|
|
||||||||
by Cytotoxic T Cells Up-Regulates Fas on Target Cells and Facilitates Exocytosis-Independent Specific Target Cell Lysis



* Division of Immunology and Cell Biology, John Curtin School of Medical Research, Australian National University, Canberra, Australia; and
Max-Planck-Institut für Immunbiologie, Stübeweg, Freiburg, Germany
| Abstract |
|---|
|
|
|---|
Abs. This Fas up-regulation on initially Fas-negative
target cells is not mediated by TCR-MHC/peptide signaling per se, but
by secreted IFN-
from Tc cells after Ag engagement. The Fas
up-regulation by Tc cells can be mimicked by treatment of target cells
with rIFN-
. Tc cells from IFN-
knockout mice do not induce Fas
expression on target cells. Tc cell-mediated Fas expression on third
party, bystander, target cells does not enhance their susceptibility to
lysis by these nominal effector cells. The results are discussed as to
the possible relevance of the phenomenon in efficiency and regulation
of the Tc cell response to infections by viruses. | Introduction |
|---|
|
|
|---|
(1) and TNF-
(2), which may act proximal and distal to the effector
cell. The other is direct cytolysis and apoptosis of the bound target
cell. These two distinct effector mechanisms are not necessarily
executed by the same CD8+ T cell. Evidence for
such is the vastly different numbers of Ag-specific
CD8+ T cells identified as IFN-
producers vs
estimates of cytolytic T
(Tc)2 cells using
limiting dilution techniques (3), and our recent finding
that in response to flavivirus infection, Tc cells with lytic activity
are not always producers of IFN-
(4). Apoptosis and lysis of target cells by cytolytic lymphocytes (NK and Tc cells) can be executed via at least two distinct pathways: one, the exocytosis pathway mediated by perforin (perf) and granzymes (gzm); the other, by the Fas pathway involving the Fas ligand (FasL) on the effector cell engaging the Fas receptor (Fas or CD95) on the target cell (5, 6, 7, 8, 9, 10, 11, 12). It is generally believed that the exocytosis pathway is primarily involved in the elimination and/or control of intracellular pathogens such as viruses. The Fas pathway of cytotoxicity, in contrast, was thought to be in essence immunoregulatory (11, 13, 14). However, some recent studies (15), including our own on flavivirus-induced cytotoxicity (16), suggest that in certain virus infections both pathways are operative.
We have shown previously (17) that delayed target cell lysis and apoptosis by alloreactive cytolytic T cells from perf-deficient (perf-/-) mice proceed via the Fas pathway. This conclusion was reached for the following reasons: 1) Fas expression, on originally Fas-negative (Fasneg) targets, after incubation with Tc cells from perf-/- mice, was increased in a time-dependent manner; 2) target cells had to be biosynthetically active, i.e., RNA and protein synthesis was required as well as protein transport for lysis to occur; 3) Abs to Fas or soluble Fas-Fc inhibited cytolysis and nucleolysis; 4) poxvirus-encoded serpins, in particular SPI-2, a strong inhibitor of the Fas pathway (18, 19, 20), completely inhibited lysis of target cells by perf-/- Tc cells; 5) brefeldin A treatment of Tc cells severely reduced lysis, which interferes with polypeptide transport, but only marginally with concanamycin A, an inhibitor of exocytosis (21); 6) target cells derived from the Fas-defective mutant mouse (lpr) were refractory to lysis; and finally 7) Tc effector cells from perf-/- x gld mice, defective in both cytolytic effector pathways, did not exhibit this lytic phenotype on Fasneg target cells.
In this study, we present evidence as to the mechanism by which Tc cells induce Fas expression on Fasneg target cells, investigate its consequence on bystander killing, and speculate on the significance of this process in recovery from viral infections.
| Materials and Methods |
|---|
|
|
|---|
C57BL/6 (KbDb) (B6),
AKR/N (KkDk) (AKR), B10.HTG
(KdDb) (HTG), the
perf-/- mutant (8), the triple
knockout mouse, deficient in perf plus gzm A and B
(perfxgzmAxB-/-) (17),
and the IFN-
-deficient mouse (IFN-
-/-)
(22) were bred under pathogen-free conditions at the
Animal Breeding Facility of the John Curtin School of Medical Research
or the animal facilities of the Max-Planck-Institute for
Immunbiology.
Cell lines
The mouse cell lines L929 (H-2k), L1210 (H-2d), and L1210.Fas (transfected with mouse Fas; kindly provided by P. Golstein, Marseilles, France) were grown in Eagles MEM (EMEM) supplemented with 10% FCS.
FACS analysis
Cells were stained for Fas expression using the FITC-conjugated mAb specific for mouse Fas (Jo-2; PharMingen, Hamburg, Germany). Cells were examined with a FACScan flow cytometer (BD Biosciences, San Jose, CA).
Treatment of L929 cells with rIFN-
L929 were plated in 24-well Costar (Cambridge, MA) plates and
treated with 300 U rIFN-
(Genzyme, Cambridge, MA; MG-IFN; 200
U/µl) for 4, 6, and 22 h. Cells were trypsinized and aliquots
were stained for cell surface Fas expression and Fas transcript
quantitation by PCR.
Quantitation of Fas transcripts
mRNA was isolated from cell lines using TriReagent, following the instruction of the manufacturer (T9424; Sigma-Aldrich, St. Louis, MO). After treatment with 2 µl (2 µg) DNase (Roche Molecular Biochemicals, Mannheim, Germany), mRNA was incubated with 1 µl oligo(dT)1218 primer (500 ng; Pharmacia, Freiburg, Germany) and Omniscript RT (4 U; Qiagen, Hilden, Germany). RT-PCR was done as described by Qiagen. Aliquots of 50100 ng cDNA were used as template for PCR amplification of mouse Fas using the primer pairs, as described (17, 23). PCR products were amplified with 35 cycles, separated by 1.5% agarose gel electrophoresis, and visualized by ethidium bromide staining. Quantitation of PCR products was done using the NIH Image software (version 1.62; freeware from National Institutes of Health download page) by analyzing the density of the scanned bands.
Generation of cytotoxic T cells
For the generation of alloreactive Tc cells, 8 x 107 responder splenocytes were cocultured with 4 x 107 irradiated (2000 rad) allogeneic stimulator cells for 56 days in 40 ml EMEM, 10% FCS, plus 10-5 M 2-ME.
51Cr release cytotoxicity assay
The methods used for 51Cr labeling of target cell lines have been described (24). Duration of the assays varied from 4 to 22 h, as indicated in Results. Percentage of specific lysis was calculated by the formula: percentage of specific lysis = ((experimental release - medium release)/(maximum release - medium release)) x 100. Data given are the means of triplicate determinations. SEM values were always <5%.
[3H]DNA release assay
To assay DNA fragmentation, target cells (2 x 105/ml) were prelabeled with 5 mCi/ml [3H]thymidine (thymidine, methyl[3H]; aqueous solution; 1 mCi/ml; DuPont NEN, Bad Homburg, Germany) in complete EMEM overnight, washed, and used as targets in cytotoxicity assays. Effector cells were mixed with 12 x 104 labeled target cells in triplicates at the indicated E:T ratio in 200 µl EMEM supplemented with 2 mg/ml BSA. In some experiments, mAb to Fas (Jo-2) was added to cell cultures before incubation. After indicated time periods, cells were lysed with 25 µl TTE, except maximum release (2% T-X-100/80 mM Tris-HCl, pH 8.0, 5 M EDTA, pH 8.0), for 10 min at 37°C. After centrifugation (1200 rpm; 10 min), 25 µl supernatant was harvested into a solid scintillator plate (LumPlate; Packard, Dreieich, Germany), dried, and counted with TopCount (Packard). For maximum release, 25 µl EMEM was added to the wells, and 25 µl resuspended cell suspension was used. Percentage of specific lysis was calculated by the formula: percentage of specific lysis = ((experimental release - medium release)/(maximum release - medium release)] x 100. Data given are the means of triplicate determinations. SEM values were always <5%.
Inhibition of cytotoxicity
Anti-IFN-
mAb (AN18) (25) or control IgG
(hamster IgG, rat IgG) was added at the indicated concentrations to
cultures containing Tc cells and target cells for the duration of
assay.
