Loading…
Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study
Decompression sickness (DCS) is a systemic syndrome that can occur after an environmental pressure reduction. Previously, we showed that the plasmatic tetrameric form of transthyretin (TTR) nearly disappeared in rats suffering DCS but not in asymptomatic ones. In this pilot study, we assessed whethe...
Saved in:
Published in: | Physiological reports 2024-07, Vol.12 (14), p.e16160-n/a |
---|---|
Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | cdi_FETCH-LOGICAL-c5080-5b0c86addab60380016e328ee051027ac604bc0618779546d38be3e09cf1f2c53 |
container_end_page | n/a |
container_issue | 14 |
container_start_page | e16160 |
container_title | Physiological reports |
container_volume | 12 |
creator | Orsat, J. Guernec, A. Le Maréchal, C. Pichereau, V. Guerrero, F. |
description | Decompression sickness (DCS) is a systemic syndrome that can occur after an environmental pressure reduction. Previously, we showed that the plasmatic tetrameric form of transthyretin (TTR) nearly disappeared in rats suffering DCS but not in asymptomatic ones. In this pilot study, we assessed whether the resistance to DCS could be associated with polymorphism of the gene of TTR. For this study, Sanger sequencing was performed on purified PCR products from the liver of 14‐week‐old male and female standard and DCS‐resistant rats (n = 5 per group). Hepatic TTR mRNA expression was assessed by RT‐qPCR in 18–19 week‐old male and female standard and resistant rats (n = 6 per group). There is a synonymous single nucleotide polymorphism (SNP) on the third base of codon 46 (c.138 C > T). The thymine allele was present in 90% and 100% of males and females standard, respectively. However, this allele is present in only 30% of DCS‐resistant males and females (p = 0.0002301). In the liver, there is a significant effect of the resistance to DCS (p = 0.043) and sex (p = 0.047) on TTR expression. Levels of TTR mRNA were lower in DCS‐resistant animals. To conclude, DCS resistance might be associated with a SNP and a lower expression of TTR. |
doi_str_mv | 10.14814/phy2.16160 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_77e57f7640d2498ca155f7b97ff4b71b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_77e57f7640d2498ca155f7b97ff4b71b</doaj_id><sourcerecordid>3083680378</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5080-5b0c86addab60380016e328ee051027ac604bc0618779546d38be3e09cf1f2c53</originalsourceid><addsrcrecordid>eNp9ksFu1DAQQCMEolXpiTuyxAVEt9hxYjtc0KoCttJKcAAJTpbjTHZdEju1nZb8AN-Nd9NWbQ-cPJp5fvaMJsteEnxKCkGK98N2yk8JIww_yQ5zXJKFIPzn03vxQXYcwgXGmGBKK1w8zw7SQauCksPs7zIEp42KxllUQ7wGsMiriBrQrh88hLCrBKN_2xSjlDAhKqvhBEWvbIjbyUM0O8RuOkB21B24aBpAg-um3vlha0J_gpRtEPy5NX5ASzSYzkUU4thML7JnreoCHN-cR9mPz5--n60W669fzs-W64UuscCLssZaMNU0qmaYitQSA5oLgNQrzrnSDBe1xowIzquyYA0VNVDAlW5Jm-uSHmXns7dx6kIO3vTKT9IpI_cJ5zdS-WhSC5JzKHnLWYGbvKiEVqQsW15XvG2LmpM6uT7OrmGse2g02DSQ7oH0YcWardy4K0lIzvKqEsnwdjZsH91bLddyl8MFY7xk7Iok9s3Na95djhCi7E3Q0HXKghuDpFhQJjDlO-3rR-iFG71Nc91RZc4rynii3s2U9i4ED-3dDwiW-92Su92S-91K9Kv7zd6xt5uUgHwGrk0H0_9c8tvqVz5b_wHX-Nt1</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3085279367</pqid></control><display><type>article</type><title>Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study</title><source>Wiley-Blackwell Titles (Open access)</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Orsat, J. ; Guernec, A. ; Le Maréchal, C. ; Pichereau, V. ; Guerrero, F.</creator><creatorcontrib>Orsat, J. ; Guernec, A. ; Le Maréchal, C. ; Pichereau, V. ; Guerrero, F.