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Immunology of Pregnancy and Systemic Consequences. 妊娠免疫学和系统后果。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-35139-6_10
Fiona M Menzies

Pregnancy is an immunological paradox, with renowned Nobel Prize winning transplantation biologist Sir Peter Brian Medawar being the first to introduce this concept back in 1953. This concept considers how the maternal immune system can tolerate the developing fetus, which is 50% antigenically foreign to the uterus. There have been significant advances in our understanding of the immune system in regulating fertility, pregnancy and in complications of these, and what was once considered a paradox can be seen as a highly evolved system. Indeed, the complexity of the maternal-fetal interface along with our ever-advancing knowledge of immune cells and mediators means that we have a better understanding of these interactions, with gaps still present.  This chapter will summarise the key aspects of the role of the immune system at each stage of pregnancy and highlight the recent advances in our knowledge.

怀孕是一个免疫学悖论,著名的诺贝尔奖获得者移植生物学家彼得·布莱恩·梅达瓦尔爵士是1953年第一个引入这一概念的人。这一概念考虑了母体免疫系统如何耐受发育中的胎儿,而胎儿对子宫有50%的抗原外来。我们对免疫系统在调节生育、怀孕及其并发症方面的理解取得了重大进展,曾经被认为是一个悖论的系统可以被视为一个高度进化的系统。事实上,母婴界面的复杂性,以及我们对免疫细胞和介质的不断进步的了解,意味着我们对这些相互作用有了更好的理解,但仍存在差距。本章将总结免疫系统在妊娠各个阶段的作用的关键方面,并强调我们知识的最新进展。
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引用次数: 0
Genome Structure, Life Cycle, and Taxonomy of Coronaviruses and the Evolution of SARS-CoV-2. 冠状病毒基因组结构、生命周期和分类与SARS-CoV-2的进化
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-15640-3_9
Kevin Lamkiewicz, Luis Roger Esquivel Gomez, Denise Kühnert, Manja Marz

Coronaviruses have a broad host range and exhibit high zoonotic potential. In this chapter, we describe their genomic organization in terms of encoded proteins and provide an introduction to the peculiar discontinuous transcription mechanism. Further, we present evolutionary conserved genomic RNA secondary structure features, which are involved in the complex replication mechanism. With a focus on computational methods, we review the emergence of SARS-CoV-2 starting with the 2019 strains. In that context, we also discuss the debated hypothesis of whether SARS-CoV-2 was created in a laboratory. We focus on the molecular evolution and the epidemiological dynamics of this recently emerged pathogen and we explain how variants of concern are detected and characterised. COVID-19, the disease caused by SARS-CoV-2, can spread through different transmission routes and also depends on a number of risk factors. We describe how current computational models of viral epidemiology, or more specifically, phylodynamics, have facilitated and will continue to enable a better understanding of the epidemic dynamics of SARS-CoV-2.

冠状病毒具有广泛的宿主范围,具有很高的人畜共患潜力。在本章中,我们从编码蛋白的角度描述了它们的基因组组织,并介绍了这种特殊的不连续转录机制。此外,我们提出了进化保守的基因组RNA二级结构特征,这涉及复杂的复制机制。我们以计算方法为重点,回顾了从2019年菌株开始的SARS-CoV-2的出现。在这种情况下,我们还讨论了关于SARS-CoV-2是否在实验室中产生的有争议的假设。我们专注于分子进化和这种最近出现的病原体的流行病学动态,并解释如何检测和表征关注的变体。COVID-19是由SARS-CoV-2引起的疾病,可通过不同的传播途径传播,也取决于许多风险因素。我们描述了当前的病毒流行病学计算模型,或者更具体地说,系统动力学,如何促进并将继续使人们更好地了解SARS-CoV-2的流行动态。
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引用次数: 3
ZBP1/DAI-Dependent Cell Death Pathways in Influenza A Virus Immunity and Pathogenesis. 甲型流感病毒免疫和发病过程中依赖 ZBP1/DAI 的细胞死亡途径
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2019_190
Paul G Thomas, Maria Shubina, Siddharth Balachandran

