Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats

Clinical studies have shown that hyperglycemia can induce early‐stage diabetic nephropathy (DN). Furthermore, oxidative stress, tubular epithelial‐mesenchymal transition and extracellular matrix accumulation promote the progression of DN to chronic kidney disease and tubulointerstitial fibrosis. It...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Environmental toxicology 2019-07, Vol.34 (7), p.861-868
Hauptverfasser: Peng, Xiang, Su, Haiyan, Liang, Dali, Li, Jeihua, Ting, Wei‐Jen, Liao, Shih‐Chieh, Huang, Chih‐Yang
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 868
container_issue 7
container_start_page 861
container_title Environmental toxicology
container_volume 34
creator Peng, Xiang
Su, Haiyan
Liang, Dali
Li, Jeihua
Ting, Wei‐Jen
Liao, Shih‐Chieh
Huang, Chih‐Yang
description Clinical studies have shown that hyperglycemia can induce early‐stage diabetic nephropathy (DN). Furthermore, oxidative stress, tubular epithelial‐mesenchymal transition and extracellular matrix accumulation promote the progression of DN to chronic kidney disease and tubulointerstitial fibrosis. It is necessary to initiate treatment at the early stages of DN or even during the early stages of diabetes. In this work, rats with streptozotocin (STZ)‐induced diabetes mellitus (DM) presented early DN symptoms within 45 days, and collagen accumulation in the glomerulus of the rats was primarily mediated through the RhoA/ROCK pathway instead of the TGF‐β signaling pathway. Resveratrol (15 mg/kg/day) and ramipril (10 mg/kg/day) co‐treatment of STZ‐induced DN rats showed that glomerulosclerosis in early‐stage DN was reversible (P 
doi_str_mv 10.1002/tox.22758
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2232130484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2232130484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3908-f9b78fcf64ac4b8129a1a3ac2b69a1a290465a321b7107116a801411ff1fe9fd3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxi1ERUvhwAsgS1zgkK7t_HOO1QoKaqWVVkXiFk2cya4rJw62Q1lOfQReiJfhSXB22x4qcfLI8_u-Gfsj5A1nZ5wxsQj255kQZS6fkROeC5GUopTP9zVLMib5MXnp_Q1jrCry4gU5TjkrRMWqE_JnDb0enTYUhpY69D_QQXDWUGX_3v0ODiH0OAQKIeAwQUBP11t7vlivlpd0hLC9hV0EHW4mE7stRXBmvvEBNkhbDQ0GreiA49bZWTA3wXur9J7fGNujm4z1yqCzXnuqB-rj5DHYXzZEbogKPbSTivijYVzTvyJHHRiPr-_PU_L108fr5efkanXxZXl-lai0YjLpqqaUneqKDFTWSC4q4JCCEk0xV_EnsiKHVPCm5KzkvADJeMZ51_EOq65NT8n7g-_o7PcJfah77RUaAwPayddCRHHKMplF9N0T9MZObojbzVSWCsnymfpwoFR8sXfY1TGDHtyu5qyeM61jpvU-08i-vXecmh7bR_IhxAgsDsCtNrj7v1N9vfp2sPwH2pG1-g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2234328054</pqid></control><display><type>article</type><title>Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Peng, Xiang ; Su, Haiyan ; Liang, Dali ; Li, Jeihua ; Ting, Wei‐Jen ; Liao, Shih‐Chieh ; Huang, Chih‐Yang</creator><creatorcontrib>Peng, Xiang ; Su, Haiyan ; Liang, Dali ; Li, Jeihua ; Ting, Wei‐Jen ; Liao, Shih‐Chieh ; Huang, Chih‐Yang</creatorcontrib><description>Clinical studies have shown that hyperglycemia can induce early‐stage diabetic nephropathy (DN). Furthermore, oxidative stress, tubular epithelial‐mesenchymal transition and extracellular matrix accumulation promote the progression of DN to chronic kidney disease and tubulointerstitial fibrosis. It is necessary to initiate treatment at the early stages of DN or even during the early stages of diabetes. In this work, rats with streptozotocin (STZ)‐induced diabetes mellitus (DM) presented early DN symptoms within 45 days, and collagen accumulation in the glomerulus of the rats was primarily mediated through the RhoA/ROCK pathway instead of the TGF‐β signaling pathway. Resveratrol (15 mg/kg/day) and ramipril (10 mg/kg/day) co‐treatment of STZ‐induced DN rats showed that glomerulosclerosis in early‐stage DN was reversible (P &lt; .05 compared with that in STZ‐induced DM rats). The results of this study support early intervention in diabetes or DN as a more efficient therapeutic strategy.</description><identifier>ISSN: 1520-4081</identifier><identifier>EISSN: 1522-7278</identifier><identifier>DOI: 10.1002/tox.22758</identifier><identifier>PMID: 31062909</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Accumulation ; Animals ; Collagen ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Experimental - chemically induced ; Diabetes Mellitus, Experimental - complications ; Diabetes Mellitus, Experimental - drug therapy ; Diabetes Mellitus, Experimental - metabolism ; Diabetic Nephropathies - complications ; Diabetic Nephropathies - metabolism ; Diabetic Nephropathies - pathology ; Diabetic Nephropathies - prevention &amp; control ; Diabetic nephropathy ; Disease Progression ; Drug Therapy, Combination ; Extracellular ; Extracellular matrix ; Fibrosis ; glomerulosclerosis ; Glomerulosclerosis, Focal Segmental - pathology ; Glomerulosclerosis, Focal Segmental - prevention &amp; control ; Glomerulus ; Hyperglycemia ; Kidney - drug effects ; Kidney - pathology ; Kidney diseases ; Male ; Mesenchyme ; Nephropathy ; Oxidative stress ; ramipril ; Ramipril - administration &amp; dosage ; Rats ; Rats, Sprague-Dawley ; Resveratrol ; Resveratrol - administration &amp; dosage ; Rho-associated kinase ; rho-Associated Kinases - metabolism ; rhoA GTP-Binding Protein - metabolism ; RhoA protein ; Rocks ; Rodents ; Severity of Illness Index ; Signal transduction ; Signal Transduction - drug effects ; Signs and symptoms ; Streptozocin ; Symptoms</subject><ispartof>Environmental toxicology, 2019-07, Vol.34 (7), p.861-868</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3908-f9b78fcf64ac4b8129a1a3ac2b69a1a290465a321b7107116a801411ff1fe9fd3</citedby><cites>FETCH-LOGICAL-c3908-f9b78fcf64ac4b8129a1a3ac2b69a1a290465a321b7107116a801411ff1fe9fd3</cites><orcidid>0000-0003-2347-0411</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Ftox.22758$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Ftox.22758$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31062909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Xiang</creatorcontrib><creatorcontrib>Su, Haiyan</creatorcontrib><creatorcontrib>Liang, Dali</creatorcontrib><creatorcontrib>Li, Jeihua</creatorcontrib><creatorcontrib>Ting, Wei‐Jen</creatorcontrib><creatorcontrib>Liao, Shih‐Chieh</creatorcontrib><creatorcontrib>Huang, Chih‐Yang</creatorcontrib><title>Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats</title><title>Environmental toxicology</title><addtitle>Environ Toxicol</addtitle><description>Clinical studies have shown that hyperglycemia can induce early‐stage diabetic nephropathy (DN). Furthermore, oxidative stress, tubular epithelial‐mesenchymal transition and extracellular matrix accumulation promote the progression of DN to chronic kidney disease and tubulointerstitial fibrosis. It is necessary to initiate treatment at the early stages of DN or even during the early stages of diabetes. In this work, rats with streptozotocin (STZ)‐induced diabetes mellitus (DM) presented early DN symptoms within 45 days, and collagen accumulation in the glomerulus of the rats was primarily mediated through the RhoA/ROCK pathway instead of the TGF‐β signaling pathway. Resveratrol (15 mg/kg/day) and ramipril (10 mg/kg/day) co‐treatment of STZ‐induced DN rats showed that glomerulosclerosis in early‐stage DN was reversible (P &lt; .05 compared with that in STZ‐induced DM rats). The results of this study support early intervention in diabetes or DN as a more efficient therapeutic strategy.</description><subject>Accumulation</subject><subject>Animals</subject><subject>Collagen</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Experimental - chemically induced</subject><subject>Diabetes Mellitus, Experimental - complications</subject><subject>Diabetes Mellitus, Experimental - drug therapy</subject><subject>Diabetes Mellitus, Experimental - metabolism</subject><subject>Diabetic Nephropathies - complications</subject><subject>Diabetic Nephropathies - metabolism</subject><subject>Diabetic Nephropathies - pathology</subject><subject>Diabetic Nephropathies - prevention &amp; control</subject><subject>Diabetic nephropathy</subject><subject>Disease Progression</subject><subject>Drug Therapy, Combination</subject><subject>Extracellular</subject><subject>Extracellular matrix</subject><subject>Fibrosis</subject><subject>glomerulosclerosis</subject><subject>Glomerulosclerosis, Focal Segmental - pathology</subject><subject>Glomerulosclerosis, Focal Segmental - prevention &amp; control</subject><subject>Glomerulus</subject><subject>Hyperglycemia</subject><subject>Kidney - drug effects</subject><subject>Kidney - pathology</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Mesenchyme</subject><subject>Nephropathy</subject><subject>Oxidative stress</subject><subject>ramipril</subject><subject>Ramipril - administration &amp; dosage</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Resveratrol</subject><subject>Resveratrol - administration &amp; dosage</subject><subject>Rho-associated kinase</subject><subject>rho-Associated Kinases - metabolism</subject><subject>rhoA GTP-Binding Protein - metabolism</subject><subject>RhoA protein</subject><subject>Rocks</subject><subject>Rodents</subject><subject>Severity of Illness Index</subject><subject>Signal transduction</subject><subject>Signal Transduction - drug effects</subject><subject>Signs and symptoms</subject><subject>Streptozocin</subject><subject>Symptoms</subject><issn>1520-4081</issn><issn>1522-7278</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQxi1ERUvhwAsgS1zgkK7t_HOO1QoKaqWVVkXiFk2cya4rJw62Q1lOfQReiJfhSXB22x4qcfLI8_u-Gfsj5A1nZ5wxsQj255kQZS6fkROeC5GUopTP9zVLMib5MXnp_Q1jrCry4gU5TjkrRMWqE_JnDb0enTYUhpY69D_QQXDWUGX_3v0ODiH0OAQKIeAwQUBP11t7vlivlpd0hLC9hV0EHW4mE7stRXBmvvEBNkhbDQ0GreiA49bZWTA3wXur9J7fGNujm4z1yqCzXnuqB-rj5DHYXzZEbogKPbSTivijYVzTvyJHHRiPr-_PU_L108fr5efkanXxZXl-lai0YjLpqqaUneqKDFTWSC4q4JCCEk0xV_EnsiKHVPCm5KzkvADJeMZ51_EOq65NT8n7g-_o7PcJfah77RUaAwPayddCRHHKMplF9N0T9MZObojbzVSWCsnymfpwoFR8sXfY1TGDHtyu5qyeM61jpvU-08i-vXecmh7bR_IhxAgsDsCtNrj7v1N9vfp2sPwH2pG1-g</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Peng, Xiang</creator><creator>Su, Haiyan</creator><creator>Liang, Dali</creator><creator>Li, Jeihua</creator><creator>Ting, Wei‐Jen</creator><creator>Liao, Shih‐Chieh</creator><creator>Huang, Chih‐Yang</creator><general>John Wiley &amp; Sons, Inc</general><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>7QH</scope><scope>7ST</scope><scope>7TN</scope><scope>7U7</scope><scope>7UA</scope><scope>C1K</scope><scope>F1W</scope><scope>H97</scope><scope>K9.</scope><scope>L.G</scope><scope>M7N</scope><scope>SOI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2347-0411</orcidid></search><sort><creationdate>201907</creationdate><title>Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats</title><author>Peng, Xiang ; Su, Haiyan ; Liang, Dali ; Li, Jeihua ; Ting, Wei‐Jen ; Liao, Shih‐Chieh ; Huang, Chih‐Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3908-f9b78fcf64ac4b8129a1a3ac2b69a1a290465a321b7107116a801411ff1fe9fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accumulation</topic><topic>Animals</topic><topic>Collagen</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Experimental - chemically induced</topic><topic>Diabetes Mellitus, Experimental - complications</topic><topic>Diabetes Mellitus, Experimental - drug therapy</topic><topic>Diabetes Mellitus, Experimental - metabolism</topic><topic>Diabetic Nephropathies - complications</topic><topic>Diabetic Nephropathies - metabolism</topic><topic>Diabetic Nephropathies - pathology</topic><topic>Diabetic Nephropathies - prevention &amp; control</topic><topic>Diabetic nephropathy</topic><topic>Disease Progression</topic><topic>Drug Therapy, Combination</topic><topic>Extracellular</topic><topic>Extracellular matrix</topic><topic>Fibrosis</topic><topic>glomerulosclerosis</topic><topic>Glomerulosclerosis, Focal Segmental - pathology</topic><topic>Glomerulosclerosis, Focal Segmental - prevention &amp; control</topic><topic>Glomerulus</topic><topic>Hyperglycemia</topic><topic>Kidney - drug effects</topic><topic>Kidney - pathology</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Mesenchyme</topic><topic>Nephropathy</topic><topic>Oxidative stress</topic><topic>ramipril</topic><topic>Ramipril - administration &amp; dosage</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Resveratrol</topic><topic>Resveratrol - administration &amp; dosage</topic><topic>Rho-associated kinase</topic><topic>rho-Associated Kinases - metabolism</topic><topic>rhoA GTP-Binding Protein - metabolism</topic><topic>RhoA protein</topic><topic>Rocks</topic><topic>Rodents</topic><topic>Severity of Illness Index</topic><topic>Signal transduction</topic><topic>Signal Transduction - drug effects</topic><topic>Signs and symptoms</topic><topic>Streptozocin</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peng, Xiang</creatorcontrib><creatorcontrib>Su, Haiyan</creatorcontrib><creatorcontrib>Liang, Dali</creatorcontrib><creatorcontrib>Li, Jeihua</creatorcontrib><creatorcontrib>Ting, Wei‐Jen</creatorcontrib><creatorcontrib>Liao, Shih‐Chieh</creatorcontrib><creatorcontrib>Huang, Chih‐Yang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aqualine</collection><collection>Environment