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1.
Biochemistry ; 48(50): 11950-60, 2009 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-19883121

RESUMO

The expression of the apolipoprotein A-I gene (apoA-I) in hepatocytes is repressed by pro-inflammatory cytokines such as IL-1beta and TNFalpha. In this work, we have demonstrated that treatment of HepG2 human hepatoma cells with chemical inhibitors for JNK, p38 protein kinases, and NFkappaB transcription factor abolishes the TNFalpha-mediated inhibition of human apoA-I gene expression in HepG2 cells. In addition, we have shown that TNFalpha decreases also the rate of secretion of apoA-I protein by HepG2 cells, and this effect depends on JNK and p38, but not on NFkappaB and MEK1/2 signaling pathways. The inhibitory effect of TNFalpha has been found to be mediated by the hepatic enhancer of the apoA-I gene. The decrease in the level of human apoA-I gene expression under the impact of TNFalpha appears to be partly mediated by the inhibition of HNF4alpha and PPARalpha gene expression. Treatment of HepG2 cells with PPARalpha antagonist (MK886) or LXR agonist (TO901317) abolishes the TNFalpha-mediated decrease in the level of apoA-I gene expression. PPARalpha agonist (WY-14643) abolishes the negative effect of TNFalpha on apoA-I gene expression in the case of simultaneous inhibition of MEK1/2, although neither inhibition of MEK1/2 nor addition of WY-14643 leads to the blocking of the TNFalpha-mediated decrease in the level of apoA-I gene expression individually. The ligand-dependent regulation of apoA-I gene expression by PPARalpha appears to be affected by the TNFalpha-mediated activation of MEK1/2 kinases, probably through PPARalpha phosphorylation. Treatment of HepG2 cells with PPARalpha and LXR synthetic agonists also blocks the inhibition of apoA-I protein secretion in HepG2 cells under the impact of TNFalpha. A chromatin immunoprecipitation assay demonstrates that TNFalpha leads to a 2-fold decrease in the level of PPARalpha binding with the apoA-I gene hepatic enhancer. At the same time, the level of LXRbeta binding with the apoA-I gene hepatic enhancer is increased 3-fold under the impact of TNFalpha. These results suggest that nuclear receptors HNF4alpha, PPARalpha, and LXRs are involved in the TNFalpha-mediated downregulation of human apoA-I gene expression and apoA-I protein secretion in HepG2 cells.


Assuntos
Apolipoproteína A-I/antagonistas & inibidores , Apolipoproteína A-I/genética , Regulação para Baixo/genética , Fator 4 Nuclear de Hepatócito/fisiologia , Receptores Nucleares Órfãos/fisiologia , PPAR alfa/fisiologia , Fator de Necrose Tumoral alfa/fisiologia , Apolipoproteína A-I/biossíntese , Linhagem Celular Tumoral , Fator 4 Nuclear de Hepatócito/metabolismo , Humanos , Ligantes , Receptores X do Fígado , MAP Quinase Quinase 1/antagonistas & inibidores , MAP Quinase Quinase 1/fisiologia , MAP Quinase Quinase 2/antagonistas & inibidores , MAP Quinase Quinase 2/fisiologia , NF-kappa B/fisiologia , Nafenopina/metabolismo , Nafenopina/farmacologia , Pirimidinas/metabolismo , Pirimidinas/farmacologia
2.
Mol Pharmacol ; 73(3): 968-76, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18079279

RESUMO

Dehydroepiandrosterone (DHEA), a C19 human adrenal steroid, activates peroxisome proliferator-activated receptor alpha (PPARalpha) in vivo but does not ligand-activate PPARalpha in transient transfection experiments. We demonstrate that DHEA regulates PPARalpha action by altering both the levels and phosphorylation status of the receptor. Human hepatoma cells (HepG2) were transiently transfected with the expression plasmid encoding PPARalpha and a plasmid containing two copies of fatty acyl coenzyme oxidase (FACO) peroxisome-proliferator activated receptor responsive element consensus oligonucleotide in a luciferase reporter gene. Nafenopin treatment increased reporter gene activity in this system, whereas DHEA treatment did not. Okadaic acid significantly decreased nafenopin-induced reporter activity in a concentration-dependent manner. Okadaic acid treatment of primary rat hepatocytes decreased both DHEA- and nafenopin-induced FACO activity in primary rat hepatocytes. DHEA induced both PPARalpha mRNA and protein levels, as well as PP2A message in primary rat hepatocytes. Western blot analysis showed that the serines at positions 12 and 21 were rapidly dephosphorylated upon treatment with DHEA and nafenopin. Results using specific protein phosphatase inhibitors suggested that protein phosphatase 2A (PP2A) is responsible for DHEA action, and protein phosphatase 1 might be involved in nafenopin induction. Mutation of serines at position 6, 12, and 21 to an uncharged alanine residue significantly increased transcriptional activity, whereas mutation to negative charged aspartate residues (mimicking receptor phosphorylation) decreased transcriptional activity. DHEA action involves induction of PPARalpha mRNA and protein levels as well as increased PPARalpha transcriptional activity through decreasing receptor phosphorylation at serines in the AF1 region.


Assuntos
Desidroepiandrosterona/farmacologia , Nafenopina/farmacologia , PPAR alfa/metabolismo , Proliferadores de Peroxissomos/farmacologia , Pirimidinas/farmacologia , Animais , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Interpretação Estatística de Dados , Relação Dose-Resposta a Droga , Genes Reporter , Hepatócitos/efeitos dos fármacos , Hepatócitos/metabolismo , Luciferases/metabolismo , Masculino , Mutação , PPAR alfa/química , PPAR alfa/genética , Fosforilação/efeitos dos fármacos , Plasmídeos , RNA Mensageiro/biossíntese , Ratos , Ratos Sprague-Dawley , Transfecção
3.
Biol Pharm Bull ; 30(4): 627-32, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17409492

RESUMO

Peroxisome proliferators (PxPs) induce peroxisomal beta-oxidation (Px-ox) in the liver of rodents and have a hypolipidemic function. To investigate hypolipidemic effect of PxPs, the relationship between TG fluctuation and Px-ox activity, as an indicator of the function of PxPs, was studied in primary cultured rat hepatocytes. Nafenopin (Nf) treatment of hepatocytes caused an increase in Px-ox activity in association with cellular TG accumulation in a time-dependent manner with a coefficient of r=0.918. This relationship between the activity and cellular TG were obtained using structurally diverse PxPs with a correlation coefficient of r=0.747. Treatment of the hypolipidemic drug, but non-PxP Pravastatin, decreased TG in the medium, but did not have the effects on cellular TG and Px-ox activity. The total amount of TG and diacylglycerol acyltransferase activity, the last enzyme in the TG de novo synthesis pathway, were not affected by Nf treatment. When hepatocytes were cultured with Brefeldin A, cellular TG was accumulated, the same as with Nf, however, Px-ox activity was not enhanced. Nf treatment markedly decreased the level of apolipoprotein B (apo B) in very low density lipoprotein (VLDL) fractions prepared from conditioned media and increased that of cellular apoB by Western blot analysis. Microsomal triglyceride transfer protein activity was not influenced by Nf. Together, with regards to TG lowering effect of PxPs, it is suggested that PxPs cause hepatocellular accumulation of TG without effects on TG biosynthesis and VLDL construction, and they might have inhibitory effect on VLDL secretion process.


Assuntos
Hepatócitos/metabolismo , Hipolipemiantes/farmacologia , Proliferadores de Peroxissomos/farmacologia , Triglicerídeos/biossíntese , Animais , Apolipoproteínas B/metabolismo , Células Cultivadas , Meios de Cultivo Condicionados/química , Relação Dose-Resposta a Droga , Cinética , Masculino , Nafenopina/farmacologia , Ratos , Ratos Wistar
4.
Toxicol Sci ; 85(1): 507-14, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15728705

RESUMO

In short-term in vivo experiments, liver growth and regression in mice with high (C3H/He), intermediate (B6C3F1) or low (C57BL/6J) susceptibility to hepatocarcinogenesis was compared. Liver growth was induced by dietary administration of phenobarbital (PB; 750 ppm) or nafenopin (NAF; 500 ppm). PB or NAF treatment for 7 days produced moderate increases of liver DNA (15% or 25-28%, respectively) along with pronounced hypertrophy. Liver growth was strongest in C3H/He mice. Cessation of PB or NAF treatment led to a rapid regression of liver hypertrophy. However, the enhanced hepatic DNA content persisted for at least 2 weeks in all mouse strains. Apoptosis was not increased at any time after cessation of treatment in all strains. Food restriction to 60% of the ad libitum intake did not amplify either regression of liver hyperplasia or the occurrence of apoptosis. No strain difference in the occurrence of apoptosis was detected. Mouse hepatocytes in liver regressing after mitogen withdrawal do not enter apoptosis as readily as rat hepatocytes.


Assuntos
Apoptose/fisiologia , Privação de Alimentos/fisiologia , Fígado/patologia , Nafenopina/farmacologia , Fenobarbital/farmacologia , Animais , Apoptose/efeitos dos fármacos , DNA/biossíntese , Feminino , Hepatomegalia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos , Nafenopina/administração & dosagem , Tamanho do Órgão/efeitos dos fármacos , Tamanho do Órgão/fisiologia , Fenobarbital/administração & dosagem , Biossíntese de Proteínas/efeitos dos fármacos , Especificidade da Espécie
5.
Mol Pharmacol ; 64(1): 113-22, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12815167

RESUMO

Treatment of rats with peroxisome proliferators is known to affect gene expression, including suppression of CYP2C11. The current study examined the mechanism of negative regulation of CYP2C11, comparing the effects of a classic peroxisome proliferator, nafenopin, with those of the steroid dehydroepiandrosterone (DHEA). In vivo dose-response experiments for DHEA were carried out with rats. Only the highest dose of DHEA in the diet (0.45%), a dose previously shown to produce peroxisome proliferation, caused suppression of CYP2C11 expression. Lower doses of DHEA (0.012 to 0.20% in diet) had little effect on CYP2C11 expression. In HepG2 cells, negative regulation of a CYP2C11 reporter gene by nafenopin required coexpression of PPARalpha, whereas negative regulation by DHEA did not. Deletion analysis revealed that the responsive region for both DHEA and nafenopin was between -108 and -60 relative to the transcription start site. Mutations in several putative transcription factor binding sites in the 5'-flanking region of CYP2C11 were produced. A mutation at -121 bp significantly diminished basal expression of CYP2C11 but did not affect negative regulation by DHEA or nafenopin. A mutation at -75 bp had only a small effect on basal expression but completely abolished negative regulation by DHEA and nafenopin. Gel shift experiments indicated that PPARalpha/RXRalpha heterodimers do not bind DNA in this region. Therefore, the sequence at -75 bp of CYP2C11 is necessary for negative regulation by both DHEA and nafenopin. However, the upstream events leading to suppression at this site must differ for DHEA and nafenopin.


Assuntos
Hidrocarboneto de Aril Hidroxilases/metabolismo , Desidroepiandrosterona/farmacologia , Regulação Enzimológica da Expressão Gênica/efeitos dos fármacos , Proliferadores de Peroxissomos/farmacologia , Sequências Reguladoras de Ácido Nucleico/efeitos dos fármacos , Esteroide 16-alfa-Hidroxilase/metabolismo , Região 5'-Flanqueadora/efeitos dos fármacos , Região 5'-Flanqueadora/genética , Animais , Hidrocarboneto de Aril Hidroxilases/genética , Sequência de Bases , Família 2 do Citocromo P450 , Dimerização , Relação Dose-Resposta a Droga , Regulação para Baixo/efeitos dos fármacos , Deleção de Genes , Humanos , Masculino , Dados de Sequência Molecular , Nafenopina/farmacologia , Ratos , Ratos Sprague-Dawley , Receptores Citoplasmáticos e Nucleares/metabolismo , Receptores do Ácido Retinoico/metabolismo , Receptores X de Retinoides , Esteroide 16-alfa-Hidroxilase/genética , Fatores de Transcrição/metabolismo , Transcrição Gênica/efeitos dos fármacos , Transfecção , Células Tumorais Cultivadas
6.
Mol Pharmacol ; 63(3): 722-31, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12606783

