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1.
Molecules ; 26(11)2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34071375

RESUMO

Milk and colostrum have high biological potential, and due to their natural origin and non-toxicity, they have many uses in cosmetics and dermatology. Research is ongoing on their potential application in other fields of medicine, but there are still few results; most of the published ones are included in this review. These natural products are especially rich in proteins, such as casein, ß-lactoglobulin, α-lactalbumin, lactoferrin, immunoglobulins, lactoperoxidase, lysozyme, and growth factors, and possess various antibacterial, antifungal, antiviral, anticancer, antioxidant, immunomodulatory properties, etc. This review describes the physico-chemical properties of milk and colostrum proteins and the natural functions they perform in the body and compares their composition between animal species (cows, goats, and sheep). The milk- and colostrum-based products can be used in dietary supplementation and for performing immunomodulatory functions; they can enhance the effects of certain drugs and can have a lethal effect on pathogenic microorganisms. Milk products are widely used in the treatment of dermatological diseases for promoting the healing of chronic wounds, hastening tissue regeneration, and the treatment of acne vulgaris or plaque psoriasis. They are also increasingly regarded as active ingredients that can improve the condition of the skin by reducing the number of acne lesions and blackheads, regulating sebum secretion, ameliorating inflammatory changes as well as bestowing a range of moisturizing, protective, toning, smoothing, anti-irritation, whitening, soothing, and antiaging effects.


Assuntos
Colostro/metabolismo , Cosméticos , Proteínas do Leite/química , Leite/metabolismo , Animais , Antibacterianos/farmacologia , Antifúngicos/farmacologia , Antineoplásicos/farmacologia , Antioxidantes/farmacologia , Antivirais/farmacologia , Caseínas/química , Dermatologia/métodos , Humanos , Imunoglobulinas/química , Fatores Imunológicos/farmacologia , Peptídeos e Proteínas de Sinalização Intercelular/química , Lactalbumina/química , Lactoferrina/química , Lactoglobulinas/química , Lactoperoxidase/química , Muramidase/química , Pele/efeitos dos fármacos , Especificidade da Espécie
2.
J Inorg Biochem ; 220: 111461, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33882424

RESUMO

Lactoperoxidase (LPO) is a mammalian heme peroxidase which catalyzes the conversion of thiocyanate (SCN¯) and iodide (I-) by hydrogen peroxide (H2O2) into antimicrobial hypothiocyanite (OSCN¯) and hypoiodite (IO-). The prosthetic heme group is covalently attached to LPO through two ester linkages involving conserved glutamate and aspartate residues. On the proximal side, His351 is coordinated to heme iron while His 109 is located in the substrate binding site on the distal heme side. We report here the first structure of the ternary complex of LPO with iodide (I-) and H2O2 at 1.77 Å resolution. LPO was crystallized with ammonium iodide and the crystals were soaked in the reservoir solution containing H2O2. Structure determination showed the presence of an iodide ion and a H2O2 molecule in the substrate binding site. The iodide ion occupied the position which is stabilized by the interactions with heme moiety, His109, Arg255 and Glu258 while H2O2 was held between the heme iron and His109. The presence of I- in the distal heme cavity seems to screen the positive charge of Arg255 thus suppressing the proton transfer from H2O2 to His109. This prevents compound I formation and allows trapping of a stable enzyme-substrate (LPO-I--H2O2) ternary complex. This stable geometrical arrangement of H2O2 in the distal heme cavity of LPO is similar to that of H2O2 in the structure of the transient intermediate of the palm tree heme peroxidase. The biochemical studies showed that the catalytic activity of LPO decreased when the samples of LPO were preincubated with ammonium iodide.


