Literature DB >> 23358246

Yeast α-glucosidase inhibitory phenolic compounds isolated from Gynura medica leaf.

Chao Tan1, Qunxing Wang, Chunhua Luo, Sai Chen, Qianyuan Li, Peng Li.   

Abstract

Gynura medica leaf extract contains significant amounts of flavonols and phenolic acids and exhibits powerful hypoglycemic activity against diabetic rats in vivo. However, the hypoglycemic active constituents that exist in the plant have not been fully elaborated. The purpose of this study is to isolate and elaborate the hypoglycemic activity compounds against inhibition the yeast α-glucosidase in vitro. Seven phenolic compounds including five flavonols and two phenolic acids were isolated from the leaf of G. medica. Their structures were identified by the extensive NMR and mass spectral analyses as: kaempferol (1), quercetin (2), kaempferol-3-O-β-D-glucopyranoside (3), kaempferol-3-O-rutinoside (4), rutin (5), chlorogenic acid (6) and 3,5-dicaffeoylquinic acid methyl ester (7). All of the compounds except 1 and 3 were isolated for the first time from G. medica. Compounds 1-7 were also assayed for their hypoglycemic activity against yeast α-glucosidase in vitro. All of the compounds except 1 and 6 showed good yeast α-glucosidase inhibitory activity with the IC(50) values of 1.67 mg/mL, 1.46 mg/mL, 0.38 mg/mL, 0.10 mg/mL and 0.53 mg/mL, respectively.

Entities:  

Year:  2013        PMID: 23358246      PMCID: PMC3588001          DOI: 10.3390/ijms14022551

Source DB:  PubMed          Journal:  Int J Mol Sci        ISSN: 1422-0067            Impact factor:   5.923


1. Introduction

Gynura medica is a recently newly found Gynura genus species belonging to the family of Compositae [1]. Previously, studies have demonstrated that the ethanol extract of G. medica showed good hypoglycemic activity in diabetic animal models [2,3]. However, the active constituents were not elucidated. G. medica extract also showed good antioxidant activity and some flavonols and phenolic acids were isolated or identified by HPLC-MS [4,5]. Many other plants of the genus of Gynura were found to inhibit the key enzymes relevant to type 2 diabetes (including α-glucosidase and α-amylase) and hypertension and show anti-diabetic and hypoglycemic activities [6-14]. The chemical constituents of the genus of Gynura included flavonoid, phenolic acid, cerebrosides, polysaccharide, alkaloids, terpenoids and sterols [15-19]. Phenolic acid, flavonoid and polysaccharide were the major hypoglycemic active components of Gynura genus. Type 2 diabetes mellitus has become one of the world’s leading chronic diseases. Postprandial hyperglycemia was recognized as the characteristic for the type 2 diabetes. Medicinal plants were used for screening the anti-diabetic agents through varieties models in vitro, including inhibition of α-glucosidase and α-amylase [20-22], DPP-IV (dipeptidyl peptidase IV) [23], PTP-1B (Protein Tyrosine Phosphatases 1B) [24] and activation of PPAR-γ (peroxisome proliferator-activated receptor γ) [25]. Moreover, α-glucosidase was frequently used to screening the therapeutic agents for the control of postprandial hyperglycemia from the natural medicinal plants and isolated compounds. Although previous studies have already demonstrated the G. medica extract showed good hypoglycemic activity in vivo, little information is available concerning the chemical constituents relevant to the hypoglycemic activity of the plant. The purpose of this study is to isolate and elaborate the hypoglycemic activity compounds against inhibition the yeast α-glucosidase in vitro.

2. Results and Discussion

Ethanol extract of G. medica leaf was successively fractionated with chloroform, ethyl acetate (EA) and n-butanol. All of the three organic extracts were evaluated their activity of inhibition the yeast α-glucosidase in vitro. Ethyl acetate (EA) extract showed the best activity against yeast α-glucosidase (data not shown) and was further isolated to get the active constituents. Seven phenolic compounds (Figure 1) including five flavonols and two phenolic acids were isolated and identified from the EA extract. Their structures were identified by the extensive NMR and mass spectral analyses.
Figure 1

The chemical structures of the compounds 1–7 isolated from G. medica leaf.

