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1.
Mol Biol (Mosk) ; 56(4): 671-684, 2022.
Artigo em Russo | MEDLINE | ID: mdl-35964323

RESUMO

A number of single-domain antibodies (nanobodies) obtained previously to major marker blood proteins were tested as tools to preprocess urine samples from patients with bladder cancer. Nanobody-based tools demonstrated unique possibilities for noninvasive diagnostic studies along with other conventional methods, such as electrophoresis and, in prospect, mass spectrometric analysis. A testing of 22 samples from bladder cancer patients showed that the development of bladder cancer is accompanied by an increase in the urine contents of major blood proteins, including those known as potential bladder cancer biomarkers. New nanobody-based immunosorbents allow both specific enrichment and specific removal of particular antigenic proteins and subproteomes associated with them from a biological fluid. The isolation of immune complexes from the urine of a particular patient is of particular interest. An initial study of the complexes showed not only increased contents of IgA and IgG at advanced stages of the disease, but also many other components, which provide potential biomarkers of the pathological process in a particular patient. It is intended to use the approaches proposed in this work in a future larger-scale study of urine samples from patients with bladder cancer at different stages of the disease in order to identify new promising biomarkers of bladder cancer.


Assuntos
Anticorpos de Domínio Único , Neoplasias da Bexiga Urinária , Biomarcadores Tumorais , Proteínas Sanguíneas , Humanos , Proteoma/análise , Neoplasias da Bexiga Urinária/diagnóstico , Neoplasias da Bexiga Urinária/urina
2.
Acta Naturae ; 14(2): 98-102, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35923568

RESUMO

A highly efficient technology for generating new monoclonal single-domain recombinant antibodies (nanobodies) was used to obtain a panel of nanobodies recognizing human apo- and/or holo-transferrin. This article is devoted to the primary analysis of the properties of two different variants of the new nanobodies obtained by us, as well as to the demonstration of the unique potential of their application for diagnostic studies. The simultaneous use of immunosorbents based on these nanobodies apparently makes it possible to detect changes in the relative abundance of apo- and holo-transferrin in human biological fluids. Such changes could potentially be indicative of an increased risk or degree of development of pathological processes, such as malignant neoplasms in humans.

3.
Bull Exp Biol Med ; 170(2): 254-257, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33263843

RESUMO

We analyzed association of rs4680 polymorphism of catechol-O-methyltransferase (COMT) gene with clinical parameters of the tumor in patients with colorectal cancer (n=100). Based on the classification of the tumor according to the TNM system, groups were formed taking into account the size and spreading of the primary tumor (T1+T2 vs Т3+Т4) and the presence of regional (N0 vs N1) and distant metastases (M0 vs M1). An association of the AA genotype with an almost 7-fold increased capacity for invasive tumor growth was found (p<0.05; according to recessive (AA vs GG+GA) and codominant (AA vs GG) inheritance models). A positive relationship of minor allele A with increased malignancy of tumor cells was revealed at the trend level. No significant associations with either regional or distant metastasis were found.


Assuntos
Catecol O-Metiltransferase/genética , Neoplasias Colorretais/genética , Polimorfismo de Nucleotídeo Único , Idoso , Alelos , Citocinas/metabolismo , Progressão da Doença , Estudos de Associação Genética , Genótipo , Homozigoto , Humanos , Pessoa de Meia-Idade , Gradação de Tumores , Metástase Neoplásica , Projetos Piloto , Risco , Análise de Sequência de DNA
4.
Mol Biol (Mosk) ; 51(6): 985-996, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29271962

