Loading…

Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism

This study aimed to explore the efficacy of zunyimycin C in the immunological enhancement of hypoimmune mice and improvement of cognitive impairment in a mice model of Alzheimer's disease (AD). Zunyimycin C was administered intranasally to interfere with AD mouse models or gavage to hypoimmune...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in cellular and infection microbiology 2022-12, Vol.12, p.1081243-1081243
Main Authors: Wang, Xuemei, Li, Zexin, Sun, Rui, Li, Xueli, Guo, Ruirui, Cui, Xiangyi, Liu, Bingxin, Li, Wujuan, Yang, Yi, Huang, Xiaoyu, Qu, Hanlin, Liu, Chen, Wang, Zhuoling, Lü, Yuhong, Yue, Changwu
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303
cites cdi_FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303
container_end_page 1081243
container_issue
container_start_page 1081243
container_title Frontiers in cellular and infection microbiology
container_volume 12
creator Wang, Xuemei
Li, Zexin
Sun, Rui
Li, Xueli
Guo, Ruirui
Cui, Xiangyi
Liu, Bingxin
Li, Wujuan
Yang, Yi
Huang, Xiaoyu
Qu, Hanlin
Liu, Chen
Wang, Zhuoling
Lü, Yuhong
Yue, Changwu
description This study aimed to explore the efficacy of zunyimycin C in the immunological enhancement of hypoimmune mice and improvement of cognitive impairment in a mice model of Alzheimer's disease (AD). Zunyimycin C was administered intranasally to interfere with AD mouse models or gavage to hypoimmune animals. Results of the Morris water maze (MWM) showed that zunyimycin may improve the learning and memory abilities of the AD mice model. The results of differential expression analysis of mRNA levels of inflammatory factors and pathways in brain tissues of the AD mouse model suggested that differential expression was more obvious under Zun-Int L. Western blot revealed that the relative expression of glial fibrillary acidic protein in the brain tissue of the AD mouse model in the Zun-Pre group was significantly higher than that in the other groups, and the difference was statistically significant. The relative expression of interleukin (IL)-6 protein in the brain tissue of mice in the low-dose intervention group was significantly lower than that in the other groups, and the difference was statistically significant. As for hypoimmune animals, short chain fatty acids (SCFAs) assay and intestinal flora assay results showed that zunyimycin C may change intestinal flora diversity and SCFA biosynthesis. The prophylactic administration of zunyimycin C could not inhibit acute neuroinflammation in AD mice. Zunyimycin C may participate in the immune response by activating the Ras-Raf-MEK-ERK signaling pathway to stimulate microglia to produce more inflammatory factors. Zunyimycin C may inhibit autophagy by activating the PI3K-AKT-mTOR signaling pathway, promote cell survival, mediate neuroprotective effects of reactive microglia and reactive astrocytes, and reduce IL-1β in brain tissue and IL-6 secretion, thereby attenuating neuroinflammation in AD mice and achieving the effect of improving learning and memory impairment. Zunyimycin C may play a role in immunological enhancement by changing intestinal flora diversity and SCFAs.
doi_str_mv 10.3389/fcimb.2022.1081243
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_19d99324949b49b8b9909b77bb668324</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_19d99324949b49b8b9909b77bb668324</doaj_id><sourcerecordid>2759264944</sourcerecordid><originalsourceid>FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303</originalsourceid><addsrcrecordid>eNpVUU1rGzEUFKWlCW7-QA9lj7nY0deupEshmH4EAoGQXnoRkvato7CSXGnX4H8fOXZDIgSSRm9m3mMQ-krwijGprgbng11RTOmKYEkoZx_QOaWsXVIl5cc39zN0UcoTrktgKhX7jM5Y1wrFOD9H93_nuPdh73xs1g3ERxMdlMaHMEc_7RsT-_rY5rSrqEubCvodHCDjc4A4HSum0gRwlexL-II-DWYscHE6F-jPzx8P69_L27tfN-vr26VjSk5LJjGztrOCcCYkdQCu5cCN4aLl1Kh2sC0x1hAQQ1_nBM47MkCLB044Z5gt0M1Rt0_mSW-zDybvdTJevwApb7TJk3cjaKJ6pRjliitbt7RKYWWFqP6drHjV-n7U2s42QO_qYNmM70Tf_0T_qDdpp5VQBPOuClyeBHL6N0OZdPDFwTiaCGkumopW0a42cPCix1KXUykZhlcbgvUhW_2SrT5kq0_ZVtK3tw2-Uv4nyZ4BhkOhMA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2759264944</pqid></control><display><type>article</type><title>Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism</title><source>PubMed Central</source><creator>Wang, Xuemei ; Li, Zexin ; Sun, Rui ; Li, Xueli ; Guo, Ruirui ; Cui, Xiangyi ; Liu, Bingxin ; Li, Wujuan ; Yang, Yi ; Huang, Xiaoyu ; Qu, Hanlin ; Liu, Chen ; Wang, Zhuoling ; Lü, Yuhong ; Yue, Changwu</creator><creatorcontrib>Wang, Xuemei ; Li, Zexin ; Sun, Rui ; Li, Xueli ; Guo, Ruirui ; Cui, Xiangyi ; Liu, Bingxin ; Li, Wujuan ; Yang, Yi ; Huang, Xiaoyu ; Qu, Hanlin ; Liu, Chen ; Wang, Zhuoling ; Lü, Yuhong ; Yue, Changwu</creatorcontrib><description>This study aimed to explore the efficacy of zunyimycin C in the immunological enhancement of hypoimmune mice and improvement of cognitive impairment in a mice model of Alzheimer's disease (AD). Zunyimycin C was administered intranasally to interfere with AD mouse models or gavage to hypoimmune animals. Results of the Morris water maze (MWM) showed that zunyimycin may improve the learning and memory abilities of the AD mice model. The results of differential expression analysis of mRNA levels of inflammatory factors and pathways in brain tissues of the AD mouse model suggested that differential expression was more obvious under Zun-Int L. Western blot revealed that the relative expression of glial fibrillary acidic protein in the brain tissue of the AD mouse model in the Zun-Pre group was significantly higher than that in the other groups, and the difference was statistically significant. The relative expression of interleukin (IL)-6 protein in the brain tissue of mice in the low-dose intervention group was significantly lower than that in the other groups, and the difference was statistically significant. As for hypoimmune animals, short chain fatty acids (SCFAs) assay and intestinal flora assay results showed that zunyimycin C may change intestinal flora diversity and SCFA biosynthesis. The prophylactic administration of zunyimycin C could not inhibit acute neuroinflammation in AD mice. Zunyimycin C may participate in the immune response by activating the Ras-Raf-MEK-ERK signaling pathway to stimulate microglia to produce more inflammatory factors. Zunyimycin C may inhibit autophagy by activating the PI3K-AKT-mTOR signaling pathway, promote cell survival, mediate neuroprotective effects of reactive microglia and reactive astrocytes, and reduce IL-1β in brain tissue and IL-6 secretion, thereby attenuating neuroinflammation in AD mice and achieving the effect of improving learning and memory impairment. Zunyimycin C may play a role in immunological enhancement by changing intestinal flora diversity and SCFAs.