Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway

Overactivation of TGF‐β/ALK5/Smad signaling pathway has been observed in the advanced stage of various human malignancies. As a key component of TGF‐β/ALK5/Smad signaling pathway transduction, TGF‐β type I receptor (also known as ALK5) has emerged as a promising therapeutic target for cancer treatme...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Phytotherapy research 2021-11, Vol.35 (11), p.6310-6323
Hauptverfasser: Zhang, Zihao, Qiao, Yu, Yang, Li, Chen, Zuwang, Li, Tao, Gu, MingZhen, Li, Chong, Liu, Mingming, Li, Rong
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 6323
container_issue 11
container_start_page 6310
container_title Phytotherapy research
container_volume 35
creator Zhang, Zihao
Qiao, Yu
Yang, Li
Chen, Zuwang
Li, Tao
Gu, MingZhen
Li, Chong
Liu, Mingming
Li, Rong
description Overactivation of TGF‐β/ALK5/Smad signaling pathway has been observed in the advanced stage of various human malignancies. As a key component of TGF‐β/ALK5/Smad signaling pathway transduction, TGF‐β type I receptor (also known as ALK5) has emerged as a promising therapeutic target for cancer treatment. In this study, to discover a novel ALK5 inhibitor, a commercial natural products library was screened using docking‐based virtual screening, followed by luciferase reporter assay. A flavonoid glycoside kaempferol 3‐O‐gentiobioside (KPF 3‐O‐G) was identified as a potent ALK5 inhibitor through directly bound to the ATP‐site of ALK5, resulting in the inhibitory effects on phosphorylation and translocation of Smad2 and expression of Smad4. Additionally, we found that KPF 3‐O‐G reduced cell proliferation and inhibited TGF‐β‐induced cell migration and invasion. Moreover, western blotting and immunofluorescent analysis showed that KPF 3‐O‐G significantly reversed the TGF‐β‐induced EMT biomarkers, including upregulation of E‐cadherin and downregulation of N‐cadherin, vimentin, and snail. In vivo study showed that KPF 3‐O‐G administration reduced tumor growth in human ovarian cancer xenograft mouse model, without obvious toxic effect. This study provided novel insight into the anticancer effects of KPF‐3‐O‐G and indicated that KPF‐3‐O‐G might be developed as potential therapeutics for cancer treatment after further validation.
doi_str_mv 10.1002/ptr.7278
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2572211288</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2572211288</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3498-3384d2008c6b170c6c5f22692a700676a22f96f0c9c823586fa690ba24d37cf03</originalsourceid><addsrcrecordid>eNp1kd1qFDEYhoNY7FoFr0ACnnjQ6X7JzOTnsBRbSxcquoJnQyaT7KbOTMZkpmXPegm9E6EX4kV4Jc32R0EwEPL3vO_3hRehNwQOCACdD2M44JSLZ2hGQMqMlDx_jmYgS5IVRHzbRS9jvAAASaF4gXbzoiQFK_kM_TxTphusCb7F-e_rm_M0V6Yfna-dj64x-1j1-HBxVmLXr13tRh_SlbVGjxGPa4OHJHXJQCVNv487t3raqr5JoksV0wl7i8ep8wFr07YRXzqF69br76ox92_JaXlynKr_up1vy82_dKrB0a161bp-hQc1rq_U5hXasaqN5vXjuoe-Hn9YHn3MFucnp0eHi0znhRRZnouioQBCs5pw0EyXllImqeIAjDNFqZXMgpZa0LwUzComoVa0aHKuLeR76P2Db_rej8nEsepc3LaueuOnWNGSU0oIFSKh7_5BL_wUUtuJYkDSoAX_a6iDjzEYWw3BdSpsKgLVNsQqhVhtQ0zo20fDqe5M8wd8Si0B2QNw5Vqz-a9R9Wn5-d7wDpmPqQs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2601111247</pqid></control><display><type>article</type><title>Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Zhang, Zihao ; Qiao, Yu ; Yang, Li ; Chen, Zuwang ; Li, Tao ; Gu, MingZhen ; Li, Chong ; Liu, Mingming ; Li, Rong</creator><creatorcontrib>Zhang, Zihao ; Qiao, Yu ; Yang, Li ; Chen, Zuwang ; Li, Tao ; Gu, MingZhen ; Li, Chong ; Liu, Mingming ; Li, Rong</creatorcontrib><description>Overactivation of TGF‐β/ALK5/Smad signaling pathway has been observed in the advanced stage of various human malignancies. As a key component of TGF‐β/ALK5/Smad signaling pathway transduction, TGF‐β type I receptor (also known as ALK5) has emerged as a promising therapeutic target for cancer treatment. In this study, to discover a novel ALK5 inhibitor, a commercial natural products library was screened using docking‐based virtual screening, followed by luciferase reporter assay. A flavonoid glycoside kaempferol 3‐O‐gentiobioside (KPF 3‐O‐G) was identified as a potent ALK5 inhibitor through directly bound to the ATP‐site of ALK5, resulting in the inhibitory effects on phosphorylation and translocation of Smad2 and expression of Smad4. Additionally, we found that KPF 3‐O‐G reduced cell proliferation and inhibited TGF‐β‐induced cell migration and invasion. Moreover, western blotting and immunofluorescent analysis showed that KPF 3‐O‐G significantly reversed the TGF‐β‐induced EMT biomarkers, including upregulation of E‐cadherin and downregulation of N‐cadherin, vimentin, and snail. In vivo study showed that KPF 3‐O‐G administration reduced tumor growth in human ovarian cancer xenograft mouse model, without obvious toxic effect. This study provided novel insight into the anticancer effects of KPF‐3‐O‐G and indicated that KPF‐3‐O‐G might be developed as potential therapeutics for cancer treatment after further validation.</description><identifier>ISSN: 0951-418X</identifier><identifier>EISSN: 1099-1573</identifier><identifier>DOI: 10.1002/ptr.7278</identifier><identifier>PMID: 34514657</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Animals ; Anticancer properties ; Antineoplastic Agents, Phytogenic ; Biocompatibility ; Biomarkers ; cancer ; Cancer therapies ; Cell Line, Tumor ; Cell migration ; Cell Movement ; Cell Proliferation ; Chinese medicine monomer ; Epithelial-Mesenchymal Transition ; Flavone glycosides ; Flavonoids ; In vivo methods and tests ; Inhibitors ; Kaempferol ; kaempferol 3‐O‐gentiobioside ; Kaempferols ; Mice ; Natural products ; Ovarian cancer ; Phosphorylation ; Receptor, Transforming Growth Factor-beta Type I - antagonists &amp; inhibitors ; Signal Transduction ; Signaling ; Smad protein ; Smad Proteins ; Smad2 protein ; Smad4 protein ; Therapeutic targets ; Transforming Growth Factor beta ; Transforming growth factor-b ; transforming growth factor‐β ; Translocation ; Tumor cells ; Tumors ; Vimentin ; Western blotting ; Xenografts ; Xenotransplantation</subject><ispartof>Phytotherapy research, 2021-11, Vol.35 (11), p.6310-6323</ispartof><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>2021 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3498-3384d2008c6b170c6c5f22692a700676a22f96f0c9c823586fa690ba24d37cf03</citedby><cites>FETCH-LOGICAL-c3498-3384d2008c6b170c6c5f22692a700676a22f96f0c9c823586fa690ba24d37cf03</cites><orcidid>0000-0002-4672-7868</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%2Fptr.7278$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fptr.7278$$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/34514657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Zihao</creatorcontrib><creatorcontrib>Qiao, Yu</creatorcontrib><creatorcontrib>Yang, Li</creatorcontrib><creatorcontrib>Chen, Zuwang</creatorcontrib><creatorcontrib>Li, Tao</creatorcontrib><creatorcontrib>Gu, MingZhen</creatorcontrib><creatorcontrib>Li, Chong</creatorcontrib><creatorcontrib>Liu, Mingming</creatorcontrib><creatorcontrib>Li, Rong</creatorcontrib><title>Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway</title><title>Phytotherapy