Assuntos
Peróxido de Hidrogênio/metabolismo , Iodetos/metabolismo , Lactoperoxidase/metabolismo , Animais , Sítios de Ligação , Bovinos , Colostro/enzimologia , Cristalografia por Raios X , Peróxido de Hidrogênio/química , Iodetos/química , Lactoperoxidase/química , Ligação Proteica , Estrutura Terciária de Proteína
3.
J Biol Inorg Chem ; 26(1): 149-159, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33427997

RESUMO

Lactoperoxidase, a heme-containing glycoprotein, catalyzes the oxidation of thiocyanate by hydrogen peroxide into hypothiocyanite which acts as an antibacterial agent. The prosthetic heme moiety is attached to the protein through two ester linkages via Glu258 and Asp108. In lactoperoxidase, the substrate-binding site is formed on the distal heme side. To study the effect of physiologically important potassium ion on the structure and function of lactoperoxidase, the fresh protein samples were isolated from yak (Bos grunniens) colostrum and purified to homogeneity. The biochemical studies with potassium fluoride showed a significant reduction in the catalytic activity. Lactoperoxidase was crystallized using 200 mM ammonium nitrate and 20% PEG-3350 at pH 6.0. The crystals of LPO were soaked in the solution of potassium fluoride and used for the X-ray intensity data collection. Structure determination at 2.20 Å resolution revealed the presence of a potassium ion in the distal heme cavity. Structure determination further revealed that the propionic chain attached to pyrrole ring C of the heme moiety, was disordered into two components each having an occupancy of 0.5. One component occupied a position similar to the normally observed position of propionic chain while the second component was found in the distal heme cavity. The potassium ion in the distal heme cavity formed five coordinate bonds with two oxygen atoms of propionic moiety, Nε2 atom of His109 and two oxygen atoms of water molecules. The presence of potassium ion in the distal heme cavity hampered the catalytic activity of lactoperoxidase.


Assuntos
Lactoperoxidase/metabolismo , Potássio/metabolismo , Animais , Sítios de Ligação , Biocatálise , Cálcio/química , Cálcio/metabolismo , Bovinos , Colostro/enzimologia , Cristalografia por Raios X , Heme/química , Heme/metabolismo , Peróxido de Hidrogênio/química , Peróxido de Hidrogênio/metabolismo , Lactoperoxidase/química , Potássio/química , Ligação Proteica
4.
Protein J ; 40(1): 8-18, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33389415

RESUMO

Lactoperoxidase (LPO) is a heme containing oxido-reductase enzyme. It is secreted from mammary, salivary, lachrymal and mucosal glands. It catalyses the conversion of thiocyanate into hypothiocyanate and halides into hypohalides. LPO belongs to the superfamily of mammalian heme peroxidases which also includes myeloperoxidase (MPO), eosinophil peroxidase (EPO) and thyroid peroxidase (TPO). The heme prosthetic group is covalently linked in LPO through two ester bonds involving conserved residues Glu258 and Asp108. It was isolated from colostrum of yak (Bos grunniens), purified to homogeneity and crystallized using ammonium iodide as a precipitating agent. The crystals belonged to monoclinic space group P21 with cell dimensions of a = 53.91 Å, b = 78.98 Å, c = 67.82 Å and ß = 92.96°. The structure was determined at 1.55 Å resolution. This is the first structure of LPO from yak. Also, this is the highest resolution structure of LPO determined so far from any source. The structure determination revealed that three segments (Ser1-Cys15), (Thr117-Asn138) and (Cys167-Leu175) were disordered and formed one surface of LPO structure. In the substrate binding site, the iodide ions were observed in three subsites which are formed by (1) heme moiety and residues, Gln105, Asp108, His109, Phe113, Arg255, Glu258, Phe380 and Phe381, (2) residues, Asn230, Lys232, Pro236, Cys248, Phe254, Phe381 and Pro424 and (3) residues, Ser198, Leu199 and Arg202. The structure determination also revealed that the side chain of Phe254 was disordered. It was observed to adopt two conformations in the structures of LPO.


