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  1. Article ; Online: From Ketamine to Drugs Targeting Subtype-Selective Benzodiazepine Site-Containing Gamma-Aminobutyric Acid A Receptors as Novel Rapid-Acting Antidepressants.

    Carreno, Flavia Regina

    Biological psychiatry

    2022  Volume 92, Issue 3, Page(s) 175–176

    MeSH term(s) Antidepressive Agents/pharmacology ; Benzodiazepines ; Ketamine/pharmacology ; Receptors, GABA-A ; gamma-Aminobutyric Acid
    Chemical Substances Antidepressive Agents ; Receptors, GABA-A ; Benzodiazepines (12794-10-4) ; gamma-Aminobutyric Acid (56-12-2) ; Ketamine (690G0D6V8H)
    Language English
    Publishing date 2022-07-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. ; Comment
    ZDB-ID 209434-4
    ISSN 1873-2402 ; 0006-3223
    ISSN (online) 1873-2402
    ISSN 0006-3223
    DOI 10.1016/j.biopsych.2022.05.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mechanisms associated with the antidepressant-like effects of L-655,708.

    Bugay, Vladislav / McCoy, Alexandra Maxine / Lodge, Daniel James / Brenner, Robert / Frazer, Alan / Carreno, Flavia Regina

    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology

    2020  Volume 45, Issue 13, Page(s) 2289–2298

    Abstract: Previous research has demonstrated that selective modulation of hippocampal transmission by systemic administration of an α5- ... ...

    Abstract Previous research has demonstrated that selective modulation of hippocampal transmission by systemic administration of an α5-GABA
    MeSH term(s) Animals ; Antidepressive Agents/pharmacology ; Hippocampus ; Imidazoles ; Ketamine/pharmacology ; Rats
    Chemical Substances Antidepressive Agents ; Imidazoles ; L 655,708 ; Ketamine (690G0D6V8H)
    Language English
    Publishing date 2020-07-20
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639471-1
    ISSN 1740-634X ; 0893-133X
    ISSN (online) 1740-634X
    ISSN 0893-133X
    DOI 10.1038/s41386-020-0772-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Activation of signaling pathways downstream of the brain-derived neurotrophic factor receptor, TrkB, in the rat brain by vagal nerve stimulation and antidepressant drugs.

    Carreno, Flavia Regina / Frazer, Alan

    The international journal of neuropsychopharmacology

    2014  Volume 17, Issue 2, Page(s) 247–258

    Abstract: Vagal nerve stimulation (VNS) has been approved for treatment resistant depression (TRD) by the Food and Drug Administration (FDA) since 2005. However, the cellular and molecular targets responsible for its effects are still not characterized. Previously, ...

    Abstract Vagal nerve stimulation (VNS) has been approved for treatment resistant depression (TRD) by the Food and Drug Administration (FDA) since 2005. However, the cellular and molecular targets responsible for its effects are still not characterized. Previously, chronic administration of VNS to rats was found to phosphorylate tyrosine 515 on TrkB, the neurotrophin receptor, whereas traditional antidepressants did not do this. In the present study, Western blot analysis was used to characterize activation due to phosphorylation in the hippocampus of down-stream pathways linked to specific key tyrosine residues on TrkB (namely Y816 and Y515) after either acute or chronic administration of VNS and traditional antidepressant drugs. Chronic administration of VNS caused phosphorylation of effectors linked to Y 515; namely Akt, ERK and p70S6 kinase, but this was not produced by either desipramine or sertraline. All the treatments, when given chronically, caused phosphorylation of the transcription factor, CREB. Acute administration of all the treatments also caused phosphorylation of PLCγ1 but this was not maintained with chronic treatment. Further research is required to determine what role, if any, activation of down-stream targets of Y515 plays in the behavioural effects of VNS.
    MeSH term(s) Animals ; Antidepressive Agents/pharmacology ; Brain/drug effects ; Brain/metabolism ; Electrodes, Implanted ; Male ; Phosphorylation/physiology ; Rats ; Rats, Sprague-Dawley ; Receptor, trkB/metabolism ; Signal Transduction/drug effects ; Signal Transduction/physiology ; Vagus Nerve Stimulation/methods
    Chemical Substances Antidepressive Agents ; Receptor, trkB (EC 2.7.10.1)
    Language English
    Publishing date 2014-02
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1440129-0
    ISSN 1469-5111 ; 1461-1457
    ISSN (online) 1469-5111
    ISSN 1461-1457
    DOI 10.1017/S1461145713000977
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Intracerebroventricular losartan infusion modulates angiotensin II type 1 receptor expression in the subfornical organ and drinking behaviour in bile-duct-ligated rats.

