Advanced glycation End-products (AGEs): an emerging concern for processed food industries

The global food industry is expected to increase more than US $ 7 trillion by 2014. This rise in processed food sector shows that more and more people are diverging towards modern processed foods. As modern diets are largely heat processed, they are more prone to contain high levels of advanced glyc...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of food science and technology 2015-12, Vol.52 (12), p.7561-7576
Hauptverfasser: Sharma, Chetan, Kaur, Amarjeet, Thind, S S, Singh, Baljit, Raina, Shiveta
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 7576
container_issue 12
container_start_page 7561
container_title Journal of food science and technology
container_volume 52
creator Sharma, Chetan
Kaur, Amarjeet
Thind, S S
Singh, Baljit
Raina, Shiveta
description The global food industry is expected to increase more than US $ 7 trillion by 2014. This rise in processed food sector shows that more and more people are diverging towards modern processed foods. As modern diets are largely heat processed, they are more prone to contain high levels of advanced glycation end products (AGEs). AGEs are a group of complex and heterogeneous compounds which are known as brown and fluorescent cross-linking substances such as pentosidine, non-fluorescent cross-linking products such as methylglyoxal-lysine dimers (MOLD), or non-fluorescent, non-cross linking adducts such as carboxymethyllysine (CML) and pyrraline (a pyrrole aldehyde). The chemistry of the AGEs formation, absorption and bioavailability and their patho-biochemistry particularly in relation to different complications like diabetes and ageing discussed. The concept of AGEs receptor – RAGE is mentioned. AGEs contribute to a variety of microvascular and macrovascular complications through the formation of cross-links between molecules in the basement membrane of the extracellular matrix and by engaging the receptor for advanced glycation end products (RAGE). Different methods of detection and quantification along with types of agents used for the treatment of AGEs are reviewed. Generally, ELISA or LC-MS methods are used for analysis of foods and body fluids, however lack of universally established method highlighted. The inhibitory effect of bioactive components on AGEs by trapping variety of chemical moieties discussed. The emerging evidence about the adverse effects of AGEs makes it necessary to investigate the different therapies to inhibit AGEs.
doi_str_mv 10.1007/s13197-015-1851-y
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4648888</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1749598977</sourcerecordid><originalsourceid>FETCH-LOGICAL-c639t-10089430122e560cdf1f5fc7fa7fd554993e5fd6521f86702150a27ca07d3f603</originalsourceid><addsrcrecordid>eNqFkU1rFTEUhoMottT-ADcScFMXafM5mbgQLuVaC4Vu6sJViPkYp8xNrslM4f77nnJrqYL0bBI4z3mT97wIvWf0lFGqzxoTzGhCmSKsV4zsXqFDarQivaT8Ndwp54QxpQ7QcWu3FEpw3XP6Fh3wrqNSCHmIfqzCncs-BjxMO-_msWS8zoFsawmLnxs-WV2s26fP2GUcN7EOYx6wLzBRM06lYgB9bA0EUikBjzksba5jbO_Qm-SmFo8fzyP0_ev65vwbubq-uDxfXRHfCTMT8NIbKSjjPKqO-pBYUsnr5HQKSkljRFQpdIqz1Heacqao49o7qoNIHRVH6Mted7v83MTgY56rm-y2jhtXd7a40f7dyeMvO5Q7KzvZQ4HAyaNALb-X2Ga7GZuP0-RyLEuzHDbHe660fBFlWhpleqM1oB__QW_LUjNsAighwIpRCii2p3wtrdWYnv7NqH2I2e5jthCzfYjZ7mDmw3PDTxN_QgWA74EGrTzE-uzp_6reA3NlshE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1733867955</pqid></control><display><type>article</type><title>Advanced glycation End-products (AGEs): an emerging concern for processed food industries</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Sharma, Chetan ; Kaur, Amarjeet ; Thind, S S ; Singh, Baljit ; Raina, Shiveta</creator><creatorcontrib>Sharma, Chetan ; Kaur, Amarjeet ; Thind, S S ; Singh, Baljit ; Raina, Shiveta</creatorcontrib><description>The global food industry is expected to increase more than US $ 7 trillion by 2014. This rise in processed food sector shows that more and more people are diverging towards modern processed foods. As modern diets are largely heat processed, they are more prone to contain high levels of advanced glycation end products (AGEs). AGEs are a group of complex and heterogeneous compounds which are known as brown and fluorescent cross-linking substances such as pentosidine, non-fluorescent cross-linking products such as methylglyoxal-lysine dimers (MOLD), or non-fluorescent, non-cross linking adducts such as carboxymethyllysine (CML) and pyrraline (a pyrrole aldehyde). The chemistry of the AGEs formation, absorption and bioavailability and their patho-biochemistry particularly in relation to different complications like diabetes and ageing discussed. The concept of AGEs receptor – RAGE is mentioned. AGEs contribute to a variety of microvascular and macrovascular complications through the formation of cross-links between molecules in the basement membrane of the extracellular matrix and by engaging the receptor for advanced glycation end products (RAGE). Different methods of detection and quantification along with types of agents used for the treatment of AGEs are reviewed. Generally, ELISA or LC-MS methods are used for analysis of foods and body fluids, however lack of universally established method highlighted. The inhibitory effect of bioactive components on AGEs by trapping variety of chemical moieties discussed. The emerging evidence about the adverse effects of AGEs makes it necessary to investigate the different therapies to inhibit AGEs.</description><identifier>ISSN: 0022-1155</identifier><identifier>EISSN: 0975-8402</identifier><identifier>DOI: 10.1007/s13197-015-1851-y</identifier><identifier>PMID: 26604334</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>absorption ; advanced glycation end products ; adverse effects ; Age ; aldehydes ; Analysis ; Arthritis ; basement membrane ; bioactive compounds ; Bioavailability ; body fluids ; Cardiovascular system ; Chemistry ; Chemistry and Materials Science ; Chemistry/Food Science ; Chronic illnesses ; crosslinking ; Diabetes ; Diet ; enzyme-linked immunosorbent assay ; extracellular matrix ; fluorescence ; Food ; Food analysis ; food industry ; Food processing industry ; Food Science ; heat ; liquid chromatography ; mass spectrometry ; Nutrition ; Osteoarthritis ; Oxidation ; pentosidine ; people ; Processed foods ; Proteins ; Review ; Studies</subject><ispartof>Journal of food science and technology, 2015-12, Vol.52 (12), p.7561-7576</ispartof><rights>Association of Food Scientists &amp; Technologists (India) 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c639t-10089430122e560cdf1f5fc7fa7fd554993e5fd6521f86702150a27ca07d3f603</citedby><cites>FETCH-LOGICAL-c639t-10089430122e560cdf1f5fc7fa7fd554993e5fd6521f86702150a27ca07d3f603</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/PMC4648888/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648888/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26604334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sharma, Chetan</creatorcontrib><creatorcontrib>Kaur, Amarjeet</creatorcontrib><creatorcontrib>Thind, S S</creatorcontrib><creatorcontrib>Singh, Baljit</creatorcontrib><creatorcontrib>Raina, Shiveta</creatorcontrib><title>Advanced glycation End-products (AGEs): an emerging concern for processed food industries</title><title>Journal of food science and technology</title><addtitle>J Food Sci Technol</addtitle><addtitle>J Food Sci Technol</addtitle><description>The global food industry is expected to increase more than US $ 7 trillion by 2014. This rise in processed food sector shows that more and more people are diverging towards modern processed foods. As modern diets are largely heat processed, they are more prone to contain high levels of advanced glycation end products (AGEs). AGEs are a group of complex and heterogeneous compounds which are known as brown and fluorescent cross-linking substances such as pentosidine, non-fluorescent cross-linking products such as methylglyoxal-lysine dimers (MOLD), or non-fluorescent, non-cross linking adducts such as carboxymethyllysine (CML) and pyrraline (a pyrrole aldehyde). The chemistry of the AGEs formation, absorption and bioavailability and their patho-biochemistry particularly in relation to different complications like diabetes and ageing discussed. The concept of AGEs receptor – RAGE is mentioned. AGEs contribute to a variety of microvascular and macrovascular complications through the formation of cross-links between molecules in the basement membrane of the extracellular matrix and by engaging the receptor for advanced glycation end products (RAGE). Different methods of detection and quantification along with types of agents used for the treatment of AGEs are reviewed. Generally, ELISA or LC-MS methods are used for analysis of foods and body fluids, however lack of universally established method highlighted. The inhibitory effect of bioactive components on AGEs by trapping variety of chemical moieties discussed. The emerging evidence about the adverse effects of AGEs makes it necessary to investigate the different therapies to inhibit AGEs.</description><subject>absorption</subject><subject>advanced glycation end products</subject><subject>adverse effects</subject><subject>Age</subject><subject>aldehydes</subject><subject>Analysis</subject><subject>Arthritis</subject><subject>basement membrane</subject><subject>bioactive compounds</subject><subject>Bioavailability</subject><subject>body fluids</subject><subject>Cardiovascular system</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Chemistry/Food Science</subject><subject>Chronic illnesses</subject><subject>crosslinking</subject><subject>Diabetes</subject><subject>Diet</subject><subject>enzyme-linked immunosorbent assay</subject><subject>extracellular matrix</subject><subject>fluorescence</subject><subject>Food</subject><subject>Food analysis</subject><subject>food industry</subject><subject>Food processing industry</subject><subject>Food Science</subject><subject>heat</subject><subject>liquid chromatography</subject><subject>mass spectrometry</subject><subject>Nutrition</subject><subject>Osteoarthritis</subject><subject>Oxidation</subject><subject>pentosidine</subject><subject>people</subject><subject>Processed foods</subject><subject>Proteins</subject><subject>Review</subject><subject>Studies</subject><issn>0022-1155</issn><issn>0975-8402</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqFkU1rFTEUhoMottT-ADcScFMXafM5mbgQLuVaC4Vu6sJViPkYp8xNrslM4f77nnJrqYL0bBI4z3mT97wIvWf0lFGqzxoTzGhCmSKsV4zsXqFDarQivaT8Ndwp54QxpQ7QcWu3FEpw3XP6Fh3wrqNSCHmIfqzCncs-BjxMO-_msWS8zoFsawmLnxs-WV2s26fP2GUcN7EOYx6wLzBRM06lYgB9bA0EUikBjzksba5jbO_Qm-SmFo8fzyP0_ev65vwbubq-uDxfXRHfCTMT8NIbKSjjPKqO-pBYUsnr5HQKSkljRFQpdIqz1Heacqao49o7qoNIHRVH6Mted7v83MTgY56rm-y2jhtXd7a40f7dyeMvO5Q7KzvZQ4HAyaNALb-X2Ga7GZuP0-RyLEuzHDbHe660fBFlWhpleqM1oB__QW_LUjNsAighwIpRCii2p3wtrdWYnv7NqH2I2e5jthCzfYjZ7mDmw3PDTxN_QgWA74EGrTzE-uzp_6reA3NlshE</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Sharma, Chetan</creator><creator>Kaur, Amarjeet</creator><creator>Thind, S S</creator><creator>Singh, Baljit</creator><creator>Raina, Shiveta</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>04Q</scope><scope>04S</scope><scope>04W</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7QR</scope><scope>7RQ</scope><scope>7ST</scope><scope>7T7</scope><scope>7TM</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X2</scope><scope>7XB</scope><scope>87Z</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FK</scope><scope>8FL</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>F~G</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>L.-</scope><scope>L.0</scope><scope>L6V</scope><scope>M0C</scope><scope>M0K</scope><scope>M7S</scope><scope>P64</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>Q9U</scope><scope>SOI</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20151201</creationdate><title>Advanced glycation End-products (AGEs): an emerging concern for processed food industries</title><author>Sharma, Chetan ; Kaur, Amarjeet ; Thind, S S ; Singh, Baljit ; Raina, Shiveta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c639t-10089430122e560cdf1f5fc7fa7fd554993e5fd6521f86702150a27ca07d3f603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>absorption</topic><topic>advanced glycation end products</topic><topic>adverse effects</topic><topic>Age</topic><topic>aldehydes</topic><topic>Analysis</topic><topic>Arthritis</topic><topic>basement membrane</topic><topic>bioactive compounds</topic><topic>Bioavailability</topic><topic>body fluids</topic><topic>Cardiovascular system</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Chemistry/Food Science</topic><topic>Chronic illnesses</topic><topic>crosslinking</topic><topic>Diabetes</topic><topic>Diet</topic><topic>enzyme-linked immunosorbent assay</topic><topic>extracellular matrix</topic><topic>fluorescence</topic><topic>Food</topic><topic>Food analysis</topic><topic>food industry</topic><topic>Food processing industry</topic><topic>Food Science</topic><topic>heat</topic><topic>liquid chromatography</topic><topic>mass spectrometry</topic><topic>Nutrition</topic><topic>Osteoarthritis</topic><topic>Oxidation</topic><topic>pentosidine</topic><topic>people</topic><topic>Processed foods</topic><topic>Proteins</topic><topic>Review</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sharma, Chetan</creatorcontrib><creatorcontrib>Kaur, Amarjeet</creatorcontrib><creatorcontrib>Thind, S S</creatorcontrib><creatorcontrib>Singh, Baljit</creatorcontrib><creatorcontrib>Raina, Shiveta</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>India Database</collection><collection>India Database: Business</collection><collection>India Database: Science &amp; Technology</collection><collection>Global News &amp; ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Career &amp; Technical Education Database</collection><collection>Environment Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Nucleic Acids Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Business Premium Collection (Alumni)</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ProQuest Engineering Collection</collection><collection>ABI/INFORM Global</collection><collection>Agricultural Science Database</collection><collection>Engineering Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>ProQuest Central Basic</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of food science and technology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sharma, Chetan</au><au>Kaur, Amarjeet</au><au>Thind, S S</au><au>Singh, Baljit</au><au>Raina, Shiveta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced glycation End-products (AGEs): an emerging concern for processed food industries</atitle><jtitle>Journal of food science and technology</jtitle><stitle>J Food Sci Technol</stitle><addtitle>J Food Sci Technol</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>52</volume><issue>12</issue><spage>7561</spage><epage>7576</epage><pages>7561-7576</pages><issn>0022-1155</issn><eissn>0975-8402</eissn><abstract>The global food industry is expected to increase more than US $ 7 trillion by 2014. This rise in processed food sector shows that more and more people are diverging towards modern processed foods. As modern diets are largely heat processed, they are more prone to contain high levels of advanced glycation end products (AGEs). AGEs are a group of complex and heterogeneous compounds which are known as brown and fluorescent cross-linking substances such as pentosidine, non-fluorescent cross-linking products such as methylglyoxal-lysine dimers (MOLD), or non-fluorescent, non-cross linking adducts such as carboxymethyllysine (CML) and pyrraline (a pyrrole aldehyde). The chemistry of the AGEs formation, absorption and bioavailability and their patho-biochemistry particularly in relation to different complications like diabetes and ageing discussed. The concept of AGEs receptor – RAGE is mentioned. AGEs contribute to a variety of microvascular and macrovascular complications through the formation of cross-links between molecules in the basement membrane of the extracellular matrix and by engaging the receptor for advanced glycation end products (RAGE). Different methods of detection and quantification along with types of agents used for the treatment of AGEs are reviewed. Generally, ELISA or LC-MS methods are used for analysis of foods and body fluids, however lack of universally established method highlighted. The inhibitory effect of bioactive components on AGEs by trapping variety of chemical moieties discussed. The emerging evidence about the adverse effects of AGEs makes it necessary to investigate the different therapies to inhibit AGEs.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>26604334</pmid><doi>10.1007/s13197-015-1851-y</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0022-1155
ispartof Journal of food science and technology, 2015-12, Vol.52 (12), p.7561-7576
issn 0022-1155
0975-8402
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4648888
source EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings
subjects absorption
advanced glycation end products
adverse effects
Age
aldehydes
Analysis
Arthritis
basement membrane
bioactive compounds
Bioavailability
body fluids
Cardiovascular system
Chemistry
Chemistry and Materials Science
Chemistry/Food Science
Chronic illnesses
crosslinking
Diabetes
Diet
enzyme-linked immunosorbent assay
extracellular matrix
fluorescence
Food
Food analysis
food industry
Food processing industry
Food Science
heat
liquid chromatography
mass spectrometry
Nutrition
Osteoarthritis
Oxidation
pentosidine
people
Processed foods
Proteins
Review
Studies
title Advanced glycation End-products (AGEs): an emerging concern for processed food industries
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T19%3A50%3A37IST&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=Advanced%20glycation%20End-products%20(AGEs):%20an%20emerging%20concern%20for%20processed%20food%20industries&rft.jtitle=Journal%20of%20food%20science%20and%20technology&rft.au=Sharma,%20Chetan&rft.date=2015-12-01&rft.volume=52&rft.issue=12&rft.spage=7561&rft.epage=7576&rft.pages=7561-7576&rft.issn=0022-1155&rft.eissn=0975-8402&rft_id=info:doi/10.1007/s13197-015-1851-y&rft_dat=%3Cproquest_pubme%3E1749598977%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=1733867955&rft_id=info:pmid/26604334&rfr_iscdi=true