Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4

Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Life sciences (1973) 2019-12, Vol.239, p.117017, Article 117017
Hauptverfasser: Helal, Manar G., Megahed, Nermeen A., Abd Elhameed, Ahmed G.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page 117017
container_title Life sciences (1973)
container_volume 239
creator Helal, Manar G.
Megahed, Nermeen A.
Abd Elhameed, Ahmed G.
description Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in comparison with Dexamethasone (Dexa) – in airway inflammation induced by ovalbumin (OVA) in mice. Mice were OVA-sensitized and challenged for the induction of acute asthma. Mice were orally administrated Saxa or Dexa. Total and differential cell counts, lactate dehydrogenase (LDH) and total protein concentrations were assessed in bronchoalveolar lavage fluid (BALF). The toll-like receptor 4 (TLR4), nuclear factor-kappa B (NF-kB), reduced glutathione (GSH), and total nitrate/nitrite products (NOx) levels as well as myeloperoxidase (MPO) activity in lung tissues were measured. Histopathological examination of the lung specimens was carried out using the hematoxylin and eosin (H & E) staining. Histopathological examination revealed that both Saxa and Dexa ameliorated OVA-induced inflammatory changes and significantly reduced total and differential leukocyte counts, LDH and total protein level in BALF upon comparison with OVA group. In addition, both treatments significantly mitigated OVA-induced oxidative stress as evidenced by diminished lung NOx level and MPO activity and elevated GSH level. The elevation of TLR4 and NF-kB levels in lung tissue were ameliorated by Saxa and Dexa administration. Saxa had marked antiasthmatic effect in OVA-induced allergic asthma through modulation of TLR4 and NF-κB signaling. Also, Saxa may represent a promising therapeutic agent for acute allergic asthma.
doi_str_mv 10.1016/j.lfs.2019.117017
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2333945558</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0024320519309440</els_id><sourcerecordid>2333945558</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-13d728e659fe56ea1e75c6948afcedfee7e5c5180b630284dd67382af76bb5ff3</originalsourceid><addsrcrecordid>eNp9kE1P3DAQhi3UChbKD-gFWeo5ix3HdiJOBQGttCoShbM1G4-pl3wstgPl39erUI5cbFnzzDueh5CvnC054-p0s-xcXJaMN0vONeN6jyx4rZuCKcE_kQVjZVWIkskDchjjhjEmpRb75EBwpeuyrhbk8Tf8hYfOb5MfaO-Tf4CEkYIPL_BK_eA66HtIfhzygwLtxyliPi12dHQU2ikhhZj-9ECf_a5up27mc_nXVfF4TmGw9G51W30hnx10EY_f7iNyf3V5d_GjWN1c_7z4viraqtKp4MLqskYlG4dSIXDUslVNVYNr0TpEjbKVvGZrJVhewlqlRV2C02q9ls6JI_Jtzt2G8WnCmMxmnMKQR5pSCNFUUso6U3ym2jDGGNCZbfA9hFfDmdnpNRuT9ZqdXjPrzT0nb8nTukf73vHfZwbOZgDzfs8eg4mtxyH_2wdsk7Gj_yD-H9VzitE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2333945558</pqid></control><display><type>article</type><title>Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Helal, Manar G. ; Megahed, Nermeen A. ; Abd Elhameed, Ahmed G.</creator><creatorcontrib>Helal, Manar G. ; Megahed, Nermeen A. ; Abd Elhameed, Ahmed G.</creatorcontrib><description>Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in comparison with Dexamethasone (Dexa) – in airway inflammation induced by ovalbumin (OVA) in mice. Mice were OVA-sensitized and challenged for the induction of acute asthma. Mice were orally administrated Saxa or Dexa. Total and differential cell counts, lactate dehydrogenase (LDH) and total protein concentrations were assessed in bronchoalveolar lavage fluid (BALF). The toll-like receptor 4 (TLR4), nuclear factor-kappa B (NF-kB), reduced glutathione (GSH), and total nitrate/nitrite products (NOx) levels as well as myeloperoxidase (MPO) activity in lung tissues were measured. Histopathological examination of the lung specimens was carried out using the hematoxylin and eosin (H &amp; E) staining. Histopathological examination revealed that both Saxa and Dexa ameliorated OVA-induced inflammatory changes and significantly reduced total and differential leukocyte counts, LDH and total protein level in BALF upon comparison with OVA group. In addition, both treatments significantly mitigated OVA-induced oxidative stress as evidenced by diminished lung NOx level and MPO activity and elevated GSH level. The elevation of TLR4 and NF-kB levels in lung tissue were ameliorated by Saxa and Dexa administration. Saxa had marked antiasthmatic effect in OVA-induced allergic asthma through modulation of TLR4 and NF-κB signaling. Also, Saxa may represent a promising therapeutic agent for acute allergic asthma.