    Walch, Joseph D / Carreño, Flávia Regina / Cunningham, J Thomas

    Experimental physiology

    2012  Volume 98, Issue 4, Page(s) 922–933

    Abstract: Bile duct ligation (BDL) causes congestive liver failure that initiates haemodynamic changes, including peripheral vasodilatation and generalized oedema. Peripheral vasodilatation is hypothesized to activate compensatory mechanisms, including increased ... ...

    Abstract Bile duct ligation (BDL) causes congestive liver failure that initiates haemodynamic changes, including peripheral vasodilatation and generalized oedema. Peripheral vasodilatation is hypothesized to activate compensatory mechanisms, including increased drinking behaviour and neurohumoral activation. This study tested the hypothesis that changes in the expression of angiotensin II type 1 receptor (AT(1)R) mRNA and protein in the lamina terminalis are associated with BDL-induced hyposmolality in the rat. All rats received either BDL or sham-ligation surgery. The rats were housed in metabolic chambers for measurement of fluid and food intake and urine output. Expression of AT(1)R in the lamina terminalis was assessed by Western blot and quantitative real-time PCR (RT-qPCR). Average baseline water intake increased significantly in BDL rats compared with sham-operated rats, and upregulation of AT(1)R protein and AT(1a)R mRNA were observed in the subfornical organ of BDL rats. Separate groups of BDL and sham-ligated rats were instrumented with minipumps filled with either losartan (2.0 μg μl(-1)) or 0.9% saline for chronic intracerebroventricular or chronic subcutaneous infusion. Chronic intracerebroventricular losartan infusion attenuated the increased drinking behaviour and prevented the increased abundance of AT(1)R protein in the subfornical organ in BDL rats. Chronic subcutaneous infusion did not affect water intake or AT(1)R abundance in the subfornical organ. The data presented here indicate a possible role of increased central AT(1)R expression in the regulation of drinking behaviour during congestive cirrhosis.
    MeSH term(s) Animals ; Bile Ducts/surgery ; Disease Models, Animal ; Drinking/physiology ; Drinking Behavior/drug effects ; Infusions, Intraventricular ; Ligation/methods ; Liver Cirrhosis/surgery ; Losartan/administration & dosage ; Losartan/pharmacology ; Male ; Rats ; Rats, Sprague-Dawley ; Receptor, Angiotensin, Type 1/metabolism ; Subfornical Organ/drug effects
    Chemical Substances Receptor, Angiotensin, Type 1 ; Losartan (JMS50MPO89)
    Language English
    Publishing date 2012-12-13
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1016295-1
    ISSN 1469-445X ; 0958-0670
    ISSN (online) 1469-445X
    ISSN 0958-0670
    DOI 10.1113/expphysiol.2012.068593
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Therapeutic modalities for treatment resistant depression: focus on vagal nerve stimulation and ketamine.

    Shah, Aparna / Carreno, Flavia Regina / Frazer, Alan

    Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology

    2014  Volume 12, Issue 2, Page(s) 83–93

    Abstract: Treatment resistant depression (TRD) is a global health concern affecting a large proportion of depressed patients who then require novel therapeutic options. One such treatment option that has received some attention in the past several years is vagal ... ...

