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Ma R, Yan M, Han P, Wang T, Li B, Zhou S, Zheng T, Hu Y, Borthwick AGL, Zheng C, Ni J. Deficiency and excess of groundwater iodine and their health associations. Nat Commun 2022; 13:7354. [PMID: 36446773 PMCID: PMC9708681 DOI: 10.1038/s41467-022-35042-6] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 11/16/2022] [Indexed: 11/30/2022] Open
Abstract
More than two billion people worldwide have suffered thyroid disorders from either iodine deficiency or excess. By creating the national map of groundwater iodine throughout China, we reveal the spatial responses of diverse health risks to iodine in continental groundwater. Greater non-carcinogenic risks relevant to lower iodine more likely occur in the areas of higher altitude, while those associated with high groundwater iodine are concentrated in the areas suffered from transgressions enhanced by land over-use and intensive anthropogenic overexploitation. The potential roles of groundwater iodine species are also explored: iodide might be associated with subclinical hypothyroidism particularly in higher iodine regions, whereas iodate impacts on thyroid risks in presence of universal salt iodization exhibit high uncertainties in lower iodine regions. This implies that accurate iodine supply depending on spatial heterogeneity and dietary iodine structure optimization are highly needed to mitigate thyroid risks in iodine-deficient and -excess areas globally.
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Affiliation(s)
- Ruoqi Ma
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China ,grid.11135.370000 0001 2256 9319Eco-environment and Resource Efficiency Research Laboratory, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen, 518055 P.R. China ,grid.453103.00000 0004 1790 0726General Institute of Water Resources and Hydropower Planning and Design, Ministry of Water Resources, Beijing, 100120 P. R. China
| | - Mingquan Yan
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China
| | - Peng Han
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China
| | - Ting Wang
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China ,grid.11135.370000 0001 2256 9319State Environmental Protection Key Laboratory of All Materials Fluxes in River Ecosystems, Peking University, Beijing, 100871 P. R. China
| | - Bin Li
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China ,grid.11135.370000 0001 2256 9319State Environmental Protection Key Laboratory of All Materials Fluxes in River Ecosystems, Peking University, Beijing, 100871 P. R. China
| | - Shungui Zhou
- grid.256111.00000 0004 1760 2876Provincial Key Laboratory of Soil Environment Health and Regulation, Fujian Agriculture and Forestry University, Fuzhou, 350002 P. R. China
| | - Tong Zheng
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China
| | - Yandi Hu
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China
| | - Alistair G. L. Borthwick
- grid.4305.20000 0004 1936 7988Institute of Infrastructure and Environment, School of Engineering, The University of Edinburgh, Edinburgh, EH9 3JL UK ,grid.11201.330000 0001 2219 0747School of Engineering, Mathematics and Computing, University of Plymouth, Plymouth, PL8 4AA UK
| | - Chunmiao Zheng
- grid.263817.90000 0004 1773 1790State Environmental Protection Key Laboratory for Integrated Control of Groundwater and Surface Water Pollution in Watershed, Southern University of Science and Technology, Shenzhen, 518055 P. R. China
| | - Jinren Ni
- grid.11135.370000 0001 2256 9319College of Environmental Sciences and Engineering, Peking University; Key Laboratory of Water and Sediment Sciences, Ministry of Education, Beijing, 100871 P. R. China ,grid.11135.370000 0001 2256 9319Eco-environment and Resource Efficiency Research Laboratory, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen, 518055 P.R. China
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Nilawati, Rame, Malik RA, Yuliasni R. Combination of in situ iodization and Haloferax spp. bacteria enrichment in salt crystallization process. JOURNAL OF FOOD SCIENCE AND TECHNOLOGY 2022; 59:3440-3447. [PMID: 35875215 PMCID: PMC9304464 DOI: 10.1007/s13197-021-05331-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Revised: 11/02/2021] [Accepted: 11/10/2021] [Indexed: 06/15/2023]
Abstract
Salts that meet the standard quality are enriched with micronutrients, such as potassium iodate, at least 30 ppm. The iodization can be carried out directly in crystallization ponds (in-situ iodization) in salt fields. This paper reports the effectiveness of in-situ iodization technology combined with the enrichment of Halophilic bacteria consortium and Haloferax spp. to produce bio-based NaCl salt. The brine was first crystallized under sunlight exposure for approximately five days with water temperatures of 32-39 °C and an average wind speed of 2.8-6.0 m/s in each pond with a dimension of 20 × 20 m. Following this, the performance of these bacteria was analyzed in terms of the resulting final concentration of KIO3 (ppm), NaCl concentration (v/v), and water content (v/v). Results showed that the treatment with in situ iodization and Haloferax spp. successfully produce better bio-based salt quality in terms of KIO3 level, NaCl purity, and water contents. Moreover, the method did not produce aqueous and solid wastes, unlike in the conventional salt industry. The optimum condition was found at 50 ppm of KIO3 with the addition of Haloferax spp. SEM analysis shows that the treatment using Haloferax spp. resulted in a larger rectangular and harder crystal salt than the controls.
