Immunological Reviews最新文献

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Intersection of the microbiome and immune metabolism in lupus 狼疮中微生物组与免疫代谢的交叉。
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-06-14 DOI: 10.1111/imr.13360
Abigail Castellanos Garcia, Natalie Six, Longhuan Ma, Laurence Morel
{"title":"Intersection of the microbiome and immune metabolism in lupus","authors":"Abigail Castellanos Garcia,&nbsp;Natalie Six,&nbsp;Longhuan Ma,&nbsp;Laurence Morel","doi":"10.1111/imr.13360","DOIUrl":"10.1111/imr.13360","url":null,"abstract":"<div>\u0000 \u0000 <p>Systemic lupus erythematosus is a complex autoimmune disease resulting from a dysregulation of the immune system that involves gut dysbiosis and an altered host cellular metabolism. This review highlights novel insights and expands on the interactions between the gut microbiome and the host immune metabolism in lupus. Pathobionts, invasive pathogens, and even commensal microbes, when in dysbiosis, can all trigger and modulate immune responses through metabolic reprogramming. Changes in the microbiota's global composition or individual taxa may trigger a cascade of metabolic changes in immune cells that may, in turn, reprogram their functions. Factors contributing to dysbiosis include changes in intestinal hypoxia, competition for glucose, and limited availability of essential nutrients, such as tryptophan and metal ions, all of which can be driven by host metabolism changes. Conversely, the accumulation of some host metabolites, such as itaconate, succinate, and free fatty acids, could further influence the microbial composition and immune responses. Overall, mounting evidence supports a bidirectional relationship between host immunometabolism and the microbiota in lupus pathogenesis.</p>\u0000 </div>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"77-89"},"PeriodicalIF":7.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gut microbiota as a sensor of autoimmune response and treatment for rheumatoid arthritis 肠道微生物群是自身免疫反应和类风湿性关节炎治疗的传感器。
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-06-12 DOI: 10.1111/imr.13359
Abhinav Lamba, Veena Taneja
{"title":"Gut microbiota as a sensor of autoimmune response and treatment for rheumatoid arthritis","authors":"Abhinav Lamba,&nbsp;Veena Taneja","doi":"10.1111/imr.13359","DOIUrl":"10.1111/imr.13359","url":null,"abstract":"<div>\u0000 \u0000 <p>Rheumatoid arthritis (RA) is considered a multifactorial condition where interaction between the genetic and environmental factors lead to immune dysregulation causing autoreactivity. While among the various genetic factors, HLA-DR4 and DQ8, have been reported to be the strongest risk factors, the role of various environmental factors has been unclear. Though events initiating autoreactivity remain unknown, a mucosal origin of RA has gained attention based on the recent observations with the gut dysbiosis in patients. However, causality of gut dysbiosis has been difficult to prove in humans. Mouse models, especially mice expressing RA-susceptible and -resistant HLA class II genes have helped unravel the complex interactions between genetic factors and gut microbiome. This review describes the interactions between HLA genes and gut dysbiosis in sex-biased preclinical autoreactivity and discusses the potential use of endogenous commensals as indicators of treatment efficacy as well as therapeutic tool to suppress pro-inflammatory response in rheumatoid arthritis.</p>\u0000 </div>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"90-106"},"PeriodicalIF":7.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of the human gut microbiome on the treatment of autoimmune disease 人类肠道微生物组对治疗自身免疫性疾病的影响。
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-06-12 DOI: 10.1111/imr.13358
Renuka R. Nayak, Diego A. Orellana
{"title":"The impact of the human gut microbiome on the treatment of autoimmune disease","authors":"Renuka R. Nayak,&nbsp;Diego A. Orellana","doi":"10.1111/imr.13358","DOIUrl":"10.1111/imr.13358","url":null,"abstract":"<p>Autoimmune (or rheumatic) diseases are increasing in prevalence but selecting the best therapy for each patient proceeds in trial-and-error fashion. This strategy can lead to ineffective therapy resulting in irreversible damage and suffering; thus, there is a need to bring the promise of precision medicine to patients with autoimmune disease. While host factors partially determine the therapeutic response to immunosuppressive drugs, these are not routinely used to tailor therapy. Thus, non-host factors likely contribute. Here, we consider the impact of the human gut microbiome in the treatment of autoimmunity. We propose that the gut microbiome can be manipulated to improve therapy and to derive greater benefit from existing therapies. We focus on the mechanisms by which the human gut microbiome impacts treatment response, provide a framework to interrogate these mechanisms, review a case study of a widely-used anti-rheumatic drug, and discuss challenges with studying multiple complex systems: the microbiome, the human immune system, and autoimmune disease. We consider open questions that remain in the field and speculate on the future of drug–microbiome–autoimmune disease interactions. Finally, we present a blue-sky vision for how the microbiome can be used to bring the promise of precision medicine to patients with rheumatic disease.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"107-130"},"PeriodicalIF":7.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imr.13358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multiple sclerosis and the intestine: Chasing the microbial offender 多发性硬化症与肠道:追捕微生物罪犯
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-29 DOI: 10.1111/imr.13357
Anneli Peters, Lisa Ann Gerdes, Hartmut Wekerle
