Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular

Detalhes bibliográficos
Autor(a) principal: Rondinelle Ribeiro Castro
Data de Publicação: 2004
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFC
Texto Completo: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=11
Resumo: Animal models have been employed for the study of osteoarthritis (OA), but the articular hyperalgesia has received little attention. In this study, we standardized a method to study hyperalgesia in an OA model in rats, through the anterior cruciate ligament transection (ACLT), as well as the role of Nitric Oxide (NO). High molecular weight (MW) polysaccharides, such as Hylan G-F 20, as a gel preparation, have been used to relive pain in OA patients. Whether their activity is due to the high MW or to the gel state (viscossuplementation) is a matter of debate. We used the ACLT model to evaluate the effect of a polysaccharide from gum guar (GG) in the hyperalgesia. Wistar rats were subjected to ACLT (OA group). The hyperalgesia was measured using the test for articular incapacitation (AI) in rats (Tonussi & Ferreira, 1992), until 28 days. The joint lavage was used for determining cell influx (CI) and NO levels. The activity of the inducible NO synthase enzyme (iNOS) was evaluated by immunohistochemistry of the synovia. The articular cartilage was evaluated by quantifying the glycosaminoglycans (GAG) content of the cartilage of the femoral condyles. The animals of the OA group were compared to a sham group and to naive animals. Animals of the OA group received indomethacin (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) or 1400W (0,5mg/kg/d s.c.), NOS inhibitors, 30 min before the surgery and until sacrifice, at 7 days (prophylactic intervention). Animals of the OA group were compared to sham and naive groups. Other animals of the OA group received L-NAME or 1400W 3 days after the surgery, until sacrifice, at 7 days (therapeutic intervention). Still other animals of the OA group received GG (100&#956;g i. art.), as a gel or as solution, from 4 through 7 days of OA and were compared to both a sham group and to a group that received Hylan G-F 20 (100microg i. art.), as a gel. Control groups received the vehicles. The OA group displayed significantly increased AI during the first 7 days (P<0.001). There was no difference in CI among all groups. NO release, at 7 days, was increased in the OA group (P<0.05), that was associated with an increased activity of the iNOS in the synovia. The GAG content was significantly increased in the OA group, measured at 14 days (P<0.05). Indomethacin significantly reduced the AI, as compared to the OA group (P<0.05). L-NAME and 1400W reduced the AI, only when given prophylactically (P<0.01), that was reversed by the co-administration of L-NAME and L-arginine. GG, either as a gel or as a solution, as well as the Hylan G-F20, significantly reduced the AI (P<0.05), as compared to the OA group. This is the first demonstration of a model to study hyperalgesia, quantitatively, in OA experimental models. There is increased release of NO in the ACLT model, probably via iNOS activation. The administration of NOS inhibitors inhibits the AI only if given prophylactically. This is also the first demonstration that GG promotes analgesia in the ACLT model in rats. Moreover, the anti-nociceptive effect of polysaccharides, at least in this model, is independent of their colloidal state.
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spelling info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisHiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular Articular hyperalgesia in the anterior cruciate ligament transection in rats - effect of nitric oxide inhibitors and of high molecular weight polysaccharides2004-06-18Francisco Airton Castro da Rocha23373474353http://lattes.cnpq.br/4916026652021507Ronaldo de Albuquerque Ribeiro14095807334http://lattes.cnpq.br/6886335376140604Vietla Satyanarayana Rao21058550315http://lattes.cnpq.br/704654619105618783901230378http://lattes.cnpq.br/9194176846008423Rondinelle Ribeiro CastroUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em FarmacologiaUFCBR TLCA Ãxido NÃtrico ViscossuplementaÃÃo ACLT Nitric Oxide ViscosupplementationFARMACOLOGIAAnimal models have been employed for the study of osteoarthritis (OA), but the articular hyperalgesia has received little attention. In this study, we standardized a method to study hyperalgesia in an OA model in rats, through the anterior cruciate ligament transection (ACLT), as well as the role of Nitric Oxide (NO). High molecular weight (MW) polysaccharides, such as Hylan G-F 20, as a gel preparation, have been used to relive pain in OA patients. Whether their activity is due to the high MW or to the gel state (viscossuplementation) is a matter of debate. We used the ACLT model to evaluate the effect of a polysaccharide from gum guar (GG) in the hyperalgesia. Wistar rats were subjected to ACLT (OA group). The hyperalgesia was measured using the test for articular incapacitation (AI) in rats (Tonussi & Ferreira, 1992), until 28 days. The joint lavage was used for determining cell influx (CI) and NO levels. The activity of the inducible NO synthase enzyme (iNOS) was evaluated by immunohistochemistry of the synovia. The articular cartilage was evaluated by quantifying the glycosaminoglycans (GAG) content of the cartilage of the femoral condyles. The animals of the OA group were compared to a sham group and to naive animals. Animals of the OA group received indomethacin (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) or 1400W (0,5mg/kg/d s.c.), NOS inhibitors, 30 min before the surgery and until sacrifice, at 7 days (prophylactic intervention). Animals of the OA group were compared to sham and naive groups. Other animals of the OA group received L-NAME or 1400W 3 days after the surgery, until sacrifice, at 7 days (therapeutic intervention). Still other animals of the OA group received GG (100&#956;g i. art.), as a gel or as solution, from 4 through 7 days of OA and were compared to both a sham group and to a group that received Hylan G-F 20 (100microg i. art.), as a gel. Control groups received the vehicles. The OA group displayed significantly increased AI during the first 7 days (P<0.001). There was no difference in CI among all groups. NO release, at 7 days, was increased in the OA group (P<0.05), that was associated with an increased activity of the iNOS in the synovia. The GAG content was significantly increased in the OA group, measured at 14 days (P<0.05). Indomethacin significantly reduced the AI, as compared to the OA group (P<0.05). L-NAME and 1400W reduced the AI, only when given prophylactically (P<0.01), that was reversed by the co-administration of L-NAME and L-arginine. GG, either as a gel or as a solution, as well as the Hylan G-F20, significantly reduced the AI (P<0.05), as compared to the OA group. This is the first demonstration of a model to study hyperalgesia, quantitatively, in OA experimental models. There is increased release of NO in the ACLT model, probably via iNOS activation. The administration of NOS inhibitors inhibits the AI only if given prophylactically. This is also the first demonstration that GG promotes analgesia in the ACLT model in rats. Moreover, the anti-nociceptive effect of polysaccharides, at least in this model, is independent of their colloidal state. Modelos animais sÃo usados para estudo da Osteoartrite (OA), mas a hiperalgesia articular tem sido pouco investigada. Nesse trabalho, padronizamos um mÃtodo para estudo da hiperalgesia no modelo de OA em ratos, por transecÃÃo do ligamento cruzado anterior (TLCA) e investigamos a participaÃÃo do Ãxido NÃtrico (NO). PolissacarÃdeos de alto peso molecular (PM), como o Hilano GF-20, na forma de gel, sÃo usados para reduzir a dor em pacientes com OA, mas nÃo està claro se sua aÃÃo à atribuÃvel ao alto PM ou à forma em gel (viscossuplementaÃÃo). Usamos o modelo de TLCA para avaliar o efeito de um polissacarÃdeo de goma guar (GG) na hiperalgesia. Ratos Wistar foram submetidos à TLCA (grupo OA). A hiperalgesia foi avaliada pelo teste de incapacitaÃÃo articular (IA) para ratos (Tonussi & Ferreira, 1992), por atà 28 dias. O exsudato articular foi usado para medida do influxo celular (IC) e da liberaÃÃo de NO. A atividade da enzima NO sintase indutÃvel (iNOS) foi avaliada por imunohistoquÃmica das sinÃvias. A cartilagem articular foi avaliada pela quantificaÃÃo dos glicosaminoglicanos (GAG) da cartilagem dos cÃndilos femorais. Os animais do grupo OA foram comparados a grupos falso-operados (Sham) e a controles normais (Naive). Animais do Grupo OA receberam indometacina (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) ou 1400W (0,5mg/kg/d s.c.), inibidores da NOS, 30 min antes da cirurgia e atà o sacrifÃcio, aos 7 dias (intervenÃÃo profilÃtica). Outros animais do grupo OA receberam L-NAME ou 1400W a partir de 3 dias apÃs a cirurgia, atà o sacrifÃcio, aos 7 dias (IntervenÃÃo terapÃutica). Outros grupos OA receberam GG (100microg i. art.), como gel ou soluÃÃo, dos 4 aos 7 dias de OA e foram comparados ao grupo sham e a um grupo que recebeu Hilano G-F 20 (100&#956;g i. art.), como gel. Grupos controle receberam o veÃculo. O grupo OA apresentou IA significantemente maior durante os primeiros 7 dias (p<0,001). NÃo houve diferenÃa no IC entre todos os grupos. A liberaÃÃo de NO, aos 7 dias, foi maior no grupo OA (p<0,05), que foi associada a maior atividade da iNOS na sinÃvia. A quantidade de GAG foi maior no grupo OA, medida aos 14 