Asian BiomedicinePub Date : 2023-10-26eCollection Date: 2023-10-01DOI: 10.2478/abm-2023-0061
{"title":"Hypertension, preeclampsia, and HELLP syndrome in pregnancy.","authors":"","doi":"10.2478/abm-2023-0061","DOIUrl":"10.2478/abm-2023-0061","url":null,"abstract":"","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410392","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}
Asian BiomedicinePub Date : 2023-10-26eCollection Date: 2023-10-01DOI: 10.2478/abm-2023-0064
Gongchao Huang, Wenqin Zhang, Hongqi Tian
{"title":"Evaluation of the radiosensitizing effect of MEK inhibitor KZ-001 on non-small cell lung cancer cells in vitro.","authors":"Gongchao Huang, Wenqin Zhang, Hongqi Tian","doi":"10.2478/abm-2023-0064","DOIUrl":"https://doi.org/10.2478/abm-2023-0064","url":null,"abstract":"<p><strong>Background: </strong>Non-small cell lung cancer (NSCLC) has a poor prognosis and usually presents resistance against radiotherapy. MEK inhibitors have been proven to possess a radiosensitization effect. The compound KZ-001 as a particular MEK inhibitor is superior to the listed MEK inhibitor AZD6244.</p><p><strong>Objective: </strong>To investigate whether KZ-001 could enhance the radiosensitivity of NSCLC cell lines in vitro.</p><p><strong>Methods: </strong>MTT and colony formation assay were used to evaluate the radiosensitivity effect of KZ-001. Immunofluorescence, cell cycle, apoptosis staining, and western blot experiments were used to explore the radiosensitivity mechanism.</p><p><strong>Results: </strong>KZ-001 significantly decreased A549 cell viability at 6 Gy and 8 Gy radiation doses and caused the radiosensitivity at 1 Gy, 4 Gy, and 6 Gy in colony formation experiments. The A549 apoptosis ratio induced by irradiation (IR) combined with KZ-001 increased significantly in comparison with that by IR monotherapy (10.57% vs. 6.23%, <i>P</i> = 0.0055). The anti-apoptosis marker Bcl-XL was found downregulated in KZ-001 and IR-treated A549/H460 cells, but apoptosis marker Bax was downregulated in H460. Extracellular regulated protein kinases (ERK1/2) phosphorylation of H460 cells could be blocked both by IR alone and IR combined with KZ-001. IR combined with KZ-001 is able to inhibit ERK activation of A549 cells apparently. KZ-001 increased the proportion of G2 phase in irradiated cells from 21.24% to 32.22%. KZ-001 could also significantly increase the double-strand break damage cell ratio to more than 30% compared to the irradiation alone group.</p><p><strong>Conclusions: </strong>MEK1/2 inhibitor KZ-001 is a potential radiosensitizer for clinical applications.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410391","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}
Asian BiomedicinePub Date : 2023-10-26eCollection Date: 2023-10-01DOI: 10.2478/abm-2023-0065
Yusuf Nergiz, Engin Deveci, Erdal Sak, Sıddık Evsen, Selçuk Tunik, Şebnem Nergiz, Fırat Aşır, Uğur Şeker
{"title":"Severe preeclampsia complicated by HELLP syndrome alters the structure of Hofbauer and syncytiotrophoblast cells: ultrastructural and immunohistochemical study.","authors":"Yusuf Nergiz, Engin Deveci, Erdal Sak, Sıddık Evsen, Selçuk Tunik, Şebnem Nergiz, Fırat Aşır, Uğur Şeker","doi":"10.2478/abm-2023-0065","DOIUrl":"https://doi.org/10.2478/abm-2023-0065","url":null,"abstract":"<p><strong>Background: </strong>Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome is generally considered to be a variant or complication of preeclampsia. It is a life-threatening obstetric complication.</p><p><strong>Objectives: </strong>To evaluate the immunohistochemistry and ultrastructural of syncytiotrophoblastand Hoffbauer cells in placental villi of patients with HELLP syndrome.</p><p><strong>Methods: </strong>Two groups of patients with a total of 50 full-term human placentas (n = 25 in each group) were assigned as the control (normotensive) and HELLP syndrome. Placental tissue samples were fixed in 10% neutral formalin and paraffin-embedding protocol was performed. We prepared 5 μm sections for histological and immunohistochemical staining. Sections were immunostained with Hoffbauer cell marker CD68. For transmission electron microscopy (TEM), placental tissue samples were fixed in 2.5% buffered glutaraldehyde and then, in 1% osmium tetroxide for routine ultrastructural examinations.