Referencias científicas

 

 

 

http://www.ncbi.nlm.nih.gov/pubmed/18957431

 

1: J Biol Chem. 2008 Oct 28. [Epub ahead of print]

 

Chromatin remodeling in the non-coding repeat expansion diseases.

 

Kumari D, Usdin K.

 

LMCB, NIDDK, NIH, Bethesda, MD 20892-0830.

 

Friedreich ataxia, myotonic dystrophy type 1, and 3 forms of intellectual disability, Fragile X syndrome, FRAXE mental retardation and FRA12A mental retardation are Repeat Expansion Diseases caused by expansion of CTG*CAG, GAA*TTC, or CGG*CCG-repeat tracts. These repeats are transcribed, but not translated. They are located in different parts of different genes and cause symptoms that range from ataxia and hypertrophic cardiomyopathy to muscle wasting, male infertility and mental retardation. Yet recent reports suggest that, despite these differences, the repeats may share a common property, namely the ability to initiate repeat-mediated epigenetic changes that result in heterochromatin formation.

 

PMID: 18957431 [PubMed - as supplied by publisher]


Source:  http://www.physorg.com/news145889320.html

 

Published: 12:48 EST, November 14, 2008

 

Breakthrough in cell-type analysis offers new ways to study development and disease

 

General Science - Biology

 

Glowing review. Fluorescing Purkinje cells, just one of hundreds of types of neurons, have given up their biomolecular secrets thanks to a breakthrough in cellular analysis.

 

(PhysOrg.com) -- Like skilled assassins, many diseases seem to know exactly what types of cells to attack. While decimating one cadre of cells, diseases will inexplicably spare a seemingly identical group of neighbors. What makes cells vulnerable or not depends largely on the kinds and amounts of proteins they produce — their “translational profile,” in the lingo of molecular biology. For this reason, scientists have struggled to parse the subtle molecular differences among the hundreds of specialized cell types that are tangled together in tissues like the brain.

 

Now, in back-to-back papers in the November 14 issue of the journal Cell, researchers at The Rockefeller University report a breakthrough in cellular analysis that slashes through this Gordian knot. The scientists have developed a method to reveal translational profiles by isolating the genetic messages that govern protein production in different cell types. The new method, translating ribosome affinity purification (TRAP), uses genetically engineered mice to capture these messages as they pass through the protein production factories called ribosomes. Because the mice have been made to express a specially tagged ribosome in only one particular cell type, the TRAP method can identify all the genetic messages that give that cell type its unique identity, including, perhaps, its susceptibility to disease.


 

So TRAP solves a problem that has been a fundamental barrier to a deeper understanding of the brain and how neurological diseases attack it. But because the method can be used to distinguish any type of cell in any tissue in any organ — not just brain cells — it has applications for research into afflictions as varied as cancer metastases, coronary artery disease and diabetes. The work is a collaboration between the labs of Rockefeller professors Nathaniel Heintz and Paul Greengard as well as colleagues at Northwestern University and the Translational Genomics Research Institute (TGen).

“We’ve created a novel, generally applicable tool that can be used by a broad spectrum of the scientific community,” says Heintz, who is the James and Marilyn Simons Professor, head of the Laboratory of Molecular Biology and a Howard Hughes Medical Institute investigator. “I think it will rapidly spread into many of areas of biology.”

Greengard, Vincent Astor Professor and head of the Laboratory of Molecular and Cellular Neuroscience, says about half of the research in his lab now employs the new technique to study the biochemical basis of Parkinson’s, Alzheimer’s and Huntington’s diseases, as well as the still-mysterious ways in which psychoactive drugs fight schizophrenia and depression. TRAP should fundamentally change biochemical studies of the brain and the speed at which they yield results, he says.

“We can look at a thousand genes instead of one at a time, so things should clear a thousand times faster,” says Greengard, who won the Nobel Prize in Physiology or Medicine in 2000 for research into how neurons communicate.

The TRAP method grew out of a project known as GENSAT (for Genetic Expression Nervous System Atlas) that Heintz and Rockefeller professor Mary Beth Hatten launched in 2000 to visualize the contributions of individual genes to the mouse brain. Heintz and his colleagues had developed a technique to engineer large pieces of DNA
carried in bacterial artificial chromosomes (BACs), which can insinuate themselves into the genomes of other organisms. They were able to insert the genetic code for green fluorescent protein (EGFP) within the regulatory domain of any gene of interest. When one of these modified BACs is transferred into mice, expression of the EGFP mimics that of the gene of interest, lighting up cells with a green glow that shows researchers all of the cells in which that particular gene functions.

The GENSAT database laid out in glowing green myriad cell types of the mouse brain. And it provided genetic markers for each kind. But it was an accomplishment that was also a taunt. Ultimately, the researchers wanted to go deeper to understand the precise biochemical characteristics of the cell types they had brought into focus, to learn what makes cells vulnerable to attack — and possibly how to protect them from it — by discovering what’s unique to the susceptible cells and the ones that are resistant. Enter TRAP.

Heintz, postdoctoral fellow Myriam Heiman and colleagues attached an EGFP to the surface of the ribosome and used it as a handle to pick out the cell’s protein factories and the genetic messages passing through them, called messenger RNAs (mRNAs). Using the GENSAT techniques and findings, they designed new mouse lines that made tagged ribosomes in each of four different cell types. Heiman and colleagues focused on the brain cells that respond to dopamine, an important neurotransmitter involved in muscle movement and emotion regulation, among other things. They used the handle they had made to pluck out the ribosomes and mRNAs from these brain cells and freeze them within minutes of dissection, preserving the “messages” largely as they were inside the living animal and minimizing degradation. Alternative approaches to getting the profiles of cell types in complex tissues have been disappointing because they require the physical isolation of whole cells from the tissues in which they are embedded. TRAP bypasses that logistical nightmare by going straight for the ribosome.

The method proved so sensitive that researchers were able to identify a few hundred genetic messages that differ between two types of dopamine-sensing brain cells that previously had seemed nearly identical. Because these cells are crucial elements of the neural circuit that degenerates in Parkinson’s and Huntington’s diseases, the newly identified proteins could aid in the design of drugs that would allow these two key cell types to be treated independently of one another.

“We can probe into each cell type, see what is there and possibly identify better therapeutic targets,” says Heiman. “This approach is much more in line with a rational drug design.”

In a major application of TRAP published as a separate study in the same issue of Cell, Rockefeller scientists led by research associate Joseph Doyle and postdoctoral associate Joseph Dougherty went on to characterize the protein profiles of 24 types of cells in the central nervous system, identifying thousands of proteins that were previously unassociated with known cell types. The work in Cell provides the research community with 16 lines of transgenic mice that can be used for a sweeping range of potential neurological experiments. Heintz says his lab will make many more as they pursue detailed studies of other cell types.

“We can now study the molecular phenotypes that occur in specific cell types in response to genetic, environmental or pharmacological perturbations, determine the precise changes within specific cell types as they progress through development and examine the detailed properties of cells as they succumb to the pathological events occurring in neurological diseases such as ataxia telangiectasia, autism and Rett syndrome,” says Heintz. “We are very excited by the opportunities this offers to us and our colleagues for investigation of these issues.”

References:
Cell 135(4): 738-748 (October 14, 2008)

 

Provided by Rockefeller University


 

Source: http://www.pharmalive.com/News/index.cfm?articleid=587386

 

 

Questions and Answers on Recommendation for the Refusal of the Marketing Authorisation for Sovrima

 

International non-proprietary name (INN): idebenone

LONDON, Nov. 20, 2008- On 24 July 2008, the Committee for Medicinal Products for Human Use (CHMP) adopted a negative opinion, recommending the refusal of the marketing authorisation for the medicinal product Sovrima 150 mg tablets, intended for the treatment of Friedreich’s ataxia. The company that applied for authorisation is Santhera Pharmaceuticals (Deutschland) GmbH. It may request a re-examination of the opinion within 15 days of receipt of notification of this negative opinion.

What is Sovrima?

Sovrima is a medicine that contains the active substance idebenone. It was to be available as tablets (150 mg).

What was Sovrima expected to be used for?

Sovrima was expected to be used to treat Friedreich’s ataxia. It was to be used in children and young adults, as well as in adults whose disease had been diagnosed within the past five years and in adults with cardiomyopathy (harm to the heart muscle).

Friedreich’s ataxia is an inherited disease. It has a range of symptoms that gradually get worse, including difficulty walking, an inability to co-ordinate movements, muscle weakness, speech problems, damage to the heart muscle, and diabetes. It is usually fatal in adulthood.

Sovrima was designated as an orphan medicinal product on 8 March 2004 for Friedreich’s ataxia.

The active substance in Sovrima, idebenone, has been available in some countries in Europe since the 1990s for cognitive disorders (problems with thinking, learning and remembering) and for Alzheimer’s disease.

How is Sovrima expected to work?

Patients with Friedreich’s ataxia do not have enough of a protein called frataxin. Frataxin plays a role in building the energy-producing parts of cells. When frataxin is missing, the production of energy is severely impaired and highly reactive and toxic forms of oxygen are produced. These highly reactive forms of oxygen damage cells in the brain, the spinal cord and nerves, as well as in the heart and pancreas, causing the symptoms of the disease.

The active substance in Sovrima, idebenone, is an antioxidant agent. It is expected to work by enhancing the production of energy within cells and possibly by neutralising the highly reactive forms of oxygen. This was expected to protect cells from damage and to reduce the symptoms of Friedreich’s ataxia.

What documentation did the company present to support its application to the CHMP?

The effects of Sovrima were first tested in experimental models before being studied in humans.

The effectiveness of Sovrima was studied in one main study involving 48 patients. The study compared the effectiveness of three different doses of Sovrima (5, 15 and 40 mg per kg body weight) with that of placebo (a dummy treatment) over six months. The main measure of effectiveness was the change in the level of a substance in the blood called deoxyguanosine, which is a marker of cell damage caused by highly reactive forms of oxygen. The study looked also at the effectiveness of Sovrima in controlling movements, as measured on standard scales for ataxia symptoms, at its impact on daily activities as measured using a questionnaire and its effect on heart function. 2/2

What were the major concerns that led the CHMP to recommend the refusal of the marketing authorisation?

The CHMP was concerned that the effectiveness of Sovrima had not been demonstrated in the single study performed. Sovrima did not show a significant improvement compared with placebo, with respect to the main measure of effectiveness, as well as to other evaluated parameters. The CHMP had also concerns that there was no clear explanation for the fact that the intermediate dose of Sovrima seemed to be more effective than the higher dose. In addition, the supporting information from the scientific literature was weak and did not demonstrate a consistent clinical benefit of Sovrima for this disease.

At that point in time, the CHMP was of the opinion that the benefits of Sovrima in the treatment of Friedreich’s ataxia did not outweigh its risks. Hence, the CHMP recommended that Sovrima be refused marketing authorisation.

What are the consequences of the refusal for patients in clinical trials or compassionate use programmes using Sovrima?

The company informed the CHMP that there are no consequences for patients currently included in clinical trials. The company further informed the CHMP that there are no consequences for the named patient programs or compassionate use programmes with Sovrima.

If you are in a clinical trial or compassionate use programme and need more information about your treatment, contact the doctor who is giving it to you.

What is happening with idebenone for cognitive disorders and Alzheimer’s disease?

There are no consequences on the use of idebenone in its used indications, for which the balance of benefits and risks remains unchanged


 

http://www.santhera.com/index.php?docid=212&vid=&lang=en&newsdate=200811&newsid=1271543&newslang=en

 

November 19, 2008: CHMP Confirms Original Opinion on Santhera's SNT-MC17/Idebenone for Treatment of Friedreich's Ataxia

Santhera Pharmaceuticals (SIX: SANN), a Swiss specialty pharmaceutical company focused on neuromuscular diseases, announced today that the European Medicines Agency (EMEA) has informally advised that it would maintain its negative opinion on the Company's Marketing Authorization Application (MAA) for SNT-MC17/idebenone in Friedreich's Ataxia. According to the information received, the Committee for Medicinal Products for Human Use (CHMP) of the EMEA in its reexamination concluded that it cannot support an early approval at this point in time but rather prefers to wait until additional data from at least one of Santhera's two pivotal trials become available for review. The Company has two Phase III studies running and both these trials have achieved their recruitment target. Santhera intends to file for marketing authorization in the United States and in the European Union next year.

 

Klaus Schollmeier, Chief Executive Officer of Santhera, commented: "Our success in making additional data available in the near future has been the major obstacle throughout the regular review process as well as the reexamination. The confirmation of the original CHMP opinion is obviously a disappointment but not a surprise. As a result of today's decision, Friedreich's Ataxia patients in the European Union must continue to wait for the first controlled pharmaceutical product to treat their devastating disease. We confirm our commitment to make this important drug available to patients in Europe and in the United States as we are already able to do in Canada."

