Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices

Effective continuous glucose monitoring solutions require consistent sensor performance over the lifetime of the device, a manageable variance between devices, and the capability of high volume, low cost production. Here we present a novel and microfabrication-compatible method of depositing and sta...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Lab on a chip 2024-08, Vol.24 (17), p.4172-4181
Hauptverfasser: Adalian, Dvin, Madero, Xiomi, Chen, Samson, Jilani, Musab, Smith, Richard D, Li, Songtai, Ahlbrecht, Christin, Cardenas, Juan, Agarwal, Abhinav, Emami, Azita, Plettenburg, Oliver, Petillo, Peter A, Scherer, Axel
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 4181
container_issue 17
container_start_page 4172
container_title Lab on a chip
container_volume 24
creator Adalian, Dvin
Madero, Xiomi
Chen, Samson
Jilani, Musab
Smith, Richard D
Li, Songtai
Ahlbrecht, Christin
Cardenas, Juan
Agarwal, Abhinav
Emami, Azita
Plettenburg, Oliver
Petillo, Peter A
Scherer, Axel
description Effective continuous glucose monitoring solutions require consistent sensor performance over the lifetime of the device, a manageable variance between devices, and the capability of high volume, low cost production. Here we present a novel and microfabrication-compatible method of depositing and stabilizing enzyme layers on top of planar electrodes that can aid in the mass production of sensors while also improving their consistency. This work is focused on the fragile biorecognition layer as that has been a critical difficulty in the development of microfabricated sensors. We test this approach with glucose oxidase (GOx) and evaluate the sensor performance with amperometric measurements of glucose concentrations. Spincoating was used to deposit a uniform enzyme layer across a wafer, which was subsequently immobilized glutaraldehyde vapor crosslinking and patterned liftoff. This yielded an approximately 300 nm thick sensing layer which was applied to arrays of microfabricated platinum electrodes built on blank wafers. Taking advantage of their planar array format, measurements were then performed in high-throughput parallel instrumentation. Due to their thin structure, the coated electrodes exhibited subsecond stabilization times after the bias potential was applied. The deposited enzyme layers were measured to provide a sensitivity of 2.3 ± 0.2 μA mM mm with suitable saturation behavior and minimal performance shift observed over extended use. The same methodology was then demonstrated directly on top of wireless CMOS potentiostats to build a monolithic sensor with similar measured performance. This work demonstrates the effectiveness of the combination of spincoating and vapor stabilization processes for wafer scale enzymatic sensor functionalization and the potential for scalable fabrication of monolithic sensor-on-CMOS devices.
doi_str_mv 10.1039/d4lc00206g
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3088554624</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3094726699</sourcerecordid><originalsourceid>FETCH-LOGICAL-c204t-3827f17ec1f0ebd612e91b5f88de19ae2808bbf1e3397937b5fb36163a932f123</originalsourceid><addsrcrecordid>eNpd0V1rFDEUBuAgiv3yxh8ggd6Uwmg-ZmeS3pVVq7DSgu31kElOtqmZZJtkVtYf4281trUXXuVAHt6E8yL0lpL3lHD5wbReE8JIt36B9mnb84ZQIV8-z7LfQwc53xFCF20nXqM9LomUC97uo99XqhRIAQwuty5g6_yEIfzaTYDBgy4pGsh46xTOGxd0VMWFNVbB4LWfi0rKG7jdGcBbtYkJ6xRz9i78qOoMl_hTJZNx1sqr0QO2akxO14wYcLTYhQLrpEp9PUPIMTUxNMtvl9-xga3TkI_QK6t8hjdP5yG6-fzpevmlWV1efF2erxrNSFsaLlhvaQ-aWgKj6SgDSceFFcIAlQqYIGIcLQXOZS95X69G3tGOK8mZpYwfopPH3E2K9zPkMkwua_BeBYhzHjgRYlGXx9pKj_-jd3FOof6uKtn2rOukrOr0UT0sJIEdNslNKu0GSoa_rQ0f29XyobWLit89Rc7jBOaZ_quJ_wEa4pVU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3094726699</pqid></control><display><type>article</type><title>Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices</title><source>MEDLINE</source><source>Royal Society Of Chemistry Journals</source><source>Alma/SFX Local