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1.
Micron ; 33(2): 167-78, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11567886

RESUMO

Knowledge of the acute and late ionizing radiation exposure damage to the gastrointestinal tract, particularly injury of the small intestine, is of great significance in radiotherapy, as is management of accidental radiation exposure. Irradiation (X-ray, neutron, cobalt gamma) induces a series of events in this rapidly renewing tissue resulting in the well-known symptoms of the gastrointestinal (GI) radiation syndrome, such as GI haemorrhage, endotoxemia, bacterial infection, anorexia, nausea, vomiting, diarrhoea, and loss of electrolytes and fluid. In spite of the significant advances that have occurred in research on underlying mechanisms over the last two decades, the overall etiology and pathogenesis of the GI-syndrome still remains unclear. Currently, to our knowledge, these symptoms are probably due to a rapid modification of the intestinal motility and to the structural alteration of the intestinal mucosa (cell loss and altered crypt integrity). Several evidences suggest that radiation-induced dysfunctions and structural changes of this organ (either changes in subcellular, cellular, and histological structure) are mediated by concerted and interrelated changes of a plethora of various extracellular mediators and their intracellular messengers. The aim of this review is to summarize our current knowledge about the pathomorphology and cell biology of the ionizing radiation response of the GI tract with a focus on the small intestine.


Assuntos
Intestino Delgado/efeitos da radiação , Intestino Delgado/ultraestrutura , Lesões por Radiação/patologia , Radiação Ionizante , Linhagem Celular , Humanos , Mucosa Intestinal/efeitos da radiação , Mucosa Intestinal/ultraestrutura , Lesões por Radiação/fisiopatologia
2.
Acta Biol Hung ; 52(4): 383-91, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11693988

RESUMO

The ubiquitin (Ub)-proteasome proteolytic system is highly selective, and the specific proteins involved in cell division, growth, activation, signaling and transcription are degraded at different rate depending on the physio-pathological state of the cell. Ubiquitination serves first of all as a signal for protein degradation of short-lived and abnormal proteins under several stressful conditions. The immunocytochemical localization of Ub in some malignant tumours has recently been presented and differences in Ub expression has been observed during malignant transformation. Change in the level of Ub and Ub-conjugated proteins might reflect a higher metabolic-catabolic ratio in neoplastic cells. Most studies have been focused on the malignant stage of tumour progression, and only a few papers have dealt with the change in Ub and Ub-protein conjugates level during the whole progression. To address this problem, we applied an azaserine-induced pancreatic carcinogenesis model, in which premalignant and malignant stages were investigated throughout the progression. The level of Ub immunoreactivity was measured in nucleus and cytoplasm by electron microscopic immunocytochemical and morphometrical methods. We found a significant increase of Ub level in the nucleus and the cytoplasmic area in premalignant atypical acinar cell nodule (AACN) cells and in malignant adenocarcinoma in situ (CIS) cells at month 20 after initiation.


Assuntos
Azasserina/toxicidade , Neoplasias Pancreáticas/induzido quimicamente , Neoplasias Pancreáticas/metabolismo , Ubiquitina/metabolismo , Adenocarcinoma/induzido quimicamente , Adenocarcinoma/metabolismo , Adenoma/induzido quimicamente , Adenoma/metabolismo , Animais , Carcinoma in Situ/induzido quimicamente , Carcinoma in Situ/metabolismo , Núcleo Celular/metabolismo , Cisteína Endopeptidases/metabolismo , Citoplasma/metabolismo , Imuno-Histoquímica , Masculino , Complexos Multienzimáticos/metabolismo , Proteínas de Neoplasias/metabolismo , Lesões Pré-Cancerosas/induzido quimicamente , Lesões Pré-Cancerosas/metabolismo , Complexo de Endopeptidases do Proteassoma , Ratos , Ratos Wistar
3.
Acta Biol Hung ; 52(4): 393-401, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11693989

