Scandinavian Journal of Immunology最新文献

{"title":"Skin-Homing Potential of Peripheral Immune Cells From Psoriasis Patients and the Effects of LL-37 on Their Secretion of Chemokines During Psoriasis-Mimicking Stimulation.","authors":"Hildur Sigurgrímsdóttir, Jenna Huld Eysteinsdóttir, Árni Kjalar Kristjánsson, Bjarni A Agnarsson, Jona Freysdottir, Björn Rúnar Lúðvíksson","doi":"10.1111/sji.70066","DOIUrl":"https://doi.org/10.1111/sji.70066","url":null,"abstract":"<p><p>Psoriasis is an autoimmune disease of the skin with keratinocyte hyperproliferation and increased skin homing of immune cells. LL-37 is an antimicrobial peptide present at a high level in psoriasis patients. It is thought to participate in the induction of psoriasis and is a potential autoantigen. This study explores the chemokine receptor expression of T cells in psoriasis patients in the context of LL-37 bioavailability in the skin. Thus, chemokines secreted by peripheral blood mononuclear cells (PBMCs), cultured in a psoriasis-mimicking Th1 or Th17 microenvironment, are evaluated in association with LL-37 secretion. The results show that the chemokine receptors CXCR3, CCR4 and CCR6 were expressed at different levels by T cells depending on their expression of the skin-homing and retention markers cutaneous lymphocyte antigen (CLA) and CD103, respectively. A higher proportion of T cells from psoriasis patients expressed CCR6 compared to those from healthy controls, whereas a lower proportion of psoriatic T cells expressed CXCR3^hi. PBMCs stimulated in Th1 and Th17 mimicking microenvironments altered their secretion of many immune biomarkers, further modulated by the addition of LL-37. Principal component analysis revealed that the secretion of chemokines from PBMCs after Th1 stimulation clustered away from the secretion of chemokines after Th17 stimulation. Stimulation of CXCR3^hi expressing CD4⁺ T cells revealed less secretory potential than their CXCR3^neg expressing CD4⁺ T cells. In summary, LL-37 demonstrated remarkable abilities in modulating the secretion of immune biomarkers by PBMCs, which may cause a change in the microenvironment in the skin in psoriasis.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 5","pages":"e70066"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Energy Fuel: Ketone Bodies as Multifaceted Modulators of T Cell and Anti-Tumour Immunity.","authors":"Zhi Gu, Minghui Zhang, Sheng Xia","doi":"10.1111/sji.70067","DOIUrl":"https://doi.org/10.1111/sji.70067","url":null,"abstract":"<p><p>The metabolic programme of T cells is pivotal in determining their differentiation, development and immune function. T cells undergo distinct metabolic reprogramming at various stages. Effector T cells primarily utilise glycolysis to generate energy quickly, whereas memory T cells depend on fatty acid oxidation (FAO) to sustain long-term survival and enable rapid reactivation. This metabolic differentiation is regulated through metabolic reprogramming by adjusting nutrient utilisation to meet specific demands. Ketone bodies, FAO-derived metabolites, interact with glucose and amino acid metabolism to influence the function and differentiation of T cells and other immune cell subsets. The body's metabolic equilibrium is significantly influenced by dietary patterns. A medically designed dietary intervention that elevates ketone body levels can reshape T-cell metabolism, influencing their differentiation, development and immune functions. This metabolic modulation suggests a potential interplay between nutritional strategies and T-cell immunotherapy applications, especially in the context of tumour immunology. This review explores ketone body metabolism and its impact on T-cell function, offering insights into the clinical use of diet-induced ketosis for T-cell immunotherapy. It also emphasises the potential of metabolic reprogramming to boost T cell performance and improve the efficacy of immunotherapy.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 5","pages":"e70067"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Matched Reference Values for Circulating Natural Killer T (NKT)-Like Cells.","authors":"Elena Trombetta, Manuela Liguori, Federico Simone Colombo, Marta Tornese, Alessandra Cattaneo, Daniele Prati, Ferruccio Ceriotti, Laura Porretti","doi":"10.1111/sji.70062","DOIUrl":"10.1111/sji.70062","url":null,"abstract":"<p><p>Natural Killer T-like cells are T lymphocytes characterised by the expression of CD56 accompanied by perforin and granzyme B production, typical of cytotoxic cells and the innate immunity compartment. Imbalance in their distribution could occur in pathological conditions, including solid or haematological cancers, autoimmune disorders and metabolic diseases; therefore we aimed to define age-matched reference values of the NKT-like population. NKT-like cell count and their expression of CD4 and CD8 surface antigens were evaluated in 2208 subjects by flow cytometry, with a lyse-no-wash protocol in a CE-IVD workup. Outpatients without alteration of any laboratory test and adult healthy volunteers were used to determine NKT-like age-matched reference values; a total of 490 subjects divided into six age ranges were finally enrolled. We defined reference values for NKT-like cells in adult and in 5 age-matched paediatric control groups. NKT-like cell number increases with age both in percentage and absolute count. While NKT-like/CD8+ cells increased with age, NKT-like/CD4+ cells showed an opposite trend. Similarly, double-positive cells (NKT-like/CD4+ CD8+) gradually decreased with age, while double-negative cells (NKT-like/CD4-CD8-) increased up to 16 years and then decreased in adults. Ultimately, we evaluate adult and paediatric patients with NKT-like cell count outside normal ranges derived here to highlight the principal associated conditions that may be involved. Our paper is a first step toward the definition of robust reference values for NKT-like cell subpopulations under the CE-IVD conditions. Providing NKT-like cell number and frequency in the diagnostic report appears helpful to better delineate the immune profile of patients.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 5","pages":"e70062"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12555025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373084","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}

{"title":"Exploring Potential Mechanisms for Epilepsy After mRNA COVID-19 Vaccination: An Extremely Rare Side-Effect.","authors":"Ahmed Faisal Mutee, Abdulkareem Shareef, S Renuka Jyothi, Rajashree Panigrahi, Vikrant Abbot, Ashish Singh Chauhan, Surbhi Singh, Bobur Abduvoyitov, Hayder Naji Sameer, Ahmed Yaseen, Zainab H Athab, Mohaned Adil","doi":"10.1111/sji.70059","DOIUrl":"https://doi.org/10.1111/sji.70059","url":null,"abstract":"<p><p>The rapid rollout of mRNA-based COVID-19 vaccines, including Pfizer-BioNTech's BNT162b2 and Moderna's mRNA-1273, has been instrumental in curbing the pandemic, demonstrating high efficacy and safety in the general population. However, concerns regarding neurological adverse effects, particularly in individuals with epilepsy (PWE), warrant scrutiny. Clinical data from case reports, multicenter studies, and meta-analyses (encompassing over 3000 PWE) indicate that most tolerate vaccination well, with seizure worsening in approximately 5% of cases, often transient and lower than post-COVID-19 infection rates. Rare severe events, such as status epilepticus, highlight vulnerabilities, though background seizure incidence remains comparable or lower than natural rates. This review examines potential neuroimmune mechanisms linking mRNA vaccination to seizure exacerbation, emphasising immune activation, neuroinflammation, and epileptogenesis. mRNA vaccines utilise lipid nanoparticles (LNPs) to deliver spike protein-encoding mRNA, eliciting robust immune responses. Potential triggers for seizures include cytokine storms (e.g., IL-1β, TNF-α, IL-6), blood-brain barrier (BBB) disruption, molecular mimicry with neuronal antigens, and autoantibody production, which may heighten neuronal hyperexcitability in susceptible individuals. Neurological side effects, including Bell's palsy, transverse myelitis, and herpes zoster reactivation, are more prevalent in mRNA platforms, potentially tied to LNP-induced inflammation or cross-reactive immunity. While evidence supports vaccination benefits outweighing risks for PWE, gaps persist in understanding individual predispositions. Future research should prioritise longitudinal studies, EEG monitoring, and AI-driven approaches for personalised risk assessment, mRNA optimisation, and pharmacovigilance. Integrating multi-omics and computational modelling could enhance vaccine safety, ensuring equitable protection for vulnerable populations.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 4","pages":"e70059"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Invisible Lens: Why Theoretical Models Are Essential for Interpreting Immune Phenomena.","authors":"Masoud H Manjili","doi":"10.1111/sji.70057","DOIUrl":"10.1111/sji.70057","url":null,"abstract":"<p><p>Immunology progresses not merely by accumulating data but by evolving the conceptual lenses through which those data are interpreted; yet for six decades the self-non-self/infectious-non-self (SNS/INS) paradigm-casting allogeneity as activating signal and 'self' as intrinsically tolerogenic-has dominated research design, peer review and curriculum. This, in turn, systematically amplifies concordant findings while attenuating evidence for tissue integrity, metabolic, symbiotic and network-centric cues. This conceptual monoculture appears as a hidden dogma that impedes breakthroughs in our understanding of the immune system and the development of curative therapies. By institutionalising theoretical immunology as a formal discipline and treating models as explicit, testable tools rather than hidden assumptions, immunologists can sharpen hypothesis generation and achieve a better understanding of existing data. This essay provides an overview of empirically grounded theoretical models to counter monoculture, clarify how frames shape interpretation, and expand the field's conceptual toolkit.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 4","pages":"e70057"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192751","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}

