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1.
PLoS Pathog ; 5(7): e1000384, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19649323

RESUMO

Although most viral infections cause minor, if any, symptoms, a certain number result in serious illness. Viral disease symptoms result both from direct viral replication within host cells and from indirect immunopathological consequences. Dendritic cells (DCs) are key determinants of viral disease outcome; they activate immune responses during viral infection and direct T cells toward distinct T helper type responses. Certain viruses are able to skew cytokine secretion by DCs inducing and/or downregulating the immune system with the aim of facilitating and prolonging release of progeny. Thus, the interaction of DCs with viruses most often results in the absence of disease or complete recovery when natural functions of DCs prevail, but may lead to chronic illness or death when these functions are outmanoeuvred by viruses in the exploitation of DCs.


Assuntos
Células Dendríticas/imunologia , Viroses/imunologia , Vírus/patogenicidade , Animais , Células Dendríticas/virologia , Interações Hospedeiro-Patógeno , Humanos , Viroses/virologia
2.
Retrovirology ; 5: 33, 2008 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-18416857

RESUMO

Immunotherapy of feline immunodeficiency virus (FIV)-infected cats with monocyte-derived dendritic cells (MDCs) loaded with aldrithiol-2 (AT2)-inactivated homologous FIV was performed. Although FIV-specific lymphoproliferative responses were markedly increased, viral loads and CD4+ T cell depletion were unaffected, thus indicating that boosting antiviral cell-mediated immunity may not suffice to modify infection course appreciably.


Assuntos
Células Dendríticas/virologia , Síndrome de Imunodeficiência Adquirida Felina/terapia , Vírus da Imunodeficiência Felina/imunologia , Imunoterapia/métodos , Vacinas Virais/administração & dosagem , Animais , Linfócitos T CD4-Positivos/citologia , Gatos , Proliferação de Células , Síndrome de Imunodeficiência Adquirida Felina/imunologia , Síndrome de Imunodeficiência Adquirida Felina/virologia , Imunidade Celular , Vírus da Imunodeficiência Felina/fisiologia , Vacinas de Produtos Inativados/administração & dosagem , Vacinas de Produtos Inativados/imunologia , Carga Viral , Vacinas Virais/imunologia
3.
Clin Vaccine Immunol ; 15(3): 452-9, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18216184

RESUMO

Dendritic cells are the only antigen-presenting cells that can present exogenous antigens to both helper and cytolytic T cells and prime Th1-type or Th2-type cellular immune responses. Given their unique immune functions, dendritic cells are considered attractive "live adjuvants" for vaccination and immunotherapy against cancer and infectious diseases. The present study was carried out to assess whether the reinjection of autologous monocyte-derived dendritic cells loaded with an aldithriol-2-inactivated primary isolate of feline immune deficiency virus (FIV) was able to elicit protective immune responses against the homologous virus in naive cats. Vaccine efficacy was assessed by monitoring immune responses and, finally, by challenge with the homologous virus of vaccinated, mock-vaccinated, and healthy cats. The outcome of challenge was followed by measuring cellular and antibody responses and viral and proviral loads and quantitating FIV by isolation and a count of CD4(+)/CD8(+) T cells in blood. Vaccinated animals exhibited clearly evident FIV-specific peripheral blood mononuclear cell proliferation and antibody titers in response to immunization; however, they became infected with the challenge virus at rates comparable to those of control animals.


Assuntos
Células Dendríticas/imunologia , Células Dendríticas/virologia , Síndrome de Imunodeficiência Adquirida Felina/prevenção & controle , Vírus da Imunodeficiência Felina/imunologia , Vacinas de Produtos Inativados , Vacinas Virais , Animais , Anticorpos Antivirais/sangue , Gatos , Células Dendríticas/citologia , Síndrome de Imunodeficiência Adquirida Felina/imunologia , Síndrome de Imunodeficiência Adquirida Felina/fisiopatologia , Síndrome de Imunodeficiência Adquirida Felina/virologia , Feminino , Vírus da Imunodeficiência Felina/isolamento & purificação , Vírus da Imunodeficiência Felina/patogenicidade , Leucócitos Mononucleares/imunologia , Ativação Linfocitária , Monócitos/citologia , Organismos Livres de Patógenos Específicos , Vacinas de Produtos Inativados/administração & dosagem , Vacinas de Produtos Inativados/imunologia , Vacinas Virais/administração & dosagem , Vacinas Virais/imunologia
4.
Retrovirology ; 4: 79, 2007 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-17971219

