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1.
Eur J Pharm Biopharm ; 197: 114212, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38342421

RESUMEN

Capsaicin (CAP) has been implicated as a gastroprotective agent in the treatment of peptic ulcers. However, its oral administration is hampered by its poor aqueous solubility and caustic effect at high administered doses. To address these limitations, we describe the development of gastric floating, sustained release electrospun films loaded with CAP. The nanofiber films were formulated using the polymers Eudragit RL/RS and sodium bicarbonate (SB) as the effervescent agent. The films were tested for their physicochemical properties, and film buoyancy and in vitro release of CAP were assessed in simulated gastric fluid. The cytocompatibility and anti-inflammatory properties of the films were evaluated in lipopolysaccharide (LPS)-stimulated Caco-2 cells. The amorphous films showed improved wettability, a short floating lag time (<1 s) and a total floating time of over 24 h accompanied by sustained CAP release for up to 24 h. CAP-loaded films demonstrated biocompatibility with Caco-2 cells and potential cytoprotective effects by attenuating inflammatory cytokine and reactive oxygen species (ROS) production in LPS-stimulated Caco-2 cells. The gastric floating electrospun films could serve as a platform for sustained and stomach-specific drug delivery applications.


Asunto(s)
Capsaicina , Lipopolisacáridos , Humanos , Preparaciones de Acción Retardada/química , Células CACO-2 , Sistemas de Liberación de Medicamentos , Solubilidad , Comprimidos
2.
Int J Nanomedicine ; 17: 2865-2881, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35795081

RESUMEN

Introduction: Gene therapy is a promising approach to be applied in cardiac regeneration after myocardial infarction and gene correction for inherited cardiomyopathies. However, cardiomyocytes are crucial cell types that are considered hard-to-transfect. The entrapment of nucleic acids in non-viral vectors, such as lipid nanoparticles (LNPs), is an attractive approach for safe and effective delivery. Methods: Here, a mini-library of engineered LNPs was developed for pDNA delivery in cardiomyocytes. LNPs were characterized and screened for pDNA delivery in cardiomyocytes and identified a lead LNP formulation with enhanced transfection efficiency. Results: By varying lipid molar ratios, the LNP formulation was optimized to deliver pDNA in cardiomyocytes with enhanced gene expression in vitro and in vivo, with negligible toxicity. In vitro, our lead LNP was able to reach a gene expression greater than 80%. The in vivo treatment with lead LNPs induced a twofold increase in GFP expression in heart tissue compared to control. In addition, levels of circulating myeloid cells and inflammatory cytokines remained without significant changes in the heart after LNP treatment. It was also demonstrated that cardiac cell function was not affected after LNP treatment. Conclusion: Collectively, our results highlight the potential of LNPs as an efficient delivery vector for pDNA to cardiomyocytes. This study suggests that LNPs hold promise to improve gene therapy for treatment of cardiovascular disease.


Asunto(s)
Lípidos , Miocitos Cardíacos , ADN/genética , Liposomas , Nanopartículas , Plásmidos/genética
3.
Reprod Sci ; 29(8): 2272-2281, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35513593

RESUMEN

Clomiphene citrate (CC) and letrozole are ovulatory stimulants that, despite high ovulation rates, achieve low pregnancy rates. This study aimed to investigate the in vitro effects of CC and letrozole, alone or in combination with estradiol, on apoptosis in human cumulus cells. We performed a controlled prospective study using primary cumulus cell cultures from patients undergoing in vitro fertilization (n=22). Alpha-inhibin immunocytochemistry was used to assess cell culture purity and morphology. Cell viability was evaluated by MTT assay, cell cycle status by flow cytometry, and Caspase-3, Bax and SOD-2, and S26 gene expression by qPCR. Cells were treated for 24 hours in 5 conditioned media: CC, CC + estradiol, letrozole, letrozole + estradiol and control. None of the treatments affected cell viability, but letrozole reduced the mean percentage of cells in the S phase compared to control (24.79 versus 21.70, p=0.0014). Clomiphene treatment increased mRNA expression of Bax (4 fold) and SOD-2 (2 fold), which was reversed by co-treatment with estradiol. SOD-2 expression increased in cells treated with letrozole compared to control (4 fold), which was also reversed by estradiol. These findings suggest that clomiphene citrate and letrozole do not significantly affect the viability of human cumulus cells. Still, the expression of genes involved in apoptosis was modulated by these drugs alone and in association with estradiol, suggesting that CC and letrozole may have direct effects on cumulus cells beyond their known mechanisms of action.