Compound 1 was obtained as a yellow powder, the ESI-MS yielded a quasi-molecular ion peak [M–H] − at m/z 285.1. The UV spectrum showed λmax at 265 nm and 367 nm. The 1H-NMR spectrum showed two peaks at δ 6.18 (1H, d, J = 1.8 Hz) and 6.42 ppm (1H, d, J = 1.8 Hz) consistent with the meta protons of flavonoid H-6 and H-8 on A-ring and an AA′BB′ system at δ 8.05 (2H, d, J = 8.9 Hz, H-2′, 6′) and 6.93 (2H, d, J = 8.9 Hz, H-3′, 5′) corresponding to the protons on B-ring. The MS and 1H-NMR data were compatible with those literatures of kaempferol [19]. Compound 2 was obtained as a yellow powder, the ESI-MS yielded a quasi-molecular ion peak [M–H]− at m/z 301.0. The UV spectrum showed λmax at 257 nm and 370 nm. The 1H-NMR spectrum showed two peaks at δ 6.18 (1H, d, J = 2.0 Hz) and 6.40 ppm (1H, d, J = 2.0 Hz) consistent with the meta protons of flavonoid H-6 and H-8 on A-ring and an ABX system at δ 7.67 (1H, d, J = 2.2 Hz, H-2′), 7.53 (1H, dd, J = 2.0 Hz, 8.4 Hz, H-6′) and 6.87 (1H, d, J = 8.4 Hz, H-5′). The MS and 1H-NMR data were compatible with those literatures of quercetin [19,26]. Compound 3 was obtained as a faint yellow powder, the ESI-MS yielded a quasi-molecular ion peak [M–H]− at m/z 447.1. The UV spectrum showed λmax at 265 nm and 346 nm. The 1H-NMR spectrum showed similar signal patterns to compound 1, but the signal at δ 5.47 (1H, d, J = 7.2 Hz) followed by other characteristic additional signals indicate the presence of a sugar moiety in compound 3. We carefully examined the 13C-NMR shift values of the sugar part in view of the reported literatures. It was suggested that, in order for it to be a glucopyranosyl unit, compound 3 was identified as kaempferol-3-O-β-d-glucopyranoside [27]. Compound 4 was obtained as a faint yellow powder, the ESI-MS yielded a quasi-molecular ion peak [M–H]− at m/z 593.0. The UV spectrum showed λmax at 265 nm and 345 nm. The 1H-NMR spectrum showed the similar signal patterns to compound 3, a methyl signal 0.99 (3H, d, J = 6.2 Hz) in the high-field region was assigned to rhamnose. Compound 4 was suggested to be kaempferol-3-O-rutinoside [28]. Compound 5 was obtained as a faint yellow powder, the ESI-MS yielded a quasi-molecular ion peak [M–H]− at m/z 609.0. The UV spectrum showed λmax at 257 nm and 355 nm. The 1H-NMR spectrum showed two peaks at δ 6.20 (1H, d, J = 2.0 Hz) and 6.40 ppm (1H, d, J = 2.0 Hz) consistent with the meta protons H-6 and H-8 on A-ring and an ABX system at δ 7.54 (1H, d, J = 2.2 Hz, H-2′), 7.59 (1H, dd, J = 2.0 Hz, 9.0 Hz, H-6′) and 6.85 (1H, d, J = 9.0 Hz, H-5′). Compound 5 presented the same aglycone signal patterns of compound 2, two anomeric proton signals at δ 5.32 (1H, d, J = 7.2 Hz) and 4.39 (1H, d, J = 1.6 Hz) were assignable to H-1 of a β-glucosyl proton and to the H-1 of a α-rhamnosyl proton, respectively. A methyl signal δ 0.99 (3H, d, J = 6.2 Hz) in the high-field region was assigned to rhamnose. Compound 5 presented the same glycoside signal