</p><p><strong>Results: </strong>When the HELLP group fetal placental sections were examined, intracytoplasmic edema in syncytiotrophoblast, degenerative vacuoles, and degenerative findings on cell surface membranes were observed. Moreover, villous edema was remarkable. The number of CD68-positive Hoffbauer cells per villus control group sections was 0.23 ± 0.02 and the number of CD68-positive cells per villus in HELLP group placenta sections was 0.83 ± 0.12. The increase in the number of Hoffbauer cells per villus in the HELLP group was significant (<i>P</i> < 0.001). Compared with the control group, there was a significant increase in the number of Hoffbauer cells and syncytiotrophoblasts in the HELLP group, and degenerative changes were also observed in the ultrastructure of these cells.</p><p><strong>Conclusions: </strong>Pathology of the HELLP syndrome is in relation to CD68-positive placental macrophages.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410393","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0060
Bhoowit Lerttiendamrong, Pavinee Annoppornchai, Pasu Promniyom
{"title":"Fibrosarcomatous dermatofibrosarcoma protuberans: a rapidly growing 30 cm mass on the posterior scalp.","authors":"Bhoowit Lerttiendamrong, Pavinee Annoppornchai, Pasu Promniyom","doi":"10.2478/abm-2023-0060","DOIUrl":"https://doi.org/10.2478/abm-2023-0060","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing sarcoma of the skin and subcutaneous tissue, accounting for around 5 cases per million per year. Fibrosarcomatous transformation of DFSP occurs in 10%-15% of DFSP cases, with a higher risk of local recurrence, metastasis, and death. We present a case of a male in his 30s with a complaint of rapidly progressive mass in the occipital region of the head. Within 1 year, the mass enlarged by >30 cm. Physical examination revealed a skin-colored 40×30 cm mass with an overlying skin necrosis at the posterior scalp. Brain, neck, and chest computed tomography (CT) scans were performed. The mass was surgically excised by wide excision with a 2 cm margin. Pathological report confirmed fibrosarcomatous DFSP Grade 3 with decreased CD34 expression. Delayed reconstruction of free flap and split-thickness skin graft were subsequently performed. No recurrence was detected 3 months postoperatively.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673790","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0056
Ivyna Pau Ni Bong, Ezalia Esa
{"title":"Molecular genetic aberrations in the pathogenesis of multiple myeloma.","authors":"Ivyna Pau Ni Bong, Ezalia Esa","doi":"10.2478/abm-2023-0056","DOIUrl":"https://doi.org/10.2478/abm-2023-0056","url":null,"abstract":"<p><p>Multiple myeloma (MM) is the second most common form of blood cancer characterized by clonal expansion of malignant plasma cells within the bone marrow. MM is a complex, progressive, and highly heterogeneous malignancy, which occurs via a multistep transformation process involving primary and secondary oncogenic events. Recent advances in molecular techniques have further expanded our understanding of the mutational landscape, clonal composition, and dynamic evolution patterns of MM. The first part of this review describes the key oncogenic events involved in the initiation and progression of MM, together with their prognostic impact. The latter part highlights the most prominent findings concerning genomic aberrations promoted by gene expression profiling (GEP) and next-generation sequencing (NGS) in MM. This review provides a concise understanding of the molecular pathogenesis of the MM genome and the importance of adopting emerging molecular technology in future clinical management of MM.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673792","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0057
Meiyu Lin, Shaiping Hu, Qi Zeng, Bixia Xiao, Yao He
{"title":"Screening anti-fatigue components of American ginseng saponin by analyzing spectrum-effect relationship coupled with UPLC-Q-TOF-MS.","authors":"Meiyu Lin, Shaiping Hu, Qi Zeng, Bixia Xiao, Yao He","doi":"10.2478/abm-2023-0057","DOIUrl":"https://doi.org/10.2478/abm-2023-0057","url":null,"abstract":"<p><strong>Background: </strong>American ginseng has an obvious anti-fatigue effect, but the effective material basis is still unclear. The spectrum-effect relationship is a scientific method that studies the correlations between chemical spectra and pharmacological effect.</p><p><strong>Objective: </strong>To reveal the real bioactive compounds in American ginseng saponin (AGS) based on a study of the underlying correlations between these compounds' occurrence in rat serum after their intake of AGS and the anti-fatigue effect of AGS.</p><p><strong>Methods: </strong>We utilized ultra-performance liquid chromatography (UPLC) with quadrupole and time-of-flight mass spectrometry (Q-TOF-MS) to analyze the extract of AGS and its constituents in serum after oral administration in rats. The anti-fatigue effect of AGS in rats was measured using the time weight-bearing swimming technique, the content of blood urea nitrogen, hepatic glycogen, and blood lactic acid. The relationship between the peak area values in fingerprints from rat serum and pharmacodynamic parameters of AGS was established using correlation analysis with partial least square regression (PLSR) method and gray correlation method.</p><p><strong>Results: </strong>We detected and identified 22 compounds from extract, and 8 prototype components from serum. Through PLSR and gray correlation method, it was found that the ginsenosides Re, Rb1, and Rb2 were significantly positively related to the pharmacodynamic data.</p><p><strong>Conclusions: </strong>Based on the spectrum-effect relationship, PLSR and gray correlation method can be used to screen for the anti-fatigue components available in AGS. Such an approach is of practical significance as it provides an effective means for exploring the material basis for the efficacy of American ginseng, particularly as an anti-fatigue agent.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673793","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0055
{"title":"Complementary medicine for fatigue: the importance of basic sciences and clinical studies.","authors":"","doi":"10.2478/abm-2023-0055","DOIUrl":"10.2478/abm-2023-0055","url":null,"abstract":"","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673788","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0058
Banu Kilicaslan, Seda B Akinci, Fatma Saricaoglu, Savas O Yılbas, Burcu A Ozkaya
{"title":"Effects of coenzyme Q10 in a propofol infusion syndrome model of rabbits.","authors":"Banu Kilicaslan, Seda B Akinci, Fatma Saricaoglu, Savas O Yılbas, Burcu A Ozkaya","doi":"10.2478/abm-2023-0058","DOIUrl":"https://doi.org/10.2478/abm-2023-0058","url":null,"abstract":"<p><strong>Background: </strong>Coenzyme Q (CoQ) might be the main site of interaction with propofol on the mitochondrial respiratory chain in the propofol infusion syndrome (PRIS) because of the structural similarity between coenzyme Q10 (CoQ10) and propofol.</p><p><strong>Aim: </strong>To investigate the effects of CoQ10 on survival and organ injury in a PRIS model in rabbits.</p><p><strong>Methods: </strong>Sixteen male New Zealand white rabbits were divided into 4 groups: (1) propofol infusion group, (2) propofol infusion and CoQ10, 100 mg/kg was administered intravenously, (3) sevoflurane inhalation was administered, and (4) sevoflurane inhalation and CoQ10, 100 mg/kg intravenously, was administered. Arterial blood gas and biochemical analyses were repeated every 2 h and every 12 h, respectively. Animals that were alive on the 24th hour after anesthesia induction were euthanized. The organ damages were investigated under light and transmission electron microscopy (TEM).</p><p><strong>Results: </strong>The propofol infusion group had the highest troponin T levels when compared with the other three groups at the 12th hour. The propofol + CoQ10 group had lower troponin T levels when compared with the propofol and sevoflurane groups (<i>P</i> < 0.05). Administration of CoQ10 decreased total liver injury scores and total organ injury scores both in the propofol and sevoflurane groups. The propofol and sevoflurane organ toxicities were attenuated with CoQ10 in liver, gallbladder, urinary bladder, and spleen.</p><p><strong>Conclusion: </strong>The addition of CoQ10 to propofol and sevoflurane anesthesia prevented the propofol-associated increase in troponin T levels at the 12th hour of infusion and decreased anesthetic-induced total liver and organ injury scores.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673789","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}
Asian BiomedicinePub Date : 2023-10-18eCollection Date: 2023-08-01DOI: 10.2478/abm-2023-0059
Athira Ajith, Usha Subbiah