</description><identifier>ISSN: 2235-2988</identifier><identifier>EISSN: 2235-2988</identifier><identifier>DOI: 10.3389/fcimb.2022.1081243</identifier><identifier>PMID: 36579344</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>Alzheimer Disease - drug therapy ; Alzheimer’s disease ; Animals ; behavior ; Brain - metabolism ; Cellular and Infection Microbiology ; Cognitive Dysfunction - drug therapy ; Cognitive Dysfunction - metabolism ; Cognitive Dysfunction - prevention &amp; control ; cognitive impairment ; Disease Models, Animal ; immunological enhancement ; Mice ; Neuroinflammatory Diseases ; Phosphatidylinositol 3-Kinases - metabolism ; zunyimycin C</subject><ispartof>Frontiers in cellular and infection microbiology, 2022-12, Vol.12, p.1081243-1081243</ispartof><rights>Copyright © 2022 Wang, Li, Sun, Li, Guo, Cui, Liu, Li, Yang, Huang, Qu, Liu, Wang, Lü and Yue.</rights><rights>Copyright © 2022 Wang, Li, Sun, Li, Guo, Cui, Liu, Li, Yang, Huang, Qu, Liu, Wang, Lü and Yue 2022 Wang, Li, Sun, Li, Guo, Cui, Liu, Li, Yang, Huang, Qu, Liu, Wang, Lü and Yue</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303</citedby><cites>FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791046/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791046/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36579344$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Xuemei</creatorcontrib><creatorcontrib>Li, Zexin</creatorcontrib><creatorcontrib>Sun, Rui</creatorcontrib><creatorcontrib>Li, Xueli</creatorcontrib><creatorcontrib>Guo, Ruirui</creatorcontrib><creatorcontrib>Cui, Xiangyi</creatorcontrib><creatorcontrib>Liu, Bingxin</creatorcontrib><creatorcontrib>Li, Wujuan</creatorcontrib><creatorcontrib>Yang, Yi</creatorcontrib><creatorcontrib>Huang, Xiaoyu</creatorcontrib><creatorcontrib>Qu, Hanlin</creatorcontrib><creatorcontrib>Liu, Chen</creatorcontrib><creatorcontrib>Wang, Zhuoling</creatorcontrib><creatorcontrib>Lü, Yuhong</creatorcontrib><creatorcontrib>Yue, Changwu</creatorcontrib><title>Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism</title><title>Frontiers in cellular and infection microbiology</title><addtitle>Front Cell Infect Microbiol</addtitle><description>This study aimed to explore the efficacy of zunyimycin C in the immunological enhancement of hypoimmune mice and improvement of cognitive impairment in a mice model of Alzheimer's disease (AD). Zunyimycin C was administered intranasally to interfere with AD mouse models or gavage to hypoimmune animals. Results of the Morris water maze (MWM) showed that zunyimycin may improve the learning and memory abilities of the AD mice model. The results of differential expression analysis of mRNA levels of inflammatory factors and pathways in brain tissues of the AD mouse model suggested that differential expression was more obvious under Zun-Int L. Western blot revealed that the relative expression of glial fibrillary acidic protein in the brain tissue of the AD mouse model in the Zun-Pre group was significantly higher than that in the other groups, and the difference was statistically significant. The relative expression of interleukin (IL)-6 protein in the brain tissue of mice in the low-dose intervention group was significantly lower than that in the other groups, and the difference was statistically significant. As for hypoimmune animals, short chain fatty acids (SCFAs) assay and intestinal flora assay results showed that zunyimycin C may change intestinal flora diversity and SCFA biosynthesis. The prophylactic administration of zunyimycin C could not inhibit acute neuroinflammation in AD mice. Zunyimycin C may participate in the immune response by activating the Ras-Raf-MEK-ERK signaling pathway to stimulate microglia to produce more inflammatory factors. Zunyimycin C may inhibit autophagy by activating the PI3K-AKT-mTOR signaling pathway, promote cell survival, mediate neuroprotective effects of reactive microglia and reactive astrocytes, and reduce IL-1β in brain tissue and IL-6 secretion, thereby attenuating neuroinflammation in AD mice and achieving the effect of improving learning and memory impairment. Zunyimycin C may play a role in immunological enhancement by changing intestinal flora diversity and SCFAs.