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1.
DNA Cell Biol ; 21(9): 619-26, 2002 Sep.
Article in English | MEDLINE | ID: mdl-12396604

ABSTRACT

Most vaccine modalities for human immunodeficiency virus type 1 (HIV-1) tested for immunogenicity and efficacy in the SIVmac (simian immunodeficiency virus) macaque model do not include the viral regulatory proteins. Because viral regulatory proteins are expressed early during the virus life cycle and represent an additional source of antigens, their inclusion as a vaccine component may increase the overall virus-specific immune response in vaccinees. However, at least two of the early proteins, Tat and Nef, may be immunosuppressive, limiting their usefulness as components of an SIV vaccine. We have constructed a polyvalent chimeric protein in which the open reading frames for Tat and Nef have been reassorted and the nuclear localization sequence for Tat and Rev and the myristoylation site for Nef have been removed. The resulting DNA plasmid (pDNA-SIV-Retanef) (pDNA-SIV-RTN) encodes a protein of 55 kDa (Retanef) that localizes at the steady state in the cytoplasma of transfected cells. Both the DNA-SIV-RTN and the highly attenuated recombinant poxvirus vector NYVAC-SIV-RTN were demonstrated to be immunogenic in SIVmac251-infected macaques treated with ART as well as in naive macaques. An equivalent strategy may be used for the generation of polyvalent antigens encoding the regulatory proteins in a HIV-1 vaccine candidate.


Subject(s)
Regulatory Sequences, Nucleic Acid , Simian Immunodeficiency Virus/immunology , Vaccines/immunology , Animals , Gene Products, gag/metabolism , Genes, nef/immunology , Genes, rev/immunology , Genes, tat/immunology , HeLa Cells , Humans , Macaca mulatta , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology , Vaccines, Synthetic/immunology , Viral Regulatory and Accessory Proteins/genetics , Viral Regulatory and Accessory Proteins/immunology
2.
Blood ; 98(3): 823-9, 2001 Aug 01.
Article in English | MEDLINE | ID: mdl-11468184

ABSTRACT

The p12(I) protein, encoded by the pX open reading frame I of the human T-lymphotropic virus type 1 (HTLV-1), is a hydrophobic protein that localizes to the endoplasmic reticulum and the Golgi. Although p12(I) contains 4 minimal proline-rich, src homology 3-binding motifs (PXXP), a characteristic commonly found in proteins involved in signaling pathways, it has not been known whether p12(I) has a role in modulating intracellular signaling pathways. This study demonstrated that p12(I) binds to the cytoplasmic domain of the interleukin-2 receptor (IL-2R) beta chain that is involved in the recruitment of the Jak1 and Jak3 kinases. As a result of this interaction, p12(I) increases signal transducers and activators of transcription 5 (STAT5) DNA binding and transcriptional activity and this effect depends on the presence of both IL-2R beta and gamma(c) chains and Jak3. Transduction of primary human peripheral blood mononuclear cells (PBMCs) with a human immunodeficiency virus type 1-based retroviral vector expressing p12(I) also resulted in increased STAT5 phosphorylation and DNA binding. However, p12(I) could increase proliferation of human PBMCs only after stimulation of T-cell receptors by treatment of cells with low concentrations of alphaCD3 and alphaCD28 antibodies. In addition, the proliferative advantage of p12(I)-transduced PBMCs was evident mainly at low concentrations of IL-2. Together, these data indicate that p12(I) may confer a proliferative advantage on HTLV-1-infected cells in the presence of suboptimal antigen stimulation and that this event may account for the clonal proliferation of infected T cells in vivo. (Blood. 2001;98:823-829)


Subject(s)
DNA-Binding Proteins/drug effects , Interleukin-2/pharmacology , Milk Proteins , Oncogene Proteins, Viral/pharmacology , T-Lymphocytes/virology , Trans-Activators/drug effects , Transcription Factors , Cell Culture Techniques , Cell Division/drug effects , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , Drug Synergism , HTLV-I Infections/metabolism , HTLV-I Infections/pathology , Humans , Protein Binding , Receptors, Interleukin-2/metabolism , STAT5 Transcription Factor , Signal Transduction/drug effects , T-Lymphocytes/cytology , T-Lymphocytes/drug effects , Trans-Activators/genetics , Trans-Activators/metabolism , Transcriptional Activation/drug effects , Viral Regulatory and Accessory Proteins
3.
J Virol ; 75(13): 6086-94, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11390610

