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The Superior Laryngeal Nerve and its Vulnerability in Surgeries of the Neck 喉上神经及其在颈部手术中的脆弱性
Pub Date : 2020-04-01 DOI: 10.1096/fasebj.2020.34.s1.02274
Antonio Dekhou, Jickssa M Gemechu
Knowledge of anatomical considerations of the superior laryngeal nerve, a branch of the vagus, provides information to prevent intraoperative injuries and associated dysfunctions. The superior laryngeal nerve has external and internal branches providing motor innervation to the cricothyroid muscle and sensory innervation to the supraglottic mucosa of the larynx, respectively. The external laryngeal branch travels for a relatively greater distance together with the superior thyroid artery and the internal laryngeal branch accompanies, for a shorter distance, the superior laryngeal artery, though their relationship with their respective artery varies. Isolation and identification of the superior pole and superior laryngeal vessels, which are intimately related to the external and internal laryngeal branches, respectively, is clinically important. Both branches can potentially be severed, compressed, or stretched during surgical procedures of the neck such as thyroidectomy and anterior cervical discectomy. Injury to the external laryngeal nerve results in a reduction in the highest attainable frequency of the voice, while injury to the internal laryngeal nerve results in a loss of sensation in the laryngeal vestibule, increasing the risk of aspiration pneumonia. The consequences of superior laryngeal nerve injury are variable in growing literature and are commonly disregarded compared to the recurrent laryngeal nerve. The present study aims to assess the anatomical considerations of the superior laryngeal nerve pertaining to its course and relationship to the superior thyroid and superior laryngeal arteries. The study was done on 35 formalin‐fixed cadavers at Oakland University William Beaumont School of Medicine in 2018–2020. Following critical observation and careful dissection, photographs were taken and the data was analyzed quantitatively and in a descriptive manner. In our investigation, we found that out of twenty‐one cadavers, 52.4% of the external laryngeal branches are related posteromedial to the superior thyroid artery, while 47.6% are related anteromedial to it. On the other hand, our findings indicate that out of fourteen cadavers, 64.3% of the internal laryngeal branches are related superoposterior to the superior laryngeal artery, while 35.7% are inferoposterior to it. In addition, in most cases, the superior laryngeal artery crosses above the external laryngeal branch while traveling to pierce the thyrohyoid membrane to reach the larynx. The data portrays that both the external and internal laryngeal branches display a variation in their relationship with the superior thyroid artery and the superior laryngeal artery. The findings show a clinically important variation in the course and relationship of the superior laryngeal nerve and its related vessels, especially the posteromedial and superoposterior relationships, which exposes the nerves during ligation of the respective vessels. Awareness of these variable relationships is criti
喉上神经是迷走神经的一个分支,了解喉上神经的解剖学知识可为预防术中损伤和相关功能障碍提供信息。喉上神经有外支和内支,分别向环甲膜肌提供运动神经支配和向喉上粘膜提供感觉神经支配。喉外支与甲状腺上动脉一起走行的距离相对较长,喉内支与喉上动脉一起走行的距离较短,但它们与各自动脉的关系各不相同。喉上极血管和喉上血管分别与喉外支和喉内支密切相关,对它们的分离和识别具有重要的临床意义。在甲状腺切除术和颈椎前路椎间盘切除术等颈部手术过程中,这两条分支都有可能被切断、压迫或拉伸。喉外神经损伤会导致最高发声频率降低,而喉内神经损伤则会导致喉前庭失去知觉,增加吸入性肺炎的风险。在越来越多的文献中,喉上神经损伤的后果各不相同,与喉返神经相比,喉上神经损伤通常被忽视。本研究旨在评估喉上神经的解剖学考虑因素,包括其走向以及与甲状腺上动脉和喉上动脉的关系。该研究于2018-2020年在奥克兰大学威廉-博蒙特医学院对35具福尔马林固定尸体进行了研究。经过严谨的观察和仔细的解剖,我们拍摄了照片,并以描述性的方式对数据进行了定量分析。在调查中,我们发现在21具尸体中,52.4%的喉外分支与甲状腺上动脉后内侧相关,而47.6%的喉外分支与甲状腺上动脉前内侧相关。另一方面,我们的研究结果表明,在14具尸体中,64.3%的喉内分支在喉上动脉的上方,而35.7%的喉内分支在喉上动脉的下方。此外,在大多数情况下,喉上动脉在穿透甲状舌骨膜到达喉部的过程中会在喉外动脉分支上方穿过。数据显示,喉外分支和喉内分支与甲状腺上动脉和喉上动脉的关系存在差异。研究结果表明,喉上神经及其相关血管的走向和关系存在重要的临床变化,尤其是后内侧和超后侧关系,这在结扎相关血管时会暴露神经。意识到这些可变关系对于识别和隔离神经血管结构至关重要,以便在颈部手术过程中保护神经、防止嗓音的最高频率降低并将吸入性肺炎的风险降至最低。
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引用次数: 0
Treadmill exercise alleviates brain iron dyshomeostasis accelerating neuronal amyloid‐β production, neuronal cell death and cognitive impairment in transgenic mice model of Alzheimer’s disease 在阿尔茨海默病转基因小鼠模型中,跑步机运动可缓解大脑铁失衡,加速神经元淀粉样蛋白-β的生成、神经元细胞死亡和认知障碍
Pub Date : 2020-04-01 DOI: 10.1096/fasebj.2020.34.s1.09298
Dong-Hun Choi, Ki-chun Kwon, Dong-Ju Hwang, Hyun-Seob Um, Jung‐hoon Koo, Eung-Jun Kim, D. Yeom, Joon-Yong Cho
Brain iron increases with age and brain iron dyshomeostasis is proving increasingly likely to be involved in the pathology of Alzheimer’s disease (AD) and Parkinson’s disease (PD), possibly via promoting oxidative damage. There is therefore an urgent need to research into improving role iron play in AD. Sustained exercise may be ways to slow the rate of overload of iron, by perhaps alleviating oxidative stress due to the Fenton reaction. Yet, the exact mechanisms of the effects of exercise on iron toxicity are not well understood. Here, we explored whether treadmill exercise impacts the AD‐related mechanism(s) of brain iron status in vivo, using APP‐C105 AD‐model mice. We observed iron‐induced disruptions of amyloid precursor protein (APP) processing, neuronal apoptotic signaling, oxidative stress, and cognitive impairment in APP‐C105 AD‐model mice. Further, brain iron dyshomeostasis associated with Aβ‐induced neuronal cell death possibly via APP misprocessing, and oxidative stress and cognitive decline was blocked by treadmill exercise, suggesting effect led to mitigated Aβ‐induced neuronal cell death and cognitive decline by promoting non‐amyloidogenic pathway possibly via enhanced furin, concomitant with inhibiting oxidative stress possibly via down‐regulating brain iron dyshomeostasis. Together, we show evidences to suggest that treadmill exercise may be ways to inhibit Aβ‐induced neuronal cell death by up‐regulating non‐amyloidogenic pathway through enhanced furin, concomitant with down‐regulating iron‐mediated oxidative stress.
脑铁会随着年龄的增长而增加,事实证明,脑铁失衡越来越有可能与阿尔茨海默病(AD)和帕金森病(PD)的病理有关,可能是通过促进氧化损伤造成的。因此,迫切需要研究改善铁在阿尔茨海默病中的作用。持续运动或许是减缓铁超载速度的一种方法,因为它可以减轻芬顿反应引起的氧化应激。然而,运动对铁毒性影响的确切机制尚不十分清楚。在此,我们利用 APP-C105 AD 模型小鼠,探讨了跑步机运动是否会影响体内脑铁状态的 AD 相关机制。在 APP-C105 AD 模型小鼠中,我们观察到铁诱导的淀粉样前体蛋白(APP)加工、神经元凋亡信号传导、氧化应激和认知障碍的破坏。此外,跑步机运动阻断了与Aβ诱导的神经元细胞死亡(可能是通过APP错误处理)、氧化应激和认知功能下降相关的脑铁失衡,这表明跑步机运动通过促进非淀粉样蛋白生成途径(可能是通过增强嘌呤)缓解了Aβ诱导的神经元细胞死亡和认知功能下降,同时抑制了氧化应激(可能是通过下调脑铁失衡)。综上所述,我们有证据表明,跑步机运动可通过增强嘌呤上调非淀粉样蛋白生成途径,同时下调铁介导的氧化应激,从而抑制Aβ诱导的神经元细胞死亡。
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引用次数: 0
The interaction between p53 and Mdm2 is independent of MEG3–p53 association p53 和 Mdm2 之间的相互作用与 MEG3-p53 关联无关
Pub Date : 2020-04-01 DOI: 10.1096/fasebj.2020.34.s1.09899
Nicholas C. Bauer, Anli Yang, Xin Wang, Yunli Zhou, A. Klibanski, R. Soberman
The ability of the long noncoding RNA MEG3 to suppress cell proliferation led to its recognition as a tumor suppressor. MEG3 has previously been shown to bind to p53 in vitro, which led us to hypothesize that MEG3 functions by disrupting the interaction of p53 and its E3 ubiquitin ligase Mdm2. To test this hypothesis in vivo, we built a cross‐nearest neighbor/Monte Carlo analytical method based on two color direct stochastic optical reconstruction microscopy (dSTORM), a single‐molecule localization microscopy (SMLM) technique. Our data support the interaction of MEG3 and p53. Surprisingly, this association had no effect on the binding of p53 and Mdm2, distinct from the most commonly proposed model for the mechanism of MEG3 action. Additionally, our mathematical approach to analyzing SMLM data has general applicability to assessing molecular interactions in a native cellular context.
长非编码 RNA MEG3 能够抑制细胞增殖,因此被认为是一种肿瘤抑制因子。MEG3 以前曾在体外与 p53 结合,这使我们推测 MEG3 是通过破坏 p53 与其 E3 泛素连接酶 Mdm2 的相互作用而发挥作用的。为了在体内验证这一假设,我们在双色直接随机光学重建显微镜(dSTORM)(一种单分子定位显微镜(SMLM)技术)的基础上建立了一种交叉近邻/蒙特卡洛分析方法。我们的数据支持 MEG3 与 p53 的相互作用。令人惊讶的是,这种关联对 p53 和 Mdm2 的结合没有影响,这与最常见的 MEG3 作用机制模型不同。此外,我们分析 SMLM 数据的数学方法普遍适用于评估原生细胞环境中的分子相互作用。
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引用次数: 1
Pleiotropic Activation of Endothelial Function by Angiotensin II Receptor Blockers is Crucial to Their Protective Anti‐vascular Remodeling Effects 血管紧张素 II 受体阻滞剂对内皮功能的多重激活是其保护性抗血管重塑作用的关键所在
Pub Date : 2020-04-01 DOI: 10.1096/fasebj.2020.34.s1.02011
Arash Y. Tehrani, N. Fameli, Zoe White, Mitra Esfandiarei, Casey van Breemen, Pascal Bernatchez
Endothelial function is strongly associated with vascular health and homeostasis. However, therapeutically relevant approaches capable of stimulating the protective properties of the endothelium remain elusive.
内皮功能与血管健康和平衡密切相关。然而,能够刺激内皮保护特性的相关治疗方法仍未出现。
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引用次数: 0
In Memoriam: Gerald Weissmann 纪念:杰拉德·魏斯曼
Pub Date : 2019-09-01 DOI: 10.1096/fj.190901ufm
T. Pederson
The entire FASEB community is saddened by the death of The FASEB Journal former Editor-in-Chief, on July 10, 2019. The FASEB Journal’s current Editor-in-Chief Thoru Pederson said: “In all ways of the mind, Gerry was a true renaissance individual. His sterling qualities as a physician, scientist, and mentor, and as a gifted author, were widely known. His leadership as the Editor-in-Chief of The FASEB Journal was an outstanding contribution in his later career, and his editorials on those pages were both eloquent and elegant. We shall not see the likes of him again anytime soon.” Amore comprehensive memoir of Dr. Weissmannwill appear in the October 2019 issue of the journal.
2019年7月10日,FASEB杂志前总编辑去世,整个FASEB社区都感到悲痛。FASEB杂志的现任主编Thoru Pederson说:“从各个方面来看,Gerry都是一个真正的文艺复兴人物。他作为医生、科学家、导师和天才作家的卓越品质是众所周知的。他作为FASEB杂志主编的领导能力是他后来职业生涯的杰出贡献,他在这些页面上的社论既雄辩又优雅。我们短期内不会再见到像他这样的人了。”weissmann博士的更全面的回忆录将出现在2019年10月的杂志上。
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引用次数: 1
Intraluminal delivery of thrombospondin‐2 small interfering RNA inhibits the vascular response to injury in a rat carotid balloon angioplasty model 在大鼠颈动脉球囊血管成形术模型中,腔内递送血栓反应蛋白- 2小干扰RNA抑制血管对损伤的反应
Pub Date : 2017-01-01 DOI: 10.1096/fj.201600501r
Thomas C. F. Bodewes, Joel M. Johnson, M. Auster, C. Huynh, Sriya Muralidharan, M. Contreras, F. Logerfo, Leena Pradhan-Nabzdyk
In an effort to inhibit the response to vascular injury that leads to intimal hyperplasia, this study investigated the in vivo efficacy of intraluminal delivery of thrombospondin‐2 (TSP‐2) small interfering RNA (siRNA). Common carotid artery (CCA) balloon angioplasty injury was performed in rats. Immediately after denudation, CCA was transfected intraluminally (15 min) with one of the following: polyethylenimine (PEI)+TSP‐2 siRNA, saline, PEI only, or PEI+control siRNA. CCA was analyzed at 24 h or 21 d by using quantitative real‐time PCR and immunohistochemistry. TSP‐2 gene and protein expression were significantly up‐regulated after endothelial denudation at 24 h and 21 d compared with contralateral untreated, nondenuded CCA. Treatment with PEI+TSP‐2 siRNA significantly suppressed TSP‐2 gene expression (3.1‐fold) at 24 h and TSP‐2 protein expression, cell proliferation, and collagen deposition up to 21 d. These changes could be attributed to changes in TGF‐β and matrix metalloproteinase‐9, the downstream effectors of TSP‐2. TSP‐2 knockdown induced anti‐inflammatory M2 macrophage polarization at 21 d; however, it did not significantly affect intima/media ratios. In summary, these data demonstrate effective siRNA transfection of the injured arterial wall and provide a clinically effective and translationally applicable therapeutic strategy that involves nonviral siRNA delivery to ameliorate the response to vascular injury.—Bodewes, T.C.F., Johnson, J.M., Auster, M., Huynh, C., Muralidharan, S., Contreras, M., LoGerfo, F. W., Intraluminal delivery of thrombospondin‐2 small interfering RNA inhibits the vascular response to injury in a rat carotid balloon angioplasty model. FASEB J. 31, 109–119 (2017) www.fasebj.org
为了抑制血管损伤导致内膜增生的反应,本研究调查了腔内递送血栓反应蛋白- 2 (TSP - 2)小干扰RNA (siRNA)的体内效果。采用颈总动脉球囊成形术损伤大鼠。剥脱后立即用以下方法转染CCA(15分钟):聚乙烯亚胺(PEI)+TSP‐2 siRNA,生理盐水,仅PEI或PEI+对照siRNA。采用实时荧光定量PCR和免疫组织化学分析24 h或21 d的CCA。与对侧未剥皮的未剥皮CCA相比,内皮细胞剥皮后24 h和21 d, TSP - 2基因和蛋白表达显著上调。PEI+TSP‐2 siRNA在24小时显著抑制TSP‐2基因表达(3.1倍),并在21 d内显著抑制TSP‐2蛋白表达、细胞增殖和胶原沉积。这些变化可能归因于TGF‐β和基质金属蛋白酶- 9 (TSP‐2的下游效应物)的变化。TSP‐2敲除诱导抗炎M2巨噬细胞21 d极化;然而,它对内膜/中膜比率没有显著影响。总之,这些数据证明了siRNA转染损伤动脉壁是有效的,并提供了一种临床有效和翻译适用的治疗策略,包括非病毒性siRNA递送来改善血管损伤的反应。-Bodewes, t.c.f., Johnson, j.m., Auster, M, Huynh, C, Muralidharan, S., Contreras, M., LoGerfo, f.w .,在大鼠颈动脉球囊血管成成术模型中,腔内递送血栓响应蛋白- 2小干扰RNA抑制血管对损伤的反应。财会学报,31,109-119 (2017)www.fasebj.org
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引用次数: 9
Protective effects of mitochondria‐targeted antioxidants and statins on cholesterolinduced osteoarthritis 线粒体靶向抗氧化剂和他汀类药物对胆固醇性骨关节炎的保护作用
Pub Date : 2017-01-01 DOI: 10.1096/fj.201600600r
S. Farnaghi, I. Prasadam, G. Cai, T. Friis, Zhibin Du, R. Crawford, Xinzhan Mao, Yin Xiao
The contribution of metabolic factors on the severity of osteoarthritis (OA) is not fully appreciated. This study aimed to define the effects of hyper cholesterolemia on the progression of OA. A polipoprotein E‐deficient (ApoE−/−) mice and rats with diet‐induced hypercholesterolemia (DIHC) rats were used to explore the effects of hyper cholesterolemia on the progression of OA. Both models exhibited OA‐like changes, characterized primarily by a loss of proteoglycans, collagen and aggrecan degradation, osteophyte formation, changes to subchondral bone architecture, and cartilage degradation. Surgical destabilization of the knees resulted in a dramatic increase of degradative OA symptoms in animals fed a high‐cholesterol diet compared with controls. Clinically relevant doses of free cholesterol resulted in mitochondrial dysfunction, overproduction of reactive oxygen species (ROS), and increased expression of degenerative and hypertrophic markers in chondrocytes and breakdown of the cartilage matrix. We showed that the severity of diet‐induced OA changes could be attenuated by treatment with both atorvastatin and a mitochondrial targeting antioxidant. The protective effects of the mitochondrial targeting antioxidant were associated with suppression of oxidative damage to chondrocytes and restoration of extracellular matrix homeostasis of the articular chondrocytes. In summary, our data show that hypercholesterolemia precipitates OA progression by mitochondrial dysfunction in chondrocytes, in part by increasing ROS production and apoptosis. By addressing the mitochondrial dysfunction using antioxidants, we were able attenuate the OA progression in our animal models. This approach may form the basis for novel treatment options for this OA risk group in humans.—Farnaghi, S., Prasadam, I., Cai, G., Friis, T., Du, Z., Crawford, R., Mao, X., Xiao, Y. Protective effects of mitochondria‐targeted antioxidants and statins on cholesterolinduced osteoarthritis. FASEB J. 31, 356–367 (2017) www.fasebj.org
代谢因素对骨关节炎(OA)严重程度的影响尚未得到充分认识。本研究旨在确定高胆固醇血症对OA进展的影响。用ApoE - / -缺乏小鼠和饮食诱导的高胆固醇血症(DIHC)大鼠研究高胆固醇血症对OA进展的影响。两种模型都表现出类似OA的变化,主要表现为蛋白聚糖的缺失、胶原蛋白和聚集蛋白的降解、骨赘的形成、软骨下骨结构的改变和软骨降解。与对照组相比,在喂食高胆固醇饮食的动物中,膝关节手术失稳导致退化性OA症状显著增加。临床相关剂量的游离胆固醇导致线粒体功能障碍、活性氧(ROS)的过量产生、软骨细胞中退行性和肥厚性标志物的表达增加以及软骨基质的破坏。我们发现,阿托伐他汀和线粒体靶向抗氧化剂可以减轻饮食诱导的OA变化的严重程度。线粒体靶向抗氧化剂的保护作用与抑制软骨细胞的氧化损伤和恢复关节软骨细胞的细胞外基质稳态有关。总之,我们的数据表明,高胆固醇血症通过软骨细胞线粒体功能障碍加速OA进展,部分原因是ROS产生和细胞凋亡增加。通过使用抗氧化剂解决线粒体功能障碍,我们能够减轻动物模型中的OA进展。这种方法可能为人类OA风险群体提供新的治疗方案。财会学报,31,356-367 (2017)www.fasebj.org
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引用次数: 61
Acute lung injury is reduced by the α7nAChR agonist PNU‐282987 through changes in the macrophage profile α7nAChR激动剂PNU‐282987通过改变巨噬细胞谱减少急性肺损伤
Pub Date : 2017-01-01 DOI: 10.1096/fj.201600431r
Nathalia M Pinheiro, F. R. Santana, R. R. Almeida, M. Guerreiro, M. Martins, L. Caperuto, N. Câmara, L. A. Wensing, V. Prado, I. Tiberio, Marco Antônio M. Prado, C. Prado
Nicotinic α‐7 acetylcholine receptor (nAChRα7) is a critical regulator of cholinergic anti‐inflammatory actions in several diseases, including acute respiratory distress syndrome(ARDS). Given the potential importance of α7nAChR as a therapeutic target, we evaluated whether PNU‐282987, an α7nAChR agonist, is effective in protecting the lung against inflammation. We performed intratracheal instillation of LPS to generate acute lung injury (ALI) in C57BL/6 mice. PNU‐282987 treatment, either before or after ALI induction, reduced neutrophil recruitment and IL‐ 1β, TNF‐α, IL‐6, keratinocyte chemoattractant (KC), and IL‐10 cytokine levels in the bronchoalveolar lavage fluid (P> 0.05). In addition, lung NF‐κB phosphorylation decreased, along with collagen fiber deposition and the number of matrix metalloproteinase‐9+ and −2+ cells, whereas the number of tissue inhibitor of metalloproteinase‐1+ cells increased (P < 0.05). PNU‐282987 treatment also reduced lung mRNA levels and the frequency of M1 macrophages, whereas cells expressing the M2‐related markers CD206 and IL‐10 increased, suggesting changes in the macrophage profile. Finally, PNU‐282987 improved lung function in LPS‐treated animals. The collective results suggest that PNU‐282987, anagonist of α7nAChR, reducesLPS‐induced experimental ALI, thus supporting the notion that drugs that act on α7nAChRs should be explored for ARDS treatment in humans.—Pinheiro, N. M., Santana, F. P. R., Almeida, R. R., Guerreiro, M., Martins, M.A., Caperuto, L.C., Câmara, N.O.S., Wensing, L.A., Prado, V. F., Tibério, I. F. L. C., Prado, M.A.M., Prado, C. M. Acute lung injury is reduced by the α7nAChR agonist PNU‐282987 through changes in the macrophage profile. FASEB J. 31, 320–332 (2017) www.fasebj.org
烟碱α‐7乙酰胆碱受体(nAChRα7)是多种疾病(包括急性呼吸窘迫综合征(ARDS))中胆碱能抗炎作用的关键调节因子。考虑到α7nAChR作为治疗靶点的潜在重要性,我们评估了α7nAChR激动剂PNU‐282987是否能有效保护肺部免受炎症的影响。我们对C57BL/6小鼠进行气管内灌注LPS诱导急性肺损伤(ALI)。PNU - 282987治疗,无论是在ALI诱导之前还是之后,都能降低支气管肺泡灌洗液中中性粒细胞募集和IL - 1β、TNF - α、IL - 6、角化细胞趋化剂(KC)和IL - 10细胞因子的水平(P < 0.05)。肺NF - κB磷酸化水平降低,胶原纤维沉积减少,基质金属蛋白酶- 9+和- 2+细胞数量减少,组织金属蛋白酶- 1+细胞数量增加(P < 0.05)。PNU - 282987治疗还降低了肺mRNA水平和M1巨噬细胞的频率,而表达M2相关标志物CD206和IL - 10的细胞增加,表明巨噬细胞谱发生了变化。最后,PNU - 282987改善了LPS处理动物的肺功能。综上所述,α7nAChR拮抗剂PNU - 282987可降低lps诱导的实验性ALI,从而支持应探索作用于α7nAChR的药物用于人类ARDS治疗的观点。-Pinheiro, N. M, Santana, F. P. R, Almeida, R. R, Guerreiro, M., Martins, M., Caperuto, l.c., c玛拉,N.O.S, Wensing, l.a., Prado, V. F., tibrio, i.f.l.c, Prado, M. a.m., Prado, C. . α7nAChR受体拮抗剂PNU‐282987通过巨噬细胞的改变减少急性肺损伤。[j] .农业工程学报,2016,32 (5):359 - 359 (2017)www.fasebj.org
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引用次数: 68
Professor Naba Gupta (1934–1997)
Pub Date : 1998-03-01 DOI: 10.1096/fasebj.12.3.390
K. Chakraburtty, J. Hershey
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引用次数: 0
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The FASEB Journal
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