Assuntos
Aminoácidos/química , Compostos de Amônio/química , Heme/química , Peróxido de Hidrogênio/química , Lactoperoxidase/química , Aminoácidos/metabolismo , Compostos de Amônio/metabolismo , Animais , Sítios de Ligação , Bovinos , Colostro/química , Cristalização , Cristalografia por Raios X , Feminino , Expressão Gênica , Heme/metabolismo , Peróxido de Hidrogênio/metabolismo , Lactoperoxidase/genética , Lactoperoxidase/metabolismo , Modelos Moleculares , Ligação Proteica , Conformação Proteica em alfa-Hélice , Conformação Proteica em Folha beta , Domínios e Motivos de Interação entre Proteínas , Especificidade por Substrato
5.
Pediatr Res ; 83(3): 687-692, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29166382

RESUMO

BackgroundHuman milk has a high content of the antimicrobial compound hydrogen peroxide (H2O2). As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H2O2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H2O2 generation and degradation in breastmilk.MethodsHuman donors' and rats' milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H2O2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk.ResultsBreast tissue xanthine oxidase is responsible for the H2O2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H2O2 content is pH-dependent and greatest in the acidic range. Complete H2O2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition.ConclusionFresh breastmilk H2O2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H2O2 content, when gavage-fed to preterm infants is warranted.


Assuntos
Peróxido de Hidrogênio/metabolismo , Fenômenos Fisiológicos da Nutrição do Lactente , Leite Humano/química , Animais , Mama/metabolismo , Catalase/química , Feminino , Humanos , Concentração de Íons de Hidrogênio , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Lactoperoxidase/química , Glândulas Mamárias Animais/metabolismo , Leite/química , Ocitocina/química , Ratos , Ratos Sprague-Dawley , Xantina Oxidase/química
6.
J Nat Prod ; 80(5): 1328-1338, 2017 05 26.
Artigo em Inglês | MEDLINE | ID: mdl-28368593

RESUMO

Several hydrolyzable tannins, proanthocyanidins, tannin derivatives, and a tannin-rich plant extract of tormentil rhizome were tested for their potential to regenerate the (pseudo-)halogenating activity, i.e., the oxidation of SCN- to hypothiocyanite -OSCN, of lactoperoxidase (LPO) after hydrogen peroxide-mediated enzyme inactivation. Measurements were performed using 5-thio-2-nitrobenzoic acid in the presence of tannins and related substances in order to determine kinetic parameters and to trace the LPO-mediated -OSCN formation. The results were combined with docking studies and molecular orbital analysis. The -OSCN-regenerating effect of tannin derivatives relates well with their binding properties toward LPO as well as their occupied molecular orbitals. Especially simple compounds like ellagic acid or methyl gallate and the complex plant extract were found as potent enzyme-regenerating compounds. As the (pseudo-)halogenating activity of LPO contributes to the maintenance of oral bacterial homeostasis, the results provide new insights into the antibacterial mode of action of tannins and related compounds. Furthermore, chemical properties of the tested compounds that are important for efficient enzyme-substrate interaction and regeneration of the -OSCN formation by LPO were identified.


Assuntos
Peróxido de Hidrogênio/metabolismo , Taninos Hidrolisáveis/isolamento & purificação , Lactoperoxidase/metabolismo , Nitrobenzoatos/isolamento & purificação , Extratos Vegetais/isolamento & purificação , Proantocianidinas/isolamento & purificação , Rizoma/metabolismo , Compostos de Sulfidrila/isolamento & purificação , Taninos/isolamento & purificação , Tiocianatos/isolamento & purificação , Halogenação , Peróxido de Hidrogênio/química , Taninos Hidrolisáveis/química , Cinética , Lactoperoxidase/química , Estrutura Molecular , Nitrobenzoatos/química , Oxirredução , Extratos Vegetais/química , Proantocianidinas/química , Compostos de Sulfidrila/química , Taninos/química , Tiocianatos/química
7.
Appl Biochem Biotechnol ; 182(1): 294-310, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27854033

