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1.
Chem Res Toxicol ; 7(3): 297-306, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-8075360

RESUMEN

A series of alpha-(X-substituted-methyl)-gamma,gamma-dimethyl-gamma-butyrolactones (series 1), a series of alpha-(2-X-substituted-ethyl)-gamma,gamma-dimethyl-gamma-butyrolactones (series 2), where X is a leaving group, and the compound alpha-(3-bromopropyl)-gamma,gamma-butyrolactone (3) were synthesized. Their reactions as electrophiles toward n-butylamine, used as a model for nucleophilic groups on skin proteins whose in vivo chemical modification leads to skin sensitization, were investigated. The compounds of series 1 were shown to react via a two-stage elimination--Michael addition sequence whereby the elements of HX are eliminated to form alpha-methylene-gamma,gamma-dimethyl-gamma-butyrolactone, which reacts more slowly with n-butylamine to give alpha-[(N-butylamino)methyl]-gamma,gamma-dimethyl-gamma-butyrolactone. The compounds of series 2 and compound 3 were shown to react with n-butylamine via a single-stage substitution reaction to give respectively alpha-[2-(N-butylamino)ethyl]- and alpha-[3-(N-butylamino)propyl]-gamma,gamma-dimethyl-gamma-butyrolactones . Rate constants for these reactions have been determined, and it is found that substitution reactions of series 2 and compound 3 are slower than Michael addition of alpha-methylene-gamma,gamma-dimethyl-gamma-butyrolactone, which in turn is slower than the elimination reactions of series 1. The results of guinea pig skin sensitization tests on these compounds were found to be consistent with the above findings in that the compounds of series 1 were found to be in general much stronger sensitizers than those of series 2 and compound 3. The results of cross-challenge tests indicate that sensitizing compounds from series 2 were cross-reactive with both series 1 and compound 3 but that compound 3 is only weakly cross-reactive with series 1. These observations indicated that for these compounds a difference of two carbon atoms between the determinant groups transferred to protein had a markedly greater effect than a difference of one carbon atom on antigenic specificity.


Asunto(s)
4-Butirolactona/análogos & derivados , Alérgenos/química , Dermatitis Alérgica por Contacto/fisiopatología , 4-Butirolactona/síntesis química , 4-Butirolactona/química , 4-Butirolactona/farmacología , Alérgenos/farmacología , Animales , Especificidad de Anticuerpos , Fenómenos Químicos , Química Física , Reacciones Cruzadas , Cobayas , Cinética , Espectroscopía de Resonancia Magnética , Pruebas Cutáneas , Relación Estructura-Actividad
2.
Chem Res Toxicol ; 7(3): 307-12, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-8075361

RESUMEN

A skin sensitization cross-challenge dataset for a series of alpha-(X-substituted-methyl)-gamma,gamma-dimethyl-gamma-butyrolactones is analyzed in terms of the relative alkylation index (RAI) model. The data analyzed consist of guinea pig sensitization response data for tests in which one lactone derivative is used for the induction stage and then the animals are challenged with another lactone derivative to elicit the response. RAI values are based on calculated log P (octanol/water) values together with measured relative rate constants for reactions of the lactones with n-butylamine to form alpha-methylene-gamma,gamma-dimethyl-gamma-butyrolactone. Plots of biological response against RAI for induction (RAIi) for sets of data in which the same compound is used for challenge have the double-sigmoid shape typical of sensitization response--RAIi plots, with some points in the overload region. Relative elicitation potential (REP) values, defined in terms of the biological response when sensitized animals are challenged with the compound in question relative to the response when the same animals are challenged with a chosen reference compound, are obtained. Consistent with the RAI model, plots of REP against RAIc, the RAI value corresponding to challenge, are linear and the slopes of plots corresponding to different reference compounds are, within the limits of experimental error, in the same ratio as the REP values of the reference compounds. Finally, multiple linear regression analysis gives a quantitative structure-activity relationship (QSAR) covering the complete set of cross-challenge data, relating the biological responses to the RAIi and RAIc values.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Alérgenos/química , Dermatitis Alérgica por Contacto/fisiopatología , Alérgenos/farmacología , Animales , Proteínas Portadoras/química , Fenómenos Químicos , Química Física , Reacciones Cruzadas/inmunología , Cobayas , Haptenos/química , Análisis de Regresión , Pruebas Cutáneas , Relación Estructura-Actividad
3.
Contact Dermatitis ; 30(4): 231-7, 1994 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-8033550

