Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats

In this paper we describe the design and synthesis of bis(Het)Aryl-1,2,3-triazole quinuclidine α7R ligands using an efficient three-step sequence including a Suzuki-Miyaura cross coupling reaction with commercially available and home-made boron derivatives. The exploration of SAR required the prepar...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of medicinal chemistry 2019-10, Vol.179, p.449-469
Hauptverfasser: Ouach, Aziz, Vercouillie, Johnny, Bertrand, Emilie, Rodrigues, Nuno, Pin, Frederic, Serriere, Sophie, Boiaryna, Liliana, Chartier, Agnes, Percina, Nathalie, Tangpong, Pakorn, Gulhan, Zuhal, Mothes, Celine, Deloye, Jean-Bernard, Guilloteau, Denis, Page, Guylene, Suzenet, Franck, Buron, Frederic, Chalon, Sylvie, Routier, Sylvain
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 469
container_issue
container_start_page 449
container_title European journal of medicinal chemistry
container_volume 179
creator Ouach, Aziz
Vercouillie, Johnny
Bertrand, Emilie
Rodrigues, Nuno
Pin, Frederic
Serriere, Sophie
Boiaryna, Liliana
Chartier, Agnes
Percina, Nathalie
Tangpong, Pakorn
Gulhan, Zuhal
Mothes, Celine
Deloye, Jean-Bernard
Guilloteau, Denis
Page, Guylene
Suzenet, Franck
Buron, Frederic
Chalon, Sylvie
Routier, Sylvain
description In this paper we describe the design and synthesis of bis(Het)Aryl-1,2,3-triazole quinuclidine α7R ligands using an efficient three-step sequence including a Suzuki-Miyaura cross coupling reaction with commercially available and home-made boron derivatives. The exploration of SAR required the preparation of uncommon boron derivatives. Forty final drugs were tested for their ability to bind the target and nine of them exhibited Ki values below nanomolar concentrations. The best scores were always obtained when the 5-phenyl-2-thiophenyl core was attached to the triazole. The selectivity of these compounds towards the nicotinic α4β2 and serotoninergic 5HT3 receptors was assessed and their brain penetration was quantified by the preparation and in vivo evaluation of two [18F] radiolabelled derivatives. It can be expected from our results that some of these compounds will be suitable for further developments and will have effects on cognitive disorders. [Display omitted] •47 new potent triazole/quinuclidinic alpha 7 nAChR ligand have been synthesized.•Identified leads exhibited a affinity in the subnanomolar range (10 cpds with 0.2 
doi_str_mv 10.1016/j.ejmech.2019.06.049
format Article
fullrecord <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_inserm_02458368v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0223523419305768</els_id><sourcerecordid>2253310639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3609-c4d58531feabdab9f307f05a5c4593c1fefd0c2fa7012b5d394245c011385df53</originalsourceid><addsrcrecordid>eNp9kd9qFDEUxgdR7Fp9A5FcVthZ82cyO-NFoZbWCgsK1iuRkE3O7JwlM9kmmYX1rXwG730mU7b20pscyPl93wfnK4rXjC4YZfW77QK2A5h-wSlrF7Re0Kp9UszYsm5KwWX1tJhRzkUpuahOihcxbimlsqb0eXEiGF-yVjaz4vcHjGc9pLc6HFzJ5nwuyhRQ__QOyN2E42QcWhwhEh3Jn19LMqLxCfNLtIF0cKb3Lu9JAAO75ANxuNGjje_J18OYeogY5ySmMJk0BSC667I4HTLvdEI_xh53mdAbP2IcsmnCfd7PyXfWXP8og7bonV5DDtmQbEy-XN1mv8keCI4k6BRfFs867SK8epinxbfrq9vLm3L1-eOny4tVaURN29JUVjZSsA702up12wm67KjU0lSyFSb_d5Ya3uklZXwtrWgrXklDGRONtJ0Up8X86Ntrp3YBh3wz5TWqm4uVwjFCGBTNkkbUzZ5l_OyI74K_myAmNWA04JwewU9RcS6FYLQWbUarI2qCjzFA92jPqLpvW23VsW1137aitcptZ9mbh4RpPYB9FP2rNwPnRwDyWfYIQUWDMBqwmOtKynr8f8Jf64XA8g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2253310639</pqid></control><display><type>article</type><title>Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats</title><source>Access