Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD)
Previous studies have reported the association of GABA receptor subunits B3 , A5 , and G3 single-nucleotide polymorphisms (SNPs) in chromosome 15q11–q13 with autism spectrum disorders (ASDs). However, the currently available results are inconsistent. This study aimed to investigate the association b...
Gespeichert in:
Veröffentlicht in: | Journal of molecular neuroscience 2018-05, Vol.65 (1), p.1-9 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 9 |
---|---|
container_issue | 1 |
container_start_page | 1 |
container_title | Journal of molecular neuroscience |
container_volume | 65 |
creator | Mahdavi, Manijeh Kheirollahi, Majid Riahi, Roya Khorvash, Fariborz Khorrami, Mehdi Mirsafaie, Maryam |
description | Previous studies have reported the association of GABA receptor subunits
B3
,
A5
, and
G3
single-nucleotide polymorphisms (SNPs) in chromosome 15q11–q13 with autism spectrum disorders (ASDs). However, the currently available results are inconsistent. This study aimed to investigate the association between ASD and the GABA receptor SNPs in chromosomal region 15q11–q13. The association was calculated by the overall odds ratio (OR) with a 95% confidence interval (CI). We used sensitivity analyses and the assessment of publication bias in our meta-analysis. Eight independent case-control studies involving 1408 cases and 2846 healthy controls were analyzed, namely, 8 studies for
GABRB3
SNPs as well as 4 studies for
GABRA5
and
GABRG3
polymorphisms. The meta-analysis showed that
GABRB3
polymorphisms in general are not significantly associated with autism [OR = 0.846 (95% CI): 0.595–1.201, I
2
= 79.1%]. Further analysis indicated that no associations were found between
GABRB3
SNPs and autism on rs2081648 [OR = 0.84 (95% CI) = 0.41–1.72, I
2
= 89.2%] and rs1426217 [OR = 1.13 (95% CI) = 0.64–2.0, I
2
= 83%]. An OR of 0.95 (95% CI) = 0.77–1.17 was reported (I
2
= 0.0%) for
GABRA5
SNPs and an OR of 0.96 (95% CI) = 0.24–3.81 was obtained from
GABRG3
SNPs (I
2
= 97.8%). This meta-analysis provides strong evidence that different SNPs of GABA receptor
B3
,
A5
, and
G3
subunit genes located on chromosome 15q11–q13 are not associated with the development of autism spectrum diseases in different ethnic populations. However, in future research, large-scale and high-quality studies are necessary to confirm the results. |
doi_str_mv | 10.1007/s12031-018-1073-7 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2035245225</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2035245225</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-b7955c05372ef5d8729b6b1915e9704773f41c3b8b7f61a1f670bae0bd3447803</originalsourceid><addsrcrecordid>eNp1kUFv1DAQhS0EokvhB3BBlriUg6nHieP4GFpoK7UCUThbdjJpUyVxajtC--_xdguVkDjNjOabN9J7hLwF_hE4V8cRBC-AcagZcFUw9YxsQErNAKrqOdnwWktWV7o6IK9ivONcQAn1S3IgtBJS1-WG3FxhsqyZ7biNQ6S-p-kWaROjbwebBj9Th-kX4kzPmk8N_Y4tLskH-s2P28mH5XaIU6R27mizptzT6wXbFNaJng7Rhw4DPWquTz-8Ji96O0Z881gPyc8vn3-cnLPLr2cXJ80lawslEnNKS9lymQfsZVcroV3lQINErXipVNGX0BaudqqvwEJfKe4sctcVZalqXhySo73uEvz9ijGZaYgtjqOd0a_RZMOkKKUQMqPv_0Hv_BqyEw9UuTOPi0zBnmqDjzFgb5YwTDZsDXCzS8HsUzA5BbNLwah88-5ReXUTdn8v_tieAbEHYl7NNxieXv9f9TdInZAb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2034089502</pqid></control><display><type>article</type><title>Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD)</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Mahdavi, Manijeh ; Kheirollahi, Majid ; Riahi, Roya ; Khorvash, Fariborz ; Khorrami, Mehdi ; Mirsafaie, Maryam</creator><creatorcontrib>Mahdavi, Manijeh ; Kheirollahi, Majid ; Riahi, Roya ; Khorvash, Fariborz ; Khorrami, Mehdi ; Mirsafaie, Maryam</creatorcontrib><description>Previous studies have reported the association of GABA receptor subunits
B3
,
A5
, and
G3