Influenza A viruses (IAV) are members of the Orthomyxoviridae family of negative-sense RNA viruses. The greatest diversity of IAV strains is found in aquatic birds, but a subset of strains infects other avian as well as mammalian species, including humans. In aquatic birds, infection is largely restricted to the gastrointestinal tract and spread is through feces, while in humans and other mammals, respiratory epithelial cells are the primary sites supporting productive replication and transmission. IAV triggers the death of most cell types in which it replicates, both in culture and in vivo. When well controlled, such cell death is considered an effective host defense mechanism that eliminates infected cells and limits virus spread. Unchecked or inopportune cell death also results in immunopathology. In this chapter, we discuss the impact of cell death in restricting virus spread, supporting the adaptive immune response and driving pathogenesis in the mammalian respiratory tract. Recent studies have begun to shed light on the signaling pathways underlying IAV-activated cell death. These pathways, initiated by the pathogen sensor protein ZBP1 (also called DAI and DLM1), cause infected cells to undergo apoptosis, necroptosis, and pyroptosis. We outline mechanisms of ZBP1-mediated cell death signaling following IAV infection.

甲型流感病毒(IAV)是负意义 RNA 病毒正粘病毒科的成员。水生鸟类中的 IAV 株系种类最多,但也有一部分株系会感染其他鸟类和哺乳动物,包括人类。在水生鸟类中,感染主要局限于胃肠道,并通过粪便传播,而在人类和其他哺乳动物中,呼吸道上皮细胞是支持生产性复制和传播的主要场所。无论是在培养液中还是在体内,IAV 都会导致在其中复制的大多数细胞死亡。如果控制得当,这种细胞死亡被认为是一种有效的宿主防御机制,可以消除受感染的细胞并限制病毒传播。不受控制或不合时宜的细胞死亡也会导致免疫病理。在本章中,我们将讨论细胞死亡在限制病毒传播、支持适应性免疫反应和驱动哺乳动物呼吸道发病机制方面的影响。最近的研究开始揭示 IAV 激活细胞死亡的信号通路。这些途径由病原体传感蛋白 ZBP1(又称 DAI 和 DLM1)启动,导致受感染细胞发生凋亡、坏死和热凋亡。我们概述了 IAV 感染后 ZBP1 介导的细胞死亡信号转导机制。
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引用次数: 11
Gastric Epithelial Barrier Disruption, Inflammation and Oncogenic Signal Transduction by Helicobacter pylori. 幽门螺杆菌导致的胃上皮屏障破坏、炎症和致癌信号转导
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-47331-9_8
Michael Naumann, Lorena Ferino, Irshad Sharafutdinov, Steffen Backert

Helicobacter pylori exemplifies one of the most favourable bacterial pathogens worldwide. The bacterium colonizes the gastric mucosa in about half of the human population and constitutes a major risk factor for triggering gastric diseases such as stomach cancer. H. pylori infection represents a prime example of chronic inflammation and cancer-inducing bacterial pathogens. The microbe utilizes a remarkable set of virulence factors and strategies to control cellular checkpoints of inflammation and oncogenic signal transduction. This chapter emphasizes on the pathogenicity determinants of H. pylori such as the cytotoxin-associated genes pathogenicity island (cagPAI)-encoded type-IV secretion system (T4SS), effector protein CagA, lipopolysaccharide (LPS) metabolite ADP-glycero-β-D-manno-heptose (ADP-heptose), cytotoxin VacA, serine protease HtrA, and urease, and how they manipulate various key host cell signaling networks in the gastric epithelium. In particular, we highlight the H. pylori-induced disruption of cell-to-cell junctions, pro-inflammatory activities, as well as proliferative, pro-apoptotic and anti-apoptotic responses. Here we review these hijacked signal transduction events and their impact on gastric disease development.

