Atlas of Genetics and Cytogenetics in Oncology and Haematology


Home   Genes   Leukemias   Solid Tumours   Cancer-Prone   Deep Insight   Case Reports   Journals  Portal   Teaching   

X Y 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 NA

ALOX5 (Arachidonate 5-Lipoxygenase).

Identity

Other names5-LO
EC 1.13.11.34
leukotriene A4 synthase
5LPG
LOG5
Hugo ALOX5
Location 10q11.2
Local_order Genes flanking ALOX5, in centromere to telomere direction on 10q11, are:
  • OR6D1P 10q11.21 olfactory receptor, family 6, subfamily D, member 1 pseudogene.
  • LOC643413 10q11.21 hypothetical protein LOC643413.
  • OR13A1 10q11.21 olfactory receptor, family 13, subfamily A, member 1.
  • ALOX5 10q11.2 arachidonate 5-lipoxygenase.
  • MARCH8 10q11.21 membrane-associated ring finger (C3HC4) 8.
  • LOC653306 10q11.21 similar to membrane-associated ring finger (C3HC4) 8.
  • ANUBL1 10q11.21 AN1, ubiquitin-like, homolog (Xenopus laevis).
  • DNA/RNA

     
      Diagram of the ALOX5 gene. Exons are represented by purple boxes (in scale). Exons 1 to 14 are from the 5' to 3¹ direction.
    Description ALOX5 gene spans a region of 71,88 kb and has 14 exons, the sizes being 192, 199, 82, 123, 107, 173, 147, 204, 87, 179, 122, 101, 171 and 606 bps. ALOX5 gene has 5 CpG islands and 3' end of the gene for cellular modulator of immune recognition (c-MIR).
    Transcription ALOX5 gene promoter (H. sapiens) lacks the TATA box and has eight GC-boxes within 180 bp from the major transcription initiation site (at-65 in relation to ATG), five of which are in tandem (-176 to - 147). Consensus-binding sites for the transcription factor serum protein 1 (SP1), and early growth-response protein 1(EGR-1) exists in this region. A Vitamin D receptor binding site has been located in a positive regulatory region (-779 to -229) of the ALOX5 promoter. Several other consensus-binding sites for transcription factors such as GATA, glucocorticoid receptors and NFKB also exist. DNA methylation and histone deacetylase are also strongly involved in ALOX5 expression.
    Pseudogene No pseudogenes have been reported for ALOX5.

    Protein

    Note The ALOX5 gene encodes a member of the lipoxygenase gene family, 5-LOX, which catalyzes the synthesis of leukotrienes (LT) from arachidonic acid. Leukotrienes are responsible for a series of inflammatory and allergic conditions. 5-LOX is also unique in requiring the 5-LOX activating protein (FLAP), a nuclear trans-membrane protein that plays an essential role in the transfer of arachidonic acid to 5-LOX. FLAP can also bind to MK-886, a compound that blocks LT biosynthesis.
    Description 5-LOX is a 77.9 kDa protein consisting of 673 amino acids. The enzyme requires calcium, iron and ATP as cofactors. The enzyme activity is also stimulated by the presence of microsomal membranes and trace amounts of lipid hydroperoxides. The protein has a catalytic domain and a regulatory domain. The regulatory domain, which controls leukotriene synthesis and binds calcium, nucleotides and phospholipids also has a PLAT (Polycystin-1, Lipoxygenase, alpha-Toxin) domain.
    Expression 5-LOX protein is expressed in bone marrow derived cells such as monocytes/macrophages, mast cells, B-lymphocytes, polymorphonuclear leukocytes, dendritic cells and foam cells of human atherosclerotic tissues, as well as spleen, thymus brain, spinal cord, skeletal muscle, pancreas, prostate, kidney and lung in humans.
    Localisation Subcellular location of 5-LOX protein is the cytoplasm or nucleoplasm. 5-LOX is largely cytosolic in resting peritoneal macrophages, monocytes, neutrophils, monocytes and eosinophils. By contrast, alveolar macrophages and mast cells contain cytosolic and intranuclear fractions of the enzyme. Leukotriene synthesis capacity is determined by a calcium independent nuclear import of 5-lipoxygenase. Three nuclear localization sequence (NLS) exist, Leu-111 to Asp-121; Asp-156 to Asp-166 and Val-514 to Leu-535.
    Function 5-LOX, a monomeric enzyme, catalyzes the conversion of arachidonic acid to 5(S)-hydroperoxy-6-trans-8, 11, 14-cis-eicosatetraenoic acid (5(S)-HETE), and further dehydration to the allylic epoxide 5(S)-trans-7,9-trans-11,14-cis-eicosatetrenoic acid (leukotriene A4). The LTA4 intermediate is then converted to LTB4 by LTA4 hydrolase. LTB4 attracts leukocytes and are important for the inflammatory response.

