Stem cell

干细胞
  • 文章类型: Journal Article
    了解人类干细胞分化为成骨细胞和破骨细胞对于骨再生和疾病建模至关重要。许多形态学技术已被用来评估这种分化,但是缺乏对其应用和有效性的全面审查。
    在PRISMA框架的指导下,我们通过PubMed进行了严格的搜索,WebofScience和Scopus数据库,分析254篇文章每篇文章都根据预先定义的纳入标准进行了审查,精选了14项值得深入分析的研究。
    鉴定了使用形态学方法分析成骨细胞和破骨细胞分化的趋势。成骨细胞最常用的三种技术是茜素红S(矿化;六篇),vonKossa(矿化;三篇文章)和碱性磷酸酶(ALP;两篇文章),然后是一篇关于Giemsa染色(细胞形态学)的文章,最后是免疫化学(三篇文章涉及Vinculin,F-肌动蛋白和Col1生物标志物)。对于破骨细胞,抗酒石酸酸性磷酸酶(TRAP染色)的文章数量最多(6篇),接下来是两篇关于DAPI染色(细胞形态学)的文章,和免疫化学(两篇带有VNR的文章,组织蛋白酶K和TROP2。该研究涉及四种干细胞类型:外周血单核细胞,间充质,牙髓,和牙周韧带.
    这篇综述为研究人员提供了宝贵的资源,茜素红S和TRAP染色是成骨细胞和破骨细胞最常用的形态学程序,分别。这种理解为这一快速变化的领域的未来研究提供了基础。
    UNASSIGNED: Understanding human stem cell differentiation into osteoblasts and osteoclasts is crucial for bone regeneration and disease modeling. Numerous morphological techniques have been employed to assess this differentiation, but a comprehensive review of their application and effectiveness is lacking.
    UNASSIGNED: Guided by the PRISMA framework, we conducted a rigorous search through the PubMed, Web of Science and Scopus databases, analyzing 254 articles. Each article was scrutinized against pre-defined inclusion criteria, yielding a refined selection of 14 studies worthy of in-depth analysis.
    UNASSIGNED: The trends in using morphological approaches were identified for analyzing osteoblast and osteoclast differentiation. The three most used techniques for osteoblasts were Alizarin Red S (mineralization; six articles), von Kossa (mineralization; three articles) and alkaline phosphatase (ALP; two articles) followed by one article on Giemsa staining (cell morphology) and finally immunochemistry (three articles involved Vinculin, F-actin and Col1 biomarkers). For osteoclasts, tartrate-resistant acid phosphatase (TRAP staining) has the highest number of articles (six articles), followed by two articles on DAPI staining (cell morphology), and immunochemistry (two articles with VNR, Cathepsin K and TROP2. The study involved four stem cell types: peripheral blood monocyte, mesenchymal, dental pulp, and periodontal ligament.
    UNASSIGNED: This review offers a valuable resource for researchers, with Alizarin Red S and TRAP staining being the most utilized morphological procedures for osteoblasts and osteoclasts, respectively. This understanding provides a foundation for future research in this rapidly changing field.
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  • 文章类型: Journal Article
    健康供体角膜的有限可用性和同种异体移植失败的发生率导致研究人员通过组织工程寻求其他角膜替代品。探索具有组织工程视野的角膜临床试验趋势,为揭示未来潜在的角膜替代品提供了机会。该临床试验的结果有利于未来的研究设计,以克服当前治疗方法的局限性。在这项研究中,2024年3月22日,我们对基于生物的角膜再生方法的注册临床试验进行了审查.在3955项角膜注册试验中,这项研究包括392项试验,它分为三种主要的生物基支架,干细胞,和生物活性大分子。除了脱细胞角膜和人羊膜,几种生物基材料已被引入作为角膜基质,如胶原蛋白,纤维蛋白,和琼脂糖。然而,在最近的研究中已经引入了一些合成材料来改善用于角膜替代物的生物基支架的所需性能。然而,最近,自体和同种异体细胞来源的细胞片对角膜再生医学有了新的见解。此外,通过对最近的实验模型的文献回顾,描述了角膜再生的未来前景。
    The limited availability of a healthy donor cornea and the incidence of allograft failure led researchers to seek other corneal substitutes via tissue engineering. Exploring the trend of clinical trials of the cornea with the vision of tissue engineering provides an opportunity to reveal future potential corneal substitutes. The results of this clinical trial are beneficial for future study designs to overcome the limitations of current therapeutic approaches. In this study, registered clinical trials of bio-based approaches were reviewed for corneal regeneration on March 22, 2024. Among the 3955 registered trials for the cornea, 392 trials were included in this study, which categorized in three main bio-based scaffolds, stem cells, and bioactive macromolecules. In addition to the acellular cornea and human amniotic membrane, several bio-based materials have been introduced as corneal substrates such as collagen, fibrin, and agarose. However, some synthetic materials have been introduced in recent studies to improve the desired properties of bio-based scaffolds for corneal substitutes. Nevertheless, new insights into corneal regenerative medicine have recently emerged from cell sheets with autologous and allogeneic cell sources. In addition, the future perspective of corneal regeneration is described through a literature review of recent experimental models.
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  • 文章类型: Journal Article
    营养对于接受血液和骨髓移植(BMT)的儿童的长期生存至关重要。但是如何优化这些患者的营养状况没有标准化。进行了文献检索,以评估目前正在进行BMT的儿科患者的营养支持方法。CINAHL,Embase,在Cochrane数据库中搜索同行评审的文章,评价20岁以下BMT受者的营养干预措施.发现并审查了2019年至2023年之间发表的9篇文章。肠内营养之间的营养支持不同,肠外营养,两者的结合,和预防性饲管放置。与营养方案改变相关的移植后结果包括住院时间,血小板植入日期,急性移植物抗宿主病的发病率,感染率,和总体生存率。与单独肠胃外相比,使用任何量的肠内营养都是有益的。BMT期间的并发症可以通过优先考虑肠内营养而不是肠胃外营养来减少。关于这一主题的文献匮乏凸显了该领域未满足的需求。未来的研究应该集中在优化移植受体营养支持的方法上,包括增加肠内营养管放置和利用的可能性。
    Nutrition is vital to the long-term survival of children undergoing blood and marrow transplantation (BMT), but there is no standardization on how to optimize the nutritional status of these patients. A literature search was performed to evaluate nutritional support approaches currently in practice for pediatric patients who are undergoing BMT. CINAHL, Embase, and Cochrane databases were searched for peer-reviewed articles evaluating nutritional interventions for BMT recipients aged 20 or younger. Nine articles published between 2019 and 2023 were found and reviewed. The nutritional support varied between enteral nutrition, parenteral nutrition, a combination of both, and prophylactic feeding tube placement. The post-transplant outcomes identified as associated with alterations in nutritional regimens included length of stay, date of platelet engraftment, incidence of acute graft-versus-host disease, infection rate, and overall survival. The use of any amount of enteral nutrition compared to parenteral alone was beneficial. Complications during BMT can potentially be decreased via prioritizing enteral nutrition over parenteral. The paucity of literature on this topic highlights an unmet need in the field. Future research should focus on ways to optimize the nutritional support of transplant recipients, including increasing the likelihood of enteral feeding tube placement and utilization.
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  • 文章类型: Journal Article
    结论:将水凝胶生物材料与外泌体结合以促进伤口愈合和皮肤再生是一种有前途的方法。
    背景:最近的临床前动物研究集中于研究外泌体的基于水凝胶的递送系统在促进伤口愈合和皮肤再生中的功效。
    结果:尽管结果令人鼓舞,关键问题仍未解决,例如,优化水凝胶的特性,以提高伤口外泌体联合治疗的功效,并弥合临床前和临床应用之间的转化差距。
    结论:未来的研究工作应该集中在改进水凝胶设计,以增强外泌体递送功效,进行严格的临床试验,以评估外泌体加载水凝胶在人体伤口愈合和皮肤再生中的安全性和有效性,并探索创新策略,以最大限度地提高治疗效果。
    Significance: The combination of hydrogel biomaterials with exosomes to facilitate wound healing and skin regeneration is a promising approach. Recent Advances: Recent preclinical animal studies have focused on investigating the efficacy of hydrogel-based delivery systems for exosomes in promoting wound healing and skin regeneration. Critical Issues: Despite encouraging results, critical issues remain unresolved, such as optimizing hydrogel properties to enhance the efficacy of combined therapy with exosomes for wound and bridging the translational gap between preclinical and clinical applications. Future Directions: Future research endeavors should concentrate on refining hydrogel design to enhance exosome delivery efficacy, conducting rigorous clinical trials to assess the safety and efficacy of exosome-loaded hydrogels in human wound healing and skin regeneration, and exploring innovative strategies to maximize therapeutic outcomes.
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  • 文章类型: Journal Article
    兽医学中的伴侣动物会发展出多种类似于人类疾病的自然发生的疾病。我们之前报告了对可行性的全面审查,安全,和使用新型干细胞疗法治疗狗和猫的各种炎症疾病的生物学活性(2008-2015)[1]。这篇综述的目的是提供伴侣动物疾病模型中当前研究的最新摘要,这些研究评估了与人类疾病相关的干细胞疗法。在这里,我们回顾了2015年至2023年在伴侣动物中评估的关于干细胞疗法的出版物的文献,包括狗,猫,和马。该综述排除了在实验诱导的疾病模型中进行的病例报告或研究,涉及癌症的研究,或在目的繁殖的实验室物种如啮齿动物中进行研究。我们确定了45份符合这些标准的手稿,从上一篇评论中描述的19个增加[1]。大多数研究在狗中进行(n=28),在马(n=9)和猫(n=8)中进行了其他研究。疾病模型包括与肌肉骨骼疾病相关的模型(骨关节炎,肌腱/韧带损伤),神经系统疾病(犬认知功能障碍,椎间盘疾病,脊髓损伤)牙龈/牙齿疾病(牙龈炎),皮肤病(特应性皮炎),慢性多药耐药感染,眼科疾病(干燥性角膜结膜炎,嗜酸性角膜炎,免疫介导的角膜炎),心肺疾病(哮喘,退行性瓣膜疾病,扩张型心肌病),胃肠道疾病(炎症性肠病,慢性肠病)和肾脏疾病(慢性肾脏疾病)。大多数研究报告了干细胞治疗的有益反应,除了那些与更慢性的过程,如脊髓损伤和慢性肾脏疾病。然而,还应该指出的是,22项研究是开放标签的,基线对照试验,只有12项研究是随机和对照的,使整体研究解释变得困难。如上次审查所述,在干细胞疗法的制造过程中,需要改善监管监督和一致性。使用先进的组学方法增强对疾病过程的时间过程的理解可以进一步告知作用机制并帮助定义适当的干预时机。基于干细胞的治疗的未来方向可能包括使用干细胞衍生的细胞外囊泡,或细胞调节方法,将细胞引导到适合个体疾病过程和疾病阶段的特定途径。
    Companion animals in veterinary medicine develop multiple naturally occurring diseases analogous to human conditions. We previously reported a comprehensive review on the feasibility, safety, and biologic activity of using novel stem cell therapies to treat a variety of inflammatory conditions in dogs and cats (2008-2015) [Hoffman AM, Dow SW. Concise review: stem cell trials using companion animal disease models. Stem Cells. 2016;34(7):1709-1729. https://doi.org/10.1002/stem.2377]. The purpose of this review is to provide an updated summary of current studies in companion animal disease models that have evaluated stem cell therapeutics that are relevant to human disease. Here we have reviewed the literature from 2015 to 2023 for publications on stem cell therapies that have been evaluated in companion animals, including dogs, cats, and horses. The review excluded case reports or studies performed in experimentally induced models of disease, studies involving cancer, or studies in purpose-bred laboratory species such as rodents. We identified 45 manuscripts meeting these criteria, an increase from 19 that were described in the previous review [Hoffman AM, Dow SW. Concise review: stem cell trials using companion animal disease models. Stem Cells. 2016;34(7):1709-1729. https://doi.org/10.1002/stem.2377]. The majority of studies were performed in dogs (n = 28), with additional studies in horses (n = 9) and cats (n = 8). Disease models included those related to musculoskeletal disease (osteoarthritis and tendon/ligament injury), neurologic disease (canine cognitive dysfunction, intervertebral disc disease, spinal cord injury) gingival/dental disease (gingivostomatitis), dermatologic disease (atopic dermatitis), chronic multi-drug resistant infections, ophthalmic disease (keratoconjunctivitis sicca, eosinophilic keratitis, immune-mediated keratitis), cardiopulmonary disease (asthma, degenerative valve disease, dilated cardiomyopathy), gastrointestinal disease (inflammatory bowel disease, chronic enteropathy), and renal disease (chronic kidney disease). The majority of studies reported beneficial responses to stem cell treatment, with the exception of those related to more chronic processes such as spinal cord injury and chronic kidney disease. However, it should also be noted that 22 studies were open-label, baseline-controlled trials and only 12 studies were randomized and controlled, making overall study interpretation difficult. As noted in the previous review, improved regulatory oversight and consistency in manufacturing of stem cell therapies are needed. Enhanced understanding of the temporal course of disease processes using advanced-omics approaches may further inform mechanisms of action and help define appropriate timing of interventions. Future directions of stem-cell-based therapies could include use of stem-cell-derived extracellular vesicles, or cell conditioning approaches to direct cells to specific pathways that are tailored to individual disease processes and stages of illness.
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  • 文章类型: Journal Article
    肌肉骨骼损伤如马骨关节炎,骨关节缺损,肌腱炎/肌腱炎,肌肉疾病在运动马匹中普遍存在,对恢复锻炼或以前的表现水平有一个公平的预后。马医学领域发展迅速而卓有成效,导致肌肉骨骼问题的多种治疗选择。跟上这些进步可能是具有挑战性的,提示需要对常用和近期治疗方法进行全面审查。目的是编制当前治疗这些损伤的治疗方案,从简单到复杂的物理治疗技术,保守治疗包括类固醇和非甾体抗炎药,透明质酸,多硫酸化糖胺聚糖,戊聚糖多硫酸盐,和聚丙烯酰胺,有前途的再生疗法,如血液衍生物和基于干细胞的疗法。每种治疗方式都会被仔细审查其益处,局限性,和潜在的协同作用,以促进它们最有效地应用于受损组织/器官的预期愈合/再生和随后的患者恢复。虽然基于干细胞的疗法对于马的肌肉骨骼损伤特别有希望,在整个讨论中强调了多学科的方法,强调同时考虑各种治疗方式的重要性。
    Musculoskeletal injuries such as equine osteoarthritis, osteoarticular defects, tendonitis/desmitis, and muscular disorders are prevalent among sport horses, with a fair prognosis for returning to exercise or previous performance levels. The field of equine medicine has witnessed rapid and fruitful development, resulting in a diverse range of therapeutic options for musculoskeletal problems. Staying abreast of these advancements can be challenging, prompting the need for a comprehensive review of commonly used and recent treatments. The aim is to compile current therapeutic options for managing these injuries, spanning from simple to complex physiotherapy techniques, conservative treatments including steroidal and non-steroidal anti-inflammatory drugs, hyaluronic acid, polysulfated glycosaminoglycans, pentosan polysulfate, and polyacrylamides, to promising regenerative therapies such as hemoderivatives and stem cell-based therapies. Each therapeutic modality is scrutinized for its benefits, limitations, and potential synergistic actions to facilitate their most effective application for the intended healing/regeneration of the injured tissue/organ and subsequent patient recovery. While stem cell-based therapies have emerged as particularly promising for equine musculoskeletal injuries, a multidisciplinary approach is underscored throughout the discussion, emphasizing the importance of considering various therapeutic modalities in tandem.
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  • 文章类型: Journal Article
    癌症存活率的提高已将重点放在确保癌症患者的生育能力保留程序上。卵巢组织冷冻保存是青春期前女孩和需要立即开始治疗的患者的唯一选择,因此,不能进行受控的卵巢刺激。我们旨在评估干细胞对冷冻保存的卵巢组织移植物在生长因子表达方面的影响。血管生成促进,组织氧合,卵巢卵泡的存活和内分泌功能的恢复。对于这项系统审查,我们检索了Scopus和PubMed数据库,并纳入了使用鼠和/或人冷冻保存的卵巢组织进行移植或体外培养,并联合向移植部位施用间充质干细胞的试验报告.在确认的1201篇文章中,10符合标准。干细胞在移植部位的应用已被证明支持血管促进,从而缩短组织缺氧的时间,这反映在剩余的存活卵泡数量增加和卵巢内分泌功能恢复更快。在临床实践中将干细胞用于OT冷冻保存和移植程序之前,还需要进一步的研究。复杂的伦理困境使这一过程更加困难。
    The increase in cancer survival rates has put a focus on ensuring fertility preservation procedures for cancer patients. Ovarian tissue cryopreservation presents the only option for prepubertal girls and patients who require immediate start of treatment and, therefore, cannot undergo controlled ovarian stimulation. We aimed to provide an assessment of stem cells\' impact on cryopreserved ovarian tissue grafts in regard to the expression of growth factors, angiogenesis promotion, tissue oxygenation, ovarian follicle survival and restoration of endocrine function. For this systematic review, we searched the Scopus and PubMed databases and included reports of trials using murine and/or human cryopreserved ovarian tissue for transplantation or in vitro culture in combination with mesenchymal stem cell administration to the grafting site. Of the 1201 articles identified, 10 met the criteria. The application of stem cells to the grafting site has been proven to support vascular promotion and thereby shorten the period of tissue hypoxia, which is reflected in the increased number of remaining viable follicles and faster recovery of ovarian endocrine function. Further research is needed before implementing the use of stem cells in OT cryopreservation and transplantation procedures in clinical practice. Complex ethical dilemmas make this process more difficult.
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  • 文章类型: Journal Article
    Sanfilippo综合征是一种儿童期(1-4年)常染色体隐性遗传溶酶体贮积症,通过靶向脑和脊髓表现为神经退行性疾病。它也被称为粘多糖贮积症III。粘多糖贮积症III分为四个亚型(A,B,C,orD).它会导致说话延迟,行为问题,和自闭症谱系障碍的特征。Sanfilippo综合征在携带其基因改变的近亲家庭中患病率较高。如果父母双方都有与这种情况相关的基因的非功能拷贝,他们的孩子将有25%(四分之一)的机会患上这种疾病。在沙特阿拉伯,发病率估计为每100,000例活产中有2例。最近的研究集中在有希望的治疗方法,比如基因治疗,改良酶替代疗法,和干细胞。这些方法通过外源施用适当版本的突变酶(酶替代疗法)起作用,清除糖脂贮积障碍患者体内有缺陷的酶(底物减少疗法),或使用药物伴侣靶向折叠不当的蛋白质。然而,目前尚无可有效阻止或逆转Sanfilippo综合征的批准治疗药物.
    Sanfilippo syndrome is a childhood-onset (1-4 years) autosomal recessive lysosomal storage disease that presents as a neurodegenerative disease by targeting the brain and spinal cord. It is also known as mucopolysaccharidosis III. Mucopolysaccharidosis III is divided into four subtypes (A, B, C, or D). It can cause delayed speech, behavior problems, and features of autism spectrum disorder. Sanfilippo syndrome is of a higher prevalence within consanguineous families that carry its gene alteration. If both parents have a nonfunctional copy of a gene linked to this condition, their children will have a 25% (1 in 4) chance of developing the disease. In Saudi Arabia, the incidence rate is estimated at 2 per 100,000 live births. Recent research focused on promising treatment approaches, such as gene therapy, modified enzyme replacement therapy, and stem cells. These approaches work by exogenous administration of the proper version of the mutant enzyme (enzyme replacement therapy), cleaning the defective enzyme in individuals with glycolipid storage disorders (substrate reduction therapy), or using a pharmacological chaperone to target improperly folded proteins. However, there is currently no approved curative medication for Sanfilippo syndrome that can effectively halt or reverse the disorder.