    Abstract Treatment resistant depression (TRD) is a global health concern affecting a large proportion of depressed patients who then require novel therapeutic options. One such treatment option that has received some attention in the past several years is vagal nerve stimulation (VNS). The present review briefly describes the relevance of this treatment in the light of other existing pharmacological and non-pharmacological options. It then summarizes clinical findings with respect to the efficacy of VNS. The anatomical rationale for its efficacy and other potential mechanisms of its antidepressant effects as compared to those employed by classical antidepressant drugs are discussed. VNS has been approved in some countries and has been used for patients with TRD for quite some time. A newer, fast-acting, non-invasive pharmacological option called ketamine is currently in the limelight with reference to TRD. This drug is currently in the investigational phase but shows promise. The clinical and preclinical findings related to ketamine have also been summarized and compared with those for VNS. The role of neurotrophin factors, specifically brain derived neurotrophic factor and its receptor, in the beneficial effects of both VNS and ketamine have been highlighted. It can be concluded that both these therapeutic modalities, while effective, need further research that can reveal specific targets for intervention by novel drugs and address concerns related to side-effects, especially those seen with ketamine.
    Language English
    Publishing date 2014-08-12
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 2211550-X
    ISSN 1738-1088
    ISSN 1738-1088
    DOI 10.9758/cpn.2014.12.2.83
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Vagal nerve stimulation rapidly activates brain-derived neurotrophic factor receptor TrkB in rat brain.

    Furmaga, Havan / Carreno, Flavia Regina / Frazer, Alan

    PloS one

    2012  Volume 7, Issue 5, Page(s) e34844

    Abstract: Background: Vagal nerve stimulation (VNS) has been approved for treatment-resistant depression. Many antidepressants increase expression of brain-derived neurotrophic factor (BDNF) in brain or activate, via phosphorylation, its receptor, TrkB. There ... ...

    Abstract Background: Vagal nerve stimulation (VNS) has been approved for treatment-resistant depression. Many antidepressants increase expression of brain-derived neurotrophic factor (BDNF) in brain or activate, via phosphorylation, its receptor, TrkB. There have been no studies yet of whether VNS would also cause phosphorylation of TrkB.
    Methods: Western blot analysis was used to evaluate the phosphorylation status of TrkB in the hippocampus of rats administered VNS either acutely or chronically. Acute effects of VNS were compared with those caused by fluoxetine or desipramine (DMI) whereas its chronic effects were compared with those of sertraline or DMI.
    Results: All treatments, given either acutely or chronically, significantly elevated phosphorylation of tyrosines 705 and 816 on TrkB in the hippocampus. However, only VNS increased the phosphorylation of tyrosine 515, with both acute and chronic administration causing this effect. Pretreatment with K252a, a nonspecific tyrosine kinase inhibitor, blocked the phosphorylation caused by acute VNS at all three tyrosines. Downstream effectors of Y515, namely Akt and ERK, were also phosphorylated after acute treatment with VNS, whereas DMI did not cause this effect.
    Conclusion: VNS rapidly activates TrkB phosphorylation and this effect persists over time. VNS-induced phosphorylation of tyrosine 515 is distinct from the effect of standard antidepressant drugs.
    MeSH term(s) Adrenergic Uptake Inhibitors/pharmacology ; Animals ; Blotting, Western ; Brain/drug effects ; Brain/metabolism ; Carbazoles/pharmacology ; Desipramine/pharmacology ; Enzyme Inhibitors/pharmacology ; Fluoxetine/pharmacology ; Hippocampus/drug effects ; Hippocampus/metabolism ; Indole Alkaloids/pharmacology ; Male ; Phosphorylation/drug effects ; Proto-Oncogene Proteins c-akt/metabolism ; Rats ; Rats, Sprague-Dawley ; Receptor, trkB/metabolism ; Serotonin Uptake Inhibitors/pharmacology ; Time Factors ; Tyrosine/metabolism ; Vagus Nerve/drug effects ; Vagus Nerve/physiology ; Vagus Nerve Stimulation/methods
    Chemical Substances Adrenergic Uptake Inhibitors ; Carbazoles ; Enzyme Inhibitors ; Indole Alkaloids ; Serotonin Uptake Inhibitors ; Fluoxetine (01K63SUP8D) ; Tyrosine (42HK56048U) ; staurosporine aglycone (97161-97-2) ; Receptor, trkB (EC 2.7.10.1) ; Proto-Oncogene Proteins c-akt (EC 2.7.11.1) ; Desipramine (TG537D343B)
    Language English
    Publishing date 2012-05-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0034844
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Altered central TRPV4 expression and lipid raft association related to inappropriate vasopressin secretion in cirrhotic rats.

