1.Effective and persistent antitumor activity of HER2-directed CAR-T cells against gastric cancer cells in vitro and xenotransplanted tumors in vivo.
Yanjing SONG ; Chuan TONG ; Yao WANG ; Yunhe GAO ; Hanren DAI ; Yelei GUO ; Xudong ZHAO ; Yi WANG ; Zizheng WANG ; Weidong HAN ; Lin CHEN
Protein & Cell 2018;9(10):867-878
Human epidermal growth factor receptor 2 (HER2) proteins are overexpressed in a high proportion of gastric cancer (GC) cases and affect the maintenance of cancer stem cell (CSC) subpopulations, which are used as targets for the clinical treatment of patients with HER2-positive GC. Despite improvements in survival, numerous HER2-positive patients fail treatment with trastuzumab, highlighting the need for more effective therapies. In this study, we generated a novel type of genetically modified human T cells, expressing a chimeric antigen receptor (CAR), and targeting the GC cell antigen HER2, which harbors the CD137 and CD3ζ moieties. Our findings show that the expanded CAR-T cells, expressing an increased central memory phenotype, were activated by the specific recognition of HER2 antigens in an MHC-independent manner, and effectively killed patient-derived HER2-positive GC cells. In HER2-positive xenograft tumors, CAR-T cells exhibited considerably enhanced tumor inhibition ability, long-term survival, and homing to targets, compared with those of non-transduced T cells. The sphere-forming ability and in vivo tumorigenicity of patient-derived gastric cancer stem-like cells, expressing HER2 and the CD44 protein, were also inhibited. Our results support the future development and clinical application of this adoptive immunotherapy in patients with HER2-positive advanced GC.
Animals
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Humans
;
Mice
;
Mice, Inbred BALB C
;
Mice, Nude
;
Neoplasms, Experimental
;
immunology
;
pathology
;
therapy
;
Receptor, ErbB-2
;
immunology
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Receptors, Antigen, T-Cell
;
immunology
;
Stomach Neoplasms
;
immunology
;
pathology
;
therapy
;
Tumor Cells, Cultured
2.Brazilein inhibits neuronal inflammation induced by cerebral ischemia and oxygen-glucose deprivation through targeting NOD2 expression.
Xiao-Jin YAN ; Yu-Shuang CHAI ; Zhi-Yi YUAN ; Xin-Pei WANG ; Jing-Fei JIANG ; Fan LEI ; Dong-Ming XING ; Li-Jun DU
Chinese Journal of Natural Medicines (English Ed.) 2016;14(5):354-362
Brazilein is reported to have immunosuppressive effect on cardiovascular and cerebral-vascular diseases. The essential roles of innate immunity in cerebral ischemia are increasingly identified, but no studies concerning the influence of brazilein on the innate immunity receptors have been reported. The present study was designed to investigate the regulation of NOD2 (Nucleotide-binding oligomerization domain-containing protein 2) by brazilein for its protection of neuron in cerebral ischemia in vivo and oxygen-glucose deprivation in vitro. The results showed that brazilein could reverse the elevated expression of NOD2 and TNFα (tumor necrosis factor alpha) elicited by cerebral ischemia and reperfusion. This reduction could also be detected in normal mice and C17.2 cells, indicating that this suppressive effect of brazilein was correlated with NOD2. The results from GFP reporter plasmid assay suggested brazilein inhibited NOD2 gene transcription. In conclusion, brazilein could attenuate NOD2 and TNFα expression in cerebral ischemia and NOD2 may be one possible target of brazilein for its immune suppressive effect in neuro-inflammation.
Animals
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Benzopyrans
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administration & dosage
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Brain Ischemia
;
drug therapy
;
genetics
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immunology
;
metabolism
;
Cells, Cultured
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Drugs, Chinese Herbal
;
administration & dosage
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Glucose
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metabolism
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Humans
;
Indenes
;
administration & dosage
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Male
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Mice
;
Mice, Inbred ICR
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Neurons
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drug effects
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immunology
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Nod2 Signaling Adaptor Protein
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genetics
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metabolism
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Oxygen
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metabolism
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Tumor Necrosis Factor-alpha
;
genetics
;
immunology
3.Eupatilin Ameliorates Collagen Induced Arthritis.
