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Recent Advances in Systemic Biomarkers for Immunotherapy in Advanced and Metastatic Melanoma 晚期和转移性黑色素瘤免疫治疗系统生物标志物的最新进展。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-02-06 DOI: 10.1111/pcmr.70046
Chih-Yi Ho, Yu-Wen Cheng, Yang-Yi Chen

Immune checkpoint inhibitor (ICI) therapy has been widely utilized across various cancer types, including melanoma. It has emerged as a first-line treatment option for metastatic melanoma. By targeting checkpoint proteins such as programmed cell death-ligand 1 (PD-L1) and cytotoxic T-lymphocyte associated protein 4 (CTLA-4), ICI therapy activates the immune system, enhancing its ability to combat cancer cells, leading to long-term efficacy and potential cures in some patients. However, ICI therapy is not universally effective. Resistance and adverse reactions of ICI therapy occur in some patients. The identification of systematic biomarkers from blood tests may offer a rapid and efficient means to assess patient responsiveness to ICI therapy, as well as the risk of developing immune-related adverse events (irAEs), to facilitate individualized patient selection. This article provides a comprehensive literature review of systemic biomarkers used in melanoma patients receiving ICI therapy. The insights provide clinical professionals and researchers with valuable information for the investigation and management of melanoma patients, leading toward personalized medical decisions.

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引用次数: 0
Defining Important Aspects of Repigmentation in Vitiligo: Insights From Patients' Perspectives 定义白癜风中色素重沉着的重要方面:从患者角度的见解。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-02-05 DOI: 10.1111/pcmr.70078
Jolien Duponselle, Marlide R. Jukema, Nicoline van Buchem-Post, Liesbeth Delbaere, Amit Garg, Iltefat Hamzavi, Sandrine Herbelet, Julien Seneschal, Phyllis Spuls, Caroline B. Terwee, Sanne Uitentuis, Marloes Zuidgeest, Georg Pliszewski, Stephen Taylor, Sharon King, Maya Tulpule, Paul Monteiro, Nicolle Maquignon, Jean-Marie Meurant, Nathalie Ambersley, Alex Schneider, Emma Rush, Albert Wolkerstorfer, Reinhart Speeckaert, Nanja van Geel

Repigmentation is an essential outcome in vitiligo assessment, yet it remains broadly defined. While perspectives from vitiligo experts have been explored, gaining insights from patients is crucial for a more comprehensive understanding. Ultimately, this could contribute to the development and refinement of core outcome sets for vitiligo. This study aimed to determine aspects of repigmentation patients consider most important. Two surveys and one focus group were conducted, involving 34 patients/patient caregivers and 20 patient representatives. In the surveys, aspects were deemed important if ≥ 70% of participants rated them as such. The focus group used the nominal group technique to rank the five most important self-suggested aspects. The survey results indicate reduction of target lesion surface area, maintenance of repigmentation, and cessation of spread as important. The focus group identified additional aspects, including “time to repigment,” “location of lesions,” and “color match”. This study identified key aspects of repigmentation important to vitiligo patients. While survey results in general aligned with the core domain set for vitiligo clinical trials, the focus group highlighted additional factors. Incorporating these patient-centered priorities into future core outcome sets could enhance the clinical relevance of vitiligo research and ensure outcomes reflect patient perspectives.

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引用次数: 0
Extreme Tumor Mutational Burden Predicts Near-Curative Outcomes With Checkpoint Immunotherapy in Melanoma: Half the Eligible, Half the Cure 极端肿瘤突变负担预测黑色素瘤检查点免疫治疗的近治愈结果:一半符合条件,一半治愈。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-02-03 DOI: 10.1111/pcmr.70077
Ming Zheng, 争鸣

