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肺癌における癌幹細胞形質マーカーおよび新規抗癌剤効果規定遺伝子の同定

Research Project

Project/Area Number 21590997
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionHiroshima University

Principal Investigator

檜山 桂子  広島大学, 原爆放射線医科学研究所, 准教授 (60253069)

Project Period (FY) 2009 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2010: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords肺癌 / 幹細胞 / 癌幹細胞 / Cancer stem cell model / TERT / テロメラーゼ / Stochastic clonal evolution model / 悪性度 / Rb / p16経路 / p53 / コロニー形成能 / マーカー
Research Abstract

手術不能の肺癌の予後は今なお不良であるが、その主因の一つとして、現在の化学療法・放射線療法に耐性の"がん幹細胞"の存在が考えられている。しかし、がん幹細胞が肺癌すべてに存在するのか否か、どのように発生し分布するのか、明らかではない。一方、テロメラーゼが不活化されている正常体細胞ががん化し不死化がん細胞となるには、p53、p16/Rb経路の不活化が必須であると考えられている。ゆえに我々は、肺癌組織および細胞株の遺伝子変異解析より、この経路が不活化されていない不死化がん細胞はテロメラーゼ陽性正常幹細胞→がん幹細胞という経路を経たCancer stem cell modelのがんであると考え、肺腺癌にその一群がある一方、扁平上皮癌の殆どはStochastic clonal evolution modelがあてはまるという結果を得た。この結果および組織別発生頻度から、原爆被爆では前者、毒ガス被毒では後者モデルに基づく肺癌発生が誘発された可能性も示唆された。さらに、肺癌発生モデルとして正常気道上皮にテロメラーゼ遺伝子TERTおよびSV40 early antigensを遺伝子導入したin vitroトランスフォーム細胞では、増殖とともにORFが短いvariant TERT mRNA発現が誘導されて悪性度が増強してくること、Cancer stem cell model由来と推察した肺腺癌細胞株でも同様現象を認め、この誘導がテロメラーゼ陽性細胞の肺癌発癌進展過程に関わる可能性も示唆された。

Report

(2 results)
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (67 results)

All 2011 2010 2009

All Journal Article (12 results) (of which Peer Reviewed: 11 results) Presentation (48 results) Book (7 results)

  • [Journal Article] Telomerase activation without shortening of telomeric 3'-overhang is a poor prognostic factor in human colorectal cancer2011

    • Author(s)
      Kojima, K.
    • Journal Title

      Cancer Science

      Volume: (in press)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] テロメラーゼ2011

    • Author(s)
      檜山桂子
    • Journal Title

      検査と技術

      Volume: (印刷中)

    • Related Report
      2010 Annual Research Report
  • [Journal Article] A robust method for estimating gene expression states using Affymetrix microarray probe level data.2010

    • Author(s)
      Ohtaki, M.
    • Journal Title

      BMC Bioinfomatics

      Volume: 11(ePub)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Carcinogenesis and cellular immortalization without persistent inactivation of p16/Rb pathway in lung cancer.2010

    • Author(s)
      Arifin, M.
    • Journal Title

      Int J Oncol

      Volume: 36 Pages: 1217-27

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Carcinogenesis and cellular immortalization without persistent inactivation of p16/Rb pathway in lung cancer2010

    • Author(s)
      Arifin M.
    • Journal Title

      International Journal of Oncology 36(5)

      Pages: 1217-1227

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A robust method for estimating gene expression states using Affymetrix microarray probe level data2010

    • Author(s)
      Ohtaki M.
    • Journal Title

      BMC Bioinformatics (印刷中)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Activation of the hypoxia-inducible factor-1 in overloaded temporomandibular joint, and induction of osteoclastogenesis2010

    • Author(s)
      Shirakura M.
    • Journal Title

      Biochem Biophys Res Commun 393(4)

      Pages: 800-805

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] EMP3 as a candidate tumor suppressor gene for solid tumors. Expit Opin2009

    • Author(s)
      Fumoto S.
    • Journal Title

      Expert Opinion on Therapeutic Targets 13(7)

      Pages: 811-822

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Detection of Island Hypermethylation of Caspase-8 in Neuroblastoma Using an Oligonucleotide Array2009

    • Author(s)
      Kamimatsuse A.
    • Journal Title

      Pediatr Blood Cancer 52(7)

