Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress
Licorice is a well-known medicinal plant, containing various secondary metabolites of triterpenoid and phenolic families. The aim of this study is to evaluate the effect of salinity stress on the expression of key genes involved in the biosynthetic pathway of triterpenoids such as glycyrrhizin, betu...
Gespeichert in:
Veröffentlicht in: | Protoplasma 2019-05, Vol.256 (3), p.827-837 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 837 |
---|---|
container_issue | 3 |
container_start_page | 827 |
container_title | Protoplasma |
container_volume | 256 |
creator | Shirazi, Zahra Aalami, Ali Tohidfar, Masoud Sohani, Mohammad Mehdi |
description | Licorice is a well-known medicinal plant, containing various secondary metabolites of triterpenoid and phenolic families. The aim of this study is to evaluate the effect of salinity stress on the expression of key genes involved in the biosynthetic pathway of triterpenoids such as glycyrrhizin, betulinic acid, soyasaponins, and phytosterols in licorice root, as well as providing a phonemic platform to characterize antioxidant properties, glycyrrhizin, and total phenolic content. This study also includes measuring the gene expression level and glycyrrhizin content in leaves and roots of control plants. The studied genes included squalene synthase (
SQS1
and
SQS2
),
β
-amyrin synthase (
bAS
), lupeol synthase (
LUS
), cycloartenol synthase (
CAS
),
β
-
amyrin 11-oxidase (
CYP88D6
), and
β
-amyrin 24-hydroxylase (
CYP93E6
). Our results revealed that all of the mentioned genes were upregulated following the stress condition with different transcription rates. The highest increase (12-fold) was observed for the expression of the
LUS
gene, which is related to the betulinic acid pathway. Also, the highest content of glycyrrhizin was observed at 72 h post-treatment, which was consistent with the upregulated transcription levels of the glycyrrhizin pathway genes especially
SQS1
and
CYP88D6
at the same time. Correlation and stepwise regression analysis proved the key role of
SQS1
gene in the biosynthetic pathway of glycyrrhizin. Antioxidant activity and phenolic content also were increased following stress condition. A comparison between the expression levels of
SQS1
and other genes involved in the production of glycyrrhizin, phytosterols, and soyasaponins revealed a similar transcription trend, which shows the gene expression in the roots was significantly higher than the leaves. In contrast,
SQS2
and
LUS
genes displayed a higher expression in leaf tissues. The genes related to betulinic acid biosynthetic pathway exhibited an expression rate different from other triterpenoid pathway genes, which could be observed in the leaves and roots of control plants and the roots of salt-treated plants. Furthermore, results showed that these two
SQS
genes have different expression rates due to different plant tissues (roots and leaves) and stress conditions. Importantly, in contrast to previous reports, we detected the glycyrrhizin in leaf tissues. This result may indicate the presence of a different genetic background in native Iranian licorice germplasm. |
doi_str_mv | 10.1007/s00709-018-01340-4 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2165666900</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2164907598</sourcerecordid><originalsourceid>FETCH-LOGICAL-c485t-c99165c4197b69575ea65b1a25c4991659c353b7b8b856e604b707a08421ad7c3</originalsourceid><addsrcrecordid>eNp9kEFL7DAQx4Moum_1C3iQgBcv1UnTpM1RRN8TBC8K3mKajhrpJjVpwf32Zt31CR48ZAKZ3_wz_Ag5ZHDKAOqzlAuoAliTD6-gqLbIjEkmCsmg3CYzAM4L1vCHPfInpVcAECWIXbLHQZa8lGxGHu-iGzEO6IPr6DN6pPg-REzJBU-N7-jwshyDfcGFs6anNvgR_Uidp9fReGc87Z0N0Vmkk-8w0mR65924pGlcxeyTnSfTJzzY3HNyf3V5d_GvuLn9e31xflPYqhFjYZViUtiKqbqVStQCjRQtM2V--2wpywVv67ZpGyFRQtXWUBtoqpKZrrZ8Tk7WuUMMbxOmUS9cstj3xmOYki5zhpRSZSdzcvwDfQ1T9Hm7FVUpqIVqMlWuKRtDShGf9BDdwsSlZqBX_vXav87-9ad_XeWho0301C6w-z_yJTwDfA2k3PLPGL___iX2A_qTkA4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2164907598</pqid></control><display><type>article</type><title>Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress</title><source>SpringerLink Journals - AutoHoldings</source><creator>Shirazi, Zahra ; Aalami, Ali ; Tohidfar, Masoud ; Sohani, Mohammad Mehdi</creator><creatorcontrib>Shirazi, Zahra ; Aalami, Ali ; Tohidfar, Masoud ; Sohani, Mohammad Mehdi</creatorcontrib><description>Licorice is a well-known medicinal plant, containing various secondary metabolites of triterpenoid and phenolic families. The aim of this study is to evaluate the effect of salinity stress on the expression of key genes involved in the biosynthetic pathway of triterpenoids such as glycyrrhizin, betulinic acid, soyasaponins, and phytosterols in licorice root, as well as providing a phonemic platform to characterize antioxidant properties, glycyrrhizin, and total phenolic content. This study also includes measuring the gene expression level and glycyrrhizin content in leaves and roots of control plants. The studied genes included squalene synthase (
