Efficacy of leflunomide combined with ligustrazine in the treatment of rheumatoid arthritis: prediction with network pharmacology and validation in a clinical trial
Identifieur interne : 000850 ( Main/Exploration ); précédent : 000849; suivant : 000851Efficacy of leflunomide combined with ligustrazine in the treatment of rheumatoid arthritis: prediction with network pharmacology and validation in a clinical trial
Auteurs : Chi Zhang [République populaire de Chine, Hong Kong] ; Daogang Guan [Hong Kong] ; Miao Jiang [République populaire de Chine] ; Chao Liang [Hong Kong] ; Li Li [République populaire de Chine] ; Ning Zhao [République populaire de Chine] ; Qinglin Zha [République populaire de Chine] ; Wandong Zhang [République populaire de Chine] ; Cheng Lu [République populaire de Chine] ; Ge Zhang [Hong Kong] ; Jian Liu [République populaire de Chine] ; Aiping Lu [Hong Kong]Source :
- Chinese Medicine [ 1749-8546 ] ; 2019.
Abstract
Leflunomide (LEF) is a first-line disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis (RA). However, there are still a few nonresponders. It is logical to suggest that employing combinations including LEF that produce synergistic effects in terms of pharmacological activity is a promising strategy to improve clinical outcomes.
We propose a novel approach for predicting LEF combinations through investigating the potential effects of drug targets on the disease signaling network. We first constructed an RA signaling network with disease-associated driver genes. Thousands of available FDA-approved and investigational compounds were then selected based on a drug-RA network, which was generated using an algorithm model named synergistic score that combines chemical structure, functional prediction and target pathway. We then validated our predicted combination in a prospective clinical trial.
Ligustrazine (LIG), a key component of the Chinese herb Chuanxiong and an approved drug in China, ranked first according to synergistic score. In the clinical trial, after 48 weeks, the American College of Rheumatology (ACR) 20 response rate was significantly lower (
Our algorithm combines structure and target pathways into one model that predicted that the combination of LEF and LIG can reduce joint inflammation and attenuate bone erosion in RA patients. To our knowledge, this study is the first to apply this paradigm to evaluate drug combination hypotheses.
The online version of this article (10.1186/s13020-019-0247-8) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13020-019-0247-8
PubMed: 31388350
PubMed Central: 6679497
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">Leflunomide (LEF) is a first-line disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis (RA). However, there are still a few nonresponders. It is logical to suggest that employing combinations including LEF that produce synergistic effects in terms of pharmacological activity is a promising strategy to improve clinical outcomes.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">We propose a novel approach for predicting LEF combinations through investigating the potential effects of drug targets on the disease signaling network. We first constructed an RA signaling network with disease-associated driver genes. Thousands of available FDA-approved and investigational compounds were then selected based on a drug-RA network, which was generated using an algorithm model named synergistic score that combines chemical structure, functional prediction and target pathway. We then validated our predicted combination in a prospective clinical trial.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Ligustrazine (LIG), a key component of the Chinese herb Chuanxiong and an approved drug in China, ranked first according to synergistic score. In the clinical trial, after 48 weeks, the American College of Rheumatology (ACR) 20 response rate was significantly lower (<italic>P </italic>
