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Microfold (M) cells: important immunosurveillance posts in the intestinal epithelium
Open accessAbstract
The transcytosis of antigens across the gut epithelium by microfold cells (M cells) is important for the induction of efficient immune responses to some mucosal antigens in Peyer's patches. Recently, substantial progress has been made in our understanding of the factors that influence the development and function of M cells. This review highlights these important advances, with particular emphasis on: the host genes which control the functional maturation of M cells; how this knowledge has led to the rapid advance in our understanding of M-cell biology in the steady state and during aging; molecules expressed on M cells which appear to be used as "immunosurveillance" receptors to sample pathogenic microorganisms in the gut; how certain pathogens appear to exploit M cells to infect the host; and finally how this knowledge has been used to specifically target antigens to M cells to attempt to improve the efficacy of mucosal vaccines.
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“Since they have a plasma membrane rich in specific carbohydrate residues, such as α-L fucose and monoganglioside (GM1) [10–12]”
From Characterization of Vibrio cholerae neuraminidase as an immunomodulator for novel formulation of oral allergy immunotherapy (2018) · cites this paper as [12]
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Self-citationCell Surface-expressed Phosphatidylserine and Annexin A5 Open a Novel Portal of Cell Entry
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Claudin 4-targeted protein incorporated into PLGA nanoparticles can mediate M cell targeted delivery
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BackgroundPrion Uptake in the Gut: Identification of the First Uptake and Replication Sites
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BackgroundM cell-targeted DNA vaccination
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BackgroundMethodResultInfluentialSpi-B is critical for plasmacytoid dendritic cell function and development
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BackgroundManocha, M., Pal, P. C., Chitralekha, K. T., Thomas, B. E., Tripathi, V., Gupta, S. D., Paranjape, R., Kulkarni, S., & Rao, D. N. (2005) · Vaccine · doi:10.1016/j.vaccine.2005.06.031 · Cited by 103
The functional maturation of M cells is dramatically reduced in the Peyer's patches of aged mice
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“Cellular prion protein Continuing with the immunosurveillance theme, the cellular prion protein (PrP) is also expressed highly on the apical membrane ofM cells(26) and has been implicated in the sampling of microorganisms from the gut lumen.(47) The GPI-anchored PrP protein is expressed highly by many cell populations…”
BackgroundSelf-citationMeta-analysis of lineage-specific gene expression signatures in mouse leukocyte populations
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“This specialized microenvironment beneath the M-cell enables the efficient transfer of lumenal antigens to MNP.7,8 Studies show that in the absence of M cells, or antigen sampling by M cells, antigen-specific T-cell responses in the Peyer’s patches of mice orally infected with Salmonella Typhimurium are reduced.2,9 Th…”
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M cells expressing the complement C5a receptor are efficient targets for mucosal vaccine delivery
