Emerging glyco-based strategies to steer immune responses.


Journal

The FEBS journal
ISSN: 1742-4658
Titre abrégé: FEBS J
Pays: England
ID NLM: 101229646

Informations de publication

Date de publication:
08 2021
Historique:
revised: 12 02 2021
received: 09 12 2020
accepted: 19 03 2021
pubmed: 23 3 2021
medline: 8 9 2021
entrez: 22 3 2021
Statut: ppublish

Résumé

Glycan structures are common posttranslational modifications of proteins, which serve multiple important structural roles (for instance in protein folding), but also are crucial participants in cell-cell communications and in the regulation of immune responses. Through the interaction with glycan-binding receptors, glycans are able to affect the activation status of antigen-presenting cells, leading either to induction of pro-inflammatory responses or to suppression of immunity and instigation of immune tolerance. This unique feature of glycans has attracted the interest and spurred collaborations of glyco-chemists and glyco-immunologists to develop glycan-based tools as potential therapeutic approaches in the fight against diseases such as cancer and autoimmune conditions. In this review, we highlight emerging advances in this field, and in particular, we discuss on how glycan-modified conjugates or glycoengineered cells can be employed as targeting devices to direct tumor antigens to lectin receptors on antigen-presenting cells, like dendritic cells. In addition, we address how glycan-based nanoparticles can act as delivery platforms to enhance immune responses. Finally, we discuss some of the latest developments in glycan-based therapies, including chimeric antigen receptor (CAR)-T cells to achieve targeting of tumor-associated glycan-specific epitopes, as well as the use of glycan moieties to suppress ongoing immune responses, especially in the context of autoimmunity.

Identifiants

pubmed: 33752265
doi: 10.1111/febs.15830
pmc: PMC8453523
doi:

Substances chimiques

Polysaccharides 0
Receptors, Chimeric Antigen 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4746-4772

Informations de copyright

© 2021 The Authors. The FEBS Journal published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.

Références

Int J Pharm. 2021 Jan 25;593:120119
pubmed: 33249249
Eur J Immunol. 2010 Jun;40(6):1525-37
pubmed: 20405478
Sci Transl Med. 2015 Sep 2;7(303):303ra140
pubmed: 26333936
J Med Chem. 2020 Jan 9;63(1):309-320
pubmed: 31809053
Immun Inflamm Dis. 2017 Dec;5(4):503-514
pubmed: 28722316
Ann Surg Oncol. 2013 Feb;20(2):680-8
pubmed: 23054107
Front Immunol. 2020 Sep 30;11:575504
pubmed: 33117374
Arthritis Rheumatol. 2019 Oct;71(10):1626-1633
pubmed: 31067000
Int Immunol. 2019 Jul 13;31(7):465-475
pubmed: 30753483
J Biol Chem. 2014 Nov 14;289(46):32056-32063
pubmed: 25278018
J Immunol. 2003 Sep 1;171(5):2326-30
pubmed: 12928378
Cell Mol Immunol. 2018 Jun;15(6):547-562
pubmed: 29375121
Nat Med. 2020 Nov;26(11):1686-1690
pubmed: 33046868
Nat Nanotechnol. 2019 Sep;14(9):891-901
pubmed: 31384037
J Clin Invest. 2008 Jun;118(6):2098-110
pubmed: 18497879
Immunotherapy. 2013 Nov;5(11):1177-82
pubmed: 24188672
Int J Infect Dis. 2017 Mar;56:221-228
pubmed: 28163164
Mol Ther. 2013 Nov;21(11):2122-9
pubmed: 23831595
J Immunol. 2009 Jun 15;182(12):7587-94
pubmed: 19494282
ChemMedChem. 2018 Jan 8;13(1):25-29
pubmed: 29193802
Nanomedicine. 2018 Feb;14(2):339-351
pubmed: 29157976
Cell. 2010 Apr 2;141(1):39-51
pubmed: 20371344
Adv Ther. 2017 Feb;34(2):324-356
pubmed: 28004361
mBio. 2015 Feb 03;6(1):
pubmed: 25650401
Nat Med. 2008 Nov;14(11):1264-70
pubmed: 18978797
Front Immunol. 2018 Jan 04;8:1751
pubmed: 29379493
Curr Opin Biotechnol. 2016 Aug;40:41-48
pubmed: 26938687
Front Immunol. 2018 Oct 30;9:2509
pubmed: 30459770
Front Pharmacol. 2019 Jan 24;9:1568
pubmed: 30733680
Clin Exp Immunol. 2010 Feb;159(2):109-19
pubmed: 19912252
J Exp Med. 2009 Jan 16;206(1):89-97
pubmed: 19139169
Nature. 2013 May 23;497(7450):498-502
pubmed: 23636320
Annu Rev Immunol. 2006;24:571-606
pubmed: 16551260
Eur J Immunol. 2020 Nov;50(11):1834-1837
pubmed: 32592176
Chembiochem. 2017 Jul 4;18(13):1146-1154
pubmed: 28295942
Biochim Biophys Acta. 1981 Apr 3;673(4):425-34
pubmed: 6784774
ACS Nano. 2021 Jan 26;15(1):309-321
pubmed: 32790346
J Biol Chem. 2006 Apr 21;281(16):11186-92
pubmed: 16490781
Nat Commun. 2017 Nov 27;8(1):1785
pubmed: 29176714
J Control Release. 2015 Jan 28;198:91-103
pubmed: 25483429
Proc Natl Acad Sci U S A. 2017 Mar 7;114(10):2675-2680
pubmed: 28223515
Cell. 2018 Jan 25;172(3):564-577.e13
pubmed: 29275858
Scand J Immunol. 2005 Jul;62(1):45-54
pubmed: 16091124
Neurology. 1983 Jan;33(1):19-23
pubmed: 6184645
Infect Immun. 2019 May 21;87(6):
pubmed: 30936154
J Transplant. 2009;2009:701464
pubmed: 20130772
Chembiochem. 2017 Jul 4;18(13):1226-1233
pubmed: 28231415
PLoS One. 2018 Jul 31;13(7):e0201253
pubmed: 30063728
Nat Commun. 2020 Jul 30;11(1):3801
pubmed: 32732879
J Invest Dermatol. 2015 Sep;135(9):2228-2236
pubmed: 25885805
Theranostics. 2017 Sep 26;7(17):4276-4288
pubmed: 29158825
J Clin Invest. 2018 Nov 1;128(11):4912-4923
pubmed: 30130255
Nanoscale. 2017 Aug 3;9(30):10721-10732
pubmed: 28714508
Chem Sci. 2015 Aug 1;6(8):4636-4642
pubmed: 28717478
J Control Release. 2013 Nov 28;172(1):259-265
pubmed: 24004885
Nat Rev Drug Discov. 2014 Oct;13(10):741-58
pubmed: 25190187
Cytotherapy. 2018 Mar;20(3):407-419
pubmed: 29306566
Cell Res. 2017 Jan;27(1):74-95
pubmed: 28025976
Biomater Sci. 2018 Dec 18;7(1):14-30
pubmed: 30418444
Nat Immunol. 2020 May;21(5):479-483
pubmed: 32313242
Int Immunol. 2018 May 24;30(6):233-239
pubmed: 29726997
J Am Chem Soc. 2015 Oct 14;137(40):13167-75
pubmed: 26401918
Eur J Immunol. 1998 Aug;28(8):2580-90
pubmed: 9710235
Methods Enzymol. 2006;416:159-82
pubmed: 17113866
Sci Transl Med. 2014 Apr 16;6(232):232ra51
pubmed: 24739759
Glycobiology. 2018 May 1;28(5):295-305
pubmed: 29315387
Vaccine. 2015 Aug 20;33(35):4228-37
pubmed: 25850020
Nat Rev Immunol. 2009 Jul;9(7):465-79
pubmed: 19521399
PLoS One. 2012;7(10):e46959
pubmed: 23071675
J Control Release. 2015 Feb 10;199:98-105
pubmed: 25499555
Front Immunol. 2019 Nov 21;10:2711
pubmed: 31824500
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2019 Sep;11(5):e1559
pubmed: 31172659
Proc Natl Acad Sci U S A. 2002 Jul 23;99(15):9960-5
pubmed: 12089323
J Immunol. 2003 Feb 15;170(4):1635-9
pubmed: 12574325
J Nucl Med. 2001 Jun;42(6):951-9
pubmed: 11390562
Nat Commun. 2018 Jan 24;9(1):353
pubmed: 29367624
Proc Natl Acad Sci U S A. 2014 Sep 30;111(39):14211-6
pubmed: 25225409
Cell Chem Biol. 2016 Dec 22;23(12):1515-1525
pubmed: 27889407
Nat Commun. 2014 Oct 03;5:5074
pubmed: 25278262
Clin Cancer Res. 2020 Jul 15;26(14):3578-3588
pubmed: 32273276
J Leukoc Biol. 2017 Aug;102(2):351-360
pubmed: 28351852
Nat Rev Immunol. 2019 Jan;19(1):7-18
pubmed: 30420705
Glycobiology. 2019 Feb 1;29(2):137-150
pubmed: 30476078
Curr Opin Biotechnol. 2018 Jun;51:24-31
pubmed: 29175707
Clin Cancer Res. 2006 Dec 15;12(24):7397-405
pubmed: 17189412
J Med Chem. 2018 Feb 8;61(3):1045-1060
pubmed: 29290115
Angew Chem Int Ed Engl. 2014 Nov 3;53(45):12125-31
pubmed: 25243720
J Immunol. 2010 Sep 1;185(5):2701-9
pubmed: 20686129
Cancer Cell. 2019 Jul 8;36(1):6-16
pubmed: 31287993
Bioorg Med Chem. 2020 Jul 15;28(14):115564
pubmed: 32616186
Science. 2018 Mar 23;359(6382):1361-1365
pubmed: 29567707
Immunol Rev. 2010 Mar;234(1):120-41
pubmed: 20193016
Chem Rev. 1996 Mar 28;96(2):683-720
pubmed: 11848770
Proc Natl Acad Sci U S A. 2005 Dec 27;102(52):19051-6
pubmed: 16365285
Trends Immunol. 2012 Jan;33(1):42-8
pubmed: 22079120
Nat Chem Biol. 2020 Dec;16(12):1376-1384
pubmed: 32807964
Hum Gene Ther. 1999 Apr 10;10(6):1031-9
pubmed: 10223736
Front Pharmacol. 2017 Aug 23;8:561
pubmed: 28878676
PLoS Pathog. 2014 Jan;10(1):e1003846
pubmed: 24391502
Front Immunol. 2018 Nov 27;9:2754
pubmed: 30538706
Immunity. 2016 Jun 21;44(6):1444-54
pubmed: 27332733
Eur J Immunol. 2002 Dec;32(12):3776-84
pubmed: 12516572
Carbohydr Polym. 2019 Oct 1;221:94-112
pubmed: 31227171
Trends Immunol. 2002 Sep;23(9):445-9
pubmed: 12200066
Cancer Sci. 2008 Mar;99(3):601-7
pubmed: 18081877
Cell Signal. 2010 Oct;22(10):1397-405
pubmed: 20363321
Cell Mol Life Sci. 2020 Feb;77(4):593-605
pubmed: 31485715
Vaccine. 1996 Jun;14(9):930-8
pubmed: 8843637
Biotechnol J. 2018 Mar;13(3):e1700234
pubmed: 29316325
Proc Natl Acad Sci U S A. 2016 Mar 22;113(12):3329-34
pubmed: 26941238
Cancers (Basel). 2019 Aug 28;11(9):
pubmed: 31466401
Nat Rev Immunol. 2018 Mar;18(3):204-211
pubmed: 29398707
Curr Opin Neurol. 2006 Oct;19(5):458-63
pubmed: 16969155
Cell Mol Immunol. 2015 Nov;12(6):719-28
pubmed: 25345808
Bioessays. 2015 Dec;37(12):1327-37
pubmed: 26577077
J Exp Med. 2002 Jan 7;195(1):15-21
pubmed: 11781361
JCI Insight. 2019 Dec 5;4(23):
pubmed: 31801912
Proc Natl Acad Sci U S A. 2019 Apr 9;116(15):7465-7470
pubmed: 30910970
Immunol Lett. 2004 Jan 30;91(1):63-9
pubmed: 14757371
Bioconjug Chem. 2016 Mar 16;27(3):533-48
pubmed: 26735314
J Mol Biol. 2018 Jul 6;430(14):2014-2029
pubmed: 29800567
Crit Rev Ther Drug Carrier Syst. 2018;35(2):157-194
pubmed: 29717665
Proc Natl Acad Sci U S A. 2017 May 2;114(18):E3689-E3698
pubmed: 28416698
J Med Chem. 2017 Feb 9;60(3):941-956
pubmed: 28103033
Nat Immunol. 2008 Oct;9(10):1179-88
pubmed: 18776906
Front Immunol. 2019 Feb 28;10:338
pubmed: 30873180
J Immunol. 2014 Jun 15;192(12):5789-5801
pubmed: 24829416
Cold Spring Harb Perspect Biol. 2012 Mar 01;4(3):
pubmed: 22296764
Science. 2008 Apr 18;320(5874):373-6
pubmed: 18420934
Sci Transl Med. 2018 Feb 28;10(430):
pubmed: 29491184
Science. 2021 Feb 26;371(6532):
pubmed: 33361116
Front Chem. 2019 Oct 04;7:650
pubmed: 31637232
Immunity. 2013 Feb 21;38(2):336-48
pubmed: 23352235
Front Immunol. 2019 Jun 26;10:1422
pubmed: 31297112
Glycobiology. 2011 Sep;21(9):1121-4
pubmed: 21932452
J Am Chem Soc. 2019 Sep 11;141(36):14032-14037
pubmed: 31460762
J Nucl Med. 2021 May 10;62(5):620-627
pubmed: 33037087
Curr Opin HIV AIDS. 2011 Sep;6(5):348-52
pubmed: 21743322
Blood. 2008 Oct 15;112(8):3264-73
pubmed: 18669894
J Control Release. 2015 Apr 10;203:67-76
pubmed: 25656175
J Immunol. 2006 Feb 1;176(3):1525-33
pubmed: 16424181
Med Sci Monit Basic Res. 2017 Apr 28;23:166-172
pubmed: 28450696
Comp Biochem Physiol C Comp Pharmacol. 1975 Oct 1;52(1):35-9
pubmed: 200
J Biol Chem. 2019 Nov 29;294(48):18465-18474
pubmed: 31628196
Int J Mol Sci. 2018 Jan 29;19(2):
pubmed: 29382131
PLoS One. 2014 Aug 19;9(8):e103755
pubmed: 25137039
Gastroenterology. 1997 Oct;113(4):1163-70
pubmed: 9322511
Org Biomol Chem. 2020 Feb 14;18(6):1095-1103
pubmed: 31868870
Front Immunol. 2018 Mar 19;9:553
pubmed: 29616041
Nat Rev Immunol. 2018 Feb;18(2):91-104
pubmed: 28990586
Nat Immunol. 2010 Aug;11(8):647-55
pubmed: 20644570
N Engl J Med. 1991 May 23;324(21):1464-70
pubmed: 2023606
Science. 2006 Aug 4;313(5787):670-3
pubmed: 16888140
J Transl Med. 2013 Oct 05;11:246
pubmed: 24093426
Nat Immunol. 2009 Oct;10(10):1081-8
pubmed: 19718030
Nat Rev Cancer. 2015 Sep;15(9):540-55
pubmed: 26289314
Vaccine. 2017 Jul 13;35(32):3930-3937
pubmed: 28645718
Chembiochem. 2020 Nov 2;21(21):2999-3025
pubmed: 32426893
ACS Chem Biol. 2019 Apr 19;14(4):644-654
pubmed: 30835424
J Control Release. 2012 May 30;160(1):88-95
pubmed: 22366522
Clin Cancer Res. 2008 Dec 15;14(24):8169-77
pubmed: 19088032
J Control Release. 2017 Jun 28;256:170-181
pubmed: 28414151
World J Gastroenterol. 2017 Jun 14;23(22):3964-3977
pubmed: 28652651
Nat Rev Cancer. 2012 Mar 22;12(4):252-64
pubmed: 22437870
J Autoimmun. 2015 Feb;57:1-13
pubmed: 25578468
J Allergy Clin Immunol. 2016 Aug;138(2):558-567.e11
pubmed: 27177779
Trends Biotechnol. 2017 Apr;35(4):334-346
pubmed: 28277249
Biochem Biophys Res Commun. 2010 Jan 1;391(1):85-90
pubmed: 19896468
Pharm Res. 2011 Sep;28(9):2288-301
pubmed: 21560020
J Exp Med. 1994 Aug 1;180(2):745-9
pubmed: 8046350
Int J Nanomedicine. 2019 May 02;14:3203-3220
pubmed: 31118632
Oncotarget. 2016 Feb 23;7(8):8771-82
pubmed: 26741508
Innate Immun. 2016 Aug;22(6):405-18
pubmed: 27252171
Theranostics. 2019 Aug 12;9(20):5797-5809
pubmed: 31534520
Cancer Res. 2018 Jul 1;78(13):3574-3588
pubmed: 29703719
ChemMedChem. 2021 Apr 20;16(8):1246-1251
pubmed: 33415819
Front Immunol. 2020 Feb 07;11:134
pubmed: 32117281
J Neurol Sci. 2011 Aug 15;307(1-2):41-5
pubmed: 21658727
Mol Cell Proteomics. 2020 May;19(5):774-792
pubmed: 32024769
Biomaterials. 2017 Jan;113:191-202
pubmed: 27816821
Sci Rep. 2016 Dec 02;6:38348
pubmed: 27910914
Chembiochem. 2021 Feb 2;22(3):523-531
pubmed: 32909670
Gut Pathog. 2020 Apr 09;12:18
pubmed: 32308743
J Allergy Clin Immunol. 2017 Jan;139(1):366-369.e2
pubmed: 27554819
Int J Med Microbiol. 2010 Jan;300(1):19-24
pubmed: 19781988
Ann N Y Acad Sci. 2012 Apr;1253:1-15
pubmed: 22524422
N Engl J Med. 2020 Oct 22;383(17):1624-1634
pubmed: 33085861
Front Immunol. 2019 Jan 11;9:3084
pubmed: 30687313
Semin Immunol. 2018 Feb;35:3-11
pubmed: 29242034
Glycobiology. 2014 Aug;24(8):663-80
pubmed: 24861053
ACS Cent Sci. 2019 May 22;5(5):808-820
pubmed: 31139717
Annu Rev Immunol. 2015;33:257-90
pubmed: 25581309
Proc Natl Acad Sci U S A. 2020 Jun 30;117(26):15148-15159
pubmed: 32541028
J Clin Invest. 2013 Jul;123(7):3074-83
pubmed: 23722906
Clin J Am Soc Nephrol. 2020 Mar 6;15(3):423-429
pubmed: 32075806
J Org Chem. 2018 Aug 3;83(15):7593-7605
pubmed: 29781274
Nature. 2016 Jun 01;534(7607):329-31
pubmed: 27281206
Eur J Immunol. 2005 Feb;35(2):357-66
pubmed: 15682451
Genome Med. 2018 Oct 31;10(1):79
pubmed: 30376867
Front Immunol. 2018 Jun 14;9:1231
pubmed: 29963041
Proc Natl Acad Sci U S A. 2014 Jul 22;111(29):10660-5
pubmed: 25002471
Muscle Nerve. 1999 Aug;22(8):1030-7
pubmed: 10417783
Front Immunol. 2018 Dec 07;9:2807
pubmed: 30581432
J Immunol. 2008 Apr 1;180(7):4901-9
pubmed: 18354214
J Clin Invest. 2019 Mar 1;129(3):1387-1401
pubmed: 30645205
J Immunol. 2008 Jun 1;180(11):7404-13
pubmed: 18490740
Angew Chem Int Ed Engl. 2015 Jul 6;54(28):8139-43
pubmed: 26014442
Glycobiology. 2018 Sep 1;28(9):656-669
pubmed: 29370379
Blood. 2010 Sep 30;116(13):2277-85
pubmed: 20566893
Nat Chem Biol. 2014 Jan;10(1):69-75
pubmed: 24292068
J Immunol. 2013 Apr 15;190(8):4116-28
pubmed: 23514738
Mol Immunol. 2020 Oct;126:120-128
pubmed: 32823236
J Immunol. 2011 Jul 15;187(2):842-50
pubmed: 21677141
Glycobiology. 2017 Jan;27(1):3-49
pubmed: 27558841
J Biol Chem. 2001 Aug 3;276(31):28939-45
pubmed: 11384997
Biochimie. 2008 Mar;90(3):437-49
pubmed: 18039474

Auteurs

Marko Anderluh (M)

Chair of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Ljubljana, Slovenia.

Francesco Berti (F)

Technical R&D, GSK Vaccines S.r.l., Siena, Italy.

Anna Bzducha-Wróbel (A)

Department of Biotechnology and Food Microbiology, Warsaw University of Life Sciences-SGGW, Poland.

Fabrizio Chiodo (F)

Department of Molecular Cell Biology and Immunology, Cancer Center Amsterdam, Amsterdam Infection and Immunity Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Netherlands.

Cinzia Colombo (C)

Department of Chemistry and CRC Materiali Polimerici (LaMPo), University of Milan, Italy.

Federica Compostella (F)

Department of Medical Biotechnology and Translational Medicine, University of Milan, Italy.

Katarzyna Durlik (K)

Department of Microbiology and Parasitology, Jan Kochanowski University, Kielce, Poland.

Xhenti Ferhati (X)

Department of Chemistry 'Ugo Schiff', University of Florence, Florence, Italy.

Rikard Holmdahl (R)

Division of Medical Inflammation Research, Department of Medical Biochemistry and Biophysics, Karolinska Institute, Stockholm, Sweden.

Dragana Jovanovic (D)

Vinča Institute of Nuclear Sciences - National Institute of the Republic of Serbia, University of Belgrade, Serbia.

Wieslaw Kaca (W)

Department of Microbiology and Parasitology, Jan Kochanowski University, Kielce, Poland.

Luigi Lay (L)

Department of Chemistry and CRC Materiali Polimerici (LaMPo), University of Milan, Italy.

Milena Marinovic-Cincovic (M)

Vinča Institute of Nuclear Sciences - National Institute of the Republic of Serbia, University of Belgrade, Serbia.

Marco Marradi (M)

Department of Chemistry 'Ugo Schiff', University of Florence, Florence, Italy.

Musa Ozil (M)

Department of Chemistry, Faculty of Arts and Sciences, Recep Tayyip Erdogan University Rize, Turkey.

Laura Polito (L)

National Research Council, CNR-SCITEC, Milan, Italy.

Josè Juan Reina-Martin (JJ)

Department of Organic Chemistry, Faculty of Sciences, University of Malaga, Spain.

Celso A Reis (CA)

I3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal.
IPATIMUP-Institute of Molecular Pathology and Immunology, Instituto de Ciências Biomédicas Abel Salazar, University of Porto, Portugal.

Robert Sackstein (R)

Department of Translational Medicine, the Translational Glycobiology Institute, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.

Alba Silipo (A)

Department of Chemical Sciences, University of Naples Federico II, Complesso Universitario Monte Sant'Angelo, Napoli, Italy.

Urban Švajger (U)

Blood Transfusion Center of Slovenia, Ljubljana, Slovenia.

Ondřej Vaněk (O)

Department of Biochemistry, Faculty of Science, Charles University, Prague, Czech Republic.

Fumiichiro Yamamoto (F)

Immunohematology & Glycobiology Laboratory, Josep Carreras Leukaemia Research Institute, Badalona, Spain.

Barbara Richichi (B)

Department of Chemistry 'Ugo Schiff', University of Florence, Florence, Italy.

Sandra J van Vliet (SJ)

Department of Molecular Cell Biology and Immunology, Cancer Center Amsterdam, Amsterdam Infection and Immunity Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Netherlands.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH