|
|
||||||||


* Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110; and
Department of Biochemistry, University of Illinois, Urbana, IL 61801
| Abstract |
|---|
|
|
|---|
| Introduction |
|---|
|
|
|---|
The high degree of Ag specificity in T cell recognition of Ag is a sine qua non of the immune system. The early studies characterizing the specificity of CD4+ T cells used model Ags, such as pigeon cytochrome c or hen egg-white lysozyme (5, 6). Purified proteins from different animal species of cytochrome or lysozyme with known sequences were then tested for their ability to cross-stimulate T cells. CD8+ T cell responses to different influenza viral subtypes were examined in a similar manner (7, 8). The discovery that T cell Ags could be represented by peptides and the ability to generate peptides synthetically greatly facilitated the exploration of the specificity of T cell recognition of Ag. Single amino acid substitutions in epitopes were produced and tested for their ability to bind to MHC molecules and stimulate T cells (9, 10, 11, 12, 13, 14). From these studies, exquisite side-chain specificity at TCR contact residues was shown, in that one or very few other side chains could be recognized at key positions. An outgrowth of these studies was the discovery of altered peptide ligands (APLs). APLs represent a class of TCR ligands, which, unlike full agonists, stimulate some, but not all T cell functions (reviewed in Ref. 15). In general, they are produced by making a single amino acid substitution at a TCR contact residue. The study of APLs revealed that there is an essential flexibility in the T cell recognition of Ag. For T cells to develop in the thymus, their TCR needs to interact with endogenous self peptide APLs. APLs have also been shown to be able to be generated by changes in the peptides MHC anchor residues. The interactions between a TCR and APL/MHC are much weaker than with agonist/MHC ligands, making it difficult to study the binding affinity and kinetics of APLs. However, there is still a high degree of specificity in the recognition of APLs by TCRs.
T cell specificity has also been studied extensively in the exploration of the concept of molecular mimicry and the initiation of autoimmune responses (16). There are now multiple examples of two distinct peptides stimulating the same T cell. In many of these cases, there are some conserved structural features (17, 18, 19, 20, 21, 22, 23, 24), but there are other pairs of stimulatory peptides in which there is no obvious sequence homology (25, 26, 27, 28, 29). The screening of combinatorial peptide libraries has also shown that there can be multiple stimulatory peptides for the same T cell (30, 31, 32). Thus, there are different molecular solutions to generate stimulatory ligands for the same TCR. Clearly, the phenomenon of two apparently distinct peptides stimulating the same T cell has been established, showing there is degeneracy in the recognition of Ag by T cells. Despite this recognized degeneracy in Ag recognition, there is still little evidence supporting the concept that molecular mimicry is a major contributing mechanism in the initiation of autoimmunity (33). Also, hampering the study of T cell recognition of Ag is that there is no consensus definition in the field for degeneracy or specificity. Therefore, the TCR appears to have different degrees of specificity, depending upon how the specificity is analyzed and defined. Given our current level of understanding, it is conceptually difficult to propose how a TCR can exhibit these apparently contradictory degrees of specificity. It is this question that is the focus of this study. Our examination of the concept of degeneracy refers exclusively to the case in which there are structurally similar peptide Ags (as would be the case in molecular mimicry), and it does not address the question of Ags that are structurally very different.
The 3.L2 model Ag system, specific for hemoglobin (Hb) (3) peptide presented by I-Ek, has been used to define APLs, describe and characterize the immunological synapse, and explore the nature of pMHC ligands involved in T cell development and function (34, 35, 36, 37, 38). Previously, we identified and analyzed the affinity and binding kinetics of a series of APLs recognized by 3.L2, which represent a continuum of activities ranging from agonists to antagonists to null ligands (35). Transgenic mice expressing each of these ligands were generated and crossed to 3.L2 TCR transgenic mice, revealing a correlation of the TCR-binding activity with the biological activity of the ligands (36, 37). However, binding affinities could not be determined for all of the biologically active APLs because the interactions were too weak for detection by surface plasmon resonance (SPR). Similar problems with measurements of binding affinities by SPR have been observed recently for an autoimmune TCR:myelin basic protein/HLA-DR2 interaction (39).
