Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping

Deciphering information hidden in the gene expression assays for identifying disease subtypes has significant importance in precision medicine. However, computational limitations thwart this process due to the intricacy of the biological networks and the curse of dimensionality of gene expression da...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Computers in biology and medicine 2023-03, Vol.155, p.106640-106640, Article 106640
Hauptverfasser: Rather, Arif Ahmad, Chachoo, Manzoor Ahmad
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 106640
container_issue
container_start_page 106640
container_title Computers in biology and medicine
container_volume 155
creator Rather, Arif Ahmad
Chachoo, Manzoor Ahmad
description Deciphering information hidden in the gene expression assays for identifying disease subtypes has significant importance in precision medicine. However, computational limitations thwart this process due to the intricacy of the biological networks and the curse of dimensionality of gene expression data. Therefore, clustering in such scenarios often becomes the first choice of exploratory data analysis to identify natural structures and intrinsic patterns in the data. However, sparse and high dimensional nature of omics data prevents conventional clustering algorithms to discover subtypes that are clinically relevant and statistically significant. Hence, non-linear dimensionality reduction techniques coupled with clustering in such scenarios often becomes imperative to improve the clustering results. In this study, we present a robust pipeline to discover disease subtypes with clinical relevance. Specifically, we focus on discovering patient sub-groups that have a residual life patterns remarkably different from other sub-groups. This is significant because by refining prognosis, subtyping can reduce uncertainty in approximating patients expected outcome. The methodology present is based on robust correlation estimation, UMAP– a non-linear dimensionality reduction method and mapper– a tool from topology. Notably, we suggest a method for improving the robustness of the correlation matrix of gene expression data for improving the clustering results. The performance of the model is evaluated by applying to five cancer datasets obtained through TCGA and comparisons are performed with some state of the art methods of NEMO, RSC-OTRI and SNF with regard to log−rank test and Restricted Life Expectancy Difference. For example in GBM dataset, the minimum separation for any two discovered subtypes is 221 days which is significantly higher than the other methodologies. We also compared the results without using the robust correlation based estimate and observed that robust correlation improves separability between survival curves significantly. From the results we infer that our methodology performs better compared to other methodologies with regard to separating survival curves of patient sub-groups despite using single omics profiles of patients compared to multiple omics profiles of SNF and NEMO. Pathway over-representation analysis is performed on the final clustering results to investigate the biological underpinnings characterizing each subtype. [Display omitted]
doi_str_mv 10.1016/j.compbiomed.2023.106640
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2775952346</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0010482523001051</els_id><sourcerecordid>2775952346</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-bdc7d038501236ea988469e0725bbde6db2228138a799d00bfd1fd21f3943453</originalsourceid><addsrcrecordid>eNqFkU1r3DAQhkVpaLZp_0IR9NKLt6MP2_IxDekHpCSE9CxkaZxqsS1Xkgv776vFCYVeepph5pkZ5n0JoQz2DFjz8bC3YVp6HyZ0ew5clHLTSHhBdky1XQW1kC_JDoBBJRWvz8nrlA4AIEHAK3IumraVSnU78vM-9GvK1IYYcTTZh5liyn7aUjM7-uP75R01KfmU0dEcljCGR2_NWLpmPJY6DQMNk7eJOpMNHUKkzic0CWla-3xc_Pz4hpwNZkz49ilekIfP1w9XX6ub2y_fri5vKiuB56p3tnUgVA2MiwZNp5RsOoSW133vsHE951wxoUzbdQ6gHxwbHGeD6KSQtbggH7a1Swy_1vKJnnyyOI5mxrAmzdu27mouZFPQ9_-gh7DG8tKJUkU2VTQqlNooG0NKEQe9xKJOPGoG-mSGPui_ZuiTGXozo4y-ezqw9qfe8-Cz-gX4tAFYBPntMepkPc4WnY9os3bB___KH9OboFg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2784828748</pqid></control><display><type>article</type><title>Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Rather, Arif Ahmad ; Chachoo, Manzoor Ahmad</creator><creatorcontrib>Rather, Arif Ahmad ; Chachoo, Manzoor Ahmad</creatorcontrib><description>Deciphering information hidden in the gene expression assays for identifying disease subtypes has significant importance in precision medicine. However, computational limitations thwart this process due to the intricacy of the biological networks and the curse of dimensionality of gene expression data. Therefore, clustering in such scenarios often becomes the first choice of exploratory data analysis to identify natural structures and intrinsic patterns in the data. However, sparse and high dimensional nature of omics data prevents