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1.
J Ethnopharmacol ; 333: 118410, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38848973

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Fufang Qiling granules (FQG), derived from the traditional Qiling Decoction with a longstanding clinical history, is utilized for the treatment of hyperuricemia (HUA). FQG is formulated with a combination of seven Chinese herbs based on the principles of traditional Chinese medicine (TCM) theories. Clinical evidence indicates that FQG exhibits favorable therapeutic effects in reducing uric acid (UA) levels and attenuating renal damage. AIM OF THIS STUDY: To elucidate the potential active components and pharmacological mechanism of FQG in the treatment of HUA, and to provide an experimental basis for the development of efficient and low-toxicity TCM for HUA treatment. MATERIALS AND METHODS: A HUA rat model induced by potassium oxonate and adenine was established to initially evaluate the hypouricemic effects of FQG. Chemical analyses were conducted using an ultra-high-performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF-MS). Network pharmacology was used to investigate the active components and mechanism of FQG in the treatment of HUA. Potential Xanthine oxidase (XOD) inhibitors were screened from FQG based on ultrafiltration liquid chromatography and mass spectrometry (UF-LC-MS). Molecular docking, surface plasmon resonance (SPR) and circular dichroism (CD) spectroscopy were applied to validate the interactions between the active components and XOD. RESULTS: In comparison to the model group, treatment with FQG significantly decreased serum UA, serum creatinine (CREA), serum blood urea nitrogen (BUN), and liver XOD activity. Additionally, the FQG administration notably ameliorated HUA-induced renal injury in rats. Through the pharmacodynamics of the HUA rat models and network pharmacology, it was found that XOD was a key pathway enzyme in UA metabolism. 18 XOD inhibitors were screened from FQG by UF-LC-MS, and 11 compounds with strong affinity were verified by SPR, molecular docking and CD spectroscopy. CONCLUSION: In summary, flavonoids, organic acids and saponins may be the active components in FQG that alleviate HUA. The primary mechanism of FQG involves inhibiting XOD enzyme activity in the plasma to reduce UA production, alleviating renal tubular epithelial cell necrosis, tubulointerstitial injury, fibrosis, and urate deposition, ultimately exerting a therapeutic effect on HUA.

2.
J Org Chem ; 89(10): 6704-6713, 2024 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-38709904

RESUMO

EMM (electromagnetic mill)-promoted Pd-catalyzed solid state intramolecular Heck-type cyclization/boronation and Suzuki couplings are reported. Compared to previous mechanochemistry that constructed one chemical bond through a cross-coupling reaction, this strategy realizes cascade transformation along with multiple chemical bond formation. This conversion does not require organic solvents or additional heating, and it shows a good substrate scope and high functional group tolerance.

3.
Sci Total Environ ; 882: 163601, 2023 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-37087021

RESUMO

Organic chemicals associated with microplastics (MPs) can be released and thus pose potential risks during weathering processes. However, the thermodynamics and kinetics of their release processes still need to be better understood. Herein, the adsorption and desorption kinetics of triclosan on polystyrene (PS) and polyvinyl chloride (PVC) were investigated by using both batch experiments and diffusive gradients in thin-films (DGT) technique. The pseudo-second-order model fitted the data best, implying that both intraparticle diffusion and external liquid film diffusion influence the adsorption and desorption processes. DGT continuously accumulated triclosan from MP suspensions but slower than theoretical values, indicating some restrictions to desorption. The DGT-induced fluxes in Soils/Sediment (DIFS) model, employed to interpret DGT data, gave distribution coefficients for labile species (Kdl) of 5000 mL g-1 (PS) and 1000 mL g-1 (PVC) and the corresponding response times (Tc) were 10 s and 1000 s, respectively. Higher Kdl but smaller Tc for PS than PVC showed that more triclosan adsorbed on PS could be rapidly released, while there were some kinetic limitations for triclosan on PVC. A novel finding was that pH and ionic strength individually and interactively affected the supply of triclosan to DGT. This is the first study to quantify interactions of organics with MPs by using DGT, aiding our understanding of MPs' adsorption/desorption behavior in the aquatic environment.

