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                                                                                              19


                                                                                       Malyala

                                                                          .
                                             iscoms
                .(                             )

                                                                                   .
                                         .


                                                                   .mucosally
                                    .                      mucosally
                                         ***
                                                       * * * Microparticles
                                                                                                    19.1

                                                                                       .            cosal
                                                                   .

                                                               .

                                                                                           [ 1]
        -                                          .
    (                    (
            -                .[2]
                                                                                                  quence
                                                                                                     .M
.       94608                   Emeryville             4560
                               com.singh novartis.Manmohan @ :
                                                             (.ed) .Vajdy M

                                        2008                                  +
                                                                                                     499

                                                                                              2
                                                                                            500
                                                                                  .M Malyala .P

                                                                   .[3]
                                             - subcu
                     -                                                                 .          taneous

                     immu                              .
                                                                                              nization
.

                                                                                                  .
                                  -                                             .
                  -                                                                                   mercially
                             .                                                                           cines

            .
                                                                                                               19.2

-                     (      )                             (           )

                                                           .[4]

                             - Fõ                                           .
                      .                                                                                    cused
                      -                           )
                                                                                                           (
                                              ribosylating -ADP
                                                    secre
                                                            .
                63LTK )
                          63LTK .[5]                                                                   (72LTR
                                              ribosyltransferase -ADP
        1         )                       72LTR
                           .[5]                                                               (

                                 .[5]
    .

                                      -
                                              .                        intravaginal

                                          .

                                                                                                       3
                                                                                                                19
                                                                                                               501

                                                                            .[6])
            - pneu .S [7])                            .B
                                                               [9])                               ([8] moniae
                                                                        .
                                 .[8])

                                                                   .
                                                                                    Protollin 31 -
                                                           .[10 9]
                          TLR                                .
.
immunostimulatory                              (ODN)oligodinucleotides -

                                                                         .
                                                           (9TLR) 9

   nuclease                 ODNs -                             .[11]               12)     (6)
                                                                                  phosphorothioate
                              ODNs -                                         .

ODNs
                                       .[11]
                                                 9TLR           1Th
                                                   amebia        .[11]
                                                    .
              (      ) inhibitable       galactosamine -          /                     histolytica
                                                         .[11]ODN -
                  ODN -                                                                    herence
                                                           .                         1Th     ducer
                                         1Th
                                                               .[11]
                     KLKL                                                  31IC
                                                                              5
                              a1immunostimulatory oligodeoxynucleotide ODN KLK
                    - stim .1Th                                      9TLR
                                      a1ODN                    31IC ulatory
                                                9TLR
                             proinflammatory
                          1Th            IFN       9TLR            .[12]    1Th

                                                                                               9TLR
                                            9TLR                  [12]
                                     (pDCs)plasmacytoid                            dosomal
                                                                  TLRs                         4TLR
                          9TLR                     .[12]

                                                                                           4
                                                                                             502
                                                                                   .M Malyala .P
                                                      9TLR
                                                   .[12]


                                    -          IFN                                          + 8CD
                                - poten               .[12]                                nationci
                               immunomodulator     31IC                             9TLR
                              31IC                                                   .
                                                                                 KLKL
                                                                                                 5
                                                                                               KLK
.                    (      )
                 6-         - B85Ag
                                                        HBHA
                      KLKL                                                   .[12]
                                                                                           5
                                                                                         KLK


                                            transfection
                                                                    .[12])
                                 -                                             .
                 31 - 6 -                  - B85Ag
                                       31IC 6 -    - B85Ag                     .[12]

                                 + 4CD
                                                 .      - IFN
                               Proteosomes                                          Protollin
                -                   Protollin                                        .LPS
                (rHA)                                       ( )
                    250
                                               IFN [10]
                                          splenocytes
                   rHA -Protollin                    .5 -

                                                                  Protollin strating
                                                                   .[13] (19.2)

                                                                  bioadhesive
                                                                                              .
                                                                                             19.3
                                                                  Bioadhesive 19.3.1
                            bioadhesion                                 1980
              bioadhesive                       .[14]

                                                  mucoadhesion                           .

                                                                                     5
                                                                                              19
                                                                                             503
                            Mucoadhesion          .

                               .[14]
                                                      mucoadhesion

                                                                     .
                                                                bioadhesive
                       -         epithe
bioadhesive                                                                        .[14]lium
                              methacrylic               chitosans
mucopolysaccharide                        [15]
-              .           -                glucuronic
                                                                  ification
                     HYAFF .[16]HYAFF


     .[17]              coacervation
                              bioadhesive                HYAFF
                     .[17 15]
                                                         HYAFF
                                                                      .
              - bioad
                                                    hesive microsphere
                               (      )
                                                    .63LTK
       bioadhesive                                             +
                             .(19.2 19.1 .Figs)         microsphere
                                           bioadhesive microsphere
                        .
                                                                        0
                                                                      500
                                                                     1000
                                                                     1500
                                                                     2000
                                                                     2500
                                                                   42
                                                                   56


                                                        63LTK +
                                                HYAFF + + 63LTK
                                                          19.1 .
             ( )
                                                                      63LTK
      .(HYAFF + + 63LTK ) HYAFF bioadhesive
     (+ HYAFF )             ( )
    -- / + (        )           .(63LTK + )


                                                                  6
                                                                   504
                                                         .M Malyala .P
                                                                     0
                                                                   400
                                                                   800
                                                                 1200
                                                                 1600

                                              63LTK + +HYAFF
                                                       + + 63LTK
HYAFF

                                                                              19.2 .
(   )                                (                           ) hemagglutination
               + ) esiveHYAFF bioadh                                    63LTK
                    ( )                                              .(HYAFF + 63LTK
                          .(63LTK + )                             (+ HYAFF )

                                                              bioadhesive
                                                                ([18]           excipient
                                                    .[18]
                           - immunomodula
                                   .[19]                     /

                                                       .         bioadhesive
                     -        deliv                                       'bioadhesion'
                                                                                    ery
                                                .
                                                                   bioadhesive
                                                      ():
                                          ( )                          ( )
                                                             .                           ()
                                                      .


                                                                               .
                                                            PL G M icroparticles 19.3.2
                                      -
                                                                                       scine
    - attrac                              .(PLG) (glycolide -lactide      )
                                                                PLG
                                                                    resorbable
                     ( 1 ~)                                      [22 21 20] .
                                  (                     )
               [24 23] .                       (             )

                                                                                   7
                                                                                         19
                                                                                        505
                                                                   PLG

                                                                            [26 25] .

                                                                       .
                 .[27] (      )

                                            LGP

                                           [28] .                     [28]
) microparticle                                                                 ( )
                -            benzyltrimety solfinate
                         45-20            (         divinylbenzene                              lammonium

                                                                                                 .[29]

            IFN                                                            .
              6-2-                      4-
                                         .(             )            1Th

                           - phenotyp                                      PLG
-                               -1-                                                                      ically
                                          PLG                                       .                    temic
                                                                1-
                - immunos          .(                       )
        -                               (NCL)       (                                          taining
                                                                               b11CD
                                                                                                             +

            .                    / PLG
                                                                                        b11CD
                             (           )               (      )
                                          .[30] [29] (                          )
                                                      [31]
    /                                                                - PLG

                                                                                                  b11CD
                                                                                                             +
                                                                                                         [31]
                                                                                           .
                1-                                                    / PLG

                                                                                          .[32]hybridoma
                                         Microparticles PLG                                       19.3.2.1

                                                                      .


                                              .                                                  munization

                                                                                                    8
                                                                                                    506
                                                                                          .M Malyala .P

                                                                                .
                                 PLG

                                                                                         [35 34 33]
                                  [39 38 37 36] Bordetella
                     -           immu           .[41] typhimurium                                ([40]
nization
                    -                                                           .[42]intravaginal
                                                                                            croparticles
                                                                                      .[43] terotoxin
                                            .[44]
    -     deliv
                                                                    .[46 45]                               ery

                        .[47] (oMALT)

                        -    deliv
                                                                                                 .[48]ery
                                                    [49 13]
                                                                                .[50]

                                                                            .
                               - underes
                                                                                                  .timated

          .[13]
                                                                Niosomal L iposomal 19.3.3
                                                                                    liposomal
                             Liposomal .
                                 - ] .
                                                                                                      somes
                                                                .

                                                                .[51]
            niosomes (                                                          )
                                -       .                               (                                    )
                                     amphiphilic
                                                    .[52]
                                                                                                Liposomal
                                                                    .

                                                .

                                                                                                  9
                                                                                                            19
                                                                                                           507
                                                            .                   Somroop
           (            )
            pilus                                               (LPS) 1lipopolysaccharide O
                                                                                   (rTcpA)
                                            .[51]               ODN -
                                                                          (    )
                                                        .
)       própria
                                                                                                       (
                                        .                           13 6
TcpA -     - LPS                           4
                                             19.1 .                    3
                         .[51] .                                                              3
                                                                               .
                              .[53] (        )
                              monomthoxy tresyl
MVAIIIB)                                                                    (TMPEG)
                                                                                 -- /
                              .                                     - poxvirus (
                                            PEGylation
                                   liposome/TMPEG-gal-        / MVAIIIB
                     -                                                              .
           -
                                                             / BALB temic
                              deliv                      poxvirus
                   Niosomes Mannosylated                      .[53] (19.1) eries
                                        (      )
                                 palmitoyl                            .[54 13]

               (     )                                                             19.1

                                                             [55 53 51]




                                                         -



                                                                                               750
                                                                                                 --
                                                                           /

                                                                                              2200
                                                                                                 --


                                                               --


                                                                       4                  (         )



                                                                                                   --
                                                                                                  10
1 O .V + )
                                              + LPS
                                              (TcpA


                            .                        ODN
                                                        --
                                                       72




                                                       31
                                                        --


                                                       64
                                                        --

                                           10
                                               508
                                    .M Malyala .P
-   Niosomes Mannosylated                 19.2
                                   Protollin

                                      [54 12]




                                                 /
                                                1.78
                                Niosomes     /
                                              56.23
                                Mannosylated /
                                          Niosome
                                               1000




                                             /          /
20
                                                                                                     //
                                                                                                     24
                                                                                     / Protollin /    /
                                                                                                   3397
         -                                                              .       Peyer (                 )
                                                           (    )
                                       .[54] (19.2)                                           -
                                     ODN -
                                                                                                          -
                                                                            .        Tafaghodi
                                                                                          .[55]
                                                                                          munoreactivity
                       -                                                                     .
                                                      (0.001)
             .(19.1)
                                                                                ODN -
                                             (0.05>    )
                   .           lavages                                      (0.01>    )
                       .

                                                                    .

                  )                                                             .                 .[55]
- ODNs                                                                          (
                                                       .
                                                                        ODNs
                                                               ODNs                                 sponses


                                                                    .[56]                 /
                                                                                                  19.4 ‫ﺟ‬

                                                 .

                                         .

                                                                                                   11
                                                                                                               19
                                                                                                              509
                           .

                                                                                          .

                                                     .[59 58 57]                                      geting


                                                                                              .[61 60]

                                             .
.                          Nelle Cronen                    .
                                                                                                 ‫ﺟ‬
                                           .37 257 .        . .         .     1989 .Y Ghendon .1
         249          1983                                                             Riddiough .2
                                                                                                 .3189
                                     .25 4 .rev .Epidemiol 1982                            Glezen .3
                                  .98 53             .J .        2000 .T                             .4
         .4276 67            .      1999           Hagan'O .G                         Barackman .5
     and ,.R ,Rappuoli ,.G ,Douce ,.G ,Dougan ,.V ,Giannelli ,.G ,Del Giudice ,MM ,Giuliani .6
                                                          .1123 ,187 ,.Med .Exp .J ,1998 .M ,Pizza
    ,.R ,Rappuoli ,.M ,Pizza ,.D ,Hagan'O ,.H ,Stewart ,GA ,Murphy ,.E ,McNeela ,EJ ,Ryan .7
                                                    .6270 ,67 ,.Immun .Infect ,1999KH ,and Mills
 .I ,d Jonsdottiran ,CA ,Siegrist ,.M ,Moreau ,.G ,Del Giudice ,.S ,Bjarnarson ,.H ,Jakobsen .8
                                                                     .1443 ,70 ,.Immun .Infect ,2002
.559 ,6 ,Vaccines .Expert Rev ,2007JD ,and Hayball ,MP ,Brown ,KR ,Diener ,CK ,Fraser .9
      ,Vaccine ,2004DS ,and Burt ,GH ,Lowell ,.N ,Bellerose ,.F ,Allard ,.S ,Cyr ,.T ,Jones .10
                                                                                             .3691 ,22
                                    .4917 ,75 ,.Immun .Infect ,2007 .K ,and Chadee ,CP ,Ivory .11
   ,Lingnau ,.C ,Kritsch ,.A ,Williams ,.G ,Hatch ,AW ,Olsen ,.I ,Rosenkrands ,EM ,Agger .12
                                                                                                    ,.K
      .5452 ,24 ,Vaccine ,2006 .P ,and Andersen ,KS ,Korsholm ,CS ,Andersen ,.A ,von Gabain
                                                  .183 ,14 ,.Sci .    .J .Eur ,2001DJ ,Brayden .13
               .660 ,11 ,Vaccine ,1993 .L ,and Illum ,.S ,Wharton ,.D ,Rafferty ,DT ,Hagan'O .14
           .J ,1994 .L ,and Benedetti ,.M ,Miglietta ,.L ,Gill ,AN ,Fisher ,NF ,Farraj ,.l ,Illum .15
                                                                                           Controlled
                                                                                    .133 ,29 ,easeRel
          ,1998FW ,and David ,.A ,Giovanni ,.B ,Paola ,.R ,Marco ,.D ,Partrick ,.C ,Davide .16
                                                                                             -Biomate
                                                                                      .2101 ,19 ,rials
      and ,.L ,Callegaro ,.L ,Bacella ,.L ,Rochira ,.M ,Miglietta ,.P ,Ramires ,.J ,Richardson .17
                                                           .9 ,115 ,Pharm .J .Int ,1995 .L ,Benedetti
       ,16 ,Vaccine ,1998 .L ,and Illum ,SS ,Davis ,.R ,Rappuoli ,AN ,Fisher ,.I ,Gill-Jabbal .18
                                                                                                 .2039
     Drug .Adv ,2001SS ,and Davis ,AN ,Fisher ,.M ,Hinchcliffe ,.I ,Gill-Jabbal ,.L ,Illum .19
                                                                                                .Deliv
                                                                                        .81 ,51 ,.Rev
                           .269 ,2 ,Expert Review Vaccines ,2003 .M ,and Singh ,.D ,Hagan'O .20
                 .1 ,12 ,.Drug Carrier Syst .Ther .Rev .Crit ,1995 .H ,and Toguchi ,.H ,Okada .21
 published erratum appears in Nat] 16 ,.Biotechnol .Nat ,1998PA ,and Burke ,SD ,Putney .22
                                                             .153 ,[478:(5)16;May 1998Biotechnol
  .661 ,81 ,Immunology ,1994AM ,and Mowat ,DT ,Hagan'O ,AM ,Donachie ,KJ ,Maloy .23

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Translated File1

  • 1. 1 19 Malyala . iscoms .( ) . . .mucosally . mucosally *** * * * Microparticles 19.1 . cosal . . [ 1] - . ( ( - .[2] quence .M . 94608 Emeryville 4560 com.singh novartis.Manmohan @ : (.ed) .Vajdy M 2008 + 499 2 500 .M Malyala .P .[3] - subcu - . taneous immu . nization
  • 2. . . - . - mercially . cines . 19.2 - ( ) ( ) .[4] - Fõ . . cused - ) ( ribosylating -ADP secre . 63LTK ) 63LTK .[5] (72LTR ribosyltransferase -ADP 1 ) 72LTR .[5] ( .[5] . - . intravaginal . 3 19 501 .[6]) - pneu .S [7]) .B [9]) ([8] moniae . .[8]) . Protollin 31 - .[10 9] TLR .
  • 3. . immunostimulatory (ODN)oligodinucleotides - . (9TLR) 9 nuclease ODNs - .[11] 12) (6) phosphorothioate ODNs - . ODNs .[11] 9TLR 1Th amebia .[11] . ( ) inhibitable galactosamine - / histolytica .[11]ODN - ODN - herence . 1Th ducer 1Th .[11] KLKL 31IC 5 a1immunostimulatory oligodeoxynucleotide ODN KLK - stim .1Th 9TLR a1ODN 31IC ulatory 9TLR proinflammatory 1Th IFN 9TLR .[12] 1Th 9TLR 9TLR [12] (pDCs)plasmacytoid dosomal TLRs 4TLR 9TLR .[12] 4 502 .M Malyala .P 9TLR .[12] - IFN + 8CD - poten .[12] nationci immunomodulator 31IC 9TLR 31IC . KLKL 5 KLK
  • 4. . ( ) 6- - B85Ag HBHA KLKL .[12] 5 KLK transfection .[12]) - . 31 - 6 - - B85Ag 31IC 6 - - B85Ag .[12] + 4CD . - IFN Proteosomes Protollin - Protollin .LPS (rHA) ( ) 250 IFN [10] splenocytes rHA -Protollin .5 - Protollin strating .[13] (19.2) bioadhesive . 19.3 Bioadhesive 19.3.1 bioadhesion 1980 bioadhesive .[14] mucoadhesion . 5 19 503 Mucoadhesion . .[14] mucoadhesion . bioadhesive - epithe bioadhesive .[14]lium methacrylic chitosans
  • 5. mucopolysaccharide [15] - . - glucuronic ification HYAFF .[16]HYAFF .[17] coacervation bioadhesive HYAFF .[17 15] HYAFF . - bioad hesive microsphere ( ) .63LTK bioadhesive + .(19.2 19.1 .Figs) microsphere bioadhesive microsphere . 0 500 1000 1500 2000 2500 42 56 63LTK + HYAFF + + 63LTK 19.1 . ( ) 63LTK .(HYAFF + + 63LTK ) HYAFF bioadhesive (+ HYAFF ) ( ) -- / + ( ) .(63LTK + ) 6 504 .M Malyala .P 0 400 800 1200 1600 63LTK + +HYAFF + + 63LTK
  • 6. HYAFF 19.2 . ( ) ( ) hemagglutination + ) esiveHYAFF bioadh 63LTK ( ) .(HYAFF + 63LTK .(63LTK + ) (+ HYAFF ) bioadhesive ([18] excipient .[18] - immunomodula .[19] / . bioadhesive - deliv 'bioadhesion' ery . bioadhesive (): ( ) ( ) . () . . PL G M icroparticles 19.3.2 - scine - attrac .(PLG) (glycolide -lactide ) PLG resorbable ( 1 ~) [22 21 20] . ( ) [24 23] . ( ) 7 19 505 PLG [26 25] . . .[27] ( ) LGP [28] . [28]
  • 7. ) microparticle ( ) - benzyltrimety solfinate 45-20 ( divinylbenzene lammonium .[29] IFN . 6-2- 4- .( ) 1Th - phenotyp PLG - -1- ically PLG . temic 1- - immunos .( ) - (NCL) ( taining b11CD + . / PLG b11CD ( ) ( ) .[30] [29] ( ) [31] / - PLG b11CD + [31] . 1- / PLG .[32]hybridoma Microparticles PLG 19.3.2.1 . . munization 8 506 .M Malyala .P . PLG [35 34 33] [39 38 37 36] Bordetella - immu .[41] typhimurium ([40]
  • 8. nization - .[42]intravaginal croparticles .[43] terotoxin .[44] - deliv .[46 45] ery .[47] (oMALT) - deliv .[48]ery [49 13] .[50] . - underes .timated .[13] Niosomal L iposomal 19.3.3 liposomal Liposomal . - ] . somes . .[51] niosomes ( ) - . ( ) amphiphilic .[52] Liposomal . . 9 19 507 . Somroop ( ) pilus (LPS) 1lipopolysaccharide O (rTcpA) .[51] ODN - ( ) . ) própria ( . 13 6
  • 9. TcpA - - LPS 4 19.1 . 3 .[51] . 3 . .[53] ( ) monomthoxy tresyl MVAIIIB) (TMPEG) -- / . - poxvirus ( PEGylation liposome/TMPEG-gal- / MVAIIIB - . - / BALB temic deliv poxvirus Niosomes Mannosylated .[53] (19.1) eries ( ) palmitoyl .[54 13] ( ) 19.1 [55 53 51] - 750 -- / 2200 -- -- 4 ( ) -- 10
  • 10. 1 O .V + ) + LPS (TcpA . ODN -- 72 31 -- 64 -- 10 508 .M Malyala .P - Niosomes Mannosylated 19.2 Protollin [54 12] / 1.78 Niosomes / 56.23 Mannosylated / Niosome 1000 / /
  • 11. 20 // 24 / Protollin / / 3397 - . Peyer ( ) ( ) .[54] (19.2) - ODN - - . Tafaghodi .[55] munoreactivity - . (0.001) .(19.1) ODN - (0.05> ) . lavages (0.01> ) . . ) . .[55] - ODNs ( . ODNs ODNs sponses .[56] / 19.4 ‫ﺟ‬ . . 11 19 509 . . .[59 58 57] geting .[61 60] .
  • 12. . Nelle Cronen . ‫ﺟ‬ .37 257 . . . . 1989 .Y Ghendon .1 249 1983 Riddiough .2 .3189 .25 4 .rev .Epidemiol 1982 Glezen .3 .98 53 .J . 2000 .T .4 .4276 67 . 1999 Hagan'O .G Barackman .5 and ,.R ,Rappuoli ,.G ,Douce ,.G ,Dougan ,.V ,Giannelli ,.G ,Del Giudice ,MM ,Giuliani .6 .1123 ,187 ,.Med .Exp .J ,1998 .M ,Pizza ,.R ,Rappuoli ,.M ,Pizza ,.D ,Hagan'O ,.H ,Stewart ,GA ,Murphy ,.E ,McNeela ,EJ ,Ryan .7 .6270 ,67 ,.Immun .Infect ,1999KH ,and Mills .I ,d Jonsdottiran ,CA ,Siegrist ,.M ,Moreau ,.G ,Del Giudice ,.S ,Bjarnarson ,.H ,Jakobsen .8 .1443 ,70 ,.Immun .Infect ,2002 .559 ,6 ,Vaccines .Expert Rev ,2007JD ,and Hayball ,MP ,Brown ,KR ,Diener ,CK ,Fraser .9 ,Vaccine ,2004DS ,and Burt ,GH ,Lowell ,.N ,Bellerose ,.F ,Allard ,.S ,Cyr ,.T ,Jones .10 .3691 ,22 .4917 ,75 ,.Immun .Infect ,2007 .K ,and Chadee ,CP ,Ivory .11 ,Lingnau ,.C ,Kritsch ,.A ,Williams ,.G ,Hatch ,AW ,Olsen ,.I ,Rosenkrands ,EM ,Agger .12 ,.K .5452 ,24 ,Vaccine ,2006 .P ,and Andersen ,KS ,Korsholm ,CS ,Andersen ,.A ,von Gabain .183 ,14 ,.Sci . .J .Eur ,2001DJ ,Brayden .13 .660 ,11 ,Vaccine ,1993 .L ,and Illum ,.S ,Wharton ,.D ,Rafferty ,DT ,Hagan'O .14 .J ,1994 .L ,and Benedetti ,.M ,Miglietta ,.L ,Gill ,AN ,Fisher ,NF ,Farraj ,.l ,Illum .15 Controlled .133 ,29 ,easeRel ,1998FW ,and David ,.A ,Giovanni ,.B ,Paola ,.R ,Marco ,.D ,Partrick ,.C ,Davide .16 -Biomate .2101 ,19 ,rials and ,.L ,Callegaro ,.L ,Bacella ,.L ,Rochira ,.M ,Miglietta ,.P ,Ramires ,.J ,Richardson .17 .9 ,115 ,Pharm .J .Int ,1995 .L ,Benedetti ,16 ,Vaccine ,1998 .L ,and Illum ,SS ,Davis ,.R ,Rappuoli ,AN ,Fisher ,.I ,Gill-Jabbal .18 .2039 Drug .Adv ,2001SS ,and Davis ,AN ,Fisher ,.M ,Hinchcliffe ,.I ,Gill-Jabbal ,.L ,Illum .19 .Deliv .81 ,51 ,.Rev .269 ,2 ,Expert Review Vaccines ,2003 .M ,and Singh ,.D ,Hagan'O .20 .1 ,12 ,.Drug Carrier Syst .Ther .Rev .Crit ,1995 .H ,and Toguchi ,.H ,Okada .21 published erratum appears in Nat] 16 ,.Biotechnol .Nat ,1998PA ,and Burke ,SD ,Putney .22 .153 ,[478:(5)16;May 1998Biotechnol .661 ,81 ,Immunology ,1994AM ,and Mowat ,DT ,Hagan'O ,AM ,Donachie ,KJ ,Maloy .23