Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice

Glaucoma is the leading cause of irreversible vision loss. Ocular hypertension is a major risk factor for glaucoma and recent work has demonstrated critical early neuroinflammatory insults occur in the optic nerve head following ocular hypertension. Microglia and infiltrating monocytes are likely ca...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:MOLECULAR BRAIN 2020-05, Vol.13 (1), p.81-81, Article 81
Hauptverfasser: Tribble, James R, Harder, Jeffrey M, Williams, Pete A, John, Simon W M
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 81
container_issue 1
container_start_page 81
container_title MOLECULAR BRAIN
container_volume 13
creator Tribble, James R
Harder, Jeffrey M
Williams, Pete A
John, Simon W M
description Glaucoma is the leading cause of irreversible vision loss. Ocular hypertension is a major risk factor for glaucoma and recent work has demonstrated critical early neuroinflammatory insults occur in the optic nerve head following ocular hypertension. Microglia and infiltrating monocytes are likely candidates to drive these neuroinflammatory insults. However, the exact molecular identity / transcriptomic profile of microglia following ocular hypertensive insults is unknown. To elucidate the molecular identity of microglia after long-term exposure to ocular hypertension, we used a mouse model of glaucoma (DBA/2 J). We performed RNA-sequencing of microglia mRNA from the optic nerve head at a time point following ocular hypertensive insults, but preceding detectable neurodegeneration (with microglia identified as being CD45 /CD11b /CD11c ). Furthermore, RNA-sequencing was performed on optic nerve head microglia from mice treated with radiation therapy, a potent therapy preventing neuroinflammatory insults. Transcriptomic profiling of optic nerve head microglia mRNA identifies metabolic priming with marked changes in mitochondrial gene expression, and changes to phagocytosis, inflammatory, and sensome pathways. The data predict that many functions of microglia that help maintain tissue homeostasis are affected. Comparative analysis of these data with data from previously published whole optic nerve head tissue or monocyte-only samples from DBA/2 J mice demonstrate that many of the neuroinflammatory signatures in these data sets arise from infiltrating monocytes and not reactive microglia. Finally, our data demonstrate that prophylactic radiation therapy of DBA/2 J mice potently abolishes these microglia metabolic transcriptomic changes at the same time points. Together, our data provide a unique resource for the community to help drive further hypothesis generation and testing in glaucoma.
doi_str_mv 10.1186/s13041-020-00603-7
format Article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_gale_infotracmisc_A627356048</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A627356048</galeid><doaj_id>oai_doaj_org_article_c394d9a5b8684faf95d68c47cc50bbfd</doaj_id><sourcerecordid>A627356048</sourcerecordid><originalsourceid>FETCH-LOGICAL-c601t-77d7f17f3c45b0a28f298b6e3b379546c3cedc4721761c3bd7338581e5850fc33</originalsourceid><addsrcrecordid>eNptks1u1DAUhSMEoqXwAixQJDZs0vrfzgZpKH9FlbqBteU41zMZMnawk0J3bHlNngRnZhh1EMoi1r3fOb62T1E8x-gcYyUuEqaI4QoRVCEkEK3kg-IUSy4qIZB4eG99UjxJaZ0hIjB_XJxQwjhStTgt1jd26k0sV3cDxBF86oIv0zQMEVKCVK7CBkIazdjZcgkeSvixbc1Y58swzA0P8RbKFZi23HQ2hmXfmTK48u2bxQX5_fPXp7kMT4tHzvQJnu3_Z8WX9-8-X36srm8-XF0urisrEB4rKVvpsHTUMt4gQ5QjtWoE0IbKmjNhqYXWMkmwFNjSppWUKq4wcMWRs5SeFVc73zaYtR5itzHxTgfT6W0hxKU2MY_dg7a0Zm1teKOEYs64mrdCZW9rOWoa12avaueVvsMwNUdu-9LXvALNJEZIZf71js-dTR4T_BhNfyQ77vhupZfhVkvCaoZJNni1N4jh2wRp1JsuWeh74yFMSROGRM0ooXVGX_6DrsMUfb7aTGGmajqTB2pp8oE770Le186meiGIpFwgNs99_h8qfy3kpwseXJfrRwKyE-TnTimCO5wRIz2nU-_SqXM69TadWmbRi_u3c5D8jSP9A0xG4Kk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2414893694</pqid></control><display><type>article</type><title>Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice</title><source>SpringerOpen</source><source>EZB Free E-Journals</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><source>SWEPUB Freely available online</source><source>Free Full-Text Journals in Chemistry</source><source>SpringerLink Journals - AutoHoldings</source><source>PubMed Central Open Access</source><creator>Tribble, James R ; Harder, Jeffrey M ; Williams, Pete A ; John, Simon W M</creator><creatorcontrib>Tribble, James R ; Harder, Jeffrey M ; Williams, Pete A ; John, Simon W M</creatorcontrib><description>Glaucoma is the leading cause of irreversible vision loss. Ocular hypertension is a major risk factor for glaucoma and recent work has demonstrated critical early neuroinflammatory insults occur in the optic nerve head following ocular hypertension. Microglia and infiltrating monocytes are likely candidates to drive these neuroinflammatory insults. However, the exact molecular identity / transcriptomic profile of microglia following ocular hypertensive insults is unknown. To elucidate the molecular identity of microglia after long-term exposure to ocular hypertension, we used a mouse model of glaucoma (DBA/2 J). We performed RNA-sequencing of microglia mRNA from the optic nerve head at a time point following ocular hypertensive insults, but preceding detectable neurodegeneration (with microglia identified as being CD45 /CD11b /CD11c ). Furthermore, RNA-sequencing was performed on optic nerve head microglia from mice treated with radiation therapy, a potent therapy preventing neuroinflammatory insults. Transcriptomic profiling of optic nerve head microglia mRNA identifies metabolic priming with marked changes in mitochondrial gene expression, and changes to phagocytosis, inflammatory, and sensome pathways. The data predict that many functions of microglia that help maintain tissue homeostasis are affected. Comparative analysis of these data with data from previously published whole optic nerve head tissue or monocyte-only samples from DBA/2 J mice demonstrate that many of the neuroinflammatory signatures in these data sets arise from infiltrating monocytes and not reactive microglia. Finally, our data demonstrate that prophylactic radiation therapy of DBA/2 J mice potently abolishes these microglia metabolic transcriptomic changes at the same time points. Together, our data provide a unique resource for the community to help drive further hypothesis generation and testing in glaucoma.</description><identifier>ISSN: 1756-6606</identifier><identifier>EISSN: 1756-6606</identifier><identifier>DOI: 10.1186/s13041-020-00603-7</identifier><identifier>PMID: 32450896</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Age ; CD11b antigen ; CD11c antigen ; Comparative analysis ; DBA/2 J ; Disease ; Gene expression ; Genes ; Genomes ; Glaucoma ; Homeostasis ; Hypertension ; Inflammation ; Iris ; Microglia ; Mitochondria ; Monocytes ; Neurodegeneration ; Neuroinflammation ; Optic nerve ; Optic nerve head ; Phagocytosis ; Quality control ; Radiation therapy ; Radiotherapy ; Retina ; Risk factors ; RNA ; RNA-sequencing ; Transcriptomics</subject><ispartof>MOLECULAR BRAIN, 2020-05, Vol.13 (1), p.81-81, Article 81</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c601t-77d7f17f3c45b0a28f298b6e3b379546c3cedc4721761c3bd7338581e5850fc33</citedby><cites>FETCH-LOGICAL-c601t-77d7f17f3c45b0a28f298b6e3b379546c3cedc4721761c3bd7338581e5850fc33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249412/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249412/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2096,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32450896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:143823626$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Tribble, James R</creatorcontrib><creatorcontrib>Harder, Jeffrey M</creatorcontrib><creatorcontrib>Williams, Pete A</creatorcontrib><creatorcontrib>John, Simon W M</creatorcontrib><title>Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice</title><title>MOLECULAR BRAIN</title><addtitle>Mol Brain</addtitle><description>Glaucoma is the leading cause of irreversible vision loss. Ocular hypertension is a major risk factor for glaucoma and recent work has demonstrated critical early neuroinflammatory insults occur in the optic nerve head following ocular hypertension. Microglia and infiltrating monocytes are likely candidates to drive these neuroinflammatory insults. However, the exact molecular identity / transcriptomic profile of microglia following ocular hypertensive insults is unknown. To elucidate the molecular identity of microglia after long-term exposure to ocular hypertension, we used a mouse model of glaucoma (DBA/2 J). We performed RNA-sequencing of microglia mRNA from the optic nerve head at a time point following ocular hypertensive insults, but preceding detectable neurodegeneration (with microglia identified as being CD45 /CD11b /CD11c ). Furthermore, RNA-sequencing was performed on optic nerve head microglia from mice treated with radiation therapy, a potent therapy preventing neuroinflammatory insults. Transcriptomic profiling of optic nerve head microglia mRNA identifies metabolic priming with marked changes in mitochondrial gene expression, and changes to phagocytosis, inflammatory, and sensome pathways. The data predict that many functions of microglia that help maintain tissue homeostasis are affected. Comparative analysis of these data with data from previously published whole optic nerve head tissue or monocyte-only samples from DBA/2 J mice demonstrate that many of the neuroinflammatory signatures in these data sets arise from infiltrating monocytes and not reactive microglia. Finally, our data demonstrate that prophylactic radiation therapy of DBA/2 J mice potently abolishes these microglia metabolic transcriptomic changes at the same time points. Together, our data provide a unique resource for the community to help drive further hypothesis generation and testing in glaucoma.</description><subject>Age</subject><subject>CD11b antigen</subject><subject>CD11c antigen</subject><subject>Comparative analysis</subject><subject>DBA/2 J</subject><subject>Disease</subject><subject>Gene expression</subject><subject>Genes</subject><subject>Genomes</subject><subject>Glaucoma</subject><subject>Homeostasis</subject><subject>Hypertension</subject><subject>Inflammation</subject><subject>Iris</subject><subject>Microglia</subject><subject>Mitochondria</subject><subject>Monocytes</subject><subject>Neurodegeneration</subject><subject>Neuroinflammation</subject><subject>Optic nerve</subject><subject>Optic nerve head</subject><subject>Phagocytosis</subject><subject>Quality control</subject><subject>Radiation therapy</subject><subject>Radiotherapy</subject><subject>Retina</subject><subject>Risk factors</subject><subject>RNA</subject><subject>RNA-sequencing</subject><subject>Transcriptomics</subject><issn>1756-6606</issn><issn>1756-6606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNptks1u1DAUhSMEoqXwAixQJDZs0vrfzgZpKH9FlbqBteU41zMZMnawk0J3bHlNngRnZhh1EMoi1r3fOb62T1E8x-gcYyUuEqaI4QoRVCEkEK3kg-IUSy4qIZB4eG99UjxJaZ0hIjB_XJxQwjhStTgt1jd26k0sV3cDxBF86oIv0zQMEVKCVK7CBkIazdjZcgkeSvixbc1Y58swzA0P8RbKFZi23HQ2hmXfmTK48u2bxQX5_fPXp7kMT4tHzvQJnu3_Z8WX9-8-X36srm8-XF0urisrEB4rKVvpsHTUMt4gQ5QjtWoE0IbKmjNhqYXWMkmwFNjSppWUKq4wcMWRs5SeFVc73zaYtR5itzHxTgfT6W0hxKU2MY_dg7a0Zm1teKOEYs64mrdCZW9rOWoa12avaueVvsMwNUdu-9LXvALNJEZIZf71js-dTR4T_BhNfyQ77vhupZfhVkvCaoZJNni1N4jh2wRp1JsuWeh74yFMSROGRM0ooXVGX_6DrsMUfb7aTGGmajqTB2pp8oE770Le186meiGIpFwgNs99_h8qfy3kpwseXJfrRwKyE-TnTimCO5wRIz2nU-_SqXM69TadWmbRi_u3c5D8jSP9A0xG4Kk</recordid><startdate>20200525</startdate><enddate>20200525</enddate><creator>Tribble, James R</creator><creator>Harder, Jeffrey M</creator><creator>Williams, Pete A</creator><creator>John, Simon W M</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>DOA</scope></search><sort><creationdate>20200525</creationdate><title>Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice</title><author>Tribble, James R ; Harder, Jeffrey M ; Williams, Pete A ; John, Simon W M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c601t-77d7f17f3c45b0a28f298b6e3b379546c3cedc4721761c3bd7338581e5850fc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>CD11b antigen</topic><topic>CD11c antigen</topic><topic>Comparative analysis</topic><topic>DBA/2 J</topic><topic>Disease</topic><topic>Gene expression</topic><topic>Genes</topic><topic>Genomes</topic><topic>Glaucoma</topic><topic>Homeostasis</topic><topic>Hypertension</topic><topic>Inflammation</topic><topic>Iris</topic><topic>Microglia</topic><topic>Mitochondria</topic><topic>Monocytes</topic><topic>Neurodegeneration</topic><topic>Neuroinflammation</topic><topic>Optic nerve</topic><topic>Optic nerve head</topic><topic>Phagocytosis</topic><topic>Quality control</topic><topic>Radiation therapy</topic><topic>Radiotherapy</topic><topic>Retina</topic><topic>Risk factors</topic><topic>RNA</topic><topic>RNA-sequencing</topic><topic>Transcriptomics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tribble, James R</creatorcontrib><creatorcontrib>Harder, Jeffrey M</creatorcontrib><creatorcontrib>Williams, Pete A</creatorcontrib><creatorcontrib>John, Simon W M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>MOLECULAR BRAIN</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tribble, James R</au><au>Harder, Jeffrey M</au><au>Williams, Pete A</au><au>John, Simon W M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice</atitle><jtitle>MOLECULAR BRAIN</jtitle><addtitle>Mol Brain</addtitle><date>2020-05-25</date><risdate>2020</risdate><volume>13</volume><issue>1</issue><spage>81</spage><epage>81</epage><pages>81-81</pages><artnum>81</artnum><issn>1756-6606</issn><eissn>1756-6606</eissn><abstract>Glaucoma is the leading cause of irreversible vision loss. Ocular hypertension is a major risk factor for glaucoma and recent work has demonstrated critical early neuroinflammatory insults occur in the optic nerve head following ocular hypertension. Microglia and infiltrating monocytes are likely candidates to drive these neuroinflammatory insults. However, the exact molecular identity / transcriptomic profile of microglia following ocular hypertensive insults is unknown. To elucidate the molecular identity of microglia after long-term exposure to ocular hypertension, we used a mouse model of glaucoma (DBA/2 J). We performed RNA-sequencing of microglia mRNA from the optic nerve head at a time point following ocular hypertensive insults, but preceding detectable neurodegeneration (with microglia identified as being CD45 /CD11b /CD11c ). Furthermore, RNA-sequencing was performed on optic nerve head microglia from mice treated with radiation therapy, a potent therapy preventing neuroinflammatory insults. Transcriptomic profiling of optic nerve head microglia mRNA identifies metabolic priming with marked changes in mitochondrial gene expression, and changes to phagocytosis, inflammatory, and sensome pathways. The data predict that many functions of microglia that help maintain tissue homeostasis are affected. Comparative analysis of these data with data from previously published whole optic nerve head tissue or monocyte-only samples from DBA/2 J mice demonstrate that many of the neuroinflammatory signatures in these data sets arise from infiltrating monocytes and not reactive microglia. Finally, our data demonstrate that prophylactic radiation therapy of DBA/2 J mice potently abolishes these microglia metabolic transcriptomic changes at the same time points. Together, our data provide a unique resource for the community to help drive further hypothesis generation and testing in glaucoma.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>32450896</pmid><doi>10.1186/s13041-020-00603-7</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1756-6606
ispartof MOLECULAR BRAIN, 2020-05, Vol.13 (1), p.81-81, Article 81
issn 1756-6606
1756-6606
language eng
recordid cdi_gale_infotracmisc_A627356048
source SpringerOpen; EZB Free E-Journals; DOAJ Directory of Open Access Journals; PubMed Central; SWEPUB Freely available online; Free Full-Text Journals in Chemistry; SpringerLink Journals - AutoHoldings; PubMed Central Open Access
subjects Age
CD11b antigen
CD11c antigen
Comparative analysis
DBA/2 J
Disease
Gene expression
Genes
Genomes
Glaucoma
Homeostasis
Hypertension
Inflammation
Iris
Microglia
Mitochondria
Monocytes
Neurodegeneration
Neuroinflammation
Optic nerve
Optic nerve head
Phagocytosis
Quality control
Radiation therapy
Radiotherapy
Retina
Risk factors
RNA
RNA-sequencing
Transcriptomics
title Ocular hypertension suppresses homeostatic gene expression in optic nerve head microglia of DBA/2 J mice
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T18%3A07%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ocular%20hypertension%20suppresses%20homeostatic%20gene%20expression%20in%20optic%20nerve%20head%20microglia%20of%20DBA/2%E2%80%89J%20mice&rft.jtitle=MOLECULAR%20BRAIN&rft.au=Tribble,%20James%20R&rft.date=2020-05-25&rft.volume=13&rft.issue=1&rft.spage=81&rft.epage=81&rft.pages=81-81&rft.artnum=81&rft.issn=1756-6606&rft.eissn=1756-6606&rft_id=info:doi/10.1186/s13041-020-00603-7&rft_dat=%3Cgale_doaj_%3EA627356048%3C/gale_doaj_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2414893694&rft_id=info:pmid/32450896&rft_galeid=A627356048&rft_doaj_id=oai_doaj_org_article_c394d9a5b8684faf95d68c47cc50bbfd&rfr_iscdi=true