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1.
Int J Mol Sci ; 25(8)2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38673967

RESUMO

Breast cancer is one of the leading causes of death in the female population because of the resistance of cancer cells to many anticancer drugs used. Curcumin has cytotoxic activities against breast cancer cells, although it has limited use due to its poor bioavailability and rapid metabolic elimination. The synthesis of metal complexes of curcumin and curcuminoids is a relevant topic in the search for more active and selective derivatives of these molecular scaffolds. However, solubility and bioavailability are concomitant disadvantages of these types of molecules. To overcome such drawbacks, the preparation of inclusion complexes offers a chemical and pharmacologically safe option for improving the aqueous solubility of organic molecules. Herein, we describe the preparation of the inclusion complex of dimethoxycurcumin magnesium complex (DiMeOC-Mg, (4)) with beta-cyclodextrin (DiMeOC-Mg-BCD, (5)) in the stoichiometric relationship 1:1. This new inclusion complex's solubility in aqueous media phosphate buffer saline (PBS) was improved by a factor of 6x over the free metal complex (4). Furthermore, 5 affects cell metabolic rate, cell morphology, cell migration, induced apoptosis, and downregulation of the matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9), interleukin-6 (IL-6), and signal transducer and activator of transcription-3 (STAT3) expression levels on MD Anderson metastasis breast-231 cancer (MDA-MB-231) cell lines. Results of an antitumor assay in an in ovo model showed up to 30% inhibition of tumor growth for breast cancer (MDA-MB-231) when using (5) (0.650 mg/kg dose) and 17.29% inhibition with the free homoleptic metal complex (1.5 mg/kg dose, (4)). While the formulation of inclusion complexes from metal complexes of curcuminoids demonstrates its usefulness in improving the solubility and bioavailability of these metallodrugs, the new compound (5) exhibits excellent potential for use as a therapeutic agent in the battle against breast cancer.


Assuntos
Antineoplásicos , Curcumina , Curcumina/análogos & derivados , Magnésio , beta-Ciclodextrinas , beta-Ciclodextrinas/química , Curcumina/farmacologia , Curcumina/química , Curcumina/farmacocinética , Humanos , Animais , Antineoplásicos/farmacologia , Antineoplásicos/química , Magnésio/química , Apoptose/efeitos dos fármacos , Feminino , Linhagem Celular Tumoral , Fator de Transcrição STAT3/metabolismo , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/patologia , Neoplasias da Mama/metabolismo , Movimento Celular/efeitos dos fármacos , Solubilidade , Complexos de Coordenação/farmacologia , Complexos de Coordenação/química , Complexos de Coordenação/síntese química , Embrião de Galinha , Metaloproteinase 9 da Matriz/metabolismo
2.
Fitoterapia ; 169: 105593, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37355051

RESUMO

From the bioactive extract of the euphorbiaceous Croton niveus Jacq., three previously unreported ent-rosane diterpenes have been isolated and characterized by conventional methods, in addition to the known compounds lupeol, cajucarinolide and some phytosterols. Two of the ent-rosane diterpenes displayed activity against HCT-15 and PC-3 cancer cell lines, and the results of docking calculations of these compounds with NF-κB and STAT3 receptors agreed with the proposed mode of action of diterpenes against PC-3 cells.


Assuntos
Antineoplásicos , Croton , Diterpenos do Tipo Caurano , Diterpenos , Euphorbiaceae , Estrutura Molecular , Diterpenos/farmacologia , Antineoplásicos/farmacologia
3.
Fitoterapia ; 155: 105067, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34688822

RESUMO

Ten compounds, including a new anti-inflammatory acyl triterpene, 3ß-palmitoyloxy-1ß,11α-dihydroxy-olean-12-ene, were isolated from the bioactive organic extract prepared from the leaves of Sapium lateriflorum (syn: S. nitidum). The isolated compounds were screened for their cytotoxic activity against selected human cancer cell lines and did not display significant activity. They were also evaluated as anti-inflammatory agents in mouse models (TPA-induced edema in the ear and in a carrageenan-induced paw edema model). The results indicated that the new compound, 3ß-palmitoyloxy-1ß,11α-dihydroxy-olean-12-ene, was the compound with major anti-inflammatory activity similar to that of indomethacin, being the hydroxyl at C-11 important for the observed activity. The results of docking studies of the 3ß-palmitoyloxy esters of olean-12-ene with NF-κB and with COX-2 receptors were consistent with possible molecular mechanisms of the anti-inflammatory activity.


