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Hohenwarter L, Böttger R, Li SD. Modification and Delivery of Enkephalins for Pain Modulation. Int J Pharm 2023; 646:123425. [PMID: 37739096 DOI: 10.1016/j.ijpharm.2023.123425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 08/23/2023] [Accepted: 09/15/2023] [Indexed: 09/24/2023]
Abstract
Chronic pain negatively affects patient's quality of life and poses a significant economic burden. First line pharmaceutical treatment of chronic pain, including NSAIDs or antidepressants, is often inefficient to reduce pain, or produces intolerable adverse effects. In such cases, opioids are frequently prescribed for their potent analgesia, but chronic opioid use is also frequently associated with debilitating side effects that may offset analgesic benefits. Nonetheless, opioids continue to be widely utilized due to the lack of effective alternative analgesics. Since their discovery in 1975, a class of endogenous opioids called enkephalins (ENKs) have been investigated for their ability to relieve pain with significantly reduced adverse effects compared to conventional opioids. Their low metabolic stability and inability to cross biological membranes, however, make ENKs ineffective analgesics. Over past decades, much effort has been invested to overcome these limitations and develop ENK-based pain therapies. This review summarizes and describes chemical modifications and ENK delivery technologies utilizing ENK conjugates, nanoparticles and ENK gene delivery approaches and discusses valid lessons, challenges, and future directions of this evolving field.
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Affiliation(s)
- Lukas Hohenwarter
- Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada
| | - Roland Böttger
- Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada
| | - Shyh-Dar Li
- Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada.
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2
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An Effective and Safe Enkephalin Analog for Antinociception. Pharmaceutics 2021; 13:pharmaceutics13070927. [PMID: 34206631 PMCID: PMC8308721 DOI: 10.3390/pharmaceutics13070927] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 06/14/2021] [Accepted: 06/18/2021] [Indexed: 11/17/2022] Open
Abstract
Opioids account for 69,000 overdose deaths per annum worldwide and cause serious side effects. Safer analgesics are urgently needed. The endogenous opioid peptide Leu-Enkephalin (Leu-ENK) is ineffective when introduced peripherally due to poor stability and limited membrane permeability. We developed a focused library of Leu-ENK analogs containing small hydrophobic modifications. N-pivaloyl analog KK-103 showed the highest binding affinity to the delta opioid receptor (68% relative to Leu-ENK) and an extended plasma half-life of 37 h. In the murine hot-plate model, subcutaneous KK-103 showed 10-fold improved anticonception (142%MPE·h) compared to Leu-ENK (14%MPE·h). In the formalin model, KK-103 reduced the licking and biting time to ~50% relative to the vehicle group. KK-103 was shown to act through the opioid receptors in the central nervous system. In contrast to morphine, KK-103 was longer-lasting and did not induce breathing depression, physical dependence, and tolerance, showing potential as a safe and effective analgesic.
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Orlandi-Mattos PE, Aguiar RB, da Silva Vaz I, Moraes JZ, de Araujo Carlini EL, Juliano MA, Juliano L. Enkephalin related peptides are released from jejunum wall by orally ingested bromelain. Peptides 2019; 115:32-42. [PMID: 30836111 DOI: 10.1016/j.peptides.2019.02.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 02/05/2019] [Accepted: 02/26/2019] [Indexed: 12/29/2022]
Abstract
Stem bromelain [EC 3.4.22.32] is a thiol-endopeptidase and orally recommended in traditional medicine due to its analgesic activity, but the mechanisms are not known. Proenkephalin is expressed in the nervous system, but also in the gastrointestinal tract, where it can be assessed by ingested stem bromelain. Here we demonstrated that stem bromelain hydrolyses synthetic proenkephalin fragments after basic amino acid residues flanking the enkephalin sequences. We also observed with in vivo studies that oral administration of bromelain reduced jejunum proenkephalin levels and increased the serum enkephalin in mice. Effective anti-nociceptive effects in mice were observed 3 h after oral administration of 3 mg/kg stem bromelain by the acetic acid-induced writhing test. However, with higher doses this effect is reduced due to hydrolysis of enkephalin that possibly occurs by the presence of ananain in commercial pineapple stem bromelain preparations, that is also a thiol-protease with broad specificity. The analgesic effects were also evaluated by hot-plate and formalin tests and the obtained results indicated that enkephalin generated in intestine acts in periphery where it also can have anti-inflammatory activity.
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Affiliation(s)
- Paulo Eduardo Orlandi-Mattos
- Departamento de Biofísica, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Três de Maio, 100 - Vila Clementino. CEP, 04044-020, São Paulo, SP, Brazil
| | - Rodrigo Barbosa Aguiar
- Departamento de Biofísica, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Três de Maio, 100 - Vila Clementino. CEP, 04044-020, São Paulo, SP, Brazil
| | - Itabajara da Silva Vaz
- Departamento de Patologia e Clínica Veterinária, Faculdade de Veterinária, Universidade Federal do Rio Grande do Sul. Av. Bento Goncalves 9500 CP15005. CEP, 91501970, Porto Alegre, RS, Brazil
| | - Jane Zveiter Moraes
- CEBRID, Centro Brasileiro de Informações sobre Drogas Psicotrópicas, Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Botucatu, 820 - Vila Clementino. CEP, 04024-002, São Paulo, SP, Brazil
| | - Elisaldo Luiz de Araujo Carlini
- Departamento de Biofísica, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Três de Maio, 100 - Vila Clementino. CEP, 04044-020, São Paulo, SP, Brazil; Departamento de Patologia e Clínica Veterinária, Faculdade de Veterinária, Universidade Federal do Rio Grande do Sul. Av. Bento Goncalves 9500 CP15005. CEP, 91501970, Porto Alegre, RS, Brazil; CEBRID, Centro Brasileiro de Informações sobre Drogas Psicotrópicas, Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Botucatu, 820 - Vila Clementino. CEP, 04024-002, São Paulo, SP, Brazil
| | - Maria Aparecida Juliano
- Departamento de Biofísica, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Três de Maio, 100 - Vila Clementino. CEP, 04044-020, São Paulo, SP, Brazil
| | - Luiz Juliano
- Departamento de Biofísica, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Três de Maio, 100 - Vila Clementino. CEP, 04044-020, São Paulo, SP, Brazil; Departamento de Patologia e Clínica Veterinária, Faculdade de Veterinária, Universidade Federal do Rio Grande do Sul. Av. Bento Goncalves 9500 CP15005. CEP, 91501970, Porto Alegre, RS, Brazil; CEBRID, Centro Brasileiro de Informações sobre Drogas Psicotrópicas, Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo. Rua Botucatu, 820 - Vila Clementino. CEP, 04024-002, São Paulo, SP, Brazil.
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Ochiai H, Yoshida K, Shibutani H, Kanatani A, Nishiuchi Y. Spontaneously Cleavable Glycosylated Linker Capable of Extended Release of Its Conjugated Peptide. Chem Pharm Bull (Tokyo) 2019; 67:236-243. [DOI: 10.1248/cpb.c18-00626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Palesch D, Boldt F, Müller JA, Eisele K, Stürzel CM, Wu Y, Münch J, Weil T. PEGylated Cationic Serum Albumin for Boosting Retroviral Gene Transfer. Chembiochem 2016; 17:1504-8. [PMID: 27239020 DOI: 10.1002/cbic.201600193] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Indexed: 01/28/2023]
Abstract
Retroviral vectors are common tools for introducing genes into the genome of a cell. However, low transduction rates are a major limitation in retroviral gene transfer, especially in clinical applications. We generated cationic human serum albumin (cHSA) protected by a shell of poly(ethylene glycol) (PEG); this significantly enhanced retroviral gene transduction with potentially attractive pharmacokinetics and low immunogenicity. By screening a panel of chemically optimized HSA compounds, we identified a very potent enhancer that boosted the transduction rates of viral vectors. Confocal microscopy revealed a drastically increased number of viral particles attached to the surfaces of target cells. In accordance with the positive net charge of cationic and PEGylated HSA, this suggests a mechanism of action in which the repulsion of the negatively charged cellular and viral vector membranes is neutralized, thereby promoting attachment and ultimately transduction. Importantly, the transduction-enhancing PEGylated HSA derivative evaded recognition by HSA-specific antibodies and macrophage activation. Our findings hold great promise for facilitating improved retroviral gene transfer.
