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1.
Exp Physiol ; 109(3): 365-379, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38064347

RESUMO

Serotonin [5-hydroxytryptamine (5-HT)] modulates ovarian function. The precursor of 5-HT, 5-hydroxytryptophan (5-HTP), has been used to treat depression. However, the effects of 5-HTP on ovarian and reproductive physiology remain unknown. In this research, we analysed the impact of 5-HTP on the monoaminergic system and its interactions with the reproductive axis and ovarian estradiol secretion when administered by distinct routes. Female rats 30 days of age were injected with 5-HTP i.p. (100 mg/kg), into the ovarian bursa (1.5 µg/40 µL) or into the median raphe nucleus (20 µg/2.5 µL) and were killed 60 or 120 min after injection. As controls, we used rats of the same age injected with vehicle (0.9% NaCl). Monoamine, gonadotrophin and steroid ovarian hormone concentrations were measured. The injection of 5-HTP either i.p. or directly into the ovarian bursa increased the concentrations of 5-HT and the metabolite 5-hydroxyindole-3-acetic acid in the ovary. For both routes of administration, the serum concentration of estradiol increased. After i.p. injection of 5-HTP, the concentrations of luteinizing hormone were decreased and follicle-stimulating hormone increased after 120 min. Micro-injection of 5-HTP into the median raphe nucleus increased the concentrations of 5-HT in the anterior hypothalamus and dopamine in the medial hypothalamus after 120 min. Our results suggest that the administration of 5-HTP either i.p. or directly into the ovarian bursa enhances ovarian estradiol secretion.


Assuntos
5-Hidroxitriptofano , Serotonina , Feminino , Ratos , Animais , 5-Hidroxitriptofano/farmacologia , 5-Hidroxitriptofano/metabolismo , Serotonina/metabolismo , Estradiol/farmacologia , Estradiol/metabolismo , Ovário/metabolismo , Hipotálamo/metabolismo
2.
Acta sci. vet. (Impr.) ; 49(suppl.1): Pub.598-Jan 4, 2021. ilus, tab
Artigo em Português | VETINDEX | ID: biblio-1458461

RESUMO

Background: Equine pituitary pars intermedia dysfunction, also known as equine Cushing’s syndrome, is a neurodegenerative disease. An important risk factor for Cushing’s is advanced aging and it is the most common endocrine disorder inolder horses. The prevalence in horses aged over 10 and 15 years is reported as 9.3% and 21%, respectively. Due to the slowprogressive nature of the disease, seasonal variation in hormone output and overlapping endocrine response to other events,accurate diagnosis is challenging. The diagnosis requires the combination of anamnesis, clinical signs, in addition to laboratory tests results. This study aimed to report Cushing’s syndrome in a Crioulo breed horse focusing on diagnostic methods.Case: A 13-year-old male Crioulo breed, orchiectomized, was attended at the Universidade de Passo Fundo (UPF), in PassoFundo, RS, Brazil. The owner reported that the animal had progressive weight loss and coat abnormal growth, with curlyappearance. From visual inspection, body condition score was 4 (1-9) bulging abdomen was noticed, hirsutism, depressionand lethargy. Also, there was a large neoplastic mass on the left side of gluteal region. Later, this mass was classified inhistopathological examination as a fibroblastic sarcoid and was treated. The animal presented physical parameters withinthe physiological limits of the specie. Normochromic normocytic anemia and neutrophilic leukocytosis were reported in thehematologic evaluation. In coproparasitological examination, there were 300 eggs per gram of feaces. Hyperadrenocorticismwas suspected in the clinical examination and dexamethasone suppression test was performed to confirm the fact. Basal serumwas collected at 17 h (M0) and subsequently 40 µg/kg of dexamethasone was administered intramuscular...


