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1.
Front Neural Circuits ; 18: 1423505, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38841557

RESUMO

The olfactory tubercle (OT) is a unique part of the olfactory cortex of the mammal brain in that it is also a component of the ventral striatum. It is crucially involved in motivational behaviors, particularly in adaptive olfactory learning. This review introduces the basic properties of the OT, its synaptic connectivity with other brain areas, and the plasticity of the connectivity associated with learning behavior. The adaptive properties of olfactory behavior are discussed further based on the characteristics of OT neuronal circuits.


Assuntos
Plasticidade Neuronal , Tubérculo Olfatório , Animais , Plasticidade Neuronal/fisiologia , Humanos , Tubérculo Olfatório/fisiologia , Aprendizagem/fisiologia
2.
Front Neural Circuits ; 18: 1408189, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38872907

RESUMO

Olfactory dysfunctions decrease daily quality of life (QOL) in part by reducing the pleasure of eating. Olfaction plays an essential role in flavor sensation and palatability. The decreased QOL due to olfactory dysfunction is speculated to result from abnormal neural activities in the olfactory and limbic areas of the brain, as well as peripheral odorant receptor dysfunctions. However, the specific underlying neurobiological mechanisms remain unclear. As the olfactory tubercle (OT) is one of the brain's regions with high expression of endogenous opioids, we hypothesize that the mechanism underlying the decrease in QOL due to olfactory dysfunction involves the reduction of neural activity in the OT and subsequent endogenous opioid release in specialized subregions. In this review, we provide an overview and recent updates on the OT, the endogenous opioid system, and the pleasure systems in the brain and then discuss our hypothesis. To facilitate the effective treatment of olfactory dysfunctions and decreased QOL, elucidation of the neurobiological mechanisms underlying the pleasure of eating through flavor sensation is crucial.


Assuntos
Tubérculo Olfatório , Peptídeos Opioides , Qualidade de Vida , Olfato , Humanos , Animais , Olfato/fisiologia , Peptídeos Opioides/metabolismo , Peptídeos Opioides/fisiologia , Tubérculo Olfatório/fisiologia , Tubérculo Olfatório/metabolismo , Transtornos do Olfato/fisiopatologia , Transtornos do Olfato/metabolismo
3.
J Neurosci ; 44(25)2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38755004

RESUMO

The olfactory tubercle (TUB), also called the tubular striatum, receives direct input from the olfactory bulb and, along with the nucleus accumbens, is one of the two principal components of the ventral striatum. As a key component of the reward system, the ventral striatum is involved in feeding behavior, but the vast majority of research on this structure has focused on the nucleus accumbens, leaving the TUB's role in feeding behavior understudied. Given the importance of olfaction in food seeking and consumption, olfactory input to the striatum should be an important contributor to motivated feeding behavior. Yet the TUB is vastly understudied in humans, with very little understanding of its structural organization and connectivity. In this study, we analyzed macrostructural variations between the TUB and the whole brain and explored the relationship between TUB structural pathways and feeding behavior, using body mass index (BMI) as a proxy in females and males. We identified a unique structural covariance between the TUB and the periaqueductal gray (PAG), which has recently been implicated in the suppression of feeding. We further show that the integrity of the white matter tract between the two regions is negatively correlated with BMI. Our findings highlight a potential role for the TUB-PAG pathway in the regulation of feeding behavior in humans.


Assuntos
Comportamento Alimentar , Tubérculo Olfatório , Substância Cinzenta Periaquedutal , Humanos , Masculino , Feminino , Comportamento Alimentar/fisiologia , Adulto , Substância Cinzenta Periaquedutal/fisiologia , Tubérculo Olfatório/fisiologia , Imageamento por Ressonância Magnética/métodos , Adulto Jovem , Vias Neurais/fisiologia
4.
Elife ; 112022 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-35708179