      Pages: 777-783

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of genes identified by microarray analysis in favorable neuroblastoma2009

    • Author(s)
      Kamei N.
    • Journal Title

      Pediatr Surg Int 25(11)

      Pages: 931-937

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ゲノム解析の臨床と研究 これを支える体制と整備 ゲノム・遺伝子研究と倫理2009

    • Author(s)
      檜山桂子
    • Journal Title

      日本癌治療学会誌 44(1)

      Pages: 1255-1259

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Telomere biology in neuroblastoma : telomere binding proteins and alternative strengthening of telomeres2009

    • Author(s)
      Onitake Y
    • Journal Title

      J Pediatr Surg 44(12)

      Pages: 2258-2266

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] Exploration of the genes possibly involved in telomerase-mediated cellular immortalization in lung cancer2010

    • Author(s)
      プトラアンディカチャンドラ
    • Organizer
      第69回日本癌学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2010-09-23
    • Related Report
      2010 Annual Research Report
  • [Presentation] 食道癌における新規予後マーカーとしてのEMX2の同定2010

    • Author(s)
      麓祥一
    • Organizer
      第69回日本癌学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2010-09-23
    • Related Report
      2010 Annual Research Report
  • [Presentation] Alteration of the DNA repair system in hypoxic cancer cells2010

    • Author(s)
      谷本圭司
    • Organizer
      第69回日本癌学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2010-09-22
    • Related Report
      2010 Annual Research Report
  • [Presentation] 非小細胞肺癌におけるシスプラチン/パクリタキセル併用療法の薬剤応答性バイオマーカーの探索2010

    • Author(s)
      モハメッドアーメッド
    • Organizer
      第69回日本癌学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2010-09-22
    • Related Report
      2010 Annual Research Report
  • [Presentation] がんと遺伝2010

    • Author(s)
      檜山桂子
    • Organizer
      一貴会定例会
    • Place of Presentation
      高知
    • Year and Date
      2010-08-10
    • Related Report
      2010 Annual Research Report
  • [Presentation] 臨床に必要な腫瘍遺伝学2010

    • Author(s)
      檜山桂子
    • Organizer
      第2回広島臨床遺伝セミナー
    • Place of Presentation
      広島
    • Year and Date
      2010-07-26
    • Related Report
      2010 Annual Research Report
  • [Presentation] マイクロアレイデータ解析の最近の動向について2010

    • Author(s)
      大谷敬子
    • Organizer
      2010年度日本計量生物学会年会
    • Place of Presentation
      東京
    • Year and Date
      2010-05-22
    • Related Report
      2010 Annual Research Report
  • [Presentation] Identification of a novel prognostic maker for esophageal squamous cell carcinoma2010

    • Author(s)
      Fumoto, S.
    • Organizer
      Annual Meeting of Am.Assoc.Cancer Res 2010
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2010-04-19
    • Related Report
      2010 Annual Research Report
  • [Presentation] A possible target key molecule for treatment of pancreatic cancer, screened as cancer-specific immortalization associated gene2010

    • Author(s)
      Eguchi, H.
    • Organizer
      Annual Meeting of Am.Assoc.Cancer Res 2010
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2010-04-19
    • Related Report
      2010 Annual Research Report
  • [Presentation] Functional analysis of SFRS10 : A novel molecular target foranti-cancer drug2010

    • Author(s)
      Wada, S.
    • Organizer
      Annual Meeting of Am.Assoc.Cancer Res 2010
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2010-04-19
    • Related Report
      2010 Annual Research Report
  • [Presentation] Analysis of HIF-1-transgenic mice2010

    • Author(s)
      谷本圭司
    • Organizer
      International Symposium on the Innovation for Health and Sustainable Life
    • Place of Presentation
      Hiroshima
    • Year and Date
      2010-03-09
    • Related Report
      2009 Annual Research Report
  • [Presentation] Activation of the hypoxia-inducible factor-1 in chondrocytes2010

    • Author(s)
      谷本圭司
    • Organizer
      Keystone Symposia, Hypoxia : Molecular Mechanisms of Oxygen Sensing and Response Pathway
    • Place of Presentation
      Keystone, USA
    • Year and Date
      2010-01-22
    • Related Report
      2009 Annual Research Report
  • [Presentation] がんの生物学(教育セミナー)2009

    • Author(s)
      檜山桂子
    • Organizer
      2009年度がん治療認定医教育セミナー
    • Place of Presentation
      幕張
    • Year and Date
      2009-12-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Tumor susceptibility induced by constitutive expression of hypoxia-inducible factor-lalpha in a transgenic mouse model2009

    • Author(s)
      末岡栄三朗
    • Organizer
      第32回日本生物学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-12-11
    • Related Report
      2009 Annual Research Report
  • [Presentation] GTSE1 : A candidate gene for a new molecular target of pancreatic cancer2009

    • Author(s)
      江口英孝
    • Organizer
      第32回日本生物学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-12-11
    • Related Report
      2009 Annual Research Report
  • [Presentation] Molecular mechanisms of anti-cancer activity of zoledronate2009

    • Author(s)
      谷本圭司
    • Organizer
      第32回 日本分子生物学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-12-10
    • Related Report
      2009 Annual Research Report
  • [Presentation] Zoledronate inhibits HIF-1α in cancer cells2009

    • Author(s)
      谷本圭司
    • Organizer
      第7回 がんとハイポキシア研究会
    • Place of Presentation
      京都
    • Year and Date
      2009-12-06
    • Related Report
      2009 Annual Research Report
  • [Presentation] Tumor development in transgenic mice constitutively expressing hypoxia-inducible factor-1α2009

    • Author(s)
      末岡栄三朗
    • Organizer
      第7回がんとハイポキシア研究会
    • Place of Presentation
      京都
    • Year and Date
      2009-12-06
    • Related Report
      2009 Annual Research Report
  • [Presentation] Lung carcinogenesis model : Increase of Malignant potential occurs in transformed bronchial epithelial cells concomitant with TERT upregulation2009

    • Author(s)
      檜山桂子
    • Organizer
      The 14^<th> Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2009-11-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] High telomerase expression without p16/RB aberration in lung cancer cells may be the possible marker of cancer stem cells theoretically and experimentally2009

    • Author(s)
      Arifin M.
    • Organizer
      The 14^<th> Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2009-11-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] Genetic variations in detoxification enzymes and HIF1α in COPD2009

    • Author(s)
      Putra A.C.
    • Organizer
      The 14^<th> Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2009-11-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] Telomerase activation without P16/RB inactivation as a possible marker of stem cell origin in lung adenocarcinoma2009

    • Author(s)
      Arifin M.
    • Organizer
      The 19^<th> HCS-The 3^<rd> Three Universities' Consortium International Symposium "Recent progress in carcinogenesis, progression and therapy of lung cancer"
    • Place of Presentation
      Hiroshima
    • Year and Date
      2009-11-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] Possible involvement of HIF-1α function-related polymorphisms in lung carcinogenesis2009

    • Author(s)
      Putra A.C.
    • Organizer
      The 19^<th> HCS-The 3^<rd> Three Universities' Consortium In ternational Symposium "Recent Progress in Carcinogenes is, Progression and Therapy of Lung Cancer"
    • Place of Presentation
      Hiroshima
    • Year and Date
      2009-11-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] ゲノム・遺伝子研究と倫理. 教育シンポジウム22009

    • Author(s)
      檜山桂子
    • Organizer
      第47回日本癌治療学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-23
    • Related Report
      2009 Annual Research Report
  • [Presentation] 卵巣癌におけるTC(paclitaxel/carboplatin)療法の抗癌剤感受性関連遺伝2009

    • Author(s)
      山本弥寿子
    • Organizer
      第47回日本癌治療学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-22
    • Related Report
      2009 Annual Research Report
  • [Presentation] HIF1Aトランスジェニックマウスの腫瘍原性解析2009

    • Author(s)
      谷本圭司
    • Organizer
      博多シンポジウム「内・外環境と生物応答」
    • Place of Presentation
      博多
    • Year and Date
      2009-10-09
    • Related Report
      2009 Annual Research Report
  • [Presentation] 食道癌においてインビトロ抗癌剤感受性と臨床的予後に対し逆の相関を示す遺伝子の解析2009

    • Author(s)
      麓祥一
    • Organizer
      第68回日本癌学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-03
    • Related Report
      2009 Annual Research Report
  • [Presentation] 癌特異的不死化関連遺伝子GTSE1:膵癌の新たな分子標的侯補2009

    • Author(s)
      江口英孝
    • Organizer
      第68回日本癌学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-03
    • Related Report
      2009 Annual Research Report
  • [Presentation] Intact p16/RB pathway with high telomerase activity may be the marker of stem-cell origin in lung adenocarcinoma2009

    • Author(s)
      Arifin, M.
    • Organizer
      The 68th Annual Meeting of the Jpn. Cancer Assoc.
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-02
    • Related Report
      2009 Annual Research Report
  • [Presentation] A role of polymorphisms of HIF-1α in lung cancer2009

    • Author(s)
      Putra, A.C.
    • Organizer
      The 68th Annual Meeting of the Jpn. Cancer Assoc
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] トランスジェニックマウスを用いたHIF-1αによる腫瘍原生の解析2009

    • Author(s)
      末岡栄三朗
    • Organizer
      第68回日本癌学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] 癌特異的不死化関連遺伝子SFRS10の選択的スプライシングに関わるネットワークと機能の解析2009

    • Author(s)
      和田智
    • Organizer
      第68回日本癌学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2009-10-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] Exploration of the evidence of cancer stem cells in lung cancer2009

    • Author(s)
      Arifin M.
    • Organizer
      European Respiratory Society Annual Congress 2009
    • Place of Presentation
      Vienna, オーストソア
    • Year and Date
      2009-09-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] ゲノム情報に基づく医療の展開2009

    • Author(s)
      檜山桂子
    • Organizer
      日本遺伝看護学会第8回学術大会
    • Place of Presentation
      広島
    • Year and Date
      2009-09-11
    • Related Report
      2009 Annual Research Report
  • [Presentation] ビスフォスフォネート製剤の抗腫瘍効果分子機構の解明2009

    • Author(s)
      谷本圭司
    • Organizer
      第10回ホルモンと癌研究会
    • Place of Presentation
      仙台
    • Year and Date
      2009-07-31
    • Related Report
      2009 Annual Research Report
  • [Presentation] 新規分子標的候補遺伝子SFRS10の同定と機能解析2009

    • Author(s)
      和田智
    • Organizer
      第13回日本がん分子標的治療学会学術集会
    • Place of Presentation
      徳島
    • Year and Date
      2009-06-26
    • Related Report
      2009 Annual Research Report
  • [Presentation] EMP3の臨床的意義とその発現制御機構:食道癌と他がん種の比較2009

    • Author(s)
      麓祥一
    • Organizer
      第63回日本食道学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-25
    • Related Report
      2009 Annual Research Report
  • [Presentation] がん薬物療法個人応答の予測:非仮説マーカーの同定と複数遺伝子による予測の試み2009

    • Author(s)
      Mohamed, A.E.
    • Organizer
      第18回日本癌病態治療研究会
    • Place of Presentation
      福島
    • Year and Date
      2009-06-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] Genetic Variations in Telomerase Components and Telomere Shortening in Japanese Patients with COPD2009

    • Author(s)
      Arifin, M.
    • Organizer
      The 49^<th> Annual Meeting of The Japanese Respiratory Society
    • Place of Presentation
      東京
    • Year and Date
      2009-06-13
    • Related Report
      2009 Annual Research Report
  • [Presentation] Telomere reset mechanism and efficiency in human stem cells2009

    • Author(s)
      檜山桂子
    • Organizer
      JST-CIRM (California Institute for Regenerative Medicine) Workshop
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2009-06-08
    • Related Report
      2009 Annual Research Report
  • [Presentation] DNA修復能に影響を与える生体内環境因子:低酸素環境2009

    • Author(s)
      谷本圭司
    • Organizer
      第50回原子爆弾後障害研究会
    • Place of Presentation
      広島
    • Year and Date
      2009-06-07
    • Related Report
      2009 Annual Research Report
  • [Presentation] 道癌における新規癌抑制遺伝子EMP3の同定と放射線感受性因子としての検討2009

    • Author(s)
      麓祥一
    • Organizer
      第50回原子爆弾後障害研究会
    • Place of Presentation
      広島
    • Year and Date
      2009-06-07
    • Related Report
      2009 Annual Research Report
  • [Presentation] Randomized phase II/III study of docetaxel/S-1 (DS-1) versus CDDP/5FU (FUP) in advanced or recurrent gastric cancer : Updated phase II results2009

    • Author(s)
      Ikeda R.
    • Organizer
      ASCO 2009 Annual Meeting
    • Place of Presentation
      Orlando, 英国
    • Year and Date
      2009-05-31
    • Related Report
      2009 Annual Research Report
  • [Presentation] 保険診療としての遺伝子検査の使い方2009

    • Author(s)
      檜山桂子
    • Organizer
      第二内科開業医会
    • Place of Presentation
      広島
    • Year and Date
      2009-05-11
    • Related Report
      2009 Annual Research Report
  • [Presentation] Identification of novel drug-response determinants for 5-FU and CDDP in esophageal squamous cell carcinoma(ESCC)2009

    • Author(s)
      麓祥一
    • Organizer
      Am. Assoc. Cancer Res 100^<th> Annual Meeting 2009
    • Place of Presentation
      Denver, USA
    • Year and Date
      2009-04-22
    • Related Report
      2009 Annual Research Report
  • [Presentation] Molecular mechanisms of degradation of the pVHL, tumor suppressor gene product, by a novel oncogenic protein, UBE2S2009

    • Author(s)
      谷本圭司
    • Organizer
      Am. Assoc. Cancer Res 100^<th> Annual Meeting 2009
    • Place of Presentation
      Denver, USA
    • Year and Date
      2009-04-21
    • Related Report
      2009 Annual Research Report
  • [Presentation] Possible drug targets screened as key genes in immortalization mechanisms specific for cancer cells2009

    • Author(s)
      和田智
    • Organizer
      Am. Assoc. Cancer Res 100^<th> Annual Meeting 2009
    • Place of Presentation
      Denver, USA
    • Year and Date
      2009-04-21
    • Related Report
      2009 Annual Research Report
  • [Presentation] Selection of novel marker genes that predict a response to paclitaxel and carboplatin(TC) therapy in ovarian cancer2009

    • Author(s)
      山本弥寿子
    • Organizer
      Am. Assoc. Cancer Res 100^<th> Annual Meeting 2009
    • Place of Presentation
      Denver, USA
    • Year and Date
      2009-04-19
    • Related Report
      2009 Annual Research Report
  • [Book] 遺伝カウンセリングハンドブック2011

    • Author(s)
      檜山桂子(分担執筆)
    • Publisher
      メディカル ドゥ(印刷中)
    • Related Report
      2010 Annual Research Report
  • [Book] Diagnostic and prognostic molecular markers in neuroblastoma. in Clinical application of molecular diagnosis -cancer, radiation effects, and human diseases-2010

    • Author(s)
      檜山桂子
    • Total Pages
      220
    • Publisher
      Transworld Research Network
    • Related Report
      2009 Annual Research Report
  • [Book] Clinical application of molecular diagnosis -cancer, radiation effects in Clinical application of molecular diagnosis -cancer, radiation effects, and human diseases-2010

    • Author(s)
      檜山桂子
    • Total Pages
      220
    • Publisher
      Transworld Research Network
    • Related Report
      2009 Annual Research Report
  • [Book] Individualized chemotherapy for cancer. in Clinical application of molecular diagnosis -cancer, radiation effects, and human diseases-2010

    • Author(s)
      Tanimoto K
    • Total Pages
      220
    • Publisher
      Transworld Research Network
    • Related Report
      2009 Annual Research Report
  • [Book] Simple EGFR mutation screening by conventional PCR. In : Clinical application of molecular diagnosis -cancer, radiation effects, and human diseases-2010

    • Author(s)
      Arifin, M
    • Total Pages
      220
    • Publisher
      Transworld Research Network
    • Related Report
      2009 Annual Research Report
  • [Book] 細胞死 ; テロメア・テロメラーゼ. In:入門腫瘍内科学2009

    • Author(s)
      檜山桂子
    • Total Pages
      301
    • Publisher
      篠原出版新社
    • Related Report
      2009 Annual Research Report
  • [Book] 乳癌とテロメラーゼ. In:みんなに役立つ乳癌の基礎と臨床2009

    • Author(s)
      檜山桂子
    • Total Pages
      1095
    • Publisher
      医薬ジャーナル社
    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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