< 0.05) in the LEF group [58.8% (45.4%, 72.3%)] than in the LEF + LIG group [78.7% (68.5%, 89.0%)]. Consistently, the erosion score was lower in patients treated with LEF + LIG than in those treated with LEF (0.34 ± 0.20 vs 1.12 ± 0.30, <italic>P </italic>
< 0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">Our algorithm combines structure and target pathways into one model that predicted that the combination of LEF and LIG can reduce joint inflammation and attenuate bone erosion in RA patients. To our knowledge, this study is the first to apply this paradigm to evaluate drug combination hypotheses.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (10.1186/s13020-019-0247-8) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cross, M" uniqKey="Cross M">M Cross</name>
</author>
<author><name sortKey="Smith, E" uniqKey="Smith E">E Smith</name>
</author>
<author><name sortKey="Hoy, D" uniqKey="Hoy D">D Hoy</name>
</author>
<author><name sortKey="Carmona, L" uniqKey="Carmona L">L Carmona</name>
</author>
<author><name sortKey="Wolfe, F" uniqKey="Wolfe F">F Wolfe</name>
</author>
<author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name>
</author>
<author><name sortKey="Williams, B" uniqKey="Williams B">B Williams</name>
</author>
<author><name sortKey="Gabriel, S" uniqKey="Gabriel S">S Gabriel</name>
</author>
<author><name sortKey="Lassere, M" uniqKey="Lassere M">M Lassere</name>
</author>
<author><name sortKey="Johns, N" uniqKey="Johns N">N Johns</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Smolen, Js" uniqKey="Smolen J">JS Smolen</name>
</author>
<author><name sortKey="Landewe, R" uniqKey="Landewe R">R Landewé</name>
</author>
<author><name sortKey="Breedveld, Fc" uniqKey="Breedveld F">FC Breedveld</name>
</author>
<author><name sortKey="Dougados, M" uniqKey="Dougados M">M Dougados</name>
</author>
<author><name sortKey="Emery, P" uniqKey="Emery P">P Emery</name>
</author>
<author><name sortKey="Gaujouxviala, C" uniqKey="Gaujouxviala C">C Gaujouxviala</name>
</author>
<author><name sortKey="Gorter, S" uniqKey="Gorter S">S Gorter</name>
</author>
<author><name sortKey="Knevel, R" uniqKey="Knevel R">R Knevel</name>
</author>
<author><name sortKey="Nam, J" uniqKey="Nam J">J Nam</name>
</author>
<author><name sortKey="Schoels, M" uniqKey="Schoels M">M Schoels</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pasma, A" uniqKey="Pasma A">A Pasma</name>
</author>
<author><name sortKey="Spijker, Avt" uniqKey="Spijker A">AVT Spijker</name>
</author>
<author><name sortKey="Hazes, Jmw" uniqKey="Hazes J">JMW Hazes</name>
</author>
<author><name sortKey="Busschbach, Jjv" uniqKey="Busschbach J">JJV Busschbach</name>
</author>
<author><name sortKey="Luime, Jj" uniqKey="Luime J">JJ Luime</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Xue, Al" uniqKey="Xue A">AL Xue</name>
</author>
<author><name sortKey="Wu, Sy" uniqKey="Wu S">SY Wu</name>
</author>
<author><name sortKey="Jiang, L" uniqKey="Jiang L">L Jiang</name>
</author>
<author><name sortKey="Feng, Am" uniqKey="Feng A">AM Feng</name>
</author>
<author><name sortKey="Guo, Hf" uniqKey="Guo H">HF Guo</name>
</author>
<author><name sortKey="Zhao, P" uniqKey="Zhao P">P Zhao</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Singh, Ja" uniqKey="Singh J">JA Singh</name>
</author>
<author><name sortKey="Saag, Kg" uniqKey="Saag K">KG Saag</name>
</author>
<author><name sortKey="Akl, Ea" uniqKey="Akl E">EA Akl</name>
</author>
