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1.
Biochem Biophys Res Commun ; 630: 125-132, 2022 11 19.
Article in English | MEDLINE | ID: mdl-36155058

ABSTRACT

The shortest dystrophins, Dp71 and Dp40, are transcribed from the DMD gene through an internal promoter located in intron 62. These proteins are the main product of the DMD gene in the nervous system and have been involved in various functions related to cellular differentiation and proliferation as well as other cellular processes. Dp71 mRNA undergoes alternative splicing that results in different Dp71 protein isoforms. The subcellular localization of some of these isoforms in the PC12 cell line has been previously reported, and a differential subcellular distribution was observed, which suggests a particular role for each isoform. With the aim of obtaining information on their function, this study identified factors involved in the nuclear transport of Dp71 and Dp40 isoforms in the PC12 cell line. Cell cultures were treated with specific nuclear import/export inhibitors to determine the Dp71 isoform transport routes. The results showed that all isoforms of Dp71 and Dp40 included in the analysis have the ability to enter the cell nucleus through α/ß importin, and the main route of nuclear export for Dp71 isoforms is through the exportin CRM1, which is not the case for Dp40.


Subject(s)
Dystrophin , beta Karyopherins , Active Transport, Cell Nucleus , Animals , Dystrophin/genetics , Dystrophin/metabolism , Intracellular Space , Karyopherins/metabolism , PC12 Cells , Protein Isoforms/genetics , Protein Isoforms/metabolism , RNA, Messenger/metabolism , Rats , beta Karyopherins/metabolism
2.
Sci Rep ; 12(1): 1410, 2022 01 26.
Article in English | MEDLINE | ID: mdl-35082358

ABSTRACT

Dp40 is ubiquitously expressed including the central nervous system. In addition to being present in the nucleus, membrane, and cytoplasm, Dp40 is detected in neurites and postsynaptic spines in hippocampal neurons. Although Dp40 is expressed from the same promoter as Dp71, its role in the cognitive impairment present in Duchenne muscular dystrophy patients is still unknown. Here, we studied the effects of overexpression of Dp40 and Dp40L170P during the neuronal differentiation of PC12 Tet-On cells. We found that Dp40 overexpression increased the percentage of PC12 cells with neurites and neurite length, while Dp40L170P overexpression decreased them compared to Dp40 overexpression. Two-dimensional gel electrophoresis analysis showed that the protein expression profile was modified in nerve growth factor-differentiated PC12-Dp40L170P cells compared to that of the control cells (PC12 Tet-On). The proteins α-internexin and S100a6, involved in cytoskeletal structure, were upregulated. The expression of vesicle-associated membrane proteins increased in differentiated PC12-Dp40 cells, in contrast to PC12-Dp40L170P cells, while neurofilament light-chain was decreased in both differentiated cells. These results suggest that Dp40 has an important role in the neuronal differentiation of PC12 cells through the regulation of proteins involved in neurofilaments and exocytosis of synaptic vesicles, functions that might be affected in PC12-Dp40L170P.


Subject(s)
Amino Acid Substitution , Dystrophin/genetics , Intermediate Filaments/metabolism , Neuronal Outgrowth/genetics , Neurons/metabolism , Synaptic Vesicles/metabolism , Animals , Cell Cycle Proteins/genetics , Cell Cycle Proteins/metabolism , Cell Differentiation , Cytoskeleton/metabolism , Cytoskeleton/ultrastructure , Dystrophin/metabolism , Exocytosis , Gene Expression Regulation , Intermediate Filament Proteins/genetics , Intermediate Filament Proteins/metabolism , Intermediate Filaments/ultrastructure , Neurofilament Proteins/genetics , Neurofilament Proteins/metabolism , Neurons/cytology , PC12 Cells , Proto-Oncogene Proteins c-myc/genetics , Proto-Oncogene Proteins c-myc/metabolism , Rats , S100 Calcium Binding Protein A6/genetics , S100 Calcium Binding Protein A6/metabolism , Signal Transduction , Synaptic Vesicles/ultrastructure
3.
J Proteomics ; 191: 80-87, 2019 01 16.
Article in English | MEDLINE | ID: mdl-29625189

