Loading…
Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons
This study investigated whether thymosin (T) β4 protects against oxygen-glucose deprivation/reperfusion (OGD/R) injury in rat cortical neurons, as well as the underlying mechanisms. Primary rat cortical neurons were transfected with Tβ4 overexpression plasmid; the transfection efficiency was confirm...
Saved in:
Published in: | Neuropsychiatric disease and treatment 2019, Vol.15, p.2385-2393 |
---|---|
Main Authors: | , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | 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-c3900-62fbc4ed3e9e2ce1749ae3cc37b811bc6547f2818d06f15193f9dea90c80443a3 |
---|---|
cites | |
container_end_page | 2393 |
container_issue | |
container_start_page | 2385 |
container_title | Neuropsychiatric disease and treatment |
container_volume | 15 |
creator | Zhang, Zhongsheng Liu, Shuangfeng Huang, Sichun |
description | This study investigated whether thymosin (T) β4 protects against oxygen-glucose deprivation/reperfusion (OGD/R) injury in rat cortical neurons, as well as the underlying mechanisms.
Primary rat cortical neurons were transfected with Tβ4 overexpression plasmid; the transfection efficiency was confirmed by detecting Tβ4 expression by fluorescence quantitative PCR and Western blotting. The OGD/R model was established and apoptotic cells were quantified by flow cytometry and terminal deoxynucleotidyl transferase dUTP nick end labeling. Structural changes in the endoplasmic reticulum were visualized by transmission electron microscopy. The expression levels of 78-kDa glucose-regulated protein (GRP) 78, C/EBP-homologous protein (CHOP), B-cell lymphoma (Bcl)-2, and Bcl-2-associated X protein (Bax) were determined by Western blotting. The effect of Tβ4 on OGD/R injury was evaluated by adding exogenous Tβ4 to neuronal cultures.
Cortical neurons were identified by the expression of neuron-specific enolase. In OGD/R cells, the rate of apoptosis was increased and GRP78, CHOP, and Bax were upregulated whereas Bcl-2 was downregulated relative to the control group. These effects were reversed by Tβ4 overexpression. Endoplasmic reticulum (ER) stress was observed in the OGD/R group, but this was abolished in neurons overexpressing Tβ4. The protective effect of Tβ4 against OGD/R injury was also demonstrated in cells treated with exogenous Tβ4 (10 ng/mL), which blocked OGD/R-induced apoptosis by inhibiting ER stress-related and pro-apoptotic protein expression.
Tβ4 prevents OGD/R-induced ER stress-dependent apoptosis in cortical neurons, and is a potential treatment for cerebral ischemia-reperfusion injury. |
doi_str_mv | 10.2147/NDT.S208600 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_327f2d8c2e5246a9a4ac038b6d527815</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_327f2d8c2e5246a9a4ac038b6d527815</doaj_id><sourcerecordid>2312555217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3900-62fbc4ed3e9e2ce1749ae3cc37b811bc6547f2818d06f15193f9dea90c80443a3</originalsourceid><addsrcrecordid>eNpdkk1rFEEQhgdRTIyevMuAF0Em6e-PixBi1EDQg-u56emu2cwy2712Ty_u3_KH5DfZya7BeKqi--Hhpaqa5jVGpwQzefb14-L0O0FKIPSkOcZYqo4ggp_e96ITlKij5kXOK4So1Eo9b44oFpowxY4bt7jZrWMeQ3v7m7WbBFsIc27jr90SQreciosZWg-bNG7tPMZwlmADaSi59t0YfHHg2zGsStrV0iY7ty6meXR2agOUFEN-2Twb7JTh1aGeND8-XS4uvnTX3z5fXZxfd45qhDpBht4x8BQ0EAdYMm2BOkdlrzDuneBMDkRh5ZEYMMeaDtqD1cgpxBi19KS52nt9tCtTE69t2ploR3P_ENPS2LtkExhKqsorR4ATJqy2zDpEVS88J1JhXl0f9q5N6dfgXZ1KstMj6eOfMN6YZdwaITHiDFXBu4MgxZ8F8mzWY3YwTTZALNkQignnnGBZ0bf_oatYUqijMoQxgYhQSlXq_Z5yKeacYHgIg5G5OwRTD8EcDqHSb_7N_8D-3Tz9AzkDsEQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2446026888</pqid></control><display><type>article</type><title>Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons</title><source>Taylor & Francis Open Access</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Zhang, Zhongsheng ; Liu, Shuangfeng ; Huang, Sichun</creator><creatorcontrib>Zhang, Zhongsheng ; Liu, Shuangfeng ; Huang, Sichun</creatorcontrib><description>This study investigated whether thymosin (T) β4 protects against oxygen-glucose deprivation/reperfusion (OGD/R) injury in rat cortical neurons, as well as the underlying mechanisms.
