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Kirtland ME, Tsitoura DC, Durham SR, Shamji MH. Toll-Like Receptor Agonists as Adjuvants for Allergen Immunotherapy. Front Immunol 2020; 11:599083. [PMID: 33281825 PMCID: PMC7688745 DOI: 10.3389/fimmu.2020.599083] [Citation(s) in RCA: 60] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Accepted: 10/19/2020] [Indexed: 01/19/2023] Open
Abstract
Toll-like receptors (TLRs) are essential components of innate immunity and provide defensive inflammatory responses to invading pathogens. Located within the plasma membranes of cells and also intracellular endosomes, TLRs can detect a range of pathogen associated molecular patterns from bacteria, viruses and fungi. TLR activation on dendritic cells can propagate to an adaptive immune response, making them attractive targets for the development of both prophylactic and therapeutic vaccines. In contrast to conventional adjuvants such as aluminium salts, TLR agonists have a clear immunomodulatory profile that favours anti-allergic T lymphocyte responses. Consequently, the potential use of TLRs as adjuvants in Allergen Immunotherapy (AIT) for allergic rhinitis and asthma remains of great interest. Allergic Rhinitis is a Th2-driven, IgE-mediated disease that occurs in atopic individuals in response to exposure to otherwise harmless aeroallergens such as pollens, house dust mite and animal dander. AIT is indicated in subjects with allergic rhinitis whose symptoms are inadequately controlled by antihistamines and nasal corticosteroids. Unlike anti-allergic drugs, AIT is disease-modifying and may induce long-term disease remission through mechanisms involving upregulation of IgG and IgG4 antibodies, induction of regulatory T and B cells, and immune deviation in favour of Th1 responses that are maintained after treatment discontinuation. This process takes up to three years however, highlighting an unmet need for a more efficacious therapy with faster onset. Agonists targeting different TLRs to treat allergy are at different stages of development. Synthetic TLR4, and TLR9 agonists have progressed to clinical trials, while TLR2, TLR5 and TLR7 agonists been shown to have potent anti-allergic effects in human in vitro experiments and in vivo in animal studies. The anti-allergic properties of TLRs are broadly characterised by a combination of enhanced Th1 deviation, regulatory responses, and induction of blocking antibodies. While promising, a durable effect in larger clinical trials is yet to be observed and further long-term studies and comparative trials with conventional AIT are required before TLR adjuvants can be considered for inclusion in AIT. Here we critically evaluate experimental and clinical studies investigating TLRs and discuss their potential role in the future of AIT.
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Affiliation(s)
- Max E Kirtland
- Immunomodulation and Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom.,NIHR Biomedical Research Centre, Asthma UK Centre in Allergic Mechanisms of Asthma Imperial College London, London, United Kingdom
| | - Daphne C Tsitoura
- Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Stephen R Durham
- Immunomodulation and Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom.,NIHR Biomedical Research Centre, Asthma UK Centre in Allergic Mechanisms of Asthma Imperial College London, London, United Kingdom
| | - Mohamed H Shamji
- Immunomodulation and Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom.,NIHR Biomedical Research Centre, Asthma UK Centre in Allergic Mechanisms of Asthma Imperial College London, London, United Kingdom
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Rignault-Bricard R, Machavoine F, Mecheri S, Hermine O, Schneider E, Dy M, Leite-de-Moraes M. IL-3-producing basophils are required to exacerbate airway hyperresponsiveness in a murine inflammatory model. Allergy 2018; 73:2342-2351. [PMID: 29777594 DOI: 10.1111/all.13480] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2018] [Indexed: 01/01/2023]
Abstract
BACKGROUND Basophils are commonly associated with allergic responses because of their ability to produce large amounts of pro-Th2 cytokines and histamine. However, the mechanisms through which bone marrow-resident basophils (BMRB) become fully competent cytokine and histamine producers in response to IgE crosslinking are poorly understood. Here, we sought to determine the role of IL-3 in promoting pro-Th2 basophils. METHODS BMRB and basophils exposed to IL-3 in vitro and in vivo were evaluated for their production of Th2 cytokines and histamine in response to FcεRI crosslinking on both protein and gene expression levels. In vivo relevance of our findings was assessed in a model of ovalbumin-induced allergic asthma using IL-3-deficient and wild-type mice in a protocol of adoptive basophil transfer. RESULTS We show that BMRB and basophils previously exposed to IL-3 differ in their ability to generate cytokines (IL-4, IL-6, IL-13, and GM-CSF) and histamine in response to FcεRI crosslinking, reflecting two stages of maturation. Exposure to IL-3 initiated an autocrine loop of endogenous IL-3 production that enhanced histamine and cytokine production upon FcεRI crosslinking. This increased responsiveness required calcium flux and was dependent on calcineurin and store-operated calcium channels. Our findings are of pathophysiological relevance, as assessed by the failure of IL-3-deficient mice to develop airway hyperreactivity, which could be restored by adoptive transfer of IL-3-derived basophils recovered from wild-type mice. CONCLUSION IL-3-dependent basophils promote Th2 allergic AHR, which designates the IL-3/basophil axis as a promising therapeutic target for the treatment of basophil-dependent asthma.
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Affiliation(s)
- R. Rignault-Bricard
- Laboratory of Immunoregulation and Immunopathology; Institut Necker-Enfants Malades; Centre National de la Recherche Scientifique (CNRS); Unité Mixte de Recherche (UMR) 8253; Institut National de la Santé et de la Recherche Médicale (Inserm) UMR 1151; Université Paris Descartes Sorbonne Paris Cité; Paris France
- Institut Imagine Inserm UMR1163; CNRS Equipe de Recherche Labelisée (ERL) 8654; Université Paris Descartes Paris; Paris France
| | - F. Machavoine
- Laboratory of Immunoregulation and Immunopathology; Institut Necker-Enfants Malades; Centre National de la Recherche Scientifique (CNRS); Unité Mixte de Recherche (UMR) 8253; Institut National de la Santé et de la Recherche Médicale (Inserm) UMR 1151; Université Paris Descartes Sorbonne Paris Cité; Paris France
| | - S. Mecheri
- Institut Pasteur; Unité de Biologie des Interactions Hôte Parasites; CNRS ERL9195, Inserm UMR1201; Paris France
| | - O. Hermine
- Institut Imagine Inserm UMR1163; CNRS Equipe de Recherche Labelisée (ERL) 8654; Université Paris Descartes Paris; Paris France
- Department of Hematology; Hôpital Necker Enfants Malades; Assistance Publique Hôpitaux de Paris; Université Paris Descartes Paris; Paris France
| | - E. Schneider
- Laboratory of Immunoregulation and Immunopathology; Institut Necker-Enfants Malades; Centre National de la Recherche Scientifique (CNRS); Unité Mixte de Recherche (UMR) 8253; Institut National de la Santé et de la Recherche Médicale (Inserm) UMR 1151; Université Paris Descartes Sorbonne Paris Cité; Paris France
| | - M. Dy
- Laboratory of Immunoregulation and Immunopathology; Institut Necker-Enfants Malades; Centre National de la Recherche Scientifique (CNRS); Unité Mixte de Recherche (UMR) 8253; Institut National de la Santé et de la Recherche Médicale (Inserm) UMR 1151; Université Paris Descartes Sorbonne Paris Cité; Paris France
| | - M. Leite-de-Moraes
- Laboratory of Immunoregulation and Immunopathology; Institut Necker-Enfants Malades; Centre National de la Recherche Scientifique (CNRS); Unité Mixte de Recherche (UMR) 8253; Institut National de la Santé et de la Recherche Médicale (Inserm) UMR 1151; Université Paris Descartes Sorbonne Paris Cité; Paris France
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Alkan M, Sayes F, Ramadan A, Machavoine F, Dy M, Schneider E, Thieblemont N. Basophil activation through TLR2 and TLR4 signaling pathways. AIMS ALLERGY AND IMMUNOLOGY 2018. [DOI: 10.3934/allergy.2018.3.126] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Pham Van L, Germaud N, Ramadan A, Thieblemont N. MyD88 modulates eosinophil and neutrophil recruitment as well as IL-17A production during allergic inflammation. Cell Immunol 2016; 310:116-122. [PMID: 27614844 DOI: 10.1016/j.cellimm.2016.08.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 08/03/2016] [Accepted: 08/25/2016] [Indexed: 12/24/2022]
Abstract
The contribution of dysregulated innate immune responses to the pathogenesis of allergic disease remains largely unknown. Herein, we addressed the role of Toll-like receptor signaling in airway inflammation by studying mice rendered deficient for the myeloid differentiation factor 88 (MyD88-/-) which results in concurrent deficiencies in TLR and IL-1R1 signaling pathways. We show that the lack of MyD88 offers a partial protection from allergic disease evidenced by reduced airway eosinophilia and production of the Th17-associated effector cytokine IL-17A. By contrast, airway hyperreactivity and Th2 cytokine production, the cardinal features of allergic disease, remained unchanged. We found that the impaired IL-17A production in MyD88-/- mice was associated with defective CD4+ T cells, which failed to respond to IL-23 stimulation. The total number of Th17-associated effectors in lymph nodes was likewise decreased. Taken together, our results demonstrate that MyD88-dependent mechanisms are critical for orchestrating lung inflammatory responses, in terms of IL-17A production, as well as eosinophil and neutrophil recruitment.
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Affiliation(s)
- Linh Pham Van
- Université Paris Descartes, Paris 75015, France; CNRS UMR 8147, Necker Hospital, Paris 75015, France
| | - Nathalie Germaud
- Université Paris Descartes, Paris 75015, France; CNRS UMR 8147, Necker Hospital, Paris 75015, France
| | - Abdulraouf Ramadan
- Université Paris Descartes, Paris 75015, France; CNRS UMR 8147, Necker Hospital, Paris 75015, France
| | - Nathalie Thieblemont
- Université Paris Descartes, Paris 75015, France; CNRS UMR 8147, Necker Hospital, Paris 75015, France; INSERM U1016, Institut Cochin, Paris, France; CNRS UMR8104, Paris, France; Center of Excellence, INFLAMEX, France.
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Zakeri A, Yazdi FG. Toll-like receptor-mediated involvement of innate immune cells in asthma disease. Biochim Biophys Acta Gen Subj 2016; 1861:3270-3277. [PMID: 27543676 DOI: 10.1016/j.bbagen.2016.08.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 08/15/2016] [Indexed: 12/12/2022]
Abstract
BACKGROUND Innate immune cells as the first line of defense are adept at recognizing and triggering appropriate response against various pathogens. Apart from the protective functions, the innate immunity plays an essential role in mediation of allergic responses. Dendritic cells (DCs) and airway epithelial cells (AECs) along with other innate cells such as granulocytes, natural killer cells (NKs), natural killer T cells (NKTs), and alternatively activated macrophages (AAMs) are able to orchestrate allergic responses, especially asthma. Chronic stimulation of TLRs by airway stimuli induces local inflammation which gradually results in the recruitment and settling of innate cells around airways. SCOPE OF REVIEW This review discusses how recruitment and accumulation of the inflammatory cells in the site of insult facilitate hypersensitivity reactions and initiate airway inflammation. We indicate that these cells are well equipped to highly sensitive receptors known as toll-like receptors (TLRs) making them fit to prime adaptive immune response. Based on emerging findings, we highlight the pivotal role of TLRs in regulation of innate cells function in the context of asthma disease. MAJOR CONCLUSIONS Stimulation of the TLRs of innate cells by allergens has been found to accelerate and regulate allergic airway inflammation. In fact, the sophisticated interaction between environmental allergens and TLRs leads to release of various pro-inflammatory mediators from innate cells supporting asthma development. GENERAL SIGNIFICANCE This review highlights that TLRs have a substantial role in priming innate cells and cytokine release, suggesting that the involvement of TLRs of innate immune cells can modulate the function of these cells in asthma disease.
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Affiliation(s)
- Amin Zakeri
- Immunology Section, Department of Pathobiology, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran.
| | - Fariba Ghiamati Yazdi
- Department of Food Science and Technology, Faculty of Agriculture, Isfahan University of Technology, Isfahan 84156, Iran
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Warner JL, Zhang P, Liu J, Alterovitz G. Classification of hospital acquired complications using temporal clinical information from a large electronic health record. J Biomed Inform 2015; 59:209-17. [PMID: 26707449 DOI: 10.1016/j.jbi.2015.12.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 11/18/2015] [Accepted: 12/12/2015] [Indexed: 10/25/2022]
Abstract
Hospital acquired complications (HACs) are serious problems affecting modern day healthcare institutions. It is estimated that HACs result in an approximately 10% increase in total inpatient hospital costs across US hospitals. With US hospital spending totaling nearly $900 billion per annum, the damages caused by HACs are no small matter. Early detection and prevention of HACs could greatly reduce strains on the US healthcare system and improve patient morbidity & mortality rates. Here, we describe a machine-learning model for predicting the occurrence of HACs within five distinct categories using temporal clinical data. Using our approach, we find that at least $10 billion of excessive hospital costs could be saved in the US alone, with the institution of effective preventive measures. In addition, we also identify several keystone features that demonstrate high predictive power for HACs over different time periods following patient admission. The classifiers and features analyzed in this study show high promise of being able to be used for accurate prediction of HACs in clinical settings, and furthermore provide novel insights into the contribution of various clinical factors to the risk of developing HACs as a function of healthcare system exposure.
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Affiliation(s)
- Jeremy L Warner
- Department of Medicine, Division of Hematology & Oncology, Vanderbilt University, Nashville, TN, USA; Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
| | - Peijin Zhang
- School of Computer Science, Carnegie Mellon University, Pittsburgh, PA, USA
| | - Jenny Liu
- Department of Electrical Engineering & Computer Science, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Gil Alterovitz
- Department of Electrical Engineering & Computer Science, Massachusetts Institute of Technology, Cambridge, MA, USA; Center for Biomedical Informatics, Harvard Medical School, Boston, MA, USA; Children's Hospital Informatics Program at Harvard-MIT Health Sciences & Technology, Boston, MA, USA
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Alkan M, Machavoine F, Rignault R, Dam J, Dy M, Thieblemont N. Histidine Decarboxylase Deficiency Prevents Autoimmune Diabetes in NOD Mice. J Diabetes Res 2015; 2015:965056. [PMID: 26090474 PMCID: PMC4452174 DOI: 10.1155/2015/965056] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Revised: 04/13/2015] [Accepted: 04/15/2015] [Indexed: 12/31/2022] Open
Abstract
Recent evidence has highlighted the role of histamine in inflammation. Since this monoamine has also been strongly implicated in the pathogenesis of type-1 diabetes, we assessed its effect in the nonobese diabetic (NOD) mouse model. To this end, we used mice (inactivated) knocked out for the gene encoding histidine decarboxylase, the unique histamine-forming enzyme, backcrossed on a NOD genetic background. We found that the lack of endogenous histamine in NOD HDC(-/-) mice decreased the incidence of diabetes in relation to their wild-type counterpart. Whereas the proportion of regulatory T and myeloid-derived suppressive cells was similar in both strains, histamine deficiency was associated with increased levels of immature macrophages, as compared with wild-type NOD mice. Concerning the cytokine pattern, we found a decrease in circulating IL-12 and IFN-γ in HDC(-/-) mice, while IL-6 or leptin remained unchanged, suggesting that histamine primarily modulates the inflammatory environment. Paradoxically, exogenous histamine given to NOD HDC(-/-) mice provided also protection against T1D. Our study supports the notion that histamine is involved in the pathogenesis of diabetes, thus providing additional evidence for its role in the regulation of the immune response.
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Affiliation(s)
- Manal Alkan
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8147, Hôpital Necker, 75015 Paris, France
- CNRS UMR 8104, Cochin Institute, 75014 Paris, France
- INSERM U1016, Cochin Institute, 75014 Paris, France
- Center of Excellence, LABEX Inflamex, 75014 Paris, France
| | - François Machavoine
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8147, Hôpital Necker, 75015 Paris, France
| | - Rachel Rignault
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8147, Hôpital Necker, 75015 Paris, France
| | - Julie Dam
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8104, Cochin Institute, 75014 Paris, France
- INSERM U1016, Cochin Institute, 75014 Paris, France
| | - Michel Dy
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8147, Hôpital Necker, 75015 Paris, France
| | - Nathalie Thieblemont
- Université Paris Descartes, 75014 Paris, France
- CNRS UMR 8147, Hôpital Necker, 75015 Paris, France
- CNRS UMR 8104, Cochin Institute, 75014 Paris, France
- INSERM U1016, Cochin Institute, 75014 Paris, France
- Center of Excellence, LABEX Inflamex, 75014 Paris, France
- *Nathalie Thieblemont:
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García-García E, Gómez-González NE, Meseguer J, García-Ayala A, Mulero V. Histamine regulates the inflammatory response of the tunicate Styela plicata. DEVELOPMENTAL AND COMPARATIVE IMMUNOLOGY 2014; 46:382-391. [PMID: 24892817 DOI: 10.1016/j.dci.2014.05.017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Revised: 05/25/2014] [Accepted: 05/26/2014] [Indexed: 06/03/2023]
Abstract
Histamine is stored inside hemocytes of the tunicate Styela plicata (Chordata, Tunicata, Ascidiacea), but no evidence on its role in the regulation of the immune response of this species has been reported. We examined whether histamine participated in the regulation of inflammation and host defense in S. plicata. The presence of histamine inside S. plicata hemocytes was confirmed by flow cytometry, and histamine release was detected by ELISA, after in vitro hemocyte stimulation with different PAMPs. In vitro hemocyte treatment with histamine, or specific histamine-receptor agonists, reduced their phagocytic ability. Injection of histamine into the tunic recruited hemocytes to the site of injection. Systemic injection of histamine, or the histamine-releasing agent compound 48/80, decreased the phagocytic ability of hemocytes. Histamine promoted the constriction of tunic hemolymph vessels in vivo, having a direct effect on vasoconstriction in tunic explants. These results provide for the first time clear evidence for the involvement of histamine in the regulation of inflammation and host defense in tunicates.
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Affiliation(s)
- Erick García-García
- Departamento de Biología Celular e Histología, Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain; Instituto Murciano de Investigación Biosanitaria, 30100 Murcia, Spain
| | - Nuria E Gómez-González
- Departamento de Biología Celular e Histología, Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain; Instituto Murciano de Investigación Biosanitaria, 30100 Murcia, Spain
| | - José Meseguer
- Departamento de Biología Celular e Histología, Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain; Instituto Murciano de Investigación Biosanitaria, 30100 Murcia, Spain
| | - Alfonsa García-Ayala
- Departamento de Biología Celular e Histología, Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain; Instituto Murciano de Investigación Biosanitaria, 30100 Murcia, Spain
| | - Victoriano Mulero
- Departamento de Biología Celular e Histología, Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain; Instituto Murciano de Investigación Biosanitaria, 30100 Murcia, Spain.
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von Gunten S, Cortinas-Elizondo F, Kollarik M, Beisswenger C, Lepper PM. Mechanisms and potential therapeutic targets in allergic inflammation: recent insights. Allergy 2013; 68:1487-98. [PMID: 24215555 DOI: 10.1111/all.12312] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2013] [Indexed: 12/16/2022]
Abstract
Deeper insight into pathogenetic pathways and into the biological effects of immunomodulatory agents will help to optimize or adopt therapeutic strategies for atopic disorders. In this article, we highlight selected findings of potential therapeutic relevance that emerged from recent mechanistic studies with focus on molecular and cellular aspects of allergic inflammation. Furthermore, the often complex mechanisms of action of pleiotropic immunomodulatory agents, such as glucocorticoids, vitamin D, or intravenous immunoglobulin (IVIG), are discussed, as their dissection might reveal targets for novel therapeutics or lead to a more rational use of these compounds. Besides reporting novel evidence, this article points to areas of current debate or uncertainty and aims at stimulating scientific discussion and experimental work.
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Affiliation(s)
- S. von Gunten
- Institute of Pharmacology; University of Bern; Bern Switzerland
| | | | - M. Kollarik
- Department of Medicine; The Johns Hopkins University School of Medicine; Baltimore MD USA
- Department of Pathophysiology; Jessenius Medical School; Martin Slovakia
| | - C. Beisswenger
- Department of Internal Medicine V; University Hospital of Saarland; Homburg Germany
| | - P. M. Lepper
- Department of Internal Medicine V; University Hospital of Saarland; Homburg Germany
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