We have developed a strategy for probing the specificity of the TCR:pMHC interaction using high-affinity TCRs. Our rationale was that the normal low affinity of the TCR:pMHC interaction significantly limits our ability to probe the pMHC recognition of the TCR. Thus, for most T cells, there may only be at best a 10- to 30-fold affinity window in which to study a TCR interaction(s) with pMHC; ligands that fall below the threshold for SPR measurements would all be categorized as negative even though they may interact with different affinities. By significantly increasing the TCR affinity window, we would greatly improve our ability to assess TCR recognition of different ligands. This would provide a much more accurate picture of the specificity of a TCR for related and unrelated ligands. Because high-affinity TCRs are eliminated during negative selection in the thymus, and thus do not exist in the mature T cell repertoire, we used yeast surface display and in vitro evolution (40, 41, 42) to generate a series of high-affinity 3.L2 TCRs evolved for up to an 800-fold increase in affinity for Hb/I-Ek (43). These TCRs contain mutations in the CDR loops of the TCR
and TCRβ chains, which comprise the pMHC-binding interface. T cells transfected with the high-affinity TCRs maintained their Ag specificity, being stimulated only by Hb and not by the control peptide, moth cytochrome c (MCC), or APCs alone. Surprisingly, they did not have any increased sensitivity to the wild-type Hb Ag, revealing an affinity activation threshold above which affinity increases do not yield enhanced activation (43). Thus, T cells transfected with high-affinity TCRs were functional and remained Ag specific.
In this study, we used these high-affinity TCRs to probe the specificity of Ag recognition by T cells. The large increase in affinity greatly expanded the affinity window with which we could interrogate Ag specificity. These studies revealed that a TCR can exhibit two distinct patterns of recognition: degeneracy when single amino acid substitutions of solvent-exposed residues are made and specificity when changes are made in both the MHC and TCR contact residues of the peptide.
| Materials and Methods |
|---|
|
|
|---|
T cell hybridomas were generated by the following: 1) cotransfecting full-length M4 TCR
(CDR3 mutations: S98
P, N101
S, Y102
R, and K103
N) and wild-type 3.L2β chain to generate the M4 T cell; 2) cotransfecting M4 TCR
(CDR mutations S98
P, N101
S, Y102
R, and K103
N) and the TCRβ chain containing the CDR3 mutation Q105βR to generate the M14 T cell; and 3) cotransfecting M15 TCR
(CDR mutations K25
E, T28
S, S98
P, N101
S, Y102
R, and K103
N) and M15 TCRβ (CDR3 mutation Q105βR) chains to generate the M15 T cell. These
- and β-chains were cloned in pcDNAzeo and pcDNAneo, respectively, and transfected into a T cell hybridoma that does not express TCR
or TCRβ, which had been transfected with CD4 (58
–β–CD4+) (44). Cells were selected in zeocin and G418 and subcloned, and individual clones were functionally tested for response to Hb. Several strongly reactive clones were obtained and were further selected for TCR expression levels (Vβ8.3) similar to that of the previously generated 3.L2 hybridoma that expresses full-length 3.L2 TCR
and TCRβ chains in the same cell line (44). Several clones were obtained and tested, and identical results were observed.
T cell hybridoma assays
Stimulation of the T cell hybridomas was determined by IL-2 production using a standard T cell hybridoma assay. A total of 5 x 105 T cell hybridoma cells was cocultured with 3 x 105 CH27 cells and various doses of Hb peptide for 24 h. Supernatants were removed, and the level of IL-2 produced was quantified by a bioassay using the IL-2-reactive cell, CTLL. A total of 5 x 103 CTLL cells was added to 100 µl of supernatant; 18–24 h later, each well was pulsed with 0.4 µCi of [3H]TdR, and the level of incorporation was ascertained 24 h later. EC50 values were calculated from the concentration of Hb that stimulated 50% of the maximal response. Relative activities of the individually substituted peptides were calculated by determining the EC50 for each peptide, rounding them to the nearest decade value, and comparing them with the EC50 value for 3.L2. Each cell line was tested three to four separate times, and a representative assay is shown.
Peptide synthesis
Peptides were synthesized using standard Fmoc chemistry on a Rainin Symphony/Multiplex multiple peptide synthesizer (Protein Technologies). All peptides were >95% pure by analytical reverse-phase HPLC on a C18 column (Vydac), and molecular mass and purity were confirmed by MALDI mass spectrometry (Washington University Mass Spectrometry Facility). Representative peptides were purified and tested against their crude counterparts, and no difference was seen in the T cell hybridoma responses.
