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13-11-2024 | Diabetic Nephropathy | RESEARCH

Cell Division Cycle 42 Improves Renal Functions, Fibrosis, Th1/Th17 Infiltration and Inflammation to Some Degree in Diabetic Nephropathy

Authors: Na Zhao, Chuwen Feng, Yuehui Zhang, Huijun Chen, Jian Ma

Published in: Inflammation

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Abstract

Our two previous studies observed that cell division cycle 42 (CDC42) was lower and correlated with improved renal function and inflammation in diabetic nephropathy (DN) patients, and CDC42 inhibited renal tubular epithelial cell fibrosis and inflammation under high glucose condition. Sequentially, this current study aimed to investigate the effect of CDC42 on improving renal function, fibrosis, and inflammation in DN mice, and its interaction with T cell receptor (TCR) related pathways. Mice were treated by streptozotocin to construct early-stage DN model, then transfected with CDC42 overexpression adenovirus, followed by simultaneous treatment of LY294002 (PI3K/AKT inhibitor) and CI-1040 (ERK inhibitor), respectively. CDC42 reduced blood glucose, creatinine, and 24 h urine protein in DN mice, but only showed a tendency to decrease blood urea nitrogen without statistical significance. Hematoxylin&eosin staining revealed that CDC42 descended the glomerular volume, basement membrane thickness, and inflammatory cell infiltration in kidney. Meanwhile, CDC42 lowered fibronectin, TGF-β1, and Collagen I expressions in kidney, but not decreased α-SMA significantly. Besides, CDC42 decreased T-helper (Th) 1 and Th17 cells in kidney, and reduced serum IFN-γ, IL-1β, IL-17A, and TNF-α but not IL-6. Regarding TCR-related pathways, CDC42 activated AKT and ERK pathways but not JNK pathway. However, the treatment of LY294002 and CI-1040 had limited effect on attenuating CDC42’s functions on renal function and fibrotic markers. CDC42 improves renal functions, fibrosis, Th1/Th17 infiltration and inflammation to some degree in DN mice, these functions may be independent to AKT and ERK pathways.
Literature
1.
go back to reference Hu, Q., Y. Chen, X. Deng, et al. 2023. Diabetic nephropathy: Focusing on pathological signals, clinical treatment, and dietary regulation. Biomedicine and Pharmacotherapy 159:114252.PubMedCrossRef Hu, Q., Y. Chen, X. Deng, et al. 2023. Diabetic nephropathy: Focusing on pathological signals, clinical treatment, and dietary regulation. Biomedicine and Pharmacotherapy 159:114252.PubMedCrossRef
2.
go back to reference Selby, N.M., and M.W. Taal. 2020. An updated overview of diabetic nephropathy: Diagnosis, prognosis, treatment goals and latest guidelines. Diabetes, Obesity and Metabolism 22 (Suppl 1): 3–15.PubMedCrossRef Selby, N.M., and M.W. Taal. 2020. An updated overview of diabetic nephropathy: Diagnosis, prognosis, treatment goals and latest guidelines. Diabetes, Obesity and Metabolism 22 (Suppl 1): 3–15.PubMedCrossRef
3.
go back to reference Deng, Y., N. Li, Y. Wu, et al. 2021. Global, regional, and national burden of diabetes-related chronic kidney disease from 1990 to 2019. Front Endocrinol (Lausanne) 12:672350.PubMedCrossRef Deng, Y., N. Li, Y. Wu, et al. 2021. Global, regional, and national burden of diabetes-related chronic kidney disease from 1990 to 2019. Front Endocrinol (Lausanne) 12:672350.PubMedCrossRef
4.
5.
go back to reference Chinese Diabetes Society, National Office of Basic Public Health Service Program for Primary Diabetes Care. 2023. National technical guidelines for the prevention and treatment of diabetic kidney disease in primary care. Zhonghua Nei Ke Za Zhi 62: 1394–1405. Chinese Diabetes Society, National Office of Basic Public Health Service Program for Primary Diabetes Care. 2023. National technical guidelines for the prevention and treatment of diabetic kidney disease in primary care. Zhonghua Nei Ke Za Zhi 62: 1394–1405.
6.
go back to reference Albakr, R.B., V.S. Sridhar, and D.Z.I. Cherney. 2023. Novel Therapies in Diabetic Kidney Disease and Risk of Hyperkalemia: A Review of the Evidence From Clinical Trials. American Journal of Kidney Diseases 82:737–742.PubMedCrossRef Albakr, R.B., V.S. Sridhar, and D.Z.I. Cherney. 2023. Novel Therapies in Diabetic Kidney Disease and Risk of Hyperkalemia: A Review of the Evidence From Clinical Trials. American Journal of Kidney Diseases 82:737–742.PubMedCrossRef
7.
go back to reference Blonde, L., G.E. Umpierrez, S.S. Reddy, et al. 2022. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. Endocrine Practice 28:923–1049.PubMedPubMedCentralCrossRef Blonde, L., G.E. Umpierrez, S.S. Reddy, et al. 2022. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. Endocrine Practice 28:923–1049.PubMedPubMedCentralCrossRef
8.
go back to reference Gupta, S., M. Dominguez, and L. Golestaneh. 2023. Diabetic Kidney Disease: An Update. Medical Clinics of North America 107:689–705.PubMedCrossRef Gupta, S., M. Dominguez, and L. Golestaneh. 2023. Diabetic Kidney Disease: An Update. Medical Clinics of North America 107:689–705.PubMedCrossRef
9.
go back to reference Ming, J., S. Sana, and X. Deng. 2022. Identification of copper-related biomarkers and potential molecule mechanism in diabetic nephropathy. Front Endocrinol (Lausanne) 13:978601.PubMedCrossRef Ming, J., S. Sana, and X. Deng. 2022. Identification of copper-related biomarkers and potential molecule mechanism in diabetic nephropathy. Front Endocrinol (Lausanne) 13:978601.PubMedCrossRef
10.
11.
go back to reference Chen, J., Q. Liu, J. He, et al. 2022. Immune responses in diabetic nephropathy: Pathogenic mechanisms and therapeutic target. Frontiers in Immunology 13:958790.PubMedPubMedCentralCrossRef Chen, J., Q. Liu, J. He, et al. 2022. Immune responses in diabetic nephropathy: Pathogenic mechanisms and therapeutic target. Frontiers in Immunology 13:958790.PubMedPubMedCentralCrossRef
12.
go back to reference Tuttle, K.R., R. Agarwal, C.E. Alpers, et al. 2022. Molecular mechanisms and therapeutic targets for diabetic kidney disease. Kidney International 102:248–260.PubMedCrossRef Tuttle, K.R., R. Agarwal, C.E. Alpers, et al. 2022. Molecular mechanisms and therapeutic targets for diabetic kidney disease. Kidney International 102:248–260.PubMedCrossRef
14.
go back to reference Kalim, K.W., J.Q. Yang, M. Wunderlich, et al. 2022. Targeting of Cdc42 GTPase in regulatory T cells unleashes antitumor T-cell immunity. Journal for Immunotherapy of Cancer 10:e004806.PubMedPubMedCentralCrossRef Kalim, K.W., J.Q. Yang, M. Wunderlich, et al. 2022. Targeting of Cdc42 GTPase in regulatory T cells unleashes antitumor T-cell immunity. Journal for Immunotherapy of Cancer 10:e004806.PubMedPubMedCentralCrossRef
15.
go back to reference Zhang, D., W. Tang, H. Niu, et al. 2024. Monogenic deficiency in murine intestinal Cdc42 leads to mucosal inflammation that induces crypt dysplasia. Genes and Diseases 11:413–429.PubMedCrossRef Zhang, D., W. Tang, H. Niu, et al. 2024. Monogenic deficiency in murine intestinal Cdc42 leads to mucosal inflammation that induces crypt dysplasia. Genes and Diseases 11:413–429.PubMedCrossRef
16.
go back to reference Blattner, S.M., J.B. Hodgin, M. Nishio, et al. 2013. Divergent functions of the Rho GTPases Rac1 and Cdc42 in podocyte injury. Kidney International 84:920–930.PubMedPubMedCentralCrossRef Blattner, S.M., J.B. Hodgin, M. Nishio, et al. 2013. Divergent functions of the Rho GTPases Rac1 and Cdc42 in podocyte injury. Kidney International 84:920–930.PubMedPubMedCentralCrossRef
17.
go back to reference Huang, Q.Y., X.N. Lai, X.L. Qian, et al. 2019. Cdc42: A Novel Regulator of Insulin Secretion and Diabetes-Associated Diseases. International Journal of Molecular Sciences 20:179.PubMedPubMedCentralCrossRef Huang, Q.Y., X.N. Lai, X.L. Qian, et al. 2019. Cdc42: A Novel Regulator of Insulin Secretion and Diabetes-Associated Diseases. International Journal of Molecular Sciences 20:179.PubMedPubMedCentralCrossRef
18.
go back to reference Yu, H., J. Ma, Y. Gu, et al. 2024. Serum cell division cycle 42 reflects the development and progression of diabetic nephropathy in patients with diabetes mellitus. Experimental and Therapeutic Medicine 27:185.PubMedPubMedCentralCrossRef Yu, H., J. Ma, Y. Gu, et al. 2024. Serum cell division cycle 42 reflects the development and progression of diabetic nephropathy in patients with diabetes mellitus. Experimental and Therapeutic Medicine 27:185.PubMedPubMedCentralCrossRef
19.
go back to reference Zheng, S., N. Zhao, C. Feng, et al. 2024. Cell division cycle 42 attenuates high glucose-treated renal tubular epithelial cell apoptosis, fibrosis, and inflammation, but activates the PAK1/AKT pathway. Clinical and Experimental Nephrology 28:513–521.PubMedCrossRef Zheng, S., N. Zhao, C. Feng, et al. 2024. Cell division cycle 42 attenuates high glucose-treated renal tubular epithelial cell apoptosis, fibrosis, and inflammation, but activates the PAK1/AKT pathway. Clinical and Experimental Nephrology 28:513–521.PubMedCrossRef
20.
go back to reference Hou, B., Y. Li, X. Li, et al. 2020. HGF protected against diabetic nephropathy via autophagy-lysosome pathway in podocyte by modulating PI3K/Akt-GSK3beta-TFEB axis. Cellular Signalling 75:109744.PubMedCrossRef Hou, B., Y. Li, X. Li, et al. 2020. HGF protected against diabetic nephropathy via autophagy-lysosome pathway in podocyte by modulating PI3K/Akt-GSK3beta-TFEB axis. Cellular Signalling 75:109744.PubMedCrossRef
21.
go back to reference Nutter, F.H., J.L. Haylor, and A. Khwaja. 2015. Inhibiting ERK Activation with CI-1040 Leads to Compensatory Upregulation of Alternate MAPKs and Plasminogen Activator Inhibitor-1 following Subtotal Nephrectomy with No Impact on Kidney Fibrosis. PLoS One 10:e0137321.PubMedPubMedCentralCrossRef Nutter, F.H., J.L. Haylor, and A. Khwaja. 2015. Inhibiting ERK Activation with CI-1040 Leads to Compensatory Upregulation of Alternate MAPKs and Plasminogen Activator Inhibitor-1 following Subtotal Nephrectomy with No Impact on Kidney Fibrosis. PLoS One 10:e0137321.PubMedPubMedCentralCrossRef
22.
23.
go back to reference Han, Y.C., S.Q. Tang, Y.T. Liu, et al. 2021. AMPK agonist alleviate renal tubulointerstitial fibrosis via activating mitophagy in high fat and streptozotocin induced diabetic mice. Cell Death and Disease 12:925.PubMedPubMedCentralCrossRef Han, Y.C., S.Q. Tang, Y.T. Liu, et al. 2021. AMPK agonist alleviate renal tubulointerstitial fibrosis via activating mitophagy in high fat and streptozotocin induced diabetic mice. Cell Death and Disease 12:925.PubMedPubMedCentralCrossRef
24.
go back to reference Scott, R.P., S.P. Hawley, J. Ruston, et al. 2012. Podocyte-specific loss of Cdc42 leads to congenital nephropathy. Journal of the American Society of Nephrology 23:1149–1154.PubMedPubMedCentralCrossRef Scott, R.P., S.P. Hawley, J. Ruston, et al. 2012. Podocyte-specific loss of Cdc42 leads to congenital nephropathy. Journal of the American Society of Nephrology 23:1149–1154.PubMedPubMedCentralCrossRef
25.
