microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective
Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treat...
Gespeichert in:
Veröffentlicht in: | International journal of molecular sciences 2022-12, Vol.23 (24), p.15645 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 24 |
container_start_page | 15645 |
container_title | International journal of molecular sciences |
container_volume | 23 |
creator | Badacz, Rafał Przewłocki, Tadeusz Legutko, Jacek Żmudka, Krzysztof Kabłak-Ziembicka, Anna |
description | Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. In addition, all major studies on carotid atherosclerotic plaque were conducted on cell culture or animal models; very few were conducted on humans, whereas the accumulating evidence demonstrates that it cannot be automatically extrapolated to processes in humans. Therefore, this paper aims to review the current knowledge on how miRNA participate in the process of carotid plaque formation and rupture, as well as stroke occurrence. We discuss potential target miRNA that could be used as a prognostic or therapeutic tool. |
doi_str_mv | 10.3390/ijms232415645 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9779323</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2758101038</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-fac43c48f5a1ae8a079d91174a677d2dc371c13f75611557fcda16c6fd2ec0d23</originalsourceid><addsrcrecordid>eNpdkd1LHDEUxYNU_Nj62NcS6IN9Gc3HZDLTB2HZ2iqIlWJ9DTG5082SmazJzIr_vVlWxfXpXrg_Dufcg9AXSk44b8ipW3SJcVZSUZViBx3QkrGCkEp-erfvo8OUFoRkUDR7aJ9XQghWiwNkOmdi-Hs9TXiaUjBOD2DxoxvmeKZjGJzFN14_jIB_wgp8WHbQD1j3Ft-Nvoeo7513w9MPfDsHPPOud1miP074BmJaghncCj6j3Vb7BEcvc4L-_Tq_nV0UV39-X86mV4XJ7oei1abkpqxboamGWhPZ2IZSWepKSsus4ZIaylspKkqFkK2xmlamai0DQyzjE3S20V2O9x1Yk51G7dUyuk7HJxW0U9uX3s3V_7BSjZQNZzwLfH8RiCFHToPqXDLgve4hjEkxKWpKKOF1Rr99QBdhjH2Ot6YqKRghIlPFhso_TilC-2aGErWuT23Vl_mv7xO80a998WcX8Zel</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2756752005</pqid></control><display><type>article</type><title>microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Badacz, Rafał ; Przewłocki, Tadeusz ; Legutko, Jacek ; Żmudka, Krzysztof ; Kabłak-Ziembicka, Anna</creator><creatorcontrib>Badacz, Rafał ; Przewłocki, Tadeusz ; Legutko, Jacek ; Żmudka, Krzysztof ; Kabłak-Ziembicka, Anna</creatorcontrib><description>Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. In addition, all major studies on carotid atherosclerotic plaque were conducted on cell culture or animal models; very few were conducted on humans, whereas the accumulating evidence demonstrates that it cannot be automatically extrapolated to processes in humans. Therefore, this paper aims to review the current knowledge on how miRNA participate in the process of carotid plaque formation and rupture, as well as stroke occurrence. We discuss potential target miRNA that could be used as a prognostic or therapeutic tool.</description><identifier>ISSN: 1422-0067</identifier><identifier>ISSN: 1661-6596</identifier><identifier>EISSN: 1422-0067</identifier><identifier>DOI: 10.3390/ijms232415645</identifier><identifier>PMID: 36555285</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Animal models ; Animals ; Arteriosclerosis ; Atherosclerosis ; Atherosclerosis - metabolism ; Biomarkers ; Cardiovascular system ; Carotid arteries ; Carotid Arteries - metabolism ; Carotid Artery Diseases - genetics ; Carotid Artery Diseases - pathology ; Carotid Stenosis - metabolism ; Cell culture ; Cholesterol ; Cytokines ; Endothelium ; Gene expression ; Humans ; Inflammation ; Ischemia ; Ischemic Stroke - pathology ; Kinases ; Lipids ; Metabolism ; MicroRNAs ; MicroRNAs - genetics ; miRNA ; Morphology ; Mortality ; Nanoparticles ; Plaque, Atherosclerotic - metabolism ; Review ; Risk analysis ; Risk Factors ; Risk management ; Senescence ; Stenosis ; Stroke ; Tomography ; Vascular endothelial growth factor ; Veins & arteries</subject><ispartof>International journal of molecular sciences, 2022-12, Vol.23 (24), p.15645</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-fac43c48f5a1ae8a079d91174a677d2dc371c13f75611557fcda16c6fd2ec0d23</citedby><cites>FETCH-LOGICAL-c415t-fac43c48f5a1ae8a079d91174a677d2dc371c13f75611557fcda16c6fd2ec0d23</cites><orcidid>0000-0003-0122-1318 ; 