DSC, Differential scanning calorimetry

DSC,差示扫描量热法
  • 文章类型: Journal Article
    眼科手术和COVID-19患者中最常见的疾病是真菌性眼部感染,这可能会导致炎症和干眼症,并可能导致眼部发病。两性霉素B滴眼液通常用于治疗眼部真菌感染。乳铁蛋白是一种具有广谱抗微生物活性的铁结合糖蛋白,用于治疗干眼症,结膜炎,和眼部炎症。然而,不良的房水稳定性和过度的鼻泪管引流阻碍了这些药物的效率。这项研究的目的是检查两性霉素B的作用,作为抗白色念珠菌的抗真菌药,镰刀菌,还有黄曲霉,和乳铁蛋白,作为抗炎和抗干眼症,当共负载三嵌段聚合物PLGA-PEG-PEI纳米颗粒包埋在P188-P407眼科热敏凝胶中时。通过双乳液溶剂蒸发法制备纳米颗粒。优化后的配方显示粒径(177.0±0.3nm),多分散指数(0.011±0.01),ζ电位(31.9±0.3mV),和包封%(90.9±0.5),改善了离体药代动力学参数和离体角膜穿透性,与药物溶液相比。共聚焦激光扫描显示了氟标记的纳米颗粒的有价值的渗透。刺激试验(Draize试验),原子力显微镜,细胞培养和动物试验,包括组织病理学分析,揭示了纳米颗粒在减少炎症迹象和根除兔真菌感染方面的优越性。不会对兔子的眼球造成任何伤害。纳米颗粒表现出良好的药效学特征和持续释放曲线,并且在体外或体内既无细胞毒性也无刺激性。开发的配方可能为治疗眼部问题提供一种新的安全的纳米技术,比如炎症和真菌感染.
    The most prevalent conditions among ocular surgery and COVID-19 patients are fungal eye infections, which may cause inflammation and dry eye, and may cause ocular morbidity. Amphotericin-B eye drops are commonly used in the treatment of ocular fungal infections. Lactoferrin is an iron-binding glycoprotein with broad-spectrum antimicrobial activity and is used for the treatment of dry eye, conjunctivitis, and ocular inflammation. However, poor aqueous stability and excessive nasolacrimal duct draining impede these agens\' efficiency. The aim of this study was to examine the effect of Amphotericin-B, as an antifungal against Candida albicans, Fusarium, and Aspergillus flavus, and Lactoferrin, as an anti-inflammatory and anti-dry eye, when co-loaded in triblock polymers PLGA-PEG-PEI nanoparticles embedded in P188-P407 ophthalmic thermosensitive gel. The nanoparticles were prepared by a double emulsion solvent evaporation method. The optimized formula showed particle size (177.0 ± 0.3 nm), poly-dispersity index (0.011 ± 0.01), zeta-potential (31.9 ± 0.3 mV), and entrapment% (90.9 ± 0.5) with improved ex-vivo pharmacokinetic parameters and ex-vivo trans-corneal penetrability, compared with drug solution. Confocal laser scanning revealed valuable penetration of fluoro-labeled nanoparticles. Irritation tests (Draize Test), Atomic force microscopy, cell culture and animal tests including histopathological analysis revealed superiority of the nanoparticles in reducing signs of inflammation and eradication of fungal infection in rabbits, without causing any damage to rabbit eyeballs. The nanoparticles exhibited favorable pharmacodynamic features with sustained release profile, and is neither cytotoxic nor irritating in-vitro or in-vivo. The developed formulation might provide a new and safe nanotechnology for treating eye problems, like inflammation and fungal infections.
    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
    粉末滴落式3D打印能够生产高度药物负载的固体口服剂型。然而,这种技术主要限于溶解性好的药物。大多数管道化合物溶解性差,虽然,并且需要增强溶解度,例如,通过形成无定形固体分散体。这项研究提出了一种详细而系统的开发方法,用于生产含有大量难溶性片剂的片剂,通过滴上粉末3D打印(也称为粘合剂喷射)使药物无定形化。使用模型化合物酮康唑和共聚维酮的示例性系统作为基质聚合物,以20%和40%的载药量通过热熔挤出实现化合物的非晶化。将磨碎的挤出物用作印刷粉末,并在节省材料的小规模筛选中研究了油墨和不同的油墨与粉末比对酮康唑重结晶的影响。使用差示扫描量热法和偏振光显微镜进行结晶度评估以鉴定甚至小的结晶度痕迹。片剂的印刷表明,进行的小规模筛选能够通过粉末滴落式印刷来识别用于开发无定形和机械稳定的片剂的印刷参数。稳定性研究证明了在加速储存条件下在12周内物理稳定的片剂。
    Drop-on-powder 3D printing is able to produce highly drug loaded solid oral dosage forms. However, this technique is mainly limited to well soluble drugs. The majority of pipeline compounds is poorly soluble, though, and requires solubility enhancement, e.g., via formation of amorphous solid dispersions. This study presents a detailed and systematic development approach for the production of tablets containing high amounts of a poorly soluble, amorphized drug via drop-on-powder 3D printing (also known as binder jetting). Amorphization of the compound was achieved via hot-melt extrusion using the exemplary system of the model compound ketoconazole and copovidone as matrix polymer at drug loadings of 20% and 40%. The milled extrudate was used as powder for printing and the influence of inks and different ink-to-powder ratios on recrystallization of ketoconazole was investigated in a material-saving small-scale screening. Crystallinity assessment was performed using differential scanning calorimetry and polarized light microscopy to identify even small traces of crystallinity. Printing of tablets showed that the performed small-scale screening was capable to identify printing parameters for the development of amorphous and mechanically stable tablets via drop-on-powder printing. A stability study demonstrated physically stable tablets over twelve weeks at accelerated storage conditions.
    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
    由于基于蛋白质的治疗剂通常在液体制剂中表现出有限的稳定性,由于在固体状态下改善的蛋白质稳定性,人们对固体蛋白质制剂的开发越来越感兴趣。我们使用小规模(<3g)活塞和双螺杆挤出来稳定蛋白质(溶菌酶,BSA,和人胰岛素)在PEG基质中。使用ss-DSC系统研究了挤出后的蛋白质稳定性,ss-FTIR,CD光谱学,SEM-EDX,SEC,RP-HPLC,在溶菌酶的情况下,进行活性测定。应用的分析方法提供了对挤出物中蛋白质稳定性的准确评估,能够比较不同的熔融挤出配方和工艺参数(例如,剪切应力水平,螺钉配置,停留时间)。溶菌酶被用作模型蛋白质,并在挤出后以其活性形式完全恢复。溶菌酶和BSA或人胰岛素负载挤出物之间的差异表明熔融挤出可能对构象稳定性有影响。特别是,与溶菌酶相比,BSA和人胰岛素更容易受到热暴露和剪切应力的影响,其中剪切应力是主要参数。因此,与TSE相比,RAM挤出导致更少的构象变化。RAM挤出显示出良好的蛋白质颗粒分布,导致制备高负载固体蛋白质制剂的优选方法。
    As protein-based therapeutics often exhibit a limited stability in liquid formulations, there is a growing interest in the development of solid protein formulations due to improved protein stability in the solid state. We used small-scale (<3 g) ram and twin-screw extrusion for the solid stabilization of proteins (Lysozyme, BSA, and human insulin) in PEG-matrices. Protein stability after extrusion was systematically investigated using ss-DSC, ss-FTIR, CD spectroscopy, SEM-EDX, SEC, RP-HPLC, and in case of Lysozyme an activity assay. The applied analytical methods offered an accurate assessment of protein stability in extrudates, enabling the comparison of different melt extrusion formulations and process parameters (e.g., shear stress levels, screw configurations, residence times). Lysozyme was implemented as a model protein and was completely recovered in its active form after extrusion. Differences seen between Lysozyme- and BSA- or human insulin-loaded extrudates indicated that melt extrusion could have an impact on the conformational stability. In particular, BSA and human insulin were more susceptible to heat exposure and shear stress compared to Lysozyme, where shear stress was the dominant parameter. Consequently, ram extrusion led to less conformational changes compared to TSE. Ram extrusion showed good protein particle distribution resulting in the preferred method to prepare highly-loaded solid protein formulations.
    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
    氯硝柳胺是FDA批准的口服驱虫药,目前正用于COVID-19感染。其在多种治疗适应症中的有趣适用性引发了对该药物/支架的兴趣。尽管它的治疗使用了几年,从化学制造和控制的角度来看,其详细的溶解度信息是不可用的。因此,本研究旨在确定在298.15-323.15K的温度范围内,氯硝柳胺在常用溶剂和助溶剂中的摩尔分数溶解度。观察到在各种溶剂中平衡后从结晶形式到一水合物形式的多晶型变化。在323.15K时,氯硝柳胺在PEG400中的最大摩尔分数溶解度为1.103×10-3,其次是PEG200(5.272×10-4),1-丁醇(3.047×10-4),2-丙醇(2.42×10-4),乙醇(1.66×10-4),DMSO(1.52×10-4),甲醇(7.78×10-5)和水(3.27×10-7)。分子静电势与溶解度呈线性关系。PEG400具有较高的静电势,和H键受体计数,与氯硝柳胺的酚-OH形成氢键,从而增强其溶解度。该数据对于致力于该支架的药物化学和过程化学的药物发现和开发团队是有价值的。
    Niclosamide is an FDA-approved oral anthelmintic drug currently being repurposed for COVID-19 infection. Its interesting applicability in multiple therapeutic indications has sparked interest in this drug/ scaffold. Despite its therapeutic use for several years, its detailed solubility information from Chemistry Manufacturing & Controls perspective is unavailable. Thus, the present study is intended to determine the mole fraction solubility of niclosamide in commonly used solvents and cosolvents at a temperature range of 298.15-323.15 K. The polymorphic changes from crystalline to monohydrate forms post-equilibration in various solvents were observed. The maximum mole fraction solubility of niclosamide at 323.15 K is 1.103 × 10-3 in PEG400, followed by PEG200 (5.272 × 10-4), 1-butanol (3.047 × 10-4), 2-propanol (2.42 × 10-4), ethanol (1.66 × 10-4), DMSO (1.52 × 10-4), methanol (7.78 × 10-5) and water (3.27 × 10-7). The molecular electrostatic potential showed a linear correlation with the solubility. PEG400 has higher electrostatic potential, and H-bond acceptor count, which forms a hydrogen bond with phenolic -OH of niclosamide and thus enhances its solubility. This data is valuable for the drug discovery and development teams working on the medicinal chemistry and process chemistry of this scaffold.
    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
    T细胞接合双特异性抗体(TCB)是一种有效的癌症治疗免疫疗法。通过共同靶向CD3和肿瘤相关抗原(TAA),无论T细胞受体的特异性如何,TCB都可以重定向CD3+T细胞以消除肿瘤细胞。组织因子(TF)是参与肿瘤进展的TAA。这里,我们设计并表征了用于治疗TF阳性肿瘤的新型TCB靶向TF(TF-TCB)。体外,强大的T细胞激活,TF-TCB诱导肿瘤细胞裂解和T细胞增殖。肿瘤细胞裂解活性取决于TF-TCB的CD3和TF结合部分。与肿瘤细胞TF表达水平有关。在体内,在肿瘤细胞/人外周血单核细胞(PBMC)共移植模型和建立的T细胞浸润不良的肿瘤模型中,TF-TCB强烈抑制肿瘤生长。在治疗期间诱导T细胞浸润到肿瘤中。此外,TF-TCB与免疫检查点抑制剂联合使用可进一步提高疗效.第一次,我们的结果验证了使用TF作为TCB靶标的可行性,并强调了TF-TCB在实体瘤治疗中显示疗效的潜力.
    T cell engaging bispecific antibody (TCB) is an effective immunotherapy for cancer treatment. Through co-targeting CD3 and tumor-associated antigen (TAA), TCB can redirect CD3+ T cells to eliminate tumor cells regardless of the specificity of T cell receptor. Tissue factor (TF) is a TAA that involved in tumor progression. Here, we designed and characterized a novel TCB targeting TF (TF-TCB) for the treatment of TF-positive tumors. In vitro, robust T cell activation, tumor cell lysis and T cell proliferation were induced by TF-TCB. The tumor cell lysis activity was dependent upon both CD3 and TF binding moieties of the TF-TCB, and was related to TF expression level of tumor cells. In vivo, in both tumor cell/human peripheral blood mononuclear cells (PBMC) co-grafting model and established tumor models with poor T cell infiltration, tumor growth was strongly inhibited by TF-TCB. T cell infiltration into tumors was induced during the treatment. Furthermore, efficacy of TF-TCB was further improved by combination with immune checkpoint inhibitors. For the first time, our results validated the feasibility of using TF as a target for TCB and highlighted the potential for TF-TCB to demonstrate efficacy in solid tumor treatment.
    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
    巴豆(Prunoi)叶积累了几种二萜,并具有各种药理活性。本研究旨在准备,表征和评估通过混合plaunotol(PL)或plaunoi提取物(PE)与环糊精(CD)制备的包合物的抗菌活性,包括α-CD,β-CD,γ-CD,和羟丙基-β-环糊精(HP-β-CD)。使用SEM对包合物进行了表征,XRD,DSC,和FT-IR,并评价其水溶性和热稳定性。进一步评价具有HP-β-CD的PL和PE冻干复合物对引起痤疮的细菌的抗菌活性。PL的最低抑菌浓度(MIC)和最低杀菌浓度(MBC),PE,使用琼脂稀释法评估的包合物表明,包合物的MIC和MBC值低于单独的PL或PE。有趣的是,用棋盘法测试后,复合物与克林霉素具有协同活性。使用琼脂孔扩散法评估含有包合复合物和克林霉素的水凝胶的抗菌活性。结果表明,水凝胶对细菌生长有明显的抑制作用。总之,制备的含HP-β-CD的PL或PE固体分散体可通过增加药物溶解度来增强抗菌活性。含有PL或PE复合物和克林霉素的水凝胶可以被认为是治疗寻常痤疮的候选物。
    Croton stellatopilosus (Plaunoi) leaves accumulate several diterpenes and possess various pharmacological activities. The present study aimed to prepare, characterize and assess the antibacterial activity of inclusion complexes prepared by mixing plaunotol (PL) or plaunoi extract (PE) with cyclodextrins (CD), including α-CD, β-CD, γ-CD, and hydroxypropyl-β-cyclodextrin (HP-β-CD). The inclusion complexes were characterized using SEM, XRD, DSC, and FT-IR and evaluated for aqueous solubility and thermal stability. The PL and PE lyophilized complexes with HP-β-CD were further evaluated for their antibacterial activity against acne-causing bacteria. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of PL, PE, and the inclusion complexes evaluated using the agar dilution method revealed that the MIC and MBC values of the inclusion complexes were lower than those of PL or PE alone. Interestingly, the complexes had a synergistic activity with clindamycin after testing with checkerboard assay. The hydrogel containing the inclusion complex and clindamycin were assessed for antibacterial activity using the agar well diffusion method. The results indicated that the hydrogels showed significant inhibition of bacterial growth. In conclusion, the prepared solid dispersion of PL or PE with HP-β-CD could enhance antibacterial activity by increasing the drug solubility. The hydrogels containing PL or PE complex and clindamycin could be considered as a candidate for the treatment of acne vulgaris.
    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
    在这项研究中,不同浓度的豌豆浓缩蛋白(PPC)在物理性质的影响,孔隙特征,和含有橙色精油的基于麦芽糖糊精的喷雾干燥微粒的氧化稳定性(OEO,富含柠檬烯)进行了评估。PPC的使用导致喷雾干燥的微粒具有约99重量%的包封效率,没有可见的毛孔,和相对较高的玻璃化转变温度(66,4°C)在Aw~0.3。氮吸附和正电子湮没寿命光谱测量表明,PPC浓度从2.4wt%增加到4.8wt%(gPPC/100g乳液)不会影响微粒的孔隙率特征。这些结果通过OEO保留和氧化柠檬烯的生产曲线得到证实,这两个样品在四个星期的储存过程中相似。基于这些结果,我们验证了我们测试的较低量的PPC可以在储存过程中有效地保护OEO,表明可以使用较少的蛋白质生产相对便宜的橙色风味粉。
    In this study, the effects of different concentrations of pea protein concentrate (PPC) in the physical properties, porosity features, and oxidative stability of maltodextrin-based spray-dried microparticles containing orange essential oil (OEO, rich in limonene) were evaluated. The use of PPC resulted in spray-dried microparticles with encapsulation efficiencies of about 99 wt%, without visible pores, and relatively high glass transition temperature (66,4 °C) at Aw ∼ 0.3. The nitrogen adsorption and positron annihilation lifetime spectroscopy measurements showed that the increase of PPC concentration from 2.4 to 4.8 wt% (g of PPC/100 g of emulsion) did not affect the porosity features of the microparticles. These results were confirmed by the profiles of OEO retention and limonene oxide production, which were similar for both samples throughout four weeks of storage. Based on these results, we verified that the lower amount of PPC we tested can effectively protect the OEO during storage, showing that a relatively cheaper orange flavor powder can be produced using less protein.
    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
    新型和可持续食品的开发,如奶酪和肉类类似物,需要更好地了解使用较少的精制成分。通过开发适合研究此类多组分成分的方法,我们研究了面团的蛋白质和淀粉相之间的水分布以及由空气分级的蚕豆馏分制成的热诱导凝胶。使用基于高水活度下富含蛋白质和淀粉的混合面团的部分吸附等温线的方法确定面团中蛋白质和淀粉相的水分含量。面团中蛋白质相的含水量高于淀粉相的含水量,表明蛋白质在室温下比淀粉吸收更多的水。此外,凝胶中蛋白质相的水分含量是使用基于legumin变性温度的模型计算的。从实验和建模来看,很明显,凝胶中蛋白质相的水分含量低于面团中蛋白质相的水分含量,显示了在加热过程中考虑水分从蛋白质向淀粉迁移的重要性。
    The development of novel and sustainable food products, such as cheese- and meat analogues, requires a better understanding of the use of less refined ingredients. We investigated the distribution of water between the protein and starch phase of doughs and heat-induced gels made from air-classified faba bean fractions by developing a method suited for investigation of such multi-component ingredients. The moisture contents of the protein and starch phases in the dough were determined using a method based on partial sorption isotherms of mixed doughs of protein- and starch-rich fractions at high water activity. Water content of the protein phase is higher than that of the starch phase in dough, showing that protein takes up more water than starch at room temperature. Also, the moisture content of the protein phase in the gels was calculated using a model based on the denaturation temperature of legumin. From the experiments and the modelling, it became evident that the moisture content of the protein phase in the gel is lower than the moisture content of the protein phase in the dough, showing the importance of considering moisture migration from the protein to the starch during heating.
    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
    单克隆抗体(mAb)溶液大规模冷冻后的冷冻浓缩导致不同比例的低分子量赋形剂区域,比如缓冲物质或糖,蛋白质。这项研究集中在-80°C冷冻储存后,缓冲液种类与mAb比率对聚集体形成的影响。-20°C,6周后-10°C,6个月,和12个月。建立了优化的样品制备方法,通过差示扫描量热法(DSC)测量具有不同mAb与组氨酸比率的样品的Tg。储存后,使用尺寸排阻色谱(SEC)和FlowCam检测到较高分子量的物种(HMWS)和亚可见颗粒(SVPs),分别。对于所有样品,DSC热谱图中的S形曲线可以精确确定没有玻璃形成糖的配方中的Tg。低于Tg'的储存不会导致mAb聚集。高于Tg\',在-20°C和-10°C时,mAb和缓冲液浓度的微小变化显著影响稳定性。具有较低mAb浓度的样品显示HMWS的形成增加。相比之下,更高浓度的样品导致更多的SVP。mAb与组氨酸比率向mAb的转变显著增加了总体稳定性。大规模冷冻时的冷冻浓缩会影响mAb的稳定性,尽管与初始浓度相比的相对变化很小。在Tg以下储存完全防止mAb聚集和颗粒形成。
    Cryoconcentration upon large-scale freezing of monoclonal antibody (mAb) solutions leads to regions of different ratios of low molecular weight excipients, like buffer species or sugars, to protein. This study focused on the impact of the buffer species to mAb ratio on aggregate formation after frozen storage at -80 °C, -20 °C, and - 10 °C after 6 weeks, 6 months, and 12 months. An optimised sample preparation was established to measure Tg\' of samples with different mAb to histidine ratios via differential scanning calorimetry (DSC). After storage higher molecular weight species (HMWS) and subvisible particles (SVPs) were detected using size-exclusion chromatography (SEC) and FlowCam, respectively. For all samples, sigmoidal curves in DSC thermograms allowed to precisely determine Tg\' in formulations without glass forming sugars. Storage below Tg\' did not lead to mAb aggregation. Above Tg\', at -20 °C and - 10 °C, small changes in mAb and buffer concentration markedly impacted stability. Samples with lower mAb concentration showed increased formation of HMWS. In contrast, higher concentrated samples led to more SVPs. A shift in the mAb to histidine ratio towards mAb significantly increased overall stability. Cryoconcentration upon large-scale freezing affects mAb stability, although relative changes compared to the initial concentration are small. Storage below Tg\' completely prevents mAb aggregation and particle formation.
    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
    石蜡是许多未支化烃的混合物,经常用于各种目的:改善含有脂质系统的产品的保质期并开发出更有光泽的产品。然而,由于其复杂的性质,这种分子结构对脂质固相行为的影响几乎没有说明。因此,在我们的研究中,我们专注于了解石蜡衍生物对脂质系统的影响。在目前的工作中,石蜡的三种无支链衍生物:二十碳烷C(20),选择五烷C(25)和三烷C(30)作为添加剂。这些正烷烃专门添加到可可脂(CB)和椰子油(CO)(ECB-CO)的低共熔混合物中,以观察对热的影响,形态学,关于碳链长度的流变性能和结晶动力学。我们的研究结果表明,熔融和结晶温度,储能模量和固体脂肪含量(SFC)增加后添加1重量%的C(20),C(25).相比之下,存在1重量%C(30)的相分离。在纯CB和CO中添加正构烷烃的进一步类似研究表明,正构烷烃与ECB-CO的相互作用主要是正构烷烃与CO而不是CB的相互作用。因此,我们的发现为了解添加具有不同碳链长度的正构烷烃及其各自浓度对CB和CO结晶过程的影响提供了见解。这肯定有助于设计包含此类模型系统的产品的过程。
    Paraffin wax is a mixture of numerous unbranched hydrocarbons used frequently for various purposes: to improve the shelf life of products containing lipid system and develop more shiny products. However, because of its complex nature, the effect of such molecular structure on the solid phase behavior of lipids is hardly unstated. Hence in our study, we focus on understanding the impact of derivatives of paraffin wax on the lipid system. In the current work, three unbranched derivatives of paraffin wax: Eicosane C (20), Pentacosane C (25) and Triacontane C (30) were selected as additives. These n-alkanes are specifically added to the eutectic mixture of cocoa butter (CB) and coconut oil (CO) (ECB-CO) to observe the effect on thermal, morphological, rheological properties and crystallization kinetics with respect to the carbon chain length. Results from our study illustrate that melting and crystallization temperature, storage modulus and solid fat content (SFC) increases after the addition of 1 wt% of C (20), C (25). In contrast, there is a phase separation for 1 wt% C (30). Further similar study with addition of n-alkanes to pure CB and CO reveals that the interaction of n-alkanes with ECB-CO is dominated by the interaction of n-alkanes with CO instead of CB. Therefore, our findings provide insight into the effect of addition of n-alkanes having different carbon chain length and their respective concentration on crystallization process of CB and CO. This will definitely help to design the processes for products containing such model systems.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号