RESUMO

Dehydroepiandrosterone (DHEA) is a C-19 adrenal steroid precursor to the gonadal steroids. In humans, circulating levels of DHEA, as its sulfated conjugate, are high at puberty and throughout early adulthood but decline with age. Dietary supplementation to maintain high levels of DHEA purportedly has beneficial effects on cognitive memory, the immune system, and fat and carbohydrate metabolism. In rodents, DHEA is a peroxisome proliferator that induces genes for the classical peroxisomal and microsomal enzymes associated with this response. These effects are mediated through activation of peroxisome proliferator-activated receptor alpha (PPAR alpha). However, DHEA can affect the expression of genes independently of PPAR alpha, including the gene for the major inducible drug and xenobiotic metabolizing enzyme, cytochrome P450 3A23. To elucidate the biochemistry associated with DHEA treatment, we employed a cDNA gene expression array using liver RNA from rats treated with DHEA or the classic peroxisome proliferator nafenopin. Principal components analysis identified 30 to 35 genes whose expression was affected by DHEA and/or nafenopin. Some were genes previously identified as PPAR-responsive genes. Changes in expression of several affected genes were verified by quantitative reverse transcriptase-polymerase chain reaction. These included aquaporin 3, which was induced by DHEA and to a lesser extent nafenopin, nuclear tyrosine phosphatase, which was induced by both agents, and 11 beta-hydroxysteroid dehydrogenase 1, which was decreased by treatment with DHEA in a dose-dependent fashion. Regulation of 11 beta-hydroxysteroid dehydrogenase 1 expression is important since the enzyme is believed to amplify local glucocorticoid signaling, and its repression may cause some of the metabolic effects associated with DHEA.


Assuntos
Desidroepiandrosterona/farmacologia , Expressão Gênica/efeitos dos fármacos , Hidroxiesteroide Desidrogenases/biossíntese , Fígado/efeitos dos fármacos , 11-beta-Hidroxiesteroide Desidrogenases , Animais , Aquaporina 3 , Aquaporinas/biossíntese , Aquaporinas/genética , Perfilação da Expressão Gênica , Hidroxiesteroide Desidrogenases/genética , Hipolipemiantes/farmacologia , Fígado/enzimologia , Masculino , Nafenopina/farmacologia , Análise de Sequência com Séries de Oligonucleotídeos , Ratos , Ratos Sprague-Dawley , Reação em Cadeia da Polimerase Via Transcriptase Reversa
7.
FEBS Lett ; 536(1-3): 145-50, 2003 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-12586354

RESUMO

Coenzyme A (CoA-SH), endogenous and drug-derived CoA-derivatives were tested as putative antagonists of P2Y receptors expressed in Xenopus laevis oocytes, a method used to determine calcium-activated chloride current, an indicator of the activation of these receptors. CoA-SH antagonized reversibly and in a concentration-dependent manner the ATP-gated currents evoked by the human P2Y(1) but not the P2Y(2) receptor. Palmitoyl-CoA was four-fold more potent than CoA-SH as an antagonist while palmitoyl-carnitine was inactive, highlighting the role of the CoA-SH moiety in the antagonism. The CoA derivatives of nafenopin and ciprofibrate, two clinically relevant hypolipidemic drugs, increased 13 and three-fold the potency of CoA-SH, respectively. The K(B)s of nafenopin-CoA and ciprofibroyl-CoA were 58 and 148 nM, respectively; the slopes of the Schild plots were unitary. Neither 100 microM nafenopin nor ciprofibrate alone altered the P2Y(1) receptor activity. Neither CoA-SH nor ciprofibroyl-CoA antagonized the rat P2X(2) or the P2X(4) nucleotide receptors nor interacted with the 5-HT(2A/C) receptors. The bulky drug CoA-SH derivatives identify a hydrophobic pocket, which may serve as a potential target for novel selective P2Y(1) antagonists.


Assuntos
Acil Coenzima A/farmacologia , Hipolipemiantes/farmacologia , Nafenopina/análogos & derivados , Nafenopina/farmacologia , Antagonistas do Receptor Purinérgico P2 , Acil Coenzima A/química , Trifosfato de Adenosina/antagonistas & inibidores , Animais , Ligação Competitiva , Células Cultivadas , Relação Dose-Resposta a Droga , Condutividade Elétrica , Hipolipemiantes/química , Nafenopina/química , Receptores Purinérgicos P2/classificação , Receptores Purinérgicos P2Y1 , Xenopus
8.
Mol Carcinog ; 35(1): 1-5, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12203361

RESUMO

The activin-follistatin system is a potent growth regulatory system of liver tissue homeostasis. Activin A inhibits hepatocellular DNA synthesis and induces cell death. Follistatin binds activin and sequesters it from the signaling pathway. Consistently, follistatin has been reported to act as an inducer of DNA synthesis in the liver. Using RNase protection analysis, we studied the expression of follistatin in rat and mouse liver tumors as a possible mechanism to overcome activin growth control. Approximately 40% of the tumors (nine of 24 each), most of them hepatocellular carcinomas, displayed increased levels of follistatin mRNA when compared to tumor-surrounding liver tissue. The degree of overexpression was highly variable but independent of the carcinogen treatment that animals had received. It was also independent from the histological stage of malignancy and further found in rat liver adenomas. Follistatin expression was also observed in cell lines derived from human hepatocellular carcinomas. Overexpression of follistatin may represent a unique strategy of hepatic tumors to overcome the inhibitory action of a growth factor, activin, by decreasing its local bioavailability.