</description><subject>Alzheimer Disease - drug therapy</subject><subject>Alzheimer’s disease</subject><subject>Animals</subject><subject>behavior</subject><subject>Brain - metabolism</subject><subject>Cellular and Infection Microbiology</subject><subject>Cognitive Dysfunction - drug therapy</subject><subject>Cognitive Dysfunction - metabolism</subject><subject>Cognitive Dysfunction - prevention &amp; control</subject><subject>cognitive impairment</subject><subject>Disease Models, Animal</subject><subject>immunological enhancement</subject><subject>Mice</subject><subject>Neuroinflammatory Diseases</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>zunyimycin C</subject><issn>2235-2988</issn><issn>2235-2988</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUU1rGzEUFKWlCW7-QA9lj7nY0deupEshmH4EAoGQXnoRkvato7CSXGnX4H8fOXZDIgSSRm9m3mMQ-krwijGprgbng11RTOmKYEkoZx_QOaWsXVIl5cc39zN0UcoTrktgKhX7jM5Y1wrFOD9H93_nuPdh73xs1g3ERxMdlMaHMEc_7RsT-_rY5rSrqEubCvodHCDjc4A4HSum0gRwlexL-II-DWYscHE6F-jPzx8P69_L27tfN-vr26VjSk5LJjGztrOCcCYkdQCu5cCN4aLl1Kh2sC0x1hAQQ1_nBM47MkCLB044Z5gt0M1Rt0_mSW-zDybvdTJevwApb7TJk3cjaKJ6pRjliitbt7RKYWWFqP6drHjV-n7U2s42QO_qYNmM70Tf_0T_qDdpp5VQBPOuClyeBHL6N0OZdPDFwTiaCGkumopW0a42cPCix1KXUykZhlcbgvUhW_2SrT5kq0_ZVtK3tw2-Uv4nyZ4BhkOhMA</recordid><startdate>20221212</startdate><enddate>20221212</enddate><creator>Wang, Xuemei</creator><creator>Li, Zexin</creator><creator>Sun, Rui</creator><creator>Li, Xueli</creator><creator>Guo, Ruirui</creator><creator>Cui, Xiangyi</creator><creator>Liu, Bingxin</creator><creator>Li, Wujuan</creator><creator>Yang, Yi</creator><creator>Huang, Xiaoyu</creator><creator>Qu, Hanlin</creator><creator>Liu, Chen</creator><creator>Wang, Zhuoling</creator><creator>Lü, Yuhong</creator><creator>Yue, Changwu</creator><general>Frontiers Media S.A</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><scope>DOA</scope></search><sort><creationdate>20221212</creationdate><title>Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism</title><author>Wang, Xuemei ; Li, Zexin ; Sun, Rui ; Li, Xueli ; Guo, Ruirui ; Cui, Xiangyi ; Liu, Bingxin ; Li, Wujuan ; Yang, Yi ; Huang, Xiaoyu ; Qu, Hanlin ; Liu, Chen ; Wang, Zhuoling ; Lü, Yuhong ; Yue, Changwu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Alzheimer Disease - drug therapy</topic><topic>Alzheimer’s disease</topic><topic>Animals</topic><topic>behavior</topic><topic>Brain - metabolism</topic><topic>Cellular and Infection Microbiology</topic><topic>Cognitive Dysfunction - drug therapy</topic><topic>Cognitive Dysfunction - metabolism</topic><topic>Cognitive Dysfunction - prevention &amp; control</topic><topic>cognitive impairment</topic><topic>Disease Models, Animal</topic><topic>immunological enhancement</topic><topic>Mice</topic><topic>Neuroinflammatory Diseases</topic><topic>Phosphatidylinositol 3-Kinases - metabolism</topic><topic>zunyimycin C</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Xuemei</creatorcontrib><creatorcontrib>Li, Zexin</creatorcontrib><creatorcontrib>Sun, Rui</creatorcontrib><creatorcontrib>Li, Xueli</creatorcontrib><creatorcontrib>Guo, Ruirui</creatorcontrib><creatorcontrib>Cui, Xiangyi</creatorcontrib><creatorcontrib>Liu, Bingxin</creatorcontrib><creatorcontrib>Li, Wujuan</creatorcontrib><creatorcontrib>Yang, Yi</creatorcontrib><creatorcontrib>Huang, Xiaoyu</creatorcontrib><creatorcontrib>Qu, Hanlin</creatorcontrib><creatorcontrib>Liu, Chen</creatorcontrib><creatorcontrib>Wang, Zhuoling</creatorcontrib><creatorcontrib>Lü, Yuhong</creatorcontrib><creatorcontrib>Yue, Changwu</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><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in cellular and infection microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Xuemei</au><au>Li, Zexin</au><au>Sun, Rui</au><au>Li, Xueli</au><au>Guo, Ruirui</au><au>Cui, Xiangyi</au><au>Liu, Bingxin</au><au>Li, Wujuan</au><au>Yang, Yi</au><au>Huang, Xiaoyu</au><au>Qu, Hanlin</au><au>Liu, Chen</au><au>Wang, Zhuoling</au><au>Lü, Yuhong</au><au>Yue, Changwu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism</atitle><jtitle>Frontiers in