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Published in: Respiratory Research 1/2011

Open Access 01-12-2011 | Research

Attenuated expression of tenascin-c in ovalbumin-challenged STAT4-/- mice

Authors: Anna Meuronen, Piia Karisola, Marina Leino, Terhi Savinko, Kristiina Sirola, Marja-Leena Majuri, Päivi Piirilä, Ismo Virtanen, Mika Mäkelä, Annika Laitinen, Lauri A Laitinen, Harri Alenius

Published in: Respiratory Research | Issue 1/2011

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Abstract

Background

Asthma leads to structural changes in the airways, including the modification of extracellular matrix proteins such as tenascin-C. The role of tenascin-C is unclear, but it might act as an early initiator of airway wall remodelling, as its expression is increased in the mouse and human airways during allergic inflammation. In this study, we examined whether Th1 or Th2 cells are important regulators of tenascin-C in experimental allergic asthma utilizing mice with impaired Th1 (STAT4-/-) or Th2 (STAT6-/-) immunity.

Methods

Balb/c wildtype (WT), STAT4-/- and STAT6-/- mice were sensitized with intraperitoneally injected ovalbumin (OVA) followed by OVA or PBS airway challenge. Airway hyperreactivity (AHR) was measured and samples were collected. Real time PCR and immunohistochemistry were used to study cytokines and differences in the expression of tenascin-C. Tenascin-C expression was measured in human fibroblasts after treatment with TNF-α and IFN-γ in vitro.

Results

OVA-challenged WT mice showed allergic inflammation and AHR in the airways along with increased expression of TNF-α, IFN-γ, IL-4 and tenascin-C in the lungs. OVA-challenged STAT4-/- mice exhibited elevated AHR and pulmonary eosinophilia. The mRNA expression of TNF-α and IFN-γ was low, but the expression of IL-4 was significantly elevated in these mice. OVA-challenged STAT6-/- mice had neither AHR nor pulmonary eosinophilia, but had increased expression of mRNA for TNF-α, IFN-γ and IL-4. The expression of tenascin-C in the lungs of OVA-challenged STAT4-/- mice was weaker than in those of OVA-challenged WT and STAT6-/- mice suggesting that TNF-α and IFN-γ may regulate tenascin-C expression in vivo. The stimulation of human fibroblasts with TNF-α and IFN-γ induced the expression of tenascin-C confirming our in vivo findings.

Conclusions

Expression of tenascin-C is significantly attenuated in the airways of STAT4-/- mice, which may be due to the impaired secretion of TNF-α and IFN-γ in these mice.
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Literature
1.
go back to reference Holgate ST: Pathogenesis of asthma. Clin Exp Allergy. 2008, 38: 872-897. 10.1111/j.1365-2222.2008.02971.x.CrossRefPubMed Holgate ST: Pathogenesis of asthma. Clin Exp Allergy. 2008, 38: 872-897. 10.1111/j.1365-2222.2008.02971.x.CrossRefPubMed
2.
go back to reference Panettieri RA, Covar R, Grant E, Hillyer EV, Bacharier L: Natural history of asthma: persistence versus progression-does the beginning predict the end?. J Allergy Clin Immunol. 2008, 121: 607-613. 10.1016/j.jaci.2008.01.006.CrossRefPubMed Panettieri RA, Covar R, Grant E, Hillyer EV, Bacharier L: Natural history of asthma: persistence versus progression-does the beginning predict the end?. J Allergy Clin Immunol. 2008, 121: 607-613. 10.1016/j.jaci.2008.01.006.CrossRefPubMed
3.
go back to reference Brellier F, Tucker RP, Chiquet-Ehrismann R: Tenascins and their implications in diseases and tissue mechanics. Scand J Med Sci Sports. 2009, 19: 511-519. 10.1111/j.1600-0838.2009.00916.x.CrossRefPubMed Brellier F, Tucker RP, Chiquet-Ehrismann R: Tenascins and their implications in diseases and tissue mechanics. Scand J Med Sci Sports. 2009, 19: 511-519. 10.1111/j.1600-0838.2009.00916.x.CrossRefPubMed
4.
go back to reference Roth-Kleiner M, Hirsch E, Schittny JC: Fetal lungs of tenascin-C-deficient mice grow well, but branch poorly in organ culture. Am J Respir Cell Mol Biol. 2004, 30: 360-366. 10.1165/rcmb.2002-0266OC.CrossRefPubMed Roth-Kleiner M, Hirsch E, Schittny JC: Fetal lungs of tenascin-C-deficient mice grow well, but branch poorly in organ culture. Am J Respir Cell Mol Biol. 2004, 30: 360-366. 10.1165/rcmb.2002-0266OC.CrossRefPubMed
5.
go back to reference Kaarteenaho-Wiik R, Kinnula V, Herva R, Paakko P, Pollanen R, Soini Y: Distribution and mRNA expression of tenascin-C in developing human lung. Am J Respir Cell Mol Biol. 2001, 25: 341-346.CrossRefPubMed Kaarteenaho-Wiik R, Kinnula V, Herva R, Paakko P, Pollanen R, Soini Y: Distribution and mRNA expression of tenascin-C in developing human lung. Am J Respir Cell Mol Biol. 2001, 25: 341-346.CrossRefPubMed
6.
go back to reference Lambropoulou M, Limberis V, Koutlaki N, Simopoulou M, Ntanovasilis D, Vandoros GP, Tatsidou P, Kekou I, Koutsikogianni I, Papadopoulos N: Differential expression of tenascin-C in the developing human lung: an immunohistochemical study. Clin Exp Med. 2009, 9: 333-338. 10.1007/s10238-009-0057-x.CrossRefPubMed Lambropoulou M, Limberis V, Koutlaki N, Simopoulou M, Ntanovasilis D, Vandoros GP, Tatsidou P, Kekou I, Koutsikogianni I, Papadopoulos N: Differential expression of tenascin-C in the developing human lung: an immunohistochemical study. Clin Exp Med. 2009, 9: 333-338. 10.1007/s10238-009-0057-x.CrossRefPubMed
7.
go back to reference Saga Y, Tsukamoto T, Jing N, Kusakabe M, Sakakura T: Murine tenascin: cDNA cloning, structure and temporal expression of isoforms. Gene. 1991, 104: 177-185. 10.1016/0378-1119(91)90248-A.CrossRefPubMed Saga Y, Tsukamoto T, Jing N, Kusakabe M, Sakakura T: Murine tenascin: cDNA cloning, structure and temporal expression of isoforms. Gene. 1991, 104: 177-185. 10.1016/0378-1119(91)90248-A.CrossRefPubMed
8.
go back to reference Laitinen A, Altraja A, Kampe M, Linden M, Virtanen I, Laitinen LA: Tenascin is increased in airway basement membrane of asthmatics and decreased by an inhaled steroid. Am J Respir Crit Care Med. 1997, 156: 951-958.CrossRefPubMed Laitinen A, Altraja A, Kampe M, Linden M, Virtanen I, Laitinen LA: Tenascin is increased in airway basement membrane of asthmatics and decreased by an inhaled steroid. Am J Respir Crit Care Med. 1997, 156: 951-958.CrossRefPubMed