Peptide structural comparisons
The coordinates of the crystal structures of Hb/I-Ek (1FNG) and MCC/I-Ek (1KT2) were used to compare the conformations of the peptides, as previously described (43). The pMHC molecules were aligned by their I-E
chains using the Insight II suite of programs (Molecular Simulations). Representations of the peptides were generated showing the P1 to P9 residues of the peptides using Insight II.
| Results |
|---|
|
|
|---|
To examine the effects of high affinity of the TCR recognition of Hb (Fig. 1A), we examined T cells expressing either the wild-type 3.L2 TCR (KD value = 12 µM), the high-affinity M4 TCR (580 nM), or the highest affinity M15 TCR (25 nM). The M4 TCR contains four mutations in the CDR3
chain, and the M15 TCR contains three additional mutations, two in the CDR1
and one in the CDR3β. The increased affinities of the M4 and M15 for Hb/I-Ek are due to both faster kon rates and slower koff (Fig. 1B). We have shown previously that the centrally located Asn P5 side chain (residue 72) of Hb is a dominant TCR contact residue (Fig. 1A) and that the 3.L2 TCR can interact productively with a continuum of P5 APLs. These include the weak agonist T72, the antagonists I72 and A72, and a positively selecting ligand Q72. (i.e., T72 refers to a substituted Hb peptide in which a Thr has been substituted at the 72 (P5) and other peptides are similarly designated). No activity has been identified for the null ligand E72 (35).
|
As we had observed previously (49), there was remarkable specificity at P5 for 3.L2 with only the wild-type Asn residue being fully stimulatory and Val, Thr, and Cys (Aib) being stimulatory, but each being 10- to 100-fold weaker (Fig. 2). With M4 T cells, there was a dramatic increase in the number of stimulatory peptides. A total of 11 of 20 peptides stimulated the M4 cells, with Ala, Asn, Ile, Cys (Aib), Leu, Met, Ser, Thr, and Val being full agonists or 10-fold weaker stimulators than wild type, and Gly and Asp being 100- to 1000-fold weaker stimulators. These changes in agonist activity appeared to follow the previous defined activity patterns for 3.L2 with the weaker agonist becoming stronger (i.e., Thr), and APLs becoming agonists (i.e., Ala, Ile). For the highest affinity T cell, M15, the activity pattern of the peptides further changed with all of the M4 agonists becoming as strong as wild-type Asn (Fig. 2). The merging of the activity profiles is reflective of our previous demonstration of an activity threshold above which there was not an increase in T cell activation. The only residue that had no activity for M4, but was a partial agonist for M15, was Gln. The eight residues that were not stimulatory for M15 had some biochemical features in common, being the large, hydrophobic, or charged residues (Pro, Phe, Trp, Tyr, Glu, His, Lys, and Arg). Given that the binding affinity of the 3.L2:Hb/I-Ek interaction has a KD of 20 µM (as measured for M1, the corresponding single-chain TCR for 3.L2) (43) and yields full agonist activity, we can conclude that the affinity of M15 for these large hydrophobic or charged residues must be at least 800-fold lower than the M15:Hb/I-Ek interaction (KD = 25 nM). Thus, despite the increase in reactivity with P5 variants, there remains a considerable impact of the P5 side chain on TCR binding.
|
M15 has broadened recognition of Hb at all TCR contact positions
Based on the findings with the characterization of P5, we wanted to perform a comprehensive analysis of the recognition of Hb by the three T cells. We individually tested all 20 aa at each of the four TCR contact residues, P2, P3, P5, and P8 (Fig. 1A). Each of the peptides was tested over a large concentration range for the ability to stimulate the M4, M15, and 3.L2 T cell hybridomas, and the results are summarized in Fig. 3. The results clearly show that M4 and M15 are stimulated by many more peptides than 3.L2 cells. Recognition of P2 x 3.L2 is the most degenerate of the four TCR contact residues, in that eight different residues can stimulate. M4 and M15 showed maximal degeneracy at the P2 position with 19 and all 20 side chains being recognized, respectively. At P2 there was the same trend as observed at P5, that the activity of the allowable side chains increased between M4 and M15. The recognition of the P3 position was similar to P2, in that five different amino acids were recognized by 3.L2, and that increased to 18 for M4 and M15. Thus, at the P2 and P3 positions, little side chain specificity was observable. There was some trend in that the charged residues (Lys, Arg, Glu, and Asp) were the least active.
|
Increased degeneracy of Hb recognition directly correlates with increasing affinity
The findings above with M4 and M15 revealed a correlation between increased affinity of the TCR:pMHC interaction and the increased degeneracy. To test this correlation further, we performed a peptide specificity analysis of the P8 position with T cells expressing the M14 TCR, whose affinity (81 nM) is between M4 (580 nM) and M15 (25 nM) (Fig. 1). The direct relationship between the affinity of the TCR:pMHC interaction and the number of ligands recognized could be clearly illustrated by the response to three substitutions of the wild-type (Leu) residue at P8 (Fig. 4). The 3.L2 T cells did not recognize Ile, Ala, or Lys at P8. The next higher affinity T cell, M4, responded to Ile, but not the other two. The increased affinity of M14 resulted in Ala now stimulating at higher concentrations, but Lys still being nonstimulatory. For the highest affinity, M15, all three peptides stimulated as well as Hb. Thus, by analyzing a third high-affinity TCR, we were able to more thoroughly demonstrate directly the relationship between increased affinity and a greater number of side chains recognized.
|
The demonstration of increased degeneracy by the higher affinity TCRs (supra vide) provides a unique opportunity to explore the energetics of the recognition of biologically active Hb APLs, the nature of which for 3.L2 were too weak to analyze previously. Gln72, when expressed in vivo, resulted in enhanced positive selection of 3.L2 T cells (36). Gln72 did not stimulate 3.L2 or M4 T cells, but was a weak agonist for M15 (Fig. 2). A peptide residue substitution that is an agonist for M15, but does not stimulate M4 or 3.L2, has at least an 800-fold energetic effect upon the binding interaction. The 3.L2:Hb/I-Ek interaction has a KD of 20 µM (as measured for M1, the corresponding single-chain TCR for 3.L2) (43). Therefore, if we assume that the differences in affinity (of 3.L2 for Gln72/I-Ek and M15 for Gln72/I-Ek) are proportional, we can estimate that the affinity of the 3.L2:Gln72/I-Ek interaction would be in the range of 12 mM. Glu72 demonstrates that these weak interactions still have a degree of specificity. Glu72 has no activity in vivo (36) and was not stimulatory for 3.L2, M4, or M15 (Fig. 2). We cannot assign an exact energetic impact for it, but it would be at least 800- to 1000-fold weaker than the 3.L2:Hb/I-Ek interaction. These findings indicate that TCR:pMHC interactions that are involved in positive selection, which have a significant degree of specificity, occur in the millimolar affinity range (again assuming a direct correlation between reduction in binding energies for the M15 interactions and the 3.L2 interactions). Similarly, the affinity of the interactions between a TCR and antagonist/MHC has been examined; however, they are close to the limits of reliable SPR detection. For example, Ile72 is an antagonist for 3.L2 and can provide enough binding energy to replace CD4 (36). It is an agonist for M4 and M15 (Fig. 2), giving it an energetic contribution of
100-fold. These values are in the range of the estimations that antagonist interactions occur at affinities that are 100- to 1000-fold weaker than agonists. Taken together, these findings are quite remarkable, in that through the use of high-affinity TCRs, we are able to provide reasonable estimates for biologically relevant, but weak interactions to be occurring at millimolar affinities, a level for which there is little, if any, precedence with Ag-specific receptors.
Specificity of Ag recognition by high-affinity TCRs
Our demonstration of the increased degeneracy of Hb peptide recognition would seem on face value to contradict our previous observation that 3.L2, M4, and M15 T cells did not respond to any of the self peptides presented constitutively on APCs or the control MCC peptide (Fig. 2) (43). Accordingly, we investigated further how a T cell could have both degenerate recognition of Hb and specific recognition of other peptides. MCC and Hb bind equally well to I-Ek, and both have the same anchor residues at P1 and P9, but different P4 and P6 anchor residues. An overlay of the two peptides from the peptide-I-Ek crystal structures shows an overall similarity in the conformation of the peptide main chains of Hb and MCC; however, there are small, but significant shifts in the main chains and orientation of some side chains (P3 and P5) due to the different P4 and P6 anchor residues (Fig. 5A). A comparison of the amino acid sequences of the two peptides revealed prominent differences at the side chains of the exposed residues at P3 (Ala in Hb; Tyr in MCC), P5 (Asn in Hb; Lys in MCC), and P8 (Leu in Hb; Thr in MCC). Examination of our single amino acid substitutional analysis of Hb revealed that three of the MCC TCR contact residues were singly allowable, P2 (Ala), P3 (Tyr), and P8 (Thr), whereas one was not, P5 (Lys) (Fig. 3). To ascertain whether the lack of MCC response was simply due to this nonallowable P5 residue, we tested MCC single amino acid variants with either of two allowable P5 residues: the Hb residue Asn, or an Ile. Neither of these variants stimulated 3.L2, M4, or M15 (Fig. 5B) at concentrations up to 100 µM, demonstrating that the failure of MCC to stimulate M15 T cells was not simply the lack of allowable TCR contact residues.
|
|
| Discussion |
|---|
|
|
|---|
For T cells to be selected in the thymus, they have to interact with endogenous positively selecting ligands. The precise nature of these ligands has not been established, but these ligands are not often going to be single amino acid variants of the agonist ligands. With the anticipatory nature of the immune system, the agonist ligands are only relevant postthymic development, and most T cells rarely, if ever, encounter an agonist ligand. Our studies with the Hb/MCC chimeric molecules revealed that changing MHC anchor residues can have both positive and negative effects on peptide recognition. Therefore, the endogenous positively selecting ligands comprise peptides that are most likely to have very different sequences from the agonist ligand, but through the combination of MHC and TCR contact residues, changes can interact productively with the TCR. Using the increased affinity window afforded by the high-affinity TCRs, we are able to estimate that these interactions can be in the 10–3 M range. This same phenomenon of many different chemical solutions to generate a stimulatory peptide is most likely what limits the usefulness of screening peptide libraries to identify actual agonist ligands. Peptide Ag mimics have been found and are useful as reagents, but they may or may not have any sequence similarities to the real agonist ligand (19, 30). Our findings also highlight how difficult it will be to categorize T cell recognition simply as specific or degenerate, as we and others have tried to do. If one were to use single amino acid substitutional analysis and identify many allowable side chains, the recognition may be degenerate, but it could still be highly specific when assayed with most other peptides. The sequence space represented by all possible MHC-binding peptides is more difficult to approach experimentally due to the large number of potential peptides when multiple positions are being modified.
We believe that these high-affinity TCRs are valid probes for recognition of pMHC ligands as accomplished by TCRs such as wild-type 3.L2, for several reasons. First, the high-affinity TCRs showed exquisite overall peptide specificity, as does the wild-type 3.L2. This specificity, coupled with the high affinity of the engineered TCRs, also provides valuable reagents for the tracking of specific pMHC, as has been done with several mAbs (52). Second, the fine specificity analyses indicated that although the high-affinity TCRs are more degenerate in their recognition, they have a similar hierarchy as the wild-type 3.L2 (e.g., the relative contribution of exposed residues to specificity remains the same, P8 > P5 > P3 = P2). Third, the affinity maturation pathway used to generate these TCRs yielded sequential increases in affinity that were additive and not cooperative, suggesting that there was not a reshaping of the entire TCR surface (43). Fourth, the dominant role of on-rate in the increased affinities is analogous to studies of Ab maturation pathways. Studies have documented that the bound states of the primary and matured Ab:Ag complexes are very similar, but the unbound affinity-matured Ab adopted an induced fit configuration (53, 54). Thus, it is reasonable to predict that the 3.L2 affinity-matured TCRs retained a similar bound state as 3.L2. Obviously, the structures of the wild-type 3.L2 and affinity-matured TCRs will be required to examine these issues in detail.
The results described in this study are completely consistent with the concepts of T cell activity thresholds, peptide cross-reactivity, and peptide specificity, as discussed by Garcia and colleagues (55). In their study, they propose that the observed degeneracy of a T cell occurs most often when a structurally similar peptide, with exposed residues that are identical or similar to the cognate peptide, is recognized by the TCR. Hence, the low affinity of a TCR required to elicit T cell activity (i.e., the threshold) is interpreted as degeneracy or cross-reactivity. Examination of the Hb APLs that yielded the highest degree of reactivity shows that in most cases these were conservative substitutions. The consequence is apparent degeneracy, as measured by functional activity assays, yet the T cells exhibited a high degree of overall Ag specificity to other peptides (supporting the prediction of Garcia and colleagues (55) that it is possible to retain a high degree of Ag specificity even with high-affinity TCRs).
Some aspects of the present findings are similar to our previous study, with a 2C TCR (m33
) engineered to have 1000-fold higher affinity for a foreign pMHC called SIYR/Kb, but with two notable differences (56). T cells transfected with the m33
TCR had a modest gain in Ag sensitivity (
5- to 10-fold) for SIRY/Kb, and CD8+ m33
T cell hybridomas became autoreactive with self peptide/Kb complexes. The increase in Ag sensitivity could be due to the observation that the affinity of the wild-type 2C TCR for SIYR is relatively low (KD value 30 µM). Furthermore, the autoreactivity was most likely due to stimulation by the self peptide dEV8 that is structurally related to SIYR (57). With the T cells transfected with the 3.L2 high-affinity TCRs, we did not observe such autoreactivity, perhaps because different T cells may have different propensities to become autoreactive depending on the self peptide(s). Alternatively, CD4 and CD8 cells may behave somewhat differently with an increase in affinity. Overall, through the large affinity window afforded by the high-affinity TCRs, we were able to estimate binding energies of low-affinity, biologically relevant interactions and show that T cell recognition of Ag can be both degenerate and specific.
| Acknowledgments |
|---|
| Disclosures |
|---|
|
|
|---|
| Footnotes |
|---|
1 This work was supported by National Institutes of Health Grants AI24157 and AI61173 (to P.M.A.) and GM55767 (to D.M.K.). K.S.W. was supported in part by a National Institutes of Health training grant. ![]()
2 D.L.D. and K.S.W. contributed equally to this work. ![]()
3 Address correspondence and reprint requests to Dr. Paul M. Allen, Washington University School of Medicine, Department of Pathology and Immunology, 660 South Euclid Avenue, Campus Box 8118, St. Louis, MO 63110. E-mail address: pallen{at}wustl.edu ![]()
4 Abbreviations used in this paper: pMHC, peptide/MHC; APL, altered peptide ligand; Hb, hemoglobin; MCC, moth cytochrome c; SPR, surface plasmon resonance. ![]()
Received for publication April 5, 2006. Accepted for publication August 25, 2006.
| References |
|---|
|
|
|---|
β T cell receptors. Annu. Rev. Immunol. 16: 523-544. [Medline]
- and β-chains is highly dependent on the level of selecting ligand. J. Immunol. 161: 585-593. This article has been cited by other articles:
![]() |
A. Udyavar, R. Alli, P. Nguyen, L. Baker, and T. L. Geiger Subtle Affinity-Enhancing Mutations in a Myelin Oligodendrocyte Glycoprotein-Specific TCR Alter Specificity and Generate New Self-Reactivity J. Immunol., April 1, 2009; 182(7): 4439 - 4447. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. L. Jones, L. A. Colf, J. D. Stone, K. C. Garcia, and D. M. Kranz Distinct CDR3 Conformations in TCRs Determine the Level of Cross-Reactivity for Diverse Antigens, but Not the Docking Orientation J. Immunol., November 1, 2008; 181(9): 6255 - 6264. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. S. Weber, M. J. Miller, and P. M. Allen Th17 Cells Exhibit a Distinct Calcium Profile from Th1 and Th2 Cells and Have Th1-Like Motility and NF-AT Nuclear Localization J. Immunol., February 1, 2008; 180(3): 1442 - 1450. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. G. Schuster, D. H. Busch, E. Eppinger, E. Kremmer, S. Milosevic, C. Hennard, C. Kuttler, J. W. Ellwart, B. Frankenberger, E. Nossner, et al. Allorestricted T cells with specificity for the FMNL1-derived peptide PP2 have potent antitumor activity against hematologic and other malignancies Blood, October 15, 2007; 110(8): 2931 - 2939. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |