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  1. Article ; Online: HSPA5, as a ferroptosis regulator, may serve as a potential therapeutic for head and neck squamous cell carcinoma.

    Li, Jia / Xiao, Wenke / Wei, Wei / Wu, Miaomiao / Xiong, Kaixin / Lyu, Jinglu / Li, Yan

    Molecular immunology

    2023  Volume 158, Page(s) 79–90

    Abstract: Background: Head and neck squamous cell carcinoma (HNSCC) is a ferroptosis sensitive tumor type with high mortality rate. However, it remains largely unknown whether ferroptosis influences the tumor cell in HNSCC.: Materials and methods: To ... ...

    Abstract Background: Head and neck squamous cell carcinoma (HNSCC) is a ferroptosis sensitive tumor type with high mortality rate. However, it remains largely unknown whether ferroptosis influences the tumor cell in HNSCC.
    Materials and methods: To investigate how ferroptosis regulators were differentially expressed between normal and tumor tissue, data related to HNSCC was downloaded from The Cancer Genome Atlas. The expression levels of key factors in HNSCC and the relationship between key factors and ferroptosis in HNSCC were conducted in vitro, and then analyzed to correlate with the differences in prognosis and survival. This was then combined with TNM staging data, and the migration effects of key factors in HNSCC were verified by scratch test and transwell test.
    Results: In this study, gene expression analysis and correlation studies between genes showed that HSPA5 was a potentially key associated ferroptosis regulator in HNSCC. Bioinformatics analysis showed that high expression of HSPA5 in HNSCC was positively correlated with poor prognosis and distal metastasis of HNSCC. In vitro immunohistochemistry and western blot tests confirmed that HSPA5 was highly expressed in HNSCC tissues and cell lines. In vitro inhibition of HSPA5 reduced the viability of HNSCC cells and increased ferroptosis. The results of scratch, transwell, and immunofluorescence tests showed that HSPA5 was related to the migration of HNSCC. In addition, a pan-cancer analysis showed that HSPA5 was also overexpressed in many types of cancer with poor prognoses.
    Conclusion: In total, our study demonstrates the critical role of ferroptosis regulators in HNSCC and that HSPA5, as a ferroptosis regulator, can be regarded as a key molecular target for designing new therapeutic regimens to control HNSCC metastasis and progression.
    MeSH term(s) Humans ; Cell Line, Tumor ; Ferroptosis ; Gene Expression Regulation, Neoplastic ; Head and Neck Neoplasms/genetics ; Squamous Cell Carcinoma of Head and Neck/genetics
    Chemical Substances HSPA5 protein, human
    Language English
    Publishing date 2023-05-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 424427-8
    ISSN 1872-9142 ; 0161-5890
    ISSN (online) 1872-9142
    ISSN 0161-5890
    DOI 10.1016/j.molimm.2023.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: HSPA5, as a ferroptosis regulator, may serve as a potential therapeutic for head and neck squamous cell carcinoma

    Li, Jia / Xiao, Wenke / Wei, Wei / Huang, Joyce M. / Xiong, Kaixin / Lyu, Jinglu / Li, Yan

    Molecular Immunology. 2023 June, v. 158 p.79-90

    2023  

    Abstract: Head and neck squamous cell carcinoma (HNSCC) is a ferroptosis sensitive tumor type with high mortality rate. However, it remains largely unknown whether ferroptosis influences the tumor cell in HNSCC. Materials and Methods: To investigate how ... ...

    Abstract Head and neck squamous cell carcinoma (HNSCC) is a ferroptosis sensitive tumor type with high mortality rate. However, it remains largely unknown whether ferroptosis influences the tumor cell in HNSCC. Materials and Methods: To investigate how ferroptosis regulators were differentially expressed between normal and tumor tissue, data related to HNSCC was downloaded from The Cancer Genome Atlas. The expression levels of key factors in HNSCC and the relationship between key factors and ferroptosis in HNSCC were conducted in vitro, and then analyzed to correlate with the differences in prognosis and survival. This was then combined with TNM staging data, and the migration effects of key factors in HNSCC were verified by scratch test and transwell test. Results: In this study, gene expression analysis and correlation studies between genes showed that HSPA5 was a potentially key associated ferroptosis regulator in HNSCC. Bioinformatics analysis showed that high expression of HSPA5 in HNSCC was positively correlated with poor prognosis and distal metastasis of HNSCC. In vitro immunohistochemistry and western blot tests confirmed that HSPA5 was highly expressed in HNSCC tissues and cell lines. In vitro inhibition of HSPA5 reduced the viability of HNSCC cells and increased ferroptosis. The results of scratch, transwell, and immunofluorescence tests showed that HSPA5 was related to the migration of HNSCC. In addition, a pan-cancer analysis showed that HSPA5 was also overexpressed in many types of cancer with poor prognoses. Conclusion: In total, our study demonstrates the critical role of ferroptosis regulators in HNSCC and that HSPA5, as a ferroptosis regulator, can be regarded as a key molecular target for designing new therapeutic regimens to control HNSCC metastasis and progression.
    Keywords Western blotting ; bioinformatics ; ferroptosis ; fluorescent antibody technique ; gene expression ; genome ; head and neck squamous cell carcinoma ; immunohistochemistry ; metastasis ; mortality ; neoplasm cells ; prognosis ; therapeutics ; viability ; Head and neck squamous cell carcinoma (HNSCC) ; Ferroptosis regulator ; HSPA5 ; Proliferation
    Language English
    Dates of publication 2023-06
    Size p. 79-90.
    Publishing place Elsevier Ltd
    Document type Article ; Online
    ZDB-ID 424427-8
    ISSN 1872-9142 ; 0161-5890
    ISSN (online) 1872-9142
    ISSN 0161-5890
    DOI 10.1016/j.molimm.2023.05.001
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: SD-Net: joint surgical gesture recognition and skill assessment.

    Zhang, Jinglu / Nie, Yinyu / Lyu, Yao / Yang, Xiaosong / Chang, Jian / Zhang, Jian Jun

    International journal of computer assisted radiology and surgery

    2021  Volume 16, Issue 10, Page(s) 1675–1682

    Abstract: Purpose: Surgical gesture recognition has been an essential task for providing intraoperative context-aware assistance and scheduling clinical resources. However, previous methods present limitations in catching long-range temporal information, and many ...

    Abstract Purpose: Surgical gesture recognition has been an essential task for providing intraoperative context-aware assistance and scheduling clinical resources. However, previous methods present limitations in catching long-range temporal information, and many of them require additional sensors. To address these challenges, we propose a symmetric dilated network, namely SD-Net, to jointly recognize surgical gestures and assess surgical skill levels only using RGB surgical video sequences.
    Methods: We utilize symmetric 1D temporal dilated convolution layers to hierarchically capture gesture clues under different receptive fields such that features in different time span can be aggregated. In addition, a self-attention network is bridged in the middle to calculate the global frame-to-frame relativity.
    Results: We evaluate our method on a robotic suturing task from the JIGSAWS dataset. The gesture recognition task largely outperforms the state of the arts on the frame-wise accuracy up to [Formula: see text] 6 points and the F1@50 score [Formula: see text] 8 points. We also keep the 100% predicted accuracy for the skill assessment task using LOSO validation scheme.
    Conclusion: The results indicate that our architecture is able to obtain representative surgical video features by extensively considering the spatial, temporal and relational context from raw video input. Furthermore, the better performance in multi-task learning implies that surgical skill assessment has a complementary effects to gesture recognition task.
    MeSH term(s) Gestures ; Humans ; Robotics ; Sutures
    Language English
    Publishing date 2021-10-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2365628-1
    ISSN 1861-6429 ; 1861-6410
    ISSN (online) 1861-6429
    ISSN 1861-6410
    DOI 10.1007/s11548-021-02495-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Beware of pharyngeal Fusobacterium nucleatum in COVID-19.

    Bao, Lirong / Zhang, Cheng / Lyu, Jinglu / Yan, Caixia / Cao, Ranran / Pan, Ming / Li, Yan

    BMC microbiology

    2021  Volume 21, Issue 1, Page(s) 277

    Abstract: Background: Fusobacterium nucleatum (F. n) is an important opportunistic pathogen causing oral and gastrointestinal disease. Faecalibacterium prausnitzii (F. p) is a next-generation probiotic and could serve as a biomarker of gut eubiosis/dysbiosis to ... ...

    Abstract Background: Fusobacterium nucleatum (F. n) is an important opportunistic pathogen causing oral and gastrointestinal disease. Faecalibacterium prausnitzii (F. p) is a next-generation probiotic and could serve as a biomarker of gut eubiosis/dysbiosis to some extent. Alterations in the human oral and gut microbiomes are associated with viral respiratory infection. The aim of this study was to characterise the oral and fecal bacterial biomarker (i.e., F. n and F. p) in COVID-19 patients by qPCR and investigate the pharyngeal microbiome of COVID-19 patients through metagenomic next-generation sequencing (mNGS).
    Results: Pharyngeal F. n was significantly increased in COVID-19 patients, and it was higher in male than female patients. Increased abundance of pharyngeal F. n was associated with a higher risk of a positive SARS-CoV-2 test (adjusted OR = 1.32, 95% CI = 1.06 ~ 1.65, P < 0.05). A classifier to distinguish COVID-19 patients from the healthy controls based on the pharyngeal F. n was constructed and achieved an area under the curve (AUC) of 0.843 (95% CI = 0.688 ~ 0.940, P < 0.001). However, the level of fecal F. n and fecal F. p remained unaltered between groups. Besides, mNGS showed that the pharyngeal swabs of COVID-19 patients were dominated by opportunistic pathogens.
    Conclusions: Pharyngeal but not fecal F. n was significantly increased in COVID-19 patients, clinicians should pay careful attention to potential coinfection. Pharyngeal F. n may serve as a promising candidate indicator for COVID-19.
    MeSH term(s) Adult ; Biomarkers/analysis ; COVID-19/microbiology ; COVID-19/virology ; Carrier State/microbiology ; Coinfection/microbiology ; Coinfection/virology ; Dysbiosis ; Feces/microbiology ; Female ; Fusobacterium Infections/microbiology ; Fusobacterium Infections/virology ; Fusobacterium nucleatum/genetics ; High-Throughput Nucleotide Sequencing ; Humans ; Male ; Metagenomics ; Microbiota ; Middle Aged ; Pharynx/microbiology ; Pharynx/virology ; Sex Factors
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-10-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041505-9
    ISSN 1471-2180 ; 1471-2180
    ISSN (online) 1471-2180
    ISSN 1471-2180
    DOI 10.1186/s12866-021-02336-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Oral Microbiota from Periodontitis Promote Oral Squamous Cell Carcinoma Development via γδ T Cell Activation.

    Wei, Wei / Li, Jia / Shen, Xin / Lyu, Jinglu / Yan, Caixia / Tang, Boyu / Ma, Wenjuan / Xie, Huixu / Zhao, Lei / Cheng, Lei / Deng, Ye / Li, Yan

    mSystems

    2022  Volume 7, Issue 5, Page(s) e0046922

    Abstract: Oral squamous cell carcinoma (OSCC) is a fatal disease, and periodontitis is associated with OSCC development. However, the pathogenesis in the context of OSCC with periodontitis has not been fully understood. Here, we demonstrated that periodontitis ... ...

    Abstract Oral squamous cell carcinoma (OSCC) is a fatal disease, and periodontitis is associated with OSCC development. However, the pathogenesis in the context of OSCC with periodontitis has not been fully understood. Here, we demonstrated that periodontitis promoted OSCC development, accompanied by alterations in the oral bacterial community and the tumor immune microenvironment. The oral microbiota from periodontitis maintained the dominant position throughout the whole process of OSCC with periodontitis, of which
    Language English
    Publishing date 2022-08-24
    Publishing country United States
    Document type Journal Article
    ISSN 2379-5077
    ISSN 2379-5077
    DOI 10.1128/msystems.00469-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reflection on lower rates of COVID-19 in children: Does childhood immunizations offer unexpected protection?

    Lyu, Jinglu / Miao, Tianyu / Dong, Jiajia / Cao, Ranran / Li, Yan / Chen, Qianming

    Medical hypotheses

    2020  Volume 143, Page(s) 109842

    Abstract: The incidence of COVID-19 in children and teenagers is only about 2% in China. Children had mild symptoms and hardly infected other children or adults. It is worth considering that children are the most vulnerable to respiratory pathogens, but fatal SARS- ...

    Abstract The incidence of COVID-19 in children and teenagers is only about 2% in China. Children had mild symptoms and hardly infected other children or adults. It is worth considering that children are the most vulnerable to respiratory pathogens, but fatal SARS-like virus had not caused severe cases among them. According to the pathological studies of COVID-19 and SARS, a sharp decrease in T lymphocytes leads to the breakdown of the immune system. The cellular immune system of children differs from that of adults may be the keystone of atypical clinical manifestations or even covert infection. The frequent childhood vaccinations and repeated pathogens infections might be resulting in trained immunity of innate immune cells, immune fitness of adaptive immune cells or cross-protection of antibodies in the children. Therefore, due to lack of specific vaccine, some vaccines for tuberculosis, influenza and pneumonia may have certain application potential for the front-line health workers in the prevention and control of COVID-19. However, for high-risk susceptible populations, such as the elderly with basic diseases such as hypertension and diabetes, it is necessary to explore the remedial effect of the planned immune process on their immunity to achieve the trained immunity or immune fitness, so as to improve their own antiviral ability.
    MeSH term(s) Adolescent ; Antibodies, Viral/immunology ; Betacoronavirus ; COVID-19 ; Child ; Child, Preschool ; China/epidemiology ; Coinfection ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Humans ; Immunization Programs ; Infant ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; T-Lymphocytes/cytology ; Vaccination
    Chemical Substances Antibodies, Viral
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.109842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Reflection on lower rates of COVID-19 in children

    Lyu, Jinglu / Miao, Tianyu / Dong, Jiajia / Cao, Ranran / Li, Yan / Chen, Qianming

    Medical Hypotheses

    Does childhood immunizations offer unexpected protection?

    2020  Volume 143, Page(s) 109842

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.109842
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Egg yolk immunoglobulin (IgY) targeting SARS‐CoV‐2 S1 as potential virus entry blocker

    Bao, Lirong / Zhang, Cheng / Lyu, Jinglu / Yi, Ping / Shen, Xin / Tang, Boyu / Zhao, Hang / Ren, Biao / Kuang, Yu / Zhou, Linlin / Li, Yan

    Journal of applied microbiology. 2022 Mar., v. 132, no. 3

    2022  

    Abstract: AIMS: COVID‐19 pandemic caused by SARS‐CoV‐2 has become a public health crisis worldwide. In this study, we aimed at demonstrating the neutralizing potential of the IgY produced after immunizing chicken with a recombinant SARS‐CoV‐2 spike protein S1 ... ...

    Abstract AIMS: COVID‐19 pandemic caused by SARS‐CoV‐2 has become a public health crisis worldwide. In this study, we aimed at demonstrating the neutralizing potential of the IgY produced after immunizing chicken with a recombinant SARS‐CoV‐2 spike protein S1 subunit. METHODS AND RESULTS: E. coli BL21 carrying plasmid pET28a‐S1 was induced with IPTG for the expression of SARS‐CoV‐2 S1 protein. The recombinant His‐tagged S1 was purified and verified by SDS‐PAGE, Western blot and biolayer interferometry (BLI) assay. Then S1 protein emulsified with Freund's adjuvant was used to immunize layer chickens. Specific IgY against S1 (S1‐IgY) produced from egg yolks of these chickens exhibited a high titer (1:25,600) and a strong binding affinity to S1 (KD = 318 nmol L⁻¹). The neutralizing ability of S1‐IgY was quantified by a SARS‐CoV‐2 pseudotyped virus‐based neutralization assay with an IC₅₀ value of 0.99 mg ml⁻¹. In addition, S1‐IgY exhibited a strong ability in blocking the binding of SARS‐CoV‐2 S1 to hACE2, and it could partially compete with hACE2 for the binding sites on S1 by BLI assays. CONCLUSIONS: We demonstrated here that after immunization of chickens with our recombinant S1 protein, IgY neutralizing antibodies were generated against the SARS‐CoV‐2 spike protein S1 subunit; therefore, showing the potential use of IgY to block the entry of this virus. SIGNIFICANCE AND IMPACT OF THE STUDY: IgY targeting S1 subunit of SARS‐CoV‐2 could be a promising candidate for pre‐ and post‐exposure prophylaxis or treatment of COVID‐19. Administration of IgY‐based oral preparation, oral or nasal spray may have profound implications for blocking SARS‐CoV‐2.
    Keywords COVID-19 infection ; Escherichia coli ; Severe acute respiratory syndrome coronavirus 2 ; Western blotting ; disease prevention ; egg yolk ; eggs ; immunization ; interferometry ; neutralization tests ; nose ; plasmids ; polyacrylamide gel electrophoresis ; public health ; vaccine adjuvants ; viruses
    Language English
    Dates of publication 2022-03
    Size p. 2421-2430.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 1358023-1
    ISSN 1365-2672 ; 1364-5072
    ISSN (online) 1365-2672
    ISSN 1364-5072
    DOI 10.1111/jam.15340
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Egg yolk immunoglobulin (IgY) targeting SARS-CoV-2 S1 as potential virus entry blocker.

    Bao, Lirong / Zhang, Cheng / Lyu, Jinglu / Yi, Ping / Shen, Xin / Tang, Boyu / Zhao, Hang / Ren, Biao / Kuang, Yu / Zhou, Linlin / Li, Yan

    Journal of applied microbiology

    2021  Volume 132, Issue 3, Page(s) 2421–2430

    Abstract: Aims: COVID-19 pandemic caused by SARS-CoV-2 has become a public health crisis worldwide. In this study, we aimed at demonstrating the neutralizing potential of the IgY produced after immunizing chicken with a recombinant SARS-CoV-2 spike protein S1 ... ...

    Abstract Aims: COVID-19 pandemic caused by SARS-CoV-2 has become a public health crisis worldwide. In this study, we aimed at demonstrating the neutralizing potential of the IgY produced after immunizing chicken with a recombinant SARS-CoV-2 spike protein S1 subunit.
    Methods and results: E. coli BL21 carrying plasmid pET28a-S1 was induced with IPTG for the expression of SARS-CoV-2 S1 protein. The recombinant His-tagged S1 was purified and verified by SDS-PAGE, Western blot and biolayer interferometry (BLI) assay. Then S1 protein emulsified with Freund's adjuvant was used to immunize layer chickens. Specific IgY against S1 (S1-IgY) produced from egg yolks of these chickens exhibited a high titer (1:25,600) and a strong binding affinity to S1 (K
    Conclusions: We demonstrated here that after immunization of chickens with our recombinant S1 protein, IgY neutralizing antibodies were generated against the SARS-CoV-2 spike protein S1 subunit; therefore, showing the potential use of IgY to block the entry of this virus.
    Significance and impact of the study: IgY targeting S1 subunit of SARS-CoV-2 could be a promising candidate for pre- and post-exposure prophylaxis or treatment of COVID-19. Administration of IgY-based oral preparation, oral or nasal spray may have profound implications for blocking SARS-CoV-2.
    MeSH term(s) Animals ; Antibodies, Neutralizing/pharmacology ; COVID-19 ; Chickens ; Egg Yolk/immunology ; Humans ; Immunoglobulins/pharmacology ; Pandemics ; SARS-CoV-2/drug effects ; Spike Glycoprotein, Coronavirus/antagonists & inhibitors ; Virus Internalization/drug effects
    Chemical Substances Antibodies, Neutralizing ; IgY ; Immunoglobulins ; Spike Glycoprotein, Coronavirus ; spike protein, SARS-CoV-2
    Language English
    Publishing date 2021-11-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1358023-1
    ISSN 1365-2672 ; 1364-5072
    ISSN (online) 1365-2672
    ISSN 1364-5072
    DOI 10.1111/jam.15340
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  10. Article ; Online: The preparation of N-IgY targeting SARS-CoV-2 and its immunomodulation to IFN-γ production in vitro.

    Lyu, Jinglu / Bao, Lirong / Shen, Xin / Yan, Caixia / Zhang, Cheng / Wei, Wei / Yang, Yutao / Li, Jia / Dong, Jiajia / Xiao, Liying / Zhou, Xuedong / Li, Yan

    International immunopharmacology

    2021  Volume 96, Page(s) 107797

    Abstract: Specific antibodies against SARS-CoV-2 structural protein have a wide range of effects in the diagnose, prevention and treatment of the COVID-19 epidemic. Among them, egg yolk immunoglobulin Y (IgY), which has high safety, high yield, and without ... ...

    Abstract Specific antibodies against SARS-CoV-2 structural protein have a wide range of effects in the diagnose, prevention and treatment of the COVID-19 epidemic. Among them, egg yolk immunoglobulin Y (IgY), which has high safety, high yield, and without inducing antibody-dependent enhancement, is an important biological candidate. In this study, specific IgY against the conservative nucleocapsid protein (NP) of SARS-CoV-2 was obtained by immunizing hens. Through a series of optimized precipitation and ultrafiltration extraction schemes, its purity was increased to 98%. The hyperimmune IgY against NP (N-IgY) at a titer of 1:50,000 showed strong NP binding ability, which laid the foundation of N-IgY's application targeting NP. In an in vitro immunoregulatory study, N-IgY (1 mg/mL) modulated NP-induced immune response by alleviating type II interferon secretion stimulated by NP (20 μg/mL). In summary, N-IgY can be mass produced by achievable method, which endows it with potential value against the current COVID-19 pandemic.
    MeSH term(s) Animals ; Antibodies/immunology ; Antibodies/pharmacology ; Antiviral Agents/immunology ; Antiviral Agents/pharmacology ; COVID-19/immunology ; COVID-19/therapy ; Chickens ; Drug Development ; Egg Yolk/chemistry ; Egg Yolk/metabolism ; Humans ; Immunity ; Immunoglobulins/immunology ; Immunoglobulins/pharmacology ; Immunologic Factors/immunology ; Immunologic Factors/pharmacology ; Immunomodulation ; In Vitro Techniques ; Interferon-gamma/metabolism ; Nucleocapsid Proteins/immunology ; Nucleocapsid Proteins/metabolism ; SARS-CoV-2/immunology ; SARS-CoV-2/metabolism
    Chemical Substances Antibodies ; Antiviral Agents ; IgY ; Immunoglobulins ; Immunologic Factors ; Nucleocapsid Proteins ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2021-05-19
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2043785-7
    ISSN 1878-1705 ; 1567-5769
    ISSN (online) 1878-1705
    ISSN 1567-5769
    DOI 10.1016/j.intimp.2021.107797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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