4.
J Hazard Mater ; 452: 131208, 2023 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-36966625

RESUMO

Antibiotics are increasingly used and released into the marine environment due to the rapid development of mariculture, resulting in spread of antibiotic resistance. The pollution, distribution, and characteristics of antibiotics, antibiotic resistance genes (ARGs) and microbiomes have been investigated in this study. Results showed that 20 antibiotics were detected in Chinese coastal environment, with predominance of erythromycin-H2O, enrofloxacin and oxytetracycline. In coastal mariculture sites, antibiotic concentrations were significantly higher than in control sites, and more types of antibiotics were detected in the South than in the North of China. Residues of enrofloxacin, ciprofloxacin and sulfadiazine posed high resistance selection risks. ß-Lactam, multi-drug and tetracycline resistance genes were frequently detected with significantly higher abundance in the mariculture sites. Of the 262 detected ARGs, 10, 26, and 19 were ranked as high-risk, current-risk, future-risk, respectively. The main bacterial phyla were Proteobacteria and Bacteroidetes, of which 25 genera were zoonotic pathogens, with Arcobacter and Vibrio in particular ranking in the top10. Opportunistic pathogens were more widely distributed in the northern mariculture sites. Phyla of Proteobacteria and Bacteroidetes were the potential hosts of high-risk ARGs, while the conditional pathogens were associated with future-risk ARGs, indicating a potential threat to human health.


Assuntos
Antibacterianos , Microbiota , Humanos , Antibacterianos/farmacologia , Genes Bacterianos , Enrofloxacina , Bactérias/genética , Bacteroidetes , Proteobactérias/genética
5.
Psychopharmacology (Berl) ; 239(8): 1-16, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35503371

RESUMO

RATIONALE AND OBJECTIVES: Methamphetamine (METH) is a highly addictive and widely abused drug that causes severe neuroinflammation in the human brain. The gut microbiota has a tremendous impact on the core symptoms of neuropsychiatric disorders via the microbiota-gut-brain (MGB) axis. However, it is not clear whether alterations in the gut microbiota are involved in METH exposure. METHODS: We established a mouse model with chronic, escalating doses of METH exposure. Intervene in gut microbiota with antibiotics to observe the changes of locomotor activity caused by METH exposure in mice. qPCR and 16S rRNA gene sequencing were used to analyze the gut microbiota profiles. In addition, we tested the levels of inflammatory factors in the nucleus accumbens (NAc), prefrontal cortex (mPFC), hippocampus (HIp), and spleen. Finally, short-chain fatty acids (SCFAs) were supplemented to determine the interaction between behavior changes and the structure of gut microbiota. RESULTS: In this research, METH increased the locomotor activity of mice, while antibiotics changed the effect. Antibiotics enhanced the expression of pro-inflammatory cytokines in mPFC, HIp, and spleen of METH-exposed mice. METH altered the gut microbiota of mice after antibiotic treatment, such as Butyricicoccus and Roseburia, which are related to butyrate metabolism. Supplementation with SCFAs changed the behavior of METH-exposed mice and decreased Parabacteroides and increased Lactobacillus in METH-exposed mice gut. CONCLUSIONS: This research showed that antibiotics affected the behavior of METH-exposed mice and promoted inflammation. Our findings suggest that SCFAs might regulate METH-induced gut microbiota changes and behavior.


Assuntos
Microbioma Gastrointestinal , Metanfetamina , Animais , Antibacterianos , Humanos , Metanfetamina/farmacologia , Camundongos , Camundongos Endogâmicos C57BL , RNA Ribossômico 16S
6.
Environ Sci Pollut Res Int ; 29(42): 62984-62993, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35445920

