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1.
Cell Metab ; 27(6): 1236-1248.e6, 2018 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-29706567

RESUMEN

Diacylglycerol acyltransferase 2 (DGAT2) catalyzes the final step in triglyceride (TG) synthesis and has been shown to play a role in regulating hepatic very-low-density lipoprotein (VLDL) production in rodents. To explore the potential of DGAT2 as a therapeutic target for the treatment of dyslipidemia, we tested the effects of small-molecule inhibitors and gene silencing both in vitro and in vivo. Consistent with prior reports, chronic inhibition of DGAT2 in a murine model of obesity led to correction of multiple lipid parameters. In contrast, experiments in primary human, rhesus, and cynomolgus hepatocytes demonstrated that selective inhibition of DGAT2 has only a modest effect. Acute and chronic inhibition of DGAT2 in rhesus primates recapitulated the in vitro data yielding no significant effects on production of plasma TG or VLDL apolipoprotein B. These results call into question whether selective inhibition of DGAT2 is sufficient for remediation of dyslipidemia.


Asunto(s)
Diacilglicerol O-Acetiltransferasa/antagonistas & inhibidores , Dislipidemias/metabolismo , Hepatocitos/metabolismo , Obesidad/metabolismo , Triglicéridos/metabolismo , Animales , Apolipoproteínas B/metabolismo , Células Cultivadas , Diacilglicerol O-Acetiltransferasa/genética , Modelos Animales de Enfermedad , Silenciador del Gen , Humanos , Lipoproteínas VLDL/metabolismo , Macaca fascicularis , Macaca mulatta , Ratones , Ratones Endogámicos C57BL
2.
J Biomol Screen ; 17(10): 1316-28, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22786893

RESUMEN

Gene silencing by RNA interference has become a powerful tool to help identify genes that regulate biological processes. However, the complexity of the biology probed and the incomplete validation of the reagents used make it difficult to interpret the results of genome-wide siRNA screens. To address this challenge and maximize the return on the efforts required for validating genomic screen hits, the screening strategy must be designed to increase the robustness of the primary screening hits and include assays that inform on the mechanism of action of the knocked-down transcripts. Here, we describe the implementation of a small interfering RNA (siRNA) screen to identify genes that sensitize the effect of poly-(ADP ribose)-polymerase (PARP) inhibitor on cell survival. In the strategy we designed for the primary screen, two biological activities, apoptosis and cell viability, were measured simultaneously at different time points in the presence and absence of a PARP inhibitor (PARPi). The multiplexed assay allowed us to identify PARPi sensitizers induced by both caspase-dependent and independent mechanisms. The multiplexed screening strategy yielded robust primary hits with significant enrichment for DNA repair genes, which were further validated using relevant high-content imaging assays and confirmation of transcript knockdown by real-time PCR (rtPCR).


Asunto(s)
Ensayos Analíticos de Alto Rendimiento , Poli(ADP-Ribosa) Polimerasas/metabolismo , ARN Interferente Pequeño/genética , ARN Interferente Pequeño/metabolismo , Transducción de Señal , Apoptosis/efectos de los fármacos , Apoptosis/genética , División Celular/efectos de los fármacos , División Celular/genética , Proliferación Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Supervivencia Celular/genética , Reparación del ADN/efectos de los fármacos , Ensayos de Selección de Medicamentos Antitumorales , Inhibidores Enzimáticos/farmacología , Regulación Neoplásica de la Expresión Génica/efectos de los fármacos , Células HeLa , Humanos , Inhibidores de Poli(ADP-Ribosa) Polimerasas , Interferencia de ARN/efectos de los fármacos , Reproducibilidad de los Resultados , Transducción de Señal/efectos de los fármacos
3.
J Proteome Res ; 10(10): 4683-91, 2011 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-21819150

