首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 234 毫秒
1.
Clonal deletion and/or inactivation establishes tolerance toself antigens. Endogenous and exogenous (bacterial) superantigens,like the staphylococcal enterotoxlns, induce ligand-specificclonal anergy in vivo and thus are believed to mirror aspectsof post-thymic tolerance mechanisms in mature peripheral T cells.Here we analyzed the level of anergy of ligand-responsive Vß8+T cells from staphylococcal enterotoxin B (SEB)-primed micein vivo and in vitro. Upon in vitro restimulation with SEB,CD4+Vß8+ and CD8+Vß8+ T cells failed toproduce IL-2. However, functional IL-2 receptors were triggered,since supplementation with IL-2 induced clonal growth in virtuallyall CD4+Vß8+ and CD8+Vß8+ T cells as determinedby limiting dilution analyses. Thus in vitro unresponslvenessof lymphocytes from SEB-primed mice reflects the inability ofSEB-reactlve Vß8+ T cells to produce IL-2. Surprisingly,anergy as defined in vitro was at variance with that in vivo.Following further challenge with SEB, systemic and acute lymphokineproduction (Including IL-2 and tumor necrosis factor) occurredwith almost identical peak values and kinetics to primary invivo responses, and D-galactosamlne-sensltlzed mice succumbedto lethal shock. Polymerase chain reaction analyses revealedthat CD4+Vß8+ expressed IL-2-specific mRNA in vivoupon restimulatlon with SEB. While lymphokine production andexpression of the IL-2 receptor was similar to the responseto in vivo primary stimulation, only CD8+Vß8+ T cellsexpanded clonally upon reintroductlon of SEB in vivo. Henceprimed Vß8+ T cells challenged with SEB display invitro anergy yet in vivo responsiveness, at least in part. Weconclude that the state of anergy is reversible, dependent uponthe quality of activation signals provided in in vivo ratherthan in in vitro culture conditions.  相似文献   

2.
Methotrexate (MTX), a folate antagonist with multiple enzymatictargets, is used in the treatment of malignancies as well asin autoimmune and chronic inflammatory diseases, and ZD1694(tomudex), a water-soluble quinazoline specific inhibitor ofthymidylate synthase (TS), is used in the treatment of adenocarcinomas.In this study, we investigated the effects of these folate analogueson superantigen (SAg)-reactive peripheral T cells in vivo. InBALB/c mice, staphylococcal enterotoxin B (SEB)-induced cytokinesecretion, IL-2R (CD25) expression and early deletion of a fractionof SEB-reactive Vß8+ T cells were not impaired by eitherMTX (7 mg/kg/day) or tomudex (5 mg/kg/day). However, both MTXand tomudex prevented Vß8-selective T cell expansion andaccelerated their peripheral elimination. Administration ofthymidine (500 mg/kg/12 h) completely abrogated this effect,indicating that inhibition of TS but not that of other folate-dependentenzymes was the main mechanism involved. Furthermore, a markedincrease of apoptotic cells restricted to the Vß8+ T cellsubset indicated that proliferation inhibition was associatedwith apoptosis. In contrast with peripheral Vß8+ T celldeletion, MTX and tomudex did not prevent the increase of Vß8+thymocytes triggered by SEB. Experiments in C57BL/6-lpr/lprmice further demonstrated that deletion of Vß8+ T cellsinduced by folate analogues was independent of Fas–Fasligand interaction. Our results provide evidence that folateanalogues may selectively delete dividing peripheral T cellsthrough TS inhibition, but do not interfere with other eventstriggered by SAg.  相似文献   

3.
Age-dependent changes in the response to staphylococcal enterotoxin B   总被引:1,自引:0,他引:1  
In the present study we investigated the response of old miceto staphylococcal enterotoxin B (SEB) immunization. Old micewere susceptible to lethal toxic shock, probably mediated bytumor necrosis factor-, although lethal toxic shock was notobserved in young mice. Old mice were able to produce more IL-2and IL-4 than young mice in response to in vivo immunizationwith SEB. Vß8+CD4+ T cells of old mice expanded lessin vivo and were not deleted in response to SEB. However, inspite of the absence of clonal deletion, SEB was found to induceenergy of SEB reactive cells in old mice, as demonstrated byreduced in vitro T cell proliferation to SEB and reduced invitro IL-2 and IL-4 production.  相似文献   

4.
We have produced a hamster mAb, PRST1, which reacts with thymicshared Ag-1 (TSA-1), a product of the Ly6 gene family. By cross-blockingexperiments, we found that TSA-1 is identical to stem cell Ag-2(Sca-2). Using PRST1, the changes of TSA-1/Sca-2 expressionon mature T cells during the activation process were analyzed.Although freshly isolated T cells did not express detectableTSA-1 on their cell surface, in vitro stimulation of T cellswith concanavalln A induced a marked increase of surface TSA-1expression. The increased expression of TSA-1 on T cells wasdetected from 12 h after stimulation and was associated withthe increase of TSA-1 mRNA. In vivo injection of mice with staphylococcalenterotoxin B (SEB) resulted in the enhanced TSA-1 expressionin splenic Vß8+ T cells. This antigen-specific inductionof TSA-1 expression in vivo preceded a detectable increase innumbers of Vß8+ T cells after SEB injection. Functionally,whereas anti-TSA-1 mAb was not mitogenic to T cells, it inhibitedanti-CD3-induced IL-2 production by T cell hybridomas. Theseresults indicate that TSA-1/Sca-2 is a unique marker for T cellactivation and a signal through this molecule may have a negativefeedback role to limit IL-2 production from activated T cellsstimulated through the TCR.  相似文献   

5.
The enterotoxlns produced by Staphytococcua af1reus are potentmitogens. They stimulate T cells in an oligocional fashion thatIs dependent on the expression of particular variable regiongene elements in the ß-chaln of the TCR (Vß).The fourth hypervarlable loop of the TCR ß-chaln Isgenerally regarded as the site of contact for both viral andmlcroblal superantigens. Recently, residues 60 and 61 of staphylococcalenterotoxin B (SEB) have been highlighted as central to theinteraction of this toxin with the TCR. We have, therefore,analysed a series of toxins with mutations at these positionsto investigate how amlno add substitutions affect the abilityof mutant toxins to stimulate both human and mouse T cells.Each of the variant toxins induced proliferation in a murineVß8.3 T cell clone, whereas a Vß8.1 T cellclone only responded to native toxin. A panel of nine humanT cell clones expressing six different Vß elements,all of which responded to native SEB, was tested for reactivityto the variant toxins. Only one Vß19.1+ T cell clonewas found to be sensitive to substitution at positions 60 and61 In a manner analogous to the murine Vß8.1 T celldone. Seml-quantitatlve analysis of the TCR Vß expressionof human T cell lines expanded with native and mutant SEB revealedthat none of the variant toxins could stimulate T cells thatexpressed Vß19.1. Taken together, these results suggestthat the interaction of mouse Vß8.1 and human Vß19.1TCRs with SEB differs from other TCRs. Sequence comparisonsof the different TCR Vß chains indicated that residuesin the second complementarity determining region (CDR2) interactwith the 60–61 loop of SEB. Therefore, a minimum of twodistinct binding modules confer specificity to the interactionof the TCR with SEB.  相似文献   

6.
Reactivity of murine T cells with viral or bacterial superantigensis clearly correlated with the expression of TCR Vßdomains. Thus, T cells responding to the minor lymphocyte stimulatorylocus (Mls-1a) or staphylococcal enterotoxin B (SEB) expresspredominantly TCR Vß6 or Vß8.2 respectively.We have investigated the involvement of the other major variableelement of the TCR, the V domain, in these superantigen responses.Using a panel of anti-TCR V mAbs, It is demonstrated that theTCR V repertoire among superantigen stimulated Vß6+or Vß8.2+ blasts (responding to Mls-1a or SEB respectivelyin vitro) is altered in comparison with anti-CD3 stimulatedcells expressing the same V domains. Furthermore, the TCR Vrepertoire is strongly skewed in TCR Vß8.2 transgenicmice that have undergone extensive peripheral clonal deletionafter SEB injection. These data imply that the V domain influencessuperantigen recognition by sthe TCR.  相似文献   

7.
To elucidate the parameters that lead to superantigen inducednon-responsiveness, an in vitro model for studying primary andsecondary responses to the bacterial superantlgen staphylococcalenterotoxin B (SEB) was established. Upon re-activation withSEB, in vitro SEB primed T cells show an early proliferativeresponse that ‘quenches’ in time and is severelyimpaired 3 days after re-stimulatlon. Despite their overallimpaired proliferative capacity and IL-2 production, these Tcells are able to produce IFN-ß and to up-regulateactivation markers CD69 and IL-2R upon re-stimulation with SEB,demonstrating that SEB non-responsiveness is not absolute. Rather,it reflects the inability to mount an ongoing proliferativeresponse upon re-stimulation with SEB. Our results also demonstratethat SEB-induced non-responsiveness is not simply the resultof presentation in the absence of co-stimulation, since presentationof SEB on highly purified dendritic cells during the primaryresponse did not prevent the induction of non-responsiveness.Aspreviously shown, SEB induces a Th1 phenotype in respondingCD4+ T cells. Skewing towards a Th2 phenotype by adding IL-4and antibodies to IFN-ß did not prevent the inductionof non-responsiveness by SEB. Interestingly, T cells pretreatedwith plate-bound anti-CD3 and anti-Vß8 were also non-responsiveto SEB re-stimulation. Thus, non-responsiveness to SEB (definedhere as inability to produce IL-2 and proliferate) seems toreflect an intrinsic inability of previously activated T cellsto respond to SEB, probably reflecting differences in signaltransduction pathways used by naive versus previously activatedT cells.  相似文献   

8.
In vivo and in vitro repertoire of CD3+CD4 CD8 thymocytes   总被引:3,自引:0,他引:3  
CD4-CD8- thymocytes contain a cell subset which expresses thecomplete CD3-TCR complex (/ or /) of which the ontogeny andfiliation are unknown. One of the questions is whether thispopulation can be intrathymically selected, an obligatory stepfor the mature CD4+ and CD8+ cell differentiation pathway, orif the absence of CD4 and CD8 allows them to escape thymic selection.The repertoire of CD3 + CD4 - CD8 - (CD3 + DN) thymocytes wasanalyzed in different strains of mice with different combinationsof H-2 and Mls expression. The expression of Vß8.1in freshly isolated CD3+ DN cells is the highest in Mls-lb miceand the lowest in MIS-la and F1 mice, suggesting that selectionagainst this specificity can be achieved in vivo. By contrast,a low percentage of Vß6+ cells is found in all thestrains, with no correlation according to MIS expression. Invitro culture of DN thymocytes with IL-1 and IL-2 leads to theproliferation of CD3+ DN cells. In vitro culture amplifies thein vivo pattern of Vß8.1 expression, while Vß6+cells only expand in DN cells of 66 and 61002 Mls-lb mice withthe same genetic background. These results show: (i) CD3+ DNthymic cells can be intrathymically selected but the repertoireis different from that of mature T cells; (ii) Vß6and Vß8.1 selection do not follow the same pattern;(iii) this repertoire can be modified by In vitro culture, towarda more mature type; and (iv) comparison of DN cell repertoireof BALBlc, BALB.D2 (congenic for MLs), and other strains ofmice suggests a multigenic control for this selection, and aninvolvement of background genes.  相似文献   

9.
An extensive comparison of TCRß V-reglon usage byCD8ß-CD4+CD8+ intraepithelial lymphocytes (IEL), CD4-CD8+IEL, and lymph node (LN) T cell subsets in three minor lymphocytestimulating (MIs)-disparate, MHC-ldentical mouse strains revealednovel TCR selection patterns. In cases where forbidden V regionswere expressed by CD8ß- CD4-CD8+ IEL, the same TCRswere deleted from CD8ß CD4+CD8+ IEL, Indicatingthat lack of CD8ß expression was not solely responsiblefor forbidden V-region expression. These results also suggestedthat CD4 may be involved in negative selection of CD4+CD8+ IELTCRs. In C57BR/cdJ (Mls-1b2b) mice, a major increase in Vß3+CD4+CD8+IEL but not in other IEL or LN subsets was noted suggestinga subset-specific expansion of Vß3+ cells. Negativeselection of Vß14+ cells in only the CD4+CD8+ IELsubset further supported the existence of intestine-specificTCR selection processes. Analysis of V-reglon expression ofCD8ß+ and CD8ßCD4CD8+ IELsubsets revealed that forbidden V-region expression was notstrictly confined to the CD8ß subset in allcases. Overall, the data point to a dynamic, gut-specific TCRselection process that may be antigen driven.  相似文献   

10.
TCR Vß8.1 transgenic mice were generated using a genomicTCR Vß gene construct under the control of its promoterand enhancer. Among three lines of transgenic mice, one lineexpressed the transgenic TCR on only 70% of peripheral T cells,while the other two lines expressed it on almost all matureT cells. T cells which lacked expression of the transgenic TCRß chain expressed endogenous TCR ß chains.The molecular basis underlying the lack of transgene expressionin T cells of this line of transgenic mice was investigated.The transgenic TCR cells were isolated by two methods.First, Thy-1+ Vß8.1/8.2 cells were purifiedfrom peripheral T cells using cell sorting. Second, transgenicTCR T cell clones were established. In both cases, Southernblotting indicated that Vß8.1 T cells had deletedthe transgenic TCR gene. Thus, deletion of the transgenic TCRcan occur in a high proportion of T cells, which allows rearrangementand expression of endogenous TCR ß chains.  相似文献   

11.
We assessed the kinetics of Vß6+ T cell eliminationin the lymph nodes and thymus during Mls-1a mouse ontogeny.Our results suggest that induction of tolerance to Mls-1a antigensinvolves mechanisms other than clonal deletion of immature Tcells in the thymus. Mature CD4+CD8 (CD4SP) T cells wereaffected by Mls-1a antigens earlier than immature thymocytepopulations. Up to 2 weeks after birth, reduced frequenciesof Vß6+ T cells were detected only in CD4SP cellsfrom the thymus and lymph nodes, and generation of CD4SP cellsin the thymus was blocked at least 1 week earlier than thatof their CD4+CD8loTCRhl immature precursors. The number of Vß6+CD4SPT cells increased during the first 2 weeks of life and remainedconstant thereafter. We thus found no evidence of deletion ofmature Vß6+CD4SP T cells, as the reduced frequenciesin adult mice can be attributed to the dilution of previouslygenerated cells in lymphoid organs of growing mice, which increasein cellulartty after birth. Vß6+CD4+ T cells wereactivated in vivo shortly after birth, as shown by a selectiveincrease in IL-2 receptor a chain expression in the thymus andlymph nodes from day 0 to day 2 after birth. It is thereforelikely that endogenous expression of Mls-1a antigen shortlyafter birth activates Vß6+CD4SP T cells and rendersthem anergic. This process of tolerance induction may precedethe clonal deletion of immature T cells in the thymus, describedin the adult mouse.  相似文献   

12.
We have investigated a CD28 co-stimulation in anergic T cellsin staphylococcal enterotoxin Binoculated mice by stimulatingthe cells with a plate-coated anti-TCR antibody in the presenceor absence of an anti-CD28 antibody. CD28 co-stimulation increasedthe levels of IL-2 and IL-4 mRNAs in nalve CD4+Vß8+T cells. However, it did not increase the levels of IL-4 mRNAat all and only partially increased those of IL-2 mRNA in anergicT cells. It was demonstrated that CD28 co-stimulation was impairedso that it no longer stabilized cytoklne mRNAs in anergic cells.The levels of IL-4 mRNA in response to TCR stimulation werehigher in anergic T cells than those in nalve T cells in spiteof the defective CD28 co-stimulation in the former cells. Anergyinduction and generation of a Th2-type immune response in vivoare discussed  相似文献   

13.
The use of HLA transgenic mice in models of immunity and diseaseassumes that human MHC molecules are able to contribute towardthe positive selection of the mouse TCR repertoire. As an initialstep towards analysis of this we have compared the relativeability of DR/Eß or E/Eß complexes to induceT cell receptor (TCR) positive selection in H-2Ea and HLA-DRAtransgenic mice lacking endogenous E. The results show that,like E/Eß, the hybrid DR/ß complexes arecapable of mediating positive selection of Vß2+;,Vß6+, and Vß10+ cells. However, differenceswere found between the effects of the two transgenes. Thus,while Vß6+ cells were efficiently selected in bothH-2Ea and DRA transgenic mice, positive selection of Vß10+cells was less apparent in the DRA transgenic mice. Variationbetween Ea and DRA transgenic mice is consistent with the notionthat this process is dependent on differential binding of endogenouspeptides to the E/Eß and DR/Eß complexes.Furthermore, contrary to expectations, in neither set of micewas positive selection limited solely to the CD4+ subset. Thus,examples were found in which Vß-specific positiveselection was confined to either the CD4+ or CD8+ subsets, andothers in which both subpopulations were concomltantly increased.In the case of Vß2 positive selection, H-2Ea transgenicmice showed expansion of these cells in both the CD4+ and CD8+subpopulations whlle in DRA transgenic mice this occurred predominantlyin the CD8+ subpopulatlon.  相似文献   

14.
In vivo administration of HgCI2 causes autoimmune manifestationsin susceptible rats and mice. We have, previously shown thatmercury is a unique molecule that can primarily activate murineT lymphocytoes to transformation and proliferation in vitro.To test whether a specific TCR repertoire predisposes the autoimmunedevelopment induced by HgCI2 and our hypothesis that mercurymay, function as a superantigen, we examined the TCR Vßrepertoire in HgCI2-stimulated T cells from the responder BALB/cor SJL mice and the non-responder DBA/2 mice. We found a selectiveactivation of T cells bearing a certain set of TCR Vßchains in response to HgCI2, e.g. Vß6, Vß8,Vß10, and Vß14 in the BALB/c strain. Moreover,depletion of Vß8+ T cells, a family predoininantlyexpanded in the BALB/c strain upon HgCI2 stimulation, profoundlyinhibited the response to HgCI2 in this strain. An alternativeselection of Vß segments, involving Vß6,Vß7 and Vß14, was observed in the SJL strainin which the Vß8 family is genetically deleted. Mechanism(s)whereby mercury modulates the immune system under a stringentgenetic control and a possible therapeutic regime against mercury-inducedautoimmune disease by administration of antibody specific tothe TCR Vß region are discussed.  相似文献   

15.
We have investigated the effects of the protein synthesis inhibitor,cycloheximide (CHX), on the induction of post-thymic T celltolerance in mice primed with the bacterial superantigen, Staphylococcusaureus enterotoxin B (SEB). A single injection of 1 mg CHX preventedprotein synthesis in splenic cells for <6 h in vivo. Theconcomitant administration of SEB and CHX prevented inductionof SEB-specific anergy, but did not interfere with the deletionof SEB-speclfic Vß8+ T cells by activation-induced,programmed cell death. When CHX was given 24 h after SEB administrationthe expression of anergy was not affected. These findings suggestthat anergy and deletion represent independent processes. Furthermore,these observations, together with the fact that SEB retainsthe potential to induce anergy in specific T cells 8 h afterpriming in vivo, imply that the determination of alternate fates(anergy or death) occurs at early time points after SEB injection  相似文献   

16.
Particular subsets of T cells expressing the NK1.1 antigen havebeen proposed to play an immune regulatory role by their fastand strong production of cytokines, in particular IL-4. We soughtto determine factors driving the functional differentiationof NK1.1+ T cells. Since NK1.1+ T cells are exquisitely sensitiveto IL-7 stimulation, we analyzed the development, selectionand IL-4 production of NK1.1+ T cells in IL-7 deficient mice(IL-7–/–mice). Besides a sharp reduction of allT cell subsets, NK1.1+ T cells develop at normal relative frequenciesin IL-7–/–;mice. They also undergo a normal selectionprocess, as revealed by the biased Vß TCR repertoireidentical to the one in IL-7+/+ mice. However, NK1.1+ T cellsfrom IL-7+/+ mice were found to be impaired in IL-4 and IFN-production in in vitro and in vivo models. In addition, IL-7was able to restore IL-4 production by NK1.1+ thymocytes fromIL-7–/– mice. Finally, IL-7 but not IL-4 was ableto maintain and increase IL-4 production by NK1.1+ thymocytesfrom normal mice. These data suggest that the functional maturationof NK1.1+ T cells requires a cytokine-driven differentiationprocess, in which IL-7 plays a major role.  相似文献   

17.
infection of mice with Toxoplasma gondii has been shown to inducea transient state of immune down-regulation. Earlier reportshave demonstrated the role of cytokines, in particular IL-10,in this host response. Here evidence is presented that T.gondll,a major opportunistic pathogen of the newborn and those withAIDS, is able to induce CD4+ T cell population Increased involume by day 7 post-infection and expressed T cell maturationmarkers (CD44hl, Il-2rhl,Mel-14fo). Further noted was a clonalactivation of several CD4+ T cells subsets expressing the Vßchain of the TCR. At day 7 post-infection, partial reductionof all CD4+ T cells to mltogen or parasite antigen stimulationwas observed, In particular Vß5 T cells. Additionof rlL-2 partially restored the CD4+ T cell proliferative responsein Vitro. The T cell activation marker CTLA-4 could not be detectedand te co-stimulatory molecule, CD28, was down-regulated. Elctrophoneticand morphologic analysis of these cells post0culture demostrateda DNA fragmentation pattern and cell death consistent with apoptosis.These studies demonstrate for the first time in a protozoanparasite that activation-induced CD4+ T cell unresponslvenessoccurs during actue T.gondll infection in mice, and may be importantin immune down-regulation and parasite persistence in the infectedhost.0  相似文献   

18.
Immunization of C57BL/6 mice with purified acetytchollne receptor(AChR) is known to induce a T cell-dependent antibody responsethat results in experimental autoimmune myasthenia gravis (EAMG).Since past observations link Vß6+ T cells with a prominentAChR epitope specificity, a Vß6-specific immunotoxin(VIT6) was tested in vitro for its ability to selectively killmonoclonal and polyclonal T cells that demonstrate reactivityagainst AChR. Results described below clearly demonstrate theability to selectively kill AChR-reactlve T cells based on theirexpression of a particular Vß-associated antigen receptor.  相似文献   

19.
Autoimmunity is known to increase in aging. A possible factorcould be an alteration in the T cell repertoire wIth advancingage. Antibodies to the variable region of the ß chainof the TCR activate T cells and can serve as probes for analysisof the T cell repertoire. We have used Vß3 and Vß17aantibodies to determine the presence and functionality of normallydeleted T cells bearing potentially self-reactive TCR in peripherallymphoid tissue and blood from aged (SJL/J x BALB/c) F1 LAF1and BALB/c mice. Although an occasional 20- to 24-month-oldmouse exhibited Vß3+ or Vß17a+ T cells intheir lymph nodes or peripheral blood lymphocytes (PBL) slightlyabove the range for normal young mice of these I-E+ strains,there was no striking ‘escape’ from the normal thymicdeletion process. However, responsiveness to anti-Vß3and anti-Vß17a was slightly higher In aged, and particularlyIn aged thymectomlzed (TX), than in young mice. This was incontrast to proliferative responses to stimulation with antibodyto the normally expressed Vß8 which were lower inthe lymph nodes from aged than from young mice. The PBL of some30- to 36-month-old mice were also examined. Enhanced numbersof ‘forbidden’ Vß bearing T cells wereseen more frequently at this age. In spite of the age-relateddecrease in overall CD4/CD8 T cell ratios in all organs, themice with relatively high Vß17a+ T cells exhibitedproportionally more CD4+ cells in that Vß population.We conclude that the ‘forbidden’ T cells that respondto anti-Vß stimulation in the 20- to 24-month-oldmice are most likely of extra-thymic origin, since they weremore readily detectable in aged TX mice. Potentially self-reactiveCD4 (and CD8) single-positive T cells were detectable in PBLonly in very aged (30–36 months old) euthymic mice.  相似文献   

20.
BALB.xid mice, carrying an X-linked mutation leading to theabsence of CD5+ B cells, are highly resistant to Trypanosomacruzi Infection. These mice clear blood parasites In the acutephase of infection and do not develop the inflammatory Infiltrationcharacteristically observed in the chronic phase of susceptiblestrains of mice. We have shown that the resistance of BALB.xldIs dependent on the production of high levels of IFN-y. Natural(adoptive foster) or artificial (In vivo Injection of blockingantibodies) treatments of BALB.xld induced deletion of CD4+and CD8+ cells bearing Vß6 TCR. The absence of Vß6lymphocytes considerably reduced resistance to infection. Furthermore,in BALB.xld lacking this minor fraction of the T cell repertoire,almost 50% of the IFN-y production is lost. This indicates thatVß6-bearing T cells are either directly or Indirectlyinvolved in the production of IFN-y and, thus, important foran effective immune response during the acute phase of experimentalChagas' disease.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号