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1.
Environ Sci Pollut Res Int ; 23(3): 2513-20, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26423288

RESUMEN

The aim of this study was to evaluate the genotoxic effect of pesticides in exfoliated buccal cells of workers occupationally exposed in Guerrero, Mexico, using the comet assay and the micronucleus test. The study compared 111 agricultural workers in three rural communities (Arcelia 62, Ajuchitlan 13, and Tlapehuala 36), with 60 non-exposed individuals. All the participants were males. The presence of DNA damage was investigated in the exfoliated buccal cells of study participants with the comet assay and the micronucleus (MN) test; comet tail length was evaluated in 100 nuclei and 3000 epithelial cells of each individual, respectively; other nuclear anomalies such as nuclear buds, karyolysis, karyorrhexis, and binucleate cells were also evaluated. Study results revealed that the tail migration of DNA and the frequency of MN increased significantly in the exposed group, which also showed nuclear anomalies associated with cytotoxic or genotoxic effect. No positive correlation was noted between exposure time and tail length and micronuclei frequencies. No significant effect on genetic damage was observed as a result of age, smoking, and alcohol consumption. The MN and comet assay in exfoliated buccal cells are useful and minimally invasive methods for monitoring genetic damage in individuals exposed to pesticides. This study provided valuable data for establishing the possible risk to human health associated with pesticide exposure.


Asunto(s)
Monitoreo del Ambiente , Agricultores , Exposición Profesional , Plaguicidas/toxicidad , Adulto , Núcleo Celular , Ensayo Cometa , Daño del ADN , Humanos , Masculino , México , Pruebas de Micronúcleos , Persona de Mediana Edad , Mucosa Bucal/efectos de los fármacos , Exposición Profesional/análisis , Fumar
2.
Bol. méd. Hosp. Infant. Méx ; 70(2): 107-115, may.-abr. 2013. ilus, tab
Artículo en Español | LILACS | ID: lil-701230

RESUMEN

Introducción. Las PM2.5 son componentes de la atmósfera de la Ciudad de México. Contienen, entre otros compuestos, los hidrocarburos aromáticos policíclicos, que tienen efectos tóxicos conocidos. Debido a las diferencias en la composición de las PM2.5 en las diferentes zonas de la Ciudad de México, y la falta de información sobre sus efectos, el objetivo del estudio fue evaluar la cito y genotoxicidad de la fracción orgánica soluble que contienen los hidrocarburos aromáticos policíclicos, de las PM2.5 provenientes de las estaciones de monitoreo Noreste (NE), Centro (C) y Suroeste (SO) de la Ciudad de México, en cultivo de células NL-20 humanas durante 24 horas. Métodos. Se extrajo la fracción orgánica soluble de los filtros con las PM2.5 de las diferentes estaciones de monitoreo. Se cultivaron las células bronquiales humanas y, posteriormente, se realizaron los ensayos de exposición a la fracción orgánica soluble para evaluar el efecto en la viabilidad y en la inducción de genotoxicidad. Resultados. Los resultados mostraron que 0.1 μg/μl de fracción orgánica soluble de la estación Centro fue la más citotóxica, reduciendo a 52.4% y 54.2% la viabilidad celular, en las temporadas tanto de sequía como de lluvia, respectivamente. Esta fracción orgánica soluble indujo anormalidades celulares, como multinucleación y atipia nuclear. Los porcentajes contrastaron con los obtenidos de la estación NE que fueron 91.2% y 85% a la misma concentración, respectivamente (p <0.05). La concentración de 0.1 μg/μl, tanto de la estación NE como de la del C, fue genotóxica. Conclusiones. La fracción orgánica soluble de la zona Centro fue la más citotóxica, ya que es la zona con mayor concentración de automóviles que son la fuente principal de hidrocarburos aromáticos policíclicos.


Background. PM2.5 are components of the atmosphere of Mexico City and contain polycyclic aromatic hydrocarbons (PAH), which induce toxic effects. Due to different compositions of the PM2.5 in all zones of Mexico City and the lack of information about their effects, the main purpose of this study was to evaluate the cytotoxicity and genotoxicity due to soluble organic fractions (SOFs), which contains PAH isolated from the PM2.5 collected from several monitoring stations in Mexico City (northeast, downtown, and southwest) in a cell culture of human line NL-20 during a 24-h period. Methods. We extracted the soluble organic fraction of PM2.5 filters from the different monitoring stations. Human bronchial cells were cultured and subsequently assays were performed on the exposure of SOFs to evaluate the effect on the viability and induction of genotoxicity. Results. Results show that 0.1 μg/μl of SOF from the downtown station was more cytotoxic, reducing cell viability to 52.4% and 54.2% in both dry and rainy periods, respectively. Also, cellular anomalies were induced such as multinucleation and nuclear atypia. These percentages of cytotoxicity contrasted against those obtained from SOFs from the northeast area that were 91.2% and 85% at the same concentration during both dry and rainy periods, respectively (p <0.05). Only at 0.1 μg/μl SOF were the results genotoxic from the northeast and downtown (p <0.05). Conclusions. SOFs from the downtown zone were the most cytotoxic due to the high concentration of automobiles as the main sources of PAH.

3.
Chemosphere ; 92(9): 1117-25, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23434078

RESUMEN

This study used a cell/microbe co-incubation assay to evaluate the effect of four organophosphorus insecticides (parathion-methyl, azinphos-methyl, omethoate, and methamidophos) metabolized by coriander (Coriandrum sativum). The reverse mutation of Salmonella typhimurium strains TA98 and TA100 was used as an indicator of genetic damage. Treatments with these insecticides inhibited peroxidase activity in plant cells by between 17% (omethoate) and 98% (azinphos-methyl) and decreased plant protein content by between 36% (omethoate) and 99.6% (azinphos-methyl). Azinphos-methyl was the most toxic when applied directly. In the Ames test, treatments applied directly to strain TA100 killed the bacteria; however, the presence of plant metabolism detoxified the system and permitted the growth of bacteria. In strain TA98, plant metabolites of insecticides were mutagenic. This result suggests that the tested pesticides produce mutations through frameshifting. The same pesticides were applied to human skin (HaCaT) and lung (NL-20) cell lines to evaluate their effects on cell viability. Pesticides applied directly were more cytotoxic than the combination of pesticide plus coriander metabolic fraction. Omethoate and methamidophos did not affect the viability of HaCaT cells, but azinphos-methyl and parathion-methyl at 100 and 1000µgmL(-1) significantly decreased viability (p<0.05). The NL-20 cell line was remarkably sensitive to the direct application of insecticides. All of the treatment conditions caused decreases in NL-20 cell viability (e.g., viability decreased to 12.0% after parathion-methyl treatment, to 14.7% after azinphos-methyl treatment, and to 6.9% after omethoate treatment). Similar to the Ames test, all of the insecticides showed decreased toxicity in human cells when they were cultured in the presence of plant metabolism. In conclusion, when the studied organophosphorus insecticides were plant-metabolized, they induced mutations in the bacterial strain TA98. In human cell lines, plant metabolism reduced the cytotoxic properties of the insecticides, and human keratinocytes were more resistant to mortality than bronchial cells.


Asunto(s)
Coriandrum/metabolismo , Insecticidas/metabolismo , Compuestos Organofosforados/metabolismo , Plantas/metabolismo , Salmonella typhimurium/efectos de los fármacos , Contaminantes Químicos del Agua/metabolismo , Línea Celular , Supervivencia Celular/efectos de los fármacos , Mutación del Sistema de Lectura/efectos de los fármacos , Humanos , Inactivación Metabólica , Insecticidas/química , Insecticidas/toxicidad , Pruebas de Mutagenicidad , Compuestos Organofosforados/química , Compuestos Organofosforados/toxicidad , Peroxidasas/antagonistas & inhibidores , Peroxidasas/metabolismo , Proteínas de Plantas/antagonistas & inhibidores , Proteínas de Plantas/metabolismo , Salmonella typhimurium/genética , Contaminantes Químicos del Agua/química , Contaminantes Químicos del Agua/toxicidad
4.
J Toxicol ; 2012: 612647, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22545045