幽门螺杆菌是全球最常见的细菌病原体之一。约有一半的人在胃粘膜上定植了这种细菌,它是诱发胃癌等胃病的主要风险因素。幽门螺杆菌感染是慢性炎症和致癌细菌病原体的典型代表。该微生物利用一系列出色的毒力因子和策略来控制炎症和致癌信号转导的细胞检查点。本章将重点介绍幽门螺杆菌的致病性决定因素,如细胞毒性和致癌作用。本章重点介绍幽门螺杆菌的致病性决定因素,如细胞毒素相关基因致病性岛(cagPAI)编码的第四型分泌系统(T4SS)、效应蛋白 CagA、脂多糖(LPS)代谢物 ADP-甘油-β-D-甘露-庚糖(ADP-庚糖)、细胞毒素 VacA、丝氨酸蛋白酶 HtrA 和尿素酶,以及它们如何操纵胃上皮细胞中各种关键的宿主细胞信号网络。我们特别强调了幽门螺杆菌引起的细胞间连接破坏、促炎活动以及增殖、促凋亡和抗凋亡反应。在此,我们回顾了这些被劫持的信号转导事件及其对胃病发展的影响。
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引用次数: 0
The Influence of Sex Hormones and X Chromosome in Immune Responses. 性激素和X染色体对免疫应答的影响。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-35139-6_2
Nina Anesi, Charles-Henry Miquel, Sophie Laffont, Jean-Charles Guéry

Males and females differ in their susceptibility to develop autoimmunity and allergy but also in their capacity to cope with infections and cancers. Cellular targets and molecular pathways underlying sexual dimorphism in immunity have started to emerge and appeared multifactorial. It became increasingly clear that sex-linked biological factors have important impact on the development, tissue maintenance and effector function acquisition of distinct immune cell populations, thereby regulating multiple layers of innate or adaptive immunity through distinct mechanisms. This review discusses the recent development in our understanding of the cell-intrinsic actions of biological factors linked to sex, sex hormones and sex chromosome complement, on immune cells, which may account for the sex differences in susceptibility to autoimmune diseases and allergies, and the sex-biased responses in natural immunity and cancer.

男性和女性对自身免疫和过敏的易感性不同,但应对感染和癌症的能力也不同。免疫中两性异形的细胞靶点和分子途径已经开始出现,并表现为多因素的。越来越清楚的是,与性别相关的生物因素对不同免疫细胞群体的发育、组织维持和效应器功能获得具有重要影响,从而通过不同的机制调节多层先天或适应性免疫。这篇综述讨论了我们对与性、性激素和性染色体互补有关的生物因子对免疫细胞的细胞内在作用的最新理解,这可能解释了对自身免疫性疾病和过敏易感性的性别差异,以及自然免疫和癌症中的性别偏见反应。
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引用次数: 0
Viral Fitness, Population Complexity, Host Interactions, and Resistance to Antiviral Agents. 病毒适应度、种群复杂性、宿主相互作用和抗病毒药物耐药性。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-15640-3_6
Esteban Domingo, Carlos García-Crespo, María Eugenia Soria, Celia Perales

Fitness of viruses has become a standard parameter to quantify their adaptation to a biological environment. Fitness determinations for RNA viruses (and some highly variable DNA viruses) meet with several uncertainties. Of particular interest are those that arise from mutant spectrum complexity, absence of population equilibrium, and internal interactions among components of a mutant spectrum. Here, concepts, fitness measurements, limitations, and current views on experimental viral fitness landscapes are discussed. The effect of viral fitness on resistance to antiviral agents is covered in some detail since it constitutes a widespread problem in antiviral pharmacology, and a challenge for the design of effective antiviral treatments. Recent evidence with hepatitis C virus suggests the operation of mechanisms of antiviral resistance additional to the standard selection of drug-escape mutants. The possibility that high replicative fitness may be the driver of such alternative mechanisms is considered. New broad-spectrum antiviral designs that target viral fitness may curtail the impact of drug-escape mutants in treatment failures. We consider to what extent fitness-related concepts apply to coronaviruses and how they may affect strategies for COVID-19 prevention and treatment.

