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Investigación
Unidad de Tumores Sólidos Infantiles
Líneas de investigación
Contenidos con Investigacion .
Identificación y caracterización funcional de genes diana de la oncoproteína EWSR1::FLI1 característica de los sarcomas de Ewing
Los sarcomas de Ewing son un tipo de tumores de la infancia y la adolescencia que se caracterizan por la presencia de translocaciones cromosómicas que dan lugar a factores de transcripción quiméricos. La más frecuente de estas alteraciones cromosómicas fusiona el gen EWSR1 con el gen FLI1, dando lugar al factor de transcripción aberrante EWSR1::FLI1. EWSR1::FLI1 desempeña un papel fundamental en el desarrollo del sarcoma de Ewing, ya que regula la expresión de centenares de genes implicados en el proceso tumoral. En nuestro laboratorio combinamos el uso de tecnologías shRNA y CRISPR/Cas9 para generar modelos de enfermedad con las técnicas más avanzadas de análisis genómico y proteómico para identificar los genes implicados en el desarrollo del sarcoma de Ewing. El objetivo final es identificar genes diana que permitan el desarrollo y diseño de terapias dirigidas más eficaces y con menos efectos secundarios.
Desarrollo de terapias avanzadas para el tratamiento del sarcoma de Ewing
El tratamiento estandar del sarcoma de Ewing se basa en el uso de quimioterapia, radioterapia y cirugía. Aunque estos tratamientos son relativamente eficaces para algunos tumores localizados, son totalmente ineficientes en el caso de pacientes con tumores metastásicos o resistentes a los tratamientos convencionales. Como consecuencia de la falta de alternativas terapéuticas eficaces, tres de cada cuatro niños o adolescentes con tumores metastásicos o refractarios morirán por causa de la enfermedad. Es por tanto urgente desarrollar nuevas terapias para dar respuesta a este grupo de pacientes. En nuestro laboratorio estamos trabajando en el desarrollo de terapias disruptivas, que representen un enfoque totalmente novedoso para el tratamiento de esta enfermedad. Nuestra apuesta se basa en el uso de aproximaciones de terapia génica y el uso de vectores virales (principalmente adenovirus) y no virales (principalmente nanopartículas lipídicas) para vehiculizar las terapias a las células tumorales.
Publicaciones destacadas
Human USP18 deficiency underlies type 1 interferonopathy leading to severe pseudo-TORCH syndrome
Meuwissen, M.E.C., Schot, R., Buta, S., Oudesluijs, G., Tinschert, S., Speer, S.D., Li, Z., van Unen, L., Heijsman, D., Goldmann, T., et al. (2016). Human USP18 deficiency underlies type 1 interferonopathy leading to severe pseudo-TORCH syndrome. Journal of Experimental Medicine 213, 1163–1174.
PUBMED DOIHypospadias Prevalence and Trends in International Birth Defect Surveillance Systems, 1980-2010
Yu X, Nassar N, Mastroiacovo P, Canfield M, Groisman B, Bermejo-Sánchez E, Ritvanen A, Kiuru-Kuhlefelt S, Benavides A, Sipek A, Pierini A, Bianchi F, Källén K, Gatt M, Morgan M, Tucker D, Canessa MA, Gajardo R, Mutchinick OM, Szabova E, Csáky-Szunyogh M, Tagliabue G, Cragan JD, Nembhard WN, Rissmann A, Goetz D, Bower C, Baynam G, Lowry RB, Leon JA, Luo W, Rouleau J, Zarante I, Fernandez N, Amar E, Dastgiri S, Contiero P, Martínez-de-Villarreal LE, Borman B, Bergman JEH, de Walle HEK, Hobbs CA, Nance AE, Agopian AJ.
PUBMED DOIBone turnover markers as predictive indicators of outcome in patients with breast cancer and bone metastases treated with bisphosphonates: Results from a 2-year multicentre observational study (ZOMAR study)
Barnadas, A., Manso, L., De La Piedra, C., Meseguer, C., Crespo, C., Gómez, P., Calvo, L., Martinez, P., Ruiz-Borrego, M., Perelló, A., et al. (2014). Bone turnover markers as predictive indicators of outcome in patients with breast cancer and bone metastases treated with bisphosphonates: Results from a 2-year multicentre observational study (ZOMAR study). Bone 68, 32–40. https://linkinghub.elsevier.com/retrieve/pii/S8756328214002993
DOIModified checklist for autism in toddlers: cross-cultural adaptation and validation in Spain. J Autism Dev Disord. 2011 Oct;41(10):1342-51
Canal-Bedia R, García-Primo P, Martín-Cilleros MV, Santos-Borbujo J, Guisuraga-Fernández Z, Herráez-García L, Herráez-García M del M, Boada-Muñoz L, Fuentes-Biggi J, Posada de la Paz M.
PUBMED DOIEffects of PTH (1–84) on bone quality in a validated model of osteoporosis due to androgenic deprivation.
Martín-Fernández, M., Martínez, E., Díaz-Curiel, M., Guede, D., Caeiro, J.R., and De La Piedra, C. (2014). Effects of PTH (1–84) on bone quality in a validated model of osteoporosis due to androgenic deprivation. The Aging Male 17, 42–50.
PUBMED DOIUsefulness of bone turnover markers as predictors of mortality risk, disease progression and skeletal-related events appearance in patients with prostate cancer with bone metastases following treatment with zoledronic acid: TUGAMO study
De La Piedra, C., Alcaraz, A., Bellmunt, J., Meseguer, C., Gómez-Caamano, A., Ribal, M.J., Vázquez, F., Anido, U., Samper, P., Esteban, E., et al. (2013). Usefulness of bone turnover markers as predictors of mortality risk, disease progression and skeletal-related events appearance in patients with prostate cancer with bone metastases following treatment with zoledronic acid: TUGAMO study. Br J Cancer 108, 2565–2572.
PUBMED DOIAnalysis of Mortality among Neonates and Children with Spina Bifida: An International Registry-Based Study, 2001-2012. Paediatr Perinat Epidemiol. 2019 Nov;33(6):436-448
Bakker MK, Kancherla V, Canfield MA, Bermejo-Sanchez E, Cragan JD, Dastgiri S, De Walle HEK, Feldkamp ML, Groisman B, Gatt M, Hurtado-Villa P, Kallen K, Landau D, Lelong N, Lopez Camelo JS, Martínez L, Morgan M, Mutchinick OM, Nembhard WN, Pierini A, Rissmann A, Sipek A, Szabova E, Tagliabue G, Wertelecki W, Zarante I, Mastroiacovo P.
PUBMED DOImiR-326 associates with biochemical markers of bone turnover in lung cancer bone metastasis
Valencia, K., Martín-Fernández, M., Zandueta, C., Ormazábal, C., Martínez-Canarias, S., Bandrés, E., De La Piedra, C., and Lecanda, F. (2013). miR-326 associates with biochemical markers of bone turnover in lung cancer bone metastasis. Bone 52, 532–539.
PUBMED DOIHeterozygous pathogenic variants in GLI1 are a common finding in isolated postaxial polydactyly A/B. Hum Mutat. 2020 Jan;41(1):265-276
Palencia-Campos A, Martínez-Fernández ML, Altunoglu U, Soto-Bielicka P, Torres A, Marín P, Aller E, Şentürk L, Berköz Ö, Yıldıran M, Kayserili H, Gil-Camarero E, Colli-Lista G, Sanchís-Calvo A, Carretero A; ECEMC Working Group on Polydactyly; Guillén-Navarro E, López-González V, Ballesta-Martínez M, Rosell J, Aglan MS, Temtamy S, Otaify GA, Cuevas-Catalina L, Torres-Saavedra MN, Nevado J, Tenorio J, Lapunzina P, Bermejo-Sánchez E, Ruiz-Pérez VL.
PUBMED DOIDelphi approach to select rare diseases for a European representative survey. The BURQOL-RD study. Health Policy. 2012 Nov;108(1):19-26
Linertová R, Serrano-Aguilar P, Posada de la Paz M, Hens-Pérez M, Kanavos P, Taruscio D, Schieppati A, Stefanov R, Péntek M, Delgado C, von der Schulenburg JM, Persson U, Chevreul K, Fattore G, Worbes-Cerezo M, Sefton M, López-Bastida J; BURQOL-RD Research Group.