Double-chamber experiments
Experiments were performed in six-well Transwell (Costar catalogue 3412) tissue culture plates. A total of 1 x 106 Fasneg L929 indicator cells was cultured in the bottom chamber separated by a 0.4-µm-pore-size polycarb membrane. Upper chamber contained 1 x 106 L1210 target cells and effector alloreactive Tc cells, as indicated. After 20-h assay time, L929 cells were trypsinized and Fas expression was analyzed by FACS.
| Results |
|---|
|
|
|---|
Ag-mediated release of soluble mediators induces Fas expression
Double-chamber experiments were performed to investigate whether
soluble mediators were responsible for the up-regulation of Fas
on Fasneg L929 targets. Splenocytes from
perfxgzmAxB-/- mice
(H-2b) deficient in exocytosis-mediated
cytotoxicity were cocultured in vitro with B10.HTG
(KdDb) stimulator cells and
tested for their ability to lyse Fasneg L1210
targets after 6- and 20-h assay time (Fig. 1
A). As shown previously
(17), lysis of Fasneg L1210 targets
was negligible at 6 h, but became highly significant at 20 h
of incubation. The same effectors and targets were used in the
double-chamber experiment (Fig. 1
B), with
Fasneg L929 indicator cells in the bottom
chamber. Induction of Fas expression on L929 cells was analyzed by FACS
using FITC anti-Fas mAb (Jo-2). Background fluorescence of L929
cells is indicated by the left two bars (0:1, E:T), and refers to L929
cultivated with either no cells (filled) or only L1210 target cells
(hatched) in the upper chamber. A substantial increase in Fas
expression on L929 cells was observed when the upper chamber contained
both effector and target cells (hatched bars), but not effector cells
alone (filled bars), with similar levels obtained at E:T ratios of 1:1
and 3:1, and a slight decrease at 9:1 (target cell numbers were held
constant). This suggests that Ag was not limiting at conditions used,
and at high effector numbers the putative mediator(s) may have also
been utilized by the Tc cell population.
|
induces Fas expression on Fasneg L929 targets
IFN-
and TNF-
are two dominant cytokines known to be
released from Tc cells following activation (1, 2). We
have argued previously that it is unlikely that TNF-
is involved in
Fas up-regulation, as conditions optimal for determining TNF activity
(treatment of effector cells with actinomycin D) actually inhibited Fas
expression on target cells (17, 26). We thus investigated
whether L929 cells, used in our study, can be induced to express Fas
upon treatment with rIFN-
in vitro, as has been shown previously
(27). L929 cells were incubated with rIFN-
for 4, 6,
and 22 h, and were analyzed for cell surface Fas expression by
FACS, and the presence of Fas-specific transcripts by RT-PCR (Fig. 2
, A and B). Cell
surface Fas expression was evident at the first (4-h) time point
measured, declined slightly by 6 h, but stayed elevated till at
least 22 h (Fig. 2
A). Low levels of Fas message were
present in mock-treated cells, increased at 4 h after rIFN-
treatment to double the intensity, and decreased to 1.5 times the
intensity as compared with untreated control by 22 h (Fig. 2
B). The low levels of Fas message observed in mock-treated
L929 target cells suggest that Fas cell surface expression is also
regulated at the translational level and may facilitate a faster
response after an appropriate signal.
|
Ab
H-2k-reactive Tc cells from
perfxgzmAxB-/- mice were tested for their
ability to induce 51Cr and
[3H]DNA release on Fasneg
L929 targets in the presence of anti-IFN-
and control Abs (Fig. 3
). T cell-mediated lysis and apoptosis
of targets were partially inhibited, in a dose-dependent manner, by
anti-IFN-
mAb, compared with isotype control Abs over a 6-h
assay period.
|
-deficient mice do not
up-regulate Fas on Fasneg target cells
To test whether IFN-
is the sole mediator responsible for
the up-regulation of Fas on Fasneg targets, we
tested whether alloreactive Tc cells from IFN-
-deficient mice
facilitate Fas expression in a double-chamber experiment. Splenocytes
from B6, perf-/-, and
IFN-
-/- mice were stimulated in in vitro
culture with HTG stimulator splenocytes.
