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Modern Approaches to Cancer Therapy: Immunotherapy and Targeted Drug Delivery. 癌症治疗的现代方法:免疫治疗和靶向药物递送。
Eugenii S. Severin, Elizaveta Yu. Moskaleva, Sergei S. Severin

This article reviews recent achievements in molecular immunology that have given a new insight into the mechanisms of tumor escape from the control of immunocompetent cells and opened the way to the development of radically new immunotherapeutic procedures and further improvement of existing chemotherapeutic techniques. The application of new updated techniques in molecular biology, biochemistry and cellular biotechnology has made it possible to detect molecular changes in tumor cells which help to escape them from immunological control and develop on their basis some novel approaches to immunotherapy of malignant tumors. One of the main challenges to immunotherapy, which is related to recognition of tumor antigens by immunocompetent cells, has been solved through generation of antitumor vaccines based on dendritic cells. The complexity of this procedure is in that these vaccines are strictly individual and must be prepared strictly individually for each concrete patient. However, high sensitivity of the novel procedure which makes it applicable even for patients with grades III and IV of cancer encourages hope that it will afford effective treatment and reduce metastatic growth, especially when used in combination with other concomitant immunochemotherapeutic techniques.

本文综述了分子免疫学的最新研究成果,这些成果对肿瘤逃避免疫活性细胞控制的机制有了新的认识,并为开发全新的免疫治疗方法和进一步改进现有的化疗技术开辟了道路。分子生物学、生物化学和细胞生物技术的新技术的应用,使检测肿瘤细胞的分子变化成为可能,从而帮助肿瘤细胞摆脱免疫控制,并在此基础上开发出一些新的恶性肿瘤免疫治疗方法。免疫治疗的主要挑战之一是免疫活性细胞对肿瘤抗原的识别,而基于树突状细胞的抗肿瘤疫苗的产生已经解决了这一问题。这一程序的复杂性在于,这些疫苗严格是个体化的,必须为每个具体病人严格单独制备。然而,这种新方法的高敏感性使得它甚至适用于III级和IV级癌症患者,这给人们带来了希望,即它将提供有效的治疗并减少转移性生长,特别是当与其他伴随免疫化疗技术联合使用时。
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引用次数: 0
Herpes Simplex Type I Virus Infection of Cultured Human Vascular Endothelial Cells: Expression of Cell Adhesion Molecules and Induction of Interferon and Cytokine Production by Blood Mononuclear Cells. 单纯疱疹I型病毒感染培养的人血管内皮细胞:细胞粘附分子的表达和血液单核细胞诱导干扰素和细胞因子的产生。
Olga N. Scheglovitova, Yuri A. Romanov, Ekaterina V. Maksianina, Nayle V. Kabaeva, Andrey G. Pronin

The expression of cell adhesion molecules, P- and E-selectins, ICAM-1, and VCAM-1, was studied in cultured human vascular endothelial cells (ECs) infected by herpes simplex type I virus (HSV-1). It was shown that ECs without any signs of the cytopathogenic effect (CPE) expressed on their surface P- and E-selectins as soon as 24 h after infection. No appearance of VCAM-1 or increase in ICAM-1 expression was detected. Peripheral blood mononuclear cells (PBMCs) isolated by gradient centrifugation adhered preferentially with HSV-1-infected morphologically unchanged ECs but not with cells modified in result of CPE. The interferon and cytokine production by PBMCs was assayed after their contact with infected and glutaraldehyde-fixed ECs. The secretion of IFN-alpha, IFN-gamma, IL-1, IL-6, and TNF-alpha (but not of IL-4) was found to be inducible and correlated with the multiplicity of infection. Obtained results allow to consider a described cell culture system as a model for further investigation of initial stages of HSV-1 infection and of pathogenesis of vascular disease.

