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1.
Biophys Chem ; 266: 106460, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32890944

RESUMO

Cinacalcet (CT) is an important drug for the treatment hyperparathyroidism. Only few studies havereported thepotential interaction between CT and other potentially coadministered drugs. In this study, the potential of invitro interaction between CT and DF sodium (DF-Na) was investigated. An ion pair salt of CT with DF was obtained by mixing the two compounds in solution; the product was fully characterized by HPLC analysis, UV, FTIR, NMR spectroscopy in addition to DSC. The solubility and partition coefficients were found to significantly decrease and increase, respectively, for the obtained ion pair salt in comparison to the parent compounds. Dissolution studies in phosphate buffer pH 6.8 revealed a significant decrease in the dissolution of an already poorly water soluble drug (decrease to ~20% of the original). Permeation studies, through Caco-2 cells monolayer, revealed a significant decrease in permeation of CT when coexisted with DF (almost to half). Apparent permeability coefficient (Papp) decreased from 3.6 × 10-6 to 1.8 × 10-6 cm/s. Interestingly, a structure for the formed CT-DF salt that could explain the above findings (increase in lipophilicity), could be proposed based on structural modelling, molecular dynamic simulations and NMR proton chemical shifts analysis.


Assuntos
Cinacalcete/química , Diclofenaco/química , Modelos Moleculares , Estrutura Molecular
2.
Prog Biomater ; 9(1-2): 1-14, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32002771

RESUMO

Single-walled carbon nanotubes (SWCNTs) containing biomaterial with enhanced mechanical properties for the potential orthopedic application were synthesized and investigated. X-ray diffraction and X-ray fluorescence analysis were indications of the formation of calcium-deficient (Ca/P = 1.65) hydroxyapatite (HA) with a small carbonate content under influence of microwave irradiation. The investigated mechanical properties (maximal relative deformation, compressive strength and Young's modulus) of SWCNT loaded HA-alginate composites confirm their dependence on SWCNTs content. The compressive strength of HA-alginate-SWCNT and the HA-alginate control (202 and 159 MPa, respectively) lies within the values characteristic for the cortical bone. The addition of 0.5% SWCNT, in relation to the content of HA, increases the Young's modulus of the HA-alginate-SWCNT (645 MPa) compared to the SWCNT-free HA-alginate sample (563 MPa), and enhances the material shape stability in simulated physiological conditions. Structural modeling of HA-alginate-SWCNT system showed, that physical adsorption of SWCNT into HA-alginate occurs by forming triple complexes stabilized by solvophobic/van der Waals interactions and H-bonds. The high-performance liquid chromatography demonstrated the influence of SWCNTs on the sustained anaesthesinum drug (used as a model drug) release (456 h against 408 h for SWCNT-free sample). Cell culture assay confirmed biocompatibility and stimulation of osteoblast proliferation of 0.05% and 0.5% SWCNT-containing composites during a 3-day cultivation. All these facts may suggest the potential possibility of using the SWCNT-containing materials, based on HA and alginate, for bone tissue engineering.

3.
Cell Mol Bioeng ; 12(1): 41-51, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31719898

RESUMO

INTRODUCTION: Landomycins are a subgroup of angucycline antibiotics that are produced by Streptomyces bacteria and possess strong antineoplastic potential. Literature data suggest that enhancement of the therapeutic activity of this drug may be achieved by means of creating specific drug delivery systems. Here we propose to adopt C60 fullerene as flexible and stable nanocarrier for landomycin delivery into tumor cells. METHODS: The methods of molecular modelling, dynamic light scattering and Fourier transform infrared spectroscopy were used to study the assembly of C60 fullerene and the anticancer drug Landomycin A (LA) in aqueous solution. Cytotoxic activity of this nanocomplex was studied in vitro towards two cancer cell lines in comparison to human mesenchymal stem cells (hMSCs) using 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) test and a live/dead assay. The morphology of the cells incubated with fullerene-drug nanoparticles and their uptake into target cells were studied by scanning electron microscopy and fluorescence light microscopy. RESULTS: The viability of primary cells (hMSCs, as a model for healthy cells) and cancer cell lines (human osteosarcoma cells, MG-63, and mouse mammary cells, 4T1, as models for cancer cells) was studied after incubation with water-soluble C60 fullerenes, LA and the mixture C60 + LA. The C60 + LA nanocomplex in contrast to LA alone showed higher toxicity towards cancer cells and lower toxicity towards normal cells, whereas the water-soluble C60 fullerenes at the same concentration were not toxic for the cells. CONCLUSIONS: The obtained physico-chemical data indicate a complexation between the two compounds, leading to the formation of a C60 + LA nanocomposite. It was concluded that immobilization of LA on C60 fullerene enhances selectivity of action of this anticancer drug in vitro, indicating on possibility of further preclinical studies of novel C60 + LA nanocomposites on animal tumor models.

