|
|
||||||||



*
Department of Immunology and
Research Group of the Hungarian Academy of Sciences, Eötvös Loránd University, Budapest, Hungary
| Abstract |
|---|
|
|
|---|
| Introduction |
|---|
|
|
|---|
Human B lymphocytes bear both CR1 and CR2 molecules. The C3d receptor, CR2 (CD21), appears as a member of a signaling complex (CR2/CD19/CD81) that transduces a positive activation signal upon coligation with surface IgM (sIgM) (9, 10, 12). A CR1/CR2 complex has also been described (13) whose role is yet unclear. A B cell Ag-receptor complex (BCR)-independent function of CRs is their participation in Ag uptake and Ag presentation (14, 15, 16). Using transfected fibroblasts, a cooperation between human CR1 and CR2 in internalization of ligands has been reported (17).
Whereas the role of human CR2 in B cell activation is relatively
well-established, much less is known about the exact function of CR1
(CD35). CR1 is a single-chain glycoprotein, which exists in four
allotypes, the most common of them having a molecular mass of
220
kDa and consisting of 30 short consensus repeats. It binds the C3b
fragment of C3 and, with lower affinity, iC3b and C4b
(18). CR1 is long known to act as a cofactor for the
factor I-mediated cleavage of C3 (19), and recently has
also been described to interact with C1q (20) and
mannose-binding lectin (21). Its role in B cell activation
mediated by ligand-induced cross-linking, however, is controversial.
Daha et al. (22) reported that clustering CR1 with F(ab')2 anti-CR1 augments Ab production of human peripheral B cells stimulated with suboptimal amounts of PWM in the presence of T cells, while the natural ligand, monomeric C3b, was ineffective under the same conditions. Weiss et al. (23) demonstrated that Abs to CR1 enhance the differentiation of Ag-activated B cells in the presence of T cell-derived factors. However, in a different study, CR1-specific Abs did not influence the plasma cell formation induced by PWM (24). The inhibition of PWM-induced Ig production by C3b was also demonstrated (25, 26). As far as early signaling events are concerned, anti-CR1 Abs did not influence the anti-µ-induced change in the intracellular free Ca2+ level (27, 28). Regarding proliferation of human B cells, data are controversial as well. An inhibitory effect of CR1-sIg cross-linking was shown on peripheral blood B cells (28) and on resting splenic B cells (29), while others reported no role of CR1 in the anti-µ-induced B cell proliferation (23, 24, 27). The controversy found in literature regarding the function of CR1 on human B cells is most probably due to the different experimental conditions, the use of mixed cell populations and Abs that react with various epitopes of CR1.
In the present study, we examined the effect of the natural ligand. We show that aggregated C3 and aggregated C3(H2O), i.e., "C3b-like C3", which mimic multimeric C3b and bind to CR1, strongly and dose-dependently inhibit the anti-IgM-induced proliferation of human B cells, even in the presence of the costimulatory cytokines IL-2 and IL-15. Parallel to this, the anti-IgM-induced transient increase of intracellular free Ca2+ level and phosphorylation of tyrosine residues of several cytoplasmic proteins are also inhibited by multimeric C3. Data presented indicate that CR1 expressed by human B lymphocytes mediates inhibitory signals, thus plays an opposite role to CR2 in the regulation of B cell activation.
| Materials and Methods |
|---|
|
|
|---|
Tonsils from children undergoing routine tonsillectomy were passed through a sterile wire mesh, and mononuclear cells were isolated by centrifugation over Ficoll-Hypaque solution (Pharmacia Biotech, Uppsala, Sweden). After rosetting with 2-aminoethylisothiouronium bromide-treated sheep RBC, the remaining cell suspension was treated with 5 mM L-leucine methyl ester (Sigma Aldrich, Budapest, Hungary) for depletion of phagocytic cells. Over 97% of the cells obtained were CD19+ with no detectable CD3+ and CD14+ cells in the suspension. In some experiments, B cells were further fractionated on a Percoll (Pharmacia Biotech) gradient to yield low- and high-density populations.
