Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation

The incidence and mortality of cerebrovascular diseases are increasing year by year. Cerebral ischemia-reperfusion injury (CIRI) is common in patients with ischemic stroke. Naoxintong (NXT) is composed of a variety of Chinese medicines and has the ability to treat CIRI. The aim of this study is to i...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of ethnopharmacology 2025-01, Vol.336, p.118721, Article 118721
Hauptverfasser: Shang, Jinfeng, Wen, Yinlian, Zhang, Xiaolu, Huang, Guijinfeng, Chen, Wenbin, Wang, Bohong, Wu, Kai, Xiang, Quan, Liu, Xin
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page 118721
container_title Journal of ethnopharmacology
container_volume 336
creator Shang, Jinfeng
Wen, Yinlian
Zhang, Xiaolu
Huang, Guijinfeng
Chen, Wenbin
Wang, Bohong
Wu, Kai
Xiang, Quan
Liu, Xin
description The incidence and mortality of cerebrovascular diseases are increasing year by year. Cerebral ischemia-reperfusion injury (CIRI) is common in patients with ischemic stroke. Naoxintong (NXT) is composed of a variety of Chinese medicines and has the ability to treat CIRI. The aim of this study is to investigate whether NXT regulates mitophagy in CIRI based on network pharmacology analysis and experimental validation. Oxygen and glucose deprivation/re-oxygenation (OGD/R, 2/22 h) model of PC12 cells and transient middle cerebral artery occlusion (tMCAO, 2/22 h) model of rats were established. Pharmacodynamic indicators include neurological deficit score, 2,3,5-triphenyte-trazoliumchloride (TTC) staining, hematoxylin-eosin (HE) staining and cell viability. Network pharmacology was used to predict pharmacological mechanisms. Pharmacological mechanism indexes include transmission electron microscopy (TEM), drug affinity responsive target stability (DARTS), cellular thermal shift assay (CETSA), immunohistochemistry (IHC), western blot (WB) and immunofluorescence (IF). Kevetrin (an agonists of p53) and pifithrin-α (an inhibitor of p53) used to detect the key role of p53 in mitophagy of NXT. NXT (1% serum containing NXT and 110 mg/kg) improved the damage of OGD/R PC12 cells and tMCAO rats, and this protective effect was related to the anti-oxidation and ability to promote mitophagy of NXT. NXT and pifithrin-α increased the expression of promoting-mitophagy targets (PINK1, PRKN and LC3B) and inhibited the expression of inhibiting-mitophagy targets (p52) via restraining p53, and finally accelerated mitophagy caused by CIRI. This study demonstrates that NXT promotes mitophagy in CIRI through restraining p53 and promoting PINK1/PRKN in vivo and in vitro. [Display omitted] •Regulating autophagy and mitophagy is a method to alleviate CIRI.•NXT alleviated damage caused by CIRI in vivo and in vitro.•NXT accelerates mitophagy in CIRI via TP53/PINK1/PRKN pathway.
