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Why do we need male contraceptives? 为什么我们需要男性避孕药?
Pub Date : 2013-07-01 Epub Date: 2013-07-25 DOI: 10.4161/spmg.25888
C Yan Cheng, Dolores D Mruk

A recent article published in Bloomberg Businessweek1 has painted a grim picture of family planning practices in India by coercing women into sterilization. In the village of Sonhoula, 33 women, many of them poor, were forced into sterilization because each woman received either $10 or a modest increase in welfare benefits from local officials. These women accepted the offer out of desperation without receiving counseling on alternative birth control methods (Fig. 1). What is more striking is that the $10 accepted by these women is equivalent to 1 wk wages for a poor family, sufficient to feed at least three children. In the clinic, a medical assistant pricked each woman's finger to test for anemia using the same needle. A surgeon then cut and tied each woman's fallopian tubes with a rusted scalpel on a makeshift operating table (elevated from the floor with bricks and covered with a blood-stained sheet) in a 3 min operation. The scalpel was then washed with warm water and re-used for another patient. Women were then laid shoulder-to-shoulder on the floor in a separate room for recovery, with nurses walking around and offering painkillers. When the anesthetic ran out, the surgeon substituted a weaker drug, but since these women were not completely unconscious during the procedure, this medical practice is dangerous. 

《彭博商业周刊》最近发表的一篇文章描绘了印度强迫妇女绝育的计划生育做法的严峻图景。在Sonhoula村,33名妇女,其中许多是穷人,被迫绝育,因为每个妇女从当地官员那里得到10美元或适度增加的福利。这些妇女在没有接受关于其他避孕方法的咨询的情况下,绝望地接受了这个提议(图1)。更令人震惊的是,这些妇女接受的10美元相当于一个贫困家庭一周的工资,足以养活至少三个孩子。在诊所里,一名医疗助理用同一根针扎每位妇女的手指来检测贫血。然后,外科医生用生锈的手术刀在临时手术台(用砖头从地上抬起来,盖着血迹斑斑的床单)上切开并绑住每个女人的输卵管,手术时间为3分钟。然后用温水清洗手术刀,再次用于另一个病人。在一个单独的房间里,女性肩并肩躺在地板上进行康复,护士在周围走来走去,给她们发放止痛药。当麻醉药用完后,外科医生用一种较弱的药物代替,但由于这些妇女在手术过程中并非完全失去知觉,这种医疗做法是危险的。
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引用次数: 2
Focal adhesion kinase is a regulator of F-actin dynamics: New insights from studies in the testis. 局灶黏附激酶是f -肌动蛋白动力学的调节因子:来自睾丸研究的新见解。
Pub Date : 2013-07-01 Epub Date: 2013-06-21 DOI: 10.4161/spmg.25385
Stephen Yt Li, Dolores D Mruk, C Yan Cheng

During spermatogenesis, spermatogonia (2n, diploid) undergo a series of mitotic divisions as well as differentiation to become spermatocytes, which enter meiosis I to be followed by meiosis II to form round spermatids (1n, haploid), and then differentiate into spermatozoa (1n, haploid) via spermiogenesis. These events take place in the epithelium of the seminiferous tubule, involving extensive junction restructuring at the Sertoli-Sertoli and Sertoli-germ cell interface to allow the transport of developing germ cells across the epithelium. Although structural aspects of these cell-cell junctions have been studied, the underlying mechanism(s) that governs these events has yet to be explored. Earlier studies have shown that a non-receptor protein tyrosine kinase known as focal adhesion kinase (FAK) is a likely regulator of these events due to the stage-specific and spatiotemporal expression of its various phosphorylated/activated forms at the testis-specific anchoring junctions in the testis, as well as its association with actin regulatory proteins. Recent studies have shown that FAK, in particular its two activated phosphorylated forms p-FAK-Tyr407 and p-FAK-Tyr397, are crucial regulators in modulating junction restructuring at the Sertoli cell-cell interface at the blood-testis barrier (BTB) known as the basal ectoplasmic specialization (basal ES), as well as at the Sertoli-spermatid interface called apical ES during spermiogenesis via its effects on the filamentous (F)-actin organization at the ES. We herein summarize and critically evaluate the current knowledge regarding the physiological significance of FAK in regulating BTB and apical ES dynamics by governing the conversion of actin filaments at the ES from a "bundled" to a "de-bundled/branched" configuration and vice versa. We also provide a molecular model on the role of FAK in regulating these events based on the latest findings in the field.

在精子发生过程中,精原细胞(2n,二倍体)经过一系列有丝分裂和分化成为精母细胞,进入减数分裂I,然后进入减数分裂II形成圆形精母细胞(1n,单倍体),然后通过精子发生分化为精子(1n,单倍体)。这些事件发生在精小管上皮,包括在支持细胞-支持细胞和支持细胞-生殖细胞界面的广泛连接重组,以允许发育中的生殖细胞通过上皮运输。虽然已经研究了这些细胞-细胞连接的结构方面,但尚未探索支配这些事件的潜在机制。早期的研究表明,一种被称为局灶黏着激酶(FAK)的非受体蛋白酪氨酸激酶可能是这些事件的调节剂,因为它在睾丸特异性锚定连接处的各种磷酸化/激活形式的阶段特异性和时空特异性表达,以及它与肌动蛋白调节蛋白的关联。最近的研究表明,FAK,特别是其两种活化磷酸化形式p-FAK-Tyr407和p-FAK-Tyr397,在调节血睾丸屏障(BTB)的支持细胞-细胞界面(称为基底外质特化(基底ES))的连接重组中是至关重要的调节剂,在精子发生过程中,通过其对ES的丝状(F)-肌动蛋白组织的影响,调节支持细胞-精子界面(称为顶端ES)的连接重组。在此,我们总结并批判性地评估了FAK在调节BTB和根尖ES动力学中的生理意义,通过控制ES中肌动蛋白丝从“捆绑”到“去捆绑/分支”的转换,反之亦然。我们还根据该领域的最新发现提供了FAK在调节这些事件中的作用的分子模型。
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引用次数: 31
Germ cells contribute to the function of the Sertoli cell barrier 生殖细胞有助于支持细胞屏障的功能
Pub Date : 2013-07-01 DOI: 10.4161/spmg.26460
Linlin Su, I. Kopera-Sobota, B. Bilińska, C. Cheng, D. Mruk
One of the most important but still poorly understood cellular phenomena occurring during spermatogenesis is the movement of preleptotene/leptotene spermatocytes across the blood-testis barrier (BTB), an ultrastructure comprised of tight junctions (TJs), basal ectoplasmic specializations, gap junctions, and desmosomes. Previous studies have shown cytokines and androgens to mediate BTB restructuring, but it is not yet entirely known if germ cells can regulate barrier function, and if yes, how. To address this question, we utilized a previously characterized Sertoli–germ cell coculture model coupled with transepithelial electrical resistance (TER), immunoblotting, and immunolocalization experiments. When freshly isolated germ cells from adult rat testes were added to Sertoli cells at a Sertoli:germ cell ratio of 1:5 (Sertoli cells were previously cultured at high density on Matrigel™-coated culture inserts for 3 d to allow assembly of a functional permeability barrier that mimicked the Sertoli cell BTB in vivo), there was a significant increase in TER compared with time-matched controls (i.e., Sertoli cells only), illustrating that germ cells promote Sertoli cell barrier function. This increase in barrier function was not likely the result of TJ gene expression by germ cells. Instead, germ cells upregulated the steady-state levels of several TJ proteins, including occludin, tricellulin, claudin, junctional adhesion molecule-A, and coxsackievirus and adenovirus receptor (CAR) in Sertoli cells. These results were corroborated in part by immunofluorescence staining when an increase in occludin at Sertoli–Sertoli cell borders was observed in vitro. Taken collectively, our results illustrate that germ cells contribute to BTB integrity, which is essential for spermatogenesis and fertility.
在精子发生过程中发生的最重要但仍知之甚少的细胞现象之一是瘦素/瘦素精母细胞穿过血睾丸屏障(BTB)的运动,这是一种由紧密连接(TJs)、基础外质特化、间隙连接和桥粒组成的超微结构。先前的研究表明细胞因子和雄激素介导BTB重组,但尚不完全清楚生殖细胞是否可以调节屏障功能,如果是,如何调节。为了解决这个问题,我们利用了先前表征的sertoli -生殖细胞共培养模型,结合经上皮电阻(TER)、免疫印迹和免疫定位实验。当从成年大鼠睾丸中新鲜分离的生殖细胞以1:5的比例加入到Sertoli细胞中(Sertoli细胞先前在Matrigel™涂层的培养插入物上高密度培养3天,以模拟体内Sertoli细胞BTB的功能渗透屏障),与时间匹配的对照(即仅Sertoli细胞)相比,TER显着增加,说明生殖细胞促进Sertoli细胞屏障功能。这种屏障功能的增加不太可能是生殖细胞表达TJ基因的结果。相反,生殖细胞上调了几种TJ蛋白的稳态水平,包括occludin、tricellulin、claudin、连接粘附分子- a和柯萨奇病毒和腺病毒受体(CAR)。当体外观察到支持-支持细胞边界occludin增加时,免疫荧光染色部分证实了这些结果。总的来说,我们的研究结果表明,生殖细胞有助于BTB的完整性,这对精子发生和生育至关重要。
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引用次数: 17
Letter from the editor: CFTR and male fertility-Impact beyond cystic fibrosis. 编辑来信:CFTR和男性生育能力——囊性纤维化以外的影响。
Pub Date : 2013-07-01 Epub Date: 2013-08-29 DOI: 10.4161/spmg.26228
Hsiao Chang Chan
The gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR) was cloned in 19891,2 and its major mutation ΔF508 was identified in over 70% of patients with CF,3 an autosomal recessive disease commonly found in Caucacian and Western populations. CF is characterized by a hallmark defect in electrolyte and fluid transport in almost all tissues with exocrine function, with a wide spectrum of clinical manifestations, including chronic lung disease, pancreas insufficiency, and infertility.4 Although CFTR has been shown to be a cAMP-activated anion channels conducting both Cl- and HCO3-,5,6 our knowledge, 24 years after its discovery, is still limited on how mutations in the gene encoding this channel protein result in a multitude of disorders, including male infertility. According to Taussing et al.,7 over 97% of male CF patients are infertile. Early studies on CF adults with azoospermia revealed bilateral absence of the vas deferens and/or incomplete development of the epididymis in all patients examined.8 Reporting similar findings, Holscalaw et al.9 speculated a common genetic basis of CF and congenital bilateral absence of the vas deferens (CBAVD). Indeed, Dumer et al.10 reported an increased frequency of the major CFTR mutation ΔF508 in azoospermia men with CBAVD, which was confirmed by several following studies, showing other CFTR mutations, in addition to ΔF508, associated with CBAVD.11 It is generally accepted that CF male infertility is due to obstructive azoospermia with CBAVD as the major cause. It has been speculated that the structural changes in CF male reproductive tract are related to early obstruction by dehydrated secretion in the genial tract due to defective CFTR ion channel function. Thus, much of the early studies were focused on the role of CFTR in regulating epithelial ion and fluid secretion in the male genital tract, the epididymis in particular,12 while the possible role of CFTR in other processes of male reproduction was not explored till recently.13 The first hint for broader impact of CFTR on human reproduction other than CBVAD in CF came from the screening study on 13 CFTR mutations showing increased mutation frequencies in a general population of men with reduced sperm quality.14 A possible role of CFTR in sperm function was further suggested by the demonstrated involvement of CFTR in mediating uterine HCO3- secretion and its effect on the fertilizing capacity of sperm.15 It was speculated that CFTR might also be present in sperm and mediate the HCO3- entry required for sperm motility and capacitation. Indeed, CFTR protein was found in mouse and human sperm and demonstrated to be important for the activation of the HCO3--dependent soluble adenylyl cyclase (sAC) and downstream cAMP/PKA signaling known to be involved in both sperm motility and capacitation.16 Sperm from CF mice were shown to have reduced sperm motility and capacitation with reduced fertility rate in vitro and in vivo,16 clearly in
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引用次数: 3
Ginseng and male reproductive function. 人参与男性生殖功能。
Pub Date : 2013-07-01 Epub Date: 2013-09-13 DOI: 10.4161/spmg.26391
Kar Wah Leung, Alice St Wong

Ginseng is often referred to as the King of all herbs, and is found to be a promising agent to improve general well-being. Ginseng has also been reputed as an aphrodisiac, and is used to treat sexual dysfunction as well as to enhance sexual behavior in traditional Chinese medical practices. Data from animal studies have shown a positive correlation among ginseng, libido, and copulatory performances, and these effects have been confirmed in case-control studies in human. In addition, ginseng is found to improve the sperm quality and count of healthy individuals as well as patients with treatment-related infertility. These actions are mostly attributed to ginsenosides, the major pharmacological active components of ginseng. This review compiles the current knowledge about the multifaceted effects of ginseng on male reproductive function, and also focuses on its mechanisms of action that may represent novel therapeutic strategies for the treatment of male reproductive diseases or disorders.

人参通常被称为草药之王,被发现是一种有希望改善整体健康的药物。人参也被认为是一种壮阳药,在传统的中国医学实践中被用来治疗性功能障碍和增强性行为。动物研究数据显示,人参与性欲和交配性能之间存在正相关关系,这些影响已在人体病例对照研究中得到证实。此外,人参被发现可以改善健康个体以及治疗相关不孕症患者的精子质量和数量。这些作用主要归因于人参皂苷,人参的主要药理活性成分。本文综述了目前关于人参对男性生殖功能的多方面影响的研究,并重点介绍了人参的作用机制,这可能为男性生殖疾病或障碍的治疗提供新的治疗策略。
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引用次数: 75
A network of spectrin and plectin surrounds the actin cuffs of apical tubulobulbar complexes in the rat. 大鼠根尖管球复合体的肌动蛋白端部周围环绕着谱蛋白和粘连蛋白网络。
Pub Date : 2013-07-01 Epub Date: 2013-07-19 DOI: 10.4161/spmg.25733
Marc Aristaeus de Asis, Manuel Pires, Kevin Lyon, A Wayne Vogl

Tubulobulbar complexes (TBCs) are actin-related endocytic structures that internalize intercellular junctions in the seminiferous epithelium. The structures consist of elongate tubular projections of the attached plasma membranes of two adjacent cells that project into Sertoli cells. This double membrane core is cuffed by a dentritic actin network and is capped at its end by a clathrin-coated pit. Here we explore the possibility that elements of the spectrin cytoskeleton are associated with clusters of tubulobulbar complexes that develop at adhesion junctions between late spermatids and Sertoli cells at the apex of the epithelium, and extend what is known about the distribution of plectin at the sites. Cryo-sections of perfusion-fixed testes and apical processes of Sertoli cells mechanically dissociated from perfusion-fixed testes were probed for spectrin, EPB41, and actin and analyzed using conventional fluorescence microscopy and confocal microscopy. Data sets from confocal microscopy were analyzed further in three-dimensional reconstructions using computer software. Additional apical Sertoli cell processes were probed for plectin and analyzed using conventional fluorescence microscopy. Antibodies generated against elements of the spectrin cytoskeleton react with material around and between the actin cuffs of tubulobulbar complexes, but appear excluded from the actin cuffs themselves. A similar staining pattern occurs with a probe for plectin. Immunoelectron microscopy confirmed the staining patterns observed by fluourescence microscopy. Based on our results, we suggest that a network of spectrin and plectin forms a scaffold around tubulobulbar complexes that may provide support for the actin network that cuffs each complex and also link adjacent complexes together.

管小球复合体(tbc)是一种与肌动蛋白相关的内吞结构,使精原上皮细胞间连接内在化。该结构由两个相邻细胞的附着质膜的细长管状突起组成,这些质膜突起进入支持细胞。这个双膜核心被一个树突状肌动蛋白网络包围,并在其末端被一个网格蛋白包裹的凹坑覆盖。在这里,我们探讨了谱蛋白细胞骨架的元素与在上皮顶端的晚期精子细胞和支持细胞之间的粘附连接处形成的管小球复合物簇相关的可能性,并扩展了已知的粘连蛋白在这些部位的分布。在灌注固定睾丸和与灌注固定睾丸机械分离的Sertoli细胞顶端突起的冷冻切片上检测光谱蛋白、EPB41和肌动蛋白,并使用常规荧光显微镜和共聚焦显微镜进行分析。用计算机软件对共聚焦显微镜的数据集进行进一步的三维重建分析。用常规荧光显微镜检测其他顶端支持细胞过程中粘附素的含量。针对谱蛋白细胞骨架元素产生的抗体与小管小球复合物的肌动蛋白袖口周围和之间的物质发生反应,但似乎被排除在肌动蛋白袖口本身之外。类似的染色模式出现在胶素探针上。免疫电镜证实了荧光显微镜观察到的染色模式。基于我们的研究结果,我们认为spectrin和plectin的网络在管球复合物周围形成一个支架,可能为肌动蛋白网络提供支持,该网络将每个复合物捆绑在一起,并将相邻的复合物连接在一起。
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引用次数: 13
Male fertility: Is spermiogenesis the critical step for answering biomedical issues? 男性生育能力:精子发生是解决生物医学问题的关键步骤吗?
Pub Date : 2013-04-01 DOI: 10.4161/spmg.24114
Marine Baptissart, Aurélie Vega, Emmanuelle Martinot, David H Volle

Regarding male fertility, biomedical issues have opposite goals to treat infertility or develop contraceptive drugs. Recently, the identification of the molecular mechanisms involved in germ cell differentiation suggest that spermiogenesis has to be put at the crossroad to reach these goals. Concerning fertility issues, citizens in our modern world are schizophrenic. On one side, couples have the possibility to control conception; and on the other side, more and more couples suffer from the misfortune of being infertile. These two societal problems lead to intensive research and conflicting government policies. However, these opposing goals rely on a better understanding of germ cell differentiation.

关于男性生育,生物医学问题有相反的目标,治疗不育症或开发避孕药物。最近,对参与生殖细胞分化的分子机制的研究表明,要达到这些目标,精子发生必须处于十字路口。在生育问题上,现代社会的公民是精神分裂症患者。一方面,夫妻有可能控制受孕;另一方面,越来越多的夫妇遭受不孕的不幸。这两个社会问题导致了密集的研究和相互矛盾的政府政策。然而,这些相反的目标依赖于对生殖细胞分化的更好理解。
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引用次数: 3
RAI14 (retinoic acid induced protein 14) is an F-actin regulator: Lesson from the testis. 视黄酸诱导蛋白14 (RAI14)是一种f -肌动蛋白调节剂:来自睾丸的经验。
Pub Date : 2013-04-01 DOI: 10.4161/spmg.24824
Xiaojing Qian, Dolores D Mruk, Yan-Ho Cheng, C Yan Cheng

RAI14 (retinoic acid induced protein 14) is an actin-binding protein first identified in the liver. In the testis, RAI14 is expressed by both Sertoli and germ cells in the seminiferous epithelium. Besides binding to actin in the testis, RAI14 is also a binding protein for palladin, an actin cross-linking and bundling protein. A recent report has shown that RAI14 displays stage-specific and spatiotemporal expression at the ES [ectoplasmic specialization, a testis-specific filamentous (F)-actin-rich adherens junction] in the seminiferous epithelium of adult rat testes during the epithelial cycle of spermatogenesis, illustrating its likely involvement in F-actin organization at the ES. Functional studies in which RAI14 was knocked down by RNAi in Sertoli cells in vitro and also in testicular cells in vivo have illustrated its role in conferring the integrity of actin filament bundles at the ES, perturbing the Sertoli cell tight junction (TJ)-pemeability barrier function in vitro, and also spermatid polarity and adhesion in vivo, thereby regulating spermatid transport at spermiation. Herein, we critically evaluate these earlier findings and also provide a likely hypothetic model based on the functional role of RAI14 at the ES, and how RAI14 is working with palladin and other actin regulatory proteins in the testis to regulate the transport of (1) spermatids and (2) preleptotene spermatocytes across the seminiferous epithelium and the blood-testis barrier (BTB), respectively, during spermatogenesis. This model should serve as a framework upon which functional experiments can be designed to better understand the biology of RAI14 and other actin-binding and regulatory proteins in the testis.

RAI14(视黄酸诱导蛋白14)是一种肌动蛋白结合蛋白,首次在肝脏中发现。在睾丸中,精原上皮的支持细胞和生殖细胞都表达RAI14。除了在睾丸中与肌动蛋白结合外,RAI14也是肌动蛋白交联和捆绑蛋白palladin的结合蛋白。最近的一份报告显示,在精子发生的上皮周期中,成年大鼠睾丸精系上皮内的ES(外质特化,睾丸特异性丝状(F)-肌动蛋白粘附体连接)中,RAI14表现出阶段特异性和时空特异性表达,说明其可能参与了ES中F-肌动蛋白的组织。在体外支持细胞和体内睾丸细胞中,通过RNAi敲低RAI14的功能研究表明,RAI14在体外赋予ES肌动蛋白丝束完整性,干扰体外支持细胞紧密连接(TJ)-渗透性屏障功能,以及体内精子的极性和粘附,从而调节精子的运输。在此,我们批判性地评估了这些早期的发现,并提供了一个可能的假设模型,该模型基于RAI14在ES中的功能作用,以及RAI14如何与睾丸中的palladin和其他肌动蛋白调节蛋白一起调节(1)精子细胞和(2)preleptotene精子细胞在精子发生过程中分别通过精系上皮和血睾丸屏障(BTB)的运输。该模型可以作为一个框架,在此基础上设计功能实验,以更好地了解睾丸中RAI14和其他肌动蛋白结合和调节蛋白的生物学特性。
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引用次数: 16
Role of poly(ADP-ribose) polymerases in male reproduction. 聚(adp -核糖)聚合酶在男性生殖中的作用。
Pub Date : 2013-04-01 DOI: 10.4161/spmg.24194
Ciler Celik-Ozenci, Arda Tasatargil

Poly(ADP-ribose) polymerases (PARPs) are a family of enzymes involved in a wide variety of biological processes, including DNA repair and maintenance of genomic stability following genotoxic stress, and regulates the expression of various proteins at the transcriptional level as well as replication and differentiation. However, excessive activation of PARP has been shown to contribute to the pathogenesis of several diseases associated with oxidative stress (OS), which has been known to play a fundamental role in the etiology of male infertility. Based on the degree and type of the stress stimulus, PARP directs cells to specific fates (such as, DNA repair vs. cell death). A large volume of accumulated evidence indicates the presence of PARP and its homologs in testicular germ line cells and its activity may offer a key mechanism for keeping DNA integrity in spermatogenesis. On the other hand, a possible role of PARP overactivation in OS-induced male reproductive disorders and in human sperm is gaining significance in recent years. In this review, we focus on the findings about the importance of PARP-1 and PARP-2 in male reproduction and possible involvement of PARP overactivation in various clinical conditions associated with male infertility.

聚(adp -核糖)聚合酶(PARPs)是一个广泛参与多种生物过程的酶家族,包括基因毒性应激后DNA修复和基因组稳定性的维持,并在转录水平调节各种蛋白质的表达以及复制和分化。然而,PARP的过度激活已被证明与氧化应激(OS)相关的几种疾病的发病机制有关,氧化应激在男性不育的病因学中起着重要作用。根据应激刺激的程度和类型,PARP引导细胞走向特定的命运(如DNA修复与细胞死亡)。大量积累的证据表明,PARP及其同源物存在于睾丸生殖系细胞中,其活性可能是精子发生过程中保持DNA完整性的关键机制。另一方面,PARP过度激活在os诱导的男性生殖障碍和人类精子中的可能作用近年来越来越重要。本文就PARP-1和PARP-2在男性生殖中的重要性以及PARP过度激活在男性不育相关临床疾病中的可能作用进行综述。
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引用次数: 25
Letter from the Editor. 编辑来信。
Pub Date : 2013-04-01 DOI: 10.4161/spmg.25462
C Yan Cheng
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引用次数: 0
期刊
Spermatogenesis
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