RESUMO

Lactoperoxidase is a milk hemoprotein that acts as a non-immunoglobulin protective protein and shows strong antimicrobial activity. Bovine milk contains about 15 and 7 times higher levels of lactoperoxidase than human colustrum and camel milk, respectively. Human, bovine, and camel lactoperoxidases (hLPO, bLPO, and cLPO, respectively) were purified as homogeneous samples with specific activities of 4.2, 61.3, and 8.7 u/mg, respectively. The optimal working pH was 7.5 (hLPO and bLPO) and 6.5 (cLPO), whereas the optimal working temperature for these proteins was 40 °C. The K m of hLPO, cLPO, and bLPO were 17, 16, and 19 mM, and their corresponding V max values were 2, 1.7, and 2.7 µmol/min ml. However, in the presence of H2O2, the K m values were 11 mM for hLPO and cLPO and 20 mM for bLPO, while the corresponding V max values were 1.17 for hLPO and 1.4 µmol/min ml for cLPO and bLPO. All three proteins were able to inhibit the herpes simplex virus type 1 (HSV-1) in Vero cell line model. The relative antiviral activities were proportional to the protein concentrations. The highest anti-HSV-1 activity was exhibited by bLPO that inhibited the HSV particles at a concentration of 0.5 mg/ml with the relative activity of 100%.


Assuntos
Antivirais/farmacologia , Colostro/química , Guaiacol/química , Herpesvirus Humano 1/efeitos dos fármacos , Lactoperoxidase/farmacologia , Leite/química , Animais , Antivirais/química , Antivirais/isolamento & purificação , Camelus , Bovinos , Chlorocebus aethiops , Herpesvirus Humano 1/crescimento & desenvolvimento , Humanos , Peróxido de Hidrogênio/química , Concentração de Íons de Hidrogênio , Cinética , Lactoperoxidase/química , Lactoperoxidase/isolamento & purificação , Testes de Sensibilidade Microbiana , Temperatura , Células Vero
8.
Food Chem ; 151: 79-85, 2014 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-24423505

RESUMO

Human milk, and particularly human colostrum, is the gold standard for newborn nourishment. Colostrum contains the highest concentration of immune factors, being the most potent immune booster known to science. In this work, we investigated Holder pasteurisation and high-pressure processing (HPP) effects on colostral IgA, IgM, IgG, lysozyme and lactoperoxidase. The amount of Igs was significantly decreased after Holder pasteurisation (20%, 51% and 23% for IgA, IgM and IgG, respectively), but fully preserved after HPP at 200 and 400 MPa. HPP at 600 MPa for 2.5 min resulted in the maintenance of IgA and losses of IgM and IgG (21% for both). The pressure treatments at 600 MPa for 15 and 30 min led to similar or higher losses than pasteurisation. D-values (min) for Igs ranged from 4941 to 452 at 400 MPa and from 235 to 40 at 600 MPa. Lysozyme activity was lost after pasteurisation (decreased 44%) and maintained after HPP. Lactoperoxidase activity was not detected. As far as the authors are aware, this is the first study evaluating HPP effects on human colostrum.


Assuntos
Colostro/química , Imunoglobulinas/química , Lactoperoxidase/química , Muramidase/química , Pasteurização/métodos , Feminino , Humanos , Recém-Nascido , Leite Humano , Gravidez
9.
Gerodontology ; 31(1): 34-41, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22888808

RESUMO

OBJECTIVE: To investigate the viscosity of yam tuber mucilage (YTM) and its effects on lysozyme and peroxidase activities in solution phase and on surface phase. METHODS: Two kinds of YTM were extracted, one containing both protein and carbohydrate and the other containing mainly carbohydrate. Hen egg-white lysozyme and bovine lactoperoxidase were used as lysozyme and peroxidase sources, respectively. Viscosity was measured with a cone-and-plate digital viscometer. Lysozyme activity was determined using the turbidimetric method, and peroxidase activity was determined using the NbsSCN assay. Hydroxyapatite beads were used as a solid phase. RESULTS: The viscosity values of YTM followed a pattern of a non-Newtonian fluid. The carbohydrate concentration affected the viscosity values at all shear rates, while the protein concentration affected the viscosity values at low shear rates. It could be suggested that YTM composed of 1.0 mg/ml protein and 1.0 mg/ml carbohydrate has viscosity values similar to those of unstimulated whole saliva at shear rates present at routine oral functions. Hydroxyapatite-adsorbed YTM significantly increased the adsorption and subsequent enzymatic activities of lysozyme, but not those of peroxidase. CONCLUSIONS: Yam tuber mucilage has viscoelastic properties similar to those of human saliva and enhances the enzymatic activity of lysozyme on hydroxyapatite surfaces.


Assuntos
Dioscorea , Lactoperoxidase/química , Muramidase/química , Mucilagem Vegetal/química , Tubérculos , Saliva Artificial/química , Animais , Anti-Infecciosos/farmacologia , Carboidratos/química , Bovinos , Durapatita/química , Proteínas do Ovo/química , Elasticidade , Humanos , Micrococcus/efeitos dos fármacos , Muramidase/farmacologia , Extratos Vegetais/química , Proteínas/química , Viscosidade
10.
J Food Sci ; 78(2): R129-37, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23330802

RESUMO

UNLABELLED: Whey is a value-added product that is utilized in many food and beverage applications for its nutritional and functional properties. Whey and whey products are generally utilized in dried ingredient applications. One of the primary sources of whey is from colored Cheddar cheese manufacture that contains the pigment annatto resulting in a characteristic yellow colored Cheddar cheese. The colorant is also present in the liquid cheese whey and must be bleached so that it can be used in ingredient applications without imparting a color. Hydrogen peroxide and benzoyl peroxide are 2 commercially approved chemical bleaching agents for liquid whey. Concerns regarding bleaching efficacy, off-flavor development, and functionality changes have been previously reported for whey bleached with hydrogen peroxide and benzoyl peroxide. It is very important for the dairy industry to understand how bleaching can impact flavor and functionality of dried ingredients. Currently, the precise mechanisms of off-flavor development and functionality changes are not entirely understood. Iron reactions in a bleached liquid whey system may play a key role. Reactions between iron and hydrogen peroxide have been widely studied since the reaction between these 2 relatively stable species can cause great destruction in biological and chemical systems. The actual mechanism of the reaction of iron with hydrogen peroxide has been a controversy in the chemistry and biological community. The precise mechanism for a given reaction can vary greatly based upon the concentration of reactants, temperature, pH, and addition of biological material. In this review, some hypotheses for the mechanisms of iron reactions that may occur in fluid whey that may impact bleaching efficacy, off-flavor development, and changes in functionality are presented. PRACTICAL APPLICATION: Cheese whey is bleached to remove residual carotenoid cheese colorant. Concerns regarding bleaching efficacy, off-flavor development, and functionality changes have been reported for whey proteins bleached with hydrogen peroxide and benzoyl peroxide. It is very important for the dairy industry to understand how whey bleaching can impact flavor and functionality of dried ingredients. Proposed mechanisms of off-flavor development and functionality changes are discussed in this hypothesis paper.


Assuntos
Clareadores/química , Laticínios/análise , Manipulação de Alimentos/métodos , Peróxido de Hidrogênio/química , Ferro/química , Peróxido de Benzoíla/química , Bixaceae , Carotenoides/análise , Queijo/análise , Cor , Ferro/análise , Lactoperoxidase/análise , Lactoperoxidase/química , Metaloproteínas/análise , Metaloproteínas/química , Proteínas do Leite/química , Extratos Vegetais/análise , Paladar , Proteínas do Soro do Leite
11.
Int J Environ Res Public Health ; 8(9): 3764-76, 2011 09.
Artigo em Inglês | MEDLINE | ID: mdl-22016715

RESUMO

In this work, simultaneous isolation of lactoferrin (Lf) and lactoperoxidase (Lp) from defatted bovine colostrum by one-step cation exchange chromatography with SPEC 70 SLS ion-exchange resin was investigated. A RP-HPLC method for Lf and Lp determination was developed and optimized as the following conditions: detection wavelength of 220 nm, flow rate of 1 mL/min and acetonitrile concentration from 25% to 75% within 20 min. The adsorption process of Lf on SPEC 70 SLS resin was optimized using Lf standard as substrate. The maximum static binding capacity of SPEC 70 SLS resin was of 22.0 mg/g resin at 15 °C, pH 7.0 and adsorption time 3 h. The Lf adsorption process could be well described by the Langmuir adsorption isotherm model, with a maximum adsorption capacity of 21.73 mg/g resin at 15 °C. In batch fractionation of defatted colostrum, the binding capacities of SPEC 70 SLS resin for adsorbing Lf and Lp simultaneously under the abovementioned conditions were 7.60 and 6.89 mg/g resin, respectively, both of which were superior to those of CM Sepharose F.F. or SP Sepharose F.F. resins under the same conditions. As a result, SPEC 70 SLS resin was considered as a successful candidate for direct and economic purification of Lf and Lp from defatted colostrum.


