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Erschienen in: Medical Microbiology and Immunology 2/2008

01.06.2008 | Review

Conditional gene expression systems to study herpesvirus biology in vivo

verfasst von: Torsten Sacher, Stefan Jordan, Christian A. Mohr, Aurore Vidy, Annelies M. G. Weyn, Zsolt Ruszics, Ulrich H. Koszinowski

Erschienen in: Medical Microbiology and Immunology | Ausgabe 2/2008

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Abstract

Cytomegalovirus (CMV), a prototypic β-herpesvirus, is an important human pathogen causing protean clinical manifestations in immature and immunocompromised patients. Mechanisms of infection can be studied in a mouse model. Mouse cytomegalovirus (MCMV) resembles in pathogenesis its human counterpart in many ways. Although MCMV infection is studied extensively on the level of organs, the contribution of specific cell types to viral replication in vivo is still elusive. Here we describe our approach based on the the Cre/loxP-system to investigate MCMV infection at the level of cell types in vivo. Using bacterial artificial chromosome (BAC)-technology, we created an MCMV virus containing an enhanced green fluorescent protein (egfp) reporter-gene which is not expressed due to a ‘Stop’ cassette flanked by two loxP-sites between promoter and coding sequence. Infection of cre-transgenic mice with this reporter virus results in the deletion of the ‘Stop’ cassette and expression of EGFP in a cell type-specific manner. Using this conditional gene expression system we are able to quantify viral productivity in specific cell types and to determine their contribution to viral dissemination in vivo. Furthermore, the deletion of viral genes can be used to screen for cell type-specificity of viral gene functions. Hence, conditional MCMV mutants allow the study of herpesvirus biology on the level of cell types in vivo.
Literatur
1.
Zurück zum Zitat Britt W (2006) Human cytomegalovirus infections and mechanisms of disease. In: Reddehase MJ (ed) Cytomegaloviruses. Molecular biology and immunology. Caister Academic Press, Norfolk, pp 1–28 Britt W (2006) Human cytomegalovirus infections and mechanisms of disease. In: Reddehase MJ (ed) Cytomegaloviruses. Molecular biology and immunology. Caister Academic Press, Norfolk, pp 1–28
2.
Zurück zum Zitat Mocarski ES, Shenk T, Pass RF (2007) Cytomegaloviruses. In: Knipe DM, Howley PM (eds) Fields virology. Lippincott Williams and Wilkins, Philadelphia, pp 2701–2773 Mocarski ES, Shenk T, Pass RF (2007) Cytomegaloviruses. In: Knipe DM, Howley PM (eds) Fields virology. Lippincott Williams and Wilkins, Philadelphia, pp 2701–2773
3.
Zurück zum Zitat Rawlinson WD, Farrell HE, Barrell BG (1996) Analysis of the complete DNA sequence of murine cytomegalovirus. J Virol 12:8833–8849CrossRef Rawlinson WD, Farrell HE, Barrell BG (1996) Analysis of the complete DNA sequence of murine cytomegalovirus. J Virol 12:8833–8849CrossRef
4.
Zurück zum Zitat Mocarski ES Jr, Kemble GW (1996) Recombinant cytomegaloviruses for study of replication and pathogenesis. Intervirology 5–6:320–330CrossRef Mocarski ES Jr, Kemble GW (1996) Recombinant cytomegaloviruses for study of replication and pathogenesis. Intervirology 5–6:320–330CrossRef
5.
Zurück zum Zitat Kern ER (1999) Animal models for cytomegalovirs infection: Murine CMV. In: Zak O, Sande M (eds) Handbook of animal models of infection. Academic Press, London, pp 927–934CrossRef Kern ER (1999) Animal models for cytomegalovirs infection: Murine CMV. In: Zak O, Sande M (eds) Handbook of animal models of infection. Academic Press, London, pp 927–934CrossRef
6.
Zurück zum Zitat Reddehase MJ, Podlech J, Grzimek NK (2002) Mouse models of cytomegalovirus latency: overview. J Clin Virol 25(Suppl 2):S23–S36PubMedCrossRef Reddehase MJ, Podlech J, Grzimek NK (2002) Mouse models of cytomegalovirus latency: overview. J Clin Virol 25(Suppl 2):S23–S36PubMedCrossRef
7.