RESUMO

A new efficient method for the parallel and sequential stepwise generation of single-domain antibodies to various high-abundance human-plasma proteins has been described. Single-domain antibodies have a number of features that favorably distinguish them from classical antibodies. In particular, they are able to recognize unusual unique conformational epitopes of native target proteins, small in size, and relatively easily produced and modified; have enhanced stability; and rapidly renature after denaturation. As a consequence, the immunosorbents that utilize these antibodies can be reused without any significant loss of activity. The principal novelty and universality of the described method is that it enables the sequential generation of antibodies to a number of high-abundance and yet unknown antigens of a complex protein mixture without the need for purified antigens. The effectiveness of the method is demonstrated by the example of generation of single-domain antibodies to a number of high-abundance proteins of the human blood plasma. The produced antibodies are promising biotechnological tools that can be used to develop prototypes for new diagnostic and therapeutic agents, as well as appropriate immunoaffinity-based methods for removal, enrichment, analysis, and/or targeting of specified proteins and their complexes from (in) the human blood. As we show, the generated single-domain antibodies can be efficiently used in designing new immunosorbents. As a rule, commercially available analogous immunosorbents that utilize classical antibodies remove many major proteins from the blood plasma immediately, while immunosorbents for many individual proteins are difficult to find and rather expensive. Single-domain antibodies generated by our method are unique new materials that allow for the development of more efficient and delicate approaches to pretreatment of plasma and the analysis of various blood plasma biomarkers.


Assuntos
Proteínas Sanguíneas/isolamento & purificação , Cromatografia de Afinidade/métodos , Técnicas de Imunoadsorção , Proteômica/métodos , Anticorpos de Domínio Único/metabolismo , Animais , Proteínas Sanguíneas/química , Proteínas Sanguíneas/imunologia , Camelus , Clonagem Molecular , Epitopos/química , Epitopos/imunologia , Expressão Gênica , Humanos , Estabilidade Proteica , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Anticorpos de Domínio Único/química , Anticorpos de Domínio Único/genética
5.
Biomed Khim ; 63(5): 461-466, 2017 Oct.
Artigo em Russo | MEDLINE | ID: mdl-29080882

RESUMO

The technology for the generating of single-domain recombinant monoclonal antibodies (nanoantibodies) based on the immunization of a camel, cloning of induced sequences encoding single-domain antigen-recognizing fragments of non-canonical camel antibodies, as well as functional selection of clones of nanoantibodies by the phage display method, was used to obtain new effective tools for more efficient diagnostics of Chlamydia infection and to develop new approaches for effective therapy. Two promising nanoantibodies were obtained. They showed effective binding to extracellular and intracellular forms of C. trachomatis, and also had activity that inhibited the development of chlamydial infection in vitro.


Assuntos
Anticorpos Antibacterianos/imunologia , Anticorpos Monoclonais/imunologia , Infecções por Chlamydia/imunologia , Chlamydia trachomatis/imunologia , Anticorpos de Domínio Único/imunologia , Animais , Camelus , Imunização
6.
Izv Akad Nauk Ser Biol ; (2): 146-54, 2016.
Artigo em Russo | MEDLINE | ID: mdl-27396175

RESUMO

It has been found that microorganisms in cryogenic soils of Yakutia are resistant to the long-term impact of cesium and thorium. The number of microorganisms in the studied ecological-trophic groups does not depend on the concentrations of radioactive elements. Differences in the number of microorganisms are determined by the physicochemical conditions that are created in different horizons of the soils studied. The long-term impact of radiation (for 36 and 66 years) on microorganisms inhabiting the permafrost soils of Yakutia has developed their adaptive capacity to high concentrations of these radioactive elements.


Assuntos
Meio Ambiente , Pergelissolo , Microbiologia do Solo , Poluentes Radioativos do Solo , Adaptação Fisiológica , Radioisótopos de Césio/administração & dosagem , Radioisótopos de Césio/análise , Radioisótopos de Césio/toxicidade , Consórcios Microbianos/efeitos da radiação , Mineração , Sibéria , Poluentes Radioativos do Solo/administração & dosagem , Poluentes Radioativos do Solo/análise , Poluentes Radioativos do Solo/toxicidade , Tório/toxicidade
7.
Acta Naturae ; 6(2): 95-105, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25093116

