Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization

Trichinella spiralis represents an effective treatment for autoimmune and inflammatory diseases. The effects of recombinant T. spiralis (TS) 53-kDa protein (rTsP53) on acute lung injury (ALI) remain unclear. Here, mice were divided randomly into a control group, LPS group, and rTsP53 + LPS group. AL...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Innate immunity (London, England) England), 2021-05, Vol.27 (4), p.313-323
Hauptverfasser: Wei, Ling-yu, Jiang, An-qi, Jiang, Ren, Duan, Si-ying, Xu, Xue, Su, Ze-da-zhong, Xu, Jia
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 323
container_issue 4
container_start_page 313
container_title Innate immunity (London, England)
container_volume 27
creator Wei, Ling-yu
Jiang, An-qi
Jiang, Ren
Duan, Si-ying
Xu, Xue
Su, Ze-da-zhong
Xu, Jia
description Trichinella spiralis represents an effective treatment for autoimmune and inflammatory diseases. The effects of recombinant T. spiralis (TS) 53-kDa protein (rTsP53) on acute lung injury (ALI) remain unclear. Here, mice were divided randomly into a control group, LPS group, and rTsP53 + LPS group. ALI was induced in BALB/c mice by LPS (10 mg/kg) injected via the tail vein. rTsP53 (200 µl; 0.4 μg/μl) was injected subcutaneously three times at an interval of 5 d before inducing ALI in the rTsP53+LPS group. Lung pathological score, the ratio and markers of classic activated macrophages (M1) and alternatively activated macrophages (M2), cytokine profiles in alveolar lavage fluid, and pyroptosis protein expression in lung tissue were investigated. RTsP53 decreased lung pathological score. Furthermore, rTsP53 suppressed inflammation by increasing IL-4, IL-10, and IL-13. There was an increase in alveolar M2 macrophage numbers, with an increase in CD206 and arginase-1-positive cells and a decrease in alveolar M1 markers such as CD197 and iNOS. In addition, the polarization of M2 macrophages induced by rTsP53 treatment could alleviate ALI by suppressing lung pyroptosis. RTsP53 was identified as a potential agent for treating LPS-induced ALI via alleviating lung pyroptosis by promoting M2 macrophage polarization.
doi_str_mv 10.1177/17534259211013397
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8186157</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_17534259211013397</sage_id><sourcerecordid>2529942089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c532t-8bb98ea2b79e575ea0e4d985c79c124ca20f3d953545877f0c9f945704a4fa793</originalsourceid><addsrcrecordid>eNp1kstuEzEUhkcIREvhAdggS2zYpPgajzdIqFylIliUteVxjhOHGXuwPZHCO_Ud62lKuInVsfx__2-fYzfNU4LPCZHyJZGCcSoUJQQTxpS815zOewtOl_L-cS3USfMo5y3GS4qFfNicMF75luLT5vpLigVs8TtA4FxdZRQdSmDj0PlgQkE149sbg8YZ9GFWr5K3Gx-g7w3Ko0-m99UVkLFTAdRPYY182E5pXwsavAW08waZvodai6_yLTPuUxxLzNXc7ef8Id6KnygajK3axqwBjbE3yf-ovhgeNw-c6TM8uatnzdd3b68uPiwuP7__ePH6cmEFo2XRdp1qwdBOKhBSgMHAV6oVVipLKLeGYsdWSjDBRSulw1Y5xYXE3HBnpGJnzatD7jh1A6wshFKb1GPyg0l7HY3XfyrBb_Q67nRL2iURsga8uAtI8fsEuejBZzsPLECcsqaCKsUpbueznv-FbuOUQm2vUkxyQeVyDiQHqs4l5wTueBmC9fwZ9D-foXqe_d7F0fHz9StwfgByHfSvY_-feAMuPMBs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2537452767</pqid></control><display><type>article</type><title>Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Wei, Ling-yu ; Jiang, An-qi ; Jiang, Ren ; Duan, Si-ying ; Xu, Xue ; Su, Ze-da-zhong ; Xu, Jia</creator><creatorcontrib>Wei, Ling-yu ; Jiang, An-qi ; Jiang, Ren ; Duan, Si-ying ; Xu, Xue ; Su, Ze-da-zhong ; Xu, Jia</creatorcontrib><description>Trichinella spiralis represents an effective treatment for autoimmune and inflammatory diseases. The effects of recombinant T. spiralis (TS) 53-kDa protein (rTsP53) on acute lung injury (ALI) remain unclear. Here, mice were divided randomly into a control group, LPS group, and rTsP53 + LPS group. ALI was induced in BALB/c mice by LPS (10 mg/kg) injected via the tail vein. rTsP53 (200 µl; 0.4 μg/μl) was injected subcutaneously three times at an interval of 5 d before inducing ALI in the rTsP53+LPS group. Lung pathological score, the ratio and markers of classic activated macrophages (M1) and alternatively activated macrophages (M2), cytokine profiles in alveolar lavage fluid, and pyroptosis protein expression in lung tissue were investigated. RTsP53 decreased lung pathological score. Furthermore, rTsP53 suppressed inflammation by increasing IL-4, IL-10, and IL-13. There was an increase in alveolar M2 macrophage numbers, with an increase in CD206 and arginase-1-positive cells and a decrease in alveolar M1 markers such as CD197 and iNOS. In addition, the polarization of M2 macrophages induced by rTsP53 treatment could alleviate ALI by suppressing lung pyroptosis. RTsP53 was identified as a potential agent for treating LPS-induced ALI via alleviating lung pyroptosis by promoting M2 macrophage polarization.</description><identifier>ISSN: 1753-4259</identifier><identifier>EISSN: 1753-4267</identifier><identifier>DOI: 10.1177/17534259211013397</identifier><identifier>PMID: 34013820</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Lung Injury - chemically induced ; Acute Lung Injury - drug therapy ; Acute Lung Injury - pathology ; Alveoli ; Animals ; Arginase ; Bronchoalveolar Lavage Fluid ; Cell Count ; Cell Polarity - drug effects ; Cytokines - chemistry ; Inflammatory diseases ; Interleukin 10 ; Interleukin 13 ; Interleukin 4 ; Interleukins - antagonists &amp; inhibitors ; Lipopolysaccharides ; Lungs ; Macrophage Activation - drug effects ; Macrophages ; Macrophages - drug effects ; Male ; Mannose Receptor - metabolism ; Mice ; Mice, Inbred BALB C ; Nitric Oxide Synthase Type II - metabolism ; Nitric-oxide synthase ; Original ; Polarization ; Protective Agents - pharmacology ; Proteins ; Pyroptosis ; Pyroptosis - drug effects ; Recombinant Proteins - pharmacology ; Trichinella spiralis ; Trichinella spiralis - chemistry</subject><ispartof>Innate immunity (London, England), 2021-05, Vol.27 (4), p.313-323</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021 2021 SAGE Publications Ltd unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-8bb98ea2b79e575ea0e4d985c79c124ca20f3d953545877f0c9f945704a4fa793</citedby><cites>FETCH-LOGICAL-c532t-8bb98ea2b79e575ea0e4d985c79c124ca20f3d953545877f0c9f945704a4fa793</cites><orcidid>0000-0001-9869-1820</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/PMC8186157/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186157/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34013820$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wei, Ling-yu</creatorcontrib><creatorcontrib>Jiang, An-qi</creatorcontrib><creatorcontrib>Jiang, Ren</creatorcontrib><creatorcontrib>Duan, Si-ying</creatorcontrib><creatorcontrib>Xu, Xue</creatorcontrib><creatorcontrib>Su, Ze-da-zhong</creatorcontrib><creatorcontrib>Xu, Jia</creatorcontrib><title>Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization</title><title>Innate immunity (London, England)</title><addtitle>Innate Immun</addtitle><description>Trichinella spiralis represents an effective treatment for autoimmune and inflammatory diseases. The effects of recombinant T. spiralis (TS) 53-kDa protein (rTsP53) on acute lung injury (ALI) remain unclear. Here, mice were divided randomly into a control group, LPS group, and rTsP53 + LPS group. ALI was induced in BALB/c mice by LPS (10 mg/kg) injected via the tail vein. rTsP53 (200 µl; 0.4 μg/μl) was injected subcutaneously three times at an interval of 5 d before inducing ALI in the rTsP53+LPS group. Lung pathological score, the ratio and markers of classic activated macrophages (M1) and alternatively activated macrophages (M2), cytokine profiles in alveolar lavage fluid, and pyroptosis protein expression in lung tissue were investigated. RTsP53 decreased lung pathological score. Furthermore, rTsP53 suppressed inflammation by increasing IL-4, IL-10, and IL-13. There was an increase in alveolar M2 macrophage numbers, with an increase in CD206 and arginase-1-positive cells and a decrease in alveolar M1 markers such as CD197 and iNOS. In addition, the polarization of M2 macrophages induced by rTsP53 treatment could alleviate ALI by suppressing lung pyroptosis. RTsP53 was identified as a potential agent for treating LPS-induced ALI via alleviating lung pyroptosis by promoting M2 macrophage polarization.</description><subject>Acute Lung Injury - chemically induced</subject><subject>Acute Lung Injury - drug therapy</subject><subject>Acute Lung Injury - pathology</subject><subject>Alveoli</subject><subject>Animals</subject><subject>Arginase</subject><subject>Bronchoalveolar Lavage Fluid</subject><subject>Cell Count</subject><subject>Cell Polarity - drug effects</subject><subject>Cytokines - chemistry</subject><subject>Inflammatory diseases</subject><subject>Interleukin 10</subject><subject>Interleukin 13</subject><subject>Interleukin 4</subject><subject>Interleukins - antagonists &amp; inhibitors</subject><subject>Lipopolysaccharides</subject><subject>Lungs</subject><subject>Macrophage Activation - drug effects</subject><subject>Macrophages</subject><subject>Macrophages - drug effects</subject><subject>Male</subject><subject>Mannose Receptor - metabolism</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Nitric Oxide Synthase Type II - metabolism</subject><subject>Nitric-oxide synthase</subject><subject>Original</subject><subject>Polarization</subject><subject>Protective Agents - pharmacology</subject><subject>Proteins</subject><subject>Pyroptosis</subject><subject>Pyroptosis - drug effects</subject><subject>Recombinant Proteins - pharmacology</subject><subject>Trichinella spiralis</subject><subject>Trichinella spiralis - chemistry</subject><issn>1753-4259</issn><issn>1753-4267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kstuEzEUhkcIREvhAdggS2zYpPgajzdIqFylIliUteVxjhOHGXuwPZHCO_Ud62lKuInVsfx__2-fYzfNU4LPCZHyJZGCcSoUJQQTxpS815zOewtOl_L-cS3USfMo5y3GS4qFfNicMF75luLT5vpLigVs8TtA4FxdZRQdSmDj0PlgQkE149sbg8YZ9GFWr5K3Gx-g7w3Ko0-m99UVkLFTAdRPYY182E5pXwsavAW08waZvodai6_yLTPuUxxLzNXc7ef8Id6KnygajK3axqwBjbE3yf-ovhgeNw-c6TM8uatnzdd3b68uPiwuP7__ePH6cmEFo2XRdp1qwdBOKhBSgMHAV6oVVipLKLeGYsdWSjDBRSulw1Y5xYXE3HBnpGJnzatD7jh1A6wshFKb1GPyg0l7HY3XfyrBb_Q67nRL2iURsga8uAtI8fsEuejBZzsPLECcsqaCKsUpbueznv-FbuOUQm2vUkxyQeVyDiQHqs4l5wTueBmC9fwZ9D-foXqe_d7F0fHz9StwfgByHfSvY_-feAMuPMBs</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Wei, Ling-yu</creator><creator>Jiang, An-qi</creator><creator>Jiang, Ren</creator><creator>Duan, Si-ying</creator><creator>Xu, Xue</creator><creator>Su, Ze-da-zhong</creator><creator>Xu, Jia</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AFRWT</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>7T5</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</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/0000-0001-9869-1820</orcidid></search><sort><creationdate>202105</creationdate><title>Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization</title><author>Wei, Ling-yu ; Jiang, An-qi ; Jiang, Ren ; Duan, Si-ying ; Xu, Xue ; Su, Ze-da-zhong ; Xu, Jia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-8bb98ea2b79e575ea0e4d985c79c124ca20f3d953545877f0c9f945704a4fa793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acute Lung Injury - chemically induced</topic><topic>Acute Lung Injury - drug therapy</topic><topic>Acute Lung Injury - pathology</topic><topic>Alveoli</topic><topic>Animals</topic><topic>Arginase</topic><topic>Bronchoalveolar Lavage Fluid</topic><topic>Cell Count</topic><topic>Cell Polarity - drug effects</topic><topic>Cytokines - chemistry</topic><topic>Inflammatory diseases</topic><topic>Interleukin 10</topic><topic>Interleukin 13</topic><topic>Interleukin 4</topic><topic>Interleukins - antagonists &amp; inhibitors</topic><topic>Lipopolysaccharides</topic><topic>Lungs</topic><topic>Macrophage Activation - drug effects</topic><topic>Macrophages</topic><topic>Macrophages - drug effects</topic><topic>Male</topic><topic>Mannose Receptor - metabolism</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Nitric Oxide Synthase Type II - metabolism</topic><topic>Nitric-oxide synthase</topic><topic>Original</topic><topic>Polarization</topic><topic>Protective Agents - pharmacology</topic><topic>Proteins</topic><topic>Pyroptosis</topic><topic>Pyroptosis - drug effects</topic><topic>Recombinant Proteins - pharmacology</topic><topic>Trichinella spiralis</topic><topic>Trichinella spiralis - chemistry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wei, Ling-yu</creatorcontrib><creatorcontrib>Jiang, An-qi</creatorcontrib><creatorcontrib>Jiang, Ren</creatorcontrib><creatorcontrib>Duan, Si-ying</creatorcontrib><creatorcontrib>Xu, Xue</creatorcontrib><creatorcontrib>Su, Ze-da-zhong</creatorcontrib><creatorcontrib>Xu, Jia</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Public Health Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</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>AIDS and Cancer Research Abstracts</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 China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Innate immunity (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wei, Ling-yu</au><au>Jiang, An-qi</au><au>Jiang, Ren</au><au>Duan, Si-ying</au><au>Xu, Xue</au><au>Su, Ze-da-zhong</au><au>Xu, Jia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization</atitle><jtitle>Innate immunity (London, England)</jtitle><addtitle>Innate Immun</addtitle><date>2021-05</date><risdate>2021</risdate><volume>27</volume><issue>4</issue><spage>313</spage><epage>323</epage><pages>313-323</pages><issn>1753-4259</issn><eissn>1753-4267</eissn><abstract>Trichinella spiralis represents an effective treatment for autoimmune and inflammatory diseases. The effects of recombinant T. spiralis (TS) 53-kDa protein (rTsP53) on acute lung injury (ALI) remain unclear. Here, mice were divided randomly into a control group, LPS group, and rTsP53 + LPS group. ALI was induced in BALB/c mice by LPS (10 mg/kg) injected via the tail vein. rTsP53 (200 µl; 0.4 μg/μl) was injected subcutaneously three times at an interval of 5 d before inducing ALI in the rTsP53+LPS group. Lung pathological score, the ratio and markers of classic activated macrophages (M1) and alternatively activated macrophages (M2), cytokine profiles in alveolar lavage fluid, and pyroptosis protein expression in lung tissue were investigated. RTsP53 decreased lung pathological score. Furthermore, rTsP53 suppressed inflammation by increasing IL-4, IL-10, and IL-13. There was an increase in alveolar M2 macrophage numbers, with an increase in CD206 and arginase-1-positive cells and a decrease in alveolar M1 markers such as CD197 and iNOS. In addition, the polarization of M2 macrophages induced by rTsP53 treatment could alleviate ALI by suppressing lung pyroptosis. RTsP53 was identified as a potential agent for treating LPS-induced ALI via alleviating lung pyroptosis by promoting M2 macrophage polarization.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>34013820</pmid><doi>10.1177/17534259211013397</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9869-1820</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1753-4259
ispartof Innate immunity (London, England), 2021-05, Vol.27 (4), p.313-323
issn 1753-4259
1753-4267
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8186157
source MEDLINE; DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; PubMed Central; Alma/SFX Local Collection
subjects Acute Lung Injury - chemically induced
Acute Lung Injury - drug therapy
Acute Lung Injury - pathology
Alveoli
Animals
Arginase
Bronchoalveolar Lavage Fluid
Cell Count
Cell Polarity - drug effects
Cytokines - chemistry
Inflammatory diseases
Interleukin 10
Interleukin 13
Interleukin 4
Interleukins - antagonists & inhibitors
Lipopolysaccharides
Lungs
Macrophage Activation - drug effects
Macrophages
Macrophages - drug effects
Male
Mannose Receptor - metabolism
Mice
Mice, Inbred BALB C
Nitric Oxide Synthase Type II - metabolism
Nitric-oxide synthase
Original
Polarization
Protective Agents - pharmacology
Proteins
Pyroptosis
Pyroptosis - drug effects
Recombinant Proteins - pharmacology
Trichinella spiralis
Trichinella spiralis - chemistry
title Protective effects of recombinant 53-kDa protein of Trichinella spiralis on acute lung injury in mice via alleviating lung pyroptosis by promoting M2 macrophage polarization
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T17%3A51%3A32IST&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=Protective%20effects%20of%20recombinant%2053-kDa%20protein%20of%20Trichinella%20spiralis%20on%20acute%20lung%20injury%20in%20mice%20via%20alleviating%20lung%20pyroptosis%20by%20promoting%20M2%20macrophage%20polarization&rft.jtitle=Innate%20immunity%20(London,%20England)&rft.au=Wei,%20Ling-yu&rft.date=2021-05&rft.volume=27&rft.issue=4&rft.spage=313&rft.epage=323&rft.pages=313-323&rft.issn=1753-4259&rft.eissn=1753-4267&rft_id=info:doi/10.1177/17534259211013397&rft_dat=%3Cproquest_pubme%3E2529942089%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=2537452767&rft_id=info:pmid/34013820&rft_sage_id=10.1177_17534259211013397&rfr_iscdi=true