Immune NetworkPub Date : 2025-08-20eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e32
Anthony Shadid, Kathryn D Hok, Aleksey Y Domozhirov, Tingting Weng-Mills, Marie-Françoise Doursout, Nirmal K Banda, Marcos I Restrepo, Pooja Shivshankar
{"title":"Enigmatic Roles of Complement Anaphylatoxin Signaling in Health and Disease.","authors":"Anthony Shadid, Kathryn D Hok, Aleksey Y Domozhirov, Tingting Weng-Mills, Marie-Françoise Doursout, Nirmal K Banda, Marcos I Restrepo, Pooja Shivshankar","doi":"10.4110/in.2025.25.e32","DOIUrl":"10.4110/in.2025.25.e32","url":null,"abstract":"<p><p>Complement anaphylatoxins C3a and C5a are potent immunomodulators whose impact extends well beyond their traditional roles in innate immunity. Acting through G protein-coupled receptors C3aR, C5aR1, and C5aR2, these peptides take part in coordinating immune cell recruitment, vascular tone, and tissue remodeling. Yet their functions are deeply context-dependent: while they play essential roles in microbial clearance and immune coordination, their overactivation contributes to immunopathology in a wide range of diseases. The anaphylatoxins play key roles in early pathogen containment but can also drive cytokine storm and tissue damage, as in coronavirus disease 2019 (COVID-19) and bacterial sepsis. In autoimmune conditions, the anaphylatoxins promote leukocyte infiltration and complement-mediated tissue injury. In chronic diseases, they contribute to fibrosis in diabetic kidney disease and idiopathic pulmonary fibrosis, and anaphylatoxins disrupt neurovascular integrity in neurodegenerative diseases. In cancer, C3a and C5a shape the tumor microenvironment by facilitating immune evasion, angiogenesis, and metastasis. As complement-targeted therapies gain momentum in clinical settings-particularly in the treatment of genetic disorders, such as paroxysmal nocturnal hemoglobinuria, more recently COVID-19, and cancer-a deeper mechanistic understanding of C3a and C5a signaling is imperative as we advance closer toward precision medicine, and this review aims to inform future approaches for therapeutic complement modulation.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e32"},"PeriodicalIF":4.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-08-12eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e30
DingYuan Bai, YuXuan Zhou, LingJie Jing, Cheng Guo, QuanJun Yang
{"title":"Arginine Metabolism in Cancer Biology and Immunotherapy.","authors":"DingYuan Bai, YuXuan Zhou, LingJie Jing, Cheng Guo, QuanJun Yang","doi":"10.4110/in.2025.25.e30","DOIUrl":"10.4110/in.2025.25.e30","url":null,"abstract":"<p><p>Arginine, a conditionally essential amino acid, orchestrates critical metabolic networks in cancer biology and immunotherapy. Abnormalities in arginine metabolism are associated with cancer initiation, progression and immune escape. Polyamines and nitric oxide are the key metabolites with multiple regulatory effects on cancer cell growth and immune cells by driving metabolic reprogramming and promoting immune evasion in cancer cells. Targeting key enzymes and transporters in arginine pathways, along with arginine deprivation therapy, shows promise in preclinical and clinical studies. This review summarizes the regulatory mechanisms of arginine metabolism and evaluates its potential as a therapeutic target in cancer therapy. We specifically discuss the multifaceted roles of arginine and its metabolites in cancer progression, immune cell regulation, and immunotherapy, providing a theoretical foundation for its application in cancer prevention and treatment.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e30"},"PeriodicalIF":4.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-08-12eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e29
Leanne Palichuk, Enoch Tin, Jongbok Lee
{"title":"Adoptive Cellular Therapies in Pediatric Leukemia Patients After Allogeneic-Hematopoietic Stem Cell Transplants.","authors":"Leanne Palichuk, Enoch Tin, Jongbok Lee","doi":"10.4110/in.2025.25.e29","DOIUrl":"10.4110/in.2025.25.e29","url":null,"abstract":"<p><p>Allogeneic hematopoietic stem cell transplantation (allo-HSCT) provides a curative potential for high-risk patients with leukemia following first-line therapies, driven by potent immune cell-dependent anti-tumour activities. Although deep remission can be achieved, many patients relapse after allo-HSCT, and further treatment options are scarce. Given the potent immune cell-mediated anti-leukemic effects of allo-HSCT, adoptive cellular therapies (ACTs) have been explored as an adjunctive therapy to enhance the efficacy of allo-HSCT or to treat patients who relapse after allo-HSCT. Interestingly, evidence suggests a stratified therapeutic approach is warranted between pediatric and adult leukemic cases, due to differences in genetic mutations and treatment tolerability. However, pediatric-specific investigations are limited, especially in the cellular therapeutic landscape to treat relapse after allo-HSCT. Known severe toxicities attributed to ACTs need to be addressed for this younger population to ensure prolonged quality of life. This review summarizes the current landscape of ACTs, including donor lymphocyte infusion, chimeric Ag receptor-T cell, NK cell, and double-negative T cell therapies, for treating pediatric leukemia post allo-HSCT, highlighting efficacy, safety, and gaps in pediatric-specific data to guide future research.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e29"},"PeriodicalIF":4.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-08-11eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e28
Leechung Chang, Yeo-Jin Jeong, Haeun Chang, Hyeon Deok Sang, Ki-Nam Kwon, Su-Bin Lee, Si-Yoon Kim, You Min Kang, Sungji Ha, Se Hee Kim, Keun-Ah Cheon, Ho-Keun Kwon
{"title":"Distinct T Cell Dysregulation Reflects Disease Severity and Progression in Infantile Epileptic Spasms Syndrome and Lennox-Gastaut Syndrome.","authors":"Leechung Chang, Yeo-Jin Jeong, Haeun Chang, Hyeon Deok Sang, Ki-Nam Kwon, Su-Bin Lee, Si-Yoon Kim, You Min Kang, Sungji Ha, Se Hee Kim, Keun-Ah Cheon, Ho-Keun Kwon","doi":"10.4110/in.2025.25.e28","DOIUrl":"10.4110/in.2025.25.e28","url":null,"abstract":"<p><p>Developmental and epileptic encephalopathies (DEEs), including Infantile Epileptic Spasms Syndrome (IESS) and Lennox-Gastaut Syndrome (LGS), are severe pediatric conditions characterized by profound developmental delays and treatment-resistant epilepsy. Although steroid therapies provide some clinical benefits, the underlying immunological mechanisms remain poorly understood. In this study, we performed comprehensive immune profiling using multi-parametric flow cytometry on PBMCs from IESS (n=25) and LGS (n=9) patients, comparing them with age-matched healthy controls (n=54). Our findings identified distinct patterns of immune dysregulation: IESS patients exhibited reduced naïve CD4<sup>+</sup> T cells, an altered CD4/CD8 ratio, and diminished TNFα production in CD4<sup>+</sup> T cells. Conversely, LGS patients demonstrated an increase in central memory CD4<sup>+</sup> T cells, marked dysfunction of Tregs, and heightened activation of CD8<sup>+</sup> T cells. Notably, elevated activated CD8<sup>+</sup> T cells in IESS patients correlated significantly with clinical severity and demonstrated enhanced responsiveness to viral peptides, suggesting prior viral infections may exacerbate disease progression. Collectively, our findings demonstrate distinct immune signatures associated with disease severity and progression in DEE, suggesting their potential utility as biomarkers. Further studies are necessary to determine whether targeting these immune pathways could provide clinical benefits.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e28"},"PeriodicalIF":4.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-08-07eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e27
Jisun Jung, Jaeu Yi
{"title":"A Novel Approach of T Cell Receptor Classification Reveals Dynamic Interactions Amongst Diet, Microbiota, and Host T Cells.","authors":"Jisun Jung, Jaeu Yi","doi":"10.4110/in.2025.25.e27","DOIUrl":"10.4110/in.2025.25.e27","url":null,"abstract":"<p><p>The intestinal immune system is adapted to maintain constant interactions with environmental stimuli without causing inflammation. The recognition of Ags derived from microbes and diet can induce Treg or effector T cell responses through dynamic regulatory mechanisms, significantly impacting host health and disease. Although several examples of Ag-specific T cell responses to microbial or dietary Ags have been reported, our understanding of the full range of gut T cell responses remains highly limited. In this review, we highlight recent insights into the complexity of gut TCR responses. Different from traditional approaches, such as TCR transgenic mice and peptide MHC tetramers, our novel approach enables comprehensive analysis of entire repertoire of intestinal TCR responses, revealing both aggregated or individual TCR responses to different classes of Ags, which are regulated by bidirectional interactions between diet and microbiota.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e27"},"PeriodicalIF":4.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-06-20eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e26
