Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel

The purpose of this study was to evaluate the bone-generating ability of a new bovine-derived xenograft (S1-XB) containing hydrogel. For control purposes, we used Bio-Oss and Bone-XB bovine-derived xenografts. S1-XB was produced by mixing Bone-XB and hydrogel. Cell proliferation and differentiation...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Materials 2021-08, Vol.14 (16), p.4464, Article 4464
Hauptverfasser: Kim, So-Yeun, Lee, You-Jin, Cho, Won-Tak, Hwang, Su-Hyun, Heo, Soon-Chul, Kim, Hyung-Joon, Huh, Jung-Bo
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 16
container_start_page 4464
container_title Materials
container_volume 14
creator Kim, So-Yeun
Lee, You-Jin
Cho, Won-Tak
Hwang, Su-Hyun
Heo, Soon-Chul
Kim, Hyung-Joon
Huh, Jung-Bo
description The purpose of this study was to evaluate the bone-generating ability of a new bovine-derived xenograft (S1-XB) containing hydrogel. For control purposes, we used Bio-Oss and Bone-XB bovine-derived xenografts. S1-XB was produced by mixing Bone-XB and hydrogel. Cell proliferation and differentiation studies were performed to assess cytotoxicities and cell responses. For in vivo study, 8 mm-sized cranial defects were formed in 16 rats, and then the bone substitutes were transplanted into defect sites in the four study groups, that is, a Bio-Oss group, a Bone-XB group, an S1-XB group, and a control (all n = 4); in the control group defects were left empty. Eight weeks after surgery, new bone formation areas were measured histomorphometrically. In the cell study, extracts of Bio-Oss, Bone-XB, and S1-XB showed good results in terms of the osteogenic differentiation of human mesenchymal stem cells (hMSCs) and no cytotoxic reaction was evident. No significant difference was observed between mean new bone areas in the Bio-Oss (36.93 +/- 4.27%), Bone-XB (35.07 +/- 3.23%), and S1-XB (30.80 +/- 6.41%) groups, but new bone area was significantly smaller in the control group (18.73 +/- 5.59%) (p < 0.05). Bovine-derived bone graft material containing hydrogel (S1-XB) had a better cellular response and an osteogenic effect similar to Bio-Oss.
doi_str_mv 10.3390/ma14164464
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2566032955</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2565377336</sourcerecordid><originalsourceid>FETCH-LOGICAL-c383t-55b5d1a09576e86c8a53492cea85fd08ad2ea0602040966983037cba782f60b23</originalsourceid><addsrcrecordid>eNqNkUtr3TAQhU1paUKaTX-BoJvS4lZvS5vC7SUvCCTQdG1keZwoyNKtLDe46_zw6vZe0seqs9GI-c5hhlNVrwn-wJjGH0dDOJGcS_6sOiRay5pozp__0R9Ux9N0j0sxRhTVL6sDxjmnWsnD6vE6gXejCyYtaBXcaDz6kud-QTGgzzEAOo1pNNmV76pz3uUyGdA6jiMk64x3P6BH1yZlZz3UN8sGdrKzZIaMHly-QxfBJjBT4a42kMzepVvQ-dKneAv-VfViMH6C4_17VH09PblZn9eXV2cX69VlbZliuRaiEz0xWItGgpJWGcG4phaMEkOPlekpGCwxxRxrKbVimDW2M42ig8QdZUfVp53vZu5G6C2EnIxvN6mcnZY2Gtf-PQnurr2N31vFtKaEF4O3e4MUv80w5XZ0kwXvTYA4Ty0VUmJGtRAFffMPeh_nFMp5W0qwpmFMFurdjrIpTlOC4WkZgtttvu3vfAusdvADdHGYrINg4UlQ8pVKC0WbbdRk7fKv1NZxDrlI3_-_lP0EIkS4EA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2565377336</pqid></control><display><type>article</type><title>Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Web of Science - Science Citation Index Expanded - 2021&lt;img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /&gt;</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Kim, So-Yeun ; Lee, You-Jin ; Cho, Won-Tak ; Hwang, Su-Hyun ; Heo, Soon-Chul ; Kim, Hyung-Joon ; Huh, Jung-Bo</creator><creatorcontrib>Kim, So-Yeun ; Lee, You-Jin ; Cho, Won-Tak ; Hwang, Su-Hyun ; Heo, Soon-Chul ; Kim, Hyung-Joon ; Huh, Jung-Bo</creatorcontrib><description>The purpose of this study was to evaluate the bone-generating ability of a new bovine-derived xenograft (S1-XB) containing hydrogel. For control purposes, we used Bio-Oss and Bone-XB bovine-derived xenografts. S1-XB was produced by mixing Bone-XB and hydrogel. Cell proliferation and differentiation studies were performed to assess cytotoxicities and cell responses. For in vivo study, 8 mm-sized cranial defects were formed in 16 rats, and then the bone substitutes were transplanted into defect sites in the four study groups, that is, a Bio-Oss group, a Bone-XB group, an S1-XB group, and a control (all n = 4); in the control group defects were left empty. Eight weeks after surgery, new bone formation areas were measured histomorphometrically. In the cell study, extracts of Bio-Oss, Bone-XB, and S1-XB showed good results in terms of the osteogenic differentiation of human mesenchymal stem cells (hMSCs) and no cytotoxic reaction was evident. No significant difference was observed between mean new bone areas in the Bio-Oss (36.93 +/- 4.27%), Bone-XB (35.07 +/- 3.23%), and S1-XB (30.80 +/- 6.41%) groups, but new bone area was significantly smaller in the control group (18.73 +/- 5.59%) (p &lt; 0.05). Bovine-derived bone graft material containing hydrogel (S1-XB) had a better cellular response and an osteogenic effect similar to Bio-Oss.</description><identifier>ISSN: 1996-1944</identifier><identifier>EISSN: 1996-1944</identifier><identifier>DOI: 10.3390/ma14164464</identifier><identifier>PMID: 34442986</identifier><language>eng</language><publisher>BASEL: Mdpi</publisher><subject>Animals ; Biocompatibility ; Biomedical materials ; Cattle ; Chemistry ; Chemistry, Physical ; Commercialization ; Defects ; Differentiation (biology) ; Experiments ; Grafting ; Grafts ; Hydrogels ; In vivo methods and tests ; Materials Science ; Materials Science, Multidisciplinary ; Metallurgy &amp; Metallurgical Engineering ; Phosphatase ; Physical Sciences ; Physics ; Physics, Applied ; Physics, Condensed Matter ; Scanning electron microscopy ; Science &amp; Technology ; Skin &amp; tissue grafts ; Stem cells ; Substitute bone ; Surgery ; Technology ; Xenotransplantation</subject><ispartof>Materials, 2021-08, Vol.14 (16), p.4464, Article 4464</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000689582700001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c383t-55b5d1a09576e86c8a53492cea85fd08ad2ea0602040966983037cba782f60b23</citedby><cites>FETCH-LOGICAL-c383t-55b5d1a09576e86c8a53492cea85fd08ad2ea0602040966983037cba782f60b23</cites><orcidid>0000-0002-2962-9553 ; 0000-0002-9361-732X ; 0000-0003-2174-7333 ; 0000-0001-6714-8315</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399214/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399214/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,39263,53796,53798</link.rule.ids></links><search><creatorcontrib>Kim, So-Yeun</creatorcontrib><creatorcontrib>Lee, You-Jin</creatorcontrib><creatorcontrib>Cho, Won-Tak</creatorcontrib><creatorcontrib>Hwang, Su-Hyun</creatorcontrib><creatorcontrib>Heo, Soon-Chul</creatorcontrib><creatorcontrib>Kim, Hyung-Joon</creatorcontrib><creatorcontrib>Huh, Jung-Bo</creatorcontrib><title>Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel</title><title>Materials</title><addtitle>MATERIALS</addtitle><description>The purpose of this study was to evaluate the bone-generating ability of a new bovine-derived xenograft (S1-XB) containing hydrogel. For control purposes, we used Bio-Oss and Bone-XB bovine-derived xenografts. S1-XB was produced by mixing Bone-XB and hydrogel. Cell proliferation and differentiation studies were performed to assess cytotoxicities and cell responses. For in vivo study, 8 mm-sized cranial defects were formed in 16 rats, and then the bone substitutes were transplanted into defect sites in the four study groups, that is, a Bio-Oss group, a Bone-XB group, an S1-XB group, and a control (all n = 4); in the control group defects were left empty. Eight weeks after surgery, new bone formation areas were measured histomorphometrically. In the cell study, extracts of Bio-Oss, Bone-XB, and S1-XB showed good results in terms of the osteogenic differentiation of human mesenchymal stem cells (hMSCs) and no cytotoxic reaction was evident. No significant difference was observed between mean new bone areas in the Bio-Oss (36.93 +/- 4.27%), Bone-XB (35.07 +/- 3.23%), and S1-XB (30.80 +/- 6.41%) groups, but new bone area was significantly smaller in the control group (18.73 +/- 5.59%) (p &lt; 0.05). Bovine-derived bone graft material containing hydrogel (S1-XB) had a better cellular response and an osteogenic effect similar to Bio-Oss.