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1.
Am J Cancer Res ; 13(2): 498-508, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36895978

RESUMO

Since the approval by the Food and Drug Administration (FDA), ferumoxytol and other iron oxide nanoparticles (IONs) have been widely used as iron supplements for patients with iron deficiency. Meanwhile, IONs have also been used as contrast agents in magnetic resonance imaging and as drug carriers. Importantly, IONs have demonstrated a significant inhibitory effect on the growth of tumors, including hematopoietic and lymphoid tumors, such as leukemia. In this study, we further demonstrated the effect of IONs on inhibiting the growth of diffuse large B-cell lymphoma (DLBCL) cells by enhancing ferroptosis-mediated cell death. IONs treatment caused an accumulation of intracellular ferrous iron and the onset of lipid peroxidation in DLBCL cells as well as the suppressed expression of anti-ferroptosis protein Glutathione Peroxidase 4 (GPX4), thereby leading to increased ferroptosis. Mechanistically, IONs increased cellular lipid peroxidation through the generation of ROS via the Fenton reaction and regulating the iron metabolism-related proteins, such as ferroportin (FPN) and transferrin receptor (TFR), which elevated the intracellular labile iron pool (LIP). Hence, our findings suggest the potential therapeutic effect of IONs on the treatment of patients with DLBCL.

2.
Int J Nanomedicine ; 18: 1145-1158, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36915699

RESUMO

Background: Drug-resistant microbes pose a global health concern, requiring the urgent development of effective antibacterial agents and strategies in clinical practice. Therefore, there is an urgent need to explore novel antibacterial materials to effectively eliminate bacteria. The synthesis of quaternary phosphonium salt in haloargentate systems, wherein the phosphorus atom is represented in a cationic form, is a possible strategy for the development of antibacterial materials. Methods: Using (triphenyl)phosphonium-based quaternary phosphorus salts with different spacer lengths (n=2, 4, 6) as a template, we designed three kinds of quaternary phosphorus salts as effective antibacterial agents against drug-resistant bacteria. Results: The synthesized quaternary phosphorus salt of (1,4-DBTPP)Br2 effectively prevented the formation of the bacterial biofilms, and degraded bacterial membranes and cell walls by promoting the production of reactive oxygen species, which exhibited effective therapeutic effects in a rat model of a superficial wound infected with methicillin-resistant Staphylococcus aureus. Conclusion: The quaternary phosphorus salt (1,4-DBTPP)Br2 demonstrated hemocompatibility and low toxicity, revealing its potential in the treatment of clinical infections.


Assuntos
Staphylococcus aureus Resistente à Meticilina , Ratos , Animais , Fósforo , Sais/farmacologia , Testes de Sensibilidade Microbiana , Antibacterianos/farmacologia , Cloreto de Sódio/farmacologia , Cicatrização
3.
Huan Jing Ke Xue ; 43(6): 3118-3127, 2022 Jun 08.
Artigo em Chinês | MEDLINE | ID: mdl-35686781

RESUMO

The agricultural non-point source pollution (ANPSP) load in Guangdong province is very large and has a serious impact on the regional ecological environment. Inventory analysis was used to assess and analyze the temporal and spatial variation characteristics of the ANPSP load of Guangdong province during 1999-2019, and the sources of ANPSP were discussed, as well as the relationship between them. The results showed that, during the past 20 years, the total ANPSP pollution loads of Guangdong province decreased by 6.08%, and the pollution loads of chemical oxygen demand (COD), total nitrogen (TN), and total phosphorus (TP) increased by -11.88%, 4.99%, and 26.17%, respectively. The input intensity of chemical fertilizers and pesticides increased by 112.19% and 60.38%, respectively. The Pearl River Delta had the highest ANPSP loads in Guangdong province, followed by those in northern, western, and eastern Guangdong. Livestock and poultry breeding were the main sources of COD, the total percent fertilizers and livestock and poultry breeding were the main sources of TN, and livestock and poultry breeding and aquaculture were the main sources of TP. In addition, the contribution of pollutants discharged from aquaculture showed an obvious increasing trend. There were certain differences in the pollution sources in different regions. In western Guangdong, northern Guangdong, and eastern Guangdong, livestock and poultry breeding were the main sources of COD and TP, and fertilizer was the main source of TN; by contrast in the Pearl River Delta, aquaculture had become the main source of TN and TP pollution loads. The correlation results showed that the decline in the total ANPSP in Guangdong province was mainly due to the increase in high urbanization rate and the decrease in the proportion of rural population. In general, there were stage changes in the time and differences in spatial characteristics and sources of ANPSP in Guangdong province. A combination of comprehensive treatment and targeted pollution treatment should be adopted, and fertilizer reduction measures and pollution treatment in the aquaculture should be strengthened in an all-around way, focusing on strengthening the treatment of pollution from aquaculture in the Pearl River Delta region and the treatment of rural life pollution in northern Guangdong.


Assuntos
Poluição Difusa , Poluentes Químicos da Água , Animais , Análise da Demanda Biológica de Oxigênio , China , Monitoramento Ambiental/métodos , Fertilizantes/análise , Humanos , Gado , Nitrogênio/análise , Poluição Difusa/análise , Fósforo/análise , Aves Domésticas , Poluentes Químicos da Água/análise
4.
PLoS One ; 16(5): e0250880, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33939720

RESUMO

Wetlands are vulnerable to plant invasions and the decomposition of invasive plant litter could make impacts on the ecosystem services of wetlands including nutrient cycle and carbon sequestration. However, few studies have explored the effects of nutrient enrichment and water level change on the decomposition of invasive plant litter. In this study, we conducted a control experiment using the litterbag method to compare the decomposition rates and nutrient release in the litter of an invasive plant Alternanthera philoxeroides in three water levels and two nutrient enrichment treatments. This study found that the water level change and nutrient enrichment showed significant effects on the litter decomposition and nutrient dynamic of A. philoxeroides. The increase of water level significantly reduced the decomposition rate and nutrient release of litter in the nutrient control treatment, whereas no clear relationship was observed in the nutrient enrichment treatment, indicating that the effect of water level change on litter decomposition might be affected by nutrient enrichment. At the late stage of decomposition, the increase of phosphorus (P) concentration and the decrease of the ratio of carbon to P suggested that the decomposition of invasive plant litter was limited by P. Our results suggest that controlling P enrichment in water bodies is essential for the management of invasive plant and carbon sequestration of wetlands. In addition, the new index we proposed could provide a basis for quantifying the impact of invasive plant litter decomposition on carbon cycle in wetlands.


Assuntos
Nutrientes/metabolismo , Poaceae/metabolismo , Água/metabolismo , Carbono/metabolismo , Sequestro de Carbono/fisiologia , Ecossistema , Espécies Introduzidas , Nitrogênio/metabolismo , Fósforo/metabolismo , Áreas Alagadas
5.
J Proteome Res ; 15(8): 2595-606, 2016 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-27246451

RESUMO

Herein we report the discovery of a novel lead compound, oxyphylla A [(R)-4-(2-hydroxy-5-methylphenyl)-5-methylhexanoic acid] (from the fruit of Alpinia oxyphylla), which functions as a neuroprotective agent against Parkinson's disease. To identify a shortlist of candidates from the extract of A. oxyphylla, we employed an integrated strategy combining liquid chromatography/mass spectrometry, bioactivity-guided fractionation, and chemometric analysis. The neuroprotective effects of the shortlisted candidates were validated prior to scaling up the finalized list of potential neuroprotective constituents for more detailed chemical and biological characterization. Oxyphylla A has promising neuroprotective effects: (i) it ameliorates in vitro chemical-induced primary neuronal cell damage and (ii) alleviates chemical-induced dopaminergic neuron loss and behavioral impairment in both zebrafish and mice in vivo. Quantitative proteomics analyses of oxyphylla A-treated primary cerebellar granule neurons that had been intoxicated with 1-methyl-4-phenylpyridinium revealed that oxyphylla A activates nuclear factor-erythroid 2-related factor 2 (NRF2)-a master redox switch-and triggers a cascade of antioxidative responses. These observations were verified independently through western blot analyses. Our integrated metabolomics, chemometrics, and pharmacological strategy led to the efficient discovery of novel bioactive ingredients from A. oxyphylla while avoiding the nontargeting, labor-intensive steps usually required for identification of bioactive compounds. Our successful development of a synthetic route toward oxyphylla A should lead to its availability on a large scale for further functional development and pathological studies.


Assuntos
Alpinia/química , Descoberta de Drogas , Fármacos Neuroprotetores/isolamento & purificação , Doença de Parkinson/tratamento farmacológico , Animais , Caproatos/isolamento & purificação , Caproatos/farmacologia , Fracionamento Químico , Cromatografia Líquida , Cresóis/isolamento & purificação , Cresóis/farmacologia , Dopaminérgicos/isolamento & purificação , Dopaminérgicos/uso terapêutico , Neurônios Dopaminérgicos/efeitos dos fármacos , Espectrometria de Massas , Camundongos , Degeneração Neural/tratamento farmacológico , Degeneração Neural/prevenção & controle , Fármacos Neuroprotetores/farmacologia , Extratos Vegetais/química , Extratos Vegetais/uso terapêutico , Peixe-Zebra
6.
Zhen Ci Yan Jiu ; 40(4): 290-5, 2015 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-26502542

RESUMO

OBJECTIVE: To observe the effect of electroacupuncture (EA) stimulation of "Zusanli" (ST 36), "Liangmen" (ST 21) and "Sanyinjiao" (SP 6) on gastrointestinal motility and expression of ghrelin and growth hormone secretagogue receptor (GHSR) mRNA in diabetic gastroparesis (diabetic gastroparesis, DGP) rats, so as to explore its mechanism underlying improvement of diabetic gastroparesis. METHODS: Sixty SD rats were randomly and equally divided into normal control, model, EA acupoint, EA non-acupoint, medication (metoclopramide) groups (n = 12 rat/group). The DGP model was established by intraperitoneal injection of streptozotocin (STZ, 55 mg/kg, 2%) and raised by high-sugar and high-fat fodder irregularly for 8 weeks. EA was applied to "Zusanli" (ST 36), "Liangmen" (ST 21) and "Sanyinjiao" (SP 6), and non-acupoints (about 5 mm lateral to the 3 acupoints, respectively). Those rats of the medication group were given with metoclopramide (1 mL/100 g). The blood sugar level was measured by glucometer, and the urine sugar level measured by Tes-Tape [urine glucose test paper]. The intestinal propulsion rate (IPR) was identified as ratio of the phenolsulfonphthalein promoting distance and the total length of the small intestine, and the gastric emptying rate (GER) was assessed by gavage of a liquid test meal (1.5 mL) containing a nonabsorbable marker (0. 5 mg/mL of phenol red in 5% glucose solution) and identification after being sacrificed 72 h after modeling. The expression levels of ghrelin mRNA and GHSR mRNA of gastric antrum tissue were examined by Quantitative real-time PCR. RESULTS: In comparison with the normal control group, the blood sugar and urine sugar levels of the model group was significantly increased in the model group (P < 0.01), while the GER and IPR and the expression level of ghrelin mRNA and GHSR mRNA in the gastric antrum were significantly decreased in the model group (P < 0.01, P < 0.05). Following EA stimulation of acupoint, the blood sugar and urine sugar levels were obviously down-regulated (P < 0.05), both GER and IPR, and ghrelin mRNA and GHSR mRNA expression levels in the EA-acupoint group were significantly up-regulated (P < 0.05, P < 0.01). No significant changes were found in both blood sugar and urine sugar levels, in both GER and IPR, and ghrelin mRNA and GHSR mRNA expression levels of both EA non-acupoint and medication groups after the intervention (P > 0.05). The GER and IPR were significantly higher in the EA acupoint group than in the EA non-acupoint group (P < 0.05, P < 0.01). CONCLUSION: EA stimulation of ST 36, ST 21 and SP 6 can promote the gastrointestinal motility of DGP rats, which may be closely associated with its effects in up-regulating the expression level of ghrelin mRNA and GHSR mRNA in gastric antrum.


Assuntos
Pontos de Acupuntura , Complicações do Diabetes/terapia , Eletroacupuntura , Gastroparesia/terapia , Grelina/sangue , Receptores de Grelina/genética , Animais , Complicações do Diabetes/genética , Complicações do Diabetes/metabolismo , Complicações do Diabetes/fisiopatologia , Motilidade Gastrointestinal , Gastroparesia/genética , Gastroparesia/metabolismo , Gastroparesia/fisiopatologia , Humanos , Masculino , Ratos , Ratos Sprague-Dawley , Receptores de Grelina/metabolismo
7.
Anal Chem ; 87(19): 10015-24, 2015 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-26335518

RESUMO

Protein tyrosine nitration (PTN) is a signature hallmark of radical-induced nitrative stress in a wide range of pathophysiological conditions, with naturally occurring abundances at substoichiometric levels. In this present study, a fully automated four-dimensional platform, consisting of high-/low-pH reversed-phase dimensions with two additional complementary, strong anion (SAX) and cation exchange (SCX), chromatographic separation stages inserted in tandem, was implemented for the simultaneous mapping of endogenous nitrated tyrosine-containing peptides within the global proteomic context of a Macaca fascicularis cerebral ischemic stroke model. This integrated RP-SA(C)X-RP platform was initially benchmarked through proteomic analyses of Saccharomyces cerevisiae, revealing extended proteome and protein coverage. A total of 27 144 unique peptides from 3684 nonredundant proteins [1% global false discovery rate (FDR)] were identified from M. fascicularis cerebral cortex tissue. The inclusion of the S(A/C)X columns contributed to the increased detection of acidic, hydrophilic, and hydrophobic peptide populations; these separation features enabled the concomitant identification of 127 endogenous nitrated peptides and 137 transmembrane domain-containing peptides corresponding to integral membrane proteins, without the need for specific targeted enrichment strategies. The enhanced diversity of the peptide inventory obtained from the RP-SA(C)X-RP platform also improved analytical confidence in isobaric tags for relative and absolute quantitation (iTRAQ)-based proteomic analyses.


Assuntos
Encéfalo/patologia , Cromatografia de Fase Reversa/métodos , Proteínas de Membrana/análise , Nitrocompostos/análise , Acidente Vascular Cerebral/metabolismo , Tirosina/análise , Animais , Encéfalo/metabolismo , Cromatografia por Troca Iônica/instrumentação , Cromatografia por Troca Iônica/métodos , Cromatografia de Fase Reversa/instrumentação , Desenho de Equipamento , Macaca fascicularis , Masculino , Proteínas de Membrana/metabolismo , Nitrocompostos/metabolismo , Proteômica/métodos , Acidente Vascular Cerebral/patologia , Tirosina/metabolismo
8.
Free Radic Biol Med ; 84: 331-343, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25769424

RESUMO

Polypharmacology-based strategies using drug combinations with different mechanisms of action are gaining increasing attention as a novel methodology to discover potentially innovative medicines for neurodegenerative disorders. We used this approach to examine the combined neuroprotective effects of two polyphenols, protocatechuic acid (PCA) and chrysin, identified from the fruits of Alpinia oxyphylla. Our results demonstrated synergistic neuroprotective effects, with chrysin enhancing the protective effects of PCA, resulting in greater cell viability and decreased lactate dehydrogenase release from 6-hydroxydopamine-treated PC12 cells. Their combination also significantly attenuated chemically induced dopaminergic neuron loss in both zebrafish and mice. We examined the molecular mechanisms underlying these collective cytoprotective effects through proteomic analysis of treated PC12 cells, resulting in the identification of 12 regulated proteins. Two were further characterized, leading to the determination that pretreatment with PCA and chrysin resulted in (i) increased nuclear factor-erythroid 2-related factor 2 protein expression and transcriptional activity; (ii) modulation of cellular redox status with the upregulated expression of hallmark antioxidant enzymes, including heme oxygenase-1, superoxide dismutase, and catalase; and (iii) decreased levels of malondialdehyde, a known lipid peroxidation product. Treatment with PCA and chrysin also inhibited activation of nuclear factor-κB and expression of inducible nitric oxide synthase. Our findings suggest that natural products, when used in combination, can be effective potential therapeutic agents for treating diseases such as Parkinson disease. A therapy involving both PCA and chrysin exhibits its enhanced neuroprotective effects through a combination of cellular mechanisms: antioxidant cytoprotection and anti-inflammation.


Assuntos
Antiparkinsonianos/farmacologia , Flavonoides/farmacologia , Hidroxibenzoatos/farmacologia , Fármacos Neuroprotetores/farmacologia , Doença de Parkinson/tratamento farmacológico , Animais , Antiparkinsonianos/uso terapêutico , Neurônios Dopaminérgicos/efeitos dos fármacos , Neurônios Dopaminérgicos/fisiologia , Avaliação Pré-Clínica de Medicamentos , Flavonoides/uso terapêutico , Heme Oxigenase-1/metabolismo , Hidroxibenzoatos/uso terapêutico , Fator 2 Relacionado a NF-E2/metabolismo , Fármacos Neuroprotetores/uso terapêutico , Óxido Nítrico/metabolismo , Óxido Nítrico Sintase Tipo II/metabolismo , Estresse Oxidativo , Células PC12 , Proteoma/metabolismo , Proteômica , Ratos , Fator de Transcrição RelA/metabolismo , Peixe-Zebra
9.
Chin J Nat Med ; 12(10): 782-5, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25443372

RESUMO

AIM: To study the chemical constituents of the roots and stem bark of Kadsura coccinea. METHOD: Compounds were isolated by column chromatography on silica gel and Sephadex LH-20, and finally purified by prep-HPLC. Their structures were elucidated by extensive spectroscopic methods, including 1D- and 2D-NMR, and HR-ESI-MS. RESULTS: Two compounds were determined as (7'S,8'S,8R)-(8ß,8'α)-dimethyl-4,4'-dihydroxy-5,3'-dimethoxy-5'-cyclolignan glucoside (1) and micrandiactone H (2), respectively. CONCLUSION: Compunds 1 and 2 are new and neither showed inhibitory effects on nitric oxide (NO) production in lipopolysaccharide-induced RAW264.7 macrophages.


Assuntos
Glicosídeos/química , Kadsura/química , Lignina/química , Extratos Vegetais/química , Animais , Linhagem Celular , Glicosídeos/isolamento & purificação , Glicosídeos/farmacologia , Lignina/isolamento & purificação , Lignina/farmacologia , Macrófagos/efeitos dos fármacos , Macrófagos/metabolismo , Espectroscopia de Ressonância Magnética , Espectrometria de Massas , Camundongos , Estrutura Molecular , Óxido Nítrico/metabolismo , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/farmacologia , Raízes de Plantas/química
10.
Artigo em Inglês | WPRIM | ID: wpr-812200

RESUMO

AIM@#To study the chemical constituents of the roots and stem bark of Kadsura coccinea.@*METHOD@#Compounds were isolated by column chromatography on silica gel and Sephadex LH-20, and finally purified by prep-HPLC. Their structures were elucidated by extensive spectroscopic methods, including 1D- and 2D-NMR, and HR-ESI-MS.@*RESULTS@#Two compounds were determined as (7'S,8'S,8R)-(8β,8'α)-dimethyl-4,4'-dihydroxy-5,3'-dimethoxy-5'-cyclolignan glucoside (1) and micrandiactone H (2), respectively.@*CONCLUSION@#Compunds 1 and 2 are new and neither showed inhibitory effects on nitric oxide (NO) production in lipopolysaccharide-induced RAW264.7 macrophages.


Assuntos
Animais , Camundongos , Linhagem Celular , Glicosídeos , Química , Farmacologia , Kadsura , Química , Lignina , Química , Farmacologia , Macrófagos , Metabolismo , Espectroscopia de Ressonância Magnética , Espectrometria de Massas , Estrutura Molecular , Óxido Nítrico , Metabolismo , Extratos Vegetais , Química , Farmacologia , Raízes de Plantas , Química
11.
Int J Mol Sci ; 14(1): 1655-66, 2013 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-23322017

RESUMO

The development of melanogenic inhibitors is important for the prevention of hyperpigmentation, and, recently, consideration has been given to natural materials or traditionally used ingredients such as Chinese medicine. The aim of this study is the evaluation of a new anti-melanogenic candidate, kadsuralignan F, from the natural plant Kadsura coccinea, as well as the determination of mechanisms of melanogenesis inhibition at a molecular level. Kadsuralignan F significantly reduced melanin synthesis in a dose-dependent manner in a murine melanocyte cell line and human skin equivalents. There was no direct inhibition on mushroom tyrosinase or cell-extract tyrosinase activity, and mRNA expression of tyrosinase and other melanogenic genes such as tyrosinase-related protein-1 (trp-1) or trp-2 were not affected by kadsuralignan F. Interestingly, the protein level of tyrosinase was dramatically downregulated with kadsuralignan F treatment. We found that a decrease of tyrosinase protein by kadsuralignan F was fully recovered by MG132, a proteasome inhibitor, but not by chloroquine, a lysosome inhibitor. In this study, we found that kadsuralignan F, a lignan from an extract of Kadsura coccinea, has an inhibitory activity on melanin synthesis through tyrosinase degradation. These findings suggest that kadsuralignan F can be used as an active ingredient for hyperpigmentation treatment.


Assuntos
Ciclo-Octanos/farmacologia , Lignanas/farmacologia , Melaninas/biossíntese , Melanócitos/efeitos dos fármacos , Pele/efeitos dos fármacos , Animais , Western Blotting , Linhagem Celular , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Ciclo-Octanos/química , Relação Dose-Resposta a Droga , Regulação para Baixo/efeitos dos fármacos , Expressão Gênica/efeitos dos fármacos , Humanos , Oxirredutases Intramoleculares/genética , Oxirredutases Intramoleculares/metabolismo , Kadsura/química , Lignanas/química , Melanócitos/citologia , Melanócitos/metabolismo , Camundongos , Estrutura Molecular , Monofenol Mono-Oxigenase/genética , Monofenol Mono-Oxigenase/metabolismo , Oxirredutases/genética , Oxirredutases/metabolismo , Preparações de Plantas/farmacologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Pele/metabolismo , Pigmentação da Pele/efeitos dos fármacos
12.
Zhongguo Zhen Jiu ; 25(1): 37-8, 2005 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-16309154

RESUMO

OBJECTIVE: To compare therapeutic effects of acupoint-injection combined with electroacupuncture and oral administration of medicine on chronic pharyngitis. METHODS: The treatment group of 71 cases were treated by injection of fufangdanshen injectio into Tiantu (CV 22) combined with electroacupuncture at Renying (ST 9), and the control group of 51 cases were treated by oral administration of acetylspiramycin and qingyan tablet. RESULTS: The cured rate and the total effective rate were 60.5% and 90.1% in the treatment group, and 21.6% and 68.6% in the control group, with significantly differences between the two groups (P < 0.01). CONCLUSION: Therapeutic effect of acupoint-injection combined with electroacupuncture on chronic pharyngitis is superior to that of oral administration of medicine.


Assuntos
Pontos de Acupuntura , Eletroacupuntura , Terapia por Acupuntura , Terapia Combinada , Humanos , Faringite
13.
Artigo em Chinês | WPRIM | ID: wpr-258916

RESUMO

<p><b>OBJECTIVE</b>To compare therapeutic effects of acupoint-injection combined with electroacupuncture and oral administration of medicine on chronic pharyngitis.</p><p><b>METHODS</b>The treatment group of 71 cases were treated by injection of fufangdanshen injectio into Tiantu (CV 22) combined with electroacupuncture at Renying (ST 9), and the control group of 51 cases were treated by oral administration of acetylspiramycin and qingyan tablet.</p><p><b>RESULTS</b>The cured rate and the total effective rate were 60.5% and 90.1% in the treatment group, and 21.6% and 68.6% in the control group, with significantly differences between the two groups (P < 0.01).</p><p><b>CONCLUSION</b>Therapeutic effect of acupoint-injection combined with electroacupuncture on chronic pharyngitis is superior to that of oral administration of medicine.</p>


Assuntos
Humanos , Pontos de Acupuntura , Terapia por Acupuntura , Terapia Combinada , Eletroacupuntura , Faringite
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