The aim of this study is to investigate the melanogenic effect of
ethanolic extracts (OJE) containing quercetin and kaempferol in melanoma cells (B16F1). In order to determine whether OJE inhibits melanin synthesis at the cellular level, the melanoma cells were cultured in the presence of different concentrations of OJE. In the present study, the antioxidant effects of OJE on DPPH radical scavenging, power reduction, lipid peroxidation, and DNA oxidation were evaluated in a cell free system. Furthermore, the effect of OJE on the production of melanin was determined by dopaquinone (DOPA) assay and tyrosinase activity. In addition, the protein expression of tyrosinase, as well as antioxidant enzymes such as superoxide dismutase (SOD)-1, SOD-2 and glutathione reductase (GSH), were examined using Western blot analysis. In this study, it was observed that OJE exhibited an inhibitory effect on lipid peroxidation and blocked the DNA oxidation induced by the hydroxyl radical produced by Fenton’s reagent. OJE increased melanin synthesis above 50 μg/ml and tyrosinase activity was detected above 50 μg/ml. In Western blot analysis, OJE increased the expression levels of tyrosinase, SOD-1, SOD-2, and GSH in a dose-dependent manner. These findings indicate that OJE with antioxidant activity can regulate the tyrosinase activity and melanin production in melanocyte, suggesting that it could promote the development of black hair as well as protect skin from oxidative stress.
Reactive oxygen species (ROS) are generated as by-products of cellular metabolism, primarily in the mitochondria
. Biomolecules such as lipids, proteins, and DNA are damaged by the ROS
. In particular, the unpaired electrons of oxygen including superoxide, hydrogen peroxide, hydroxyl radical, and peroxynitrite react to form partially reduced ROS
. In recent years, some ROS has been known to modulate enzyme activity as well as transcription factors
. ROS generated during melanogenesis have been implicated as cytotoxic molecules in the immune responses of insects against their internal metazoan parasites [
. Melanin produced by melanocyte exists in hair, eyes and skin
. Melanoma cell stretch swelling and transfer melanin to neighboring cells such as keratinocyte
. It function as to protect human body that melanin absorb UV
. Skin gets darken than normal one because melanin formation increases in melanocyte
. Melanocyte synthesizes melanin from L-tyrosine through stimulation of such as exposes to UV
. Tyrosinase which is rate-limiting enzyme, change from L-tyrosine to L-dihydroxy phenylalanine (L-DOPA) and finally to DOPA quinine
. DOPA chrome tautomerase (DCT) and tyrosinase-related protein-1 (TRP-1) involve synthesis of eumelain, black or brown pigment. Tyrosinase expression is raised when melanocyte is treated with melanocyte-stimulating hormone (α-MSH). The α-MSH augments cyclic AMP (cAMP) through melanocortin-1-receptor (MC1R) which increases the expression of microphthalmia-associated transcription factor (MITF) and activate cAMP responsive element binding protein (CREB). MITF which is transcription factor to involve expression of tyrosinase and tyrosinase-related protein-1 (TRP-1) enhances the gene expression of ty-rosinase and TRP-1 [
. Various reports have been pub-lished on
to prevent alcoholic liver dis-ease over a long period of time. Javan waterdropwort (
) inhibits a wetland in many Asia countries
. It was reported to contain flavonoids, choline, rutamin, γ-fagarine and coumarine [
. In addition, it has antioxidant ingredients such as vitamin E, eugenyl beta-D-glucopyranoside, pinoresinol beta-D-glucopyranoside, oenantho-side A and 2, 3-ethylenedioxy-5-allylphenyl beta-D-glucopyranoside
. Therefore, in this study it was examined that
ethanolic extracts with antioxidant activity could modulate melanin synthesis
Materials and Methods
Dulbecco’s Modified Eagle’s Medium (DMEM), Trypsin- EDTA, penicillin/ streptomycin/ amphotericin (10,000 U/ml, 10,000 μg/ml, and 2,500 μg/ml, respectively), fetal bovine serum (FBS) reagent were obtained from Gibco BRL, Life Technologies (Paisley, Scotland, UK). B16F1 cells were obtained from American Type of Culture Collection (Manassas, VA, USA), MTT reagent, gelatin, agarose, and PMA (phorbol 12-myristate 13-acetate) and other materials were purchased from Sigma Chemical Co. (St. Louis, MO, USA).
- Extract preparation
ethanolic extracts (OJE), the air-dried
ethanolic leaves and stems were homogenized using a grinder before extraction. The dried powder (1 kg) was extracted with 95% EtOH (1:10 w/v) and evaporated in vacuo. The concentrated OJE were freshly dissolved in DMSO before use.
- Cell culture
Cell lines were separately grown as monolayers at 5% CO
and 37℃ humidified atmosphere using appropriate media supplemented with 10% fetal bovine serum, 2 mM glutamine and 100 μg/ml penicillin-streptomycin. DMEM was used as the culture medium for B16F1 cells. Cells were passaged 3 times a week by treating with trypsin-EDTA and used for experiments after 5 passages.
- MTT assay
Cytotoxic levels of OJE on B16F1 cells were measured using MTT (3-(4,5-dimethyl-2-yl)-2,5-diphenyltetrazolium bromide) method as described by Hansen et al
. B16F1 cells were grown in 96-well plates at a density of 5×10
cells/well. After 24 h, cells were washed with fresh medium and were treated with different concentrations of OJE. After 48 h of incubation, cells were rewashed and 20 μl of MTT (5 mg/ml) was added and incubated for 4 h. Finally, DMSO (150 μl) was added to solubilize the formazan salt formed and amount of formazan salt was determined by measuring the OD at 540 nm using an GENios
microplate reader (Tecan Austria GmbH, Austria). Relative cell viability was determined by the amount of MTT converted into formazan salt. Viability of cells was quantified as a percentage compared to the blank and dose response curves were developed. The data were expressed as mean from at least three in-dependent experiments and
＜0.05 was considered significant.
- DPPH radical scavenging assay
Freshly prepared 500 μl of DPPH (2, 2-diphenyl-1-picrylhydrazyl) solution was thoroughly mixed with 500 μl of OJE. The reaction mixture was incubated for 1 h at room temperature. Absorbance of the resultant mixture was recorded at 532 nm using UV-VIS spectrophotometer. Vitamin C at 10 μg/ml was used as a positive control in this study. The content of DPPH radical was calculated with absorbance and expressed as a percentage, compared to blank group.
- Reducing power
Various concentrations of OJE were mixed with 200 μl of 200 mM sodium phosphate buffer (pH 6.6) and 1% potassium ferricynide. The mixture was incubated at 50℃ for 20 min. After added 200 μl of 10% trichloroacetic acid (TCA), the mixture was centrifuged at 3,000 rpm for 10min. The upper layer was mixed with 250 μl distilled water and 50 μl of 1% ferrichloride and the absorbance was measured at 700 nm using UV-VIS spectrophotometer. Vitamin C at 100 μg/ml was used as a positive control in this study. The level of reducing power was calculated with absorbance and ex-pressed as a percentage, compared to blank group.
- Lipid peroxidationin-vitrousing TBARS assay
The inhibitory effect of OJE on lipid peroxidation was investigated using TBARS assay. OJE was added to 9 ml of 0.04 M phosphate buffer and 2.88 ml of 2.51% linolenic acid and then incubated at 40℃. This solution was added to 0.75% TBA and 35% trichloroacetic acid which was then added to the reaction solution, heated for 15 min at 95℃ in a water bath, and cooled immediately. The absorbance at 517 nm was measured using UV-VIS spectrophotometer. The level of lipid peroxidation was calculated with absorbance and expressed as a percentage, compared to blank group.
- Genomic DNA isolation
Genomic high molecular weight DNA was extracted from B16F1 cells using standard phenol/proteinase K procedure with slight modifications
. Briefly, cells culturing in 10 cm dishes were washed twice with PBS and scraped into 1 ml of PBS containing 10 mM EDTA. After centrifugation cells were dissolved in RNase (0.03 mg/ml), sodium acetate (0.175 M), proteinase K (0.25 mg/ml) and SDS (0.6%). The mixture was then incubated for 30 min at 37℃ and 1 h at 55℃. Following incubation, phenol:chloroform:isoamylalcohol was added at 1:1 ratio and mixture was centrifuged at 6,000×
for 5 min at 4℃. Following centrifugation, supernatant was mixed with 100% ice cold ethanolic at 1:1.5 ratio and kept for 15 min at -20℃. After centrifugation at 14,000×
for 5 min, the pellet was dissolved in TE buffer and purity of DNA was spectrophotometrically determined at 260/280 nm. Further, the quality of isolated DNA was evaluated with 1% agarose gel electrophoresis in 0.04 M Tris–acetate 0.001 M EDTA buffer.
- Determination of radical mediated DNA damage
H2O2 mediated DNA oxidation was determined by a method described previously
. For that, 100 μl of DNA reaction mixture was prepared by adding pre-determined concentrations of OJE (or same volume of distilled water as control), 200 μM final concentration of FeSO4, 1 mM final concentration of H
and 50 μg/ml final concentration of genomic DNA in the same order. Then the mixture was in-cubated at room temperature for 30 min and reaction was terminated by adding 10 mM final concentration of EDTA. Aliquot (20 μl) of reaction mixture containing about 1 μg of DNA was electrophorased on a 1% agarose gel for 30 min at 100 V. Gels were then stained with 1 mg/ml ethidium bromide and visualized by UV light using AlphaEase® gel image analysis software (Alpha Innotech, CA, USA). The level of DNA protection was calculated with absorbance and expressed as a percentage, compared to blank group.
- Assay of cellular tyrosinase activity
Cellular tyrosinase activity using L-DOPA as the substrate was assayed by the method of Maeda and Fukuda [
cells were washed with 10 mM phosphate-buffered saline (PBS) and lysed with 45 μl of 1% Triton X-100-PBS. After sonication, 5 μl of 20mML-DOPA were added to each well. The 96 well plates were incubated at 37℃ for 1 h, and the absorbance was measured at 475 nm using an UV-VIS spectrophotometer. The absorbance values were compared with a standard curve obtained with purified mushroom tyrosinase. The standard curve was linear within the range of experimental values
- Melanin synthesis assay
Melanin contents were measured as previously described
, but with a slight modification. Briefly, the cells were treated with the samples in DMEM containing 10% FBS for 3 d. After concentration by centrifugation, the cell pellets were dissolved in 1 ml of 1 N NaOH at 100℃ for 30 min and centrifuged again for 20 min at 16,000×
. The optical densities of the supernatants were measured at 400 nm using an UV-VIS spectrophotometer
. The level of DNA protection was calculated with absorbance and expressed as a percentage, compared to blank group.
- Western blot analysis
Western blotting was performed according to standard procedures. Briefly, B16F1 cells were lysed in lysis buffer (50 mM Tris-HCl (pH 7.5), 0.4% Nonidet P-40, 120 mM NaCl, 1.5 mM MgCl2, 2 mM phenylmethylsulfonyl fluoride, 80 μ g/ml leupeptin, 3 mM NaF and 1mM DTT at 4℃ for 30 min. 10 μg of cell lysates were resolved on gradient 4-20% Tris-HCl gels (Novex), electrotransferred onto a nitrocellulose membrane, and blocked in 5% BSA. The following primary antibodies were used: SOD-1, SOD-2, SOD-3, glutathione reductase, tyrosinase and β-actin. Primary antibodies were detected by chemiluminescent ECL kit (Amersham Pharmacia Biotech) according to the manufacturer’s instructions. Image of bands on Western blots was obtained using LAS3000® Luminescent image analyzer (Fujifilm Life Science, Tokyo, Japan).
- DPPH radical scavenging assay of OJE
DPPH radical scavenging assay is the simplest method to measure the ability of antioxidants to remove free radicals. DPPH is converted from purple into yellow color when exposed to antioxidant. After DPPH was reacted with OJE, the absorbance at 517 nm was measured. As depected in
, vitamin C at 10 μg/ml used as a positive control in this experiment clearly showed antioxidant effect on DPPH radical. But OJE is not showed DPPH radical scavenging activity.
Scavenging effect of DPPH radical. Vitamin C (Vit C) at 10 μg/ml was used as a positive control. Data are given as means of values ± S.D. from three independent experiments (***p＜0.001).
- Inhibitory effect of OJE on lipid peroxidation
TBARS assay was performed to investigate inhibitory effect of OJE on lipid peroxidation. Vitamin E at 100 μg/ml was used as a positive control in this experiment. As shown in
, OJE significantly inhibited lipid peroxidation at 50 μg/ml compared with blank (
＜0.05). It was observed that OJE reduced the lipid peroxidation by 27%.
Inhibitory effect of OJE on lipid peroxidation. Vitamin E (Vit E) at 100 μg/ml was used as a positive control. Lipid peroxidation was determined by TBARS. Data are given as means of values ± S.D. from three independent experiments (*p＜0.05, **p＜0.01).
- Reducing Power of OJE
The reducing ability of a compound generally depends on the power of reductants, which exhibit antioxidative potential by breaking the free radical chain, donating a hydrogen atom. Vitamin C at 10 μg/ml was used as a positive control in this experiment. As shown in
, OJE at 10 μg/ ml or higher significantly exerted reducing power compared with blank group.
Reducing power of OJE. Vitamin C (Vit C) at 10 μg/ml was used as a positive control. Data are given as means of values ± S.D. from three independent experiments (**p＜0.01, ***p＜0.001).
- Protective effect of OJE on DNA oxidative damage induced by hydroxyl radical
In a subsequent experiment, genomic DNA was isolated from B16F1 cells to study the protective effect of OJE against DNA oxidative damage induced by hydroxyl radical. It was clearly observed that the genomic DNA of blank group was almost degraded by hydroxyl radical produced by fenton reaction, as shown in
. Treatment with OJE significantly inhibited the oxidative damage of DNA at 50 μg/ml or higher compared with blank group.
Protective effect of OJE on DNA oxidative damage induced by hydroxyl radical. Genomic DNA purified from B16F1 cells was pre-treated with OJE for 1 h and exposed to OH· using fenton reaction. After 30 min, reaction mixture containing 5 μg of DNA was electrophoresed on a 1% agarose gel for 30 min at 100 V and visualized by UV light after stained with 1 mg/ml ethidium bromide. Data are given as means of values ± S.D. from three independent experiments (**p＜0.01, ***p＜0.001).
- Effect of OJE on cell viability
In order to investigate the cytotoxic effect of OJE on B16F1 cells, MTT assay was carried out following treatment with OJE at the indicated concentration.
showed that OJE at all concentrations did not exert any cytotoxic effect on melanoma cells. On that ground, this result demonstrates that OJE below 100 μg/ml has no cytotoxicity in B16F1 cells used in this study.
Viability of B16F1 cells treated with OJE. Data are given as means of values ± S.D. from three independent experiments.
- Effect of OJE on tyrosinase activity
In order to investigate effect of OJE on tyrosinase activity in B16F1, this experiment was carried out following treatment with OJE at the indicated concentration. As shown in
. vitamin C at 1,000 μg/ml used as a positive control inhibited tyrosinase activity by 24%. However, OJE did not inhibit tyrosiase activity. In contrast, it increase tyrosiase activity by 12% at 1,000 μg/ml in B16F1 cells.
Effect of OJE on tyrosinase activity in B16F1. Vitamin C (Vit C) at 1,000 μg/ml was used as a positive control. Data are given as means of values ± S.D. from three independent experiments (*p＜0.05 **p＜0.01).
- Effect of OJE on melanin generated by L-DOPA
In order to investigate effect of OJE on melanin synthesis B16F1, L-DOPA was used as a substrate following treatment with OJE at the indicated concentration. As shown in
. vitamin C at 1,000 μg/ml used as a positive control inhibited melanin synthesis by 30%. Similar to the result of tyrosinase, OJE did not inhibit melanin synthesis. In contrast, it increase melanin synthesis promoted melanin synthesis B16F1 cells.
Effect of OJE on melanin synthesis in B16F1. Vitamin C (Vit C) at 1,000 μg/ml was used as a positive control. Data are given as means of values ± S.D. from three independent experiments (*p＜0.05 , **p＜0.01).
- Effect of OJE on protein expressions in melanoma cells
In order to clarify how the activity of tyrosinase is increased by OJE, the expression of proteins involved in signaling pathways of melanin synthesis was investigated using western blot analysis. After B16F1 cells were treated with OJE at 1, 5, 10 and 50 μg/ml, cell lysates was collected and their protein expressions were evaluated using antibodies including tyrosinase, SOD-1, SOD-2 and glutathione reductase (GSH). As shown in
, OJE treatment at 10 μg/ml enhanced the expression level of SOD-1and SOD-2 in B16F1 cells. In addition, the expression level of GSH was increased in the presence of OJE at 10 μg/ml. These results indicate that it could induce the expression of antioxidant enzymes capable of suppressing oxidative stress.
Effect of OJE on protein expressions of tyrosinase, SOD-1, SOD-2 and GSH in B16F1 cells. The cells were treated with OJE at 1, 5, 10 and 50 μg/ml. Western blot analysis of cell lysates was performed using the antibodies as indicated.
Reactive oxygen species (ROS) produced by from mitochondria and other cellular organelle have been traditionally regarded as toxic by-products of metabolism leading to damage lipids, proteins, and DNA [
. For this reason, cells possess several antioxidant enzymes such as superoxide dismutase, catalase, and glutathione peroxidase to protect themselves from against the potentially damaging effects of ROS. Thus oxidative stress may be broadly defined as an imbalance between oxidant production and the antioxidant capacity of the cell to prevent oxidative injury. These Oxidative stresses have been implicated in a large number of human diseases including atherosclerosis, pulmonary fibrosis, cancer, neurodegenerative diseases, and aging [
. Previous studies have reported that these ROS were eliminated by antioxidant like vitamin C, vitamin E, BTH and BTA
. In this study we investigated the effect of OJE on melanin production related to antioxidant activity in melanocyte, B16F1. OJE exhibited inhibitory effect of lipid peroxidation and reducing power in
. These results suggest that OJE can reacts radical and eliminate free radical. Next, DNA oxidation assay was carried out using the genomic DNA isolated from melanocyte in order to look into protective effect of OJE on DNA oxidative damage. It was observed that OJE exert the protective effect on DNA damage caused by hydroxyl radical. These findings support the assumption that components of OJE strongly reacts phosphate group with negative charge in nucleic acid, so that they protect DNA
. Our results are consistent with previous report that natural compounds with antioxidant activity can inhibit DNA damage induced by hydroxyl radical. Previous reports suggested that ROS play a key role in melanin synthesis. Melanin synthesized by tyrosinase has been widely known to be involved in not only formation of melasma and freckle but also generation of skin, hair and pupil color
Thus, tyrosinase divided from B16F1 was used to investigate effect of OJE on tyrosinase activity. For that, B16F1 cells were exposed to L-DOPA to stimulate melanin synthesis. Our result confirmed that OJE increased tyrosinase activity. In general tyrosinase oxidizes 3,4-dihydroxyphenylalanine (DOPA) lead to production of melanin [
. Unlike our expectation that antioxidant inhibits melanin systhesis, even though OJE has antioxidant activity, it could not inhibit oxidation of L-DOPA. In this study it was found that OJE increases the synthesis of melanin in DOPA-induced melanocyte. Therefore, it was suggested that OJE augment melanin synthesis by tyrosinase activation. These results are in a good agreement with that component of OJE, quercetin, stimulates melanogenesis by increasing tyrosinase activity
. In addition, the effect of OJE on expression of antioxidant enzymes and tyrosinase were exa-mined in B16F1 cells. In this study, OJE increased the ex-pression of antioxidant enzyme such as SOD-1, -2 and GSH. Previous study demonstrated that quercetin has protective effect in diabetes by decreasing oxidative stress and preservation of pancreatic cell integrity [
. The expression of tyrosinase was enhanced in the presence of OJE. Therefore, this result reveals that the increase in melanin synthesis is due to the enhanced expression level of tyrosinase
. In conclusion, these findings suggest that OJE with antioxidant activity can regulate the tyrosinase activity and melanin production in melanocyte, suggesting that it could not only protect skin from oxidative stress but also promote development of black hair.
This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (No. 2013R1A1A1A05005160).
Bioenergetics and the formation of mitochondrial reactive oxygen species
Trends Pharmacol Sci
DOI : 10.1016/j.tips.2006.10.005
Reactive oxygen species: metabolism, oxidative stress, and signal transduction
Annu Rev Plant Biol
Hearing V. J.
The protective role ofmelanin against UV damage in human skin
Touyz R. M.
Park J. B.
Schiffrin E. L.
Antioxidant effects of vitamins C and E are associated with altered activation of vascular NADPH oxidase and superoxide dismutase in stroke-prone SHR
DOI : 10.1161/hy09t1.094005
Chung J. W.
Isolation and identification of compound from dropwort (Oenanthe javanica) with protective potential against oxidative stress in HepG2 cells
Food Sci Biotechnol
DOI : 10.1007/s10068-011-0240-1
Fermented rice bran downregulates MITF expression and leads to inhibition of α-MSH-induced melanogenesis in B16F1 melanoma
Biosci Biotechnol Biochem
DOI : 10.1271/bbb.80766
Quercetin, a flavonoid antioxidant, prevents and protects streptozotocin-induced oxidative stress and β-cell damage in rat pancreas
Cross C. E.
Borish E. T.
Pryor W. A.
Ames B. N.
Saul R. L.
McCord J. M.
Oxygen radicals and human disease
Ann Intern Med
DOI : 10.7326/0003-4819-107-4-526
Fitzpatrick T. B.
Becker S. W.
Lerner A. B.
Tyrosinase in human skin: demonstration of its presence and of its role in human melanin formation
DOI : 10.1126/science.112.2904.223
Freeman B. A.
Crapo J. D.
Biology of disease: free radicals and tissue injury
Free radicals, antioxidants, and human disease: where are we now?
J Lab Clin Med
Re-examination and further development of a precise and rapid dye method for measuring cell growth/cell kill
J Immunol Methods
DOI : 10.1016/0022-1759(89)90397-9
Lee Y. J.
The effects of Oenanthe javanica extracts on hepatic fat accumulation and plasma biochemical profiles in a nonalcoholic fatty liver disease model
J Korean Soc Appl Biol Chem
DOI : 10.3839/jksabc.2009.105
García-Borrón J. C.
Inhibition of melanogenesis in response to oxidative stress: transient downregulation of melanocyte differentiation markers and possible involvement of microphthalmia transcription factor
J Cell Sci
Kim S. S.
Choi Y. H.
Kim B. K.
Kim K. S.
Park K. J.
Park S. M.
Lee N. H.
Down-regulation of tyrosinase, TRP-1, TRP-2 and MITF expressions by citrus press-cakes in murine B16 F10 melanoma
Asian Pac J Trop Biomed
Lerner A. B.
Fitzpatrick T. B.
Biochemistry of melanin formation
Ma C. J.
Lee K. Y.
Jeong E. J.
Kim S. H.
Choi Y. H.
Kim Y. C.
Sung S. H.
Persicarin from water dropwort (Oenanthe javanica) protects primary cultured rat cortical cells from glutamate-induced neurotoxicity
Arbutin: mechanism of its depigmenting action in human melanocyte culture
J Pharmacol Exp Ther
Miean K. H.
Flavonoid (myricetin, quercetin, kaempferol, luteolin, and apigenin) content of edible tropical plants
J Agric Food Chem
Yoshiyuki Osamura R.
Quercetin enhances melanogenesis by increasing the activity and synthesis of tyrosinase in human melanoma cells and in normal human melanocytes
Pigment Cell Res
DOI : 10.1046/j.1600-0749.2003.00113.x
Characterisation of 1, 4-benzothiazine intermediates in the oxidative conversion of 5-S-cysteinyldopa to pheomelanins
On-line EPR study of free radicals induced by peroxidase/H2O2in human low-density lipoprotein
Biochim Biophys Acta
DOI : 10.1016/S1388-1981(02)00211-1
Thannickal V. J.
Fanburg B. L.
Reactive oxygen species in cell signaling
Am J Physiol Lung Cell Mol Physiol
Enhanced melanogenesis induced by tyrosinase gene-transfer increases boron-uptake and killing effect of boron neutron capture therapy for amelanotic melanoma
Pigment Cell Res
DOI : 10.1111/j.1600-0749.1998.tb00736.x
The role of oxygen free radicals in occupational and environmental lung diseases
Environ Health Perspect
Melanogenesis Inhibitor (s) from Phyla nodiflora extract
Evid Based Complement Alternat Med
DOI : 10.1155/2012/867494
Alcohol extract from Vernonia anthelmintica (L.) willd seed enhances melanin synthesis through activation of the p38 MAPK signaling pathway in B16F10 cells and primary melanocytes
Evaluation of traditional Chinese medicinal plants for anti-MRSA activity with reference to the treatment record of infectious diseases
DOI : 10.3390/molecules17032955