RESUMO

Growth regulation is a crucial event in tumour progression. Surprisingly, relatively few papers have dealt with the catabolic side of regulation, and there are practically no data regarding the autophagic process during tumour development. We approach this problem by morphometrical investigation into the possible changes of autophagic activity during the progression of rat pancreatic adenocarcinoma induced by azaserine. In the present study, autophagic capacity of the azaserine-induced premalignant and malignant cells were characterised and compared to the respective host tissue cells of the rat pancreas and to the acinar cells in other stages of tumour development. Using vinblastine (VBL) as an enhancer, and cycloheximide (CHI) as an inhibitor of autophagic segregation we observed that autophagic capacity of premalignant cells (month 6 and 10 after initiation) is much higher than in the host tissue cells. We found a sharp decrease in self-digesting capacity in adenocarcinoma cells (month 20) where VBL induced a minimal accumulation of autophagic vacuoles which was, surprisingly, not inhibited by CHI, i.e. the CHI-sensitive regulatory step was lost. The changes in autophagic capacity are probably associated to specific steps of tumour progression in our system.


Assuntos
Autofagia , Azasserina/toxicidade , Neoplasias Pancreáticas/induzido quimicamente , Neoplasias Pancreáticas/fisiopatologia , Adenocarcinoma/induzido quimicamente , Adenocarcinoma/etiologia , Adenocarcinoma/fisiopatologia , Adenoma/induzido quimicamente , Adenoma/fisiopatologia , Animais , Autofagia/efeitos dos fármacos , Carcinoma in Situ/induzido quimicamente , Carcinoma in Situ/fisiopatologia , Cicloeximida/farmacologia , Masculino , Neoplasias Pancreáticas/etiologia , Ratos , Ratos Wistar , Fatores de Tempo , Vimblastina/farmacologia
4.
Acta Biol Hung ; 52(4): 403-9, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11693990

RESUMO

Although angiogenesis is considered to be indispensable for continuous tumour growth, only very few studies have been published performing microvessel quantification during tumour progression. We measured the tumour vascularity in different stages of rat pancreatic carcinogenesis induced by azaserine and promoted by raw soya flour-containing pancreatotrophic diet. Besides the tumour samples taken at 6 (atypical acinar cell nodules), 15 (adenomas) and 20 (localised adenocarcinomas) months after carcinogen initiation, we also investigated 3 control groups: tumour-bearing host tissue of azaserine-treated rats and normal tissue of untreated rats kept on standard or pancreatotrophic diet. In contrast with the usual microvessel counting on hot spots, we determined microvascular surface density (Sv) and volume density (Vv) by electron microscopic morphometry. There was no significant difference in these respect between the control groups. At month 6 after the azaserine induction Sv and Vv showed slight, nonsignificant decrease as compared to the host control. Both values remained unchanged until the 15th month and increased significantly by the 20th month. These results may indicate comparable growth rate of tumour and new microvessels in the premalignant stages of carcinogenesis while a more intense angiogenesis than tumour growth afterwards.


Assuntos
Azasserina/toxicidade , Neoplasias Pancreáticas/irrigação sanguínea , Neoplasias Pancreáticas/induzido quimicamente , Adenocarcinoma/irrigação sanguínea , Adenocarcinoma/induzido quimicamente , Animais , Masculino , Microcirculação/efeitos dos fármacos , Microcirculação/patologia , Neovascularização Patológica/induzido quimicamente , Ratos , Ratos Wistar , Fatores de Tempo
5.
Acta Biol Hung ; 52(4): 411-6, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11693991

RESUMO

Tight junctions (zonulae occludentes, ZO) are cellularly regulated dynamic structures sensitive to environmental stress agents including ionizing radiation. Radiation induced pathological alterations of the small intestine (gastrointestinal radiation syndrome) are related to altered ZO-mediated paracellular transport. We carried out a quantitative morphological evaluation of the murine jejunal epithelial tight junctional structure in freeze fracture replicas as changed upon whole body X-ray irradiation and low energy microwave exposition. X-ray treatment (4 Gy, 1, 24 h) brought about a partial dearrangement of the ZO strand network which regenerated only partially by 24 h. This observation is in line with data on paracellular permeability increases and ZO-bound calcium drop caused by X-ray irradiation. On the other hand, microwave treatment (16 Hz-modulated 2.45 GHz wave, 1 mW/cm2 power density, I h exposition, samples at I and 3 h after exposition) did not cause dearrangement but, rather an increase in the integration of thight junctional structure, which is in agreement with an increase in cytochemically detectable ZO-bound calcium.


Assuntos
Micro-Ondas/efeitos adversos , Junções Íntimas/efeitos da radiação , Animais , Cálcio/metabolismo , Técnica de Fratura por Congelamento , Jejuno/metabolismo , Jejuno/efeitos da radiação , Jejuno/ultraestrutura , Camundongos , Junções Íntimas/metabolismo , Junções Íntimas/ultraestrutura , Raios X
6.
Cell Tissue Res ; 302(2): 253-61, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11131136

RESUMO

The spontaneous autophagic activity in epithelial cells of isolated tissue slices of murine seminal vesicle is strongly enhanced by short (5 min) pretreatment in a medium containing 0.03% Triton X-100. In addition to the significant increase in the cytoplasmic volume fraction and the mean size of autophagic vacuoles, the appearance of shorter or longer smooth membrane pairs located between cisterns of rough endoplasmic reticulum (RER) and in the vicinity of nucleus is also greatly stimulated. Their morphological features observed after application of various fixation methods, freeze-substitution and freeze-fracture techniques show that they are unclosed nascent isolation membranes, representing a unique class of intracellular membranes. They may grow around the nucleus, leading to its complete autophagic sequestration and degradation, which is observed here for the first time. Treatment with 3-methyladenine or wortmannin inhibits the formation of autophagosomes, leading to their regression with a halving time of 7 min. In contrast, these inhibitors cause extremely fast shrinking of nascent isolating membranes, leading to their complete disappearance within 7 min. We propose that the early events of autophagy involve three main steps: initiation, growth and closure, and suggest that the growth of nascent isolation membranes is reversible i.e. the membranes may be subject to disassembly before their closure is completed. Bending and closure of the isolation membrane and the stability of neighbouring cellular structures appear as important determinants of size regulation. These early steps of autophagy are good candidates for very fast accommodation to changing conditions and subtle regulation by phosphoinositide kinases as indicated by wortmannin sensitivity.


Assuntos
Autofagia , Células Epiteliais/fisiologia , Membranas Intracelulares/metabolismo , Glândulas Seminais/fisiologia , Adenina/análogos & derivados , Adenina/farmacologia , Androstadienos/farmacologia , Animais , Autofagia/efeitos dos fármacos , Núcleo Celular/efeitos dos fármacos , Núcleo Celular/metabolismo , Núcleo Celular/ultraestrutura , Tamanho Celular/efeitos dos fármacos , Detergentes/farmacologia , Retículo Endoplasmático Rugoso/efeitos dos fármacos , Retículo Endoplasmático Rugoso/metabolismo , Retículo Endoplasmático Rugoso/ultraestrutura , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/ultraestrutura , Técnicas In Vitro , Membranas Intracelulares/efeitos dos fármacos , Membranas Intracelulares/ultraestrutura , Masculino , Camundongos , Microscopia Eletrônica , Octoxinol/farmacologia , Inibidores de Fosfoinositídeo-3 Quinase , Glândulas Seminais/citologia , Vacúolos/efeitos dos fármacos , Vacúolos/metabolismo , Wortmanina
7.
Carcinogenesis ; 20(10): 1893-8, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10506101

RESUMO

Although cellular autophagy is recognized as a major pathway of macromolecular catabolism, little data are available regarding its activity or regulation in tumor cells. We approach this problem by morphometrical investigation into the possible changes in autophagic activity during progression of rat pancreatic adenocarcinoma induced by azaserine and promoted by a raw soya flour-containing pancreatotrophic diet. In the present study, the autophagic capacity of the carcinogen-induced premalignant atypical acinar nodule cells was characterized and compared with controls (normal tissue of rats kept on standard laboratory or pancreatotrophic diet and host tissue of the premalignant nodules of the azaserine-treated rats). Given for 90 min, vinblastine, an enhancer of autophagic segregation (i.e. formation of autophagic vacuoles), caused a one to two orders of magnitude larger expansion of the autophagic compartment in atypical nodule cells than in the controls. Then a 20 min blockade of segregation by cycloheximide led to regression of the autophagic compartment, which was barely measurable or moderate in the controls but exceeded 50% in the premalignant cells. At the same time, the cytoplasmic volume fraction of early autophagic vacuoles regressed to a near zero value in each cell type. Expansion and regression rates of these nascent vacuoles showed that both segregation and degradation were 6-20 times faster in the nodule than in normal tissue cells. These results show that the autophagic capacity of the premalignant cells in our system is greatly increased, possibly making these cells unusually sensitive to up-regulation of their self-digesting activity in response to different extracellular signals or drugs.


Assuntos
Adenocarcinoma/imunologia , Autofagia/efeitos dos fármacos , Azasserina/toxicidade , Neoplasias Pancreáticas/imunologia , Lesões Pré-Cancerosas/imunologia , Animais , Masculino , Ratos , Ratos Wistar
8.
Biochem Biophys Res Commun ; 204(2): 585-91, 1994 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-7980518

RESUMO

The interaction of phosphofructokinase and microtubules results in mutual effects: decreases overall activity of the kinase and alters the ultrastructural organization of microtubules. Electron microscopic studies provide direct evidence for the periodical cross-bridges of microtubules by the kinase. 3-4 closely aligned tubules are connected by rows of highly periodic lateral arms about 13 nm long and 12 nm wide. The bundling activity of the enzyme seems to be specific since aldolase, which also interacts with microtubules, does not cross-link tubules, but it impedes the binding of the kinase to tubules. ATP, ADP and fructose bisphosphates inhibit the cross-bridges of microtubules by phosphofruktokinase to a different extent and concentration dependent manner. The kinase complexed with specific metabolites inducing distinct conformers does not interact with tubules. Microtubules cross-linked by the kinase became partly resistant to the depolymerizing action of vinblastine.


Assuntos
Microtúbulos/metabolismo , Fosfofrutoquinase-1/metabolismo , Ligantes , Microscopia Eletrônica , Microtúbulos/efeitos dos fármacos , Microtúbulos/ultraestrutura , Paclitaxel/farmacologia , Ligação Proteica , Vimblastina/farmacologia
9.
Exp Mol Pathol ; 56(1): 76-86, 1992 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1547871

RESUMO

Accumulation of autophagic vacuoles (AVs) was monitored by electron microscopic morphometry in murine pancreatic acinar cells during the 5-hr period after a single injection of vinblastine (VBL). The expansion of the autophagic compartment (AC) occurred in two waves. AVs accumulated in the first 90 min and regressed in the next hour, but thereafter AC expanded again, and 5 hr following the VBL injection, as much as 5.3% of the cytoplasmic volume was found sequestered into the AC. The high rates of accumulation of AVs indicated that VBL stimulated AV formation (segregation) during both expansion phases. To have a deeper insight into the dynamics of the process segregational inhibitor cycloheximide (CHI) was given 1 and 3 hr after VBL and the subsequent regression of the AC and its subcompartments (i.e., early, advanced, and late AVs) were measured during the next 90 min. We found that regression of AVs was fast in the first expansion and slowed down in the second expansion phase during which only early AVs regressed. CHI proved to be a fast and effective inhibitor of autophagic segregation, whether it was given before, simultaneously, or after the VBL injection. The aforementioned results argue for a dual mode of action of VBL (i.e., a prompt stimulation of segregation and a delayed retardation of AV maturation). The two effects of the alkaloid prevail differently along the time course. A further analysis of the behavior of the AC subcompartments showed that CHI perhaps inhibits segregational step(s) occurring prior to the actual formation of the autolysosomes.


Assuntos
Autofagia/efeitos dos fármacos , Cicloeximida/farmacologia , Pâncreas/citologia , Vimblastina/farmacologia , Animais , Autofagia/fisiologia , Relação Dose-Resposta a Droga , Masculino , Camundongos , Camundongos Endogâmicos , Microscopia Eletrônica , Pâncreas/fisiologia , Pâncreas/ultraestrutura , Fatores de Tempo
10.
Acta Morphol Hung ; 39(2): 79-85, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1789148

RESUMO

The protein synthesis inhibitor cycloheximide is widely used (in vitro or in vivo) to inhibit the autophagic degradation of endogenous cellular proteins. Circumstantial evidence has been obtained largely from in vitro experiments for a similar effect of other translational inhibitors. In the present study, the in vivo effects of cycloheximide, emetine and puromycin on autophagy in murine exocrine pancreatic and liver cells were tested using electron microscopic morphometry. The experiments were based on the assumption that the autophagic compartment will regress if the formation of the vacuoles is blocked while degradation in the pre-existing vacuoles goes on. To make the measurements easier, autophagic compartment of the cells was greatly enlarged in both cell types by administering vinblastine (10 mg/kg b. wt.) for 2 h when the inhibitors were set on for an additional 30 min. During this half-an-hour, cycloheximide (0.2 mg/g b. wt.), emetine (0.12 mg/g b. wt.) and puromycin (0.2 mg/g b. wt.), respectively caused 58.5, 35.6, and 69.5% regression of the pancreatic and 46.7, 64.2, and 54.2% of the hepatocytic autophagic vacuole compartment. Thus, similarly to cycloheximide, both emetine and puromycin have proved to be inhibitors of autophagy in vivo. The results argue for a possible relationship between the synthesis and degradation of endogenous cellular proteins.


Assuntos
Autofagia/efeitos dos fármacos , Fígado/efeitos dos fármacos , Pâncreas/efeitos dos fármacos , Inibidores da Síntese de Proteínas/farmacologia , Animais , Cicloeximida/farmacologia , Emetina/farmacologia , Fígado/citologia , Fígado/ultraestrutura , Masculino , Camundongos , Microscopia Eletrônica , Pâncreas/citologia , Pâncreas/ultraestrutura , Biossíntese de Proteínas/efeitos dos fármacos , Puromicina/farmacologia , Vimblastina/farmacologia
11.
Acta Biol Hung ; 42(1-3): 119-26, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1844304

RESUMO

Autophagy is a three-step process in which parts of cytoplasm are segregated by membranes to form autophagosomes gaining acid hydrolases later, being converted this way into autolysosomes in which lysosomal degradation takes place. The actual size of the autophagic vacuole compartment (AVC) is obviously dependent on the velocity of these main steps. According to our morphometric measurements, a single dose (10 mg/kg b.wt.) of vinblastine (VBL) caused a conspicuous expansion of the AVC in pancreatic acinar cells, occurring in two waves: it expanded in the first 90 min but regressed in the next hour. This was followed by a second expansion monitored until the 5th post-injectional hour. The expansion rates indicate the existence of stimulation of autophagic segregation in both expansion phases. To take a further look, into the dynamics of the process, we blocked segregation by giving cycloheximide (CHI 0.2 mg/g b.wt.) 1 and 3 h after VBL and the subsequent regression of the AVC was followed by morphometry in the next 90 min. At the height of the first wave (1-2 h after VBL) the regression of AVC was not retarded, but rather, degradation rate seemed elevated. When CHI was given 1 h after VBL, 92% of the cytoplasmic volume fraction (CVF) of AVC regressed within the next 30 min. The main factor causing the expansion of AVC might be enhanced segregation in the first wave. Contrarily, at the beginning of the second wave, the turnover of AVs is dramatically slowed down. When CHI was given 3 h after VBL, only 27% of CVF of AVC regressed in the next 90 min.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Autofagia/efeitos dos fármacos , Cicloeximida/farmacologia , Pâncreas/efeitos dos fármacos , Vimblastina/farmacologia , Animais , Membrana Celular/ultraestrutura , Masculino , Camundongos , Pâncreas/ultraestrutura , Fatores de Tempo , Vacúolos/efeitos dos fármacos , Vacúolos/ultraestrutura
12.
Acta Biol Hung ; 42(1-3): 127-32, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1844305