RESUMO

Current targeting strategies for genetic vectors imply the creation of a specific vector for every targeted receptor, which is time-consuming and expensive. Therefore, the development of a universal vector system whose surface can specifically bind molecules to provide efficient targeting is of particular interest. In this study, we propose a new approach in creating targeted vectors based on the genome of human adenovirus serotype 5 carrying the modified gene of the capsid protein pIX (Ad5-EGFP-pIX-ER): recombinant pseudoadenoviral nanoparticles (RPANs). The surfaces of such RPANs are able to bind properly modified chimeric nanoantibodies that specifically recognize a particular target antigen (carcinoembryonic antigen (CEA)) with high affinity. The efficient binding of nanoantibodies (aCEA-RE) to the RPAN capsid surfaces has been demonstrated by ELISA. The ability of the constructed vector to deliver target genes has been confirmed by experiments with the tumor cell lines A549 and Lim1215 expressing CEA. It has been shown that Ad5-EGFP-pIX-ER carrying aCEA-RE on its surface penetrates into the tumor cell lines A549 and Lim1215 via the CAR-independent pathway three times more efficiently than unmodified RPAN and Ad5-EGFP-pIX-ER without nanoantibodies on the capsid surface. Thus, RPAN Ad5-EGFP-pIX-ER is a universal platform that may be useful for targeted gene delivery in specific cells due to "nanoantibody-modified RPAN" binding.

8.
Artigo em Inglês | MEDLINE | ID: mdl-24463400

RESUMO

Single-domain antibody generation technology was applied to make new Sepharose-bound ligands for affinity separation of closely related proteins, such as human and goat lactoferrin. We generated recombinant antibodies that can selectively bind/recognize only lactoferrins having amino acid sequences identical to that of human natural lactoferrin (anti-hLF Ab). Selected and purified histidine-tagged single-domain antibodies were used as ligands, and different lactoferrins were used as analytes in the kinetics analysis of lactoferrin binding to captured anti-hLF Abs using the Bio-Rad ProteOn XPR36 protein interaction array system. The data obtained were consistent with a 1:1 binding model with very high affinity, practically equal in the case of hLF and rec-hLF (calculated KD varied from 0.43nM to 3.7nM). Interaction of captured fsdAbs with goat LF was significantly weaker and not detectable under the same analysis conditions. We demonstrated the high efficiency of the recombinant human lactoferrin purification from goat lactoferrin and other proteins using the obtained single domain antibody-based affinity ligands. We believe this approach can be used for the generation of single-domain antibody-based affinity media for the efficient separation/purification of a wide spectrum of other highly homologous proteins.


Assuntos
Cromatografia de Afinidade/métodos , Lactoferrina/isolamento & purificação , Proteínas Recombinantes/isolamento & purificação , Anticorpos de Domínio Único/metabolismo , Animais , Animais Geneticamente Modificados , Feminino , Cabras , Humanos , Lactoferrina/metabolismo , Masculino , Leite/química , Proteínas Recombinantes/metabolismo , Anticorpos de Domínio Único/química , Anticorpos de Domínio Único/isolamento & purificação
9.
Izv Akad Nauk Ser Biol ; (6): 573-85, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25739306

RESUMO

This study determined the characteristic features of microbial communities inhabiting frozen soils of Central Sakha. All groups of microorganisms were present in high numbers comparable with the microbial densities in steppe soils of Transbaikalia; their distribution along soil profiles followed a specific pattern with no decrease in abundance with depth. In summer, the dominant groups of the microbial pool were actinomycetes and oligonitrophilic bacteria, while in autumn it was heterotrophic bacteria. A typical feature of the frozen soils of Central Sakha was the gradual penetration of microorganisms into deeper soil horizons during the vegetation season and their accumulation in the suprapermafrost horizon by autumn.


Assuntos
Clima Frio , Monitoramento Ambiental , Congelamento , Consórcios Microbianos , Microbiologia do Solo , Solo , Estações do Ano , Sibéria , Solo/química
10.
Biochemistry (Mosc) ; 77(6): 659-65, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22817466

RESUMO

Nanoantibodies (single-domain antibodies, nanobodies) derived from noncanonical single-chain immunoglobulins provide an attractive tool for in vitro and in vivo diagnostics as well as for development of targeted drugs for clinical use. Nanoantibodies against several clinically important targets have been developed and are actively investigated. However, no development of nanoantibodies against vascular endothelial growth factor VEGF-A(165) has been reported. We describe here the generation of nanoantibodies derived from single-chain Bactrian camel immunoglobulins directed against VEGF-A(165). We demonstrate that these nanoantibodies are suitable for enzyme-linked immunoassay to quantify human VEGF-A(165) as well as for blocking its activity. Our results provide a basis for diagnostic kit development for quantification of VEGF-A(165), which emerges as a biomarker useful in various pathological conditions. In addition, the nanoantibodies might be used for development of therapeutic molecules targeting VEGF-A(165)-dependent pathological neoangiogenesis.