research</title><addtitle>Phytother Res</addtitle><description>Overactivation of TGF‐β/ALK5/Smad signaling pathway has been observed in the advanced stage of various human malignancies. As a key component of TGF‐β/ALK5/Smad signaling pathway transduction, TGF‐β type I receptor (also known as ALK5) has emerged as a promising therapeutic target for cancer treatment. In this study, to discover a novel ALK5 inhibitor, a commercial natural products library was screened using docking‐based virtual screening, followed by luciferase reporter assay. A flavonoid glycoside kaempferol 3‐O‐gentiobioside (KPF 3‐O‐G) was identified as a potent ALK5 inhibitor through directly bound to the ATP‐site of ALK5, resulting in the inhibitory effects on phosphorylation and translocation of Smad2 and expression of Smad4. Additionally, we found that KPF 3‐O‐G reduced cell proliferation and inhibited TGF‐β‐induced cell migration and invasion. Moreover, western blotting and immunofluorescent analysis showed that KPF 3‐O‐G significantly reversed the TGF‐β‐induced EMT biomarkers, including upregulation of E‐cadherin and downregulation of N‐cadherin, vimentin, and snail. In vivo study showed that KPF 3‐O‐G administration reduced tumor growth in human ovarian cancer xenograft mouse model, without obvious toxic effect. This study provided novel insight into the anticancer effects of KPF‐3‐O‐G and indicated that KPF‐3‐O‐G might be developed as potential therapeutics for cancer treatment after further validation.</description><subject>Animals</subject><subject>Anticancer properties</subject><subject>Antineoplastic Agents, Phytogenic</subject><subject>Biocompatibility</subject><subject>Biomarkers</subject><subject>cancer</subject><subject>Cancer therapies</subject><subject>Cell Line, Tumor</subject><subject>Cell migration</subject><subject>Cell Movement</subject><subject>Cell Proliferation</subject><subject>Chinese medicine monomer</subject><subject>Epithelial-Mesenchymal Transition</subject><subject>Flavone glycosides</subject><subject>Flavonoids</subject><subject>In vivo methods and tests</subject><subject>Inhibitors</subject><subject>Kaempferol</subject><subject>kaempferol 3‐O‐gentiobioside</subject><subject>Kaempferols</subject><subject>Mice</subject><subject>Natural products</subject><subject>Ovarian cancer</subject><subject>Phosphorylation</subject><subject>Receptor, Transforming Growth Factor-beta Type I - antagonists &amp; inhibitors</subject><subject>Signal Transduction</subject><subject>Signaling</subject><subject>Smad protein</subject><subject>Smad Proteins</subject><subject>Smad2 protein</subject><subject>Smad4 protein</subject><subject>Therapeutic targets</subject><subject>Transforming Growth Factor beta</subject><subject>Transforming growth factor-b</subject><subject>transforming growth factor‐β</subject><subject>Translocation</subject><subject>Tumor cells</subject><subject>Tumors</subject><subject>Vimentin</subject><subject>Western blotting</subject><subject>Xenografts</subject><subject>Xenotransplantation</subject><issn>0951-418X</issn><issn>1099-1573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kd1qFDEYhoNY7FoFr0ACnnjQ6X7JzOTnsBRbSxcquoJnQyaT7KbOTMZkpmXPegm9E6EX4kV4Jc32R0EwEPL3vO_3hRehNwQOCACdD2M44JSLZ2hGQMqMlDx_jmYgS5IVRHzbRS9jvAAASaF4gXbzoiQFK_kM_TxTphusCb7F-e_rm_M0V6Yfna-dj64x-1j1-HBxVmLXr13tRh_SlbVGjxGPa4OHJHXJQCVNv487t3raqr5JoksV0wl7i8ep8wFr07YRXzqF69br76ox92_JaXlynKr_up1vy82_dKrB0a161bp-hQc1rq_U5hXasaqN5vXjuoe-Hn9YHn3MFucnp0eHi0znhRRZnouioQBCs5pw0EyXllImqeIAjDNFqZXMgpZa0LwUzComoVa0aHKuLeR76P2Db_rej8nEsepc3LaueuOnWNGSU0oIFSKh7_5BL_wUUtuJYkDSoAX_a6iDjzEYWw3BdSpsKgLVNsQqhVhtQ0zo20fDqe5M8wd8Si0B2QNw5Vqz-a9R9Wn5-d7wDpmPqQs</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Zhang, Zihao</creator><creator>Qiao, Yu</creator><creator>Yang, Li</creator><creator>Chen, Zuwang</creator><creator>Li, Tao</creator><creator>Gu, MingZhen</creator><creator>Li, Chong</creator><creator>Liu, Mingming</creator><creator>Li, Rong</creator><general>John Wiley &amp; Sons, Ltd</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>7QO</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4672-7868</orcidid></search><sort><creationdate>202111</creationdate><title>Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway</title><author>Zhang, Zihao ; Qiao, Yu ; Yang, Li ; Chen, Zuwang ; Li, Tao ; Gu, MingZhen ; Li, Chong ; Liu, Mingming ; Li, Rong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3498-3384d2008c6b170c6c5f22692a700676a22f96f0c9c823586fa690ba24d37cf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animals</topic><topic>Anticancer properties</topic><topic>Antineoplastic Agents, Phytogenic</topic><topic>Biocompatibility</topic><topic>Biomarkers</topic><topic>cancer</topic><topic>Cancer therapies</topic><topic>Cell Line, Tumor</topic><topic>Cell migration</topic><topic>Cell Movement</topic><topic>Cell Proliferation</topic><topic>Chinese medicine monomer</topic><topic>Epithelial-Mesenchymal Transition</topic><topic>Flavone glycosides</topic><topic>Flavonoids</topic><topic>In vivo methods and tests</topic><topic>Inhibitors</topic><topic>Kaempferol</topic><topic>kaempferol 3‐O‐gentiobioside</topic><topic>Kaempferols</topic><topic>Mice</topic><topic>Natural products</topic><topic>Ovarian cancer</topic><topic>Phosphorylation</topic><topic>Receptor, Transforming Growth Factor-beta Type I - antagonists &amp; inhibitors</topic><topic>Signal Transduction</topic><topic>Signaling</topic><topic>Smad protein</topic><topic>Smad Proteins</topic><topic>Smad2 protein</topic><topic>Smad4 protein</topic><topic>Therapeutic targets</topic><topic>Transforming Growth Factor beta</topic><topic>Transforming growth factor-b</topic><topic>transforming growth factor‐β</topic><topic>Translocation</topic><topic>Tumor cells</topic><topic>Tumors</topic><topic>Vimentin</topic><topic>Western blotting</topic><topic>Xenografts</topic><topic>Xenotransplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Zihao</creatorcontrib><creatorcontrib>Qiao, Yu</creatorcontrib><creatorcontrib>Yang, Li</creatorcontrib><creatorcontrib>Chen, Zuwang</creatorcontrib><creatorcontrib>Li, Tao</creatorcontrib><creatorcontrib>Gu, MingZhen</creatorcontrib><creatorcontrib>Li, Chong</creatorcontrib><creatorcontrib>Liu, Mingming</creatorcontrib><creatorcontrib>Li, Rong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Phytotherapy research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Zihao</au><au>Qiao, Yu</au><au>Yang, Li</au><au>Chen, Zuwang</au><au>Li, Tao</au><au>Gu, MingZhen</au><au>Li, Chong</au><au>Liu, Mingming</au><au>Li, Rong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway</atitle><jtitle>Phytotherapy research</jtitle><addtitle>Phytother Res</addtitle><date>2021-11</date><risdate>2021</risdate><volume>35</volume><issue>11</issue><spage>6310</spage><epage>6323</epage><pages>6310-6323</pages><issn>0951-418X</issn><eissn>1099-1573</eissn><abstract>Overactivation of TGF‐β/ALK5/Smad signaling pathway has been observed in the advanced stage of various human malignancies. As a key component of TGF‐β/ALK5/Smad signaling pathway transduction, TGF‐β type I receptor (also known as ALK5) has emerged as a promising therapeutic target for cancer treatment. In this study, to discover a novel ALK5 inhibitor, a commercial natural products library was screened using docking‐based virtual screening, followed by luciferase reporter assay. A flavonoid glycoside kaempferol 3‐O‐gentiobioside (KPF 3‐O‐G) was identified as a potent ALK5 inhibitor through directly bound to the ATP‐site of ALK5, resulting in the inhibitory effects on phosphorylation and translocation of Smad2 and expression of Smad4. Additionally, we found that KPF 3‐O‐G reduced cell proliferation and inhibited TGF‐β‐induced cell migration and invasion. Moreover, western blotting and immunofluorescent analysis showed that KPF 3‐O‐G significantly reversed the TGF‐β‐induced EMT biomarkers, including upregulation of E‐cadherin and downregulation of N‐cadherin, vimentin, and snail. In vivo study showed that KPF 3‐O‐G administration reduced tumor growth in human ovarian cancer xenograft mouse model, without obvious toxic effect. This study provided novel insight into the anticancer effects of KPF‐3‐O‐G and indicated that KPF‐3‐O‐G might be developed as potential therapeutics for cancer treatment after further validation.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>34514657</pmid><doi>10.1002/ptr.7278</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-4672-7868</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0951-418X
ispartof Phytotherapy research, 2021-11, Vol.35 (11), p.6310-6323
issn 0951-418X
1099-1573
language eng
recordid cdi_proquest_miscellaneous_2572211288
source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Anticancer properties
Antineoplastic Agents, Phytogenic
Biocompatibility
Biomarkers
cancer
Cancer therapies
Cell Line, Tumor
Cell migration
Cell Movement
Cell Proliferation
Chinese medicine monomer
Epithelial-Mesenchymal Transition
Flavone glycosides
Flavonoids
In vivo methods and tests
Inhibitors
Kaempferol
kaempferol 3‐O‐gentiobioside
Kaempferols
Mice
Natural products
Ovarian cancer
Phosphorylation
Receptor, Transforming Growth Factor-beta Type I - antagonists & inhibitors
Signal Transduction
Signaling
Smad protein
Smad Proteins
Smad2 protein
Smad4 protein
Therapeutic targets
Transforming Growth Factor beta
Transforming growth factor-b
transforming growth factor‐β
Translocation
Tumor cells
Tumors
Vimentin
Western blotting
Xenografts
Xenotransplantation
title Kaempferol 3‐O‐gentiobioside, an ALK5 inhibitor, affects the proliferation, migration, and invasion of tumor cells via blockade of the TGF‐β/ALK5/Smad signaling pathway
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T22%3A45%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=Kaempferol%203%E2%80%90O%E2%80%90gentiobioside,%20an%20ALK5%20inhibitor,%20affects%20the%20proliferation,%20migration,%20and%20invasion%20of%20tumor%20cells%20via%20blockade%20of%20the%20TGF%E2%80%90%CE%B2/ALK5/Smad%20signaling%20pathway&rft.jtitle=Phytotherapy%20research&rft.au=Zhang,%20Zihao&rft.date=2021-11&rft.volume=35&rft.issue=11&rft.spage=6310&rft.epage=6323&rft.pages=6310-6323&rft.issn=0951-418X&rft.eissn=1099-1573&rft_id=info:doi/10.1002/ptr.7278&rft_dat=%3Cproquest_cross%3E2572211288%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=2601111247&rft_id=info:pmid/34514657&rfr_iscdi=true