4.
Exp Oncol ; 41(2): 106-111, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31262160

RESUMO

BACKGROUND: Cisplatin (Cis-Pt) is a widely used anticancer drug but its therapeutic efficiency is limited by hemato-, cardio-, hepato-, nephro- and neurotoxicity. Complexation of Cis-Pt with C60 fullerene nanoparticle will allow to enhance the antitumor activity of the drug and to reduce its side toxic effects. AIM: To estimate the antitumor effects of С60-Cis-Pt nanocomplex in Lewis lung carcinoma (LLC) and analyze hematological toxicity in tumor-bearing mice. MATERIALS AND METHODS: Complexation of C60 fullerene and Cis-Pt molecule was studied by computer simulation. С60-Cis-Pt nanocomplex was i.p. injected to LLC-bearing mice in a total dose of 7.5 mg/kg (C60:Cis-Pt as 3.75:3.75 mg/kg). The survival of tumor-bearing mice and the relative reduction of tumor weight was recorded. Blood indices were determined using the Particle Counter PCE-210 automatic hematology analyzer. RESULTS: Computer simulation demonstrated the formation of С60-Cis-Pt nanocomplex in physiological medium and its stability due to the hydrophobic interactions. Treatment with C60-Cis-Pt nanocomplex increased survival time of LLC-bearing mice by 32%, normalized hemoglobin content (up to 100 g/l), erythrocyte and platelet count as compared to the untreated LLC-bearing mice. Tumor weight decreased by 35.5%; the mitotic index of tumor cells decreased by 78%, and apoptotic index increased by 75%. The revealed effects of the C60-Cis-Pt nanocomplex were more pronounced than the effects of Cis-Pt or C60 fullerene alone in equivalent dose. CONCLUSION: Treatment with C60-Cis-Pt nanocomplex prolonged the survival of LLC-bearing mice and reduced anemia in LLC-bearing mice.


Assuntos
Antineoplásicos/uso terapêutico , Carcinoma Pulmonar de Lewis/tratamento farmacológico , Cisplatino/uso terapêutico , Simulação por Computador , Fulerenos/uso terapêutico , Animais , Carcinoma Pulmonar de Lewis/patologia , Linhagem Celular Tumoral , Cisplatino/química , Fulerenos/química , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Nanopartículas/química
5.
Nanoscale Res Lett ; 12(1): 8, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28058641

RESUMO

The antitumor activity of pristine C60 fullerene aqueous solution (C60FAS) compared to 5-fluorouracil (5-FU) and pyrrole derivative 1-(4-Cl-benzyl)-3-Cl-4-(CF3-fenylamino)-1H-pyrrol-2.5-dione (MI-1) cytostatic drugs was investigated and analyzed in detail using the model of colorectal cancer induced by 1.2-dimethylhydrazine (DMH) in rats. The number, size, and location of the tumors were measured, and the pathology was examined. It was found that the number of tumors and total lesion area decreased significantly under the action of C60FAS and MI-1. Because these drugs have different mechanisms of action, their simultaneous administration can potentially increase the effectiveness and significantly reduce the side effects of antitumor therapy.

