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1.
Mol Ecol ; 19(12): 2408-17, 2010 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-20497326

RESUMO

In small and declining populations levels of genetic variability are expected to be reduced due to effects of inbreeding and random genetic drift. As a result, both individual fitness and populations' adaptability can be compromised, and the probability of extinction increased. Therefore, maintenance of genetic variability is a crucial goal in conservation biology. Here we show that although the level of genetic variability in mtDNA of the endangered Fennoscandian lesser white-fronted goose Anser erythropus population is currently lower than in the neigbouring populations, it has increased six-fold during the past 140 years despite the precipitously declining population. The explanation for increased genetic diversity in Fennoscandia appears to be recent spontaneous increase in male immigration rate equalling 0.56 per generation. This inference is supported by data on nuclear microsatellite markers, the latter of which show that the current and the historical Fennoscandian populations are significantly differentiated (F(ST) = 0.046, P = 0) due to changes in allele frequencies. The effect of male-mediated gene flow is potentially dichotomous. On the one hand it may rescue the Fennoscandian lesser white-fronted goose from loss of genetic variability, but on the other hand, it eradicates the original genetic characteristics of this population.


Assuntos
DNA Mitocondrial/genética , Gansos/genética , Variação Genética , Genética Populacional , Animais , Simulação por Computador , Espécies em Perigo de Extinção , Fluxo Gênico , Frequência do Gene , Masculino , Repetições de Microssatélites , Densidade Demográfica , Análise de Sequência de DNA , Fatores de Tempo
2.
Mol Phylogenet Evol ; 48(2): 554-62, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18550388

RESUMO

The bean goose Anser fabalis and the pink-footed goose A. brachyrhynchus breed in the tundra and taiga zones of Eurasia and eastern Greenland, and the taxonomy of the group based on morphology has been controversial. We investigated the phylogenetic relationships within the bean goose-the pink-footed goose complex using mitochondrial control region sequences of 199 individuals collected from the breeding areas in the Palaearctic and Eastern Nearctic. We found three mitochondrial clades geographically distributed to (1) Greenland, Iceland and Svalbard (A. brachyrhynchus), (2) the eastern taiga zone (former subspecies A. fabalis middendorffii), and (3) the western taiga and the tundra zone (subspecies A. fabalisrossicus, serrirostris and fabalis). MtDNA phylogeny suggests that morphological affinities between the taxa, e.g. in the bill structure, result from convergent evolution due to adaptation to similar habitats. Although a latitudinal cline in morphology was observed, clear phylogenetic discontinuities exist in the taiga and tundra zones supporting a species status for brachyrhynchus and middendorffii.


Assuntos
DNA Mitocondrial/genética , Gansos/genética , Filogenia , Animais , Sequência de Bases , DNA Mitocondrial/química , Finlândia , Gansos/classificação , Groenlândia , Islândia , Dados de Sequência Molecular , Federação Russa , Análise de Sequência de DNA , Homologia de Sequência do Ácido Nucleico , Svalbard
3.
Mol Ecol ; 14(1): 171-8, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15643960

RESUMO

Population structure and phylogeography of the pink-footed goose, Anser brachyrhynchus Baillon 1833, was studied using mtDNA control region sequences (221 bp) from 142 individuals. Present breeding areas of the species in Greenland, Iceland, and Svalbard were largely covered by ice during the late Pleistocene. In pairwise comparisons phiST estimates showed significant differentiation among eastern and western populations, whereas sampling localities within both areas were not differentiated. The mtDNA data indicate that the populations have separated recently (less than 10 000 years ago) and present breeding areas were colonized from one refugial population. The levels of haplotype and nucleotide diversity were approximately five times higher for the eastern population compared to the western population and suggest that the latter was colonized by a subset of eastern birds. Time to the most recent common ancestor of the species is 32 000-46 000 years, i.e. the present mtDNA variation of the pink-footed goose has accumulated during the last 0.1 My. Estimates of the long-term female effective population size (5400-7700 for the eastern population) imply that the refugial population of the pink-footed goose has been large. Tundra habitats were more extensive in cold periods of the late Pleistocene than today and may have sustained population sizes that allowed the accumulation of extant genetic polymorphism. It is not probable that the postulated small refugial areas in the high latitudes had a significant role in maintaining this diversity.