Assuntos
Ativinas/genética , Regulação Neoplásica da Expressão Gênica , Neoplasias Hepáticas/genética , Ativinas/metabolismo , Adenoma/tratamento farmacológico , Adenoma/genética , Adenoma/patologia , Processamento Alternativo , Animais , Western Blotting , Carcinoma Hepatocelular/tratamento farmacológico , Carcinoma Hepatocelular/genética , Carcinoma Hepatocelular/patologia , Divisão Celular/genética , Dietilnitrosamina/farmacologia , Folistatina , Humanos , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/patologia , Masculino , Camundongos , Camundongos Endogâmicos , Nafenopina/farmacologia , Fenobarbital/farmacologia , RNA Mensageiro/análise , Ratos , Valores de Referência , Fator de Crescimento Transformador alfa/genética , Fator de Crescimento Transformador alfa/metabolismo , Células Tumorais Cultivadas
9.
J Lipid Res ; 43(7): 1125-32, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12091497

RESUMO

The profile of liver acyl-CoAs induced by dietary fats of variable compositions or by xenobiotic hypolipidemic amphipathic carboxylates was evaluated in vivo using a novel electrospray ionization tandem mass spectrometry methodology of high resolution, sensitivity, and reliability. The composition of liver fatty acyl-CoAs was found to reflect the composition of dietary fat. Treatment with hypolipidemic carboxylates resulted in liver dominant abundance of their respective acyl-CoAs accompanied by an increase in liver fatty acyl-CoAs. Cellular effects exerted by dietary fatty acids and/or xenobiotic carboxylic drugs may be transduced in vivo by their respective acyl-CoAs.


Assuntos
Acil Coenzima A/análise , Gorduras na Dieta/farmacologia , Fígado/química , Fígado/efeitos dos fármacos , Xenobióticos/farmacologia , Acil Coenzima A/metabolismo , Animais , Bezafibrato/farmacologia , Dieta , Hipolipemiantes/farmacologia , Masculino , Nafenopina/farmacologia , Ácidos Palmíticos/farmacologia , Ratos , Sensibilidade e Especificidade , Espectrometria de Massas por Ionização por Electrospray/métodos
10.
Arch Toxicol ; 75(6): 357-61, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11570693

RESUMO

Peroxisome proliferators (PPs) are rodent nongenotoxic hepatocarcinogens that induce peroxisome proliferation and DNA synthesis, and suppress apoptosis in rodent hepatocytes. PPs act through the PP-activated receptor alpha (PPARalpha); tumour necrosis factor alpha (TNFalpha) and hepatic nonparenchymal cells (NPCs), the major source of TNF alpha in the liver, have also been implicated in mediating the rodent hepatic response to PPs. Here we investigate the interaction between PPARalpha and NPCs in regulating the response to PPs. Using normal hepatocyte cultures containing around 20% NPCs, the PP nafenopin (50 microM) induced DNA synthesis and suppressed transforming growth factor beta1-induced apoptosis. However, when the NPCs were removed by differential centrifugation, nafenopin did not induce DNA synthesis or suppress apoptosis in the pure hepatocytes. Reconstitution of the normal hepatocyte cultures by mixing together the pure hepatocytes and the previously separated NPCs in the same proportions as the original cell preparation (17.7+/-8.7% NPCs) restored the response to nafenopin. Interestingly, nafenopin was still able to induce beta-oxidation in the pure hepatocyte cultures, consistent with NPCs being required for PP-induced growth but not for peroxisome proliferation. Next, we evaluated the role of PPARalpha in the hepatocyte dependency upon NPCs. Interestingly, NPCs isolated from PPARalpha-null mice, like those isolated from the wild-type NPCs, restored the hepatocyte response to nafenopin. However, as expected, PPARalpha-null hepatocytes remained non-responsive to PPs, irrespective of the genotype of the added NPCs. These data support a role for NPCs in facilitating a response of hepatocytes to PPs that is ultimately dependent on the presence of PPARalpha in the hepatocyte.


Assuntos
Hepatócitos/efeitos dos fármacos , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Receptores Citoplasmáticos e Nucleares/fisiologia , Fatores de Transcrição/fisiologia , Animais , Apoptose/efeitos dos fármacos , Células Cultivadas , Técnicas de Cocultura , DNA/biossíntese , Hepatócitos/citologia , Hepatócitos/metabolismo , Células de Kupffer/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos , Camundongos Mutantes , Nafenopina/toxicidade , Proliferadores de Peroxissomos/toxicidade , Peroxissomos/efeitos dos fármacos , Peroxissomos/metabolismo , Fatores de Tempo , Fator de Necrose Tumoral alfa/metabolismo
11.
Electrophoresis ; 22(14): 3009-18, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11565795

RESUMO

Proteome analysis led to the identification and characterization of tumor-associated protein variants by two-dimensional electrophoresis and mass spectrometry. We focused on comparing the influence of genotoxic nitroso compounds N-methyl-N-nitrosourea, diethylnitrosamine and N-nitrosomorpholine and the nongenotoxic peroxisome proliferator Nafenopin as tumor-inducing agents on the protein pattern of rat hepatomas. We found several tumor-associated variants that represent members of the aldo-keto reductase superfamily. Their induction and/or inhibition was specifically related to the carcinogen used for tumor induction. The most prominent tumor-associated protein, rat aldose reductase-like protein-1 (rARLP-1) (69% sequence identity to lens aldose reductase) and three additional types of rARLP-1 were detected in nitroso compound-induced rat hepatomas, while rat aldo-keto reductase protein-c (Rak-c), a novel tumor-associated variant (65% sequence identity with 3alpha-hydroxysteroid dehydrogenase) was discovered in N-methyl-N-nitrosourea-induced hepatomas only. 3Alpha-hydroxysteroid dehydrogenase and delta4-3-ketosteroid-5beta-reductase, both liver-specific enzymes, were reduced in amount in all hepatomas investigated, independent of their mode of induction. We conclude, that detoxification enzymes like 3alpha-hydroxysteroid dehydrogenase (3alpha-HSD) and delta4-3-ketosteroid-5beta-reductase (5beta-Red) might be replaced in hepatomas by tumor-associated proteins that are often present in the embryonal state, like the rARLPs or the Rak-c protein. Their induction appears to reflect an altered constitutive pattern of detoxification enzymes, detoxifying toxic aldehydes being induced by nitroso compounds. In contrast, members of the aldo-keto reductase superfamily have not been found in Nafenopin-induced hepatomas. The pattern of tumor-associated protein variants is apparently characteristic for a given group of initiating carcinogens. The hypothesis is proposed that carcinogens leave specific fingerprints at the proteome level of manifest liver tumors.


Assuntos
Carcinógenos/toxicidade , Eletroforese em Gel Bidimensional , Perfilação da Expressão Gênica , Regulação Neoplásica da Expressão Gênica/genética , Inativação Metabólica/genética , Neoplasias Hepáticas Experimentais/química , Proteínas de Neoplasias/análise , Proteoma , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Aldeído Redutase/análise , Aldeído Redutase/química , Aldeído Redutase/genética , Aldo-Ceto Redutases , Sequência de Aminoácidos , Animais , Sequência de Bases , Carcinógenos/farmacologia , Dietilnitrosamina/farmacologia , Dietilnitrosamina/toxicidade , Proteínas Fetais/análise , Proteínas Fetais/genética , Isoenzimas/análise , Isoenzimas/genética , Neoplasias Hepáticas Experimentais/induzido quimicamente , Neoplasias Hepáticas Experimentais/genética , Neoplasias Hepáticas Experimentais/metabolismo , Masculino , Metilnitrosoureia/farmacologia , Metilnitrosoureia/toxicidade , Dados de Sequência Molecular , Nafenopina/farmacologia , Nafenopina/toxicidade , Proteínas de Neoplasias/biossíntese , Proteínas de Neoplasias/genética , Nitrosaminas/farmacologia , Nitrosaminas/toxicidade , Especificidade de Órgãos , Proliferadores de Peroxissomos/farmacologia , Proliferadores de Peroxissomos/toxicidade , Ratos , Ratos Wistar , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos , Técnica de Subtração
12.
Carcinogenesis ; 22(3): 519-23, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11238195

RESUMO

There have been numerous reports that chemicals which induce peroxisomes in rodent liver increase DNA synthesis in isolated hepatic parenchymal cells, but not as well in vitro as in vivo. It is also known that tumour necrosis factor alpha (TNFalpha) is mitogenic in isolated hepatocytes. Since Kupffer cells are a major source of TNFalpha in the liver and have recently been shown to be activated by peroxisome proliferators, the possibility exists that the effect of peroxisome proliferators on DNA synthesis in parenchymal cells is via Kupffer cell contamination of isolated hepatocyte preparations. The purpose of this study was to evaluate this hypothesis by studying the effect of model peroxisome proliferators on purified hepatocyte preparations. Hepatocytes were prepared from rat liver by standard calcium-free and collagenase perfusion. Subsequently, cells were centrifuged through Percoll to remove contaminating non-parenchymal cells. Cells were at least 99.9% pure as assessed by cell counting using specific markers for hepatocytes (resorufin O-glucoside) and Kupffer cells (FITC-labelled latex beads). Hepatocytes were cultured in Williams medium + 10% fetal bovine serum for 24 h followed by culture for 48 h in Williams medium plus or minus drug or mitogen additions. Under these conditions epidermal growth factor stimulated DNA synthesis assessed by incorporation of [3H]thymidine approximately 5-fold over control levels. The peroxisome proliferators WY,14-643 and nafenopin, however, had no effect on DNA synthesis, although they did increase acyl-CoA oxidase as expected. In contrast, TNFalpha increased cell proliferation nearly 10-fold in purified hepatocytes, an effect nearly doubled by WY-14,643. Further, when conditioned medium from purified Kupffer cells incubated with WY-14,643 was added to pure hepatocytes, DNA synthesis was increased over 2-fold in a time-dependent manner. Collectively, these data support the hypothesis that peroxisome proliferators do not influence DNA synthesis in isolated hepatocytes per se. Rather, they stimulate cytokine production by Kupffer cells which in turn increases DNA synthesis in parenchymal cells. An increase in mitogenic cytokine production by Kupffer cells is necessary for stimulation of DNA synthesis in purified rat parenchymal cells.


Assuntos
Replicação do DNA/efeitos dos fármacos , Hepatócitos/efeitos dos fármacos , Proliferadores de Peroxissomos/farmacologia , Animais , Hepatócitos/metabolismo , Células de Kupffer/efeitos dos fármacos , Células de Kupffer/metabolismo , Nafenopina/farmacologia , Pirimidinas/farmacologia , Ratos
13.
J Hepatol ; 33(6): 967-74, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11131460

RESUMO

BACKGROUND/AIMS: In the absence of liver damage, rapid liver growth can be induced pharmacologically by so-called primary liver growth promoters. The importance of the acute-phase cytokines interleukin-6 and tumor necrosis factor-alpha for the actions of these compounds is not clear. This study aimed to investigate the importance of IL-6 and TNF-receptor-1 in pharmacologically-induced liver growth. METHODS: IL-6 knockout (IL-6(-/-)), TNF-receptor-1 knockout (TNFR1(-/-)) and wild-type mice were treated with the peroxisome proliferator nafenopin and the anti-androgen cyproterone acetate (CPA) in one single injection or for 6 days with daily injections, and examined at 24 or 48 h after treatment. In a control experiment, IL-6(-/-) mice were subjected to two-thirds partial hepatectomy. RESULTS: Nafenopin treatment increased relative liver weight and DNA synthesis similarly in IL-6(-/-), TNFR1(-/-) and wild-type mice. CPA increased liver weight similarly in all groups, but did not increase DNA synthesis. Expression of peroxisome proliferator activated receptor-alpha mRNA was increased in both IL-6(-/-) and wild-type mice by nafenopin treatment, but not by CPA treatment. After hepatectomy DNA synthesis was suppressed in IL-6(-/-) mice compared to wild-type mice. CONCLUSIONS: Liver growth induced by nafenopin and CPA was not dependent on the presence of IL-6 or TNF receptor-1, whereas liver regeneration was decreased in IL-6(-/-) mice.


Assuntos
Interleucina-6/deficiência , Regeneração Hepática/fisiologia , Antagonistas de Androgênios/farmacologia , Animais , Antígenos CD/genética , Acetato de Ciproterona/farmacologia , DNA/biossíntese , Hepatectomia , Interleucina-6/genética , Fígado/metabolismo , Fígado/patologia , Regeneração Hepática/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout/genética , Nafenopina/farmacologia , Tamanho do Órgão/efeitos dos fármacos , Proliferadores de Peroxissomos/farmacologia , Período Pós-Operatório , RNA Mensageiro/metabolismo , Receptores Citoplasmáticos e Nucleares/genética , Receptores do Fator de Necrose Tumoral/genética , Receptores Tipo I de Fatores de Necrose Tumoral , Valores de Referência , Fatores de Transcrição/genética
14.
Eur J Biochem ; 267(15): 4624-34, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10903494

RESUMO

Peroxisome proliferators are nongenotoxic rodent-liver carcinogens that have been shown to cause both an induction of hepatocyte proliferation and a suppression of apoptosis. Both epidermal growth factor (EGF) and the peroxisome proliferator nafenopin induce DNA replication in primary rat hepatocyte cultures, but apparently through different signalling pathways. However, both EGF and nafenopin require tumour necrosis factor alpha (TNFalpha) signalling to induce DNA replication. By examining proteins isolated from rat primary hepatocyte cultures using two-dimensional gel electrophoresis and mass spectrometry, we found that proteins showing an altered expression pattern in response to nafenopin differed from those showing altered expression in response to EGF. However, many proteins showing altered expression upon stimulation with TNFalpha were common to both the EGF and nafenopin responses. These proteome profiling experiments contribute to a better understanding of the molecular mechanisms involved in the response to peroxisome proliferators. We found 32 proteins with altered expression upon stimulation with nafenopin, including muscarinic acetylcholine receptor 3, intermediate filament vimentin and the beta subunit of the ATP synthase. These nonperoxisomal protein targets offer insights into the mechanisms of peroxisome proliferator-induced carcinogenesis in rodents and provide opportunities to identify toxicological markers to facilitate early identification of nongenotoxic carcinogens.


Assuntos
Fator de Crescimento Epidérmico/farmacologia , Fígado/citologia , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Proteoma/metabolismo , Fator de Necrose Tumoral alfa/farmacologia , Actinas/biossíntese , Animais , Células Cultivadas , Replicação do DNA/efeitos dos fármacos , Bases de Dados Factuais , Dimetilformamida/farmacologia , Eletroforese em Gel Bidimensional , Expressão Gênica/efeitos dos fármacos , Processamento de Imagem Assistida por Computador , Focalização Isoelétrica , Fígado/metabolismo , Espectrometria de Massas , Estresse Oxidativo , Ratos , Receptores Muscarínicos/metabolismo , Transdução de Sinais , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Regulação para Cima , Vimentina/biossíntese
15.
Arch Toxicol ; 74(2): 85-91, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10839475

RESUMO

Diethylhexylphthalate (DEHP) is a phthalate plasticizer that belongs to the peroxisome proliferator (PP) class of rodent nongenotoxic hepatocarcinogens. Previously, we have shown that MEHP (a principal metabolite of DEHP and the proximal PP) induced DNA synthesis and suppressed apoptosis in rat but not in human hepatocytes in vitro. Here, we present further studies of species differences in response to DEHP. In rats, 4 days of exposure to DEHP (950 mg/kg per day by gavage) induced peroxisomal beta-oxidation, DNA synthesis and suppressed apoptosis. In contrast, there was no response of guinea pig liver to DEHP. In rat hepatocytes in vitro, MEHP (250, 500 and 750 microM) induced peroxisomal beta-oxidation, DNA synthesis and suppressed apoptosis. In contrast to the pleiotropic response noted in rat hepatocytes, there was no response of human hepatocytes to 250, 500 or 750 microM MEHP. PPs activate the peroxisome proliferator activated receptor alpha (PPARalpha) that binds to DNA at peroxisome proliferator response elements (PPREs) within the promoters of PP-responsive genes such as rat acyl CoA oxidase (ACO). However, the human ACO gene promoter differs at three bases within the PPRE from the rat ACO promoter and appears refractory to PPs. To address species differences in response to DEHP at the molecular level, we used promoter-reporter gene assays to compare the ability of MEHP to induce gene expression from the rat or the human ACO promoter. MEHP gave a concentration-dependent increase in reporter gene expression from the rat ACO gene promoter with either mouse or human PPARalpha. In contrast, the human ACO promoter was unable to drive MEHP-induced gene transcription irrespective of the species origin of PPARalpha. These data provide further weight of evidence at the cellular and molecular levels for a lack of risk to human health from the phthalate DEHP.


Assuntos
Apoptose/efeitos dos fármacos , Replicação do DNA/efeitos dos fármacos , DNA/biossíntese , Dietilexilftalato/farmacologia , Microcorpos/genética , Proliferadores de Peroxissomos/farmacologia , Receptores Citoplasmáticos e Nucleares/genética , Fatores de Transcrição/genética , Células 3T3 , Animais , DNA/efeitos dos fármacos , Dietilexilftalato/análogos & derivados , Fator de Crescimento Epidérmico/farmacologia , Expressão Gênica/efeitos dos fármacos , Genes Reporter , Cobaias , Humanos , Marcação In Situ das Extremidades Cortadas , Fígado/citologia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Camundongos , Microcorpos/efeitos dos fármacos , Microcorpos/enzimologia , Nafenopina/farmacologia , Oxirredução , Ratos , Ratos Endogâmicos F344 , Receptores Citoplasmáticos e Nucleares/efeitos dos fármacos , Especificidade da Espécie , Fatores de Transcrição/efeitos dos fármacos , Fator de Crescimento Transformador beta/farmacologia , beta-Galactosidase/genética
16.
Toxicol Sci ; 56(1): 86-94, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10869456

RESUMO

The characteristics and mechanism of the inhibition of connexin-mediated gap junctional communication by the non-genotoxic rodent hepatocarcinogen, nafenopin, has been studied in rat hepatocytes. Nafenopin caused a time- and concentration-dependent inhibition of dye coupling in hepatocytes as assessed by transfer of microinjected lucifer yellow. A half-maximum inhibitory effect of nafenopin occurred at approximately 50 microM, which was not cytotoxic. The inhibitory effect was reversible since a significant recovery of communication was observed 3 h after removal of the chemical. The protein kinase inhibitor Gö6976 prevented the inhibition of dye coupling, but a tyrosine kinase inhibitor (genistein) did not. Connexin 32 and 26 protein expression, as assessed by immunoblotting, was similar in nafenopin-treated hepatocytes compared to controls, with the exception that in a 10-h culture with nafenopin, the level of connexin 26 was elevated compared to controls. Immunohistochemistry indicated that the localization of plaques containing connexin 32 was not affected in hepatocytes by nafenopin. Immunoprecipitated connexin 32 was, however, detected by an anti-phosphoserine antibody following nafenopin treatment, but not in controls. This serine phosphorylation was prevented in the presence of Gö6976. The results give further support for a role of protein kinase C in the post-translational inactivation of connexin 32 function in rat hepatocytes by nafenopin.


Assuntos
Conexinas/metabolismo , Fígado/efeitos dos fármacos , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Proteína Quinase C/metabolismo , Serina/metabolismo , Animais , Células Cultivadas , Conexinas/genética , Relação Dose-Resposta a Droga , Inibidores Enzimáticos/farmacologia , Junções Comunicantes/efeitos dos fármacos , Junções Comunicantes/metabolismo , Junções Comunicantes/ultraestrutura , Genisteína/farmacologia , Immunoblotting , Fígado/citologia , Fígado/metabolismo , Masculino , Microscopia Confocal , Fosforilação , Proteína Quinase C/antagonistas & inibidores , RNA Mensageiro/metabolismo , Ratos , Ratos Wistar , Transdução de Sinais/efeitos dos fármacos , Proteína beta-1 de Junções Comunicantes
17.
Carcinogenesis ; 21(4): 579-84, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10753189

RESUMO

Peroxisome proliferators (PPs) are a class of non-genotoxic chemicals that cause rodent liver enlargement and hepatocarcinogenesis. In primary rat hepatocytes, PPs cause cell proliferation, suppression of apoptosis and peroxisome proliferation. We have investigated the role of different families of mitogen-activated protein (MAP) kinases in the mode of action of PPs. Addition of 50 microM nafenopin to primary rat hepatocyte cultures caused weak activation of extracellular signal regulated kinases and p38 MAP kinase. However, incubation of primary hepatocytes with the p38 MAP kinase inhibitor SB203580 or the MAP kinase kinase (MEK) inhibitor PD098059 prevented the induction of DNA synthesis and the suppression of transforming growth factor beta(1)-induced apoptosis by the PP nafenopin. In contrast, in the presence of these MAP kinase inhibitors, nafenopin still induced palmitoyl CoA oxidation, a measure of peroxisome proliferation. We have shown previously that PPs such as nafenopin require tumour necrosis factor alpha (TNF-alpha) to exert their effects on cellular proliferation and apoptosis. Here we show that treatment of primary rat hepatocyte cultures with nafenopin causes an increase in bioactive TNF-alpha and that this process requires p38 MAP kinase activity.


Assuntos
Sistema de Sinalização das MAP Quinases , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Animais , Apoptose/efeitos dos fármacos , Células Cultivadas , Imidazóis/farmacologia , Proteínas Quinases Ativadas por Mitógeno/fisiologia , Palmitoil Coenzima A/metabolismo , Piridinas/farmacologia , Ratos , Fase S/efeitos dos fármacos , Fator de Necrose Tumoral alfa/biossíntese , Proteínas Quinases p38 Ativadas por Mitógeno
18.
Cell Mol Biol (Noisy-le-grand) ; 46(1): 29-39, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10726969

RESUMO

The peroxisome proliferator (PPs) class of non-genotoxic rodent hepatocarcinogens induce mouse hepatocyte DNA synthesis and suppress apoptosis. This phenotype can be reproduced in vitro using exogenous tumour necrosis factor alpha (TNFalpha), suggesting a role for TNFalpha in mediating the liver growth response to PPs. In hepatocytes isolated from the peroxisome proliferator activated receptor alpha (PPARalpha) null mouse, PPs are unable to stimulate DNA synthesis or to suppress either spontaneous or TGFbeta1-induced apoptosis. However, the ability of TNFalpha to modulate hepatocyte survival and growth is unaltered, suggesting that TNFalpha acts independently or downstream of PPARalpha to mediate the growth changes associated with PPARalpha activation. Since PPARalpha is a ligand activated transcription factor, we determined if TNFalpha gene expression was altered by PP treatment during an early time window preceding PP-induced growth changes. However there was no induction of TNFalpha expression by nafenopin over the constitutive levels noted in control cultured cells. In summary, TNFalpha acts downstream or independently of PPARalpha to mediate the suppression of apoptosis and induction of DNA synthesis by PPs. In this in vitro model, the PP nafenopin do not appear to mediate de novo TNFalpha gene expression suggesting that the response to nafenopin may be mediated by bioactivation or release of pre-existing TNFalpha protein from Kupffer cells.


