{"title":"Antiarrhythmic Potential of the β-Adrenoceptor Blocker Metoprolol against Dofetilide-Induced Torsades de Pointes in Anesthetized Bradycardic Rabbits.","authors":"Satoshi Kawakami, Yuki Ishimaru, Megumi Aimoto, Yoshinobu Nagasawa, Akira Takahara","doi":"10.1248/bpb.b25-00450","DOIUrl":"https://doi.org/10.1248/bpb.b25-00450","url":null,"abstract":"<p><p>We have established a proarrhythmic rabbit model of acute atrioventricular block (AVB) with severe bradycardia to detect delayed rectifier K<sup>+</sup> channel current (I<sub>Kr</sub>) blocker-induced torsade de pointes (TdP). To better understand the role of β-adrenoceptors in this model, we investigated the effect of the β-adrenoceptor blocker metoprolol against an I<sub>Kr</sub> blocker dofetilide-induced TdP. AVB was induced by catheter ablation under isoflurane anesthesia, and the ventricles were electrically paced at a constant rate of 60 beats/min throughout the experiments. Monophasic action potentials (MAPs) were recorded from the right ventricle. In the non-treated control rabbits (n = 5), intravenous administration of an I<sub>Kr</sub> blocker dofetilide (25 µg/kg) prolonged the MAP duration (MAP<sub>90</sub>) by 90 ± 38 ms, which led to the induction of TdP in four of the five animals. In rabbits receiving the β-adrenoceptor blocker metoprolol (10 µg/kg/min, n = 5), the same dose of dofetilide prolonged MAP<sub>90</sub> by 205 ± 31 ms, whereas TdP did not occur in this group. Meanwhile, the incidence of dofetilide-induced R-on-T-type premature ventricular contractions, representing an arrhythmogenic trigger, was lower in metoprolol-treated rabbits than in non-treated control rabbits. These results indicate that metoprolol exerted an overall antiarrhythmic effect by strongly suppressing TdP generation induced by dofetilide, despite its proarrhythmic action of enhancing repolarization prolongation. This highlights the critical role of β-adrenoceptors in facilitating arrhythmogenic triggers under conditions of excessive repolarization delay.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 1","pages":"34-39"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899184","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":"Real-World Medication Regimen Change in Adults with ADHD: A Large Claims Database Study.","authors":"Natsuri Yonezawa, Kenji Momo","doi":"10.1248/bpb.b26-00127","DOIUrl":"https://doi.org/10.1248/bpb.b26-00127","url":null,"abstract":"<p><p>Pharmacotherapy persistence in adults with attention-deficit/hyperactivity disorder (ADHD) remains concerning; however, evidence describing early treatment changes and discontinuation is limited. This study aimed to describe initial ADHD pharmacotherapy patterns and quantify claims-based initial regimen instability in Japanese adults. Using a Japanese claims database, we assembled a cohort of adults who initiated ADHD medication with methylphenidate, atomoxetine, guanfacine, or polytherapy (combination therapy) at initiation. Initial regimen instability was defined as the first observed regimen modification, including switching, add-on/polytherapy, de-escalation or combination-pattern change among initial polytherapy users, or a temporary drug-free interruption followed by restart after 31-179 d. A sustained medication-free period of ≥180 d without restart was treated as a competing event. We estimated cumulative incidence functions for initial regimen instability, treating the sustained medication-free period as a competing event. Fine-Gray models adjusted for age, sex, and major psychiatric comorbidities were used to compare initial regimens with methylphenidate as a reference. Landmark analysis was used to assess robustness. Among 14814 initiators, 3085, 8517, 3076, and 136 started methylphenidate, atomoxetine, guanfacine, and initial polytherapy, respectively. In the adjusted Fine-Gray model, the subdistribution hazard ratio for initial regimen instability was 0.74 for atomoxetine and 0.72 for guanfacine, whereas it was higher (2.65) for initial polytherapy in the main analysis. However, this estimate was sensitive to the operational definition of regimen instability. Landmark analysis yielded consistent differences between regimens. Initial ADHD pharmacotherapy showed heterogeneity in Japanese adults and included initial polytherapy, with initial regimen instability differing substantially depending on the starting regimen.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 8","pages":"1263-1270"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787920","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":"Critical Medicines Lists in Japan and the European Union: Insights into Supply Resilience and Policy Priorities.","authors":"Ken-Ichi Izutsu, Shoto Sasaki, Rin Kondo, Karen Namiki, Hideaki Uzawa, Hiroaki Mamiya","doi":"10.1248/bpb.b26-00220","DOIUrl":"10.1248/bpb.b26-00220","url":null,"abstract":"<p><p>Regulatory authorities are increasingly developing lists of medicines that are at high risk of shortage to strengthen supply chain resilience. This study compares Japan's Ministry of Health, Labour and Welfare (MHLW) List of Medicines for Stable Supply with the European Medicines Agency (EMA) Union List of Critical Medicines, examining their regulatory roles, selection criteria, and composition using the WHO Anatomical Therapeutic Chemical classification. For antibacterial and antineoplastic agents, we also analyzed mechanisms of action, approval years, and inclusion on the WHO Essential Medicines List. The EMA list primarily includes medicines whose supply interruption would pose an immediate and serious threat to life or essential medical care over a limited period. This narrower scope, with fewer chronic disease medicines, such as antihypertensives and therapies for bone-related diseases and endocrine disorders, reflects strict criteria focused on life-sustaining importance amid economic security risks, including import disruptions. Conversely, the MHLW list is substantially broader. It encompasses not only life-saving medicines but also many chronic disease treatments, whose interruption would have less immediate clinical impact, as well as vitamins, minerals, and diagnostic agents. For antibacterial and antineoplastic agents, both lists include older, well-established medicines, whereas the MHLW-only group contains newer agents reflecting Japanese clinical practice. Although the broad scope of the MHLW list supports routine supply management, it is less suited to rapid prioritization during large-scale shortages driven by external factors. Clarifying risk scenarios and identifying priority medicines may enhance emergency response capacities.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 9","pages":"1482-1490"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918438","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}
Arisa Kubokawa, Ai Ohki, Risa Ono, Makoto Araki, Motoaki Yanaizu, Yoshihiro Kino
{"title":"Sequestration of CAPNS1 into Polyglycine Aggregates in a Cellular Model of NOTCH2NLC Repeat Expansion.","authors":"Arisa Kubokawa, Ai Ohki, Risa Ono, Makoto Araki, Motoaki Yanaizu, Yoshihiro Kino","doi":"10.1248/bpb.b26-00313","DOIUrl":"https://doi.org/10.1248/bpb.b26-00313","url":null,"abstract":"<p><p>Neuronal Intranuclear Inclusion Disease (NIID) is caused by GGC repeat expansions in the 5' untranslated region of the notch 2 N-terminal like C (NOTCH2NLC) gene. An upstream open reading frame within the mutant transcript produces the NOTCH2NLC upstream open reading frame-derived polyglycine protein (uN2CpolyG) containing expanded polyglycine (polyG), which forms intranuclear inclusions. Although uN2CpolyG is thought to play a critical role in disease pathogenesis, the mechanisms underlying its toxicity and inclusion formation remain incompletely understood. In this study, we first expressed a pure GGC repeat encoding polyG in Neuro2a cells and identified aggregate-associated proteins by mass spectrometry. We then confirmed the formation of intracellular aggregates using both transient expression and drug-inducible expression systems for uN2CpolyG. Among the proteins identified by mass spectrometry, Calpain small subunit 1 (Capns1), the regulatory subunit of calpain, was found to be sequestered into uN2CpolyG aggregates. Notably, the N-terminus of Capns1 contains a glycine-rich sequence, which mediated its co-aggregation with uN2CpolyG. Furthermore, knockdown of Capns1 appeared to reduce the accumulation of uN2CpolyG aggregates. Collectively, these findings identify Capns1 as a potential modifier of NIID pathology.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 9","pages":"1404-1408"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879029","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":"Effects of ONO-6950, a Novel Dual Cysteinyl Leukotriene 1 and 2 Receptor Antagonist, in a Rat Model of Pulmonary Arterial Hypertension.","authors":"Akihiro Kamiya, Masabumi Minami","doi":"10.1248/bpb.b26-00345","DOIUrl":"https://doi.org/10.1248/bpb.b26-00345","url":null,"abstract":"<p><p>The effects of ONO-6950, a novel dual antagonist of cysteinyl leukotriene 1 (CysLT<sub>1</sub>) and 2 (CysLT<sub>2</sub>) receptors, were examined in a monocrotaline-induced rat model of pulmonary arterial hypertension (PAH). The effects were compared with those of montelukast (selective CysLT<sub>1</sub> receptor antagonist), bosentan (endothelin receptor antagonist), and imatinib (tyrosine kinase inhibitor). In the rat PAH model, ONO-6950 (10, 30, or 100 mg/kg, p.o.) and bosentan (50 mg/kg, p.o.) significantly ameliorated right ventricular hypertrophy and elevation of right ventricular pressure, both indices of PAH, whereas montelukast showed only limited efficacy. Histopathological evaluation revealed that ONO-6950 showed a weak trend toward improvement in pulmonary vascular remodeling and inflammatory cell infiltration in lung tissue. Furthermore, ONO-6950 and imatinib similarly prolonged survival in the rat PAH model. These results demonstrate that ONO-6950 is an orally active dual CysLT<sub>1</sub>/CysLT<sub>2</sub> receptor antagonist that may provide a novel therapeutic option for PAH.