Kd-reactive effectors were tested for lysis of
L1210 and L1210.Fas target cells after 6- and 20-h assay times (Fig. 4
A). Effectors from
perf-/- mice lysed L1210 targets only
marginally at 6 h, but significantly at 20-h assay times, as
expected. Lysis of L1210.Fas targets was above that of L1210 targets
with all effectors. IFN-
-/--derived
effectors lysed both target cells slightly more efficiently than
B6-derived effectors, an observation made previously (22).
The same effector cells used in the cytotoxic assay were used in a
double-chamber experiment. Indicator Fasneg L929
cells were placed in the bottom chamber and assayed for Fas cell
surface expression using anti-Fas mAb (Jo2) after a 20-h incubation
(Fig. 4
B). The presence of B6 and
IFN-
-/- effectors, in the absence of Ag,
resulted only in a slight increase of fluorescence above the control
(dotted line) and was similar for both cell populations. When effectors
were cocultured with L1210 target cells, indicator
Fasneg L929 cells had significantly increased
fluorescence from wells with B6 and perf-/-
effectors, but not with IFN-
-/- effectors.
This indicates that IFN-
is the sole mediator released by Tc cells,
which induces the expression of Fas on Fasneg
bystander cells.
|
-induced Fas expression on bystander killing
The availability of Tc cells lacking in IFN-
gene and thus
unable to induce Fas on Fasneg L929 cells enabled
us to investigate whether up-regulation of Fas on bystander cells leads
to their lysis by Tc cells. H-2Kd alloreactive Tc
cells from B6, perf-/-, and
IFN-
-/- mice were tested for lysis of target
cell mixtures of equal proportions of L1210
(H-2d, the specific target) and L929
(H-2k, bystanders) with only one of the cell type
labeled with 51Cr. Fig. 5
A shows
51Cr release from L1210 targets at three time
points at an E:T of 0.7:1. Effector cells from B6 and
IFN-
-/- mice lysed L1210 targets to a
similar extent at all time points tested, whereas
perf-/- effectors did not lyse L1210 targets at
this low E:T at the early time points and only marginally after 20-h
assay time. Lysis of L929 cells was low and insignificant up to the 8-h
point. At 20-h assay time, however, significant cross-reactivity by
Kd-reactive Tc cells on
H-2k targets can be observed, predominantly with
effectors from B6 and IFN-
-/- mice (Fig. 5
B). However, most importantly, effectors from B6 mice did
not lyse L929 target cells, which by this time express Fas, to a
greater extent than those cultured with effectors from
IFN-
-/- mice. The latter effector population
was actually more cross-reactive than B6 effectors. This clearly
indicates that Tc cell-mediated up-regulation of Fas on bystander cells
does not render them more susceptible to lysis by irrelevant (third
party) effectors, even in the presence of functioning FasL/Fas and
exocytosis pathways.
|
| Discussion |
|---|
|
|
|---|
is the principal mediator responsible for the Tc effector
cell-mediated up-regulation of Fas on target cells. In particular, the
findings that treatment of L929neg targets with
rIFN-
up-regulates Fas and the lack of induction of Fas expression
on L929neg cells, when Tc effector cells from
IFN-
-/- mice were used, underpin this
conclusion. The discovery of this phenomenon was made possible by the
fortuitous use of Tc effector cells deficient in exocytosis-mediated
cytotoxicity, in cytotoxic assays over extended assay periods
(17), and reveals another possible facet of Tc
cell-mediated apoptosis. The evidence that a secretable mediator of Tc cells, rather than direct cell contact-mediated signaling, is responsible for induced Fas expression, thus able to exert its biological effect distal to the effector cell, may have additional biological implications. We speculated previously (17) that the induction of Fas expression on target cells may constitute a back-up cytolytic mechanism for granule exocytosis-mediated cytotoxicity in the event of a defective perf/gzm machinery (this is mimicked in the perf-/- mouse) or exhaustion in effector molecules of the exocytosis-dependent killing pathway during an extended Tc cell response. Furthermore, the option of Tc cells to switch from the perf/gzm pathway to the FasL/Fas pathway may facilitate survival from infections with pathogens that have evolved means to evade the granule exocytosis-mediated mechanisms of apoptosis and cell death. One such evasion strategy has recently been described for adenoviruses, in which the adenovirus late assembly protein, L4-100K, inhibits gzmB-mediated cell death (28). This would indicate that one of the cytolytic mechanisms, exocytosis-mediated cell death or Fas-mediated cell death, is redundant. Such complementary cytolytic mechanisms operating in the recovery from primary viral infections or immunopathology would obscure clear-cut phenotypes in granule exocytosis-mediated cytotoxicity-deficient mice. This is actually observed in most studies on viral infections using perf- or gzm-deficient mice (13, 15, 16, 29, 30, 31). The one prominent exception is Ectromelia (Ect), mouse pox (32, 33, 34). In this case, the observed absolute requirement for perf- and gzm-mediated mechanisms for recovery from Ect infection is most likely the consequence of the inhibition of the Fas-mediated pathway by Ect-encoded serpin SPI-2 (32, 35) and has implications for the use of poxviruses in bioterrorism (32).