</creatorcontrib><description>Decompression sickness (DCS) is a systemic syndrome that can occur after an environmental pressure reduction. Previously, we showed that the plasmatic tetrameric form of transthyretin (TTR) nearly disappeared in rats suffering DCS but not in asymptomatic ones. In this pilot study, we assessed whether the resistance to DCS could be associated with polymorphism of the gene of TTR. For this study, Sanger sequencing was performed on purified PCR products from the liver of 14‐week‐old male and female standard and DCS‐resistant rats (n = 5 per group). Hepatic TTR mRNA expression was assessed by RT‐qPCR in 18–19 week‐old male and female standard and resistant rats (n = 6 per group). There is a synonymous single nucleotide polymorphism (SNP) on the third base of codon 46 (c.138 C > T). The thymine allele was present in 90% and 100% of males and females standard, respectively. However, this allele is present in only 30% of DCS‐resistant males and females (p = 0.0002301). In the liver, there is a significant effect of the resistance to DCS (p = 0.043) and sex (p = 0.047) on TTR expression. Levels of TTR mRNA were lower in DCS‐resistant animals. To conclude, DCS resistance might be associated with a SNP and a lower expression of TTR.</description><identifier>ISSN: 2051-817X</identifier><identifier>EISSN: 2051-817X</identifier><identifier>DOI: 10.14814/phy2.16160</identifier><identifier>PMID: 39039431</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Alleles ; Animals ; Asymptomatic ; Decompression ; decompression sickness ; Decompression Sickness - genetics ; Decompression Sickness - metabolism ; Disease Resistance - genetics ; Female ; Females ; Gene expression ; Gene polymorphism ; Life Sciences ; Liver ; Liver - metabolism ; Male ; Males ; Mutation ; Original ; Oxidative stress ; Physiology ; Pilot Projects ; Polymorphism, Single Nucleotide ; Prealbumin - genetics ; Prealbumin - metabolism ; Proteins ; rat ; Rats ; Rats, Wistar ; Regular Manuscript ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; Single-nucleotide polymorphism ; Thymine ; Transthyretin</subject><ispartof>Physiological reports, 2024-07, Vol.12 (14), p.e16160-n/a</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society.</rights><rights>2024 The Author(s). Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by/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>Attribution</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c5080-5b0c86addab60380016e328ee051027ac604bc0618779546d38be3e09cf1f2c53</cites><orcidid>0000-0003-1078-9407 ; 0000-0002-5575-5131 ; 0000-0002-0283-3503 ; 0000-0001-9025-3797</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3085279367/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3085279367?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,730,783,787,888,11576,25767,27938,27939,37026,37027,44604,46066,46490,53806,53808,75462</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39039431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-brest.fr/hal-04667566$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Orsat, J.</creatorcontrib><creatorcontrib>Guernec, A.</creatorcontrib><creatorcontrib>Le Maréchal, C.</creatorcontrib><creatorcontrib>Pichereau, V.</creatorcontrib><creatorcontrib>Guerrero, F.</creatorcontrib><title>Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study</title><title>Physiological reports</title><addtitle>Physiol Rep</addtitle><description>Decompression sickness (DCS) is a systemic syndrome that can occur after an environmental pressure reduction. Previously, we showed that the plasmatic tetrameric form of transthyretin (TTR) nearly disappeared in rats suffering DCS but not in asymptomatic ones. In this pilot study, we assessed whether the resistance to DCS could be associated with polymorphism of the gene of TTR. For this study, Sanger sequencing was performed on purified PCR products from the liver of 14‐week‐old male and female standard and DCS‐resistant rats (n = 5 per group). Hepatic TTR mRNA expression was assessed by RT‐qPCR in 18–19 week‐old male and female standard and resistant rats (n = 6 per group). There is a synonymous single nucleotide polymorphism (SNP) on the third base of codon 46 (c.138 C > T). The thymine allele was present in 90% and 100% of males and females standard, respectively. However, this allele is present in only 30% of DCS‐resistant males and females (p = 0.0002301). In the liver, there is a significant effect of the resistance to DCS (p = 0.043) and sex (p = 0.047) on TTR expression. Levels of TTR mRNA were lower in DCS‐resistant animals. To conclude, DCS resistance might be associated with a SNP and a lower expression of TTR.