involvement in learning.


Asunto(s)
Conducta Apetitiva/fisiología , Encéfalo/metabolismo , ADN/biosíntesis , Aprendizaje/fisiología , Animales , Femenino , Lateralidad Funcional , Ratas , Ratas Endogámicas , Fracciones Subcelulares/metabolismo , Distribución Tisular
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