patterns of compound 4. Therefore, compound 5 was identified as rutin [28]. Compound 6 was obtained as a light yellow power. The ESI-MS yielded a quasi-molecular ion peak [M–H]− at m/z 353.0. The UV spectrum showed λmax at 327, 297 (shoulder) and 242 nm. The 1H-NMR spectrum showed a caffeoyl signals [δ 7.56 (1H, d, J = 15.9 Hz, H-7′), 7.05 (1H, brs, H-2′), 6.95 (1H, brd, J = 8.3 Hz, H-6′), 6.78 (1H, d, J = 8.3 Hz, H-5′), 6.27 (1H, d, J = 15.9, H-8′)] and a quinic acid signals [δ 5.34 (1H, m, H-5), 4.18 (1H, m, H-3), 3.75 (1H, dd, J = 8.1, 2.4 Hz, H-4), 2.20 (2H, m, H-2, H-6), 2.07 (2H, m, H-2, H-6)]. 13C-NMR spectrum showed 16 carbon signals as δ 74.7(C-1) 36.8(C-2) 69.9(C-3) 72.1(C-4) 70.5(C-5) 36.8(C-6) 175.6(C-7) 126.4(C-1′) 113.8(C-2′) 145.3(C-3′) 145.7(C-4′) 115.1(C-5′) 121.7(C-6′) 148.1(C-7′) 113.8(C-8′) 167.3(C-9′). Therefore, compound 6 was identified as chlorogenic acid [29]. Compound 7 was obtained as a yellowish amorphous powder, The ESI-MS yielded a quasi-molecular ion peak [M+Na]+ at m/z 487.1. The UV spectrum showed λmax at 326, 298 (shoulder), 243 nm. The 1H-NMR spectrum showed similar signal patterns to compound 6, but one more caffeoyl signal and a methoxyl were detected. The 1H-NMR spectrum showed two caffeoyl signals [δ 7.59, 7.62 (1H each, d, J = 15.9 Hz, H-7′, 7″), 7.07 (2H, brs, H-2′, 2″), 6.97 (2H, d, J = 8.1 Hz, H-6′, 6″), 6.79 (2H, d, J = 8.1 Hz, H-5′, 5″), 6.27, 6.35 (1H each, d, J = 15.9, H-8′, 8″)], a quinic acid signal [δ 5.43 (1H, m, H-5), 5.38 (1H, m, H-3), 3.99 (1H, m, H-4), 2.32–2.15 (4H, m, H-2, 6)] and a methoxyl signal [δ 3.98 (3H, s, OCH3)]. 13C-NMR signals as δ 73.1 (C-1), 34.4 (C-2), 71.0 (C-3), 70.5 (C-4), 71.1 (C-5), 34.5 (C-6), 126.4, 126.5 (C-1′, 1″), 113.7 (C-2′, 2″), 145.4, 145.5 (C-3′, 3″), 145.6, 145.9 (C-4′, 4″), 115.0 (C-5′, 5″), 121.5, 121.6 (C-6′, 6″), 148.1, 148.2 (C-7′, 7″), 113.6 (C-8′, 8″), 167.0, 167.5 (C-9′, 9″), 175.9 (COOCH3), 53.7 (OCH3). Therefore, compound 7 was identified as 3,5-dicaffeoylquinic acid methyl ester [29]. Many Gynura species have recently been shown to exhibit hypoglycemic and carbohydrate enzyme inhibitory activities [11-14]. The inhibition of yeast α-glucosidase activity of the extracts and pure phenolic compounds 1–7 were determined. The clinical anti-diabetic drug acarbose (8) was used as a reference (Figure 2 and Table 1). All of the compounds showed yeast α-glucosidase inhibitory activity in a dose-dependent manner (Figure 2). Except compounds 1 and 6, others showed more than 50% inhibitory activity at 2.0 mg/mL concentrations. The IC50 values were calculated (Table 1). Compounds 4, 5 and 7 showed the best activity with the IC50 values of 0.38 mg/mL, 0.10 mg/mL and 0.53 mg/mL, respectively. While the clinical anti-diabetic drug acarbose (8) showed moderate activity in vitro with the IC50 values of 0.99 mg/mL, which was consistent with literature [29]. Compounds 2 and 3 also showed somewhat activity against yeast α-glucosidase.
Figure 2

