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1.
Mol Pharmacol ; 102(3): 172-182, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35798366

RESUMO

Human and animal malaria parasites increase their host erythrocyte permeability to a broad range of solutes as mediated by parasite-associated ion channels. Molecular and pharmacological studies have implicated an essential role in parasite nutrient acquisition, but inhibitors suitable for development of antimalarial drugs are missing. Here, we generated a potent and specific drug lead using Plasmodium falciparum, a virulent human pathogen, and derivatives of MBX-2366, a nanomolar affinity pyridazinone inhibitor from a high-throughput screen. As this screening hit lacks the bioavailability and stability needed for in vivo efficacy, we synthesized 315 derivatives to optimize drug-like properties, establish target specificity, and retain potent activity against the parasite-induced permeability. Using a robust, iterative pipeline, we generated MBX-4055, a derivative active against divergent human parasite strains. MBX-4055 has improved oral absorption with acceptable in vivo tolerability and pharmacokinetics. It also has no activity against a battery of 35 human channels and receptors and is refractory to acquired resistance during extended in vitro selection. Single-molecule and single-cell patch-clamp indicate direct action on the plasmodial surface anion channel, a channel linked to parasite-encoded RhopH proteins. These studies identify pyridazinones as novel and tractable antimalarial scaffolds with a defined mechanism of action. SIGNIFICANCE STATEMENT: Because antimalarial drugs are prone to evolving resistance in the virulent human P. falciparum pathogen, new therapies are needed. This study has now developed a novel drug-like series of pyridazinones that target an unexploited parasite anion channel on the host cell surface, display excellent in vitro and in vivo ADME properties, are refractory to acquired resistance, and demonstrate a well defined mechanism of action.


Assuntos
Antimaláricos , Antagonistas do Ácido Fólico , Animais , Ânions/química , Ânions/metabolismo , Antimaláricos/farmacologia , Eritrócitos/metabolismo , Humanos , Nutrientes , Plasmodium falciparum/metabolismo
2.
J Bacteriol ; 202(18)2020 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-32601072

RESUMO

The Pseudomonas aeruginosa type III secretion system (T3SS) needle comprised of multiple PscF subunits is essential for the translocation of effector toxins into human cells, facilitating the establishment and dissemination of infection. Mutations in the pscF gene provide resistance to the phenoxyacetamide (PhA) series of T3SS inhibitory chemical probes. To better understand PscF functions and interactions with PhA, alleles of pscF with 71 single mutations altering 49 of the 85 residues of the encoded protein were evaluated for their effects on T3SS phenotypes. Of these, 37% eliminated and 63% maintained secretion, with representatives of both evenly distributed across the entire protein. Mutations in 14 codons conferred a degree of PhA resistance without eliminating secretion, and all but one were in the alpha-helical C-terminal 25% of PscF. PhA-resistant mutants exhibited no cross-resistance to two T3SS inhibitors with different chemical scaffolds. Two mutations caused constitutive T3SS secretion. The pscF allele at its native locus, whether wild type (WT), constitutive, or PhA resistant, was dominant over other pscF alleles expressed from nonnative loci and promoters, but mixed phenotypes were observed in chromosomal ΔpscF strains with both WT and mutant alleles at nonnative loci. Some PhA-resistant mutants exhibited reduced translocation efficiency that was improved in a PhA dose-dependent manner, suggesting that PhA can bind to those resistant needles. In summary, these results are consistent with a direct interaction between PhA inhibitors and the T3SS needle, suggest a mechanism of blocking conformational changes, and demonstrate that PscF affects T3SS regulation, as well as carrying out secretion and translocation.IMPORTANCEP. aeruginosa effector toxin translocation into host innate immune cells is critical for the establishment and dissemination of P. aeruginosa infections. The medical need for new anti-P. aeruginosa agents is evident by the fact that P. aeruginosa ventilator-associated pneumonia is associated with a high mortality rate (40 to 69%) and recurs in >30% of patients, even with standard-of-care antibiotic therapy. The results described here confirm roles for the PscF needle in T3SS secretion and translocation and suggest that it affects regulation, possibly by interaction with T3SS regulatory proteins. The results also support a model of direct interaction of the needle with PhA and suggest that, with further development, members of the PhA series may prove useful as drugs for P. aeruginosa infection.


Assuntos
Proteínas de Bactérias/antagonistas & inibidores , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Pseudomonas aeruginosa/efeitos dos fármacos , Sistemas de Secreção Tipo III/antagonistas & inibidores , Antibacterianos/farmacologia , Proteínas de Bactérias/genética , Resistência Microbiana a Medicamentos/genética , Peptídeos e Proteínas de Sinalização Intercelular/genética , Mutação , Fenoxiacetatos/farmacologia , Pseudomonas aeruginosa/genética , Relação Estrutura-Atividade
3.
J Org Chem ; 78(18): 9471-6, 2013 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-23952564

RESUMO

The enantioselective synthesis of substituted pyrrolidines through a mild Lewis-acid catalyzed three-component coupling reaction between picolinaldehyde, amino acids, and activated olefins is reported. The reaction uses low catalyst loadings of commercially available chiral diamines and copper triflate proposed to self-assemble in conjunction with the chelating aldehydes, 4-substituted-2-picolinaldehydes or 4-methylthiazole-2-carboxaldehyde, to generate a catalyst complex. A model is provided to explain how this complex directs enantioselectivity. This work represents a significant advance in the ease, scope, and cost of producing highly substituted, enantioenriched pyrrolidines.


Assuntos
Alcenos/química , Aminoácidos/química , Piridinas/química , Pirrolidinas/síntese química , Modelos Moleculares , Estrutura Molecular , Pirrolidinas/química , Estereoisomerismo
4.
J Org Chem ; 78(19): 9929-48, 2013 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-24090405

RESUMO

A new strategy for enantioselective synthesis of azacyclic molecules in which dynamic kinetic equilibration of diastereomeric iminium ions precedes a stereochemistry-determining sigmatropic rearrangement is reported. The method is illustrated by the synthesis, in high enantiomeric purity (generally 95-99% ee), of a variety of 1-azabicyclic molecules containing angular allyl or 3-substituted 2-propenyl side chains adjacent to nitrogen and up to three stereogenic centers. In these products, the size of the carbocyclic ring is varied widely (5-12 membered); however, useful yields are obtained in forming 1-azabicyclic products containing only fused pyrrolidine and piperidine rings. Chirality transfer from substituents at carbons 1 and 2 of the 3-butenylamine fragment of the starting material is investigated, with methyl and phenyl substituents at the allylic position shown to provide exquisite stereocontrol (generally 98-99% chirality transfer). An attractive feature of the method is the ability to carry out the key transformation in the absence of solvent. Illustrated also is the high yielding conversion of four such products to a new family of bicyclic ß-amino acids of high enantiomeric purity.


Assuntos
Compostos Azabicíclicos/síntese química , Aminas/química , Compostos Azabicíclicos/química , Cinética , Estrutura Molecular , Estereoisomerismo
5.
Drug Discov Today ; 26(9): 2173-2181, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33845218

RESUMO

The increasing prevalence of multidrug-resistant (MDR) bacterial infections has created a crucial need for new therapeutics that avoid or minimize existing resistance mechanisms. In this review, we describe the development of novel classes of small-molecule adjunctive agents targeting either a bacterial virulence factor, the Pseudomonas aeruginosa type III secretion system (T3SS), or an intrinsic resistance factor, resistance-nodulation-cell division superfamily (RND) efflux pumps of the Enterobacteriaceae. These agents are designed to be administered with antibacterials to improve their efficacy. T3SS inhibition rescues host innate immune system cells from injection with bacterial toxins, whereas RND efflux pump inhibition increases antibiotic susceptibility, in both cases improving the efficacy of the combined antibacterial.


Assuntos
Antibacterianos/uso terapêutico , Proteínas de Bactérias/antagonistas & inibidores , Farmacorresistência Bacteriana Múltipla/efeitos dos fármacos , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Proteínas de Membrana Transportadoras/metabolismo , Sistemas de Secreção Tipo III/antagonistas & inibidores , Animais , Proteínas de Bactérias/metabolismo , Humanos , Sistemas de Secreção Tipo III/metabolismo
6.
Nat Commun ; 12(1): 1799, 2021 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-33741965

RESUMO

Bacterial ribosome rescue pathways that remove ribosomes stalled on mRNAs during translation have been proposed as novel antibiotic targets because they are essential in bacteria and are not conserved in humans. We previously reported the discovery of a family of acylaminooxadiazoles that selectively inhibit trans-translation, the main ribosome rescue pathway in bacteria. Here, we report optimization of the pharmacokinetic and antibiotic properties of the acylaminooxadiazoles, producing MBX-4132, which clears multiple-drug resistant Neisseria gonorrhoeae infection in mice after a single oral dose. Single particle cryogenic-EM studies of non-stop ribosomes show that acylaminooxadiazoles bind to a unique site near the peptidyl-transfer center and significantly alter the conformation of ribosomal protein bL27, suggesting a novel mechanism for specific inhibition of trans-translation by these molecules. These results show that trans-translation is a viable therapeutic target and reveal a new conformation within the bacterial ribosome that may be critical for ribosome rescue pathways.


Assuntos
Neisseria gonorrhoeae/efeitos dos fármacos , Biossíntese de Proteínas/efeitos dos fármacos , Inibidores da Síntese de Proteínas/farmacologia , Ribossomos/efeitos dos fármacos , Animais , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Sítios de Ligação/genética , Células CACO-2 , Feminino , Gonorreia/microbiologia , Gonorreia/prevenção & controle , Humanos , Camundongos , Neisseria gonorrhoeae/genética , Biossíntese de Proteínas/genética , Inibidores da Síntese de Proteínas/química , RNA Bacteriano/genética , RNA Bacteriano/metabolismo , Proteínas Ribossômicas/genética , Proteínas Ribossômicas/metabolismo , Ribossomos/genética , Ribossomos/metabolismo
7.
J Org Chem ; 75(23): 8271-4, 2010 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-21033730

RESUMO

Building on the observation that metal complexation facilitates azomethine ylide formation, we report that chelating aldehydes participate in metal-templated, one-pot reactions with unprotected amino acid esters and activated olefins to provide highly substituted pyrrolidines. The high yields, broad substrate scope, excellent diastereoselectivities, functional group tolerance, and incorporation of commercially available materials in this reaction simplifies access to medicinally relevant proline derivatives.


Assuntos
Prolina/química , Pirrolidinas/química , Aldeídos/química , Compostos Azo/química , Quelantes/química , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Estereoisomerismo , Tiossemicarbazonas/química
8.
J Am Chem Soc ; 131(6): 2113-5, 2009 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-19199623

RESUMO

Herein, the biogenesis of the hydrindane ring system within coronafacic acid (CFA) has been investigated. These studies reveal that in addition to the canonical polyketide chain elongation and functionalization encoded by type I polyketide synthase (PKSs), cascade reactions can take place during assembly line-like biosynthesis. Indeed, upon Cfa7-catalyzed Claisen condensation between enzyme-bound malonate and an N-acetylcysteamine (SNAC) thioester, latent reactivity within the elongated enzyme-bound intermediate is unveiled. This reactivity translates into an intramolecular cyclization, which can proceed in a facile manner as observed by the enzyme-independent cyclization of a linear beta-ketothioester intermediate.


Assuntos
Indenos/metabolismo , Catálise , Ciclização , Cisteamina/análogos & derivados , Cisteamina/metabolismo , Malonatos/metabolismo , Policetídeo Sintases/metabolismo , Pseudomonas putida/enzimologia , Pseudomonas putida/metabolismo
9.
Org Lett ; 7(5): 913-6, 2005 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-15727473

RESUMO

A new synthesis of 1-azabicyclic molecules having angular substitution is reported. This method can be employed to prepare a range of 1-azabicylic rings, including ones containing vicinal quaternary carbon centers and three contiguous stereocenters. [structure: see text]


Assuntos
Compostos Aza/síntese química , Compostos Bicíclicos Heterocíclicos com Pontes/síntese química , Compostos Aza/química , Compostos Bicíclicos Heterocíclicos com Pontes/química , Catálise , Técnicas de Química Combinatória , Indicadores e Reagentes , Estrutura Molecular , Estereoisomerismo
10.
Chem Commun (Camb) ; (3): 253-65, 2004 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-14740029

RESUMO

This review describes the development of the tethered Biginelli condensation and its application to the total synthesis of structurally complex, bioactive guanidine alkaloids.


Assuntos
Alcaloides/síntese química , Fatores Biológicos/síntese química , Guanidina/síntese química , Alcaloides/química , Animais , Fatores Biológicos/química , Guanidina/química , Modelos Moleculares , Estrutura Molecular , Poríferos
11.
Org Lett ; 14(8): 2130-3, 2012 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-22486157

RESUMO

Catalytic α-allylation of unprotected amino acid esters to produce α-quaternary α-allyl amino acid esters is reported. Catalytic loadings of picolinaldehyde and Ni(II) salts induce preferential reactivity at the enolizable α-carbon of amino acid esters over the free nitrogen with electrophilic palladium π-allyl complexes. Fourteen examples are given. Additionally, the use of chiral ligands to access enantioenriched α-quaternary amino acid esters from racemic precursors is demonstrated by the enantioselective synthesis of α-allyl phenylalanine methyl ester from racemic phenylalanine methyl ester.


Assuntos
Aminoácidos/química , Aminoácidos/síntese química , Catálise , Ésteres , Estrutura Molecular , Paládio/química , Estereoisomerismo
12.
Org Lett ; 14(12): 3162-5, 2012 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-22671708

RESUMO

Imidazo[1,5-a]pyridinium ions are identified as highly emissive and water-soluble fluorophores accessed by an efficient three-component coupling reaction. Synthetic modifications of groups conjugated to the polyheterocyclic core are shown to profoundly impact the emission properties of these molecules. Notably, two structural isomers of functionalized imidazo[1,5-a]pyridinium ions were found to exhibit distinct de-excitation pathways, which are responsible for either a fluorescence turn-on or ratiometric response to pH change.


Assuntos
Corantes Fluorescentes/química , Piridinas/química , Compostos de Piridínio/química , Cátions/química , Concentração de Íons de Hidrogênio , Modelos Moleculares , Estrutura Molecular
13.
Org Lett ; 13(19): 5256-9, 2011 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-21905639

RESUMO

The three-component coupling reaction of substituted picolinaldehydes, amines, and formaldehyde to produce imidazo[1,5-a]pyridinium ions is reported, providing an efficient method for the preparation of N-heterocyclic carbenes (NHCs). Reactions proceed in high yields under mild conditions, allowing the incorporation of diverse functionality and chiral substituents. Higher order condensations are also described that provide access to multidentate NHC ligands useful for a variety of applications.

14.
Org Lett ; 12(9): 1916-9, 2010 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-20364829

RESUMO

Metal complexes of picolinaldehyde are identified as low-cost and environmentally benign catalysts, providing high reaction rates and turnovers for the racemization of amino acids. These pyridoxal surrogates demonstrate activity toward a variety of amino acid esters. Applications to chemoenzymatic dynamic kinetic resolutions provide access to amino acids in high yields and with excellent enantioselectivities, demonstrating their compatibility with protease-mediated transformations.


Assuntos
Aminoácidos/química , Piridoxal/química , Cinética
15.
Biochemistry ; 45(42): 12756-66, 2006 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-17042494

RESUMO

With the emergence of drug resistance and the genomic revolution, there has been a renewed interest in the genes that are responsible for the generation of bioactive natural products. Secondary metabolites of one major class are biosynthesized at one or more sites by ultralarge enzymes that carry covalent intermediates on phosphopantetheine arms. Because such intermediates are difficult to characterize in vitro, we have developed a new approach for streamlined detection of substrates, intermediates, and products attached to a phosphopantetheinyl arm of the carrier site. During vibrational activation of gas-phase carrier domains, facile elimination occurs in benchtop and Fourier-transform mass spectrometers alike. Phosphopantetheinyl ejections quickly reduce >100 kDa megaenzymes to <1000 Da ions for structural assignment of intermediates at <0.007 Da mass accuracy without proteolytic digestion. This "top down" approach quickly illuminated diverse acyl intermediates on the carrier domains of the nonribosomal peptide synthetases (NRPSs) or polyketide synthases (PKSs) found in the biosynthetic pathways of prodigiosin, pyoluteorin, mycosubtilin, nikkomycin, enterobactin, gramicidin, and several proteins from the orphan pksX gene cluster from Bacillus subtilis. By focusing on just those regions undergoing covalent chemistry, the method delivered clean proof for the reversible dehydration of hydroxymethylglutaryl-S-PksL via incorporation of 2H or 18O from the buffer. The facile nature of this revised assay will allow diverse laboratories to spearhead their NRPS-PKS projects with benchtop mass spectrometers.


Assuntos
Peptídeo Sintases/química , Peptídeo Sintases/metabolismo , Policetídeo Sintases/química , Policetídeo Sintases/metabolismo , Acilação , Antibacterianos/síntese química , Bacillus subtilis/enzimologia , Ciclotrons , Enzimas/química , Enzimas/metabolismo , Espectrometria de Massas , Família Multigênica , Peptídeos/química
16.
J Am Chem Soc ; 127(10): 3380-90, 2005 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-15755156

RESUMO

The total synthesis of the crambescidin core acid 9, crambescidins 359 (8) and 431 (7), and the properties of the crambescidin core are described. A key step of the synthetic route to guanidinium carboxylate 9 is Pd(0) catalyzed cleavage of the ester side chain of pentacyclic cinnamyl ester 15. This ester is also employed to prepare a small library of crambescidin alkaloid analogues that differ in their C14 side chain. The zwitterionic guanidinium carboxylate 9 was shown to readily decarboxylate to form crambescidin 359 (8). Decarboxylation of crambescidin core acid 9 was fastest under basic conditions. In the presence of base, up to eight deuterium atoms can be incorporated into the pentacyclic crambescidin core. Both deuterium incorporation and decarboxylation of crambescidin core acid 9 are the result of facile ring opening of the spirocyclic ether rings of the pentacyclic guanidinium moiety.


Assuntos
Alcaloides/síntese química , Compostos de Espiro/síntese química , Alcaloides/química , Alcaloides/metabolismo , Animais , Cinamatos/síntese química , Cinamatos/química , Cristalografia por Raios X , Deutério/química , Modelos Moleculares , Conformação Molecular , Ressonância Magnética Nuclear Biomolecular , Poríferos/química , Ligação Proteica , Compostos de Espiro/química , Compostos de Espiro/metabolismo
17.
J Am Chem Soc ; 127(43): 14986-7, 2005 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-16248612

RESUMO

We report the expression and characterization of a truncated form of MycA from the Mycosubtilin gene cluster from Bacillus subtilis. The MycA fragment contains a new amino transferase (AMT) tailoring domain, allowing the first detailed study of a PLP-dependent enzyme operating in cis within the PKS and NRPS biosynthetic paradigm. As the AMT domain acts on covalently bound beta-ketothioesters, and is therefore a single-turnover system, electrospray ionization-Fourier transform mass spectrometry (ESI-FTMS) was used to observe the amine-transfer reaction both for amine donor substrate specificity and to regiospecifically determine enzyme-bound intermediates. We confirm the function of the AMT domain, dissect the mechanistic steps of amine transfer, identify the preferred amine source, and localize the beta-ketothioester substrate during amine transfer.


Assuntos
Complexos Multienzimáticos/metabolismo , Família Multigênica , Policetídeo Sintases/metabolismo , Transaminases/metabolismo , Bacillus subtilis/enzimologia , Lipoproteínas/biossíntese , Lipoproteínas/genética , Complexos Multienzimáticos/química , Complexos Multienzimáticos/genética , Policetídeo Sintases/química , Policetídeo Sintases/genética , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Transaminases/química , Transaminases/genética
18.
Bioorg Med Chem Lett ; 14(13): 3445-9, 2004 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-15177450

RESUMO

Twenty three side chain analogs of the crambescidin alkaloids were prepared from the corresponding pentacyclic zwitterionic core acid. In the crambescidin 800 and 657 series, potency increased with increasing chain length. In addition, substantial variations in tumor selectivity with structure were seen. Crambescidin analogs having short, nonpolar side chains were identified for the first time as promising anticancer agents.


Assuntos
Alcaloides/síntese química , Antineoplásicos/síntese química , Guanidina/análogos & derivados , Guanidina/síntese química , Compostos de Espiro/síntese química , Alcaloides/farmacologia , Animais , Antineoplásicos/farmacologia , Linhagem Celular Tumoral , Ensaio de Unidades Formadoras de Colônias , Guanidina/farmacologia , Humanos , Ratos , Compostos de Espiro/farmacologia
19.
Proc Natl Acad Sci U S A ; 101(39): 14079-84, 2004 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-15371598

RESUMO

With current anti-HIV treatments targeting only 4 of the 15 HIV proteins, many potential viral vulnerabilities remain unexploited. We report small-molecule inhibitors of the HIV-1 protein Nef. In addition to expanding the anti-HIV arsenal, small-molecule inhibitors against untargeted HIV proteins could be used to dissect key events in the HIV lifecycle. Numerous incompletely characterized interactions between Nef and cellular ligands, for example, present a challenge to understanding molecular events during HIV progression to AIDS. Assays with phage-displayed Nef from HIV(NL4-3) were used to identify a series of guanidine alkaloid-based inhibitors of Nef interactions with p53, actin, and p56(lck). The guanidines, synthetic analogs of batzellidine and crambescidin natural products, inhibit the Nef-ligand interactions with IC(50) values in the low micromolar range. In addition, sensitive in vivo assays for Nef inhibition are reported. Although compounds that are effective in vitro proved to be too cytotoxic for cellular assays, the reported Nef inhibitors provide proof-of-concept for disrupting a new HIV target and offer useful leads for drug development.


Assuntos
Actinas/antagonistas & inibidores , Alcaloides/farmacologia , Produtos do Gene nef/antagonistas & inibidores , Guanidina/análogos & derivados , HIV-1/efeitos dos fármacos , Proteína Tirosina Quinase p56(lck) Linfócito-Específica/antagonistas & inibidores , Proteína Supressora de Tumor p53/antagonistas & inibidores , Actinas/metabolismo , Alcaloides/química , Fármacos Anti-HIV/química , Fármacos Anti-HIV/farmacologia , Antígenos CD4/imunologia , Linhagem Celular , Transformação Celular Viral , Relação Dose-Resposta a Droga , Ensaio de Imunoadsorção Enzimática/métodos , Produtos do Gene nef/química , Produtos do Gene nef/genética , Produtos do Gene nef/metabolismo , Guanidina/farmacologia , HIV-1/genética , HIV-1/metabolismo , HIV-1/fisiologia , Humanos , Concentração Inibidora 50 , Proteína Tirosina Quinase p56(lck) Linfócito-Específica/metabolismo , Estrutura Molecular , Biblioteca de Peptídeos , Reação em Cadeia da Polimerase , Proteínas Recombinantes/antagonistas & inibidores , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Relação Estrutura-Atividade , Linfócitos T/metabolismo , Linfócitos T/virologia , Proteína Supressora de Tumor p53/metabolismo , Replicação Viral/efeitos dos fármacos , Produtos do Gene nef do Vírus da Imunodeficiência Humana
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