Collection</source><creator>Adalian, Dvin ; Madero, Xiomi ; Chen, Samson ; Jilani, Musab ; Smith, Richard D ; Li, Songtai ; Ahlbrecht, Christin ; Cardenas, Juan ; Agarwal, Abhinav ; Emami, Azita ; Plettenburg, Oliver ; Petillo, Peter A ; Scherer, Axel</creator><creatorcontrib>Adalian, Dvin ; Madero, Xiomi ; Chen, Samson ; Jilani, Musab ; Smith, Richard D ; Li, Songtai ; Ahlbrecht, Christin ; Cardenas, Juan ; Agarwal, Abhinav ; Emami, Azita ; Plettenburg, Oliver ; Petillo, Peter A ; Scherer, Axel</creatorcontrib><description>Effective continuous glucose monitoring solutions require consistent sensor performance over the lifetime of the device, a manageable variance between devices, and the capability of high volume, low cost production. Here we present a novel and microfabrication-compatible method of depositing and stabilizing enzyme layers on top of planar electrodes that can aid in the mass production of sensors while also improving their consistency. This work is focused on the fragile biorecognition layer as that has been a critical difficulty in the development of microfabricated sensors. We test this approach with glucose oxidase (GOx) and evaluate the sensor performance with amperometric measurements of glucose concentrations. Spincoating was used to deposit a uniform enzyme layer across a wafer, which was subsequently immobilized glutaraldehyde vapor crosslinking and patterned liftoff. This yielded an approximately 300 nm thick sensing layer which was applied to arrays of microfabricated platinum electrodes built on blank wafers. Taking advantage of their planar array format, measurements were then performed in high-throughput parallel instrumentation. Due to their thin structure, the coated electrodes exhibited subsecond stabilization times after the bias potential was applied. The deposited enzyme layers were measured to provide a sensitivity of 2.3 ± 0.2 μA mM mm with suitable saturation behavior and minimal performance shift observed over extended use. The same methodology was then demonstrated directly on top of wireless CMOS potentiostats to build a monolithic sensor with similar measured performance. This work demonstrates the effectiveness of the combination of spincoating and vapor stabilization processes for wafer scale enzymatic sensor functionalization and the potential for scalable fabrication of monolithic sensor-on-CMOS devices.</description><identifier>ISSN: 1473-0197</identifier><identifier>ISSN: 1473-0189</identifier><identifier>EISSN: 1473-0189</identifier><identifier>DOI: 10.1039/d4lc00206g</identifier><identifier>PMID: 39099534</identifier><language>eng</language><publisher>England: Royal Society of Chemistry</publisher><subject>Arrays ; Biosensing Techniques - instrumentation ; CMOS ; Coated electrodes ; Cross-Linking Reagents - chemistry ; Crosslinking ; Effectiveness ; Electrical measurement ; Electrodes ; Enzyme electrodes ; Enzymes ; Enzymes, Immobilized - chemistry ; Enzymes, Immobilized - metabolism ; Glucose ; Glucose - analysis ; Glucose - chemistry ; Glucose oxidase ; Glucose Oxidase - chemistry ; Glucose Oxidase - metabolism ; Glutaral - chemistry ; Glutaraldehyde ; In vitro methods and tests ; Mass production ; Performance evaluation ; Sensors ; Service life assessment ; Stabilization ; Thin films ; Vapors ; Volatilization</subject><ispartof>Lab on a chip, 2024-08, Vol.24 (17), p.4172-4181</ispartof><rights>Copyright Royal Society of Chemistry 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c204t-3827f17ec1f0ebd612e91b5f88de19ae2808bbf1e3397937b5fb36163a932f123</cites><orcidid>0000-0001-7516-2221 ; 0000-0001-9671-278X ; 0000-0002-6945-9958 ; 0000-0002-7352-5305 ; 0000-0001-9384-105X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39099534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adalian, Dvin</creatorcontrib><creatorcontrib>Madero, Xiomi</creatorcontrib><creatorcontrib>Chen, Samson</creatorcontrib><creatorcontrib>Jilani, Musab</creatorcontrib><creatorcontrib>Smith, Richard