A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C
Numerous studies have shown that Astragalus polysaccharide (APS) has strong antioxidant effects and high practical value for preserving semen at low temperatures in vitro. However, to date, little attention has been paid to the precise mechanism of APS in sperm preservation at 4 °C. Thus, to gain fu...
Gespeichert in:
Veröffentlicht in: | Journal of cellular physiology 2018-07, Vol.233 (7), p.5267-5280 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 5280 |
---|---|
container_issue | 7 |
container_start_page | 5267 |
container_title | Journal of cellular physiology |
container_volume | 233 |
creator | Fu, Jieli Yang, Qiangzhen Li, Yuhua Li, Peifei Wang, Lirui Li, Xinhong |
description | Numerous studies have shown that Astragalus polysaccharide (APS) has strong antioxidant effects and high practical value for preserving semen at low temperatures in vitro. However, to date, little attention has been paid to the precise mechanism of APS in sperm preservation at 4 °C. Thus, to gain further insight into the protective effects of APS, the present study was performed to assess the changes in sperm quality parameters, antioxidant capacity, ATP content, and protein phosphorylation levels. Here, we demonstrated that supplementation with APS could effectively preserve boar sperm quality parameters such as sperm motility, acrosome integrity, and mitochondrial membrane potential. Moreover, we found that the positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities and the enhancement of ATP levels. Interestingly, by conducting a series of studies on protein phosphorylation, we also discovered that APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. To our knowledge, this is the first exploration of the molecular mechanism underlying the protective roles of APS toward ROS toxicity from the perspective of energy metabolism and protein modification. This study comprehensively provides novel insights into the action mechanism of the protective effects of antioxidants on sperm stored at 4 °C and reveals the practical feasibility of using APS as a boar semen extender supplement for assisted reproductive technology.
The positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities, and the enhancement of ATP levels. APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. This study explores the molecular mechanism underlying the protective role of APS from the perspective of energy metabolism and protein modification and provides practical feasibility for using APS as a boar semen extender supplement. |
doi_str_mv | 10.1002/jcp.26321 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2019934080</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2019934080</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2681-cb098b004d487d27f205e669300e5681deebe09002690f212eb9a18609fbfea93</originalsourceid><addsrcrecordid>eNp1kU2O1DAQhS0EYpqBBRdAJbFikZmyk07Hy1Zr-NNIg_hZR7ZT6biVxMF2GLJjyy04AmfgKJwEQzfsWJQs1fv8bL3H2GOOFxxRXB7MdCHKXPA7bMVRbrKiXIu7bJU0nsl1wc_YgxAOiChlnt9nZ0KKnMuSr9i3LQxkOjXaMIBe4LazpoNtiF7tVT8HmFy_BGUS4m1DMHkXycQASbZjiPD25h1E99kaGxeInXfzvgM7dlbbaMd9Wp0u2REamjoX0vilV9G6EVwL2ikPYSI_JI4C-U_UgIpQ_Pzy9cf33UN2r1V9oEen85x9eH71fvcyu7558Wq3vc6MKCueGY2y0ohFU1SbRmxagWsqS5kj0joBDZEmlCmRUmIruCAtFa9KlK1uScn8nD09-qbPfpwpxPrgZj-mJ2uBPOVWYIWJenakjHcheGrrydtB-aXmWP_uok5d1H-6SOyTk-OsB2r-kX_DT8DlEbi1PS3_d6pf794cLX8BbbGXbg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2019934080</pqid></control><display><type>article</type><title>A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C</title><source>MEDLINE</source><source>Wiley Online Library Journals</source><creator>Fu, Jieli ; Yang, Qiangzhen ; Li, Yuhua ; Li, Peifei ; Wang, Lirui ; Li, Xinhong</creator><creatorcontrib>Fu, Jieli ; Yang, Qiangzhen ; Li, Yuhua ; Li, Peifei ; Wang, Lirui ; Li, Xinhong</creatorcontrib><description>Numerous studies have shown that Astragalus polysaccharide (APS) has strong antioxidant effects and high practical value for preserving semen at low temperatures in vitro. However, to date, little attention has been paid to the precise mechanism of APS in sperm preservation at 4 °C. Thus, to gain further insight into the protective effects of APS, the present study was performed to assess the changes in sperm quality parameters, antioxidant capacity, ATP content, and protein phosphorylation levels. Here, we demonstrated that supplementation with APS could effectively preserve boar sperm quality parameters such as sperm motility, acrosome integrity, and mitochondrial membrane potential. Moreover, we found that the positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities and the enhancement of ATP levels. Interestingly, by conducting a series of studies on protein phosphorylation, we also discovered that APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. To our knowledge, this is the first exploration of the molecular mechanism underlying the protective roles of APS toward ROS toxicity from the perspective of energy metabolism and protein modification. This study comprehensively provides novel insights into the action mechanism of the protective effects of antioxidants on sperm stored at 4 °C and reveals the practical feasibility of using APS as a boar semen extender supplement for assisted reproductive technology.
The positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities, and the enhancement of ATP levels. APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. This study explores the molecular mechanism underlying the protective role of APS from the perspective of energy metabolism and protein modification and provides practical feasibility for using APS as a boar semen extender supplement.</description><identifier>ISSN: 0021-9541</identifier><identifier>EISSN: 1097-4652</identifier><identifier>DOI: 10.1002/jcp.26321</identifier><identifier>PMID: 29231961</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Animals ; Antioxidants ; Astragalus ; Astragalus Plant - chemistry ; Astragalus polysaccharide ; boar sperm ; Cryopreservation ; Dephosphorylation ; Energy metabolism ; Kinases ; Low temperature ; Male ; Membrane potential ; Metabolism ; Mitochondria ; Oxidative stress ; Parameters ; Phosphorylation ; Plant Extracts - pharmacology ; Polysaccharides - pharmacology ; Preservation ; Protein deficiency ; protein dephosphorylation ; Protein kinase A ; Protein turnover ; Proteins ; reactive oxygen species ; Reactive Oxygen Species - antagonists & inhibitors ; Reactive Oxygen Species - toxicity ; Reproductive technologies ; Semen ; Semen - drug effects ; Semen - physiology ; Semen Preservation ; Signal transduction ; Signaling ; Sperm ; Sperm Motility - drug effects ; Sperm Motility - physiology ; Spermatozoa - drug effects ; Spermatozoa - physiology ; Supplements ; Swine ; Toxicity</subject><ispartof>Journal of cellular physiology, 2018-07, Vol.233 (7), p.5267-5280</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2681-cb098b004d487d27f205e669300e5681deebe09002690f212eb9a18609fbfea93</citedby><cites>FETCH-LOGICAL-c2681-cb098b004d487d27f205e669300e5681deebe09002690f212eb9a18609fbfea93</cites><orcidid>0000-0002-6837-8718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcp.26321$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcp.26321$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29231961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fu, Jieli</creatorcontrib><creatorcontrib>Yang, Qiangzhen</creatorcontrib><creatorcontrib>Li, Yuhua</creatorcontrib><creatorcontrib>Li, Peifei</creatorcontrib><creatorcontrib>Wang, Lirui</creatorcontrib><creatorcontrib>Li, Xinhong</creatorcontrib><title>A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C</title><title>Journal of cellular physiology</title><addtitle>J Cell Physiol</addtitle><description>Numerous studies have shown that Astragalus polysaccharide (APS) has strong antioxidant effects and high practical value for preserving semen at low temperatures in vitro. However, to date, little attention has been paid to the precise mechanism of APS in sperm preservation at 4 °C. Thus, to gain further insight into the protective effects of APS, the present study was performed to assess the changes in sperm quality parameters, antioxidant capacity, ATP content, and protein phosphorylation levels. Here, we demonstrated that supplementation with APS could effectively preserve boar sperm quality parameters such as sperm motility, acrosome integrity, and mitochondrial membrane potential. Moreover, we found that the positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities and the enhancement of ATP levels. Interestingly, by conducting a series of studies on protein phosphorylation, we also discovered that APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. To our knowledge, this is the first exploration of the molecular mechanism underlying the protective roles of APS toward ROS toxicity from the perspective of energy metabolism and protein modification. This study comprehensively provides novel insights into the action mechanism of the protective effects of antioxidants on sperm stored at 4 °C and reveals the practical feasibility of using APS as a boar semen extender supplement for assisted reproductive technology.
The positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities, and the enhancement of ATP levels. APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. This study explores the molecular mechanism underlying the protective role of APS from the perspective of energy metabolism and protein modification and provides practical feasibility for using APS as a boar semen extender supplement.</description><subject>Animals</subject><subject>Antioxidants</subject><subject>Astragalus</subject><subject>Astragalus Plant - chemistry</subject><subject>Astragalus polysaccharide</subject><subject>boar sperm</subject><subject>Cryopreservation</subject><subject>Dephosphorylation</subject><subject>Energy metabolism</subject><subject>Kinases</subject><subject>Low temperature</subject><subject>Male</subject><subject>Membrane potential</subject><subject>Metabolism</subject><subject>Mitochondria</subject><subject>Oxidative stress</subject><subject>Parameters</subject><subject>Phosphorylation</subject><subject>Plant Extracts - pharmacology</subject><subject>Polysaccharides - pharmacology</subject><subject>Preservation</subject><subject>Protein deficiency</subject><subject>protein dephosphorylation</subject><subject>Protein kinase A</subject><subject>Protein turnover</subject><subject>Proteins</subject><subject>reactive oxygen species</subject><subject>Reactive Oxygen Species - antagonists & inhibitors</subject><subject>Reactive Oxygen Species - toxicity</subject><subject>Reproductive technologies</subject><subject>Semen</subject><subject>Semen - drug effects</subject><subject>Semen - physiology</subject><subject>Semen Preservation</subject><subject>Signal transduction</subject><subject>Signaling</subject><subject>Sperm</subject><subject>Sperm Motility - drug effects</subject><subject>Sperm Motility - physiology</subject><subject>Spermatozoa - drug effects</subject><subject>Spermatozoa - physiology</subject><subject>Supplements</subject><subject>Swine</subject><subject>Toxicity</subject><issn>0021-9541</issn><issn>1097-4652</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU2O1DAQhS0EYpqBBRdAJbFikZmyk07Hy1Zr-NNIg_hZR7ZT6biVxMF2GLJjyy04AmfgKJwEQzfsWJQs1fv8bL3H2GOOFxxRXB7MdCHKXPA7bMVRbrKiXIu7bJU0nsl1wc_YgxAOiChlnt9nZ0KKnMuSr9i3LQxkOjXaMIBe4LazpoNtiF7tVT8HmFy_BGUS4m1DMHkXycQASbZjiPD25h1E99kaGxeInXfzvgM7dlbbaMd9Wp0u2REamjoX0vilV9G6EVwL2ikPYSI_JI4C-U_UgIpQ_Pzy9cf33UN2r1V9oEen85x9eH71fvcyu7558Wq3vc6MKCueGY2y0ohFU1SbRmxagWsqS5kj0joBDZEmlCmRUmIruCAtFa9KlK1uScn8nD09-qbPfpwpxPrgZj-mJ2uBPOVWYIWJenakjHcheGrrydtB-aXmWP_uok5d1H-6SOyTk-OsB2r-kX_DT8DlEbi1PS3_d6pf794cLX8BbbGXbg</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Fu, Jieli</creator><creator>Yang, Qiangzhen</creator><creator>Li, Yuhua</creator><creator>Li, Peifei</creator><creator>Wang, Lirui</creator><creator>Li, Xinhong</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><orcidid>https://orcid.org/0000-0002-6837-8718</orcidid></search><sort><creationdate>201807</creationdate><title>A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C</title><author>Fu, Jieli ; Yang, Qiangzhen ; Li, Yuhua ; Li, Peifei ; Wang, Lirui ; Li, Xinhong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2681-cb098b004d487d27f205e669300e5681deebe09002690f212eb9a18609fbfea93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Animals</topic><topic>Antioxidants</topic><topic>Astragalus</topic><topic>Astragalus Plant - chemistry</topic><topic>Astragalus polysaccharide</topic><topic>boar sperm</topic><topic>Cryopreservation</topic><topic>Dephosphorylation</topic><topic>Energy metabolism</topic><topic>Kinases</topic><topic>Low temperature</topic><topic>Male</topic><topic>Membrane potential</topic><topic>Metabolism</topic><topic>Mitochondria</topic><topic>Oxidative stress</topic><topic>Parameters</topic><topic>Phosphorylation</topic><topic>Plant Extracts - pharmacology</topic><topic>Polysaccharides - pharmacology</topic><topic>Preservation</topic><topic>Protein deficiency</topic><topic>protein dephosphorylation</topic><topic>Protein kinase A</topic><topic>Protein turnover</topic><topic>Proteins</topic><topic>reactive oxygen species</topic><topic>Reactive Oxygen Species - antagonists & inhibitors</topic><topic>Reactive Oxygen Species - toxicity</topic><topic>Reproductive technologies</topic><topic>Semen</topic><topic>Semen - drug effects</topic><topic>Semen - physiology</topic><topic>Semen Preservation</topic><topic>Signal transduction</topic><topic>Signaling</topic><topic>Sperm</topic><topic>Sperm Motility - drug effects</topic><topic>Sperm Motility - physiology</topic><topic>Spermatozoa - drug effects</topic><topic>Spermatozoa - physiology</topic><topic>Supplements</topic><topic>Swine</topic><topic>Toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fu, Jieli</creatorcontrib><creatorcontrib>Yang, Qiangzhen</creatorcontrib><creatorcontrib>Li, Yuhua</creatorcontrib><creatorcontrib>Li, Peifei</creatorcontrib><creatorcontrib>Wang, Lirui</creatorcontrib><creatorcontrib>Li, Xinhong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><jtitle>Journal