Yeast α-glucosidase inhibitory activity of the isolated compounds 1–7 and acarbose (8) as the control. Each value is mean ± standard derivation of three replicates.

Table 1

The IC50 values of yeast α-glucosidase inhibitory activity of the isolated compounds 1–7 and acarbose (8) as the control. Each value is mean ± standard derivation of three replicates.

CompoundsIC50 (mg/mL)
1>2.0
21.67 ± 0.05
31.46 ± 0.03
40.38 ± 0.03
50.10 ± 0.01
6>2.0
70.53 ± 0.02
80.99 ± 0.02
G. segetum and G. divaricata has recently been shown to exhibit two key enzymes relevant to type 2 diabetes including α-glucosidase and α-amylase [12-14]. It was reported that the flavonoids compounds maybe responsible for the α-glucosidase inhibitory activity. However, the active constituents were unknown [13]. An activity-guided phytochemical isolation method was used to study the active compounds in G. medica. Both crude extracts of ethyl acetate and n-buthanol were all showed α-glucosidase inhibitory activity compared with the positive durg acarbose (data not shown). However, the ethyl acetate extract showed better activity than n-buthanol extract. Therefore, the further isolation was conducted on the ethyl acetate extract. Seven phenolic compounds including five flavonols and two phenolic acids were isolated. Flavonol and its glycosides (2–5) and the dicaffeoylquinic acid methyl showed good activity, which was in good agreement with previous reports that many flavonoids from plants have been reported as α-glucosidase inhibitors [29,30].

3. Experimental Section

3.1. Plant Material

Gynura medica was obtained in July of 2010 from Huoshan districts, Anhui province, China. A voucher specimen (2010R01) was deposited at the pharmacy of The First College of Clinical Medical Science, China Three Gorges University. The G. medica leaves were dried at room temperature for three weeks and finely powdered in a knife mill.

3.2. General Experimental Procedures

1H and 13C-NMR data were recorded on a Bruker Avance-600 FT NMR spectrometer with TMS as internal standard. Electrospray Ionization Mass Spectral (ESI-MS) data were obtained on a Q-Star Elite mass spectrometer equipped with a Turbo Ionspray source. Analytical and semi-preparative High performance liquid chromatography (HPLC) was performed on a Shimadzu LC-20 HPLC system. Column chromatography was carried with silica gel (200–300 mesh), RP-ODS and Sephadex LH-20 (18–110 μm) were obtained from Pharmacia Co. α-glucosidase (yeast, EC 3.2.1.20) powder, acarbose and 4-nitrophenyl-α-d-glucopyranoside (pNPG) were purchased from Sigma-Aldrich (St. Louis, MO, USA). All other solvents were analytical grade and were purchased from Sinopharm Chemical Reagent Co., Ltd (Shanghai, China).

3.3. Extraction of G. medica Leaf

The weighed portion of the crude drug 2 kg was extracted twice with 80% ethanol (v/v) under reflux at 80 °C. The extract was evaporated to dryness in vacuo. The dry ethanol extract was successively fractionated with chloroform, ethyl acetate (EA) and n-butanol, respectively. The yields of those three organic extracts were 31.2 g, 56.5 g and 89.5 g, respectively. All of the extracts were evaluated according to their activity of inhibition the yeast α-glucosidase in vitro. The EA fraction was further chromatographed on a Silica gel column eluted with mixture of chloroform and methanol to afford six sub-fractions (Fr.A1–A6). Fr.A2 was further chromatographed on a Sephadex LH-20 column eluted with mixture of chloroform-methanol (1:1) to yield compound 1 (15 mg) and 2 (5.8 mg). Fr.A3 and Fr.A5 was further chromatographed on a Sephadex LH-20 column eluted with methanol and next on a RP-ODS column or semi-preparative HPLC to give compound 3 (11 mg), 4 (7.9 mg), 5 (8.2 mg), 6 (5.5 mg) and 7 (4.5 mg).

3.4. Yeast α-Glucosidase Inhibitory Assay

Yeast α-glucosidase inhibitory activity was determined as described in the literature [29]. Briefly, a mixture of 50 μL of different concentrations of the samples and 100 μL of 0.1 M phosphate buffer (pH 6.9) containing yeast α-glucosidase solution (1.0 U/mL) were incubated in 96 well plates at 25 °C for 10 min. After pre-incubation, 50 μL of 5 mM pNPG solution in 0.1 M phosphate buffer (pH 6.9) was added to each well at timed intervals. The reaction mixturses were incubated at 25 °C for 5 min. Absorbance was recorded with a micro-plate reader (Multiskan MK3) at 405 nm before and after incubation with pNPG solution and compared to that of the control which had 50 μL buffer solutions instead of test samples. The yeast α-glucosidase inhibitory activity was expressed as inhibition % and was calculated as follows: Where C0 and C5 were the OD values of control (buffer solutions instead of test samples) at 0 min and 5 min at 405 nm, respectively. S0 and S5 were the OD values of samples at 0 min and 5 min at 405 nm, respectively.

4. Conclusions

Seven phenolic compounds were isolated from the ethyl acetate extract of the leaf of G. medica. Their structures were identified as kaempferol (1), quercetin (2), kaempferol-3-O-β-d-glucopyranoside (3), kaempferol-3-O-rutinoside (4), rutin (5), chlorogenic acid (6) and 3,5-dicaffeoylquinic acid methyl ester (7). All of the compounds except 1 and 3 were isolated from G. medica for the first time. All of the compounds except 1 and 6 were showed good yeast α-glucosidase inhibitory activity. Compounds 4, 5 and 7 showed promising activity with the IC50 values of 0.38 mg/mL, 0.10 mg/mL and 0.53 mg/mL, respectively.
  17 in total

1.  Hypoglycemic constituents of Gynura divaricata subsp. formosana.

Authors:  Shen-Chieh Chou; Lee-Ming Chuang; Shoei-Sheng Lee
Journal:  Nat Prod Commun       Date:  2012-02       Impact factor: 0.986

2.  A new cerebroside from Gynura divaricata.

Authors:  Lei Chen; Houquan Li; Hongtao Song; Guogang Zhang
Journal:  Fitoterapia       Date:  2009-06-24       Impact factor: 2.882

3.  In vitro studies of Gynura divaricata (L.) DC extracts as inhibitors of key enzymes relevant for type 2 diabetes and hypertension.

Authors:  Tingting Wu; Xueting Zhou; Yafei Deng; Qing Jing; Min Li; Lujaing Yuan
Journal:  J Ethnopharmacol       Date:  2011-05-06       Impact factor: 4.360

4.  α-Amylase inhibitors from an Indonesian medicinal herb, Phyllanthus urinaria.

Authors:  Maria D P T Gunawan-Puteri; Eisuke Kato; Jun Kawabata
Journal:  J Sci Food Agric       Date:  2011-09-23       Impact factor: 3.638

5.  Anti-diabetic action of Punica granatum flower extract: activation of PPAR-gamma and identification of an active component.

Authors:  Tom H W Huang; Gang Peng; Bhavani P Kota; George Q Li; Johji Yamahara; Basil D Roufogalis; Yuhao Li
Journal:  Toxicol Appl Pharmacol       Date:  2005-09-01       Impact factor: 4.219

6.  Comparative evaluation of quercetin, isoquercetin and rutin as inhibitors of alpha-glucosidase.

Authors:  Yan Qin Li; Feng Chao Zhou; Fei Gao; Jun Sheng Bian; Fang Shan
Journal:  J Agric Food Chem       Date:  2009-12-23       Impact factor: 5.279

7.  Antioxidant and α-glucosidase inhibitory phenolics isolated from highbush blueberry flowers.

Authors:  Chunpeng Wan; Tao Yuan; Amanda L Cirello; Navindra P Seeram
Journal:  Food Chem       Date:  2012-07-04       Impact factor: 7.514

8.  Isolation and identification of phenolic compounds from Gynura divaricata leaves.

Authors:  Chunpeng Wan; Yanying Yu; Shouran Zhou; Shuge Tian; Shuwen Cao
Journal:  Pharmacogn Mag       Date:  2011-04       Impact factor: 1.085

9.  A determination of potential α-glucosidase inhibitors from Azuki Beans (Vigna angularis).

Authors:  Yang Yao; Xuzhen Cheng; Lixia Wang; Suhua Wang; Guixing Ren
Journal:  Int J Mol Sci       Date:  2011-09-28       Impact factor: 5.923

10.  α-Glucosidase inhibitory constituents from Acanthopanax senticosus harm leaves.

Authors:  Zhi-Bin Wang; Hai Jiang; Yong-Gang Xia; Bing-You Yang; Hai-Xue Kuang
Journal:  Molecules       Date:  2012-05-25       Impact factor: 4.411

View more
  10 in total

1.  Potential for Prebiotic Stabilized Cornus mas L. Lyophilized Extract in the Prophylaxis of Diabetes Mellitus in Streptozotocin Diabetic Rats.