Assuntos
Neovascularização Patológica/terapia , Anticorpos de Domínio Único/imunologia , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Fator A de Crescimento do Endotélio Vascular/análise , Inibidores da Angiogênese/uso terapêutico , Animais , Anticorpos Bloqueadores/imunologia , Anticorpos Bloqueadores/uso terapêutico , Células CHO , Camelus , Técnicas de Visualização da Superfície Celular , Cricetinae , Ensaio de Imunoadsorção Enzimática , Células Endoteliais da Veia Umbilical Humana/efeitos dos fármacos , Células Endoteliais da Veia Umbilical Humana/imunologia , Humanos , Nanoestruturas/uso terapêutico , Anticorpos de Cadeia Única/genética , Anticorpos de Cadeia Única/isolamento & purificação , Anticorpos de Cadeia Única/uso terapêutico , Anticorpos de Domínio Único/isolamento & purificação , Anticorpos de Domínio Único/uso terapêutico , Fator A de Crescimento do Endotélio Vascular/imunologia
11.
Radiats Biol Radioecol ; 50(2): 117-27, 2010.
Artigo em Russo | MEDLINE | ID: mdl-20464957

RESUMO

The association between polymorphisms in genes COMT, HFE that takes part in oxidative stress regulation, and chromosome aberration frequency in lymphocytes was assessed in 278 female residents of radiation polluted regions of Central Russia: Bryansk (322 kBk/m2) and Tula Districts (137Cs - 171 kBk/m2). The C187G, G845A genotyping of HFE and G1947A (H/L) of COMT was done by means of polymerase chain reaction-restriction fragment length polymorphism. Studied population was divided into 3 subgroups by level of chromosome aberrations per cell (0-2, 3-4, >5). There was shown statistically significant difference in distribution of COMTand HFE genotypes between the groups. The high frequency of chromosome aberrations (> or = 5%) was associated with homozygotes of the high activity COMT G/G and HFE CC. Heterozygotes for G1947A COMT and C187G HFE reveal negative association with the high frequency of chromosome aberrations and correspond to "resistance factors".


Assuntos
Catecol O-Metiltransferase/genética , Acidente Nuclear de Chernobyl , Aberrações Cromossômicas , Antígenos de Histocompatibilidade Classe I/genética , Proteínas de Membrana/genética , Lesões por Radiação/genética , Adulto , Radioisótopos de Césio/toxicidade , Feminino , Frequência do Gene , Proteína da Hemocromatose , Humanos , Leiomioma/genética , Estresse Oxidativo/genética , Polimorfismo de Fragmento de Restrição , Polimorfismo de Nucleotídeo Único , Federação Russa , Neoplasias Uterinas/genética
12.
Radiats Biol Radioecol ; 50(2): 186-94, 2010.
Artigo em Russo | MEDLINE | ID: mdl-20464967

RESUMO

Antioxidant and prooxidant properties of dihydroquercetine, mexidol and an ascorbic acid in reactions with participation of radicals OH* and O2(-)*, induced by gamma-irradiation, iron-catalyzed decomposition of hydrogen peroxide and oxidation of reduced NADH by phenazine metosulfate are investigafed. The efficiency of scavenging of radicals OH* estimated by the results of the analysis of deoxyribose degradation, and the efficiency of scavenging of superoxide anion-radicals O2(-)* is estimated by the results of the analysis of occurrence the reduced nitrotetrazolium blue. The concentrations of analyzed compounds, scavenging on 50% (C50%) formation of radicals OH* and O2(-)* are certain. It is shown, that an ascorbic acid, dihydroquercetine and mexidol decrease the generating of superoxide anion-radicals O2(-)* in the gamma-irradiated solutions of sodium format and at oxidation of reduced NADH by phenazine metosulfate scavanged of superoxide anion-radicals O2(-)*. In the gamma-irradiated saline solutions an ascorbic acid, dihydroquercetine and mexidol protected deoxyribose from oxidizing action of hydroxyl radicals OH*. However at presence Fe(3+), EDTA and hydrogen peroxide addition of an ascorbic acid (0.1 mmol/l) increased generating of hydroxyl radicals OH* and in 2.8 times raised the maintenance of products of deoxyribose oxidation, reacting with thiobarbituric acid. Prooxidant action of an ascorbic acid is observed as well in absence of hydrogen peroxide. Obtained data testify that in various modelling systems reagents, in particular ions of iron, and the formed active intermediate products render significant influence on scavenging efficiency of investigated compounds.


