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1.
Yale J Biol Med ; 90(1): 35-43, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28356892

RESUMO

Identifying and characterizing natural products and synthetic small molecules that inhibit biochemical processes such as ribosomal translation can lead to novel sources of molecular probes and therapeutics. The search for new antibiotics has been invigorated by the increasing burden of drug-resistant bacteria and has identified many clinically essential prokaryote-specific ribosome inhibitors. However, the current cohort of antibiotics is limited with regards to bacterial resistance mechanisms because of structural similarity within classes. From a high-throughput screen for translation inhibitors, we discovered a new compound, T6102, which inhibits bacterial protein synthesis in vitro, inhibits bacterial growth of Bacillus subtilis in vivo, and has a chemical structure that appears to be unique among known classes of translation-inhibiting antibiotics. T6102's unique structure compared to current clinically-utilized antibiotics makes it an exciting new candidate for the development of next-generation antibiotics.


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Bacillus subtilis/efeitos dos fármacos , Bacillus subtilis/metabolismo , Bactérias/efeitos dos fármacos , Bactérias/metabolismo , Testes de Sensibilidade Microbiana , Biossíntese de Proteínas
2.
Nat Chem Biol ; 10(12): 1006-12, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25326665

RESUMO

Her3 (also known as ErbB3) belongs to the epidermal growth factor receptor tyrosine kinases and is well credentialed as an anti-cancer target but is thought to be 'undruggable' using ATP-competitive small molecules because it lacks appreciable kinase activity. Here we report what is to our knowledge the first selective Her3 ligand, TX1-85-1, that forms a covalent bond with Cys721 located in the ATP-binding site of Her3. We demonstrate that covalent modification of Her3 inhibits Her3 signaling but not proliferation in some Her3-dependent cancer cell lines. Subsequent derivatization with a hydrophobic adamantane moiety demonstrates that the resultant bivalent ligand (TX2-121-1) enhances inhibition of Her3-dependent signaling. Treatment of cells with TX2-121-1 results in partial degradation of Her3 and serendipitously interferes with productive heterodimerization between Her3 with either Her2 or c-Met. These results suggest that small molecules will be capable of perturbing the biological function of Her3 and ∼60 other pseudokinases found in human cells.


Assuntos
Acrilamidas/farmacologia , Adenina/análogos & derivados , Antineoplásicos/farmacologia , Regulação Neoplásica da Expressão Gênica , Inibidores de Proteínas Quinases/farmacologia , Proteínas Proto-Oncogênicas c-met/química , Receptor ErbB-2/química , Receptor ErbB-3/antagonistas & inibidores , Acrilamidas/síntese química , Adamantano/química , Adenina/síntese química , Adenina/farmacologia , Trifosfato de Adenosina/química , Trifosfato de Adenosina/metabolismo , Antineoplásicos/síntese química , Domínio Catalítico , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Cisteína/química , Humanos , Interações Hidrofóbicas e Hidrofílicas , Simulação de Acoplamento Molecular , Terapia de Alvo Molecular , Inibidores de Proteínas Quinases/síntese química , Multimerização Proteica , Proteólise , Proteínas Proto-Oncogênicas c-met/genética , Proteínas Proto-Oncogênicas c-met/metabolismo , Receptor ErbB-2/genética , Receptor ErbB-2/metabolismo , Receptor ErbB-3/química , Receptor ErbB-3/genética , Transdução de Sinais
3.
Bioorg Med Chem Lett ; 25(16): 3382-9, 2015 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-26094118

RESUMO

Her3 is a member of the human epidermal growth factor receptor (EGFR) tyrosine kinase family, and it is often either overexpressed or deregulated in many types of human cancer. Her3 has not been the subject of small-molecule inhibitor development because it is a pseudokinase and does not possess appreciable kinase activity. We recently reported on the development of the first selective irreversible Her3 ligand (TX1-85-1) that forms a covalent bond with cysteine 721 which is unique to Her3 among all kinases. We also developed a bi-functional compound (TX2-121-1) containing a hydrophobic adamantane moiety and the same warhead of TX1-85-1 that is capable of inhibiting Her3-dependent signaling and growth. Here we report on the structure-based medicinal chemistry effort that resulted in the discovery of these two compounds.


