Sexual Development最新文献

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CBX2 in DSD: The Quirky Kid on the Block DSD中的CBX2:块上的古怪孩子
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-03-09 DOI: 10.1159/000522164
D. Hart, D. Rodríguez Gutiérrez, A. Biason-Lauber
{"title":"CBX2 in DSD: The Quirky Kid on the Block","authors":"D. Hart, D. Rodríguez Gutiérrez, A. Biason-Lauber","doi":"10.1159/000522164","DOIUrl":"https://doi.org/10.1159/000522164","url":null,"abstract":"Sex development is an intricate and crucial process in all vertebrates that ensures the continued propagation of genetic diversity within a species, and ultimately their survival. Perturbations in this process can manifest as disorders/differences of sex development (DSD). Various transcriptional networks have been linked to development of the gonad into either male or female, which is actively driven by a set of genes that function in a juxtaposed manner and is maintained through the developmental stages to preserve the final sexual identity. One such identified gene is Chromobox homolog 2 (CBX2), an important ortholog of the Polycomb group (PcG) proteins, that functions as both chromatin modifier and highly dynamic transactivator. CBX2 was shown to be an essential factor for gonadal development in mammals, as genetic variants or loss-of-function of CBX2 can cause sex reversal in mice and humans. Here we will provide an overview of CBX2, its biological functions at molecular level, and the CBX2-dependent transcriptional landscape in gonadal development and DSD.","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 1","pages":"162 - 170"},"PeriodicalIF":2.3,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42038512","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}
引用次数: 1
Inactivation of the Anti-Müllerian Hormone Receptor Type 2 (amhrII) Gene in Northern Pike (Esox lucius) Results in Male-To-Female Sex Reversal. 北梭鱼抗<s:1> lererian激素受体2型(amhrII)基因失活导致雄性向雌性的性别逆转。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000521003
Qiaowei Pan, Amaury Herpin, Yann Guiguen
{"title":"Inactivation of the Anti-Müllerian Hormone Receptor Type 2 (amhrII) Gene in Northern Pike (Esox lucius) Results in Male-To-Female Sex Reversal.","authors":"Qiaowei Pan,&nbsp;Amaury Herpin,&nbsp;Yann Guiguen","doi":"10.1159/000521003","DOIUrl":"https://doi.org/10.1159/000521003","url":null,"abstract":"<p><strong>Background: </strong>The anti-müllerian hormone (Amh) pathway is crucial for sexual development in teleosts. A male-specific duplicate of anti-müllerian hormone (amhby) was previously identified as the northern pike (Esox lucius) master sex determination gene. However, the role of its putative cognate receptor, i.e., the anti-müllerian hormone receptor type 2 (amhrII) was unclear in this species.</p><p><strong>Objective: </strong>Here, we investigated the role of amhrII during sexual development of northern pike.</p><p><strong>Method: </strong>We generated stable mutants with deletions in exon 9 of amhrII, inactivating the AmhrII protein using a CRISPR-Cas9-mediated gene knockout strategy.</p><p><strong>Result: </strong>The inactivation of amhrII in northern pike results in a high level of male-to-female sex reversal.</p><p><strong>Conclusion: </strong>This result demonstrates that amhrII is necessary for male sexual development in northern pike and supports the idea that AmhrII is a conserved regulator of the teleosts sex differentiation network.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 4","pages":"289-294"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283236","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}
引用次数: 2
Pathogenic Variants in MAP3K1 Cause 46,XY Gonadal Dysgenesis: A Review. MAP3K1致病变异导致46,xy性腺发育不良:综述。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000522428
Harry Ostrer
{"title":"Pathogenic Variants in MAP3K1 Cause 46,XY Gonadal Dysgenesis: A Review.","authors":"Harry Ostrer","doi":"10.1159/000522428","DOIUrl":"https://doi.org/10.1159/000522428","url":null,"abstract":"<p><p>Pathogenic variants in the MAP3K1 gene are an important cause of 46,XY non-syndromic partial and complete gonadal dysgenesis, accounting for at least 4% of cases. Inheritance occurs in a sex-limited, autosomal dominant fashion with virtually complete penetrance in 46,XY individuals. 46,XX carriers appear to have normal fertility and no developmental abnormalities. Pathogenic variants occur almost exclusively within known domains of the MAP3K1 protein, facilitating annotation when identified. Where studied, these variants have been modeled to alter the local MAP3K1 folding and surface domains and have been shown to alter interactions with known binding partners. The net effect of these variants is to increase phosphorylation of downstream targets ERK1, ERK2, and p38, resulting in multiple gain-of-function effects interfering with testis determination and enabling ovarian determination.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 2-3","pages":"92-97"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278337","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}