Assuntos
Anti-Inflamatórios/farmacologia , Edema/tratamento farmacológico , Ésteres/farmacologia , Sapium/química , Animais , Anti-Inflamatórios/isolamento & purificação , Linhagem Celular Tumoral , Edema/induzido quimicamente , Ésteres/isolamento & purificação , Humanos , México , Camundongos , Simulação de Acoplamento Molecular , Estrutura Molecular , Compostos Fitoquímicos/isolamento & purificação , Compostos Fitoquímicos/farmacologia , Folhas de Planta/química
4.
Bioorg Chem ; 100: 103919, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32417524

RESUMO

Chemical investigation of the aerial parts of Cnidoscolus spinosus resulted in the isolation of relatively infrequent hopane-type triterpenes, 3ß-acetoxy-hop-22(29)-ene (1), first reported here as natural product, together with 3-oxo-hop-22(29)-ene (2), and 3ß-hydroxy-hop-22(29)-ene (3). ß-Amyrin palmitate and three phytosterols were also characterized. The structures of the compounds were established using spectroscopic methods, and those of 1 and 2 were confirmed by crystallographic analysis. Selected biological activities for the isolated hopane-type triterpenes were tested through a series of assays for determining the cytotoxic, anti-inflammatory, α-glucosidase inhibition and antiparasitic activities. Compounds 1-3 did not show cytotoxic activity, compound 1 displayed an important inhibitory effect in the mouse ear induced inflammation assay, and significantly inhibited the yeast α-glucosidase activity in vitro and in silico. Additionally, compounds 2 and 3 showed marginal activities against Trypanosoma cruzi and Leishmania mexicana. Therefore, the bioactivities of hopane-type triterpenes deserve further investigation, particularly their anti-inflammatory properties.


Assuntos
Anti-Inflamatórios/química , Anti-Inflamatórios/farmacologia , Euphorbiaceae/química , Triterpenos/química , Triterpenos/farmacologia , Animais , Anti-Inflamatórios/isolamento & purificação , Antiparasitários/química , Antiparasitários/farmacologia , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Inibidores de Glicosídeo Hidrolases/química , Inibidores de Glicosídeo Hidrolases/farmacologia , Humanos , Masculino , Camundongos , Simulação de Acoplamento Molecular , Triterpenos/isolamento & purificação , Leveduras/enzimologia , alfa-Glucosidases/metabolismo
5.
J Ethnopharmacol ; 187: 269-80, 2016 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-27125592