Assuntos
Acrilamidas/síntese química , Acrilamidas/farmacologia , Adenina/análogos & derivados , Sistemas de Liberação de Medicamentos , Pirazóis/síntese química , Pirazóis/farmacologia , Pirimidinas/síntese química , Pirimidinas/farmacologia , Receptor ErbB-3/antagonistas & inibidores , Acrilamidas/química , Adenina/síntese química , Adenina/química , Adenina/farmacologia , Linhagem Celular Tumoral , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Concentração Inibidora 50 , Estrutura Molecular , Pirazóis/química , Pirimidinas/química , Bibliotecas de Moléculas Pequenas/síntese química , Bibliotecas de Moléculas Pequenas/química , Bibliotecas de Moléculas Pequenas/farmacologia
4.
Proc Natl Acad Sci U S A ; 109(16): 6235-40, 2012 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-22474358

RESUMO

Unique peptide-morpholino oligomer (PMO) conjugates have been designed to bind and promote the cleavage of specific mRNA as a tool to inhibit gene function and parasite growth. The new conjugates were validated using the P. falciparum gyrase mRNA as a target (PfGyrA). Assays in vitro demonstrated a selective degradation of the PfGyrA mRNA directed by the external guide sequences, which are morpholino oligomers in the conjugates. Fluorescence microscopy revealed that labeled conjugates are delivered into Plasmodium-infected erythrocytes during all intraerythrocytic stages of parasite development. Consistent with the expression of PfGyrA in all stages of parasite development, proliferation assays showed that these conjugates have potent antimalarial activity, blocking early development, maturation, and replication of the parasite. The conjugates were equally effective against drug sensitive and resistant P. falciparum strains. The potency, selectivity, and predicted safety of PMO conjugates make this approach attractive for the development of a unique class of target-specific antimalarials and for large-scale functional analysis of the malarial genome.


Assuntos
DNA Girase/genética , Plasmodium falciparum/genética , Proteínas de Protozoários/genética , RNA Mensageiro/genética , Sequência de Aminoácidos , Sequência de Bases , DNA Girase/metabolismo , Eritrócitos/parasitologia , Fluoresceína/química , Regulação da Expressão Gênica no Desenvolvimento/genética , Células HeLa , Humanos , Microscopia de Fluorescência , Morfolinos/química , Morfolinos/genética , Morfolinos/metabolismo , Peptídeos/química , Plasmodium falciparum/crescimento & desenvolvimento , Plasmodium falciparum/metabolismo , Proteínas de Protozoários/metabolismo , Clivagem do RNA , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
5.
Angew Chem Int Ed Engl ; 54(33): 9659-62, 2015 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-26083457

RESUMO

Androgen receptor (AR)-dependent transcription is a major driver of prostate tumor cell proliferation. Consequently, it is the target of several antitumor chemotherapeutic agents, including the AR antagonist MDV3100/enzalutamide. Recent studies have shown that a single AR mutation (F876L) converts MDV3100 action from an antagonist to an agonist. Here we describe the generation of a novel class of selective androgen receptor degraders (SARDs) to address this resistance mechanism. Molecules containing hydrophobic degrons linked to small-molecule AR ligands induce AR degradation, reduce expression of AR target genes and inhibit proliferation in androgen-dependent prostate cancer cell lines. These results suggest that selective AR degradation may be an effective therapeutic prostate tumor strategy in the context of AR mutations that confer resistance to second-generation AR antagonists.