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  • 文章类型: Systematic Review
    细胞移植作为帕金森病的治疗方法已经研究了几十年,干细胞可能是这种治疗最有前途的细胞来源。我们旨在研究干细胞移植是否有助于帕金森病的治愈,以及可能影响该疗法疗效的因素。
    PubMed,Embase,科克伦图书馆,WebofScience,SinoMed,中国国家知识基础设施(CNKI),中国科技期刊数据库(VIP),和ChinaInfo进行了彻底搜索,以寻找在帕金森病患者中进行干细胞移植的对照试验或随机对照试验。对合并效应进行分析,以95%置信区间评估加权平均差(WMD)。
    确定了9篇文章,其中包括129个人。干细胞移植是治疗帕金森病的有效方法(WMD=-14.86;95%CI:-16.62至-13.10;p<0.00001),神经干细胞,脐带间充质干细胞(UCMSCs),骨髓间充质干细胞(BMMSCs)是移植的有效细胞来源。干细胞移植可有效至少12个月,但由于监测患者超过1年的有限研究,其长期有效性仍然未知,更不用说几十年了。
    来自对照试验的数据表明,干细胞移植作为帕金森氏病的治疗方法可以有效至少12个月。可能影响其疗效的因素是移植后的时间和干细胞类型。
    (注册ID:CRD42022353145)。
    UNASSIGNED: Cell transplants as a treatment for Parkinson\'s disease have been studied for decades, and stem cells may be the most promising cell sources for this treatment. We aimed to investigate whether stem cell transplantation contributes to the cure for Parkinson\'s disease and the factors that may influence the efficacy for this therapy.
    UNASSIGNED: PubMed, Embase, Cochrane Library, Web of Science, SinoMed, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), and ChinaInfo were thoroughly searched to find controlled trials or randomized controlled trials performing stem cell transplantation in patients with Parkinson\'s disease. The pooled effects were analyzed to evaluate the weighted mean difference (WMD) with 95% confidence intervals.
    UNASSIGNED: Nine articles were identified including 129 individuals. Stem cell transplantation was an effective treatment for Parkinson\'s disease (WMD = -14.86; 95% CI: -16.62 to -13.10; p < 0.00001), with neural stem cells, umbilical cord mesenchymal stem cells (UCMSCs), and bone marrow mesenchymal stem cells (BMMSCs) being effective cell sources for transplantation. Stem cell transplantation can be effective for at least 12 months, but its long-term effectiveness remains unknown due to the limited studies monitoring patients for more than 1 year, not to mention decades.
    UNASSIGNED: Data from controlled trials suggest that stem cell transplantation as a therapy for Parkinson\'s disease can be effective for at least 12 months. The factors that may influence its curative effect are time after transplantation and stem cell types.
    UNASSIGNED: (Registration ID: CRD42022353145).
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  • 文章类型: Journal Article
    最近出现了采用机械转导材料引起生物学结果的新策略,用于控制细胞行为。有针对性的细胞反应是通过操纵物理,化学,或生化改性材料的性质。纳米图案化等技术的进步,化学改性,生化分子嵌入,力可调材料,人工细胞外基质有助于理解细胞机械传导。总的来说,这些策略操纵细胞传感和调节信号级联,包括粘着斑,YAP-TAZ转录因子,和多种成骨途径。在这篇小型评论中,我们提供了这些材料的影响的摘要,特别是钛基矫形材料,在细胞上。我们还强调了最近的补充方法发展,包括,但不限于,使用代谢组学鉴定驱动细胞分化的活性生物分子。
    Novel strategies employing mechano-transducing materials eliciting biological outcomes have recently emerged for controlling cellular behaviour. Targeted cellular responses are achieved by manipulating physical, chemical, or biochemical modification of material properties. Advances in techniques such as nanopatterning, chemical modification, biochemical molecule embedding, force-tuneable materials, and artificial extracellular matrices are helping understand cellular mechanotransduction. Collectively, these strategies manipulate cellular sensing and regulate signalling cascades including focal adhesions, YAP-TAZ transcription factors, and multiple osteogenic pathways. In this minireview, we are providing a summary of the influence that these materials, particularly titanium-based orthopaedic materials, have on cells. We also highlight recent complementary methodological developments including, but not limited to, the use of metabolomics for identification of active biomolecules that drive cellular differentiation.
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