IFN-
release by Tc cells will induce Fas on bystander cells proximal
and distal to the effector T cell. In the event that these cells
express the cognate Ag, i.e., are infected with the relevant parasite,
this should facilitate a more efficient control of the infection. The
possibility that this may lead to killing of innocent (noninfected)
bystander cells has been investigated by using Tc effector cells from
IFN-
-/- mice. If innocent bystander lysis is
occurring due to Fas expression, the following prediction should be
fulfilled. Tc cells from B6 mice upon Ag encounter induce Fas on
bystanders as a result of IFN-
release in a time-dependent manner.
Thus, at early time points, only Fas-independent (cross-reactive) lysis
takes place. With increasing assay times and Fas expression, the rate
of bystander killing is predicted to increase and should result in an
increase in the magnitude and kinetics of killing when compared with Tc
cells from IFN-
-/- mice in which no Fas
expression takes place. Experiments shown in Fig. 5
fail to provide
evidence that IFN-
-mediated up-regulation of Fas on target cells
makes them increasingly susceptible to lysis by Tc cells without Ag
specificity. In accordance with this observation are our findings that
Fas-positive targets are not lysed by activated Tc cells expressing
FasL in the absence of TCR ligation, i.e., expression of the relevant
MHC class I/peptide complex or allogeneic MHC class I
(17). However, Fas-mediated cell death in the absence of
cognate Ag has been reported to be operative in peripheral T cell
deletion. The mechanism by which this is controlled is not clear
(36), but may be dependent on cell type (37).
In addition, bystander killing mediated via the Fas pathway has been
reported by other groups under conditions of simultaneous recognition
of cognate Ag on one APC and Fas on the bystander cell (38, 39). However, in these experiments, lysis was only seen in cells
expressing high Fas levels from the beginning of the cytotoxic
assay.
IFN-
-mediated up-regulation of Fas may also play a role in processes
of feedback regulation of an immune response by acting on APCs,
including dendritic cells (DC), rendering them more sensitive to
FasL/Fas-mediated apoptosis by Tc cells at the early stages of the Tc
cell response when cytolytic granule formation has not yet matured.
However, reports that DC cells are refractory to Fas-mediated apoptosis
(37) and evidence that the perf rather than the Fas
pathway is responsible for elimination of Ag-presenting DC
(40) suggest otherwise.
Finally, Fas up-regulation by IFN-
may only concern regulation of Tc
cells themselves by self-regulating clonal expansion. The evidence of
greatly reduced apoptosis and lymphoproliferative disease in the Fas
mutant mouse lpr/lpr (36), an elevated Tc cell
response in IFN-
-/- mice (Ref. 22 and our
own unpublished results), and the essential requirement for IFN-
in
activation-induced cell death of T effector cells in vitro (unpublished
results) are in agreement with this hypothesis.
| Footnotes |
|---|
2 Abbreviations used in this paper: Tc, cytolytic T; DC, dendritic cell; Ect, Ectromelia; EMEM, Eagles MEM; FasL, Fas ligand; gzm, granzyme; neg, negative; perf, perforin. ![]()
Received for publication February 28, 2002. Accepted for publication May 1, 2002.
| References |
|---|
|
|
|---|
. Annu. Rev. Immunol. 15:749.[Medline]
production in cytotoxic T cells triggered by virus-infected target cells in vitro. [Published erratum appears in 2001 Scand. J. Immunol. 54:640.]. Scand. J. Immunol. 54:366.[Medline]
genes. Science 259:1739.
inhibit interleukin 2-dependent induction of growth and maturation in lectin/antigen-reactive cytolytic T lymphocyte precursors. J. Immunol. 136:2755.[Abstract]
and
. J. E. Coligan, and A. M. Kruisbeek, and D. H. Margulies, and E. M. Shevach, and W. Strober, eds. Current Protocols in Immunology, Vol. 1 6.10.1.-6.10.5. Wiley, New York.