Tonsillar B lymphocytes were cultured at 1 x 105 cells/well in 200 µl serum-free X-VIVO 10 medium (BioWhittaker, Walkersville, MD) in flat-bottom, 96-well microtiter plates (Costar, Zenon, Hungary) at 37°C in a humidified atmosphere containing 5% CO2. Cells were stimulated with 3 µg/ml F(ab')2 of goat anti-human IgM (Fc5µ) (Axell, Westbury, NY) and cultured in the presence of various amounts of C3(H2O), heat-aggregated C3, or C3d. To abrogate the effect of C3, F(ab')2 of goat anti-human C3 (Cappel, Turnhout, Belgium) was added to parallel cultures at 25 µg/ml. Recombinant human IL-2 and IL-15 (Genzyme, Cambridge, MA) were added at 100 U/ml after 24 h. Cells were pulsed with 1 µCi/well [3H]thymidine (NEN, Boston, MA) for the last 16 h of culture. Incorporated radioactivity was measured after 72 h using a Wallac 1409 liquid scintillation beta counter (Wallac, Allerod, Denmark). The results are expressed as mean cpm ± SD of triplicate samples.
Isolation of human C3 and recombinant human C3d; generation of C3b-like C3
Human C3 was isolated from fresh serum by fast protein liquid chromatography (FPLC) as described by Basta and Hammer (30). Purified C3 was concentrated, dialysed against PBS, followed by incubation with protein G beads (Pharmacia Biotech) to minimize the amount of contaminating IgG. The remaining IgG content was <1%, as assessed by ELISA. The purity of the C3 preparation was assessed by SDS-PAGE and Coomassie blue staining. Aliquots were stored at -20°C and aggregated at 63°C for 20 min before use. C3(H2O), i.e., C3b-like C3 was generated by repeated freezing and thawing of the C3 preparation (31). For binding experiments, C3 was conjugated with biotin (Zymed Laboratories, San Francisco, CA) according to the method provided by the manufacturer.
pET15b-C3d(C1010A) oligoHis- plasmid encoding the C3d fragment of human C3 was kindly provided by D. E. Isenman (University of Toronto, Toronto, Canada). Protein expression was induced in transformed Escherichia coli strain BL21(DE3) as described (32). C3d was isolated from inclusion bodies after extensive sonication, then solubilized, oxidized, and renatured following the method of Kurucz et al. (33). C3d was further purified on a Mono Q HR 5/5 FPLC column (Pharmacia Biotech) at pH 8.3. Purity was assessed on a 12% SDS-polyacrylamide gel. Heat aggregation was done as described for C3.
Any possible toxic effect of various C3 preparations had been excluded by assessing the viability of treated cells, using trypan blue staining for microscopical and propidium iodide staining in FACS analysis.
ELISA
Duplicate wells of microtiter plates (Costar) were coated with different concentrations of nonaggregated and heat-aggregated C3 or C3(H2O), diluted in PBS. After washing five times with PBS containing 0.05% Tween 20, the plates were incubated with HRP-conjugated rabbit anti-human C3c (1/3000) or HRP-conjugated rabbit anti-human C3d (1/1000) Abs, both purchased from DAKO (Glostrup, Denmark). For visualization, tetramethylbenzidine (Sigma Aldrich) was used as a chromogen, OD values were measured at 450 nm.
Flow cytometry
Immunofluorescence measurements were performed using a FACSCalibur flow cytometer and the CellQuest software (BD Biosciences, Mountain View, CA). A total of 2 x 105 B cells were incubated with 100 µg/ml anti-human CR1 (clone To5, purchased from DAKO) or mouse anti-human CR2 Ab (clone FE8, a kind gift of W. M. Prodinger, University of Innsbruck, Innsbruck, Austria) in PBS containing 1% FCS and 0.1% NaN3 for 30 min on ice. Isotype-matched Ab was used as control. After washing, 3 µg of biotin-labeled, heat-aggregated human C3 or C3(H2O) was added to the samples for 30 min. Binding of C3 was revealed after washing and incubating with ExtrAvidin-FITC (Sigma Aldrich) for a further 20 min. Data of 10,000 cells were collected.
To assess the presence of cell-bound C3 fragments, lymphocytes activated with anti-IgM F(ab')2 and cultured with different amounts of aggregated C3 for 24 h were recovered, washed twice, and incubated with FITC-conjugated rabbit anti-C3c or anti-C3d (DAKO). Cells cultured without C3 were used as control. Data of 5,000 cells were collected.