dias (p<0,05). Indometacina reduziu significantemente a IA, em relaÃÃo ao grupo OA (p<0,05). L-NAME e 1400W inibiram a IA, apenas quando dados profilaticamente (p<0,01) sendo revertida pela co-administraÃÃo de L-NAME e L-arginina. A GG, em gel ou soluÃÃo, da mesma forma que o Hilano G-F 20, reduziu significantemente a IA (p<0,05), em relaÃÃo ao grupo OA. Esta à a primeira demonstraÃÃo de um modelo de estudo de hiperalgesia, de forma quantitativa, em modelos experimentais de OA. Existe aumento na liberaÃÃo de NO no modelo de TLCA, provavelmente via ativaÃÃo da iNOS. A administraÃÃo de inibidores de NOS inibe a IA nesse modelo apenas se feita de forma profilÃtica. Esta à tambÃm a primeira demonstraÃÃo que a GG promove analgesia no modelo de TLCA em ratos. Ainda, o efeito antinociceptivo de polissacarÃdeos, pelo menos nesse modelo, independe do seu estado coloidal. CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superiorhttp://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=11application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:13:06Zmail@mail.com -
dc.title.pt.fl_str_mv Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
dc.title.alternative.en.fl_str_mv Articular hyperalgesia in the anterior cruciate ligament transection in rats - effect of nitric oxide inhibitors and of high molecular weight polysaccharides
title Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
spellingShingle Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
Rondinelle Ribeiro Castro
TLCA
Ãxido NÃtrico
ViscossuplementaÃÃo
ACLT
Nitric Oxide
Viscosupplementation
FARMACOLOGIA
title_short Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
title_full Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
title_fullStr Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
title_full_unstemmed Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
title_sort Hiperalgesia articular no modelo de osteoartrite por transecÃÃo do ligamento cruzado anterior em ratos â efeito de inibidores da sÃntese de Ãxido nÃtrico e de polissacarÃdeos de elevado peso molecular
author Rondinelle Ribeiro Castro
author_facet Rondinelle Ribeiro Castro
author_role author
dc.contributor.advisor1.fl_str_mv Francisco Airton Castro da Rocha
dc.contributor.advisor1ID.fl_str_mv 23373474353
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/4916026652021507
dc.contributor.referee1.fl_str_mv Ronaldo de Albuquerque Ribeiro
dc.contributor.referee1ID.fl_str_mv 14095807334
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/6886335376140604
dc.contributor.referee2.fl_str_mv Vietla Satyanarayana Rao
dc.contributor.referee2ID.fl_str_mv 21058550315
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/7046546191056187
dc.contributor.authorID.fl_str_mv 83901230378
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/9194176846008423
dc.contributor.author.fl_str_mv Rondinelle Ribeiro Castro
contributor_str_mv Francisco Airton Castro da Rocha
Ronaldo de Albuquerque Ribeiro
Vietla Satyanarayana Rao
dc.subject.por.fl_str_mv TLCA
Ãxido NÃtrico
ViscossuplementaÃÃo
topic TLCA
Ãxido NÃtrico
ViscossuplementaÃÃo
ACLT
Nitric Oxide
Viscosupplementation
FARMACOLOGIA
dc.subject.eng.fl_str_mv ACLT
Nitric Oxide
Viscosupplementation
dc.subject.cnpq.fl_str_mv FARMACOLOGIA
dc.description.sponsorship.fl_txt_mv CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
dc.description.abstract.por.fl_txt_mv Animal models have been employed for the study of osteoarthritis (OA), but the articular hyperalgesia has received little attention. In this study, we standardized a method to study hyperalgesia in an OA model in rats, through the anterior cruciate ligament transection (ACLT), as well as the role of Nitric Oxide (NO). High molecular weight (MW) polysaccharides, such as Hylan G-F 20, as a gel preparation, have been used to relive pain in OA patients. Whether their activity is due to the high MW or to the gel state (viscossuplementation) is a matter of debate. We used the ACLT model to evaluate the effect of a polysaccharide from gum guar (GG) in the hyperalgesia. Wistar rats were subjected to ACLT (OA group). The hyperalgesia was measured using the test for articular incapacitation (AI) in rats (Tonussi & Ferreira, 1992), until 28 days. The joint lavage was used for determining cell influx (CI) and NO levels. The activity of the inducible NO synthase enzyme (iNOS) was evaluated by immunohistochemistry of the synovia. The articular cartilage was evaluated by quantifying the glycosaminoglycans (GAG) content of the cartilage of the femoral condyles. The animals of the OA group were compared to a sham group and to naive animals. Animals of the OA group received indomethacin (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) or 1400W (0,5mg/kg/d s.c.), NOS inhibitors, 30 min