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“The conjugation of antigens to either Co1 or OmpH could mediate their delivery to M cells in the Peyer’s patches and induce enhanced mucosal immune responses after oral administration.(53,54)”
BackgroundInvestigation of lectinized liposomes as M-cell targeted carrier-adjuvant for mucosal immunization
Gupta, P. N., & Vyas, S. P. (2010) · Colloids and Surfaces B Biointerfaces · doi:10.1016/j.colsurfb.2010.08.027 · Cited by 78 · cited 1×
“antigen-encapsulated liposomes coupled to UEA-1 (termed lectinized liposomes) also led to increased uptake by Peyer’s patch M cells and the induction of higher antigen-specific secretory IgA responses.(97) Alternative approaches to target antigens to the a(1,2)fucose-containing carbohydrate moiety on M cells have also…”
BackgroundRole of Immunoglobulin A in Protection against Reovirus Entry into Murine Peyer's Patches
Silvey, K. J., Hutchings, A. B., Vajdy, M., Petzke, M. M., & Neutra, M. R. (2001) · Journal of Virology · doi:10.1128/jvi.75.22.10870-10879.2001 · Cited by 78 · cited 1×
“Secretory IgA can block lumenal pathogens from binding to gut epithelial cells and in doing so can provide protection against intestinal reovirus infection.(57) Similarly, secretory IgAmay also mediate the lumenal trapping of certain bacteria such as Shigella flexneri retaining them within the mucus layer overlying th…”
BackgroundMeynell, H. M., Thomas, N. W., James, P. S., Holland, J., Taussig, M., & Nicoletti, C. (1999) · The FASEB Journal · doi:10.1096/fasebj.13.6.611 · Cited by 76 · cited 2×
“For example, apparent increases in M-cell-density or antigen transcytosis in the FAE have been described following exposure to S. Typhimurium81 and Streptococcus pneumoniae R36a.82,83 The RANKL- and Spi-B-dependent differentiation ofM cells from immature precursors in the crypts typically takes approximately 4 days,2,…”
BackgroundKotarsky, K., Sitnik, K., Stenstad, H., Kotarsky, H., Schmidtchen, A., Koslowski, M. J., Wehkamp, J., & Agace, W. W. (2009) · Mucosal Immunology · doi:10.1038/mi.2009.115 · Cited by 75
Mucosal immunity and tolerance in the elderly
Fujihashi, K., & McGhee, J. R. (2004) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2004.05.009 · Cited by 74
Borghesi, C., Taussig, M. J., & Nicoletti, C. (1999) · PubMed · Cited by 71
Bermudez, L. E., Petrofsky, M., Sommer, S., & Barletta, R. G. (2010) · Infection and Immunity · doi:10.1128/iai.01411-09 · Cited by 70
Tumanov, A. V., Kuprash, D. V., Mach, J. A., Nedospasov, S. A., & Chervonsky, A. V. (2004) · The Journal of Immunology · doi:10.4049/jimmunol.173.1.86 · Cited by 69 · cited 1×
“However, hematopoietic cell populations within the Peyer’s patches, including theCD11cþ B cells, do not express RANKL,(37) and B-cell-derived TNF and lymphotoxin are each dispensable for the development of FAE andM cells.(45) Although the above studies together provide a plausible model by which lympho-epithelial inte…”
BackgroundCan DCs be distinguished from macrophages by molecular signatures?
Hume, D. A., Mabbott, N., Raza, S., & Freeman, T. C. (2013) · Nature Immunology · doi:10.1038/ni.2516 · Cited by 69
Self-citationBasis for the Age‐related Decline in Intestinal Mucosal Immunity
Schmucker, D. L., Owen, R. L., Outenreath, R. L., & Thoreux, K. (2003) · Journal of Immunology Research · doi:10.1080/10446670310001642168 · Cited by 69
Lack of oral tolerance in aging is due to sequential loss of Peyer's patch cell interactions
Kato, H. (2003) · International Immunology · doi:10.1093/intimm/dxg011 · Cited by 69 · cited 1×
“This age-related decline in immune competence is associated with diminished antigenspecific IgA antibody titers in the intestinal lumen(86,89) and a decreased ability to generate tolerance to harmless antigens.(87) Despite the important role of M cells in mucosal immunity in the Peyer’s patches, nothing was known abou…”
BackgroundTaylor, R. T., Patel, S. R., Lin, E. E., Butler, B. R., Lake, J. G., Newberry, R. D., & Williams, I. R. (2007) · The Journal of Immunology · doi:10.4049/jimmunol.178.9.5659 · Cited by 68 · cited 7×
“Consistent with this role, Notch and the ligand Jagged1 also appear to influence the patterning ofM cells across 668 VOLUME 6 NUMBER 4 | JULY 2013 |www.nature.com/mi the FAE.30 The optimal distribution of M cells across the FAE may be important to ensure efficient immune surveillance, while at the same time maintainin…”
BackgroundInfluentialSelf-citationListerial invasion protein internalin B promotes entry into ileal Peyer's patches in vivo
Chiba, S., Nagai, T., Hayashi, T., Baba, Y., Nagai, S., & Koyasu, S. (2010) · Microbiology and Immunology · doi:10.1111/j.1348-0421.2010.00292.x · Cited by 66
New Approach for M-Cell-Specific Molecules Screening by Comprehensive Transcriptome Analysis
Nakato, G., Fukuda, S., Hase, K., Goitsuka, R., Cooper, M. D., & Ohno, H. (2009) · DNA Research · doi:10.1093/dnares/dsp013 · Cited by 65
Self-citationSuzuki, H., Sekine, S., Kataoka, K., Pascual, D. W., Maddaloni, M., Kobayashi, R., Fujihashi, K., Kozono, H., McGhee, J. R., & Fujihashi, K. (2008) · Gastroenterology · doi:10.1053/j.gastro.2008.05.037 · Cited by 63 · cited 1×
“Under these conditions, the mice were shown to be tolerogenic to ovalbumin and were resistant to peripheral challenge due to the generation of antigen-specific regulatory T cells.(102,103)”
BackgroundThe role of M cells of human nasopharyngeal lymphoid tissue in influenza virus sampling
Fujimura, Y., Takeda, M., 伊海, 英., Haruma, K., Akisada, T., Harada, T., Sakai, T., & Ohuchi, M. (2004) · Archiv für Pathologische Anatomie und Physiologie und für Klinische Medicin · doi:10.1007/s00428-003-0898-8 · Cited by 63
M cell targeting by a Claudin 4 targeting peptide can enhance mucosal IgA responses
Lo, D. D., Ling, J., & Eckelhoefer, A. H. (2012) · BMC Biotechnology · doi:10.1186/1472-6750-12-7 · Cited by 62
Verbrugghe, P., Kujala, P., Waelput, W., Peters, P. J., & Cuvelier, C. A. (2007) · Histochemistry and Cell Biology · doi:10.1007/s00418-007-0369-4 · Cited by 61
Effects of age on antibody affinity maturation
Dunn‐Walters, D. K., Banerjee, M., & Mehr, R. (2003) · Biochemical Society Transactions · doi:10.1042/bst0310447 · Cited by 60
Aging impacts isolated lymphoid follicle development and function
McDonald, K. G., Leach, M. R., Huang, C. C., Wang, C., & Newberry, R. D. (2011) · Immunity & Ageing · doi:10.1186/1742-4933-8-1 · Cited by 60 · cited 1×
“Expression of the chemokine CCL20 was also reduced in the FAE of aged Peyer’s patches, consistentwith data from an independent study of the effects of aging on isolated lymphoid follicles.(90) As a consequence of the impaired CCL20 expression, the attraction cells (including the ‘‘M-cell-inducing’’ CD11cþ B cells(37))…”
BackgroundBrown, K., Wathne, G. J., Sales, J., Bruce, M. E., & Mabbott, N. A. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0802695 · Cited by 57
Self-citationCCR6hiCD11cint B cells promote M-cell differentiation in Peyer's patch
Ebisawa, M., Hase, K., Takahashi, D., Kitamura, H., Knoop, K. A., Williams, I. R., & Ohno, H. (2011) · International Immunology · doi:10.1093/intimm/dxq478 · Cited by 57
Self-citationMurine M cells express annexin V specifically
Verbrugghe, P., Waelput, W., Dieriks, B. V., Waeytens, A., Vandesompele, J., & Cuvelier, C. (2006) · The Journal of Pathology · doi:10.1002/path.1970 · Cited by 55
Annexin A5 Binds to Lipopolysaccharide and Reduces Its Endotoxin Activity
Rand, J. H., Wu, X.-X., Lin, E. Y., Griffel, A., Gialanella, P., & McKitrick, J. C. (2012) · mBio · doi:10.1128/mbio.00292-11 · Cited by 55 · cited 1×
“ANXA5 is expressed by immature andmatureMcells(48) and can bind toGram-negative bacteria with high affinity via the lipid A domain of lipopolysaccharide (LPS).(49) The endotoxin activity of LPS is blocked when bound to ANXA5, implying an important anti-inflammatory role to protect the host against LPS-mediated endotox…”
BackgroundTargeted Delivery of Immunogen to Primate M Cells with Tetragalloyl Lysine Dendrimer
Misumi, S., Masuyama, M., Takamune, N., Nakayama, D., Mitsumata, R., Matsumoto, H., Urata, N., Takahashi, Y., Muneoka, A., Sukamoto, T., et al. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0802928 · Cited by 53 · cited 1×
“Alternative approaches to target antigens to the a(1,2)fucose-containing carbohydrate moiety on M cells have also been explored, for example, by using the non-toxic, smallmolecular UEA-1 mimetic, tetragalloyl-D-lysine dendrimer.(98) The mAb NKM 16-2-4 specifically recognizes the a(1,2)fucose-containing carbohydrate mo…”
MethodEffect of age on susceptibility to Salmonella Typhimurium infection in C57BL/6 mice
Ren, Z., Gay, R., Thomas, A., Pae, M., Wu, D., Logsdon, L. K., Mecsas, J. C., & Meydani, S. N. (2009) · Journal of Medical Microbiology · doi:10.1099/jmm.0.013250-0 · Cited by 51 · cited 1×
“For example, the effects of aging on M-cell status may impede the early M-cell-dependent uptake of these pathogens into the Peyer’s patches and in doing so significantly reduce disease susceptibility.(91,92)”
BackgroundResistance of Chemokine Receptor 6-Deficient Mice to Yersinia Enterocolitica Infection
Westphal, S., Lügering, A., Wedel, J., von Eiff, C., Maaser, C., Spahn, T. W., Heusipp, G., Schmidt, M. A., Herbst, H., Williams, I. R., et al. (2008) · American Journal Of Pathology · doi:10.2353/ajpath.2008.070393 · Cited by 50
Self-citationBradford, B. M., Sester, D. P., Hume, D. A., & Mabbott, N. A. (2011) · Immunobiology · doi:10.1016/j.imbio.2011.08.006 · Cited by 47
Self-citationKnoop, K. A., Butler, B. R., Kumar, N., Newberry, R. D., & Williams, I. R. (2011) · American Journal Of Pathology · doi:10.1016/j.ajpath.2011.06.004 · Cited by 46
Self-citationChionh, Y. T., Wee, J. L. K., Every, A. L., Ng, G. Z., & SUTTON, P. R. N. (2009) · Infection and Immunity · doi:10.1128/iai.01522-08 · Cited by 46
Low-Dose Tolerance Is Mediated by the Microfold Cell Ligand, Reovirus Protein σ1
Rynda, A., Maddaloni, M., Złotkowska, D., Ochoa‐Repáraz, J., Maślanka, T., Crist, K., Riccardi, C., Barszczewska, B., Fujihashi, K., McGhee, J. R., et al. (2008) · The Journal of Immunology · doi:10.4049/jimmunol.180.8.5187 · Cited by 44
Ponnusamy, D., Periasamy, S., Tripathi, B. N., & Pal, A. (2012) · Research in Veterinary Science · doi:10.1016/j.rvsc.2012.09.023 · Cited by 44
