Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 50
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Allergy ; 68(7): 953-6, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23742077

RESUMO

Eotaxins and their receptor CCR3 have a definitive role for tissue accumulation of eosinophils both under homeostatic and pathologic conditions. However, physiological stimuli that can up-regulate CCR3 in blood-derived human eosinophils have not been recognized. As a prior gene microarray study revealed up-regulation of CCR3 in eosinophils stimulated with retinoic acids (RAs), the expression of functional CCR3 was examined. We found that 9-cis RA and all-trans RA (ATRA) significantly induced surface CCR3 expression regardless of the presence of IL-3 or IL-5. Pharmacological manipulations with receptor-specific agonists and antagonists indicated that retinoic acid receptor-α activation is critical for CCR3 up-regulation. RA-induced CCR3 was associated with its functional capacity, in terms of the calcium mobilization and chemotactic response to eotaxin-1 (CCL11). Our study suggests an important role of vitamin A derivatives in the tissue accumulation of eosinophils.


Assuntos
Quimiotaxia de Leucócito/efeitos dos fármacos , Dermatite Atópica/sangue , Eosinófilos/efeitos dos fármacos , Receptores CCR3/genética , Tretinoína/farmacologia , Células Cultivadas , Quimiocina CCL24/genética , Quimiocina CCL24/metabolismo , Fatores Quimiotáticos de Eosinófilos/genética , Fatores Quimiotáticos de Eosinófilos/metabolismo , Quimiotaxia de Leucócito/genética , Dermatite Atópica/genética , Eosinófilos/imunologia , Regulação da Expressão Gênica , Humanos , Receptores CCR3/metabolismo , Sensibilidade e Especificidade , Transdução de Sinais/genética , Transdução de Sinais/imunologia , Regulação para Cima
2.
Zhonghua Nan Ke Xue ; 13(5): 444-8, 2007 May.
Artigo em Chinês | MEDLINE | ID: mdl-17569264

RESUMO

OBJECTIVE: To establish a Wistar rat model of chronic abacterial prostatitis (CAP) by injecting purified prostate protein and Freund's complete adjuvant, and to study the influence on the morphology and proinflammatory expression. METHODS: Male rats were injected with the Pertussis-Diphteria-Tetanus vaccine into the abdominal cavity and purified prostate protein and Freund's complete adjuvant intradermally at 0 and 30 days. At 60 days, the rats were sacrificed, and then the prostate specimens were observed, under the light microscope and electron microscope, and the changes of proinflammatory expression was observed too, using PCR technique. RESULTS: The products of proinflammatory expression, such as eotaxin, iNOS and IL-4 increased markedly. The change of chronic inflammation was shown by light microscope and electron microscope. CONCLUSION: Chronic prostatitis is associated with autoimmunity.


Assuntos
Doenças Autoimunes/patologia , Prostatite/patologia , Animais , Fatores Quimiotáticos de Eosinófilos/genética , Modelos Animais de Doenças , Expressão Gênica , Interleucina-4/sangue , Masculino , Reação em Cadeia da Polimerase , Distribuição Aleatória , Ratos , Ratos Wistar
3.
Am J Respir Cell Mol Biol ; 35(1): 103-9, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16528013

RESUMO

Airway hyperresponsiveness (AHR) is an important feature of bronchial asthma. Although the incidence of AHR has genetic and environmental components, the mechanism of AHR in asthma remains unclear. The identification of genes that are preferentially expressed in a murine model of AHR could help elucidate the molecular mechanisms of this pulmonary pathology. Suppressive subtractive hybridization analysis revealed that eosinophil chemotactic factor by T lymphocytes (ECF-L), a mouse chitinase family protein, was selectively expressed in the lungs of mice with AHR. Induction of ECF-L expression was observed soon after allergen exposure but before the onset of airway inflammation. Cell-specific ECF-L expression was examined by in situ hybridization using digoxigenin-labeled antisense RNA probes and immunofluorescence staining. The assay revealed that the ECF-L-expressing cells in the lungs of the AHR-model mice are alveolar macrophages. Intratracheal administration of an adenoviral vector that expressed antisense ECF-L RNA (Ad-ECF-L-AS) suppressed AHR and eosinophil infiltration. These results indicate that ECF-L may play a critical role in allergic inflammation and bronchial asthma.


Assuntos
Asma/metabolismo , Hiper-Reatividade Brônquica/metabolismo , Quimiocinas/metabolismo , Fatores Quimiotáticos de Eosinófilos/metabolismo , Modelos Animais de Doenças , Linfócitos T/metabolismo , Adenoviridae/genética , Animais , Asma/imunologia , Hiper-Reatividade Brônquica/imunologia , Quimiocinas/genética , Fatores Quimiotáticos de Eosinófilos/genética , Perfilação da Expressão Gênica , Pulmão/citologia , Pulmão/patologia , Macrófagos Alveolares/citologia , Macrófagos Alveolares/patologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , RNA Antissenso/administração & dosagem , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Traqueia/metabolismo
4.
Vet Immunol Immunopathol ; 107(1-2): 67-77, 2005 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-15916812

RESUMO

Under physiological conditions normally characterised by low tissue infiltration of eosinophils, a conspicuous number of these cells are attracted into the human and ruminant ovary. Eosinophils suddenly increase in the thecal layer of the preovulatory follicle and corpus luteum at very early development. Currently, we only have a limited understanding of the mechanism for the recruitment of the ovarian eosinophils. Eotaxin (CCL11) may be one of the chemoattractants involved in stimulating eosinophils to migrate selectively into ovary. As a prerequisite for the analysis of eotaxin expression in the bovine ovary, we determined the complete bovine eotaxin mRNA sequence since it was not available from databases. The bovine eotaxin is the first member of the monocyte chemoattractant protein (MCP)/eotaxin subfamily with two mRNA isoforms varying in length in the untranslated 3'-untranslated region. The unusual amino-acid sequence of bovine eotaxin contains structural features that are so far known to be characteristic for MCP, but not eotaxin. In our microchemotaxis assays, recombinant bovine eotaxin showed a functional pattern orthologous to known eotaxins. Thus, the chimeric structure of bovine eotaxin did not affect the favoured chemotactic activity on eosinophils. Semiquantitative RT-PCR was used to investigate the expression of eotaxin in different regions of the bovine ovary. We only detected faint eotaxin mRNA signals that did not indicate physiological significance even in stimulated granulosa cell cultures, follicle-derived macrophages or fibroblasts. Taken together, bovine eotaxin attracts eosinophils in vitro but is not responsible for eosinophilia in the ovary. Its unusual chimeric structure confirms the unity of the MCP/eotaxin subfamily of CC chemokines and distinguishes it from other CC chemokine subfamilies.