ABSTRACT

The Dp71 protein is the most abundant dystrophin in the central nervous system (CNS). Several dystrophin Dp71 isoforms have been described and are classified into three groups, each with a different C-terminal end. However, the functions of Dp71 isoforms remain unknown. In the present study, we analysed the effect of Dp71eΔ71 overexpression on neuronal differentiation of PC12 Tet-On cells. Overexpression of dystrophin Dp71eΔ71 stimulates neuronal differentiation, increasing the percentage of cells with neurites and neurite length. According to 2-DE analysis, Dp71eΔ71 overexpression modified the protein expression profile of rat pheochromocytoma PC12 Tet-On cells that had been treated with neuronal growth factor (NGF) for nine days. Interestingly, all differentially expressed proteins were up-regulated compared to the control. The proteomic analysis showed that Dp71eΔ71 increases the expression of proteins with important roles in the differentiation process, such as HspB1, S100A6, and K8 proteins involved in the cytoskeletal structure and HCNP protein involved in neurotransmitter synthesis. The expression of neuronal marker TH was also up-regulated. Mass spectrometry data are available via ProteomeXchange with identifier PXD009114. SIGNIFICANCE: This study is the first to explore the role of the specific isoform Dp71eΔ71. The results obtained here support the hypothesis that the dystrophin Dp71eΔ71 isoform has an important role in the neurite outgrowth by regulating the levels of proteins involved in the cytoskeletal structure, such as HspB1, S100A6, and K8, and in neurotransmitter synthesis, such as HCNP and TH, biological processes required to stimulate neuronal differentiation.


Subject(s)
Cell Differentiation , Dystrophin/physiology , Neuronal Outgrowth , Neurons/cytology , Animals , Cytoskeletal Proteins/metabolism , Dystrophin/pharmacology , Neurotransmitter Agents/biosynthesis , PC12 Cells , Protein Isoforms , Proteomics/methods , Rats
4.
Bioorg Med Chem Lett ; 26(22): 5476-5480, 2016 11 15.
Article in English | MEDLINE | ID: mdl-27777011

ABSTRACT

The inflammatory caspases (caspase-1, -4 and -5) are potential therapeutic targets for autoimmune and inflammatory diseases due to their involvement in the immune response upon inflammasome formation. A series of small molecules based on the 4-(piperazin-1-yl)-2,6-di(pyrrolidin-1-yl)pyrimidine scaffold were synthesized with varying substituents on the piperazine ring. Several compounds were pan-selective inhibitors of the inflammatory caspases, caspase-1, -4 and -5, with the ethylbenzene derivative CK-1-41 displaying low nanomolar Ki values across this family of caspases. Three analogs were nearly 10 fold selective for caspase-5 over caspase-1 and -4. The compounds display non-competitive, time dependent inhibition profiles. To our knowledge, this series is the first example of small molecule inhibitors of all three inflammatory caspases.


Subject(s)
Caspase 1/metabolism , Caspase Inhibitors/chemistry , Caspase Inhibitors/pharmacology , Caspases, Initiator/metabolism , Caspases/metabolism , Piperazines/chemistry , Piperazines/pharmacology , Caspase 1/chemistry , Caspases/chemistry , Caspases, Initiator/chemistry , Humans , Inflammation/drug therapy , Inflammation/enzymology , Molecular Docking Simulation , Pyrimidines/chemistry , Pyrimidines/pharmacology , Small Molecule Libraries/chemistry , Small Molecule Libraries/pharmacology
5.
Proteomics ; 16(9): 1331-40, 2016 05.
Article in English | MEDLINE | ID: mdl-26936078

ABSTRACT

PC12 cells acquire a neuronal phenotype in response to nerve growth factor (NGF). However, this phenotype is more efficiently achieved when the Dp71Δ78-79 dystrophin mutant is stably expressed in PC12-C11 cells. To investigate the effect of Dp71Δ78-79 overexpression on the protein profile of PC12-C11 cells, we compared the expression profiles of undifferentiated and NGF-differentiated PC12-C11 and PC12 cells by 2DE. In undifferentiated cultures, one protein was downregulated, and five were upregulated. Dp71Δ78-79 overexpression had a greater effect on differentiated cultures, with ten proteins downregulated and seven upregulated. The protein with the highest upregulation was HspB1. Changes in HspB1 expression were validated by Western blot and immunofluorescence analyses. Interestingly, the neurite outgrowth in PC12-C11 cells was affected by a polyclonal antibody against HspB1, and the level of HspB1 and HspB1Ser86 decreased, suggesting an important role for this protein in this cellular process. Our results show that Dp71Δ78-79 affects the expression level of some proteins and that the stimulated neurite outgrowth produced by this mutant is mainly through upregulation and phosphorylation of HspB1.


