Chromosomal aberrations

染色体畸变
  • 文章类型: Journal Article
    天然橡胶行业消耗大量的水,每年释放具有丰富的有机和无机负荷的废水。这种废水被允许用于发展中国家的土壤灌溉。然而,废水中的污染物成分及其对环境的影响尚不清楚。因此,我们旨在评估废水的物理化学参数,有毒有机污染物,重金属,和植物毒性和细胞基因毒性。结果表明,废水综合参数的值记录为化学需氧量(187432.1mg/L),pH值(4.23),总氮(1157.1mg/L),氨氮(1113.0mg/L),总磷(1181.2mg/L),锌(593.3毫克/升),Cr(0.6127mg/L),和Ni(0.2986mg/L)。LC-MS检测有机化合物为salbotatin,西罗莫司,赤霉素A34-分解代谢物,1-(sn-甘油-3-磷酸)-1D-肌醇,和甲基二苯基硅烷。通过洋葱和绿豆的植物毒性表征测试证实了所鉴定的有毒化学物质和重金属的毒性。废水对绿豆种子萌发的影响,减少或抑制洋葱的生长,并在根尖分生组织中引起各种染色体畸变。我们的研究表明,天然橡胶废水的处理需要改进,用废水灌溉土壤的可行性需要重新考虑。
    The natural rubber industry consumes large volumes of water and annually releases wastewater with rich organic and inorganic loads. This wastewater is allowed for soil irrigation in developing countries. However, the pollutant composition in wastewater and its environmental effects remain unclear. Therefore, we aimed to assess the wastewater\'s physicochemical parameters, toxic organic pollutants, heavy metals, and phytotoxic and cytogenotoxic. The result revealed that values of comprehensive wastewater parameters were recorded as chemical oxygen demand (187432.1 mg/L), pH (4.23), total nitrogen (1157.1 mg/L), ammonia nitrogen (1113.0 mg/L), total phosphorus (1181.2 mg/L), Zn (593.3 mg/L), Cr (0.6127 mg/L), and Ni (0.2986 mg/L). The organic compounds detected by LC-MS were salbostatin, sirolimus, Gibberellin A34-catabolite, 1-(sn-glycero-3-phospho)-1D-myo-inositol, and methyldiphenylsilane. The toxicity of the identified toxic chemicals and heavy metals was confirmed by onion and mung bean phytotoxicity characterization tests. The wastewater affected the germination of mung bean seeds, reduced or inhibited the growth of onions, and induced various chromosomal aberrations in root apical meristems. Our study shows that the treatment of natural rubber wastewater needs to be improved, and the feasibility of irrigating soil with wastewater needs to be reconsidered.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:探讨非侵入性产前检测(NIPT)在颈项透明层(NT)不同截断率病例中的应用效果。
    方法:本研究回顾性分析了接受NIPT的NT≥2.5mm的妊娠。NT的结果,NIPT,收集染色体诊断和妊娠结局.
    结果:研究组由1470例单胎妊娠组成,包括864NT2.5-2.9毫米,350NT3.0-3.4毫米和256NT≥3.5毫米。在NT的不同截止值之间,NIPT的阳性预测值(PPV)没有显着差异。有一例假阳性病例,NT4.3毫米,在NIPT中筛查47,XYY在诊断测试中显示正常。对于NIPT结果正常的病例,剩余风险为1:20(5%,95CI:0.1-10.1%)在NT3.0-3.4毫米和1:15(6.5%,95CI:1.4%-11.5%)在NT≥3.5毫米的胎儿中。这些假阴性病例包括一个21三体,七个致病性CNV,一个单亲二分法和一个单基因疾病。
    结论:我们的研究结果表明,NIPT用于筛查染色体畸变的PPV在不同的NT截止值相似,而假阳性病例确实存在。在NIPT中正常后,染色体畸变的风险仍然存在,特别是致病性CNV,甚至常见的三体性。因此,建议进行产前诊断,建议在NT≥3.0mm的妊娠中应用CMA.
    OBJECTIVE: To investigate the efficiency of non-invasive prenatal testing (NIPT) in cases with different cutoffs of nuchal translucency (NT).
    METHODS: The study retrospectively analyses pregnancies with NT ≥ 2.5 mm who underwent NIPT. Results of NT, NIPT, chromosomal diagnostic and pregnancy outcomes were collected.
    RESULTS: Study group was composed of 1470 single pregnancies, including 864 with NT 2.5-2.9 mm, 350 with NT 3.0-3.4 mm and 256 with NT ≥ 3.5 mm. Non-significant differences were found in the positive predictive value (PPV) of NIPT between different cutoffs of NT. There was one false positive case with NT 4.3 mm, screening for 47,XYY in NIPT showed normal in diagnostic testing. For cases with normal NIPT results, the residual risk is 1:20 (5%, 95%CI: 0.1-10.1%) in fetuses with NT 3.0-3.4 mm and 1:15 (6.5%, 95%CI: 1.4%-11.5%) in fetuses with NT ≥ 3.5 mm. These false negative cases included one trisomy 21, seven pathogenic CNVs, one uniparental disomy and one single gene disorders.
    CONCLUSIONS: Our findings demonstrated that the PPV of NIPT for screening chromosomal aberrations were similarly in different NT cutoffs, while false positive case does exist. After normal in NIPT, risk for chromosomal aberrations remained, especially pathogenic CNV and even common trisomy. Therefore, prenatal diagnosis was recommended and CMA was suggested to apply in pregnancies with NT ≥ 3.0 mm.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    氯仿是一种广泛使用的工业化学品,也会污染环境。本研究的目的是研究氯仿对植物细胞的潜在细胞毒性和遗传毒性。使用蚕豆生物测定法。在0.1、0.5、1、2和5mg·L-1的浓度下评估氯仿。分析了以下参数:有丝分裂指数(MI),微核(MN)频率,染色体畸变(CA)频率,丙二醛(MDA)含量。结果表明,暴露于浓度增加的氯仿会导致蚕豆根尖细胞中MI的减少和MN的频率增加,相对于他们的控制。此外,各种类型的CA,包括C-有丝分裂,碎片,桥梁,落后的染色体,和多极有丝分裂,在处理的细胞中观察到。暴露于0.1-1mg·L-1氯仿中,MN的频率与CA的频率呈正相关。此外,氯仿暴露诱导蚕豆胚根膜脂质过氧化损伤,MDA含量与MN或CA的频率之间存在线性相关性。这些结果表明,氯仿暴露可以导致氧化应激,细胞毒性,和植物细胞的遗传毒性。
    Chloroform is a widely used industrial chemical that can also pollute the environment. The aims of this study were to examine the potential cytotoxicity and genotoxicity of chloroform on plant cells, using the Vicia faba bioassay. Chloroform was evaluated at concentrations of 0.1, 0.5, 1, 2, and 5 mg·L-1. The following parameters were analyzed: the mitotic index (MI), micronucleus (MN) frequency, chromosomal aberration (CA) frequency, and malondialdehyde (MDA) content. The results showed that exposure to increasing concentrations of chloroform caused a decrease in MI and an increase in the frequency of MN in Vicia faba root tip cells, relative to their controls. Moreover, various types of CA, including C-mitosis, fragments, bridges, laggard chromosomes, and multipolar mitosis, were observed in the treated cells. The frequency of MN was positively correlated with the frequency of CA in exposure to 0.1-1 mg·L-1 chloroform. Furthermore, chloroform exposure induced membrane lipid peroxidation damage in the Vicia faba radicle, and a linear correlation was observed between the MDA content and the frequency of MN or CA. These findings indicated that chloroform exposure can result in oxidative stress, cytotoxicity, and genotoxicity in plant cells.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    近年来,介入手术(IPs)已广泛用于治疗血管异常(VA)。然而,患者在透视引导的IPs期间接受低剂量X射线电离辐射(IR).我们收集了IPs期间的临床信息和IR剂量,并测量了包括γ-H2AX在内的生物标志物,染色体畸变(CA),和微核(MN),支持辐射诱导的DNA损伤,来自IPs前后的74例儿科患者。对于74个孩子来说,剂量面积乘积(DAP)值的范围为1.2~1754.6Gy·cm2,中值为27.1Gy·cm2.头颈部病变患儿的DAP值显着高于四肢和躯干;儿童的年龄和体重与DAP值有很强的正相关性。作为一组治疗的患者在IP之后显示出相对于基线的所有三个终点的增加。与患有血管畸形的儿童相比,患有血管肿瘤的儿童在IP后发生双中心染色体中心环(dicr)和胞质分裂阻滞微核(CBMN)的风险更高。病人越年轻,IPs后CA的风险越大。此外,在IPs后的五个孩子(约10%)中发现了流氓细胞(RCs),并且dicr和CBMN的发生率显着高于其他儿童(Z=-3.576,p<0.001)。这些结果表明,可能有一些VA儿童对IR特别敏感,但是将来需要更多的数据和更深入的实验来验证这一点。