Assuntos
Masculino , Animais , Doenças dos Cavalos , Síndrome de Cushing/diagnóstico , Síndrome de Cushing/veterinária , Anemia/veterinária , Eosinofilia/veterinária , Hipertricose/veterinária , Leucocitose/veterinária , Neoplasias Pélvicas/veterinária
3.
Acta sci. vet. (Online) ; 49(suppl.1): Pub. 598, 25 jan. 2021. ilus, tab
Artigo em Português | VETINDEX | ID: vti-30792

RESUMO

Background: Equine pituitary pars intermedia dysfunction, also known as equine Cushings syndrome, is a neurodegenerative disease. An important risk factor for Cushings is advanced aging and it is the most common endocrine disorder inolder horses. The prevalence in horses aged over 10 and 15 years is reported as 9.3% and 21%, respectively. Due to the slowprogressive nature of the disease, seasonal variation in hormone output and overlapping endocrine response to other events,accurate diagnosis is challenging. The diagnosis requires the combination of anamnesis, clinical signs, in addition to laboratory tests results. This study aimed to report Cushings syndrome in a Crioulo breed horse focusing on diagnostic methods.Case: A 13-year-old male Crioulo breed, orchiectomized, was attended at the Universidade de Passo Fundo (UPF), in PassoFundo, RS, Brazil. The owner reported that the animal had progressive weight loss and coat abnormal growth, with curlyappearance. From visual inspection, body condition score was 4 (1-9) bulging abdomen was noticed, hirsutism, depressionand lethargy. Also, there was a large neoplastic mass on the left side of gluteal region. Later, this mass was classified inhistopathological examination as a fibroblastic sarcoid and was treated. The animal presented physical parameters withinthe physiological limits of the specie. Normochromic normocytic anemia and neutrophilic leukocytosis were reported in thehematologic evaluation. In coproparasitological examination, there were 300 eggs per gram of feaces. Hyperadrenocorticismwas suspected in the clinical examination and dexamethasone suppression test was performed to confirm the fact. Basal serumwas collected at 17 h (M0) and subsequently 40 µg/kg of dexamethasone was administered intramuscular...(AU)


Assuntos
Animais , Masculino , Doenças dos Cavalos , Síndrome de Cushing/veterinária , Síndrome de Cushing/diagnóstico , Neoplasias Pélvicas/veterinária , Hipertricose/veterinária , Anemia/veterinária , Leucocitose/veterinária , Eosinofilia/veterinária
4.
Rev. cuba. endocrinol ; 31(3): e206, sept.-dic. 2020. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1156395

RESUMO

La diabetes insípida es el resultado de una secreción o acción reducidas de la hormona vasopresina, expresada clínicamente por un cuadro de poliuria-polidipsia. Los arbovirus pueden tener afinidad por el sistema nervioso y se ha demostrado que el Zika desencadena un trastorno autoinmune que ataca a las células nerviosas, lo que puede traer como consecuencia una diabetes insípida central. En la literatura médica nacional e internacional revisada no se reportan casos anteriores donde se vincule la diabetes insípida con el virus del Zika. Se presenta un caso a propósito de esta asociación: paciente femenina de 53 años, diagnosticada con infección por el virus del Zika dos semanas antes de comenzar con los síntomas sugestivos de diabetes insípida. El potencial neurotrópico del virus, así como los resultados en la resonancia magnética nuclear y la determinación de marcadores de autoinmunidad anti-ADNdc positivos, son elementos que apoyan la hipótesis de que la paciente presentó una posible hipofisitis autoinmune, como respuesta inflamatoria post-infección, desarrollando diabetes insípida central transitoria(AU)


Diabetes insipidus is the result of reduced secretion or action of the vasopressin hormone, which is clinically expressed by a polyuria-polydipsia picture. Arboviruses can have a nervous system affinity and Zika has been shown to trigger an autoimmune disorder that attacks nerve cells, which can result in central diabetes insipidus. The reviewed national and international medical literatures does not report previous cases linking diabetes insipidus with Zika virus. It is presented a case about this association: 53-year-old female patient diagnosed with Zika virus infection two weeks before starting symptoms suggestive of diabetes insipidus. The neurotropic potential of the virus, as well as the results in nuclear MRI and the determination of positive anti-ADNdc autoimmunity markers are elements that support the hypothesis that the patient had a possible autoimmune hypophysis, as a post-infection inflammatory response, developing transient central diabetes insipidus(AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Autoimunidade , Diabetes Insípido/etiologia , Infecção por Zika virus/diagnóstico , Arbovírus/imunologia , Literatura de Revisão como Assunto , Espectroscopia de Ressonância Magnética/métodos
5.
BMC Res Notes ; 13(1): 14, 2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31910899

