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The FJQR Has Synergistic Effect with Fluoropyrimidine in the Maintenance Treatment for HER-2 Negative Gastric Cancer. FJQR与氟嘧啶协同维持治疗HER-2阴性癌症
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230522161742
Fanming Kong, Lu Zhao, Na Wang, Dou Zhang, Ziwei Wang, Qingyun Mei, Yongchao Yu, Yingjie Jia

Introduction: Maintenance therapy aimed to strengthen the first-line chemotherapy and improve quality of life is needed for gastric cancer (GC). Currently, many clinical studies have confirmed the important role of fluoropyrimidine in the maintenance stage. Our team has created patented prescriptions "Fuzheng jiedu Quyu Method" recipe (FJQR), which was considered as an adjuvant therapeutic scheme (reduce toxicity and increase the efficacy of chemotherapy). This study aimed to evaluate the efficacy and safety of FJQR combined with fluoropyrimidine as a maintenance treatment in HER-2 negative GC patients.

Methods: We performed the analysis of 129 patients with HER-2 negative GC who entered the maintenance stage in our hospital and Tianjin Cancer Hospital between January 2018 and December 2020. Out of the 129 eligible patients, 64 were categorized into the maintenance treatment group with FJQR+fluoropyrimidine, and 65 patients were assigned to the control group if they received fluoropyrimidine alone. Capecitabine was orally 1000mg/m2, Qd, half an hour after meals, and FGQR was 15g Bid after capecitabine. The primary endpoint was progression-free survival (PFS). The secondary endpoints were overall survival (OS), overall remission rate (ORR), quality of Life (QOL), TCM syndrome and safety.

Results: The mPFS in the treatment group was significantly prolonged compared with the control group (6.3 vs. 5.0 months, p = 0.03), while the mOS was not substantially improved (11.4 vs. 10.5 months, p = 0.38). Gastrointestinal symptoms and pain became better in the treatment group. The number of distant metastatic organs, first-line chemotherapy cycles, and lymph node metastasis were independent risk predictors for PFS. Blood stasis syndrome may be the protective factor. In terms of safety, treatment-related adverse events (AEs) in the treatment group were relatively lighter, and the incidence of grade III-IV AEs could be significantly reduced.

Conclusion: FJQR and fluoropyrimidine have synergistic effects as maintenance treatment in HER-2 negative GC, with good efficacy and safety.

胃癌(GC)需要以加强一线化疗和改善生活质量为目的的维持治疗。目前,许多临床研究都证实了氟嘧啶在维持阶段的重要作用。团队独创专利处方“扶正解毒祛郁法”方剂(FJQR),被认为是一种辅助治疗方案(降低毒副作用,提高化疗疗效)。本研究旨在评价FJQR联合氟嘧啶作为HER-2阴性GC患者维持治疗的有效性和安全性。我们对2018年1月至2020年12月在我院和天津市肿瘤医院就诊的129例进入维持期的HER-2阴性胃癌患者进行分析。在129例符合条件的患者中,64例患者被划分为FJQR+氟嘧啶维持治疗组,65例患者被划分为单独使用氟嘧啶的对照组。卡培他滨口服1000mg/m2, Qd,餐后半小时,卡培他滨后FGQR 15g Bid。主要终点为无进展生存期(PFS)。次要终点为总生存期(OS)、总缓解率(ORR)、生活质量(QOL)、中医证候和安全性。治疗组mPFS较对照组明显延长(6.3个月vs. 5.0个月,P=0.03),而mOS无明显改善(11.4个月vs. 10.5个月,P=0.38)。治疗组的胃肠道症状和疼痛有所改善。远处转移器官的数量、一线化疗周期和淋巴结转移是PFS的独立危险预测因素。血瘀证可能是保护因素。安全性方面,治疗组治疗相关不良事件(ae)相对较轻,III-IV级ae发生率可显著降低。FJQR与氟嘧啶作为HER-2阴性GC的维持治疗具有协同作用,具有良好的疗效和安全性。
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引用次数: 0
Chlorogenic Acid Inhibits Proliferation, Migration and Invasion of Pancreatic Cancer Cells via AKT/GSK-3β/β-catenin Signaling Pathway. 绿原酸通过AKT/GSK-3β/β-catenin信号通路抑制胰腺癌症细胞增殖、迁移和侵袭。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230327134746
Xiaoliang Chen, Binyu Liu, Jiale Tong, Jianing Bo, Miao Feng, Lili Yin, Xiukun Lin