SQS1
and
SQS2
),
β
-amyrin synthase (
bAS
), lupeol synthase (
LUS
), cycloartenol synthase (
CAS
),
β
-
amyrin 11-oxidase (
CYP88D6
), and
β
-amyrin 24-hydroxylase (
CYP93E6
). Our results revealed that all of the mentioned genes were upregulated following the stress condition with different transcription rates. The highest increase (12-fold) was observed for the expression of the
LUS
gene, which is related to the betulinic acid pathway. Also, the highest content of glycyrrhizin was observed at 72 h post-treatment, which was consistent with the upregulated transcription levels of the glycyrrhizin pathway genes especially
SQS1
and
CYP88D6
at the same time. Correlation and stepwise regression analysis proved the key role of
SQS1
gene in the biosynthetic pathway of glycyrrhizin. Antioxidant activity and phenolic content also were increased following stress condition. A comparison between the expression levels of
SQS1
and other genes involved in the production of glycyrrhizin, phytosterols, and soyasaponins revealed a similar transcription trend, which shows the gene expression in the roots was significantly higher than the leaves. In contrast,
SQS2
and
LUS
genes displayed a higher expression in leaf tissues. The genes related to betulinic acid biosynthetic pathway exhibited an expression rate different from other triterpenoid pathway genes, which could be observed in the leaves and roots of control plants and the roots of salt-treated plants. Furthermore, results showed that these two
SQS
genes have different expression rates due to different plant tissues (roots and leaves) and stress conditions. Importantly, in contrast to previous reports, we detected the glycyrrhizin in leaf tissues. This result may indicate the presence of a different genetic background in native Iranian licorice germplasm.</description><identifier>ISSN: 0033-183X</identifier><identifier>EISSN: 1615-6102</identifier><identifier>DOI: 10.1007/s00709-018-01340-4</identifier><identifier>PMID: 30623261</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Antifungal agents ; Antioxidants ; Betulinic acid ; Biomedical and Life Sciences ; Cell Biology ; Cycloartenol synthase ; Gene expression ; Germplasm ; Glycyrrhizin ; Hydroxylase ; Leaves ; Life Sciences ; Medicinal plants ; Metabolites ; Original Article ; Phenolic compounds ; Phytosterols ; Plant Sciences ; Roots ; Salinity ; Salinity effects ; Secondary metabolites ; Squalene ; Transcription ; Triterpenoids ; Zoology</subject><ispartof>Protoplasma, 2019-05, Vol.256 (3), p.827-837</ispartof><rights>Springer-Verlag GmbH Austria, part of Springer Nature 2019</rights><rights>Protoplasma is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-c99165c4197b69575ea65b1a25c4991659c353b7b8b856e604b707a08421ad7c3</citedby><cites>FETCH-LOGICAL-c485t-c99165c4197b69575ea65b1a25c4991659c353b7b8b856e604b707a08421ad7c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00709-018-01340-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00709-018-01340-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30623261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shirazi, Zahra</creatorcontrib><creatorcontrib>Aalami, Ali</creatorcontrib><creatorcontrib>Tohidfar, Masoud</creatorcontrib><creatorcontrib>Sohani, Mohammad Mehdi</creatorcontrib><title>Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress</title><title>Protoplasma</title><addtitle>Protoplasma</addtitle><addtitle>Protoplasma</addtitle><description>Licorice is a well-known medicinal plant, containing various secondary metabolites of triterpenoid and phenolic families. The aim of this study is to evaluate the effect of salinity stress on the expression of key genes involved in the biosynthetic pathway of triterpenoids such as glycyrrhizin, betulinic acid, soyasaponins, and phytosterols in licorice root, as well as providing a phonemic platform to characterize antioxidant properties, glycyrrhizin, and total phenolic content. This study also includes measuring the gene expression level and glycyrrhizin content in leaves and roots of control plants. The studied genes included squalene synthase (
SQS1
and
SQS2
),
β
-amyrin synthase (
bAS
), lupeol synthase (
LUS
), cycloartenol synthase (
CAS
),
β
-
amyrin 11-oxidase (
CYP88D6
), and
β
-amyrin 24-hydroxylase (
CYP93E6
). Our results revealed that all of the mentioned genes were upregulated following the stress condition with different transcription rates. The highest increase (12-fold) was observed for the expression of the
LUS
gene, which is related to the betulinic acid pathway. Also, the highest content of glycyrrhizin was observed at 72 h post-treatment, which was consistent with the upregulated transcription levels of the glycyrrhizin pathway genes especially
SQS1
and
CYP88D6
at the same time. Correlation and stepwise regression analysis proved the key role of
SQS1
gene in the biosynthetic pathway of glycyrrhizin. Antioxidant activity and phenolic content also were increased following stress condition. A comparison between the expression levels of
SQS1
and other genes involved in the production of glycyrrhizin, phytosterols, and soyasaponins revealed a similar transcription trend, which shows the gene expression in the roots was significantly higher than the leaves. In contrast,
SQS2
and
LUS
genes displayed a higher expression in leaf tissues. The genes related to betulinic acid biosynthetic pathway exhibited an expression rate different from other triterpenoid pathway genes, which could be observed in the leaves and roots of control plants and the roots of salt-treated plants. Furthermore, results showed that these two
SQS
genes have different expression rates due to different plant tissues (roots and leaves) and stress conditions. Importantly, in contrast to previous reports, we detected the glycyrrhizin in leaf tissues. This result may indicate the presence of a different genetic background in native Iranian licorice germplasm.</description><subject>Antifungal agents</subject><subject>Antioxidants</subject><subject>Betulinic acid</subject><subject>Biomedical and Life Sciences</subject><subject>Cell Biology</subject><subject>Cycloartenol synthase</subject><subject>Gene expression</subject><subject>Germplasm</subject><subject>Glycyrrhizin</subject><subject>Hydroxylase</subject><subject>Leaves</subject><subject>Life Sciences</subject><subject>Medicinal plants</subject><subject>Metabolites</subject><subject>Original Article</subject><subject>Phenolic compounds</subject><subject>Phytosterols</subject><subject>Plant Sciences</subject><subject>Roots</subject><subject>Salinity</subject><subject>Salinity effects</subject><subject>Secondary metabolites</subject><subject>Squalene</subject><subject>Transcription</subject><subject>Triterpenoids</subject><subject>Zoology</subject><issn>0033-183X</issn><issn>1615-6102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kEFL7DAQx4Moum_1C3iQgBcv1UnTpM1RRN8TBC8K3mKajhrpJjVpwf32Zt31CR48ZAKZ3_wz_Ag5ZHDKAOqzlAuoAliTD6-gqLbIjEkmCsmg3CYzAM4L1vCHPfInpVcAECWIXbLHQZa8lGxGHu-iGzEO6IPr6DN6pPg-REzJBU-N7-jwshyDfcGFs6anNvgR_Uidp9fReGc87Z0N0Vmkk-8w0mR65924pGlcxeyTnSfTJzzY3HNyf3V5d_GvuLn9e31xflPYqhFjYZViUtiKqbqVStQCjRQtM2V--2wpywVv67ZpGyFRQtXWUBtoqpKZrrZ8Tk7WuUMMbxOmUS9cstj3xmOYki5zhpRSZSdzcvwDfQ1T9Hm7FVUpqIVqMlWuKRtDShGf9BDdwsSlZqBX_vXav87-9ad_XeWho0301C6w-z_yJTwDfA2k3PLPGL___iX2A_qTkA4</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Shirazi, Zahra</creator><creator>Aalami, Ali</creator><creator>Tohidfar, Masoud</creator><creator>Sohani, Mohammad Mehdi</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190501</creationdate><title>Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress</title><author>Shirazi, Zahra ; Aalami, Ali ; Tohidfar, Masoud ; Sohani, Mohammad Mehdi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-c99165c4197b69575ea65b1a25c4991659c353b7b8b856e604b707a08421ad7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Antifungal agents</topic><topic>Antioxidants</topic><topic>Betulinic acid</topic><topic>Biomedical and Life Sciences</topic><topic>Cell Biology</topic><topic>Cycloartenol synthase</topic><topic>Gene expression</topic><topic>Germplasm</topic><topic>Glycyrrhizin</topic><topic>Hydroxylase</topic><topic>Leaves</topic><topic>Life Sciences</topic><topic>Medicinal plants</topic><topic>Metabolites</topic><topic>Original Article</topic><topic>Phenolic compounds</topic><topic>Phytosterols</topic><topic>Plant Sciences</topic><topic>Roots</topic><topic>Salinity</topic><topic>Salinity effects</topic><topic>Secondary metabolites</topic><topic>Squalene</topic><topic>Transcription</topic><topic>Triterpenoids</topic><topic>Zoology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shirazi, Zahra</creatorcontrib><creatorcontrib>Aalami, Ali</creatorcontrib><creatorcontrib>Tohidfar, Masoud</creatorcontrib><creatorcontrib>Sohani, Mohammad Mehdi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</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>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</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>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</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>Protoplasma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shirazi, Zahra</au><au>Aalami, Ali</au><au>Tohidfar, Masoud</au><au>Sohani, Mohammad Mehdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress</atitle><jtitle>Protoplasma</jtitle><stitle>Protoplasma</stitle><addtitle>Protoplasma</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>256</volume><issue>3</issue><spage>827</spage><epage>837</epage><pages>827-837</pages><issn>0033-183X</issn><eissn>1615-6102</eissn><abstract>Licorice is a well-known medicinal plant, containing various secondary metabolites of triterpenoid and phenolic families. The aim of this study is to evaluate the effect of salinity stress on the expression of key genes involved in the biosynthetic pathway of triterpenoids such as glycyrrhizin, betulinic acid, soyasaponins, and phytosterols in licorice root, as well as providing a phonemic platform to characterize antioxidant properties, glycyrrhizin, and total phenolic content. This study also includes measuring the gene expression level and glycyrrhizin content in leaves and roots of control plants. The studied genes included squalene synthase (
SQS1
and
SQS2
),
β
-amyrin synthase (
bAS
), lupeol synthase (
LUS
), cycloartenol synthase (
CAS
),
β
-
amyrin 11-oxidase (
CYP88D6
), and
β
-amyrin 24-hydroxylase (
CYP93E6
). Our results revealed that all of the mentioned genes were upregulated following the stress condition with different transcription rates. The highest increase (12-fold) was observed for the expression of the
LUS
gene, which is related to the betulinic acid pathway. Also, the highest content of glycyrrhizin was observed at 72 h post-treatment, which was consistent with the upregulated transcription levels of the glycyrrhizin pathway genes especially
SQS1
and
CYP88D6
at the same time. Correlation and stepwise regression analysis proved the key role of
SQS1
gene in the biosynthetic pathway of glycyrrhizin. Antioxidant activity and phenolic content also were increased following stress condition. A comparison between the expression levels of
SQS1
and other genes involved in the production of glycyrrhizin, phytosterols, and soyasaponins revealed a similar transcription trend, which shows the gene expression in the roots was significantly higher than the leaves. In contrast,
SQS2
and
LUS
genes displayed a higher expression in leaf tissues. The genes related to betulinic acid biosynthetic pathway exhibited an expression rate different from other triterpenoid pathway genes, which could be observed in the leaves and roots of control plants and the roots of salt-treated plants. Furthermore, results showed that these two
SQS
genes have different expression rates due to different plant tissues (roots and leaves) and stress conditions. Importantly, in contrast to previous reports, we detected the glycyrrhizin in leaf tissues. This result may indicate the presence of a different genetic background in native Iranian licorice germplasm.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>30623261</pmid><doi>10.1007/s00709-018-01340-4</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0033-183X |
ispartof | Protoplasma, 2019-05, Vol.256 (3), p.827-837 |
issn | 0033-183X 1615-6102 |
language | eng |
recordid | cdi_proquest_miscellaneous_2165666900 |
source | SpringerLink Journals - AutoHoldings |
subjects | Antifungal agents Antioxidants Betulinic acid Biomedical and Life Sciences Cell Biology Cycloartenol synthase Gene expression Germplasm Glycyrrhizin Hydroxylase Leaves Life Sciences Medicinal plants Metabolites Original Article Phenolic compounds Phytosterols Plant Sciences Roots Salinity Salinity effects Secondary metabolites Squalene Transcription Triterpenoids Zoology |
title | Triterpenoid gene expression and phytochemical content in Iranian licorice under salinity stress |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T04%3A59%3A45IST&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=Triterpenoid%20gene%20expression%20and%20phytochemical%20content%20in%20Iranian%20licorice%20under%20salinity%20stress&rft.jtitle=Protoplasma&rft.au=Shirazi,%20Zahra&rft.date=2019-05-01&rft.volume=256&rft.issue=3&rft.spage=827&rft.epage=837&rft.pages=827-837&rft.issn=0033-183X&rft.eissn=1615-6102&rft_id=info:doi/10.1007/s00709-018-01340-4&rft_dat=%3Cproquest_cross%3E2164907598%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=2164907598&rft_id=info:pmid/30623261&rfr_iscdi=true |