RESUMEN

Murine models for the assessment of the contact sensitizing properties of chemicals rely on mouse ear swelling tests (Mest), which are not sensitive enough to detect weak sensitizers. The aim of the present study was to develop in mice an adjuvant-free Mest appropriate for in vivo detection of any type of sensitizer (weak to strong), and useful for in vitro assessment of contact sensitivity (CS). 3 haptens were tested: dinitrochlorobenzene (DNCB), para-phenylenediamine (pPD) and isoeugenol. We compared various protocols for induction of the CS reaction, differing by the site of induction, the number of applications and the concentrations of the 3 haptens. Comparison of the induction site for optimal CS reaction showed that, in Balb/c mice, the back was a better site of induction than the abdomen. Detection of the sensitizing properties of weak sensitizers (pPD, isoeugenol) was possible using an adjuvant-free protocol, provided that the induction phase comprised hapten applications on 3 consecutive days on the backs of animals. For DNCB, one application was sufficient to obtain optimal CS reaction. For all 3 haptens, a secondary response in vitro was obtained using semi-purified lymph node T cells from animals sensitized 5 days before with the optimized Mest. These results demonstrate that the Mest could be a useful experimental model for the study of all types of contact sensitizers.


Asunto(s)
Dermatitis Alérgica por Contacto/diagnóstico , Oído Externo , Edema/inducido químicamente , Animales , División Celular/efectos de los fármacos , Dinitroclorobenceno/toxicidad , Eugenol/análogos & derivados , Eugenol/toxicidad , Femenino , Haptenos/toxicidad , Técnicas In Vitro , Ganglios Linfáticos/efectos de los fármacos , Ganglios Linfáticos/patología , Ratones , Ratones Endogámicos BALB C , Fenilendiaminas/toxicidad
4.
Bioorg Med Chem ; 1(5): 389-97, 1993 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8081868

RESUMEN

Two molecules 9 and 14, representatives of two series of electrophilic lactone derivatives, have been synthesized, and labeled with carbon 13 at their reactive sites. The mechanism and the products of the reaction of these two molecules with human serum albumin (HSA) under various reaction conditions have been studied by 13C NMR using DEPT 135 sequences. Results using the protein dissolved in aqueous medium or butylamine (a model nucleophile) dissolved in organic solvent were very similar. These results are entirely consistent with the in vivo allergising activity of these molecules. The validity of the Relative Alkylation Index (RAI) as a predicative model in contact allergy is discussed.


Asunto(s)
Lactonas/síntesis química , Proteínas/química , Alquilación , Sitios de Unión , Butilaminas/química , Isótopos de Carbono , Cisteína/química , Dermatitis por Contacto/etiología , Humanos , Técnicas In Vitro , Cinética , Lactonas/química , Lactonas/inmunología , Espectroscopía de Resonancia Magnética , Modelos Químicos , Estructura Molecular , Proteínas/inmunología , Albúmina Sérica/química , Albúmina Sérica/inmunología
5.
Contact Dermatitis ; 29(2): 78-83, 1993 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8365181

RESUMEN

The relative alkylation index (RAI), a theoretically derived parameter intended to quantify the relative extent of carrier haptenation resulting from a given dose of a given sensitizer, has previously been successfully applied to the analysis of relative sensitization potential and dose-response data for a variety of contact allergens which are directly electrophilic. Here the RAI concept is applied to analysis of data on compounds related to urushiol (i.e., 3-substituted catechols), the naturally occurring mixture of allergens responsible for contact allergy to poison ivy and poison oak. These allergens are believed to act as pro-electrophiles, being oxidized to electrophilic orthoquinones in vivo. It is found that the various types of urushiol derivatives fit the same sort of RAI-sensitization relationships as expected theoretically and as found previously with direct acting electrophiles. There is evidence that in many cases, the test conditions were such that overload effects, whereby the degree of sensitization induced decreases with increasing carrier haptenation, applied. It is also concluded that the question as to the relative sensitization potencies of the naturally occurring urushiols remains open. The commonly held view that with these materials, sensitization potential increases with increasing unsaturation in the 3-hydrocarbyl chain of the 3-hydrocarbyl catechols, is based on evidence that is capable of alternative interpretation.


