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1.
J Cell Mol Med ; 27(6): 788-802, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36811277

RESUMO

Pancreatic cancer (PAAD) is a highly malignant tumour characterized of high mortality and poor prognosis. Huntingtin-interacting protein 1-related (HIP1R) has been recognized as a tumour suppressor in gastric cancer, while its biological function in PAAD remains to be elucidated. In this study, we reported the downregulation of HIP1R in PAAD tissues and cell lines, and the overexpression of HIP1R suppressed the proliferation, migration and invasion of PAAD cells, while silencing HIP1R showed the opposite effects. DNA methylation analysis revealed that the promoter region of HIP1R was heavily methylated in PAAD cell lines when compared to the normal pancreatic duct epithelial cells. A DNA methylation inhibitor 5-AZA increased the expression of HIP1R in PAAD cells. 5-AZA treatment also inhibited the proliferation, migration and invasion, and induced apoptosis in PAAD cell lines, which could be attenuated by HIP1R silencing. We further demonstrated that HIP1R was negatively regulated by miR-92a-3p, which modulates the malignant phenotype of PAAD cells in vitro and the tumorigenesis in vivo. The miR-92a-3p/HIP1R axis could regulate PI3K/AKT pathway in PAAD cells. Taken together, our data suggest that targeting DNA methylation and miR-92a-3p-mediated repression of HIP1R could serve as novel therapeutic strategies for PAAD treatment.


Assuntos
MicroRNAs , Neoplasias Pancreáticas , Humanos , MicroRNAs/genética , Proteínas Proto-Oncogênicas c-akt/metabolismo , Metilação de DNA , Fosfatidilinositol 3-Quinases/metabolismo , Movimento Celular/genética , Linhagem Celular Tumoral , Neoplasias Pancreáticas/genética , Proliferação de Células/genética , Regulação Neoplásica da Expressão Gênica , Proteínas dos Microfilamentos/metabolismo , Proteínas Adaptadoras de Transdução de Sinal/genética , Neoplasias Pancreáticas
2.
J Am Chem Soc ; 144(51): 23522-23533, 2022 12 28.
Artigo em Inglês | MEDLINE | ID: mdl-36508257

RESUMO

Herein, we designed and synthesized a novel microRNA (miR)-responsive nanoantenna capable of early diagnosis and smart treatment of acute kidney injury (AKI). The nanoantenna was made of two miniature gold nanorods (AuNRs) (e.g., length: ∼48 nm; width: ∼9 nm) linked together by a rectangular DNA origami nanostructure (rDONs) scaffold (e.g., length: ∼90 nm; width: ∼60 nm) (rDONs@AuNR dimer). The surface plasmon resonance peak of the constructed nanoantenna is located within the NIR-II window (e.g., ∼1060 nm), thus guaranteeing photoacoustic (PA) imaging of the nanoantenna in deep tissues. Intriguingly, the nanoantenna displayed exclusive kidney retention in both healthy mice and ischemia reperfusion-induced AKI mice by leveraging the kidney-targeting ability of rDONs. Distinguished from the stable signals in the healthy mice, the PA signals of the nanoantenna would turn down in the AKI mice due to the AuNR detached from rDONs upon interaction with miR-21, which were up-expressed in AKI mice. The limit of detection toward miR-21 was down to 2.8 nM, enabling diagnosis of AKI as early as 10 min post-treatment with ischemia reperfusion, around 2 orders of magnitude earlier than most established probes. Moreover, the naked rDON scaffold generated by AKI could capture more reactive oxygen species (e.g., 1.5-fold more than rDONs@AuNR dimer), alleviating ischemic AKI. This strategy provided a new avenue for early diagnosis and smart treatment of AKI.


Assuntos
Injúria Renal Aguda , MicroRNAs , Traumatismo por Reperfusão , Camundongos , Animais , Injúria Renal Aguda/diagnóstico por imagem , Injúria Renal Aguda/tratamento farmacológico , Rim , MicroRNAs/genética , Isquemia , Diagnóstico Precoce , DNA
3.
Opt Express ; 30(19): 33664-33679, 2022 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-36242396

RESUMO

We present an analytical treatment of ultra-short pulses propagating in an optical fiber in the strong nonlinearity regime, in which the interaction between self-phase modulation (SPM) and group-velocity dispersion (GVD) substantially broadens the input spectrum. Supported by excellent agreement with the simulation results, these analytical solutions provide a convenient and reasonable accurate estimation of the peak position of the outermost spectral lobes as well as the full width at half maximum of the broadened spectrum. We show that our unified solutions are valid for either Gaussian pulse or hyperbolic secant pulse propagating inside an optical fiber with positive or negative GVD. Our findings shed light on the optimization of SPM-enabled spectral broadening in various applications.

4.
J Gene Med ; 23(11): e3379, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34296780

RESUMO

BACKGROUND: Osteoarthritis (OA) is a degenerative disease characterized by cartilage damage. We aimed to improve the understanding of the protective mechanism of synovial mesenchymal stem cell (SMSC)-derived extracellular vesicles (EVs) in cartilage damage of OA. METHODS: SMSCs and SMSC-EVs were isolated from synovial biopsies of patients without OA and then identified. The pathological microenvironment of chondrocytes in OA was simulated by inducing SW1353 cells with interleukin (IL)-1ß, followed by SMSC-EV treatment to assess SW1353 cell proliferation, apoptosis and inflammation. Endocytosis of Dil-labeled EVs by SW1353 cells was observed. microRNA (miR)-26a-5p expression in EVs and EV-treated SW1353 cells was assessed. The effect of miR-26a-5p was evaluated after it was down-regulated in SMSCs, followed by extraction of EVs, which acted on SW1353 cells. The target relationship of miR-26a-5p and phosphatase and tensin homologue (PTEN) was predicted and confirmed. The role of PTEN in OA was evaluated after it was overexpressed. Functional assays were implemented in vivo to certify the role of SMSC-EVs in OA. RESULTS: SMSC-EVs enhanced IL-1ß-induced SW1353 cell proliferation, whereas they inhibited apoptosis and inflammation. EVs were endocytosed by SW1353 cells and delivered miR-26a-5p into SW1353 cells to overexpress miR-26a-5p. Down-regulation of miR-26a-5p in EVs attenuated the protection of EVs against IL-1ß-induced cell damage. miR-26a-5p targeted PTEN, for which overexpression spoiled the protection of EVs against IL-1ß-induced cell damage. SMSC-EVs carrying miR-26a-5p repaired cartilage damage of OA. CONCLUSIONS: SMSC-EVs carried miR-26a-5p into chondrocytes to up-regulate miR-26a-5p and inhibit PTEN, thereby inhibiting apoptosis and inflammation and ameliorating cartilage damage of OA.


Assuntos
Vesículas Extracelulares/metabolismo , Células-Tronco Mesenquimais/metabolismo , MicroRNAs/metabolismo , Osteoartrite/metabolismo , PTEN Fosfo-Hidrolase/metabolismo , Membrana Sinovial/metabolismo , Adulto , Doenças das Cartilagens/genética , Doenças das Cartilagens/metabolismo , Linhagem Celular Tumoral , Proliferação de Células , Células Cultivadas , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Interleucina-1beta/metabolismo , Masculino , MicroRNAs/genética , Osteoartrite/genética , PTEN Fosfo-Hidrolase/genética
5.
Opt Express ; 29(5): 6330-6343, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33726157

RESUMO

Pre-chirp managed amplification (PCMA) allows the generation of optical pulses with a duration well below 100 fs. However, the pulse peak power is limited to <50 MW due to poor energy scalability. In this paper, we combine PCMA and divided pulse amplification to overcome this bottleneck. The resulting pre-chirp managed divided-pulse amplification (PCM-DPA) employs birefringent plates as the pulse divider/recombiner thanks to the picosecond pulse duration in the amplifier. Our numerical analysis shows that the group-delay dispersion (GDD) difference among pulse replicas results in reduced combining efficiency with increased replica numbers. We propose using composite birefringent plates to construct the divider/recombiner that features negligible GDD-difference. An Yb-fiber PCM-DPA system incorporating such composite-plate based divider/recombiner for 64 replicas can produce 121-µJ, 44-fs pulses with 2.3-GW peak power. To have a compact system, we further propose a hybrid design which can deliver 61-µJ, 48-fs pulses with 1.13-GW peak power. These results represent >30 times improvement in both pulse energy and peak power compared with current Yb-fiber PCMA systems.

6.
Opt Express ; 29(24): 39766-39776, 2021 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-34809333

RESUMO

SPM-enabled spectral selection (SESS) constitutes a powerful fiber-optic technique to generate wavelength broadly tunable femtosecond pulses. In the current demonstration, the maximum tuning range is 400 nm and the energy conversion efficiency from the pump source to the outmost spectral lobes is ∼25%. In this submission, we apply the particle swarm optimization method to the generalized nonlinear Schrödinger equation to identify the optimal parameters that maximize both the tuning range and the conversion efficiency. We show that SESS in an optical fiber with the optimized dispersion can deliver SESS pulses tunable in one octave wavelength range and the conversion efficiency can be as high as 80%. We further show the feasibility of experimental implementation based on specially designed fibers or on-chip waveguides.

7.
J Nanobiotechnology ; 19(1): 187, 2021 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-34158076

RESUMO

BACKGROUND: Ex vivo and in vivo detection and imaging of adenosine triphosphate (ATP) is critically important for the diagnosis and treatment of diseases, which still remains challenges up to present. RESULTS: We herein demonstrate that ATP could be fluorescently detected and imaged ex vivo and in vivo. In particular, we fabricate a kind of fluorescent ATP probes, which are made of titanium carbide (TC) nanosheets modified with the ROX-tagged ATP-aptamer (TC/Apt). In the constructed TC/Apt, TC shows superior quenching efficiency against ROX (e.g., ~ 97%). While in the presence of ATP, ROX-tagged aptamer is released from TC surface, leading to the recovery of fluorescence of ROX under the 545-nm excitation. Consequently, a wide dynamic range from 1 µM to 1.5 mM ATP and a high sensitivity with a limit of detection (LOD) down to 0.2 µM ATP can be readily achieved by the prepared TC/Apt. We further demonstrate that the as-prepared TC/Apt probe is feasible for accurate discrimination of ATP in different samples including living cells, body fluids (e.g., mouse serum, mouse urine and human serum) and mouse tumor models. CONCLUSIONS: Fluorescence detection and imaging of ATP could be readily achieved in living cells, body fluids (e.g., urine and serum), as well as mouse tumor model through a new kind of fluorescent ATP nanoprobes, offering new powerful tools for the treatment of diseases related to abnormal fluctuation of ATP concentration.


Assuntos
Trifosfato de Adenosina/química , Trifosfato de Adenosina/isolamento & purificação , Corantes Fluorescentes , Imagem Óptica/métodos , Animais , Técnicas Biossensoriais/métodos , Líquidos Corporais , Feminino , Fluorescência , Células HeLa , Humanos , Limite de Detecção , Células MCF-7 , Camundongos
8.
Angew Chem Int Ed Engl ; 60(28): 15490-15496, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-33904244

RESUMO

Fluorescence and phosphorescence are known as two kinds of fundamental optical signals, which have been used for myriad applications. To date, simultaneous activation of stable fluorescence and long-lived room-temperature phosphorescence (RTP) emission in the aqueous phase remains a big challenge. We prepare zinc-doped silica nanospheres (Zn@SiNSs) with fluorescence and RTP properties using a facile hydrothermal synthetic strategy. For the as-prepared Zn@SiNSs, the recombination of electrons and holes in defects and defect-stabilized excitons derived from oxygen vacancy/C=N bonds lead to the production of stable fluorescence and long-lived RTP (emission lasting for ≈9 s, quantum yield (QY): ≈33.6 %, RTP lifetime: ≈236 ms). The internal Si-O bonded networks and hydrophilic surface in Zn@SiNSs can reduce nonradiative decay to form self-protective RTP, and also provide high water solubility, excellent pH- and photostability.

9.
Anal Chem ; 91(5): 3597-3603, 2019 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-30724066

RESUMO

Herein, we present a dual-amplification sensing strategy-based surface-enhanced Raman scattering (SERS) chip, which combines rolling circle amplification (RCA) and polyadenine (PolyA) assembly for sensitive and reproducible determination of the activity of M.SssI, a cytosine-guanine dinucleotide (CpG) methyltransferase (MTase). Typically, in the presence of M.SssI, RCA process is triggered, resulting in long, single-stranded DNA (ssDNA) fragments that are hybridized with thousands of Raman reporters of Cy3. Afterward, the resultant ssDNA fragments are conjugated to SERS-active substrates made of silver core-gold satellite nanocomposites-modified silicon wafer (Ag-Au NPs@Si), with the SERS enhancement factor of ∼5 × 106. The core-satellite nanostructures are assembled relied on the strong affinity of PolyA toward gold/silver surface. Of particular significance, the developed SERS chip displays an ultrahigh sensitivity with a low limit of detection (LOD) of 2.8 × 10-3 U/mL, which is around 2 orders of magnitude higher than most reported methods. In addition, the constructed chip features a broad detection range covering from 0.05 to 50 U/mL. Besides for the ultrahigh sensitivity and broad dynamic range, the chip also features good reproducibility (e.g., the relative standard deviation (RSD) is less than ∼12%). Taking advantages of these merits, the developed chip is feasible for accurate discrimination of M.SssI with various concentrations spiked in human serum samples with good recoveries ranging from 99.6% to 107%.


Assuntos
DNA-Citosina Metilases/sangue , Análise Espectral Raman/métodos , Carbocianinas , Fragmentação do DNA , DNA de Cadeia Simples , Ouro , Humanos , Limite de Detecção , Nanopartículas Metálicas/química , Poli A/metabolismo , Reprodutibilidade dos Testes , Prata , Análise Espectral Raman/normas
10.
Pharmacol Res ; 148: 104403, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31425750

RESUMO

The gut microbiota and its short chain fatty acid (SCFA) metabolites have been established to play an important protective role against neurodegenerative diseases. Our previous study demonstrated that cerebral ischemic stroke triggers dysfunctional gut microbiota and increased intestinal permeability. In this study, we aimed to clarify the mechanism by which gut microbiota and SCFAs can treat cerebral ischemic stroke in rat middle cerebral artery occlusion models and use the information to develop new therapies. Our results show that oral administration of non-absorbable antibiotics reduced neurological impairment and the cerebral infarct volume, relieved cerebral edemas, and decreased blood lipid levels by altering the gut microbiota. We also found that ischemic stroke decreased intestinal levels of SCFAs. And that transplanting fecal microbiota rich in these metabolites was an effective means of treating the condition. Compared with other SCFAs, butyric acid showed the highest negative correlation with ischemic stroke. Supplementation with butyric acid treated models of ischemic stroke effectively by remodeling the gut microbiota, enriching the beneficial Lactobacillus, and repairing the leaky gut. In conclusion, interfering with the gut microbiota by transplanting fecal bacteria rich in SCFAs and supplementing with butyric acid were found to be effective treatments for cerebral ischemic stroke.


Assuntos
Isquemia Encefálica/microbiologia , Isquemia Encefálica/terapia , Ácido Butírico/farmacologia , Ácidos Graxos Voláteis/farmacologia , Microbioma Gastrointestinal/fisiologia , Acidente Vascular Cerebral/microbiologia , Acidente Vascular Cerebral/terapia , Animais , Transplante de Microbiota Fecal/métodos , Fezes/microbiologia , Lactobacillus/fisiologia , Masculino , Microbiota/fisiologia , Ratos , Ratos Sprague-Dawley
11.
Anal Chem ; 90(24): 14216-14221, 2018 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-30456938

RESUMO

The quality of input data in deep learning is tightly associated with the ultimate performance of the machine learner. Taking advantage of the unique merits of surface-enhanced Raman scattering (SERS) methodology in the collection and construction of a database (e.g., abundant intrinsic fingerprint information, noninvasive data acquisition process, strong anti-interfering ability, etc.), herein we set up a SERS-based database of deoxyribonucleic acid (DNA), suitable for artificial intelligence (AI)-based sensing applications. The database is collected and analyzed by silver nanoparticles (Ag NPs)-decorated silicon wafer (Ag NPs@Si) SERS chip, followed by training with a deep neural network (DNN). As proof-of-concept applications, three kinds of representative tumor suppressor genes, i.e., p16, p21, and p53 fragments, are readily discriminated in a label-free manner. Prominent and reproducible SERS spectra of these DNA molecules are collected and employed as input data for DNN learning and training, which enables selective discrimination of DNA target(s). The accuracy rate for the recognition of specific DNA target reached 90.28%.


Assuntos
Inteligência Artificial , DNA/análise , Análise Espectral Raman/métodos , Proteínas Supressoras de Tumor/genética , Bases de Dados Factuais , Dispositivos Lab-On-A-Chip , Nanopartículas Metálicas/química , Silício/química , Prata/química , Proteína Supressora de Tumor p53/genética
15.
Trends Mol Med ; 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38926031

RESUMO

Unveiling a metabolic mystery, this article explores how 3-O-acylated bile acids, specifically 3-O-succinylated cholic acid (3-sucCA) and 3-acetylated cholic acid (3-acetyCA), modified by gut microbes Bacteroides uniformis and Christensenella minuta, respectively, may either disrupt or harmonize our metabolic processes, offering novel therapeutic avenues for conditions such as metabolic dysfunction-associated steatohepatitis (MASH) and type 2 diabetes mellitus (T2D).

16.
Front Biosci (Landmark Ed) ; 29(5): 182, 2024 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-38812309

RESUMO

Choline participates in three major metabolic pathways: oxidation, phosphorylation, and acetylation. Through oxidation, choline is converted to betaine and contributes to methyl metabolism and epigenetic regulation. Through phosphorylation, choline participates in phospholipid metabolism, and serves as the precursor of phosphocholine, phosphatidylcholine, glycerophosphocholine, and other essential compounds, thereby modulating lipid metabolism and transport. Through acetylation, choline is transformed into acetylcholine in cholinergic neurons, playing a vital role in neurotransmission. Moreover, gut microbiota can metabolize choline into trimethylamine-N-oxide, and be involved in the pathogenesis of various diseases such as nonalcoholic fatty liver disease (NAFLD), cancer, cardiovascular disease, etc. Since choline metabolism is implicated in the development of NAFLD and diverse cancers, including liver cancer, it may serve as a therapeutic target for these diseases in the future. Currently, there are numerous therapeutic agents targeting choline metabolism to treat NAFLD and cancers, but most of them are ineffective and some even have adverse effects that lead to a series of complications. Therefore, further research and clinical validation are required to obtain safe and efficacious drugs. This review comprehensively summarizes the choline metabolic pathway and its regulatory mechanisms, elucidates the roles and mechanisms of choline metabolism in the aforementioned diseases, and provides a discussion of the current advances and immense potential of this field.


Assuntos
Colina , Hepatopatia Gordurosa não Alcoólica , Humanos , Colina/metabolismo , Hepatopatia Gordurosa não Alcoólica/metabolismo , Animais , Microbioma Gastrointestinal/fisiologia , Neoplasias/metabolismo , Neoplasias Hepáticas/metabolismo , Metabolismo dos Lipídeos
17.
J Oral Implantol ; 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38967002

RESUMO

PURPOSE: This study aims to evaluate the clinical outcomes of using demineralized freeze-dried allogeneic bone blocks (DFDABB) combined with the periosteal vertical mattress suture (PVMS) technique for the reconstruction of severe horizontal alveolar bone deficiencies in the maxilla. METHOD: In continuous horizontal maxillary defects cases, bone augmentation was performed using DFDABB and deproteinized bovine bone matrix (DBBM) filling the interstice. Subsequently, a resorbable collagen membrane was carefully placed over the graft surface, and both the membrane and bone graft were firmly secured using the periosteal vertical mattress suture technique (PVMS). Linear changes were assessed through superimposed cone-beam computed tomography (CBCT) scans obtained before the operation and after a healing period of 6-10 months. RESULTS: A total of 7 female patients with ten bone blocks and 13 implants were included in this study. One of the wounds was slightly ruptured postoperatively without infection, and all implants showed successful osseointegration. The average alveolar ridge width at a point 5 mm below the crest was 4.52 ± 2.03 mm before bone graft and 9.79 ± 1.57 mm after implantation, with an average increase of 5.26 ± 1.97 mm. Similarly, at a point 10 mm below the crest, the pre-graft alveolar ridge width measured 7.23 ± 3.60 mm, and post-implantation, it expanded to 11.81 ± 2.90 mm, showing an average gain of 4.58 ± 2.01 mm. CONCLUSION: This case series demonstrates the successful application of DFDABB combined with the PVMS technique to achieve adequate bone width for implantation at severe continuous horizontal bone deficiency of the maxilla. DFDABB with the PVMS technique resulted in superior horizontal bone gain during maxillary bone augmentation with horizontal continuity deficiency. However, further studies are necessary to validate these findings.

18.
Biomed Opt Express ; 15(2): 911-923, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38404349

RESUMO

We demonstrate a pre-chirp and gain jointly managed Yb-fiber laser that drives simultaneous label-free autofluorescence-multiharmonic (SLAM) medical imaging. We show that a gain managed Yb-fiber amplifier produces high-quality compressed pulses when the seeding pulses exhibit proper negative pre-chirp. The resulting laser source can generate 43-MHz, 34-fs pulses centered at 1110 nm with more than 90-nJ energy. We apply this ultrafast source to SLAM imaging of cellular and extracellular components in various human tissues of intestinal adenocarcinoma, lung adenocarcinoma, and liver.

19.
Nat Rev Endocrinol ; 20(3): 149-167, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38110672

RESUMO

Infertility affects one in six couples, with in vitro fertilization (IVF) offering many the chance of conception. Compared to the solitary oocyte produced during the natural menstrual cycle, the supraphysiological ovarian stimulation needed to produce multiple oocytes during IVF results in a dysfunctional luteal phase that can be insufficient to support implantation and maintain pregnancy. Consequently, hormonal supplementation with luteal phase support, principally exogenous progesterone, is used to optimize pregnancy rates; however, luteal phase support remains largely 'black-box' with insufficient clarity regarding the optimal timing, dosing, route and duration of treatment. Herein, we review the evidence on luteal phase support and highlight remaining uncertainties and future research directions. Specifically, we outline the physiological luteal phase, which is regulated by progesterone from the corpus luteum, and evaluate how it is altered by the supraphysiological ovarian stimulation used during IVF. Additionally, we describe the effects of the hormonal triggers used to mature oocytes on the degree of luteal phase support required. We explain the histological transformation of the endometrium during the luteal phase and evaluate markers of endometrial receptivity that attempt to identify the 'window of implantation'. We also cover progesterone receptor signalling, circulating progesterone levels associated with implantation, and the pharmacokinetics of available progesterone formulations to inform the design of luteal phase support regimens.


Assuntos
Fase Luteal , Progesterona , Gravidez , Feminino , Humanos , Fase Luteal/fisiologia , Gonadotropina Coriônica , Técnicas de Reprodução Assistida , Fertilização in vitro/métodos , Indução da Ovulação/métodos
20.
Curr Opin Pharmacol ; 68: 102333, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36580771

RESUMO

Infertility affects 15% of couples worldwide and in approximately 50% of cases the cause is secondary to an abnormality of the sperm. However, treatment options for male infertility are limited and empirical use of hormone stimulation has been utilised. We review the contemporary data regarding the application of hormone stimulation to treat male infertility. There is strong evidence supporting the use of hormone stimulation in hypogonadotropic hypogonadism but there is inadequate evidence for all other indications.


Assuntos
Hipogonadismo , Infertilidade Masculina , Masculino , Humanos , Sêmen , Infertilidade Masculina/tratamento farmacológico , Infertilidade Masculina/complicações , Hormônios/uso terapêutico , Hipogonadismo/tratamento farmacológico , Hipogonadismo/complicações
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