Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease

With innumerable clinical failures of target-specific drug candidates for multifactorial diseases, such as Alzheimer’s disease (AD), which remains inefficiently treated, the advent of multitarget drug discovery has brought a new breath of hope. Here, we disclose a class of 6-chlorotacrine (huprine)–...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of medicinal chemistry 2022-03, Vol.65 (6), p.4909-4925
Hauptverfasser: Codony, Sandra, Pont, Caterina, Griñán-Ferré, Christian, Di Pede-Mattatelli, Ania, Calvó-Tusell, Carla, Feixas, Ferran, Osuna, Sílvia, Jarné-Ferrer, Júlia, Naldi, Marina, Bartolini, Manuela, Loza, María Isabel, Brea, José, Pérez, Belén, Bartra, Clara, Sanfeliu, Coral, Juárez-Jiménez, Jordi, Morisseau, Christophe, Hammock, Bruce D, Pallàs, Mercè, Vázquez, Santiago, Muñoz-Torrero, Diego
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 4925
container_issue 6
container_start_page 4909
container_title Journal of medicinal chemistry
container_volume 65
creator Codony, Sandra
Pont, Caterina
Griñán-Ferré, Christian
Di Pede-Mattatelli, Ania
Calvó-Tusell, Carla
Feixas, Ferran
Osuna, Sílvia
Jarné-Ferrer, Júlia
Naldi, Marina
Bartolini, Manuela
Loza, María Isabel
Brea, José
Pérez, Belén
Bartra, Clara
Sanfeliu, Coral
Juárez-Jiménez, Jordi
Morisseau, Christophe
Hammock, Bruce D
Pallàs, Mercè
Vázquez, Santiago
Muñoz-Torrero, Diego
description With innumerable clinical failures of target-specific drug candidates for multifactorial diseases, such as Alzheimer’s disease (AD), which remains inefficiently treated, the advent of multitarget drug discovery has brought a new breath of hope. Here, we disclose a class of 6-chlorotacrine (huprine)–TPPU hybrids as dual inhibitors of the enzymes soluble epoxide hydrolase (sEH) and acetylcholinesterase (AChE), a multitarget profile to provide cumulative effects against neuroinflammation and memory impairment. Computational studies confirmed the gorge-wide occupancy of both enzymes, from the main site to a secondary site, including a so far non-described AChE cryptic pocket. The lead compound displayed in vitro dual nanomolar potencies, adequate brain permeability, aqueous solubility, human microsomal stability, lack of neurotoxicity, and it rescued memory, synaptic plasticity, and neuroinflammation in an AD mouse model, after low dose chronic oral administration.
doi_str_mv 10.1021/acs.jmedchem.1c02150
format Article
fullrecord <record><control><sourceid>acs_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8958510</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>a088853361</sourcerecordid><originalsourceid>FETCH-LOGICAL-a3640-fb89538abfe7bca7944791255d8d22838d4452572f43d64b08e65dbe0d915f323</originalsourceid><addsrcrecordid>eNp9kd9qFDEUxoModq2-gUheYNb8nZm9EZZtdQsFC1ZvQyY500nJTJZkdul45Wv4CL6WT2Km2xa9EQIJOd_3O4fzIfSWkiUljL7XJi1ve7Cmg35JTf6S5BlaUMlIIWoinqMFIYwVrGT8BL1K6ZYQwinjL9EJl6yirCoX6NeZSyYcIE5YDxZfDPibOwR8FUNocT6bMBjYjfNT46276fyEr8IIw4jP9tpnQ-caN4Y4K74Ev2884PNduHMW8HayMXid4J69NjBO3nTBuwHSCHEutNk5doCvI-ixn7GZs_bfO3A9xN8_fiacJ4QsfY1etNonePNwn6KvH8-vN9vi8vOni836stC8FKRom3olea2bFqrG6GolRLWiTEpbW8ZqXlshJJMVawW3pWhIDaW0DRC7orLljJ-iD0fubt_M680zRe3VLrpex0kF7dS_lcF16iYcVO5bS0oyQBwBJoaUIrRPXkrUHJ3K0anH6NRDdNn27u--T6bHrLKAHAX39rCPQ17D_5l_ADc9rUw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease</title><source>MEDLINE</source><source>American Chemical Society Journals</source><creator>Codony, Sandra ; Pont, Caterina ; Griñán-Ferré, Christian ; Di Pede-Mattatelli, Ania ; Calvó-Tusell, Carla ; Feixas, Ferran ; Osuna, Sílvia ; Jarné-Ferrer, Júlia ; Naldi, Marina ; Bartolini, Manuela ; Loza, María Isabel ; Brea, José ; Pérez, Belén ; Bartra, Clara ; Sanfeliu, Coral ; Juárez-Jiménez, Jordi ; Morisseau, Christophe ; Hammock, Bruce D ; Pallàs, Mercè ; Vázquez, Santiago ; Muñoz-Torrero, Diego</creator><creatorcontrib>Codony, Sandra ; Pont, Caterina ; Griñán-Ferré, Christian ; Di Pede-Mattatelli, Ania ; Calvó-Tusell, Carla ; Feixas, Ferran ; Osuna, Sílvia ; Jarné-Ferrer, Júlia ; Naldi, Marina ; Bartolini, Manuela ; Loza, María Isabel ; Brea, José ; Pérez, Belén ; Bartra, Clara ; Sanfeliu, Coral ; Juárez-Jiménez, Jordi ; Morisseau, Christophe ; Hammock, Bruce D ; Pallàs, Mercè ; Vázquez, Santiago ; Muñoz-Torrero, Diego</creatorcontrib><description>With innumerable clinical failures of target-specific drug candidates for multifactorial diseases, such as Alzheimer’s disease (AD), which remains inefficiently treated, the advent of multitarget drug discovery has brought a new breath of hope. Here, we disclose a class of 6-chlorotacrine (huprine)–TPPU hybrids as dual inhibitors of the enzymes soluble epoxide hydrolase (sEH) and acetylcholinesterase (AChE), a multitarget profile to provide cumulative effects against neuroinflammation and memory impairment. Computational studies confirmed the gorge-wide occupancy of both enzymes, from the main site to a secondary site, including a so far non-described AChE cryptic pocket. The lead compound displayed in vitro dual nanomolar potencies, adequate brain permeability, aqueous solubility, human microsomal stability, lack of neurotoxicity, and it rescued memory, synaptic plasticity, and neuroinflammation in an AD mouse model, after low dose chronic oral administration.</description><identifier>ISSN: 0022-2623</identifier><identifier>EISSN: 1520-4804</identifier><identifier>DOI: 10.1021/acs.jmedchem.1c02150</identifier><identifier>PMID: 35271276</identifier><language>eng</language><publisher>United States: American Chemical Society</publisher><subject>Acetylcholinesterase ; Alzheimer Disease - drug therapy ; Animals ; Cholinesterase Inhibitors - pharmacology ; Cholinesterase Inhibitors - therapeutic use ; Disease Models, Animal ; Epoxide Hydrolases - antagonists &amp; inhibitors ; Mice</subject><ispartof>Journal of medicinal chemistry, 2022-03, Vol.65 (6), p.4909-4925</ispartof><rights>2022 The Authors. Published by American Chemical Society</rights><rights>2022 The Authors. Published by American Chemical Society 2022 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a3640-fb89538abfe7bca7944791255d8d22838d4452572f43d64b08e65dbe0d915f323</citedby><cites>FETCH-LOGICAL-a3640-fb89538abfe7bca7944791255d8d22838d4452572f43d64b08e65dbe0d915f323</cites><orcidid>0000-0003-1464-1397 ; 0000-0003-3095-4254 ; 0000-0002-9296-6026 ; 0000-0003-4730-0863 ; 0000-0003-2681-8460 ; 0000-0002-2890-3856 ; 0000-0002-5424-9130 ; 0000-0003-3657-6469 ; 0000-0002-8140-8555</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://pubs.acs.org/doi/pdf/10.1021/acs.jmedchem.1c02150$$EPDF$$P50$$Gacs$$H</linktopdf><linktohtml>$$Uhttps://pubs.acs.org/doi/10.1021/acs.jmedchem.1c02150$$EHTML$$P50$$Gacs$$H</linktohtml><link.rule.ids>230,315,781,785,886,2766,27081,27929,27930,56743,56793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35271276$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Codony, Sandra</creatorcontrib><creatorcontrib>Pont, Caterina</creatorcontrib><creatorcontrib>Griñán-Ferré, Christian</creatorcontrib><creatorcontrib>Di Pede-Mattatelli, Ania</creatorcontrib><creatorcontrib>Calvó-Tusell, Carla</creatorcontrib><creatorcontrib>Feixas, Ferran</creatorcontrib><creatorcontrib>Osuna, Sílvia</creatorcontrib><creatorcontrib>Jarné-Ferrer, Júlia</creatorcontrib><creatorcontrib>Naldi, Marina</creatorcontrib><creatorcontrib>Bartolini, Manuela</creatorcontrib><creatorcontrib>Loza, María Isabel</creatorcontrib><creatorcontrib>Brea, José</creatorcontrib><creatorcontrib>Pérez, Belén</creatorcontrib><creatorcontrib>Bartra, Clara</creatorcontrib><creatorcontrib>Sanfeliu, Coral</creatorcontrib><creatorcontrib>Juárez-Jiménez, Jordi</creatorcontrib><creatorcontrib>Morisseau, Christophe</creatorcontrib><creatorcontrib>Hammock, Bruce D</creatorcontrib><creatorcontrib>Pallàs, Mercè</creatorcontrib><creatorcontrib>Vázquez, Santiago</creatorcontrib><creatorcontrib>Muñoz-Torrero, Diego</creatorcontrib><title>Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease</title><title>Journal of medicinal chemistry</title><addtitle>J. Med. Chem</addtitle><description>With innumerable clinical failures of target-specific drug candidates for multifactorial diseases, such as Alzheimer’s disease (AD), which remains inefficiently treated, the advent of multitarget drug discovery has brought a new breath of hope. Here, we disclose a class of 6-chlorotacrine (huprine)–TPPU hybrids as dual inhibitors of the enzymes soluble epoxide hydrolase (sEH) and acetylcholinesterase (AChE), a multitarget profile to provide cumulative effects against neuroinflammation and memory impairment. Computational studies confirmed the gorge-wide occupancy of both enzymes, from the main site to a secondary site, including a so far non-described AChE cryptic pocket. The lead compound displayed in vitro dual nanomolar potencies, adequate brain permeability, aqueous solubility, human microsomal stability, lack of neurotoxicity, and it rescued memory, synaptic plasticity, and neuroinflammation in an AD mouse model, after low dose chronic oral administration.</description><subject>Acetylcholinesterase</subject><subject>Alzheimer Disease - drug therapy</subject><subject>Animals</subject><subject>Cholinesterase Inhibitors - pharmacology</subject><subject>Cholinesterase Inhibitors - therapeutic use</subject><subject>Disease Models, Animal</subject><subject>Epoxide Hydrolases - antagonists &amp; inhibitors</subject><subject>Mice</subject><issn>0022-2623</issn><issn>1520-4804</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9qFDEUxoModq2-gUheYNb8nZm9EZZtdQsFC1ZvQyY500nJTJZkdul45Wv4CL6WT2Km2xa9EQIJOd_3O4fzIfSWkiUljL7XJi1ve7Cmg35JTf6S5BlaUMlIIWoinqMFIYwVrGT8BL1K6ZYQwinjL9EJl6yirCoX6NeZSyYcIE5YDxZfDPibOwR8FUNocT6bMBjYjfNT46276fyEr8IIw4jP9tpnQ-caN4Y4K74Ev2884PNduHMW8HayMXid4J69NjBO3nTBuwHSCHEutNk5doCvI-ixn7GZs_bfO3A9xN8_fiacJ4QsfY1etNonePNwn6KvH8-vN9vi8vOni836stC8FKRom3olea2bFqrG6GolRLWiTEpbW8ZqXlshJJMVawW3pWhIDaW0DRC7orLljJ-iD0fubt_M680zRe3VLrpex0kF7dS_lcF16iYcVO5bS0oyQBwBJoaUIrRPXkrUHJ3K0anH6NRDdNn27u--T6bHrLKAHAX39rCPQ17D_5l_ADc9rUw</recordid><startdate>20220324</startdate><enddate>20220324</enddate><creator>Codony, Sandra</creator><creator>Pont, Caterina</creator><creator>Griñán-Ferré, Christian</creator><creator>Di Pede-Mattatelli, Ania</creator><creator>Calvó-Tusell, Carla</creator><creator>Feixas, Ferran</creator><creator>Osuna, Sílvia</creator><creator>Jarné-Ferrer, Júlia</creator><creator>Naldi, Marina</creator><creator>Bartolini, Manuela</creator><creator>Loza, María