</description><subject>Animals</subject><subject>Biocompatibility</subject><subject>Biomedical materials</subject><subject>Cattle</subject><subject>Chemistry</subject><subject>Chemistry, Physical</subject><subject>Commercialization</subject><subject>Defects</subject><subject>Differentiation (biology)</subject><subject>Experiments</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Hydrogels</subject><subject>In vivo methods and tests</subject><subject>Materials Science</subject><subject>Materials Science, Multidisciplinary</subject><subject>Metallurgy &amp; Metallurgical Engineering</subject><subject>Phosphatase</subject><subject>Physical Sciences</subject><subject>Physics</subject><subject>Physics, Applied</subject><subject>Physics, Condensed Matter</subject><subject>Scanning electron microscopy</subject><subject>Science &amp; Technology</subject><subject>Skin &amp; tissue grafts</subject><subject>Stem cells</subject><subject>Substitute bone</subject><subject>Surgery</subject><subject>Technology</subject><subject>Xenotransplantation</subject><issn>1996-1944</issn><issn>1996-1944</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkUtr3TAQhU1paUKaTX-BoJvS4lZvS5vC7SUvCCTQdG1keZwoyNKtLDe46_zw6vZe0seqs9GI-c5hhlNVrwn-wJjGH0dDOJGcS_6sOiRay5pozp__0R9Ux9N0j0sxRhTVL6sDxjmnWsnD6vE6gXejCyYtaBXcaDz6kud-QTGgzzEAOo1pNNmV76pz3uUyGdA6jiMk64x3P6BH1yZlZz3UN8sGdrKzZIaMHly-QxfBJjBT4a42kMzepVvQ-dKneAv-VfViMH6C4_17VH09PblZn9eXV2cX69VlbZliuRaiEz0xWItGgpJWGcG4phaMEkOPlekpGCwxxRxrKbVimDW2M42ig8QdZUfVp53vZu5G6C2EnIxvN6mcnZY2Gtf-PQnurr2N31vFtKaEF4O3e4MUv80w5XZ0kwXvTYA4Ty0VUmJGtRAFffMPeh_nFMp5W0qwpmFMFurdjrIpTlOC4WkZgtttvu3vfAusdvADdHGYrINg4UlQ8pVKC0WbbdRk7fKv1NZxDrlI3_-_lP0EIkS4EA</recordid><startdate>20210809</startdate><enddate>20210809</enddate><creator>Kim, So-Yeun</creator><creator>Lee, You-Jin</creator><creator>Cho, Won-Tak</creator><creator>Hwang, Su-Hyun</creator><creator>Heo, Soon-Chul</creator><creator>Kim, Hyung-Joon</creator><creator>Huh, Jung-Bo</creator><general>Mdpi</general><general>MDPI AG</general><general>MDPI</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SR</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2962-9553</orcidid><orcidid>https://orcid.org/0000-0002-9361-732X</orcidid><orcidid>https://orcid.org/0000-0003-2174-7333</orcidid><orcidid>https://orcid.org/0000-0001-6714-8315</orcidid></search><sort><creationdate>20210809</creationdate><title>Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel</title><author>Kim, So-Yeun ; Lee, You-Jin ; Cho, Won-Tak ; Hwang, Su-Hyun ; Heo, Soon-Chul ; Kim, Hyung-Joon ; Huh, Jung-Bo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-55b5d1a09576e86c8a53492cea85fd08ad2ea0602040966983037cba782f60b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animals</topic><topic>Biocompatibility</topic><topic>Biomedical materials</topic><topic>Cattle</topic><topic>Chemistry</topic><topic>Chemistry, Physical</topic><topic>Commercialization</topic><topic>Defects</topic><topic>Differentiation (biology)</topic><topic>Experiments</topic><topic>Grafting</topic><topic>Grafts</topic><topic>Hydrogels</topic><topic>In vivo methods and tests</topic><topic>Materials Science</topic><topic>Materials Science, Multidisciplinary</topic><topic>Metallurgy &amp; Metallurgical Engineering</topic><topic>Phosphatase</topic><topic>Physical Sciences</topic><topic>Physics</topic><topic>Physics, Applied</topic><topic>Physics, Condensed Matter</topic><topic>Scanning electron microscopy</topic><topic>Science &amp; Technology</topic><topic>Skin &amp; tissue grafts</topic><topic>Stem cells</topic><topic>Substitute bone</topic><topic>Surgery</topic><topic>Technology</topic><topic>Xenotransplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, So-Yeun</creatorcontrib><creatorcontrib>Lee, You-Jin</creatorcontrib><creatorcontrib>Cho, Won-Tak</creatorcontrib><creatorcontrib>Hwang, Su-Hyun</creatorcontrib><creatorcontrib>Heo, Soon-Chul</creatorcontrib><creatorcontrib>Kim, Hyung-Joon</creatorcontrib><creatorcontrib>Huh, Jung-Bo</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>CrossRef</collection><collection>Engineered Materials Abstracts</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>SciTech Premium Collection</collection><collection>Materials Research Database</collection><collection>Materials Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Materials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, So-Yeun</au><au>Lee, You-Jin</au><au>Cho, Won-Tak</au><au>Hwang, Su-Hyun</au><au>Heo, Soon-Chul</au><au>Kim, Hyung-Joon</au><au>Huh, Jung-Bo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel</atitle><jtitle>Materials</jtitle><stitle>MATERIALS</stitle><date>2021-08-09</date><risdate>2021</risdate><volume>14</volume><issue>16</issue><spage>4464</spage><pages>4464-</pages><artnum>4464</artnum><issn>1996-1944</issn><eissn>1996-1944</eissn><abstract>The purpose of this study was to evaluate the bone-generating ability of a new bovine-derived xenograft (S1-XB) containing hydrogel. For control purposes, we used Bio-Oss and Bone-XB bovine-derived xenografts. S1-XB was produced by mixing Bone-XB and hydrogel. Cell proliferation and differentiation studies were performed to assess cytotoxicities and cell responses. For in vivo study, 8 mm-sized cranial defects were formed in 16 rats, and then the bone substitutes were transplanted into defect sites in the four study groups, that is, a Bio-Oss group, a Bone-XB group, an S1-XB group, and a control (all n = 4); in the control group defects were left empty. Eight weeks after surgery, new bone formation areas were measured histomorphometrically. In the cell study, extracts of Bio-Oss, Bone-XB, and S1-XB showed good results in terms of the osteogenic differentiation of human mesenchymal stem cells (hMSCs) and no cytotoxic reaction was evident. No significant difference was observed between mean new bone areas in the Bio-Oss (36.93 +/- 4.27%), Bone-XB (35.07 +/- 3.23%), and S1-XB (30.80 +/- 6.41%) groups, but new bone area was significantly smaller in the control group (18.73 +/- 5.59%) (p &lt; 0.05). Bovine-derived bone graft material containing hydrogel (S1-XB) had a better cellular response and an osteogenic effect similar to Bio-Oss.</abstract><cop>BASEL</cop><pub>Mdpi</pub><pmid>34442986</pmid><doi>10.3390/ma14164464</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-2962-9553</orcidid><orcidid>https://orcid.org/0000-0002-9361-732X</orcidid><orcidid>https://orcid.org/0000-0003-2174-7333</orcidid><orcidid>https://orcid.org/0000-0001-6714-8315</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1996-1944
ispartof Materials, 2021-08, Vol.14 (16), p.4464, Article 4464
issn 1996-1944
1996-1944
language eng
recordid cdi_proquest_miscellaneous_2566032955
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; PubMed Central; Free Full-Text Journals in Chemistry
subjects Animals
Biocompatibility
Biomedical materials
Cattle
Chemistry
Chemistry, Physical
Commercialization
Defects
Differentiation (biology)
Experiments
Grafting
Grafts
Hydrogels
In vivo methods and tests
Materials Science
Materials Science, Multidisciplinary
Metallurgy & Metallurgical Engineering
Phosphatase
Physical Sciences
Physics
Physics, Applied
Physics, Condensed Matter
Scanning electron microscopy
Science & Technology
Skin & tissue grafts
Stem cells
Substitute bone
Surgery
Technology
Xenotransplantation
title Preliminary Animal Study on Bone Formation Ability of Commercialized Particle-Type Bone Graft with Increased Operability by Hydrogel
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T06%3A05%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preliminary%20Animal%20Study%20on%20Bone%20Formation%20Ability%20of%20Commercialized%20Particle-Type%20Bone%20Graft%20with%20Increased%20Operability%20by%20Hydrogel&rft.jtitle=Materials&rft.au=Kim,%20So-Yeun&rft.date=2021-08-09&rft.volume=14&rft.issue=16&rft.spage=4464&rft.pages=4464-&rft.artnum=4464&rft.issn=1996-1944&rft.eissn=1996-1944&rft_id=info:doi/10.3390/ma14164464&rft_dat=%3Cproquest_pubme%3E2565377336%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2565377336&rft_id=info:pmid/34442986&rfr_iscdi=true