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1.
Cell ; 182(3): 641-654.e20, 2020 08 06.
Artículo en Inglés | MEDLINE | ID: mdl-32615085

RESUMEN

Targeting glycolysis has been considered therapeutically intractable owing to its essential housekeeping role. However, the context-dependent requirement for individual glycolytic steps has not been fully explored. We show that CRISPR-mediated targeting of glycolysis in T cells in mice results in global loss of Th17 cells, whereas deficiency of the glycolytic enzyme glucose phosphate isomerase (Gpi1) selectively eliminates inflammatory encephalitogenic and colitogenic Th17 cells, without substantially affecting homeostatic microbiota-specific Th17 cells. In homeostatic Th17 cells, partial blockade of glycolysis upon Gpi1 inactivation was compensated by pentose phosphate pathway flux and increased mitochondrial respiration. In contrast, inflammatory Th17 cells experience a hypoxic microenvironment known to limit mitochondrial respiration, which is incompatible with loss of Gpi1. Our study suggests that inhibiting glycolysis by targeting Gpi1 could be an effective therapeutic strategy with minimum toxicity for Th17-mediated autoimmune diseases, and, more generally, that metabolic redundancies can be exploited for selective targeting of disease processes.


Asunto(s)
Diferenciación Celular/inmunología , Encefalomielitis Autoinmune Experimental/inmunología , Glucosa-6-Fosfato Isomerasa/metabolismo , Glucólisis/genética , Fosforilación Oxidativa , Vía de Pentosa Fosfato/fisiología , Células Th17/metabolismo , Animales , Hipoxia de la Célula/genética , Hipoxia de la Célula/inmunología , Quimera/genética , Cromatografía de Gases , Cromatografía Liquida , Infecciones por Clostridium/inmunología , Citocinas/deficiencia , Citocinas/genética , Citocinas/metabolismo , Encefalomielitis Autoinmune Experimental/genética , Encefalomielitis Autoinmune Experimental/metabolismo , Glucosa-6-Fosfato Isomerasa/genética , Gliceraldehído-3-Fosfato Deshidrogenasa (Fosforilante)/genética , Gliceraldehído-3-Fosfato Deshidrogenasa (Fosforilante)/metabolismo , Glucólisis/inmunología , Homeostasis/genética , Homeostasis/inmunología , Inflamación/genética , Inflamación/inmunología , Espectrometría de Masas , Ratones , Ratones Endogámicos C57BL , Mitocondrias/metabolismo , Membrana Mucosa/inmunología , Membrana Mucosa/metabolismo , Membrana Mucosa/microbiología , Vía de Pentosa Fosfato/genética , Vía de Pentosa Fosfato/inmunología , RNA-Seq , Análisis de la Célula Individual , Células Th17/inmunología , Células Th17/patología
2.
Cell ; 180(1): 79-91.e16, 2020 01 09.
Artículo en Inglés | MEDLINE | ID: mdl-31866067

RESUMEN

Lymphoid cells that produce interleukin (IL)-17 cytokines protect barrier tissues from pathogenic microbes but are also prominent effectors of inflammation and autoimmune disease. T helper 17 (Th17) cells, defined by RORγt-dependent production of IL-17A and IL-17F, exert homeostatic functions in the gut upon microbiota-directed differentiation from naive CD4+ T cells. In the non-pathogenic setting, their cytokine production is regulated by serum amyloid A proteins (SAA1 and SAA2) secreted by adjacent intestinal epithelial cells. However, Th17 cell behaviors vary markedly according to their environment. Here, we show that SAAs additionally direct a pathogenic pro-inflammatory Th17 cell differentiation program, acting directly on T cells in collaboration with STAT3-activating cytokines. Using loss- and gain-of-function mouse models, we show that SAA1, SAA2, and SAA3 have distinct systemic and local functions in promoting Th17-mediated inflammatory diseases. These studies suggest that T cell signaling pathways modulated by the SAAs may be attractive targets for anti-inflammatory therapies.