For detection of changes in the intracellular free Ca2+ concentration ([Ca2+]i), high-density tonsil B cells were loaded with 5 µM Fluo-3/AM indicator and 30 µg/ml Pluronic F-127 (both from Molecular Probes, Eugene, OR) for 30 min at 37°C at 1 x 107 cells/ml. After washing, the cells were resuspended at 5 x 105 cells/ml and kept on ice until use. All studies were conducted in RPMI 1640 medium (Sigma Aldrich). After incubating at 37°C for 5 min, cells were activated with 2.5 µg of anti-IgM F(ab')2 in the presence of aggregated C3. Data were collected for 208 s. Nonviable cells were excluded by dyeing with 7-amino actinomycin D (Molecular Probes). Results shown are relative mean fluorescence values as the function of time.
Tyrosine phosphorylation
Resting tonsil B cells were washed and incubated for 15 min at 37°C at a concentration of 1 x 108 cells/ml RPMI 1640 medium. Then, 250-µl samples were activated with 2.5 µg of anti-IgM F(ab')2 in the presence or absence of heat-aggregated C3 for 2 min at 37°C, centrifuged, and immediately frozen in liquid nitrogen. Cells from each sample were solubilized in 250 µl lysis buffer containing 50 mM HEPES (pH 7.4), 1% Triton X-100, 100 mM NaF, 10 mM EDTA, 2 mM sodium orthovanadate, 10 mM sodium pyrophosphate, 10% glycerol, 2 µg/ml aprotinin, 2 µg/ml pepstatin, 5 µg/ml leupeptin, and 1 mM PMSF (the enzyme inhibitors were all purchased from Sigma Aldrich). After incubation for 45 min on ice, cell lysates were centrifuged at 15,000 x g for 20 min at 4°C. Samples were boiled in reducing sample buffer, electrophoresed on 10% SDS-PAGE gel, and the proteins were transferred to nitrocellulose membrane. After blocking with 0.1% gelatin, the blots were developed by subsequent incubation with anti-phosphotyrosine mAb (PY20, 1/1000, Transduction Laboratories, Lexington, KY) and HRP-conjugated anti-mouse Ig (Sigma Aldrich). Specific bands were visualized by the ECL method (Pierce, Rockford, IL).
Statistical analysis
Differences between sample means were analyzed using Students t test, and were considered statistically significant when p < 0.05.
| Results |
|---|
|
|
|---|
To establish whether aggregated human C3 is a ligand for CR1
and/or CR2 on human B lymphocytes, two approaches were applied. First,
we examined the accessibility of different epitopes of aggregated C3 by
ELISA. Plates were coated with various dilutions of nonaggregated and
heat-aggregated C3, and binding of HRP-conjugated rabbit anti-human
C3c or anti-human C3d Ab was assessed. As shown in Fig. 1
, the accessibility of the C3d sequence
is markedly reduced after aggregation of intact C3 (Fig. 1
A), while C3b epitopes remain unchanged (Fig. 1
B). Experiments with nonaggregated and aggregated
C3(H2O), i.e., C3b-like C3 (31), led
to similar results (Fig. 1
, C and D). These data
suggest that aggregation of intact C3 induces conformational changes
that bury C3d sequences inside the molecule, leaving exposed epitopes
which are available mainly by C3c-specific Abs.
|
|
Next, we studied the functional effect of the multimeric CR1
ligand on B cell activation. Low- and high-density B cells were
isolated from human tonsils and activated with a suboptimal dose of
anti-IgM F(ab')2 (3 µg/ml, as determined in
preliminary experiments). Cells were cultured in the presence of
different amounts of aggregated C3 for 72 h as described in the
section of Materials and Methods. As shown in Fig. 3
, the multimeric CR1-ligand exerts a
dose-dependent inhibitory effect on the anti-IgM-induced
proliferation of both high- and low-density tonsil B cells, with a more
pronounced effect in the case of the former. (It must be noted that the
proliferative response of the low-density blast cells is considerably
reduced compared with that of the "resting" cells. This is
reflected in the
10-fold difference in the
[3H]thymidine uptake of the two cell
populations, as seen in Fig. 3
, A and B).
Aggregated C3(H2O) applied under the same
conditions exerted an inhibitory effect as well (Fig. 3
D).
As a control, the proliferation of the CR1- B cells of
Raji line has also been tested and found to be not inhibited by
aggregated C3 (not shown). In good agreement with earlier data
(35), aggregated C3d, the CR2 ligand, dose-dependently
enhanced the proliferation of human B cells, as shown in Fig. 3
C. Similar results were obtained using B cells isolated
from peripheral blood (not shown).
|
To exclude the possibility that contaminating proteins are
involved in the action of C3, the proliferation assay has been
conducted in the presence of anti-C3 F(ab')2
as well. As shown in Fig. 4
, blocking the
interaction between C3 and CR1 suspends the inhibitory effect of the
complement protein.
|
|
All these data strongly support the assumption that the inhibition of B cell proliferation is mediated by CR1 clustered by its multimeric natural ligand.
Aggregated C3 inhibits the IL-2- and IL-15-dependent proliferation of B cells
Similar to the effect of the T cell-derived cytokine IL-2, the
macrophage-derived IL-15 is also known to costimulate the proliferation
and augment the Ab production of B lymphocytes (36).
Therefore, we aimed to investigate whether cytokine-dependent B cell
growth is also affected by the engagement of CR1. The effect of
aggregated C3 on the IL-2- and IL-15-dependent proliferation of tonsil
B cells was studied using low- and high-density cells activated by
anti-human IgM F(ab')2. Fig. 6
shows that heat-aggregated C3
dose-dependently inhibits the anti-IgM-induced proliferation of B
cells in the presence of either cytokine. In agreement with earlier
data (36), IL-2 or IL-15 alone (shown as controls in Fig. 6
) induced the proliferation of low-density B cells only.
|
One of the early events of cellular activation is the elevation of
cytosolic free Ca2+ concentration. It is known
that cocross-linking CR2 and sIgM enhances the transient increase of
[Ca2+]i induced by BCR
alone (27, 28, 37). Based on our results shown in Figs. 3
, 4
, and 6
, we assumed that the inhibitory effect of multimeric C3 on B
cell proliferation is caused by interfering with the sIgM-mediated
activation signal. To test this possibility, we examined the effect of
aggregated C3 on the anti-IgM-induced Ca2+
response of resting tonsillar B cells. Fig. 7
shows that the multimeric ligand
dose-dependently reduces the anti-IgM-induced elevation of
[Ca2+]i both in the first
phase (release of Ca2+ from intracellular pools)
and in the late phase (Ca2+ influx from the
extracellular space) of the Ca2+ response. When
added alone, C3 has no effect at all. In agreement with the
proliferative response, the effect of CR1 cross-linking was more
pronounced when the cells were activated with a suboptimal
concentration of anti-IgM F(ab')2, while
optimal BCR stimulation overcame the inhibitory effect of C3. We
obtained similar results using aggregated C3(H2O)
(data not shown).
|
To investigate whether the engagement of CR1 influences the
general phosphorylation pattern of intracellular proteins, resting
tonsil B lymphocytes were isolated and stimulated with anti-IgM
F(ab')2 in the presence of aggregated C3, as
described in the section of Materials and Methods. As shown
in Fig. 8
, the anti-IgM-induced
tyrosine phosphorylation of several intracellular proteins is reduced
in the presence of the multimeric CR1 ligand. The identification of
cytoplasmic molecules (such as proteins with approximate molecular
masses of 5055 and 90 kDa) involved in this inhibition is in progress
in our laboratory.
|
| Discussion |
|---|
|
|
|---|
Complement has been shown to modulate and direct immune responses, thus, bridging the innate and the adaptive immune system (1, 2, 3, 4). The important role of primate CR1 in several immunological processes was acknowledged long ago. CR1 is a multiligand receptor that binds the complement activation products C4b and C3b. This potential enables CR1 present in the membrane of erythrocytes to deliver opsonized immune complexes to the liver and the spleen, thus, eliminating them from the circulation. CR1 is long known to play an important role in the phagocytosis of opsonized particles by neutrophils and monocytes. It is also a regulator of the complement cascade as a decay accelerator and a cofactor for the enzyme, factor I (19). By its cofactor activity, together with other complement regulators in the cell membrane, CR1 promotes the conversion of C3b to iC3b and C3d(g).
