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Agić D, Čabarkapa V, Milošević I, Perčić I, Farra AE, Nikolić S, Sekulić B, Vlaisavljević N, Savić A, Urošević I, Popović SL. Is There a Role for Growth and Differentiation Factor-15 in B-Cell Lymphoproliferative Neoplasms? Indian J Hematol Blood Transfus 2024; 40:213-219. [PMID: 38708149 PMCID: PMC11065822 DOI: 10.1007/s12288-023-01695-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 08/25/2023] [Indexed: 05/07/2024] Open
Abstract
Growth and differentiation factor-15 (GDF-15) correlates with worse outcome of many tumours and any cause mortality. Data about its role in lymphoproliferative neoplasms (LPN) are scarce. Our research aimed to reveal the correlation between GDF-15 and standard laboratory parameters of LPN activity, and to get insight into the possible value of this cytokine assessment in lymphoma patients. Prospective research included 40 patients treated for aggressive or indolent LPN, and 31 with indolent LPN on "watch and wait" regimen. Analyses were performed before and after treatment in treated patients and on two separate occasions in the "watch and wait" group. ELISA technique with R&D assays according to the manufacturer manual, from stored sera at - 70 °C was used for GDF-15 level measurement. Statistical analyses were performed by IBM SPSS Statistics 22 using descriptive and inferential statistics. As appropriate, differences between groups were assessed by two tailed t-test, Mann-Whitney or x2 test. Spearman Rank Order Correlation was done to correlate GDF-15 with standard laboratory markers of disease activity. All tests are two-tailed with significance level p < 0. 05. GDF-15 (p = 0.028) and fibrinogen (p = 0.001) concentrations increased after treatment in indolent lymphoma patients while β2 microglobulin decreased (p < 0.001). GDF-15 positively correlated with β2microglobulin before (p < 0.001) and after (p = 0.031) therapy. There were no differences in any of the aforementioned parameters in the "watch and wait" group during observation. A positive correlation between GDF-15 and β2 microglobulin in patients with indolent LPN who need treatment suggests potential value in risk assessment. Supplementary Information The online version contains supplementary material available at 10.1007/s12288-023-01695-6.
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Affiliation(s)
- Danijela Agić
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Velibor Čabarkapa
- Center for Laboratory Medicine, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Pathophysiology and Laboratory Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Ivana Milošević
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Ivanka Perčić
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Amir El Farra
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Stanislava Nikolić
- Center for Laboratory Medicine, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Pathophysiology and Laboratory Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Borivoj Sekulić
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Nada Vlaisavljević
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
| | - Aleksandar Savić
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Ivana Urošević
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
| | - Stevan L. Popović
- Clinic for Hematology, University Clinical Center of Vojvodina, Novi Sad, Serbia
- Department of Internal Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljka 3, Novi Sad, 21000 Serbia
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Koh-Bell A, Chan J, Mann AK, Kapp DS. Social isolation, inflammation, and cancer mortality from the National Health and Nutrition Examination Survey - a study of 3,360 women. BMC Public Health 2021; 21:1289. [PMID: 34210304 PMCID: PMC8252233 DOI: 10.1186/s12889-021-11352-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 06/16/2021] [Indexed: 11/10/2022] Open
Abstract
Background This study evaluates the role of social isolation on inflammation and cancer mortality among women. Methods Data were abstracted from the U.S. National Health and Nutrition Examination Survey from 1988 to 1994. The Social Network Index was used to assess participants’ degree of social isolation. C-reactive protein and fibrinogen levels were included as markers of inflammation. We used the National Death Index to identify causes and dates of mortality. Chi-square and multivariable Cox regressions were employed for statistical analyses. Results Of 3360 women (median age: 54 years), the most isolated, very isolated, somewhat isolated, and not isolated comprised 14.5, 30.2, 37.1, and 18.2% of the sample, respectively. The most isolated participants were more likely to have low income (56.8% vs 12.2%, p < 0.001), have fewer years of education (40.8% vs 12.3%; p < 0.001), have low physical activity (27.3% vs 14.7%; p < 0.003), be obese (32.5% vs 24.4%; p = 0.02), and be current smokers (34.2% vs 10.3%; p < 0.001) compared to the not isolated ones. Mean fibrinogen levels increased with degree of social isolation (p = 0.003), but C-reactive protein showed no association (p = 0.52). Kaplan-Meier estimates indicated higher cancer mortality rates among participants with elevated fibrinogen levels, though not with statistical significance (p = 0.08). Furthermore, there was no association between social isolation and cancer mortality (p = 0.54). On multivariate analysis, obesity (HR = 1.56; 95% CI: 1.11–2.18), higher education (HR = 1.36; 95% CI: 1.01–1.83), and smoking (HR = 4.42, 95% CI: 2.84–6.88) were independent predictors for cancer mortality, while high physical activity predicted for lower mortality from cancer (HR = 0.67, 95% CI: 0.51–0.87). However, social isolation was not a predictor. Conclusion Social isolation among women was associated with an increased level of fibrinogen, but not associated with cancer mortality. The relationship between inflammation and cancer mortality warrants further investigation. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11352-0.
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Affiliation(s)
| | | | - Amandeep K Mann
- Palo Alto Medical Foundation Research Institute, 795 El Camino Real, Palo Alto, CA, 94301, USA.
| | - Daniel S Kapp
- Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA
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Peigneux A, Glitscher EA, Charbaji R, Weise C, Wedepohl S, Calderón M, Jimenez-Lopez C, Hedtrich S. Protein corona formation and its influence on biomimetic magnetite nanoparticles. J Mater Chem B 2021; 8:4870-4882. [PMID: 32108191 DOI: 10.1039/c9tb02480h] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Biomimetic magnetite nanoparticles (BMNPs) synthesized in the presence of MamC, a magnetosome-associated protein from Magnetoccus marinus MC-1, have gained interest for biomedical applications because of their unique magnetic properties. However, their behavior in biological systems, like their interaction with proteins, still has to be evaluated prior to their use in clinics. In this study, doxorubicin (DOXO) as a model drug was adsorbed onto BMNPs to form nanoassemblies. These were incubated with human plasma to trigger protein corona (PC) formation. Proteins from the human plasma stably attached to either BMNPs or DOXO-BMNP nanoassemblies. In particular, fibrinogen was detected as the main component in the PC of DOXO-BMNPs that potentially provides advantages, e.g. protecting the particles from phagocytosis, thus prolonging their circulation time. Adsorption of PC to the BMNPs did not alter their magnetic properties but improved their colloidal stability, thus reducing their toxicity in human macrophages. In addition, PC formation enhanced cellular internalization and did not interfere with DOXO activity. Overall, our data indicate that the adsorption of PC onto DOXO-BMNPs in biological environment even increases their efficiency as drug carrier systems.
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Affiliation(s)
- Ana Peigneux
- Department of Microbiology, University of Granada, Faculty of Sciences, Campus de Fuentenueva s/n, 18002 Granada, Spain.
| | - Emanuel A Glitscher
- Freie Universität Berlin, Institute of Chemistry and Biochemistry, Chemistry, Takustr. 3, 14195 Berlin, Germany
| | - Rawan Charbaji
- Freie Universität Berlin, Institute of Pharmacy, Königin-Luise-Str. 2-4, 14195 Berlin, Germany
| | - Christoph Weise
- Freie Universität Berlin, Institute of Chemistry and Biochemistry, Biochemistry, Thielallee 63, 14195 Berlin, Germany
| | - Stefanie Wedepohl
- Freie Universität Berlin, Institute of Chemistry and Biochemistry, Chemistry, Takustr. 3, 14195 Berlin, Germany
| | - Marcelo Calderón
- Freie Universität Berlin, Institute of Chemistry and Biochemistry, Chemistry, Takustr. 3, 14195 Berlin, Germany and POLYMAT and Applied Chemistry Department, Faculty of Chemistry, University of the Basque Country UPV/EHU, Paseo Manuel de Lardizabal 3, 20018 Donostia-San Sebastián, Spain and IKERBASQUE, Basque Foundation for Science, 48013 Bilbao, Spain
| | - Concepción Jimenez-Lopez
- Department of Microbiology, University of Granada, Faculty of Sciences, Campus de Fuentenueva s/n, 18002 Granada, Spain.
| | - Sarah Hedtrich
- Freie Universität Berlin, Institute of Pharmacy, Königin-Luise-Str. 2-4, 14195 Berlin, Germany and University of British Columbia, Faculty of Pharmaceutical Sciences, 2405 Wesbrook Mall, Vancouver, BC, Canada.
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Elzanaty S, Rezanezhad B, Borgquist R. Association between PSA Levels and Biomarkers of Subclinical Systemic Inflammation in Middle-Aged Healthy Men from the General Population. Curr Urol 2016; 9:148-152. [PMID: 27867333 DOI: 10.1159/000442870] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Accepted: 02/09/2016] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION This study was aimed to determine the association between PSA levels and biomarkers of subclinical systemic inflammation based on data from 119 middle-aged healthy men from the general population. MATERIALS AND METHODS Serum levels of PSA and biomarkers of systemic inflammation (CRP and fibrinogen) were measured. Demographic data were also collected. Subjects were divided into two groups according to PSA levels; < 2 ng/ml and ≥ 2 ng/ml. RESULTS The mean (SD) age of men was 55 ± 4.0 years. We found a positive significant correlation between PSA and fibrinogen levels (r = 0.20, p = 0.04), and between CRP and fibrinogen levels (r = 0.60, p = 0.01). On the other hand, no significant correlation between PSA and CRP levels was found. Men with PSA values ≥ 2 ng/ml had significantly higher levels of fibrinogen as compared to those with PSA < 2 ng/ml (2.9 ng/ml vs. 2.4 ng/ml, p = 0.01). In a multivariate regression analysis model adjusted for the age of subjects, BMI, marital status, smoking, snuff, and alcohol intake with serum levels of PSA as a dependent variable, serum level of fibrinogen predicted higher PSA-values (odds ratio = 3.30, 95% CI = 1.05-10.20, p = 0.042). CONCLUSIONS The present results indicate that serum fibrinogen is a biomarker of subclinical systemic inflammation associated with PSA elevation among middle-aged healthy men from the general population.
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Affiliation(s)
- Saad Elzanaty
- Department of Translational Medicine, Division of Urological Research, Skåne University Hospital, Lund University, Malmö, Sweden
| | - Babak Rezanezhad
- Department of Internal Medicine, Skåne University Hospital, Lund, Sweden
| | - Rasmus Borgquist
- Arrhythmia Clinic, Cardiology, Skåne University Hospital, Lund, Sweden
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McDonald AC, Vira MA, Vidal AC, Gan W, Freedland SJ, Taioli E. Association between systemic inflammatory markers and serum prostate-specific antigen in men without prostatic disease - the 2001-2008 National Health and Nutrition Examination Survey. Prostate 2014; 74:561-7. [PMID: 24435840 PMCID: PMC4380881 DOI: 10.1002/pros.22782] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Accepted: 12/31/2013] [Indexed: 11/11/2022]
Abstract
BACKGROUND Serum prostate specific antigen (PSA) may be elevated in otherwise healthy men; systemic inflammation has been associated with cancer. The study of systemic inflammatory markers in men without clinical prostate disease, but with elevated PSA may characterize the subgroup of men at higher risk for subsequent prostate cancer. METHODS We investigated the associations between systemic inflammatory markers and serum PSA in 3,164 healthy men without prostatic disease, aged >40 years, from the 2001 to 2008 U.S. National Health and Nutrition Examination Survey (NHANES). Serum total PSA levels and concentrations of serum C-reactive protein (CRP) and plasma fibrinogen, neutrophil count, lymphocyte count, and platelet count were recorded. Neutrophil-lymphocyte ratio (NLR) ratio and platelet-lymphocyte (PLR) ratio were calculated. PSA elevation was defined as levels equal or greater than 4 ng/ml. RESULTS Elevated serum PSA (194 men, 6.1% of the total), was significantly associated with plasma fibrinogen (ORmultiv = 1.88; 95% CI, 1.09-3.25), and NLR (ORmultiv = 1.14; 95% CI, 1.03-1.26), after adjustment for age, smoking, body mass index, education, race, co-morbidities, and use of medications. CONCLUSIONS Markers of systemic inflammation were associated with elevated PSA in men without known prostatic disease. Future studies are needed to examine these markers' relationship with prostate cancer occurrence and progression.
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Affiliation(s)
- Alicia C. McDonald
- Department of Population Health, Hofstra North Shore-LIJ School of Medicine, Great Neck, New York
- Feinstein Institute for Medical Research, North Shore-LIJ Health System, Manhasset, New York
| | - Manish A. Vira
- The Arthur Smith Institute for Urology, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, New York
| | - Adriana C. Vidal
- Department of Surgery, Durham VA and Division of Urology, Departments of Surgery and Pathology, Duke University School of Medicine, Durham, North Carolina
- Division of Clinical Epidemiologic Research, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina
| | - Wenqi Gan
- Department of Population Health, Hofstra North Shore-LIJ School of Medicine, Great Neck, New York
- Feinstein Institute for Medical Research, North Shore-LIJ Health System, Manhasset, New York
| | - Stephen J. Freedland
- Department of Surgery, Durham VA and Division of Urology, Departments of Surgery and Pathology, Duke University School of Medicine, Durham, North Carolina
| | - Emanuela Taioli
- Department of Population Health, Hofstra North Shore-LIJ School of Medicine, Great Neck, New York
- Feinstein Institute for Medical Research, North Shore-LIJ Health System, Manhasset, New York
- Correspondence to: Emanuela Taioli, MD, PhD, Hofstra North Shore-LIJ School of Medicine, 175 Community Drive, Rm 203 Great Neck, NY 11021.
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Lu DY, Chen XL, Ding J. Treatment of solid tumors and metastases by fibrinogen-targeted anticancer drug therapy. Med Hypotheses 2007; 68:188-93. [PMID: 16956730 DOI: 10.1016/j.mehy.2006.06.045] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2006] [Accepted: 06/30/2006] [Indexed: 11/29/2022]
Abstract
The accumulation of fibrin/fibrinogen and other coagulation factors in and around solid tumors and metastatic foci has been recognized for a century as an aspect of cancer pathology. On this basis, anticoagulants and fibrinolytic agents have been deployed as adjuvant anticancer therapies, but they have proved clinically useful for only a small proportion of tumors and they only control the functions of the coagulant components. Overuse or long-term application of anticoagulants and fibrinolytic agents often lead to undesirable side-effects. Here, we propose that anticancer drugs that act by different mechanisms can inhibit tumor-associated coagulation, and it may be possible to develop drugs that specifically targeting tumor-related coagulation, have specific cytotoxic effects on tumor and metastatic cells. We provide laboratory and clinical evidence supporting the hypothesis and offer proposals for future applications.
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Affiliation(s)
- Da Yong Lu
- School of Life Sciences, Department of Bioengineering, Shanghai University, 99 Shangda Rd., Shanghai 200444, China.
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Lu DY, Chen XL, Ding J. Individualized cancer chemotherapy integrating drug sensitivity tests, pathological profile analysis and computational coordination – An effective strategy to improve clinical treatment. Med Hypotheses 2006; 66:45-51. [PMID: 16168568 DOI: 10.1016/j.mehy.2005.07.023] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2005] [Revised: 06/28/2005] [Accepted: 07/04/2005] [Indexed: 12/22/2022]
Abstract
BACKGROUND Most current cancer chemotherapy is unsatisfactory. There is a trend towards changing the norm for drug selection; one approach is to seek individualized cancer chemotherapy (ICC). METHODS AND RESULTS ICC is an approach to maximizing the efficacy of chemotherapy and reducing its adverse effects to a minimum. It involves choosing anticancer drugs through the following critical steps: (i) performing drug sensitivity tests in vivo and/or in vitro; (ii) analyzing pathogenic information from morphology, histology and bioinformatics, so that targeted therapy can be offered to disrupt the escalating tumorigenic molecules and pathways; (iii) introducing mathematical and computational systems to assist in improving the quality of decision-making. CONCLUSION Increasing clinical evidence indicates that drug sensitivity tests, pathological profile analyses and computational coordination are ways to improve therapeutic quality. In future, each patient should have his own unique chemotherapy protocol.
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Affiliation(s)
- Da Yong Lu
- Department of Bioengineering, School of Life Sciences, Shanghai University, 99 Shangda Street, Shanghai 200436, PR China.
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Lu DY, Chi J, Lin LP, Huang M, Xu B, Ding J. Effect of Anti-Cancer Drugs on the Binding of 125I-Fibrinogen to Two Leukaemia Cell Lines In Vitro. J Int Med Res 2004; 32:488-91. [PMID: 15458280 DOI: 10.1177/147323000403200505] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Anti-cancer drugs may be able to inhibit tumour growth and metastasis by blocking fibrinogen- and/or fibrin-related pathways. To test this hypothesis, the effect of various anti-neoplastic drugs on the binding of 125I-Fibrinogen to two leukaemia cell lines, HL60 and P388, was investigated. All the drugs tested inhibited the binding of fibrinogen to leukaemia cells. This effect was particularly marked for drugs that act as inhibitors of protein synthesis. Since these anti-neoplastic drugs do not have anti-coagulant actions, these results provide evidence for the potential of targeting tumour fibrinogen as a new form of cancer chemotherapy.
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Affiliation(s)
- D Y Lu
- School of Life Sciences, Shanghai University, Shanghai, People's Republic of China.
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Abstract
Angiogenesis, the development of new blood vessels from existing vasculature, involves the migration, proliferation and differentiation of endothelial cells and is crucial for the growth and mestastasis of tumours. A specific association between cancer and the haemostatic system has long been recognised. Haemostatic mechanisms regulate blood flow by controlling platelet adhesion and fibrin deposition, and a number of haemostatic proteins have been shown to regulate angiogenesis, either directly, by interacting with endothelial cells themselves, or indirectly, by interacting with other regulators of angiogenesis. The polypeptide fibrinogen is the central protein in the haemostasis pathway and is found deposited in the majority of human and experimental animal tumours. In this review, the evidence for the ability of fibrinogen and various protein/peptide fragment derivatives to modulate angiogenic mechanisms in vitro and to affect tumour growth and metastasis in vivo is discussed.
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Affiliation(s)
- Carolyn A Staton
- Tumour Targeting Group, University of Sheffield Medical School, Sheffield, S10 2RX, UK
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