Primary rat cortical neurons were transfected with Tβ4 overexpression plasmid; the transfection efficiency was confirmed by detecting Tβ4 expression by fluorescence quantitative PCR and Western blotting. The OGD/R model was established and apoptotic cells were quantified by flow cytometry and terminal deoxynucleotidyl transferase dUTP nick end labeling. Structural changes in the endoplasmic reticulum were visualized by transmission electron microscopy. The expression levels of 78-kDa glucose-regulated protein (GRP) 78, C/EBP-homologous protein (CHOP), B-cell lymphoma (Bcl)-2, and Bcl-2-associated X protein (Bax) were determined by Western blotting. The effect of Tβ4 on OGD/R injury was evaluated by adding exogenous Tβ4 to neuronal cultures.
Cortical neurons were identified by the expression of neuron-specific enolase. In OGD/R cells, the rate of apoptosis was increased and GRP78, CHOP, and Bax were upregulated whereas Bcl-2 was downregulated relative to the control group. These effects were reversed by Tβ4 overexpression. Endoplasmic reticulum (ER) stress was observed in the OGD/R group, but this was abolished in neurons overexpressing Tβ4. The protective effect of Tβ4 against OGD/R injury was also demonstrated in cells treated with exogenous Tβ4 (10 ng/mL), which blocked OGD/R-induced apoptosis by inhibiting ER stress-related and pro-apoptotic protein expression.
Tβ4 prevents OGD/R-induced ER stress-dependent apoptosis in cortical neurons, and is a potential treatment for cerebral ischemia-reperfusion injury.</description><identifier>ISSN: 1176-6328</identifier><identifier>ISSN: 1178-2021</identifier><identifier>EISSN: 1178-2021</identifier><identifier>DOI: 10.2147/NDT.S208600</identifier><identifier>PMID: 31692484</identifier><language>eng</language><publisher>New Zealand: Taylor & Francis Ltd</publisher><subject>Angiogenesis ; Apoptosis ; BAX protein ; Bcl-2 protein ; Bcl-x protein ; CCAAT/enhancer-binding protein ; cortical neuron culture ; DNA nucleotidylexotransferase ; Endoplasmic reticulum ; endoplasmic reticulum stress ; Flow cytometry ; Glucose ; Growth factors ; Hypoxia ; Ischemia ; Laboratory animals ; Lymphocytes B ; Neurons ; OGD/R ; Original Research ; Oxygen ; Phosphopyruvate hydratase ; Proteins ; Reperfusion ; Software ; Transfection ; Transmission electron microscopy ; Tβ4 ; Western blotting</subject><ispartof>Neuropsychiatric disease and treatment, 2019, Vol.15, p.2385-2393</ispartof><rights>2019 Zhang et al.</rights><rights>2019. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Zhang et al. 2019 Zhang et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3900-62fbc4ed3e9e2ce1749ae3cc37b811bc6547f2818d06f15193f9dea90c80443a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2446026888/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2446026888?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31692484$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Zhongsheng</creatorcontrib><creatorcontrib>Liu, Shuangfeng</creatorcontrib><creatorcontrib>Huang, Sichun</creatorcontrib><title>Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons</title><title>Neuropsychiatric disease and treatment</title><addtitle>Neuropsychiatr Dis Treat</addtitle><description>This study investigated whether thymosin (T) β4 protects against oxygen-glucose deprivation/reperfusion (OGD/R) injury in rat cortical neurons, as well as the underlying mechanisms.
Primary rat cortical neurons were transfected with Tβ4 overexpression plasmid; the transfection efficiency was confirmed by detecting Tβ4 expression by fluorescence quantitative PCR and Western blotting. The OGD/R model was established and apoptotic cells were quantified by flow cytometry and terminal deoxynucleotidyl transferase dUTP nick end labeling. Structural changes in the endoplasmic reticulum were visualized by transmission electron microscopy. The expression levels of 78-kDa glucose-regulated protein (GRP) 78, C/EBP-homologous protein (CHOP), B-cell lymphoma (Bcl)-2, and Bcl-2-associated X protein (Bax) were determined by Western blotting. The effect of Tβ4 on OGD/R injury was evaluated by adding exogenous Tβ4 to neuronal cultures.
Cortical neurons were identified by the expression of neuron-specific enolase. In OGD/R cells, the rate of apoptosis was increased and GRP78, CHOP, and Bax were upregulated whereas Bcl-2 was downregulated relative to the control group. These effects were reversed by Tβ4 overexpression. Endoplasmic reticulum (ER) stress was observed in the OGD/R group, but this was abolished in neurons overexpressing Tβ4. The protective effect of Tβ4 against OGD/R injury was also demonstrated in cells treated with exogenous Tβ4 (10 ng/mL), which blocked OGD/R-induced apoptosis by inhibiting ER stress-related and pro-apoptotic protein expression.
