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1.
J Exp Biol ; 206(Pt 12): 2059-72, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12756288

RESUMEN

Regulation of mitochondrial respiration both by endogenous and exogenous ADP in the cells in situ was studied in isolated and permeabilized cardiomyocytes, permeabilized cardiac fibers and 'ghost' fibers (all with a diameter of 10-20 micro m) at different (0-3 micro moll(-1)) free Ca(2+) concentrations in the medium. In all these preparations, the apparent K(m) of mitochondrial respiration for exogenous ADP at free Ca(2+) concentrations of 0-0.1 micro moll(-1) was very high, in the range of 250-350 micro moll(-1), in contrast to isolated mitochondria in vitro (apparent K(m) for ADP is approximately 20 micro moll(-1)). An increase in the free Ca(2+) concentration (up to 3 micro moll(-1), which is within physiological range), resulted in a very significant decrease of the apparent K(m) value to 20-30 micro moll(-1), a decrease of V(max) of respiration in permeabilized intact fibers and a strong contraction of sarcomeres. In ghost cardiac fibers, from which myosin was extracted but mitochondria were intact, neither the high apparent K(m) for ADP (300-350 micro moll(-1)) nor V(max) of respiration changed in the range of free Ca(2+) concentration studied, and no sarcomere contraction was observed. The exogenous-ADP-trapping system (pyruvate kinase + phosphoenolpyruvate) inhibited endogenous-ADP-supported respiration in permeabilized cells by no more than 40%, and this inhibition was reversed by creatine due to activation of mitochondrial creatine kinase. These results are taken to show strong structural associations (functional complexes) among mitochondria, sarcomeres and sarcoplasmic reticulum. Inside these complexes, mitochondrial functional state is controlled by channeling of ADP, mostly via energy- and phosphoryl-transfer networks, and apparently depends on the state of sarcomere structures.


Asunto(s)
Mitocondrias Cardíacas/metabolismo , Células Musculares/metabolismo , Miofibrillas/metabolismo , Retículo Sarcoplasmático/metabolismo , Adenosina Difosfato/metabolismo , Animales , Respiración de la Célula/fisiología , Cinética , Microscopía Fluorescente , Miocitos Cardíacos/metabolismo , Ratas , Ratas Wistar , Sarcómeros/metabolismo
2.
Biochem J ; 356(Pt 2): 643-57, 2001 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-11368796

RESUMEN

The kinetics of regulation of mitochondrial respiration by endogenous and exogenous ADP in muscle cells in situ was studied in skinned cardiac and skeletal muscle fibres. Endogenous ADP production was initiated by addition of MgATP; under these conditions the respiration rate and ADP concentration in the medium were dependent on the calcium concentration, and 70-80% of maximal rate of respiration was achieved at ADP concentration below 20 microM in the medium. In contrast, when exogenous ADP was added, maximal respiration rate was observed only at millimolar concentrations. An exogenous ADP-consuming system consisting of pyruvate kinase (PK; 20-40 units/ml) and phosphoenolpyruvate (PEP; 5 mM), totally suppressed respiration activated by exogenous ADP, but the respiration maintained by endogenous ADP was not suppressed by more than 20-40%. Creatine (20 mM) further activated respiration in the presence of ATP and PK+PEP. Short treatment with trypsin (50-500 nM for 5 min) decreased the apparent K(m) for exogenous ADP from 300-350 microM to 50-60 microM, increased inhibition of respiration by PK+PEP system up to 70-80%, with no changes in MgATPase activity and maximal respiration rates. Electron-microscopic observations showed detachment of mitochondria and disordering of the regular structure of the sarcomere after trypsin treatment. Two-dimensional electrophoresis revealed a group of at least seven low-molecular-mass proteins in cardiac skinned fibres which were very sensitive to trypsin and not present in glycolytic fibres, which have low apparent K(m) for exogenous ADP. It is concluded that, in oxidative muscle cells, mitochondria are incorporated into functional complexes ('intracellular energetic units') with adjacent ADP-producing systems in myofibrils and in sarcoplasmic reticulum, probably due to specific interaction with cytoskeletal elements responsible for mitochondrial distribution in the cell. It is suggested that these complexes represent the basic pattern of organization of muscle-cell energy metabolism.


Asunto(s)
Músculo Esquelético/metabolismo , Miocardio/metabolismo , Adenosina Difosfato/metabolismo , Adenosina Difosfato/farmacología , Animales , Creatina/metabolismo , Metabolismo Energético/efectos de los fármacos , Corazón/efectos de los fármacos , Técnicas In Vitro , Cinética , Masculino , Microscopía Electrónica , Mitocondrias Cardíacas/efectos de los fármacos , Mitocondrias Cardíacas/metabolismo , Mitocondrias Musculares/efectos de los fármacos , Mitocondrias Musculares/metabolismo , Modelos Biológicos , Músculo Esquelético/efectos de los fármacos , Músculo Esquelético/ultraestructura , Miocardio/ultraestructura , Ratas , Ratas Wistar
3.
Biochim Biophys Acta ; 1504(2-3): 379-95, 2001 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-11245802

RESUMEN

Regulation of mitochondrial respiration in situ in the muscle cells was studied by using fully permeabilized muscle fibers and cardiomyocytes. The results show that the kinetics of regulation of mitochondrial respiration in situ by exogenous ADP are very different from the kinetics of its regulation by endogenous ADP. In cardiac and m. soleus fibers apparent K(m) for exogenous ADP in regulation of respiration was equal to 300-400 microM. However, when ADP production was initiated by intracellular ATPase reactions, the ADP concentration in the medium leveled off at about 40 microM when about 70% of maximal rate of respiration was achieved. Respiration rate maintained by intracellular ATPases was suppressed about 20-30% during exogenous trapping of ADP with excess pyruvate kinase (PK, 20 IU/ml) and phosphoenolpyruvate (PEP, 5 mM). ADP flux via the external PK+PEP system was decreased by half by activation of mitochondrial oxidative phosphorylation. Creatine (20 mM) further activated the respiration in the presence of PK+PEP. It is concluded that in oxidative muscle cells mitochondria behave as if they were incorporated into functional complexes with adjacent ADP producing systems - with the MgATPases in myofibrils and Ca,MgATPases of sarcoplasmic reticulum.


Asunto(s)
ATPasa de Ca(2+) y Mg(2+)/metabolismo , Mitocondrias Musculares/enzimología , Fibras Musculares Esqueléticas/enzimología , Retículo Sarcoplasmático/enzimología , Adenosina Difosfato/biosíntesis , Adenosina Difosfato/farmacología , Adenosina Trifosfato/farmacología , Animales , Células Cultivadas , Fosfatos de Dinucleósidos/farmacología , Metabolismo Energético/efectos de los fármacos , Cinética , Masculino , Ratones , Ratones Endogámicos C57BL , Mitocondrias Cardíacas/efectos de los fármacos , Mitocondrias Cardíacas/enzimología , Mitocondrias Musculares/efectos de los fármacos , Modelos Químicos , Miocardio/metabolismo , Fosforilación Oxidativa , Consumo de Oxígeno/efectos de los fármacos , Ratas , Ratas Sprague-Dawley
4.
J Mol Cell Cardiol ; 32(9): 1703-34, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10966833

RESUMEN

The intracellular mechanisms of regulation of energy fluxes and respiration in contracting heart cells were studied. For this, we investigated the workload dependencies of the rate of oxygen consumption and metabolic parameters in Langendorff-perfused isolated rat hearts.(31)P NMR spectroscopy was used to study the metabolic changes during transition from perfusion with glucose to that with pyruvate with and without active creatine kinase system. The experimental results showed that transition from perfusion with glucose to that with pyruvate increased the phosphocreatine content and stability of its level at increased workloads. Inhibition of creatine kinase reaction by 15-min infusion of iodoacetamide decreased the maximal developed tension and respiration rates by a factor of two.(31)P NMR data were analyzed by a mathematical model of compartmentalized energy transfer, which is independent from the restrictions of the classical concept of creatine kinase equilibrium. The analysis of experimental data by this model shows that metabolic stability-constant levels of phosphocreatine, ATP and inorganic phosphate-at increased energy fluxes is an inherent property of the compartmentalized system. This explains the observed substrate specificity by changes in mitochondrial membrane potential. The decreased maximal respiration rate and maximal work output of the heart with inhibited creatine kinase is well explained by the rise in myoplasmic ADP concentration. This activates the adenylate kinase reaction in the myofibrillar space and in the mitochondria to fulfil the energy transfer and signal transmission functions, usually performed by creatine kinase. The activity of this system, however, is not sufficient to maintain high enough energy fluxes. Therefore, there is a kinetic explanation for the decreased maximal respiration rate of the heart with inhibited creatine kinase: i.e. a kinetically induced switch from an efficient energy transfer pathway (PCr-CK system) to a non-efficient one (myokinase pathway) within the energy transfer network of the cell under conditions of low apparent affinity of mitochondria to ADP in vivo. This may result in a significant decrease in the thermodynamic affinity of compartmentalized ATPase systems and finally in heart failure.


Asunto(s)
Metabolismo Energético/fisiología , Corazón/fisiología , Modelos Biológicos , Modelos Teóricos , Contracción Miocárdica/fisiología , Animales , Masculino , Reperfusión Miocárdica , Ratas , Ratas Sprague-Dawley
5.
Mol Cell Biochem ; 208(1-2): 119-28, 2000 May.
Artículo en Inglés | MEDLINE | ID: mdl-10939635

RESUMEN

In saponin-skinned muscle fibers from adult rat heart and m. soleus the apparent affinity of the mitochondrial oxidative phosphorylation system for ADP (Km = 200-400 microM) is much lower than in isolated mitochondria (Km = 10-20 microM). This suggests a limited permeability of the outer mitochondrial membrane (OMM) to adenine nucleotides in slow-twitch muscle cells. We have studied the postnatal changes in the affinity of mitochondrial respiration for ADP, in relation to morphological alterations and expression of mitochondrial creatine kinase (mi-CK) in rat heart in vivo. Analysis of respiration of skinned fibers revealed a gradual decrease in the apparent affinity of mitochondria to ADP throughout 6 weeks post partum that indicates the development of mechanism which increasingly limits the access of ADP to mitochondria. The expression of mi-CK started between the 1st and 2nd weeks and reached the adult levels after 6 weeks. This process was associated with increases in creatine-activated respiration and affinity of oxidative phosphorylation to ADP thus reflecting the progressive coupling of mi-CK to adenine nucleotide translocase. Laser confocal microscopy revealed significant changes in rearrangement of mitochondria in cardiac cells: while the mitochondria of variable shape and size appeared to be random-clustered in the cardiomyocytes of 1 day old rat, they formed a fine network between the myofibrils by the age of 3 weeks. These results allow to conclude that in early period of development, i.e. within 2-3 weeks, the diffusion of ADP to mitochondria becomes progressively restricted, that appears to be related to significant structural rearrangements such as formation of the mitochondrial network. Later (after 3 weeks) the control shifts to mi-CK, which by coupling to adenine nucleotide translocase, allows to maximally activate the processes of oxidative phosphorylation despite limited access of ADP through the OMM.


Asunto(s)
Adenosina Difosfato/metabolismo , Creatina Quinasa/metabolismo , Creatina/metabolismo , Corazón/crecimiento & desarrollo , Mitocondrias Cardíacas/metabolismo , Fibras Musculares Esqueléticas/metabolismo , Miocardio/metabolismo , Fosforilación Oxidativa , Animales , Peso Corporal , Respiración de la Célula , Electroforesis en Gel de Poliacrilamida , Colorantes Fluorescentes , Corazón/efectos de los fármacos , Cinética , Microscopía Confocal , Mitocondrias Musculares/metabolismo , Translocasas Mitocondriales de ADP y ATP/metabolismo , Músculo Esquelético/metabolismo , Miocardio/citología , Tamaño de los Órganos , Ratas , Ratas Wistar , Tripsina/farmacología
6.
Biochim Biophys Acta ; 1431(1): 97-106, 1999 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-10209283

RESUMEN

Hydrolysis of the emulsified mixture of short-chain triacylglycerols by porcine pancreatic lipase in the presence of procolipase and micellar sodium taurodeoxycholate has been studied. Increase in the content of tributyrin and trioctanoin in the mixture with triacetin had highly cooperative effects on the formation of the interfacial lipase procolipase complex. Abrupt enhancement of the complex stability was observed in the presence of 0.4-0.6 mol mol-1 of tributyrin or 0.58 mol mol-1 of trioctanoin in the substrate phase. The affinity of lipase towards interfacially bound procolipase for the trioctanoin containing 0.07-0.42 mol mol-1 of triacetin was approximately three times higher than that for pure trioctanoin. The cooperative processes involved in complex formation did not contribute to the affinity of the interfacial lipase/(pro)colipase complex towards substrate molecules and its catalytic activity.