RESUMO

BACKGROUND: Treatment of feline immunodeficiency virus (FIV) infection has been hampered by the absence of a specific combination antiretroviral treatment (ART). Integrase strand transfer inhibitors (INSTIs) are emerging as a promising new drug class for HIV-1 treatment, and we evaluated the possibility of inhibiting FIV replication using INSTIs. METHODS: Phylogenetic analysis of lentiviral integrase (IN) sequences was carried out using the PAUP* software. A theoretical three-dimensional structure of the FIV IN catalytic core domain (CCD) was obtained by homology modeling based on a crystal structure of HIV-1 IN CCD. The interaction of the transferred strand of viral DNA with the catalytic cavity of FIV IN was deduced from a crystal structure of a structurally similar transposase complexed with transposable DNA. Molecular docking simulations were conducted using a genetic algorithm (GOLD). Antiviral activity was tested in feline lymphoblastoid MBM cells acutely infected with the FIV Petaluma strain. Circular and total proviral DNA was quantified by real-time PCR. RESULTS: The calculated INSTI-binding sites were found to be nearly identical in FIV and HIV-1 IN CCDs. The close similarity of primate and feline lentivirus IN CCDs was also supported by phylogenetic analysis. In line with these bioinformatic analyses, FIV replication was efficiently inhibited in acutely infected cell cultures by three investigational INSTIs, designed for HIV-1 and belonging to different classes. Of note, the naphthyridine carboxamide INSTI, L-870,810 displayed an EC50 in the low nanomolar range. Inhibition of FIV integration in situ was shown by real-time PCR experiments that revealed accumulation of circular forms of FIV DNA within cells treated with L-870,810. CONCLUSION: We report a drug class (other than nucleosidic reverse transcriptase inhibitors) that is capable of inhibiting FIV replication in vitro. The present study helped establish L-870,810, a compound successfully tested in human clinical trials, as one of the most potent anti-FIV agents ever tested in vitro. This finding may provide new avenues for treating FIV infection and contribute to the development of a small animal model mimicking the effects of ART in humans.


Assuntos
Síndrome de Imunodeficiência Adquirida Felina/virologia , Vírus da Imunodeficiência Felina/efeitos dos fármacos , Inibidores de Integrase/farmacologia , Sequência de Aminoácidos , Animais , Domínio Catalítico/genética , Gatos , Linhagem Celular Tumoral , Feminino , Vírus da Imunodeficiência Felina/química , Vírus da Imunodeficiência Felina/fisiologia , Integrases/química , Integrases/genética , Modelos Moleculares , Dados de Sequência Molecular , Naftiridinas/farmacologia , Alinhamento de Sequência , Proteínas Virais/química , Integração Viral/efeitos dos fármacos , Replicação Viral/efeitos dos fármacos
5.
J Virol ; 81(19): 10474-85, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17634241

RESUMO

A more or less pronounced resistance to superinfection by a second strain of the infecting virus has been observed in many lentivirus-infected hosts. We used a chimeric feline immunodeficiency virus (FIV), designated FIVchi, containing a large part of the env gene of a clade B virus (strain M2) and all the rest of the genome of a clade A virus (a p34TF10 molecular clone of the Petaluma strain modified to grow in lymphoid cells), to gain insights into such resistance. FIVchi was infectious and moderately pathogenic for cats and in vitro exhibited the neutralization specificity of the env donor. The experiments performed were bidirectional, in that cats preinfected with either parental virus were challenged with FIVchi and vice versa. The preinfected animals were partially or completely protected relative to what was observed in naïve control animals, most likely due, at least in part, to the circumstance that in all the preinfecting/challenge virus combinations examined, the first and the second virus shared significant viral components. Based on the proportions of complete protection observed, the role of a strongly matched viral envelope appeared to be modest and possibly dependent on the time interval between the first and the second infection. Furthermore, complete protection and the presence of measurable neutralizing antibodies capable of blocking the second virus in vitro were not associated.


