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1.
Electron. j. biotechnol ; Electron. j. biotechnol;45: 19-29, May 15, 2020. tab, ilus, graf
Artigo em Inglês | LILACS | ID: biblio-1177401

RESUMO

BACKGROUND: Long non-coding RNAs (lncRNAs), as post-transcriptional regulators, were thought to function in the inductive property of dermal papilla cells (DPCs) in cashmere goat. Previously, lncRNA-599554 was identified in secondary hair follicle (SHF) of cashmere goat, but its functional significance is unknown. RESULTS: In the present investigation, we verified that lncRNA-599554 had significantly higher expression at the anagen dermal papilla of cashmere goat SHF than that at telogen. Based on overexpression and knockdown techniques, we found that lncRNA-599554 contributes the inductive property of DPCs of cashmere goat, which was assessed by detecting the changes in the expression of several typical indictor genes in DPCs including ET-1, SCF, Versican, ALP, Lef1 and Ptc-1. Based on RNA pull-down assay, we verified that lncRNA-599554 directly interacted with chi-miR-15a-5p. Also, we showed that lncRNA-599554 positively regulated the Wnt3a expression in DPCs but which did not appear to involve its modulating of promoter methylation. Based on the use of Dual-luciferase reporter assays, our data indicated that lncRNA-599554 regulated the Wnt3a expression through chi-miR-15a-5p-mediated post-transcriptional level. CONCLUSIONS: We showed that lncRNA-599554 contributes the inductive property of DPCs in cashmere goat which might be achieved through sponging chi-miR-15b-5p to promote the Wnt3a expression. The results from the present investigation provided a novel insight into the functional mechanism of lncRNA-599554 in the SHF regeneration of cashmere goat along with the formation and growth of cashmere fiber.


Assuntos
Animais , Folículo Piloso/citologia , Folículo Piloso/metabolismo , Derme/citologia , Proteína Wnt3A/metabolismo , RNA Longo não Codificante/metabolismo , Bioensaio/métodos , Cabras , RNA Longo não Codificante/genética , Luciferases , Metilação
2.
Clinics ; Clinics;73: e387, 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-974935

RESUMO

OBJECTIVES: The aim of this study was to evaluate the histomorphometry of the skin of women during the reproductive period according to the Fitzpatrick classification. METHODS: Thirty women aged 30 to 45 years were included in this study. We studied the surgical sites of extracted nevi. The material was processed for routine histology and then stained with haematoxylin and eosin as well as Picrosirius red. Four-micrometre histological sections were analysed according the Fitzpatrick criteria (skin pigmentation). The skin thickness and collagen concentration were determined for the reticular dermal skin. The data were statistically analysed with ANOVA. RESULTS: Fitzpatrick skin types I and II were thicker than the other skin types. CONCLUSIONS: Our data suggest that white skin may be less thick than dark skin.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Pigmentação da Pele , Colágeno , Derme/citologia , Células Epidérmicas , Fotomicrografia
3.
Rev. Assoc. Med. Bras. (1992, Impr.) ; Rev. Assoc. Med. Bras. (1992, Impr.);63(10): 883-889, Oct. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-896296

RESUMO

Summary Objective: Dermal papilla cells (DPCs) are located in the hair follicles and play an important role in hair growth. These cells have the ability to induce hair follicle formation when they display aggregative behavior. DPCs derived from the androgenetic alopecia (AGA) area undergo premature senescence in vitro, associated with p16INK4a expression. The aim of the current study was to investigate the expression of p16INK4a in aggregative and non-aggregative DPCs and the effect of p16INK4a down-regulation in these cells by adenovirus-mediated RNA interference (RNAi). Method: DPCs were isolated and cultured from healthy human scalp. p16INK4a gene and protein were detected in aggregative and non-aggregative cells. Expression of p16INK4a in DPCs was silenced by infection with rAd5-CDKN1A-1p2shRNA. Cell fate was monitored after infection. The growth of cells was measured by MTT assay. Cell cycle was evaluated by flow cytometry (FCM). Results: DPCs were isolated by digestion and showed aggregative behavior for six passages. The expression of p16INK4a showed a clear upward trend in non-aggregative cells when compared with aggregative group. p16INK4a expression was silenced by rAd5-CDKN1A-1p2shRNA (p<0.05). The p16INK4a-silenced cells grew more rapidly and exhibited a trend towards aggregative growth. There was an increase in the proportion of cells in G1 phase, while those in S phase were reduced after p16INK4a gene silencing (p<0.05). Conclusion: Our results suggest that p16INK4a plays an important role in the premature senescence and aggregative behavior of DPCs. These observations can lead to novel therapeutic strategies for treatment of AGA.