RESUMO

OBJECTIVE: F-spondin is part of a group of evolutionarily conserved extracellular matrix proteins in vertebrates. It is highly expressed in the embryonic floor plate, and it can bind to the ECM and promote neuronal outgrowth. A characterization of F-spondin expression patterns in the adult zebrafish brain was previously reported by our group. However, given its importance during development, we aimed to obtain a detailed description of green fluorescent protein (GFP) expression driven by the spon1b promotor, in the developing zebrafish brain of the transgenic Tg(spon1b:GFP) line, using light sheet fluorescence microscopy (LSFM). RESULTS: Images obtained in live embryos from 22 to 96 h post fertilization confirmed our earlier reports on the presence of spon1b:GFP expressing cells in the telencephalon and diencephalon (olfactory bulbs, habenula, optic tectum, nuclei of the medial longitudinal fasciculus), and revealed new spon1b:GFP populations in the pituitary anlage, dorso-rostral cluster, and ventro-rostral cluster. LSFM made it possible to follow the dynamics of cellular migration patterns during development. CONCLUSIONS: spon1b:GFP larval expression patterns starts in early development in specific neuronal structures of the developing brain associated with sensory-motor modulation. LSFM evaluation of the transgenic Tg(spon1b:GFP) line provides an effective approach to characterize GFP expression patterns in vivo.


Assuntos
Encéfalo/embriologia , Encéfalo/metabolismo , Proteínas da Matriz Extracelular/genética , Regulação da Expressão Gênica no Desenvolvimento , Proteínas de Fluorescência Verde/genética , Proteínas de Peixe-Zebra/genética , Peixe-Zebra/embriologia , Peixe-Zebra/crescimento & desenvolvimento , Animais , Embrião não Mamífero/metabolismo , Proteínas da Matriz Extracelular/metabolismo , Fertilização , Proteínas de Fluorescência Verde/metabolismo , Habenula/embriologia , Habenula/metabolismo , Proteínas de Peixe-Zebra/metabolismo
6.
Rev. méd. Hosp. José Carrasco Arteaga ; 11(3): 241-247, 30/11/2019. Ilustraciones
Artigo em Espanhol | LILACS | ID: biblio-1103747

RESUMO

INTRODUCCIÓN:La acromegalia es una enfermedad sistémica caracterizada por la elevada producción de hormona del crecimiento, su etiología más común es el adenoma hipofisiario. En Ecuador existe una prevalencia de 18.7 casos por millón de habitantes y una incidencia de 1.3 casos por millón de individuos cada año. Se considera que existe un retraso de aproximadamente una década entre el inicio de los síntomas y el reconocimiento de los mismos por parte del equipo de salud. CASO CLÍNICO: Se presentan a continuación tres pacientes con acromegalia, atendidos por el servicio de Endocrinología del Hospital Vicente Corral Moscoso desde Mayo del 2015 hasta Abril del 2017. En esta serie, la edad de diagnóstico fue alrededor de los 34 años. Los motivos de consulta fueron molestias visuales, dolores articulares y complicaciones microvasculares. En todos los casos, la etiología fue un adenoma hipofisario productor de hormona del crecimiento en los que era necesaria la corrección quirúrgica; sin embargo, la paciente del caso 3 rechazó este tratamiento. EVOLUCIÓN: Se presentan a continuación tres pacientes con acromegalia, atendidos por el servicio de Endocrinología del Hospital Vicente Corral Moscoso desde Mayo del 2015 hasta Abril del 2017. En esta serie, la edad de diagnóstico fue alrededor de los 34 años. Los motivos de consulta fueron molestias visuales, dolores articulares y complicaciones microvasculares. En todos los casos, la etiología fue un adenoma hipofisario productor de hormona del crecimiento en los que era necesaria la corrección quirúrgica; sin embargo, la paciente del caso 3 rechazó este tratamiento. CONCLUSIÓN: Es importante reconocer la característica insidiosa de la acromegalia y sus variables manifestaciones clínicas, puesto que un diagnóstico oportuno permite mejorar el pronóstico y la calidad de vida. Hay diversas opciones terapéuticas, siendo el tratamiento quirúrgico complementado con terapia farmacológica, el de mayor eficacia. El manejo debe ser multidisciplinario e individualizado(au)


BACKGROUND: Case Series: Acromegaly, Clinical Presentation and Evolution in Patients of Hospital "Vicente Corral Moscoso". Cuenca - Ecuador, May 2015 - April 2017. CASE REPORTS: Three patients with acromegaly are presented, attended by the Endocrinology service of the Hospital Vicente Corral Moscoso from May 2015 to April 2017. In this series, the diagnosis age was around 34 years. Patients consulted because of visual discomfort, joint pain and microvascular complications. In all cases, the etiology was a pituitary adenoma producing growth hormone, in which surgical correction was necessary; however, patient number 3 rejected surgical treatment. EVOLUTION: In the present series, case 1 is undergoing treatment with Octreotide-Cabergoline and hormone replacement therapy, case 2 achieved biochemical remission with postoperative adjuvant treatment based on somatostatin analogues and case 3 has poor expectation of cure due to her medical history and lack of adherence to treatment. CONCLUSIONS: It is important to recognize the insidious characteristic of acromegaly and its varia-ble clinical manifestations, because a timely diagnosis allows a better prognosis and quality of life. There are several therapeutic options, being the surgical treatment supplemented with pharmacological therapy, the most effective. The management must be multidisciplinary and individualize(au)


Assuntos
Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Hipófise/patologia , Neoplasias Hipofisárias/classificação , Acromegalia/diagnóstico , Endocrinologia , Prognóstico , Qualidade de Vida , Terapêutica , História
7.
Rev. habanera cienc. méd ; 18(5): 704-716, sept.-oct. 2019.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1093898

RESUMO

RESUMEN Introducción: Varias proteinopatías del sistema nervioso están asociadas a la ocurrencia de alteraciones en componentes del eje hipotálamo-hipófisis-gonadal. Objetivo: Reflejar la relevancia de componentes del eje hipotálamo-hipófisis-gonadal en la fisiopatología de proteinopatías del sistema nervioso. Material y Métodos: Se realizó una revisión bibliográfica durante los meses de enero de 2018 a diciembre de 2018. Fueron consultadas bases de datos de referencia, con el uso de descriptores y operadores booleanos. La estrategia de búsqueda avanzada para la selección de los artículos fue empleada, teniendo en cuenta la calidad metodológica o validez de los estudios. Desarrollo: Fueron identificaron alteraciones del funcionamiento normal del eje hipotálamo-hipófisis-gonadal en varias proteinopatías del sistema nervioso. Las alteraciones más frecuentemente reportadas fueron el incremento en los niveles de gonadotropinas, principalmente de la hormona luteinizante, en la enfermedad de Alzheimer, y la disminución de los niveles de testosterona en las enfermedades de Alzheimer, Parkinson, Huntington y Esclerosis Lateral Amiotrófica, con el consiguiente agravamiento del fenotipo clínico. Se obtuvieron evidencias de naturaleza preliminar, que fundamentan la posible ocurrencia de disfunción hipotalámica en pacientes con ataxias espinocerebelosas. Conclusiones: Aun cuando existen evidencias que demuestran la existencia de un vínculo entre la fisiopatología de proteinopatías del sistema nervioso y alteraciones en componentes del eje hipotálamo-hipófisis-gonadal, se requerirán estudios más extensos e integrales para confirmar estas asociaciones y para caracterizar los mecanismos moleculares implicados.


ABSTRACT Introduction: Several proteinopathies of the nervous system are associated with disturbances in components of the hypothalamic-pituitary-gonadal axis. Objective: To assess the relevance of components of the hypothalamic-pituitary-gonadal axis in the pathophysiology of proteinopathies of the nervous system. Material and Methods: A literature review was carried out from January to December 2018. Several databases were searched by using descriptors and Boolean operators. Advanced search strategy was used for the selection of articles, taking into account the methodological quality and validity of the studies. Results: Disturbances of the normal function of the hypothalamic-pituitary-gonadal axis were identified in proteinopathies of the nervous system. The most frequently reported disturbances were the increase in gonadotropin levels, mainly in luteinizing hormone in Alzheimer´s disease, and the decrease in testosterone levels in Alzheimer´s, Parkinson´s and Huntington´s diseases, and Amyotrophic Lateral Sclerosis, with the resulting worsening of the clinical phenotype. Preliminary evidence was obtained, which was pointing to a possible hypothalamic dysfunction in Spinocerebellar ataxia patients. Conclusions: Even when evidences were gathered supporting a link between the pathophysiology of proteinopathies of the nervous system and disturbances in components of the hypothalamic-pituitary-gonadal axis, deeper and more comprehensive studies will be needed to confirm these associations and to characterize the underlying molecular mechanisms.

8.
Int. j. morphol ; 36(4): 1316-1325, Dec. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-975702

RESUMO

The morphology of the hypophysis in Bactrian camel has not been described in the literature, despite it being the master of endocrine organs in vertebrates. In the present study, we examined the morphological features of the hypophysis in Bactrian camel by means of gross anatomy, light and electron microscope. Our findings showed that the gland was a protrusion of the bottom of the hypothalamus at the base of the brain with about 1.54 g in weight and 2 cm3 in volume. The hypophysis consists of two major parts: fully developed adenohypophysis and underdeveloped neurohypophysis, the adenohypophysis consists of pars distalis and pars intermedia. Seven type cells of the pars distalis could be distinguished with immunohistochemical techniques and electron micrographs: somatotroph, mammotroph, thyrotroph, corticotroph, gonadotroph, chromophobe and stellate cells which is in accordance with most mammals. Notably, the stellate cells could be obviously distinguished from chromophobe cells in histological oberservation. Moreover, the corpusculum neurosecretorium (Herring bodies) were rare in the external neurohypophysis, and mainly distributed in the internal neurohypophysis, this was different from most mammals. Results from this study would provide a necessary theoretical basis for ongoing investigations for Bactrian camels and their good adaptability in arid and semi-arid circumstances.


La morfología de la hipófisis en el camello bactriano no ha sido descrita en la literatura, a pesar de ser el maestro de los órganos endocrinos en los vertebrados. En el presente estudio, examinamos las características morfológicas de la hipófisis del camello bactriano por medio de anatomía general, microscocopía de luz y microscopía electrónica. Nuestros hallazgos mostraron que la hipófisis es una protuberancia ubicada en la porción inferior del hipotálamo, en la base del cerebro, con aproximadamente 1,54 g de peso y 2 cm3 de volumen. La hipófisis consta de dos partes principales: adenohipófisis, completamente desarrollada, y neurohipófisis, poco desarrollada; además, la adenohipófisis consta de una pars distalis y una pars intermedia. Con técnicas inmunohistoquímicas y micrografías electrónicas en la pars distalis se pudieron distinguir siete tipos de células: somatotrofas, mamotróficas, tirotrofas, corticotrofas, gonadotrofas, cromófobas y estrelladas, lo que es similar a la mayoría de los mamíferos. En la observación histológica las células estrelladas se pueden distinguir naturalmente de las células cromófobas. Además, es rara la presencia de corpusculum neurosecretorium (Cuerpos de Herring) en la neurohipófisis externa, hallándose distribuidos principalmente en la neurohipófisis interna, esto es diferente a lo encontrado en la mayoría de los mamíferos. Los resultados de este estudio proporcionarían una base teórica necesaria para las investigaciones en curso de los camellos bactrianos y su buena adaptabilidad en circunstancias áridas y semiáridas.


Assuntos
Animais , Hipófise/ultraestrutura , Camelus/anatomia & histologia , Hipófise/anatomia & histologia , Imuno-Histoquímica , Microscopia Eletrônica
9.
R. bras. Reprod. Anim. ; 42(1): 9-14, jan.-mar. 2018.
Artigo em Português | VETINDEX | ID: vti-736327

RESUMO

A domesticação do equino pelo homem acarretou alterações de manejo e alimentação devido à necessidade de adaptação dos animais a novos exercícios e condições limitantes impostas a estes pelo homem. Um dos avanços alcançados através da mudança alimentar imposta aos equinos mediante o fornecimento de alimentos concentrados é a possibilidade de melhor eficiência reprodutiva. As éguas são poliéstricas estacionais fotoperíodo positivas, naturalmente entrando em anestro nos meses de inverno, em regiões afastadas da linha do Equador. Estudos indicam que éguas com bom índice de escore corporal podem não entrar em anestro nesse período, oferecendo a possibilidade de reprodução ao longo de todo o ano sem a necessidade de aplicação de hormônios exógenos. A correlação entre nutrição e reprodução equina vem sendo cada vez mais estudada, e os mecanismos de ação de diversos fatores atuantes nessa correlação como a leptina e a kisspeptina vem sendo elucidados. A presente revisão traz informações acerca da interação entre nutrição e reprodução equina e dois dos mais importantes peptídeos atuantes nessa correlação: leptina e kisspeptina.(AU)


Equine domestication by men brought alongside with it several alterations in equine management and feeding, due to the need of adaptation by the horses to new exercises and limiting conditions imposed to them by humans. One of the many advances achieved through feeding modification imposed to horses by providing concentrate feed is the possibility for better reproductive efficiency. Mares are photoperiodic poliestric seasonal breeders, naturally entering anestrus in winter months in regions far from the Equator line. Studies indicate that mares with optimum body score may not enter anestrus in such period, offering the possibility of reproduction through the year withholding the need for exogenous hormone administration. The correlation between nutrition and equine reproduction is being increasingly studied, and a confluence of factors that act in such correlation such as leptin and kisspeptin and are being elucidated. This revision brings information regarding the interaction between nutrition and equine reproduction and two of the major peptides that act in such correlation: leptin and kisspeptin.(AU)


Assuntos
Animais , Feminino , Cavalos , Composição Corporal , Peptídeos/efeitos adversos , Ração Animal/efeitos adversos , Ciclo Estral , Substâncias para o Controle da Reprodução/administração & dosagem , Leptina , Kisspeptinas , Estrogênios , Gônadas , Hipófise , Hipotálamo
10.
Rev. bras. reprod. anim ; 42(1): 9-14, jan.-mar. 2018.
Artigo em Português | VETINDEX | ID: biblio-1492504

RESUMO

A domesticação do equino pelo homem acarretou alterações de manejo e alimentação devido à necessidade de adaptação dos animais a novos exercícios e condições limitantes impostas a estes pelo homem. Um dos avanços alcançados através da mudança alimentar imposta aos equinos mediante o fornecimento de alimentos concentrados é a possibilidade de melhor eficiência reprodutiva. As éguas são poliéstricas estacionais fotoperíodo positivas, naturalmente entrando em anestro nos meses de inverno, em regiões afastadas da linha do Equador. Estudos indicam que éguas com bom índice de escore corporal podem não entrar em anestro nesse período, oferecendo a possibilidade de reprodução ao longo de todo o ano sem a necessidade de aplicação de hormônios exógenos. A correlação entre nutrição e reprodução equina vem sendo cada vez mais estudada, e os mecanismos de ação de diversos fatores atuantes nessa correlação como a leptina e a kisspeptina vem sendo elucidados. A presente revisão traz informações acerca da interação entre nutrição e reprodução equina e dois dos mais importantes peptídeos atuantes nessa correlação: leptina e kisspeptina.


Equine domestication by men brought alongside with it several alterations in equine management and feeding, due to the need of adaptation by the horses to new exercises and limiting conditions imposed to them by humans. One of the many advances achieved through feeding modification imposed to horses by providing concentrate feed is the possibility for better reproductive efficiency. Mares are photoperiodic poliestric seasonal breeders, naturally entering anestrus in winter months in regions far from the Equator line. Studies indicate that mares with optimum body score may not enter anestrus in such period, offering the possibility of reproduction through the year withholding the need for exogenous hormone administration. The correlation between nutrition and equine reproduction is being increasingly studied, and a confluence of factors that act in such correlation such as leptin and kisspeptin and are being elucidated. This revision brings information regarding the interaction between nutrition and equine reproduction and two of the major peptides that act in such correlation: leptin and kisspeptin.


Assuntos
Feminino , Animais , Cavalos , Ciclo Estral , Composição Corporal , Peptídeos/efeitos adversos , Ração Animal/efeitos adversos , Substâncias para o Controle da Reprodução/administração & dosagem , Estrogênios , Gônadas , Hipotálamo , Hipófise , Kisspeptinas , Leptina
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