Assuntos
Antagonistas de Receptores de Andrógenos/química , Antagonistas de Receptores de Andrógenos/farmacologia , Proteólise/efeitos dos fármacos , Receptores Androgênicos/metabolismo , Bibliotecas de Moléculas Pequenas/química , Bibliotecas de Moléculas Pequenas/farmacologia , Antineoplásicos/química , Antineoplásicos/farmacologia , Benzamidas , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Resistencia a Medicamentos Antineoplásicos , Humanos , Interações Hidrofóbicas e Hidrofílicas , Masculino , Nitrilas , Feniltioidantoína/análogos & derivados , Feniltioidantoína/química , Feniltioidantoína/farmacologia , Mutação Puntual , Próstata/efeitos dos fármacos , Próstata/metabolismo , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/genética , Neoplasias da Próstata/metabolismo , Receptores Androgênicos/genética
6.
Proc Natl Acad Sci U S A ; 108(40): 16582-7, 2011 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-21949365

RESUMO

Basic peptides covalently linked to nucleic acids, or chemically modified nucleic acids, enable the insertion of such a conjugate into bacteria grown in liquid medium and mammalian cells in tissue culture. A unique peptide, derived from human T cells, has been employed in a chemical synthesis to make a conjugate with a morpholino oligonucleotide. This new conjugate is at least 10- to 100-fold more effective than previous peptides used in altering the phenotype of host bacteria if the external guide sequence methodology is employed in these experiments. Bacteria with target genes expressing chloramphenicol resistance, penicillin resistance, or gyrase A function can effectively be reduced in their expression and the host cells killed. Several bacteria are susceptible to this treatment, which has a broad range of potency. The loss in viability of bacteria is not due only to complementarity with a target RNA and the action of RNase P, but also to a non-gene-specific tight binding of the complexed nontargeted RNA to the basic polypeptide-morpholino oligonucleotide.


Assuntos
Peptídeos Penetradores de Células/farmacologia , Escherichia coli/efeitos dos fármacos , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos , Morfolinos/farmacologia , Complexos Multiproteicos/farmacologia , Peptídeos Penetradores de Células/metabolismo , Fluoresceína , Humanos , Morfolinos/metabolismo , Complexos Multiproteicos/biossíntese , Linfócitos T/química
7.
Nat Chem Biol ; 7(8): 538-43, 2011 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-21725302

RESUMO

The ability to regulate any protein of interest in living systems with small molecules remains a challenge. We hypothesized that appending a hydrophobic moiety to the surface of a protein would mimic the partially denatured state of the protein, thus engaging the cellular quality control machinery to induce its proteasomal degradation. We designed and synthesized bifunctional small molecules to bind a bacterial dehalogenase (the HaloTag protein) and present a hydrophobic group on its surface. Hydrophobic tagging of the HaloTag protein with an adamantyl moiety induced the degradation of cytosolic, isoprenylated and transmembrane HaloTag fusion proteins in cell culture. We demonstrated the in vivo utility of hydrophobic tagging by degrading proteins expressed in zebrafish embryos and by inhibiting Hras1(G12V)-driven tumor progression in mice. Therefore, hydrophobic tagging of HaloTag fusion proteins affords small-molecule control over any protein of interest, making it an ideal system for validating potential drug targets in disease models.


Assuntos
Técnicas Biossensoriais/métodos , Corantes Fluorescentes/química , Animais , Linhagem Celular , Humanos , Interações Hidrofóbicas e Hidrofílicas , Proteínas Luminescentes/química , Camundongos , Estrutura Molecular , Proteínas Recombinantes , Sensibilidade e Especificidade , Coloração e Rotulagem , Peixe-Zebra
8.
J Am Chem Soc ; 134(10): 4465-8, 2012 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-22369643

RESUMO

E3 ubiquitin ligases, which bind protein targets, leading to their ubiquitination and subsequent degradation, are attractive drug targets due to their exquisite substrate specificity. However, the development of small-molecule inhibitors has proven extraordinarily challenging as modulation of E3 ligase activities requires the targeting of protein-protein interactions. Using rational design, we have generated the first small molecule targeting the von Hippel-Lindau protein (VHL), the substrate recognition subunit of an E3 ligase, and an important target in cancer, chronic anemia, and ischemia. We have also obtained the crystal structure of VHL bound to our most potent inhibitor, confirming that the compound mimics the binding mode of the transcription factor HIF-1α, a substrate of VHL. These results have the potential to guide future development of improved lead compounds as therapeutics for the treatment of chronic anemia and ischemia.


