Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells
Cell-based therapies have been emerged to find innovative solutions for corneal endothelial dysfunction. The aim of this study is to investigate the suitability of a blended scaffold containing human platelet lysate (HPL) and fibrin not only for cultivating human corneal endothelial cells (HCECs) bu...
Gespeichert in:
Veröffentlicht in: | Cell and tissue banking 2022-03, Vol.23 (1), p.171-183 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 183 |
---|---|
container_issue | 1 |
container_start_page | 171 |
container_title | Cell and tissue banking |
container_volume | 23 |
creator | Mishan, Mohammad Amir Balagholi, Sahar Chamani, Tahereh Feizi, Sepehr Soheili, Zahra-Soheila Rezaei Kanavi, Mozhgan |
description | Cell-based therapies have been emerged to find innovative solutions for corneal endothelial dysfunction. The aim of this study is to investigate the suitability of a blended scaffold containing human platelet lysate (HPL) and fibrin not only for cultivating human corneal endothelial cells (HCECs) but also for serving as a scaffold for the respected cells. We isolated HCECs from human donors and encapsulated the cells with three concentrations of HPL/Fibrin scaffold, namely HPL/Fibrin 1, HPL/Fibrin 2 and HPL/Fibrin 3, by adding 28.9, 57.8 and 86.7 mg/dl of fibrinogen to HPL to obtain a final percentage of 10, 20 and 30 % of fibrinogen, respectively. SEM imaging and swelling test were done to characterize the scaffolds. Cell viability assay and cell counting were performed on the cells. HCECs were characterized by morphology and immunocytochemistry. SEM imaging on freeze-dried scaffolds showed higher porosity of HPL/Fibrin 1 and HPL/Fibrin 2 than HPL/Fibrin 3, but larger pores were observed only in HPL/Fibrin 1. Cellular attachment and morphology on HPL/Fibrin 1 were appropriate by SEM imaging. A higher swelling rate was observed in HPL/Fibrin 1. After 3 and 5 days, higher numbers of cells were observed specifically in HPL/Fibrin 1. A higher expression of Na+/K+-ATPase, ZO-1 and vimentin proteins was detected in the HPL/Fibrin 1-cultured HCECs as compared with control (no scaffold). HPL/Fibrin can be used as a suitable scaffold for HCECs while preserving the cells viability. Further investigations are necessitated to approve the beneficial effects of the suggested scaffold for delivering and transplantation of cultivated HCECs into the anterior chamber of the eye. |
doi_str_mv | 10.1007/s10561-021-09931-x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2521496729</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2629523888</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-c580ff14ecdfc95bb6b812008f039ebf1501735067a7e0bc6a65ff89d174803f3</originalsourceid><addsrcrecordid>eNp9kU1vFSEUhonR2A_9A10YEjdupgLnMsCyaao2aaILXROGObTTMHCFGdP-e7neq026cEE4yXnOwwkvIWecnXPG1MfKmex5x0Q7xgDvHl6QYy4VdL3mm5etBm06AwBH5KTWe8YEUwJekyMAA4YLOCbpW14wLZOLNAfqaMq_MNLqXQg5jtTneZsrjrvm3Tq7RLfRLRhxofGxtoq6NNIwDWVKNORygHwuCZsS05iXO4w7vccY6xvyKrhY8e3hPiU_Pl19v_zS3Xz9fH15cdN5UHLpvNQsBL5BPwZv5DD0g-aCMR0YGBwCl4wrkKxXTiEbfO96GYI2I1cbzSDAKfmw925L_rliXew81d0GLmFeqxVS8I3plTANff8Mvc9rSW07K3phpACtdaPEnvIl11ow2G2ZZlceLWd2l4bdp2FbGvZPGvahDb07qNdhxvHfyN_vbwDsgdpa6RbL09v_0f4Gum-WNw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2629523888</pqid></control><display><type>article</type><title>Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Mishan, Mohammad Amir ; Balagholi, Sahar ; Chamani, Tahereh ; Feizi, Sepehr ; Soheili, Zahra-Soheila ; Rezaei Kanavi, Mozhgan</creator><creatorcontrib>Mishan, Mohammad Amir ; Balagholi, Sahar ; Chamani, Tahereh ; Feizi, Sepehr ; Soheili, Zahra-Soheila ; Rezaei Kanavi, Mozhgan</creatorcontrib><description>Cell-based therapies have been emerged to find innovative solutions for corneal endothelial dysfunction. The aim of this study is to investigate the suitability of a blended scaffold containing human platelet lysate (HPL) and fibrin not only for cultivating human corneal endothelial cells (HCECs) but also for serving as a scaffold for the respected cells. We isolated HCECs from human donors and encapsulated the cells with three concentrations of HPL/Fibrin scaffold, namely HPL/Fibrin 1, HPL/Fibrin 2 and HPL/Fibrin 3, by adding 28.9, 57.8 and 86.7 mg/dl of fibrinogen to HPL to obtain a final percentage of 10, 20 and 30 % of fibrinogen, respectively. SEM imaging and swelling test were done to characterize the scaffolds. Cell viability assay and cell counting were performed on the cells. HCECs were characterized by morphology and immunocytochemistry. SEM imaging on freeze-dried scaffolds showed higher porosity of HPL/Fibrin 1 and HPL/Fibrin 2 than HPL/Fibrin 3, but larger pores were observed only in HPL/Fibrin 1. Cellular attachment and morphology on HPL/Fibrin 1 were appropriate by SEM imaging. A higher swelling rate was observed in HPL/Fibrin 1. After 3 and 5 days, higher numbers of cells were observed specifically in HPL/Fibrin 1. A higher expression of Na+/K+-ATPase, ZO-1 and vimentin proteins was detected in the HPL/Fibrin 1-cultured HCECs as compared with control (no scaffold). HPL/Fibrin can be used as a suitable scaffold for HCECs while preserving the cells viability. Further investigations are necessitated to approve the beneficial effects of the suggested scaffold for delivering and transplantation of cultivated HCECs into the anterior chamber of the eye.</description><identifier>ISSN: 1389-9333</identifier><identifier>EISSN: 1573-6814</identifier><identifier>DOI: 10.1007/s10561-021-09931-x</identifier><identifier>PMID: 33939123</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Anterior chamber ; Biomedical and Life Sciences ; Biomedicine ; Cell Biology ; Cell Proliferation ; Cell Survival ; Cell viability ; Cells, Cultured ; Cornea ; Cytology ; Endothelial Cells ; Endothelium, Corneal ; Fibrin ; Fibrin - metabolism ; Fibrinogen ; Humans ; Immunocytochemistry ; Life Sciences ; Morphology ; Na+/K+-exchanging ATPase ; Platelets ; Porosity ; Transplant Surgery ; Transplantation ; Vimentin ; Zonula occludens-1 protein</subject><ispartof>Cell and tissue banking, 2022-03, Vol.23 (1), p.171-183</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature B.V.</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-c580ff14ecdfc95bb6b812008f039ebf1501735067a7e0bc6a65ff89d174803f3</citedby><cites>FETCH-LOGICAL-c375t-c580ff14ecdfc95bb6b812008f039ebf1501735067a7e0bc6a65ff89d174803f3</cites><orcidid>0000-0002-1497-2260</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/s10561-021-09931-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10561-021-09931-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33939123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mishan, Mohammad Amir</creatorcontrib><creatorcontrib>Balagholi, Sahar</creatorcontrib><creatorcontrib>Chamani, Tahereh</creatorcontrib><creatorcontrib>Feizi, Sepehr</creatorcontrib><creatorcontrib>Soheili, Zahra-Soheila</creatorcontrib><creatorcontrib>Rezaei Kanavi, Mozhgan</creatorcontrib><title>Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells</title><title>Cell and tissue banking</title><addtitle>Cell Tissue Bank</addtitle><addtitle>Cell Tissue Bank</addtitle><description>Cell-based therapies have been emerged to find innovative solutions for corneal endothelial dysfunction. The aim of this study is to investigate the suitability of a blended scaffold containing human platelet lysate (HPL) and fibrin not only for cultivating human corneal endothelial cells (HCECs) but also for serving as a scaffold for the respected cells. We isolated HCECs from human donors and encapsulated the cells with three concentrations of HPL/Fibrin scaffold, namely HPL/Fibrin 1, HPL/Fibrin 2 and HPL/Fibrin 3, by adding 28.9, 57.8 and 86.7 mg/dl of fibrinogen to HPL to obtain a final percentage of 10, 20 and 30 % of fibrinogen, respectively. SEM imaging and swelling test were done to characterize the scaffolds. Cell viability assay and cell counting were performed on the cells. HCECs were characterized by morphology and immunocytochemistry. SEM imaging on freeze-dried scaffolds showed higher porosity of HPL/Fibrin 1 and HPL/Fibrin 2 than HPL/Fibrin 3, but larger pores were observed only in HPL/Fibrin 1. Cellular attachment and morphology on HPL/Fibrin 1 were appropriate by SEM imaging. A higher swelling rate was observed in HPL/Fibrin 1. After 3 and 5 days, higher numbers of cells were observed specifically in HPL/Fibrin 1. A higher expression of Na+/K+-ATPase, ZO-1 and vimentin proteins was detected in the HPL/Fibrin 1-cultured HCECs as compared with control (no scaffold). HPL/Fibrin can be used as a suitable scaffold for HCECs while preserving the cells viability. Further investigations are necessitated to approve the beneficial effects of the suggested scaffold for delivering and transplantation of cultivated HCECs into the anterior chamber of the eye.</description><subject>Anterior chamber</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cell Biology</subject><subject>Cell Proliferation</subject><subject>Cell Survival</subject><subject>Cell viability</subject><subject>Cells, Cultured</subject><subject>Cornea</subject><subject>Cytology</subject><subject>Endothelial Cells</subject><subject>Endothelium, Corneal</subject><subject>Fibrin</subject><subject>Fibrin - metabolism</subject><subject>Fibrinogen</subject><subject>Humans</subject><subject>Immunocytochemistry</subject><subject>Life Sciences</subject><subject>Morphology</subject><subject>Na+/K+-exchanging ATPase</subject><subject>Platelets</subject><subject>Porosity</subject><subject>Transplant Surgery</subject><subject>Transplantation</subject><subject>Vimentin</subject><subject>Zonula occludens-1 protein</subject><issn>1389-9333</issn><issn>1573-6814</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1vFSEUhonR2A_9A10YEjdupgLnMsCyaao2aaILXROGObTTMHCFGdP-e7neq026cEE4yXnOwwkvIWecnXPG1MfKmex5x0Q7xgDvHl6QYy4VdL3mm5etBm06AwBH5KTWe8YEUwJekyMAA4YLOCbpW14wLZOLNAfqaMq_MNLqXQg5jtTneZsrjrvm3Tq7RLfRLRhxofGxtoq6NNIwDWVKNORygHwuCZsS05iXO4w7vccY6xvyKrhY8e3hPiU_Pl19v_zS3Xz9fH15cdN5UHLpvNQsBL5BPwZv5DD0g-aCMR0YGBwCl4wrkKxXTiEbfO96GYI2I1cbzSDAKfmw925L_rliXew81d0GLmFeqxVS8I3plTANff8Mvc9rSW07K3phpACtdaPEnvIl11ow2G2ZZlceLWd2l4bdp2FbGvZPGvahDb07qNdhxvHfyN_vbwDsgdpa6RbL09v_0f4Gum-WNw</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Mishan, Mohammad Amir</creator><creator>Balagholi, Sahar</creator><creator>Chamani, Tahereh</creator><creator>Feizi, Sepehr</creator><creator>Soheili, Zahra-Soheila</creator><creator>Rezaei Kanavi, Mozhgan</creator><general>Springer Netherlands</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>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</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>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1497-2260</orcidid></search><sort><creationdate>20220301</creationdate><title>Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells</title><author>Mishan, Mohammad Amir ; Balagholi, Sahar ; Chamani, Tahereh ; Feizi, Sepehr ; Soheili, Zahra-Soheila ; Rezaei Kanavi, Mozhgan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-c580ff14ecdfc95bb6b812008f039ebf1501735067a7e0bc6a65ff89d174803f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anterior chamber</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cell Biology</topic><topic>Cell Proliferation</topic><topic>Cell Survival</topic><topic>Cell viability</topic><topic>Cells, Cultured</topic><topic>Cornea</topic><topic>Cytology</topic><topic>Endothelial Cells</topic><topic>Endothelium, Corneal</topic><topic>Fibrin</topic><topic>Fibrin - metabolism</topic><topic>Fibrinogen</topic><topic>Humans</topic><topic>Immunocytochemistry</topic><topic>Life Sciences</topic><topic>Morphology</topic><topic>Na+/K+-exchanging ATPase</topic><topic>Platelets</topic><topic>Porosity</topic><topic>Transplant Surgery</topic><topic>Transplantation</topic><topic>Vimentin</topic><topic>Zonula occludens-1 protein</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mishan, Mohammad Amir</creatorcontrib><creatorcontrib>Balagholi, Sahar</creatorcontrib><creatorcontrib>Chamani, Tahereh</creatorcontrib><creatorcontrib>Feizi, Sepehr</creatorcontrib><creatorcontrib>Soheili, Zahra-Soheila</creatorcontrib><creatorcontrib>Rezaei Kanavi, Mozhgan</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>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</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>AIDS and Cancer Research Abstracts</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>Algology Mycology and Protozoology Abstracts (Microbiology C)</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>MEDLINE - Academic</collection><jtitle>Cell and tissue banking</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mishan, Mohammad Amir</au><au>Balagholi, Sahar</au><au>Chamani, Tahereh</au><au>Feizi, Sepehr</au><au>Soheili, Zahra-Soheila</au><au>Rezaei Kanavi, Mozhgan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells</atitle><jtitle>Cell and tissue banking</jtitle><stitle>Cell Tissue Bank</stitle><addtitle>Cell Tissue Bank</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>23</volume><issue>1</issue><spage>171</spage><epage>183</epage><pages>171-183</pages><issn>1389-9333</issn><eissn>1573-6814</eissn><abstract>Cell-based therapies have been emerged to find innovative solutions for corneal endothelial dysfunction. The aim of this study is to investigate the suitability of a blended scaffold containing human platelet lysate (HPL) and fibrin not only for cultivating human corneal endothelial cells (HCECs) but also for serving as a scaffold for the respected cells. We isolated HCECs from human donors and encapsulated the cells with three concentrations of HPL/Fibrin scaffold, namely HPL/Fibrin 1, HPL/Fibrin 2 and HPL/Fibrin 3, by adding 28.9, 57.8 and 86.7 mg/dl of fibrinogen to HPL to obtain a final percentage of 10, 20 and 30 % of fibrinogen, respectively. SEM imaging and swelling test were done to characterize the scaffolds. Cell viability assay and cell counting were performed on the cells. HCECs were characterized by morphology and immunocytochemistry. SEM imaging on freeze-dried scaffolds showed higher porosity of HPL/Fibrin 1 and HPL/Fibrin 2 than HPL/Fibrin 3, but larger pores were observed only in HPL/Fibrin 1. Cellular attachment and morphology on HPL/Fibrin 1 were appropriate by SEM imaging. A higher swelling rate was observed in HPL/Fibrin 1. After 3 and 5 days, higher numbers of cells were observed specifically in HPL/Fibrin 1. A higher expression of Na+/K+-ATPase, ZO-1 and vimentin proteins was detected in the HPL/Fibrin 1-cultured HCECs as compared with control (no scaffold). HPL/Fibrin can be used as a suitable scaffold for HCECs while preserving the cells viability. Further investigations are necessitated to approve the beneficial effects of the suggested scaffold for delivering and transplantation of cultivated HCECs into the anterior chamber of the eye.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>33939123</pmid><doi>10.1007/s10561-021-09931-x</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-1497-2260</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1389-9333 |
ispartof | Cell and tissue banking, 2022-03, Vol.23 (1), p.171-183 |
issn | 1389-9333 1573-6814 |
language | eng |
recordid | cdi_proquest_miscellaneous_2521496729 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Anterior chamber Biomedical and Life Sciences Biomedicine Cell Biology Cell Proliferation Cell Survival Cell viability Cells, Cultured Cornea Cytology Endothelial Cells Endothelium, Corneal Fibrin Fibrin - metabolism Fibrinogen Humans Immunocytochemistry Life Sciences Morphology Na+/K+-exchanging ATPase Platelets Porosity Transplant Surgery Transplantation Vimentin Zonula occludens-1 protein |
title | Potential of a novel scaffold composed of human platelet lysate and fibrin for human corneal endothelial cells |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T15%3A25%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=Potential%20of%20a%20novel%20scaffold%20composed%20of%20human%20platelet%20lysate%20and%20fibrin%20for%20human%20corneal%20endothelial%20cells&rft.jtitle=Cell%20and%20tissue%20banking&rft.au=Mishan,%20Mohammad%20Amir&rft.date=2022-03-01&rft.volume=23&rft.issue=1&rft.spage=171&rft.epage=183&rft.pages=171-183&rft.issn=1389-9333&rft.eissn=1573-6814&rft_id=info:doi/10.1007/s10561-021-09931-x&rft_dat=%3Cproquest_cross%3E2629523888%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=2629523888&rft_id=info:pmid/33939123&rfr_iscdi=true |