Abstract
Acute kidney injury is a fatal disease characterized by a rapid deterioration of kidney function. Capsaicin (trans-8-methyl-N-vanillyl-6-nonenamide) is a natural product extracted from Capsicum. The aim of this study was to explore the protective effect of capsaicin on inflammation, apoptosis, and mitochondrial dysfunction in an in vitro model of acute kidney injury. Lipopolysaccharide (LPS)-induced acute kidney injury model was established in HK-2 cells to investigate the protective effect of capsaicin. Cell viability was assessed using CCK-8 assay, and protein expression was detected using western blot and immunofluorescence assay. Intracellular reactive oxygen species (ROS) level and mitochondrial membrane potential were analyzed by flow cytometry. Cell apoptosis was detected by propidium iodide staining. The results showed that capsaicin ameliorated LPS-induced cytotoxicity in vitro and attenuated the release of interleukin (IL)-1β and IL-18. Intriguingly, genipin abolished the protective effect of capsaicin. Molecularly, capsaicin activated transient receptor potential cation channel subfamily V member 1 –mitochondrial uncoupling protein 2 axis and inhibited caspase-1-mediated pyroptosis. In addition, capsaicin alleviated LPS-induced ROS production and mitochondrial membrane potential disruption and inhibited apoptosis. These findings suggest that capsaicin shows a protective effect in in vitro acute kidney injury model.
Graphical abstract

1 Introduction
Acute kidney injury is a serious condition characterized by the rapid deterioration of kidney function that could exacerbate in a few hours or days [1]. Common causes of acute kidney injury include lack of blood flow, drugs that damage kidney function, and infection [2,3]. Notably, sepsis that resulted from infection accounts for more than 50% cases of acute kidney injury [4]. Oxidative stress, inflammatory response, and programmed cell death (PCD) are closely associated with the pathogenesis of sepsis-related acute kidney injury [5,6]. Lipopolysaccharides (LPSs) are amphipathic glycoconjugates that can be isolated from the outer membrane of gram-negative bacteria and are commonly used to establish the acute kidney injury model in vitro [7]. Unfortunately, there is no established remedy for acute kidney failure, which results in poor outcomes and high mortality [8]. Hence, it is of great urgency to explore and develop efficient drugs for the clinical treatment of acute kidney injury.
Capsaicin (trans-8-methyl-N-vanillyl-6-nonenamide) is extracted from chili peppers in the Capsicum genus [9]. Originally used as food additive, capsaicin is now widely applied as pharmaceutical reagent in various diseases [10]. Studies have shown that capsaicin has strong anti-inflammatory and anti-oxidant effects [11]. Additionally, the anti-cancer effect of capsaicin has been extensively investigated over the past decades [12]. However, capsaicin was shown to be a double-edged sword in cancer treatment, with high concentrations inducing apoptotic cell death in a variety of cancer cells and low concentrations enhancing invasive and migratory ability of cancer cells [13]. Transient receptor potential cation channel subfamily V member 1 (TRPV1) is part of the mammalian somatosensory system, and capsaicin-induced activation of TRPV1 has shown beneficial effects in diabetes, obesity, and liver injury [14,15]. In addition, the activation of TRPV1 protects the heart against apoptosis through PI3K/Akt pathway in ischemia/reperfusion injury [16]. However, whether capsaicin has a therapeutic effect in sepsis-related acute kidney injury remains to be investigated.
PCD is a controlled biological process, including apoptosis, pyroptosis, autophagy, and other non-canonical cell death [17]. Apoptosis, which is mediated by sequential cleavages of the aspartate-specific proteases, is the earliest characterized PCD [18]. Excessive apoptosis has been implicated in neurodegenerative diseases, ischemic heart disease, and sepsis [19]. Pyroptosis is an inflammatory type of PCD mediated by caspase-1 [20]. Apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC) is an adapt protein and the recruitment of ASC to caspase-1 by NLR family pyrin domain containing 3 (NLRP3) is essential for the activation of pyroptosis [21]. Pyroptosis is often associated with inflammatory diseases such as colitis, pneumonia, and arthritis [22]. Previous studies have indicated that pyroptosis is involved in acute kidney injury [23]. Moreover, an anti-apoptotic effect of capsaicin has been suggested in several studies [24,25]. Therefore, targeting pyroptosis and apoptosis by capsaicin is a promising strategy for the clinical treatment of acute kidney injury.
This study aimed to explore the protective effect of capsaicin on inflammation, apoptosis, and mitochondrial dysfunction in an in vitro model of acute kidney injury. From the results, the authors propose the potential therapeutic use of capsaicin as a novel treatment strategy for acute kidney injury.
2 Methods
2.1 Cell culture
HK-2 cell line was cultured with Dulbecco’s modified Eagle’s medium supplemented with 10% fetal bovine serum at 37°C with 5% CO2. To establish in vitro acute kidney injury model, HK-2 cells were treated with 5 mM adenosine triphosphate (ATP) and 500 ng/mL LPS for 24 h. In some experiments, cells were preincubated with 100 µM capsaicin or with 100 µM capsaicin and 25 µM genipin for 8 h prior to the addition of LPS.
2.2 Cell viability assay
HK-2 cells were seeded in 96-well plate at the density of 1 × 104 cells per well and treated with indicated reagents for 24 h. Then, the number of viable cells was detected with Cell Counting Kit-8 (#C0038, Beyotime Biotechnology) according to the manufacturer’s instructions.
2.3 Lactate dehydrogenase (LDH) activity assay
HK-2 cells were seeded in six-well plate and treated with indicated reagents for 24 h. The cells were then harvested and washed with phosphate-buffered saline (PBS) twice. LDH activity was detected using a commercial testing kit purchased from Nanjing Jiancheng Bioengineering Institute (#A020-2).
2.4 Western blot
Cells were lysed with radioimmunoprecipitation assay lysis buffer (#AS1004, ASPEN), and the protein concentration was detected using bicinchoninic acid protein assay kit (#AS1086, ASPEN). Total proteins were separated on 12% sodium dodecyl-sulfate polyacrylamide gel electrophoresis gel and transferred to PVDF membranes. The PDVF membranes were blocked with 5% bovine serum albumin and incubated with the following antibodies at 4°C overnight: IL-1β antibody (#16806-1-AP, Proteintech Group, Inc.), IL-18 antibody (#ab2073244, Abcam), TRPV1 (#66983-1-lg, Proteintech Group, Inc.), uncoupling protein 2 (UCP2) (#11081-1-lg, Proteintech Group, Inc.), cleaved caspase-1 (#AF4005, Affinity Biosciences), ASC (#ab283684, Abcam), NLRP3V (#15101, Cell Signaling Technology), and GAPDH antibody (#ab181602, Abcam). The membranes were then incubated with horseradish peroxidase-conjugated secondary antibody (#AS1107, ASPEN) for an hour at room temperature. Protein bands were acquired with chemiluminescence detection kit (#AS1059, ASPEN) and digital scanning system (#LiDE110, Canon).
2.5 Immunofluorescence assay
HK-2 cells were seeded in a six-well plate and treated with indicated reagents. The cells were washed twice with PBS, fixed in 4% paraformaldehyde, and then permeabilized with PBS containing 0.1% Triton X-100. For immunostaining, the cells were incubated with indicated primary antibody overnight and then incubated with CoraLite488-conjugated goat anti-rabbit IgG (H + L) (#SA00013-2, Proteintech Group, Inc.). Nucleus was stained with Hoechst33342 (#B8040, SolarBio Life Sciences). Images were obtained using an immunofluorescence microscope (Eclipse Ci-L, Nikon). For the quantification of immunofluorescence staining, 8-bit binary threshold images from the original panoramic immunofluorescence image were made, and the mean gray value was acquired using ImageJ.
2.6 Cell apoptosis assay
HK-2 cells were seeded in a six-well plate and treated with indicated reagents. The cells were then harvested and washed twice with PBS. Next, the cells were incubated with propidium iodide (#ST511, Beyotime Biotechnology) and Hoechst33342 (#B8040, SolarBio Life Sciences). Images were obtained using an immunofluorescence microscope (Eclipse Ci-L, Nikon).
2.7 Detection of intracellular reactive oxygen species (ROS) level
HK-2 cells were seeded in a six-well plate and treated with indicated reagents. The cells were then washed twice with PBS and incubated with ROS Assay Kit (#S0033, Beyotime Biotechnology). Intracellular ROS level was then detected with a flow cytometry (CytoFLEX, Beckman).
2.8 Detection of mitochondrial membrane potential
HK-2 cells were seeded in a six-well plate and treated with indicated reagents. The cells were then washed twice with PBS and stained using mitochondrial membrane potential assay kit (#C2006, Beyotime Biotechnology). Subsequently, the cells were processed with a flow cytometry (CytoFLEX, Beckman).
2.9 Statistical analysis
Data were presented as means ± standard deviation (SD), and one-way analysis of variance was used to determine statistical significance between groups. p < 0.05 was considered statistically significant.
3 Results
3.1 Capsaicin ameliorates LPS-induced cytotoxicity and inflammation response in HK-2 cells
An in vitro model of acute kidney injury was established by exposing HK-2 cells to LPS for 24 h. Dose incubation of LPS in HK2 cells differs in various reports ranging from 0.1 to 10 µg/mL [26,27,28]. A dose response to LPS and capsaicin in HK2 cells was performed in preliminary experiments. As shown in Figure 1a and Figure S1a, the exposure to LPS decreased the number of viable HK-2 cells in a dose-dependent manner, indicating successfully established in vitro model of acute kidney injury. Low concentrations of capsaicin had no effect on the viability of HK-2 cells (Figure S1b). To investigate the potential protective effect of capsaicin against LPS-induced acute kidney injury, HK-2 cells were pretreated with 100 μM capsaicin for 8 h and a CCK8 assay was performed. The results demonstrated that capsaicin ameliorated LPS cytotoxicity and the number of viable cells was restored. Activation of TRPV1/UCP2 axis by capsaicin has been reported in several disease models, including nonalcoholic fatty liver disease and diabetic cardiovascular complications [29,30]. To investigate whether similar mechanism was involved in LPS-induced injury model, genipin was used in combination with capsaicin. Interestingly, treatment with 25 μM genipin prevented the protective effect of capsaicin against LPS cytotoxicity. LDH release is a commonly used measurement that indicates the degree of cell death. As shown in Figure 2, an increased LDH release was observed in HK-2 cells following LPS treatment. Capsaicin treatment alleviated LPS-induced LDH release, which could be prevented by genipin. These results indicate that capsaicin has a potential protective effect against LPS-induced acute kidney injury.

Capsaicin ameliorates LPS cytotoxicity in HK-2 cells. (a) Cell viability was detected by CCK8 assay in control, LPS + ATP, LPS + ATP + capsaicin and LPS + ATP + capsaicin + genipin groups. Data were presented as the means ± SD, ****p < 0.0001 vs CON, ###p < 0.001 vs LPS + ATP + capsaicin, ΔΔp < 0.01 vs LPS + ATP + capsaicin + genipin. (b) LDH released rate was detected by the LDH activity assay kit. Data were presented as means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔp < 0.01 vs LPS + ATP + capsaicin.

Capsaicin inhibits cytokine release in LPS-stimulated HK-2 cells. (a) Western blot results of IL-1β and IL-18 in control, LPS + ATP, LPS + ATP + capsaicin, and LPS + ATP + capsaicin + genipin groups. (b) and (c) Quantification of IL-1β and IL-18 expression in each group. Data were presented as the means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔp < 0.01 vs LPS + ATP + capsaicin.
Acute kidney injury is closely associated with inflammation response [31]. IL-1β and IL-18 are two inflammatory cytokines that regulate inflammation response at multiple checkpoints [32]. Consistent with previous studies, LPS treatment increased the release of IL-1β and IL-18 in HK-2 cells. However, capsaicin treatment attenuated the release of these cytokines. Notably, the inhibitory effect of capsaicin on LPS-induced expression of IL-1β and IL-18 was prevented by Genipin (Figure 2a and b). These data suggest that capsaicin alleviates LPS-induced inflammation response in HK-2 cells.
3.2 Capsaicin alleviates LPS-induced pyroptosis in HK-2 cells by activating TRPV1/UCP2 axis
TRPV1 is a receptor of capsaicin, and genipin is an inhibitor of UCP2 [30]. This study investigated whether capsaicin protects against LPS-induced acute kidney injury through TRPV1/UCP2 axis. Western blot results showed that LPS treatment down-regulated the expression of TRPV1 and UCP2, which was restored by capsaicin. Moreover, genipin treatment prevented capsaicin-induced expression of UCP2 in LPS-treated HK-2 cells (Figure 3a–c).

Capsaicin alleviates LPS-induced pyroptosis in HK-2 cells by activating TRPV1/UCP2 axis. (a) Western blot results of TRPV1, UCP2, cleaved caspase-1, ASC and NLRP3 in control, LPS + ATP, LPS + ATP + capsaicin, and LPS + ATP + capsaicin + genipin groups. (b) Quantification of TRPV1 expression in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, #p < 0.05 vs LPS + ATP. (c) Quantification of UCP2 expression in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ##p < 0.01 vs LPS + ATP, Δp < 0.05 vs LPS + ATP + capsaicin. (d) Quantification of cleaved caspase-1 expression in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ###p < 0.001 vs LPS + ATP, Δp < 0.05 vs LPS + ATP + capsaicin. (e) Quantification of ASC expression in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ###p < 0.001 vs LPS + ATP, Δp < 0.05 vs LPS + ATP + capsaicin + genipin. (f) Quantification of NLRP3 expression in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔp < 0.01 vs LPS + ATP + capsaicin. (g) Immunofluorescence results of ASC in each group. (h) Quantification of the fluorescence density of ASC in each group. Data were presented as the means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔΔp < 0.005 vs LPS + ATP + capsaicin.
Pyroptosis has recently been identified as a mechanism involved in LPS-induced acute kidney injury [23]. Therefore, we explored whether capsaicin protects against LPS-induced acute kidney injury by targeting pyroptosis. Results of western blot showed that the expression of cleaved caspase-1, ASC, and NLRP3 was up-regulated following LPS treatment, indicating the activation of pyroptosis. However, capsaicin treatment down-regulated the protein levels of cleaved caspase-1, ASC, and NLRP3, and this effect was prevented by genipin (Figure 3d–f). Moreover, ASC expression was determined by immunofluorescence assay. As shown in Figure 3g and h, fluorescence density increased in the LPS-treated group compared with that in the control group. Capsaicin treatment resulted in a decreased fluorescence density of ASC, consistent with western blot results. All these data indicate that capsaicin alleviates LPS-induced pyroptosis in HK-2 cells by activating TRPV1/UCP2 axis.
3.3 Capsaicin attenuates LPS-induced ROS generation and apoptosis in HK-2 cells
Increased oxidative stress and apoptosis are also prominent features of acute kidney injury [33]. Here, intracellular ROS generation was detected using dichlorodihydrofluorescein diacetate staining and flow cytometry analysis. The results showed that exposure to LPS led to a significant increase in ROS generation in HK-2 cells. However, capsaicin inhibited LPS-induced ROS production, and this effect was reversed by genipin (Figure 4a and b). Then, cell apoptosis was detected by PI staining, and red fluorescence indicates apoptotic cells. As shown in Figure 4c, the ratio of apoptotic cells increased following LPS treatment. Capsaicin treatment attenuated cell apoptosis, and this protective effect was prevented by genipin. These results indicate that capsaicin exerts a cytoprotective effect in HK-2 cells by attenuating LPS-induced ROS generation and apoptosis.

Capsaicin attenuates LPS-induced ROS generation and apoptosis in HK-2 cells. (a) ROS level was detected by flow cytometry in control, LPS + ATP, LPS + ATP + capsaicin, and LPS + ATP + capsaicin + genipin groups. (b) Quantification of ROS level in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔΔΔp < 0.0001 vs LPS + ATP + capsaicin. (c) Cell apoptosis was detected by PI/Hoechst staining in each group.
3.4 Capsaicin alleviates LPS-induced mitochondrial membrane potential disruption in HK-2 cells
As TPRV1 localizes on mitochondria and was reported to regulate mitochondrial membrane potential [34], we investigated the interplay between capsaicin and mitochondrial function. Mitochondrial membrane potential was detected by JC-1 staining and flow cytometry analysis. JC-1 is a green dye that accumulates in intact mitochondria as aggregates; JC-1 monomers emit a green fluorescence; meanwhile, JC-1 aggregates emit a red fluorescence. Results showed that LPS treatment inhibited the aggregation of JC-1, indicating that mitochondrial membrane potential was disrupted. Capsaicin treatment increased JC-1 aggregates, indicating its protective effect against LPS-induced mitochondrial membrane potential disruption. However, this effect was inhibited by genipin (Figure 5a and b), indicating that capsaicin exerts its protective effect through TRPV1/UCP2 axis.

Capsaicin alleviates LPS-induced mitochondrial membrane potential disruption in HK-2 cells. (a) Mitochondrial membrane potential was detected by JC-1 staining and flow cytometry in control, LPS + ATP, LPS + ATP + capsaicin, and LPS + ATP + capsaicin + genipin groups. FITC-A (green fluorescence) indicates JC-1 monomers, and PE-A (red fluorescence) indicates JC-1 aggregates. (b) Quantification of green and red fluorescence density in each group. Data were presented as means ± SD, ****p < 0.0001 vs CON, ####p < 0.0001 vs LPS + ATP, ΔΔΔΔp < 0.01 vs LPS + ATP + capsaicin.
4 Discussion
Acute kidney injury is characterized by death of renal tubular cells, with PCD contributing to its pathogenesis [35]. In the past decades, natural product has shown a promising effect in the prevention of acute kidney injury [36]. Here, we aim to explore the protective effect of capsaicin against acute kidney injury as well as its underlying mechanism regarding PCD, inflammation response, and mitochondrial dysfunction.
In vitro acute kidney injury model was established by exposure of human proximal tubular HK-2 cells to LPS as previously reported [37]. The concentrations of capsaicin used in cells can vary depending on the cell type, experimental conditions, and the specific research question being addressed. Some studies have used capsaicin at concentrations as low as 10 μM, while others have used concentrations as high as 1 mM [38,39]. Notably, it has been reported that low concentration of capsaicin (100 µM) enhances the migratory and invasive capability of SW480 and CT-26 cells, while high concentration of capsaicin (≥200 µM) inhibits cell proliferation in a dose-dependent manner [13]. In this study, the dose-dependent effect of capsaicin in HK-2 cells has been investigated in the preliminary experiment. Low concentration of capsaicin had no detectable effect on the viability of HK2 cells, while capsaicin higher than 100 µM slightly inhibited cell viability. Therefore, 100 µM of capsaicin was used in this study. It was found that capsaicin alleviated LPS cytotoxicity in HK-2 cells, which could be abolished by genipin. Capsaicin is an activator of TRPV1, and genipin is reported to inhibit UCP2 [40]. This result indicates that TRPV1/UCP2 axis might be involved in the protectiveness of capsaicin. Indeed, the results of western blot showed that capsaicin treatment up-regulated the protein levels of TRPV1 and UCP2. As a selective inhibitor of UCP2, genipin was reported to inhibit UCP2 activity [41]. However, treatment with genipin prevented capsaicin-induced up-regulation of UCP2, which is consistent with previous studies carried out in HK-2 cells [42]. Moreover, it was reported that genipin treatment decreased the mRNA level of UCP2 in NRK-52E cell, suggesting that genipin could reduce UCP2 level transcriptionally [43]. These data suggest that capsaicin protects against acute kidney injury through TRPV1/UCP2 axis.
LPS was reported to induce inflammatory response in several disease models [44,45]. In addition, inflammatory response is also a key feature of acute kidney injury [46]. Consistent with previous findings, an increased release of IL-1β and IL-18 was detected following LPS incubation. Treatment with capsaicin inhibited the release of IL-1β and IL-18, indicating that LPS-induced inflammatory response was alleviated. Previous studies showed that activated inflammation resulted in pyroptosis and apoptosis in response to various stimuli [47]. Upon activation, NLRP3 recruits ASC and caspase-1 to form the inflammasome complex, which leads to the activation of caspase-1 and the induction of pyroptosis [48]. Furthermore, activated caspase-1 cleaves pro-inflammatory cytokines, such as IL-1β and IL-18, which are released from the dying cell and contribute to the inflammatory response [49]. Not surprisingly, LPS treatment up-regulated the protein levels of caspase-1, ASC and NLRP3, and the number of PI-positive cells increased, suggesting that pyroptosis and apoptosis were activated. Treatment with capsaicin inhibited LPS-induced pyroptosis and apoptosis. Moreover, this effect was abolished by genipin, indicating that capsaicin attenuated pyroptosis and apoptosis by activating TRPV1 and UCP2.
Capsaicin has shown an anti-oxidant effect by increasing the activities of dismutase, catalase, and glutathione-S-transferase in carbon tetrachloride-induced rat liver injury [25]. Since UCP2 also plays a vital role in regulating mitochondrial function and relieving oxidative stress [50], intracellular ROS level and mitochondrial membrane potential were detected. It was found that LPS increased ROS generation and disrupted mitochondrial membrane potential in HK-2 cells, which is consistent with previous findings [33]. Treatment with capsaicin ameliorated ROS production and mitochondrial membrane potential disruption, and this effect could be prevented by genipin. Oxidative stress is an inducing factor of apoptosis, and the release of cytochrome c from the mitochondria is a key step in the intrinsic apoptotic pathway [51]. Our data confer that capsaicin protects against LPS-induced mitochondrial dysfunction through TRPV1/UCP2 axis, thereby attenuating cell apoptosis.
Notably, the application of genipin only partially reversed the protective effect of capsaicin against LPS-induced injury in HK2 cells, as indicated by results of cell viability assay, measurement of inflammatory cytokines and mitochondrial function, suggesting that other pathways might be involved in the protective effect of capsaicin. Indeed, TRPV6 was also implicated in the apoptotic action of capsaicin, which might be associated with JNK-mediated activation of Bax and p53 [52,53]. However, the role of TRPV6 in LPS-induced kidney injury has not been explored, which needs further studies.
5 Conclusion
Our study demonstrate that capsaicin is an effective natural product that inhibits pyroptosis and apoptosis through TRPV1/UCP2 axis. We propose the potential use of capsaicin as a novel treatment strategy for acute kidney injury.
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Funding information: This work was supported by Science and Technology Department of Hubei Province (2018CFB596).
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Author contributions: X.P.Z. designed method. W.J. and Y.H. provided resources. H.L., J.H.W., and J.R.H. carried out the experiments. J.R.H. and Y.F.X. wrote the original manuscript. J.Y. provide funding support, supervised the project, and reviewed the final manuscript. The authors applied the SDC approach for the sequence of authors.
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Conflict of interest: Authors state no conflict of interest.
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Data availability statement: The datasets generated during and/or analyzed during this study are available from the corresponding author on a reasonable request.
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Articles in the same Issue
- Biomedical Sciences
- Systemic investigation of inetetamab in combination with small molecules to treat HER2-overexpressing breast and gastric cancers
- Immunosuppressive treatment for idiopathic membranous nephropathy: An updated network meta-analysis
- Identifying two pathogenic variants in a patient with pigmented paravenous retinochoroidal atrophy
- Effects of phytoestrogens combined with cold stress on sperm parameters and testicular proteomics in rats
- A case of pulmonary embolism with bad warfarin anticoagulant effects caused by E. coli infection
- Neutrophilia with subclinical Cushing’s disease: A case report and literature review
- Isoimperatorin alleviates lipopolysaccharide-induced periodontitis by downregulating ERK1/2 and NF-κB pathways
- Immunoregulation of synovial macrophages for the treatment of osteoarthritis
- Novel CPLANE1 c.8948dupT (p.P2984Tfs*7) variant in a child patient with Joubert syndrome
- Antiphospholipid antibodies and the risk of thrombosis in myeloproliferative neoplasms
- Immunological responses of septic rats to combination therapy with thymosin α1 and vitamin C
- High glucose and high lipid induced mitochondrial dysfunction in JEG-3 cells through oxidative stress
- Pharmacological inhibition of the ubiquitin-specific protease 8 effectively suppresses glioblastoma cell growth
- Levocarnitine regulates the growth of angiotensin II-induced myocardial fibrosis cells via TIMP-1
- Age-related changes in peripheral T-cell subpopulations in elderly individuals: An observational study
- Single-cell transcription analysis reveals the tumor origin and heterogeneity of human bilateral renal clear cell carcinoma
- Identification of iron metabolism-related genes as diagnostic signatures in sepsis by blood transcriptomic analysis
- Long noncoding RNA ACART knockdown decreases 3T3-L1 preadipocyte proliferation and differentiation
- Surgery, adjuvant immunotherapy plus chemotherapy and radiotherapy for primary malignant melanoma of the parotid gland (PGMM): A case report
- Dosimetry comparison with helical tomotherapy, volumetric modulated arc therapy, and intensity-modulated radiotherapy for grade II gliomas: A single‑institution case series
- Soy isoflavone reduces LPS-induced acute lung injury via increasing aquaporin 1 and aquaporin 5 in rats
- Refractory hypokalemia with sexual dysplasia and infertility caused by 17α-hydroxylase deficiency and triple X syndrome: A case report
- Meta-analysis of cancer risk among end stage renal disease undergoing maintenance dialysis
- 6-Phosphogluconate dehydrogenase inhibition arrests growth and induces apoptosis in gastric cancer via AMPK activation and oxidative stress
- Experimental study on the optimization of ANM33 release in foam cells
- Primary retroperitoneal angiosarcoma: A case report
- Metabolomic analysis-identified 2-hydroxybutyric acid might be a key metabolite of severe preeclampsia
- Malignant pleural effusion diagnosis and therapy
- Effect of spaceflight on the phenotype and proteome of Escherichia coli
- Comparison of immunotherapy combined with stereotactic radiotherapy and targeted therapy for patients with brain metastases: A systemic review and meta-analysis
- Activation of hypermethylated P2RY1 mitigates gastric cancer by promoting apoptosis and inhibiting proliferation
- Association between the VEGFR-2 -604T/C polymorphism (rs2071559) and type 2 diabetic retinopathy
- The role of IL-31 and IL-34 in the diagnosis and treatment of chronic periodontitis
- Triple-negative mouse breast cancer initiating cells show high expression of beta1 integrin and increased malignant features
- mNGS facilitates the accurate diagnosis and antibiotic treatment of suspicious critical CNS infection in real practice: A retrospective study
- The apatinib and pemetrexed combination has antitumor and antiangiogenic effects against NSCLC
- Radiotherapy for primary thyroid adenoid cystic carcinoma
- Design and functional preliminary investigation of recombinant antigen EgG1Y162–EgG1Y162 against Echinococcus granulosus
- Effects of losartan in patients with NAFLD: A meta-analysis of randomized controlled trial
- Bibliometric analysis of METTL3: Current perspectives, highlights, and trending topics
- Performance comparison of three scaling algorithms in NMR-based metabolomics analysis
- PI3K/AKT/mTOR pathway and its related molecules participate in PROK1 silence-induced anti-tumor effects on pancreatic cancer
- The altered expression of cytoskeletal and synaptic remodeling proteins during epilepsy
- Effects of pegylated recombinant human granulocyte colony-stimulating factor on lymphocytes and white blood cells of patients with malignant tumor
- Prostatitis as initial manifestation of Chlamydia psittaci pneumonia diagnosed by metagenome next-generation sequencing: A case report
- NUDT21 relieves sevoflurane-induced neurological damage in rats by down-regulating LIMK2
- Association of interleukin-10 rs1800896, rs1800872, and interleukin-6 rs1800795 polymorphisms with squamous cell carcinoma risk: A meta-analysis
- Exosomal HBV-DNA for diagnosis and treatment monitoring of chronic hepatitis B
- Shear stress leads to the dysfunction of endothelial cells through the Cav-1-mediated KLF2/eNOS/ERK signaling pathway under physiological conditions
- Interaction between the PI3K/AKT pathway and mitochondrial autophagy in macrophages and the leukocyte count in rats with LPS-induced pulmonary infection
- Meta-analysis of the rs231775 locus polymorphism in the CTLA-4 gene and the susceptibility to Graves’ disease in children
- Cloning, subcellular localization and expression of phosphate transporter gene HvPT6 of hulless barley
- Coptisine mitigates diabetic nephropathy via repressing the NRLP3 inflammasome
- Significant elevated CXCL14 and decreased IL-39 levels in patients with tuberculosis
- Whole-exome sequencing applications in prenatal diagnosis of fetal bowel dilatation
- Gemella morbillorum infective endocarditis: A case report and literature review
- An unusual ectopic thymoma clonal evolution analysis: A case report
- Severe cumulative skin toxicity during toripalimab combined with vemurafenib following toripalimab alone
- Detection of V. vulnificus septic shock with ARDS using mNGS
- Novel rare genetic variants of familial and sporadic pulmonary atresia identified by whole-exome sequencing
- The influence and mechanistic action of sperm DNA fragmentation index on the outcomes of assisted reproduction technology
- Novel compound heterozygous mutations in TELO2 in an infant with You-Hoover-Fong syndrome: A case report and literature review
- ctDNA as a prognostic biomarker in resectable CLM: Systematic review and meta-analysis
- Diagnosis of primary amoebic meningoencephalitis by metagenomic next-generation sequencing: A case report
- Phylogenetic analysis of promoter regions of human Dolichol kinase (DOLK) and orthologous genes using bioinformatics tools
- Collagen changes in rabbit conjunctiva after conjunctival crosslinking
- Effects of NM23 transfection of human gastric carcinoma cells in mice
- Oral nifedipine and phytosterol, intravenous nicardipine, and oral nifedipine only: Three-arm, retrospective, cohort study for management of severe preeclampsia
- Case report of hepatic retiform hemangioendothelioma: A rare tumor treated with ultrasound-guided microwave ablation
- Curcumin induces apoptosis in human hepatocellular carcinoma cells by decreasing the expression of STAT3/VEGF/HIF-1α signaling
- Rare presentation of double-clonal Waldenström macroglobulinemia with pulmonary embolism: A case report
- Giant duplication of the transverse colon in an adult: A case report and literature review
- Ectopic thyroid tissue in the breast: A case report
- SDR16C5 promotes proliferation and migration and inhibits apoptosis in pancreatic cancer
- Vaginal metastasis from breast cancer: A case report
- Screening of the best time window for MSC transplantation to treat acute myocardial infarction with SDF-1α antibody-loaded targeted ultrasonic microbubbles: An in vivo study in miniswine
- Inhibition of TAZ impairs the migration ability of melanoma cells
- Molecular complexity analysis of the diagnosis of Gitelman syndrome in China
- Effects of maternal calcium and protein intake on the development and bone metabolism of offspring mice
- Identification of winter wheat pests and diseases based on improved convolutional neural network
- Ultra-multiplex PCR technique to guide treatment of Aspergillus-infected aortic valve prostheses
- Virtual high-throughput screening: Potential inhibitors targeting aminopeptidase N (CD13) and PIKfyve for SARS-CoV-2
- Immune checkpoint inhibitors in cancer patients with COVID-19
- Utility of methylene blue mixed with autologous blood in preoperative localization of pulmonary nodules and masses
- Integrated analysis of the microbiome and transcriptome in stomach adenocarcinoma
- Berberine suppressed sarcopenia insulin resistance through SIRT1-mediated mitophagy
- DUSP2 inhibits the progression of lupus nephritis in mice by regulating the STAT3 pathway
- Lung abscess by Fusobacterium nucleatum and Streptococcus spp. co-infection by mNGS: A case series
- Genetic alterations of KRAS and TP53 in intrahepatic cholangiocarcinoma associated with poor prognosis
- Granulomatous polyangiitis involving the fourth ventricle: Report of a rare case and a literature review
- Studying infant mortality: A demographic analysis based on data mining models
- Metaplastic breast carcinoma with osseous differentiation: A report of a rare case and literature review
- Protein Z modulates the metastasis of lung adenocarcinoma cells
- Inhibition of pyroptosis and apoptosis by capsaicin protects against LPS-induced acute kidney injury through TRPV1/UCP2 axis in vitro
- TAK-242, a toll-like receptor 4 antagonist, against brain injury by alleviates autophagy and inflammation in rats
- Primary mediastinum Ewing’s sarcoma with pleural effusion: A case report and literature review
- Association of ADRB2 gene polymorphisms and intestinal microbiota in Chinese Han adolescents
- Tanshinone IIA alleviates chondrocyte apoptosis and extracellular matrix degeneration by inhibiting ferroptosis
- Study on the cytokines related to SARS-Cov-2 in testicular cells and the interaction network between cells based on scRNA-seq data
- Effect of periostin on bone metabolic and autophagy factors during tooth eruption in mice
- HP1 induces ferroptosis of renal tubular epithelial cells through NRF2 pathway in diabetic nephropathy
- Intravaginal estrogen management in postmenopausal patients with vaginal squamous intraepithelial lesions along with CO2 laser ablation: A retrospective study
- Hepatocellular carcinoma cell differentiation trajectory predicts immunotherapy, potential therapeutic drugs, and prognosis of patients
- Effects of physical exercise on biomarkers of oxidative stress in healthy subjects: A meta-analysis of randomized controlled trials
- Identification of lysosome-related genes in connection with prognosis and immune cell infiltration for drug candidates in head and neck cancer
- Development of an instrument-free and low-cost ELISA dot-blot test to detect antibodies against SARS-CoV-2
- Research progress on gas signal molecular therapy for Parkinson’s disease
- Adiponectin inhibits TGF-β1-induced skin fibroblast proliferation and phenotype transformation via the p38 MAPK signaling pathway
- The G protein-coupled receptor-related gene signatures for predicting prognosis and immunotherapy response in bladder urothelial carcinoma
- α-Fetoprotein contributes to the malignant biological properties of AFP-producing gastric cancer
- CXCL12/CXCR4/CXCR7 axis in placenta tissues of patients with placenta previa
- Association between thyroid stimulating hormone levels and papillary thyroid cancer risk: A meta-analysis
- Significance of sTREM-1 and sST2 combined diagnosis for sepsis detection and prognosis prediction
- Diagnostic value of serum neuroactive substances in the acute exacerbation of chronic obstructive pulmonary disease complicated with depression
- Research progress of AMP-activated protein kinase and cardiac aging
- TRIM29 knockdown prevented the colon cancer progression through decreasing the ubiquitination levels of KRT5
- Cross-talk between gut microbiota and liver steatosis: Complications and therapeutic target
- Metastasis from small cell lung cancer to ovary: A case report
- The early diagnosis and pathogenic mechanisms of sepsis-related acute kidney injury
- The effect of NK cell therapy on sepsis secondary to lung cancer: A case report
- Erianin alleviates collagen-induced arthritis in mice by inhibiting Th17 cell differentiation
- Loss of ACOX1 in clear cell renal cell carcinoma and its correlation with clinical features
- Signalling pathways in the osteogenic differentiation of periodontal ligament stem cells
- Crosstalk between lactic acid and immune regulation and its value in the diagnosis and treatment of liver failure
- Clinicopathological features and differential diagnosis of gastric pleomorphic giant cell carcinoma
- Traumatic brain injury and rTMS-ERPs: Case report and literature review
- Extracellular fibrin promotes non-small cell lung cancer progression through integrin β1/PTEN/AKT signaling
- Knockdown of DLK4 inhibits non-small cell lung cancer tumor growth by downregulating CKS2
- The co-expression pattern of VEGFR-2 with indicators related to proliferation, apoptosis, and differentiation of anagen hair follicles
- Inflammation-related signaling pathways in tendinopathy
- CD4+ T cell count in HIV/TB co-infection and co-occurrence with HL: Case report and literature review
- Clinical analysis of severe Chlamydia psittaci pneumonia: Case series study
- Bioinformatics analysis to identify potential biomarkers for the pulmonary artery hypertension associated with the basement membrane
- Influence of MTHFR polymorphism, alone or in combination with smoking and alcohol consumption, on cancer susceptibility
- Catharanthus roseus (L.) G. Don counteracts the ampicillin resistance in multiple antibiotic-resistant Staphylococcus aureus by downregulation of PBP2a synthesis
- Combination of a bronchogenic cyst in the thoracic spinal canal with chronic myelocytic leukemia
- Bacterial lipoprotein plays an important role in the macrophage autophagy and apoptosis induced by Salmonella typhimurium and Staphylococcus aureus
- TCL1A+ B cells predict prognosis in triple-negative breast cancer through integrative analysis of single-cell and bulk transcriptomic data
- Ezrin promotes esophageal squamous cell carcinoma progression via the Hippo signaling pathway
- Ferroptosis: A potential target of macrophages in plaque vulnerability
- Predicting pediatric Crohn's disease based on six mRNA-constructed risk signature using comprehensive bioinformatic approaches
- Applications of genetic code expansion and photosensitive UAAs in studying membrane proteins
- HK2 contributes to the proliferation, migration, and invasion of diffuse large B-cell lymphoma cells by enhancing the ERK1/2 signaling pathway
- IL-17 in osteoarthritis: A narrative review
- Circadian cycle and neuroinflammation
- Probiotic management and inflammatory factors as a novel treatment in cirrhosis: A systematic review and meta-analysis
- Hemorrhagic meningioma with pulmonary metastasis: Case report and literature review
- SPOP regulates the expression profiles and alternative splicing events in human hepatocytes
- Knockdown of SETD5 inhibited glycolysis and tumor growth in gastric cancer cells by down-regulating Akt signaling pathway
- PTX3 promotes IVIG resistance-induced endothelial injury in Kawasaki disease by regulating the NF-κB pathway
- Pancreatic ectopic thyroid tissue: A case report and analysis of literature
- The prognostic impact of body mass index on female breast cancer patients in underdeveloped regions of northern China differs by menopause status and tumor molecular subtype
- Report on a case of liver-originating malignant melanoma of unknown primary
- Case report: Herbal treatment of neutropenic enterocolitis after chemotherapy for breast cancer
- The fibroblast growth factor–Klotho axis at molecular level
- Characterization of amiodarone action on currents in hERG-T618 gain-of-function mutations
- A case report of diagnosis and dynamic monitoring of Listeria monocytogenes meningitis with NGS
- Effect of autologous platelet-rich plasma on new bone formation and viability of a Marburg bone graft
- Small breast epithelial mucin as a useful prognostic marker for breast cancer patients
- Continuous non-adherent culture promotes transdifferentiation of human adipose-derived stem cells into retinal lineage
- Nrf3 alleviates oxidative stress and promotes the survival of colon cancer cells by activating AKT/BCL-2 signal pathway
- Favorable response to surufatinib in a patient with necrolytic migratory erythema: A case report
- Case report of atypical undernutrition of hypoproteinemia type
- Down-regulation of COL1A1 inhibits tumor-associated fibroblast activation and mediates matrix remodeling in the tumor microenvironment of breast cancer
- Sarcoma protein kinase inhibition alleviates liver fibrosis by promoting hepatic stellate cells ferroptosis
- Research progress of serum eosinophil in chronic obstructive pulmonary disease and asthma
- Clinicopathological characteristics of co-existing or mixed colorectal cancer and neuroendocrine tumor: Report of five cases
- Role of menopausal hormone therapy in the prevention of postmenopausal osteoporosis
- Precisional detection of lymph node metastasis using tFCM in colorectal cancer
- Advances in diagnosis and treatment of perimenopausal syndrome
- A study of forensic genetics: ITO index distribution and kinship judgment between two individuals
- Acute lupus pneumonitis resembling miliary tuberculosis: A case-based review
- Plasma levels of CD36 and glutathione as biomarkers for ruptured intracranial aneurysm
- Fractalkine modulates pulmonary angiogenesis and tube formation by modulating CX3CR1 and growth factors in PVECs
- Novel risk prediction models for deep vein thrombosis after thoracotomy and thoracoscopic lung cancer resections, involving coagulation and immune function
- Exploring the diagnostic markers of essential tremor: A study based on machine learning algorithms
- Evaluation of effects of small-incision approach treatment on proximal tibia fracture by deep learning algorithm-based magnetic resonance imaging
- An online diagnosis method for cancer lesions based on intelligent imaging analysis
- Medical imaging in rheumatoid arthritis: A review on deep learning approach
- Predictive analytics in smart healthcare for child mortality prediction using a machine learning approach
- Utility of neutrophil–lymphocyte ratio and platelet–lymphocyte ratio in predicting acute-on-chronic liver failure survival
- A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia
- TNF-α and IL-8 levels are positively correlated with hypobaric hypoxic pulmonary hypertension and pulmonary vascular remodeling in rats
- Stochastic gradient descent optimisation for convolutional neural network for medical image segmentation
- Comparison of the prognostic value of four different critical illness scores in patients with sepsis-induced coagulopathy
- Application and teaching of computer molecular simulation embedded technology and artificial intelligence in drug research and development
- Hepatobiliary surgery based on intelligent image segmentation technology
- Value of brain injury-related indicators based on neural network in the diagnosis of neonatal hypoxic-ischemic encephalopathy
- Analysis of early diagnosis methods for asymmetric dementia in brain MR images based on genetic medical technology
- Early diagnosis for the onset of peri-implantitis based on artificial neural network
- Clinical significance of the detection of serum IgG4 and IgG4/IgG ratio in patients with thyroid-associated ophthalmopathy
- Forecast of pain degree of lumbar disc herniation based on back propagation neural network
- SPA-UNet: A liver tumor segmentation network based on fused multi-scale features
- Systematic evaluation of clinical efficacy of CYP1B1 gene polymorphism in EGFR mutant non-small cell lung cancer observed by medical image
- Rehabilitation effect of intelligent rehabilitation training system on hemiplegic limb spasms after stroke
- A novel approach for minimising anti-aliasing effects in EEG data acquisition
- ErbB4 promotes M2 activation of macrophages in idiopathic pulmonary fibrosis
- Clinical role of CYP1B1 gene polymorphism in prediction of postoperative chemotherapy efficacy in NSCLC based on individualized health model
- Lung nodule segmentation via semi-residual multi-resolution neural networks
- Evaluation of brain nerve function in ICU patients with Delirium by deep learning algorithm-based resting state MRI
- A data mining technique for detecting malignant mesothelioma cancer using multiple regression analysis
- Markov model combined with MR diffusion tensor imaging for predicting the onset of Alzheimer’s disease
- Effectiveness of the treatment of depression associated with cancer and neuroimaging changes in depression-related brain regions in patients treated with the mediator-deuterium acupuncture method
- Molecular mechanism of colorectal cancer and screening of molecular markers based on bioinformatics analysis
- Monitoring and evaluation of anesthesia depth status data based on neuroscience
- Exploring the conformational dynamics and thermodynamics of EGFR S768I and G719X + S768I mutations in non-small cell lung cancer: An in silico approaches
- Optimised feature selection-driven convolutional neural network using gray level co-occurrence matrix for detection of cervical cancer
- Incidence of different pressure patterns of spinal cerebellar ataxia and analysis of imaging and genetic diagnosis
- Pathogenic bacteria and treatment resistance in older cardiovascular disease patients with lung infection and risk prediction model
- Adoption value of support vector machine algorithm-based computed tomography imaging in the diagnosis of secondary pulmonary fungal infections in patients with malignant hematological disorders
- From slides to insights: Harnessing deep learning for prognostic survival prediction in human colorectal cancer histology
- Ecology and Environmental Science
- Monitoring of hourly carbon dioxide concentration under different land use types in arid ecosystem
- Comparing the differences of prokaryotic microbial community between pit walls and bottom from Chinese liquor revealed by 16S rRNA gene sequencing
- Effects of cadmium stress on fruits germination and growth of two herbage species
- Bamboo charcoal affects soil properties and bacterial community in tea plantations
- Optimization of biogas potential using kinetic models, response surface methodology, and instrumental evidence for biodegradation of tannery fleshings during anaerobic digestion
- Understory vegetation diversity patterns of Platycladus orientalis and Pinus elliottii communities in Central and Southern China
- Studies on macrofungi diversity and discovery of new species of Abortiporus from Baotianman World Biosphere Reserve
- Food Science
- Effect of berrycactus fruit (Myrtillocactus geometrizans) on glutamate, glutamine, and GABA levels in the frontal cortex of rats fed with a high-fat diet
- Guesstimate of thymoquinone diversity in Nigella sativa L. genotypes and elite varieties collected from Indian states using HPTLC technique
- Analysis of bacterial community structure of Fuzhuan tea with different processing techniques
- Untargeted metabolomics reveals sour jujube kernel benefiting the nutritional value and flavor of Morchella esculenta
- Mycobiota in Slovak wine grapes: A case study from the small Carpathians wine region
- Elemental analysis of Fadogia ancylantha leaves used as a nutraceutical in Mashonaland West Province, Zimbabwe
- Microbiological transglutaminase: Biotechnological application in the food industry
- Influence of solvent-free extraction of fish oil from catfish (Clarias magur) heads using a Taguchi orthogonal array design: A qualitative and quantitative approach
- Chromatographic analysis of the chemical composition and anticancer activities of Curcuma longa extract cultivated in Palestine
- The potential for the use of leghemoglobin and plant ferritin as sources of iron
- Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM
- Bioengineering and Biotechnology
- Biocompatibility and osteointegration capability of β-TCP manufactured by stereolithography 3D printing: In vitro study
- Clinical characteristics and the prognosis of diabetic foot in Tibet: A single center, retrospective study
- Agriculture
- Biofertilizer and NPSB fertilizer application effects on nodulation and productivity of common bean (Phaseolus vulgaris L.) at Sodo Zuria, Southern Ethiopia
- On correlation between canopy vegetation and growth indexes of maize varieties with different nitrogen efficiencies
- Exopolysaccharides from Pseudomonas tolaasii inhibit the growth of Pleurotus ostreatus mycelia
- A transcriptomic evaluation of the mechanism of programmed cell death of the replaceable bud in Chinese chestnut
- Melatonin enhances salt tolerance in sorghum by modulating photosynthetic performance, osmoregulation, antioxidant defense, and ion homeostasis
- Effects of plant density on alfalfa (Medicago sativa L.) seed yield in western Heilongjiang areas
- Identification of rice leaf diseases and deficiency disorders using a novel DeepBatch technique
- Artificial intelligence and internet of things oriented sustainable precision farming: Towards modern agriculture
- Animal Sciences
- Effect of ketogenic diet on exercise tolerance and transcriptome of gastrocnemius in mice
- Combined analysis of mRNA–miRNA from testis tissue in Tibetan sheep with different FecB genotypes
- Isolation, identification, and drug resistance of a partially isolated bacterium from the gill of Siniperca chuatsi
- Tracking behavioral changes of confined sows from the first mating to the third parity
- The sequencing of the key genes and end products in the TLR4 signaling pathway from the kidney of Rana dybowskii exposed to Aeromonas hydrophila
- Development of a new candidate vaccine against piglet diarrhea caused by Escherichia coli
- Plant Sciences
- Crown and diameter structure of pure Pinus massoniana Lamb. forest in Hunan province, China
- Genetic evaluation and germplasm identification analysis on ITS2, trnL-F, and psbA-trnH of alfalfa varieties germplasm resources
- Tissue culture and rapid propagation technology for Gentiana rhodantha
- Effects of cadmium on the synthesis of active ingredients in Salvia miltiorrhiza
- Cloning and expression analysis of VrNAC13 gene in mung bean
- Chlorate-induced molecular floral transition revealed by transcriptomes
- Effects of warming and drought on growth and development of soybean in Hailun region
- Effects of different light conditions on transient expression and biomass in Nicotiana benthamiana leaves
- Comparative analysis of the rhizosphere microbiome and medicinally active ingredients of Atractylodes lancea from different geographical origins
- Distinguish Dianthus species or varieties based on chloroplast genomes
- Comparative transcriptomes reveal molecular mechanisms of apple blossoms of different tolerance genotypes to chilling injury
- Study on fresh processing key technology and quality influence of Cut Ophiopogonis Radix based on multi-index evaluation
- An advanced approach for fig leaf disease detection and classification: Leveraging image processing and enhanced support vector machine methodology
- Erratum
- Erratum to “Protein Z modulates the metastasis of lung adenocarcinoma cells”
- Erratum to “BRCA1 subcellular localization regulated by PI3K signaling pathway in triple-negative breast cancer MDA-MB-231 cells and hormone-sensitive T47D cells”
- Retraction
- Retraction to “Protocatechuic acid attenuates cerebral aneurysm formation and progression by inhibiting TNF-alpha/Nrf-2/NF-kB-mediated inflammatory mechanisms in experimental rats”