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Formal ethical approval for all experiments was obtained prior to the commencement of patient enrollment and animal studies from the Second Hospital of Lanzhou University. All research involving human participants was reviewed and approved by the Institutional Review Board (IRB) \/ Ethics Committee of the Second Hospital of Lanzhou University (Approval No. 2025\u00a0A-321). All animal experiments were reviewed and approved by the Institutional Animal Care and Use Committee (IACUC) of the Second Hospital of Lanzhou University (Approval No. D2025-644). Animal studies were conducted in compliance with the ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines and institutional regulations for laboratory animal welfare. No patient recruitment or sample collection was performed before ethical approval was granted. The clinical trial number was not applicable.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"197"}}