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1.
Assay Drug Dev Technol ; 1(4): 507-19, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15090247

RESUMO

We describe a new approach to affinity selection based on the application of centrifugal force to macromolecules in solution. The method relies on the well known macromolecular hydrodynamic principles of centrifugation. It can be automated and operated in a centralized fashion, or it can be decentralized and used by single researchers or networks of researchers with a minimal additional capital investment. In this method, a centrifugal driving force is used to establish a differential and selective concentration gradient between a therapeutic target and potential ligands in compound libraries. This concentration gradient, in turn, drives the binding of ligands. Once formed, the differential concentration gradient of target macromolecules and ligands is fractionated to capture the self-sorting binding events. Ligand binding is defined by the individual ligand binding constants, so tight binding ligands will essentially distribute identically with the protein target, and weaker binding ligands will not. The level of affinity needed to operationally define tight binding can be adjusted by selecting the initial concentration conditions or centrifugal force. A variety of rapid, commonly available, detection methods can be used to assess binding in the fractionated samples. The method can be broadly applied in drug discovery efforts to examine most types of cell-cell, protein-protein, and protein-small molecule interactions. We describe the application of this method to systems of small molecule interactions with several macromolecules of therapeutic interest.


Assuntos
Centrifugação/métodos , Fracionamento Químico/métodos , Automação/economia , Automação/métodos , Proteínas de Transporte/química , Proteínas de Transporte/isolamento & purificação , Centrifugação com Gradiente de Concentração/métodos , Cromatografia Líquida de Alta Pressão , Ligantes , Substâncias Macromoleculares , Espectrometria de Massas , Ligação Proteica , Proteínas/química , Proteínas/isolamento & purificação , Solubilidade
2.
Biochemistry ; 39(36): 11024-33, 2000 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-10998239

RESUMO

The Bcl-2 family of proteins play a pivotal role in the regulation of programmed cell death. One of the postulated mechanisms for the function of these proteins involves the formation of ion channels in membranes. As a first step to structurally characterize these proteins in a membrane environment, we investigated the structure of a Bcl-x(L) mutant protein when incorporated into small detergent micelles. This form of Bcl-x(L) lacks the loop (residues 49-88) between helix 1 and helix 2 and the putative C-terminal transmembrane helix (residues 214-237). Below the critical micelle concentration (CMC), Bcl-x(L) binds detergents in the hydrophobic groove that binds to pro-apoptotic proteins. However, above the CMC, Bcl-x(L) undergoes a dramatic conformational change. Using NMR methods, we characterized the secondary structure of Bcl-x(L) in the micelle-bound form. Like Bcl-x(L) in aqueous solution, the structure of the protein when dissolved in dodecylphosphocholine (DPC) micelles consists of several alpha-helices separated by loops. However, the length and position of the individual helices of Bcl-x(L) in micelles differ from those in aqueous solution. The location of Bcl-x(L) within the micelle was examined from the analysis of protein-detergent NOEs and limited proteolysis. In addition, the mobility of the micelle-bound form of Bcl-x(L) was investigated from NMR relaxation measurements. On the basis of these studies, a model is proposed for the structure, dynamics, and location of Bcl-x(L) in micelles. In this model, Bcl-x(L) has a loosely packed, dynamic structure in micelles, with helices 1 and 6 and possibly helix 5 partially buried in the hydrophobic interior of the micelle. Other parts of the protein are located near the surface or on the outside of the micelle.


