Mucosal immunity

粘膜免疫
  • 文章类型: Journal Article
    负面心理状态通过改变肠道微生物组来影响免疫力。然而,大脑状态与微生物组组成之间的关系尚不清楚.我们表明,十二指肠中的Brunner腺体将压力敏感的脑回路与细菌稳态联系起来。Brunner腺体介导响应迷走神经刺激的肠道乳酸杆菌物种的富集。腺体的细胞特异性消融显着抑制了乳杆菌计数,并增加了感染的脆弱性。在前脑,我们绘制了一个迷走神经介导的,连接杏仁核中央核和Brunner腺体的多突触回路。慢性应激抑制中央杏仁核活动,并表现出腺体病变的作用。相反,中央杏仁核或副交感神经迷走神经元的兴奋激活了Brunner的腺体,并逆转了应激对肠道微生物组和免疫的影响。这些发现揭示了一种将心理状态与宿主防御联系起来的易于处理的脑体机制。
    Negative psychological states impact immunity by altering the gut microbiome. However, the relationship between brain states and microbiome composition remains unclear. We show that Brunner\'s glands in the duodenum couple stress-sensitive brain circuits to bacterial homeostasis. Brunner\'s glands mediated the enrichment of gut Lactobacillus species in response to vagus nerve stimulation. Cell-specific ablation of the glands markedly suppressed Lactobacilli counts and heightened vulnerability to infection. In the forebrain, we mapped a vagally mediated, polysynaptic circuit connecting the central nucleus of the amygdala to Brunner\'s glands. Chronic stress suppressed central amygdala activity and phenocopied the effects of gland lesions. Conversely, excitation of either the central amygdala or parasympathetic vagal neurons activated Brunner\'s glands and reversed the effects of stress on the gut microbiome and immunity. The findings revealed a tractable brain-body mechanism linking psychological states to host defense.
    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
    我们先前已经显示了转酰胺化谷蛋白(spf)在HLA-DQ8转基因小鼠(DQ8小鼠)中调节小麦麦醇溶蛋白引起的先天性和适应性肠道免疫的能力,面筋敏感性模型.在这里,我们评估了胃内给药spf对DQ8小鼠天然麦醇溶蛋白免疫应答的影响.为了解决这个问题,我们分析了三种抗原给药方案:免疫前(治疗前),在免疫期间(共同治疗)和在泌乳阶段通过母乳(哺乳治疗)。通过鼻内递送消化的小麦麦醇溶蛋白和多剂量的霍乱毒素对小鼠进行粘膜免疫。牺牲之后,在体外攻击分离的脾和肠系膜淋巴结(MLN)细胞,并通过ELISA和多参数测定评估培养上清液的细胞因子谱。我们发现,只有用spf预处理才能有效下调麦醇溶蛋白特异性IFN-γ反应,并且仅在脾细胞中有效。有趣的是,spf预处理还诱导全身性IL-6、IL-17A和TNF-α。相比之下,我们发现spf预处理上调MLN中的INF-γ,但也显着降低IL-2。总之,我们的数据提供了证据,表明在表达与乳糜泻相关的HLA分子之一的转基因模型中,预防性胃内施用转酰胺化谷蛋白能够通过粘膜免疫干扰麦醇溶蛋白诱导的经典细胞因子谱.
    We have previously shown the ability of transamidated gluten (spf) to modulate both innate and adaptive intestinal immunity elicited by wheat gliadin in HLA-DQ8 transgenic mice (DQ8 mice), a model of gluten sensitivity. Herein, we evaluated the influence of spf when administered intragastrically on the immune response to native gliadin in DQ8 mice. To address the issue, we analysed three regimens of antigen administration: before immunisation (pre-treatment), during immunisation (co-treatment) and through breast milk during the lactating phase (suckling treatment). Mice were immunised mucosally by intranasal delivery of digested wheat gliadin along with cholera toxin in multiple doses. After sacrifice, isolated spleen and mesenteric lymph node (MLN) cells were challenged in vitro and the cytokine profile of culture supernatants assessed by ELISA and multiparametric assay. We found that only pre-treatment with spf was effective in down-regulating the gliadin-specific IFN-γ response and only in spleen cells. Interestingly, spf pre-treatment also induced systemic IL-6, IL-17A and TNF-α. By contrast, we found that spf pre-treatment upregulated INF-γ in MLN but also significantly decreased IL-2. In conclusion, our data provide evidence that the preventive intragastric administration of transamidated gluten is able to interfere with the classical cytokine profile induced by gliadin via mucosal immunisation in a transgenic model expressing one of the HLA molecules associated with coeliac disease.
    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
    本研究评估了使用不同水平的白蘑菇粉(WBMP)对一些粘膜先天性免疫参数(溶菌酶,蛋白酶,酯酶,碱性磷酸酶活性,和总免疫球蛋白水平),以及一些主要免疫相关基因的相对表达(溶菌酶,TNF-α,和IL-1β)在斑马小肠中。斑马鱼标本(1.75±0.25g)根据饮食中的添加剂分为实验单元,包括每公斤食物重量的5、10和20gWBMP,单独或与抗生素(10mg/kgBW)联合使用,和AGRIMOS(1克/千克食物重量)。经过11天的实验,对皮肤粘液和肠进行取样。为了评估免疫基因的表达,使用IQ5软件(Bio-RAD)根据ΔΔCt方法进行实时PCR检测系统。结果表明,与对照组相比,所有组的粘膜溶菌酶活性均显着增加。总免疫球蛋白检查,蛋白酶,酯酶,实验处理下鱼的ALP活性表明,试验组与对照组之间没有显着差异。溶菌酶基因的最年夜表达与分别采取较低浓度(5μg/kgFW)的WBMP的组有关。总之,饮食中添加1%的蘑菇粉可以提高其免疫功能。我们的建议是,考虑到蘑菇粉单独添加在饮食中的积极作用,避免为此目的服用抗生素。
    This study evaluates using different levels of the white button mushroom powder (WBMP) on some mucosal innate immune parameters (lysozyme, protease, esterase, alkaline phosphatase activities, and total immunoglobulin levels), and the relative expression of some principal immune-relevant genes (lysozyme, TNF-α, and IL-1β) in the zebra danio intestine. Zebrafish specimens (1.75 ± 0.25 g) were divided into experimental units based on the additives to a diet including 5, 10, and 20 g of WBMP per kilogram of food weight, alone or in conjunction with the antibiotic (10 mg/kg BW), and the AGRIMOS (1 g/kg food weight). Following the 11-day experimental duration, the skin mucus and intestine were sampled. To assess the immune gene expression, the real-time PCR detection system was conducted according to the ΔΔCt method using the IQ5 software (Bio-RAD). Results showed that all groups had a significant increase in terms of mucosal lysozyme activity compared to the control group. Examination of total immunoglobulin, protease, esterase, and ALP activity in fish under experimental treatment showed that there was no significant difference between the trial groups and the control groups. The most expression of the lysozyme gene was related to the group that was separately taken the lower concentration (5 g per kg of FW) of WBMP. In conclusion, the amount of 1% mushroom powder in the diet can improve its immune function. Our recommendation is that given the positive effects that mushroom powder added on the diet alone, avoid taking antibiotics for this purpose.
    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
    半乳糖缺陷型IgA1(GdIgA1)在IgA肾病(IgAN)的免疫沉积形成中至关重要,而GdIgA1的起源未知。我们关注IgAN患者对粪便微生物群的免疫反应。
    通过运行16S核糖体RNA基因测序,我们将IgAN样本与家庭匹配或非相关个体的对照样本进行了比较.测量血浆GdIgA1和聚IgA复合物的水平,和候选微生物可以激发IgA指导的抗体反应或通过特异性IgA蛋白酶活性降解IgA。
    与健康对照相比,IgAN组显示出不同的粪便微生物群组成。特别是,根据使用受试者工作特征的分析,高丰度的大肠杆菌-志贺氏菌与疾病组相关(曲线下面积,0.837;95%CI,0.738-0.914),主坐标,和线性判别分析效果大小算法(线性判别分析得分,4.56;p<0.001)。因此,细菌水平与血浆GdIgA1的高滴度直接相关(r=0.36,p<0.001),并且患者的IgA1高于stx2(2.88±0.46IU/mLvs.1.34±0.35IU/mL,p=0.03),大肠杆菌志贺氏菌的主要抗原。相反,健康对照显示产生IgA降解蛋白酶的共生细菌的丰度相对较高。特别是,一些表达IgA蛋白酶的肠道细菌的丰度与IgAN中血浆GdIgA1的水平呈负相关。
    我们的数据表明粘膜IgA的产生,包括GdIgA1在内,可能与作为血浆GdIgA1来源之一的肠埃希氏菌-志贺氏菌的体液反应有关。相反,IgAN患者肠道中产生IgA蛋白酶的微生物群受到抑制。
    UNASSIGNED: Galactose-deficient IgA1 (GdIgA1) is critical in the formation of immunodeposits in IgA nephropathy (IgAN), whereas the origin of GdIgA1 is unknown. We focused on the immune response to fecal microbiota in patients with IgAN.
    UNASSIGNED: By running 16S ribosomal RNA gene sequencing, we compared IgAN samples to the control samples from household-matched or non-related individuals. Levels of plasma GdIgA1 and poly-IgA complexes were measured, and candidate microbes that can either incite IgA-directed antibody response or degrade IgA through specific IgA protease activities were identified.
    UNASSIGNED: The IgAN group showed a distinct composition of fecal microbiota as compared to healthy controls. Particularly, high abundance of Escherichia-Shigella was associated with the disease group based on analyses using receiver operating characteristic (area under curve, 0.837; 95% CI, 0.738-0.914), principle coordinates, and the linear discriminant analysis effect size algorithm (linear discriminant analysis score, 4.56; p < 0.001). Accordingly, the bacterial levels directly correlated with high titers of plasma GdIgA1(r = 0.36, p < 0.001), and patients had higher IgA1 against stx2(2.88 ± 0.46 IU/mL vs. 1.34 ± 0.35 IU/mL, p = 0.03), the main antigen of Escherichia-Shigella. Conversely, the healthy controls showed relatively higher abundance of the commensal bacteria that produce IgA-degrading proteases. Particularly, the abundance of some intestinal bacteria expressing IgA proteases showed an inverse correlation with the levels of plasma GdIgA1 in IgAN.
    UNASSIGNED: Our data suggest that mucosal IgA production, including those of GdIgA1, is potentially linked to the humoral response to gut Escherichia-Shigella as one of the sources of plasma GdIgA1. Conversely, the IgA protease-producing microbiota in the gut are suppressed in patients with IgAN.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Editorial
    暂无摘要。
    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
    2-乙基己基二苯基磷酸酯(EHDPHP)是一种广泛使用的有机磷阻燃剂和增塑剂,这在环境中很常见。EHDPHP不仅可能危害环境,还会对生物体造成不同程度的损害。在这项研究中,以雏鸡十二指肠为潜在的毒性靶器官,探讨EHDPHP暴露致十二指肠损伤的机制。选取1日龄健康雄性雏鸡90只,随机分为C1(对照组),C2(溶剂对照组),L(800mg/kg),M(1600mg/kg),H(3200mg/kg)根据不同剂量的EHDPHP经过一周的环境适应。雏鸡连续灌胃14d,28d,和42d。发现持续暴露于EHDPHP会导致十二指肠MDA含量增加,P-gp的减少,SOD,GSH-Px活动,和十二指肠粘膜免疫因子的减少(sIgA,GSH-Px)。sIgM和粘膜连接蛋白(CLDN,OCLN,ZO-1,JAM)降低,和炎症蛋白(NF-κB,COX2)在十二指肠组织中表达上调。结果表明,EHDPHP持续暴露可引起十二指肠氧化应激,炎症,和鸡的粘膜屏障损伤,为研究EHDPHP对禽类的毒性损伤机制提供了依据。
    2-ethylhexyl diphenyl phosphate (EHDPHP) is a widely used organophosphorus flame retardant and plasticizer, which is commonly found in the environment. EHDPHP not only potentially harms the environment but also causes different degrees of damage to the organism. In this study, the duodenum of chicks was selected as the potential toxic target organ to explore the mechanism of duodenal injury induced by EHDPHP exposure. Ninety one-day-old healthy male chicks were selected and randomly divided into C1(control group), C2(solvent control group), L(800 mg/kg), M(1600 mg/kg), H(3200 mg/kg) according to different doses of EHDPHP after one week of environmental adaptation. The chicks were given continuous gavage for 14 d, 28 d, and 42 d. It was found that constant exposure to EHDPHP caused an increase in duodenal MDA content, a decrease in P-gp, SOD, GSH-Px activities, and a decrease in duodenal mucosal immune factor (sIgA, GSH-Px). The expression of sIgM and mucosal link proteins (CLDN, OCLN, ZO-1, JAM) decreased, and the expression of the inflammatory protein (NF-κB, COX2) in duodenal tissues was up-regulated. The results showed that continuous exposure to EHDPHP could cause duodenal oxidative stress, inflammation, and mucosal barrier damage in chicks, which provided a basis for studying the mechanism of toxic damage caused by EHDPHP in poultry.
    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
    柯萨奇病毒B3(CVB3)引发病毒性心肌炎,还没有有效的疫苗。这种粪便-口腔传播的病原体引起了人们对粘膜免疫策略的兴趣,以阻止CVB3传播。我们开发了一种新的减毒疫苗株,命名为CVB3(mu)。CVB3(mu)刺激粘膜免疫保护的潜力仍有待阐明。本研究通过快速进化细胞模型和RNA测序评估了CVB3(mu)的衰减特征。通过体外和体内实验评估其温度敏感性和安全性。通过鼻内免疫在Balb/c小鼠中评估CVB3(mu)的粘膜免疫保护。结果表明,CVB3(mu)表现出温度敏感性,并形成较小的斑块。它维持较少的基因突变,并且直到第25代仍具有某些减弱的性状,与CVB3(WT)相比。鼻内免疫引发显著的血清中和抗体,和在鼻洗液中大量的sIgA反应。体内试验揭示了成年小鼠中的CVB3(mu)保护和乳鼠中针对致死性CVB3(WT)挑战的被动保护。总之,CVB3(亩),鼻内减毒活疫苗,提供涉及体液和粘膜免疫的保护,使其成为控制CVB3传播和感染的有希望的候选者。
    Coxsackievirus B3 (CVB3) triggers viral myocarditis, with no effective vaccine yet. This fecal-oral transmitted pathogen has prompted interest in mucosal immunization strategies to impede CVB3 spread. We developed a new attenuated vaccine strain, named CVB3(mu). The potential of CVB3(mu) to stimulate mucosal immune protection remains to be elucidated. This study evaluates the attenuation characteristics of CVB3(mu) via a rapid evolution cellular model and RNA sequencing. Its temperature sensitivity and safety were evaluated through in vitro and in vivo experiments. The mucosal immunity protection of CVB3(mu) was assessed via intranasal immunization in Balb/c mice. The results indicate that CVB3(mu) exhibits temperature sensitivity and forms smaller plaques. It sustains fewer genetic mutations and still possesses certain attenuated traits up to the 25th passage, in comparison to CVB3(WT). Intranasal immunization elicited a significant serum neutralizing antibodies, and a substantial sIgA response in nasal washes. In vivo trials revealed CVB3(mu) protection in adult mice and passive protection in suckling mice against lethal CVB3(WT) challenges. In conclusion, CVB3(mu), a live attenuated intranasal vaccine, provides protection involving humoral and mucosal immunity, making it a promising candidate to control CVB3 spread and infection.
    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
    胃肠道(GI)是最大的免疫器官,其功能受来自肠神经系统(ENS)以及交感神经和副交感神经系统的复杂神经元网络控制。不断发展的证据表明,肠道神经支配神经元和免疫细胞之间的交叉通讯调节许多基本的生理功能,包括防止粘膜感染。我们之前证明了对氧磷治疗后,70%的小鼠能够在鼠伤寒沙门氏菌的口腔感染中存活下来,肠沙门氏菌的强毒株。本研究旨在探讨利伐斯的明的作用,一种可逆的AChE抑制剂,用于治疗神经退行性疾病,对小鼠肠粘膜的免疫防御。我们的研究结果表明,类似于观察到的对氧磷,利伐斯的明的给药促进了杯状和潘氏细胞分泌颗粒的释放,导致粘蛋白层增加。令人惊讶的是,然而,与对氧磷不同,利伐斯的明治疗不影响感染小鼠的总死亡率.为了研究对氧磷和利伐斯的明之间观察到的差异效应的机理基础,我们使用多色流式细胞术分析来表征肠粘膜上皮内(IE)和固有层(LP)隔室中的免疫细胞景观。我们的数据表明对氧磷治疗,但不是利伐斯的明,导致回肠粘膜(上皮和固有层)中驻留的CD3CD8T淋巴细胞和LP中的CD11b-CD11c树突状细胞增加。我们的发现表明,需要持续的胆碱能途径参与以影响粘膜组织细胞景观的变化,这对于防止致命的细菌感染是必需的。此外,最佳的保护需要肠道内先天和适应性粘膜免疫反应的协同作用.
    The gastrointestinal tract (GI) is the largest immune organ whose function is controlled by a complex network of neurons from the enteric nervous system (ENS) as well as the sympathetic and parasympathetic system. Evolving evidence indicates that cross-communication between gut-innervating neurons and immune cells regulates many essential physiological functions including protection against mucosal infections. We previously demonstrated that following paraoxon treatment, 70 % of the mice were able to survive an oral infection with S. typhimurium, a virulent strain of Salmonella enterica serovar Typhimurium. The present study aims to investigate the effect that rivastigmine, a reversible AChE inhibitor used for the treatment of neurodegenerative diseases, has on the murine immune defenses of the intestinal mucosa. Our findings show that, similar to what is observed with paraoxon, administration of rivastigmine promoted the release of secretory granules from goblet and Paneth cells, resulting in increased mucin layer. Surprisingly, however, and unlike paraoxon, rivastigmine treatment did not affect overall mortality of infected mice. In order to investigate the mechanistic basis for the differential effects observed between paraoxon and rivastigmine, we used multi-color flowcytometric analysis to characterize the immune cell landscape in the intraepithelial (IE) and lamina propria (LP) compartments of intestinal mucosa. Our data indicate that treatment with paraoxon, but not rivastigmine, led to an increase of resident CD3+CD8+ T lymphocytes in the ileal mucosa (epithelium and lamina propria) and CD11b- CD11c+ dendritic cells in the LP. Our findings indicate the requirement for persistent cholinergic pathway engagement to effect a change in the cellular landscape of the mucosal tissue that is necessary for protection against lethal bacterial infections. Moreover, optimal protection requires a collaboration between innate and adaptive mucosal immune responses in the intestine.
