CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10
Altered expression of circEPHB4, miR‐637 or SOX10 was independently associated with overall survival of glioma patients. By sponging miR‐637, circEPHB4 up‐regulated SOX10 and its target Nestin to promote stemness and self‐proliferation of glioma cells, stimulating the malignant progression of glioma...
Gespeichert in:
Veröffentlicht in: | Molecular oncology 2021-02, Vol.15 (2), p.596-622 |
---|---|
Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 622 |
---|---|
container_issue | 2 |
container_start_page | 596 |
container_title | Molecular oncology |
container_volume | 15 |
creator | Jin, Chen Zhao, Jie Zhang, Zhi‐Ping Wu, Ming Li, Jian Liu, Bo Bin Liao, Xin‐ Liao, Yu‐Xiang Liu, Jing‐Ping |
description | Altered expression of circEPHB4, miR‐637 or SOX10 was independently associated with overall survival of glioma patients. By sponging miR‐637, circEPHB4 up‐regulated SOX10 and its target Nestin to promote stemness and self‐proliferation of glioma cells, stimulating the malignant progression of gliomas. Consistently, silencing circEPHB4 or overexpressing miR‐637 inhibited xenograft growth of glioma cells in vivo and has therapeutic prospects.
Gliomas are the most common type of primary brain tumors. CircRNA ephrin type‐B receptor 4 (circEPHB4) is a circular RNA derived from the receptor tyrosine kinase EPHB4. However, the clinical significance and the specific roles of circEPHB4 in gliomas and glioma cancer stem cells (CSC) have not been studied. Here, we found that circEPHB4 (hsa_circ_0081519) and SOX10 were up‐regulated and microRNA (miR)‐637 was down‐regulated in glioma tissues and cell lines. Consistently, circEPHB4 was positively correlated with SOX10 but negatively correlated with miR‐637. The altered expressions of these molecules were independently associated with overall survival of patients. CircEPHB4 up‐regulated SOX10 and Nestin by directly sponging miR‐637, thereby stimulating stemness, proliferation and glycolysis of glioma cells. Functionally, silencing circEPHB4 or increasing miR‐637 levels in glioma cells was sufficient to inhibit xenograft growth in vivo. In conclusion, the circEPHB4/miR‐637/SOX10/Nestin axis plays a central role in controlling stem properties, self‐renewal and glycolysis of glioma cells and predicts the overall survival of glioma patients. Targeting this axis might provide a therapeutic strategy for malignant gliomas. |
doi_str_mv | 10.1002/1878-0261.12830 |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7858283</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A732045584</galeid><sourcerecordid>A732045584</sourcerecordid><originalsourceid>FETCH-LOGICAL-g4210-43c53fa0114ff48520e4875f4fedea7511cc10547c649e027ea1f98b9c5c24533</originalsourceid><addsrcrecordid>eNptUk1v1DAQtRCIlsKZG4rEhUu2dmzHzgVpWRVaaemiAhI3y3XGwSix0zgp6o2fwG_sL6mz266ohHzwfLx5Mx4_hF4TvCAYF8dECpnjoiQLUkiKn6DDfeRpsrlguZAVOUAvYvyFMS-rsnqODijFkksqD9G0coO5OF9mJ19OP7CsC_XU6hFiFkfosn4IPQyjS7729ey2zsKgRxd8FmzWtC50OmbXTmexD75xvsk6d3H7529JxbZm6pMzQDPTztmvmx8Ev0TPrG4jvLq_j9D3jyffVqf5evPpbLVc5w0rCM4ZNZxajQlh1jLJCwxMCm6ZhRq04IQYQzBnwpSsAlwI0MRW8rIy3BSMU3qE3u94--myg9qAHwfdqn5wnR5uVNBOPc5491M14VqJtJ600ETw7p5gCFcTxFF1LhpoW-0hTFHNXUpZpgkT9O0O2ugWlPM2JEYzw9VS0AIzziVLqMV_UOnU0DkTPFiX4o8K3vz7hP3sD1-YAOUO8DtV3uzzBKtZIWrWg5r1oLYKUZ8362Jr0TvUOa3h</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2453686011</pqid></control><display><type>article</type><title>CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10</title><source>MEDLINE</source><source>Wiley Online Library Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Jin, Chen ; Zhao, Jie ; Zhang, Zhi‐Ping ; Wu, Ming ; Li, Jian ; Liu, Bo ; Bin Liao, Xin‐ ; Liao, Yu‐Xiang ; Liu, Jing‐Ping</creator><creatorcontrib>Jin, Chen ; Zhao, Jie ; Zhang, Zhi‐Ping ; Wu, Ming ; Li, Jian ; Liu, Bo ; Bin Liao, Xin‐ ; Liao, Yu‐Xiang ; Liu, Jing‐Ping</creatorcontrib><description>Altered expression of circEPHB4, miR‐637 or SOX10 was independently associated with overall survival of glioma patients. By sponging miR‐637, circEPHB4 up‐regulated SOX10 and its target Nestin to promote stemness and self‐proliferation of glioma cells, stimulating the malignant progression of gliomas. Consistently, silencing circEPHB4 or overexpressing miR‐637 inhibited xenograft growth of glioma cells in vivo and has therapeutic prospects.
Gliomas are the most common type of primary brain tumors. CircRNA ephrin type‐B receptor 4 (circEPHB4) is a circular RNA derived from the receptor tyrosine kinase EPHB4. However, the clinical significance and the specific roles of circEPHB4 in gliomas and glioma cancer stem cells (CSC) have not been studied. Here, we found that circEPHB4 (hsa_circ_0081519) and SOX10 were up‐regulated and microRNA (miR)‐637 was down‐regulated in glioma tissues and cell lines. Consistently, circEPHB4 was positively correlated with SOX10 but negatively correlated with miR‐637. The altered expressions of these molecules were independently associated with overall survival of patients. CircEPHB4 up‐regulated SOX10 and Nestin by directly sponging miR‐637, thereby stimulating stemness, proliferation and glycolysis of glioma cells. Functionally, silencing circEPHB4 or increasing miR‐637 levels in glioma cells was sufficient to inhibit xenograft growth in vivo. In conclusion, the circEPHB4/miR‐637/SOX10/Nestin axis plays a central role in controlling stem properties, self‐renewal and glycolysis of glioma cells and predicts the overall survival of glioma patients. Targeting this axis might provide a therapeutic strategy for malignant gliomas.</description><identifier>ISSN: 1574-7891</identifier><identifier>ISSN: 1878-0261</identifier><identifier>EISSN: 1878-0261</identifier><identifier>DOI: 10.1002/1878-0261.12830</identifier><identifier>PMID: 33085838</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Aged ; Animals ; Brain tumors ; Cancer ; cancer stemness ; Cell Line, Tumor ; circEPHB4 ; Female ; Glioma - genetics ; Glioma - metabolism ; Gliomas ; Humans ; Male ; Mice ; Mice, Inbred BALB C ; Mice, Nude ; MicroRNAs ; Middle Aged ; miR‐637 ; Neoplasm Proteins - genetics ; Neoplasm Proteins - metabolism ; Neoplastic Stem Cells - metabolism ; Neoplastic Stem Cells - pathology ; Oncology, Experimental ; proliferation ; RNA ; RNA, Circular - genetics ; RNA, Circular - metabolism ; RNA, Neoplasm - genetics ; RNA, Neoplasm - metabolism ; Scientific equipment and supplies industry ; SOX10 ; SOXE Transcription Factors - genetics ; SOXE Transcription Factors - metabolism ; Stem cells</subject><ispartof>Molecular oncology, 2021-02, Vol.15 (2), p.596-622</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies</rights><rights>2020 The Authors. Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-7880-8582</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/PMC7858283/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7858283/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33085838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jin, Chen</creatorcontrib><creatorcontrib>Zhao, Jie</creatorcontrib><creatorcontrib>Zhang, Zhi‐Ping</creatorcontrib><creatorcontrib>Wu, Ming</creatorcontrib><creatorcontrib>Li, Jian</creatorcontrib><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>Bin Liao, Xin‐</creatorcontrib><creatorcontrib>Liao, Yu‐Xiang</creatorcontrib><creatorcontrib>Liu, Jing‐Ping</creatorcontrib><title>CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10</title><title>Molecular oncology</title><addtitle>Mol Oncol</addtitle><description>Altered expression of circEPHB4, miR‐637 or SOX10 was independently associated with overall survival of glioma patients. By sponging miR‐637, circEPHB4 up‐regulated SOX10 and its target Nestin to promote stemness and self‐proliferation of glioma cells, stimulating the malignant progression of gliomas. Consistently, silencing circEPHB4 or overexpressing miR‐637 inhibited xenograft growth of glioma cells in vivo and has therapeutic prospects.