cellular and infection microbiology</jtitle><addtitle>Front Cell Infect Microbiol</addtitle><date>2022-12-12</date><risdate>2022</risdate><volume>12</volume><spage>1081243</spage><epage>1081243</epage><pages>1081243-1081243</pages><issn>2235-2988</issn><eissn>2235-2988</eissn><abstract>This study aimed to explore the efficacy of zunyimycin C in the immunological enhancement of hypoimmune mice and improvement of cognitive impairment in a mice model of Alzheimer's disease (AD). Zunyimycin C was administered intranasally to interfere with AD mouse models or gavage to hypoimmune animals. Results of the Morris water maze (MWM) showed that zunyimycin may improve the learning and memory abilities of the AD mice model. The results of differential expression analysis of mRNA levels of inflammatory factors and pathways in brain tissues of the AD mouse model suggested that differential expression was more obvious under Zun-Int L. Western blot revealed that the relative expression of glial fibrillary acidic protein in the brain tissue of the AD mouse model in the Zun-Pre group was significantly higher than that in the other groups, and the difference was statistically significant. The relative expression of interleukin (IL)-6 protein in the brain tissue of mice in the low-dose intervention group was significantly lower than that in the other groups, and the difference was statistically significant. As for hypoimmune animals, short chain fatty acids (SCFAs) assay and intestinal flora assay results showed that zunyimycin C may change intestinal flora diversity and SCFA biosynthesis. The prophylactic administration of zunyimycin C could not inhibit acute neuroinflammation in AD mice. Zunyimycin C may participate in the immune response by activating the Ras-Raf-MEK-ERK signaling pathway to stimulate microglia to produce more inflammatory factors. Zunyimycin C may inhibit autophagy by activating the PI3K-AKT-mTOR signaling pathway, promote cell survival, mediate neuroprotective effects of reactive microglia and reactive astrocytes, and reduce IL-1β in brain tissue and IL-6 secretion, thereby attenuating neuroinflammation in AD mice and achieving the effect of improving learning and memory impairment. Zunyimycin C may play a role in immunological enhancement by changing intestinal flora diversity and SCFAs.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>36579344</pmid><doi>10.3389/fcimb.2022.1081243</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2235-2988
ispartof Frontiers in cellular and infection microbiology, 2022-12, Vol.12, p.1081243-1081243
issn 2235-2988
2235-2988
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_19d99324949b49b8b9909b77bb668324
source PubMed Central
subjects Alzheimer Disease - drug therapy
Alzheimer’s disease
Animals
behavior
Brain - metabolism
Cellular and Infection Microbiology
Cognitive Dysfunction - drug therapy
Cognitive Dysfunction - metabolism
Cognitive Dysfunction - prevention & control
cognitive impairment
Disease Models, Animal
immunological enhancement
Mice
Neuroinflammatory Diseases
Phosphatidylinositol 3-Kinases - metabolism
zunyimycin C
title Zunyimycin C enhances immunity and improves cognitive impairment and its mechanism
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T19%3A40%3A43IST&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=Zunyimycin%20C%20enhances%20immunity%20and%20improves%20cognitive%20impairment%20and%20its%20mechanism&rft.jtitle=Frontiers%20in%20cellular%20and%20infection%20microbiology&rft.au=Wang,%20Xuemei&rft.date=2022-12-12&rft.volume=12&rft.spage=1081243&rft.epage=1081243&rft.pages=1081243-1081243&rft.issn=2235-2988&rft.eissn=2235-2988&rft_id=info:doi/10.3389/fcimb.2022.1081243&rft_dat=%3Cproquest_doaj_%3E2759264944%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c398t-3803bb6b7143782ceec54e4aa47542a95fb51aba1e7fd202e4461fe50f4144303%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2759264944&rft_id=info:pmid/36579344&rfr_iscdi=true