    Interventional procedures (IPs) have been widely used to treat vascular anomalies (VA) in recent years. However, patients are exposed to low-dose X-ray ionizing radiation (IR) during these fluoroscopy-guided IPs. We collected clinical information and IR doses during IPs and measured biomarkers including γ-H2AX, chromosome aberrations (CA), and micronuclei (MN), which underpin radiation-induced DNA damage, from 74 pediatric patients before and after IPs. For the 74 children, the range of dose-area product (DAP) values was from 1.2 to 1754.6 Gy∙cm2, with a median value of 27.1 Gy∙cm2. DAP values were significantly higher in children with lesions in the head and neck than in the limbs and trunk; the age and weight of children revealed a strong positive correlation with DAP values. The treated patients as a group demonstrated an increase in all three endpoints relative to baseline following IPs. Children with vascular tumors have a higher risk of dicentric chromosome + centric ring (dic+r) and cytokinesis-block micronucleus (CBMN) after IPs than children with vascular malformations. The younger the patient, the greater the risk of CA after IPs. Moreover, rogue cells (RCs) were found in five children (approximately 10%) after IPs, and the rates of dic+r and CBMN were significantly higher than those of other children (Z = -3.576, p < 0.001). These results suggest that there may be some children with VA who are particularly sensitive to IR, but more data and more in-depth experiments will be needed to verify this in the future.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:染色体畸变是出生缺陷的最重要病因。光学基因组作图是一种新颖的细胞遗传学工具,用于在单个测定中检测广泛的染色体畸变。但是光学基因组图谱在产前诊断中的相关临床可行性研究是有限的。
    方法:我们对34例胎儿的羊水样本进行了光学基因组图谱分析,这些胎儿具有各种临床适应症和通过标准护理技术检测到的染色体畸变,包括核型分析,荧光原位杂交,和/或染色体微阵列分析。
    结果:总计,我们分析了34份羊水样本的46个染色体畸变,包括5个非整倍体,10个大拷贝数变化,27个微缺失/微重复,2易位,1个同位染色体,和1个区域的纯合性。总的来说,我们的定制分析策略可以证实45个染色体畸变。光学基因组作图以盲目的方式使用标准的护理方法对所有染色体畸变进行了97.8%的一致临床诊断。与广泛使用的染色体微阵列分析相比,光学基因组作图还确定了7例重复或三次重复的重复片段的相对方向和位置。光学基因组作图提供的额外信息将有助于表征复杂的染色体重排,并使我们能够提出解释重排和预测遗传复发风险的机制。
    结论:我们的研究强调,光学基因组作图可以在单个测试中提供有关染色体畸变的全面而准确的信息,这表明光学基因组作图有可能成为产前诊断的有前途的细胞遗传学工具。
    Chromosomal aberrations are the most important etiological factors for birth defects. Optical genome mapping is a novel cytogenetic tool for detecting a broad range of chromosomal aberrations in a single assay, but relevant clinical feasibility studies of optical genome mapping in prenatal diagnosis are limited.
    We retrospectively performed optical genome mapping analysis of amniotic fluid samples from 34 fetuses with various clinical indications and chromosomal aberrations detected through standard-of-care technologies, including karyotyping, fluorescence in situ hybridization, and/or chromosomal microarray analysis.
    In total, we analyzed 46 chromosomal aberrations from 34 amniotic fluid samples, including 5 aneuploidies, 10 large copy number variations, 27 microdeletions/microduplications, 2 translocations, 1 isochromosome, and 1 region of homozygosity. Overall, 45 chromosomal aberrations could be confirmed by our customized analysis strategy. Optical genome mapping reached 97.8% concordant clinical diagnosis with standard-of-care methods for all chromosomal aberrations in a blinded fashion. Compared with the widely used chromosomal microarray analysis, optical genome mapping additionally determined the relative orientation and position of repetitive segments for seven cases with duplications or triplications. The additional information provided by optical genome mapping will be conducive to characterizing complex chromosomal rearrangements and allowing us to propose mechanisms to explain rearrangements and predict the genetic recurrence risk.
    Our study highlights that optical genome mapping can provide comprehensive and accurate information on chromosomal aberrations in a single test, suggesting that optical genome mapping has the potential to become a promising cytogenetic tool for prenatal diagnosis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    继发性急性髓系白血病(S-AML)患者通常预后较差,但是S-AML的染色体畸变很少报道。我们旨在探讨S-AML患者的染色体畸变及其临床意义。
    对26例S-AML患者的临床特征和核型进行回顾性分析。从患者过渡到AML的时间开始测量总生存期(OS)(即,在S-AML诊断时)。
    该研究包括26名S-AML患者(13名男性和13名女性),平均年龄为63岁(范围,20-77岁)。它们由各种血液系统恶性肿瘤或实体瘤转化;其中大多数继发于骨髓增生异常综合征(MDS)。约62%的S-AML患者出现染色体畸变。核型异常的S-AML患者血清乳酸脱氢酶(LDH)水平高于核型正常患者。除了治疗方案的差异外,有染色体畸变的S-AML患者的OS较短(P<0.05)。
    核型异常的S-AML患者比核型正常患者有更高的LDH水平和更短的OS,亚二倍体的OS比超二倍体短得多。
    Secondary acute myeloid leukemia (S-AML) patients generally have a poor prognosis, but the chromosomal aberrations of S-AML have been rarely reported. We aimed to explore the chromosomal aberrations and clinical significance in patients with S-AML.
    The clinical characteristics and karyotypes of 26 patients with S-AML were retrospectively analyzed. The overall survival (OS) was measured from the time of the patients\' transition to AML (i.e., at S-AML diagnosis).
    The study included 26 S-AML patients (13 males and 13 females), with a median age of 63 years (range, 20-77 years). They transformed from various hematologic malignancies or solid tumors; most of them were secondary to myelodysplastic syndrome (MDS). About 62% of the S-AML patients showed chromosomal aberrations. The serum lactate dehydrogenase (LDH) level in S-AML patients with abnormal karyotype was higher than those with normal karyotype. Apart from the differences in treatment regimens, S-AML patients with chromosomal aberrations had shorter OS (P < 0.05).
    S-AML patients with abnormal karyotype have higher LDH levels and shorter OS than normal karyotype patients, and the OS of hypodiploidy was much shorter than hyperdiploid.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    研究染色体微阵列分析(CMA)在具有不同位置和数量的孤立或非孤立脐带囊肿(UCC)的胎儿中的产前诊断价值。
    在2015年11月至2021年11月期间,45名携带UCC胎儿的孕妇接受了羊膜穿刺术和CMA。随访6个月至5年的胎儿预后。
    5例(11.1%,5/45)的染色体畸变均被检测到。在具有分离和非分离UCC的胎儿之间,总染色体异常没有显着差异(13.3%[2/15]vs10%[3/30];p>.999)。在具有分离的UCC的胎儿中未发现常见的常染色体非整倍体。在后续行动中,在45个胎儿中,有11例(24.4%)终止妊娠,26例(57.8%)健康分娩,4(8.9%)产后UCC相关手术,以及4例(8.9%)患有其他疾病的胎儿活产婴儿。UCC位于前腹壁附近的婴儿的产后手术频率高于位于胎盘胎儿表面附近的婴儿(30.8%[4/13]vs0%[0/22];p=.014)。所有26例活的健康新生儿和4例接受产后手术的新生儿总体预后良好。
    对于具有隔离或非隔离UCC的胎儿,在提供详细信息后,CMA可能是父母的选择。即使需要手术,UCC胎儿的妊娠结局以及短期和长期预后均良好.