Tumor-mutational burden (TMB) is a mechanistic surrogate of neo-antigen load and thus a plausible biomarker for response to immune checkpoint blockade (ICB). In melanoma, however, the extreme right tail of the mutational spectrum, known as “hypermutation,” remains poorly characterized. This study sought to explore an a priori threshold of hypermutation that would delineate a subgroup with extraordinary benefit from ICB therapy. This study analyzed individual-patient data from independent cohorts comprising 710 ICB-treated melanoma patients profiled by whole-exome sequencing or FDA-approved targeted panels. Hypermutated tumors displayed a striking enrichment for higher objective response and complete response (CR) rates (p < 0.0001). Hypermutation independently predicted prolonged progression-free survival and overall survival. By contrast, the conventional ≥ 10 mut/Mb cut-off captured many treatment-eligible patients but conferred markedly lower CR enrichment and weaker survival discrimination. A super-high TMB threshold of ≥ 25 mut/Mb by MSK-IMPACT identifies a distinct subset of melanoma patients who achieve truly exceptional benefit, with nearly one in two attaining clinical cure following ICB therapy. These data support prospective validation of “hypermutation” as a clinically actionable biomarker, refine patient counseling, and inform trial stratification in the era of personalized cancer immunotherapy.

肿瘤突变负荷(Tumor-mutational burden, TMB)是新抗原负荷的机制替代物,因此是免疫检查点阻断(immune checkpoint blockade, ICB)应答的可信生物标志物。然而,在黑色素瘤中,突变谱的极右尾部,即“超突变”,仍然缺乏特征。本研究试图探索一个先验的超突变阈值,该阈值将描述从ICB治疗中获得非凡益处的亚组。该研究分析了来自710名接受icb治疗的黑色素瘤患者的独立队列数据,这些患者通过全外显子组测序或fda批准的靶向小组进行了分析。高度突变的肿瘤表现出惊人的富集,具有更高的客观反应和完全缓解率(CR)
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引用次数: 0
Society for Melanoma Research 22nd International Congress 第22届国际黑色素瘤研究学会大会。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-28 DOI: 10.1111/pcmr.70074
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引用次数: 0
TRIM63 Promotes the Malignant Behaviors of Melanoma Cells Through Ubiquitination of P2RY1 TRIM63通过P2RY1泛素化促进黑色素瘤细胞的恶性行为。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-22 DOI: 10.1111/pcmr.70075
Qianqian Zhang, Zixuan Zhu, Hui Yang, Xiaoyan Wang, Yanxia Liu, Laitao Song

The tripartite motif (TRIM) family of E3 ubiquitin ligases is known to play a crucial role in the initiation, growth, and metastasis of various tumors. However, little is known about the biological features and relevant molecular mechanism of Tripartite motif-containing 63 (TRIM 63) in melanoma. The expression levels of TRIM63 and purinergic receptor P2Y1 (P2RY1) in melanoma were examined by online database. Cell counting kit-8 (CCK-8) and colony formation assay were carried out to explore the effects of TRIM63 on melanoma cells proliferation. Transwell assay was used to explore the influence of TRIM63 on melanoma cells invasion and migration. Bioinformatics, co-immunoprecipitation (co-IP) assay, ubiquitination assay, and protein stability assay were used to detect the regulatory mechanism of TRIM63 on P2RY1. TRIM63 was upregulated in melanoma samples, and a higher expression level of TRIM63 indicated a shorter overall survival of melanoma patients. Knocked down of TRIM63 obviously suppressed the proliferation, invasion, and migration abilities of melanoma cells. Mechanistically, TRIM63 was regarded as a posttranslational mediator of P2RY1, and TRIM63 was co-immunoprecipitated with P2RY1 and degraded its protein level. Notably, silencing P2RY1 alleviated melanoma cells progression by TRIM63 depletion. Collectively, these data suggested that TRIM63 contributed to melanoma cells growth and mobility by ubiquitination of P2RY1 and may be a promising candidate as a potential diagnostic and therapeutic marker for patients with melanoma.

众所周知,E3泛素连接酶的tripartite motif (TRIM)家族在各种肿瘤的发生、生长和转移中起着至关重要的作用。然而,trim63在黑色素瘤中的生物学特性和相关分子机制尚不清楚。通过在线数据库检测TRIM63和嘌呤能受体P2Y1 (P2RY1)在黑色素瘤中的表达水平。通过细胞计数试剂盒-8 (CCK-8)和集落形成实验探讨TRIM63对黑色素瘤细胞增殖的影响。Transwell法探讨TRIM63对黑色素瘤细胞侵袭和迁移的影响。采用生物信息学、共免疫沉淀(co-IP)法、泛素化法和蛋白稳定性法检测TRIM63对P2RY1的调控机制。TRIM63在黑色素瘤样本中表达上调,TRIM63表达水平越高,黑色素瘤患者的总生存期越短。TRIM63基因的敲低明显抑制了黑色素瘤细胞的增殖、侵袭和迁移能力。在机制上,TRIM63被认为是P2RY1的翻译后介质,TRIM63与P2RY1共同免疫沉淀并降低其蛋白水平。值得注意的是,沉默P2RY1可通过TRIM63缺失缓解黑色素瘤细胞的进展。总的来说,这些数据表明TRIM63通过P2RY1的泛素化促进黑色素瘤细胞的生长和移动,可能是黑色素瘤患者诊断和治疗的潜在标记物。
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引用次数: 0
Excimer 308-Nm Light in the Combination Treatment of Vitiligo: A Systematic Review and Network Meta-Analysis 准分子308-Nm光联合治疗白癜风:系统综述和网络荟萃分析。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-21 DOI: 10.1111/pcmr.70065
Zhengyang Liu, Wey Han Ng, Samuel Morriss, Zhao Feng Liu, Lawrence Lin, Firdavis Xireaili, Christopher Chew

Excimer 308-nm light is often used for vitiligo treatment in combination with adjuvants. We aimed to evaluate the efficacy of these combination therapies. We searched MEDLINE, Embase and the Cochrane Library from inception to November 2024. All randomised trials reporting efficacy outcomes for vitiligo patients treated with excimer 308-nm light were included. Primary outcomes were achieving ≥ 50%, ≥ 75% and 100% skin repigmentation. Pairwise comparisons of treatment repigmentation were summarised as risk ratios (RRs) with 95% confidence intervals (CIs) and a frequentist, random-effects network meta-analysis with a graph-theoretical approach was used to generate summary estimates. Thirty-eight studies involving 1841 participants were included. Excimer 308-nm light with topical calcineurin inhibitors or topical corticosteroids significantly improved repigmentation outcomes compared to excimer monotherapy with ≥ 50% (RR 1.47, 95% CI 1.19–1.81; RR 1.65, 95% CI 1.32–2.06) and ≥ 100% repigmentation (RR 1.60, 95% CI 1.03–2.49; RR 2.31, 95% CI 1.50–3.56) respectively. Excimer in combination with topical antioxidants (RR 43.00, 95% CI 2.68–688.68), intramuscular corticosteroid (RR 1.76, 95% CI 1.13–2.74) and platelet rich plasma (RR 1.76, 95% CI 1.32–2.35) enhanced ≥ 50% repigmentation. These findings highlight the value of combination therapy with excimer light as a useful option in the management of vitiligo.

准分子308-nm光常与佐剂联合用于白癜风治疗。我们的目的是评估这些联合疗法的疗效。我们检索了MEDLINE, Embase和Cochrane图书馆从成立到2024年11月。所有报告准分子308-nm光治疗白癜风患者疗效的随机试验均被纳入。主要结局是达到≥50%、≥75%和100%的皮肤色素沉着。治疗后色素重沉着的两两比较总结为95%置信区间(ci)的风险比(rr),并使用频率、随机效应网络荟萃分析和图形理论方法来生成汇总估计。纳入了38项研究,涉及1841名参与者。与准分子单药治疗相比,准分子308-nm光联合局部钙调磷酸酶抑制剂或局部皮质类固醇显著改善了重着色结果,分别为≥50% (RR 1.47, 95% CI 1.19-1.81; RR 1.65, 95% CI 1.32-2.06)和≥100%的重着色(RR 1.60, 95% CI 1.03-2.49; RR 2.31, 95% CI 1.50-3.56)。准分子联合外用抗氧化剂(RR 43.00, 95% CI 2.68-688.68)、肌内皮质类固醇(RR 1.76, 95% CI 1.13-2.74)和富血小板血浆(RR 1.76, 95% CI 1.32-2.35)可使色素重沉着增强≥50%。这些发现强调了准分子光联合治疗作为白癜风治疗的有用选择的价值。
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引用次数: 0
First Report of Oculocutaneous Albinism Type I Among Baka Pygmies From Cameroon 喀麦隆巴卡俾格米人1型皮肤白化病首例报道。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-11 DOI: 10.1111/pcmr.70073
Alain Froment, Paul Verdu, Claudio Plaisant, Eulalie Lasseaux, Robert Aquaron, Benoit Arveiler