 

Meanwhile, Santhera's two Phase III trials are both recruited. In Europe, the twelve-month MICONOS (Mitochondrial Protection With Idebenone In Cardiac Or Neurological Outcome Study) trial has achieved the enrollment of 204 Friedreich's Ataxia patients and will be closed to recruitment shortly. In the United States, the last patient was randomized into the IONIA (Idebenone effects On Neurological ICARS Assessments) trial on October 31, 2008. A total of 70 Friedreich's Ataxia patients have been enrolled into this six-month study. Subject to positive outcome of the IONIA trial, Santhera expects to file a New Drug Application with the US Food and Drug Administration (FDA) before the end of 2009. In the United States, the program has been granted fast track status by the FDA in 2007. A new MAA is planned to be submitted to the EMEA within the same timeframe.

 



Source:  http://www.physorg.com/news145889320.html

Published: 12:48 EST, November 14, 2008

Breakthrough in cell-type analysis offers new ways to study 
development and disease

General Science - Biology


Glowing review. Fluorescing Purkinje cells, just one of hundreds of 
types of neurons, have given up their biomolecular secrets thanks to a 
breakthrough in cellular analysis.

(PhysOrg.com) -- Like skilled assassins, many diseases seem to know 
exactly what types of cells to attack. While decimating one cadre of 
cells, diseases will inexplicably spare a seemingly identical group of 
neighbors. What makes cells vulnerable or not depends largely on the 
kinds and amounts of proteins they produce - their "translational 
profile," in the lingo of molecular biology. For this reason, 
scientists have struggled to parse the subtle molecular differences 
among the hundreds of specialized cell types that are tangled together 
in tissues like the brain.

Now, in back-to-back papers in the November 14 issue of the journal 
Cell, researchers at The Rockefeller University report a breakthrough 
in cellular analysis that slashes through this Gordian knot. The 
scientists have developed a method to reveal translational profiles by 
isolating the genetic messages that govern protein production in 
different cell types. The new method, translating ribosome affinity 
purification (TRAP), uses genetically engineered mice to capture these 
messages as they pass through the protein production factories called 
ribosomes. Because the mice have been made to express a specially 
tagged ribosome in only one particular cell type, the TRAP method can 
identify all the genetic messages that give that cell type its unique 
identity, including, perhaps, its susceptibility to disease.


So TRAP solves a problem that has been a fundamental barrier to a 
deeper understanding of the brain and how neurological diseases attack 
it. But because the method can be used to distinguish any type of cell 
in any tissue in any organ - not just brain cells - it has 
applications for research into afflictions as varied as cancer 
metastases, coronary artery disease and diabetes. The work is a 
collaboration between the labs of Rockefeller professors Nathaniel 
Heintz and Paul Greengard as well as colleagues at Northwestern 
University and the Translational Genomics Research Institute (TGen).

"We've created a novel, generally applicable tool that can be used by 
a broad spectrum of the scientific community," says Heintz, who is the 
James and Marilyn Simons Professor, head of the Laboratory of 
Molecular Biology and a Howard Hughes Medical Institute investigator. 
"I think it will rapidly spread into many of areas of biology."

Greengard, Vincent Astor Professor and head of the Laboratory of 
Molecular and Cellular Neuroscience, says about half of the research 
in his lab now employs the new technique to study the biochemical 
basis of Parkinson's, Alzheimer's and Huntington's diseases, as well 
as the still-mysterious ways in which psychoactive drugs fight 
schizophrenia and depression. TRAP should fundamentally change 
biochemical studies of the brain and the speed at which they yield 
results, he says.

"We can look at a thousand genes instead of one at a time, so things 
should clear a thousand times faster," says Greengard, who won the 
Nobel Prize in Physiology or Medicine in 2000 for research into how 
neurons communicate.

The TRAP method grew out of a project known as GENSAT (for Genetic 
Expression Nervous System Atlas) that Heintz and Rockefeller professor 
Mary Beth Hatten launched in 2000 to visualize the contributions of 
individual genes to the mouse brain. Heintz and his colleagues had 
developed a technique to engineer large pieces of DNA carried in 
bacterial artificial chromosomes (BACs), which can insinuate 
themselves into the genomes of other organisms. They were able to 
insert the genetic code for green fluorescent protein (EGFP) within 
the regulatory domain of any gene of interest. When one of these 
modified BACs is transferred into mice, expression of the EGFP mimics 
that of the gene of interest, lighting up cells with a green glow that 
shows researchers all of the cells in which that particular gene 
functions.

The GENSAT database laid out in glowing green myriad cell types of the 
mouse brain. And it provided genetic markers for each kind. But it was 
an accomplishment that was also a taunt. Ultimately, the researchers 
wanted to go deeper to understand the precise biochemical 
characteristics of the cell types they had brought into focus, to 
learn what makes cells vulnerable to attack - and possibly how to 
protect them from it - by discovering what's unique to the susceptible 
cells and the ones that are resistant. Enter TRAP.

Heintz, postdoctoral fellow Myriam Heiman and colleagues attached an 
EGFP to the surface of the ribosome and used it as a handle to pick 
out the cell's protein factories and the genetic messages passing 
through them, called messenger RNAs (mRNAs). Using the GENSAT 
techniques and findings, they designed new mouse lines that made 
tagged ribosomes in each of four different cell types. Heiman and 
colleagues focused on the brain cells that respond to dopamine, an 
important neurotransmitter involved in muscle movement and emotion 
regulation, among other things. They used the handle they had made to 
pluck out the ribosomes and mRNAs from these brain cells and freeze 
them within minutes of dissection, preserving the "messages" largely 
as they were inside the living animal and minimizing degradation. 
Alternative approaches to getting the profiles of cell types in 
complex tissues have been disappointing because they require the 
physical isolation of whole cells from the tissues in which they are 
embedded. TRAP bypasses that logistical nightmare by going straight 
for the ribosome.

The method proved so sensitive that researchers were able to identify 
a few hundred genetic messages that differ between two types of 
dopamine-sensing brain cells that previously had seemed nearly 
identical. Because these cells are crucial elements of the neural 
circuit that degenerates in Parkinson's and Huntington's diseases, the 
newly identified proteins could aid in the design of drugs that would 
allow these two key cell types to be treated independently of one 
another.

"We can probe into each cell type, see what is there and possibly 
identify better therapeutic targets," says Heiman. "This approach is 
much more in line with a rational drug design."

In a major application of TRAP published as a separate study in the 
same issue of Cell, Rockefeller scientists led by research associate 
Joseph Doyle and postdoctoral associate Joseph Dougherty went on to 
characterize the protein profiles of 24 types of cells in the central 
nervous system, identifying thousands of proteins that were previously 
unassociated with known cell types. The work in Cell provides the 
research community with 16 lines of transgenic mice that can be used 
for a sweeping range of potential neurological experiments. Heintz 
says his lab will make many more as they pursue detailed studies of 
other cell types.

"We can now study the molecular phenotypes that occur in specific cell 
types in response to genetic, environmental or pharmacological 
perturbations, determine the precise changes within specific cell 
types as they progress through development and examine the detailed 
properties of cells as they succumb to the pathological events 
occurring in neurological diseases such as ataxia telangiectasia, 
autism and Rett syndrome," says Heintz. "We are very excited by the 
opportunities this offers to us and our colleagues for investigation 
of these issues."

References:
Cell 135(4): 738-748 (October 14, 2008)

 


 

Monday, 24th November 2008

FIRST EVER DRUG TRIAL FOR FRIEDREICH ATAXIA IN AUSTRALIA

FARA(A) is very excited to announce the approval of the very first clinical drug trial in Friedriech Ataxia in Australia.

A Deferiprone Phase II double blind trial will commence shortly under Associate Professor Martin Delatycki in Melbourne. Participants will be aged 7 to 17 years old, Australia wide. This is a very significant step for FA patients and their families, many of whom have been waiting many years for this important breakthrough.

The Australian site is part of an international,multi-centre, double-blind, randomized, placebo-controlled six month clinical trial. Other participating sites include Belgium, France, Italy, Spain and London, UK.

On behalf of FARA(A) and all FA families, we strongly encourage the Australian FA community to support our involvement in this international trial. The results of the trial will be crucial in moving us towards an effective treatment and cure for FA.