Asunto(s)
Fármacos para la Fertilidad Femenina , Infertilidad Femenina , Ciclo Celular , Clomifeno/farmacología , Clomifeno/uso terapéutico , Células del Cúmulo , Estradiol/farmacología , Estradiol/uso terapéutico , Femenino , Fármacos para la Fertilidad Femenina/farmacología , Fármacos para la Fertilidad Femenina/uso terapéutico , Humanos , Infertilidad Femenina/tratamiento farmacológico , Letrozol/farmacología , Nitrilos/farmacología , Nitrilos/uso terapéutico , Inducción de la Ovulación , Embarazo , Índice de Embarazo , Estudios Prospectivos , Superóxido Dismutasa , Triazoles/farmacología , Triazoles/uso terapéutico , Proteína X Asociada a bcl-2
4.
J Cell Physiol ; 237(4): 2198-2210, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35040139

RESUMEN

Pericytes and glial cells are known to collaborate in dental pulp tissue repair. Cell-based therapies that stimulate these stromal components may be of therapeutic relevance for partially vital dental pulp conditions. This study aimed to examine the early effect of photobiomodulation (PBM) in pericytes from experimentally injured pulp tissue. To accomplish this, we used the Nestin-GFP/NG2-DsRed mice, which could allow the identification of distinct pericyte phenotypes. We discovered the presence of two pericytes subsets within the dental pulp, the Nestin + NG2+ (type-2) and Nestin- NG2+ (type-1). Upon injury, PBM treatment led to a significant increase in Nestin+ cells and pericytes. This boost was mainly conferred by the more committed pericyte subset (NestinNG2+ ). PBM also stimulated terminal blood vessels sprouting adjacent to the injury site while maintaining signs of pulp vitality. In vitro, PBM induced VEGF upregulation, improved dental pulp cells proliferation and migration, and favored their mineralization potential. Herein, different subsets of perivascular cells were unveiled in the pulp tissue. PBM enhanced not only NG2+ cells but nestin-expressing progenitors in the injured dental pulp.


Asunto(s)
Pulpa Dental/citología , Neuroglía , Pericitos , Animales , Ratones , Nestina/genética , Transgenes
5.
Acta Neuropathol Commun ; 9(1): 183, 2021 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-34784974

RESUMEN

Sensory neurons have recently emerged as components of the tumor microenvironment. Nevertheless, whether sensory neuronal activity is important for tumor progression remains unknown. Here we used Designer Receptors Exclusively Activated by a Designer Drug (DREADD) technology to inhibit or activate sensory neurons' firing within the melanoma tumor. Melanoma growth and angiogenesis were accelerated following inhibition of sensory neurons' activity and were reduced following overstimulation of these neurons. Sensory neuron-specific overactivation also induced a boost in the immune surveillance by increasing tumor-infiltrating anti-tumor lymphocytes, while reducing immune-suppressor cells. In humans, a retrospective in silico analysis of melanoma biopsies revealed that increased expression of sensory neurons-related genes within melanoma was associated with improved survival. These findings suggest that sensory innervations regulate melanoma progression, indicating that manipulation of sensory neurons' activity may provide a valuable tool to improve melanoma patients' outcomes.


Asunto(s)
Melanoma/genética , Melanoma/patología , Células Receptoras Sensoriales/patología , Animales , Conducta Animal/efectos de los fármacos , Biopsia , Línea Celular Tumoral , Simulación por Computador , Progresión de la Enfermedad , Humanos , Vigilancia Inmunológica , Linfocitos/patología , Melanoma Experimental/genética , Melanoma Experimental/patología , Ratones , Ratones Transgénicos , Canal de Sodio Activado por Voltaje NAV1.8/genética , Neovascularización Patológica/genética , Neovascularización Patológica/patología , Células Receptoras Sensoriales/metabolismo , Factores Supresores Inmunológicos , Microambiente Tumoral
6.
Stem Cell Rev Rep ; 17(5): 1874-1888, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34003465

RESUMEN

Multiple infectious diseases lead to impaired lung function. Revealing the cellular mechanisms involved in this impairment is crucial for the understanding of how the lungs shift from a physiologic to a pathologic state in each specific condition. In this context, we explored the pathogenesis of Paracoccidioidomycosis, which affects pulmonary functioning. The presence of cells expressing Nestin-GFP has been reported in different tissues, and their roles as tissue-specific progenitors have been stablished in particular organs. Here, we explored how Nestin-GFP+ cells are affected after lung infection by Paracoccidioides brasiliensis, a model of lung granulomatous inflammation with fibrotic outcome. We used Nestin-GFP transgenic mice, parabiosis surgery, confocal microscopy and flow cytometry to investigate the participation of Nestin-GFP+ cells in Paracoccidioides brasiliensis pathogenesis. We revealed that these cells increase in the lungs post-Paracoccidioides brasiliensis infection, accumulating around granulomas. This increase was due mainly to Nestin-GPF+ cells derived from the blood circulation, not associated to blood vessels, that co-express markers suggestive of hematopoietic cells (Sca-1, CD45 and CXCR4). Therefore, our findings suggest that circulating Nestin-GFP+ cells participate in the Paracoccidioides brasiliensis pathogenesis in the lungs.


Asunto(s)
Pulmón , Animales , Ratones , Nestina/genética , Paracoccidioides/genética
7.
Stem Cells Transl Med ; 10(3): 346-356, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33112056

RESUMEN

Niches are specialized tissue microenvironments that control stem cells functioning. The bone marrow mesenchymal stem cell niche defines a location within the marrow in which mesenchymal stem cells are retained and produce new cells throughout life. Deciphering the signaling mechanisms by which the niche regulates stem cell fate will facilitate the use of these cells for therapy. Recent studies, by using state-of-the-art methodologies, including sophisticated in vivo inducible genetic techniques, such as lineage-tracing Cre/loxP mediated systems, in combination with pharmacological inhibition, provide evidence that sensory neuron is an important component of the bone marrow mesenchymal stem cell niche. Strikingly, knockout of a specific receptor in sensory neurons blocked stem cell function in the bone marrow. The knowledge arising from these discoveries will be crucial for stem cell manipulation in the future. Here, we review recent progress in our understanding of sensory nerves biology in the stem cell niche.


Asunto(s)
Células Madre Mesenquimatosas , Células Receptoras Sensoriales , Nicho de Células Madre , Médula Ósea , Diferenciación Celular , Células Madre
8.
J Cell Mol Med ; 24(17): 9574-9589, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32691511

RESUMEN

The tumour mass is composed not only of heterogeneous neoplastic cells, but also a variety of other components that may affect cancer cells behaviour. The lack of detailed knowledge about all the constituents of the tumour microenvironment restricts the design of effective treatments. Nerves have been reported to contribute to the growth and maintenance of numerous tissues. The effects of sensory innervations on tumour growth remain unclear. Here, by using state-of-the-art techniques, including Cre/loxP technologies, confocal microscopy, in vivo-tracing and chemical denervation, we revealed the presence of sensory nerves infiltrating within the melanoma microenvironment, and affecting cancer progression. Strikingly, melanoma growth in vivo was accelerated following genetic ablation or chemical denervation of sensory nerves. In humans, a retrospective analysis of melanoma patients revealed that increased expression of genes related to sensory nerves in tumours was associated with better clinical outcomes. These findings suggest that sensory innervations counteract melanoma progression. The emerging knowledge from this research provides a novel target in the tumour microenvironment for therapeutic benefit in cancer patients.