病毒的适应度已成为量化其对生物环境适应性的标准参数。RNA病毒(和一些高度可变的DNA病毒)的适应度确定遇到几个不确定因素。特别令人感兴趣的是那些由突变谱复杂性、缺乏种群平衡和突变谱组分之间的内部相互作用引起的突变谱。在这里,概念,适应度测量,限制和当前的观点,实验病毒适应度景观进行了讨论。病毒适应度对抗病毒药物耐药性的影响是抗病毒药理学中一个广泛存在的问题,也是设计有效抗病毒治疗的一个挑战。最近关于丙型肝炎病毒的证据表明,除了药物逃逸突变体的标准选择外,还有抗病毒药物耐药性机制的运作。高复制适应度可能是这种替代机制的驱动因素。针对病毒适应性的新型广谱抗病毒设计可能会减少药物逃逸突变体在治疗失败中的影响。我们考虑与健身相关的概念在多大程度上适用于冠状病毒,以及它们如何影响COVID-19的预防和治疗策略。
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引用次数: 2
Plant Virus Adaptation to New Hosts: A Multi-scale Approach. 植物病毒对新寄主的适应:多尺度研究
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-15640-3_5
Santiago F Elena, Fernando García-Arenal

Viruses are studied at each level of biological complexity: from within-cells to ecosystems. The same basic evolutionary forces and principles operate at each level: mutation and recombination, selection, genetic drift, migration, and adaptive trade-offs. Great efforts have been put into understanding each level in great detail, hoping to predict the dynamics of viral population, prevent virus emergence, and manage their spread and virulence. Unfortunately, we are still far from this. To achieve these ambitious goals, we advocate for an integrative perspective of virus evolution. Focusing in plant viruses, we illustrate the pervasiveness of the above-mentioned principles. Beginning at the within-cell level, we describe replication modes, infection bottlenecks, and cellular contagion rates. Next, we move up to the colonization of distal tissues, discussing the fundamental role of random events. Then, we jump beyond the individual host and discuss the link between transmission mode and virulence. Finally, at the community level, we discuss properties of virus-plant infection networks. To close this review we propose the multilayer network theory, in which elements at different layers are connected and submit to their own dynamics that feed across layers, resulting in new emerging properties, as a way to integrate information from the different levels.

从细胞内到生态系统,在生物复杂性的每个层面对病毒进行研究。相同的基本进化力量和原则在每个层面上都起作用:突变和重组、选择、遗传漂变、迁移和适应性权衡。人们已经付出了巨大的努力,以非常详细地了解每个层次,希望预测病毒种群的动态,防止病毒的出现,并控制它们的传播和毒性。不幸的是,我们离这一步还很遥远。为了实现这些雄心勃勃的目标,我们提倡从综合的角度看待病毒进化。我们以植物病毒为重点,说明上述原则的普遍性。从细胞内水平开始,我们描述了复制模式、感染瓶颈和细胞传染率。接下来,我们将讨论远端组织的定植,讨论随机事件的基本作用。然后,我们跳过个体宿主,讨论传播模式和毒力之间的联系。最后,在群落水平上,我们讨论了病毒-植物感染网络的性质。为了结束这一回顾,我们提出了多层网络理论,其中不同层的元素相互连接,并服从于它们自己的动态,这些动态会跨层馈电,从而产生新的属性,作为整合来自不同层的信息的一种方式。
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引用次数: 3
Mitochondrial Function in Health and Disease: Responses to Helicobacter pylori Metabolism and Impact in Gastric Cancer Development. 健康与疾病中的线粒体功能:幽门螺杆菌代谢的反应及其对胃癌发展的影响
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-47331-9_3
Javier Torres, Eliette Touati

