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1.
Cancer Med ; 13(3): e7029, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38396378

RESUMO

PURPOSE: To investigate the correlation between tumor volume reduction rate (TVRR) and prognosis in patients with diverse clinical types of nasopharyngeal carcinoma (NPC) undergoing chemoradiotherapy, thereby aptly categorizing risks and directing the personalized treatment of NPC. MATERIALS AND METHODS: A total of 605 NPC patients with varying clinical types were enrolled in this study and subsequently segregated into six subgroups based on their clinical types and TVRR. To accentuate the efficacy of grouping, Groups 1-6 underwent clustered analysis of hazard atio (HR) values pertaining to progression-free survival (PFS), forming three risk clusters denoted as low, intermediate, and high. The log-rank test was employed to discern differences, and R 4.1.1 was utilized for cluster analysis. RESULTS: According to survival rates, we classified the first (G2 and G4), second (G1 and G6), and third (G3 and G5) risk clusters as low-, intermediate-, and high-risk, respectively. When comparing risk stratification with the 8th edition of the TNM staging system, our classification exhibited superior predictive prognostic performance. Subgroup analysis of treatments for each risk cluster revealed that the PFS in the neoadjuvant chemotherapy (NACT) + concurrent chemoradiotherapy (CCRT) group surpassed that of the CCRT group significantly (p < 0.05). CONCLUSION: The reliance on clinical types and TVRR facilitates risk stratification of NPC during chemoradiotherapy, providing a foundation for physicians to tailor therapeutic strategies. Moreover, the risk cluster delineated for NPC patients during the mid-term of chemoradiotherapy stands as an independent prognostic factor for progression-free survival (PFS), overall survival (OS), distantmetastasis-free survival (DMFS), and local recurrence-free (LRRFS) posttreatment. Additionally, individuals in the high-risk cluster are recommended to undergo adjuvant chemotherapy after CCRT.


Assuntos
Neoplasias Nasofaríngeas , Humanos , Carcinoma Nasofaríngeo/patologia , Neoplasias Nasofaríngeas/patologia , Carga Tumoral , Quimiorradioterapia/efeitos adversos , Medição de Risco , Estudos Retrospectivos
3.
Immunopharmacol Immunotoxicol ; 46(1): 40-48, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37671837

RESUMO

OBJECTIVE: This study aimed to investigate the underlying molecular mechanisms of Withaferin A (WA) in hepatocellular carcinoma (HCC). MATERIALS AND METHODS: The gene and protein expression were analyzed using RT-qPCR and western blot, respectively. The proliferation of HCC cells was evaluated by CCK-8 assays. The migrative ability of HCC cells was measured by transwell assays. RESULTS: We revealed that WA suppressed the proliferation and migration of HCC cells and inhibited IGF2BP3 (insulin like growth factor 2 mRNA binding protein 3) expression. IGF2BP3 abundance reversed the reactive oxygen species (ROS) accumulation and suppression of HCC cell proliferation and migration induced by WA. Besides, IGF2BP3 suppressed ROS production to promote the growth and migration of HCC cells. Furthermore, we found that IGF2BP3 exerted its tumor-promotive and ROS-suppressive effect on HCC cells by regulating the expression of FOXO1 (forkhead box O1). In addition, IGF2BP3-stimulated activation of JAK2 (Janus kinase 2)/STAT3 (signal transducer and activator of transcription 3) phosphorylation effectively decreased the transcription of FOXO1. FOXO1 abundance decreased the phosphorylation of JAK2 and STAT3 by increasing ROS level, forming a feedback loop for the inhibition of JAK2/STAT3 signaling activated by IGF2BP3. CONCLUSIONS: WA-induced ROS inhibited HCC cell growth and migration through the inhibition of IGF2BP3 to deactivate JAK2/STAT3 signaling, resulting in increased FOXO1 expression to further stimulate ROS production and inhibit JAK2/STAT3 signaling.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Vitanolídeos , Humanos , Carcinoma Hepatocelular/patologia , Janus Quinase 2/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Neoplasias Hepáticas/patologia , Fator de Transcrição STAT3/metabolismo , Proliferação de Células , Linhagem Celular Tumoral , Apoptose , Proteína Forkhead Box O1/genética , Proteína Forkhead Box O1/metabolismo
4.
Angew Chem Int Ed Engl ; 62(36): e202307853, 2023 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-37401743

RESUMO

Fundamental understanding of the synergistic effect of bimetallic catalysts is of extreme significance in heterogeneous catalysis, but a great challenge lies in the precise construction of uniform dual-metal sites. Here, we develop a novel method for constructing Pt1 -Fe1 /ND dual-single-atom catalyst, by anchoring Pt single atoms on Fe1 -N4 sites decorating a nanodiamond (ND) surface. Using this catalyst, the synergy of nitroarenes selective hydrogenation is revealed. In detail, hydrogen is activated on the Pt1 -Fe1 dual site and the nitro group is strongly adsorbed on the Fe1 site via a vertical configuration for subsequent hydrogenation. Such synergistic effect decreases the activation energy and results in an unprecedented catalytic performance (3.1 s-1 turnover frequency, ca. 100 % selectivity, 24 types of substrates). Our findings advance the applications of dual-single-atom catalysts in selective hydrogenations and open up a new way to explore the nature of synergistic catalysis at the atomic level.

5.
Polymers (Basel) ; 15(8)2023 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-37112108

RESUMO

Construction of sustainable composite biofilms from natural biopolymers are greatly promising for advanced packaging applications due to their biodegradable, biocompatible, and renewable properties. In this work, sustainable advanced food packaging films are developed by incorporating lignin nanoparticles (LNPs) as green nanofillers to starch films. This seamless combination of bio-nanofiller with biopolymer matrix is enabled by the uniform size of nanofillers and the strong interfacial hydrogen bonding. As a result, the as-prepared biocomposites exhibit enhanced mechanical properties, thermal stability, and antioxidant activity. Moreover, they also present outstanding ultraviolet (UV) irradiation shielding performance. As a proof of concept in the application of food packaging, we evaluate the effect of composite films on delaying oxidative deterioration of soybean oil. The results indicate our composite film could significantly decrease peroxide value (POV), saponification value (SV), and acid value (AV) to delay oxidation of soybean oil during storage. Overall, this work provides a simple and effective method for the preparation of starch-based films with enhanced antioxidant and barrier properties for advanced food packaging applications.

6.
Int J Biol Macromol ; 234: 123593, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-36773862

RESUMO

Lignocellulosic biomass is the most abundant natural polymer on Earth, but the efficient fractionation and refinery of all its components remain challenging. Acidic deep eutectic solvents refining is a promising method, while it is likely to cause lignin condensation and carbohydrates degradation, especially at server operation conditions. Here we propose the use of acidic deep eutectic solvent (DES), choline chloride/p-toluenesulfonic acid assisted mechanochemical pretreatment (DM) for efficient lignocellulose fractionation at mild condition. Four representative lignocellulose, wheat straw, moso bamboo, poplar wood and pine wood were selected at varied milling time (3, 6 h) to assess the fractionation ability of this strategy. This DM pretreatment demonstrated a rather high cellulose retentions (∼90 %) and extent of delignification for wheat straw and bamboo biomass, which corresponds to a high extent of enzymatic hydrolysis (∼75.5 %) for sugar platform pursuing. The extracted lignin showed rather high content of ß-O-4' leakages due to the swelling effect of deep eutectic solvent and mild operation conditions. This work provided a promising strategy to fractionate lignocellulose using deep eutectic solvents with the goal of simultaneous cellulose hydrolysis and reactive lignin obtaining that is usually difficult to realize using traditional chemical fractionation approach.


Assuntos
Solventes Eutéticos Profundos , Lignina , Lignina/química , Solventes/química , Biomassa , Temperatura , Celulose , Hidrólise
7.
Int J Pharm ; 628: 122274, 2022 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-36228884

RESUMO

The utilization of the proper and safe analgesics was considered a major concern in pain alleviation especially that associated with surgical procedures. Novel analgesics as Tapentadol hydrochloride (TAP) was involved efficiently instead of the common opioids to overcome the subsequent severe and common adverse effects associated with opioids utilization. Unfortunately, the extensive first pass metabolism limits the oral bioavailability of TAP and predisposes to a diminished duration of action, hence larger frequent doses of TAP will be required. Therefore, the target of this study was to lodge TAP into PEGylated transferosomes to boost its transdermal delivery. The PEGylation contemplated to boost both TAP permeability and bioavailability besides offering extra resilience to the vesicles. The impact of diverse variables on the characteristics of the vesicles and distinguishing the optimal formula were implemented adopting 23 factorial experiment via Design Expert® software. The resulted eight formulae were fabricated by thin film hydration technique, additionally they were evaluated based on the findings of entrapment efficiency percent (EE%), particle size (PS), polydispersity index (PDI), zeta potential (ZP) and the optimal one was involved in further assessments. The optimal formula (F8) exhibited spherical vesicles with EE% of 77.9 ± 3.4 %, PS of 150.5 ± 5.33 nm, PDI of 0.47 ± 0.05, ZP of -40.7 ± 4.6 mV and it also revealed greater deformability index (30.9 ± 6.1 g) relative to traditional transferosomes (12.15 ± 2.49 g). In addition, confocal laser scanning microscopy examination affirmed the superior penetration of Rhodamine B (RhB) dye thorough the rat's skin from F8 relative to the dye solution. The safety of F8 was confirmed by histopathological study. Moreover, dermato-kinetic study disclosed that TAP exhibited higher retention within the rat's skin form F8 relative to TAP dispersion. Furthermore, the in vivo pharmacodynamics activities conducted on male rats confirmed the superiority of F8 over the drug dispersion in alleviation the induced pain by IP injection of acetic acid and by formation of paw incisions. Collectively, the credibility of F8 as panel for transdermal delivery of TAP with boosted bioavailability and analgesic activity could be ensured on the basis of the obtained findings.


Assuntos
Analgésicos Opioides , Lipossomos , Masculino , Ratos , Animais , Disponibilidade Biológica , Tapentadol , Sistemas de Liberação de Medicamentos/métodos , Ratos Wistar , Administração Cutânea , Tamanho da Partícula , Analgésicos , Polietilenoglicóis , Dor Pós-Operatória , Emprego
8.
ACS Appl Mater Interfaces ; 14(31): 36060-36070, 2022 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-35912584

RESUMO

Delicately aligned structures of two-dimensional (2D) MXene nanosheets have demonstrated positive effects on applications, especially in electromagnetic interference (EMI) shielding and infrared (IR) stealth. However, precise regulation of structural assembly by theory-guided solution processing is still a great challenge. Herein, one-dimensional (1D) cellulose nanofibers (CNFs) with a high aspect ratio are applied as a reinforcing agent and a rheological modifier for MXene/CNF colloids to fabricate aligned MXene-based materials for EMI shielding and IR stealth. Notably, a systematical rheological study of the MXene/CNF colloids is proposed to determine the optimal solution-processing conditions for finely oriented component arrangement requirements and provides in-depth information on the interactions between the components. The delicately regulated orientation structure assembled by shear inducement is convincingly demonstrated through micro-CT and wide-angle X-ray diffraction/small-angle X-ray scattering (WAXD/SAXS), which endows the MXene/CNF film with a significantly enhanced electrical conductivity of 46 685 S m-1, a tensile strength of 281.7 MPa, and Young's modulus of 14.8 GPa. Furthermore, the highly aligned structure of the ultrathin film possesses a great enhancement in EMI shielding effectiveness (50.2 dB) and IR stealth (0.562 emissivity). These findings provide a fruitful understanding of the optimized fabrication in solution processing of high-performance MXene-based functional composite films and open up a great opportunity for the development of multifunctional stealth materials.

9.
Neuroreport ; 33(12): 509-517, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-35767234

RESUMO

To explore the effects of high cervical spinal cord electrical stimulation (cSCS) on the recovery of neurological function and its possible mechanism in rats with traumatic brain injury (TBI). 72 rats were randomly divided into: (1) a sham group; (2) a traumatic brain injury (TBI) group; (3) a TBI+cSCS group; (4) a LY294002+TBI+cSCS group. The degree of neurological dysfunction was evaluated by modified Neurological severity score (mNSS). The pathological changes of the brain tissue in the injured area were observed by HE staining, and the apoptosis of neuron cells were observed by TUNEL staining. The expressions of BDNF and VEGFmRNA were detected by polymerase chain reaction (PCR), and the expressions of p-AKT, AKT, Bcl-2, Bax and caspase-3 proteins were detected by western blot. Compared with that of the TBI and LY294002+TBI+cSCS groups, the mNSS of the TBI+cSCS group were significantly lower on day 3 and 7 ( P <0.05). Compared with that in the TBI and LY294002+TBI+cSCS groups, the apoptosis of neuron cells in the TBI+cSCS group decreased significantly ( P < 0.05). Compared with the TBI and LY294002+TBI+cSCS group, the expression of Bcl-2 protein increased and the expressions of Bax and Caspase-3 proteins decreased in the TBI+cSCS group ( P < 0.05). Compared with that in the TBI and LY294002+TBI+cSCS groups, the intensity of p-Akt/Akt in the TBI+cSCS group increased ( P < 0.05). We found that cSCS had a protective effect on neuron cells after craniocerebral injury and could improve neurological dysfunction in rats, the mechanism of which might be that cSCS made the PI3K/Akt pathway more active after TBI.


Assuntos
Lesões Encefálicas Traumáticas , Medula Cervical , Animais , Ratos , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Caspase 3/metabolismo , Proteína X Associada a bcl-2/metabolismo , Medula Cervical/metabolismo , Medula Cervical/patologia , Transdução de Sinais , Ratos Sprague-Dawley , Lesões Encefálicas Traumáticas/patologia , Apoptose , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Estimulação Elétrica
10.
Transl Psychiatry ; 12(1): 54, 2022 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-35136017

RESUMO

Post-Partum Depression (PPD) is the most common health issue impacting emotional well being in women and is often comorbid with anxiety (PPD-A). Previous studies have shown that adequate social support can protect against PPD and PPD-A. However, how the brain connectome is disrupted in PPD and PPD-A and the neural basis underlying the role of social support in PPD and PPD-A remains unclear. The present study aims to explore these issues in patients with PPD and PPD-A. Well-established questionnaires and resting-state functional Magnetic Resonance Imaging (rsfMRI) were performed in 45 PPD, 31 PDD-A patients and 62 Healthy Postnatal Women (HPW). Brain functional integration was measured by analysis of Functional Connectivity Strength (FCS). Association and mediation analyses were performed to investigate relationships between FCS, PPD and PPD-A symptoms and social support. PPD patients showed specifically higher FCS in right parahippocampus, whereas PPD-A patients showed specifically higher FCS in left ventrolateral prefrontal cortex. In all postpartum women, depression symptoms positively correlated with FCS in left paracentral lobule; depression and anxiety symptoms were negatively correlated with FCS in right cerebellem posterior lobe (CPL), a brain region implicated in supporting social cognition and regulation of emotion. Subsequent mediation analysis revealed that perceived social support mediated the association between right CPL FCS and PPD and PPD-A symptoms. Measurement of FCS in disorder-specific neural circuits offers a potential biomarker to study and measure the efficacy of social support for PPD and PPD-A.


Assuntos
Conectoma , Depressão Pós-Parto , Ansiedade/diagnóstico por imagem , Cerebelo , Conectoma/métodos , Depressão Pós-Parto/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Apoio Social
11.
Cereb Cortex ; 32(24): 5597-5608, 2022 12 08.
Artigo em Inglês | MEDLINE | ID: mdl-35174863

RESUMO

Postpartum depression (PPD) and PPD comorbid with anxiety (PPD-A) are highly prevalent and severe mental health problems in postnatal women. PPD and PPD-A share similar pathopsychological features, leading to ongoing debates regarding the diagnostic and neurobiological uniqueness. This paper aims to delineate common and disorder-specific neural underpinnings and potential treatment targets for PPD and PPD-A by characterizing functional dynamics with resting-state functional magnetic resonance imaging in 138 participants (45 first-episode, treatment-naïve PPD; 31 PDD-A patients; and 62 healthy postnatal women [HPW]). PPD-A group showed specifically increased dynamic amplitude of low-frequency fluctuation in the subgenual anterior cingulate cortex (sgACC) and increased dynamic functional connectivity (dFC) between the sgACC and superior temporal sulcus. PPD group exhibited specifically increased static FC (sFC) between the sgACC and ventral anterior insula. Common disrupted sFC between the sgACC and middle temporal gyrus was found in both PPD and PPD-A patients. Interestingly, dynamic changes in dFC between the sgACC and superior temporal gyrus could differentiate PPD, PPD-A, and HPW. Our study presents initial evidence on specifically abnormal functional dynamics of limbic, emotion regulation, and social cognition systems in patients with PDD and PPD-A, which may facilitate understanding neurophysiological mechanisms, diagnosis, and treatment for PPD and PPD-A.


Assuntos
Depressão Pós-Parto , Transtorno Depressivo Maior , Humanos , Feminino , Imageamento por Ressonância Magnética/métodos , Depressão Pós-Parto/diagnóstico por imagem , Giro do Cíngulo/diagnóstico por imagem , Ansiedade , Encéfalo/diagnóstico por imagem
12.
Eur J Neurosci ; 54(9): 7318-7331, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34523745

RESUMO

Ischemic stroke leads to severe neurological dysfunction in adults. Hyperbaric oxygen (HBO) induces tolerance to cReperfusion inj/reperfusion (I/R) injury. Therefore, our aims were to investigate whether SIRT1 participates in regulatingin the neuro-protective effect of HBO in a cerebral I/R model and its mechanism. Mice N2a cells were used to construct an oxygen deprivation/reperfusion (OGD/R) model to simulate in vitro brain I/R injury and to evaluate the role of HBO in OGD/R stimulated cells. Cell proliferation was detected using MTT, and apoptosis was determined by flow cytometry. ELISA was used to measure the concentration of TNF-α, IL-1ß and IL-6 related inflammatory factors. RT-qPCR and western blot assays were performed to test the expression of SIRT1. Immunoprecipitation was used to detect acetylation of HMGB1. Expression of SIRT1 was obviously reduced after OGD/R treatment in N2a cells, while SIRT1 was obviously enhanced in HBO treated cells. Moreover, knockdown of SIRT1 induced neuro-inflammation damage in cells and HBO effectively improved the inflammatory response in OGD/R treated cells by affecting SIRT1 levels. Furthermore, HBO induced the deacetylation of HMGB1 via regulating SIRT1. Interestingly, HBO via regulating the SIRT1-induced HMGB1 deacetylation and suppressing MMP-9 improved ischemic brain injury. HBO regulated ischemic brain injury via regulation of SIRT1-induced HMGB1 deacetylation, making it a potential treatment for ischemic brain injury treatment.


Assuntos
Proteína HMGB1 , Oxigenoterapia Hiperbárica , Traumatismo por Reperfusão , Animais , Camundongos , Oxigênio , Traumatismo por Reperfusão/terapia , Sirtuína 1
13.
PLoS One ; 16(6): e0253219, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34138931

RESUMO

Subarachnoid hemorrhage (SAH) is a fatal stroke caused by bleeding in the brain. SAH can be caused by a ruptured aneurysm or head injury. One-third of patients will survive and recover. One-third will survive with disability; one-third will die. The focus of treatment is to stop bleeding, restore normal blood flow, and prevent vasospasm. Treatment for SAH varies, depending on the bleeding's underlying cause and the extent of damage to the brain. Treatment may include lifesaving measures, symptom relief, repair of the bleeding vessel, and complication prevention. However, the useful diagnostic biomarkers of SAH are still limited due to the instability of gene marker expression. To overcome this limitation, we developed a new protocol pairing genes and screened significant gene pairs based on the feature selection algorithm. A classifier was constructed with the selected gene pairs and achieved a high performance.


Assuntos
Marcadores Genéticos , Hemorragia Subaracnóidea/diagnóstico , Algoritmos , Análise por Conglomerados , Bases de Dados Genéticas , Humanos , Hemorragia Subaracnóidea/genética , Análise de Ondaletas
14.
Ying Yong Sheng Tai Xue Bao ; 31(8): 2558-2566, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34494777

RESUMO

We examined the physiological response of 1-year-old branches of 37 Xinjiang wild walnut germplasm resources in Gongliu wild walnut forest under cold temperatures (-20 ℃ and 4 ℃) for 12 hours, compared the responses with that of Juglans mandshurica. The relative conductivity (REC), free proline (PRO), soluble sugar (SS), malondialdehyde (MDA) content and peroxidase (POD) activity were measured in an artificial climate chamber by simulating spring low temperature. Subordinate function and principal component analysis were used to evaluate the physiological response of walnut germplasm to low temperature. The results showed that the REC, PRO, SS, MDA content and POD activity of Xinjiang wild walnut were increased. By evaluating the relationship between low temperature resistance and habitat, we found that cold tolerance level was middle valley > east valley > west valley > general valley. Xinjiang wild walnut showed stronger cold tolerance than J. mandshurica. Seven germplasm with cold resistance were selected from the total 37 wild walnut germplasm in Xinjiang, which provided a reference for improving walnut varieties and their responses to sudden weather change in late spring and other growing stages.


Assuntos
Juglans , Clima , Temperatura Baixa , Nozes , Temperatura
15.
J Cell Mol Med ; 23(11): 7222-7232, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31513352

RESUMO

This study aimed to determine long non-coding RNA (lncRNA) small nucleolar RNA host gene 14 (SNHG14) expression in pancreatic cancer and to explore the potential molecular actions of SNHG14 in mediating pancreatic cancer progression. Gene expression was detected by quantitative real-time PCR. Cell proliferation, growth and invasion were detected by respective CCK-8, colony formation, and transwell invasion assays. Protein levels were measured by Western blotting. Cell apoptosis and caspase-3 activity were detected by flow cytometry and caspase-3 activity assay. The link between miR-613 and its targets was evaluated by luciferase reporter assay. In vivo tumour growth was evaluated using a xenograft model of nude mice. SNHG14 expression was up-regulated in cancerous tissues from pancreatic cancer patients. High expression of SNHG14 was associated with poor tumour differentiation, advanced TNM stage and nodal metastasis. SNHG14 overexpression enhanced cell proliferative, growth and invasive abilities, and suppressed apoptotic rates and caspase-3 activity in pancreatic cancer cells, while SNHG14 knockdown exerted opposite effects. Mechanistic studies revealed that miR-613 was targeted by SNHG14, and Annexin A2 (ANXA2) was targeted and inversely regulated by miR-613 in pancreatic cancer cells. In vivo studies showed that SNHG14 knockdown attenuated tumour growth. MiR-613 was down-regulated and ANXA2 was up-regulated in the pancreatic cancer tissues, and SNHG14 expression levels were inversely correlated with miR-613 expression levels and positively correlated with the ANXA2 mRNA expression levels. Collectively, our results suggest that SNHG14 potentiates pancreatic cancer progression through modulation of annexin A2 expression via acting as a competing endogenous RNA for miR-613.


Assuntos
Anexina A2/metabolismo , Biomarcadores Tumorais/metabolismo , Neoplasias Pancreáticas/patologia , RNA Longo não Codificante/genética , Animais , Anexina A2/genética , Apoptose , Biomarcadores Tumorais/genética , Proliferação de Células , Progressão da Doença , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Pessoa de Meia-Idade , Neoplasias Pancreáticas/genética , Neoplasias Pancreáticas/metabolismo , Prognóstico , Células Tumorais Cultivadas , Ensaios Antitumorais Modelo de Xenoenxerto
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