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FSTL1 contribute to aggressive clinical behavior in DLBCL may by activating the DIP2A/ICAM-1-mediated adhesion mechanism FSTL1可能通过激活DIP2A/ icam -1介导的粘附机制参与DLBCL侵袭性临床行为
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119071
Xiping Liang, Xiaomei Zhang, Chaoyu Wang, Chunyan Xiao, Xiaoqing Xie, Yixing Zhou, Wenwen Zhou, Yao Liu

Introduction

Despite improved outcomes in diffuse large B-cell lymphoma (DLBCL) with rituximab-based therapy, cell adhesion-mediated drug resistance (CAM-DR) remains a key mechanism of treatment resistance. The role of follistatin-like protein 1 (FSTL1) in CAM-DR has not been fully elucidated.

Methods

We conducted a retrospective analysis of newly diagnosed DLBCL patients treated with rituximab from 2019 to 2024, with special emphasis on FSTL1 expression and clinical features, and its underlying mechanism.

Results

FSTL1 was detectable in 74.5 % of patients. Its expression was significantly elevated in DLBCL patients compared to controls (P < 0.05) and was further increased in the RR-DLBCL group (P = 0.045). FSTL1 patients exhibited more adverse clinical features, including higher incidence of extranodal involvement, more advanced stage, elevated LDH levels, and bulky masses (all p < 0.05). FSTL1 expression patients revealed a shorter overall survival (OS) (p = 0.024) and progression-free survival (PFS) (p = 0.034), with similar trend in high FSTL1 expression (P < 0.05). In vitro, increased exogenous of FSTL1 contributed to DLBCL cell proliferation, vitality, and decreased the antibody-dependent cellular cytotoxicity (ADCC) effect, whereas FSTL1 silencing reversed this trend (P < 0.05). Pathway enrichment analysis revealed an association between FSTL1 and CAM-DR. Mechanistic experiments revealed that FSTL1 may be derived from secretion by cancer-associated fibroblasts (CAFs), interacts with DIP2A on DLBCL cells and promotes ICAM-1 expression, thereby contributing to drug resistance in DLBCL.

Conclusion

Our findings indicate that elevated FSTL1 levels may contribute to advanced clinical characteristics and worse outcomes in DLBCL. FSTL1 contributes to drug resistance likely through DIP2a/ICAM-1-mediated adhesion mechanism.
尽管以利妥昔单抗为基础的治疗改善了弥漫性大b细胞淋巴瘤(DLBCL)的预后,但细胞粘附介导的耐药(CAM-DR)仍然是治疗耐药的关键机制。卵泡素样蛋白1 (FSTL1)在CAM-DR中的作用尚未完全阐明。方法回顾性分析2019 - 2024年接受利妥昔单抗治疗的新发DLBCL患者,重点分析FSTL1表达、临床特征及其机制。结果fstl1在74.5% %的患者中检出。与对照组相比,其在DLBCL患者中的表达明显升高(P <; 0.05),在RR-DLBCL组中表达进一步升高(P = 0.045)。FSTL1患者表现出更多的不良临床特征,包括更高的结外累及发生率、更晚期、LDH水平升高和体积较大的肿块(均p <; 0.05)。FSTL1表达患者总生存期(OS)较短(p = 0.024),无进展生存期(PFS)较短(p = 0.034),FSTL1高表达患者趋势相似(p <; 0.05)。在体外,外源FSTL1的增加有助于DLBCL细胞的增殖和活力,并降低抗体依赖性细胞毒性(ADCC)效应,而FSTL1沉默逆转了这一趋势(P <; 0.05)。通路富集分析显示FSTL1与CAM-DR之间存在关联。机制实验显示FSTL1可能来源于癌症相关成纤维细胞(CAFs)的分泌,与DIP2A在DLBCL细胞上相互作用,促进ICAM-1的表达,从而促进DLBCL的耐药。结论:FSTL1水平升高可能导致DLBCL患者临床特征的恶化和预后的恶化。FSTL1可能通过DIP2a/ icam -1介导的粘附机制参与耐药。
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引用次数: 0
The tumor ecosystem: Rewiring an open, systemically integrated network for therapeutic gain 肿瘤生态系统:重新布线一个开放的,系统集成的网络治疗增益。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119047
Paola Chiodelli , Andrea Papait , Lorenzo Agoni , Federico Quaglia , Antonietta Rosa Silini , Ornella Parolini
Despite the tumor microenvironment (TME) being a major therapeutic focus, the clinical translation of TME-targeted agents has been largely unsuccessful, a paradox that challenges paradigms rooted in a reductionist view of the TME as a self-contained entity. We propose a framework redefining the TME as an open, multi-scalar ecosystem dynamically shaped by systemic host factors. Locally, cancer-associated fibroblasts (CAFs), myeloid cells and the vasculature act not as isolated cell types but as integrated components of functional niches that orchestrate fibrosis, immunosuppression and angiogenesis. Systemically, the gut microbiome and chronic inflammation of ageing (‘inflammaging’) pre-condition the host terrain and modulate therapeutic responses across this network. Viewed through this systemic lens, resistance emerges not as molecular bypass but as ecological adaptation of a complex, open system. We argue that next-generation therapies will depend on spatial omics to map pathological niches and on rational, multimodal strategies that explicitly target the TME as a systemically integrated network.
尽管肿瘤微环境(TME)是主要的治疗焦点,但TME靶向药物的临床翻译在很大程度上是不成功的,这一悖论挑战了基于TME作为一个独立实体的简化主义观点的范式。我们提出了一个框架,将TME重新定义为一个开放的、由系统宿主因素动态塑造的多标量生态系统。局部而言,癌症相关成纤维细胞(CAFs)、骨髓细胞和脉管系统不是作为孤立的细胞类型,而是作为协调纤维化、免疫抑制和血管生成的功能龛的整体组成部分。系统地,肠道微生物组和衰老的慢性炎症(“炎症”)预先调节宿主地形并调节整个网络的治疗反应。从这个系统的角度来看,耐药性的出现不是分子的绕过,而是一个复杂的、开放的系统的生态适应。我们认为,下一代疗法将依赖于空间组学来绘制病理生态位,并依赖于理性的、多模式的策略,明确地将TME作为一个系统集成的网络。
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引用次数: 0
Retraction notice to “Long noncoding RNA RP11-766N7.4 functions as a tumor suppressor by regulating epithelial-mesenchymal transition in esophageal squamous cell carcinoma” [Biomed. Pharmacother. 88 (2017) 778–785] “长链非编码RNA RP11-766N7.4通过调节食管鳞状细胞癌的上皮-间质转化而发挥抑癌作用”的撤回通知[生物医学]。药学杂志,88(2017)778-785。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.118993
Guo-Liang Yao , Chun-Feng Pan , Hairong Xu , Ke Wei , Bin Liu , Rong Zhai , Yi-Jiang Chen
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引用次数: 0
Atraric acid alleviates high-fat diet-induced renal injury, lipid accumulation, and fibrosis in mice by regulating oxidative stress and inflammation through AMPK-dependent Nrf2 and NF-κB signaling pathways 白藜芦酸通过ampk依赖性Nrf2和NF-κB信号通路调节氧化应激和炎症,减轻高脂饮食诱导的小鼠肾损伤、脂质积累和纤维化。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119039
Yannan Xiang , Tianyue Guan , Jun Wang , Shasha Zhang , Yusa Li , Jing Xia , Panpan Zhao , Lei Wang
This study explores the protective effects of Atraric Acid (AA) against chronic kidney disease (CKD) induced by a high-fat diet (HFD) and its underlying mechanisms. In vivo HFD-induced CKD mouse models and in vitro OA/PA-stimulated HK2 cells were treated with AA. AA improved kidney morphology, reduced fibrosis, lipid accumulation, and body weight. It also decreased serum TC, TG, HDL-C, Scr, BUN, and Cys-C levels, indicating improved renal function. AA alleviated oxidative stress, ROS accumulation, and inflammation, as confirmed by DHE staining, oxidative stress markers, and pro-inflammatory cytokine levels. Western blotting showed that AA activated Nrf2 and suppressed NF-κB signaling. AMPK inhibition experiments demonstrated that AA regulated Nrf2 and NF-κB via AMPKα phosphorylation. In conclusion, AA mitigates HFD-induced CKD by targeting AMPKα to regulate oxidative stress and inflammation.
本研究探讨了白屈酸(AA)对高脂饮食(HFD)诱导的慢性肾脏疾病(CKD)的保护作用及其潜在机制。在体内hfd诱导的CKD小鼠模型和体外OA/ pa刺激的HK2细胞用AA处理。AA改善肾脏形态,减少纤维化、脂质积累和体重。同时降低血清TC、TG、HDL-C、Scr、BUN和Cys-C水平,提示肾功能改善。DHE染色、氧化应激标志物和促炎细胞因子水平证实,AA可减轻氧化应激、ROS积累和炎症。Western blot结果显示,AA激活Nrf2,抑制NF-κB信号通路。AMPK抑制实验表明,AA通过AMPKα磷酸化调控Nrf2和NF-κB。综上所述,AA通过靶向AMPKα调节氧化应激和炎症来减轻hfd诱导的CKD。
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引用次数: 0
Layered double hydroxide-induced modulation of oxidative stress in disease therapy 层状双氢氧化物诱导的氧化应激在疾病治疗中的调节作用。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119063
Jun Wang , Ouyang Su , Zhaoxu Meng , Lili Lu , Yake Qi , Zonghui Zhang , Zhou Li , Xiu Dong , He Lian , Yiping Mu
Oxidative stress plays a crucial role in the development of various diseases, including diabetes, cardiovascular diseases, cancer, and rheumatic disorders. It disrupts the redox balance and initiates a series of pathological changes. As two-dimensional inorganic solids with an open structure and anion-exchange properties, layered double hydroxides (LDHs) offer significant advantages in the biomedical field, such as drug carriers, antioxidant catalysts. This article outlines application of LDHs in the treatment of cancer, rheumatic diseases, bone disorders, diabetes, Alzheimer's disease, and other conditions. More importantly, this paper elaborates on the challenges faced by the application of LDHs, including the biological activity to be explored, the performance to be optimized, and their in vivo functions and molecular mechanisms to be clarified. The solution strategies have also been discussed, which pointed out the direction for promoting the clinical transformation and application of LDHs in the future.
氧化应激在各种疾病的发展中起着至关重要的作用,包括糖尿病、心血管疾病、癌症和风湿性疾病。它破坏氧化还原平衡,引发一系列病理变化。层状双氢氧化物作为具有开放结构和阴离子交换性质的二维无机固体,在药物载体、抗氧化催化剂等生物医学领域具有显著的优势。本文概述了ldl在治疗癌症、风湿性疾病、骨骼疾病、糖尿病、阿尔茨海默病和其他疾病中的应用。更重要的是,本文阐述了LDHs应用面临的挑战,包括有待探索的生物活性、有待优化的性能、有待阐明的体内功能和分子机制。探讨了解决策略,为今后推动LDHs临床转化和应用指明了方向。
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引用次数: 0
Liposomes and macrophage membrane co-assembled biomimetic nanoparticles alleviate cardiac insufficiency after myocardial infarction 脂质体与巨噬细胞膜共组装仿生纳米颗粒减轻心肌梗死后心功能不全
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119055
Na Li , Yu Zhao , Xianyun Jiang , Deyu Ran , Yihao Wang , Lin Zheng , Zhengkai Wang
Acute myocardial infarction (MI) causes tremendous damage to the coronary microcirculation, resulting in vascular disintegration and capillary rarefaction in the infarct area. Tissue repair after myocardial infarction (MI) is multifaceted. The mechanism of angiogenesis is complex and difficult to target, and the blood vessels that need to be revascularized extend from the infarct border zone to the necrotic infarct core1. Mirdametinib (PD0325901), a MEK inhibitor, promotes angiogenesis and has beneficial effects on ischemic hearts. However, its side effects have limited its application, and Mirdametinib has not yet met clinical requirements for how to treat diseases more safely, effectively and economically. Here, we present a multifunctional biomimetic nanoparticle drug delivery system consisting of Macrophage Membranes and Liposomes nanoparticles (MM&Lipo nanoparticles) for the targeted delivery of Mirdametinib (PD0325901) to induce ischemic tissue revascularization after acute MI. Compared with artificial liposomes, the MM&Lipo nanoparticle delivery system has the advantages of immune escape and strong activation of endothelial cell targeting. Additionally, MM&Lipo nanoparticles release sufficient PD0325901 in a controlled manner. In an induced MI model, it significantly improved cardiac function and infarct extent in mice. Compared with the PBS group after MI, the ejection fraction of MM&Lipo group recovered from 35 ± 3–82 ± 3, and the fractional shortening from 17 ± 2–50 ± 1. The area of fibrosis was also reduced from 25 ± 4 % to 11 ± 5. The key inflammatory factor marker TNF-α also decreased from 570 ± 31 pg/mL to 475 ± 70 pg/mL.Our findings demonstrate the important potential value of multifunctional biomimetic drug delivery systems that integrate macrophage membranes and liposomes as novel membrane materials in the treatment of post-MI revascularization.
急性心肌梗死(Acute myocardial infarction, MI)对冠状动脉微循环造成巨大损害,导致梗死区血管解体和毛细血管稀疏。心肌梗死(MI)后的组织修复是多方面的。血管生成的机制复杂且难以定位,需要血运重建的血管从梗死边缘区延伸至坏死梗死核心区1。Mirdametinib (PD0325901)是一种MEK抑制剂,促进血管生成,对缺血性心脏有有益作用。然而,它的副作用限制了它的应用,米达美替尼还没有达到如何更安全、有效、经济地治疗疾病的临床要求。本研究提出了一种由巨噬细胞膜和纳米脂质体(MM&;Lipo纳米颗粒)组成的多功能仿生纳米颗粒给药系统,用于靶向递送米达美替尼(PD0325901),诱导急性心肌梗死后缺血组织血运重建。与人工脂质体相比,MM&;Lipo纳米颗粒给药系统具有免疫逃逸和强激活内皮细胞靶向的优点。此外,MM&;Lipo纳米颗粒以受控的方式释放足够的PD0325901。在心肌梗死模型中,它能显著改善小鼠心功能和梗死范围。与PBS组相比,心肌梗死后MM&;Lipo组的射血分数从35 ± 3 - 82 ± 3恢复,分数缩短从17 ± 2-50 ± 1恢复。纤维化面积也从25 ± 4 %减少到11 ± %。关键炎症因子标志物TNF-α也从570 ± 31 pg/mL降至475 ± 70 pg/mL。我们的研究结果表明,整合巨噬细胞膜和脂质体作为新型膜材料的多功能仿生药物传递系统在心肌梗死后血运重建治疗中的重要潜在价值。
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引用次数: 0
Dual intestinal-hepatic modulation by phenolic acids improves metabolic-dysfunction associated steatohepatitis 酚酸对肠道和肝脏的双重调节可改善代谢功能障碍相关的脂肪性肝炎
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119070
Peter U. Amadi , Justice O. Osuoha , Joy.A. Amadi , Esienanwan E. Efiong , Prince C. Odika , Celestine E. Ekweogu , Chioma Ejiofor , Govind S. Gill , Suha J. Jarad , Chiamaka W. Amadi , Hongmei Gu , Barbora de Courten , Emmanuel N. Agomuo , Dawei Zhang

Background

Metabolic-dysfunction associated steatohepatitis (MASH) arises from sustained triglyceride overload of the intestine-liver axis, yet current therapies rarely coordinate intestinal lipid entry with hepatic triglyceride disposal. Here we identify a phenolic-acid fraction as a dual-compartment metabolic modulator that couples intestinal lipase inhibition to CPT1α-PPARα-dependent hepatic β-oxidation across species.

Methods

Across species, we investigated the kinetics and metabolic actions of a phenolic fraction (PhAM) using recombinant lipase systems, epithelial transport assays, hepatocyte models, pharmacokinetics, diet-induced metabolic disease paradigms, quantitative histopathology, and a 24-week randomized placebo-controlled clinical trial.

Results

PhAM selectively suppresses pancreatic and intestinal lipases non-competitively, lowering V_max with minimal K_m change, resembling some features of orlistat, but via a distinct, non-covalent mechanism. In Caco-2 monolayers and ex vivo loops, it reduces apical-to-basolateral fatty-acid flux, depletes intracellular triglycerides, and limits luminal-to-plasma lipid transfer. PhAM is orally bioavailable, with measurable plasma exposure and prolonged intestinal residence. Under high-fat feeding, it increases fecal fat loss, attenuates post-lipid-load triglyceride excursions, and lowers hepatic triglycerides without altering ApoB secretion. Its triglyceride-lowering effect requires CPT1α-dependent mitochondrial import and PPARα activation, elevates β-hydroxybutyrate, and induces oxidative genes while sparing lipogenesis. In chronic MASH, PhAM reduces steatosis, ballooning, inflammation, and metabolic-dysfunction associated steatotic liver disease (MASLD) Activity Score. A 24-week clinical subgroup, defined by ultrasound and transaminase enrichment, showed dose-responsive improvements in ultrasonographic steatosis and metabolic biomarkers.

Conclusion

Collectively, these findings define PhAM as a phenolic-acid-based agent that aligns intestinal lipid restriction with hepatic oxidative unloading, offering a mechanistically coherent framework for potentially addressing steatotic liver disease-associated metabolic features.
代谢功能障碍相关的脂肪性肝炎(MASH)是由持续的肠-肝轴甘油三酯过载引起的,然而目前的治疗方法很少协调肠道脂质进入和肝脏甘油三酯的处理。在这里,我们确定了酚酸组分作为双室代谢调节剂,将肠道脂肪酶抑制与跨物种的cpt1 α- ppar α依赖的肝脏β-氧化结合起来。方法:通过重组脂肪酶系统、上皮转运试验、肝细胞模型、药代动力学、饮食诱导代谢疾病模型、定量组织病理学和一项24周随机安慰剂对照临床试验,研究了酚类成分(PhAM)的动力学和代谢作用。结果spham选择性非竞争性抑制胰腺和肠道脂肪酶,以最小的K_m变化降低V_max,与奥利司他的某些特征相似,但通过不同的非共价机制。在Caco-2单层和离体环中,它减少根尖到基底外侧的脂肪酸通量,消耗细胞内甘油三酯,并限制光到血浆的脂质转移。PhAM是口服生物可利用的,具有可测量的血浆暴露和长时间的肠道停留。在高脂肪喂养下,它增加了粪便脂肪的损失,减轻了脂质负荷后甘油三酯的漂移,并在不改变载脂蛋白ob分泌的情况下降低了肝脏甘油三酯。其降低甘油三酯的作用需要cpt1 α依赖的线粒体输入和PPARα激活,提高β-羟基丁酸,诱导氧化基因,同时保持脂肪生成。在慢性MASH中,PhAM可降低脂肪变性、肿胀、炎症和代谢功能障碍相关的脂肪变性肝病(MASLD)活动评分。通过超声和转氨酶富集定义的24周临床亚组显示超声脂肪变性和代谢生物标志物的剂量反应性改善。综上所述,这些发现将PhAM定义为一种基于酚酸的药物,它将肠道脂质限制与肝脏氧化卸载结合起来,为潜在地解决脂肪变性肝病相关代谢特征提供了一个机制上一致的框架。
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引用次数: 0
Erratum to “ASPP-092, a Curcuma comosa diarylheptanoid, inhibits the adipogenic differentiation of human bone marrow-derived mesenchymal stem cells via activation of TGF-β/SMAD2/3 signaling” [Biomed. Pharmacother. 193 (2025) 118884] “ASPP-092,一种姜黄二烯基七类化合物,通过激活TGF-β/SMAD2/3信号抑制人骨髓间充质干细胞的成脂分化”[生物医学]。药学,193 (2025)118884 [j]。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119029
Nareerat Sutjarit , Klodthida Yanukun , Kanit Bhukhai , Nithi Asavapanumas , Sarun Rangketkarn , Umnuaychoke Thongsa-ad , Waraluck Chaichompoo , Apichart Suksamrarn , Sunhapas Soodvilai , Duangrat Tantikanlayaporn
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引用次数: 0
Biomimetic bispecific antibody-drug conjugates based on albumin binding domain fusing nanobodies targeting EGFR and HER2 基于白蛋白结合域融合靶向EGFR和HER2纳米体的仿生双特异性抗体-药物偶联物。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119016
Zijie Chen , Xiaotong Song , Yongxiang Zheng, Shuwen Zhang, Rong Yu, Chun Zhang
Bispecific antibodydrug conjugates represent an innovative concept for cancer therapy, which integrates the merits of both antibodydrug conjugates and bispecific antibodies. In this study, a proof-of-concept biomimetic bispecific antibody based on an albumin binding domain fusing with camelid-derived nanobodies was devised to deliver anti-cancer drugs to replicate the two most distinctive features of ADCs: long-acting in vivo and tumor targeting, while reducing products heterogeneity and production cost. To validate this concept, an anti-EGFR nanobody and an anti-HER2 nanobody were used as model sequences to construct biomimetic bispecific antibodies. The biomimetic bispecific antibodies were efficiently expressed in Escherichia coli bacteria and produced at considerably low cost, and the model cytotoxic payload (mc-vc-PAB-MMAE) were site-specifically coupled to the fusion protein through a cysteine-maleimide based conjugation approach. These bispecific protein-MMAE conjugates were well characterized in vitro, and exhibited prolonged circulation times in healthy rats and superior anti-tumor efficacy in an A549 xenograft mice model. The works could provide a general strategy for design of biomimetic bispecific ADCs for cancer therapies.
双特异性抗体-药物偶联物结合了抗体-药物偶联物和双特异性抗体的优点,是癌症治疗的一个创新概念。在这项研究中,一种概念验证的仿生双特异性抗体基于白蛋白结合域与骆驼源性纳米体融合,设计用于提供抗癌药物,以复制adc的两个最显著的特征:体内长效和肿瘤靶向,同时降低产品的异质性和生产成本。为了验证这一概念,使用抗egfr纳米体和抗her2纳米体作为模型序列构建仿生双特异性抗体。该仿生双特异性抗体在大肠杆菌中高效表达,生产成本相当低,并且通过基于半胱氨酸-马来酰亚胺的偶联方法将模型细胞毒性有效载荷(mc-vc-PAB-MMAE)特异偶联到融合蛋白上。这些双特异性蛋白- mmae偶联物在体外得到了很好的表征,在健康大鼠中表现出较长的循环时间,在A549异种移植小鼠模型中表现出优异的抗肿瘤功效。这些工作为设计用于癌症治疗的仿生双特异性adc提供了一般策略。
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引用次数: 0
Corrigendum to “Regulatory mechanisms and potential therapeutic targets in precancerous lesions of gastric cancer: A comprehensive review” [Biomed. Pharmacotherapy, Vol. 177, 2024 Aug, 117068] 《胃癌癌前病变的调控机制和潜在治疗靶点:综合综述》的更正[生物医学杂志]。药物治疗,Vol. 177, 2024 Aug . 117068]。
IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1016/j.biopha.2026.119065
Maofu Zhang , Jialin Zhong , Zhongyang Song , Qian Xu , Yuchan Chen , Zhiming Zhang
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引用次数: 0
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