Asunto(s)
Síndrome del Colon Irritable/metabolismo , Proteína Amiloide A Sérica/metabolismo , Células Th17/metabolismo , Adulto , Animales , Enfermedades Autoinmunes/metabolismo , Diferenciación Celular/inmunología , Citocinas/metabolismo , Encefalomielitis Autoinmune Experimental/metabolismo , Femenino , Humanos , Inflamación/metabolismo , Interleucina-17/metabolismo , Síndrome del Colon Irritable/sangre , Masculino , Ratones , Ratones Endogámicos C57BL , Miembro 3 del Grupo F de la Subfamilia 1 de Receptores Nucleares/metabolismo , Células TH1 , Células Th17/inmunología
4.
Mol Psychiatry ; 26(10): 5620-5635, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-32792660

RESUMEN

Amyloid-ß peptide (Aß) accumulation in the brain is a hallmark of Alzheimer's Disease. An important mechanism of Aß clearance in the brain is uptake and degradation by microglia. Presenilin 1 (PS1) is the catalytic subunit of γ-secretase, an enzyme complex responsible for the maturation of multiple substrates, such as Aß. Although PS1 has been extensively studied in neurons, the role of PS1 in microglia is incompletely understood. Here we report that microglia containing phospho-deficient mutant PS1 display a slower kinetic response to micro injury in the brain in vivo and the inability to degrade Aß oligomers due to a phagolysosome dysfunction. An Alzheimer's mouse model containing phospho-deficient PS1 show severe Aß accumulation in microglia as well as the postsynaptic protein PSD95. Our results demonstrate a novel mechanism by which PS1 modulates microglial function and contributes to Alzheimer's -associated phenotypes.


Asunto(s)
Enfermedad de Alzheimer , Microglía , Enfermedad de Alzheimer/genética , Secretasas de la Proteína Precursora del Amiloide/metabolismo , Péptidos beta-Amiloides/metabolismo , Precursor de Proteína beta-Amiloide/metabolismo , Animales , Ratones , Microglía/metabolismo , Fosforilación , Presenilina-1/genética , Presenilina-1/metabolismo
5.
Sci Immunol ; 9(94): eadd1967, 2024 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-38608039

RESUMEN

Resident tissue macrophages (RTMs) encompass a highly diverse set of cells abundantly present in every tissue and organ. RTMs are recognized as central players in innate immune responses, and more recently their importance beyond host defense has started to be highlighted. Despite sharing a universal name and several canonical markers, RTMs perform remarkably specialized activities tailored to sustain critical homeostatic functions of the organs they reside in. These cells can mediate neuronal communication, participate in metabolic pathways, and secrete growth factors. In this Review, we summarize how the division of labor among different RTM subsets helps support tissue homeostasis. We discuss how the local microenvironment influences the development of RTMs, the molecular processes they support, and how dysregulation of RTMs can lead to disease. Last, we highlight both the similarities and tissue-specific distinctions of key RTM subsets, aiming to coalesce recent classifications and perspectives into a unified view.


Asunto(s)
Inmunidad Innata , Macrófagos , Homeostasis
6.
Curr Opin Organ Transplant ; 18(1): 13-21, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23254702

RESUMEN

PURPOSE OF REVIEW: To discuss the B-cell diverse functions in organ transplantation, highlighting the emerging debate on the role of regulatory B cells (Bregs). We underscore the need to re-examine and integrate data on B-cell functional activities, aiming to discriminate their regulatory (REG) and inflammatory (INFLAMMA) functions and to translate this knowledge for the development of novel immunomodulatory therapeutic strategies and to rethink the current ones. RECENT FINDINGS: Data from both experimental models and clinical trials point that B cells of various phenotypes have immunoregulatory activity and play an important role in controlling graft inflammation. Data on the state of operational tolerance, in kidney transplantation, suggest the relevance of preserving a healthy B-cell compartment - in numbers and in the Breg capacity to activate the CD40/STAT3 signalling pathway - for achieving and maintaining homeostasis. Moreover, autoantibodies also comprise transplant immunobiology and it seems that not all alloantibodies are deleterious. SUMMARY: The role of B cells, in organ transplantation, can no longer be taken as mere generators of plasma cells, which produce alloantibodies deleterious to the graft. B cells also seem to integrate a complex immunoregulatory network in organ transplantation, with Bregs of various phenotypes and possibly also antibodies. The functional discrimination of REG/INFLAMMA B-cell roles needs to be considered in the clinical setting.


Asunto(s)
Linfocitos B/inmunología , Rechazo de Injerto/inmunología , Inmunidad Celular/inmunología , Inmunología del Trasplante/inmunología , Tolerancia al Trasplante/inmunología , Animales , Anticuerpos Monoclonales Humanizados/inmunología , Anticuerpos Monoclonales Humanizados/uso terapéutico , Linfocitos B/citología , Linfocitos B Reguladores/citología , Linfocitos B Reguladores/inmunología , Movimiento Celular/inmunología , Rechazo de Injerto/prevención & control , Humanos , Inflamación/inmunología , Isoanticuerpos/inmunología , Trasplante de Riñón/inmunología , Fenotipo
7.
Sci Data ; 8(1): 278, 2021 10 28.
Artículo en Inglés | MEDLINE | ID: mdl-34711861

RESUMEN

In the adult mammalian brain, Gli1 expressing neural stem cells reside in the subventricular zone and their progeny are recruited to sites of demyelination in the white matter where they generate new oligodendrocytes, the myelin forming cells. Remarkably, genetic loss or pharmacologic inhibition of Gli1 enhances the efficacy of remyelination by these neural stem cells. To understand the molecular mechanisms involved, we performed a transcriptomic analysis of this Gli1-pool of neural stem cells. We compared murine NSCs with either intact or deficient Gli1 expression from adult mice on a control diet or on a cuprizone diet which induces widespread demyelination. These data will be a valuable resource for identifying therapeutic targets for enhancing remyelination in demyelinating diseases like multiple sclerosis.


Asunto(s)
Enfermedades Desmielinizantes/genética , Células-Madre Neurales/citología , Transcriptoma , Proteína con Dedos de Zinc GLI1/genética , Animales , Cuprizona , Ratones , Oligodendroglía/citología
9.
Nat Commun ; 11(1): 1784, 2020 04 14.
Artículo en Inglés | MEDLINE | ID: mdl-32286307

RESUMEN

Dysregulated immunity has been implicated in the pathogenesis of neurodevelopmental disorders but its contribution to synaptic and behavioral deficits in Rett syndrome (RTT) remains unknown. P2X7 receptors (P2X7Rs) are unique purinergic receptors with pro-inflammatory functions. Here, we report in a MECP2-deficient mouse model of RTT that the border of the cerebral cortex exhibits increased number of inflammatory myeloid cells expressing cell-surface P2X7Rs. Total knockout of P2X7Rs in MECP2 deficient mice decreases the number of inflammatory myeloid cells, restores cortical dendritic spine dynamics, and improves the animals' neurological function and social behavior. Furthermore, either genetic depletion of P2X7Rs in bone-marrow derived leukocytes or pharmacological block of P2X7Rs primarily outside of the central nervous system parenchyma, recapitulates the beneficial effects of total P2X7R depletion on the social behavior. Together, our results highlight the pathophysiological roles of P2X7Rs in a mouse model of RTT.


Asunto(s)
Espinas Dendríticas/efectos de los fármacos , Espinas Dendríticas/metabolismo , Receptores Purinérgicos P2X7/metabolismo , Síndrome de Rett/tratamiento farmacológico , Síndrome de Rett/metabolismo , Animales , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Modelos Animales de Enfermedad , Citometría de Flujo , Masculino , Ratones , Ratones Noqueados , Antagonistas del Receptor Purinérgico P2X/farmacología , Antagonistas del Receptor Purinérgico P2X/uso terapéutico , Colorantes de Rosanilina/farmacología
10.
J Exp Med ; 216(4): 786-806, 2019 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-30862706

RESUMEN

Tissue-resident macrophages are the most abundant immune cell population in healthy adipose tissue. Adipose tissue macrophages (ATMs) change during metabolic stress and are thought to contribute to metabolic syndrome. Here, we studied ATM subpopulations in steady state and in response to nutritional and infectious challenges. We found that tissue-resident macrophages from healthy epididymal white adipose tissue (eWAT) tightly associate with blood vessels, displaying very high endocytic capacity. We refer to these cells as vasculature-associated ATMs (VAMs). Chronic high-fat diet (HFD) results in the accumulation of a monocyte-derived CD11c+CD64+ double-positive (DP) macrophage eWAT population with a predominant anti-inflammatory/detoxifying gene profile, but reduced endocytic function. In contrast, fasting rapidly and reversibly leads to VAM depletion, while acute inflammatory stress induced by pathogens transiently depletes VAMs and simultaneously boosts DP macrophage accumulation. Our results indicate that ATM populations dynamically adapt to metabolic stress and inflammation, suggesting an important role for these cells in maintaining tissue homeostasis.


Asunto(s)
Tejido Adiposo Blanco/metabolismo , Vasos Sanguíneos/metabolismo , Ayuno/metabolismo , Macrófagos/metabolismo , Infecciones por Salmonella/metabolismo , Estrés Fisiológico/fisiología , Adipocitos/metabolismo , Animales , Antígenos CD11/metabolismo , Dieta Alta en Grasa , Homeostasis/fisiología , Inflamación/inducido químicamente , Inflamación/microbiología , Lipopolisacáridos/farmacología , Masculino , Ratones , Ratones Endogámicos C57BL , Obesidad/metabolismo , Receptores de IgG/metabolismo , Infecciones por Salmonella/microbiología , Salmonella enterica/metabolismo
11.
Nat Med ; 23(6): 714-722, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28504723

RESUMEN

Impaired learning and cognitive function often occurs during systemic infection or inflammation. Although activation of the innate immune system has been linked to the behavioral and cognitive effects that are associated with infection, the underlying mechanisms remain poorly understood. Here we mimicked viral immune activation with poly(I:C), a synthetic analog of double-stranded RNA, and longitudinally imaged postsynaptic dendritic spines of layer V pyramidal neurons in the mouse primary motor cortex using two-photon microscopy. We found that peripheral immune activation caused dendritic spine loss, impairments in learning-dependent dendritic spine formation and deficits in multiple learning tasks in mice. These observed synaptic alterations in the cortex were mediated by peripheral-monocyte-derived cells and did not require microglial function in the central nervous system. Furthermore, activation of CX3CR1highLy6Clow monocytes impaired motor learning and learning-related dendritic spine plasticity through tumor necrosis factor (TNF)-α-dependent mechanisms. Taken together, our results highlight CX3CR1high monocytes and TNF-α as potential therapeutic targets for preventing infection-induced cognitive dysfunction.


Asunto(s)
Conducta Animal , Espinas Dendríticas/inmunología , Aprendizaje , Monocitos/inmunología , Corteza Motora/inmunología , Plasticidad Neuronal/inmunología , Células Piramidales/inmunología , Factor de Necrosis Tumoral alfa/inmunología , Animales , Receptor 1 de Quimiocinas CX3C , Espinas Dendríticas/patología , Ensayo de Inmunoadsorción Enzimática , Citometría de Flujo , Inmunohistoquímica , Microscopía Intravital , Ratones , Microscopía , Poli I-C , Polinucleótidos/farmacología , Células Piramidales/patología , Receptores de Quimiocina/metabolismo
12.
Sci Rep ; 7(1): 874, 2017 04 13.
Artículo en Inglés | MEDLINE | ID: mdl-28408751

RESUMEN

The mechanisms underlying mesenchymal stem cells' (MSC) suppressive potency are largely unknown. We here show that highly suppressive human adipose tissue-derived MSC (AdMSC) display and induce a differential immunologic profile, upon ongoing AdMSC suppressive activity, promoting: (i) early correlated inhibition of IFN-γ and TNF-α production, along IL-10 increase, (ii) CD73+Foxp3+Treg subset expansion, and (iii) specific correlations between gene expression increases, such as: MMP9 correlated with CCL22, TNF, FASL, RUNX3, and SEMAD4 in AdMSC and, in T cells, MMP9 upregulation correlated with CCR4, IL4 and TBX21, among others, whereas MMP2 correlated with BCL2 and LRRC31. MMP9 emerged as an integrating molecule for both AdMSC and T cells in molecular networks built with our gene expression data, and we confirmed upregulation of MMP9 and MMP2 at the protein level, in AdMSC and T cells, respectively. MMP2/9 inhibition significantly decreased AdMSC suppressive effect, confirming their important role in suppressive acitivity. We conclude that MMP9 and 2 are robust new players involved in human MSC immunoregulatory mechanisms, and the higher suppressive activity correlates to their capacity to trigger a coordinated action of multiple specific molecules, mobilizing various immunoregulatory mechanisms.


Asunto(s)
Redes Reguladoras de Genes , Metaloproteinasa 9 de la Matriz/metabolismo , Células Madre Mesenquimatosas/citología , Linfocitos T Reguladores/citología , Adulto , Anciano , Proliferación Celular , Células Cultivadas , Femenino , Humanos , Masculino , Metaloproteinasa 2 de la Matriz/metabolismo , Células Madre Mesenquimatosas/metabolismo , Persona de Mediana Edad , Linfocitos T Reguladores/metabolismo
13.
Nat Commun ; 7: 10562, 2016 Feb 29.
Artículo en Inglés | MEDLINE | ID: mdl-26923114

RESUMEN

Regulatory T-cell (Treg) selection in the thymus is essential to prevent autoimmune diseases. Although important rules for Treg selection have been established, there is controversy regarding the degree of self-reactivity displayed by T-cell receptors expressed by Treg cells. In this study we have developed a model of autoimmune skin inflammation, to determine key parameters in the generation of skin-reactive Treg cells in the thymus (tTreg). tTreg development is predominantly AIRE dependent, with an AIRE-independent component. Without the knowledge of antigen recognized by skin-reactive Treg cells, we are able to enhance skin-specific tTreg cell generation using three approaches. First, we increase medullary thymic epithelial cells by using mice lacking osteoprotegerin or by adding TRANCE (RANKL, Tnfsf11). Second, we inject intrathymically peripheral dendritic cells from skin-draining sites. Finally, we inject skin tissue lysates intrathymically. These findings have implications for enhancing the generation of organ-specific Treg cells in autoimmune diseases.


Asunto(s)
Presentación de Antígeno/inmunología , Enfermedades Autoinmunes/inmunología , Dermatitis/inmunología , Modelos Animales de Enfermedad , Ratones , Receptores de Antígenos de Linfocitos T/inmunología , Linfocitos T Reguladores/inmunología , Timo/inmunología , Animales , Autoinmunidad/inmunología , Quimera , Células Dendríticas/inmunología , Dermis/citología , Dermis/inmunología , Células Epidérmicas , Epidermis/inmunología , Citometría de Flujo , Factores de Transcripción Forkhead/inmunología , Ratones Noqueados , Ratones Transgénicos , Técnicas de Cultivo de Órganos , Osteoprotegerina/genética , Ligando RANK/genética , Ligando RANK/inmunología , Receptores de Antígenos de Linfocitos T/genética , Autotolerancia/inmunología , Factores de Transcripción/genética , Factores de Transcripción/inmunología , Proteína AIRE
14.
Sci. Rep. ; 7: 874, 2017.
Artículo en Inglés | SES-SP, SES SP - Instituto Butantan, SES-SP | ID: but-ib15331

RESUMEN

The mechanisms underlying mesenchymal stem cells' (MSC) suppressive potency are largely unknown. We here show that highly suppressive human adipose tissue-derived MSC (AdMSC) display and induce a differential immunologic profile, upon ongoing AdMSC suppressive activity, promoting: (i) early correlated inhibition of IFN-gamma and TNF-alpha production, along IL-10 increase, (ii) CD73(+) Foxp3(+) Treg subset expansion, and (iii) specific correlations between gene expression increases, such as: MMP9 correlated with CCL22, TNF, FASL, RUNX3, and SEMAD4 in AdMSC and, in T cells, MMP9 upregulation correlated with CCR4, IL4 and TBX21, among others, whereas MMP2 correlated with BCL2 and LRRC31. MMP9 emerged as an integrating molecule for both AdMSC and T cells in molecular networks built with our gene expression data, and we confirmed upregulation of MMP9 and MMP2 at the protein level, in AdMSC and T cells, respectively. MMP2/9 inhibition significantly decreased AdMSC suppressive effect, confirming their important role in suppressive acitivity. We conclude that MMP9 and 2 are robust new players involved in human MSC immunoregulatory mechanisms, and the higher suppressive activity correlates to their capacity to trigger a coordinated action of multiple specific molecules, mobilizing various immunoregulatory mechanisms.