Osanai, A., Sashinami, H., Asano, K., Li, S., Hu, D., & Nakane, A. (2010) · Infection and Immunity · doi:10.1128/iai.00466-10 · Cited by 40
Man, A., Lodi, F., Bertelli, E., Regoli, M., Pin, C., Mulholland, F., Satoskar, A. R., Taussig, M., & Nicoletti, C. (2008) · The Journal of Immunology · doi:10.4049/jimmunol.181.8.5673 · Cited by 37
CD137 Is Required for M Cell Functional Maturation but Not Lineage Commitment
Hsieh, E.-H., Fernandez, X., Wang, J., Hamer, M., Calvillo, S., Croft, M., Kwon, B. S., & Lo, D. D. (2010) · American Journal Of Pathology · doi:10.2353/ajpath.2010.090811 · Cited by 35
Wang, X., Kochetkova, I., Haddad, A., Hoyt, T., Hone, D. M., & Pascual, D. W. (2005) · Vaccine · doi:10.1016/j.vaccine.2005.02.023 · Cited by 35
Wang, J., López‐Fraga, M., Rynko, A. E., & Lo, D. D. (2009) · Cytokine · doi:10.1016/j.cyto.2009.05.001 · Cited by 34
Differential intestinal M‐cell gene expression response to gut commensals
Lapthorne, S., MacSharry, J. A., Scully, P., Nally, K., & Shanahan, F. (2012) · Immunology · doi:10.1111/j.1365-2567.2012.03581.x · Cited by 29 · cited 1×
“Fold change in gene expression by M-cell-like differentiated Caco-2 cells when compared with undifferentiated controls (GSE25330, GSE7745).(115)”
BackgroundKobayashi, A., Donaldson, D. S., Kanaya, T., Fukuda, S., Baillie, J. K., Freeman, T. C., Ohno, H., Williams, I. R., & Mabbott, N. A. (2012) · DNA Research · doi:10.1093/dnares/dss022 · Cited by 24 · cited 1×
“In the intestine, M cells have also been described within the villous epithelium,(8,11,12) but whether these cells are functionally equivalent to those within the FAE overlying the organized lymphoid follicles remains to be determined.(13)”
BackgroundSelf-citationSirard, J., Didierlaurent, A. M., Cayet, D., Sierro, F., & Rumbo, M. (2009) · Biochimica et Biophysica Acta (BBA) - Gene Regulatory Mechanisms · doi:10.1016/j.bbagrm.2009.03.001 · Cited by 21
Jagged1 and Notch1 help edit M cell patterning in Peyer’s patch follicle epithelium
Hsieh, E.-H., & Lo, D. D. (2012) · Developmental & Comparative Immunology · doi:10.1016/j.dci.2012.04.003 · Cited by 21 · cited 8×
“Consistent with this role, Notch and the ligand Jagged1 also appear to influence the patterning ofM cells across 668 VOLUME 6 NUMBER 4 | JULY 2013 |www.nature.com/mi the FAE.30 The optimal distribution of M cells across the FAE may be important to ensure efficient immune surveillance, while at the same time maintainin…”
BackgroundInfluentialNonhuman primate intestinal villous M-like cells: An effective poliovirus entry site
Takahashi, Y., Misumi, S., Muneoka, A., Masuyama, M., Tokado, H., Fukuzaki, K., Takamune, N., & Shoji, S. (2008) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2008.01.120 · Cited by 19
ONISHI, S., MIYATA, H., Inamoto, T., Qi, W.-M., Yamamoto, K., YOKOYAMA, T., Warita, K., Hoshi, N., & KITAGAW, H. (2007) · Journal of Veterinary Medical Science · doi:10.1292/jvms.69.1123 · Cited by 15
Selective transport of staphylococcal enterotoxin A through in vitro generated human M cells
Maresca, M., Dumay, E. M., Fantini, J., & Caporiccio, B. (2007) · Microbes and Infection · doi:10.1016/j.micinf.2007.07.006 · Cited by 15 · cited 1×
“Data from in vitro studies imply that M cells may also aid the passage of staphylococcal enterotoxin A across the gut epithelium.(80) Together, these examples show that whereas the sampling of intestinal bacteria by M cells may be important for the induction of specific immunity in the Peyer’s patches, this function h…”
ResultSuzuki, R., Nourani, M. R., Saino‐Saito, S., Abe, H., Nochi, T., Kiyono, H., Spener, F., Kondo, H., & Owada, Y. (2009) · Histochemistry and Cell Biology · doi:10.1007/s00418-009-0638-5 · Cited by 5
Chionh, Y. T., & SUTTON, P. R. N. (2010) · Gut Microbes · doi:10.4161/gmic.1.1.10096 · Cited by 4
Bradford, B. M., Hume, D., & Mabbott, N. A. (2011) · Cited by 3
Self-citationSasaki, I., Hoshino, K., Sugiyama, T., Yamazaki, C., Yano, T., Iizuka, A., Hemmi, H., Tanaka, T., Saito, M., Sugiyama, M., et al. (2012) · Cited by 1
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Intestinal epithelial cells: regulators of barrier function and immune homeostasis
Peterson, L. W., & Artis, D. (2014) · Nature reviews. Immunology · doi:10.1038/nri3608 · Cited by 3,367
Regional specialization within the intestinal immune system
Mowat, A. M., & Agace, W. W. (2014) · Nature reviews. Immunology · doi:10.1038/nri3738 · Cited by 1,882
A single-cell survey of the small intestinal epithelium
Haber, A. L., Biton, M., Rogel, N., Herbst, R. H., Shekhar, K., Smillie, C., Burgin, G., Delorey, T. M., Howitt, M. R., Katz, Y., et al. (2017) · Nature · doi:10.1038/nature24489 · Cited by 1,750
Intra- and Inter-cellular Rewiring of the Human Colon during Ulcerative Colitis
Smillie, C. S., Biton, M., Ordovás-Montañés, J., Sullivan, K. M., Burgin, G., Graham, D. B., Herbst, R. H., Rogel, N., Slyper, M., Waldman, J., et al. (2019) · Cell · doi:10.1016/j.cell.2019.06.029 · Cited by 1,417
“Microfold (M) cells are typically associated with lymphoid tissue in the human small intestine, where they are important for recognition of the gut microbiota (Mabbott et al., 2013).”
BackgroundTales from the crypt: new insights into intestinal stem cells
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Metadata
- Authors
- Mabbott, N. A., Donaldson, D. S., Ohno, H., Williams, I. R., & Mahajan, A.
- Affiliations
- Roslin Institute (GB)
- RIKEN Center for Integrative Medical Sciences (JP)
- Emory University (US)
- Corresponding author
- Mabbott, N A
- Venue
- Mucosal Immunology
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 6
- Issue
- 4
- Pages
- 666-677
- ISSN
- 1933-0219 (ISSN-L)
- PMC
- PMC3686595
- OpenAlex
- W2085355903
- Cited by
- 721
- References
- 118
- Citations by year
- 2026: 52 · 2025: 48 · 2024: 61 · 2023: 66 · 2022: 50 · 2021: 68 · 2020: 71 · 2019: 54 · 2018: 78 · 2017: 56 · 2016: 43 · 2015: 46 · 2014: 22 · 2013: 5
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Mucosal Immunology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- National Institutes of Health
- Directorate for Biological Sciences
- Biotechnology and Biological Sciences Research Council (BB/G003947/1, BB/F019726/1, BB/J014672/1, BBS/E/D/20231759, BB/J0004332/1, BB/K021257/1, BBS/E/D/20251968, BBS/E/D/20251967, JPA1797)
- Japan Society for the Promotion of Science (24249029)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK064730, DK-064730)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- M cells, Peyer's patches, intestinal epithelium, mucosal immunity, immune surveillance, host genes, aging, mucosal vaccines, antigen targeting
- MeSH terms
- Age Factors, Animals, Antigens, Antigens, Surface, Cell Communication, Cell Differentiation, Humans, Intestinal Mucosa, Peyer's Patches, Stem Cells, Transcription Factors, Monitoring, Immunologic, Receptors, G-Protein-Coupled, RANK Ligand, Host-Pathogen Interactions
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