0000-0002-8006-7840</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/PMC9779323/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779323/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36555285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Badacz, Rafał</creatorcontrib><creatorcontrib>Przewłocki, Tadeusz</creatorcontrib><creatorcontrib>Legutko, Jacek</creatorcontrib><creatorcontrib>Żmudka, Krzysztof</creatorcontrib><creatorcontrib>Kabłak-Ziembicka, Anna</creatorcontrib><title>microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective</title><title>International journal of molecular sciences</title><addtitle>Int J Mol Sci</addtitle><description>Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. In addition, all major studies on carotid atherosclerotic plaque were conducted on cell culture or animal models; very few were conducted on humans, whereas the accumulating evidence demonstrates that it cannot be automatically extrapolated to processes in humans. Therefore, this paper aims to review the current knowledge on how miRNA participate in the process of carotid plaque formation and rupture, as well as stroke occurrence. We discuss potential target miRNA that could be used as a prognostic or therapeutic tool.</description><subject>Animal models</subject><subject>Animals</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - metabolism</subject><subject>Biomarkers</subject><subject>Cardiovascular system</subject><subject>Carotid arteries</subject><subject>Carotid Arteries - metabolism</subject><subject>Carotid Artery Diseases - genetics</subject><subject>Carotid Artery Diseases - pathology</subject><subject>Carotid Stenosis - metabolism</subject><subject>Cell culture</subject><subject>Cholesterol</subject><subject>Cytokines</subject><subject>Endothelium</subject><subject>Gene expression</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Ischemia</subject><subject>Ischemic Stroke - pathology</subject><subject>Kinases</subject><subject>Lipids</subject><subject>Metabolism</subject><subject>MicroRNAs</subject><subject>MicroRNAs - genetics</subject><subject>miRNA</subject><subject>Morphology</subject><subject>Mortality</subject><subject>Nanoparticles</subject><subject>Plaque, Atherosclerotic - metabolism</subject><subject>Review</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Senescence</subject><subject>Stenosis</subject><subject>Stroke</subject><subject>Tomography</subject><subject>Vascular endothelial growth factor</subject><subject>Veins & arteries</subject><issn>1422-0067</issn><issn>1661-6596</issn><issn>1422-0067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkd1LHDEUxYNU_Nj62NcS6IN9Gc3HZDLTB2HZ2iqIlWJ9DTG5082SmazJzIr_vVlWxfXpXrg_Dufcg9AXSk44b8ipW3SJcVZSUZViBx3QkrGCkEp-erfvo8OUFoRkUDR7aJ9XQghWiwNkOmdi-Hs9TXiaUjBOD2DxoxvmeKZjGJzFN14_jIB_wgp8WHbQD1j3Ft-Nvoeo7513w9MPfDsHPPOud1miP074BmJaghncCj6j3Vb7BEcvc4L-_Tq_nV0UV39-X86mV4XJ7oei1abkpqxboamGWhPZ2IZSWepKSsus4ZIaylspKkqFkK2xmlamai0DQyzjE3S20V2O9x1Yk51G7dUyuk7HJxW0U9uX3s3V_7BSjZQNZzwLfH8RiCFHToPqXDLgve4hjEkxKWpKKOF1Rr99QBdhjH2Ot6YqKRghIlPFhso_TilC-2aGErWuT23Vl_mv7xO80a998WcX8Zel</recordid><startdate>20221209</startdate><enddate>20221209</enddate><creator>Badacz, Rafał</creator><creator>Przewłocki, Tadeusz</creator><creator>Legutko, Jacek</creator><creator>Żmudka, Krzysztof</creator><creator>Kabłak-Ziembicka, Anna</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</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>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0122-1318</orcidid><orcidid>https://orcid.org/0000-0002-8006-7840</orcidid></search><sort><creationdate>20221209</creationdate><title>microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective</title><author>Badacz, Rafał ; Przewłocki, Tadeusz ; Legutko, Jacek ; Żmudka, Krzysztof ; Kabłak-Ziembicka, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-fac43c48f5a1ae8a079d91174a677d2dc371c13f75611557fcda16c6fd2ec0d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Animal models</topic><topic>Animals</topic><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis - metabolism</topic><topic>Biomarkers</topic><topic>Cardiovascular system</topic><topic>Carotid arteries</topic><topic>Carotid Arteries - metabolism</topic><topic>Carotid Artery Diseases - genetics</topic><topic>Carotid Artery Diseases - pathology</topic><topic>Carotid Stenosis - metabolism</topic><topic>Cell culture</topic><topic>Cholesterol</topic><topic>Cytokines</topic><topic>Endothelium</topic><topic>Gene expression</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Ischemia</topic><topic>Ischemic Stroke - pathology</topic><topic>Kinases</topic><topic>Lipids</topic><topic>Metabolism</topic><topic>MicroRNAs</topic><topic>MicroRNAs - genetics</topic><topic>miRNA</topic><topic>Morphology</topic><topic>Mortality</topic><topic>Nanoparticles</topic><topic>Plaque, Atherosclerotic - metabolism</topic><topic>Review</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Risk management</topic><topic>Senescence</topic><topic>Stenosis</topic><topic>Stroke</topic><topic>Tomography</topic><topic>Vascular endothelial growth factor</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badacz, Rafał</creatorcontrib><creatorcontrib>Przewłocki, Tadeusz</creatorcontrib><creatorcontrib>Legutko, Jacek</creatorcontrib><creatorcontrib>Żmudka, Krzysztof</creatorcontrib><creatorcontrib>Kabłak-Ziembicka, Anna</creatorcontrib><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 & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</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>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of molecular sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badacz, Rafał</au><au>Przewłocki, Tadeusz</au><au>Legutko, Jacek</au><au>Żmudka, Krzysztof</au><au>Kabłak-Ziembicka, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective</atitle><jtitle>International journal of molecular sciences</jtitle><addtitle>Int J Mol Sci</addtitle><date>2022-12-09</date><risdate>2022</risdate><volume>23</volume><issue>24</issue><spage>15645</spage><pages>15645-</pages><issn>1422-0067</issn><issn>1661-6596</issn><eissn>1422-0067</eissn><abstract>Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. In addition, all major studies on carotid atherosclerotic plaque were conducted on cell culture or animal models; very few were conducted on humans, whereas the accumulating evidence demonstrates that it cannot be automatically extrapolated to processes in humans. Therefore, this paper aims to review the current knowledge on how miRNA participate in the process of carotid plaque formation and rupture, as well as stroke occurrence. We discuss potential target miRNA that could be used as a prognostic or therapeutic tool.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36555285</pmid><doi>10.3390/ijms232415645</doi><orcidid>https://orcid.org/0000-0003-0122-1318</orcidid><orcidid>https://orcid.org/0000-0002-8006-7840</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1422-0067 |
ispartof | International journal of molecular sciences, 2022-12, Vol.23 (24), p.15645 |
issn | 1422-0067 1661-6596 1422-0067 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9779323 |
source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
subjects | Animal models Animals Arteriosclerosis Atherosclerosis Atherosclerosis - metabolism Biomarkers Cardiovascular system Carotid arteries Carotid Arteries - metabolism Carotid Artery Diseases - genetics Carotid Artery Diseases - pathology Carotid Stenosis - metabolism Cell culture Cholesterol Cytokines Endothelium Gene expression Humans Inflammation Ischemia Ischemic Stroke - pathology Kinases Lipids Metabolism MicroRNAs MicroRNAs - genetics miRNA Morphology Mortality Nanoparticles Plaque, Atherosclerotic - metabolism Review Risk analysis Risk Factors Risk management Senescence Stenosis Stroke Tomography Vascular endothelial growth factor Veins & arteries |
title | microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T21%3A22%3A05IST&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=microRNAs%20Associated%20with%20Carotid%20Plaque%20Development%20and%20Vulnerability:%20The%20Clinician's%20Perspective&rft.jtitle=International%20journal%20of%20molecular%20sciences&rft.au=Badacz,%20Rafa%C5%82&rft.date=2022-12-09&rft.volume=23&rft.issue=24&rft.spage=15645&rft.pages=15645-&rft.issn=1422-0067&rft.eissn=1422-0067&rft_id=info:doi/10.3390/ijms232415645&rft_dat=%3Cproquest_pubme%3E2758101038%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=2756752005&rft_id=info:pmid/36555285&rfr_iscdi=true |