Gene Ther Mol Biol Vol Vol 12, 7-14,
2008
Pro-apoptotic gene
enhances the immunogenicity of glycoprotein B gene of herpes simplex virus-1
Masoud Parsania1,
Zuhair Muhammad Hassan2,*, Taravat Bamdad1, Maryam Kheirandish3,
Mohammad
Hassan Pouriayevali1, Rohollah Dorostkar
Sari1, Mohammad Nabi Sarbolouki4, Abbas Jamali1, Mehdi Mahdavi2
1Department of Virology, School of Medical Sciences,
Tarbiat Modares University, Tehran, Iran;
2Department of Immunology, School of Medical Sciences,
Tarbiat Modares University, Tehran, Iran;
3Research Center, Iranian Blood Transfusion
Organization, Tehran, Iran;
4Institute of Biochemistry and Biophysics, Tehran
University, Tehran, Iran
__________________________________________________________________________________
*Correspondence: Zuhair
Muhammad Hassan, Department of Immunology,
School of Medical Sciences, Tarbiat Modares University, P. O. Box: 14115-111,
Tehran, I.R.Iran; Tel: +98[21] 82883565; Fax: +98[21] 88006544; E-mail:
hasan_zm@modares.ac.ir
Key words: Apoptosis; Bax; DNA vaccine;
HSV-1
Abbreviations: 3-(4,5-dimethylthiazol-2-yl)-2,5-dipheyltetrazolium
bromide, (MTT); Antigen
Presenting Cells, (APCs); Cytotoxic T Lymphocyte, (CTL); DulbeccoÕs
Minimal Eagle Medium, (DMEM); Fetal Calf Serum, (FCS); glycoprotein of B, (gB); glycoprotein
of D, (gD); Herpes Simplex Virus type 1, (HSV-1)
Summary
Increasing apoptosis in transfected host
cells has caused a significant enhance in the immunogenicity of DNA vaccine. It
has been known that pro-apoptotic protein Bax induces apoptosis and adjuvant
effect of Bax is achieved when suitable dose of the Bax gene is used as a
molecular adjuvant. We compared three doses of Bax encoding plasmid (pbax)
including 10, 25 and 50 μg of plasmid DNA, intradermally co-injected with
glycoprotein B (gB) of Herpes Simplex Virus (HSV)-1encoded plasmid (pgB) into
the C57BL/6 mice. Then, the responses of the mice to viral challenge and serum
antibody levels, as well as lymphoproliferative responses and cytokine
production by splenocytes were studied. Our findings showed that the mice
immunized with 25 μg pbax together with pgB had more efficient protection
than the mice immunized with 10 and 50 μg of pbax together with pgB.
Analysis of the cellular and humoral responses showed that the mice immunized
with 25 μg pbax and pgB induced higher levels of antibody as well as
stronger lymphocyte proliferative responses and higher levels of Interleukin-4
compared to those mice received 10 and 50 μg of pbax together with pgB. It
is concluded that co-immunization with 25 μg of pbax and pgB increased the
induced immune responses comparing to 10 and 50 μg of pbax and pgB.
Gene vaccination or plasmid
DNA immunization is a promising strategy for the development of new vaccine to
elicit immune responses against an encoded antigen that leads to protective
humoral or cell-mediated immune responses (Donnelly et al, 1997; Giese 1998; Lemieux et al, 2002).
There are many approaches being
tried to enhance the immuogenicity of DNA vaccines. These include the use of
conventional adjuvant (Ulmer et al, 1999; Wang et al,
2000), the optimization of antigen expression, the use of various
cytokines or other immunologically active molecules which may be encoded within
the same vector (Kim et al, 1998; Bower et al, 2005;
Nimal et al, 2005) and also the combined use of DNA vaccine and live
virus (Ada and Ramshaw,
2003).
Studies have linked the
immunostimulatory properties of apoptotic cell death to enhanced antigen
presentation and cytotoxic T Lymphocyte (CTL) responses (Albert et al, 1998; Rover et al, 1998). More recent
studies have shown that apoptotic death can be triggered by a variety of
mechanisms, accompanied by the production and release of various factors that
help the immune system to make a decision about the handling of the dead cells.
The apoptotic cells are recognized by professional Antigen Presenting Cells
(APCs) through an assay of the molecules found on the surfaces of dying cells
through the receptors such as CD36, CD14, CD91, or class A scavenger receptor.
After ingestion and degradation of the antigen-loaded apoptotic cells, the APCs
migrate to a lymphatic organ and present the antigen of interest to CD4+ and
CD8+ T cells. Various reports have shown that the immunogenicity of antigenic
material associated with dead or dying cells enhances DNA vaccine efficacy (Leitner and Restifo, 2003; Bergmann-Leitner and Leitner,
2004).
Herpes simplex virus type 1
(HSV-1) is common throughout the world. HSV-1 can cause a variety of clinical
illnesses including oral-facial infections, cutaneous infections, neonatal
herpes, herpes encephalitis and disseminated infections. Many HSV infections,
however, are either asymptomatic or unrecognized. Despite efforts over many
years to develop prophylactic protection against HSV infection, there is no
effective vaccine available yet (Bernstein and
Stanberry, 1999; Koelle and Corey, 2003).
The HSV glycoproteins of B and D (gB and gD) are attractive choices for
vaccination, because they are targets for both humoral and cell mediated
immunities (Stanberry
et al, 2002). With regard to HSV, several reports have demonstrated that immunization
of animals with the expression of plasmids encoding HSV glycoproteins of B and
D induces virus specific humoral and cellular responses and protects animals
from experimental HSV challenge (Flo et al, 2000;
Koelle and Corey, 2003).
The efficacy of dendrosome
(novel dendritic spheroid nanoparticle gene porters) has been assessed in
transferring cDNA into various cell lines and target cells in BALB/c mice.
Previous studies have shown the efficacy of dendrosome (Den)123 nanoparticles
in delivering the DNA vaccine (Sarbolouki et al, 2000;
Balenga et al, 2006).
Bax gene is a pro-apoptotic
member of bcl-2 family. Transfection of cells with a plasmid encoding Bax has
been shown to cause the transfected cells to undergo programmed cell death over
a period of days by triggering the mitochondrial pathway of apoptosis (Li et al, 2001; Kinsey et al, 2004). Increasing
apoptosis in DNA vaccine transfected host cells causes to enhance the
immunogenicity of the DNA-encoded antigen. An enhancement of the DNA
vaccine-induced immune response is only achieved when careful tittering of the
Bax-encoding plasmid dose is used as a molecular adjuvant (Bergmann-Leitner and Leitner, 2004).
The present study investigated
the potentials of apoptosis induced by Bax gene when co-delivered with gB of
HSV-1 encoding plasmid. Thus, we three doses of Bax-encoding plasmid including
10, 25 and 50 μg of plasmid DNA with Den123 were evaluated for their
ability to enhance immune responses, when co-administrated with gB of HSV-1
encoding plasmid.
ІІ.
Materials and Methods
A. Cell line and viruses
Vero (African green monkey kidney cells) cell line was
used for propagation of the viruses. The cells were cultured in DulbeccoÕs
Minimal Eagle Medium (DMEM; Gibco, UK) supplemented with 10% fetal calf serum
(FCS; Gibco, Belgium). Wild-type strain HSV-1 was isolated from a cold sore
lesion of a patient. The virus was confirmed as HSV-1 by an HSV-1 specific
monoclonal antibody (Soleimanjahi et al, 2003).
The wild-type strain HSV-1 and its KOS strain were grown and tittered on the
Vero cell line and stored at -70ûC.
B. Mice
Male inbred C57BL/6 mice (6 to 7 weeks old) were
purchased from Pasteur Institute (Tehran, I.R.Iran). All animal procedures were
performed according to the approved protocols and in accordance with the
recommendations for the proper use of laboratory animals.
C. Plasmid DNA constructs
Plasmid DNA encoding HSV-1 gB was constructed by the
insertion of the gB of HSV-1 into pcDNA3 under the control of CMV promoter as
described previously (Bamdad et al, 2005). The
plasmid containing Bax; pcDNA3-Bax was kindly provided by Wolfgang W. Leitner
from the National Cancer Institute (National Institute of Health, Bethesda,
Maryland, USA).
D. Dedrosome123
Den123 was synthesized under sterile conditions as
previously mentioned (Sarbolouki et al, 2000).
It was suspended at a concentration of 10 mg/ml in phosphate-buffered saline (PBS) and left at ambient
temperature for 15 min. The suspension was filtered through 0.22 μm
filters (Schleicher and Schuell) and stored at 4ûC.
E. Preparation of plasmid-Den123 and immunization
Fifty to 100 μg of the plasmids were mixed with
proper amounts of Den123 just before injections so that a plasmid to Den123
ratio of 150:1 was obtained for all the groups receiving DNA. The mixture was
left for 5 min at ambient temperature. The final volume for DNA vaccination was
100 μl in sterile PBS, which was then injected intradermally into four
different sites (left upper, right upper, left lower and right lower back of
the mice). Ten to 13 mice per group were immunized and challenged in each
experiment and the mice were grouped according to Table 1.
F. Antibody assay
Blood samples were collected two weeks after the last
immunization by tail bleeding. Enzyme-linked immunosorbent assay (ELISA) was
performed as previously described (Pachl et al, 1987;
Sin et al, 1999). Briefly, 96-well microtiter plates (Immunoplates
Maxisorp, Nunc) were incubated with lectin-purified KOS strain HSV-1
glycoprotein as a coating antigen (Nass et al, 2001)
for 48 h at 4¡C and blocked with PBS containing 2% bovine serum albumin (Gibco)
for 2 h at 20¡C. Sera diluted 1:50 in blocking solution including 0.05% Tween
20. Each serum sample was determined by duplicate and represented as mean of
them. To determine IgG antibodies was detected with a horseradish peroxidase-goat
anti-mouse IgG conjugate (1:10000 dilution; Sigma) incubated for 1 h. After
extensive washing, color was developed with ortho-phenylenediamine
dihydrochloride (Sigma) for 30 min in the dark, the reaction terminated with 3N
H2So4 and absorbance measured at 490 nm. The antibody
response of each mouse was measured individually and represented as optical
density (OD) value for a given serum dilution.
Table
1. The information of the immunized groups and the time table of immunization,
sampling and viral challenge.
|
Groups |
pgB |
pgB-Bax10 |
pgB-Bax25 |
pgB-Bax50 |
pbax |
pcDNA3 |
Den |
PBS |
KOS |
|
Injected materials |
50 μg pcDNA3-gB plus
Den123 |
50 μg pcDNA3-gB and10
μg pcDNA3-Bax plus Den123 |
50 μg pcDNA3-gB and 25
μg pcDNA3-Bax plus Den123 |
50 μg pcDNA3-gB and 50
μg pcDNA3-Bax plus Den123 |
50 μg pcDNA3-bax plus
Den123. |
50 μg pcDNA3 plus
Den123 |
Den123 in 100 μl
sterile PBS |
100μl
sterile PBS |
1×106 pfu
of HSV-1 strain KOS |
|
Day 0 |
First injection of the
materials to the mice in different groups |
||||||||
|
Day 14 |
Second injection of the
materials to the mice in different groups |
||||||||
|
Day 28 |
Third injection of the
materials to the mice in different groups |
||||||||
|
Day 42 |
Blood collection, harvest of
splenocytes from 5 mice and viral challenge with wild-type strain HSV-1 to
the other mice |
||||||||
|
Up to day66 |
Monitoring of the survival rate daily for 14 days after the challenge |
||||||||
G. Lymphocyte proliferative response
Spleen was removed from the immunized mice and
homogenized in PBS (pH 7.4). The erythrocytes cell suspension was lysed with
0.75% Tris-NH4CL (pH 7.4). After being washed three times with PBS,
the splenocytes were resuspended at 2 × 106 cells/ml with the
supplemented RPMI 1640 containing 10% FCS, 14 mM Hepes, 50 mM
2-mercaptoethanol, 100 μg/ml streptomycin and 100 IU/ml penicillin. The
splenocytes were then plated in 96-well flat-bottom plates at 100 μl per
well (2 ×105 cells per well). Subsequently, 100 μl per
well of the medium with or without three multiplicity of infection (moi) of the heat inactivated KOS strain of HSV-1 were
added to the plates and mixed. Phytohemagglutinin-A (5 μg/ml; Sigma) was
used as a positive control. Each animalÕs splenocytes were plated in
triplicate. The proliferative response was measured by
3-(4,5-dimethylthiazol-2-yl)-2,5-dipheyltetrazolium bromide (MTT) assay
according to the method described by Xiao and colleagues (Xiao et al, 2004). Stimulation Index (SI) was calculated
as:
SI= OD of the wells containing inactivated
virus-stimulated cells/ OD of the wells containing only the cells with medium.
H. Cytokine assays
The splenocytes were prepared, cultured and stimulated
as described earlier. After 48 h, the culture supernatents were harvested to
test the presence of IFN-γ and IL-4. Assays for IFN-γ and IL-4 were
performed using ELISA procedures according to the manufacturerÕs instructions
(R&D Systems, Minneapolis, MN, USA). Absorbance was measured at 450 nm and
the results were expressed as pg/ml IFN-γ or IL-4 in the samples, based on
the standard curve.
I. Viral challenge
Two weeks after the last immunization, the mice were
challenged by intraperitoneal route with 1 × 106
plaque-forming unit (pfu) of wild-type strain HSV-1 (which is the minimum dose
that causes 100% mortality in the unvaccinated mice) and the survivals
monitored for two weeks.
J. Statistical analysis
Proliferation assay and the production of cytokines
were analyzed by one-way ANOVA followed by tukey's test. Kaplan-Meier analysis
and the log rank test were used for the survival rate. Values of P < 0.05
were considered as significant.
ІІІ. Results
A. Antibody responses
Antibody production was
measured two weeks after the last immunization. As shown in Figure 1,
all groups of the mice, immunized with the construct containing gB gene (pgB,
pgB-bax10, pgB-bax25 and pgB-bax50), induced significantly higher levels of IgG
production comparing to the negative control groups (PBS, pcDNA3, pbax and
Den). The KOS immunized group showed the highest IgG level (P < 0.001).
Furthermore, the pgB-Bax25 group showed significantly higher IgG level compairing
to the other gB encoding plasmid immunized groups (P < 0.001). In contrast,
the pgBax-50 group showed significantly lower IgG level comparing to the other
gB encoding plasmid immunized groups (P < 0.05).
B. Lymphocyte
proliferation
The proliferation of
lymphocytes was estimated in all the groups for evaluation of cell-mediated
immunity. The lymphocyte proliferative responses were analyzed two weeks after
the third immunization. The obtained results indicated a significant increase
in the stimulation index in the mice immunized with the construct containing gB
(pgB, pgB-bax10, pgB-bax25, pgB-Bax50) comparing to the negative control groups
i.e. pcDNA3, pbax and Den (Figure 2).
Although proliferative
response in the pgB-bax25 group was enhanced comparing to the pgB group, but
the difference was not significant. In contrast, proliferative response in the
pgB-bax50 group was significantly lower than in the pgB, pgB-Bax10 and
pgB-bax25 groups (P< 0.05). The highest stimulation index was observed in the
splenocytes of the KOS immunized mice (P<
0.0001).
C. Cytokine
assays
The shifting of immune
response in all the groups was evaluated by measuring IFN-γ and IL-4
levels as indicators of Th1 or Th2 cell responses, respectively.
Cytokine assays were analyzed two weeks after the
third immunization followed by in vitro restimulation of the splenocytes from
the immunized mice. Production of IFN-γ and IL-4 in the supernatants of
the inactivated virus-stimulated splenocytes from the immunized mice was
assessed. As shown in Figure 3A, all groups of the mice immunized with
the construct containing gB gene (pgB, pgB-Bax10, pgB-bax25 and pgB-bax50)
induced significantly higher levels of IFN-γ production comparing to the
negative control groups (PBS, pcDNA3, pbax and Den). The amount of IFN-γ
in pgBbax50 group was significantly lower than in the pgB, pgB-Bax10 and
pgB-bax25 groups (P < 0.05, P< 0.05 and P = 0.003, respectively). There
was no significant difference in IFN-γ level between the pgB pgB-Bax10 and
pgB-bax25 groups. The highest level of the IFN-γ production was observed
in the KOS group (P< 0.0001). As shown in Figure 3B, significantly
higher IL-4 levels were found in the supernatants of cultured splenocytes from
the KOS and pgB-Bax25 groups comparing to the mice in the other groups (P <
0.0001). There was no significant difference in IL-4 level between the pgB,
pgB-Bax10 and pgB-bax50 groups. The obtained results also indicated that the
mice in the pgB-bax25 group induced enhanced Th2- type immune response.

Figure 1. Antibody
production measured two weeks after the last immunization by Enzyme-linked
immunosorbent assay as described in the
Materials and Methods. The means
(the mean of five animals) of serum IgG antibody level were measured using the
collected serum samples.
♦
The KOS immunized group showed the highest IgG level (P < 0.001).
♦♦ The
pgB-Bax25 group showed significantly higher IgG level comparing to the other gB
encoding plasmid immunized groups (P < 0.001).
♦♦♦ The pgB-Bax50 showed significantly lower IgG level
comparing to the other gB encoding plasmid immunized groups (P < 0.05).

Figure
2.
Lymphocyte proliferative responses after in vitro stimulation with the heat
inactivated KOS strain of HSV-1. Two weeks after the third immunization, each
group of mice (n=5) was sacrificed and the splenocytes were stimulated with
three moi of the heat inactivated KOS strain of HSV-1. After 48 h of
stimulation, MTT was added and the OD was determined after a further 4 h
inoculation. The samples were assayed in triplicate.
♦ P< 0.0001, KOS immunized group showed highest lymphocyte
proliferation.
♦♦ P< 0.05, pgB-Bax50 group showed significantly lower lymphocyte
proliferation comparing to the other gB encoding plasmid immunized groups.


Figure 3. Cytokine
production by the splenocytes of the immunized mice. The C57BL/6 mice were
immunized three times as described in the Materials and Methods. Two weeks
after the third immunization, the mice were sacrificed and the splenocytes from
five mice per group were harvested. Then single-cell suspensions of the
splenocytes were prepared and stimulated in vitro for 48h with the
heat-inactivated KOS strain of HSV-1, as described in the Materials and
Methods. The concentrations of IFN-γ (A), IL-4 (B) in the supernatants were measured by ELISA.
♦
P<
0.0001 KOS immunized group showed highest IFN-γ production (A).
♦♦ pgB-Bax50 was significantly lower than the pgB, pgB-Bax10 and
pgB-bax25 groups (P < 0.05, P< 0.05, P = 0.003, respectively) (A).
♦, ♦♦ P< 0.0001 KOS and pgB-Bax25 groups induced significantly higher level of IL-4 production
comparing to the pgB, pgB-Bax10 and pgB-bax50 groups (B).
D.
Intraperitoneal acute HSV-1 challenge
The mice were challenged with
1×106 pfu of the wild-type strain
HSV-1 intraperitoneally two weeks after the third immunization and the survival
rate was recorded for 14 days. The survival rates are shown in Figure 4.
The mice immunized with pgB-Bax25 and the mice immunized by live virus (strain
KOS) showed a 100% survival rate, as compared with 80% survival rate in the
group immunized with pgB and pgB-Bax10. All the mice in the negative control
groups immunized with PBS, pcDNA3, Den (data not shown) and pbax died after the
viral challenge. A significant decrease in the resistance to virus challenge
was recorded in the pgB-Bax50 group compared with the pgB-Bax25 group (P =
0.025).
ІV. Discussion
In the present study, we
investigated the effect of apoptosis on the efficacy of a DNA vaccine against
HSV-1. Our results showed that bax-encoding plasmid enhanced immune responses
during the DNA vaccination when a suitable dose was used.
The apoptotic death of the
DNA vaccine transfected host cells could be very beneficial when attempting to
improve the efficiency of genetic immunization (Leitner
and Restifo, 2003; Bergmann-Leitner and Leitner, 2004). Kinseye and
colleagues have explored that co-injection of the plasmids encoding gp 120 of
HIV and Bax elicited both humoral and cytotoxic immunity (Kinsey et al, 2004). In the present study, our
finding showed that simple intradermal co-injection of the pro-apoptotic bax
gene together with a plasmid encoding gB of HSV-1 increased the protective
immune responses to the antigen. The obtained data indicated that serum antibody
level and production of IL-4 from the splenocytes after antigenic stimulation
in the pgB-bax25 group were significantly higher than in the pgB group.

Figure
4.
Survival of the immunized mice after wild-type
strain HSV-1 challenge. All the groups immunized with pgB (n=8) and the positive and
negative control groups (n=5) were immunized as described in the Materials and
Methods. Two weeks after the third immunization, the mice were challenged with
1×106 pfu of the wild-type
strain HSV-1 by intraperitoneal route. The survival rate was monitored daily for 14
days after the challenge.
♦ P = 0.025, comparing the
pgB-Bax25 group with the pgB-Bax50 group.
Surprisingly, Osorio and Ghiasi have shown that IL-4
has an important role in the enhancement of protective immunity against HSV-1
due to the raise in virus clearance (Osorio and Ghiasi,
2003). Also, in our experiment, enhancement of serum antibody level and
IL-4 production in the pgB-bax25 group increased the resistance to virus
challenge comparing to the pgB group. Our findings confirmed the shifting of
immune response to Th2, supporting the previous data of Nimal and colleagues (Nimal et al, 2007).
Despite that there are much
evidence demonstrating a significant correlation between apoptosis and
increased immunogenicity in DNA vaccine (Sasaki et al, 2001; Nimal et al, 2007), some reports indicated that adjuvant activity of
apoptosis must be restricted, because antigen expression must precede cell
death, thereby, allowing the accumulation of antigenic material (Sasaki et al, 2001; Bergmann-Leitner and Leitner, 2004). Thus,
an enhancement of DNA vaccine-induced immune response is only achieved when
carefully titered dose of the bax-encoding plasmid is used as a molecular
adjuvant (Bergmann-Leitner and Leitner, 2004).
In this study, we compared three doses of bax-encoding plasmid including 10, 25
and 50 μg of plasmid DNA when co-administrated with 50 μg of gB
encoding plasmid for the induction of protective immune responses. Our results
showed a significant reduce in the cell mediated immunity as well as in the
protection to virus challenge in the pgB-bax10 and pgB-bax50 groups comparing
to the pgB-bax25 group. Based on the evidence cited above, in the case of
pgB-bax50 group probably rapid apoptosis occurred in the transfected cells with
50 μg bax encoding plasmid, and interfered with antigen expression by
co-administration with gB encoding plasmid, thus reducing the immune response
against this antigen. Also it seems that in the pgB-bax10 group mild apoptosis
occurred in the transfected cells with 10 μg bax encoding plasmid, thus
adjuvant activity of apoptosis was insufficient. In pgB-bax10 group, immune
responses such as serum antibody level, lymphocyte proliferative response and
IFN-γ and IL-4 production slightly increased comparing to the pgB group,
but the differences were not significant. However, it is suggested when 25
μg of bax-encoding plasmid was used, the expression of antigen occurred
before the generation of apoptotic bodies and caused a great enhancement in the
immunogenicity of DNA vaccine. In their recent report, Sasaki and colleagues
showed that antigen-laden apoptotic bodies created by the vectors co-expressing
influenza virus hemagglutinin and nucleoprotein genes as well as mutant caspase
genes, markedly increased immune responses (Sasaki et al, 2001). They also reported that the
adjuvant activity was restricted partially to the inactivated caspases that
allowed immunogen expression before the generation of apoptotic bodies.
Further, they demonstrated that immunomodulatory effect can be achieved
depending on the dose, the kinetics of apoptosis induced and the ratio of the
antigen plasmid to apoptosis plasmid (Sasaki et al,
2002). We and others have found that when bax encoding plasmid
co-administrated with DNA vaccine by simple co-injection, the dose of the
apoptosis gene encoding plasmid must be optimized (Kinsey
et al, 2004).
One of the concerns about the
safety of DNA vaccine has been insertional mutagenesis (Robinson and Pertmer, 2000; Sasaki et al, 2001; Li et al, 2001). Expression of the bax gene necessarily leads to
self-limiting, because most of the transfected cells die within a few days (Li et al, 2001; Xiao et al, 2004). Thus, triggering
of apoptosis in the cells transfected with a DNA plasmid eliminates a lingering
safety concern of many critics of DNA vaccines, the unlikely but theoretically
possible integration of the DNA into the hostÕs genome, resulting in tumor
genesis.
In conclusion the results of
our study showed that co-immunization with 25 μg of bax-encoding plasmid
and gB-encoding plasmid increased the induced immune responses comparing to 10
and 50 μg of bax-encoding plasmid and gB-encoding. Finally we recommend to
evaluate the degree of apoptosis in the transfected cells, with the aim of
confirming and determining the exact effects of apoptosis on enhancing the
efficacy of DNA vaccine.
Acknowledgements
We would like to thank Dr
Wolfgang W. Leitner (National Cancer Institute, National Institute of Health,
USA) for his kind gift of the bax cDNA construct and a critical review of the
article. This work has been supported financially by Tarbiat Modares University
(Tehran, Iran).
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Zuhair
Muhammad Hassan