Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise

This investigation examined the influence of 12-week ballistic resistance training programs on the IGF-I system in circulation, interstitial fluid, and skeletal muscle, at rest and in response to acute exercise. Seventeen college-aged subjects (11 women/6 men; 21.7 ± 3.7 yr) completed an acute balli...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of applied physiology (1985) 2022-07, Vol.133 (1), p.170-182
Hauptverfasser: Sterczala, Adam J, Pierce, Joseph R, Barnes, Brian R, Urso, Maria L, Matheny, Ronald W, Scofield, Dennis E, Flanagan, Shawn D, Maresh, Carl M, Zambraski, Edward J, Kraemer, William J, Nindl, Bradley C
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 182
container_issue 1
container_start_page 170
container_title Journal of applied physiology (1985)
container_volume 133
creator Sterczala, Adam J
Pierce, Joseph R
Barnes, Brian R
Urso, Maria L
Matheny, Ronald W
Scofield, Dennis E
Flanagan, Shawn D
Maresh, Carl M
Zambraski, Edward J
Kraemer, William J
Nindl, Bradley C
description This investigation examined the influence of 12-week ballistic resistance training programs on the IGF-I system in circulation, interstitial fluid, and skeletal muscle, at rest and in response to acute exercise. Seventeen college-aged subjects (11 women/6 men; 21.7 ± 3.7 yr) completed an acute ballistic exercise bout before and after the training program. Blood samples were collected pre-, mid-, and postexercise and analyzed for serum total IGF-I, free IGF-I, and IGF binding proteins (IGFBPs) 1-4. Dialysate and interstitial free IGF-I were analyzed in vastus lateralis (VL) interstitial fluid collected pre- and postexercise via microdialysis. Pre- and postexercise VL muscle biopsies were analyzed for IGF-I protein expression, IGF-I receptor phosphorylation (p-IGF-IR), and AKT phosphorylation (p-AKT). Following training, basal serum IGF-I, free IGF-I, IGFBP-2, and IGFBP-3 decreased whereas IGFBP-1 and IGFBP-4 increased. Training reduced basal dialysate and interstitial free IGF-I but had no effect on basal skeletal muscle IGF-I, p-IGF-IR, or p-AKT. Acute exercise elicited transient changes in IGF-I system concentrations and downstream anabolic signaling both pre- and posttraining; training did not affect this acute exercise response. Posttraining, acute exercise-induced changes in dialysate/interstitial free IGF-I were strongly correlated with the changes in intramuscular IGF-I expression, p-IGF-IR, and p-AKT. The divergent influence of resistance training on circulating/interstitial and skeletal muscle IGF-I demonstrates the importance of concurrent, multiple biocompartment analysis when examining the IGF-I system. As training elicited muscle hypertrophy, these findings indicate that IGF-I's anabolic effects on skeletal muscle are mediated by local, rather than systemic mechanisms. In the first investigation to assess resistance training's effects on the IGF-I system in serum, interstitial fluid, and skeletal muscle, training decreased basal circulating and interstitial IGF-I but did not alter basal intramuscular IGF-I protein activity. Posttraining, acute exercise-induced interstitial IGF-I increases were strongly correlated with intramuscular IGF-I expression and signaling. These findings highlight the importance of multibiocompartment measurement when analyzing IGF-I and suggest that IGF-I's role in hypertrophic adaptations is locally mediated.