Assuntos
Bovinos/imunologia , Quimiocinas CC/imunologia , Fatores Quimiotáticos de Eosinófilos/imunologia , Eosinófilos/imunologia , Regiões 3' não Traduzidas , Sequência de Aminoácidos , Animais , Sequência de Bases , Bovinos/genética , Doenças dos Bovinos/etiologia , Doenças dos Bovinos/imunologia , Quimiocina CCL11 , Quimiocinas CC/genética , Fatores Quimiotáticos de Eosinófilos/genética , Quimiotaxia de Leucócito , Clonagem Molecular , DNA Complementar/genética , Eosinofilia/etiologia , Eosinofilia/imunologia , Eosinofilia/veterinária , Feminino , Técnicas In Vitro , Dados de Sequência Molecular , Doenças Ovarianas/etiologia , Doenças Ovarianas/imunologia , Doenças Ovarianas/veterinária , Ovário/imunologia , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Homologia de Sequência de Aminoácidos
5.
Allergy ; 58(11): 1165-70, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14616128

RESUMO

BACKGROUND: Polyposis, asthma, aspirin-intolerance and aspirin-triad are mostly accompanied with eosinophilia of mucosal airways. Chemotactic cytokines, the CC-chemokines regulated on activation, normal T-cell expressed (RANTES), eotaxin, and eotaxin-2 activate and attract eosinophilic leukocytes to the site of inflammation. This points to the implication of CC-chemokines in eosinophilia of nasal tissue of these diseases. METHODS: Therefore, nasal polypous tissue specimens of patients suffering from chronic nasal polypous sinusitis (NP), intrinsic asthma (ATA), aspirin-intolerance (AINA), and aspirin-triad (TRIAD) were investigated. The amount of mRNA and protein of CC-chemokines was analyzed using semi-quantitative reverse transcriptase polymerase chain reaction and chemokine-specific enzyme-immuno-assays. The patterns of CC-chemokines were compared. RESULTS: The mRNA-expression as well as protein synthesis of CC-chemokines was quantified in all tissues investigated. The expression of RANTES-mRNA in NP, ATA, AINA, and TRIAD (averaging 148-324% D-glyceraldehyde-3-phosphate dehydrogenase) and protein synthesis (0.13-0.15 ng/mg tissue weight) did not differ significantly. But the protein synthesis of eotaxin- and eotaxin-2-mRNA was significantly (P < 0.05) higher in TRIAD (3.3 pg/mg and 3.4 ng/mg tissue weight) (4 ng/mg tissue weight), than in NP, ATA, or AINA (1.8 pg/mg and 2.1 ng/mg, 2.1 pg/mg and 1.6 ng/mg, or 1.7 pg/mg and 2.2 ng/mg tissue weight, respectively). CONCLUSION: Patients suffering from TRIAD in association with tissue eosinophilia were characterized by elevated eotaxin and eotaxin-2 mRNA-expression as well as protein-synthesis. This pointed to the implication of eotaxins and RANTES in eosinophilia-associated diseases. Further studies will have to prove, whether the analysis of these chemokines might improve the diagnosis of eosinophilia associated polyposis and initiate the development of new therapeutic strategies.


Assuntos
Aspirina/efeitos adversos , Asma/metabolismo , Quimiocina CCL5/biossíntese , Quimiocinas CC/biossíntese , Hipersensibilidade a Drogas/metabolismo , Pólipos Nasais/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Asma/complicações , Asma/imunologia , Quimiocina CCL11 , Quimiocina CCL24 , Quimiocina CCL5/genética , Quimiocinas CC/genética , Fatores Quimiotáticos de Eosinófilos/biossíntese , Fatores Quimiotáticos de Eosinófilos/genética , Doença Crônica , DNA Complementar/biossíntese , Hipersensibilidade a Drogas/complicações , Ensaio de Imunoadsorção Enzimática , Eosinófilos/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pólipos Nasais/patologia , RNA Mensageiro/análise
6.
J Bone Miner Res ; 18(7): 1332-41, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12854845

RESUMO

UNLABELLED: Screening a cDNA library enriched for genes expressed in OCLs identified ECF-L. ECF-L enhanced OCL formation without increasing RANKL levels. Anti-ECF-L inhibited RANKL-induced OCL formation. These results support a potent role of ECF-L in osteoclastogenesis. INTRODUCTION: To investigate the molecular mechanisms that control osteoclastogenesis, we developed an immortalized osteoclast (OCL) precursor cell line that forms mature OCLs in the absence of stromal cells and used it to form pure populations of OCLs. MATERIALS AND METHODS: Polymerase chain reaction (PCR) selective cDNA subtraction was used to identify genes that are highly expressed in mature OCLs compared with OCL precursors employing OCL and OCL precursors derived from this cell line. RESULTS: Eosinophil chemotactic factor-L (ECF-L), a previously described chemotactic factor for eosinophils, was one of the genes identified. Conditioned media from 293 cells transfected with mECF-L cDNA, or purified ECF-L Fc protein, increased OCL formation in a dose-dependent manner in mouse bone marrow cultures treated with 10(-10) M 1,25(OH)2D3. OCLs derived from marrow cultures treated with ECF-L conditioned media formed increased pit numbers and resorption area per dentin slice compared with OCLs induced by 1,25(OH)2D3 (p < 0.01). Addition of an antisense S-oligonucleotide to mECF-L inhibited OCL formation in murine bone marrow cultures treated only with 10(-9) M 1,25(OH)2D3 compared with the sense S-oligonucleotide control. Time course studies demonstrated that ECF-L acted at the later stages of OCL formation, and chemotactic assays showed that mECF-L increased migration of OCL precursors. mECF-L mRNA was detectable in mononuclear and multinucleated cells by in situ hybridization. Interestingly, a neutralizing antibody to ECF-L blocked RANKL or 10(-9) M 1,25(OH)2D3-induced OCL formation in mouse bone marrow cultures, although ECF-L did not induce RANKL expression. CONCLUSIONS: These data show ECF-L is a previously unknown factor that is a potent mediator of OCL formation, which acts at the later stages of OCL formation and enhances the effects of RANKL.