Isabel</creator><creator>Brea, José</creator><creator>Pérez, Belén</creator><creator>Bartra, Clara</creator><creator>Sanfeliu, Coral</creator><creator>Juárez-Jiménez, Jordi</creator><creator>Morisseau, Christophe</creator><creator>Hammock, Bruce D</creator><creator>Pallàs, Mercè</creator><creator>Vázquez, Santiago</creator><creator>Muñoz-Torrero, Diego</creator><general>American Chemical Society</general><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>5PM</scope><orcidid>https://orcid.org/0000-0003-1464-1397</orcidid><orcidid>https://orcid.org/0000-0003-3095-4254</orcidid><orcidid>https://orcid.org/0000-0002-9296-6026</orcidid><orcidid>https://orcid.org/0000-0003-4730-0863</orcidid><orcidid>https://orcid.org/0000-0003-2681-8460</orcidid><orcidid>https://orcid.org/0000-0002-2890-3856</orcidid><orcidid>https://orcid.org/0000-0002-5424-9130</orcidid><orcidid>https://orcid.org/0000-0003-3657-6469</orcidid><orcidid>https://orcid.org/0000-0002-8140-8555</orcidid></search><sort><creationdate>20220324</creationdate><title>Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease</title><author>Codony, Sandra ; Pont, Caterina ; Griñán-Ferré, Christian ; Di Pede-Mattatelli, Ania ; Calvó-Tusell, Carla ; Feixas, Ferran ; Osuna, Sílvia ; Jarné-Ferrer, Júlia ; Naldi, Marina ; Bartolini, Manuela ; Loza, María Isabel ; Brea, José ; Pérez, Belén ; Bartra, Clara ; Sanfeliu, Coral ; Juárez-Jiménez, Jordi ; Morisseau, Christophe ; Hammock, Bruce D ; Pallàs, Mercè ; Vázquez, Santiago ; Muñoz-Torrero, Diego</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a3640-fb89538abfe7bca7944791255d8d22838d4452572f43d64b08e65dbe0d915f323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acetylcholinesterase</topic><topic>Alzheimer Disease - drug therapy</topic><topic>Animals</topic><topic>Cholinesterase Inhibitors - pharmacology</topic><topic>Cholinesterase Inhibitors - therapeutic use</topic><topic>Disease Models, Animal</topic><topic>Epoxide Hydrolases - antagonists &amp; inhibitors</topic><topic>Mice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Codony, Sandra</creatorcontrib><creatorcontrib>Pont, Caterina</creatorcontrib><creatorcontrib>Griñán-Ferré, Christian</creatorcontrib><creatorcontrib>Di Pede-Mattatelli, Ania</creatorcontrib><creatorcontrib>Calvó-Tusell, Carla</creatorcontrib><creatorcontrib>Feixas, Ferran</creatorcontrib><creatorcontrib>Osuna, Sílvia</creatorcontrib><creatorcontrib>Jarné-Ferrer, Júlia</creatorcontrib><creatorcontrib>Naldi, Marina</creatorcontrib><creatorcontrib>Bartolini, Manuela</creatorcontrib><creatorcontrib>Loza, María Isabel</creatorcontrib><creatorcontrib>Brea, José</creatorcontrib><creatorcontrib>Pérez, Belén</creatorcontrib><creatorcontrib>Bartra, Clara</creatorcontrib><creatorcontrib>Sanfeliu, Coral</creatorcontrib><creatorcontrib>Juárez-Jiménez, Jordi</creatorcontrib><creatorcontrib>Morisseau, Christophe</creatorcontrib><creatorcontrib>Hammock, Bruce D</creatorcontrib><creatorcontrib>Pallàs, Mercè</creatorcontrib><creatorcontrib>Vázquez, Santiago</creatorcontrib><creatorcontrib>Muñoz-Torrero, Diego</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medicinal chemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Codony, Sandra</au><au>Pont, Caterina</au><au>Griñán-Ferré, Christian</au><au>Di Pede-Mattatelli, Ania</au><au>Calvó-Tusell, Carla</au><au>Feixas, Ferran</au><au>Osuna, Sílvia</au><au>Jarné-Ferrer, Júlia</au><au>Naldi, Marina</au><au>Bartolini, Manuela</au><au>Loza, María Isabel</au><au>Brea, José</au><au>Pérez, Belén</au><au>Bartra, Clara</au><au>Sanfeliu, Coral</au><au>Juárez-Jiménez, Jordi</au><au>Morisseau, Christophe</au><au>Hammock, Bruce D</au><au>Pallàs, Mercè</au><au>Vázquez, Santiago</au><au>Muñoz-Torrero, Diego</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease</atitle><jtitle>Journal of medicinal chemistry</jtitle><addtitle>J. Med. Chem</addtitle><date>2022-03-24</date><risdate>2022</risdate><volume>65</volume><issue>6</issue><spage>4909</spage><epage>4925</epage><pages>4909-4925</pages><issn>0022-2623</issn><eissn>1520-4804</eissn><abstract>With innumerable clinical failures of target-specific drug candidates for multifactorial diseases, such as Alzheimer’s disease (AD), which remains inefficiently treated, the advent of multitarget drug discovery has brought a new breath of hope. Here, we disclose a class of 6-chlorotacrine (huprine)–TPPU hybrids as dual inhibitors of the enzymes soluble epoxide hydrolase (sEH) and acetylcholinesterase (AChE), a multitarget profile to provide cumulative effects against neuroinflammation and memory impairment. Computational studies confirmed the gorge-wide occupancy of both enzymes, from the main site to a secondary site, including a so far non-described AChE cryptic pocket. The lead compound displayed in vitro dual nanomolar potencies, adequate brain permeability, aqueous solubility, human microsomal stability, lack of neurotoxicity, and it rescued memory, synaptic plasticity, and neuroinflammation in an AD mouse model, after low dose chronic oral administration.</abstract><cop>United States</cop><pub>American Chemical Society</pub><pmid>35271276</pmid><doi>10.1021/acs.jmedchem.1c02150</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0003-1464-1397</orcidid><orcidid>https://orcid.org/0000-0003-3095-4254</orcidid><orcidid>https://orcid.org/0000-0002-9296-6026</orcidid><orcidid>https://orcid.org/0000-0003-4730-0863</orcidid><orcidid>https://orcid.org/0000-0003-2681-8460</orcidid><orcidid>https://orcid.org/0000-0002-2890-3856</orcidid><orcidid>https://orcid.org/0000-0002-5424-9130</orcidid><orcidid>https://orcid.org/0000-0003-3657-6469</orcidid><orcidid>https://orcid.org/0000-0002-8140-8555</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0022-2623
ispartof Journal of medicinal chemistry, 2022-03, Vol.65 (6), p.4909-4925
issn 0022-2623
1520-4804
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8958510
source MEDLINE; American Chemical Society Journals
subjects Acetylcholinesterase
Alzheimer Disease - drug therapy
Animals
Cholinesterase Inhibitors - pharmacology
Cholinesterase Inhibitors - therapeutic use
Disease Models, Animal
Epoxide Hydrolases - antagonists & inhibitors
Mice
title Discovery and In Vivo Proof of Concept of a Highly Potent Dual Inhibitor of Soluble Epoxide Hydrolase and Acetylcholinesterase for the Treatment of Alzheimer’s Disease
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T16%3A53%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-acs_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Discovery%20and%20In%20Vivo%20Proof%20of%20Concept%20of%20a%20Highly%20Potent%20Dual%20Inhibitor%20of%20Soluble%20Epoxide%20Hydrolase%20and%20Acetylcholinesterase%20for%20the%20Treatment%20of%20Alzheimer%E2%80%99s%20Disease&rft.jtitle=Journal%20of%20medicinal%20chemistry&rft.au=Codony,%20Sandra&rft.date=2022-03-24&rft.volume=65&rft.issue=6&rft.spage=4909&rft.epage=4925&rft.pages=4909-4925&rft.issn=0022-2623&rft.eissn=1520-4804&rft_id=info:doi/10.1021/acs.jmedchem.1c02150&rft_dat=%3Cacs_pubme%3Ea088853361%3C/acs_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/35271276&rfr_iscdi=true