Mitochondria are major cellular organelles that play an essential role in metabolism, stress response, immunity, and cell fate. Mitochondria are organized in a network with other cellular compartments, functioning as a signaling hub to maintain cells' health. Mitochondrial dysfunctions and genome alterations are associated with diseases including cancer. Mitochondria are a preferential target for pathogens, which have developed various mechanisms to hijack cellular functions for their benefit. Helicobacter pylori is recognized as the major risk factor for gastric cancer development. H. pylori induces oxidative stress and chronic gastric inflammation associated with mitochondrial dysfunction. Its pro-apoptotic cytotoxin VacA interacts with the mitochondrial inner membrane, leading to increased permeability and decreased ATP production. Furthermore, H. pylori induces mitochondrial DNA damage and mutation, concomitant with the development of gastric intraepithelial neoplasia as observed in infected mice. In this chapter, we present diverse aspects of the role of mitochondria as energy supplier and signaling hubs and their adaptation to stress conditions. The metabolic activity of mitochondria is directly linked to biosynthetic pathways. While H. pylori virulence factors and derived metabolites are essential for gastric colonization and niche adaptation, they may also impact mitochondrial function and metabolism, and may have consequences in gastric pathogenesis. Importantly, during its long way to reach the gastric epithelium, H. pylori faces various cellular types along the gastric mucosa. We discuss how the mitochondrial response of these different cells is affected by H. pylori and impacts the colonization and bacterium niche adaptation and point to areas that remain to be investigated.

线粒体是主要的细胞器,在新陈代谢、应激反应、免疫和细胞命运中发挥着至关重要的作用。线粒体与其他细胞器组成一个网络,是维持细胞健康的信号枢纽。线粒体功能障碍和基因组改变与癌症等疾病有关。线粒体是病原体的首选目标,病原体已开发出各种机制来劫持细胞功能,以谋取自身利益。幽门螺杆菌被认为是导致胃癌的主要风险因素。幽门螺杆菌会诱发氧化应激和与线粒体功能障碍相关的慢性胃炎。其促凋亡细胞毒素 VacA 与线粒体内膜相互作用,导致通透性增加和 ATP 生成减少。此外,幽门螺杆菌还能诱导线粒体 DNA 损伤和突变,与此同时,在受感染的小鼠身上还能观察到胃上皮内瘤变的发生。在本章中,我们将从多个方面介绍线粒体作为能量供应者和信号枢纽的作用及其对压力条件的适应。线粒体的代谢活动与生物合成途径直接相关。幽门螺杆菌的毒力因子和衍生代谢产物对胃定植和生态位适应至关重要,但它们也可能影响线粒体的功能和代谢,并可能对胃的发病机制产生影响。重要的是,幽门螺杆菌在到达胃上皮的漫长过程中,要面对胃黏膜上的各种细胞类型。我们讨论了这些不同细胞的线粒体反应如何受到幽门螺杆菌的影响,以及如何影响定植和细菌的生态位适应,并指出了有待研究的领域。
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引用次数: 0
Simian Varicella Virus: Molecular Virology and Mechanisms of Pathogenesis. 猿猴水痘病毒:分子病毒学和发病机制。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2021_241
Allen Jankeel, Izabela Coimbra-Ibraim, Ilhem Messaoudi

Simian varicella virus (SVV) was first isolated in 1966 from African green monkeys (Cercopithecus aethiops) imported from Nairobi, Kenya, to the Liverpool School of Tropical Medicine in the United Kingdom (UK) (Clarkson et al., Arch Gesamte Virusforsch 22:219-234, 1967). SVV infection caused severe disease that resulted in a 56% case fatality rate (CFR) in the imported animals within 48 h of the appearance of a varicella-like rash (Clarkson et al., Arch Gesamte Virusforsch 22:219-234, 1967; Hemme et al., Am J Trop Med Hyg 94:1095-1099, 2016). The deceased animals presented with fever, widespread vesicular rash, and multiple hemorrhagic foci throughout the lungs, liver, and spleen (Clarkson et al., Arch Gesamte Virusforsch 22:219-234, 1967). This outbreak was quickly followed by a second outbreak in 47 patas monkeys (Erythrocebus patas) imported from Chad and Nigeria by Glaxo Laboratories (London, England, UK), which quickly spread within the facility (McCarthy et al., Lancet 2:856-857, 1968).