Assuntos
Humanos , Masculino , Couro Cabeludo/citologia , Folículo Piloso/citologia , Genes p16/fisiologia , Valores de Referência , Fatores de Tempo , Imuno-Histoquímica , Transfecção , Agregação Celular/genética , Ciclo Celular/genética , Células Cultivadas , Senescência Celular/genética , Derme/citologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Proliferação de Células/genética , Alopecia/genética , Técnicas de Inativação de Genes/métodos , Citometria de Fluxo
4.
J. vet. sci ; J. vet. sci;: 79-87, 2016.
Artigo em Inglês | WPRIM | ID: wpr-110762

RESUMO

This study was conducted to identify the effectiveness of platelet-rich plasma (PRP) and efficacy of intralesional injection as a method of application to acute cutaneous wounds in dogs. Healthy adult beagles (n = 3) were used in this study. Autologous PRP was separated from anticoagulant treated whole blood in three dogs. Cutaneous wounds were created and then treated by intralesional injection of PRP in the experimental group, while they were treated with saline in the control group on days 0, 2 and 4. The healing process was evaluated by gross examination throughout the experimental period and histologic examination on day 7, 14 and 21. In PRP treated wounds, the mean diameter was smaller and the wound closure rate was higher than in the control. Histological study revealed that PRP treated wounds showed more granulation formation and angiogenesis on day 7, and faster epithelialization, more granulation formation and collagen deposition were observed on day 14 than in control wounds. On day 21, collagen deposition and epithelialization were enhanced in PRP treated groups. Overall, PRP application showed beneficial effects in wound healing, and intralesional injection was useful for application of PRP and could be a good therapeutic option for wound management in dogs.


Assuntos
Animais , Cães , Feminino , Masculino , Colágeno/metabolismo , Derme/citologia , Epiderme/citologia , Tecido de Granulação/citologia , Injeções Intralesionais/veterinária , Neovascularização Fisiológica , Plasma Rico em Plaquetas , Regeneração , Resultado do Tratamento , Cicatrização , Ferimentos e Lesões/terapia
5.
Biol. Res ; 48: 1-8, 2015. graf
Artigo em Inglês | LILACS | ID: biblio-950773

RESUMO

BACKGROUND: Various health benefits have been attributed to Er-Miao-San (EMS), a traditional Chinese herbal formulation that contains equal amounts of cortex phellodendri (Phellodendron amurense Ruprecht) and rhizoma atractylodis (Atractylodes lancea D.C). However, its effect on the anti-inflammatory activity in human dermal fibroblasts (HDFs) and the mechanism underlying this effect are unknown. RESULTS: This study investigated the effects of EMS on TNF-α-induced MMP-1 expression in HDFs. Our data show that EMS inhibited TNF-α-induced MMP-1 expression in a concentration-dependent manner. Interestingly, EMS maintained IkB content without inhibiting the phosphorylation of MAPKs, which are well-established upstream kinases of NF-kB. Moreover, EMS reduced the level of nuclear p65 protein in HDFs. Luciferase assay revealed that EMS inhibits the transcriptional activity of NF-kBbystabilizing IkB. Our results show that EMS exerts its anti-inflammatory effect by inhibiting NF-kB-regulated genes such as IL-1ß and IL-8. Moreover, EMS effectively inhibited TNF-α-induced expression of MMP-1 via the NF-kBpathway. CONCLUSIONS: Taken together, our data suggest that EMS could potentially be used as an anti-inflammatory and anti-aging treatment.


