MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells
Background & Aims Current hepatic differentiation protocols for human embryonic stem cells (ESCs) require substantial improvements. MicroRNAs (miRNAs) have been reported to regulate hepatocyte cell fate during liver development, but their utility to improve hepatocyte differentiation from ESCs r...
Gespeichert in:
Veröffentlicht in: | Journal of hepatology 2015-01, Vol.62 (1), p.101-110 |
---|---|
Hauptverfasser: | , , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 110 |
---|---|
container_issue | 1 |
container_start_page | 101 |
container_title | Journal of hepatology |
container_volume | 62 |
creator | Möbus, Selina Yang, Dakai Yuan, Qinggong Lüdtke, Timo H.-W Balakrishnan, Asha Sgodda, Malte Rani, Bhavna Kispert, Andreas Araúzo-Bravo, Marcos J Vogel, Arndt Manns, Michael P Ott, Michael Cantz, Tobias Sharma, Amar Deep |
description | Background & Aims Current hepatic differentiation protocols for human embryonic stem cells (ESCs) require substantial improvements. MicroRNAs (miRNAs) have been reported to regulate hepatocyte cell fate during liver development, but their utility to improve hepatocyte differentiation from ESCs remains to be investigated. Therefore, our aim was to identify and to analyse hepatogenic miRNAs for their potential to improve hepatocyte differentiation from ESCs. Methods By miRNA profiling and in vitro screening, we identified miR-199a-5p among several potential hepatogenic miRNAs. Transplantation studies of miR-199a-5p-inhibited hepatocyte-like cells (HLCs) in the liver of immunodeficient fumarylacetoacetate hydrolase knockout mice ( Fah−/− /Rag2−/− /Il2rg−/− ) were performed to assess their in vivo liver repopulation potential. For target determination, western blot and luciferase reporter assay were carried out. Results miRNA profiling revealed 20 conserved candidate hepatogenic miRNAs. By miRNA screening, only miR-199a-5p inhibition in HLCs was found to be able to enhance the in vitro hepatic differentiation of mouse as well as human ESCs. miR-199a-5p inhibition in human ESCs-derived HLCs enhanced their engraftment and repopulation capacity in the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Furthermore, we identified SMARCA4 and MST1 as novel targets of miR-199a-5p that may contribute to the improved hepatocyte generation and in vivo liver repopulation. Conclusions Our findings demonstrate that miR-199a-5p inhibition in ES-derived HLCs leads to improved hepatocyte differentiation. Upon transplantation, HLCs were able to engraft and repopulate the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Thus, our findings suggest that miRNA modulation may serve as a promising approach to generate more mature HLCs from stem cell sources for the treatment of liver diseases. |
doi_str_mv | 10.1016/j.jhep.2014.08.016 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1639494729</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S016882781400556X</els_id><sourcerecordid>1639494729</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-c23a3c921e47e7b231a8d14f9d413fad25e45a634118ab4adae349ed1035bc253</originalsourceid><addsrcrecordid>eNp9kUuLFTEQhYMoznX0D7iQLN10m0rSj4AIwzA-YFTwAe5COqmm0_bLpPvC_fem544uXLgKnJxzqPqKkOfAcmBQvurzvsMl5wxkzuo8SQ_IAUrGMlZKeEgOSamzmlf1BXkSY88YE0zJx-SCFyCKuuQHcvzobZi_fLrKQCmTFQv1U-cbv_p5ojh1ZrIY6dohHfwRAw24zMs2mLt_0_jBryc6t7TbRpMCYxNO8-QtjSuO1OIwZA5DSjqaRk0peyfGp-RRa4aIz-7fS_L97c236_fZ7ed3H66vbjMrq2rNLBdGWMUBZYVVwwWY2oFslZMgWuN4gbIwpZAAtWmkcQaFVOiAiaKxvBCX5OW5dwnzrw3jqkcf9wnMhPMWNZRCSSUrrpKVn62JR4wBW70EP5pw0sD0zlv3euetd96a1TpJKfTivn9rRnR_I38AJ8PrswHTlkePQUfrMUF1PqBdtZv9__vf_BO3g098zfATTxj7eQtT4qdBR66Z_rpffD84SMaKovwhfgOyZqc5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1639494729</pqid></control><display><type>article</type><title>MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Möbus, Selina ; Yang, Dakai ; Yuan, Qinggong ; Lüdtke, Timo H.