The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory

We have identified a member of the growth arrest and DNA damage (Gadd45) protein family, Gadd45γ, which is known to be critically involved in DNA repair, as a key player in the regulation of immediate early gene (IEG) expression underlying the consolidation of associative fear memory in adult male C...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Journal of neuroscience 2019-02, Vol.39 (6), p.970-983
Hauptverfasser: Li, Xiang, Marshall, Paul R, Leighton, Laura J, Zajaczkowski, Esmi L, Wang, Ziqi, Madugalle, Sachithrani U, Yin, Jiayu, Bredy, Timothy W, Wei, Wei
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 983
container_issue 6
container_start_page 970
container_title The Journal of neuroscience
container_volume 39
creator Li, Xiang
Marshall, Paul R
Leighton, Laura J
Zajaczkowski, Esmi L
Wang, Ziqi
Madugalle, Sachithrani U
Yin, Jiayu
Bredy, Timothy W
Wei, Wei
description We have identified a member of the growth arrest and DNA damage (Gadd45) protein family, Gadd45γ, which is known to be critically involved in DNA repair, as a key player in the regulation of immediate early gene (IEG) expression underlying the consolidation of associative fear memory in adult male C57BL/6 mice. Gadd45γ temporally influences learning-induced IEG expression in the prelimbic prefrontal cortex (PLPFC) through its interaction with DNA double-strand break (DSB)-mediated changes in DNA methylation. Our findings suggest a two-hit model of experience-dependent IEG activity and learning that comprises (1) a first wave of IEG expression governed by DSBs and followed by a rapid increase in DNA methylation, and (2) a second wave of IEG expression associated with the recruitment of Gadd45γ and active DNA demethylation at the same site, which is necessary for memory consolidation. How does the pattern of immediate early gene transcription in the brain relate to the storage and accession of information, and what controls these patterns? This paper explores how Gadd45γ, a gene that is known to be involved with DNA modification and repair, regulates the temporal coding of IEGs underlying associative learning and memory. We reveal that, during fear learning, Gadd45γ serves to act as a coordinator of IEG expression and subsequent memory consolidation by directing temporally specific changes in active DNA demethylation at the promoter of plasticity-related IEGs.
doi_str_mv 10.1523/JNEUROSCI.2024-18.2018
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6363930</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2157670259</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-72a1d44766c563ec3bea03f77e36ee8a5467d1df0adca1c7f128b3e18c882c673</originalsourceid><addsrcrecordid>eNpdUstu2zAQFIoWjZv2FwICvfSilC-R8qWA4TqOizQJUudM0NTKZiCRDiml8Xf1P3LpD5XKw2h72gV2ZnZ2MVl2RPAxKSj7_O18dn118WO6OKaY8pyUqZLyVTZK03FOOSavsxGmEueCS36QvYvxBmMsMZFvswOGC16MeTHKfi83gL6eT9AVbLUN-SRGb6zuoEKXwXdgHZrrquLFw68EWfdNGkXUJdIS2q0PukFTX1m3Rr5Gi7aFaiCjmQ7NDs3BpfZ-GyBG6x36abtNEhzYlwEa266sGbo6eNc9KoUO7pF2FVrEtO62tyEZqX145Ey9i76xle4GsbTvxay9A3QCOqDv0Pqwe5-9qXUT4cNzPcyuT2bL6Wl-djFfTCdnueGcdrmkmlScSyFMIRgYtgKNWS0lMAFQ6oILWZGqxroymhhZE1quGJDSlCU1QrLD7MuT7rZfpcMNuC79Q22DbXXYKa-t-nfi7Eat_Z0STLAxw0ng07NA8Lc9xE61NhpoGu3A91FRUkghMS3GCfrxP-iN74NL5yWULAtBxpQmlHhCmeBjTI_dmyFYDblR-9yoITeKlGrITSIe_X3KnvYSFPYH4CvEig</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2178561922</pqid></control><display><type>article</type><title>The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Li, Xiang ; Marshall, Paul R ; Leighton, Laura J ; Zajaczkowski, Esmi L ; Wang, Ziqi ; Madugalle, Sachithrani U ; Yin, Jiayu ; Bredy, Timothy W ; Wei, Wei</creator><creatorcontrib>Li, Xiang ; Marshall, Paul R ; Leighton, Laura J ; Zajaczkowski, Esmi L ; Wang, Ziqi ; Madugalle, Sachithrani U ; Yin, Jiayu ; Bredy, Timothy W ; Wei, Wei</creatorcontrib><description>We have identified a member of the growth arrest and DNA damage (Gadd45) protein family, Gadd45γ, which is known to be critically involved in DNA repair, as a key player in the regulation of immediate early gene (IEG) expression underlying the consolidation of associative fear memory in adult male C57BL/6 mice. Gadd45γ temporally influences learning-induced IEG expression in the prelimbic prefrontal cortex (PLPFC) through its interaction with DNA double-strand break (DSB)-mediated changes in DNA methylation. Our findings suggest a two-hit model of experience-dependent IEG activity and learning that comprises (1) a first wave of IEG expression governed by DSBs and followed by a rapid increase in DNA methylation, and (2) a second wave of IEG expression associated with the recruitment of Gadd45γ and active DNA demethylation at the same site, which is necessary for memory consolidation. How does the pattern of immediate early gene transcription in the brain relate to the storage and accession of information, and what controls these patterns? This paper explores how Gadd45γ, a gene that is known to be involved with DNA modification and repair, regulates the temporal coding of IEGs underlying associative learning and memory. We reveal that, during fear learning, Gadd45γ serves to act as a coordinator of IEG expression and subsequent memory consolidation by directing temporally specific changes in active DNA demethylation at the promoter of plasticity-related IEGs.</description><identifier>ISSN: 0270-6474</identifier><identifier>EISSN: 1529-2401</identifier><identifier>DOI: 10.1523/JNEUROSCI.2024-18.2018</identifier><identifier>PMID: 30545945</identifier><language>eng</language><publisher>United States: Society for Neuroscience</publisher><subject>Animals ; Associative memory ; Consolidation ; Cortex (temporal) ; Cues ; Demethylation ; Deoxyribonucleic acid ; DNA ; DNA Breaks, Double-Stranded ; DNA damage ; DNA Methylation ; DNA repair ; DNA Repair - genetics ; Double-strand break repair ; Epigenesis, Genetic ; Fear ; Fear - physiology ; GADD45 protein ; Gene expression ; Genes, Immediate-Early - genetics ; Information processing ; Intracellular Signaling Peptides and Proteins - genetics ; Intracellular Signaling Peptides and Proteins - physiology ; Learning ; Limbic System - physiology ; Male ; Memory - physiology ; Memory Consolidation - physiology ; Mental Recall - physiology ; Mice ; Mice, Inbred C57BL ; Prefrontal cortex ; Prefrontal Cortex - physiology ; Proteins ; Psychomotor Performance - physiology ; Repair ; Temporal variations</subject><ispartof>The Journal of neuroscience, 2019-02, Vol.39 (6), p.970-983</ispartof><rights>Copyright © 2019 the authors 0270-6474/19/390970-14$15.00/0.</rights><rights>Copyright Society for Neuroscience Feb 6, 2019</rights><rights>Copyright © 2019 the authors 0270-6474/19/390970-14$15.00/0 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-72a1d44766c563ec3bea03f77e36ee8a5467d1df0adca1c7f128b3e18c882c673</citedby><cites>FETCH-LOGICAL-c442t-72a1d44766c563ec3bea03f77e36ee8a5467d1df0adca1c7f128b3e18c882c673</cites><orcidid>0000-0003-3280-126X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363930/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363930/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30545945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Xiang</creatorcontrib><creatorcontrib>Marshall, Paul R</creatorcontrib><creatorcontrib>Leighton, Laura J</creatorcontrib><creatorcontrib>Zajaczkowski, Esmi L</creatorcontrib><creatorcontrib>Wang, Ziqi</creatorcontrib><creatorcontrib>Madugalle, Sachithrani U</creatorcontrib><creatorcontrib>Yin, Jiayu</creatorcontrib><creatorcontrib>Bredy, Timothy W</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><title>The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory</title><title>The Journal of neuroscience</title><addtitle>J Neurosci</addtitle><description>We have identified a member of the growth arrest and DNA damage (Gadd45) protein family, Gadd45γ, which is known to be critically involved in DNA repair, as a key player in the regulation of immediate early gene (IEG) expression underlying the consolidation of associative fear memory in adult male C57BL/6 mice. Gadd45γ temporally influences learning-induced IEG expression in the prelimbic prefrontal cortex (PLPFC) through its interaction with DNA double-strand break (DSB)-mediated changes in DNA methylation. Our findings suggest a two-hit model of experience-dependent IEG activity and learning that comprises (1) a first wave of IEG expression governed by DSBs and followed by a rapid increase in DNA methylation, and (2) a second wave of IEG expression associated with the recruitment of Gadd45γ and active DNA demethylation at the same site, which is necessary for memory consolidation. How does the pattern of immediate early gene transcription in the brain relate to the storage and accession of information, and what controls these patterns? This paper explores how Gadd45γ, a gene that is known to be involved with DNA modification and repair, regulates the temporal coding of IEGs underlying associative learning and memory. We reveal that, during fear learning, Gadd45γ serves to act as a coordinator of IEG expression and subsequent memory consolidation by directing temporally specific changes in active DNA demethylation at the promoter of plasticity-related IEGs.