Juryun KIM ; Youngkyun KIM ; Hyoju YI ; Hyerin JUNG ; Yeri Alice RIM ; Narae PARK ; Seung Min JUNG ; Sung Hwan PARK ; Ji Hyeon JU
Journal of Korean Medical Science 2015;30(3):233-239
Eupatilin is the main active component of DA-9601, an extract from Artemisia. Recently, eupatilin was reported to have anti-inflammatory properties. We investigated the anti-arthritic effect of eupatilin in a murine arthritis model and human rheumatoid synoviocytes. DA-9601 was injected into collagen-induced arthritis (CIA) mice. Arthritis score was regularly evaluated. Mouse monocytes were differentiated into osteoclasts when eupatilin was added simultaneously. Osteoclasts were stained with tartrate-resistant acid phosphatase and then manually counted. Rheumatoid synoviocytes were stimulated with TNF-alpha and then treated with eupatilin, and the levels of IL-6 and IL-1beta mRNA expression in synoviocytes were measured by RT-PCR. Intraperitoneal injection of DA-9601 reduced arthritis scores in CIA mice. TNF-alpha treatment of synoviocytes increased the expression of IL-6 and IL-1beta mRNAs, which was inhibited by eupatilin. Eupatilin decreased the number of osteoclasts in a concentration dependent manner. These findings, showing that eupatilin and DA-9601 inhibited the expression of inflammatory cytokines and the differentiation of osteoclasts, suggest that eupatilin and DA-9601 is a candidate anti-inflammatory agent.
Animals
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Anti-Inflammatory Agents/pharmacology/*therapeutic use
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Arthritis, Experimental/chemically induced/*drug therapy
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Arthritis, Rheumatoid/drug therapy/pathology
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Cell Differentiation/*drug effects
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Cells, Cultured
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Collagen Type II
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Cytokines/biosynthesis
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Disease Models, Animal
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Drugs, Chinese Herbal/therapeutic use
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Female
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Flavonoids/pharmacology/*therapeutic use
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Humans
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Inflammation/drug therapy/immunology
;
Interleukin-1beta/genetics/metabolism
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Interleukin-6/genetics/metabolism
;
Lymph Nodes/cytology
;
Mice
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Mice, Inbred DBA
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Monocytes/cytology
;
Osteoclasts/*cytology
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Plant Extracts/pharmacology
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RNA, Messenger/biosynthesis
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Synovial Membrane/cytology
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T-Lymphocytes, Regulatory/cytology/immunology
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Tumor Necrosis Factor-alpha/pharmacology
4.Crosstalk between FLS and chondrocytes is regulated by HIF-2alpha-mediated cytokines in arthritis.
Yun Hyun HUH ; Gyuseok LEE ; Won Hyun SONG ; Jeong Tae KOH ; Je Hwang RYU
Experimental & Molecular Medicine 2015;47(12):e197-
Rheumatoid arthritis (RA) and osteoarthritis (OA), two common types of arthritis, affect the joints mainly by targeting the synovium and cartilage. Increasing evidence indicates that a significant network connects synovitis and cartilage destruction during the progression of arthritis. We recently demonstrated that hypoxia-inducible factor (HIF)-2alpha causes RA and OA by regulating the expression of catabolic factors in fibroblast-like synoviocytes (FLS) or chondrocytes. To address the reciprocal influences of HIF-2alpha on FLS and chondrocytes, we applied an in vitro co-culture system using a transwell apparatus. When co-cultured with HIF-2alpha-overexpressing chondrocytes, FLS exhibited increased expression of matrix metalloproteinases and inflammatory mediators, similar to the effects induced by tumor-necrosis factor (TNF)-alpha treatment of FLS. Moreover, chondrocytes co-cultured with HIF-2alpha-overexpressing FLS exhibited upregulation of Mmp3 and Mmp13, which is similar to the effects induced by interleukin (IL)-6 treatment of chondrocytes. We confirmed these differential HIF-2alpha-induced effects via distinct secretory mediators using Il6-knockout cells and a TNF-alpha-blocking antibody. The FLS-co-culture-induced gene expression changes in chondrocytes were significantly abrogated by IL-6 deficiency, whereas TNF-alpha neutralization blocked the alterations in gene expression associated with co-culture of FLS with chondrocytes. Our results further suggested that the observed changes might reflect the HIF-2alpha-induced upregulation of specific receptors for TNF-alpha (in FLS) and IL-6 (in chondrocytes). This study broadens our understanding of the possible regulatory mechanisms underlying the crosstalk between the synovium and cartilage in the presence of HIF-2alpha, and may suggest potential new anti-arthritis therapies.