研究了感染单纯疱疹病毒(HSV-1)的人血管内皮细胞(ECs)中细胞粘附分子P-和e -选择素、ICAM-1和VCAM-1的表达。结果表明,感染后24 h,没有任何细胞致病效应(CPE)迹象的ECs在其表面表达P-和e -选择素。未检测到VCAM-1的出现或ICAM-1表达的增加。梯度离心分离的外周血单个核细胞(PBMCs)优先粘附于hsv -1感染的形态学未改变的内皮细胞,而不粘附于经CPE修饰的细胞。检测pbmc与感染的和戊二醛固定的内皮细胞接触后产生的干扰素和细胞因子。ifn - α、ifn - γ、IL-1、IL-6和tnf - α的分泌(但不包括IL-4)被发现是可诱导的,并与感染的多重性相关。获得的结果允许考虑将描述的细胞培养系统作为进一步研究HSV-1感染初始阶段和血管疾病发病机制的模型。
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引用次数: 0
The 2,3,7,8-Tetrachlordibenzo-p-Dioxine Enhances the Receptor-Mediated Apoptosis of the Peripheral Blood T Lymphocytes. 2,3,7,8-四氯二苯并-对二恶英增强受体介导的外周血T淋巴细胞凋亡。
Sergey V. Sibiryak, Nelly A. Kurchatova, Rina Sh. Yusupova, Darya S. Sibiryak, Nelly K. Ahmatova
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引用次数: 0
Transcriptional Regulation of the Gene, Encoding p40 Subunit of IL-12 and IL-23, in Murine Macrophages. 编码IL-12和IL-23 p40亚基的基因在小鼠巨噬细胞中的转录调控
Alexander N. Shakhov, Hans Lefgen, Ludmila N. Drutskaya, Dmitry V. Kuprash, Sergey A. Nedospasov

Interleukin-12 (IL-12) is an immunomodulatory cytokine with broad spectrum of activities, central of which are stimulation of NK cells, and promoting differentiation of T helper cells towards Th1 phenotype. IL-12 consists of two unrelated subunits, p35 and p40. Recently discovered cytokine, IL-23, which has both unique properties and those overlapping with IL-12, also contains p40 associated with another subunit, p19. Both IL-12 and IL-23 transmit the signal through receptors associated with JAK-STAT pathways. One of the critical components in the control of both IL-12 and IL-23 regulation is the transcriptional control of p40 gene which is induced in macrophages and dendritic cells in response to bacterial endotoxin, IFN-gamma and other stimuli. In the present study we report on the structure of the transcriptional unit of the murine p40 gene, its promoter and inducible expression of p40 in murine macrophages. Our findings are consistent with multi-level regulation of p40 expression.

白细胞介素-12 (IL-12)是一种具有广泛活性的免疫调节细胞因子,其核心是刺激NK细胞,促进T辅助细胞向Th1表型分化。IL-12由两个不相关的亚基p35和p40组成。最近发现的细胞因子IL-23既具有独特的特性,又与IL-12重叠,它也含有与另一个亚基p19相关的p40。IL-12和IL-23通过与JAK-STAT通路相关的受体传递信号。调控IL-12和IL-23调控的关键因素之一是巨噬细胞和树突状细胞在细菌内毒素、ifn - γ等刺激下诱导的p40基因的转录调控。在本研究中,我们报道了小鼠p40基因转录单元的结构,其启动子和小鼠巨噬细胞中p40的诱导表达。我们的发现与p40表达的多级调控一致。
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引用次数: 0
Restoration of FAS-Mediated Apoptosis of Lymphocytes in Patients with Myocarditis by Specific Peptide Sequence of Human Alpha-Fetoprotein (AFP(13-19)). 人甲胎蛋白(AFP)特异性肽序列修复fas介导的心肌炎患者淋巴细胞凋亡(13-19)
Alexander N. Kazimirsky, Alexander A. Terentev, Jean M. Salmasi, Gennady V. Poryadin

