J L Endres studies the immune system's behavior in rheumatoid arthritis, a condition where the body's immune system mistakenly attacks its own joints, causing inflammation and pain. They explore how immune cells called T cells communicate with joint lining cells to understand how these interactions lead to increased inflammation. By examining specific proteins like B7-H3 and TNF-alpha, Endres investigates how these interactions could be manipulated to develop better treatments for rheumatoid arthritis and potentially other inflammatory diseases.
Key findings
B7-H3 protein levels influence T cell behavior: reducing B7-H3 led resting T cells to produce more inflammatory chemicals by 50%, while activated T cells produced fewer.
Activated T cells attach tightly to joint lining cells and encourage them to produce inflammatory chemicals, a process dependent on TNF-alpha, explaining the effectiveness of TNF-alpha blocking drugs for rheumatoid arthritis.
Joint lining cells can present damaged joint proteins to T cells, which activates them to attack more joint tissue, suggesting these cells drive inflammation in rheumatoid arthritis.
Frequently asked questions
Does Dr. J L Endres study rheumatoid arthritis?
Yes, Dr. Endres focuses on the immune processes involved in rheumatoid arthritis.
What treatments has Dr. Endres researched for rheumatoid arthritis?
Dr. Endres's research highlights the potential of targeting proteins like B7-H3 and TNF-alpha in developing new treatments.
Is Dr. Endres's work relevant to people with inflammatory diseases?
Yes, their research also has implications for other inflammatory diseases beyond rheumatoid arthritis.
Publications in plain English
Quaternized chitosan derivatives inhibit growth and affect biofilm formation of Staphylococcus aureus.
2025
Scientific reports
Miranda A, Brandquist ND, Johnson K, Muldiiarova E, Fadeev A +7 more
Plain English This study looked at modified chitosan, a natural substance, to see if it could fight against the tough bacteria Staphylococcus aureus, including its drug-resistant form, MRSA. Researchers found that these modified versions of chitosan could significantly reduce bacterial growth: they effectively killed off bacteria both in common and drug-resistant strains. This is important because it offers a new way to prevent and treat infections, especially in places like hospitals where bacteria are more likely to form stubborn biofilms.
Who this helps: This benefits patients at risk of infections, especially those in medical settings.
Plain English This study looked at how a certain bacterium takes in a key energy source called pyruvate, especially under different growing conditions. Researchers found that this bacterium has four different transporters that help it absorb pyruvate: two previously thought to only transport lactate and a newly identified one. When all four transporters were disabled, the bacterium could no longer take in pyruvate, showing how crucial these systems are for its growth and survival.
Who this helps: This information benefits researchers studying bacterial infections and could help develop better treatments.
Glutamatedependent arginine biosynthesis requires the inactivation of,andin.
2024
Journal of bacteriology
Reslane I, Handke LD, Watson GF, Shinde D, Ahn J-S +7 more
Plain English This study examined how certain bacteria generate arginine, an important amino acid, when they have glutamate available but lack arginine and glucose. Researchers found that when these bacteria had specific mutations, they could grow by using proline instead of glutamate to make arginine. By identifying certain regulatory proteins that control this process, they discovered how bacteria adapt despite nutrient limitations, which is important for understanding how bacteria can survive in hostile environments.
Who this helps: This helps researchers studying bacterial growth and resistance, which can inform treatment strategies for infections.
Fast and accurate identification of pathogenic bacteria using excitation-emission spectroscopy and machine learning.
2024
Sensors & diagnostics
Henry J, Endres JL, Sadykov MR, Bayles KW, Svechkarev D
Plain English This study focused on developing a quick and precise way to identify harmful bacteria using a special light-sensing method paired with machine learning. The researchers found that their technique correctly identified eight types of bacteria with 85.8% accuracy on a species level and 98.3% accuracy for determining whether the bacteria were Gram-positive or Gram-negative. This matters because speedy and accurate identification of bacteria can significantly improve patient care, especially in places with limited resources.
Who this helps: Patients and healthcare providers in settings with fewer diagnostic tools.
Inactivation of the Pta-AckA pathway impairs fitness ofduring overflow metabolism.
2021
Journal of bacteriology
Won HI, Watson SM, Ahn JS, Endres JL, Bayles KW +1 more
Plain English This study examined a specific metabolic pathway called the Pta-AckA pathway in the bacterium that causes anthrax. Researchers found that when this pathway was disrupted, the bacteria struggled to grow and had imbalanced energy levels, resulting in up to a drastic growth reduction compared to normal. Understanding this pathway is essential because it can lead to better treatments and vaccines against this dangerous bacterium.
Who this helps: This helps patients and public health officials working to control anthrax infections.
Time-Resolved Fluorescence Assay for Measuring Oxygen Consumption Rates in Staphylococcus aureus.
2021
Methods in molecular biology (Clifton, N.J.)
Bulock LL, Endres JL, Sadykov MR
Plain English This study examined how Staphylococcus aureus bacteria use oxygen, which is important for understanding their energy and growth. Researchers developed a quick test that measures how much oxygen these bacteria consume, helping them understand how different factors like mutations and antibiotics affect bacterial behavior. The method is easy to use and can test many samples at once, making it a valuable tool for future research.
Who this helps: This helps researchers and doctors who are working on bacterial infections.
The Staphylococcus aureus CidA and LrgA Proteins Are Functional Holins Involved in the Transport of By-Products of Carbohydrate Metabolism.
2021
mBio
Endres JL, Chaudhari SS, Zhang X, Prahlad J, Wang SQ +5 more
Plain English This study looked at two proteins, CidA and LrgA, from the bacteria Staphylococcus aureus, and found that they help the bacteria manage by-products from breaking down carbohydrates. Specifically, the proteins create holes in the bacterial membrane that allow for the transport of small molecules, which is crucial for the bacteria's growth in low-oxygen conditions. Understanding these proteins is important because they reveal how bacteria can thrive and survive, which could be relevant for developing new treatments against bacterial infections.
Who this helps: This benefits doctors and researchers working to combat bacterial infections.
Stochastic Expression of Sae-Dependent Virulence Genes during Staphylococcus aureus Biofilm Development Is Dependent on SaeS.
2020
mBio
DelMain EA, Moormeier DE, Endres JL, Hodges RE, Sadykov MR +2 more
Plain English This study looked at how a specific system in Staphylococcus aureus, called SaePQRS, affects the way this bacteria forms biofilms and expresses its harmful genes. Researchers found that certain genes linked to the bacteria's ability to cause disease were turned on in a random manner in some cells within developing biofilms—this was observed in almost all strains tested except one. This matters because understanding how these bacteria operate can help us develop better treatments for infections that are tough to cure.
Who this helps: This helps patients dealing with stubborn infections and doctors treating them.
Construction of a Sequence-Defined Transposon Mutant Library in Staphylococcus aureus.
2019
Methods in molecular biology (Clifton, N.J.)
Endres JL, Yajjala VK, Fey PD, Bayles KW
Plain English This research focused on creating a library of genetic mutations in the bacteria Staphylococcus aureus to better understand how certain genes work. The researchers used a specialized method to insert random mutations into nearly all the nonessential genes, which helps pinpoint how each gene contributes to the bacteria's behavior. This is important because it can lead to new insights into how to combat infections caused by this bacteria.
Who this helps: This helps doctors and researchers working on treatments for bacterial infections.
CidR and CcpA Synergistically Regulate Staphylococcus aureusExpression.
2019
Journal of bacteriology
Sadykov MR, Windham IH, Widhelm TJ, Yajjala VK, Watson SM +5 more
Plain English This research studied how two proteins, CidR and CcpA, work together to control certain genes in Staphylococcus aureus, a type of bacteria. The researchers found that both proteins are needed for the bacteria to effectively manage their metabolism and promote cell death in biofilms, which helps the entire bacterial community. Knowing how these proteins interact is crucial because it sheds light on how bacterial biofilms develop and could lead to better strategies for treating infections caused by these bacteria.
Who this helps: This helps healthcare providers and researchers working to combat bacterial infections.
Simple synthesis of endophenazine G and other phenazines and their evaluation as anti-methicillin-resistant Staphylococcus aureus agents.
2017
European journal of medicinal chemistry
Udumula V, Endres JL, Harper CN, Jaramillo L, Zhong HA +2 more
Plain English This study looked at new chemical compounds called phenazines to see if they could fight against a tough bacteria called methicillin-resistant Staphylococcus aureus (MRSA). The researchers found that these phenazines worked well against MRSA, with some being effective at very low concentrations. This is important because MRSA is hard to treat, and these new compounds could lead to better treatments for infections.
Who this helps: This helps patients with MRSA infections.
Plain English This research studied how a substance called poly(3-hydroxybutyrate) (PHB) helps the bacteria Bacillus anthracis produce spores. The researchers found that when PHB was missing, the bacteria struggled to create energy and vital structures needed for spore development, significantly lowering spore quality. Specifically, without PHB, there was less energy available, leading to lower production of crucial components for spores, like dipicolinic acid. Understanding how PHB supports spore formation is important for controlling this bacterium, which can cause serious infections.
Who this helps: This helps doctors and researchers dealing with Bacillus anthracis infections.
Plain English This study created a collection of mutant bacteria from two types of harmful germs, Staphylococcus aureus and Staphylococcus epidermidis. They randomly inserted genetic elements into the bacteria's DNA, which disrupted certain genes, allowing researchers to better study the roles of these genes in areas like metabolism and how the bacteria resist antibiotics. This knowledge is important because it can lead to improved treatments for infections caused by these germs.
Who this helps: This helps doctors and researchers looking for better ways to treat bacterial infections.
Plain English This study looked at how low doses of the antibiotic amoxicillin affect the growth of a specific strain of methicillin-resistant Staphylococcus aureus (MRSA) known as USA300. Researchers found that low doses of amoxicillin made these bacteria better at sticking to surfaces and forming thick clusters called biofilms. The biofilms created under these conditions were more structured and less porous, indicating that the presence of this antibiotic can contribute to the bacteria's ability to survive and resist treatment.
Who this helps: This helps doctors and researchers better understand MRSA and develop more effective treatment options for patients infected with this bacteria.
Novel fluorinated pyrrolomycins as potent anti-staphylococcal biofilm agents: Design, synthesis, pharmacokinetics and antibacterial activities.
2016
European journal of medicinal chemistry
Yang Z, Liu Y, Ahn J, Qiao Z, Endres JL +7 more
Plain English This study looked at a new type of antibiotic called fluorinated pyrrolomycins to combat Staphylococcus aureus (SA), a common cause of hard-to-treat infections. Researchers found that one specific compound, fluorinated pyrrolomycin 4, was very effective, killing bacteria even when they formed protective biofilms, with a minimum effective dose of just 73 nanograms per milliliter. These findings are important because they provide a potential new treatment option for infections that are resistant to current antibiotics.
Who this helps: This benefits patients with hard-to-treat staph infections and healthcare providers managing these cases.
Identification of inhibitors for single-stranded DNA-binding proteins in eubacteria.
2016
The Journal of antimicrobial chemotherapy
Glanzer JG, Endres JL, Byrne BM, Liu S, Bayles KW +1 more
Plain English This study focused on finding new drugs to fight drug-resistant bacteria by targeting specific proteins essential for bacterial DNA functions. Researchers identified several chemical compounds that effectively inhibited these proteins in bacteria like Staphylococcus aureus and Bacillus anthracis, and some of these compounds were not harmful to human cells. This finding is important because it opens up new possibilities for developing treatments against various bacterial infections.
Who this helps: This research benefits patients facing infections from drug-resistant bacteria.
Identification of the amino acids essential for LytSR-mediated signal transduction in Staphylococcus aureus and their roles in biofilm-specific gene expression.
2015
Molecular microbiology
Lehman MK, Bose JL, Sharma-Kuinkel BK, Moormeier DE, Endres JL +3 more
Plain English This study looked at how a system in the bacteria Staphylococcus aureus controls gene expression during biofilm development. Researchers found that certain amino acids in a signaling system (specifically Asp53, His390, and Asn394) are crucial for activating genes linked to biofilm formation, with changes in this system affecting how these bacteria grow and form structures. Understanding these mechanisms helps develop better strategies to disrupt biofilms, which are often resistant to treatment and can lead to serious infections.
Who this helps: This benefits doctors and researchers working to treat Staphylococcus aureus infections.
Examination of the Staphylococcus aureus nitric oxide reductase (saNOR) reveals its contribution to modulating intracellular NO levels and cellular respiration.
2015
Molecular microbiology
Lewis AM, Matzdorf SS, Endres JL, Windham IH, Bayles KW +1 more
Plain English This research focused on a specific protein in the bacteria Staphylococcus aureus, which helps the bacteria deal with harmful molecules called nitric oxide (NO). The study found that while another protein (Hmp) plays a bigger role in breaking down NO, a related protein (saNOR) also helps maintain the bacteria's ability to grow and respire when exposed to NO, especially under low-oxygen conditions. This is important because it shows how certain strains of Staphylococcus aureus can resist stress and thrive in challenging environments, which could lead to better treatments for infections caused by this bacteria.
Who this helps: This helps doctors and researchers understand Staphylococcus aureus better, aiming to improve treatment options for infected patients.
Plain English This study focused on creating a specific type of genetic library for the bacteria Staphylococcus epidermidis, which is typically hard to study because of its complex genetics. Researchers successfully developed a new method to generate these libraries using a specific transposon, leading to a better understanding of how this bacteria behaves, particularly in its ability to stick and form biofilms. This is significant because it opens up new avenues for research into infections caused by Staphylococcus epidermidis.
Who this helps: This benefits researchers and healthcare professionals studying bacterial infections.
Predicting the virulence of MRSA from its genome sequence.
2014
Genome research
Laabei M, Recker M, Rudkin JK, Aldeljawi M, Gulay Z +21 more
Plain English Researchers studied 90 samples of MRSA bacteria to see how their genetic make-up affects their ability to harm people. They found that while the ability to stick to human tissues didn’t vary much, the toxicity levels varied significantly—by over 10 times—among different samples. By identifying specific genetic features linked to toxicity, they created an accurate model that can predict how dangerous a particular strain of MRSA might be based solely on its DNA.
Who this helps: This research benefits doctors and patients by providing tools to better assess the risks posed by different MRSA strains.
A central role for carbon-overflow pathways in the modulation of bacterial cell death.
2014
PLoS pathogens
Thomas VC, Sadykov MR, Chaudhari SS, Jones J, Endres JL +5 more
Plain English This study looked at how certain bacteria control cell death to help form stronger communities called biofilms. Researchers found that a specific pathway involving CidC increases cell death by making the environment acidic, while another pathway called AlsSD reduces that effect by creating neutral byproducts. This balance between cell death and survival impacts the growth of biofilms and can influence diseases caused by these bacteria.
Who this helps: This research benefits doctors and patients dealing with bacterial infections, especially those related to biofilm formation.
Plain English Researchers at the Nebraska Center for Staphylococcal Research created a large collection of genetically altered Staphylococcus aureus strains to study how specific genes affect the bacteria's behaviors, such as breaking down red blood cells, producing certain enzymes, and changing color. They discovered that 71 of these strains showed different abilities to break down red blood cells, 62 had reduced enzyme production, and many other unexpected gene effects were found, indicating the depth of this genetic library's usefulness. This resource will help scientists better understand and target treatment for infections caused by this harmful bacteria, which are common in hospitals and communities.
Who this helps: This helps researchers and healthcare professionals working to combat Staphylococcus aureus infections.
Use of microfluidic technology to analyze gene expression during Staphylococcus aureus biofilm formation reveals distinct physiological niches.
2013
Applied and environmental microbiology
Moormeier DE, Endres JL, Mann EE, Sadykov MR, Horswill AR +3 more
Plain English This study examined how certain genes in Staphylococcus aureus, which can cause infections, behave during the formation of biofilms—thick clusters of bacteria that stick together. Researchers found that an important gene (cid) is more active in low-oxygen areas of the biofilm, while another gene (lrg) showed a more even expression throughout the structure, indicating different roles. These findings underscore the importance of oxygen levels in how bacteria organize themselves and manage their activities within a biofilm, which can inform treatment strategies.
Who this helps: This helps doctors and researchers working on infections caused by Staphylococcus aureus.
Staphylococcus aureus CidA and LrgA proteins exhibit holin-like properties.
2011
Journal of bacteriology
Ranjit DK, Endres JL, Bayles KW
Plain English This study examined two proteins from the bacteria Staphylococcus aureus, called CidA and LrgA, to understand how they help control cell death and the formation of biofilms, which are communities of bacteria that stick together. The researchers found that CidA and LrgA are involved in forming large complexes that affect how cells die; when CidA was altered, the bacteria showed increased cell lysis and stronger biofilm formation. This matters because understanding these processes can help in developing better treatments for infections caused by biofilm-forming bacteria.