Assuntos
Quimera/imunologia , Síndrome de Imunodeficiência Adquirida Felina/prevenção & controle , Produtos do Gene rev/imunologia , Genes env , Vírus da Imunodeficiência Felina/imunologia , Animais , Sequência de Bases , Gatos , Quimera/genética , DNA Viral/análise , Síndrome de Imunodeficiência Adquirida Felina/imunologia , Produtos do Gene rev/genética , Vírus da Imunodeficiência Felina/genética , Tecido Linfoide/virologia , Dados de Sequência Molecular , RNA Viral/sangue
6.
J Virol ; 80(18): 8856-68, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16940498

RESUMO

Determining which antigen must be included in AIDS vaccines to confer maximum protection is of utmost importance. In primate models, vaccines consisting of or including accessory viral proteins have yielded conflicting results. We investigated the protective potential of the accessory protein ORF-A of feline immunodeficiency virus (FIV) in cats. All three immunization strategies used (protein alone in alum adjuvant, DNA alone, or DNA prime-protein boost) clearly generated detectable immune responses. Upon challenge with ex vivo homologous FIV, ORF-A-immunized cats showed distinct enhancement of acute-phase infection relative to mock-immunized animals given alum or empty vector DNA. This effect was tentatively attributed to increased expression of the FIV receptor CD134 that was observed in the immunized cats. However, at subsequent sampling points that were continued for up to 10 months postchallenge, the average plasma viral loads of the ORF-A-immunized animals were slightly but consistently reduced relative to those of the control animals. In addition, CD4(+) T lymphocytes in the circulation system declined more slowly in immunized animals than in control animals. These findings support the contention that immunization with lentiviral accessory proteins can improve the host's ability to control virus replication and slow down disease progression but also draw attention to the fact that even simple immunogens that eventually contribute to protective activity can transiently exacerbate subsequent lentiviral infections.


Assuntos
Vacinas contra a AIDS/química , Síndrome da Imunodeficiência Adquirida/prevenção & controle , DNA Viral/química , Vírus da Imunodeficiência Felina/metabolismo , Proteínas Virais/química , Sequência de Aminoácidos , Animais , Linfócitos T CD4-Positivos/metabolismo , Células CHO , Gatos , Cricetinae , Humanos , Dados de Sequência Molecular , Receptores OX40 , Receptores do Fator de Necrose Tumoral/biossíntese , Carga Viral , Proteínas Virais/genética
7.
Clin Diagn Lab Immunol ; 12(10): 1202-8, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16210484

RESUMO

Dendritic cells (DCs) are professional antigen-presenting cells that can prime T cells and polarize the cellular immune response. Because Th1-type immune responses have been connected to success in combating viral infection, a promising therapeutic application of DCs would be their differentiation in vitro and injection back into the host to boost an immune response in infected animals. This study was aimed both at developing a protocol to cultivate feline DCs in the absence of exogenous proteins for their use in vivo and at investigating what might be the most appropriate stimulus to induce their maturation in vitro and finding correlates of maturation. We generated DCs from peripheral blood monocytes in the presence of feline interleukin-4 and granulocyte-macrophage colony stimulating factor, and after 5 days their maturation was induced with either lipopolysaccharide, human recombinant tumor necrosis factor alpha, poly(I:C), or activated feline platelets. After 48 h, their CD14, CD1a, major histocompatibility complex class II, and B7.1 surface expression was analyzed in parallel with their ability to uptake antigen or prime a mixed leukocyte reaction. The results presented show that feline DCs cultured in autologous plasma differentiate and are able to mature in the presence of stimuli similar to the ones currently used for other species. The present work sets the grounds for future use of DCs obtained by the protocol described for in vivo vaccination and immunotherapy of feline immunodeficiency virus-infected cats.