Subject(s)
Dystrophin/genetics , Heat-Shock Proteins/genetics , Neoplasm Proteins/genetics , Neurons/metabolism , Animals , Antibodies/pharmacology , Cell Differentiation/drug effects , Dystrophin/metabolism , Electrophoresis, Gel, Two-Dimensional , Gene Expression Profiling , Gene Expression Regulation , Heat-Shock Proteins/antagonists & inhibitors , Heat-Shock Proteins/metabolism , Molecular Chaperones , Mutation , Neoplasm Proteins/antagonists & inhibitors , Neoplasm Proteins/metabolism , Nerve Growth Factor/pharmacology , Neuronal Outgrowth/drug effects , Neurons/cytology , Neurons/drug effects , PC12 Cells , Phosphorylation , Rats , Signal Transduction
6.
Neuroreport ; 27(1): 6-11, 2016 Jan 06.
Article in English | MEDLINE | ID: mdl-26551922

ABSTRACT

Dp71 dystrophin is the main DMD gene product expressed in the central nervous system. Experiments using PC12 cells as a neuronal model have shown that Dp71 isoforms are involved in differentiation, adhesion, cell division, and nuclear architecture. To contribute to the knowledge of Dp71 domains function, we previously reported the isolation and partial characterization of the dystrophin Dp71[INCREMENT]78-79 (a mutant that lacks exons 71, 78, and 79), which stimulates the neuronal differentiation of PC12-C11 clone. In this article, we generated a doxycycline (Dox)-inducible expression system in PC12 Tet-On cells (B10 cells) to overexpress and control the transcription of Dp71[INCREMENT]78-79. Western blotting and confocal microscopy showed an increase in the amount of Dp71[INCREMENT]78-79 (217±75-fold) with the addition of Dox to growth medium. Cell proliferation assays and morphometric analyses demonstrated that Dp71[INCREMENT]78-79 increases the growth rate of B10 cells and reduces the nerve growth factor-neuronal differentiation. Western blotting analysis revealed an upregulation in the expression of proliferating cell nuclear antigen, focal adhesion kinase, and ß-dystroglycan in B10 cells compared with control cells. Our results show that the inducible expression of Dp71[INCREMENT]78-79 increases the growth rate of PC12 Tet-On cells, suggesting a role of this protein in cell proliferation.


Subject(s)
Cell Proliferation , Dystrophin/genetics , Dystrophin/metabolism , Animals , Blotting, Western , Exons , Fluorescent Antibody Technique , Microscopy, Confocal , Mutation , Neurogenesis/physiology , PC12 Cells , Rats , Transfection
7.
J Mol Neurosci ; 58(2): 201-9, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26411569

ABSTRACT

Several dystrophin Dp71 messenger RNA (mRNA) alternative splice variants have been described. According to the splicing of exon 78 or intron 77, Dp71 proteins are grouped as Dp71d, Dp71f, and Dp71e, and each group has a specific C-terminal end. In this study, we explored the expression of Dp71 isoforms at the complementary DNA (cDNA) level and the subcellular localization of recombinant Myc-Dp71 proteins in PC12 cells. We determined that PC12 cells express Dp71a, Dp71c, Dp71ab, Dp71e, and Dp71ec mRNA splice variants. In undifferentiated and nerve growth factor-differentiated PC12 Tet-ON cells, Dp71a, Dp71ab, and Dp71e were found to localize and colocalize with ß-dystroglycan and α1-syntrophin in the periphery/cytoplasm, while Dp71c and Dp71ec were mainly localized in the cell periphery and showed less colocalization with ß-dystroglycan and α1-syntrophin. The levels of Dp71a, Dp71e, and Dp71ec were increased in the nucleus of differentiated PC12 Tet-ON cells compared to undifferentiated cells. Dp71 isoforms were also localized in neurite extensions and growth cones.


