天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

HSPA12B對內(nèi)毒素刺激的小鼠肺微血管內(nèi)皮細(xì)胞的作用及其機(jī)制

發(fā)布時(shí)間:2018-02-04 20:48

  本文關(guān)鍵詞: 熱休克蛋白A12B 小鼠肺微血管內(nèi)皮細(xì)胞 CLP模型 內(nèi)毒素 急性肺損傷 HSPA12B mPMVEC 敲除 綠色熒光蛋白 熱休克蛋白A12B 肺微血管內(nèi)皮細(xì)胞 內(nèi)毒素 HSPA12B LPS損傷 磷酸化p38 p38MAPK信號(hào)通路 出處:《第二軍醫(yī)大學(xué)》2013年碩士論文 論文類型:學(xué)位論文


【摘要】:研究背景及總體思路 膿毒癥時(shí),肺臟是最易受損傷的重要臟器之一,急性肺損傷(ALI)出現(xiàn)早,發(fā)生率高,一直是膿毒癥研究的熱點(diǎn)之一。內(nèi)毒素(lipopolysaccharide,LPS)導(dǎo)致的肺微血管內(nèi)皮細(xì)胞(pulmonary micro-vascular endothelial cells,PMVECs)損傷,可引起肺血屏障功能障礙。膿毒癥時(shí),內(nèi)毒素導(dǎo)致的急性肺損傷,其發(fā)生發(fā)展中關(guān)鍵細(xì)胞之一是肺微血管內(nèi)皮細(xì)胞。因此,保護(hù)膿毒癥損傷的PMVECs具有重要的臨床價(jià)值。 在膿毒癥相關(guān)性急性肺損傷研究中,不少學(xué)者重視細(xì)胞內(nèi)源性保護(hù)機(jī)制,關(guān)注熱點(diǎn)之一就是熱休克蛋白(Heat shock proteins,HSPs)。HSPs是細(xì)胞在應(yīng)激狀態(tài)下產(chǎn)生增多的一類保護(hù)性蛋白質(zhì)。而其中熱休克蛋白A12B(Heat shock proteinA12B,HSPA12B)是新近發(fā)現(xiàn)的一種熱休克蛋白,是HSP70家族中的遠(yuǎn)親,大量存在于動(dòng)脈粥樣硬化斑塊中,與血管生成保護(hù)相關(guān)。研究表明,HSPA12B在斑馬魚生長過程中和離體細(xì)胞血管形成中占有重要的作用。但膿毒癥時(shí)內(nèi)毒素對肺組織的PMVECs中HSPA12B表達(dá)變化產(chǎn)生何種影響?HSPA12B表達(dá)變化對PMVECs具有何種作用?其產(chǎn)生作用的可能機(jī)制怎樣?尚有待進(jìn)一步研究。 本研究通過在體的盲腸結(jié)扎穿孔(CLP)小鼠模型和LPS刺激小鼠肺微血管內(nèi)皮細(xì)胞的離體實(shí)驗(yàn),檢測膿毒癥時(shí)HSPA12B在各時(shí)間點(diǎn)的表達(dá)水平;用小干擾RNAs(siRNAs)下調(diào)mPMVECs中HSPA12B的表達(dá)后,觀察mPMVECs遷移和凋亡的變化,以及檢測LPS刺激mPMVECs產(chǎn)生的炎癥因子,研究HSPA12B對LPS處理的PMVECs的作用,并探討其與MAPK信號(hào)通路中p38的關(guān)系。 第一部分膿毒癥時(shí)內(nèi)毒素對鼠肺組織中HSPA12B表達(dá)的影響 目的 探討HSPA12B在盲腸結(jié)扎穿孔(CLP)小鼠模型的肺組織中和LPS刺激的mPMVECs中的表達(dá)及其規(guī)律。 方法 1.構(gòu)建鼠CLP模型,分別在0h、3h、6h、9h、12h、18h、24h斷頭取肺。應(yīng)用RT-PCR法檢測肺組織中HSPA12B mRNA的水平,探討膿毒癥時(shí)肺組織中HSPA12B表達(dá)變化。 2.培養(yǎng)mPMVECs,倒置顯微鏡下觀察各時(shí)間點(diǎn)內(nèi)皮細(xì)胞形態(tài),用終濃度為1μg/ml的LPS刺激mPMVECs,分別于0h、3h、6h、9h、12h、18h、24h收集細(xì)胞, 應(yīng)用RT-PCR法檢測HSPA12B mRNA的水平,探討LPS刺激的mPMVECs中HSPA12B表達(dá)變化。 結(jié)果 1. CLP模型3h、6h、9h、12h肺組織中HSPA12B表達(dá)逐步升高,,12h達(dá)峰值,后又逐漸下降。 2. LPS刺激mPMVECs,HSPA12B表達(dá)也呈現(xiàn)逐步升高,后又下降。 結(jié)論 膿毒癥時(shí)內(nèi)毒素對鼠肺組織和mPMVECs中HSPA12B表達(dá)具有一定影響,HSPA12B表達(dá)先升高后下降。 第二部分用siRNA干擾法下調(diào)原代mPMVECs上HSPA12B的表達(dá) 目的 用siRNA干擾法下調(diào)原代mPMVECs上HSPA12B的表達(dá)并驗(yàn)證之。 方法 分別將siRNA和空白對照的siRNA通過脂質(zhì)體Lippo2000TM轉(zhuǎn)入mPMVECs內(nèi),實(shí)驗(yàn)分為兩部分:1.通過轉(zhuǎn)入帶熒光的siRNA觀察細(xì)胞的轉(zhuǎn)染效率;2.用RT-PCR及Western Blot法檢測HSPA12B的表達(dá)水平,驗(yàn)證siRNA的干擾效果。 結(jié)果 1.通過熒光顯微鏡觀察到mPMVECs均有綠色熒光蛋白表達(dá),說明siRNA轉(zhuǎn)入到細(xì)胞內(nèi)。 2. RT-PCR和Western Blot檢測到mPMVECs中HSPA12B表達(dá)下調(diào)。 結(jié)論 成功構(gòu)建HSPA12B表達(dá)下調(diào)的mPMVECs。 第三部分HSPA12B表達(dá)下調(diào)后LPS對mPMVECs的遷移功能、炎癥反應(yīng)以及凋亡的影響 目的 探討HSPA12B對LPS刺激的mPMVECs遷移功能、炎癥反應(yīng)和凋亡情況的影響。 方法 根據(jù)以下情況將mPMVECs分為四組:①空白組、②LPS刺激組、③LPS+HSPA12B siRNA組、④LPS+空白siRNA組,分別置于37oC5%CO2潮濕孵箱內(nèi)培養(yǎng),用LPS與細(xì)胞共培養(yǎng)24h,取出細(xì)胞后用RT-PCR檢測IL-6、IL-1β、IL-10和TNF-α mRNA表達(dá)情況,使用劃痕實(shí)驗(yàn)和transwell小室檢測細(xì)胞遷移情況,用流式細(xì)胞儀檢測細(xì)胞凋亡情況,用透射電子顯微鏡觀察細(xì)胞超微結(jié)構(gòu)變化。 結(jié)果 RT-PCR檢測結(jié)果表明:mPMVECs經(jīng)LPS刺激24h后,與平行對照組(LPS+空白siRNA組)相比,HSPA12B表達(dá)下調(diào)組IL-6和TNF-α mRNA表達(dá)水平顯著上升,而IL-10則表達(dá)下降,且均有統(tǒng)計(jì)學(xué)意義(P 0.05)。遷移實(shí)驗(yàn)表明:與平行對照組對比,HSPA12B表達(dá)下調(diào)組的mPMVECs的遷移功能明顯減弱;凋亡實(shí)驗(yàn)表明:與平行對照組相比,HSPA12B表達(dá)下調(diào)組LPS刺激后mPMVECs凋亡明顯增多;透射電子顯微鏡結(jié)果顯示:與平行對照組相比,HSPA12B表達(dá)下調(diào)組細(xì)胞超微結(jié)構(gòu)破壞加重。 結(jié)論 LPS刺激的HSPA12B表達(dá)下調(diào)的mPMVECs遷移功能減弱、炎癥反應(yīng)增強(qiáng)、凋亡明顯。說明HSPA12B可能對內(nèi)毒素刺激的小鼠肺微血管內(nèi)皮細(xì)胞具有一定的保護(hù)作用。 第四部分HSPA12B對LPS誘導(dǎo)的mPMVECs中MAPK信號(hào)通路中p38的作用 目的 研究HSPA12B對LPS誘導(dǎo)的mPMVECs中MAPK信號(hào)通路中p38的作用,初步探討HSPA12B保護(hù)鼠肺微血管內(nèi)皮細(xì)胞的可能機(jī)制。 方法 實(shí)驗(yàn)先分兩組:轉(zhuǎn)染空白siRNA組和轉(zhuǎn)染HSPA12B siRNA組,觀察LPS刺激24小時(shí)后,內(nèi)皮細(xì)胞上磷酸化p38(p-p38)、總p38(total p38)和β-actin蛋白表達(dá)水平;用Western blot法檢測p38表達(dá)變化情況。再將實(shí)驗(yàn)分成4組①LPS組、②LPS+siRNA組、③LPS+siRNA+p38MAPK抑制劑(SB203580)組和④LPS+siRNA+等劑量SB203580溶劑DMSO組,觀察mPMVECs遷移功能、凋亡和炎癥因子表達(dá)情況。最后LPS刺激mPMVECs24h后,用免疫熒光雙標(biāo)和免疫共沉淀方法觀察HSPA12B和p38MAPK蛋白間的相互作用。 結(jié)果 Western blot分析法檢測各組p-p38、total p38和β-actin,發(fā)現(xiàn)HSPA12B干擾組p-p38顯著增強(qiáng),p-p38和total p38灰度值之比明顯增大,且有統(tǒng)計(jì)學(xué)意義(P 0.05)。SB203580可明顯逆轉(zhuǎn)HSPA12B表達(dá)下調(diào)所致的mPMVECs遷移功能抑制、凋亡增加和炎癥因子基因表達(dá)改變。免疫熒光雙標(biāo)和免疫共沉淀實(shí)驗(yàn)證實(shí)HSPA12B與p38MAPK信號(hào)通路中p38蛋白相互作用。 結(jié)論 HSPA12B表達(dá)下調(diào)的mPMVECs中p38磷酸化顯著增強(qiáng),而LPS刺激的HSPA12B表達(dá)下調(diào)的mPMVECs遷移功能減弱、炎癥反應(yīng)增強(qiáng)、凋亡明顯,且SB203580可逆轉(zhuǎn)這些變化,免疫熒光雙標(biāo)和免疫共沉淀實(shí)驗(yàn)進(jìn)一步說明HSPA12B可能通過降低p38磷酸化水平來抑制LPS對內(nèi)皮細(xì)胞的損傷,從而對LPS誘導(dǎo)的內(nèi)皮細(xì)胞發(fā)揮保護(hù)作用。
[Abstract]:Research background and general idea
Sepsis, lung is one of the important organ most vulnerable to injury, acute lung injury (ALI) had high incidence of sepsis has been one of the hot research. Endotoxin (lipopolysaccharide, LPS) in pulmonary microvascular endothelial cells (pulmonary micro-vascular endothelial cells, PMVECs) can cause damage. Pulmonary blood barrier dysfunction. Sepsis, acute lung injury induced by LPS, one of the key cells in the development of the pulmonary microvascular endothelial cells. Therefore, the protection of septic injury PMVECs has important clinical value.
In the study of sepsis associated acute lung injury, many scholars pay attention to the endogenous protection mechanism is one of the hot heat shock protein (Heat shock proteins, HSPs.HSPs) is a kind of cell protective protein increased under stress. The heat shock protein A12B (Heat shock proteinA12B, HSPA12B) is a heat shock protein discovered recently, is a distant relative of the family HSP70, exist in the atherosclerotic plaque, and angiogenesis related protection. The results show that HSPA12B in zebrafish during growth and formation of somatic cells from blood vessels play an important role. But in sepsis, endotoxin impact of HSPA12B on the expression of lung tissue the expression of HSPA12B in the PMVECs? What is the effect on PMVECs? How could the mechanism of action remains to be further studied.?
This study through the perforations in the body of the cecal ligation (CLP) model and LPS mice stimulated mouse pulmonary microvascular endothelial cells in vitro, detection of sepsis HSPA12B expression level in each time point; using small interfering RNAs (siRNAs) expression of mPMVECs in HSPA12B, to observe the changes of migration and apoptosis of mPMVECs LPS, and the detection of mPMVECs stimulate the production of inflammatory factors, the effect of HSPA12B on LPS PMVECs, and to explore the relationship between MAPK and p38 signaling pathway.
The effect of endotoxin on the expression of HSPA12B in rat lung tissue in the first part of sepsis
objective
To investigate the expression and regularity of HSPA12B in the lung tissue of the cecum ligation perforation (CLP) mouse model and in the mPMVECs stimulated by LPS.
Method
1., we constructed rat CLP model, and took the lung at 0h, 3h, 6h, 9h, 12h, 18h and 24h respectively. The HSPA12B mRNA level in lung tissue was detected by RT-PCR method, and the expression of lung tissue in sepsis was also discussed.
2. mPMVECs was cultured. The morphology of endothelial cells at different time points was observed under inverted microscope. MPMVECs was stimulated by LPS with a final concentration of 1 g/ml, and cells were collected at 0h, 3h, 6h, 9h, 12h, 18h, and 24h, respectively.
The level of HSPA12B mRNA was detected by RT-PCR, and the changes of HSPA12B expression in mPMVECs stimulated by LPS were investigated.
Result
The expression of HSPA12B in the 1. CLP model 3h, 6h, 9h, 12h increased gradually, and the 12h reached its peak, and then decreased gradually.
2. LPS stimulated mPMVECs, and the expression of HSPA12B also increased gradually, and then decreased.
conclusion
In sepsis, endotoxin had a certain effect on the expression of HSPA12B in rat lung tissue and mPMVECs, and the expression of HSPA12B first increased and then decreased.
The second part uses siRNA interference to reduce the expression of HSPA12B on the original mPMVECs
objective
SiRNA interference method is used to reduce the expression of HSPA12B on the original mPMVECs and verify it.
Method
SiRNA siRNA and blank control respectively into mPMVECs by liposome Lippo2000TM, the experiment was divided into two parts: 1. by fluorescent siRNA to observe cell transfection efficiency; the expression level of 2. RT-PCR and Western Blot method for the detection of HSPA12B interference to verify the effect of siRNA.
Result
1. the expression of green fluorescent protein in mPMVECs was observed by fluorescence microscopy, indicating that siRNA was transferred into the cell.
2. RT-PCR and Western Blot detected the downregulation of HSPA12B expression in mPMVECs.
conclusion
Successful construction of a downregulated mPMVECs. in HSPA12B expression
The effect of LPS on the migration of mPMVECs, inflammatory reaction and apoptosis after the down regulation of HSPA12B expression in the third part
objective
To investigate the effect of HSPA12B on the function of mPMVECs migration, inflammatory response and apoptosis induced by LPS.
Method
According to the following mPMVECs were divided into four groups: blank group, LPS stimulation group, LPS+HSPA12B siRNA group, the LPS+ group were placed in the blank siRNA, 37oC5%CO2 wet incubator culture, 24h co cultured with LPS cells and remove cells detected by RT-PCR, IL-6, IL-1, IL-10 and TNF- alpha beta, mRNA expression use, scratch test and Transwell assay cell migration, cell apoptosis was detected by flow cytometry, cell ultrastructure changes were observed by transmission electron microscopy.
Result
The results of RT-PCR showed that mPMVECs stimulated by LPS 24h, and the parallel control group (LPS+ control group siRNA) compared to the expression of HSPA12B was significantly increased by group IL-6 and TNF- alpha mRNA expression, whereas IL-10 expression decreased, with statistical significance (P 0.05). The experimental results show that the migration and parallel control group, migration the function of HSPA12B expression of mPMVECs group obviously decreased; apoptosis compared with the parallel control group, HSPA12B expression group after LPS stimulation significantly increased mPMVECs apoptosis; transmission electron microscopy results showed that: compared with the parallel control group, HSPA12B expression group cell ultrastructure damage increase.
