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Developing hierarchical microneedles for biomedical applications 开发用于生物医学应用的分级微针
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.04.004
Minhui Lu , Xiaoxuan Zhang , Zhiqiang Luo , Yuanjin Zhao

As a new kind of microcarrier device, microneedles are featured by micrometer needle arrays with an overall size in the centimeter scale. Due to the needle shape and the micron size, microneedles can penetrate the skin without harming nerves and blood vessels, which causes many advantages such as minimally invasive, safe and convenient. The past few decades have witnessed a great leap in microneedles research. The main materials of microneedles have changed from metal and ceramic to polymers with more complex functions, and the optimization of materials and preparation strategies has led to a greater variety of microneedle styles. Among them, the construction or combination of smaller size structures or materials on microneedles to fabricate hierarchical microneedles is a major research hotspot. Here, we present the recent research progress of hierarchical microneedles for biomedicine. We begin by discussing the fabrication strategies of hierarchical microneedles, including mainstream casting and coating methods based on microneedle molds and three dimensions (3D) printing methods. We then expand the discussion from the hierarchical microneedles with porous structure to those composited with nanomaterials. Eventually, we have a discussion about the research progress of hierarchical microneedles in the area of biomarkers detection and transdermal drug delivery, as well as its future development direction.

微针是一种新型的微载体器件,其特点是微米级的针阵列,整体尺寸在厘米级。由于针头的形状和微米大小,微针可以穿透皮肤而不伤害神经和血管,从而具有微创,安全,方便等诸多优点。过去几十年见证了微针研究的巨大飞跃。微针的主要材料已经从金属和陶瓷转变为功能更复杂的聚合物,材料和制备策略的优化使得微针的样式更加多样。其中,在微针上构建或组合更小尺寸的结构或材料来制造分层微针是一个主要的研究热点。本文就分层微针在生物医学领域的研究进展作一综述。我们首先讨论了分层微针的制造策略,包括基于微针模具的主流铸造和涂层方法以及三维(3D)打印方法。然后,我们将讨论从具有多孔结构的分层微针扩展到与纳米材料复合的微针。最后,我们讨论了分层微针在生物标志物检测和透皮给药领域的研究进展,以及未来的发展方向。
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引用次数: 0
Autophagy mediates osteoporotic bone regeneration induced by micro-/nano-structured modification on hydroxyapatite bioceramics 自噬介导羟基磷灰石生物陶瓷微/纳米结构修饰诱导的骨质疏松性骨再生
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.03.003
Jinjie Cui , Xinran Zhang , Liming Cheng , Kaili Lin

Osteoporosis (OP) is an age-related disease of bone metabolism, characterized by bone mass loss and bone microarchitecture deterioration, the poor osteogenesis microenvironment of OP caused hardly repairing of the bone defects. As a dynamic process to fuel cellular renovation, autophagy has been proved to play a vital role in regulating cell differentiation and maintaining bone homeostasis. Traditional bone repairing biomaterials are hardly repairing the bone defects under OP pathological microenvironment. Therefore, it is essential to development novel biomaterials to improve osteoporotic osteogenesis. Compared to biochemical cues, biophysical cues exhibited more advantages in biocompatible and side effects. Herein, inspired by the importance of enhanced autophagic response in osteoporotic environment, we intend to utilize the micro-/nano-structured hydroxyapatite (mnHA) bioceramics as the mimic structure of natural bone tissue to regulate autophagic activity in ovariectomy bone mesenchymal stem cells (OVX-BMSCs), finally promote to bone regeneration in OP condition. The results indicated that mnHA bioceramics promoted cell adhesion and osteogenesis of OVX-BMSCs, and enhanced autophagy level in OVX-BMSCs. In the calvarial defects of OVX-rats, the mnHA scaffold acquired excellent bone repair effect. According to the current findings, regulating the level of autophagy could be a promising strategy for improve osteoporotic osteogenesis in the future.

骨质疏松症(Osteoporosis, OP)是一种与年龄相关的骨代谢疾病,以骨量丢失和骨微结构恶化为特征,OP成骨微环境差导致骨缺损难以修复。自噬作为一种促进细胞更新的动态过程,在调节细胞分化和维持骨稳态中起着至关重要的作用。传统的骨修复生物材料难以修复OP病理微环境下的骨缺损。因此,开发新型生物材料促进骨质疏松成骨是十分必要的。与生化线索相比,生物物理线索在生物相容性和副作用方面表现出更大的优势。鉴于骨质疏松环境中增强自噬反应的重要性,我们打算利用微/纳米结构的羟基磷灰石(mnHA)生物陶瓷作为天然骨组织的模拟结构,调节卵巢切除骨间充质干细胞(OVX-BMSCs)的自噬活性,最终促进OP条件下的骨再生。结果表明,mnHA生物陶瓷能促进OVX-BMSCs的细胞粘附和成骨,增强OVX-BMSCs的自噬水平。在ovx大鼠颅骨缺损中,mnHA支架获得了良好的骨修复效果。根据目前的研究结果,调节自噬水平可能是未来改善骨质疏松性成骨的一种有希望的策略。
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引用次数: 1
Engineering of electrospun nanofiber scaffolds for repairing brain injury 电纺纳米纤维支架修复脑损伤的工程化研究
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.04.001
Wenzhe Du , Tong Wang , Shuyun Hu , Jixin Luan , Feng Tian , Guolin Ma , Jiajia Xue

Patients with brain injury can suffer disability and accompanying complications. Current clinical treatments have significant limitations to successful repair due to the complexity of the pathological processes and the inhibitory microenvironment that follows brain injury. Here, we conclude recent research progresses in engineering strategies based on electrospun nanofibers for promoting neural repair and functional recovery after brain injury. Firstly, we introduce the main pathological mechanisms of current brain injuries, pointing out the prospect of the application of electrospun nanofiber scaffolds compared to current clinical treatment strategies. We then discuss the repair strategies combining the structure and the morphology of nanofiber scaffolds with load therapeutic factors such as cells, drugs and growth factors. All of these strategies show potential for improving the repair of brain injury. Finally, we point out the challenges facing the effective treatment of brain injury, aiming to provide insights into the development of repairing scaffolds for brain function recovery from the perspective of clinical treatment.

脑损伤患者可能会残疾并伴有并发症。由于病理过程的复杂性和脑损伤后的抑制微环境,目前的临床治疗对成功修复有很大的限制。本文综述了近年来基于电纺纳米纤维促进脑损伤后神经修复和功能恢复的工程策略研究进展。首先,我们介绍了当前脑损伤的主要病理机制,并与目前的临床治疗策略进行了比较,指出了电纺纳米纤维支架的应用前景。然后,我们将纳米纤维支架的结构和形态与细胞、药物和生长因子等负载治疗因子相结合,讨论修复策略。所有这些策略都显示出改善脑损伤修复的潜力。最后,我们指出了有效治疗脑损伤所面临的挑战,旨在从临床治疗的角度为脑功能恢复修复支架的发展提供见解。
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引用次数: 0
Accelerated neutral atom beam (ANAB) and gas clustered ion beam (GCIB) treatment of implantable device polymers leads to decreased bacterial attachment in vitro and decreased inflammation in vivo 可植入装置聚合物的加速中性原子束(ANAB)和气体簇离子束(GCIB)治疗可减少体外细菌附着和体内炎症
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.03.006
Joseph Khoury , Ti Zhang , David B. Earle , M. Laird Forrest

Infections at the placement site of biomaterial-based devices and subsequent scar formation results in morbidity, which may require revision surgery. Biomaterials intended for permanent implantation in the body need to be biologically inert to avoid excessive foreign body response and to reduce bacterial attachment. In this study, we show that polymeric materials commonly used in medical devices, including polyetheretherketone (PEEK) and polypropylene, treated by gas cluster ion beam (GCIB) or by accelerated neutral atom beam (ANAB) result in a nanoscale-modified surface topography that changes the ability of extracellular proteins to bind. This leads to decreased bacterial attachment and an attenuated inflammatory response using both in vitro and in vivo assays. Differential adsorption of extracellular proteins to the polymeric surface improved the competitive attachment of osteoblasts over bacteria, without resorting to growth factor of antibiotic use.

基于生物材料的装置放置部位的感染和随后的疤痕形成会导致发病率,这可能需要翻修手术。用于永久植入体内的生物材料需要具有生物惰性,以避免过多的异物反应并减少细菌附着。在这项研究中,我们展示了医疗器械中常用的聚合物材料,包括聚醚醚酮(PEEK)和聚丙烯,通过气团离子束(GCIB)或加速中性原子束(ANAB)处理,可以产生纳米级修饰的表面形貌,从而改变细胞外蛋白质结合的能力。这导致减少细菌附着和减轻炎症反应使用体外和体内试验。细胞外蛋白对聚合物表面的差异吸附改善了成骨细胞对细菌的竞争性附着,而无需诉诸抗生素使用的生长因子。
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引用次数: 0
Novel metal nanomaterials to promote angiogenesis in tissue regeneration 新型金属纳米材料促进组织再生血管生成
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.03.008
Yuki G. Yoshida , Su Yan , Hui Xu , Jian Yang

Angiogenesis—the formation of new blood vessels from existing blood vessels—has drawn significant attention in medical research. New techniques have been developed to control proangiogenic factors to obtain desired effects. Two important research areas are 1) understanding cellular mechanisms and signaling pathways involved in angiogenesis and 2) discovering new biomaterials and nanomaterials with proangiogenic effects. This paper reviews recent developments in controlling angiogenesis in the context of regenerative medicine and wound healing. We focus on novel proangiogenic materials that will advance the field of regenerative medicine. Specifically, we mainly focus on metal nanomaterials. We also discuss novel technologies developed to carry these proangiogenic inorganic molecules efficiently to target sites. We offer a comprehensive overview by combining existing knowledge regarding metal nanomaterials with novel developments that are still being refined to identify new nanomaterials.

血管生成——从现有血管中形成新血管——在医学研究中引起了极大的关注。新技术的发展,以控制促血管生成因子,以获得预期的效果。两个重要的研究领域是:1)了解血管生成的细胞机制和信号通路;2)发现具有促进血管生成作用的新型生物材料和纳米材料。本文综述了在再生医学和伤口愈合的背景下控制血管生成的最新进展。我们专注于将推动再生医学领域的新型促血管生成材料。具体来说,我们主要关注的是金属纳米材料。我们还讨论了将这些促进血管生成的无机分子有效地运送到靶点的新技术。我们提供了一个全面的概述,结合现有的知识,有关金属纳米材料的新发展,仍在完善,以确定新的纳米材料。
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引用次数: 5
Heparinized PGA host-guest hydrogel loaded with paracrine products from electrically stimulated adipose-derived mesenchymal stem cells for enhanced wound repair 肝素化PGA主客体水凝胶装载电刺激脂肪源间充质干细胞的旁分泌产物,用于增强伤口修复
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.03.002
Mengyao Li , Junliang Li , Xueru Xiong , Yushi Wang , Yong-Guang Jia , Xuetao Shi , Xiaoling Fu

The microenvironment of the wound bed is essential in the regulation of wound repair. In this regard, strategies that provide a repairing favorable microenvironment may effectively improve healing outcomes. Herein, we attempted to use electrical stimulation (ES) to boost the paracrine function of adipose-derived stem cells from rats (rASCs). By examining the concentrations of two important growth factors, VEGF and PDGF-AA, in the cell culture supernatant, we found that ES, especially 5 μA ES, stimulated rASCs to produce more paracrine factors (5 μA-PFs). Further studies showed that ES may modulate the paracrine properties of rASCs by upregulating the levels of TRPV2 and TRPV3, thereby inducing intracellular Ca2+ influx. To deliver the PFs to the wound to effectively improve the wound microenvironment, we prepared a heparinized PGA host-guest hydrogel (PGA-Hp hydrogel). Moreover, PGA-Hp hydrogel loaded with 5 μA-PFs effectively accelerated the repair process of the full-thickness wound model in rats. Our findings revealed the effects of ES on the paracrine properties of rASCs and highlighted the potential application of heparinized PGA host-guest hydrogels loaded with PFs derived from electrically stimulated rASCs in wound repair.

创面微环境在创面修复的调控中起着至关重要的作用。在这方面,提供修复有利微环境的策略可能有效地改善愈合结果。在此,我们尝试使用电刺激(ES)来增强大鼠脂肪来源干细胞(rASCs)的旁分泌功能。通过检测细胞培养上清中两种重要生长因子VEGF和PDGF-AA的浓度,我们发现ES,特别是5 μA ES,刺激rASCs产生更多的旁分泌因子(5 μA- pfs)。进一步的研究表明,ES可能通过上调TRPV2和TRPV3的水平来调节rasc的旁分泌特性,从而诱导细胞内Ca2+内流。为了将PFs输送到创面,有效改善创面微环境,我们制备了肝素化PGA主客体水凝胶(PGA- hp水凝胶)。此外,负载5 μA-PFs的PGA-Hp水凝胶可有效加速大鼠全层创面模型的修复过程。我们的研究结果揭示了ES对rasc旁分泌特性的影响,并强调了肝素化PGA主客体水凝胶在伤口修复中的潜在应用,这些水凝胶装载了电刺激rasc衍生的PFs。
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引用次数: 2
The overexpression of Rps14 in Lgr5+ progenitor cells promotes hair cell regeneration in the postnatal mouse cochlea Rps14在Lgr5+祖细胞中的过表达促进了出生后小鼠耳蜗毛细胞的再生
Q1 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.engreg.2023.04.006
Jingru Ai , Pei Jiang , Jingyuan Huang , Hairong Xiao , Yanqin Lin , Mingchen Dai , Yintao Wang , Yuan Zhang , Mengyao Tian , Renjie Chai , Shasha Zhang

Sensory hair cells (HCs) in the cochlea cannot regenerate spontaneously in adult mammals after being damaged by external or genetic factors. However, several genes and signaling pathways are reported to induce cochlear HC regeneration at the early neonatal stage. Rps14 encodes a ribosomal protein that is involved in the regulation of cell differentiation and proliferation in mammals. However, its roles in the cochlea have not been reported in vivo. Here, we specifically overexpressed Rps14 in Lgr5+ progenitor cells in the newborn mouse cochlea and found that Rps14 conditional overexpression (cOE) mice had significantly increased the ectopic HCs, including inner and outer HCs. We further explored the source of these ectopic HCs and found no EdU+ supporting cells observed in the Rps14 cOE mice. The lineage tracing results, on the other hand, revealed that Rps14 cOE mice had significantly more tdTomato+ HCs in their cochleae than control mice. These results indicated that regenerated HCs by cOE of Rps14 are most likely derived from inducing the direct trans-differentiation of Lgr5+ progenitor cells into HCs. Moreover, real-time qPCR results suggested that the transcription factor genes Atoh1 and Gfi1, which are important in regulating HC differentiation, were upregulated in the cochlear basilar membrane of Rps14 cOE mice. In summary, this study provides in vivo evidence that, in the postnatal mouse cochlea, Rps14 is a potential gene that can promote the spontaneous trans-differentiation of Lgr5+ progenitor cells into HCs. This gene may one day be exploited as a therapeutic target for treating hearing loss.

成年哺乳动物耳蜗感觉毛细胞(HCs)在受到外部或遗传因素损伤后不能自发再生。然而,一些基因和信号通路被报道在新生儿早期诱导耳蜗HC再生。Rps14编码一种核糖体蛋白,参与哺乳动物细胞分化和增殖的调节。然而,其在耳蜗中的作用尚未在体内报道。本研究在新生小鼠耳蜗Lgr5+祖细胞中特异性过表达Rps14,发现Rps14条件过表达(cOE)小鼠显著增加了异位hcc,包括内、外hcc。我们进一步探索了这些异位hc的来源,在Rps14 cOE小鼠中未发现EdU+支持细胞。另一方面,谱系追踪结果显示,Rps14 cOE小鼠耳蜗中tdTomato+ hc的含量明显高于对照小鼠。这些结果表明,Rps14的cOE再生的hcc很可能是通过诱导Lgr5+祖细胞直接转分化为hcc而获得的。real-time qPCR结果显示,Rps14小鼠耳蜗基底膜中调控HC分化重要的转录因子基因Atoh1和Gfi1表达上调。综上所述,本研究提供的体内证据表明,在出生后小鼠耳蜗中,Rps14是促进Lgr5+祖细胞自发转分化为hcc的潜在基因。这个基因可能有一天会被用作治疗听力损失的治疗靶点。
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引用次数: 0
Driving modes and characteristics of biomedical micro-robots 生物医学微型机器人驱动模式及特性研究
Q1 Medicine Pub Date : 2023-08-09 DOI: 10.1016/j.engreg.2023.08.001
Libing Huang , Yueyuan Pan , Miao Wang , Lei Ren

Micro-robots (MRs) are miniature machines with dimensions smaller than 1 mm and have semi- or fully-autonomous capabilities, including sensing, decision-making, and performing operations. These MRs have garnered significant attention in the precision medicine and personalized treatment field due to their ability to navigate narrow areas of the human body with non-desirable fluid flow. Specifically, MRs are actuated by a mechanism that generates propulsive force through the interaction between MRs' actuation modules and external energy sources in a specific direction. This driving mechanism enables the precise execution of medical treatment such as targeted drug delivery and minimally invasive surgeries. Nonetheless, MRs currently encounter certain challenges in clinical practice, including reliance on external energy sources, short lifespan, and difficulties in degradation or recovery within the human body. This article aims to review the common components and characteristics of driving mechanism for MRs' actuation modules, propose possible solutions to address current clinical challenges, and ultimately, explore the desirable structural and functional composition for the future development of MRs. Through these efforts, this review hopes to provide guidance for the future development of MRs in the field of precision medicine.

微型机器人(MRs)是尺寸小于1毫米的微型机器,具有半自主或完全自主的能力,包括传感、决策和执行操作。这些MRs在精确医学和个性化治疗领域引起了极大的关注,因为它们能够导航人体狭窄的区域,不需要的液体流动。具体来说,MRs的驱动机制是通过MRs的驱动模块与外部能量源在特定方向上的相互作用产生推进力。这种驱动机制可以精确执行医疗治疗,如靶向药物输送和微创手术。然而,MRs目前在临床实践中遇到了一些挑战,包括依赖外部能源、寿命短、在人体内降解或恢复困难。本文旨在综述MRs驱动模块的常见组成和驱动机制特点,提出可能的解决方案,以解决当前临床面临的挑战,最终探索MRs未来发展的理想结构和功能组成,希望通过这些努力,为MRs未来在精准医学领域的发展提供指导。
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引用次数: 0
Persuasive factors on the bioink printability and cell viability in the extrusion-based 3D bioprinting for tissue regeneration applications 组织再生应用中基于挤出的3D生物打印中生物墨水可打印性和细胞活力的说服因素
Q1 Medicine Pub Date : 2023-07-29 DOI: 10.1016/j.engreg.2023.07.002
Devara Venkata Krishna, Mamilla Ravi Sankar

The extrusion-based bioprinting (EBBP) applications in the medical field tremendously increase due to its versatility in fabricating intricate geometry components with reasonable accuracy and precision. The bioink and its properties for an EBBP process are crucial in manufacturing parts with significant biocompatibility and functionality. The EBBP demands optimized parameters for obtaining good printability and cell viability. A better understanding of the various process parameters is essential for the researcher to optimize the mechanical and biological properties of the printed constructs. The biological, mechanical, and rheological parameters all together need to be evaluated to enhance the printability of tissue. This article concisely delineates the effect of the rheological and physiochemical parameters on the biological and mechanical properties of the printed tissues. The printing parameters and nozzle geometry, which considerably influence the printability, and shape fidelity of the bioprinted scaffolds are exemplified in detail. Additionally, the challenges and future aspects of enhancing printability are discussed succinctly.