<author><name sortKey="Bannuru, Rr" uniqKey="Bannuru R">RR Bannuru</name>
</author>
<author><name sortKey="Sullivan, Mc" uniqKey="Sullivan M">MC Sullivan</name>
</author>
<author><name sortKey="Vaysbrot, E" uniqKey="Vaysbrot E">E Vaysbrot</name>
</author>
<author><name sortKey="Mcnaughton, C" uniqKey="Mcnaughton C">C Mcnaughton</name>
</author>
<author><name sortKey="Osani, M" uniqKey="Osani M">M Osani</name>
</author>
<author><name sortKey="Shmerling, Rh" uniqKey="Shmerling R">RH Shmerling</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Behrens, F" uniqKey="Behrens F">F Behrens</name>
</author>
<author><name sortKey="Koehm, M" uniqKey="Koehm M">M Koehm</name>
</author>
<author><name sortKey="Burkhardt, H" uniqKey="Burkhardt H">H Burkhardt</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ek, L" uniqKey="Ek L">L Ek</name>
</author>
<author><name sortKey="Ls, T" uniqKey="Ls T">T Ls</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Golicki, D" uniqKey="Golicki D">D Golicki</name>
</author>
<author><name sortKey="Newada, M" uniqKey="Newada M">M Newada</name>
</author>
<author><name sortKey="Lis, J" uniqKey="Lis J">J Lis</name>
</author>
<author><name sortKey="Pol, K" uniqKey="Pol K">K Pol</name>
</author>
<author><name sortKey="Hermanowski, T" uniqKey="Hermanowski T">T Hermanowski</name>
</author>
<author><name sortKey="Ustochowicz, M" uniqKey="Ustochowicz M">M Ustochowicz</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pfeil, A" uniqKey="Pfeil A">A Pfeil</name>
</author>
<author><name sortKey="Lippold, J" uniqKey="Lippold J">J Lippold</name>
</author>
<author><name sortKey="Eidner, T" uniqKey="Eidner T">T Eidner</name>
</author>
<author><name sortKey="Lehmann, G" uniqKey="Lehmann G">G Lehmann</name>
</author>
<author><name sortKey="Oelzner, P" uniqKey="Oelzner P">P Oelzner</name>
</author>
<author><name sortKey="Renz, Dm" uniqKey="Renz D">DM Renz</name>
</author>
<author><name sortKey="Hansch, A" uniqKey="Hansch A">A Hansch</name>
</author>
<author><name sortKey="Wolf, G" uniqKey="Wolf G">G Wolf</name>
</author>
<author><name sortKey="Hein, G" uniqKey="Hein G">G Hein</name>
</author>
<author><name sortKey="Kaiser, Wa" uniqKey="Kaiser W">WA Kaiser</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Savage, Rl" uniqKey="Savage R">RL Savage</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chou, Tc" uniqKey="Chou T">TC Chou</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Dale, J" uniqKey="Dale J">J Dale</name>
</author>
<author><name sortKey="Alcorn, N" uniqKey="Alcorn N">N Alcorn</name>
</author>
<author><name sortKey="Capell, H" uniqKey="Capell H">H Capell</name>
</author>
<author><name sortKey="Madhok, R" uniqKey="Madhok R">R Madhok</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gibofsky, A" uniqKey="Gibofsky A">A Gibofsky</name>
</author>
<author><name sortKey="Palmer, Wr" uniqKey="Palmer W">WR Palmer</name>
</author>
<author><name sortKey="Goldman, Ja" uniqKey="Goldman J">JA Goldman</name>
</author>
<author><name sortKey="Lautzenheiser, Rl" uniqKey="Lautzenheiser R">RL Lautzenheiser</name>
</author>
<author><name sortKey="Markenson, Ja" uniqKey="Markenson J">JA Markenson</name>
</author>
<author><name sortKey="Weaver, A" uniqKey="Weaver A">A Weaver</name>
</author>
<author><name sortKey="Schiff, Mh" uniqKey="Schiff M">MH Schiff</name>
</author>
<author><name sortKey="Keystone, Ec" uniqKey="Keystone E">EC Keystone</name>
</author>
<author><name sortKey="Paulus, He" uniqKey="Paulus H">HE Paulus</name>
</author>
<author><name sortKey="Harrison, Mj" uniqKey="Harrison M">MJ Harrison</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Wang, C" uniqKey="Wang C">C Wang</name>
</author>
<author><name sortKey="Ren, Q" uniqKey="Ren Q">Q Ren</name>
</author>
<author><name sortKey="Chen, Xt" uniqKey="Chen X">XT Chen</name>
</author>
<author><name sortKey="Song, Zq" uniqKey="Song Z">ZQ Song</name>
</author>
<author><name sortKey="Ning, Zc" uniqKey="Ning Z">ZC Ning</name>
</author>
<author><name sortKey="Gan, Jh" uniqKey="Gan J">JH Gan</name>
</author>
<author><name sortKey="Ma, Xl" uniqKey="Ma X">XL Ma</name>
</author>
<author><name sortKey="Liang, Dr" uniqKey="Liang D">DR Liang</name>
</author>
<author><name sortKey="Guan, Dg" uniqKey="Guan D">DG Guan</name>
</author>
<author><name sortKey="Liu, Zl" uniqKey="Liu Z">ZL Liu</name>
</author>
<author><name sortKey="Lu, Ap" uniqKey="Lu A">AP Lu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brochado, Ar" uniqKey="Brochado A">AR Brochado</name>
</author>
<author><name sortKey="Telzerow, A" uniqKey="Telzerow A">A Telzerow</name>
</author>
<author><name sortKey="Bobonis, J" uniqKey="Bobonis J">J Bobonis</name>
</author>
<author><name sortKey="Banzhaf, M" uniqKey="Banzhaf M">M Banzhaf</name>
</author>
<author><name sortKey="Mateus, A" uniqKey="Mateus A">A Mateus</name>
</author>
<author><name sortKey="Selkrig, J" uniqKey="Selkrig J">J Selkrig</name>
</author>
<author><name sortKey="Huth, E" uniqKey="Huth E">E Huth</name>
</author>
<author><name sortKey="Bassler, S" uniqKey="Bassler S">S Bassler</name>
</author>
<author><name sortKey="Zamarreno Beas, J" uniqKey="Zamarreno Beas J">J Zamarreno Beas</name>
</author>
<author><name sortKey="Zietek, M" uniqKey="Zietek M">M Zietek</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cokol, M" uniqKey="Cokol M">M Cokol</name>
</author>
<author><name sortKey="Chua, Hn" uniqKey="Chua H">HN Chua</name>
</author>
<author><name sortKey="Tasan, M" uniqKey="Tasan M">M Tasan</name>
</author>
<author><name sortKey="Mutlu, B" uniqKey="Mutlu B">B Mutlu</name>
</author>
<author><name sortKey="Weinstein, Zb" uniqKey="Weinstein Z">ZB Weinstein</name>
</author>
<author><name sortKey="Suzuki, Y" uniqKey="Suzuki Y">Y Suzuki</name>
</author>
<author><name sortKey="Nergiz, Me" uniqKey="Nergiz M">ME Nergiz</name>
</author>
<author><name sortKey="Costanzo, M" uniqKey="Costanzo M">M Costanzo</name>
</author>
<author><name sortKey="Baryshnikova, A" uniqKey="Baryshnikova A">A Baryshnikova</name>
</author>
<author><name sortKey="Giaever, G" uniqKey="Giaever G">G Giaever</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Li, P" uniqKey="Li P">P Li</name>
</author>
<author><name sortKey="Huang, C" uniqKey="Huang C">C Huang</name>
</author>
<author><name sortKey="Fu, Y" uniqKey="Fu Y">Y Fu</name>
</author>
<author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name>
</author>
<author><name sortKey="Wu, Z" uniqKey="Wu Z">Z Wu</name>
</author>
<author><name sortKey="Ru, J" uniqKey="Ru J">J Ru</name>
</author>
<author><name sortKey="Zheng, C" uniqKey="Zheng C">C Zheng</name>
</author>
<author><name sortKey="Guo, Z" uniqKey="Guo Z">Z Guo</name>
</author>
<author><name sortKey="Chen, X" uniqKey="Chen X">X Chen</name>
</author>
<author><name sortKey="Zhou, W" uniqKey="Zhou W">W Zhou</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Xing, C" uniqKey="Xing C">C Xing</name>
</author>
<author><name sortKey="Ren, B" uniqKey="Ren B">B Ren</name>
</author>
<author><name sortKey="Ming, C" uniqKey="Ming C">C Ming</name>
</author>
<author><name sortKey="Wang, Q" uniqKey="Wang Q">Q Wang</name>
</author>
<author><name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name>
</author>
<author><name sortKey="Yan, G" uniqKey="Yan G">G Yan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Li, S" uniqKey="Li S">S Li</name>
</author>
<author><name sortKey="Zhang, B" uniqKey="Zhang B">B Zhang</name>
</author>
<author><name sortKey="Zhang, N" uniqKey="Zhang N">N Zhang</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gottlieb, A" uniqKey="Gottlieb A">A Gottlieb</name>
</author>
<author><name sortKey="Stein, Gy" uniqKey="Stein G">GY Stein</name>
</author>
<author><name sortKey="Oron, Y" uniqKey="Oron Y">Y Oron</name>
</author>
<author><name sortKey="Ruppin, E" uniqKey="Ruppin E">E Ruppin</name>
</author>
<author><name sortKey="Sharan, R" uniqKey="Sharan R">R Sharan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cokol, M" uniqKey="Cokol M">M Cokol</name>
</author>
<author><name sortKey="Chua, Hn" uniqKey="Chua H">HN Chua</name>
</author>
<author><name sortKey="Tasan, M" uniqKey="Tasan M">M Tasan</name>
</author>
<author><name sortKey="Mutlu, B" uniqKey="Mutlu B">B Mutlu</name>
</author>
<author><name sortKey="Weinstein, Zb" uniqKey="Weinstein Z">ZB Weinstein</name>
</author>
<author><name sortKey="Suzuki, Y" uniqKey="Suzuki Y">Y Suzuki</name>
</author>
<author><name sortKey="Nergiz, Me" uniqKey="Nergiz M">ME Nergiz</name>
</author>
<author><name sortKey="Costanzo, M" uniqKey="Costanzo M">M Costanzo</name>
</author>
<author><name sortKey="Baryshnikova, A" uniqKey="Baryshnikova A">A Baryshnikova</name>
</author>
<author><name sortKey="Giaever, G" uniqKey="Giaever G">G Giaever</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Liu, X" uniqKey="Liu X">X Liu</name>
</author>
<author><name sortKey="Vogt, I" uniqKey="Vogt I">I Vogt</name>
</author>
<author><name sortKey="Haque, T" uniqKey="Haque T">T Haque</name>
</author>
<author><name sortKey="Campillos, M" uniqKey="Campillos M">M Campillos</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Keiser, Mj" uniqKey="Keiser M">MJ Keiser</name>
</author>
<author><name sortKey="Roth, Bl" uniqKey="Roth B">BL Roth</name>
</author>
<author><name sortKey="Armbruster, Bn" uniqKey="Armbruster B">BN Armbruster</name>
</author>
<author><name sortKey="Ernsberger, P" uniqKey="Ernsberger P">P Ernsberger</name>
</author>
<author><name sortKey="Irwin, Jj" uniqKey="Irwin J">JJ Irwin</name>
</author>
<author><name sortKey="Shoichet, Bk" uniqKey="Shoichet B">BK Shoichet</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Szklarczyk, D" uniqKey="Szklarczyk D">D Szklarczyk</name>
</author>
<author><name sortKey="Santos, A" uniqKey="Santos A">A Santos</name>
</author>
<author><name sortKey="Von Mering, C" uniqKey="Von Mering C">C von Mering</name>
</author>
<author><name sortKey="Jensen, Lj" uniqKey="Jensen L">LJ Jensen</name>
</author>
<author><name sortKey="Bork, P" uniqKey="Bork P">P Bork</name>
</author>
<author><name sortKey="Kuhn, M" uniqKey="Kuhn M">M Kuhn</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gfeller, D" uniqKey="Gfeller D">D Gfeller</name>
</author>
<author><name sortKey="Grosdidier, A" uniqKey="Grosdidier A">A Grosdidier</name>
</author>
<author><name sortKey="Wirth, M" uniqKey="Wirth M">M Wirth</name>
</author>
<author><name sortKey="Daina, A" uniqKey="Daina A">A Daina</name>
</author>
<author><name sortKey="Michielin, O" uniqKey="Michielin O">O Michielin</name>
</author>
<author><name sortKey="Zoete, V" uniqKey="Zoete V">V Zoete</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Shannon, P" uniqKey="Shannon P">P Shannon</name>
</author>
<author><name sortKey="Markiel, A" uniqKey="Markiel A">A Markiel</name>
</author>
<author><name sortKey="Ozier, O" uniqKey="Ozier O">O Ozier</name>
</author>
<author><name sortKey="Baliga, Ns" uniqKey="Baliga N">NS Baliga</name>
</author>
<author><name sortKey="Wang, Jt" uniqKey="Wang J">JT Wang</name>
</author>
<author><name sortKey="Ramage, D" uniqKey="Ramage D">D Ramage</name>
</author>
<author><name sortKey="Amin, N" uniqKey="Amin N">N Amin</name>
</author>
<author><name sortKey="Schwikowski, B" uniqKey="Schwikowski B">B Schwikowski</name>
</author>
<author><name sortKey="Ideker, T" uniqKey="Ideker T">T Ideker</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Li, R" uniqKey="Li R">R Li</name>
</author>
<author><name sortKey="Cao, Sl" uniqKey="Cao S">SL Cao</name>
</author>
<author><name sortKey="Li, Yy" uniqKey="Li Y">YY Li</name>
</author>
<author><name sortKey="Tan, H" uniqKey="Tan H">H Tan</name>
</author>
<author><name sortKey="Zhu, Yy" uniqKey="Zhu Y">YY Zhu</name>
</author>
<author><name sortKey="Zhong, Y" uniqKey="Zhong Y">Y Zhong</name>
</author>
<author><name sortKey="Li, Yx" uniqKey="Li Y">YX Li</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Couto, Fm" uniqKey="Couto F">FM Couto</name>
</author>
<author><name sortKey="Silva, Mj" uniqKey="Silva M">MJ Silva</name>
</author>
<author><name sortKey="Coutinho, Pm" uniqKey="Coutinho P">PM Coutinho</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Vidal, D" uniqKey="Vidal D">D Vidal</name>
</author>
<author><name sortKey="Thormann, M" uniqKey="Thormann M">M Thormann</name>
</author>
<author><name sortKey="Pons, M" uniqKey="Pons M">M Pons</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Vilar, S" uniqKey="Vilar S">S Vilar</name>
</author>
<author><name sortKey="Hripcsak, G" uniqKey="Hripcsak G">G Hripcsak</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Van Der Heijde, D" uniqKey="Van Der Heijde D">D van der Heijde</name>
</author>
<author><name sortKey="Dankert, T" uniqKey="Dankert T">T Dankert</name>
</author>
<author><name sortKey="Nieman, F" uniqKey="Nieman F">F Nieman</name>
</author>
<author><name sortKey="Rau, R" uniqKey="Rau R">R Rau</name>
</author>
<author><name sortKey="Boers, M" uniqKey="Boers M">M Boers</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Peterson, Jj" uniqKey="Peterson J">JJ Peterson</name>
</author>
<author><name sortKey="Novick, Sj" uniqKey="Novick S">SJ Novick</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chou, Tc" uniqKey="Chou T">TC Chou</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Hong Kong</li>
<li>République populaire de Chine</li>
</country>
<settlement><li>Pékin</li>
</settlement>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Chi" sort="Zhang, Chi" uniqKey="Zhang C" first="Chi" last="Zhang">Chi Zhang</name>
</noRegion>
<name sortKey="Jiang, Miao" sort="Jiang, Miao" uniqKey="Jiang M" first="Miao" last="Jiang">Miao Jiang</name>
<name sortKey="Li, Li" sort="Li, Li" uniqKey="Li L" first="Li" last="Li">Li Li</name>
<name sortKey="Liu, Jian" sort="Liu, Jian" uniqKey="Liu J" first="Jian" last="Liu">Jian Liu</name>
<name sortKey="Lu, Cheng" sort="Lu, Cheng" uniqKey="Lu C" first="Cheng" last="Lu">Cheng Lu</name>
<name sortKey="Zha, Qinglin" sort="Zha, Qinglin" uniqKey="Zha Q" first="Qinglin" last="Zha">Qinglin Zha</name>
<name sortKey="Zhang, Wandong" sort="Zhang, Wandong" uniqKey="Zhang W" first="Wandong" last="Zhang">Wandong Zhang</name>
<name sortKey="Zhao, Ning" sort="Zhao, Ning" uniqKey="Zhao N" first="Ning" last="Zhao">Ning Zhao</name>
</country>
<country name="Hong Kong"><noRegion><name sortKey="Zhang, Chi" sort="Zhang, Chi" uniqKey="Zhang C" first="Chi" last="Zhang">Chi Zhang</name>
</noRegion>
<name sortKey="Guan, Daogang" sort="Guan, Daogang" uniqKey="Guan D" first="Daogang" last="Guan">Daogang Guan</name>
<name sortKey="Liang, Chao" sort="Liang, Chao" uniqKey="Liang C" first="Chao" last="Liang">Chao Liang</name>
<name sortKey="Lu, Aiping" sort="Lu, Aiping" uniqKey="Lu A" first="Aiping" last="Lu">Aiping Lu</name>
<name sortKey="Zhang, Ge" sort="Zhang, Ge" uniqKey="Zhang G" first="Ge" last="Zhang">Ge Zhang</name>
</country>
</tree>
</affiliations>
</record>
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