The invention belongs to the technical field of medical bio-engineering and relates to a pluripotent stem cell and a T cell differentiated therefrom and application thereof.
Pluripotent stem cells (PSCs), which are currently the focus in stem cell research, are a class of cells with unlimited proliferative potential, having the ability to differentiate into different lineages of cellular tissues, and are easily genetically modified. Inducing autologous pluripotent stem cells to differentiate into different tissues is an application hotspot in the field of regenerative medicine, which can not only avoid ethical controversy, but also reduce the risk of immune rejection. As an emerging immune cell therapy, CAR-T has received extensive attentions due to the characteristics of high specificity and high cancer cell removal efficiency. At present, the immune cells for the CAR-T therapy are mainly derived from the patient's own T cells. However, some patients (such as infants, immunodeficiency patients with advanced tumor and patients received extensive chemotherapy) are unable to provide effective doses of T cells and the CAR-T therapy is expensive, greatly limiting the application of this therapy. The above problems can be solved by obtaining functional T cells by pluripotent stem cells.
A basic research has been carried out to obtain hematopoietic stem and progenitor cells (HSPCs) with multi-lineage hematopoietic reconstitution ability by expressing transcription factors ERG, HOXA5, HOXA9, HOXA10, LCOR, RUNX1 and SPI1 in the human pluripotent stem cell-derived hematopoietic endothelium, followed by transplantation to produce multiple hematopoietic lineage cells (including T cells) (R. Sugimura et al. Haematopoietic stem and progenitor cells from human pluripotent stem cells. Nature, 545, 432-438 (2017)). However, the above study requires up to seven transcription factors for stem cell induction, having the disadvantages of complex operation, poor stability and low efficiency.
It has also been reported that human hematopoietic multipotent progenitors having the ability to reconstitute partial lineage haematopoiesis (without the ability to reconstitute T cell lineage haematopoiesis) and mouse hematopoietic stem cells having the ability to reconstitute all lineage haematopoiesis were obtained by expressing transcription factors FOSB, GFI1, RUNX1 and SPI1 in endothelial cells (V. M. Sandler et al. Reprogramming human endothelial cells to haematopoietic cells requires vascular induction. Nature 511, 213-318 (2014); R. Lis et al. Conversion of adult endothelium to immunocompetent haematopoietic stem cells. Nature 545, 439-445 (2017)). However, the above studies have problems such as inconvenient access to endothelial cells, difficulty in gene editing, cumbersome technical methods and low efficiency of T-lineage generation. Therefore, there is a need for a simple method for inducing pluripotent stem cells to solely obtain T lineage cell.
In view of the deficiencies of the prior art, the present invention provides a pluripotent stem cell and a T cell differentiated therefrom and application thereof. The obtained pluripotent stem cell-derived T cells not only function normally, but also has no tumorigenic risk.
In a first aspect, the present invention provides a vector comprising Runx1 and Hoxa9 in which Runx1 and Hoxa9 are co-expressed in tandem.
In the present invention, the cDNA sequences of Runx1 and Hoxa9 are expressed in tandem in the same vector for infecting host cells, resulting in host cells stably expressing Runx1 and Hoxa9, which are easy to operate and efficient, and the obtained host cells have the ability to differentiate into T cells.
In a second aspect, the present invention provides a nucleic acid expressing the vector as described in the first aspect.
In a third aspect, the present invention provides a host cell comprising the vector as described in the first aspect;
Preferably, the host cell is a pluripotent stem cell.
In a fourth aspect, the present invention provides a method for directed differentiation of T cells using pluripotent stem cells, comprising the steps of:
(1) integrating an expression vector in which Runx1 and Hoxa9 are of in tandem into pluripotent stem cells and performing resistance screening;
(2) directionally differentiating the pluripotent stem cells of step (1) into hematopoietic stem cell precursors;
(3) co-culturing the hematopoietic stem cell precursors of step (2) with mouse bone marrow stromal cells to obtain T-lineage progenitor cells; and
(4) inducing the T-lineage progenitor cells of step (3) to differentiate into T cells.
In the present invention, functionally normal T cells with no tumorigenic risk are obtained by subjecting the pluripotent stem cell line co-expressing Runx1 and Hoxa9 to directional differentiation condition to obtain hematopoietic stem cell precursors, which are then co-cultured with the OP9-DL1 cell line to generate T-lineage progenitor cells, followed by further differentiation.
Preferably, the expression vector in which Runx1 and Hoxa9 are in a tandem arrangement in step (1) is integrated into Rosa26 site of the pluripotent stem cells.
Preferably, the pluripotent stem cells in step (1) are genetically-edited inducible pluripotent stem cells and/or embryonic pluripotent stem cell lines.
Preferably, the method for integrating in step (1) comprises any one of homologous recombination, CRISPR/Cas9, TALEN, transfection or viral infection, or combination thereof, preferably homologous recombination.
Preferably, the resistance screening in step (1) employs Hygromycin B.
Preferably, the method for directed differentiation in step (2) is to culture the pluripotent stem cells with D0 medium, D2.5 medium, D3 medium, D4 medium, D5 medium, D6 medium and D7 medium sequentially to obtain the hematopoietic stem cell precursors.
Preferably, the D0 medium is a basic differentiation medium containing 3-8 ng/mL bone morphogenetic protein 4 (BMP4), wherein the concentration of the bone morphogenetic protein 4 may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL.
Preferably, the D2.5 medium is a basic differentiation medium containing 3-8 ng/mL activin A and 3-8 ng/mL basic fibroblast growth factor (bFGF), wherein the concentration of activin A may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, and the concentration of the basic fibroblast growth factor may be, for example, 3 ng/mL, 5 Ng/mL or 8 ng/mL, preferably 5 ng/mL.
Preferably, the D3 medium is a basic differentiation medium containing 3-8 ng/mL Activin A, 3-8 ng/mL bone morphogenetic protein 4 (BMP4) and 3-8 ng/mL vascular endothelial growth factor, wherein the concentration of activin A may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, the concentration of the bone morphogenetic protein 4 may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, and the concentration of the vascular endothelial growth factor may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL
Preferably, the D4 medium is a basic differentiation medium containing 3-8 ng/mL bone morphogenetic protein 4 (BMP4) and 3-8 ng/mL vascular endothelial growth factor (VEGF), wherein the concentration of the bone morphogenetic protein 4 may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, and the concentration of the vascular endothelial growth factor may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL
Preferably, the D5 medium is a basic differentiation medium containing 3-8 ng/mL bone morphogenetic protein 4 (BMP4), 3-8 ng/mL vascular endothelial growth factor (VEGF), 10-30 ng/mL recombinant mouse interleukin 3 (mIL3), 10-30 ng/mL recombinant mouse interleukin 6 (mIL6), 10-30 ng/mL recombinant mouse stem cell factor (mSCF), 10-30 ng/mL recombinant human thrombopoietin (hTPO) and 10-30 ng/mL human Fins-associated tyrosine kinase 3 ligand (hFlt3L), wherein the concentration of the bone morphogenetic protein 4 may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, the concentration of the vascular endothelial growth factor may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, the concentration of the recombinant mouse interleukin 3 may be, for example, ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse interleukin 6 may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse stem cell factor may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant human thrombopoietin may be, for example, 10 ng/mL, 20 ng/mL or30 ng/mL, preferably 20 ng/mL, and the concentration of the hFlt3L may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL
Preferably, the D6 medium is a basic differentiation medium containing 3-8 ng/mL bone morphogenetic protein 4 (BMP4), 3-8 ng/mL vascular endothelial growth factor (VEGF), 10-30 ng/mL recombinant mouse interleukin 3 (mIL3), 10-30 ng/mL recombinant mouse interleukin 6 (mIL6), 10-30 ng/mL recombinant mouse stem cell factor (mSCF), 10-30 ng/mL recombinant human thrombopoietin (hTPO), and 10-30 ng/mL hFlt3L and 1-2 μg/mL Doxycycline (Dox), wherein the concentration of the bone morphogenetic protein 4 may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, the concentration of the vascular endothelial growth factor may be, for example, 3 ng/mL, 5 ng/mL or 8 ng/mL, preferably 5 ng/mL, the concentration of the recombinant mouse interleukin 3 may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse interleukin 6 may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse stem cell factor may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant human thrombopoietin may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the hFlt3L may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, and the concentration of the Doxycycline may be, for example, 1 μg/mL or 2 μg/mL, preferably 1 μg/mL
Preferably, the D7 medium is a basic differentiation medium containing 10-30 ng/mL recombinant mouse interleukin 3 (mIL3), 10-30 ng/mL recombinant mouse interleukin 6 (mIL6), 10-30 ng/mL recombinant mouse stem cell factor (mSCF), 10-30 ng/mL recombinant human thrombopoietin (hTPO), and 10-30 ng/mL hFlt3L and 1-2 μg/mL Doxycycline (Dox), wherein the concentration of the recombinant mouse interleukin 3 may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse interleukin 6 may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant mouse stem cell factor may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the recombinant human thrombopoietin may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, the concentration of the hFlt3L may be, for example, 10 ng/mL, 20 ng/mL or 30 ng/mL, preferably 20 ng/mL, and the concentration of the Doxycycline may be, for example, 1 μg/mL or 2 μg/mL, preferably 1 μg/mL
Preferably, the basic differentiation medium is IMDM medium comprising 10-20% fetal calf serum, 180-220 μg/mL iron-saturated transferrin, 4.5×10−4 M thioglycerol, 1-3 mM GlutaMAX™-I additive and 0.4-0.6 mM ascorbic acid, wherein the concentration of the fetal bovine serum may be, for example, 10%, 15% or 20%, preferably 15%, the concentration of the iron-saturated transferrin may be, for example, 180 μg/mL, 200 μg/mL or 220 μg/mL, preferably 200 μg/mL, the concentration of the thioglycerol may be, for example, 4×10−4 M, 4.5×10−4 M or 5×10−4 M, preferably 4.5×10−4 M, the concentration of the GlutaMAX™-I additive may be, for example, 1 mM, 2 mM or 3 mM, preferably 2 mM, and the concentration of the ascorbic acid may be, for example, 0.4 mM, 0.5 mM or 0.6 mM, preferably 0.5 mM.
In the present invention, the inventors designed and optimized the directed hematopoietic differentiation system by changing the additive substances in the medium and induced the hematopoietic differentiation of the pluripotent stem cells into hematopoietic stem cell precursors, which were further co-cultured with mouse bone marrow stromal cells to obtain T-lineage progenitor cells.
Preferably, the stromal cells in step (3) are OP9-DL1 cells.
Preferably, Doxycycline is used for inducing during the co-culture in step (3).
Preferably, the T cells in step (4) are mainly CD3+ T cells.
Preferably, the T cells are TCR β cells and/or TCR γ/δ cells.
As a preferred technical solution, the present invention provides a method for the directional differentiation of pluripotent stem cells into T cells, comprising the steps of:
(1) integrating an expression vector wherein Runx1 and Hoxa9 are linked in tandem into pluripotent stem cells at the Rosa26 site by gene recombination and performing resistance screening with Hygromycin B;
(2) culturing the pluripotent stem cells of step (1) with D0 medium, D2.5 medium, D3 medium, D4 medium, D5 medium, D6 medium and D7 medium sequentially, and directionally differentiating the same into hematopoietic stem cell precursors on day 11;
(3) co-culturing the hematopoietic stem cell precursors of step (2) with OP9-DL1 cells and inducing with Doxycycline to obtain T-lineage progenitor cells; and
(4) inducing the T-lineage progenitor cells of step (3) to differentiate into T cells which are TCR β cells and/or TCR γ/δ cells.
In a fifth aspect, the present invention provides a T-lineage progenitor cell and/or a T cell prepared by the method of the first aspect.
In a sixth aspect, the present invention provides a pharmaceutical composition comprising any one of the vector as described in the first aspect, the host cell as described in the third aspect, and the T-lineage progenitor cell or the T cell as described in the fifth aspect or combination thereof.
Preferably, the pharmaceutical composition further comprises any one of a pharmaceutically acceptable carrier, excipient or diluent, or combination thereof.
In a seventh aspect, the present invention provides the pharmaceutical composition according to the fourth aspect for use in the preparation of a medicament for enhancing an immune response, preferably for the preparation of a medicament for enhancing an immune response of a T cell.
In the present invention, the pharmaceutical composition can be used to enhance an immune response, in particular, to enhance the immune response of a T cell.
In an eighth aspect, the present invention provides the pharmaceutical composition according to the fourth aspect for use in preparation of a medicament for preventing and/or treating immunodeficiency, preferably for preparation of a medicament for preventing and/or treating T cell immunodeficiency.
In the present invention, the pharmaceutical composition can be used for preventing and/or treating immunodeficiency, in particular, for preventing and/or treating T cell immunodeficiency.
In a ninth aspect, the present invention provides the pharmaceutical composition according to the fourth aspect for use in preparation of a medicament used for treating a tumor with T cell immunotherapy.
In the present invention, the pharmaceutical composition can be used in a T cell immunotherapy.
Compared with the prior art, the present invention has the following beneficial effects:
(1) Pluripotent stem cells which inducibly co-express exogenous Runx1 and Hoxa9 are successfully constructed in the present invention by introducing an exogenous vector co-expressing Runx1 and Hoxa9 into pluripotent stem cells. The pluripotent stem cells have the ability to differentiate into T cells, and can be used for preparing a medicine for enhancing immune effects, preventing and/or treating immunodeficiency and treating tumors;
(2) A directed differentiation system and a co-culture method are adopted in the present invention to directionally differentiate the pluripotent stem cells into T-lineage progenitor cells which can be induced to differentiate into T cells, and can be used for preparing a medicine for enhancing immune effects, preventing and/or treating immunodeficiency and treating tumors;
(3) The pluripotent stem cell-derived T cells obtained by the method of the present invention function normally without tumorigenic risk, and can be used for preparing a medicine for enhancing immune effects, preventing and/or treating immunodeficiency and treating tumors.
In order to further illustrate the technical measures adopted by the present invention and the effects thereof, the present invention is further described below with reference to the embodiments and accompanying drawings. It can be understand that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the present invention.
In the examples, techniques or conditions, which are not specifically indicated, are performed according to techniques or conditions described in the literature of the art, or according to product instructions. The reagents or instruments for use, which are not indicated with manufacturers, are conventional products that are commercially available from formal sources.
In this example, an inducible expression sequence was site-specifically knocked-in at the Rosa26 site of pluripotent stem cells by electro-transformation in combination with gene recombination, as shown in
The medium was replaced every day when the clone mass was adhered in the MEF cell layer. After 3 days, the clone mass was digested with 0.25% trypsin and passaged into a 12-well plate. The cell morphology was shown in
The total mRNA of the iRunx1-p2a-Hoxa9 pluripotent stem cells was extracted after 24 hours of Dox treatment (a Dox-free group was used as a control group), and the expression levels of Runx1 and Hoxa9 mRNA were obtained by Q-PCR. It was shown in
The directed hematopoietic differentiation system as shown in
Basic differentiation medium BDM: IMDM medium containing 15% fetal bovine serum, 200 μg/mL iron-saturated transferrin, 4.5×10−4 M thioglycerol, 2 mM GlutaMAX™-I additive and 0.5 mM ascorbic acid;
D0 medium: a basal differentiation medium containing 5 ng/mL bone morphogenetic protein 4;
D2.5 medium: a basic differentiation medium containing 5 ng/mL activin A and 5 ng/mL basic fibroblast growth factor;
D3 medium: a basal differentiation medium containing 5 ng/mL activin A, 5 ng/mL bone morphogenetic protein 4 and 5 ng/mL vascular endothelial growth factor;
D4 medium: a basal differentiation medium containing 5 ng/mL bone morphogenetic protein 4 and 5 ng/mL vascular endothelial growth factor;
D5 medium: a basal differentiation medium containing 5 ng/mL bone morphogenetic protein 4 and 5 ng/mL vascular endothelium growth factor, 20 ng/mL recombinant mouse interleukin 3, 20 ng/mL recombinant mouse interleukin 6, 20 ng/mL recombinant mouse stem cell factor, 20 ng/mL recombinant human thrombopoietin and 20 ng/mL hFlt3L;
D6 medium: a basal differentiation medium containing 5 ng/mL bone morphogenetic protein 4, 5 ng/mL intravascular growth factor, 20 ng/mL recombinant mouse interleukin 3, 20 ng/mL recombinant mouse interleukin 6, 20 ng/mL recombinant mouse stem cell factor, 20 ng/mL recombinant human thrombopoietin, 20 ng/mL hFlt3L and 1 μg/mL Doxycycline;
D7 medium: a basal differentiation medium containing 20 ng/mL recombinant mouse interleukin 3, 20 ng/mL recombinant mouse interleukin 6, 20 ng/mL recombinant mouse stem cell factor, 20 ng/mL recombinant human thrombopoietin, 20 ng/mL hFlt3L and 1 μg/mL Doxycycline.
The specific steps were as follows:
1 mL of 0.1% gelatin was placed in a 6-well plate 40 min before use. The pluripotent stem cells were digested into single cells with 0.05% trypsin, centrifuged and resuspended. The 0.1% gelatin was aspirated, and the pluripotent stem cell suspension was transferred into a gelatin-coated well and placed in an incubator for 40 min to remove MEF cells.
The suspended cells were collected, centrifuged at 250 g for 5 min, and washed once with DPBS. The cells were resuspended with D0 medium and counted, and the cell concentration was adjusted to 1×105/mL. Added 5-10 mL of cell suspension into a tilted 10 cm dish, pipetted 20 μL of cell suspension and added the same into a 15 cm culture dish to suspend the embryoid body (EB) with 20 μL (about 2000 cells) per single EB. The culture dish was then inverted and a 10 cm culture dish lid was placed at the bottom of the culture dish and 5-6 mL of cell culture water was added into the lid. Incubated in an incubator at 37° C. for 2.5 days.
The EB was collected into a centrifuge tube with a Pasteur pipette, and the bottom of the dish was washed with DPBS. The supernatant was carefully aspirated when the EB has settled naturally. Alternatively, the supernatant was removed by centrifugation at a low speed of 90 g for 5 min. DPBS was added to rinse once. The supernatant was removed again by sediment or centrifugation. The EB was resuspended with D2.5 medium, transferred into a low-adherence 24-well plate and cultured for 12 hours to observe whether the EB was contaminated.
The EB was collected into a 15 mL centrifuge tube, and the supernatant was carefully aspirated when the EB has settled naturally. DPBS was added to rinse once. 400 μL of 0.05% trypsin was added, transferred into a 24-well low-adhesive culture dish and digested at 37° C. for 3 min, followed by repeated gentle blistering of the EB, and D3 medium was added to terminate the digestion when the EB exhibited a single cell state, centrifuged at 350 g for 5 min. The viable cells were resuspended with D3 medium and counted, and inoculated into a 12-well plate which was pre-coated with 0.1% gelatin at a density of 2×105 cells/well.
Rinsed with DPBS once, replaced with D4 medium and cultured for one day.
Rinsed with DPBS once, replaced with D5 medium and cultured for one day.
Rinsed with DPBS once, replaced with D6 medium and cultured for one day.
Rinsed with DPBS once, replaced with D7 medium and cultured for one day.
The medium was then replaced every other day with D7 medium. As shown in
The inventors co-cultured hematopoietic stem cell precursors with mouse bone marrow stromal cells to verify that the hematopoietic precursor cells which were differentiated from pluripotent stem cells have the proliferative ability as an embryonic hematopoietic stem cell precursor population, that is, the ability to form cobblestone-like areas with high expansion potential on stromal cells. The co-culture medium was alpha-MEM medium containing 15% DFBS, 200 μg/mL iron-saturated transferrin, 4.5×10−4 M thioglycerol, 2 mM GlutaMAX™-I additive, 0.5 mM ascorbic acid, 2% AFT024-mSCF conditioned medium, 2% AFT024-mIL3 conditioned medium, 2% AFT024-hFlt3L conditioned medium and 1 μg/mL Dox.
On day 11 of the embryoid body-monolayer culture, hematopoietic stem cell precursors (CD31+CD41lowCD45−c-Kit+CD201high) were sorted by flow cytometry by using the sorting strategy as shown in
The inventors further designed a post-co-culture transplantation strategy to obtain T cells by utilizing the in vivo microenvironment. As shown in
It was shown in
After 5 weeks, the mouse was sacrificed and the blood cell lineages in its peripheral blood, bone marrow, spleen and thymus were analyzed by flow cytometry to further clarify the distribution of iRunx1-p2a-Hoxa9 pluripotent stem cell-derived blood cells in other hematopoietic and lymphoid tissues. It was found in the flow cytometry analysis that, as shown in
Primers were designed for PCR amplification and sequencing identification to confirm, from the genome level, that CD45.2+ hematopoietic cells (mainly T cells) in the recipient mouse were derived from iRunx1-p2a-Hoxa9 pluripotent stem cells. First, bone marrow- and spleen-derived CD45.2+ cells were sorted by flow cytometry, the genome thereof was extracted, and the specific primers of the knocked-in gene sequence were used for PCR identification.
The thymus DN cell population was analyzed to further identify the type of the pluripotent stem cell-derived immune cells in the mouse. It was shown in
The culture supernatant was analyzed by ELISA. As shown in
In summary, pluripotent stem cells which inducibly co-express exogenous Runx1 and Hoxa9 are successfully constructed in the present invention by introducing an exogenous vector co-expressing Runx1 and Hoxa9 into pluripotent stem cells. The pluripotent stem cells were directionally differentiated into T-lineage progenitor cells which will be developed into T cells. The pluripotent stem cell-derived T cells obtained by the method of the present invention are not only functionally normal but also have no tumorigenic risk, and can be used for preparing a medicine for enhancing an immune effect, preventing and/or treating immunodeficiency and treating a tumor.
The applicant states that detailed methods of the present invention are demonstrate in the present invention through the above embodiments, however, the present invention is not limited to the above detailed methods, and does not mean that the present invention must rely on the above detailed methods to implement. It should be apparent to those skilled in the art that, for any improvement of the present invention, the equivalent replacement of the raw materials of the present invention, the addition of auxiliary components, and the selection of specific modes, etc., will all fall within the protection scope and the disclosure scope of the present invention.
Number | Date | Country | Kind |
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201711490483.8 | Dec 2017 | CN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CN2018/072254 | 1/11/2018 | WO | 00 |
Number | Date | Country | |
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20200208107 A1 | Jul 2020 | US |