RESUMEN

Calypso (thiacloprid), Poncho (clothianidin), Gaucho (imidacloprid), and Jade (imidacloprid) are commercial neonicotinoid insecticides, a new class of agrochemicals in México. However, genotoxic and cytotoxic studies have not been performed. In the present study, human peripheral blood lymphocytes (PBL) were exposed in vitro to different concentrations of the four insecticides. The genotoxic and cytotoxic effects were evaluated using the alkaline comet and trypan blue dye exclusion assays. DNA damage was evaluated using two genotoxicity parameters: tail length and comet frequency. Exposure to 9.5 × 10(-6) to 5.7 × 10(-5) M Jade; 2.8 × 10(-4) to 1.7 × 10(-3) M Gaucho; 0.6 × 10(-1) to 1.4 × 10(-1) M Calypso; 1.2 × 10(-1) to 9.5 × 10(-1) M Poncho for 2 h induced a significant increase DNA damage with a concentration-dependent relationship. Jade was the most genotoxic of the four insecticides studied. Cytotoxicity was observed in cells exposed to 18 × 10(-3) M Jade, 2.0 × 10(-3) M Gaucho, 2.0 × 10(-1) M Calypso, 1.07 M Poncho, and cell death occurred at 30 × 10(-3) M Jade, 3.3 × 10(-3) M Gaucho, 2.8 × 10(-1) M Calypso, and 1.42 M Poncho. This study provides the first report of genotoxic and cytotoxic effects in PBL following in vitro exposure to commercial neonicotinoid insecticides.

5.
Environ Int ; 35(8): 1155-9, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19665797

RESUMEN

Genotoxic damage was evaluated in 70 agricultural workers, 25 women and 45 men, exposed to pesticides in Las Grullas, Ahome, Sinaloa, Mexico, with an average of 7 years of exposure. The effect was detected through the sister chromatid exchanges (SCE) in lymphocytes of peripheral blood and micronuclei (MN) and other nuclear anomalies (NA) in buccal exfoliated cells. Also, the influence on cellular proliferation kinetics (CPK) was studied by means of the replication index (RI) and the cytotoxic effect was examined with the mitotic index (MI). The non-exposed group consisted of 70 other persons, 21 women and 47 men from the city of Los Mochis, Sinaloa, Mexico. Significant differences between the exposed and the non-exposed groups were observed in SCE, CPK, MI, MN and NA. Analysis of variance revealed that age, gender, smoking and alcohol consumption did not have a significant effect on genetic damage. However, there was a correlation between exposure time to pesticides and SCE frequency. These results could have been due to the exposure of workers to pesticides containing different chemical compounds. This study afforded valuable data to estimate the possible risk to health associated with pesticide exposure.


Asunto(s)
Agricultura , Contaminantes Ambientales/toxicidad , Mutágenos/toxicidad , Exposición Profesional/análisis , Plaguicidas/toxicidad , Adulto , Proliferación Celular/efectos de los fármacos , Monitoreo del Ambiente , Contaminantes Ambientales/sangre , Femenino , Humanos , Linfocitos/efectos de los fármacos , Masculino , México , Persona de Mediana Edad , Índice Mitótico , Mutágenos/metabolismo , Plaguicidas/sangre , Intercambio de Cromátides Hermanas/efectos de los fármacos
6.
J Chromatogr A ; 1201(2): 161-8, 2008 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-18620359

RESUMEN

Comprehensive two-dimensional gas chromatography (GCxGC) offers favourable resolution and sensitivity compared with conventional one-dimensional gas chromatography (1D-GC), as reported in many studies. These characteristics are of major interest when analytes are in trace concentration, and are present in complex mixtures, as is the case of polycyclic aromatic hydrocarbons (PAHs) in atmospheric particulate samples. Whilst GCxGC has been widely applied to identification of different types of analytes in several matrices, less seldom has it been used for quantification of these analytes. Although several quantitative methods have been proposed, they may be tedious and/or require considerable user development. Whereas quantification in 1D-GC is a routine and well-established procedure, in GCxGC, it is not so straightforward, especially where novel or untested procedures have yet to be incorporated into software packages. In the present study, it is proposed that a subset of the modulated peaks generated for each solute may be summed, based on the specific target ion mass of each compound present in a certified standard reference material (SRM) 1649a (urban dust). The ratio between a PAH and its corresponding deuterated (PAH-d) form showed that there is no statistical loss of sensitivity when this ratio is calculated based on whether the total sum of modulated peaks, or if only the two or the three most intense modulated peaks, are employed. Manual integration may be required, and here was found to give more acceptable values than automatic integration. Automated integration has been shown here to underestimate the modulated peak responses when low concentrations of PAHs were analyzed. Although for most PAHs good agreement with the certified values were observed, the analytical method needs to be further optimized for some of the other PAH, as can be see with those PAH with high variability in the range of urban dust analyzed.