Subject(s)
Calcium-Binding Proteins/metabolism , Dystroglycans/metabolism , Membrane Proteins/metabolism , Muscle Proteins/metabolism , Animals , Calcium-Binding Proteins/genetics , Cell Nucleus/metabolism , Cytoplasm/metabolism , Dystroglycans/genetics , Dystrophin/genetics , Dystrophin/metabolism , Growth Cones/metabolism , Membrane Proteins/genetics , Muscle Proteins/genetics , PC12 Cells , Protein Isoforms/genetics , Protein Isoforms/metabolism , Protein Transport , Rats
8.
Data Brief ; 4: 349-52, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26217814

ABSTRACT

Dystrophin Dp40 is the shortest protein encoded by the DMD (Duchenne muscular dystrophy) gene. This protein is unique since it lacks the C-terminal end of dystrophins. In this data article, we describe the subcellular localization, nuclear export signals and the three-dimensional structure modeling of putative Dp40 proteins using bioinformatics tools. The Dp40 wild type protein was predicted as a cytoplasmic protein while the Dp40n4 was predicted to be nuclear. Changes L93P and L170P are involved in the nuclear localization of Dp40n4 protein. A close analysis of Dp40 protein scored that amino acids (93)LEQEHNNLV(101) and (168)LLLHDSIQI(176) could function as NES sequences and the scores are lost in Dp40n4. In addition, the changes L93/170P modify the tertiary structure of putative Dp40 mutants. The analysis showed that changes of residues 93 and 170 from leucine to proline allow the nuclear localization of Dp40 proteins. The data described here are related to the research article entitled "EF-hand domains are involved in the differential cellular distribution of dystrophin Dp40" (J. Aragón et al. Neurosci. Lett. 600 (2015) 115-120) [1].

9.
Neurosci Lett ; 600: 115-20, 2015 Jul 23.
Article in English | MEDLINE | ID: mdl-26004254

ABSTRACT

Dp40 is the shortest DMD gene product that has been reported to date. It is encoded by exons 63-70, a region required for a ß-dystroglycan interaction. Its expression has been identified in rat, mouse, and human; however, its function remains unknown. To explore the expression of Dp40 transcript and subcellular localization of epitope-tagged Dp40 proteins, RT-PCR and immunofluorescence assays were performed in PC12 cells. The expression of Dp40 mRNA was found in undifferentiated and nerve growth factor-differentiated PC12 cells. According to immunofluorescence analyses, the recombinant protein Dp40 was mainly localized in the cell periphery/cytoplasm of undifferentiated and differentiated PC12 cells, a small amount of this protein is localized to the nucleus of differentiated cells. With the aim to identify the amino acids involved in the nuclear localization of Dp40, an in silico analysis was performed and it predicted that prolines 93 and 170, located within EF1 and EF2-hand domains, are involved in the nuclear localization of this protein. This prediction was confirmed by site-directed mutagenesis, the Dp40-L93P mutant was localized to the nucleus and cell periphery, while Dp40-L170P and Dp40-L93/170P showed mainly a nuclear localization. Dp40 co-localizes with ß-dystroglycan and the co-localization score was statistically reduced in Dp40-L93P, Dp40-L170P and Dp40-L93/170P mutants.


Subject(s)
Dystrophin/metabolism , Animals , Cell Differentiation , Cell Nucleus/metabolism , Dystroglycans/metabolism , Dystrophin/genetics , HeLa Cells , Humans , Mutagenesis, Site-Directed , Mutation , PC12 Cells , Protein Isoforms/genetics , Protein Isoforms/metabolism , Protein Structure, Tertiary , Rats
10.
FEBS J ; 279(1): 66-77, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22008482

ABSTRACT

Several dystrophin Dp71 isoforms have previously been described and can be grouped into two subfamilies (Dp71d or Dp71f) depending upon the splicing of exon 78. As a consequence of this splicing, each group has a carboxy-terminal end with a unique amino acid composition; this composition imparts specific characteristics with respect to subcellular localization and interactions with particular members of the dystrophin-associated proteins (DAPs) complex. We have discovered a new alternative splicing event at the 3' region of the Dp71 transcript. This spliced region has a unique sequence that codes for 10 amino acids and prevents the translation of exons 78 and 79. This novel Dp71 isoform is called Dp71e and is expressed in undifferentiated cells and during nerve growth factor-induced differentiation of PC12 cells. Interestingly, Dp71e mRNA and protein expression increase during PC12 cell differentiation mediated by NGF. This new Dp71 isoform is also expressed in rat organs and in human cell lines.


