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1.
Genome Biol Evol ; 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38686438

RESUMEN

The genetic architecture of mating-type loci in lichen-forming fungi has been characterized in very few taxa. Despite the limited data, and in contrast to all other major fungal lineages, arrangements that have both mating-type alleles in a single haploid genome have been hypothesized to be absent from the largest lineage of lichen-forming fungi, the Lecanoromycetes. We report the discovery of both mating-type alleles from the haploid genomes of three species within this group. Our results demonstrate that Lecanoromycetes are not an outlier among Ascomycetes.

2.
EMBO J ; 42(8): e113980, 2023 04 17.
Artículo en Inglés | MEDLINE | ID: mdl-36970867

RESUMEN

BH3-only proteins are key regulators of Bcl-2 family members to activate apoptosis. The absence of a BH3-only protein in Drosophila has complicated the understanding of how Bcl-2 family members contribute to cell death in this model organism. Recent work published in The EMBO Journal reports on the identification of a BH3-only protein in flies. The reported findings may help to clarify the functional role and molecular mechanisms of the highly conserved Bcl-2 pathway in divergent organisms.


Asunto(s)
Proteínas Reguladoras de la Apoptosis , Proteínas Proto-Oncogénicas c-bcl-2 , Proteínas Reguladoras de la Apoptosis/metabolismo , Proteínas Proto-Oncogénicas c-bcl-2/metabolismo , Apoptosis/fisiología , Muerte Celular , Evolución Biológica
3.
Int J Psychoanal ; 103(3): 480-494, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35856141

RESUMEN

This paper discusses the correspondence between Albert Einstein and Sigmund Freud, published in the Standard Edition of Freud's writings under the title of "Why War". Freud's answers to some of Einstein's questions are compared to Alfred Adler's ideas on the role of "striving for power" versus "community feeling" and the role of these two forces in the development of war. Adler had begun to develop an object relations line of thinking in his early papers on the aggressive drive and the need for affection (Adler 1908a and 1908b). It is suggested that if Freud and Adler had been able to continue working together, they might have been able to bring their differing perspectives on the issue of war together to address both the role of power and loss of power, as well as the role of narcissistic defences in the development of war. As it is, this was left to later psychoanalytic thinkers, in particular the Kleinian analysts, who underlined the role of reverting to paranoid-schizoid thinking in the face of humiliation, rather than facing depression and the work of mourning. The work of mourning is illustrated using excerpts from Benjamin Britten's "War Requiem".


Asunto(s)
Psicoanálisis , Emociones , Teoría Freudiana , Pesar , Historia del Siglo XX , Humanos , Narcisismo , Psicoanálisis/historia
4.
Int J Psychoanal ; 103(1): 174-190, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-35168487

RESUMEN

In this paper, I am concerned with the question of relationship between internal personality integration and external integration in the community within the context of voluntary migration. Migration always includes a loss of all that one has left behind. Both internal and external integration in the new community thus involve a mourning process that involves a working through of depressive position anxieties. Only then can the migrant turn towards the new object, the new community and initiate a process of integration. This process is particularly difficult for patients with an entrenched system of narcissistic defences, in which they have turned away from the helpful object, also the helpful object of the community around them and the helpful object of the analyst. These are often patients who have used the migration as a kind of psychic retreat. The difficult process of integration is illustrated in this paper with the treatment of Mr B.


Asunto(s)
Terapia Psicoanalítica , Pesar , Humanos , Narcisismo , Apego a Objetos , Trastornos de la Personalidad
5.
EMBO Rep ; 22(3): e49804, 2021 03 03.
Artículo en Inglés | MEDLINE | ID: mdl-33369874