via ScienceDirect (Elsevier)</source><creator>Ouach, Aziz ; Vercouillie, Johnny ; Bertrand, Emilie ; Rodrigues, Nuno ; Pin, Frederic ; Serriere, Sophie ; Boiaryna, Liliana ; Chartier, Agnes ; Percina, Nathalie ; Tangpong, Pakorn ; Gulhan, Zuhal ; Mothes, Celine ; Deloye, Jean-Bernard ; Guilloteau, Denis ; Page, Guylene ; Suzenet, Franck ; Buron, Frederic ; Chalon, Sylvie ; Routier, Sylvain</creator><creatorcontrib>Ouach, Aziz ; Vercouillie, Johnny ; Bertrand, Emilie ; Rodrigues, Nuno ; Pin, Frederic ; Serriere, Sophie ; Boiaryna, Liliana ; Chartier, Agnes ; Percina, Nathalie ; Tangpong, Pakorn ; Gulhan, Zuhal ; Mothes, Celine ; Deloye, Jean-Bernard ; Guilloteau, Denis ; Page, Guylene ; Suzenet, Franck ; Buron, Frederic ; Chalon, Sylvie ; Routier, Sylvain</creatorcontrib><description>In this paper we describe the design and synthesis of bis(Het)Aryl-1,2,3-triazole quinuclidine α7R ligands using an efficient three-step sequence including a Suzuki-Miyaura cross coupling reaction with commercially available and home-made boron derivatives. The exploration of SAR required the preparation of uncommon boron derivatives. Forty final drugs were tested for their ability to bind the target and nine of them exhibited Ki values below nanomolar concentrations. The best scores were always obtained when the 5-phenyl-2-thiophenyl core was attached to the triazole. The selectivity of these compounds towards the nicotinic α4β2 and serotoninergic 5HT3 receptors was assessed and their brain penetration was quantified by the preparation and in vivo evaluation of two [18F] radiolabelled derivatives. It can be expected from our results that some of these compounds will be suitable for further developments and will have effects on cognitive disorders. [Display omitted] •47 new potent triazole/quinuclidinic alpha 7 nAChR ligand have been synthesized.•Identified leads exhibited a affinity in the subnanomolar range (10 cpds with 0.2 &lt; Ki &lt; 1 nM).•Leads exhibit strict selectivity toward the α4β2 nicotinic and 5-HT3 receptors.•Brain penetration and distribution was evaluated by preparing [18F] radiolabelled derivatives.</description><identifier>ISSN: 0223-5234</identifier><identifier>EISSN: 1768-3254</identifier><identifier>DOI: 10.1016/j.ejmech.2019.06.049</identifier><identifier>PMID: 31271958</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>18F PET ; Agonism ; Alpha 7 nicotinic acetylcholine receptor ; Chemical Sciences ; Medicinal Chemistry ; Organic chemistry ; Quinuclidine ; Radiochemistry ; Radiolabeling ; SAR ; Triazole</subject><ispartof>European journal of medicinal chemistry, 2019-10, Vol.179, p.449-469</ispartof><rights>2019 Elsevier Masson SAS</rights><rights>Copyright © 2019 Elsevier Masson SAS. All rights reserved.</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3609-c4d58531feabdab9f307f05a5c4593c1fefd0c2fa7012b5d394245c011385df53</citedby><cites>FETCH-LOGICAL-c3609-c4d58531feabdab9f307f05a5c4593c1fefd0c2fa7012b5d394245c011385df53</cites><orcidid>0000-0003-1865-8380 ; 0000-0002-2823-0591 ; 0000-0001-5773-1515 ; 0000-0002-7474-7778 ; 0000-0002-7113-0254 ; 0000-0003-1394-1603 ; 