ex vivo

离体
  • 文章类型: Journal Article
    本研究旨在适应基于Franz扩散细胞和猪皮肤外植体的实验模型,以表征TiO2NPs的扩散,并比较不同清洁产品的功效,肥皂水和杯芳烃清洁纳米乳液与纯水相比,作为治疗时间的函数。虽然TiO2NP倾向于在水溶液中形成团聚体,当使用sp-ICP-MS在Franz细胞的受体液中检测到颗粒时,确认了通过健康皮肤的扩散。在没有治疗的情况下,SIMS图像显示TiO2附聚物在角质层中的积累,表皮,真皮,和毛囊周围。去污试验表明,所测试的两种产品在限制Ti渗透方面具有相当的有效性,无论治疗时间如何。然而,只有杯芳烃纳米乳液在给体隔室中保留TiO2方面比水更有效(>89%),在皮肤暴露后30分钟开始治疗时,限制皮肤内的滞留(<1%)并防止NP通过皮肤扩散(<0.13%)。当净化从30分钟延迟到6小时时,扩散和保留在皮肤中的Ti的量增加。这项研究表明,TiO2NP可能会在暴露后通过健康的皮肤扩散。因此,应尽快使用清洁产品进行有效的去污。
    This study aims to adapt an experimental model based on Franz diffusion cells and porcine skin explants to characterize the diffusion of TiO2 NPs and to compare the efficacy of different cleansing products, soapy water and a calixarene cleansing nanoemulsion compared with pure water, as a function of the time of treatment. While TiO2 NPs tend to form agglomerates in aqueous solutions, a diffusion through healthy skin was confirmed as particles were detected in the receptor fluid of Franz cells using sp-ICP-MS. In the absence of treatment, SIMS images showed the accumulation of TiO2 agglomerates in the stratum corneum, the epidermis, the dermis, and around hair follicles. Decontamination assays showed that the two products tested were comparably effective in limiting Ti penetration, whatever the treatment time. However, only calixarene nanoemulsion was statistically more efficient than water in retaining TiO2 in the donor compartment (>89%), limiting retention inside the skin (<1%) and preventing NP diffusion through the skin (<0.13%) when treatments were initiated 30 min after skin exposure. When decontamination was delayed from 30 min to 6 h, the amount of Ti diffusing and retained in the skin increased. This study demonstrates that TiO2 NPs may diffuse through healthy skin after exposure. Thus, effective decontamination using cleansing products should be carried out as soon as possible.
    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:通过离体磁共振成像(MRI)在9.4T时确定直肠腺癌新辅助放化疗(nCRT)治疗反应的影像学细节和诊断信息。
    方法:招募了2022年9月至2023年2月期间在nCRT后进行根治性手术的15例局部晚期直肠癌(LARC)患者。将切除的标本固定在全氟聚醚填充的试管中,并用3.0T和9.4TMRI系统进行离体扫描。主观评估残余肿瘤深度和基于MRI的肿瘤回归分级(TRG),然后与病理结果进行比较。
    结果:无脂肪抑制的离体9.4TT2WI明显分化的肿瘤组织,纤维化和正常直肠壁,这清楚地对应于直肠标本的病理组织。在13/15标本的离体9.4T图像上可以准确评估TRG(86.7%),而在11/15标本(73.3%)的离体3.0T图像上。
    结论:离体9.4T磁共振成像清楚地显示了直肠壁的组成部分,并证明了用于评估对nCRT的治疗反应的出色诊断性能,这使得放射科医生能够理解,然后更准确地评估nCRT后LARC的TRG。
    OBJECTIVE: To determine the imaging details and diagnostic information of the treatment response to neoadjuvant chemoradiotherapy (nCRT) of rectal adenocarcinoma at 9.4T magnetic resonance imaging (MRI) by ex vivo.
    METHODS: Fifteen cases with locally advanced rectal cancer (LARC) followed by radical surgery after nCRT between September 2022 and February 2023 were recruited. Resected specimens were fixed in a perfluoropolyether-filled test tube and scanned with a 3.0T and 9.4T MRI system ex vivo. The residual tumor depth and MRI-based tumor regression grade (TRG) were subjectively assessed and then compared with the pathological findings.
