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1.
Nucleus ; 5(5): 427-40, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25482195

RESUMEN

Interconnected functional strategies govern chromatin dynamics in eukaryotic cells. In this context, A and B type lamins, the nuclear intermediate filaments, act on diverse platforms involved in tissue homeostasis. On the nuclear side, lamins elicit large scale or fine chromatin conformational changes, affect DNA damage response factors and transcription factor shuttling. On the cytoplasmic side, bridging-molecules, the LINC complex, associate with lamins to coordinate chromatin dynamics with cytoskeleton and extra-cellular signals.   Consistent with such a fine tuning, lamin mutations and/or defects in their expression or post-translational processing, as well as mutations in lamin partner genes, cause a heterogeneous group of diseases known as laminopathies. They include muscular dystrophies, cardiomyopathy, lipodystrophies, neuropathies, and progeroid syndromes. The study of chromatin dynamics under pathological conditions, which is summarized in this review, is shedding light on the complex and fascinating role of the nuclear lamina in chromatin regulation.


Asunto(s)
Cromatina/genética , Citoesqueleto/genética , Lamina Tipo A/genética , Lamina Tipo B/genética , Acroosteólisis/genética , Acroosteólisis/patología , Estructuras Cromosómicas/genética , Humanos , Lipodistrofia/genética , Lipodistrofia/patología , Lipodistrofia Parcial Familiar/genética , Lipodistrofia Parcial Familiar/patología , Mandíbula/anomalías , Mandíbula/patología , Distrofia Muscular de Emery-Dreifuss/genética , Distrofia Muscular de Emery-Dreifuss/patología , Mutación , Membrana Nuclear/genética , Progeria/genética , Progeria/patología
2.
Viruses ; 5(9): 2210-34, 2013 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-24064794

RESUMEN

The Herpesvirdae family comprises several major human pathogens belonging to three distinct subfamilies. Their double stranded DNA genome is replicated in the nuclei of infected cells by a number of host and viral products. Among the latter the viral replication complex, whose activity is strictly required for viral replication, is composed of six different polypeptides, including a two-subunit DNA polymerase holoenzyme, a trimeric primase/helicase complex and a single stranded DNA binding protein. The study of herpesviral DNA replication machinery is extremely important, both because it provides an excellent model to understand processes related to eukaryotic DNA replication and it has important implications for the development of highly needed antiviral agents. Even though all known herpesviruses utilize very similar mechanisms for amplification of their genomes, the nuclear import of the replication complex components appears to be a heterogeneous and highly regulated process to ensure the correct spatiotemporal localization of each protein. The nuclear transport process of these enzymes is controlled by three mechanisms, typifying the main processes through which protein nuclear import is generally regulated in eukaryotic cells. These include cargo post-translational modification-based recognition by the intracellular transporters, piggy-back events allowing coordinated nuclear import of multimeric holoenzymes, and chaperone-assisted nuclear import of specific subunits. In this review we summarize these mechanisms and discuss potential implications for the development of antiviral compounds aimed at inhibiting the Herpesvirus life cycle by targeting nuclear import of the Herpesvirus DNA replicating enzymes.


Asunto(s)
Núcleo Celular/virología , Replicación del ADN , Infecciones por Herpesviridae/virología , Herpesviridae/genética , Proteínas Virales/metabolismo , Animales , Núcleo Celular/metabolismo , Herpesviridae/enzimología , Herpesviridae/fisiología , Infecciones por Herpesviridae/metabolismo , Humanos , Proteínas Virales/genética , Replicación Viral
3.
Aging (Albany NY) ; 5(6): 445-59, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23804595

