Biology subjects

Liang, T.

Publications and source records attributed to Liang, T..

At least 19 recordsLinked to original sources

bioRxiv2026

An expanded toolbox for genetic access to molecularly defined cortical intratelencephalic neuron subtypes

Among the multiple cortical glutamatergic neuron classes, intratelencephalic (IT) neurons represent the largest class and project within the cortex and striatum. IT neurons have been amplified and diversified throughout mammalian evolution and are thought to underlie increasingly complex mammalian cognition. However, despite their diversity and significance in cortical processes, few existing tools connect the molecular signatures to the projection patterns of distinct IT subtypes, limiting our ability to understand their organization and function at a subtype resolution. Here, we illustrate six novel gene knock-in mouse lines based on IT-specific markers, labeling subpopulations with unique cortico-cortical and corticostriatal projection patterns. These include two broad subpopulations with upper-layer (Cux1-Flp) versus lower-layer (Kcnh5-CreER) expression biases, two narrow upper-layer subpopulations with contrasting callosal (Wfs1-Flp) and local (Igfn1-Flp) projection patterns, and two narrow lower-layer subpopulations with contrasting bilateral (Deptor-CreER) versus ipsilateral-predominant (Ptprm-CreER) corticostriatal projection patterns. Upper-layer Wfs1+ and lower-layer Ptprm+ IT neurons also project to perirhinal/ectorhinal cortex with densities that vary across cortical areas. Finally, we use in vivo calcium imaging in mice performing a reach-withdraw-drink task to demonstrate subtype-specific temporal dynamics in upper-layer Wfs1+ versus lower-layer Deptor+ neurons. Our work expands the toolbox of transgenic mice to access molecularly defined IT neuron subpopulations.

neuroscience↗

bioRxiv2026

A self-organized signaling hierarchy patterns the cortex during cell repair

Cells generate dynamic patterns of Rho GTPase activation to direct the subsequent patterning of Rho GTPase effectors needed to remodel the cell cortex during processes ranging from cell division to cell repair. To understand how such patterns arise, we used live cell imaging, time-resolved Rho GTPase manipulations, and a novel computational tool to study the spatiotemporal dynamics of Rho, Cdc42 and several downstream Cdc42 targets in wounded Xenopus laevis oocytes. We find that the characteristic wound-induced segregation of Rho and Cdc42 activity into concentric zones is followed by polarization of the Cdc42 zone such that Toca-1 progressively concentrates at the back of the Cdc42 zone while Arp2/3, cofilin, cortactin, and the Rho GAP p190RhoGAP progressively concentrate at the front of the Cdc42 zone, where it overlaps the Rho zone. Remarkably, the juxtaposition of Rho activity to Cdc42 is required for the polarization of p190RhoGAP, while p190RhoGAP is responsible for establishing the boundary between the Cdc42 and Rho zones. The results indicate that the characteristic segregation of the Rho and Cdc42 zones, as well as the polarization of the Cdc42 zone, arise from cortical self-organization. Further, these findings reveal a simple mechanism for hierarchical establishment of cortical patterns: recruitment of new proteins to regions of signaling compartment overlap.

cell biology↗

bioRxiv2026

Proteome Profiling of Human Tear Fluid Following Acute Exercise

Acute exercise induces systemic molecular perturbations that are not fully reflected by individual biomarkers. Tear fluid is amenable to non-invasive and repeated collection and contains a diverse array of bioactive molecules, thereby constituting a practical biological specimen for evaluating exercise-related physiological responses. However, the immediate proteome-wide alterations in tear fluid following acute exercise have not been characterized. In this study, we performed quantitative proteomic profiling of paired tear samples obtained from healthy female participants before and immediately after a single exercise session, using data-independent acquisition liquid chromatography-tandem mass spectrometry (DIA-LC- MS/MS). Among the 3,173 identified proteins, 744were significantly altered post-exercise, of which 484 exhibited up-regulation and 260 exhibited down-regulation. Functional enrichment analysis demonstrated that the up-regulated proteins were predominantly associated with translation and ribosome biogenesis, whereas down-regulated proteins were primarily involved in glycan metabolism, lysosomal processing, and extracellular matrix organization. Collectively, these observations indicate that acute exercise elicits a rapid and coordinated reconfiguration of the tear proteome. To our knowledge, this investigation provides the first proteomic evidence of the immediate tear response to physical activity, offering a molecular basis for understanding exercise-mediated modulation of tear composition and ocular surface homeostasis.