Assuntos
Apoptose/efeitos dos fármacos , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Peroxissomos/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Animais , Células Cultivadas , Replicação do DNA/efeitos dos fármacos , Regulação da Expressão Gênica/efeitos dos fármacos , Fígado/metabolismo , Camundongos , Camundongos Knockout , Peroxissomos/efeitos dos fármacos , RNA Mensageiro/metabolismo , Receptores Citoplasmáticos e Nucleares/genética , Fatores de Transcrição/genética , Fator de Crescimento Transformador beta/farmacologia
19.
Carcinogenesis ; 21(12): 2159-65, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11133804

RESUMO

Induction of liver cancer by peroxisome proliferators such as nafenopin is frequently associated with increased liver growth, increased DNA synthesis and suppression of apoptosis. The cytokine, tumour necrosis factor alpha (TNF alpha), and non-parenchymal liver cells have been implicated in mediating the hepatic response to peroxisome proliferators. Here, we have investigated the dependency of the hepatocyte response to peroxisome proliferators on non-parenchymal cells, a major source of hepatic cytokines. Addition of non-parenchymal cells, or conditioned medium from non-parenchymal cell cultures, increased DNA synthesis (220% and 270% of control, respectively) and suppressed transforming growth factor beta(1)-induced hepatocyte apoptosis (32% and 54% of control, respectively). Removal of non-parenchymal cells from normal hepatocyte cultures prevented both the nafenopin- and TNF alpha-induced increase in DNA synthesis and suppression of hepatocyte apoptosis; this response was restored by returning non-parenchymal cells to the purified hepatocytes. TNF alpha was detected in the medium of non-parenchymal cell (3-15 pg/ml) and normal hepatocyte cultures (25-100 pg/ml) by bioassay using L929 cells. However, the contribution of TNF alpha released from non-parenchymal cells was small compared with that released spontaneously by hepatocytes. Nafenopin significantly increased the release of TNF alpha from non-parenchymal cells to 56 +/- 18 pg/ml, but had little effect on TNF alpha release by hepatocytes. However, the concentration of exogenous TNF alpha required to elicit a response in hepatocytes was 100 pg/ml and above. These data provide evidence that hepatic non-parenchymal cells are permissive for the growth response of hepatocytes in vitro to peroxisome proliferators and this may be mediated, at least in part by TNF alpha. However, the levels of TNF alpha released spontaneously or in response to peroxisome proliferators are insufficient per se to induce a growth response.


Assuntos
Apoptose/efeitos dos fármacos , Hepatócitos/citologia , Fígado/citologia , Nafenopina/farmacologia , Proliferadores de Peroxissomos/farmacologia , Animais , Apoptose/fisiologia , Bioensaio , Divisão Celular/efeitos dos fármacos , Células Cultivadas , Técnicas de Cocultura , Meios de Cultura , Meios de Cultivo Condicionados , DNA/biossíntese , Fator de Crescimento Epidérmico/farmacologia , Hepatócitos/efeitos dos fármacos , Hepatócitos/fisiologia , Cinética , Células L , Fígado/efeitos dos fármacos , Fígado/fisiologia , Masculino , Camundongos , Ratos , Ratos Endogâmicos F344 , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/farmacologia , Fator de Necrose Tumoral alfa/fisiologia
20.
Hepatology ; 30(6): 1417-24, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10573520

RESUMO

Peroxisome proliferators (PPs) cause rodent liver enlargement and tumors. In vitro, PPs induce rat and mouse hepatocyte DNA synthesis and suppress apoptosis, a response mimicked by exogenous tumor necrosis factor alpha (TNFalpha). Here, we determine the role of TNF receptor 1 (TNFR1), TNF receptor 2 (TNFR2), and nuclear factor kappa beta (NFkappaB) in the response of mouse hepatocytes to the PP, nafenopin. Nafenopin (50 micromol/L) induced DNA synthesis as measured by bromodeoxyuridine (BrdU) incorporation, suppressed cell death as measured by Hoechst 33258 staining, induced peroxisomal beta-oxidation as measured by cyanide insensitive palmitoyl CoA oxidation (PCO) and caused activation of nuclear factor kappa beta (NFkappaB) as determined by electrophoretic mobility gel shift assay (EMSA). The induction of DNA synthesis and the suppression of apoptosis in response to nafenopin was abrogated completely by blocking antibodies to TNFR1 but not to TNFR2. In contrast, the induction of peroxisomal beta-oxidation by nafenopin was not blocked by the anti-TNFR1 antibody. Next, we evaluated the response of hepatocytes to interleukin-1 (IL-1), another proinflammatory cytokine. IL-1alpha (2.5 ng/mL) and, to a lesser extent, IL-1beta (5 ng/mL), shared the ability of TNFalpha to induce DNA synthesis and suppress apoptosis. In addition, anti-IL-1 receptor, type 1/p80 (IL-1R) antibodies were able to abrogate the response to nafenopin. IL-1alpha was still able to perturb hepatocyte growth in the presence of the anti-TNFR1 antibody suggesting that IL-1alpha acts independently rather than by elaborating TNFalpha. In summary, these data provide additional evidence for a role for hepatic cytokines in the perturbation of hepatocyte growth by PPs such as nafenopin.


Assuntos
Antígenos CD/fisiologia , Apoptose/efeitos dos fármacos , Fígado/citologia , Nafenopina/antagonistas & inibidores , Nafenopina/farmacologia , Proliferadores de Peroxissomos/antagonistas & inibidores , Receptores de Interleucina-1/fisiologia , Receptores do Fator de Necrose Tumoral/fisiologia , Animais , Anticorpos , Antígenos CD/química , Antígenos CD/classificação , Núcleo Celular/efeitos dos fármacos , Núcleo Celular/metabolismo , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , DNA/biossíntese , DNA/genética , DNA/metabolismo , Interleucina-1/antagonistas & inibidores , Interleucina-1/farmacologia , Fígado/efeitos dos fármacos , Masculino , Camundongos , NF-kappa B/metabolismo , Oxirredução/efeitos dos fármacos , Proliferadores de Peroxissomos/farmacologia , Peroxissomos/efeitos dos fármacos , Peroxissomos/metabolismo , Receptores de Interleucina-1/antagonistas & inibidores , Receptores do Fator de Necrose Tumoral/química , Receptores do Fator de Necrose Tumoral/classificação , Receptores Tipo I de Fatores de Necrose Tumoral , Fase S/efeitos dos fármacos , Fator de Crescimento Transformador beta/antagonistas & inibidores , Fator de Crescimento Transformador beta/farmacologia , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Fator de Necrose Tumoral alfa/fisiologia
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