RESUMEN

The purpose of this study was to evaluate the use of high resolution LC-MS together with metabolomics and D(4)-cholic acid (D(4)-CA) as a metabolic tracer to measure the metabolism and reconjugation of bile acids (BAs) in vitro and in vivo. Metabolic tracers are very important because they allow for the direct detection (substrate-to-product) of small and significant biological perturbations that may not be apparent when monitoring "static" endogenous levels of particular metabolites. Slc27a5, also known as fatty acid transport protein 5 (FATP5), is the hepatic BA-CoA ligase involved in reconjugating BAs during enterohepatic BA recycling. Using Slc27a5-cKD mice, silencing of ∼90% gene expression was achieved followed by reduction in the reconjugation of D(4)-CA to D(4)-taurocholic acid (D(4)-TCA), as well as other conjugated BA metabolites in plasma (p = 0.0031). The method described allowed a rapid measure of many D(4) and endogenous BA. Analysis of bile resulted in the detection of 39 BA metabolites from a 13 min analytical run. Finally, the utilization of a novel high resolution mass spectrometry method in combination with metabolomics and a stable isotope metabolic tracer allowed for the detection of targeted and untargeted BAs following silencing of the Slc27a5 gene in primary hepatocytes and in mice.


Asunto(s)
Ácidos y Sales Biliares/metabolismo , Cromatografía Liquida/métodos , Proteínas de Transporte de Ácidos Grasos/metabolismo , Hígado/patología , Espectrometría de Masas/métodos , Metabolómica/métodos , Animales , Silenciador del Gen , Humanos , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Espectrometría de Masa por Ionización de Electrospray
4.
Cell Cycle ; 10(15): 2540-8, 2011 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-21720214

RESUMEN

Cancer cells exhibit the ability to proliferate indefinitely, but paradoxically, overexpression of cellular oncogenes in primary cells can result in a rapid and irreversible cell cycle arrest known as oncogene-induced senescence (OIS). However, we have shown that constitutive overexpression of the oncogene c-MYC in primary human foreskin fibroblasts results in a population of cells with unlimited lifespan; these immortalized cells are henceforth referred to as iMYC. Here, in order to further elucidate the mechanisms underlying the immortalization process, a gene expression signature of three independently established iMYC cell lines compared to matched early passage c-MYC overexpressing cells was derived. Network analysis of this "iMYC signature" indicated that a large fraction of the down-regulated genes were functionally connected and major nodes centered around the TGFß, IL-6 and IGF-1 signaling pathways. Here, we focused on the functional validation of the alteration of TGFß response during c-MYC-mediated immortalization. The results demonstrate loss of sensitivity of iMYC cells to activation of TGFß signaling upon ligand addition. Furthermore, we show that aberrant regulation of the p27 tumor suppressor protein in iMYC cells is a key event that contributes to loss of response to TGFß. These findings highlight the potential to reveal key pathways contributing to the self-renewal of cancer cells through functional mining of the unique gene expression signature of cells immortalized by c-MYC.


Asunto(s)
Regulación de la Expresión Génica , Proteínas Proto-Oncogénicas c-myc/metabolismo , Factor de Crecimiento Transformador beta/metabolismo , Línea Celular , Senescencia Celular , Inhibidor p27 de las Quinasas Dependientes de la Ciclina/metabolismo , Regulación hacia Abajo , Fibroblastos/metabolismo , Perfilación de la Expresión Génica , Redes Reguladoras de Genes , Humanos , Factor I del Crecimiento Similar a la Insulina/metabolismo , Interleucina-6/metabolismo , Proteínas Proto-Oncogénicas c-myc/genética , Transducción de Señal
5.
J Lipid Res ; 52(6): 1084-1097, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21398511