Human alpha-fetoprotein (AFP) is capable of modulating cellular proliferative processes. A study has been made of the regulatory properties of a synthetic peptide corresponding to the part of the human AFP molecule participating in receptor interaction, the peptide consisting of seven amino acids and having an amino acid sequence LDSYQCT. The study was carried out on the lymphocytes of the peripheral blood of six patients with immune myocarditis in the period of exacerbation of the illness. For such patients a marked increased level of expression of early activation antigens with parallel disturbance of the induction of Fas-mediated apoptosis is typical. It is shown that the peptide had hardly any effect on the expression of early markers of activation of CD23, CD25 and CD71 lymphocytes in the patients being observed. Due to the effect of the peptide, the expression of the late activation antigen HLA DR, greater in patients with immune myocarditis in the period of exacerbation of the illness, is significantly reduced from 15.36 +/- 1.77% to 9.21 +/- 1.46% (p < 0.05). To the contrary, the expression of a receptor of Fas-mediated apoptosis, reduced in the period of exacerbation of the illness, significantly increases under the effect of the peptide AFP(13-19) from 2.85 +/- 0.57% to 9.09 +/- 1.37% (p < 0.01). Thus, the use of the synthetic AFP fragment makes it possible to restore the normal level of the activation apoptosis of lymphocytes in vitro in the case of diseases, at the base of which lie a process of immune damage.

人甲胎蛋白(AFP)能够调节细胞增殖过程。研究了人AFP分子中参与受体相互作用部分的合成肽的调控特性,该肽由7个氨基酸组成,氨基酸序列为LDSYQCT。对6例免疫性心肌炎患者病情加重期的外周血淋巴细胞进行了研究。对于这类患者,早期活化抗原的表达水平明显升高,同时伴有诱导fas介导的细胞凋亡的平行干扰。结果表明,该肽对观察患者CD23、CD25和CD71淋巴细胞早期活化标志物的表达几乎没有影响。由于多肽的作用,免疫性心肌炎患者在病情加重期晚期活化抗原HLA DR的表达由15.36 +/- 1.77%显著降低至9.21 +/- 1.46% (p < 0.05)。相反,fas介导的凋亡受体的表达在疾病加重期降低,在肽AFP(13-19)的作用下,从2.85 +/- 0.57%显著增加到9.09 +/- 1.37% (p < 0.01)。因此,使用合成AFP片段可以在体外恢复疾病情况下淋巴细胞的正常活化凋亡水平,其基础是免疫损伤过程。
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引用次数: 0
Particular Features of Immune Response after Invasion of Different Species of Human Demodex Mites. 不同种人类蠕形螨入侵后免疫反应的特点。
Oleg Eu. Akilov, Svetlana V. Kazanceva, Irina A. Vlasova

The purpose of the present study was to find peculiarities of the immune response to the invasion of Demodex folliculorum and Demodex brevis mites. Sixty-six patients with human demodicosis were included in this study. The Demodex mites' density was more than 5 per 1 cm(2). The immune response was evaluated by the identification of membrane markers of the different immune cells by monoclonal antibodies. A significant decrease of the percentage of various parameters was found: the decrease for CD5(+) cells was in 1.4, for CD3(+) in 1.7, for CD4(+) in 1.5, for CD8(+) in 1.5, for CD25(+) in 1.3, for CD71(+) in 1.5, for CD20(+) in 1.2, for IgM in 1.2 and for IgG in 1.1 times. On the other hand, some parameters appeared to be elevated: for CD25(+) B cells in 1.5, for IgA in 1.9 and for circulating immune complexes in 1.4 times in patients with D. brevis infection in comparison with patients with D. folliculorum. The development of two variants of the effector response to the invasion of two different Demodex mites' species was shown: the classic expansion of the humoral reaction with the production of IgM and IgG in the case of D. folliculorum, and the activation of non-specific defense cells in the case of D. brevis. The particular capability of D. brevis to suppress T-cell compartment of immunity was distinctly observed in our comparative study. Thus, there are sharp immune distinctions during an invasion of the two species of human Demodex mites.