conclusion
LPS stimulated HSPA12B expression downregulated mPMVECs migration function weakened, inflammatory reaction increased, apoptotic obviously, indicating that HSPA12B may have a protective effect on endotoxin stimulated mouse lung microvascular endothelial cells.
The effect of fourth part HSPA12B on p38 in MAPK signaling pathway induced by LPS in mPMVECs
objective
The effect of HSPA12B on p38 in the MAPK signaling pathway induced by LPS in mPMVECs was studied, and the possible mechanism of HSPA12B protection of rat lung microvascular endothelial cells was preliminarily discussed.
Method
The first experiment was divided into two groups: blank group and siRNA transfection into HSPA12B siRNA group, LPS was observed after 24 h of stimulation, endothelial cells on the phosphorylation of p38 (p-p38), total p38 (total p38) and -actin protein expression level; using Western blot method to detect the expression of p38. The experiments were divided into 4 groups: LPS group, LPS+siRNA group, LPS+siRNA+p38MAPK inhibitor (SB203580) group and the LPS+siRNA+ dose of SB203580 solvent group DMSO, observe the mPMVECs migration function, apoptosis and expression of inflammatory factors. Finally, LPS after mPMVECs24h stimulation, the interaction between HSPA12B and p38MAPK protein were observed by immunofluorescence co precipitation and immunity.
Result
Western blot analysis method to detect the p-p38, total p38 and beta -actin, found the HSPA12B interference group p-p38 increased, p-p38 and total p38 significantly increased the ratio of the gray value, and there was statistical significance (P 0.05).SB203580 can significantly reverse the expression of HSPA12B mPMVECs induced down-regulation can inhibit the migration function, apoptosis and inflammatory cytokines gene expression changes. Immunofluorescence and immunoprecipitation experiments confirmed that p38 protein HSPA12B and p38MAPK signaling pathway in the interaction.
conclusion
The expression of HSPA12B p38 phosphorylation and down-regulation of mPMVECs in significantly enhanced LPS stimulated HSPA12B expression of mPMVECs reduced the migration function decreased, increased inflammation, apoptosis, and SB203580 could reverse these changes, experiments indicate that HSPA12B could decrease the phosphorylation level of p38 to the inhibition of LPS on endothelial cell injury by immunofluorescence and immunoprecipitation precipitation exerts a protective effect on LPS induced endothelial cells.

【學(xué)位授予單位】:第二軍醫(yī)大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:R459.7

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 哈木拉提·吾甫爾;艾比拜·玉素甫;鐘良軍;;西帕依固齦液對內(nèi)毒素誘導(dǎo)人牙齦成纖維細(xì)胞分泌IL-6的抑制作用[J];中藥藥理與臨床;2006年05期

2 李磊,王興鵬;內(nèi)毒素耐受的研究進(jìn)展[J];國外醫(yī)學(xué).生理.病理科學(xué)與臨床分冊;2004年03期

3 沈愛國;劉海鷗;陳夢玲;高永靜;程純;;內(nèi)毒素致傷小鼠肺組織SSeCKS表達(dá)變化的研究[J];中華微生物學(xué)和免疫學(xué)雜志;2006年03期

4 李會(huì)英;趙滿琳;陳惠珍;張英懷;;中藥黃芩苷對脂多糖刺激人牙周膜成纖維細(xì)胞分泌腫瘤壞死因子-α的影響[J];現(xiàn)代口腔醫(yī)學(xué)雜志;2006年05期

5 程亞穎;趙秀勉;田溢卿;井麗娟;尹建英;;小兒全身炎癥反應(yīng)綜合征血LPS、TNF-α、IL-10水平和IL-10/TNF-α比值的變化及其臨床意義[J];河北醫(yī)藥;2009年02期

6 肖麗;魯猛厚;;重組人生長激素對內(nèi)毒素誘導(dǎo)的巨噬細(xì)胞凋亡和NF-κB的影響[J];中國現(xiàn)代醫(yī)學(xué)雜志;2009年24期

7 靖學(xué)芳;LPS和抗LPS治療的研究及應(yīng)用進(jìn)展[J];微生物學(xué)免疫學(xué)進(jìn)展;2004年02期

8 梁泉;薛承銳;;Toll樣受體4的研究進(jìn)展[J];天津醫(yī)科大學(xué)學(xué)報(bào);2006年01期

9 胡會(huì)芹;苗成;秦得營;;神經(jīng)生長因子對大鼠腦損傷神經(jīng)細(xì)胞凋亡的影響[J];醫(yī)藥論壇雜志;2008年02期

10 任曉娟;王桂琴;顏光濤;王曉輝;林季;鄧子輝;;瘦素對LPS誘導(dǎo)的小鼠胸腺細(xì)胞凋亡的保護(hù)作用[J];中國免疫學(xué)雜志;2008年03期

相關(guān)會(huì)議論文 前10條

1 劉書娟;朱曉燕;劉宇健;倪鑫;;糖皮質(zhì)激素抑制內(nèi)毒素誘導(dǎo)的內(nèi)源性硫化氫合成酶胱硫醚-γ-裂解酶表達(dá)的作用[A];中國生理學(xué)會(huì)2007年消化內(nèi)分泌生殖學(xué)術(shù)研討會(huì)論文摘要匯編[C];2007年

2 何文喜;Cooper PR;Anthony J.Smith;;LPS對牙本質(zhì)涎磷蛋白基因表達(dá)調(diào)控的研究[A];全國第三次牙體牙髓病學(xué)臨床技術(shù)研討會(huì)論文匯編[C];2009年

3 何文喜;余擎;吳張萍;張菁;Anthony J.Smith;;LPS對成牙本質(zhì)細(xì)胞內(nèi)DCN基因表達(dá)的影響[A];全國第八次牙體牙髓病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2011年

4 韓晶巖;;內(nèi)毒素引起的微循環(huán)障礙及中醫(yī)藥的改善作用[A];中國中西醫(yī)結(jié)合學(xué)會(huì)微循環(huán)2009學(xué)術(shù)大會(huì)會(huì)議指南及論文摘要[C];2009年

5 靳艷巧;程賢u&;;高沸醇木質(zhì)素衍生物對內(nèi)毒素的吸附性能研究[A];2006年全國功能材料學(xué)術(shù)年會(huì)專輯[C];2006年

6 蔣三員;李景新;唐榮德;張健民;;蛇傷藥酒抗毒抗菌作用的實(shí)驗(yàn)研究[A];2008年廣東省中醫(yī)熱病、急癥、中西醫(yī)結(jié)合急救、危重病、災(zāi)害醫(yī)學(xué)學(xué)術(shù)會(huì)議學(xué)術(shù)論文集[C];2008年

7 王飛;夏照帆;陳旭林;賈一韜;;血管緊張素Ⅱ受體1拮抗劑ZD7155對內(nèi)毒素誘導(dǎo)急性肺損傷小鼠肺臟炎癥因子的影響[A];第八屆全國燒傷外科學(xué)年會(huì)論文匯編[C];2007年

8 王金春;孫鋒;宋利春;聞霞;;內(nèi)毒素預(yù)處理對急性局灶腦缺血大鼠的腦功能保護(hù)作用研究[A];第十一屆全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2008年

9 劉海鷹;王坤;王德昌;馮永強(qiáng);趙煥童;張林清;;燒傷感染創(chuàng)面細(xì)菌及內(nèi)毒素的淋巴入侵途徑和對局部淋巴免疫功能的影響[A];第六屆全國燒傷救治專題研討會(huì)論文匯編[C];2009年

10 孟憲麗;楊娜;熊玉霞;;瀉心湯有效組分不同配比對內(nèi)毒素致小鼠死亡率的影響[A];中華中醫(yī)藥學(xué)會(huì)中藥實(shí)驗(yàn)藥理分會(huì)第六屆學(xué)術(shù)會(huì)議論文匯編[C];2006年

相關(guān)重要報(bào)紙文章 前10條

1 蔡慧麗;嚴(yán)防注射用生物制劑內(nèi)毒素污染[N];中國醫(yī)藥報(bào);2006年

2 孫鳳霞;辨治腸源性內(nèi)毒素血癥[N];健康報(bào);2006年

3 黃每裕;板藍(lán)根加冕內(nèi)毒素“清道夫”[N];健康報(bào);2007年

4 ;對付“春季病”有四招[N];吉林農(nóng)村報(bào);2006年

5 城;內(nèi)毒素活性試驗(yàn)方法獲批[N];醫(yī)藥經(jīng)濟(jì)報(bào);2003年

6 韋辰;過了春節(jié)要及時(shí)清理體內(nèi)垃圾[N];大眾科技報(bào);2006年

7 汪承柏;中西醫(yī)結(jié)合診治慢性重型肝炎[N];中國中醫(yī)藥報(bào);2003年

8 陳志元;不吃藥,照樣清除“體內(nèi)垃圾”[N];民族醫(yī)藥報(bào);2007年

9 健康時(shí)報(bào)特約記者 yび板

本文編號(hào):1491103


資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/jjyx/1491103.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶d38f2***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請E-mail郵箱bigeng88@qq.com
护士又紧又深又湿又爽的视频| 五月综合婷婷在线伊人| 国产一区二区三区精品免费| 精品久久av一二三区| 99国产高清不卡视频| 久久精品偷拍视频观看| 东京热男人的天堂久久综合| 污污黄黄的成年亚洲毛片| 成年女人午夜在线视频| 久久精品久久精品中文字幕| 国产成人精品国产亚洲欧洲| 男人的天堂的视频东京热| 国产亚洲欧美日韩精品一区| 国产性色精品福利在线观看| 沐浴偷拍一区二区视频| 日韩欧美91在线视频| 国产黄色高清内射熟女视频| 久久机热频这里只精品| 中国一区二区三区人妻| 亚洲国产综合久久天堂| 激情五月激情婷婷丁香| 亚洲中文字幕乱码亚洲| 黄片免费在线观看日韩| 亚洲欧美日本成人在线| 日本加勒比在线观看一区| 中文文精品字幕一区二区| 久久热在线视频免费观看| 一级欧美一级欧美在线播| 欧美一区二区三区性视频| 麻豆最新出品国产精品| 国产精品人妻熟女毛片av久| 国产女高清在线看免费观看| 国产视频福利一区二区| 加勒比日本欧美在线观看| 韩国激情野战视频在线播放| 国产av天堂一区二区三区粉嫩| 国产精品尹人香蕉综合网 | 狠狠干狠狠操亚洲综合| 国产日韩欧美国产欧美日韩 | 国产精品一区二区高潮| 久久亚洲国产视频三级黄|