Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon

Genetic introgression of escaped farmed Atlantic salmon ( Salmo salar ) into wild populations is a major environmental concern for the salmon aquaculture industry. Using sterile fish in commercial aquaculture operations is, therefore, a sustainable strategy for bio-containment. So far, the only comm...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Scientific reports 2020-10, Vol.10 (1), p.18042-18042, Article 18042
Hauptverfasser: Güralp, Hilal, Skaftnesmo, Kai O., Kjærner-Semb, Erik, Straume, Anne Hege, Kleppe, Lene, Schulz, Rüdiger W., Edvardsen, Rolf B., Wargelius, Anna
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 18042
container_issue 1
container_start_page 18042
container_title Scientific reports
container_volume 10
creator Güralp, Hilal
Skaftnesmo, Kai O.
Kjærner-Semb, Erik
Straume, Anne Hege
Kleppe, Lene
Schulz, Rüdiger W.
Edvardsen, Rolf B.
Wargelius, Anna
description Genetic introgression of escaped farmed Atlantic salmon ( Salmo salar ) into wild populations is a major environmental concern for the salmon aquaculture industry. Using sterile fish in commercial aquaculture operations is, therefore, a sustainable strategy for bio-containment. So far, the only commercially used methodology for producing sterile fish is triploidization. However, triploid fish are less robust. A novel approach in which to achieve sterility is to produce germ cell-free salmon, which can be accomplished by knocking out the dead-end ( dnd ) gene using CRISPR-Cas9. The lack of germ cells in the resulting dnd crispants, thus, prevents reproduction and inhibits subsequent large-scale production of sterile fish. Here, we report a rescue approach for producing germ cells in Atlantic salmon dnd crispants. To achieve this, we co-injected the wild-type (wt) variant of salmon dnd mRNA together with CRISPR-Cas9 constructs targeting dnd into 1-cell stage embryos. We found that rescued one-year-old fish contained germ cells, type A spermatogonia in males and previtellogenic primary oocytes in females. The method presented here opens a possibility for large-scale production of germ-cell free Atlantic salmon offspring through the genetically sterile broodstock which can pass the sterility trait on the next generation.
doi_str_mv 10.1038/s41598-020-74876-2
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7581530</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2454102810</sourcerecordid><originalsourceid>FETCH-LOGICAL-c605t-27b887c8b8c67ca952c0950326f8d73b57d88ba98b92beb0d71c79dc2c1dd7e13</originalsourceid><addsrcrecordid>eNp9kU1rFTEUhgdRbKn9Ay4k4MbNaHIymSQboRRbhYIg7Trk6_amzCRjkhHuvze3t9bqotnkwHnPez6erntL8EeCqfhUBsKk6DHgng-Cjz286I4BD6wHCvDySXzUnZZyh9tjIAciX3dHlGJJBy6Pu_rDF7t6lDbo1ucZWT9NBYWIXHTI5lAWHSvys8m7VFBafCyobj1aUinBhCnUHaoJLTm51fpWuPU5VO9QqS24Tzezszo1m2BR0dOc4pvu1UZPxZ8-_CfdzcWX6_Ov_dX3y2_nZ1e9HTGrPXAjBLfCCDtyqyUDiyXDFMaNcJwaxp0QRkthJBhvsOPEcuksWOIc94SedJ8PvstqZu-sjzXrSS05zDrvVNJB_ZuJYatu0y_FmSCM4mbw4cEgp5-rL1XNoexPpKNPa1EwsIFgEGQvff-f9C6tObb1FLSZGTDCxmdVAycMGpWhqeCgsrmdOfvN48gEqz19daCvGn11T19BK3r3dNnHkj-sm4AeBKWlYqP9t_cztr8Boam8Cw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2471523474</pqid></control><display><type>article</type><title>Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon</title><source>MEDLINE</source><source>Nature Free</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>Free Full-Text Journals in Chemistry</source><source>Springer Nature OA Free Journals</source><creator>Güralp, Hilal ; Skaftnesmo, Kai O. ; Kjærner-Semb, Erik ; Straume, Anne Hege ; Kleppe, Lene ; Schulz, Rüdiger W. ; Edvardsen, Rolf B. ; Wargelius, Anna</creator><creatorcontrib>Güralp, Hilal ; Skaftnesmo, Kai O. ; Kjærner-Semb, Erik ; Straume, Anne Hege ; Kleppe, Lene ; Schulz, Rüdiger W. ; Edvardsen, Rolf B. ; Wargelius, Anna</creatorcontrib><description>Genetic introgression of escaped farmed