La maladie de Parkinson au Canada (serveur d'exploration)

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Alteration of glutamate receptors in the striatum of dyskinetic 1 -methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated monkeys following dopamine agonist treatment

Identifieur interne : 000132 ( PascalFrancis/Curation ); précédent : 000131; suivant : 000133

Alteration of glutamate receptors in the striatum of dyskinetic 1 -methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated monkeys following dopamine agonist treatment

Auteurs : Frédéric Calon [Canada] ; Marc Morissette [Canada] ; Othman Ghribi [Canada] ; Martin Goulet [Canada] ; Richard Grondin [Canada] ; Pierre J. Blanchet [Canada] ; Paul J. Bedard [Canada] ; Thérèse Di Paolo [Canada]

Source :

RBID : Pascal:02-0226511

Descripteurs français

English descriptors

Abstract

The effects of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced nigrostriatal lesion and dopaminomimetic treatment on parameters of glutamatergic activity within the basal ganglia of monkeys were studied in relation with the development of dyskinesias. Drug-naive controls, saline-treated MPTP monkeys, as well as MPTP monkeys treated with either a long-acting D2 agonist (cabergoline) or a D1 agonist (SKF-82958) given by intermittent injections or continuous infusion, were included in this study. 3H-L-glutamate, 3H-α-amino-3-hydroxy-5-methylisoxasole-4-propionate (AMPA), 3H-glycine, 3H-CGP39653 (an N-methyl-D-aspartate, NMDA, antagonist selective for NR1/NR2A assembly) and 3H-Ro 25-6981 (an NMDA antagonist selective for NR1/NR2B assembly), specific binding to glutamate receptors, the expression of the NR1 subunit of NMDA receptors and glutamate, glutamine and glycine concentrations were studied by autoradiography, in situ hybridization and high-performance liquid chromatography (HPLC), respectively. Pulsatile SKF-82958 and cabergoline treatment relieved parkinsonian symptoms, whereas animals continuously treated with SKF-82958 remained akinetic. Pulsatile SKF-82958 induced dyskinesias in two of the three animals tested, whereas cabergoline did not. MPTP induced no significant changes of striatal specific binding of the radioligands used, NR1 mRNA expression and amino acid concentrations. In the putamen, pulsatile SKF-82958 treatment was associated with decreased content of glycine and glutamate, whereas only glycine was decreased in cabergoline-treated monkeys. Cabergoline and continuous administration of SKF-82958 led to lower levels of NR1 mRNA in the caudate in comparison to pulsatile SKF-82958 administration. The development of dyskinesias following a D1 agonist treatment was associated with an upregulation of 3H-glutamate [+49%], 3H-AMPA [+38%], 3H-CGP39653 [+111%], 3H-glycine [+26%, nonsignificant] and 3H-Ro 25-6981 [+33%] specific binding in the striatum in comparison to nondyskinetic MPTP monkeys. Our data suggest that supersensitivity to glutamatergic input in the striatum might play a role in the pathogenesis of dopaminomimetic-induced dyskinesias and further support the therapeutic potential of glutamate antagonists in Parkinson's disease.
