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Neural computation in urology: an orientation. 神经计算在泌尿外科:一个方向。
Pub Date : 2001-12-01 DOI: 10.1089/10915360152745795
C. Niederberger
Neural computation is a field in which mathematical models are derived from algorithms based loosely on the physiological function of the biological neuron. This paper serves as an introduction to those that follow in this issue of Molecular Urology, which describe actual applications of neural computational modeling in the urologic domain. In this introductory paper, the history of computer technology and the foundations of neural computation are discussed. Methods of determining the accuracy of computation models are reviewed, and a statistical method of evaluating the significance of individual input features to the model's output, a process known as "feature extraction," is presented. Resources that provide free and commercial neural computational programs are cited for those readers interested in applying this technology to their own datasets, and a brief description of the author's neural computational programming environment is included. Finally, deployment of computational models via the Internet and various computer platforms is discussed.
神经计算是一个数学模型来源于基于生物神经元生理功能的算法的领域。这篇文章作为《分子泌尿学》后续文章的介绍,描述了神经计算建模在泌尿学领域的实际应用。在这篇介绍性的文章中,讨论了计算机技术的历史和神经计算的基础。本文回顾了确定计算模型准确性的方法,并提出了一种评估单个输入特征对模型输出的重要性的统计方法,该过程称为“特征提取”。对于那些有兴趣将该技术应用于自己的数据集的读者,引用了提供免费和商业神经计算程序的资源,并包括对作者的神经计算编程环境的简要描述。最后,讨论了通过互联网和各种计算机平台部署计算模型。
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引用次数: 6
Farewell and Thank You 再见,谢谢你
Pub Date : 2001-12-01 DOI: 10.1089/10915360152745786
H. Tazaki, W. Fair
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引用次数: 0
Genetic adaptive neural network to predict biochemical failure after radical prostatectomy: a multi-institutional study. 遗传自适应神经网络预测根治性前列腺切除术后生化失败:一项多机构研究。
Pub Date : 2001-12-01 DOI: 10.1089/10915360152745849
Ashutosh Tewari, Mutta Issa, R. El-Galley, H. Stricker, J. Peabody, Julio M. Pow-Sang, Asim Shukla, Zev Wajsman, Mark Rubin, John T. Wei, James Montie, Raymond Demers, Christine C. Johnson, Lois Lamerato, George W. Divine, E. David Crawford, E. Gamito, Riad Farah, Perinchery Narayan, Grant Carlson, M. Menon
BACKGROUND AND PURPOSEDespite many new procedures, radical prostatectomy remains one of the commonest methods of treating clinically localized prostate cancer. Both from the physician's and the patient's point of view, it is important to have objective estimation of the likelihood of recurrence, which forms the foundation for treatment selection for an individual patient. Currently, it is difficult to predict the probability of biochemical recurrence (rising serum prostate specific antigen [PSA] concentration) in an individual patient, and approximately 30% of the patients do experience recurrence. Tools predicting the recurrence will be of immense practical utility in the treatment selection and planning follow up. We have utilized preoperative parameters through a computer based genetic adaptive neural network model to predict recurrence in such patients, which can help primary care physicians and urologists in making management recommendations.PATIENTS AND METHODSFourteen hundred patients who underwent radical prostatectomy at participating institutions form the subjects of this study. Demographic data such as age, race, preoperative PSA, systemic biopsy based staging and Gleason scores were used to construct a neural network model. This model simulated the functioning of a trained human mind and learned from the database. Once trained, it was used to predict the outcomes in new patients.RESULTSThe patients in this comprehensive database were representative of the average prostate cancer patients as seen in USA. Their mean age was 68.4 years, the mean PSA concentration before surgery was 11.6 ng/mL, and 67% patients had a Gleason sum of 5 to 7. The mean length of follow-up was 41.5 months. Eighty percent of the cancers were clinical stage T2 and 5% T3. In our series, 64% of patients had pathologically organ-confined cancer, 33% positive margins, and 14% had seminal vesicle invasion. Lymph node positive patients were not included in this series. Progression as judged by serum PSA was noted in 30.6%. With entry of a few routinely used parameters, the model could correctly predict recurrence in 76% of the patients in the validation set. The area under the curve was 0.831. The sensitivity was 85%, the specificity 74%, the positive predictive value 77%, and the negative predictive value of 83%.CONCLUSIONIt was possible to predict PSA recurrence with a high accuracy (76%). Physicians desiring objective treatment counseling can use this model, and significant cost savings are anticipated because of appropriate treatment selection and patient-specific follow-up protocols. This technology can be extended to other treatments such as watchful waiting, external-beam radiation, and brachytherapy.
