Analysis of the immune response of human dendritic cells to Mycobacterium tuberculosis by quantitative proteomics
- Chiu-Ping Kuo†1,
- Kuo-Song Chang†2, 5,
- Jue-Liang Hsu7,
- I-Fang Tsai3,
- Andrew Boyd Lin4,
- Tsai-Yin Wei3,
- Chien-Liang Wu1, 5 and
- Yen-Ta Lu1, 6Email authorView ORCID ID profile
© Kuo et al. 2016
Received: 13 September 2015
Accepted: 1 March 2016
Published: 8 March 2016
The cellular immune response for Mycobacterium tuberculosis (M. tuberculosis) infection remained incompletely understood. To uncover membrane proteins involved in this infection mechanism, an integrated approach consisting of an organic solvent-assisted membrane protein digestion, stable-isotope dimethyl labeling and liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis was used to comparatively profile the membrane protein expression of human dendritic cells upon heat-killed M. tuberculosis (HKTB) treatment.
Organic solvent-assisted trypsin digestion coupled with stable-isotope labeling and LC-MS/MS analysis was applied to quantitatively analyze the membrane protein expression of THP-1 derived dendritic cells. We evaluated proteins that were upregulated in response to HKTB treatment, and applied STRING website database to analyze the correlations between these proteins. Of the investigated proteins, aminopeptidase N (CD13) was found to be largely expressed after HKTB treatment.
By using confocal microscopy and flow cytometry, we found that membranous CD13 expression was upregulated and was capable of binding to live mycobacteria. Treatment dendritic cell with anti-CD13 antibody during M. tuberculosis infection enhanced the ability of T cell activation.
Via proteomics data and STRING analysis, we demonstrated that the highly-expressed CD13 is also associated with proteins involved in the antigen presenting process, especially with CD1 proteins. Increasing expression of CD13 on dendritic cells while M. tuberculosis infection and enhancement of T cell activation after CD13 treated with anti-CD13 antibody indicates CD13 positively involved in the pathogenesis of M. tuberculosis.
KeywordsCD13 M. tuberculosis Membrane proteomics Antigen presentation
Despite many effective treatments are available, M. tuberculosis remains one of the most successful pathogens on the planet, estimated to have infected nearly one-third of the human population and cause approximately 1.7 million deaths each year . M. tuberculosis is typically transmitted via the inhalation of aerosol droplets containing the pathogen. Once inhaled, these small droplets can spread into distal lung alveoli, where they are phagocytosed by alveolar macrophages . Once inside the macrophage, M. tuberculosis prevents its phagosome from fusing with digestive lysosomes , allowing the pathogen to lay dormant within its host.
While macrophages are the primary targets of the mycobacteria, M. tuberculosis’s ability to exist as latent infection suggests that it is also able to suppress other immune responses. Following the initial macrophage response is an acute inflammatory response, causing a rapid recruitment of dendritic cells (DCs) into the airway epithelium . Normally, DCs capture the bacteria, process them, and present their antigens on their cell surfaces to various cells of the immune system. However, it is suggested that specific functions of DCs may be modulated by the mycobacteria. More specifically, M. tuberculosis has been show to infect DCs and disrupt their capacity to activate and induce primary immune responses in resting naïve T lymphocytes [5–7].
While M. tuberculosis infection of macrophages has been studied extensively, little is known about the mechanisms that the mycobacterium uses to mediate cell entry into human DCs. It is plausible that many host factors with important functions and potential therapeutic value have not yet been evaluated. Thus, a global analysis of membrane protein expression in human DCs treated with M. tuberculosis could potentially provide further information about the pathogenic mechanisms of tuberculosis. Unfortunately, it is challenging to run a large-scale identification and quantitation of membrane proteins, specifically due to their hydrophobic natures that retard both solubilization in aqueous buffers and downstream enzymatic digestion in a regular bottom-up protein identification pipeline [8, 9]. Recently, possible solutions including formic acid-CNBr/trypsin 、high pH/proteinase K 、detergent-assisted approach 、organic solvent-assisted digestion  and tube-gel assisted approach [14, 15] have been used in large-scale membrane proteome studies. Among these methods, the 60 % methanol-assisted trypsin digestion is relatively simple, and the use of a methanol-based buffer circumvents the need for reagents that interfere with chromatographic separation and ionization of the peptides (e.g., detergents, chaotropes, nonvolatile salts). For quantitative aspects, isotope-coded affinity tag , isotope coded protein labeling , 18O labeling , stable isotope dimethyl labeling , stable isotope labeling by amino acids in cell culture  and isobaric tags for relative and absolute quantitation [15, 21] have been introduced for use in comparative membrane proteomics as well as in identification of membrane proteins. Due to its simplicity, effectiveness, and—most importantly—organic solvent compatibility, dimethyl labeling can be efficiently used with 60 % methanol-assisted trypsin digestion of membrane proteins . Therefore, in this study, 60 % methanol-assisted trypsin digestion coupled with this stable-isotope labeling and LC-MS/MS analysis were applied to quantitatively analyze membrane protein expression in THP-1–derived DCs, professional antigen-presenting cells that link the innate and adaptive immunities.