RESUMO

Microplastics (MPs) and chemical pollutants usually coexist in aquatic environments. The bioaccumulation and metabolism of pollutants in aquatic organisms can be influenced by MPs. In this study, the bioaccumulation of triclosan (TCS) in tilapia tissues was determined, and metabolomics in the liver, gills, and gut were investigated after 10-day exposure to micro-sized polystyrene (PS) and TCS in water. The results showed that TCS bioaccumulated in various tissues, with the highest average concentration of 2728 ± 577 ng g-1 in the gut. The log bioaccumulation factors (BAFs) for TCS in these tissues were in the range of 0.99-3.56. Compared to the TCS treatment alone, MPs showed enhancement on the bioaccumulation of TCS in tilapia skin, liver, gut, gills, and stomach tissues in the TCS plus MP exposure. Especially in the skin and liver, the TCS concentrations were up to 2.06 and 1.38 times higher in the co-exposure of TCS and MPs, respectively. Based on the metabolomic analysis, MPs mainly disturbed the lipid and energy metabolism in tilapia fish. The altered metabolites between treatment with TCS alone and TCS + MPs were consistent, indicating that TCS has stronger disturbance in lipid and energy metabolism than MPs. This implies that the metabolism influence by the mixture of MPs and compounds is complicated in fish tissues.


Assuntos
Tilápia , Triclosan , Poluentes Químicos da Água , Animais , Bioacumulação , Lipídeos , Metabolômica , Microplásticos , Plásticos/metabolismo , Poliestirenos/análise , Tilápia/metabolismo , Triclosan/análise , Água , Poluentes Químicos da Água/análise
7.
Environ Pollut ; 263(Pt B): 114361, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32203855

RESUMO

Bisphenol (BP) analogues are widely used as industrial materials and various product additives and are inevitably released into environment. However, knowledge on the sources of different BPs, especially those from urban rainfall runoff to the receiving rivers is very limited. In this study, 15 BPs were determined in surface water, sediments, wastewater treatment plant (WWTP) and rainfall runoff samples in the Pearl River region, South China. Eleven BPs were detected in surface water and sediments of the Pearl Rivers. BPA was the dominant compound up to 2080 ng/L in surface and 1970 ng/g in sediments, followed by BPF, BPS, BPTMC and BPAF. In WWTPs, 10, 9 and 8 BPs were detected in influents, effluents and excess sludges, respectively, with total BPs (ΣBPs) concentrations in effluents still at thousands ng/L, suggesting incompletely removal of BPs. Five BPs were detected in urban rainfall runoff samples, with the ΣBPs concentrations up to 7740 ng/L. Mass loads of ΣBPs from the rainfall runoff (5800 kg/y) were almost equivalent to the source from WWTPs (7370 kg/y) in the region, implying that the urban rainfall runoff was a potential source for BPs into the receiving river. The calculated estrogenic activity contributed by BPs showed low to median risks in sources and receiving rivers. But BPs are always as mixtures with other potential endocrine disrupting chemicals (EDCs) which probably pose high estrogenic activity risks. Hence, effective measures should be taken to decrease the input of EDCs from sources to receiving rivers.


Assuntos
Disruptores Endócrinos/análise , Poluentes Químicos da Água/análise , China , Monitoramento Ambiental , Rios , Águas Residuárias/análise
8.
Chemosphere ; 246: 125771, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31918091

RESUMO

Chemical pollution in the plastic debris is an increasing global concern as most pollutants might transfer from the environment to living organisms via plastic debris. In this study, biocides in the plastic debris floating on the surface water of the Pearl River system were investigated. The abundances of large plastic debris and microplastics in the surface water were 0.07 ± 0.13 and 0.94 ± 1.87 items/m3, respectively. Totally, 15 and 16 out of 19 biocides were detected in the large plastic debris and microplastics, with the concentration of each biocide in the ranges of 22.6-2460 ng/g and 16.9-2890 ng/g, respectively. Meanwhile, the concentration ranges of the detected biocides were 0.01-215 ng/L in surface water. Triclosan, triclocarban, methylparaben, and N,N-diethyl-3-methylbenzamide (DEET) were the frequently detected compounds in the plastic samples and surface water. The partition coefficients (Kd) of biocides between the plastic debris and surface water showed a weak positive correlation with Kow values. Biocides were also detected on the natural floats (tree leaves and branches) at concentrations of 13.7-786 ng/g. The annual mass load of biocides in plastic debris at each site was up to 265 g/y, thereby suggesting that plastic debris might be an important carrier for the emerging contaminants, such as biocides.


