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1.
Blood ; 119(15): 3495-502, 2012 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-22343728

RESUMO

In addition to its proapoptotic function, caspase-8 is also important for several other processes, including suppressing necroptosis, cell migration, and immune cell survival. In the present study, we report that the loss of caspase-8 in B lymphocytes leads to B-cell malignancies and that the risk for these tumors is further enhanced in the absence of p53. We also report that deficiency of caspase-8 results in impaired cytokinesis and that casp8(-/-) lymphomas display remarkably elevated levels of chromosomal aberrations. Our data support an important role for caspase-8 in the maintenance of genomic integrity and highlight its tumor-suppressive function.


Assuntos
Caspase 8/fisiologia , Instabilidade Cromossômica/genética , Linfoma de Células B/genética , Células 3T3 , Animais , Síndrome Linfoproliferativa Autoimune/complicações , Síndrome Linfoproliferativa Autoimune/genética , Síndrome Linfoproliferativa Autoimune/imunologia , Síndrome Linfoproliferativa Autoimune/patologia , Linfócitos B/imunologia , Linfócitos B/metabolismo , Linfócitos B/fisiologia , Caspase 8/genética , Células Cultivadas , Regulação para Baixo/genética , Regulação para Baixo/imunologia , Genes p53/fisiologia , Predisposição Genética para Doença , Linfoma de Células B/etiologia , Linfoma de Células B/mortalidade , Linfoma de Células B/patologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Análise de Sobrevida
2.
PLoS Genet ; 7(11): e1002360, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22125490

RESUMO

Ubiquitylation is fundamental for the regulation of the stability and function of p53 and c-Myc. The E3 ligase Pirh2 has been reported to polyubiquitylate p53 and to mediate its proteasomal degradation. Here, using Pirh2 deficient mice, we report that Pirh2 is important for the in vivo regulation of p53 stability in response to DNA damage. We also demonstrate that c-Myc is a novel interacting protein for Pirh2 and that Pirh2 mediates its polyubiquitylation and proteolysis. Pirh2 mutant mice display elevated levels of c-Myc and are predisposed for plasma cell hyperplasia and tumorigenesis. Consistent with the role p53 plays in suppressing c-Myc-induced oncogenesis, its deficiency exacerbates tumorigenesis of Pirh2(-/-) mice. We also report that low expression of human PIRH2 in lung, ovarian, and breast cancers correlates with decreased patients' survival. Collectively, our data reveal the in vivo roles of Pirh2 in the regulation of p53 and c-Myc stability and support its role as a tumor suppressor.


Assuntos
Neoplasias/metabolismo , Proteínas Proto-Oncogênicas c-myc/metabolismo , Proteína Supressora de Tumor p53/metabolismo , Ubiquitina-Proteína Ligases/metabolismo , Animais , Transformação Celular Neoplásica , Regulação Neoplásica da Expressão Gênica , Genes Supressores de Tumor , Células HEK293 , Humanos , Estimativa de Kaplan-Meier , Camundongos , Camundongos Endogâmicos C57BL , Neoplasias/genética , Proteólise , Proteínas Proto-Oncogênicas c-myc/genética , Tolerância a Radiação , Proteína Supressora de Tumor p53/genética , Ubiquitina-Proteína Ligases/genética , Ubiquitinação/genética
3.
Hum Mol Genet ; 15(6): 831-8, 2006 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-16446310

RESUMO

The role of BRCA1 in breast and ovarian tumor suppression has been primarily ascribed to the maintenance of genome integrity. BRCA1 interacts with components of the non-homologous end-joining pathway previously shown to play a role in telomere maintenance in yeast. Here, we provide evidence that links Brca1 with telomere integrity. Brca1(-/-) T-cells display telomere dysfunction in both loss of telomere repeats as well as defective telomere capping. Loss of Brca1 synergizes with p53 deficiency in the onset and frequency of tumorigenesis. Karyotyping of tBrca1(-/-)p53(-/-) thymic lymphomas revealed the presence of telomere dysfunction accompanied by clonal chromosomal translocations. The telomere dysfunction phenotype in Brca1-deficient cells suggests that loss of telomere integrity might contribute to chromosome end dysfunction and permit the formation of potentially oncogenic translocations.