背景与目的尽管有许多新的治疗方法,根治性前列腺切除术仍然是临床上治疗局限性前列腺癌最常用的方法之一。从医生和患者的角度来看,客观估计复发的可能性是很重要的,这是为个体患者选择治疗方案的基础。目前,很难预测个体患者的生化复发(血清前列腺特异性抗原[PSA]浓度升高)的概率,大约30%的患者确实经历过复发。预测复发的工具将在治疗选择和计划随访中具有巨大的实用价值。我们通过计算机遗传自适应神经网络模型利用术前参数预测此类患者的复发,这可以帮助初级保健医生和泌尿科医生提出治疗建议。患者和方法在参与研究的机构接受根治性前列腺切除术的1400名患者构成了本研究的研究对象。年龄、种族、术前PSA、基于分期的全身活检和Gleason评分等人口统计学数据用于构建神经网络模型。这个模型模拟了训练有素的人类大脑的功能,并从数据库中学习。经过训练后,它就被用来预测新患者的预后。结果该综合数据库中的患者代表了美国平均的前列腺癌患者。他们的平均年龄为68.4岁,术前PSA平均浓度为11.6 ng/mL, 67%的患者Gleason评分为5 ~ 7。平均随访时间为41.5个月。80%的癌症为临床T2期,5%为T3期。在我们的研究中,64%的患者有病理性器官局限性癌症,33%的边缘阳性,14%的患者有精囊浸润。淋巴结阳性患者不包括在这个系列中。通过血清PSA判断病情进展的患者占30.6%。通过输入一些常规使用的参数,该模型可以正确预测验证集中76%的患者的复发。曲线下面积为0.831。敏感性85%,特异性74%,阳性预测值77%,阴性预测值83%。结论预测PSA复发具有较高的准确率(76%)。希望客观治疗咨询的医生可以使用该模型,并且由于适当的治疗选择和患者特定的随访协议,预计将显著节省成本。这项技术可以扩展到其他治疗,如观察等待、外束辐射和近距离治疗。
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引用次数: 40
Predictive modeling techniques in prostate cancer. 前列腺癌的预测建模技术。
Pub Date : 2001-12-01 DOI: 10.1089/10915360152745812
Ashutosh Tewari, Christopher Porter, J. Peabody, E. David Crawford, Raymond Demers, Christine C. Johnson, John T. Wei, George W. Divine, Colin O'Donnell, E. Gamito, Mani Menon
A number of new predictive modeling techniques have emerged in the past several years. These methods can be used independently or in combination with traditional modeling techniques to produce useful tools for the management of prostate cancer. Investigators should be aware of these techniques and avail themselves of their potentially useful properties. This review outlines selected predictive methods that can be used to develop models that may be useful to patients and clinicians for prostate cancer management.
在过去的几年中,出现了许多新的预测建模技术。这些方法可以单独使用,也可以与传统的建模技术结合使用,为前列腺癌的治疗提供有用的工具。调查人员应该了解这些技术,并利用它们潜在的有用属性。本综述概述了可用于开发前列腺癌管理模型的预测方法,这些模型可能对患者和临床医生有用。
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引用次数: 11
Application of Cre-loxP system to the urinary tract and cancer gene therapy. Cre-loxP系统在泌尿道及肿瘤基因治疗中的应用。
Pub Date : 2001-01-01 DOI: 10.1089/109153601300177600
I. Yoshimura, S. Suzuki, M. Hayakawa
The bacteriophage P1-derived Cre-loxP system is a powerful and versatile tool for in vivo DNA recombination. It is widely used in gene targeting research. The combination of the Cre-loxP system and a specific promoter enables conditional "knockout" of a target gene in a particular tissue or cell type. It has also made it possible to delete genes in adult animals that are essential for embryogenesis. This system is also used to enhance tissue- or tumor-specific promoter activities that are useful for gene therapy of certain types of cancer. It is expected that this simple and effective system will be further utilized in various research applications.
噬菌体p1衍生的Cre-loxP系统是一种强大的、多功能的体内DNA重组工具。广泛应用于基因靶向研究。Cre-loxP系统和特定启动子的结合使特定组织或细胞类型中的靶基因有条件地“敲除”。它也使得在成年动物中删除对胚胎发生至关重要的基因成为可能。该系统还用于增强组织或肿瘤特异性启动子活性,这对某些类型癌症的基因治疗有用。期望这一简单有效的系统在各种研究应用中得到进一步的利用。
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引用次数: 2
Improvements in gene therapy technologies. 基因治疗技术的进步。
Pub Date : 2001-01-01 DOI: 10.1089/109153601300177619
Y. Kaneda
We have combined hemagglutinating virus of Japan (HVJ; Sendai virus) with liposomes for efficient in vitro and in vivo fusion-mediated gene delivery. The HVJ-liposome was a highly efficient vehicle for the introduction of oligonucleotides into cells in vivo as well as for the transfer of genes <100 kbp without damaging cells. By coupling the Epstein-Barr (EB) virus replicon apparatus with HVJ-liposomes (virosomes), transgene expression was sustained in vitro and in vivo. When we added cationic lipids, the HVJ-cationic liposomes increased gene delivery 100 to 800 times in vitro compared with the conventional anionic virosomes and were also more useful for gene expression in restricted areas of organs and for gene therapy of disseminated cancers. We further discovered that the use of anionic virosomes with a virus-mimicking lipid composition (artificial viral envelope; AVE type) increased transfection efficiency approximately 10 fold in vivo, especially in the heart, liver, kidney, and muscle. Most animal organs were found to be suitable targets for the fusigenic virosomes, and numerous gene therapy strategies using this system were successful in animals. The combination of suicide gene therapy with radiation was very effective for killing hepatomas in a mouse model. Arteriosclerosis obliterans in animal models was cured by the transfer of hepatocyte growth factor.
我们合并了日本血凝病毒(HVJ);仙台病毒)与脂质体的高效体外和体内融合介导的基因传递。hvj脂质体是一种高效的载体,可以在体内将寡核苷酸引入细胞,也可以在不损伤细胞的情况下转移<100 kbp的基因。通过将EB病毒复制子装置与hvj脂质体(病毒体)偶联,实现了体外和体内的持续转基因表达。当我们添加阳离子脂质时,hvj -阳离子脂质体与传统阴离子病毒体相比,体外基因传递量增加了100至800倍,并且在器官受限区域的基因表达和播散性癌症的基因治疗中也更有用。我们进一步发现,使用阴离子病毒体与病毒模拟脂质组成(人工病毒包膜;AVE型)在体内的转染效率提高了约10倍,特别是在心脏、肝脏、肾脏和肌肉中。大多数动物器官被发现是适合于融合病毒体的靶标,并且许多使用该系统的基因治疗策略在动物中都是成功的。在小鼠模型中,自杀基因治疗与放射治疗相结合对杀死肝癌非常有效。肝细胞生长因子转移治疗动物动脉硬化闭塞症。
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引用次数: 17
Loss of mitochondrial DNA in rabbit bladder smooth muscle following partial outlet obstruction results from lack of organellar DNA replication. 部分出口梗阻后膀胱平滑肌线粒体DNA丢失是由于细胞器DNA复制不足所致。
Pub Date : 2001-01-01 DOI: 10.1089/10915360152559576
Zhao Wang, Xingyao Wu, Robert M. Levin, Alan P. Hudson
When the rabbit bladder outlet is partially obstructed, the relative amount of mitochondrial (mt) DNA per cell in bladder smooth muscle falls rapidly. In order to assess whether this loss of organellar genome results from attenuation of mt DNA replication, we cloned portions of rabbit genes specifying the single-strand binding (SSB) protein required for initiation of mt DNA replication, and the catalytic subunit of DNA polymerase gamma (pol gamma), the replication enzyme itself. We then designed primer-probe systems for real-time RT-PCR (TaqMan) analyses for each gene. These were used to assess mRNA in preparations from bladder smooth muscle and mucosa from rabbits subjected to surgical obstruction of the bladder outlet for up to 14 days. mRNA from the pol gamma gene remained essentially at control level in smooth muscle and mucosa in all samples. In mucosa, mRNA from the SSB protein gene remained virtually at control levels in all samples, as did mt genome copy number. In smooth muscle, however, levels of this mRNA declined by >95% within 3 days of obstruction and remained at that level through 14 days; this attenuation of SSB protein mRNA paralleled the loss of mt DNA in the same smooth muscle samples. Thus, lack of mt SSB protein, and consequently attenuated mt DNA replication, is a primary factor in the loss of mt genome copies in bladder smooth muscle after outlet obstruction in the rabbit model of benign bladder dysfunction.
当兔膀胱出口部分受阻时,膀胱平滑肌中每个细胞线粒体DNA的相对含量迅速下降。为了评估这种细胞器基因组的缺失是否源于mt DNA复制的衰减,我们克隆了指定mt DNA复制起始所需的单链结合(SSB)蛋白的兔基因部分,以及DNA聚合酶γ (pol γ)的催化亚基,即复制酶本身。然后,我们设计了引物探针系统,用于每个基因的实时RT-PCR (TaqMan)分析。这些方法被用来评估膀胱出口手术阻塞长达14天的家兔膀胱平滑肌和粘膜制剂中的mRNA。在所有样本的平滑肌和粘膜中,pol γ基因的mRNA基本保持在控制水平。在粘膜中,来自SSB蛋白基因的mRNA在所有样品中几乎保持在控制水平,mt基因组拷贝数也是如此。然而,在平滑肌中,这种mRNA的水平在梗阻3天内下降了95%,并在14天内保持在该水平;在相同的平滑肌样本中,SSB蛋白mRNA的衰减与mt DNA的丢失平行。因此,在兔良性膀胱功能障碍模型中,出口梗阻后膀胱平滑肌中mt基因组拷贝丢失的主要因素是mt SSB蛋白的缺乏,从而导致mt DNA复制减弱。
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引用次数: 7
Computer-assisted diagnostics: application to prostate cancer. 计算机辅助诊断:在前列腺癌中的应用。
Pub Date : 2001-01-01 DOI: 10.1089/10915360152745867
R. Babaian, Z. Zhang
Artificial neural networks (ANNs) have only recently been applied to solve problems in the diagnosis, staging, and prediction of treatment outcome in prostate cancer. A literature search provided information on 10 published journal articles that were selected for review and analysis. In all but one of the studies that compared the ANN output with logistic regression modeling, the ANN performed better. Specific training issues for neural networks are discussed and examples provided. We conclude that the continued development and refinement of computer-assisted diagnostic methodology are warranted to enhance conventional statistical approaches to the classification and pattern recognition found in data sets from men either suspected of having or known to have prostate cancer.
人工神经网络(ann)直到最近才被应用于解决前列腺癌的诊断、分期和治疗结果预测等问题。文献检索提供了10篇已发表的期刊文章的信息,这些文章被选中进行回顾和分析。在所有将人工神经网络输出与逻辑回归模型进行比较的研究中,除了一项之外,人工神经网络表现得更好。讨论了神经网络的具体训练问题,并提供了示例。我们的结论是,计算机辅助诊断方法的持续发展和完善是有必要的,以增强传统的统计方法来分类和模式识别,这些方法发现于疑似患有或已知患有前列腺癌的男性数据集中。
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引用次数: 4
Virion-targeted viral inactivation: new therapy against viral infection. 病毒靶病毒灭活:对抗病毒感染的新疗法。
Pub Date : 2001-01-01 DOI: 10.1089/109153601300177565
N. Okui, Y. Kitamura, N. Kobayashi, R. Sakuma, T. Ishikawa, T. Kitamura
BACKGROUND Acquired immune deficiency syndrome (AIDS) is resistant to all current therapy. Gene therapy is an attractive alternative or additive to current, unsatisfactory AIDS therapy. MATERIALS AND METHODS To develop an antiviral molecule targeting viral integrase (HIV IN), we generated a single-chain antibody, termed scAb, which interacted with human immunodeficiency virus type 1 (HIV-1) IN and inhibited virus replication at the integration step when expressed intracellularly. To reduce infectivity from within the virus particles, we made expression plasmids (pC-scAbE-Vpr, pC-scAbE-CA, and pC-scAbE-WXXF), which expressed the anti-HIV IN scAb fused to the N-terminus of HIV-1-associated accessory protein R (Vpr), capsid protein (CA), and specific binding motif to Vpr (WXXF), respectively. All fusion proteins were tagged with a nine-amino acid peptide derived from influenza virus hemagglutinin (HA) at the C terminus. RESULTS The fusion molecules, termed scAbE-Vpr, scAbE-CA, and scAbE-WXXF, interacted specifically with HIV IN immobilized on a nitrocellulose membrane. Immunoblot analysis showed that scAbE-Vpr, scAbE-CA, and scAbE-WXXF were incorporated into the virions produced by cotransfection of 293T cells with HIV-1 infectious clone DNA (pLAI) and pC-scAbE-Vpr, pC-scAbE-WXXF. A multinuclear activation galactosidase indicator (MAGI) assay revealed that the virions released from 293T cells cotransfected with pLAI and pC-scAbE-Vpr, pC-scAbE-WXXF had as little 1000-fold of the infectivity of the control wild-type virions, which were produced from the 293T cells transfected with pLAI alone. Furthermore, the virions produced from the 293T cells cotransfected with pLAI and an scAb expression vector (pC-scAb) showed only 1% of the infectivity of the control HIV-1 in a MAGI assay, although scAb was not incorporated into the virions. In either instance, the total quantity of the progeny virions released from the transfected 293T cells and the patterns of the virion proteins were hardly affected by the presence of scAb, scAbE-Vpr, or scAbE-WXXF, as determined by virion-associated reverse transcriptase assay and by immunoblot analysis, respectively. Because G418-selected HeLa clones carrying the expression plasmid for scAbE-WXXF were obtained much more frequently than those for scAbE-Vpr, scAbE-WXXF was inferred to be less toxic to cells than scAbE-Vpr. The result that scAbE-WXXF with viral incorporation achieved more than a 10-fold reduction in infectivity of the progeny virions than scAb without incorporation suggests that scAbE-WXXF is a potential antiviral molecule, inhibiting replication by neutralization of HIV IN activity both within cells and within virions. Moreover, it is nontoxic to human cells. We termed this gene therapy "virion-"targeted-viral inactivation" and these molecules "packageable antiviral therapeutics." CONCLUSION This new gene therapy has the potential for wide application in many viral infectious diseases.
背景:获得性免疫缺陷综合征(AIDS)对目前所有的治疗方法都具有耐药性。基因治疗是目前不满意的艾滋病治疗的一个有吸引力的替代或补充。材料与方法为了开发一种靶向病毒整合酶(HIV IN)的抗病毒分子,我们制备了一种名为scAb的单链抗体,该抗体与人类免疫缺陷病毒1型(HIV-1) IN相互作用,并在细胞内表达时抑制病毒在整合步骤的复制。为了降低病毒颗粒内部的感染性,我们制作了表达质粒(pc - sape -Vpr、pc - sape -CA和pc - sape -WXXF),它们分别表达了融合到hiv -1相关附属蛋白R (Vpr) n端、衣壳蛋白(CA)和Vpr (WXXF)特异性结合基元的抗hiv IN scAb。所有的融合蛋白在C端都用从流感病毒血凝素(HA)衍生的9个氨基酸肽标记。结果sape - vpr、sape - ca和sape - wxxf融合分子与固定在硝化纤维素膜上的HIV - IN特异性相互作用。免疫印迹分析显示,用HIV-1感染克隆DNA (pLAI)和pc - sape - vpr、pc - sape - wxxf共转染293T细胞所产生的病毒粒子中,均可掺入sape - vpr、sape - ca和sape - wxxf。多核激活半乳糖苷酶指标(MAGI)检测显示,pLAI和pc - sape - vpr、pc - sape - wxxf共转染的293T细胞释放的病毒粒子的感染性仅为仅转染pLAI的293T细胞产生的野生型病毒粒子的1000倍。此外,用pLAI和scAb表达载体(pC-scAb)共转染的293T细胞产生的病毒粒子在MAGI检测中仅显示出对照HIV-1的1%的感染性,尽管scAb未掺入病毒粒子中。在这两种情况下,通过病毒粒子相关逆转录酶测定和免疫印迹分析,从转染的293T细胞释放的后代病毒粒子的总量和病毒粒子蛋白的模式几乎不受scAb、sape - vpr或sape - wxxf存在的影响。由于g418选择的携带sape - wxxf表达质粒的HeLa克隆比sape - vpr获得的频率高得多,因此推断sape - wxxf对细胞的毒性比sape - vpr小。与未合并的scAb相比,合并病毒的scae - wxxf使子代病毒粒子的感染性降低了10倍以上,这表明scae - wxxf是一种潜在的抗病毒分子,通过中和细胞内和病毒粒子内的HIV in活性来抑制复制。此外,它对人体细胞无毒。我们将这种基因疗法称为“病毒粒子”——“靶向病毒灭活”,将这些分子称为“可包装抗病毒疗法”。结论这种新的基因疗法在多种病毒性传染病的治疗中具有广泛的应用前景。
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引用次数: 9
Prognostic significance of immuno-proteosome subunit expression in patients with renal-cell carcinoma: a preliminary study. 免疫蛋白体亚单位表达在肾细胞癌患者中的预后意义:初步研究。
Pub Date : 2001-01-01 DOI: 10.1089/10915360152559594
Y. Murakami, K. Kanda, K. Yokota, H. Kanayama, S. Kagawa
Our purpose was to elucidate the clinical roles of the "immuno-proteosome," which is involved in the accelerated pathway of the major histocompatibility complex (MHC) class I-restricted antigen presentation system, in renal cell carcinoma (RCC). The relative expression of six proteosome subunits (existing subunits X, Y, and Z and immunoproteosome subunits LMP7, LMP2, and MECL1) in 54 RCCs was investigated using RT-PCR analysis and was compared with clinicopathological measures, including patient outcome. Expression of the LMP7 and LMP2 genes was significantly low in high-grade tumors, and that of the LMP7 and MECL1 genes was significantly low in high-stage tumors. Low levels of LMP7, LMP2, and MECL1 expression were strongly associated with shortened survival (LMP7: P = 0.0002, LMP2: P < 0.0001, MECL1: P < 0.0047). The levels of subunits X, Y, and Z had no significant correlation with those measures. These findings suggest that RCCs with low level of immuno-proteosome subunit expression have a disorder in their antigen-presentation system. As a consequence, they may escape from immune surveillance and worsen patient outcome.
我们的目的是阐明“免疫蛋白体”在肾细胞癌(RCC)中的临床作用,它参与了主要组织相容性复合体(MHC) i类限制性抗原呈递系统的加速途径。使用RT-PCR分析研究了54例rcc中6个蛋白体亚基(现有的X、Y和Z亚基以及免疫蛋白体亚基LMP7、LMP2和MECL1)的相对表达,并与包括患者预后在内的临床病理指标进行了比较。LMP7和LMP2基因在高级别肿瘤中表达明显低,LMP7和MECL1基因在高级别肿瘤中表达明显低。低水平的LMP7、LMP2和MECL1表达与缩短生存期密切相关(LMP7: P = 0.0002, LMP2: P < 0.0001, MECL1: P < 0.0047)。亚单位X、Y和Z的水平与这些测量无显著相关。这些发现表明,低水平的免疫蛋白体亚基表达的rcc在其抗原呈递系统中存在障碍。因此,它们可能会逃避免疫监视并使患者预后恶化。
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引用次数: 18
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Molecular urology
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