Structure and Metal Binding Properties of Chlamydia trachomatis YtgA

The obligate intracellular pathogen is a globally significant cause of sexually transmitted bacterial infections and the leading etiological agent of preventable blindness. The first-row transition metal iron (Fe) plays critical roles in chlamydial cell biology, and acquisition of this nutrient is e...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of bacteriology 2019-12, Vol.202 (1), p.1
Hauptverfasser: Luo, Zhenyao, Neville, Stephanie L, Campbell, Rebecca, Morey, Jacqueline R, Menon, Shruti, Thomas, Mark, Eijkelkamp, Bart A, Ween, Miranda P, Huston, Wilhelmina M, Kobe, Bostjan, McDevitt, Christopher A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 1
container_start_page 1
container_title Journal of bacteriology
container_volume 202
creator Luo, Zhenyao
Neville, Stephanie L
Campbell, Rebecca
Morey, Jacqueline R
Menon, Shruti
Thomas, Mark
Eijkelkamp, Bart A
Ween, Miranda P
Huston, Wilhelmina M
Kobe, Bostjan
McDevitt, Christopher A
description The obligate intracellular pathogen is a globally significant cause of sexually transmitted bacterial infections and the leading etiological agent of preventable blindness. The first-row transition metal iron (Fe) plays critical roles in chlamydial cell biology, and acquisition of this nutrient is essential for the survival and virulence of the pathogen. Nevertheless, how acquires Fe from host cells is not well understood, since it lacks genes encoding known siderophore biosynthetic pathways, receptors for host Fe storage proteins, and the Fe acquisition machinery common to many bacteria. Recent studies have suggested that directly acquires host Fe via the ATP-binding cassette permease YtgABCD. Here, we characterized YtgA, the periplasmic solute binding protein component of the transport pathway, which has been implicated in scavenging Fe(III) ions. The structure of Fe(III)-bound YtgA was determined at 2.0-Å resolution with the bound ion coordinated via a novel geometry (3 Ns, 2 Os [3N2O]). This unusual coordination suggested a highly plastic metal binding site in YtgA capable of interacting with other cations. Biochemical analyses showed that the metal binding site of YtgA was not restricted to interaction with only Fe(III) ions but could bind all transition metal ions examined. However, only Mn(II), Fe(II), and Ni(II) ions bound reversibly to YtgA, with Fe being the most abundant cellular transition metal in Collectively, these findings show that YtgA is the metal-recruiting component of the YtgABCD permease and is most likely involved in the acquisition of Fe(II) and Mn(II) from host cells. is the most common bacterial sexually transmitted infection in developed countries, with an estimated global prevalence of 4.2% in the 15- to 49-year age group. Although infection is asymptomatic in more than 80% of infected women, about 10% of cases result in serious disease. Infection by is dependent on the ability to acquire essential nutrients, such as the transition metal iron, from host cells. In this study, we show that iron is the most abundant transition metal in and report the structural and biochemical properties of the iron-recruiting protein YtgA. Knowledge of the high-resolution structure of YtgA will provide a platform for future structure-based antimicrobial design approaches.
doi_str_mv 10.1128/JB.00580-19
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6932233</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2305801549</sourcerecordid><originalsourceid>FETCH-LOGICAL-c451t-8b5994c6719f89ee5725076dfd78cabefac6be5a903fcf72ce150615487cf3063</originalsourceid><addsrcrecordid>eNpdkctLxDAQxoMouj5O3qXgRZDqJGna5iK465sVBfXgKWTTZDfSNmuSCvvf2_WFeprD_Oabb75BaBfDEcakPL4ZHgGwElLMV9AAAy9TxiisogEAwSnHnG6gzRBeAHCWMbKONijOl6PlAJ09RN-p2HmdyLZKbnWUdTK0bWXbaXLv3Vz7aHVInElGs1o2i8rKJHqpZq6R0YbkOU5Pt9GakXXQO191Cz1dnD-OrtLx3eX16HScqozhmJYTxnmm8gJzU3KtWUEYFHllqqJUcqKNVPlEM8mBGmUKojRmkGOWlYUyFHK6hU4-defdpNGV0m3vpBZzbxvpF8JJK_52WjsTU_cmck4JobQXOPgS8O610yGKxgal61q22nVBELoMst_Ie3T_H_riOt_25_UUzQiwjEFPHX5SyrsQvDY_ZjCIZcTiZig-viPwUnPvt_8f9vsd9B1QPInj</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2334205450</pqid></control><display><type>article</type><title>Structure and Metal Binding Properties of Chlamydia trachomatis YtgA</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Luo, Zhenyao ; Neville, Stephanie L ; Campbell, Rebecca ; Morey, Jacqueline R ; Menon, Shruti ; Thomas, Mark ; Eijkelkamp, Bart A ; Ween, Miranda P ; Huston, Wilhelmina M ; Kobe, Bostjan ; McDevitt, Christopher A</creator><creatorcontrib>Luo, Zhenyao ; Neville, Stephanie L ; Campbell, Rebecca ; Morey, Jacqueline R ; Menon, Shruti ; Thomas, Mark ; Eijkelkamp, Bart A ; Ween, Miranda P ; Huston, Wilhelmina M ; Kobe, Bostjan ; McDevitt, Christopher A</creatorcontrib><description>The obligate intracellular pathogen is a globally significant cause of sexually transmitted bacterial infections and the leading etiological agent of preventable blindness. The first-row transition metal iron (Fe) plays critical roles in chlamydial cell biology, and acquisition of this nutrient is essential for the survival and virulence of the pathogen. Nevertheless, how acquires Fe from host cells is not well understood, since it lacks genes encoding known siderophore biosynthetic pathways, receptors for host Fe storage proteins, and the Fe acquisition machinery common to many bacteria. Recent studies have suggested that directly acquires host Fe via the ATP-binding cassette permease YtgABCD. Here, we characterized YtgA, the periplasmic solute binding protein component of the transport pathway, which has been implicated in scavenging Fe(III) ions. The structure of Fe(III)-bound YtgA was determined at 2.0-Å resolution with the bound ion coordinated via a novel geometry (3 Ns, 2 Os [3N2O]). This unusual coordination suggested a highly plastic metal binding site in YtgA capable of interacting with other cations. Biochemical analyses showed that the metal binding site of YtgA was not restricted to interaction with only Fe(III) ions but could bind all transition metal ions examined. However, only Mn(II), Fe(II), and Ni(II) ions bound reversibly to YtgA, with Fe being the most abundant cellular transition metal in Collectively, these findings show that YtgA is the metal-recruiting component of the YtgABCD permease and is most likely involved in the acquisition of Fe(II) and Mn(II) from host cells. is the most common bacterial sexually transmitted infection in developed countries, with an estimated global prevalence of 4.2% in the 15- to 49-year age group. Although infection is asymptomatic in more than 80% of infected women, about 10% of cases result in serious disease. Infection by is dependent on the ability to acquire essential nutrients, such as the transition metal iron, from host cells. In this study, we show that iron is the most abundant transition metal in and report the structural and biochemical properties of the iron-recruiting protein YtgA. Knowledge of the high-resolution structure of YtgA will provide a platform for future structure-based antimicrobial design approaches.</description><identifier>ISSN: 0021-9193</identifier><identifier>EISSN: 1098-5530</identifier><identifier>DOI: 10.1128/JB.00580-19</identifier><identifier>PMID: 31611288</identifier><language>eng</language><publisher>United States: American Society for Microbiology</publisher><subject>Bacteria ; Bacterial diseases ; Bacteriology ; Binding sites ; Blindness ; Cations ; Chlamydia ; Chlamydia trachomatis ; Etiology ; Iron ; Manganese ; Metal ions ; Metals ; Nickel ; Pathogens ; Permease ; Protein transport ; Proteins ; Receptors ; Scavenging ; Sexually transmitted diseases ; STD ; Storage proteins ; Transition metals ; Virulence</subject><ispartof>Journal of bacteriology, 2019-12, Vol.202 (1), p.1</ispartof><rights>Copyright © 2019 American Society for Microbiology.</rights><rights>Copyright American Society for Microbiology Dec 2019</rights><rights>Copyright © 2019 American Society for Microbiology. 2019 American Society for Microbiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-8b5994c6719f89ee5725076dfd78cabefac6be5a903fcf72ce150615487cf3063</citedby><cites>FETCH-LOGICAL-c451t-8b5994c6719f89ee5725076dfd78cabefac6be5a903fcf72ce150615487cf3063</cites><orcidid>0000-0001-9413-9166 ; 0000-0003-0179-8977 ; 0000-0002-0879-1287 ; 0000-0003-1596-4841 ; 0000-0002-7298-9335</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/PMC6932233/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6932233/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31611288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Zhenyao</creatorcontrib><creatorcontrib>Neville, Stephanie L</creatorcontrib><creatorcontrib>Campbell, Rebecca</creatorcontrib><creatorcontrib>Morey, Jacqueline R</creatorcontrib><creatorcontrib>Menon, Shruti</creatorcontrib><creatorcontrib>Thomas, Mark</creatorcontrib><creatorcontrib>Eijkelkamp, Bart A</creatorcontrib><creatorcontrib>Ween, Miranda P</creatorcontrib><creatorcontrib>Huston, Wilhelmina M</creatorcontrib><creatorcontrib>Kobe, Bostjan</creatorcontrib><creatorcontrib>McDevitt, Christopher A</creatorcontrib><title>Structure and Metal Binding Properties of Chlamydia trachomatis YtgA</title><title>Journal of bacteriology</title><addtitle>J Bacteriol</addtitle><description>The obligate intracellular pathogen is a globally significant cause of sexually transmitted bacterial infections and the leading etiological agent of preventable blindness. The first-row transition metal iron (Fe) plays critical roles in chlamydial cell biology, and acquisition of this nutrient is essential for the survival and virulence of the pathogen. Nevertheless, how acquires Fe from host cells is not well understood, since it lacks genes encoding known siderophore biosynthetic pathways, receptors for host Fe storage proteins, and the Fe acquisition machinery common to many bacteria. Recent studies have suggested that directly acquires host Fe via the ATP-binding cassette permease YtgABCD. Here, we characterized YtgA, the periplasmic solute binding protein component of the transport pathway, which has been implicated in scavenging Fe(III) ions. The structure of Fe(III)-bound YtgA was determined at 2.0-Å resolution with the bound ion coordinated via a novel geometry (3 Ns, 2 Os [3N2O]). This unusual coordination suggested a highly plastic metal binding site in YtgA capable of interacting with other cations. Biochemical analyses showed that the metal binding site of YtgA was not restricted to interaction with only Fe(III) ions but could bind all transition metal ions examined. However, only Mn(II), Fe(II), and Ni(II) ions bound reversibly to YtgA, with Fe being the most abundant cellular transition metal in Collectively, these findings show that YtgA is the metal-recruiting component of the YtgABCD permease and is most likely involved in the acquisition of Fe(II) and Mn(II) from host cells. is the most common bacterial sexually transmitted infection in developed countries, with an estimated global prevalence of 4.2% in the 15- to 49-year age group. Although infection is asymptomatic in more than 80% of infected women, about 10% of cases result in serious disease. Infection by is dependent on the ability to acquire essential nutrients, such as the transition metal iron, from host cells. In this study, we show that iron is the most abundant transition metal in and report the structural and biochemical properties of the iron-recruiting protein YtgA. Knowledge of the high-resolution structure of YtgA will provide a platform for future structure-based antimicrobial design approaches.</description><subject>Bacteria</subject><subject>Bacterial diseases</subject><subject>Bacteriology</subject><subject>Binding sites</subject><subject>Blindness</subject><subject>Cations</subject><subject>Chlamydia</subject><subject>Chlamydia trachomatis</subject><subject>Etiology</subject><subject>Iron</subject><subject>Manganese</subject><subject>Metal ions</subject><subject>Metals</subject><subject>Nickel</subject><subject>Pathogens</subject><subject>Permease</subject><subject>Protein transport</subject><subject>Proteins</subject><subject>Receptors</subject><subject>Scavenging</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Storage proteins</subject><subject>Transition metals</subject><subject>Virulence</subject><issn>0021-9193</issn><issn>1098-5530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpdkctLxDAQxoMouj5O3qXgRZDqJGna5iK465sVBfXgKWTTZDfSNmuSCvvf2_WFeprD_Oabb75BaBfDEcakPL4ZHgGwElLMV9AAAy9TxiisogEAwSnHnG6gzRBeAHCWMbKONijOl6PlAJ09RN-p2HmdyLZKbnWUdTK0bWXbaXLv3Vz7aHVInElGs1o2i8rKJHqpZq6R0YbkOU5Pt9GakXXQO191Cz1dnD-OrtLx3eX16HScqozhmJYTxnmm8gJzU3KtWUEYFHllqqJUcqKNVPlEM8mBGmUKojRmkGOWlYUyFHK6hU4-defdpNGV0m3vpBZzbxvpF8JJK_52WjsTU_cmck4JobQXOPgS8O610yGKxgal61q22nVBELoMst_Ie3T_H_riOt_25_UUzQiwjEFPHX5SyrsQvDY_ZjCIZcTiZig-viPwUnPvt_8f9vsd9B1QPInj</recordid><startdate>20191206</startdate><enddate>20191206</enddate><creator>Luo, Zhenyao</creator><creator>Neville, Stephanie L</creator><creator>Campbell, Rebecca</creator><creator>Morey, Jacqueline R</creator><creator>Menon, Shruti</creator><creator>Thomas, Mark</creator><creator>Eijkelkamp, Bart A</creator><creator>Ween, Miranda P</creator><creator>Huston, Wilhelmina M</creator><creator>Kobe, Bostjan</creator><creator>McDevitt, Christopher A</creator><general>American Society for Microbiology</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7TM</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9413-9166</orcidid><orcidid>https://orcid.org/0000-0003-0179-8977</orcidid><orcidid>https://orcid.org/0000-0002-0879-1287</orcidid><orcidid>https://orcid.org/0000-0003-1596-4841</orcidid><orcidid>https://orcid.org/0000-0002-7298-9335</orcidid></search><sort><creationdate>20191206</creationdate><title>Structure and Metal Binding Properties of Chlamydia trachomatis YtgA</title><author>Luo, Zhenyao ; Neville, Stephanie L ; Campbell, Rebecca ; Morey, Jacqueline R ; Menon, Shruti ; Thomas, Mark ; Eijkelkamp, Bart A ; Ween, Miranda P ; Huston, Wilhelmina M ; Kobe, Bostjan ; McDevitt, Christopher A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-8b5994c6719f89ee5725076dfd78cabefac6be5a903fcf72ce150615487cf3063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bacteria</topic><topic>Bacterial diseases</topic><topic>Bacteriology</topic><topic>Binding sites</topic><topic>Blindness</topic><topic>Cations</topic><topic>Chlamydia</topic><topic>Chlamydia trachomatis</topic><topic>Etiology</topic><topic>Iron</topic><topic>Manganese</topic><topic>Metal ions</topic><topic>Metals</topic><topic>Nickel</topic><topic>Pathogens</topic><topic>Permease</topic><topic>Protein transport</topic><topic>Proteins</topic><topic>Receptors</topic><topic>Scavenging</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Storage proteins</topic><topic>Transition metals</topic><topic>Virulence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luo, Zhenyao</creatorcontrib><creatorcontrib>Neville, Stephanie L</creatorcontrib><creatorcontrib>Campbell, Rebecca</creatorcontrib><creatorcontrib>Morey, Jacqueline R</creatorcontrib><creatorcontrib>Menon, Shruti</creatorcontrib><creatorcontrib>Thomas, Mark</creatorcontrib><creatorcontrib>Eijkelkamp, Bart A</creatorcontrib><creatorcontrib>Ween, Miranda P</creatorcontrib><creatorcontrib>Huston, Wilhelmina M</creatorcontrib><creatorcontrib>Kobe, Bostjan</creatorcontrib><creatorcontrib>McDevitt, Christopher A</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nucleic Acids 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>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of bacteriology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Zhenyao</au><au>Neville, Stephanie L</au><au>Campbell, Rebecca</au><au>Morey, Jacqueline R</au><au>Menon, Shruti</au><au>Thomas, Mark</au><au>Eijkelkamp, Bart A</au><au>Ween, Miranda P</au><au>Huston, Wilhelmina M</au><au>Kobe, Bostjan</au><au>McDevitt, Christopher A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structure and Metal Binding Properties of Chlamydia trachomatis YtgA</atitle><jtitle>Journal of bacteriology</jtitle><addtitle>J Bacteriol</addtitle><date>2019-12-06</date><risdate>2019</risdate><volume>202</volume><issue>1</issue><spage>1</spage><pages>1-</pages><issn>0021-9193</issn><eissn>1098-5530</eissn><abstract>The obligate intracellular pathogen is a globally significant cause of sexually transmitted bacterial infections and the leading etiological agent of preventable blindness. The first-row transition metal iron (Fe) plays critical roles in chlamydial cell biology, and acquisition of this nutrient is essential for the survival and virulence of the pathogen. Nevertheless, how acquires Fe from host cells is not well understood, since it lacks genes encoding known siderophore biosynthetic pathways, receptors for host Fe storage proteins, and the Fe acquisition machinery common to many bacteria. Recent studies have suggested that directly acquires host Fe via the ATP-binding cassette permease YtgABCD. Here, we characterized YtgA, the periplasmic solute binding protein component of the transport pathway, which has been implicated in scavenging Fe(III) ions. The structure of Fe(III)-bound YtgA was determined at 2.0-Å resolution with the bound ion coordinated via a novel geometry (3 Ns, 2 Os [3N2O]). This unusual coordination suggested a highly plastic metal binding site in YtgA capable of interacting with other cations. Biochemical analyses showed that the metal binding site of YtgA was not restricted to interaction with only Fe(III) ions but could bind all transition metal ions examined. However, only Mn(II), Fe(II), and Ni(II) ions bound reversibly to YtgA, with Fe being the most abundant cellular transition metal in Collectively, these findings show that YtgA is the metal-recruiting component of the YtgABCD permease and is most likely involved in the acquisition of Fe(II) and Mn(II) from host cells. is the most common bacterial sexually transmitted infection in developed countries, with an estimated global prevalence of 4.2% in the 15- to 49-year age group. Although infection is asymptomatic in more than 80% of infected women, about 10% of cases result in serious disease. Infection by is dependent on the ability to acquire essential nutrients, such as the transition metal iron, from host cells. In this study, we show that iron is the most abundant transition metal in and report the structural and biochemical properties of the iron-recruiting protein YtgA. Knowledge of the high-resolution structure of YtgA will provide a platform for future structure-based antimicrobial design approaches.</abstract><cop>United States</cop><pub>American Society for Microbiology</pub><pmid>31611288</pmid><doi>10.1128/JB.00580-19</doi><orcidid>https://orcid.org/0000-0001-9413-9166</orcidid><orcidid>https://orcid.org/0000-0003-0179-8977</orcidid><orcidid>https://orcid.org/0000-0002-0879-1287</orcidid><orcidid>https://orcid.org/0000-0003-1596-4841</orcidid><orcidid>https://orcid.org/0000-0002-7298-9335</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0021-9193
ispartof Journal of bacteriology, 2019-12, Vol.202 (1), p.1
issn 0021-9193
1098-5530
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6932233
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Bacteria
Bacterial diseases
Bacteriology
Binding sites
Blindness
Cations
Chlamydia
Chlamydia trachomatis
Etiology
Iron
Manganese
Metal ions
Metals
Nickel
Pathogens
Permease
Protein transport
Proteins
Receptors
Scavenging
Sexually transmitted diseases
STD
Storage proteins
Transition metals
Virulence
title Structure and Metal Binding Properties of Chlamydia trachomatis YtgA
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T19%3A52%3A19IST&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=Structure%20and%20Metal%20Binding%20Properties%20of%20Chlamydia%20trachomatis%20YtgA&rft.jtitle=Journal%20of%20bacteriology&rft.au=Luo,%20Zhenyao&rft.date=2019-12-06&rft.volume=202&rft.issue=1&rft.spage=1&rft.pages=1-&rft.issn=0021-9193&rft.eissn=1098-5530&rft_id=info:doi/10.1128/JB.00580-19&rft_dat=%3Cproquest_pubme%3E2305801549%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=2334205450&rft_id=info:pmid/31611288&rfr_iscdi=true