ABSTRACT

Human T-cell leukemia virus type 1 (HTLV-1) establishes a persistent infection in the host despite a vigorous virus-specific immune response. Here we demonstrate that an HTLV-1-encoded protein, p12(I), resides in the endoplasmic reticulum (ER) and Golgi and physically binds to the free human major histocompatibility complex class I heavy chains (MHC-I-Hc) encoded by the HLA-A2, -B7, and -Cw4 alleles. As a result of this interaction, the newly synthesized MHC-I-Hc fails to associate with beta(2)-microglobulin and is retrotranslocated to the cytosol, where it is degraded by the proteasome complex. Targeting of the free MHC-I-Hc, and not the MHC-I-Hc-beta(2)-microglobulin complex, by p12(I) represents a novel mechanism of viral interference and disrupts the intracellular trafficking of MHC-I, which results in a significant decrease in surface levels of MHC-I on human T-cells. These findings suggest that the interaction of p12(I) with MHC-1-Hc may interfere with antigen presentation in vivo and facilitate escape of HTLV-1-infected cells from immune recognition.


Subject(s)
Histocompatibility Antigens Class I/metabolism , Oncogene Proteins, Viral/physiology , Transcription Factors , Biological Transport , Cysteine Endopeptidases/physiology , Endoplasmic Reticulum/metabolism , Golgi Apparatus/metabolism , HLA-A2 Antigen/metabolism , HLA-B7 Antigen/metabolism , HLA-C Antigens/metabolism , HeLa Cells , Humans , Multienzyme Complexes/physiology , Proteasome Endopeptidase Complex , Viral Regulatory and Accessory Proteins , beta 2-Microglobulin/metabolism
4.
AIDS Res Hum Retroviruses ; 16(16): 1777-81, 2000 Nov 01.
Article in English | MEDLINE | ID: mdl-11080826

ABSTRACT

Human T cell leukemia/lymphotropic virus types 1 and 2 are two immunologically and phylogenetically related retroviruses that differ in their pathogenicity in vivo. The overall genetic structure of HTLV-1 and -2 is similar. Each contains a unique region at the 3' end of the genome, designated the pX region. p12(I) is a membrane-associated protein encoded by the open reading frame I (ORF I) region of HTLV-1, which lies within the pX region. A corresponding protein, p10(I) is encoded by the ORF I region of HTLV-2 and an additional protein, p11(V), is encoded by ORF V, which overlaps the HTLV-2 ORF I region. As with HTLV-1, the small proteins encoded by the pX region of HTLV-2 appear to be dispensable for viral replication and cellular transformation in vitro. However, the small open reading frames of both viruses are important for viral replication in vivo, which suggests they may play an important role during the viral life cycle. This study was undertaken to investigate and compare the cellular targets of the p10(I), p11(V), and p12(I) putative proteins.


Subject(s)
Histocompatibility Antigens Class I/metabolism , Human T-lymphotropic virus 1/metabolism , Human T-lymphotropic virus 2/metabolism , Retroviridae Proteins/genetics , Retroviridae Proteins/metabolism , 3' Untranslated Regions/genetics , Cell Line, Transformed , HTLV-I Infections/virology , HTLV-II Infections/virology , HeLa Cells , Human T-lymphotropic virus 1/genetics , Human T-lymphotropic virus 1/pathogenicity , Human T-lymphotropic virus 2/genetics , Human T-lymphotropic virus 2/pathogenicity , Humans , Proton-Translocating ATPases/metabolism , Receptors, Interleukin-2/metabolism , T-Lymphocytes/virology
5.
J Virol ; 72(11): 8852-60, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9765430