Subject(s)
Alternative Splicing , Cell Differentiation , Dystrophin/genetics , Dystrophin/metabolism , Exons/genetics , Amino Acid Sequence , Animals , Base Sequence , Blotting, Western , Cells, Cultured , Cloning, Molecular , Humans , Molecular Sequence Data , Nerve Growth Factor/pharmacology , PC12 Cells , Protein Isoforms , RNA, Messenger/genetics , Rats , Sequence Homology, Amino Acid , Sequence Homology, Nucleic Acid , Subcellular Fractions
11.
J Neurochem ; 119(4): 697-707, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21668890

ABSTRACT

Dp71 has an important role in the central nervous system. To better understand the function of Dp71 domains in neuronal differentiation, PC12 cells were stably transfected with a dystrophin mutant, Dp71Δ(78-79) , which lacks exons 78 and 79. Based on the percentage of cells bearing neurites and neurite length analyses, we found that cells stably expressing Dp71Δ(78-79) (PC12-C11) differentiate more efficiently than non-transfected cells. While wild-type cells reach their maximum differentiation 9-12 days after initiating the differentiation process, the PC12-C11 cells reach differentiation in 4-6 days. Protein expression analysis showed a down-regulation of Dp71a and an up-regulation of Dp71ab and/or Up71, ß-dystroglycan and neuron-specific enolase in undifferentiated and in neural growth factor differentiated PC12-C11 cells. No change was observed in the expression of Grb2 and Up400. The subcellular localization of Dp71Δ(78-79) was in the cell periphery, and there was no change in localization during the differentiation process, which was also observed throughout the neurite extensions.


Subject(s)
Cell Differentiation/genetics , Dystrophin/genetics , Gene Expression Regulation/genetics , Mutation/genetics , Animals , Cell Differentiation/drug effects , Dystroglycans/genetics , Dystroglycans/metabolism , Exons/genetics , GRB2 Adaptor Protein/genetics , GRB2 Adaptor Protein/metabolism , Gene Expression Regulation/drug effects , Nerve Growth Factor/pharmacology , Neurites , PC12 Cells/physiology , Phosphopyruvate Hydratase/genetics , Phosphopyruvate Hydratase/metabolism , Protein Isoforms/genetics , Protein Isoforms/metabolism , RNA, Messenger/metabolism , Rats , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Subcellular Fractions/drug effects , Subcellular Fractions/metabolism , Time Factors , Transfection/methods
12.
Can J Microbiol ; 56(2): 168-77, 2010 Feb.
Article in English | MEDLINE | ID: mdl-20237579

ABSTRACT

The lambdatI terminator is located approximately 280 bp beyond the lambdaint gene, and it has a typical structure of an intrinsic terminator. To identify sequences required for lambdatI transcription termination a set of deletion mutants were generated, either from the 5' or the 3' end onto the lambdatI region. The termination efficiency was determined by measuring galactokinase (galK) levels by Northern blot assays and by in vitro transcription termination. The importance of the uridines and the stability of the stem structure in the termination were demonstrated. The nontranscribed DNA beyond the 3' end also affects termination. Additionally, sequences upstream have a small effect on transcription termination. The in vivo RNA termination sites at lambdatI were determined by S1 mapping and were located at 8 different positions. Processing of transcripts from the 3' end confirmed the importance of the hairpin stem in protection against exonuclease.


Subject(s)
Bacteriophage lambda/physiology , Transcription, Genetic , Bacteriophage lambda/genetics , Base Pairing , Binding Sites , Blotting, Northern , DNA, Viral/genetics , Nucleic Acid Conformation , Sequence Deletion
13.
Arch Med Res ; 35(3): 199-208, 2004.
Article in English | MEDLINE | ID: mdl-15163460

ABSTRACT

BACKGROUND: It is well documented that Giardia duodenalis undergoes surface antigenic variation both in vivo and in vitro. Proteins involved have been characterized and referred to as VSP (variable surface protein). METHODS: Two cloned cDNA inserts of 0.45 and 1.95 kb were obtained from G. duodenalis expression library and sequenced. Comparison sequence analyses were made against Genbank. PCR analysis was performed on G. duodenalis isolates to identify isolates bearing genes encoding such a peptide. Specific antiserum was prepared against 450-bp encoded peptide and tested by Western blot, immunofluorescence, and inhibition of adhesion of G. duodenalis to target cells. RESULTS: We cloned and characterized a G. duodenalis 450-bp DNA fragment; its DNA sequence analysis revealed that this fragment displayed 99% identity with vsp9B10A gene. Predicted amino acid sequence for this fragment also had significant (99%) identity to VSP9B10A. A second 1.95-kb insert, which encompassed the 450-bp cDNA fragment, was also isolated; its DNA and amino acid sequence displayed 99.5% identity with vsp9B10A gene and 99.2% with the corresponding inferred protein, respectively. This inferred protein contained 24 Cys-X-X-Cys motifs and long ORF of 642 aminoacids. PCR analysis showed that DNA sequence encoding a fragment of this gene was present in P1, CIEA:0487:2-C-8 clone and in INP:180800-B2 G. duodenalis human isolates, while it was absent in sheep isolate of G. duodenalis INP:150593-J10. CONCLUSIONS: Immunofluorescence analysis using antibodies raised against the peptide encoded by 450-bp fragment showed that expression of this epitope varies on trophozoite surface of the C-8 Mexican clone and is involved in parasite adhesion to target epithelial cells.


Subject(s)
Giardia/metabolism , Amino Acid Sequence , Animals , Antigens, Protozoan/chemistry , Base Sequence , Blotting, Western , Cell Adhesion , Cell Line , Child, Preschool , Cloning, Molecular , DNA/chemistry , DNA, Complementary/metabolism , Dogs , Epitopes/chemistry , Gene Library , Genetic Variation , Giardiasis/immunology , Humans , Kinetics , Mexico , Mice , Mice, Inbred BALB C , Microscopy, Fluorescence , Molecular Sequence Data , Peptides/chemistry , Polymerase Chain Reaction , Protein Structure, Tertiary , Protozoan Proteins/chemistry , Recombinant Fusion Proteins/chemistry , Sheep , Time Factors
14.
Rev. mex. angiol ; 26(1): 13-6, ene.-mar. 1998. graf, tab
Article in Spanish | LILACS | ID: lil-248397

ABSTRACT

La asociación entre un aneurisma aórtico y neoplasia maligna es poco frecuente. Cuando se encuentra, es necesario tomar una decisión en cuanto a cuál deberá ser resecado primero. En el presente artículo, se muestra una serie de nueve pacientes con aneurisma de la aorta y carcinoma en localizaciones intra o extraabdominales, su tratamiento y su evolución postoperatoria. Finalmente, se hace una serie de comentarios en cuanto a las pautas de tratamiento cuando se encuentra esta asociación


Subject(s)
Humans , Male , Aged , Prostatic Neoplasms/surgery , Carcinoma/surgery , Abdominal Neoplasms/surgery , Aortic Aneurysm, Abdominal/surgery , Aortic Aneurysm, Abdominal/diagnosis
15.
Arch. med. res ; 25(3): 321-4, 1994. ilus
Article in English | LILACS | ID: lil-198817

ABSTRACT

A total of 46 clinical isolates of Klebsiella pneumoniae were studied. Of these, 33 were from "Hospital Infantil de Mexico" (HIM) and 13 from "Hospital General de Mexico" (HGM). The susceptibility of these strains to five antibiotics, as well as the plasmid DNA profiles, were determined for each group. Antibiotic susceptibility profiles were very similar in strains from both hospitals; however, most of the strains analyzed exhibited heterogeneous plasmid DNA profiles. Results showed that strains isolated in the two hospitals did not differ regarding morphology, biochemical profiles, antibiotic susceptibility or plasmid populations, and these characteristics may not be used as markers to differentiate Klebsiella pneumoniae strains from different hospitals


Subject(s)
Infant, Newborn , Infant , Humans , Amikacin/therapeutic use , Ampicillin/therapeutic use , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Cefotaxime/therapeutic use , Drug Resistance, Microbial/physiology , Cross Infection/therapy , Klebsiella Infections/physiopathology , Klebsiella pneumoniae/pathogenicity , Plasmids/analysis , Sulbactam/therapeutic use , Trimethoprim/therapeutic use
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