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1.
Sci Rep ; 9(1): 3718, 2019 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-30842491

RESUMO

The biogeochemistry of hypersaline environments is strongly influenced by changes in biological processes and physicochemical parameters. Although massive evaporation events have occurred repeatedly throughout Earth history, their biogeochemical cycles and global impact remain poorly understood. Here, we provide the first nitrogen isotopic data for nutrients and chloropigments from modern shallow hypersaline environments (solar salterns, Trapani, Italy) and apply the obtained insights to δ15N signatures of the Messinian salinity crisis (MSC) in the late Miocene. Concentrations and δ15N of chlorophyll a, bacteriochlorophyll a, nitrate, and ammonium in benthic microbial mats indicate that inhibition of nitrification suppresses denitrification and anammox, resulting in efficient ammonium recycling within the mats and high primary productivity. We also suggest that the release of 15N-depleted NH3(gas) with increasing salinity enriches ammonium 15N in surface brine (≈34.0‰). Such elevated δ15N is also recorded in geoporphyrins isolated from sediments of the MSC peak (≈20‰), reflecting ammonium supply sufficient for sustaining phototrophic primary production. We propose that efficient nutrient supply combined with frequent bottom-water anoxia and capping of organic-rich sediments by evaporites of the Mediterranean MSC could have contributed to atmospheric CO2 reduction during the late Miocene.

2.
Geobiology ; 8(2): 101-11, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20059556

RESUMO

Earth scientists have searched for signs of microscopic life in ancient samples of permafrost, ice, deep-sea sediments, amber, salt and chert. Until now, evidence of cyanobacteria has not been reported in any studies of ancient DNA older than a few thousand years. Here, we investigate morphologically, biochemically and genetically primary evaporites deposited in situ during the late Miocene (Messinian) Salinity Crisis from the north-eastern Apennines of Italy. The evaporites contain fossilized bacterial structures having identical morphological forms as modern microbes. We successfully extracted and amplified genetic material belonging to ancient cyanobacteria from gypsum crystals dating back to 5.910-5.816 Ma, when the Mediterranean became a giant hypersaline brine pool. This finding represents the oldest ancient cyanobacterial DNA to date. Our clone library and its phylogenetic comparison with present cyanobacterial populations point to a marine origin for the depositional basin. This investigation opens the possibility of including fossil cyanobacterial DNA into the palaeo-reconstruction of various environments and could also be used to quantify the ecological importance of cyanobacteria through geological time. These genetic markers serve as biosignatures providing important clues about ancient life and begin a new discussion concerning the debate on the origin of late Miocene evaporites in the Mediterranean.


Assuntos
Sulfato de Cálcio , Cianobactérias/classificação , Fósseis , Genes de RNAr , Paleontologia , RNA Ribossômico 16S/genética , Sulfato de Cálcio/química , Cristalização , Cianobactérias/genética , DNA Bacteriano/análise , DNA Bacteriano/isolamento & purificação , Evolução Molecular , Sedimentos Geológicos/microbiologia , Itália , Microscopia Eletrônica de Varredura , Filogenia , Análise de Sequência de DNA , Selenito de Sódio
3.
Br J Haematol ; 115(3): 554-62, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11736935

RESUMO

The localization and establishment of follicular lymphoma (FL) cells in distinct anatomic sites probably involves chemokine and adhesion receptors on the neoplastic cells and appropriate chemokines and adhesion receptor ligands in the microenvironment. Several chemokines play an important role in normal B-cell trafficking and differentiation. Monocyte chemoattractant protein-1 (MCP-1) is a C-C chemokine that induces chemotaxis of a variety of lymphoid cells through its receptor CCR2. CCR2 is also expressed on B cells, and MCP-1 induces chemotaxis of normal B cells. In this report, we investigated expression and function of CCR2 on FL cells. We found FL cells as well as the t(14; 18)+ B-cell lymphoma line H2 expressed CCR2. MCP-1 potentiated SDF-1-induced chemotaxis of FL cells and H2 cells, but MCP-1 alone did not induce chemotaxis. The specificity of the effects of MCP-1 and SDF-1 was demonstrated by antibody blocking studies. Because FL cells are generally associated with follicular dendritic cells (FDCs), FDCs may be an important source of chemokines. We found that cultured FDCs produced MCP-1, and this production was enhanced by tumour necrosis factor. These data implicate MCP-1 in the migration and localization of FL cells.


Assuntos
Quimiocina CCL2/farmacologia , Quimiotaxia de Leucócito/efeitos dos fármacos , Linfoma Folicular/metabolismo , Receptores de Quimiocinas/análise , Anticorpos Monoclonais/farmacologia , Linhagem Celular , Quimiocina CCL2/imunologia , Quimiocina CXCL12 , Quimiocinas CXC/imunologia , Quimiocinas CXC/farmacologia , Cromossomos Humanos Par 14 , Cromossomos Humanos Par 18 , Células Dendríticas Foliculares/metabolismo , Sinergismo Farmacológico , Citometria de Fluxo/métodos , Humanos , Linfoma de Células B , Linfoma Folicular/imunologia , Receptores CCR2 , Receptores de Quimiocinas/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Translocação Genética , Fator de Necrose Tumoral alfa/farmacologia
4.
Cell Immunol ; 203(2): 134-43, 2000 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-11006011

RESUMO

Recent studies suggest that tumor necrosis factor (TNF) family members such as TNFalpha and lymphotoxin alphabeta (LTalpha1beta2) are important in the development of follicular dendritic cells (FDCs) and maintenance of FDC function. In this study we used FDC-like cells (FDC-LC) cultured from normal human tonsil and investigated the effects of TNF and LTalpha1beta2 on expression of adhesion molecules and the production of cytokines and chemokines. TNF and LTalpha1beta2 both increased the expression of VCAM-1 and ICAM-1 on FDC-LC. In addition, IL-4 with LTalpha1beta2 synergistically increased the expression of VCAM-1, but not ICAM-1. Cytokine IL-6 and IL-15 mRNAs were induced following stimulation with TNF and LTalpha1beta2. These two cytokines were present in FDC-LC supernatants by ELISA and increased following TNF and LTalpha1beta2 stimulation. We also examined FDC-LC for chemokines, which affect B cells, including IL-8, SDF-1, MIP3beta/ELC, and BCA-1/BLC. SDF-1 mRNA and protein were expressed by FDC-LC, and following stimulation with TNF and LTalpha1beta2, decreases in both were observed. Therefore, TNF and LTalpha1beta2, which are produced by activated B cells, increased the expression of adhesion molecules and cytokines from FDC-LC, potentially providing key signals to support germinal center B cell survival and differentiation.


Assuntos
Células Dendríticas Foliculares/imunologia , Linfotoxina-alfa/imunologia , Fator de Necrose Tumoral alfa/imunologia , Linhagem Celular , Quimiocinas/biossíntese , Pré-Escolar , Citocinas/biossíntese , Células Dendríticas Foliculares/citologia , Células Dendríticas Foliculares/metabolismo , Humanos , Molécula 1 de Adesão Intercelular/biossíntese , Fator de Necrose Tumoral alfa/biossíntese , Molécula 1 de Adesão de Célula Vascular/biossíntese
5.
J Cancer Res Clin Oncol ; 125(3-4): 209-13, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10235475

RESUMO

Three questions associated with the stimulation of cell division by chloride salts have been investigated: (i) whether cations other than sodium show a similar effect, (ii) whether vitamins can have a preventive activity, and (iii) whether subchronic treatment with sodium chloride in the diet is also effective. Male Fischer 344 rats were given solutions of the chloride salts of sodium, potassium, magnesium, and calcium by oral gavage. Water was used for control. After 4 h, a 24-h osmotic minipump containing 5-bromo-2'-deoxyuridine was implanted subcutaneously. The forestomach and glandular stomach, as well as liver and bladder were analyzed immunohistochemically 24 h later for the proportion of cells in S phase as an indicator of the rate of replicative DNA synthesis. For both the forestomach and the glandular stomach, potassium was as potent as sodium, and the divalent cations Mg and Ca were even more potent on a molar basis. Supplementation of the diet with ascorbic acid (2 g/kg food) or beta-carotene (12.5 mg/kg food) for 1 week before gavage of the sodium chloride solution resulted in an inhibition of the stimulation of cell division. A putative tumor-chemopreventive activity of the two vitamins might therefore not only rely on their antioxidative properties but may include effects on the cell cycle. A 4-week treatment with a sodium chloride supplement in the diet (2% and 4% supplement) resulted in a significant stimulation of cell division not only in both parts of the stomach and in the bladder (with the 4% supplement) but also in the liver (even with the 2% supplement). Sodium-chloride-stimulated cell turnover therefore is a sustained effect.


Assuntos
Antioxidantes/farmacologia , Ácido Ascórbico/farmacologia , Cloretos/farmacologia , Cloreto de Sódio/antagonistas & inibidores , Estômago/citologia , Estômago/efeitos dos fármacos , beta Caroteno/farmacologia , Animais , Bromodesoxiuridina/metabolismo , Cloreto de Cálcio/farmacologia , Divisão Celular/efeitos dos fármacos , DNA/metabolismo , Imuno-Histoquímica , Cloreto de Magnésio/farmacologia , Masculino , Cloreto de Potássio/farmacologia , Ratos , Ratos Endogâmicos F344 , Fase S/efeitos dos fármacos , Fase S/fisiologia , Cloreto de Sódio/farmacologia
6.
Lab Invest ; 78(5): 591-602, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9605184

RESUMO

Interleukin (IL)-4 and IL-13 are known to bind to shared heteromultimeric receptor complexes of variable composition. Given the many regulatory effects of IL-4 and IL-13 on synovial cells, we aimed to characterize their IL-4/IL-13 receptor (R). Cultivated synovial fibroblasts expressed transcripts for IL-4Ralpha and IL-13Ralpha1, the human homolog of the recently cloned mouse IL-13R, but not the common gamma-chain of the IL-2R. In particular, IL-13Ralpha2 mRNA, encoding a different IL-13R recently cloned from human renal carcinoma cells, was expressed at a strikingly high level. Correspondingly, a predominant protein migrating at 65 to 75 kd was cross-linked by iodinated IL-13 and was not cross-competed by an excess of unlabeled IL-4. However, by flow cytofluorometry, IL-13Ralpha1 (detected by the anti-lL-13Ralpha1 mAb 65) and IL-4Ralpha (detected by the mAb S697) were expressed at similar low density. Radioligand binding studies revealed for both cytokines approximately 300 receptors/cell with similar high affinity. An additional class of IL-13Rs was identified after occupation of the shared high-affinity receptors by the nonsignaling, double-mutant IL-4121R-->D, 124Y-->D (RY-IL-4). In these experiments, 1251-IL-13 bound to a single receptor population with a Kd of approximately 300 pM and approximately 5000 sites/cell, matching the published affinity of monomeric IL-13Ralpha2 when expressed in COS7 cells. RY-IL-4 blocked the IL-4- and IL-13-mediated vascular cell adhesion molecule (VCAM)-1 expression and Stat6 activation, suggesting that the large number of high-affinity IL-13Ralpha2 monomers are silent receptors, likely representing a decoy target for IL-13.


Assuntos
Receptores de Interleucina-4/metabolismo , Receptores de Interleucina/metabolismo , Membrana Sinovial/metabolismo , Proteínas de Transporte/metabolismo , Fibroblastos/metabolismo , Humanos , Interleucina-13/metabolismo , Interleucina-13/farmacologia , Subunidade alfa1 de Receptor de Interleucina-13 , Interleucina-4/metabolismo , Interleucina-4/farmacologia , RNA Mensageiro/metabolismo , Receptores de Interleucina/genética , Receptores de Interleucina-13 , Receptores de Interleucina-4/genética , Transdução de Sinais/fisiologia , Membrana Sinovial/citologia , Molécula 1 de Adesão de Célula Vascular/metabolismo
7.
Fundam Appl Toxicol ; 39(2): 131-7, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9344625

RESUMO

Caffeic acid (CA, 3,4-dihydroxycinnamic acid), at 2% in the diet, had been shown to be carcinogenic in forestomach and kidney of F344 rats and B6C3F1 mice. Based on its occurrence in coffee and numerous foods and using a linear interpolation for cancer incidence between dose 0 and 2%, the cancer risk in humans would be considerable. In both target organs, tumor formation was preceded by hyperplasia, which could represent the main mechanism of carcinogenic action. The dose-response relationship for this effect was investigated in male F344 rats after 4-week feeding with CA at different dietary concentrations (0, 0.05, 0.14, 0.40, and 1.64%). Cells in S-phase of DNA replication were visualized by immunohistochemical analysis of incorporated 5-bromo-2'-deoxyuridine (BrdU), 2 hr after intraperitoneal injection. In the forestomach, both the total number of epithelial cells per millimeter section length and the unit length labeling index of BrdU-positive cells (ULLI) were increased, about 2.5-fold, at 0.40 and 1.64%. The lowest concentration (0.05%) had no effect. At 0.14%, both variables were decreased by about one-third. In the kidney, the labeling index in proximal tubular cells also indicated a J-shaped (or U-shaped) dose response with a 1. 8-fold increase at 1.64%. In the glandular stomach and in the liver, which are not target organs, no dose-related effect was seen. The data show a good correlation between the organ specificity for cancer induction and stimulation of cell division. With respect to the dose-response relationship and the corresponding extrapolation of the animal tumor data to a human cancer risk, a linear extrapolation appears not to be appropriate.


Assuntos
Antioxidantes/toxicidade , Ácidos Cafeicos/toxicidade , Carcinógenos/toxicidade , Rim/efeitos dos fármacos , Estômago/efeitos dos fármacos , Ração Animal , Animais , Peso Corporal/efeitos dos fármacos , Bromodesoxiuridina/metabolismo , Ácidos Cafeicos/administração & dosagem , Divisão Celular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ingestão de Alimentos , Hiperplasia/induzido quimicamente , Imuno-Histoquímica , Rim/patologia , Túbulos Renais Proximais/efeitos dos fármacos , Túbulos Renais Proximais/patologia , Masculino , Projetos Piloto , Ratos , Ratos Endogâmicos F344 , Fase S , Estômago/patologia
8.
J Biol Chem ; 272(9): 5487-94, 1997 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-9038152

RESUMO

Functional receptors for interleukin (IL)-4 and IL-13 on endothelial cells consist of the 130-kDa IL-4 receptor alpha-chain (IL-4Ralpha) and a 65-75-kDa IL-13 binding subunit that are expressed in a ratio of about 1:3, respectively. The restricted number of IL-4Ralpha limits subunit heterodimerization and in turn receptor-mediated signaling. We report here, the effects of tumor necrosis factor alpha (TNF-alpha) on the expression of the receptor subunits for IL-4 and IL-13. By flow cytofluorometry and receptor-binding analysis of iodinated IL-4 and IL-13, stimulation with TNF-alpha-induced a 2-3-fold increase of the IL-4Ralpha expression. The up-regulation was also confirmed at the transcriptional level by reverse transcription-polymerase chain reaction. Radioligand cross-linking experiments revealed no change in the subunit composition of the TNF-alpha-induced receptor complex. Nevertheless, TNF-alpha stimulation led to increased activation of the IL-4-specific signal transducers and activators of transcription protein (Stat6) by IL-4 and IL-13. Thus, TNF-alpha corrects the subunit imbalance of the endothelial IL-4.IL-13 receptor complex thereby increasing receptor heterodimerization and in turn the signaling capability by IL-4 and IL-13.


Assuntos
Antígenos CD/metabolismo , Interleucina-13/metabolismo , Interleucina-4/metabolismo , Receptores de Interleucina/metabolismo , Transdução de Sinais , Transativadores/metabolismo , Fator de Necrose Tumoral alfa/farmacologia , Animais , Cricetinae , Cricetulus , Eletroforese em Gel de Poliacrilamida , Endotélio Vascular/metabolismo , Ativação Enzimática , Feminino , Humanos , Modelos Moleculares , Reação em Cadeia da Polimerase , Proteínas Tirosina Quinases/metabolismo , Receptores de Interleucina-4 , Fator de Transcrição STAT6 , Espectrometria de Fluorescência , Regulação para Cima
9.
Am J Pathol ; 149(4): 1369-79, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8863684

RESUMO

The distribution of the interleukin (IL)-4 receptor in normal human and common marmoset (Callithrix jacchus) tissues was examined by immunofluorescence and flow cytometry using monoclonal antibodies specific for the human IL-4 receptor to gain further insight into IL-4-mediated inflammatory and immunological events. IL-4 receptor positivity was unequivocally demonstrated on lymphocytes, predominantly T cells, and on blood vessels in many tissues. Vascular IL-4 receptor immunofluorescence consisted of a strong smooth muscle cell positivity and weaker positive staining of capillary and venular endothelial cells. Subnanomolar concentrations of IL-4 induced a genistein-sensitive up-regulation of VCAM-1 in vascular cell cultures. Tumor necrosis factor-alpha induced a genistein-resistant up-regulation of VCAM-1. IL-4 strongly induced expression of the IL-4 receptor on splenocytes (T lymphocytes) but not on vascular smooth muscle or endothelial cell cultures. Receptor cross-linking to [125I]IL-4 revealed a 65- to 75-kDa accessory receptor subunit consistent with a recently cloned IL-13 receptor associated with the IL-4 receptor on both vascular endothelial and smooth muscle cells. The demonstration of a vascular distribution pattern for the IL-4 receptor in addition to expression on lymphocytes suggests that vascular functional alterations, transduced through a unique IL-4 receptor complex (the type II IL-4 receptor), may be of importance during immunological and allergic inflammatory events.


Assuntos
Antígenos CD/análise , Antígenos CD/fisiologia , Endotélio Vascular/química , Linfócitos/química , Músculo Liso/química , Receptores de Interleucina/análise , Receptores de Interleucina/fisiologia , Animais , Anticorpos Monoclonais , Antígenos CD/química , Callithrix , Endotélio Vascular/metabolismo , Inibidores Enzimáticos/farmacologia , Genisteína , Humanos , Isoflavonas/farmacologia , Músculo Liso/metabolismo , Receptores de Interleucina/química , Receptores de Interleucina-4 , Molécula 1 de Adesão de Célula Vascular/efeitos dos fármacos , Molécula 1 de Adesão de Célula Vascular/metabolismo
10.
Blood ; 87(10): 4286-95, 1996 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-8639787

RESUMO

Interleukin-4 (IL-4) and IL-13 exert similar, nonadditive effects on endothelial cells, inducing vascular cell adhesion molecule-1 (VCAM-1) expression and subsequent transmigration of eosinophils. The receptor for IL-4 and IL-13 was described as a shared heteromultimeric complex in which the common gamma-chain (gamma c) subunit was essential for activity. Endothelial cell bound both cytokines with high affinity; by flow cytofluorometry and reverse transcription-polymerase chain reaction (RT-PCR), they expressed IL-4 receptor alpha (IL-4R alpha) but did not express the gamma c of the IL-2R. Radioligand cross-linking experiments followed by immunoprecipitation with the monoclonal antibody (MoAb) S697 to the IL-4R alpha showed IL-4-specific binding at 130 kD, the IL-4R alpha, and to a minor extent to a double band coimmunoprecipitated at 65 to 75 kD. [125 I]IL-13 bound predominantly to the 65- to 75- kD band and with a trace amount of binding at 130 kD. However, no ligand-cross-linked receptor was precipitated by the MoAb S697, indicating a cognate novel IL-13-binding subunit. Excess unlabeled IL-4 completely displaced IL-13 binding. Similarly, nonsignaling IL-4 (Y124D)-mutant abolished IL-4- and IL-13-mediated signal transduction. Unlabeled IL-13 competed successfully for IL-4 binding at 65 to 75 kD but was unable to completely displace Il-4 from its binding to the IL-4R alpha. The MoAb TUGh4, specific for the gamma c, failed to precipitate ligand-cross-linked IL-4R and IL-13R. Therefore, the subunit structure of the functional receptors for IL-4 and IL-13 on human endothelial cells does not use or require the common gamma c of the IL-2R.


Assuntos
Antígenos CD/metabolismo , Endotélio Vascular/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Interleucina-13/metabolismo , Interleucina-4/metabolismo , Receptores de Interleucina/metabolismo , Molécula 1 de Adesão de Célula Vascular/biossíntese , Sequência de Aminoácidos , Animais , Antígenos CD/química , Antígenos CD/genética , Sequência de Bases , Ligação Competitiva , Células CHO , Linhagem Celular Transformada , Cricetinae , Cricetulus , Endotélio Vascular/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Humanos , Interleucina-13/farmacologia , Subunidade alfa1 de Receptor de Interleucina-13 , Interleucina-4/análogos & derivados , Interleucina-4/genética , Interleucina-4/farmacologia , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Inibidores de Proteínas Quinases , Receptores de Interleucina/química , Receptores de Interleucina/genética , Receptores de Interleucina-13 , Receptores de Interleucina-2/biossíntese , Receptores de Interleucina-2/química , Receptores de Interleucina-2/genética , Receptores de Interleucina-4 , Transdução de Sinais , Molécula 1 de Adesão de Célula Vascular/genética
11.
J Exp Med ; 181(5): 1893-8, 1995 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-7722464

RESUMO

Interleukin (IL)-12 synergizes with other cytokines to stimulate the proliferation and differentiation of early hematopoietic progenitors in vitro. However, in vivo administration of IL-12 decreases peripheral blood counts and bone marrow hematopoiesis. Here, we used interferon (IFN) gamma receptor-deficient (IFN gamma R-/-) mice to investigate whether the in vivo inhibition of hematopoiesis by IL-12 is indirectly mediated by IL-12-induced IFN-gamma. IL-12 administered for 4 d (1 microgram/mouse per day) resulted in lower peripheral blood counts and a 2-fold decrease in bone marrow cellularity in wild-type mice, but not in IFN gamma R-/- mice. Bone marrow hematopoietic progenitors were decreased after IL-12 treatment in wild-type mice, but rather increased in IFN gamma R-/- mice. Splenic cellularity was 2.3-fold higher after IL-12 administration in wild-type mice, largely due to natural killer (NK) cell and macrophage infiltration together with some extramedullary hematopoiesis. In IFN gamma R-/- mice, spleen cellularity was less increased, there were fewer infiltrating NK cells, but a strong extramedullary hematopoiesis. Thus, alterations mediated by IL-12-induced IFN-gamma include reduction in bone marrow cellularity and hematopoietic progenitors, as well as pronounced splenomegaly, largely caused by NK cell infiltration. In the absence of IFN-gamma signaling, IL-12 promotes hematopoiesis, consistent with its in vitro activities.


Assuntos
Hematopoese/efeitos dos fármacos , Interferon gama/fisiologia , Interleucina-12/antagonistas & inibidores , Animais , Medula Óssea/efeitos dos fármacos , Camundongos , Receptores de Interferon/análise , Receptor de Interferon gama
13.
Minerva Chir ; 34(20): 1369-76, 1979 Oct 31.
Artigo em Italiano | MEDLINE | ID: mdl-159421

RESUMO

A diagnostic assessment was made of 74 cases of non-penetrating abdominal wounds observed over the previous 5 years. Laparoscopy performed in 49 polytraumatised patients made a decisive contribution to accurate, early diagnosis, with an indication for emergency surgery in 35 cases (32 visceral lesions and 3 retroperitoneal haematoma), whereas it was clear from the negative finding that surgery was not required in the remaining 14. It is felt that all additional radiological and instrumental diagnostic should be employed, and that careful clinical examination and repeated inspection, preferably by the same surgeon, are important in cases of multiple injury, since the situation may become dramatically worse in the space of a few hours.


Assuntos
Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/diagnóstico por imagem , Traumatismos Abdominais/cirurgia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Laparoscopia , Masculino , Pessoa de Meia-Idade , Radiografia
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