Assuntos
Apoptose , Micelas , Fosforilcolina/análogos & derivados , Proteínas Proto-Oncogênicas c-bcl-2/química , Sequência de Aminoácidos , Apoptose/fisiologia , Sítios de Ligação , Dicroísmo Circular , Detergentes/química , Endopeptidases/química , Humanos , Hidrólise , Dados de Sequência Molecular , Ressonância Magnética Nuclear Biomolecular , Éteres Fosfolipídicos/química , Fosforilcolina/química , Conformação Proteica , Estrutura Secundária de Proteína , Estrutura Terciária de Proteína , Proteínas Proto-Oncogênicas c-bcl-2/fisiologia , Dodecilsulfato de Sódio/química , Soluções , Relação Estrutura-Atividade , Ultracentrifugação , Água/química , Proteína bcl-X
3.
Mol Cell Biol ; 19(10): 6673-81, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10490606

RESUMO

bcl-x is a member of the bcl-2 family of genes. The major protein product, Bcl-x(L), is a 233-amino-acid protein which has antiapoptotic properties. In contrast, one of the alternatively spliced transcripts of the bcl-x gene codes for the protein Bcl-x(S), which lacks 63 amino acids present in Bcl-x(L) and has proapoptotic activity. Unlike other proapoptotic Bcl-2 family members, such as Bax and Bak, Bcl-x(S) does not seem to induce cell death in the absence of an additional death signal. However, Bcl-x(S) does interfere with the ability of Bcl-x(L) to antagonize Bax-induced death in transiently transfected 293 cells. Mutational analysis of Bcl-x(S) was conducted to identify the domains necessary to mediate its proapoptotic phenotype. Deletion mutants of Bcl-x(S) which still contained an intact BH3 domain retained the ability to inhibit survival through antagonism of Bcl-x(L). Bcl-x(S) was able to form heterodimers with Bcl-x(L) in mammalian cells, and its ability to inhibit survival correlated with the ability to heterodimerize with Bcl-x(L). Deletion mutants of Bax and Bcl-2, which lacked BH1 and BH2 domains but contained a BH3 domain, were able to antagonize the survival effect conferred by Bcl-x(L). The results suggest that BH3 domains from both pro- and antiapoptotic Bcl-2 family members, while lacking an intrinsic ability to promote programmed cell death, can be potent inhibitors of Bcl-x(L) survival function.


Assuntos
Apoptose , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Sítios de Ligação , Dimerização , Humanos , Mutação , Fenótipo , Ligação Proteica , Estrutura Terciária de Proteína , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Proto-Oncogênicas c-bcl-2/genética , Deleção de Sequência , Proteína X Associada a bcl-2 , Proteína bcl-X
4.
Cell ; 95(2): 269-77, 1998 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-9790533

RESUMO

Guanine nucleotide exchange factors for the Rho family of GTPases contain a Dbl homology (DH) domain responsible for catalysis and a pleckstrin homology (PH) domain whose function is unknown. Here we describe the solution structure of the N-terminal DH domain of Trio that catalyzes nucleotide exchange for Rac1. The all-alpha-helical protein has a very different structure compared to other exchange factors. Based on site-directed mutagenesis, functionally important residues of the DH domain were identified. They are all highly conserved and reside in close proximity on two a helices. In addition, we have discovered a unique capability of the PH domain to enhance nucleotide exchange in DH domain-containing proteins.


Assuntos
Fatores de Troca do Nucleotídeo Guanina , Nucleotídeos/metabolismo , Fosfoproteínas/química , Fosfoproteínas/genética , Proteínas Serina-Treonina Quinases/química , Proteínas Serina-Treonina Quinases/genética , Proteínas Proto-Oncogênicas/genética , Proteínas Sanguíneas/química , Proteínas Sanguíneas/genética , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Mutagênese , Fosfoproteínas/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Estrutura Secundária de Proteína , Estrutura Terciária de Proteína , Homologia de Sequência de Aminoácidos
5.
Mol Cell Biol ; 17(12): 7040-6, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9372935

RESUMO

The Bcl-2 related protein Bad is a promoter of apoptosis and has been shown to dimerize with the anti-apoptotic proteins Bcl-2 and Bcl-XL. Overexpression of Bad in murine FL5.12 cells demonstrated that the protein not only could abrogate the protective capacity of coexpressed Bcl-XL but could accelerate the apoptotic response to a death signal when it was expressed in the absence of exogenous Bcl-XL. Using deletion analysis, we have identified the minimal domain in the murine Bad protein that can dimerize with Bcl-xL. A 26-amino-acid peptide within this domain, which showed significant homology to the alpha-helical BH3 domains of related apoptotic proteins like Bak and Bax, was found to be necessary and sufficient to bind Bcl-xL. To determine the role of dimerization in regulating the death-promoting activity of Bad and the death-inhibiting activity of Bcl-xL, mutations within the hydrophobic BH3-binding pocket in Bcl-xL that eliminated the ability of Bcl-xL to form a heterodimer with Bad were tested for the ability to promote cell survival in the presence of Bad. Several of these mutants retained the ability to impart protection against cell death regardless of the level of coexpressed Bad protein. These results suggest that BH3-containing proteins like Bad promote cell death by binding to antiapoptotic members of the Bcl-2 family and thus inhibiting their survival promoting functions.


Assuntos
Proteínas de Transporte/química , Proteínas Proto-Oncogênicas c-bcl-2/química , Sequência de Aminoácidos , Animais , Apoptose/genética , Apoptose/fisiologia , Sítios de Ligação/genética , Proteínas de Transporte/genética , Proteínas de Transporte/metabolismo , Linhagem Celular , Dimerização , Expressão Gênica , Camundongos , Dados de Sequência Molecular , Ligação Proteica , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Homologia de Sequência de Aminoácidos , Transfecção , Proteína de Morte Celular Associada a bcl , Proteína bcl-X
6.
Mol Cell Biol ; 17(9): 5540-9, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9271429

RESUMO

The adapter protein Shc is a critical component of mitogenic signaling pathways initiated by a number of receptors. Shc can directly bind to several tyrosine-phosphorylated receptors through its phosphotyrosine-binding (PTB) domain, and a role for the PTB domain in phosphotyrosine-mediated signaling has been well documented. The structure of the Shc PTB domain demonstrated a striking homology to the structures of pleckstrin homology domains, which suggested acidic phospholipids as a second ligand for the Shc PTB domain. Here we demonstrate that Shc binding via its PTB domain to acidic phospholipids is as critical as binding to phosphotyrosine for leading to Shc phosphorylation. Through structure-based, targeted mutagenesis of the Shc PTB domain, we first identified the residues within the PTB domain critical for phospholipid binding in vitro. In vivo, the PTB domain was essential for localization of Shc to the membrane, as mutant Shc proteins that failed to interact with phospholipids in vitro also failed to localize to the membrane. We also observed that PTB domain-dependent targeting to the membrane preceded the PTB domain's interaction with the tyrosine-phosphorylated receptor and that both events were essential for tyrosine phosphorylation of Shc following receptor activation. Thus, Shc, through its interaction with two different ligands, is able to accomplish both membrane localization and binding to the activated receptor via a single PTB domain.


Assuntos
Fosfolipídeos/metabolismo , Fosfotirosina/metabolismo , Domínios de Homologia de src , Animais , Sítios de Ligação , Células COS , Modelos Moleculares , Conformação Proteica , Transdução de Sinais
7.
Science ; 275(5302): 983-6, 1997 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-9020082

RESUMO

Heterodimerization between members of the Bcl-2 family of proteins is a key event in the regulation of programmed cell death. The molecular basis for heterodimer formation was investigated by determination of the solution structure of a complex between the survival protein Bcl-xL and the death-promoting region of the Bcl-2-related protein Bak. The structure and binding affinities of mutant Bak peptides indicate that the Bak peptide adopts an amphipathic alpha helix that interacts with Bcl-xL through hydrophobic and electrostatic interactions. Mutations in full-length Bak that disrupt either type of interaction inhibit the ability of Bak to heterodimerize with Bcl-xL.


Assuntos
Proteínas de Membrana/química , Conformação Proteica , Proteínas Proto-Oncogênicas c-bcl-2 , Proteínas Proto-Oncogênicas/química , Sequência de Aminoácidos , Apoptose , Cristalografia por Raios X , Dimerização , Espectroscopia de Ressonância Magnética , Proteínas de Membrana/genética , Proteínas de Membrana/metabolismo , Modelos Moleculares , Dados de Sequência Molecular , Estrutura Secundária de Proteína , Proteínas Proto-Oncogênicas/metabolismo , Deleção de Sequência , Proteína Killer-Antagonista Homóloga a bcl-2 , Proteína bcl-X
8.
Nature ; 381(6580): 335-41, 1996 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-8692274

RESUMO

THE Bcl-2 family of proteins regulate programmed cell death by an unknown mechanism. Here we describe the crystal and solution structures of a Bcl-2 family member, Bcl-xL (ref. 2). The structures consist of two central, primarily hydrophobic alpha-helices, which are surrounded by amphipathic helices. A 60-residue loop connecting helices alpha1 and alpha2 was found to be flexible and non-essential for anti-apoptotic activity. The three functionally important Bcl-2 homology regions (BH1, BH2 and BH3) are in close spatial proximity and form an elongated hydrophobic cleft that may represent the binding site for other Bcl-2 family members. The arrangement of the alpha-helices in Bcl-xL is reminiscent of the membrane translocation domain of bacterial toxins, in particular diphtheria toxin and the colicins. The structural similarity may provide a clue to the mechanism of action of the Bcl-2 family of proteins.


Assuntos
Apoptose , Proteínas Proto-Oncogênicas c-bcl-2 , Proteínas Proto-Oncogênicas/química , Sequência de Aminoácidos , Cristalografia por Raios X , Escherichia coli , Humanos , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Conformação Proteica , Proteínas Recombinantes/química , Homologia de Sequência de Aminoácidos , Proteína bcl-X
9.
J Biol Chem ; 270(52): 31119-23, 1995 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-8537373

RESUMO

The adaptor protein Shc has been implicated in Ras signaling via association with many tyrosine-phosphorylated receptors, including growth factor receptors, antigen receptors on T and B cells, and cytokine receptors. Shc could interact with the activated receptors through the carboxyl-terminal Src homology 2 (SH2) domain or the structurally unrelated amino-terminal phosphotyrosine binding (PTB) domain. Using NMR and surface plasmon resonance techniques, we have measured the binding affinities of the SH2 and the PTB domains of Shc to a series of phosphotyrosine-containing peptides derived from known Shc binding sites. Tyrosine-phosphorylated peptides derived from Trk (pY490), polyoma virus middle T-antigen (pY250), ErbB3 (pY1309), and epidermal growth factor receptor (pY1086, pY1148, and pY1114) that contain NPXpY sequences bind preferentially to the PTB domain of Shc with Kd values of 0.02-5.3 microM. The binding affinities of these peptides to the Shc SH2 domain were in the range of 220-1290 microM. In contrast, tyrosine-phosphorylated peptides from epidermal growth factor receptor (pY992, pY1173) and the zeta chain of the T-cell receptor bind preferentially to the SH2 domain (Kd = 50-130 microM) versus the PTB domain (Kd > 680 microM). From these studies, the relative contribution of the individual domains of Shc for binding to the phosphotyrosine-containing portions of these proteins was determined. In addition, our data indicate that the high affinity binding of the PTB domain to the NPXpY-containing peptides results from a very high association rate and a rapid dissociation rate, which is similar to previous results observed for the SH2-phosphopeptide complexes.


Assuntos
Peptídeos/metabolismo , Fosfotirosina/metabolismo , Tirosina/metabolismo , Sequência de Aminoácidos , Animais , Sítios de Ligação , Humanos , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Fosforilação , Domínios de Homologia de src
10.
Nature ; 378(6557): 584-92, 1995 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-8524391