Regarding the immunomodulatory role of C3 fragments and their corresponding receptors CR1 and CR2 on B lymphocytes, most of the studies were conducted in murine system (1, 3, 5, 6, 7, 8, 9, 10, 38, 39). It had been shown that monovalent C3b and C3d inhibit, while the same ligands applied in polymeric form enhance the proliferation of mouse B cells (38, 39). Similar results were obtained with C3d on human B cells (35, 37). It is important to point out that while in mice CR1 and CR2 are products of alternatively spliced mRNA from the Cr2 gene, in humans these complement receptors are encoded by different genes (40, 41). Consequently, human CR1 may have different and/or additional roles which cannot be studied in mice.
Concerning the role of CR1 on human B lymphocytes, results of earlier studies are controversial, most probably due to the different experimental settings. Although in several studies PWM was used as polyclonal B cell activator, in other experiments a more physiologic stimulus, namely anti-µ, was applied. Tedder et al. (24) showed no effect of CR1-specific Ab on the anti-µ-induced proliferation and on Ig production of PWM-stimulated blood B cells, while other groups reported both CR1-mediated enhancement (22, 23) and inhibition (25, 26) of Ig synthesis. Using receptor-specific Abs, Fingeroth et al. (29) reported that cocross-linking of sIg and CR1 on resting splenic B cells results in inhibition of the anti-IgM-induced proliferation. Carter et al. (28) obtained similar results with blood B cells. However, the use of receptor-specific Abs does not reflect the in vivo conditions. Moreover, these data do not describe the result of clustering sIg and CR1 independently.
For these considerations, we have used C3 in aggregated form to cluster
CR1 molecules on B cells. We have demonstrated that heat-aggregated C3
behaves like aggregated C3(H2O) or C3b-like C3 in
respect to its receptor-binding activity, i.e., it primarily binds to
CR1 (Fig. 2
). Because aggregation results in the reduced accessibility
of the C3d regions of C3 molecules (Fig. 1
), this aggregated form of
the complement protein can be used for modeling C3b-like C3, and to
study the cellular events induced by CR1-cross-linking. Our data
presented in this study clearly show that clustering CR1 via its
natural ligand on anti-µ-activated human B cells induces negative
regulatory signals, a function which is particularly pronounced when
the cell is activated suboptimally via sIg (Figs. 3
and 6
8). To
confirm the role of C3 and CR1 in this process, additional experiments
have been performed. Data obtained from FACS analysis of cells removed
from culture revealed that bound C3 can be detected on their surface
with C3c-specific Abs even after 24 h, although we were unable to
show the presence of C3d fragments/epitopes (Fig. 5
). Furthermore, we
could abrogate the effect of aggregated C3 using anti-C3
F(ab')2 (Fig. 4
). These results and the finding
that the proliferation of Raji cells lacking CR1 is not inhibited by
the same C3 preparation (not shown) support our assumption of
CR1-mediated inhibition. To exclude the direct involvement of IgG and
Fc
RIIb, we have used C3 purified by FPLC method and incubation with
protein G beads to minimize contamination. In addition, we found that
aggregated IgG used in the concentration range in which it might
contaminate our C3 preparation, did not affect the studied cellular
events. We also studied the effect of aggregated C3 when further
stimulus was provided for B cells. Our results show that the inhibition
of anti-IgM-induced B cell proliferation is not abrogated in the
presence of the costimulatory cytokines IL-2 and IL-15, added after
24 h (Fig. 6
). The inhibitory effect involves early intracellular
signaling events, such as changes in
[Ca2+]i (Fig. 7
), and
phosphorylation of certain cytoplasmic proteins (Fig. 8
).
Ag-bound C3d(g) is known to promote B cell activation by binding to
CR2, a constituent of the coreceptor complex CR2/CD19/CD81, thus,
lowering the threshold of Ag-specific BCR for activation (10, 12, 35, 38, 42). In the cell membrane of human B lymphocytes, CR1
molecules appear not only in free form, but also in association with
CR2 alone, i.e., not within the trimolecular complex of CR2/CD19/CD81
(13). Although the short cytoplasmic tail of CR2 includes
potential protein kinase C and tyrosine phosphorylation sites, and the
phosphorylation of CR2 in PMA-treated tonsillar B cells has been
observed earlier (43), it is thought that the activatory
signal is transduced via the associated CD19 molecule, and CR2 serves
only as a ligand-binding subunit in the coreceptor complex
(12). However, recent study provided evidence for
CD19-independent signaling through CR2 (44). In contrast
to CR2, the intracytoplasmic of human CR1 does not seem to have the
ability of transducing signals. Yet data obtained earlier with
antireceptor Abs (28, 29) suggest that CR1 has
signal-mediating capacity, either itself or via associated molecules.