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Moussonia deppeana, known as Tlachichinole, is a Mexican medicinal plant used for treatment of inflammatory diseases, influenza, diarrhea, gastrointestinal disorders and arthritis. AIM OF THE STUDY: In this paper the antioxidant and anti-inflammatory activities as well as the acute and sub-acute toxicological effects were evaluated for the ethanolic extract from aerial parts of M. deppeana, also its phytochemical analysis is described. MATERIALS AND METHODS: Phytochemical analysis and compound isolation were performed with thin layer chromatography. The chemical identification of the main compound was performed by (1)H NMR (COSY, NOESY, HSQC and HMBC) spectra. In vitro antioxidant capacity and total phenolic content for the ethanolic extract and its primary fractions was determined by DPPH and Folin-Ciocalteu reagent. Acute and subacute toxicity tests were evaluated on Balb/C mice. Finally acute anti-inflammatory evaluation was tested for a local (TPA) and systemic (carrageenan) murine model. RESULTS: The main compound isolated from the ethanolic extract of M. deppeana was Verbascoside, which was isolated from F3 and was identified by (1)H NMR and COSY data. Furthermore oleanolic and ursolic acids were isolated from primary fractions F1 and F2. Ethanolic extract showed IC50 = 6.71mg/mL for DPPH test and 664.12µg QE/mL for the total phenolic content. The LD50 value was >2g/kg by i.g. route in male and female mice. Sub-acute administration (28 days) of the ethanolic extract (1g/kg) did not cause lethality or alter any hematological and biochemical parameters, in addition, histological analysis of the major organs exhibited no structural changes. Anti-inflammatory activity of the ethanolic extract showed an ED50 = 1.5mg/ear and 450mg/kg for TPA and carrageenan test, respectively. Primary fractions generated moderate local and systemic anti-inflammatory activity. CONCLUSION: The ethanolic extract from the aerial parts of M. deppeana did not cause any lethality or adverse effect in either of the acute and sub-acute toxicity tests. This exhibited an important local and systemic anti-inflammatory activity and also moderate antioxidant capacity. Moreover, the primary fraction F2 was more active for the TPA model while the primary fraction F3 was most active in the carrageenan model in vivo. The main compound isolated from F3 was verbascoside; on the other hand also ursolic and oleanolic acids were isolated from F1 and F2.


Assuntos
Anti-Inflamatórios , Antioxidantes , Magnoliopsida , Extratos Vegetais , Animais , Anti-Inflamatórios/química , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/uso terapêutico , Anti-Inflamatórios/toxicidade , Antioxidantes/química , Antioxidantes/farmacologia , Antioxidantes/uso terapêutico , Antioxidantes/toxicidade , Compostos de Bifenilo/química , Carragenina , Edema/induzido quimicamente , Edema/tratamento farmacológico , Feminino , Glucosídeos/análise , Masculino , Medicina Tradicional , México , Camundongos Endogâmicos BALB C , Ácido Oleanólico/análise , Fenóis/análise , Ésteres de Forbol , Compostos Fitoquímicos/análise , Fitoterapia , Picratos/química , Componentes Aéreos da Planta , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Extratos Vegetais/toxicidade , Triterpenos/análise , Ácido Ursólico
6.
Fitoterapia ; 94: 155-63, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24565963

RESUMO

The guaianolide 8-epi-mikanokryptin (1) and the melampolide 11Hß-11,13-dihydromicrantholide (2) along with known sesquiterpene lactones (3-13) and other constituents were isolated from the aerial parts of different populations of Mikania micrantha and Mikania cordifolia collected in several states of Mexico. The relative and absolute configurations of 1 were determined by X-ray diffraction and CD analysis, respectively. Considering the (1)H and (13)C NMR chemical shift similarities and the H-H coupling constant values, a [(1)D(14), (15)D5] conformation was established for micrantholides (2, 8-13). We tested nearly all the sesquiterpene lactones for antiproliferative activity in human cancer cell lines, and they exhibited moderate activity. Additionally, in a mouse ear model of edema induced by TPA, the anti-inflammatory activities were marginal.


Assuntos
Anti-Inflamatórios/química , Lactonas/química , Mikania/química , Extratos Vegetais/química , Sesquiterpenos/química , Animais , Anti-Inflamatórios/isolamento & purificação , Anti-Inflamatórios/farmacologia , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Cristalografia por Raios X , Modelos Animais de Doenças , Edema , Humanos , Concentração Inibidora 50 , Lactonas/isolamento & purificação , Lactonas/farmacologia , Espectroscopia de Ressonância Magnética , Camundongos , Estrutura Molecular , Componentes Aéreos da Planta/química , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/farmacologia , Sesquiterpenos/isolamento & purificação , Sesquiterpenos/farmacologia , Sesquiterpenos de Guaiano/química , Sesquiterpenos de Guaiano/isolamento & purificação , Sesquiterpenos de Guaiano/farmacologia
7.
J AOAC Int ; 96(4): 712-6, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24000741