    Carreño, Flávia Regina / Ji, Lisa L / Cunningham, J Thomas

    American journal of physiology. Regulatory, integrative and comparative physiology

    2008  Volume 296, Issue 2, Page(s) R454–66

    Abstract: Inappropriate vasopressin (AVP) release causes dilutional hyponatremia in many pathophysiological states such as cirrhosis. The central molecular mechanisms that mediate inappropriate AVP release are unknown. We tested the hypothesis that changes in the ... ...

    Abstract Inappropriate vasopressin (AVP) release causes dilutional hyponatremia in many pathophysiological states such as cirrhosis. The central molecular mechanisms that mediate inappropriate AVP release are unknown. We tested the hypothesis that changes in the expression or trafficking of TRPV4 in the central nervous system may contribute to inappropriate AVP release in the bile duct ligation (BDL) model of cirrhosis in the rat. Four weeks after surgery, BDL rats demonstrated significantly increased plasma vasopressin and plasma renin activity (PRA), hypervolemia, and decreased plasma osmolality. These effects were blocked by providing BDL rats with 2% saline to drink for 15 days. TRPV4 protein expression was significantly increased in brain punches from BDL rats containing the supraoptic nucleus (SON) of the hypothalamus (100% +/- 11 to 157% +/- 4.8), and this effect was blocked in BDL rats given saline. Immunohistochemistry demonstrated a significant increase in TRPV4-positive cells and the percentage of AVP neurons that also were TRPV4-positive in the SON of BDL rats. In the hypothalamus of BDL rats, TRPV4 lipid raft association increased compared with sham (from 100% +/- 2.1 to 326.1% +/- 16). This effect was significantly attenuated in BDL rats given 2% saline to drink (174% +/- 11). In the brain stem, TRPV4 lipid raft association was reduced by BDL and inversely related to plasma AVP and PRA. We speculate that changes in TRPV4 expression and compartmentalization within lipid rafts could contribute to a feed-forward mechanism related to AVP release in cirrhosis.
    MeSH term(s) Animals ; Arginine Vasopressin/blood ; Arginine Vasopressin/metabolism ; Blotting, Western ; Brain/metabolism ; Brain/physiopathology ; Brain Stem/metabolism ; Common Bile Duct/surgery ; Disease Models, Animal ; Drinking ; Hematocrit ; Immunohistochemistry ; Inappropriate ADH Syndrome/blood ; Inappropriate ADH Syndrome/metabolism ; Inappropriate ADH Syndrome/physiopathology ; Ligation ; Liver Cirrhosis, Experimental/blood ; Liver Cirrhosis, Experimental/metabolism ; Liver Cirrhosis, Experimental/physiopathology ; Male ; Membrane Microdomains/metabolism ; Neurons/metabolism ; Osmolar Concentration ; Rats ; Rats, Sprague-Dawley ; Renin/blood ; Supraoptic Nucleus/metabolism ; TRPV Cation Channels/metabolism ; Water-Electrolyte Balance
    Chemical Substances TRPV Cation Channels ; Trpv4 protein, rat ; Arginine Vasopressin (113-79-1) ; Renin (EC 3.4.23.15)
    Language English
    Publishing date 2008-12-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 603839-6
    ISSN 1522-1490 ; 0363-6119
    ISSN (online) 1522-1490
    ISSN 0363-6119
    DOI 10.1152/ajpregu.90460.2008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Vagal nerve stimulation rapidly activates brain-derived neurotrophic factor receptor TrkB in rat brain.