Soyoung Jeong, Sanghee Shin, Hyun Seung Choi, So-Jung Choi, Sehun Jang, Jeongmin Song, Ji Su Lee, Dong Hun Lee, Hyun Je Kim, Jihyun Kim, Kangmo Ahn
{"title":"Pediatric Atopic Dermatitis Exhibits Distinctive Patterns in JAK/STAT Pathway Activation and CD6-ALCAM Signaling.","authors":"Soyoung Jeong, Sanghee Shin, Hyun Seung Choi, So-Jung Choi, Sehun Jang, Jeongmin Song, Ji Su Lee, Dong Hun Lee, Hyun Je Kim, Jihyun Kim, Kangmo Ahn","doi":"10.4110/in.2025.25.e26","DOIUrl":"10.4110/in.2025.25.e26","url":null,"abstract":"<p><p>Pediatric atopic dermatitis (AD) shows distinct clinical characteristics compared to adult AD, suggesting unique inflammatory profiles that may influence disease prognosis and treatment response. We aimed to identify unique immune signatures of pediatric AD and investigate the differences between pediatric and adult AD patients. Nine pediatric (6-16 years) and 12 adult (20-60 years) were enrolled. PBMCs were collected from AD patients and age- and sex-matched healthy controls (HCs). Transcriptomic profiles were analyzed using single-cell RNA sequencing, and the immune phenotypes of adult and pediatric AD were compared. Th2 gene expression was elevated in both adult and pediatric AD, while Th1, Th17, and Th22 gene expression was downregulated in pediatric AD but not in adults. Genes involved in JAK/STAT signaling pathway, which were upregulated in adult AD, were not significantly increased in pediatric AD. The CD6-activated leukocyte cell adhesion molecule (ALCAM) pathway was upregulated in pediatric AD compared to pediatric HCs, but not in adult AD. Pediatric AD reveals distinct immune signatures, including a lack of JAK/STAT pathway upregulation observed in adult AD and a unique activation of the CD6-ALCAM pathway. These findings highlight the importance of age-specific treatment strategies in AD patients.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e26"},"PeriodicalIF":4.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-06-16eCollection Date: 2025-06-01DOI: 10.4110/in.2025.25.e24
Hyun Sik Na, Seon-Young Lee, Dong Hwan Lee, Keun-Hyung Cho, Seon Ae Kim, Eun Jeong Go, A Ram Lee, Jeong Su Lee, Yeon Su Lee, In Gyu Um, Se Gyeong Han, Mi-La Cho, Seok Jung Kim
{"title":"Soluble CCR2-Expressing Mesenchymal Stem Cells Inhibit Osteoarthritis Development and Progression.","authors":"Hyun Sik Na, Seon-Young Lee, Dong Hwan Lee, Keun-Hyung Cho, Seon Ae Kim, Eun Jeong Go, A Ram Lee, Jeong Su Lee, Yeon Su Lee, In Gyu Um, Se Gyeong Han, Mi-La Cho, Seok Jung Kim","doi":"10.4110/in.2025.25.e24","DOIUrl":"10.4110/in.2025.25.e24","url":null,"abstract":"<p><p>Many studies of osteoarthritis (OA) have focused on the use of pain-suppressing drugs and stem cell treatments for cartilage repair. In a previous study, we reported the therapeutic effect of soluble C-C chemokine receptor type 2 (sCCR2) gene therapy on OA. Here, we aimed to demonstrate that sCCR2-expressing stem cells exhibits superior efficacy compared to mesenchymal stem cell (MSC) alone. We used monosodium iodoacetate to induce OA in a Wistar rat model for our experiments. Soluble form of CCR2 was transfected into chondrocytes. We analyzed both <i>in vitro</i> and <i>in vivo</i> systems using sCCR2 E3-transfected MSCs (sCEMs). MCP-1 reduced chondrogenesis, whereas sCEMs improved it. Additionally, disease development was suppressed in MCP-1 conditional knockout mice. In the OA rat model, injection of sCEMs showed significant effects with respect to pain control and reduction of joint cartilage inflammation and damage compared with injection of MOCK-MSCs. These findings indicate that sCEMs inhibit MCP-1, reducing pain and OA-induced cartilage damage and inducing chondroprotection. Inhibiting MCP-1/CCR2 signaling has a significant therapeutic effect on OA. Therefore, sCEM may be an effective treatment for OA.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 3","pages":"e24"},"PeriodicalIF":4.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-06-16eCollection Date: 2025-08-01DOI: 10.4110/in.2025.25.e25
Francisco G La Rosa, Larry W Moreland, Luigi Nibali, Mike Curtis, Kevin D Deane, Colin Strickland, Jennifer Seifert, Carson Keeter, Dmitri Simberg, Robert I Scheinman, Rachel Lau, Costantino Pitzalis, Myles J Lewis, V Michael Holers, Nirmal K Banda
{"title":"Pathotype-Specific Expression of Granzyme-Perforin Pathway Genes and Their Association With Clinical Disease Activity in Early Rheumatoid Arthritis and in a Randomized Clinical Trial.","authors":"Francisco G La Rosa, Larry W Moreland, Luigi Nibali, Mike Curtis, Kevin D Deane, Colin Strickland, Jennifer Seifert, Carson Keeter, Dmitri Simberg, Robert I Scheinman, Rachel Lau, Costantino Pitzalis, Myles J Lewis, V Michael Holers, Nirmal K Banda","doi":"10.4110/in.2025.25.e25","DOIUrl":"10.4110/in.2025.25.e25","url":null,"abstract":"<p><p>Rheumatoid arthritis (RA) is an autoimmune disease. We examined gene expression of five granzymes (GZMs), perforin (PRF-1), and serglycin (SRGN) from tissues derived from pathobiology of early arthritis cohort (PEAC) and phase 4 randomized controlled trial in anti-TNF inadequate responder patients with RA (R4RA). Information regarding gene expression of <i>GZMs</i>, <i>PRF-1</i>, and <i>SRGN</i> in synovium and blood pathotypes and their correlations with disease activity scores with 28 joints (DAS28)-erythrocyte sedimentation rate and with DAS28-C-reactive protein in early RA (eRA) is lacking. To determine the expression of these genes in synovium and blood pathotypes, we analyzed bulk RNA-sequencing data. The percentage of CD8+ T cells was determined in synovium, and the presence of <i>Porphyromonas gingivalis</i> was examined in synovium. The expression of <i>GZM A</i>, <i>B</i>, <i>H</i>, <i>K</i>, <i>M</i>, <i>PRF-1</i>, and <i>SRGN</i> was significantly higher in the lymphoid pathotype in the PEAC and R4RA synovium. The percentage of CD8 T cells was low, and minor speckles (Ag-reactivity) of <i>P. gingivalis</i> Ag were detected in eRA synovium. Rituximab and tocilizumab treatment in R4RA decreased the expression of all <i>GZMs</i>, <i>PRF-1</i>, and <i>SRGN</i> in the synovium. In conclusion, components of the GZM-PRF-1 pathway are upregulated in RA and may play a mechanistic role.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 4","pages":"e25"},"PeriodicalIF":4.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immune NetworkPub Date : 2025-06-13eCollection Date: 2025-06-01DOI: 10.4110/in.2025.25.e23
Dana Jung, Eunjeong Choi, Young-Hee Jeoung, Juheon Lee, Eun-Yeung Gong, Seo-Gyeong Jo, Kyunghee Noh, Kyungsoo Ha, Gabbine Wee, Hyeran Kim, Juyeon Jung, Seokho Kim
{"title":"Nanobody-Based CAR NK Cells for Possible Immunotherapy of Mesothelin<sup>+</sup> Tumors.","authors":"Dana Jung, Eunjeong Choi, Young-Hee Jeoung, Juheon Lee, Eun-Yeung Gong, Seo-Gyeong Jo, Kyunghee Noh, Kyungsoo Ha, Gabbine Wee, Hyeran Kim, Juyeon Jung, Seokho Kim","doi":"10.4110/in.2025.25.e23","DOIUrl":"10.4110/in.2025.25.e23","url":null,"abstract":"<p><p>Chimeric Ag receptor (CAR)-engineered immune cells have demonstrated remarkable clinical efficacy, particularly in hematologic malignancies. Central to their success is the Ag-binding domain of the CAR, which governs both target specificity and therapeutic efficacy. Nanobodies (Nbs) possess a single-domain architecture and smaller molecular size, making them particularly amenable to the construction of tandem CARs that can co-target multiple Ags. This structural flexibility is advantageous for addressing tumor heterogeneity and reducing the risk of Ag escape in solid malignancies. Here, we developed mesothelin (MSLN)-specific nanobody-based chimeric Ag receptor-NK (Nb CAR-NK) cells using a synthetic nanobody identified from a phage display VHH library. The nanobody was selected after three rounds of biopanning and validated for high affinity and specificity using surface plasmon resonance and flow cytometry. The selected nanobody-based chimeric Ag receptor (Nb-CAR) construct was introduced into ex vivo expanded umbilical cord blood-derived NK cells via third-generation lentiviral transduction, resulting in stable expression and functional CAR-NK cells. The Nb CAR-NK cells exhibited potent cytotoxicity against MSLN-positive pancreatic cancer cells in vitro and significantly suppressed tumor growth in xenograft models. These findings support the clinical potential of Nb CAR-NK cells and highlight the value of Nb-CAR designs for targeting cell-surface Ags in solid tumors.</p>","PeriodicalId":13307,"journal":{"name":"Immune Network","volume":"25 3","pages":"e23"},"PeriodicalIF":4.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}