RESUMO

The genus Selaginella comprises several species, some of which grow on the American continent. Among these species, S. nothohybrida Valdespino, S. lepidophylla Hook et Grev, S. pallescens (Presl) Spring, and S. reflexa Underw. are found in several states of the Mexican Republic. The aforementioned three species are used medicinally, typically to treat renal disorders. This paper describes the development of an HPLC-UV method for the determination of amentoflavone (1), robustaflavone (2), and (2S)-2,3-dihydrorobustaflavone (3) as major components of the above-mentioned species of Selaginella. Components 1, 2, and 3 were quantitatively determined using an XBridge Waters C18 5 microm column, with a gradient system consisting of mixtures of acetonitrile and water with 0.4% acetic acid. The flow rate was 0.4 mL/min, with UV detection at 367 nm. LOD and LOQ values were in the range of 0.025 to 0.216 microg/mL. Compounds 1, 2, and 3 showed good linearity in the 1.2 to 18 microg/mL range; recovery was within 98.2 and 101.9% for all three cases. Compounds 1 and 2 were detected in all eight samples; their concentration ranged from 0.35 to 1.79 mg/g of plant. Thus, compounds 1 and 2 could be used as markers for S. nothohybrida, S. lepidophylla, S. pallescens, and S. reflexa. In addition, trehalose was detected in all samples as two peaks at 1.5 and 2.0 min. The HPLC method described here was shown to be reliable, reproducible, and accurate and can be used for QC of Selaginella medicinal materials.


Assuntos
Biflavonoides/análise , Cromatografia Líquida de Alta Pressão/métodos , Selaginellaceae/química , Reprodutibilidade dos Testes
8.
Electron. j. biotechnol ; 15(1): 4-4, Jan. 2012. ilus, tab
Artigo em Inglês | LILACS | ID: lil-640530

RESUMO

The inadequate treatments given to the served waste water which are disposal to the rivers and sea coast are the major sources of faecal Microorganisms and enteric bacterial pathogens. They are among the most serious effects of water pollution bringing risks on public health. None of the current methods for detection of pathogens offer real-time on site solutions, are capable of delivering a simple visual detection signal, or can be easily instrumented as an indicator of the presence of a pathogen in water. The use of lipid vesicles incorporating Polydiacetylenes (PDAs) for the development of biosensors for “real-time” detection of pathogens has become an alternative, due to its potential for simple colorimetric response against harmful environmental effectors. However, its actual application in the field has been complicated because lipid vesicles are unable to respond specifically to environmental changes. In this paper, we report several experimental trials leading to improved response in the detection of flagellated pathogens in drinking water. Chromatic biomimetic membranes of TRCDA/DMPC and TRCDA/DMPC/Tryptophan were used in agar and liquid media, which were challenged with different amounts of Escherichia coli and Salmonella typhimurium. In addition, the effect of some divalent cations on the interaction with vesicles TRCDA/DMPC was investigated. The results indicated an improvement in the response times, both visually and quantitatively, through the use of TRIS-EDTA and proper growing conditions for E. coli and Salmonella. With the application of both conditions, it was possible by incubation at 35ºC to promote bacterial growth, therefore avoiding a dramatic effect on the colour change over control samples which may invalidate the test. Our experiments indicated that the minimum bacterial concentration necessary to produce the transition from blue to red on the vesicles as biosensor approaches 10(8) CFU/ml within 4 hrs...


Assuntos
Água Potável/microbiologia , Técnicas Biossensoriais , Bactérias/isolamento & purificação , Membranas Artificiais , Polímero Poliacetilênico/química , Polímeros/química , Colorimetria , Microbiologia da Água
9.
Magn Reson Chem ; 49(8): 469-76, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21761449

RESUMO

The presence of dimeric phthalides and other constituents in extracts of the vegetal species Ligusticum porteri was established by NMR spectroscopy. In comparative qualitative (1)H NMR analyses of acetone extracts of rhizomes from fresh and dried L. porteri samples, we found that the dimeric phthalides tokinolide B (3), diligustilide (4) and riligustilide (5) were naturally produced by the plant and not post-harvest products. We also obtained DOSY (1)H NMR data that provided both virtual separation and structural information for the phthalides present in a dry acetone extract of L. porteri. In addition, we developed a protocol for the quantification of dimeric phthalides, which is performed by calculating the relative ratio of the peak area of selected proton signals for some compounds with respect to the known signal of the internal standard, 4-dimethylaminopyridine. The protocol allows the rapid and direct quantification of dimeric phthalides and others constituents in fresh L. porteri rhizomes.