Assuntos
Proteína BRCA1/fisiologia , Telômero/metabolismo , Animais , Proteína BRCA1/deficiência , Proteína BRCA1/genética , Hibridização in Situ Fluorescente , Camundongos , Camundongos Knockout , Camundongos Transgênicos , Fenótipo , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas c-bcl-2 , Linfócitos T/metabolismo , Linfócitos T/patologia , Telômero/genética , Telômero/patologia , Timoma/genética , Timoma/patologia , Proteína Supressora de Tumor p53/deficiência , Proteína Supressora de Tumor p53/genética
4.
Int J Oncol ; 27(4): 1029-37, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16142320

RESUMO

Acquisition of P-gp-mediated multidrug-resistance does not always correlate with observed malignant behavior of NB. To characterize alterations accompanying development of multidrug-resistance in NB we established two neuroblastoma cell sublines resistant to vincristine (UKF-NB-3rVCR10) and doxorubicin (UKF-NB-3rDOX20). UKF-NB-3rVCR10 and UKF-NB-3rDOX20 overexpressed functional P-gp and developed an increased malignant phenotype: presented constitutive phosphorylation of AKT, resistance to gamma-irradiation, and had increased survival in serum-free medium. Inhibition of P-gp restored chemosensitivity but did not affect increased survival in serum-free medium and sensitivity to gamma-irradiation. Inhibition of AKT had no influence on chemoresistance but restored sensitivity to serum starvation. Both resistant cell lines acquired additional chromosomal changes. UKF-NB-3rVCR10 cells acquired a missense P53 mutation in exon 5, an increased MYCN amplification, an enhanced adhesion to endothelium, a decreased NCAM expression, a distinctly higher clonogenicity, and an increased in vivo tumorigenicity. We conclude that acquisition of increased malignant behavior in neuroblastoma occurs concomitantly with multidrug-resistance and is P-gp-independent.


Assuntos
Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Resistência a Múltiplos Medicamentos , Resistencia a Medicamentos Antineoplásicos , Neuroblastoma/patologia , Animais , Antibióticos Antineoplásicos/farmacologia , Antineoplásicos Fitogênicos/farmacologia , Western Blotting , Adesão Celular , Linhagem Celular Tumoral , Proliferação de Células , Separação Celular , Sobrevivência Celular , Células Cultivadas , Meios de Cultura Livres de Soro/metabolismo , Meios de Cultura Livres de Soro/farmacologia , Análise Mutacional de DNA , Relação Dose-Resposta a Droga , Relação Dose-Resposta à Radiação , Doxorrubicina/farmacologia , Resistência a Medicamentos , Éxons , Feminino , Citometria de Fluxo , Raios gama , Genes p53/genética , Humanos , Hibridização in Situ Fluorescente , Concentração Inibidora 50 , Cariotipagem , Camundongos , Camundongos Nus , Mutação , Mutação de Sentido Incorreto , Neuroblastoma/metabolismo , Fenótipo , Fosforilação , Proteínas Proto-Oncogênicas c-akt/metabolismo , Rodamina 123/farmacologia , Fatores de Tempo , Proteína Supressora de Tumor p53/metabolismo , Vincristina/farmacologia
5.
Leuk Res ; 29(12): 1465-7, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15964069

RESUMO

Patients with 1q duplication have demonstrated a wide range of multiple congenital abnormalities. Alterations involving this chromosomal region have being described in hematopoietic malignancies and a series of candidate genes that may be associated with neoplasias have been mapped in this region. We describe a case of partial trisomy 1q "syndrome" and acute monocytic leukemia. Cytogenetic study of the bone marrow cells by GTG-banding and spectral karyotyping (SKY) showed dup(1)(q23q44) in all cells analyzed. The dismorphological features with the dup(1q) suggest a constitutional chromosome alteration and the first, in our knowledge, association of a trisomy 1q "syndrome" with AML.