conventional clustering algorithms to discover subtypes that are clinically relevant and statistically significant. Hence, non-linear dimensionality reduction techniques coupled with clustering in such scenarios often becomes imperative to improve the clustering results. In this study, we present a robust pipeline to discover disease subtypes with clinical relevance. Specifically, we focus on discovering patient sub-groups that have a residual life patterns remarkably different from other sub-groups. This is significant because by refining prognosis, subtyping can reduce uncertainty in approximating patients expected outcome. The methodology present is based on robust correlation estimation, UMAP– a non-linear dimensionality reduction method and mapper– a tool from topology. Notably, we suggest a method for improving the robustness of the correlation matrix of gene expression data for improving the clustering results. The performance of the model is evaluated by applying to five cancer datasets obtained through TCGA and comparisons are performed with some state of the art methods of NEMO, RSC-OTRI and SNF with regard to log−rank test and Restricted Life Expectancy Difference. For example in GBM dataset, the minimum separation for any two discovered subtypes is 221 days which is significantly higher than the other methodologies. We also compared the results without using the robust correlation based estimate and observed that robust correlation improves separability between survival curves significantly. From the results we infer that our methodology performs better compared to other methodologies with regard to separating survival curves of patient sub-groups despite using single omics profiles of patients compared to multiple omics profiles of SNF and NEMO. Pathway over-representation analysis is performed on the final clustering results to investigate the biological underpinnings characterizing each subtype. [Display omitted] •Novel methodology for discovering subtypes from omics data.•Methodology is robust to small deformations and perturbations in the data.•Over-representation analysis on final clusterings reveal potential treatment targets.</description><identifier>ISSN: 0010-4825</identifier><identifier>EISSN: 1879-0534</identifier><identifier>DOI: 10.1016/j.compbiomed.2023.106640</identifier><identifier>PMID: 36774889</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Algorithms ; Cluster Analysis ; Clustering ; Computer applications ; Correlation analysis ; Data Analysis ; Datasets ; Gene expression ; Humans ; Life expectancy ; Life span ; Mapper ; Medical prognosis ; mRNA expression ; Neoplasms - genetics ; Patient subtyping ; Precision Medicine ; Rank tests ; Reduction ; Robust correlation ; Robustness ; Statistical analysis ; Survival ; Survival analysis ; Topology ; UMAP</subject><ispartof>Computers in biology and medicine, 2023-03, Vol.155, p.106640-106640, Article 106640</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><rights>2023. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-bdc7d038501236ea988469e0725bbde6db2228138a799d00bfd1fd21f3943453</citedby><cites>FETCH-LOGICAL-c402t-bdc7d038501236ea988469e0725bbde6db2228138a799d00bfd1fd21f3943453</cites><orcidid>0000-0001-6702-6633</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0010482523001051$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36774889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rather, Arif Ahmad</creatorcontrib><creatorcontrib>Chachoo, Manzoor Ahmad</creatorcontrib><title>Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping</title><title>Computers in biology and medicine</title><addtitle>Comput Biol Med</addtitle><description>Deciphering information hidden in the gene expression assays for identifying disease subtypes has significant importance in precision medicine. However, computational limitations thwart this process due to the intricacy of the biological networks and the curse of dimensionality of gene expression data. Therefore, clustering in such scenarios often becomes the first choice of exploratory data analysis to identify natural structures and intrinsic patterns in the data. However, sparse and high dimensional nature of omics data prevents conventional clustering algorithms to discover subtypes that are clinically relevant and statistically significant. Hence, non-linear dimensionality reduction techniques coupled with clustering in such scenarios often becomes imperative to improve the clustering results. In this study, we present a robust pipeline to discover disease subtypes with clinical relevance. Specifically, we focus on discovering patient sub-groups that have a residual life patterns remarkably different from other sub-groups. This is significant because by refining prognosis, subtyping can reduce uncertainty in approximating patients expected outcome. The methodology present is based on robust correlation estimation, UMAP– a non-linear dimensionality reduction method and mapper– a tool from topology. Notably, we suggest a method for improving the robustness of the correlation matrix of gene expression data for improving the clustering results. The performance of the model is evaluated by applying to five cancer datasets obtained through TCGA and comparisons are performed with some state of the art methods of NEMO, RSC-OTRI and SNF with regard to log−rank test and Restricted Life Expectancy Difference. For example in GBM dataset, the minimum separation for any two discovered subtypes is 221 days which is significantly higher than the other methodologies. We also compared the results without using the robust correlation based estimate and observed that robust correlation improves separability between survival curves significantly. From the results we infer that our methodology performs better compared to other methodologies with regard to separating survival curves of patient sub-groups despite using single omics profiles of patients compared to multiple omics profiles of SNF and NEMO. Pathway over-representation analysis is performed on the final clustering results to investigate the biological underpinnings characterizing each subtype. [Display omitted] •Novel methodology for discovering subtypes from omics data.•Methodology is robust to small deformations and perturbations in the data.•Over-representation analysis on final clusterings reveal potential treatment targets.</description><subject>Algorithms</subject><subject>Cluster Analysis</subject><subject>Clustering</subject><subject>Computer applications</subject><subject>Correlation analysis</subject><subject>Data Analysis</subject><subject>Datasets</subject><subject>Gene expression</subject><subject>Humans</subject><subject>Life expectancy</subject><subject>Life span</subject><subject>Mapper</subject><subject>Medical prognosis</subject><subject>mRNA expression</subject><subject>Neoplasms - genetics</subject><subject>Patient subtyping</subject><subject>Precision Medicine</subject><subject>Rank tests</subject><subject>Reduction</subject><subject>Robust correlation</subject><subject>Robustness</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>Survival analysis</subject><subject>Topology</subject><subject>UMAP</subject><issn>0010-4825</issn><issn>1879-0534</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1r3DAQhkVpaLZp_0IR9NKLt6MP2_IxDekHpCSE9CxkaZxqsS1Xkgv776vFCYVeepph5pkZ5n0JoQz2DFjz8bC3YVp6HyZ0ew5clHLTSHhBdky1XQW1kC_JDoBBJRWvz8nrlA4AIEHAK3IumraVSnU78vM-9GvK1IYYcTTZh5liyn7aUjM7-uP75R01KfmU0dEcljCGR2_NWLpmPJY6DQMNk7eJOpMNHUKkzic0CWla-3xc_Pz4hpwNZkz49ilekIfP1w9XX6ub2y_fri5vKiuB56p3tnUgVA2MiwZNp5RsOoSW133vsHE951wxoUzbdQ6gHxwbHGeD6KSQtbggH7a1Swy_1vKJnnyyOI5mxrAmzdu27mouZFPQ9_-gh7DG8tKJUkU2VTQqlNooG0NKEQe9xKJOPGoG-mSGPui_ZuiTGXozo4y-ezqw9qfe8-Cz-gX4tAFYBPntMepkPc4WnY9os3bB___KH9OboFg</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Rather, Arif Ahmad</creator><creator>Chachoo, Manzoor Ahmad</creator><general>Elsevier Ltd</general><general>Elsevier Limited</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AL</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0N</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6702-6633</orcidid></search><sort><creationdate>202303</creationdate><title>Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping</title><author>Rather, Arif Ahmad ; Chachoo, Manzoor Ahmad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-bdc7d038501236ea988469e0725bbde6db2228138a799d00bfd1fd21f3943453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Algorithms</topic><topic>Cluster Analysis</topic><topic>Clustering</topic><topic>Computer applications</topic><topic>Correlation analysis</topic><topic>Data Analysis</topic><topic>Datasets</topic><topic>Gene expression</topic><topic>Humans</topic><topic>Life expectancy</topic><topic>Life span</topic><topic>Mapper</topic><topic>Medical prognosis</topic><topic>mRNA expression</topic><topic>Neoplasms - genetics</topic><topic>Patient subtyping</topic><topic>Precision Medicine</topic><topic>Rank tests</topic><topic>Reduction</topic><topic>Robust correlation</topic><topic>Robustness</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>Survival analysis</topic><topic>Topology</topic><topic>UMAP</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rather, Arif Ahmad</creatorcontrib><creatorcontrib>Chachoo, Manzoor Ahmad</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 &amp; Allied Health Database (ProQuest)</collection><collection>Health &amp; Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Computing Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology 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>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Database‎ (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Computing Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>ProQuest Biological Science Journals</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest advanced technologies &amp; aerospace