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Affiliation(s)
- David Palesch
- Institute of Molecular Virology, Ulm University Medical Center, Meyerhofstrasse 1, 89081, Ulm, Germany
| | - Felix Boldt
- Institute of Organic Chemistry III/Macromolecular Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081, Ulm, Germany
| | - Janis A Müller
- Institute of Molecular Virology, Ulm University Medical Center, Meyerhofstrasse 1, 89081, Ulm, Germany
| | - Klaus Eisele
- Institute of Organic Chemistry III/Macromolecular Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081, Ulm, Germany
| | - Christina M Stürzel
- Institute of Molecular Virology, Ulm University Medical Center, Meyerhofstrasse 1, 89081, Ulm, Germany
| | - Yuzhou Wu
- Institute of Organic Chemistry III/Macromolecular Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081, Ulm, Germany
| | - Jan Münch
- Institute of Molecular Virology, Ulm University Medical Center, Meyerhofstrasse 1, 89081, Ulm, Germany.
| | - Tanja Weil
- Institute of Organic Chemistry III/Macromolecular Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081, Ulm, Germany.
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Verbeken M, Wynendaele E, Mauchauffée E, Bracke N, Stalmans S, Bojnik E, Benyhe S, Peremans K, Polis I, Burvenich C, Gjedde A, Hernandez JF, De Spiegeleer B. Blood-brain transfer and antinociception of linear and cyclic N-methyl-guanidine and thiourea-enkephalins. Peptides 2015; 63:10-21. [PMID: 25451468 DOI: 10.1016/j.peptides.2014.10.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Revised: 10/20/2014] [Accepted: 10/20/2014] [Indexed: 01/09/2023]
Abstract
Enkephalins are active in regulation of nociception in the body and are key in development of new synthetic peptide analogs that target centrally located opioid receptors. In this study, we investigated the in vivo blood-brain barrier (BBB) penetration behavior and antinociceptive activity of two cyclic enkephalin analogs with a thiourea (CycS) or a N-methyl-guanidine bridge (CycNMe), and their linear counterparts (LinS and LinNMe) in mice, as well as their in vitro metabolic stability. (125)I-LinS had the highest blood-brain clearance (K1=3.46μL/gmin), followed by (125)I-LinNMe, (125)I-CycNMe, and (125)I-CycS (K1=1.64, 0.31, and 0.11μL/gmin, respectively). Also, these peptides had a high metabolic stability (t1/2>1h) in mouse serum and brain homogenate, and half-inhibition constant (Ki) values in the nanomolar range with predominantly μ-opioid receptor selectivity. The positively charged NMe-enkephalins showed a higher antinociceptive activity (LinNMe: 298% and CycNMe: 205%), expressed as molar-dose normalized area under the curve (AUC) relative to morphine, than the neutral S-enkephalins (CycS: 122% and LinS: 130%).
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Affiliation(s)
- Mathieu Verbeken
- Drug Quality and Registration (DruQuaR) group, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Evelien Wynendaele
- Drug Quality and Registration (DruQuaR) group, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Elodie Mauchauffée
- Institut des Biomolécules Max Mousseron, UMR5247 CNRS, Universités Montpellier 1 and 2, Faculty of Pharmaceutical Sciences, 15 Avenue Charles Flahault, F-34093 Montpellier, France
| | - Nathalie Bracke
- Drug Quality and Registration (DruQuaR) group, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Sofie Stalmans
- Drug Quality and Registration (DruQuaR) group, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Engin Bojnik
- Biological Research Center, Institute of Biochemistry, POB 521, H-6702 Szeged, Hungary
| | - Sandor Benyhe
- Biological Research Center, Institute of Biochemistry, POB 521, H-6702 Szeged, Hungary
| | - Kathelijne Peremans
- Departments of Veterinary Medical Imaging and Small Animal Orthopaedics, Medicine and Clinical Biology of Small Animals and Comparative Physiology and Biometrics, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820 Merelbeke, Belgium
| | - Ingeborgh Polis
- Departments of Veterinary Medical Imaging and Small Animal Orthopaedics, Medicine and Clinical Biology of Small Animals and Comparative Physiology and Biometrics, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820 Merelbeke, Belgium
| | - Christian Burvenich
- Departments of Veterinary Medical Imaging and Small Animal Orthopaedics, Medicine and Clinical Biology of Small Animals and Comparative Physiology and Biometrics, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820 Merelbeke, Belgium
| | - Albert Gjedde
- Department of Neuroscience and Pharmacology, Faculty of Health and Medical Sciences, Copenhagen University, Blegdamsvej 3, DK-2200 Copenhagen, Denmark
| | - Jean-François Hernandez
- Institut des Biomolécules Max Mousseron, UMR5247 CNRS, Universités Montpellier 1 and 2, Faculty of Pharmaceutical Sciences, 15 Avenue Charles Flahault, F-34093 Montpellier, France
| | - Bart De Spiegeleer
- Drug Quality and Registration (DruQuaR) group, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium.
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Delivery of analgesic peptides to the brain by nano-sized bolaamphiphilic vesicles made of monolayer membranes. Eur J Pharm Biopharm 2013; 85:381-9. [DOI: 10.1016/j.ejpb.2013.06.005] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Revised: 06/03/2013] [Accepted: 06/04/2013] [Indexed: 12/24/2022]
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8
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Zhang L, Klein BD, Metcalf CS, Smith MD, McDougle DR, Lee HK, White HS, Bulaj G. Incorporation of monodisperse oligoethyleneglycol amino acids into anticonvulsant analogues of galanin and neuropeptide y provides peripherally acting analgesics. Mol Pharm 2013; 10:574-85. [PMID: 23259957 DOI: 10.1021/mp300236v] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Delivery of neuropeptides into the central and/or peripheral nervous systems supports development of novel neurotherapeutics for the treatment of pain, epilepsy and other neurological diseases. Our previous work showed that the combination of lipidization and cationization applied to anticonvulsant neuropeptides galanin (GAL) and neuropeptide Y (NPY) improved their penetration across the blood-brain barrier yielding potent antiepileptic lead compounds, such as Gal-B2 (NAX 5055) or NPY-B2. To dissect peripheral and central actions of anticonvulsant neuropeptides, we rationally designed, synthesized and characterized GAL and NPY analogues containing monodisperse (discrete) oligoethyleneglycol-lysine (dPEG-Lys). The dPEGylated analogues Gal-B2-dPEG(24), Gal-R2-dPEG(24) and NPY-dPEG(24) displayed analgesic activities following systemic administration, while avoiding penetration into the brain. Gal-B2-dPEG(24) was synthesized by a stepwise deprotection of orthogonal 4-methoxytrityl and allyloxycarbonyl groups, and subsequent on-resin conjugations of dPEG(24) and palmitic acids, respectively. All the dPEGylated analogues exhibited substantially decreased hydrophobicity (expressed as logD values), increased in vitro serum stabilities and pronounced analgesia in the formalin and carrageenan inflammatory pain assays following systemic administration, while lacking apparent antiseizure activities. These results suggest that discrete PEGylation of neuropeptides offers an attractive strategy for developing neurotherapeutics with restricted penetration into the central nervous system.
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Affiliation(s)
- Liuyin Zhang
- Department of Medicinal Chemistry, College of Pharmacy, University of Utah , Salt Lake City, Utah 84108, United States
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Establishing the principle of reversibility in peptide/protein and small-molecule therapy. Ther Deliv 2012; 3:17-23. [PMID: 22833930 DOI: 10.4155/tde.11.133] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Several important pharmacological features can be integrated into injected drugs to enhance their therapeutic efficacy following administration. Short-lived peptide/protein drugs should be converted into long-lived species in vivo to avoid multiple injections. Circulating levels of anticancer agents need to be maintained within a narrow therapeutic range for prolonged period. Water-insoluble drugs must be turned into soluble species and blood-brain barrier-impermeable agents need to be modified to cross it following peripheral administrations. The derivatization requiring for achieving those desirable pharmacological features typically result in biologically/pharmacologically inactive products, unless those derivatizations can be carried out in a reversible fashion.
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Shechter Y, Sasson K, Lev-Goldman V, Rubinraut S, Rubinstein M, Fridkin M. Newly Designed Modifier Prolongs the Action of Short-Lived Peptides and Proteins by Allowing Their Binding to Serum Albumin. Bioconjug Chem 2012; 23:1577-86. [DOI: 10.1021/bc3000854] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Yoram Shechter
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
| | - Keren Sasson
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
| | - Vered Lev-Goldman
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
| | - Sara Rubinraut
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
| | - Menachem Rubinstein
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
| | - Mati Fridkin
- Departments
of Biological Chemistry, ‡Organic Chemistry and §Molecular Genetics, The Weizmann Institute of Science, Rehovot, 76100,
Israel
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Malakoutikhah M, Teixidó M, Giralt E. Schleuservermittelter Transport von Wirkstoffen ins Gehirn. Angew Chem Int Ed Engl 2011. [DOI: 10.1002/ange.201006565] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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12
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Malakoutikhah M, Teixidó M, Giralt E. Shuttle-Mediated Drug Delivery to the Brain. Angew Chem Int Ed Engl 2011; 50:7998-8014. [DOI: 10.1002/anie.201006565] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Revised: 01/17/2011] [Indexed: 12/12/2022]
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