Assuntos
Benzofuranos/isolamento & purificação , Ligusticum/química , Extratos Vegetais/química , Prótons , 4-Aminopiridina/análogos & derivados , Acetona , Espectroscopia de Ressonância Magnética/métodos , Estrutura Molecular , Padrões de Referência , Rizoma/química , Solventes
10.
Carbohydr Res ; 345(10): 1461-8, 2010 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-20303073

RESUMO

The interaction of a synthetically prepared mutant peptide of hevein (a well known chitin-binding lectin) Hev32S19D with chitin oligosaccharides (and chitosan analogues) has allowed us to estimate their affinity constants and associated thermodynamic data. The mutant peptide is able to bind chitin oligomers, but with significant decreases in the association constants with chito-oligosaccharides. The determination of the three-dimensional structure of the peptide mutant, by using NMR, has permitted us to deduce that the topology of the backbone is very similar to that of the parent Hev32 peptide. The same is true regarding the orientations of the key aromatic residues Trp21, Trp23, and Tyr30. The decrease in the association constants can be attributed to the different topological orientation of key side chains and to the importance of protein-sugar intermolecular essential hydrogen bonds and CH-pi stacking interactions. The analysis has permitted us to infer the free energy of binding associated with these interactions as well as to estimate the corresponding binding enthalpy.


Assuntos
Substituição de Aminoácidos , Peptídeos Catiônicos Antimicrobianos/química , Quitina/química , Modelos Moleculares , Oligossacarídeos/metabolismo , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/metabolismo , Lectinas de Plantas/química , Sequência de Aminoácidos , Ácido Aspártico , Ligantes , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Mutação , Oligossacarídeos/química , Fragmentos de Peptídeos/genética , Ligação Proteica , Estrutura Terciária de Proteína , Serina , Relação Estrutura-Atividade , Termodinâmica
11.
J Agric Food Chem ; 56(16): 6994-7000, 2008 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-18646760

RESUMO

Through bioactivity-guided chemical analysis of Selaginella lepidophylla, biflavonoids robustaflavone (1), 2,3-dihydrorobustaflavone (2), and 2,3-dihydrorobustaflavone-5-methyl ether (3) were isolated and their structures confirmed by spectroscopic and spectrometric analyses. Their NMR resonances were unambiguously assigned from HMBC, NOESY, and NOESY-1D experiments, and absolute configurations of 2 and 3 were established. Compound 3 has not been reported, and although structure of 2 was described before, the (13)C NMR assignment does not correlate with the structure reported. Therefore, this is the first report of 2. All compounds inhibited ATP production. Compounds 1 and 2 behaved as Hill reaction inhibitors. 1 interacted with photosystem II, transforming the reaction centers to silent centers at 300 and 600 microM. The interaction and inhibition target of 2 was located on Cyt b6f to PC. The three compounds also behaved as energy transfer inhibitors, 3 being the most active.


Assuntos
Biflavonoides/isolamento & purificação , Biflavonoides/farmacologia , Cloroplastos/metabolismo , Fotossíntese/efeitos dos fármacos , Selaginellaceae/química , Spinacia oleracea/ultraestrutura , Biflavonoides/química , ATPase de Ca(2+) e Mg(2+)/antagonistas & inibidores , Cloroplastos/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Espectroscopia de Ressonância Magnética , Complexo de Proteína do Fotossistema II/efeitos dos fármacos
12.
J Agric Food Chem ; 55(9): 3477-90, 2007 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-17407317

RESUMO

Chemical modification of eucalypt lignin was investigated during kraft pulping and chlorine-free bleaching by comparing milled wood lignin, kraft lignin, and pulp enzymatic residual lignins. The syringyl-to-guaiacyl ratio (S/G) from analytical pyrolysis slightly changed during pulping and bleaching (S/G, 3-4) but was higher in the kraft lignin. Semiquantitative heteronuclear single quantum correlation (HSQC) nuclear magnetic resonance (NMR) showed that the relative amount of beta-O-4' (around 80% side chains) and resinol type substructures (15%) was slightly modified during pulping and oxygen delignification. However, a decrease of resinol substructures (to only 6%) was found after alkaline peroxide bleaching. The relative amount of surviving linkages in the highly phenolic kraft lignin was dramatically modified; resinols were predominant. Oxygen delignification did not change interunit linkages, but a relative increase of oxidized units was found in the HSQC aromatic region, in agreement with the small increase of pyrolysis markers with oxidized side chains. NMR heteronuclear multiple bond correlations showed that the oxidized units after oxygen delignification bore conjugated ketone groups.


Assuntos
Eucalyptus/química , Lignina/química , Madeira/química , Fenômenos Químicos , Físico-Química , Cromatografia Gasosa-Espectrometria de Massas , Temperatura Alta , Peróxido de Hidrogênio/química , Espectroscopia de Ressonância Magnética , Oxigênio/química , Espectroscopia de Infravermelho com Transformada de Fourier
13.
J Agric Food Chem ; 54(23): 8744-8, 2006 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-17090116

RESUMO

A series of phenylphenalenone type compounds, known to play a role as phytoalexins in plants of the Musaceae family, have been identified for the first time in the leaf fibers of abaca (Musa textilis). Among the phenylphenalenone type compounds identified, the structure of a novel compound, (1R)-2,3-dihydro-4,9-dihydroxy-8-methoxy-1-phenylphenalene, has also been described in abaca fibers. Its structure was elucidated by analysis of one- and two-dimensional NMR (correlation spectroscopy, heteronuclear single quantum correlation, and heteronuclear multiple bond correlation) spectroscopic data.


Assuntos
Musa/química , Fenalenos/isolamento & purificação , Cromatografia Gasosa-Espectrometria de Massas , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular , Fenalenos/química , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Folhas de Planta/química
14.
Dermatol. peru ; 14(3): 180-183, sept.-dic. 2004. ilus, graf
Artigo em Espanhol | LILACS, LIPECS | ID: lil-475446

RESUMO

OBJETIVO: Demostrar la asociación de la infección cutánea por citomegalovirus en pacientes con vitíligo generalizado de inicio reciente. MATERIAL Y METODOS: Estudio de casos y controles realizado de marzo a diciembre del 2003. Se conformaron dos grupos para la investigación: un grupo de 30 pacientes con diagnóstico de vitíligo generalizado de inicio reciente y otro grupo control conformado por 30 sujetos sanos. De todos los pacientes se obtuvo muestras de piel a las que se realizó Reacción en Cadena de la Polimerasa para genoma de citomegalovirus y exámenes histopatológicos con tinciones hematoxilina-eosina. RESULTADOS: Se encontró que 23 pacientes con vitíligo (76.6 por ciento) fueron positivos para genoma de citomegalovirus en Reacción de Cadena de Polimerasa, mientras que sólo siete controles (23.3 por ciento) resultaron positivos. Se encontró diferencia estadística significativa para infección por citomegalovirus en los pacientes con vitíligo versus los controles con un OR = 10,7 (95 por ciento: IC 3,47 - 33,1) (p<0,001). El examen histopatológico para citomegalovirus fue negativo en el grupo de pacientes con vitíligo reciente y los controles. CONCLUSIONES: Existe asociación entre infeccion cutánea por citomegalovirus y vitíligo de inicio reciente en un grupo selecto de pacientes.


Assuntos
Humanos , Masculino , Feminino , Vitiligo , Citomegalovirus , Infecções por Citomegalovirus , Reação em Cadeia da Polimerase , Estudos de Casos e Controles
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