ABSTRACT

Human T-cell lymphotropic/leukemia virus type 1 (HTLV-1) transforms human T cells in vitro, and Tax, a potent transactivator of viral and cellular genes, plays a key role in cell immortalization. Tax activity is mediated by interaction with cellular transcription factors including members of the CREB/ATF family, the NF-kappaB/c-Rel family, serum response factor, and the coactivators CREB binding protein-p300. Although p53 is usually not mutated in HTLV-1-infected T cells, its half-life is increased and its function is impaired. Here we report that transient coexpression of p53 and Tax results in the suppression of p53 transcriptional activity. Expression of Tax abrogates p53-induced G1 arrest in the Calu-6 cell line and prevents the apoptosis induced by overexpressing p53 in the HeLa/Tat cell line. The Tax mutants M22 and G148V, which selectively activate the CREB/ATF pathway, exert these same biological effects on p53 function. In contrast, the NF-kappaB-active Tax mutant M47 has no effect on p53 activity in any of these systems. Consistent with the negative effect of Tax on p53, no activity on a p53-responsive promoter was observed upon transfection of HTLV-1-infected T-cell lines. The p53 protein is expressed at high levels in the nucleus, and nuclear extracts of HTLV-1-infected T cells bind constitutively to a DNA oligonucleotide containing the p53 response element, indicating that Tax does not interfere with p53 binding to DNA. Tax is able to suppress the transactivation function of p53 in three different cell lines, and this suppression required Tax-mediated activation of the CREB/ATF, but not the NF-kappaB/c-Rel, pathway. Tax and the active Tax mutants were able to abrogate the G1 arrest and apoptosis induced by p53, and this effect does not correlate with an altered localization of nuclear p53 or with the disruption of p53-DNA complexes. The suppression of p53 activity by Tax could be important in T-cell immortalization induced by HTLV-1.


Subject(s)
Cyclic AMP Response Element-Binding Protein/physiology , Gene Products, tax/physiology , Human T-lymphotropic virus 1/pathogenicity , Transcription Factors/physiology , Tumor Suppressor Protein p53/physiology , Activating Transcription Factor 2 , Apoptosis , Base Sequence , Cell Cycle , Cell Line , Cell Nucleus/metabolism , Cell Transformation, Viral , Cyclic AMP Response Element-Binding Protein/genetics , DNA/metabolism , Gene Products, tax/genetics , Genes, pX , Human T-lymphotropic virus 1/genetics , Human T-lymphotropic virus 1/physiology , Humans , Jurkat Cells , Plasmids/genetics , Transcription Factors/genetics , Transcription, Genetic , Tumor Suppressor Protein p53/antagonists & inhibitors
6.
J Virol ; 70(6): 3599-605, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8648694

ABSTRACT

p12I is a small hydrophobic protein encoded by the human T-cell leukemia/lymphotropic virus type 1 (HTLV-1) that interacts with the 16-kDa component of the H+ vacuolar ATPase and cooperates with bovine papillomavirus 1 E5 oncoprotein in cell transformation. Just as an important step in E5 action appears to be its binding to the platelet-derived growth factor receptor, it was found that p12I binds specifically to both the beta and gamma(c) chains of the interleukin-2 receptor (IL-2R). The IL-2R beta and gamma(c) chains associated with p12I are endoglycosidase-H sensitive, suggesting that their interaction occurs in a pre-Golgi compartment. p12I stabilizes the immature forms of the IL-2R beta and gamma(c) chains and decreases their cell surface expression. The interactions of p12I with IL-2R beta and gamma(c) may have important implications in the immunosuppressive effect of HTLV-1 in vivo as well as in the ligand-independent HTLV-1-mediated T-cell proliferation.


Subject(s)
Human T-lymphotropic virus 1/chemistry , Receptors, Interleukin-2/metabolism , Retroviridae Proteins/metabolism , Golgi Apparatus/metabolism , HTLV-I Infections/immunology , HeLa Cells , Humans , Receptors, Interleukin-2/analysis
7.
J Gen Virol ; 76 ( Pt 8): 1909-16, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7636472

ABSTRACT

The p12I protein, a small hydrophobic protein encoded by the human T cell leukaemia/lymphotropic virus type I pX region, contains a proline-rich region located between two putative transmembrane (TM) domains. The p12I protein is associated with cellular endomembranes, and physically binds to the 16 kDa subunit of the vacuolar H+-ATPase proton pump. To investigate the nature of the 16 kDa and p12I interaction and to determine the oncogenic domain of p12I, we constructed p12I mutant proteins in which various portions of the TM domains were deleted, as well as p12I mutant containing a single amino acid substitution. These mutants were tested for binding to the 16 kDa subunit of the vacuolar H+-ATPase in HeLa/Tat cells and for the capability to potentiate transformation by bovine papillomavirus type 1 E5 oncoprotein in mouse C127 cells. The results indicated that both TM domains of the p12I protein were dispensable for its interaction with the 16 kDa protein, whereas partial or complete deletion of the proline-rich region resulted in decreased or no binding of the p12I protein to the 16 kDa subunit. Immunofluorescence analysis of HeLa/Tat cells transfected with the p12I mutants showed that deletion of the proline-rich region did not alter the subcellular localization of these mutant p12I proteins, suggesting direct involvement of the proline-rich domain in binding rather than the failure of these p12I mutants to reach the appropriate cellular compartment. Mapping of 16 kDa subunit mutants in binding with p12I protein suggested that molecular determinants located between the second and third TM domain of the 16 kDa protein might be involved in this interaction. Finally, most of the p12I mutants lost the ability to potentiate transformation of C127 cells indicating that binding of p12I to the 16 kDa subunit does not directly correlate with oncogenicity.


Subject(s)
Oncogene Proteins, Viral/metabolism , Proton-Translocating ATPases/metabolism , Transcription Factors , Animals , Base Sequence , Cell Transformation, Neoplastic , Cells, Cultured , HeLa Cells , Humans , Intracellular Membranes/metabolism , Mice , Molecular Sequence Data , Mutation/physiology , Oncogene Proteins, Viral/genetics , Proton-Translocating ATPases/chemistry , Vacuoles/enzymology , Viral Regulatory and Accessory Proteins
8.
AIDS Res Hum Retroviruses ; 11(8): 909-20, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7492438

ABSTRACT

Immunization schemes employing priming with vector-based vaccine candidates followed by subunit booster administrations have been explored and shown to have merit in the human immunodeficiency virus type 1 (HIV-1) and simian immunodeficiency virus systems. In this study, we have assessed the priming capacity of highly attenuated poxvirus vector (NYVAC and ALVAC)-based HIV-2 recombinants, as well as Salmonella typhimurium HIV-2 recombinants in rhesus macaques. ALVAC- and NYVAC-based vaccine candidates expressing the HIV-2 gag, pol, and env genes or NYVAC-based recombinants expressing either gp160 or gp120 were used to immunize rhesus macaques in combination protocols with alum-adjuvanted HIV-2 rgp160. Following intravenous challenge exposure with 100 infectious doses of the HIV-2SBL6669 parental virus genotype mixture, seven of eight animals were protected from infection. The seven protected animals were rechallenged 6 months postprimary challenge, without additional booster inoculations, with the same dose of the HIV-2SBL6669 parental virus. Five of the seven animals remained protected against HIV-2 infection at 6 months following the second challenge. In contrast, oral immunization with recombinant Salmonella expressing the HIV-2 gag and the gp120 portion of the envelope either alone or in combination with alum-adjuvanted rgp160 failed to confer protection. These results suggest that the NYVAC- and ALVAC-based recombinants may confer long-lasting protection and that these two highly attenuated poxvirus vaccine vectors may represent promising candidates for developing an acquired immunodeficiency syndrome vaccine.


Subject(s)
HIV Infections/prevention & control , HIV-2/immunology , Vaccines, Synthetic/therapeutic use , Viral Proteins/immunology , Amino Acid Sequence , Animals , Base Sequence , Genetic Vectors , HIV Infections/immunology , HIV-2/genetics , Humans , Macaca mulatta , Molecular Sequence Data , Poxviridae/genetics , Salmonella/genetics , Vaccines, Synthetic/genetics , Vaccines, Synthetic/immunology , Viral Proteins/genetics
9.
AIDS Res Hum Retroviruses ; 11(2): 307-13, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7742044

ABSTRACT

The entire envelope protein of the human T cell leukemia/lymphoma virus type I (HTLV-I)1711, obtained from the DNA of a West African healthy HTLV-I-infected patient, was expressed in the highly attenuated poxvirus vaccine vectors ALVAC and NYVAC. These live recombinant vaccine candidates were used to immunize New Zealand White rabbits. Immunization regimens included inoculation of the poxvirus recombinant alone as well as prime/boost protocols using gp63 HTLV-I envelope precursor protein in Alum as the subunit boost. All animals were exposed to an HTLV-I cell-associated challenge (5 x 10(4) cells) from a primary culture of the HTLV-IBOU isolate. The results indicated that two inoculations of the ALVAC-based HTLV-Ienv vaccine candidate protected animals against viral challenge 5 months following the last immunization. However, a combination protocol with ALVAC-env and two additional boosts of gp63 surprisingly failed to confer protection, suggesting that administration of the subunit preparation might be deleterious. Further, in the case of the NYVAC HTLV-Ienv recombinant, protection was afforded as early as 2 months following the first immunization. Last, all the protected animals in the NYVAC and ALVAC trials were challenged 5 months following the initial challenge exposure with 5 ml of blood from an HTLV-IBOU-infected animal, and subsequently became infected. Protection conferred by the attenuated HTLV-Ienv recombinant poxvirus vaccine in the rabbit model might be instrumental for optimizing the immunogenicity of poxvirus-based vaccine candidates against human immunodeficiency virus (HIV), particularly because of the need to enhance protection against cell-to-cell transmission.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Gene Products, env/immunology , Human T-lymphotropic virus 1/isolation & purification , T-Lymphocytes/virology , Vaccination , Viral Vaccines , Animals , Base Sequence , DNA Primers , Gene Products, env/genetics , HTLV-I Infections/prevention & control , Human T-lymphotropic virus 1/chemistry , Human T-lymphotropic virus 1/immunology , Humans , Immunity , Molecular Sequence Data , Rabbits , Recombinant Proteins/immunology , Time Factors , Vaccines, Synthetic
10.
J Virol ; 68(4): 2693-707, 1994 Apr.
Article in English | MEDLINE | ID: mdl-7908063

ABSTRACT

Homologous env sequences from 17 human T-leukemia/lymphotropic virus type I (HTLV-I) strains from throughout the world and from 25 simian T-leukemia/lymphotropic virus type I (STLV-I) strains from 12 simian species in Asia and Africa were analyzed in a phylogenetic context as an approach to resolving the natural history of these related retroviruses. STLV-I exhibited greater overall sequence variation between strains (1 to 18% compared with 0 to 9% for HTLV-I), supporting the simian origin of the modern viruses in all species. Three HTLV-I phylogenetic clusters or clades (cosmopolitan, Zaire, and Melanesia) were resolved with phenetic, parsimony, and likelihood analytical procedures. Seven phylogenetic clusters of STLV-I were resolved with the most primitive (deeply rooted) divergence involving several STLV-I strains from Asian primate species. Combined analysis of HTLV-I and STLV-I revealed that neither STLV-I clusters nor HTLV-I clusters recapitulated host species specificity; rather, multiple clades from the same species were closer to clades from other species than to each other. We interpret these evolutionary associations as support for the occurrence of multiple discrete interspecies transmissions of ancestral viruses between primate species (including human) that led to recognizable phylogenetic clades that persist in modern species. Geographic concordance of divergent host species that harbor closely related viruses reinforces that physical feasibility for hypothesized interspecies virus transmission in the past and in the present.


Subject(s)
Deltaretrovirus Infections/transmission , Genes, env/genetics , Haplorhini/microbiology , Human T-lymphotropic virus 1/classification , Simian T-lymphotropic virus 1/classification , Amino Acid Sequence , Animals , Cercopithecidae , Cloning, Molecular , Deltaretrovirus Infections/blood , Human T-lymphotropic virus 1/genetics , Humans , Molecular Sequence Data , Pan troglodytes , Phylogeny , Polymerase Chain Reaction , Sequence Alignment , Sequence Analysis , Sequence Homology, Amino Acid , Sequence Homology, Nucleic Acid , Simian T-lymphotropic virus 1/genetics , Species Specificity
12.
J Virol ; 67(4): 2360-6, 1993 Apr.
Article in English | MEDLINE | ID: mdl-8445734

ABSTRACT

Three protein isoforms are encoded by the human T-cell leukemia/lymphotropic virus type I pX region open reading frames (ORF) I and II through alternative splicing. Both the singly and doubly spliced mRNAs from ORF I encode a single 12-kDa protein (p12I), whereas two distinct proteins of 13 kDa (p13II) and 30 kDa (p30II) are encoded from the ORF II alternatively spliced mRNA. Because the p12I protein is very hydrophobic and poorly immunogenic, we genetically engineered its cDNA by adding a short stretch of amino acids from the highly immunogenic epitope HA1 of influenza virus or the AU1 epitope of bovine papillomavirus. The HA1 epitope was also added to the p13II and p30II proteins, albeit rabbit immune sera raised against synthetic peptides were also available. To determine in which cellular compartments these proteins reside, we transfected the tagged and wild-type cDNAs in HeLa/Tat cells and studied their localization by indirect immunofluorescence. The p12I protein was identified in the cellular endomembranes and, particularly, in the perinuclear area. p13II and p30II were found in the nuclei and nucleoli of the transfected cells, respectively. The presence of the HA1 epitope at the carboxy terminus of p13II and p30II did not interfere with their cellular localization, since the rabbit immune sera demonstrated their presence in the same cellular compartments when the untagged proteins were expressed. The defined localization of these proteins in specific cellular compartments warrants further study of their function.


Subject(s)
Genes, pX , Human T-lymphotropic virus 1/metabolism , Retroviridae Proteins/metabolism , Alternative Splicing , Amino Acid Sequence , Base Sequence , Cell Compartmentation , Fluorescent Antibody Technique , HTLV-I Antigens/metabolism , HeLa Cells , Humans , In Vitro Techniques , Molecular Sequence Data , Open Reading Frames , Recombinant Proteins/metabolism
13.
J Virol Methods ; 21(1-4): 301-4, 1988 Sep.
Article in English | MEDLINE | ID: mdl-2972736

ABSTRACT

HSB-2 cell cultures productively infected with human herpesvirus-6 were treated with the antiviral drugs phosphonoformic acid (PFA), acyclovir (ACV), and gancyclovir (DHPG). ACV and DHPG showed significant toxic effects on uninfected HSB-2 cells, yet only incompletely inhibited viral expression upon infection of the cells. PFA, however, showed little direct toxicity on HSB-2 cells while viral replication was inhibited significantly.


Subject(s)
Antiviral Agents/pharmacology , Herpesviridae/drug effects , Organophosphorus Compounds/pharmacology , Phosphonoacetic Acid/pharmacology , Acyclovir/analogs & derivatives , Acyclovir/pharmacology , Cell Line , Foscarnet , Ganciclovir , Humans , Phosphonoacetic Acid/analogs & derivatives
14.
Cancer Res ; 38(4): 1085-91, 1978 Apr.
Article in English | MEDLINE | ID: mdl-416906

ABSTRACT

With an L1210 tumor vaccine model, three biological and two chemical agents were tested for their ability to act as adjuvants. Adjuvant was administered with irradiated L1210 cells to immunize mice against this poorly immunogenic tumor. Two chemicals, pyran copolymer and glucan, and one biological, Brucella abortus strain 456 ether extract, were shown to be strong stimulators of antitumor immunity. Vaccination with irradiated tumor cells or adjuvant alone did not produce host resistance. Optimal immunity to challenge was produced by concomitant administration of either pyran copolymer, glucan, or B. abortus strain 456 ether extract with L1210 vaccine. Antitumor immunity was maximally expressed when vaccine and adjuvant were administered i.p. Evidence for systemic immunity was demonstrated when challenge was at a distal s.c. site. Mice immune to challenge were found to be refractory to a later rechallenge.


Subject(s)
Adjuvants, Immunologic , Antigens, Neoplasm/administration & dosage , Brucella abortus/immunology , Leukemia L1210/therapy , Polymers/pharmacology , Polysaccharides/pharmacology , Pyran Copolymer/pharmacology , Animals , Immunotherapy , Injections, Intraperitoneal , Interferons/pharmacology , Leukemia L1210/immunology , Male , Mice , Mice, Inbred BALB C , Mice, Inbred DBA , Staphylococcus aureus/immunology
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