Asunto(s)
Cromatografía de Gases y Espectrometría de Masas/métodos , Hidrocarburos Policíclicos Aromáticos/análisis
7.
Mutat Res ; 634(1-2): 192-204, 2007 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-17720617

RESUMEN

The concentration of breathable particles (PM(10)) in urban areas has been associated with increases in morbidity and mortality of the exposed populations, therein the importance of this study. Organic compounds adsorbed to PM(10) are related to the increased risk to human health. Although some studies have shown the lack of correlation between specific mutagenic compounds in an organic complex mixture (OCM) and the mutagenic response in several bioassays, the same organic compounds selectively separated in less complex groups can show higher or lower mutagenic responses than in the OCM. In this study, we fractionated the OCM, from the PM(10) in four organic fractions of increasing polarity (F1-F4). The Salmonella bioassay with plate incorporation was applied for each one using TA98, with and without S9 (mammalian metabolic activation), and YG1021 (without S9) strains. The most polar fraction (F4) contained the greatest mass followed by F1 (non-polar), F2 and F3 (moderately polar). The concentrations of the OCM as well as the F4 were the only variables correlated with PM(10), atmospheric thermal inversions, fire-prone area, NO(2), SO(2), CO, rain and relative humidity. This indicated that polar organic compounds were originated in gas precursors formed during the atmospheric thermal inversions as well as the product of the incomplete combustion of vehicular exhausts and of burned vegetation. The percentages of the total PAH, and the individual PAH with molecular weight > or = 228 g mol(-1) (except retene) correlated with the percentages of indirect-acting mutagenicity in TA98+S9. The percentages of the total nitro-PAH and most of the analyzed individual nitro-PAH correlated with percentages of the direct-acting mutagenicity in both TA98-S9 and YG1021, the latter being more sensitive. In general, the highest mutagenic activity (indirect and direct) was found in F3 (moderately polar) and in F4 (polar). The non-polar fraction (F1) did not exhibit any kind of mutagenicity. In 77% of the cases, mutagenic activity was higher in the sum fractions with respect to their OCM. The combinations between F1, F2 and F4, with F3 under different or equal proportions suggested that mutagenicity reduction, in the combined matter of January (with TA98+S9 and YG1021) and of May (with YG1021), was due to concentrations of mutagens and non-mutagens in each fraction, and not to an antimutagenic effect. The organic compounds present in the non-polar fractions showed no antagonism, inhibition or reduction in the most mutagenic fractions in both indirect- and direct-acting mutagenicity, and the less polar organic compounds in F3 reduced mutagenicity in F4, in both months.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Mutágenos/toxicidad , Material Particulado/toxicidad , Humanos , México , Pruebas de Mutagenicidad , Hidrocarburos Policíclicos Aromáticos/toxicidad , Salmonella typhimurium/genética
8.
Toxicol In Vitro ; 21(6): 1143-54, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17482794