doi_str_mv 10.1152/japplphysiol.00592.2021
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9291428</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2674755482</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-d0fba578f12a5e7c90e864fa517834b51cd96caf6f872144ccace17a5889752b3</originalsourceid><addsrcrecordid>eNpVkctu1TAQhiMEoofCK4CXLJqD7cSxs0FCFZcjVWIDa2vijBsXxw62A5RH4WlJT0tVViPN_PPP5auqV4zuGRP8zRUsi1-m6-yi31Mqer7nlLNH1W6r8pp1lD2udkoKWkuh5En1LOcrSlnbCva0OmlEJ5Vsm1315xDy6l2ovfuG5DLFn2UiFkyJqT6QwUUT5wVSmTEU8O43FBcDAZNizmTwMY5nxIWCKRdXHHhi_epGAmEk85qNxzMyoI0Jjymwm5I0ZI6hTJlES8yUYnCGJMwuFwgGCf7CZFzG59UTCz7ji7t4Wn398P7L-af64vPHw_m7i9q0TJZ6pHYAIZVlHARK01NUXWtBMKmadhDMjH1nwHZWSb49wBgwyCQIpXop-NCcVm9vfZd1mHE026UJvF6SmyFd6whO_18JbtKX8Yfuec9arjaD13cGKX5fMRc9u2zQewgY16x5J1spRKv4JpW30uMDE9r7MYzqG7L6IVl9JKtvyG6dLx9ued_3D2XzF9kbqTc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2674755482</pqid></control><display><type>article</type><title>Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise</title><source>MEDLINE</source><source>American Physiological Society Paid</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Sterczala, Adam J ; Pierce, Joseph R ; Barnes, Brian R ; Urso, Maria L ; Matheny, Ronald W ; Scofield, Dennis E ; Flanagan, Shawn D ; Maresh, Carl M ; Zambraski, Edward J ; Kraemer, William J ; Nindl, Bradley C</creator><creatorcontrib>Sterczala, Adam J ; Pierce, Joseph R ; Barnes, Brian R ; Urso, Maria L ; Matheny, Ronald W ; Scofield, Dennis E ; Flanagan, Shawn D ; Maresh, Carl M ; Zambraski, Edward J ; Kraemer, William J ; Nindl, Bradley C</creatorcontrib><description>This investigation examined the influence of 12-week ballistic resistance training programs on the IGF-I system in circulation, interstitial fluid, and skeletal muscle, at rest and in response to acute exercise. Seventeen college-aged subjects (11 women/6 men; 21.7 ± 3.7 yr) completed an acute ballistic exercise bout before and after the training program. Blood samples were collected pre-, mid-, and postexercise and analyzed for serum total IGF-I, free IGF-I, and IGF binding proteins (IGFBPs) 1-4. Dialysate and interstitial free IGF-I were analyzed in vastus lateralis (VL) interstitial fluid collected pre- and postexercise via microdialysis. Pre- and postexercise VL muscle biopsies were analyzed for IGF-I protein expression, IGF-I receptor phosphorylation (p-IGF-IR), and AKT phosphorylation (p-AKT). Following training, basal serum IGF-I, free IGF-I, IGFBP-2, and IGFBP-3 decreased whereas IGFBP-1 and IGFBP-4 increased. Training reduced basal dialysate and interstitial free IGF-I but had no effect on basal skeletal muscle IGF-I, p-IGF-IR, or p-AKT. Acute exercise elicited transient changes in IGF-I system concentrations and downstream anabolic signaling both pre- and posttraining; training did not affect this acute exercise response. Posttraining, acute exercise-induced changes in dialysate/interstitial free IGF-I were strongly correlated with the changes in intramuscular IGF-I expression, p-IGF-IR, and p-AKT. The divergent influence of resistance training on circulating/interstitial and skeletal muscle IGF-I demonstrates the importance of concurrent, multiple biocompartment analysis when examining the IGF-I system. As training elicited muscle hypertrophy, these findings indicate that IGF-I's anabolic effects on skeletal muscle are mediated by local, rather than systemic mechanisms. In the first investigation to assess resistance training's effects on the IGF-I system in serum, interstitial fluid, and skeletal muscle, training decreased basal circulating and interstitial IGF-I but did not alter basal intramuscular IGF-I protein activity. Posttraining, acute exercise-induced interstitial IGF-I increases were strongly correlated with intramuscular IGF-I expression and signaling. These findings highlight the importance of multibiocompartment measurement when analyzing IGF-I and suggest that IGF-I's role in hypertrophic adaptations is locally mediated.</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/japplphysiol.00592.2021</identifier><identifier>PMID: 35678743</identifier><language>eng</language><publisher>United States: American Physiological Society</publisher><subject>Exercise - physiology ; Extracellular Fluid - metabolism ; Female ; Humans ; Insulin-Like Growth Factor I - metabolism ; Male ; Muscle, Skeletal - physiology ; Proto-Oncogene Proteins c-akt ; Resistance Training ; Young Adult</subject><ispartof>Journal of applied physiology (1985), 2022-07, Vol.133 (1), p.170-182</ispartof><rights>Published by the American Physiological Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-d0fba578f12a5e7c90e864fa517834b51cd96caf6f872144ccace17a5889752b3</citedby><cites>FETCH-LOGICAL-c417t-d0fba578f12a5e7c90e864fa517834b51cd96caf6f872144ccace17a5889752b3</cites><orcidid>0000-0001-7088-5930 ; 0000-0002-0322-6836 ; 0000-0002-6907-0264 ; 0000-0002-6531-4567</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,3039,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35678743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sterczala, Adam J</creatorcontrib><creatorcontrib>Pierce, Joseph R</creatorcontrib><creatorcontrib>Barnes, Brian R</creatorcontrib><creatorcontrib>Urso, Maria L</creatorcontrib><creatorcontrib>Matheny, Ronald W</creatorcontrib><creatorcontrib>Scofield, Dennis E</creatorcontrib><creatorcontrib>Flanagan, Shawn D</creatorcontrib><creatorcontrib>Maresh, Carl M</creatorcontrib><creatorcontrib>Zambraski, Edward J</creatorcontrib><creatorcontrib>Kraemer, William J</creatorcontrib><creatorcontrib>Nindl, Bradley C</creatorcontrib><title>Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>This investigation examined the influence of 12-week ballistic resistance training programs on the IGF-I system in circulation, interstitial fluid, and skeletal muscle, at rest and in response to acute exercise. Seventeen college-aged subjects (11 women/6 men; 21.7 ± 3.7 yr) completed an acute ballistic exercise bout before and after the training program. Blood samples were collected pre-, mid-, and postexercise and analyzed for serum total IGF-I, free IGF-I, and IGF binding proteins (IGFBPs) 1-4. Dialysate and interstitial free IGF-I were analyzed in vastus lateralis (VL) interstitial fluid collected pre- and postexercise via microdialysis. Pre- and postexercise VL muscle biopsies were analyzed for IGF-I protein expression, IGF-I receptor phosphorylation (p-IGF-IR), and AKT phosphorylation (p-AKT). Following training, basal serum IGF-I, free IGF-I, IGFBP-2, and IGFBP-3 decreased whereas IGFBP-1 and IGFBP-4 increased. Training reduced basal dialysate and interstitial free IGF-I but had no effect on basal skeletal muscle IGF-I, p-IGF-IR, or p-AKT. Acute exercise elicited transient changes in IGF-I system concentrations and downstream anabolic signaling both pre- and posttraining; training did not affect this acute exercise response. Posttraining, acute exercise-induced changes in dialysate/interstitial free IGF-I were strongly correlated with the changes in intramuscular IGF-I expression, p-IGF-IR, and p-AKT. The divergent influence of resistance training on circulating/interstitial and skeletal muscle IGF-I demonstrates the importance of concurrent, multiple biocompartment analysis when examining the IGF-I system. As training elicited muscle hypertrophy, these findings indicate that IGF-I's anabolic effects on skeletal muscle are mediated by local, rather than systemic mechanisms. In the first investigation to assess resistance training's effects on the IGF-I system in serum, interstitial fluid, and skeletal muscle, training decreased basal circulating and interstitial IGF-I but did not alter basal intramuscular IGF-I protein activity. Posttraining, acute exercise-induced interstitial IGF-I increases were strongly correlated with intramuscular IGF-I expression and signaling. These findings highlight the importance of multibiocompartment measurement when analyzing IGF-I and suggest that IGF-I's role in hypertrophic adaptations is locally mediated.</description><subject>Exercise - physiology</subject><subject>Extracellular Fluid - metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Insulin-Like Growth Factor I - metabolism</subject><subject>Male</subject><subject>Muscle, Skeletal - physiology</subject><subject>Proto-Oncogene Proteins c-akt</subject><subject>Resistance Training</subject><subject>Young Adult</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctu1TAQhiMEoofCK4CXLJqD7cSxs0FCFZcjVWIDa2vijBsXxw62A5RH4WlJT0tVViPN_PPP5auqV4zuGRP8zRUsi1-m6-yi31Mqer7nlLNH1W6r8pp1lD2udkoKWkuh5En1LOcrSlnbCva0OmlEJ5Vsm1315xDy6l2ovfuG5DLFn2UiFkyJqT6QwUUT5wVSmTEU8O43FBcDAZNizmTwMY5nxIWCKRdXHHhi_epGAmEk85qNxzMyoI0Jjymwm5I0ZI6hTJlES8yUYnCGJMwuFwgGCf7CZFzG59UTCz7ji7t4Wn398P7L-af64vPHw_m7i9q0TJZ6pHYAIZVlHARK01NUXWtBMKmadhDMjH1nwHZWSb49wBgwyCQIpXop-NCcVm9vfZd1mHE026UJvF6SmyFd6whO_18JbtKX8Yfuec9arjaD13cGKX5fMRc9u2zQewgY16x5J1spRKv4JpW30uMDE9r7MYzqG7L6IVl9JKtvyG6dLx9ued_3D2XzF9kbqTc</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Sterczala, Adam J</creator><creator>Pierce, Joseph R</creator><creator>Barnes, Brian R</creator><creator>Urso, Maria L</creator><creator>Matheny, Ronald W</creator><creator>Scofield, Dennis E</creator><creator>Flanagan, Shawn D</creator><creator>Maresh, Carl M</creator><creator>Zambraski, Edward J</creator><creator>Kraemer, William J</creator><creator>Nindl, Bradley C</creator><general>American Physiological 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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7088-5930</orcidid><orcidid>https://orcid.org/0000-0002-0322-6836</orcidid><orcidid>https://orcid.org/0000-0002-6907-0264</orcidid><orcidid>https://orcid.org/0000-0002-6531-4567</orcidid></search><sort><creationdate>20220701</creationdate><title>Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise</title><author>Sterczala, Adam J ; Pierce, Joseph R ; Barnes, Brian R ; Urso, Maria L ; Matheny, Ronald W ; Scofield, Dennis E ; Flanagan, Shawn D ; Maresh, Carl M ; Zambraski, Edward J ; Kraemer, William J ; Nindl, Bradley C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-d0fba578f12a5e7c90e864fa517834b51cd96caf6f872144ccace17a5889752b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Exercise - physiology</topic><topic>Extracellular Fluid - metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Insulin-Like Growth Factor I - metabolism</topic><topic>Male</topic><topic>Muscle, Skeletal - physiology</topic><topic>Proto-Oncogene Proteins c-akt</topic><topic>Resistance Training</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sterczala, Adam J</creatorcontrib><creatorcontrib>Pierce, Joseph R</creatorcontrib><creatorcontrib>Barnes, Brian R</creatorcontrib><creatorcontrib>Urso, Maria L</creatorcontrib><creatorcontrib>Matheny, Ronald W</creatorcontrib><creatorcontrib>Scofield, Dennis E</creatorcontrib><creatorcontrib>Flanagan, Shawn D</creatorcontrib><creatorcontrib>Maresh, Carl M</creatorcontrib><creatorcontrib>Zambraski, Edward J</creatorcontrib><creatorcontrib>Kraemer, William J</creatorcontrib><creatorcontrib>Nindl, Bradley C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of applied physiology (1985)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sterczala, Adam J</au><au>Pierce, Joseph R</au><au>Barnes, Brian R</au><au>Urso, Maria L</au><au>Matheny, Ronald W</au><au>Scofield, Dennis E</au><au>Flanagan, Shawn D</au><au>Maresh, Carl M</au><au>Zambraski, Edward J</au><au>Kraemer, William J</au><au>Nindl, Bradley C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>133</volume><issue>1</issue><spage>170</spage><epage>182</epage><pages>170-182</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><abstract>This investigation examined the influence of 12-week ballistic resistance training programs on the IGF-I system in circulation, interstitial fluid, and skeletal muscle, at rest and in response to acute exercise. Seventeen college-aged subjects (11 women/6 men; 21.7 ± 3.7 yr) completed an acute ballistic exercise bout before and after the training program. Blood samples were collected pre-, mid-, and postexercise and analyzed for serum total IGF-I, free IGF-I, and IGF binding proteins (IGFBPs) 1-4. Dialysate and interstitial free IGF-I were analyzed in vastus lateralis (VL) interstitial fluid collected pre- and postexercise via microdialysis. Pre- and postexercise VL muscle biopsies were analyzed for IGF-I protein expression, IGF-I receptor phosphorylation (p-IGF-IR), and AKT phosphorylation (p-AKT). Following training, basal serum IGF-I, free IGF-I, IGFBP-2, and IGFBP-3 decreased whereas IGFBP-1 and IGFBP-4 increased. Training reduced basal dialysate and interstitial free IGF-I but had no effect on basal skeletal muscle IGF-I, p-IGF-IR, or p-AKT. Acute exercise elicited transient changes in IGF-I system concentrations and downstream anabolic signaling both pre- and posttraining; training did not affect this acute exercise response. Posttraining, acute exercise-induced changes in dialysate/interstitial free IGF-I were strongly correlated with the changes in intramuscular IGF-I expression, p-IGF-IR, and p-AKT. The divergent influence of resistance training on circulating/interstitial and skeletal muscle IGF-I demonstrates the importance of concurrent, multiple biocompartment analysis when examining the IGF-I system. As training elicited muscle hypertrophy, these findings indicate that IGF-I's anabolic effects on skeletal muscle are mediated by local, rather than systemic mechanisms. In the first investigation to assess resistance training's effects on the IGF-I system in serum, interstitial fluid, and skeletal muscle, training decreased basal circulating and interstitial IGF-I but did not alter basal intramuscular IGF-I protein activity. Posttraining, acute exercise-induced interstitial IGF-I increases were strongly correlated with intramuscular IGF-I expression and signaling. These findings highlight the importance of multibiocompartment measurement when analyzing IGF-I and suggest that IGF-I's role in hypertrophic adaptations is locally mediated.</abstract><cop>United States</cop><pub>American Physiological Society</pub><pmid>35678743</pmid><doi>10.1152/japplphysiol.00592.2021</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-7088-5930</orcidid><orcidid>https://orcid.org/0000-0002-0322-6836</orcidid><orcidid>https://orcid.org/0000-0002-6907-0264</orcidid><orcidid>https://orcid.org/0000-0002-6531-4567</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 8750-7587
ispartof Journal of applied physiology (1985), 2022-07, Vol.133 (1), p.170-182
issn 8750-7587
1522-1601
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9291428
source MEDLINE; American Physiological Society Paid; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Exercise - physiology
Extracellular Fluid - metabolism
Female
Humans
Insulin-Like Growth Factor I - metabolism
Male
Muscle, Skeletal - physiology
Proto-Oncogene Proteins c-akt
Resistance Training
Young Adult
title Insulin-like growth factor-I biocompartmentalization across blood, interstitial fluid and muscle, before and after 3 months of chronic resistance exercise
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T18%3A22%3A21IST&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=Insulin-like%20growth%20factor-I%20biocompartmentalization%20across%20blood,%20interstitial%20fluid%20and%20muscle,%20before%20and%20after%203%20months%20of%20chronic%20resistance%20exercise&rft.jtitle=Journal%20of%20applied%20physiology%20(1985)&rft.au=Sterczala,%20Adam%20J&rft.date=2022-07-01&rft.volume=133&rft.issue=1&rft.spage=170&rft.epage=182&rft.pages=170-182&rft.issn=8750-7587&rft.eissn=1522-1601&rft_id=info:doi/10.1152/japplphysiol.00592.2021&rft_dat=%3Cproquest_pubme%3E2674755482%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=2674755482&rft_id=info:pmid/35678743&rfr_iscdi=true