Background: Chlorogenic acid (CA, United States Patent No. 10772340), a natural biologically active food ingredient, displays potent antitumor activity against a variety of cancer cells. However, the mechanism underlying its anticancer effect is not well elucidated.

Objective: In the present study, we hope to dissect the mechanism underlying the anticancer effects of CA in pancreatic cancer cells.

Methods: The cytotoxicity of CA in pancreatic cancer cells was determined by MTT assay. Flow cytometry was performed to evaluate the cells apoptosis, while a clonogenic assay was carried out to check the colony formation of cancer cells. Transwell assay was performed to assess the cells migration and invasion. The protein expression of AKT/GSK-3β/β-catenin signaling pathway was detected by Western Blot.

Results: Our data indicated that CA inhibited the proliferation of PANC-28 and PANC-1 cells in a dose and time-dependent manner. CA was able to inhibit colony formation, migration, and invasion ability and trigger apoptosis in PANC-28 and PANC-1 cells. Further study showed that CA down-regulated the expression of AKT, p-AKT(Thr308), p-GSK-3β(Ser9), β-catenin, N-cadherin, and vimentin while enhancing the expression of cleaved-caspase 3 and cleaved-caspase 7 in PANC-28 and PANC-1 cells.

Conclusion: Our study provides significant evidence that CA is able to inhibit the growth of pancreatic cancer via the AKT/GSK-3β/β-catenin signaling pathway.

绿原酸(CA,美国专利号10772340)是一种天然生物活性食品成分,对多种癌症细胞显示出强大的抗肿瘤活性。然而,其抗癌作用的机制尚不清楚。在本研究中,我们希望剖析CA在胰腺癌症细胞中抗癌作用的机制。用MTT法测定CA对癌症细胞的细胞毒性。流式细胞仪检测细胞凋亡,克隆形成检测癌症细胞集落形成。进行Transwell测定以评估细胞迁移和侵袭。Western Blotting法检测了AKT/GSK-3β/β-catenin信号通路的蛋白表达。我们的数据表明,CA以剂量和时间依赖的方式抑制PANC-28和PANC-1细胞的增殖。CA能够抑制PANC-28和PANC-1细胞的集落形成、迁移和侵袭能力,并引发细胞凋亡。进一步的研究表明,CA下调了PANC-28和PANC-1细胞中AKT、p-AKT(Thr308)、p-GSK-3β(Ser9)、β-连环蛋白、N-钙粘蛋白和波形蛋白的表达,同时增强了切割的胱天蛋白酶7的表达。我们的研究提供了重要的证据,表明CA能够通过AKT/GSK-3β/β-catenin信号通路抑制癌症的生长。
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引用次数: 0
Chebulinic Acid: An Incipient Anticancer Agent. 诃子林酸:一种新型抗癌剂
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892819666230821110429
Aashima, Mehak Rathi, Shilpi, Akash, Kamaljeet Kaur, Priyanka Kriplani, Kumar Guarve

Background: Terminalia chebula (T. chebula) comprising chebulinic acid as its principle active constituent is used to cure various diseases. T. chebula and chebulinic acid are used as antimicrobial, antioxidant, antidiabetic, anti-inflammatory, hepatoprotective, antimutagenic, radioprotective, cardioprotective, antiproliferative, antiarthritic, anticaries, and so on.

Objective: The objective of this current study is to give an overview of the recent literature and patents of T. chebula and chebulinic acid including methods of its isolation/extraction and their application in the prevention of various cancers and other diseases.

