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Acute brain injury and nanomedicine: sex as a biological variable 急性脑损伤与纳米医学:性别是一个生物变量
Pub Date : 2024-02-02 DOI: 10.3389/fbiom.2024.1348165
Amberlyn Simmons, Olivia Mihalek, Heather A. Bimonte Nelson, Rachael W. Sirianni, S. Stabenfeldt
Sex as a biological variable has been recognized for decades to be a critical aspect of the drug development process, as differences in drug pharmacology and toxicity in female versus male subjects can drive the success or failure of new therapeutics. These concepts in development of traditional drug systems have only recently begun to be applied for advancing nanomedicine systems that are designed for drug delivery or imaging in the central nervous system (CNS). This review provides a comprehensive overview of the current state of two fields of research - nanomedicine and acute brain injury—centering on sex as a biological variable. We highlight areas of each field that provide foundational understanding of sex as a biological variable in nanomedicine, brain development, immune response, and pathophysiology of traumatic brain injury and stroke. We describe current knowledge on female versus male physiology as well as a growing number of empirical reports that directly address sex as a biological variable in these contexts. In sum, the data make clear two key observations. First, the manner in which sex affects nanomedicine distribution, toxicity, or efficacy is important, complex, and depends on the specific nanoparticle system under considerations; second, although field knowledge is accumulating to enable us to understand sex as a biological variable in the fields of nanomedicine and acute brain injury, there are critical gaps in knowledge that will need to be addressed. We anticipate that understanding sex as a biological variable in the development of nanomedicine systems to treat acute CNS injury will be an important determinant of their success.
数十年来,性别作为一种生物变量一直被认为是药物开发过程中的一个重要方面,因为女性与男性受试者在药物药理和毒性方面的差异会影响新疗法的成败。传统药物系统开发中的这些概念直到最近才开始应用于推进纳米药物系统的开发,这些系统旨在为中枢神经系统(CNS)给药或成像。本综述全面概述了纳米医学和急性脑损伤这两个研究领域的现状,并将性别作为一个生物变量。我们重点介绍了这两个领域中的各个领域,这些领域提供了对性别作为纳米医学、大脑发育、免疫反应以及创伤性脑损伤和中风的病理生理学中的生物变量的基础性理解。我们介绍了当前有关女性与男性生理学的知识,以及越来越多直接涉及性别作为生物变量在这些领域中作用的实证报告。总之,这些数据明确了两个关键观察点。首先,性别影响纳米药物分布、毒性或疗效的方式是重要而复杂的,并取决于所考虑的特定纳米粒子系统;其次,尽管实地知识正在不断积累,使我们能够理解性别作为纳米药物和急性脑损伤领域的一个生物变量,但在知识方面仍存在重大差距,需要加以解决。我们预计,在开发治疗急性中枢神经系统损伤的纳米药物系统时,了解性别这一生物变量将是决定其成功与否的重要因素。
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引用次数: 0
Acute brain injury and nanomedicine: sex as a biological variable 急性脑损伤与纳米医学:性别是一个生物变量
Pub Date : 2024-02-02 DOI: 10.3389/fbiom.2024.1348165
Amberlyn Simmons, Olivia Mihalek, Heather A. Bimonte Nelson, Rachael W. Sirianni, S. Stabenfeldt
Sex as a biological variable has been recognized for decades to be a critical aspect of the drug development process, as differences in drug pharmacology and toxicity in female versus male subjects can drive the success or failure of new therapeutics. These concepts in development of traditional drug systems have only recently begun to be applied for advancing nanomedicine systems that are designed for drug delivery or imaging in the central nervous system (CNS). This review provides a comprehensive overview of the current state of two fields of research - nanomedicine and acute brain injury—centering on sex as a biological variable. We highlight areas of each field that provide foundational understanding of sex as a biological variable in nanomedicine, brain development, immune response, and pathophysiology of traumatic brain injury and stroke. We describe current knowledge on female versus male physiology as well as a growing number of empirical reports that directly address sex as a biological variable in these contexts. In sum, the data make clear two key observations. First, the manner in which sex affects nanomedicine distribution, toxicity, or efficacy is important, complex, and depends on the specific nanoparticle system under considerations; second, although field knowledge is accumulating to enable us to understand sex as a biological variable in the fields of nanomedicine and acute brain injury, there are critical gaps in knowledge that will need to be addressed. We anticipate that understanding sex as a biological variable in the development of nanomedicine systems to treat acute CNS injury will be an important determinant of their success.
数十年来,性别作为一种生物变量一直被认为是药物开发过程中的一个重要方面,因为女性与男性受试者在药物药理和毒性方面的差异会影响新疗法的成败。传统药物系统开发中的这些概念直到最近才开始应用于推进纳米药物系统的开发,这些系统旨在为中枢神经系统(CNS)给药或成像。本综述全面概述了纳米医学和急性脑损伤这两个研究领域的现状,并将性别作为一个生物变量。我们重点介绍了这两个领域中的各个领域,这些领域提供了对性别作为纳米医学、大脑发育、免疫反应以及创伤性脑损伤和中风的病理生理学中的生物变量的基础性理解。我们介绍了当前有关女性与男性生理学的知识,以及越来越多直接涉及性别作为生物变量在这些领域中作用的实证报告。总之,这些数据明确了两个关键观察点。首先,性别影响纳米药物分布、毒性或疗效的方式是重要而复杂的,并取决于所考虑的特定纳米粒子系统;其次,尽管实地知识正在不断积累,使我们能够理解性别作为纳米药物和急性脑损伤领域的一个生物变量,但在知识方面仍存在重大差距,需要加以解决。我们预计,在开发治疗急性中枢神经系统损伤的纳米药物系统时,了解性别这一生物变量将是决定其成功与否的重要因素。
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引用次数: 0
Extracellular vesicles as next-generation therapeutics and biomarkers in amyloidosis: a new frontier 细胞外囊泡作为淀粉样变性病的新一代疗法和生物标记物:一个新领域
Pub Date : 2024-01-12 DOI: 10.3389/fbiom.2023.1343658
Thanh Huyen Phan, Joanne H. Reed
Nanoparticles hold a great potential for therapeutic targeting due to their ability to improve the stability of encapsulated cargo and promote the transport of cargo across membranes to reach to the target site. Most commercially available nanomedicines are simple synthetic liposomes, however, there are numerous side effects due to their off-target delivery and rapid clearance from the bloodstream. Recently, attention has moved toward extracellular vesicles (EVs)–lipid bilayer enclosed particles released by cells (size ranging from 30 to 10,000 nm in diameter). EVs carry and transport lipids, proteins, and nucleic acids from their parental cells to recipient cells, hence they play a key role in intercellular communication. The ability of EVs to cross biological barriers including the blood brain barrier has generated significant attention to explore them as potential biomarkers and natural drug delivery vehicles for various therapeutics and small molecules. EVs have also been implicated in disease pathogenesis by transmitting pathogenic proteins between cells, making them promising biomarkers for disease diagnosis and monitoring. In this review, we will focus on the potential and challenges of EVs as biomarkers, drug delivery vehicles and next-generation therapeutics. Finally, we will explore misfolded protein disorders, amyloidosis, as a case study for how EVs may contribute to disease pathology and how EVs could be applied in the clinic as diagnostic and prognostic biomarkers of amyloid diseases.
纳米颗粒能够提高封装货物的稳定性,并促进货物跨膜运输到达靶点,因此在靶向治疗方面具有巨大潜力。大多数市售纳米药物都是简单的合成脂质体,但由于其脱靶传输和快速从血液中清除的特性,存在许多副作用。最近,人们开始关注细胞外囊泡 (EV)--细胞释放的脂质双分子层封闭颗粒(直径从 30 纳米到 10,000 纳米不等)。细胞外囊泡携带和运输脂质、蛋白质和核酸,将其从母细胞运送到受体细胞,因此在细胞间通信中发挥着关键作用。EVs 能够穿越包括血脑屏障在内的生物屏障,这引起了人们对其作为潜在生物标记物以及各种治疗药物和小分子天然药物递送载体的极大关注。通过在细胞间传递致病蛋白,EVs 也被认为与疾病的发病机理有关,因此是诊断和监测疾病的有前途的生物标记物。在这篇综述中,我们将重点探讨 EVs 作为生物标记物、给药载体和下一代疗法的潜力和挑战。最后,我们将以折叠错误的蛋白质疾病--淀粉样变性病--为案例,探讨EV如何对疾病病理做出贡献,以及EV如何作为淀粉样变性疾病的诊断和预后生物标记物应用于临床。
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引用次数: 0
Engineering immunomodulatory biomaterials to combat bacterial infections 用工程免疫调节生物材料对抗细菌感染
Pub Date : 2024-01-10 DOI: 10.3389/fbiom.2023.1336842
Carolina Gomez Casas, Anita Shukla
Modulating the immune system using engineered materials is an emerging strategy to combat bacterial infections. Bacteria adopt immune evasion strategies to ensure their survival, ultimately leading to persistence and recurrence of infections. With a rise in antimicrobial resistance and a decrease in antibiotic efficacy, host-directed therapies using immunomodulatory biomaterials are a promising approach to infection management. Here, we review biomaterials developed to modulate the immune system, with an emphasis on innate immunity. We specifically highlight the recent implementation of functionalized surfaces for immunomodulation, including metal ion releasing coatings, stimuli-responsive polymeric coatings, and interleukin releasing surfaces. We also describe immunomodulatory nanoparticles, including lipid-based nanoparticles, biomimetic nanoparticles, and inorganic nanocarriers. Lastly, we explore immunomodulatory hydrogels used primarily for the treatment of wound infections. These approaches offer new strategies for treating bacterial infections and enhancing existing antimicrobial approaches, all while avoiding complications associated with antimicrobial resistance.
利用工程材料调节免疫系统是对抗细菌感染的一种新兴策略。细菌采取免疫逃避策略以确保其生存,最终导致感染的持续和复发。随着抗菌药耐药性的增加和抗生素疗效的下降,使用免疫调节生物材料的宿主导向疗法是一种很有前景的感染管理方法。在此,我们回顾了为调节免疫系统而开发的生物材料,重点是先天性免疫。我们特别强调了最近用于免疫调节的功能化表面,包括金属离子释放涂层、刺激响应型聚合物涂层和白细胞介素释放表面。我们还介绍了免疫调节纳米颗粒,包括脂基纳米颗粒、仿生纳米颗粒和无机纳米载体。最后,我们探讨了主要用于治疗伤口感染的免疫调节水凝胶。这些方法为治疗细菌感染和增强现有抗菌方法提供了新策略,同时避免了与抗菌药耐药性相关的并发症。
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引用次数: 0
Investigating the role between glycosaminoglycan immobilization approach and protein affinity 研究糖胺聚糖固定方法与蛋白质亲和力之间的作用
Pub Date : 2023-12-20 DOI: 10.3389/fbiom.2023.1272913
Nicholas Cornell, Donald Griffin
Glycosaminoglycans (GAGs) are linear polysaccharides commonly used to impart bioactivity into synthetic hydrogels through their broad electrostatic-based protein-binding capabilities. In vivo, GAGs are immobilized through a single linkage point and function as semi-rigid ligands that are capable of limited conformation to proteins to enable high affinity interactions, concentration gradients, and co-signaling. Most GAG immobilization strategies in biomaterials target modification of the GAG repeat unit and produce multiple linkage points which effectively turns the GAG into a multifunctional crosslinker. In this study, we utilize real-time monitoring of binding kinetics to investigate the effects of GAG immobilization approach on GAG-protein binding. We show that GAGs immobilized through a single linkage point (GAGSingle) possess enhanced protein binding compared with GAGs immobilized at several points (GAG¬Multi¬). This effect is demonstrated for multiple GAG and protein types, indicating a broad applicability and importance to GAG use in biomaterials.
糖胺聚糖(GAG)是一种线性多糖,通过其广泛的基于静电的蛋白质结合能力,常用于为合成水凝胶赋予生物活性。在体内,GAGs 通过单个连接点固定,并作为半刚性配体发挥作用,能够与蛋白质进行有限构象,从而实现高亲和力相互作用、浓度梯度和协同信号传递。生物材料中的大多数 GAG 固定化策略都以 GAG 重复单元的修饰为目标,并产生多个连接点,从而有效地将 GAG 转变为多功能交联剂。在本研究中,我们利用结合动力学的实时监测来研究 GAG 固定化方法对 GAG 蛋白结合的影响。我们发现,通过单个连接点固定的 GAG(GAGSingle)与通过多个连接点固定的 GAG(GAG¬Multi¬)相比,具有更强的蛋白质结合能力。这种效果在多种 GAG 和蛋白质类型中都得到了证明,这表明 GAG 在生物材料中的应用具有广泛的适用性和重要性。
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引用次数: 0
Biomaterials for treating sepsis-induced thromboinflammation 治疗败血症诱发的血栓性炎症的生物材料
Pub Date : 2023-12-07 DOI: 10.3389/fbiom.2023.1305379
Halle Lutz, Ashley C. Brown
Sepsis is a common and life-threatening disorder with an alarmingly high mortality rate. Unfortunately, this rate has not decreased significantly over the last decade and the number of septic cases is increasing each year. Despite sepsis affecting millions of people annually, there is still not an established standard of care. The development of a therapy that targets the thromboinflammation characteristic of sepsis is imperative. Until recently, research has focused on uncovering individual pathways to target. As more of the pathophysiology of sepsis has become understood and more biomarkers uncovered, the interplay between endothelial cells, platelets, and leukocytes has emerged as a critical event. Therefore, a multi-targeted approach is clearly required for designing an effective treatment for sepsis. The versatility of biomaterials offers a promising solution in that they can be designed to target and affect multiple pathways and systems and safely inhibit excessive inflammation while maintaining hemostasis. Already, studies have demonstrated the ability of biomaterials to target different processes and stages in sepsis-induced inflammation and coagulopathy. Moreover, some biomaterials offer inherent anti-inflammatory and hemostatic qualities. This review aims to discuss the most recent advancements in biomaterial development designed to address inflammation, coagulopathy, and thromboinflammation.
败血症是一种常见的危及生命的疾病,死亡率高得惊人。不幸的是,在过去十年中,这一比率并没有显著下降,脓毒症病例的数量每年都在增加。尽管败血症每年影响数百万人,但目前仍没有一个既定的治疗标准。针对脓毒症的血栓炎症特征的治疗的发展是必要的。直到最近,研究都集中在发现单个的靶向途径上。随着对脓毒症病理生理学的了解越来越多,越来越多的生物标志物被发现,内皮细胞、血小板和白细胞之间的相互作用已成为一个关键事件。因此,设计一种有效的脓毒症治疗方法显然需要多靶点的方法。生物材料的多功能性提供了一个很有前途的解决方案,因为它们可以设计成针对和影响多种途径和系统,并在保持止血的同时安全地抑制过度炎症。研究已经证明,生物材料能够针对脓毒症引起的炎症和凝血病的不同过程和阶段。此外,一些生物材料具有固有的抗炎和止血特性。本综述旨在讨论用于治疗炎症、凝血功能障碍和血栓炎症的生物材料的最新进展。
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引用次数: 0
Mini-review antimicrobial smart materials: the future’s defense against wound infections 抗菌智能材料微型综述:抵御伤口感染的未来之选
Pub Date : 2023-11-24 DOI: 10.3389/fbiom.2023.1285386
M. B. Monroe, David Fikhman
The overuse of antibiotics to treat bacterial infections along with bacteria’s propensity to form biofilm communities has resulted in an alarming rise in drug-resistant microbes. Current approaches to infection surveillance and biofilm clearance in wounds are severely limited, requiring new biomaterials-based strategies to address this problem. To that end, a range of antimicrobial smart materials have been developed that change their properties in response to bacteria-induced external stimuli, providing tools with an additional level of complexity for defending against microbes. Researchers have tried to tackle this issue using materials that respond to the unique pH, temperature, and enzymatic changes that are induced by bacteria in wounds. These environmental responses are coupled with mechanisms to kill surrounding bacteria and/or to signal infection. For example, bacteria-responsive biomaterial solubilization (transition from non-solubilized solid material to solubilized liquid solution), swelling (volumetric increase due to absorption of surrounding media), de-swelling, degradation, or shape change can be coupled with drug release and/or activation or biofilm disruption, inhibition, or destruction. These materials provide a foundation for future work and improvements related to enhanced infection surveillance, increased specificity of infection response, and effective clearance of biofilms from wound surfaces.
由于过度使用抗生素治疗细菌感染以及细菌形成生物膜群落的倾向,导致耐药微生物的数量急剧上升。目前监测伤口感染和清除生物膜的方法非常有限,需要基于生物材料的新策略来解决这一问题。为此,人们开发了一系列抗菌智能材料,这些材料可根据细菌引起的外部刺激改变自身特性,为抵御微生物提供了更复杂的工具。研究人员试图利用能对伤口中细菌诱发的独特 pH 值、温度和酶变化做出反应的材料来解决这一问题。这些环境反应与杀死周围细菌和/或发出感染信号的机制相结合。例如,细菌响应型生物材料的溶解(从非溶解固体材料转变为溶解液体溶液)、膨胀(由于吸收周围介质而体积增大)、消肿、降解或形状变化可与药物释放和/或激活或生物膜破坏、抑制或摧毁相结合。这些材料为今后的工作和改进提供了基础,有助于加强感染监控、提高感染反应的特异性以及有效清除伤口表面的生物膜。
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引用次数: 0
Nanotechnologies for the detection and treatment of endometriosis 检测和治疗子宫内膜异位症的纳米技术
Pub Date : 2023-11-16 DOI: 10.3389/fbiom.2023.1279358
Maneesha Sahni, Emily S. Day
Endometriosis is an incurable gynecologic disease characterized by endometrial-like tissue growth outside of the uterine cavity. It affects approximately 10% of reproductive age women, who endure pelvic pain during periods and/or sexual intercourse and who suffer from reduced fertility and diminished quality of life due to the side effects of current treatments. To improve the management and prognosis of endometriosis patients, researchers have recently begun to develop nanoparticle-based diagnostics and treatments that are more effective and less invasive than existing approaches. This review discusses the current state of the field and highlights considerations for the continued development of nanotechnologies for the diagnosis and treatment of endometriosis.
子宫内膜异位症是一种无法治愈的妇科疾病,其特征是子宫内膜样组织在子宫腔外生长。约有 10%的育龄妇女会受到这种疾病的影响,她们在经期和/或性交时会感到盆腔疼痛,而且由于目前治疗方法的副作用,她们的生育能力下降,生活质量降低。为了改善子宫内膜异位症患者的管理和预后,研究人员最近开始开发基于纳米粒子的诊断和治疗方法,这些方法比现有方法更有效、创伤更小。本综述讨论了该领域的现状,并强调了继续开发用于诊断和治疗子宫内膜异位症的纳米技术的注意事项。
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引用次数: 0
Acute transplantation of NPC on electrospun poly-lactic acid membranes containing curcumin into the injured spinal cord reduces neuronal degeneration 含姜黄素的聚乳酸电纺丝膜急性移植鼻咽癌损伤脊髓可减少神经元变性
Pub Date : 2023-11-13 DOI: 10.3389/fbiom.2023.1298894
María del Mar Sánchez-Martín, Esther Giraldo, Fernando Gisbert Roca, Ana Alastrue-Agudo, Cristina Martínez-Ramos, Manuel Monleón Pradas, Victoria Moreno-Manzano
Effective spinal cord injury (SCI) treatment remains a significant challenge, given the complex nature of the primary injury and associated devastating loss of neural activity. Neural progenitor cell (NPC)-based therapy has emerged as a potent strategy for the treatment of SCI. However, the invasive nature of direct cell transplantation and the need to enhance graft integration into host tissue remain critical issues. We implemented an improved combinatorial approach to SCI treatment by functionalizing electrospun poly-lactic acid (PLA) membranes that support the sustained delivery of curcumin (PLA-curcumin) and act as a carrier for NPC for local transplantation. In vitro experiments demonstrate that curcumin prevents harmful oxidative and inflammatory stress by preventing death and inhibiting NF-κB activation (mimicked by treatment with hydrogen peroxide or lipopolysaccharide acid). Curcumin also enhances neurite-like outgrowth in NPC and cortical neurons in culture, which may enhance neural connectivity. In vivo transplantation of NPC on a PLA-curcumin electrospun membrane enables cell migration, reduces injured area size, and increases neuronal fiber preservation to induce a slowing of acute neural damage.
考虑到原发损伤的复杂性和相关的破坏性神经活动丧失,有效的脊髓损伤治疗仍然是一个重大挑战。神经祖细胞(NPC)为基础的治疗已成为治疗脊髓损伤的有效策略。然而,直接细胞移植的侵入性和增强移植物与宿主组织融合的需要仍然是关键问题。我们通过功能化支持姜黄素(PLA-curcumin)持续递送的电纺丝聚乳酸(PLA)膜,并作为NPC局部移植的载体,实现了一种改进的SCI治疗组合方法。体外实验表明,姜黄素通过防止死亡和抑制NF-κB活化(与过氧化氢或脂多糖酸处理类似)来防止有害的氧化和炎症应激。姜黄素还能促进鼻咽癌神经突样生长和皮层神经元的培养,这可能增强神经连通性。将NPC在pla -姜黄素电纺丝膜上进行体内移植,可以促进细胞迁移,减少损伤区域大小,增加神经元纤维保存,从而减缓急性神经损伤。
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引用次数: 0
Biomaterials recycling: a promising pathway to sustainability 生物材料回收:一条有希望的可持续发展之路
Pub Date : 2023-11-10 DOI: 10.3389/fbiom.2023.1260402
Paulina Wiśniewska, Mohammad Reza Saeb, Sidi A. Bencherif
Biomaterials undergo a transformative journey, from their origin as renewable resources to the manufacturing plants where they are processed and stored, until they fulfill their intended therapeutic or diagnostic purposes and become medical waste. However, during this life cycle, biomaterials can be susceptible to contamination and subsequent degradation through various mechanisms such as hydro-mechanical, thermal, or biochemical processes in water, soil, or air. These factors raise significant concerns regarding biological safety. Additional complexities arise from the potential amalgamation of biomaterials with other materials, either of the same kind or different types. Use of biomaterials influences their porosity, surface chemistry, and structural strength, and these factors affect biomaterials’ reusability. Given the multitude of materials, processing parameters, sustainability requirements, and the limitation of natural resources, the recycling of biomaterials becomes necessary. Unfortunately, this topic has received limited attention thus far. In this context, this perspective provides a brief overview, analysis, and classification of reports on biomaterials recycling, aiming to initiate a discussion on this frequently overlooked subject. We highlight the challenges related to energy consumption and environmental pollution. However, the lack of established protocols and reporting on biomaterials recycling prevents a comprehensive understanding of these challenges and potential solutions. Nevertheless, addressing these issues can lead to more efficient resource use and reduced environmental impact in the field of biomaterials.
生物材料经历了一个变革的过程,从最初作为可再生资源,到加工和储存的制造工厂,直到它们实现预期的治疗或诊断目的,成为医疗废物。然而,在这个生命周期中,生物材料可能容易受到污染,并通过各种机制,如水、土壤或空气中的水机械、热或生化过程,随后降解。这些因素引起了人们对生物安全的重大关切。其他的复杂性来自生物材料与其他材料的潜在融合,无论是相同类型还是不同类型。生物材料的使用影响其孔隙度、表面化学和结构强度,这些因素影响生物材料的可重复使用性。考虑到材料、加工参数、可持续性要求和自然资源的限制,生物材料的回收是必要的。不幸的是,到目前为止,这个话题得到的关注有限。在此背景下,本观点提供了一个简短的概述,分析和分类的报告,生物材料的回收,旨在发起讨论这一经常被忽视的主题。我们强调能源消耗和环境污染方面的挑战。然而,缺乏关于生物材料回收的既定协议和报告阻碍了对这些挑战和潜在解决方案的全面理解。然而,解决这些问题可以导致更有效的资源利用和减少对生物材料领域的环境影响。
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引用次数: 0
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