Oculocutaneous albinism type 1 (OCA1) caused by pathogenic variants of the TYR gene is an autosomal recessive disorder of pigmentation characterized by reduced biosynthesis of melanin pigment in skin, hair, and eyes. We had the opportunity to examine five East Cameroon Baka rainforest hunter-gatherers (historically called “Pygmies”) with albinism and belonging to three different families. Screening of known albinism genes revealed a homozygous missense variant in the TYR gene, NM_000372.5: c.1109T>C; p.Met370Thr. In addition, one patient was also hemizygous for a variant in GPR143, the gene involved in ocular albinism (OA1). Another patient was also heterozygous for the common African and Afro-American 2.7-kb deletion in the OCA2 gene indicating admixture of one parent with neighboring Nzimé Bantu-speaking farmers. This is the first report of the occurrence of OCA1 in African rainforest hunter-gatherers.

1型眼皮肤白化病(OCA1)由TYR基因的致病变异引起,是一种常染色体隐性遗传病,其特征是皮肤、头发和眼睛中黑色素的生物合成减少。我们有机会研究了五个东喀麦隆巴卡雨林狩猎采集者(历史上被称为“俾格米人”),他们患有白化病,属于三个不同的家庭。筛选已知的白化病基因,发现TYR基因的纯合错义变体NM_000372.5: C . 1109t >C;p.Met370Thr。此外,一名患者也是GPR143基因变异的半合子,GPR143基因与眼白化病(OA1)有关。另一名患者也是非洲和非裔美国人常见的2.7 kb OCA2基因缺失杂合,这表明父母一方与邻近的nzim班图语农民混合。这是首次报道在非洲雨林狩猎采集者中出现OCA1。
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引用次数: 0
Chicken Shank Color Determined by Inhibition of Dermal Melanin (ID) is Mediated by a Structural Variation Regulating CDKN2A Expression 抑制皮肤黑色素(ID)决定鸡腿颜色是由调节CDKN2A表达的结构变异介导的。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-07 DOI: 10.1111/pcmr.70072
Jingyi Li, Lei Wang, Sendong Yang, Xin Zhou, Qinli Gou, Jinping Cai, Hongrui Yang, Qiaohua Wang, Shijun Li

Shank color in chickens is a classic quantitative trait governed by four genetic loci. Among these, the Inhibition of dermal melanin (ID) locus, which suppresses dermal melanogenesis in the shank, is the sole sex-linked mutation and its molecular mechanisms remain elusive. To identify the causal mutation, we established a resource population segregating for shank colors. A genome-wide association study utilizing FarmCPU software identified a top-associated SNP on the Z chromosome. Linkage mapping subsequently narrowed the candidate region, within which we discovered a candidate structural variant associated with the yellow shank phenotype. This variant is characterized by a 143 bp deletion coupled with a 2 bp insertion. CDKN2A was the only gene within the same topologically associating domain to exhibit differential expression. Functional validation via CRISPR/Cas9-edited cells demonstrated that this mutation regulates CDKN2A transcription and is responsible for the ID shank color in chickens. We propose that the resulting absence of melanocytes is likely due to apoptosis. This work resolves the molecular basis of the ID locus, thereby completing the genetic puzzle of chicken shank color. This discovery enables the development of molecular markers for auto-sexing of day-old chicks, a tool with significant potential for the poultry industry.

