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1.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 21(5): 741-5, 2004 Oct.
Artículo en Chino | MEDLINE | ID: mdl-15553848

RESUMEN

A micropipette technique was adopted to investigate the effect of blockade of integrin betal on adhesion of hepatocellular carcinoma (HCC) cells onto type IV collagen (Col IV) coated surfaces and pseudopod protrusion of HCC cells in response to Col IV stimulation. Adhesion strength was expressed as an adhesion force, which was defined as the product of the cross sectional area and critical negative pressure needed to detach single cell away from the substrate. Chemotactic pseudopod protrusion of an HCC cell was evaluated using a dual-pipette set-up, in which two pipettes filled with Col IV solution were positional in close contact with the same cell and pseudopod protrusion into each pipette was viewed dynamically and recorded with a tape recorder. The lengths of pseudopods were measured and plotted against time to obtain a pseudopod growth curve. The integrin beta1 subunit on the surfaces of HCC cells was analyzed by flow cytometry. The results showed that the adhesion forces for HCC cells adhering on 5 microg/ml Col IV coated surfaces were 932 +/- 134 (x 10(-10) N, n = 60). Upon treatment of HCC cells with Anti-CD29 in a protein concentration of 5 microg/ml and 10 microg/ml, the value decreased significantly to 449 +/- 119 (x 10(-10) N, n = 60) and 220 +/- 78 (x 10(-10) N, n = 55), respectively. In dual pipette chemotaxis experiment, when the two pipettes were filled with Col IV in an identical concentration of 600 microg/ml, pseudopods extended from the HCC cell into each of the pipettes nearly symmetrically, i.e., with nearly identical maximum pseudopod length and similar pseudopod growth curves. Upon addition of Anti-CD29 to one of the pipettes in a protein concentration of 20 microg/ml, pseudopod protrusion was blocked nearly completely while protrusion into the opposite pipette became more evidently, with larger maximum length. Expression of integrin beta1 was up to 95.78% to cells chosen in the experiment. These results suggested that integrin beta1 subunit was important constituent receptor subunit for mediating HCC cell adhesion and chemotactic pseudopod protrusion to Col IV.


Asunto(s)
Carcinoma Hepatocelular/metabolismo , Quimiotaxis/inmunología , Colágeno Tipo IV/metabolismo , Integrina beta1/biosíntesis , Neoplasias Hepáticas/metabolismo , Anticuerpos Monoclonales/farmacología , Carcinoma Hepatocelular/patología , Adhesión Celular , Humanos , Integrina beta1/inmunología , Neoplasias Hepáticas/patología , Invasividad Neoplásica , Receptores de Antígeno muy Tardío/biosíntesis , Receptores de Antígeno muy Tardío/inmunología , Células Tumorales Cultivadas
2.
Leuk Lymphoma ; 33(1-2): 15-23, 1999 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10194117

RESUMEN

We investigated the expression and functions of extracellular matrix receptors (or integrins) in the course of the differentiation of human megakaryocytes (Mks) leading to the formation of platelets. Integrins beta1 or Very Late Antigens (VLA) are specialized transmembrane receptors allowing the attachment of the cells to collagen (VLA-2), fibronectin (VLA-4 and -5) and laminin (VLA-6). A proportion of committed megakaryocytic progenitor cells (CFU-MK) adhere to fibronectin but not to collagen or laminin. The early immature Mks are retained on fibronectin (30%) and laminin (12%) but not on collagen whereas large mature Mks are still adherent to fibronectin and laminin and also acquired the capacity to adhere to collagen. The expression of the different VLA in the maturation of Mks correlates well with their adhesive properties. Hence, VLA-2 is not expressed on immature Mks but is present on the mature polyploid cells. VLA-4 is detected only on immature Mks which do not seem to bear VLA-5, while this last integrin appears on late Mks. VLA-6 showed a broad distribution from the early to late stages of Mks differentiation. Integrins beta3 of the cytoadhesin family are represented by alphaIIb beta3 that is the receptor for fibrinogen and alphaV beta3 which mediates adhesion to vitronectin. AlphaIIb beta3 is present on the CFU-MK and highly expressed throughout the Mks maturation stages while alphaV beta3 expression is much lower and seems to be detected only on the late Mks. The regulation of the expression of these receptors by cytokines and their respective roles in the maturation of Mks and the final production of platelets, are discussed. The development of efficient culture systems of human Mks in the presence of the recently cloned thrombopoietin will undoubtedly help to shed more light on the molecular mechanisms of their interactions via integrins with the BM microenvironment.


Asunto(s)
Megacariocitos/citología , Receptores de Superficie Celular/biosíntesis , Receptores de Superficie Celular/fisiología , Células Madre/citología , Animales , Antígenos CD/biosíntesis , Antígenos CD/fisiología , Plaquetas/fisiología , Adhesión Celular/fisiología , Diferenciación Celular/fisiología , Citocinas/fisiología , Proteínas de la Matriz Extracelular/metabolismo , Humanos , Integrina beta1/biosíntesis , Integrina beta1/fisiología , Integrina beta3 , Integrinas/biosíntesis , Integrinas/metabolismo , Integrinas/fisiología , Megacariocitos/metabolismo , Glicoproteínas de Membrana Plaquetaria/biosíntesis , Glicoproteínas de Membrana Plaquetaria/fisiología , Receptores de Superficie Celular/metabolismo , Receptores de Antígeno muy Tardío/biosíntesis , Células Madre/metabolismo
3.
Am J Respir Cell Mol Biol ; 20(4): 787-96, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10101012

RESUMEN

Repair of the airway epithelium after injury requires that processes such as adhesion and cell migration occur in a defined order. Both of these processes depend on interactions between extracellular matrix (ECM) proteins and appropriate integrins. To study these interactions, we examined monolayer wound repair in a cultured human airway epithelial cell line, 16HBE14o-. Wounds created in confluent monolayers grown on either collagen-IV, laminin-1, or laminin-2 matrix closed quickly in response to 15 ng/ml epidermal growth factor (EGF). Concurrent treatment of cells grown on each matrix protein with EGF and a monoclonal antibody (mAb) to beta1-integrin inhibited wound closure. Treatment with a mAb to alpha2-, alpha3-, and alpha6-integrin blocked wound repair in monolayers grown on collagen-IV but did not do so in monolayers grown either on laminin-1 or laminin-2. Inhibition was not due to cell detachment or apoptosis. These data demonstrate that integrins expressed by airway epithelial cells mediate wound closure on different constitutive ECM proteins. These data suggest that beta1-integrin subunit function is required to permit migration and spreading of epithelial cells, and that alpha-integrin subunits alone do not mediate migration of epithelial cells grown on either laminin-1 or laminin-2. These differences may become important if the matrix protein composition of airway basement membrane changes in disease states such as asthma.


Asunto(s)
Apoptosis , Células Epiteliales/fisiología , Integrina beta1/fisiología , Receptores de Antígeno muy Tardío/fisiología , Cicatrización de Heridas , Anticuerpos Monoclonales/farmacología , Bronquios , División Celular , Línea Celular Transformada , Colágeno/fisiología , Factor de Crecimiento Epidérmico/farmacología , Células Epiteliales/citología , Células Epiteliales/patología , Proteínas de la Matriz Extracelular/fisiología , Citometría de Flujo , Humanos , Integrina beta1/inmunología , Laminina/fisiología , Receptores de Antígeno muy Tardío/biosíntesis , Virus 40 de los Simios
4.
Immunopharmacol Immunotoxicol ; 21(1): 15-39, 1999 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10084328

RESUMEN

In vitro studies of activation and proliferation induced by mitogens in the presence of Cyclosporin A (CsA) and or cytokines were carried out to determine the effects of CsA and cytokines on mitogen activated peripheral blood mononuclear cells (PBMC) from thirteen Hashimoto's disease patients (HP) and ten healthy controls. The proliferative response (PR) of PBMC from HP to mitogens at 7 days of culture was higher than in controls. Interleukin 2 (IL-2) addition significantly increased the PR in phytohemagglutinin-stimulated PBMC from HP, but not in controls. CsA inhibited in a dose dependent manner the PR, as well as the expression of activation antigens induced by mitogens in both groups of subjects, but PBMC from HP were sensitive to CsA at lower doses than those that were effective on PBMC from controls. Both IL-2 or IL-4 overcame the inhibitory effect of CsA on PBMC from HP and controls. Conversely, IL-10 or IFN-alpha addition increases the inhibitory effect of CsA on the PR of PBMC from both HP and controls. We conclude that PBMC from Hashimoto's disease patients shown an abnormal pattern of PR that is associated to increased PR to mitogens and higher sensitivity to immunomodulatory effects of IL-2 and CsA.


Asunto(s)
Ciclosporina/inmunología , Leucocitos Mononucleares/inmunología , Adyuvantes Inmunológicos/farmacología , Adulto , Anticuerpos Monoclonales/inmunología , Anticuerpos Monoclonales/metabolismo , Complejo CD3/inmunología , Complejo CD3/metabolismo , División Celular/efectos de los fármacos , División Celular/inmunología , Células Cultivadas , Ciclosporina/farmacología , Compuestos de Dansilo/análisis , Femenino , Humanos , Interferón-alfa/inmunología , Interleucina-10/inmunología , Interleucina-13/inmunología , Interleucina-2/inmunología , Interleucina-4/inmunología , Leucocitos Mononucleares/efectos de los fármacos , Mitógenos/inmunología , Receptores de Antígeno muy Tardío/biosíntesis , Receptores de Antígeno muy Tardío/metabolismo , Transducción de Señal/inmunología , Linfocitos T/inmunología , Acetato de Tetradecanoilforbol/análogos & derivados , Acetato de Tetradecanoilforbol/análisis , Acetato de Tetradecanoilforbol/inmunología , Acetato de Tetradecanoilforbol/metabolismo , Tiroiditis Autoinmune
5.
Biochem Biophys Res Commun ; 255(2): 371-6, 1999 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-10049715

RESUMEN

Very late antigen-4 (VLA-4) is the complex with alpha4 and beta1 integrins, which is the receptors to fibronectin and VCAM-1. We evaluate the effect of 1,25(OH)2D3 on the expression of VLA-4 in human leukemic HL-60, U937 cells and human melanoma A375 cells. Flow cytometric analysis demonstrate that the expression of alpha4 integrin is negatively regulated in the cell lines we studied. The expression of beta1 integrin is also decreased in HL-60 and U937 cells. The mRNA expression of alpha4 integrin is significantly decreased by the treatment with 1,25(OH)2D3, whereas 1,25(OH)2D3 does not alter the expression of beta1 mRNA. The adhesion assay demonstrate that the number of adherent cells treated with 1, 25(OH)2D3 is significantly lower than that untreated on VCAM-1-coated wells. Because VCAM-1 is highly expressed in the endothelial cells, it is possible that 1,25(OH)2D3 prevents the attachment of the cells from the endothelial cells in vivo.


Asunto(s)
Calcitriol/farmacología , Integrinas/antagonistas & inhibidores , Leucemia Promielocítica Aguda/metabolismo , Receptores Mensajeros de Linfocitos/antagonistas & inhibidores , Receptores de Antígeno muy Tardío/antagonistas & inhibidores , Molécula 1 de Adhesión Celular Vascular/metabolismo , Antígenos CD/biosíntesis , Antígenos CD/genética , Adhesión Celular/efectos de los fármacos , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Células HL-60 , Humanos , Integrina alfa4 , Integrina alfa4beta1 , Integrina beta1/biosíntesis , Integrina beta1/genética , Integrinas/biosíntesis , Integrinas/genética , Ligandos , ARN Mensajero/antagonistas & inhibidores , ARN Mensajero/biosíntesis , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores Mensajeros de Linfocitos/genética , Receptores de Antígeno muy Tardío/biosíntesis , Células U937 , Molécula 1 de Adhesión Celular Vascular/fisiología
6.
J Immunol ; 162(2): 1084-95, 1999 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-9916737

RESUMEN

The very late Ag-4 (VLA-4) integrin supports both rolling and firm adhesion of leukocytes on VCAM-1 under shear flow. The molecular basis for the unique ability of a single adhesion molecule to mediate these versatile adhesive processes was investigated. VLA-4 occurs in multiple activation states, with different affinities to ligand. In this study we tested how these states regulate VLA-4 adhesiveness under shear flow in Jurkat T cells and PBL. VLA-4 on nonstimulated Jurkat cells supported rolling and spontaneous arrest on VCAM-1, whereas a Jurkat activation mutant with reduced VLA-4 affinity failed to spontaneously arrest after tethering to or during rolling on VCAM-1. The contribution of VLA-4 affinity for ligand to rolling and spontaneous arrests on immobilized VCAM-1 was dissected using soluble VLA-4 ligands, which selectively block high affinity states. VLA-4 saturation with ligand completely blocked spontaneous adhesion strengthening post-tethering to VCAM-1, but did not impair rolling on the endothelial ligand. High affinity VLA-4 was found to comprise a small subset of VLA-4 on resting Jurkat cells and PBL. This subset is essential for firm adhesion but not for tethering or rolling adhesions on VCAM-1. Interestingly, low and high affinity VLA-4 states were found to mediate similar initial tethering to ligand. High affinity VLA-4, constitutively expressed on circulating T cells, may control their early adhesion strengthening on VCAM-1-expressing endothelium before exposure to vascular chemokines and activation of additional integrins.


Asunto(s)
Movimiento Celular/inmunología , Integrinas/biosíntesis , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Subgrupos de Linfocitos T/metabolismo , Molécula 1 de Adhesión Celular Vascular/fisiología , Adhesión Celular/genética , Adhesión Celular/inmunología , Movimiento Celular/genética , Fibronectinas/fisiología , Humanos , Integrina alfa4beta1 , Integrinas/genética , Integrinas/metabolismo , Integrinas/fisiología , Interfase/inmunología , Células Jurkat , Activación de Linfocitos/genética , Microscopía Inmunoelectrónica , Mutación , Receptores Mensajeros de Linfocitos/genética , Receptores Mensajeros de Linfocitos/metabolismo , Receptores Mensajeros de Linfocitos/fisiología , Receptores de Antígeno muy Tardío/genética , Receptores de Antígeno muy Tardío/metabolismo , Receptores de Antígeno muy Tardío/fisiología , Reología , Subgrupos de Linfocitos T/fisiología , Subgrupos de Linfocitos T/ultraestructura , Molécula 1 de Adhesión Celular Vascular/metabolismo
7.
Transpl Immunol ; 7(4): 229-37, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10638836

RESUMEN

The beta1-integrin family of adhesion molecules is supposed to mediate cell-to-matrix interactions involved in a variety of immune reactions, especially in those associated with tissue remodelling. In an attempt to determine the role of beta1-integrins in the initiation and maintenance of fibrotic deposition observed in chronic rejection after liver transplantation, we immunohistochemically analysed the expression of different extracellular matrix components and the very late antigen (VLA) family of beta1-integrins in 11 samples of chronically rejected human liver allografts and compared results to findings in acutely rejected transplants and nontransplanted chronic inflammatory livers. In contrast to normal liver specimens, chronically rejected human liver allografts displayed a general overexpression of matrix components along sinusoids throughout the tissue and an additional characteristic accumulation in pericentral areas. Accordingly, VLA-1, -5 and -6 demonstrated a linear upregulation or de novo expression on sinusoidal lining cells, VLA-1 and VLA-4 additionally displayed concentration within pericentral fibrotic deposits. VLA-2 and -3 were only sporadically found. In accordance with findings in chronic rejection, chronic inflammatory livers showed overexpression of VLA-1, -5 and -6 within sinusoids and accumulation of VLA-1 and -4 in fibrotic septa. In contrast, acutely rejected allografts displayed slight overexpression of ECM components without characteristic accumulates, hence beta1-integrins were seen to be equally distributed throughout the parenchyma. Altogether, our analysis showed an upregulation of integrin receptors which corresponded to the extent of ECM deposition and thus suggested an important role for these molecules in the iniation of fibrosis observed in these specimens. Individual integrins showed different expression patterns within sinusoids and fibrotic areas, indicating distinct roles in differential stages of matrix accumulation, but induction patterns were generally similar in chronic inflammatory and chronically rejected livers, suggesting independence of the underlying disease.


Asunto(s)
Proteínas de la Matriz Extracelular/biosíntesis , Rechazo de Injerto/metabolismo , Integrinas/biosíntesis , Trasplante de Hígado/inmunología , Enfermedad Aguda , Enfermedad Crónica , Fibrosis , Rechazo de Injerto/inmunología , Hepatitis Crónica/metabolismo , Hepatitis Crónica/patología , Humanos , Inmunohistoquímica , Hígado/metabolismo , Hígado/patología , Trasplante de Hígado/patología , Trasplante de Hígado/fisiología , Receptores de Antígeno muy Tardío/biosíntesis
8.
J Int Med Res ; 26(1): 37-42, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9513075

RESUMEN

beta 1 Integrins are considered to be essential for the differentiation of bone-marrow B cells through an interaction with fibronectin-expressed bone-marrow stromal cells. The expression of very late antigens-4 (VLA-4) and -5 (VLA-5) by CD38bright bone-marrow cells in patients with multiple myeloma was measured by flow cytometry using specific monoclonal antibodies. The percentage of CD38bright bone-marrow cells appeared to correlated with that of bone-marrow plasma cells as judged by examination of bone-marrow smears (r = 0.911, P < 0.0001). Expression of VLA-4 and VLA-5 by CD38bright cells varied between patients, but the expression of VLA-4 was always equal to or greater than that of VLA-5. The ratio of VLA-4 to VLA-5 expression (VLA-4:VLA-5 ratio) was calculated and compared with the clinical features of the myeloma patients. A high VLA-4:VLA-5 ratio (> 2.0) was associated with the presence of plasmacytomas and urinary Bence-Jones protein was more common in this group. No other correlations between the clinical features of the disease and the expression of beta 1 integrins were found.


Asunto(s)
Antígenos CD , Células de la Médula Ósea/patología , Integrinas/biosíntesis , Mieloma Múltiple/fisiopatología , Receptores de Fibronectina/biosíntesis , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , ADP-Ribosil Ciclasa , ADP-Ribosil Ciclasa 1 , Anciano , Antígenos de Diferenciación/análisis , Antígenos de Diferenciación/biosíntesis , Proteína de Bence Jones/orina , Células de la Médula Ósea/inmunología , Femenino , Humanos , Inmunoglobulina A/sangre , Inmunoglobulina G/sangre , Integrina alfa4beta1 , Integrinas/análisis , Masculino , Glicoproteínas de Membrana , Persona de Mediana Edad , Mieloma Múltiple/inmunología , Mieloma Múltiple/patología , NAD+ Nucleosidasa/análisis , NAD+ Nucleosidasa/biosíntesis , Estadificación de Neoplasias , Plasmacitoma/complicaciones , Receptores de Fibronectina/análisis , Receptores Mensajeros de Linfocitos/análisis , Receptores de Antígeno muy Tardío/análisis
9.
Eur J Immunol ; 27(11): 2757-64, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9394796

RESUMEN

It is generally recognized that activation through membrane effector molecules such as CD40 or the B cell receptor (BCR) is mandatory to allow B cells to proliferate and differentiate into antibody (Ab)-secreting cells in response to cytokines. We show here that purified tonsillar B cells can be stimulated directly by a cytokine combination to proliferate and secrete immunoglobulins when cultures are performed at high cell density. The contact-mediated activation of B cells in this experimental system is strongly inhibited both by anti-very late antigen (VLA)-4 monoclonal Ab and by a peptide containing the LDV sequence specifically recognized by the alpha 4 integrin binding site. These reagents also significantly suppressed the B cell responses elicited by engagement of the BCR or CD40. Our data reveal that memory B cells but not virgin or germinal center B cells are sensitive to the direct stimulatory effect of cytokines in high-density cultures. Finally, we found that the dual expression of the alpha and beta chains of VLA-4 is a distinctive feature of the memory B cell population. Collectively, our findings support the notion that VLA-4-dependent homotypic B cell interactions can mediate a co-stimulatory signal to human memory B cells and might participate in the B cell activation triggered through the BCR and CD40.


Asunto(s)
Linfocitos B/inmunología , Memoria Inmunológica , Cadenas beta de Integrinas , Integrinas/fisiología , Activación de Linfocitos , Receptores Mensajeros de Linfocitos/fisiología , Receptores de Antígeno muy Tardío/fisiología , Linfocitos B/citología , Linfocitos B/efectos de los fármacos , Antígenos CD40/fisiología , Comunicación Celular/efectos de los fármacos , Recuento de Células , Diferenciación Celular/efectos de los fármacos , Diferenciación Celular/inmunología , Células Cultivadas , Humanos , Inmunoglobulinas/biosíntesis , Memoria Inmunológica/efectos de los fármacos , Integrina alfa4beta1 , Integrinas/biosíntesis , Interleucina-10/farmacología , Interleucina-2/farmacología , Activación de Linfocitos/efectos de los fármacos , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis
10.
Cancer Lett ; 118(1): 7-11, 1997 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-9310254

RESUMEN

The expression of alpha6-integrin receptors (VLA-alpha6) and of mRNA encoding the putative 37 kDa laminin receptor precursor (37 LRP) was determined in ductal pancreatic adenocarcinoma and normal pancreatic tissue from the same patient. VLA-alpha6 expression was enhanced and redistributed in pancreatic carcinoma, and 37 LRP mRNA levels were elevated in carcinomatous pancreatic tissue as well as in five pancreatic tumor cell lines. The molecular weight of the major RNA species detected was higher in carcinoma tissue (1.9 kb) as opposed to cell lines (1.2 kb), possibly reflecting alternative splicing of 37 LRP mRNA in the primary tumor.


Asunto(s)
Adenocarcinoma/inmunología , Antígenos CD/biosíntesis , Neoplasias Pancreáticas/inmunología , Receptores de Laminina/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Transcripción Genética , Adenocarcinoma/metabolismo , Adenocarcinoma/patología , Humanos , Integrina alfa6 , Páncreas/inmunología , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patología , Reacción en Cadena de la Polimerasa , ARN Mensajero/biosíntesis , Células Tumorales Cultivadas , Regulación hacia Arriba
11.
J Hepatol ; 26(6): 1287-99, 1997 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-9210616

RESUMEN

BACKGROUND/AIMS: Intra-hepatic bile ducts are the primary site of damage in several immunologically mediated liver diseases. However, immunological processes underlying biliary epithelial cell recognition by T lymphocytes are poorly understood. Therefore, a convenient in vitro model that could mimic these immunologic disorders would be of great interest. METHODS: A human cell line (HuGB) was established from a metastasis of gallbladder adenocarcinoma in the liver. Intermediate filament expression was analysed by immunostaining, and gamma-glutamyl transpeptidase and albumin secretion were measured. VLA integrin expression pattern, expression of HLA class I and II antigens and ICAM-1 protein were analysed by flow cytometry and their modulation by interferon-gamma was quantitated using a QIFIKIT commercial kit. RESULTS: Histological analysis showed high similarity between the initial gallbladder adenocarcinoma and the established cell line. Cytokeratins 8 and 19 and vimentin showed strong positive staining in the established cell line. Gamma-glutamyl transpeptidase was secreted by these cells while albumin expression was negative. HuGB cells also expressed VLA-alpha2, VLA-alpha3, VLA-alpha6, VLA-beta1, but not VLA-alpha1, VLA-alpha4 and NCAM, a pattern of adhesion molecule expression compatible with the biliary epithelium. Also, similar to the biliary epithelium found in normal liver, HuGB cells expressed abundant HLA class I but few HLA class II antigens. We found that the expression of HLA antigens and ICAM-1 protein were increased during interferon-gamma treatment of HuGB cell line. CONCLUSIONS: Both phenotypic and morphological characteristics of HuGB cells suggested their biliary origin. Sensitivity of HuGB cells to interferon-gamma suggests that this new cell line could represent a suitable model to investigate the up-regulation of membrane antigens occurring in immune diseases involving biliary epithelial cells.


Asunto(s)
Vesícula Biliar/fisiología , Interferón gamma/farmacología , Proteínas de Filamentos Intermediarios/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Adenocarcinoma , Anciano , Técnicas de Cultivo de Célula/métodos , Línea Celular , Nucléolo Celular/ultraestructura , Núcleo Celular/ultraestructura , Epitelio/efectos de los fármacos , Epitelio/fisiología , Epitelio/ultraestructura , Vesícula Biliar/efectos de los fármacos , Vesícula Biliar/ultraestructura , Neoplasias de la Vesícula Biliar , Antígenos HLA-D/análisis , Antígenos HLA-D/biosíntesis , Antígenos de Histocompatibilidad Clase I/análisis , Antígenos de Histocompatibilidad Clase I/biosíntesis , Humanos , Inmunohistoquímica , Molécula 1 de Adhesión Intercelular/biosíntesis , Proteínas de Filamentos Intermediarios/análisis , Hígado/inmunología , Hígado/fisiología , Masculino , Microvellosidades/ultraestructura , Mitocondrias/ultraestructura , Receptores de Antígeno muy Tardío/análisis , Vacuolas/ultraestructura
12.
J Immunol ; 158(1): 76-84, 1997 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-8977177

RESUMEN

The mechanisms by which T lymphocytes are transformed from passively transported cells during circulation in the vascular system to actively migrating cells during extravasation are unknown. Therefore, the possibility that lymphocyte receptors are capable of inducing motility was investigated using a modified Boyden chamber assay. Cross-linking of alphaL beta2 and alpha4 beta1 on human T lymphocytes (T cell line and peripheral blood T cells) with immobilized mAbs induced motile behavior on fibronectin, laminin, collagen type IV, and poly-L-lysine. This induction of T cell migration was very potent and in most cases more efficient than pretreatment of the cells with phorbol esters. In contrast, control Abs to several other integrin- and non-integrin molecules present on T lymphocytes did not induce T cell migration. Anti-CD3 Abs themselves did not trigger motile behavior. However, anti-CD3 promoted T cell migration in the Boyden chamber system if present simultaneously with 40-kDa alpha4 beta1 binding fibronectin fragments or alphaL beta2 binding intercellular adhesion molecule-1/hIgG1Fc fusion proteins on the upper side of the filter. Abs to other surface components on T cells did not trigger motility when presented together with the 40-kDa fibronectin fragments or the intercellular adhesion molecule-1/hIgG1Fc fusion proteins. The induction of motile behavior could be blocked if the T cells were pretreated with Genistein and Calphostin C, indicating the involvement of a protein tyrosine kinase and protein kinase C-dependent signaling pathway in triggering of T cell motility via integrins. These results indicate that alphaL beta2 and alpha4 beta1 on T lymphocytes can selectively trigger motile behavior when cross-linked by their endothelial or extracellular matrix ligands. Furthermore, these data indicate that cross-linking of CD3 facilitates ligand binding and subsequent triggering of a motile phenotype by alphaL beta2 and alpha4 beta1.


Asunto(s)
Anticuerpos Monoclonales/inmunología , Anticuerpos Monoclonales/metabolismo , Movimiento Celular/inmunología , Integrinas/inmunología , Integrinas/metabolismo , Antígeno-1 Asociado a Función de Linfocito/inmunología , Antígeno-1 Asociado a Función de Linfocito/metabolismo , Receptores Mensajeros de Linfocitos/inmunología , Receptores Mensajeros de Linfocitos/metabolismo , Linfocitos T/inmunología , Adulto , Complejo CD3/inmunología , Complejo CD3/metabolismo , Adhesión Celular/inmunología , Línea Celular , Células Clonales , Humanos , Integrina alfa4beta1 , Integrinas/biosíntesis , Ligandos , Antígeno-1 Asociado a Función de Linfocito/biosíntesis , Unión Proteica/inmunología , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Receptores de Antígeno muy Tardío/inmunología , Receptores de Antígeno muy Tardío/metabolismo , Linfocitos T/metabolismo
13.
Lab Invest ; 76(1): 11-23, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9010446

RESUMEN

During inflammation, T cells transmigrate from the bloodstream into perivascular tissues. As T cells transmigrate, they undergo a series of attachments to and detachments from the endothelium and then extravasate into the extracellular matrix (ECM). T cell migration into the ECM involves a number of mechanisms that influence cell-ECM interactions. The modulation of integrin expression and affinity are two such mechanisms in which cells can alter their ability to interact with other cells and ECM. We show in vitro that transmigrated T cells exhibit down-regulation of very late activation antigen-4 and leukocyte function-associated antigen-1 integrin surface expression and a decrease in binding to recombinant vascular cell adhesion molecule-1 and recombinant intercellular adhesion molecule-1. Also, transmigrated T cells displayed an increase in binding to collagens I and IV and fibronectin. Further, brain sections of experimental autoimmune encephalomyelitis mice demonstrated that as T cells migrated farther into the tissue, very late activation antigen-4 expression was lost while CD4 expression remained unchanged. The significance of these findings in the modulation of the inflammatory response is discussed.


Asunto(s)
Adhesión Celular , Endotelio Vascular/fisiología , Matriz Extracelular/fisiología , Linfocitos T/fisiología , Animales , Encéfalo/inmunología , Encéfalo/patología , Movimiento Celular , Células Cultivadas , Colágeno/fisiología , Encefalomielitis Autoinmune Experimental/inmunología , Encefalomielitis Autoinmune Experimental/patología , Endotelio Vascular/inmunología , Fibronectinas/fisiología , Citometría de Flujo , Integrina alfa4beta1 , Integrinas/biosíntesis , Molécula 1 de Adhesión Intercelular/farmacología , Interleucina-2/farmacología , Antígeno-1 Asociado a Función de Linfocito/biosíntesis , Ratones , Ratones Endogámicos , Proteína Básica de Mielina/farmacología , Fragmentos de Péptidos/farmacología , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Proteínas Recombinantes/farmacología , Linfocitos T/efectos de los fármacos , Linfocitos T/inmunología , Regulación hacia Arriba , Molécula 1 de Adhesión Celular Vascular/farmacología , Molécula 1 de Adhesión Celular Vascular/fisiología
14.
Ann Anat ; 178(1): 33-40, 1996 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8717325

RESUMEN

UNLABELLED: The integrin receptors are a family of transmembrane glycoproteins comprising non-covalent heterodimers. They interact with a wide variety of ligands including extracellular matrix glycoproteins, complement and other cells while their intracellular domains interact with the cytoskeleton. They participate in cell-matrix and cell-cell adhesion in many physiologically important processes including embryological development, hemostasis, thrombosis, wound healing, immune and nonimmune defense mechanisms, and oncogenic transformation. This investigation is focused on the histological distribution of the beta 1-integrins in the human thymus, using an indirect immunoperoxidase method. With the exception of VLA-4, none of the beta 1 integrins were expressed on thymocytes which were strongly positive in the cortex and perivascular compartment, somewhat weaker in the medulla. Thymic epithelial cells were positive for VLA-1, VLA-2, VLA-3 and VLA-6, but the distribution pattern of these molecules in epithelial cells at certain locations was quite different. VLA-1 was weakly expressed by both cortical and medullary epithelial cells. VLA-2 was strongly positive in cortical epithelial cells forming a dense framework at the peripheral cortex. VLA-3 and VLA-6 selectively stained a single flattened epithelial cell layer (perilobular epithelial cells) demarcating the peripheral cortex from the surrounding perivascular compartment. VLA-1,3,5,6 were also demonstrated in the endothelial cells and subendothelial layer of the thymic vasculature. IN CONCLUSION: the distribution of integrins in human thymus tissues is of special interest. Such distribution shows that the VLA integrins may have different functions in different areas. The data presented in this study may be important in evaluating the functional role of the VLA integrins in thymocyte maturation in different compartments of the thymus.


Asunto(s)
Receptores de Antígeno muy Tardío/biosíntesis , Timo/inmunología , Adolescente , Anticuerpos Monoclonales , Niño , Preescolar , Células Epiteliales , Epitelio/inmunología , Humanos , Técnicas para Inmunoenzimas , Inmunohistoquímica , Receptores de Antígeno muy Tardío/análisis , Valores de Referencia , Timo/citología
15.
J Periodontal Res ; 31(1): 36-42, 1996 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8636874

RESUMEN

The beta 1-integrins (VLA family) are cellular adhesion molecules (CAM) that play a major role in cell-cell and cell-matrix interactions. The expression pattern of CAM was studied in 5 clinically normal volunteers with healthy gingiva and in 18 patients with clinically different stages of periodontitis. In healthy human gingiva alpha 2, alpha 3 and alpha 6 integrin chains were found in a characteristic distribution, showing a broad continuous expression on the junctional and sulcular epithelium sites. The expression of these integrins was demonstrated primarily on the basal cell layers and in some cells of the stratum spinosum. Inflammatory stages of periodontitis revealed further upregulation of alpha 2, alpha 3 and alpha 6 integrins into the junctional and sulcular epithelial cells, which correlated with the stage of the periodontitis and the extent of the cellular infiltration. alpha 4 and alpha 6 were found to be the predominant beta 1 integrin chains on inflammatory cells. The amount of alpha 4 and alpha 6 positive infiltrative cells increased with the number of inflammatory cells. VCAM-1, the corresponding cell-cell ligand of VLA-4 (alpha 4) was present on the majority of subepithelial vessels in all stages of gingivitis and periodontitis. The alpha 5 subunit was expressed on both endothelium and gingival connective tissue cells. Samples from advanced periodontitis cases showed a higher number of alpha 5 positive mononuclear cells. In comparison to normal epidermis, human gingival epithelial cells express higher levels of integrins. This expression is further upregulated in advanced stages of periodontitis, indicating changes of the beta 1 integrin organization.


Asunto(s)
Encía/inmunología , Periodontitis/inmunología , Receptores de Antígeno muy Tardío/biosíntesis , Adulto , Adhesión Celular/inmunología , Tejido Conectivo/inmunología , Endotelio Vascular/inmunología , Inserción Epitelial/inmunología , Humanos , Técnicas para Inmunoenzimas , Persona de Mediana Edad , Índice Periodontal , Bolsa Periodontal/inmunología , Receptores de Fibronectina/análisis , Receptores de Fibronectina/biosíntesis , Receptores de Fibronectina/inmunología , Receptores de Antígeno muy Tardío/análisis , Receptores de Antígeno muy Tardío/inmunología , Regulación hacia Arriba , Molécula 1 de Adhesión Celular Vascular/análisis , Molécula 1 de Adhesión Celular Vascular/biosíntesis , Molécula 1 de Adhesión Celular Vascular/inmunología
16.
Am J Hematol ; 50(1): 9-14, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7545353

RESUMEN

Bone marrow plasma cells and stromal cells in multiple myeloma (MM) have been shown to be capable of releasing cytokines with angiogenic properties. Plasma cells can also express adhesion molecules controlling their adhesive interactions with endothelial cells. In the present study, we have evaluated by immunohistochemistry the extent of angiogenesis in the bone marrow of: a) 51 patients with active and non-active MM; b) 25 patients with monoclonal gammopathy of undetermined significance (MGUS). Plasma cells were investigated by flow cytometry for the expression of the adhesion molecules LFA-1, VLA-4, LAM-1, and CD44. The results showed that, while angiogenesis was very low or absent in patients with MGUS and non-active MM, it increased markedly in those with active MM. The highest detectability of plasma cell adhesion molecules, except LAM-1, was also found in these patients. The functional significance of these findings is unknown. Their consistent occurrence in the bone marrow of active myeloma patients, however, strongly suggests that more frequent adhesive interactions between plasma cells and their microvasculature underlie tumor dissemination.


Asunto(s)
Médula Ósea/irrigación sanguínea , Moléculas de Adhesión Celular/biosíntesis , Mieloma Múltiple/fisiopatología , Neovascularización Patológica/fisiopatología , Células Plasmáticas/metabolismo , Médula Ósea/metabolismo , Proteínas Portadoras/biosíntesis , Citometría de Flujo , Humanos , Receptores de Hialuranos , Selectina L , Antígeno-1 Asociado a Función de Linfocito/biosíntesis , Mieloma Múltiple/metabolismo , Receptores de Superficie Celular/biosíntesis , Receptores Mensajeros de Linfocitos/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis
17.
Blood ; 86(5): 1939-45, 1995 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-7544648

RESUMEN

Fas/Apo-1 antigen (CD95) is a cell surface molecule that directly mediates apoptosis. Fas expression was studied in five plasma cell lines, 11 multiple myeloma cases, and three plasma cell leukemia (PCL) cases. Induction of apoptosis by anti-Fas antibody was studied in five plasma cell lines and fresh plasma cells from eight patients. Apoptosis was confirmed by morphologic analysis alone or in combination with DNA electrophoresis analysis. Four of the five cell lines showed Fas expression, three of which showed induction of apoptosis by anti-Fas antibody. One cell line, RPMI 8226, showed the highest sensitivity for Fas-mediated apoptosis. High bcl-2 expression was found in KMS12PE, which showed resistance to Fas-mediated apoptosis despite its Fas expression. Plasma cells from seven fresh cases, including all five cases with high serum lactate dehydrogenase (LDH), showed expression of Fas antigen. Fas-induced apoptosis was found in five cases at various levels, although significant induction of apoptosis was found in only one case. Interestingly, Fas-independent apoptosis was induced during culture without anti-Fas antibody in cases with high serum LDH. These results indicate that plasma cells from aggressive myeloma with high LDH express Fas antigen and undergo apoptosis through either Fas-mediated or Fas-independent pathways. An understanding of the mechanism of apoptosis in malignant plasma cells should contribute to investigations of the pathophysiology of and therapy for myeloma/PCL.


Asunto(s)
Antígenos de Superficie/biosíntesis , Apoptosis , Leucemia de Células Plasmáticas/metabolismo , Mieloma Múltiple/metabolismo , Adulto , Anciano , Anticuerpos , Antígenos de Superficie/análisis , Apoptosis/efectos de los fármacos , Western Blotting , Línea Celular , ADN de Neoplasias/análisis , Citometría de Flujo , Expresión Génica , Humanos , Interleucina-6/farmacología , Leucemia de Células Plasmáticas/patología , Persona de Mediana Edad , Mieloma Múltiple/patología , Derrame Pleural , Proteínas Proto-Oncogénicas/análisis , Proteínas Proto-Oncogénicas/biosíntesis , Proteínas Proto-Oncogénicas c-bcl-2 , Receptores de Antígeno muy Tardío/análisis , Receptores de Antígeno muy Tardío/biosíntesis , Proteínas Recombinantes/farmacología , Análisis de Regresión , Células Tumorales Cultivadas , Proteína p53 Supresora de Tumor/análisis , Proteína p53 Supresora de Tumor/biosíntesis , Receptor fas
18.
J Immunol ; 155(3): 1117-31, 1995 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-7636183

RESUMEN

To define the relationship between T cell phenotype and adhesiveness, we examined T cell adhesion to endothelial cell, fibroblast, and epithelial cell monolayers as well as extracellular matrix proteins (collagen and fibronectin) using a three-color flow cytometry-based adherence assay that minimizes basal adhesion levels and facilitates quantitative lymphocyte subtyping. Regardless of monolayer type, monolayer stimulation conditions, or T cell activation status, we found that the gamma delta-TCR-bearing T cells adhered more efficiently than alpha beta T cells. The difference was based predominantly on increased levels of activatable LFA-1 (and to a lesser degree VLA-4) because: 1) it correlated precisely with inhibitability by anti-LFA-1 (and VLA-4) mAbs and the levels of LFA-1 (and VLA-4) on the cell surface, and 2) it persisted after maximal LFA-1 (and VLA-4) activation with phorbol dibutyrate. In contrast to most cases of alpha beta T cell behavior, gamma delta T cell adhesion to cell monolayers was not linked to memory status, i.e., there was no difference between naive V delta 1+ and memory V delta 2+ populations in levels of LFA-1 (or VLA-4) expression or LFA-1- (or VLA-4-) dependent adhesion to cell monolayers. However, V delta 1+ cells exhibited higher levels of VLA-5 that correlated with an increased adhesiveness to fibronectin and to a 120-kDa fibronectin fragment (FN-120) that contains only the VLA-5-binding domain but not to type I collagen or to a fibronectin fragment (FN-40) that binds only VLA-4. Taken together, the results define a hierarchy for integrin (LFA-1, VLA-4, and VLA-5) expression and consequent adhesion among T cell subsets that is linked to TCR gene usage (but not necessarily linked to memory status) and may thereby help to explain the accumulation and retention of V delta 1+ gamma delta T cells in epithelial and connective tissues.


Asunto(s)
Reordenamiento Génico de Linfocito T , Integrinas/biosíntesis , Antígeno-1 Asociado a Función de Linfocito/biosíntesis , Receptores de Antígenos de Linfocitos T gamma-delta/genética , Receptores de Fibronectina/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Subgrupos de Linfocitos T/fisiología , Anticuerpos Monoclonales/inmunología , Adhesión Celular , Colágeno/metabolismo , Endotelio Vascular/fisiología , Epitelio/fisiología , Fibroblastos/fisiología , Fibronectinas/metabolismo , Citometría de Flujo , Regulación de la Expresión Génica/efectos de los fármacos , Memoria Inmunológica , Integrinas/fisiología , Interleucina-1/farmacología , Antígeno-1 Asociado a Función de Linfocito/genética , Receptores de Antígenos de Linfocitos T alfa-beta/genética , Receptores de Antígenos de Linfocitos T alfa-beta/fisiología , Receptores de Antígenos de Linfocitos T gamma-delta/fisiología , Receptores de Fibronectina/genética , Receptores de Antígeno muy Tardío/genética , Proteínas Recombinantes/farmacología , Subgrupos de Linfocitos T/efectos de los fármacos
19.
Exp Hematol ; 23(6): 514-8, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7768307

RESUMEN

VLA molecules are involved in the adhesion of hematopoietic cells to the bone marrow stroma and play a role in the mediation of cellular interactions and migrations that are potentially important in the biology of acute leukemia (AL). We studied the expression of VLA-2 (CD49b), VLA-4 (CD49d), and VLA-5 (CD49e) by indirect immunofluorescence on leukemic cells from 67 patients with acute myelogenous leukemia (AML) and 40 patients with acute lymphoblastic leukemia (ALL). VLA-2, VLA-4, and VLA-5 were expressed, respectively, on 13 +/- 17%, 33 +/- 29%, and 36 +/- 30% of AML cells with 20, 54 and 61% positive cases and on 22 +/- 27%, 40 +/- 30%, and 39 +/- 29% of ALL cells with 29, 60, and 61% positive cases. Significant difference was neither noted between French-American-British (FAB) subtypes in AML or ALL nor between immunologic subtypes in ALL. There were highly significant correlations between the expression of the three beta 1-integrins tested in both AML and ALL. In AML, expression of both VLA-4 and VLA-5 was associated with that of CD14 (p = 0.003 and p = 0.01, respectively) and CD19 (p = 0.006 and p = 0.009, respectively). Expression of VLA-5 was correlated with that of CD15 (p = 0.004). Expression of VLA-4 was associated with both a high initial blast cell count (p = 0.01) and high percentage of bone marrow blast cell involvement (p = 0.003). In ALL, expression of VLA molecules was correlated neither with differentiation antigen nor with hematologic features. In AML, as in ALL, no significant correlation was noted between expression of VLA molecules and evolution of the disease.


Asunto(s)
Leucemia Mieloide Aguda/metabolismo , Leucemia-Linfoma Linfoblástico de Células Precursoras/metabolismo , Receptores de Fibronectina/biosíntesis , Receptores de Antígeno muy Tardío/biosíntesis , Adulto , Anciano , Antígenos CD/análisis , Médula Ósea/metabolismo , Femenino , Citometría de Flujo , Humanos , Inmunohistoquímica , Leucemia Mieloide Aguda/sangre , Masculino , Persona de Mediana Edad , Leucemia-Linfoma Linfoblástico de Células Precursoras/sangre
20.
Blood ; 85(11): 3313-9, 1995 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-7538823

RESUMEN

Adhesion molecules play a role in the migration of hematopoietic progenitor cells and regulation of hematopoiesis. To study whether the mobilization process is associated with changes in expression of adhesion molecules, the expression of CD31, CD44, L-selectin, sialyl Lewisx, beta 1 integrins very late antigen 4 (VLA-4) and VLA-5, and beta 2 integrins lymphocyte function-associated 1 and Mac-1 was measured on either bone marrow (BM) CD34+ cells or on peripheral blood CD34+ cells mobilized with a combination of granulocyte colony-stimulating factor (G-CSF) and chemotherapy. beta 1 integrin VLA-4 was expressed at a significantly lower concentration on peripheral blood progenitor cells than on BM CD34+ cells, procured either during steady-state hematopoiesis or at the time of leukocytapheresis. No differences in the level of expression were found for the other adhesion molecules. To obtain insight in which adhesion molecules may participate in the homing of peripheral blood stem cells (PBSCs), the number of CD34+ cells expressing these adhesion molecules present in leukocytapheresis material was quantified and correlated with hematopoietic recovery after intensive chemotherapy in 27 patients. The number of CD34+ cells in the subset defined by L-selectin expression correlated significantly better with time to platelet recovery after PBSC transplantation (r = -.86) than did the total number of CD34+ cells (r = -.55). Statistical analysis of the relationship between the number of CD34+L-selectin+ cells and platelet recovery resulted in a threshold value for rapid platelet recovery of 2.1 x 10(6) CD34+ L-selectin+ cells/kg. A rapid platelet recovery (< or = 14 days) was observed in 13 of 15 patients who received > or = 2.1 x 10(6) CD34+ L-selectin+ cells/kg (median, 11 days; range, 7 to 16 days), whereas 10 of 12 patients who received less double positive cells had a relative slow platelet recovery (median, 20 days; range, 13 to 37 days). The L-selectin+ subpopulation of CD34+ cells also correlated better with time to neutrophil recovery (r = -.70) than did the total number of reinfused CD34+ cells (r = -.51). However, this latter difference failed to reach statistical significance. This study suggests that L-selectin is involved in the homing of CD34+ cells after PBSC transplantation.


Asunto(s)
Moléculas de Adhesión Celular/fisiología , Trasplante de Células Madre Hematopoyéticas , Células Madre Hematopoyéticas/metabolismo , Recuento de Plaquetas , Receptores de Antígeno muy Tardío/fisiología , Adulto , Antígenos CD/análisis , Antígenos CD34 , Protocolos de Quimioterapia Combinada Antineoplásica/farmacología , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Biomarcadores , Médula Ósea/efectos de los fármacos , Células de la Médula Ósea , Carboplatino/administración & dosificación , Carmustina/administración & dosificación , Moléculas de Adhesión Celular/biosíntesis , Movimiento Celular/fisiología , Terapia Combinada , Ciclofosfamida/administración & dosificación , Citarabina/administración & dosificación , Epirrubicina/administración & dosificación , Etopósido/administración & dosificación , Femenino , Fluorouracilo/administración & dosificación , Expresión Génica , Factor Estimulante de Colonias de Granulocitos/farmacología , Hematopoyesis , Células Madre Hematopoyéticas/citología , Humanos , Ifosfamida/administración & dosificación , Selectina L , Recuento de Leucocitos , Masculino , Melfalán/administración & dosificación , Persona de Mediana Edad , Neoplasias/tratamiento farmacológico , Neoplasias/terapia , Neutrófilos , Podofilotoxina/administración & dosificación , Receptores de Antígeno muy Tardío/biosíntesis , Tiotepa/administración & dosificación
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