Assuntos
Humanos , Envelhecimento/efeitos dos fármacos , Medicamentos de Ervas Chinesas/farmacologia , Extratos Vegetais/farmacologia , Derme/citologia , Metaloproteinase 1 da Matriz/biossíntese , Fibroblastos/efeitos dos fármacos , Transdução de Sinais/efeitos dos fármacos , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Indução Enzimática/efeitos dos fármacos , Regulação da Expressão Gênica/efeitos dos fármacos , Interleucina-8/efeitos dos fármacos , Interleucina-8/metabolismo , NF-kappa B/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Proteínas Quinases Ativadas por Mitógeno/efeitos dos fármacos , Interleucina-1beta/efeitos dos fármacos , Interleucina-1beta/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Fibroblastos/enzimologia , Anti-Inflamatórios/administração & dosagem
6.
Biol. Res ; 47: 1-11, 2014. graf, tab
Artigo em Inglês | LILACS | ID: biblio-950746

RESUMO

BACKGROUND: Accumulating evidence indicates that reactive oxygen species (ROS) are an important etiological factor for the induction of dermal papilla cell senescence and hair loss, which is also known alopecia. Arctiin is an active lignin isolated from Arctium lappa and has anti-inflammation, anti-microbial, and anti-carcinogenic effects. In the present study, we found that arctiin exerts anti-oxidative effects on human hair dermal papilla cells (HHDPCs). RESULTS: To better understand the mechanism, we analyzed the level of hydrogen peroxide (H2O2)-induced cytotoxicity, cell death, ROS production and senescence after arctiin pretreatment of HHDPCs. The results showed that arctiin pretreatment significantly inhibited the H2O2-induced reduction in cell viability. Moreover, H2O2-induced sub-G1 phase accumulation and G2 cell cycle arrest were also downregulated by arctiin pretreatment. Interestingly, the increase in intracellular ROS mediated by H2O2 was drastically decreased in HHDPCs cultured in the presence of arctiin. This effect was confirmed by senescence associated-beta galactosidase (SA-ß-gal) assay results; we found that arctiin pretreatment impaired H2O2-induced senescence in HHDPCs. Using microRNA (miRNA) microarray and bioinformatic analysis, we showed that this anti-oxidative effect of arctiin in HHDPCs was related with mitogen-activated protein kinase (MAPK) and Wnt signaling pathways. CONCLUSIONS: Taken together, our data suggest that arctiin has a protective effect on ROS-induced cell dysfunction in HHDPCs and may therefore be useful for alopecia prevention and treatment strategies.


Assuntos
Humanos , Envelhecimento/metabolismo , Espécies Reativas de Oxigênio/antagonistas & inibidores , Folículo Piloso/efeitos dos fármacos , MicroRNAs/metabolismo , Furanos/farmacologia , Glucosídeos/farmacologia , Envelhecimento/efeitos dos fármacos , Regulação para Baixo/efeitos dos fármacos , Regulação para Cima/efeitos dos fármacos , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Morte Celular/efeitos dos fármacos , beta-Galactosidase/análise , Folículo Piloso/citologia , Folículo Piloso/metabolismo , Derme/citologia , Derme/efeitos dos fármacos , Derme/metabolismo , Análise de Sequência com Séries de Oligonucleotídeos , MicroRNAs/efeitos dos fármacos , Pontos de Checagem do Ciclo Celular/efeitos dos fármacos , Peróxido de Hidrogênio/farmacologia
7.
Exp. mol. med ; Exp. mol. med;: 26-35, 2012.
Artigo em Inglês | WPRIM | ID: wpr-211721

RESUMO

Recent evidence has suggested that human skin fibroblasts may represent a novel source of therapeutic stem cells. In this study, we report a 3-stage method to induce the differentiation of skin fibroblasts into insulin-producing cells (IPCs). In stage 1, we establish the isolation, expansion and characterization of mesenchymal stem cells from human labia minora dermis-derived fibroblasts (hLMDFs) (stage 1: MSC expansion). hLMDFs express the typical mesenchymal stem cell marker proteins and can differentiate into adipocytes, osteoblasts, chondrocytes or muscle cells. In stage 2, DMEM/F12 serum-free medium with ITS mix (insulin, transferrin, and selenite) is used to induce differentiation of hLMDFs into endoderm-like cells, as determined by the expression of the endoderm markers Sox17, Foxa2, and PDX1 (stage 2: mesenchymal-endoderm transition). In stage 3, cells in the mesenchymal-endoderm transition stage are treated with nicotinamide in order to further differentiate into self-assembled, 3-dimensional islet cell-like clusters that express multiple genes related to pancreatic beta-cell development and function (stage 3: IPC). We also found that the transplantation of IPCs can normalize blood glucose levels and rescue glucose homeostasis in streptozotocin-induced diabetic mice. These results indicate that hLMDFs have the capacity to differentiate into functionally competent IPCs and represent a potential cell-based treatment for diabetes mellitus.


