
[Cancer Research 60, 3701-3705, July 15, 2000]
© 2000 American Association for Cancer Research
Vaccination against Gonadotropin-releasing Hormone (GnRH) Using Toxin Receptor-binding Domain-conjugated GnRH Repeats1
Chia-Tse Hsu,
Chun-Yuan Ting,
Chun-Jen Ting,
Tzong-Yueh Chen,
Chia-Po Lin,
Jacqueline Whang-Peng and
Jaulang Hwang2
Graduate Institute of Life Science, National Defense Medical Center [C-T. H.]; Institute of Molecular Biology [C-T. H., C-Y. T., C-J. T., T-Y. C., J. W-P., J. H.], Academia Sinica; Taipei, 11529; Division of Drug Biology, National Laboratories of Foods and Drugs, Department of Health, Taipei, [C-P. C.], Taiwan
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ABSTRACT
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A method for the preparation of an immunogen containing multiple copies
of a self-peptide in linear alignment was designed in order to overcome
the difficulty of inducing an immune response to poorly immunogenic
peptide antigens. DNA fragments encoding multiple repeats of the
self-peptide were generated by a new technique, termed
template-repeated polymerase chain reaction (TR-PCR), which could be
subcloned into an expression vector for production of peptide repeats
as an immunogen. This approach was tested by constructing fusion
proteins containing the receptor-binding domain of
Pseudomonas exotoxin A and multiple copies of the
10-residue sequence of the peptide hormone gonadotropin-releasing
hormone (GnRH). Immunization of female rabbits with the immunogen that
contained the exotoxin receptor-binding domain and 12 copies of GnRH
(PEIa-GnRH12) resulted in the generation of high-titer
antibodies specific for GnRH. Although at equal molar basis of the GnRH
moiety, the immunogen that contained single copy of GnRH
(PEIa-GnRH1) induced low-titer anti-GnRH antibodies. These
observations suggest that the presence of multiple peptide repeats is a
key factor in eliciting an immune response. In addition, anti-GnRH
antibodies effectively neutralized GnRH activity in vivo,
as demonstrated by the degeneration of the ovaries in the injected
rabbits. Because anti-GnRH antibody could be functionally analogous to
GnRH antagonist, which has been used to treat patients with ovarian
cancer, vaccination of PEIa-GnRH12 presents a potential
therapeutic application for the treatment of GnRH-sensitive ovarian
cancer.
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Introduction
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The induction of an immune response against specific self-peptides
is potentially beneficial for the treatment of certain diseases. The
results of such peptide-based immunization in animals, however, have
not been satisfactory because of the low immunogenicity of
self-peptides, a low efficiency of chemical conjugation, and the
heterogeneous nature of antigen preparations. To address these
problems, we have investigated the use of peptide repeats conjugated to
the receptor-binding domain of Pseudomonas exotoxin A to
induce antibodies that might suppress the function of overproduced
self-proteins. Application of cell-binding toxin subunit as an adjuvant
and antigen vector has been reported (1)
. In this study,
the receptor binding domain of Pseudomonas exotoxin A was
chosen because of its ability to deliver antigens into
antigen-presenting cells through receptor-mediated endocytosis, which
is more efficient than phagocytosis. As a target antigen for the
development of a therapeutic vaccine, we chose
GnRH.3
GnRH is an endogenous hormone that contains 10 amino acid residues
(2)
. If an antigen construct containing linear repeats of
GnRH is able to induce an autoimmune response, it might be expected
that any linear self-peptide repeat would also prove immunogenic.
Furthermore, GnRH functions as a key hormone in the regulation of the
pituitary-gonadal axis and also likely affects various other tissues in
addition to the pituitary (24)
. The expression of GnRH
or its receptors is increased in several human malignancies, including
cancer of the breast, ovary, endometrium, and prostate
(46)
. The induction of an immune response to GnRH might
thus prove beneficial in the treatment of such GnRH-associated
diseases.