    5-LOX migrates to the nuclear membrane upon cellular activation leading to LTB4 biosynthesis. This function depends on calcium dependent binding of the N-terminal C2 domain of 5-LOX to phospholipids resulting in the release of fatty acid substrates for enzyme action.

    Phosphorylation of 5-LOX on Ser-271 by MAPK-activating protein (MAPKAP) kinase 2, Ser-663 by extracellular signal-regulated kinases (ERK-2) and Ser-523 by protein kinase A (PKA) catalytic subunit has been shown to stimulate 5-LOX activity.

    In addition, overexpression of 5-LOX was shown to promote senescence-like growth arrest in human and mouse embryo fibroblasts via a p53/p21-dependent pathway, by regulating reactive oxygen species production, independent of telomerase activity. Thus, a senescence-like growth arrest may be of significance in the pathogenesis of 5-LOX-associated disorders.

    Homology C. familiaris: LOC477753, similar to Arachidonate 5-lipoxygenase
    R. norvegicus: ALOX5, arachidonate 5-lipoxygenase
    M. musculus: ALOX5, arachidonate 5-lipoxygenase
    A. thaliana: AT3G22400 iron ion binding / lipoxygenase
    O. sativa: OSJNBb0017F17.2, putative lipoxygenase

    Mutations

    Note A family of mutations in the G+C-rich transcription factor binding region of ALOX5 has been identified in which several Sp1 and Egr-1 binding motifs are altered in the region of 176 to 147 bp upstream from the ATG translation start site. These mutations alter transcription factor binding and may play a role in 5-LOX gene expression in vivo. A haplotype containing polymorphisms in a negative regulatory region of the ALOX5 promoter (G-1752A and G-1699A) may influence colon cancer risk in Caucasians. In addition, the genetic variant of tandem repeat (GGGCGG; Sp1-binding motif) in ALOX5 promoter in group of Korean aspirin intolerant asthma patients has been associated with the severity of airway hyper-responsiveness.

    Implicated in

    Entity Esophageal cancer
    Disease Immunohistochemistry analyses of 5-LOX expression in 161 esophageal tissue indicated that the enzyme was expressed in 79% (127/161) of cancer tissues but in only 13% (4/32) of normal esophageal mucosa. 5-LOX was also expressed in 8 esophageal cancer cell lines examined. In addition, 5-LOX inhibitors AA861 and REV5901 increased cell viability and apoptosis in the esophageal cancer cell lines.
      
    Entity Pancreatic cancer
    Disease 5-LOX expression is upregulated human pancreatic cancer cells. The 5-LOX metabolite 5(S)-HETE was shown to stimulate proliferation, as well as the proliferation of the mitogenic intracellular tyrosine kinases, MEK/ERK and PI3 kinase/AKT.
      
    Entity Colorectal cancer
    Disease Exposure to cigarette smoke extract (CSE) was shown to enhance 5-LOX protein expression in the inflammation-associated colonic adenomas. The effects of CSE on colon cancer cells were mediated by 5-LOX DNA demethylation. In addition, an up-regulation of matrix metalloproteinase-2 (MMP-2) and vascular endothelial growth factor (VEGF), key angiogenic factors for tumorigenesis, were also observed. These effects were reversed by treating the colon cancer cells with dual 5-LOX and COX-2 inhibitors.
      
    Entity Atherosclerosis
    Disease 5-LOX, known to generate proinflammatory LTs, is highly expressed in the arterial walls of atherosclerotic patients, with the number of enzyme expressing lesion leukocytes increasing during disease progression. All constituents of the 5-LOX pathway are significantly expressed in human diseased arteries, thereby supporting a model of atherogenesis, whereby 5-LOX pathway dependent inflammatory circuits composed of leukocytes, smooth muscle cells and endothelial cells evolve within blood vessels during late stages of lesion development.
      
    Entity Asthma
    Disease LTs and their receptors play an important role in the pathogenesis of asthma. Th2 cytokines, interleukins-4 and -13 can upregulate cysteinyl leukotriene 1 receptor expression. In addition, cysteinyl LTs favour an allergic phenotype by upregulating type 2 cytokine expression and decreasing type 1 cytokine expression. Polymorphisms of the 5-LOX promoter have also been associated with the development of asthma.
      
    Entity Immune response and tissue homeostasis
    Note The products of the ALOX5 pathway, particularly LTs, are lipid messengers that act on the immune response system and tissue homeostasis. Their abnormal production can induce several diseases such as asthma, inflammation, atherosclerosis, basophilic leukaemia, oedema, exercise-induced asthma, anaphylaxis, psoriasis, bronchial spasms and allergic rhinitis.
    Oncogenesis Alterations in the 5-LOX pathway can result in the aberrant formation of its products, hydroxyeicosatetraenoic acids or leukotrienes. This can, in turn, increase cellular proliferation and survival and suppress apoptosis of human cells and thereby play a significant role in human carcinogenesis.
      

    External links

    Nomenclature
    HugoALOX5
    GDBALOX5
    Entrez_GeneALOX5  240  arachidonate 5-lipoxygenase
    Cards
    AtlasALOX5ID42985ch10q11
    GeneCardsALOX5
    EnsemblALOX5 [Search_View]   ENSG00000012779 [Gene_View]
    GenatlasALOX5
    GeneLynxALOX5
    eGenomeALOX5
    euGene240
    Genomic and cartography
    GoldenPathALOX5  -  10q11.2   chr10:45189635-45261567 +  10q11.2   [Description]    (hg18-Mar_2006)
    EnsemblALOX5 - 10q11.2 [CytoView]
    NCBIMapview
    OMIMDisease map [OMIM]
    HomoloGeneALOX5
    Gene and transcription
    GenbankAB208946 [ ENTREZ ]
    GenbankAK225603 [ ENTREZ ]
    GenbankBC034464 [ ENTREZ ]
    GenbankBC040450 [ ENTREZ ]
    GenbankBC130332 [ ENTREZ ]
    RefSeqNM_000698 [ SRS ]    NM_000698 [ ENTREZ ]
    RefSeqAC_000053 [ SRS ]    AC_000053 [ ENTREZ ]
    RefSeqNC_000010 [ SRS ]    NC_000010 [ ENTREZ ]
    RefSeqNT_033985 [ SRS ]    NT_033985 [ ENTREZ ]
    RefSeqNW_924606 [ SRS ]    NW_924606 [ ENTREZ ]
    AceViewALOX5 AceView - NCBI
    UnigeneHs.89499 [ SRS ]    Hs.89499 [ NCBI ]     HS89499 [ spliceNest ]
    Fast-db9412 (alternative variants)
    Protein : pattern, domain, 3D structure
    SwissProtP09917 [ SRS]    P09917 [ EXPASY ]     P09917 [ INTERPRO ]
    PrositePS00711 LIPOXYGENASE_1 [ SRS ]    PS00711 LIPOXYGENASE_1 [ Expasy ]
    PrositePS00081 LIPOXYGENASE_2 [ SRS ]    PS00081 LIPOXYGENASE_2 [ Expasy ]
    PrositePS50095 PLAT [ SRS ]    PS50095 PLAT [ Expasy ]
    InterproIPR000907 LipOase [ SRS ]    IPR000907 LipOase [ EBI ]
    InterproIPR013819 LipOase_C [ SRS ]    IPR013819 LipOase_C [ EBI ]
    InterproIPR001024 LipOase_LH2 [ SRS ]    IPR001024 LipOase_LH2 [ EBI ]
    InterproIPR001885 LipOase_mml [ SRS ]    IPR001885 LipOase_mml [ EBI ]
    CluSTrP09917
    PfamPF00305 Lipoxygenase [ SRS ]    PF00305 Lipoxygenase [ Sanger ]    pfam00305 [ NCBI-CDD ]
    PfamPF01477 PLAT [ SRS ]    PF01477 PLAT [ Sanger ]    pfam01477 [ NCBI-CDD ]
    SmartSM00308 LH2 [EMBL]
    BlocksP09917
    PDB2ABV [ SRS ]    2ABV [ PdbSum ],   2ABV [ IMB ]   2ABV [ RSDB ]
    HPRD01065
    Protein Interaction databases
    DIPP09917
    IntActP09917
    Polymorphism : SNP, mutations, diseases
    OMIM152390;600807    [ map ]   
    GENECLINICS152390;600807
    SNPALOX5 [dbSNP-NCBI]  
    SNPNM_000698 [SNP-NCI]  
    SNPALOX5 [GeneSNPs - Utah]  ALOX5] [HGBASE - SRS]
    HAPMAPALOX5 [HAPMAP]  
    COSMICALOX5 [Somatic mutation (COSMIC-CGP-Sanger)]  
    HGMDALOX5
    General knowledge
    Family BrowserALOX5 [UCSC Family Browser]
    SOURCENM_000698
    SMDHs.89499
    SAGEHs.89499
    Enzyme1.13.11.34 [ Enzyme-SRS ]   1.13.11.34 [ Brenda-SRS ]   1.13.11.34 [ KEGG ]   1.13.11.34 [ WIT ]
    GOarachidonate 5-lipoxygenase activity [Amigo]  arachidonate 5-lipoxygenase activity
    GOiron ion binding [Amigo]  iron ion binding
    GOcalcium ion binding [Amigo]  calcium ion binding
    GOprotein binding [Amigo]  protein binding
    GOnucleus [Amigo]  nucleus
    GOcytoplasm [Amigo]  cytoplasm
    GOelectron transport [Amigo]  electron transport
    GOleukotriene metabolic process [Amigo]  leukotriene metabolic process
    GOinflammatory response [Amigo]  inflammatory response
    GOmembrane [Amigo]  membrane
    GOlipoxygenase activity [Amigo]  lipoxygenase activity
    GOoxidoreductase activity [Amigo]  oxidoreductase activity
    GOleukotriene biosynthetic process [Amigo]  leukotriene biosynthetic process
    GOmetal ion binding [Amigo]  metal ion binding
    BIOCARTAEicosanoid Metabolism    [Genes]
    KEGGArachidonic acid metabolism
    KEGGLinoleic acid metabolism
    PubGeneALOX5
    TreeFamALOX5
    CTD240 [Comparative ToxicoGenomics Database]
    Other databases
    Probes
    ProbeALOX5 Related clones (RZPD - Berlin)
    PubMed
    PubMed90 Pubmed reference(s) in LocusLink

    Bibliography

    Naturally occurring mutations in the human 5-lipoxygenase gene promoter that modify transcription factor binding and reporter gene transcription.
    In KH, Asano K, Beier D, Grobholz J, Finn PW, Silverman EK, Silverman ES, Collins T, Fischer AR, Keith TP, Serino K, Kim SW, De Sanctis GT, Yandava C, Pillari A, Rubin P, Kemp J, Israel E, Busse W, Ledford D, Murray JJ, Segal A, Tinkleman D, Drazen JM
    The Journal of clinical investigation. 1997 ; 99 (5) : 1130-1137.
    PMID 9062372
     
    Egr-1 and Sp1 interact functionally with the 5-lipoxygenase promoter and its naturally occurring mutants.
    Silverman ES, Du J, De Sanctis GT, Rˆ€dmark O, Samuelsson B, Drazen JM, Collins T
    American journal of respiratory cell and molecular biology. 1998 ; 19 (2) : 316-323.
    PMID 9698605
     
    Mutations in the human 5-lipoxygenase gene.
    In KH, Silverman ES, Asano K, Beier D, Fischer AR, Keith TP, Serino K, Yandava C, De Sanctis GT, Drazen JM
    Clinical reviews in allergy & immunology. 1999 ; 17 (1-2) : 59-69.
    PMID 10436859
     
    The discovery of the leukotrienes.
    Samuelsson B
    American journal of respiratory and critical care medicine. 2000 ; 161 (2 Pt 2) : S2-S6.
    PMID 10673217
     
    Extracellular signal-regulated kinases phosphorylate 5-lipoxygenase and stimulate 5-lipoxygenase product formation in leukocytes.
    Werz O, Bˆºrkert E, Fischer L, Szellas D, Dishart D, Samuelsson B, Rˆ€dmark O, Steinhilber D
    The FASEB journal : official publication of the Federation of American Societies for Experimental Biology. 2002 ; 16 (11) : 1441-1443.
    PMID 12205041
     