PUBMED DOIFive new cases of syndromic intellectual disability due to KAT6A mutations: widening the molecular and clinical spectrum. Orphanet J Rare Dis. 2020 Feb 10;15(1):44
Urreizti R, Lopez-Martin E, Martinez-Monseny A, Pujadas M, Castilla-Vallmanya L, Pérez-Jurado LA, Serrano M, Natera-de Benito D, Martínez-Delgado B, Posada-de-la-Paz M, Alonso J, Marin-Reina P, O'Callaghan M, Grinberg D, Bermejo-Sánchez E, Balcells S.
PUBMED DOIExpanding the genotypic and phenotypic spectrum of severe serine biosynthesis disorders. Hum Mutat. 2020 Sep;41(9):1615-1628
Abdelfattah F, Kariminejad A, Kahlert AK, Morrison PJ, Gumus E, Mathews KD, Darbro BW, Amor DJ, Walsh M, Sznajer Y, Weiß L, Weidensee S, Chitayat D, Shannon P, Bermejo-Sánchez E, Riaño-Galán I, Hayes I, Poke G, Rooryck C, Pennamen P, Khung-Savatovsky S, Toutain A, Vuillaume ML, Ghaderi-Sohi S, Kariminejad MH, Weinert S, Sticht H, Zenker M, Schanze D.
PUBMED DOIA multi-country study of prevalence and early childhood mortality among children with omphalocele. Birth Defects Res. 2020 Dec;112(20):1787-1801
Nembhard WN, Bergman JEH, Politis MD, Arteaga-Vázquez J, Bermejo-Sánchez E, Canfield MA, Cragan JD, Dastgiri S, de Walle HEK, Feldkamp ML, Nance A, Gatt M, Groisman B, Hurtado-Villa P, Kallén K, Landau D, Lelong N, Lopez-Camelo J, Martinez L, Morgan M, Pierini A, Rissmann A, Šípek A, Szabova E, Tagliabue G, Wertelecki W, Zarante I, Bakker MK, Kancherla V, Mastroiacovo P.
PUBMED DOIDe novo small deletion affecting transcription start site of short isoform of AUTS2 gene in a patient with syndromic neurodevelopmental defects. Am J Med Genet A. 2021 Mar;185(3):877-883
Martinez-Delgado B, Lopez-Martin E, Lara-Herguedas J, Monzon S, Cuesta I, Juliá M, Aquino V, Rodriguez-Martin C, Damian A, Gonzalo I, Gomez-Mariano G, Baladron B, Cazorla R, Iglesias G, Roman E, Ros P, Tutor P, Mellor S, Jimenez C, Cabrejas MJ, Gonzalez-Vioque E, Alonso J, Bermejo-Sánchez E, Posada M.
PUBMED DOIPrevalence and mortality in children with congenital diaphragmatic hernia: a multicountry study. Ann Epidemiol. 2021 Apr;56:61-69.e3
Politis MD, Bermejo-Sánchez E, Canfield MA, Contiero P, Cragan JD, Dastgiri S, de Walle HEK, Feldkamp ML, Nance A, Groisman B, Gatt M, Benavides-Lara A, Hurtado-Villa P, Kallén K, Landau D, Lelong N, Lopez-Camelo J, Martinez L, Morgan M, Mutchinick OM, Pierini A, Rissmann A, Šípek A, Szabova E, Wertelecki W, Zarante I, Bakker MK, Kancherla V, Mastroiacovo P, Nembhard WN; International Clearinghouse for Birth Defects Surveillance and Research.
PUBMED DOIPrevention of Neural Tube Defects in Europe: A Public Health Failure. Pediatr. 2021 Jun 24;9:647038
Morris JK, Addor MC, Ballardini E, Barisic I, Barrachina-Bonet L, Braz P, Cavero-Carbonell C, Den Hond E, Garne E, Gatt M, Haeusler M, Khoshnood B, Lelong N, Kinsner-Ovaskainen A, Kiuru-Kuhlefelt S, Klungsoyr K, Latos-Bielenska A, Limb E, O'Mahony MT, Perthus I, Pierini A, Rankin J, Rissmann A, Rouget F, Sayers G, Sipek A Jr, Stevens S, Tucker D, Verellen-Dumoulin C, de Walle HEK, Wellesley D, Wertelecki W, Bermejo-Sanchez E.
PUBMED DOISurvival of infants born with esophageal atresia among 24 international birth defects surveillance programs. Birth Defects Res. 2021 Jul 15;113(12):945-957
Bell JC, Baynam G, Bergman JEH, Bermejo-Sánchez E, Botto LD, Canfield MA, Dastgiri S, Gatt M, Groisman B, Hurtado-Villa P, Kallen K, Khoshnood B, Konrad V, Landau D, Lopez-Camelo JS, Martinez L, Morgan M, Mutchinick OM, Nance AE, Nembhard W, Pierini A, Rissmann A, Shan X, Sipek A, Szabova E, Tagliabue G, Yevtushok LS, Zarante I, Nassar N.
PUBMED DOIEUROPLAN: a project to support the development of national plans on rare diseases in Europe. Public Health Genomics. 2013;16(6):278-87
Taruscio D, Gentile AE, De Santis M, Ferrelli RM, Posada de la Paz M, Hens M, Huizer J, Fregonese L, Stefanov R, Bottarelli V, Weinman A, Le Cam Y, Gavhed D, Mincarone P, Bushby K, Frazzica RG, Donati C, Vittozzi L, Jessop E.
PUBMED DOIAnalysis of early neonatal case fatality rate among newborns with congenital hydrocephalus, a 2000-2014 multi-country registry-based study. Defects Res. 2022 Jul 15;114(12):631-644
Gili JA, López-Camelo JS, Nembhard WN, Bakker M, de Walle HEK, Stallings EB, Kancherla V; ECEMC Peripheral Group; Contiero P, Dastgiri S, Feldkamp ML, Nance A, Gatt M, Martínez L, Canessa MA, Groisman B, Hurtado-Villa P, Källén K, Landau D, Lelong N, Morgan M, Arteaga-Vázquez J, Pierini A, Rissmann A, Sipek A, Szabova E, Wertelecki W, Zarante I, Canfield MA, Mastroiacovo P.
PUBMED DOIChildhood vasculitis hospitalizations in Spain, 1997-2011. Georgian Med News. 2014 May;(230):65-72
Villaverde-Hueso A, Alonso-Ferreira V, Morales-Piga A, Hens-Pérez M, Abaitua I, Posada de la Paz M.
PUBMEDDifferences in Expression of IQSEC2 Transcript Isoforms in Male and Female Cases with Loss of Function Variants and Neurodevelopmental Disorder. Int J Mol Sci. 2022 Aug 22;23(16):9480
Baladron B, Mielu LM, López-Martín E, Barrero MJ, Lopez L, Alvarado JI, Monzón S, Varona S, Cuesta I, Cazorla R, Lara J, Iglesias G, Román E, Ros P, Gomez-Mariano G, Cubillo I, Miguel EH, Rivera D, Alonso J, Bermejo-Sánchez E, Posada M, Martínez-Delgado B.
PUBMED DOIPrevalence and mortality among children with anorectal malformation: A multi-country analysis.Birth Defects Res. 2023 Feb 1;115(3):390-404
Kancherla V, Sundar M, Tandaki L, Lux A, Bakker MK, Bergman JE, Bermejo-Sánchez E, Canfield MA, Dastgiri S, Feldkamp ML, Gatt M, Groisman B, Hurtado-Villa P, Kallen K, Landau D, Lelong N, Lopez-Camelo J, Martinez LE, Mastroiacovo P, Morgan M, Mutchinick OM, Nance AE, Nembhard WN, Pierini A, Sipek A, Stallings EB, Szabova E, Tagliabue G, Wertelecki W, Zarante I, Rissmann A.
PUBMED DOIClinical, genetic, epidemiologic, evolutionary, and functional delineation of TSPEAR-related autosomal recessive ectodermal dysplasia 14. HGG Adv. 2023 Mar 3;4(2):100186
Jackson A, Lin SJ, Jones EA, Chandler KE, Orr D, Moss C, Haider Z, Ryan G, Holden S, Harrison M, Burrows N, Jones WD, Loveless M, Petree C, Stewart H, Low K, Donnelly D, Lovell S, Drosou K; Genomics England Research Consortium; Solve-RD consortium; Varshney GK, Banka S.
PUBMED DOIRecord linkage between hospital discharges and mortality registries for motor neuron disease case ascertainment for the Spanish National Rare Diseases Registry. Amyotroph Lateral Scler Frontotemporal Degener. 2014 Jun;15(3-4):275-8
Ruiz E, Ramalle-Gómara E, Quiñones C; SpainRDR Working Group
PUBMED DOICERT1 mutations perturb human development by disrupting sphingolipid homeostasis. J Clin Invest. 2023 May 15;133(10):e165019
Gehin C, Lone MA, Lee W, Capolupo L, Ho S, Adeyemi AM, Gerkes EH, Stegmann AP, López-Martín E, Bermejo-Sánchez E, Martínez-Delgado B, Zweier C, Kraus C, Popp B, Strehlow V, Gräfe D, Knerr I, Jones ER, Zamuner S, Abriata LA, Kunnathully V, Moeller BE, Vocat A, Rommelaere S, Bocquete JP, Ruchti E, Limoni G, Van Campenhoudt M, Bourgeat S, Henklein P, Gilissen C, van Bon BW, Pfundt R, Willemsen MH, Schieving JH, Leonardi E, Soli F, Murgia A, Guo H, Zhang Q, Xia K, Fagerberg CR, Beier CP, Larsen MJ, Valenzuela I, Fernández-Álvarez P, Xiong S, Śmigiel R, López-González V, Armengol L, Morleo M, Selicorni A, Torella A, Blyth M, Cooper NS, Wilson V, Oegema R, Herenger Y, Garde A, Bruel AL, Tran Mau-Them F, Maddocks AB, Bain JM, Bhat MA, Costain G, Kannu P, Marwaha A, Champaigne NL, Friez MJ, Richardson EB, Gowda VK, Srinivasan VM, Gupta Y, Lim TY, Sanna-Cherchi S, Lemaitre B, Yamaji T, Hanada K, Burke JE, Jakšić AM, McCabe BD, De Los Rios P, Hornemann T, D'Angelo G, Gennarino VA.
PUBMED DOIEffects of maternal modafinil treatment on fetal development and neonatal growth parameters - a multicenter case series of the European Network of Teratology Information Services (ENTIS). Acta Psychiatr Scand. 2023 Dec 18
Onken M, Lohse L, Coulm B, Beghin D, Richardson JL, Bermejo-Sánchez E, Aguilera C, Bosch M, Cassina M, Chouchana L, De Santis M, Duman MK, Gören MZ, Johnson D, Bera APJ, Kaplan YC, Kennedy D, Kwok S, Lacroix I, Lepelley M, Pistelli A, Schaefer C, Te Winkel B, Uysal N, Winterfeld U, Yakuwa N, Diav-Citrin O, Vial T, Dathe K.
PUBMED DOIGastroschisis prevalence patterns in 27 surveillance programs from 24 countries, International Clearinghouse for Birth Defects Surveillance and Research, 1980-2017.Birth Defects Res. 2024 Feb;116(2):e2306
Feldkamp ML, Canfield MA, Krikov S, Prieto-Merino D, Šípek A Jr, LeLong N, Amar E, Rissmann A, Csaky-Szunyogh M, Tagliabue G, Pierini A, Gatt M, Bergman JEH, Szabova E, Bermejo-Sánchez E, Tucker D, Dastgiri S, Bidondo MP, Canessa A, Zarante I, Hurtado-Villa P, Martinez L, Mutchinick OM, Camelo JL, Benavides-Lara A, Thomas MA, Liu S, Nembhard WN, Gray EB, Nance AE, Mastroiacovo P, Botto LD.
PUBMED DOIModel matchmaking via the Solve-RD Rare Disease Models & Mechanisms Network (RDMM-Europe). Lab Anim (NY). 2024 Jul;53(7):161-165
Ellwanger K, Brill JA, de Boer E, Efthymiou S, Elgersma Y, Icmat M, Lecoquierre F, Lobato AG, Morleo M, Ori M, Schaffer AE, Vitobello A, Wells S, Yalcin B, Zhai RG, Sturm M, Zurek B, Graessner H, Bermejo-Sánchez E, Evangelista T, Hoogerbrugge N, Nigro V, Schüle R, Verloes A, Brunner H, Campeau PM, Lasko P, Riess O.
PUBMED DOIA Multicountry Analysis of Prevalence and Mortality among Neonates and Children with Bladder Exstrophy. Am J Perinatol. 2024 Jul;41(9):1143-1154
Kancherla V, Tandaki L, Sundar M, Lux A, Bakker MK, Bergman JE, Bermejo-Sánchez E, Canfield MA, Feldkamp ML, Groisman B, Hurtado-Villa P, Källén K, Landau D, Lelong N, Lopez-Camelo J, Mastroiacovo P, Morgan M, Mutchinick OM, Nance AE, Nembhard WN, Pierini A, Šípek A, Stallings EB, Szabova E, Wertelecki W, Zarante I, Rissmann A.
PUBMED DOIIdentifying data sources for a national population-based registry: the experience of the Spanish Rare Diseases Registry. Public Health. 2015 Mar;129(3):271-5
Zoni AC, Domínguez Berjón MF, Barceló E, Esteban Vasallo MD, Abaitua I, Jiménez Villa J, Margolles Martins M, Navarro C, Posada de la Paz M, Ramos Aceitero JM, Vázquez Santos C, Zurriaga Llorens O, Astray Mochales J; Spain-RDR Group.
PUBMED DOIThe TREAT-NMD DMD Global Database: analysis of more than 7,000 Duchenne muscular dystrophy mutations. Hum Mutat. 2015 Apr;36(4):395-402
Bladen CL, Salgado D, Monges S, Foncuberta ME, Kekou K, Kosma K, Dawkins H, Lamont L, Roy AJ, Chamova T, Guergueltcheva V, Chan S, Korngut L, Campbell C, Dai Y, Wang J, Barišić N, Brabec P, Lahdetie J, Walter MC, Schreiber-Katz O, Karcagi V, Garami M, Viswanathan V, Bayat F, Buccella F, Kimura E, Koeks Z, van den Bergen JC, Rodrigues M, Roxburgh R, Lusakowska A, Kostera-Pruszczyk A, Zimowski J, Santos R, Neagu E, Artemieva S, Rasic VM, Vojinovic D, Posada M, Bloetzer C, Jeannet PY, Joncourt F, Díaz-Manera J, Gallardo E, Karaduman AA, Topaloğlu H, El Sherif R, Stringer A, Shatillo AV, Martin AS, Peay HL, Bellgard MI, Kirschner J, Flanigan KM, Straub V, Bushby K, Verschuuren J, Aartsma-Rus A, Béroud C, Lochmüller H.
PUBMED DOIThe EuroBioBank Network: 10 years of hands-on experience of collaborative, transnational biobanking for rare diseases. Eur J Hum Genet. 2015 Sep;23(9):1116-23
Mora M, Angelini C, Bignami F, Bodin AM, Crimi M, Di Donato JH, Felice A, Jaeger C, Karcagi V, LeCam Y, Lynn S, Meznaric M, Moggio M, Monaco L, Politano L, de la Paz MP, Saker S, Schneiderat P, Ensini M, Garavaglia B, Gurwitz D, Johnson D, Muntoni F, Puymirat J, Reza M, Voit T, Baldo C, Bricarelli FD, Goldwurm S, Merla G, Pegoraro E, Renieri A, Zatloukal K, Filocamo M, Lochmüller H.
PUBMED DOIOsteochondromas in fibrodysplasia ossificans progressiva: a widespread trait with a streaking but overlooked appearance when arising at femoral bone end. Rheumatol Int. 2015 Oct;35(10):1759-67
Morales-Piga A, Bachiller-Corral J, González-Herranz P, Medrano-SanIldelfonso M, Olmedo-Garzón J, Sánchez-Duffhues G.
PUBMED DOISocial/economic costs and health-related quality of life in patients with Duchenne muscular dystrophy in Europe. Eur J Health Econ. 2016 Apr;17 Suppl 1:19-29
Cavazza M, Kodra Y, Armeni P, De Santis M, López-Bastida J, Linertová R, Oliva-Moreno J, Serrano-Aguilar P, Posada de la Paz M, Taruscio D, Schieppati A, Iskrov G, Péntek M, von der Schulenburg JM, Kanavos P, Chevreul K, Persson U, Fattore G; BURQOL-RD Research Network.
PUBMED DOIContenidos con Investigacion .
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Francisco Javier Alonso García de la Rosa
Profesor de Investigación de OPIs. Jefe de grupo
Código ORCID: 0000-0002-6287-8391
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Saint Thomas Cervera Mayor
Investigador predoctoral
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Selene Martinez Rodriguez
Técnica superior laboratorio
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María Iranzo Martinez
Técnico especializado de OPIs
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