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1.
Pharmaceuticals (Basel) ; 14(10)2021 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-34681251

RESUMO

Continuing the work developed by our research group, in the present manuscript, we performed a theoretical study of 10 new structures derived from the antivirals cidofovir and ribavirin, as inhibitor prototypes for the enzyme thymidylate kinase from Variola virus (VarTMPK). The proposed structures were subjected to docking calculations, molecular dynamics simulations, and free energy calculations, using the molecular mechanics Poisson-Boltzmann surface area (MM-PBSA) method, inside the active sites of VarTMPK and human TMPK (HssTMPK). The docking and molecular dynamic studies pointed to structures 2, 3, 4, 6, and 9 as more selective towards VarTMPK. In addition, the free energy data calculated through the MM-PBSA method, corroborated these results. This suggests that these compounds are potential selective inhibitors of VarTMPK and, thus, can be considered as template molecules to be synthesized and experimentally evaluated against smallpox.

2.
J Biomol Struct Dyn ; 34(12): 2632-2642, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26612005

RESUMO

In the present work, we performed docking and molecular dynamics simulations studies on two groups of long-tailored oximes designed as peripheral site binders of acetylcholinesterase (AChE) and potential penetrators on the blood brain barrier. Our studies permitted to determine how the tails anchor in the peripheral site of sarin-inhibited human AChE, and which aminoacids are important to their stabilization. Also the energy values obtained in the docking studies corroborated quite well with the experimental results obtained before for these oximes.


Assuntos
Acetilcolinesterase/química , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Oximas/química , Sarina/química , Acetilcolinesterase/metabolismo , Sítios de Ligação , Humanos , Ligação de Hidrogênio , Ligantes , Conformação Molecular , Oximas/farmacologia , Ligação Proteica , Sarina/farmacologia
3.
J Mol Graph Model ; 60: 34-42, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26093506

RESUMO

The association of the anti-tuberculosis drug rifampicin (RIF) with a 4th-generation poly(amidoamine) (G4-PAMAM) dendrimer was investigated by means of molecular dynamics simulations. The RIF load capacity was estimated to be around 20 RIF per G4-PAMAM at neutral pH. The complex formed by 20 RIF molecules and the dendrimer (RIF20-PAMAM) was subjected to 100 ns molecular dynamics (MD) simulations at two different pH conditions (neutral and acidic). The complex was found to be significantly more stable in the simulation at neutral pH compared to the simulation at low pH in which the RIF molecules were rapidly and almost simultaneously expelled to the solvent bulk. The high stability of the RIF-PAMAM complex under physiological pH and the rapid release of RIF molecules under acidic medium provide an interesting switch for drug targeting since the Mycobacterium resides within acidic domains of the macrophage. Altogether, these results suggest that, at least in terms of stability and pH-dependent release, PAMAM-like dendrimers may be considered suitable drug delivery systems for RIF and derivatives.


Assuntos
Antituberculosos/metabolismo , Dendrímeros/metabolismo , Simulação de Dinâmica Molecular , Poliaminas/metabolismo , Rifampina/metabolismo , Antituberculosos/administração & dosagem , Antituberculosos/química , Dendrímeros/química , Portadores de Fármacos/química , Portadores de Fármacos/metabolismo , Estabilidade de Medicamentos , Concentração de Íons de Hidrogênio , Simulação de Acoplamento Molecular , Estrutura Molecular , Poliaminas/química , Rifampina/administração & dosagem , Rifampina/química , Solubilidade , Água
4.
Eur J Med Chem ; 91: 72-90, 2015 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-25458183

RESUMO

Recently we constructed a homology model of the enzyme thymidylate kinase from Variola virus (VarTMPK) and proposed it as a new target to the drug design against smallpox. In the present work, we used the antivirals cidofovir and acyclovir as reference compounds to choose eleven compounds as leads to the drug design of inhibitors for VarTMPK. Docking and molecular dynamics (MD) studies of the interactions of these compounds inside VarTMPK and human TMPK (HssTMPK) suggest that they compete for the binding region of the substrate and were used to propose the structures of ten new inhibitors for VarTMPK. Further docking and MD simulations of these compounds, inside VarTMPK and HssTMPK, suggest that nine among ten are potential selective inhibitors of VarTMPK.


