Beneficial Effects of Crocin against Depression via Pituitary Adenylate Cyclase-Activating Polypeptide
Depression is one of the foremost psychological illness, and the exact mechanism is unclear. Recent studies have reported that the pituitary adenylate cyclase-activating polypeptide (PACAP) signaling pathway is involved in the progression of depression. In the present study, we extracted crocin from...
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description | Depression is one of the foremost psychological illness, and the exact mechanism is unclear. Recent studies have reported that the pituitary adenylate cyclase-activating polypeptide (PACAP) signaling pathway is involved in the progression of depression. In the present study, we extracted crocin from the traditional Chinese medicine (TCM), Gardenia jasminoides Ellis, to evaluate its antidepressant effect and clarify the underlying mechanism. Here, we established a chronic unpredictable mild stress (CUMS) mouse model to assess whether crocin can improve depression-like behavior in an open field test (OFT), tail suspension test (TST), forced swimming test (FST), and sucrose preference test (SPT). A corticosterone (CORT) model of PC12 was set up to explore the antidepressant mechanism of crocin. We pretreated PC12 cells with crocin for 1 hour and then stimulated the cells with CORT for 24 hours. Cell survival was detected by Hoechst staining and MTT assay. The expression of PACAP, cyclic adenosine monophosphate (cAMP) response element binding protein (CREB), and extracellular regulated protein kinases (ERK) were analyzed by western blotting. PACAP RNAi was used to interfere with PC12 cells to downregulate the content of PACAP. The results showed that crocin (30 mg/kg) significantly reversed the decrease of body weight and elevation of serum CORT, mitigated CUMS induced depression-like behaviors of mice, and crocin (12.5 μmol/L) protected PC12 cells against CORT (200 μmol/L)-induced injury. Furthermore, crocin greatly increased the protein expression of PACAP and phosphorylation of ERK and CREB in the CORT model. PACAP RNAi cancelled the neuroprotective effect of crocin. In conclusion, these results indicated that crocin exerted an antidepressant effect via upregulating PACAP and its downstream ERK and CREB signaling pathways. |
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Recent studies have reported that the pituitary adenylate cyclase-activating polypeptide (PACAP) signaling pathway is involved in the progression of depression. In the present study, we extracted crocin from the traditional Chinese medicine (TCM), Gardenia jasminoides Ellis, to evaluate its antidepressant effect and clarify the underlying mechanism. Here, we established a chronic unpredictable mild stress (CUMS) mouse model to assess whether crocin can improve depression-like behavior in an open field test (OFT), tail suspension test (TST), forced swimming test (FST), and sucrose preference test (SPT). A corticosterone (CORT) model of PC12 was set up to explore the antidepressant mechanism of crocin. We pretreated PC12 cells with crocin for 1 hour and then stimulated the cells with CORT for 24 hours. Cell survival was detected by Hoechst staining and MTT assay. The expression of PACAP, cyclic adenosine monophosphate (cAMP) response element binding protein (CREB), and extracellular regulated protein kinases (ERK) were analyzed by western blotting. PACAP RNAi was used to interfere with PC12 cells to downregulate the content of PACAP. The results showed that crocin (30 mg/kg) significantly reversed the decrease of body weight and elevation of serum CORT, mitigated CUMS induced depression-like behaviors of mice, and crocin (12.5 μmol/L) protected PC12 cells against CORT (200 μmol/L)-induced injury. Furthermore, crocin greatly increased the protein expression of PACAP and phosphorylation of ERK and CREB in the CORT model. PACAP RNAi cancelled the neuroprotective effect of crocin. In conclusion, these results indicated that crocin exerted an antidepressant effect via upregulating PACAP and its downstream ERK and CREB signaling pathways.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/3903125</identifier><identifier>PMID: 32685478</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adenosine monophosphate ; AMP ; Animals ; Antidepressants ; Behavior ; Behavior, Animal - drug effects ; Body weight ; Body Weight - drug effects ; Care and treatment ; Carotenoids - chemistry ; Carotenoids - therapeutic use ; Cell survival ; Chinese medicine ; Chronic Disease ; Corticosterone ; Corticosterone - blood ; Cyclic AMP response element-binding protein ; Cyclic AMP Response Element-Binding Protein - metabolism ; Depression - drug therapy ; Depression - metabolism ; Depression, Mental ; Extracellular signal-regulated kinase ; Extracellular Signal-Regulated MAP Kinases - metabolism ; Field tests ; Health aspects ; Herbal medicine ; Kinases ; Laboratory animals ; Male ; Medicine, Chinese ; Mental depression ; Mice, Inbred BALB C ; Models, Biological ; Neuroprotection ; Neuroprotective Agents - metabolism ; Open-field behavior ; Patient outcomes ; PC12 Cells ; Pheochromocytoma cells ; Phosphorylation ; Phosphorylation - drug effects ; Pituitary adenylate cyclase-activating polypeptide ; Pituitary Adenylate Cyclase-Activating Polypeptide - metabolism ; Polypeptides ; Proteins ; Rats ; RNA-mediated interference ; Signal transduction ; Signaling ; Stress, Psychological - complications ; Sucrose ; Sugar ; Traditional Chinese medicine ; Western blotting</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-10</ispartof><rights>Copyright © 2020 Linyu Lu et al.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>Copyright © 2020 Linyu Lu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Linyu Lu et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-df7b033864c4d454cf2b9c985fb6a1ccad98eea2209e5c381a393b500af4118b3</citedby><cites>FETCH-LOGICAL-c499t-df7b033864c4d454cf2b9c985fb6a1ccad98eea2209e5c381a393b500af4118b3</cites><orcidid>0000-0002-8536-8095 ; 0000-0003-0520-8444 ; 0000-0002-1397-8687 ; 0000-0002-3507-1218 ; 0000-0001-7204-4422</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/PMC7334775/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334775/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4022,27922,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32685478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Martorana, Alessandro</contributor><contributor>Alessandro Martorana</contributor><creatorcontrib>Tang, Juanjuan</creatorcontrib><creatorcontrib>Wang, Kai</creatorcontrib><creatorcontrib>Wu, Die</creatorcontrib><creatorcontrib>Lu, Linyu</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><title>Beneficial Effects of Crocin against Depression via Pituitary Adenylate Cyclase-Activating Polypeptide</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Depression is one of the foremost psychological illness, and the exact mechanism is unclear. Recent studies have reported that the pituitary adenylate cyclase-activating polypeptide (PACAP) signaling pathway is involved in the progression of depression. In the present study, we extracted crocin from the traditional Chinese medicine (TCM), Gardenia jasminoides Ellis, to evaluate its antidepressant effect and clarify the underlying mechanism. Here, we established a chronic unpredictable mild stress (CUMS) mouse model to assess whether crocin can improve depression-like behavior in an open field test (OFT), tail suspension test (TST), forced swimming test (FST), and sucrose preference test (SPT). A corticosterone (CORT) model of PC12 was set up to explore the antidepressant mechanism of crocin. We pretreated PC12 cells with crocin for 1 hour and then stimulated the cells with CORT for 24 hours. Cell survival was detected by Hoechst staining and MTT assay. The expression of PACAP, cyclic adenosine monophosphate (cAMP) response element binding protein (CREB), and extracellular regulated protein kinases (ERK) were analyzed by western blotting. PACAP RNAi was used to interfere with PC12 cells to downregulate the content of PACAP. The results showed that crocin (30 mg/kg) significantly reversed the decrease of body weight and elevation of serum CORT, mitigated CUMS induced depression-like behaviors of mice, and crocin (12.5 μmol/L) protected PC12 cells against CORT (200 μmol/L)-induced injury. Furthermore, crocin greatly increased the protein expression of PACAP and phosphorylation of ERK and CREB in the CORT model. PACAP RNAi cancelled the neuroprotective effect of crocin. In conclusion, these results indicated that crocin exerted an antidepressant effect via upregulating PACAP and its downstream ERK and CREB signaling pathways.</description><subject>Adenosine monophosphate</subject><subject>AMP</subject><subject>Animals</subject><subject>Antidepressants</subject><subject>Behavior</subject><subject>Behavior, Animal - drug effects</subject><subject>Body weight</subject><subject>Body Weight - drug effects</subject><subject>Care and treatment</subject><subject>Carotenoids - chemistry</subject><subject>Carotenoids - therapeutic use</subject><subject>Cell survival</subject><subject>Chinese medicine</subject><subject>Chronic Disease</subject><subject>Corticosterone</subject><subject>Corticosterone - blood</subject><subject>Cyclic AMP response element-binding protein</subject><subject>Cyclic AMP Response Element-Binding Protein - metabolism</subject><subject>Depression - drug therapy</subject><subject>Depression - metabolism</subject><subject>Depression, Mental</subject><subject>Extracellular signal-regulated kinase</subject><subject>Extracellular Signal-Regulated MAP Kinases - metabolism</subject><subject>Field tests</subject><subject>Health aspects</subject><subject>Herbal medicine</subject><subject>Kinases</subject><subject>Laboratory animals</subject><subject>Male</subject><subject>Medicine, Chinese</subject><subject>Mental depression</subject><subject>Mice, Inbred BALB C</subject><subject>Models, Biological</subject><subject>Neuroprotection</subject><subject>Neuroprotective Agents - metabolism</subject><subject>Open-field behavior</subject><subject>Patient outcomes</subject><subject>PC12 Cells</subject><subject>Pheochromocytoma cells</subject><subject>Phosphorylation</subject><subject>Phosphorylation - drug effects</subject><subject>Pituitary adenylate cyclase-activating polypeptide</subject><subject>Pituitary Adenylate Cyclase-Activating Polypeptide - metabolism</subject><subject>Polypeptides</subject><subject>Proteins</subject><subject>Rats</subject><subject>RNA-mediated interference</subject><subject>Signal transduction</subject><subject>Signaling</subject><subject>Stress, Psychological - complications</subject><subject>Sucrose</subject><subject>Sugar</subject><subject>Traditional Chinese medicine</subject><subject>Western blotting</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0s1rFDEYBvBBFFtqb54l4EWwY_M5k1yE7Vo_oGAPeg6ZzJttymyyTjIr-9-b6a5b9WQuCeTHk4QnVfWS4HeECHFJMcWXTGFGqHhSnVJGeN0QTp4e14ydVOcp3eMyJGmwap5XJ4w2UvBWnlbuCgI4b70Z0LVzYHNC0aHlGK0PyKyMDymjD7AZISUfA9p6g259nnw24w4tegi7wWRAy50dTIJ6YbPfmuzDCt3GYbeBTfY9vKieOTMkOD_MZ9X3j9fflp_rm6-fviwXN7XlSuW6d22HGZMNt7zngltHO2WVFK5rDLHW9EoCGEqxAmGZJIYp1gmMjeOEyI6dVe_3uZupW0NvIeTRDHoz-nW5ro7G6793gr_Tq7jVLWO8bUUJeHMIGOOPCVLWa58sDIMJEKekKadCKM4f6Ot_6H2cxlCeNyuMW9IQ_KhWZgDtg4vlXDuH6kXDlJRzL0Vd7JUdY0ojuOOVCdZz03puWh-aLvzVn8884t-9FvB2D-586M1P_59xUAw486jL9xGMsl9brLoZ</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Tang, Juanjuan</creator><creator>Wang, Kai</creator><creator>Wu, Die</creator><creator>Lu, Linyu</creator><creator>Chen, Gang</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><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>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8536-8095</orcidid><orcidid>https://orcid.org/0000-0003-0520-8444</orcidid><orcidid>https://orcid.org/0000-0002-1397-8687</orcidid><orcidid>https://orcid.org/0000-0002-3507-1218</orcidid><orcidid>https://orcid.org/0000-0001-7204-4422</orcidid></search><sort><creationdate>2020</creationdate><title>Beneficial Effects of Crocin against Depression via Pituitary Adenylate Cyclase-Activating Polypeptide</title><author>Tang, Juanjuan ; Wang, Kai ; Wu, Die ; Lu, Linyu ; Chen, Gang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-df7b033864c4d454cf2b9c985fb6a1ccad98eea2209e5c381a393b500af4118b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenosine monophosphate</topic><topic>AMP</topic><topic>Animals</topic><topic>Antidepressants</topic><topic>Behavior</topic><topic>Behavior, Animal - drug effects</topic><topic>Body weight</topic><topic>Body Weight - drug effects</topic><topic>Care and treatment</topic><topic>Carotenoids - chemistry</topic><topic>Carotenoids - therapeutic use</topic><topic>Cell survival</topic><topic>Chinese medicine</topic><topic>Chronic Disease</topic><topic>Corticosterone</topic><topic>Corticosterone - blood</topic><topic>Cyclic AMP response element-binding protein</topic><topic>Cyclic AMP Response Element-Binding Protein - metabolism</topic><topic>Depression - drug therapy</topic><topic>Depression - metabolism</topic><topic>Depression, Mental</topic><topic>Extracellular signal-regulated kinase</topic><topic>Extracellular Signal-Regulated MAP Kinases - metabolism</topic><topic>Field tests</topic><topic>Health aspects</topic><topic>Herbal medicine</topic><topic>Kinases</topic><topic>Laboratory animals</topic><topic>Male</topic><topic>Medicine, Chinese</topic><topic>Mental depression</topic><topic>Mice, Inbred BALB C</topic><topic>Models, Biological</topic><topic>Neuroprotection</topic><topic>Neuroprotective Agents - metabolism</topic><topic>Open-field behavior</topic><topic>Patient outcomes</topic><topic>PC12 Cells</topic><topic>Pheochromocytoma cells</topic><topic>Phosphorylation</topic><topic>Phosphorylation - drug effects</topic><topic>Pituitary adenylate cyclase-activating polypeptide</topic><topic>Pituitary Adenylate Cyclase-Activating Polypeptide - metabolism</topic><topic>Polypeptides</topic><topic>Proteins</topic><topic>Rats</topic><topic>RNA-mediated interference</topic><topic>Signal transduction</topic><topic>Signaling</topic><topic>Stress, Psychological - complications</topic><topic>Sucrose</topic><topic>Sugar</topic><topic>Traditional Chinese medicine</topic><topic>Western blotting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tang, Juanjuan</creatorcontrib><creatorcontrib>Wang, Kai</creatorcontrib><creatorcontrib>Wu, Die</creatorcontrib><creatorcontrib>Lu, Linyu</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Juanjuan</au><au>Wang, Kai</au><au>Wu, Die</au><au>Lu, Linyu</au><au>Chen, Gang</au><au>Martorana, Alessandro</au><au>Alessandro Martorana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Beneficial Effects of Crocin against Depression via Pituitary Adenylate Cyclase-Activating Polypeptide</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Depression is one of the foremost psychological illness, and the exact mechanism is unclear. Recent studies have reported that the pituitary adenylate cyclase-activating polypeptide (PACAP) signaling pathway is involved in the progression of depression. In the present study, we extracted crocin from the traditional Chinese medicine (TCM), Gardenia jasminoides Ellis, to evaluate its antidepressant effect and clarify the underlying mechanism. Here, we established a chronic unpredictable mild stress (CUMS) mouse model to assess whether crocin can improve depression-like behavior in an open field test (OFT), tail suspension test (TST), forced swimming test (FST), and sucrose preference test (SPT). A corticosterone (CORT) model of PC12 was set up to explore the antidepressant mechanism of crocin. We pretreated PC12 cells with crocin for 1 hour and then stimulated the cells with CORT for 24 hours. Cell survival was detected by Hoechst staining and MTT assay. The expression of PACAP, cyclic adenosine monophosphate (cAMP) response element binding protein (CREB), and extracellular regulated protein kinases (ERK) were analyzed by western blotting. PACAP RNAi was used to interfere with PC12 cells to downregulate the content of PACAP. The results showed that crocin (30 mg/kg) significantly reversed the decrease of body weight and elevation of serum CORT, mitigated CUMS induced depression-like behaviors of mice, and crocin (12.5 μmol/L) protected PC12 cells against CORT (200 μmol/L)-induced injury. Furthermore, crocin greatly increased the protein expression of PACAP and phosphorylation of ERK and CREB in the CORT model. PACAP RNAi cancelled the neuroprotective effect of crocin. In conclusion, these results indicated that crocin exerted an antidepressant effect via upregulating PACAP and its downstream ERK and CREB signaling pathways.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32685478</pmid><doi>10.1155/2020/3903125</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8536-8095</orcidid><orcidid>https://orcid.org/0000-0003-0520-8444</orcidid><orcidid>https://orcid.org/0000-0002-1397-8687</orcidid><orcidid>https://orcid.org/0000-0002-3507-1218</orcidid><orcidid>https://orcid.org/0000-0001-7204-4422</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adenosine monophosphate AMP Animals Antidepressants Behavior Behavior, Animal - drug effects Body weight Body Weight - drug effects Care and treatment Carotenoids - chemistry Carotenoids - therapeutic use Cell survival Chinese medicine Chronic Disease Corticosterone Corticosterone - blood Cyclic AMP response element-binding protein Cyclic AMP Response Element-Binding Protein - metabolism Depression - drug therapy Depression - metabolism Depression, Mental Extracellular signal-regulated kinase Extracellular Signal-Regulated MAP Kinases - metabolism Field tests Health aspects Herbal medicine Kinases Laboratory animals Male Medicine, Chinese Mental depression Mice, Inbred BALB C Models, Biological Neuroprotection Neuroprotective Agents - metabolism Open-field behavior Patient outcomes PC12 Cells Pheochromocytoma cells Phosphorylation Phosphorylation - drug effects Pituitary adenylate cyclase-activating polypeptide Pituitary Adenylate Cyclase-Activating Polypeptide - metabolism Polypeptides Proteins Rats RNA-mediated interference Signal transduction Signaling Stress, Psychological - complications Sucrose Sugar Traditional Chinese medicine Western blotting |
title | Beneficial Effects of Crocin against Depression via Pituitary Adenylate Cyclase-Activating Polypeptide |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T10%3A20%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Beneficial%20Effects%20of%20Crocin%20against%20Depression%20via%20Pituitary%20Adenylate%20Cyclase-Activating%20Polypeptide&rft.jtitle=BioMed%20research%20international&rft.au=Tang,%20Juanjuan&rft.date=2020&rft.volume=2020&rft.issue=2020&rft.spage=1&rft.epage=10&rft.pages=1-10&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2020/3903125&rft_dat=%3Cgale_pubme%3EA639880008%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2420071610&rft_id=info:pmid/32685478&rft_galeid=A639880008&rfr_iscdi=true |