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Trypanosoma cruzi in marsupial didelphids (Philander frenata and Didelhis marsupialis): differences in the humoral immune response in natural and experimental infections

Trypanosoma cruzi em marsupiais didelfídeos (Philander frenata e Didelphis marsupialis): diferenças na resposta imune humoral nas infecções naturais e experimentais

Abstracts

Philander frenata and Didelphis marsupialis harbor parasitism by Trypanosoma cruzi without developing any apparent disease and on the contrary to D. marsupialis, P. frenata maintains parasitism by T. cruzi II subpopulations. Here we compared the humoral immune response of the two didelphids naturally and experimentally infected with T. cruzi II group, employing SDS-PAGE/Western blot techniques and by an Indirect immunofluorescence assay. We also studied the histopathological pattern of naturally and experimentally infected P. frenata with T. cruzi. P. frenata sera recognized more antigens than D. marsupialis, and the recognition pattern did not show any change over the course of the follow up of both didelphid species. Polypeptides of 66 and 90kDa were the most prominent antigens recognized by both species in the soluble and enriched membrane fractions. P. frenata recognized intensely also a 45kDa antigen. Our findings indicate that: 1) there were no quantitative or qualitative differences in the patent or subpatent phases in the recognition pattern of P. frenata; 2) the significant differences in the recognition pattern of parasitic antigens by P. frenata and D. marsupialis sera suggest that they probably "learned" to live in harmony with T. cruzi by different strategies; 3) although P. frenata do not display apparent disease, tissular lesions tended to be more severe than has been described in D. marsupialis; and 4) Both didelphids probably acquired infection by T. cruzi after their evolutionary divergence.

Trypanosoma cruzi; Humoral response; Marsupial didelphid


Philander frenata e Didelphis marsupialis mantém Trypanosoma cruzi sem desenvolver aparentemente nenhuma doença. Ao contrário de Didelphis marsupialis, Philander frenata mantém subpopulações do grupo T. cruzi II. Aqui, nós comparamos a resposta imune humoral de dois didelfídeos natural e experimentalmente infectados com o grupo T. cruzi II, empregando as técnicas de SDS-PAGE/Western blot e por um método de imunofluorescência indireta. Também estudamos os padrões histopatológicos de P. frenata infectado natural e experimentalmente por T. cruzi. O soro de P. frenata reconheceu mais antígenos que o de D. marsupialis. Polipeptídeos de 66 e 90kDa foram os antígenos mais reconhecidos por ambas espécies nas frações enriquecidas de membranas solúveis. P. frenata reconheceu intensamente o antígeno de 45kDa. Nossos resultados indicam que: não existem diferenças quantitativas e qualitativas nas fases subpatente e patente no padrão de reconhecimento de P. frenata; as diferenças no padrão de reconhecimento de antígenos de parasitas pelos soros de P. frenata e D. marsupialis sugerem que provavelmente essas espécies "aprenderam" a viver em harmonia com T. cruzi por estratégias distintas; embora P. frenata não apresente doença aparente, lesões tissulares tendem a ser mais severas do que as descritas para D. marsupialis; ambos didelfídeos provavelmente adquiriram a infecção por T. cruzi depois de sua divergência evolucionária.

Trypanosoma cruzi; Resposta humoral; Marsupial didelfídeo


ARTIGO

Trypanosoma cruzi in marsupial didelphids (Philander frenata and Didelhis marsupialis): differences in the humoral immune response in natural and experimental infections

Trypanosoma cruzi em marsupiais didelfídeos (Philander frenata e Didelphis marsupialis): diferenças na resposta imune humoral nas infecções naturais e experimentais

Ana Paula LegeyI; Ana Paula PinhoI; Samanta C.C. XavierI; Renato MarchevskyII; João Carlos CarreiraI; Leonor L. LeonIII; Ana Maria JansenI

ILaboratório de Biologia de Tripanosomatídeos

IILaboratório de Neurovirulência, Biomanguinhos

IIILaboratório de Bioquímica de Tripanosomatídeos do Instituto Oswaldo Cruz da Fundação Oswaldo Cruz, Rio de Janeiro, Brazil

ABSTRACT

Philander frenata and Didelphis marsupialis harbor parasitism by Trypanosoma cruzi without developing any apparent disease and on the contrary to D. marsupialis, P. frenata maintains parasitism by T. cruzi II subpopulations. Here we compared the humoral immune response of the two didelphids naturally and experimentally infected with T. cruzi II group, employing SDS-PAGE/Western blot techniques and by an Indirect immunofluorescence assay. We also studied the histopathological pattern of naturally and experimentally infected P. frenata with T. cruzi. P. frenata sera recognized more antigens than D. marsupialis, and the recognition pattern did not show any change over the course of the follow up of both didelphid species. Polypeptides of 66 and 90kDa were the most prominent antigens recognized by both species in the soluble and enriched membrane fractions. P. frenata recognized intensely also a 45kDa antigen. Our findings indicate that: 1) there were no quantitative or qualitative differences in the patent or subpatent phases in the recognition pattern of P. frenata; 2) the significant differences in the recognition pattern of parasitic antigens by P. frenata and D. marsupialis sera suggest that they probably "learned" to live in harmony with T. cruzi by different strategies; 3) although P. frenata do not display apparent disease, tissular lesions tended to be more severe than has been described in D. marsupialis; and 4) Both didelphids probably acquired infection by T. cruzi after their evolutionary divergence.

Key-words: Trypanosoma cruzi.Humoral response. Marsupial didelphid.

RESUMO

Philander frenata e Didelphis marsupialis mantém Trypanosoma cruzi sem desenvolver aparentemente nenhuma doença. Ao contrário de Didelphis marsupialis, Philander frenata mantém subpopulações do grupo T. cruzi II. Aqui, nós comparamos a resposta imune humoral de dois didelfídeos natural e experimentalmente infectados com o grupo T. cruzi II, empregando as técnicas de SDS-PAGE/Western blot e por um método de imunofluorescência indireta. Também estudamos os padrões histopatológicos de P. frenata infectado natural e experimentalmente por T. cruzi. O soro de P. frenata reconheceu mais antígenos que o de D. marsupialis. Polipeptídeos de 66 e 90kDa foram os antígenos mais reconhecidos por ambas espécies nas frações enriquecidas de membranas solúveis. P. frenata reconheceu intensamente o antígeno de 45kDa. Nossos resultados indicam que: não existem diferenças quantitativas e qualitativas nas fases subpatente e patente no padrão de reconhecimento de P. frenata; as diferenças no padrão de reconhecimento de antígenos de parasitas pelos soros de P. frenata e D. marsupialis sugerem que provavelmente essas espécies "aprenderam" a viver em harmonia com T. cruzi por estratégias distintas; embora P. frenata não apresente doença aparente, lesões tissulares tendem a ser mais severas do que as descritas para D. marsupialis; ambos didelfídeos provavelmente adquiriram a infecção por T. cruzi depois de sua divergência evolucionária.

Palavras-chaves: Trypanosoma cruzi.Resposta humoral. Marsupial didelfídeo.

Trypanosoma cruzi circulates in sylvatic environments among dozens of species of mammalian reservoirs in complex transmission cycles9 15. The significant heterogeneity of the species observed based on molecular biological and biochemical markers recognized in the subpopulations of T. cruzi two main groups: T. cruzi I (associated mainly to the sylvatic transmission cycle) and T. cruzi II (associated mainly to the domestic transmission cycle)2.

The marsupials Philander frenata and Didelphis marsupialis (Marsupialia, Didelphidae), are probably the most ancient sylvatic reservoirs of Trypanosoma cruzi 23. In nature these two didelphid marsupials share the same ecotope and display similar alimentary habits. P. frenata and D. marsupialis are both endemic species from the Atlantic Coastal Rain Forest. Both species maintain the parasitism by T. cruzi from an early age onward7 14, without clinical signs of disease. Moreover, D. marsupialis support without tissular lesions T. cruzi II infection and only scarce monocytic infiltrates were described in T. cruzi I experimentally infected D. marsupialis5. Nevertheless significant differences have been described in the course of the natural and experimental infections by T. cruzi of D. marsupialis and P. frenata19. D. marsupialis controls experimental infections with Y strain (T. cruzi II) from an early age while still marsupium dependent. Indeed, the T. cruzi II strains experimentally infected animals display a patent parasitemia only detectable during a short period through rare positive fresh blood smears examinations and hemocultures become rapidly and consistently negative a few weeks after inoculation. No parasitism in the scent glands is observed and the serological titers evaluated by Indirect Fluorescent Antibody Test (IFAT) are low12 13. Moreover some animals are able to eliminate the infection. Another picture is observed in D. marsupialis experimentally infected with F and other T. cruzi I strains. In this case the animals present a stable and long-lasting infection with high parasitemias and percentages of positive hemocultures during follow up. Furthermore, parasitism of the scent glands is detected in high percentages. A correlation between the rise of serological antibodies and the drop of parasitemia (that reaches a peak of 106 parasites/ml) was observed and suggested to the authors that the early control of Y strain infection was probably achieved independently from the humoral immune response, but this was important for the control of infections with T. cruzi I strains13. The same authors observed also through immunoblottings of sera of experimentally and naturally infected animals that D. marsupialis recognized significantly fewer T. cruzi antigens than conventional laboratory animals and humans.

P. frenata was demonstrated to be able to maintain both T. cruzi I and T. cruzi II. It seems therefore that this species is not so strict a selective filter as D. marsupialis.Experimental infections can result in high parasitemia but parasitism in scent glands had never been recorded19.

In order to better understand the different features of the interaction of T. cruzi with P. frenata and D. marsupialis its probable most ancient reservoir, we endeavored to compare the humoral immune response of both species in natural and experimental infections. We also studied the histopathological pattern of naturally and experimentally infected P. frenata.

MATERIAL AND METHODS

Animals. Young recently weaned P. frenata and D. marsupialis 100 to 120-day-old animals reared in our laboratory were used in experimental infections. Naturally infected P. frenata and D. marsupialis were captured in the Caleme area near Teresópolis (Rio de Janeiro, Brazil).

Parasites.The Trypanosoma cruzi strains used in the experiments were as follows: MHOM/BR/53/Y(T. cruzi II), isolated from a chagasic patient22, MDID/BR/92/C13(T. cruzi II), isolated from a naturally infected P. frenata, Teresópolis, RJ, MDID/BR/92/G645 (T. cruzi I) isolated from a naturally infected D. marsupialis, M000/BR/00/F(T. cruzi I). The epimastigote forms were grown in LIT medium (Liver Infusion Tryptose Medium) supplemented with 10% fetal calf serum. For antigen preparation epimastigotes were harvested in the log phase. The metacyclic trypomastigote forms were obtained after spontaneous metacyclogenesis in Agar-LIT, counted in Neubauer chamber and adjusted so as to yield 500 or 1,000 parasites per gram of body weight to inoculate in didelphids. The molecular characterization of the isolates (T. cruzi I and II groups) were done by Dr. Octavio Fernandes, Departamento de Medicina Tropical/IOC/FIOCRUZ.

Antigen to IFAT.The antigen, consisting of epimastigote forms of T. cruzi F strain, incubated at 27oC, were centrifuged (3,000g, 20 minutes), the sediment washed twice in PBS (Phosphate Buffered Saline- 0.15M, pH 7.2), re-suspended in about the initial culture volume of one percent formalin in PBS. The stock antigen was kept in refrigerator and adjusted to 40 parasites per microscopic field examination (40x) in final preparations.

Preparations of SDS-PAGE/Western blot antigens. Soluble fraction: cultured epimastigotes from Y, C13 and G 645 strains were washed in PBS (3,000g, 20 minutes), sonicated (Branson Ultrasonics Corporations, USA) and lysed in Methanol and dry ice, alternately, in six cycles of 20 minutes in lysis buffer (20mM Tris, 40mM NaCl, 10mM EDTA, 2mM Iodoacetamyde, 1.6mM 1.1 Phenantroline, 1mM PMSF), centrifuged (4,000 rpm, 10 minutes in Eppedorf microcentrifuge) and the supernatant was maintained frozen at -200C;

Enriched membrane fraction: the same cultured epimastigotes were in PBS (3,000g, 20 min), disrupted at 1,500 psi pressure in N2 atmosphere, centrifuged (50,000g, 30 minutes 40C), the pellet was re-suspended in lysis buffer and maintained frozen at -200C.

Inoculations.All animals were subcutaneously inoculated in the inner part of the right thigh. One litter (five specimens) of P. frenata were inoculated with C13 (T. cruzi II) metacyclic trypomastigotes (500 parasites per gram of body weight), one litter (five specimens) of P. frenata inoculated with Y (T. cruzi II) metacyclic trypomastigotes and one litter (five specimens) of D. marsupialis were inoculated with C13 strain (T. cruzi II) (1,000 parasites per gram of body weight). (Observation- In another paper, Jansen et al10 14 studied opossums inoculated with Y strain, so we did not repeat that experiment. In this paper we inoculated another strain (C13) in D. marsupialis belonging to the same group (T. cruzi II).

Parasitological follow-up. Parasitemia was followed up by fresh blood smears examination every other day. Monthly hemocultures were performed in NNN with a LIT overlay. Weekly examination for parasites of the scent glands was performed by gentle manual squeezing of the glands.

Sera. P. frenata and D. marsupialis sera from natural and experimental infections were obtained from blood samples taken from the tail vein. The sera from experimental animals were collected before inocula and at 30-day intervals pos inocula during the follow up. The sera were stored frozen at -20oC and used in Indirect Fluorescent Antibody Test and Western Blot assays.

Indirect Fluorescent Antibody Test(IFAT). An IFAT was performed according to Camargo et al4. Positive control serum was obtained from P. frenata/D. marsupialis immunized with T. cruzi antigens, and negative control serum was obtained from uninfected animals, born and kept in captivity. Diluted (1:10 up to 1:5120) naturally and experimentally infected and control didelphids sera, rabbit antisera (1:40) to P. frenata/D. marsupialis immunoglobulins (Ig) and a fluorescein conjugated anti-rabbit Ig (Sigma) diluted with Evans blue (1mg%) were used. The sera, antisera and conjugate were incubated for 40 minutes at 37oC, twice washed in PBS for five minutes and mounted with a coverslip and buffered glycerin (pH 8.0). The fluorescent reactions were read under a 40x objective binocular microscopic Zeiss (HBO50W) and barrier filters.

Sodium dodecyl sulfate-Polyacrylamide gel electrophoresis(SDS-PAGE). Soluble and enriched membrane antigens from T. cruzi I and II groups were solubilized by boiling them in an equal volume of a final sample buffer (0.0625M Tris-HCl-pH 6.8, 2% SDS, 10% glycerol, 5% 2 mercaptoethanol and 0.001 % bromophenol blue), electrophoreses in the 4.5% (stacking) and 10% (separation) polyacrylamide (30% acrylamide, 0.8% N, N'-bis-methylene acrylamide) gel containing 0.1% SDS in a electrophoresis buffer (25mM Tris, 250mM glycine, 0.1%SDS13. A pertained molecular weight markers ranging from 205 to 29 kDa (Sigma) were used.

Western blot. Electrophoresis antigens were transferred26 to nitrocellulose membranes (0.45mm pore size-BIORAD) overnight at 0.17 A, 4oC, in a transfer buffer (39mM glycine, 48mM Tris base, 0.037% SDS, 20% methanol). The transferred antigens were immediately stained for 10 minutes with 0.2% Ponceau S in 3% acetic acid and 97% tri-distilled water. After blocking (5% nonfat dried milk, PBS 0.15M, pH 7.2, 0.5% Tween 20), the membrane were incubated with respectively naturally, experimentally and non infected didelphids sera, laboratory reared (diluted 1:500 in PBS, 0.5% Tween 20). After a second incubation with rabbit anti-P. frenata or anti-D. marsupialis serum (1:500), immune complexes were incubated with an anti-rabbit IgG-peroxidase conjugate (Sigma) and revealed with a freshly prepared substrate solution (15mg 3-3' diaminobenzidine tetrahydrochloride, 60ml citrate-phosphate buffer (0.01M C6H807).H2O, 0.02M Na2HPO4) pH 5.0 and 40ml of 30% H202). In all steps the membranes were washed in PBS and 0.05% Tween 20. The molecular weight of polypeptides was estimated by a calibration curve. The curve was done plotting the log of molecular weight standard proteins (BIORAD) x relative mobility-Rf (Rf = distance of protein migration/distance of dye migration).

Histopathology. The naturally and experimentally infected P. frenata by T. cruzi were killed by injection of Ketalar (ketamine cholridrate. The following viscera were collected: heart, stomach, striated muscle, liver. Tissue samples were fixed in phosphate-buffer formaldehyde, processed for paraffin embedding and stained with hematoxylin/eosin (HE).

RESULTS

Parasitological Follow Up. Experimental infections in P. frenata with C13 strain resulted in a long period of patent parasitemia (70 days): the parasitemia peak reached 2x104 parasites/ml and 33% of the hemocultures performed during the follow up of the subpatent phase were positive (Table 2). No patent parasitemia was observed in P. frenata inoculated with Y strain but 95% of the hemocultures performed during the follow up were positive (Table 1). Experimental infection in D. marsupialis with C13 resulted in patent parasitemia detectable only through rare positive fresh blood smears examination. Only 16.6% of the hemocultures performed during the follow up were positive (Table 2).

Naturally infected P. frenata and D. marsupialis (Table 2) showed 45% and 16.6% positivity, respectively, in the hemocultures performed during the follow up. No parasites were observed in the lumen of the scent glands.

Serological follow up. Experimentally infected P. frenata and D. marsupialis with the C13 strain showed comparable Ig titers (1:80). P. frenata inoculated with the Y strain displayed significant higher serological titers (1:1280) (Table 2);

Naturally infected P. frenata by T. cruzi showed significantly higher Ig titers (1:5120) than naturally infected D. marsupialis (1:160) (Table 2).

Reactivity of infected marsupial didelphids sera with T. cruzi antigens.Although both didelphids species recognized antigens in a range of 29-116kDa of T. cruzi I and T. cruzi II isolates, the pattern of recognition was significantly different. P. frenata recognized more intensively a larger number of T. cruzi antigens than D. marsupialis (Figures 1 and 2). Concerning the number of bands and intensity of recognition, both didelphids marsupial species recognized more antigens in experimental infections (Figure 1) than natural ones (Figure 2). Experimentally and naturally infected P. frenata and D. marsupialis by T. cruzi recognized more antigens from soluble fraction than membrane fraction ones (data not shown).



Sera from P. frenata and D. marsupialis recognized more intensively the following antigens: 66 and 90kDa in both soluble and enriched membrane fractions and 45kDa on soluble fraction.

Histopathology.Natural infections: a moderate interstitial myocarditis with involvement of the subendothelial layer was observed in one of the naturally infected P. frenata. The inflammatory reaction predominated in the striated muscular fibers and was focal mononuclear cells without fibrosis and not related to the tissue parasitism. Experimental infections: the experimentally infected P. frenata with Y strain displayed a similar histopathological pattern of the naturally infected animals. The infection resulted in intense inflammatory reactions and a mild muscular fiber destruction in heart sections. An intense inflammatory reaction was observed in muscular fibers and in gastric nervous plexus of the stomach.

DISCUSSION

Marsupials are known to be one of the most ancient mammals, since they appeared in the late cretaceous period (80 million years ago) and are probably the most ancient reservoirs of T. cruzi21. In the sylvatic environment P. frenata and D. marsupialis share the same habitat but only D. marsupialis frequent human dwellings. Although previous studies described marsupials as dull and primitive mammals with a weak immune response, recent reports together with the present study do not confirm these aspects. Indeed opossums are very adaptable animals since they resist several pathogenic microorganisms, new world snake venoms and take advantage of human colonization. Their immune response is also comparable to that of placental as described in more recent reports13 18.

Although the two species present subpatent parasitemia, when inoculated with Y strain the follow up of P. frenata resulted in significantly higher hemoculture rates than was described for D. marsupialis13 14.

Although some common features were seen, significant differences in the recognition pattern of T. cruzi antigens between D. marsupialis and P. frenata could also be observed.

A noticeable difference in T. cruzi infection antigen recognition pattern between P. frenata and D. marsupialis was that D. marsupialis species recognized less intensively a fewer number of antigens after a two fold higher inoculum of a T. cruzi II strain. A previous work13, demonstrated that D. marsupialis recognizes fewer antigens on Y strain, also a T. cruzi II strain, than on F strain (T. cruzi I). This intense antigen recognition by P. frenata sera could explain the more severe lesions observed in histopathological studies in this species (Figure 3).


The more intense recognition of T. cruzi antigens in the experimentally infected didelphids than in the naturally infected animals is probably due to a larger inoculum in experimental conditions than one would expect to occur in nature. Moreover it should also be considered that the route of infection is a determinant of differences in the recognition pattern it is worthy of mention that in nature animals are probably infected by predatory habits.

A common feature was the early recognition of the total spectrum of Trypanosoma cruzi antigens although experimentally infected P. frenata recognized twofold more antigens than experimentally infected D. marsupialis. Similar experiments in mice concluded that distinct mouse strains differed significantly concerning the spectrum of recognized antigens during the course of infection. Moreover, the authors correlated these differences with susceptibility or resistance3 10. Significant differences in the antigen recognition pattern between early infection stage sera samples and late infection stage sera samples were also observed in infected human6 11 24 27 28 30 31.

The delayed and lesser T. cruzi antigen recognition by D. marsupialis sera in Y (T. cruzi II) infection13 is not a peculiarity of inoculated opossums with T. cruzi II group, since in C13 (T. cruzi II) infections started four weeks pos inocula. These data have changed the concept regarding the role of the humoral immune response in T. cruzi II infections. Apparently antibodies control the circulating parasites in opossums in C13 infections.

Since both Didelphidae marsupials control parasitemia efficiently, the differences in recognition pattern results more probably from the peculiarities inherent to each marsupial species in managing the infections by T. cruzi. The higher selectivity concerning T. cruzi subpopulations observed in D. marsupialis19 reinforces this hypothesis. Moreover humoral response(Table II), concerning Ig levels, are distinct in P. frenata and D. marsupialis as described recently by Legey et al18.

The most prominent trypanosome antigens recognized by P. frenata and D. marsupialis were those with molecular weights of 90kDa and 66kDa. Additionally an antigen of 45kDa was more intensively recognized by P. frenata than D. marsupialis. The recognition of an antigen of 45kDa was correlated with the effectiveness in controlling the parasitemia by resistent mice16. This antigen, described in the epimastigote form of T. cruzi, did not display homology with cruzipain, another T. cruzi antigen of similar molecular weight1 8 20.

The recognition of a 66kDa seem to be a peculiarity of Didelphidae hosts since we did not find references for this recognition by other T. cruzi natural or experimentally infected animal species. Probably, this polypeptide is important in the resistance mechanisms since it was recognized earlier by all didelphids sera.

The second most commonly recognized antigen by didelphids, 90kDa, was recognized by the experimentally infected P. frenata and D. marsupialis. Yoshida et al30 described this antigen in trypomastigote forms and related it to resistance and protection. Apparently this polypeptide is not related to the parasites in the scent glands13, since none of the animals in the experiments presented parasites in this organ.

P. frenata did not display lesions as severe as those described in mice and other animal hosts studied. However lesions in P. frenata were significantly more intense than described in naturally or experimentally infected D. marsupialis21 independently of the inoculated T. cruzi strain (Figure 3).

Didelphis marsupialis (the earliest fossil attributed with certainty to Didelphis is from Ensenadan age layers in the Middle Pleistocene between 1-2 million years ago in Argentina) and is considered the most ancient reservoir of T. cruzi. Philander (it was first found in beds of Montehermosan in Early Pliocene in Argentina, dating back five million years. Fossils of the living Philander are recorded from late Quaternary cave deposits in Brazil29. Philander should be considered similar, moreover its divergence precedes that for D. marsupialis by five million years. Consequently, both didelphids probably acquired infection by T. cruzi after their evolutionary divergence.

Our preliminary results strongly suggest that the interaction of P. frenata with T. cruzi is modulated by distinct factors to those of D. marsupialis. The more intense severity of the lesions in the naturally infected animals were probably a result of variables other than the strain, since milder lesions were observed in the experimental infections with an Philander isolate obtained from an animal captured in the same area.

Regarding these data as a whole we are tempted to speculate that D. marsupialis and P. frenata marsupials, considered to be the most ancient mammalian hosts for T. cruzi, selected different mechanisms to control the parasitism by this flagellate.

ACKNOWLEDGEMENTS

To Carlos Arde Ruiz, Alcidineia Ivo for technical assistance and to Rodrigo Mexas and Romney Lima for photographs.

Recebido para publicação em 11/3/2002

Address to: Dra Ana Maria Jansen. Lab. de Biologia de Tripanosomatídeos/Depto de Protozoologia/IOC/ FIOCRUZ. Av. Brasil 4365, 21045-900 Rio de Janeiro, RJ, Brasil

Fax: 55-21-2560-6572

E-mail: jansen@gene.dbbm.fiocruz.br

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Publication Dates

  • Publication in this collection
    10 June 2003
  • Date of issue
    Apr 2003

History

  • Received
    11 Mar 2002
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