    RESULTS: The ex vivo 9.4T T2WI without fat suppression clearly differentiated tumor tissue, fibrosis and normal rectal wall, which clearly corresponded to the pathologic tissues of the rectal specimens. The TRG could be accurately assessed on ex vivo 9.4T images in 13/15 specimens (86.7%), while in 11/15 specimens (73.3%) on ex vivo 3.0T images.
    CONCLUSIONS: Ex vivo 9.4T MR imaging clearly displayed the components of rectal wall and proved excellent diagnostic performance for evaluating the treatment response to nCRT, which allow radiologists to understand and then assess more accurately the TRG of LARC after nCRT.
    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
    双酚A(BPA)在聚碳酸酯塑料和环氧树脂中的广泛使用使其成为水生生态系统中普遍存在的环境污染物。由于BPA对各种物种的内分泌干扰作用,BPA对海洋和淡水野生动植物构成了重大威胁。制造商越来越多地将其他双酚化合物作为更安全的替代品。在这项研究中,我们采用体外报告基因测定和离体精确切割的来自大西洋鳕鱼(Gadusmorhua)的肝切片来研究BPA和11BPA类似物是否表现出雌激素,抗雌激素,雄激素,或通过影响雌激素或雄激素受体信号通路的抗雄激素作用。大多数双酚,包括双酚A,通过激活大西洋鳕鱼雌激素受体α(gmEra)显示雌激素特性。BPB,BPE,BPF表现出与BPA相似或更高的疗效,BPB和BPAF是更有效的激动剂。此外,一些双酚,像BPG,在离体肝片中诱导的雌激素作用,尽管在体外没有激活gmEra,提示肝脏生物转化酶的结构修饰。虽然只有BPC2和BPAF激活大西洋鳕鱼雄激素受体α(gmAra),几种双酚通过抑制gmAra活性表现出抗雄激素作用。这项研究强调了双酚对水生生物的内分泌干扰作用,强调BPA的替代品可能对环境和人类健康造成同等或更大的风险。
    The widespread use of bisphenol A (BPA) in polycarbonate plastics and epoxy resins has made it a prevalent environmental pollutant in aquatic ecosystems. BPA poses a significant threat to marine and freshwater wildlife due to its documented endocrine-disrupting effects on various species. Manufacturers are increasingly turning to other bisphenol compounds as supposedly safer alternatives. In this study, we employed in vitro reporter gene assays and ex vivo precision-cut liver slices from Atlantic cod (Gadus morhua) to investigate whether BPA and 11 BPA analogs exhibit estrogenic, antiestrogenic, androgenic, or antiandrogenic effects by influencing estrogen or androgen receptor signaling pathways. Most bisphenols, including BPA, displayed estrogenic properties by activating the Atlantic cod estrogen receptor alpha (gmEra). BPB, BPE, and BPF exhibited efficacy similar to or higher than that of BPA, with BPB and BPAF being more potent agonists. Additionally, some bisphenols, like BPG, induced estrogenic effects in ex vivo liver slices despite not activating gmEra in vitro, suggesting structural modifications by hepatic biotransformation enzymes. While only BPC2 and BPAF activated the Atlantic cod androgen receptor alpha (gmAra), several bisphenols exhibited antiandrogenic effects by inhibiting gmAra activity. This study underscores the endocrine-disrupting impact of bisphenols on aquatic organisms, emphasizing that substitutes for BPA may pose equal or greater risks to both the environment and human health.
    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
    脂肪组织和骨骼肌功能障碍在心脏代谢疾病中起重要作用。Ashwagandha和穿心莲据称具有抗炎和抗氧化活性,但这是基于细胞暴露于母体化合物而忽略了植物化学吸收和代谢。我们探索了ashwagandha和穿心莲在离体人骨骼肌和脂肪组织模型中的抗炎/抗氧化作用。健康参与者补充2000毫克/天的穿心莲(n=10)或1100毫克/天的ashwagandha(n=10),持续28天。按时间点汇集补充前(D0)和补充后(D28)收集的血清,并添加至脂肪外植体(AT)和原代人肌管(SKMC)培养基(15%v/v)用于治疗。使用由56个基因组成的Taqman小组来定量这些基因。在AT,用ashwagandha血清治疗降低了参与抗氧化防御和炎症反应的基因的表达(CCL5,CD36,IL6,IL10,ADIPOQ,NFEL2,UCP2,GPX3,GPX4;倍数变化>1的几何95%CI)并改变了参与脂肪酸代谢的基因的表达。在SKMC,ashwagandha血清改变FOXO1和SREBF1表达。穿心莲血清降低AT中IL18和SERPINEA3的表达。这种生理相关的体外筛选表征了ashwagandha在AT中的作用,以指导未来的临床试验。
    Adipose tissue and skeletal muscle dysfunction play a central role in cardiometabolic morbidity. Ashwagandha and Andrographis are purported to have anti-inflammatory and antioxidant activity, but this is based on exposure of cells to the parent compounds ignoring phytochemical absorption and metabolism. We explored the anti-inflammatory/antioxidant effects of ashwagandha and Andrographis in ex vivo human models of skeletal muscle and adipose tissue. Healthy participants supplemented with 2000 mg/day Andrographis (n = 10) or 1100 mg/day ashwagandha (n = 10) for 28 days. Sera collected pre (D0) and post (D28) supplementation were pooled by timepoint and added to adipose explant (AT) and primary human myotube (SKMC) culture media (15% v/v) for treatment. A Taqman panel of 56 genes was used to quantify these. In AT, treatment with ashwagandha sera decreased the expression of genes involved in antioxidant defence and inflammatory response (CCL5, CD36, IL6, IL10, ADIPOQ, NFEL2, UCP2, GPX3, GPX4; geometric 95% CI for fold change > 1) and altered the expression of genes involved in fatty acid metabolism. In SKMC, ashwagandha sera altered FOXO1 and SREBF1 expression. Andrographis sera decreased IL18 and SERPINEA3 expression in AT. This physiologically relevant in vitro screening characterises the effects of ashwagandha in AT to guide future clinical trials.
    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
    肺癌等肺部疾病会显著改变器官的机械特性,直接影响发育,programming,诊断,和疾病的治疗反应。尽管人们对肺的材料特性非常感兴趣,在肺泡下分辨率下测量完整肺的硬度是不可能的。最近,我们开发了晶体胸腔,以光学分辨率成像功能的肺,同时控制生理参数,如气压。这里,我们引入了数据驱动,在不同膨胀压力下拍摄肺部图像的多尺度网络模型,通过水晶胸腔获得,并生成相应的绝对刚度图。验证后,我们报告了健康和疾病中功能正常的肺的微观分辨率的绝对刚度图.对于健康肺和患有原发性癌症的肺的代表性图像,我们发现,虽然肺在微观尺度上表现出显著的硬度异质性,原发性肿瘤在肺的微环境中引入更大的异质性。此外,我们观察到,虽然健康的肺泡表现出75倍的应变硬化,在测量的经肺压力范围内,肿瘤的硬度增加了六倍。虽然在3cmH2O的经肺压力下,肿瘤硬度是肺硬度的1.4倍,在18cmH2O的经肺压力下,肿瘤的平均硬度几乎是周围组织的5倍。最后,我们报告说,在健康肺和癌性肺中,应变和僵硬度的变化都随着经肺压力的增加而增加。我们的新方法可以定量评估疾病引起的肺泡硬度变化,并对机械传导产生影响。
    Lung diseases such as cancer substantially alter the mechanical properties of the organ with direct impact on the development, progression, diagnosis, and treatment response of diseases. Despite significant interest in the lung\'s material properties, measuring the stiffness of intact lungs at sub-alveolar resolution has not been possible. Recently, we developed the crystal ribcage to image functioning lungs at optical resolution while controlling physiological parameters such as air pressure. Here, we introduce a data-driven, multiscale network model that takes images of the lung at different distending pressures, acquired via the crystal ribcage, and produces corresponding absolute stiffness maps. Following validation, we report absolute stiffness maps of the functioning lung at microscale resolution in health and disease. For representative images of a healthy lung and a lung with primary cancer, we find that while the lung exhibits significant stiffness heterogeneity at the microscale, primary tumors introduce even greater heterogeneity into the lung\'s microenvironment. Additionally, we observe that while the healthy alveoli exhibit strain-stiffening of ∼1.75 times, the tumor\'s stiffness increases by a factor of six across the range of measured transpulmonary pressures. While the tumor stiffness is 1.4 times the lung stiffness at a transpulmonary pressure of three cmH2O, the tumor\'s mean stiffness is nearly five times greater than that of the surrounding tissue at a transpulmonary pressure of 18 cmH2O. Finally, we report that the variance in both strain and stiffness increases with transpulmonary pressure in both the healthy and cancerous lungs. Our new method allows quantitative assessment of disease-induced stiffness changes in the alveoli with implications for mechanotransduction.
    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,使用了20至80岁无皮肤病的韩国成年人的头皮组织。处理头皮组织,用不同的处理方法(包括Bioscalp,UltraExo助推器,和UltraSLinePlus)来自UltraV公司。超过12天,每隔一段时间(第0、3、6、9和12天)记录毛囊特征的观察和测量结果。该研究评估了这些物质对毛囊生长和形态的影响。Bioscalp,结合UltraExoBooster和UltraSLinePlus,在离体显示显著的毛发伸长。观察到毛球直径的保存,表明基于外泌体的产品具有持续毛发生长的潜力。毛发生长周期分析表明,与未处理组相比,在来自UltraV的测试产品中更低的向退步阶段的过渡。研究结果表明,所测试的配方,尤其是Bioscalp的组合,UltraExo助推器,和UltraSLinePlus,在促进头发生长方面表现出显著的效果,保持毛球的完整性,并减少向退步阶段的过渡。这项研究提出了有希望的脱发替代疗法,说明结果与常规测试产品组一样好。
    In this study, scalp tissues from Korean adults between 20 and 80 without skin disease were used. Scalp tissues were processed, and hair follicles were isolated and cultured with different treatments (including Bioscalp, Ultra Exo Booster, and Ultra S Line Plus) from Ultra V company. Over 12 days, observations and measurements of hair follicle characteristics were recorded at intervals (Days 0, 3, 6, 9, and 12). The study assessed the impact of these substances on hair follicle growth and morphology. Bioscalp, combined with Ultra Exo Booster and Ultra S Line Plus, showed significant hair elongation in ex vivo. Preservation of hair bulb diameter was observed, indicating potential for sustained hair growth by exosome-based products. The hair growth cycle analysis suggested a lower transition to the catagen stage in test products from Ultra V compared to non-treated groups. The research findings indicated that the tested formulations, especially the combination of Bioscalp, Ultra Exo Booster, and Ultra S Line Plus, demonstrated significant effectiveness in promoting hair growth, maintaining the integrity of the hair bulb, and reducing the transition to the catagen stage. The study suggests promising alternative treatments for hair loss, illustrating results that were as good as those of the conventional testing product groups.
    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
    癌症患者临床管理的科学询问驱动方法基于肿瘤的分子谱分析。由致癌驱动因素和生物标志物的知识授权,肿瘤学家绘制了一条最佳治疗路径,以增加积极结果的数学概率。在这一系列事件中,逻辑审讯的实验证明从未被纳入。这里,我们提供了第一个证据,证明与N-of-1肿瘤基因组谱分析相匹配的药物的离体检测结果可以提供有意义的洞察,将科学询问和临床事件联系起来.使用子宫内膜(EC)和卵巢癌(OC)患者的切除组织,我们设计了一个个性化的离体平台,以在单个肿瘤的默认组织学结构中测试药物组合.遵循CART-T细胞原则,我们与自体T细胞共培养,以检测靶向药物和免疫检查点抑制剂.该研究设计有一个有限的临床信息窗口,从患者登记/同意到获得肿瘤组织,我们对辅助治疗/手术后事件(PSE)数据进行了回顾性分析.使用棋盘分析,我们发现,与没有效果的患者相比,在离体培养/共培养中治疗“匹配”有效药物组合的患者,无PSE生存时间更长.具体来说,在“测试和治疗匹配”类别的32例EC患者中,其肿瘤细胞对离体药物测试没有反应,没有人达到>4年和>3年的无PSE生存期。相比之下,在“测试和治疗匹配”类别的38例EC患者中,4和6名患者,其肿瘤细胞在离体培养中对药物有反应,实现了>4年和>3年的无PSE生存期,分别。基因组引导离体试验的病例表明,有效的离体药物组合与治疗之间的“匹配”导致晚期PSE,而处方治疗和体外试验无效药物组合之间的“匹配”导致早期PSE。我们的研究表明,在离体培养/共培养平台上整合基因组数据与个性化药物测试是妇科癌症功能精准医学建模的有效工具。这种方法弥合了转化研究中的下一代药物测试与患者护理之间的差距,为改善治疗结果提供洞察力。
    A scientific interrogation-driven approach to the clinical management of cancer patients is based on molecular profiling of the tumor. Empowered by the knowledge of oncogenic drivers and biomarkers, oncologists chart an optimal treatment path toward increasing the mathematical probability of a positive outcome. In this entire chain of events, an experimental proof of logical interrogation has never been incorporated before. Here, we provide the first evidence that the result of ex vivo testing of a drug matched to the genomic profiling of an N-of-1 tumor can deliver meaningful insight connecting scientific interrogation and a clinical event. Using resected tissues from endometrial (EC) and ovarian (OC) cancer patients, we designed a personalized ex vivo platform to test combinations of drugs in the default histological architecture of the individual tumors. Following the CART-T cells\' principle, we co-cultured with autologous T-cells to test targeted drugs and immune checkpoint inhibitors. The study was designed with a limited clinical information window from patient registration/consent to obtaining the tumor tissues, and adjuvant treatment/post-surgery event (PSE) data were accessed retrospectively. Using a checkerboard analysis, we found that PSE-free survival time was longer in patients whose therapy \"matched\" the effective drug combination in ex vivo culture/co-cultures compared to those with no effect. Specifically, out of 32 EC patients in the \"test & treatment-matched\" category whose tumor cells failed to respond to ex vivo drug testing, none achieved > 4 and > 3 years of PSE-free survival. In contrast, out of 38 EC patients in the \"test & treatment-matched\" category, 4 and 6 patients, whose tumor cells responded to drugs in ex vivo culture, achieved > 4 and > 3 years of PSE-free survival, respectively. Cases with genomically-guided ex vivo testing showed that a \"match\" between an effective ex vivo drug combination and therapy resulted in late PSE, whereas a \"match\" between prescribed treatment and an ineffective drug combination in ex vivo testing led to early PSE. Our study demonstrates that integrating genomic data with personalized drug testing on an ex vivo culture/co-culture platform is an effective tool for modeling functional precision medicine in gynecological cancers. This approach bridges the gap between next-generation drug testing in translational research and patient care, providing insight for improved treatment outcomes.