Assuntos
Aciclovir/análogos & derivados , Antivirais/química , Núcleosídeo-Fosfato Quinase/antagonistas & inibidores , Bibliotecas de Moléculas Pequenas/química , Vírus da Varíola/química , Proteínas Virais/antagonistas & inibidores , Domínio Catalítico , Cidofovir , Citosina/análogos & derivados , Citosina/química , Desenho de Fármacos , Humanos , Cinética , Ligantes , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Mutação , Núcleosídeo-Fosfato Quinase/química , Núcleosídeo-Fosfato Quinase/genética , Organofosfonatos/química , Varíola/tratamento farmacológico , Varíola/virologia , Especificidade da Espécie , Relação Estrutura-Atividade , Termodinâmica , Vírus da Varíola/enzimologia , Vírus da Varíola/genética , Proteínas Virais/química , Proteínas Virais/genética
5.
Eur J Med Chem ; 91: 63-71, 2015 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-24985033

RESUMO

In the present work, we applied docking and molecular dynamics techniques to study 11 compounds inside the enzymes dihydrofolate reductase (DHFR) from the biological warfare agent Bacillus anthracis (BaDHFR) and Homo sapiens sapiens (HssDHFR). Six of these compounds were selected for a study with the mutant BaF96IDHFR. Our results corroborated with experimental data and allowed the proposition of a new molecule with potential activity and better selectivity for BaDHFR.


Assuntos
Antibacterianos/química , Bacillus anthracis/química , Proteínas de Bactérias/química , Antagonistas do Ácido Fólico/química , Bibliotecas de Moléculas Pequenas/química , Tetra-Hidrofolato Desidrogenase/química , Bacillus anthracis/enzimologia , Bacillus anthracis/genética , Proteínas de Bactérias/antagonistas & inibidores , Proteínas de Bactérias/genética , Armas Biológicas , Domínio Catalítico , Desenho de Fármacos , Humanos , Cinética , Ligantes , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Mutação , Especificidade da Espécie , Relação Estrutura-Atividade , Tetra-Hidrofolato Desidrogenase/genética , Termodinâmica
6.
J Biomol Struct Dyn ; 30(1): 125-36, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22571438

RESUMO

Brucella suis is a dangerous biological warfare agent already used for military purposes. This bacteria cause brucellosis, a zoonosis highly infective and difficult to fight. An important selective target for chemotherapy against this disease is nucleoside hydrolase (NH), an enzyme still not found in mammals. We present here the first three-dimensional structure of B. suis NH (BsNH) and propose this enzyme as a molecular target to the drug design in the fight against brucellosis. In addition, we performed molecular docking studies, aiming to analyze the three-dimensional positioning of nine known inhibitors of Chritidia fasciculata NH (CfNH) in the active sites of BsNH and CfNH. We also analyzed the main interactions of some of these compounds inside the active site of BsNH and the relevant factors to biological activity. These results, together with further molecular dynamics (MD) simulations, pointed out to the most promising compound as lead for the design of potential inhibitors of BsNH. Most of the docking and MD results corroborated to each other and the docking results also suggested a good correlation with experimental data.


Assuntos
Proteínas de Bactérias/química , Brucella suis/enzimologia , Simulação de Dinâmica Molecular , N-Glicosil Hidrolases/química , Sequência de Aminoácidos , Proteínas de Bactérias/antagonistas & inibidores , Proteínas de Bactérias/metabolismo , Armas Biológicas , Brucella suis/química , Brucella suis/efeitos dos fármacos , Domínio Catalítico , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacocinética , Ligação de Hidrogênio , Cinética , Dados de Sequência Molecular , N-Glicosil Hidrolases/antagonistas & inibidores , N-Glicosil Hidrolases/metabolismo , Ligação Proteica , Reprodutibilidade dos Testes , Alinhamento de Sequência
7.
J Neural Transm (Vienna) ; 119(6): 729-33, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22270685

RESUMO

COMT Val(158)Met polymorphism has been associated with both symptoms of attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorders (DBD): that is, oppositional defiant disorder (ODD) and conduct disorder (CD) often comorbid with ADHD. The aim of this study was to test the association between COMT Val(158)Met polymorphism and the presence of DBD in children with ADHD (n = 516). Homozygous Val/Val children showed a higher prevalence of ADHD comorbid with DBD (χ(2) = 5.762; p = 0.016; OR = 1.58; CI(95%) = 1.07-2.35). Our findings replicate previous results and suggest a role for COMT in the etiology of DBD in children and adolescents with ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/genética , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/genética , Catecol O-Metiltransferase/genética , Adolescente , Alelos , Substituição de Aminoácidos , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Brasil/epidemiologia , Criança , Comorbidade , Transtorno da Conduta/genética , Transtorno da Conduta/psicologia , DNA/genética , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Frequência do Gene , Genótipo , Humanos , Masculino , Testes Neuropsicológicos , Polimorfismo Genético , Valina/genética
8.
J Biomol Struct Dyn ; 29(1): 207-18, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21696234

RESUMO

The literature has reported that ferriprotoporphyrin IX (hematin) intoxicates the malarial parasite through competition with NADH for the active site of the enzyme lactate dehydrogenase (LDH). In order to avoid this, the parasite polymerizes hematin to hemozoin. The quinoline derivatives are believed to form complexes with dimeric hematin, avoiding the formation of hemozoin and still inhibiting LDH. In order to investigate this hypothesis we calculated the docking energies of NADH and some quinoline derivatives (in the free forms and in complex with dimeric hematin) in the active site of the Plasmodium falciparum LDH (PfLDH). Ours results showed better docking score values to the complexes when compared to the free compounds, pointing them as more efficient inhibitors of Pf_LDH. Further we performed Molecular Dynamics (MD) simulations studies on the best docking conformation of the complex chloroquine-dimeric hematin with PfLDH. Our in silico results corroborate experimental data suggesting a possible action route for the quinoline derivatives in the inhibition of PfLDH.


Assuntos
Antimaláricos/química , Hemina/química , L-Lactato Desidrogenase/antagonistas & inibidores , L-Lactato Desidrogenase/química , Plasmodium falciparum/enzimologia , Quinolinas/química , Sítios de Ligação , Domínio Catalítico , Hemina/metabolismo , L-Lactato Desidrogenase/metabolismo , Modelos Moleculares , Simulação de Dinâmica Molecular , Plasmodium falciparum/metabolismo , Conformação Proteica , Quinolinas/metabolismo
9.
Biol Psychiatry ; 70(3): 216-21, 2011 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-21550019