D</creatorcontrib><creatorcontrib>Li, Songtai</creatorcontrib><creatorcontrib>Ahlbrecht, Christin</creatorcontrib><creatorcontrib>Cardenas, Juan</creatorcontrib><creatorcontrib>Agarwal, Abhinav</creatorcontrib><creatorcontrib>Emami, Azita</creatorcontrib><creatorcontrib>Plettenburg, Oliver</creatorcontrib><creatorcontrib>Petillo, Peter A</creatorcontrib><creatorcontrib>Scherer, Axel</creatorcontrib><title>Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices</title><title>Lab on a chip</title><addtitle>Lab Chip</addtitle><description>Effective continuous glucose monitoring solutions require consistent sensor performance over the lifetime of the device, a manageable variance between devices, and the capability of high volume, low cost production. Here we present a novel and microfabrication-compatible method of depositing and stabilizing enzyme layers on top of planar electrodes that can aid in the mass production of sensors while also improving their consistency. This work is focused on the fragile biorecognition layer as that has been a critical difficulty in the development of microfabricated sensors. We test this approach with glucose oxidase (GOx) and evaluate the sensor performance with amperometric measurements of glucose concentrations. Spincoating was used to deposit a uniform enzyme layer across a wafer, which was subsequently immobilized glutaraldehyde vapor crosslinking and patterned liftoff. This yielded an approximately 300 nm thick sensing layer which was applied to arrays of microfabricated platinum electrodes built on blank wafers. Taking advantage of their planar array format, measurements were then performed in high-throughput parallel instrumentation. Due to their thin structure, the coated electrodes exhibited subsecond stabilization times after the bias potential was applied. The deposited enzyme layers were measured to provide a sensitivity of 2.3 ± 0.2 μA mM mm with suitable saturation behavior and minimal performance shift observed over extended use. The same methodology was then demonstrated directly on top of wireless CMOS potentiostats to build a monolithic sensor with similar measured performance. This work demonstrates the effectiveness of the combination of spincoating and vapor stabilization processes for wafer scale enzymatic sensor functionalization and the potential for scalable fabrication of monolithic sensor-on-CMOS devices.</description><subject>Arrays</subject><subject>Biosensing Techniques - instrumentation</subject><subject>CMOS</subject><subject>Coated electrodes</subject><subject>Cross-Linking Reagents - chemistry</subject><subject>Crosslinking</subject><subject>Effectiveness</subject><subject>Electrical measurement</subject><subject>Electrodes</subject><subject>Enzyme electrodes</subject><subject>Enzymes</subject><subject>Enzymes, Immobilized - chemistry</subject><subject>Enzymes, Immobilized - metabolism</subject><subject>Glucose</subject><subject>Glucose - analysis</subject><subject>Glucose - chemistry</subject><subject>Glucose oxidase</subject><subject>Glucose Oxidase - chemistry</subject><subject>Glucose Oxidase - metabolism</subject><subject>Glutaral - chemistry</subject><subject>Glutaraldehyde</subject><subject>In vitro methods and tests</subject><subject>Mass production</subject><subject>Performance evaluation</subject><subject>Sensors</subject><subject>Service life assessment</subject><subject>Stabilization</subject><subject>Thin films</subject><subject>Vapors</subject><subject>Volatilization</subject><issn>1473-0197</issn><issn>1473-0189</issn><issn>1473-0189</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0V1rFDEUBuAgiv3yxh8ggd6Uwmg-ZmeS3pVVq7DSgu31kElOtqmZZJtkVtYf4281trUXXuVAHt6E8yL0lpL3lHD5wbReE8JIt36B9mnb84ZQIV8-z7LfQwc53xFCF20nXqM9LomUC97uo99XqhRIAQwuty5g6_yEIfzaTYDBgy4pGsh46xTOGxd0VMWFNVbB4LWfi0rKG7jdGcBbtYkJ6xRz9i78qOoMl_hTJZNx1sqr0QO2akxO14wYcLTYhQLrpEp9PUPIMTUxNMtvl9-xga3TkI_QK6t8hjdP5yG6-fzpevmlWV1efF2erxrNSFsaLlhvaQ-aWgKj6SgDSceFFcIAlQqYIGIcLQXOZS95X69G3tGOK8mZpYwfopPH3E2K9zPkMkwua_BeBYhzHjgRYlGXx9pKj_-jd3FOof6uKtn2rOukrOr0UT0sJIEdNslNKu0GSoa_rQ0f29XyobWLit89Rc7jBOaZ_quJ_wEa4pVU</recordid><startdate>20240820</startdate><enddate>20240820</enddate><creator>Adalian, Dvin</creator><creator>Madero, Xiomi</creator><creator>Chen, Samson</creator><creator>Jilani, Musab</creator><creator>Smith, Richard D</creator><creator>Li, Songtai</creator><creator>Ahlbrecht, Christin</creator><creator>Cardenas, Juan</creator><creator>Agarwal, Abhinav</creator><creator>Emami, Azita</creator><creator>Plettenburg, Oliver</creator><creator>Petillo, Peter A</creator><creator>Scherer, Axel</creator><general>Royal Society of Chemistry</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>7SP</scope><scope>7TB</scope><scope>7U5</scope><scope>8FD</scope><scope>FR3</scope><scope>L7M</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7516-2221</orcidid><orcidid>https://orcid.org/0000-0001-9671-278X</orcidid><orcidid>https://orcid.org/0000-0002-6945-9958</orcidid><orcidid>https://orcid.org/0000-0002-7352-5305</orcidid><orcidid>https://orcid.org/0000-0001-9384-105X</orcidid></search><sort><creationdate>20240820</creationdate><title>Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices</title><author>Adalian, Dvin ; Madero, Xiomi ; Chen, Samson ; Jilani, Musab ; Smith, Richard D ; Li, Songtai ; Ahlbrecht, Christin ; Cardenas, Juan ; Agarwal, Abhinav ; Emami, Azita ; Plettenburg, Oliver ; Petillo, Peter A ; Scherer, Axel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c204t-3827f17ec1f0ebd612e91b5f88de19ae2808bbf1e3397937b5fb36163a932f123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arrays</topic><topic>Biosensing Techniques - instrumentation</topic><topic>CMOS</topic><topic>Coated electrodes</topic><topic>Cross-Linking Reagents - chemistry</topic><topic>Crosslinking</topic><topic>Effectiveness</topic><topic>Electrical measurement</topic><topic>Electrodes</topic><topic>Enzyme electrodes</topic><topic>Enzymes</topic><topic>Enzymes, Immobilized - chemistry</topic><topic>Enzymes, Immobilized - metabolism</topic><topic>Glucose</topic><topic>Glucose - analysis</topic><topic>Glucose - chemistry</topic><topic>Glucose oxidase</topic><topic>Glucose Oxidase - chemistry</topic><topic>Glucose Oxidase - metabolism</topic><topic>Glutaral - chemistry</topic><topic>Glutaraldehyde</topic><topic>In vitro methods and tests</topic><topic>Mass production</topic><topic>Performance evaluation</topic><topic>Sensors</topic><topic>Service life assessment</topic><topic>Stabilization</topic><topic>Thin films</topic><topic>Vapors</topic><topic>Volatilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adalian, Dvin</creatorcontrib><creatorcontrib>Madero, Xiomi</creatorcontrib><creatorcontrib>Chen, Samson</creatorcontrib><creatorcontrib>Jilani, Musab</creatorcontrib><creatorcontrib>Smith, Richard D</creatorcontrib><creatorcontrib>Li, Songtai</creatorcontrib><creatorcontrib>Ahlbrecht, Christin</creatorcontrib><creatorcontrib>Cardenas, Juan</creatorcontrib><creatorcontrib>Agarwal, Abhinav</creatorcontrib><creatorcontrib>Emami, Azita</creatorcontrib><creatorcontrib>Plettenburg, Oliver</creatorcontrib><creatorcontrib>Petillo, Peter A</creatorcontrib><creatorcontrib>Scherer, Axel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Electronics &amp; Communications Abstracts</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>MEDLINE - Academic</collection><jtitle>Lab on a chip</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adalian, Dvin</au><au>Madero, Xiomi</au><au>Chen, Samson</au><au>Jilani, Musab</au><au>Smith, Richard D</au><au>Li, Songtai</au><au>Ahlbrecht, Christin</au><au>Cardenas, Juan</au><au>Agarwal, Abhinav</au><au>Emami, Azita</au><au>Plettenburg, Oliver</au><au>Petillo, Peter A</au><au>Scherer, Axel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices</atitle><jtitle>Lab on a chip</jtitle><addtitle>Lab Chip</addtitle><date>2024-08-20</date><risdate>2024</risdate><volume>24</volume><issue>17</issue><spage>4172</spage><epage>4181</epage><pages>4172-4181</pages><issn>1473-0197</issn><issn>1473-0189</issn><eissn>1473-0189</eissn><abstract>Effective continuous glucose monitoring solutions require consistent sensor performance over the lifetime of the device, a manageable variance between devices, and the capability of high volume, low cost production. Here we present a novel and microfabrication-compatible method of depositing and stabilizing enzyme layers on top of planar electrodes that can aid in the mass production of sensors while also improving their consistency. This work is focused on the fragile biorecognition layer as that has been a critical difficulty in the development of microfabricated sensors. We test this approach with glucose oxidase (GOx) and evaluate the sensor performance with amperometric measurements of glucose concentrations. Spincoating was used to deposit a uniform enzyme layer across a wafer, which was subsequently immobilized glutaraldehyde vapor crosslinking and patterned liftoff. This yielded an approximately 300 nm thick sensing layer which was applied to arrays of microfabricated platinum electrodes built on blank wafers. Taking advantage of their planar array format, measurements were then performed in high-throughput parallel instrumentation. Due to their thin structure, the coated electrodes exhibited subsecond stabilization times after the bias potential was applied. The deposited enzyme layers were measured to provide a sensitivity of 2.3 ± 0.2 μA mM mm with suitable saturation behavior and minimal performance shift observed over extended use. The same methodology was then demonstrated directly on top of wireless CMOS potentiostats to build a monolithic sensor with similar measured performance. This work demonstrates the effectiveness of the combination of spincoating and vapor stabilization processes for wafer scale enzymatic sensor functionalization and the potential for scalable fabrication of monolithic sensor-on-CMOS devices.</abstract><cop>England</cop><pub>Royal Society of Chemistry</pub><pmid>39099534</pmid><doi>10.1039/d4lc00206g</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7516-2221</orcidid><orcidid>https://orcid.org/0000-0001-9671-278X</orcidid><orcidid>https://orcid.org/0000-0002-6945-9958</orcidid><orcidid>https://orcid.org/0000-0002-7352-5305</orcidid><orcidid>https://orcid.org/0000-0001-9384-105X</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1473-0197
ispartof Lab on a chip, 2024-08, Vol.24 (17), p.4172-4181
issn 1473-0197
1473-0189
1473-0189
language eng
recordid cdi_proquest_miscellaneous_3088554624
source MEDLINE; Royal Society Of Chemistry Journals; Alma/SFX Local Collection
subjects Arrays
Biosensing Techniques - instrumentation
CMOS
Coated electrodes
Cross-Linking Reagents - chemistry
Crosslinking
Effectiveness
Electrical measurement
Electrodes
Enzyme electrodes
Enzymes
Enzymes, Immobilized - chemistry
Enzymes, Immobilized - metabolism
Glucose
Glucose - analysis
Glucose - chemistry
Glucose oxidase
Glucose Oxidase - chemistry
Glucose Oxidase - metabolism
Glutaral - chemistry
Glutaraldehyde
In vitro methods and tests
Mass production
Performance evaluation
Sensors
Service life assessment
Stabilization
Thin films
Vapors
Volatilization
title Patterned thin film enzyme electrodes via spincoating and glutaraldehyde vapor crosslinking: towards scalable fabrication of integrated sensor-on-CMOS devices
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T03%3A33%3A26IST&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=Patterned%20thin%20film%20enzyme%20electrodes%20via%20spincoating%20and%20glutaraldehyde%20vapor%20crosslinking:%20towards%20scalable%20fabrication%20of%20integrated%20sensor-on-CMOS%20devices&rft.jtitle=Lab%20on%20a%20chip&rft.au=Adalian,%20Dvin&rft.date=2024-08-20&rft.volume=24&rft.issue=17&rft.spage=4172&rft.epage=4181&rft.pages=4172-4181&rft.issn=1473-0197&rft.eissn=1473-0189&rft_id=info:doi/10.1039/d4lc00206g&rft_dat=%3Cproquest_cross%3E3094726699%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=3094726699&rft_id=info:pmid/39099534&rfr_iscdi=true