physiology↗

bioRxiv2026

Mechanism of fatty acid uptake and inhibition in human FATP2

Fatty Acid Transport Protein 2 (FATP2) couples fatty acid uptake to intracellular activation and is associated with pathological lipid accumulation in cancer and nonalcoholic fatty liver disease. Here, we present cryo-electron microscopy structures of human FATP2 across its reaction cycle. Our structures suggest that FATP2 recruits fatty acids directly from the membrane interface through a hydrophobic tunnel. Catalysis involves a [~]130{degrees} rotation of the C-terminal domain, a transition trapped by the antihypertensive drugs isradipine and benidipine. Both drugs lock the enzyme in a thioester-forming state, but benidipine exhibits superior efficacy by extending a bulky moiety into the primary catalytic tunnel to sterically block substrate entry. Furthermore, we identify a product inhibition mechanism where excess acyl-CoA traps the enzyme, potentially limiting metabolic overload. These findings provide a structural framework for understanding vectorial fatty acid channeling and a scaffold for developing modulators of metabolic flux. HighlightsO_LICryo-EM structures of human FATP2 reveal a membrane-anchored lollipop topology C_LIO_LIEndogenous fatty acids within a hydrophobic tunnel delineate the fatty acid uptake pathway C_LIO_LIIsradipine and benidipine displace fatty acids to trap a non-productive conformation C_LIO_LIAcyl-CoA product inhibition may provide negative feedback via steric occlusion C_LI

biophysics↗

bioRxiv2026

Exercise-induced sweat suppresses depression-like behaviors in mice

Depression represents a major global public health challenge. Current antidepressant therapies are often limited by significant side effects, delayed onset of action, and suboptimal efficacy, creating an urgent need for the development of novel interventions. In this study, using a transcriptome-based bioinformatics pipeline, we found that the gene signature of depression is significantly anti-correlated with that of exercise-induced sweat (EIS), suggesting that EIS may have the potential to treat depression. To validate this prediction, we first established a lipopolysaccharide-induced mouse model of depression and then evaluated the therapeutic effects of EIS in comparison with the positive control fluoxetine. Our results show that EIS treatment significantly suppresses depressive and anxiety-like behaviors, as evidenced by increased sucrose preference in the sucrose preference test, reduced immobility in the tail suspension test, and enhanced exploratory activity in the elevated plus maze. Notably, high-dose EIS intervention achieved therapeutic efficacy comparable to, or even better than, that of fluoxetine. This study identifies EIS as a novel bioactive intervention and an innovative strategy for treating depression, and opens a new avenue in sports medicine by investigating the potential beneficial effects of EIS.

neuroscience↗

bioRxiv2026

Allogeneic CRISPR-Engineered CAR-T Cells Drive Potent Antitumor Activity in Solid Tumors

Chimeric antigen receptor (CAR) T-cell therapy has shown limited efficacy in solid tumors, in part due to variability in autologous T cells derived from heavily pretreated patients with advanced disease. To address these constraints, we developed an off-the-shelf allogeneic CAR-T platform using CRISPR-Cas9-mediated genome editing in T cells from healthy donors to enable targeted CAR insertion at the TRAC locus with concurrent disruption of B2M. Using adeno-associated virus (AAV) delivery, we designed CAR-T cells targeting glypican-2 (GPC2) and glypican-3 (GPC3), emerging antigens expressed in pediatric and adult solid tumors. Genome-edited allogeneic CAR-T cells exhibited potent, antigen-specific cytotoxicity across multiple tumor models. GPC2-directed allogeneic CAR-T cells demonstrated enhanced or comparable activity relative to conventional lentiviral CAR-T cells in neuroblastoma models and mediated tumor regression with prolonged survival in preclinical models. Notably, repeated dosing augmented antitumor efficacy without evidence of toxicity, supporting multi-dose regimens for solid tumors. Similarly, GPC3-targeted allogeneic CAR-T cells based on a single-domain antibody showed robust activity against hepatocellular carcinoma cells in vitro and in vivo. These findings establish a scalable, genome-engineered allogeneic CAR-T strategy with strong therapeutic potential and support the clinical development of off-the-shelf cell therapies for pediatric and adult solid tumors.

immunology↗

bioRxiv2026

Exercise-induced Sweat Promotes Wound Healing in Diabetic Foot Ulcers

Persistent hyperglycemia impairs wound healing in diabetic patients, and severe cases may even lead to disability or death. Glycemic control alone cannot effectively prevent the occurrence of diabetic foot ulcers, a serious complication of diabetes. However, safe, efficient, and cost-effective therapies remain unavailable and are urgently needed. Using a novel sports medicine paradigm, we predicted, based on reverse-transcriptomics, that exercise-induced sweat has the potential to promote would healing in diabetic foot ulcers. Subsequent animal experiments demonstrated that sweat can indeed promote re-epithelialization and collagen deposition, upregulate the expression of the proliferation marker Ki-67, the angiogenesis marker CD31, and -SMA, and significantly accelerate wound healing in a mouse model of diabetic foot ulcers. This study provides a new direction for sports medicine and offers a novel therapeutic strategy for patients with diabetic foot ulcers.

zoology↗

bioRxiv2026

Exercise-conditioned tear fluid suppresses myopia progression

Myopia represents a major global public health challenge with rapidly rising prevalence. It is thus important to explore novel therapeutics for the treatment of myopia. Here we predicted tear fluid after (TA) but not before (TB) moderate-intensity aerobic exercise might protect against myopia using reverse transcriptomic analysis. To experimentally validate this hypothesis, TA or TB was administered by periocular injection in a guinea pig model of form-deprivation myopia. As a result, TA treatment significantly attenuated myopic refractive shifts and suppressed vitreous chamber depth and axial length elongation, whereas TB showed no protective effects. This study proposes a novel therapeutic avenue for myopia intervention and also suggests a previously unrecognized tear fluid-mediated mechanism linking exercise to myopia.

bioinformatics↗

bioRxiv2026

Disease diagnosis via sperm motility variations induced by body fluids in bioassay

Precise diagnosis of high-risk conditions such as cardiovascular and cerebrovascular diseases still remains a challenge. We previously developed a microfluidic chip for sperm selection and observed that sperm motility is highly sensitive to environmental changes. Building on this finding, we hypothesized that motility traits of sperm could be differentially modulated by body fluids from healthy versus diseased individuals, thereby serving as potential biomarkers for disease diagnosis. To test this hypothesis, we designed a diagnostic system in which mouse sperm were co-incubated with serum samples from patients with myocardial infarction, cerebral infarction, and pancreatitis, along with matched healthy controls. Key kinematic parameters--including motility rate (MR), curvilinear velocity (VCL), straight-line velocity (VSL), linearity (LIN), and amplitude of lateral head displacement (ALH)--were analyzed using a multiparameter sperm quality analysis system. The results revealed that disease-specific serum induced distinct and reproducible changes in sperm motility patterns, enabling accurate discrimination between healthy and pathological conditions. Evaluation of these motility parameters demonstrated high diagnostic performance, with area under the receiver operating characteristic curve (AUC) values ranging from 0.719 to 0.888. This sperm-based bioassay offers a non-invasive, rapid, and cost-effective platform for disease detection and personalized health assessment, with the potential to complement existing diagnostic approaches.

bioengineering↗

bioRxiv2025

Oncogenic EGFR rewires STING-TBK1 immune machinery to license DNA damage tolerance

EGFR hotspot mutations (mEGFR), including primary L858R, exon 19 deletion, and secondary T790M, are pivotal oncogenic drivers in human non-small cell lung cancer (NSCLC). Meanwhile, NSCLC resistance to third-generation tyrosine kinase inhibitors (TKIs) is a major clinical challenge and remains mechanistically unresolved. Here, we uncover a previously unrecognized immunological mechanism whereby mEGFR exploits cGAS-STING innate immune signaling, conventionally regarded as tumor-suppressive, to sustain oncogenic signaling and therapeutic resistance. Mechanistically, mutant EGFR kinase aberrantly incorporates into STING signalosomes, directly phosphorylating STING (Y245/Y314) and TBK1 (Y577/Y677), stabilizing and hyperactivating TBK1 proteins, and establishing an unexpected and kinase loop critical for DNA damage repair. Disruption of this mEGFR-STING-TBK1 axis, genetically or pharmacologically, profoundly sensitized resistant patient-derived NSCLC organoids to chemotherapy. Combining TBK1 inhibition with cisplatin notably eradicated mEGFR-driven tumors in spontaneous and immunocompetent NSCLC murine models and patient-derived organoids. Our findings suggest a new function of cGAS-STING in the DNA damage repair program, its paradoxical exploitation by oncogenic driver mutations, and an innate immune therapeutic vulnerability in NSCLC.

cancer biology↗

bioRxiv2025

Denoising 7T Structural MRI with Conditional Generative Diffusion Models

Purpose7T MRI offers ultra-high resolution and improved sensitivity for iron deposition in neurodegenerative disorders, but commonly used acquisitions are long and hence challenging, especially for elderly subjects. Efficiently denoising a short acquisition to achieve the image quality of a longer acquisition would be of translational benefit. Materials and MethodsWe introduce a conditional diffusion model derived from generative AI (a 7T Conditional Diffusion Model, 7TCDM) that was trained on native single-acquisition 2D reconstructions and referenced multi-repetition images to guide the denoising process and improve SNR and contrast. 7TCDM model was tested on 2D T2-weighted gradient-echo imaging from 19 participants, including healthy controls and individuals with mild cognitive impairment or Alzheimers disease (AD). 7TCDMs performance was assessed using Mean Squared Error (MSE), Peak Signal-to-Noise Ratio (PSNR), Structural Similarity Index Measure (SSIM), and comprehensive reader studies. ResultsReferencing the multi-repetition ground truth, 7TCDM improved the single-acquisition original image by 29.1% in MSE, 5.8% in PSNR, and 9.4% in SSIM, and outperformed convolutional neural network-based models in all metrics. Expert rater evaluations confirmed superior image quality, with significantly enhanced detail and contrast preservation in regions such as the hippocampi, white matter lesions, and small cortical veins. The model also demonstrated robust performance in both the concurrently acquired and publicly available 3D multi-echo gradient echo acquisitions, which the model was not trained on. ConclusionsThe 7T Conditional Diffusion Model provides high-quality denoised images from shorter scans, increasing the feasibility of scanning patients in shorter times while preserving essential anatomical and pathological details.

neuroscience↗

bioRxiv2025

Specific Pathogen Free Ten Gene-Edited Pig Donor for Xenotransplantation

Xenotransplantation has entered the clinical phase to fulfill the global organ shortage. However, recent clinical studies revealed that the xenograft from current gene-edited (GE) pigs still poses the risk of immune rejection, and biosafety concerns. In this study, we successfully constructed a large batch of 10- (GTKO/CMAHKO/ {beta}4GalNT2KO/hCD46/hCD55/hCD59/hTBM/hEPCR/hCD39/hCD47) GE cloned (GEC) donor pigs by utilizing gene editing and somatic cell cloning technology, and successfully obtained F1 generation. Phenotypic characterization of 10-GEC pigs showed the deletion of three xenoantigens along with expression of seven human transgenes in various tissues. Digital droplet polymerase chain reaction, and whole genome sequencing indicated 2 copies of hCD46/hCD55/hCD59/hTBM/hCD39 and 1 copy of hEPCR/hCD47 in pig genome without significant off-target and damage to the porcine own functional genes. The validation results showed that 10-GEC pigs effectively inhibited the attacks of human antibodies, complement, and macrophages on porcine endothelial cells and alleviated the coagulation abnormalities between pigs and humans. 10-GEC pigs were negative for all zoonotic pathogens (48) including cytomegalovirus, except streptococcal infections. Kidney, heart, and liver xenografts from these 10-GE pigs were transplanted to non-human primates (NHP), which started working normally without hyperacute rejection. Among them, the heart and liver transplant recipient died without resuscitation due to unexpected interruption of oxygen supply, while the 2 kidney transplant recipients survived for 23 and 16 days, respectively. Pathological analysis showed that 10-GE pig kidney xenografts showed mesenchymal congestion, and fibrosis, cellular hyperplasia, with minor antibody and complement deposition, and significantly reduced the infiltration of CD68+ macrophage. In summary, we successfully produced a group of specific pathogen free GEC donor pigs that effectively mitigated immune rejection upon multi-organ transplantation to NHP.

immunology↗

bioRxiv2025

EpiMII: Integrating Structure and Graph Neural Networks for MHC-II Epitope and Neoantigen Design

MHC-II neoantigens play a critical role in immunotherapy, either as direct effectors or through their influence on CD8+ T cells. However, only a small fraction of tumor DNA mutations qualify as functional neoantigens, and current prediction tools often lack accuracy, leading to the low immunogenicity of predicted neoantigens in vivo. Here, we present EpiMII, a Graph Neural Network model for MHC-II epitope design, which learns from the structural features of epitopes to predict their sequences. To train EpiMII, we constructed a reliable, large dataset containing 142,934 MHC-II epitope structures. This approach achieves a 4.2x improvement over ProteinMPNN, with a sequence recovery rate of 78.0% for known MHC-II epitopes in the Protein Data Bank. As a case study, we designed a neoantigen from hepatocellular carcinoma. All five designed epitopes significantly activated CD4+ T cells in vitro and induced secretion of IFN-{gamma} and TNF-. Notably, one epitope treatment significantly reduced tumor volume in mice in vivo. EpiMII offers a novel and efficient approach for identifying MHC-II epitopes/neoantigens, potentially contributing to vaccine development.

immunology↗

bioRxiv2025

Hepatic Yap1 activates systemic catabolism and muscle loss during organ repair: evidence for a liver-derived common mechanism with cancer cachexia.

Recovery from critical injury concomitant with restoration of functional organ mass invokes a systemic catabolic response leading to muscle and fat loss, known as cachexia. We interrogated this process using mouse models of organ repair, including liver regeneration after hepatectomy, Yap1-mediated hepatomegaly, and pneumonectomy. Both hepatectomy and Yap1 induced systemic catabolism. Muscle and adipose wasting scaled with degree of liver growth, with 10-25% reduction of muscle mass and 50-80% of fat mass. In contrast, non-regenerative lung injury did not induce tissue wasting. Liver growth elevated resting energy expenditure. Tracer studies demonstrated redistribution of muscle-derived cholesterol and amino acids to regenerating liver. Gene expression changes in livers and muscles showed high concordance between the liver growth models and cancer cachexia models, including pancreatic adenocarcinoma cachexia. We propose that cachexia is a normal and essential reparative process in organ repair and regeneration and further, that cancer cachexia is a pathological exacerbation of an adaptive process mediated by activation of Yap1 in the liver.

physiology↗

bioRxiv2025

AMPK- and cGAS-Mediated Dual Sensing of Glucose and dsDNA Synergizes to Enhance Antitumor Immunity

Intratumoral glucose availability is linked considerably to tumor growth, immune evasion, and metastasis. However, the precise molecular mechanisms by which glucose levels govern cellular and immune responses against tumors remain incompletely understood. Here, we explored the context of tumors of intersections between AMP-activated protein kinase (AMPK) and cGAS-STING signaling, a key pathway initiating antitumor immunity. We unexpectedly found that AMPK activation robustly enhances cGAS-STING signaling within cancer and immune cells, which potently impacts melanoma and colorectal cell senescence, organoid apoptosis, and the infiltration of CD4+ and CD8+ T lymphocytes. Using classic or newly developed AMPK agonist Aldometanib, TBK1S511E/S511E knock-in (KI) mice, glucose metabolic modulator, as well as AMPK1/2 dKO melanoma, we demonstrated that dual sensing of intratumoral glucose and dsDNA integrated by the AMPK-TBK1 cascade is essential for initiating antitumor immunity and suppressing cancer progressions. Notably, novel AMPK agonists or intervening in glucose glycolysis by Lonidamine synergized effectively with STING agonists, substantially inhibiting melanoma growth. Therefore, these findings unravel a concise mechanism integrating glucose metabolism and innate DNA sensing into cancer cell fate and propose an effective therapeutic strategy to enhance antitumor immunity. HIGHLIGHTSO_LIDual and synergistic sensing of glucose and dsDNA facilitates antitumor immunity in melanoma and colorectal cancer; C_LIO_LIAMPK substitutes intratumoral cGAS-STING-IRF3 signaling through TBK1 phosphorylation at S511; C_LIO_LIGlucose deficiency induces cancer cell senescence, apoptosis, and T lymphocyte infiltration via the AMPK-TBK1 cascade; C_LIO_LINewly developed AMPK agonists synergize with STING agonists to retrieve striking tumor suppression. C_LI

cancer biology↗

bioRxiv2024

Clinical characteristics, drug-resistance genes and virulence analysis of carbapenem-resistant Klebsiella pneumoniae

OBJECTIVEThe aim was to investigate the clinical infection characteristics, risk factors and convergence of carbapenem-resistant and hypervirulent Klebsiella pneumoniae(hv-CRKP) in our hospital, in order to provide scientific basis for the rational use of antibiotics in the clinic. METHODSCRKP strains were isolated from clinical specimens of 44 patients in central intensive care unit (CICU), neurosurgery intensive care unit (NICU) and emergency intensive care unit (EICU) of our hospital in 41 months. The clinical manifestations of the patients were analyzed, and the hypermucoviscous phenotype was defined by string test. The drug resistance gene, virulence gene and capsular specific serotype of the isolated strains were detected by polymerase chain reaction (PCR) technology, and the gene of CRKP producing KPC enzyme was sequence. RESULTSThe incidence of sepsis in 44 patients with CRKP infection was 25.0%, and the overall treatment failure rate was 38.6%. All the 44 strains of CRKP produced KPC enzyme, and all of them were blaKPC-2 (100%);14 strains (31.8%) were positive in string test; 23 strains (52.3%) were found to have virulence related genes, including 10 strains (22.7%) of rmpA, 16 strains (36.4%) of iucA and 19 strains (43.2%) of peg-344. 5 strains (11.4%) were capsule-specific serotypes and 13 strains (29.5%) were identified as hv-CRKP. CONCLUSIONThe mechanism of CRKP resistance in our hospital is blaKPC-2, the detection rates of virulence gene, string test positive and hypervirulent capsular specific serotype are all relatively high in CRKP, there are not a few Klebsiella pneumoniae with carbapenem-resistant and hypervirulent.

microbiology↗

bioRxiv2024

Intraperitoneal programming of tailored CAR macrophages via mRNA-LNP to boost cancer immunotherapy

Therapeutic strategies for peritoneal metastasis in solid tumors are urgently needed in the clinic. Programming chimeric antigen receptor macrophages (CAR-Ms) in situ offers opportunities for an unmet demand. However, potential intracellular domains (ICDs) for CAR design and their antitumor mechanisms for macrophage empowerment remain to be explored systematically. By developing a targeted mRNA-LNP delivery system for macrophages, we have investigated 36 CAR combinations to determine the impact of CAR-Ms on immune regulation in vitro and in vivo. In two solid tumor mouse models, intraperitoneal programming of CAR-Ms was shown to elicit robust adaptive immune activation and significantly synergize with PD-1/L1 therapy. Single-cell RNA sequencing (scRNA-seq) analysis revealed that CAR-Ms could reshape the immunosuppressive tumor microenvironment (TME) and boost the TCF1+PD-1+ progenitor- exhausted CD8+ T cells (Tpex) population. Meanwhile, we found that tailored CAR-M with CD3{zeta}/TLR4 ICDs could favorably maintain proinflammatory phenotype and simultaneously upregulate MHC I and PD-L1 expression by perturbing NF-{kappa}B pathways. Moreover, the synergism between macrophage PD-L1 knockdown and CAR-M therapy highlighted the need to block the PD-1/L1 axis in antigen cross-presentation. In short, we developed an mRNA-LNP delivery system for intraperitoneal programming of tailored CAR-Ms in vivo and broadened understanding of both regulatory and feedback mechanisms for CAR-M therapies against solid tumors.

bioengineering↗

bioRxiv2024

Association study of Plasmodium falciparum Acetyl-CoA Synthetase Mutations S868G and V949I with antimalarial drugs

Plasmodium falciparum acetyl-CoA synthetase (PfACAS) protein is an important source of acetyl-CoA. We detected the mutations S868G and V949I in PfACAS by whole-genome sequencing analysis in some recrudescent parasites after antimalarial treatment with artesunate and dihydroartemisinin-piperaquine, suggesting that they may confer drug resistance. Using CRISPR/Cas9 technology, we engineered parasite lines carrying the PfACAS S868G and V949I mutations in two genetic backgrounds and evaluated their susceptibility to antimalarial drugs in vitro. The results demonstrated that PfACAS S868G and V949I mutations alone or in combination were not enough to provide resistance to antimalarial drugs.

microbiology↗