RESUMEN

Increased serum apolipoprotein (apo)B and associated LDL levels are well-correlated with an increased risk of coronary disease. ApoE⁻/⁻ and low density lipoprotein receptor (LDLr)⁻/⁻ mice have been extensively used for studies of coronary atherosclerosis. These animals show atherosclerotic lesions similar to those in humans, but their serum lipids are low in apoB-containing LDL particles. We describe the development of a new mouse model with a human-like lipid profile. Ldlr CETP⁺/⁻ hemizygous mice carry a single copy of the human CETP transgene and a single copy of a LDL receptor mutation. To evaluate the apoB pathways in this mouse model, we used novel short-interfering RNAs (siRNA) formulated in lipid nanoparticles (LNP). ApoB siRNAs induced up to 95% reduction of liver ApoB mRNA and serum apoB protein, and a significant lowering of serum LDL in Ldlr CETP⁺/⁻ mice. ApoB targeting is specific and dose-dependent, and it shows lipid-lowering effects for over three weeks. Although specific triglycerides (TG) were affected by ApoB mRNA knockdown (KD) and the total plasma lipid levels were decreased by 70%, the overall lipid distribution did not change. Results presented here demonstrate a new mouse model for investigating additional targets within the ApoB pathways using the siRNA modality.


Asunto(s)
Apolipoproteínas B/genética , Aterosclerosis/genética , Aterosclerosis/metabolismo , Proteínas de Transferencia de Ésteres de Colesterol/genética , LDL-Colesterol/sangre , Modelos Animales de Enfermedad , Receptores de LDL/genética , Animales , Apolipoproteínas B/sangre , Apolipoproteínas E/sangre , Apolipoproteínas E/genética , Aterosclerosis/patología , Línea Celular Tumoral , Proteínas de Transferencia de Ésteres de Colesterol/metabolismo , Efecto Fundador , Perfilación de la Expresión Génica , Técnicas de Silenciamiento del Gen , Hemicigoto , Humanos , Metabolismo de los Lípidos/genética , Liposomas/metabolismo , Hígado/efectos de los fármacos , Hígado/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Nanopartículas/administración & dosificación , ARN Mensajero/análisis , ARN Mensajero/biosíntesis , ARN Interferente Pequeño/metabolismo , ARN Interferente Pequeño/farmacología , Receptores de LDL/metabolismo , Triglicéridos/sangre
6.
J Lipid Res ; 52(4): 679-87, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21262787

RESUMEN

Reducing circulating LDL-cholesterol (LDL-c) reduces the risk of cardiovascular disease in people with hypercholesterolemia. Current approaches to reduce circulating LDL-c include statins, which inhibit cholesterol synthesis, and ezetimibe, which blocks cholesterol absorption. Both elevate serum PCSK9 protein levels in patients, which could attenuate their efficacy by reducing the amount of cholesterol cleared from circulation. To determine whether PCSK9 inhibition could enhance LDL-c lowering of both statins and ezetimibe, we utilized small interfering RNAs (siRNAs) to knock down Pcsk9, together with ezetimibe, rosuvastatin, and an ezetimibe/rosuvastatin combination in a mouse model with a human-like lipid profile. We found that ezetimibe, rosuvastatin, and ezetimibe/rosuvastatin combined lower serum cholesterol but induce the expression of Pcsk9 as well as the Srebp-2 hepatic cholesterol biosynthesis pathway. Pcsk9 knockdown in combination with either treatment led to greater reductions in serum non-HDL with a near-uniform reduction of all LDL-c subfractions. In addition to reducing serum cholesterol, the combined rosuvastatin/ezetimibe/Pcsk9 siRNA treatment exhibited a significant reduction in serum APOB protein and triglyceride levels. Taken together, these data provide evidence that PCSK9 inhibitors, in combination with current therapies, have the potential to achieve greater reductions in both serum cholesterol and triglycerides.


Asunto(s)
Anticolesterolemiantes/uso terapéutico , Azetidinas/uso terapéutico , Fluorobencenos/uso terapéutico , Pirimidinas/uso terapéutico , Serina Endopeptidasas/metabolismo , Sulfonamidas/uso terapéutico , Animales , Apolipoproteínas B/sangre , Colesterol/sangre , LDL-Colesterol/sangre , Ensayo de Inmunoadsorción Enzimática , Ezetimiba , Hipercolesterolemia/sangre , Hipercolesterolemia/tratamiento farmacológico , Hipercolesterolemia/terapia , Ratones , Ratones Endogámicos C57BL , Proproteína Convertasa 9 , Proproteína Convertasas , ARN Interferente Pequeño/genética , ARN Interferente Pequeño/fisiología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Rosuvastatina Cálcica , Serina Endopeptidasas/genética , Triglicéridos/sangre
7.
Nucleic Acids Res ; 38(14): 4788-97, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20360048