RESUMO

BACKGROUND: The catechol-O-methyltransferase enzyme plays a key role in the function of prefrontal cortex, accounting for most of the degradation of dopamine. Previous studies have documented the improvement of oppositional symptoms in attention-deficit/hyperactivity disorder (ADHD) patients with methylphenidate (MPH) treatment. However, the effect of the COMT gene in the response to MPH on oppositional symptoms has not been investigated. METHODS: A total of 251 children with ADHD fulfilled inclusion criteria to participate in the study. Dosages of short-acting MPH were augmented until no further clinical improvement was detected or until there were significant adverse events (MPH dose always > .3 mg/kg/day). The outcome measure was the parent-rated oppositional subscale of the Swanson, Nolan and Pelham Scale-Version IV (SNAP-IV). The scale was applied by child psychiatrists blinded to genotype at baseline and in the first and third months. The COMT valine158methionine polymorphism was genotyped by polymerase chain reaction based methods. RESULTS: We detected significant improvement in SNAP-IV oppositional scores from baseline to the first and three months of treatment [n = 112; F(2,231) = 5.35, p = .005]. A significant effect of the presence of methionine allele in oppositional defiant disorder scores during treatment [F(1,148) = 5.02, p = .027] and a significant interaction between the methionine allele and treatment over time for the SNAP-IV oppositional scores during this period of treatment [F(2,229) = 6.40, p = .002] were both observed. CONCLUSIONS: These results suggest an effect of the COMT genotype on the trajectory of oppositional defiant disorder symptoms improvement with MPH treatment in boys with ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/genética , Catecol O-Metiltransferase/genética , Estimulantes do Sistema Nervoso Central/uso terapêutico , Metilfenidato/uso terapêutico , Polimorfismo de Nucleotídeo Único , Adolescente , Comportamento do Adolescente/efeitos dos fármacos , Comportamento do Adolescente/fisiologia , Alelos , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Transtorno do Deficit de Atenção com Hiperatividade/enzimologia , Criança , Comportamento Infantil/efeitos dos fármacos , Comportamento Infantil/fisiologia , Pré-Escolar , Frequência do Gene , Genótipo , Humanos , Masculino
10.
J Mol Model ; 17(11): 2939-51, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21318235

RESUMO

As the enzyme nucleoside hydrolase (NH) is widely found in nature but has not yet been detected in mammals, it is considered an ideal target in the development of chemotherapy against parasitic diseases and bacterial infections like anthrax. Considering the risk that this biological warfare agent represents nowadays, the search for new drugs and new molecular targets in the development of chemotherapy against anthrax is imperative. On this basis, we performed docking studies of six known NH inhibitors at the active site of NH from Bacillus anthracis (BaNH). Subsequently, molecular dynamics (MD) simulations of these compounds inside BaNH were carried out in order to complement the docking studies and select the most promising compounds as leads for the design of potential BaNH inhibitors. Most of the docking and MD results obtained agreed well with each other and showed good correlation with experimental data.


Assuntos
Bacillus anthracis/enzimologia , Inibidores Enzimáticos/química , Simulação de Dinâmica Molecular , N-Glicosil Hidrolases/antagonistas & inibidores , N-Glicosil Hidrolases/química , Sequência de Aminoácidos , Substituição de Aminoácidos , Domínio Catalítico , Ligação de Hidrogênio , Interações Hidrofóbicas e Hidrofílicas , Dados de Sequência Molecular , Ligação Proteica , Conformação Proteica , Alinhamento de Sequência , Relação Estrutura-Atividade
11.
J Biomol Struct Dyn ; 28(4): 455-69, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21142217

RESUMO

Anthrax is a disease caused by Bacillus anthracis, a dangerous biological warfare agent already used for both military and terrorist purposes. An important selective target for chemotherapy against this disease is nucleoside hydrolase (NH), an enzyme still not found in mammals. Having this in mind we have performed molecular docking studies, aiming to analyze the three-dimensional positioning of six known inhibitors of Trypanosoma vivax NH (TvNH) in the active site of B. anthracis NH (BaNH). We also analyzed the main interactions of these compounds with the active site residues of BaNH and the relevant factors to biological activity. These results, together with further molecular dynamics (MD) simulations, pointed out to the most promising compounds as lead for the design of potential inhibitors of BaNH. Most of the docking and MD results obtained corroborated to each other. Additionally, the docking results also suggested a good correlation with experimental data.


Assuntos
Antraz/tratamento farmacológico , Bacillus anthracis/química , Bacillus anthracis/enzimologia , Desenho de Fármacos , N-Glicosil Hidrolases/antagonistas & inibidores , N-Glicosil Hidrolases/química , Pirrolidinas/química , Sequência de Aminoácidos , Bacillus anthracis/efeitos dos fármacos , Domínio Catalítico , Humanos , Modelos Moleculares , Simulação de Dinâmica Molecular , Dados de Sequência Molecular , Estrutura Molecular , Estrutura Terciária de Proteína , Proteínas de Protozoários/antagonistas & inibidores , Proteínas de Protozoários/química , Alinhamento de Sequência , Trypanosoma vivax/enzimologia
12.
Chem Biol Interact ; 187(1-3): 436-40, 2010 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-20685354

RESUMO

In this work a theoretical methodology for evaluation of the association and kinetic reactivation constants of oximes using the Molegro and Spartan softwares was proposed and validated facing in vitro data previously reported in the literature. Results showed a very good agreement between the theoretical binding free energies of the reactivators and experimental data, suggesting that the proposed methodology could work well in the prediction of kinetic and thermodynamics parameters for oximes that might be helpful for the design and selection of new and more effective oximes.


Assuntos
Acetilcolinesterase/metabolismo , Reativadores da Colinesterase/farmacologia , Descoberta de Drogas/métodos , Ativação Enzimática/efeitos dos fármacos , Modelos Moleculares , Acetilcolinesterase/química , Animais , Domínio Catalítico , Inibidores da Colinesterase/farmacologia , Reativadores da Colinesterase/metabolismo , Camundongos , Organofosfatos/farmacologia , Oximas/metabolismo , Oximas/farmacologia , Teoria Quântica , Termodinâmica
13.
Chem Biol Interact ; 185(1): 73-7, 2010 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-20188081

RESUMO

In this work a theoretical methodology for evaluation of the association and kinetic reactivation constants of oximes using the Molegro and Spartan softwares was proposed and validated facing in vitro data previously reported in the literature. Results showed a very good agreement between the theoretical binding free energies of the reactivators and experimental data, suggesting that the proposed methodology could work well in the prediction of kinetic and thermodynamics parameters for oximes that might be helpful for the design and selection of new and more effective oximes.


Assuntos
Acetilcolinesterase/metabolismo , Reativadores da Colinesterase/farmacologia , Descoberta de Drogas/métodos , Ativação Enzimática/efeitos dos fármacos , Modelos Moleculares , Acetilcolinesterase/química , Animais , Domínio Catalítico , Inibidores da Colinesterase/farmacologia , Reativadores da Colinesterase/metabolismo , Camundongos , Organofosfatos/farmacologia , Oximas/metabolismo , Oximas/farmacologia , Teoria Quântica , Termodinâmica
14.
J Neural Transm (Vienna) ; 116(12): 1675-80, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19756364

RESUMO

Several evidences suggested that the serotonin 5-HT1B receptor gene (HRT1B) might be involved in the susceptibility to attention deficit/hyperactivity disorder (ADHD). Prior studies reported excess transmissions of the HRT1B gene 861G allele to affected ADHD children and of a haplotype block containing this variant and two functional promoter SNPs to probands with ADHD-inattentive subtype. However, some investigations did not replicate these findings. Therefore, we tested for biased transmissions of haplotypes derived from the 861G > C, -161A > T, and -261T > G SNPs from parents to 343 families with ADHD children. We also sought to replicate findings from the literature that the association between HTR1B is preferentially with ADHD-Inattentive subtype. Using a transmission disequilibrium test we found evidence for an excess transmission of haplotype. -261G/-161T/861G (P = 0.014) for affected children in the total sample. When the analysis was repeated with 143 families with ADHD-Inattentive subtype no significant associations were observed. Our results provide additional evidence that HRT1B gene may be an important risk factor for the development of ADHD, but this effect seems not to be attributable to inattentive cases.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/genética , Polimorfismo de Nucleotídeo Único , Receptor 5-HT1B de Serotonina/genética , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Família , Feminino , Frequência do Gene , Predisposição Genética para Doença , Haplótipos , Humanos , Masculino , Pais , Fatores de Risco , Análise de Sequência de DNA
15.
Int J Neuropsychopharmacol ; 12(5): 709-14, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19309535