Asunto(s)
Catecoles/química , Dermatitis por Contacto/etiología , Alquilación , Animales , Catecoles/efectos adversos , Catecoles/síntesis química , Cobayas , Relación Estructura-Actividad
6.
Chem Res Toxicol ; 6(2): 215-22, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8477012

RESUMEN

In order to investigate hapten-protein interactions in vivo, potential skin sensitizers 1-3, with two different haptenic ends, (a) a catechol, a 5-methylcatechol, and a 6-methylcatechol respectively, and (b) an alpha-methylene-gamma-butyrolactone moiety, separated by a straight 10-carbon chain, have been prepared and used to sensitize guinea pigs. Related "monohapten lactones" 19-21, containing an electrophilic alpha-methylene-gamma-butyrolactone moiety connected to the protected catechol structures, and "monohapten catechols" 25-27, containing a reduced alpha-methyl-gamma-butyrolactone linked to the catechol, also have been prepared. Bihaptens 1 and 2 which were found to have very close biological activities appear to react with proteins through the catechol ring, indicating a low importance of the C-6 position in the binding of catechols with amino acids. In contrast, bihapten 3 was found to react through both the catechol and lactone ring. The influence of amino and thiol binding sites on the biological activity (allergy or tolerance) as well as the influence of the sensitizing method are discussed.


Asunto(s)
Alérgenos/química , Catecoles/síntesis química , Haptenos/química , Lactonas/síntesis química , Proteínas/química , Alérgenos/farmacología , Animales , Catecoles/farmacología , Femenino , Cobayas , Haptenos/farmacología , Lactonas/farmacología , Espectroscopía de Resonancia Magnética , Proteínas/farmacología , Pruebas Cutáneas
7.
Arch Dermatol Res ; 284(5): 297-302, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1444579

RESUMEN

The use of a lymphocyte transformation test (LTT) to provide evidence of allergic contact dermatitis was investigated. The haptens studied were alantolactone and isoalantolactone, two moderate allergens from Inula helenium L., a decorative and medicinal plant. Only alantolactone showed a significant response in vivo and in vitro in mice sensitized epicutaneously, without using Freund's complete adjuvant. Isoalantolactone did not show any sensitizing capacity in the murine model studied. The comparison of in vitro lymphocyte proliferation and in vivo allergenic capacity showed a good correlation and clearly demonstrates that, of the two sesquiterpene lactones, alantolactone is the better sensitizer.


Asunto(s)
Dermatitis Alérgica por Contacto/etiología , Sesquiterpenos/inmunología , Animales , Reacciones Cruzadas , Modelos Animales de Enfermedad , Técnicas In Vitro , Lactonas , Activación de Linfocitos , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos DBA , Sesquiterpenos de Eudesmano , Especificidad de la Especie
8.
J Invest Dermatol ; 97(3): 473-7, 1991 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-1875047

RESUMEN

Induction of allergic contact hypersensitivity to a sesquiterpene lactone, alantolactone, was studied in four strains of mice: C3H/He, DBA/2, Balb/b, and Balb/c. The last three were successfully sensitized. A significant dose/response was demonstrated in these species, as well as an experimental "overload effect" in Balb/c and Balb/b strains. Histologic studies confirmed the allergic nature of the reaction. From the overall results, alantolactone can be considered a moderate sensitizer in mouse as well as in guinea pig. This study shows that the murine model can be used for experimental contact sensitization with moderate allergens, without the use of Freund's adjuvant for induction.


Asunto(s)
Dermatitis por Contacto/etiología , Sesquiterpenos/inmunología , Animales , Dermatitis Atópica , Edema/patología , Lactonas , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C3H , Ratones Endogámicos DBA , Ratones Endogámicos , Sesquiterpenos de Eudesmano , Piel/anatomía & histología
9.
Pharm Weekbl Sci ; 13(3): 119-22, 1991 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-1923700

RESUMEN

Quinones play a major role in allergic contact dermatitis caused by plants. The principal allergens are benzoquinones or naphthoquinones but also compounds, such as catechols and other phenolic or flavonoid compounds, which are bioconverted into ortho-quinones or para-quinones. The high electrophilic reactivity of these compounds toward nucleophilic residues of proteins associated with lipophilic properties may explain that they are strong sensitizers. The more important allergens are reported and their structure-activity relationship is discussed.


Asunto(s)
Dermatitis por Contacto/etiología , Quinonas/inmunología , Animales , Humanos , Extractos Vegetales/inmunología , Extractos Vegetales/toxicidad , Quinonas/toxicidad
10.
J Med Chem ; 34(3): 1024-7, 1991 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-1825847

RESUMEN

3-(Tridecafluoroundecyl)catechol (8) and 3-(nonafluoropentadecyl)catechol (9), perfluorinated analogues of pentadecylcatechol (PDC), a constituent of poison ivy, have been synthesized. These compounds were nonsensitizers in mice. Compounds 8 and 9, however, were elicitors of allergic contact dermatitis in PDC-sensitized animals. Moreover, compound 9 exhibited tolerogenic properties to sensitization by poison ivy allergens, i.e. mice pretreated with perfluorinated compounds could not be sensitized to PDC.


Asunto(s)
Alérgenos/inmunología , Catecoles/inmunología , Fluorocarburos/inmunología , Tolerancia Inmunológica/inmunología , Plantas Tóxicas , Toxicodendron , Animales , Catecoles/síntesis química , Fenómenos Químicos , Química , Dermatitis por Contacto/inmunología , Femenino , Fluorocarburos/síntesis química , Inmunización , Ratones , Ratones Endogámicos BALB C , Estructura Molecular
11.
Arch Dermatol Res ; 283(6): 387-94, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1665682

RESUMEN

A derivation, more rigorous than hitherto, of the Relative Alkylation Index (RAI) as a quantifier of carrier protein haptenation in skin sensitization tests is presented. It is shown that the RAI, which is a composite parameter made up of dose, reactivity and lipophilicity terms, is likely to require a higher weighting for the reactivity term in the case of non-adjuvant tests than in the case of Freund's adjuvant-based tests. Methyl alkane-sulphonates, RSO3Me with R ranging from n-C6H13 to n-C16H33, were found to be skin sensitizers in a mouse ear swelling test, in agreement with published findings in a guinea-pig adjuvant model. A structure-activity relationship consistent with the published RAI model was observed whereby, in tests at fixed molar induction (0.1 mM) and challenge concentrations (0.025 mM), the level of sensitization response at first increased with increasing chain length of R, then showed a reversal of this trend at the highest chain length (R = n-C16H33). That this is a genuine 'over-load effect', as reported for several other series of compounds examined in guinea-pig adjuvant models, is indicated by the finding that on reducing the induction concentration for the R = n-C16H33 compound the sensitization response was increased. Alkyl and alkenyl methane-sulphonates, MeSO3R (R = n-C12H25, n-C18H37 and R = oleyl) did not give significant sensitization in the mouse ear test. Although they are chemically less reactive than methyl alkanesulphonates, these compounds are reported to be strong sensitizers in guinea-pig adjuvant tests and to fit a common quantitative sensitization-structure-dose relationship with the methyl alkanesulphonates.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Alcanosulfonatos/toxicidad , Dermatitis por Contacto/etiología , Alquilación , Animales , Modelos Animales de Enfermedad , Femenino , Cobayas , Ratones , Ratones Endogámicos BALB C , Pruebas Cutáneas
12.
Contact Dermatitis ; 22(5): 249-52, 1990 May.
Artículo en Inglés | MEDLINE | ID: mdl-2383982

