Acta BiomaterialiaPub Date : 2025-04-22DOI: 10.1016/j.actbio.2025.02.052
Seyma Nayir Jordan , Xianmu Li , Alejandro Rossello-Martinez , Zixie Liang , Xiangyu Gong , Hugh Xiao , Michael Mak
{"title":"Macromolecular crowding-based biofabrication utilizing unmodified extracellular matrix bioinks","authors":"Seyma Nayir Jordan , Xianmu Li , Alejandro Rossello-Martinez , Zixie Liang , Xiangyu Gong , Hugh Xiao , Michael Mak","doi":"10.1016/j.actbio.2025.02.052","DOIUrl":"10.1016/j.actbio.2025.02.052","url":null,"abstract":"<div><div>The extracellular matrix (ECM) is the body's natural cell-scaffolding material, and its structure and content are often imitated for applications in tissue engineering and regenerative medicine to promote biocompatibility. One approach toward biomimicking natural ECMs is to utilize decellularized extracellular matrices (dECMs), which involve removing cellular components from native tissues to preserve natural components. Solubilizing dECMs to produce bioinks therefore holds high potential for 3D biofabrication and bioprinting of bioactive scaffolds and tissues. However, solubilized ECMs have low printability owing to their slow gelation times, which necessitates additional artificial modifications (e.g. crosslinking) to facilitate biofabrication applications. In this study, we demonstrate a method utilizing macromolecular crowding (MMC) to confer printability, via rapid gelation, to solubilized unmodified dECMs from a variety of tissue types - heart, muscle, liver, small intestine, and large intestine. We show cell spreading and contractility in cell-laden dECM gels fabricated through MMC, highlighting biocompatibility with our method. Finally, we demonstrate successful extrusion bioprinting of complex 3D structures using unmodified dECM solutions as bioinks, revealing the potential of our MMC-based fabrication method for layer-by-layer building of user-designed bioinks made from wide-ranging fully physiological tissues.</div></div><div><h3>Statement of significance</h3><div>Decellularized extracellular matrix (dECM) bioinks are among the most promising materials for simulating native organ-specific extracellular matrices. However, standard methods for gelling solubilized dECMs are slow and result in poor mechanical and structural characteristics, reducing printability. dECM solutions are typically supplemented with additional crosslinkers for the formation of robust hydrogels. The crosslinkers may be toxic to cells, and they often need UV light for activation. Here, we present a method that allows wide-ranging dECMs to be easily patternable and 3D printable in their unmodified forms. We demonstrate cell spreading and contractility in cell-laden unmodified dECM gels created demonstrating cell viability and bioactivity. We also demonstrated successful extrusion bioprinting of complex 3D structures utilizing low concentration unmodified dECM bioinks and normal healthy lung fibroblasts.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 37-48"},"PeriodicalIF":9.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-15DOI: 10.1016/j.actbio.2025.04.034
Haiqi Zhang , Jinze Wang , Hongtao Hu , Lie Ma
{"title":"A highly transparent dopamine-copolymerized hydrogel with enhanced ROS-scavenging and tissue-adhesive properties for chronic diabetic wounds","authors":"Haiqi Zhang , Jinze Wang , Hongtao Hu , Lie Ma","doi":"10.1016/j.actbio.2025.04.034","DOIUrl":"10.1016/j.actbio.2025.04.034","url":null,"abstract":"<div><div>Chronic diabetic wounds with complex symptoms represent a major challenge in clinical practice, causing a serious threat to human health and life. Excessive oxidative stress and persistent inflammatory responses are the important reasons for the long-term difficult healing of diabetic wounds. Designing wound dressing materials with intrinsic antioxidant performance, high transparency, adhesiveness, and favorable mechanical properties is of great significance for promoting wound healing, especially in movable parts. Here, a dopamine-copolymerized highly transparent antioxidant hydrogel was developed for the treatment of chronic diabetic wounds. The hydrogel was easily prepared via free radical polymerization using acrylated dopamine monomer (ADA), acrylamide (AM), and