RESUMO

Positive and negative associations acquired through olfactory experience are thought to be especially strong and long-lasting. The conserved direct olfactory sensory input to the ventral striatal olfactory tubercle (OT) and its convergence with dense dopaminergic input to the OT could underlie this privileged form of associative memory, but how this process occurs is not well understood. We imaged the activity of the two canonical types of striatal neurons, expressing D1- or D2-type dopamine receptors, in the OT at cellular resolution while mice learned odor-outcome associations ranging from aversive to rewarding. D1 and D2 neurons both responded to rewarding and aversive odors. D1 neurons in the OT robustly and bidirectionally represented odor valence, responding similarly to odors predicting similar outcomes regardless of odor identity. This valence representation persisted even in the absence of a licking response to the odors and in the absence of the outcomes, indicating a true transformation of odor sensory information by D1 OT neurons. In contrast, D2 neuronal representation of the odor-outcome associations was weaker, contingent on a licking response by the mouse, and D2 neurons were more selective for odor identity than valence. Stimulus valence coding in the OT was modality-sensitive, with separate sets of D1 neurons responding to odors and sounds predicting the same outcomes, suggesting that integration of multimodal valence information happens downstream of the OT. Our results point to distinct representation of identity and valence of odor stimuli by D1 and D2 neurons in the OT.


Assuntos
Sinais (Psicologia) , Estriado Ventral , Animais , Camundongos , Neurônios/fisiologia , Odorantes , Tubérculo Olfatório/fisiologia , Receptores de Dopamina D2/metabolismo , Olfato/fisiologia , Estriado Ventral/metabolismo
5.
Front Neural Circuits ; 14: 577880, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33262693

RESUMO

Olfaction plays an important role in the evaluation, motivation, and palatability of food. The chemical identity of odorants is coded by a spatial combination of activated glomeruli in the olfactory bulb, which is referred to as the odor map. However, the functional roles of the olfactory cortex, a collective region that receives axonal projections from the olfactory bulb, and higher olfactory centers in odor-guided eating behaviors are yet to be elucidated. The olfactory tubercle (OT) is a component of the ventral striatum and forms a node within the mesolimbic dopaminergic pathway. Recent studies have revealed the anatomical domain structures of the OT and their functions in distinct odor-guided motivated behaviors. Another component of the ventral striatum, the nucleus accumbens, is well known for its involvement in motivation and hedonic responses for foods, which raises the possibility of functional similarities between the OT and nucleus accumbens in eating. This review first summarizes recent findings on the domain- and neuronal subtype-specific roles of the OT in odor-guided motivated behaviors and then proposes a model for the regulation of eating behaviors by the OT.


Assuntos
Comportamento Alimentar/fisiologia , Motivação/fisiologia , Odorantes , Tubérculo Olfatório/fisiologia , Animais , Humanos , Núcleo Accumbens/fisiologia
6.
Cell Rep ; 32(3): 107919, 2020 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-32697986

RESUMO

Odors are well known to elicit strong emotional and behavioral responses that become strengthened throughout learning, yet the specific cellular systems involved in odor learning and the direct influence of these on behavior are unclear. Here, we investigate the representation of odor-reward associations within two areas recipient of dense olfactory input, the posterior piriform cortex (pPCX) and the olfactory tubercle (OT), using electrophysiological recordings from mice engaged in reward-based learning. Neurons in both regions represent conditioned odors and do so with similar information content, yet the proportion of neurons recruited by conditioned rewarded odors and the magnitudes and durations of their responses are greater in the OT. Using fiber photometry, we find that OT D1-type dopamine-receptor-expressing neurons flexibly represent odors based on reward associations, and using optogenetics, we show that these neurons influence behavioral engagement. These findings contribute to a model whereby OT D1 neurons support odor-guided motivated behaviors.