Gliomas are the most common type of primary brain tumors. CircRNA ephrin type‐B receptor 4 (circEPHB4) is a circular RNA derived from the receptor tyrosine kinase EPHB4. However, the clinical significance and the specific roles of circEPHB4 in gliomas and glioma cancer stem cells (CSC) have not been studied. Here, we found that circEPHB4 (hsa_circ_0081519) and SOX10 were up‐regulated and microRNA (miR)‐637 was down‐regulated in glioma tissues and cell lines. Consistently, circEPHB4 was positively correlated with SOX10 but negatively correlated with miR‐637. The altered expressions of these molecules were independently associated with overall survival of patients. CircEPHB4 up‐regulated SOX10 and Nestin by directly sponging miR‐637, thereby stimulating stemness, proliferation and glycolysis of glioma cells. Functionally, silencing circEPHB4 or increasing miR‐637 levels in glioma cells was sufficient to inhibit xenograft growth in vivo. In conclusion, the circEPHB4/miR‐637/SOX10/Nestin axis plays a central role in controlling stem properties, self‐renewal and glycolysis of glioma cells and predicts the overall survival of glioma patients. Targeting this axis might provide a therapeutic strategy for malignant gliomas.</description><subject>Aged</subject><subject>Animals</subject><subject>Brain tumors</subject><subject>Cancer</subject><subject>cancer stemness</subject><subject>Cell Line, Tumor</subject><subject>circEPHB4</subject><subject>Female</subject><subject>Glioma - genetics</subject><subject>Glioma - metabolism</subject><subject>Gliomas</subject><subject>Humans</subject><subject>Male</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Mice, Nude</subject><subject>MicroRNAs</subject><subject>Middle Aged</subject><subject>miR‐637</subject><subject>Neoplasm Proteins - genetics</subject><subject>Neoplasm Proteins - metabolism</subject><subject>Neoplastic Stem Cells - metabolism</subject><subject>Neoplastic Stem Cells - pathology</subject><subject>Oncology, Experimental</subject><subject>proliferation</subject><subject>RNA</subject><subject>RNA, Circular - genetics</subject><subject>RNA, Circular - metabolism</subject><subject>RNA, Neoplasm - genetics</subject><subject>RNA, Neoplasm - metabolism</subject><subject>Scientific equipment and supplies industry</subject><subject>SOX10</subject><subject>SOXE Transcription Factors - genetics</subject><subject>SOXE Transcription Factors - metabolism</subject><subject>Stem cells</subject><issn>1574-7891</issn><issn>1878-0261</issn><issn>1878-0261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNptUk1v1DAQtRCIlsKZG4rEhUu2dmzHzgVpWRVaaemiAhI3y3XGwSix0zgp6o2fwG_sL6mz266ohHzwfLx5Mx4_hF4TvCAYF8dECpnjoiQLUkiKn6DDfeRpsrlguZAVOUAvYvyFMS-rsnqODijFkksqD9G0coO5OF9mJ19OP7CsC_XU6hFiFkfosn4IPQyjS7729ey2zsKgRxd8FmzWtC50OmbXTmexD75xvsk6d3H7529JxbZm6pMzQDPTztmvmx8Ev0TPrG4jvLq_j9D3jyffVqf5evPpbLVc5w0rCM4ZNZxajQlh1jLJCwxMCm6ZhRq04IQYQzBnwpSsAlwI0MRW8rIy3BSMU3qE3u94--myg9qAHwfdqn5wnR5uVNBOPc5491M14VqJtJ600ETw7p5gCFcTxFF1LhpoW-0hTFHNXUpZpgkT9O0O2ugWlPM2JEYzw9VS0AIzziVLqMV_UOnU0DkTPFiX4o8K3vz7hP3sD1-YAOUO8DtV3uzzBKtZIWrWg5r1oLYKUZ8362Jr0TvUOa3h</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Jin, Chen</creator><creator>Zhao, Jie</creator><creator>Zhang, Zhi‐Ping</creator><creator>Wu, Ming</creator><creator>Li, Jian</creator><creator>Liu, Bo</creator><creator>Bin Liao, Xin‐</creator><creator>Liao, Yu‐Xiang</creator><creator>Liu, Jing‐Ping</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7880-8582</orcidid></search><sort><creationdate>202102</creationdate><title>CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10</title><author>Jin, Chen ; Zhao, Jie ; Zhang, Zhi‐Ping ; Wu, Ming ; Li, Jian ; Liu, Bo ; Bin Liao, Xin‐ ; Liao, Yu‐Xiang ; Liu, Jing‐Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g4210-43c53fa0114ff48520e4875f4fedea7511cc10547c649e027ea1f98b9c5c24533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Animals</topic><topic>Brain tumors</topic><topic>Cancer</topic><topic>cancer stemness</topic><topic>Cell Line, Tumor</topic><topic>circEPHB4</topic><topic>Female</topic><topic>Glioma - genetics</topic><topic>Glioma - metabolism</topic><topic>Gliomas</topic><topic>Humans</topic><topic>Male</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Mice, Nude</topic><topic>MicroRNAs</topic><topic>Middle Aged</topic><topic>miR‐637</topic><topic>Neoplasm Proteins - genetics</topic><topic>Neoplasm Proteins - metabolism</topic><topic>Neoplastic Stem Cells - metabolism</topic><topic>Neoplastic Stem Cells - pathology</topic><topic>Oncology, Experimental</topic><topic>proliferation</topic><topic>RNA</topic><topic>RNA, Circular - genetics</topic><topic>RNA, Circular - metabolism</topic><topic>RNA, Neoplasm - genetics</topic><topic>RNA, Neoplasm - metabolism</topic><topic>Scientific equipment and supplies industry</topic><topic>SOX10</topic><topic>SOXE Transcription Factors - genetics</topic><topic>SOXE Transcription Factors - metabolism</topic><topic>Stem cells</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jin, Chen</creatorcontrib><creatorcontrib>Zhao, Jie</creatorcontrib><creatorcontrib>Zhang, Zhi‐Ping</creatorcontrib><creatorcontrib>Wu, Ming</creatorcontrib><creatorcontrib>Li, Jian</creatorcontrib><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>Bin Liao, Xin‐</creatorcontrib><creatorcontrib>Liao, Yu‐Xiang</creatorcontrib><creatorcontrib>Liu, Jing‐Ping</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Molecular oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jin, Chen</au><au>Zhao, Jie</au><au>Zhang, Zhi‐Ping</au><au>Wu, Ming</au><au>Li, Jian</au><au>Liu, Bo</au><au>Bin Liao, Xin‐</au><au>Liao, Yu‐Xiang</au><au>Liu, Jing‐Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10</atitle><jtitle>Molecular oncology</jtitle><addtitle>Mol Oncol</addtitle><date>2021-02</date><risdate>2021</risdate><volume>15</volume><issue>2</issue><spage>596</spage><epage>622</epage><pages>596-622</pages><issn>1574-7891</issn><issn>1878-0261</issn><eissn>1878-0261</eissn><abstract>Altered expression of circEPHB4, miR‐637 or SOX10 was independently associated with overall survival of glioma patients. By sponging miR‐637, circEPHB4 up‐regulated SOX10 and its target Nestin to promote stemness and self‐proliferation of glioma cells, stimulating the malignant progression of gliomas. Consistently, silencing circEPHB4 or overexpressing miR‐637 inhibited xenograft growth of glioma cells in vivo and has therapeutic prospects.