Assuntos
DNA Mitocondrial/genética , Gansos/genética , Variação Genética , Animais , Anseriformes , Regiões Árticas , Europa (Continente) , Gansos/classificação , Geografia , Filogenia , Densidade Demográfica
4.
Scand J Immunol ; 57(2): 192-8, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12588667

RESUMO

As the T-cell population in the synovial tissue (ST) in rheumatoid arthritis (RA) is dominated by T helper (Th) 1 cells, this study was designed to examine whether there is a preferential migration of polarized T cells to ST, and to identify the chemokines responsible for the migration. This was done by developing 10 T-cell clones specific for an arbitrary antigen (mouse immunoglobulin G (IgG)) from the peripheral blood (PB) of a healthy donor sensitized to mouse IgG. The Th polarizations of the clones were determined by measuring secreted interferon-gamma and interleukin-4, following anti-CD3 stimulation. Migration to pools of RA ST cell-derived supernatants was analysed. Expression of the chemokine receptors CCR1, CCR2, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CXCR3 and CXCR4 were analysed by flow cytometry. Th1 clones showed significantly higher migration to RA ST cell-derived supernatant compared with Th2 clones. Blocking of either of the chemokines, CCL5 or CCL2, strongly inhibited migration of the Th1 cells between 56 and 77%, while blocking of CXCL12 inhibited migration between 44 and 61%. Blocking of CXCL10 had only a minor inhibitory effect. Our results demonstrate a selective migration of Th1 cells to RA ST supernatant and that blocking either CCL5, CCL2 or CXCL12 significantly inhibits T-cell migration. This indicates that CCL5, CCL2 and CXCL12 play significant roles in attracting Th1 cells towards the RA ST, and may prove potent targets for obstructing T-cell migration to the synovium.


Assuntos
Artrite Reumatoide/imunologia , Movimento Celular/imunologia , Quimiocinas/imunologia , Membrana Sinovial/imunologia , Células Th1/imunologia , Complexo CD3/imunologia , Células Clonais/imunologia , Humanos , Imunoglobulina G/imunologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Receptores de Quimiocinas/imunologia , Estatísticas não Paramétricas
5.
Scand J Immunol ; 55(3): 274-83, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11940234

RESUMO

Among the T cell pool of multiple specificities in the rheumatoid synovial tissues (ST) we have previously shown a lack of proliferative response of T cells to Acanthamoeba polyphaga [1]. In contrast, peripheral blood (PB) derived T cells proliferate to the antigen. The aim of the present study was to establish whether there is a preferential migration of some T cell specificities to the joint in rheumatoid arthritis (RA) patients dependent on the chemokine system, and to identify which chemokine receptors are involved in the migratory process. For this purpose, PB-derived T cell lines and clones from RA patients specific for A. polyphaga, herpes simplex virus (HSV) and Campylobacter jejuni were developed. Their migratory capacities towards ST-derived chemokine supernatants were analysed. Expression of CCR1, CCR2, CCR5, CCR6, CCR7, CXCR3 and CXCR4 were analysed by FACS, and attracting chemokines were identified by blocking studies. We found that the migratory capacities of T cells specific for C. jejuni and HSV were markedly higher against synovial chemokines than T cells specific for A. polyphaga. CCR5 and CXCR3 were expressed by all high-migrating T cell lines and clones. CCR2 was expressed at higher levels on the high-migrating T cell lines compared with the low-migrating A. polyphaga lines. Neutralization of RANTES (regulated upon activation normal T cell expressed and secreted) in the ST cell-derived supernatant reduced T cell migration of all T cell lines and clones by 60-90%, while neutralization of MCP-1 reduced the migratory capacity of CCR2-expressing T cells by 45-80%. In conclusion, the ability of T cells to migrate towards chemokines produced by ST cells is associated with the T cell specificity. Blocking of single chemokines substantially reduced the migratory capacity of memory T cells to ST cell-derived supernatant indicating unique roles for each chemokine receptor in the process of T cell migration.


