In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage

This study aimed to evaluate in vitro fermentation characteristics, microbial protein synthesis and microbial community composition when replacing maize silage (MS) with red clover silage (RCS) in total mixed rations (TMR) of dairy cows. Treatments included TMR containing forage (MS and RCS) and con...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of animal physiology and animal nutrition 2018-12, Vol.102 (6), p.1450-1463
Hauptverfasser: Castro‐Montoya, Joaquín, Witzig, Maren, Rahman, Mizanur, Westreicher‐Kristen, Edwin, Dickhoefer, Uta
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1463
container_issue 6
container_start_page 1450
container_title Journal of animal physiology and animal nutrition
container_volume 102
creator Castro‐Montoya, Joaquín
Witzig, Maren
Rahman, Mizanur
Westreicher‐Kristen, Edwin
Dickhoefer, Uta
description This study aimed to evaluate in vitro fermentation characteristics, microbial protein synthesis and microbial community composition when replacing maize silage (MS) with red clover silage (RCS) in total mixed rations (TMR) of dairy cows. Treatments included TMR containing forage (MS and RCS) and concentrates (0.75:0.25) with targeted proportions (dry matter (DM) basis) of RCS in TMR of 0.15 (RCS15), 0.30 (RCS30), 0.45 (RCS45), and 0.60 (RCS60), in substitution of MS. Samples of the TMR were incubated using the in vitro Ankom RF technique with a mixture of rumen fluid and buffer solution (1:2 v/v) for 8 and 24 hr. Gas production and total short‐chain fatty acids concentration did not differ between diets, whereas ammonia‐nitrogen concentration increased with increasing level of RCS. Acetate proportion was not affected by RCS level, but propionate showed a linear increase with increasing level of RCS at the expenses of butyrate. Branched fatty acids proportions linearly declined, reflecting a reduced deamination of true protein. Gene copy numbers of protozoa linearly decreased with increasing RCS levels, while total numbers of bacteria and methanogens were not affected by diet. The amylolytic bacteria Ruminobacter amylophillus and Prevotella bryantii showed evidence to increase with higher RCS levels after 8 hr and 24 hr, respectively, whereas no effects of diet where observed for the fibrolytic bacteria Ruminococcus albus, Ruminococcus flavefaciens and Fibrobacter succinogenes. Concentrations of purine bases, and total N production in liquid‐associated microbes declined with increasing RCS levels, suggesting a negative impact of this feed on microbial growth. The findings of this study suggest that in general, microbial protein synthesis might be impaired by the substitution of MS by RCS, therefore caution should be taken when formulating diets for dairy cows using high levels of RCS as ingredient.
doi_str_mv 10.1111/jpn.12970
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2087995808</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2130797639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3530-df9458f07c446c42761ec27d83b5e4e7709e3c47bb8a76d3fff0af5ca01408c43</originalsourceid><addsrcrecordid>eNp1kcFu1DAURS0EokNhwQ8gS2xAatrnOInjJaoKFFXAAtaR4zy3HiV2sJ22w_f0Q-vpTBFCwpsn3Xd0ZPsS8prBMcvnZD27Y1ZKAU_IilVcFsBl85SsQHJWlDk4IC9iXAMwUUPznBxwAClFy1fk7tzRa5uCp2GZ0FGDIY-kkvXuiE5WB99bNdI5-ITW0bhx6QqjjVS5gWo_zT7aLUy9-QvPi2lxNm22cfIpR5O9xYGGB3OkAedRaesu6aTsb6TRjuoS6Y1NV3mXzaO_xrCPX5JnRo0RX-3nIfn58ezH6efi4tun89MPF4XmNYdiMLKqWwNCV1Wjq1I0DHUphpb3NVYoBEjkuhJ93yrRDNwYA8rUWgGroNUVPyTvdt782l8LxtRNNmocR-XQL7EroRVS1i20GX37D7r2S3D5dl3JOAgpGi4z9X5H5X-JMaDp5mAnFTYdg25bXZer6x6qy-ybvXHpJxz-kI9dZeBkB9zYETf_N3Vfvn_dKe8BUvCmpg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2130797639</pqid></control><display><type>article</type><title>In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Castro‐Montoya, Joaquín ; Witzig, Maren ; Rahman, Mizanur ; Westreicher‐Kristen, Edwin ; Dickhoefer, Uta</creator><creatorcontrib>Castro‐Montoya, Joaquín ; Witzig, Maren ; Rahman, Mizanur ; Westreicher‐Kristen, Edwin ; Dickhoefer, Uta</creatorcontrib><description>This study aimed to evaluate in vitro fermentation characteristics, microbial protein synthesis and microbial community composition when replacing maize silage (MS) with red clover silage (RCS) in total mixed rations (TMR) of dairy cows. Treatments included TMR containing forage (MS and RCS) and concentrates (0.75:0.25) with targeted proportions (dry matter (DM) basis) of RCS in TMR of 0.15 (RCS15), 0.30 (RCS30), 0.45 (RCS45), and 0.60 (RCS60), in substitution of MS. Samples of the TMR were incubated using the in vitro Ankom RF technique with a mixture of rumen fluid and buffer solution (1:2 v/v) for 8 and 24 hr. Gas production and total short‐chain fatty acids concentration did not differ between diets, whereas ammonia‐nitrogen concentration increased with increasing level of RCS. Acetate proportion was not affected by RCS level, but propionate showed a linear increase with increasing level of RCS at the expenses of butyrate. Branched fatty acids proportions linearly declined, reflecting a reduced deamination of true protein. Gene copy numbers of protozoa linearly decreased with increasing RCS levels, while total numbers of bacteria and methanogens were not affected by diet. The amylolytic bacteria Ruminobacter amylophillus and Prevotella bryantii showed evidence to increase with higher RCS levels after 8 hr and 24 hr, respectively, whereas no effects of diet where observed for the fibrolytic bacteria Ruminococcus albus, Ruminococcus flavefaciens and Fibrobacter succinogenes. Concentrations of purine bases, and total N production in liquid‐associated microbes declined with increasing RCS levels, suggesting a negative impact of this feed on microbial growth. The findings of this study suggest that in general, microbial protein synthesis might be impaired by the substitution of MS by RCS, therefore caution should be taken when formulating diets for dairy cows using high levels of RCS as ingredient.</description><identifier>ISSN: 0931-2439</identifier><identifier>EISSN: 1439-0396</identifier><identifier>DOI: 10.1111/jpn.12970</identifier><identifier>PMID: 30099783</identifier><language>eng</language><publisher>Germany: Wiley Subscription Services, Inc</publisher><subject>Acetic acid ; Ammonia ; Animals ; Bacteria ; Bacteria - metabolism ; Buffer solutions ; Cattle ; Clover ; Communities ; Community composition ; Composition ; Corn ; Corn silage ; Costs ; Dairy cattle ; Deamination ; Diet ; Digestion ; Dry matter ; Fatty acids ; Fermentation ; Gas production ; maize silage ; Methanogenic bacteria ; microbial protein synthesis ; Microbiomes ; Microorganisms ; Nitrogen ; Propionic acid ; Protein biosynthesis ; Protein Biosynthesis - physiology ; Protein composition ; Protein synthesis ; Proteins ; Protozoa ; Rations ; Red clover ; Red clover silage ; Rumen ; Rumen - physiology ; ruminal microbial populations ; Silage ; Silage - analysis ; Substitutes ; Total mixed rations ; Trifolium - chemistry ; Trifolium pratense ; Zea mays - chemistry</subject><ispartof>Journal of animal physiology and animal nutrition, 2018-12, Vol.102 (6), p.1450-1463</ispartof><rights>2018 Blackwell Verlag GmbH</rights><rights>2018 Blackwell Verlag GmbH.