6.
Mater Sci Eng C Mater Biol Appl ; 59: 398-403, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26652389

RESUMO

With an aim to elucidate the effects of C60 fullerene complexed with antibiotic doxorubicin (Dox) on model bilipid membranes (BLM), the investigation of the electrical properties of BLM under the action of Dox and C60 fullerene, and of their complex, C60+Dox,was performed. The complex as well as its components exert a clearly detectable influence on BLM, which is concentration-dependent and also depends on phospholipid composition. The mechanism of this effect originates either from intermolecular interaction of the drug with fatty-acid residues of phospholipids, or from membranotropic effects of the drug-induced lipid peroxidation, or from the sum of these two effects. By fluorescence microscopy the entering of C60 + Dox complex into HeLa cells was directly shown.


Assuntos
Doxorrubicina , Portadores de Fármacos , Fulerenos , Bicamadas Lipídicas , Peroxidação de Lipídeos/efeitos dos fármacos , Doxorrubicina/química , Doxorrubicina/farmacocinética , Doxorrubicina/farmacologia , Portadores de Fármacos/química , Portadores de Fármacos/farmacocinética , Portadores de Fármacos/farmacologia , Fulerenos/química , Fulerenos/farmacocinética , Fulerenos/farmacologia , Células HeLa , Humanos , Bicamadas Lipídicas/química , Bicamadas Lipídicas/farmacocinética , Bicamadas Lipídicas/farmacologia
7.
Phys Chem Chem Phys ; 17(39): 26084-92, 2015 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-26377043

RESUMO

The specific features of structural self-organization of C60 fullerene and antitumor drug cisplatin (Cis) in physiological solution (0.9% NaCl) have been investigated by means of small-angle neutron scattering, scanning electron and atomic force microscopies, as well as isothermal titration calorimetry, dynamic light scattering and UV-Vis spectroscopy. The formation of C60 + Cis complexes, has been reported, unveiling the mechanism of medico-biological synergy observed during administration of the mixture of these drugs.


Assuntos
Antineoplásicos/química , Cisplatino/química , Fulerenos/química , Calorimetria , Luz , Microscopia de Força Atômica , Modelos Moleculares , Difração de Nêutrons , Espalhamento de Radiação , Espalhamento a Baixo Ângulo , Cloreto de Sódio/química , Soluções
8.
Fiziol Zh (1994) ; 61(2): 48-59, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26387160

RESUMO

The effect of C60 fullerene nanoparticles (30-90 nm) on dynamics of force response development to stimulated soleus muscle of rat with ischemic pathology, existing in muscle during the first 5 hours and first 5 days after 2 hours of ischemia and further reperfusion, was investigated using the tensometric method. It was found that intravenous and intramuscular administration of C60 fullerene with a single dose of 1 mg/kg exert different therapeutic effects dependent on the investigated macroparameters of muscle contraction. The intravenous drug administration was shown to be the most optimal for correction of the velocity macroparameters of contraction due to muscle tissue ischemic damage. In contrast, the intramuscular administration displays protective action with respect to motions associated with generation of maximal force response or continuous contractions elevating the level of muscle fatigue. Hence, C60 fullerene, being a strong antioxidant, may be considered as a promising agent for effective therapy of pathological states of the muscle system caused by pathological action of free radical processes.


Assuntos
Antioxidantes/farmacologia , Fulerenos/farmacologia , Contração Muscular/efeitos dos fármacos , Traumatismo por Reperfusão/tratamento farmacológico , Animais , Injeções Intramusculares , Injeções Intravenosas , Masculino , Fadiga Muscular/efeitos dos fármacos , Músculo Esquelético/efeitos dos fármacos , Músculo Esquelético/fisiopatologia , Estresse Oxidativo , Ratos , Ratos Wistar , Traumatismo por Reperfusão/fisiopatologia
9.
J Biomed Nanotechnol ; 11(7): 1139-52, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26307837

RESUMO

Development of nanocarriers for effective drug delivery to molecular targets in tumor cells is a real problem in modern pharmaceutical chemistry. In the present work we used pristine C60 fullerene as a platform for delivery of anticancer drug doxorubicin (Dox) to its biological targets. The formation of a complex of C60 fullerene with Dox (C60 + Dox) is described and physico-chemical characteristics of such complex are presented. It was found that Dox conjugation with C60 fullerene leads to 1.5-2-fold increase in Dox toxicity towards various human tumor cell lines, compared with such effect when the drug is used alone. Cytotoxic activity of C60 + Dox complex is accompanied by an increased level of cell produced hydrogen peroxide at early time point (3 h) after its addition to cultured cells. At the same time, cellular production of superoxide radicals does not change in comparison with the effect of Dox alone. Cytomorphological studies have demonstrated that C60 + Dox complexes kill tumor cells by apoptosis induction. The results of in vivo experiments using Lewis lung carcinoma in mice confirmed the enhancement of the Dox toxicity towards tumor cells after drug complexation with C60 fullerene. The effect of such complex towards tumor-bearing mice was even more pronounced than that in the in vitro experiment with targeting human tumor cells. The tumor volume decreased by 2.5 times compared with the control, and an average life span of treated animals increased by 63% compared with control. The obtained results suggest a great perspective of application of C60 + Dox complexes for chemotherapy of malignant tumors.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Doxorrubicina/administração & dosagem , Fulerenos/administração & dosagem , Nanoconjugados/administração & dosagem , Neoplasias Experimentais/tratamento farmacológico , Animais , Apoptose/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Fulerenos/química , Células HL-60 , Humanos , Células MCF-7 , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Nanoconjugados/química , Nanoconjugados/ultraestrutura , Neoplasias Experimentais/patologia , Tamanho da Partícula , Resultado do Tratamento
10.
J Phys Condens Matter ; 27(12): 125004, 2015 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-25694420

RESUMO

Friction force microscopy and single-molecule force spectroscopy are experimental methods to explore multistable energy landscapes by means of a controlled reduction of the energy barriers between adjacent potential minima. This affects the system's interstate transition rates proportional to e(-ΔE(f)/kBT), with ΔE(f) being the barrier height, k(B)T the thermal energy, and f the elastic force applied. It is often assumed that, at large forces, the barrier height scales as (f(c) - f)(3/2), where f(c) is the critical force, at which the barrier vanishes. We show that, for the elastic forces produced by a pulling device of finite stiffness κ, this scaling relation is actually incorrect. Rather, the barrier is a double-valued function of force of the form E(f) ∝ (κ/κ(c) ±âˆš1 − f/f(0))(3), where f(0) is the maximal force that the system potential can generate, and the characteristic stiffness κ(c) is not necessarily much larger than κ. In particular, for finite κ, the barrier vanishes at a certain force f(κ) < f(0), but, in view of the double-valuedness of ΔE(f), the maximal force f0 can still be reached. We derive the relation between the most probable force at the moment of transition, fm, and the pulling velocity, v. The usually assumed scaling f(m) ∝ (ln v)(2/3) is recovered as the κ → 0 limit of our more general result, but becomes increasingly worse as κ grows. We introduce a new data analysis method that allows one to quantitatively characterize the system potential and evaluate the stiffness of the pulling device, κ, which is usually not known beforehand. We demonstrate the feasibility of our method by analyzing the results of a numerical experiment based on the standard Prandtl-Tomlinson model of nanoscale friction.

11.
Phys Chem Chem Phys ; 16(42): 23164-72, 2014 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-25251969

RESUMO

The aim of this paper was to provide the physico-chemical characterization of a key process leading to amplification of the antitumor effect of antibiotic Doxorubicin (Dox) in vivo and in vitro and occurring at the molecular level through complexation with C60 fullerene. A wide range of physico-chemical tools was used such as UV/Vis and NMR spectroscopies, atomic force microscopy, isothermal titration calorimetry and zeta-potential methods. The unusual thermodynamic behavior of the complexation process was reported, featuring unexpected and, to a certain extent, contradictory experimental observations. The explanation of the obtained results was proposed resulting in creation of a general view on aromatic drug binding with C60 fullerene. Based on these results some important practical outcomes for anticancer therapy were formulated.