Assuntos
Anormalidades Múltiplas/genética , Cromossomos Humanos Par 1 , Leucemia Monocítica Aguda/genética , Trissomia , Anormalidades Múltiplas/patologia , Medula Óssea/patologia , Bandeamento Cromossômico/métodos , Feminino , Humanos , Lactente , Leucemia Monocítica Aguda/patologia , Cariotipagem Espectral
6.
Genes Chromosomes Cancer ; 42(4): 392-403, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15660435

RESUMO

Osteosarcoma (OS) is characterized by chromosomal instability and high-copy-number gene amplification. The breakage-fusion-bridge (BFB) cycle is a well-established mechanism of genomic instability in tumors and in vitro models used to study the origins of complex chromosomal rearrangements and cancer genome amplification. However, until now, there have been no high-resolution cytogenetic or genomic array studies of BFB events in OS. In the present study, multicolor banding (mBAND) FISH and submegabase resolution tiling set (SMRT) array comparative genomic hybridization (CGH) were used to identify and map genomic signatures of BFB events in four OS cell lines and one patient tumor. The expected intermediates associated with BFB-dicentric chromosomes, inverted duplications, and intra- and interchromosomal amplifications-were identified. mBAND analysis provided detailed mapping of rearrangements in 1p, 6p, and 8q and showed that translocation junctions were often in close proximity to fragile sites. More detailed mBAND studies of OS cell line MG-63 revealed ladderlike FISH signals of equally spaced interchromosomal coamplifications of 6p21, 8q24, and 9p21-p22 in a homogeneously staining region (hsr). Focal amplifications that concordantly mapped to the hsr were localized to discrete genomic intervals by SMRT array CGH. The complex amplicon structure in this hsr suggests focal amplifications immediately adjacent to microdeletions. Moreover, the genomic regions in which there was deletion/amplification had a preponderance of fragile sites. In summary, this study has provided further support for the role of the BFB mechanism and fragile sites in facilitating gene amplification and chromosomal rearrangement in OS.


Assuntos
Amplificação de Genes , Deleção de Genes , Hibridização de Ácido Nucleico , Osteossarcoma/genética , Linhagem Celular Tumoral , Cromossomos Humanos Par 6 , Cromossomos Humanos Par 8 , Humanos , Sondas Moleculares , Análise de Sequência com Séries de Oligonucleotídeos , Osteossarcoma/patologia , Ácidos Nucleicos Peptídicos , Translocação Genética
7.
Cancer Genet Cytogenet ; 153(2): 158-64, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15350306

RESUMO

The advancement of fluorescence in situ hybridization-based assays has permitted more refined delineation of chromosomal loci involved in complex chromosomal rearrangements (CCRs) and gene amplification. In this detailed molecular cytogenetic analysis, spectral karyotyping (SKY), multicolor banding (mBAND) analysis, and microarray comparative genomic hybridization (CGH) were used to refine the analysis of chromosomes with amplifications and small intrachromosomal rearrangements such as inverted duplications and interstitial deletions present in the osteosarcoma cell line MG-63. SKY analysis has limited resolving power to delineate cryptic chromosomal rearrangements, so mBAND assays were performed for a subset of chromosomes (i.e., 6, 8, 17, and 20). Of the 10 clonal CCRs analyzed in detail with mBAND, 5 were found to have rearrangements between 8q24 and either 6p23 approximately pter or 6p21, with multiple copies of this translocation inserted at various sites in the different chromosomes. In two CCRs, 6p21 and 8q24 generated an alternating pattern of mBAND probe hybridization, indicating the presence of a large coamplified repeat unit within homogeneously staining regions. Microarray CGH analysis demonstrated focal high-level amplification of 8q23 approximately q24, 6p22 approximately pter, and 6p21, in agreement with the pattern of chromosome subband gains identified with mBAND. Thus, sequential SKY, mBAND, and microarray CGH provided a comprehensive description of some of the intricate chromosomal aberrations present in the complex MG-63 karyotype and permitted reconstruction of the fine structure of the genomic rearrangements, thus providing some important mechanistic clues concerning the details of the amplification process in tumors.