Assuntos
Animais , Feminino , Humanos , Camundongos , Biomarcadores/metabolismo , Técnicas de Cultura de Células , Diferenciação Celular , Proliferação de Células/efeitos dos fármacos , Separação Celular , Células Cultivadas , Derme/citologia , Diabetes Mellitus Experimental/cirurgia , Fibroblastos/citologia , Genitália Feminina/citologia , Glucose/metabolismo , Fator 3-beta Nuclear de Hepatócito/metabolismo , Proteínas de Homeodomínio/metabolismo , Insulina/farmacologia , Células Secretoras de Insulina/citologia , Transplante das Ilhotas Pancreáticas , Células-Tronco Mesenquimais/citologia , Camundongos Nus , Niacinamida/farmacologia , Recuperação de Função Fisiológica , Fatores de Transcrição SOXF/metabolismo , Selenito de Sódio/farmacologia , Transativadores/metabolismo , Transferrina/farmacologia
8.
Exp. mol. med ; Exp. mol. med;: 622-629, 2011.
Artigo em Inglês | WPRIM | ID: wpr-122147

RESUMO

Platelet-rich plasma (PRP) contains growth factors that promote tissue regeneration. Previously, we showed that heparin-conjugated fibrin (HCF) exerts the sustained release of growth factors with affinity for heparin. Here, we hypothesize that treatment of skin wound with a mixture of PRP and HCF exerts sustained release of several growth factors contained in PRP and promotes skin wound healing. The release of fibroblast growth factor 2, platelet-derived growth factor-BB, and vascular endothelial growth factor contained in PRP from HCF was sustained for a longer period than those from PRP, calcium-activated PRP (C-PRP), or a mixture of fibrin and PRP (F-PRP). Treatment of full-thickness skin wounds in mice with HCF-PRP resulted in much faster wound closure as well as dermal and epidermal regeneration at day 12 compared to treatment with either C-PRP or F-PRP. Enhanced skin regeneration observed in HCF-PRP group may have been at least partially due to enhanced angiogenesis in the wound beds. Therefore, this method could be useful for skin wound treatment.


Assuntos
Animais , Feminino , Camundongos , Western Blotting , Proliferação de Células , Derme/citologia , Fibrina/metabolismo , Fator 2 de Crescimento de Fibroblastos/genética , Heparina/metabolismo , Técnicas Imunoenzimáticas , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Camundongos Endogâmicos BALB C , Plasma Rico em Plaquetas/metabolismo , Proteínas Proto-Oncogênicas c-sis/genética , RNA Mensageiro/genética , Reação em Cadeia da Polimerase em Tempo Real , Regeneração , Pele/citologia , Fator A de Crescimento do Endotélio Vascular/genética , Cicatrização/fisiologia
9.
Exp. mol. med ; Exp. mol. med;: 548-554, 2009.
Artigo em Inglês | WPRIM | ID: wpr-34745

RESUMO

Cordycepin (3'-deoxyadenosine) has been shown to exhibit many pharmacological activities, including anti-cancer, anti-inflammatory, and anti-infection activities. However, the anti-skin photoaging effects of cordycepin have not yet been reported. In the present study, we investigated the inhibitory effects of cordycepin on matrix metalloproteinase-1 (MMP-1) and -3 expressions of the human dermal fibroblast cells. Western blot analysis and real-time PCR revealed cordycepin inhibited UVB-induced MMP-1 and -3 expressions in a dose-dependent manner. UVB strongly activated NF-kappa B activity, which was determined by I kappa B alpha degradation, nuclear localization of p50 and p65 subunit, and NF-kappa B binding activity. However, UVB-induced NF-kappa B activation and MMP expression were completely blocked by cordycepin pretreatment. These findings suggest that cordycepin could prevent UVB-induced MMPs expressions through inhibition of NF-kappa B activation. In conclusion, cordycepin might be used as a potential agent for the prevention and treatment of skin photoaging.