Abstracts</collection><collection>Oceanic Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Water Resources Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Environmental toxicology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Xiang</au><au>Su, Haiyan</au><au>Liang, Dali</au><au>Li, Jeihua</au><au>Ting, Wei‐Jen</au><au>Liao, Shih‐Chieh</au><au>Huang, Chih‐Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats</atitle><jtitle>Environmental toxicology</jtitle><addtitle>Environ Toxicol</addtitle><date>2019-07</date><risdate>2019</risdate><volume>34</volume><issue>7</issue><spage>861</spage><epage>868</epage><pages>861-868</pages><issn>1520-4081</issn><eissn>1522-7278</eissn><abstract>Clinical studies have shown that hyperglycemia can induce early‐stage diabetic nephropathy (DN). Furthermore, oxidative stress, tubular epithelial‐mesenchymal transition and extracellular matrix accumulation promote the progression of DN to chronic kidney disease and tubulointerstitial fibrosis. It is necessary to initiate treatment at the early stages of DN or even during the early stages of diabetes. In this work, rats with streptozotocin (STZ)‐induced diabetes mellitus (DM) presented early DN symptoms within 45 days, and collagen accumulation in the glomerulus of the rats was primarily mediated through the RhoA/ROCK pathway instead of the TGF‐β signaling pathway. Resveratrol (15 mg/kg/day) and ramipril (10 mg/kg/day) co‐treatment of STZ‐induced DN rats showed that glomerulosclerosis in early‐stage DN was reversible (P &lt; .05 compared with that in STZ‐induced DM rats). The results of this study support early intervention in diabetes or DN as a more efficient therapeutic strategy.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>31062909</pmid><doi>10.1002/tox.22758</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2347-0411</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1520-4081
ispartof Environmental toxicology, 2019-07, Vol.34 (7), p.861-868
issn 1520-4081
1522-7278
language eng
recordid cdi_proquest_miscellaneous_2232130484
source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Accumulation
Animals
Collagen
Diabetes
Diabetes mellitus
Diabetes Mellitus, Experimental - chemically induced
Diabetes Mellitus, Experimental - complications
Diabetes Mellitus, Experimental - drug therapy
Diabetes Mellitus, Experimental - metabolism
Diabetic Nephropathies - complications
Diabetic Nephropathies - metabolism
Diabetic Nephropathies - pathology
Diabetic Nephropathies - prevention & control
Diabetic nephropathy
Disease Progression
Drug Therapy, Combination
Extracellular
Extracellular matrix
Fibrosis
glomerulosclerosis
Glomerulosclerosis, Focal Segmental - pathology
Glomerulosclerosis, Focal Segmental - prevention & control
Glomerulus
Hyperglycemia
Kidney - drug effects
Kidney - pathology
Kidney diseases
Male
Mesenchyme
Nephropathy
Oxidative stress
ramipril
Ramipril - administration & dosage
Rats
Rats, Sprague-Dawley
Resveratrol
Resveratrol - administration & dosage
Rho-associated kinase
rho-Associated Kinases - metabolism
rhoA GTP-Binding Protein - metabolism
RhoA protein
Rocks
Rodents
Severity of Illness Index
Signal transduction
Signal Transduction - drug effects
Signs and symptoms
Streptozocin
Symptoms
title Ramipril and resveratrol co‐treatment attenuates RhoA/ROCK pathway‐regulated early‐stage diabetic nephropathy‐associated glomerulosclerosis in streptozotocin‐induced diabetic rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-15T20%3A36%3A51IST&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=Ramipril%20and%20resveratrol%20co%E2%80%90treatment%20attenuates%20RhoA/ROCK%20pathway%E2%80%90regulated%20early%E2%80%90stage%20diabetic%20nephropathy%E2%80%90associated%20glomerulosclerosis%20in%20streptozotocin%E2%80%90induced%20diabetic%20rats&rft.jtitle=Environmental%20toxicology&rft.au=Peng,%20Xiang&rft.date=2019-07&rft.volume=34&rft.issue=7&rft.spage=861&rft.epage=868&rft.pages=861-868&rft.issn=1520-4081&rft.eissn=1522-7278&rft_id=info:doi/10.1002/tox.22758&rft_dat=%3Cproquest_cross%3E2232130484%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=2234328054&rft_id=info:pmid/31062909&rfr_iscdi=true