Methods: Present research and patents highlighting the anti-cancer potential of T. chebula and chebulinic acid have been studied and discussed keeping in view the scientific novelty and impact.

Results: Both T. chebula and chebulinic acid are currently being explored for their anticancer potential in vitro and in vivo. They are either incorporated alone or in combination with other plants or drugs to show their activity and many clinical trials are also going on various potentials of the plant and chebulinic acid. Novel extraction techniques are also explored and patented. Efforts are being made to improve the bioavailability by developing Novel herbal drug delivery systems of the plant extract or chebulinic acid itself.

Conclusion: Anti-cancer potential of T. chebula and chebulinic acid may be well established by promising clinical trials and may open new interventions in various tumors. Clinical trials in conjunction with standard therapies are required to explore and validate the actual potential of T. chebula and chebulinic acid respectively.

背景:以诃子林酸为主要活性成分的诃子树(Terminalia chebula)被用于治疗各种疾病。诃子叶和诃子林酸可用于抗菌、抗氧化、抗糖尿病、抗炎、保肝、抗突变、放射保护、心脏保护、抗增生、抗关节炎、抗龋齿等:本研究的目的是概述有关嚼草和嚼草酸的最新文献和专利,包括其分离/提取方法及其在预防各种癌症和其他疾病中的应用:方法:研究和讨论了目前有关星云树和诃子林酸抗癌潜力的研究和专利,同时考虑到其科学新颖性和影响:结果:目前正在对咀嚼糖和诃子布洛酸进行体外和体内抗癌潜力研究。它们或单独使用,或与其他植物或药物结合使用,以显示其活性,许多临床试验也在对植物和诃子林酸的各种潜力进行研究。此外,还探索了新的提取技术并申请了专利。目前正在努力通过开发植物提取物或诃子林鞣酸本身的新型草药给药系统来提高生物利用率:结论:诃子叶和诃子林鞣酸的抗癌潜力可能会在前景看好的临床试验中得到充分证实,并可能为各种肿瘤的干预开辟新途径。需要结合标准疗法进行临床试验,以探索和验证诃子叶和诃子林酸的实际潜力。
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引用次数: 0
Development and Evaluation of a Novel Hyaluronic Acid and Chitosan-modified Phytosome for Co-delivery of Oxymatrine and Glycyrrhizin for Combination Therapy. 新型透明质酸和壳聚糖修饰的复合治疗氧化苦参碱和甘草酸的植物体的研制与评价
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230215112942
Xiaojin Chen, Shuying Yu, Pingping Wang, XinFeng Zhao, Gao Sang

Background: Multidrug resistance (MDR) of cancer cells is a major obstacle to efficient cancer chemotherapy. Combination therapy is expected to enhance the anticancer effect and reverse MDR. Numerous patents involve different kinds of nanoparticles for the co-delivery of multiple chemotherapeutics, but the FDA has approved none.

Objective: In this study, oxymatrine (OMT) and glycyrrhizin (GL) were co-loaded into phytosomes as the core of nanocarriers, and the shell was cross-linked with chitosan (CS) and hyaluronic acid (HA) with the capability for the controlled, sequential release and the targeted drug uptake.

Methods: Phospholipid complexes of OMT and GL (OGPs) were prepared by a solvent evaporation technique and could self-assemble in an aqueous solution to form phytosomes. CS and HA were sequentially coated on the surface of OGPs via electrostatic interactions to obtain CS coated OGPs (CS-OGPs) and HA modified CS-OGPs (HA-CS-OGPs), respectively. The particle size and zeta potential were measured to optimize the formulations. In vitro cytotoxicity and cellular uptake experiments on HepG2 cells were performed to evaluate the anticancer activity.