引用次数: 2
Trends in Time Regarding Sex Assignment of Patients with Disorders of Sex Development: Experience of an Interdisciplinary Service. 性发育障碍患者性别分配的时间趋势:跨学科服务的经验。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000520704
Julia P Vicentin, Mayra de Souza El Beck, Carlos W Germano, Juliana G R Andrade, Beatriz A Barros, Roberto B de Paive E Silva, Marcio L Miranda, Nilma L Viguetti-Campos, Tarsis A P Vieira, Tais N Mazzola, Mara S Guaragna, Helena Fabbri-Scallet, Maricilda P Mello, Antonia P Marques-de-Faria, Andrea T Maciel-Guerra, Gil Guerra-Junior
{"title":"Trends in Time Regarding Sex Assignment of Patients with Disorders of Sex Development: Experience of an Interdisciplinary Service.","authors":"Julia P Vicentin,&nbsp;Mayra de Souza El Beck,&nbsp;Carlos W Germano,&nbsp;Juliana G R Andrade,&nbsp;Beatriz A Barros,&nbsp;Roberto B de Paive E Silva,&nbsp;Marcio L Miranda,&nbsp;Nilma L Viguetti-Campos,&nbsp;Tarsis A P Vieira,&nbsp;Tais N Mazzola,&nbsp;Mara S Guaragna,&nbsp;Helena Fabbri-Scallet,&nbsp;Maricilda P Mello,&nbsp;Antonia P Marques-de-Faria,&nbsp;Andrea T Maciel-Guerra,&nbsp;Gil Guerra-Junior","doi":"10.1159/000520704","DOIUrl":"https://doi.org/10.1159/000520704","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this retrospective study was to verify the association between the time of diagnosis and initial and final sex assignment in a disorder of sex development (DSD) diagnostic group, looking at the age of the patients at first visit, severity of genital ambiguity, and karyotype.</p><p><strong>Methods: </strong>The time of diagnosis was divided into 3 groups: before 2000, between 2000 and 2006, and after 2006. Data were categorized and analyzed using the χ2 test with α < 0.05.</p><p><strong>Results: </strong>A total of 567 cases were analyzed; 307 were assigned as male, 135 as female, and 125 remained undefined at the first visit. After clinical and laboratory evaluations, 369 patients were male and 198 were female. Neither initial nor final sex assignment proportions changed over time, but there were significant differences in the age at first visit, with referral occurring at an earlier age, as well as more severe genital ambiguity presentations, a higher proportion of sex chromosome aberrations, and a lower frequency of 46,XX DSD cases. This occurred both in the sample as a whole (567 cases) and in the group of 125 patients without definitive sex assignment at the first visit. The results were similar when only 284 patients aged less than 12 months at the first visit were analyzed.</p><p><strong>Discussion/conclusion: </strong>Over time, there were no changes in sex assignment proportions, but there was an increased awareness of the need for early referral and changes in clinical, cytogenetic, and diagnostic aspects.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 4","pages":"236-241"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283215","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}
引用次数: 0
Erratum. 勘误表。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 Epub Date: 2021-11-08 DOI: 10.1159/000520607
{"title":"Erratum.","authors":"","doi":"10.1159/000520607","DOIUrl":"https://doi.org/10.1159/000520607","url":null,"abstract":"","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 1","pages":"70"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39854505","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}
引用次数: 0
Suggested Cutoff Point for Testosterone by Liquid Chromatography with Tandem Mass Spectrometry (LC-MS/MS) after Stimulation with Recombinant Human Chorionic Gonadotropin. 重组人绒毛膜促性腺激素刺激后液相色谱-串联质谱(LC-MS/MS)测定睾酮的建议截断点。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000519422
Leticia R de Oliveira, Carlos A Longui, Guilherme Guaragna-Filho, José L da Costa, Rafael Lanaro, Maria I Chiamolera, Maricilda P de Mello, André M Morcillo, Andrea T Maciel-Guerra, Gil Guerra-Junior