Assuntos
Desinfetantes/análise , Monitoramento Ambiental , Plásticos/análise , Poluentes Químicos da Água/análise , Carbanilidas , China , Parabenos , Rios/química , Triclosan/análise , Resíduos/análise
9.
Int Immunopharmacol ; 73: 1-9, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31078920

RESUMO

Methamphetamine (METH) is a highly addictive and widely abused drug worldwide. Although much research is on the drug's direct effects, METH may also alter host immunity. The mechanism by which METH influences immunity remains elusive. Here, C57BL6/J mice were intraperitoneally injected with 5 mg/kg METH four times at two-hour intervals. The microglial inhibitor minocycline or dopamine D1-like receptor antagonist SCH-23390 was also applied prior to METH injection. Twenty-four hours following the first METH injection, mice were challenged by lipopolysaccharide (LPS) at a dose of 330 µg/kg, and the hippocampus (Hip), caudate putamen (CPU), nucleus accumbens (NAc) and prefrontal cortex (PFC) were collected 4 h after LPS administration. IL-6 and TNF-α levels were detected by ELISA. The activation of D1-like receptors and microglial marker Iba1 were examined by immunohistochemical staining and Western blot. Finally, we examined the phosphorylation of ERK1/2 and CREB. We found that METH exposure increased LPS-induced IL-6 and TNF-α production in the Hip, CPU and NAc regions. METH also augmented microglia activation and D1/5DR expression in response to LPS. Moreover, administering SCH-23390 significantly reduced IL-6 and TNF-α production and Iba1 expression following LPS challenge. Similar inhibitory effects were also observed by minocycline administration. Moreover, phosphorylation of ERK1/2 and CREB was increased after METH and LPS exposure but decreased by SCH-23390. These data illustrate that METH exacerbates neuroinflammation response in LPS-stimulated mouse brains through dopamine D1-like receptors, microglia, and relevant signaling proteins, which may have therapeutic implications.


Assuntos
Encéfalo/efeitos dos fármacos , Estimulantes do Sistema Nervoso Central/toxicidade , Inflamação/imunologia , Metanfetamina/toxicidade , Animais , Encéfalo/imunologia , Proteína de Ligação a CREB/imunologia , MAP Quinases Reguladas por Sinal Extracelular/imunologia , Interleucina-6/imunologia , Lipopolissacarídeos , Masculino , Camundongos Endogâmicos C57BL , Microglia/efeitos dos fármacos , Microglia/imunologia , Receptores de Dopamina D1/imunologia , Receptores de Dopamina D5/imunologia , Fator de Necrose Tumoral alfa/imunologia
10.
Sci Total Environ ; 665: 810-819, 2019 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-30790753

RESUMO

We used a hybrid precipitation method to simultaneously extract and analyze 24 personal care products (PCPs), including 16 biocides, 4 synthetic musks, and 4 benzotriazoles, in the plasma of fish. The method's performance was validated for plasma samples with and without ß-glucuronidase/aryl-sulfatase hydrolysis. The recoveries were in the range of 70-120% for most of the PCPs, except N,N-diethyl-3-methylbenzamide (DEET), clotrimazole (CTZ), miconazole and itraconazole at spiking concentration of 20 and 5 ng/mL. The quantification limits ranged between 0.89 and 17.9 ng/mL (hydrolyzed plasma) and 0.85-18.5 ng/mL (non-hydrolyzed plasma), except CTZ at 77.5 ng/mL and 76.3 ng/mL. Totally, 13 PCPs were detected in plasma samples of fish collected from the Yangtze River, with a maximum concentration of 58.4 ng/mL (galaxolide). Compounds with the phenol hydroxyl groups of parabens or triclosan in hydrolyzed plasma showed higher concentrations than those in unhydrolyzed plasma with the ratio of conjugation (glucuronides + sulfates) forms up to 86%. The median values for the logarithm of bioaccumulation factors were between 1.39 and 4.15, which were 2-3 orders of magnitude higher than the theoretical logarithm of bioconcentration factors. Using the fish plasma model, the effect ratios (effect concentration/measured plasma concentration ratios) of tonalide, galaxolide, benzotriazole, triclosan, and DEET reached 0.35, 4.15, 3.78, 7.52, and 9.24, respectively. These are recognized as priority chemicals for further risk assessment.


Assuntos
Cosméticos/metabolismo , Desinfetantes/metabolismo , Exposição Ambiental , Monitoramento Ambiental/métodos , Peixes/metabolismo , Poluentes Químicos da Água/metabolismo , Animais , China , Rios
11.
Neurochem Res ; 44(4): 947-958, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30659504

RESUMO

Dopamine (DA) is important in the maintenance of normal nervous system function. DA is the target of multiple drugs, and it induces critical alterations in immune cells. However, these impacts are controversial, and the mechanism remains unclear. In the present study, we treated BV-2 microglial cells and primary microglia with DA and measured the changes in cytokines. We also identified the expression of DA receptors (DRs) using confocal and immunofluorescent microscopy. Specific agonists and antagonists of D1-like DRs (D1DR and D5DR) were used to observe alterations in cytokines. Western blot and siRNA interference were performed to investigate the involvement of the downstream signaling molecules of DRs. We also measured changes in mitogen-activated protein kinases (MAPKs) and the nuclear factor-kappa B (NF-κB) signaling pathway and assessed their involvement using inhibitors. We found that DA alone produced no effects on IL-6, TNF-α or nitric oxide (NO) production, and it inhibited lipopolysaccharide (LPS)-induced NO in microglial cells. Microglia expressed a high abundance of D1-like DRs (D1DR and D5DR). The agonists inhibited NO production, and antagonists reversed the DA-induced suppression of NO. Adenylatec cyclase (AC), cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA) mediated DA function, and cAMP-response element binding protein (CREB) was not involved. ERK1/2 and NF-κB, but not p-38 or JNK, played roles in DA-suppressed NO generation via altering inducible nitric oxide synthase (iNOS) transcription. These data illustrate that DA modulates LPS-induced NO production via the AC/cAMP-PKA-ERK1/2-NF-κB-iNOS axis in mouse microglia, and D1-like DRs are involved. The present study provides functional evidence for an essential role of DA in immunoregulation.


Assuntos
Dopamina/farmacologia , Lipopolissacarídeos/toxicidade , Microglia/metabolismo , Óxido Nítrico/biossíntese , Receptores de Dopamina D1/metabolismo , Animais , Animais Recém-Nascidos , Linhagem Celular , Células Cultivadas , Relação Dose-Resposta a Droga , Lipopolissacarídeos/antagonistas & inibidores , Camundongos , Camundongos Endogâmicos C57BL , Microglia/efeitos dos fármacos , Óxido Nítrico/antagonistas & inibidores , Receptores de Dopamina D1/agonistas
12.
Int Immunopharmacol ; 56: 168-178, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29414647

RESUMO

Methamphetamine (METH) elicits neuroinflammatory effects that may implicate its regulatory role on the microglial immune response. However, the mechanism underlying this remains unclear. In the present study, the effects of METH on lipopolysaccharide (LPS)-induced interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) productions were tested in BV-2 cells and primary microglial cells. Additionally, western blot analysis was used to examine the phosphorylation of mitogenactivated protein kinases (MAPKs). Next, we detected the alterations in cAMP content and the phosphorylation levels of CREB in microglial cells to determine the involvement of the cAMP/CREB signaling pathway. We also used an adenylyl cyclase (AC) agonist (forskolin) and antagonist (MDL-12330A) and a PKA antagonist (H89) to confirm their participation. We observed that METH alone did not affect the production of IL-6 or TNF-α. In contrast, METH augmented the IL-6 production and inhibited the TNF-α production induced by LPS. A similar effect of forskolin was also observed in BV-2 cells. While MAPK activation was not influenced by METH alone, the LPS-induced phosphorylation of p38, JNK and ERK1/2 were all reduced by METH. Both the concentration of cAMP and the phosphorylation of CREB were increased by METH in LPS-activated microglial cells. The effects of METH were altered by MDL-12330A and H89. Moreover, the inhibition of the phosphorylation of ERK1/2 by METH was also reversed. These results suggest that the differential regulation of IL-6 and TNF-α by METH in LPS-activated microglial cells may be attributable to the cAMP/PKA/CREB signaling pathway.