Assuntos
Antibacterianos/química , Doxorrubicina/química , Fulerenos/química , Estrutura Molecular
12.
Langmuir ; 30(14): 3967-70, 2014 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-24660846

RESUMO

In this work, we report that the surface hydroxylation of C60 molecules is the most likely mechanism for pristine C60 fullerenes/C60 fullerene aggregate stabilization in water, being independent of the method of C60 fullerene aqueous solution preparation.


Assuntos
Fulerenos/química , Modelos Moleculares , Solubilidade , Soluções , Água/química
13.
Biofizika ; 59(4): 666-72, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25707233

RESUMO

The analysis of the energy contributions of various physical factors to the complex formation between biologically active compounds and nucleic acids in aqueous solution was performed. A comparison of the energy parameters was made for ligand-ligand, intercalator-DNA, MGB-DNA and ligand-RNA groups. It was shown that the energetics of these reactions is of compensatory nature. Physical factors exerting the most pronounced influence on the energy parameters were identified. Correlation of the energy contributions to MGB-DNA complex formation and its biological effect was found.


Assuntos
DNA/química , Substâncias Intercalantes/química , Modelos Químicos , RNA/química
14.
Biofizika ; 59(4): 673-7, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25707234

RESUMO

Generalization of current views on energy analysis of complex formation of biologically active compounds with nucleic acids is represented and the outlook for further developments is determined.


Assuntos
Substâncias Intercalantes/química , Modelos Químicos , Ácidos Nucleicos/química
15.
Biofizika ; 57(4): 598-613, 2012.
Artigo em Russo | MEDLINE | ID: mdl-23035525

RESUMO

This work presents an energetic analysis of complex formation of eleven ligands with different structure and charge with RNA aptamers. The most entire set of the components of the total Gibbs energy of complex formation has been first calculated using different physical factors: van der Waals, electrostatic and hydrophobic interactions, hydrogen bonds and specific factors being predominantly of entropic character. The calculated Gibbs energy is found to be in a good agreement with experimental data. Different energy components which stabilize and destabilize complexes are lined up according to the degree of importance. The results obtained provide an understanding of the role of different physical interactions in a ligand-RNA complex formation.


Assuntos
Aptâmeros de Nucleotídeos/química , Ligantes , RNA/química , Termodinâmica , Simulação por Computador , Entropia , Ligação de Hidrogênio , Interações Hidrofóbicas e Hidrofílicas , Modelos Moleculares
16.
Ukr Biokhim Zh (1999) ; 84(2): 61-72, 2012.
Artigo em Russo | MEDLINE | ID: mdl-22642123

RESUMO

The analysis of heteroassociation of antibiotic topotecan (TPT) with aromatic biologically active compounds (BAC): caffeine, mutagens ethidium bromide and proflavine, antibiotic daunomycin, vitamins flavin-mononucleotide and nicotinamide, has been carried out in the work using 1H NMR spectroscopy data. The equilibrium constants of heteroassociation and induced chemical shifts of the protons have been obtained in the complexes with BAC. It is found that the complex formation TPT-BAC has the nature of stacking of the chromophores, additionally stabilized in the case of proflavine by intermolecular hydrogen bond. Calculation of the basic components of the Gibbs free energy of the complexation reactions is carried out, and the factors which stabilize and destabilize the heterocomplexes of molecules are revealed.


Assuntos
Produtos Biológicos/química , Hidrocarbonetos Aromáticos/química , Inibidores da Topoisomerase I/química , Topotecan/química , Cafeína/química , Daunorrubicina/química , Etídio/química , Mononucleotídeo de Flavina/química , Espectroscopia de Ressonância Magnética , Niacinamida/química , Proflavina/química , Termodinâmica , Água/química
17.
Artigo em Inglês | MEDLINE | ID: mdl-22634414

RESUMO

By the methods of vibrational spectroscopy (Infrared and Raman) the investigation of the hetero-association of biologically active aromatic compounds: flavin-mononucleotide (FMN), ethidium bromide (EB) and proflavine (PRF) was performed in aqueous solutions. It was shown that between the functional groups (CO and NH(2)) the intermolecular hydrogen bonds are formed in the hetero-complexes FMN-EB and FMN-PRF, additionally stabilizing these structures. An estimation of the enthalpy of Н-bonding obtained from experimental shifts of carbonyl vibrational frequencies has shown that the H-bonds do not dominate in the magnitude of experimentally measured total enthalpy of the hetero-association reactions. The main stabilization is likely due to intermolecular interactions of the molecules in these complexes and their interaction with water environment.


Assuntos
Etídio/química , Mononucleotídeo de Flavina/química , Hidrocarbonetos Aromáticos/química , Proflavina/química , Análise Espectral Raman/métodos , Vibração , Ligação de Hidrogênio , Conformação Molecular , Espectrofotometria Infravermelho , Termodinâmica
18.
Eur Biophys J ; 41(3): 273-83, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22213076

RESUMO

A general model of competitive binding in drug-interceptor-DNA systems has been developed in order to quantify both the interceptor and protector mechanisms. The model involves full parameterization of the basic equations governing the mutual competition between drugs binding to DNA and incorporates as partial cases various similar models existing in the literature. The generality of the model results from strict accounting of the statistical effects of the binding of the drug and interceptor with DNA according to the McGhee-von Hippel formalism, and to the strict treatment of hetero-association between the drug and interceptor, which includes formation of all possible types of self- and hetero-complexes in solution. Indirect experimental evidence is provided for the importance of the protector mechanism in drug-caffeine-DNA systems, which is sometimes ignored in the literature because of the small magnitude of the CAF-DNA binding constant.


Assuntos
Ligação Competitiva , DNA/metabolismo , Modelos Biológicos , Preparações Farmacêuticas/metabolismo , Cafeína/metabolismo , Ligantes
19.
Biofizika ; 56(4): 642-52, 2011.
Artigo em Russo | MEDLINE | ID: mdl-21950066

RESUMO

The energy contributions of electrostatic, van der Waals interactions, hydrogen bonds, and interactions of charge transfer type to the enthalpy of complex formation of the double-stand DNA with the antitumor antibiotics daunomycin, nogalamycin, and novantron, as well as the mutagens ethidium bromide and proflavine have been calculated. According to the calculations, the van der Waals component (except for nogalamycin) is energetically favorable during complex formation of the antibiotics with DNA, and the contributions of H bonds and electrostatic interactions are unfavorable, with the probability of charge transfer in the complexes being low. It has been shown that the relatively low value of the experimental enthalpy of binding is the sum of components greater in absolute value and different in the sign, which is the cause of large errors in estimating the total enthalpy of complex formation of aromatic ligands with DNA.


Assuntos
Antibióticos Antineoplásicos/química , DNA/química , Hidrocarbonetos Aromáticos/química , Ligantes , Eletricidade Estática , Termodinâmica
20.
Eur Biophys J ; 40(8): 969-80, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21674180

RESUMO

Using published in vitro data on the dependence of the percentage of apoptosis induced by the anti-cancer drug topotecan in a leukaemia cell line on the concentration of added caffeine, and a general model of competitive binding in a system containing two aromatic drugs and DNA, it has been shown to be possible to quantify the relative change in the biological effect just using a set of component concentrations and equilibrium constants of the complexation of the drugs. It is also proposed that a general model of competitive binding and parameterization of that model may potentially be applied to any system of DNA-targeting aromatic drugs under in vitro conditions. The main reasons underpinning the proposal are the general feature of the complexation of aromatic drugs with DNA and their interaction in physiological media via hetero-association.


Assuntos
Ligação Competitiva/efeitos dos fármacos , Cafeína/química , DNA/efeitos dos fármacos , Modelos Químicos , Topotecan/química , Antineoplásicos/química , Antineoplásicos/farmacologia , Cafeína/farmacologia , DNA/química , DNA/metabolismo , Humanos , Topotecan/farmacologia
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