phenylboronic acid modified dextran (DP). The dynamic phenylborate ester bonds formed between the catechol of polydopamine and phenylboronic acid effectively mitigated the darkening of the hydrogel color caused by the auto-oxidation of catechol, resulting in the PAM/PDA/DP hydrogel (DP3) with durable transparency. In addition, this hydrogel had good adhesiveness and mechanical properties, as well as desirable reactive oxygen species (ROS)-scavenging performance. Furthermore, <em>in vivo</em> results demonstrated that DP3 hydrogel can stimulate the polarization of macrophages toward anti-inflammatory M2 phenotype, increase the secretion of anti-inflammatory factors, so as to smooth the transition of wound healing from the inflammatory phase to the proliferative phase, and accelerate the repair of diabetic wounds by promoting angiogenesis and collagen deposition. Therefore, the DP3 hydrogel holds great potential for remolding the tissue regeneration microenvironment and serving as a promising dressing for chronic diabetic wounds.</div></div><div><h3>Statement of significance</h3><div>Polydopamine (PDA)-based hydrogels have been widely explored. However, existing PDA-based hydrogels suffer from low content of catechol groups and inferior transparency, and are prone to oxidation darkening during storage. In this study, a dopamine-copolymerized hydrogel with high catechol content was developed. The catechol groups are partially protected by phenylboronic acid-modified dextran, resulting in durable transparency and good adhesiveness of the hydrogel. The hydrogel exhibits desirable antioxidant performance and can effectively promote chronic diabetic wound healing by relieving oxidative stress and regulating immune function. This highly transparent hydrogel with intrinsic antioxidation and self-adhesiveness properties represents a potential and effective strategy for chronic wound management.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 161-173"},"PeriodicalIF":9.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-15DOI: 10.1016/j.actbio.2025.04.032
Yi Duan , Li Ding , Xianwei Meng , Jiangtao Lin , Hao Fu , Yan Zhu , Yijie Qiu , Jiaying Cao , Jian Hu , Yi Dong , Yourong Duan , Jianhua Chen
{"title":"A therapeutic strategy integrating ultrasound-guided microwave ablation with nanocomposite hydrogels to enhance autophagy and suppress tumor growth in hepatocellular carcinoma","authors":"Yi Duan , Li Ding , Xianwei Meng , Jiangtao Lin , Hao Fu , Yan Zhu , Yijie Qiu , Jiaying Cao , Jian Hu , Yi Dong , Yourong Duan , Jianhua Chen","doi":"10.1016/j.actbio.2025.04.032","DOIUrl":"10.1016/j.actbio.2025.04.032","url":null,"abstract":"<div><div>Microwave ablation (MWA) is widely recognized as an effective radical therapy for hepatocellular carcinoma (HCC). However, local ablation often results in a high risk of tumor recurrence. To address this challenge, we developed an effective anticancer drug delivery system comprising arsenic trioxide (As<sub>2</sub>O<sub>3</sub>)-loaded polyethylene glycol-dipalmitoylphosphatidylethanolamine (mPEG-DPPE) calcium phosphate nanoparticles (As<sub>2</sub>O<sub>3</sub><sub><img></sub>NPs) encapsulated within an injectable thermoresponsive hydrogel (ANPs-Gel). This study evaluated the therapeutic efficacy of MWA combined with ANPs-Gel in a rabbit hepatic VX2 tumor model. Ultrasound (US) and contrast-enhanced ultrasound (CEUS) were employed to assess tumor response and angiogenesis following treatment. The results demonstrated that MWA combined with ANPs-Gel significantly enhanced antitumor efficacy compared to other treatments, effectively inhibiting tumor growth and angiogenesis. Mechanistically, the therapeutic effects were associated with autophagy induced by MWA+ANPs-Gel, which played a critical role in promoting tumor cell death and suppressing epithelial-mesenchymal transition (EMT) both <em>in vitro</em> and <em>in vivo. In vivo</em> experiments further highlighted that the injectable thermoresponsive hydrogel system not only prolonged drug retention at the tumor site but also enhanced therapeutic efficacy by reducing EMT and preventing tumor recurrence. These findings suggest that MWA combined with ANPs-Gel provides a promising strategy for improving treatment outcomes in HCC through ultrasound-guided chemotherapy and targeted autophagy modulation.</div></div><div><h3>Statement of significance</h3><div>This study introduces a potent therapeutic strategy that integrates ultrasound-guided microwave ablation (MWA) with a nanocomposite hydrogel to enhance autophagy and suppress tumor growth in hepatocellular carcinoma, as demonstrated in the rabbit VX2 hepatic tumor model. By combining advanced ultrasound guidance with a sophisticated nanomaterial platform, this approach significantly improves the efficacy of localized cancer therapy. Unlike conventional treatments, it not only ablates tumor cells but also regulates key cellular processes, such as autophagy, to amplify therapeutic outcomes. This work repurposes arsenic trioxide (Arsenic Trioxide) within a nanocomposite hydrogel delivery system and provides a detailed exploration of its therapeutic mechanisms when combined with MWA therapy. These findings pave the way for advanced clinical strategies in liver cancer management.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 413-427"},"PeriodicalIF":9.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-15DOI: 10.1016/j.actbio.2025.04.029
Zhaolin Hua , Dechuang Zhang , Lin Guo , Sihan Lin , Xiaokai Zhang , Yuncang Li , Cuie Wen
{"title":"Elastic strain and strength–elongation performance of medium-entropy Zr–Nb–Ti–O alloys for bone implants","authors":"Zhaolin Hua , Dechuang Zhang , Lin Guo , Sihan Lin , Xiaokai Zhang , Yuncang Li , Cuie Wen","doi":"10.1016/j.actbio.2025.04.029","DOIUrl":"10.1016/j.actbio.2025.04.029","url":null,"abstract":"<div><div>Beta-type Zr–Nb–Ti (ZNT) medium-entropy alloys (MEAs) are receiving increasing research interest as orthopedic implants due to their appropriate mechanical properties, corrosion resistance, and biocompatibility. However, improvements in their elastic admissible strain, strength, and ductility are still required to ensure their high performance in clinical applications. In this study, a series of (ZrNbTi)<sub>100–x</sub>O<sub>x</sub> (<em>x</em> = 0, 0.5, 1.0, and 1.5; denoted ZNTO<sub>0</sub>, ZNTO<sub>0.5</sub>, ZNTO<sub>1.0,</sub> and ZNTO<sub>1.5</sub>) MEAs were fabricated by arc melting followed by cold-rolling and annealing. Their microstructures, mechanical properties, wear and corrosion resistance, and biocompatibility were systematically studied. The addition of oxygen could simultaneously enhance strength and ductility owing to interstitial solid-solution strengthening and strain-hardening. ZNTO<sub>0.5</sub>, ZNTO<sub>1.0</sub>, and ZNTO<sub>1.5</sub> showed significantly improved elastic admissible strain and strength-elongation product compared to ZNTO<sub>0</sub>; in particular, ZNTO<sub>1.5</sub> exhibited the best combination of mechanical properties with an admissible strain of ∼1.5 %, an ultimate strength of ∼1150 MPa, and an elongation of ∼22 %. The wear and corrosion resistance of the ZNTO<sub>x</sub> MEAs increased with increasing oxygen content. The ZNTO<sub>x</sub> MEAs showed better corrosion resistance than those of Ti–6Al–4V and Co–Cr–Mo alloys due to formation of surface passivation film composed of ZrO<sub>2</sub>, Nb<sub>2</sub>O<sub>5</sub>, and TiO<sub>2</sub> oxides. The ZNTO<sub>x</sub> MEAs also showed cell viability of >97 % toward MG-63 cells. Overall, the ZNTO<sub>1.5</sub> MEA has significant potential as an orthopedic implant material due to its comprehensive mechanical properties, high wear and corrosion resistance, and adequate biocompatibility.</div></div><div><h3>Statement of significance</h3><div>This work reports on ZNTO<sub>x</sub> (<em>x</em> = 0, 0.5, 1.0, and 1.5) medium-entropy alloys (MEAs) with a comprehensive combination of biomechanical, corrosion, and biocompatibility properties. The addition of O to ZNT MEAs can significantly improve their elastic admissible strain, strength-elongation product, and wear and corrosion resistance. The ZNTO<sub>x</sub> MEAs showed better corrosion resistance in Hanks’ solution than Ti–6Al–4V and Co–Cr–Mo alloys and cell viability of >97 % toward MG-63 cells. The results demonstrate that the ZNTO<sub>1.5</sub> MEA has significant potential as an orthopedic implant material due to its best combination of elastic admissible strain and strength-elongation product, effective wear and corrosion resistance, and adequate biocompatibility.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 530-545"},"PeriodicalIF":9.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-15DOI: 10.1016/j.actbio.2025.04.033