本研究的目的是发现对毛囊蠕形螨和短蠕形螨入侵的免疫反应的特点。66例人类蠕虫病患者纳入本研究。蠕形螨密度大于5只/ 1 cm(2)。通过单克隆抗体鉴定不同免疫细胞的膜标记来评价免疫应答。各项参数的百分比均显著下降:CD5(+)细胞下降1.4倍,CD3(+)细胞下降1.7倍,CD4(+)细胞下降1.5倍,CD8(+)细胞下降1.5倍,CD25(+)细胞下降1.3倍,CD71(+)细胞下降1.5倍,CD20(+)细胞下降1.2倍,IgM细胞下降1.2倍,IgG细胞下降1.1倍。另一方面,与毛囊弓形虫患者相比,短梭菌感染患者的CD25(+) B细胞升高1.5倍,IgA升高1.9倍,循环免疫复合物升高1.4倍。研究显示,针对两种不同蠕形螨的入侵,效应反应发生了两种变体:卵泡蠕形螨的典型的扩大了免疫反应,产生了IgM和IgG,而短蠕形螨的非特异性防御细胞被激活。在我们的比较研究中明显观察到短梭菌抑制t细胞免疫区室的特殊能力。因此,在两种人类蠕形螨入侵期间存在明显的免疫差异。
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引用次数: 0
Features of Immune Status in Patients with Tetralogy of Fallot during Operative Treatment. 法洛四联症患者手术治疗期间免疫状态的特点。
Igor V. Dudarev

Twenty six patients with tetralogy of Fallot at the age from 1 to 3 years old were examined. All examined patients required surgical correction of heart defect and were operated under conditions of artificial circulation. All patients were in a status of relative compensation or subcompensation. The level of a saturation SaO(2) among patients with tetralogy of Fallot in peripheral arterial blood was equal to 66.27 +/- 7.2%. The purpose of work was to study the dynamics of immunological parameters in patients with tetralogy of Fallot in the postoperative period. The complex dynamic study of immune status was carried out to resolve such a task. Identification of membrane markers of peripheral blood immunocompetent cells was made by flow cytofluometry with the usage of monoclonal antibodies to antigens: CD3, CD4, CD5, CD8, CD11b, CD16, CD22, CD25, CD45 RA, HLA DR, CD95. The parameters were determined in dynamics: before operation, on the 7th, the 30th day and after 3 months after operation. Stabilization of parameters of the immune status among patients with tetralogy of Fallot, has been found in the postoperative period and was maintained within 3 months. Apparently it may be due to normalization of cardiohemodynamics, and as a consequence the stabilization of metabolic processes, undoubtedly, rendering modulating effects on immune system of children. However remaining failure of functional activity of immunocompetent cells is the reason to the usage of immunocorrection therapy with the purpose of faster stabilization of immune disbalance.

本文对26例1 ~ 3岁的法洛四联症患者进行了检查。所有检查的患者都需要手术矫正心脏缺陷,并在人工循环条件下进行手术。所有患者均处于相对代偿或亚代偿状态。法洛四联症患者外周血饱和SaO(2)水平为66.27 +/- 7.2%。目的是研究法洛四联症患者术后免疫参数的动态变化。为了解决这一问题,开展了免疫状态的复杂动态研究。采用流式细胞荧光法鉴定外周血免疫活性细胞的膜标志物,使用抗原单克隆抗体:CD3、CD4、CD5、CD8、CD11b、CD16、CD22、CD25、CD45 RA、HLA DR、CD95。分别于术前、术后第7天、第30天、术后3个月动态测定各项参数。法洛四联症患者的免疫状态参数在术后得到稳定,并维持在3个月内。显然,这可能是由于心脏动力学的正常化,因此代谢过程的稳定,毫无疑问,呈现对儿童免疫系统的调节作用。然而,免疫活性细胞的功能活性仍然失效是使用免疫校正治疗的原因,目的是更快地稳定免疫失衡。
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引用次数: 0
Production of the Cytokines by Blood Leukocytes, Activated with Cycloferon. 由环铁激活的血液白细胞产生细胞因子。
Mark M. Mendelenko, Janna N. Kravchenko, Karina V. Agadjanyan, Alexandr I. Kravchenko

Our investigation is an attempt to confirm the probability to use the cycloferon for the extracorporeal immunopharmacotherapy. For this aim the leukocytes, obtained from 5 ml of venous blood of 17 healthy individuals, were stimulated by different doses of cycloferon during 1 h and after 24 h we determined interferon-alpha (IFN-alpha) concentration, tumor-necrosis factor-alpha (TNF-alpha), intreleukin-4 (IL-4) in the supernatant of stimulated and intact cells. Obtained results suggest that incubation of the blood leukocytes with cycloferon lead to the evident increase of IFN-alpha production. Dose-dependent effect of the stimulation is observed in the range of the cycloferon concentrations from 50 mg/l to 200 mg/l. Cycloferon poorly induces IFN-alpha production by leukocytes (50-150 ng/l) in comparison with phytohemagglutinin and other non-specific or bacterial stimulators. However, such quantity of IFN-alpha may be adequate to stimulate immune response, if the patient is reinfused by large amount of the autologous leukocytes, activated by cycloferon, isolated from 100-400 ml blood. The influence of cycloferon is less evident in the production of TNF-alpha, IFN-gamma and IL-4 by leukocytes at the range of the studied doses. It should be noted that the individual peculiarities of donor leukocyte reaction may be seen in response to the cycloferon. Obtained results suggest the principal possibility to use autologous leukocytes extracorporeally activated by IFN inductors for the immunotherapy.

本研究旨在探讨环铁素用于体外免疫药物治疗的可能性。为此,取17例健康人5 ml静脉血,用不同剂量的环铁刺激1 h, 24 h后测定刺激细胞和完整细胞上清中的干扰素- α (ifn - α)、肿瘤坏死因子- α (tnf - α)、白细胞介素-4 (IL-4)的浓度。结果表明,血液白细胞与环铁素孵育导致ifn - α的产生明显增加。在环铁浓度为50mg /l ~ 200mg /l范围内观察到刺激的剂量依赖性效应。与植物血凝素和其他非特异性或细菌刺激剂相比,Cycloferon诱导白细胞产生ifn - α的能力较差(50-150 ng/l)。然而,如果从100- 400ml血液中分离出大量经环铁活化的自体白细胞再输注患者,这种数量的ifn - α可能足以刺激免疫反应。在研究剂量范围内,环铁素对白细胞产生tnf - α、ifn - γ和IL-4的影响不太明显。应该注意的是,供体白细胞反应的个体特性可以在对环铁离子的反应中看到。所获得的结果表明,利用IFN诱导剂体外激活的自体白细胞进行免疫治疗的主要可能性。
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引用次数: 0
Correlation of Immune Responses Mediated by T Helper 1 and 2 in Children with Viral Encephalitises. 儿童病毒性脑炎中辅助性T细胞1和2介导的免疫应答的相关性
Nadezda L. Vorobyeva, Valentina B. Gervazieva

This work deals with the problem concerning the mechanisms of triggering the demyelinating process by viruses as the consequence of molecular mimicry between viral antigens and the immunodominant region of the myelin basic protein with the subsequent involvement of reactions, mediated by T helper cells 1 and 2. Special emphasis is made on the new data indicating that reagin mechanisms play an active role in the development of neuropathology, corresponding to the results obtained by the authors in the study of humoral response in multiple sclerosis patients. Thus, the presence of pronounced total and specific IgE response was established to myelin basic protein, correlating with more severe clinical manifestations of the disease. Taking into account the viral nature of the demyelinization, the authors studied a number of humoral characteristics of immune response, indicating the degree of the involvement of T helper cells 1 and 2 into the pathogenesis of acute viral encephalitises. The determination of these characteristics was carried out with the use of original methods developed by the authors. The analysis of the results obtained in this study revealed the obvious presence of relationship between the involvement of autoimmune and atopic response in children with acute viral encephalitises and the manifestation of molecular mimicry of corresponding viruses with the immunodominant region of myelin basic protein. The most prognostically unfavorable group was the group of children having rubella, adenovirus and herpetic encephalitises.

这项工作涉及的问题是,由于病毒抗原和髓鞘碱性蛋白的免疫优势区之间的分子模仿,以及随后参与由T辅助细胞1和2介导的反应,病毒触发脱髓鞘过程的机制。特别强调了表明reagin机制在神经病理学发展中起积极作用的新数据,这与作者在多发性硬化症患者体液反应研究中获得的结果相对应。因此,确定髓鞘碱性蛋白存在明显的总IgE和特异性IgE反应,与疾病更严重的临床表现相关。考虑到脱髓鞘的病毒性质,作者研究了免疫反应的一些体液特征,表明T辅助细胞1和2参与急性病毒性脑炎发病的程度。这些特性的测定是用作者开发的原始方法进行的。本研究结果的分析表明,急性病毒性脑炎患儿自身免疫和特应性反应的参与与相应病毒在髓鞘碱性蛋白免疫优势区表现出分子拟态之间存在明显的关系。预后最不利的是风疹、腺病毒和疱疹性脑炎患儿。
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引用次数: 0
beta-Endorphin as One of Important Integral Parts of Tactivin. -内啡肽是Tactivin的重要组成部分之一。
Nataliya L. Elizarova, Vitaly Ya. Arion, Vladimir A. Kozlov