Assuntos
Células Dendríticas/citologia , Animais , Apresentação de Antígeno , Antígenos de Superfície/análise , Células Sanguíneas/citologia , Gatos , Técnicas de Cultura de Células , Meios de Cultura , Citocinas , Células Dendríticas/imunologia , Feminino , Imunofenotipagem , Métodos , Monócitos/citologia
8.
Clin Diagn Lab Immunol ; 12(6): 736-45, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15939748

RESUMO

The potential of immunotherapy with autologous virus-specific T cells to affect the course of feline immunodeficiency virus (FIV) infection was explored in a group of specific-pathogen-free cats infected with FIV a minimum of 10 months earlier. Popliteal lymph node cells were stimulated by cocultivation with UV-inactivated autologous fibroblasts infected with recombinant vaccinia viruses expressing either FIV gag or env gene products, followed by expansion in interleukin-2. One or two infusions of both Gag- and Env-stimulated cells resulted in a slow increase in FIV-specific gamma interferon-secreting T cells in the circulation of cats. In the same animals, viral set points fluctuated widely during the first 2 to 3 weeks after adoptive transfer and then returned to pretreatment levels. The preexisting viral quasispecies was also found to be modulated, whereas no novel viral variants were detected. Circulating CD4(+) counts underwent a dramatic decline early after treatment. CD4/CD8 ratios remained instead essentially unchanged and eventually improved in some animals. In contrast, a single infusion of Gag-stimulated cells alone produced no apparent modulations of infection.


Assuntos
Doenças do Gato/imunologia , Vírus da Imunodeficiência Felina/imunologia , Imunoterapia Adotiva , Infecções por Lentivirus/imunologia , Linfócitos T/imunologia , Animais , Relação CD4-CD8 , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Doenças do Gato/terapia , Doenças do Gato/virologia , Gatos , Células Cultivadas , DNA Viral/análise , Feminino , Fibroblastos/metabolismo , Fibroblastos/virologia , Produtos do Gene env/metabolismo , Produtos do Gene gag/metabolismo , Vírus da Imunodeficiência Felina/genética , Vírus da Imunodeficiência Felina/patogenicidade , Interferon gama/biossíntese , Infecções por Lentivirus/terapia , Infecções por Lentivirus/veterinária , Leucócitos Mononucleares/citologia , Linfonodos/citologia , Glicoproteínas de Membrana/metabolismo , Linfócitos T/metabolismo , Vaccinia virus/genética , Vaccinia virus/imunologia
9.
J Virol ; 79(3): 1954-7, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15650222

RESUMO

An inactivated virus vaccine was prepared from a pathogenic isolate of feline immunodeficiency virus containing a mutation that eliminated an endocytic sorting signal in the envelope glycoprotein, increasing its expression on virions. Cats immunized with inactivated preparations of this modified virus exhibited strong titers of antibody to Env by enzyme-linked immunosorbent assay. Evidence of protection following challenge demonstrated the potential of this approach to lentiviral vaccination.


Assuntos
Síndrome de Imunodeficiência Adquirida Felina/prevenção & controle , Produtos do Gene env/genética , Mutação , Vacinação/veterinária , Vacinas de Produtos Inativados/administração & dosagem , Vacinas Virais/administração & dosagem , Sequência de Aminoácidos , Animais , Anticorpos Antivirais/sangue , Doenças do Gato/prevenção & controle , Doenças do Gato/virologia , Gatos , Síndrome de Imunodeficiência Adquirida Felina/virologia , Produtos do Gene env/imunologia , Produtos do Gene env/metabolismo , Engenharia Genética/métodos , Humanos , Vírus da Imunodeficiência Felina/genética , Vírus da Imunodeficiência Felina/imunologia , Vírus da Imunodeficiência Felina/patogenicidade , Dados de Sequência Molecular , Testes de Neutralização , Vacinas de Produtos Inativados/genética , Vacinas de Produtos Inativados/imunologia , Vacinas Virais/genética , Vacinas Virais/imunologia
10.
Virology ; 320(1): 156-66, 2004 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-15003871