Results: OGPs were obtained with nano-size around 100 nm, and CS and HA coating on phytosomes could change the particle size and surface potential. The drug loading of OMT and GL showed that the nanocarriers could maintain a fixed ratio of 1:1. The in vitro release experiments indicated the release of OMT and GL was pH-dependent and sequential: the release of OMT from CS-OGPs and HA-CS-OGPs was significantly increased at pH 5.0 compared to the release at pH 7.4, while GL exhibited sustained released from CS-OGPs and HA-CS-OGPs at pH 5.0. Furthermore, in vitro cytotoxicity and cellular uptake experiments on HepG2 cells demonstrated that the co-delivery system based on phytosomes had significant synergistic anti-tumor activities, and the effects were enhanced by CS and HA modification.

Conclusion: The delivery of OMT and GL via HA-CS-OGPs might be a promising treatment to reverse MDR in cancer therapy.

肿瘤细胞的多药耐药(MDR)是影响肿瘤化疗效率的主要障碍。联合治疗有望提高抗癌效果,逆转耐多药。许多专利涉及用于多种化疗药物联合递送的不同种类的纳米颗粒,但FDA尚未批准任何一项。本研究将氧化苦参碱(OMT)和甘草酸苷(GL)作为纳米载体的核心共载于磷脂小体中,壳层与壳聚糖(CS)和透明质酸(HA)交联,具有可控序贯释放和靶向给药的能力。采用溶剂蒸发技术制备了OMT和GL的磷脂复合物(OGPs),并在水溶液中自组装形成磷脂小体。通过静电相互作用将CS和HA依次涂覆在OGPs表面,分别得到CS包覆的OGPs (CS-OGPs)和HA修饰的CS-OGPs (HA-CS-OGPs)。通过对粒径和zeta电位的测定来优化配方。体外对HepG2细胞进行了细胞毒性和细胞摄取实验,以评价其抗癌活性。获得了纳米尺寸约为100nm的yogp, CS和HA包覆在磷脂体上可以改变其粒径和表面电位。OMT和GL的载药量表明,纳米载体可以保持1:1的固定比例。体外释放实验表明,OMT和GL的释放具有一定的pH依赖性和顺序性:在pH 5.0时,CS-OGPs和HA-CS-OGPs的OMT释放量明显高于pH 7.4时,而在pH 5.0时,GL从CS-OGPs和HA-CS-OGPs中持续释放。此外,对HepG2细胞的体外细胞毒性和细胞摄取实验表明,基于磷脂体的共递送系统具有显著的协同抗肿瘤活性,并通过CS和HA修饰增强了作用。通过ha - cs - ogp传递OMT和GL可能是一种很有前景的治疗方法,可以逆转癌症治疗中的耐多药。
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引用次数: 0
A Descriptive Review of Cannabis sativa Patents for Cancer Treatment. 对用于癌症治疗的大麻专利的描述性回顾。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230213095717
Isabela Fernandes Pereira, Ana Maria Santos Oliveira, Anamaria Mendonça Santos, Denis de Melo Soares, Mairim Russo Serafini, Izabel Almeida Alves

Background: Cannabis use for tumor treatment has been explored in several areas, and its potential for tumor remission is currently being studied after the discovery of the endogenous cannabinoid.

Objective: The study aimed to conduct a critical patent review to identify and explore the latest advances and therapeutic strategies using Cannabis to treat cancer.

Methods: The research was carried out in the free and online database Espacenet, using the descriptors "cancer" and "Cannabis or cannabidiol" in the title or abstract. A total of 95 patents were identified for preliminary evaluation in the database. Six duplicate patents were excluded, 12 referring to traditional Chinese medicine and 36 with a title in disagreement with the scope of this review. In addition the final selection involved 21 patents that were in line with the objective of the study.

Results: As observed in the reading of patents, the interest of pharmaceutical industries and researchers and the development of new products to fight cancer have increased in recent years. The main cannabinoids present in the patents are tetrahydrocannabinol, cannabidiol, and hemp. Moreover, the patents were classified and the main applicant countries were the United States followed by Japan, with a higher filing rate in 2019 and, mainly by the industry.

Conclusion: In conclusion we can say that, the importance of parliamentary approval in the cultivation and investments that, in addition to bringing innovation to the industrial sector, enriches research in the area, contributing to the creation of new medicines.

背景:在发现内源性大麻素之后,目前正在研究大麻用于治疗肿瘤的潜力:本研究旨在开展一项重要的专利综述,以确定和探索利用大麻治疗癌症的最新进展和治疗策略:研究在免费在线数据库 Espacenet 中进行,在标题或摘要中使用了 "癌症 "和 "大麻或大麻二酚 "描述符。数据库中共确定了 95 项专利进行初步评估。排除了 6 项重复专利、12 项涉及传统中药的专利和 36 项标题与本综述范围不符的专利。此外,最终选择了 21 项符合研究目标的专利:从专利阅读中可以看出,近年来制药业和研究人员对开发抗癌新产品的兴趣与日俱增。专利中主要的大麻素有四氢大麻酚、大麻二酚和大麻。此外,对专利进行了分类,主要申请国是美国,其次是日本,2019 年申请率较高,主要是工业界:总之,我们可以说,议会批准在种植和投资方面的重要性,除了为工业部门带来创新,还丰富了该领域的研究,有助于创造新的药物。
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引用次数: 0
Human Chorionic Gonadotropin Regulates the Smad Signaling Pathway by Antagonizing TGF-β in Giant Cell Tumor of Bone. 人绒毛膜促性腺激素拮抗骨巨细胞瘤TGF-β调控Smad信号通路
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230413082909
Tangbing Xu, Shenglin Xu, Guangwen Ma, Jun Chang, Chi Zhang, Ping Zhou, Chao Wang, Pengfei Xu, Junjun Yang, Yong Hu, Yunfeng Wu

Background: Giant cell tumor of bone (GCTB) is a locally aggressive bone tumour aggravated by stromal cell proliferation and metastasis.

Objective: We investigated the mechanism of action of human chorionic gonadotropin (HCG) in mediating GCTB proliferation and invasion.

Methods: The expression of HCG was quantified using quantitative real-time PCR. After the primary stromal cells were isolated and identified, the function of HCG in GCTB was estimated using the cell counting kit-8, flow cytometry, scratch experiment, transwell assay, Western blot, and immunofluorescence. Moreover, the mechanism of HCG was assessed through western blotting.

Results: HCG expression was decreased in clinical tissue samples from patients with GCTB. We validated that HCG repressed stromal cell proliferation, migration, invasion, autophagy, and epithelial- mesenchymal transition (EMT) and promoted cell apoptosis in GCTB. We also verified that HCG repressed the autophagy and EMT of stromal cells through the Smad signaling axis in GCTB. HCG inhibited the transduction of the Smad signaling pathway by restraining the binding of the TGF-β II receptor to ligand Activin A.

Conclusion: HCG restrained the Smad signaling pathway by antagonizing TGF-β signaling in GCTB. HCG may serve as a useful patent to treat GCTB.

骨巨细胞瘤(GCTB)是一种因基质细胞增殖和转移而加重的局部侵袭性骨肿瘤。我们研究了人绒毛膜促性腺激素(HCG)介导GCTB增殖和侵袭的作用机制。HCG的表达使用定量实时PCR进行定量。在分离和鉴定原代基质细胞后,使用细胞计数试剂盒-8、流式细胞术、划痕实验、transwell分析、Western印迹和免疫荧光来评估HCG在GCTB中的功能。此外,通过蛋白质印迹法评估了HCG的作用机制。GCTB患者的临床组织样本中HCG表达降低。我们证实HCG抑制GCTB中基质细胞的增殖、迁移、侵袭、自噬和上皮-间质转化(EMT),并促进细胞凋亡。我们还验证了HCG通过GCTB中的Smad信号轴抑制基质细胞的自噬和EMT。HCG通过抑制TGF-βII受体与配体激活素A的结合来抑制Smad信号通路的转导。HCG可以作为治疗GCTB的有用专利。
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引用次数: 0
Acknowledgement To Reviewers 审稿人致谢
4区 医学 Q2 Medicine Pub Date : 2023-11-01 DOI: 10.2174/157489281804230217112618
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引用次数: 0
Patent Selections 专利的选择
4区 医学 Q2 Medicine Pub Date : 2023-11-01 DOI: 10.2174/157489281804230217112506
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引用次数: 0
Patent Selections 专利的选择
4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.2174/157489281803230127123426
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引用次数: 0
The Causal Effects of Cholelithiasis on Acute Pancreatitis and Pancreatic Cancer: A Large Sample Size Mendelian Randomization Analysis. 胆石症对急性胰腺炎和胰腺癌的因果影响:大样本孟德尔随机化分析。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-06-26 DOI: 10.2174/1574892818666230609121409
Moshi Rao, Xiaoshun Ai, Zijian Huang

Background: The aim of two-sample Mendelian randomization (MR) with a large sample size was to explore the causal cholelithiasis impact on acute pancreatitis and pancreatic cancer.

Methods: We performed the two-sample MR analysis with two models. Publicly available summary- level information for cholelithiasis was acquired from the Genome-Wide Summary Association Studies (GWAS) of FinnGen Biobank. The inverse variance weighted (IVW) method was the main method to obtain the MR estimates. Other methods were also used as supplementary methods, including MR-Egger, maximum likelihood, MR-Robust Adjusted Profile Score (MR-RAPS), weighted median, penalised weighted median method, and Mendelian randomization pleiotropy residual sum and outlier (MR-PRESSO) method.

Results: After the selection of genetic instrumental variables (IVs), 11 single nucleotide polymorphisms (SNPs) (Model 1) and 22 SNPs (Model 2) were used to explore the effect of cholelithiasis on acute pancreatitis, and 10 SNPs (Model 1) and 24 SNPs (Model 2) on pancreatic cancer. The findings obtained by the fixed-effect IVW method with both Model 1 and Model 2 showed that genetically predicted cholelithiasis was significantly related to the elevated acute pancreatitis risk (Model 1: OR: 1.001, 95% CI: 1.000-1.002, p <0.001; Model 2: OR: 1.001, 95% CI: 1.000-1.002, p <0.001). Moreover, cholelithiasis would also raise the pancreatic cancer risk (Model 1: OR: 1.676, 95% CI: 1.228-2.288, p = 0.001; Model 2: OR: 1.432, 95% CI: 1.116-1.839, p = 0.005).

Conclusion: Genetically predicted cholelithiasis was significantly related to the elevated risk of acute pancreatitis and pancreatic cancer. More attention should be paid to patients with cholelithiasis for the primary prevention of pancreatic-related diseases.

背景:大样本量双样本孟德尔随机化(MR)的目的是探讨胆石症对急性胰腺炎和胰腺癌的因果影响。方法:采用两种模型进行两样本MR分析。从FinnGen生物银行的全基因组汇总关联研究(GWAS)中获得了胆石症的公开摘要级信息。方差反加权(IVW)法是获得MR估计的主要方法。其他方法也被用作补充方法,包括MR-Egger法、最大似然法、mr -稳健调整后的特征评分法(MR-RAPS)、加权中位数法、惩罚加权中位数法和孟德尔随机化多效性残差和异常值法(MR-PRESSO)。结果:选择遗传工具变量(IVs)后,利用11个单核苷酸多态性(SNPs)(模型1)和22个SNPs(模型2)探讨胆石症对急性胰腺炎的影响,10个SNPs(模型1)和24个SNPs(模型2)探讨胆石症对胰腺癌的影响。模型1和模型2的固定效应IVW方法结果显示,遗传预测的胆石症与急性胰腺炎风险升高显著相关(模型1:OR: 1.001, 95% CI: 1.000-1.002, p)。结论:遗传预测的胆石症与急性胰腺炎和胰腺癌风险升高显著相关。胆石症患者应引起重视,作为胰腺相关疾病的一级预防。
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引用次数: 0
期刊
Recent patents on anti-cancer drug discovery
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