</description><subject>Animals</subject><subject>Associative memory</subject><subject>Consolidation</subject><subject>Cortex (temporal)</subject><subject>Cues</subject><subject>Demethylation</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA Breaks, Double-Stranded</subject><subject>DNA damage</subject><subject>DNA Methylation</subject><subject>DNA repair</subject><subject>DNA Repair - genetics</subject><subject>Double-strand break repair</subject><subject>Epigenesis, Genetic</subject><subject>Fear</subject><subject>Fear - physiology</subject><subject>GADD45 protein</subject><subject>Gene expression</subject><subject>Genes, Immediate-Early - genetics</subject><subject>Information processing</subject><subject>Intracellular Signaling Peptides and Proteins - genetics</subject><subject>Intracellular Signaling Peptides and Proteins - physiology</subject><subject>Learning</subject><subject>Limbic System - physiology</subject><subject>Male</subject><subject>Memory - physiology</subject><subject>Memory Consolidation - physiology</subject><subject>Mental Recall - physiology</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Prefrontal cortex</subject><subject>Prefrontal Cortex - physiology</subject><subject>Proteins</subject><subject>Psychomotor Performance - physiology</subject><subject>Repair</subject><subject>Temporal variations</subject><issn>0270-6474</issn><issn>1529-2401</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUstu2zAQFIoWjZv2FwICvfSilC-R8qWA4TqOizQJUudM0NTKZiCRDiml8Xf1P3LpD5XKw2h72gV2ZnZ2MVl2RPAxKSj7_O18dn118WO6OKaY8pyUqZLyVTZK03FOOSavsxGmEueCS36QvYvxBmMsMZFvswOGC16MeTHKfi83gL6eT9AVbLUN-SRGb6zuoEKXwXdgHZrrquLFw68EWfdNGkXUJdIS2q0PukFTX1m3Rr5Gi7aFaiCjmQ7NDs3BpfZ-GyBG6x36abtNEhzYlwEa266sGbo6eNc9KoUO7pF2FVrEtO62tyEZqX145Ey9i76xle4GsbTvxay9A3QCOqDv0Pqwe5-9qXUT4cNzPcyuT2bL6Wl-djFfTCdnueGcdrmkmlScSyFMIRgYtgKNWS0lMAFQ6oILWZGqxroymhhZE1quGJDSlCU1QrLD7MuT7rZfpcMNuC79Q22DbXXYKa-t-nfi7Eat_Z0STLAxw0ng07NA8Lc9xE61NhpoGu3A91FRUkghMS3GCfrxP-iN74NL5yWULAtBxpQmlHhCmeBjTI_dmyFYDblR-9yoITeKlGrITSIe_X3KnvYSFPYH4CvEig</recordid><startdate>20190206</startdate><enddate>20190206</enddate><creator>Li, Xiang</creator><creator>Marshall, Paul R</creator><creator>Leighton, Laura J</creator><creator>Zajaczkowski, Esmi L</creator><creator>Wang, Ziqi</creator><creator>Madugalle, Sachithrani U</creator><creator>Yin, Jiayu</creator><creator>Bredy, Timothy W</creator><creator>Wei, Wei</creator><general>Society for Neuroscience</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>7QG</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3280-126X</orcidid></search><sort><creationdate>20190206</creationdate><title>The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory</title><author>Li, Xiang ; Marshall, Paul R ; Leighton, Laura J ; Zajaczkowski, Esmi L ; Wang, Ziqi ; Madugalle, Sachithrani U ; Yin, Jiayu ; Bredy, Timothy W ; Wei, Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-72a1d44766c563ec3bea03f77e36ee8a5467d1df0adca1c7f128b3e18c882c673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Associative memory</topic><topic>Consolidation</topic><topic>Cortex (temporal)</topic><topic>Cues</topic><topic>Demethylation</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA Breaks, Double-Stranded</topic><topic>DNA damage</topic><topic>DNA Methylation</topic><topic>DNA repair</topic><topic>DNA Repair - genetics</topic><topic>Double-strand break repair</topic><topic>Epigenesis, Genetic</topic><topic>Fear</topic><topic>Fear - physiology</topic><topic>GADD45 protein</topic><topic>Gene expression</topic><topic>Genes, Immediate-Early - genetics</topic><topic>Information processing</topic><topic>Intracellular Signaling Peptides and Proteins - genetics</topic><topic>Intracellular Signaling Peptides and Proteins - physiology</topic><topic>Learning</topic><topic>Limbic System - physiology</topic><topic>Male</topic><topic>Memory - physiology</topic><topic>Memory Consolidation - physiology</topic><topic>Mental Recall - physiology</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Prefrontal cortex</topic><topic>Prefrontal Cortex - physiology</topic><topic>Proteins</topic><topic>Psychomotor Performance - physiology</topic><topic>Repair</topic><topic>Temporal variations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Xiang</creatorcontrib><creatorcontrib>Marshall, Paul R</creatorcontrib><creatorcontrib>Leighton, Laura J</creatorcontrib><creatorcontrib>Zajaczkowski, Esmi L</creatorcontrib><creatorcontrib>Wang, Ziqi</creatorcontrib><creatorcontrib>Madugalle, Sachithrani U</creatorcontrib><creatorcontrib>Yin, Jiayu</creatorcontrib><creatorcontrib>Bredy, Timothy W</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology 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>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Xiang</au><au>Marshall, Paul R</au><au>Leighton, Laura J</au><au>Zajaczkowski, Esmi L</au><au>Wang, Ziqi</au><au>Madugalle, Sachithrani U</au><au>Yin, Jiayu</au><au>Bredy, Timothy W</au><au>Wei, Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory</atitle><jtitle>The Journal of neuroscience</jtitle><addtitle>J Neurosci</addtitle><date>2019-02-06</date><risdate>2019</risdate><volume>39</volume><issue>6</issue><spage>970</spage><epage>983</epage><pages>970-983</pages><issn>0270-6474</issn><eissn>1529-2401</eissn><abstract>We have identified a member of the growth arrest and DNA damage (Gadd45) protein family, Gadd45γ, which is known to be critically involved in DNA repair, as a key player in the regulation of immediate early gene (IEG) expression underlying the consolidation of associative fear memory in adult male C57BL/6 mice. Gadd45γ temporally influences learning-induced IEG expression in the prelimbic prefrontal cortex (PLPFC) through its interaction with DNA double-strand break (DSB)-mediated changes in DNA methylation. Our findings suggest a two-hit model of experience-dependent IEG activity and learning that comprises (1) a first wave of IEG expression governed by DSBs and followed by a rapid increase in DNA methylation, and (2) a second wave of IEG expression associated with the recruitment of Gadd45γ and active DNA demethylation at the same site, which is necessary for memory consolidation. How does the pattern of immediate early gene transcription in the brain relate to the storage and accession of information, and what controls these patterns? This paper explores how Gadd45γ, a gene that is known to be involved with DNA modification and repair, regulates the temporal coding of IEGs underlying associative learning and memory. We reveal that, during fear learning, Gadd45γ serves to act as a coordinator of IEG expression and subsequent memory consolidation by directing temporally specific changes in active DNA demethylation at the promoter of plasticity-related IEGs.</abstract><cop>United States</cop><pub>Society for Neuroscience</pub><pmid>30545945</pmid><doi>10.1523/JNEUROSCI.2024-18.2018</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-3280-126X</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0270-6474
ispartof The Journal of neuroscience, 2019-02, Vol.39 (6), p.970-983
issn 0270-6474
1529-2401
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6363930
source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Animals
Associative memory
Consolidation
Cortex (temporal)
Cues
Demethylation
Deoxyribonucleic acid
DNA
DNA Breaks, Double-Stranded
DNA damage
DNA Methylation
DNA repair
DNA Repair - genetics
Double-strand break repair
Epigenesis, Genetic
Fear
Fear - physiology
GADD45 protein
Gene expression
Genes, Immediate-Early - genetics
Information processing
Intracellular Signaling Peptides and Proteins - genetics
Intracellular Signaling Peptides and Proteins - physiology
Learning
Limbic System - physiology
Male
Memory - physiology
Memory Consolidation - physiology
Mental Recall - physiology
Mice
Mice, Inbred C57BL
Prefrontal cortex
Prefrontal Cortex - physiology
Proteins
Psychomotor Performance - physiology
Repair
Temporal variations
title The DNA Repair-Associated Protein Gadd45γ Regulates the Temporal Coding of Immediate Early Gene Expression within the Prelimbic Prefrontal Cortex and Is Required for the Consolidation of Associative Fear Memory
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T14%3A46%3A01IST&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=The%20DNA%20Repair-Associated%20Protein%20Gadd45%CE%B3%20Regulates%20the%20Temporal%20Coding%20of%20Immediate%20Early%20Gene%20Expression%20within%20the%20Prelimbic%20Prefrontal%20Cortex%20and%20Is%20Required%20for%20the%20Consolidation%20of%20Associative%20Fear%20Memory&rft.jtitle=The%20Journal%20of%20neuroscience&rft.au=Li,%20Xiang&rft.date=2019-02-06&rft.volume=39&rft.issue=6&rft.spage=970&rft.epage=983&rft.pages=970-983&rft.issn=0270-6474&rft.eissn=1529-2401&rft_id=info:doi/10.1523/JNEUROSCI.2024-18.2018&rft_dat=%3Cproquest_pubme%3E2157670259%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=2178561922&rft_id=info:pmid/30545945&rfr_iscdi=true