    Arachidonic acid promotes phosphorylation of 5-lipoxygenase at Ser-271 by MAPK-activated protein kinase 2 (MK2).
    Werz O, Szellas D, Steinhilber D, Rˆ€dmark O
    The Journal of biological chemistry. 2002 ; 277 (17) : 14793-14800.
    PMID 11844797
     
    Extending the understanding of leukotrienes in asthma.
    Coffey M, Peters-Golden M
    Current opinion in allergy and clinical immunology. 2003 ; 3 (1) : 57-63.
    PMID 12582316
     
    Multiple signal pathways are involved in the mitogenic effect of 5(S)-HETE in human pancreatic cancer.
    Ding XZ, Tong WG, Adrian TE
    Oncology. 2003 ; 65 (4) : 285-294.
    PMID 14707447
     
    Trichostatin A and structurally related histone deacetylase inhibitors induce 5-lipoxygenase promoter activity.
    Klan N, Seuter S, Schnur N, Jung M, Steinhilber D
    Biological chemistry. 2003 ; 384 (5) : 777-785.
    PMID 12817474
     
    Nuclear localization of 5-lipoxygenase as a determinant of leukotriene B4 synthetic capacity.
    Luo M, Jones SM, Peters-Golden M, Brock TG
    Proceedings of the National Academy of Sciences of the United States of America. 2003 ; 100 (21) : 12165-12170.
    PMID 14530386
     
    5-lipoxygenase and FLAP.
    Peters-Golden M, Brock TG
    Prostaglandins, leukotrienes, and essential fatty acids. 2003 ; 69 (2-3) : 99-109.
    PMID 12895592
     
    Expanding expression of the 5-lipoxygenase pathway within the arterial wall during human atherogenesis.
    Spanbroek R, Grabner R, Lotzer K, Hildner M, Urbach A, Ruhling K, Moos MP, Kaiser B, Cohnert TU, Wahlers T, Zieske A, Plenz G, Robenek H, Salbach P, Kuhn H, Radmark O, Samuelsson B, Habenicht AJ
    Proceedings of the National Academy of Sciences of the United States of America. 2003 ; 100 (3) : 1238-1243.
    PMID 12552108
     
    DNA methylation regulates 5-lipoxygenase promoter activity.
    Uhl J, Klan N, Rose M, Entian KD, Werz O, Steinhilber D
    Advances in experimental medicine and biology. 2003 ; 525 : 169-172.
    PMID 12751760
     
    Arachidonate lipoxygenase (ALOX) and cyclooxygenase (COX) polymorphisms and colon cancer risk.
    Goodman JE, Bowman ED, Chanock SJ, Alberg AJ, Harris CC
    Carcinogenesis. 2004 ; 25 (12) : 2467-2472.
    PMID 15308583
     
    Protein kinase A inhibits leukotriene synthesis by phosphorylation of 5-lipoxygenase on serine 523.
    Luo M, Jones SM, Phare SM, Coffey MJ, Peters-Golden M, Brock TG
    The Journal of biological chemistry. 2004 ; 279 (40) : 41512-41520.
    PMID 15280375
     
    Multiple nuclear localization sequences allow modulation of 5-lipoxygenase nuclear import.
    Luo M, Pang CW, Gerken AE, Brock TG
    Traffic (Copenhagen, Denmark). 2004 ; 5 (11) : 847-854.
    PMID 15479450
     
    Contributory role of 5-lipoxygenase and its association with angiogenesis in the promotion of inflammation-associated colonic tumorigenesis by cigarette smoking.
    Ye YN, Liu ES, Shin VY, Wu WK, Cho CH
    Toxicology. 2004 ; 203 (1-3) : 179-188.
    PMID 15363593
     
    Structural organization of the regulatory domain of human 5-lipoxygenase.
    Allard JB, Brock TG
    Current protein & peptide science. 2005 ; 6 (2) : 125-131.
    PMID 15853649
     
    5-Lipoxygenase regulates senescence-like growth arrest by promoting ROS-dependent p53 activation.
    Catalano A, Rodilossi S, Caprari P, Coppola V, Procopio A
    The EMBO journal. 2005 ; 24 (1) : 170-179.
    PMID 15616590
     
    GC-rich sequences in the 5-lipoxygenase gene promoter are required for expression in Mono Mac 6 cells, characterization of a novel Sp1 binding site.
    Dishart D, Schnur N, Klan N, Werz O, Steinhilber D, Samuelsson B, Rˆ€dmark O
    Biochimica et biophysica acta. 2005 ; 1738 (1-3) : 37-47.
    PMID 16413224
     
    Stress-induced nuclear export of 5-lipoxygenase.
    Hanaka H, Shimizu T, Izumi T
    Biochemical and biophysical research communications. 2005 ; 338 (1) : 111-116.
    PMID 16165096
     
    Increased 5-lipoxygenase expression and induction of apoptosis by its inhibitors in esophageal cancer: a potential target for prevention.
    Hoque A, Lippman SM, Wu TT, Xu Y, Liang ZD, Swisher S, Zhang H, Cao L, Ajani JA, Xu XC
    Carcinogenesis. 2005 ; 26 (4) : 785-791.
    PMID 15661803
     
    Polymorphism of tandem repeat in promoter of 5-lipoxygenase in ASA-intolerant asthma: a positive association with airway hyperresponsiveness.
    Kim SH, Bae JS, Suh CH, Nahm DH, Holloway JW, Park HS
    Allergy. 2005 ; 60 (6) : 760-765.
    PMID 15876305
     
    The 5-lipoxygenase pathway in arterial wall biology and atherosclerosis.
    Lˆtzer K, Funk CD, Habenicht AJ
    Biochimica et biophysica acta. 2005 ; 1736 (1) : 30-37.
    PMID 16081317
     
    Regulation of 5-lipoxygenase enzyme activity.
    Rˆ€dmark O, Samuelsson B
    Biochemical and biophysical research communications. 2005 ; 338 (1) : 102-110.
    PMID 16122704
     
    Dual inhibition of 5-LOX and COX-2 suppresses colon cancer formation promoted by cigarette smoke.
    Ye YN, Wu WK, Shin VY, Bruce IC, Wong BC, Cho CH
    Carcinogenesis. 2005 ; 26 (4) : 827-834.
    PMID 15637091
     
    5-Lipoxygenase-activating protein homodimer in human neutrophils: evidence for a role in leukotriene biosynthesis.
    Plante H, Picard S, Mancini J, Borgeat P
    The Biochemical journal. 2006 ; 393 (Pt 1) : 211-218.
    PMID 16144515
     
    Expression of 5-lipoxygenase and leukotriene A4 hydrolase in human atherosclerotic lesions correlates with symptoms of plaque instability.
    Qiu H, Gabrielsen A, Agardh HE, Wan M, Wetterholm A, Wong CH, Hedin U, Swedenborg J, Hansson GK, Samuelsson B, Paulsson-Berne G, Haeggstrˆm JZ
    Proceedings of the National Academy of Sciences of the United States of America. 2006 ; 103 (21) : 8161-8166.
    PMID 16698924
     
    Analysis of the 5-lipoxygenase promoter and characterization of a vitamin D receptor binding site.
    Sorg BL, Klan N, Seuter S, Dishart D, Rˆ€dmark O, Habenicht A, Carlberg C, Werz O, Steinhilber D
    Biochimica et biophysica acta. 2006 ; 1761 (7) : 686-697.
    PMID 16750418
     
    REVIEW articlesautomatic search in PubMed
    Last year publicationsautomatic search in PubMed

    Search in all EBI   NCBI

    Contributor(s)

    Written07-2006Sreeparna Banerjee, Seda Tuncay

    Citation

    This paper should be referenced as such :
    Banerjee S, Tuncay S . ALOX5 (Arachidonate 5-Lipoxygenase).. Atlas Genet Cytogenet Oncol Haematol. July 2006 .
    URL : http://AtlasGeneticsOncology.org/Genes/ALOX5ID42985ch10q11.html

    © Atlas of Genetics and Cytogenetics in Oncology and Haematology
    indexed on : Wed Jul 2 08:21:49 2008


    Home   Genes   Leukemias   Solid Tumours   Cancer-Prone   Deep Insight   Case Reports   Journals  Portal   Teaching   

    For comments and suggestions or contributions, please contact us

    j.l.huret@chu-poitiers.fr.