Assuntos
Antioxidantes/farmacologia , Ácido Ascórbico/farmacologia , Picolinas/farmacologia , Quercetina/farmacologia , Radiação Ionizante , Desoxirribose/metabolismo , Formiatos/metabolismo , Sequestradores de Radicais Livres/metabolismo , Radical Hidroxila/metabolismo , Quelantes de Ferro/metabolismo , NAD/metabolismo , Oxirredução/efeitos dos fármacos , Soluções , Superóxidos/metabolismo
13.
Acta Naturae ; 2(3): 85-93, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22649655

RESUMO

This paper discusses the selection of mini-antibody (nanoantibody, nanobody® or single domain antibody) sequences of desired specificity by phage display-based method using a generated library of antigen-binding domains of special heavy-chain only antibodies (single-stranded antibodies) of immunized camel. A comprehensive comparison of the efficiency of parallel selection procedures was performed by using the traditional (M13KO7) and modified (with N-terminal deletion in the surface gIII protein) helper phages. These two methods are partly complementary, and by using them in parallel one can significantly improve the selection efficiency. Parallel restriction analysis (fingerprinting) of PCR-amplified cloned sequences coding for mini-antibodies (HMR-analysis) is proposed for identifying individual clones, as a replacement to sequencing (to a certain extent). Using this method, unique data were collected on the selection of mini-antibody variants with the required specificity at various stages of a multi-stage selection procedure. It has been shown that different sequences coding for mini-antibodies are selected in different ways, and that, if this feature is not taken into account, some mini-antibody variants may be lost.

14.
Phys Rev Lett ; 105(13): 137205, 2010 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-21230806

RESUMO

We have investigated the anisotropy of the magnetocaloric effect in a NdCo5 single crystal in a wide range of temperatures, including the spin-reorientation temperature region. In the field µ(0)H =1.3 T in the spin-reorientation region 250-310 K, we discovered a giant rotating magnetocaloric effect of ~ 1.6 K, caused by rotation of the magnetization vector. The calculations of the anisotropy magnetocaloric effect for the field µ(0)H =1.3 T have been carried out.

15.
Radiats Biol Radioecol ; 49(4): 389-96, 2009.
Artigo em Russo | MEDLINE | ID: mdl-19799358

RESUMO

Using flow-cytometric method the frequency of lymphocytes beaming mutations at T-cell receptor (TCR) locus was assessed in women residing in radiation polluted regions of Bryansk and Tula Districts. Simultaneously genotyping of the 8 polymorph loci for genes involved in detoxication of xenobiotics and oestrogen metabolism was carried out. The increased TCR-mutant cell frequency was found to be characteristic of homozygotes of the low activity appropriated enzymes for 3 loci (HFE187, GSTM1 and MTHFR) at least. This tendency was statistically significant in case of deletion polymorphism of the GSTM1 gene: TCR-mutant cell frequency of the homozygous carriers of a deletion at the GSTM1 locus was (4.63 +/- 0.18) x 10(-4) while it was (4.05 +/- 0.15) x 10(-4) in other groups of persons. The greatest mutant cell frequency was observed in carriers of the minor allele 4889G of the locus CYP1A. More often the increased values of the TCR-mutant cells (outside range "3sigma") were determined in women with genotypes A/G or G/G of the locus CYP1A1 (25%) than in carries of the normal genotype A/A (1.6%) (OR = 20.6; p = 0.0002). The comparison of the groups of women with reproductive system diseases reveals significant elevation in the mean TCR-mutant cell frequency in inhabitants of the most radiation polluted region among others.