RESUMO

The mechanisms whereby feline immunodeficiency virus (FIV) adsorbs and enters into susceptible cells are poorly understood. Here, we investigated the role exerted in such functions by the tryptophan (Trp)-rich motif present membrane-proximally in the ectodomain of the FIV transmembrane glycoprotein. Starting from p34TF10, which encodes the entire genome of FIV Petaluma, we produced 11 mutated clones having the Trp-rich motif scrambled or variously deleted or substituted. All mutated progenies adsorbed normally to cells, but the ones with severe disruptions of the motif failed to generate proviral DNA. In the latter mutants, proviral DNA formation was restored by providing an independent source of intact FIV envelope glycoproteins or by addition of the fusing agent polyethylene glycol, thus clearly indicating that their defect resided primarily at the level of cell entry. In addition, the replication-competent mutants exhibited a generally enhanced susceptibility to selected entry inhibitory synthetic peptides, suggestive of a reduced efficiency of the entry step.


Assuntos
Vírus da Imunodeficiência Felina/fisiologia , Glicoproteínas de Membrana/fisiologia , Proteínas do Envelope Viral/fisiologia , Motivos de Aminoácidos , Sequência de Aminoácidos , Animais , Linhagem Celular , Endocitose , Vírus da Imunodeficiência Felina/química , Vírus da Imunodeficiência Felina/genética , Glicoproteínas de Membrana/química , Glicoproteínas de Membrana/genética , Dados de Sequência Molecular , Mutação , Alinhamento de Sequência , Transfecção , Triptofano/química , Proteínas do Envelope Viral/química , Proteínas do Envelope Viral/genética , Replicação Viral
11.
Clin Diagn Lab Immunol ; 10(6): 1109-16, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14607875

RESUMO

Fresh isolates of lentiviruses are characterized by an outstanding resistance to antibody-mediated neutralization. By investigating the changes that occurred in a neutralization-sensitive tissue culture-adapted strain of feline immunodeficiency virus after it was reinoculated into cats, a previous study had identified two amino acid positions of the surface glycoprotein (residues 481 and 557) which govern broad neutralization resistance (BNR) in this virus. By extending the follow-up of six independently evolving in vivo variants of such virus for up to 92 months, we now show that the changes at the two BNR-governing positions not only were remarkably stereotyped but also became fixed in an ordered sequential fashion with the duration of in vivo infection. In one variant, the two positions were also seen to slowly alternate at determining BNR. Evidence that evolution at the BNR-governing positions was accompanied, and possibly driven, by changes in the antigenic makeup of the viral surface brought about by the mutations at such positions is also presented.


Assuntos
Substituição de Aminoácidos , Resistência a Medicamentos/genética , Evolução Molecular , Vírus da Imunodeficiência Felina/genética , Animais , Anticorpos Antivirais/farmacologia , Gatos , Infecções por Lentivirus/virologia , Testes de Neutralização , Fatores de Tempo , Proteínas Estruturais Virais/genética
12.
J Virol ; 77(20): 10740-50, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14512524

RESUMO

Feline immunodeficiency virus (FIV) infection of domestic cats represents a valuable system through which to investigate criteria for antilentiviral vaccines in a natural host species. Here, we examined whether vaccination with a strain of FIV attenuated as a result of prolonged growth in vitro could protect against a fully virulent, highly heterologous intraclade challenge. The results indicated that the vaccine virus produced a low-grade infection with no detectable pathological effects and afforded a long-lasting sterilizing immunity if the challenge was delivered intraperitoneally as cell-free virus but not against a cell-associated intravaginal challenge. In the latter case, however, the replication and pathological consequences of the challenge virus were markedly suppressed. Together with similar results obtained in rhesus monkey models, these findings should give impulse to the development of attenuated FIV vaccines to be tested in controlled studies in field cats. Field studies may provide answers to some of the existing safety concerns surrounding attenuated AIDS vaccines in humans.