RESUMEN

Ametryn and metribuzin S-triazines derivatives and EPTC thiocarbamate are herbicides used extensively in Mexican agriculture, for example in crops such as corn, sugar cane, tomato, wheat, and beans. The present study evaluated the DNA damage and cytotoxic effects of three herbicides after metabolism by Vicia faba roots in human peripheral lymphocytes using akaline single cell gel electrophoresis. Three parameters were scored as indicators of DNA damage: tail length, percentage of cells with DNA damage (with comet), and level DNA damage. The lymphocytes were treated for 2 h with 0.5-5.0 microg/ml ametryn or metribuzin and 1.5-10 microg/ml EPTC. Lymphocytes also were coincubated for 2 h with 20 microl V. faba roots extracts that had been treated for 4 h with 50-500 mg/l of the two triazines or with the thiocarbamate herbicide or with ethanol (3600 mg/l), as positive control. The lymphocytes treated with three pesticides without in vivo metabolic activation by V. faba root did not show significant differences in the mean values between genotoxic parameters compared with negative control. But when human cells were exposed to three herbicides after they had been metabolized the frequency of cell comet, tail length and level DNA damage all increased. At highest concentrations of the three herbicides produced severe DNA damage compared with S10 fraction and negative control. The linear regression analysis of the tail length values of three herbicides indicated that there was genotoxic effect concentration-response relationship with ametryn and ametribuzin but no EPTC. The ethanol induced major increase DNA damage compared with S10 fraction and the three pesticides. There were not effects in cell viability with treatment EPTC and metribuzin whether or not it had been metabolized. High concentrations of ametryn alone and after it had been metabolized decreased cell viability compared with the negative control. The results demonstrated that the three herbicides needed to be activated by the V. faba root metabolism to produce DNA damage in human peripheral lymphocyte. The alkaline comet technique is a rapid and sensitive assay, to quickly evaluate DNA damage the metabolic activation of herbicide products by V. faba root in human cells in vitro.


Asunto(s)
Herbicidas/metabolismo , Herbicidas/toxicidad , Linfocitos/efectos de los fármacos , Mutágenos/metabolismo , Mutágenos/toxicidad , Vicia faba/metabolismo , Biotransformación , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Ensayo Cometa , Daño del ADN , Humanos , Linfocitos/fisiología , Extractos Vegetales/farmacología , Raíces de Plantas/metabolismo , Tiocarbamatos/toxicidad , Triazinas/metabolismo , Triazinas/toxicidad
9.
Toxicol Lett ; 153(2): 283-92, 2004 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-15451560

RESUMEN

Aromatic amines are metabolically activated into mutagenic compounds by both animal and plant systems. The 4-nitro-o-phenylenediamine (NOP) is a well-known direct-acting mutagen whose mutagenic potential can be enhanced by plant metabolism; m-phenylenediamine (m-PDA) is converted to mutagenic products detected by the Salmonella typhimurium TA98 strain, and 2-aminofluorene (2-AF) is the plant-activated promutagen most extensively studied. Plant cells activate both 2-AF and m-PDA into potent mutagens producing DNA frameshift mutations. Coriander (Coriandrum sativum) is a common plant included in the Mexican diet, usually consumed uncooked. The antimutagenic activity of coriander juice against the mutagenic activity of 4-nitro-o-phenylenediamine, m-phenylenediamine and 2-aminofluorene was investigated using the Ames reversion mutagenicity assay (his- to his+) with the S. typhimurium TA98 strain as indicator organism. The plant cell/microbe coincubation assay was used as the activating system for aromatic transformation and plant extract interaction. Aqueous crude coriander juice significantly decreased the mutagenicity of metabolized aromatic amines (AA) in the following order: 2-AF (92.43%) > m-PDA (87.14%) > NOP (83.21%). The chlorophyll content in vegetable juice was monitored and its concentration showed a positive correlation with the detected antimutagenic effect. Protein content and peroxidase activity were also determined. The concentration of coriander juice (50-1000 microl/coincubation flask) was neither toxic nor mutagenic. The similar shape of the antimutagenic response curves obtained with coriander juice and chlorophyllin (used as a subrogate molecule of chlorophyll) indicated that comparable mechanisms of mutagenic inhibition could be involved. The negative correlation between chlorophyll content and mutagenic response of the promutagenic and direct-acting used amines allows us to deduce that a chemical interaction takes place between the two molecules, leading to the inactivation of mutagenic moiety.


Asunto(s)
Antimutagênicos/farmacología , Coriandrum , Fluorenos/toxicidad , Fenilendiaminas/toxicidad , Peroxidasas/metabolismo , Proteínas de Plantas/análisis
10.
Mutat Res ; 558(1-2): 7-17, 2004 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-15036114

RESUMEN

Extracted organic material (EOM) from PM10 airborne particles collected during three distinct seasons in Mexico City was assayed for genotoxicity, cytokinetic effects and cytotoxicity. Using sister chromatid exchange (SCE) for genotoxicity, replication index (RI) and mitotic index (MI) for cytokinetics, and microscopic evaluation (cell death) for cytotoxicity on human lymphocytes exposed to increasing concentrations of EOM, this study showed that the extent of genotoxic, cytokinetic, and cytotoxic change caused by pollutants depended at least in part on the seasonal weather. Bioactivated extracts of samplings in April (warm and dry), August (warm and rainy) and November (cool and dry) produced the highest rate of genotoxicity (SCE) in November and the lowest rate in April. Without bioactivation the rates were still highest in November but equally low in April and August. Thus, almost all of the genotoxic responses in the bioactivation experiments during these latter months were from promutagens. However, in November equally large amounts of mutagens and promutagens were present. Cytokinetics (RI and MI) showed steady decreases as the concentration of EOM was increased, independent of bioactivation and weather. Cytotoxicity (cell death) occurred when higher concentrations of EOM were used. EOM was the least cytotoxic in April and most cytotoxic in November. Bioactivation was not required for cytokinetic change and cytotoxicity, suggesting that the agents involved may be different from the genotoxic agents. Using gas chromatography/mass spectroscopy (GC/MS) it could be shown that the type of pollutant chemicals in the EOM also depended on the weather. In particular, all 15 polycyclic aromatic hydrocarbons (PAH) studied were present in November EOM whereas four different PAH were absent in the other 2 months. Generally the amounts were less in the EOM collected in April and August. Conversely, nitro-PAH compounds were greater in number in April EOM but higher in amount in November EOM. The significance of these findings is discussed.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Compuestos Orgánicos/análisis , Estaciones del Año , Contaminantes Atmosféricos/química , Cromatografía de Gases y Espectrometría de Masas , México , Pruebas de Mutagenicidad
11.
Arch Environ Health ; 59(9): 441-8, 2004 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16381484

RESUMEN

Samples of human blood sera (N = 118) for the determination of organochlorine pesticide levels were obtained at autopsy from auto accident victims in Veracruz, Mexico, during the years 2000 and 2001. The presence of hexachlorobenzene (HCH), beta-hexachlorocyclohexane (beta-HCH), 2,2-bis(p-chlorophenyl)-1,1-dichloroethylene (p,p'-DDE), 1,1,1-trichloro-2,2-bis(4-chlorophenyl)ethane (p,p'-DDT), and o,p'-DDT was confirmed by gas-liquid-electron-capture detection chromatography. During the years 2000 and 2001, the respective mean levels of (a) HCB, (b) beta-HCH, (c) p,p'-DDE, (d) o,p'-DDT, (e) p,p'-DDT, and (f) total DDT were (a) 2.1 ng/ml and 1.4 ng/ml, (b) 3.0 ng/ml and 3.6 ng/ml, (c) 21.1 ng/ml and 23.8 ng/ml, (d) 1.2 ng/ml and 0.8 ng/ml, (e) 3.3 ng/ml and 2.5 ng/ml, and, finally, (f) 25.4 ng/ml and 27.1 ng/ml, respectively. High levels of persistent organochlorine pesticides were--and continue to be--present in the blood of individuals who live in Mexico. Levels of insecticide metabolites (e.g., beta-HCH, p,p'-DDE) in blood have increased during recent years (1997-2001), but levels of p,p'-DDT decreased in 2001 because the use of DDT for the control of malaria in Mexico was restricted.


Asunto(s)
Hidrocarburos Clorados/sangre , Plaguicidas/sangre , Accidentes de Tránsito , Adolescente , Adulto , Anciano , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , México , Persona de Mediana Edad
12.
In. México. Comisión Nacional de Bioética; Academia Nacional Mexicana de Bioética. Salud, derechos humanos y responsabilidad científica: contenidos bioéticos. Ciudad de México, Comisión Nacional de Bioética, 1997. p.492-6.
Monografía en Español | LILACS | ID: lil-239392
13.
In. México. Comisión Nacional de Bioética; Academia Nacional Mexicana de Bioética. Salud, derechos humanos y responsabilidad científica: contenidos bioéticos. Ciudad de México, Comisión Nacional de Bioética, 1997. p.505-8.
Monografía en Español | LILACS | ID: lil-239395
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