After evaluating proteins that were upregulated in response to heat-killed M. tuberculosis treatment, the STRING (Search Tool for the Retrieval of Interacting Genes/Proteins) website database was utilized to analyze associations between these proteins. Of the investigated proteins, aminopeptidase N (CD13) was found to be largely expressed after HKTB treatment. CD13 is a peptidase that affects T cell response by mediating the trimming of major histocompatibility complex (MHC) class II peptides , and is also an adhesion molecule involved in leukocyte transendothelial migration into inflammatory sites . In addition, CD13 is involved in phagocytic processes in macrophages and DCs . Recently we have reported that M. tuberculosis utilizes CD13 as a mediator of cell entry in human monocytes and macrophages . However, little is known about CD13’s role in mycobacterial interactions with dendritic cells. The results of our study suggest that besides its known functions, CD13 is used by M. tuberculosis as an important mediator of cell entry in human dendritic cells to impair the antigen-presenting process and prevent T cell activation.
Proteomic profiling of membrane proteins from THP-1-derived DCs treated with or without HKTB
Identified major proteins increased/decreased in response to HKTB stimulation
Gamma-glutamyltransferase 5 precursor
Aminopeptidase N, CD13
HLA class I histocompatibility antigen, B-15 alpha chain precursor
Sel-1 homolog precursor
4F2 cell-surface antigen heavy chain
Vesicle-associated membrane protein-associated protein A
HLA class II histocompatibility antigen gamma chain
Adipocyte plasma membrane-associated protein
Integrin alpha-L precursor
Solute carrier family 2, facilitated glucose transporter member 5
Gamma-glutamyltranspeptidase 1 precursor
Sodium/potassium-transporting ATPase subunit beta-1
Integrin alpha-X precursor
Transmembrane 9 superfamily protein member 4
Carboxypeptidase M precursor
T-cell surface glycoprotein CD1a precursor (CD1a antigen)
Leukocyte common antigen precursor
Neutral amino acid transporter B(0) (ATB(0))
Ras-related protein Rab-10
Ras-related protein Rap-2b precursor
Vacuolar proton translocating ATPase 116 kDa subunit a isoform 3
Protein KIAA0090 precursor -
Thromboxane-A synthase (Cytochrome P450 5A1)
Sodium/potassium-transporting ATPase alpha-1 chain precursor
T-cell surface glycoprotein CD1c precursor (CD1c antigen)
HLA class II histocompatibility antigen, DRB1-1 beta chain precursor
Synaptic glycoprotein SC2
Coiled-coil domain-containing protein 47 precursor
Ras-related protein Rab-5A
Integrin beta-2 precursor (Cell surface adhesion glycoproteins LFA-1/CR3/subunit beta)
Vacuolar ATP synthase subunit B, kidney isoform
Protein KIAA0143 (Fragment)
Protein FAM62A (Membrane-bound C2 domain-containing protein)
Secretory carrier-associated membrane protein 2
Adenylyl cyclase-associated protein 1
CD13 mediated the binding and entry of live M. tuberculosis onto human DCs
CD13 is involved in the inhibition of CD1 expression and T cell response by HKTB
It has been demonstrated that CD13 is involved in cell-surface antigen processing , and the CD13 on DCs are able to selectively and efficiently degrade exogenously provided peptide antigens  and further influence the capability of triggering T cells. We also wanted to clarify whether CD13 was involved in the lipid antigen presenting process. For this reason, we further studied the influence of highly expressed CD13 molecules in HKTB-stimulated human DCs on CD1 expression and T cell response.
Proteins upregulated in human DCs after HKTB treatment engaged in a diverse range of cellular processes (Fig. 1 and Table 1), suggesting a complex interaction between the bacterium and its host. A proteomic analysis of membrane fraction proteins of THP-1–derived DCs revealed that proteins involved in antigen presentation (HLA class I/II histocompatibility antigens, CD1a, CD1c and CD13) were increased to confront M. tuberculosis infection. A cell surface binding protein, CD13 was found to be upregulated 5.2-fold upon HKTB treatment. CD13 is a large cell surface peptidase expressed on the membrane of myeloid dendritic cells [28, 29]. By using Western blot and flow cytometry, we demonstrated that CD13 expression on human DCs was upregulated under inflammatory conditions, especially those induced by HKTB (Fig. 2). However, the physiological relevance of this high expression is not fully understood yet. We have previously reported that CD13 serves as a receptor on monocyte/macrophages that binds to M. tuberculosis , as well as a possible receptor that mediates of lipid uptake (unpublished observations, ). Via proteomics data and STRING analysis, we demonstrated that the highly-expressed CD13 is also associated with proteins involved in the antigen presenting process, especially with CD1 proteins.
CD1 presents glycolipids such as LAM , the most immunogenic glycolipid antigen and a key virulence factor on mycobacterial envelopes, to a distinct group of T cells . However, M. tuberculosis has been shown to suppress ~60-90 % of CD1a, CD1b, and CD1c expressions on differentiating monocytes . The mycobacterium has also been shown to induce human monocytes to differentiate into CD1-negative DCs, which cannot present lipid antigens to specific T cells . Taken together, these studies suggest that mycobacterial impairment of cellular immune function is strongly associated with CD1 expression . In our study, HKTB and LAM treatments did indeed inhibit the expressions of CD1b and CD1c—but not CD1a—on immature DCs and also decreased T cell proliferation (Fig. 4).
Interestingly, targeting CD13 helped reduce the effects of HKTB and LAM on DCs. Using neutralized antibodies to block the binding receptor CD13 partially reversed the effects of HKTB and LAM treatments on CD1c expression. Because CD1c-positive DCs are an essential group of DCs responsible for naïve T cell proliferation , these results suggest that HKTB impairs the ability of DCs to initiate T cell responses. Further testing confirmed that anti-CD13 antibodies also reversed the inhibitive effects of HKTB treatment on T cell proliferation. This was a simpler approach to clarify the interactions between CD13 and CD1, but our results were compatible with STRING database analysis.
Besides revealing information about antigen-presentation, proteomic analysis also revealed that proteins involved in phagosome maturation (Ras-related proteins like Rab5 and Rab 10), phagosome acidification (vacuolar proton ATPases like TCIRG1 and ATP6V1B1) and vesicle trafficking (vesicle-associated/secretory carrier-associated membrane proteins like VAPA and SCAMP2) were upregulated in HKTB-treated DCs. Rab5 and Rab 10, which are both localized to early phagosomes and are required for phagosome maturation, were upregulated by 2.3 fold and 2.6 fold, respectively. Rab10 expression is part of a host cell response during early stages of mycobacterial infection that rescues Mycobacterium-containing phagosomes maturation [37, 38]. Meanwhile, vacuolar proton ATPase plays a crucial role in the acidification of phagosomes and is an important initial determinant of mycobacterial Ag85B processing by macrophages . The upregulation of Rab10 and vacuolar proton ATPase could reflect a host anti-bactericidal response to HKTB treatment. We also found that vesicle trafficking-associated proteins VAPA and SCAMP2 were upregulated 3.4 and 2.0-fold, respectively. Unfortunately, the roles of VAPA and SCAMP2 in intracellular transport of membranes are still not clear. Our observation that VAPA and SCAMP2 were upregulated in response to HKTB is a new finding.
Although our STRING analysis didn’t reveal the direct association between CD13 and phagosome acidification-related proteins, CD13 has been reported to not only be a receptor on mycobacteria, but also a mediator that participates in phagosome acidification during M. tuberculosis infection . As a result, further analysis is needed to clarify CD13’s interactions with phagosome acidication-related proteins.
Utlimately, we infer that M. tuberculosis targets CD13 on dendritic cells to the antigen-presenting process and prevent T cell activation. However, anti-CD13 antibodies were shown to reverse the inhibitive effects of HKTB treatment on T cell proliferation. It has been reported that mycobacteria selectively target surface receptors like dendritic cell-specific intercellular adhesion molecule-3 grabbing nonintegrin (DC-SIGN)  to immunosuppress DC function, which prolongs the mycobacteria’s survival. Our results suggest that clinical therapies targeting the CD13 receptor may help reduce M. tuberculosis’ ability to bind to antigen presenting cells, thereby preventing the inhibition of T cell activation. However, further investigation is still needed on how exactly M. tuberculosis enters DCs and inhibits their cell functions through CD13.
These results add to a growing understanding of the interactions M. tuberculosis has with the human immune system. While CD13 is only one of a variety of membrane proteins involved in M. tuberculosis infection, evidence provided by this study may lay the groundwork for future tuberculosis target therapies.
Acetonitrile (ACN), ammonium bicarbonate, 1,4-dithiothreitol (DTT), ethylene glycol, sodium acetate and formaldehyde (37 % solution in H2O) were purchased from J.T. Baker (NJ, USA). Sodium cyanoborohydride was purchased from Riedel-de Haën (Seelze, Germany). Formic acid (FA), formaldehyde-D 2 (20 % solution in D2O), iodoacetamide (IAM), ammonium hydroxide solution (33 %), phorbol-12-myristate-13-acetate (PMA) and dimethylsulfoxide were purchased from Sigma-Aldrich (Germany, Steinheim). Sequencing grade modified trypsin was obtained from Promeg (WI, USA). RPMI 1640 media was purchased from Life Technologies Corporation (Grand Island, NY, USA). ReadyPrep Membrane II Protein Extraction kit was obtained from Bio-Rad (CA, USA). The water used in this study was obtained from Milli-Q® (Millipore) water purification system (Billerica, MA, USA). Lipoarabinomannan (LAM) from Mycobacterium tuberculosis Aoyama-B was purchased from Nacalai Tesque (Kyoto, Japan).
This study was conducted according to the principles expressed in the International Conference on Harmonisation (ICH)/WHO Good Clinical Practice standards. Written informed consent was obtained for participation in the study, which was approved by the institutional review board of the Mackay Memorial Hospital.
Preparation of THP-1-derived dendritic cells for stimulation with HKTB
The THP-1 cell line (BCRC 60430) was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan). THP-1 cells were grown in RPMI 1640 media containing 10 % FCS supplemented with 100 U/ml penicillin and 2 mM L-glutamine. Cells were maintained in a humidified atmosphere with 5 % CO2 at 37 °C. Differentiating THP-1 cells into dendritic cells was achieved by treatment of THP-1 cells with 10 ng/ml PMA, in the presence of 100 ng/ml GM-CSF and 100 ng/ml IL-4 (Peprotech Ltd) . A 10 μg/ml stock solution of PMA was prepared by dissolving PMA in dimethylsulfoxide. HKTB stock solution was prepared by adding 30 ml of RPMI 1640 media into one vial of HKTB powder (100 mg, desiccated M. tuberculosis, purchased from BD Difco, GA, USA) and sonicated 5 min for three times. THP-1-derived DCs were then treated with HKTB (10 μg/ml) for three days.
Trypsin digestion of membrane proteins
The membrane proteins of THP-1-derived DCs were extracted by the use of ReadyPrep Membrane II Protein Extraction kit (Bio-Rad) according to the manufacturer’s instructions. Briefly, 100-200 mg of wet cell pellets were lysed with lysis buffer. After the removal of insoluble material and unbroken cells, the membrane protein fraction was isolated with ice-cold Na2CO3 followed by centrifugation. Pellets from the control and experimental samples were individually dissolved and digested according to the following procedures. Proteins in the membrane fraction pellet were resuspended in 50 mM ammonium bicarbonate (200 μl, pH 8.3) by vortex and sonication. The proteins were denatured at 95 °C for 5 min then cooled at ice-bath temperature. Due to the hydrophobic nature, the membrane fraction can not be dissolved and digested well by regular digestion protocol. Organic-assisted solubilization and proteolysis were chosen in this study to dissolve and digest membrane proteins. Methanol was added into the protein solution to make a final concentration of 60 % (v/v), facilitating the solubilization of most membrane proteins. Trypsin was then immediately put into this solution in a 1/50 (w/w) trypsin-to-protein ratio followed by incubation for 14 h at 37 °C. The resulting peptide mixtures were lyophilized and stored at -20 °C for further stable-isotope labeling.
