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Understanding chinese medicine and western medicine to reach the maximum treatment benefit 了解中西医结合,达到治疗效益最大化
Pub Date : 2020-01-01 DOI: 10.15761/jts.1000334
C. C, B. B
Medicine can be traced back to as early as the origin of man, since food and medicine are intertwined. Some foods can be used for medicinal purposes, and some foods with medicinal properties are also used as everyday foods, such as spices used in cooking around the world. This is very much true of herbal medicine. When we are healthy, these medicinal foods can be consumed without restriction such as in daily eating, however when we are sick, the medicinal foods or edible materials are restricted and used as a drug in the traditional sense where the quantity used or consumed is regulated.
医学可以追溯到人类的起源,因为食物和药物是交织在一起的。有些食物可以用作药用,有些具有药用特性的食物也被用作日常食物,例如世界各地烹饪中使用的香料。这是非常真实的草药。当我们健康时,这些药膳可以不受限制地食用,例如在日常饮食中,但是当我们生病时,药膳或食用材料受到限制,并作为传统意义上的药物使用,其使用或消耗的数量受到管制。
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引用次数: 4
High-glucose induced HIF-1α down-regulation impairs the function of the endothelial progenitor cells via PI3K/AKT signaling pathway 高糖诱导的HIF-1α下调通过PI3K/AKT信号通路损害内皮祖细胞的功能
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000360
Yanting Dong, Xiaohui Zhou, Song Zhang, Xihua Lin, Nan Zhang
Objective: This study aimed to investigate the effect of high-glucose conditions in the EPCs from whole peripheral and bone marrow of diabetic rats. To determine the expression of critical initiation factor HIF-1 α and HIF-1 α -induced vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor (VEGFR) in high glucose environment. The effect of over expression of HIF-1 α to the function of the EPCs in diabetic rats via regulating PI3K/AKT signaling pathway. Methods: Primary EPCs from whole peripheral and bone marrow of Sprague-Dawley control rats and streptozoctin (STZ)-induced diabetic rats were harvested, isolated and characterized. Cell viability, migration, and tube formation ability were detected by CCK8, Transwell assay and Matrigel-based capillary-like tube formation assay. Gene transcription and protein expression were evaluated by real-time polymerase chain reaction and Western blotting, respectively. Results: Cell viability, migration, and tube formation ability of EPCs were impaired under high-glucose conditions. Overexpression of HIF-1 α alleviated high glucose-induced EPCs dysfunction by promoting the transcription and expression of VEGF and VEGFR in EPCs under high-glucose. Furthermore, high-glucose inhibited PI3K/AKT phosphorylation and PI3K agonist rescued the HIF-1 α -VEGF/VEGFR expression of EPCs under high-glucose conditions via activating PI3K/AKT signaling pathway. Conclusion: These results suggest that the attenuation of high-glucose induced EPCs dysfunction of diabetic rats by HIF-1 α overexpression partly requires activating PI3K/AKT signaling pathway, thus providing theoretical basis for the treatment of diabetic vascular neogenesis and vascular injury repair.