RESUMEN

A long-standing problem in biology is how to dissect traits for which no tractable model exists. Here, we screen for genes like the nude locus (Foxn1)-genes central to mammalian hair and thymus development-using animals that never evolved hair, thymi, or Foxn1. Fruit flies are morphologically disrupted by the FOXN1 transcription factor and rescued by weak reductions in fly gene function, revealing molecules that potently synergize with FOXN1 to effect dramatic, chaotic change. Strong synergy/effectivity in flies is expected to reflect strong selection/functionality (purpose) in mammals; the more disruptive a molecular interaction is in alien contexts (flies), the more beneficial it will be in its natural, formative contexts (mammals). The approach identifies Aff4 as the first nude-like locus, as murine AFF4 and FOXN1 cooperatively induce similar cutaneous/thymic phenotypes, similar gene expression programs, and the same step of transcription, pre-initiation complex formation. These AFF4 functions are unexpected, as AFF4 also serves as a scaffold in common transcriptional-elongation complexes. Most likely, the approach works because an interaction's power to disrupt is the inevitable consequence of its selected-for power to benefit.


Asunto(s)
Factores de Transcripción Forkhead , Piel , Animales , Factores de Transcripción Forkhead/genética , Factores de Transcripción Forkhead/metabolismo , Regulación de la Expresión Génica , Ratones , Ratones Desnudos , Fenotipo , Piel/metabolismo , Timo/metabolismo
6.
Melanoma Res ; 30(4): 336-347, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32628430

RESUMEN

Cellular senescence is a major barricade on the path of cancer development, yet proteins secreted from senescent cells exert complex and often discordant effects on subsequent cancer evolution. Somatic genome alternations driving the formation of nevi and melanoma are efficient inducers of cellular senescence. Melanocyte and melanoma cell senescence is likely to come into play as a key factor affecting the course of tumorigenesis and responsiveness to therapy; little mechanistic information has been generated, however, that substantiates this idea and facilitates its clinical translation. Here, we established and characterized a model of melanoma cell senescence in which pharmacologically induced DNA damage triggered divergent ATM kinase- and STING-dependent intracellular signaling cascades and resulted in cell cycle arrest, cytomorphologic remodeling, and drastic secretome changes. Targeted proteome profiling revealed that senescent melanoma cells in this model secreted a panoply of proteins shaping the tumor immune microenvironment. CRISPR-mediated genetic ablation of the p38α and IKKß signaling modules downstream of the ATM kinase severed the link between DNA damage and this secretory phenotype without restoring proliferative capacity. A similar genetic dissection showed that loss of STING signaling prevented type I interferon induction in DNA-damaged melanoma cells but otherwise left the senescence-associated processes in our model intact. Actionable proteins secreted from senescent melanoma cells or involved in senescence-associated intracellular signaling hold potential as markers for melanoma characterization and targets for melanoma treatment.


Asunto(s)
Daño del ADN/genética , Melanoma/genética , Proteómica/métodos , Animales , Senescencia Celular , Modelos Animales de Enfermedad , Humanos , Ratones , Transducción de Señal
8.
Dev Biol ; 456(1): 17-24, 2019 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-31390535

RESUMEN

Cell proliferation and cell death are opposing but fundamental aspects of development that must be tightly controlled to ensure proper tissue organization and organismal health. Developmental apoptosis of abdominal neuroblasts in the Drosophila ventral nerve cord is controlled by multiple upstream spatial and temporal signals, which have also been implicated in control of cell proliferation. It has therefore remained unclear whether developmental apoptosis is linked to active cell proliferation. Previous investigations into this topic have focused on the effect of cell cycle arrests on exogenous induction of apoptosis, and thus have not addressed whether potential effects of the cell cycle lie with the sensing of damage signals or the execution of apoptosis itself. In this report, we show that developmental apoptosis is not inhibited by cell cycle arrest, and that endogenous cell death occurs independently of cell cycle phase. We also find that ectopic neuroblasts rescued from cell death retain the competency to respond to quiescence cues at the end of embryogenesis. In addition, we observe multiple quiescence types in neuroblasts, and we show that cell death mutant embryos display a specific loss of presumptive G2 quiescent abdominal neuroblasts at the end of embryogenesis. This study demonstrates that upstream control of neuroblast proliferation and apoptosis represent independent mechanisms of regulating stem cell fate, and that execution of apoptosis occurs in a cell cycle-independent manner. Our findings also indicate that a subset of G2Q-fated abdominal neuroblasts are eliminated from the embryo through a non-apoptotic mechanism.