single-nucleotide polymorphisms (SNPs) in chromosome 15q11–q13 with autism spectrum disorders (ASDs). However, the currently available results are inconsistent. This study aimed to investigate the association between ASD and the GABA receptor SNPs in chromosomal region 15q11–q13. The association was calculated by the overall odds ratio (OR) with a 95% confidence interval (CI). We used sensitivity analyses and the assessment of publication bias in our meta-analysis. Eight independent case-control studies involving 1408 cases and 2846 healthy controls were analyzed, namely, 8 studies for
GABRB3
SNPs as well as 4 studies for
GABRA5
and
GABRG3
polymorphisms. The meta-analysis showed that
GABRB3
polymorphisms in general are not significantly associated with autism [OR = 0.846 (95% CI): 0.595–1.201, I
2
= 79.1%]. Further analysis indicated that no associations were found between
GABRB3
SNPs and autism on rs2081648 [OR = 0.84 (95% CI) = 0.41–1.72, I
2
= 89.2%] and rs1426217 [OR = 1.13 (95% CI) = 0.64–2.0, I
2
= 83%]. An OR of 0.95 (95% CI) = 0.77–1.17 was reported (I
2
= 0.0%) for
GABRA5
SNPs and an OR of 0.96 (95% CI) = 0.24–3.81 was obtained from
GABRG3
SNPs (I
2
= 97.8%). This meta-analysis provides strong evidence that different SNPs of GABA receptor
B3
,
A5
, and
G3
subunit genes located on chromosome 15q11–q13 are not associated with the development of autism spectrum diseases in different ethnic populations. However, in future research, large-scale and high-quality studies are necessary to confirm the results.</description><identifier>ISSN: 0895-8696</identifier><identifier>EISSN: 1559-1166</identifier><identifier>DOI: 10.1007/s12031-018-1073-7</identifier><identifier>PMID: 29725984</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Autism ; Autism Spectrum Disorder - genetics ; Biomedical and Life Sciences ; Biomedicine ; Cell Biology ; Chromosome 15 ; Confidence intervals ; Humans ; Meta-analysis ; Neurochemistry ; Neurology ; Neurosciences ; Neurotransmitters ; Polymorphism ; Polymorphism, Single Nucleotide ; Proteomics ; Receptors, GABA-A - genetics ; Sensitivity analysis ; Single-nucleotide polymorphism ; Systematic review ; γ-Aminobutyric acid</subject><ispartof>Journal of molecular neuroscience, 2018-05, Vol.65 (1), p.1-9</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Journal of Molecular Neuroscience is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-b7955c05372ef5d8729b6b1915e9704773f41c3b8b7f61a1f670bae0bd3447803</citedby><cites>FETCH-LOGICAL-c372t-b7955c05372ef5d8729b6b1915e9704773f41c3b8b7f61a1f670bae0bd3447803</cites><orcidid>0000-0001-7307-4287</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12031-018-1073-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12031-018-1073-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29725984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mahdavi, Manijeh</creatorcontrib><creatorcontrib>Kheirollahi, Majid</creatorcontrib><creatorcontrib>Riahi, Roya</creatorcontrib><creatorcontrib>Khorvash, Fariborz</creatorcontrib><creatorcontrib>Khorrami, Mehdi</creatorcontrib><creatorcontrib>Mirsafaie, Maryam</creatorcontrib><title>Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD)</title><title>Journal of molecular neuroscience</title><addtitle>J Mol Neurosci</addtitle><addtitle>J Mol Neurosci</addtitle><description>Previous studies have reported the association of GABA receptor subunits
B3
,
A5
, and
G3
single-nucleotide polymorphisms (SNPs) in chromosome 15q11–q13 with autism spectrum disorders (ASDs). However, the currently available results are inconsistent. This study aimed to investigate the association between ASD and the GABA receptor SNPs in chromosomal region 15q11–q13. The association was calculated by the overall odds ratio (OR) with a 95% confidence interval (CI). We used sensitivity analyses and the assessment of publication bias in our meta-analysis. Eight independent case-control studies involving 1408 cases and 2846 healthy controls were analyzed, namely, 8 studies for
GABRB3
SNPs as well as 4 studies for
GABRA5
and
GABRG3
polymorphisms. The meta-analysis showed that
GABRB3
polymorphisms in general are not significantly associated with autism [OR = 0.846 (95% CI): 0.595–1.201, I
2
= 79.1%]. Further analysis indicated that no associations were found between
GABRB3
SNPs and autism on rs2081648 [OR = 0.84 (95% CI) = 0.41–1.72, I
2
= 89.2%] and rs1426217 [OR = 1.13 (95% CI) = 0.64–2.0, I
2
= 83%]. An OR of 0.95 (95% CI) = 0.77–1.17 was reported (I
2
= 0.0%) for
GABRA5
SNPs and an OR of 0.96 (95% CI) = 0.24–3.81 was obtained from
GABRG3
SNPs (I
2
= 97.8%). This meta-analysis provides strong evidence that different SNPs of GABA receptor
B3
,
A5
, and
G3
subunit genes located on chromosome 15q11–q13 are not associated with the development of autism spectrum diseases in different ethnic populations. However, in future research, large-scale and high-quality studies are necessary to confirm the results.</description><subject>Autism</subject><subject>Autism Spectrum Disorder - genetics</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cell Biology</subject><subject>Chromosome 15</subject><subject>Confidence intervals</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Neurotransmitters</subject><subject>Polymorphism</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Proteomics</subject><subject>Receptors, GABA-A - genetics</subject><subject>Sensitivity analysis</subject><subject>Single-nucleotide polymorphism</subject><subject>Systematic review</subject><subject>γ-Aminobutyric acid</subject><issn>0895-8696</issn><issn>1559-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kUFv1DAQhS0EokvhB3BBlriUg6nHieP4GFpoK7UCUThbdjJpUyVxajtC--_xdguVkDjNjOabN9J7hLwF_hE4V8cRBC-AcagZcFUw9YxsQErNAKrqOdnwWktWV7o6IK9ivONcQAn1S3IgtBJS1-WG3FxhsqyZ7biNQ6S-p-kWaROjbwebBj9Th-kX4kzPmk8N_Y4tLskH-s2P28mH5XaIU6R27mizptzT6wXbFNaJng7Rhw4DPWquTz-8Ji96O0Z881gPyc8vn3-cnLPLr2cXJ80lawslEnNKS9lymQfsZVcroV3lQINErXipVNGX0BaudqqvwEJfKe4sctcVZalqXhySo73uEvz9ijGZaYgtjqOd0a_RZMOkKKUQMqPv_0Hv_BqyEw9UuTOPi0zBnmqDjzFgb5YwTDZsDXCzS8HsUzA5BbNLwah88-5ReXUTdn8v_tieAbEHYl7NNxieXv9f9TdInZAb</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Mahdavi, Manijeh</creator><creator>Kheirollahi, Majid</creator><creator>Riahi, Roya</creator><creator>Khorvash, Fariborz</creator><creator>Khorrami, Mehdi</creator><creator>Mirsafaie, Maryam</creator><general>Springer US</general><general>Springer Nature 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>3V.</scope><scope>7QL</scope><scope>7QR</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7307-4287</orcidid></search><sort><creationdate>20180501</creationdate><title>Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD)</title><author>Mahdavi, Manijeh ; Kheirollahi, Majid ; Riahi, Roya ; Khorvash, Fariborz ; Khorrami, Mehdi ; Mirsafaie, Maryam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b7955c05372ef5d8729b6b1915e9704773f41c3b8b7f61a1f670bae0bd3447803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Autism</topic><topic>Autism Spectrum Disorder - genetics</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cell Biology</topic><topic>Chromosome 15</topic><topic>Confidence intervals</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Neurotransmitters</topic><topic>Polymorphism</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Proteomics</topic><topic>Receptors, GABA-A - genetics</topic><topic>Sensitivity analysis</topic><topic>Single-nucleotide polymorphism</topic><topic>Systematic review</topic><topic>γ-Aminobutyric acid</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mahdavi, Manijeh</creatorcontrib><creatorcontrib>Kheirollahi, Majid</creatorcontrib><creatorcontrib>Riahi, Roya</creatorcontrib><creatorcontrib>Khorvash, Fariborz</creatorcontrib><creatorcontrib>Khorrami, Mehdi</creatorcontrib><creatorcontrib>Mirsafaie, Maryam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Chemoreception Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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 Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</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>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of molecular neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mahdavi, Manijeh</au><au>Kheirollahi, Majid</au><au>Riahi, Roya</au><au>Khorvash, Fariborz</au><au>Khorrami, Mehdi</au><au>Mirsafaie, Maryam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD)</atitle><jtitle>Journal of molecular neuroscience</jtitle><stitle>J Mol Neurosci</stitle><addtitle>J Mol Neurosci</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>65</volume><issue>1</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>0895-8696</issn><eissn>1559-1166</eissn><abstract>Previous studies have reported the association of GABA receptor subunits
B3
,
A5
, and
G3
single-nucleotide polymorphisms (SNPs) in chromosome 15q11–q13 with autism spectrum disorders (ASDs). However, the currently available results are inconsistent. This study aimed to investigate the association between ASD and the GABA receptor SNPs in chromosomal region 15q11–q13. The association was calculated by the overall odds ratio (OR) with a 95% confidence interval (CI). We used sensitivity analyses and the assessment of publication bias in our meta-analysis. Eight independent case-control studies involving 1408 cases and 2846 healthy controls were analyzed, namely, 8 studies for
GABRB3
SNPs as well as 4 studies for
GABRA5
and
GABRG3
polymorphisms. The meta-analysis showed that
GABRB3
polymorphisms in general are not significantly associated with autism [OR = 0.846 (95% CI): 0.595–1.201, I
2
= 79.1%]. Further analysis indicated that no associations were found between
GABRB3
SNPs and autism on rs2081648 [OR = 0.84 (95% CI) = 0.41–1.72, I
2
= 89.2%] and rs1426217 [OR = 1.13 (95% CI) = 0.64–2.0, I
2
= 83%]. An OR of 0.95 (95% CI) = 0.77–1.17 was reported (I
2
= 0.0%) for
GABRA5
SNPs and an OR of 0.96 (95% CI) = 0.24–3.81 was obtained from
GABRG3
SNPs (I
2
= 97.8%). This meta-analysis provides strong evidence that different SNPs of GABA receptor
B3
,
A5
, and
G3
subunit genes located on chromosome 15q11–q13 are not associated with the development of autism spectrum diseases in different ethnic populations. However, in future research, large-scale and high-quality studies are necessary to confirm the results.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29725984</pmid><doi>10.1007/s12031-018-1073-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7307-4287</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0895-8696 |
ispartof | Journal of molecular neuroscience, 2018-05, Vol.65 (1), p.1-9 |
issn | 0895-8696 1559-1166 |
language | eng |
recordid | cdi_proquest_miscellaneous_2035245225 |
source | MEDLINE; SpringerNature Journals |
subjects | Autism Autism Spectrum Disorder - genetics Biomedical and Life Sciences Biomedicine Cell Biology Chromosome 15 Confidence intervals Humans Meta-analysis Neurochemistry Neurology Neurosciences Neurotransmitters Polymorphism Polymorphism, Single Nucleotide Proteomics Receptors, GABA-A - genetics Sensitivity analysis Single-nucleotide polymorphism Systematic review γ-Aminobutyric acid |
title | Meta-Analysis of the Association between GABA Receptor Polymorphisms and Autism Spectrum Disorder (ASD) |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T09%3A26%3A34IST&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=Meta-Analysis%20of%20the%20Association%20between%20GABA%20Receptor%20Polymorphisms%20and%20Autism%20Spectrum%20Disorder%20(ASD)&rft.jtitle=Journal%20of%20molecular%20neuroscience&rft.au=Mahdavi,%20Manijeh&rft.date=2018-05-01&rft.volume=65&rft.issue=1&rft.spage=1&rft.epage=9&rft.pages=1-9&rft.issn=0895-8696&rft.eissn=1559-1166&rft_id=info:doi/10.1007/s12031-018-1073-7&rft_dat=%3Cproquest_cross%3E2035245225%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=2034089502&rft_id=info:pmid/29725984&rfr_iscdi=true |