Atlantic salmon ( Salmo salar ) into wild populations is a major environmental concern for the salmon aquaculture industry. Using sterile fish in commercial aquaculture operations is, therefore, a sustainable strategy for bio-containment. So far, the only commercially used methodology for producing sterile fish is triploidization. However, triploid fish are less robust. A novel approach in which to achieve sterility is to produce germ cell-free salmon, which can be accomplished by knocking out the dead-end ( dnd ) gene using CRISPR-Cas9. The lack of germ cells in the resulting dnd crispants, thus, prevents reproduction and inhibits subsequent large-scale production of sterile fish. Here, we report a rescue approach for producing germ cells in Atlantic salmon dnd crispants. To achieve this, we co-injected the wild-type (wt) variant of salmon dnd mRNA together with CRISPR-Cas9 constructs targeting dnd into 1-cell stage embryos. We found that rescued one-year-old fish contained germ cells, type A spermatogonia in males and previtellogenic primary oocytes in females. The method presented here opens a possibility for large-scale production of germ-cell free Atlantic salmon offspring through the genetically sterile broodstock which can pass the sterility trait on the next generation.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-74876-2</identifier><identifier>PMID: 33093479</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/208 ; 631/337 ; 631/61 ; 631/80 ; Animals ; Aquaculture ; CRISPR ; CRISPR-Cas Systems ; Embryos ; Environmental perception ; Female ; Fish ; Fisheries ; Genetic Introgression - genetics ; Germ Cells ; Humanities and Social Sciences ; Infertility - genetics ; Male ; mRNA ; multidisciplinary ; Offspring ; Oocytes ; Quantitative Trait, Heritable ; RNA-Binding Proteins - genetics ; Salmo salar ; Salmo salar - embryology ; Salmo salar - genetics ; Salmon ; Science ; Science (multidisciplinary) ; Spermatogonia ; Sterility ; Triploidy</subject><ispartof>Scientific reports, 2020-10, Vol.10 (1), p.18042-18042, Article 18042</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c605t-27b887c8b8c67ca952c0950326f8d73b57d88ba98b92beb0d71c79dc2c1dd7e13</citedby><cites>FETCH-LOGICAL-c605t-27b887c8b8c67ca952c0950326f8d73b57d88ba98b92beb0d71c79dc2c1dd7e13</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/PMC7581530/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7581530/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33093479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Güralp, Hilal</creatorcontrib><creatorcontrib>Skaftnesmo, Kai O.</creatorcontrib><creatorcontrib>Kjærner-Semb, Erik</creatorcontrib><creatorcontrib>Straume, Anne Hege</creatorcontrib><creatorcontrib>Kleppe, Lene</creatorcontrib><creatorcontrib>Schulz, Rüdiger W.</creatorcontrib><creatorcontrib>Edvardsen, Rolf B.</creatorcontrib><creatorcontrib>Wargelius, Anna</creatorcontrib><title>Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Genetic introgression of escaped farmed Atlantic salmon ( Salmo salar ) into wild populations is a major environmental concern for the salmon aquaculture industry. Using sterile fish in commercial aquaculture operations is, therefore, a sustainable strategy for bio-containment. So far, the only commercially used methodology for producing sterile fish is triploidization. However, triploid fish are less robust. A novel approach in which to achieve sterility is to produce germ cell-free salmon, which can be accomplished by knocking out the dead-end ( dnd ) gene using CRISPR-Cas9. The lack of germ cells in the resulting dnd crispants, thus, prevents reproduction and inhibits subsequent large-scale production of sterile fish. Here, we report a rescue approach for producing germ cells in Atlantic salmon dnd crispants. To achieve this, we co-injected the wild-type (wt) variant of salmon dnd mRNA together with CRISPR-Cas9 constructs targeting dnd into 1-cell stage embryos. We found that rescued one-year-old fish contained germ cells, type A spermatogonia in males and previtellogenic primary oocytes in females. The method presented here opens a possibility for large-scale production of germ-cell free Atlantic salmon offspring through the genetically sterile broodstock which can pass the sterility trait on the next generation.</description><subject>631/208</subject><subject>631/337</subject><subject>631/61</subject><subject>631/80</subject><subject>Animals</subject><subject>Aquaculture</subject><subject>CRISPR</subject><subject>CRISPR-Cas Systems</subject><subject>Embryos</subject><subject>Environmental perception</subject><subject>Female</subject><subject>Fish</subject><subject>Fisheries</subject><subject>Genetic Introgression - genetics</subject><subject>Germ Cells</subject><subject>Humanities and Social Sciences</subject><subject>Infertility - genetics</subject><subject>Male</subject><subject>mRNA</subject><subject>multidisciplinary</subject><subject>Offspring</subject><subject>Oocytes</subject><subject>Quantitative Trait, Heritable</subject><subject>RNA-Binding Proteins - genetics</subject><subject>Salmo salar</subject><subject>Salmo salar - embryology</subject><subject>Salmo salar - genetics</subject><subject>Salmon</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Spermatogonia</subject><subject>Sterility</subject><subject>Triploidy</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1rFTEUhgdRbKn9Ay4k4MbNaHIymSQboRRbhYIg7Trk6_amzCRjkhHuvze3t9bqotnkwHnPez6erntL8EeCqfhUBsKk6DHgng-Cjz286I4BD6wHCvDySXzUnZZyh9tjIAciX3dHlGJJBy6Pu_rDF7t6lDbo1ucZWT9NBYWIXHTI5lAWHSvys8m7VFBafCyobj1aUinBhCnUHaoJLTm51fpWuPU5VO9QqS24Tzezszo1m2BR0dOc4pvu1UZPxZ8-_CfdzcWX6_Ov_dX3y2_nZ1e9HTGrPXAjBLfCCDtyqyUDiyXDFMaNcJwaxp0QRkthJBhvsOPEcuksWOIc94SedJ8PvstqZu-sjzXrSS05zDrvVNJB_ZuJYatu0y_FmSCM4mbw4cEgp5-rL1XNoexPpKNPa1EwsIFgEGQvff-f9C6tObb1FLSZGTDCxmdVAycMGpWhqeCgsrmdOfvN48gEqz19daCvGn11T19BK3r3dNnHkj-sm4AeBKWlYqP9t_cztr8Boam8Cw</recordid><startdate>20201022</startdate><enddate>20201022</enddate><creator>Güralp, Hilal</creator><creator>Skaftnesmo, Kai O.</creator><creator>Kjærner-Semb, Erik</creator><creator>Straume, Anne Hege</creator><creator>Kleppe, Lene</creator><creator>Schulz, Rüdiger W.</creator><creator>Edvardsen, Rolf B.</creator><creator>Wargelius, Anna</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</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>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201022</creationdate><title>Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon</title><author>Güralp, Hilal ; Skaftnesmo, Kai O. ; Kjærner-Semb, Erik ; Straume, Anne Hege ; Kleppe, Lene ; Schulz, Rüdiger W. ; Edvardsen, Rolf B. ; Wargelius, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c605t-27b887c8b8c67ca952c0950326f8d73b57d88ba98b92beb0d71c79dc2c1dd7e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>631/208</topic><topic>631/337</topic><topic>631/61</topic><topic>631/80</topic><topic>Animals</topic><topic>Aquaculture</topic><topic>CRISPR</topic><topic>CRISPR-Cas Systems</topic><topic>Embryos</topic><topic>Environmental perception</topic><topic>Female</topic><topic>Fish</topic><topic>Fisheries</topic><topic>Genetic Introgression - genetics</topic><topic>Germ Cells</topic><topic>Humanities and Social Sciences</topic><topic>Infertility - genetics</topic><topic>Male</topic><topic>mRNA</topic><topic>multidisciplinary</topic><topic>Offspring</topic><topic>Oocytes</topic><topic>Quantitative Trait, Heritable</topic><topic>RNA-Binding Proteins - genetics</topic><topic>Salmo salar</topic><topic>Salmo salar - embryology</topic><topic>Salmo salar - genetics</topic><topic>Salmon</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Spermatogonia</topic><topic>Sterility</topic><topic>Triploidy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Güralp, Hilal</creatorcontrib><creatorcontrib>Skaftnesmo, Kai O.</creatorcontrib><creatorcontrib>Kjærner-Semb, Erik</creatorcontrib><creatorcontrib>Straume, Anne Hege</creatorcontrib><creatorcontrib>Kleppe, Lene</creatorcontrib><creatorcontrib>Schulz, Rüdiger W.</creatorcontrib><creatorcontrib>Edvardsen, Rolf B.</creatorcontrib><creatorcontrib>Wargelius, Anna</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Güralp, Hilal</au><au>Skaftnesmo, Kai O.</au><au>Kjærner-Semb, Erik</au><au>Straume, Anne Hege</au><au>Kleppe, Lene</au><au>Schulz, Rüdiger W.</au><au>Edvardsen, Rolf B.</au><au>Wargelius, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-10-22</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>18042</spage><epage>18042</epage><pages>18042-18042</pages><artnum>18042</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Genetic introgression of escaped farmed Atlantic salmon ( Salmo salar ) into wild populations is a major environmental concern for the salmon aquaculture industry. Using sterile fish in commercial aquaculture operations is, therefore, a sustainable strategy for bio-containment. So far, the only commercially used methodology for producing sterile fish is triploidization. However, triploid fish are less robust. A novel approach in which to achieve sterility is to produce germ cell-free salmon, which can be accomplished by knocking out the dead-end ( dnd ) gene using CRISPR-Cas9. The lack of germ cells in the resulting dnd crispants, thus, prevents reproduction and inhibits subsequent large-scale production of sterile fish. Here, we report a rescue approach for producing germ cells in Atlantic salmon dnd crispants. To achieve this, we co-injected the wild-type (wt) variant of salmon dnd mRNA together with CRISPR-Cas9 constructs targeting dnd into 1-cell stage embryos. We found that rescued one-year-old fish contained germ cells, type A spermatogonia in males and previtellogenic primary oocytes in females. The method presented here opens a possibility for large-scale production of germ-cell free Atlantic salmon offspring through the genetically sterile broodstock which can pass the sterility trait on the next generation.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33093479</pmid><doi>10.1038/s41598-020-74876-2</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2045-2322
ispartof Scientific reports, 2020-10, Vol.10 (1), p.18042-18042, Article 18042
issn 2045-2322
2045-2322
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7581530
source MEDLINE; Nature Free; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Free Full-Text Journals in Chemistry; Springer Nature OA Free Journals
subjects 631/208
631/337
631/61
631/80
Animals
Aquaculture
CRISPR
CRISPR-Cas Systems
Embryos
Environmental perception
Female
Fish
Fisheries
Genetic Introgression - genetics
Germ Cells
Humanities and Social Sciences
Infertility - genetics
Male
mRNA
multidisciplinary
Offspring
Oocytes
Quantitative Trait, Heritable
RNA-Binding Proteins - genetics
Salmo salar
Salmo salar - embryology
Salmo salar - genetics
Salmon
Science
Science (multidisciplinary)
Spermatogonia
Sterility
Triploidy
title Rescue of germ cells in dnd crispant embryos opens the possibility to produce inherited sterility in Atlantic salmon
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T07%3A01%3A18IST&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=Rescue%20of%20germ%20cells%20in%20dnd%20crispant%20embryos%20opens%20the%20possibility%20to%20produce%20inherited%20sterility%20in%20Atlantic%20salmon&rft.jtitle=Scientific%20reports&rft.au=G%C3%BCralp,%20Hilal&rft.date=2020-10-22&rft.volume=10&rft.issue=1&rft.spage=18042&rft.epage=18042&rft.pages=18042-18042&rft.artnum=18042&rft.issn=2045-2322&rft.eissn=2045-2322&rft_id=info:doi/10.1038/s41598-020-74876-2&rft_dat=%3Cproquest_pubme%3E2454102810%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=2471523474&rft_id=info:pmid/33093479&rfr_iscdi=true