pA  
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A02 01      @0 PNPPD7
A03   1    @0 Prog. neuro-psychopharmacol. biol. psychiatr.
A05       @2 26
A06       @2 1
A08 01  1  ENG  @1 Alteration of glutamate receptors in the striatum of dyskinetic 1 -methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated monkeys following dopamine agonist treatment
A11 01  1    @1 CALON (Frédéric)
A11 02  1    @1 MORISSETTE (Marc)
A11 03  1    @1 GHRIBI (Othman)
A11 04  1    @1 GOULET (Martin)
A11 05  1    @1 GRONDIN (Richard)
A11 06  1    @1 BLANCHET (Pierre J.)
A11 07  1    @1 BEDARD (Paul J.)
A11 08  1    @1 DI PAOLO (Thérèse)
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C01 01    ENG  @0 The effects of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced nigrostriatal lesion and dopaminomimetic treatment on parameters of glutamatergic activity within the basal ganglia of monkeys were studied in relation with the development of dyskinesias. Drug-naive controls, saline-treated MPTP monkeys, as well as MPTP monkeys treated with either a long-acting D2 agonist (cabergoline) or a D1 agonist (SKF-82958) given by intermittent injections or continuous infusion, were included in this study. 3H-L-glutamate, 3H-α-amino-3-hydroxy-5-methylisoxasole-4-propionate (AMPA), 3H-glycine, 3H-CGP39653 (an N-methyl-D-aspartate, NMDA, antagonist selective for NR1/NR2A assembly) and 3H-Ro 25-6981 (an NMDA antagonist selective for NR1/NR2B assembly), specific binding to glutamate receptors, the expression of the NR1 subunit of NMDA receptors and glutamate, glutamine and glycine concentrations were studied by autoradiography, in situ hybridization and high-performance liquid chromatography (HPLC), respectively. Pulsatile SKF-82958 and cabergoline treatment relieved parkinsonian symptoms, whereas animals continuously treated with SKF-82958 remained akinetic. Pulsatile SKF-82958 induced dyskinesias in two of the three animals tested, whereas cabergoline did not. MPTP induced no significant changes of striatal specific binding of the radioligands used, NR1 mRNA expression and amino acid concentrations. In the putamen, pulsatile SKF-82958 treatment was associated with decreased content of glycine and glutamate, whereas only glycine was decreased in cabergoline-treated monkeys. Cabergoline and continuous administration of SKF-82958 led to lower levels of NR1 mRNA in the caudate in comparison to pulsatile SKF-82958 administration. The development of dyskinesias following a D1 agonist treatment was associated with an upregulation of 3H-glutamate [+49%], 3H-AMPA [+38%], 3H-CGP39653 [+111%], 3H-glycine [+26%, nonsignificant] and 3H-Ro 25-6981 [+33%] specific binding in the striatum in comparison to nondyskinetic MPTP monkeys. Our data suggest that supersensitivity to glutamatergic input in the striatum might play a role in the pathogenesis of dopaminomimetic-induced dyskinesias and further support the therapeutic potential of glutamate antagonists in Parkinson's disease.
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Pascal:02-0226511