doi_str_mv 10.1016/j.jep.2024.118721
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3096278887</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0378874124010201</els_id><sourcerecordid>3096278887</sourcerecordid><originalsourceid>FETCH-LOGICAL-c235t-ec55cac1be485d5a689f13a6edf4303ab2b96af210124cde12e3993777ffd8c3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EotvCA3BBPnLJrh0ncSJOqCq0arWs0N6tiT3pOiRxsJNt81S8Il5t4chp5vDN_8_MT8gHztac8WLTrlsc1ylLszXnpUz5K7I61UTmUrwmKyZkmZQy4xfkMoSWMSZ5xt6SC1FxKWQqVuT3FtyzHSY3PFINY5g7pKA1duhhwkB7O7nxAI8LtQPV6LH20FEb9AF7C4nHEX0zB-uGCLSzX-jRAt3vcrHZ3W3v-Wb3435LR5gOT7DQGgIaGtkBpyfnf9Io7XvQrnPRAQbolmBDbAzF56hsexym6HeEzhqYoss78qaBLuD7l3pF9l9v9te3ycP3b3fXXx4SnYp8SlDnuQbNa8zK3ORQlFXDBRRomkwwAXVaVwU0aXxjmmmDPEVRVUJK2TSm1OKKfDrLjt79mjFMqo83Y9fBgG4OSrCqSGVZljKi_Ixq70Lw2Kgx7g1-UZypU0yqVTEmdYpJnWOKMx9f5Oe6R_Nv4m8uEfh8BjDeeLToVdAWB43GetSTMs7-R_4PTcmneg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3096278887</pqid></control><display><type>article</type><title>Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Shang, Jinfeng ; Wen, Yinlian ; Zhang, Xiaolu ; Huang, Guijinfeng ; Chen, Wenbin ; Wang, Bohong ; Wu, Kai ; Xiang, Quan ; Liu, Xin</creator><creatorcontrib>Shang, Jinfeng ; Wen, Yinlian ; Zhang, Xiaolu ; Huang, Guijinfeng ; Chen, Wenbin ; Wang, Bohong ; Wu, Kai ; Xiang, Quan ; Liu, Xin</creatorcontrib><description>The incidence and mortality of cerebrovascular diseases are increasing year by year. Cerebral ischemia-reperfusion injury (CIRI) is common in patients with ischemic stroke. Naoxintong (NXT) is composed of a variety of Chinese medicines and has the ability to treat CIRI. The aim of this study is to investigate whether NXT regulates mitophagy in CIRI based on network pharmacology analysis and experimental validation. Oxygen and glucose deprivation/re-oxygenation (OGD/R, 2/22 h) model of PC12 cells and transient middle cerebral artery occlusion (tMCAO, 2/22 h) model of rats were established. Pharmacodynamic indicators include neurological deficit score, 2,3,5-triphenyte-trazoliumchloride (TTC) staining, hematoxylin-eosin (HE) staining and cell viability. Network pharmacology was used to predict pharmacological mechanisms. Pharmacological mechanism indexes include transmission electron microscopy (TEM), drug affinity responsive target stability (DARTS), cellular thermal shift assay (CETSA), immunohistochemistry (IHC), western blot (WB) and immunofluorescence (IF). Kevetrin (an agonists of p53) and pifithrin-α (an inhibitor of p53) used to detect the key role of p53 in mitophagy of NXT. NXT (1% serum containing NXT and 110 mg/kg) improved the damage of OGD/R PC12 cells and tMCAO rats, and this protective effect was related to the anti-oxidation and ability to promote mitophagy of NXT. NXT and pifithrin-α increased the expression of promoting-mitophagy targets (PINK1, PRKN and LC3B) and inhibited the expression of inhibiting-mitophagy targets (p52) via restraining p53, and finally accelerated mitophagy caused by CIRI. This study demonstrates that NXT promotes mitophagy in CIRI through restraining p53 and promoting PINK1/PRKN in vivo and in vitro. [Display omitted] •Regulating autophagy and mitophagy is a method to alleviate CIRI.•NXT alleviated damage caused by CIRI in vivo and in vitro.•NXT accelerates mitophagy in CIRI via TP53/PINK1/PRKN pathway.</description><identifier>ISSN: 0378-8741</identifier><identifier>ISSN: 1872-7573</identifier><identifier>EISSN: 1872-7573</identifier><identifier>DOI: 10.1016/j.jep.2024.118721</identifier><identifier>PMID: 39173723</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Animals ; Brain Ischemia - drug therapy ; Cerebral ischemia-reperfusion injury ; Drugs, Chinese Herbal - pharmacology ; Infarction, Middle Cerebral Artery - drug therapy ; Infarction, Middle Cerebral Artery - pathology ; Male ; Mitophagy ; Mitophagy - drug effects ; Naoxintong capsule ; Network Pharmacology ; Neuroprotective Agents - pharmacology ; PC12 Cells ; Protein Kinases - metabolism ; Rats ; Rats, Sprague-Dawley ; Reperfusion Injury - drug therapy ; Reperfusion Injury - metabolism ; Signal Transduction - drug effects ; TP53/PINK1/PRKN pathway ; Tumor Suppressor Protein p53 - metabolism ; Ubiquitin-Protein Ligases</subject><ispartof>Journal of ethnopharmacology, 2025-01, Vol.336, p.118721, Article 118721</ispartof><rights>2024 Elsevier B.V.</rights><rights>Copyright © 2024 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c235t-ec55cac1be485d5a689f13a6edf4303ab2b96af210124cde12e3993777ffd8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jep.2024.118721$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39173723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shang, Jinfeng</creatorcontrib><creatorcontrib>Wen, Yinlian</creatorcontrib><creatorcontrib>Zhang, Xiaolu</creatorcontrib><creatorcontrib>Huang, Guijinfeng</creatorcontrib><creatorcontrib>Chen, Wenbin</creatorcontrib><creatorcontrib>Wang, Bohong</creatorcontrib><creatorcontrib>Wu, Kai</creatorcontrib><creatorcontrib>Xiang, Quan</creatorcontrib><creatorcontrib>Liu, Xin</creatorcontrib><title>Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation</title><title>Journal of ethnopharmacology</title><addtitle>J Ethnopharmacol</addtitle><description>The incidence and mortality of cerebrovascular diseases are increasing year by year. Cerebral ischemia-reperfusion injury (CIRI) is common in patients with ischemic stroke. Naoxintong (NXT) is composed of a variety of Chinese medicines and has the ability to treat CIRI. The aim of this study is to investigate whether NXT regulates mitophagy in CIRI based on network pharmacology analysis and experimental validation. Oxygen and glucose deprivation/re-oxygenation (OGD/R, 2/22 h) model of PC12 cells and transient middle cerebral artery occlusion (tMCAO, 2/22 h) model of rats were established. Pharmacodynamic indicators include neurological deficit score, 2,3,5-triphenyte-trazoliumchloride (TTC) staining, hematoxylin-eosin (HE) staining and cell viability. Network pharmacology was used to predict pharmacological mechanisms. Pharmacological mechanism indexes include transmission electron microscopy (TEM), drug affinity responsive target stability (DARTS), cellular thermal shift assay (CETSA), immunohistochemistry (IHC), western blot (WB) and immunofluorescence (IF). Kevetrin (an agonists of p53) and pifithrin-α (an inhibitor of p53) used to detect the key role of p53 in mitophagy of NXT. NXT (1% serum containing NXT and 110 mg/kg) improved the damage of OGD/R PC12 cells and tMCAO rats, and this protective effect was related to the anti-oxidation and ability to promote mitophagy of NXT. NXT and pifithrin-α increased the expression of promoting-mitophagy targets (PINK1, PRKN and LC3B) and inhibited the expression of inhibiting-mitophagy targets (p52) via restraining p53, and finally accelerated mitophagy caused by CIRI. This study demonstrates that NXT promotes mitophagy in CIRI through restraining p53 and promoting PINK1/PRKN in vivo and in vitro. [Display omitted] •Regulating autophagy and mitophagy is a method to alleviate CIRI.•NXT alleviated damage caused by CIRI in vivo and in vitro.•NXT accelerates mitophagy in CIRI via TP53/PINK1/PRKN pathway.</description><subject>Animals</subject><subject>Brain Ischemia - drug therapy</subject><subject>Cerebral ischemia-reperfusion injury</subject><subject>Drugs, Chinese Herbal - pharmacology</subject><subject>Infarction, Middle Cerebral Artery - drug therapy</subject><subject>Infarction, Middle Cerebral Artery - pathology</subject><subject>Male</subject><subject>Mitophagy</subject><subject>Mitophagy - drug effects</subject><subject>Naoxintong capsule</subject><subject>Network Pharmacology</subject><subject>Neuroprotective Agents - pharmacology</subject><subject>PC12 Cells</subject><subject>Protein Kinases - metabolism</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Reperfusion Injury - drug therapy</subject><subject>Reperfusion Injury - metabolism</subject><subject>Signal Transduction - drug effects</subject><subject>TP53/PINK1/PRKN pathway</subject><subject>Tumor Suppressor Protein p53 - metabolism</subject><subject>Ubiquitin-Protein Ligases</subject><issn>0378-8741</issn><issn>1872-7573</issn><issn>1872-7573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EotvCA3BBPnLJrh0ncSJOqCq0arWs0N6tiT3pOiRxsJNt81S8Il5t4chp5vDN_8_MT8gHztac8WLTrlsc1ylLszXnpUz5K7I61UTmUrwmKyZkmZQy4xfkMoSWMSZ5xt6SC1FxKWQqVuT3FtyzHSY3PFINY5g7pKA1duhhwkB7O7nxAI8LtQPV6LH20FEb9AF7C4nHEX0zB-uGCLSzX-jRAt3vcrHZ3W3v-Wb3435LR5gOT7DQGgIaGtkBpyfnf9Io7XvQrnPRAQbolmBDbAzF56hsexym6HeEzhqYoss78qaBLuD7l3pF9l9v9te3ycP3b3fXXx4SnYp8SlDnuQbNa8zK3ORQlFXDBRRomkwwAXVaVwU0aXxjmmmDPEVRVUJK2TSm1OKKfDrLjt79mjFMqo83Y9fBgG4OSrCqSGVZljKi_Ixq70Lw2Kgx7g1-UZypU0yqVTEmdYpJnWOKMx9f5Oe6R_Nv4m8uEfh8BjDeeLToVdAWB43GetSTMs7-R_4PTcmneg</recordid><startdate>20250110</startdate><enddate>20250110</enddate><creator>Shang, Jinfeng</creator><creator>Wen, Yinlian</creator><creator>Zhang, Xiaolu</creator><creator>Huang, Guijinfeng</creator><creator>Chen, Wenbin</creator><creator>Wang, Bohong</creator><creator>Wu, Kai</creator><creator>Xiang, Quan</creator><creator>Liu, Xin</creator><general>Elsevier B.V</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>7X8</scope></search><sort><creationdate>20250110</creationdate><title>Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation</title><author>Shang, Jinfeng ; Wen, Yinlian ; Zhang, Xiaolu ; Huang, Guijinfeng ; Chen, Wenbin ; Wang, Bohong ; Wu, Kai ; Xiang, Quan ; Liu, Xin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c235t-ec55cac1be485d5a689f13a6edf4303ab2b96af210124cde12e3993777ffd8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Animals</topic><topic>Brain Ischemia - drug therapy</topic><topic>Cerebral ischemia-reperfusion injury</topic><topic>Drugs, Chinese Herbal - pharmacology</topic><topic>Infarction, Middle Cerebral Artery - drug therapy</topic><topic>Infarction, Middle Cerebral Artery - pathology</topic><topic>Male</topic><topic>Mitophagy</topic><topic>Mitophagy - drug effects</topic><topic>Naoxintong capsule</topic><topic>Network Pharmacology</topic><topic>Neuroprotective Agents - pharmacology</topic><topic>PC12 Cells</topic><topic>Protein Kinases - metabolism</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Reperfusion Injury - drug therapy</topic><topic>Reperfusion Injury - metabolism</topic><topic>Signal Transduction - drug effects</topic><topic>TP53/PINK1/PRKN pathway</topic><topic>Tumor Suppressor Protein p53 - metabolism</topic><topic>Ubiquitin-Protein Ligases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shang, Jinfeng</creatorcontrib><creatorcontrib>Wen, Yinlian</creatorcontrib><creatorcontrib>Zhang, Xiaolu</creatorcontrib><creatorcontrib>Huang, Guijinfeng</creatorcontrib><creatorcontrib>Chen, Wenbin</creatorcontrib><creatorcontrib>Wang, Bohong</creatorcontrib><creatorcontrib>Wu, Kai</creatorcontrib><creatorcontrib>Xiang, Quan</creatorcontrib><creatorcontrib>Liu, Xin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ethnopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shang, Jinfeng</au><au>Wen, Yinlian</au><au>Zhang, Xiaolu</au><au>Huang, Guijinfeng</au><au>Chen, Wenbin</au><au>Wang, Bohong</au><au>Wu, Kai</au><au>Xiang, Quan</au><au>Liu, Xin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation</atitle><jtitle>Journal of ethnopharmacology</jtitle><addtitle>J Ethnopharmacol</addtitle><date>2025-01-10</date><risdate>2025</risdate><volume>336</volume><spage>118721</spage><pages>118721-</pages><artnum>118721</artnum><issn>0378-8741</issn><issn>1872-7573</issn><eissn>1872-7573</eissn><abstract>The incidence and mortality of cerebrovascular diseases are increasing year by year. Cerebral ischemia-reperfusion injury (CIRI) is common in patients with ischemic stroke. Naoxintong (NXT) is composed of a variety of Chinese medicines and has the ability to treat CIRI. The aim of this study is to investigate whether NXT regulates mitophagy in CIRI based on network pharmacology analysis and experimental validation. Oxygen and glucose deprivation/re-oxygenation (OGD/R, 2/22 h) model of PC12 cells and transient middle cerebral artery occlusion (tMCAO, 2/22 h) model of rats were established. Pharmacodynamic indicators include neurological deficit score, 2,3,5-triphenyte-trazoliumchloride (TTC) staining, hematoxylin-eosin (HE) staining and cell viability. Network pharmacology was used to predict pharmacological mechanisms. Pharmacological mechanism indexes include transmission electron microscopy (TEM), drug affinity responsive target stability (DARTS), cellular thermal shift assay (CETSA), immunohistochemistry (IHC), western blot (WB) and immunofluorescence (IF). Kevetrin (an agonists of p53) and pifithrin-α (an inhibitor of p53) used to detect the key role of p53 in mitophagy of NXT. NXT (1% serum containing NXT and 110 mg/kg) improved the damage of OGD/R PC12 cells and tMCAO rats, and this protective effect was related to the anti-oxidation and ability to promote mitophagy of NXT. NXT and pifithrin-α increased the expression of promoting-mitophagy targets (PINK1, PRKN and LC3B) and inhibited the expression of inhibiting-mitophagy targets (p52) via restraining p53, and finally accelerated mitophagy caused by CIRI. This study demonstrates that NXT promotes mitophagy in CIRI through restraining p53 and promoting PINK1/PRKN in vivo and in vitro. [Display omitted] •Regulating autophagy and mitophagy is a method to alleviate CIRI.•NXT alleviated damage caused by CIRI in vivo and in vitro.•NXT accelerates mitophagy in CIRI via TP53/PINK1/PRKN pathway.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>39173723</pmid><doi>10.1016/j.jep.2024.118721</doi></addata></record>
fulltext fulltext
identifier ISSN: 0378-8741
ispartof Journal of ethnopharmacology, 2025-01, Vol.336, p.118721, Article 118721
issn 0378-8741
1872-7573
1872-7573
language eng
recordid cdi_proquest_miscellaneous_3096278887
source MEDLINE; Elsevier ScienceDirect Journals
subjects Animals
Brain Ischemia - drug therapy
Cerebral ischemia-reperfusion injury
Drugs, Chinese Herbal - pharmacology
Infarction, Middle Cerebral Artery - drug therapy
Infarction, Middle Cerebral Artery - pathology
Male
Mitophagy
Mitophagy - drug effects
Naoxintong capsule
Network Pharmacology
Neuroprotective Agents - pharmacology
PC12 Cells
Protein Kinases - metabolism
Rats
Rats, Sprague-Dawley
Reperfusion Injury - drug therapy
Reperfusion Injury - metabolism
Signal Transduction - drug effects
TP53/PINK1/PRKN pathway
Tumor Suppressor Protein p53 - metabolism
Ubiquitin-Protein Ligases
title Naoxintong capsule accelerates mitophagy in cerebral ischemia-reperfusion injury via TP53/PINK1/PRKN pathway based on network pharmacology analysis and experimental validation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T00%3A52%3A08IST&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=Naoxintong%20capsule%20accelerates%20mitophagy%20in%20cerebral%20ischemia-reperfusion%20injury%20via%20TP53/PINK1/PRKN%20pathway%20based%20on%20network%20pharmacology%20analysis%20and%20experimental%20validation&rft.jtitle=Journal%20of%20ethnopharmacology&rft.au=Shang,%20Jinfeng&rft.date=2025-01-10&rft.volume=336&rft.spage=118721&rft.pages=118721-&rft.artnum=118721&rft.issn=0378-8741&rft.eissn=1872-7573&rft_id=info:doi/10.1016/j.jep.2024.118721&rft_dat=%3Cproquest_cross%3E3096278887%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=3096278887&rft_id=info:pmid/39173723&rft_els_id=S0378874124010201&rfr_iscdi=true