Assuntos
Neoplasias Ósseas/genética , Bandeamento Cromossômico , Amplificação de Genes/genética , Rearranjo Gênico/genética , Cariotipagem , Análise de Sequência com Séries de Oligonucleotídeos/métodos , Osteossarcoma/genética , Linhagem Celular Tumoral , Mapeamento Cromossômico , Humanos , Hibridização de Ácido Nucleico/métodos
8.
Cancer Cell ; 3(1): 37-50, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12559174

RESUMO

Double-strand DNA breaks (DSB) induce chromosomal translocations and gene amplification in cell culture, but mechanisms by which DSB cause genomic instability in vivo are poorly understood. We show that RAG-1/2-induced DSB cause IgH/c-Myc translocations in leukemic pro-B cells from p53/Prkdc-deficient mice. Strikingly, these translocations were complex, clonally heterogeneous and amplified. We observed reiterated IgH/c-Myc fusions on dicentric chromosomes, suggesting that amplification occurred by repeated cycles of bridge, breakage and fusion. Leukemogenesis was not mitigated in RAG-2/p53/Prkdc-deficient mice, but leukemic pro-B cells lacked IgH/c-Myc translocations. Thus, global genomic instability conferred by p53/Prkdc disruption efficiently transforms pro-B cells lacking RAG-1/2-induced DSB. Unexpectedly, RAG-2/p53/Prkdc-deficient mice also developed leptomeningeal leukemia, providing a novel spontaneous model for this frequent complication of human lymphoblastic malignancies.


Assuntos
Transformação Celular Neoplásica/genética , Proteínas de Ligação a DNA/genética , Células-Tronco Hematopoéticas/fisiologia , Proteínas de Homeodomínio/genética , Leucemia Linfoide/genética , Translocação Genética , Animais , Northern Blotting , Southern Blotting , Doenças do Sistema Nervoso Central/etiologia , Doenças do Sistema Nervoso Central/patologia , Proteínas de Ligação a DNA/deficiência , Citometria de Fluxo , Amplificação de Genes/genética , Genes myc/genética , Transplante de Células-Tronco Hematopoéticas , Cadeias Pesadas de Imunoglobulinas/genética , Imuno-Histoquímica , Hibridização in Situ Fluorescente , Leucemia Linfoide/complicações , Leucemia Linfoide/fisiopatologia , Neoplasias Meníngeas/etiologia , Neoplasias Meníngeas/genética , Camundongos , Modelos Animais , Proteína Supressora de Tumor p53/deficiência
9.
Int J Cancer ; 104(1): 36-43, 2003 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-12532417

RESUMO

Cytotoxic drug treatment of neuroblastoma often leads to the development of drug resistance and may be associated with increased malignancy. To study the effects of long-term cytotoxic treatment on malignant properties of tumor cells, we established 2 neuroblastoma cell sublines resistant to vincristine (VCR) and doxorubicin (DOX). Both established cell lines (UKF-NB-2(r)VCR(20) and UKF-NB-2(r)DOX(100)) were highly resistant to VCR, DOX and vice-versa but retained their sensitivity to cisplatin. UKF-NB-2(r)VCR(20) and UKF-NB-2(r)DOX(100) expressed significant amounts of P-glycoprotein, while parental cells were P-glycoprotein negative. GD2 expression was upregulated, whereas NCAM expression was decreased in both resistant cells. Spectral karyotype (SKY) analysis revealed complex aberrant karyotypes in all cell lines and additional acquired karyotype changes in both resistant cells. All cell lines harbored high levels of N-myc amplification. Compared to parental cells, UKF-NB-2(r)VCR(20) and UKF-NB-2(r)DOX(100) exhibited more than 2-fold increase in clonal growth in vitro, accelerated adhesion and transendothelial penetration and higher tumorigenicity in vivo. We conclude that development of drug resistance and acquisition of certain karyotypic alterations is associated with an increase of additional malignant properties that may contribute to the poor prognosis in advanced forms of NB. The 2 novel neuroblastoma cell sublines also provide useful models for the study of drug resistance in aggressive forms of neuroblastoma.


