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1.
Br J Nutr ; 84 Suppl 2: S217-21, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11242473

RESUMO

Cellular retinol-binding protein, type II (CRBPII) is abundantly expressed in the small intestinal epithelial cells and plays a pivotal role in intestinal absorption and metabolism of retinol and beta-carotene. In the 5'-flanking region of rat CRBPII gene, two DR-1 type elements which consist of a direct repeat of the AGGTCA-like motif spaced by a single nucleotide have been identified as putative binding sites for a heterodimer of peroxisome proliferator-activated receptor (PPAR) and retinoid X-receptor (RXR). We found that CRBPII levels were elevated in the residual jejunal segment of rats subjected to jejunal bypass operation, where a concomitant increase in the apoprotein B levels occurred. This result suggested that CRBPII expression was enhanced by a condition where fat absorption was stimulated. Indeed, dietary fat (especially unsaturated fatty acids) has been shown to induce CRBPII gene expression in the jejunum. Nuclear run-on assays revealed that this increase of CRBPII mRNA levels by a high-fat diet was the result of the induction of the gene transcription through the rise in PPARalpha expression level as well as the increase in its ligand levels. Electrophoretic mobility shift assay using the DR-1 type cis-elements of CRBP II gene showed that PPARalpha-RXRalpha heterodimer was capable of binding to these elements, and that nuclear extracts from the jejunum of rats fed the high-fat diet gave greater density of retarded bands than those of rats fed a fat-free diet. We also found that the expression of PPARdelta was rather reduced by dietary fat. Thus, CRBPII gene expression is regulated predominantly by dietary fatty acids.


Assuntos
Gorduras na Dieta/metabolismo , Regulação da Expressão Gênica , Absorção Intestinal , Jejuno/metabolismo , Proteínas de Ligação ao Retinol/genética , Vitamina A/metabolismo , Animais , Embrião de Galinha , Ácidos Graxos Insaturados/metabolismo , Humanos , RNA Mensageiro/metabolismo , Ratos , Receptores Citoplasmáticos e Nucleares/genética , Receptores Citoplasmáticos e Nucleares/metabolismo , Receptores do Ácido Retinoico/genética , Receptores do Ácido Retinoico/metabolismo , Receptores X de Retinoides , Proteínas Celulares de Ligação ao Retinol , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
2.
Arch Biochem Biophys ; 362(1): 159-66, 1999 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-9917340

RESUMO

We have previously demonstrated that dietary fat, especially unsaturated fatty acids, induces cellular retinol-binding protein, type II (CRBPII) gene expression in rat jejunum. In the present study, we showed that feeding a high-fat diet caused parallel increases in jejunal CRBPII mRNA and CRBPII pre-mRNA levels. Nuclear run-on assay also revealed that this increase of CRBPII mRNA level by high-fat diet was, at least in part, triggered at a transcription level. Moreover, peroxisome proliferator-activated receptor alpha (PPARalpha) mRNA level was also increased in the jejunum by high-fat diet. Gel shift assay showed that the binding activity of rat jejunal nuclear protein to the nuclear receptor response elements located in the rat CRBPII gene (RXRE and RE3) was greater in rats fed high-fat diet than in those fed fat-free diet and were enhanced by addition of bacterially expressed PPARalpha protein. Also PPARalpha-retinoid X receptor alpha (RXRalpha) heterodimer was capable of binding to the CRBPII-RXRE and RE3 elements and these binding activities were enhanced by addition of some PPARalpha ligands in the gel shift assay. Taken together, these studies suggest that dietary fatty acids may lead to induction of CRBPII gene transcription through increases of PPARalpha as well as its ligand levels.


Assuntos
Gorduras na Dieta/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Jejuno/metabolismo , Proteínas de Ligação ao Retinol/genética , Transcrição Gênica/efeitos dos fármacos , Animais , Proteínas de Ligação a DNA/metabolismo , Dimerização , Masculino , Proteínas Nucleares/metabolismo , Ligação Proteica/genética , Ratos , Ratos Wistar , Receptores Citoplasmáticos e Nucleares/genética , Receptores do Ácido Retinoico/metabolismo , Elementos de Resposta/genética , Receptores X de Retinoides , Proteínas Celulares de Ligação ao Retinol , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
3.
Comp Biochem Physiol A Physiol ; 118(3): 859-69, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9406450

RESUMO

We cloned chick cellular retinol-binding protein, type two (CRBP II) cDNA and compared it with those of some mammals. The deduced amino acid sequence showed that chick CRBP II was one amino acid greater in size than those of mammals, and the nucleotide sequence of chick CRBP II shared 72%-75% similarity with those of mammals. RNA blot hybridization analysis showed that CRBP II transcript of 0.7 kb was first detected in the duodenum of day-18 embryonic chick, and exhibited a rapid increase during 24 hr around the hatching. Northern blot hybridization also revealed that the transcripts of two types of retinoid X receptors (RXR alpha and RXR gamma) and peroxisome proliferator-activated receptor (PPAR) were expressed in the chick duodenum at hatching. The organ culture of day 16 embryonic chick duodenum showed that the addition of 9-cis retinoic acid in the medium caused a significant increase in CRBP II mRNA levels. In addition, arachidonic acid, from which putative ligands for PPAR were supposed to be generated, was accumulated around hatching in the duodenum. The results may suggest that the abrupt increase of the CRBP II gene expression in the chick duodenum around hatching may be related with RXRs and/or PPAR.


Assuntos
Galinhas/genética , Receptores Citoplasmáticos e Nucleares/genética , Receptores do Ácido Retinoico/genética , Proteínas de Ligação ao Retinol/genética , Fatores de Transcrição/genética , Animais , Animais Recém-Nascidos , Ácido Araquidônico/metabolismo , Sequência de Bases , Embrião de Galinha , Galinhas/crescimento & desenvolvimento , Galinhas/metabolismo , Clonagem Molecular , DNA Complementar/genética , Duodeno/efeitos dos fármacos , Duodeno/metabolismo , Regulação da Expressão Gênica no Desenvolvimento , Humanos , Mamíferos , Dados de Sequência Molecular , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Receptores X de Retinoides , Proteínas de Ligação ao Retinol/classificação , Proteínas Celulares de Ligação ao Retinol , Homologia de Sequência do Ácido Nucleico , Distribuição Tecidual , Tretinoína/metabolismo , Tretinoína/farmacologia
4.
J Nutr ; 127(9): 1752-7, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9278555

RESUMO

We examined the effect of dietary oils with different fatty acid compositions on the growth of visceral adipose tissue in rats. Rats were fed for 4 mo starting at weaning a basal diet containing (12 g/100 g diet) perilla oil rich in (n-3) polyunsaturated fatty acids (PUFA), safflower oil rich in (n-6) PUFA, olive oil rich in monounsaturated fatty acid, or beef tallow rich in saturated fatty acids. The amount of food consumed and body weight gain did not differ among the four dietary groups. The weight of the epididymal fat pad and the serum triglyceride concentration in perilla oil-fed rats were significantly lower (P < 0.05) than those of olive oil- and beef tallow-fed groups. The product of [(volume of individual adipocytes) x (number of adipocytes in epididymal fat pad)], which presumably represents total adipocyte volume in the fat pad, was significantly lower (P < 0.05) in perilla oil-fed rats than in beef tallow- and olive oil-fed groups. Expression of the late genes of adipocyte differentiation, peroxisome proliferator-activated receptor alpha, adipocyte P2 and adipsin, was significantly (P < 0. 05) down-regulated in epididymal fat tissue of rats that had been fed perilla oil rather than beef tallow or olive oil, whereas expression of the early gene, lipoprotein lipase, was not significantly affected. Greater levels (P < 0.05) of (n-3) PUFA in the membrane phospholipid fraction of the fat tissue were observed in perilla oil-fed rats than in the other dietary groups. These results suggest that perilla oil or (n-3) PUFA prevents excessive growth of adipose tissue in rats at least in part by suppressing the late phase of adipocyte differentiation.


Assuntos
Adipócitos/efeitos dos fármacos , Tecido Adiposo/crescimento & desenvolvimento , Anticarcinógenos/farmacologia , Regulação para Baixo/efeitos dos fármacos , Ácidos Graxos/farmacologia , Ácido alfa-Linolênico/farmacologia , Adipócitos/citologia , Tecido Adiposo/efeitos dos fármacos , Animais , Diferenciação Celular/efeitos dos fármacos , Gorduras na Dieta/administração & dosagem , Gorduras na Dieta/farmacologia , Masculino , Tamanho do Órgão/efeitos dos fármacos , Óleos de Plantas/farmacologia , Ratos , Ratos Sprague-Dawley
5.
Chem Pharm Bull (Tokyo) ; 45(12): 2016-23, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9433772

RESUMO

The nonsaponifiable lipids of camellia and sasanqua oils from the seeds of Camellia japonica L. and C. sasanqua THUNB., respectively, were investigated for their triterpene alcohol constituents. This led to the isolation of twenty-seven triterpene alcohols of which seven were novel naturally occurring compounds, tirucalla-5,7,24-trien-3 beta-ol (1), lemmaphylla-7,21-dien-3 beta-ol (2), isoeuphol (3), isotirucallol (4), (24R)-24,25-epoxybutyrospermol (5) and its 24S-epimer (6), and isoaglaiol (7). The structures were determined by spectroscopic and chemical methods. The inhibitory effects of 3, 4 a mixture of 5 and 6, a mixture of 7 and its 24S-epimer (aglaiol), and eight known triterpene alcohols isolated in this study were evaluated in ear inflammation in mice induced by 12-O-tetradecanoylphorbol-13-acetate (TPA). The 50% inhibitory dose of these triterpenes for TPA-induced inflammation (1 microgram per ear) was 0.2-0.9 mg/ear.


Assuntos
Anti-Inflamatórios/isolamento & purificação , Anti-Inflamatórios/farmacologia , Otopatias/tratamento farmacológico , Edema/tratamento farmacológico , Óleos de Plantas/química , Triterpenos/isolamento & purificação , Triterpenos/farmacologia , Álcoois/química , Álcoois/isolamento & purificação , Álcoois/farmacologia , Animais , Cromatografia Líquida de Alta Pressão , Otopatias/induzido quimicamente , Edema/induzido quimicamente , Lanosterol/análogos & derivados , Lanosterol/isolamento & purificação , Lanosterol/farmacologia , Espectroscopia de Ressonância Magnética , Camundongos , Sementes , Chá , Acetato de Tetradecanoilforbol , Triterpenos/química
6.
Phytomedicine ; 4(1): 15-22, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23195240

RESUMO

In an earlier placebo-controlled study, we demonstrated that a kampo (Japanese herbal) medicine called Choto-san (Diao-Teng-San in Chinese) was effective in treating vascular dementia. To evaluate its efficacy using more objective criteria, we carried out a multi-center, double-blind study of Choto-san extract (7.5 g/day) and a placebo, each given three times a day for 12 weeks to patients suffering from this condition. The study enrolled and analyzed 139 patients, 50 males and 89 females, with a mean age of 76.6 years. Choto-san was statistically superior to the placebo in global improvement rating, utility rating, global improvement rating of subjective symptoms, global improvement rating of psychiatric symptoms and global improvement rating of disturbance in daily living activities. Such items as spontaneity of conversation, lack of facial expression, decline in simple mathematical ability, global intellectual ability, nocturnal delirium, sleep disturbance, hallucination or delusion, and putting on and taking off clothes were significantly improved at one or more evaluation points in those taking Choto-san compared to those taking the placebo. Furthermore, the change in revised version of Hasegawa's dementia scale from the beginning point in Choto-san group was tended to be higher than that in placebo group with no statistical significance. These results suggest that Choto-san is effective in the treatment of vascular dementia.