before the surgery and until sacrifice, at 7 days (prophylactic intervention). Animals of the OA group were compared to sham and naive groups. Other animals of the OA group received L-NAME or 1400W 3 days after the surgery, until sacrifice, at 7 days (therapeutic intervention). Still other animals of the OA group received GG (100&#956;g i. art.), as a gel or as solution, from 4 through 7 days of OA and were compared to both a sham group and to a group that received Hylan G-F 20 (100microg i. art.), as a gel. Control groups received the vehicles. The OA group displayed significantly increased AI during the first 7 days (P<0.001). There was no difference in CI among all groups. NO release, at 7 days, was increased in the OA group (P<0.05), that was associated with an increased activity of the iNOS in the synovia. The GAG content was significantly increased in the OA group, measured at 14 days (P<0.05). Indomethacin significantly reduced the AI, as compared to the OA group (P<0.05). L-NAME and 1400W reduced the AI, only when given prophylactically (P<0.01), that was reversed by the co-administration of L-NAME and L-arginine. GG, either as a gel or as a solution, as well as the Hylan G-F20, significantly reduced the AI (P<0.05), as compared to the OA group. This is the first demonstration of a model to study hyperalgesia, quantitatively, in OA experimental models. There is increased release of NO in the ACLT model, probably via iNOS activation. The administration of NOS inhibitors inhibits the AI only if given prophylactically. This is also the first demonstration that GG promotes analgesia in the ACLT model in rats. Moreover, the anti-nociceptive effect of polysaccharides, at least in this model, is independent of their colloidal state.
Modelos animais sÃo usados para estudo da Osteoartrite (OA), mas a hiperalgesia articular tem sido pouco investigada. Nesse trabalho, padronizamos um mÃtodo para estudo da hiperalgesia no modelo de OA em ratos, por transecÃÃo do ligamento cruzado anterior (TLCA) e investigamos a participaÃÃo do Ãxido NÃtrico (NO). PolissacarÃdeos de alto peso molecular (PM), como o Hilano GF-20, na forma de gel, sÃo usados para reduzir a dor em pacientes com OA, mas nÃo està claro se sua aÃÃo à atribuÃvel ao alto PM ou à forma em gel (viscossuplementaÃÃo). Usamos o modelo de TLCA para avaliar o efeito de um polissacarÃdeo de goma guar (GG) na hiperalgesia. Ratos Wistar foram submetidos à TLCA (grupo OA). A hiperalgesia foi avaliada pelo teste de incapacitaÃÃo articular (IA) para ratos (Tonussi & Ferreira, 1992), por atà 28 dias. O exsudato articular foi usado para medida do influxo celular (IC) e da liberaÃÃo de NO. A atividade da enzima NO sintase indutÃvel (iNOS) foi avaliada por imunohistoquÃmica das sinÃvias. A cartilagem articular foi avaliada pela quantificaÃÃo dos glicosaminoglicanos (GAG) da cartilagem dos cÃndilos femorais. Os animais do grupo OA foram comparados a grupos falso-operados (Sham) e a controles normais (Naive). Animais do Grupo OA receberam indometacina (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) ou 1400W (0,5mg/kg/d s.c.), inibidores da NOS, 30 min antes da cirurgia e atà o sacrifÃcio, aos 7 dias (intervenÃÃo profilÃtica). Outros animais do grupo OA receberam L-NAME ou 1400W a partir de 3 dias apÃs a cirurgia, atà o sacrifÃcio, aos 7 dias (IntervenÃÃo terapÃutica). Outros grupos OA receberam GG (100microg i. art.), como gel ou soluÃÃo, dos 4 aos 7 dias de OA e foram comparados ao grupo sham e a um grupo que recebeu Hilano G-F 20 (100&#956;g i. art.), como gel. Grupos controle receberam o veÃculo. O grupo OA apresentou IA significantemente maior durante os primeiros 7 dias (p<0,001). NÃo houve diferenÃa no IC entre todos os grupos. A liberaÃÃo de NO, aos 7 dias, foi maior no grupo OA (p<0,05), que foi associada a maior atividade da iNOS na sinÃvia. A quantidade de GAG foi maior no grupo OA, medida aos 14 dias (p<0,05). Indometacina reduziu significantemente a IA, em relaÃÃo ao grupo OA (p<0,05). L-NAME e 1400W inibiram a IA, apenas quando dados profilaticamente (p<0,01) sendo revertida pela co-administraÃÃo de L-NAME e L-arginina. A GG, em gel ou soluÃÃo, da mesma forma que o Hilano G-F 20, reduziu significantemente a IA (p<0,05), em relaÃÃo ao grupo OA. Esta à a primeira demonstraÃÃo de um modelo de estudo de hiperalgesia, de forma quantitativa, em modelos experimentais de OA. Existe aumento na liberaÃÃo de NO no modelo de TLCA, provavelmente via ativaÃÃo da iNOS. A administraÃÃo de inibidores de NOS inibe a IA nesse modelo apenas se feita de forma profilÃtica. Esta à tambÃm a primeira demonstraÃÃo que a GG promove analgesia no modelo de TLCA em ratos. Ainda, o efeito antinociceptivo de polissacarÃdeos, pelo menos nesse modelo, independe do seu estado coloidal.