go back to reference Huang, Z., L. Zhang, Y. Chen, et al. 2016. Cdc42 deficiency induces podocyte apoptosis by inhibiting the Nwasp/stress fibers/YAP pathway. Cell Death and Disease 7:e2142.PubMedPubMedCentralCrossRef Huang, Z., L. Zhang, Y. Chen, et al. 2016. Cdc42 deficiency induces podocyte apoptosis by inhibiting the Nwasp/stress fibers/YAP pathway. Cell Death and Disease 7:e2142.PubMedPubMedCentralCrossRef
26.
go back to reference Sviridov, D., and N. Mukhamedova. 2018. Cdc42 - A tryst between host cholesterol metabolism and infection. Small GTPases 9:237–241.PubMedCrossRef Sviridov, D., and N. Mukhamedova. 2018. Cdc42 - A tryst between host cholesterol metabolism and infection. Small GTPases 9:237–241.PubMedCrossRef
27.
go back to reference Jiang, S., C.M. Xu, S. Yao, et al. 2022. Cdc42 upregulation under high glucose induces podocyte apoptosis and impairs beta-cell insulin secretion. Front Endocrinol (Lausanne) 13:905703.PubMedCrossRef Jiang, S., C.M. Xu, S. Yao, et al. 2022. Cdc42 upregulation under high glucose induces podocyte apoptosis and impairs beta-cell insulin secretion. Front Endocrinol (Lausanne) 13:905703.PubMedCrossRef
28.
go back to reference Xiao, X.H., Q.Y. Huang, X.L. Qian, et al. 2019. Cdc42 Promotes ADSC-Derived IPC Induction, Proliferation, And Insulin Secretion Via Wnt/β-Catenin Signaling. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 12:2325–2339.PubMedCrossRef Xiao, X.H., Q.Y. Huang, X.L. Qian, et al. 2019. Cdc42 Promotes ADSC-Derived IPC Induction, Proliferation, And Insulin Secretion Via Wnt/β-Catenin Signaling. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 12:2325–2339.PubMedCrossRef
29.
go back to reference Jiang, R., X. Tang, J. Pan, et al. 2022. CDC42 governs normal oviduct multiciliogenesis through activating AKT to ensure timely embryo transport. Cell Death and Disease 13:757.PubMedPubMedCentralCrossRef Jiang, R., X. Tang, J. Pan, et al. 2022. CDC42 governs normal oviduct multiciliogenesis through activating AKT to ensure timely embryo transport. Cell Death and Disease 13:757.PubMedPubMedCentralCrossRef
30.
go back to reference Li, G., Y. Wang, X.B. Guo, et al. 2022. CDC42 Regulates Cell Proliferation and Apoptosis in Bladder Cancer via the IQGAP3-Mediated Ras/ERK Pathway. Biochemical Genetics 60:2383–2398.PubMedCrossRef Li, G., Y. Wang, X.B. Guo, et al. 2022. CDC42 Regulates Cell Proliferation and Apoptosis in Bladder Cancer via the IQGAP3-Mediated Ras/ERK Pathway. Biochemical Genetics 60:2383–2398.PubMedCrossRef
32.
go back to reference Sun, D., J. Guo, W. Liang, et al. 2023. Anlotinib Alleviates Renal Fibrosis via Inhibition of the ERK and AKT Signaling Pathways. Oxidative Medicine and Cellular Longevity 2023:1686804.PubMedPubMedCentralCrossRef Sun, D., J. Guo, W. Liang, et al. 2023. Anlotinib Alleviates Renal Fibrosis via Inhibition of the ERK and AKT Signaling Pathways. Oxidative Medicine and Cellular Longevity 2023:1686804.PubMedPubMedCentralCrossRef
33.
go back to reference Shouib, R., and G. Eitzen. 2022. Cdc42 regulates cytokine expression and trafficking in bronchial epithelial cells. Frontiers in Immunology 13:1069499.PubMedPubMedCentralCrossRef Shouib, R., and G. Eitzen. 2022. Cdc42 regulates cytokine expression and trafficking in bronchial epithelial cells. Frontiers in Immunology 13:1069499.PubMedPubMedCentralCrossRef
34.
go back to reference Ito, T.K., M. Yokoyama, Y. Yoshida, et al. 2014. A crucial role for CDC42 in senescence-associated inflammation and atherosclerosis. PLoS One 9:e102186.PubMedPubMedCentralCrossRef Ito, T.K., M. Yokoyama, Y. Yoshida, et al. 2014. A crucial role for CDC42 in senescence-associated inflammation and atherosclerosis. PLoS One 9:e102186.PubMedPubMedCentralCrossRef
35.
go back to reference Lam, M.T., S. Coppola, O.H.F. Krumbach, et al. 2019. A novel disorder involving dyshematopoiesis, inflammation, and HLH due to aberrant CDC42 function. Journal of Experimental Medicine 216:2778–2799.PubMedPubMedCentralCrossRef Lam, M.T., S. Coppola, O.H.F. Krumbach, et al. 2019. A novel disorder involving dyshematopoiesis, inflammation, and HLH due to aberrant CDC42 function. Journal of Experimental Medicine 216:2778–2799.PubMedPubMedCentralCrossRef
36.
go back to reference Chen, L., K. Collado, and D. Rastogi. 2021. Contribution of systemic and airway immune responses to pediatric obesity-related asthma. Paediatric Respiratory Reviews 37:3–9.PubMedCrossRef Chen, L., K. Collado, and D. Rastogi. 2021. Contribution of systemic and airway immune responses to pediatric obesity-related asthma. Paediatric Respiratory Reviews 37:3–9.PubMedCrossRef
37.
go back to reference Yang, Y., L. Huang, and B. Wu. 2022. Cell division control protein 42 correlates with lower disease risk and its elevation predicts better treatment response, and inhibits T-helper 17 cell differentiation in rheumatoid arthritis. Inflammopharmacology 30:2117–2125.PubMedCrossRef Yang, Y., L. Huang, and B. Wu. 2022. Cell division control protein 42 correlates with lower disease risk and its elevation predicts better treatment response, and inhibits T-helper 17 cell differentiation in rheumatoid arthritis. Inflammopharmacology 30:2117–2125.PubMedCrossRef
38.
go back to reference Yang, S., X. Tang, L. Wang, et al. 2022. Targeting TLR2/Rac1/cdc42/JNK Pathway to Reveal That Ruxolitinib Promotes Thrombocytopoiesis. International Journal of Molecular Sciences 23:16137.PubMedPubMedCentralCrossRef Yang, S., X. Tang, L. Wang, et al. 2022. Targeting TLR2/Rac1/cdc42/JNK Pathway to Reveal That Ruxolitinib Promotes Thrombocytopoiesis. International Journal of Molecular Sciences 23:16137.PubMedPubMedCentralCrossRef
39.
go back to reference Lv, J., J. Zeng, W. Zhao, et al. 2017. Cdc42 regulates LPS-induced proliferation of primary pulmonary microvascular endothelial cells via ERK pathway. Microvascular Research 109:45–53.PubMedCrossRef Lv, J., J. Zeng, W. Zhao, et al. 2017. Cdc42 regulates LPS-induced proliferation of primary pulmonary microvascular endothelial cells via ERK pathway. Microvascular Research 109:45–53.PubMedCrossRef
40.
go back to reference Xu, Z., K. Cai, S.L. Su, et al. 2024. Salvianolic acid B and tanshinone IIA synergistically improve early diabetic nephropathy through regulating PI3K/Akt/NF-kappaB signaling pathway. Journal of Ethnopharmacology 319:117356.PubMedCrossRef Xu, Z., K. Cai, S.L. Su, et al. 2024. Salvianolic acid B and tanshinone IIA synergistically improve early diabetic nephropathy through regulating PI3K/Akt/NF-kappaB signaling pathway. Journal of Ethnopharmacology 319:117356.PubMedCrossRef
41.
go back to reference Wang, D., Y. Li, L. Dai, et al. 2022. 1,2,3,4,6-penta-O-galloyl-beta-D-glucose alleviates inflammation and oxidative stress in diabetic nephropathy rats through MAPK/NF-kappaB and ERK/Nrf2/HO-1 signaling pathways. Experimental and Therapeutic Medicine 24:639.PubMedPubMedCentralCrossRef Wang, D., Y. Li, L. Dai, et al. 2022. 1,2,3,4,6-penta-O-galloyl-beta-D-glucose alleviates inflammation and oxidative stress in diabetic nephropathy rats through MAPK/NF-kappaB and ERK/Nrf2/HO-1 signaling pathways. Experimental and Therapeutic Medicine 24:639.PubMedPubMedCentralCrossRef
42.
go back to reference Kong, Z., M. Xiao, B. Wang, et al. 2023. Renoprotective Effect of Isoorientin in Diabetic Nephropathy via Activating Autophagy and Inhibiting the PI3K-AKT-TSC2-mTOR Pathway. American Journal of Chinese Medicine 51:1269–1291.PubMedCrossRef Kong, Z., M. Xiao, B. Wang, et al. 2023. Renoprotective Effect of Isoorientin in Diabetic Nephropathy via Activating Autophagy and Inhibiting the PI3K-AKT-TSC2-mTOR Pathway. American Journal of Chinese Medicine 51:1269–1291.PubMedCrossRef
43.
go back to reference Huang, H., H. Ni, K. Ma, et al. 2019. ANGPTL2 regulates autophagy through the MEK/ERK/Nrf-1 pathway and affects the progression of renal fibrosis in diabetic nephropathy. American Journal of Translational Research 11:5472–5486.PubMedPubMedCentral Huang, H., H. Ni, K. Ma, et al. 2019. ANGPTL2 regulates autophagy through the MEK/ERK/Nrf-1 pathway and affects the progression of renal fibrosis in diabetic nephropathy. American Journal of Translational Research 11:5472–5486.PubMedPubMedCentral
44.
go back to reference Yang, L., D.X. Li, B.Q. Cao, et al. 2021. Exercise training ameliorates early diabetic kidney injury by regulating the H(2) S/SIRT1/p53 pathway. The FASEB Journal 35:e21823.PubMedCrossRef Yang, L., D.X. Li, B.Q. Cao, et al. 2021. Exercise training ameliorates early diabetic kidney injury by regulating the H(2) S/SIRT1/p53 pathway. The FASEB Journal 35:e21823.PubMedCrossRef
45.
go back to reference Hou, Q., S. Kan, Z. Wang, et al. 2022. Inhibition of HDAC6 With CAY10603 Ameliorates Diabetic Kidney Disease by Suppressing NLRP3 Inflammasome. Frontiers in Pharmacology 13:938391.PubMedPubMedCentralCrossRef Hou, Q., S. Kan, Z. Wang, et al. 2022. Inhibition of HDAC6 With CAY10603 Ameliorates Diabetic Kidney Disease by Suppressing NLRP3 Inflammasome. Frontiers in Pharmacology 13:938391.PubMedPubMedCentralCrossRef
46.
go back to reference Su, C.H., Y.C. Hsu, S. Thangudu, et al. 2021. Application of multiparametric MR imaging to predict the diversification of renal function in miR29a-mediated diabetic nephropathy. Science and Reports 11:1909.CrossRef Su, C.H., Y.C. Hsu, S. Thangudu, et al. 2021. Application of multiparametric MR imaging to predict the diversification of renal function in miR29a-mediated diabetic nephropathy. Science and Reports 11:1909.CrossRef
47.
go back to reference Chang, K., Q. Xie, J. Niu, et al. 2022. Heparanase promotes endothelial-to-mesenchymal transition in diabetic glomerular endothelial cells through mediating ERK signaling. Cell Death Discovery 8:108.PubMedPubMedCentralCrossRef Chang, K., Q. Xie, J. Niu, et al. 2022. Heparanase promotes endothelial-to-mesenchymal transition in diabetic glomerular endothelial cells through mediating ERK signaling. Cell Death Discovery 8:108.PubMedPubMedCentralCrossRef
Metadata
Title
Cell Division Cycle 42 Improves Renal Functions, Fibrosis, Th1/Th17 Infiltration and Inflammation to Some Degree in Diabetic Nephropathy
Authors
Na Zhao
Chuwen Feng
Yuehui Zhang
Huijun Chen
Jian Ma
Publication date
13-11-2024
Publisher
Springer US
Published in
Inflammation
Print ISSN: 0360-3997
Electronic ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-024-02169-1

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