Assuntos
Comportamento Animal/fisiologia , Vias Neurais/fisiologia , Recompensa , Olfato/fisiologia , Animais , Masculino , Camundongos Endogâmicos C57BL , Neurônios/metabolismo , Tubérculo Olfatório/fisiologia , Córtex Piriforme/fisiologia , Receptores de Dopamina D1/metabolismo
7.
J Neurosci ; 40(22): 4335-4347, 2020 05 27.
Artigo em Inglês | MEDLINE | ID: mdl-32321744

RESUMO

Rodents can successfully learn multiple novel stimulus-response associations after only a few repetitions when the contingencies predict reward. The circuits modified during such reinforcement learning to support decision-making are not known, but the olfactory tubercle (OT) and posterior piriform cortex (pPC) are candidates for decoding reward category from olfactory sensory input and relaying this information to cognitive and motor areas. Through single-cell recordings in behaving male and female C57BL/6 mice, we show here that an explicit representation for reward category emerges in the OT within minutes of learning a novel odor-reward association, whereas the pPC lacks an explicit representation even after weeks of overtraining. The explicit reward category representation in OT is visible in the first sniff (50-100 ms) of an odor on each trial, and precedes the motor action. Together, these results suggest that the coding of stimulus information required for reward prediction does not occur within olfactory cortex, but rather in circuits involving the olfactory striatum.SIGNIFICANCE STATEMENT Rodents are olfactory specialists and can use odors to learn contingencies quickly and well. We have found that mice can readily learn to place multiple odors into rewarded and unrewarded categories. Once they have learned the rule, they can do such categorization in a matter of minutes (<10 trials). We found that neural activity in olfactory cortex largely reflects sensory coding, with very little explicit information about categories. By contrast, neural activity in a brain region in the ventral striatum is rapidly modified in a matter of minutes to reflect reward category. Our experiments set up a paradigm for studying rapid sensorimotor reinforcement in a circuit that is right at the interface of sensory input and reward areas.


Assuntos
Percepção Olfatória , Tubérculo Olfatório/fisiologia , Recompensa , Animais , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Neurônios/fisiologia , Tubérculo Olfatório/citologia , Córtex Piriforme/citologia , Córtex Piriforme/fisiologia
8.
Sci Rep ; 10(1): 890, 2020 01 21.
Artigo em Inglês | MEDLINE | ID: mdl-31964903

RESUMO

Various neural systems cooperate in feeding behaviour, and olfaction plays crucial roles in detecting and evaluating food objects. While odour-mediated feeding behaviour is highly adaptive and influenced by metabolic state, hedonic cues and learning processes, the underlying mechanism is not well understood. Feeding behaviour is regulated by orexigenic and anorexigenic neuromodulatory molecules. However, knowledge of their roles especially in higher olfactory areas is limited. Given the potentiation of feeding behaviour in hunger state, we systemically examined the expression of feeding-related neuromodulatory molecules in food-restricted mice through quantitative PCR, in the olfactory bulb (OB), olfactory tubercle (OT), and remaining olfactory cortical area (OC). The OT was further divided into attraction-related anteromedial, aversion-related lateral and remaining central regions. Examination of 23 molecules including neuropeptides, opioids, cannabinoids, and their receptors as well as signalling molecules showed that they had different expression patterns, with many showing elevated expression in the OT, especially in the anteromedial and central OT. Further, in mice trained with odour-food association, the expression was significantly altered and the increase or decrease of a given molecule varied among areas. These results suggest that different olfactory areas are regulated separately by feeding-related molecules, which contributes to the adaptive regulation of feeding behaviour.


Assuntos
Comportamento Alimentar/fisiologia , Regulação da Expressão Gênica , Neurotransmissores/metabolismo , Bulbo Olfatório/fisiologia , Tubérculo Olfatório/fisiologia , Animais , Glicemia/metabolismo , Insulina/sangue , Masculino , Camundongos Endogâmicos C57BL , Neurotransmissores/genética , Odorantes , Receptores de Neurotransmissores/genética , Receptores de Neurotransmissores/metabolismo , Recompensa , Transdução de Sinais
9.
Elife ; 62017 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-29251597

RESUMO

Odor-preferences are usually influenced by life experiences. However, the neural circuit mechanisms remain unclear. The medial olfactory tubercle (mOT) is involved in both reward and olfaction, whereas the ventral tegmental area (VTA) dopaminergic (DAergic) neurons are considered to be engaged in reward and motivation. Here, we found that the VTA (DAergic)-mOT pathway could be activated by different types of naturalistic rewards as well as odors in DAT-cre mice. Optogenetic activation of the VTA-mOT DAergic fibers was able to elicit preferences for space, location and neutral odor, while pharmacological blockade of the dopamine receptors in the mOT fully prevented the odor-preference formation. Furthermore, inactivation of the mOT-projecting VTA DAergic neurons eliminated the previously formed odor-preference and strongly affected the Go-no go learning efficiency. In summary, our results revealed that the VTA (DAergic)-mOT pathway mediates a variety of naturalistic reward processes and different types of preferences including odor-preference in mice.