Assuntos
Doxorrubicina/farmacologia , Resistencia a Medicamentos Antineoplásicos/genética , Neuroblastoma/patologia , Vincristina/farmacologia , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/biossíntese , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/genética , Aneuploidia , Animais , Divisão Celular , Cisplatino/farmacologia , Células Clonais/patologia , Progressão da Doença , Feminino , Regulação Neoplásica da Expressão Gênica , Genes myc , Humanos , Hibridização in Situ Fluorescente , Cariotipagem , Camundongos , Camundongos Nus , Invasividade Neoplásica , Proteínas de Neoplasias/biossíntese , Proteínas de Neoplasias/genética , Transplante de Neoplasias , Moléculas de Adesão de Célula Nervosa/biossíntese , Moléculas de Adesão de Célula Nervosa/genética , Neuroblastoma/genética , Células Tumorais Cultivadas/efeitos dos fármacos , Células Tumorais Cultivadas/metabolismo , Ensaio Tumoral de Célula-Tronco
10.
Genes Chromosomes Cancer ; 36(1): 7-16, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12461745

RESUMO

Conventional cytogenetic studies have shown that osteosarcomas (OSs) are often highly aneuploid, with a large number of both structural and numerical chromosomal alterations. To investigate the complexity of OS karyotypes in detail, we applied spectral karyotyping (SKY) to a series of 14 primary OS tumors and four established OS cell lines. A total of 531 rearrangements were identified by SKY, of which 300 breakpoints could be assigned to a specific chromosome band. There was an average of 38.5 breakpoints identified by SKY per primary tumor. Chromosome 20 was involved in a disproportionately high number of structural rearrangements, with 38 different aberrations being detected. Chromosomal rearrangements between chromosomes 20 and 8 were evident in four tumors. FISH analysis using a 20q13 subtelomeric probe identified frequent involvement of 20q in complex structural rearrangements of OS cell lines. Characterization of the structural aberrations of chromosomes 8 and 17 by use of SKY demonstrated frequent duplication or partial gains of chromosome bands 8q23-24 and 17p11-13. Other chromosomes frequently involved in structural alteration were chromosomes 1 (47 rearrangements) and 6 (38 rearrangements). Centromeric rearrangements often involving chromosomes 1, 6, 13, 14, 17, and 20 were present. Four of the 14 primary OS tumors were characterized by nonclonal changes that included both structural and numerical alterations. In summary, OS tumors have a very high frequency of structural and numerical alterations, compounded by gross changes in ploidy. This intrinsic karyotype instability leads to a diversity of rearrangements and the acquisition of composite chromosomal rearrangements, with the highest frequency of alteration leading to gain of 8q23-24 and 17p11-13 and rearrangement of 20q. These findings suggest that specific sequences mapping to these chromosomal regions will likely have a role in the development and progression of OS.


Assuntos
Neoplasias Ósseas/genética , Cromossomos Humanos/genética , Rearranjo Gênico/genética , Osteossarcoma/genética , Adolescente , Adulto , Idoso , Centrômero/genética , Criança , Quebra Cromossômica/genética , Coloração Cromossômica , Cromossomos Humanos Par 17/genética , Cromossomos Humanos Par 20/genética , Cromossomos Humanos Par 8/genética , Células Clonais , Feminino , Humanos , Cariotipagem/métodos , Masculino , Pessoa de Meia-Idade , Ploidias , Translocação Genética/genética , Células Tumorais Cultivadas
11.
Cancer Res ; 62(21): 6194-204, 2002 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-12414647