Assuntos
Humanos , Recém-Nascido , Masculino , Envelhecimento/fisiologia , Células Cultivadas , Desoxiadenosinas/farmacologia , Derme/citologia , Relação Dose-Resposta a Droga , Indução Enzimática/efeitos dos fármacos , Fibroblastos/efeitos dos fármacos , Regulação Enzimológica da Expressão Gênica , Metaloproteinase 1 da Matriz/antagonistas & inibidores , Metaloproteinase 3 da Matriz/antagonistas & inibidores , NF-kappa B/antagonistas & inibidores , Pele/fisiopatologia , Raios Ultravioleta
10.
Biol. Res ; 40(3): 347-355, 2007. ilus, tab, graf
Artigo em Inglês | LILACS | ID: lil-481312

RESUMO

Skin produces volatile organic compounds (VOCs) released to the environment with emission patterns characteristic of climatic conditions. It could be thought that these compounds are intermediaries in cell metabolism, since many intermediaries of metabolic pathways have a volatile potential. In this work, using gas chromatography, we answered the question of whether VOC profiles of primary cultures of human dermal fibroblasts were affected by the type of culture conditions. VOCs were determined for different types of culture, finding significant differences between skin cells grown in classical monolayer culture -2D- compared with 3D matrix immobilized cultures. This indicates that VOC profiles could provide information on the physiological state of skin cells or skin.


Assuntos
Humanos , Derme/metabolismo , Fibroblastos/metabolismo , Compostos Orgânicos/análise , Células Cultivadas , Cromatografia Gasosa , Derme/citologia , Análise de Componente Principal , Volatilização
11.
São Paulo med. j ; São Paulo med. j;124(2): 71-76, Mar. -Apr. 2006. ilus
Artigo em Inglês | LILACS | ID: lil-432173

RESUMO

CONTEXTO E OBJETIVO: A técnica para obtenção de pele humana que apresente derme e epiderme, reconstruída a partir de células isoladas de pacientes, pode possibilitar a realização de enxertos autólogos de pele reconstruída em laboratório em pacientes com áreas doadoras escassas, além de permitir ensaios com substâncias químicas e drogas in vitro e não mais in vivo. O objetivo do trabalho é demonstrar um método de obtenção de pele humana reconstruída in vitro composta de derme e epiderme associadas. TIPO DE ESTUDO E LOCAL: Estudo experimental laboratorial realizado no Laboratório de Cultura de Células da Pele da Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Campinas, São Paulo, Brasil. MÉTODOS: A partir da cultura de fibroblastos humanos, é possível obter um número suficiente de células que podem ser injetadas em uma matriz de colágeno bovino tipo I que, mantida imersa em meio de cultura específico para fibroblastos, permite a formação de uma derme humana reconstruída in vitro. Sobre essa derme, por meio de cultura de queratinócitos e melanócitos humanos, forma-se epiderme diferenciada, levando à formação de pele humana reconstruída in vitro, composta de derme e epiderme associadas. RESULTADOS: Demonstramos que é possível reproduzir pele humana reconstruída in vitro, composta de derme e epiderme associadas. Essa pele humana formada é, histologicamente, semelhante à pele humana in vivo. Na derme, identifica-se o tecido colágeno, com suas células, e a matriz extracelular organizados paralelamente à epiderme. Esta se desenvolve em várias camadas. CONCLUSÃO: É possível obter pele humana reconstruída in vitro, completamente diferenciada, composta de derme e epiderme, associadas, a partir da injeção de fibroblastos humanos em uma matriz de colágeno bovino tipo I e da cultura seqüencial de queratinócitos e melanócitose humanos sobre essa matriz contendo fibroblastos em seu interior.