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Affiliation(s)
- Nilawati
- Center for Industrial Pollution Prevention Technology (CIPPT), Industrial Research and Development Agency, Ministry of Industry of the Republic of Indonesia, Semarang, Indonesia
| | - Rame
- Center for Industrial Pollution Prevention Technology (CIPPT), Industrial Research and Development Agency, Ministry of Industry of the Republic of Indonesia, Semarang, Indonesia
| | - Rizal Awaludin Malik
- Center for Industrial Pollution Prevention Technology (CIPPT), Industrial Research and Development Agency, Ministry of Industry of the Republic of Indonesia, Semarang, Indonesia
| | - Rustiana Yuliasni
- Center for Industrial Pollution Prevention Technology (CIPPT), Industrial Research and Development Agency, Ministry of Industry of the Republic of Indonesia, Semarang, Indonesia
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Ismail HTH. The Impact of Iodine Exposure in Excess on Hormonal Aspects and Hemato-Biochemical Profile in Rats. Biol Trace Elem Res 2022; 200:706-719. [PMID: 33783684 DOI: 10.1007/s12011-021-02681-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 03/16/2021] [Indexed: 10/21/2022]
Abstract
Excessive exposure of iodine over a time is well known to cause thyroid dysfunction, which may be followed by different effects on body organs. The present study aimed to illustrate the impacts of exposure of rats to excess iodine (above the tolerable range) and the reversibility of any negative impacts on hormonal profile related to thyroid besides cortisol and the hematological and biochemical parameters along with the histopathological alterations in the thyroid gland, liver, kidneys, and heart. Seventy-five rats were divided equally into three groups: Group 1 was control animals. Groups 2 and 3 received sodium iodide (NaI) orally at a dose of (35 and 70 mg/kg BW), which corresponded to (500 and 1000) times excess iodine from the physiological dose, respectively for 30 days, then the NaI administration stopped in the treated groups for 15 consecutive days. Blood and tissue samples were collected twice for various experimental tests after 30 and 15 days of exposure to excess iodine and stopping the exposure, respectively. Overall results revealed that excess iodine in both tested groups developed a hyperthyroid condition, hypercortisolism, relative polycythemia, neutropenia, elevation in serum liver and cardiac enzymes activities, hyperprotenemia, hyperglobulinemia, elevation in serum urea, and cardiac troponin I concentrations (p < 0.05). It was concluded that the excess iodine caused hyperthyroidism, which was associated with significant changes in erythrogram and leukogram and alterations in hepatic, renal, and cardiac functions in an iodine dose-dependent damage relationship and the most of negative impacts continued after stopping the administration.
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Affiliation(s)
- Hager Tarek H Ismail
- Department of Clinical Pathology, Faculty of Veterinary Medicine, Zagazig University, 1 Alzeraa Street, Zagazig City, Sharkia Province, 44511, Egypt.
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Bogdanova AA, Alekseev AA, Flerova EA, Konovalov AV. The effect of additive containing an organic form of iodine on the physiological-biochemical parameters of the body of cows. REGULATORY MECHANISMS IN BIOSYSTEMS 2020. [DOI: 10.15421/022007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Iodine deficiency in soil and water in many countries leads to its low content in plants and animal feed produced from them. The limited intake of this element in animals can lead to endemic diseases. The lack of iodine in animal feeding is most often compensated for by the use of additives with an inorganic form of iodine, which can be poorly absorbed by the body. Feed products with an organic form of iodine have a great biological effect. A study on the effect of iodine-containing additives on the physiological and biochemical parameters of the animal organism was carried out on two groups of 15 cows. The experimental group was fed an organic form of iodine as part of the additive, the control group received an inorganic form of iodine. For all animals during the experiment the biochemical parameters of blood, milk productivity and reproductive ability were studied. During the experiment, an increase in metabolic and redox processes in the body was noted in the experimental group. An increase in mineral metabolism, including iodine content, was found. Due to the sufficient intake of organic iodine in the animals of the experimental group, there was an increase in the activity of the main hepatic enzymes AST and ALT. An increase in the process of gluconeogenesis due to an increase in the glucose content in the blood of experimental cows was revealed. An increase in milk production and reproductive function of animals of the experimental group was established. Within 30 days after the termination of feeding the supplement with the organic form of iodine in the experimental group, a prolonging effect was observed, consisting in higher values of blood biochemical parameters, improved reproductive function and milk productivity relative to equivalent animals in the control. As a result, it was concluded that the use of an additive with an organic form of iodine in the amount of 1.5 g in feeding cows for 60 days increases the iodine content in the blood serum of animals and increases the performance of all types of metabolism, which may indicate the best stimulating effect of the organic form of iodine on thyroid activity glands. This in turn helps to improve the productive and reproductive qualities of animals. To recommend the studied drug as a means to replenish iodine deficiency in animals and to more accurately analyze its effect on the hormone-forming function of the thyroid gland, it is necessary to study the level of thyroid hormones in the blood.
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Polumbryk M, Kravchenko V, Pasichnyi V, Omelchenko C, Pachitskaya I. The effect of intake of sausages fortified with β-CD-I2 complex on iodine status and thyroid function: A preliminary study. J Trace Elem Med Biol 2019; 51:159-163. [PMID: 30466926 DOI: 10.1016/j.jtemb.2018.10.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2018] [Revised: 10/07/2018] [Accepted: 10/09/2018] [Indexed: 01/12/2023]
Abstract
The present study evaluated influence of boiled sausages consumption fortified with β-CD-I2 on the urinary iodine excretion (UIE) level of volunteers. Median urinary UIE level was increased from 58.02 (24.0-175.4) μg/L to 110.6 (20.5-231.6) μg/L during 10 days. Thyroid stimulating hormone (TSH) and free thyroxine (FT4) levels were determined by radio immunoassay analysis. As it was expected, intake of sausages fortified with β-CD-I2 resulted in rise of FT4 level from 1.1 (0.95-1.25) to 1.23 (1.07-1.63) ng/dL, whereas TSH level decreased from 1.53 (0.47-3.37) mIU/L to 1.1 (0.51-3.17) mIU/L. A dynamic gastrointestinal model in vitro was used in order to determine possibility of 3,5-diiodotyrosine (DIT) formation during consumption of the fortified sausages. The DIT concentration was determined by HPLC-MS method and was found to be 0.38 ng/mL in sausage dialyzate. These findings indicate that β-CD-I2 introduction as an iodine carrier in boiled sausages may help to improve iodine status and to control organic iodine species concentration.
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Affiliation(s)
- Maksym Polumbryk
- National university of food technologies, Problem research laboratory, Volodymyrska St. 68, Kyiv, Ukraine.
| | - Victor Kravchenko
- Institute of endocrinology and metabolism, Department of epidemiology of endocrine diseases, Vyshgorodska St. 69, Kyiv, Ukraine
| | - Vasyl Pasichnyi
- National university of food technologies, Problem research laboratory, Volodymyrska St. 68, Kyiv, Ukraine
| | - Chrystyna Omelchenko
- National university of food technologies, Problem research laboratory, Volodymyrska St. 68, Kyiv, Ukraine
| | - Irina Pachitskaya
- Scientific-practical center for foodstuffs of the National Academy of Sciences of Belarus, Republican control-testing complex of fudstuffs quality and safety, Kozlova St. 29, Minsk, Belarus
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Gao CH, Qu JQ, Zhou XY, Gao TS. Iodine-Rich Herbs and Potassium Iodate Have Different Effects on the Oxidative Stress and Differentiation of TH17 Cells in Iodine-Deficient NOD.H-2 h4 Mice. Biol Trace Elem Res 2018; 183:114-122. [PMID: 28803408 DOI: 10.1007/s12011-017-1115-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Accepted: 08/01/2017] [Indexed: 12/01/2022]
Abstract
Iodine-rich herbs such as seaweed, kelp, and sea tangle were widely used to treat various types of goiter with good effect and without any adverse side effects in China. When compared with potassium iodate (PI), iodine-rich herbs had a positive effect on the recovery of goiter resulting from iodine deficiency without any obvious harmful effects. In NOD.H-2h4 mice, an autoimmune thyroiditis-prone model, iodine excess can increase infiltration of lymphocytes and structural damage of the thyroid follicles, hence resulting in thyroiditis. Until now, there has been little research on the comparative effects of PI and iodine-rich herbs on thyroid in an autoimmune thyroiditis-prone model. This study was designed to compare the different effects of iodine-rich herbs and PI on the thyroid gland in iodine-deficient NOD.H-2h4 mice. Excessive intake of PI cause oxidative injury in the thyroid gland and increase the risk of autoimmune thyroiditis, while iodine-rich herbs cause less oxidative injury, significantly enhancing antioxidant capacity, and inhibit the high differentiation of Th17 cells in the thyroid glands of NOD.H-2h4 mice.
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Affiliation(s)
- Cheng-Han Gao
- The First Clinical College, Liaoning University of Traditional Chinese Medicine (TCM), Chongshan East Road No.72, Shenyang, Liaoning, 110032, China
| | - Jin-Qiao Qu
- The First Clinical College, Liaoning University of Traditional Chinese Medicine (TCM), Chongshan East Road No.72, Shenyang, Liaoning, 110032, China
| | - Xi-Yu Zhou
- The First Clinical College, Liaoning University of Traditional Chinese Medicine (TCM), Chongshan East Road No.72, Shenyang, Liaoning, 110032, China
| | - Tian-Shu Gao
- The First Clinical College, Liaoning University of Traditional Chinese Medicine (TCM), Chongshan East Road No.72, Shenyang, Liaoning, 110032, China.
- Department of Endocrine, Affiliated Hospital, Liaoning University of TCM, Beiling Street No.33, Shenyang, Liaoning, 110032, China.
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Quintero-García M, Delgado-González E, Sánchez-Tusie A, Vázquez M, Aceves C, Anguiano B. Iodine prevents the increase of testosterone-induced oxidative stress in a model of rat prostatic hyperplasia. Free Radic Biol Med 2018; 115:298-308. [PMID: 29248723 DOI: 10.1016/j.freeradbiomed.2017.12.014] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 12/11/2017] [Accepted: 12/12/2017] [Indexed: 12/11/2022]
Abstract
Oxidative stress and inflammation are involved in the development and/or progression of benign prostatic hyperplasia (BPH). Molecular iodine (I2) induces antiproliferative and apoptotic effects in prostate cancer cells, but it is unknown if I2 regulates oxidative stress in the normal and/or tumoral prostate. The purpose of this study was to analyze the effects of I2 and celecoxib (Cxb) on oxidative stress and inflammation in a model of prostatic hyperplasia. Cxb was used as positive control of cyclooxygenase-2 (COX-2) inhibition. Prostatic hyperplasia was induced in male Wistar rats (170g) with testosterone (5mg/kg/week, for three weeks). One week before hyperplasia induction, I2 (25mg/day/rat) or Cxb (1.25mg/day/rat) was supplied for four weeks in the drinking water. Prostatic hyperplasia was evaluated by histological analysis, DNA content, and/or proliferating cell nuclear antigen (PCNA) expression. Lipoperoxidation (malondialdehyde) and nitrite (NO2-) levels were analyzed by colorimetric methods, while nitric oxide synthase (NOS), COX, and myeloperoxidase (MPO) enzymes were analyzed using RT-PCR, immunoblotting, and/or enzymatic assays. Levels of 15-F2t-isoprostanes, prostaglandins (PGE2), leukotrienes (LTB4), and tumor necrosis factor alpha (TNFα) were measured by ELISA. Control testosterone-treated animals exhibited hyperplasia in the dorsolateral prostate, as well as increments in almost all oxidative parameters except for COX-1, TNFα, or MPO. I2 and Cxb prevented epithelial hyperplasia (DNA content) and oxidative stress induction generated by testosterone in almost the same intensity, and the minimum I2 dose required was 2.5mg/rat. The antioxidant capacity of I2 was also analyzed in a cell-free system, showing that this element inhibited the conversion of nitrate (NO3-) to NO2-. I2 did not modify the prostatic oxidative state in testosterone untreated rats. In summary, our data showed that antiproliferative and antioxidant effects of I2 involve the inhibition of NOS and the COX-2 pathway. Further studies are necessary to analyze the therapeutic and/or adjuvant effects of I2 with first-line medications used to treat BPH.
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Affiliation(s)
- Michelle Quintero-García
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico
| | - Evangelina Delgado-González
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico
| | - Ana Sánchez-Tusie
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico
| | - Mario Vázquez
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico
| | - Carmen Aceves
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico
| | - Brenda Anguiano
- Departamento de Neurobiología Celular y Molecular, Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230 Querétaro, Mexico.
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Duan Q, Wang T, Zhang N, Perera V, Liang X, Abeysekera IR, Yao X. Propylthiouracil, Perchlorate, and Thyroid-Stimulating Hormone Modulate High Concentrations of Iodide Instigated Mitochondrial Superoxide Production in the Thyroids of Metallothionein I/II Knockout Mice. Endocrinol Metab (Seoul) 2016; 31:174-84. [PMID: 26754589 PMCID: PMC4803556 DOI: 10.3803/enm.2016.31.1.174] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 11/02/2015] [Accepted: 12/18/2015] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Increased oxidative stress has been suggested as one of the underlying mechanisms in iodide excess-induced thyroid disease. Metallothioneins (MTs) are regarded as scavengers of reactive oxygen species (ROS) in oxidative stress. Our aim is to investigate the effects of propylthiouracil (PTU), a thyroid peroxidase inhibitor, perchlorate (KClO₄), a competitive inhibitor of iodide transport, and thyroid stimulating hormone (TSH) on mitochondrial superoxide production instigated by high concentrations of iodide in the thyroids of MT-I/II knockout (MT-I/II KO) mice. METHODS Eight-week-old 129S7/SvEvBrd-Mt1(tm1Bri) Mt2(tm1Bri)/J (MT-I/II KO) mice and background-matched wild type (WT) mice were used. RESULTS By using a mitochondrial superoxide indicator (MitoSOX Red), lactate dehydrogenase (LDH) release, and methyl thiazolyl tetrazolium (MTT) assay, we demonstrated that the decreased relative viability and increased LDH release and mitochondrial superoxide production induced by potassium iodide (100 μM) can be relieved by 300 μM PTU, 30 μM KClO₄, or 10 U/L TSH in the thyroid cell suspensions of both MT-I/II KO and WT mice (P<0.05). Compared to the WT mice, a significant decrease in the relative viability along with a significant increase in LDH release and mitochondrial superoxide production were detected in MT-I/II KO mice(P<0.05). CONCLUSION We concluded that PTU, KClO₄, or TSH relieved the mitochondrial oxidative stress induced by high concentrations of iodide in the thyroids of both MT-I/II KO and WT mice. MT-I/II showed antioxidant effects against high concentrations of iodide-induced mitochondrial superoxide production in the thyroid.
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Affiliation(s)
- Qi Duan
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Tingting Wang
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Na Zhang
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Vern Perera
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Xue Liang
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Iruni Roshanie Abeysekera
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China
| | - Xiaomei Yao
- Department of Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, China.
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