    Havan Furmaga / Flavia Regina Carreno / Alan Frazer

    PLoS ONE, Vol 7, Iss 5, p e

    2012  Volume 34844

    Abstract: Vagal nerve stimulation (VNS) has been approved for treatment-resistant depression. Many antidepressants increase expression of brain-derived neurotrophic factor (BDNF) in brain or activate, via phosphorylation, its receptor, TrkB. There have been no ... ...

    Abstract Vagal nerve stimulation (VNS) has been approved for treatment-resistant depression. Many antidepressants increase expression of brain-derived neurotrophic factor (BDNF) in brain or activate, via phosphorylation, its receptor, TrkB. There have been no studies yet of whether VNS would also cause phosphorylation of TrkB.Western blot analysis was used to evaluate the phosphorylation status of TrkB in the hippocampus of rats administered VNS either acutely or chronically. Acute effects of VNS were compared with those caused by fluoxetine or desipramine (DMI) whereas its chronic effects were compared with those of sertraline or DMI.All treatments, given either acutely or chronically, significantly elevated phosphorylation of tyrosines 705 and 816 on TrkB in the hippocampus. However, only VNS increased the phosphorylation of tyrosine 515, with both acute and chronic administration causing this effect. Pretreatment with K252a, a nonspecific tyrosine kinase inhibitor, blocked the phosphorylation caused by acute VNS at all three tyrosines. Downstream effectors of Y515, namely Akt and ERK, were also phosphorylated after acute treatment with VNS, whereas DMI did not cause this effect.VNS rapidly activates TrkB phosphorylation and this effect persists over time. VNS-induced phosphorylation of tyrosine 515 is distinct from the effect of standard antidepressant drugs.
    Keywords Medicine ; R ; Science ; Q
    Subject code 616
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: Cell junctions in the germinal epithelium may play an important role in spermatogenesis of the catfish P. fasciatum (Pisces, Siluriformes).

    Batlouni, Sergio Ricardo / Carreño, Flávia Regina / Romagosa, Elizabeth / Borella, Maria Inês

    Journal of molecular histology

    2005  Volume 36, Issue 1-2, Page(s) 97–110

    Abstract: We identified adhesive junctions and gap junctions between Sertoli cells, between Sertoli and germ cells and between germ cells in the testis of P. fasciatum, a catfish of commercial relevance. To investigate the role of these junctions in ... ...

    Abstract We identified adhesive junctions and gap junctions between Sertoli cells, between Sertoli and germ cells and between germ cells in the testis of P. fasciatum, a catfish of commercial relevance. To investigate the role of these junctions in spermatogenesis, as well as the molecular composition of the junctions, we performed an immunohistochemistry light microscopy as well as an immunogold labelling electron microscopy study with antibodies to adhesive and gap junctions proteins. Testes that were at different stages of spermatogenesis were used. Based on our morphological studies we speculate that Sertoli-germ and germ-germ cell adhesive junctions are important for maintaining the three-dimensional structure of the germinal cysts and an organized arrangement of the germ cells inside the cysts. Connexin 32 was identified in the germ cells and in the cysts walls. Our observations also suggest that Sertoli-germ and germ-germ cells gap junctions may be involved in the mechanism of synchronous development of germ cells.
    MeSH term(s) Adherens Junctions/chemistry ; Adherens Junctions/ultrastructure ; Animals ; Catfishes/anatomy & histology ; Catfishes/physiology ; Cell Adhesion Molecules/analysis ; Connexins/analysis ; Cytoskeletal Proteins/analysis ; Epithelium/ultrastructure ; Gap Junctions/chemistry ; Gap Junctions/ultrastructure ; Male ; Sertoli Cells/chemistry ; Sertoli Cells/cytology ; Sertoli Cells/ultrastructure ; Spermatogenesis ; Testis/cytology
    Chemical Substances Cell Adhesion Molecules ; Connexins ; Cytoskeletal Proteins
    Language English
    Publishing date 2005-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2144021-9
    ISSN 1567-2379
    ISSN 1567-2379
    DOI 10.1007/s10735-004-4115-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Cloning and expression of calglandulin, a new EF-hand protein from the venom glands of Bothrops insularis snake in E. coli.

    Junqueira-de-Azevedo, Inácio de L M / Pertinhez, Thelma / Spisni, Alberto / Carreño, Flávia Regina / Farah, Chuck S / Ho, Paulo Lee

    Biochimica et biophysica acta

    2003  Volume 1648, Issue 1-2, Page(s) 90–98

    Abstract: The EF-hand protein family is comprised of many proteins with conserved Ca(2+)-binding motifs with important biological roles in intracellular communication. During the generation of Expressed Sequence Tags (ESTs) from the venom glands of the Viperidae ... ...

    Abstract The EF-hand protein family is comprised of many proteins with conserved Ca(2+)-binding motifs with important biological roles in intracellular communication. During the generation of Expressed Sequence Tags (ESTs) from the venom glands of the Viperidae snake Bothrops insularis, we identified a cDNA coding for a putative Ca(2+) binding protein with four EF-hand motifs, named here calglandulin. The deduced amino acid sequence displayed the greatest sequence similarity with calmodulin (59%), followed by troponin-C (52%). The encoded polypeptide was first expressed in Escherichia coli as a 6XHis-tagged fusion protein. The expressed protein was purified by Ni(2+)-charged affinity chromatography and circular dichroism (CD) spectroscopy confirmed the prevalence of alpha-helix as observed in calmodulin/calmodulin-like proteins. A polyclonal antiserum was generated in mice using this recombinant calglandulin. To investigate the tissue-specific biological occurrence of this protein, this antiserum was used in Western blot experiments, which revealed an immunoreactive band in samples of venom gland extracts from different snakes, but not in the crude venom or in brain, heart and other tissues. This exclusive occurrence suggests a specialized function of calglandulin in snake venom glands.
    MeSH term(s) Amino Acid Sequence ; Animals ; Base Sequence ; Bothrops/genetics ; Bothrops/metabolism ; Cloning, Molecular ; Crotalid Venoms/chemistry ; Crotalid Venoms/genetics ; Crotalid Venoms/metabolism ; Escherichia coli ; Molecular Sequence Data ; Organ Specificity ; Phylogeny ; Protein Structure, Secondary ; Protein Structure, Tertiary ; Recombinant Proteins/biosynthesis ; Recombinant Proteins/genetics ; Sequence Alignment
    Chemical Substances Crotalid Venoms ; Recombinant Proteins ; calglandulin, Bothrops insularis
    Language English
    Publishing date 2003-05-14
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 60-7
    ISSN 1879-2596 ; 1879-260X ; 1872-8006 ; 1879-2642 ; 1879-2618 ; 1879-2650 ; 0006-3002 ; 0005-2728 ; 0005-2736 ; 0304-4165 ; 0167-4838 ; 1388-1981 ; 0167-4889 ; 0167-4781 ; 0304-419X ; 1570-9639 ; 0925-4439 ; 1874-9399
    ISSN (online) 1879-2596 ; 1879-260X ; 1872-8006 ; 1879-2642 ; 1879-2618 ; 1879-2650
    ISSN 0006-3002 ; 0005-2728 ; 0005-2736 ; 0304-4165 ; 0167-4838 ; 1388-1981 ; 0167-4889 ; 0167-4781 ; 0304-419X ; 1570-9639 ; 0925-4439 ; 1874-9399
    DOI 10.1016/s1570-9639(03)00111-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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