7.
J Nutr ; 125(8): 2039-44, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7643237

RESUMO

We have shown that cellular retinol-binding protein, type II (CRBP II) mRNA and its protein levels are elevated in the jejunum of rats fed a diet rich in long-chain triacylglycerols. In the present study, we explored which types of fatty acids modulate CRBP II gene expression. Rats previously fed a low fat, high starch diet were force-fed a basal fat-free diet or the diet supplemented with 0.21 mol/L of various fatty acids (i.e., caprylic, palmitic, stearic, oleic, linoleic and alpha-linolenic acids). Force-feeding a diet containing linoleic acid produced an elevation of CRBP II mRNA levels in rats in both a dose-dependent (0.053-0.21 mol/L) and time-dependent (up to 6 h) manner. Among fatty acids tested, all unsaturated fatty acids (oleic, linoleic and alpha-linolenic acids) were able to enhance CRBP II mRNA levels by 54-63% within 6 h, whereas a medium-chain fatty acid (caprylic acid) and a saturated fatty acid (stearic acid) elicited little effect on the CRBP II mRNA levels; palmitic acid produced only a small elevation (16%) of the CRBP II mRNA level. Transcripts of both retinoid X receptor alpha and peroxisome proliferator-activated receptor (PPAR), which are thought to interact as a heterodimer with the cis-element located in the CRBP II promoter and to be activated by 9-cis retinoic acid and long-chain fatty acids, respectively, were constitutively expressed in the rat jejunum.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Ácidos Graxos Insaturados/farmacologia , Jejuno/efeitos dos fármacos , Proteínas de Ligação ao Retinol/genética , Animais , Dieta , Ácidos Graxos Insaturados/administração & dosagem , Regulação da Expressão Gênica/efeitos dos fármacos , Jejuno/metabolismo , Masculino , RNA Mensageiro/isolamento & purificação , Ratos , Ratos Wistar , Proteínas de Ligação ao Retinol/efeitos dos fármacos , Proteínas Celulares de Ligação ao Retinol
8.
Am J Physiol ; 268(6 Pt 1): G1066-73, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7611407

RESUMO

To explore the mechanisms by which jejunal lactase activity is modified by carbohydrate and/or fat intake, mRNA levels and the absolute synthesis rate of lactase-phlorizin hydrolase (LPH) were determined in 6-wk-old rats that were fed either low-starch diets containing long-chain triacylglycerol (LCT, 73% energy as corn oil) or medium-chain triacylglycerol (MCT, 66% energy as MCT, 7% energy as corn oil), or a high-starch diet (70% energy as cornstarch) for 7 days. LPH mRNA levels in the jejunum were similar between LCT-fed and MCT-fed rats, but animals fed the high-starch diet exhibited a greater (2x) LPH mRNA level than other groups. The absolute synthesis rate of LPH, estimated by the flooding dose technique using [3H]phenylalanine, was greater (2.4x) in rats fed the high-starch diet than in other groups. A short-term force-feeding experiment revealed that sucrose was able to evoke LPH mRNA levels within 12 h but that a nonmetabolizable sugar (alpha-methylglucoside) was unable to enhance it. By contrast, animals fed the high-LCT diet showed a lower (by 30%) lactase activity than rats fed the low-starch, high-MCT diet, which was accompanied by not only a reduction of immunoreactive LPH in brush-border membranes but also a reduction in lactase activity per unit weight of immunoreactive LPH. These results suggest that both gene expression and posttranslational events of LPH might be influenced by dietary manipulations; carbohydrate intake primarily increases LPH mRNA levels, and LCT accelerates inactivation and/or degradation of lactase.


Assuntos
Carboidratos da Dieta/farmacologia , Gorduras na Dieta/farmacologia , Regulação Enzimológica da Expressão Gênica , Mucosa Intestinal/enzimologia , beta-Galactosidase/biossíntese , Animais , Sequência de Bases , Northern Blotting , Clonagem Molecular , Óleo de Milho/farmacologia , Primers do DNA , Regulação Enzimológica da Expressão Gênica/efeitos dos fármacos , Humanos , Jejuno , Lactase , Masculino , Metilglucosídeos/farmacologia , Dados de Sequência Molecular , Fenilalanina/metabolismo , Reação em Cadeia da Polimerase , Biossíntese de Proteínas , RNA Mensageiro/análise , RNA Mensageiro/biossíntese , Ratos , Ratos Sprague-Dawley , Amido/farmacologia , Sacarose/farmacologia , Triglicerídeos/farmacologia
9.
Biochim Biophys Acta ; 1168(2): 153-7, 1993 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-8504149

RESUMO

Retinol absorbed and generated from beta-carotene requires to be esterified by lecithin-retinol acyltransferase (LRAT) in intestinal absorptive cells. To characterize developmental changes in retinol absorptive capability in intestine, we determined LRAT activity and the amount of its retinol donor, cellular retinol-binding protein, type two (CRBP(II)) in the duodenum of developing chicks. The LRAT activity in duodenal microsomes was very low at 18- and 20-day chick embryo, but exhibited a rapid (15-fold) increase during 48 h around hatching, which occurred in parallel with the abrupt elevation of the content of CRBP(II) in chick duodenum. To examine whether dietary vitamin A affects the developmental change in LRAT activity and CRBP(II) content, 1-day-old chicks were pair-fed vitamin A-depleted or vitamin A-supplemented diet for 14 days. The chicks fed vitamin A-depleted diet showed significantly reduced LRAT activity and CRBP(II) in duodenum as early as 3 days after the start of the vitamin A-depleted diet. Changing the diet from vitamin A-depleted to vitamin A-supplemented diet led to an increase in duodenal LRAT activity within 24 h, while serum retinol concentration remained unchanged. These results suggest that duodenal LRAT activity and CRBP(II) are modulated by dietary vitamin A during the perinatal period.


Assuntos
Aciltransferases/metabolismo , Duodeno/embriologia , Proteínas de Ligação ao Retinol/metabolismo , Vitamina A/farmacologia , Animais , Embrião de Galinha , Galinhas , Dieta , Duodeno/metabolismo , Ativação Enzimática/efeitos dos fármacos , Absorção Intestinal , Perinatologia , Proteínas Celulares de Ligação ao Retinol , Vitamina A/administração & dosagem , Vitamina A/sangue , Deficiência de Vitamina A/sangue , Deficiência de Vitamina A/metabolismo
10.
J Nutr ; 120(9): 969-76, 1990 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2398418

RESUMO

The effects of various types of dietary fat on brush border membrane-bound enzymes in rat intestinal mucosa were examined. Four groups of five rats were pair-fed defined diets for 10 d. The control group was fed a diet containing 57% sucrose and 2% corn oil as a fixed carbohydrate reference; the three experimental groups received diets containing 57% sucrose and 2% corn oil plus 13% fat in the form of medium-chain triglycerides (MCT) or long-chain triglycerides (LCT) (either lard as a highly saturated fat or corn oil as a highly unsaturated fat). Feeding LCT compared to the control diet, decreased sucrase activity in mucosal brush borders of the duodenum and jejunum. In these segments of MCT-fed rats, sucrase activity was similar to that in the control animals. In another experiment, measuring immunoreactive sucrase-isomaltase in jejunal brush border membranes revealed that feeding a high corn oil diet, but not a high MCT diet, led to a reduction in the sucrase catalytic activity per unit weight of enzyme protein, suggesting that the degradation status of sucrase-isomaltase might be altered by the different types of dietary fats. With MCT feeding, jejunal alkaline phosphatase activity was enhanced to a large extent compared to the activity in other groups. Feeding MCT, compared to lard or corn oil, also increased microvillus phospholipids of the jejunal mucosa. These results suggest that MCT, unlike LCT, do not suppress the activity of mucosal microvillus membrane enzymes in rat small intestine.


Assuntos
Gorduras na Dieta/farmacologia , Intestino Delgado/enzimologia , Triglicerídeos/farmacologia , Fosfatase Alcalina/metabolismo , Animais , Óleo de Milho/administração & dosagem , Duodeno/efeitos dos fármacos , Duodeno/enzimologia , Ingestão de Energia , Mucosa Intestinal/efeitos dos fármacos , Intestino Delgado/efeitos dos fármacos , Jejuno/efeitos dos fármacos , Jejuno/enzimologia , Masculino , Microvilosidades/efeitos dos fármacos , Microvilosidades/enzimologia , Oligo-1,6-Glucosidase/metabolismo , Tamanho do Órgão/efeitos dos fármacos , Fosfolipídeos/metabolismo , Ratos , Ratos Endogâmicos , Sacarase/metabolismo , Sacarose/administração & dosagem
11.
J Nutr Sci Vitaminol (Tokyo) ; 32(2): 219-27, 1986 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-3761045

RESUMO

This study was conducted to confirm that medium chain triglyceride (MCT) feeding itself would increase hepatic lipogenic enzyme activity without causing a lack of essential fatty acids (EFA) in the liver. Male weaning rats were fed for 11 weeks on diets containing 2% corn oil and 13% various fats: MCT, corn oil, tripalmitin or beef tallow, respectively. MCT feeding was clearly shown to increase the activities of fatty acid synthetase (FAS) and malic enzyme (ME) in the liver. Rats weighing 170 g were pair-fed for 7 days on diets containing 15% MCT, 13% MCT + 2% corn oil, 15% corn oil, and 2% corn oil and no fat (control groups), respectively, under a fixed level of carbohydrate (sucrose). The addition of 2% corn oil to MCT (13%) did not depress these enzyme activities, even though supplementing the fat-free diet with 2% corn oil resulted in a significant decline in the activities. When the rats received various amounts of MCT, the extent to which the degree of FAS and ME activities increased by MCT feeding depended on the amount of MCT in the dietary fat mixture with corn oil. Supplement of over 5% corn oil to MCT diets did not inhibit them sufficiently. In the liver lipids of animals fed MCT, there were no appearances of 20:3 omega 9 (5,8,11-eicosatrienoic acid), but the levels of mono-unsaturated fatty acids were increased by MCT feeding. The results suggest that MCT ingestion itself enhances lipogenic enzyme activity via some metabolic charge.


Assuntos
Gorduras na Dieta/farmacologia , Ácido Graxo Sintases/metabolismo , Fígado/enzimologia , Malato Desidrogenase/metabolismo , Triglicerídeos/farmacologia , Animais , Dieta , Gorduras na Dieta/administração & dosagem , Relação Dose-Resposta a Droga , Ácidos Graxos Insaturados/metabolismo , Ácido Linoleico , Ácidos Linoleicos/farmacologia , Metabolismo dos Lipídeos , Fígado/efeitos dos fármacos , Masculino , Ratos , Triglicerídeos/administração & dosagem
12.
Med Microbiol Immunol ; 173(2): 87-93, 1984.
Artigo em Inglês | MEDLINE | ID: mdl-6493135

RESUMO

Previous virological and immunological studies have suggested that multiple sclerosis (MS) is an auto-immune disease triggered by a virus infection. In order to inhibit the growth of measles virus in the patient's jejunum, we obtained an IgA-rich cow colostrum containing anti-measles lactoglobulin resistant to proteases. This colostrum was orally administered to patients with MS to investigate its effect on the course of the disease. Measles-positive antibody colostrum was orally administered every morning to 15 patients with MS at a daily dosage of 100 ml for 30 days. Similarly, measles-negative antibody (less than 8) control colostrum was orally administered to 5 patients. As a clinical assessment, disability scores developed by the International Federation of Multiple Sclerosis Societies were used. As a result, of 7 high NT titre (512-5120) anti-measles colostrum recipients 5 patients improved and 2 remained unchanged. Among 8 low NT titre (8-32) anti-measles colostrum recipients 5 patients improved and 3 remained unchanged. However, of 5 negative NT titre (less than 8) colostrum recipients 2 patients remained unchanged and 3 worsened. No side-effects were observed in colostrum recipients. These findings suggest the efficacy of orally administered anti-measles colostrum in improving the condition of MS patients (P less than 0.05).


Assuntos
Anticorpos Antivirais/administração & dosagem , Vírus do Sarampo/imunologia , Esclerose Múltipla/terapia , Adolescente , Adulto , Animais , Doenças Autoimunes/etiologia , Bovinos , Colostro/imunologia , Feminino , Humanos , Imunoterapia , Enteropatias/complicações , Masculino , Sarampo/complicações , Pessoa de Meia-Idade , Esclerose Múltipla/etiologia , Gravidez
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