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-df9458f07c446c42761ec27d83b5e4e7709e3c47bb8a76d3fff0af5ca01408c43</citedby><cites>FETCH-LOGICAL-c3530-df9458f07c446c42761ec27d83b5e4e7709e3c47bb8a76d3fff0af5ca01408c43</cites><orcidid>0000-0002-6001-8988 ; 0000-0002-7285-4465</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpn.12970$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpn.12970$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30099783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castro‐Montoya, Joaquín</creatorcontrib><creatorcontrib>Witzig, Maren</creatorcontrib><creatorcontrib>Rahman, Mizanur</creatorcontrib><creatorcontrib>Westreicher‐Kristen, Edwin</creatorcontrib><creatorcontrib>Dickhoefer, Uta</creatorcontrib><title>In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage</title><title>Journal of animal physiology and animal nutrition</title><addtitle>J Anim Physiol Anim Nutr (Berl)</addtitle><description>This study aimed to evaluate in vitro fermentation characteristics, microbial protein synthesis and microbial community composition when replacing maize silage (MS) with red clover silage (RCS) in total mixed rations (TMR) of dairy cows. Treatments included TMR containing forage (MS and RCS) and concentrates (0.75:0.25) with targeted proportions (dry matter (DM) basis) of RCS in TMR of 0.15 (RCS15), 0.30 (RCS30), 0.45 (RCS45), and 0.60 (RCS60), in substitution of MS. Samples of the TMR were incubated using the in vitro Ankom RF technique with a mixture of rumen fluid and buffer solution (1:2 v/v) for 8 and 24 hr. Gas production and total short‐chain fatty acids concentration did not differ between diets, whereas ammonia‐nitrogen concentration increased with increasing level of RCS. Acetate proportion was not affected by RCS level, but propionate showed a linear increase with increasing level of RCS at the expenses of butyrate. Branched fatty acids proportions linearly declined, reflecting a reduced deamination of true protein. Gene copy numbers of protozoa linearly decreased with increasing RCS levels, while total numbers of bacteria and methanogens were not affected by diet. The amylolytic bacteria Ruminobacter amylophillus and Prevotella bryantii showed evidence to increase with higher RCS levels after 8 hr and 24 hr, respectively, whereas no effects of diet where observed for the fibrolytic bacteria Ruminococcus albus, Ruminococcus flavefaciens and Fibrobacter succinogenes. Concentrations of purine bases, and total N production in liquid‐associated microbes declined with increasing RCS levels, suggesting a negative impact of this feed on microbial growth. The findings of this study suggest that in general, microbial protein synthesis might be impaired by the substitution of MS by RCS, therefore caution should be taken when formulating diets for dairy cows using high levels of RCS as ingredient.</description><subject>Acetic acid</subject><subject>Ammonia</subject><subject>Animals</subject><subject>Bacteria</subject><subject>Bacteria - metabolism</subject><subject>Buffer solutions</subject><subject>Cattle</subject><subject>Clover</subject><subject>Communities</subject><subject>Community composition</subject><subject>Composition</subject><subject>Corn</subject><subject>Corn silage</subject><subject>Costs</subject><subject>Dairy cattle</subject><subject>Deamination</subject><subject>Diet</subject><subject>Digestion</subject><subject>Dry matter</subject><subject>Fatty acids</subject><subject>Fermentation</subject><subject>Gas production</subject><subject>maize silage</subject><subject>Methanogenic bacteria</subject><subject>microbial protein synthesis</subject><subject>Microbiomes</subject><subject>Microorganisms</subject><subject>Nitrogen</subject><subject>Propionic acid</subject><subject>Protein biosynthesis</subject><subject>Protein Biosynthesis - physiology</subject><subject>Protein composition</subject><subject>Protein synthesis</subject><subject>Proteins</subject><subject>Protozoa</subject><subject>Rations</subject><subject>Red clover</subject><subject>Red clover silage</subject><subject>Rumen</subject><subject>Rumen - physiology</subject><subject>ruminal microbial populations</subject><subject>Silage</subject><subject>Silage - analysis</subject><subject>Substitutes</subject><subject>Total mixed rations</subject><subject>Trifolium - chemistry</subject><subject>Trifolium pratense</subject><subject>Zea mays - chemistry</subject><issn>0931-2439</issn><issn>1439-0396</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAURS0EokNhwQ8gS2xAatrnOInjJaoKFFXAAtaR4zy3HiV2sJ22w_f0Q-vpTBFCwpsn3Xd0ZPsS8prBMcvnZD27Y1ZKAU_IilVcFsBl85SsQHJWlDk4IC9iXAMwUUPznBxwAClFy1fk7tzRa5uCp2GZ0FGDIY-kkvXuiE5WB99bNdI5-ITW0bhx6QqjjVS5gWo_zT7aLUy9-QvPi2lxNm22cfIpR5O9xYGGB3OkAedRaesu6aTsb6TRjuoS6Y1NV3mXzaO_xrCPX5JnRo0RX-3nIfn58ezH6efi4tun89MPF4XmNYdiMLKqWwNCV1Wjq1I0DHUphpb3NVYoBEjkuhJ93yrRDNwYA8rUWgGroNUVPyTvdt782l8LxtRNNmocR-XQL7EroRVS1i20GX37D7r2S3D5dl3JOAgpGi4z9X5H5X-JMaDp5mAnFTYdg25bXZer6x6qy-ybvXHpJxz-kI9dZeBkB9zYETf_N3Vfvn_dKe8BUvCmpg</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Castro‐Montoya, Joaquín</creator><creator>Witzig, Maren</creator><creator>Rahman, Mizanur</creator><creator>Westreicher‐Kristen, Edwin</creator><creator>Dickhoefer, Uta</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>7QG</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6001-8988</orcidid><orcidid>https://orcid.org/0000-0002-7285-4465</orcidid></search><sort><creationdate>201812</creationdate><title>In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage</title><author>Castro‐Montoya, Joaquín ; Witzig, Maren ; Rahman, Mizanur ; Westreicher‐Kristen, Edwin ; Dickhoefer, Uta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-df9458f07c446c42761ec27d83b5e4e7709e3c47bb8a76d3fff0af5ca01408c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acetic acid</topic><topic>Ammonia</topic><topic>Animals</topic><topic>Bacteria</topic><topic>Bacteria - metabolism</topic><topic>Buffer solutions</topic><topic>Cattle</topic><topic>Clover</topic><topic>Communities</topic><topic>Community composition</topic><topic>Composition</topic><topic>Corn</topic><topic>Corn silage</topic><topic>Costs</topic><topic>Dairy cattle</topic><topic>Deamination</topic><topic>Diet</topic><topic>Digestion</topic><topic>Dry matter</topic><topic>Fatty acids</topic><topic>Fermentation</topic><topic>Gas production</topic><topic>maize silage</topic><topic>Methanogenic bacteria</topic><topic>microbial protein synthesis</topic><topic>Microbiomes</topic><topic>Microorganisms</topic><topic>Nitrogen</topic><topic>Propionic acid</topic><topic>Protein biosynthesis</topic><topic>Protein Biosynthesis - physiology</topic><topic>Protein composition</topic><topic>Protein synthesis</topic><topic>Proteins</topic><topic>Protozoa</topic><topic>Rations</topic><topic>Red clover</topic><topic>Red clover silage</topic><topic>Rumen</topic><topic>Rumen - physiology</topic><topic>ruminal microbial populations</topic><topic>Silage</topic><topic>Silage - analysis</topic><topic>Substitutes</topic><topic>Total mixed rations</topic><topic>Trifolium - chemistry</topic><topic>Trifolium pratense</topic><topic>Zea mays - chemistry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Castro‐Montoya, Joaquín</creatorcontrib><creatorcontrib>Witzig, Maren</creatorcontrib><creatorcontrib>Rahman, Mizanur</creatorcontrib><creatorcontrib>Westreicher‐Kristen, Edwin</creatorcontrib><creatorcontrib>Dickhoefer, Uta</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of animal physiology and animal nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castro‐Montoya, Joaquín</au><au>Witzig, Maren</au><au>Rahman, Mizanur</au><au>Westreicher‐Kristen, Edwin</au><au>Dickhoefer, Uta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage</atitle><jtitle>Journal of animal physiology and animal nutrition</jtitle><addtitle>J Anim Physiol Anim Nutr (Berl)</addtitle><date>2018-12</date><risdate>2018</risdate><volume>102</volume><issue>6</issue><spage>1450</spage><epage>1463</epage><pages>1450-1463</pages><issn>0931-2439</issn><eissn>1439-0396</eissn><abstract>This study aimed to evaluate in vitro fermentation characteristics, microbial protein synthesis and microbial community composition when replacing maize silage (MS) with red clover silage (RCS) in total mixed rations (TMR) of dairy cows. Treatments included TMR containing forage (MS and RCS) and concentrates (0.75:0.25) with targeted proportions (dry matter (DM) basis) of RCS in TMR of 0.15 (RCS15), 0.30 (RCS30), 0.45 (RCS45), and 0.60 (RCS60), in substitution of MS. Samples of the TMR were incubated using the in vitro Ankom RF technique with a mixture of rumen fluid and buffer solution (1:2 v/v) for 8 and 24 hr. Gas production and total short‐chain fatty acids concentration did not differ between diets, whereas ammonia‐nitrogen concentration increased with increasing level of RCS. Acetate proportion was not affected by RCS level, but propionate showed a linear increase with increasing level of RCS at the expenses of butyrate. Branched fatty acids proportions linearly declined, reflecting a reduced deamination of true protein. Gene copy numbers of protozoa linearly decreased with increasing RCS levels, while total numbers of bacteria and methanogens were not affected by diet. The amylolytic bacteria Ruminobacter amylophillus and Prevotella bryantii showed evidence to increase with higher RCS levels after 8 hr and 24 hr, respectively, whereas no effects of diet where observed for the fibrolytic bacteria Ruminococcus albus, Ruminococcus flavefaciens and Fibrobacter succinogenes. Concentrations of purine bases, and total N production in liquid‐associated microbes declined with increasing RCS levels, suggesting a negative impact of this feed on microbial growth. The findings of this study suggest that in general, microbial protein synthesis might be impaired by the substitution of MS by RCS, therefore caution should be taken when formulating diets for dairy cows using high levels of RCS as ingredient.</abstract><cop>Germany</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30099783</pmid><doi>10.1111/jpn.12970</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-6001-8988</orcidid><orcidid>https://orcid.org/0000-0002-7285-4465</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0931-2439
ispartof Journal of animal physiology and animal nutrition, 2018-12, Vol.102 (6), p.1450-1463
issn 0931-2439
1439-0396
language eng
recordid cdi_proquest_miscellaneous_2087995808
source MEDLINE; Access via Wiley Online Library
subjects Acetic acid
Ammonia
Animals
Bacteria
Bacteria - metabolism
Buffer solutions
Cattle
Clover
Communities
Community composition
Composition
Corn
Corn silage
Costs
Dairy cattle
Deamination
Diet
Digestion
Dry matter
Fatty acids
Fermentation
Gas production
maize silage
Methanogenic bacteria
microbial protein synthesis
Microbiomes
Microorganisms
Nitrogen
Propionic acid
Protein biosynthesis
Protein Biosynthesis - physiology
Protein composition
Protein synthesis
Proteins
Protozoa
Rations
Red clover
Red clover silage
Rumen
Rumen - physiology
ruminal microbial populations
Silage
Silage - analysis
Substitutes
Total mixed rations
Trifolium - chemistry
Trifolium pratense
Zea mays - chemistry
title In vitro rumen fermentation, microbial protein synthesis and composition of microbial community of total mixed rations replacing maize silage with red clover silage
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T13%3A35%3A55IST&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=In%20vitro%20rumen%20fermentation,%20microbial%20protein%20synthesis%20and%20composition%20of%20microbial%20community%20of%20total%20mixed%20rations%20replacing%20maize%20silage%20with%20red%20clover%20silage&rft.jtitle=Journal%20of%20animal%20physiology%20and%20animal%20nutrition&rft.au=Castro%E2%80%90Montoya,%20Joaqu%C3%ADn&rft.date=2018-12&rft.volume=102&rft.issue=6&rft.spage=1450&rft.epage=1463&rft.pages=1450-1463&rft.issn=0931-2439&rft.eissn=1439-0396&rft_id=info:doi/10.1111/jpn.12970&rft_dat=%3Cproquest_cross%3E2130797639%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=2130797639&rft_id=info:pmid/30099783&rfr_iscdi=true