Assuntos
Humanos , Animais , Bovinos , Derme/citologia , Epiderme/citologia , Fibroblastos/citologia , Engenharia Tecidual/métodos , Colágeno Tipo I , Matriz Extracelular , Imuno-Histoquímica , Queratinócitos/citologia , Melanócitos/citologia
12.
São Paulo med. j ; São Paulo med. j;122(1): 22-25, Jan.-Feb. 2004. ilus
Artigo em Inglês | LILACS | ID: lil-361373

RESUMO

CONTEXTO: Recentes progressos no campo das técnicas de cultura epitelial têm levado ao desenvolvimento de sistemas de cultura nos quais a epiderme reconstruída obtida exibe características de diferenciação morfológica semelhantes àquelas vistas in vivo. Uma epiderme humana reconstruída in vitro pode ser utilizada como melhor alternativa para testes toxicológicos e de eficácia de produtos de uso tópico in vitro e ainda no tratamento de queimaduras e úlceras crônicas de pele. OBJETIVO: Demonstrar um método de obtenção de epiderme humana reconstruída in vitro, utilizando queratinócitos e melanócitos cultivados sobre uma derme humana morta desepidermizada. TIPO DE ESTUDO: Experimental Laboratorial. LOCAL: Laboratório de Cultura de Células da Pele da Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Campinas, São Paulo, Brasil. PROCEDIMENTOS: Queratinócitos e melanócitos humanos cultivados in vitro foram semeados sobre uma matriz biológica (derme humana morta desepidermizada) e o sistema foi mantido em interface ar-líquido, em meio de cultura adequado, até haver a formação de uma epiderme humana estratificada, mantendo as características histológicas da epiderme in vivo. RESULTADOS: Demonstramos, histologicamente, que é possível reproduzir uma epiderme diferenciada, a partir da cultura de queratinócitos e melanócitos sobre uma derme humana morta desepidermizada, obtendo uma epiderme humana reconstruída in vitro, com queratinócitos e melanócitos funcionais, corretamente posicionados, equivalente à epiderme in vivo. CONCLUSÕES: É possível obter uma epiderme humana reconstruída in vitro completamente diferenciada a partir da cultura de queratinócitos e melanócitos sobre uma derme humana morta desepidermizada.


Assuntos
Humanos , Derme/citologia , Epiderme/citologia , Queratinócitos , Melanócitos , Técnicas de Cultura de Células
13.
Asian Pac J Allergy Immunol ; 2001 Dec; 19(4): 275-82
Artigo em Inglês | IMSEAR | ID: sea-37074

RESUMO

Immunohistochemical, flow cytometric and ELISA studies were performed to examine the expression of endoglin (CD105, a TGF beta receptor) on dermal endothelial cells, peripheral blood monocytes and free and bound serum levels in patients with systemic sclerosis as compared with appropriate controls. Endoglin was found to be significantly upregulated on dermal blood vessels in patients with scleroderma (and in patients with inflammatory skin disorders) as compared to healthy skin (p < 0.05). In contrast, there was no significant difference in endoglin expression on circulating blood monocytes between scleroderma patients and patients with a rheumatic disoder or healthy control subjects; however, endoglin expression was upregulated on monocytes in inflammatory joint fluid from patients with rheumatoid arthritis. Endoglin expression on monocytes was also influenced by isolation techniques and during whole blood culture. No differences were found in circulating free or bound endoglin levels between scleroderma patients and healthy controls. In conclusion, endoglin expression on dermal endothelial cells was significantly enhanced in scleroderma but levels on circulating monocytes and in the serum were within normal limits. The functional significance of this upregulation is uncertain but may reflect endothelial activation in scleroderma.


Assuntos
Idoso , Idoso de 80 Anos ou mais , Antígenos CD , Células Cultivadas , Derme/citologia , Endotélio/metabolismo , Ensaio de Imunoadsorção Enzimática , Feminino , Fibrose/fisiopatologia , Citometria de Fluxo , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Monócitos/metabolismo , Receptores de Superfície Celular , Receptores de Fatores de Crescimento Transformadores beta/sangue , Escleroderma Sistêmico/fisiopatologia , Telangiectasia/fisiopatologia , Molécula 1 de Adesão de Célula Vascular/sangue
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