9.
go back to reference Karjalainen EM, Lindqvist A, Laitinen LA, Kava T, Altraja A, Halme M, Laitinen A: Airway inflammation and basement membrane tenascin in newly diagnosed atopic and nonatopic asthma. Respir Med. 2003, 97: 1045-1051. 10.1016/S0954-6111(03)00136-7.CrossRefPubMed Karjalainen EM, Lindqvist A, Laitinen LA, Kava T, Altraja A, Halme M, Laitinen A: Airway inflammation and basement membrane tenascin in newly diagnosed atopic and nonatopic asthma. Respir Med. 2003, 97: 1045-1051. 10.1016/S0954-6111(03)00136-7.CrossRefPubMed
10.
go back to reference Akimoto T, Numata F, Tamura M, Takata Y, Higashida N, Takashi T, Takeda K, Akira S: Abrogation of Bronchial Eosinophilic Inflammation and Airway Hyperreactivity in Signal Transducers and Activators of Transcription (STAT)6-deficient Mice. J Exp Med. 1998, 187: 1537-1542. 10.1084/jem.187.9.1537.CrossRefPubMedPubMedCentral Akimoto T, Numata F, Tamura M, Takata Y, Higashida N, Takashi T, Takeda K, Akira S: Abrogation of Bronchial Eosinophilic Inflammation and Airway Hyperreactivity in Signal Transducers and Activators of Transcription (STAT)6-deficient Mice. J Exp Med. 1998, 187: 1537-1542. 10.1084/jem.187.9.1537.CrossRefPubMedPubMedCentral
11.
go back to reference Shimoda K, van Deursen J, Sangster MY, Sarawar SR, Carson RT, Tripp RA, Chu C, Quelle FW, Nosaka T, Vignali DA, Doherty PC, Grosveld G, Paul WE, Ihle JN: Lack of IL-4-induced Th2 response and IgE class switching in mice with disrupted Stat6 gene. Nature. 1996, 380: 630-633. 10.1038/380630a0.CrossRefPubMed Shimoda K, van Deursen J, Sangster MY, Sarawar SR, Carson RT, Tripp RA, Chu C, Quelle FW, Nosaka T, Vignali DA, Doherty PC, Grosveld G, Paul WE, Ihle JN: Lack of IL-4-induced Th2 response and IgE class switching in mice with disrupted Stat6 gene. Nature. 1996, 380: 630-633. 10.1038/380630a0.CrossRefPubMed
12.
go back to reference Ihle JN: The Stat family in cytokine signaling. Curr Opin Cell Biol. 2001, 13: 211-217. 10.1016/S0955-0674(00)00199-X.CrossRefPubMed Ihle JN: The Stat family in cytokine signaling. Curr Opin Cell Biol. 2001, 13: 211-217. 10.1016/S0955-0674(00)00199-X.CrossRefPubMed
13.
go back to reference Chiba Y, Todoroki M, Nishida Y, Tanabe M, Misawa M: A Novel STAT6 Inhibitor AS1517499 Ameliorates Antigen-Induced Bronchial Hypercontractility in Mice. Am J Respir Cell Mol Biol. 2009, 41: 516-524. 10.1165/rcmb.2008-0163OC.CrossRefPubMed Chiba Y, Todoroki M, Nishida Y, Tanabe M, Misawa M: A Novel STAT6 Inhibitor AS1517499 Ameliorates Antigen-Induced Bronchial Hypercontractility in Mice. Am J Respir Cell Mol Biol. 2009, 41: 516-524. 10.1165/rcmb.2008-0163OC.CrossRefPubMed
14.
go back to reference Darcan-Nicolaisen Y, Meinicke H, Fels G, Hegend O, Haberland A, Kuhl A, Loddenkemper C, Witzenrath M, Kube S, Henke W, Hamelmann E: Small Interfering RNA against Transcription Factor STAT6 Inhibits Allergic Airway Inflammation and Hyperreactivity in Mice. J Immunol. 2009, 182: 7501-7508. 10.4049/jimmunol.0713433.CrossRefPubMed Darcan-Nicolaisen Y, Meinicke H, Fels G, Hegend O, Haberland A, Kuhl A, Loddenkemper C, Witzenrath M, Kube S, Henke W, Hamelmann E: Small Interfering RNA against Transcription Factor STAT6 Inhibits Allergic Airway Inflammation and Hyperreactivity in Mice. J Immunol. 2009, 182: 7501-7508. 10.4049/jimmunol.0713433.CrossRefPubMed
15.
go back to reference Thierfelder WE, van Deursen JM, Yamamoto K, Tripp RA, Sarawar SR, Carson RT, Sangster MY, Vignali DA, Doherty PC, Grosveld GC, Ihle JN: Requirement for Stat4 in interleukin-12-mediated responses of natural killer and T cells. Nature. 1996, 382: 171-174. 10.1038/382171a0.CrossRefPubMed Thierfelder WE, van Deursen JM, Yamamoto K, Tripp RA, Sarawar SR, Carson RT, Sangster MY, Vignali DA, Doherty PC, Grosveld GC, Ihle JN: Requirement for Stat4 in interleukin-12-mediated responses of natural killer and T cells. Nature. 1996, 382: 171-174. 10.1038/382171a0.CrossRefPubMed
16.
go back to reference Syrbe U, Hoffmann U, Schlawe K, Liesenfeld O, Erb K, Hamann A: Microenvironment-Dependent Requirement of STAT4 for the Induction of P-Selectin Ligands and Effector Cytokines on CD4+ T Cells in Healthy and Parasite-Infected Mice. J Immunol. 2006, 177: 7673-7679.CrossRefPubMed Syrbe U, Hoffmann U, Schlawe K, Liesenfeld O, Erb K, Hamann A: Microenvironment-Dependent Requirement of STAT4 for the Induction of P-Selectin Ligands and Effector Cytokines on CD4+ T Cells in Healthy and Parasite-Infected Mice. J Immunol. 2006, 177: 7673-7679.CrossRefPubMed
17.
go back to reference Raman K, Kaplan MH, Hogaboam CM, Berlin A, Lukacs NW: STAT4 Signal Pathways Regulate Inflammation and Airway Physiology Changes in Allergic Airway Inflammation Locally Via Alteration of Chemokines. J Immunol. 2003, 170: 3859-3865.CrossRefPubMed Raman K, Kaplan MH, Hogaboam CM, Berlin A, Lukacs NW: STAT4 Signal Pathways Regulate Inflammation and Airway Physiology Changes in Allergic Airway Inflammation Locally Via Alteration of Chemokines. J Immunol. 2003, 170: 3859-3865.CrossRefPubMed
18.
go back to reference Härkonen E, Virtanen I, Linnala A, Laitinen LL, Kinnula VL: Modulation of fibronectin and tenascin production in human bronchial epithelial cells by inflammatory cytokines in vitro. Am J Respir Cell Mol Biol. 1995, 13: 109-115.CrossRefPubMed Härkonen E, Virtanen I, Linnala A, Laitinen LL, Kinnula VL: Modulation of fibronectin and tenascin production in human bronchial epithelial cells by inflammatory cytokines in vitro. Am J Respir Cell Mol Biol. 1995, 13: 109-115.CrossRefPubMed
19.
go back to reference Rettig WJ, Erickson HP, Albino AP, Garin-Chesa P: Induction of human tenascin (neuronectin) by growth factors and cytokines: cell type-specific signals and signalling pathways. J Cell Sci. 1994, 107: 487-497.PubMed Rettig WJ, Erickson HP, Albino AP, Garin-Chesa P: Induction of human tenascin (neuronectin) by growth factors and cytokines: cell type-specific signals and signalling pathways. J Cell Sci. 1994, 107: 487-497.PubMed
20.
go back to reference Jiang L, Wei XF, Yi DH, Xu P, Liu H, Chang Q, Yang SM, Li ZF, Gao HB, Hao GJ: Synergistic effects of cyclic strain and Th1-like cytokines on tenascin-C production by rheumatic aortic valve interstitial cells. Clin Exp Immunol. 2009, 155: 216-223. 10.1111/j.1365-2249.2008.03747.x.CrossRefPubMedPubMedCentral Jiang L, Wei XF, Yi DH, Xu P, Liu H, Chang Q, Yang SM, Li ZF, Gao HB, Hao GJ: Synergistic effects of cyclic strain and Th1-like cytokines on tenascin-C production by rheumatic aortic valve interstitial cells. Clin Exp Immunol. 2009, 155: 216-223. 10.1111/j.1365-2249.2008.03747.x.CrossRefPubMedPubMedCentral
21.
go back to reference Makhluf HA, Stepniakowska J, Hoffman S, Smith E, LeRoy EC, Trojanowska M: IL-4 upregulates tenascin synthesis in scleroderma and healthy skin fibroblasts. J Invest Dermatol. 1996, 107: 856-859. 10.1111/1523-1747.ep12331160.CrossRefPubMed Makhluf HA, Stepniakowska J, Hoffman S, Smith E, LeRoy EC, Trojanowska M: IL-4 upregulates tenascin synthesis in scleroderma and healthy skin fibroblasts. J Invest Dermatol. 1996, 107: 856-859. 10.1111/1523-1747.ep12331160.CrossRefPubMed
22.
go back to reference Hamelmann E, Schwarze J, Takeda K, Oshiba A, Larsen GL, Irvin CG, Gelfand EW: Noninvasive Measurement of Airway Responsiveness in Allergic Mice Using Barometric Plethysmography. Am J Respir Crit Care Med. 1997, 156: 766-775.CrossRefPubMed Hamelmann E, Schwarze J, Takeda K, Oshiba A, Larsen GL, Irvin CG, Gelfand EW: Noninvasive Measurement of Airway Responsiveness in Allergic Mice Using Barometric Plethysmography. Am J Respir Crit Care Med. 1997, 156: 766-775.CrossRefPubMed
23.
go back to reference Howeedy AA, Virtanen I, Laitinen L, Gould NS, Koukoulis GK, Gould VE: Differential distribution of tenascin in the normal, hyperplastic, and neoplastic breast. Lab Invest. 1990, 63: 798-806.PubMed Howeedy AA, Virtanen I, Laitinen L, Gould NS, Koukoulis GK, Gould VE: Differential distribution of tenascin in the normal, hyperplastic, and neoplastic breast. Lab Invest. 1990, 63: 798-806.PubMed
24.
go back to reference Matsuda A, Hirota T, Akahoshi M, Shimizu M, Tamari M, Miyatake A, Takahashi A, Nakashima K, Takahashi N, Obara K, Yuyama N, Doi S, Kamogawa Y, Enomoto T, Ohshima K, Tsunoda T, Miyatake S, Fujita K, Kusakabe M, Izuhara K, Nakamura Y, Hopkin J, Shirakawa T: Coding SNP in tenascin-C Fn-III-D domain associates with adult asthma. Hum Mol Genet. 2005, 14: 2779-2786. 10.1093/hmg/ddi311.CrossRefPubMed Matsuda A, Hirota T, Akahoshi M, Shimizu M, Tamari M, Miyatake A, Takahashi A, Nakashima K, Takahashi N, Obara K, Yuyama N, Doi S, Kamogawa Y, Enomoto T, Ohshima K, Tsunoda T, Miyatake S, Fujita K, Kusakabe M, Izuhara K, Nakamura Y, Hopkin J, Shirakawa T: Coding SNP in tenascin-C Fn-III-D domain associates with adult asthma. Hum Mol Genet. 2005, 14: 2779-2786. 10.1093/hmg/ddi311.CrossRefPubMed
25.
go back to reference Sarasa-Renedo A, Tunc-Civelek V, Chiquet M: Role of RhoA/ROCK-dependent actin contractility in the induction of tenascin-C by cyclic tensile strain. Exp Cell Res. 2006, 312: 1361-1370. 10.1016/j.yexcr.2005.12.025.CrossRefPubMed Sarasa-Renedo A, Tunc-Civelek V, Chiquet M: Role of RhoA/ROCK-dependent actin contractility in the induction of tenascin-C by cyclic tensile strain. Exp Cell Res. 2006, 312: 1361-1370. 10.1016/j.yexcr.2005.12.025.CrossRefPubMed
26.
go back to reference Midwood KS, Schwarzbauer JE: Tenascin-C Modulates Matrix Contraction via Focal Adhesion Kinase- and Rho-mediated Signaling Pathways. Mol Biol Cell. 2002, 13: 3601-3613. 10.1091/mbc.E02-05-0292.CrossRefPubMedPubMedCentral Midwood KS, Schwarzbauer JE: Tenascin-C Modulates Matrix Contraction via Focal Adhesion Kinase- and Rho-mediated Signaling Pathways. Mol Biol Cell. 2002, 13: 3601-3613. 10.1091/mbc.E02-05-0292.CrossRefPubMedPubMedCentral
27.
go back to reference Nakahara H, Gabazza EC, Fujimoto H, Nishii Y, D'Alessandro-Gabazza CN, Bruno NE, Takagi T, Hayashi T, Maruyama J, Maruyama K, Imanaka-Yoshida K, Suzuki K, Yoshida T, Adachi Y, Taguchi O: Deficiency of tenascin C attenuates allergen-induced bronchial asthma in the mouse. Eur J Immunol. 2006, 36: 3334-3345. 10.1002/eji.200636271.CrossRefPubMed Nakahara H, Gabazza EC, Fujimoto H, Nishii Y, D'Alessandro-Gabazza CN, Bruno NE, Takagi T, Hayashi T, Maruyama J, Maruyama K, Imanaka-Yoshida K, Suzuki K, Yoshida T, Adachi Y, Taguchi O: Deficiency of tenascin C attenuates allergen-induced bronchial asthma in the mouse. Eur J Immunol. 2006, 36: 3334-3345. 10.1002/eji.200636271.CrossRefPubMed
28.
go back to reference Phipps S, Benyahia F, Ou TT, Barkans J, Robinson DS, Kay AB: Acute allergen-induced airway remodeling in atopic asthma. Am J Respir Cell Mol Biol. 2004, 31: 626-632. 10.1165/rcmb.2004-0193OC.CrossRefPubMed Phipps S, Benyahia F, Ou TT, Barkans J, Robinson DS, Kay AB: Acute allergen-induced airway remodeling in atopic asthma. Am J Respir Cell Mol Biol. 2004, 31: 626-632. 10.1165/rcmb.2004-0193OC.CrossRefPubMed
29.
go back to reference Kariyawasam HH, Aizen M, Barkans J, Robinson DS, Kay AB: Remodeling and airway hyperresponsiveness but not cellular inflammation persist after allergen challenge in asthma. Am J Respir Crit Care Med. 2007, 175: 896-904. 10.1164/rccm.200609-1260OC.CrossRefPubMed Kariyawasam HH, Aizen M, Barkans J, Robinson DS, Kay AB: Remodeling and airway hyperresponsiveness but not cellular inflammation persist after allergen challenge in asthma. Am J Respir Crit Care Med. 2007, 175: 896-904. 10.1164/rccm.200609-1260OC.CrossRefPubMed
30.
go back to reference Amin K, Ludviksdottir D, Janson C, Nettelbladt O, Bjornsson E, Roomans GM, Boman G, Seveus L, Venge P: Inflammation and structural changes in the airways of patients with atopic and nonatopic asthma. BHR Group. Am J Respir Crit Care Med. 2000, 162: 2295-2301.CrossRefPubMed Amin K, Ludviksdottir D, Janson C, Nettelbladt O, Bjornsson E, Roomans GM, Boman G, Seveus L, Venge P: Inflammation and structural changes in the airways of patients with atopic and nonatopic asthma. BHR Group. Am J Respir Crit Care Med. 2000, 162: 2295-2301.CrossRefPubMed
31.
go back to reference Truyen E, Coteur L, Dilissen E, Overbergh L, Dupont LJ, Ceuppens JL, Bullens DM: Evaluation of airway inflammation by quantitative Th1/Th2 cytokine mRNA measurement in sputum of asthma patients. Thorax. 2006, 61: 202-208. 10.1136/thx.2005.052399.CrossRefPubMedPubMedCentral Truyen E, Coteur L, Dilissen E, Overbergh L, Dupont LJ, Ceuppens JL, Bullens DM: Evaluation of airway inflammation by quantitative Th1/Th2 cytokine mRNA measurement in sputum of asthma patients. Thorax. 2006, 61: 202-208. 10.1136/thx.2005.052399.CrossRefPubMedPubMedCentral
32.
go back to reference Foster PS, Webb DC, Yang M, Herbert C, Kumar RK: Dissociation of T helper type 2 cytokine-dependent airway lesions from signal transducer and activator of transcription 6 signalling in experimental chronic asthma. Clin Exp Allergy. 2003, 33: 688-695. 10.1046/j.1365-2222.2003.01647.x.CrossRefPubMed Foster PS, Webb DC, Yang M, Herbert C, Kumar RK: Dissociation of T helper type 2 cytokine-dependent airway lesions from signal transducer and activator of transcription 6 signalling in experimental chronic asthma. Clin Exp Allergy. 2003, 33: 688-695. 10.1046/j.1365-2222.2003.01647.x.CrossRefPubMed
33.
go back to reference Zimmermann N, Mishra A, King NE, Fulkerson PC, Doepker MP, Nikolaidis NM, Kindinger LE, Moulton EA, Aronow BJ, Rothenberg ME: Transcript Signatures in Experimental Asthma: Identification of STAT6-Dependent and -Independent Pathways. J Immunol. 2004, 172: 1815-1824.CrossRefPubMed Zimmermann N, Mishra A, King NE, Fulkerson PC, Doepker MP, Nikolaidis NM, Kindinger LE, Moulton EA, Aronow BJ, Rothenberg ME: Transcript Signatures in Experimental Asthma: Identification of STAT6-Dependent and -Independent Pathways. J Immunol. 2004, 172: 1815-1824.CrossRefPubMed
Metadata
Title
Attenuated expression of tenascin-c in ovalbumin-challenged STAT4-/- mice
Authors
Anna Meuronen
Piia Karisola
Marina Leino
Terhi Savinko
Kristiina Sirola
Marja-Leena Majuri
Päivi Piirilä
Ismo Virtanen
Mika Mäkelä
Annika Laitinen
Lauri A Laitinen
Harri Alenius
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2011
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-12-2

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