T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development
Members of the Protein kinases D (PKD) family are described as regulators of T cell responses. From the two T cell‐expressed isoforms PKD2 and PKD3, so far mainly the former was thoroughly investigated and is well understood. Recently, we have investigated also PKD3 using conventional as well as con...
Gespeichert in:
Veröffentlicht in: | Immunology 2024-09, Vol.173 (1), p.125-140 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 140 |
---|---|
container_issue | 1 |
container_start_page | 125 |
container_title | Immunology |
container_volume | 173 |
creator | Koutník, Jiří Peer, Sebastian Humer, Dominik Sumara, Grzegorz Leitges, Michael Baier, Gottfried Siegmund, Kerstin |
description | Members of the Protein kinases D (PKD) family are described as regulators of T cell responses. From the two T cell‐expressed isoforms PKD2 and PKD3, so far mainly the former was thoroughly investigated and is well understood. Recently, we have investigated also PKD3 using conventional as well as conditional T cell‐specific knockout models. These studies suggested PKD3 to be a T cell‐extrinsic regulator of the cells' fate. However, these former model systems did not take into account possible redundancies with the highly homologous PKD2. To overcome this issue and thus properly unravel PKD3's T cell‐intrinsic functions, here we additionally used a mouse model overexpressing a constitutively active isoform of PKD3 specifically in the T cell compartment. These transgenic mice showed a slightly higher proportion of central memory T cells in secondary lymphoid organs and blood. This effect could not be explained via differences upon polyclonal stimulation in vitro, however, may be connected to the observed developmental aberrances in the CD8 single positive compartment during thymic development. Lastly, the observed alterations in the CD8+ T cell compartment did not impact proper immune response upon immunization with ovalbumin or in a subcutaneous tumour model suggesting only a small to absent biological relevance. Taking together the knowledge of all our published studies on PKD3 in the T cell compartment, we now conclude that T cell‐intrinsic PKD3 is a fine‐tuner of central memory T cell as well as CD8 single positive thymocyte development.
The role of Protein Kinase D3 (PKD3) in T cells is hitherto only incompletely understood. With a novel approach using mice overexpressing a constitutively active isoform of PKD3 selectively in T cells, we observed that this kinase (1) modulates CD8 single positive thymocyte maturation, (2) is dispensable for T cell receptor‐mediated activation, but (3) fine‐tunes the development of CD8+ central memory T cells. |
doi_str_mv | 10.1111/imm.13804 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3060749985</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3060749985</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2434-cf8aa4bb2112d8ac02350b387508f8b8a503d8fcb99608ab8b89b8e8e1898ca13</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhq0K1C6FQ18AWeICQmntOM6Oj2gLpaIVHMo5cpwJuIrtxU6KckPiBXjGPgle0vZQCV9Gnvn-XzP6CTni7Jjnd2KdO-YCWLVHVlzUsihlvX5CVoxxVZTA5AF5ltJ1_gom5T45ELBWwGpYkd9X1OAw3P76Y_0YrU_W0C-fTgXtrcfcHSePiXa27zGiH60ebfA0s4FuTuFtFmeZHqhDF-JMF7dEte92c5qs_zYg3YZkR3uDdPw-u2DmEWmHNziErcv65-Rpr4eEL-7qIfn64f3V5mNx8fnsfPPuojBlJarC9KB11bYl52UH2rBSSNbmUySDHlrQkokOetMqVTPQbW6pFhCQgwKjuTgkrxffbQw_Jkxj42za7as9hik1gtVsXSkFMqOvHqHXYYo-b5cpJRgHWVeZerNQJoaUIvbNNlqn49xw1uySaXIyzb9kMvvyznFqHXYP5H0UGThZgJ92wPn_Ts355eVi-RcBO5nj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3093018564</pqid></control><display><type>article</type><title>T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Koutník, Jiří ; Peer, Sebastian ; Humer, Dominik ; Sumara, Grzegorz ; Leitges, Michael ; Baier, Gottfried ; Siegmund, Kerstin</creator><creatorcontrib>Koutník, Jiří ; Peer, Sebastian ; Humer, Dominik ; Sumara, Grzegorz ; Leitges, Michael ; Baier, Gottfried ; Siegmund, Kerstin</creatorcontrib><description>Members of the Protein kinases D (PKD) family are described as regulators of T cell responses. From the two T cell‐expressed isoforms PKD2 and PKD3, so far mainly the former was thoroughly investigated and is well understood. Recently, we have investigated also PKD3 using conventional as well as conditional T cell‐specific knockout models. These studies suggested PKD3 to be a T cell‐extrinsic regulator of the cells' fate. However, these former model systems did not take into account possible redundancies with the highly homologous PKD2. To overcome this issue and thus properly unravel PKD3's T cell‐intrinsic functions, here we additionally used a mouse model overexpressing a constitutively active isoform of PKD3 specifically in the T cell compartment. These transgenic mice showed a slightly higher proportion of central memory T cells in secondary lymphoid organs and blood. This effect could not be explained via differences upon polyclonal stimulation in vitro, however, may be connected to the observed developmental aberrances in the CD8 single positive compartment during thymic development. Lastly, the observed alterations in the CD8+ T cell compartment did not impact proper immune response upon immunization with ovalbumin or in a subcutaneous tumour model suggesting only a small to absent biological relevance. Taking together the knowledge of all our published studies on PKD3 in the T cell compartment, we now conclude that T cell‐intrinsic PKD3 is a fine‐tuner of central memory T cell as well as CD8 single positive thymocyte development.
The role of Protein Kinase D3 (PKD3) in T cells is hitherto only incompletely understood. With a novel approach using mice overexpressing a constitutively active isoform of PKD3 selectively in T cells, we observed that this kinase (1) modulates CD8 single positive thymocyte maturation, (2) is dispensable for T cell receptor‐mediated activation, but (3) fine‐tunes the development of CD8+ central memory T cells.</description><identifier>ISSN: 0019-2805</identifier><identifier>ISSN: 1365-2567</identifier><identifier>EISSN: 1365-2567</identifier><identifier>DOI: 10.1111/imm.13804</identifier><identifier>PMID: 38798068</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Animal models ; Animals ; CD8 antigen ; CD8 cells ; CD8-Positive T-Lymphocytes - immunology ; Cell culture ; Cell Differentiation ; Immune response ; Immune system ; Immunization ; Immunologic Memory ; Immunological memory ; Isoforms ; Kinases ; Lymphocytes ; Lymphocytes T ; Memory cells ; Memory T Cells - immunology ; Memory T Cells - metabolism ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; Mice, Transgenic ; Ovalbumin ; Protein Kinase C - genetics ; Protein Kinase C - metabolism ; protein kinases/phosphatases ; T cells ; thymic ; Thymocytes - immunology ; Thymocytes - metabolism ; Thymus ; Transgenic mice</subject><ispartof>Immunology, 2024-09, Vol.173 (1), p.125-140</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. Immunology published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2434-cf8aa4bb2112d8ac02350b387508f8b8a503d8fcb99608ab8b89b8e8e1898ca13</cites><orcidid>0000-0003-1502-6265 ; 0000-0002-2085-8325 ; 0009-0008-2167-9346 ; 0000-0003-4203-6995 ; 0000-0003-0904-0968 ; 0000-0002-4372-5365 ; 0000-0002-3654-1170</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fimm.13804$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fimm.13804$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38798068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koutník, Jiří</creatorcontrib><creatorcontrib>Peer, Sebastian</creatorcontrib><creatorcontrib>Humer, Dominik</creatorcontrib><creatorcontrib>Sumara, Grzegorz</creatorcontrib><creatorcontrib>Leitges, Michael</creatorcontrib><creatorcontrib>Baier, Gottfried</creatorcontrib><creatorcontrib>Siegmund, Kerstin</creatorcontrib><title>T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development</title><title>Immunology</title><addtitle>Immunology</addtitle><description>Members of the Protein kinases D (PKD) family are described as regulators of T cell responses. From the two T cell‐expressed isoforms PKD2 and PKD3, so far mainly the former was thoroughly investigated and is well understood. Recently, we have investigated also PKD3 using conventional as well as conditional T cell‐specific knockout models. These studies suggested PKD3 to be a T cell‐extrinsic regulator of the cells' fate. However, these former model systems did not take into account possible redundancies with the highly homologous PKD2. To overcome this issue and thus properly unravel PKD3's T cell‐intrinsic functions, here we additionally used a mouse model overexpressing a constitutively active isoform of PKD3 specifically in the T cell compartment. These transgenic mice showed a slightly higher proportion of central memory T cells in secondary lymphoid organs and blood. This effect could not be explained via differences upon polyclonal stimulation in vitro, however, may be connected to the observed developmental aberrances in the CD8 single positive compartment during thymic development. Lastly, the observed alterations in the CD8+ T cell compartment did not impact proper immune response upon immunization with ovalbumin or in a subcutaneous tumour model suggesting only a small to absent biological relevance. Taking together the knowledge of all our published studies on PKD3 in the T cell compartment, we now conclude that T cell‐intrinsic PKD3 is a fine‐tuner of central memory T cell as well as CD8 single positive thymocyte development.
The role of Protein Kinase D3 (PKD3) in T cells is hitherto only incompletely understood. With a novel approach using mice overexpressing a constitutively active isoform of PKD3 selectively in T cells, we observed that this kinase (1) modulates CD8 single positive thymocyte maturation, (2) is dispensable for T cell receptor‐mediated activation, but (3) fine‐tunes the development of CD8+ central memory T cells.</description><subject>Animal models</subject><subject>Animals</subject><subject>CD8 antigen</subject><subject>CD8 cells</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>Cell culture</subject><subject>Cell Differentiation</subject><subject>Immune response</subject><subject>Immune system</subject><subject>Immunization</subject><subject>Immunologic Memory</subject><subject>Immunological memory</subject><subject>Isoforms</subject><subject>Kinases</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Memory cells</subject><subject>Memory T Cells - immunology</subject><subject>Memory T Cells - metabolism</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Knockout</subject><subject>Mice, Transgenic</subject><subject>Ovalbumin</subject><subject>Protein Kinase C - genetics</subject><subject>Protein Kinase C - metabolism</subject><subject>protein kinases/phosphatases</subject><subject>T cells</subject><subject>thymic</subject><subject>Thymocytes - immunology</subject><subject>Thymocytes - metabolism</subject><subject>Thymus</subject><subject>Transgenic mice</subject><issn>0019-2805</issn><issn>1365-2567</issn><issn>1365-2567</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhq0K1C6FQ18AWeICQmntOM6Oj2gLpaIVHMo5cpwJuIrtxU6KckPiBXjGPgle0vZQCV9Gnvn-XzP6CTni7Jjnd2KdO-YCWLVHVlzUsihlvX5CVoxxVZTA5AF5ltJ1_gom5T45ELBWwGpYkd9X1OAw3P76Y_0YrU_W0C-fTgXtrcfcHSePiXa27zGiH60ebfA0s4FuTuFtFmeZHqhDF-JMF7dEte92c5qs_zYg3YZkR3uDdPw-u2DmEWmHNziErcv65-Rpr4eEL-7qIfn64f3V5mNx8fnsfPPuojBlJarC9KB11bYl52UH2rBSSNbmUySDHlrQkokOetMqVTPQbW6pFhCQgwKjuTgkrxffbQw_Jkxj42za7as9hik1gtVsXSkFMqOvHqHXYYo-b5cpJRgHWVeZerNQJoaUIvbNNlqn49xw1uySaXIyzb9kMvvyznFqHXYP5H0UGThZgJ92wPn_Ts355eVi-RcBO5nj</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Koutník, Jiří</creator><creator>Peer, Sebastian</creator><creator>Humer, Dominik</creator><creator>Sumara, Grzegorz</creator><creator>Leitges, Michael</creator><creator>Baier, Gottfried</creator><creator>Siegmund, Kerstin</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><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>7QL</scope><scope>7QR</scope><scope>7T5</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1502-6265</orcidid><orcidid>https://orcid.org/0000-0002-2085-8325</orcidid><orcidid>https://orcid.org/0009-0008-2167-9346</orcidid><orcidid>https://orcid.org/0000-0003-4203-6995</orcidid><orcidid>https://orcid.org/0000-0003-0904-0968</orcidid><orcidid>https://orcid.org/0000-0002-4372-5365</orcidid><orcidid>https://orcid.org/0000-0002-3654-1170</orcidid></search><sort><creationdate>202409</creationdate><title>T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development</title><author>Koutník, Jiří ; Peer, Sebastian ; Humer, Dominik ; Sumara, Grzegorz ; Leitges, Michael ; Baier, Gottfried ; Siegmund, Kerstin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2434-cf8aa4bb2112d8ac02350b387508f8b8a503d8fcb99608ab8b89b8e8e1898ca13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Animal models</topic><topic>Animals</topic><topic>CD8 antigen</topic><topic>CD8 cells</topic><topic>CD8-Positive T-Lymphocytes - immunology</topic><topic>Cell culture</topic><topic>Cell Differentiation</topic><topic>Immune response</topic><topic>Immune system</topic><topic>Immunization</topic><topic>Immunologic Memory</topic><topic>Immunological memory</topic><topic>Isoforms</topic><topic>Kinases</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>Memory cells</topic><topic>Memory T Cells - immunology</topic><topic>Memory T Cells - metabolism</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Knockout</topic><topic>Mice, Transgenic</topic><topic>Ovalbumin</topic><topic>Protein Kinase C - genetics</topic><topic>Protein Kinase C - metabolism</topic><topic>protein kinases/phosphatases</topic><topic>T cells</topic><topic>thymic</topic><topic>Thymocytes - immunology</topic><topic>Thymocytes - metabolism</topic><topic>Thymus</topic><topic>Transgenic mice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koutník, Jiří</creatorcontrib><creatorcontrib>Peer, Sebastian</creatorcontrib><creatorcontrib>Humer, Dominik</creatorcontrib><creatorcontrib>Sumara, Grzegorz</creatorcontrib><creatorcontrib>Leitges, Michael</creatorcontrib><creatorcontrib>Baier, Gottfried</creatorcontrib><creatorcontrib>Siegmund, Kerstin</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koutník, Jiří</au><au>Peer, Sebastian</au><au>Humer, Dominik</au><au>Sumara, Grzegorz</au><au>Leitges, Michael</au><au>Baier, Gottfried</au><au>Siegmund, Kerstin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development</atitle><jtitle>Immunology</jtitle><addtitle>Immunology</addtitle><date>2024-09</date><risdate>2024</risdate><volume>173</volume><issue>1</issue><spage>125</spage><epage>140</epage><pages>125-140</pages><issn>0019-2805</issn><issn>1365-2567</issn><eissn>1365-2567</eissn><abstract>Members of the Protein kinases D (PKD) family are described as regulators of T cell responses. From the two T cell‐expressed isoforms PKD2 and PKD3, so far mainly the former was thoroughly investigated and is well understood. Recently, we have investigated also PKD3 using conventional as well as conditional T cell‐specific knockout models. These studies suggested PKD3 to be a T cell‐extrinsic regulator of the cells' fate. However, these former model systems did not take into account possible redundancies with the highly homologous PKD2. To overcome this issue and thus properly unravel PKD3's T cell‐intrinsic functions, here we additionally used a mouse model overexpressing a constitutively active isoform of PKD3 specifically in the T cell compartment. These transgenic mice showed a slightly higher proportion of central memory T cells in secondary lymphoid organs and blood. This effect could not be explained via differences upon polyclonal stimulation in vitro, however, may be connected to the observed developmental aberrances in the CD8 single positive compartment during thymic development. Lastly, the observed alterations in the CD8+ T cell compartment did not impact proper immune response upon immunization with ovalbumin or in a subcutaneous tumour model suggesting only a small to absent biological relevance. Taking together the knowledge of all our published studies on PKD3 in the T cell compartment, we now conclude that T cell‐intrinsic PKD3 is a fine‐tuner of central memory T cell as well as CD8 single positive thymocyte development.
The role of Protein Kinase D3 (PKD3) in T cells is hitherto only incompletely understood. With a novel approach using mice overexpressing a constitutively active isoform of PKD3 selectively in T cells, we observed that this kinase (1) modulates CD8 single positive thymocyte maturation, (2) is dispensable for T cell receptor‐mediated activation, but (3) fine‐tunes the development of CD8+ central memory T cells.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38798068</pmid><doi>10.1111/imm.13804</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0003-1502-6265</orcidid><orcidid>https://orcid.org/0000-0002-2085-8325</orcidid><orcidid>https://orcid.org/0009-0008-2167-9346</orcidid><orcidid>https://orcid.org/0000-0003-4203-6995</orcidid><orcidid>https://orcid.org/0000-0003-0904-0968</orcidid><orcidid>https://orcid.org/0000-0002-4372-5365</orcidid><orcidid>https://orcid.org/0000-0002-3654-1170</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0019-2805 |
ispartof | Immunology, 2024-09, Vol.173 (1), p.125-140 |
issn | 0019-2805 1365-2567 1365-2567 |
language | eng |
recordid | cdi_proquest_miscellaneous_3060749985 |
source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Animal models Animals CD8 antigen CD8 cells CD8-Positive T-Lymphocytes - immunology Cell culture Cell Differentiation Immune response Immune system Immunization Immunologic Memory Immunological memory Isoforms Kinases Lymphocytes Lymphocytes T Memory cells Memory T Cells - immunology Memory T Cells - metabolism Mice Mice, Inbred C57BL Mice, Knockout Mice, Transgenic Ovalbumin Protein Kinase C - genetics Protein Kinase C - metabolism protein kinases/phosphatases T cells thymic Thymocytes - immunology Thymocytes - metabolism Thymus Transgenic mice |
title | T cell‐intrinsic PKD3 fine‐tunes differentiation into CD8+ central memory T cells and CD8 single positive thymocyte development |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T11%3A10%3A36IST&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=T%20cell%E2%80%90intrinsic%20PKD3%20fine%E2%80%90tunes%20differentiation%20into%20CD8+%20central%20memory%20T%20cells%20and%20CD8%20single%20positive%20thymocyte%20development&rft.jtitle=Immunology&rft.au=Koutn%C3%ADk,%20Ji%C5%99%C3%AD&rft.date=2024-09&rft.volume=173&rft.issue=1&rft.spage=125&rft.epage=140&rft.pages=125-140&rft.issn=0019-2805&rft.eissn=1365-2567&rft_id=info:doi/10.1111/imm.13804&rft_dat=%3Cproquest_cross%3E3060749985%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=3093018564&rft_id=info:pmid/38798068&rfr_iscdi=true |