RESUMEN

The clinical course of a female patient affected by a progeroid syndrome with Restrictive Dermopathy (RD)-like features was followed up. Besides missing hairiness, stagnating weight and growth, RD-like features including progressive skin swelling and solidification, acrocontractures, osteolysis and muscular hypotension were observed until the patient died at the age of 11 months. A homozygousLMNA mutation c.1303C>T (p.R435C) was found by Sanger sequencing. Haplotyping revealed a partial uniparental disomy of chromosome 1 (1q21.3 to 1q23.1) including the LMNA gene. In contrast to reported RD patients with LMNA mutations, LMNA p.R435C is not located at the cleavage site necessary for processing of prelamin A by ZMPSTE24 and leads to a distinct phenotype combining clinical features of Restrictive Dermopathy, Mandibuloacral Dysplasia and Hutchinson-Gilford Progeria. Functionally, LMNA p.R435C is associated with increasing DNA double strand breaks and decreased recruitment of P53 binding protein 1 (53BP1) to DNA-damage sites indicating delayed DNA repair. The follow-up of the complete clinical course in the patient combined with functional studies showed for the first time that a progressive loss of lamin A rather than abnormal accumulation of prelamin A species could be a pathophysiological mechanism in progeroid laminopathies, which leads to DNA repair deficiency accompanied by advancing tissue degeneration.


Asunto(s)
Síndrome de Cockayne/genética , Síndrome de Cockayne/patología , Lamina Tipo A/metabolismo , Anomalías Cutáneas/genética , Anomalías Cutáneas/patología , Reparación del ADN , Resultado Fatal , Femenino , Humanos , Lactante , Lamina Tipo A/genética , Mutación , Linaje
4.
Histochem Cell Biol ; 138(4): 643-51, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22706480

RESUMEN

Mandibuloacral dysplasia type A (MADA) is a rare laminopathy characterized by growth retardation, craniofacial anomalies, bone resorption at specific sites including clavicles, phalanges and mandibula, mottled cutaneous pigmentation, skin rigidity, partial lipodystrophy, and insulin resistance. The disorder is caused by recessive mutations of the LMNA gene encoding for A-type lamins. The molecular feature of MADA consists in the accumulation of the unprocessed lamin A precursor, which is detected at the nuclear rim and in intranuclear aggregates. Here, we report the characterization of prelamin A post-translational modifications in MADA cells that induce alterations in the chromatin arrangement and dislocation of nuclear envelope-associated proteins involved in correct nucleo-cytoskeleton relationships. We show that protein post-translational modifications change depending on the passage number, suggesting the onset of a feedback mechanism. Moreover, we show that treatment of MADA cells with the farnesyltransferase inhibitors is effective in the recovery of the chromatin phenotype, altered in MADA, provided that the cells are at low passage number, while at high passage number, the treatment results ineffective. Moreover, the distribution of the lamin A interaction partner SUN2, a constituent of the nuclear envelope, is altered by MADA mutations, as argued by the formation of a highly disorganized lattice. Treatment with statins partially rescues proper SUN2 organization, indicating that its alteration is caused by farnesylated prelamin A accumulation. Given the major role of SUN1 and SUN2 in the nucleo-cytoskeleton interactions and in regulation of nuclear positioning in differentiating cells, we hypothesise that mechanisms regulating nuclear membrane-centrosome interplay and nuclear movement may be affected in MADA fibroblasts.


Asunto(s)
Acroosteólisis/tratamiento farmacológico , Acroosteólisis/fisiopatología , Ensamble y Desensamble de Cromatina/efectos de los fármacos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/farmacología , Péptidos y Proteínas de Señalización Intracelular/genética , Lipodistrofia/tratamiento farmacológico , Lipodistrofia/fisiopatología , Lovastatina/farmacología , Proteínas de la Membrana/genética , Western Blotting , Células Cultivadas , Ensamble y Desensamble de Cromatina/genética , Fibroblastos/efectos de los fármacos , Técnica del Anticuerpo Fluorescente , Humanos , Péptidos y Proteínas de Señalización Intracelular/química , Péptidos y Proteínas de Señalización Intracelular/metabolismo , Lamina Tipo A , Mandíbula/anomalías , Mandíbula/fisiopatología , Proteínas de la Membrana/química , Proteínas de la Membrana/metabolismo , Membrana Nuclear/metabolismo , Proteínas Nucleares/química , Proteínas Nucleares/genética , Precursores de Proteínas/química , Precursores de Proteínas/genética , Procesamiento Proteico-Postraduccional , Piel/citología
6.
J Virol ; 83(18): 9567-76, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19570866