Assuntos
Vacinas contra a AIDS/administração & dosagem , Síndrome de Imunodeficiência Adquirida Felina/prevenção & controle , Vírus da Imunodeficiência Felina/imunologia , Vacinas Virais/administração & dosagem , Animais , Sequência de Bases , Gatos , Modelos Animais de Doenças , Síndrome de Imunodeficiência Adquirida Felina/imunologia , Síndrome de Imunodeficiência Adquirida Felina/virologia , Feminino , Dados de Sequência Molecular , Testes de Neutralização , Vacinação , Vacinas Atenuadas/administração & dosagem , Vacinas Atenuadas/imunologia , Vacinas Virais/imunologia
13.
J Virol ; 77(6): 3724-33, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12610147

RESUMO

Feline immunodeficiency virus (FIV) provides a valuable animal model by which criteria for lentivirus control strategies can be tested. Previous studies have shown that a 20-mer synthetic peptide of the membrane-proximal ectodomain of FIV transmembrane glycoprotein, designated peptide 59, potently inhibited the growth of tissue culture-adapted FIV in feline fibroblastoid CrFK cells. In the present report we describe the potential of this peptide to inhibit the replication of primary FIV isolates in lymphoid cells. Because antiviral activity of peptide 59 was found to map to a short segment containing three conserved Trp residues, further analyses focused on a derivative of eight amino acids ((770)W-I(777)), designated C8. Peptide C8 activity was found to be dependent on conservation of the Trp motif, to be removed from solution by FIV absorbed onto substrate cells, and to be blocked by a peptide derived from the N-terminal portion of FIV transmembrane glycoprotein. Structural studies showed that peptide C8 possesses a conformational propensity highly uncommon for peptides of its size, which may account for its considerable antiviral potency in spite of small size.


Assuntos
Antivirais/química , Antivirais/farmacologia , Vírus da Imunodeficiência Felina/efeitos dos fármacos , Peptídeos/química , Peptídeos/farmacologia , Proteínas do Envelope Viral/química , Animais , Antivirais/síntese química , Gatos , Linhagem Celular , Vírus da Imunodeficiência Felina/fisiologia , Fusão de Membrana/efeitos dos fármacos , Modelos Moleculares , Peptídeos/síntese química , Conformação Proteica , Replicação Viral/efeitos dos fármacos
14.
J Virol ; 76(14): 6882-92, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12072489

RESUMO

Immunogenicity and protective activity of four cell-based feline immunodeficiency virus (FIV) vaccines prepared with autologous lymphoblasts were investigated. One vaccine was composed of FIV-infected cells that were paraformaldehyde fixed at the peak of viral expression. The other vaccines were attempts to maximize the expression of protective epitopes that might become exposed as a result of virion binding to cells and essentially consisted of cells mildly fixed after saturation of their surface with adsorbed, internally inactivated FIV particles. The levels of FIV-specific lymphoproliferation exhibited by the vaccinees were comparable to the ones previously observed in vaccine-protected cats, but antibodies were largely directed to cell-derived constituents rather than to truly viral epitopes and had very poor FIV-neutralizing activity. Moreover, under one condition of testing, some vaccine sera enhanced FIV replication in vitro. As a further limit, the vaccines proved inefficient at priming animals for anamnestic immune responses. Two months after completion of primary immunization, the animals were challenged with a low dose of homologous ex vivo FIV. Collectively, 8 of 20 vaccinees developed infection versus one of nine animals mock immunized with fixed uninfected autologous lymphoblasts. After a boosting and rechallenge with a higher virus dose, all remaining animals became infected, thus confirming their lack of protection.


Assuntos
Vacinas contra a AIDS , Síndrome de Imunodeficiência Adquirida Felina/prevenção & controle , Vírus da Imunodeficiência Felina/imunologia , Leucócitos Mononucleares/virologia , Vacinas Virais , Vacinas contra a AIDS/administração & dosagem , Vacinas contra a AIDS/imunologia , Síndrome da Imunodeficiência Adquirida/prevenção & controle , Animais , Anticorpos Antivirais/sangue , Antígenos Virais/imunologia , Gatos , Modelos Animais de Doenças , Feminino , Imunização Secundária , Vírus da Imunodeficiência Felina/fisiologia , Leucócitos Mononucleares/imunologia , Leucócitos Mononucleares/transplante , Ativação Linfocitária , RNA Viral/sangue , Transplante Autólogo , Vacinação , Vacinas Virais/administração & dosagem , Vacinas Virais/imunologia
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