-W ; Balakrishnan, Asha ; Sgodda, Malte ; Rani, Bhavna ; Kispert, Andreas ; Araúzo-Bravo, Marcos J ; Vogel, Arndt ; Manns, Michael P ; Ott, Michael ; Cantz, Tobias ; Sharma, Amar Deep</creator><creatorcontrib>Möbus, Selina ; Yang, Dakai ; Yuan, Qinggong ; Lüdtke, Timo H.-W ; Balakrishnan, Asha ; Sgodda, Malte ; Rani, Bhavna ; Kispert, Andreas ; Araúzo-Bravo, Marcos J ; Vogel, Arndt ; Manns, Michael P ; Ott, Michael ; Cantz, Tobias ; Sharma, Amar Deep</creatorcontrib><description>Background & Aims Current hepatic differentiation protocols for human embryonic stem cells (ESCs) require substantial improvements. MicroRNAs (miRNAs) have been reported to regulate hepatocyte cell fate during liver development, but their utility to improve hepatocyte differentiation from ESCs remains to be investigated. Therefore, our aim was to identify and to analyse hepatogenic miRNAs for their potential to improve hepatocyte differentiation from ESCs. Methods By miRNA profiling and in vitro screening, we identified miR-199a-5p among several potential hepatogenic miRNAs. Transplantation studies of miR-199a-5p-inhibited hepatocyte-like cells (HLCs) in the liver of immunodeficient fumarylacetoacetate hydrolase knockout mice ( Fah−/− /Rag2−/− /Il2rg−/− ) were performed to assess their in vivo liver repopulation potential. For target determination, western blot and luciferase reporter assay were carried out. Results miRNA profiling revealed 20 conserved candidate hepatogenic miRNAs. By miRNA screening, only miR-199a-5p inhibition in HLCs was found to be able to enhance the in vitro hepatic differentiation of mouse as well as human ESCs. miR-199a-5p inhibition in human ESCs-derived HLCs enhanced their engraftment and repopulation capacity in the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Furthermore, we identified SMARCA4 and MST1 as novel targets of miR-199a-5p that may contribute to the improved hepatocyte generation and in vivo liver repopulation. Conclusions Our findings demonstrate that miR-199a-5p inhibition in ES-derived HLCs leads to improved hepatocyte differentiation. Upon transplantation, HLCs were able to engraft and repopulate the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Thus, our findings suggest that miRNA modulation may serve as a promising approach to generate more mature HLCs from stem cell sources for the treatment of liver diseases.</description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/j.jhep.2014.08.016</identifier><identifier>PMID: 25135862</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Animals ; Blotting, Western ; Cell Differentiation ; Cells, Cultured ; Embryonic stem cells ; Gastroenterology and Hepatology ; Gene Expression Regulation ; Hepatocyte differentiation ; Hepatocytes - cytology ; Hepatocytes - metabolism ; Human Embryonic Stem Cells - cytology ; Human Embryonic Stem Cells - metabolism ; Humans ; Liver repopulation ; Liver Transplantation ; Mice ; Mice, Knockout ; MicroRNA ; MicroRNAs - antagonists & inhibitors ; MicroRNAs - biosynthesis ; MicroRNAs - genetics ; Real-Time Polymerase Chain Reaction ; RNA - genetics</subject><ispartof>Journal of hepatology, 2015-01, Vol.62 (1), p.101-110</ispartof><rights>European Association for the Study of the Liver</rights><rights>2014 European Association for the Study of the Liver</rights><rights>Copyright © 2014 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-c23a3c921e47e7b231a8d14f9d413fad25e45a634118ab4adae349ed1035bc253</citedby><cites>FETCH-LOGICAL-c477t-c23a3c921e47e7b231a8d14f9d413fad25e45a634118ab4adae349ed1035bc253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016882781400556X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25135862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Möbus, Selina</creatorcontrib><creatorcontrib>Yang, Dakai</creatorcontrib><creatorcontrib>Yuan, Qinggong</creatorcontrib><creatorcontrib>Lüdtke, Timo H.-W</creatorcontrib><creatorcontrib>Balakrishnan, Asha</creatorcontrib><creatorcontrib>Sgodda, Malte</creatorcontrib><creatorcontrib>Rani, Bhavna</creatorcontrib><creatorcontrib>Kispert, Andreas</creatorcontrib><creatorcontrib>Araúzo-Bravo, Marcos J</creatorcontrib><creatorcontrib>Vogel, Arndt</creatorcontrib><creatorcontrib>Manns, Michael P</creatorcontrib><creatorcontrib>Ott, Michael</creatorcontrib><creatorcontrib>Cantz, Tobias</creatorcontrib><creatorcontrib>Sharma, Amar Deep</creatorcontrib><title>MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells</title><title>Journal of hepatology</title><addtitle>J Hepatol</addtitle><description>Background & Aims Current hepatic differentiation protocols for human embryonic stem cells (ESCs) require substantial improvements. MicroRNAs (miRNAs) have been reported to regulate hepatocyte cell fate during liver development, but their utility to improve hepatocyte differentiation from ESCs remains to be investigated. Therefore, our aim was to identify and to analyse hepatogenic miRNAs for their potential to improve hepatocyte differentiation from ESCs. Methods By miRNA profiling and in vitro screening, we identified miR-199a-5p among several potential hepatogenic miRNAs. Transplantation studies of miR-199a-5p-inhibited hepatocyte-like cells (HLCs) in the liver of immunodeficient fumarylacetoacetate hydrolase knockout mice ( Fah−/− /Rag2−/− /Il2rg−/− ) were performed to assess their in vivo liver repopulation potential. For target determination, western blot and luciferase reporter assay were carried out. Results miRNA profiling revealed 20 conserved candidate hepatogenic miRNAs. By miRNA screening, only miR-199a-5p inhibition in HLCs was found to be able to enhance the in vitro hepatic differentiation of mouse as well as human ESCs. miR-199a-5p inhibition in human ESCs-derived HLCs enhanced their engraftment and repopulation capacity in the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Furthermore, we identified SMARCA4 and MST1 as novel targets of miR-199a-5p that may contribute to the improved hepatocyte generation and in vivo liver repopulation. Conclusions Our findings demonstrate that miR-199a-5p inhibition in ES-derived HLCs leads to improved hepatocyte differentiation. Upon transplantation, HLCs were able to engraft and repopulate the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Thus, our findings suggest that miRNA modulation may serve as a promising approach to generate more mature HLCs from stem cell sources for the treatment of liver diseases.</description><subject>Animals</subject><subject>Blotting, Western</subject><subject>Cell Differentiation</subject><subject>Cells, Cultured</subject><subject>Embryonic stem cells</subject><subject>Gastroenterology and Hepatology</subject><subject>Gene Expression Regulation</subject><subject>Hepatocyte differentiation</subject><subject>Hepatocytes - cytology</subject><subject>Hepatocytes - metabolism</subject><subject>Human Embryonic Stem Cells - cytology</subject><subject>Human Embryonic Stem Cells - metabolism</subject><subject>Humans</subject><subject>Liver repopulation</subject><subject>Liver Transplantation</subject><subject>Mice</subject><subject>Mice, Knockout</subject><subject>MicroRNA</subject><subject>MicroRNAs - antagonists & inhibitors</subject><subject>MicroRNAs - biosynthesis</subject><subject>MicroRNAs - genetics</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>RNA - genetics</subject><issn>0168-8278</issn><issn>1600-0641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFTEQhYMoznX0D7iQLN10m0rSj4AIwzA-YFTwAe5COqmm0_bLpPvC_fem544uXLgKnJxzqPqKkOfAcmBQvurzvsMl5wxkzuo8SQ_IAUrGMlZKeEgOSamzmlf1BXkSY88YE0zJx-SCFyCKuuQHcvzobZi_fLrKQCmTFQv1U-cbv_p5ojh1ZrIY6dohHfwRAw24zMs2mLt_0_jBryc6t7TbRpMCYxNO8-QtjSuO1OIwZA5DSjqaRk0peyfGp-RRa4aIz-7fS_L97c236_fZ7ed3H66vbjMrq2rNLBdGWMUBZYVVwwWY2oFslZMgWuN4gbIwpZAAtWmkcQaFVOiAiaKxvBCX5OW5dwnzrw3jqkcf9wnMhPMWNZRCSSUrrpKVn62JR4wBW70EP5pw0sD0zlv3euetd96a1TpJKfTivn9rRnR_I38AJ8PrswHTlkePQUfrMUF1PqBdtZv9__vf_BO3g098zfATTxj7eQtT4qdBR66Z_rpffD84SMaKovwhfgOyZqc5</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Möbus, Selina</creator><creator>Yang, Dakai</creator><creator>Yuan, Qinggong</creator><creator>Lüdtke, Timo H.-W</creator><creator>Balakrishnan, Asha</creator><creator>Sgodda, Malte</creator><creator>Rani, Bhavna</creator><creator>Kispert, Andreas</creator><creator>Araúzo-Bravo, Marcos J</creator><creator>Vogel, Arndt</creator><creator>Manns, Michael P</creator><creator>Ott, Michael</creator><creator>Cantz, Tobias</creator><creator>Sharma, Amar Deep</creator><general>Elsevier B.V</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>7X8</scope></search><sort><creationdate>20150101</creationdate><title>MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells</title><author>Möbus, Selina ; Yang, Dakai ; Yuan, Qinggong ; Lüdtke, Timo H.-W ; Balakrishnan, Asha ; Sgodda, Malte ; Rani, Bhavna ; Kispert, Andreas ; Araúzo-Bravo, Marcos J ; Vogel, Arndt ; Manns, Michael P ; Ott, Michael ; Cantz, Tobias ; Sharma, Amar Deep</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-c23a3c921e47e7b231a8d14f9d413fad25e45a634118ab4adae349ed1035bc253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Blotting, Western</topic><topic>Cell Differentiation</topic><topic>Cells, Cultured</topic><topic>Embryonic stem cells</topic><topic>Gastroenterology and Hepatology</topic><topic>Gene Expression Regulation</topic><topic>Hepatocyte differentiation</topic><topic>Hepatocytes - cytology</topic><topic>Hepatocytes - metabolism</topic><topic>Human Embryonic Stem Cells - cytology</topic><topic>Human Embryonic Stem Cells - metabolism</topic><topic>Humans</topic><topic>Liver repopulation</topic><topic>Liver Transplantation</topic><topic>Mice</topic><topic>Mice, Knockout</topic><topic>MicroRNA</topic><topic>MicroRNAs - antagonists & inhibitors</topic><topic>MicroRNAs - biosynthesis</topic><topic>MicroRNAs - genetics</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>RNA - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Möbus, Selina</creatorcontrib><creatorcontrib>Yang, Dakai</creatorcontrib><creatorcontrib>Yuan, Qinggong</creatorcontrib><creatorcontrib>Lüdtke, Timo H.-W</creatorcontrib><creatorcontrib>Balakrishnan, Asha</creatorcontrib><creatorcontrib>Sgodda, Malte</creatorcontrib><creatorcontrib>Rani, Bhavna</creatorcontrib><creatorcontrib>Kispert, Andreas</creatorcontrib><creatorcontrib>Araúzo-Bravo, Marcos J</creatorcontrib><creatorcontrib>Vogel, Arndt</creatorcontrib><creatorcontrib>Manns, Michael P</creatorcontrib><creatorcontrib>Ott, Michael</creatorcontrib><creatorcontrib>Cantz, Tobias</creatorcontrib><creatorcontrib>Sharma, Amar Deep</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Möbus, Selina</au><au>Yang, Dakai</au><au>Yuan, Qinggong</au><au>Lüdtke, Timo H.-W</au><au>Balakrishnan, Asha</au><au>Sgodda, Malte</au><au>Rani, Bhavna</au><au>Kispert, Andreas</au><au>Araúzo-Bravo, Marcos J</au><au>Vogel, Arndt</au><au>Manns, Michael P</au><au>Ott, Michael</au><au>Cantz, Tobias</au><au>Sharma, Amar Deep</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>62</volume><issue>1</issue><spage>101</spage><epage>110</epage><pages>101-110</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><abstract>Background & Aims Current hepatic differentiation protocols for human embryonic stem cells (ESCs) require substantial improvements. MicroRNAs (miRNAs) have been reported to regulate hepatocyte cell fate during liver development, but their utility to improve hepatocyte differentiation from ESCs remains to be investigated. Therefore, our aim was to identify and to analyse hepatogenic miRNAs for their potential to improve hepatocyte differentiation from ESCs. Methods By miRNA profiling and in vitro screening, we identified miR-199a-5p among several potential hepatogenic miRNAs. Transplantation studies of miR-199a-5p-inhibited hepatocyte-like cells (HLCs) in the liver of immunodeficient fumarylacetoacetate hydrolase knockout mice ( Fah−/− /Rag2−/− /Il2rg−/− ) were performed to assess their in vivo liver repopulation potential. For target determination, western blot and luciferase reporter assay were carried out. Results miRNA profiling revealed 20 conserved candidate hepatogenic miRNAs. By miRNA screening, only miR-199a-5p inhibition in HLCs was found to be able to enhance the in vitro hepatic differentiation of mouse as well as human ESCs. miR-199a-5p inhibition in human ESCs-derived HLCs enhanced their engraftment and repopulation capacity in the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Furthermore, we identified SMARCA4 and MST1 as novel targets of miR-199a-5p that may contribute to the improved hepatocyte generation and in vivo liver repopulation. Conclusions Our findings demonstrate that miR-199a-5p inhibition in ES-derived HLCs leads to improved hepatocyte differentiation. Upon transplantation, HLCs were able to engraft and repopulate the liver of Fah−/− /Rag2−/− /Il2rg−/− mice. Thus, our findings suggest that miRNA modulation may serve as a promising approach to generate more mature HLCs from stem cell sources for the treatment of liver diseases.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>25135862</pmid><doi>10.1016/j.jhep.2014.08.016</doi><tpages>10</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0168-8278 |
ispartof | Journal of hepatology, 2015-01, Vol.62 (1), p.101-110 |
issn | 0168-8278 1600-0641 |
language | eng |
recordid | cdi_proquest_miscellaneous_1639494729 |
source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Animals Blotting, Western Cell Differentiation Cells, Cultured Embryonic stem cells Gastroenterology and Hepatology Gene Expression Regulation Hepatocyte differentiation Hepatocytes - cytology Hepatocytes - metabolism Human Embryonic Stem Cells - cytology Human Embryonic Stem Cells - metabolism Humans Liver repopulation Liver Transplantation Mice Mice, Knockout MicroRNA MicroRNAs - antagonists & inhibitors MicroRNAs - biosynthesis MicroRNAs - genetics Real-Time Polymerase Chain Reaction RNA - genetics |
title | MicroRNA-199a-5p inhibition enhances the liver repopulation ability of human embryonic stem cell-derived hepatic cells |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T22%3A07%3A27IST&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=MicroRNA-199a-5p%20inhibition%20enhances%20the%20liver%20repopulation%20ability%20of%20human%20embryonic%20stem%20cell-derived%20hepatic%20cells&rft.jtitle=Journal%20of%20hepatology&rft.au=M%C3%B6bus,%20Selina&rft.date=2015-01-01&rft.volume=62&rft.issue=1&rft.spage=101&rft.epage=110&rft.pages=101-110&rft.issn=0168-8278&rft.eissn=1600-0641&rft_id=info:doi/10.1016/j.jhep.2014.08.016&rft_dat=%3Cproquest_cross%3E1639494729%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=1639494729&rft_id=info:pmid/25135862&rft_els_id=S016882781400556X&rfr_iscdi=true |