Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony

The purpose of this study was to investigate the normal range of ophthalmic parameters and the correlations between systematic and ocular parameters and retinal nerve fiber layer (RNFL) thickness among a healthy non-glaucoma cynomolgus monkey colony. All included monkeys were given detailed ophthalm...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Translational vision science & technology 2024-10, Vol.13 (10), p.6
Hauptverfasser: Wu, Jian, Li, Ruyue, Zhu, Sirui, Chen, Kezhe, Lin, Caixia, Tian, Jiaxin, Pan, Lijie, Liu, Hongyi, Jia, Xu, Yu, Ziyu, Li, Zhidong, Zhu, Yingting, Liu, Wei, Yang, Chenlong, Wong, Chiwai, Wang, Ningli, Zhuo, Yehong
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 10
container_start_page 6
container_title Translational vision science & technology
container_volume 13
creator Wu, Jian
Li, Ruyue
Zhu, Sirui
Chen, Kezhe
Lin, Caixia
Tian, Jiaxin
Pan, Lijie
Liu, Hongyi
Jia, Xu
Yu, Ziyu
Li, Zhidong
Zhu, Yingting
Liu, Wei
Yang, Chenlong
Wong, Chiwai
Wang, Ningli
Zhuo, Yehong
description The purpose of this study was to investigate the normal range of ophthalmic parameters and the correlations between systematic and ocular parameters and retinal nerve fiber layer (RNFL) thickness among a healthy non-glaucoma cynomolgus monkey colony. All included monkeys were given detailed ophthalmic examinations, including anterior and posterior segments. Furthermore, univariate and multivariate linear regression models were conducted to estimate the relationship between systemic and ophthalmic parameters and global RNFL thickness. A total of 349 non-glaucoma monkeys (18.69 ± 2.88 years old) were collected. The global RNFL thickness was 94.61 ± 10.13 µm, and sex-specific differences existed in all sectors. The decreasing trend of RNFL is as follows: inferotemporal, superotemporal, inferonasal, superonasal, temporal, and nasal. For lamina cribrosa (LC)-related parameters, cup depth (P < 0.01), LC thickness (P = 0.014), and Bruch's membrane opening (BMO) - minimum rim width 2 (P = 0.002) were greater in the male group. However, LC depth (P = 0.02), anterior laminar insertion depth-1 (P = 0.009), and mean anterior laminar insertion depth (P = 0.029) of female monkeys were greater than those of male monkeys. In multivariate linear regression, only older age was significantly related to reduced global RNFL thickness (P < 0.001). Our findings suggest the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkeys and humans. Therefore, the impact of this difference on outcomes should be fully considered in laboratory animal studies. Our findings are also significant in terms of developing a normative optical coherence tomography (OCT) database in nonhuman primates (NHPs). We found that the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkey colonies and humans should be thoroughly taken into account in laboratory animal studies.
doi_str_mv 10.1167/tvst.13.10.6
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11451825</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3112530844</sourcerecordid><originalsourceid>FETCH-LOGICAL-c234t-9828e890788d4d6c2a503fe233ef05db2644e9fa6445b04f3028731673485d243</originalsourceid><addsrcrecordid>eNpVkU1v3CAQhlHVqomS3HKuOPZQb_kyi09VtcqXtN1GUXJG2B5naTCkgFfy3-gvLqt8KOHAMMzDO2hehE4pWVAql9_zLuUF5YuSyw_okFEpKlY39OOb8wE6SekPKUuqWgj5GR3whkvK6fIQ_duEOJpsd4CvYxisAxwGfAPZeuPwBmIpnNsWIl6buey3W9s9eEgJG9-Xu7FweBVtG0My1Q04k6HH1yaaETLEhK3HBl-CcXk7403w1YUzUxfG8mr2YQzufkr4V_APMONVcMHPx-jTYFyCk-d4hO7Oz25Xl9X698XV6ue66hgXuWoUU6AaslSqF73smKkJH4BxDgOp-5ZJIaAZTAl1S8TACVNLXobGhap7JvgR-vGk-zi1I_Qd-ByN04_RjibOOhir31e83er7sNOUipoqVheFr88KMfydIGU92tSBc8ZDmJLmlBaKKLFv9u0J7cqgUoThtQ8lem-l3lupKd_nsuBf3v7tFX4xjv8H46acHw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3112530844</pqid></control><display><type>article</type><title>Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Wu, Jian ; Li, Ruyue ; Zhu, Sirui ; Chen, Kezhe ; Lin, Caixia ; Tian, Jiaxin ; Pan, Lijie ; Liu, Hongyi ; Jia, Xu ; Yu, Ziyu ; Li, Zhidong ; Zhu, Yingting ; Liu, Wei ; Yang, Chenlong ; Wong, Chiwai ; Wang, Ningli ; Zhuo, Yehong</creator><creatorcontrib>Wu, Jian ; Li, Ruyue ; Zhu, Sirui ; Chen, Kezhe ; Lin, Caixia ; Tian, Jiaxin ; Pan, Lijie ; Liu, Hongyi ; Jia, Xu ; Yu, Ziyu ; Li, Zhidong ; Zhu, Yingting ; Liu, Wei ; Yang, Chenlong ; Wong, Chiwai ; Wang, Ningli ; Zhuo, Yehong ; Non-Human Primate Eye Study Group ; for the Non-Human Primate Eye Study Group</creatorcontrib><description>The purpose of this study was to investigate the normal range of ophthalmic parameters and the correlations between systematic and ocular parameters and retinal nerve fiber layer (RNFL) thickness among a healthy non-glaucoma cynomolgus monkey colony. All included monkeys were given detailed ophthalmic examinations, including anterior and posterior segments. Furthermore, univariate and multivariate linear regression models were conducted to estimate the relationship between systemic and ophthalmic parameters and global RNFL thickness. A total of 349 non-glaucoma monkeys (18.69 ± 2.88 years old) were collected. The global RNFL thickness was 94.61 ± 10.13 µm, and sex-specific differences existed in all sectors. The decreasing trend of RNFL is as follows: inferotemporal, superotemporal, inferonasal, superonasal, temporal, and nasal. For lamina cribrosa (LC)-related parameters, cup depth (P &lt; 0.01), LC thickness (P = 0.014), and Bruch's membrane opening (BMO) - minimum rim width 2 (P = 0.002) were greater in the male group. However, LC depth (P = 0.02), anterior laminar insertion depth-1 (P = 0.009), and mean anterior laminar insertion depth (P = 0.029) of female monkeys were greater than those of male monkeys. In multivariate linear regression, only older age was significantly related to reduced global RNFL thickness (P &lt; 0.001). Our findings suggest the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkeys and humans. Therefore, the impact of this difference on outcomes should be fully considered in laboratory animal studies. Our findings are also significant in terms of developing a normative optical coherence tomography (OCT) database in nonhuman primates (NHPs). We found that the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkey colonies and humans should be thoroughly taken into account in laboratory animal studies.</description><identifier>ISSN: 2164-2591</identifier><identifier>EISSN: 2164-2591</identifier><identifier>DOI: 10.1167/tvst.13.10.6</identifier><identifier>PMID: 39361317</identifier><language>eng</language><publisher>United States: The Association for Research in Vision and Ophthalmology</publisher><subject>Animals ; Female ; Glaucoma ; Intraocular Pressure - physiology ; Macaca fascicularis - anatomy &amp; histology ; Male ; Nerve Fibers ; Optic Disk - anatomy &amp; histology ; Reference Values ; Retinal Ganglion Cells - cytology ; Tomography, Optical Coherence - methods</subject><ispartof>Translational vision science &amp; technology, 2024-10, Vol.13 (10), p.6</ispartof><rights>Copyright 2024 The Authors 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c234t-9828e890788d4d6c2a503fe233ef05db2644e9fa6445b04f3028731673485d243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451825/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451825/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39361317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Li, Ruyue</creatorcontrib><creatorcontrib>Zhu, Sirui</creatorcontrib><creatorcontrib>Chen, Kezhe</creatorcontrib><creatorcontrib>Lin, Caixia</creatorcontrib><creatorcontrib>Tian, Jiaxin</creatorcontrib><creatorcontrib>Pan, Lijie</creatorcontrib><creatorcontrib>Liu, Hongyi</creatorcontrib><creatorcontrib>Jia, Xu</creatorcontrib><creatorcontrib>Yu, Ziyu</creatorcontrib><creatorcontrib>Li, Zhidong</creatorcontrib><creatorcontrib>Zhu, Yingting</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Yang, Chenlong</creatorcontrib><creatorcontrib>Wong, Chiwai</creatorcontrib><creatorcontrib>Wang, Ningli</creatorcontrib><creatorcontrib>Zhuo, Yehong</creatorcontrib><creatorcontrib>Non-Human Primate Eye Study Group</creatorcontrib><creatorcontrib>for the Non-Human Primate Eye Study Group</creatorcontrib><title>Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony</title><title>Translational vision science &amp; technology</title><addtitle>Transl Vis Sci Technol</addtitle><description>The purpose of this study was to investigate the normal range of ophthalmic parameters and the correlations between systematic and ocular parameters and retinal nerve fiber layer (RNFL) thickness among a healthy non-glaucoma cynomolgus monkey colony. All included monkeys were given detailed ophthalmic examinations, including anterior and posterior segments. Furthermore, univariate and multivariate linear regression models were conducted to estimate the relationship between systemic and ophthalmic parameters and global RNFL thickness. A total of 349 non-glaucoma monkeys (18.69 ± 2.88 years old) were collected. The global RNFL thickness was 94.61 ± 10.13 µm, and sex-specific differences existed in all sectors. The decreasing trend of RNFL is as follows: inferotemporal, superotemporal, inferonasal, superonasal, temporal, and nasal. For lamina cribrosa (LC)-related parameters, cup depth (P &lt; 0.01), LC thickness (P = 0.014), and Bruch's membrane opening (BMO) - minimum rim width 2 (P = 0.002) were greater in the male group. However, LC depth (P = 0.02), anterior laminar insertion depth-1 (P = 0.009), and mean anterior laminar insertion depth (P = 0.029) of female monkeys were greater than those of male monkeys. In multivariate linear regression, only older age was significantly related to reduced global RNFL thickness (P &lt; 0.001). Our findings suggest the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkeys and humans. Therefore, the impact of this difference on outcomes should be fully considered in laboratory animal studies. Our findings are also significant in terms of developing a normative optical coherence tomography (OCT) database in nonhuman primates (NHPs). We found that the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkey colonies and humans should be thoroughly taken into account in laboratory animal studies.</description><subject>Animals</subject><subject>Female</subject><subject>Glaucoma</subject><subject>Intraocular Pressure - physiology</subject><subject>Macaca fascicularis - anatomy &amp; histology</subject><subject>Male</subject><subject>Nerve Fibers</subject><subject>Optic Disk - anatomy &amp; histology</subject><subject>Reference Values</subject><subject>Retinal Ganglion Cells - cytology</subject><subject>Tomography, Optical Coherence - methods</subject><issn>2164-2591</issn><issn>2164-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1v3CAQhlHVqomS3HKuOPZQb_kyi09VtcqXtN1GUXJG2B5naTCkgFfy3-gvLqt8KOHAMMzDO2hehE4pWVAql9_zLuUF5YuSyw_okFEpKlY39OOb8wE6SekPKUuqWgj5GR3whkvK6fIQ_duEOJpsd4CvYxisAxwGfAPZeuPwBmIpnNsWIl6buey3W9s9eEgJG9-Xu7FweBVtG0My1Q04k6HH1yaaETLEhK3HBl-CcXk7403w1YUzUxfG8mr2YQzufkr4V_APMONVcMHPx-jTYFyCk-d4hO7Oz25Xl9X698XV6ue66hgXuWoUU6AaslSqF73smKkJH4BxDgOp-5ZJIaAZTAl1S8TACVNLXobGhap7JvgR-vGk-zi1I_Qd-ByN04_RjibOOhir31e83er7sNOUipoqVheFr88KMfydIGU92tSBc8ZDmJLmlBaKKLFv9u0J7cqgUoThtQ8lem-l3lupKd_nsuBf3v7tFX4xjv8H46acHw</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Wu, Jian</creator><creator>Li, Ruyue</creator><creator>Zhu, Sirui</creator><creator>Chen, Kezhe</creator><creator>Lin, Caixia</creator><creator>Tian, Jiaxin</creator><creator>Pan, Lijie</creator><creator>Liu, Hongyi</creator><creator>Jia, Xu</creator><creator>Yu, Ziyu</creator><creator>Li, Zhidong</creator><creator>Zhu, Yingting</creator><creator>Liu, Wei</creator><creator>Yang, Chenlong</creator><creator>Wong, Chiwai</creator><creator>Wang, Ningli</creator><creator>Zhuo, Yehong</creator><general>The Association for Research in Vision and Ophthalmology</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><scope>5PM</scope></search><sort><creationdate>20241001</creationdate><title>Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony</title><author>Wu, Jian ; Li, Ruyue ; Zhu, Sirui ; Chen, Kezhe ; Lin, Caixia ; Tian, Jiaxin ; Pan, Lijie ; Liu, Hongyi ; Jia, Xu ; Yu, Ziyu ; Li, Zhidong ; Zhu, Yingting ; Liu, Wei ; Yang, Chenlong ; Wong, Chiwai ; Wang, Ningli ; Zhuo, Yehong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c234t-9828e890788d4d6c2a503fe233ef05db2644e9fa6445b04f3028731673485d243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Animals</topic><topic>Female</topic><topic>Glaucoma</topic><topic>Intraocular Pressure - physiology</topic><topic>Macaca fascicularis - anatomy &amp; histology</topic><topic>Male</topic><topic>Nerve Fibers</topic><topic>Optic Disk - anatomy &amp; histology</topic><topic>Reference Values</topic><topic>Retinal Ganglion Cells - cytology</topic><topic>Tomography, Optical Coherence - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Li, Ruyue</creatorcontrib><creatorcontrib>Zhu, Sirui</creatorcontrib><creatorcontrib>Chen, Kezhe</creatorcontrib><creatorcontrib>Lin, Caixia</creatorcontrib><creatorcontrib>Tian, Jiaxin</creatorcontrib><creatorcontrib>Pan, Lijie</creatorcontrib><creatorcontrib>Liu, Hongyi</creatorcontrib><creatorcontrib>Jia, Xu</creatorcontrib><creatorcontrib>Yu, Ziyu</creatorcontrib><creatorcontrib>Li, Zhidong</creatorcontrib><creatorcontrib>Zhu, Yingting</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Yang, Chenlong</creatorcontrib><creatorcontrib>Wong, Chiwai</creatorcontrib><creatorcontrib>Wang, Ningli</creatorcontrib><creatorcontrib>Zhuo, Yehong</creatorcontrib><creatorcontrib>Non-Human Primate Eye Study Group</creatorcontrib><creatorcontrib>for the Non-Human Primate Eye Study Group</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Translational vision science &amp; technology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Jian</au><au>Li, Ruyue</au><au>Zhu, Sirui</au><au>Chen, Kezhe</au><au>Lin, Caixia</au><au>Tian, Jiaxin</au><au>Pan, Lijie</au><au>Liu, Hongyi</au><au>Jia, Xu</au><au>Yu, Ziyu</au><au>Li, Zhidong</au><au>Zhu, Yingting</au><au>Liu, Wei</au><au>Yang, Chenlong</au><au>Wong, Chiwai</au><au>Wang, Ningli</au><au>Zhuo, Yehong</au><aucorp>Non-Human Primate Eye Study Group</aucorp><aucorp>for the Non-Human Primate Eye Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony</atitle><jtitle>Translational vision science &amp; technology</jtitle><addtitle>Transl Vis Sci Technol</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>13</volume><issue>10</issue><spage>6</spage><pages>6-</pages><issn>2164-2591</issn><eissn>2164-2591</eissn><abstract>The purpose of this study was to investigate the normal range of ophthalmic parameters and the correlations between systematic and ocular parameters and retinal nerve fiber layer (RNFL) thickness among a healthy non-glaucoma cynomolgus monkey colony. All included monkeys were given detailed ophthalmic examinations, including anterior and posterior segments. Furthermore, univariate and multivariate linear regression models were conducted to estimate the relationship between systemic and ophthalmic parameters and global RNFL thickness. A total of 349 non-glaucoma monkeys (18.69 ± 2.88 years old) were collected. The global RNFL thickness was 94.61 ± 10.13 µm, and sex-specific differences existed in all sectors. The decreasing trend of RNFL is as follows: inferotemporal, superotemporal, inferonasal, superonasal, temporal, and nasal. For lamina cribrosa (LC)-related parameters, cup depth (P &lt; 0.01), LC thickness (P = 0.014), and Bruch's membrane opening (BMO) - minimum rim width 2 (P = 0.002) were greater in the male group. However, LC depth (P = 0.02), anterior laminar insertion depth-1 (P = 0.009), and mean anterior laminar insertion depth (P = 0.029) of female monkeys were greater than those of male monkeys. In multivariate linear regression, only older age was significantly related to reduced global RNFL thickness (P &lt; 0.001). Our findings suggest the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkeys and humans. Therefore, the impact of this difference on outcomes should be fully considered in laboratory animal studies. Our findings are also significant in terms of developing a normative optical coherence tomography (OCT) database in nonhuman primates (NHPs). We found that the differences in RNFL thickness distribution and sex between non-glaucoma cynomolgus monkey colonies and humans should be thoroughly taken into account in laboratory animal studies.</abstract><cop>United States</cop><pub>The Association for Research in Vision and Ophthalmology</pub><pmid>39361317</pmid><doi>10.1167/tvst.13.10.6</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2164-2591
ispartof Translational vision science & technology, 2024-10, Vol.13 (10), p.6
issn 2164-2591
2164-2591
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11451825
source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Animals
Female
Glaucoma
Intraocular Pressure - physiology
Macaca fascicularis - anatomy & histology
Male
Nerve Fibers
Optic Disk - anatomy & histology
Reference Values
Retinal Ganglion Cells - cytology
Tomography, Optical Coherence - methods
title Normative Profile of Retinal Nerve Fiber Layer Thickness and Lamina Cribrosa-Related Parameters in a Healthy Non-Glaucoma Cynomolgus Monkey Colony
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T00%3A21%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Normative%20Profile%20of%20Retinal%20Nerve%20Fiber%20Layer%20Thickness%20and%20Lamina%20Cribrosa-Related%20Parameters%20in%20a%20Healthy%20Non-Glaucoma%20Cynomolgus%20Monkey%20Colony&rft.jtitle=Translational%20vision%20science%20&%20technology&rft.au=Wu,%20Jian&rft.aucorp=Non-Human%20Primate%20Eye%20Study%20Group&rft.date=2024-10-01&rft.volume=13&rft.issue=10&rft.spage=6&rft.pages=6-&rft.issn=2164-2591&rft.eissn=2164-2591&rft_id=info:doi/10.1167/tvst.13.10.6&rft_dat=%3Cproquest_pubme%3E3112530844%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3112530844&rft_id=info:pmid/39361317&rfr_iscdi=true