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1.
Plant Direct ; 8(6): e592, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38881683

ABSTRACT

Exocytosis plays an essential role in delivering proteins, lipids, and cell wall polysaccharides to the plasma membrane and extracellular spaces. Accurate secretion through exocytosis is key to normal plant development as well as responses to biotic and abiotic stresses. During exocytosis, an octameric protein complex named the exocyst facilitates the tethering of secretory vesicles to the plasma membrane. Despite some understanding of molecular and cellular aspects of exocyst function obtained through reverse genetics and direct interaction assays, knowledge about upstream modulators and genetic interactors remains limited. Traditional genetic screens encounter practical issues in exocyst subunit mutant backgrounds, such as lethality of certain knockout mutants and/or potential redundancy of EXO70 homologs. To address these challenges, this study leverages the tunable and reversible nature of chemical genetics, employing Endosidin2 (ES2)-a synthetic inhibitor of EXO70-for a large-scale chemical genetic mutant screen in Arabidopsis. This approach led to the identification of 70 ES2-hypersensitive mutants, named es2s. Through a whole-genome sequencing-based mapping strategy, 14 nonallelic es2s mutants were mapped and the candidate mutations reported here. In addition, T-DNA insertion lines were tested as alternative alleles to identify causal mutations. We found that T-DNA insertion alleles for DCP5, VAS1/ISS1, ArgJ, and MEF11 were hypersensitive to ES2 for root growth inhibition. This research not only offers new genetic resources for systematically identifying molecular players interacting with the exocyst in Arabidopsis but also enhances understanding of the regulation of exocytosis.

2.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 45(4): 666-671, 2023 Aug.
Article in Chinese | MEDLINE | ID: mdl-37654147

ABSTRACT

Uric acid (UA) is the final product of purine metabolism in human body,and its metabolic disorder will induce hyperuricemia (HUA).The occurrence and development of HUA are associated with a variety of pathological mechanisms such as oxidative stress injury,activation of inflammatory cytokines,and activation of renin-angiotensin-aldosterone system.These mechanisms directly or indirectly affect the bioavailability of endogenous nitric oxide (NO).The decrease in NO bioavailability is common in the diseases with high concentration of UA as an independent risk factor.In this review,we summarize the mechanisms by which high concentrations of UA affect the endogenous NO bioavailability,with a focus on the mechanisms of high-concentration UA in decreasing the synthesis and/or increasing the consumption of NO.This review aims to provide references for alleviating the multisystem symptoms and improving the prognosis of HUA,and lay a theoretical foundation for in-depth study of the correlations between HUA and other metabolic diseases.


Subject(s)
Hyperuricemia , Nitric Oxide , Humans , Uric Acid , Biological Availability , Cytokines
3.
Mod Pathol ; 36(10): 100266, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37391169

ABSTRACT

Phosphaturic mesenchymal tumors (PMTs) are rare neoplasms of soft tissue or bone. Although previous studies revealed that approximately 50% of PMTs harbor FN1::FGFR1 fusions, the molecular mechanisms in the remaining cases are largely unknown. In this study, fusion genes were investigated using RNA-based next-generation sequencing in 76 retrospectively collected PMTs. Novel fusions were validated with Sanger sequencing and fluorescence in situ hybridization. Fusion genes were detected in 52/76 (68.4%) PMTs, and 43/76 (56.6%) harbored FN1::FGFR1 fusions. Fusion transcripts and breakpoints of the FN1::FGFR1 fusions were diverse. The most common fusion transcript was between exon 20 of FN1 and exon 9 of FGFR1 (7/43, 16.3%). The most upstream breakpoint of the FN1 gene was located at the 3' end of exon 12, and the most downstream breakpoint of the FGFR1 gene was at the 5' end of exon 9, suggesting the inessential nature of the third fibronectin-type domain of FN1 and the necessity of the transmembrane domain of FGFR1 in the FN1::FGFR1 fusion protein, respectively. Moreover, the reciprocal FGFR1::FN1 fusions, which had not been identified in previous studies, were detected in 18.6% (8/43) of FN1::FGFR1 fusion-positive PMTs. Novel fusions were identified in 6/76 (7.9%) FN1::FGFR1 fusion-negative PMTs, including 2 involving FGFR: FGFR1::USP33 (1/76, 1.3%) and FGFR1::TLN1 (1/76, 1.3%). Other novel fusions identified were the PDGFRA::USP35 (1/76, 1.3%), SPTBN1::YWHAQ (1/76, 1.3%), GTF2I::RALGPS1 (1/76, 1.3%), and LTBP1::VWA8 (1/76, 1.3%) fusions. In addition to these novel fusions, FN1::FGFR2 (1/76, 1.3%), NIPBL::BEND2 (1/76, 1.3%), and KIAA1549::BRAF fusions (1/76, 1.3%) were also identified in FN1::FGFR1-negative cases arising from the thigh, ilium, and acetabulum, respectively. The frequency of oncogenic fusions was significantly higher (P = .012) in tumors derived from extremities (29/35, 82.9%) compared with other locations (23/41, 56.1%). No significant correlation was identified between fusions and recurrence (P = .786). In conclusion, we report fusion transcripts and breakpoints of FN1::FGFR1 in PMTs in detail, providing insights into fusion protein functions. We also revealed that a considerable proportion of PMTs without FN1::FGFR1 fusion carried novel fusions, providing further insight into the genetic basis of PMTs.

