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Plantamajoside Inhibits Lipopolysaccharide-Induced MUC5AC Expression and Inflammation through Suppressing the PI3K/Akt and NF-κB Signaling Pathways in Human Airway Epithelial Cells
被引:35
作者:

Ma, Chaonan
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机构:
Henan Univ, Huaihe Hosp, Dept Respirat, Ximen St 115, Kaifeng 475000, Peoples R China Henan Univ, Huaihe Hosp, Dept Respirat, Ximen St 115, Kaifeng 475000, Peoples R China

Ma, Wei
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Henan Univ, Huaihe Hosp, Dept Respirat, Ximen St 115, Kaifeng 475000, Peoples R China Henan Univ, Huaihe Hosp, Dept Respirat, Ximen St 115, Kaifeng 475000, Peoples R China
机构:
[1] Henan Univ, Huaihe Hosp, Dept Respirat, Ximen St 115, Kaifeng 475000, Peoples R China
关键词:
lantamajoside;
MUC5AC;
PI3K/Akt;
NF-kappa B;
airway inflammation;
respiratory inflammatory diseases;
GENE-EXPRESSION;
LUNG-DISEASE;
SECRETION;
ASTHMA;
MODEL;
D O I:
10.1007/s10753-018-0733-7
中图分类号:
Q2 [细胞生物学];
学科分类号:
071009 ;
090102 ;
摘要:
It has been reported that plantamajoside (PMS), a major natural compound isolated from Plantago asiatica, has anti-inflammatory activities. However, the effect of PMS on respiratory inflammatory diseases has not yet been studied. The present study aimed to evaluate the effect of PMS on lipopolysaccharide (LPS)-induced airway inflammation and the underlying mechanism. The results showed that PMS did not affect the cell viability of 16-HBE cells. PMS (20 and 40 mu g/ml) decreased the expression levels of MUC5AC, IL-6, and IL-1 beta, which were induced by LPS treatment. PMS inhibited the LPS-induced phosphorylation of Akt and p65. In addition, inhibitors of the PI3K/Akt and NF-kappa B pathways attenuated the effect of LPS on 16-HBE cells. In conclusion, PMS inhibits LPS-induced MUC5AC expression and inflammation through suppressing the PI3K/Akt and NF-kappa B signaling pathways, indicating that PMS may be a potential therapy for the treatment of respiratory inflammatory diseases.
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页码:795 / 802
页数:8
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共 28 条
[1]
Medicinal plants - prophylactic and therapeutic options for gastrointestinal and respiratory diseases in calves and piglets? A systematic review
[J].
Ayrle, Hannah
;
Mevissen, Meike
;
Kaske, Martin
;
Nathues, Heiko
;
Gruetzner, Niels
;
Melzig, Matthias
;
Walkenhorst, Michael
.
BMC VETERINARY RESEARCH,
2016, 12

Ayrle, Hannah
论文数: 0 引用数: 0
h-index: 0
机构:
Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland
Univ Bern, Vetsuisse Fac, Dept Clin Res & Vet Publ Hlth, Div Vet Pharmacol & Toxicol, Laenggassstr 124, CH-3012 Bern, Switzerland Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland

Mevissen, Meike
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Bern, Vetsuisse Fac, Dept Clin Res & Vet Publ Hlth, Div Vet Pharmacol & Toxicol, Laenggassstr 124, CH-3012 Bern, Switzerland Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland

Kaske, Martin
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Zurich, Vetsuisse Fac, Dept Farm Anim, Winterthurerstr 260, CH-8057 Zurich, Switzerland Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland

论文数: 引用数:
h-index:
机构:

Gruetzner, Niels
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Bern, Vetsuisse Fac, Dept Clin Vet Med, Swine Clin, Bremgartenstr 109a, CH-3012 Bern, Switzerland Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland

Melzig, Matthias
论文数: 0 引用数: 0
h-index: 0
机构:
Free Univ Berlin, Inst Pharm, Dahlem Ctr Plant Sci, Koenigin Luise Str 2 4, D-14195 Berlin, Germany Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland

Walkenhorst, Michael
论文数: 0 引用数: 0
h-index: 0
机构:
Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland Res Inst Organ Agr FiBL, Dept Livestock Sci, Ackerstr 113,Postbox 219, CH-5070 Frick, Switzerland
[2]
Maternal Disononyl Phthalate Exposure Activates Allergic Airway Inflammation via Stimulating the Phosphoinositide 3-kinase/Akt Pathway in Rat Pups
[J].
Chen Li
;
Chen Jiao
;
Xie Chang Ming
;
Zhao Yan
;
Wang Xiu
;
Zhang Yun Hui
.
BIOMEDICAL AND ENVIRONMENTAL SCIENCES,
2015, 28 (03)
:190-198

Chen Li
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China
Fudan Univ, Sch Publ Hlth, Minist Educ, Key Lab Publ Hlth Safety, Shanghai 200032, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China

Chen Jiao
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China

Xie Chang Ming
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China

Zhao Yan
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China

Wang Xiu
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China

Zhang Yun Hui
论文数: 0 引用数: 0
h-index: 0
机构:
Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China Minhang Dist Ctr Dis Control & Prevent, Shanghai 201101, Peoples R China
[3]
Inhibition of Protein Kinase C Delta Attenuates Allergic Airway Inflammation through Suppression of PI3K/Akt/mTOR/HIF-1 Alpha/VEGF Pathway
[J].
Choi, Yun Ho
;
Jin, Guang Yu
;
Li, Liang Chang
;
Yan, Guang Hai
.
PLOS ONE,
2013, 8 (11)

Choi, Yun Ho
论文数: 0 引用数: 0
h-index: 0
机构:
Chonbuk Natl Univ, Inst Med Sci, Sch Med, Dept Anat, Jeonju, Jeonbuk, South Korea Chonbuk Natl Univ, Inst Med Sci, Sch Med, Dept Anat, Jeonju, Jeonbuk, South Korea

Jin, Guang Yu
论文数: 0 引用数: 0
h-index: 0
机构:
Yanbian Univ Hosp, Yanji, Peoples R China Chonbuk Natl Univ, Inst Med Sci, Sch Med, Dept Anat, Jeonju, Jeonbuk, South Korea

Li, Liang Chang
论文数: 0 引用数: 0
h-index: 0
机构:
Yanbian Univ, Sch Basic Med Sci, Dept Anat & Histol & Embryol, Yanji, Jilin, Peoples R China Chonbuk Natl Univ, Inst Med Sci, Sch Med, Dept Anat, Jeonju, Jeonbuk, South Korea

Yan, Guang Hai
论文数: 0 引用数: 0
h-index: 0
机构:
Yanbian Univ, Sch Basic Med Sci, Dept Anat & Histol & Embryol, Yanji, Jilin, Peoples R China Chonbuk Natl Univ, Inst Med Sci, Sch Med, Dept Anat, Jeonju, Jeonbuk, South Korea
[4]
The role of inflammation in the development of chronic lung disease in neonates
[J].
De Dooy, JJ
;
Mahieu, LM
;
Van Bever, HP
.
EUROPEAN JOURNAL OF PEDIATRICS,
2001, 160 (08)
:457-463

De Dooy, JJ
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium

Mahieu, LM
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium

Van Bever, HP
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium Univ Antwerp Hosp, Dept Pediat, Div Neonatol, B-2650 Edegem, Belgium
[5]
Baicalin Inhibits Lipopolysaccharide-Induced Inflammation Through Signaling NF-κB Pathway in HBE16 Airway Epithelial Cells
[J].
Dong, Shou-jin
;
Zhong, Yun-qing
;
Lu, Wen-ting
;
Li, Guan-hong
;
Jiang, Hong-li
;
Mao, Bing
.
INFLAMMATION,
2015, 38 (04)
:1493-1501

Dong, Shou-jin
论文数: 0 引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China

Zhong, Yun-qing
论文数: 0 引用数: 0
h-index: 0
机构:
Guangxi Tradit Chinese Med Univ, Affiliated Hosp 1, Dept Resp Med, Nanning 530023, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China

Lu, Wen-ting
论文数: 0 引用数: 0
h-index: 0
机构:
Sichuan Hosp Integrated Tradit Chinese & Western, Dept Geratol, Chengdu 610041, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China

Li, Guan-hong
论文数: 0 引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China

Jiang, Hong-li
论文数: 0 引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China

Mao, Bing
论文数: 0 引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China Sichuan Univ, West China Med Sch, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Chengdu 610041, Peoples R China
[6]
Airway inflammation in chronic obstructive pulmonary disease (COPD): a true paradox
[J].
Eapen, Mathew Suji
;
Myers, Stephen
;
Walters, Eugene Haydn
;
Sohal, Sukhwinder Singh
.
EXPERT REVIEW OF RESPIRATORY MEDICINE,
2017, 11 (10)
:827-839

论文数: 引用数:
h-index:
机构:

Myers, Stephen
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Tasmania, Sch Hlth Sci, Locked Bag 1322,Newnham Dr, Launceston, Tas 7248, Australia Univ Tasmania, Sch Med, Breathe Well Ctr Res Excellence Chron Resp Dis &, Hobart, Tas, Australia

Walters, Eugene Haydn
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Tasmania, Sch Med, Breathe Well Ctr Res Excellence Chron Resp Dis &, Hobart, Tas, Australia Univ Tasmania, Sch Med, Breathe Well Ctr Res Excellence Chron Resp Dis &, Hobart, Tas, Australia

Sohal, Sukhwinder Singh
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Tasmania, Sch Med, Breathe Well Ctr Res Excellence Chron Resp Dis &, Hobart, Tas, Australia
Univ Tasmania, Sch Hlth Sci, Locked Bag 1322,Newnham Dr, Launceston, Tas 7248, Australia Univ Tasmania, Sch Med, Breathe Well Ctr Res Excellence Chron Resp Dis &, Hobart, Tas, Australia
[7]
Induction of inflammatory host immune responses by organisms belonging to the genera Chlamydia/Chlamydophila
[J].
Entrican, G
;
Wattegedera, S
;
Rocchi, M
;
Fleming, DC
;
Kelly, RW
;
Wathne, G
;
Magdalenic, V
;
Howie, SEM
.
VETERINARY IMMUNOLOGY AND IMMUNOPATHOLOGY,
2004, 100 (3-4)
:179-186

Entrican, G
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Wattegedera, S
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Rocchi, M
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Fleming, DC
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Kelly, RW
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Wathne, G
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Magdalenic, V
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland

Howie, SEM
论文数: 0 引用数: 0
h-index: 0
机构: Moredun Res Inst, Edinburgh EH26 0PZ, Midlothian, Scotland
[8]
Airway epithelial NF-κB activation modulates asbestos-induced inflammation and mucin production in vivo
[J].
Haegens, Astrid
;
Barrett, Trisha F.
;
Gell, Joanna
;
Shukla, Arti
;
MacPherson, Maximilian
;
Vacek, Pamela
;
Poynter, Matthew E.
;
Butnor, Kelly J.
;
Janssen-Heininger, Yvonne M.
;
Steele, Chad
;
Mossman, Brooke T.
.
JOURNAL OF IMMUNOLOGY,
2007, 178 (03)
:1800-1808

Haegens, Astrid
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Barrett, Trisha F.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Gell, Joanna
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Shukla, Arti
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

MacPherson, Maximilian
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Vacek, Pamela
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Poynter, Matthew E.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Butnor, Kelly J.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Janssen-Heininger, Yvonne M.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Steele, Chad
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA

Mossman, Brooke T.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Vermont, Coll Med, Dept Pathol, Burlington, VT 05405 USA
[9]
Effect of phenylethanoid glycosides and polysaccharides from the seed of Plantago asiatica L. on the maturation of murine bone marrow-derived dendritic cells
[J].
Huang, Dan-Fei
;
Tang, Yong-Fu
;
Nie, Shao-Ping
;
Wan, Yin
;
Xie, Ming-Yong
;
Xie, Xiao-Mei
.
EUROPEAN JOURNAL OF PHARMACOLOGY,
2009, 620 (1-3)
:105-111

Huang, Dan-Fei
论文数: 0 引用数: 0
h-index: 0
机构:
Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China

Tang, Yong-Fu
论文数: 0 引用数: 0
h-index: 0
机构:
Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China

Nie, Shao-Ping
论文数: 0 引用数: 0
h-index: 0
机构:
Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China

Wan, Yin
论文数: 0 引用数: 0
h-index: 0
机构:
Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China

Xie, Ming-Yong
论文数: 0 引用数: 0
h-index: 0
机构:
Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China

Xie, Xiao-Mei
论文数: 0 引用数: 0
h-index: 0
机构:
Jiangxi Chinese Med Univ, Minist Educ, Key Lab Modern Preparat TCM, Nanchang 330004, Jiangxi, Peoples R China Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China
[10]
Changing Paradigms in the Treatment of Severe Asthma: The Role of Biologic Therapies
[J].
Katial, Rohit K.
;
Bensch, Greg W.
;
Busse, William W.
;
Chipps, Bradley E.
;
Denson, Joshua L.
;
Gerber, Anthony N.
;
Jacobs, Joshua S.
;
Kraft, Monica
;
Martin, Richard J.
;
Nair, Parameswaran
;
Wechsler, Michael E.
.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE,
2017, 5 (02)
:S1-S14

Katial, Rohit K.
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Bensch, Greg W.
论文数: 0 引用数: 0
h-index: 0
机构:
Allergy Immunol & Asthma Med Grp, Stockton, CA USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Busse, William W.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Wisconsin, Dept Med, Div Allergy Pulm & Crit Care, Sch Med & Publ Hlth, Madison, WI USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Chipps, Bradley E.
论文数: 0 引用数: 0
h-index: 0
机构:
Capital Allergy & Resp Dis Ctr, Sacramento, CA USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Denson, Joshua L.
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Jewish Hlth, Dept Med, Div Pulm Crit Care & Sleep Med, Denver, CO USA
Univ Colorado Denver, Sch Med, Div Pulm Sci & Crit Care Med, Anschutz Med Campus, Aurora, CO USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Gerber, Anthony N.
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Jewish Hlth, Dept Med, Div Pulm Crit Care & Sleep Med, Denver, CO USA
Natl Jewish Hlth, Dept Biomed Res, Denver, CO USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Jacobs, Joshua S.
论文数: 0 引用数: 0
h-index: 0
机构:
Allergy & Asthma Clin Res Inc, Walnut Creek, CA USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Kraft, Monica
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Arizona Hlth Sci, Asthma & Airway Dis Res Ctr, Dept Med, Tucson, AZ USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

Martin, Richard J.
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Jewish Hlth, Dept Med, Denver, CO USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA

论文数: 引用数:
h-index:
机构:

Wechsler, Michael E.
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Jewish Hlth, Dept Med, Div Pulm Crit Care & Sleep Med, Denver, CO USA Natl Jewish Hlth, Div Allergy & Clin Immunol, Dept Med, Denver, CO USA