{"title":"Cross-Sectional and Longitudinal Immunoprofiling of Oligoarticular Juvenile Idiopathic Arthritis Reveals Different Patterns in Synovial Fluid and Plasma.","authors":"Heshuang Qu, Manoj Neog, Karin Palmblad, Erik Sundberg, Alexandra Lövquist, Erik Melén, Cecilia Aulin, Helena Erlandsson Harris","doi":"10.1111/sji.70055","DOIUrl":"10.1111/sji.70055","url":null,"abstract":"<p><p>Oligoarticular juvenile idiopathic arthritis (oligoJIA) constitutes nearly 60% of all JIA cases. The immune mechanisms involved in the pathogenesis remain incompletely understood. Few proteomic studies have been performed using synovial fluid (SF) samples. We conducted an exploratory analysis of plasma and SF samples to define inflammatory profiles, assess plasma-SF correlation and examine longitudinal variations. Using proximity extension assay (PEA), we profiled 92 immune-related proteins in plasma and Sf from 14 oligoJIA patients (untreated or NSAID-treated) and plasma from 28 age and sex-matched healthy controls. Differentially expressed proteins were analysed using gene ontology (GO) and KEGG pathways via STRING. Plasma proteomic immune profiles from oligoJIA patients were highly overlapping with immune profiles of healthy donors. Six proteins were differentially expressed between the two groups. Overall, plasma and SF protein expressions correlated (r = 0.78), mainly driven by 13 proteins including CCL25, FGF21 and KITLG. However, the differentially expressed proteins in plasma did not correlate with those in SF. Longitudinal analysis of 20 SF and 10 plasma samples from one patient revealed immunosuppressive effects of methotrexate (MTX) with distinct kinetics in plasma and SF. Paired SF samples from five patients revealed that cell chemotaxis was a key feature in early disease, distinguishing it from the persistent phase. Immunoprofiling of SF from patients with oligoJIA identified more disease-relevant characteristics than analysis of plasma samples. Several proteins, but not all, correlated between plasma and SF. Early-phase enrichment of chemotaxis suggests that targeting chemokines may offer therapeutic potential for early disease remission.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 4","pages":"e70055"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145177820","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}

{"title":"Children With Celiac Disease Have a Higher Degree of Activated or Exhausted CD4⁺ and CD8⁺ T Cells Compared to Healthy References.","authors":"Andrea Tompa, Junko Johansson, Maria Faresjö","doi":"10.1111/sji.70054","DOIUrl":"10.1111/sji.70054","url":null,"abstract":"<p><p>Type 1 diabetes (T1D) and celiac disease (CeD) are two chronic autoimmune disorders commonly diagnosed during childhood. In this exploratory study we performed flow cytometric immunophenotyping of various immune cell populations in peripheral blood from children with T1D, CeD, a T1D and CeD comorbidity, and from age-matched healthy references (controls). With extensive flow cytometry panels covering subpopulations of both CD4⁺ and CD8⁺ T cells, as well as monocytes and NK cells, our main finding is a tendency towards a higher degree of activated/exhausted T cells in children with a sole diagnosis of CeD compared with healthy references. This was seen through a higher fraction of CD4⁺ T cells positive for PD-1, CCR5 and CCR10, as well as a higher fraction of CD8⁺ T cells expressing PD-1 and CD39. In contrast, children with CeD showed a lower percentage of naïve CD8⁺ T cells compared with healthy references. Other important findings are a skewed CD4⁺/CD8⁺ ratio for children with a comorbidity compared with references, increased fractions of T regulatory cells (Tregs, CD4⁺CD25⁺CD127^low) for all three diagnosis groups compared with references, and a higher percentage of CD56^dimCD16⁺ NK cells with a corresponding lower percentage in CD56^dimCD16^- NK cells in CeD compared to the T1D and CeD comorbidity. Ultimately, analysis of the peripheral immunological milieu might lead to the development of more efficient tools for diagnosis and monitoring, and better treatment options, for children with T1D, CeD, and the rare combination of T1D and CeD.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 3","pages":"e70054"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040852","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}

{"title":"Synovial Fluid Proteomic Signatures in Different Subtypes of Juvenile Idiopathic Arthritis.","authors":"Narendra Kumar Bagri, Saumya Srivastava, Yogendra Singh, Revathy Neelamegan, Ashish Upadhyay, Venkatesan S Kumar, Subhradip Karmakar, Christine Chew, A V Ramanan, Thirumurthy Velpandian","doi":"10.1111/sji.70051","DOIUrl":"https://doi.org/10.1111/sji.70051","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) encompasses distinct inflammatory subtypes such as polyarticular (pJIA), oligoarticular (oJIA), systemic onset (sJIA) and enthesitis-related arthritis (ERA). The molecular mechanisms underlying these subtypes remain unclear. This study aimed to investigate the differential protein expression in synovial fluid (SF) across these subtypes of JIA using high-throughput proteomics to identify potential diagnostic biomarkers. SF samples were collected from 48 children (45 JIA and 3 non-inflammatory controls). Samples underwent protein extraction, iTRAQ labelling and LC-MS/MS analysis. A total of 282 proteins were identified. Differentially expressed proteins were analysed using fold change (FC) relative to control samples within each iTRAQ set. Principal component analysis (PCA), gene ontology (GO) and KEGG pathway enrichment analyses were performed to assess the biological significance of the identified proteins. Proteins showing > 5FC were prioritised for clustering and biomarker identification. Distinct proteomic signatures were observed across the studied JIA subtypes. PCA revealed the heterogeneity of protein expression in different subtypes of JIA. S-100, Septin-7, MMP-16 proteins were commonly upregulated in the studied subtypes of JIA except oJIA. Haptoglobin was upregulated in all except sJIA. The specific proteins expressed in various subtypes include pyruvate dehydrogenase phosphate in pJIA, haptoglobin-related and fibrinogen proteins in ERA, apolipoprotein and Nck-associated protein in sJIA and leucine-rich alpha-2-glycoprotein in oJIA. GO analysis revealed enrichment in immune-related biological processes, including complement activation, humoral immune response and antigen binding. The differential SF proteomic signatures observed in the studied JIA subtypes indicate different pathogenic mechanisms in JIA.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 3","pages":"e70051"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the Effect of Hormonal Therapy on Lupus Pathology and Reproductive System Damages in a Pristane-Induced Mouse Model of Systemic Lupus Erythematosus.","authors":"Gabriela Boneva, Ekaterina Kurteva, Nikola Ralchev, Silviya Bradyanova, Lidiya Kechidzhieva, Blagovesta Todorova, Nikolina Mihaylova, Kalina Nikolova-Ganeva, Andrey Tchorbanov, Ekaterina Ivanova-Todorova","doi":"10.1111/sji.70053","DOIUrl":"https://doi.org/10.1111/sji.70053","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is an example of an autoimmune disease manifesting itself in an aberrated immune response directed against nuclear, cytoplasmic and cell-surface antigens. Among patients, symptoms are frequently intensified in females during their active reproductive years, pinpointing the interaction between reproductive and immune systems. Hence, it is urgent to address the question of how SLE can influence female fertility and the impact of hormones on disease manifestation. Mouse models of SLE are suitable tools for studying in detail the interactions of different systems and the impact of lupus development on the process of oogenesis. Lupus-like symptoms were induced through intraperitoneal injection of hydrocarbon oil pristane in healthy Balb/C mice. A short protocol for hormonal stimulation of humans was adapted for mice. Methods used to follow the immune status of the experimental animals were flow cytometry, ELISpot and ELISA, while the variety of autoantibodies, histology and quality of oocytes were characterised using fluorescent microscopy. A single i.p. injection of pristane induced production of autoantibodies and proteinuria, depositions of IgG-containing immune complexes in the kidneys and ovaries, increased the percentage of pro-inflammatory immune cell subtypes, and the number of plasmacytes secreting anti-dsDNA IgG antibodies. The hormonal stimulation of lupus mice altered ANA immunofluorescence imaging patterns, increased the total number and the percentage of well-developed oocytes, increased glomerular atrophy, and decreased mesangial proliferation in the kidneys. The exhibited impairments of oocytes in lupus mice provide evidence for a disturbed local microenvironment as a result of altered disease course.</p>","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 3","pages":"e70053"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AIM2 Dampens the Homeostasis of Murine Inhibitory CD8⁺Ly49⁺ Regulatory T Cells.","authors":"Ping Yi, Jiao Jiang, Ming Yang, Haijing Wu, Qianjin Lu","doi":"10.1111/sji.70049","DOIUrl":"https://doi.org/10.1111/sji.70049","url":null,"abstract":"","PeriodicalId":21493,"journal":{"name":"Scandinavian Journal of Immunology","volume":"102 3","pages":"e70049"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}