    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
    头颈部区域的放射治疗是主要的治疗选择之一。然而,这是以不同程度的正常组织毒性为代价的,影响高达80%的患者。粘膜炎会引起疼痛,体重减轻和治疗延迟,导致更差的结果和生活质量下降。因此,迫切需要一种在治疗前预测患者正常粘膜反应的方法.我们在这里描述了一种检测健康口腔粘膜组织中辐射反应的方法。手术切除后从口腔获得粘膜标本,切成薄片,照射和培养三天。七个样品用X射线照射,另外三个样品用X射线和质子照射。健康口腔粘膜组织切片维持正常形态和活力三天。我们测量了对X射线照射的剂量依赖性反应,并使用标准化的自动图像分析比较了同一粘膜样品中的X射线和质子照射。此外,照射后可以检测到炎症诱导因子水平的升高-粘膜炎发展的主要驱动因素。该模型可用于研究粘膜炎发展的机理方面,并可开发为预测正常粘膜中辐射诱导的毒性的测定法。
    Radiotherapy in the head-and-neck area is one of the main curative treatment options. However, this comes at the cost of varying levels of normal tissue toxicity, affecting up to 80% of patients. Mucositis can cause pain, weight loss and treatment delays, leading to worse outcomes and a decreased quality of life. Therefore, there is an urgent need for an approach to predicting normal mucosal responses in patients prior to treatment. We here describe an assay to detect irradiation responses in healthy oral mucosa tissue. Mucosa specimens from the oral cavity were obtained after surgical resection, cut into thin slices, irradiated and cultured for three days. Seven samples were irradiated with X-ray, and three additional samples were irradiated with both X-ray and protons. Healthy oral mucosa tissue slices maintained normal morphology and viability for three days. We measured a dose-dependent response to X-ray irradiation and compared X-ray and proton irradiation in the same mucosa sample using standardized automated image analysis. Furthermore, increased levels of inflammation-inducing factors-major drivers of mucositis development-could be detected after irradiation. This model can be utilized for investigating mechanistic aspects of mucositis development and can be developed into an assay to predict radiation-induced toxicity in normal mucosa.
    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
    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
    采购后,肝移植物暴露于缺血期,该缺血期响应于氧剥夺而引发多种病理生理变化。因此,器官保存过程中的目标是减弱这种反应,并提供足够的环境,为移植后的代谢再激活做好准备。这已经通过静态冷藏保存广泛实现,其中使用冷保存溶液维持移植物降低其代谢活性并赋予细胞保护直到移植。然而,尽管是器官保存的黄金标准,静态冷库有几个缺点。此外,持续的器官短缺导致使用非常规移植物,这些移植物可以从移植前的治疗中受益。通过机器灌注系统保存器官似乎是解决这两者的有希望的解决方案。
    这里,我们的目标是提出一个国家的最先进的叙事审查关于使用机器灌注系统结合辅助策略,包括免疫调节肝移植修改方案,基因治疗和药物治疗。
    现有的报告很少,而且大多是关于实验动物模型的。考虑到这些特定类型的机器允许代谢活跃的器官,大多数文献反映了常温或低温机器灌注设备的使用。因此便于修改。虽然有限,现有报告中的有希望的发现表明,使用机器灌注系统保存器官,当与替代疗法结合使用时,对于移植物修饰是可行且安全的策略。
    需要对临床环境进行进一步研究,以更好地阐明移植前移植物修饰对短期和长期移植物和患者存活的真正影响。制定指南并批准这些新疗法用于临床实践还有很长的路要走。然而,这条路看起来很有希望。
    UNASSIGNED: Following procurement, the liver graft is exposed to an ischemic period that triggers several pathophysiologic changes in response to oxygen deprivation. Therefore, the goal during organ preservation is to attenuate such response and provide an adequate environment that prepares the graft for its metabolic reactivation following implantation. This has been widely achieved via static cold storage preservation, where the maintenance of the graft using cold preservation solutions reduce its metabolic activity and confer cytoprotection until transplantation. However, despite being the gold standard for organ preservation, static cold storage holds several disadvantages. In addition, the ongoing organ shortage has led to the use of unconventional grafts that could benefit from therapies pre-transplant. Organ preservation via machine perfusion systems appears as a promising solution to address both.
    UNASSIGNED: Here, we aim to present a state-of-the-art narrative review regarding liver graft modification options using machine perfusion systems in combination with adjuvant strategies including immunomodulation, gene therapy and pharmacotherapy.
    UNASSIGNED: Available reports are scarce and mostly on experimental animal models. Most of the literature reflects the use of normothermic or subnormothermic machine perfusion devices given that these particular type of machine allows for a metabolically active organ, and therefore facilitates its modification. Although limited, promising findings in available reports suggest that organ preservation using machine perfusion system when combined with alternative therapies can be feasible and safe strategies for graft modification.
    UNASSIGNED: Further research on clinical settings are needed to better elucidate the true effect of graft modification pre-transplant on short- and long-term graft and patient survival. There is a long way ahead to develop guidelines and approve these novel therapies for clinical practice. However, the path looks promising.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号