    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
    呼吸道合胞病毒(RSV)是一种严重的人类呼吸道病原体,通常会影响儿童,老年人,和免疫受损的个体。目前,许可疫苗的设计侧重于RSV的预融合蛋白(PreF蛋白)的掺入,因为这种蛋白质具有诱导提供高水平保护的抗体的能力。此外,G蛋白含有与呼吸道上皮细胞中趋化因子受体CX3CR1结合的CX3C基序,在病毒感染中起着至关重要的作用。因此,将G抗原掺入疫苗设计中可能证明对RSV预防更有利。在这项研究中,我们开发了一种基于人腺病毒载体的RSV疫苗,含有高中和免疫原,与来自两个RSV亚组的G蛋白(Gcc)的中央保守肽融合的修饰的全长PreF蛋白通过C末端折叠三聚,并通过鼻内(i.n.)免疫评估其在小鼠中的免疫应答。我们的结果表明,用Ad5-PreF-Qa-Gcc免疫可引起平衡的Th1/Th2免疫应答和强大的粘膜免疫,具有较高的针对RSVLong和RSVB1的中和抗体滴度。重要的是,用Ad5-PreF-Qa-Gcc免疫增强CD4+CD25+FoxP3+Treg细胞应答并保护小鼠免受RSV感染。我们的数据表明Gcc和PreF抗原的组合是开发有效RSV疫苗的可行策略。
    Respiratory syncytial virus (RSV) is a serious human respiratory pathogen that commonly affects children, older adults, and immunocompromised individuals. At present, the design of licensed vaccines focuses on the incorporation of the pre-fusion protein (PreF protein) of RSV, as this protein has the ability to induce antibodies that offer a high level of protection. Moreover, the G protein contains the CX3C motif that binds the chemokine receptor CX3CR1 in respiratory epithelial cells, which plays an essential role in viral infection. Therefore, incorporating the G antigen into vaccine design may prove more advantageous for RSV prevention. In this study, we developed a human adenoviral vector-based RSV vaccine containing highly neutralizing immunogens, a modified full-length PreF protein fused with the central conserved peptides of the G protein (Gcc) from both RSV subgroups trimerized via a C-terminal foldon, and evaluated its immune response in mice through intranasal (i.n.) immunization. Our results showed that immunization with Ad5-PreF-Qa-Gcc elicited a balanced Th1/Th2 immune response and robust mucosal immunity with higher neutralizing antibody titers against RSV Long and RSV B1. Importantly, immunization with Ad5-PreF-Qa-Gcc enhanced CD4+ CD25+ FoxP3+ Treg cell response and protected the mice against RSV infection. Our data demonstrate that the combination of Gcc and the PreF antigen is a viable strategy for developing effective RSV vaccines.
    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
    对呼吸道病原体的免疫通常是短期的,and,因此,有效预防此类感染的需求尚未满足。一种这样的传染病是冠状病毒病19(COVID-19),这是由2019年底左右出现的新型β冠状病毒SARS-CoV-2引起的。世界卫生组织于2020年3月11日宣布这种疾病为大流行,自那时以来,它已经导致全球数百万人死亡或患病。COVID-19全身疫苗的开发,这令人印象深刻地导致了疾病严重程度的显著降低,住院治疗,和死亡率,遏制了大流行的扩张。然而,由于粘膜免疫的发展受到限制,这些疫苗无法阻止病毒的传播。因此,经常发生突破性感染,新的病毒株已经出现。此外,SARS-CoV-2可能会继续传播,像流感病毒一样,与人类共存。上呼吸道和鼻腔是SARS-CoV-2感染的主要部位,因此,有必要进行粘膜/鼻疫苗接种以诱导粘膜反应并阻止病毒传播。在这次审查中,我们介绍了全身疫苗的现状,已批准的粘膜疫苗和临床试验中正在评估的粘膜疫苗.此外,我们介绍了我们的基于B细胞肽的疫苗接种方法,该方法通过初免-加强方案来引发全身和粘膜免疫.
    Immunity against respiratory pathogens is often short-term, and, consequently, there is an unmet need for the effective prevention of such infections. One such infectious disease is coronavirus disease 19 (COVID-19), which is caused by the novel Beta coronavirus SARS-CoV-2 that emerged around the end of 2019. The World Health Organization declared the illness a pandemic on 11 March 2020, and since then it has killed or sickened millions of people globally. The development of COVID-19 systemic vaccines, which impressively led to a significant reduction in disease severity, hospitalization, and mortality, contained the pandemic\'s expansion. However, these vaccines have not been able to stop the virus from spreading because of the restricted development of mucosal immunity. As a result, breakthrough infections have frequently occurred, and new strains of the virus have been emerging. Furthermore, SARS-CoV-2 will likely continue to circulate and, like the influenza virus, co-exist with humans. The upper respiratory tract and nasal cavity are the primary sites of SARS-CoV-2 infection and, thus, a mucosal/nasal vaccination to induce a mucosal response and stop the virus\' transmission is warranted. In this review, we present the status of the systemic vaccines, both the approved mucosal vaccines and those under evaluation in clinical trials. Furthermore, we present our approach of a B-cell peptide-based vaccination applied by a prime-boost schedule to elicit both systemic and mucosal immunity.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号