目的:探讨高糖环境对糖尿病大鼠全外周血和骨髓内皮祖细胞的影响。测定高糖环境下关键起始因子HIF-1 α及HIF-1 α诱导的血管内皮生长因子(VEGF)和血管内皮生长因子受体(VEGFR)的表达。过表达HIF-1 α通过调节PI3K/AKT信号通路对糖尿病大鼠EPCs功能的影响方法:从Sprague-Dawley大鼠和STZ诱导的糖尿病大鼠的整个外周和骨髓中收集、分离和鉴定原代EPCs。通过CCK8、Transwell实验和基于matrigel的毛细管样管形成实验检测细胞活力、迁移和成管能力。实时聚合酶链反应和Western blotting分别检测基因转录和蛋白表达。结果:在高糖条件下,EPCs的细胞活力、迁移能力和成管能力均受到损害。过表达HIF-1 α通过促进高糖环境下EPCs中VEGF和VEGFR的转录和表达,减轻高糖诱导的EPCs功能障碍。此外,高糖抑制PI3K/AKT磷酸化,PI3K激动剂通过激活PI3K/AKT信号通路挽救高糖条件下EPCs的HIF-1 α -VEGF/VEGFR表达。结论:上述结果提示,HIF-1 α过表达抑制高糖诱导的糖尿病大鼠EPCs功能障碍,部分需要激活PI3K/AKT信号通路,从而为糖尿病血管新生和血管损伤修复的治疗提供理论依据。
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引用次数: 1
Plasma PCSK9 predicts microvascular function but not arterial stiffness in African-Americans with well controlled type 2 diabetes 血浆PCSK9可预测控制良好的非裔美国2型糖尿病患者的微血管功能,但不能预测动脉僵硬度
Pub Date : 2020-01-01 DOI: 10.15761/jts.1000433
Ayobami Eluwole, A. Adedayo, F. Tedla, Arye Kremer, Nicole Mastrogiovanni, M. Khan, C. Rosenberg, P. Dreizen, J. Rosa, L. Salciccioli, M. Boutjdir, M. Banerji, C. Brown, M. Salifu, J. Lazar, A. Bakillah
Proprotein convertase subtilisin/kexin type 9 (PCSK9) genetic variants are associated with increased risk of type 2 diabetes mellitus (T2DM). Contradictory outcomes have been reported for the relationship between PCSK9 and increased diabetes risk. Furthermore, the relationship between PCSK9 levels, glycemic status, and vascular function among different ethnic groups is still not fully understood. African-Americans suffer disproportionately from many chronic diseases including T2DM due to many factors including environmental, socioeconomic and genetics factors. Thus, we aimed in this study is to examine the association between plasma PCSK9 and vascular dysfunction in African-Americans with T2DM. PCSK9 and total nitric oxide (NO) levels were measured by enzyme-linked immunosorbent assays (ELISA). Microvascular function was assessed by the vascular reactivity index (VRI) and large artery stiffness was assessed by carotid-femoral pulse wave velocity (PWV). A total of 146 participants with T2DM were enrolled in this study. Mean patients’ age was 60 ± 8 years. Eighty percent (80%) had hypertension, 90% had dyslipidemia and 15% had chronic kidney disease. Total population was categorized into two groups based on HbA1c median value (7.5%). PCSK9 levels negatively correlated with VRI but not PWV in the total population and in well controlled patients with HbA1c ≤7.5% (r=-0.175, p=0.036 and r=-0.293, p=0.010; respectively). PCSK9 levels positively correlated with total NO levels in total population and in well controlled patients (r=0.186, p=0.0024 and r=0.256, p=0.023; respectively). Univariate analysis exhibited that PCSK9 levels were associated with VRI, but not PWV, in total population and in well controlled patients ( β =-0.175, p=0.036 and β =-0.293, p=0.010; respectively). Multivariable-adjusted regression analysis revealed that PCSK9 levels predicted VRI in well controlled patients ( β =-0.384, p=0.033) but not in poorly controlled patients. Furthermore, changes in total NO availability did not impact the PCSK9-VRI association in well controlled diabetic patients. Larger studies are needed to confirm the association of circulating PCSK9 with subclinical microvascular changes in T2DM, particularly in patients with good glycemic control.
蛋白转化酶枯草杆菌素/酮素9型(PCSK9)基因变异与2型糖尿病(T2DM)风险增加相关。关于PCSK9与糖尿病风险增加之间的关系,已经报道了相互矛盾的结果。此外,不同族群中PCSK9水平、血糖状态和血管功能之间的关系尚不完全清楚。由于环境、社会经济和遗传因素等多种因素,非洲裔美国人患有包括2型糖尿病在内的许多慢性疾病。因此,本研究的目的是研究非裔美国人2型糖尿病患者血浆PCSK9与血管功能障碍之间的关系。采用酶联免疫吸附法(ELISA)检测PCSK9和总一氧化氮(NO)水平。用血管反应性指数(VRI)评价微血管功能,用颈-股脉波速度(PWV)评价大动脉硬度。共有146名2型糖尿病患者参加了这项研究。患者平均年龄60±8岁。80%(80%)患有高血压,90%患有血脂异常,15%患有慢性肾病。根据HbA1c中位数(7.5%)将总人口分为两组。在总体人群和控制良好的HbA1c≤7.5%的患者中,PCSK9水平与VRI呈负相关,但与PWV无关(r=-0.175, p=0.036和r=-0.293, p=0.010;分别)。PCSK9水平与总NO水平呈正相关(r=0.186, p=0.0024, r=0.256, p=0.023);分别)。单因素分析显示,PCSK9水平与VRI相关,但与控制良好的患者无关(β =-0.175, p=0.036和β =-0.293, p=0.010;分别)。多变量调整回归分析显示,PCSK9水平在控制良好的患者中预测VRI (β =-0.384, p=0.033),而在控制不良的患者中则不然。此外,在控制良好的糖尿病患者中,总NO可用性的变化并不影响PCSK9-VRI的关联。需要更大规模的研究来证实循环PCSK9与T2DM亚临床微血管变化的关联,特别是在血糖控制良好的患者中。
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引用次数: 0
Acute onset of inflammatory colitis in overlap with psoriatic arthritis and systemic lupus erythematosus following treatment with secukinumab 急性发作的炎症性结肠炎与银屑病关节炎和系统性红斑狼疮在用secukinumab治疗后重叠
Pub Date : 2020-01-01 DOI: 10.15761/jts.1000445
S. Almér, F. Faustini, Sylwester Szczegielniak, I. Gunnarsson
Received: December 28, 2020; Accepted: January 05, 2021; Published: January 09, 2021 A male diagnosed with psoriasis and psoriatic arthritis at age 18, underwent a kidney biopsy at age 23 due to persistent proteinuria, with findings of an immune-complex mediated mesangiocapillary nephritis with substantial glomerular sclerosis. Antinuclear antibodies (ANA) were negative but increased levels of antibodies against cardiolipin and γ2glycoprotein-I were detected.
收稿日期:2020年12月28日;录用日期:2021年1月05日;一名男性患者在18岁时被诊断为银屑病和银屑病关节炎,23岁时因持续性蛋白尿接受肾活检,发现免疫复合物介导的血管毛细血管肾炎伴实质肾小球硬化。抗核抗体(ANA)阴性,但抗心磷脂和γ2糖蛋白- 1抗体水平升高。
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引用次数: 0
Alternately repetitive cast/brace (ARCB) treatment for larger-magnitude early-onset scoliosis: A retrospective cohort study 交替重复石膏/支架(ARCB)治疗较大程度早发性脊柱侧凸:一项回顾性队列研究
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000358
Kawakami N, Saito T, Tauchi R, Kawakami K, Ohara T
Objective: The present study aims to investigate the potential of ARCB-T as a delayed tactic even for larger-magnitude scoliosis. Methods: In the present retrospective cohort study, the inclusion criteria were as follows: (1) EOS and 2) age of initiation for ARCB-T ≤ 4 years. Consecutively enrolled 120 patients since 1995–2016 met these criteria. They were divided into the following two groups in terms of initial scoliosis of 50°: Cast Larger-Group (CL-G; main scoliosis ≥50°; n = 78) and Cast Mild-Group (CM-G; main scoliosis <50°; n = 42). Etiologies were as follows: congenital/structural defects (CS/ST; n = 55); infantile idiopathic scoliosis (IIS; n = 28); syndromic scoliosis (SS; n = 32); and neuromuscular scoliosis ( n = 5). ARCB-T was switched to surgical intervention in 52 and 17 patients in the CL-G and CM-G, respectively. The endpoints were the progression rate during ARCB-T and the magnitude of scoliosis at the end of ARCB-T. We compared scoliosis measured at initiation and end of ARCB-T, and scoliosis in the initial cast placement between the two groups. Results: We observed a reduction of scoliosis <30° in 11.5% and 28.6% patients in the CL-G and CM-G, respectively. While, patients with scoliosis >70° did not display improvement of scoliosis <30°. Early initiation of ARCB-T significantly correlated with a lower progression rate ( P = 0.0384). Patients with larger-magnitude scoliosis at the first casting exhibited significantly larger-magnitude scoliosis at the end of ARCB-T ( P < 0.0001). Better correction of scoliosis by initial casting decreased the progression rate ( P = 0.0113) among patients in both the groups. Although the correction of scoliosis by initial casting did not correlate with the progression rate in the CL-G ( P = 0.1153), the progression rate during ARCB-T significantly correlated with the correction by casting in patients with ≥70° or 80° of scoliosis ( P = 0.0016). The diagnoses correlated with the efficacy of ARCB-T and IIS exhibited a significantly better progression rate (−3.0°/year) than other etiologies. Conclusion: Despite being limited in the suppression of the progression of larger-magnitude scoliosis, ARCB-T works less efficiently as a delayed tactic to surgery and could be an option for larger-magnitude scoliosis if it displays better correction at the first cast placement. as a delayed for
目的:本研究旨在探讨ARCB-T作为一种延迟策略的潜力,即使是对于较大程度的脊柱侧凸。方法:在本回顾性队列研究中,纳入标准为:(1)EOS; (2) ARCB-T的起始年龄≤4岁。自1995-2016年连续入组120例符合这些标准的患者。根据50°初始侧凸分为以下两组:铸型大组(CL-G);主侧凸≥50°;n = 78)和Cast Mild-Group (CM-G;主侧凸70°<30°无明显改善。早期启动ARCB-T与较低的进展率显著相关(P = 0.0384)。第一次铸造时脊柱侧凸较大的患者在ARCB-T结束时脊柱侧凸明显较大(P < 0.0001)。在两组患者中,通过初始铸造更好地矫正脊柱侧凸降低了进展率(P = 0.0113)。虽然初次铸造矫正脊柱侧凸与CL-G患者的进展率不相关(P = 0.1153),但≥70°或80°脊柱侧凸患者在ARCB-T期间的进展率与铸造矫正显著相关(P = 0.0016)。与ARCB-T和IIS疗效相关的诊断表现出明显优于其他病因的进展率(- 3.0°/年)。结论:尽管在抑制大幅度脊柱侧凸进展方面受到限制,但ARCB-T作为延迟手术策略的效果较差,如果在第一次放置石膏时显示更好的矫正效果,则可作为大幅度脊柱侧凸的一种选择。作为一个延迟的
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引用次数: 0
Glucocorticoid receptors in critically ill patients 危重病人的糖皮质激素受体
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000354
A. Vassiliou, G. Stamogiannos, G. Floros, A. Kotanidou, I. Dimopoulou
In critically ill patients, the hypothalamic-pituitary-adrenal axis is activated and as a consequence these patients exhibit increased serum cortisol concentrations. However, a number of patients have relatively low cortisol levels for the degree of illness severity. Glucocorticoid actions are facilitated by the glucocorticoid receptor whose dysfunction leads to glucocorticoid tissue resistance. Most clinical studies in critically ill adult patients have studied cortisol availability, and only a few have investigated glucocorticoid receptor levels and function. In this review we will explore the conflicting results that have arisen from the clinical studies that aimed to elucidate the role of glucocorticoid receptor in glucocorticoid resistance. The study of receptor function and expression might aid in identifying the patients who will benefit from corticosteroid administration.
在危重患者中,下丘脑-垂体-肾上腺轴被激活,因此这些患者表现出血清皮质醇浓度升高。然而,许多患者的皮质醇水平相对较低,与疾病严重程度相关。糖皮质激素的作用由糖皮质激素受体促进,其功能障碍导致糖皮质激素组织抵抗。大多数危重成人患者的临床研究都研究了皮质醇的可用性,只有少数研究了糖皮质激素受体的水平和功能。在这篇综述中,我们将探讨从临床研究中产生的相互矛盾的结果,旨在阐明糖皮质激素受体在糖皮质激素耐药中的作用。受体功能和表达的研究可能有助于确定将受益于皮质类固醇治疗的患者。
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引用次数: 0
Dysphagia and drooling in parkinson disease improved by sensory cues 帕金森氏症的吞咽困难和流口水可以通过感觉提示得到改善
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000386
J. Galli, M. Marchese, C DeCanio, M. Battaglia, G. Gatto, Lorenzo Santandrea, G. Paludetti
In the Parkinson disease (PD) ones of the most common motor and non-motor symptoms are respectively dysphagia and drooling. The usual management includes swallowing rehabilitation maneuvers especially for the oral and pharyngeal phases. Basing on the role of sensory cues demonstrated for gait and dysarthria we describe two cases of PD with dysphagia symptoms and poor saliva control who were subjected to rehabilitation therapy combined with visual and auditory cues. The dysphagia-related impairments have a direct influence on the nutritional and health status of the patients and are associated with increased morbidity and mortality. The results observed at the early and late controls were encouraging and promote the research about the role of sensory cues in enhance the efficacy of the physical rehabilitation.
在帕金森病(PD)中,最常见的运动和非运动症状分别是吞咽困难和流口水。通常的治疗方法包括吞咽康复,特别是在口腔和咽部阶段。基于感觉线索在步态和构音障碍中的作用,我们描述了两例伴有吞咽困难症状和唾液控制不良的PD患者,他们接受了视觉和听觉线索结合的康复治疗。吞咽困难相关的损伤直接影响患者的营养和健康状况,并与发病率和死亡率增加有关。早期对照和晚期对照的结果令人鼓舞,促进了感觉线索在提高肢体康复疗效中的作用的研究。
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引用次数: 0
A survey of in-vitro and in-vivo effects of steroids on melanoma growth and its implication on the nature of the disease 体外和体内类固醇对黑色素瘤生长的影响及其对疾病性质的影响的调查
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000338
P. Ramaraj
Melanoma, a fatal form of skin cancer accounts for less than 2% of skin cancer, but is responsible for 75% death due to skin cancer [1]. UV rays in the Sun is believed to be responsible for 90% of melanoma incidence [2], with only 10% inherited in the family. Epidemiological studies showed that mortality rate was higher in males than in females [3]. Current targeted therapy and immuno-therapy are accompanied by serious side-effects such as endocrinopathies and other allergic and autoimmune disorders [4,5]. This situation warrants an understanding of the fundamental nature of the disease before developing any treatment. At this juncture, a survey of in-vitro and in-vivo effects of steroids on melanoma growth [6] provided a basis for the nature of this disease.
黑色素瘤是一种致命的皮肤癌,占皮肤癌的不到2%,但因皮肤癌死亡的75%是由黑色素瘤造成的。据信,90%的黑色素瘤发病率是由太阳中的紫外线造成的,只有10%是家族遗传的。流行病学研究表明,男性的死亡率高于女性。目前的靶向治疗和免疫治疗伴有严重的副作用,如内分泌病变和其他过敏性和自身免疫性疾病[4,5]。这种情况需要在开发任何治疗之前了解这种疾病的基本性质。在这个关键时刻,类固醇对黑色素瘤生长的体外和体内影响的调查为这种疾病的性质提供了基础。
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引用次数: 0
Detection of circulating tumor cells after surgery for stage III and IV squamous cell carcinoma of the head and neck 头颈部III期和IV期鳞状细胞癌术后循环肿瘤细胞的检测
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000335
R. Mastronicola, S. Cortese, E. Beulque, X-a Wu, M. Roch, M. Perna, J. Salleron, Merlin Jl, G. Faure, J. Munier, L. Bolotine, G. Dolivet
Abbreviations: SCCHN: Squamous cell carcinoma head and neck; CTC: Circulating tumor cells; EGFR: Epidermal growth factor Epithelial adhesion EMT: Epithelial-mesenchymal transition; CEA: Carcinoembryonic CK 18,19: Cytokeratin 18,19; Ef3: E74-like 3; PVA: Pemfigus vulgaris antigen, SCCA: Squamous cell carcinoma antigen; EphB4: Tyrosine kinase erythropoietin producing hepatocellular; RT-PCR: Reverse transcription-polymerase chain Microemboli. Abstract In this study, we focused mainly on the metastatic process related to surgery in squamous cell carcinoma of the upper aerodigestive tract. We attempted to detect isolated cells (CTCs) of head and neck squamous cell carcinoma (SCCHN) in blood stream before, during and after surgery. With this aim, we realized a prospective study analyzing the impact of surgery on the CTC level during a period of 9 days. Two widely used techniques were used in this study : PCR in real time and Cell Search.
缩写:SCCHN:头颈部鳞状细胞癌;CTC:循环肿瘤细胞;表皮生长因子上皮黏附EMT上皮间质转化;CEA:癌胚CK 18、19:细胞角蛋白18、19;Ef3: E74-like 3;PVA:寻常性Pemfigus vulgaris抗原,SCCA:鳞状细胞癌抗原;EphB4:酪氨酸激酶促红细胞生成素产生肝细胞;RT-PCR:逆转录聚合酶链微栓子。在本研究中,我们主要关注上消化道鳞状细胞癌与手术相关的转移过程。我们试图检测头颈部鳞状细胞癌(SCCHN)的分离细胞(ctc)在术前、术中和术后的血流中。为此,我们进行了一项前瞻性研究,分析了手术对9天内CTC水平的影响。本研究中使用了两种广泛使用的技术:实时PCR和细胞搜索。
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引用次数: 2
A review of GOLPH2, an oncogenic protein and novel therapeutic options for GOLPH2 driven tumours GOLPH2,一种致癌蛋白和GOLPH2驱动肿瘤的新治疗选择的综述
Pub Date : 2020-01-01 DOI: 10.15761/JTS.1000356
Yang Liu, H. Liewen, Norbert Markuly, F. Stenner
GOLPH2 (Golgi Phosphoprotein 2) is a protein with pro-oncogenic properties that has currently been identified as a prime target for tumour therapy. Its involvement in key oncogenic pathways like EGFR, mTOR/AKT, PI3K makes it a good candidate for therapeutic intervention. Several research groups have consistently reported that GOLPH2, when expressed at high levels leads to epithelial to mesenchymal transition (EMT), increased cell proliferation, migration and metastasis. Not amazingly, it appears that many tumours exploit GOLPH2 for their advantage. Stopping GOLPH2´s detrimental effects would mean impairing tumour progression on various levels of its development. Therefore, inhibition of GOLPH2, a protein contributing to important hallmarks of cancer deserves the attention of researchers and drug developing stakeholders. However, its mainly intracellular localisation and the lack of domains that could possibly be interfered with by small molecules, have led to the conclusion that GOLPH2 is an un-targetable molecule. Here, we summarize the current knowledge of this multifunctional protein and describe possibilities to pharmacologically intervene to ameliorate its overshooting function in malignant diseases. Novel approaches like viral interventions or specific antibodies could soon result in a substantial therapeutic improvement for cancers with underlying GOLPH2 pathologies.
GOLPH2(高尔基磷酸化蛋白2)是一种具有促癌特性的蛋白,目前已被确定为肿瘤治疗的主要靶点。它参与关键的致癌途径,如EGFR, mTOR/AKT, PI3K,使其成为治疗干预的良好候选者。几个研究小组一致报道,高水平表达GOLPH2可导致上皮细胞向间质转化(EMT),增加细胞增殖、迁移和转移。毫不奇怪,许多肿瘤似乎都利用GOLPH2来为自己谋利。阻止GOLPH2的有害影响将意味着在不同的发展水平上损害肿瘤的进展。因此,抑制GOLPH2(一种参与癌症重要标志的蛋白)值得研究人员和药物开发利益相关者的关注。然而,由于其主要定位于细胞内,并且缺乏可能被小分子干扰的结构域,因此得出结论,GOLPH2是一个不可靶向的分子。在这里,我们总结了目前对这种多功能蛋白的认识,并描述了药物干预以改善其在恶性疾病中的过度功能的可能性。病毒干预或特异性抗体等新方法可能很快就会对具有潜在GOLPH2病理的癌症产生实质性的治疗改善。
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引用次数: 1
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Journal of translational science
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