Asunto(s)
Colipasas/química , Lipasa/química , Páncreas/enzimología , Triglicéridos/química , Animales , Colipasas/aislamiento & purificación , Emulsiones , Precursores Enzimáticos , Hidrólisis , Lipasa/aislamiento & purificación , Precursores de Proteínas/aislamiento & purificación , Solubilidad , Porcinos
7.
Mol Cell Biochem ; 184(1-2): 81-100, 1998 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9746314

RESUMEN

In this chapter we describe in details the permeabilized cell and skinned fiber techniques and their applications for studies of mitochondrial function in vivo. The experience of more than 10 years of research in four countries is summarized. The use of saponin in very low concentration (50-100 microg/ml) for permeabilisation of the sarcolemma leaves all intracellular structures, including mitochondria, completely intact. The intactness of mitochondrial function in these skinned muscle fibers is demonstrated in this work by multiple methods, such as NADH and flavoprotein fluorescence studies, fluorescence imaging, confocal immunofluorescence microscopy and respiratory analysis. Permeabilized cell and skinned fiber techniques have several very significant advantages for studies of mitochondrial function, in comparison with the traditional methods of use of isolated mitochondria: (1) very small tissue samples are required; (2) all cellular population of mitochondria can be investigated; (3) most important, however, is that mitochondria are studied in their natural surrounding. The results of research by using this method show the existence of several new phenomenon--tissue dependence of the mechanism of regulation of mitochondrial respiration, and activation of respiration by selective proteolysis. These phenomena are explained by interaction of mitochondria with other cellular structures in vivo. The details of experimental studies with use of these techniques and problems of kinetic analysis of the results are discussed. Examples of large-scale clinical application of these methods are given.


Asunto(s)
Permeabilidad de la Membrana Celular , Mitocondrias/metabolismo , Fibras Musculares Esqueléticas/ultraestructura , Adenosina Difosfato/metabolismo , Animales , Respiración de la Célula , Células Cultivadas , Creatina Quinasa/metabolismo , Grupo Citocromo c/metabolismo , Humanos , Cinética , Microscopía Electrónica , Microscopía Fluorescente , Músculo Esquelético/citología , Músculo Esquelético/metabolismo , Miocardio/citología , Miocardio/metabolismo , NADP/metabolismo , Rotenona/farmacología , Saponinas/farmacología , Tripsina/metabolismo
8.
Biochim Biophys Acta ; 1322(1): 41-59, 1997 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-9398078

RESUMEN

The purpose of this work was to investigate the mechanism of regulation of mitochondrial respiration in vivo in different muscles of normal rat and mice, and in transgenic mice deficient in desmin. Skinned fiber technique was used to study the mitochondrial respiration in the cells in vivo in the heart, soleus and white gastrocnemius skeletal muscles of these animals. Also, cardiomyocytes were isolated from the normal rat heart, permeabilized by saponin and the "ghost" (phantom) cardiomyocytes were produced by extraction of myosin with 800 mM KCl. Use of confocal immunofluorescent microscopy and anti-desmin antibodies showed good preservation of mitochondria and cytoskeletal system in these phantom cells. Kinetics of respiration regulation by ADP was also studied in these cells in detail before and after binding of anti-desmine antibodies with intermediate filaments. In skinned cardiac or soleus skeletal muscle fibers but not in fibers from fast twitch skeletal muscle the kinetics of mitochondrial respiration regulation by ADP was characterized by very high apparent Km (low affinity) equal to 300-400 microM, exceeding that for isolated mitochondria by factor of 25. In skinned fibers from m. soleus, partial inhibition of respiration by NaN3 did not decrease the apparent Km for ADP significantly, this excluding the possible explanation of low apparent affinity of mitochondria to ADP in these cells by its rapid consumption due to high oxidative activity and by intracellular diffusion problems. However, short treatment of fibers with trypsin decreased this constant value to 40-70 microM, confirming the earlier proposition that mitochondrial sensitivity to ADP in vivo is controlled by some cytoplasmic protein. Phantom cardiomyocytes which contain mostly mitochondria and cytoskeleton and retain the normal shape, showed also high apparent Km values for ADP. Therefore, they are probably the most suitable system for studies of cellular factors which control mitochondrial function in the cells in vivo. In these phantom cells anti-desmin antibodies did not change the kinetics of respiration regulation by ADP. However, in skinned fibers from the heart and m. soleus of transgenic desmin-deficient mice some changes in kinetics of respiration regulation by ADP were observed: in these fibers two populations of mitochondria were observed, one with usually high apparent Km for ADP and the second one with very low apparent Km for ADP. Morphological observations by electron microscopy confirmed the existence of two distinct cellular populations in the muscle cells of desmin-deficient mice. The results conform to the conclusion that the reason for observed high apparent Km for ADP in regulation of oxidative phosphorylation in heart and slow twitch skeletal muscle cells in vivo is low permeability of mitochondrial outer membrane porins but not diffusion problems of ADP into and inside the cells. Most probably, in these cells there is a protein associated with cytoskeleton, which controls the permeability of the outer mitochondrial porin pores (VDAC) for ADP. Desmin itself does not display this type of control of mitochondrial porin pores, but its absence results in appearance of cells with disorganised structure and of altered mitochondrial population probably lacking this unknown VDAC controlling protein. Thus, there may be functional connection between mitochondria, cellular structural organisation and cytoskeleton in the cells in vivo due to the existence of still unidentified protein factor(s).


Asunto(s)
Adenosina Difosfato/metabolismo , Respiración de la Célula/fisiología , Citoesqueleto/metabolismo , Mitocondrias Cardíacas/metabolismo , Mitocondrias Musculares/metabolismo , Porinas , Animales , Anticuerpos/inmunología , Células Cultivadas , Creatina/farmacología , Citoesqueleto/ultraestructura , Desmina/genética , Desmina/fisiología , Difusión , Cinética , Masculino , Proteínas de la Membrana/metabolismo , Ratones , Ratones Transgénicos , Microscopía Electrónica , Músculo Esquelético/metabolismo , Músculo Esquelético/ultraestructura , Oxígeno/metabolismo , Permeabilidad , Ratas , Ratas Wistar , Azida Sódica/farmacología , Tripsina/metabolismo , Tripsina/farmacología , Canales Aniónicos Dependientes del Voltaje
9.
Eur J Biochem ; 241(3): 909-15, 1996 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-8944782

RESUMEN

The kinetics of in vivo regulation of mitochondrial respiration by ADP was studied in rat heart, slow-twitch skeletal muscle (soleus) and fast-twitch skeletal muscle (gastrocnemius, plantaris, quadriceps and tibialis anterior) by means of saponin-skinned fibres. Mitochondrial respiratory parameters were determined in the absence and presence of creatine (20 mM), and the effect of proteolytic enzymes (trypsin, chymotrypsin or elastase) on these parameters was investigated in detail. The results of these experiments confirm the observation of Veksler et al. [Veksler, V.I., Kuznetsov, A. V., Anflous, K., Mateo, P., van Deursen, J., Wieringa, B. & Ventura-Clapier, R. (1995) J. Biol. Chem. 270, 19921-19929], who studied muscle fibres from normal and transgenic mice, that the kinetics of respiration regulation in muscle cells is tissue specific. We found that in rat cardiac and soleus muscle fibres the apparent K(m) for respiration regulation was 300-400 microM and decreased to 50-80 microM in the presence of creatine. In contrast, in skinned fibres from gastrocnemius, plantaris, tibialis anterior and quadriceps muscles, this value was initially very low, 10-20 microM, i.e. the same as that is in isolated muscle mitochondria, and the effect of creatine was not observable under these experimental conditions. Treatment of the fibres with trypsin, chymotrypsin or elastase (0.125 micrograms/ml) for 15 min decreased the apparent K(m) for ADP in cardiac and soleus muscle fibres to 40-98 microM without significant alteration of Vmax or the intactness of outer mitochondrial membrane, as assessed by the cytochrome c test. In fibres from gastrocnemius, trypsin increased the apparent K(m) for ADP transiently. The effects of trypsin and chymotrypsin were studied in detail and found to be concentration dependent and time dependent. The effects were characterised by saturation phenomenon with respect to the proteolytic enzyme concentration, saturation being observed above 1 microM enzyme. These results are taken to show that in cardiac and slow-twitch skeletal muscle, the permeability of the outer mitochondrial membrane to adenine nucleotides is low and controlled by a cytoplasmic protein that is sensitive to trypsin and chymotrypsin. This protein may participate in feedback signal transduction by a mechanism of vectorial-ligand conduction. This protein factor is not expressed in fast-twitch skeletal muscle, in which cellular mechanism of regulation of respiration is probably very different from that of slow-twitch muscles.