Assuntos
Resinas de Troca de Cátion/química , Colostro/química , Lactoferrina/isolamento & purificação , Lactoperoxidase/isolamento & purificação , Adsorção , Animais , Bovinos , Cromatografia Líquida de Alta Pressão , Eletroforese em Gel de Poliacrilamida , Feminino , Concentração de Íons de Hidrogênio , Lactoferrina/química , Lactoperoxidase/química
12.
Anal Sci ; 22(1): 73-6, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16429776

RESUMO

A sequential injection analysis (SIA) with chemiluminescence (CL) detection was developed for the measurement of antioxidative activity against singlet oxygen ((1)O2). Lactoperoxidase-hydrogen peroxide-bromide ion system was used for the generation of (1)O2. When a 100 mM sodium acetate buffer (pH 4.5) was used as a carrier solution, the SIA-CL system could be optimized with respect to the flow-rate of the carrier, concentration of reagents and their aspiration order. The antioxidative activity was expressed as an attenuation of luminol CL due to the quenching of (1)O2 by an antioxidant. The relative standard deviations of antioxidative activity (n=3) against (1)O2 for within- and between-day analyses were < or = 1.6% (20 microM Trolox). The system was successfully applied to the assay of antioxidative activities of various antioxidants including vitamin supplements at a rate of 10 samples within 15 min. The proposed SIA-CL system was rapid and reproducible with minimum consumption of the sample and of reagents, and thus was useful for the screening of compounds possessing antioxidative activity against (1)O2.


Assuntos
Antioxidantes/análise , Medições Luminescentes/instrumentação , Medições Luminescentes/métodos , Oxigênio Singlete/análise , Ácido Ascórbico/análise , Brometos/química , Cromanos/análise , Análise de Injeção de Fluxo/instrumentação , Análise de Injeção de Fluxo/métodos , Peróxido de Hidrogênio/química , Lactoperoxidase/química , Luminol/química , Sensibilidade e Especificidade , Azida Sódica/análise , Vitamina E/análise
13.
Br J Nutr ; 84 Suppl 1: S19-25, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11242442

RESUMO

Lactoperoxidase (LP) is one of the most prominent enzymes in bovine milk and catalyses the inactivation of a wide range of micro-organisms in the lactoperoxidase system (LP-s). LP-systems are also identified as natural antimicrobial systems in human secretions such as saliva, tear-fluid and milk and are found to be harmless to mammalian cells. The detailed molecular structure of LP is identified and the major products generated by the LP-s and their antimicrobial action have been elucidated for the greater part. In this paper several aspects of bovine LP and LP-s are discussed, including physico-chemical properties, occurrence in milk and colostrum and mechanisms of action. Since the introduction of industrial processes for the isolation of LP from milk and whey the interest in this enzyme has increased considerably and attention will be paid to potential and actual applications of LP-systems as biopreservatives in food and other products.


Assuntos
Antibacterianos , Lactoperoxidase/fisiologia , Leite/enzimologia , Adulto , Animais , Antibacterianos/sangue , Antibacterianos/química , Produtos Biológicos/uso terapêutico , Bovinos , Colostro/enzimologia , Cosméticos , Feminino , Conservação de Alimentos/métodos , Infecções por Bactérias Gram-Negativas/prevenção & controle , Humanos , Lactente , Recém-Nascido , Lactoperoxidase/sangue , Lactoperoxidase/química , Soluções Oftálmicas , Gravidez , Cicatrização
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