This is clearly supported by the results of our experiments, since
BCR-induced elevation of
[Ca2+]i is inhibited, and
tyrosine phosphorylation of certain cytoplasmic proteins is strongly
reduced upon clustering CR1 (Figs. 7
and 8
). Regarding the mechanism,
we assume that inhibitory molecules (such as Fc
RIIb) cocluster with
CR1 upon engagement of the latter by its multimeric ligand. However,
because this process occurs in the absence of IgG, the possible
involvement of lipid rafts containing CR1 and B cell inhibitory
receptors should be taken into consideration.
The fate of a B lymphocyte is determined by the integration of signals
transduced via several cell membrane molecules, including sIg, CR2,
Fc
RII, CD22, and CD45 (45, 46). The CR2-mediated
enhancement of B cell function is important in limiting Ag doses
(47), particularly at suboptimal activation, when
modulatory effects of complement and FcR become more pronounced.
Multimeric C3b-like C3 used in our experiments is a physiological
ligand of CR1, which is able to cluster these receptors. Because
several pathogens are known to fix C3b fragments on their surface in a
protected state, i.e., inaccessible to factors H and I
(48), multimeric C3b is available for a long period during
infections.
Our data point to the importance of the local C3b:C3d ratio and the
strength of the BCR-mediated stimulatory signal in determining the fate
of human B cells. It is clearly demonstrated that human CR1, in
contrast to CR2, is involved in the elevation of the activation
threshold of B cells (Figs. 3
, 6
8). This mechanism may ensure an
additional level of regulation, which, depending on the composition of
immune complexes and the degradation stage of C3, may reduce the
possibility of nonspecific B cell activation.
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Anna Erdei, Department of Immunology, Eötvös Loránd University, Pázmány Péter s. 1/C, H-1117 Budapest, Hungary. E-mail address: anna.erdei{at}freemail.hu ![]()
3 Abbreviations used in this paper: CR1, complement receptor type 1; BCR, B cell Ag receptor complex; [Ca2+]i, intracellular free Ca2+ concentration; CR2, complement receptor type 2; sIg, surface Ig; FPLC, fast protein liquid chromatography; sIgM, surface IgM. ![]()
Received for publication July 23, 2001. Accepted for publication January 16, 2002.
| References |
|---|
|
|
|---|
RIIb1. Curr. Opin. Immunol. 8:378.[Medline]
This article has been cited by other articles:
![]() |
K. E. Nilsson, M. Andren, T. D. de Stahl, and S. Kleinau Enhanced susceptibility to low-dose collagen-induced arthritis in CR1/2-deficient female mice--possible role of estrogen on CR1 expression FASEB J, August 1, 2009; 23(8): 2450 - 2458. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Isaak, P. Gergely Jr, Z. Szekeres, J. Prechl, G. Poor, A. Erdei, and J. Gergely Physiological up-regulation of inhibitory receptors Fc{gamma}RII and CR1 on memory B cells is lacking in SLE patients Int. Immunol., February 1, 2008; 20(2): 185 - 192. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Shimizu, T. Kawahara, F. Haspot, P. D. Bardwell, M. C. Carroll, and M. Sykes B-cell extrinsic CR1/CR2 promotes natural antibody production and tolerance induction of anti-{alpha}GAL-producing B-1 cells Blood, February 15, 2007; 109(4): 1773 - 1781. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Fairweather, S. Frisancho-Kiss, D. B. Njoku, J. F. Nyland, Z. Kaya, S. A. Yusung, S. E. Davis, J. A. Frisancho, M. A. Barrett, and N. R. Rose Complement Receptor 1 and 2 Deficiency Increases Coxsackievirus B3-Induced Myocarditis, Dilated Cardiomyopathy, and Heart Failure by Increasing Macrophages, IL-1beta, and Immune Complex Deposition in the Heart J. Immunol., March 15, 2006; 176(6): 3516 - 3524. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |