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  1. Article ; Online: Induction of S arrest and apoptosis in human oral cancer cells by Rhinacanthin-C extracted from Rhinacanthus nasutus via modulating Akt and p38 signaling pathways.

    Klaophimai, Sirinthip / Pouyfung, Phisit / Wongnoppavich, Ariyaphong / Chairatvit, Kongthawat

    Journal of ethnopharmacology

    2023  Volume 317, Page(s) 116813

    Abstract: Ethnopharmacological relevance: The search for effective herbal medicines for complementary treatments is on the rise due to the high incidence of recurrence and mortality rate in human oral cancer. Rhinacanthus nasutus KURZ., an annual herb found ... ...

    Abstract Ethnopharmacological relevance: The search for effective herbal medicines for complementary treatments is on the rise due to the high incidence of recurrence and mortality rate in human oral cancer. Rhinacanthus nasutus KURZ., an annual herb found mostly in Southeast Asia including Thailand, has been wildly used as a traditional folk medicine for the treatment of several diseases including cancer. However, the anti-cancer effect of Rhinacanthin-C (Rh-C) as a major naphthoquinone compound found in R. nasutus and the underlying mechanism of its action on human oral cancer cells remain unknown.
    Aim of the study: To investigate the anti-cancer mechanism of Rh-C extracted from R. nasutus in human oral cancer cells.
    Materials and methods: The anti-proliferative effect of Rh-C on human oral squamous cell carcinoma (HSC4) was determined and compared to normal oral cells (human gingival fibroblasts, HGF, and normal oral keratinocytes, NOK) using the SRB colorimetric method. The molecular mechanism of Rh-C was explored using flow cytometry, colorimetric assay, in vitro human topoisomerase II assay, and Western blotting.
    Results: Rh-C displayed a time- and concentration-dependent growth inhibition on HSC4 and was much less effective on both tested normal oral cells. Rh-C inhibited Akt phosphorylation whereas over-activated p38 MAPK phosphorylation in HSC4 but not in HGF. Rh-C also inhibited topoisomerase II activity. As a result, the cell cycle was arrested in S-phase as the expression of CDK1/2 and Cyclin A2 was decreased. Eventually, the induction of HSC4 cell apoptosis was mediated by increased caspase 3 activity.
    Conclusions: Rh-C isolated from R. nasutus possesses anti-cancer properties on human oral cancer cells by causing the S arrest and the apoptotic induction via modulating Akt/p38 signaling pathways. The results provide molecular bases for further developing Rh-C as a potential drug candidate or a complementary treatment for oral cancer.
    MeSH term(s) Humans ; Mouth Neoplasms/drug therapy ; Proto-Oncogene Proteins c-akt/metabolism ; Carcinoma, Squamous Cell/drug therapy ; Signal Transduction ; Naphthoquinones/pharmacology ; Apoptosis ; Cell Line, Tumor
    Chemical Substances Proto-Oncogene Proteins c-akt (EC 2.7.11.1) ; rhinacanthin-C ; Naphthoquinones
    Language English
    Publishing date 2023-06-20
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 134511-4
    ISSN 1872-7573 ; 0378-8741
    ISSN (online) 1872-7573
    ISSN 0378-8741
    DOI 10.1016/j.jep.2023.116813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Phytosome Supplements for Delivering

    Nuchuchua, Onanong / Inpan, Ratchanon / Srinuanchai, Wanwisa / Karinchai, Jirarat / Pitchakarn, Pornsiri / Wongnoppavich, Ariyaphong / Imsumran, Arisa

    Foods (Basel, Switzerland)

    2023  Volume 12, Issue 11

    Abstract: ... Gymnema ... ...

    Abstract Gymnema inodorum
    Language English
    Publishing date 2023-06-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2704223-6
    ISSN 2304-8158
    ISSN 2304-8158
    DOI 10.3390/foods12112257
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Anti-Inflammatory and Anti-Adipocyte Dysfunction Effects of

    Karinchai, Jirarat / Buacheen, Pensiri / Rodthayoy, Daraphan / Yodweerapong, Tanpitcha / Imsumran, Arisa / Wongnoppavich, Ariyaphong / Chantarasuwan, Bhanumas / Suttisansanee, Uthaiwan / Temviriyanukul, Piya / Pitchakarn, Pornsiri

    Pharmaceuticals (Basel, Switzerland)

    2024  Volume 17, Issue 3

    Abstract: Low-grade chronic inflammation and adipocyte dysfunction are prominent risk factors of insulin resistance and type 2 diabetes mellitus (T2DM) in obesity. Thus, prevention of inflammation and adipocyte dysfunction could be one possible approach to ... ...

    Abstract Low-grade chronic inflammation and adipocyte dysfunction are prominent risk factors of insulin resistance and type 2 diabetes mellitus (T2DM) in obesity. Thus, prevention of inflammation and adipocyte dysfunction could be one possible approach to mitigate T2DM development. Several
    Language English
    Publishing date 2024-02-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2193542-7
    ISSN 1424-8247
    ISSN 1424-8247
    DOI 10.3390/ph17030287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: 2,4'-dihydroxy-6'-methoxy-3',5'-dimethylchalcone from Cleistocalyx nervosum var. paniala seeds attenuated the early stage of diethylnitrosamine and 1,2-dimethylhydrazine-induced colorectal carcinogenesis.

    Vachiraarunwong, Arpamas / Tuntiwechapikul, Wirote / Wongnoppavich, Ariyaphong / Meepowpan, Puttinan / Wongpoomchai, Rawiwan

    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie

    2023  Volume 165, Page(s) 115221

    Abstract: Background: Dichloromethane extract of Cleistocalyx nervosum var. paniala seeds exhibited an anticarcinogenicity against chemically-induced the early stages of carcinogenesis in rats. This study aimed to identify anticarcinogenic compounds from C. ... ...

    Abstract Background: Dichloromethane extract of Cleistocalyx nervosum var. paniala seeds exhibited an anticarcinogenicity against chemically-induced the early stages of carcinogenesis in rats. This study aimed to identify anticarcinogenic compounds from C. nervosum seed extract (CSE).
    Methods: Salmonella mutation assay was performed to determine mutagenicity and antimutagenicity of partially purified and purified compounds of CSE. The anticarcinogenic enzyme-inducing activity was measured in Hepa1c1c7. Moreover, the anticancer potency was examined on various human cancer cell lines. The anticarcinogenicity of DMC was investigated using dual-organ carcinogenicity model. The number of preneoplastic lesions was evaluated in the liver and colon. The inhibitory mechanisms of DMC on liver- and colorectal carcinogenesis were investigated.
    Results: Six partially purified fractions (MK1 - MK6) and purified compounds, including 2,4'-dihydroxy-6'-methoxy-3',5'-dimethylchalcone (DMC) and hariganetin, were obtained from CSE. Among these fractions, MK4 and DMC presented the greatest antimutagenicity against indirect mutagens in bacterial model. Moreover, MK5 possessed an effective anticarcinogenic enzyme inducer in Hepa1c1c7. The MK4, DMC and CSE showed greater anticancer activity on all cell lines and exhibited the most effective toxicity on colon cancer cells. Furthermore, DMC inhibited the formation of colonic preneoplastic lesions in carcinogens-treated rats. It reduced PCNA-positive cells and frequency of BCAC in rat colon. DMC also enhanced the detoxifying enzyme, GST, in rat livers.
    Conclusions: DMC obtained from CSE may be a promising cancer chemopreventive compound of colorectal cancer process in rats. It could increase detoxifying enzymes and suppress the cell proliferation process resulting in prevention of post-initiation stage of colorectal carcinogenesis.
    MeSH term(s) Humans ; Rats ; Animals ; Syzygium ; Diethylnitrosamine ; 1,2-Dimethylhydrazine/toxicity ; Seeds ; Carcinogenesis ; Colorectal Neoplasms/chemically induced ; Colorectal Neoplasms/prevention & control
    Chemical Substances Diethylnitrosamine (3IQ78TTX1A) ; 1,2-Dimethylhydrazine (IX068S9745)
    Language English
    Publishing date 2023-07-28
    Publishing country France
    Document type Journal Article
    ZDB-ID 392415-4
    ISSN 1950-6007 ; 0753-3322 ; 0300-0893
    ISSN (online) 1950-6007
    ISSN 0753-3322 ; 0300-0893
    DOI 10.1016/j.biopha.2023.115221
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Stabilization of Antioxidant and Anti-Inflammatory Activities of Nano-Selenium Using

    Buacheen, Pensiri / Chaipuang, Angkana / Karinchai, Jirarat / Nuchuchua, Onanong / Imsumran, Arisa / Wongnoppavich, Ariyaphong / Pimpha, Nuttaporn / Pitchakarn, Pornsiri

    Nutrients

    2023  Volume 15, Issue 4

    Abstract: Anoectochilus ... ...

    Abstract Anoectochilus burmannicus
    MeSH term(s) Antioxidants/pharmacology ; Selenium/pharmacology ; Nanoparticles ; Anti-Inflammatory Agents
    Chemical Substances Antioxidants ; Selenium (H6241UJ22B) ; Anti-Inflammatory Agents
    Language English
    Publishing date 2023-02-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15041018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Phytosome Supplements for Delivering Gymnema inodorum Phytonutrients to Prevent Inflammation in Macrophages and Insulin Resistance in Adipocytes

    Nuchuchua, Onanong / Inpan, Ratchanon / Srinuanchai, Wanwisa / Karinchai, Jirarat / Pitchakarn, Pornsiri / Wongnoppavich, Ariyaphong / Imsumran, Arisa

    Foods. 2023 June 03, v. 12, no. 11

    2023  

    Abstract: Gymnema inodorum (GI) is a leafy green vegetable found in the northern region of Thailand. A GI leaf extract has been developed as a dietary supplement for metabolic diabetic control. However, the active compounds in the GI leaf extract are relatively ... ...

    Abstract Gymnema inodorum (GI) is a leafy green vegetable found in the northern region of Thailand. A GI leaf extract has been developed as a dietary supplement for metabolic diabetic control. However, the active compounds in the GI leaf extract are relatively nonpolar. This study aimed to develop phytosome formulations of the GI extract to improve the efficiencies of their phytonutrients in terms of anti-inflammatory and anti-insulin-resistant activities in macrophages and adipocytes, respectively. Our results showed that the phytosomes assisted the GI extract’s dispersion in an aqueous solution. The GI phytocompounds were assembled into a phospholipid bilayer membrane as spherical nanoparticles about 160–180 nm in diameter. The structure of the phytosomes allowed phenolic acids, flavonoids and triterpene derivatives to be embedded in the phospholipid membrane. The existence of GI phytochemicals in phytosomes significantly changed the particle’s surface charge from neutral to negative within the range of −35 mV to −45 mV. The phytosome delivery system significantly exhibited the anti-inflammatory activity of the GI extract, indicated by the lower production of nitric oxide from inflamed macrophages compared to the non-encapsulated extract. However, the phospholipid component of phytosomes slightly interfered with the anti-insulin-resistant effects of the GI extract by decreasing the glucose uptake activity and increasing the lipid degradation of adipocytes. Altogether, the nano-phytosome is a potent carrier for transporting GI phytochemicals to prevent an early stage of T2DM.
    Keywords Gymnema ; adipocytes ; anti-inflammatory activity ; aqueous solutions ; dietary supplements ; flavonoids ; glucose ; green leafy vegetables ; inflammation ; insulin resistance ; leaf extracts ; macrophages ; nanoparticles ; nitric oxide ; phospholipids ; phytonutrients ; triterpenoids ; Thailand
    Language English
    Dates of publication 2023-0603
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article ; Online
    ZDB-ID 2704223-6
    ISSN 2304-8158
    ISSN 2304-8158
    DOI 10.3390/foods12112257
    Database NAL-Catalogue (AGRICOLA)

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  7. Article: The Toxicological Assessment of

    Buacheen, Pensiri / Karinchai, Jirarat / Inthachat, Woorawee / Butkinaree, Chutikarn / Jankam, Chonchawan / Wongnoppavich, Ariyaphong / Imsumran, Arisa / Chewonarin, Teera / Pimpha, Nuttaporn / Temviriyanukul, Piya / Pitchakarn, Pornsiri

    Nanomaterials (Basel, Switzerland)

    2023  Volume 13, Issue 20

    Abstract: Selenium nanoparticles (SeNPs) are worthy of attention and development for nutritional supplementation due to their health benefits in both animals and humans with low toxicity, improved bioavailability, and controlled release, being greater than the Se ... ...

    Abstract Selenium nanoparticles (SeNPs) are worthy of attention and development for nutritional supplementation due to their health benefits in both animals and humans with low toxicity, improved bioavailability, and controlled release, being greater than the Se inorganic and organic forms. Our previous study reported that
    Language English
    Publishing date 2023-10-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662255-5
    ISSN 2079-4991
    ISSN 2079-4991
    DOI 10.3390/nano13202804
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Protective effect of Anoectochilus burmannicus extracts and its active compound, kinsenoside on adipocyte differentiation induced by benzyl butyl phthalate and bisphenol A.

    Buacheen, Pensiri / Karinchai, Jirarat / Kammasit, Natchapon / Temviriyanukul, Piya / Butkinaree, Chutikarn / Watthana, Santi / Wongnoppavich, Ariyaphong / Imsumran, Arisa / Pitchakarn, Pornsiri

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 2939

    Abstract: Benzyl butyl phthalate (BBP) and bisphenol-A (BPA) are obesogens that have been reported to be associated with obesity. Inhibition of their adipogenic activity could decrease the risk of obesity-related metabolic disorders. This study hypothesized that ... ...

    Abstract Benzyl butyl phthalate (BBP) and bisphenol-A (BPA) are obesogens that have been reported to be associated with obesity. Inhibition of their adipogenic activity could decrease the risk of obesity-related metabolic disorders. This study hypothesized that Anoectochilus burmannicus ethanolic extract (ABE) which has been previously reported its anti-inflammation property and its known active compound, kinsenoside (Kin) abrogate BBP- and BPA-induced adipogenesis. ABE and Kin markedly suppress both BBP- and BPA-stimulated adipogenesis with different modulations on adipogenic-gene expression including C/EBPα, PPARγ, adiponectin, and leptin in 3T3-L1. BBP induced C/EBPα, adiponectin, and leptin mRNA expressions and slightly increased PPARγ mRNA level, whereas BPA markedly induced PPARγ and adiponectin mRNA levels. ABE significantly decreased the expression of C/EBPα and leptin, but not PPARγ and adiponectin in the BBP-treated cells. In the BPA-treated cells, ABE significantly decreased the mRNA expression of C/EBPα and PPARγ, but not adiponectin and leptin. Interestingly, Kin significantly overcame BBP- and BPA-induced C/EBPα, PPARγ, adiponectin, and leptin expressions. This study first provides evidence to support the health benefits of this plant, especially for people exposed to obesogens. Besides, this finding would encourage the conservation and culture of this orchid for development as an economic plant and healthy food.
    MeSH term(s) Humans ; Mice ; Animals ; Leptin/metabolism ; Adipocytes/metabolism ; Cell Differentiation ; Adipogenesis ; Adiponectin/metabolism ; CCAAT-Enhancer-Binding Protein-alpha/metabolism ; Obesity/metabolism ; RNA, Messenger/genetics ; 3T3-L1 Cells ; PPAR gamma/metabolism
    Chemical Substances butylbenzyl phthalate (YPC4PJX59M) ; 3-glucopyranosyloxybutanolide ; Leptin ; bisphenol A (MLT3645I99) ; Adiponectin ; bisphenol C (98817I7XJ2) ; CCAAT-Enhancer-Binding Protein-alpha ; RNA, Messenger ; PPAR gamma
    Language English
    Publishing date 2023-02-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-30227-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Up-regulation of interferon-stimulated gene 15 and its conjugation machinery, UbE1L and UbcH8 expression by tumor necrosis factor-α through p38 MAPK and JNK signaling pathways in human lung carcinoma.

    Lertsooksawat, Wannee / Wongnoppavich, Ariyaphong / Chairatvit, Kongthawat

    Molecular and cellular biochemistry

    2019  Volume 462, Issue 1-2, Page(s) 51–59

    Abstract: Interferon-stimulated gene 15 (ISG15) is a member of the family of ubiquitin-like proteins. Similar to ubiquitin, conjugation of ISG15 to cellular proteins requires cascade reactions catalyzed by at least 2 enzymes, UbE1L and UbcH8. Expression of ISG15 ... ...

    Abstract Interferon-stimulated gene 15 (ISG15) is a member of the family of ubiquitin-like proteins. Similar to ubiquitin, conjugation of ISG15 to cellular proteins requires cascade reactions catalyzed by at least 2 enzymes, UbE1L and UbcH8. Expression of ISG15 and its conjugates is up-regulated in many cancer cells, yet the underlying mechanism of up-regulation is still unclear. In this study, we showed that TNF-α, similar to the response by IFN-β, could directly induce expression of ISG15 and its conjugation machinery, UbE1L and UbcH8, in human lung carcinoma, A549. The early response of their expression was effectively blocked by specific inhibitors of p38 MAPK (SB202190) and JNK (SP600125), but not by B18R, a soluble type-I IFN receptor. In addition, luciferase reporter assay together with serial deletions and site-directed mutagenesis identified a putative C/EBPβ binding element in the ISG15 promoter, which is necessary to the response by TNF-α. Taken together, expression of ISG15 and ISG15 conjugation machinery in cancer cells is directly up-regulated by TNF-α via p38 MAPK and JNK pathways through the activation of C/EBPβ binding element in the ISG15 promoter. This study provides a new insight toward understanding the molecular mechanism of ISG15 system and inflammatory response in cancer progression.
    MeSH term(s) Base Sequence ; Binding Sites ; CCAAT-Enhancer-Binding Protein-beta/metabolism ; Cell Line, Tumor ; Cytokines/genetics ; Cytokines/metabolism ; Gene Expression Regulation, Neoplastic/drug effects ; Humans ; Lung Neoplasms/genetics ; MAP Kinase Signaling System/drug effects ; Models, Biological ; Promoter Regions, Genetic/genetics ; RNA, Messenger/genetics ; RNA, Messenger/metabolism ; Tumor Necrosis Factor-alpha/pharmacology ; Ubiquitin-Activating Enzymes/genetics ; Ubiquitin-Activating Enzymes/metabolism ; Ubiquitin-Conjugating Enzymes/genetics ; Ubiquitin-Conjugating Enzymes/metabolism ; Ubiquitins/genetics ; Ubiquitins/metabolism ; Up-Regulation/drug effects ; p38 Mitogen-Activated Protein Kinases/metabolism
    Chemical Substances CCAAT-Enhancer-Binding Protein-beta ; CEBPB protein, human ; Cytokines ; RNA, Messenger ; Tumor Necrosis Factor-alpha ; Ubiquitins ; ISG15 protein, human (60267-61-0) ; UBE2L6 protein, human (EC 2.3.2.23) ; Ubiquitin-Conjugating Enzymes (EC 2.3.2.23) ; p38 Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; UBA7 protein, human (EC 6.2.1.45) ; Ubiquitin-Activating Enzymes (EC 6.2.1.45)
    Language English
    Publishing date 2019-08-19
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 184833-1
    ISSN 1573-4919 ; 0300-8177
    ISSN (online) 1573-4919
    ISSN 0300-8177
    DOI 10.1007/s11010-019-03609-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Inactivation of AKT/NF‑κB signaling by eurycomalactone decreases human NSCLC cell viability and improves the chemosensitivity to cisplatin.

    Dukaew, Nahathai / Chairatvit, Kongthawat / Pitchakarn, Pornsiri / Imsumran, Arisa / Karinchai, Jirarat / Tuntiwechapikul, Wirote / Wongnoppavich, Ariyaphong

    Oncology reports

    2020  Volume 44, Issue 4, Page(s) 1441–1454

    Abstract: The high activation of protein kinase B (AKT)/nuclear factor‑κB (NF‑κB) signaling has often been associated with the induction of non‑small cell lung cancer (NSCLC) cell survival and resistance to cisplatin, which is one of the most widely used ... ...

    Abstract The high activation of protein kinase B (AKT)/nuclear factor‑κB (NF‑κB) signaling has often been associated with the induction of non‑small cell lung cancer (NSCLC) cell survival and resistance to cisplatin, which is one of the most widely used chemotherapeutic drugs in the treatment of NSCLC. The inhibition of AKT/NF‑κB can potentially be used as a molecular target for cancer therapy. Eurycomalactone (ECL), a quassinoid from Eurycoma longifolia Jack, has previously been revealed to exhibit strong cytotoxic activity against the human NSCLC A549 cell line, and can inhibit NF‑κB activity in TNF‑α‑activated 293 cells stably transfected with an NF‑κB luciferase reporter. The present study was the first to investigate whether ECL inhibits the activation of AKT/NF‑κB signaling, induces apoptosis and enhances chemosensitivity to cisplatin in human NSCLC cells. The anticancer activity of ECL was evaluated in two NSCLC cell lines, A549 and Calu‑1. ECL decreased the viability and colony formation ability of both cell lines by inducing cell cycle arrest and apoptosis through the activation of pro‑apoptotic caspase‑3 and poly (ADP‑ribose) polymerase, as well as the reduction of anti‑apoptotic proteins Bcl‑xL and survivin. In addition, ECL treatment suppressed the levels of AKT (phospho Ser473) and NF‑κB (phospho Ser536). Notably, ECL significantly enhanced cisplatin sensitivity in both assessed NSCLC cell lines. The combination treatment of cisplatin and ECL promoted cell apoptosis more effectively than cisplatin alone, as revealed by the increased cleaved caspase‑3, but decreased Bcl‑xL and survivin levels. Exposure to cisplatin alone induced the levels of phosphorylated‑AKT and phosphorylated‑NF‑κB, whereas co‑treatment with ECL inhibited the cisplatin‑induced phosphorylation of AKT and NF‑κB, leading to an increased sensitization effect on cisplatin‑induced apoptosis. In conclusion, ECL exhibited an anticancer effect and sensitized NSCLC cells to cisplatin through the inactivation of AKT/NF‑κB signaling. This finding provides a rationale for the combined use of chemotherapy drugs with ECL to improve their efficacy in NSCLC treatment.
    MeSH term(s) A549 Cells ; Apoptosis/drug effects ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Cell Cycle Checkpoints/drug effects ; Cell Line, Tumor ; Cell Proliferation/drug effects ; Cisplatin/adverse effects ; Cisplatin/pharmacology ; Drug Resistance, Neoplasm/genetics ; Eurycoma/chemistry ; Gene Expression Regulation, Neoplastic/drug effects ; Humans ; Lactones/chemistry ; Lactones/pharmacology ; NF-kappa B/genetics ; Proto-Oncogene Proteins c-akt/genetics ; Signal Transduction/drug effects
    Chemical Substances Lactones ; NF-kappa B ; AKT1 protein, human (EC 2.7.11.1) ; Proto-Oncogene Proteins c-akt (EC 2.7.11.1) ; Cisplatin (Q20Q21Q62J)
    Language English
    Publishing date 2020-07-31
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 1222484-4
    ISSN 1791-2431 ; 1021-335X
    ISSN (online) 1791-2431
    ISSN 1021-335X
    DOI 10.3892/or.2020.7710
    Database MEDical Literature Analysis and Retrieval System OnLINE

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