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Li S, Ma M, Hu L, Lao J, Luo X, Pan J, Lu D, Wang M, Lin W, Fan Y, Wang F, Chen YH, Wang P, Wu F, Wei X, Xu J, Liu Y, Zheng L. Association between fish consumption and sleep disorders among Chinese adults: a cross-sectional study. Ann Med 2025; 57:2491663. [PMID: 40254933 DOI: 10.1080/07853890.2025.2491663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 03/25/2025] [Accepted: 03/29/2025] [Indexed: 04/22/2025] Open
Abstract
PURPOSE This study aimed to investigate the potential influence of fish consumption on sleep disorders and their specific dimensions among adults in China. METHODS A cross-sectional study was conducted involving 904 participants aged 28-95 from Wenling, China. Fish intake was assessed using a Food Frequency Questionnaire containing 10 items. Sleep quality was evaluated using the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI). Participants were categorized into three groups based on weekly fish intake. Logistic regression analyses were employed to determine the association between fish intake and the prevalence of sleep disorders and their specific dimensions. RESULTS Higher marine fish intake was negatively associated with PSQI subdimensions daytime dysfunction, sleep latency and sleep quality scores compared to lower fish intake (adjusted odds ratio (OR): 0.316, 95% confidence interval (CI): 0.205-0.486; adjusted OR: 0.462, 95% CI: 0.302-0.706; and adjusted OR: 0.568, 95% CI: 0.369-0.861, respectively). Marine fish consumption appears to have a positive association with sleep quality, as well as short sleep latency and daytime functioning, among adults in China. CONCLUSIONS This study provides novel insights into the association between fish intake and sleep disorders and their specific dimensions.
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Affiliation(s)
- Siyuan Li
- Department of Clinical Pharmacy, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Mingwei Ma
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Liming Hu
- Department of Clinical Pharmacy, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
| | - Jiaying Lao
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Xingguang Luo
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Jie Pan
- Quzhou Center for Disease Control and Prevention, Quzhou Center for Public Health Service, Quzhou, China
| | - Dafeng Lu
- Quzhou Center for Disease Control and Prevention, Quzhou Center for Public Health Service, Quzhou, China
| | - Min Wang
- Quzhou Center for Disease Control and Prevention, Quzhou Center for Public Health Service, Quzhou, China
| | - Wenhui Lin
- Department of Cardiovascular Medicine, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
| | - Yuncao Fan
- Department of Cardiovascular Medicine, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
| | - Fan Wang
- Beijing Hui-Long-Guan Hospital, Peking University, Beijing, China
| | - Yu-Hsin Chen
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Penghui Wang
- Affiliated Cixi Hospital, Wenzhou Medical University, Ningbo, China
| | - Fenzan Wu
- Affiliated Cixi Hospital, Wenzhou Medical University, Ningbo, China
| | - Xiaojie Wei
- Affiliated Cixi Hospital, Wenzhou Medical University, Ningbo, China
| | - Jinzhong Xu
- Department of Clinical Pharmacy, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
| | - Yanlong Liu
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Lin Zheng
- Department of Cardiovascular Medicine, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling, China
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Su KP. Harmonizing the inner orchestra: the impact of urbanization and evolution of stress, inflammation, diet, and lifestyles in depression. Curr Opin Psychiatry 2025; 38:209-216. [PMID: 39804221 DOI: 10.1097/yco.0000000000000986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/29/2025]
Abstract
PURPOSE OF REVIEW This review explores the intersection of urbanization, stress, inflammation, diet, lifestyle changes, and digital evolution as key factors influencing depression, emphasizing the necessity for integrative and evolutionary perspectives in mental health and intervention. RECENT FINDINGS Epidemiological studies reveal a dramatic increase in common mental disorders, particularly depression, alongside parallel increases in suicide, unemployment, and divorce rates. Evolutionary perspectives suggest that mechanisms once advantageous for survival, such as stress responses and inflammatory processes, may contribute to mental health challenges in modern urban environments. Moreover, the mental health crisis among generation Z underscores the impact of digital evolution, where the shift from play-based to phone-based childhood contributes significantly to rising depression rates. Recent research highlights the significant role of omega-3 fatty acids, circadian rhythm regulation, mindfulness, and anti-inflammatory lifestyle interventions in mitigating depressive symptoms. SUMMARY The interplay between our evolutionary heritage and rapid societal changes has created a "symphony" of factors contributing to depression. Understanding these evolutionary mismatches in stress responses, inflammatory processes, dietary shifts, circadian disruptions, and digitalization provides new insights into the etiology of depression. This holistic approach, conceptualized as "harmonizing the inner orchestra," offers promising avenues for prevention and treatment strategies that address the multifaceted nature of depression in our modern world.
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Affiliation(s)
- Kuan-Pin Su
- Mind-Body Interface Research Center (MBI-Lab), China Medical University Hospital
- College of Medicine, China Medical University, Taichung
- An-Nan Hospital, China Medical University, Tainan, Taiwan
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Jackson P. Omega-3 fatty acids and sleep: recent advances in understanding effects and mechanisms. Curr Opin Clin Nutr Metab Care 2025; 28:61-65. [PMID: 39749934 DOI: 10.1097/mco.0000000000001095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2025]
Abstract
PURPOSE OF REVIEW Sleep disturbance and low dietary intake of omega-3 fatty acids are common in modern society. Previous research shows that omega-3 fatty acids play an integral role in the regulation of sleep processes, but efficacy data in adults have been equivocal to date. This review examines recent studies highlighting the effects of omega-3 fatty acids on sleep quality and circadian processes. RECENT FINDINGS Two randomized controlled trials in healthy adults found that supplementation with DHA-rich interventions improved sleep quality, though effects may vary depending on age, current sleep habits and habitual omega-3 intake. Conversely, EPA-rich interventions in menopausal women, men with prostate cancer and people experiencing episodic migraines did not improve sleep quality. Advances in lipidomics reveal a bidirectional relationship between sleep disturbance and lipid metabolism, to some extent underpinned by activity of omega-3 fatty acids in circadian processes. Therefore, adequate omega-3 fatty acid intake is both a preventive and therapeutic approach to sleep quality and health. SUMMARY Omega-3 fatty acids and DHA in particular show promise for improving sleep quality and limiting the adverse effects of sleep disturbance on health. Future research should focus on developing sex-specific and age-specific recommendations for omega-3 fatty acid intake to optimize sleep health.
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Affiliation(s)
- Philippa Jackson
- Brain, Performance and Nutrition Research Centre, Faculty of Health and Life Sciences, Northumbria University, UK
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Barion GR, Marghetti PG, Cagliari PZ, Mastroeni MF. Docosahexaenoic Acid and Sleep Quality in Very and Extreme Preterm Infants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:1362. [PMID: 39457335 PMCID: PMC11507004 DOI: 10.3390/ijerph21101362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Revised: 10/04/2024] [Accepted: 10/11/2024] [Indexed: 10/28/2024]
Abstract
The results regarding the association of plasma docosahexaenoic acid (DHA) levels with sleep duration conflict. This study aimed to investigate the effect of oral administration of DHA on the sleep quality of Brazilian extreme preterm infants. This cohort study is part of the Joinville Docosahexaenoic Acid Study (JoiDHA) conducted with 59 infants in Joinville, Brazil. Sleep quality was assessed using the Brief Infant Sleep Questionnaire, which consists of 12 questions about the quality of sleep the week prior to its application and was answered by the parents/guardians. Of the 59 children who participated in the study, 37 (62.7%) were supplemented with DHA and 22 (37.3%) did not receive DHA. The prevalence of poor sleep quality was higher among children with the weight status at birth <50th percentile (68.2%; p = 0.045) when compared to children ≥50th percentile. However, Poisson regression analysis showed that neither weight status at birth nor DHA use was associated with sleep quality, even after adjusting for the same variables. In summary, sleep quality 12-24 months after birth was not associated with DHA supplementation in very and extreme preterm infants. Additional studies that address the increase in DHA intake would be important for the understanding of the effect of this fatty acid on sleep quality.
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Affiliation(s)
- Giovanna Rando Barion
- Postgraduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, Joinville 89219-710, SC, Brazil; (G.R.B.); (P.Z.C.)
| | - Pietra Giovanna Marghetti
- Nursing Department, University of Joinville Region, Rua Paulo Malschitzki, Joinville 89219-710, SC, Brazil;
| | - Patricia Zanotelli Cagliari
- Postgraduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, Joinville 89219-710, SC, Brazil; (G.R.B.); (P.Z.C.)
- Darcy Vargas Maternity Hospital, Joinville 89202-190, SC, Brazil
- Medicine Department, University of Joinville Region, Rua Paulo Malschitzki, nº 10, Joinville 89219-710, SC, Brazil
| | - Marco Fabio Mastroeni
- Postgraduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, Joinville 89219-710, SC, Brazil; (G.R.B.); (P.Z.C.)
- Nursing Department, University of Joinville Region, Rua Paulo Malschitzki, Joinville 89219-710, SC, Brazil;
- Medicine Department, University of Joinville Region, Rua Paulo Malschitzki, nº 10, Joinville 89219-710, SC, Brazil
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Chen Y, Liu T, Hu D, Hu T, Ye C, Mu W. Histology, fatty acid composition, antioxidant and glycolipid metabolism, and transcriptome analyses of the acute cold stress response in Phoxinus lagowskii. COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY. PART D, GENOMICS & PROTEOMICS 2024; 50:101242. [PMID: 38729031 DOI: 10.1016/j.cbd.2024.101242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/30/2024] [Accepted: 05/04/2024] [Indexed: 05/12/2024]
Abstract
Water temperature is a crucial environmental factor that significantly affects the physiological and biochemical processes of fish. Due to the occurrence of cold events in aquaculture, it is imperative to investigate how fish respond to cold stress. This study aims to uncover the mechanisms responds to acute cold stress by conducting a comprehensive analysis of the histomorphology, glycolipid metabolic and antioxidant enzymes, fatty acid composition and transcriptome at three temperatures (16 °C, 10 °C and 4 °C) in Phoxinus lagowskii. Our results showed that cold stress not damaged muscle microstructure but caused autophagy (at 10 °C). In addition, serum glucose (Glu) and triglycerides (TG) increased during cold stress. The activities of reactive oxygen species (ROS), superoxide dismutase (SOD), catalase (CAT), fructose phosphokinase (PFK), hexokinase (HK), pyruvate kinase (PK), and malondialdehyde (MDA) content in muscle were measured and analyzed. During cold stress, superoxide dismutase and catalase activities increased, reactive oxygen species content decreased. No significant difference in Glutathione peroxidase (GPx) activity, malondialdehyde and total cholesterol (T-CHO) contents among groups. Phosphokinase and pyruvate kinase activities decreased, and HK activity increased during cold stress. Our study resulted in the identification of a total of 25,400 genes, with 2524 genes showing differential expression across different temperature treatments. Furthermore, KEGG pathway indicated that some pathways upregulated during light cold stress (at 10 °C, including autophagy, and AMP-activated protein kinase (AMPK) signaling pathway. Additionally, circadian rhythm is among the most enriched pathways in genes up-regulated during severe cold stress (at 4 °C). Our findings offer valuable insights into how cold-water fish respond to cold stress.
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Affiliation(s)
- Yingqiao Chen
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Tianmei Liu
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Deer Hu
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Tingting Hu
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Cunrun Ye
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Weijie Mu
- Key Laboratory of Biodiversity of Aquatic Organisms, College of Life Science and Technology, Harbin Normal University, Harbin 150025, China.
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Hawley AL, Baum JI. Nutrition as the foundation for successful aging: a focus on dietary protein and omega-3 polyunsaturated fatty acids. Nutr Rev 2024; 82:389-406. [PMID: 37319363 DOI: 10.1093/nutrit/nuad061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023] Open
Abstract
Skeletal muscle plays a critical role throughout the aging process. People living with sarcopenia, a progressive and generalized loss of skeletal muscle mass and function, often experience diminished quality of life, which can be attributed to a long period of decline and disability. Therefore, it is important to identify modifiable factors that preserve skeletal muscle and promote successful aging (SA). In this review, SA was defined as (1) low cardiometabolic risk, (2) preservation of physical function, and (3) positive state of wellbeing, with nutrition as an integral component. Several studies identify nutrition, specifically high-quality protein (eg, containing all essential amino acids), and long-chain omega-3 polyunsaturated fatty acids (n-3 PUFAs), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA), as positive regulators of SA. Recently, an additive anabolic effect of protein and n-3 PUFAs has been identified in skeletal muscle of older adults. Evidence further suggests that the additive effect of protein and n-3 PUFAs may project beyond skeletal muscle anabolism and promote SA. The key mechanism(s) behind the enhanced effects of intake of protein and n-3 PUFAs needs to be defined. The first objective of this review is to evaluate skeletal muscle as a driver of cardiometabolic health, physical function, and wellbeing to promote SA. The second objective is to examine observational and interventional evidence of protein and n-3 PUFAs on skeletal muscle to promote SA. The final objective is to propose mechanisms by which combined optimal intake of high-quality protein and n-3 PUFAs likely play a key role in SA. Current evidence suggests that increased intake of protein above the Recommended Dietary Allowance and n-3 PUFAs above the Dietary Guidelines for Americans recommendations for late middle-aged and older adults is required to maintain skeletal muscle mass and to promote SA, potentially through the mechanistical target of rapamycin complex 1 (mTORC1).
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Affiliation(s)
- Aubree L Hawley
- School of Human and Environmental Sciences, University of Arkansas, Fayetteville, AR, USA
| | - Jamie I Baum
- Center for Human Nutrition, Department of Food Science, University of Arkansas System Division of Agriculture, Fayetteville, AR, USA
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Rao AS, Nair A, Nivetha K, Ayesha B, Hardi K, Divya V, Veena SM, Anantharaju KS, More SS. Impacts of Omega-3 Fatty Acids, Natural Elixirs for Neuronal Health, on Brain Development and Functions. Methods Mol Biol 2024; 2761:209-229. [PMID: 38427239 DOI: 10.1007/978-1-0716-3662-6_15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
Omega-3 fatty acids play a seminal role in maintaining the structural and functional integrity of the nervous system. These specialized molecules function as precursors for many lipid-based biological messengers. Also, studies suggest the role of these fatty acids in regulating healthy sleep cycles, cognitive ability, brain development, etc. Dietary intake of essential poly unsaturated fatty acids (PUFA) such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are foundational to the optimal working of the nervous system. Besides regulating health, these biomolecules have great therapeutic value in treating several diseases, particularly nervous system diseases and disorders. Many recent studies conclusively demonstrated the beneficial effects of Omega-3 fatty acids in treating depression, neuropsychiatric disorders, neurodegenerative disorders, neurochemical disorders, and many other illnesses associated with the nervous system. This chapter summates the multifaceted role of poly unsaturated fatty acids, especially Omega-3 fatty acids (EPA and DHA), in the neuronal health and functioning. The importance of dietary intake of these essential fatty acids, their recommended dosages, bioavailability, the mechanism of their action, and therapeutic values are extensively discussed.
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Affiliation(s)
- Archana S Rao
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - Ajay Nair
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - K Nivetha
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - Bibi Ayesha
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - Kapadia Hardi
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - Vora Divya
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
| | - S M Veena
- Department of Biotechnology, Sapthagiri College of Engineering, Bangalore, India
| | - K S Anantharaju
- Department of Chemistry, Dayananda Sagar College of Engineering, Bangalore, India
| | - Sunil S More
- School of Basic and Applied Sciences, Dayananda Sagar University, Bangalore, India
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Lu Z, Shen H, Li X, Li H, You W, Wang Z, Chen G. Circadian Rhythm Regulator REV-ERBα Attenuates Neuroapoptosis in Early Brain Injury After Experimental Subarachnoid Hemorrhage in Rats. Neurochem Res 2023; 48:1925-1944. [PMID: 36757575 DOI: 10.1007/s11064-023-03872-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 01/17/2023] [Accepted: 01/21/2023] [Indexed: 02/10/2023]
Abstract
Subarachnoid hemorrhage (SAH) is associated with circadian rhythm abnormalities, in which REV-ERBα plays a major regulatory role. Our ambition was to investigate the capacity of REV-ERBα to inhibit neuronal neuroapoptosis induced by early brain injury (EBI) after SAH. The endovascular perforation model was used to produce experimental SAH in Sprague-Dawley rats. Specific small-interfering RNA was used to downregulate the expression REV-ERBα while SR9009 was used to upregulate the expression before assessments. Short- and long-term neurobehavior assessments, immunofluorescence staining, TUNEL staining, Nissl staining, brain water content, and Western blot were performed. The expression level of endogenous REVERBα tended to increase and then decrease after SAH and peaked at 48 h. REV-ERBα upregulation diminished neuronal apoptosis and enhanced neurological function deficits. Meanwhile, REV-ERBα downregulation aggravated the damage. Furthermore, the levels of downstream proteins of REV-ERBα (i.e., brain and muscle ARNT-like 1 (BMAL1) and circadian locomotor output cycles kaput (CLOCK)) changed accordingly with REV-ERBα regulation. REV-ERBα may attenuate neuronal apoptosis in EBI after SAH through the BMAL1/CLOCK pathway.
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Affiliation(s)
- Zhengyang Lu
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China.,Institute of Stroke Research, Soochow University, Suzhou, China
| | - Haitao Shen
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China.,Institute of Stroke Research, Soochow University, Suzhou, China
| | - Xiang Li
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China.,Institute of Stroke Research, Soochow University, Suzhou, China
| | - Haiying Li
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China.,Institute of Stroke Research, Soochow University, Suzhou, China
| | - Wanchun You
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China. .,Institute of Stroke Research, Soochow University, Suzhou, China.
| | - Zhong Wang
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China. .,Institute of Stroke Research, Soochow University, Suzhou, China.
| | - Gang Chen
- Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu Province, China.,Institute of Stroke Research, Soochow University, Suzhou, China
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