Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 30
Filtrar
Más filtros

Medicinas Complementárias
Métodos Terapéuticos y Terapias MTCI
Bases de datos
Tipo del documento
Intervalo de año de publicación
1.
Int J Mol Sci ; 19(1)2018 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-29316619

RESUMEN

Anthocyanins, the naturally occurring pigments responsible for most red to blue colours of flowers, fruits and vegetables, have also attracted interest because of their potential health effects. With the aim of contributing to major insights into their structure-activity relationship (SAR), we have evaluated the radical scavenging and biological activities of selected purified anthocyanin samples (PASs) from various anthocyanin-rich plant materials: two fruits (mahaleb cherry and blackcurrant) and two vegetables (black carrot and "Sun Black" tomato), differing in anthocyanin content (ranging from 4.9 to 38.5 mg/g DW) and molecular structure of the predominant anthocyanins. PASs from the abovementioned plant materials have been evaluated for their antioxidant capacity using Trolox Equivalent Antioxidant Capacity (TEAC) and Oxygen Radical Absorbance Capacity (ORAC) assays. In human endothelial cells, we analysed the anti-inflammatory activity of different PASs by measuring their effects on the expression of endothelial adhesion molecules VCAM-1 and ICAM-1. We demonstrated that all the different PASs showed biological activity. They exhibited antioxidant capacity of different magnitude, higher for samples containing non-acylated anthocyanins (typical for fruits) compared to samples containing more complex anthocyanins acylated with cinnamic acid derivatives (typical for vegetables), even though this order was slightly reversed when ORAC assay values were expressed on a molar basis. Concordantly, PASs containing non-acylated anthocyanins reduced the expression of endothelial inflammatory antigens more than samples with aromatic acylated anthocyanins, suggesting the potential beneficial effect of structurally diverse anthocyanins in cardiovascular protection.


Asunto(s)
Antocianinas/química , Antiinflamatorios/química , Daucus carota/química , Depuradores de Radicales Libres/química , Solanum lycopersicum/química , Antocianinas/aislamiento & purificación , Antocianinas/farmacología , Antiinflamatorios/aislamiento & purificación , Antiinflamatorios/farmacología , Cromatografía Líquida de Alta Presión , Daucus carota/metabolismo , Células Endoteliales/citología , Células Endoteliales/efectos de los fármacos , Células Endoteliales/metabolismo , Ensayo de Inmunoadsorción Enzimática , Depuradores de Radicales Libres/aislamiento & purificación , Depuradores de Radicales Libres/farmacología , Frutas/química , Frutas/metabolismo , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Molécula 1 de Adhesión Intercelular/metabolismo , Solanum lycopersicum/metabolismo , Extractos Vegetales/química , Extractos Vegetales/farmacología , Relación Estructura-Actividad , Factor de Necrosis Tumoral alfa/metabolismo , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/metabolismo , Verduras/química , Verduras/metabolismo
2.
Chin J Nat Med ; 15(6): 442-450, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28629534

RESUMEN

The aims of the present study were to determine the effects of heparin-derived oligosaccharides (HDOs) on vascular intimal hyperplasia (IH) in balloon-injured carotid artery and to elucidate the underlying mechanisms of action. An animal model was established by rubbing the endothelia within the common carotid artery (CCA) in male rabbits. The rabbits were fed a high-cholesterol diet. Arterial IH was determined by histopathological changes to the CCA. Serum lipids were detected using an automated biochemical analysis. Expressions of mRNAs for vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), vascular cell adhesion molecule-1 (VCAM-1), monocyte chemoattractant protein-1 (MCP-1), scavenger receptor class B type I (SR-BI), and ATP-binding cassette transporter A1 (ABCA-1) were analyzed using reverse transcription polymerase chain reaction assays. Expressions of VEGF, VCAM-1, MCP-1, SR-BI and ABCA-1 proteins were analyzed by Western blotting. Enzyme-linked immunosorbent assays were used to quantify expression levels of VEGF and bFGF. Our results showed that administration of HDO significantly inhibited CCA histopathology and restenosis induced by balloon injury. The treatment with HDOs significantly decreased the mRNA and protein expression levels of VEGF, bFGF, VCAM-1, MCP-1, and SR-BI in the arterial wall; however, ABCA-1 expression level was elevated. HDO treatment led to a reduction in serum lipids (total cholesterol, triglycerides, high-density and low-density lipoproteins). Our results from the rabbit model indicated that HDOs could ameliorate IH and underlying mechanism might involve VEGF, bFGF, VCAM-1, MCP-1, SR-BI, and ABCA-1.


Asunto(s)
Traumatismos de las Arterias Carótidas/tratamiento farmacológico , Heparina/uso terapéutico , Oligosacáridos/uso terapéutico , Túnica Íntima/patología , Transportador 1 de Casete de Unión a ATP/análisis , Animales , Traumatismos de las Arterias Carótidas/patología , Quimiocina CCL2/análisis , Hiperplasia , Masculino , Conejos , Molécula 1 de Adhesión Celular Vascular/análisis , Factor A de Crecimiento Endotelial Vascular/análisis
3.
Mol Med Rep ; 15(2): 825-832, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28000870

RESUMEN

Glucosamine is a possible cause of vascular endothelial injury in the initial stages of atherosclerosis, through endoplasmic reticulum (ER) stress resulting in fatty streaks in the vascular wall. Quercetin is an anti­diabetic and cardiovascular protective agent that has previously been demonstrated to reduce ER stress in human umbilical vein endothelial cells (HUVECs). The present study aimed to investigate whether quercetin prevents glucosamine­induced apoptosis and inflammation via ER stress pathway in HUVECs. The effect of quercetin on cell viability, apoptosis, and protein expression levels of inflammatory cytokines and ER stress markers was investigated in glucosamine­supplemented HUVECs. Quercetin was demonstrated to protect against glucosamine­induced apoptosis, improved cell viability, and inhibited expression of pro­inflammatory factors and endothelin­1. Quercetin treatment also reduced the expression levels of glucose­regulated protein 78, phosphorylated protein kinase­like ER kinase, phosphorylated c­Jun N­terminal kinase and C/EBP homologous protein. In conclusion, quercetin may have auxiliary therapeutic potential against glucosamine­induced cell apoptosis and inflammation, which may be partially due to alleviation of ER stress.


Asunto(s)
Antioxidantes/farmacología , Apoptosis/efectos de los fármacos , Estrés del Retículo Endoplásmico/efectos de los fármacos , Glucosamina/toxicidad , Quercetina/farmacología , Proteínas Potenciadoras de Unión a CCAAT/genética , Proteínas Potenciadoras de Unión a CCAAT/metabolismo , Citocinas/metabolismo , Regulación hacia Abajo/efectos de los fármacos , Chaperón BiP del Retículo Endoplásmico , Endotelina-1/análisis , Ensayo de Inmunoadsorción Enzimática , Proteínas de Choque Térmico/genética , Proteínas de Choque Térmico/metabolismo , Células Endoteliales de la Vena Umbilical Humana , Humanos , Inflamación/prevención & control , Molécula 1 de Adhesión Intercelular/análisis , Proteínas Quinasas JNK Activadas por Mitógenos/metabolismo , Fosforilación/efectos de los fármacos , Molécula 1 de Adhesión Celular Vascular/análisis
4.
BMC Complement Altern Med ; 16: 309, 2016 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-27553960

RESUMEN

BACKGROUND: Traditional fermented cheese whey (TFCW), containing probiotics, has been used both as a dairy food with ethnic flavor and a medicine for cardiovascular disease, especially regulating blood lipid among Kazakh. We therefore investigated anti-atherosclerotic effects of TFCW in atherosclerotic rabbits and identified lactic acid bacteria (LAB) and yeasts in TFCW. METHODS: Atherosclerotic rabbits were induced by administration of atherosclerotic diet for 12 weeks and divided randomly into three groups and treated for 4 weeks with Simvastatin (20 mg/kg) or TFCW (25 mg/kg) and (50 mg/kg). In addition, a normal control group and an atherosclerotic group were used for comparison. All drugs were intragastrical administered once daily 10 mL/kg for 4 weeks. Body weight (BW), lipid profiles, C-reactive protein (CRP), vascular cell adhesion molecule-1 (VCAM-1), and intercellular adhesion molecule-1 (ICAM-1) were tested and theromatous plaques and the number of foam cells and infiltrating fibroblast cells in the thoracic aorta endothelium was evaluated by hematoxylin and eosin stainin. LAB and yeasts were isolated and purified by conventional techniques and identified using morphological and biochemical properties as well as gene sequences analysis. RESULTS: After 4 weeks of treatment, high and low dose TFCW decreased serum TC, TG, LDLC, CRP, VCAM-1 and ICAM-1 (P < 0.05) compared to atherosclerotic group, and increased HDL-C (P < 0.05) compared to normal controls. Histological analysis showed TFCW reduced VCAM-1 expression and formation of atheromatous plaques on the aortic endothelium of atherosclerotic rabbits. CONCLUSION: Seven classes of LBA from two different genera including Lactobacillus brevis, Lactobacillus kefianofaciens, Lactobacillus helveticus, Lactobacillus Casei, Lactobacillus plantarum, Lactobacillus kefiri and Lactococcus lactic as well as 2 classes of yeasts from two different genera including Saccharomyces unisporus and Issatchenkia orientalis were isolated and identified from TFCW. In summary, TFCW, containing 7 classes of LBA and 2 classes of yeasts, has significant anti-atherosclerotic potential in atherosclerotic rabbits and may modulate lipid metabolism and protect aorta in the atherosclerotic condition, which might be related to various probiotics acting through reducing the CRP, VCAM-1 and ICAM-1 levels and protecting the aortic endothelium.


Asunto(s)
Aterosclerosis/tratamiento farmacológico , Fármacos Cardiovasculares , Queso/análisis , Queso/microbiología , Probióticos , Suero Lácteo/microbiología , Animales , Aorta/química , Aorta/efectos de los fármacos , Peso Corporal/efectos de los fármacos , Proteína C-Reactiva/análisis , Fármacos Cardiovasculares/farmacología , Fármacos Cardiovasculares/uso terapéutico , Lípidos/sangre , Masculino , Conejos , Molécula 1 de Adhesión Celular Vascular/análisis
5.
Int J Immunopathol Pharmacol ; 26(4): 977-82, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24355235

RESUMEN

This study investigated the possible antitumor mechanisms of action of Tanshinone VI, one of the components of Salvia miltiorrhiza Bunge, which is used in traditional Chinese herbal medicine. To this end, the expression of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1), were evaluated in-vitroin tumor necrosis factor-alpha (TNF-alpha)-stimulated endothelial cells, with, or without the addition of Tanshinone VI (10, 20, 30, or 40 mM) in the culture medium; the effects of Tanshinone VI on angiogenesis was also evaluated with an epithelial cell tube formation assay and its toxicity was evaluated with a colorimetric (MTT) cell viability assay. The results showed that the up-regulation of ICAM-1 and VCAM-1 induced by TNF-alpha was dose-dependently inhibited by Tanshinone VI, with restoration of control levels at the dose of 40 mM; Tanshinone VI also had a remarkable anti-angiogenesis effect, already at the dose of 10 mM, while none of the doses tested had significant effects on cell viability. These results indicate that the antitumor properties of Tanshinone VI can be ascribed to the inhibition of cell adhesion, due to blockage of the up-regulation of cell adhesion molecules, with the consequent inhibition of metastases formation and/or angiogenesis. The lack of toxic effects at the dosage used makes Tanshinone VI a good candidate for its therapeutic use in humans.


Asunto(s)
Medicamentos Herbarios Chinos/farmacología , Molécula 1 de Adhesión Intercelular/análisis , Fenantrenos/farmacología , Molécula 1 de Adhesión Celular Vascular/análisis , Células Cultivadas , Relación Dosis-Respuesta a Droga , Humanos
6.
J Tradit Chin Med ; 32(2): 267-72, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22876455

RESUMEN

OBJECTIVE: To observe the effects of different doses of wenxiao II decoction on the expression of monocyte chemoattractant protein-1 (MCP-1) and vascular cell adhesion molecule-1 (VCAM-1) in an experimental model of atherosclerosis in rabbits and to explore the mechanism by which it alleviates atherosclerosis. METHODS: Sixty 3-4 month-old New Zealand rabbits of both sexes were randomly divided into six groups: simvastain; model; blank; and high-dose, mid-dose, and low-dose wenxiao II decoction groups. Except for those in the blank group, all rabbits were fed a high-cholesterol diet. Carotid atherosclerosis was established by balloon-induced injury to the endothelium of the carotid artery in conjunction with consumption of a high-cholesterol diet. After 8 weeks, all rabbits were killed to evaluate the expression of MCP-1 and VCAM-1 by immunohistochemical staining. RESULTS: Expressions of MCP-1 and VCAM-1 were significantly decreased in all groups except the blank group compared with the model group (P < 0.05). When compared with the simvastain group only variation of MCP-1 expression in low-dose group was not appreciable, and the differences were indistinct (P < 0.05). When comparing among wenxiao II decoction groups, MCP-1 expression in the mid- and high-dose groups was significantly lower than that seen in the low-dose group (P< 0.01), but there were no differences among three dosage groups with respect to VCAM-1 expression (P > 0.05). CONCLUSION: These data suggested that high, mid, and low doses of Wenxiao II Decoction can inhibit the expression of MCP-1 and VCAM-1, which may prevent the formation of or stabilize atherosclerotic plaques. There may be a direct relationship between the dosage of wenxiao II decoction and its therapeutic efficacy.


Asunto(s)
Enfermedades de las Arterias Carótidas/tratamiento farmacológico , Quimiocina CCL2/análisis , Medicina Tradicional China , Molécula 1 de Adhesión Celular Vascular/análisis , Animales , Enfermedades de las Arterias Carótidas/metabolismo , Relación Dosis-Respuesta a Droga , Femenino , Masculino , Qi , Conejos , Simvastatina/uso terapéutico
7.
J Clin Lipidol ; 6(6): 553-64, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23312051

RESUMEN

BACKGROUND: The oral fat load (OFL) is considered as one of the most accurate models of postprandial lipoprotein metabolism and it has been widely used to evaluate the postprandial fat load effect on single markers of inflammation. OBJECTIVE: To evaluate the effects of n-3 PUFAs, primarily eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), with a content of 400 mg of EPA and 450 mg of DHA in each capsule, on metalloproteinases and inflammatory biomarkers in patients affected by combined dyslipidemia both in a fasting state and after a standardized OFL in a randomized, placebo-controlled trial. METHODS: Placebo or n-3 PUFAs 3 g/day (1 g three times a day during the meals) was administered for 6 months. At the baseline, and after 2, 4, and 6 months we evaluated body mass index (BMI), body weight, fasting plasma glucose (FPG), fasting plasma insulin (FPI), homeostasis model assessment insulin resistance index (HOMA-IR), blood pressure, lipid profile, soluble intercellular adhesion molecule-1 (sICAM-1), interleukin 6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), soluble vascular cell adhesion molecule-1 (sVCAM-1), sE-selectin, tumor necrosis factor-α (TNF-α), and metalloproteinases 2 and 9 (MMP-2 and 9). Furthermore, at the baseline and at the end of the study, all patients underwent an euglycemic hyperinsulinemic clamp and an oral fat load. RESULTS: Tg levels were lower (-54 mg/dL) and high-density lipoprotein cholesterol higher (+6 mg/dL) with n-3 PUFAs compared with placebo; n-3 PUFAs gave lower levels of FPG (-3 mg/dL), sICAM (-25 ng/mL), IL-6 (-0.3 pg/mL), hs-CRP (-0.6 mg/L), sVCAM-1 (-89 ng/mL), sE-selectin (-5.8 ng/mL), TNF-α (-0.3 ng/mL), MMP-2 (-185.1 ng/mL), and MMP-9 (-91.5 ng/mL), and a greater M value (+1.21 µmol/min/kg) compared with placebo. After the OFL, there was a decrease of Tg, MMPs, and all inflammatory parameters with n-3 PUFAs, but not with placebo. CONCLUSION: Supplementation with n-3 PUFA resulted in lower levels of FPG, plasma lipids, MMPs, and inflammatory parameters and in a better increase of M value compared to placebo, both in the fasting state and after an OFL.


Asunto(s)
Ácidos Docosahexaenoicos/farmacología , Dislipidemias/tratamiento farmacológico , Ácido Eicosapentaenoico/farmacología , Resistencia a la Insulina , Periodo Posprandial , Adolescente , Adulto , Anciano , Biomarcadores/análisis , Biomarcadores/metabolismo , Glucemia/análisis , Presión Sanguínea , Índice de Masa Corporal , Peso Corporal , Proteína C-Reactiva/metabolismo , HDL-Colesterol/sangre , Suplementos Dietéticos , Ácidos Docosahexaenoicos/administración & dosificación , Dislipidemias/metabolismo , Selectina E/metabolismo , Ácido Eicosapentaenoico/administración & dosificación , Ayuno , Femenino , Técnica de Clampeo de la Glucosa/métodos , Humanos , Hipoglucemiantes/administración & dosificación , Hipoglucemiantes/farmacología , Insulina/sangre , Molécula 1 de Adhesión Intercelular/metabolismo , Interleucina-6/metabolismo , Masculino , Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/metabolismo , Persona de Mediana Edad , Resultado del Tratamiento , Factor de Necrosis Tumoral alfa/metabolismo , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/metabolismo , Adulto Joven
8.
Molecules ; 15(9): 6423-35, 2010 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-20877233

RESUMEN

The use of indigo naturalis to treat psoriasis has proved effective in our previous clinical studies. The present study was designed to examine the anti-inflammatory effect of indigo naturalis in primary cultured human umbilical vein endothelial cells (HUVECs). Pretreatment of cells with indigo naturalis extract attenuated TNF-α-induced increase in Jurkat T cell adhesion to HUVECs as well as decreased the protein and messenger (m)RNA expression levels of vascular cell adhesion molecule-1 (VCAM-1) on HUVECs. Indigo naturalis extract also inhibited the protein expression of activator protein-1 (AP-1)/c-Jun, a critical transcription factor for the activation of VCAM-1 gene expression. Since the reduction of lymphocyte adhesion to vascular cells by indigo naturalis extract could subsequently reduce the inflammatory reactions caused by lymphocyte infiltration in the epidermal layer and help to improve psoriasis, this study provides a potential mechanism for the anti-inflammatory therapeutic effect of indigo naturalis extract in psoriasis.


Asunto(s)
Células Endoteliales/efectos de los fármacos , Extractos Vegetales/farmacología , Plantas Medicinales/química , Factor de Necrosis Tumoral alfa/fisiología , Venas Umbilicales/citología , Molécula 1 de Adhesión Celular Vascular/análisis , Adhesión Celular/efectos de los fármacos , Humanos , Inflamación/tratamiento farmacológico , Células Jurkat/efectos de los fármacos , Células Jurkat/fisiología , Psoriasis/tratamiento farmacológico , ARN Mensajero/análisis , ARN Mensajero/efectos de los fármacos , Factor de Transcripción AP-1/antagonistas & inhibidores , Molécula 1 de Adhesión Celular Vascular/efectos de los fármacos , Molécula 1 de Adhesión Celular Vascular/genética
9.
Eur J Nutr ; 48(2): 101-6, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19142568

RESUMEN

BACKGROUND: Expression of cell adhesion molecules on the endothelium and the attachment of monocytes to endothelium may play a major role in the early atherogenic process. AIM OF THE STUDY: We investigated the effects of carnosic acid on the adhesion of U937 cells to IL-1beta-treated human umbilical vein endothelial cells (HUVECs), as well as on the expression of adhesion molecules. RESULTS: Our data showed that pretreatment with 10 and 20 micromol/l carnosic acid significantly reduced the number of U937 cells adhering to IL-1beta-treated HUVECs. In addition, we found that 20 micromol/l carnosic was more effective than 10 micromol/l carnosic acid at inhibiting expression of cell adhesion molecules (ICAM-1, VCAM-1, and E-selectin), the nuclear translocation of NF-kappaB subunits p65 and p50, and the production of ROS in IL-1beta-stimulated HUVECs. CONCLUSIONS: We conclude that carnosic acid inhibits IL-1beta-induced ICAM-1, VCAM-1 and E-selectin expression in HUVECs through a mechanism that involves NFkappaB. We propose that the reduction in binding of human monocytic cell line U937 to IL-1beta-treated HUVECs is due to the anti-inflammatory properties of carnosic acid.


Asunto(s)
Abietanos/farmacología , Moléculas de Adhesión Celular/análisis , Adhesión Celular/efectos de los fármacos , Células Endoteliales , Interleucina-1beta/farmacología , Monocitos/fisiología , Extractos Vegetales/farmacología , Supervivencia Celular/efectos de los fármacos , Selectina E/análisis , Humanos , Molécula 1 de Adhesión Intercelular/análisis , FN-kappa B/metabolismo , Especies Reactivas de Oxígeno/antagonistas & inhibidores , Células U937 , Venas Umbilicales/citología , Molécula 1 de Adhesión Celular Vascular/análisis
10.
J Agric Food Chem ; 57(4): 1267-74, 2009 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-19166336

RESUMEN

Antiatherosclerotic effects of ethanolic extracts of Artemisia princeps Pampanini cv. Sajabal (ESJ) were investigated in low-density lipoprotein receptor deficient (LDLR(-/-)) mice. The Western diet-induced high levels of total cholesterol and triglyceride were similar in the ESJ and control groups. However, circulating oxidized LDL was significantly decreased in the ESJ group (p < 0.05). ESJ also markedly decreased aortic expression levels of intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), tumor necrosis factor-alpha (TNF-alpha), and interleukin-1 beta (IL-1 beta), and reduced the aortic lesion formation and macrophage accumulation by 36.7% (p < 0.05) and 43% (p < 0.01) in the control group, respectively. Additionally, ESJ inhibited atherogenic properties with cytokine-induced surface expression of cell adhesion molecules, chemokines, and monocyte adhesion to the human umbilical vein endothelial cells (HUVECs), and simultaneously suppressed nuclear factor-kappaB (NF-kappaB) activation. These results suggest that ethanolic extracts of Artemisia princeps Pampanini cv. Sajabal contributes to the antiatherosclerotic and anti-inflammatory activities in LDLR(-/-) mice.


Asunto(s)
Artemisia/química , Aterosclerosis/prevención & control , Extractos Vegetales/administración & dosificación , Receptores de LDL/deficiencia , Animales , Antiinflamatorios/administración & dosificación , Aorta/química , Aorta/patología , Aterosclerosis/patología , Adhesión Celular , Células Cultivadas , Colesterol/sangre , Dieta Aterogénica , Células Endoteliales/efectos de los fármacos , Células Endoteliales/fisiología , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Interleucina-1beta/análisis , Lipoproteínas LDL/sangre , Masculino , Ratones , Ratones Endogámicos C57BL , Triglicéridos/sangre , Factor de Necrosis Tumoral alfa/análisis , Factor de Necrosis Tumoral alfa/farmacología , Venas Umbilicales , Molécula 1 de Adhesión Celular Vascular/análisis
11.
Clin Exp Dermatol ; 33(6): 698-704, 2008 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18699840

RESUMEN

BACKGROUND: Effective treatment options for morphoea remain limited. As a result, there has been increasing interest in the role of phototherapy in the management of this condition. Aims. We report the findings of a study in which 13 patients with localized morphoea were treated with oral (n = 11) and topical (n = 2) psoralen ultraviolet (PUVA) phototherapy. METHODS: The clinical effect on disease activity was assessed using a skin score adapted from the modified Rodnan score. The effect on serological and immunohistochemical markers was also measured. RESULTS: In total, 11/13 patients showed an improvement in their skin score after phototherapy, with the mean reduction in score being 62.9% (P = 0.003, Wilcoxon signed rank test). After treatment with PUVA, there was a fall in circulating levels of vascular cell adhesion molecule in 10/13 patients (P = 0.059) and a significant increase in tumour necrosis factor-alpha in 9 of 13 patients (P = 0.036). In the five patients in whom CD3 and CD4 was measured, all showed a reduction in CD3 (P = 0.025), with a fall in CD4 (P = 0.046) seen in four of the five patients. CONCLUSIONS: PUVA is associated with clinical improvement in patients with morphoea, as shown by significant improvement in the skin score. However, in one patient who had been simultaneously started on ciclosporin, this improvement could not be attributed to the phototherapy alone. Although the sample size was small, we also found that certain lymphocyte markers, adhesion molecules and cytokines are affected by this treatment, helping to further clarify the mechanism of action of PUVA treatment.


Asunto(s)
Terapia PUVA/métodos , Esclerodermia Localizada/tratamiento farmacológico , Adolescente , Adulto , Biomarcadores/análisis , Biomarcadores/sangre , Complejo CD3/análisis , Antígenos CD4/análisis , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Esclerodermia Localizada/inmunología , Esclerodermia Localizada/patología , Piel/inmunología , Piel/metabolismo , Piel/patología , Estadísticas no Paramétricas , Resultado del Tratamiento , Factor de Necrosis Tumoral alfa/análisis , Factor de Necrosis Tumoral alfa/sangre , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/sangre
12.
Carcinogenesis ; 29(10): 1885-92, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18586687

RESUMEN

The role of cell adhesion molecules has been studied extensively in the process of inflammation, and these molecules are critical components of carcinogenesis and cancer metastasis. This study investigated the effect of tanshinone I derived from the traditional herbal medicine, Salvia miltiorrhiza Bunge, on the expression of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) in tumor necrosis factor-alpha (TNF-alpha)-stimulated endothelial cells. Furthermore, this study investigated the effect of tanshinone I on cancer growth, invasion and angiogenesis on human breast cancer cells MDA-MB-231, both in vitro and in vivo. Tanshinone I dose dependently inhibited ICAM-1 and VCAM-1 expressions in human umbilical vein endothelial cells (HUVECs) that were stimulated with TNF-alpha for 6 h. Pretreatment with tanshinone I significantly reduced adhesion of either monocyte U937 or MDA-MB-231 cells to HUVECs. Interestingly, the inhibitory effect of tanshinone I on monocyte and cancer cell adhesion to HUVECs was mimicked by transfection with ICAM-1 and VCAM-1 small interfering RNA. In addition, tanshinone I effectively inhibited TNF-alpha-induced production of vascular endothelial growth factor (VEGF) and VEGF-mediated tube formation in HUVECs. Tanshinone I also inhibited TNF-alpha-induced VEGF production in MDA-MB-231 cells and migration of MDA-MB-231 cells through extracellular matrix. Additionally, reduction of tumor mass volume and decrease of metastasis incidents by tanshinone I were observed in vivo. In conclusion, this study provides a potential mechanism for the anticancer effect of tanshinone I on breast cancer cells, suggesting that tanshinone I may serve as an effective drug for the treatment of breast cancer.


Asunto(s)
Antineoplásicos Fitogénicos/farmacología , Neoplasias de la Mama/tratamiento farmacológico , Molécula 1 de Adhesión Intercelular/fisiología , Fenantrenos/farmacología , Molécula 1 de Adhesión Celular Vascular/fisiología , Abietanos , Inhibidores de la Angiogénesis/farmacología , Animales , Neoplasias de la Mama/patología , Adhesión Celular/efectos de los fármacos , Comunicación Celular , Proliferación Celular/efectos de los fármacos , Células Endoteliales/citología , Femenino , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Ratones , Invasividad Neoplásica , Factor de Necrosis Tumoral alfa/farmacología , Molécula 1 de Adhesión Celular Vascular/análisis
13.
Br J Nutr ; 99(4): 715-22, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17916277

RESUMEN

Epidemiological studies suggest that the incidence of CVD and postmenopausal osteoporosis is low in the Mediterranean area, where herbs and nuts, among others, play an important role in nutrition. In the present study, we sought a role of walnuts (Juglans regia L.) in endothelial and bone-cell function. As the endothelial cell expression of adhesion molecules has been recognised as an early step in inflammation and atherogenesis, we examined the effect of walnut methanolic extract and ellagic acid, one of its major polyphenolic components (as shown by HPLC analysis), on the expression of vascular cell adhesion molecule (VCAM)-1 and intracellular adhesion molecule (ICAM)-1 in human aortic endothelial cells. After incubating the cells with TNF-alpha (1 ng/ml) in the absence and in the presence of walnut extract (10-200 microg/ml) or ellagic acid (10- 7-10- 5 m), the VCAM-1 and ICAM-1 expression was quantified by cell-ELISA. We further evaluated the effect of walnut extract (10-50 microg/ml), in comparison with ellagic acid (10- 9-10- 6m), on nodule formation in the osteoblastic cell line KS483. Walnut extract and ellagic acid decreased significantly the TNF-alpha-induced endothelial expression of both VCAM-1 and ICAM-1 (P < 0.01; P < 0.001). Both walnut extract (at 10-25 microg/ml) and ellagic acid (at 10- 9-10- 8 m) induced nodule formation in KS483 osteoblasts. The present results suggest that the walnut extract has a high anti-atherogenic potential and a remarkable osteoblastic activity, an effect mediated, at least in part, by its major component ellagic acid. Such findings implicate the beneficial effect of a walnut-enriched diet on cardioprotection and bone loss.


Asunto(s)
Antioxidantes/farmacología , Ácido Elágico/farmacología , Células Endoteliales/efectos de los fármacos , Juglans/química , Osteoblastos/efectos de los fármacos , Extractos Vegetales/farmacología , Aorta , División Celular/efectos de los fármacos , Línea Celular , Células Endoteliales/inmunología , Células Endoteliales/metabolismo , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Molécula 1 de Adhesión Intercelular/metabolismo , Osteoblastos/citología , Osteoblastos/metabolismo , Factor de Necrosis Tumoral alfa/farmacología , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/metabolismo
14.
Eur J Pharmacol ; 565(1-3): 158-65, 2007 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-17434475

RESUMEN

Vascular cell adhesion molecule-1 (VCAM-1) is involved in several diseases, including chronic inflammation and atherosclerosis. Inhibition of the expression of this adhesion molecule is one of the key targets of anti-inflammatory, anti-cancer and anti-atherosclerotic drugs. Gynostemma pentaphyllum is a traditional medicine widely used in the treatment of respiratory inflammation, hyperlipidemia and atherosclerosis. However, its molecular mechanisms of action are still largely unknown. Gypenoside XLIX, a dammarane-type glycoside, is a prominent component of G. pentaphyllum. We have recently demonstrated Gypenoside XLIX to be a selective peroxisome proliferator-activated receptor (PPAR)-alpha activator. Here we demonstrate that Gypenoside XLIX concentration-dependently (0-300 microM) inhibited VCAM-1 promoter activity after induction by cytokine tumor necrosis factor (TNF)-alpha in human umbilical vein endothelial cells (HUVECs) transfected with promoter-reporter construct pVCAM-1-LUC. Furthermore, Gypenoside XLIX inhibited TNF-alpha-induced VCAM-1 mRNA and protein overexpression in HUVECs. The result of the enzyme immunoassay demonstrated that Gypenoside XLIX inhibited TNF-alpha-induced increase in cell surface VCAM-1 protein levels in HUVECs. In the present study we show that activities of Gypenoside XLIX are similar to those of Wy-14643, a potent synthetic PPAR-alpha activator. Furthermore, Gypenoside XLIX-induced inhibition on TNF-alpha-stimulated VCAM-1 promoter hyperactivity was completely abolished by a selective blocker of PPAR-alpha, MK-886. Thus, our findings suggest that Gypenoside XLIX inhibits cytokine-induced VCAM-1 overexpression and hyperactivity in human endothelial cells via a PPAR-alpha-dependent pathway. These data provide new insight into the rational basis of the use of the traditional Chinese herbal medicine G. pentaphyllum in the treatment of inflammatory and cardiovascular diseases, including atherosclerosis.


Asunto(s)
Células Endoteliales/efectos de los fármacos , PPAR alfa/efectos de los fármacos , Saponinas/farmacología , Factor de Necrosis Tumoral alfa/farmacología , Molécula 1 de Adhesión Celular Vascular/genética , Células Cultivadas , Células Endoteliales/metabolismo , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , PPAR alfa/fisiología , Regiones Promotoras Genéticas , Molécula 1 de Adhesión Celular Vascular/análisis
15.
J Cardiovasc Pharmacol ; 48(2): 47-53, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16954821

RESUMEN

The interaction of advanced glycation end products (AGE) with their cell surface receptors for AGEs (RAGE) has been causally implicated in the pathogenesis of diabetic vascular complications and has been shown to stimulate cell adhesion molecule expression in endothelial cells via induction of reactive oxygen species (ROS). Alternatively, grape seed proanthocyanidin extracts (GSPE), which are naturally occurring polyphenolic compounds, have been reported to possess potent radical scavenging and antioxidant properties and to display significant cardiovascular protective action. In this study, we investigated whether GSPE could inhibit AGE-induced cell adhesion molecule expression through interference with ROS generations in human umbilical vein endothelial cells. AGE-modified bovine serum albumin (AGE-BSA) was prepared by incubating BSA with a high concentration of glucose. Stimulation of cultured human umbilical vein endothelial cells with 200 microg/mL of AGE-BSA significantly enhanced intracellular ROS formation and subsequently upregulated the expression of vascular cell adhesion molecule-1 (VCAM) and intercellular adhesion molecule-1 (ICAM-1), whereas both unmodified BSA and GSPE alone were without effect. However, preincubation of different concentrations of GSPE markedly downregulated AGE-BSA-induced VCAM-1 expression at the surface protein and mRNA level in a concentration-dependent manner, but the increased ICAM-1 expression was not affected by GSPE treatment. Meanwhile, the inhibition by GSPE of intracellular ROS generation was also observed at defined time periods. These results demonstrate that GSPE can inhibit the enhanced VCAM-1 expression but not ICAM-1 in AGE-exposed endothelial cells by suppressing ROS generation. Hence, GSPE may have therapeutic potential in the prevention and treatment of vascular complications in patients with diabetes.


Asunto(s)
Células Endoteliales/efectos de los fármacos , Productos Finales de Glicación Avanzada/antagonistas & inhibidores , Molécula 1 de Adhesión Intercelular/análisis , Extractos Vegetales/farmacología , Proantocianidinas/farmacología , Molécula 1 de Adhesión Celular Vascular/análisis , Células Cultivadas , Células Endoteliales/metabolismo , Extracto de Semillas de Uva , Humanos , Molécula 1 de Adhesión Intercelular/genética , ARN Mensajero/análisis , Especies Reactivas de Oxígeno , Molécula 1 de Adhesión Celular Vascular/genética
16.
J Agric Food Chem ; 54(9): 3259-64, 2006 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-16637682

RESUMEN

The Mediterranean diet reduces the risk of coronary artery disease as a consequence of its high content of antioxidants, namely, hydroxytyrosol (HT) and oleuropein aglycone (OleA), typical of virgin olive oil. Because intercellular and vascular cell adhesion molecules (ICAM-1 and VCAM-1) and E-selectin are crucial for endothelial activation, the role of the phenolic extract from extra virgin olive oil (OPE), OleA, HT, and homovanillyl alcohol (HVA) on cell surface and mRNA expression in human umbilical vascular endothelial cells (HUVEC) was evaluated. OPE strongly reduced cell surface expression of ICAM-1 and VCAM-1 at concentrations physiologically relevant (IC50 < 1 microM), linked to a reduction in mRNA levels. OleA and HT were the main components responsible for these effects. HVA inhibited cell surface expression of all the adhesion molecules, whereas the effect on mRNA expression was weaker. These results supply new insights on the protective role of olive oil against vascular risk through the down-regulation of adhesion molecules involved in early atherogenesis.


Asunto(s)
Moléculas de Adhesión Celular/fisiología , Endotelio Vascular/fisiología , Aceites de Plantas/química , Aceites de Plantas/farmacología , Moléculas de Adhesión Celular/análisis , Moléculas de Adhesión Celular/genética , Selectina E/análisis , Selectina E/genética , Endotelio Vascular/efectos de los fármacos , Expresión Génica/efectos de los fármacos , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Molécula 1 de Adhesión Intercelular/genética , Glucósidos Iridoides , Iridoides , Aceite de Oliva , Alcohol Feniletílico/análogos & derivados , Alcohol Feniletílico/farmacología , Piranos/farmacología , ARN Mensajero/análisis , Venas Umbilicales/química , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/genética
17.
Phytomedicine ; 13(4): 230-5, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16492524

RESUMEN

Inflammation plays an important role in both the initiation of atherosclerosis and development of atherothrombotic events. The adherence of leukocytes/monocytes to the endothelium is an early event in atherogenesis. Phytotherapeutica as garlic and garlic extracts were shown to have beneficial modulating effects in patients with atherosclerotic disease. The aim of this study was to evaluate in vitro the influence of water-soluble garlic (Allium sativum) extract on the cytokine-induced expression of endothelial leukocyte adhesion molecules such as intercellular adhesion molecule-1 (ICAM-1, CD54) and vascular cell adhesion molecule-1 (VCAM-1, CD106). Cytokine-induced expression of cellular adhesion molecules was measured on primary human coronary artery endothelial cell (HCAEC) cultures. HCAEC were cultured in microvascular endothelial cell growth medium and preincubated with garlic extract at various concentrations (0.25-4.0 mg/ml), after which human interleukin-1alpha (IL-1alpha, 10 ng/ml) was added for 1 day. Fluorescein isothiocyanate (FITC)-labeled anti-ICAM-1 and FITC-labeled anti-VCAM-1 were used to analyze the IL-1alpha-induced expression of ICAM-1 and VCAM-1 by flow cytometry. Incubation of HCAEC with garlic extract significantly decreased ICAM-1 and VCAM-1 expression induced by IL-1alpha. In addition, we examined the effects of garlic extract on the adhesion of monocytes to endothelial cells, using the monocytic U937 cell line. The presence of garlic extract significantly inhibited the adhesion of monocytes to IL-1alpha-stimulated endothelial cells. These results indicate that garlic extract modulates the expression of ICAM-1 and VCAM-1, thus potentially contributing to the beneficial effects traditionally attributed to garlic.


Asunto(s)
Células Endoteliales/efectos de los fármacos , Ajo/química , Molécula 1 de Adhesión Intercelular/efectos de los fármacos , Extractos Vegetales/farmacología , Molécula 1 de Adhesión Celular Vascular/efectos de los fármacos , Adhesión Celular/efectos de los fármacos , Células Cultivadas , Vasos Coronarios/citología , Vasos Coronarios/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Células Endoteliales/citología , Células Endoteliales/metabolismo , Endotelio Vascular/citología , Endotelio Vascular/efectos de los fármacos , Citometría de Flujo/métodos , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Molécula 1 de Adhesión Intercelular/biosíntesis , Interleucina-1/farmacología , Monocitos/efectos de los fármacos , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/biosíntesis
18.
Eur J Nutr ; 44(6): 348-54, 2005 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16151968

RESUMEN

BACKGROUND: A Mediterranean dietary pattern has been associated with a reduced risk of coronary heart disease, as well as a reduction of oxidative stress, but studies indicating possible interactions between food intake and inflammatory mediators production at specific sites are lacking. AIM OF THE STUDY: To assess the relationship between Mediterranean diet consumption and inflammatory related molecules production in coronary vessels. METHODS: A previously reported Mediterranean-diet score was computed summing-up the quintiles of eight dietary components from a validated food frequency questionnaire in 24 patients with unstable angina. Tumor necrosis factor (TNF-alpha) and vascular cell adhesion molecule (VCAM-1) concentrations were measured in coronary sinus blood. RESULTS: Both biomarkers showed an inverse association with the Mediterraneandiet score. The association between VCAM-1 and the Mediterranean-diet score had an adjusted beta coefficient of -35.1 ng/ml (95% coefficient interval, CI: -63.5 to -6.7). The adjusted beta coefficient using TNF-alpha as the dependent variable was -41.6 pg/ml (95 % CI: -76.2 to -7.1). The consumption of olive oil as a single item showed a significant inverse association, and a Mediterranean-diet score excluding olive oil was also inversely associated with TNF-alpha and VCAM-1 serum levels in coronary venous blood. CONCLUSIONS: Adherence to a Mediterranean dietary pattern may protect against coronary artery wall production of inflammatory mediators. This finding could provide a novel mechanistic explanation for the recognized lower coronary risk associated with a Mediterranean diet.


Asunto(s)
Angina Inestable/sangre , Aterosclerosis/prevención & control , Dieta Mediterránea , Factor de Necrosis Tumoral alfa/metabolismo , Molécula 1 de Adhesión Celular Vascular/sangre , Aterosclerosis/etiología , Biomarcadores/sangre , Vasos Coronarios , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aceite de Oliva , Estrés Oxidativo , Aceites de Plantas , Factores de Riesgo , Encuestas y Cuestionarios , Factor de Necrosis Tumoral alfa/análisis , Molécula 1 de Adhesión Celular Vascular/análisis
19.
J Long Term Eff Med Implants ; 15(1): 39-47, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-15715515

RESUMEN

OBJECTIVE: Nickel and cobalt ions activate ICAM1 expression on endothelial cells and keratinocytes. Furthermore, these ions are released in vitro and in vivo from the types of alloys used for vascular stents, but the full biological consequences of this release is not known. In the current study, we determined if release of elements from vascular stent alloys that contained nickel and cobalt was sufficient to activate expression of key cellular adhesion molecules (CAMs) by endothelial cells. Expression of these CAMs is a critical step in the long-term inflammatory response to stent materials and possibly to in-stent restenonsis. METHODS: Stainless steel, NiTi, CoCrNi, and NiCr alloys were placed in direct contact with primary human microvascular endothelial cells for 72 hours after preparation at three roughnesses (120, 320, and 1200 grit). Expression of three CAMs--ICAM1, VCAM1, and e-selectin--was assessed using a modified ELISA procedure. Cytotoxicity of the alloys was assessed by measuring succinate dehydrogenase (SDH) activity and total protein content of the cells, and nickel release was measured by atomic absorption spectroscopy. RESULTS: None of the alloys suppressed SDH activity or total cellular protein significantly at any surface roughness, indicating little or no cytotoxicity. Ni release was measurable from all alloys, was greatest from the rougher surfaces, and was significantly different for the different alloy types. NiTi alloys exhibited the lowest nickel release. However, none of the alloys activated expression of the CAMs, regardless of surface roughness or nickel release level. Supplemental experiments using nickel ions alone confirmed that ICAM1 was inducible on the endothelial cells by Ni(II) concentrations above 100 microM. CONCLUSIONS: In this in vitro system, nickel or other elemental release from several common types of stent alloys was not sufficient to activate expression of CAMs on endothelial surfaces. Although these results indicate a low risk for direct activation of endothelial cells by ions released from stent alloys, other mechanisms, such as modulation of CAM expression by monocytes or smooth muscle cells, must be considered before ion-mediated influence on CAM expression can be dismissed.


Asunto(s)
Aleaciones/toxicidad , Células Endoteliales/fisiología , Molécula 1 de Adhesión Intercelular/metabolismo , Molécula 1 de Adhesión Celular Vascular/metabolismo , Análisis de Varianza , Materiales Biocompatibles , Prótesis Vascular , Células Cultivadas , Cromo/toxicidad , Células Endoteliales/efectos de los fármacos , Endotelio Vascular/citología , Endotelio Vascular/efectos de los fármacos , Ensayo de Inmunoadsorción Enzimática , Humanos , Técnicas In Vitro , Molécula 1 de Adhesión Intercelular/análisis , Ensayo de Materiales , Níquel/toxicidad , Sensibilidad y Especificidad , Espectrofotometría Atómica , Succinato Deshidrogenasa/metabolismo , Molécula 1 de Adhesión Celular Vascular/análisis
20.
J Leukoc Biol ; 75(2): 214-23, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-14597729

RESUMEN

There is evidence for a beneficial effect of trefoil peptides in animal models of gastric damage and intestinal inflammation, but the optimal treatment strategy and the mechanistic basis have not been explored thoroughly. It has been suggested that these proteins may modulate the inflammatory response. The aims of this study were to compare the protective and curative value of systemic and topical trefoil factor family (TFF)2 administration in dextran sulfate sodium-induced experimental colitis and to investigate the relationship between the therapeutic effects of TFF2 and modulation of leukocyte recruitment and expression of cell adhesion molecules. Clinical and morphologic severity of colitis was evaluated at the end of the study (Day 10). Leukocyte-endothelial cell interactions were determined in colonic venules by fluorescence intravital microscopy. The expression of cell adhesion molecules vascular cell adhesion molecule 1 (VCAM-1) and mucosal addressin cell adhesion molecule 1 (MAdCAM-1) was measured by the dual radiolabeled monoclonal antibody technique. Pretreatment with TFF2 by subcutaneous or intracolonic (ic) route ameliorated the clinical course of colitis, and the luminal route had a significantly superior effect. This beneficial effect was correlated with significant reductions in endothelial VCAM-1 but not MAdCAM-1 expression and leukocyte adhesion to intestinal venules, which returned to levels similar to those of controls. In established colitis, ic TFF2 treatment did not modify the severity of colonic lesions. In conclusion, TFF2 is useful in the treatment of colitis, and topical administration is superior to the systemic route. Reduction in adhesion molecule expression and leukocyte recruitment into the inflamed intestine contributes to the beneficial effect of this treatment.


Asunto(s)
Quimiotaxis de Leucocito/efectos de los fármacos , Colitis/tratamiento farmacológico , Mucinas , Proteínas Musculares , Péptidos/farmacología , Molécula 1 de Adhesión Celular Vascular/efectos de los fármacos , Animales , Moléculas de Adhesión Celular , Comunicación Celular/efectos de los fármacos , Colon/irrigación sanguínea , Colon/patología , Vías de Administración de Medicamentos , Evaluación Preclínica de Medicamentos , Endotelio Vascular/patología , Inmunoglobulinas/análisis , Inmunoglobulinas/efectos de los fármacos , Leucocitos/patología , Ratones , Ratones Endogámicos , Mucoproteínas/análisis , Mucoproteínas/efectos de los fármacos , Péptidos/administración & dosificación , Péptidos/uso terapéutico , Factor Trefoil-2 , Molécula 1 de Adhesión Celular Vascular/análisis , Vénulas/patología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA