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1.
Int J Syst Evol Microbiol ; 56(Pt 6): 1427-1437, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16738124

ABSTRACT

Penicillium jamesonlandense is a novel species from Greenland that grows exceptionally slowly at 25 degrees C and has an optimum temperature for growth of 17-18 degrees C. The novel species is more psychrotolerant than any other Penicillium species described to date. Isolates of this novel species produce a range of secondary metabolites with a high chemical diversity, represented by kojic acid, penicillic acid, griseofulvin, pseurotin, chrysogine, tryptoquivalins and cycloaspeptide. Penicillium ribium, another novel psychrotolerant species from the Rocky Mountains, Wyoming, USA, produces asperfuran, kojic acid and cycloaspeptide. Originally reported from an unidentified Aspergillus species isolated from Nepal, cycloaspeptide A is reported here for the first time from the two novel Penicillium species and two known psychrotolerant species with high chemical diversity, Penicillium soppii and Penicillium lanosum. All species, except P. ribium, produce a combination of cycloaspeptide and griseofulvin. However, P. ribium (3/5 strains) produced the precursor to griseofulvin, norlichexanthone. The type strain of Penicillium jamesonlandense sp. nov. is DAOM 234087(T) (=IBT 21984(T) = IBT 24411(T) = CBS 102888(T)) and the type strain of Penicillium ribium sp. nov. is DAOM 234091(T) (=IBT 16537(T) = IBT 24431(T)).


Subject(s)
Penicillium/classification , Penicillium/genetics , Peptides, Cyclic/genetics , Genetic Variation , Molecular Sequence Data , Penicillium/growth & development , Penicillium/isolation & purification , Phylogeny , Soil Microbiology
2.
Appl Microbiol Biotechnol ; 66(4): 367-72, 2005 Jan.
Article in English | MEDLINE | ID: mdl-15565335

ABSTRACT

Fungal metabolites (mycotoxins) that pose a health hazard to humans and animals have long been known to be associated with mold-contaminated food and feed. In recent times, concerns have been raised about exposures to mycotoxin-producing fungi in indoor environments, e.g., damp homes and buildings. The principal mycotoxins that contaminate food and feed (alfatoxins, fumonisins, ochratoxin A, deoxynivalenol, zearalenone) are rarely if ever found in indoor environments, but their toxicological properties provide an insight into the difficulties of assessing the health effects of related mycotoxins produced by indoor molds. Although the Penicillium and Aspergillus genera of fungi are major contaminants of both food and feed products and damp buildings, the particular species and hence the array of mycotoxins are quite different in these environments. The mycotoxins of these indoor species and less common mycotoxins from Stachybotrys and Chaetomium fungi are discussed in terms of their health effects and the need for relevant biomarkers and long-term chronic exposure studies.


Subject(s)
Air Pollution, Indoor/analysis , Mycotoxins/toxicity , Air Microbiology , Air Pollutants/chemistry , Air Pollutants/toxicity , Animals , Environmental Exposure , Fungi/chemistry , Fungi/pathogenicity , Humans , Mycotoxins/chemistry
3.
Infect Immun ; 72(1): 176-86, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14688095

ABSTRACT

Initial host defense to bacterial infection is executed by innate immunity, and therefore the main goal of this study was to examine the contribution of Toll-like receptors (TLRs) during Brucella abortus infection. CHO reporter cell lines transfected with CD14 and TLRs showed that B. abortus triggers both TLR2 and TLR4. In contrast, lipopolysaccharide (LPS) and lipid A derived from Brucella rough (R) and smooth (S) strains activate CHO cells only through TLR4. Consistently, macrophages from C3H/HePas mice exposed to R and S strains and their LPS produced higher levels of tumor necrosis factor alpha (TNF-alpha) and interleukin-12 compared to C3H/HeJ, a TLR4 mutant mouse. The essential role of TLR4 for induction of proinflammatory cytokines was confirmed with diphosphoryl lipid A from Rhodobacter sphaeroides. Furthermore, to determine the contribution of TLR2 and TLR4 in bacterial clearance, numbers of Brucella were monitored in the spleen of C3H/HeJ, C3H/HePas, TLR2 knockout, and wild-type mice at 1, 3, and 6 weeks following B. abortus infection. Interestingly, murine brucellosis was markedly exacerbated at weeks 3 and 6 after infection in animals that lacked functional TLR4 (C3H/HeJ) compared to C3H/HePas that paralleled the reduced gamma interferon production by this mouse strain. Finally, by mass spectrometry analysis we found dramatic differences on the lipid A profiles of R and S strains. In fact, S lipid A was shown to be more active to trigger TLR4 than R lipid A in CHO cells and more effective in inducing dendritic cell maturation. In conclusion, these results indicate that TLR4 plays a role in resistance to B. abortus infection and that S lipid A has potent adjuvant activity.


Subject(s)
Brucella abortus/pathogenicity , Brucellosis/immunology , Immunity, Cellular , Membrane Glycoproteins/metabolism , Receptors, Cell Surface/metabolism , Signal Transduction , Animals , Brucella abortus/immunology , Brucellosis/microbiology , CHO Cells/immunology , Cricetinae , Dendritic Cells/immunology , Flow Cytometry , Lipid A/pharmacology , Lipopolysaccharides/pharmacology , Macrophages/immunology , Mice , Mice, Inbred BALB C , Mice, Inbred C3H , Spleen/microbiology , Toll-Like Receptor 2 , Toll-Like Receptor 4 , Toll-Like Receptors
4.
Med Mycol ; 41(4): 271-91, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12964721

ABSTRACT

This is a review of the literature of associations of the saprotrophic fungus Stachybotrys chartarum sensu lato with human and animal illnesses. This fungus grows on very wet cellulose-based building materials. S. chartarum has been the subject of considerable media attention because of temporal associations of exposure with unexpected and dramatic outcomes such as infant pulmonary hemosiderosis and neurocognitive damage. It is generally accepted that living or working in mouldy environments is associated with building related asthma, exacerbating asthma in mould-sensitive asthmatics and increased rates of upper respiratory disease. However, such relationships are with building-associated moulds, comprising many species that colonize wet or damp building materials, and are not specific to S. chartarum. There is limited evidence that severe lung damage can occur from building exposure to S. chartarum but possibly only under conditions of exposure that approach those associated with handling contaminated straw. There is no positive evidence in the literature to account for putative neurological damage resulting from exposure to this mould.


Subject(s)
Allergens/adverse effects , Mycoses/microbiology , Mycoses/physiopathology , Mycotoxins/adverse effects , Stachybotrys/pathogenicity , Animals , Humans , Hypersensitivity/etiology , Lung Diseases, Fungal/microbiology , Lung Diseases, Fungal/physiopathology , Mice , Mice, Inbred BALB C , Mycoses/veterinary , Public Health
5.
Phytochemistry ; 64(1): 53-60, 2003 Sep.
Article in English | MEDLINE | ID: mdl-12946405

ABSTRACT

Stachybotrys chartarum, a fungus found in damp buildings and sometimes ascribed a role in building-related illnesses, produces a variety of secondary metabolites including trichothecenes, triprenylated phenolics, and a new class of diterpenoids called atranones. A related fungus, Memnoniella echinata also produces trichothecenes and the triprenylated phenolics. Herein the production of these compounds from cultures of the above are reviewed.


Subject(s)
Stachybotrys/metabolism , Air Pollution, Indoor , Diterpenes/chemistry , Diterpenes/metabolism , Mitosporic Fungi/metabolism , Phenols/chemistry , Phenols/metabolism , Phenols/pharmacology , Sick Building Syndrome , Trichothecenes/biosynthesis , Trichothecenes/chemistry , Trichothecenes/pharmacology
6.
Proc Natl Acad Sci U S A ; 100(15): 8951-6, 2003 Jul 22.
Article in English | MEDLINE | ID: mdl-12847292

ABSTRACT

The interbacterial communication system known as quorum sensing (QS) utilizes hormone-like compounds referred to as autoinducers to regulate bacterial gene expression. Enterohemorrhagic Escherichia coli (EHEC) serotype O157:H7 is the agent responsible for outbreaks of bloody diarrhea in several countries. We previously proposed that EHEC uses a QS regulatory system to "sense" that it is within the intestine and activate genes essential for intestinal colonization. The QS system used by EHEC is the LuxS/autoinducer 2 (AI-2) system extensively involved in interspecies communication. The autoinducer AI-2 is a furanosyl borate diester whose synthesis depends on the enzyme LuxS. Here we show that an EHEC luxS mutant, unable to produce the bacterial autoinducer, still responds to a eukaryotic cell signal to activate expression of its virulence genes. We have identified this signal as the hormone epinephrine and show that beta- and alpha-adrenergic antagonists can block the bacterial response to this hormone. Furthermore, using purified and in vitro synthesized AI-2 we showed that AI-2 is not the autoinducer involved in the bacterial signaling. EHEC produces another, previously undescribed autoinducer (AI-3) whose synthesis depends on the presence of LuxS. These results imply a potential cross-communication between the luxS/AI-3 bacterial QS system and the epinephrine host signaling system. Given that eukaryotic cell-to-cell signaling typically occurs through hormones, and that bacterial cell-to-cell signaling occurs through QS, we speculate that QS might be a "language" by which bacteria and host cells communicate.


Subject(s)
Bacterial Proteins/physiology , Escherichia coli O157/physiology , Escherichia coli O157/pathogenicity , Homoserine/analogs & derivatives , Homoserine/physiology , Phosphoproteins , Bacterial Proteins/genetics , Carbon-Sulfur Lyases , Epinephrine/metabolism , Escherichia coli Infections/etiology , Escherichia coli Infections/metabolism , Escherichia coli Infections/microbiology , Escherichia coli O157/genetics , Escherichia coli Proteins/genetics , Escherichia coli Proteins/physiology , Gene Expression Regulation, Bacterial , Genes, Bacterial , HeLa Cells , Homoserine/genetics , Humans , In Vitro Techniques , Lactones , Mutation , Signal Transduction , Virulence/genetics , Virulence/physiology
7.
J Toxicol Environ Health A ; 66(4): 379-91, 2003 Feb 28.
Article in English | MEDLINE | ID: mdl-12554543

ABSTRACT

The satratoxins and other macrocyclic trichothecene mycotoxins are produced by Stachybotrys, a mold that is often found in water-damaged dwellings and office buildings. To test the potential immunomodulatory effects of these mycotoxins, RAW 264.7 murine macrophage cells were treated with various concentrations of satratoxin G (SG), isosatratoxin F (iSF), satratoxin H (SH), roridin A (RA), and verrucarin A (VA) for 48 h in the presence or absence of suboptimal concentra-tion of lipopolysaccharide (LPS, 50 ng/ml), and tumor necrosis factor-alpha (TNF-alpha ) and interleukin-6 (IL-6) production were assayed by enzyme-linked immunosorbent assay (ELISA). In LPS-stimulated cultures, TNF-alpha supernatant concentrations were significantly increased in the presence of 2.5, 2.5, and 1 ng/ml of SG, SH, and RA, respectively, whereas IL-6 concentrations were not affected by the same concentrations these macrocyclic trichothecenes. When cells that were treated with LPS and SG (2.5 ng/ml) were evaluated by real-time polymerase chain reaction (PCR),TNF-alpha mRNA was found to increase at 24, 36, and 48 h compared to control cells. At higher concentrations, cytokine production and cell viability were markedly impaired in LPS-stimulated cells. Without LPS stimulation, neither TNF-alpha, nor IL-6 was induced. These results indicate that low concentrations of macrocyclic trichothecenes superinduce expression of TNF-alpha, whereas higher concentrations of these toxins are cytotoxic and concurrently reduce cytokine production. The capacity of satratoxins and other macrocyclic trichothecenes to alter cytokine production may play an etiologic role in outbreaks of Stachybotrys-associated human illnesses.


Subject(s)
Interleukin-6/analysis , Lipopolysaccharides/adverse effects , Macrophage Activation/drug effects , Macrophages/drug effects , Macrophages/immunology , Trichothecenes/toxicity , Tumor Necrosis Factor-alpha/analysis , Analysis of Variance , Animals , Cell Line , Enzyme-Linked Immunosorbent Assay , Humans , Inflammation/immunology , Interleukin-6/immunology , Lipopolysaccharides/immunology , Lung Diseases, Fungal/immunology , Lung Diseases, Fungal/microbiology , Macrophage Activation/immunology , Mice , Polymerase Chain Reaction , Stachybotrys , Trichothecenes/chemistry , Tumor Necrosis Factor-alpha/immunology
8.
Toxicol Mech Methods ; 13(4): 247-52, 2003.
Article in English | MEDLINE | ID: mdl-20021149

ABSTRACT

Although satratoxin G (SG) is the primary macrocyclic trichothecene produced by Stachybotrys chartarum, a fungus frequently associated with outbreaks of indoor air illness, little is known about the actual quantities of this mycotoxin in suspect or normal building environments. Using antibodies produced against an SG hemisuccinate-bovine serum albumin conjugate, we devised an enzyme-linked immunosorbent assay that enabled the detection of as little as 100 pg/mL of SG and that could also detect other members of the satratoxin family. Detection by this assay of satratoxins in methanolic extracts of S. chartarum in rice cultures was comparable to that of high-performance liquid chromatography, indicating that this assay will be useful in detecting SG and other satratoxins in environmental samples.

9.
Mycologia ; 95(6): 1227-38, 2003.
Article in English | MEDLINE | ID: mdl-21149024

ABSTRACT

Twenty-five Stachybotrys isolates from two previous studies have been examined and compared, using morphological, chemical and phylogenetic methods. The results show that S. chartarum sensu lato can be segregated into two chemotypes and one new species. The new species, S. chlorohalonata, differs morphologically from S. chartarum by having smooth conidia, being more restricted in growth and producing a green extracellular pigment on the medium CYA. S. chlorohalonata and S. chartarum also have different tri5, chs1 and tub1 gene fragment sequences. The two chemotypes of S. chartarum, chemotype S and chemotype A, have similar morphology but differ in production of metabolites. Chemotype S produces macrocyclic trichothecenes, satratoxins and roridins, while chemotype A produces atranones and dolabellanes. There is no difference between the two chemotypes in the tub1 gene fragment, but there is a one nucleotide difference in each of the tri5 and the chs1 gene fragments.

10.
Arch Environ Health ; 58(8): 479-83, 2003 Aug.
Article in English | MEDLINE | ID: mdl-15259427

ABSTRACT

Mycotoxins are fungal metabolites that pose a health risk to exposed animals and humans. In recent years, concern has mounted regarding human exposure to mycotoxins via inhalation of mold spores produced in damp buildings and homes. Although mycotoxins can be detected in such buildings, reliable means for measuring an occupant's level of exposure to most mycotoxins are lacking. The author briefly reviews the chemical methods currently available for mycotoxin analysis, outlining accepted practices and discussing the limitations of these measurements.


Subject(s)
Air Pollution, Indoor/analysis , Environmental Monitoring/methods , Inhalation Exposure/analysis , Mycological Typing Techniques/methods , Mycotoxins/analysis , Mycotoxins/chemistry , Air Pollution, Indoor/adverse effects , Antibodies, Fungal/analysis , Antibodies, Fungal/blood , Antibodies, Fungal/immunology , Environmental Illness/diagnosis , Environmental Illness/etiology , Environmental Illness/immunology , Forecasting , Humans , Immunoassay/methods , Immunoassay/trends , Inhalation Exposure/adverse effects , Mycological Typing Techniques/trends , Mycotoxins/immunology , Mycotoxins/isolation & purification , Mycotoxins/metabolism , Mycotoxins/poisoning , Sick Building Syndrome/diagnosis , Sick Building Syndrome/etiology , Sick Building Syndrome/immunology
11.
Infect Immun ; 70(12): 7165-8, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12438403

ABSTRACT

The intracellular, gram-negative pathogen Brucella abortus establishes chronic infections in host macrophages while downregulating cytokines such as tumor necrosis factor alpha (TNF-alpha). When producing TNF-alpha, Brucella abortus rough lipopolysaccharide (LPS) activates the same mitogen-activated protein kinase signaling pathways (ERK and JNK) as Escherichia coli LPS, but Brucella LPS is a much less potent agonist.


Subject(s)
Brucella abortus/immunology , Brucella abortus/pathogenicity , Escherichia coli/immunology , Lipopolysaccharides/immunology , Mitogen-Activated Protein Kinases/metabolism , Signal Transduction , Tumor Necrosis Factor-alpha/metabolism , Animals , Cell Line , Down-Regulation , Enzyme Activation , Macrophages/microbiology , Mice
12.
Mycopathologia ; 154(4): 201-5, 2002.
Article in English | MEDLINE | ID: mdl-12206322

ABSTRACT

The metabolite profiles of 20 Stachybotrys spp. isolates from Finnish water-damaged buildings were compared with their biological activities. Effects of purified compounds on cytotoxicity and production of inflammatory mediators such as nitric oxide, IL-6 and TNFalpha in murine RAW264.7 macrophage cells were studied. The 11 isolates belonging to the satratoxin-producing chemotype were highly cytotoxic to the macrophages. The isolates inducing inflammatory mediators all belonged to the atranone-producing chemotype, but pure atranones B, and D did not elicit a response in the bioassay. Altogether, cytotoxicity of Stachybotrys sp. isolates appear to be related to satratoxin production whereas the specific component inducing inflammatory responses in atranone-producing isolates remains obscure.


Subject(s)
Cytokines/metabolism , Macrophages/metabolism , Nitric Oxide/biosynthesis , Stachybotrys/metabolism , Trichothecenes/biosynthesis , Air Microbiology , Air Pollution, Indoor/adverse effects , Animals , Cell Line , Cell Survival , Macrophages/microbiology , Mice , Stachybotrys/physiology , Tumor Necrosis Factor-alpha/metabolism , Water
13.
Mycopathologia ; 154(1): 41-9, 2002.
Article in English | MEDLINE | ID: mdl-12041871

ABSTRACT

As part of our effort to investigate fungi associated with soybean roots, Stachybotrys chartarum was isolated from soybean root lesions. Since this fungus has not been reported to cause a disease of soybean, the objectives were to identify and characterize this fungus using biological, chemical, and molecular approaches. Fungal morphology was examined using light and environmental scanning electron microscopy. Phialides bearing conidia arose from determinate, macronematous, dark olivaceous conidiophores. The phialides were obovate or ellipsoidal in whorls. Conidia were unicellular, round or ellipsoidal, 5-13 x 4-7 microm, initially hyaline with smooth walls then dark brown to black and rough-walled when mature. Radial growth of the fungus on cornmeal, oatmeal and potato dextrose agar was 38, 47, and 33 mm in diam., respectively, after 10 days at 25 degrees C. Pathogenicity was performed using sorghum grain colonized by S. chartarum placed below sown soybean seeds in a soil: sand (1:1) steam-pasteurized mix. Three weeks after inoculation, root lesions ranged from 7 to 25 mm long. The fungus was reisolated from soybean root lesions and was reidentified as S. chartarum. Biochemical analysis indicated that this soybean isolate produced satratoxins G and H along with roridin L-2, as well as the spircyclic lactones and lactams in rice culture. PCR using a S. chartarum-specific primer StacR3 and IT51 amplified a 198-bp DNA fragment from the total genomic DNA. The DNA sequence of the ITS region was 100% identical to the S. chartarum strain ATCC 9182, one nucleotide mismatch with S. chartarum strain UAMH 7900, and differed from all published sequences of 12 other species of Stachybotrys and 2 species of Memnoniella in GenBank with genetic divergence ranging from 5.26 to 9.98%. This molecular evidence further supports the identification of S. chartarum isolated from soybean root lesions.


Subject(s)
Glycine max/microbiology , Plant Roots/microbiology , Stachybotrys/isolation & purification , Chromatography, High Pressure Liquid , DNA, Fungal/analysis , DNA, Fungal/genetics , Microscopy, Electron, Scanning , Mycotoxins/biosynthesis , Polymerase Chain Reaction , Stachybotrys/classification , Stachybotrys/genetics , Stachybotrys/pathogenicity , Virulence
14.
Adv Exp Med Biol ; 504: 43-52, 2002.
Article in English | MEDLINE | ID: mdl-11922098

ABSTRACT

There is increasing evidence of health risks associated with damp buildings and homes in which high levels of microbes are found. Although concerns have traditionally centered on microbial pathogens and allergenic effects, recent work has suggested that fungi pose the more serious risk. Evidence is accumulating that certain toxigenic molds are particularly a risk for human health through exposure, via inhalation, of fungal spores. Many of these fungi produce toxins (mycotoxins) some of which have been shown to cause animal and human intoxications, usually in an agricultural setting. The fungus, Stachybotrys chartarum (S. atra) is considered to be one of the more serious threats to people living and working in water-damaged buildings. This mold has a long history of being responsible for animal toxicoses, and in recent years, being associated with infant pulmonary hemosiderosis (bleeding in the lungs) of infants exposed to spores of this fungus in their homes. S. atra produces a variety of potent toxins and immunosuppressant agents, including a novel class of diterpenes (atranones) of unusual structure. More research is needed to determine the impact to health resulting from inhalation of toxigenic mold spores.


Subject(s)
Environment , Environmental Pollution/adverse effects , Fungi/physiology , Mycotoxins/toxicity , Animals , Fungi/chemistry , Humans , Humidity , Mycotoxins/chemistry
15.
Mycologia ; 94(3): 392-403, 2002.
Article in English | MEDLINE | ID: mdl-21156510

ABSTRACT

Stachybotrys was found to be associated with idiopathic pulmonary hemorrhage in infants in Cleveland, Ohio. Since that time, considerable effort has been put into finding the toxic components responsible for the disease. The name Stachybotrys chartarum has been applied to most of these isolates, but inconsistent toxicity results and taxonomic confusion prompted the present study. In this study, 122 Stachybotrys isolates, mainly from water-damaged buildings, were characterized and identified by combining three different approaches: morphology, colony characteristics, and metabolite production. Two different Stachybotrys taxa, S. chartarum and one undescribed species, were found in water-damaged buildings regardless of whether the buildings were in Denmark, Finland, or the USA. Furthermore, two chemotypes could be distinguished in S. chartarum. One chemotype produced atranones, whereas the other was a macrocyclic trichothecene-producer. The second undescribed taxon produced atranones and could be differentiated from S. chartarum by its growth characteristics and pigment production. Our results correlate with different inflammatory and toxicological properties reported for these same isolates and show that the three taxa/chemotypes should be treated separately. The co-occurrence of these three taxa/chemotypes in water-damaged buildings explains the inconsistent results in the literature concerning toxicity of Stachybotrys isolated from that environment.

16.
Pesqui. vet. bras ; 18(2): 69-75, abr.-jun. 1998. ilus, tab
Article in Portuguese | LILACS | ID: lil-361970

ABSTRACT

Treze terneiros receberam Baccharis coridifolia recém-colhida ou dessecada, em doses únicas que variaram entre 0,5 e 5g/kg. Um terneiro recebeu quatro administrações diárias de 0,5g/kg da planta dessecada. Dois terneiros não receberam a planta e serviram como controles. A planta foi colhida mensalmente de julho de 1991 a maio de 1992 e em março de 1993, e foi analisada para seu conteúdo em tricotecenos macrocíclicos. Quando em floração, as amostras dos espécimes macho e fêmea da planta foram analisadas e administradas aos terneiros separadamente. Os níveis de tricotecenos macrocíclicos e seus glicosídeos foram muito maiores nas plantas fêmeas em floração do que os níveis observados nas plantas não em floração e nas plantas machos em floração. Dez bovinos morreram espontaneamente ou foram sacrificados devido à toxicose. Dois terneiros que receberam a planta fêmea em floração, adoeceram e morreram, enquanto que três terneiros que receberam a planta macho em floração não adoeceram. Os sinais clínicos nos terneiros intoxicados foram anorexia, desidratação, atonia ruminal, tensão e dores abdominais, diarréia líquida, focinho seco, instabilidade dos membros posteriores e decúbito esternal. Os achados patológicos incluiram lesões necróticas no tubo gastrintestinal, particularmente nos pré-estômagos, e nos tecidos linfóides com exceção do timo. Esse último achado sugere um efeito sobre as células B do tecido linfóide. A distribuição das lesões nos sistemas digestivo e linfóide foi sistematicamente determinada. Conclui-se que os tricotecenos macrocíclicos presentes na planta são responsáveis pelas lesões observadas na toxicose e que a planta fêmea em floração é substâncialmente mais tóxica que a planta macho em floração ou das plantas que não estão em floração. Essa diferença em toxicidade é devida à diferença no conteúdo de tricotecenos macrocíclicos


Subject(s)
Animals , Male , Cattle , Asteraceae , Cattle Diseases , Digestive System , Disease Models, Animal
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