猿猴水痘病毒(SVV)于1966年首次从肯尼亚内罗毕进口到英国利物浦热带医学院的非洲绿猴(Cercopithecus aethiops)中分离出来(Clarkson et al., Arch Gesamte Virusforsch 22:19 -234, 1967)。SVV感染引起严重疾病,导致进口动物在出现水痘样皮疹48小时内病死率(CFR)达到56% (Clarkson等人,Arch Gesamte Virusforsch 22:219-234, 1967;Hemme et al., [J] .中华医学杂志,2016(4):1095-1099。死亡动物表现为发热、广泛的水疱疹和遍布肺、肝和脾的多发出血灶(Clarkson等人,Arch Gesamte Virusforsch 22:219- 234,1967)。在这次暴发之后,葛兰素史克实验室(英国伦敦)从乍得和尼日利亚进口了47只猴(猴),迅速发生了第二次暴发,并在该设施内迅速传播(McCarthy等人,Lancet:856-857, 1968)。
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引用次数: 0
Lassa Fever Natural History and Clinical Management. 拉沙热自然史及临床管理。
3区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/82_2023_263
Donald S Grant, Robert J Samuels, Robert F Garry, John S Schieffelin

Lassa fever is caused by Lassa virus (LASV), an Old World Mammarenavirus that is carried by Mastomys natalensis and other rodents. It is endemic in Sierra Leone, Nigeria, and other countries in West Africa. The clinical presentation of LASV infection is heterogenous varying from an inapparent or mild illness to a fatal hemorrhagic fever. Exposure to LASV is usually through contact with rodent excreta. After an incubation period of 1-3 weeks, initial symptoms such as fever, headache, and fatigue develop that may progress to sore throat, retrosternal chest pain, conjunctival injection, vomiting, diarrhea, and abdominal pain. Severe illness, including hypotension, shock, and multiorgan failure, develops in a minority of patients. Patient demographics and case fatality rates are distinctly different in Sierra Leone and Nigeria. Laboratory diagnosis relies on the detection of LASV antigens or genomic RNA. LASV-specific immunoglobulin G and M assays can also contribute to clinical management. The mainstay of treatment for Lassa fever is supportive care. The nucleoside analog ribavirin is commonly used to treat acute Lassa fever but is considered useful only if treatment is begun early in the disease course. Drugs in development, including a monoclonal antibody cocktail, have the potential to impact the management of Lassa fever.

拉沙热是由拉沙病毒(LASV)引起的,这是一种旧大陆乳头状病毒,由Mastomys natalensis和其他啮齿动物携带。它在塞拉利昂、尼日利亚和西非其他国家流行。LASV感染的临床表现是多种多样的,从不明显或轻微的疾病到致命的出血热。接触LASV通常是通过接触啮齿动物的排泄物。在1-3周的潜伏期后,出现发热、头痛和疲劳等初始症状,并可能发展为喉咙痛、胸骨后胸痛、结膜注射、呕吐、腹泻和腹痛。少数患者出现严重疾病,包括低血压、休克和多器官衰竭。塞拉利昂和尼日利亚的患者人口统计数据和病死率明显不同。实验室诊断依赖于LASV抗原或基因组RNA的检测。lasv特异性免疫球蛋白G和M测定也有助于临床管理。拉沙热的主要治疗是支持性护理。核苷类似物利巴韦林通常用于治疗急性拉沙热,但只有在病程早期开始治疗时才被认为有用。正在开发的药物,包括一种单克隆抗体鸡尾酒,有可能影响拉沙热的管理。
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引用次数: 0
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Current topics in microbiology and immunology
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