Asunto(s)
Melanoma/patología , Células Receptoras Sensoriales/patología , Neoplasias Cutáneas/patología , Animales , Comunicación Celular/fisiología , Línea Celular Tumoral , Progresión de la Enfermedad , Humanos , Ratones , Ratones Endogámicos C57BL , Estudios Retrospectivos , Microambiente Tumoral
9.
J Cell Mol Med ; 23(9): 5949-5955, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31278859

RESUMEN

Wound healing is a complex dynamic physiological process in response to cutaneous destructive stimuli that aims to restore the cutaneous' barrier role. Deciphering the underlying mechanistic details that contribute to wound healing will create novel therapeutic strategies for skin repair. Recently, by using state-of-the-art technologies, it was revealed that the cutaneous microbiota interact with skin immune cells. Strikingly, commensal Staphylococcus epidermidis-induced CD8+ T cells induce re-epithelization of the skin after injury, accelerating wound closure. From a drug development perspective, the microbiota may provide new therapeutic candidate molecules to accelerate skin healing. Here, we summarize and evaluate recent advances in the understanding of the microbiota in the skin microenvironment.


Asunto(s)
Microambiente Celular/fisiología , Piel/crecimiento & desarrollo , Piel/microbiología , Staphylococcus epidermidis/fisiología , Cicatrización de Heridas/fisiología , Animales , Linfocitos T CD8-positivos/inmunología , Microambiente Celular/inmunología , Humanos , Ratones , Microbiota/inmunología , Piel/inmunología , Neoplasias Cutáneas/patología , Fenómenos Fisiológicos de la Piel , Staphylococcus epidermidis/inmunología
10.
Am J Pathol ; 189(7): 1327-1337, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31014955

RESUMEN

Spinal cord injury results in locomotor impairment attributable to the formation of an inhibitory fibrous scar, which prevents axonal regeneration after trauma. The scarcity of knowledge about the molecular and cellular mechanisms involved in scar formation after spinal cord lesion impede the design of effective therapies. Recent studies, by using state-of-the-art technologies, including genetic tracking and blockage of pericytes in combination with optogenetics, reveal that pericyte blockage facilitates axonal regeneration and neuronal integration into the local neural circuitry. Strikingly, a pericyte subset is essential during scarring after spinal cord injury, and its arrest results in motor performance improvement. The arising knowledge from current research will contribute to novel approaches to develop therapies for spinal cord injury. We review novel advances in our understanding of pericyte biology in the spinal cord.


Asunto(s)
Neuronas/metabolismo , Pericitos/metabolismo , Traumatismos de la Médula Espinal/metabolismo , Médula Espinal/metabolismo , Animales , Cicatriz/metabolismo , Cicatriz/patología , Humanos , Neuronas/patología , Pericitos/patología , Médula Espinal/patología , Traumatismos de la Médula Espinal/patología
11.
Wound Repair Regen ; 26(5): 392-397, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-30098299

RESUMEN

Dermal wound healing is the process of repairing and remodeling skin following injury. Delayed or aberrant cutaneous healing poses a challenge for the health care system. The lack of detailed understanding of cellular and molecular mechanisms involved in this process hampers the development of effective targeted treatments. In a recent study, Parfejevs et al.-using state-of-the-art technologies, including in vivo sophisticated Cre/loxP techniques in combination with a mouse model of excisional cutaneous wounding-reveal that Schwann cells induce adult dermal wound healing. Strikingly, genetic ablation of Schwann cells delays wound contraction and closure, decreases myofibroblast formation, and impairs skin re-epithelization after injury. From a drug development perspective, Schwann cells are a new cellular candidate to be activated to accelerate skin healing. Here, we summarize and evaluate recent advances in the understanding of Schwann cells roles in the skin microenvironment.