Should you or your family member be interested in participating in this trial, or if you would like further information, please contact Varlli Beetham our Executive Director on 03 8615 4808 or varlli@fara.org.au. as soon as possible

Yours sincerely,

Emeritus Professor Peter Rousch AM

President

Friedreich Ataxia Research Association (Australasia)


 

Wanted to provide a brief update on the two promising compounds and
clinical trial plans that Linda Condon recently asked about -- HDAC
inhibitors and EPO. Wanted you to know, too, that the next issue of
FARA's Advocate will be published and distributed very soon in both
hard copy and electronic form. The Advocate will contain a full
update on all the drug compounds in the FA research pipeline and on
the clinical trials currently under way or being planned for next year.

FARA is in steady, frequent contact with the scientists and drug
companies advancing these compounds in FA. You might recall that Dr.
Joel Gottesfeld at The Scripps Research Institute is credited with
discovering the potential for HDAC inhibitors being beneficial in FA.
Scripps then licensed these compounds to the Repligen Corporation near
Boston. FARA continues to fund Dr. Gottesfeld's work and has thus far
provided his lab with about $1 million in support. FARA and MDA have
partnered to help support Repligen's HDAC inhibitor effort, with MDA
providing about $1 million to the company and FARA providing
$100,000. As Dr. Gottesfeld and Repligen design and refine these HDAC
inhibitors, they are testing them in the FA mouse models developed by
Dr. Massimo Pandolfo in Belgium and Dr. Mark Pook in the United Kingdom.

FARA continues to meet with this entire team (Repligen, Drs.
Gottesfeld, Pandolfo, Pook and others) regularly to stay up to date on
progress being made and to see how we might all work together most
effectively to accelerate it. The next such meeting is scheduled for
Saturday, November 15. This wonderful team's plan is to work together
so as to arrive at the best HDAC inhibitor it can develop and take it
to the FDA as early next year as possible with a proposal to begin a
clinical trial in FA. We should be able to report to you after the
November 15 meeting whether the team is on track and what the time
lines might be for going to the FDA.

One way FARA has been able to help advance and accelerate this project
and others beyond the direct financial support is by helping make the
FA animal models more readily available. We funded much of the early
work to develop such mouse models and to distribute them to additional
scientists. More recently, thanks to generous donors in the FA
community, FARA has also entered into agreement with the world's
premiere animal model facility - The Jackson Laboratory in Bar Harbor,
Maine (JAX). JAX has begun importing the leading FA mouse models,
improving them where possible, and breeding them so as to be able to
make them available to scientists around the world conducting the
tests of promising FA drug compounds. This approach has the additional
advantage of freeing up the original mouse-development scientists to
do their own experiments rather than spending all their time breeding
and caring for the mice.

FARA's longstanding efforts to advance Erythropoietin (EPO) as a
potential therapy for FA has encountered some obstacles. You might
recall that FARA supported the fine work of an Austrian team (Drs.
Scheiber-Mojdehkar and Sturm) that showed significant promise of EPO
in FA. In a short, small pilot study, the Austrian team demonstrated
that EPO could apparently increase frataxin protein levels in FA
patients. FARA has been working with first-rate clinicians in the
Collaborative Clinical Research Network in FA and with drug companies
in an effort to develop a clinical trial of EPO in FA.

This EPO effort has been impeded by recently published studies in much
different conditions. First, a study of cancer patients following
chemo-therapy who were administered EPO appeared to show that those
patients taking EPO did not survive at as high a rate as those not
taking EPO. Later, a study of stroke victims appeared to show serious
complications in those that were administered EPO. As a result, the
FDA issued a warning letter regarding EPO. All of this has led to a
situation in which it has been more difficult to secure a donated EPO
drug supply for a Clinical trial, find partners eager to help us fund
such a trial and be confident that the FDA will allow us to conduct
such a trial.

We continue to work constantly with FA clinicians, drug companies and
funding partners toward the goal of conducting a clinical trial of EPO
in FA. We will keep you informed of progress.

Again, please look for the upcoming issue of the Advocate in which you
will find an update on all FA research and all the important efforts
around the country and the world to support and accelerate that
research.

Warm regards to you all,
Ron

Ronald J. Bartek
President
Friedreich's Ataxia Research Alliance (FARA)

 

Volver a la Portada