鸡的小腿颜色是一个经典的数量性状,由四个遗传位点决定。其中,抑制小腿皮肤黑色素形成的真皮黑色素(ID)位点的抑制是唯一的性别连锁突变,其分子机制尚不清楚。为了确定致病突变,我们建立了小腿颜色的资源群体分离。利用FarmCPU软件进行的全基因组关联研究发现了Z染色体上的顶部相关SNP。随后,连锁图谱缩小了候选区域,在该区域内,我们发现了与黄柄表型相关的候选结构变异。该变异的特征是143 bp的缺失和2 bp的插入。CDKN2A是唯一在相同拓扑相关结构域中表现出差异表达的基因。通过CRISPR/ cas9编辑细胞的功能验证表明,该突变调节CDKN2A转录,并负责鸡的ID小腿颜色。我们认为黑素细胞的缺失可能是由于细胞凋亡。本工作解决了ID位点的分子基础,从而完成了鸡腿颜色的遗传谜题。这一发现使日龄雏鸡自动性别标记的开发成为可能,这是一种对家禽业具有重大潜力的工具。
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引用次数: 0
Comparative Efficacy of Cryosurgery Versus Alternative Techniques for Intraoral Depigmentation: A Systematic Review and Meta-Analysis 冷冻手术与其他技术治疗口腔内色素沉着的疗效比较:系统回顾和荟萃分析。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-06 DOI: 10.1111/pcmr.70070
Shiva Shirazian, Mehdi Vatanpour, Maryam Tahmasebinasab

Various factors influence the color of the gingiva, and physiological gingiva pigmentation can affect self-image without causing systemic issues. This study aimed to systematically review all articles that compare the effectiveness of cryosurgery with other techniques, such as laser, abrasion, and blade, in treating physiological gingival pigmentation. This systematic review included all clinical trials that met these criteria: All human studies, including randomized controlled (RCTs) and non-randomized CT. Studies specifically focusing on intraoral depigmentation. Articles with full-text availability. The search was carried out in MEDLINE/PubMed, Scopus, Web of Science (ISI), Embase, and Google Scholar without language limitation up to 2023. Two independent researchers did a quality assessment of the articles by the Cochrane Quality Assessment Tool. Risk of Bias assessment was carried out by ROB2 and ROBINS-I. The Random model was used for meta-analysis (using CAM2 software). From 1853 articles found in the initial search, 6 studies entered the data extraction phase. The six studies compared cryosurgery with laser, blade, and abrasion methods for gingival depigmentation. Statistical analysis showed that laser and scalpel treatments had better therapeutic outcomes than cryotherapy (p = 0.004). The subject of investigation exhibits numerous variations, necessitating further research to attain results with a high level of evidence. However, preliminary findings indicate that the scalpel depigmentation, abrasion, and laser treatment demonstrate greater efficacy than cryosurgery.

Trial Registration: PROSPERO number: CRD42023434081

各种因素影响牙龈的颜色,生理牙龈色素沉着可以影响自我形象,而不会引起全身问题。本研究旨在系统地回顾所有比较冷冻手术与其他技术(如激光、磨损和刀片)治疗生理性牙龈色素沉着的有效性的文章。本系统综述纳入了所有符合以下标准的临床试验:所有人类研究,包括随机对照(rct)和非随机CT。专门针对口腔内色素沉着的研究。全文可用的文章。检索在MEDLINE/PubMed, Scopus, Web of Science (ISI), Embase和谷歌Scholar中进行,截至2023年,没有语言限制。两位独立研究人员通过Cochrane质量评估工具对文章进行了质量评估。偏倚风险评估采用ROB2和ROBINS-I进行。meta分析采用Random模型(CAM2软件)。从最初检索到的1853篇文章中,有6篇研究进入了数据提取阶段。这六项研究比较了冷冻手术与激光、刀片和磨损治疗牙龈色素沉着的方法。经统计学分析,激光和手术刀治疗效果优于冷冻治疗(p = 0.004)。调查的主题表现出许多变化,需要进一步研究以获得高水平证据的结果。然而,初步研究结果表明,手术刀脱色、磨损和激光治疗比冷冻手术更有效。试验注册:PROSPERO号:CRD42023434081。
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引用次数: 0
Melanomas and Mesenchymal Tumors Arising in Giant Congenital Melanocytic Nevi: Clinico-Pathological and Molecular Characterization of a Case Series 巨大的先天性黑素细胞痣引起的黑素瘤和间充质肿瘤:临床病理和分子特征的病例系列。
IF 2.6 3区 医学 Q2 CELL BIOLOGY Pub Date : 2026-01-05 DOI: 10.1111/pcmr.70071
Sabrina Rossi, Sabina Barresi, Isabella Giovannoni, Silvia Genovese, Valentino Costabile, Alessandra Stracuzzi, Silvia Vallese, Chantal Tancredi, Andrea Diociaiuti, Giuseppe M. Milano, Andrea Ferrari, Patrizia Bertolini, Stefano Chiaravalli, Emanuele Agolini, Gemma D'Elia, Giorgia Catino, Licia Martucci, Marta Cajozzo, Fabio Dell'Otto, Gianni Bisogno, Alessandro Crocoli, Evelina Miele, Giovanna Zambruno, Maria Debora De Pasquale, Mario Zama, Antonio Novelli, May El Hachem, Viola Alesi, Rita Alaggio

Giant congenital melanocytic nevi (GCMN) are benign mosaic disorders that may give rise to various tumor types through incompletely understood mechanisms. We characterized a series of two melanomas and four mesenchymal tumors (two embryonal rhabdomyosarcomas, one small round cell sarcoma, one low-grade mesenchymal tumor) arising in GCMN. Median onset age was 3.5 years and 3 months for melanoma and mesenchymal tumor patients, respectively. Both melanoma patients succumbed within 27 months from diagnosis, whereas no patients progressed in the mesenchymal group (median follow-up 46 months). NRAS Q61, BRAF V600E mutation, and a novel in frame BIN1::BRAF fusion were detected in four, one, and one cases, respectively, with a higher variant allele frequency in the tumors compared with the matched GCMN. Copy number alterations and/or copy-neutral loss of heterozygosity were exclusively found in the tumors in all cases. An inactivating ASXL1 variant and an in-frame KDM5B::LPGAT1 fusion were identified in one melanoma; paternal disomy of 11p15.5 in both embryonal rhabdomyosarcomas. Mesenchymal tumors and melanomas showed distinct transcriptional profiles enriched in muscle and synapse organization and epidermal differentiation genes, respectively.

巨大先天性黑素细胞痣(GCMN)是一种良性马赛克疾病,可能通过不完全了解的机制引起各种类型的肿瘤。我们在GCMN中发现了2例黑色素瘤和4例间充质肿瘤(2例胚胎横纹肌肉瘤,1例小圆细胞肉瘤,1例低级别间充质肿瘤)。黑色素瘤和间充质瘤患者的中位发病年龄分别为3.5岁和3个月。两名黑色素瘤患者在诊断后27个月内死亡,而间充质组没有患者进展(中位随访46个月)。NRAS Q61、BRAF V600E突变和框架内的新基因BIN1::BRAF融合分别在4例、1例和1例中检测到,与匹配的GCMN相比,肿瘤中的变异等位基因频率更高。拷贝数改变和/或拷贝中性的杂合性缺失在所有病例的肿瘤中均有发现。在一个黑色素瘤中发现了失活的ASXL1变体和框架内的KDM5B::LPGAT1融合;两种胚胎性横纹肌肉瘤父系染色体均为11p15.5。间充质瘤和黑色素瘤分别表现出丰富的肌肉和突触组织以及表皮分化基因的转录谱。
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引用次数: 0
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Pigment Cell & Melanoma Research
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