0000-0003-4495-7755</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejmech.2019.06.049$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31271958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-02458368$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Ouach, Aziz</creatorcontrib><creatorcontrib>Vercouillie, Johnny</creatorcontrib><creatorcontrib>Bertrand, Emilie</creatorcontrib><creatorcontrib>Rodrigues, Nuno</creatorcontrib><creatorcontrib>Pin, Frederic</creatorcontrib><creatorcontrib>Serriere, Sophie</creatorcontrib><creatorcontrib>Boiaryna, Liliana</creatorcontrib><creatorcontrib>Chartier, Agnes</creatorcontrib><creatorcontrib>Percina, Nathalie</creatorcontrib><creatorcontrib>Tangpong, Pakorn</creatorcontrib><creatorcontrib>Gulhan, Zuhal</creatorcontrib><creatorcontrib>Mothes, Celine</creatorcontrib><creatorcontrib>Deloye, Jean-Bernard</creatorcontrib><creatorcontrib>Guilloteau, Denis</creatorcontrib><creatorcontrib>Page, Guylene</creatorcontrib><creatorcontrib>Suzenet, Franck</creatorcontrib><creatorcontrib>Buron, Frederic</creatorcontrib><creatorcontrib>Chalon, Sylvie</creatorcontrib><creatorcontrib>Routier, Sylvain</creatorcontrib><title>Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats</title><title>European journal of medicinal chemistry</title><addtitle>Eur J Med Chem</addtitle><description>In this paper we describe the design and synthesis of bis(Het)Aryl-1,2,3-triazole quinuclidine α7R ligands using an efficient three-step sequence including a Suzuki-Miyaura cross coupling reaction with commercially available and home-made boron derivatives. The exploration of SAR required the preparation of uncommon boron derivatives. Forty final drugs were tested for their ability to bind the target and nine of them exhibited Ki values below nanomolar concentrations. The best scores were always obtained when the 5-phenyl-2-thiophenyl core was attached to the triazole. The selectivity of these compounds towards the nicotinic α4β2 and serotoninergic 5HT3 receptors was assessed and their brain penetration was quantified by the preparation and in vivo evaluation of two [18F] radiolabelled derivatives. It can be expected from our results that some of these compounds will be suitable for further developments and will have effects on cognitive disorders. [Display omitted] •47 new potent triazole/quinuclidinic alpha 7 nAChR ligand have been synthesized.•Identified leads exhibited a affinity in the subnanomolar range (10 cpds with 0.2 &lt; Ki &lt; 1 nM).•Leads exhibit strict selectivity toward the α4β2 nicotinic and 5-HT3 receptors.•Brain penetration and distribution was evaluated by preparing [18F] radiolabelled derivatives.</description><subject>18F PET</subject><subject>Agonism</subject><subject>Alpha 7 nicotinic acetylcholine receptor</subject><subject>Chemical Sciences</subject><subject>Medicinal Chemistry</subject><subject>Organic chemistry</subject><subject>Quinuclidine</subject><subject>Radiochemistry</subject><subject>Radiolabeling</subject><subject>SAR</subject><subject>Triazole</subject><issn>0223-5234</issn><issn>1768-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kd9qFDEUxgdR7Fp9A5FcVthZ82cyO-NFoZbWCgsK1iuRkE3O7JwlM9kmmYX1rXwG730mU7b20pscyPl93wfnK4rXjC4YZfW77QK2A5h-wSlrF7Re0Kp9UszYsm5KwWX1tJhRzkUpuahOihcxbimlsqb0eXEiGF-yVjaz4vcHjGc9pLc6HFzJ5nwuyhRQ__QOyN2E42QcWhwhEh3Jn19LMqLxCfNLtIF0cKb3Lu9JAAO75ANxuNGjje_J18OYeogY5ySmMJk0BSC667I4HTLvdEI_xh53mdAbP2IcsmnCfd7PyXfWXP8og7bonV5DDtmQbEy-XN1mv8keCI4k6BRfFs867SK8epinxbfrq9vLm3L1-eOny4tVaURN29JUVjZSsA702up12wm67KjU0lSyFSb_d5Ya3uklZXwtrWgrXklDGRONtJ0Up8X86Ntrp3YBh3wz5TWqm4uVwjFCGBTNkkbUzZ5l_OyI74K_myAmNWA04JwewU9RcS6FYLQWbUarI2qCjzFA92jPqLpvW23VsW1137aitcptZ9mbh4RpPYB9FP2rNwPnRwDyWfYIQUWDMBqwmOtKynr8f8Jf64XA8g</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Ouach, Aziz</creator><creator>Vercouillie, Johnny