基于挤压的生物打印技术(EBBP)在医疗领域的应用急剧增加,因为它可以以合理的精度和精度制造复杂的几何部件。EBBP工艺的生物链接及其性能对于制造具有显著生物相容性和功能性的部件至关重要。EBBP需要优化参数以获得良好的打印适性和细胞活力。更好地了解各种工艺参数对于研究人员优化打印结构的机械和生物特性至关重要。生物、机械和流变参数都需要一起进行评估,以提高组织的可打印性。本文简要介绍了流变学和理化参数对打印组织生物力学性能的影响。打印参数和喷嘴几何形状对生物打印支架的可打印性和形状保真度有很大影响。此外,挑战和提高印刷能力的未来方面进行了简要的讨论。
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引用次数: 1
Heterogenous glucose-stimulated insulin secretion at single islet level 外源性葡萄糖刺激单胰岛水平的胰岛素分泌
Q1 Medicine Pub Date : 2023-07-15 DOI: 10.1016/j.engreg.2023.07.001
Jiaxiang Yin , Hao Meng , Haopeng Lin , Meijun Mo , Jingfang Lin , Jingyi Chen , Lihua Chen , Xiaojun Xu , Zonghong Li , Wei Ji , Tao Xu , Huisheng Liu

Insulin secretion by pancreatic islets plays a vital role in regulating blood glucose levels. Nevertheless, the mechanism responsible for this dynamic insulin secretion has not been completely understood, particularly at the single islet level. In this study, we have successfully developed an easy microfluidic platform that allows for the exploration of dynamic glucose-stimulated insulin secretion (GSIS) at the single islet level. With the utilization of this platform, we evaluated dynamic GSIS from single islets isolated from both normal and diabetic rats. Our results demonstrate that islets can be categorized into three types based on their dynamic GSIS: Type I exhibits a biphasic GSIS profile with a fast first phase and flat second phase; Type II also has a biphasic GSIS profile with a fast first phase but a slow increased second phase; Type III displays only a slowly increased second phase and lacks a fast first phase. RNA sequencing analysis demonstrated that the cell type and exocytosis-specific genes are consistent with the proportion of cells and insulin release kinetics among the three types of islets, respectively. Moreover, our findings suggest that high expression of Atp5pb is anti-correlated with the first phase of insulin secretion. Furthermore, we revealed that diabetic islets exhibit only the type I GSIS response, indicating a deliberate impairment of the second phase of insulin secretion. Together, this device serves as a crucial tool in the research field of islets and diabetes, allowing researchers to investigate islet functional heterogeneity and identity at the single islet level.

胰岛分泌胰岛素在调节血糖水平中起着至关重要的作用。然而,负责这种动态胰岛素分泌的机制尚未完全了解,特别是在单个胰岛水平。在这项研究中,我们已经成功地开发了一种简单的微流控平台,可以在单个胰岛水平上探索动态葡萄糖刺激胰岛素分泌(GSIS)。利用该平台,我们对正常大鼠和糖尿病大鼠分离的单个胰岛的动态GSIS进行了评估。研究结果表明,基于动态GSIS,胰岛可分为三种类型:I型胰岛呈现双相GSIS特征,第一阶段快速,第二阶段平缓;II型也有两阶段的GSIS概况,第一阶段快速,但第二阶段缓慢增加;III型仅显示缓慢增加的第二阶段,缺乏快速的第一阶段。RNA测序分析表明,细胞类型和胞吐特异性基因分别与三种类型胰岛的细胞比例和胰岛素释放动力学一致。此外,我们的研究结果表明,Atp5pb的高表达与胰岛素分泌的第一阶段是反相关的。此外,我们发现糖尿病胰岛仅表现出I型GSIS反应,表明胰岛素分泌的第二阶段被故意损害。总之,该装置是胰岛和糖尿病研究领域的重要工具,使研究人员能够在单个胰岛水平上研究胰岛功能的异质性和同一性。
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引用次数: 0
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Engineered regeneration
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