, and the production of interferon
in the absence of IL-12 during DC-T cell cognate interaction: a new role for Fas ligand in inflammatory responses. J. Exp. Med. 192:1661.This article has been cited by other articles:
![]() |
S. Charni, J. I. Aguilo, J. Garaude, G. de Bettignies, C. Jacquet, R. A. Hipskind, D. Singer, A. Anel, and M. Villalba ERK5 Knockdown Generates Mouse Leukemia Cells with Low MHC Class I Levels That Activate NK Cells and Block Tumorigenesis J. Immunol., March 15, 2009; 182(6): 3398 - 3405. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. S. Woodworth, Y. Wu, and S. M. Behar Mycobacterium tuberculosis-Specific CD8+ T Cells Require Perforin to Kill Target Cells and Provide Protection In Vivo J. Immunol., December 15, 2008; 181(12): 8595 - 8603. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Shrestha and M. S. Diamond Fas Ligand Interactions Contribute to CD8+ T-Cell-Mediated Control of West Nile Virus Infection in the Central Nervous System J. Virol., November 1, 2007; 81(21): 11749 - 11757. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Wang, M. Lobigs, E. Lee, A. Koskinen, and A. Mullbacher CD8+ T cell-mediated immune responses in West Nile virus (Sarafend strain) encephalitis are independent of gamma interferon J. Gen. Virol., December 1, 2006; 87(12): 3599 - 3609. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. K. Ahn, H. Chung, D.-s. Lee, Y. S. Yu, and H. G. Yu CD8brightCD56+ T Cells Are Cytotoxic Effectors in Patients with Active Behcet's Uveitis J. Immunol., November 1, 2005; 175(9): 6133 - 6142. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. C. Morris, A. Tsallios, G. M. Bendle, S.-a. Xue, and H. J. Stauss A critical role of T cell antigen receptor-transduced MHC class I-restricted helper T cells in tumor protection PNAS, May 31, 2005; 102(22): 7934 - 7939. [Abstract] [Full Text] [PDF] |
||||
![]() |
U. Christen, R. Darwiche, H. E. Thomas, T. Wolfe, E. Rodrigo, A. Chervonsky, R. A. Flavell, and M. G. von Herrath Virally Induced Inflammation Triggers Fratricide of Fas-Ligand-Expressing {beta}-Cells Diabetes, March 1, 2004; 53(3): 591 - 596. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Roth and H. Pircher IFN-{gamma} Promotes Fas Ligand- and Perforin-Mediated Liver Cell Destruction by Cytotoxic CD8 T Cells J. Immunol., February 1, 2004; 172(3): 1588 - 1594. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Zamiri, Q. Zhang, and J. W. Streilein Vulnerability of Allogeneic Retinal Pigment Epithelium to Immune T-Cell-Mediated Damage In Vivo and In Vitro Invest. Ophthalmol. Vis. Sci., January 1, 2004; 45(1): 177 - 184. [Abstract] [Full Text] [PDF] |
||||
![]() |
B.-G. Xiao, X.-C. Wu, J.-S. Yang, L.-Y. Xu, X. Liu, Y.-M. Huang, B. Bjelke, and H. Link Therapeutic potential of IFN-{gamma}-modified dendritic cells in acute and chronic experimental allergic encephalomyelitis Int. Immunol., January 1, 2004; 16(1): 13 - 22. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Murakami, A. R. Cardones, S. E. Finkelstein, N. P. Restifo, B. A. Klaunberg, F. O. Nestle, S. S. Castillo, P. A. Dennis, and S. T. Hwang Immune Evasion by Murine Melanoma Mediated through CC Chemokine Receptor-10 J. Exp. Med., November 3, 2003; 198(9): 1337 - 1347. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |