Skip to main content
Top
Published in: BMC Pulmonary Medicine 1/2014

Open Access 01-12-2014 | Research article

Nucleotide-oligomerizing domain-1 (NOD1) receptor activation induces pro-inflammatory responses and autophagy in human alveolar macrophages

Authors: Esmeralda Juárez, Claudia Carranza, Fernando Hernández-Sánchez, Elva Loyola, Dante Escobedo, Juan Carlos León-Contreras, Rogelio Hernández-Pando, Martha Torres, Eduardo Sada

Published in: BMC Pulmonary Medicine | Issue 1/2014

Login to get access

Abstract

Background

Nucleotide-binding oligomerizing domain-1 (NOD1) is a cytoplasmic receptor involved in recognizing bacterial peptidoglycan fragments that localize to the cytosol. NOD1 activation triggers inflammation, antimicrobial mechanisms and autophagy in both epithelial cells and murine macrophages. NOD1 mediates intracellular pathogen clearance in the lungs of mice; however, little is known about NOD1’s role in human alveolar macrophages (AMs) or its involvement in Mycobacterium tuberculosis (Mtb) infection.

Methods

AMs, monocytes (MNs), and monocyte-derived macrophages (MDMs) from healthy subjects were assayed for NOD1 expression. Cells were stimulated with the NOD1 ligand Tri-DAP and cytokine production and autophagy were assessed. Cells were infected with Mtb and treated with Tri-DAP post-infection. CFUs counting determined growth control, and autophagy protein recruitment to pathogen localization sites was analyzed by immunoelectron microscopy.

Results

NOD1 was expressed in AMs, MDMs and to a lesser extent MNs. Tri-DAP stimulation induced NOD1 up-regulation and a significant production of IL1β, IL6, IL8, and TNFα in AMs and MDMs; however, the level of NOD1-dependent response in MNs was limited. Autophagy activity determined by expression of proteins Atg9, LC3, IRGM and p62 degradation was induced in a NOD1-dependent manner in AMs and MDMs but not in MNs. Infected AMs could be activated by stimulation with Tri-DAP to control the intracellular growth of Mtb. In addition, recruitment of NOD1 and the autophagy proteins IRGM and LC3 to the Mtb localization site was observed in infected AMs after treatment with Tri-DAP.

Conclusions

NOD1 is involved in AM and MDM innate responses, which include proinflammatory cytokines and autophagy, with potential implications in the killing of Mtb in humans.
Appendix
Available only for authorised users
Literature
1.
go back to reference Weyand S, Kefala G, Weiss MS: Cloning, expression, purification, crystallization and preliminary X-ray diffraction analysis of DapC (Rv0858c) from Mycobacterium tuberculosis. Acta Crystallogr Sect F: Struct Biol Cryst Commun. 2006, 62: 794-797. 10.1107/S1744309106026753.CrossRef Weyand S, Kefala G, Weiss MS: Cloning, expression, purification, crystallization and preliminary X-ray diffraction analysis of DapC (Rv0858c) from Mycobacterium tuberculosis. Acta Crystallogr Sect F: Struct Biol Cryst Commun. 2006, 62: 794-797. 10.1107/S1744309106026753.CrossRef
2.
go back to reference Wietzerbin J, Das BC, Petit JF, Lederer E, Leyh-Bouille M, Ghuysen JM: Occurrence of D-alanyl-(D)-meso-diaminopimelic acid and meso-diaminopimelyl-meso-diaminopimelic acid interpeptide linkages in the peptidoglycan of Mycobacteria. Biochemistry. 1974, 13: 3471-3476. 10.1021/bi00714a008.CrossRefPubMed Wietzerbin J, Das BC, Petit JF, Lederer E, Leyh-Bouille M, Ghuysen JM: Occurrence of D-alanyl-(D)-meso-diaminopimelic acid and meso-diaminopimelyl-meso-diaminopimelic acid interpeptide linkages in the peptidoglycan of Mycobacteria. Biochemistry. 1974, 13: 3471-3476. 10.1021/bi00714a008.CrossRefPubMed
3.
go back to reference Boyle JP, Mayle S, Parkhouse R, Monie TP: Comparative genomic and sequence analysis provides insight into the molecular functionality of NOD1 and NOD2. Front Immunol. 2013, 4: 317-CrossRefPubMedPubMedCentral Boyle JP, Mayle S, Parkhouse R, Monie TP: Comparative genomic and sequence analysis provides insight into the molecular functionality of NOD1 and NOD2. Front Immunol. 2013, 4: 317-CrossRefPubMedPubMedCentral
4.
go back to reference Franchi L, Warner N, Viani K, Nunez G: Function of Nod-like receptors in microbial recognition and host defense. Immunol Rev. 2009, 227: 106-128. 10.1111/j.1600-065X.2008.00734.x.CrossRefPubMedPubMedCentral Franchi L, Warner N, Viani K, Nunez G: Function of Nod-like receptors in microbial recognition and host defense. Immunol Rev. 2009, 227: 106-128. 10.1111/j.1600-065X.2008.00734.x.CrossRefPubMedPubMedCentral
5.
go back to reference Grubman A, Kaparakis M, Viala J, Allison C, Badea L, Karrar A, Boneca IG, Le Bourhis L, Reeve S, Smith IA, Hartland ER, Philpott DJ, Ferrero RL: The innate immune molecule, NOD1, regulates direct killing of Helicobacter pylori by antimicrobial peptides. Cell Microbiol. 2010, 12: 626-639. 10.1111/j.1462-5822.2009.01421.x.CrossRefPubMed Grubman A, Kaparakis M, Viala J, Allison C, Badea L, Karrar A, Boneca IG, Le Bourhis L, Reeve S, Smith IA, Hartland ER, Philpott DJ, Ferrero RL: The innate immune molecule, NOD1, regulates direct killing of Helicobacter pylori by antimicrobial peptides. Cell Microbiol. 2010, 12: 626-639. 10.1111/j.1462-5822.2009.01421.x.CrossRefPubMed
6.
go back to reference Sorbara MT, Ellison LK, Ramjeet M, Travassos LH, Jones NL, Girardin SE, Philpott DJ: The protein ATG16L1 suppresses inflammatory cytokines induced by the intracellular sensors Nod1 and Nod2 in an autophagy-independent manner. Immunity. 2013, 39: 858-873. 10.1016/j.immuni.2013.10.013.CrossRefPubMed Sorbara MT, Ellison LK, Ramjeet M, Travassos LH, Jones NL, Girardin SE, Philpott DJ: The protein ATG16L1 suppresses inflammatory cytokines induced by the intracellular sensors Nod1 and Nod2 in an autophagy-independent manner. Immunity. 2013, 39: 858-873. 10.1016/j.immuni.2013.10.013.CrossRefPubMed
7.
go back to reference Berrington WR, Iyer R, Wells RD, Smith KD, Skerrett SJ, Hawn TR: NOD1 and NOD2 regulation of pulmonary innate immunity to Legionella pneumophila. Eur J Immunol. 2010, 40: 3519-3527. 10.1002/eji.201040518.CrossRefPubMedPubMedCentral Berrington WR, Iyer R, Wells RD, Smith KD, Skerrett SJ, Hawn TR: NOD1 and NOD2 regulation of pulmonary innate immunity to Legionella pneumophila. Eur J Immunol. 2010, 40: 3519-3527. 10.1002/eji.201040518.CrossRefPubMedPubMedCentral
8.
go back to reference Lysenko ES, Clarke TB, Shchepetov M, Ratner AJ, Roper DI, Dowson CG, Weiser JN: Nod1 signaling overcomes resistance of S. pneumoniae to opsonophagocytic killing. PLoS Pathog. 2007, 3: e118-10.1371/journal.ppat.0030118.CrossRefPubMedPubMedCentral Lysenko ES, Clarke TB, Shchepetov M, Ratner AJ, Roper DI, Dowson CG, Weiser JN: Nod1 signaling overcomes resistance of S. pneumoniae to opsonophagocytic killing. PLoS Pathog. 2007, 3: e118-10.1371/journal.ppat.0030118.CrossRefPubMedPubMedCentral
9.
go back to reference Shimada K, Chen S, Dempsey PW, Sorrentino R, Alsabeh R, Slepenkin AV, Peterson E, Doherty TM, Underhill D, Crother TR, Arditi M: The NOD/RIP2 pathway is essential for host defenses against Chlamydophila pneumoniae lung infection. PLoS Pathog. 2009, 5: e1000379-10.1371/journal.ppat.1000379.CrossRefPubMedPubMedCentral Shimada K, Chen S, Dempsey PW, Sorrentino R, Alsabeh R, Slepenkin AV, Peterson E, Doherty TM, Underhill D, Crother TR, Arditi M: The NOD/RIP2 pathway is essential for host defenses against Chlamydophila pneumoniae lung infection. PLoS Pathog. 2009, 5: e1000379-10.1371/journal.ppat.1000379.CrossRefPubMedPubMedCentral
10.
go back to reference Bartlett JA, Fischer AJ, McCray PB: Innate immune functions of the airway epithelium. Contrib Microbiol. 2008, 15: 147-163.CrossRefPubMed Bartlett JA, Fischer AJ, McCray PB: Innate immune functions of the airway epithelium. Contrib Microbiol. 2008, 15: 147-163.CrossRefPubMed
11.
go back to reference Uehara A, Fujimoto Y, Kawasaki A, Kusumoto S, Fukase K, Takada H: Meso-diaminopimelic acid and meso-lanthionine, amino acids specific to bacterial peptidoglycans, activate human epithelial cells through NOD1. J Immunol. 2006, 177: 1796-1804. 10.4049/jimmunol.177.3.1796.CrossRefPubMed Uehara A, Fujimoto Y, Kawasaki A, Kusumoto S, Fukase K, Takada H: Meso-diaminopimelic acid and meso-lanthionine, amino acids specific to bacterial peptidoglycans, activate human epithelial cells through NOD1. J Immunol. 2006, 177: 1796-1804. 10.4049/jimmunol.177.3.1796.CrossRefPubMed
12.
go back to reference Carranza C, Juarez E, Torres M, Ellner JJ, Sada E, Schwander SK: Mycobacterium tuberculosis growth control by lung macrophages and CD8 cells from patient contacts. Am J Respir Crit Care Med. 2006, 173: 238-245. 10.1164/rccm.200503-411OC.CrossRefPubMed Carranza C, Juarez E, Torres M, Ellner JJ, Sada E, Schwander SK: Mycobacterium tuberculosis growth control by lung macrophages and CD8 cells from patient contacts. Am J Respir Crit Care Med. 2006, 173: 238-245. 10.1164/rccm.200503-411OC.CrossRefPubMed
13.
go back to reference Juarez E, Nunez C, Sada E, Ellner JJ, Schwander SK, Torres M: Differential expression of Toll-like receptors on human alveolar macrophages and autologous peripheral monocytes. Respir Res. 2010, 11: 2-10.1186/1465-9921-11-2.CrossRefPubMedPubMedCentral Juarez E, Nunez C, Sada E, Ellner JJ, Schwander SK, Torres M: Differential expression of Toll-like receptors on human alveolar macrophages and autologous peripheral monocytes. Respir Res. 2010, 11: 2-10.1186/1465-9921-11-2.CrossRefPubMedPubMedCentral
14.
go back to reference Juarez E, Carranza C, Hernandez-Sanchez F, Leon-Contreras JC, Hernandez-Pando R, Escobedo D, Torres M, Sada E: NOD2 enhances the innate response of alveolar macrophages to Mycobacterium tuberculosis in humans. Eur J Immunol. 2012, 42: 880-889. 10.1002/eji.201142105.CrossRefPubMed Juarez E, Carranza C, Hernandez-Sanchez F, Leon-Contreras JC, Hernandez-Pando R, Escobedo D, Torres M, Sada E: NOD2 enhances the innate response of alveolar macrophages to Mycobacterium tuberculosis in humans. Eur J Immunol. 2012, 42: 880-889. 10.1002/eji.201142105.CrossRefPubMed
15.
go back to reference Rivas-Santiago B, Schwander SK, Sarabia C, Diamond G, Klein-Patel ME, Hernandez-Pando R, Ellner JJ, Sada E: Human {beta}-defensin 2 is expressed and associated with Mycobacterium tuberculosis during infection of human alveolar epithelial cells. Infect Immun. 2005, 73: 4505-4511. 10.1128/IAI.73.8.4505-4511.2005.CrossRefPubMedPubMedCentral Rivas-Santiago B, Schwander SK, Sarabia C, Diamond G, Klein-Patel ME, Hernandez-Pando R, Ellner JJ, Sada E: Human {beta}-defensin 2 is expressed and associated with Mycobacterium tuberculosis during infection of human alveolar epithelial cells. Infect Immun. 2005, 73: 4505-4511. 10.1128/IAI.73.8.4505-4511.2005.CrossRefPubMedPubMedCentral
16.
go back to reference Kanneganti TD, Lamkanfi M, Nunez G: Intracellular NOD-like receptors in host defense and disease. Immunity. 2007, 27: 549-559. 10.1016/j.immuni.2007.10.002.CrossRefPubMed Kanneganti TD, Lamkanfi M, Nunez G: Intracellular NOD-like receptors in host defense and disease. Immunity. 2007, 27: 549-559. 10.1016/j.immuni.2007.10.002.CrossRefPubMed
17.
go back to reference Delclaux C, Azoulay E: Inflammatory response to infectious pulmonary injury. Eur Respir J Suppl. 2003, 42: 10s-14s.CrossRefPubMed Delclaux C, Azoulay E: Inflammatory response to infectious pulmonary injury. Eur Respir J Suppl. 2003, 42: 10s-14s.CrossRefPubMed
18.
go back to reference Bjorkoy G, Lamark T, Pankiv S, Overvatn A, Brech A, Johansen T: Monitoring autophagic degradation of p62/SQSTM1. Methods Enzymol. 2009, 452: 181-197.CrossRefPubMed Bjorkoy G, Lamark T, Pankiv S, Overvatn A, Brech A, Johansen T: Monitoring autophagic degradation of p62/SQSTM1. Methods Enzymol. 2009, 452: 181-197.CrossRefPubMed
19.
go back to reference Moranta D, Regueiro V, March C, Llobet E, Margareto J, Larrarte E, Garmendia J, Bengoechea JA: Klebsiella pneumoniae capsule polysaccharide impedes the expression of beta-defensins by airway epithelial cells. Infect Immun. 2010, 78: 1135-1146. 10.1128/IAI.00940-09.CrossRefPubMed Moranta D, Regueiro V, March C, Llobet E, Margareto J, Larrarte E, Garmendia J, Bengoechea JA: Klebsiella pneumoniae capsule polysaccharide impedes the expression of beta-defensins by airway epithelial cells. Infect Immun. 2010, 78: 1135-1146. 10.1128/IAI.00940-09.CrossRefPubMed
20.
go back to reference Fritz JH, Girardin SE, Fitting C, Werts C, Mengin-Lecreulx D, Caroff M, Cavaillon JM, Philpott DJ, Adib-Conquy M: Synergistic stimulation of human monocytes and dendritic cells by Toll-like receptor 4 and NOD1- and NOD2-activating agonists. Eur J Immunol. 2005, 35: 2459-2470. 10.1002/eji.200526286.CrossRefPubMed Fritz JH, Girardin SE, Fitting C, Werts C, Mengin-Lecreulx D, Caroff M, Cavaillon JM, Philpott DJ, Adib-Conquy M: Synergistic stimulation of human monocytes and dendritic cells by Toll-like receptor 4 and NOD1- and NOD2-activating agonists. Eur J Immunol. 2005, 35: 2459-2470. 10.1002/eji.200526286.CrossRefPubMed
21.
go back to reference van Heel DA, Ghosh S, Butler M, Hunt K, Foxwell BM, Mengin-Lecreulx D, Playford RJ: Synergistic enhancement of Toll-like receptor responses by NOD1 activation. Eur J Immunol. 2005, 35: 2471-2476. 10.1002/eji.200526296.CrossRefPubMed van Heel DA, Ghosh S, Butler M, Hunt K, Foxwell BM, Mengin-Lecreulx D, Playford RJ: Synergistic enhancement of Toll-like receptor responses by NOD1 activation. Eur J Immunol. 2005, 35: 2471-2476. 10.1002/eji.200526296.CrossRefPubMed
22.
go back to reference Zola TA, Lysenko ES, Weiser JN: Mucosal clearance of capsule-expressing bacteria requires both TLR and nucleotide-binding oligomerization domain 1 signaling. J Immunol. 2008, 181: 7909-7916. 10.4049/jimmunol.181.11.7909.CrossRefPubMed Zola TA, Lysenko ES, Weiser JN: Mucosal clearance of capsule-expressing bacteria requires both TLR and nucleotide-binding oligomerization domain 1 signaling. J Immunol. 2008, 181: 7909-7916. 10.4049/jimmunol.181.11.7909.CrossRefPubMed
23.
go back to reference Clarke TB, Davis KM, Lysenko ES, Zhou AY, Yu Y, Weiser JN: Recognition of peptidoglycan from the microbiota by Nod1 enhances systemic innate immunity. Nat Med. 2010, 16: 228-231. 10.1038/nm.2087.CrossRefPubMedPubMedCentral Clarke TB, Davis KM, Lysenko ES, Zhou AY, Yu Y, Weiser JN: Recognition of peptidoglycan from the microbiota by Nod1 enhances systemic innate immunity. Nat Med. 2010, 16: 228-231. 10.1038/nm.2087.CrossRefPubMedPubMedCentral
24.
go back to reference Frutuoso MS, Hori JI, Pereira MS, Junior DS, Sonego F, Kobayashi KS, Flavell RA, Cunha FQ, Zamboni DS: The pattern recognition receptors Nod1 and Nod2 account for neutrophil recruitment to the lungs of mice infected with Legionella pneumophila. Microbes Infect. 2010, 12: 819-827. 10.1016/j.micinf.2010.05.006.CrossRefPubMed Frutuoso MS, Hori JI, Pereira MS, Junior DS, Sonego F, Kobayashi KS, Flavell RA, Cunha FQ, Zamboni DS: The pattern recognition receptors Nod1 and Nod2 account for neutrophil recruitment to the lungs of mice infected with Legionella pneumophila. Microbes Infect. 2010, 12: 819-827. 10.1016/j.micinf.2010.05.006.CrossRefPubMed
25.
go back to reference Kageyama S, Omori H, Saitoh T, Sone T, Guan JL, Akira S, Imamoto F, Noda T, Yoshimori T: The LC3 recruitment mechanism is separate from Atg9L1-dependent membrane formation in the autophagic response against Salmonella. Mol Biol Cell. 2011, 22: 2290-2300. 10.1091/mbc.E10-11-0893.CrossRefPubMedPubMedCentral Kageyama S, Omori H, Saitoh T, Sone T, Guan JL, Akira S, Imamoto F, Noda T, Yoshimori T: The LC3 recruitment mechanism is separate from Atg9L1-dependent membrane formation in the autophagic response against Salmonella. Mol Biol Cell. 2011, 22: 2290-2300. 10.1091/mbc.E10-11-0893.CrossRefPubMedPubMedCentral
26.
go back to reference Takahashi Y, Meyerkord CL, Hori T, Runkle K, Fox TE, Kester M, Loughran TP, Wang HG: Bif-1 regulates Atg9 trafficking by mediating the fission of Golgi membranes during autophagy. Autophagy. 2011, 7: 61-73. 10.4161/auto.7.1.14015.CrossRefPubMedPubMedCentral Takahashi Y, Meyerkord CL, Hori T, Runkle K, Fox TE, Kester M, Loughran TP, Wang HG: Bif-1 regulates Atg9 trafficking by mediating the fission of Golgi membranes during autophagy. Autophagy. 2011, 7: 61-73. 10.4161/auto.7.1.14015.CrossRefPubMedPubMedCentral
27.
go back to reference Singh SB, Davis AS, Taylor GA, Deretic V: Human IRGM induces autophagy to eliminate intracellular mycobacteria. Science. 2006, 313: 1438-1441. 10.1126/science.1129577.CrossRefPubMed Singh SB, Davis AS, Taylor GA, Deretic V: Human IRGM induces autophagy to eliminate intracellular mycobacteria. Science. 2006, 313: 1438-1441. 10.1126/science.1129577.CrossRefPubMed
28.
go back to reference Amer AO, Swanson MS: Autophagy is an immediate macrophage response to Legionella pneumophila. Cell Microbiol. 2005, 7: 765-778. 10.1111/j.1462-5822.2005.00509.x.CrossRefPubMedPubMedCentral Amer AO, Swanson MS: Autophagy is an immediate macrophage response to Legionella pneumophila. Cell Microbiol. 2005, 7: 765-778. 10.1111/j.1462-5822.2005.00509.x.CrossRefPubMedPubMedCentral
29.
go back to reference Yu X, Li C, Hong W, Pan W, Xie J: Autophagy during Mycobacterium tuberculosis infection and implications for future tuberculosis medications. Cell Signal. 2013, 25: 1272-1278. 10.1016/j.cellsig.2013.02.011.CrossRefPubMed Yu X, Li C, Hong W, Pan W, Xie J: Autophagy during Mycobacterium tuberculosis infection and implications for future tuberculosis medications. Cell Signal. 2013, 25: 1272-1278. 10.1016/j.cellsig.2013.02.011.CrossRefPubMed
30.
go back to reference Shin DM, Jeon BY, Lee HM, Jin HS, Yuk JM, Song CH, Lee SH, Lee ZW, Cho SN, Kim JM, Friedman RL, Jo EK: Mycobacterium tuberculosis eis regulates autophagy, inflammation, and cell death through redox-dependent signaling. PLoS Pathog. 2010, 6: e1001230-10.1371/journal.ppat.1001230.CrossRefPubMedPubMedCentral Shin DM, Jeon BY, Lee HM, Jin HS, Yuk JM, Song CH, Lee SH, Lee ZW, Cho SN, Kim JM, Friedman RL, Jo EK: Mycobacterium tuberculosis eis regulates autophagy, inflammation, and cell death through redox-dependent signaling. PLoS Pathog. 2010, 6: e1001230-10.1371/journal.ppat.1001230.CrossRefPubMedPubMedCentral
31.
go back to reference Kathania M, Raje CI, Raje M, Dutta RK, Majumdar S: Bfl-1/A1 acts as a negative regulator of autophagy in mycobacteria infected macrophages. Int J Biochem Cell Biol. 2011, 43: 573-585. 10.1016/j.biocel.2010.12.014.CrossRefPubMed Kathania M, Raje CI, Raje M, Dutta RK, Majumdar S: Bfl-1/A1 acts as a negative regulator of autophagy in mycobacteria infected macrophages. Int J Biochem Cell Biol. 2011, 43: 573-585. 10.1016/j.biocel.2010.12.014.CrossRefPubMed
32.
go back to reference Orvedahl A, Levine B: Eating the enemy within: autophagy in infectious diseases. Cell Death Differ. 2009, 16: 57-69. 10.1038/cdd.2008.130.CrossRefPubMed Orvedahl A, Levine B: Eating the enemy within: autophagy in infectious diseases. Cell Death Differ. 2009, 16: 57-69. 10.1038/cdd.2008.130.CrossRefPubMed
33.
go back to reference Magalhaes JG, Lee J, Geddes K, Rubino S, Philpott DJ, Girardin SE: Essential role of Rip2 in the modulation of innate and adaptive immunity triggered by Nod1 and Nod2 ligands. Eur J Immunol. 2011, 41: 1445-1455. 10.1002/eji.201040827.CrossRefPubMed Magalhaes JG, Lee J, Geddes K, Rubino S, Philpott DJ, Girardin SE: Essential role of Rip2 in the modulation of innate and adaptive immunity triggered by Nod1 and Nod2 ligands. Eur J Immunol. 2011, 41: 1445-1455. 10.1002/eji.201040827.CrossRefPubMed
34.
go back to reference Hasegawa M, Yamazaki T, Kamada N, Tawaratsumida K, Kim YG, Nunez G, Inohara N: Nucleotide-binding oligomerization domain 1 mediates recognition of Clostridium difficile and induces neutrophil recruitment and protection against the pathogen. J Immunol. 2011, 186: 4872-4880. 10.4049/jimmunol.1003761.CrossRefPubMed Hasegawa M, Yamazaki T, Kamada N, Tawaratsumida K, Kim YG, Nunez G, Inohara N: Nucleotide-binding oligomerization domain 1 mediates recognition of Clostridium difficile and induces neutrophil recruitment and protection against the pathogen. J Immunol. 2011, 186: 4872-4880. 10.4049/jimmunol.1003761.CrossRefPubMed
Metadata
Title
Nucleotide-oligomerizing domain-1 (NOD1) receptor activation induces pro-inflammatory responses and autophagy in human alveolar macrophages
Authors
Esmeralda Juárez
Claudia Carranza
Fernando Hernández-Sánchez
Elva Loyola
Dante Escobedo
Juan Carlos León-Contreras
Rogelio Hernández-Pando
Martha Torres
Eduardo Sada
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2014
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/1471-2466-14-152

Other articles of this Issue 1/2014

BMC Pulmonary Medicine 1/2014 Go to the issue