{"title":"Multiple sclerosis and the intestine: Chasing the microbial offender","authors":"Anneli Peters,&nbsp;Lisa Ann Gerdes,&nbsp;Hartmut Wekerle","doi":"10.1111/imr.13357","DOIUrl":"10.1111/imr.13357","url":null,"abstract":"<p>Multiple sclerosis (MS) affects more than 2.8 million people worldwide but the distribution is not even. Although over 200 gene variants have been associated with susceptibility, studies of genetically identical monozygotic twin pairs suggest that the genetic make-up is responsible for only about 20%–30% of the risk to develop disease, while the rest is contributed by milieu factors. Recently, a new, unexpected player has entered the ranks of MS-triggering or facilitating elements: the human gut microbiota. In this review, we summarize the present knowledge of microbial effects on formation of a pathogenic autoreactive immune response targeting the distant central nervous system and delineate the approaches, both in people with MS and in MS animal models, which have led to this concept. Finally, we propose that a tight combination of investigations of human patients with studies of suitable animal models is the best strategy to functionally characterize disease-associated microbiota and thereby contribute to deciphering pathogenesis of a complex human disease.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"152-165"},"PeriodicalIF":7.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imr.13357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stem-like T cells in cancer and autoimmunity 癌症和自身免疫中的类干 T 细胞
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-28 DOI: 10.1111/imr.13356
Alexandra Schnell
{"title":"Stem-like T cells in cancer and autoimmunity","authors":"Alexandra Schnell","doi":"10.1111/imr.13356","DOIUrl":"10.1111/imr.13356","url":null,"abstract":"<div>\u0000 \u0000 <p>Stem-like T cells are characterized by their ability to self-renew, survive long-term, and give rise to a heterogeneous pool of effector and memory T cells. Recent advances in single-cell RNA-sequencing (scRNA-seq) and lineage tracing technologies revealed an important role for stem-like T cells in both autoimmunity and cancer. In cancer, stem-like T cells constitute an important arm of the anti-tumor immune response by giving rise to effector T cells that mediate tumor control. In contrast, in autoimmunity stem-like T cells perform an unfavorable role by forming a reservoir of long-lived autoreactive cells that replenish the pathogenic, effector T-cell pool and thereby driving disease pathology. This review provides background on the discovery of stem-like T cells and their function in cancer and autoimmunity. Moreover, the influence of the microbiota and metabolism on the stem-like T-cell pool is summarized. Lastly, the implications of our knowledge about stem-like T cells for clinical treatment strategies for cancer and autoimmunity will be discussed.</p>\u0000 </div>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"9-22"},"PeriodicalIF":7.5,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141156958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
T cells in obesity-associated inflammation: The devil is in the details 肥胖相关炎症中的 T 细胞:细节决定成败
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-20 DOI: 10.1111/imr.13354
Yolander Valentine, Barbara S. Nikolajczyk
{"title":"T cells in obesity-associated inflammation: The devil is in the details","authors":"Yolander Valentine,&nbsp;Barbara S. Nikolajczyk","doi":"10.1111/imr.13354","DOIUrl":"10.1111/imr.13354","url":null,"abstract":"<div>\u0000 \u0000 <p>Obesity presents a significant health challenge, affecting 41% of adults and 19.7% of children in the United States. One of the associated health challenges of obesity is chronic low-grade inflammation. In both mice and humans, T cells in circulation and in the adipose tissue play a pivotal role in obesity-associated inflammation. Changes in the numbers and frequency of specific CD4<sup>+</sup> Th subsets and their contribution to inflammation through cytokine production indicate declining metabolic health, that is, insulin resistance and T2D. While some Th subset alterations are consistent between mice and humans with obesity, some changes mainly characterize male mice, whereas female mice often resist obesity and inflammation. However, protection from obesity and inflammation is not observed in human females, who can develop obesity-related T-cell inflammation akin to males. The decline in female sex hormones after menopause is also implicated in promoting obesity and inflammation. Age is a second underappreciated factor for defining and regulating obesity-associated inflammation toward translating basic science findings to the clinic. Weight loss in mice and humans, in parallel with these other factors, does not resolve obesity-associated inflammation. Instead, inflammation persists amid modest changes in CD4<sup>+</sup> T cell frequencies, highlighting the need for further research into resolving changes in T-cell function after weight loss. How lingering inflammation after weight loss affecting the common struggle to maintain lower weight is unknown. Semaglutide, a newly popular pharmaceutical used for treating T2D and reversing obesity, holds promise for alleviating obesity-associated health complications, yet its impact on T-cell-mediated inflammation remains unexplored. Further work in this area could significantly contribute to the scientific understanding of the impacts of weight loss and sex/hormones in obesity and obesity-associated metabolic decline.</p>\u0000 </div>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"324 1","pages":"25-41"},"PeriodicalIF":7.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can fecal microbiota transplantations modulate autoimmune responses in type 1 diabetes? 粪便微生物群移植能否调节 1 型糖尿病患者的自身免疫反应?
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-16 DOI: 10.1111/imr.13345
Coco M. Fuhri Snethlage, Douwe de Wit, Koen Wortelboer, Elena Rampanelli, Nordin M. J. Hanssen, Max Nieuwdorp
{"title":"Can fecal microbiota transplantations modulate autoimmune responses in type 1 diabetes?","authors":"Coco M. Fuhri Snethlage,&nbsp;Douwe de Wit,&nbsp;Koen Wortelboer,&nbsp;Elena Rampanelli,&nbsp;Nordin M. J. Hanssen,&nbsp;Max Nieuwdorp","doi":"10.1111/imr.13345","DOIUrl":"10.1111/imr.13345","url":null,"abstract":"<p>Type 1 diabetes (T1D) is a chronic autoimmune disease targeting insulin-producing pancreatic beta cells. T1D is a multifactorial disease incorporating genetic and environmental factors. In recent years, the advances in high-throughput sequencing have allowed researchers to elucidate the changes in the gut microbiota taxonomy and functional capacity that accompany T1D development. An increasing number of studies have shown a role of the gut microbiota in mediating immune responses in health and disease, including autoimmunity. Fecal microbiota transplantations (FMT) have been largely used in murine models to prove a causal role of the gut microbiome in disease progression and have been shown to be a safe and effective treatment in inflammatory human diseases. In this review, we summarize and discuss recent research regarding the gut microbiota–host interactions in T1D, the current advancement in therapies for T1D, and the usefulness of FMT studies to explore microbiota–host immunity encounters in murine models and to shape the course of human type 1 diabetes.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"325 1","pages":"46-63"},"PeriodicalIF":7.5,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imr.13345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
B-1 lymphocytes in adipose tissue as innate modulators of inflammation linked to cardiometabolic disease 脂肪组织中的 B-1 淋巴细胞是与心脏代谢疾病相关的炎症的先天调节因子。
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-15 DOI: 10.1111/imr.13342
Akshaya K. Meher, Coleen A. McNamara
{"title":"B-1 lymphocytes in adipose tissue as innate modulators of inflammation linked to cardiometabolic disease","authors":"Akshaya K. Meher,&nbsp;Coleen A. McNamara","doi":"10.1111/imr.13342","DOIUrl":"10.1111/imr.13342","url":null,"abstract":"<p>Fat is stored in distinct depots with unique features in both mice and humans and B cells reside in all adipose depots. We have shown that B cells modulate cardiometabolic disease through activities in two of these key adipose depots: visceral adipose tissue (VAT) and perivascular adipose tissue (PVAT). VAT refers to the adipose tissue surrounding organs, within the abdomen and thorax, and is comprised predominantly of white adipocytes. This depot has been implicated in mediating obesity-related dysmetabolism. PVAT refers to adipose tissue surrounding major arteries. It had long been thought to exist to provide protection and insulation for the vessel, yet recent work demonstrates an important role for PVAT in harboring immune cells, promoting their function and regulating the biology of the underlying vessel. The role of B-2 cells and adaptive immunity in adipose tissue biology has been nicely reviewed elsewhere. Given that, the predominance of B-1 cells in adipose tissue at homeostasis, and the emerging role of B-1 cells in a variety of disease states, we will focus this review on how B-1 cells function in VAT and PVAT depots to promote homeostasis and limit inflammation linked to cardiometabolic disease and factors that regulate this function.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"324 1","pages":"95-103"},"PeriodicalIF":7.5,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunity in adipose tissues: Cutting through the fat 脂肪组织中的免疫力:切开脂肪
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-11 DOI: 10.1111/imr.13344
Troy D. Randall, Selene Meza-Perez
{"title":"Immunity in adipose tissues: Cutting through the fat","authors":"Troy D. Randall,&nbsp;Selene Meza-Perez","doi":"10.1111/imr.13344","DOIUrl":"10.1111/imr.13344","url":null,"abstract":"<p>Well known functions of adipose tissue include energy storage, regulation of thermogenesis, and glucose homeostasis—each of which are associated with the metabolic functions of fat. However, adipose tissues also have important immune functions. In this issue of Immunological Reviews, we present a series of articles that highlight the immune functions of adipose tissue, including the roles of specialized adipose-resident immune cells and fat-associated lymphoid structures. Importantly, immune cell functions in adipose tissues are often linked to the metabolic functions of adipocytes and vice versa. These reciprocal interactions and how they influence both immune and metabolic functions will be discussed in each article. In the first article, Wang et al.,<sup>11</sup> discuss adipose-associated macrophages and how obesity and metabolism impact their phenotype and function. Several articles in this issue discuss T cells as either contributors to, or regulators of, inflammatory responses in adipose tissues. Valentine and Nikolajczyk<sup>12</sup> provide insights into the role of T cells in obesity-associated inflammation and their contribution to metabolic dysfunction, whereas an article from Kallies and Vasanthakumar<sup>13</sup> and another from Elkins and Li<sup>14</sup> describe adipose-associated Tregs and how they help prevent inflammation and maintain metabolic homeostasis. Articles from Okabe<sup>35</sup> as well as from Daley and Benezech<sup>15</sup> discuss the structure and function of fat-associated lymphoid clusters (FALCs) that are prevalent in some adipose tissues and support local immune responses to pathogens, gut-derived microbes and fat-associated antigens. Finally, an article from Meher and McNamara<sup>16</sup> describes how innate-like B1 cells in adipose tissues regulate cardiometabolic disease. Importantly, these articles highlight the physical and functional attributes of adipose tissues that are different between mice and humans, the metabolic and immune differences between various adipose depots in the body and the differences in immune cells, adipose tissues and metabolic functions between the sexes. At the end of this preface, we highlight how these differences are critically important for our understanding of anti-tumor immunity to cancers that metastasize to a specific example of visceral adipose tissue, the omentum. Together, these articles identify some unanswered mechanistic questions that will be important to address for a better understanding of immunity in adipose tissues.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"324 1","pages":"4-10"},"PeriodicalIF":7.5,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140907618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcriptional and hormonal control of adipose Treg heterogeneity and function 转录和激素对脂肪 Treg 异质性和功能的控制。
IF 7.5 2区 医学
Immunological Reviews Pub Date : 2024-05-11 DOI: 10.1111/imr.13340
Axel Kallies, Ajithkumar Vasanthakumar
{"title":"Transcriptional and hormonal control of adipose Treg heterogeneity and function","authors":"Axel Kallies,&nbsp;Ajithkumar Vasanthakumar","doi":"10.1111/imr.13340","DOIUrl":"10.1111/imr.13340","url":null,"abstract":"<div>\u0000 \u0000 <p>Adipose tissue stores excess energy and produces a broad range of factors that regulate multiple physiological processes including systemic energy homeostasis. Visceral adipose tissue (VAT) plays a particularly important role in glucose metabolism as its endocrine function underpins food uptake and energy expenditure. Caloric excess triggers VAT inflammation which can impair insulin sensitivity and cause metabolic deregulation. Regulatory T cells (Tregs) that reside in the VAT suppress inflammation and protect from metabolic disease. The cellular components of VAT and its secretory products play a vital role in fostering the differentiation and maintenance of VAT Tregs. Critically, the physiology and inflammatory tone of VAT exhibit sex-specific disparities, resulting in substantial VAT Treg heterogeneity. Indeed, cytokines and sex hormones promote the differentiation of distinct populations of mature VAT Tregs, each characterized by unique phenotypes, homeostatic requirements, and functions. This review focuses on key findings that have significantly advanced our understanding of VAT Treg biology and the current state of the field, while also discussing open questions that require further exploration.</p>\u0000 </div>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"324 1","pages":"42-51"},"PeriodicalIF":7.5,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140907624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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