Authors:  Szymon Sip; Daria Szymanowska; Justyna Chanaj-Kaczmarek; Krystyna Skalicka-Woźniak; Barbara Budzyńska; Olga Wronikowska-Denysiuk; Tymoteusz Słowik; Piotr Szulc; Judyta Cielecka-Piontek
Journal:  Antioxidants (Basel)       Date:  2022-02-14

2.  α-Glucosidase inhibiting activity and bioactive compounds of six red wine grape pomace extracts.

Authors:  Hoda C Kadouh; Shi Sun; Wenjun Zhu; Kequan Zhou
Journal:  J Funct Foods       Date:  2016-08-26       Impact factor: 4.451

3.  Standardization of a Continuous Assay for Glycosidases and Its Use for Screening Insect Gut Samples at Individual and Populational Levels.

Authors:  Gerson S Profeta; Jessica A S Pereira; Samara G Costa; Patricia Azambuja; Eloi S Garcia; Caroline da Silva Moraes; Fernando A Genta
Journal:  Front Physiol       Date:  2017-05-12       Impact factor: 4.566

4.  Isolation and Identification of Potent Antidiabetic Compounds from Antrodia cinnamomea-An Edible Taiwanese Mushroom.

Authors:  Hung Tse Huang; San-Lang Wang; Van Bon Nguyen; Yao-Haur Kuo
Journal:  Molecules       Date:  2018-11-02       Impact factor: 4.411

5.  Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats.

Authors:  Gustavo Roberto Villas Boas; João Marcos Rodrigues Lemos; Matheus William de Oliveira; Rafael Claudino Dos Santos; Ana Paula Stefanello da Silveira; Flávia Barbieri Bacha; Caren Naomi Aguero Ito; Ediane Bortolotte Cornelius; Fernanda Brioli Lima; Andrea Marisa Sachilarid Rodrigues; Nathália Belmal Costa; Felipe Francisco Bittencourt; Fernando Freitas de Lima; Marina Meirelles Paes; Priscila Gubert; Silvia Aparecida Oesterreich
Journal:  PLoS One       Date:  2020-01-08       Impact factor: 3.240

6.  Venus Flytrap (Dionaea muscipula Solander ex Ellis) Contains Powerful Compounds that Prevent and Cure Cancer.

Authors:  François Gaascht; Mario Dicato; Marc Diederich
Journal:  Front Oncol       Date:  2013-08-20       Impact factor: 6.244

7.  KAEMPFEROL, A FLAVONOID COMPOUND FROM GYNURA MEDICA INDUCED APOPTOSIS AND GROWTH INHIBITION IN MCF-7 BREAST CANCER CELL.

Authors:  Xiaofang Yi; Jiangcheng Zuo; Chao Tan; Sheng Xian; Chunhua Luo; Sai Chen; Liangfang Yu; Yucheng Luo
Journal:  Afr J Tradit Complement Altern Med       Date:  2016-07-03

8.  "Diabetes and Metabolism Disorders Medicinal Plants: A Glance at the Past and a Look to the Future 2018": Antihyperglycemic Activity of Hamelia patens Jacq. Extracts.

Authors:  Catalina Rugerio-Escalona; Cynthia Ordaz-Pichardo; Elvia Becerra-Martinez; María Del Carmen Cruz-López; Victor E López-Y-López; Aarón Mendieta-Moctezuma; Ignacio E Maldonado-Mendoza; Fabiola E Jiménez-Montejo
Journal:  Evid Based Complement Alternat Med       Date:  2018-08-27       Impact factor: 2.629

9.  Comparison of chloroplast genomes of Gynura species: sequence variation, genome rearrangement and divergence studies.

Authors:  Tianyu Han; Mimi Li; Jiawei Li; Han Lv; Bingru Ren; Jian Chen; Weilin Li
Journal:  BMC Genomics       Date:  2019-10-29       Impact factor: 3.969

10.  Hypoglycemic activity and constituents analysis of blueberry (Vaccinium corymbosum) fruit extracts.

Authors:  Weifeng Huang; Liangliang Yao; Xiao He; Lei Wang; Mingxi Li; Youxin Yang; Chunpeng Wan
Journal:  Diabetes Metab Syndr Obes       Date:  2018-07-17       Impact factor: 3.168

  10 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.