{"title":"Suggested Cutoff Point for Testosterone by Liquid Chromatography with Tandem Mass Spectrometry (LC-MS/MS) after Stimulation with Recombinant Human Chorionic Gonadotropin.","authors":"Leticia R de Oliveira,&nbsp;Carlos A Longui,&nbsp;Guilherme Guaragna-Filho,&nbsp;José L da Costa,&nbsp;Rafael Lanaro,&nbsp;Maria I Chiamolera,&nbsp;Maricilda P de Mello,&nbsp;André M Morcillo,&nbsp;Andrea T Maciel-Guerra,&nbsp;Gil Guerra-Junior","doi":"10.1159/000519422","DOIUrl":"https://doi.org/10.1159/000519422","url":null,"abstract":"The human chorionic gonadotropin (hCG) stimulation test that evaluates gonadal steroidogenesis is crucial in the assessment of patients with 46,XY disorders of sex development (DSD). This study aimed to determine a testosterone (T) cutoff level that indicates an adequate testicular function using LC-MS/MS after stimulation with recombinant human chorionic gonadotropin (rhCG) in a single dose. Nineteen prepubertal children with 46,XY DSD and normal T secretion were evaluated. T and dihydrotestosterone (DHT) levels were measured by liquid chromatography technique with tandem mass spectrometry (LC-MS/MS) before and 7 days after rhCG application at 250 µg. We suggest 0.89 ng/mL as the cutoff point for T after rhCG stimulation analyzed by LC-MS/MS.","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 4","pages":"266-269"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10738758","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}
引用次数: 2
Genetic and Epigenetic Control of Puberty. 青春期的遗传和表观遗传控制。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 Epub Date: 2021-10-14 DOI: 10.1159/000519039
María Carolina Manotas, Daniel Mauricio González, Camila Céspedes, Catalina Forero, Adriana Patricia Rojas Moreno
{"title":"Genetic and Epigenetic Control of Puberty.","authors":"María Carolina Manotas,&nbsp;Daniel Mauricio González,&nbsp;Camila Céspedes,&nbsp;Catalina Forero,&nbsp;Adriana Patricia Rojas Moreno","doi":"10.1159/000519039","DOIUrl":"https://doi.org/10.1159/000519039","url":null,"abstract":"<p><p>Puberty is a complex transitional phase in which reproductive capacity is achieved. There is a very wide variation in the age range of the onset of puberty, which follows a familial, ethnic, and sex pattern. The hypothalamic-pituitary-gonadal axis and several genetic, environmental, and nutritional factors play an important role in the onset of and throughout puberty. Recently, there has been significant progress in identifying factors that affect normal pubertal timing. Different studies have identified single nucleotide polymorphisms (SNPs) that affect pubertal timing in both sexes and across ethnic groups. Single genes are implicated in both precocious and delayed puberty, and epigenetic mechanisms have been suggested to affect the development and function of the GnRH neuronal network and responsiveness of end organs. All these factors can influence normal puberty timing, precocious puberty, and delayed puberty. The objective of this review is to describe recent findings related to the genetic and epigenetic control of puberty and highlight the need to deepen the knowledge of the regulatory mechanisms of this process in the normal and abnormal context.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 1","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39520474","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}
引用次数: 16
Functional Analysis of Mmd2 and Related PAQR Genes During Sex Determination in Mice. 小鼠性别决定过程中Mmd2及相关PAQR基因的功能分析。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000522668
Liang Zhao, Ella Thomson, Ee T Ng, Enya Longmuss, Terje Svingen, Stefan Bagheri-Fam, Alexander Quinn, Vincent R Harley, Leonard C Harrison, Emanuele Pelosi, Peter Koopman
{"title":"Functional Analysis of Mmd2 and Related PAQR Genes During Sex Determination in Mice.","authors":"Liang Zhao,&nbsp;Ella Thomson,&nbsp;Ee T Ng,&nbsp;Enya Longmuss,&nbsp;Terje Svingen,&nbsp;Stefan Bagheri-Fam,&nbsp;Alexander Quinn,&nbsp;Vincent R Harley,&nbsp;Leonard C Harrison,&nbsp;Emanuele Pelosi,&nbsp;Peter Koopman","doi":"10.1159/000522668","DOIUrl":"https://doi.org/10.1159/000522668","url":null,"abstract":"<p><strong>Introduction: </strong>Sex determination in eutherian mammals is controlled by the Y-linked gene Sry, which drives the formation of testes in male embryos. Despite extensive study, the genetic steps linking Sry action and male sex determination remain largely unknown. Here, we focused on Mmd2, a gene that encodes a member of the progestin and adipoQ receptor (PAQR) family. Mmd2 is expressed during the sex-determining period in XY but not XX gonads, suggesting a specific role in testis development.</p><p><strong>Methods: </strong>We used CRISPR to generate mouse strains deficient in Mmd2 and its 2 closely related PAQR family members, Mmd and Paqr8, which are also expressed during testis development. Following characterization of Mmd2 expression in the developing testis, we studied sex determination in embryos from single knockout as well as Mmd2;Mmd and Mmd2;Paqr8 double knockout lines using quantitative RT-PCR and immunofluorescence.</p><p><strong>Results: </strong>Analysis of knockout mice deficient in Sox9 and Nr5a1 revealed that Mmd2 operates downstream of these known sex-determining genes. However, fetal testis development progressed normally in Mmd2-null embryos. To determine if other genes might have compensated for the loss of Mmd2, we analyzed Paqr8 and Mmd-null embryos and confirmed that in both knockout lines, sex determination occurred normally. Finally, we generated Mmd2;Mmd and Mmd2;Paqr8 double-null embryos and again observed normal testis development.</p><p><strong>Discussion: </strong>These results may reflect functional redundancy among PAQR factors, or their dispensability in gonadal development. Our findings highlight the difficulties involved in identifying genes with a functional role in sex determination and gonadal development through expression screening and loss-of-function analyses of individual candidate genes and may help to explain the paucity of genes in which variations have been found to cause human disorders/differences of sex development.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 4","pages":"270-282"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283235","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}
引用次数: 2
Retrotransposons in the Mammalian Male Germline. 哺乳动物雄性生殖系中的逆转录转座子。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000520683
Shumin Zhou, Akihiko Sakashita, Shuiqiao Yuan, Satoshi H Namekawa
{"title":"Retrotransposons in the Mammalian Male Germline.","authors":"Shumin Zhou,&nbsp;Akihiko Sakashita,&nbsp;Shuiqiao Yuan,&nbsp;Satoshi H Namekawa","doi":"10.1159/000520683","DOIUrl":"https://doi.org/10.1159/000520683","url":null,"abstract":"<p><p>Retrotransposons are a subset of DNA sequences that constitute a large part of the mammalian genome. They can translocate autonomously or non-autonomously, potentially jeopardizing the heritable germline genome. Retrotransposons coevolved with the host genome, and the germline is the prominent battlefield between retrotransposons and the host genome to maximize their mutual fitness. Host genomes have developed various mechanisms to suppress and control retrotransposons, including DNA methylation, histone modifications, and Piwi-interacting RNA (piRNA), for their own benefit. Thus, rapidly evolved retrotransposons often acquire positive functions, including gene regulation within the germline, conferring reproductive fitness in a species over the course of evolution. The male germline serves as an ideal model to examine the regulation and evolution of retrotransposons, resulting in genomic co-evolution with the host genome. In this review, we summarize and discuss the regulatory mechanisms of retrotransposons, stage-by-stage, during male germ cell development, with a particular focus on mice as an extensively studied mammalian model, highlighting suppression mechanisms and emerging functions of retrotransposons in the male germline.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 5-6","pages":"404-422"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9839464","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}
引用次数: 2
Sexually Dimorphic Properties in Meiotic Chromosome. 减数分裂染色体的两性二态性。
IF 2.3 4区 医学
Sexual Development Pub Date : 2022-01-01 DOI: 10.1159/000520682
Kei-Ichiro Ishiguro
{"title":"Sexually Dimorphic Properties in Meiotic Chromosome.","authors":"Kei-Ichiro Ishiguro","doi":"10.1159/000520682","DOIUrl":"https://doi.org/10.1159/000520682","url":null,"abstract":"<p><strong>Background: </strong>Meiosis is a crucial process for germ cell development. It consists of 1 round of DNA replication followed by 2 rounds of chromosome segregation, producing haploid gametes from diploid cells. During meiotic prophase, chromosomes are organized into axis-loop structures, which underlie meiosis-specific events such as meiotic recombination and homolog synapsis. Meiosis-specific cohesin plays a pivotal role in establishing higher-order chromosome architecture and regulating chromosome dynamics.</p><p><strong>Summary: </strong>Notably, sexually dimorphic properties of chromosome architecture are prominent during meiotic prophase, despite the same axial proteins being conserved between male and female. The difference in chromosome structure between the sexes gives sexual differences in the regulation of meiotic recombination and crossover distribution.</p><p><strong>Key messages: </strong>This review mainly focuses on the sexual differences of meiosis from the viewpoint of chromosome structure in mammals, elucidating the differences in meiotic recombination and homolog synapsis between the sexes.</p>","PeriodicalId":49536,"journal":{"name":"Sexual Development","volume":"16 5-6","pages":"423-434"},"PeriodicalIF":2.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785041","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}
引用次数: 3
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