Who this helps: This helps patients with infections, particularly those related to biofilms.
A polymorphism in the interleukin-4 receptor affects the ability of interleukin-4 to regulate Th17 cells: a possible immunoregulatory mechanism for genetic control of the severity of rheumatoid arthritis.
2011
Arthritis research & therapy
Wallis SK, Cooney LA, Endres JL, Lee MJ, Ryu J +2 more
Plain English This study looked at a specific genetic change in the interleukin-4 receptor (IL-4R) and its impact on a type of immune cell involved in rheumatoid arthritis (RA). Researchers found that this genetic change (the I50V SNP) affects how well IL-4 can regulate IL-17 production, with healthy individuals showing significant differences depending on which version of the IL-4R gene they had. In RA patients, however, the ability of IL-4 to control IL-17 production was diminished, which may help explain why the disease often gets worse despite treatment.
Who this helps: This research benefits patients with rheumatoid arthritis by providing insights into how their condition might be influenced by genetics, potentially guiding future treatment strategies.
Modulation of eDNA release and degradation affects Staphylococcus aureus biofilm maturation.
2009
PloS one
Mann EE, Rice KC, Boles BR, Endres JL, Ranjit D +5 more
Plain English This study looked at how certain genes in Staphylococcus aureus bacteria affect the formation of biofilms, which are clusters of bacteria that stick together. Researchers found that the release and breakdown of the bacteria's DNA play a key role in how these biofilms form and mature. When they altered specific genes, they noticed significant changes in biofilm growth—mutations led to either thicker biofilms or changes in their structure.
Who this helps: This information helps doctors and researchers treat infections caused by Staphylococcus aureus, particularly in patients with chronic or implant-related infections.
Plain English This study looked at a specific toxin-antitoxin system in a type of bacteria called Enterococcus faecalis. Researchers found that a toxin called Fst is part of a family of at least nine similar toxins in various bacteria, which could lead to better understanding how these bacteria survive and interact with each other. They also discovered that the genetic setup of these toxins is similar across different bacterial species, indicating a common way of functioning that may have important implications for bacterial behavior and resistance.
Who this helps: This research benefits doctors and scientists working to combat bacterial infections and develop new treatments.
Interactions of T cells with fibroblast-like synoviocytes: role of the B7 family costimulatory ligand B7-H3.
2008
Journal of immunology (Baltimore, Md. : 1950)
Tran CN, Thacker SG, Louie DM, Oliver J, White PT +4 more
Plain English Researchers found that cells in the joints of people with rheumatoid arthritis (a disease where the immune system attacks joints) produce a protein called B7-H3 that helps activate immune cells called T cells. When they reduced B7-H3 levels in lab experiments, T cells behaved differently depending on whether they were already activated or not—resting T cells made more inflammatory chemicals, while already-activated T cells made fewer. This discovery matters because B7-H3 could be a new target for treating rheumatoid arthritis and possibly other inflammatory diseases.
Interleukin-17 as a molecular target in immune-mediated arthritis: immunoregulatory properties of genetically modified murine dendritic cells that secrete interleukin-4.
2007
Arthritis and rheumatism
Sarkar S, Tesmer LA, Hindnavis V, Endres JL, Fox DA
Plain English This study looked at how modified immune cells, known as dendritic cells that produce interleukin-4 (IL-4), affect a type of arthritis in mice. Researchers found that these IL-4-producing cells significantly reduced the production of a harmful protein called IL-17 during the early stages of arthritis, but not in the advanced stages. This matters because targeting IL-17 could be a new way to treat arthritis before it becomes severe.
Who this helps: This benefits patients with early-stage autoimmune arthritis.
The cidA murein hydrolase regulator contributes to DNA release and biofilm development in Staphylococcus aureus.
2007
Proceedings of the National Academy of Sciences of the United States of America
Rice KC, Mann EE, Endres JL, Weiss EC, Cassat JE +2 more
Plain English This study looked at how a specific gene, cidA, affects the way the bacteria Staphylococcus aureus forms biofilms, which are clusters of bacteria that stick together on surfaces. The researchers found that when the cidA gene was mutated, the bacteria created biofilms that were rougher and less sticky, with five times less DNA present than in normal bacteria. This means that the cidA gene is important for releasing DNA, which helps the biofilm hold together, and understanding this process can lead to better ways to treat infections caused by this bacteria.
Who this helps: This benefits doctors and patients dealing with Staphylococcus aureus infections.
Presentation of arthritogenic peptide to antigen-specific T cells by fibroblast-like synoviocytes.
2007
Arthritis and rheumatism
Tran CN, Davis MJ, Tesmer LA, Endres JL, Motyl CD +7 more
Plain English Researchers studied whether cells lining the joints of rheumatoid arthritis patients can trigger the immune system to attack the joint itself by presenting pieces of joint proteins to immune cells called T cells. They found that these joint cells can indeed do this—they grab pieces of damaged joint proteins and display them to T cells, which then become activated and attack more joint tissue. This matters because it suggests these joint cells are actively fueling the cycle of inflammation and destruction in rheumatoid arthritis, making them a potential new target for treatment.
Molecular interactions between T cells and fibroblast-like synoviocytes: role of membrane tumor necrosis factor-alpha on cytokine-activated T cells.
2007
The American journal of pathology
Tran CN, Lundy SK, White PT, Endres JL, Motyl CD +6 more
Plain English Researchers studied how immune cells called T cells interact with joint lining cells in rheumatoid arthritis, using microscopy to watch these interactions happen in real time. They found that a specific type of activated T cell sticks tightly to joint cells and triggers them to produce inflammatory chemicals, and this process depends on a protein called TNF-alpha on the T cell's surface. This discovery explains why TNF-alpha blocking drugs are so effective at treating rheumatoid arthritis—they literally stop the inflammatory conversation between immune cells and joint tissue.
Evidence for the expression of a second CD6 ligand by synovial fibroblasts.
2000
Arthritis and rheumatism
Joo YS, Singer NG, Endres JL, Sarkar S, Kinne RW +2 more
Plain English This study explored a potential second ligand for a protein called CD6, primarily found on immune cells, specifically in the context of synovial fibroblasts, which are cells involved in joint health. Researchers found that synovial fibroblasts bind to a new CD6 ligand that is different from the already known CD166, with binding increasing significantly when these cells were treated with certain immune signals. Finding this second ligand is important because it could lead to better understanding and treatment of autoimmune conditions like rheumatoid arthritis.
Who this helps: Patients with autoimmune diseases, particularly those affected by rheumatoid arthritis.
Systemic toxicity following administration of sirolimus (formerly rapamycin) for psoriasis: association of capillary leak syndrome with apoptosis of lesional lymphocytes.
Plain English This study looked at the effects of sirolimus, a medication used to treat psoriasis, and found that it was linked to a serious side effect called capillary leak syndrome. Among patients, one individual had a higher rate of dying skin cells—48% compared to 21% in another patient—suggesting that the drug might be harming immune cells. This matters because understanding these side effects can help better manage the treatment of psoriasis and protect patients from severe complications.
Who this helps: This helps patients with psoriasis and their doctors.
Contribution of the glycoprotein Ia 807TT, methylene tetrahydrofolate reductase 677TT and prothrombin 20210GA genotypes to prothrombotic risk among factor V 1691GA (Leiden) carriers.
Plain English This study looked at how certain genetic factors might increase the risk of blood clots in people who carry a specific mutation called factor V Leiden. Out of 156 people with symptoms of blood clots, nearly 25% had the prothrombin 20210GA genotype, compared to just 2.6% of asymptomatic carriers, showing that this genetic variant significantly raises the likelihood of clotting when combined with factor V Leiden. This is important because it helps identify those at higher risk for clots and could lead to better preventive strategies for affected individuals.
Who this helps: Patients with factor V Leiden who may be at risk for blood clots.
EM changes and other toxic effects of firemaster BP-6 (polybrominated biphenyls) in the mouse.
1978
Environmental health perspectives
Corbett TH, Simmons JL, Kawanishi H, Endres JL
Plain English This study looked at the effects of a chemical called FireMaster BP-6 on mice over periods of 4 to 14 days. Researchers found that mice eating this chemical had bigger livers, with the liver weighing about 13.93% of their total body weight compared to just 6.49% for mice that did not eat it. These changes can harm the liver and potentially lead to serious health problems, showing that exposure to FireMaster BP-6 has significant negative effects.
Who this helps: This helps patients who may be exposed to toxic chemicals and doctors treating related health issues.