Stable-isotope dimethyl-labeling of tryptic peptides
The tryptic peptides derived from the control samples which had been dissolved in sodium acetate buffer (100 mM, pH 5-6) were mixed with formaldehyde (4 % in water, 5 μl), vortexed, and then immediately combined with freshly prepared sodium cyanoborohydride (1 M, 5 μl). The mixture was vortexed again and then allowed to react for 5 min. Ammonium hydroxide (4 % in water, 5 μl) was used to consume the excess aldehyde. Deuterium labeling of the experimental samples was performed in a similar manner except using formaldehyde-d2 (4 % in water, 5 μl). The tryptic digest derived from the experimental sample was diluted with sodium acetate buffer (100 mM, pH 5-6) and then labeled as described above. The labeled peptides derived from either control or experimental samples were blended and desalted by C18 Easy-Tips (MST, Taipei) for additional fractionation through strong cation exchange (SCX) chromatography.
Off-line SCX fractionation of combined mixture
The desalted peptides were redissolved in 0.1 % formic acid and fractionated using a SCX cartridge (5 μm, Vydac, CA, USA). A total of ten fractions eluted with 5, 10, 20, 30, 40, 50, 60, 100, 200, and 500 mM of sodium chloride were serially collected. The resulting fractions were desalted by EasyTipsTM (C SUN, Taipei, Taiwan) and subjected to LC-MS/MS analysis.
Mass spectrometric analysis and database searching
The dimethylated tryptic peptides were analyzed using a tandem quadrupole time-of-flight (Q-TOF) mass spectrometer (Micromass, UK) equipped with a nanoflow CapLC system (Waters). The scan range was from m/z 400 to 1600 for MS and m/z 50 to 2000 for MS/MS. For sequencing, the MS/MS spectra were obtained through a survey scan and the automated data-dependent MS analysis was performed by the dynamic exclusion feature built into the MS acquisition software. The MS/MS raw data was processed into a PKL file format using MassLynx 4.0 (Micromass, UK). The resulting PKL file was searched using the Mascot search engine v2.2 (Matrix Science, UK) with the following search parameters: (1) protein database was set to be Swiss-Prot; (2) taxonomy was set as Homo sapiens (human); (3) one trypsin missed cleavage was allowed; (4) the precursor and product ion mass tolerance was set at 0.4 Da/0.2 Da; (5) carbamidomethyl (C) was chosen for fixed modification; (6) oxidation (M), deamidated (NQ), Dimethyl (K), Dimethyl (N-term), Dimethyl:2H(4) (K), Dimethyl:2H(4) (N-term) were chosen for variable modifications; (7) proteins with scores above the significance threshold (p < 0.05) were shown as significant hits. All MS/MS spectra of identified peptides derived from membrane proteins were further verified by manual interpretation, in particular, using a1 ion in each MS/MS spectrum to verify the N-terminus of the corresponding peptide . The subcellular location and functional annotation of the identified proteins were elucidated by UniProt knowledgebase (Swiss-Prot/TrEMBL) and Gene Ontology Database. The intensity ratios of isotopic isomers were calculated based on peak area or peak intensity from selective ion chromatograms or alternatively, all of the spectra containing both mass peaks of D4- and H4-labeled peptides were combined to produce a composite MS spectrum. The ratios of the D4- and H4-labeled peptides in the composite MS spectra were calculated from the sum of the peak heights of the first three isotopic peaks. Proteins with relative ratio more than 2 were regarded as over-expressed. The accession numbers of these over-expressed surface membrane proteins from HKTB treated THP-1-derived DCs were put together and further correlated by STRING database with known and predicted protein-protein interactions (http://string-db.org/newstring_cgi/show_input_page.pl).
THP-1-derived DCs were treated with LPS, TNF-α or HKTB. CD13 protein levels were analyzed by Western blotting to confirm and validate significance of the proteomic findings. Each protein sample was mixed with an electrophoresis buffer containing 2 % SDS and 5 % β-mercaptoethanol and boiled for 10 min. Proteins (5 μg) were separated by electrophoresis on a 10 % SDS-polyacrylamide gel. The fractionated proteins were electroblotted onto a polyvinylidene difluoride membrane. The membranes were blocked at least 2 hrs in 5 % BSA, 0.1 % Tween 20 in TBS (TBST) and then incubated with CD13 antibodies (1:1000 dilution, Abcam, MA, USA), for 1 hr. After washing in TBST, membranes were incubated with peroxidase-conjugated secondary antibodies for 1 hr, and proteins were detected using an enhanced chemiluminescence detection system (PerkinElmer Life and Analytical Sciences, Boston, USA).