RESUMEN

The use of short interfering RNAs (siRNA) in animals for target validation or as potential therapeutics is hindered by the short physical half-life when delivered as unencapsulated material and in turn the short active half-life of siRNAs in vivo. Here we demonstrate that the character of the two 3'-overhang nucleotides of the guide strand of siRNAs is a determinant of the duration of silencing by siRNAs both in vivo and in tissue culture cells. We demonstrate that deoxyribonucleotides in the guide strand overhang of siRNAs have a negative impact on maintenance of both the in vitro and in vivo activity of siRNAs over time. Overhangs that contain ribonucleotides or 2'-O-methyl modified nucleotides do not demonstrate this same impairment. We also demonstrate that the sequence of an siRNA is a determinant of the duration of silencing of siRNAs directed against the same target even when those siRNAs have equivalent activities in vitro. Our experiments have determined that a measurable duration parameter exists, distinct from both maximum silencing ability and the potency of siRNAs. Our findings provide information on incorporating chemically modified nucleotides into siRNAs for potent, durable therapeutics and also inform on methods used to select siRNAs for therapeutic and research purposes.


Asunto(s)
Interferencia de ARN , ARN Interferente Pequeño/química , Animales , Línea Celular Tumoral , Citocinas/metabolismo , Cinética , Ratones , Ratones Endogámicos C57BL , ARN Pequeño no Traducido
8.
Cell Cycle ; 8(17): 2756-68, 2009 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-19652553

RESUMEN

The hypoxia-inducible factor (HIF) pathway is essential for cell survival under low oxygen and plays an important role in tumor cell homeostasis. We investigated the function of miR-210, the most prominent microRNA upregulated by hypoxia and a direct transcriptional target of HIFs. miR-210 expression was elevated in multiple cancer types and correlated with metastasis of breast and melanoma tumors. miR-210 overexpression in cancer cell lines bypassed hypoxia-induced cell cycle arrest and partially reversed the hypoxic gene expression signature. We identified MNT, a known MYC antagonist, as a miR-210 target. MNT mRNA contains multiple miR-210 binding sites in the 3' UTR and its knockdown phenocopied miR-210 overexpression. Furthermore, loss of MYC abolished miR-210-mediated override of hypoxia-induced cell cycle arrest. Comparison of miR-210 and MYC overexpression with MNT knockdown signatures also indicated that miR-210 triggered a "MYC-like" transcriptional response. Thus, miR-210 influences the hypoxia response in tumor cells through targeting a key transcriptional repressor of the MYC-MAX network.


Asunto(s)
Factores de Transcripción Básicos con Cremalleras de Leucinas y Motivos Hélice-Asa-Hélice/metabolismo , MicroARNs/metabolismo , Proteínas Proto-Oncogénicas c-myc/antagonistas & inhibidores , Proteínas Represoras/metabolismo , Factores de Transcripción Básicos con Cremalleras de Leucinas y Motivos Hélice-Asa-Hélice/genética , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/metabolismo , Sitios de Unión , Ciclo Celular , Hipoxia de la Célula , Línea Celular Tumoral , Análisis por Conglomerados , Técnicas de Silenciamiento del Gen , Humanos , Factor 1 Inducible por Hipoxia/metabolismo , Modelos Biológicos , Proteínas Proto-Oncogénicas c-myc/genética , Proteínas Proto-Oncogénicas c-myc/metabolismo , ARN Interferente Pequeño/metabolismo , Proteínas Represoras/genética , Regulación hacia Arriba
9.
RNA ; 15(2): 308-15, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19144911