</description><identifier>ISSN: 0024-3205</identifier><identifier>EISSN: 1879-0631</identifier><identifier>DOI: 10.1016/j.lfs.2019.117017</identifier><identifier>PMID: 31678284</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Acute asthma ; Acute Disease ; Adamantane - analogs &amp; derivatives ; Adamantane - therapeutic use ; Alveoli ; Animals ; Asthma ; Asthma - chemically induced ; Asthma - drug therapy ; Asthma - pathology ; Bronchoalveolar Lavage Fluid - cytology ; Bronchus ; Chemical compounds ; Dexamethasone ; Dexamethasone - therapeutic use ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Dipeptidase ; Dipeptides - therapeutic use ; Dipeptidyl-Peptidase IV Inhibitors - therapeutic use ; Dual energy X-ray absorptiometry ; Glutathione ; Immunomodulation ; Inflammation ; L-Lactate dehydrogenase ; L-Lactate Dehydrogenase - metabolism ; Lactate dehydrogenase ; Lactic acid ; Leukocytes ; Levels ; Lung - metabolism ; Lung - pathology ; Lungs ; Male ; Mice ; Modulation ; MPO ; NF-kappa B - drug effects ; NF-κB ; NF-κB protein ; Nitric Oxide - metabolism ; Oral administration ; Ovalbumin ; Oxidative stress ; Peroxidase ; Peroxidase - metabolism ; Pharmacology ; Proteins ; Respiratory tract ; Respiratory tract diseases ; Saxagliptin ; TLR4 ; TLR4 protein ; Toll-Like Receptor 4 - drug effects ; Toll-like receptors</subject><ispartof>Life sciences (1973), 2019-12, Vol.239, p.117017, Article 117017</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier BV Dec 15, 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-13d728e659fe56ea1e75c6948afcedfee7e5c5180b630284dd67382af76bb5ff3</citedby><cites>FETCH-LOGICAL-c447t-13d728e659fe56ea1e75c6948afcedfee7e5c5180b630284dd67382af76bb5ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.lfs.2019.117017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31678284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helal, Manar G.</creatorcontrib><creatorcontrib>Megahed, Nermeen A.</creatorcontrib><creatorcontrib>Abd Elhameed, Ahmed G.</creatorcontrib><title>Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4</title><title>Life sciences (1973)</title><addtitle>Life Sci</addtitle><description>Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in comparison with Dexamethasone (Dexa) – in airway inflammation induced by ovalbumin (OVA) in mice. Mice were OVA-sensitized and challenged for the induction of acute asthma. Mice were orally administrated Saxa or Dexa. Total and differential cell counts, lactate dehydrogenase (LDH) and total protein concentrations were assessed in bronchoalveolar lavage fluid (BALF). The toll-like receptor 4 (TLR4), nuclear factor-kappa B (NF-kB), reduced glutathione (GSH), and total nitrate/nitrite products (NOx) levels as well as myeloperoxidase (MPO) activity in lung tissues were measured. Histopathological examination of the lung specimens was carried out using the hematoxylin and eosin (H &amp; E) staining. Histopathological examination revealed that both Saxa and Dexa ameliorated OVA-induced inflammatory changes and significantly reduced total and differential leukocyte counts, LDH and total protein level in BALF upon comparison with OVA group. In addition, both treatments significantly mitigated OVA-induced oxidative stress as evidenced by diminished lung NOx level and MPO activity and elevated GSH level. The elevation of TLR4 and NF-kB levels in lung tissue were ameliorated by Saxa and Dexa administration. Saxa had marked antiasthmatic effect in OVA-induced allergic asthma through modulation of TLR4 and NF-κB signaling. Also, Saxa may represent a promising therapeutic agent for acute allergic asthma.</description><subject>Acute asthma</subject><subject>Acute Disease</subject><subject>Adamantane - analogs &amp; derivatives</subject><subject>Adamantane - therapeutic use</subject><subject>Alveoli</subject><subject>Animals</subject><subject>Asthma</subject><subject>Asthma - chemically induced</subject><subject>Asthma - drug therapy</subject><subject>Asthma - pathology</subject><subject>Bronchoalveolar Lavage Fluid - cytology</subject><subject>Bronchus</subject><subject>Chemical compounds</subject><subject>Dexamethasone</subject><subject>Dexamethasone - therapeutic use</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Dipeptidase</subject><subject>Dipeptides - therapeutic use</subject><subject>Dipeptidyl-Peptidase IV Inhibitors - therapeutic use</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Glutathione</subject><subject>Immunomodulation</subject><subject>Inflammation</subject><subject>L-Lactate dehydrogenase</subject><subject>L-Lactate Dehydrogenase - metabolism</subject><subject>Lactate dehydrogenase</subject><subject>Lactic acid</subject><subject>Leukocytes</subject><subject>Levels</subject><subject>Lung - metabolism</subject><subject>Lung - pathology</subject><subject>Lungs</subject><subject>Male</subject><subject>Mice</subject><subject>Modulation</subject><subject>MPO</subject><subject>NF-kappa B - drug effects</subject><subject>NF-κB</subject><subject>NF-κB protein</subject><subject>Nitric Oxide - metabolism</subject><subject>Oral administration</subject><subject>Ovalbumin</subject><subject>Oxidative stress</subject><subject>Peroxidase</subject><subject>Peroxidase - metabolism</subject><subject>Pharmacology</subject><subject>Proteins</subject><subject>Respiratory tract</subject><subject>Respiratory tract diseases</subject><subject>Saxagliptin</subject><subject>TLR4</subject><subject>TLR4 protein</subject><subject>Toll-Like Receptor 4 - drug effects</subject><subject>Toll-like receptors</subject><issn>0024-3205</issn><issn>1879-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P3DAQhi3UChbKD-gFWeo5ix3HdiJOBQGttCoShbM1G4-pl3wstgPl39erUI5cbFnzzDueh5CvnC054-p0s-xcXJaMN0vONeN6jyx4rZuCKcE_kQVjZVWIkskDchjjhjEmpRb75EBwpeuyrhbk8Tf8hYfOb5MfaO-Tf4CEkYIPL_BK_eA66HtIfhzygwLtxyliPi12dHQU2ikhhZj-9ECf_a5up27mc_nXVfF4TmGw9G51W30hnx10EY_f7iNyf3V5d_GjWN1c_7z4viraqtKp4MLqskYlG4dSIXDUslVNVYNr0TpEjbKVvGZrJVhewlqlRV2C02q9ls6JI_Jtzt2G8WnCmMxmnMKQR5pSCNFUUso6U3ym2jDGGNCZbfA9hFfDmdnpNRuT9ZqdXjPrzT0nb8nTukf73vHfZwbOZgDzfs8eg4mtxyH_2wdsk7Gj_yD-H9VzitE</recordid><startdate>20191215</startdate><enddate>20191215</enddate><creator>Helal, Manar G.</creator><creator>Megahed, Nermeen A.</creator><creator>Abd Elhameed, Ahmed G.</creator><general>Elsevier Inc</general><general>Elsevier BV</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>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope></search><sort><creationdate>20191215</creationdate><title>Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4</title><author>Helal, Manar G. ; Megahed, Nermeen A. ; Abd Elhameed, Ahmed G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-13d728e659fe56ea1e75c6948afcedfee7e5c5180b630284dd67382af76bb5ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acute asthma</topic><topic>Acute Disease</topic><topic>Adamantane - analogs &amp; derivatives</topic><topic>Adamantane - therapeutic use</topic><topic>Alveoli</topic><topic>Animals</topic><topic>Asthma</topic><topic>Asthma - chemically induced</topic><topic>Asthma - drug therapy</topic><topic>Asthma - pathology</topic><topic>Bronchoalveolar Lavage Fluid - cytology</topic><topic>Bronchus</topic><topic>Chemical compounds</topic><topic>Dexamethasone</topic><topic>Dexamethasone - therapeutic use</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Dipeptidase</topic><topic>Dipeptides - therapeutic use</topic><topic>Dipeptidyl-Peptidase IV Inhibitors - therapeutic use</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Glutathione</topic><topic>Immunomodulation</topic><topic>Inflammation</topic><topic>L-Lactate dehydrogenase</topic><topic>L-Lactate Dehydrogenase - metabolism</topic><topic>Lactate dehydrogenase</topic><topic>Lactic acid</topic><topic>Leukocytes</topic><topic>Levels</topic><topic>Lung - metabolism</topic><topic>Lung - pathology</topic><topic>Lungs</topic><topic>Male</topic><topic>Mice</topic><topic>Modulation</topic><topic>MPO</topic><topic>NF-kappa B - drug effects</topic><topic>NF-κB</topic><topic>NF-κB protein</topic><topic>Nitric Oxide - metabolism</topic><topic>Oral administration</topic><topic>Ovalbumin</topic><topic>Oxidative stress</topic><topic>Peroxidase</topic><topic>Peroxidase - metabolism</topic><topic>Pharmacology</topic><topic>Proteins</topic><topic>Respiratory tract</topic><topic>Respiratory tract diseases</topic><topic>Saxagliptin</topic><topic>TLR4</topic><topic>TLR4 protein</topic><topic>Toll-Like Receptor 4 - drug effects</topic><topic>Toll-like receptors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helal, Manar G.</creatorcontrib><creatorcontrib>Megahed, Nermeen A.</creatorcontrib><creatorcontrib>Abd Elhameed, Ahmed G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><jtitle>Life sciences (1973)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helal, Manar G.</au><au>Megahed, Nermeen A.</au><au>Abd Elhameed, Ahmed G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4</atitle><jtitle>Life sciences (1973)</jtitle><addtitle>Life Sci</addtitle><date>2019-12-15</date><risdate>2019</risdate><volume>239</volume><spage>117017</spage><pages>117017-</pages><artnum>117017</artnum><issn>0024-3205</issn><eissn>1879-0631</eissn><abstract>Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in comparison with Dexamethasone (Dexa) – in airway inflammation induced by ovalbumin (OVA) in mice. Mice were OVA-sensitized and challenged for the induction of acute asthma. Mice were orally administrated Saxa or Dexa. Total and differential cell counts, lactate dehydrogenase (LDH) and total protein concentrations were assessed in bronchoalveolar lavage fluid (BALF). The toll-like receptor 4 (TLR4), nuclear factor-kappa B (NF-kB), reduced glutathione (GSH), and total nitrate/nitrite products (NOx) levels as well as myeloperoxidase (MPO) activity in lung tissues were measured. Histopathological examination of the lung specimens was carried out using the hematoxylin and eosin (H &amp; E) staining. Histopathological examination revealed that both Saxa and Dexa ameliorated OVA-induced inflammatory changes and significantly reduced total and differential leukocyte counts, LDH and total protein level in BALF upon comparison with OVA group. In addition, both treatments significantly mitigated OVA-induced oxidative stress as evidenced by diminished lung NOx level and MPO activity and elevated GSH level. The elevation of TLR4 and NF-kB levels in lung tissue were ameliorated by Saxa and Dexa administration. Saxa had marked antiasthmatic effect in OVA-induced allergic asthma through modulation of TLR4 and NF-κB signaling. Also, Saxa may represent a promising therapeutic agent for acute allergic asthma.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>31678284</pmid><doi>10.1016/j.lfs.2019.117017</doi></addata></record>
fulltext fulltext
identifier ISSN: 0024-3205
ispartof Life sciences (1973), 2019-12, Vol.239, p.117017, Article 117017
issn 0024-3205
1879-0631
language eng
recordid cdi_proquest_journals_2333945558
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Acute asthma
Acute Disease
Adamantane - analogs & derivatives
Adamantane - therapeutic use
Alveoli
Animals
Asthma
Asthma - chemically induced
Asthma - drug therapy
Asthma - pathology
Bronchoalveolar Lavage Fluid - cytology
Bronchus
Chemical compounds
Dexamethasone
Dexamethasone - therapeutic use
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Dipeptidase
Dipeptides - therapeutic use
Dipeptidyl-Peptidase IV Inhibitors - therapeutic use
Dual energy X-ray absorptiometry
Glutathione
Immunomodulation
Inflammation
L-Lactate dehydrogenase
L-Lactate Dehydrogenase - metabolism
Lactate dehydrogenase
Lactic acid
Leukocytes
Levels
Lung - metabolism
Lung - pathology
Lungs
Male
Mice
Modulation
MPO
NF-kappa B - drug effects
NF-κB
NF-κB protein
Nitric Oxide - metabolism
Oral administration
Ovalbumin
Oxidative stress
Peroxidase
Peroxidase - metabolism
Pharmacology
Proteins
Respiratory tract
Respiratory tract diseases
Saxagliptin
TLR4
TLR4 protein
Toll-Like Receptor 4 - drug effects
Toll-like receptors
title Saxagliptin mitigates airway inflammation in a mouse model of acute asthma via modulation of NF-kB and TLR4
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T16%3A51%3A59IST&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=Saxagliptin%20mitigates%20airway%20inflammation%20in%20a%20mouse%20model%20of%20acute%20asthma%20via%20modulation%20of%20NF-kB%20and%20TLR4&rft.jtitle=Life%20sciences%20(1973)&rft.au=Helal,%20Manar%20G.&rft.date=2019-12-15&rft.volume=239&rft.spage=117017&rft.pages=117017-&rft.artnum=117017&rft.issn=0024-3205&rft.eissn=1879-0631&rft_id=info:doi/10.1016/j.lfs.2019.117017&rft_dat=%3Cproquest_cross%3E2333945558%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=2333945558&rft_id=info:pmid/31678284&rft_els_id=S0024320519309440&rfr_iscdi=true