Animals
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Arthritis/genetics/*immunology/pathology
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Arthritis, Rheumatoid/genetics/immunology/pathology
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Basic Helix-Loop-Helix Transcription Factors/genetics/*immunology
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Cells, Cultured
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Chondrocytes/immunology/metabolism/*pathology
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Coculture Techniques
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Fibroblasts/immunology/metabolism/*pathology
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Gene Expression Regulation
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Interleukin-6/genetics/*immunology
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Male
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Mice
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Mice, Inbred C57BL
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Osteoarthritis/genetics/immunology/pathology
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Synovial Membrane/immunology/metabolism/*pathology
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Tumor Necrosis Factor-alpha/genetics/*immunology
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Up-Regulation
5.Effect of Tanreqing injection on immune activity of peripheral blood lymphocytes of patients with lung cancer.
Ming MA ; Xing-xiao YANG ; Jie ZHANG ; Lian-mei ZHAO ; Li-hua LIU ; Bao-en SHAN
China Journal of Chinese Materia Medica 2015;40(6):1207-1211
To investigate the effect of Tanreqing injection on immune activity of peripheral blood lymphocytes of patients with lung cancer. The peripheral blood lymphocytes of patients with lung cancer and healthy persons were separated by the density gradient centrifugation method for subsequent experiments, with those from healthy persons as the positive control. The effect of Tanreqing injection on stimulating the proliferation of lymphocytes with phytohemagglutinin (PHA) was determined by MTT method. The effect of Tanreqing injection on the lymphocyte secretions of IFN-γ and TNF-α and the subset ratio of lymphocytes cultured separately or with Tanreqing injection of different concentrations were examined by ELISA and flow cytometry (FCM) respectively. In addition, the LDH release assay was used to detect the cytotoxicity of cytotoxic T cells (CTL) and natural killer cells (NK). According to the findings, all of immunological indexes of lymphocytes from patients with lung cancer were weaker than that of healthy persons, but with the obvious increases in proliferation activity and IFN-γ and TNF-α secretions of lymphocytes co-cultured with Tanreqing Injection (P < 0.05). Among lymphocyte subsets co-cultured with Tanreqing Injection, CD3+, CD3+ CD4+ and CD3- CD16 + 56+ cell ratios notably increased, whereas CD4+ CD25+ Treg cell ratio obviously decreased (P < 0.05). In the meantime, Tanreqing injection can markedly promote the cytotoxicities of CTL and NK (P < 0.05). In conclusion, Tanreqing injection shows a significant effect in promoting the immune activity of lymphocytes from patients with lung cancer and their anti-tumor immunity.
Cell Proliferation
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drug effects
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Cells, Cultured
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Drugs, Chinese Herbal
;
administration & dosage
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Humans
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Interferon-gamma
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genetics
;
immunology
;
Killer Cells, Natural
;
drug effects
;
immunology
;
Lung Neoplasms
;
drug therapy
;
genetics
;
immunology
;
physiopathology
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T-Lymphocytes, Cytotoxic
;
drug effects
;
immunology
;
Tumor Necrosis Factor-alpha
;
genetics
;
immunology
6.MiR-155 modulates the inflammatory phenotype of intestinal myofibroblasts by targeting SOCS1 in ulcerative colitis.