Assuntos
Fatores Imunológicos/farmacologia , Metanfetamina/farmacologia , Microglia/efeitos dos fármacos , Animais , Linhagem Celular , Colforsina/farmacologia , AMP Cíclico/metabolismo , Proteína de Ligação ao Elemento de Resposta ao AMP Cíclico/metabolismo , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Interleucina-6/metabolismo , Lipopolissacarídeos/imunologia , Camundongos , Camundongos Endogâmicos C57BL , Microglia/fisiologia , Transdução de Sinais , Fator de Necrose Tumoral alfa/metabolismo
13.
Int J Neuropsychopharmacol ; 21(5): 448-460, 2018 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-29390063

RESUMO

Background: The altered expression and function of dopamine receptor D3 (D3R) in patients and animal models have been correlated with depression disease severity. However, the morphological alterations and biological effects of D3R in the brain after inflammation-induced depressive-like behavior remain elusive. Methods: In the present study, we ascertained the changes of D3R expression in the brain regions after depressive-like behavior induced by peripheral administration of lipopolysaccharide (LPS). Protein levels of proinflammatory cytokines, brain-derived neurotrophic factor (BDNF), and extracellular signal-regulated kinase (ERK1/2)-cAMP-response element-binding protein (CREB) signaling pathway after activation or inhibition of D3R in the brain of depressive mice were also investigated. Results: LPS caused a significant reduction of D3R in the ventral tegmental area (VTA), medial prefrontal cortex (mPFC), and nucleus accumbens (NAc), which are areas related to the mesolimbic dopaminergic system. Pretreatment with pramipexole (PPX), a preferential D3R agonist, showed antidepressant effects on LPS-induced depression-like behavior through preventing changes in LPS-induced proinflammatory cytokines (tumour necrosis factor-α, interleukin-1ß, and interleukin-6), BDNF, and ERK1/2-CREB signaling pathway in the VTA and NAc. In opposition, treatment with a D3R selective antagonist NGB 2904 alone made mice susceptible to depression-like effects and caused changes in accordance with the LPS-induced alterations in proinflammatory cytokines, BDNF, and the ERK1/2-CREB signaling pathway in the mPFC and NAc. Conclusions: These findings provide a relevant mechanism for D3R in LPS-induced depressive-like behavior via its mediation of proinflammatory cytokines and potential cross-effects between BDNF and the ERK1/2-CREB signaling pathway.


Assuntos
Comportamento Animal/fisiologia , Encéfalo/metabolismo , Depressão , Agonistas de Dopamina/farmacologia , Antagonistas de Dopamina/farmacologia , Lipopolissacarídeos/farmacologia , Receptores de Dopamina D3/metabolismo , Transdução de Sinais/fisiologia , Animais , Comportamento Animal/efeitos dos fármacos , Encéfalo/efeitos dos fármacos , Depressão/induzido quimicamente , Depressão/imunologia , Depressão/metabolismo , Depressão/fisiopatologia , Modelos Animais de Doenças , Agonistas de Dopamina/administração & dosagem , Antagonistas de Dopamina/administração & dosagem , Fluorenos/farmacologia , Lipopolissacarídeos/administração & dosagem , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Núcleo Accumbens/efeitos dos fármacos , Núcleo Accumbens/metabolismo , Piperazinas/farmacologia , Pramipexol/farmacologia , Córtex Pré-Frontal/efeitos dos fármacos , Córtex Pré-Frontal/metabolismo , Receptores de Dopamina D3/efeitos dos fármacos , Transdução de Sinais/efeitos dos fármacos , Área Tegmentar Ventral/efeitos dos fármacos , Área Tegmentar Ventral/metabolismo
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