of cellular physiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fu, Jieli</au><au>Yang, Qiangzhen</au><au>Li, Yuhua</au><au>Li, Peifei</au><au>Wang, Lirui</au><au>Li, Xinhong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C</atitle><jtitle>Journal of cellular physiology</jtitle><addtitle>J Cell Physiol</addtitle><date>2018-07</date><risdate>2018</risdate><volume>233</volume><issue>7</issue><spage>5267</spage><epage>5280</epage><pages>5267-5280</pages><issn>0021-9541</issn><eissn>1097-4652</eissn><abstract>Numerous studies have shown that Astragalus polysaccharide (APS) has strong antioxidant effects and high practical value for preserving semen at low temperatures in vitro. However, to date, little attention has been paid to the precise mechanism of APS in sperm preservation at 4 °C. Thus, to gain further insight into the protective effects of APS, the present study was performed to assess the changes in sperm quality parameters, antioxidant capacity, ATP content, and protein phosphorylation levels. Here, we demonstrated that supplementation with APS could effectively preserve boar sperm quality parameters such as sperm motility, acrosome integrity, and mitochondrial membrane potential. Moreover, we found that the positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities and the enhancement of ATP levels. Interestingly, by conducting a series of studies on protein phosphorylation, we also discovered that APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. To our knowledge, this is the first exploration of the molecular mechanism underlying the protective roles of APS toward ROS toxicity from the perspective of energy metabolism and protein modification. This study comprehensively provides novel insights into the action mechanism of the protective effects of antioxidants on sperm stored at 4 °C and reveals the practical feasibility of using APS as a boar semen extender supplement for assisted reproductive technology.
The positive effects of APS on boar sperm quality were mainly due to the elimination of excessive mitochondrial ROS, the improvement of antioxidant capacities, and the enhancement of ATP levels. APS could protect boar sperm from oxidative stress and energy deficiency through inhibiting the protein dephosphorylation caused by ROS via the cAMP‐PKA signaling pathway. This study explores the molecular mechanism underlying the protective role of APS from the perspective of energy metabolism and protein modification and provides practical feasibility for using APS as a boar semen extender supplement.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29231961</pmid><doi>10.1002/jcp.26321</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-6837-8718</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0021-9541 |
ispartof | Journal of cellular physiology, 2018-07, Vol.233 (7), p.5267-5280 |
issn | 0021-9541 1097-4652 |
language | eng |
recordid | cdi_proquest_journals_2019934080 |
source | MEDLINE; Wiley Online Library Journals |
subjects | Animals Antioxidants Astragalus Astragalus Plant - chemistry Astragalus polysaccharide boar sperm Cryopreservation Dephosphorylation Energy metabolism Kinases Low temperature Male Membrane potential Metabolism Mitochondria Oxidative stress Parameters Phosphorylation Plant Extracts - pharmacology Polysaccharides - pharmacology Preservation Protein deficiency protein dephosphorylation Protein kinase A Protein turnover Proteins reactive oxygen species Reactive Oxygen Species - antagonists & inhibitors Reactive Oxygen Species - toxicity Reproductive technologies Semen Semen - drug effects Semen - physiology Semen Preservation Signal transduction Signaling Sperm Sperm Motility - drug effects Sperm Motility - physiology Spermatozoa - drug effects Spermatozoa - physiology Supplements Swine Toxicity |
title | A mechanism by which Astragalus polysaccharide protects against ROS toxicity through inhibiting the protein dephosphorylation of boar sperm preserved at 4 °C |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T17%3A51%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20mechanism%20by%20which%20Astragalus%20polysaccharide%20protects%20against%20ROS%20toxicity%20through%20inhibiting%20the%20protein%20dephosphorylation%20of%20boar%20sperm%20preserved%20at%204%E2%80%89%C2%B0C&rft.jtitle=Journal%20of%20cellular%20physiology&rft.au=Fu,%20Jieli&rft.date=2018-07&rft.volume=233&rft.issue=7&rft.spage=5267&rft.epage=5280&rft.pages=5267-5280&rft.issn=0021-9541&rft.eissn=1097-4652&rft_id=info:doi/10.1002/jcp.26321&rft_dat=%3Cproquest_cross%3E2019934080%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2019934080&rft_id=info:pmid/29231961&rfr_iscdi=true |