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Role of stem cells in aortic aneurysm 干细胞在主动脉瘤中的作用
Pub Date : 2023-01-19 DOI: 10.36922/gtm.v2i1.241
Zheng-hua Wang, Yu Yin, Yuge Zhang, Aijuan Qu, Bao-qi Yu
In recent years, aortic aneurysms (AAs) have attracted increasing attention due to their asymptomatic onset and high mortality. In clinic, surgery and anti-hypertensive or lipid-lowering medicine is usually applied in the treatments of AA. However, AA is prone to relapse and sudden rupture may happen. Therefore, more effective prevention and treatment methods are urgently needed. Stem cells are believed to play a crucial role in vascular formation and regeneration of damaged tissues during vascular disease progression. With the development of single-cell RNA sequencing analysis, many populations of stem cells have been discovered in AA tissues. Recent studies have demonstrated that they may participate in the occurrence or development of AAs. Besides, there is a prospect in clinical treatment for AAs when regenerative medicine with stem cells comes into the picture. This review mainly discusses the latest findings on the crucial roles of stem cells in AAs as well as their potential therapeutic strategies of stem cells, which provides some references for the prevention, diagnosis, and treatment of AAs. Further studies are needed to explore the novel application of stem cell therapies for AAs.
近年来,主动脉瘤因其发病无症状、死亡率高而受到越来越多的关注。临床上治疗AA多采用手术治疗和降压降脂药物治疗。然而,AA容易复发,并可能突然破裂。因此,迫切需要更有效的防治方法。干细胞被认为在血管疾病进展过程中,在血管形成和受损组织的再生中起着至关重要的作用。随着单细胞RNA测序技术的发展,在AA组织中发现了许多干细胞群体。最近的研究表明,它们可能参与了AAs的发生或发展。此外,随着干细胞再生医学的发展,AAs的临床治疗前景广阔。本文就干细胞在AAs中的重要作用及其潜在的治疗策略进行综述,以期为AAs的预防、诊断和治疗提供一定的参考。干细胞治疗AAs的新应用需要进一步的研究。
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引用次数: 0
Inflammatory and anti-inflammatory responses inhuman T-lymphotropic virus Type 1 infection 1型嗜t淋巴病毒感染的炎症和抗炎反应
Pub Date : 2023-01-19 DOI: 10.36922/gtm.v2i1.67
Elnaz Sadat Hosseini, E. Abdollahi, N. Saghafi
Human T-lymphotropic virus Type 1 (HTLV-1) is a viral infectious agent that may cause chronic infection of T lymphocytes. HTLV-1 infection is related to multiple human diseases, including adult T-cell leukemia, which is a neoplastic growth of HTLV-1-infected T cells, and neoplastic inflammatory conditions such as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP), Sjögren’s syndrome, polymyositis uveitis, and bronchoalveolitis. T regulatory cells (Tregs), also known as regulatory T cells, and T helper 17 (Th17) cells, a distinct subset of cluster differentiation T cells with interleukin-17 as their major cytokine, orchestrate the pathogenesis of anti-inflammatory and inflammatory responses in HTLV-1-mediated diseases. In this review, we aim to evaluate the immune responses of Tregs as anti-inflammatory cells and Th17 cells as inflammatory cells in HTLV-1 infection.
人类嗜T淋巴病毒1型(HTLV-1)是一种可引起T淋巴细胞慢性感染的病毒感染因子。HTLV-1感染与多种人类疾病有关,包括成人T细胞白血病,这是HTLV-1感染的T细胞的肿瘤生长,以及HTLV-1相关的脊髓病/热带痉挛性截瘫(HAM/TSP)、Sjögren综合征、多发性肌炎葡萄膜炎和支气管肺泡炎等肿瘤性炎症。T调节性细胞(Tregs),也称为调节性T细胞和辅助性T细胞17 (Th17)细胞,是以白细胞介素-17为主要细胞因子的簇分化T细胞的一个独特亚群,在htlv -1介导的疾病中协调抗炎和炎症反应的发病机制。在这篇综述中,我们旨在评估Tregs作为抗炎细胞和Th17细胞作为炎症细胞在HTLV-1感染中的免疫反应。
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引用次数: 0
The The multifaceted functions of mineralocorticoid receptor in cardiometabolic disease 矿物皮质激素受体在心脏代谢疾病中的多重功能
Pub Date : 2023-01-12 DOI: 10.36922/gtm.v2i1.229
Jian-Yong Sun, Yong-Li Wang, Hong Zhu, S. Duan
Cardiometabolic diseases (CMDs), which cause 31% of all global deaths, are one of the greatest public health challenges. Mineralocorticoid receptor (MR), as a key nuclear transcription factor, is an important drug target for the treatment of CMDs. It is known that MR is expressed in almost all tissues and organs involved in cardiovascular homeostasis, including immune tissue, adipose tissue, brain, heart, kidney, and blood vessels. In the pathophysiology of CMDs, MR exerts different functions in different tissues and cells. This review summarizes the roles of MR in various cell types and discusses the molecular mechanisms through which MR exerts it functions in CMDs.
心脏代谢疾病占全球死亡总人数的31%,是最大的公共卫生挑战之一。矿盐皮质激素受体(Mineralocorticoid receptor, MR)作为一种关键的核转录因子,是治疗CMDs的重要药物靶点。众所周知,MR在几乎所有参与心血管稳态的组织和器官中表达,包括免疫组织、脂肪组织、脑、心脏、肾脏和血管。在CMDs的病理生理中,MR在不同的组织和细胞中发挥不同的功能。本文综述了磁共振在各种细胞类型中的作用,并讨论了磁共振在CMDs中发挥作用的分子机制。
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引用次数: 0
The vasculoprotective effects of resveratrol are mediated via Kruppel-like factor 2 dependent protection of endothelial barrier function 白藜芦醇的血管保护作用是通过对内皮屏障功能的克虏伯样因子2依赖性保护介导的
Pub Date : 2023-01-10 DOI: 10.36922/gtm.v2i1.218
Xianming Zhou, Lily Lin, Hong Shi
Resveratrol is a naturally occurring polyphenolic compound that is thought to have vasculoprotective properties. Its observed effects are proposed, in part, to be mediated through the induction of endothelial Krϋppel-like factor 2 (KLF2) expression. KLF2 is a nuclear transcription factor that is highly expressed within the vascular endothelium. Studies from our laboratory and others have shown that this protein mediates vascular function through its transactivation domain, and its targeted expression promotes vascular health, notably by acting as an important positive regulator of endothelial barrier function. In this study, we demonstrate that resveratrol possesses endothelial barrier protective effects dependent on the presence of KLF2, with several key endothelial tight junction proteins expressed in a KLF2-dependent manner. Collectively, our findings identify KLF2 as essential for resveratrol-mediated endothelial barrier protection, thus further implicating KLF2 as a critical vasculoprotective factor.
白藜芦醇是一种天然存在的多酚化合物,被认为具有保护血管的特性。其观察到的效果被认为部分是通过诱导内皮Krϋppel-like因子2 (KLF2)表达介导的。KLF2是一种在血管内皮中高度表达的核转录因子。我们实验室和其他人的研究表明,该蛋白通过其反活化结构域介导血管功能,其靶向表达促进血管健康,特别是作为内皮屏障功能的重要正调节因子。在这项研究中,我们证明了白藜芦醇具有内皮屏障保护作用,依赖于KLF2的存在,几个关键的内皮紧密连接蛋白以KLF2依赖的方式表达。总的来说,我们的研究结果确定了KLF2对于白藜芦醇介导的内皮屏障保护至关重要,从而进一步暗示KLF2是一个关键的血管保护因子。
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引用次数: 0
Leukocyte telomere length and mitochondrial DNA copy number association with colorectal cancer risk in an aging population 老年人群中白细胞端粒长度和线粒体DNA拷贝数与结直肠癌风险的关系
Pub Date : 2023-01-10 DOI: 10.36922/gtm.v2i1.184
S. Malyutina, V. Maximov, O. Chervova, P. Orlov, V. Voloshin, A. Ryabikov, M. Voevoda, T. Nikitenko
In this study, we evaluated the association of blood leukocyte telomere length (LTL) and mitochondrial DNA copy number (mtDNA-CN) with the risk of incident colorectal cancer (CRC). We studied and followed-up a cohort of Russian men and women (aged 45 – 69 years, n = 9360, 54% female) from the HAPIEE study for 15 years. Using the nested case-control design, we selected cases with incident CRC among those free from any baseline cancer (n = 146) and sex- and age-stratified controls among those free from baseline cancer and cardiovascular disease and alive at the end of the follow-up (n = 799). We employed multivariable-adjusted logistic regression to estimate the odds ratios (ORs) of CRC per 1 decile of LTL or mtDNA-CN. We observed an inverse association of LTL and mtDNA-CN baseline values with the 15-year risk of incident CRC. Carriers of shorter telomeres had an increased 15-year risk of incident CRC with adjusted OR 3.2 (95% CI: 2.56 – 3.87, P < 0.001) per 1 decile decrease in LTL, independent of baseline age, sex, smoking, body mass index, blood pressure, lipid levels, and education. Similarly, lower mtDNA-CN was associated with the higher risk of incident CRC with adjusted OR 1.7 (95% CI: 1.12 – 1.89, P < 0.001) per 1 decile decrease in mtDNA-CN, independent of the aforementioned factors. Using the modified values of LTL and mtDNA-CN adjusted for multiple factors and their interactions with a case–control status, the ORs of CRC were 2.53 and 1.52 per 1 decile decrease in adjusted baseline LTL and mtDNA-CN, respectively. In conclusion, LTL and mtDNA-CN were independent inverse predictors of the 15-year risk of CRC in the Russian cohort. These findings highlight the relevance for subsequent research to exploit the mechanisms through which LTL and mtDNA-CN may reflect human health.
在这项研究中,我们评估了血液白细胞端粒长度(LTL)和线粒体DNA拷贝数(mtDNA-CN)与结直肠癌(CRC)发生风险的关系。我们对来自HAPIEE研究的一组俄罗斯男性和女性(年龄45 - 69岁,n = 9360,其中54%为女性)进行了15年的研究和随访。采用嵌套病例-对照设计,我们在无任何基线癌症的患者中选择了CRC事件病例(n = 146),在无基线癌症和心血管疾病且随访结束时存活的患者中选择了按性别和年龄分层的对照组(n = 799)。我们采用多变量调整逻辑回归来估计每1十分位LTL或mtDNA-CN的CRC的优势比(ORs)。我们观察到LTL和mtDNA-CN基线值与15年发生CRC的风险呈负相关。端粒较短的携带者15年发生结直肠癌的风险增加,LTL每降低1个十分位数调整后的OR为3.2 (95% CI: 2.56 - 3.87, P < 0.001),与基线年龄、性别、吸烟、体重指数、血压、血脂水平和教育程度无关。同样,较低的mtDNA-CN与较高的CRC发生风险相关,mtDNA-CN每降低1十分位调整OR为1.7 (95% CI: 1.12 - 1.89, P < 0.001),独立于上述因素。根据调整后的LTL和mtDNA-CN的修正值及其与病例对照状态的相互作用,调整后的基线LTL和mtDNA-CN每降低1十分位数,CRC的or分别为2.53和1.52。总之,LTL和mtDNA-CN是俄罗斯队列中15年CRC风险的独立负向预测因子。这些发现突出了后续研究的相关性,即利用LTL和mtDNA-CN可能反映人类健康的机制。
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引用次数: 1
Antisense oligonucleotides targeting hepatic angiotensinogen reduce atherosclerosis and liver steatosis in hypercholesterolemic mice. 靶向肝血管紧张素原的反义寡核苷酸可减少高胆固醇血症小鼠的动脉粥样硬化和肝脏脂肪变性。
Pub Date : 2023-01-01 DOI: 10.36922/gtm.288
Dien Ye, Congqing Wu, Lei Cai, Deborah A Howatt, Ching-Ling Liang, Yuriko Katsumata, Adam E Mullick, Ryan E Temel, A H Jan Danser, Alan Daugherty, Hong S Lu

Hepatocyte-derived angiotensinogen (AGT) is the precursor of angiotensin II (AngII). We determined the effects of hepatocyte-specific (N-acetylgalactosamine-conjugated) antisense oligonucleotides targeting AGT (GalNAc AGT ASO) on AngII-mediated blood pressure (BP) regulation and atherosclerosis and compared its effects with losartan, an AngII type 1 (AT1) receptor blocker, in hypercholesterolemic mice. Eight-week-old male low-density lipoprotein (LDL) receptor deficient mice were administered vehicle or GalNAc AGT ASO (1, 2.5, or 5 