Surajit PATHAK ; Alessia Rosaria GRILLO ; Melania SCARPA ; Paola BRUN ; Renata D'INCA ; Laura NAI ; Antara BANERJEE ; Donatella CAVALLO ; Luisa BARZON ; Giorgio PALU ; Giacomo Carlo STURNIOLO ; Andrea BUDA ; Ignazio CASTAGLIUOLO
Experimental & Molecular Medicine 2015;47(5):e164-
Abnormal levels of microRNA (miR)-155, which regulate inflammation and immune responses, have been demonstrated in the colonic mucosa of patients with inflammatory bowel diseases (IBD), although its role in disease pathophysiology is unknown. We investigated the role of miR-155 in the acquisition and maintenance of an activated phenotype by intestinal myofibroblasts (IMF), a key cell population contributing to mucosal damage in IBD. IMF were isolated from colonic biopsies of healthy controls, ulcerative colitis (UC) and Crohn's disease (CD) patients. MiR-155 in IMF was quantified by quantitative reverse transcription-PCR in basal condition and following exposure to TNF-alpha, interleukin (IL)-1beta, lipopolysaccharide (LPS) or TGF-beta1. The effects of miR-155 mimic or inhibitor transfection on cytokine release and suppressor of cytokine signaling 1 (SOCS1) expression were assessed by enzyme-linked immunosorbent assay and western blot, respectively. Regulation of the target gene SOCS1 expression by miR-155 was assessed using luciferase reporter construct. We found that miR-155 was significantly upregulated in UC as compared with control- and CD-derived IMF. Moreover, TNF-alpha and LPS, but not TGF-beta1 and IL-1beta, significantly increased miR-155 expression in IMF. Ectopic expression of miR-155 in control IMF augmented cytokines release, whereas it downregulated SOCS1 expression. MiR-155 knockdown in UC-IMF reduced cytokine production and enhanced SOCS1 expression. Luciferase reporter assay demonstrated that miR-155 directly targets SOCS1. Moreover, silencing of SOCS1 in control IMF significantly increased IL-6 and IL-8 release. In all, our data suggest that inflammatory mediators induce miR-155 expression in IMF of patients with UC. By downregulating the expression of SOCS1, miR-155 wires IMF inflammatory phenotype.
Adult
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Aged
;
Cells, Cultured
;
Colitis, Ulcerative/*genetics/immunology/*pathology
;
Cytokines/immunology
;
Female
;
*Gene Expression Regulation
;
Humans
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Intestinal Mucosa/immunology/metabolism/pathology
;
Male
;
MicroRNAs/*genetics
;
Middle Aged
;
Myofibroblasts/immunology/metabolism/*pathology
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Suppressor of Cytokine Signaling Proteins/*genetics
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Tumor Necrosis Factor-alpha/immunology
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Up-Regulation
;
Young Adult
7.MiR-155 modulates the inflammatory phenotype of intestinal myofibroblasts by targeting SOCS1 in ulcerative colitis.
Surajit PATHAK ; Alessia Rosaria GRILLO ; Melania SCARPA ; Paola BRUN ; Renata D'INCA ; Laura NAI ; Antara BANERJEE ; Donatella CAVALLO ; Luisa BARZON ; Giorgio PALU ; Giacomo Carlo STURNIOLO ; Andrea BUDA ; Ignazio CASTAGLIUOLO
Experimental & Molecular Medicine 2015;47(5):e164-
Abnormal levels of microRNA (miR)-155, which regulate inflammation and immune responses, have been demonstrated in the colonic mucosa of patients with inflammatory bowel diseases (IBD), although its role in disease pathophysiology is unknown. We investigated the role of miR-155 in the acquisition and maintenance of an activated phenotype by intestinal myofibroblasts (IMF), a key cell population contributing to mucosal damage in IBD. IMF were isolated from colonic biopsies of healthy controls, ulcerative colitis (UC) and Crohn's disease (CD) patients. MiR-155 in IMF was quantified by quantitative reverse transcription-PCR in basal condition and following exposure to TNF-alpha, interleukin (IL)-1beta, lipopolysaccharide (LPS) or TGF-beta1. The effects of miR-155 mimic or inhibitor transfection on cytokine release and suppressor of cytokine signaling 1 (SOCS1) expression were assessed by enzyme-linked immunosorbent assay and western blot, respectively. Regulation of the target gene SOCS1 expression by miR-155 was assessed using luciferase reporter construct. We found that miR-155 was significantly upregulated in UC as compared with control- and CD-derived IMF. Moreover, TNF-alpha and LPS, but not TGF-beta1 and IL-1beta, significantly increased miR-155 expression in IMF. Ectopic expression of miR-155 in control IMF augmented cytokines release, whereas it downregulated SOCS1 expression. MiR-155 knockdown in UC-IMF reduced cytokine production and enhanced SOCS1 expression. Luciferase reporter assay demonstrated that miR-155 directly targets SOCS1. Moreover, silencing of SOCS1 in control IMF significantly increased IL-6 and IL-8 release. In all, our data suggest that inflammatory mediators induce miR-155 expression in IMF of patients with UC. By downregulating the expression of SOCS1, miR-155 wires IMF inflammatory phenotype.
Adult
;
Aged
;
Cells, Cultured
;
Colitis, Ulcerative/*genetics/immunology/*pathology
;
Cytokines/immunology
;
Female
;
*Gene Expression Regulation
;
Humans
;
Intestinal Mucosa/immunology/metabolism/pathology
;
Male
;
MicroRNAs/*genetics
;
Middle Aged
;
Myofibroblasts/immunology/metabolism/*pathology
;
Suppressor of Cytokine Signaling Proteins/*genetics
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Tumor Necrosis Factor-alpha/immunology
;
Up-Regulation
;
Young Adult
8.Role of Toll-like receptor 2/4-nuclear factor-κB signaling pathway in invasion of Mycobacterium tuberculosis to mouse dendritic cells.
Qian XU ; Meng-mei JIN ; Wen-wen ZHENG ; Li ZHU ; Shui-ling XU
Journal of Zhejiang University. Medical sciences 2014;43(2):200-206
OBJECTIVETo investigate the mechanism of Mycobacterium tuberculosis invasion to mouse dendritic cells (DC).
METHODSMycobacterium tuberculosis strain H37Rv was co-cultured with mouse DC2.4 cells.The mRNA expression of Toll-like receptor 2/4(TLR2/4) in DC2.4 cells was detected by fluorescent quantitative real-time PCR and the protein expression of nuclear factor κB(NF-κB) was assessed by Western blotting.The extracellular concentration of tumor necrosis factor α(TNF-α) was measured by ELISA methods during Mycobacterium Tuberculosis invasion.Indirect immunofluorescent staining and flow cytometry assay were used to detect the expression of CD80 and CD86 on DC2.4 cells before and after invasion.
RESULTSThe invasion of Mycobacterium tuberculosis in DC2.4 cells was observed after 2 h of co-incubation.The rates of invasion were (37.9±5.6)%,(51.2±7.6)%,(57.2±8.9)% and(63.9±6.8)% at 6,8,10 and 12 h after co-incubation,respectively.The mRNA expression level of TLR2 /4 was significantly increased at 6 h but decreased at 10 h after co-incubation.The expressions of NF-κB p65 and TNF-α were higher in DC2.4 cells after being invaded by 6,8,and 10 h and then gradually decreased.CD80 and CD86 expression were increased on DC2.4 at 6 h after co-incubation.
CONCLUSIONInvasion of Mycobacterium tuberculosis strain H37Rv to DC might enhance its antigen-presenting function through activation of TLR2/4-NF-kB signaling pathway.
Animals ; B7-1 Antigen ; metabolism ; B7-2 Antigen ; metabolism ; Cells, Cultured ; Dendritic Cells ; immunology ; metabolism ; Mice ; Mycobacterium tuberculosis ; NF-kappa B ; metabolism ; Signal Transduction ; Toll-Like Receptor 2 ; metabolism ; Toll-Like Receptor 4 ; metabolism ; Tumor Necrosis Factor-alpha ; metabolism
9.Inflammation induced-endothelial cells release angiogenesis associated-microRNAs into circulation by microparticles.
Jing ZHANG ; Jingyi REN ; Hong CHEN ; Qiang GENG
Chinese Medical Journal 2014;127(12):2212-2217
BACKGROUNDEndothelial cells derived microRNAs can be detected in plasma and serum and there is evidence that inflammatory disease states may affect the levels of circulating microRNAs. However, there is no direct proof that inflammation induces endothelial cells to release microRNAs into circulation. This study aimed to explore whether inflammation could induce endothelial cells to release microRNAs into circulation and to investigate whether these released microRNAs derived from endothelial cells were transported in microparticles.
METHODSMicroparticles were isolated from human atherosclerotic plaques with an active inflammatory phenotype and normal vascular tissue. Flow cytometry and real-time PCR were used to detect the levels of microparticles and microRNAs. Human umbilical vein endothelial cells (HUVEC) was treated with tumour necrosis factor a (TNF-α, 10 ng/ml) for 24 hours, and then HUVEC and the culture medium were respectively collected.