RESUMEN

siRNAs mediate sequence-specific gene silencing in cultured mammalian cells but also silence unintended transcripts. Many siRNA off-target transcripts match the guide-strand "seed region," similar to the way microRNAs match their target sites. The extent to which this seed-matched, microRNA-like, off-target silencing affects the specificity of therapeutic siRNAs in vivo is currently unknown. Here, we compare microRNA-like off-target regulations in mouse liver in vivo with those seen in cell culture for a series of therapeutic candidate siRNAs targeting Apolipoprotein B (APOB). Each siRNA triggered regulation of consistent microRNA-like off-target transcripts in mouse livers and in cultured mouse liver tumor cells. In contrast, there was only random overlap between microRNA-like off-target transcripts from cultured human and mouse liver tumor cells. Therefore, siRNA therapeutics may trigger microRNA-like silencing of many unintended targets in vivo, and the potential toxicities caused by these off-target gene regulations cannot be accurately assessed in rodent models.


Asunto(s)
Regiones no Traducidas 3'/genética , Apolipoproteínas B/genética , Silenciador del Gen , MicroARNs/metabolismo , ARN Interferente Pequeño/metabolismo , Regiones no Traducidas 3'/metabolismo , Animales , Línea Celular Tumoral , Células Cultivadas , Perfilación de la Expresión Génica , Humanos , Ratones , MicroARNs/genética , ARN Interferente Pequeño/genética , Selección Genética , Especificidad de la Especie , Transcripción Genética
10.
Cancer Inform ; 6: 147-64, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19259408

RESUMEN

We identified gene expression signatures predicting responsiveness to a Kinesin-5 (KIF11) inhibitor (Kinesin-5i) in cultured colon tumor cell lines. Genes predicting resistance to Kinesin-5i were enriched for those from chromosome 20q, a region of frequent amplification in a number of tumor types. siRNAs targeting genes in this chromosomal region identified AURKA, TPX2 and MYBL2 as genes whose disruption enhances response to Kinesin-5i. Taken together, our results show functional interaction between these genes, and suggest that their overexpression is involved in resistance to Kinesin-5i. Furthermore, our results suggest that patients whose tumors overexpress AURKA due to amplification of 20q will more likely resist treatment with Kinesin-5 inhibitor, and that inactivation of AURKA may sensitize these patients to treatment.

11.
Mol Cell Biol ; 27(6): 2240-52, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17242205

RESUMEN

microRNAs (miRNAs) are abundant, approximately 21-nucleotide, noncoding regulatory RNAs. Each miRNA may regulate hundreds of mRNA targets, but the identities of these targets and the processes they regulate are poorly understood. Here we have explored the use of microarray profiling and functional screening to identify targets and biological processes triggered by the transfection of human cells with miRNAs. We demonstrate that a family of miRNAs sharing sequence identity with miRNA-16 (miR-16) negatively regulates cellular growth and cell cycle progression. miR-16-down-regulated transcripts were enriched with genes whose silencing by small interfering RNAs causes an accumulation of cells in G(0)/G(1). Simultaneous silencing of these genes was more effective at blocking cell cycle progression than disruption of the individual genes. Thus, miR-16 coordinately regulates targets that may act in concert to control cell cycle progression.


Asunto(s)
Ciclo Celular/genética , Ciclo Celular/fisiología , MicroARNs/clasificación , MicroARNs/genética , Familia de Multigenes/genética , Transcripción Genética , Línea Celular , Regulación hacia Abajo , Perfilación de la Expresión Génica , Humanos , Neoplasias/genética , Neoplasias/patología , Análisis de Secuencia por Matrices de Oligonucleótidos , Fenotipo
12.
Mol Cell Biol ; 26(24): 9377-86, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17000754