mg/kg) subcutaneously beginning 2 weeks before the initiation of Western diet feeding. All mice were fed Western diet for 12 weeks. Their systolic BP was monitored by the tail-cuff technique, and the atherosclerotic lesion area was measured by an en face method. Although the effects of all 3 doses of GalNAc AGT ASO on plasma AGT concentrations were similar, GalNAc AGT ASO reduced BP and atherosclerotic lesion size in a dose-dependent manner. Subsequently, we compared the effects of GalNAc AGT ASO (5 mg/kg) with losartan (15 mg/kg/day). Compared to losartan, GalNAc AGT ASO led to more profound increases in plasma renin and reduction in BP but had similar effects on atherosclerosis. Remarkably, GalNAc AGT ASO also reduced liver steatosis, which was not observed in losartan-treated mice. In conclusion, the BP increase and atherosclerosis development in hypercholesterolemic mice are dependent on AngII generated from hepatic AGT. Deleting hepatic AGT improves diet-induced liver steatosis, and this occurs in an AT1 receptor-independent manner.

肝细胞源性血管紧张素原(AGT)是血管紧张素II (AngII)的前体。我们测定了靶向AGT的肝细胞特异性(n -乙酰半乳糖胺偶联)反义寡核苷酸(GalNAc AGT ASO)对血管介导的血压(BP)调节和动脉粥样硬化的作用,并将其与高胆固醇血症小鼠AngII型1 (AT1)受体阻滞剂氯沙坦的作用进行了比较。8周龄雄性低密度脂蛋白(LDL)受体缺陷小鼠在开始西餐喂养前2周开始皮下注射载药或GalNAc AGT ASO(1、2.5或5 mg/kg)。各组小鼠均饲喂西餐12周。用尾袖技术监测收缩压,用面法测量动脉粥样硬化病变面积。虽然所有3种剂量的GalNAc AGT ASO对血浆AGT浓度的影响相似,但GalNAc AGT ASO以剂量依赖的方式降低血压和动脉粥样硬化病变大小。随后,我们比较了GalNAc AGT ASO (5mg /kg)与氯沙坦(15mg /kg/天)的效果。与氯沙坦相比,GalNAc AGT ASO导致血浆肾素的显著升高和血压的降低,但对动脉粥样硬化的影响相似。值得注意的是,GalNAc AGT ASO也减少了肝脏脂肪变性,这在氯沙坦治疗的小鼠中没有观察到。综上所述,高胆固醇血症小鼠的血压升高和动脉粥样硬化的发展依赖于肝AGT产生的AngII。去除肝脏AGT可改善饮食诱导的肝脂肪变性,这是一种不依赖于AT1受体的方式。
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引用次数: 0
Inaugural editorial: A new platform dedicated to promote bench-to-bedside translation 首篇社论:一个致力于促进从床到床的翻译的新平台
Pub Date : 2022-12-30 DOI: 10.36922/gtm.v1i2.315
Lemin Zheng
N/A
N/A
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引用次数: 0
Effect of leptin on aortic dissection 瘦素对主动脉夹层的影响
Pub Date : 2022-12-09 DOI: 10.36922/gtm.v1i2.85
Ling Chen, Y. Xi, Fan Xu, L. Chen
The most important clinical features of aortic dissection (AD) are its acute onset, rapid progress, and high fatality rate. The exact pathogenesis of AD is unclear, and the focus of current research on the mechanism of AD has been primarily on hypertension and changes in metalloproteinases, among which leptin plays an important role. The purpose of this study is to evaluate the effect of leptin on AD. We conducted a computerized literature search on animal studies related to leptin and dissecting aortic aneurysm in PubMed, EMBASE, Cochrane Library, MEDLINE, and other databases from their inception to present. Meta-analysis was conducted to compare the changes in aortic diameter, aortic dilatation, and the incidence of AD in mice under the local intervention of leptin or leptin antagonist (LepA). A total of four studies were included, involving five batches of animal experiments. According to the results of the meta-analysis, the increase in local leptin content led to the enlargement of aortic diameter (relative risk [RR] = 0.18; 95% confidence interval [CI]: 0.09 – 0.27; P < 0.0001) and increased aortic dilatation (RR = 0.11; 95% CI: 0.01 – 0.22; P < 0.0001). This meta-analysis showed that local leptin administration increased the aortic diameter and aortic dilatation. However, due to high heterogeneity between the results, it is difficult to draw a clear conclusion on the effect of leptin on AD.
主动脉夹层(aortic夹层,AD)最重要的临床特征是发病急、进展快、病死率高。阿尔茨海默病的确切发病机制尚不清楚,目前对阿尔茨海默病发病机制的研究重点主要集中在高血压和金属蛋白酶的变化上,其中瘦素起着重要作用。本研究的目的是评价瘦素对AD的影响。我们在PubMed、EMBASE、Cochrane Library、MEDLINE和其他数据库中对瘦素和夹层主动脉瘤相关的动物研究进行了计算机文献检索。meta分析比较瘦素或瘦素拮抗剂(LepA)局部干预下小鼠主动脉直径、主动脉扩张和AD发病率的变化。共纳入4项研究,涉及5批动物实验。meta分析结果显示,局部瘦素含量升高导致主动脉内径增大(相对危险度[RR] = 0.18;95%置信区间[CI]: 0.09 ~ 0.27;P < 0.0001)和主动脉扩张增加(RR = 0.11;95% ci: 0.01 - 0.22;P < 0.0001)。这项荟萃分析显示,局部给药瘦素增加了主动脉直径和主动脉扩张。然而,由于结果之间的高度异质性,瘦素对AD的影响很难得出明确的结论。
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引用次数: 0
State-of-the-Art: A Taxonomy of AI-Assisted Robotics for Medical Therapies and Applications 最新技术:用于医疗治疗和应用的人工智能辅助机器人分类
Pub Date : 2022-10-28 DOI: 10.36922/gtm.v1i2.176
Jinyang Wang, Lei Zhu, Po Yang, P. Li, Jihong Wang, Huating Li, Bin Sheng
This paper presents a survey on the development and major advances of artificial intelligence assisted robotics for therapeutic tasks by concentrating on the current challenges emerging from the clinical application process and the research efforts mitigating the problems. In this survey, we search Nature, Science, Cell and other websites with high influence by using keywords (i.e., artificial assisted medical robots), categorized research works over the past three decades based on therapeutic applications, and discussed the latest development and bottleneck problems of each subtopic finally. Specifically, we first present a chronology of the artificial intelligence assisted techniques developed for medical therapeutic tasks over the past three decades and then classify them according to the principles of the algorithm and its corresponding type of medical therapeutic tasks. The artificial intelligence technologies in the chronology evolve from classic machine learning statistical methods of the early nineties to data driven deep learning methods. Then a taxonomy of the artificial intelligence technologies assisted therapeutic tasks in the past three decades is described according to the therapeutic task types and hot topics of the knotty problems. One prosperous trend has been abstracted from the interpretation of our taxonomy and the most highly cited research papers using certain search criteria with Nature and Cell databases, which undergoes revolutionary development of artificial intelligence and closer integration with clinical therapeutic tasks. The trend is unprecedent and more comprehensive Human-Robot Interaction, which benefits sophisticated telesurgery and microsurgery by being capable of facilitating Surgeons with higher imaging accuracy and human-like tactile sensation. Our survey discusses the current grand challenges and future trends of artificial intelligence assisted therapeutic tasks for the convenience of clinical research and applications. We hope this survey would help bridging the gap between entrepreneurial translation and research.
本文介绍了人工智能辅助机器人治疗任务的发展和主要进展,重点介绍了临床应用过程中出现的当前挑战以及缓解问题的研究工作。在本次调查中,我们使用关键词(即人工辅助医疗机器人)搜索Nature、Science、Cell等影响力较大的网站,根据治疗应用对近三十年的研究成果进行分类,最后讨论各子主题的最新进展和瓶颈问题。具体来说,我们首先给出了过去三十年来为医疗任务开发的人工智能辅助技术的年表,然后根据算法的原理及其相应的医疗任务类型对它们进行分类。人工智能技术从90年代早期的经典机器学习统计方法发展到数据驱动的深度学习方法。然后根据疑难问题的治疗任务类型和热点话题,对近三十年来人工智能技术辅助治疗任务进行了分类。一个繁荣的趋势是从我们的分类法和使用自然和细胞数据库的某些搜索标准的高引用研究论文的解释中抽象出来的,它经历了人工智能的革命性发展,并与临床治疗任务更紧密地结合起来。这种趋势是前所未有的,更全面的人机交互,有利于先进的远程外科和显微外科,能够帮助外科医生获得更高的成像精度和类似人类的触觉。我们的调查讨论了人工智能辅助治疗任务的当前重大挑战和未来趋势,以方便临床研究和应用。我们希望这项调查能够帮助弥合创业翻译和研究之间的差距。
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引用次数: 1
Genetic and non-genetic risk factors of idiopathic pulmonary fibrosis: A review 特发性肺纤维化的遗传和非遗传危险因素综述
Pub Date : 2022-09-26 DOI: 10.36922/gtm.v1i2.107
Sh.R. Zulkarneev, R. Zulkarneev, G. Korytina, Irshat A. Gibadullin, A. M. Avzaletdinov, Z. Niu, Jiayu Guo, Y. G. Aznabaeva, G. Nurtdinova, N. Zagidullin
Idiopathic pulmonary fibrosis (IPF) is the most common form of fibrosis of internal organs. The etiology and pathogenesis of IPF are still not well understood. However, a growing line of evidence shows that both genetic and non-genetic factors contribute to IPF development. The release of pro-inflammatory cytokines activates the immune cells. The enhanced synthesis of interleukins and cytokines, especially transforming growth factor β1 leads to the proliferation of fibroblasts, increased extracellular matrix formation, and epithelial-mesenchymal transformation of the lung tissue. These pathological changes could lead to fibrosis. Polymorphisms of genes responsible for the function of mucociliary clearance (MUC5B), telomerases (TERT, TERC), as well as signaling pathway related-genes such as Sonic hedgehog, Wnt, and some other genes are also risk factors for IPF development. Epigenetic regulatory mechanisms, such as methylation and acetylation of DNA and histones, may also influence the development and progression of this disease. At present, the role of non-coding RNAs, in particular long non-coding RNAs (lncRNA) in the development of fibrotic processes, is actively studied. LncRNA is an RNA that is longer than 200 base pairs and does not code for any proteins. LncRNAs perform various functions in the cell, from nuclear compartmentation to epigenetic regulation of gene expression and post-translational modification of proteins. In this review, we present the important aspects in the pathogenesis of IPF.
特发性肺纤维化(IPF)是最常见的内脏纤维化形式。IPF的病因和发病机制尚不清楚。然而,越来越多的证据表明,遗传和非遗传因素都有助于IPF的发展。促炎细胞因子的释放激活了免疫细胞。白细胞介素和细胞因子的合成增强,尤其是转化生长因子β1,导致成纤维细胞增殖,细胞外基质形成增加,肺组织上皮间质转化。这些病理变化可导致纤维化。粘膜纤毛清除(MUC5B)、端粒酶(TERT、TERC)以及信号通路相关基因如Sonic hedgehog、Wnt等基因的多态性也是IPF发生的危险因素。表观遗传调控机制,如DNA和组蛋白的甲基化和乙酰化,也可能影响这种疾病的发生和进展。目前,非编码rna,特别是长链非编码rna (long non-coding rna, lncRNA)在纤维化过程发展中的作用被积极研究。LncRNA是一种长度超过200个碱基对的RNA,不编码任何蛋白质。LncRNAs在细胞中执行各种功能,从核区隔到基因表达的表观遗传调控和蛋白质的翻译后修饰。在这篇综述中,我们介绍了IPF发病机制的重要方面。
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引用次数: 1
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Global translational medicine
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