Assuntos
Comportamento Animal , Neurônios Dopaminérgicos/fisiologia , Vias Neurais/fisiologia , Odorantes , Tubérculo Olfatório/fisiologia , Área Tegmentar Ventral/fisiologia , Animais , Camundongos , Optogenética
10.
Analyst ; 141(12): 3746-55, 2016 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-27063845

RESUMO

The olfactory tubercle (OT), as a component of the ventral striatum, serves as an important multisensory integration center for reward-related processes in the brain. Recent studies show that dense dopaminergic innervation from the ventral tegmental area (VTA) into the OT may play an outsized role in disorders such as psychostimulant addiction and disorders of motivation, increasing recent scientific interest in this brain region. However, due to its anatomical inaccessibility, relative small size, and proximity to other dopamine-rich structures, neurochemical assessments using conventional methods cannot be readily employed. Here, we investigated dopamine (DA) regulation in the OT of urethane-anesthetized rats using in vivo fast-scan voltammetry (FSCV) coupled with carbon-fiber microelectrodes, following optogenetic stimulation of the VTA. The results were compared with DA regulation in the nucleus accumbens (NAc), a structure located adjacent to the OT and which also receives dense DA innervation from the VTA. FSCV coupled with optically evoked release allowed us to investigate the spatial distribution of DA in the OT and characterize OT DA dynamics (release and clearance) with subsecond temporal and micrometer spatial resolution for the first time. In this study, we demonstrated that DA transporters play an important role in regulating DA in the OT. However, the control of extracellular DA by uptake in the OT was less than in the NAc. The difference in DA transmission in the terminal fields of the OT and NAc may be involved in region-specific responses to drugs of abuse and contrasting roles in mediating reward-related behavior.


Assuntos
Dopamina/fisiologia , Estimulação Elétrica , Núcleo Accumbens/fisiologia , Tubérculo Olfatório/fisiologia , Animais , Encéfalo , Masculino , Microeletrodos , Ratos , Ratos Sprague-Dawley
11.
J Neurosci ; 35(29): 10581-99, 2015 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-26203152

RESUMO

An odor induces food-seeking behaviors when humans and animals learned to associate the odor with food, whereas the same odor elicits aversive behaviors following odor-danger association learning. It is poorly understood how central olfactory circuits transform the learned odor cue information into appropriate motivated behaviors. The olfactory tubercle (OT) is an intriguing area of the olfactory cortex in that it contains medium spiny neurons as principal neurons and constitutes a part of the ventral striatum. The OT is therefore a candidate area for participation in odor-induced motivated behaviors. Here we mapped c-Fos activation of medium spiny neurons in different domains of the mouse OT following exposure to learned odor cues. Mice were trained to associate odor cues to a sugar reward or foot shock punishment to induce odor-guided approach behaviors or aversive behaviors. Regardless of odorant types, the anteromedial domain of the OT was activated by learned odor cues that induced approach behaviors, whereas the lateral domain was activated by learned odor cues that induced aversive behaviors. In each domain, a larger number of dopamine receptor D1 type neurons were activated than D2 type neurons. These results indicate that specific domains of the OT represent odor-induced distinct motivated behaviors rather than odor stimuli, and raise the possibility that neuronal type-specific activation in individual domains of the OT plays crucial roles in mediating the appropriate learned odor-induced motivated behaviors. Significance statement: Although animals learn to associate odor cues with various motivated behaviors, the underlying circuit mechanisms are poorly understood. The olfactory tubercle (OT), a subarea of the olfactory cortex, also constitutes the ventral striatum. Here, we trained mice to associate odors with either reward or punishment and mapped odor-induced c-Fos activation in the OT. Regardless of odorant types, the anteromedial domain was activated by approach behavior-inducing odors, whereas the lateral domain was activated by aversive behavior-inducing odors. In each domain, dopamine receptor D1 neurons were preferentially activated over D2 neurons. The results indicate that specific OT domains represent odor-induced distinct motivated behaviors rather than odor types, and suggest the importance of neuronal type-specific activation in individual domains in mediating appropriate behaviors.


Assuntos
Aprendizagem por Associação/fisiologia , Comportamento Animal/fisiologia , Mapeamento Encefálico/métodos , Tubérculo Olfatório/fisiologia , Animais , Sinais (Psicologia) , Aprendizagem por Discriminação/fisiologia , Processamento de Imagem Assistida por Computador , Imuno-Histoquímica , Hibridização In Situ , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Odorantes , Olfato/fisiologia
12.
J Neurosci ; 35(11): 4515-27, 2015 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-25788670

RESUMO

Sensory information acquires meaning to adaptively guide behaviors. Despite odors mediating a number of vital behaviors, the components of the olfactory system responsible for assigning meaning to odors remain unclear. The olfactory tubercle (OT), a ventral striatum structure that receives monosynaptic input from the olfactory bulb, is uniquely positioned to transform odor information into behaviorally relevant neural codes. No information is available, however, on the coding of odors among OT neurons in behaving animals. In recordings from mice engaged in an odor discrimination task, we report that the firing rate of OT neurons robustly and flexibly encodes the valence of conditioned odors over identity, with rewarded odors evoking greater firing rates. This coding of rewarded odors occurs before behavioral decisions and represents subsequent behavioral responses. We predict that the OT is an essential region whereby odor valence is encoded in the mammalian brain to guide goal-directed behaviors.


Assuntos
Aprendizagem por Discriminação/fisiologia , Odorantes , Tubérculo Olfatório/fisiologia , Olfato/fisiologia , Animais , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Estriado Ventral/fisiologia
13.
Brain Res ; 1592: 11-21, 2014 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-25281805

RESUMO

Animals maintained under conditions of food-availability restricted to a specific period of the day show molecular and physiological circadian rhythms and increase their locomotor activity 2-3h prior to the next scheduled feeding, called food anticipatory activity (FAA). Although the anatomical substrates and underlying mechanisms of the food-entrainable oscillator are not well understood, experimental evidence indicates that it involves multiple structures and systems. Using rabbit pups entrained to circadian nursing as a natural model of food restriction, we hypothesized that the anterior piriform cortex (APCx) and the olfactory tubercle (OTu) are activated during nursing-associated FAA. Two groups of litters were entrained to one of two different nursing times. At postnatal day 7, when litters showed clear FAA, pups from each litter were euthanized at nursing time, or 1, 2, 4, 8, 12, 16 or 20h later. Neural metabolic activities of the APCx, OTu, olfactory bulb (OB) and suprachiasmatic nucleus (SCN) were assessed by cytochrome oxidase histochemistry. Additionally, two fasted groups were nurse-deprived for two cycles before being euthanized at postnatal day 9. In nursed pups, metabolic activity of APCx, OTu and OB increased during FAA and after feeding, independently of the geographical time. Metabolic activity in SCN was not affected by nursing schedule. Given that APCx and OTu are in a key network position to integrate temporal odor signals with body energetic state, brain arousal and reward mechanisms, we suggest that these structures could be an important part of the conditioned oscillatory mechanism that leads to food entrainment.


Assuntos
Ritmo Circadiano/fisiologia , Comportamento Alimentar/fisiologia , Tubérculo Olfatório/fisiologia , Córtex Piriforme/fisiologia , Núcleo Supraquiasmático/fisiologia , Animais , Animais Recém-Nascidos , Antecipação Psicológica/fisiologia , Complexo IV da Cadeia de Transporte de Elétrons/metabolismo , Privação de Alimentos/fisiologia , Lactação , Atividade Motora/fisiologia , Bulbo Olfatório/fisiologia , Coelhos , Distribuição Aleatória
14.
Behav Brain Res ; 274: 243-7, 2014 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-25150042

RESUMO

Rodents rely upon their olfactory modality to perceive opposite-sex pheromonal odors needed to motivate courtship behaviors. Volatile and nonvolatile components of pheromonal odors are processed by the main (MOS) and accessory olfactory system (AOS), respectively, with inputs converging in the medial amygdala (Me). The Me in turn targets the mesolimbic dopamine system, including the nucleus accumbens core (AcbC) and shell (AcbSh), the ventral pallidum (VP), medial olfactory tubercle (mOT) and ventral tegmental area (VTA). We hypothesized that pheromone-induced dopamine (DA) release in the ventral striatum (particularly in the mAcb and mOT) may mediate the normal preference of female mice to investigate male pheromones. We made bilateral 6-OHDA lesions of DA fibers innervating either the mAcb alone or the mAcb+mOT in female mice and tested estrous females' preference for opposite-sex urinary odors. We found that 6-OHDA lesions of either the mAcb alone or the mAcb+mOT significantly reduced the preference of sexually naïve female mice to investigate breeding male urinary odors (volatiles as well as volatiles+nonvolatiles) vs. estrous female urinary odors. These same neurotoxic lesions had no effect on subjects' ability to discriminate between these two urinary odors, on their locomotor activity, or on their preference for consuming sucrose. The integrity of the dopaminergic innervation of the mAcb and mOT is required for female mice to prefer investigating male pheromones.


Assuntos
Adrenérgicos/toxicidade , Odorantes , Oxidopamina/toxicidade , Olfato/efeitos dos fármacos , Estriado Ventral/lesões , Estriado Ventral/fisiologia , Animais , Dopamina/metabolismo , Feminino , Preferências Alimentares/efeitos dos fármacos , Masculino , Camundongos , Núcleo Accumbens/lesões , Núcleo Accumbens/fisiologia , Tubérculo Olfatório/lesões , Tubérculo Olfatório/fisiologia , Atrativos Sexuais , Sacarose/metabolismo
16.
J Neurophysiol ; 111(10): 2109-23, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24598519

RESUMO

The olfactory tubercle (OT), a trilaminar structure located in the basal forebrain of mammals, is thought to play an important role in olfaction. While evidence has accumulated regarding the contributions of the OT to odor information processing, studies exploring the role of the OT in olfaction in awake animals remain unavailable. In the present study, we begin to address this void through multiday recordings of local field potential (LFP) activity within the OT of awake, freely exploring Long-Evans rats. We observed spontaneous OT LFP activity consisting of theta- (2-12 Hz), beta- (15-35 Hz) and gamma- (40-80 Hz) band activity, characteristic of previous reports of LFPs in other principle olfactory structures. Beta- and gamma-band powers were enhanced upon odor presentation. Simultaneous recordings of OT and upstream olfactory bulb (OB) LFPs revealed odor-evoked LFP power at statistically similar levels in both structures. Strong spectral coherence was observed between the OT and OB during both spontaneous and odor-evoked states. Furthermore, the OB theta rhythm more strongly cohered with the respiratory rhythm, and respiratory-coupled theta cycles in the OT occurred following theta cycles in the OB. Finally, we found that the animal's internal state modulated LFP activity in the OT. Together, these data provide initial insights into the network activity of the OT in the awake rat, including spontaneous rhythmicity, odor-evoked modulation, connectivity with upstream sensory input, and state-dependent modulation.


Assuntos
Odorantes , Percepção Olfatória/fisiologia , Tubérculo Olfatório/fisiologia , Vigília/fisiologia , Anestésicos Intravenosos/farmacologia , Animais , Ritmo beta , Eletrodos Implantados , Comportamento Exploratório/efeitos dos fármacos , Comportamento Exploratório/fisiologia , Feminino , Ritmo Gama , Bulbo Olfatório/efeitos dos fármacos , Bulbo Olfatório/fisiologia , Percepção Olfatória/efeitos dos fármacos , Tubérculo Olfatório/efeitos dos fármacos , Estimulação Física , Ratos Long-Evans , Respiração , Sono/fisiologia , Ritmo Teta , Fatores de Tempo , Uretana/farmacologia , Vigília/efeitos dos fármacos
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