Asunto(s)
Apoptosis/fisiología , Ciclo Celular/fisiología , Neurogénesis/fisiología , Animales , Puntos de Control del Ciclo Celular/fisiología , Diferenciación Celular/fisiología , División Celular/fisiología , Proliferación Celular/fisiología , Sistema Nervioso Central/metabolismo , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/metabolismo , Regulación del Desarrollo de la Expresión Génica/genética , Células-Madre Neurales/citología , Neuronas/metabolismo , Fenotipo , Fase de Descanso del Ciclo Celular/fisiología , Transducción de Señal/fisiología
9.
Development ; 146(9)2019 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-30952666

RESUMEN

Precise control of cell death in the nervous system is essential for development. Spatial and temporal factors activate the death of Drosophila neural stem cells (neuroblasts) by controlling the transcription of multiple cell death genes through a shared enhancer. The activity of this enhancer is controlled by abdominal A and Notch, but additional inputs are needed for proper specificity. Here, we show that the Cut DNA binding protein is required for neuroblast death, regulating reaper and grim downstream of the shared enhancer and of abdominal A expression. The loss of cut accelerates the temporal progression of neuroblasts from a state of low overall levels of H3K27me3 to a higher H3K27me3 state. This is reflected in an increase in H3K27me3 modifications in the cell death gene locus in the CNS on Cut knockdown. We also show that cut regulates the expression of the cohesin subunit Stromalin. Stromalin and the cohesin regulatory subunit Nipped-B are required for neuroblast death, and knockdown of Stromalin increases H3K27me3 levels in neuroblasts. Thus, Cut and cohesin regulate apoptosis in the developing nervous system by altering the chromatin landscape.


Asunto(s)
Proteínas de Ciclo Celular/metabolismo , Cromatina/metabolismo , Proteínas Cromosómicas no Histona/metabolismo , Proteínas de Drosophila/metabolismo , Proteínas de Homeodominio/metabolismo , Proteínas Nucleares/metabolismo , Factores de Transcripción/metabolismo , Animales , Apoptosis/genética , Apoptosis/fisiología , Proteínas de Ciclo Celular/genética , Proteínas Cromosómicas no Histona/genética , Drosophila , Proteínas de Drosophila/genética , Proteínas de Homeodominio/genética , Proteínas Nucleares/genética , Factores de Transcripción/genética , Cohesinas
10.
J Dev Biol ; 6(4)2018 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-30347666

RESUMEN

Stem cells face a diversity of choices throughout their lives. At specific times, they may decide to initiate cell division, terminal differentiation, or apoptosis, or they may enter a quiescent non-proliferative state. Neural stem cells in the Drosophila central nervous system do all of these, at stereotypical times and anatomical positions during development. Distinct populations of neural stem cells offer a unique system to investigate the regulation of a particular stem cell behavior, while comparisons between populations can lead us to a broader understanding of stem cell identity. Drosophila is a well-described and genetically tractable model for studying fundamental stem cell behavior and the mechanisms that underlie cell-fate decisions. This review will focus on recent advances in our understanding of the factors that contribute to distinct stem cell-fate decisions within the context of the Drosophila nervous system.

12.
Dev Biol ; 415(1): 87-97, 2016 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-27131625

RESUMEN

Cell death can have both cell autonomous and non-autonomous roles in normal development. Previous studies have shown that the central cell death regulators grim and reaper are required for the developmentally important elimination of stem cells and neurons in the developing central nervous system (CNS). Here we show that cell death in the nervous system is also required for normal muscle development. In the absence of grim and reaper, there is an increase in the number of fibers in the ventral abdominal muscles in the Drosophila adult. This phenotype can be partially recapitulated by inhibition of cell death specifically in the CNS, indicating a non-autonomous role for neuronal death in limiting muscle fiber number. We also show that FGFs produced in the cell death defective nervous system are required for the increase in muscle fiber number. Cell death in the muscle lineage during pupal stages also plays a role in specifying fiber number. Our work suggests that FGFs from the CNS act as a survival signal for muscle founder cells. Thus, proper muscle fiber specification requires cell death in both the nervous system and in the developing muscle itself.


Asunto(s)
Apoptosis/fisiología , Proteínas de Drosophila/fisiología , Drosophila melanogaster/crecimiento & desarrollo , Células Musculares/ultraestructura , Desarrollo de Músculos , Neuropéptidos/fisiología , Animales , Recuento de Células , Proteínas de Drosophila/deficiencia , Proteínas de Drosophila/genética , Drosophila melanogaster/citología , Drosophila melanogaster/embriología , Drosophila melanogaster/genética , Factores de Crecimiento de Fibroblastos/fisiología , Regulación del Desarrollo de la Expresión Génica , Glutamatos/fisiología , Larva , Proteínas Luminiscentes/análisis , Neuronas Motoras/citología , Músculos/inervación , Mioblastos/citología , Neuropéptidos/deficiencia , Neuropéptidos/genética , Proteínas Tirosina Quinasas/deficiencia , Proteínas Tirosina Quinasas/fisiología , Pupa , Receptores de Factores de Crecimiento de Fibroblastos/deficiencia , Receptores de Factores de Crecimiento de Fibroblastos/fisiología , Eliminación de Secuencia
13.
Mitochondrial DNA B Resour ; 1(1): 715-716, 2016 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-33644379

RESUMEN

The following report details the first annotated mitochondrial genome for the Carmagnola variety of Cannabis sativa, the first reference genome for the Cannabaceae family. The total length is 415,499 bp and contains 54 genes, which sub-divide into 38 protein-coding genes, 15 tRNA genes, and 3 rRNA genes.

14.
Mitochondrial DNA A DNA Mapp Seq Anal ; 27(5): 3793-4, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-26329384

RESUMEN

Cannabis and Humulus are sister genera comprising the entirety of the Cannabaceae sensu stricto, including C. sativa L. (marijuana, hemp), and H. lupulus L. (hops) as two economically important crops. These two plants have been used by humans for many purposes including as a fiber, food, medicine, or inebriant in the case of C. sativa, and as a flavoring component in beer brewing in the case of H. lupulus. In this study, we report the complete chloroplast genomes for two distinct hemp varieties of C. sativa, Italian "Carmagnola" and Russian "Dagestani", and one Czech variety of H. lupulus "Saazer". Both C. sativa genomes are 153 871 bp in length, while the H. lupulus genome is 153 751 bp. The genomes from the two C. sativa varieties differ in 16 single nucleotide polymorphisms (SNPs), while the H. lupulus genome differs in 1722 SNPs from both C. sativa cultivars.


Asunto(s)
Cannabis/genética , ADN de Cloroplastos/genética , Genoma del Cloroplasto , Humulus/genética , Composición de Base , Secuencias Invertidas Repetidas , Anotación de Secuencia Molecular , Filogenia , Polimorfismo de Nucleótido Simple , Secuenciación Completa del Genoma
15.
Semin Cell Dev Biol ; 39: 12-9, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25668151

RESUMEN

Programmed cell death eliminates unneeded and dangerous cells in a timely and effective manner during development. In this review, we examine the role cell death plays during development in worms, flies and mammals. We discuss signaling pathways that regulate developmental cell death, and describe how they communicate with the core cell death pathways. In most organisms, the majority of developmental cell death is seen in the nervous system. Therefore we focus on what is known about the regulation of developmental cell death in this tissue. Understanding how the cell death is regulated during development may provide insight into how this process can be manipulated in the treatment of disease.


Asunto(s)
Muerte Celular , Drosophila/citología , Drosophila/crecimiento & desarrollo , Morfogénesis , Transducción de Señal , Animales , Apoptosis , Humanos , Neoplasias/patología , Enfermedades Neurodegenerativas/patología
16.
Methods ; 68(1): 89-96, 2014 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-24613678

RESUMEN

In this chapter we discuss methods that can be used to study apoptotic cell death in the Drosophila embryo, ovary, as well as in cultured cell lines. These methods assay various aspects of the cell death process, from mitochondrial changes to caspase activation and DNA cleavage. The assays are useful for examining apoptosis in normal development and in response to developmental perturbations and external stresses. These techniques include Acridine Orange staining, TUNEL, cleaved caspase staining, caspase activity assays and assays for mitochondrial fission and permeabilization.


Asunto(s)
Apoptosis/genética , Biología Evolutiva/métodos , Drosophila/genética , Animales , Caspasas/metabolismo , Drosophila/embriología , Mitocondrias/genética , Mitocondrias/metabolismo , Permeabilidad
17.
Drug Alcohol Depend ; 132(3): 547-54, 2013 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-23664124

RESUMEN

BACKGROUND: This study was an exploratory investigation of state-level minority disparities in successfully completing outpatient treatment, a major objective for attending substance abuse treatment and a known process outcome measure. METHOD: This was a retrospective analysis of state discharge and admission data from the 2006 to 2008 Treatment Episode Datasets-Discharge (TEDS-D). Data were included representing all discharges from outpatient substance abuse treatment centers across the United States. All first treatment episode clients with admission/discharge records meeting inclusion criteria who could be classified as White, Latino, or Black/African American were used (n=940,058). RESULTS: States demonstrated racial and ethnic disparities in their crude and adjusted completion rates, which also varied considerably among the states. Minorities typically showed a disadvantage. A few states showed significantly higher completion rates for Blacks or Latinos. CONCLUSIONS: Realistically, a variety of factors likely cause the state race/ethnic differences in successful completion rates. States should investigate their delivery systems to reduce completion disparities.


Asunto(s)
Atención Ambulatoria/tendencias , Grupos Minoritarios , Centros de Tratamiento de Abuso de Sustancias/tendencias , Trastornos Relacionados con Sustancias/etnología , Trastornos Relacionados con Sustancias/terapia , United States Substance Abuse and Mental Health Services Administration/tendencias , Adolescente , Adulto , Atención Ambulatoria/métodos , Niño , Bases de Datos Factuales/tendencias , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Centros de Tratamiento de Abuso de Sustancias/métodos , Trastornos Relacionados con Sustancias/diagnóstico , Resultado del Tratamiento , Estados Unidos/etnología , Adulto Joven
18.
Cancer Epidemiol Biomarkers Prev ; 22(5): 987-92, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23513043

RESUMEN

BACKGROUND: Ovarian cancer is a leading cause of cancer-related death among women. In an effort to understand contributors to disease outcome, we evaluated single-nucleotide polymorphisms (SNP) previously associated with ovarian cancer recurrence or survival, specifically in angiogenesis, inflammation, mitosis, and drug disposition genes. METHODS: Twenty-seven SNPs in VHL, HGF, IL18, PRKACB, ABCB1, CYP2C8, ERCC2, and ERCC1 previously associated with ovarian cancer outcome were genotyped in 10,084 invasive cases from 28 studies from the Ovarian Cancer Association Consortium with over 37,000-observed person-years and 4,478 deaths. Cox proportional hazards models were used to examine the association between candidate SNPs and ovarian cancer recurrence or survival with and without adjustment for key covariates. RESULTS: We observed no association between genotype and ovarian cancer recurrence or survival for any of the SNPs examined. CONCLUSIONS: These results refute prior associations between these SNPs and ovarian cancer outcome and underscore the importance of maximally powered genetic association studies. IMPACT: These variants should not be used in prognostic models. Alternate approaches to uncovering inherited prognostic factors, if they exist, are needed.


Asunto(s)
Neoplasias Ováricas/genética , Femenino , Estudios de Asociación Genética , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Neoplasias Ováricas/mortalidad , Polimorfismo Genético , Polimorfismo de Nucleótido Simple , Pronóstico , Modelos de Riesgos Proporcionales , Análisis de Supervivencia
19.
J Biol Chem ; 287(19): 16029-36, 2012 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-22433861

RESUMEN

Immunosuppression via cell-cell contact with apoptotic cells is a well studied immunological phenomenon. Although the original studies of immune repression used primary cells, which undergo spontaneous cell death or apoptosis in response to irradiation, more recent studies have relied on chemotherapeutic agents to induce apoptosis in cell lines. In this work, we demonstrate that Jurkat cells induced to die with actinomycin D suppressed inflammatory cytokine production by macrophages, whereas cells treated with etoposide did not. This immune repression mediated by actinomycin D-treated cells did not require phagocytosis or cell-cell contact and thus occurs through a different mechanism from that seen with primary apoptotic neutrophils. Moreover, cells induced to die with etoposide and then treated for a short time with actinomycin D also suppressed macrophage responses, indicating that suppression was mediated by actinomycin D independent of the mechanism of cell death. Finally, phagocytosis of actinomycin D-treated cells caused apoptosis in macrophages, and suppression could be blocked by inhibition of caspase activity in the target macrophage. Together, these data indicate that apoptotic cells act as "Trojan horses," delivering actinomycin D to engulfing macrophages. Suppression of cytokine production by macrophages is therefore due to exposure to actinomycin D from apoptotic cells and is not the result of cell-receptor interactions. These data suggest that drug-induced death may not be an appropriate surrogate for the immunosuppressive activity of apoptotic cells. Furthermore, these effects of cytotoxic drugs on infiltrating immune phagocytes may have clinical ramifications for their use as antitumor therapies.


Asunto(s)
Apoptosis/inmunología , Citocinas/inmunología , Mediadores de Inflamación/inmunología , Macrófagos/inmunología , Animales , Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Comunicación Celular/inmunología , Línea Celular , Técnicas de Cocultivo , Citocinas/metabolismo , Dactinomicina/farmacología , Etopósido/farmacología , Citometría de Flujo , Humanos , Mediadores de Inflamación/metabolismo , Células Jurkat , Lipopolisacáridos/farmacología , Macrófagos/efectos de los fármacos , Macrófagos/metabolismo , Fagocitosis/inmunología , Factor de Necrosis Tumoral alfa/inmunología , Factor de Necrosis Tumoral alfa/metabolismo
20.
Cancer Res ; 72(5): 1064-9, 2012 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-22282663

RESUMEN

The importance of inflammation pathways to the development of many human cancers prompted us to examine the associations between single-nucleotide polymorphisms (SNP) in inflammation-related genes and risk of ovarian cancer. In a multisite case-control study, we genotyped SNPs in a large panel of inflammatory genes in 930 epithelial ovarian cancer cases and 1,037 controls using a custom array and analyzed by logistic regression. SNPs with P < 0.10 were evaluated among 3,143 cases and 2,102 controls from the Follow-up of Ovarian Cancer Genetic Association and Interaction Studies (FOCI) post-GWAS collaboration. Combined analysis revealed association with SNPs rs17561 and rs4848300 in the interleukin gene IL1A which varied by histologic subtype (P(heterogeneity) = 0.03). For example, IL1A rs17561, which correlates with numerous inflammatory phenotypes, was associated with decreased risk of clear cell, mucinous, and endometrioid subtype, but not with the most common serous subtype. Genotype at rs1864414 in the arachidonate 5-lipoxygenase ALOX5 was also associated with decreased risk. Thus, inherited variation in IL1A and ALOX5 seems to affect ovarian cancer risk which, for IL1A, is limited to rarer subtypes. Given the importance of inflammation in tumorigenesis and growing evidence of subtype-specific features in ovarian cancer, functional investigations will be important to help clarify the importance of inherited variation related to inflammation in ovarian carcinogenesis.


Asunto(s)
Proteínas Activadoras de la 5-Lipooxigenasa/genética , Interleucina-1alfa/genética , Neoplasias Glandulares y Epiteliales/genética , Neoplasias Ováricas/genética , Polimorfismo de Nucleótido Simple , Carcinoma Epitelial de Ovario , Estudios de Casos y Controles , Femenino , Predisposición Genética a la Enfermedad , Humanos , Inflamación/genética , Neoplasias Glandulares y Epiteliales/patología , Neoplasias Ováricas/patología , Riesgo
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