description Animal models have been employed for the study of osteoarthritis (OA), but the articular hyperalgesia has received little attention. In this study, we standardized a method to study hyperalgesia in an OA model in rats, through the anterior cruciate ligament transection (ACLT), as well as the role of Nitric Oxide (NO). High molecular weight (MW) polysaccharides, such as Hylan G-F 20, as a gel preparation, have been used to relive pain in OA patients. Whether their activity is due to the high MW or to the gel state (viscossuplementation) is a matter of debate. We used the ACLT model to evaluate the effect of a polysaccharide from gum guar (GG) in the hyperalgesia. Wistar rats were subjected to ACLT (OA group). The hyperalgesia was measured using the test for articular incapacitation (AI) in rats (Tonussi & Ferreira, 1992), until 28 days. The joint lavage was used for determining cell influx (CI) and NO levels. The activity of the inducible NO synthase enzyme (iNOS) was evaluated by immunohistochemistry of the synovia. The articular cartilage was evaluated by quantifying the glycosaminoglycans (GAG) content of the cartilage of the femoral condyles. The animals of the OA group were compared to a sham group and to naive animals. Animals of the OA group received indomethacin (2mg/kg/d s.c.), L-NAME (30mg/kg i.p.) or 1400W (0,5mg/kg/d s.c.), NOS inhibitors, 30 min before the surgery and until sacrifice, at 7 days (prophylactic intervention). Animals of the OA group were compared to sham and naive groups. Other animals of the OA group received L-NAME or 1400W 3 days after the surgery, until sacrifice, at 7 days (therapeutic intervention). Still other animals of the OA group received GG (100&#956;g i. art.), as a gel or as solution, from 4 through 7 days of OA and were compared to both a sham group and to a group that received Hylan G-F 20 (100microg i. art.), as a gel. Control groups received the vehicles. The OA group displayed significantly increased AI during the first 7 days (P<0.001). There was no difference in CI among all groups. NO release, at 7 days, was increased in the OA group (P<0.05), that was associated with an increased activity of the iNOS in the synovia. The GAG content was significantly increased in the OA group, measured at 14 days (P<0.05). Indomethacin significantly reduced the AI, as compared to the OA group (P<0.05). L-NAME and 1400W reduced the AI, only when given prophylactically (P<0.01), that was reversed by the co-administration of L-NAME and L-arginine. GG, either as a gel or as a solution, as well as the Hylan G-F20, significantly reduced the AI (P<0.05), as compared to the OA group. This is the first demonstration of a model to study hyperalgesia, quantitatively, in OA experimental models. There is increased release of NO in the ACLT model, probably via iNOS activation. The administration of NOS inhibitors inhibits the AI only if given prophylactically. This is also the first demonstration that GG promotes analgesia in the ACLT model in rats. Moreover, the anti-nociceptive effect of polysaccharides, at least in this model, is independent of their colloidal state.
publishDate 2004
dc.date.issued.fl_str_mv 2004-06-18
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.publisher.program.fl_str_mv Programa de PÃs-GraduaÃÃo em Farmacologia
dc.publisher.initials.fl_str_mv UFC
dc.publisher.country.fl_str_mv BR
publisher.none.fl_str_mv Universidade Federal do CearÃ
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