Human dendritic cells culture
Peripheral blood mononuclear cells (PBMCs) were isolated from the whole blood of healthy adult volunteers by Ficoll-Paque gradient centrifugation. Monocytes were sorted by incubating PBMCs with CD14 microbeads (Miltenyi Biotec) and then the CD14-positive cells were separated by means of a magnetic force. Dendritic cells were generated by culturing monocytes for five days in RPMI-1640 medium with 10 % FBS in the presence of 100 ng/ml GM-CSF and 100 ng/ml IL-4 (Peprotech Ltd). Monocyte-derived DCs were then treated with HKTB solution for two days.
Cells were stained with PE-conjugated anti-CD13 antibody (clone WM15, BD Pharmingen TM, San Jose, CA, USA). The mean fluorescence intensity of stained cells was measured by FACS Calibur flow cytometry and analyzed by using CellQuest software (BD Bioscience).
Live M tuberculosis preparation
M. tuberculosis were obtained from a clinical virulent strain identified by the Mycobacteriology Laboratory, MacKay Memorial Hospital. Firstly, M. tuberculosis was identified by a MPT64 rapid test, arylsulfatase test, and nitrate reductase assay. The identified strain was further confirmed by a commercial TB-PCR kit (COBAS, Taqman MTB test, Roche). Seed stocks of the collected strain were maintained in small aliquots at -80 °C. The M. tuberculosis used throughout this study was prepared from the seed stocks by culturing on 7H11 agar plate for 3 weeks at 37 °C in 10 % CO2 humidified atmosphere. The culture medium used was a 7H9 broth supplemented with 0.2 % glycerol, 0.05 % Tween-80 and 10 % oleic acid-albumin-dextrose-catalase enrichment (Difco, Becton Dickinson and Company, MD, USA) to an optical density at 600 nm of 0.3 and used as the inoculum.
Dendritic cells were cultured on 18-mm-diameter cover-glass placed in 12-well culture plate and infected with M. tuberculosis labeled with Auramin-Rhodamin T. At various time points, unbound bacteria were washed away with PBS and cells were fixed in 4 % formalin. CD13 were stained with Cy-Chrome 5 (Cy5)-conjugated anti-CD13 antibody, and nuclei were stained with 4’-6-Diamidino-2-phenylindole (DAPI). Samples were analyzed by Leica TCS SP5 confocal laser scanning microscopy and quantified by Leica LAS AF software. Use the Leica software profile quantification tool to manually trace a lineal region of interest in each cell that is subjected to analysis. Subsequently, obtain graphs displaying the intensity profiles of CD13/M. tuberculosis (green/red channel).
T-cell proliferation assay
T cells were purified from CD14-negaitive cells by using the Dynal T cell negative isolation kit (Dynal Biotech Ltd; purity routinely >90 %). T cells were labeled with 5 μM CFSE dye (Invitrogen) for 10 min at 37 degree, washed once, and resuspended in RPMI-1640 medium with 10 % FBS to a final concentration of 2 × 106 cells/ml. CFSE-labebled T cell (2 × 105) were incubated with autologous antigen-loaded dendritic cells (4 × 104) (5 T cells: 1 DC) as previously described . Cells were incubated for 6 days and CFSE dilution was measured by flow cytometry. The proliferation index was calculated by the formula: % of dividing cells/% of non-dividing cells.
Paired t test was used for analysis. Data are reported as the mean ± SEM. Statistical analysis was performed using Prism 3.0 software (GraphPad Software Inc.). Two-sided tests were used and a P value of < 0.05 was considered statistically significant.
dendritic cell-specific intercellular adhesion molecule-3 grabbing nonintegrin
heat-killed M. tuberculosis
Liquid chromatography-tandem mass spectrometry
Search Tool for the Retrieval of Interacting Genes/Proteins
tumor necrosis factor alpha
This project was funded with supports from Mackay Memorial Hospital (Projects # MMH-E-98008, MMH-E-99008 and MMH-102-33) and Taiwan National Science Council (Grant # NSC 99-2314-B-195-008).
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