    UNASSIGNED: To investigate the prenatal diagnostic value of chromosome microarray analysis (CMA) in fetuses with isolated or non-isolated umbilical cord cysts (UCCs) of various locations and numbers.
    UNASSIGNED: Between November 2015 and November 2021, 45 pregnant women carrying fetuses with UCCs underwent amniocentesis and CMA. Fetal prognoses were followed from 6 months to 5 years.
    UNASSIGNED: Five cases (11.1%, 5/45) of chromosomal aberrations were detected. No significant difference in total chromosome abnormalities was found between fetuses with isolated and non-isolated UCCs (13.3% [2/15] vs 10% [3/30]; p > .999). No common autosomal aneuploidies were found in fetuses with isolated UCCs. At follow-up, among 45 fetuses, there were 11 (24.4%) pregnancy terminations, 26 (57.8%) live healthy births, 4 (8.9%) postnatal UCC-related surgeries, and 4 (8.9%) live births of fetuses with other diseases. The frequency of postnatal surgeries of the infants with UCCs located adjacent to the anterior abdominal wall was higher than those located adjacent to the fetal surface of the placenta (30.8% [4/13] vs 0% [0/22]; p = .014). All 26 live healthy neonates and 4 neonates that underwent postnatal surgery had an overall good prognosis.
    UNASSIGNED: For fetuses with isolated or non-isolated UCC, CMA could be a choice for parents after providing detailed information. Even when surgery was required, pregnancy outcomes and short- and long-term prognoses for fetuses with UCCs were favorable.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Case Reports
    染色体异常是自然流产的常见原因,但传统的检测方法(核型,FISH,和染色体微阵列[CMA])有局限性,许多隐秘的平衡染色体重排很难检测到。我们描述了一对经历过流产的夫妇,由CMA研究。流产组织的CMA在14q11.2处检测到1.62-Mb重复,在21q11.2q21.1处检测到5.09-Mb缺失,而这对夫妇似乎具有正常的核型。结合CMA的结果,全基因组测序(WGS)断点分析,桑格测序,和FISH,我们发现父亲是46,XY,t(14;21)(q11.2;q21.1)平衡易位载波。我们的结果表明,WGS是一种有效且准确的方法,可以绘制标准核型无法检测到的隐性互惠平衡易位的断点。
    Chromosomal abnormalities are a common cause of spontaneous abortions, but conventional detection methods (karyotype, FISH, and chromosomal microarray [CMA]) have limitations, and many cryptic balanced chromosomal rearrangements are difficult to detect. We describe a couple who experienced a missed abortion, studied by CMA. CMA of the abortion tissue detected a 1.62-Mb duplication at 14q11.2 and a 5.09-Mb deletion at 21q11.2q21.1, while the couple seemed to have a normal karyotype. Combining the results of CMA, whole-genome sequencing (WGS) breakpoint analysis, Sanger sequencing, and FISH, we found that the father was a 46,XY,t(14;21)(q11.2;q21.1) balanced translocation carrier. Our results indicate that WGS is an efficient and accurate approach to map breakpoints of cryptic reciprocal balanced translocations undetectable by standard karyotype.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    稳定钙配方(SCF),具有关节护理潜力的功能性食物混合物,包含五个主要成分。然而,不能排除这些包含的成分之间不确定的交叉反应性。因此,重要的是要确保这种混合物的安全。在这项研究中,通过体外遗传毒性评估和大鼠28日口服毒性研究评估了SCF的安全性.细菌回复突变试验和哺乳动物染色体畸变试验表明,SCF没有诱导致突变性和致突变性。在大鼠中对SCF的28天重复剂量评估显示,在临床体征中没有死亡和不良反应。体重,尿液分析,血液学,器官重量,所有治疗组的组织病理学。尽管男性在最高剂量下观察到食物摄入量和血清生化参数的一些显着变化,它们与剂量无关,被认为在正常范围内.这些发现表明SCF不具有遗传毒性潜力,也没有亚急性毒性的明显证据。这些结果首次表明,在我们的实验条件下,SCF的遗传毒性和亚急性毒性是阴性的,并且SCF的未观察到的不良反应水平(NOAEL)可以定义为至少5470mg/kg/天。
    Steady-calcium formula (SCF), a functional food mixture with potential of joint care, contains five major ingredients. However, the uncertain cross-reactivity among these included ingredients cannot be excluded. Hence, it is important to ensure the safety of this mixture. In this study, the safety of SCF was evaluated through in vitro genotoxicity assessment and 28-day oral toxicity study in rats. The bacterial reverse mutation test and mammalian chromosome aberration test displayed that SCF did not induce mutagenicity and clastogenicity. The 28-day repeated dose assessment of SCF in rats revealed no mortality and adverse effects in clinical signs, body weight, urinalysis, hematology, organ weight, and histopathology at all treated groups. Although some significant changes were observed in food intake and parameters of serum biochemistry at the highest dose in males, they were not dose-related and considered to be within normal range. These findings indicate that SCF does not possess genotoxic potential and no obvious evidence of subacute toxicity. These results demonstrate for the first time that the genotoxicity and subacute toxicity for SCF are negative under our experimental conditions and the no observed adverse effect level (NOAEL) of SCF may be defined as at least 5470 mg/kg/day.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:探讨染色体微阵列分析(CMA)在胎儿超声胆道系统(BTS)异常中的产前诊断价值。
    方法:在2015年4月至2020年12月期间,对271例携带BTS异常胎儿的孕妇进行了羊膜穿刺术和CMA。随访1至6年的妊娠结局和胎儿预后。
    结果:16例(5.9%,16/271)的染色体异常被检测到。非孤立BTS异常胎儿的染色体异常检出率明显高于孤立BTS异常胎儿(9.0%vs.0%,p=0.0017)。从267例胎儿获得了随访结果,包括25例终止妊娠(9.4%),237例活产(88.8%),和5例(1.9%)新生儿死亡。先天性胆道闭锁在小胆囊组和未见胆囊组的发生率分别为3.0%(1/33)和9.5%(7/74),分别;然而,在胆囊肿大组或其他BTS组中,出生后超声复查均未发现.
    结论:孤立的BTS异常不是侵入性产前染色体分析的指征。当结合其他超声异常时,产前CMA应提供。当产前发现小的或不可见的胆囊时,超声在先天性胆道闭锁的鉴别诊断中存在局限性。
    OBJECTIVE: To investigate the prenatal diagnostic value of chromosome microarray analysis (CMA) in fetuses presenting with ultrasound-based biliary tract system (BTS) anomalies.
    METHODS: Amniocentesis was performed and CMA was applied in 271 pregnant women carrying fetuses with BTS abnormalities between April 2015 and December 2020. Pregnancy outcomes and fetal prognosis were followed from 1 to 6 years.
    RESULTS: Sixteen cases (5.9%, 16/271) of chromosomal anomalies were detected. The detection rate of chromosomal abnormalities was significantly higher for fetuses with nonisolated BTS anomalies than for those with isolated BTS anomalies (9.0% vs. 0%, p = 0.0017). Follow-up results were obtained from 267 fetuses, including 25 cases of termination of pregnancy (9.4%), 237 live births (88.8%), and 5 (1.9%) neonatal demises. The incidence of congenital biliary atresia in the small gallbladder and nonvisualized gallbladder groups was 3.0% (1/33) and 9.5% (7/74), respectively; however, none was detected on postnatal ultrasound reexamination in the gallbladder enlargement or the other BTS groups.
    CONCLUSIONS: An isolated BTS abnormality is not an indication for invasive prenatal chromosomal analysis. When combined with other ultrasonographic abnormalities, prenatal CMA should be provided. When a small or nonvisualized gallbladder is found prenatally, ultrasonography is limited in the differential diagnosis of congenital biliary atresia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号