Zurück zum Zitat Krmpotic A, Bubic I, Polic B, Lucin P, Jonjic S (2003) Pathogenesis of murine cytomegalovirus infection. Microbes Infect 13:1263–1277CrossRef Krmpotic A, Bubic I, Polic B, Lucin P, Jonjic S (2003) Pathogenesis of murine cytomegalovirus infection. Microbes Infect 13:1263–1277CrossRef
8.
Zurück zum Zitat Murphy E, Yu D, Grimwood J, Schmutz J, Dickson M, Jarvis MA, Hahn G, Nelson JA, Myers RM, Shenk TE (2003) Coding potential of laboratory and clinical strains of human cytomegalovirus. Proc Natl Acad Sci USA 25:14976–14981CrossRef Murphy E, Yu D, Grimwood J, Schmutz J, Dickson M, Jarvis MA, Hahn G, Nelson JA, Myers RM, Shenk TE (2003) Coding potential of laboratory and clinical strains of human cytomegalovirus. Proc Natl Acad Sci USA 25:14976–14981CrossRef
9.
Zurück zum Zitat Dolan A, Cunningham C, Hector RD, Hassan-Walker AF, Lee L, Addison C, Dargan DJ, McGeoch DJ, Gatherer D, Emery VC, Griffiths PD, Sinzger C, McSharry BP, Wilkinson GWG, Davison AJ (2004) Genetic content of wild-type human cytomegalovirus. J Gen Virol 5:1301–1312CrossRef Dolan A, Cunningham C, Hector RD, Hassan-Walker AF, Lee L, Addison C, Dargan DJ, McGeoch DJ, Gatherer D, Emery VC, Griffiths PD, Sinzger C, McSharry BP, Wilkinson GWG, Davison AJ (2004) Genetic content of wild-type human cytomegalovirus. J Gen Virol 5:1301–1312CrossRef
10.
Zurück zum Zitat Messerle M, Crnkovic I, Hammerschmidt W, Ziegler H, Koszinowski UH (1997) Cloning and mutagenesis of a herpesvirus genome as an infectious bacterial artificial chromosome. Proc Natl Acad Sci USA 26:14759–14763CrossRef Messerle M, Crnkovic I, Hammerschmidt W, Ziegler H, Koszinowski UH (1997) Cloning and mutagenesis of a herpesvirus genome as an infectious bacterial artificial chromosome. Proc Natl Acad Sci USA 26:14759–14763CrossRef
11.
Zurück zum Zitat Wagner M, Koszinowski UH (2004) Mutagenesis of viral BACs with linear PCR fragments (ET recombination). Methods Mol Biol 256:257–268PubMed Wagner M, Koszinowski UH (2004) Mutagenesis of viral BACs with linear PCR fragments (ET recombination). Methods Mol Biol 256:257–268PubMed
12.
Zurück zum Zitat Brune W, Wagner M, Messerle M (2006) Manipulating cytomegalovirus genomes by bac mutagenesis: strategies and applications. In: Reddehase MJ (ed) Cytomegaloviruses. Molecular biology and immunology. Caister Academic Press, Norfolk, pp 64–89 Brune W, Wagner M, Messerle M (2006) Manipulating cytomegalovirus genomes by bac mutagenesis: strategies and applications. In: Reddehase MJ (ed) Cytomegaloviruses. Molecular biology and immunology. Caister Academic Press, Norfolk, pp 64–89
13.
Zurück zum Zitat Brune W, Menard C, Heesemann J, Koszinowski UH (2001) A ribonucleotide reductase homolog of cytomegalovirus and endothelial cell tropism. Science 5502:303–305CrossRef Brune W, Menard C, Heesemann J, Koszinowski UH (2001) A ribonucleotide reductase homolog of cytomegalovirus and endothelial cell tropism. Science 5502:303–305CrossRef
14.
Zurück zum Zitat Menard C, Wagner M, Ruzsics Z, Holak K, Brune W, Campbell AE, Koszinowski UH (2003) Role of murine Cytomegalovirus US22 gene family members in replication in macrophages. J Virol 10:5557–5570CrossRef Menard C, Wagner M, Ruzsics Z, Holak K, Brune W, Campbell AE, Koszinowski UH (2003) Role of murine Cytomegalovirus US22 gene family members in replication in macrophages. J Virol 10:5557–5570CrossRef
15.
Zurück zum Zitat Lewandoski M (2001) Conditional control of gene expression in the mouse. Nat Rev Genet 10:743–755CrossRef Lewandoski M (2001) Conditional control of gene expression in the mouse. Nat Rev Genet 10:743–755CrossRef
16.
Zurück zum Zitat Feil R, Metzger D (2007) Conditional mutagenesis: an approach to disease models. Springer, BerlinCrossRef Feil R, Metzger D (2007) Conditional mutagenesis: an approach to disease models. Springer, BerlinCrossRef
17.
Zurück zum Zitat Sternberg N, Hamilton D (1981) Bacteriophage P1 site-specific recombination : I. Recombination between loxP sites. J Mol Biol 4:467–486CrossRef Sternberg N, Hamilton D (1981) Bacteriophage P1 site-specific recombination : I. Recombination between loxP sites. J Mol Biol 4:467–486CrossRef
18.
Zurück zum Zitat Sauer B, Henderson N (1988) Site-Specific DNA Recombination in Mammalian Cells by the Cre Recombinase of Bacteriophage P1. Proc Natl Acad Sci 14:5166–5170CrossRef Sauer B, Henderson N (1988) Site-Specific DNA Recombination in Mammalian Cells by the Cre Recombinase of Bacteriophage P1. Proc Natl Acad Sci 14:5166–5170CrossRef
19.
Zurück zum Zitat Lakso M, Sauer B, Mosinger B Jr, Lee EJ, Manning RW, Yu SH, Mulder KL, Westphal H (1992) Targeted oncogene activation by site-specific recombination in transgenic mice. Proc Natl Acad Sci USA 14:6232–6236CrossRef Lakso M, Sauer B, Mosinger B Jr, Lee EJ, Manning RW, Yu SH, Mulder KL, Westphal H (1992) Targeted oncogene activation by site-specific recombination in transgenic mice. Proc Natl Acad Sci USA 14:6232–6236CrossRef
20.
Zurück zum Zitat Sauer B (1998) Inducible gene targeting in mice using the Cre/loxSystem. Methods 4:381–392CrossRef Sauer B (1998) Inducible gene targeting in mice using the Cre/loxSystem. Methods 4:381–392CrossRef
21.
Zurück zum Zitat Orban PC, Chui D, Marth JD (1992) Tissue- and site-specific dna recombination in transgenic mice. Proc Natl Acad Sci 15:6861–6865CrossRef Orban PC, Chui D, Marth JD (1992) Tissue- and site-specific dna recombination in transgenic mice. Proc Natl Acad Sci 15:6861–6865CrossRef
22.
Zurück zum Zitat Wang Y, Krushel LA, Edelman GM (1996) Targeted DNA recombination in vivo using an adenovirus carrying the cre recombinase gene. Proc Natl Acad Sci 9:3932–3936CrossRef Wang Y, Krushel LA, Edelman GM (1996) Targeted DNA recombination in vivo using an adenovirus carrying the cre recombinase gene. Proc Natl Acad Sci 9:3932–3936CrossRef
23.
Zurück zum Zitat Moser JM, Upton JW, Allen RD III, Wilson CB, Speck SH (2005) Role of B-Cell proliferation in the establishment of gammaherpesvirus latency. J Virol 15:9480–9491CrossRef Moser JM, Upton JW, Allen RD III, Wilson CB, Speck SH (2005) Role of B-Cell proliferation in the establishment of gammaherpesvirus latency. J Virol 15:9480–9491CrossRef
24.
Zurück zum Zitat Zhang HG, Bilbao G, Zhou T, Contreras JL, Gomez-Navarro J, Feng M, Saito I, Mountz JD, Curiel DT (1998) Application of a fas ligand encoding a recombinant adenovirus vector for prolongation of transgene expression. J Virol 3:2483–2490CrossRef Zhang HG, Bilbao G, Zhou T, Contreras JL, Gomez-Navarro J, Feng M, Saito I, Mountz JD, Curiel DT (1998) Application of a fas ligand encoding a recombinant adenovirus vector for prolongation of transgene expression. J Virol 3:2483–2490CrossRef
25.
Zurück zum Zitat Cicin-Sain L, Podlech J, Messerle M, Reddehase MJ, Koszinowski UH (2005) Frequent coinfection of cells explains functional in vivo complementation between cytomegalovirus variants in the multiply infected host. J Virol 15:9492–9502CrossRef Cicin-Sain L, Podlech J, Messerle M, Reddehase MJ, Koszinowski UH (2005) Frequent coinfection of cells explains functional in vivo complementation between cytomegalovirus variants in the multiply infected host. J Virol 15:9492–9502CrossRef
26.
Zurück zum Zitat Wagner KU, Wall RJ, St Onge L, Gruss P, Wynshaw-Boris A, Garrett L, Li M, Furth PA, Hennighausen L (1997) Cre-mediated gene deletion in the mammary gland. Nucleic Acids Res 21:4323–4330CrossRef Wagner KU, Wall RJ, St Onge L, Gruss P, Wynshaw-Boris A, Garrett L, Li M, Furth PA, Hennighausen L (1997) Cre-mediated gene deletion in the mammary gland. Nucleic Acids Res 21:4323–4330CrossRef
27.
Zurück zum Zitat DeFalco J, Tomishima M, Liu H, Zhao C, Cai X, Marth JD, Enquist L, Friedman JM (2001) Virus-assisted mapping of neural inputs to a feeding center in the hypothalamus. Science 5513:2608–2613CrossRef DeFalco J, Tomishima M, Liu H, Zhao C, Cai X, Marth JD, Enquist L, Friedman JM (2001) Virus-assisted mapping of neural inputs to a feeding center in the hypothalamus. Science 5513:2608–2613CrossRef
28.
Zurück zum Zitat Arase H, Mocarski ES, Campbell AE, Hill AB, Lanier LL (2002) Direct recognition of cytomegalovirus by activating and inhibitory NK cell receptors. Science 5571:1323–1326CrossRef Arase H, Mocarski ES, Campbell AE, Hill AB, Lanier LL (2002) Direct recognition of cytomegalovirus by activating and inhibitory NK cell receptors. Science 5571:1323–1326CrossRef
29.
Zurück zum Zitat Smith HRC, Heusel JW, Mehta IK, Kim S, Dorner BG, Naidenko OV, Iizuka K, Furukawa H, Beckman DL, Pingel JT, Scalzo AA, Fremont DH, Yokoyama WM (2002) Recognition of a virus-encoded ligand by a natural killer cell activation receptor. Proc Natl Acad Sci 13:8826–8831CrossRef Smith HRC, Heusel JW, Mehta IK, Kim S, Dorner BG, Naidenko OV, Iizuka K, Furukawa H, Beckman DL, Pingel JT, Scalzo AA, Fremont DH, Yokoyama WM (2002) Recognition of a virus-encoded ligand by a natural killer cell activation receptor. Proc Natl Acad Sci 13:8826–8831CrossRef
30.
Zurück zum Zitat Bubic I, Wagner M, Krmpotic A, Saulig T, Kim S, Yokoyama WM, Jonjic S, Koszinowski UH (2004) Gain of virulence caused by loss of a gene in murine cytomegalovirus. J Virol 14:7536–7544CrossRef Bubic I, Wagner M, Krmpotic A, Saulig T, Kim S, Yokoyama WM, Jonjic S, Koszinowski UH (2004) Gain of virulence caused by loss of a gene in murine cytomegalovirus. J Virol 14:7536–7544CrossRef
31.
Zurück zum Zitat Voigt V, Forbes CA, Tonkin JN, Degli-Esposti MA, Smith HR, Yokoyama WM, Scalzo AA (2003) Murine cytomegalovirus m157 mutation and variation leads to immune evasion of natural killer cells. Proc Natl Acad Sci USA 23:13483–13488CrossRef Voigt V, Forbes CA, Tonkin JN, Degli-Esposti MA, Smith HR, Yokoyama WM, Scalzo AA (2003) Murine cytomegalovirus m157 mutation and variation leads to immune evasion of natural killer cells. Proc Natl Acad Sci USA 23:13483–13488CrossRef
32.
Zurück zum Zitat Constien R, Forde A, Liliensiek B, Grone HJ, Nawroth P, Hammerling G, Arnold B (2001) Characterization of a novel EGFP reporter mouse to monitor Cre recombination as demonstrated by a Tie2 Cre mouse line. Genesis 1:36–44CrossRef Constien R, Forde A, Liliensiek B, Grone HJ, Nawroth P, Hammerling G, Arnold B (2001) Characterization of a novel EGFP reporter mouse to monitor Cre recombination as demonstrated by a Tie2 Cre mouse line. Genesis 1:36–44CrossRef
33.
Zurück zum Zitat Koni PA, Joshi SK, Temann UA, Olson D, Burkly L, Flavell RA (2001) Conditional vascular cell adhesion molecule 1 deletion in mice: impaired lymphocyte migration to bone marrow. J Exp Med 6:741–754CrossRef Koni PA, Joshi SK, Temann UA, Olson D, Burkly L, Flavell RA (2001) Conditional vascular cell adhesion molecule 1 deletion in mice: impaired lymphocyte migration to bone marrow. J Exp Med 6:741–754CrossRef
34.
Zurück zum Zitat Postic C, Shiota M, Niswender KD, Jetton TL, Chen Y, Moates JM, Shelton KD, Lindner J, Cherrington AD, Magnuson MA (1999) Dual roles for glucokinase in glucose homeostasis as determined by liver and pancreatic beta-cell-specific gene knock-outs using Cre recombinase. J Biol Chem 1:305–315CrossRef Postic C, Shiota M, Niswender KD, Jetton TL, Chen Y, Moates JM, Shelton KD, Lindner J, Cherrington AD, Magnuson MA (1999) Dual roles for glucokinase in glucose homeostasis as determined by liver and pancreatic beta-cell-specific gene knock-outs using Cre recombinase. J Biol Chem 1:305–315CrossRef
35.
Zurück zum Zitat Kellendonk C, Opherk C, Anlag K, Schutz G, Tronche F (2000) Hepatocyte-specific expression of Cre recombinase. Genesis 2:151–153CrossRef Kellendonk C, Opherk C, Anlag K, Schutz G, Tronche F (2000) Hepatocyte-specific expression of Cre recombinase. Genesis 2:151–153CrossRef
36.
Zurück zum Zitat Limmer A, Ohl J, Kurts C, Ljunggren HG, Reiss Y, Groettrup M, Momburg F, Arnold B, Knolle PA (2000) Efficient presentation of exogenous antigen by liver endothelial cells to CD8+ T cells results in antigen-specific T-cell tolerance. Nat Med 12:1348–1354CrossRef Limmer A, Ohl J, Kurts C, Ljunggren HG, Reiss Y, Groettrup M, Momburg F, Arnold B, Knolle PA (2000) Efficient presentation of exogenous antigen by liver endothelial cells to CD8+ T cells results in antigen-specific T-cell tolerance. Nat Med 12:1348–1354CrossRef
37.
Zurück zum Zitat Knolle PA, Limmer A (2001) Neighborhood politics: the immunoregulatory function of organ-resident liver endothelial cells. Trends Immunol 8:432–437CrossRef Knolle PA, Limmer A (2001) Neighborhood politics: the immunoregulatory function of organ-resident liver endothelial cells. Trends Immunol 8:432–437CrossRef
38.
Zurück zum Zitat Fang F, Nie X, Li G (1999) A model system of primary murine hepatocytes infected by murine cytomegalovirus. J Tongji Med Univ 3:185–189CrossRef Fang F, Nie X, Li G (1999) A model system of primary murine hepatocytes infected by murine cytomegalovirus. J Tongji Med Univ 3:185–189CrossRef
39.
Zurück zum Zitat Cicin-Sain L, Bubic I, Schnee M, Ruzsics Z, Mohr C, Jonjic S, Koszinowski UH (2007) Targeted deletion of regions rich in immune-evasive genes from the cytomegalovirus genome as a novel vaccine strategy. J Virol 24:13825–13834CrossRef Cicin-Sain L, Bubic I, Schnee M, Ruzsics Z, Mohr C, Jonjic S, Koszinowski UH (2007) Targeted deletion of regions rich in immune-evasive genes from the cytomegalovirus genome as a novel vaccine strategy. J Virol 24:13825–13834CrossRef
40.
Zurück zum Zitat Hasan M, Krmpotic A, Ruzsics Z, Bubic I, Lenac T, Halenius A, Loewendorf A, Messerle M, Hengel H, Jonjic S, Koszinowski UH (2005) Selective down-regulation of the NKG2D ligand H60 by mouse cytomegalovirus m155 glycoprotein. J Virol 5:2920–2930CrossRef Hasan M, Krmpotic A, Ruzsics Z, Bubic I, Lenac T, Halenius A, Loewendorf A, Messerle M, Hengel H, Jonjic S, Koszinowski UH (2005) Selective down-regulation of the NKG2D ligand H60 by mouse cytomegalovirus m155 glycoprotein. J Virol 5:2920–2930CrossRef
41.
Zurück zum Zitat Krmpotic A, Hasan M, Loewendorf A, Saulig T, Halenius A, Lenac T, Polic B, Bubic I, Kriegeskorte A, Pernjak-Pugel E, Messerle M, Hengel H, Busch DH, Koszinowski UH, Jonjic S (2005) NK cell activation through the NKG2D ligand MULT-1 is selectively prevented by the glycoprotein encoded by mouse cytomegalovirus gene m145. J Exp Med 2:211–220CrossRef Krmpotic A, Hasan M, Loewendorf A, Saulig T, Halenius A, Lenac T, Polic B, Bubic I, Kriegeskorte A, Pernjak-Pugel E, Messerle M, Hengel H, Busch DH, Koszinowski UH, Jonjic S (2005) NK cell activation through the NKG2D ligand MULT-1 is selectively prevented by the glycoprotein encoded by mouse cytomegalovirus gene m145. J Exp Med 2:211–220CrossRef
42.
Zurück zum Zitat Zimmermann A, Trilling M, Wagner M, Wilborn M, Bubic I, Jonjic S, Koszinowski U, Hengel H (2005) A cytomegaloviral protein reveals a dual role for STAT2 in IFN-γ signaling and antiviral responses. J Exp Med 10:1543–1553CrossRef Zimmermann A, Trilling M, Wagner M, Wilborn M, Bubic I, Jonjic S, Koszinowski U, Hengel H (2005) A cytomegaloviral protein reveals a dual role for STAT2 in IFN-γ signaling and antiviral responses. J Exp Med 10:1543–1553CrossRef
43.
Zurück zum Zitat Zhan X, Lee M, Xiao J, Liu F (2000) Construction and characterization of murine cytomegaloviruses that contain transposon insertions at open reading frames m09 and M83. J Virol 16:7411–7421CrossRef Zhan X, Lee M, Xiao J, Liu F (2000) Construction and characterization of murine cytomegaloviruses that contain transposon insertions at open reading frames m09 and M83. J Virol 16:7411–7421CrossRef
44.
Zurück zum Zitat Zhan X, Lee M, Abenes G, Von RI, Kittinunvorakoon C, Ross-Macdonald P, Snyder M, Liu F (2000) Mutagenesis of murine cytomegalovirus using a Tn3-based transposon. Virology 2:264–274CrossRef Zhan X, Lee M, Abenes G, Von RI, Kittinunvorakoon C, Ross-Macdonald P, Snyder M, Liu F (2000) Mutagenesis of murine cytomegalovirus using a Tn3-based transposon. Virology 2:264–274CrossRef
45.
Zurück zum Zitat Cardin RD, Abenes GB, Stoddart CA, Mocarski ES (1995) murine cytomegalovirus IE2, an activator of gene expression, is dispensable for growth and latency in mice. Virology 1:236–241CrossRef Cardin RD, Abenes GB, Stoddart CA, Mocarski ES (1995) murine cytomegalovirus IE2, an activator of gene expression, is dispensable for growth and latency in mice. Virology 1:236–241CrossRef
46.
Zurück zum Zitat Xiao J, Tong T, Zhan X, Haghjoo E, Liu F (2000) In vitro and in vivo characterization of a murine cytomegalovirus with a transposon insertional mutation at open reading frame M43. J Virol 20:9488–9497CrossRef Xiao J, Tong T, Zhan X, Haghjoo E, Liu F (2000) In vitro and in vivo characterization of a murine cytomegalovirus with a transposon insertional mutation at open reading frame M43. J Virol 20:9488–9497CrossRef
Metadaten
Titel
Conditional gene expression systems to study herpesvirus biology in vivo
verfasst von
Torsten Sacher
Stefan Jordan
Christian A. Mohr
Aurore Vidy
Annelies M. G. Weyn
Zsolt Ruszics
Ulrich H. Koszinowski
Publikationsdatum
01.06.2008
Verlag
Springer Berlin Heidelberg
Erschienen in
Medical Microbiology and Immunology / Ausgabe 2/2008
Print ISSN: 0300-8584
Elektronische ISSN: 1432-1831
DOI
https://doi.org/10.1007/s00430-008-0086-1

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