RESULTSBy comparing microparticles isolated from human atherosclerotic plaques with an active inflammatory phenotype (n = 9) and those from normal vascular tissues (n = 9), we found levels of annexin V(+) microparticles and annexin V(+) CD144(+) microparticles were significantly increased in plaques and angiogenesis associated microRNAs (106b, 25, 92a and 21) were also significantly increased in microparticles from plaques. After exposure to TNF-α at a concentration of 10 ng/ml (TNF-α group, n = 3) or DMEM (control group, n = 3) for 24 hours, counts of microparticles and expressions of microRNAs 106b, 25, 92a and 21 in microparticles isolated from medium significantly increased. However, there were no differences in the intracellular levels of microRNAs 25, 92a or 21 isolated from HUVEC between TNF-α group and control group, while microRNA 106b decreased in TNF-α group.
CONCLUSIONInflammation could induce endothelial cells to release angiogenesis associated microRNAs into circulation, causing higher levels of circulating endothelial cells derived microRNAs in atherosclerosis.
Annexin A5 ; metabolism ; Cell-Derived Microparticles ; metabolism ; Cells, Cultured ; Gene Expression Regulation ; drug effects ; Human Umbilical Vein Endothelial Cells ; drug effects ; metabolism ; Humans ; Inflammation ; genetics ; immunology ; MicroRNAs ; genetics ; metabolism ; Real-Time Polymerase Chain Reaction ; Tumor Necrosis Factor-alpha ; pharmacology
10.Intervention effect of quercetin on inflammatory secretion of cardiac fibroblasts.
Xi-Lan TANG ; Jian-Xun LIU ; Wei DONG ; Peng LI ; Lei LI ; Yong-Qiu ZHENG ; Jin-Cai HOU
China Journal of Chinese Materia Medica 2014;39(12):2314-2317
To establish neonatal rat cardiac fibroblast inflammatory secretion model by using LPS 100 microg x L(-1) combined with ATP 5 mmol x L(-1), in order to study the inhibitory effect of quercetin on the secretion of inflammatory factors TNF-alpha, IL-1beta and IL-6 of cardiac fibroblasts, further investigate the effect of quercetin on the protein expression of p-NF-kappaB p65 (S276) and p-Akt (S473) by western blot, and discuss the inhibitory effect of quercetin on the inflammatory secretion of cardiac fibroblasts. According to the findings, quercetin with the concentrations between 51.74 micromol x L(-1) and 827.81 micromol x L(-1) had no significant effect on the activity of cardiac fibroblasts. Quercetin with the concentrations of 82.78, 41.39, 20.70 micromol x L(-1) could notably inhibit the increase of TNF-alpha and IL-1beta induced by LPS 100 microg x L(-1) for 3 h and then ATP 5 mmol x L(-1) for 36 h (P < 0.01 or P < 0.05). Quercetin with the concentrations of 82.78, 41.39 micromol x L(-1) could notably inhibit the increase of IL-6 induced LPS 100 microg x L(-1) for 3 h and then ATP 5 mmol x L(-1) for 36 h (P < 0.05), without any notable effect of quercetin with the concentration of 20.70 micromol x L(-1). Quercetin with the concentrations of 82.78, 41.39, 20. 70 micromol x L(-1) could notably inhibit the NF-kappaB p65 (S276) activation induced by LPS 100 microg x L(-1) for 3 h and then ATP 5 mmol x L(-1) for 15 min, with the most significant effect in 20.70 micromol x L(-1). Quercetin with the concentrations of 82.78, 41.39, 20.70 micromol x L(-1) could notably inhibit the increase of p-Akt(473) expression induced by LPS 100 microg x L(-1) for 3 h and then ATP 5 mmol x L(-1) for 240 min (P < 0.05). Therefore, this study believes that quercetin could attenuate the secretion of inflammatory factors TNF-alpha, IL-1beta and IL-6 of cardiac fibroblasts by inhibiting the activation of NF-kappaB p65 (S276) and Akt (473).
Animals
;
Cells, Cultured
;
Drugs, Chinese Herbal
;
administration & dosage
;
Endomyocardial Fibrosis
;
drug therapy
;
genetics
;
immunology
;
Female
;
Fibroblasts
;
drug effects
;
immunology
;
Heart
;
drug effects
;
Humans
;
Interleukin-6
;
genetics
;
immunology
;
Male
;
Proto-Oncogene Proteins c-akt
;
genetics
;
immunology
;
Quercetin
;
administration & dosage
;
Rats
;
Rats, Sprague-Dawley
;
Tumor Necrosis Factor-alpha
;
genetics
;
immunology

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