RESUMEN

Phosphoprotein ppUL44 of the human cytomegalovirus (HCMV) DNA polymerase plays an essential role in viral replication, conferring processivity to the DNA polymerase catalytic subunit pUL54 by tethering it to the DNA. Here, for the first time, we examine in living cells the function of the highly flexible loop of ppUL44 (UL44-FL; residues 162 to 174 [PHTRVKRNVKKAP(174)]), which has been proposed to be directly involved in ppUL44's interaction with DNA. In particular, we use a variety of approaches in transfected cells to characterize in detail the behavior of ppUL44Deltaloop, a mutant derivative in which three of the five basic residues within UL44-FL are replaced by nonbasic amino acids. Our results indicate that ppUL44Deltaloop is functional in dimerization and binding to pUL54 but strongly impaired in binding nuclear structures within the nucleus, as shown by its inability to form nuclear speckles, reduced nuclear accumulation, and increased intranuclear mobility compared to wild-type ppUL44. Moreover, analysis of cellular fractions after detergent and DNase treatment indicates that ppUL44Deltaloop is strongly reduced in DNA-binding ability, in similar fashion to ppUL44-L86A/L87A, a point mutant derivative impaired in dimerization. Finally, ppUL44Deltaloop fails to transcomplement HCMV oriLyt-dependent DNA replication in cells and also inhibits replication in the presence of wild-type ppUL44, possibly via formation of heterodimers defective for double-stranded DNA binding. UL44-FL thus emerges for the first time as an important determinant for HCMV replication in cells, with potential implications for the development of novel antiviral approaches by targeting HCMV replication.


Asunto(s)
Replicación del ADN , Proteínas de Unión al ADN/metabolismo , ADN Polimerasa Dirigida por ADN/metabolismo , ADN/metabolismo , Proteínas Virales/metabolismo , Sitios de Unión , Línea Celular , Citomegalovirus/enzimología , Proteínas de Unión al ADN/química , ADN Polimerasa Dirigida por ADN/química , Humanos , Fosfoproteínas , Conformación Proteica , Proteínas Virales/química
7.
Biol Cell ; 101(9): 541-54, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19323649

RESUMEN

BACKGROUND INFORMATION: Emerin is a nuclear envelope protein that contributes to nuclear architecture, chromatin structure, and gene expression through its interaction with various nuclear proteins. In particular, emerin is molecularly connected with the nuclear lamina, a protein meshwork composed of lamins and lamin-binding proteins underlying the inner nuclear membrane. Among nuclear lamina components, lamin A is a major emerin partner. Lamin A, encoded by the LMNA gene (lamin A/C gene), is produced as a precursor protein (prelamin A) that is post-transcriptionally modified at its C-terminal region where the CaaX motif triggers a sequence of modifications, including farnesylation, carboxymethylation, and proteolytic cleavage by ZMPSTE 24 (zinc metalloproteinase Ste24) metalloproteinase. Impairment of the lamin A maturation pathway causing lamin A precursor accumulation is linked to the development of rare diseases such as familial partial lipodystrophy, MADA (mandibuloacral dysplasia), the Werner syndrome, Hutchinson-Gilford progeria syndrome and RD (restrictive dermopathy). RESULTS: In the present study, we show that emerin and different prelamin A forms influence each other's localization. We show that the accumulation of non-farnesylated as well as farnesylated carboxymethylated lamin A precursors in human fibroblasts modifies emerin localization. On the contrary, emerin absence at the inner nuclear membrane leads to unprocessed (non-farnesylated) prelamin A aberrant localization only. Moreover, we observe that the restoration of emerin expression in emerin-null cells induces the recovery of non-farnesylated prelamin A localization. CONCLUSION: These results indicate that emerin-prelamin A interplay influences nuclear organization. This finding may be relevant to the understanding of laminopathies.


Asunto(s)
Fibroblastos/metabolismo , Proteínas de la Membrana/metabolismo , Proteínas Nucleares/metabolismo , Precursores de Proteínas/metabolismo , Línea Celular , Células Cultivadas , Humanos , Lamina Tipo A , Proteínas de la Membrana/genética , Proteínas Nucleares/genética , Unión Proteica , Precursores de Proteínas/genética , Procesamiento Proteico-Postraduccional , Transporte de Proteínas
8.
Biochemistry ; 47(52): 13764-77, 2008 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-19053255

RESUMEN

The polymerase accessory protein of the human herpes simplex virus type 1 (HSV-1) DNA polymerase UL42 plays an essential role in viral replication, conferring processivity to the catalytic subunit UL30. We show here that UL42 is imported to the nucleus of living cells in a Ran- and energy-dependent fashion, through a process that requires a C-terminally located bipartite nuclear localization signal (UL42-NLSbip; PTTKRGRSGGEDARADALKKPK(413)). Moreover cytoplasmic mutant derivatives of UL42 lacking UL42-NLSbip are partially relocalized into the cell nucleus upon HSV-1 infection or coexpression with UL30, implying that the HSV-1 DNA polymerase holoenzyme can assemble in the cytoplasm before nuclear translocation occurs, thus explaining why the UL42 C-terminal domain is not strictly required for viral replication in cultured cells. However, mutation of both UL30 and UL42 NLS results in retention of the DNA polymerase holoenzyme in the cytoplasm, suggesting that simultaneous inhibition of both NLSs could represent a viable strategy to hinder HSV-1 replication. Intriguingly, UL42-NLSbip is composed of two stretches of basic amino acids matching the consensus for classical monopartite NLSs (NLSA, PTTKRGR(397); NLSB, KKPK(413)), neither of which are capable of targeting GFP to the nucleus on their own, consistent with the hypothesis that P and G residues in position +3 of monopartite NLSs are not compatible with nuclear transport in the absence of additional basic sequences located in close proximity. Our results showing that substitution of G or P of the NLS with an A residue partially confers NLS function will help to redefine the consensus for monopartite NLSs.


Asunto(s)
Transporte Activo de Núcleo Celular , ADN Polimerasa Dirigida por ADN/metabolismo , Exodesoxirribonucleasas/metabolismo , Herpesvirus Humano 1/enzimología , Señales de Localización Nuclear , Proteínas Virales/metabolismo , Secuencia de Aminoácidos , Secuencia de Consenso , ADN Polimerasa Dirigida por ADN/genética , Exodesoxirribonucleasas/genética , Humanos , Mutación , Proteínas Virales/genética , Replicación Viral
9.
Exp Cell Res ; 314(20): 3628-37, 2008 Dec 10.
Artículo en Inglés | MEDLINE | ID: mdl-18951892

RESUMEN

Lamin A is a nuclear lamina constituent implicated in a number of human disorders including Emery-Dreifuss muscular dystrophy. Since increasing evidence suggests a role of the lamin A precursor in nuclear functions, we investigated the processing of prelamin A during differentiation of C2C12 mouse myoblasts. We show that both protein levels and cellular localization of prelamin A are modulated during myoblast activation. Similar changes of lamin A-binding proteins emerin and LAP2alpha were observed. Furthermore, prelamin A was found in a complex with LAP2alpha in differentiating myoblasts. Prelamin A accumulation in cycling myoblasts by expressing unprocessable mutants affected LAP2alpha and PCNA amount and increased caveolin 3 mRNA and protein levels, while accumulation of prelamin A in differentiated muscle cells following treatment with a farnesyl transferase inhibitor appeared to inhibit caveolin 3 expression. Our data provide evidence for a critical role of the lamin A precursor in the early steps of muscle cell differentiation.


Asunto(s)
Diferenciación Celular/genética , Desarrollo de Músculos/genética , Proteínas Nucleares/fisiología , Precursores de Proteínas/fisiología , Animales , Caveolina 3/genética , Caveolina 3/metabolismo , Células Cultivadas , Proteínas de Unión al ADN/metabolismo , Regulación del Desarrollo de la Expresión Génica , Humanos , Lamina Tipo A , Proteínas de la Membrana/metabolismo , Ratones , Músculo Esquelético/metabolismo , Músculo Esquelético/fisiología , Mioblastos/metabolismo , Mioblastos/fisiología , Proteínas Nucleares/metabolismo , Unión Proteica , Precursores de Proteínas/metabolismo , Procesamiento Proteico-Postraduccional/fisiología , Factores de Tiempo
10.
J Gen Virol ; 89(Pt 3): 731-740, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18272765