RESUMO

The translational inhibitor cycloheximide is also used as an inhibitor of cellular autophagy and intracellular degradation of endogenous cellular proteins. Some evidence for a similar effect of other inhibitors of protein biosynthesis is also available (largely from in vitro systems). In the present study, the in vivo effects of cycloheximide, emetine and puromycin on autophagy in murine exocrine pancreatic and liver cells were tested using electron microscopic morphometry. The experiments were based on the fact that when the formation of autophagosomes is inhibited, a regression of the autophagolysosomal compartment can be measured, provided intralysosomal degradation in the pre-existing autophagic vacuoles continues at an unchanged rate. To make the measurements easier, autophagolysosomal compartment of the cells was enlarged by administering vinblastine (10 mg/kg b.wt.) for 2 h when the inhibitors were given for an additional 30 min. During this time cycloheximide (0.2 mg/g b.wt.), emetine (0.12 mg/g b.wt.) and puromycin (0.2 mg/g b.wt.), respectively caused 35, 25 and 52% regression of the pancreatocytic autophagolysosomal compartment. Since all the above translational inhibitors inhibited autophagocytosis as well, the possibility of a coupling between the regulation of synthesis and inhibition of proteins arises.


Assuntos
Autofagia/efeitos dos fármacos , Pâncreas/efeitos dos fármacos , Inibidores da Síntese de Proteínas/farmacologia , Animais , Membrana Celular/ultraestrutura , Retículo Endoplasmático/ultraestrutura , Fígado/efeitos dos fármacos , Fígado/ultraestrutura , Masculino , Camundongos , Pâncreas/ultraestrutura , Vacúolos/ultraestrutura , Vimblastina/farmacologia
13.
Acta Biol Hung ; 42(1-3): 133-40, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1844306

RESUMO

While investigating the time course of the influence of autophagy-inducer vinblastine in pancreatic acinar cells, we discovered that about 24 h after the single injection of the drug (10 mg/kg b.wt.) when most of the cells were already recovering from the autophagic wave, dying cells with apoptotic nuclei and peculiar morphology of their cytoplasm appeared in the exocrine pancreas. Apoptotic blebs (ABs) separating from apoptotic cells or already phagocytized by neighbouring cells were also also observed. A large number of autophagic vacuoles (AVs) were seen in these cells termed apoptotic cell (AC). They are most probably derived from cells with morphologically normal nuclei but with unusually high number of AVs in their cytoplasm. We termed these cells highly autophagic cells (HAC). Our morphometric measurements show that the partial volume of both HAC and AC increased to 7.5 and 9.5%, respectively, of total cellular volume in the 25th h after vinblastine treatment. This increase could be inhibited by a treatment at the 24th h with cycloheximide (0.2 mg/g b.wt.) an inhibitor of both translation and autophagic segregation. Thus, synthesis of proteins or an enhanced autophagy may be indispensable step(s) in the apoptotic process in this system.


Assuntos
Apoptose/efeitos dos fármacos , Cicloeximida/farmacologia , Pâncreas/efeitos dos fármacos , Vimblastina/farmacologia , Animais , Autofagia/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Masculino , Camundongos , Pâncreas/ultraestrutura , Vacúolos/efeitos dos fármacos , Vacúolos/ultraestrutura
14.
Acta Biol Hung ; 42(1-3): 57-86, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1844320

RESUMO

Autophagy is a major pathway of lysosomal degradation of cellular macromolecules. The paper summarizes the results obtained in the studies on macroautophagy using the exocrine pancreatic acinar cell as model system and vinblastine as inducer. Current knowledge about the origin and properties of the limiting membranes of autophagic vacuoles, and the results of quantitative morphological studies into the dynamics and kinetics of vinblastine-induced autophagocytosis, as well as recent achievements in isolation and characterization of subclasses of autophagic vacuoles (autophagosomes and autolysosomes) are reviewed.


Assuntos
Autofagia/fisiologia , Pâncreas/fisiologia , Vimblastina/farmacologia , Animais , Autofagia/efeitos dos fármacos , Membrana Celular/ultraestrutura , Lisossomos/ultraestrutura , Camundongos , Pâncreas/efeitos dos fármacos , Pâncreas/ultraestrutura , Vacúolos/ultraestrutura
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