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IMPDH as a potential antibacterial drug target for microbial infections: A review on a decade of targeted therapy and its implications IMPDH作为微生物感染的潜在抗菌药物靶点:十年来靶向治疗的回顾及其意义。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-01 DOI: 10.1016/j.drudis.2025.104505
Haritha Dilip , Shalini , Vijay Thiruvenkatam , Sivapriya Kirubakaran
Infectious diseases of bacterial origin currently account for the greatest number of human deaths worldwide, serving as a major hurdle for the growth of many developing nations including the Indian subcontinent. However, identification of potential therapeutic drug targets in infectious pathogens, to facilitate species-selective and target-specific inhibition for the development of effective therapeutic regimens, involves several challenges ranging from the identification and validation of a suitable drug target to overcoming drug toxicity and antimicrobial resistance. This short review is a compilation of a decade of research on the potential antibacterial drug target inosine-5′-monophosphate dehydrogenase (IMPDH) and its therapeutic implications for microbial infections.
细菌性传染病目前是全世界造成人类死亡人数最多的疾病,是包括印度次大陆在内的许多发展中国家发展的主要障碍。然而,在感染性病原体中识别潜在的治疗药物靶点,以促进物种选择性和靶点特异性抑制,从而开发有效的治疗方案,涉及从确定和验证合适的药物靶点到克服药物毒性和抗微生物药物耐药性等几个挑战。本文综述了近十年来潜在的抗菌药物靶点肌苷-5′-单磷酸脱氢酶(IMPDH)及其对微生物感染的治疗意义的研究。
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引用次数: 0
Exploiting the unique properties of nanobodies: enhancing therapeutics, drug delivery, and targeted diagnostics 利用纳米体的独特特性:增强治疗、药物传递和靶向诊断。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-01 DOI: 10.1016/j.drudis.2025.104524
Lisa Blank , Giulia Pander , Eric Mühlberg , Walter Mier , Philipp Uhl
Nanobodies (Nbs) are genetically engineered single domain antibodies derived from heavy chain-only antibodies (HcAbs) found in camelid species. These monomeric antibody fragments are smaller and have lower molecular weight compared with conventional antibodies, while retaining full antigen-binding specificity, endowing them with unique structural and functional properties. As in vitro diagnostics, they can aid pathogen detection and biomarker identification. In vivo, their rapid clearance and deep tissue penetration enable radio-imaging with short half-life radionuclides, reducing patient exposure. Therapeutically, Nbs are being explored for cancer, neurodegenerative, and infectious diseases. However, their short serum half-life is challenging, prompting strategies to extend circulation time without compromising their benefits. Despite these hurdles, the high specificity, low immunogenicity, and versatility of Nbs position them as promising tools across diverse applications.
纳米抗体(Nbs)是一种基因工程单域抗体,来源于在骆驼物种中发现的仅重链抗体(HcAbs)。与传统抗体相比,这些单体抗体片段更小,分子量更低,同时保留了充分的抗原结合特异性,赋予其独特的结构和功能特性。作为体外诊断,它们可以帮助病原体检测和生物标志物鉴定。在体内,它们的快速清除和深层组织穿透使得半衰期短的放射性核素放射成像,减少了患者的暴露。在治疗方面,正在探索Nbs用于癌症、神经退行性疾病和传染病。然而,他们短暂的血清半衰期是具有挑战性的,促使策略延长循环时间而不损害他们的好处。尽管存在这些障碍,但Nbs的高特异性、低免疫原性和多功能性使其成为跨多种应用的有前途的工具。
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引用次数: 0
Persona-driven generative AI in pharmaceuticals 制药领域的人物驱动生成人工智能。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-01 DOI: 10.1016/j.drudis.2025.104520
Yun Wan , Makoto Nakayama , Cesar Floyd Aldana , Frank Alvino
Persona-driven generative artificial intelligence (GenAI) represents a transformative approach to pharmaceutical innovation, providing structured frameworks that enhance AI–human collaboration across drug development. We examine recent applications (2023–2025) spanning target identification, clinical development, regulatory intelligence, and patient communication. Key developments include AlphaFold 3’s protein structure prediction breakthroughs, regulatory validation of digital twin methodologies, and AI-powered regulatory intelligence systems. Using contextual priming and specialized domain expertise, personas significantly improve GenAI performance in pharmaceutical contexts. Although these tools have demonstrated 60–70% timeline reductions and enhanced clinical trial efficiency, challenges remain in hallucination mitigation, bias management, and regulatory validation. This assessment highlights transformative opportunities while addressing critical implementation barriers for widespread pharmaceutical adoption.
人物驱动的生成式人工智能(GenAI)代表了一种药物创新的变革性方法,提供了结构化框架,加强了药物开发过程中人工智能与人类的合作。我们研究了最近的应用(2023-2025),涵盖目标识别,临床开发,监管情报和患者沟通。主要发展包括AlphaFold 3的蛋白质结构预测突破、数字孪生方法的监管验证以及人工智能监管智能系统。使用上下文启动和专业领域专业知识,人物角色显著提高了GenAI在制药环境中的性能。尽管这些工具已经证明缩短了60- 70%的时间,提高了临床试验效率,但在幻觉缓解、偏倚管理和监管验证方面仍然存在挑战。该评估强调了变革机会,同时解决了广泛采用药物的关键实施障碍。
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引用次数: 0
Mitochondrial homeostasis: A key regulator in endometrial physiology and pathology 线粒体内稳态:子宫内膜生理和病理的关键调节因子。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-28 DOI: 10.1016/j.drudis.2025.104519
Keke Zhang , Enfeng Zhang , Kun Wu , Wenxiu Cheng , Shaobin Wei
Endometrial cyclic remodeling and decidualization are critical physiological processes for female reproductive function and are profoundly influenced by mitochondrial homeostasis. Mitochondrial homeostasis is maintained through the mitochondrial quality control system, which precisely regulates mitochondrial energy metabolism via peroxisome proliferator-activated receptor-gamma (PPARγ) coactivator-1 alpha (PGC-1α)–nuclear respiratory factor (NRF)1/2-mediated biogenesis, mitofusin (MFN)1/2–optic atrophy (OPA1)-dependent fusion, dynamin-related protein (DRP)1-regulated fission, and PTEN-induced putative kinase 1 (PINK1)–Parkin-executed mitophagy. Dysregulation of this system caused by infection, endocrine disruption, or iatrogenic injury can alter or reprogram endometrial energy metabolism, disrupt immune balance, and promote fibrosis and abnormal proliferation, leading to various endometrial diseases and impaired fertility. This review systematically summarizes recent research advances on mitochondrial homeostasis in endometrial physiology and pathology, and its emerging role as a therapeutic target, aiming to provide insights and references for therapeutic strategies against endometrial diseases.
子宫内膜循环重构和脱个体化是女性生殖功能的重要生理过程,受到线粒体稳态的深刻影响。线粒体质量控制系统通过过氧化物酶体增殖体激活受体- γ (PPARγ)辅助激活因子-1α (PGC-1α)-核呼吸因子(NRF)1/2介导的生物发生、丝裂蛋白(MFN)1/2-视神经萎缩(OPA1)依赖的融合、动力蛋白相关蛋白(DRP)1调节的裂变和pten诱导的推测激酶1 (PINK1)-帕金森执行的线粒体自噬来精确调节线粒体能量代谢。感染、内分泌干扰或医源性损伤引起的该系统失调可改变或重编程子宫内膜能量代谢,破坏免疫平衡,促进纤维化和异常增殖,导致各种子宫内膜疾病和生育能力受损。本文系统综述了线粒体稳态在子宫内膜生理和病理中的研究进展及其作为治疗靶点的作用,旨在为子宫内膜疾病的治疗策略提供见解和参考。
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引用次数: 0
Foundation models in drug discovery: Phenomenal growth today, transformative potential tomorrow? 药物发现的基础模型:今天的惊人增长,明天的变革潜力。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-28 DOI: 10.1016/j.drudis.2025.104518
Julien Delile , Srayanta Mukherjee , Judith Mueller , Iya Khalil , Leonid Zhukov , Christoph Meier
During the past decade, AI has evolved rapidly. Within the field, there has been particular innovation in the area of foundation models -- general-purpose AI algorithms that can be adapted to a broad range of tasks. Recently, researchers have started exploring how these foundation models can be applied to pharmaceutical R&D. In this review, we survey the landscape of foundation models in drug discovery research. We show that, starting in 2022, the number of foundation models has been growing extremely rapidly, with >200 such models published to date. We demonstrate that these cover a broad range of applications, including target discovery, molecular property optimization, preclinical applications and others. We also discuss what foundation-model-powered drug discovery could look like in the future.
在过去的十年里,人工智能发展迅速。在该领域,基础模型领域有特别的创新:可以适应广泛任务的通用人工智能算法。最近,研究人员开始探索如何将这些基础模型应用于药物研发。本文综述了药物发现研究中基础模型的发展概况。我们发现,从2022年开始,基础模型的数量一直在快速增长,迄今为止已发布的基础模型数量达到了100 200个。我们证明,这些涵盖了广泛的应用,包括目标发现,分子性质优化,临床前应用等。我们还讨论了未来以基础模型为动力的药物发现会是什么样子。
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引用次数: 0
New visions and research trends in fetal-originated adult cardiovascular and metabolic diseases 胎儿源性成人心血管和代谢疾病的新视野和研究趋势。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-28 DOI: 10.1016/j.drudis.2025.104517
Yajie Xu , Zhijin Yan , Na Li , Jiaqi Tang , Zhice Xu
Studies on fetal-originated diseases have emerged as a pivotal biomedical frontier. This article first redefines birth defects into two categories, adding functional birth defects innovatively. Following comprehensively reviewing the progress in the study of prenatal influence and mechanisms, new research directions are indicated. Future predictive models, which integrate maternal health data with epigenetic profiles and genetic markers, have the potential to identify high-risk individuals early in life. As scientific progress in this field is explored, the pursuit of innovative solutions not only adds knowledge but also heralds a new era of early prevention of cardiovascular/metabolic diseases originating before birth.
胎儿源性疾病的研究已成为一个关键的生物医学前沿。本文首先将出生缺陷重新定义为两类,创新性地增加了功能性出生缺陷。本文对产前影响及其机制的研究进展进行了综述,并指出了新的研究方向。未来的预测模型将孕产妇健康数据与表观遗传图谱和遗传标记结合起来,有可能在生命早期识别出高风险个体。随着这一领域的科学进步,对创新解决方案的追求不仅增加了知识,而且预示着一个早期预防出生前心血管/代谢性疾病的新时代。
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引用次数: 0
Inhibition of bromodomain and extra-terminal motif (BET) proteins in pediatric sarcoma: A systematic review of in vitro and in vivo studies 溴结构域和外端基序(BET)蛋白在儿童肉瘤中的抑制作用:体外和体内研究的系统综述。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-27 DOI: 10.1016/j.drudis.2025.104516
Erika Ferraro , Elisa Macrì , Clemens Zwergel , Chiara Lambona , Giovanni Barillari , Cinzia Marchese , Franco Locatelli , Rossella Rota , Matteo Cassandri , Silvia Pomella
BET inhibitors (BETi), especially those targeting BRD4, show promising preclinical activity against pediatric sarcomas by disrupting oncogenic transcription. This systematic review of 26 studies highlights the anti-proliferative and pro-apoptotic effects of BETi across five pediatric sarcoma types. In vivo data show a decrease in tumor growth, with better results when combined with other therapies. This systematic review revealed that, whereas early investigations mostly rely on pan-BETi, recent studies focus on newer and more specific agents. Accordingly, we reported that ABBV-744 and RVX-208, which selectively target the BD2 domain, and GNE-987, a specific BRD4 degrader, are the most promising inhibitors. However, ABBV-075, a pan-BETi, also exhibits high efficacy, being effective at low doses. Nevertheless, translating these experimental findings into clinical practice remains difficult because of resistance, toxicity, and inconsistent responses. Future approaches include using biomarkers for patient selection, developing isoform-specific BETi, and designing rational combination therapies to enhance treatment for these aggressive pediatric cancers.
BET抑制剂(BETi),特别是那些靶向BRD4的抑制剂,通过破坏致癌转录显示出对儿童肉瘤有希望的临床前活性。本系统综述了26项研究,强调了BETi在5种儿童肉瘤类型中的抗增殖和促凋亡作用。体内数据显示肿瘤生长减少,与其他疗法联合使用效果更好。本系统综述显示,早期的研究主要依赖于泛β - β,而最近的研究集中在更新和更特异性的药物上。因此,我们报道了选择性靶向BD2结构域的ABBV-744和RVX-208以及特异性BRD4降解物GNE-987是最有希望的抑制剂。然而,pan-BETi的ABBV-075也表现出高疗效,低剂量有效。然而,由于耐药、毒性和不一致的反应,将这些实验发现转化为临床实践仍然很困难。未来的方法包括使用生物标志物进行患者选择,开发特异性的BETi,以及设计合理的联合疗法来加强对这些侵袭性儿童癌症的治疗。
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引用次数: 0
Evolving landscape of small-molecule immunotherapeutics for uveitis: a scoping review 葡萄膜炎小分子免疫疗法的发展前景:范围综述。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-27 DOI: 10.1016/j.drudis.2025.104515
Tammy S.Y. Yim , Carlos Cifuentes-González , Rupesh Agrawal , Hazel H. Oon
In this scoping review, we highlight advances in small-molecule immunotherapeutics for non-infectious uveitis (NIU), a sight-threatening inflammatory disease. Unlike traditional corticosteroids and biologics, emerging small molecules promise enhanced ocular penetration and precise intracellular modulation. Analysing randomised trials, observational studies, and animal models, we identified 16 drug classes and 31 novel compounds. Notably, new-generation calcineurin inhibitors, Janus kinase (JAK) inhibitors, mammalian target of rapamycin (mTOR) inhibitors, corticosteroids, and reactive aldehyde species (RASP) inhibitors demonstrated encouraging clinical efficacy. These agents could redefine treatment paradigms by minimising systemic toxicity and overcoming current therapeutic limitations. However, larger studies are needed to establish their long-term safety and effectiveness across diverse NIU patient populations.
在这篇综述中,我们重点介绍了小分子免疫治疗非感染性葡萄膜炎(NIU)的进展,这是一种威胁视力的炎症性疾病。与传统的皮质类固醇和生物制剂不同,新兴的小分子有望增强眼部渗透和精确的细胞内调节。通过分析随机试验、观察性研究和动物模型,我们确定了16种药物类别和31种新化合物。值得注意的是,新一代钙调磷酸酶抑制剂、Janus激酶(JAK)抑制剂、哺乳动物雷帕霉素靶点(mTOR)抑制剂、皮质类固醇和活性醛类(RASP)抑制剂的临床疗效令人鼓舞。这些药物可以通过最小化全身毒性和克服目前的治疗局限性来重新定义治疗范例。然而,需要更大规模的研究来确定它们在不同NIU患者群体中的长期安全性和有效性。
{"title":"Evolving landscape of small-molecule immunotherapeutics for uveitis: a scoping review","authors":"Tammy S.Y. Yim ,&nbsp;Carlos Cifuentes-González ,&nbsp;Rupesh Agrawal ,&nbsp;Hazel H. Oon","doi":"10.1016/j.drudis.2025.104515","DOIUrl":"10.1016/j.drudis.2025.104515","url":null,"abstract":"<div><div>In this scoping review, we highlight advances in small-molecule immunotherapeutics for non-infectious uveitis (NIU), a sight-threatening inflammatory disease. Unlike traditional corticosteroids and biologics, emerging small molecules promise enhanced ocular penetration and precise intracellular modulation. Analysing randomised trials, observational studies, and animal models, we identified 16 drug classes and 31 novel compounds. Notably, new-generation calcineurin inhibitors, Janus kinase (JAK) inhibitors, mammalian target of rapamycin (mTOR) inhibitors, corticosteroids, and reactive aldehyde species (RASP) inhibitors demonstrated encouraging clinical efficacy. These agents could redefine treatment paradigms by minimising systemic toxicity and overcoming current therapeutic limitations. However, larger studies are needed to establish their long-term safety and effectiveness across diverse NIU patient populations.</div></div>","PeriodicalId":301,"journal":{"name":"Drug Discovery Today","volume":"30 12","pages":"Article 104515"},"PeriodicalIF":7.5,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145399229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
HSP90 inhibitors beyond oncology: optimization and mechanism insights in non-oncological diseases 肿瘤以外的HSP90抑制剂:非肿瘤疾病的优化和机制见解。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-25 DOI: 10.1016/j.drudis.2025.104514
Xingyu Yin, Huangliang Shu, Danni Wang, Qidong You, Qiuyue Zhang, Lei Wang
Heat shock protein 90 (HSP90) plays a critical role in maintaining cellular proteostasis by facilitating protein folding and maturation. Although HSP90 inhibitors have been extensively studied in cancer, their potential in non-oncological diseases remains underexplored and merits systematic discussion. This review focuses on the pivotal roles of HSP90 inhibitors in treating non-oncological diseases, specifically viral and fungal infections, inflammatory disorders, and neurodegenerative diseases. We analyze recent advances in inhibitor optimization, the relevant signaling pathways, and mechanistic insights into HSP90–client protein interactions. We propose strategic approaches to overcome challenges in the clinical translation of HSP90 inhibitors for non-oncological indications. Our analysis underscores the need for optimized inhibitor design and deeper mechanistic understanding to unlock the full therapeutic potential of HSP90 inhibitors beyond oncology.
热休克蛋白90 (HSP90)通过促进蛋白质折叠和成熟,在维持细胞蛋白质稳态中起关键作用。尽管HSP90抑制剂已经在癌症中得到了广泛的研究,但它们在非肿瘤性疾病中的潜力仍未得到充分的探索,值得系统的讨论。本文综述了热休克蛋白90抑制剂在治疗非肿瘤性疾病,特别是病毒和真菌感染、炎症性疾病和神经退行性疾病中的关键作用。我们分析了抑制剂优化、相关信号通路和hsp90客户蛋白相互作用机制的最新进展。我们提出了克服HSP90抑制剂用于非肿瘤适应症的临床翻译挑战的战略方法。我们的分析强调了优化抑制剂设计和更深入的机制理解的必要性,以释放HSP90抑制剂在肿瘤学之外的全部治疗潜力。
{"title":"HSP90 inhibitors beyond oncology: optimization and mechanism insights in non-oncological diseases","authors":"Xingyu Yin,&nbsp;Huangliang Shu,&nbsp;Danni Wang,&nbsp;Qidong You,&nbsp;Qiuyue Zhang,&nbsp;Lei Wang","doi":"10.1016/j.drudis.2025.104514","DOIUrl":"10.1016/j.drudis.2025.104514","url":null,"abstract":"<div><div>Heat shock protein 90 (HSP90) plays a critical role in maintaining cellular proteostasis by facilitating protein folding and maturation. Although HSP90 inhibitors have been extensively studied in cancer, their potential in non-oncological diseases remains underexplored and merits systematic discussion. This review focuses on the pivotal roles of HSP90 inhibitors in treating non-oncological diseases, specifically viral and fungal infections, inflammatory disorders, and neurodegenerative diseases. We analyze recent advances in inhibitor optimization, the relevant signaling pathways, and mechanistic insights into HSP90–client protein interactions. We propose strategic approaches to overcome challenges in the clinical translation of HSP90 inhibitors for non-oncological indications. Our analysis underscores the need for optimized inhibitor design and deeper mechanistic understanding to unlock the full therapeutic potential of HSP90 inhibitors beyond oncology.</div></div>","PeriodicalId":301,"journal":{"name":"Drug Discovery Today","volume":"30 12","pages":"Article 104514"},"PeriodicalIF":7.5,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Targeting AMPK signaling in diabetic wounds facilitates the healing process 靶向AMPK信号在糖尿病伤口促进愈合过程。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-24 DOI: 10.1016/j.drudis.2025.104511
Kankan Roy, Bapi Gorain
Micro- and macrovascular complications associated with diabetes patients complicate the healing process of wounds, often leading to limb amputations. Lack of proper treatment strategies generates alarming conditions, where the literature reveals that 5′-adenosine monophosphate-activated protein kinase (AMPK) plays an important role in maintaining homeostasis of cellular energy and insulin signaling sensitivity, which alter multiple cellular processes, including angiogenesis, communication, cell migration, and proliferation. Thus, this review focuses on the current understanding of the physiological and pathological roles of AMPK in the diabetic wound environment, which facilitates the healing process via different pathways involved in molecular and physiological regulation.
糖尿病相关的微血管和大血管问题使糖尿病患者伤口愈合过程复杂化,常常导致截肢。缺乏适当的治疗策略会产生令人担忧的情况,其中文献显示5'-腺苷单磷酸活化蛋白激酶(AMPK)在维持细胞能量稳态和胰岛素信号敏感性方面发挥重要作用,从而改变多种细胞过程,包括血管生成、通讯、细胞迁移和增殖。因此,本文就AMPK在糖尿病创面环境中的生理和病理作用进行综述,AMPK通过参与分子和生理调控的不同途径促进愈合过程。
{"title":"Targeting AMPK signaling in diabetic wounds facilitates the healing process","authors":"Kankan Roy,&nbsp;Bapi Gorain","doi":"10.1016/j.drudis.2025.104511","DOIUrl":"10.1016/j.drudis.2025.104511","url":null,"abstract":"<div><div>Micro- and macrovascular complications associated with diabetes patients complicate the healing process of wounds, often leading to limb amputations. Lack of proper treatment strategies generates alarming conditions, where the literature reveals that 5′-adenosine monophosphate-activated protein kinase (AMPK) plays an important role in maintaining homeostasis of cellular energy and insulin signaling sensitivity, which alter multiple cellular processes, including angiogenesis, communication, cell migration, and proliferation. Thus, this review focuses on the current understanding of the physiological and pathological roles of AMPK in the diabetic wound environment, which facilitates the healing process via different pathways involved in molecular and physiological regulation.</div></div>","PeriodicalId":301,"journal":{"name":"Drug Discovery Today","volume":"30 12","pages":"Article 104511"},"PeriodicalIF":7.5,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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