</description><subject>Alleles</subject><subject>Animals</subject><subject>Asymptomatic</subject><subject>Decompression</subject><subject>decompression sickness</subject><subject>Decompression Sickness - genetics</subject><subject>Decompression Sickness - metabolism</subject><subject>Disease Resistance - genetics</subject><subject>Female</subject><subject>Females</subject><subject>Gene expression</subject><subject>Gene polymorphism</subject><subject>Life Sciences</subject><subject>Liver</subject><subject>Liver - metabolism</subject><subject>Male</subject><subject>Males</subject><subject>Mutation</subject><subject>Original</subject><subject>Oxidative stress</subject><subject>Physiology</subject><subject>Pilot Projects</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Prealbumin - genetics</subject><subject>Prealbumin - metabolism</subject><subject>Proteins</subject><subject>rat</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Regular Manuscript</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>Single-nucleotide polymorphism</subject><subject>Thymine</subject><subject>Transthyretin</subject><issn>2051-817X</issn><issn>2051-817X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9ksFu1DAQQCMEolXpiTuyxAVEt9hxYjtc0KoCttJKcAAJTpbjTHZdEju1nZb8AN-Nd9NWbQ-cPJp5fvaMJsteEnxKCkGK98N2yk8JIww_yQ5zXJKFIPzn03vxQXYcwgXGmGBKK1w8zw7SQauCksPs7zIEp42KxllUQ7wGsMiriBrQrh88hLCrBKN_2xSjlDAhKqvhBEWvbIjbyUM0O8RuOkB21B24aBpAg-um3vlha0J_gpRtEPy5NX5ASzSYzkUU4thML7JnreoCHN-cR9mPz5--n60W669fzs-W64UuscCLssZaMNU0qmaYitQSA5oLgNQrzrnSDBe1xowIzquyYA0VNVDAlW5Jm-uSHmXns7dx6kIO3vTKT9IpI_cJ5zdS-WhSC5JzKHnLWYGbvKiEVqQsW15XvG2LmpM6uT7OrmGse2g02DSQ7oH0YcWardy4K0lIzvKqEsnwdjZsH91bLddyl8MFY7xk7Iok9s3Na95djhCi7E3Q0HXKghuDpFhQJjDlO-3rR-iFG71Nc91RZc4rynii3s2U9i4ED-3dDwiW-92Su92S-91K9Kv7zd6xt5uUgHwGrk0H0_9c8tvqVz5b_wHX-Nt1</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Orsat, J.</creator><creator>Guernec, A.</creator><creator>Le Maréchal, C.</creator><creator>Pichereau, V.</creator><creator>Guerrero, F.</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</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>3V.</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1078-9407</orcidid><orcidid>https://orcid.org/0000-0002-5575-5131</orcidid><orcidid>https://orcid.org/0000-0002-0283-3503</orcidid><orcidid>https://orcid.org/0000-0001-9025-3797</orcidid></search><sort><creationdate>202407</creationdate><title>Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study</title><author>Orsat, J. ; Guernec, A. ; Le Maréchal, C. ; Pichereau, V. ; Guerrero, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5080-5b0c86addab60380016e328ee051027ac604bc0618779546d38be3e09cf1f2c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Alleles</topic><topic>Animals</topic><topic>Asymptomatic</topic><topic>Decompression</topic><topic>decompression sickness</topic><topic>Decompression Sickness - genetics</topic><topic>Decompression Sickness - metabolism</topic><topic>Disease Resistance - genetics</topic><topic>Female</topic><topic>Females</topic><topic>Gene expression</topic><topic>Gene polymorphism</topic><topic>Life Sciences</topic><topic>Liver</topic><topic>Liver - metabolism</topic><topic>Male</topic><topic>Males</topic><topic>Mutation</topic><topic>Original</topic><topic>Oxidative stress</topic><topic>Physiology</topic><topic>Pilot Projects</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Prealbumin - genetics</topic><topic>Prealbumin - metabolism</topic><topic>Proteins</topic><topic>rat</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Regular Manuscript</topic><topic>RNA, Messenger - genetics</topic><topic>RNA, Messenger - metabolism</topic><topic>Single-nucleotide polymorphism</topic><topic>Thymine</topic><topic>Transthyretin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orsat, J.</creatorcontrib><creatorcontrib>Guernec, A.</creatorcontrib><creatorcontrib>Le Maréchal, C.</creatorcontrib><creatorcontrib>Pichereau, V.</creatorcontrib><creatorcontrib>Guerrero, F.</creatorcontrib><collection>Wiley-Blackwell Titles (Open access)</collection><collection>Wiley Online Library Free Content</collection><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>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</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>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Physiological reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orsat, J.</au><au>Guernec, A.</au><au>Le Maréchal, C.</au><au>Pichereau, V.</au><au>Guerrero, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study</atitle><jtitle>Physiological reports</jtitle><addtitle>Physiol Rep</addtitle><date>2024-07</date><risdate>2024</risdate><volume>12</volume><issue>14</issue><spage>e16160</spage><epage>n/a</epage><pages>e16160-n/a</pages><issn>2051-817X</issn><eissn>2051-817X</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Decompression sickness (DCS) is a systemic syndrome that can occur after an environmental pressure reduction. Previously, we showed that the plasmatic tetrameric form of transthyretin (TTR) nearly disappeared in rats suffering DCS but not in asymptomatic ones. In this pilot study, we assessed whether the resistance to DCS could be associated with polymorphism of the gene of TTR. For this study, Sanger sequencing was performed on purified PCR products from the liver of 14‐week‐old male and female standard and DCS‐resistant rats (n = 5 per group). Hepatic TTR mRNA expression was assessed by RT‐qPCR in 18–19 week‐old male and female standard and resistant rats (n = 6 per group). There is a synonymous single nucleotide polymorphism (SNP) on the third base of codon 46 (c.138 C > T). The thymine allele was present in 90% and 100% of males and females standard, respectively. However, this allele is present in only 30% of DCS‐resistant males and females (p = 0.0002301). In the liver, there is a significant effect of the resistance to DCS (p = 0.043) and sex (p = 0.047) on TTR expression. Levels of TTR mRNA were lower in DCS‐resistant animals. To conclude, DCS resistance might be associated with a SNP and a lower expression of TTR.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>39039431</pmid><doi>10.14814/phy2.16160</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1078-9407</orcidid><orcidid>https://orcid.org/0000-0002-5575-5131</orcidid><orcidid>https://orcid.org/0000-0002-0283-3503</orcidid><orcidid>https://orcid.org/0000-0001-9025-3797</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2051-817X |
ispartof | Physiological reports, 2024-07, Vol.12 (14), p.e16160-n/a |
issn | 2051-817X 2051-817X |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_77e57f7640d2498ca155f7b97ff4b71b |
source | Wiley-Blackwell Titles (Open access); Publicly Available Content Database; PubMed Central |
subjects | Alleles Animals Asymptomatic Decompression decompression sickness Decompression Sickness - genetics Decompression Sickness - metabolism Disease Resistance - genetics Female Females Gene expression Gene polymorphism Life Sciences Liver Liver - metabolism Male Males Mutation Original Oxidative stress Physiology Pilot Projects Polymorphism, Single Nucleotide Prealbumin - genetics Prealbumin - metabolism Proteins rat Rats Rats, Wistar Regular Manuscript RNA, Messenger - genetics RNA, Messenger - metabolism Single-nucleotide polymorphism Thymine Transthyretin |
title | Association between rat decompression sickness resistance, transthyretin single nucleotide polymorphism, and expression: A pilot study |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-11-02T09%3A21%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20between%20rat%20decompression%20sickness%20resistance,%20transthyretin%20single%20nucleotide%20polymorphism,%20and%20expression:%20A%20pilot%20study&rft.jtitle=Physiological%20reports&rft.au=Orsat,%20J.&rft.date=2024-07&rft.volume=12&rft.issue=14&rft.spage=e16160&rft.epage=n/a&rft.pages=e16160-n/a&rft.issn=2051-817X&rft.eissn=2051-817X&rft_id=info:doi/10.14814/phy2.16160&rft_dat=%3Cproquest_doaj_%3E3083680378%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c5080-5b0c86addab60380016e328ee051027ac604bc0618779546d38be3e09cf1f2c53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3085279367&rft_id=info:pmid/39039431&rfr_iscdi=true |