</creator><creator>Bertrand, Emilie</creator><creator>Rodrigues, Nuno</creator><creator>Pin, Frederic</creator><creator>Serriere, Sophie</creator><creator>Boiaryna, Liliana</creator><creator>Chartier, Agnes</creator><creator>Percina, Nathalie</creator><creator>Tangpong, Pakorn</creator><creator>Gulhan, Zuhal</creator><creator>Mothes, Celine</creator><creator>Deloye, Jean-Bernard</creator><creator>Guilloteau, Denis</creator><creator>Page, Guylene</creator><creator>Suzenet, Franck</creator><creator>Buron, Frederic</creator><creator>Chalon, Sylvie</creator><creator>Routier, Sylvain</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0003-1865-8380</orcidid><orcidid>https://orcid.org/0000-0002-2823-0591</orcidid><orcidid>https://orcid.org/0000-0001-5773-1515</orcidid><orcidid>https://orcid.org/0000-0002-7474-7778</orcidid><orcidid>https://orcid.org/0000-0002-7113-0254</orcidid><orcidid>https://orcid.org/0000-0003-1394-1603</orcidid><orcidid>https://orcid.org/0000-0003-4495-7755</orcidid></search><sort><creationdate>20191001</creationdate><title>Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats</title><author>Ouach, Aziz ; Vercouillie, Johnny ; Bertrand, Emilie ; Rodrigues, Nuno ; Pin, Frederic ; Serriere, Sophie ; Boiaryna, Liliana ; Chartier, Agnes ; Percina, Nathalie ; Tangpong, Pakorn ; Gulhan, Zuhal ; Mothes, Celine ; Deloye, Jean-Bernard ; Guilloteau, Denis ; Page, Guylene ; Suzenet, Franck ; Buron, Frederic ; Chalon, Sylvie ; Routier, Sylvain</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3609-c4d58531feabdab9f307f05a5c4593c1fefd0c2fa7012b5d394245c011385df53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>18F PET</topic><topic>Agonism</topic><topic>Alpha 7 nicotinic acetylcholine receptor</topic><topic>Chemical Sciences</topic><topic>Medicinal Chemistry</topic><topic>Organic chemistry</topic><topic>Quinuclidine</topic><topic>Radiochemistry</topic><topic>Radiolabeling</topic><topic>SAR</topic><topic>Triazole</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ouach, Aziz</creatorcontrib><creatorcontrib>Vercouillie, Johnny</creatorcontrib><creatorcontrib>Bertrand, Emilie</creatorcontrib><creatorcontrib>Rodrigues, Nuno</creatorcontrib><creatorcontrib>Pin, Frederic</creatorcontrib><creatorcontrib>Serriere, Sophie</creatorcontrib><creatorcontrib>Boiaryna, Liliana</creatorcontrib><creatorcontrib>Chartier, Agnes</creatorcontrib><creatorcontrib>Percina, Nathalie</creatorcontrib><creatorcontrib>Tangpong, Pakorn</creatorcontrib><creatorcontrib>Gulhan, Zuhal</creatorcontrib><creatorcontrib>Mothes, Celine</creatorcontrib><creatorcontrib>Deloye, Jean-Bernard</creatorcontrib><creatorcontrib>Guilloteau, Denis</creatorcontrib><creatorcontrib>Page, Guylene</creatorcontrib><creatorcontrib>Suzenet, Franck</creatorcontrib><creatorcontrib>Buron, Frederic</creatorcontrib><creatorcontrib>Chalon, Sylvie</creatorcontrib><creatorcontrib>Routier, Sylvain</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>European journal of medicinal chemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ouach, Aziz</au><au>Vercouillie, Johnny</au><au>Bertrand, Emilie</au><au>Rodrigues, Nuno</au><au>Pin, Frederic</au><au>Serriere, Sophie</au><au>Boiaryna, Liliana</au><au>Chartier, Agnes</au><au>Percina, Nathalie</au><au>Tangpong, Pakorn</au><au>Gulhan, Zuhal</au><au>Mothes, Celine</au><au>Deloye, Jean-Bernard</au><au>Guilloteau, Denis</au><au>Page, Guylene</au><au>Suzenet, Franck</au><au>Buron, Frederic</au><au>Chalon, Sylvie</au><au>Routier, Sylvain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats</atitle><jtitle>European journal of medicinal chemistry</jtitle><addtitle>Eur J Med Chem</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>179</volume><spage>449</spage><epage>469</epage><pages>449-469</pages><issn>0223-5234</issn><eissn>1768-3254</eissn><abstract>In this paper we describe the design and synthesis of bis(Het)Aryl-1,2,3-triazole quinuclidine α7R ligands using an efficient three-step sequence including a Suzuki-Miyaura cross coupling reaction with commercially available and home-made boron derivatives. The exploration of SAR required the preparation of uncommon boron derivatives. Forty final drugs were tested for their ability to bind the target and nine of them exhibited Ki values below nanomolar concentrations. The best scores were always obtained when the 5-phenyl-2-thiophenyl core was attached to the triazole. The selectivity of these compounds towards the nicotinic α4β2 and serotoninergic 5HT3 receptors was assessed and their brain penetration was quantified by the preparation and in vivo evaluation of two [18F] radiolabelled derivatives. It can be expected from our results that some of these compounds will be suitable for further developments and will have effects on cognitive disorders. [Display omitted] •47 new potent triazole/quinuclidinic alpha 7 nAChR ligand have been synthesized.•Identified leads exhibited a affinity in the subnanomolar range (10 cpds with 0.2 &lt; Ki &lt; 1 nM).•Leads exhibit strict selectivity toward the α4β2 nicotinic and 5-HT3 receptors.•Brain penetration and distribution was evaluated by preparing [18F] radiolabelled derivatives.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>31271958</pmid><doi>10.1016/j.ejmech.2019.06.049</doi><tpages>21</tpages><orcidid>https://orcid.org/0000-0003-1865-8380</orcidid><orcidid>https://orcid.org/0000-0002-2823-0591</orcidid><orcidid>https://orcid.org/0000-0001-5773-1515</orcidid><orcidid>https://orcid.org/0000-0002-7474-7778</orcidid><orcidid>https://orcid.org/0000-0002-7113-0254</orcidid><orcidid>https://orcid.org/0000-0003-1394-1603</orcidid><orcidid>https://orcid.org/0000-0003-4495-7755</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0223-5234
ispartof European journal of medicinal chemistry, 2019-10, Vol.179, p.449-469
issn 0223-5234
1768-3254
language eng
recordid cdi_hal_primary_oai_HAL_inserm_02458368v1
source Access via ScienceDirect (Elsevier)
subjects 18F PET
Agonism
Alpha 7 nicotinic acetylcholine receptor
Chemical Sciences
Medicinal Chemistry
Organic chemistry
Quinuclidine
Radiochemistry
Radiolabeling
SAR
Triazole
title Bis(het)aryl-1,2,3-triazole quinuclidines as α7 nicotinic acetylcholine receptor ligands: Synthesis, structure affinity relationships, agonism activity, [18F]-radiolabeling and PET study in rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T17%3A11%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bis(het)aryl-1,2,3-triazole%20quinuclidines%20as%20%CE%B17%20nicotinic%20acetylcholine%20receptor%20ligands:%20Synthesis,%20structure%20affinity%20relationships,%20agonism%20activity,%20%5B18F%5D-radiolabeling%20and%20PET%20study%20in%20rats&rft.jtitle=European%20journal%20of%20medicinal%20chemistry&rft.au=Ouach,%20Aziz&rft.date=2019-10-01&rft.volume=179&rft.spage=449&rft.epage=469&rft.pages=449-469&rft.issn=0223-5234&rft.eissn=1768-3254&rft_id=info:doi/10.1016/j.ejmech.2019.06.049&rft_dat=%3Cproquest_hal_p%3E2253310639%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2253310639&rft_id=info:pmid/31271958&rft_els_id=S0223523419305768&rfr_iscdi=true