Asunto(s)
Células de Schwann/fisiología , Piel/lesiones , Cicatrización de Heridas/fisiología , Heridas y Lesiones/patología , Animales , Diferenciación Celular/fisiología , Células Cultivadas , Modelos Animales de Enfermedad , Ratones , Receptor Cross-Talk , Piel/patología
12.
Int J Biochem Cell Biol ; 99: 109-113, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29627438

RESUMEN

Fibrosis following injury leads to aberrant regeneration and incomplete functional recovery of skeletal muscle, but the lack of detailed knowledge about the cellular and molecular mechanisms involved hampers the design of effective treatments. Using state-of-the-art technologies, Murray et al. (2017) found that perivascular PDGFRß-expressing cells generate fibrotic cells in the skeletal muscle. Strikingly, genetic deletion of αv integrins from perivascular PDGFRß-expressing cells significantly inhibited skeletal muscle fibrosis without affecting muscle vascularization or regeneration. In addition, the authors showed that a small molecule inhibitor of αv integrins, CWHM 12, attenuates skeletal muscle fibrosis. From a drug-development perspective, this study identifies a new cellular and molecular target to treat skeletal muscle fibrosis.


Asunto(s)
Fibrosis/prevención & control , Integrina alfaV/química , Integrina alfaV/metabolismo , Músculo Esquelético/patología , Pericitos/patología , Animales , Fibrosis/metabolismo , Fibrosis/patología , Humanos , Músculo Esquelético/metabolismo , Pericitos/metabolismo , Receptor beta de Factor de Crecimiento Derivado de Plaquetas/metabolismo
13.
Int J Dev Neurosci ; 67: 33-36, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29555564

RESUMEN

The cerebellum plays major role in motor coordination and learning. It contains half of the neurons in the brain. Thus, deciphering the mechanisms by which cerebellar neurons are generated is essential to understand the cerebellar functions and the pathologies associated with it. In a recent study, Wojcinski et al. (2017) by using in vivo Cre/loxP technologies reveal that Nestin-expressing progenitors repopulated the external granular cell layer after injury. Depletion of postnatal external granular cell layer is not sufficient to induce motor behavior defects in adults, as the cerebellum recovers these neurons. Strikingly, Nestin-expressing progenitors differentiate into granule cell precursors and mature granule neurons after ablation of perinatal external granular layer, either by irradiation or by genetic ablation. This work identified a novel role of Nestin-expressing progenitors in the cerebellar microenvironment during development, and revealed that extracellular signals can convert specified progenitors into multipotent stem cells. Here, we discuss the findings from this study, and evaluate recent advances in our understanding of the cerebellar neurogenesis.


Asunto(s)
Lesiones Encefálicas/patología , Cerebelo/patología , Neurogénesis/fisiología , Animales , Animales Recién Nacidos , Cerebelo/crecimiento & desarrollo , Cerebelo/metabolismo , Regulación del Desarrollo de la Expresión Génica , Humanos , Nestina/metabolismo , Neuronas/metabolismo , Neuronas/patología
14.
Exp Dermatol ; 27(6): 630-635, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29505115

RESUMEN

Healing is a vital response important for the re-establishment of the skin integrity following injury. Delayed or aberrant dermal wound healing leads to morbidity in patients. The development of therapies to improve dermal healing would be useful. Currently, the design of efficient treatments is stalled by the lack of detailed knowledge about the cellular and molecular mechanisms involved in wound healing. Recently, using state-of-the-art technologies, it was revealed that macrophages signal via GPNMB to mesenchymal stem cells, accelerating skin healing. Strikingly, transplantation of macrophages expressing GPNMB improves skin healing in GPNMB-mutant mice. Additionally, topical treatment with recombinant GPNMB restored mesenchymal stem cells recruitment and accelerated wound closure in the diabetic skin. From a drug development perspective, this GPNMB is a new candidate for skin healing.


Asunto(s)
Células Madre Mesenquimatosas , Cicatrización de Heridas , Animales , Células Cultivadas , Proteínas del Ojo , Glicoproteínas , Humanos , Macrófagos , Glicoproteínas de Membrana , Ratones , Piel
16.
Cancer Med ; 7(4): 1232-1239, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29479841

RESUMEN

Glioblastoma multiforme is the most common and aggressive primary brain tumor, with an extremely poor prognosis. The lack of detailed knowledge about the cellular and molecular mechanisms involved in glioblastoma development restricts the design of efficient therapies. A recent study using state-of-art technologies explores the role of pericytes in the glioblastoma microenvironment. Glioblastoma-activated pericytes develop an immunosuppressive phenotype, reducing T-cell activation through the induction of an anti-inflammatory response. Strikingly, pericytes support glioblastoma growth in vitro and in vivo. Here, we describe succinctly the results and implications of the findings reported in pericytes' and glioblastomas' biology. The emerging knowledge from this study will be essential for the treatment of brain tumors.


Asunto(s)
Neoplasias Encefálicas/inmunología , Neoplasias Encefálicas/patología , Glioblastoma/inmunología , Glioblastoma/patología , Inmunomodulación , Pericitos/inmunología , Animales , Biomarcadores , Neoplasias Encefálicas/terapia , Glioblastoma/terapia , Humanos , Tolerancia Inmunológica , Pericitos/metabolismo , Fenotipo , Transducción de Señal , Escape del Tumor/inmunología , Microambiente Tumoral/inmunología
17.
Cell Mol Neurobiol ; 38(4): 777-782, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-28894964

RESUMEN

Pericytes are defined by their anatomical location encircling blood vessels' walls with their long projections. The exact embryonic sources of cerebral pericytes remain poorly understood, especially because of their recently revealed diversity. Yamamoto et al. (Sci Rep 7(1):3855, 2017) using state-of-the-art techniques, including several transgenic mice models, reveal that a subpopulation of brain pericytes are derived from phagocytic macrophages during vascular development. This work highlights a new possible ancestor of brain pericytes. The emerging knowledge from this research may provide new approaches for the treatment of several neurodevelopmental disorders in the future.


Asunto(s)
Encéfalo/patología , Macrófagos/patología , Trastornos del Neurodesarrollo/patología , Pericitos/patología , Animales , Encéfalo/irrigación sanguínea , Humanos , Ratones Transgénicos , Trastornos del Neurodesarrollo/diagnóstico
19.
Cell Cycle ; 16(21): 2018-2022, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28976809

RESUMEN

Bone marrow fibrosis is a reactive process, and a central pathological feature of primary myelofibrosis. Revealing the origin of fibroblastic cells in the bone marrow is crucial, as these cells are considered an ideal, and essential target for anti-fibrotic therapy. In 2 recent studies, Decker et al. (2017) and Schneider et al. (2017), by using state-of-the-art techniques including in vivo lineage-tracing, provide evidence that leptin receptor (LepR)-expressing and Gli1-expressing cells are responsible for fibrotic tissue deposition in the bone marrow. However, what is the relationship between these 2 bone marrow cell populations, and what are their relative contributions to bone marrow fibrosis remain unclear. From a drug development perspective, these works bring new cellular targets for bone marrow fibrosis.


Asunto(s)
Células de la Médula Ósea/patología , Médula Ósea/patología , Fibroblastos/patología , Mielofibrosis Primaria/metabolismo , Receptores de Leptina/metabolismo , Animales , Disentimientos y Disputas , Humanos
20.
Neoplasia ; 19(11): 928-931, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28957694

RESUMEN

Prostate cancer cells metastasize to the bones, causing ectopic bone formation, which results in fractures and pain. The cellular mechanisms underlying new bone production are unknown. In a recent study, Lin and colleagues, by using state-of-the-art techniques, including prostate cancer mouse models in combination with sophisticated in vivo lineage-tracing technologies, revealed that endothelial cells form osteoblasts induced by prostate cancer metastasis in the bone. Strikingly, genetic deletion of osteorix protein from endothelial cells affected prostate cancer-induced osteogenesis in vivo. Deciphering the osteoblasts origin in the bone microenvironment may result in the development of promising new molecular targets for prostate cancer therapy.


Asunto(s)
Neoplasias Óseas/patología , Neoplasias Óseas/secundario , Células Endoteliales/patología , Osteoblastos/patología , Osteogénesis/fisiología , Neoplasias de la Próstata/patología , Animales , Neoplasias Óseas/metabolismo , Células Endoteliales/metabolismo , Humanos , Masculino , Osteoblastos/metabolismo , Neoplasias de la Próstata/metabolismo , Microambiente Tumoral/fisiología
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