RESUMEN

RNA interference technology allows the systematic genetic analysis of the molecular alterations in cancer cells and how these alterations affect response to therapies. Here we used small interfering RNA (siRNA) screens to identify genes that enhance the cytotoxicity (enhancers) of established anticancer chemotherapeutics. Hits identified in drug enhancer screens of cisplatin, gemcitabine, and paclitaxel were largely unique to the drug being tested and could be linked to the drug's mechanism of action. Hits identified by screening of a genome-scale siRNA library for cisplatin enhancers in TP53-deficient HeLa cells were significantly enriched for genes with annotated functions in DNA damage repair as well as poorly characterized genes likely having novel functions in this process. We followed up on a subset of the hits from the cisplatin enhancer screen and validated a number of enhancers whose products interact with BRCA1 and/or BRCA2. TP53(+/-) matched-pair cell lines were used to determine if knockdown of BRCA1, BRCA2, or validated hits that associate with BRCA1 and BRCA2 selectively enhances cisplatin cytotoxicity in TP53-deficient cells. Silencing of BRCA1, BRCA2, or BRCA1/2-associated genes enhanced cisplatin cytotoxicity approximately 4- to 7-fold more in TP53-deficient cells than in matched TP53 wild-type cells. Thus, tumor cells having disruptions in BRCA1/2 network genes and TP53 together are more sensitive to cisplatin than cells with either disruption alone.


Asunto(s)
Antineoplásicos/toxicidad , Proteína BRCA1/antagonistas & inhibidores , Proteína BRCA2/antagonistas & inhibidores , Cisplatino/toxicidad , Neoplasias/tratamiento farmacológico , Neoplasias/patología , ARN Interferente Pequeño/fisiología , Proteína p53 Supresora de Tumor/deficiencia , Proteína BRCA1/metabolismo , Proteína BRCA2/metabolismo , Línea Celular Tumoral , Resistencia a Antineoplásicos/genética , Células HeLa , Humanos , Neoplasias/genética , Proteína p53 Supresora de Tumor/antagonistas & inhibidores , Proteína p53 Supresora de Tumor/biosíntesis
13.
Nat Biotechnol ; 21(6): 635-7, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12754523

RESUMEN

RNA interference is thought to require near-identity between the small interfering RNA (siRNA) and its cognate mRNA. Here, we used gene expression profiling to characterize the specificity of gene silencing by siRNAs in cultured human cells. Transcript profiles revealed siRNA-specific rather than target-specific signatures, including direct silencing of nontargeted genes containing as few as eleven contiguous nucleotides of identity to the siRNA. These results demonstrate that siRNAs may cross-react with targets of limited sequence similarity.


Asunto(s)
Perfilación de la Expresión Génica/métodos , Regulación de la Expresión Génica , Marcación de Gen/métodos , Interferencia de ARN , ARN Interferente Pequeño/genética , Secuencia de Bases , Secuencia Conservada , Silenciador del Gen , Células HeLa , Humanos , Datos de Secuencia Molecular , ARN Mensajero , Transformación Genética
14.
Virology ; 294(1): 13-21, 2002 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-11886261

RESUMEN

HIV-1 infected persons develop a robust CTL response to HIV antigens, yet HIV-1 is able to evade this host response and successfully replicate. The mechanism(s) of evasion is not completely defined but has been suggested to include resistance of infected cells to CTL-mediated apoptosis. The HIV-1 Vpr protein induces G2 arrest by indirectly inhibiting activation of cyclin B/p34cdc2 kinase. Granzyme B, the principle mediator of CTL-induced apoptosis, prematurely activates this same kinase complex. Therefore, we assessed the susceptibility of HIV-1 infected cells to CTL-mediated apoptosis to determine whether the expression of Vpr protected the infected cells from CTL-induced apoptosis. Antigen-specific CD8(+) CTL were able to induce apoptosis in HIV-1 infected cells and cells labeled with peptide corresponding to the CTL epitope with equivalent efficiency. This demonstrates that neither HIV-1 Vpr nor any other HIV protein directly inhibits CTL effector functions. Furthermore, we confirm that HIV-1 Nef is able to provide partial protection from CTL recognition of infected cells. Thus, the inability of CTL to control HIV-1 infection is likely not due to direct inhibition of CTL-mediated apoptosis.


Asunto(s)
Apoptosis , Productos del Gen vpr/metabolismo , VIH-1/fisiología , Linfocitos T Citotóxicos/inmunología , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/virología , Línea Celular , Productos del Gen vpr/genética , VIH-1/inmunología , Humanos , Células Jurkat , Productos del Gen vpr del Virus de la Inmunodeficiencia Humana
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