Assuntos
Artrite Reumatoide/imunologia , Linfócitos T/imunologia , Acanthamoeba/imunologia , Animais , Antígenos , Campylobacter jejuni/imunologia , Linhagem Celular , Movimento Celular/imunologia , Quimiocina CCL2/metabolismo , Quimiocina CCL5/metabolismo , Quimiocinas/metabolismo , Humanos , Memória Imunológica , Receptores CCR2 , Receptores CCR5/metabolismo , Receptores de Quimiocinas/metabolismo , Simplexvirus/imunologia , Membrana Sinovial/imunologia
6.
Rheumatology (Oxford) ; 40(10): 1120-5, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11600741

RESUMO

OBJECTIVE: To identify any preferential or selective migration of T-cell specificities to inflamed tissues of rheumatoid arthritis (RA) patients. METHODS: Lymphocytes from peripheral blood (PB) and synovial tissue (ST) were isolated from RA patients and stimulated with a panel of crude antigen preparations from 18 bacterial, protozoan and viral sources. Proliferative responses of the T lymphocytes to each antigen and group of antigens were compared in PB and ST. Antigen-specific T-cell clones were developed and their migratory capacities towards synovial chemokines were compared. RESULTS: ST-derived T cells showed a small but significantly higher stimulation index (SI) to the group of intestinal bacteria compared with PB T cells. Conversely, responses of ST-derived T cells to Acanthamoeba polyphaga (AP) were both profoundly and significantly lower compared with PB-derived T cells. The viral antigens as a whole gave comparable reactivities in blood and ST. The migratory capacity of AP-specific T-cell clones towards chemokines produced by ST was profoundly poorer compared with Campylobacter jejuni- and herpes simplex virus-specific T-cell clones. CONCLUSIONS: The results indicate a selective migration of T cells of given specificities to the inflamed rheumatoid synovium.


Assuntos
Antígenos de Bactérias/imunologia , Antígenos de Protozoários/imunologia , Antígenos Virais/imunologia , Artrite Reumatoide/imunologia , Linfócitos T/imunologia , Acanthamoeba/imunologia , Adulto , Idoso , Amebíase/imunologia , Animais , Infecções por Campylobacter/imunologia , Campylobacter jejuni/imunologia , Movimento Celular/imunologia , Feminino , Herpes Simples/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Simplexvirus/imunologia , Membrana Sinovial/citologia , Membrana Sinovial/imunologia
7.
Scand J Immunol ; 54(1-2): 100-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11439155

RESUMO

Th1 and Th2 cells as defined by their cytokine profile are associated with the expression of the chemokine receptors CCR5 and CCR3, respectively. In committed human memory Th1 cells the cytokine profile is irreversibly expressed. However, it is not known if the chemokine receptor phenotypes of Th1 and Th2 cells are permanently associated to the cytokine profile or if it can be changed. To analyze the possibility of inducing a switch in chemokine receptor phenotype on memory Th cells we used differentiated memory Th cells isolated from synovial tissue (ST) samples of patients with rheumatoid arthritis (RA). Freshly isolated T cells, T-cell lines and T-cell clones from these tissues were manipulated with Th1 (interleukin (IL)-12 + anti IL-4) or Th2 (IL-4 + anti IL-12) inducing conditions. The surface expression of CCR5 and CCR3 was analyzed by flowcytometry and interferon (IFN)-gamma and IL-4 production by ELISA. A Th1-inducing cytokine environment increased the expression of CCR5 in Th1 cells and induced the expression of CCR5 in Th2 cells as compared to culture condition with only IL-2. Induction of CCR5 expression on Th2 clones was associated with secretion of some IFN-gamma. Moreover, the Th2-associated chemokine receptor CCR3 could be expressed on both Th1-dominant cell lines, and clones of Th1 and Th0 type after culture conditions with IL-4. This expression of CCR3 was associated with a reduced IFN-gamma production, but no IL-4 production could be induced. The IL-4-treated Th1 clones had a reduced migratory capacity against chemokines produced by ST cells compared to nonmanipulated T-cell clones. In contrast, the same IL-12-treated Th1 clones showed an increased migratory potential. Induction of the Th2-associated marker CCR3 on memory Th1 cells demonstrates that a change in chemokine receptor phenotype related to the Th2 type can be induced on terminally differentiated Th1 cells, without a change in the cytokine profile.


Assuntos
Artrite Reumatoide/imunologia , Memória Imunológica/imunologia , Interferon gama/biossíntese , Interleucina-2/biossíntese , Interleucina-4/biossíntese , Receptores CCR5/biossíntese , Receptores de Quimiocinas/biossíntese , Células Th1/imunologia , Células Th2/imunologia , Movimento Celular/imunologia , Imunofenotipagem , Receptores CCR3
8.
Arthritis Res ; 3(1): 13-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11178123

RESUMO

The synovial tissue in rheumatoid arthritis (RA) patients is enriched with mature antigen presenting cells (APCs) and many T lymphocytes. Interactions between APCs and T cells are essential for the initiation and amplification of T-cell-dependent immune responses, and may therefore play an important role in the chronic inflammatory processes in the synovium. The nature of the antigen(s) involved in RA still remains elusive. However, interactions and signaling through the costimulatory molecules CD28-CD80/86 and CD40-CD40L are critical during APC-T cell interaction for optimal cell activation. This review discusses how such costimulatory signals can be involved in the initiation and amplification of the inflammatory reactions in the synovium. Blocking of the signaling pathways involved in APC-T cell interactions might provide a specific immuno-therapeutic approach for the treatment of RA.


Assuntos
Células Apresentadoras de Antígenos/imunologia , Artrite Reumatoide/imunologia , Comunicação Celular/imunologia , Sinovite/imunologia , Linfócitos T/imunologia , Animais , Apresentação de Antígeno/imunologia , Humanos
9.
Cytokine ; 13(2): 113-8, 2001 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-11145852

RESUMO

To assess the contribution of cell interactions to the production of cytokines and type I collagen, fixed synovium T cell clones were cocultured on synoviocytes and levels of IL-6, LIF and PICP, a marker of type I collagen synthesis measured. Levels of IL-6 and LIF were higher with Th(1)than with Th(0)and Th(2)clones. Levels of PICP were decreased with Th(1)clones and increased with Th(2)clones. IL-17-producing T cells, all Th(1), were among the highest inducers of cytokine and inhibitors of collagen synthesis. Preincubation of clones in Th(1)conditions (IL-12 plus anti-IL-4) increased IL-6 production, whereas Th(2)conditions (IL-4 plus anti-IL-12) strongly inhibited IL-6 production and restored repair activity. As rheumatoid synovium is infiltrated by Th(1)cells, local cell interactions result in a pro-inflammatory pattern with defective repair, which can be reversed at least in part, by a Th(2)pattern.


Assuntos
Inflamação , Interleucina-17/biossíntese , Articulações/metabolismo , Líquido Sinovial/citologia , Células Th1/metabolismo , Células Th2/metabolismo , Artrite Reumatoide/metabolismo , Técnicas de Cocultura , Colágeno/biossíntese , Meios de Cultura/metabolismo , Relação Dose-Resposta a Droga , Ensaio de Imunoadsorção Enzimática , Inibidores do Crescimento/biossíntese , Humanos , Interleucina-12/farmacologia , Interleucina-4/farmacologia , Interleucina-6/biossíntese , Fator Inibidor de Leucemia , Linfocinas/biossíntese , Fatores de Tempo
10.
Rheumatology (Oxford) ; 39(5): 513-22, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10852982

RESUMO

OBJECTIVE: To perform a kinetic study of the Th1/Th2 balance in the rheumatoid arthritis (RA) synovium. METHODS: Three different synovial tissue (ST) samples were obtained from one patient with erosive RA. The characterization of Th1 and Th2 responses was performed by interferon-gamma and interleukin-4 measurements and by expression of the chemokine receptors CCR5 and CCR3. Measurements of secreted and surface immunoglobulin determined the types of B cells. RESULTS: The first ST sample yielded 31 CD4+ T cell clones which showed an unusual Th2 dominant pattern in the inflamed synovium. The Th2 response was associated with predominantly synovial IgG B cells, and a predominantly Th1 profile in the peripheral blood. In contrast, ST samples obtained 2 and 2.5 yr later displayed first a Th0 and thereafter a Th1 profile, and the synovial B cell response was predominantly of IgM type. The T cell lines from the Th1/Th0 tissues expressed the Th1 marker CCR5 but not CCR3, while the T cells from the Th2 tissue expressed the Th2 marker CCR3 and no CCR5. CONCLUSION: These results demonstrate that a predominantly Th2 response can be associated with active erosive RA. However, the Th2 profile was not permanent and changed into a Th0 and thereafter a Th1 profile.


Assuntos
Artrite Reumatoide/imunologia , Citocinas/imunologia , Membrana Sinovial/imunologia , Células Th1/imunologia , Células Th2/imunologia , Idoso , Artrite Reumatoide/patologia , Biomarcadores/análise , Ciclo Celular , Feminino , Humanos , Inflamação/etiologia , Fenótipo , Subpopulações de Linfócitos T/imunologia , Células Th1/metabolismo , Células Th2/metabolismo
11.
Scand J Immunol ; 50(1): 1-9, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10404044

RESUMO

The stability of established memory T helper (Th)1/Th2 cells in chronic inflammatory diseases is not clear, and a shift of the cytokine balance could control chronic inflammation. In order to study the regulation of the Th phenotype of memory T cells, polyclonal T-cell lines and clones with a Th1, Th0 or Th2 phenotype were developed from rheumatoid synovial tissue. Th1 [interleukin (IL)-12 + anti-IL-4] and Th2 (IL-4 + anti-IL-12) promoting environments and IL-2 were used to manipulate the cytokine profile. Polyclonal T-cell lines of predominantly Th1 type could be shifted to produce Th2 cytokines, and polyclonal Th2/Th0 lines could be shifted to produce Th1 cytokines. However, this shift was due to an amplification of CD8+ T cells with a memory phenotype and a loss of the CD4+ T cells, giving Tc2 or Tc1 profiles, respectively. Th2 clones cultured repeatedly with IL-2 switched to either a Th0 or a Th1 phenotype, while both Th1 and Th0 memory clones kept a stable phenotype. Addition of Th2-promoting conditions strongly reduced the production of both interferon-gamma and IL-17, while Th1-promoting conditions increased the production of these cytokines. These results demonstrate that RA Th2 clones readily switch, while Th1 and Th0 clones are stable. However, induction of Th2 cytokines can be obtained in polyclonal polarized memory T cells due to amplification of Tc2 cells.


Assuntos
Artrite Juvenil/imunologia , Artrite Reumatoide/imunologia , Memória Imunológica/imunologia , Membrana Sinovial/imunologia , Células Th1/imunologia , Células Th2/imunologia , Adulto , Idoso , Células Clonais , Citocinas/biossíntese , Regulação para Baixo , Feminino , Humanos , Imunofenotipagem , Interferon gama/biossíntese , Interleucina-12/metabolismo , Interleucina-12/farmacologia , Interleucina-4/metabolismo , Interleucina-4/farmacologia , Pessoa de Meia-Idade , Receptores CCR3 , Receptores de Quimiocinas/biossíntese , Membrana Sinovial/citologia , Linfócitos T/imunologia , Linfócitos T/metabolismo , Células Th1/metabolismo , Células Th2/metabolismo
12.
Vaccine ; 17(7-8): 754-64, 1999 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-10067680

RESUMO

Ten adult volunteers, with low prevaccination levels of serum IgG antibodies against meningococcal antigens (< 1 microg ml(-1)), received three doses of the Norwegian group B meningococcal outer membrane vesicle (OMV) vaccine intramuscularly at weeks 0, 6 and 46. Anti-OMV IgG subclass responses were measured and compared with serum bactericidal activity (SBA) and opsonic activity against the vaccine strain 44/76. All vaccinees showed an IgG1 antibody response after each vaccine dose. The vaccine-induced median serum IgG1 antibody levels were 16, 17 and 18 microg ml(-1) 2-6 weeks after the first, second and third dose, respectively. Three vaccinees showed a weak IgG3 response after the first dose, whereas 8 and 9 showed a response after the second (median = 10 microg ml(-1)) and third dose (median = 10 microg ml(-1)), respectively. Low levels of anti-OMV IgG2 antibodies were found, whilst specific IgG4 antibodies were only detected for one vaccinee. The vaccine induced at least a fourfold increase in SBA titre in 8 vaccinees after the first dose, in 9 vaccinees after 2 doses and in all vaccinees after 3 doses. A positive correlation was found between IgG1 subclass antibody levels and SBA (r = 0.62, P < 0.0001). Elevated opsonophagocytic activity, measured as respiratory burst (RB), was observed in all vaccinees after one vaccine dose and usually increased after 2 and 3 doses. A strong positive correlation was found between IgG1 antibody levels and RB (r = 0.76, P < 0.0001). In conclusion, we have shown that systemic meningococcal OMV vaccination in adult vaccinees mainly induced IgG1 antibodies which correlated with bactericidal and opsonic activity, but also a considerable amount of IgG3 antibodies, which, in contrast to the IgG1 response, was induced only after 2 or 3 vaccine doses and declined more rapidly.


Assuntos
Proteínas da Membrana Bacteriana Externa/imunologia , Vacinas Bacterianas/imunologia , Atividade Bactericida do Sangue/imunologia , Imunoglobulina G/biossíntese , Imunoglobulina G/classificação , Neisseria meningitidis/imunologia , Proteínas Opsonizantes/sangue , Adulto , Anticorpos Antibacterianos/biossíntese , Vacinas Bacterianas/uso terapêutico , Relação Dose-Resposta Imunológica , Feminino , Humanos , Esquemas de Imunização , Imunização Secundária , Imunoglobulina G/sangue , Cinética , Masculino , Meningite Meningocócica/prevenção & controle , Pessoa de Meia-Idade , Fagocitose/imunologia , Explosão Respiratória/imunologia
13.
J Immunol ; 162(3): 1246-51, 1999 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-9973376

RESUMO

IL-17 is defined as a proinflammatory cytokine and produced by activated CD4+ T cells. In rheumatoid arthritis synovial tissue, high levels of IL-17 contribute to IL-6 production by synoviocytes. The present study was performed to see whether Th cells that produce IL-17 are associated with the Th1, Th2, or Th0 subset. Thirty-three CD4+, alphabeta+ T cell clones were developed from synovial membranes and synovial fluid of rheumatoid arthritis patients. Thirteen clones were defined as Th1 since they produced IFN-gamma but not IL-4, and four clones were defined as Th0 type that produced both IL-4 and IFN-gamma. Sixteen clones were defined as Th2 since they produced high levels of IL-4 and/or IL-10 but not IFN-gamma. IL-17 was measured in a bioassay, where IL-6 production from synoviocytes was a measurement for IL-17 activity in the presence and absence of blocking anti-IL-17 mAb. Three Th1 clones and two Th0 clones produced IL-17. In contrast, none of the sixteen Th2 clones analyzed produced IL-17. In addition, six Th2 clones were further cultured in conditions that induced a switch to Th1 type. Induction of this Th1 phenotype also led to production of IL-17 in two of these clones. The results demonstrate that some cells of the Th1/Th0 phenotype produce IL-17 but not cells of the Th2 phenotype. Thus, IL-17 may define a new subset of T cells, and IL-17 production appears to be a mechanism for Th1/Th0 cells, the most frequent Th subtype present in the rheumatoid synovium, to contribute to the local inflammatory reactions.


Assuntos
Linfócitos T CD4-Positivos/imunologia , Interleucina-17/biossíntese , Células Th1/imunologia , Células Th2/imunologia , Adulto , Antígenos de Diferenciação de Linfócitos T/metabolismo , Artrite Reumatoide/imunologia , Artrite Reumatoide/patologia , Células Clonais , Feminino , Humanos , Imunofenotipagem , Inflamação/etiologia , Inflamação/imunologia , Pessoa de Meia-Idade , Membrana Sinovial/imunologia , Membrana Sinovial/patologia , Subpopulações de Linfócitos T/imunologia
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