Over the years, accumulating evidence has been associating interleukin-13 gene (IL-13) variants with a wide array of chronic inflammatory diseases. Also, recent findings have associated the potential role of a single nucleotide polymorphism (SNP) of IL-13, rs20541, to promote either anti- or pro-inflammatory responses in chronic inflammatory diseases. Although rs20541 has been widely associated with various immune-related and inflammatory conditions, its precise functional relevance in the pathogenesis of human diseases has yet to be fully clarified. Nonetheless, its consistent associations and known effects on IL-13 signalling underscore its potential biological importance. Hence, this meta-analysis aimed to investigate the associations between IL-13 SNP rs20541 with distinct groups of chronic inflammatory diseases. Eligible studies were selected from seven databases including PubMed, EBSCO Host (all databases), Medline, CINAHL Plus, Scopus, SNPedia and GWAS. In total, 45 case–control studies with 16,045 cases and 23,312 controls were categorised into four major groups: atopic, cardiopulmonary and autoimmune diseases as well as cancer and tumour. While no consistent associations emerged for asthma or overall atopic and cardiopulmonary groups, protective associations for psoriasis and glioma were observed across multiple genetic contrasts. The A allele of rs20541 was significantly associated with higher risk of chronic obstructive pulmonary diseases (COPDs) [1.17 (1.03–1.32)] but reduced risk of cardiovascular diseases (CVDs) [0.87 (0.75–1.00)], psoriasis [allele model: 0.71 (0.65–0.77); dominant model: 0.69 (0.62–0.76)], overall cancer [allele model: 0.82 (0.66–0.98); dominant model: 0.82 (0.67–0.98) and glioma [allele model: 0.82 (0.68–0.95); dominant model: 0.72 (0.57–0.87)]. In subgroup analysis and meta-regression, sources of between-study heterogeneity were associated with ethnicity, age, gender and sample size in respective disease groups (pz < 0.05, pres > 0.05). Overall, this meta-analysis demonstrates that IL-13 rs20541 is a key immunogenetic variant exerting context-dependent effects, either via direct lgE-dependent or indirect regulatory effects across chronic inflammatory diseases. These mechanistic differences help explain why rs20541 confers susceptibility in some diseases while providing protection in others, reflecting the pleiotropic and tissue-specific functions of IL-13. Future research should integrate transcriptional studies and eQTL analyses of rs20541 to clarify its downstream impact on inflammation-specific genes, ultimately informing cytokine-targeted therapies to more precisely manage and prevent chronic inflammatory disease.
{"title":"Association of IL-13 Gene Polymorphism (rs20541) With Chronic Inflammatory Diseases: A Systematic Review and Meta-Analysis","authors":"Geetha Letchumanan, Yee-How Say","doi":"10.1111/iji.70018","DOIUrl":"10.1111/iji.70018","url":null,"abstract":"<p>Over the years, accumulating evidence has been associating interleukin-13 gene (<i>IL-13</i>) variants with a wide array of chronic inflammatory diseases. Also, recent findings have associated the potential role of a single nucleotide polymorphism (SNP) of IL-13, rs20541, to promote either anti- or pro-inflammatory responses in chronic inflammatory diseases. Although rs20541 has been widely associated with various immune-related and inflammatory conditions, its precise functional relevance in the pathogenesis of human diseases has yet to be fully clarified. Nonetheless, its consistent associations and known effects on IL-13 signalling underscore its potential biological importance. Hence, this meta-analysis aimed to investigate the associations between IL-13 SNP rs20541 with distinct groups of chronic inflammatory diseases. Eligible studies were selected from seven databases including PubMed, EBSCO Host (all databases), Medline, CINAHL Plus, Scopus, SNPedia and GWAS. In total, 45 case–control studies with 16,045 cases and 23,312 controls were categorised into four major groups: atopic, cardiopulmonary and autoimmune diseases as well as cancer and tumour. While no consistent associations emerged for asthma or overall atopic and cardiopulmonary groups, protective associations for psoriasis and glioma were observed across multiple genetic contrasts. The A allele of rs20541 was significantly associated with higher risk of chronic obstructive pulmonary diseases (COPDs) [1.17 (1.03–1.32)] but reduced risk of cardiovascular diseases (CVDs) [0.87 (0.75–1.00)], psoriasis [allele model: 0.71 (0.65–0.77); dominant model: 0.69 (0.62–0.76)], overall cancer [allele model: 0.82 (0.66–0.98); dominant model: 0.82 (0.67–0.98) and glioma [allele model: 0.82 (0.68–0.95); dominant model: 0.72 (0.57–0.87)]. In subgroup analysis and meta-regression, sources of between-study heterogeneity were associated with ethnicity, age, gender and sample size in respective disease groups (<i>p</i><sub>z</sub> < 0.05, <i>p</i><sub>res</sub> > 0.05). Overall, this meta-analysis demonstrates that IL-13 rs20541 is a key immunogenetic variant exerting context-dependent effects, either via direct lgE-dependent or indirect regulatory effects across chronic inflammatory diseases. These mechanistic differences help explain why rs20541 confers susceptibility in some diseases while providing protection in others, reflecting the pleiotropic and tissue-specific functions of IL-13. Future research should integrate transcriptional studies and eQTL analyses of rs20541 to clarify its downstream impact on inflammation-specific genes, ultimately informing cytokine-targeted therapies to more precisely manage and prevent chronic inflammatory disease.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"313-334"},"PeriodicalIF":1.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikaele Monik Rodrigues Inácio Silva, Gabriela Maria Andrade Correia, Juliana Dal-Ri Lindenau, Maristela Gomes Cunha, Maria Deise Oliveira Ohnishi, Ana Maria Revoredo Silva Ventura, Ândrea Ribeiro-dos-Santos, Mara Helena Hutz, Vinicius Albuquerque Sortica
Toll-like receptors (TLRs) induce the production of pro-inflammatory cytokines and regulate the immune response to Plasmodium vivax infection. Genetic variants of TLRs are associated with susceptibility and severity of malaria in different populations. This study aimed to evaluate the association between polymorphisms in TLR1, TLR4, TLR7, TLR8, TLR9 and TIRAP and the clinical manifestations of malaria caused by P. vivax in a population from the Amazon region of Pará, Brazil. A total of 148 individuals with symptomatic uncomplicated malaria were genotyped for rs4833095, rs1927911, rs179008, rs3764880, rs352140 and rs8177374 variants, and their associations with parasitaemia levels, gametocytaemia and clinical index were analysed using generalised linear models. TLR9 rs352140TT homozygotes had higher parasitaemia levels than C allele carriers (p = 0.034). TLR4 rs1927911GG homozygotes had a higher clinical index than A allele carriers (p = 0.018). Our results describe, for the first time, the association of the rs1927911 variant found in intron 1 of TLR4 with P. vivax malaria symptoms in Brazilian Amazonian population.
{"title":"New Evidence of TLR4 and TLR9 Variants Influencing Parasitaemia and Symptoms of Plasmodium vivax Infection","authors":"Mikaele Monik Rodrigues Inácio Silva, Gabriela Maria Andrade Correia, Juliana Dal-Ri Lindenau, Maristela Gomes Cunha, Maria Deise Oliveira Ohnishi, Ana Maria Revoredo Silva Ventura, Ândrea Ribeiro-dos-Santos, Mara Helena Hutz, Vinicius Albuquerque Sortica","doi":"10.1111/iji.70014","DOIUrl":"10.1111/iji.70014","url":null,"abstract":"<p>Toll-like receptors (TLRs) induce the production of pro-inflammatory cytokines and regulate the immune response to <i>Plasmodium vivax</i> infection. Genetic variants of <i>TLRs</i> are associated with susceptibility and severity of malaria in different populations. This study aimed to evaluate the association between polymorphisms in <i>TLR1, TLR4, TLR7, TLR8, TLR9</i> and <i>TIRAP</i> and the clinical manifestations of malaria caused by <i>P. vivax</i> in a population from the Amazon region of Pará, Brazil. A total of 148 individuals with symptomatic uncomplicated malaria were genotyped for rs4833095, rs1927911, rs179008, rs3764880, rs352140 and rs8177374 variants, and their associations with parasitaemia levels, gametocytaemia and clinical index were analysed using generalised linear models. <i>TLR9</i> rs352140TT homozygotes had higher parasitaemia levels than C allele carriers (<i>p</i> = 0.034). <i>TLR4</i> rs1927911GG homozygotes had a higher clinical index than A allele carriers (<i>p</i> = 0.018). Our results describe, for the first time, the association of the rs1927911 variant found in intron 1 of <i>TLR4</i> with <i>P. vivax</i> malaria symptoms in Brazilian Amazonian population.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"371-378"},"PeriodicalIF":1.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Livia Tran, Ryan Nickens, Vinh Luu, Effie W. Petersdorf, Steven J. Mack
The highly polymorphic HLA genes inform susceptibility and resistance to infectious and autoimmune diseases and cancers and are key for successful solid-organ and stem-cell transplantation therapies. Over 41,000 HLA alleles are known and are unevenly distributed across the human population. Here, we describe HLAtools, Searching Shared HLA Amino-Acid Residue Prevalence (SSHAARP) and the Global Frequency Browser (GFB), new informatic tools developed to facilitate working with HLA data and visualizing the global distribution of HLA variants in human populations. HLAtools is an R package that consumes static resources for HLA alleles and sequences and makes these data locally computable alongside data-query, data-customization and data-analysis functions. The package further includes new reference datasets that dissect and catalogue HLA regions and HLA gene structures and provide insight into the organization of HLA pseudogenes and gene fragments. SSHAARP is an R package that describes the frequency distributions of individual HLA haplotypes, alleles and amino-acid motifs as global heatmaps. Allele frequency maps for more than 800 HLA alleles can be browsed using the GFB web and mobile applications. HLAtools and SSHAARP are available from the Comprehensive R Archive Network, and the GFB apps are available on GitHub.
{"title":"HLAtools, Searching Shared HLA Amino Acid Residue Prevalence, and the Global Frequency Browsers: New Computational Resources for Working With HLA Data and Visualizing Global Patterns of HLA Variation","authors":"Livia Tran, Ryan Nickens, Vinh Luu, Effie W. Petersdorf, Steven J. Mack","doi":"10.1111/iji.70013","DOIUrl":"10.1111/iji.70013","url":null,"abstract":"<p>The highly polymorphic HLA genes inform susceptibility and resistance to infectious and autoimmune diseases and cancers and are key for successful solid-organ and stem-cell transplantation therapies. Over 41,000 HLA alleles are known and are unevenly distributed across the human population. Here, we describe HLAtools, Searching Shared HLA Amino-Acid Residue Prevalence (SSHAARP) and the Global Frequency Browser (GFB), new informatic tools developed to facilitate working with HLA data and visualizing the global distribution of HLA variants in human populations. HLAtools is an R package that consumes static resources for HLA alleles and sequences and makes these data locally computable alongside data-query, data-customization and data-analysis functions. The package further includes new reference datasets that dissect and catalogue HLA regions and HLA gene structures and provide insight into the organization of HLA pseudogenes and gene fragments. SSHAARP is an R package that describes the frequency distributions of individual HLA haplotypes, alleles and amino-acid motifs as global heatmaps. Allele frequency maps for more than 800 HLA alleles can be browsed using the GFB web and mobile applications. HLAtools and SSHAARP are available from the Comprehensive R Archive Network, and the GFB apps are available on GitHub.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"358-370"},"PeriodicalIF":1.1,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ali Aljuaimlani, Lamjed Mansour, Jameel Al-Tamimi, Jamilah Alshammari, Safa A. Alqarzae, Fadwa M. Alkhulaifi, Suliman Alomar
Background: Acute lymphoblastic leukaemia (ALL) is characterized by the clonal proliferation of immature lymphoid precursors in the bone marrow or peripheral blood. This study investigates whether genetic polymorphisms in IL-17RC are associated with an increased risk of ALL in the Saudi population.
Methods: This case-control study included 95 patients with ALL and 95 matched controls. Genetic polymorphisms and their associations with ALL risk were identified using logistic regression analysis. Additionally, quantitative real-time polymerase chain reaction (qRT-PCR) was used to assess the level of IL-17RC mRNA.
Results: The results revealed that carriers of the GA and AA genotypes of rs76999397 had a significantly increased risk of ALL (GA: odds ratios [OR] = 63.78, 95% confidence interval [CI] = 25.51–159.43, p < 0.0001; AA: OR = 18.22, 95% CI = 1.50–221.37, p < 0.0001). Additionally, we identified that an increased risk of ALL was associated with two haplotypes in IL-17RC, C-A and T-A (in the order of rs708567 and rs76999397) (OR = 46.73, 95% CI = 17.30–126.28; OR = 49.42, 95% CI = 6.95–351.45, respectively).
Conclusions: The results suggested that the GA and AA genotypes of rs76999397 were significantly associated with an increased risk of ALL, whereas rs708567 did not show a significant association. Furthermore, the CA and TA haplotypes (rs708567/rs76999397) were found to be associated with increased susceptibility to ALL.
{"title":"The Association of IL-17RC Polymorphisms rs708567 and rs76999397 With Acute Lymphoblastic Leukaemia","authors":"Ali Aljuaimlani, Lamjed Mansour, Jameel Al-Tamimi, Jamilah Alshammari, Safa A. Alqarzae, Fadwa M. Alkhulaifi, Suliman Alomar","doi":"10.1111/iji.70012","DOIUrl":"10.1111/iji.70012","url":null,"abstract":"<p>Background: Acute lymphoblastic leukaemia (ALL) is characterized by the clonal proliferation of immature lymphoid precursors in the bone marrow or peripheral blood. This study investigates whether genetic polymorphisms in <i>IL-17RC</i> are associated with an increased risk of ALL in the Saudi population.</p><p>Methods: This case-control study included 95 patients with ALL and 95 matched controls. Genetic polymorphisms and their associations with ALL risk were identified using logistic regression analysis. Additionally, quantitative real-time polymerase chain reaction (qRT-PCR) was used to assess the level of <i>IL-17RC</i> mRNA.</p><p>Results: The results revealed that carriers of the GA and AA genotypes of rs76999397 had a significantly increased risk of ALL (GA: odds ratios [OR] = 63.78, 95% confidence interval [CI] = 25.51–159.43, <i>p</i> < 0.0001; AA: OR = 18.22, 95% CI = 1.50–221.37, <i>p</i> < 0.0001). Additionally, we identified that an increased risk of ALL was associated with two haplotypes in <i>IL-17RC</i>, C-A and T-A (in the order of rs708567 and rs76999397) (OR = 46.73, 95% CI = 17.30–126.28; OR = 49.42, 95% CI = 6.95–351.45, respectively).</p><p>Conclusions: The results suggested that the GA and AA genotypes of rs76999397 were significantly associated with an increased risk of ALL, whereas rs708567 did not show a significant association. Furthermore, the CA and TA haplotypes (rs708567/rs76999397) were found to be associated with increased susceptibility to ALL.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"352-357"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Judith Owusuwaah Asiedu-Basoah, Stephen Weston, Jonathan Barratt, Justyna Szklarzewicz, Paul Dunn
IgA nephropathy (IgAN) is one of the most prevalent glomerulonephropathies and commonly leads to kidney failure. The recurrence of IgAN following transplantation remains a significant concern. Currently, detecting IgAN recurrence requires a kidney biopsy, highlighting the need for non-invasive biomarkers such as donor-derived cell-free DNA (dd-cfDNA) to aid in early detection. This prospective pilot study aims to evaluate dd-cfDNA as a non-invasive biomarker for detecting IgAN recurrence post–kidney transplantation. Specifically, the study seeks to compare %dd-cfDNA levels in transplanted patients with and without IgAN recurrence and correlate these levels with other kidney function parameters. A total of 32 patients with histologically confirmed IgAN were enrolled, including those with documented IgAN recurrence post-transplantation and those without recurrence. Plasma samples were collected and processed using the AlloSeq cfDNA kit to quantify relative %dd-cfDNA levels. Kidney function parameters, including estimated glomerular filtration rate (eGFR) and proteinuria, were also assessed. The study found no significant difference in %dd-cfDNA levels between transplanted patients with IgAN recurrence and those without recurrence (median 0.37% [IQR 0.28%–3.53%] vs. median 0.42% [IQR 0.15%–0.84%], p = 0.67). Also, %dd-cfDNA (AUC = 0.57 [95% CI 0.28–0.85], p = 0.64) failed to effectively discriminate IgAN recurrence compared to traditional kidney function parameters such as proteinuria (AUC = 0.96 [95% CI 0.87–1.00], p = 0.002) and eGFR (AUC = 0.74 [95% CI 0.47–1.00], p = 0.09). Relative (%) dd-cfDNA alone may not be a robust biomarker for detecting IgAN recurrence post-transplantation. While proteinuria proved a more effective indicator in this study, kidney biopsy remains the gold standard for definitive diagnosis. These findings highlight the challenges of using %dd-cfDNA as a standalone diagnostic tool for monitoring IgAN recurrence post-transplantation. Future research should explore larger patient cohorts and longitudinal assessments to refine the utility of dd-cfDNA and investigate potential combination strategies with other biomarkers.
IgA肾病(IgAN)是最常见的肾小球肾病之一,通常导致肾衰竭。移植后IgAN的复发仍然是一个值得关注的问题。目前,检测IgAN复发需要进行肾脏活检,这突出了对非侵入性生物标志物的需求,如供体来源的无细胞DNA (dd-cfDNA)来帮助早期检测。这项前瞻性先导研究旨在评估dd-cfDNA作为检测肾移植后IgAN复发的非侵入性生物标志物。具体而言,该研究旨在比较有和没有IgAN复发的移植患者的%dd-cfDNA水平,并将这些水平与其他肾功能参数相关联。共有32例组织学证实的IgAN患者入组,包括移植后记录的IgAN复发和无复发的患者。收集血浆样本并使用AlloSeq cfDNA试剂盒进行处理,以量化相对%dd-cfDNA水平。肾功能参数,包括估计肾小球滤过率(eGFR)和蛋白尿,也被评估。研究发现,IgAN复发移植患者与未复发移植患者的%dd-cfDNA水平无显著差异(中位数0.37% [IQR 0.28%-3.53%] vs中位数0.42% [IQR 0.15%-0.84%], p = 0.67)。此外,与传统的肾功能参数如蛋白尿(AUC = 0.96 [95% CI 0.87-1.00], p = 0.002)和eGFR (AUC = 0.74 [95% CI 0.47-1.00], p = 0.09)相比,%dd-cfDNA (AUC = 0.57 [95% CI 0.28-0.85], p = 0.64)未能有效鉴别IgAN复发。相对(%)dd-cfDNA单独可能不是检测移植后IgAN复发的可靠生物标志物。虽然蛋白尿在本研究中被证明是一个更有效的指标,但肾活检仍然是明确诊断的金标准。这些发现突出了使用%dd-cfDNA作为监测移植后IgAN复发的独立诊断工具的挑战。未来的研究应该探索更大的患者队列和纵向评估,以完善dd-cfDNA的效用,并研究与其他生物标志物的潜在联合策略。
{"title":"A Prospective Pilot Study to Investigate Whether Donor-Derived Cell-Free DNA Can Be Used as a Biomarker of Recurrent IgA Nephropathy Post–Kidney Transplantation","authors":"Judith Owusuwaah Asiedu-Basoah, Stephen Weston, Jonathan Barratt, Justyna Szklarzewicz, Paul Dunn","doi":"10.1111/iji.70010","DOIUrl":"10.1111/iji.70010","url":null,"abstract":"<p>IgA nephropathy (IgAN) is one of the most prevalent glomerulonephropathies and commonly leads to kidney failure. The recurrence of IgAN following transplantation remains a significant concern. Currently, detecting IgAN recurrence requires a kidney biopsy, highlighting the need for non-invasive biomarkers such as donor-derived cell-free DNA (dd-cfDNA) to aid in early detection. This prospective pilot study aims to evaluate dd-cfDNA as a non-invasive biomarker for detecting IgAN recurrence post–kidney transplantation. Specifically, the study seeks to compare %dd-cfDNA levels in transplanted patients with and without IgAN recurrence and correlate these levels with other kidney function parameters. A total of 32 patients with histologically confirmed IgAN were enrolled, including those with documented IgAN recurrence post-transplantation and those without recurrence. Plasma samples were collected and processed using the AlloSeq cfDNA kit to quantify relative %dd-cfDNA levels. Kidney function parameters, including estimated glomerular filtration rate (eGFR) and proteinuria, were also assessed. The study found no significant difference in %dd-cfDNA levels between transplanted patients with IgAN recurrence and those without recurrence (median 0.37% [IQR 0.28%–3.53%] vs. median 0.42% [IQR 0.15%–0.84%], <i>p =</i> 0.67). Also, %dd-cfDNA (AUC = 0.57 [95% CI 0.28–0.85], <i>p =</i> 0.64) failed to effectively discriminate IgAN recurrence compared to traditional kidney function parameters such as proteinuria (AUC = 0.96 [95% CI 0.87–1.00], <i>p =</i> 0.002) and eGFR (AUC = 0.74 [95% CI 0.47–1.00], <i>p =</i> 0.09). Relative (%) dd-cfDNA alone may not be a robust biomarker for detecting IgAN recurrence post-transplantation. While proteinuria proved a more effective indicator in this study, kidney biopsy remains the gold standard for definitive diagnosis. These findings highlight the challenges of using %dd-cfDNA as a standalone diagnostic tool for monitoring IgAN recurrence post-transplantation. Future research should explore larger patient cohorts and longitudinal assessments to refine the utility of dd-cfDNA and investigate potential combination strategies with other biomarkers.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"342-351"},"PeriodicalIF":1.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mostafa I. EL-Amir, Mohamed Ali El-Feky, Abdelkader Ahmed Hashim, Mohammed H. Hassan, Marwa Abdelhady, Wael Abd El Mohsen Abady, Amr Mohamed ElKaber, Jorma Ilonen