RESUMEN

6278 patients were patch tested with a sesquiterpene lactone mix (SL-mix) in 10 European clinics. 4011 patients were tested only with 0.1% SL-mix, 63 (approximately 1.5%) of whom were positive, with 26 (41%) of these cases being considered clinically relevant. There were no cases of active sensitization, though 5 cases of irritation were reported. 22 irritant reactions and 22 cases of active sensitization occurred when testing also with 1% and 0.33% concentrations of SL-mix. SL-mix 0.1% pet. is shown to be an important patch test and many relevant sensitizations will be missed without routine screening with such a mix. Most patients with SL-mix sensitivity presented with hand and/or face dermatitis, apparent photodermatitis or more generalised eczema.


Asunto(s)
Dermatitis por Contacto/diagnóstico , Lactonas , Pruebas del Parche/métodos , Plantas/inmunología , Sesquiterpenos , Pruebas Cutáneas/métodos , Dermatitis por Contacto/etiología , Europa (Continente) , Dermatosis Facial/diagnóstico , Dermatosis Facial/etiología , Dermatosis de la Mano/diagnóstico , Dermatosis de la Mano/etiología , Humanos , Extractos Vegetales/efectos adversos
13.
Dermatol Clin ; 8(1): 13-6, 1990 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-2302850

RESUMEN

The sensitizing capacity of double-headed haptens containing the pyrocatechol and alpha-methylene-gamma-butyrolactone groups reveals that only the pyrocatechol end is recognized as a sensitizer. Prior sensitization to the double-headed hapten provides protection against (induces immune tolerance to) further sensitization to the lactone hapten.


Asunto(s)
Dermatitis por Contacto/inmunología , Haptenos/inmunología , 4-Butirolactona/análogos & derivados , 4-Butirolactona/inmunología , Animales , Catecoles/inmunología , Fenómenos Químicos , Química , Reacciones Cruzadas , Cobayas , Tolerancia Inmunológica
14.
Contact Dermatitis ; 22(1): 32-6, 1990 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-2323187

RESUMEN

Cross-reaction in allergic contact dermatitis (ACD) is a highly stereoselective process. The importance of the cis or trans ring junction in alpha-methylene-gamma-butyrolactones in cross-reactivity was investigated by reacting Helenin (mostly a mixture of natural allergenic sesquiterpene lactones alantolactone 1 and isoalantolactone 2, which present a cis ring junction) in guinea pigs sensitized to model allergenic alpha-methylene-gamma-butyrolactones: cis-bicyclic lactone 3 and trans-bicyclic lactone 4.


Asunto(s)
Dermatitis por Contacto/inmunología , Lactonas/inmunología , Animales , Fenómenos Químicos , Química , Reacciones Cruzadas/inmunología , Femenino , Cobayas
15.
Arch Dermatol Res ; 282(7): 455-8, 1990.
Artículo en Inglés | MEDLINE | ID: mdl-1964034

RESUMEN

A murine model for in vivo and in vitro studies of contact sensitization to methyl alkanesulphonate derivatives has been developed. Contact sensitivity was quantified in vivo by measuring the ear thickness increase, and the influence of the alkyl chain length (hexyl, dodecyl, hexadecyl) was investigated. Long chain methyl alkanesulphonates (dodecyl and hexadecyl) are strong sensitizers, while the shorter alkyl chain, methyl hexanesulphonate, is a weak sensitizer. In vitro lymphocyte blastogenesis was measured by the 3H-thymidine uptake and exhibited a stimulation index between 2 and 8. The results nicely parallelled the in vivo sensitization measurements, except for methyl dodecanesulphonate. This could be explained by the cytotoxic activity of this compound, the most toxic of the three methyl alkanesulphonates tested. Thus, murine sensitization to methyl alkanesulphonates provides a good model system for preliminary investigations of delayed type hypersensitivity mechanisms.