journals</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</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 Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Computers in biology and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rather, Arif Ahmad</au><au>Chachoo, Manzoor Ahmad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping</atitle><jtitle>Computers in biology and medicine</jtitle><addtitle>Comput Biol Med</addtitle><date>2023-03</date><risdate>2023</risdate><volume>155</volume><spage>106640</spage><epage>106640</epage><pages>106640-106640</pages><artnum>106640</artnum><issn>0010-4825</issn><eissn>1879-0534</eissn><abstract>Deciphering information hidden in the gene expression assays for identifying disease subtypes has significant importance in precision medicine. However, computational limitations thwart this process due to the intricacy of the biological networks and the curse of dimensionality of gene expression data. Therefore, clustering in such scenarios often becomes the first choice of exploratory data analysis to identify natural structures and intrinsic patterns in the data. However, sparse and high dimensional nature of omics data prevents conventional clustering algorithms to discover subtypes that are clinically relevant and statistically significant. Hence, non-linear dimensionality reduction techniques coupled with clustering in such scenarios often becomes imperative to improve the clustering results. In this study, we present a robust pipeline to discover disease subtypes with clinical relevance. Specifically, we focus on discovering patient sub-groups that have a residual life patterns remarkably different from other sub-groups. This is significant because by refining prognosis, subtyping can reduce uncertainty in approximating patients expected outcome. The methodology present is based on robust correlation estimation, UMAP– a non-linear dimensionality reduction method and mapper– a tool from topology. Notably, we suggest a method for improving the robustness of the correlation matrix of gene expression data for improving the clustering results. The performance of the model is evaluated by applying to five cancer datasets obtained through TCGA and comparisons are performed with some state of the art methods of NEMO, RSC-OTRI and SNF with regard to log−rank test and Restricted Life Expectancy Difference. For example in GBM dataset, the minimum separation for any two discovered subtypes is 221 days which is significantly higher than the other methodologies. We also compared the results without using the robust correlation based estimate and observed that robust correlation improves separability between survival curves significantly. From the results we infer that our methodology performs better compared to other methodologies with regard to separating survival curves of patient sub-groups despite using single omics profiles of patients compared to multiple omics profiles of SNF and NEMO. Pathway over-representation analysis is performed on the final clustering results to investigate the biological underpinnings characterizing each subtype. [Display omitted] •Novel methodology for discovering subtypes from omics data.•Methodology is robust to small deformations and perturbations in the data.•Over-representation analysis on final clusterings reveal potential treatment targets.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>36774889</pmid><doi>10.1016/j.compbiomed.2023.106640</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-6702-6633</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0010-4825
ispartof Computers in biology and medicine, 2023-03, Vol.155, p.106640-106640, Article 106640
issn 0010-4825
1879-0534
language eng
recordid cdi_proquest_miscellaneous_2775952346
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Algorithms
Cluster Analysis
Clustering
Computer applications
Correlation analysis
Data Analysis
Datasets
Gene expression
Humans
Life expectancy
Life span
Mapper
Medical prognosis
mRNA expression
Neoplasms - genetics
Patient subtyping
Precision Medicine
Rank tests
Reduction
Robust correlation
Robustness
Statistical analysis
Survival
Survival analysis
Topology
UMAP
title Robust correlation estimation and UMAP assisted topological analysis of omics data for disease subtyping
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T16%3A13%3A49IST&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=Robust%20correlation%20estimation%20and%20UMAP%20assisted%20topological%20analysis%20of%20omics%20data%20for%20disease%20subtyping&rft.jtitle=Computers%20in%20biology%20and%20medicine&rft.au=Rather,%20Arif%20Ahmad&rft.date=2023-03&rft.volume=155&rft.spage=106640&rft.epage=106640&rft.pages=106640-106640&rft.artnum=106640&rft.issn=0010-4825&rft.eissn=1879-0534&rft_id=info:doi/10.1016/j.compbiomed.2023.106640&rft_dat=%3Cproquest_cross%3E2775952346%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=2784828748&rft_id=info:pmid/36774889&rft_els_id=S0010482523001051&rfr_iscdi=true