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<title level="j" type="main">Progress in neuro-psychopharmacology & biological psychiatry</title>
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<term>AMPA receptor</term>
<term>Agonist</term>
<term>Animal</term>
<term>Animal model</term>
<term>Antagonist</term>
<term>Brain (vertebrata)</term>
<term>Central nervous system</term>
<term>Corpus striatum</term>
<term>D1 Dopamine receptor</term>
<term>D2 Dopamine receptor</term>
<term>Dyskinesia</term>
<term>Glutamate</term>
<term>Glutamate receptor</term>
<term>Glutamatergic transmission</term>
<term>Glutamine</term>
<term>Glycine</term>
<term>Molecular interaction</term>
<term>Monkey</term>
<term>NMDA receptor</term>
<term>Pathogenesis</term>
<term>Toxicity</term>
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<term>Corps strié</term>
<term>Modèle animal</term>
<term>Dyskinésie</term>
<term>Animal</term>
<term>Singe</term>
<term>Encéphale</term>
<term>Système nerveux central</term>
<term>Récepteur glutamate</term>
<term>Récepteur dopaminergique D2</term>
<term>Récepteur dopaminergique D1</term>
<term>Agoniste</term>
<term>Antagoniste</term>
<term>Récepteur AMPA</term>
<term>Récepteur NMDA</term>
<term>Interaction moléculaire</term>
<term>Pathogénie</term>
<term>Transmission glutamatergique</term>
<term>Glycine</term>
<term>Pyridine(1-méthyl-4-phényl-1,2,3,6-tétrahydro)</term>
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<term>Glutamine</term>
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<div type="abstract" xml:lang="en">The effects of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced nigrostriatal lesion and dopaminomimetic treatment on parameters of glutamatergic activity within the basal ganglia of monkeys were studied in relation with the development of dyskinesias. Drug-naive controls, saline-treated MPTP monkeys, as well as MPTP monkeys treated with either a long-acting D
<sub>2</sub>
agonist (cabergoline) or a D
<sub>1</sub>
agonist (SKF-82958) given by intermittent injections or continuous infusion, were included in this study.
<sup>3</sup>
H-L-glutamate,
<sup>3</sup>
H-α-amino-3-hydroxy-5-methylisoxasole-4-propionate (AMPA),
<sup>3</sup>
H-glycine,
<sup>3</sup>
H-CGP39653 (an N-methyl-D-aspartate, NMDA, antagonist selective for NR1/NR2A assembly) and
<sup>3</sup>
H-Ro 25-6981 (an NMDA antagonist selective for NR1/NR2B assembly), specific binding to glutamate receptors, the expression of the NR1 subunit of NMDA receptors and glutamate, glutamine and glycine concentrations were studied by autoradiography, in situ hybridization and high-performance liquid chromatography (HPLC), respectively. Pulsatile SKF-82958 and cabergoline treatment relieved parkinsonian symptoms, whereas animals continuously treated with SKF-82958 remained akinetic. Pulsatile SKF-82958 induced dyskinesias in two of the three animals tested, whereas cabergoline did not. MPTP induced no significant changes of striatal specific binding of the radioligands used, NR1 mRNA expression and amino acid concentrations. In the putamen, pulsatile SKF-82958 treatment was associated with decreased content of glycine and glutamate, whereas only glycine was decreased in cabergoline-treated monkeys. Cabergoline and continuous administration of SKF-82958 led to lower levels of NR1 mRNA in the caudate in comparison to pulsatile SKF-82958 administration. The development of dyskinesias following a D
<sub>1</sub>
agonist treatment was associated with an upregulation of
<sup>3</sup>
H-glutamate [+49%],
<sup>3</sup>
H-AMPA [+38%],
<sup>3</sup>
H-CGP39653 [+111%],
<sup>3</sup>
H-glycine [+26%, nonsignificant] and
<sup>3</sup>
H-Ro 25-6981 [+33%] specific binding in the striatum in comparison to nondyskinetic MPTP monkeys. Our data suggest that supersensitivity to glutamatergic input in the striatum might play a role in the pathogenesis of dopaminomimetic-induced dyskinesias and further support the therapeutic potential of glutamate antagonists in Parkinson's disease.</div>
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<s0>Progress in neuro-psychopharmacology & biological psychiatry</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>The effects of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced nigrostriatal lesion and dopaminomimetic treatment on parameters of glutamatergic activity within the basal ganglia of monkeys were studied in relation with the development of dyskinesias. Drug-naive controls, saline-treated MPTP monkeys, as well as MPTP monkeys treated with either a long-acting D
<sub>2</sub>
agonist (cabergoline) or a D
<sub>1</sub>
agonist (SKF-82958) given by intermittent injections or continuous infusion, were included in this study.
<sup>3</sup>
H-L-glutamate,
<sup>3</sup>
H-α-amino-3-hydroxy-5-methylisoxasole-4-propionate (AMPA),
<sup>3</sup>
H-glycine,
<sup>3</sup>
H-CGP39653 (an N-methyl-D-aspartate, NMDA, antagonist selective for NR1/NR2A assembly) and
<sup>3</sup>
H-Ro 25-6981 (an NMDA antagonist selective for NR1/NR2B assembly), specific binding to glutamate receptors, the expression of the NR1 subunit of NMDA receptors and glutamate, glutamine and glycine concentrations were studied by autoradiography, in situ hybridization and high-performance liquid chromatography (HPLC), respectively. Pulsatile SKF-82958 and cabergoline treatment relieved parkinsonian symptoms, whereas animals continuously treated with SKF-82958 remained akinetic. Pulsatile SKF-82958 induced dyskinesias in two of the three animals tested, whereas cabergoline did not. MPTP induced no significant changes of striatal specific binding of the radioligands used, NR1 mRNA expression and amino acid concentrations. In the putamen, pulsatile SKF-82958 treatment was associated with decreased content of glycine and glutamate, whereas only glycine was decreased in cabergoline-treated monkeys. Cabergoline and continuous administration of SKF-82958 led to lower levels of NR1 mRNA in the caudate in comparison to pulsatile SKF-82958 administration. The development of dyskinesias following a D
<sub>1</sub>
agonist treatment was associated with an upregulation of
<sup>3</sup>
H-glutamate [+49%],
<sup>3</sup>
H-AMPA [+38%],
<sup>3</sup>
H-CGP39653 [+111%],
<sup>3</sup>
H-glycine [+26%, nonsignificant] and
<sup>3</sup>
H-Ro 25-6981 [+33%] specific binding in the striatum in comparison to nondyskinetic MPTP monkeys. Our data suggest that supersensitivity to glutamatergic input in the striatum might play a role in the pathogenesis of dopaminomimetic-induced dyskinesias and further support the therapeutic potential of glutamate antagonists in Parkinson's disease.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17I</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Corps strié</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Corpus striatum</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Cuerpo estriado</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Modèle animal</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Animal model</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Modelo animal</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Dyskinésie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Dyskinesia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Disquinesia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Animal</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Animal</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Animal</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Singe</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Monkey</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Mono</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Encéphale</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Brain (vertebrata)</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Encéfalo</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Système nerveux central</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Central nervous system</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Sistema nervioso central</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Récepteur glutamate</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Glutamate receptor</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Receptor glutámato</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Récepteur dopaminergique D2</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>D2 Dopamine receptor</s0>
<s5>14</s5>
<s6>«D2» Dopamine receptor</s6>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Receptor dopaminérgico D2</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Récepteur dopaminergique D1</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>D1 Dopamine receptor</s0>
<s5>15</s5>
<s6>«D1» Dopamine receptor</s6>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Receptor dopaminérgico D1</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Agoniste</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Agonist</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Agonista</s0>
<s5>16</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Antagoniste</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Antagonist</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Antagonista</s0>
<s5>17</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Récepteur AMPA</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>AMPA receptor</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Receptor AMPA</s0>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Récepteur NMDA</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>NMDA receptor</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Receptor NMDA</s0>
<s5>19</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Interaction moléculaire</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Molecular interaction</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Interacción molecular</s0>
<s5>20</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Pathogénie</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Pathogenesis</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Patogenia</s0>
<s5>21</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Transmission glutamatergique</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Glutamatergic transmission</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Transmision glutamatérgica</s0>
<s5>22</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Glycine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>23</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Glycine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>23</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Glicina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>23</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Pyridine(1-méthyl-4-phényl-1,2,3,6-tétrahydro)</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>24</s5>
<s6>Pyridine(«1»-méthyl-«4»-phényl-«1,2,3,6»-tétrahydro)</s6>
</fC03>
<fC03 i1="20" i2="X" l="FRE">
<s0>Toxicité</s0>
<s5>35</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG">
<s0>Toxicity</s0>
<s5>35</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA">
<s0>Toxicidad</s0>
<s5>35</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE">
<s0>Glutamate</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>78</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG">
<s0>Glutamate</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>78</s5>
</fC03>
<fC03 i1="21" i2="X" l="SPA">
<s0>Glutamato</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>78</s5>
</fC03>
<fC03 i1="22" i2="X" l="FRE">
<s0>Glutamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>79</s5>
</fC03>
<fC03 i1="22" i2="X" l="ENG">
<s0>Glutamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>79</s5>
</fC03>
<fC03 i1="22" i2="X" l="SPA">
<s0>Glutamina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>79</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Primates</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Primates</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Primates</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Mammalia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Mammalia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Mammalia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Vertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Vertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Vertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>46</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>46</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>46</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>47</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>47</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>47</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>48</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>48</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>48</s5>
</fC07>
<fN21>
<s1>133</s1>
</fN21>
<fN82>
<s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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