{"title":"In silico prediction of deleterious non-synonymous SNPs in <i>STAT3</i>.","authors":"Athira Ajith, Usha Subbiah","doi":"10.2478/abm-2023-0059","DOIUrl":"https://doi.org/10.2478/abm-2023-0059","url":null,"abstract":"<p><strong>Background: </strong><i>STAT3</i>, a pleiotropic transcription factor, plays a critical role in the pathogenesis of autoimmunity, cancer, and many aspects of the immune system, as well as having a link with inflammatory bowel disease. Changes caused by non-synonymous single nucleotide polymorphisms (nsSNPs) have the potential to damage the protein's structure and function.</p><p><strong>Objective: </strong>We identified disease susceptible single nucleotide polymorphisms (SNPs) in <i>STAT3</i> and predicted structural changes associated with mutants that disrupt normal protein-protein interactions using different computational algorithms.</p><p><strong>Methods: </strong>Several <i>in silico</i> tools, such as SIFT, PolyPhen v2, PROVEAN, PhD-SNP, and SNPs&GO, were used to determine nsSNPs of the <i>STAT3</i>. Further, the potentially deleterious SNPs were evaluated using I-Mutant, ConSurf, and other computational tools like DynaMut for structural prediction.</p><p><strong>Result: </strong>417 nsSNPs of <i>STAT3</i> were identified, 6 of which are considered deleterious by <i>in silico</i> SNP prediction algorithms. Amino acid changes in V507F, R335W, E415K, K591M, F561Y, and Q32K were identified as the most deleterious nsSNPs based on the conservation profile, structural conformation, relative solvent accessibility, secondary structure prediction, and protein-protein interaction tools.</p><p><strong>Conclusion: </strong>The in silico prediction analysis could be beneficial as a diagnostic tool for both genetic counseling and mutation confirmation. The 6 deleterious nsSNPs of <i>STAT3</i> may serve as potential targets for different proteomic studies, large population-based studies, diagnoses, and therapeutic interventions.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673791","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}
Asian BiomedicinePub Date : 2023-10-09eCollection Date: 2023-06-01DOI: 10.2478/abm-2023-0053
Ömer Faruk Boran, Aykut Urfalioglu, Mahmut Arslan, Fatih Mehmet Yazar, Bora Bilal, Yavuz Orak, Bülent Katı, Ayşe Azak Bozan
{"title":"The effect of transversus abdominis plane block application on postoperative analgesia quality and patient satisfaction after varicocele surgery: a randomized clinical trial.","authors":"Ömer Faruk Boran, Aykut Urfalioglu, Mahmut Arslan, Fatih Mehmet Yazar, Bora Bilal, Yavuz Orak, Bülent Katı, Ayşe Azak Bozan","doi":"10.2478/abm-2023-0053","DOIUrl":"https://doi.org/10.2478/abm-2023-0053","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pain management is an important aspect of anesthesia care and multimodal analgesic techniques are generally recommended.</p><p><strong>Objective: </strong>To compare the effect of spinal anesthesia + transversus abdominis plane (TAP) block application on postoperative analgesia quality and patient satisfaction with spinal anesthesia + intrathecal morphine (ITM) application.</p><p><strong>Methods: </strong>A total of 70 patients were randomly separated into 2 groups as spinal anesthesia + TAP block (TAP block group, n = 34) and spinal anesthesia + ITM group (ITM group, n = 36). The groups were compared in respect of age, body mass index values, and visual analog scale (VAS) values at 0 h, 2 h, 6 h, 12 h, and 18 h, and patient satisfaction was scored by Quality Improvement in Postoperative Pain Management at 24 h.</p><p><strong>Results: </strong>The mean age of the patients was 32.52 ± 6.50 years in the TAP block group and 30.11 ± 5.62 years in the ITM group, with no statistically significant difference determined. There was no statistically significant difference in terms of VAS values at 0 h, 2 h, 6 h, 12 h, and 18 h. When the factors affecting postoperative patient satisfaction were evaluated, feeling fatigue after the surgery (r = -0.811, <i>P</i> = 0.001) and postoperative complications such as nausea, vomiting, and itching (r = -0.831, <i>P</i> = 0.001) were found to have a negative effect on patient satisfaction.</p><p><strong>Conclusion: </strong>Due to low complication rates, TAP block is an effective application for postoperative analgesia management in varicocele operations that increases patient satisfaction postoperatively.</p>","PeriodicalId":8501,"journal":{"name":"Asian Biomedicine","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189517","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}