RESUMO

The monoamine oxidase A (MAOA) gene has been extensively related to aggressive, impulsive and violent behaviours. Previous studies have documented the improvement of oppositional symptoms in attention deficit hyperactivity disorder (ADHD) patients with methylphenidate (MPH). However, the effect of the MAOA gene in response to MPH has not been investigated. A sample of 85 boys from an ADHD outpatient service was genotyped for the MAOA-uVNTR polymorphism. The outcome measure was the parent-rated oppositional subscale of the Swanson, Nolan and Pelham Scale - version IV. The scale was applied by child psychiatrists blinded to genotype at baseline and in the first and third months of treatment. A significant interaction between the presence of MAOA high-activity genotype and treatment with MPH over time on oppositional scores was detected during the 3 months' treatment (n=85, F2,136=4.83, p=0.009). These results suggest an effect of the MAOA-uVNTR high-activity genotype on the improvement of oppositional symptoms with MPH treatment.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/enzimologia , Transtorno do Deficit de Atenção com Hiperatividade/genética , Metilfenidato/uso terapêutico , Monoaminoxidase/genética , Monoaminoxidase/metabolismo , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Criança , Humanos , Masculino , Escalas de Graduação Psiquiátrica
16.
Arch Gen Psychiatry ; 64(2): 218-24, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17283289

RESUMO

CONTEXT: Preclinical studies have demonstrated the relevance of adrenergic alpha2A receptor on the attentional process and the mechanism of action of methylphenidate hydrochloride. Several molecular genetic investigations suggest a role for the adrenergic alpha2A receptor gene (ADRA2A) in attention-deficit/hyperactivity disorder (ADHD), especially in the inattentive dimension. However, the effect of ADRA2A in the response to methylphenidate in humans has not been previously investigated, to our knowledge. OBJECTIVE: To evaluate the association between the ADRA2A -1291 C>G polymorphism and the clinical response to methylphenidate treatment in children and adolescents with ADHD. DESIGN: A pharmacogenomic study was undertaken between November 1, 2002, and May 1, 2004, using a nonrandom assignment, quasi-experimental design. SETTING: An ADHD outpatient program at a university hospital in Brazil. Patients One hundred six patients consecutively diagnosed as having ADHD were genotyped for the ADRA2A -1291 C>G polymorphism and were included in the analyses. Intervention Short-acting methylphenidate administered in increasing dosages until no further clinical improvement was detected or until limited adverse effects occurred. MAIN OUTCOME MEASURES: The primary outcome measure was the parent-rated inattentive subscale of the Swanson, Nolan, and Pelham Scale version IV. Secondary outcome measures included the Barkley Side Effect Rating Scale and the parent-rated hyperactivity-impulsivity subscale of the Swanson, Nolan, and Pelham Scale version IV. Scales were applied by child psychiatrists blinded to genotype at baseline and at 1 and 3 months of treatment. RESULTS: A significant interaction effect between the presence of the G allele and treatment with methylphenidate over time on inattentive scores was detected during the 3 months of treatment (n = 106; F(2,198) = 4.30; P = .02). CONCLUSIONS: We documented the effect of the G allele at the ADRA2A -1291 C>G polymorphism on the improvement of inattentive symptoms with methylphenidate treatment in children and adolescents with ADHD. Our findings provide clinical evidence for the involvement of the noradrenergic system in the modulation of methylphenidate action.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Transtorno do Deficit de Atenção com Hiperatividade/genética , Atenção/efeitos dos fármacos , Estimulantes do Sistema Nervoso Central/uso terapêutico , Metilfenidato/uso terapêutico , Receptores Adrenérgicos alfa 2/genética , Adolescente , Assistência Ambulatorial , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Brasil/epidemiologia , Estimulantes do Sistema Nervoso Central/efeitos adversos , Estimulantes do Sistema Nervoso Central/farmacologia , Criança , Cromossomos Humanos Par 10/genética , Feminino , Genótipo , Humanos , Masculino , Metilfenidato/efeitos adversos , Metilfenidato/farmacologia , Linhagem , Farmacogenética , Polimorfismo de Nucleotídeo Único , Resultado do Tratamento
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