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Probiotics increase T regulatory cells and reduce severity of experimental colitis in mice
被引:40
作者:

Zhao, Hai-Mei
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机构:
Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Huang, Xiao-Ying
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Jiangxi Univ Tradit Chinese Med, Nanchang 330006, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Zuo, Zhi-Qin
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Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Pan, Qi-Hong
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Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Ao, Mei-Ying
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Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Zhou, Feng
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Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Liu, Hong-Ning
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Jiangxi Univ Tradit Chinese Med, Nanchang 330006, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Liu, Zhi-Yong
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Jiangxi Univ Tradit Chinese Med, Nanchang 330006, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China

Liu, Duan-Yong
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h-index: 0
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Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China
机构:
[1] Jiangxi Univ Tradit Chinese Med, Coll Sci & Technol, Nanchang 330025, Jiangxi Provinc, Peoples R China
[2] Jiangxi Univ Tradit Chinese Med, Nanchang 330006, Jiangxi Provinc, Peoples R China
关键词:
Probiotics;
Ulcerative colitis;
CD4(+)CD25(+)T cell;
Cytokine;
INFLAMMATORY-BOWEL-DISEASE;
ULCERATIVE-COLITIS;
THERAPY;
INHIBITION;
T-HELPER-1;
RECEPTORS;
CYTOKINES;
FOXP3;
CURE;
D O I:
10.3748/wjg.v19.i5.742
中图分类号:
R57 [消化系及腹部疾病];
学科分类号:
摘要:
AIM: To investigate the effect of probiotics on regulating T regulatory cells and reducing the severity of experimental colitis in mice. METHODS: Forty C57/BL mice were randomly divided into four groups. Colitis was induced in the mice using 2,4,6-trinitrobenzene sulfonic acid (TNBS). After 10-d treatment with Bifico capsules (combined bifidobacterium, lactobacillus and enterococcus), body weight, colonic weight, colonic weight index, length of colon, and histological scores were evaluated. CD4(+)CD25(+)Foxp3(+)T cell in mesenteric lymph nodes were measured by flow cytometry, and cytokines in colonic tissue homogenates were analyzed by a cytometric bead array. RESULTS: The colonic weight index and the colonic weight of colitis mice treated with Bifico were lower than that of TNBS-induced mice without treatment. However, colonic length and percent of body weight amplification were higher than in TNBS-induced mice without treatment. Compared with TNBS-induced mice without treatment, the level of CD4(+)CD25(+)Foxp3(+)T cells in mesenteric lymph nodes, the expression of interleukin (IL)-2, IL-4 and IL-10 in colonic tissues from colitis mice treated with Bifico were upregulated, and tumor necrosis factor-alpha and interferon-gamma were downregulated. CONCLUSION: Probiotics effectively treat experimental colitis by increasing CD4(+)CD25(+)Foxp3(+)T cell and regulating the balance of Th1 and Th2 cytokines in the colonic mucosa. (C) 2013 Baishideng. All rights reserved.
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页码:742 / 749
页数:8
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共 27 条
- [1] High sensitivity of CD4+CD25+ regulatory T cells to extracellular metabolites nicotinamide adenine dinucleotide and ATP:: A role for P2X7 receptors[J]. JOURNAL OF IMMUNOLOGY, 2005, 175 (05) : 3075 - 3083Aswad, F论文数: 0 引用数: 0 h-index: 0机构: Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USA Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USAKawamura, H论文数: 0 引用数: 0 h-index: 0机构: Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USA Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USADennert, G论文数: 0 引用数: 0 h-index: 0机构: Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USA Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr, Univ So Calif, Keck Sch Med,Dept Mol Microbiol & Immunol, Los Angeles, CA 90033 USA
- [2] Defective regulatory and effector T cell functions in patients with FOXP3 mutations[J]. JOURNAL OF CLINICAL INVESTIGATION, 2006, 116 (06) : 1713 - 1722Bacchetta, Rosa论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyPasserini, Laura论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyGambineri, Eleonora论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyDai, Minyue论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyAllan, Sarah E.论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyPerroni, Lucia论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyDagna-Bricarelli, Franca论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalySartirana, Claudia论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyMatthes-Martins, Susanne论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyLawitschka, Anita论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyAzzari, Chiara论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyZiegler, Steven F.论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyLevings, Megan K.论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, ItalyRoncarolo, Maria Grazia论文数: 0 引用数: 0 h-index: 0机构: San Raffaele Telethon Inst Gene Therapy, HSR TIGET, I-20132 Milan, Italy
- [3] Cytokines, chemokine receptors, and homing molecule distribution in the rectum and stomach of pediatric patients with ulcerative colitis[J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2003, 37 (03) : 300 - 308Berrebi, D论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceLanguepin, J论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceFerkdadji, L论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceFoussat, A论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceDe Lagausie, P论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceParis, R论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceEmilie, D论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceMougenot, JF论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceCezard, JP论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FranceNavarro, J论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, FrancePeuchmaur, M论文数: 0 引用数: 0 h-index: 0机构: Hop Robert Debre, Serv Anat & Cytol Pathol, F-75019 Paris, France
- [4] Commensal Bacteroides Species Induce Colitis in Host-Genotype-Specific Fashion in a Mouse Model of Inflammatory Bowel Disease[J]. CELL HOST & MICROBE, 2011, 9 (05) : 390 - 403Bloom, Seth M.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USABijanki, Vinieth N.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USANava, Gerardo M.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USASun, Lulu论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USAMalvin, Nicole P.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USADonermeyer, David L.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USADunne, W. Michael, Jr.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USAAllen, Paul M.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USAStappenbeck, Thaddeus S.论文数: 0 引用数: 0 h-index: 0机构: Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA
- [5] Bacteria as the cause of ulcerative colitis[J]. GUT, 2001, 48 (01) : 132 - 135Campieri, M论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Osped S Orsola Malpighi, Ctr Inflammatory Bowel Dis, Dept Internal Med, I-40138 Bologna, Italy Univ Bologna, Osped S Orsola Malpighi, Ctr Inflammatory Bowel Dis, Dept Internal Med, I-40138 Bologna, ItalyGionchetti, P论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Osped S Orsola Malpighi, Ctr Inflammatory Bowel Dis, Dept Internal Med, I-40138 Bologna, Italy Univ Bologna, Osped S Orsola Malpighi, Ctr Inflammatory Bowel Dis, Dept Internal Med, I-40138 Bologna, Italy
- [6] Therapeutic effects of four strains of probiotics on experimental colitis in mice[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2009, 15 (03) : 321 - 327Chen, Lin-Lin论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaWang, Xue-Hong论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaCui, Yi论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaLian, Guang-Hui论文数: 0 引用数: 0 h-index: 0机构: Zhongshan City Peoples Hosp, Dept Gastroenterol, Zhongshan 528400, Guangdong, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaZhang, Jie论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaOuyang, Chun-Hui论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R ChinaLu, Fang-Gen论文数: 0 引用数: 0 h-index: 0机构: Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha 410011, Hunan, Peoples R China
- [7] Synbiotic therapy (Bifidobacterium longum/Synergy 1) initiates resolution of inflammation in patients with active ulcerative colitis:: a randomised controlled pilot trial[J]. GUT, 2005, 54 (02) : 242 - 249Furrie, E论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, Scotland Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandMacfarlane, S论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandKennedy, A论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandCummings, JH论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandWalsh, SV论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandO'Neil, DA论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, ScotlandMacfarlane, GT论文数: 0 引用数: 0 h-index: 0机构: Univ Dundee, Ninewells Hosp, Sch Med, Microbiol & Gut Biol Grp,MRC, Dundee DD1 9SY, Scotland
- [8] Antibiotics and probiotics in treatment of inflammatory bowel disease[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2006, 12 (21) : 3306 - 3313Gionchetti, Paolo论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyRizzello, Fernando论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyLammers, Karen M.论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyMorselli, Claudia论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalySollazzi, Lucia论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyDavies, Samuel论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyTambasco, Rosy论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyCalabrese, Carlo论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, ItalyCampieri, Massimo论文数: 0 引用数: 0 h-index: 0机构: Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy
- [9] Effect of probiotics on pro-inflammatory cytokines and NF-κB activation in ulcerative colitis[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2010, 16 (33) : 4145 - 4151Hegazy, Sahar K.论文数: 0 引用数: 0 h-index: 0机构: Tanta Univ, Fac Pharm, Dept Clin Pharm, Tanta 8130, Egypt Tanta Univ, Fac Pharm, Dept Clin Pharm, Tanta 8130, EgyptEl-Bedewy, Mohamed M.论文数: 0 引用数: 0 h-index: 0机构: Tanta Univ, Fac Med, Tanta 8130, Egypt Tanta Univ, Fac Pharm, Dept Clin Pharm, Tanta 8130, Egypt
- [10] Regulatory T-cell therapy for inflammatory bowel disease: more questions than answers[J]. IMMUNOLOGY, 2012, 136 (02) : 115 - 122Himmel, Megan E.论文数: 0 引用数: 0 h-index: 0机构: Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, Canada Child & Family Res Ctr, Vancouver, BC, Canada Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, CanadaYao, Yu论文数: 0 引用数: 0 h-index: 0机构: Univ British Columbia, Dept Med, Div Infect Dis, Vancouver, BC, Canada Vancouver Coastal Hlth Res Inst, Immun & Infect Res Ctr, Vancouver, BC, Canada Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, CanadaOrban, Paul C.论文数: 0 引用数: 0 h-index: 0机构: Child & Family Res Ctr, Vancouver, BC, Canada Univ British Columbia, Dept Pathol & Lab Med, Vancouver, BC V5Z 1M9, Canada Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, CanadaSteiner, Theodore S.论文数: 0 引用数: 0 h-index: 0机构: Univ British Columbia, Dept Med, Div Infect Dis, Vancouver, BC, Canada Vancouver Coastal Hlth Res Inst, Immun & Infect Res Ctr, Vancouver, BC, Canada Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, CanadaLevings, Megan K.论文数: 0 引用数: 0 h-index: 0机构: Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, Canada Child & Family Res Ctr, Vancouver, BC, Canada Univ British Columbia, Dept Surg, Vancouver, BC V6T 1W5, Canada