Assuntos
Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Bibliotecas de Moléculas Pequenas , Ubiquitina-Proteína Ligases/efeitos dos fármacos , Proteína Supressora de Tumor Von Hippel-Lindau/efeitos dos fármacos , Humanos , Ligantes , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Ubiquitina-Proteína Ligases/metabolismo , Proteína Supressora de Tumor Von Hippel-Lindau/metabolismo
9.
Chembiochem ; 13(4): 538-41, 2012 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-22271667

RESUMO

New HyTs are a knockout: we previously reported that labeling HaloTag proteins with low molecular weight hydrophobic tags (HyTs) leads to targeted degradation of HaloTag fusion proteins. In this report, we employed a chemical approach to extend this hydrophobic tagging methodology to highly stabilized proteins by synthesizing and evaluating a library of HyTs, which led to the identification of HyT36.


Assuntos
Proteínas Recombinantes de Fusão/metabolismo , Células HEK293 , Humanos , Interações Hidrofóbicas e Hidrofílicas , Estrutura Molecular , Proteínas Recombinantes de Fusão/química
10.
Bioorg Med Chem ; 19(5): 1708-13, 2011 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-21315614

RESUMO

Here we describe the concise syntheses of the 15 diastereomers and key analogs of the natural product tyroscherin. While systematic analysis of the analogs clearly demonstrated that the hydrocarbon tail is important for biological activity, structure-activity relationship studies of the complete tyroscherin diastereoarray revealed a surprisingly expansive stereochemical tolerance for the cytotoxic activity. Our results represent a departure from the tenet that biological activity is constrained to a narrow pharmacophore, and highlight the recently emerging appreciation for stereochemical flexibility in defining the essential structural elements of biologically active small molecules.


Assuntos
Antineoplásicos/síntese química , Antineoplásicos/farmacologia , Epinefrina/análogos & derivados , Álcoois Graxos/síntese química , Álcoois Graxos/farmacologia , Antineoplásicos/química , Neoplasias da Mama/patologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Epinefrina/síntese química , Epinefrina/química , Epinefrina/farmacologia , Álcoois Graxos/química , Feminino , Humanos , Concentração Inibidora 50 , Estrutura Molecular , Estereoisomerismo , Relação Estrutura-Atividade
11.
Bioorg Med Chem Lett ; 18(22): 5904-8, 2008 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-18752944

RESUMO

We have developed a heterobifunctional all-small molecule PROTAC (PROteolysis TArgeting Chimera) capable of inducing proteasomal degradation of the androgen receptor. This cell permeable PROTAC consists of a non-steroidal androgen receptor ligand (SARM) and the MDM2 ligand known as nutlin, connected by a PEG-based linker. The SARM-nutlin PROTAC recruits the androgen receptor to MDM2, which functions as an E3 ubiquitin ligase. This leads to the ubiquitination of the androgen receptor, and its subsequent degradation by the proteasome. Upon treatment of HeLa cells with 10microM PROTAC for 7h, we were able to observe a decrease in androgen receptor levels. This degradation is proteasome dependent, as it is mitigated in cells pre-treated with 10microM epoxomicin, a specific proteasome inhibitor. These results have implications for the potential study and treatment of various cancers with increased androgen receptor levels.