15.
São Paulo; s.n; 2011. [228] p. ilus, tab, graf.
Tesis en Portugués | LILACS | ID: lil-609362

RESUMEN

A indução de tolerância imunológica ao aloenxerto, no contexto clínico, permanece um grande desafio para pesquisa científica de tradução. A retirada da imunossupressão em indivíduos transplantados leva à rejeição do enxerto, na grande maioria dos casos. Entretanto, um grupo muito raro de indivíduos transplantados, chamados de tolerantes operacionais (TO), consegue manter a função estável do enxerto após a retirada dos imunossupressores. O estudo desses indivíduos pode contribuir para melhor compreensão dos mecanismos envolvidos na tolerância ao enxerto em humanos, assim como, para a determinação de biomarcadores desse estado de homeostase. Nosso objetivo foi determinar se o estado de tolerância operacional no transplante renal induz um perfil diferencial do componente humoral da resposta imune. Para tal, analisamos o perfil de reatividade de autoanticorpos dirigidos a peptídeos da proteína de choque térmico 60 (HSP60), de alo e autoanticorpos dirigidos às moléculas HLA, o repertório do receptor de células B (BCR) e o perfil funcional de células B supressoras CD19+CD24hiCD38hi (Bregs), comparativamente, nos indivíduos com: TO (n=5), Rejeição Crônica (RC, n=13), função estável do enxerto usando doses habituais de imunossupressores (Est, n=19) e nos indivíduos saudáveis (Sau, n=11). Não observamos um perfil diferencial claro de alo/autorreatividade de anticorpos dirigidos aos peptídeos da HSP60, nem às moléculas HLA, que diferenciasse os grupos do estudo. O estado de tolerância operacional apresentou uma diversidade do repertório do receptor de células B similar à observada em Sau e Est, enquanto o grupo RC teve uma menor diversidade desse repertório. Além disso, o grupo TO apresentou uma expansão de clones linfócitos B com expressão de 2 tamanhos distintos de CDR3 (de 16aa, família VH3 isotipo IgM, e de 5aa, família VH1 isotipo IgG), diferenciando-os dos grupos Sau, RC e Est (p<0,01 e p<0,05; e p<0,01, respectivamente para VH3M e VH1G). Os números de...


The achievement of immunotolerance in human transplantation remains a great challenge. Although, immunosuppression (IS) withdrawal usually leads to graft rejection, a rare group of individuals, called operationally tolerant, maintain stable graft function after IS withdrawal. The study of these individuals can shed light into the field of transplantation tolerance contributing to both discriminate this state and to understand the mechanisms involved in human transplantation tolerance. Our aim was to analyze whether the state of operational tolerance (OT) display a differential profile in the humoral compartment of the immune response. To approach this question, we performed analyses involving the profile of circulating autoantibodies against Heat Shock protein 60 (HSP60) peptides, the profile of alo and autoantibodies against HLA molecules, the B cell receptor (BCR) repertoire and the functional profile of suppressive B cells CD19+CD24hiCD38hi (Bregs), comparing groups with: OT (n=5), Chronic Rejection (CR, n=11), Stable graft function under standard immunosuppression (Sta, n=19) and Healthy (HI, n=11) individuals. We did not observe a clear differential profile of reactivity against HSP60 peptides and HLA molecules in any group. The state of tolerance presented BCR repertoire diversity similar to the one exhibited by Sta and HI individuals, while RC individuals showed low BCR repertoire diversity. In addition, the OT group exhibited the expansion of clones expressing 2 different CDR3 lengths (16aa for the VH3 family IgM isotype, and 5aa for the VH1 family IgG isotype), which differentiated them from HI, CR and Sta individuals (p<0.01 and p<0.05; and p<0.01, respectively for VH3M and VH1G). The circulating B cell numbers with the suppressive phenotype CD19+CD24hiCD38hi (Bregs) were similar between the OT and HI groups, while CR presented lower numbers (p<0.05). In addition, the OT group exhibited a similar capacity of generate activated cells for...


Asunto(s)
Humanos , Masculino , Femenino , Autoanticuerpos , Linfocitos B , Rechazo de Injerto , Tolerancia Inmunológica , Isoanticuerpos , Trasplante de Riñón , Transducción de Señal
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