RESUMEN

A fundamental step in the efficient production of human cytomegalovirus (HCMV) progeny is viral egress from the nucleus to the cytoplasm of infected cells. In the family Herpesviridae, this process involves alteration of nuclear lamina components by two highly conserved proteins, whose homologues in HCMV are named pUL50 and pUL53. This study showed that HCMV infection induced the mislocalization of nuclear lamins and that pUL50 and pUL53 play a role in this event. At late stages of infection, both lamin A/C and lamin B showed an irregular distribution on the nuclear rim, coincident with areas of pUL53 accumulation. No variations in the total amount of nuclear lamins could be detected, supporting the view that HCMV induces a qualitative, rather than a quantitative, alteration of these cellular components, as has been suggested previously for other herpesviruses. Interestingly, pUL53, in the absence of other viral products, localized diffusely in the nucleus, whilst the co-expression and interaction of pUL53 with its partner, pUL50, restored its nuclear rim localization in distinct patches, thus indicating that pUL50 is sufficient to induce the localization of pUL53 observed during virus infection. Importantly, analysis of the nuclear lamina in the presence of pUL50-pUL53 complexes at the nuclear boundary and in the absence of other viral products showed that the two viral proteins were sufficient to promote alterations of lamins, strongly resembling those observed during HCMV infection. These results suggest that pUL50 and pUL53 may play an important role in the exit of virions from the nucleus by inducing structural modifications of the nuclear lamina.


Asunto(s)
Citomegalovirus/patogenicidad , Lámina Nuclear/metabolismo , Lámina Nuclear/virología , Proteínas Virales/metabolismo , Animales , Células COS/virología , Núcleo Celular/metabolismo , Núcleo Celular/virología , Chlorocebus aethiops , Citomegalovirus/metabolismo , Fibroblastos/virología , Humanos , Inmunoprecipitación , Laminas/metabolismo , Pulmón/citología , Virión/metabolismo
12.
J Cell Biochem ; 102(5): 1149-59, 2007 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-17654502

RESUMEN

Pre-lamin A undergoes subsequent steps of post-translational modification at its C-terminus, including farnesylation, methylation, and cleavage by ZMPSTE24 metalloprotease. Here, we show that accumulation of different intermediates of pre-lamin A processing in nuclei, induced by expression of mutated pre-lamin A, differentially affected chromatin organization in human fibroblasts. Unprocessed (non-farnesylated) pre-lamin A accumulated in intranuclear foci, caused the redistribution of LAP2alpha and of the heterochromatin markers HP1alpha and trimethyl-K9-histone 3, and triggered heterochromatin localization in the nuclear interior. In contrast, the farnesylated and carboxymethylated lamin A precursor accumulated at the nuclear periphery and caused loss of heterochromatin markers and Lap2alpha in enlarged nuclei. Interestingly, pre-lamin A bound both HP1alpha and LAP2alpha in vivo, but the farnesylated form showed reduced affinity for HP1alpha. Our data show a link between pre-lamin A processing and heterochromatin remodeling and have major implications for understanding molecular mechanisms of human diseases linked to mutations in lamins.


Asunto(s)
Heterocromatina/metabolismo , Proteínas Nucleares/metabolismo , Precursores de Proteínas/metabolismo , Procesamiento Proteico-Postraduccional , Biopsia con Aguja , Núcleo Celular/metabolismo , Células Cultivadas , Homólogo de la Proteína Chromobox 5 , Proteínas Cromosómicas no Histona/metabolismo , Proteínas Cromosómicas no Histona/ultraestructura , Proteínas de Unión al ADN/metabolismo , Proteínas de Unión al ADN/ultraestructura , Procedimientos Quirúrgicos Dermatologicos , Fibroblastos/metabolismo , Fibroblastos/ultraestructura , Técnica del Anticuerpo Fluorescente Indirecta , Heterocromatina/genética , Heterocromatina/ultraestructura , Humanos , Lamina Tipo A , Proteínas de la Membrana/metabolismo , Proteínas de la Membrana/ultraestructura , Mutación , Proteínas Nucleares/genética , Proteínas Nucleares/ultraestructura , Pruebas de Precipitina , Precursores de Proteínas/genética , Precursores de Proteínas/ultraestructura , Piel/citología , Transfección
14.
Transfusion ; 46(10): 1754-62, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17002632

RESUMEN

BACKGROUND: The beta-herpesvirus human cytomegalovirus (HCMV) infects a variety of cell types and maintains a lifelong relationship with its host by way of a latent infection in circulating monocytes, myeloid precursor cells, and the hematopoietic progenitor population. Viral strain heterogeneity, shown by gene polymorphisms, has been implicated in the majority of HCMV biologic behaviors. HCMV UL73 encodes the polymorphic envelope glycoprotein N (gN), which shows seven genotypes (gN-1, gN-2, gN-3a, gN-3b, gN-4a, gN-4b, and gN-4c). STUDY DESIGN AND METHODS: Monocyte subfractions from 64 HCMV-seropositive healthy blood donors were collected to analyze gN genotypes distribution in the few cells harboring the latent viral genome. Different experimental approaches to extract viral genomes from the monocyte population and amplify UL73 (polymerase chain reaction touchdown and nested) for subsequent genotyping were tested and compared with diagnostic gold standard. gN genotype distribution in monocytes from immunocompetent healthy carriers was compared with previously reported data obtained from patient populations with acute HCMV infections. RESULTS: The efficiency of UL73 amplification from monocytes of healthy seropositive blood donors was approximately 39 percent, one of the highest reported to date. The leading gN genotype was gN-1 (87%), whereas the gN-4 variant was poorly represented (13%). The comparison of gN genotypic frequencies in the immunocompetent healthy population with immunocompromised patients is discussed. CONCLUSIONS: This work further supports the idea that strain-specific features could determine the cell tropism and influence the onset of latency.


Asunto(s)
Donantes de Sangre , Infecciones por Citomegalovirus/genética , Citomegalovirus/genética , Polimorfismo Genético , Latencia del Virus/genética , Adulto , Infecciones por Citomegalovirus/sangre , Femenino , Genotipo , Humanos , Huésped Inmunocomprometido , Masculino , Persona de Mediana Edad , Monocitos/virología , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa/normas , Estándares de Referencia , Especificidad de la Especie , Proteínas del Envoltorio Viral
15.
Microbes Infect ; 7(5-6): 890-6, 2005 May.
Artículo en Inglés | MEDLINE | ID: mdl-15878684

RESUMEN

Human cytomegalovirus (HCMV) ORF UL73 encodes the envelope glycoprotein gpUL73-gN, which shows seven genotypes (gN-1, gN-2, gN-3a, gN-3b, gN-4a, gN-4b, gN-4c). The goal of this study was to determine retrospectively the distribution of gN variants in solid organ transplant recipients with HCMV infection and to establish an association with parameters important for monitoring post-transplantation clinical course during a follow-up of up to 2 years. Peripheral blood leukocytes from 40 solid organ transplant recipients were analysed for pp65-antigen by immunofluorescence and gN genotyped by sequencing or RFLP analysis. A correlation between gN genotypes and antigenemia peak was found, showing a highly significant difference between gN-1 and gN-4b variants (P<0.005). In particular, gN-1 seems to be associated with patients developing low level antigenemia (<50 pp65-positive cells/2 x 10(5) PBLs; PPV = 90%), whereas gN-4b predicts significantly higher values (>50 pp65-positive cells/2 x 10(5) PBLs; PPV = 80%). Furthermore, the onset of positive antigenemia is significantly earlier in patients infected with a gN-4b strain, compared with those infected by a gN-1 variant. Reported data further support a role for gN genotypes in HCMV pathogenesis. gN-1 and gN-4b show a significantly different virulence and could serve as early predictors for the progression of HCMV infection in transplant patients.


Asunto(s)
Antígenos Virales/sangre , Infecciones por Citomegalovirus/diagnóstico , Infecciones por Citomegalovirus/etiología , Trasplante de Órganos/efectos adversos , Proteínas del Envoltorio Viral/sangre , Proteínas del Envoltorio Viral/genética , Adulto , Anciano , Femenino , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Pronóstico
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