RESUMO

The nuclear magnetic resonance structure of the phosphotyrosine binding (PTB) domain of Shc complexed to a phosphopeptide reveals an alternative means of recognizing tyrosine-phosphorylated proteins. Unlike in SH2 domains, the phosphopeptide forms an antiparallel beta-strand with a beta-sheet of the protein, interacts with a hydrophobic pocket through the (pY-5) residue, and adopts a beta-turn. The PTB domain is structurally similar to pleckstrin homology domains (a beta-sandwich capped by an alpha-helix) and binds to acidic phospholipids, suggesting a possible role in membrane localization.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal , Proteínas Adaptadoras de Transporte Vesicular , Fosfoproteínas , Fosfotirosina/metabolismo , Proteínas/química , Sequência de Aminoácidos , Sítios de Ligação , Proteínas Sanguíneas/química , Ligantes , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Dados de Sequência Molecular , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/metabolismo , Fosfolipídeos/metabolismo , Fosfopeptídeos/química , Fosfopeptídeos/metabolismo , Conformação Proteica , Estrutura Secundária de Proteína , Proteínas/metabolismo , Proteínas Proto-Oncogênicas/química , Proteínas Proto-Oncogênicas/metabolismo , Receptores Proteína Tirosina Quinases/química , Receptores Proteína Tirosina Quinases/metabolismo , Receptor trkA , Receptores de Fator de Crescimento Neural/química , Receptores de Fator de Crescimento Neural/metabolismo , Proteínas Adaptadoras da Sinalização Shc , Transdução de Sinais , Domínios de Homologia de src
11.
Biochemistry ; 34(31): 9859-64, 1995 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-7632686

RESUMO

The pleckstrin homology (PH) domain is a protein module of approximately 100 amino acids that is found in several proteins involved in signal transduction [for a recent review, see Gibson et al. (1994) Trends Biochem. Sci. 19, 349-353]. Although the specific function of the PH domain has not yet been elucidated, many of the proteins which contain this domain associate with phospholipid membranes, and PH domains have been shown to bind to phosphatidylinositol 4,5-bisphosphate (PIP2) [Harlan et al. (1994) Nature 371, 168-170] and the beta gamma subunits of G-proteins [Touhara et al. (1994) J. Biol. Chem. 269, 10217-10220]. We have postulated that pleckstrin homology domains may be important for the translocation of proteins to the membrane by an interaction with the negatively charged head group of phospholipids. Here we show the importance of three conserved lysine residues for binding to PIP2 by site-directed mutagenesis. These results should aid future site-directed mutagenesis studies in probing the function of PIP2-PH domain interactions in the various proteins containing this module. In addition, we examine the specificity of this binding and illustrate the importance of charge--charge interactions in PIP2-PH domain complex formation from binding experiments involving PIP2 analogs.


Assuntos
Proteínas Sanguíneas/metabolismo , Fragmentos de Peptídeos/metabolismo , Fosfatos de Fosfatidilinositol/metabolismo , Fosfoproteínas , Sequência de Aminoácidos , Sequência de Bases , Sítios de Ligação , Proteínas Sanguíneas/química , Proteínas Sanguíneas/genética , Lisina/genética , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/genética , Fosfatidilinositol 4,5-Difosfato , Fosfatos de Fosfatidilinositol/química , Conformação Proteica , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos
12.
Anal Biochem ; 224(2): 557-63, 1995 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-7733458

RESUMO

A method for the calibration of size-exclusion chromatographic columns is proposed that takes into account the nonlinear dependence of the Stokes radius Rs upon the partition coefficient KD. The method is based on the assumption that the pore size distribution of a molecular sieve column can be described by the sum of two Gaussian distributions and has been successfully tested with low-pressure chromatography gels (Sephacryl and Superose) and HPLC gels (TSK SW) over a wide range of protein sizes. An application of this method is described, in which aggregation states of the membrane protein prostaglandin H2 synthase solubilized in nonionic detergents are estimated.


Assuntos
Cromatografia em Gel/métodos , Calibragem , Fenômenos Químicos , Físico-Química , Cromatografia Líquida de Alta Pressão , Detergentes/química , Cinética , Peso Molecular , Distribuição Normal , Tamanho da Partícula , Prostaglandina H2 , Prostaglandina-Endoperóxido Sintases/análise , Prostaglandina-Endoperóxido Sintases/química , Prostaglandinas H/metabolismo , Soroalbumina Bovina/análise , Soroalbumina Bovina/química , Solubilidade
13.
Nature ; 371(6493): 168-70, 1994 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-8072546

RESUMO

The pleckstrin homology (PH) domain is a new protein module of around 100 amino acids found in several proteins involved in signal transduction. Although its specific function has yet to be elucidated, the carboxy-terminal regions of many PH domains bind to the beta gamma subunits of G proteins. On the basis of structural similarities between PH domains and lipid-binding proteins, we have proposed that PH domains may be binding to lipophilic molecules. Indeed, many of the proteins that contain this domain associate with phospholipid membranes, and disruption of this domain can interfere with membrane association. Here we report that PH domains bind to phosphatidylinositol-4,5-bisphosphate and show that the lipid-binding site is located at the lip of the beta-barrel. This suggests that PH domains may be important for membrane localization of proteins through interactions with phosphatidylinositol-4,5-bisphosphate.


Assuntos
Proteínas Sanguíneas/metabolismo , Fosfatos de Fosfatidilinositol/metabolismo , Fosfoproteínas , Sequência de Aminoácidos , Sítios de Ligação , Proteínas Sanguíneas/química , Linhagem Celular , Centrifugação , Humanos , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Fosfatidilinositol 4,5-Difosfato , Ligação Proteica , Conformação Proteica , Células Tumorais Cultivadas
14.
Am J Dis Child ; 136(1): 16-8, 1982 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-6798859

RESUMO

Serological tests for Rocky Mountain spotted fever were performed on single serum specimens from sixth graders from Forsyth County, North Carolina, an area highly endemic for this disease. Five of 508 *.098%) sera were positive (titer greater than or equal to 1:64) using the indirect fluorescent antibody method. Elevated Proteus agglutination antibody titers (greater than 1:160) to OX-19, but not ot OX-2, were common (19.6%) in these children. No correlation of those with positive OX-19 titers could be made with the cases demonstrating elevated indirect fluorescent antibody titers or with a history of urinary tract infection. These data suggest that the increased prevalence of elevated Proteus OX-19 antibody levels makes a single high titer unreliable in the diagnosis of Rocky Mountain spotted fever and that naturally acquired mild or asymptomatic subclinical cases of Rickettsia rickttsii infection occur.


Assuntos
Febre Maculosa das Montanhas Rochosas/diagnóstico , Anticorpos Antibacterianos/análise , Criança , Feminino , Imunofluorescência , Humanos , Masculino , North Carolina , Estudos Retrospectivos , Rickettsia rickettsii/imunologia , Febre Maculosa das Montanhas Rochosas/imunologia
15.
Pediatrics ; 65(6): 1086-9, 1980 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7375231

RESUMO

Rubella hemagglutination inhibition antibody titer was determined for 702 sixth grade students from nine randomly chosen schools in a community served well medically. Rubella immunization had been given by private physicians, the health department, hospital clinics, and through a mass immunization effort in 1970. The overall susceptibility rate, as defined by a rubella hemagglutination inhibition titer of less than 1:8, was 15%. Susceptibility did not differ significantly in regard to sex, race, or source of vaccine. Of 469 children with a documented rubella immunization, 13.2% were susceptible or vaccine failures. Menarche was reported by 30% of the girls. To increase the level of protection against rubella during the childbearing years, continued emphasis on early childhood immunization combined with consideration of a booster rubella immunization for preadolescents is recommended.


Assuntos
Anticorpos Antivirais/análise , Vacina contra Rubéola/imunologia , Rubéola (Sarampo Alemão)/imunologia , Adolescente , Fatores Etários , Criança , Etnicidade , Feminino , Testes de Inibição da Hemaglutinação , Humanos , Imunização Secundária , Masculino , North Carolina , Rubéola (Sarampo Alemão)/prevenção & controle , Vacina contra Rubéola/uso terapêutico , Vírus da Rubéola/imunologia , Fatores Sexuais
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