YiQing Shen , Xin Tan , Lin Zhou , ZiHan Sun , Min Han , Min liang , DongHang Xu
{"title":"An injectable in situ gel formed by ropivacaine with small lipid molecules to achieve long-term postoperative analgesia","authors":"YiQing Shen , Xin Tan , Lin Zhou , ZiHan Sun , Min Han , Min liang , DongHang Xu","doi":"10.1016/j.actbio.2025.04.033","DOIUrl":"10.1016/j.actbio.2025.04.033","url":null,"abstract":"<div><div>Although local anesthetics (LA) are non-addictive and effective in managing postoperative pain, their short-term effects limit their clinical utility. In this study, we constructed an <em>in situ</em> gel injection formulation with stearic acid-ropivacaine hydrophobic ion-pair (HIP) and glycerol monoglyceride (SA-ROP-GMS) for multiday postoperative pain management. As an <em>in situ</em> gel, SA-ROP-GMS avoids the burst release effect common to water-soluble small molecule drugs in liposomes and hydrogels. Meanwhile, the hydrophobic ion-pair formed by ropivacaine and stearic acid contributes to the gel's stabilization and slow-release properties. <em>In vivo</em> evaluation of mouse models of pain demonstrated that the formulation provided multiday analgesia. And the absence of systemic toxicity of SA-ROP-GMS was verified by histological and blood biochemical studies. This study demonstrated the safety and efficacy of an injectable ropivacaine formulation based on <em>in situ</em> gel. The materials used in SA-ROP-GMS are safe and easy to obtain, and the preparation process is simple and fast, providing a convenient and effective strategy for the development of single-dose long-acting local anesthetic products, which is of great significance for postoperative pain management.</div></div><div><h3>Statement of Significance</h3><div>More than 80% of patients experience severe postoperative pain, and poor pain control reduces recovery satisfaction while increasing the risk of chronic pain. In this study, we constructed an injectable <em>in situ</em> gel using all-small-molecule excipients for slow-release drug delivery for the first time. We designed a method to form a lipid drug coupling between ropivacaine and stearic acid (SA-ROP HIP), which was then combined with glyceryl monostearate (SA-ROP-GMS). SA-ROP-GMS maintained analgesia for nearly 10 days in a single dose, significantly improving ease of administration and patient compliance. In addition, the auxiliary ingredients used in this study are biocompatible and inexpensive. This formulation follows the trend of regional anesthesia and provides a new solution for postoperative pain management.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 151-160"},"PeriodicalIF":9.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-12DOI: 10.1016/j.actbio.2025.04.027
Qiucen Liu , Li Chen , Hongxiang Liu , Tao Wang , Gang Li , Zhaozhu Zheng , Xiaoqin Wang , David L. Kaplan
{"title":"Promotion of bone defect repairs using multiscale 3D printed silk porous hydrogel scaffolds","authors":"Qiucen Liu , Li Chen , Hongxiang Liu , Tao Wang , Gang Li , Zhaozhu Zheng , Xiaoqin Wang , David L. Kaplan","doi":"10.1016/j.actbio.2025.04.027","DOIUrl":"10.1016/j.actbio.2025.04.027","url":null,"abstract":"<div><div>Porosity plays a critical role in influencing the biological properties and performance of materials and devices. This study introduces hydrocolloid inks by incorporating porogens into silk fibroin (silk) protein solutions to generate porous hydrogel scaffolds. These inks exhibit robust printability, enabling the fabrication of complex geometries with hierarchical porosity, ranging from microscale porogen-templated pores (40 to 200 μm, with over 50 % ≥100 μm) to macroscale features determined by the 3D printing process (≥200 μm). Compatibility studies using human bone marrow mesenchymal stem cells (hMSCs) and murine embryonic osteoblast precursor cells (MC3T3-E1) demonstrate cell adhesion, infiltration, and proliferation both on the surface and within these hydrogels. Subcutaneous implantation in rats confirmed biocompatibility and the ability to support endogenous cell migration and proliferation by the hydrogels. In a rat femoral defect model, the microscale biomimetic structures significantly improved bone repair, outperforming control groups, including small pore-sized silk hydrogels (∼21.39 μm) and other 3D-printed constructs with a thickening agent (∼20.78 μm). These innovative multiscale silk 3D biomimetic scaffolds present a promising approach for effective bone defect repair for future clinical applications.</div></div><div><h3>Statement of significance</h3><div>This study presents a transformative approach to bone defect repair through the development of 3D-printed silk hydrogel scaffolds with multiscale porosity. By incorporating dextran gel particles as sacrificial porogens, the silk scaffolds achieve hierarchical pore structures optimized for cell adhesion, proliferation, and migration. <em>In vitro</em> and <em>in vivo</em> results demonstrate that these scaffolds support robust cellular activity and significantly enhance bone regeneration compared to conventional designs, providing a scalable, biocompatible solution. The integration of silk's superior biological properties with advanced 3D printing methodologies underscores its potential to set new benchmarks in bone tissue engineering and regenerative medicine.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 24-36"},"PeriodicalIF":9.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta BiomaterialiaPub Date : 2025-04-12DOI: 10.1016/j.actbio.2025.04.018
Xiaoyu Huang , Fan Yang , Beibei Gao , Wei Ge , Lu Gao , Jigang Wu , Shengxian Tu , Fu Wang
{"title":"Free carrier-enhanced Bi/Bi2S3 nanoparticles enable precise OCT catheter-guided interventional photothermal therapy for colorectal cancer","authors":"Xiaoyu Huang , Fan Yang , Beibei Gao , Wei Ge , Lu Gao , Jigang Wu , Shengxian Tu , Fu Wang","doi":"10.1016/j.actbio.2025.04.018","DOIUrl":"10.1016/j.actbio.2025.04.018","url":null,"abstract":"<div><div>Current clinical colorectal cancer treatments usually possess unsatisfactory effects, mainly because of unavoidable surgical trauma and multidrug resistance. Precise and minimally invasive theragnostic technology has advanced through miniaturized catheter intervention with imaging-guided treatment methods; however, previously reported approaches cannot simultaneously perform <em>in situ</em> real-time imaging and therapy. We proposed a strategy of 0.9 mm catheter-based optical coherence tomography imaging-guided interventional photothermal therapy at 1310 nm for orthotopic colorectal cancer. Specifically, folate-modified Bi/Bi<sub>2</sub>S<sub>3</sub> nanoparticles showed intense scattering signals and local hyperpyrexia under 1310 nm laser irradiation <em>in vitro</em> and <em>in vivo</em> due to the localized surface plasmon resonance effect, enabling imaging-guided precise tumor treatment. Histopathological and blood biochemistry analyses confirmed the high biosafety and negligible long-term toxicity of Bi/Bi<sub>2</sub>S<sub>3</sub> nanoparticles. This new method offers a feasible methodology for catheter-based precise interventional photon theragnostics.</div></div><div><h3>Statement of significance</h3><div>Emerging minimally invasive techniques have been explored for the treatment of colorectal cancer (CRC); however, these reported approaches cannot reach the requirement of precise orthotopic cancer treatment due to the lack of <em>in situ</em> real-time imaging guidance. This study proposes a 0.9 mm catheter-based OCT imaging-guided interventional photothermal therapy (IPTT) strategy at 1310 nm for treating orthotopic CRC. Folate-modified plasmonic Bi/Bi<sub>2</sub>S<sub>3</sub> nanoparticles enable real-time imaging-guided IPTT by providing strong scattering signals and local hyperthermia. This approach allows simultaneous transmission of imaging and therapy light in the same optical fiber, offering a promising method for precise CRC theragnostics and addressing the gap of <em>in situ</em> real-time imaging during IPTT.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"198 ","pages":"Pages 401-412"},"PeriodicalIF":9.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}