Assuntos
Proteínas/química , Proteômica/métodos , Western Blotting , Linhagem Celular Tumoral , Permeabilidade da Membrana Celular , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular , Humanos , Imidazóis/química , Indicadores e Reagentes , Piperazinas/química , Proteínas/metabolismo , Receptores Androgênicos/metabolismo , Ubiquitina/metabolismo , Ubiquitina-Proteína Ligases/metabolismo
13.
J Med Chem ; 60(22): 9205-9221, 2017 11 22.
Artigo em Inglês | MEDLINE | ID: mdl-29091425

RESUMO

Dysregulation of anaplastic lymphoma kinase (ALK) has been detected in nonsmall cell lung cancer (NSCLC) in the form of EML4-ALK fusion. Secondary mutations opposing activity of the first-generation ALK inhibitor crizotinib came into existence, requiring mutation-targeting drug discovery for the powerful second-line treatment. In this study, we report 4-phenoxyquinoline-based inhibitors that overcome crizotinib resistance to ALK L1196M, discovered by the fragment-growing strategy. The protonation of 4-aminoquinoline core could interrupt the ability the N atom of quinoline to act as a hydrogen bond acceptor; therefore, the pKa and calculated ionization pH values of relevant pyridine-based core moieties were carefully analyzed. The replacement of amine linkage with ether resulted in single-digit nanomolar range inhibitors. The inhibitors exhibited significant antiproliferative effects on H2228 CR crizotinib-resistant cells by decreasing PI3K/AKT and MAPK signaling. This work constitutes the first example for systematic investigation of the effect of ionization pH on activity in this system.


Assuntos
Antineoplásicos/farmacologia , Quinolinas/farmacologia , Receptores Proteína Tirosina Quinases/antagonistas & inibidores , Substituição de Aminoácidos , Quinase do Linfoma Anaplásico , Animais , Antineoplásicos/administração & dosagem , Antineoplásicos/síntese química , Antineoplásicos/farmacocinética , Carbazóis/farmacologia , Linhagem Celular Tumoral , Crizotinibe , Desenho de Fármacos , Resistencia a Medicamentos Antineoplásicos , Canal de Potássio ERG1/antagonistas & inibidores , Humanos , Cinética , Piperidinas/farmacologia , Pirazóis/farmacologia , Piridinas/farmacologia , Pirimidinas/farmacologia , Quinolinas/administração & dosagem , Quinolinas/química , Quinolinas/farmacocinética , Ratos , Receptores Proteína Tirosina Quinases/genética , Transdução de Sinais , Relação Estrutura-Atividade , Sulfonas/farmacologia
14.
J Med Chem ; 58(21): 8491-502, 2015 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-26496175

RESUMO

The treatment of activated B cell-like DLBCL (ABC-DLBCL) is one of the urgent unmet medical needs because it is the most resistant DLBCL subtype to current therapies eagerly awaiting effective therapeutic strategies. Recently, the paracaspase MALT1 has emerged as a promising therapeutic target for the treatment of ABC-DLBCL. Herein, we report a new class of MALT1 inhibitors developed by high-throughput screening and structure-based drug design. The original hit, 4-amino-1,2-naphthoquinone series inhibited MALT1 activity but suffered from poor cellular activity. The extensive pharmacophore search led to the discovery of structurally similar ß-lapachone that is a direct inhibitor of MALT1 and possesses favorable physicochemical properties. Molecular simulation studies suggested the possibility of the formation of a covalent bond between MALT1 and ß-lapachone, which was corroborated by experimental wash-out studies. Inspired by this, we explored the structure-activity relationships by incorporating electron-withdrawing substituents at C8 position of ß-lapachone. These MALT1 inhibitors exhibited potent antiproliferative activity to OCI-LY3 cell line and inhibited the cleavage of CYLD mediated MALT1.


Assuntos
Antineoplásicos/química , Antineoplásicos/farmacologia , Linfoma Difuso de Grandes Células B/tratamento farmacológico , Naftoquinonas/química , Naftoquinonas/farmacologia , Proteínas de Neoplasias/antagonistas & inibidores , Caspases/metabolismo , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Humanos , Linfoma Difuso de Grandes Células B/metabolismo , Modelos Moleculares , Proteína de Translocação 1 do Linfoma de Tecido Linfoide Associado à Mucosa , Proteínas de Neoplasias/metabolismo , Relação Estrutura-Atividade
16.
ACS Chem Biol ; 7(12): 2055-63, 2012 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-23013033

RESUMO

Small Molecule Microarrays (SMMs) represent a general platform for screening small molecule-protein interactions independent of functional inhibition of target proteins. In an effort to increase the scope and utility of SMMs, we have modified the SMM screening methodology to increase assay sensitivity and facilitate multiplex screening. Fusing target proteins to the HaloTag protein allows us to covalently prelabel fusion proteins with fluorophores, leading to increased assay sensitivity and an ability to conduct multiplex screens. We use the interaction between FKBP12 and two ligands, rapamycin and ARIAD's "bump" ligand, to show that the HaloTag-based SMM screening methodology significantly increases assay sensitivity. Additionally, using wild type FKBP12 and the FKBP12 F36V mutant, we show that prelabeling various protein isoforms with different fluorophores allows us to conduct multiplex screens and identify ligands to a specific isoform. Finally, we show this multiplex screening technique is capable of identifying ligands selective for a specific PTP1B isoform using a 20,000 compound screening deck.


Assuntos
Análise Serial de Proteínas , Bibliotecas de Moléculas Pequenas , Proteína 1A de Ligação a Tacrolimo/química , Sequência de Bases , Primers do DNA
17.
Org Lett ; 12(19): 4308-11, 2010 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-20831175

RESUMO

The efficient synthesis and biological evaluation of both the reported and revised structures of tyroscherin have been achieved. Central to our synthesis is a cross metathesis reaction that generated the trans-olefin regioselectively. This synthetic strategy enabled the facile manipulation of tyroscherin stereochemistry, facilitating the generation of all 16 tyroscherin diastereomers and a photoactivatable tyroscherin-based affinity probe for future mode of action studies.


Assuntos
Epinefrina/análogos & derivados , Álcoois Graxos/síntese química , Linhagem Celular Tumoral , Epinefrina/síntese química , Epinefrina/farmacologia , Álcoois Graxos/farmacologia , Humanos , Concentração Inibidora 50 , Estrutura Molecular , Estereoisomerismo
18.
Biochem Biophys Res Commun ; 341(2): 627-34, 2006 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-16438938

RESUMO

The hydroxamic acid analogues (2) of the natural product gelastatins (1) were prepared by 1 step conversion reaction. The synthetic analogues (2) showed potent enzymatic inhibitory activities against MMP-2, MMP-9, and TACE IC50's of 6, 23, and 28 nM, respectively. In addition, 2 were able to inhibit TNF-alpha production effectively in mice as well as in a macrophage cell line, RAW 264.7. The protective effect of 2 also was examined on LPS-induced acute septic shock model. The mechanism of TNF-alpha inhibition was examined by RT-PCR and Western blot analyses. The relation of TACE and alpha-secretase was examined using cellular alpha-secretase assays on IMR-32 and SH-SY5Y cell lines. The docking mode of 2 with the catalytic domain of TACE was illustrated to analyze the binding mode for the further analogue design.


Assuntos
Proteínas ADAM/metabolismo , Ácidos Hidroxâmicos/química , Metaloproteinases da Matriz/metabolismo , Propionatos/química , Pironas/química , Proteína ADAM17 , Secretases da Proteína Precursora do Amiloide , Animais , Ácido Aspártico Endopeptidases , Western Blotting , Domínio Catalítico , Linhagem Celular , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Endopeptidases/metabolismo , Inibidores Enzimáticos/farmacologia , Imunoensaio , Concentração Inibidora 50 , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Camundongos , Modelos Químicos , Modelos Moleculares , Óxido Nítrico Sintase Tipo II/metabolismo , Propionatos/metabolismo , Pironas/metabolismo , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Sepse , Fatores de Tempo , Fator de Necrose Tumoral alfa/metabolismo
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