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Materials and Methods
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Materials.
Heat stable Pfu DNA polymerase, GnRH, angiotensin I and
pGEM-T Easy vector system were purchased from Promega. Ex. Taqpolymerase was obtained from Takara Co. His-Bind Resin was
from Novagen. Bacteria strains, E. coli XL10-Glod and
BL21(DE3)lysS, used for DNA cloning and protein production
were from Stratagene. Female New Zealand White rabbits were acquired
from the animal center at National Taiwan University.
[3H]GnRH was purchased from NEN. Reagents for ELISA and
immunoblotting were from GIBCOBRL. Most other chemicals, unless
specified, were from Sigma Chemical Co.
Construction of DNA Fragments Encoding GnRH Repeats and
Immunogen-containing Toxin Receptor-binding Domain-conjugated GnRH
Repeats.
Ten pM of GnRH coded single strain DNA sequences Oligonucleotide A and
Oligonucleotide B (as a half complement to Oligonucleotide A) were used
as both primers and templates in the TR-PCR. The thermal cycle is 30
cycles of denaturation at 94°C for 30 s, annealing at 37°C for 30
s, and polymerization at 72°C for 30 s, followed by a final
polymerization step at 72°C for 10 min. The products of TR-PCR at
100-fold dilution were subjected to adapter-PCR with the adapter
primers as shown in Fig. 1c
. The amplification protocol was identical
to that for TR-PCR, with the exception that the denaturation step was
performed for 1 min. The products of adapter-PCR, which contained a
SacII site at the 5' end, and EcoRI site at the
3' end, and a stop codon at the end of the coding region, were then
subcloned into a T Easy vector. Various repeats of GnRH clone were
subcloned into plasmid pPEDI at the 3' end of the coding region for
domain Ia, the receptor-binding domain, of Pseudomonasexotoxin A. The resulting plasmid, pPEDIGn (n for 1, 9, 12) was
introduced into E. coli BL21(DE3) lysS, and the
expressed fusion protein (PEIa-GnRHn) was purified with affinity
chromatography on a nickel-agarose column as described in Fig. 2b
.

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Fig. 1. The strategy for TR-PCR. a, oligonucleotide
primers for TR-PCR. Oligo A encodes the target antigen (GnRH) and oligo
B is complementary to oligo A in the manner indicated. Thus, the 5'
half (A1) of oligo A is complementary to the 5' half
(B1) of oligo B, and the 3' half of oligo A (A2)
is complementary to the 3' half (B2) of oligo B.
b, TR-PCR. Oligo A and oligo B were used as both primers and
templates for TR-PCR, the protocol for which comprised 30 cycles of
denaturation at 94°C for 30 s, annealing at 37°C for 30 s, and polymerization at 72°C for 30 s, followed by a final
polymerization step at 72°C for 10 min. c, adapter-PCR.
The products of TR-PCR (1:100 dilution) were subjected to adapter-PCR
with the adapter primers A and B. The amplification protocol was
identical to that for TR-PCR, with the exception that the denaturation
step was performed for 1 min. The products of adapter-PCR, which
contained a SacII site at the 5' end, an EcoRI
site at the 3' end, and a stop codon at the end of the coding region,
were then subcloned into a T vector. d, analysis of the
products of TR-PCR and adapter-PCR. The products of TR-PCR (Lane
2) and adapter-PCR (Lane 3) were analyzed by PAGE on an
8% gel and ethidium bromide staining. Lane 1, DNA size
markers.
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Fig. 2. Characterization of the antisera obtained from rabbits
immunized with PEIa-GnRH12. a, specificity
analysis of the antisera. To examine whether the antibodies induced by
PEIa-GnRH12 reacted with native GnRH, an immunocompetitive
assay was performed. A trace amount of [3H]GnRH (1 µCi;
specific activity, 54 Ci/mmol), 50 µl of protein A Sepharose-CL4B
(0.05 mg of protein A/ml), 7 µl of antisera, and various amounts of
competitor (GnRH or angiotensin I) in PBS in a final volume of 0.5 ml
were incubated at 37°C for 2 h, followed by centrifugation to
remove unbound [3H]GnRH. The pellets were washed three
times with PBS before scintillation counting. [3H]GnRH
bound to antisera in the absence of competitor was used as a control,
representing 100% of the [3H]GnRH binding activity.
b, Epitope analysis of anti-GnRH antibodies.
Left, test antigens for epitope analyses were prepared by
subcloning DNA fragments encoding one to five copies of GnRH into
plasmid pGEXKG (16)
, and introducing the resulting
constructs into E. coli BL21(DE3)lysS. The
transformants were cultured at 37°C in Luria Bertoni medium
containing ampicillin (50 µg/ml), chloramphenicol (25 µg/ml), and
tetracycline (10 µg/ml). When the absorbance at 600 nm of the culture
reached 0.2, isopropyl-ß-D-thiogalactopyranoside was
added to a final concentration of 0.1 mM, and the cells
were cultured for an additional 90 min. Cells (20 x 106 per lane) were dissolved in Laemmli sample buffer,
heated at 90°C for 5 min, and then analyzed by SDS-PAGE on a 15% gel
and Coomassie Blue staining. Lane 1, GST; Lane 2,
GST-GnRH; Lane 3, GST-GnRH2; Lane 4, GST-GnRH3;
Lane 5, GST-GnRH4; and Lane 6, GST-GnRH5. The
left-most lane contains molecular size standards. (kDa,
molecular weight in thousands.) Right, serum collected from
rabbits immunized with PEIa-GnRH12 was analyzed for the
epitopes of anti-GnRH antibodies. Bacterial cells (1 x 106 per lane) expressing the various test antigens were
fractionated by SDS-PAGE, and the separated proteins were transferred
to a polyvinylidene difluoride filter (Millipore) and subjected to
immunoblot analysis with the rabbit antibodies, followed by incubation
with antirabbit antibody conjugated with alkine phosphatases, and then
stained with nitro blue tetrazolium and 5-bromo-4-chloro-3-indollyl
phosphate. Lanes are as in the left panel.
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Animal Experiments.
Sixteen-week-old female New Zealand White rabbits were injected
subcutaneously with 0.1 to 1.0 mg of various antigens three times at
biweekly intervals. Sera were collected weekly for immunoassay. Animals
injected for three consecutive weeks were sacrificed at 26 weeks after
the last injection. The ovaries were individually weighed for
statistical analysis.
Immunocompetitive Assay.
A trace amount of [3H]-GnRH (1 µCi, specific activity
54 Ci/mmole), 50 µl of protein A Sepharose-CL4B (0.05 mg protein
A/ml), 7 µl antisera and various amounts of competitor (GnRH or
angiotensin I) in PBS in a final volume of 0.5 ml were incubated at
37°C for 2 h, followed by centrifugation to remove unbound
[3H]-GnRH. The pellets were washed three times with PBS
prior to scintillation counting. [3H]-GnRH bound to
antisera in the absence of competitor was used as a control,
representing 100% of the [3H]-GnRH binding activity.
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Results
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To synthesize toxin-conjugated GnRH repeats, we developed a new
technique termed TR-PCR (Fig. 1)
. We designed two oligonucleotides, oligo A and B. Oligo A encodes the
target antigen (rabbit GnRH, which is identical in sequence to the
human hormone), and oligo B exhibits overlapping complementarity to
oligo A as shown in Fig. 1a
. Because the TR-PCR products
also serve as DNA templates for the generation of linear GnRH repeat
sequences (Fig. 1b
), we chose Pfu DNA
polymerase instead of Taq polymerase to catalyze the
reaction in order to prevent insertion or misincorporation of bases
during amplification (7)
. To incorporate restriction sites
for subcloning at both ends of the TR-PCR products (SacII at
the 5' end and EcoRI at the 3' end) as well as a stop codon
at the 3' end of the coding region, we performed a second PCR
(adapter-PCR) with two adapter primers (Fig. 1c
). The
products of TR-PCR and adapter-PCR were examined by PAGE. Most of the
TR-PCR products were between 500 and 700 bp in size, whereas the size
distribution of the products of adapter-PCR showed a ladder-like
pattern (Fig. 1d
). The prominent lower band in this ladder
corresponds to the GnRH DNA dimer, with the higher bands corresponding
to the trimer, tetramer, and so forth; as the size of the products
increased, the intensity decreased gradually. The adapter-PCR products
were then subcloned into a T vector. We screened 24 positive clones and
found that they contained from 3 to 12 GnRH DNA repeats. One clone
containing 12 such repeats was chosen for further study.
The DNA fragment encoding the 12 repeats of GnRH was subcloned into
plasmid pPEDI at the 3' end of the coding region for domain Ia, the
receptor-binding domain, of Pseudomonas exotoxin A (8, 9) . The resulting plasmid, pPEDIG12, was introduced
into Escherichia coli BL21(DE3)lysS, and the
expressed fusion protein (PEIa-GnRH12) was purified by
taking advantage of the six-histidine (His6) tag at its NH2
terminus (10)
. Affinity chromatography on a nickel-agarose
column yielded a preparation of PEIa-GnRH12 that was about
95% homogeneous (data not shown).
Sixteen-week-old female New Zealand White rabbits were injected three
times with purified PEIa-GnRH12, after which serum was
individually collected for analysis. To demonstrate that the antibodies
induced by PEIa-GnRH12 actually reacted with the native
peptide, GnRH, reactivity of the antibody to native GnRH was measured
by immunocompetitive assay using native GnRH as the competitor. As
shown in Fig. 2a
, GnRH could effectively block [3H]GnRH binding to
anti-GnRH antibodies. GnRH, at equal molar concentration and 350-fold
of [3H]GnRH, inhibited [3H]GnRH binding by
20 and 80%, respectively, whereas angiotensin I failed to compete for
[3H]GnRH binding to anti-GnRH antibodies even at the
concentration 3,700-fold to [3H]GnRH. To investigate
whether the epitopes recognized by induced antibodies were localized
within the GnRH sequence or spanned adjacent GnRH repeats, we examined
the reactivity of the antibodies with GST fusion proteins that
contained various numbers of GnRH repeats. Immunoblot analysis revealed
that, although the antibodies did not recognize GST alone, they reacted
(at a dilution of 1:5000) with a similar affinity to GST fusion
proteins containing one to five copies of the GnRH sequence (Fig. 2b
). In this study, we also observed that some extra bands
appeared in low-molecular range. We believe that these extra
bands represent the degraded products of the fusion protein of GST and
GnRH repeats. This result, thus, suggests that most of the epitopes
recognized by the antibodies reside within the GnRH sequence rather
than between adjacent GnRH repeats. Enzyme-linked immunosorbent assays
also revealed that, at a dilution of 1:10,000, the antibodies reacted
with a similar affinity to GST fusion proteins containing one or five
copies of the GnRH sequence (data not shown). Thus, these observations
suggest that antigens comprising linear peptide repeats can be used to
generate monoclonal-like antibodies, and that these antibodies can be
used for biochemical analysis of the target peptide.
To address the issue of whether multicopies or single-copy of GnRH is
sufficient to induce anti-GnRH immunoresponses, we have performed
animal immunization with immunogens containing various copies of GnRH.
Our results showed that GnRH alone or PEIa-GnRH1 at the
dosage of 0.1 mg failed to induce an anti-GnRH immune response.
However, PEIa-GnRH9 and PEIa-GnRH12 at the
dosage of 0.1 mg were capable of raising high-titer anti-GnRH
antibodies. PEIa-GnRH1 at the dosage of 1 mg induced a weak
anti-GnRH immune response (Fig. 3)
. The ELISA results of the PEIa-GnRH12 group were not shown
in Fig. 3
, because the ELISA reading of 1,000-fold diluted
anti-PEIa-GnRH12 antiserum was out of scale. If the ELISA
reading of the PEIa-GnRH12 group were to be adjusted to the
range between 1 and 2, the anti-PEIa-GnRH12 antiserum
needed to be diluted 10,000-fold. Under this situation, the ELISA
reading of all of the other groups went down to basal levels and showed
no difference from preimmune serum. This observation suggests that the
copy number of GnRH in the immunogen play an important role in inducing
a robust anti-GnRH immune response. In addition, the observation that
PEIa-GnRH1 at the dosage of 1.0 mg is able to induce weak
immune response against GnRH, whereas GnRH at the dosage of 0.1 mg,
which is in much higher molar ratio of GnRH moiety compared with 1.0 mg
of PEIa-GnRH1, fails to induce anti-GnRH immune response,
clearly indicates that PEIa makes GnRH in PEIa-GnRH1 more
immunogenic. A complete study on the role of PEIa making the fusion
peptides highly immunogenic is under investigation now.

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Fig. 3. Enhancement of peptide antigenicity by TR-PCR. To examine
whether multicopies of peptide in linear repeat are needed to elicit
peptide antigenicity, we have performed animal immunization with
immunogen containing various copies of GnRH. Seven groups, four rabbits
per group, of 5-month old female New Zealand White rabbits 5-month-old
were injected s.c. with various dosages of immunogens three times at
biweekly intervals. Serum collected from immunized rabbits (2 weeks
after last immunization) was analyzed for anti-GnRH antibodies. The
ELISA results were presented with 1000-fold diluted serum. The ELISA
results of the PEIa-GnRH12 group are not shown in this
figure because the ELISA reading of 1000-fold-diluted
anti-PEIa-GnRH12 antiserum was out of scale.
PEIa-GnRHII9 stands for the receptor-binding domain of
Pseudomonas exotoxin A conjugated with nine copies of
GnRHII; the amino acid sequence is
Gln-His-Trp-Ser-His-Gly-Trp-Tyr-Pro-Gly. PEIa-Cat36 stands
for the receptor binding domain of Pseudomonas exotoxin A
conjugated with six copies of the peptide, for which the amino acid
sequence is Leu-Gly-Ile-Ser-Tyr-Gly-Arg-Lys-Lys-Arg.
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We next investigated whether the induction of an autoimmune response to
GnRH affected the ovaries of immunized rabbits. Whereas the ovaries of
the four rabbits injected with a control antigen,
PEIa-TopN8 (the receptor-binding domain of
Pseudomonas exotoxin A conjugated to eight repeats of the
NH2-terminal 10 amino acids of human DNA topoisomerase I),
appeared normal, those of the four rabbits that were injected with
PEIa-GnRH12 exhibited substantial degeneration. One
represented set of control and degenerated ovaries was shown in Fig. 4a
. The ovaries were individually weighed and statistical analysis
of the control and degenerated ovaries was summarized in Fig. 4b
. These results indicate that the induced high-titer
antibodies to GnRH appear to impair the function of this important
hormone in the immunized rabbits. It has been shown that some patients
with ovarian cancer have been treated with GnRH antagonist (11)
.

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Fig. 4. Degeneration of the ovaries of rabbits immunized with
PEIa-GnRH12. Sixteen-week-old female New Zealand White
rabbits were injected s.c. with purified PEIa-GnRH12 for 3
consecutive weeks at weekly intervals. Aluminum phosphate (pH 7.0) was
used as adjuvant in the injection. The injection volume was 0.5 ml and
each injection contained 100 µg PEIa-GnRH12 and 0.125 mg
of aluminum. a, set of control and degenerated ovaries. The
ovaries of rabbits that had received three injections of either
PEIa-GnRH12 (left) or the control antigen
PEIa-TopN8 (right) were examined 26 weeks after
the last immunization. Each experimental group contained four rabbits
and all of the PEIa-GnRH12 immunized rabbits showed
degeneration of ovaries. The ovaries were individually weighed,
statistical analysis of the control and degenerated ovaries is
summarized in b.
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Because anti-GnRH antibody could be functionally analogous to GnRH
antagonist, vaccination of PEIa-GnRH12 presents a potential
therapeutic application for the treatment of GnRH-sensitive ovarian
cancer.
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Discussion
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To overcome the difficulty of inducing an immune response
against poorly immunogenic self-peptides, we have designed a new and
efficient delivery system for antigen presentation. In addition, we
have developed a new method for increasing the copy number of the
self-peptide in the antigen conjugate. We have tested our approach with
GnRH as a model self-peptide. The immunogen comprised the receptor
binding-domain of Pseudomonas exotoxin A and 12 copies of
GnRH in linear alignment. This construct induced autoantibodies to GnRH
that caused degeneration of the ovaries in immunized female rabbits.
In previous studies, antigens that were used to generate antibodies
against small peptides have been prepared by chemical conjugation of
the peptide to a carrier protein. A trial to induce antibody response
to GnRH using the conjugation of GnRH to T-cell epitope has been
reported (12)
. However, because the efficiency of
such chemical conjugation varies, the antigen preparations were
heterogeneous and differed from batch to batch. The immune responses to
such antigen preparations were, therefore, inconsistent. With the use
of our TR-PCR approach to generate a DNA template for the expression of
linear peptide repeats, it is possible to synthesize large amounts of
homogeneous immunogen with a high content of antigenic peptide, without
the need for chemical conjugation and at lower cost. In addition to
PEIa-GnRH12, we have prepared several other autoantigens
with the TR-PCR technique and shown that they all effectively induce an
immune response (data not shown).
Our new technique may have potential applications in the development of
therapeutic vaccines. Various antibodies have been shown to be
effective in the treatment of cancer (13, 14)
. The most
promising example is Herceptin, a humanized monoclonal antibody to HER2
that is now in clinical use in combination with chemotherapy
(15)
. Vaccination with growth factor or cell surface
autoantigens using our approach may offer a low-cost alternative for
cancer therapy.
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Acknowledgments
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We thank Leroy Liu for helpful comments.
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FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by Academia Sinica. 
2 To whom requests for reprints should be
addressed, at Institute of Molecular Biology, Academia Sinica, Taipei,
11529 Taiwan. Phone: 886-2-2789-9217; Fax: 886-2-2782-6085; E-mail: jh{at}ccvax.sinica.edu.tw 
3 The abbreviations used are: GnRH,
gonadotropin-releasing hormone; TR-PCR, template-repeated PCR; Pfu,
Pyrococus furiosus; GST, glutathione
S-transferase. 
Received 11/ 8/99.
Accepted 5/31/00.
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Binding and Cytotoxicity of Conjugated and Recombinant Fusion Proteins Targeted to the Gonadotropin-Releasing Hormone Receptor
Cancer Res.,
March 15, 2004;
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[Abstract]
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D. Aissat, J. M. Sosa, D. M. de Avila, K. P. Bertrand, and J. J. Reeves
Endocrine, growth, and carcass characteristics of bulls immunized against luteinizing hormone-releasing hormone fusion proteins
J Anim Sci,
September 1, 2002;
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[Abstract]
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Y. Mao, S. D. Desai, C.-Y. Ting, J. Hwang, and L. F. Liu
26 S Proteasome-mediated Degradation of Topoisomerase II Cleavable Complexes
J. Biol. Chem.,
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[Abstract]
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