RESUMO

BRCA2 is a breast cancer susceptibility gene of which the product is thought to be involved in monitoring genome integrity and cell cycle progression. Brca2-null mice have a defect in embryonic cellular proliferation and die in utero. Here we report the generation of T-cell lineage-specific Brca2-deficient (tBrca2(-/-)) mice using the Cre-loxP system. Mice with a flanked by loxP allele of Brca2 were crossed to transgenic mice bearing Cre recombinase driven by the T cell-specific promoter Lck. Thymic cellularity and distribution of subset populations were normal in tBrca2(-/-) mutants. Thymocytes from tBrca2(-/-) mice underwent normal apoptosis in response to a variety of stimuli, and activated tBrca2(-/-) T cells had normal proliferative capacity. tBrca2(-/-) T cells were more likely than wild-type cells to undergo spontaneous apoptosis, but apoptosed normally in response to restimulation or DNA-damaging stress signals. Examination of metaphase spreads of tBrca2(-/-) T cells revealed that the chromosomes often exhibited aberrations such as breaks and tri-radial structures. The level of chromosomal abnormalities was enhanced in T cells from tBrca2(-/-); p53(-/-) double-mutant mice. However, tBrca2(-/-); p53(-/-) T cells did not show the enhanced level of spontaneous apoptosis demonstrated by tBrca2(-/-) T cells, a difference that likely accounts for an increase in cell number and (3)[H]thymidine incorporation of double-mutant T cells in culture compared with either single mutant. Despite this increased T-cell number, the onset of T-cell lymphomas was only marginally accelerated in tBrca2(-/-); p53(-/-) mice compared with p53(-/-) mice. Our results support a role for Brca2 in repairing spontaneous DNA lesions, and suggest that loss of Brca2 enhances the susceptibility of mouse T-lineage cells to chromosomal aberrations and deregulation of apoptosis in the absence of p53.


Assuntos
Apoptose/genética , Proteína BRCA2/genética , Linfócitos T/citologia , Proteína Supressora de Tumor p53/genética , Alelos , Animais , Apoptose/imunologia , Proteína BRCA2/deficiência , Proteína BRCA2/imunologia , Linhagem da Célula , Aberrações Cromossômicas , Dano ao DNA , Genes BRCA2 , Ativação Linfocitária/genética , Ativação Linfocitária/imunologia , Linfoma de Células T/genética , Camundongos , Camundongos Mutantes , Linfócitos T/imunologia , Transfecção , Proteína Supressora de Tumor p53/deficiência , Proteína Supressora de Tumor p53/imunologia
12.
Cancer Res ; 62(12): 3466-76, 2002 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-12067990

RESUMO

Analysis of ovarian carcinomas has shown that karyotypes are often highly abnormal and cannot be identified with certainty by conventional cytogenetic methods. In this study, 17 tumors derived from 13 patients were analyzed by a combination of spectral karyotyping (SKY), comparative genomic hybridization (CGH), and expression microarrays. Within the study group, a total of 396 chromosomal rearrangements could be identified by SKY and CGH analysis. When the distribution of aberrations was normalized with respect to relative genomic length, chromosomes 3, 8, 11, 17, and 21 had the highest frequencies. Parallel microarray expression studies of 1718 human cDNAs were used to analyze expression profiles and to determine whether correlating gene expression with chromosomal rearrangement would identify smaller subsets of differentially expressed genes. Within the entire set of samples, microarray expression analysis grouped together poorly differentiated tumors irrespective of histological subtype. For three patients, a comparison between genomic alterations and gene expression pattern was performed on samples of primary and metastatic tumors. Their common origin was demonstrated by the close relationship of both the SKY and CGH karyotypes and the observed profiles of gene expression. In agreement with the pattern of genomic imbalance observed for chromosome 3 in ovarian cancer, the relative expression profile with respect to a normal ovary exhibited a contiguous pattern of reduced expression of genes mapping to the 3p25.5-3p21.31 and increased expression of genes from 3q13.33-3q28. This study demonstrates that SKY, CGH, and microarray analysis can in combination identify significantly smaller subsets of differentially expressed genes for future studies.


Assuntos
Aberrações Cromossômicas , Neoplasias Ovarianas/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Cromossomos Humanos Par 3/genética , Cromossomos Humanos Par 8/genética , Estudos de Coortes , Feminino , Expressão Gênica , Perfilação da Expressão Gênica , Humanos , Cariotipagem , Pessoa de Meia-Idade , Metástase Neoplásica , Hibridização de Ácido Nucleico , Análise de Sequência com Séries de Oligonucleotídeos , Neoplasias Ovarianas/patologia
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