Assuntos
Quimiocinas/metabolismo , Quimiocinas/farmacologia , Fatores Quimiotáticos de Eosinófilos/metabolismo , Fatores Quimiotáticos de Eosinófilos/farmacologia , Osteoclastos/efeitos dos fármacos , Animais , Western Blotting , Células da Medula Óssea/citologia , Células da Medula Óssea/efeitos dos fármacos , Reabsorção Óssea , Células Cultivadas , Quimiocinas/genética , Fatores Quimiotáticos de Eosinófilos/genética , Quimiotaxia/efeitos dos fármacos , Meios de Cultivo Condicionados/farmacologia , DNA Complementar/genética , Biblioteca Gênica , Humanos , Camundongos , Osteoclastos/citologia , Osteoclastos/fisiologia , Reação em Cadeia da Polimerase , Fatores de Tempo
7.
J Immunol ; 169(8): 4613-9, 2002 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-12370400

RESUMO

Chronic diseases may involve an "innate" response followed by an adaptive immune response, of a Th1 or Th2 variety. Little is known regarding the interactions of these responses. We hypothesized that TGF-beta1 (innate response factor associated with wound repair) in combination with IL-13 (Th2 factor) might augment inflammatory processes associated with asthma. Airway fibroblasts were cultured from asthmatic subjects and normal controls. These fibroblasts were exposed to TGF-beta1 and IL-13 alone or in combination, and eotaxin-1 expression and production were evaluated. At 48 h, eotaxin-1 production was markedly increased with the combination of TGF-beta1 and IL-13 (p < 0.0001) compared with either stimulus alone. mRNA increased slightly at 1 h with IL-13 or TGF-beta1 plus IL13, peaked, and became significantly increased over IL-13 alone at 24 h. Protein was measurable from 6 h with IL-13 and TGF-beta1 plus IL-13, but greater levels were measured over time with the combination. Actinomycin ablated the increase in mRNA and protein seen with IL-13 alone and with TGF-beta1 plus IL-13. Cycloheximide blocked the increase in mRNA at 6 h in both conditions, but also blocked the increase at 24 h with TGF-beta1 plus IL-13. STAT-6 was rapidly activated with both IL-13 and the combination, without difference. Finally, eotaxin-1-positive fibroblasts were identified in severe asthma biopsies in greater numbers than in normals. These results support the concept that interactions of innate and adaptive immune systems may be important in promoting the tissue eosinophilia of asthma, particularly in those with more severe disease.


Assuntos
Adjuvantes Imunológicos/farmacologia , Quimiocinas CC/biossíntese , Fatores Quimiotáticos de Eosinófilos/biossíntese , Fibroblastos/metabolismo , Interleucina-13/farmacologia , Pulmão/metabolismo , Fator de Crescimento Transformador beta/farmacologia , Regulação para Cima/imunologia , Asma/imunologia , Asma/metabolismo , Asma/patologia , Northern Blotting , Brônquios/imunologia , Brônquios/metabolismo , Células Cultivadas , Quimiocina CCL11 , Quimiocinas CC/antagonistas & inibidores , Quimiocinas CC/genética , Fatores Quimiotáticos de Eosinófilos/antagonistas & inibidores , Fatores Quimiotáticos de Eosinófilos/genética , Cicloeximida/farmacologia , Dactinomicina/farmacologia , Relação Dose-Resposta Imunológica , Sinergismo Farmacológico , Fibroblastos/efeitos dos fármacos , Fibroblastos/imunologia , Humanos , Interleucina-8/biossíntese , Pulmão/imunologia , Pulmão/patologia , Reação em Cadeia da Polimerase , RNA Mensageiro/antagonistas & inibidores , RNA Mensageiro/biossíntese , Fator de Transcrição STAT6 , Transdução de Sinais/genética , Transdução de Sinais/imunologia , Transativadores/metabolismo , Fator de Crescimento Transformador beta1 , Regulação para Cima/genética
8.
Cancer Res ; 62(7): 2043-51, 2002 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-11929823

RESUMO

The lack of efficient T-cell infiltration of tumors is a major obstacle to successful adoptive T-cell therapy. We have shown that transplanted SP2/0 myeloma tumors that have been engineered to express lymphotactin (Lptn) invariably regress under the influence of infiltrating XCR1+T cells and neutrophils. Herein, we characterize these T cells and investigate their therapeutic efficacy, either alone or with Lptn gene therapy. After stimulation with SP2/0 cells, these T cells were CD25+FasL+L-selectin-, expressed XCR-1, and were chemoattracted by Lptn in vitro. They comprised 66% CD4+ Th1 and 33% CD8+ Tc1 cells, both of which expressed significant amounts of IFN-gamma, perforin, and tumor necrosis factor-alpha, but not interleukin-4. The CD4+ Th1 and CD8+ Tc1 cells, which were inhibited and stimulated, respectively, for proliferation with Lptn signaling, displayed 38 and 84% specific killing, respectively, for Ia(d)/H-2K(d)-expressing SP2/0 tumor cells (E:T ratio, 100). In vivo, combined intratumoral Lptn gene transfer and adoptive immunotherapy with these CD4+ and CD8+ T cells eradicated well-established SP2/0 tumors in six of eight mice, and dramatically slowed tumor growth in the other two mice. Cell tracking using labeled T cells confirmed that these cells infiltrated better into the Lptn-expressing tumors than non-Lptn-expressing ones. Control or Lptn adenoviral treatments by themselves did not alter the lethal outcome for tumor-bearing mice, nor did T-cell therapy by itself, although the latter two treatments did slow its time frame. Combined Lptn gene transfer and adoptive CD4+ or CD8+ cell transfers were not nearly as efficacious as the combined Lptn gene and unfractionated T-cell transfers. Taken together, our data provide solid evidence of a potent synergy between adoptive CD4+ and CD8+ T-cell therapy and Lptn gene transfer into tumor tissues, which culminated in the eradication of well-established tumor masses.


Assuntos
Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Quimiocinas C , Imunoterapia Adotiva/métodos , Linfocinas/genética , Linfoma de Células B/imunologia , Mieloma Múltiplo/imunologia , Sialoglicoproteínas/genética , Adenoviridae/genética , Animais , Fatores Quimiotáticos de Eosinófilos/biossíntese , Fatores Quimiotáticos de Eosinófilos/genética , Fatores Quimiotáticos de Eosinófilos/imunologia , Terapia Combinada , Citotoxicidade Imunológica , Feminino , Técnicas de Transferência de Genes , Antígenos H-2/biossíntese , Antígenos H-2/imunologia , Antígenos de Histocompatibilidade Classe II/biossíntese , Antígenos de Histocompatibilidade Classe II/imunologia , Ativação Linfocitária/imunologia , Linfocinas/biossíntese , Linfocinas/imunologia , Linfoma de Células B/genética , Linfoma de Células B/terapia , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Mieloma Múltiplo/genética , Mieloma Múltiplo/terapia , Sialoglicoproteínas/biossíntese , Sialoglicoproteínas/imunologia , Linfócitos T Citotóxicos/imunologia , Células Th1/imunologia , Transgenes , Células Tumorais Cultivadas
9.
Am J Physiol Lung Cell Mol Physiol ; 281(5): L1288-302, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11597922

RESUMO

To investigate the mechanisms of eosinophil recruitment in allergic airway inflammation, we examined the effects of interleukin (IL)-4, a Th2-type cytokine, on eotaxin and monocyte chemoattractant protein-4 (MCP-4) expression in human peripheral blood mononuclear cells (PBMCs; n = 10), in human lower airway mononuclear cells (n = 5), in the human lung epithelial cell lines A549 and BEAS-2B, and in human cultured airway epithelial cells. IL-4 inhibited eotaxin and MCP-4 mRNA expression induced by IL-1 beta and tumor necrosis factor-alpha in PBMCs but did not significantly inhibit expression in epithelial cells. Eotaxin and MCP-4 mRNA expression was not significantly induced by proinflammatory cytokines in lower airway mononuclear cells. IL-1 beta-induced eotaxin and MCP-4 protein production was also inhibited by IL-4 in PBMCs, whereas IL-4 enhanced eotaxin protein production in A549 cells. In contrast, dexamethasone inhibited eotaxin and MCP-4 expression in both PBMCs and epithelial cells. The divergent effects of IL-4 on eotaxin and MCP-4 expression between PBMCs and epithelial cells may create chemokine concentration gradients between the subepithelial layer and the capillary spaces that may promote the recruitment of eosinophils to the airway in Th2-type responses.


Assuntos
Quimiocinas CC , Citocinas/metabolismo , Leucócitos Mononucleares/metabolismo , Pulmão/metabolismo , Proteínas Quimioatraentes de Monócitos/metabolismo , Mucosa Respiratória/metabolismo , Northern Blotting , Líquido da Lavagem Broncoalveolar/química , Líquido da Lavagem Broncoalveolar/citologia , Linhagem Celular , Células Cultivadas , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/genética , Fatores Quimiotáticos de Eosinófilos/metabolismo , Citocinas/genética , Relação Dose-Resposta a Droga , Ensaio de Imunoadsorção Enzimática , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/metabolismo , Fator Estimulador de Colônias de Granulócitos e Macrófagos/metabolismo , Humanos , Interleucina-1/farmacologia , Interleucina-4/farmacologia , Interleucina-8/genética , Interleucina-8/metabolismo , Interleucinas/metabolismo , Linfócitos/metabolismo , Proteínas Quimioatraentes de Monócitos/genética , Estabilidade de RNA , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Fatores de Tempo , Fator de Necrose Tumoral alfa/farmacologia
10.
Am J Respir Crit Care Med ; 164(1): 109-16, 2001 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-11435248

RESUMO

Eosinophilia has been reported during exacerbations of bronchitis, but the mechanisms of tissue recruitment of eosinophils are unclear. We quantified eosinophils and the concurrent expression of cytokines and chemokines probably responsible for the tissue eosinophilia in bronchial biopsies obtained from three groups of nonatopic subjects: (1) healthy nonsmokers (n = 7; FEV1 % predicted = 108 +/- 4 [mean +/- SEM]); (2) nonasthmatic smokers with chronic bronchitis (CB) in a stable phase of their disease (n = 11; FEV1 % predicted: 75 +/- 5); and (3) nonasthmatic subjects with CB who sought medical advice for an exacerbation of their condition (n = 9; FEV(1) % predicted: 61 +/- 8). We applied anti-EG2 antibody and immunostaining to detect and count eosinophils. We performed in situ hybridization to visualize and enumerate cells expressing the genes for interleukin (IL)-4 and IL-5 and the eosinophil chemokines eotaxin, monocyte chemoattractant protein (MCP)-4, or regulated on activation, normal T-cell expressed and secreted (RANTES). We confirmed an increase in EG2-positive eosinophils in patients with CB in exacerbation. We found messenger RNA (mRNA) positivity for IL-4 and IL-5 in CB, but the between-group differences were not statistically significant. However, the numbers of lymphomononuclear cells expressing eotaxin mRNA were significantly greater in the smokers with CB than in the healthy nonsmokers without CB (p < 0.01). Following an exacerbation, RANTES expression was upregulated and this chemokine was strongly expressed in both the surface epithelium and in subepithelial lymphomononuclear cells: only RANTES showed a significant positive correlation with the increasing number of EG2-positive cells (r = 0.51; p < 0.03). In conclusion, an allergic profile of inflammation can also occur in CB: the marked upregulation of RANTES in the epithelium and subepithelium most likely accounts for the increased eosinophilia associated with an exacerbation of bronchitis.


Assuntos
Broncopatias/patologia , Quimiocina CCL5/metabolismo , Fatores Quimiotáticos de Eosinófilos/genética , Eosinofilia/metabolismo , Fumar/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Broncopatias/metabolismo , Broncoscopia , Estudos de Casos e Controles , Feminino , Tecnologia de Fibra Óptica , Regulação da Expressão Gênica , Humanos , Interleucina-4/genética , Interleucina-5/genética , Masculino , Pessoa de Meia-Idade
11.
Am J Respir Cell Mol Biol ; 24(6): 682-7, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11415932

RESUMO

Eotaxin is an important mediator of eosinophil recruitment and activation in the airways of asthmatics. Eotaxin-2 and eotaxin-3 are two recently identified chemokines with activity similar to that of eotaxin. Using quantitative polymerase chain reaction analysis, we determined the messenger RNA (mRNA) expression of eotaxin, eotaxin-2, and eotaxin-3 relative to GAPDH mRNA expression in bronchial biopsies and bronchoalveolar lavage fluid (BALF) cells obtained from subjects with mild asthma, asthmatic subjects 24 h after allergen challenge, and normal control subjects. In bronchial biopsies, gene expression was upregulated in asthmatic subjects as compared with control subjects for eotaxin (log median values 3.18 pg/microg, 95% confidence interval [CI]; 2.27 to 3.79 versus 4.37 pg/microg, 95% CI; 3.97 to 4.65, P = 0.003) and for eotaxin-2 (0.82 pg/microg, 95% CI; 0.08 to 1.72 versus 2.97 pg/microg, 95% CI; 1.97 to 3.45, P = 0.006), but no further increase was observed after allergen challenge. In contrast, eotaxin-3 mRNA expression was not increased in asthmatic compared with control subjects, but was dramatically enhanced 24 h after challenge (median log value 1.93 pg/microg, 95% CI; 0.74 to 3.92 versus 4.62 pg/microg, 95% CI; 3.05 to 6.23, P = 0.036). No significant difference between groups was observed in BALF cell gene expression for any of the chemokines examined. These data suggest that eotaxin-3 rather than eotaxin or eotaxin-2 may account for the ongoing eosinophil recruitment to asthmatic airways in the later stages (24 h) following allergen challenge.


Assuntos
Alérgenos/imunologia , Asma/imunologia , Quimiocinas CC/genética , Fatores Quimiotáticos de Eosinófilos/genética , Citocinas/genética , Adulto , Quimiocina CCL11 , Quimiocina CCL24 , Quimiocina CCL26 , Quimiocinas CC/biossíntese , Fatores Quimiotáticos de Eosinófilos/biossíntese , Citocinas/biossíntese , Feminino , Humanos , Masculino , Reação em Cadeia da Polimerase , RNA Mensageiro/análise , Regulação para Cima
12.
J Immunol ; 166(7): 4507-15, 2001 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-11254707

RESUMO

Eosinophils are attracted to sites of allergic inflammation by a number of chemoattractants including eotaxin-1. This chemokine can be secreted from epithelial cells and fibroblasts after IL-4 and TNF-alpha stimulation in a synergistic fashion. TNF-alpha activated gene expression at the transcriptional level in a STAT6-dependent manner, because: 1) eotaxin-1 promoter luciferase constructs were TNF-alpha inducible in STAT6-defective HEK293 cells only on cotransfection of STAT6 expression vector, an effect that was partially mediated by activation-induced binding of NF-kappa B proteins to a composite STAT6/NF-kappa B element; 2) reporter constructs defective in STAT6 DNA binding did not respond to TNF-alpha stimulation; 3) eotaxin-1 protein secretion was detected only in STAT6-transfected HEK293 cell supernatants on TNF-alpha treatment; and 4) a trans-dominant negative STAT6 protein inhibited TNF-alpha-induced eotaxin-1 secretion in primary fibroblasts. TNF-alpha inducibility of the IL-8 and monocyte chemoattractant protein-1 genes was not dependent on STAT6 expression in the same experimental systems. The inducing effect of IL-4 and IL-13 was also mediated by STAT6. The synergistic effect of IL-4 and TNF-alpha observed at the RNA and the protein level was not seen at the promoter level. The data demonstrate that both IL-4 and TNF-alpha induce eotaxin-1 expression at the level of transcription via a STAT6-mediated pathway.


Assuntos
Quimiocinas CC , Citocinas/biossíntese , Fibroblastos/metabolismo , Interleucina-4/farmacologia , Transdução de Sinais/imunologia , Transativadores/fisiologia , Fator de Necrose Tumoral alfa/farmacologia , Adulto , Linhagem Celular , Células Cultivadas , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/biossíntese , Fatores Quimiotáticos de Eosinófilos/genética , Fatores Quimiotáticos de Eosinófilos/metabolismo , Citocinas/genética , Citocinas/metabolismo , DNA/metabolismo , Sinergismo Farmacológico , Fibroblastos/imunologia , Regulação da Expressão Gênica/imunologia , Humanos , Recém-Nascido , Regiões Promotoras Genéticas/imunologia , Ligação Proteica/genética , Ligação Proteica/imunologia , Elementos de Resposta/genética , Elementos de Resposta/imunologia , Fator de Transcrição STAT6 , Transdução de Sinais/genética , Transativadores/genética , Transativadores/metabolismo , Transfecção
13.
Exp Lung Res ; 27(2): 173-83, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11258804

RESUMO

Eotaxin, a potent eosinophil-specific chemotactic factor, is increased in the lower respiratory tract of asthma patients. Recently, lung fibroblasts have been reported to produce eotaxin and their activation can be modulated by inflammatory cytokines. To test the hypothesis that inflammatory cytokines modulate the eotaxin release from lung fibroblasts, we investigated the potential of interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), or interferon-gamma (IFN-gamma) to induce the release of eotaxin and eotaxin mRNA by the human fetal lung fibroblast cell line, HFL-1, was evaluated. HFL-1 released eotaxin constitutively without stimulation, but IL-1beta or TNF-alpha stimulated eotaxin release in a dose- and time-dependent manner. IL-1beta or TNF-alpha treatment of HFL-1 also resulted in the augmented expression of eotaxin mRNA. Although IFN-gamma alone had negligible effect on eotaxin release and mRNA expression, IFN-gamma induced a significant, concentration-dependent attenuation of eotaxin release and eotaxin mRNA expression from HFL-1 stimulated with IL-1beta or TNF-alpha. These findings are consistent with the concept that lung fibroblast-derived eotaxin may in part be responsible for the eosinophil infiltration observed in the airways of asthmatic patients and that network of cytokines may modulate the eosinophil recruitment to the airways by stimulation of fibroblasts to release eotaxin.


Assuntos
Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/biossíntese , Citocinas/biossíntese , Fibroblastos/efeitos dos fármacos , Interferon gama/farmacologia , Interleucina-1/farmacologia , Fator de Necrose Tumoral alfa/farmacologia , Linhagem Celular , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/genética , Citocinas/genética , Primers do DNA/química , Relação Dose-Resposta a Droga , Eosinófilos/fisiologia , Fibroblastos/metabolismo , Humanos , Pulmão/citologia , Pulmão/embriologia , RNA/análise , RNA Mensageiro/efeitos dos fármacos , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
14.
Nat Immunol ; 2(4): 353-60, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11276207

RESUMO

Although eosinophils have been implicated in the pathogenesis of gastrointestinal disorders, their function has not been established. Using a murine model of oral antigen-induced eosinophil-associated gastrointestinal disease, we report the pathological consequences of eosinophilic inflammation and the involvement of eotaxin and eosinophils. Exposure of mice to enteric-coated antigen promotes an extensive T helper 2-associated eosinophilic inflammatory response involving the esophagus, stomach, small intestine and Peyer's patches as well as the development of gastric dysmotility, gastromegaly and cachexia. Electron microscopy shows eosinophils in proximity to damaged axons, which indicated that eosinophils were mediating a pathologic response. In addition, mice deficient in eotaxin have impaired eosinophil recruitment and are protected from gastromegaly and cachexia. These results establish a critical pathological function for eotaxin and eosinophils in gastrointestinal allergic hypersensitivity.


Assuntos
Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/imunologia , Citocinas/imunologia , Eosinófilos/imunologia , Gastroenteropatias/imunologia , Inflamação/imunologia , Administração Oral , Animais , Antígenos/administração & dosagem , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/genética , Citocinas/genética , Eosinofilia/imunologia , Eosinofilia/patologia , Eosinófilos/patologia , Gastroenteropatias/patologia , Humanos , Inflamação/patologia , Camundongos , Camundongos Knockout , Microscopia Eletrônica , Células Th2/imunologia , Células Th2/patologia
15.
Am J Pathol ; 158(1): 323-32, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11141507

RESUMO

The C57BL/6, 129, and B6,129 mouse strains or stocks have been commonly used to generate targeted mutant mice. The pathology of these mice is not well characterized. In studies of these aging mice, we found high incidences of hyalinosis (eosinophilic cytoplasmic change) in the glandular stomach, respiratory tract, bile duct, and gall bladder of B6,129 CYP1A2-null and wild-type mice as well as in both sexes of the background 129S4/SvJae strain. The gastric lesions of the glandular stomach were found in 95.7% of female CYP1A2-null mice as well as in 45.7% of female 129S4/SvJae animals. The eosinophilic protein isolated from characteristic hyaline gastric lesions was identified as Ym2, a member of the chitinase family. Immunohistochemistry, using rabbit polyclonal antibodies to oligopeptides derived from the Ym1 sequence, detected focal to diffuse reactivity within both normal and abnormal nasal olfactory and respiratory epithelium, pulmonary alveolar macrophages, bone marrow myeloid cells, and the squamous epithelium of the forestomach and epithelium of the glandular stomach. Alveolar macrophages in acidophilic pneumonia, a major cause of death of aging 129 mice, and in mice with the me mutation also were highly immunoreactive. The possible cause of this protein excess in gastric and other lesions and its possible functions are discussed.


Assuntos
Fatores Quimiotáticos de Eosinófilos/genética , Citocromo P-450 CYP1A2/metabolismo , Mucosa Gástrica/metabolismo , Hialina/metabolismo , Lectinas/genética , Sistema Respiratório/metabolismo , beta-N-Acetil-Hexosaminidases/genética , Animais , Northern Blotting , Western Blotting , Fatores Quimiotáticos de Eosinófilos/metabolismo , Citocromo P-450 CYP1A2/genética , Eletroforese em Gel de Poliacrilamida , Feminino , Regulação da Expressão Gênica , Lectinas/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos , Camundongos Mutantes , Microscopia Eletrônica , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Sistema Respiratório/patologia , Estômago/patologia , Estômago/ultraestrutura , Análise de Sobrevida , beta-N-Acetil-Hexosaminidases/metabolismo
16.
Mol Hum Reprod ; 6(12): 1085-91, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11101691

RESUMO

We evaluated the presence and number of eosinophils at varying stages in the human corpus luteum from 27 ovaries of women at reproductive age. Eosinophils preferentially accumulated in dilated microvessels of the thecal layer transforming into septa of the corpus luteum. The granulosa layer under luteinization, the thecal layer, and haemorrhages in the former antrum each contained low, moderate and high numbers of extravasated eosinophils respectively. Eosinophils decreased rapidly during the stages of secretion and regression. Semi-quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) and enzyme-linked immunosorbent assay (ELISA) systems were used to investigate the expression and regulation of the eosinophil-attracting chemokines RANTES (regulated on activation, normal T cell expressed and secreted) and eotaxin in granulosa cells obtained from follicular aspirates from women undergoing IVF. Contaminating leukocytes were determined by CD18 mRNA quantification. Granulosa cells expressed RANTES (n = 3; 43 +/- 14 pg/ml, mean +/- SEM). 4ss-phorbol-12-myristate-13-acetate (PMA; 211 +/- 53) and tumour necrosis factor alpha (TNFalpha) (238 +/- 59), but not interleukin (IL)-1 up-regulated RANTES at significant levels. In general, higher basal and stimulated RANTES mRNA and protein were found in cultures with higher CD18 mRNA levels than in those with lower levels. We found only traces of eotaxin mRNA and no eotaxin secretion, even in stimulated granulosa cell cultures, independently of leukocyte levels. Taken together, this is the first study demonstrating the selective presence of eosinophils in human periovulatory structures. RANTES, but not eotaxin, may play an active process in the accumulation of these cells.


Assuntos
Quimiocina CCL5/fisiologia , Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/fisiologia , Quimiotaxia de Leucócito , Corpo Lúteo/imunologia , Citocinas/fisiologia , Eosinófilos/fisiologia , Adulto , Células Cultivadas , Quimiocina CCL11 , Quimiocina CCL5/biossíntese , Quimiocina CCL5/genética , Fatores Quimiotáticos de Eosinófilos/biossíntese , Fatores Quimiotáticos de Eosinófilos/genética , Corpo Lúteo/irrigação sanguínea , Corpo Lúteo/crescimento & desenvolvimento , Citocinas/biossíntese , Citocinas/genética , Eosinófilos/citologia , Feminino , Expressão Gênica , Células da Granulosa , Humanos , Ovulação/fisiologia , RNA Mensageiro
17.
J Allergy Clin Immunol ; 106(1 Pt 1): 117-23, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10887314

RESUMO

BACKGROUND: Bradykinin, a potent inflammatory peptide, is increased in the airways of allergic patients. Accompanying the elevated bradykinin levels are increases in both eosinophils and fibroblasts. Eotaxin, a potent eosinophil-specific chemotactic factor, is released by fibroblasts and increased in the lower respiratory tract of allergic patients. OBJECTIVE: We sought to test the hypothesis that lung fibro-blasts release eotaxin in response to bradykinin. METHODS: The potential of bradykinin to induce the release of eotaxin from the human lung fibroblast cell line HFL-1 was tested by cell culture and evaluation of the culture supernatant fluids and RNA for immunoreactive eotaxin and eotaxin messenger RNA. RESULTS: HFL-1 cells released eotaxin constitutively without stimulation, but bradykinin stimulated eotaxin release in a dose- and time-dependent manner and resulted in augmented expression of eotaxin messenger RNA. The release of eotaxin was sensitive to the action of glucocorticoids. Eosinophil chemotactic activity by HFL-1 supernatant fluids was inhibited by anti-human eotaxin-neutralizing antibody. Consistent with these results, inhibitors of bradykinin B2 receptors, but not bradykinin B1 receptors, inhibited bradykinin-induced eotaxin release. CONCLUSION: These data demonstrate that bradykinin may stimulate lung fibroblasts to release eotaxin and suggest the potential for this mechanism to be important in modulation of lung inflammation.


Assuntos
Bradicinina/farmacologia , Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/biossíntese , Citocinas/biossíntese , Pulmão/metabolismo , Antagonistas dos Receptores da Bradicinina , Linhagem Celular , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/genética , Citocinas/genética , Citocinas/imunologia , Dexametasona/farmacologia , Fibroblastos/metabolismo , Humanos , Soros Imunes , Interleucina-1/imunologia , Interleucina-1/metabolismo , Pulmão/embriologia , RNA Mensageiro/metabolismo
18.
J Allergy Clin Immunol ; 105(5): 1002-7, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10808183

RESUMO

BACKGROUND: Atopic dermatitis (AD) is a chronic inflammatory skin disease associated with tissue eosinophilia and the activation of T lymphocytes. The novel eosinophil chemoattractants, eotaxin and monocyte chemotactic protein (MCP)-4, are up-regulated at sites of allergic inflammation, yet their contribution to the pathophysiologic mechanisms of AD remains to be determined. OBJECTIVE: We sought to investigate the expression of eotaxin and MCP-4 in acute and chronic lesions from patients with AD and to determine their relationship to the numbers of resident inflammatory cells. METHODS: With use of in situ hybridization, the expression of eotaxin and MCP-4 messenger RNA (mRNA) in skin biopsy specimens from patients with acute and chronic AD skin lesions was compared with that of uninvolved skin from these patients and skin from healthy volunteers. RESULTS: There was a constitutive expression of eotaxin and MCP-4 mRNA in skin biopsy specimens from healthy subjects. Positive signal for chemokine mRNA was observed both within the epidermis and inflammatory cells (macrophages, eosinophils, and T cells) of the subepidermis in AD skin lesions. Within the subepithelium acute and chronic skin lesions exhibited a significant increase in the numbers of eotaxin and MCP-4 mRNA-positive cells compared with uninvolved skin (P <.01), whereas the numbers of eotaxin and MCP-4 mRNA-positive cells were significantly higher in chronic AD compared with acute AD skin lesions (P <.005, P <.001, respectively). Correlations were observed between the expression of eotaxin and MCP-4 mRNA and the presence of eosinophils and macrophages, respectively, in AD lesions (r(2) = 0.84, r(2) = 0.94). CONCLUSION: There is an increased expression of eotaxin and MCP-4 in acute and chronic lesions, suggesting that these chemotactic factors play a major role in the pathophysiologic mechanisms of AD.


Assuntos
Quimiocinas CC , Citocinas/genética , Dermatite Atópica/genética , Dermatite Atópica/metabolismo , Proteínas Quimioatraentes de Monócitos/genética , Biópsia , Quimiocina CCL11 , Quimiocinas/genética , Fatores Quimiotáticos de Eosinófilos/genética , Humanos , RNA Mensageiro/metabolismo , Pele/patologia
19.
Invest Ophthalmol Vis Sci ; 41(6): 1448-53, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10798661

RESUMO

PURPOSE: To investigate the effects of tumor necrosis factor (TNF)-alpha, interleukin (IL)4, and IL-13 on expression of the chemokine eotaxin by cultured human keratocytes. METHODS: Cultured human keratocytes were incubated with various combinations and concentrations of TNF-alpha, IL-4, and IL-13. The concentration of eotaxin in the culture supernatant was subsequently measured by enzyme-linked immunosorbent assay, and the amount of eotaxin mRNA in cell lysates was determined by reverse transcription-polymerase chain reaction analysis. RESULTS: Keratocytes incubated in the absence of cytokines did not release detectable amounts of eotaxin into the culture medium. Whereas incubation of keratocytes with TNF-alpha, IL-4, or IL-13 alone or with the combination of IL-4 and IL-13 had only a small effect on eotaxin release, exposure of the cells to TNF-alpha in combination with either IL-4 or IL-13 resulted in a marked increase in eotaxin production that was both time and dose dependent. The abundance of eotaxin mRNA in keratocytes was also increased in a synergistic manner by incubation of cells with TNF-alpha together with either IL-4 or IL-13. CONCLUSIONS: Stimulation of human keratocytes with the combination of TNF-alpha and either IL-4 or IL-13 resulted in synergistic increases in both the abundance of eotaxin mRNA and the release of eotaxin protein. This cytokine-induced increase in eotaxin production by keratocytes may contribute to eosinophil infiltration in inflammatory ocular diseases such as vernal keratoconjunctivitis.


Assuntos
Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/genética , Córnea/efeitos dos fármacos , Citocinas/genética , Interleucina-13/farmacologia , Interleucina-4/farmacologia , RNA Mensageiro/biossíntese , Fator de Necrose Tumoral alfa/farmacologia , Adolescente , Adulto , Idoso , Células Cultivadas , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/biossíntese , Criança , Pré-Escolar , Córnea/citologia , Córnea/metabolismo , Citocinas/biossíntese , Relação Dose-Resposta a Droga , Combinação de Medicamentos , Sinergismo Farmacológico , Feminino , Fibroblastos/citologia , Fibroblastos/efeitos dos fármacos , Fibroblastos/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fatores de Tempo
20.
Clin Exp Allergy ; 30(3): 348-55, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10691892

RESUMO

BACKGROUND: There is increasing evidence that eotaxin is a key mediator in the development of tissue eosinophilia. However, the mechanism involved in the production of eotaxin has yet to be clarified. Most recently, it has been shown that interleukin (IL) -4 induces eotaxin in dermal fibroblasts. A novel cytokine termed IL-13, which binds to the alpha-chain of the IL-4 receptor, shares many biological activities with IL-4. It is known that fibroblasts express the IL-4 receptor and produce collagen type I upon stimulation with IL-4. OBJECTIVE: We investigated whether IL-13, as well as IL-4, are able to induce eotaxin production in human nasal mucosal fibroblasts (HNMFs). Furthermore, we investigated the effect of costimulation of IL-13 and TNFalpha on eotaxin production. METHODS: HNMFs, isolated from inferior nasal mucosa samples, were stimulated by various kind of cytokines for 1-36 h at 37 degrees C in 5% CO2. The change in the expression of eotaxin mRNA was then evaluated by reverse transcriptase-polymerase chain reaction and the Southern blot analysis. The amount of eotaxin in the culture media was measured by ELISA. RESULTS: IL-13 as well as IL-4 dose-dependently induced eotaxin expression in HNMFs. Furthermore, IL-13 and TNFalpha synergistically induced eotaxin expression in HNMFs, while they hardly induced eotaxin expression in endothelial cells, epithelial cells or eosinophils. The synergy was observed when pre-incubation of HNMFs with IL-13 was followed by a stimulation with TNFalpha, or HNMFs were simultaneously stimulated with IL-13 and TNFalpha. CONCLUSION: These results strongly indicate that IL-13, as well as IL-4, may be important in eotaxin-mediated eosinophilic inflammation in nasal mucosa. In addition, in nasal mucosa, fibroblasts are the major cell source for eotaxin.


Assuntos
Quimiocinas CC , Fatores Quimiotáticos de Eosinófilos/biossíntese , Citocinas/biossíntese , Fibroblastos/efeitos dos fármacos , Interleucina-13/farmacologia , Fator de Necrose Tumoral alfa/farmacologia , Adulto , Alérgenos/efeitos adversos , Animais , Antígenos de Dermatophagoides , Quimiocina CCL11 , Fatores Quimiotáticos de Eosinófilos/genética , Citocinas/genética , Relação Dose-Resposta a Droga , Sinergismo Farmacológico , Ensaio de Imunoadsorção Enzimática , Feminino , Fibroblastos/metabolismo , Glicoproteínas/efeitos adversos , Humanos , Interleucina-4/farmacologia , Masculino , Ácaros , Mucosa Nasal/efeitos dos fármacos , Mucosa Nasal/metabolismo , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Rinite Alérgica Perene/etiologia , Rinite Alérgica Perene/metabolismo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...