Gliomas are the most common type of primary brain tumors. CircRNA ephrin type‐B receptor 4 (circEPHB4) is a circular RNA derived from the receptor tyrosine kinase EPHB4. However, the clinical significance and the specific roles of circEPHB4 in gliomas and glioma cancer stem cells (CSC) have not been studied. Here, we found that circEPHB4 (hsa_circ_0081519) and SOX10 were up‐regulated and microRNA (miR)‐637 was down‐regulated in glioma tissues and cell lines. Consistently, circEPHB4 was positively correlated with SOX10 but negatively correlated with miR‐637. The altered expressions of these molecules were independently associated with overall survival of patients. CircEPHB4 up‐regulated SOX10 and Nestin by directly sponging miR‐637, thereby stimulating stemness, proliferation and glycolysis of glioma cells. Functionally, silencing circEPHB4 or increasing miR‐637 levels in glioma cells was sufficient to inhibit xenograft growth in vivo. In conclusion, the circEPHB4/miR‐637/SOX10/Nestin axis plays a central role in controlling stem properties, self‐renewal and glycolysis of glioma cells and predicts the overall survival of glioma patients. Targeting this axis might provide a therapeutic strategy for malignant gliomas.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>33085838</pmid><doi>10.1002/1878-0261.12830</doi><tpages>27</tpages><orcidid>https://orcid.org/0000-0002-7880-8582</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1574-7891 |
ispartof | Molecular oncology, 2021-02, Vol.15 (2), p.596-622 |
issn | 1574-7891 1878-0261 1878-0261 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7858283 |
source | MEDLINE; Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Aged Animals Brain tumors Cancer cancer stemness Cell Line, Tumor circEPHB4 Female Glioma - genetics Glioma - metabolism Gliomas Humans Male Mice Mice, Inbred BALB C Mice, Nude MicroRNAs Middle Aged miR‐637 Neoplasm Proteins - genetics Neoplasm Proteins - metabolism Neoplastic Stem Cells - metabolism Neoplastic Stem Cells - pathology Oncology, Experimental proliferation RNA RNA, Circular - genetics RNA, Circular - metabolism RNA, Neoplasm - genetics RNA, Neoplasm - metabolism Scientific equipment and supplies industry SOX10 SOXE Transcription Factors - genetics SOXE Transcription Factors - metabolism Stem cells |
title | CircRNA EPHB4 modulates stem properties and proliferation of gliomas via sponging miR‐637 and up‐regulating SOX10 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T00%3A24%3A12IST&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=CircRNA%20EPHB4%20modulates%20stem%20properties%20and%20proliferation%20of%20gliomas%20via%20sponging%20miR%E2%80%90637%20and%20up%E2%80%90regulating%20SOX10&rft.jtitle=Molecular%20oncology&rft.au=Jin,%20Chen&rft.date=2021-02&rft.volume=15&rft.issue=2&rft.spage=596&rft.epage=622&rft.pages=596-622&rft.issn=1574-7891&rft.eissn=1878-0261&rft_id=info:doi/10.1002/1878-0261.12830&rft_dat=%3Cgale_pubme%3EA732045584%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=2453686011&rft_id=info:pmid/33085838&rft_galeid=A732045584&rfr_iscdi=true |