4.
Nat Commun ; 14(1): 1774, 2023 Mar 30.
Article in English | MEDLINE | ID: mdl-36997504

ABSTRACT

Vicinal diamines are privileged scaffolds in medicine, agrochemicals, catalysis, and other fields. While significant advancements have been made in diamination of olefins, diamination of allenes is only sporadically explored. Furthermore, direct incorporation of acyclic and cyclic alkyl amines onto unsaturated π systems is highly desirable and important, but problematic for many previously reported amination reactions including the diamination of olefins. Herein, we report a modular and practical diamination of allenes, which offers efficient syntheses of ß,γ-diamino carboxylates and sulfones. This reaction features broad substrate scope, excellent functional group tolerability, and scalability. Experimental and computational studies support an ionic reaction pathway initiated with a nucleophilic addition of the in situ formed iodoamine to the electron deficient allene substrate. An iodoamine activation mode via a halogen bond with a chloride ion was revealed to substantially increase the nucleophilicity of the iodoamine and lower the activation energy barrier for the nucleophilic addition step.

5.
J Am Chem Soc ; 144(28): 12715-12724, 2022 07 20.
Article in English | MEDLINE | ID: mdl-35793470

ABSTRACT

Contorted carbon structures have drawn much attention in the past decade for their rich three-dimensional geometries, enhanced solubility, and tunable electronic properties. We report a modular method to synthesize contorted polycyclic conjugated hydrocarbons containing helical moieties in controlled topologies. This strategy leverages our previously reported streamlined synthesis of π-systems containing four-membered cyclobutadienoids (CBDs), whose catalyzed cycloaddition with alkynes affords helical structures. Interestingly, we observed exclusive nonbay region regioselectivity in the C-C bond activation of CBDs in our system, which is opposite to the scarce previous examples of [N]phenylene activation that led to the formation of linear phenacene structures. The quantitative and regioselective nonbay region alkyne cycloaddition yielded a variety of helical carbon structures with their topologies predetermined by the CBD-containing precursor hydrocarbons. The cycloaddition can be inhibited by methyl substituents exocyclic to the four-membered ring, thus allowing selective activation of only certain desired CBD units while leaving the others intact. Calculation elucidated the basis for the observed regioselectivity. The described method provides a new route to multihelical aromatic hydrocarbons with complex yet defined geometries, facilitating the further exploration of such fascinating carbon structures.


Subject(s)
Alkynes , Hydrocarbons, Aromatic , Alkynes/chemistry , Carbon/chemistry , Catalysis , Cycloaddition Reaction
6.
Sci Adv ; 7(43): eabh3794, 2021 Oct 22.
Article in English | MEDLINE | ID: mdl-34669463

ABSTRACT

Cancer therapies are being considered for treating rare noncancerous diseases like pulmonary hypertension (PH), but effective computational screening is lacking. Via transcriptomic differential dependency analyses leveraging parallels between cancer and PH, we mapped a landscape of cancer drug functions dependent upon rewiring of PH gene clusters. Bromodomain and extra-terminal motif (BET) protein inhibitors were predicted to rely upon several gene clusters inclusive of galectin-8 (LGALS8). Correspondingly, LGALS8 was found to mediate the BET inhibitor­dependent control of endothelial apoptosis, an essential role for PH in vivo. Separately, a piperlongumine analog's actions were predicted to depend upon the iron-sulfur biogenesis gene ISCU. Correspondingly, the analog was found to inhibit ISCU glutathionylation, rescuing oxidative metabolism, decreasing endothelial apoptosis, and improving PH. Thus, we identified crucial drug-gene axes central to endothelial dysfunction and therapeutic priorities for PH. These results establish a wide-ranging, network dependency platform to redefine cancer drugs for use in noncancerous conditions.

7.
J Am Chem Soc ; 143(11): 4379-4386, 2021 03 24.
Article in English | MEDLINE | ID: mdl-33705657

ABSTRACT

The curcusone natural products are complex diterpenes featuring a characteristic [6-7-5] tricyclic carbon skeleton similar to the daphnane and tigliane diterpenes. Among them, curcusones A-D demonstrated potent anticancer activity against a broad spectrum of human cancer cell lines. Prior to this study, no total synthesis of the curcusones was achieved and their anticancer mode of action remained unknown. Herein, we report our synthetic and chemoproteomics studies of the curcusone diterpenes which culminate in the first total synthesis of several curcusone natural products and identification of BRCA1-associated ATM activator 1 (BRAT1) as a cellular target. Our efficient synthesis is highly convergent, builds upon cheap and abundant starting materials, features a thermal [3,3]-sigmatropic rearrangement and a novel FeCl3-promoted cascade reaction to rapidly construct the critical cycloheptadienone core of the curcusones, and led us to complete the first total synthesis of curcusones A and B in only 9 steps, C and D in 10 steps, and dimericursone A in 12 steps. The chemical synthesis of dimericursone A from curcusones C and D provided direct evidence to support the proposed Diels-Alder dimerization and cheletropic elimination biosynthetic pathway. Using an alkyne-tagged probe molecule, BRAT1, an important but previously "undruggable" oncoprotein, was identified as a key cellular target via chemoproteomics. We further demonstrate for the first time that BRAT1 can be inhibited by curcusone D, resulting in impaired DNA damage response, reduced cancer cell migration, potentiated activity of the DNA damaging drug etoposide, and other phenotypes similar to BRAT1 knockdown.


Subject(s)
Biological Products/chemistry , Diterpenes/chemistry , Nuclear Proteins/analysis , Biological Products/chemical synthesis , Diterpenes/chemical synthesis , Humans , Molecular Conformation , Stereoisomerism
8.
J Cell Mol Med ; 25(10): 4846-4859, 2021 05.
Article in English | MEDLINE | ID: mdl-33738911

ABSTRACT

Human hydroxysteroid dehydrogenase-like 2 (HSDL2) is a potent regulator in cancers and is also involved in lipid metabolism, but the role of HSDL2 in cervical cancer and whether it regulates the progress of cervical cancer through lipid metabolism remains unclear. In this study, we found that the overexpression of HSDL2 was in relation with cervical cancer progression including lymph nodes metastasis and recurrence. HSDL2 could serve as a novel marker of early diagnosis in cervical cancer. HSDL2 also gave impetus to tumorigenesis by initiating and promoting proliferation, invasion and migration of cervical cancer cells (Hela, C33A and SiHa) through EMT. Interestingly, we also searched that HSDL2 participated in oncogenesis by regulating lipid metabolism. In sum, our results gave the novel insight of HSDL2 functions which could be the potential for being the biomarker of prognosis and new target of therapy.


Subject(s)
Biomarkers, Tumor/metabolism , Cell Proliferation , Gene Expression Regulation, Neoplastic , Hydroxysteroid Dehydrogenases/metabolism , Lipid Metabolism , Uterine Cervical Neoplasms/pathology , Adult , Aged , Apoptosis , Biomarkers, Tumor/genetics , Cell Movement , Female , Humans , Hydroxysteroid Dehydrogenases/genetics , Middle Aged , Neoplasm Metastasis , Prognosis , Survival Rate , Tumor Cells, Cultured , Uterine Cervical Neoplasms/genetics , Uterine Cervical Neoplasms/metabolism
9.
Onco Targets Ther ; 14: 435-444, 2021.
Article in English | MEDLINE | ID: mdl-33488098

ABSTRACT

BACKGROUND: Pancreatic cancer (PC) is a leading cause of cancer mortality worldwide. Hydroxysteroid dehydrogenase like protein 2 (HSDL2) is overexpressed in a variety of malignant tumors and is might be closely related to the development of cancer. It also regulates different metabolism and signaling pathways. PURPOSE: The purpose of this research was to find HSDL2 expression levels and investigate its underlying molecular mechanism in PC. PATIENTS AND METHODS: In the present study, a total of 66 PC samples and 54 normal tissues were used to examine the expression of HSDL2. In order to gain a broader insight into the molecular mechanism of HSDL2 in PC, the HSDL2 siRNA sequences were transfected into PC cell lines (Bxpc-3 and Panc-1), respectively. Cell proliferation was measured by MTT, colony formation assay and EdU assays. Furthermore, the lipid metabolism process was evaluated by triglyceride and phospholipid assay kits, BODIPY 493/503 staining and the expression of several pivotal lipid metabolic enzymes in PC. RESULTS: In this study, HSDL2 was highly expressed in PC and connected with shorter overall survival. When HSDL2 was silenced, the cell proliferation was significantly reduced, and the lipid metabolism was further inhibited. CONCLUSION: High expression of HSDL2 plays an important role in the progression of PC and might be a potential new biomarker of poor prognosis as well as a therapeutic target in the future.

10.
Org Lett ; 22(13): 5001-5004, 2020 07 02.
Article in English | MEDLINE | ID: mdl-32551684

ABSTRACT

Stemona alkaloids contain family members with diverse structural scaffolds. Many of them feature a γ-lactam ring embedded in their characteristic 5-7-5 fused tricyclic core. Herein a pyrrole strategy was developed to enable the total syntheses of three Stemona alkaloids: (±)stemoamide, (±)tuberostemoamide, and (±)sessilifoliamide A. In these cases, a substituted pyrrole was used as the γ-lactam precursor. A sequential pyrrole oxidation and enamide reduction were realized to convert the pyrrole to the corresponding γ-lactam in those three natural products. The use of a pyrrole in an early stage of the synthesis offers the advantage of rapid construction of the key intermediates by exploiting its nucleophilicity.


Subject(s)
Alkaloids/chemistry , Alkaloids/chemical synthesis , Lactams/chemistry , Pyrroles/chemistry , Stemonaceae/chemistry , Chemistry Techniques, Synthetic , Heterocyclic Compounds, 3-Ring/chemical synthesis , Heterocyclic Compounds, 3-Ring/chemistry , Kinetics , Oxidation-Reduction , Stereoisomerism
11.
Plant Cell ; 32(7): 2141-2157, 2020 07.
Article in English | MEDLINE | ID: mdl-32327535

ABSTRACT

Plant cellulose is synthesized by rosette-structured cellulose synthase (CESA) complexes (CSCs). Each CSC is composed of multiple subunits of CESAs representing three different isoforms. Individual CESA proteins contain conserved catalytic domains for catalyzing cellulose synthesis, other domains such as plant-conserved sequences, and class-specific regions that are thought to facilitate complex assembly and CSC trafficking. Because of the current lack of atomic-resolution structures for plant CSCs or CESAs, the molecular mechanism through which CESA catalyzes cellulose synthesis and whether its catalytic activity influences efficient CSC transport at the subcellular level remain unknown. Here, by performing chemical genetic analyses, biochemical assays, structural modeling, and molecular docking, we demonstrate that Endosidin20 (ES20) targets the catalytic site of CESA6 in Arabidopsis (Arabidopsis thaliana). Chemical genetic analysis revealed important amino acids that potentially participate in the catalytic activity of plant CESA6, in addition to previously identified conserved motifs across kingdoms. Using high spatiotemporal resolution live cell imaging, we found that inhibiting the catalytic activity of CESA6 by ES20 treatment reduced the efficiency of CSC transport to the plasma membrane. Our results demonstrate that ES20 is a chemical inhibitor of CESA activity and trafficking that represents a powerful tool for studying cellulose synthesis in plants.


Subject(s)
Arabidopsis Proteins/chemistry , Arabidopsis Proteins/metabolism , Arabidopsis/drug effects , Cellulose/biosynthesis , Glucosyltransferases/antagonists & inhibitors , Glucosyltransferases/chemistry , Glucosyltransferases/metabolism , Arabidopsis/metabolism , Arabidopsis Proteins/genetics , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Catalytic Domain , Dose-Response Relationship, Drug , Enzyme Inhibitors/pharmacology , Fluorescence Recovery After Photobleaching , Glucosyltransferases/genetics , Luminescent Proteins/genetics , Luminescent Proteins/metabolism , Molecular Docking Simulation , Mutation , Plants, Genetically Modified , Protein Conformation
12.
Plant Physiol ; 180(3): 1756-1770, 2019 07.
Article in English | MEDLINE | ID: mdl-31072814

ABSTRACT

The evolutionarily conserved octameric exocyst complex tethers secretory vesicles to the site of membrane fusion during exocytosis. The plant exocyst complex functions in cell wall biosynthesis, polarized growth, stress responses, and hormone signaling. In fungal pathogens, the exocyst complex is required for growth, development, and pathogenesis. Endosidin2 (ES2) is known to inhibit exocytosis in plant and mammalian cells by targeting the EXO70 subunit of the exocyst complex. Here we show that an analog of ES2, ES2-14, targets plant and two fungal EXO70s. A lower dosage of ES2-14 than of ES2 is required to inhibit plant growth, plant exocytic trafficking, and fungal growth. ES2-14 treatments inhibit appressorium formation and reduce lesion sizes caused by Magnaporthe oryzae Inhibition of EXO70 by ES2-14 in Botrytis cinerea also reduces its virulence in Arabidopsis (Arabidopsis thaliana). Interestingly, ES2-14 did not affect EXO70 localization or transferrin recycling in mammalian cells. Overall, our results indicate that a minor change in ES2 affects its specificity in targeting EXO70s in different organisms and they demonstrate the potential of using ES2-14 to study the mechanisms of plant and fungal exocytosis and the roles of exocytosis in fungus-plant interactions.


Subject(s)
Arabidopsis/metabolism , Exocytosis/drug effects , Limonins/pharmacology , Plant Roots/metabolism , Arabidopsis/genetics , Arabidopsis/microbiology , Arabidopsis Proteins/genetics , Arabidopsis Proteins/metabolism , Botrytis/metabolism , Botrytis/pathogenicity , Cell Membrane/metabolism , Exocytosis/genetics , Exocytosis/physiology , HeLa Cells , Host-Pathogen Interactions/drug effects , Humans , Limonins/chemistry , Limonins/metabolism , Magnaporthe/drug effects , Magnaporthe/metabolism , Magnaporthe/pathogenicity , Microscopy, Confocal , Molecular Structure , Plant Roots/genetics , Plant Roots/microbiology , Protein Transport/drug effects , Protein Transport/genetics , Secretory Vesicles/metabolism , Time Factors , Virulence/drug effects
13.
J Antibiot (Tokyo) ; 72(6): 482-485, 2019 06.
Article in English | MEDLINE | ID: mdl-30760840

ABSTRACT

The resorcylic macrolides are important natural products with a wide range of remarkable biological activities. So far, most of the reported resorcylic macrolide syntheses use either macrolactonization or ring closing metathesis to build the corresponding macrocycle. In continuation of our efforts in developing novel carbonylation reactions to facilitate natural product total synthesis, we report herein a total synthesis of trans-resorcylide (1) featuring a palladium-catalyzed macrocyclic Stille carbonylation to build its 12-membered macrocycle.


Subject(s)
Macrolides/chemical synthesis , Catalysis , Macrolides/chemistry , Palladium/chemistry
14.
Nat Prod Rep ; 36(1): 174-219, 2019 01 01.
Article in English | MEDLINE | ID: mdl-29923586

ABSTRACT

Covering: 2000-2018In this review, we highlight recent examples of natural product total syntheses employing transition metal-mediated/catalyzed carbonylative cyclization strategies to build key ring systems. It mainly covers carbonylative cyclizations for the construction of O-heterocycles, N-heterocycles and carbocycles including cyclic ketones and phenols. The reaction types include carbonylation of epoxide to ß-lactones, carbonylative (macro)lactonization/lactamization, the Semmelhack reaction, tandem hydroformylation-cyclization, the Pauson-Khand reaction, carbonylative C-H activation cyclization, the Stille/Suzuki carbonylation, [n + m + 1] carbonylative cycloaddition, the Dötz annulation, and others.


Subject(s)
Biological Products/metabolism , Cyclization , Lactones/chemistry
15.
Angew Chem Int Ed Engl ; 57(46): 15209-15212, 2018 11 12.
Article in English | MEDLINE | ID: mdl-30230670

ABSTRACT

The first total syntheses of the stemona alkaloids bisdehydroneostemoninine and bisdehydrostemoninine in racemic forms have been achieved. The synthetic strategy features a novel palladium-catalyzed carbonylative spirolactonization of a hydroxycyclopropanol to rapidly construct the oxaspirolactone moiety. It also features a Lewis acid promoted tandem Friedel-Crafts cyclization and lactonization to form the 5-7-5 tricyclic core of the target stemona alkaloids.


Subject(s)
Alkaloids/chemical synthesis , Spironolactone/chemical synthesis , Stemonaceae/chemistry , Alkaloids/chemistry , Catalysis , Cyclization , Palladium/chemistry , Spironolactone/chemistry , Stereoisomerism
16.
Nat Prod Rep ; 34(10): 1185-1192, 2017 Oct 18.
Article in English | MEDLINE | ID: mdl-28853755

ABSTRACT

Covering: 2000 to 2017Macrolactones are privileged structural motifs in many functional molecules, particularly natural products and pharmaceutical molecules. They are commonly synthesized from the corresponding seco acids with various stoichiometric activating reagents to promote the formation of the macrocycle. Advances in new methods and strategies for synthesizing macrolactones have been made over the years to improve the overall synthetic efficiency and economy. This highlight focuses on the recent developments of catalytic macrolactonization methods and strategies without the use of seco acids and their applications in natural product total synthesis. In particular, catalytic C-H macrolactonization, enantioselective Rh-catalyzed redox-neutral allene-acid cyclization, catalytic carbonylative macrolactonization, and NHC-catalyzed oxidative macrolactonization are highlighted.


Subject(s)
Biological Products , Biological Products/chemistry , Biological Products/metabolism , Catalysis , Cyclization , Molecular Structure , Nuclear Magnetic Resonance, Biomolecular , Stereoisomerism
17.
Chem Commun (Camb) ; 53(53): 7238-7241, 2017 Jun 29.
Article in English | MEDLINE | ID: mdl-28492641

ABSTRACT

A novel and efficient palladium-catalyzed aminocarbonylative lactonization of amino propargylic alcohols has been developed to provide rapid access to various bicyclic lactones especially dihydropyrrole-fused furanones, which are novel structures and have not been explored in biological and medicinal settings. This method can also be used to access ß-lactone products such as 16. Preliminary biological evaluations revealed that compounds 13h and 13s demonstrated promising activity against Clostridium difficile and compounds 13h, 13k, 13s, and 16b showed activity against several important fungal pathogens.

18.
J Alzheimers Dis ; 48(2): 547-55, 2015.
Article in English | MEDLINE | ID: mdl-26402018

ABSTRACT

The Garrison Institute on Aging (GIA) is an established institute within Texas Tech University Health Sciences Center, whose mission is to promote healthy aging through cutting-edge research on Alzheimer's disease (AD) and other diseases of aging through innovative educational opportunities for students, clinicians, researchers, health care professionals, and the public. The GIA has multiple programs, including both research and education on healthy aging and AD, community outreach, caregiving, the Retired Senior Volunteer Program, Healthy Lubbock, the GIA Brain Bank, healthy aging seminars, research seminars, and collaborations and scholarships. The GIA programs connect basic and clinical researchers and health care professionals, and provide a unique environment to help our growing elderly population and patients with AD and their families.


Subject(s)
Academic Medical Centers , Alzheimer Disease/therapy , Health Services for the Aged , Alzheimer Disease/genetics , Alzheimer Disease/metabolism , Animals , Brain , Community-Institutional Relations , Geriatrics/education , Geriatrics/methods , Humans , Multiple Sclerosis/metabolism , Multiple Sclerosis/therapy , Patient Education as Topic , Texas , Tissue Banks , Volunteers
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