Assuntos
Exposição Ambiental , Linfócitos/imunologia , Poluentes Radioativos , Receptores de Antígenos de Linfócitos T/genética , Citocromo P-450 CYP1A1/genética , DNA/genética , Feminino , Citometria de Fluxo , Doenças dos Genitais Femininos/genética , Doenças dos Genitais Femininos/imunologia , Genótipo , Glutationa Transferase/genética , Proteína da Hemocromatose , Antígenos de Histocompatibilidade Classe I/genética , Humanos , Contagem de Linfócitos , Proteínas de Membrana/genética , Mutação , Polimorfismo Genético , Federação Russa
17.
Zh Evol Biokhim Fiziol ; 43(6): 468-73, 2007.
Artigo em Russo | MEDLINE | ID: mdl-18265557

RESUMO

To activate Na+/H+ exchange, intracellular pH (pHi) of erythrocytes of the river lamprey Lampetra fluviatilis were changed from 6 to 8 using nigericin. The Na+/H+ exchanger activity was estimated from the values of amiloride-sensitive components of Na+ (22Na) inflow or of H+ outflow from erythrocytes. Kinetic parameters of the carrier functioning were determined by using Hill equation. Dependence of Na+ and H+ transport on pHi value is described by hyperbolic function with the Hill coefficient value (n) close to 1. Maximal rate of ion transport was within the limits of 9-10 mmol/l cells/min, and the H+ concentration producing the exchanger 50% activation amounted to 0.6-1.0 microM. Stimulation of H+ outcome from acidified erythrocytes (pHi 5.9) with increase of H+ concentration in the incubation medium is described by Hill equation with n value of 1.6. Concentration of Na+: for the semimaximal stimulation of H+ outcome amounted to 19 mM. The obtained results indicate the presence in lamprey erythrocytes of only one binding site for H+ from the cytoplasm side and the presence of positive cooperativity in Na+ binding from the extracellular side of the Na+/H+ exchanger. Its efflux from cells in the Na+ -free medium did not change at a 10-fold increase of H+ concentration in the incubation medium. The presented data indicate differences of kinetic properties of the lamprey erythrocyte Na+/H+ exchanger and of this carrier isoforms in mammalian cells. In intact erythrocytes the dependence of the amiloride-sensitive Na+ inflow on its concentration in the medium is described by Hill equation with n 1.5. The Na+ concentration producing the 50% transport activation amounted to 39 mM and was essentially higher as compared with that in acidified erythrocytes. These data confirm the concept of the presence of two amiloride-sensitive pathways of Na+ transport in lamprey erythrocytes.


Assuntos
Citoplasma/metabolismo , Eritrócitos/metabolismo , Lampreias/metabolismo , Modelos Biológicos , Trocadores de Sódio-Hidrogênio/metabolismo , Amilorida/farmacologia , Animais , Relação Dose-Resposta a Droga , Eritrócitos/citologia , Concentração de Íons de Hidrogênio , Transporte de Íons/efeitos dos fármacos , Transporte de Íons/fisiologia , Cinética , Isoformas de Proteínas/metabolismo , Bloqueadores dos Canais de Sódio/farmacologia
19.
Probl Tuberk Bolezn Legk ; (9): 47-50, 2005.
Artigo em Russo | MEDLINE | ID: mdl-16279519

RESUMO

To evaluate the effectiveness of rehabilitative measures, comprehensive studies have been conducted in 37 patients with sequels of tuberculous and nonspecific gonitis, who underwent primary total endoprosthetic repair of the knee joint with an Osteonics-7000 cement fixation prosthesis (USA) in 1996 to 2002. After discharge from hospital, 18 patients received a complete course of rehabilitation, 19 patients refused it for different reasons. The results were assessed just after completion of the course of rehabilitation (3 months after surgery), following 1 year and on the last examination (on the average 45.2 months later). Statistically significant advantages in the function of the knee joint and in the force of its extensors were observed in the group of patients undergoing a complete course of postoperative rehabilitation just after completion of the course and a year after surgery. The last examination revealed a great difference between the patients who had undergone a complete course of rehabilitation and those who had refused it.


Assuntos
Artroplastia do Joelho/métodos , Articulação do Joelho/microbiologia , Articulação do Joelho/cirurgia , Complicações Pós-Operatórias , Tuberculose Osteoarticular/reabilitação , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Postura
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