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Erschienen in: Inflammation Research 10/2009

01.10.2009 | Original Research Paper

Heme oxygenase-1 mediates the anti-allergic actions of quercetin in rodent mast cells

verfasst von: Miyoko Matsushima, Kenzo Takagi, Miyuki Ogawa, Etsuko Hirose, Yui Ota, Fumie Abe, Kenji Baba, Takaaki Hasegawa, Yoshinori Hasegawa, Tsutomu Kawabe

Erschienen in: Inflammation Research | Ausgabe 10/2009

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Abstract

Objective and design

We investigated the involvement of heme oxygenase (HO)-1 in the anti-allergic action of quercetin against degranulation of rat basophilic leukemia (RBL-2H3) cells, rat peritoneal mast cells, and mouse bone marrow-derived mast cells.

Methods

The strength of allergic reaction was evaluated by the extent of degranulation in mast cells sensitized with various stimulants. The levels of HO-1, HO-2, and nuclear factor erythroid 2-related factor 2 (Nrf2) expressions were determined by quantitative RT-PCR, western blotting, or immunocytochemistry.

Results

Heme oxygenase activity was upregulated after short exposure to quercetin, followed by the induction of HO-1 expression after long exposure to quercetin. The inhibition of degranulation by quercetin was reversed using tin protoporphyrin IX (SnPP), an HO-1 inhibitor. HO-1 metabolites, bilirubin and CO, led to inhibit degranulation, and quercetin translocated Nrf2 from cytoplasm into nucleus in RBL-2H3 cells.

Conclusion

These results strongly suggest that quercetin exerted anti-allergic actions via activation of Nrf2-HO-1 pathway.
Literatur
1.
Zurück zum Zitat Huxley RR, Lean M, Crozier A, John JH, Neil HA. Effect of dietary advice to increase fruit and vegetable consumption on plasma flavonol concentrations: results from a randomised controlled intervention trial. J Epidemiol Community Health. 2004;58:288–9.PubMedCrossRef Huxley RR, Lean M, Crozier A, John JH, Neil HA. Effect of dietary advice to increase fruit and vegetable consumption on plasma flavonol concentrations: results from a randomised controlled intervention trial. J Epidemiol Community Health. 2004;58:288–9.PubMedCrossRef
2.
Zurück zum Zitat Schroeter H, Holt RR, Orozco TJ, Schmitz HH, Keen CL. Nutrition: milk and absorption of dietary flavanols. Nature. 2003;426:787–8 (discussion 788).PubMedCrossRef Schroeter H, Holt RR, Orozco TJ, Schmitz HH, Keen CL. Nutrition: milk and absorption of dietary flavanols. Nature. 2003;426:787–8 (discussion 788).PubMedCrossRef
3.
Zurück zum Zitat Middleton E Jr, Kandaswami C, Theoharides TC. The effects of plant flavonoids on mammalian cells: implications for inflammation, heart disease, and cancer. Pharmacol Rev. 2000;52:673–751.PubMed Middleton E Jr, Kandaswami C, Theoharides TC. The effects of plant flavonoids on mammalian cells: implications for inflammation, heart disease, and cancer. Pharmacol Rev. 2000;52:673–751.PubMed
4.
Zurück zum Zitat Cho SY, Park SJ, Kwon MJ, Jeong TS, Bok SH, Choi WY, et al. Quercetin suppresses proinflammatory cytokines production through MAP kinases and NF-kappa B pathway in lipopolysaccharide-stimulated macrophage. Mol Cell Biochem. 2003;243:153–60.PubMedCrossRef Cho SY, Park SJ, Kwon MJ, Jeong TS, Bok SH, Choi WY, et al. Quercetin suppresses proinflammatory cytokines production through MAP kinases and NF-kappa B pathway in lipopolysaccharide-stimulated macrophage. Mol Cell Biochem. 2003;243:153–60.PubMedCrossRef
5.
Zurück zum Zitat Wadsworth TL, Koop DR. Effects of the wine polyphenolics quercetin and resveratrol on pro-inflammatory cytokine expression in RAW 264.7 macrophages. Biochem Pharmacol. 1999;57:941–9.PubMedCrossRef Wadsworth TL, Koop DR. Effects of the wine polyphenolics quercetin and resveratrol on pro-inflammatory cytokine expression in RAW 264.7 macrophages. Biochem Pharmacol. 1999;57:941–9.PubMedCrossRef
6.
Zurück zum Zitat Ennis M, Truneh A, White JR, Pearce FL. Inhibition of histamine secretion from mast cells. Nature. 1981;289:186–7.PubMedCrossRef Ennis M, Truneh A, White JR, Pearce FL. Inhibition of histamine secretion from mast cells. Nature. 1981;289:186–7.PubMedCrossRef
7.
Zurück zum Zitat Fewtrell CM, Gomperts BD. Quercetin: a novel inhibitor of Ca2+ influx and exocytosis in rat peritoneal mast cells. Biochim Biophys Acta. 1977;469:52–60.PubMedCrossRef Fewtrell CM, Gomperts BD. Quercetin: a novel inhibitor of Ca2+ influx and exocytosis in rat peritoneal mast cells. Biochim Biophys Acta. 1977;469:52–60.PubMedCrossRef
8.
Zurück zum Zitat Kimata M, Shichijo M, Miura T, Serizawa I, Inagaki N, Nagai H. Effects of luteolin, quercetin and baicalein on immunoglobulin E-mediated mediator release from human cultured mast cells. Clin Exp Allergy. 2000;30:501–8.PubMedCrossRef Kimata M, Shichijo M, Miura T, Serizawa I, Inagaki N, Nagai H. Effects of luteolin, quercetin and baicalein on immunoglobulin E-mediated mediator release from human cultured mast cells. Clin Exp Allergy. 2000;30:501–8.PubMedCrossRef
9.
Zurück zum Zitat Wedemeyer J, Galli SJ. Mast cells and basophils in acquired immunity. Br Med Bull. 2000;56:936–55.PubMedCrossRef Wedemeyer J, Galli SJ. Mast cells and basophils in acquired immunity. Br Med Bull. 2000;56:936–55.PubMedCrossRef
10.
Zurück zum Zitat Ferry X, Brehin S, Kamel R, Landry Y. G protein-dependent activation of mast cell by peptides and basic secretagogues. Peptides. 2002;23:1507–15.PubMedCrossRef Ferry X, Brehin S, Kamel R, Landry Y. G protein-dependent activation of mast cell by peptides and basic secretagogues. Peptides. 2002;23:1507–15.PubMedCrossRef
11.
Zurück zum Zitat Theoharides TC. The mast cell: a neuroimmunoendocrine master player. Int J Tissue React. 1996;18:1–21.PubMed Theoharides TC. The mast cell: a neuroimmunoendocrine master player. Int J Tissue React. 1996;18:1–21.PubMed
12.
Zurück zum Zitat Juan SH, Cheng TH, Lin HC, Chu YL, Lee WS. Mechanism of concentration-dependent induction of heme oxygenase-1 by resveratrol in human aortic smooth muscle cells. Biochem Pharmacol. 2005;69:41–8.PubMedCrossRef Juan SH, Cheng TH, Lin HC, Chu YL, Lee WS. Mechanism of concentration-dependent induction of heme oxygenase-1 by resveratrol in human aortic smooth muscle cells. Biochem Pharmacol. 2005;69:41–8.PubMedCrossRef
13.
Zurück zum Zitat Wung BS, Hsu MC, Wu CC, Hsieh CW. Piceatannol upregulates endothelial heme oxygenase-1 expression via novel protein kinase C and tyrosine kinase pathways. Pharmacol Res. 2006;53:113–22.PubMedCrossRef Wung BS, Hsu MC, Wu CC, Hsieh CW. Piceatannol upregulates endothelial heme oxygenase-1 expression via novel protein kinase C and tyrosine kinase pathways. Pharmacol Res. 2006;53:113–22.PubMedCrossRef
14.
Zurück zum Zitat Morse D, Choi AM. Heme oxygenase-1: from bench to bedside. Am J Respir Crit Care Med. 2005;172:660–70.PubMedCrossRef Morse D, Choi AM. Heme oxygenase-1: from bench to bedside. Am J Respir Crit Care Med. 2005;172:660–70.PubMedCrossRef
15.
Zurück zum Zitat Wagener FA, Volk HD, Willis D, Abraham NG, Soares MP, Adema GJ, et al. Different faces of the heme-heme oxygenase system in inflammation. Pharmacol Rev. 2003;55:551–71.PubMedCrossRef Wagener FA, Volk HD, Willis D, Abraham NG, Soares MP, Adema GJ, et al. Different faces of the heme-heme oxygenase system in inflammation. Pharmacol Rev. 2003;55:551–71.PubMedCrossRef
16.
Zurück zum Zitat Lee SH, Seo GS, Kim JY, Jin XY, Kim HD, Sohn DH. Heme oxygenase 1 mediates anti-inflammatory effects of 2′, 4′, 6′-tris(methoxymethoxy) chalcone. Eur J Pharmacol. 2006;532:178–86.PubMedCrossRef Lee SH, Seo GS, Kim JY, Jin XY, Kim HD, Sohn DH. Heme oxygenase 1 mediates anti-inflammatory effects of 2′, 4′, 6′-tris(methoxymethoxy) chalcone. Eur J Pharmacol. 2006;532:178–86.PubMedCrossRef
17.
Zurück zum Zitat Immenschuh S, Ramadori G. Gene regulation of heme oxygenase-1 as a therapeutic target. Biochem Pharmacol. 2000;60:1121–8.PubMedCrossRef Immenschuh S, Ramadori G. Gene regulation of heme oxygenase-1 as a therapeutic target. Biochem Pharmacol. 2000;60:1121–8.PubMedCrossRef
18.
Zurück zum Zitat Applegate LA, Luscher P, Tyrrell RM. Induction of heme oxygenase: a general response to oxidant stress in cultured mammalian cells. Cancer Res. 1991;51:974–8.PubMed Applegate LA, Luscher P, Tyrrell RM. Induction of heme oxygenase: a general response to oxidant stress in cultured mammalian cells. Cancer Res. 1991;51:974–8.PubMed
19.
Zurück zum Zitat Di Bello MG, Berni L, Gai P, Mirabella C, Ndisang JF, Masini E, et al. A regulatory role for carbon monoxide in mast cell function. Inflamm Res. 1998;47(Suppl 1):S7–8.PubMedCrossRef Di Bello MG, Berni L, Gai P, Mirabella C, Ndisang JF, Masini E, et al. A regulatory role for carbon monoxide in mast cell function. Inflamm Res. 1998;47(Suppl 1):S7–8.PubMedCrossRef
20.
Zurück zum Zitat Takamiya R, Murakami M, Kajimura M, Goda N, Makino N, Takamiya Y, et al. Stabilization of mast cells by heme oxygenase-1: an anti-inflammatory role. Am J Physiol Heart Circ Physiol. 2002;283:H861–70.PubMed Takamiya R, Murakami M, Kajimura M, Goda N, Makino N, Takamiya Y, et al. Stabilization of mast cells by heme oxygenase-1: an anti-inflammatory role. Am J Physiol Heart Circ Physiol. 2002;283:H861–70.PubMed
21.
Zurück zum Zitat Vannacci A, Di Felice A, Giannini L, Marzocca C, Pierpaolo S, Zagli G, et al. The effect of a carbon monoxide-releasing molecule on the immunological activation of guinea-pig mast cells and human basophils. Inflamm Res. 2004;53(Suppl 1):S9–10.PubMed Vannacci A, Di Felice A, Giannini L, Marzocca C, Pierpaolo S, Zagli G, et al. The effect of a carbon monoxide-releasing molecule on the immunological activation of guinea-pig mast cells and human basophils. Inflamm Res. 2004;53(Suppl 1):S9–10.PubMed
22.
Zurück zum Zitat Suzuki R, Kimura T, Kitaichi K, Tatsumi Y, Matsushima M, Zhao YL, et al. Platelet factor 4 fragment induces histamine release from rat peritoneal mast cells. Peptides. 2002;23:1713–7.PubMedCrossRef Suzuki R, Kimura T, Kitaichi K, Tatsumi Y, Matsushima M, Zhao YL, et al. Platelet factor 4 fragment induces histamine release from rat peritoneal mast cells. Peptides. 2002;23:1713–7.PubMedCrossRef
23.
Zurück zum Zitat Okamoto M, Hasegawa Y, Hara T, Hashimoto N, Imaizumi K, Shimokata K, et al. T-helper type 1/T-helper type 2 balance in malignant pleural effusions compared to tuberculous pleural effusions. Chest. 2005;128:4030–5.PubMedCrossRef Okamoto M, Hasegawa Y, Hara T, Hashimoto N, Imaizumi K, Shimokata K, et al. T-helper type 1/T-helper type 2 balance in malignant pleural effusions compared to tuberculous pleural effusions. Chest. 2005;128:4030–5.PubMedCrossRef
24.
Zurück zum Zitat Gomi K, Zhu FG, Marshall JS. Prostaglandin E2 selectively enhances the IgE-mediated production of IL-6 and granulocyte-macrophage colony-stimulating factor by mast cells through an EP1/EP3-dependent mechanism. J Immunol. 2000;165:6545–52.PubMed Gomi K, Zhu FG, Marshall JS. Prostaglandin E2 selectively enhances the IgE-mediated production of IL-6 and granulocyte-macrophage colony-stimulating factor by mast cells through an EP1/EP3-dependent mechanism. J Immunol. 2000;165:6545–52.PubMed
25.
Zurück zum Zitat Foresti R, Clark JE, Green CJ, Motterlini R. Thiol compounds interact with nitric oxide in regulating heme oxygenase-1 induction in endothelial cells. Involvement of superoxide and peroxynitrite anions. J Biol Chem. 1997;272:18411–7.PubMedCrossRef Foresti R, Clark JE, Green CJ, Motterlini R. Thiol compounds interact with nitric oxide in regulating heme oxygenase-1 induction in endothelial cells. Involvement of superoxide and peroxynitrite anions. J Biol Chem. 1997;272:18411–7.PubMedCrossRef
26.
Zurück zum Zitat Dhakshinamoorthy S, Jaiswal A. Functional characterization and role of INrf2 in antioxidant response element-mediated expression and antioxidant induction of NAD(P)H:quinone oxidoreductase1 gene. Oncogene. 2001;20:3906–17.PubMedCrossRef Dhakshinamoorthy S, Jaiswal A. Functional characterization and role of INrf2 in antioxidant response element-mediated expression and antioxidant induction of NAD(P)H:quinone oxidoreductase1 gene. Oncogene. 2001;20:3906–17.PubMedCrossRef
27.
Zurück zum Zitat Di Carlo G, Mascolo N, Izzo AA, Capasso F. Flavonoids: old and new aspects of a class of natural therapeutic drugs. Life Sci. 1999;65:337–53.PubMedCrossRef Di Carlo G, Mascolo N, Izzo AA, Capasso F. Flavonoids: old and new aspects of a class of natural therapeutic drugs. Life Sci. 1999;65:337–53.PubMedCrossRef
28.
Zurück zum Zitat Balogun E, Hoque M, Gong P, Killeen E, Green CJ, Foresti R, et al. Curcumin activates the haem oxygenase-1 gene via regulation of Nrf2 and the antioxidant-responsive element. Biochem J. 2003;371:887–95.PubMedCrossRef Balogun E, Hoque M, Gong P, Killeen E, Green CJ, Foresti R, et al. Curcumin activates the haem oxygenase-1 gene via regulation of Nrf2 and the antioxidant-responsive element. Biochem J. 2003;371:887–95.PubMedCrossRef
29.
Zurück zum Zitat Abuarqoub H, Foresti R, Green CJ, Motterlini R. Heme oxygenase-1 mediates the anti-inflammatory actions of 2′-hydroxychalcone in RAW 264.7 murine macrophages. Am J Physiol Cell Physiol. 2006;290:C1092–9.PubMedCrossRef Abuarqoub H, Foresti R, Green CJ, Motterlini R. Heme oxygenase-1 mediates the anti-inflammatory actions of 2′-hydroxychalcone in RAW 264.7 murine macrophages. Am J Physiol Cell Physiol. 2006;290:C1092–9.PubMedCrossRef
30.
Zurück zum Zitat Foresti R, Hoque M, Monti D, Green CJ, Motterlini R. Differential activation of heme oxygenase-1 by chalcones and rosolic acid in endothelial cells. J Pharmacol Exp Ther. 2005;312:686–93.PubMedCrossRef Foresti R, Hoque M, Monti D, Green CJ, Motterlini R. Differential activation of heme oxygenase-1 by chalcones and rosolic acid in endothelial cells. J Pharmacol Exp Ther. 2005;312:686–93.PubMedCrossRef
31.
Zurück zum Zitat Chow JM, Shen SC, Huan SK, Lin HY, Chen YC. Quercetin, but not rutin and quercitrin, prevention of H2O2-induced apoptosis via anti-oxidant activity and heme oxygenase 1 gene expression in macrophages. Biochem Pharmacol. 2005;69:1839–51.PubMedCrossRef Chow JM, Shen SC, Huan SK, Lin HY, Chen YC. Quercetin, but not rutin and quercitrin, prevention of H2O2-induced apoptosis via anti-oxidant activity and heme oxygenase 1 gene expression in macrophages. Biochem Pharmacol. 2005;69:1839–51.PubMedCrossRef
32.
Zurück zum Zitat Lin HY, Juan SH, Shen SC, Hsu FL, Chen YC. Inhibition of lipopolysaccharide-induced nitric oxide production by flavonoids in RAW264.7 macrophages involves heme oxygenase-1. Biochem Pharmacol. 2003;66:1821–32.PubMedCrossRef Lin HY, Juan SH, Shen SC, Hsu FL, Chen YC. Inhibition of lipopolysaccharide-induced nitric oxide production by flavonoids in RAW264.7 macrophages involves heme oxygenase-1. Biochem Pharmacol. 2003;66:1821–32.PubMedCrossRef
33.
Zurück zum Zitat Belcher JD, Mahaseth H, Welch TE, Otterbein LE, Hebbel RP, Vercellotti GM. Heme oxygenase-1 is a modulator of inflammation and vaso-occlusion in transgenic sickle mice. J Clin Invest. 2006;116:808–16.PubMedCrossRef Belcher JD, Mahaseth H, Welch TE, Otterbein LE, Hebbel RP, Vercellotti GM. Heme oxygenase-1 is a modulator of inflammation and vaso-occlusion in transgenic sickle mice. J Clin Invest. 2006;116:808–16.PubMedCrossRef
34.
Zurück zum Zitat Kitada O, Kodama T, Kuribayashi K, Ihaku D, Fujita M, Matsuyama T, et al. Heme oxygenase-1 (HO-1) protein induction in a mouse model of asthma. Clin Exp Allergy. 2001;31:1470–7.PubMedCrossRef Kitada O, Kodama T, Kuribayashi K, Ihaku D, Fujita M, Matsuyama T, et al. Heme oxygenase-1 (HO-1) protein induction in a mouse model of asthma. Clin Exp Allergy. 2001;31:1470–7.PubMedCrossRef
35.
Zurück zum Zitat Almolki A, Taille C, Martin GF, Jose PJ, Zedda C, Conti M, et al. Heme oxygenase attenuates allergen-induced airway inflammation and hyperreactivity in guinea pigs. Am J Physiol Lung Cell Mol Physiol. 2004;287:L26–34.PubMedCrossRef Almolki A, Taille C, Martin GF, Jose PJ, Zedda C, Conti M, et al. Heme oxygenase attenuates allergen-induced airway inflammation and hyperreactivity in guinea pigs. Am J Physiol Lung Cell Mol Physiol. 2004;287:L26–34.PubMedCrossRef
36.
Zurück zum Zitat Prestera T, Holtzclaw WD, Zhang Y, Talalay P. Chemical and molecular regulation of enzymes that detoxify carcinogens. Proc Natl Acad Sci USA. 1993;90:2965–9.PubMedCrossRef Prestera T, Holtzclaw WD, Zhang Y, Talalay P. Chemical and molecular regulation of enzymes that detoxify carcinogens. Proc Natl Acad Sci USA. 1993;90:2965–9.PubMedCrossRef
37.
Zurück zum Zitat Novotny V, Prieschl EE, Csonga R, Fabjani G, Baumruker T. Nrf1 in a complex with fosB, c-jun, junD and ATF2 forms the AP1 component at the TNF alpha promoter in stimulated mast cells. Nucleic Acids Res. 1998;26:5480–5.PubMedCrossRef Novotny V, Prieschl EE, Csonga R, Fabjani G, Baumruker T. Nrf1 in a complex with fosB, c-jun, junD and ATF2 forms the AP1 component at the TNF alpha promoter in stimulated mast cells. Nucleic Acids Res. 1998;26:5480–5.PubMedCrossRef
38.
Zurück zum Zitat Otterbein L, Bach F, Alam J, Soares M, Tao Lu H, Wysk M, et al. Carbon monoxide has anti-inflammatory effects involving the mitogen-activated protein kinase pathway. Nat Med. 2000;6:422–8.PubMedCrossRef Otterbein L, Bach F, Alam J, Soares M, Tao Lu H, Wysk M, et al. Carbon monoxide has anti-inflammatory effects involving the mitogen-activated protein kinase pathway. Nat Med. 2000;6:422–8.PubMedCrossRef
39.
Zurück zum Zitat Bak I, Szendrei L, Turoczi T, Papp G, Joo F, Das DK, et al. Heme oxygenase-1-related carbon monoxide production and ventricular fibrillation in isolated ischemic/reperfused mouse myocardium. Faseb J. 2003;17:2133–5.PubMed Bak I, Szendrei L, Turoczi T, Papp G, Joo F, Das DK, et al. Heme oxygenase-1-related carbon monoxide production and ventricular fibrillation in isolated ischemic/reperfused mouse myocardium. Faseb J. 2003;17:2133–5.PubMed
40.
Zurück zum Zitat Minamino T, Christou H, Hsieh CM, Liu Y, Dhawan V, Abraham NG, et al. Targeted expression of heme oxygenase-1 prevents the pulmonary inflammatory and vascular responses to hypoxia. Proc Natl Acad Sci USA. 2001;98:8798–803.PubMedCrossRef Minamino T, Christou H, Hsieh CM, Liu Y, Dhawan V, Abraham NG, et al. Targeted expression of heme oxygenase-1 prevents the pulmonary inflammatory and vascular responses to hypoxia. Proc Natl Acad Sci USA. 2001;98:8798–803.PubMedCrossRef
41.
Zurück zum Zitat Kawamura K, Ishikawa K, Wada Y, Kimura S, Matsumoto H, Kohro T, et al. Bilirubin from heme oxygenase-1 attenuates vascular endothelial activation and dysfunction. Arterioscler Thromb Vasc Biol. 2005;25:155–60.PubMed Kawamura K, Ishikawa K, Wada Y, Kimura S, Matsumoto H, Kohro T, et al. Bilirubin from heme oxygenase-1 attenuates vascular endothelial activation and dysfunction. Arterioscler Thromb Vasc Biol. 2005;25:155–60.PubMed
42.
Zurück zum Zitat Overhaus M, Moore BA, Barbato JE, Behrendt FF, Doering JG, Bauer AJ. Biliverdin protects against polymicrobial sepsis by modulating inflammatory mediators. Am J Physiol Gastrointest Liver Physiol. 2006;290:G695–703.PubMedCrossRef Overhaus M, Moore BA, Barbato JE, Behrendt FF, Doering JG, Bauer AJ. Biliverdin protects against polymicrobial sepsis by modulating inflammatory mediators. Am J Physiol Gastrointest Liver Physiol. 2006;290:G695–703.PubMedCrossRef
43.
Zurück zum Zitat Matsumoto H, Ishikawa K, Itabe H, Maruyama Y. Carbon monoxide and bilirubin from heme oxygenase-1 suppresses reactive oxygen species generation and plasminogen activator inhibitor-1 induction. Mol Cell Biochem. 2006;291:21.PubMedCrossRef Matsumoto H, Ishikawa K, Itabe H, Maruyama Y. Carbon monoxide and bilirubin from heme oxygenase-1 suppresses reactive oxygen species generation and plasminogen activator inhibitor-1 induction. Mol Cell Biochem. 2006;291:21.PubMedCrossRef
44.
Zurück zum Zitat Wang WW, Smith DL, Zucker SD. Bilirubin inhibits iNOS expression and NO production in response to endotoxin in rats. Hepatology. 2004;40:424–33.PubMedCrossRef Wang WW, Smith DL, Zucker SD. Bilirubin inhibits iNOS expression and NO production in response to endotoxin in rats. Hepatology. 2004;40:424–33.PubMedCrossRef
Metadaten
Titel
Heme oxygenase-1 mediates the anti-allergic actions of quercetin in rodent mast cells
verfasst von
Miyoko Matsushima
Kenzo Takagi
Miyuki Ogawa
Etsuko Hirose
Yui Ota
Fumie Abe
Kenji Baba
Takaaki Hasegawa
Yoshinori Hasegawa
Tsutomu Kawabe
Publikationsdatum
01.10.2009
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
Inflammation Research / Ausgabe 10/2009
Print ISSN: 1023-3830
Elektronische ISSN: 1420-908X
DOI
https://doi.org/10.1007/s00011-009-0039-1

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