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 10","pages":"1659-1666"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164797","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":"Enhancing Skin Penetration of a Hydrophilic, Large Molecular Weight Compound Using a Nanoparticle-in-Oil Dispersion.","authors":"Hikaru Machida, Hiroaki Sato, Tomohiro Hikima","doi":"10.1248/bpb.b26-00242","DOIUrl":"https://doi.org/10.1248/bpb.b26-00242","url":null,"abstract":"<p><p>The hyaluronic acid levels in the body decline over time due to various factors, such as aging and UV irradiation. Therefore, technologies that can directly deliver hyaluronic acid across the skin are clinically relevant. In this study, we fabricated a nanoparticle-in-oil dispersion (NOD) by dehydrating a water-in-oil emulsion containing rhodamine B isothiocyanate-labeled sodium hyaluronate (RHA; average molecular weight, 1200000-1600000). To clarify the effect of NOD on the transdermal absorption of RHA, in vitro experiments were performed using three formulations: RHA-loaded NOD (RHA-NOD), an olive oil dispersion of RHA (RHA-O) containing a surfactant (polyglyceryl-6 polyricinoleate), and an olive oil dispersion of RHA (oil dispersion). The RHA concentrations in the RHA-NOD, RHA-O, and oil dispersion, each prepared at 0.03% (w/v), were 144.5 ± 9.1, 2.5 ± 0.3, and 4.0 × 10<sup>-2</sup> ± 0.3 × 10<sup>-2</sup> µg/mL, respectively. Dynamic light-scattering and field emission scanning electron microscopy revealed a uniform size of 150 nm for the NOD. The skin penetration flux of the RHA-NOD was 3.4 times that of RHA-O. Analysis of cryosections indicated that NOD significantly increased the RHA concentration from the skin surface to a depth of 140 µm. These findings position NODs as platforms with the potential to maintain a high concentration of RHA on the skin surface.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 9","pages":"1570-1577"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069122","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":"An in Vivo Factor Connecting Sustained Reactive Oxygen Species Capture with Rapid Disposition: Quercetin Distribution into Hemoglobin.","authors":"Tadatoshi Tanino, Yukari Ueda, Noriaki Nagai, Yoshinori Funakami, Kimihisa Itoh","doi":"10.1248/bpb.b26-00207","DOIUrl":"https://doi.org/10.1248/bpb.b26-00207","url":null,"abstract":"<p><p>The in vivo antioxidant effects of freely available quercetin (Qc) on human health are poorly defined by Qc pharmacokinetics, with high binding capacity to plasma albumin, wide distribution, and a short half-life. To pharmacokinetically investigate reactive oxygen species (ROS)-scavenging pathways of Qc, we focused on in vivo upstream factors (splenic macrophage-generated ROS and deformed erythrocytes) of mouse acetaminophen (APAP)-induced liver damage. Qc co-treatment rescued the hepatic accumulation of blood cells and deformed blood cells without affecting APAP metabolite-blood cell adduct levels. It clearly reduced lipid hydroperoxidation of blood cells after APAP overdose, suggesting in vivo protective effects against splenic ROS attack. Our in vitro data with Qc derivatives showed that the 3-, 3'-, and 4'-OH groups in the Qc molecule participated in formation of the Qc-blood cell complex. 5-Hydroxyl-lacking fisetin competitively bound to Qc-binding site(s) in the mouse hemoglobin (Hb) protein molecule. When Qc was injected into mice, crude Hb strongly interacted with Qc even after 3 h, differing from rapid Qc disposition within 30 min from plasma. The Qc-Hb interaction suggested a source of the short half-life and wide distribution of Qc. Therefore, we suggest that rapid formation of the Qc-Hb protein complex is essential in determining an in vivo upstream factor connecting in vivo ROS-scavenging effects with Qc disposition. When Qc is intravenously and orally administered, the Qc-Hb protein complex rather than Qc in plasma is an important factor in analyzing Qc pharmacokinetics, leading to determination of intake safely available for human healthcare and re-evaluation of the poor Qc bioavailability reported.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 9","pages":"1550-1560"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069184","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":"Photoacoustic Imaging for Monitoring Calcium Dynamics in the Heart.","authors":"Daiki Kyono, Ryota Matsuzaki, Daichi Kawata, Hiryu Mikami, Yoshiki Murano, Ichiro Shoji, Hiroaki Suzuki, Naoya Nakahara, Shingo Murakami","doi":"10.1248/bpb.b25-00467","DOIUrl":"10.1248/bpb.b25-00467","url":null,"abstract":"<p><p>Photoacoustic imaging (PAI) is a hybrid imaging modality that captures ultrasound signals produced by thermoelastic expansion when pulsed laser light is absorbed by optical absorbers, enabling visualization of biological tissues at greater depths than those of conventional fluorescence imaging. While PAI has been conventionally used for biological, structural, and morphological studies, showing promise for imaging calcium dynamics in cardiac tissue, its practical implementation remains undemonstrated. In this study, we implemented a sectional excitation strategy using a thin, sheet-shaped laser beam to confine optical excitation to defined tissue planes. We applied this approach to photoacoustic imaging of a perfused bullfrog heart loaded with liposome-encapsulated calcium-sensitive dye. We successfully achieved real-time visualization of calcium dynamics within the atrial cross-section, while simultaneous electrocardiographic recordings enabled temporal correlation between photoacoustic signal fluctuations and cardiac electrical activity. This method provides a less-invasive approach to assess calcium transients in deep tissue, and broadens the application of PAI from morphology to physiological function. These findings highlight the potential of this optical-acoustic hybrid modality as a powerful tool for calcium imaging in physiological and pharmacological studies involving deep-tissue organs-particularly in applications such as heart imaging, where conventional optical techniques are limited by shallow penetration depth.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 1","pages":"30-33"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899208","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":"Interlaboratory Method Validation for Determination of Polysorbate 80 for Analysis of mAbs.","authors":"Xiaojuan Yu, Feiyu Wang, Chuanfei Yu, Lan Wang","doi":"10.1248/bpb.b25-00345","DOIUrl":"https://doi.org/10.1248/bpb.b25-00345","url":null,"abstract":"<p><p>Polysorbate 80 (PS80) is a widely used surfactant in therapeutic monoclonal antibodies (mAbs) because it prevents mAb aggregation and stabilizes the drug product. Various analytical methods have been published and are available for measuring PS80, each with its own limitations. In this study, an HPLC method employing an evaporative light scattering detector (ELSD) was developed for multiproduct analysis of PS80. Method validation was conducted across multiple laboratories using different types of instruments and ELSD detectors. The method was validated using various immunoglobulin G (IgG) mAb molecules and different sources of PS80, with the results showing that it can accurately measure PS80 concentrations ranging from 0.05 to 0.5 mg/mL. Robustness tests demonstrated that the method tolerates up to 160 mg/mL mAb interference, through either sample dilution or protein precipitation. This method can be recommended as a release/quality control method for PS80 concentration determination in therapeutic mAbs.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 2","pages":"392-399"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147302066","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":"Role of Mitochondrial Protein, mitoNEET, in Impaired Intracellular Cholesterol Metabolism-Induced Neuronal Cell Death.","authors":"Ayana Nakata, Tsugumi Takeo, Hideya Mizuno","doi":"10.1248/bpb.b25-00334","DOIUrl":"10.1248/bpb.b25-00334","url":null,"abstract":"<p><p>Parkinson's disease (PD) is a progressive neurological disorder with an unclear etiology. Nonetheless, abnormal cholesterol metabolism is considered an environmental risk factor. MitoNEET (mNT) is an iron-sulfur cluster protein located in the outer mitochondrial membrane. mNT dysfunction is involved in the pathology of several diseases, including PD. However, the cause of mNT dysfunction remains unclear. Therefore, we hypothesized that increased intracellular cholesterol levels may reduce mNT function and increase reactive oxygen species (ROS) levels, resulting in neuronal cell death and PD progression. In this study, we investigated the effects of cholesterol on cell viability and mNT levels in human neuroblastoma (SH-SY5Y) cells. Cholesterol reduced cell viability and mNT protein levels and increased ROS generation. Pioglitazone, an mNT activator, decreased cholesterol-induced ROS generation but did not rescue cell viability, suggesting that reduced mNT levels may be involved but are not the sole cause of cholesterol-induced cell death. Additionally, the viability of cells treated with rotenone, 6-hydroxydopamine, and 1-methyl-4-phenylpyridinium in the presence of cholesterol was measured. However, no significant enhancement in cell death was observed. Moreover, the toxic compounds did not reduce mNT levels, indicating that mNT is not involved in toxic compound-induced cell death. In summary, these results indicate that cholesterol induces cell death, reduces mNT protein levels without suppressing transcription, and increases ROS generation, which may affect PD development. Further assessment of the mechanisms associated with abnormal intracellular cholesterol metabolism, reduced mNT levels, and cell death may lead to the discovery of novel treatments for PD.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"49 1","pages":"154-161"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046051","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}