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1.
Angew Chem Int Ed Engl ; 62(40): e202306437, 2023 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-37466921

RESUMO

Even with the aid of the available methods, the configurational assignment of natural products can be a challenging task that is prone to errors, and it sometimes needs to be corrected after total synthesis or single-crystal X-ray diffraction (XRD) analysis. Herein, the absolute configuration of amidochelocardin is revised using a combination of XRD, NMR spectroscopy, experimental ECD spectra, and time-dependent density-functional theory (TDDFT)-ECD calculations. As amidochelocardin was obtained via biosynthetic engineering of chelocardin, we propose the same absolute configuration for chelocardin based on the similar biosynthetic origins of the two compounds and result of TDDFT-ECD calculations. The evaluation of spectral data of two closely related analogues, 6-desmethyl-chelocardin and its semisynthetic derivative 1, also supports this conclusion.

2.
J Am Chem Soc ; 144(11): 5136-5144, 2022 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-35263083

RESUMO

Thioholgamides are ribosomally synthesized and posttranslationally modified peptides (RiPPs), with potent activity against cancerous cell lines and an unprecedented structure. Despite being one of the most structurally and chemically complex RiPPs, very few biosynthetic steps have been elucidated. Here, we report the complete in vitro reconstitution of the biosynthetic pathway. We demonstrate that thioamidation is the first step and acts as a gatekeeper for downstream processing. Thr dehydration follows thioamidation, and our studies reveal that both these modifications require the formation of protein complexes─ThoH/I and ThoC/D. Harnessing the power of AlphaFold, we deduce that ThoD acts as a lyase and also proposes putative catalytic residues. ThoF catalyzes the oxidative decarboxylation of the terminal Cys, and the subsequent macrocyclization is facilitated by ThoE. This is followed by Ser dehydration, which is also carried out by ThoC/D. ThoG is responsible for histidine bis-N-methylation, which is a prerequisite for His ß-hydroxylation─a modification carried out by ThoJ. The last step of the pathway is the removal of the leader peptide by ThoK to afford mature thioholgamide.


Assuntos
Desidratação , Sinais Direcionadores de Proteínas , Histidina , Humanos , Peptídeos/química , Processamento de Proteína Pós-Traducional
3.
Nat Chem Biol ; 16(9): 1013-1018, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32601484

RESUMO

D-amino acids endow peptides with diverse, desirable properties, but the post-translational and site-specific epimerization of L-amino acids into their D-counterparts is rare and chemically challenging. Bottromycins are ribosomally synthesized and post-translationally modified peptides that have overcome this challenge and feature a D-aspartate (D-Asp), which was proposed to arise spontaneously during biosynthesis. We have identified the highly unusual α/ß-hydrolase (ABH) fold enzyme BotH as a peptide epimerase responsible for the post-translational epimerization of L-Asp to D-Asp during bottromycin biosynthesis. The biochemical characterization of BotH combined with the structures of BotH and the BotH-substrate complex allowed us to propose a mechanism for this reaction. Bioinformatic analyses of BotH homologs show that similar ABH enzymes are found in diverse biosynthetic gene clusters. This places BotH as the founding member of a group of atypical ABH enzymes that may be able to epimerize non-Asp stereocenters across different families of secondary metabolites.


Assuntos
Racemases e Epimerases/química , Racemases e Epimerases/metabolismo , Ácido Aspártico/química , Ácido Aspártico/metabolismo , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Cristalografia por Raios X , Evolução Molecular , Modelos Moleculares , Família Multigênica , Peptídeos Cíclicos/metabolismo , Conformação Proteica , Dobramento de Proteína , Racemases e Epimerases/genética , Streptomyces/enzimologia , Streptomyces/genética , Especificidade por Substrato
4.
Nat Chem Biol ; 16(9): 1034, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32669684

RESUMO

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

5.
Angew Chem Int Ed Engl ; 61(5): e202112295, 2022 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-34762767

RESUMO

Extracellular virulence factors have emerged as attractive targets in the current antimicrobial resistance crisis. The Gram-negative pathogen Pseudomonas aeruginosa secretes the virulence factor elastase B (LasB), which plays an important role in the infection process. Here, we report a sub-micromolar, non-peptidic, fragment-like inhibitor of LasB discovered by careful visual inspection of structural data. Inspired by the natural LasB substrate, the original fragment was successfully merged and grown. The optimized inhibitor is accessible via simple chemistry and retained selectivity with a substantial improvement in activity, which can be rationalized by the crystal structure of LasB in complex with the inhibitor. We also demonstrate an improved in vivo efficacy of the optimized hit in Galleria mellonella larvae, highlighting the significance of this class of compounds as promising drug candidates.


Assuntos
Pseudomonas aeruginosa
6.
J Am Chem Soc ; 141(25): 9748-9752, 2019 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-31192589

RESUMO

The ribosomally synthesized and post-translationally modified peptide (RiPP) bottromycin A2 possesses potent antimicrobial activity. Its biosynthesis involves the enzymatic formation of a macroamidine, a process previously suggested to require the concerted efforts of a YcaO enzyme (PurCD) and an amidohydrolase (PurAH) in vivo. In vitro, PurCD alone is sufficient to catalyze formation of the macroamidine, but the process is reversible. We set out to probe the role of PurAH in macroamidine formation in vitro. We demonstrate that PurAH is highly selective for macroamidine-containing precursor peptides and cleaves C-terminal of a thiazoline, thus removing the follower peptide. After follower cleavage, macroamidine formation is irreversible, indicating PurAH as the gatekeeper of bottromycin biosynthesis. The structure of PurAH suggests residues involved in catalysis, which were probed through mutagenesis.


Assuntos
Amidoidrolases/química , Proteínas de Bactérias/química , Amidoidrolases/genética , Proteínas de Bactérias/genética , Biocatálise , Mutação , Peptídeos Cíclicos/química , Streptomyces/enzimologia
7.
Nat Prod Rep ; 36(11): 1576-1588, 2019 11 13.
Artigo em Inglês | MEDLINE | ID: mdl-30920567

RESUMO

Covering: up to 02/2019 This review covers the role of protein-protein complexes in the biosynthesis of selected ribosomally synthesized and post-translationally modified peptide (RiPP) classes. The genomic organization of RiPP systems usually allows the expression of each biosynthetic enzyme as an individual unit, which is in stark contrast to the giant assembly lines found in non-ribosomal peptide and polyketide synthesis systems. Evidence is mounting however that the formation of multi-enzyme complexes is critical for efficient RiPPs biosynthesis and that these complexes may be involved in substrate channeling or conformational sampling. In some pathways, polyfunctional enzymes have evolved, which can be viewed as perpetual protein complexes. We summarize what is currently known on enzyme complexes in RiPP systems for lasso peptides, cyanobactins, linear azolic peptides, thiopeptides, and lanthipeptides.


Assuntos
Complexos Multiproteicos/metabolismo , Peptídeos/metabolismo , Ribossomos/metabolismo , Complexos Multiproteicos/química , Biossíntese Peptídica , Peptídeos Cíclicos/biossíntese , Peptídeos Cíclicos/metabolismo , Domínios e Motivos de Interação entre Proteínas , Processamento de Proteína Pós-Traducional
8.
J Biol Chem ; 292(48): 19935-19951, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-28972138

RESUMO

Lectins play important roles in infections by pathogenic bacteria, for example, in host colonization, persistence, and biofilm formation. The Gram-negative entomopathogenic bacterium Photorhabdus luminescens symbiotically lives in insect-infecting Heterorhabditis nematodes and kills the insect host upon invasion by the nematode. The P. luminescens genome harbors the gene plu2096, coding for a novel lectin that we named PllA. We analyzed the binding properties of purified PllA with a glycan array and a binding assay in solution. Both assays revealed a strict specificity of PllA for α-galactoside-terminating glycoconjugates. The crystal structures of apo PllA and complexes with three different ligands revealed the molecular basis for the strict specificity of this lectin. Furthermore, we found that a 90° twist in subunit orientation leads to a peculiar quaternary structure compared with that of its ortholog LecA from Pseudomonas aeruginosa We also investigated the utility of PllA as a probe for detecting α-galactosides. The α-Gal epitope is present on wild-type pig cells and is the main reason for hyperacute organ rejection in pig to primate xenotransplantation. We noted that PllA specifically recognizes this epitope on the glycan array and demonstrated that PllA can be used as a fluorescent probe to detect this epitope on primary porcine cells in vitro In summary, our biochemical and structural analyses of the P. luminescens lectin PllA have disclosed the structural basis for PllA's high specificity for α-galactoside-containing ligands, and we show that PllA can be used to visualize the α-Gal epitope on porcine tissues.


Assuntos
Galactosídeos/metabolismo , Glicoconjugados/metabolismo , Lectinas/metabolismo , Photorhabdus/metabolismo , Sequência de Aminoácidos , Animais , Testes de Hemaglutinação , Lectinas/química , Lectinas/isolamento & purificação , Sondas Moleculares , Ligação Proteica , Conformação Proteica , Homologia de Sequência de Aminoácidos , Suínos
9.
J Am Chem Soc ; 140(48): 16641-16649, 2018 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-30422653

RESUMO

To combat the rise of antimicrobial resistance, the discovery of new antibiotics is paramount. Albicidin and cystobactamid are related natural product antibiotics with potent activity against Gram-positive and, crucially, Gram-negative pathogens. AlbA has been reported to neutralize albicidin by binding it with nanomolar affinity. To understand this potential resistance mechanism, we determined structures of AlbA and its complex with albicidin. The structures revealed AlbA to be comprised of two domains, each unexpectedly resembling the multiantibiotic neutralizing protein TipA. Binding of the long albicidin molecule was shared pseudosymmetrically between the two domains. The structure also revealed an unexpected chemical modification of albicidin, which we demonstrate to be promoted by AlbA, and to reduce albicidin potency; we propose a mechanism for this reaction. Overall, our findings suggest that AlbA arose through internal duplication in an ancient TipA-like gene, leading to a new binding scaffold adapted to the sequestration of long-chain antibiotics.


Assuntos
Antibacterianos/metabolismo , Proteínas de Bactérias/metabolismo , Proteínas de Transporte/metabolismo , Antibacterianos/química , Antibacterianos/farmacologia , Asparagina/análogos & derivados , Asparagina/química , Asparagina/farmacologia , Proteínas de Bactérias/genética , Proteínas de Transporte/genética , Ciclização , Farmacorresistência Bacteriana Múltipla/fisiologia , Evolução Molecular , Klebsiella oxytoca/química , Testes de Sensibilidade Microbiana , Mutação , Nitrocompostos/química , Nitrocompostos/farmacologia , Compostos Orgânicos/química , Compostos Orgânicos/metabolismo , Compostos Orgânicos/farmacologia , Ligação Proteica , Xanthomonas/química , Xanthomonas/metabolismo
10.
ACS Cent Sci ; 9(12): 2205-2215, 2023 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-38161367

RESUMO

Infections caused by the Gram-negative pathogen Pseudomonas aeruginosa are emerging worldwide as a major threat to human health. Conventional antibiotic monotherapy suffers from rapid resistance development, underlining urgent need for novel treatment concepts. Here, we report on a nontraditional approach to combat P. aeruginosa-derived infections by targeting its main virulence factor, the elastase LasB. We discovered a new chemical class of phosphonates with an outstanding in vitro ADMET and PK profile, auspicious activity both in vitro and in vivo. We established the mode of action through a cocrystal structure of our lead compound with LasB and in several in vitro and ex vivo models. The proof of concept of a combination of our pathoblocker with levofloxacin in a murine neutropenic lung infection model and the reduction of LasB protein levels in blood as a proof of target engagement demonstrate the great potential for use as an adjunctive treatment of lung infections in humans.

11.
ACS Infect Dis ; 8(5): 1010-1021, 2022 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-35451824

RESUMO

Antivirulence therapy has become a widely applicable method for fighting infections caused by multidrug-resistant bacteria. Among the many virulence factors produced by the Gram-negative bacterium Pseudomonas aeruginosa, elastase (LasB) stands out as an important target as it plays a pivotal role in the invasion of the host tissue and evasion of the immune response. In this work, we explored the recently reported LasB inhibitor class of α-benzyl-N-aryl mercaptoacetamides by exploiting the crystal structure of one of the compounds. Our exploration yielded inhibitors that maintained inhibitory activity, selectivity, and increased hydrophilicity. These inhibitors were found to reduce the pathogenicity of the bacteria and to maintain the integrity of lung and skin cells in the diseased state. Furthermore, two most promising compounds increased the survival rate of Galleria mellonella larvae treated with P. aeruginosa culture supernatant.


Assuntos
Pseudomonas aeruginosa , Fatores de Virulência , Proteínas de Bactérias , Metaloendopeptidases , Virulência
12.
ACS Chem Biol ; 15(10): 2815-2819, 2020 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-32965102

RESUMO

Thioviridamide-like compounds, including thioholgamides, are ribosomally synthesized and post-translationally modified peptide natural products with potent anticancer cell activity and an unprecedented structure. Very little is known about their biosynthesis, and we were intrigued by the ß-hydroxy-N1, N3-dimethylhistidinium moiety found in these compounds. Here we report the construction of a heterologous host capable of producing thioholgamide with a 15-fold increased yield compared to the wild-type strain. A knockout of thoJ, encoding a predicted nonheme monooxygenase, shows that ThoJ is essential for thioholgamide ß-hydroxylation. The crystal structure of ThoJ exhibits a typical mono/dioxygenase fold with conserved key active-site residues. Yet, ThoJ possesses a very large substrate binding pocket that appears suitable to receive a cyclic thioholgamide intermediate for hydroxylation. The improved production of the heterologous host will enable the dissection of the individual biosynthetic steps involved in biosynthesis of this exciting RiPP family.


Assuntos
Proteínas de Bactérias/metabolismo , Oxigenases de Função Mista/metabolismo , Peptídeos Cíclicos/metabolismo , Tioamidas/metabolismo , Proteínas de Bactérias/química , Histidina/química , Hidroxilação , Oxigenases de Função Mista/química , Peptídeos Cíclicos/química , Processamento de Proteína Pós-Traducional , Streptomyces/enzimologia , Streptomyces/metabolismo , Especificidade por Substrato , Tioamidas/química
13.
ACS Chem Biol ; 15(3): 751-757, 2020 03 20.
Artigo em Inglês | MEDLINE | ID: mdl-31935054

RESUMO

Marine cyanobacteria (blue-green algae) have been shown to possess an enormous capacity to produce structurally diverse natural products that exhibit a broad spectrum of potent biological activities, including cytotoxic, antifungal, antiparasitic, antiviral, and antibacterial activities. Using mass-spectrometry-guided fractionation together with molecular networking, cyanobacterial field collections from American Samoa and Palmyra Atoll yielded three new cyclic peptides, tutuilamides A-C. Their structures were established by spectroscopic techniques including 1D and 2D NMR, HR-MS, and chemical derivatization. Structure elucidation was facilitated by employing advanced NMR techniques including nonuniform sampling in combination with the 1,1-ADEQUATE experiment. These cyclic peptides are characterized by the presence of several unusual residues including 3-amino-6-hydroxy-2-piperidone and 2-amino-2-butenoic acid, together with a novel vinyl chloride-containing residue. Tutuilamides A-C show potent elastase inhibitory activity together with moderate potency in H-460 lung cancer cell cytotoxicity assays. The binding mode to elastase was analyzed by X-ray crystallography revealing a reversible binding mode similar to the natural product lyngbyastatin 7. The presence of an additional hydrogen bond with the amino acid backbone of the flexible side chain of tutuilamide A, compared to lyngbyastatin 7, facilitates its stabilization in the elastase binding pocket and possibly explains its enhanced inhibitory potency.


Assuntos
Antineoplásicos/isolamento & purificação , Cianobactérias/química , Depsipeptídeos/isolamento & purificação , Inibidores Enzimáticos/isolamento & purificação , Neoplasias Pulmonares/tratamento farmacológico , Elastase Pancreática/antagonistas & inibidores , Peptídeos Cíclicos/isolamento & purificação , Aminoácidos/química , Aminobutiratos/química , Antineoplásicos/farmacologia , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Cromatografia Líquida de Alta Pressão , Depsipeptídeos/química , Depsipeptídeos/farmacologia , Ensaios de Seleção de Medicamentos Antitumorais , Inibidores Enzimáticos/farmacologia , Humanos , Modelos Moleculares , Estrutura Molecular , Peptídeos Cíclicos/farmacologia , Piperidonas/química , Ligação Proteica , Espectrometria de Massas em Tandem , Cloreto de Vinil/química
14.
ACS Chem Biol ; 13(9): 2449-2455, 2018 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-30088919

RESUMO

In search of novel antibiotics to combat the challenging spread of resistant pathogens, bacterial proteases represent promising targets for pathoblocker development. A common motif for protease inhibitors is the hydroxamic acid function, yet this group has often been related to unspecific inhibition of various metalloproteases. In this work, the inhibition of LasB, a harmful zinc metalloprotease secreted by Pseudomonas aeruginosa, through a hydroxamate derivative is described. The present inhibitor was developed based on a recently reported, highly selective thiol scaffold. Using X-ray crystallography, the lack of inhibition of a range of human matrix metalloproteases could be attributed to a distinct binding mode sparing the S1' pocket. The inhibitor was shown to restore the effect of the antimicrobial peptide LL-37, decrease the formation of P. aeruginosa biofilm and, for the first time for a LasB inhibitor, reduce the release of extracellular DNA. Hence, it is capable of disrupting several important bacterial resistance mechanisms. These results highlight the potential of protease inhibitors to fight bacterial infections and point out the possibility to achieve selective inhibition even with a strong zinc anchor.


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Proteínas de Bactérias/antagonistas & inibidores , Ácidos Hidroxâmicos/química , Ácidos Hidroxâmicos/farmacologia , Metaloendopeptidases/antagonistas & inibidores , Pseudomonas aeruginosa/efeitos dos fármacos , Proteínas de Bactérias/metabolismo , Biofilmes/efeitos dos fármacos , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacologia , Humanos , Metaloendopeptidases/metabolismo , Modelos Moleculares , Infecções por Pseudomonas/tratamento farmacológico , Infecções por Pseudomonas/metabolismo , Infecções por Pseudomonas/microbiologia , Pseudomonas aeruginosa/patogenicidade , Pseudomonas aeruginosa/fisiologia , Virulência/efeitos dos fármacos
15.
ACS Infect Dis ; 4(6): 988-997, 2018 06 08.
Artigo em Inglês | MEDLINE | ID: mdl-29485268

RESUMO

The increasing emergence of antibiotic resistance necessitates the development of anti-infectives with novel modes of action. Targeting bacterial virulence is considered a promising approach to develop novel antibiotics with reduced selection pressure. The extracellular collagenase elastase (LasB) plays a pivotal role in the infection process of Pseudomonas aeruginosa and therefore represents an attractive antivirulence target. Mercaptoacetamide-based thiols have been reported to inhibit LasB as well as collagenases from clostridia and bacillus species. The present work provides an insight into the structure-activity relationship (SAR) of these fragment-like LasB inhibitors, demonstrating an inverse activity profile compared to similar inhibitors of clostridial collagenase H (ColH). An X-ray cocrystal structure is presented, revealing distinct binding of two compounds to the active site of LasB, which unexpectedly maintains an open conformation. We further demonstrate in vivo efficacy in a Galleria mellonella infection model and high selectivity of the LasB inhibitors toward human matrix metalloproteinases (MMPs).


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Proteínas de Bactérias/antagonistas & inibidores , Proteínas de Bactérias/química , Metaloendopeptidases/antagonistas & inibidores , Metaloendopeptidases/química , Pseudomonas aeruginosa/efeitos dos fármacos , Compostos de Sulfidrila/química , Compostos de Sulfidrila/farmacologia , Animais , Antibacterianos/síntese química , Sítios de Ligação , Linhagem Celular , Cromatografia Líquida , Avaliação Pré-Clínica de Medicamentos , Farmacorresistência Bacteriana , Humanos , Espectrometria de Massas , Modelos Moleculares , Conformação Molecular , Estrutura Molecular , Mariposas/microbiologia , Ligação Proteica , Pseudomonas aeruginosa/patogenicidade , Pseudomonas aeruginosa/fisiologia , Relação Estrutura-Atividade , Compostos de Sulfidrila/síntese química , Fatores de Virulência
16.
ACS Chem Biol ; 12(11): 2837-2841, 2017 11 17.
Artigo em Inglês | MEDLINE | ID: mdl-28981254

RESUMO

Thioviridamide is a structurally unique ribosomally synthesized and post-translationally modified peptide that contains several thioamide bonds and is active against a number of cancer cell lines. In the search for naturally occurring thioviridamide analogs, we employed genome mining that led to the identification of several related gene clusters. Chemical screening followed by cultivation and isolation yielded thioholgamides A and B, two new additions to the thioviridamide family with several amino acid substitutions, a different N-capping moiety, and with one less thioamide bond. Thioholgamides display improved cytotoxicity in the submicromolar range against a range of cell lines and an IC50 of 30 nM for thioholgamide A against HCT-116 cells. Herein, we report the isolation and structural elucidation of thioholgamides A and B, a proposed biosynthetic cluster for their production, and their bioactivities against a larger panel of microorganisms and cancer cell lines.


Assuntos
Antineoplásicos/química , Antineoplásicos/farmacologia , Peptídeos Cíclicos/química , Peptídeos Cíclicos/farmacologia , Streptomyces/metabolismo , Tioamidas/química , Tioamidas/farmacologia , Antineoplásicos/metabolismo , Produtos Biológicos/química , Produtos Biológicos/metabolismo , Produtos Biológicos/farmacologia , Vias Biossintéticas , Linhagem Celular Tumoral , Células HCT116 , Humanos , Família Multigênica , Peptídeos Cíclicos/genética , Peptídeos Cíclicos/metabolismo , Processamento de Proteína Pós-Traducional , Streptomyces/química , Streptomyces/genética , Tioamidas/metabolismo
17.
Nat Commun ; 8(1): 1529, 2017 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-29142318

RESUMO

The natural product carolacton is a macrolide keto-carboxylic acid produced by the myxobacterium Sorangium cellulosum, and was originally described as an antibacterial compound. Here we show that carolacton targets FolD, a key enzyme from the folate-dependent C1 metabolism. We characterize the interaction between bacterial FolD and carolacton biophysically, structurally and biochemically. Carolacton binds FolD with nanomolar affinity, and the crystal structure of the FolD-carolacton complex reveals the mode of binding. We show that the human FolD orthologs, MTHFD1 and MTHFD2, are also inhibited in the low nM range, and that micromolar concentrations of carolacton inhibit the growth of cancer cell lines. As mitochondrial MTHFD2 is known to be upregulated in cancer cells, it may be possible to use carolacton as an inhibitor tool compound to assess MTHFD2 as an anti-cancer target.


Assuntos
Aminoidrolases/metabolismo , Proteínas de Bactérias/metabolismo , Produtos Biológicos/farmacologia , Formiato-Tetra-Hidrofolato Ligase/metabolismo , Macrolídeos/farmacologia , Metilenotetra-Hidrofolato Desidrogenase (NADP)/metabolismo , Complexos Multienzimáticos/metabolismo , Myxococcales/metabolismo , Antibacterianos/farmacologia , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Biofilmes/efeitos dos fármacos , Linhagem Celular Tumoral , Cristalografia por Raios X , Ensaios Enzimáticos , Ácido Fólico/metabolismo , Humanos , Concentração Inibidora 50 , Testes de Sensibilidade Microbiana , Antígenos de Histocompatibilidade Menor/metabolismo , Mitocôndrias/metabolismo , Enzimas Multifuncionais/metabolismo , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Ligação Proteica
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