Asunto(s)
Alcanosulfonatos/farmacología , Dermatitis por Contacto/patología , Hipersensibilidad a las Drogas/patología , Alcanosulfonatos/efectos adversos , Animales , Modelos Animales de Enfermedad , Epidermis/efectos de los fármacos , Epidermis/metabolismo , Epidermis/patología , Femenino , Activación de Linfocitos/efectos de los fármacos , Ratones , Ratones Endogámicos BALB C , Timidina/metabolismo , Tritio
17.
J Invest Dermatol ; 92(5): 689-94, 1989 May.
Artículo en Inglés | MEDLINE | ID: mdl-2523942

RESUMEN

We have previously described an ATPase Langerhans cell (LC) staining technique allowing progression from light to electron microscope observation. Using this technique we have studied, following epicutaneous application of a sensitizing dose of a hapten, 2,4-dinitro-1-fluorobenzene (DNFB), the fate of the epidermal LC located in the sensitization zone. We wanted to know, under the light microscope, if the density and/or morphology of the LC are modified by such a treatment and, under the electron microscope, what are the ultrastructural changes accompanying the possible light microscope modifications. Under the light microscope, the observation of LC during the 5 d necessary for the development of contact sensitivity to DNFB shows that their number drops in the course of the first 24 h to normalize again 3 d later. Under the electron microscope, observations over the first 24 h revealed that LC remained in the epidermis, but were ATPase-negative. The disappearance of the membrane ATPase activity took place while the LC presented an increased number of coated pits, coated vesicles, endosomes, and lysosome organelles which characterize, at the ultrastructural level, the process of receptor-mediated endocytosis (RME). Following RME, many Birbeck granules (BG) appeared in the cytoplasm. Thus, epicutaneous application of DNFB leads to an endocytic activation of LC. However, the ligand(s) and/or the cell-surface components, which probably internalize during the RME process, remain unknown.


Asunto(s)
Adenosina Trifosfatasas/metabolismo , Dinitrofluorobenceno/farmacología , Células de Langerhans/efectos de los fármacos , Nitrobencenos/farmacología , Administración Tópica , Animales , Dinitrofluorobenceno/administración & dosificación , Femenino , Cobayas , Células de Langerhans/enzimología , Células de Langerhans/ultraestructura , Microscopía Electrónica
18.
Arch Dermatol Res ; 281(4): 227-30, 1989.
Artículo en Inglés | MEDLINE | ID: mdl-2774654

RESUMEN

A Ginkgo biloba L. fruit extract was prepared and purified. Three groups of guinea pigs were sensitized to the crude extract, anacardic acids 1, and cardanols 2 respectively, using the FCAT method, and the fourth group to urushiol using the epicutaneous route. Each group was tested for reaction to the primary sensitizer and to the different main aromatic compounds isolated from Ginkgo fruits. Anacardic acids were found to be good sensitizers, while cardanols failed to induce allergic contact dermatitis (ACD). No cross-reactions were observed among the compounds tested. Ginkgolic acids 1 seem to be the main allergens of Ginkgo biloba L. and the hypothesis of a biotransformation of 1 into catechol 4 is not supported by experiment.


Asunto(s)
Catecoles , Dermatitis por Contacto , Extractos Vegetales/análisis , Animales , Femenino , Cobayas , Hipersensibilidad Tardía , Plantas Tóxicas , Pruebas Cutáneas
19.
Arch Dermatol Res ; 280(1): 5-7, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-3258502

RESUMEN

Allergic contact dermatitis (ACD), an immunological reaction of the skin resulting from contact with reactive compounds occurring in plants was shown to the enantiospecific (animals sensitized to a compound do not react to its nonsuperimposable mirror image). Thus, when guinea pigs were experimentally sensitized to (+)-tulipalin B (a compound present in tulip bulbs) they did not react to its enantiomer, (-)-tulipalin B. This was also true for (+)- and (-)-beta-hydroxy-gamma-methyl-alpha-methylene-gamma-butyrolactones.


Asunto(s)
4-Butirolactona/toxicidad , Dermatitis por Contacto/etiología , Furanos/toxicidad , Plantas Tóxicas/inmunología , 4-Butirolactona/análogos & derivados , 4-Butirolactona/inmunología , Animales , Cobayas , Receptores de Antígenos de Linfocitos T/inmunología , Estereoisomerismo , Linfocitos T/inmunología
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