The discovery of opioid ligand, beta-endorphin (betaEPh), in tactivin widens our knowledge about peptides synthesized by the thymus and allows to study new aspects of integration of the principal elements of immune and nervous systems within the integral immunoneuroendocrine network. Various produced lots of tactivin contain from 2 to 5 pM/l of betaEPh which provides a number of properties of this preparation. betaEPh is an important integral part of tactivin, as the action of tactivin "purified" of betaEPh truly differs from the effects of the total preparation: both in the norm (57 healthy children) and in pathology (30 patients with pyelonephritis), these preparations acted in vitro in different ways on lymphocytes with phenotypes CD3(+), CD4(+), CD8(+), CD38(+), CD22(+). Their influence on the functional activity of monocytes of the peripheral blood differed as well. All these effects of total tactivin and betaEPh-free tactivin were partially realized through &mgr;- and delta-opioid receptors. So, the removal of betaEPh did not "liberate" tactivin from displaying opioid activity, and consequently tactivin contains not only betaEPh, but also other ligands of &mgr;- and delta-types. Tactivin produces a direct and pronounced effect on monocytes of peripheral blood of healthy people and patients. The sensitivity of immunocompetent cells to betaEPh has been shown to be at the various levels and paradoxicality of action of this ligand may be related to the heterogeneity of receptors, through which betaEPh reveals its influence. A wide range of biological activity of tactivin and betaEPh with respect to standard parameters of healthy children is fair and its expediency is obvious as the immunocompetent cells of a healthy child can't help reacting to the peptides incoming from the thymus into blood in cases of antigenic or non-specific responses. One can evaluate the "contribution" of betaEPh to the size and importance of generalized effect of tactivin, as well as the role of intersystemic mediator betaEPh probably may include the initiation and coordination of immunotropic and bioregulating properties of thymic preparation.

阿片配体β -内啡肽(betaEPh)在tactivin中的发现拓宽了我们对胸腺合成肽的认识,并允许研究免疫和神经系统主要元素在整体免疫-神经内分泌网络中的整合的新方面。各种生产的tactivin含有2至5 pM/l的β - eph,它提供了该制剂的许多特性。betaEPh是tactivin的重要组成部分,因为“纯化”betaEPh的tactivin的作用与总制剂的作用确实不同:在正常(57名健康儿童)和病理(30名肾盂肾炎患者)中,这些制剂在体外以不同的方式作用于表型为CD3(+), CD4(+), CD8(+), CD38(+), CD22(+)的淋巴细胞。它们对外周血单核细胞功能活性的影响也不同。总激活素和无β -羟色胺激活素的这些作用部分是通过-和-阿片受体实现的。因此,去除β - eph并没有“解放”tactivin显示阿片活性,因此tactivin不仅含有β - eph,还含有其他&mgr; type和delta型配体。Tactivin对健康人及患者外周血单核细胞有直接而显著的影响。免疫活性细胞对betaEPh的敏感性已被证明是在不同的水平上,这种配体的矛盾作用可能与受体的异质性有关,通过这种异质性betaEPh揭示了它的影响。相对于健康儿童的标准参数,tactivin和betaEPh的广泛生物活性是公平的,其权宜性是显而易见的,因为在抗原或非特异性反应的情况下,健康儿童的免疫能力细胞不能不对从胸腺进入血液的肽作出反应。人们可以评估β - eph对tactivin的广泛作用的大小和重要性的“贡献”,以及系统间介质β - eph的作用可能包括胸腺制剂的免疫性和生物调节特性的启动和协调。
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引用次数: 0
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Russian journal of immunology : RJI : official journal of Russian Society of Immunology
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