Asunto(s)
Adenosina Difosfato/farmacología , Fibras Musculares de Contracción Rápida/metabolismo , Fibras Musculares de Contracción Lenta/metabolismo , Consumo de Oxígeno/efectos de los fármacos , Adenosina Trifosfato/farmacología , Animales , Creatina/farmacología , Corazón/efectos de los fármacos , Cinética , Mitocondrias/metabolismo , Fibras Musculares de Contracción Rápida/efectos de los fármacos , Fibras Musculares de Contracción Rápida/ultraestructura , Fibras Musculares de Contracción Lenta/efectos de los fármacos , Fibras Musculares de Contracción Lenta/ultraestructura , Músculo Esquelético/efectos de los fármacos , Músculo Esquelético/metabolismo , Músculo Esquelético/ultraestructura , Miocardio/metabolismo , Miocardio/ultraestructura , Ratas , Ratas Wistar , Serina Endopeptidasas/farmacología , Especificidad de la Especie , Distribución Tisular
10.
Bioorg Khim ; 12(7): 985-7, 1986 Jul.
Artículo en Ruso | MEDLINE | ID: mdl-3768053

RESUMEN

Chemical modification of porcine pancreatic lipase by increasing amounts of [2, 3-3H] succinic anhydride revealed the presence of two highly reactive amino groups in the enzyme. The initial modification of lipase with p-nitrophenyl acetate enabled practically selective modification of a single amino group in the enzyme molecule. The lipolytic activity of succinylated enzymes in micellar solution of sodium taurodeoxycholate in the presence of 10-fold excess of colipase was completely suppressed, and the monosuccinylated lipase did not bind to colipase-agarose column or to the surface of tributyrin emulsion in micellar solution of taurodeoxycholate in the presence of colipase. It was concluded that the N-terminal alpha-amino group of the enzyme is essential for lipase-colipase complex formation in true solution and for enzyme binding to the bile salt covered substrate surface in the presence of colipase.


Asunto(s)
Aminoácidos/análisis , Lipasa/aislamiento & purificación , Páncreas/enzimología , Animales , Sitios de Unión , Activación Enzimática/efectos de los fármacos , Técnicas In Vitro , Cinética , Lipasa/metabolismo , Porcinos
11.
FEBS Lett ; 184(2): 193-6, 1985 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-3922786

RESUMEN

The reaction of porcine pancreatic lipase with an organophosphorus compound bis-p-nitrophenyl methylphosphonate (BNMP) resulted in the complete and irreversible inhibition of lipase activity on tributyrin emulsion (25 degrees C, pH 7.5, 40 mM Na-veronal-HCl buffer) whereas the activity of the enzyme on p-nitrophenyl acetate solution remained unchanged. The BNMP-modified enzyme did not bind on hydrophobic interfaces (siliconized glass beads). Tyr 49 was presumed to be the modification site, and the conclusion has been made that this residue is implicated in the interface recognition site of pancreatic lipase.


Asunto(s)
Lipasa/antagonistas & inhibidores , Compuestos Organofosforados/farmacología , Animales , Sitios de Unión , Cinética , Páncreas/enzimología , Serina/antagonistas & inhibidores , Porcinos , Tirosina/antagonistas & inhibidores
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