Tβ4 prevents OGD/R-induced ER stress-dependent apoptosis in cortical neurons, and is a potential treatment for cerebral ischemia-reperfusion injury.</description><subject>Angiogenesis</subject><subject>Apoptosis</subject><subject>BAX protein</subject><subject>Bcl-2 protein</subject><subject>Bcl-x protein</subject><subject>CCAAT/enhancer-binding protein</subject><subject>cortical neuron culture</subject><subject>DNA nucleotidylexotransferase</subject><subject>Endoplasmic reticulum</subject><subject>endoplasmic reticulum stress</subject><subject>Flow cytometry</subject><subject>Glucose</subject><subject>Growth factors</subject><subject>Hypoxia</subject><subject>Ischemia</subject><subject>Laboratory animals</subject><subject>Lymphocytes B</subject><subject>Neurons</subject><subject>OGD/R</subject><subject>Original Research</subject><subject>Oxygen</subject><subject>Phosphopyruvate hydratase</subject><subject>Proteins</subject><subject>Reperfusion</subject><subject>Software</subject><subject>Transfection</subject><subject>Transmission electron microscopy</subject><subject>Tβ4</subject><subject>Western blotting</subject><issn>1176-6328</issn><issn>1178-2021</issn><issn>1178-2021</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1rFEEQhgdRTIyevMuAF0Em6e-PixBi1EDQg-u56emu2cwy2712Ty_u3_KH5DfZya7BeKqi--Hhpaqa5jVGpwQzefb14-L0O0FKIPSkOcZYqo4ggp_e96ITlKij5kXOK4So1Eo9b44oFpowxY4bt7jZrWMeQ3v7m7WbBFsIc27jr90SQreciosZWg-bNG7tPMZwlmADaSi59t0YfHHg2zGsStrV0iY7ty6meXR2agOUFEN-2Twb7JTh1aGeND8-XS4uvnTX3z5fXZxfd45qhDpBht4x8BQ0EAdYMm2BOkdlrzDuneBMDkRh5ZEYMMeaDtqD1cgpxBi19KS52nt9tCtTE69t2ploR3P_ENPS2LtkExhKqsorR4ATJqy2zDpEVS88J1JhXl0f9q5N6dfgXZ1KstMj6eOfMN6YZdwaITHiDFXBu4MgxZ8F8mzWY3YwTTZALNkQignnnGBZ0bf_oatYUqijMoQxgYhQSlXq_Z5yKeacYHgIg5G5OwRTD8EcDqHSb_7N_8D-3Tz9AzkDsEQ</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>Zhang, Zhongsheng</creator><creator>Liu, Shuangfeng</creator><creator>Huang, Sichun</creator><general>Taylor & Francis Ltd</general><general>Dove</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</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>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>2019</creationdate><title>Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons</title><author>Zhang, Zhongsheng ; Liu, Shuangfeng ; Huang, Sichun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3900-62fbc4ed3e9e2ce1749ae3cc37b811bc6547f2818d06f15193f9dea90c80443a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Angiogenesis</topic><topic>Apoptosis</topic><topic>BAX protein</topic><topic>Bcl-2 protein</topic><topic>Bcl-x protein</topic><topic>CCAAT/enhancer-binding protein</topic><topic>cortical neuron culture</topic><topic>DNA nucleotidylexotransferase</topic><topic>Endoplasmic reticulum</topic><topic>endoplasmic reticulum stress</topic><topic>Flow cytometry</topic><topic>Glucose</topic><topic>Growth factors</topic><topic>Hypoxia</topic><topic>Ischemia</topic><topic>Laboratory animals</topic><topic>Lymphocytes B</topic><topic>Neurons</topic><topic>OGD/R</topic><topic>Original Research</topic><topic>Oxygen</topic><topic>Phosphopyruvate hydratase</topic><topic>Proteins</topic><topic>Reperfusion</topic><topic>Software</topic><topic>Transfection</topic><topic>Transmission electron microscopy</topic><topic>Tβ4</topic><topic>Western blotting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Zhongsheng</creatorcontrib><creatorcontrib>Liu, Shuangfeng</creatorcontrib><creatorcontrib>Huang, Sichun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & allied health premium.</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Hospital Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Research Library</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</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>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>ProQuest Health & Medical Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</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 Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Neuropsychiatric disease and treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Zhongsheng</au><au>Liu, Shuangfeng</au><au>Huang, Sichun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons</atitle><jtitle>Neuropsychiatric disease and treatment</jtitle><addtitle>Neuropsychiatr Dis Treat</addtitle><date>2019</date><risdate>2019</risdate><volume>15</volume><spage>2385</spage><epage>2393</epage><pages>2385-2393</pages><issn>1176-6328</issn><issn>1178-2021</issn><eissn>1178-2021</eissn><abstract>This study investigated whether thymosin (T) β4 protects against oxygen-glucose deprivation/reperfusion (OGD/R) injury in rat cortical neurons, as well as the underlying mechanisms.
Primary rat cortical neurons were transfected with Tβ4 overexpression plasmid; the transfection efficiency was confirmed by detecting Tβ4 expression by fluorescence quantitative PCR and Western blotting. The OGD/R model was established and apoptotic cells were quantified by flow cytometry and terminal deoxynucleotidyl transferase dUTP nick end labeling. Structural changes in the endoplasmic reticulum were visualized by transmission electron microscopy. The expression levels of 78-kDa glucose-regulated protein (GRP) 78, C/EBP-homologous protein (CHOP), B-cell lymphoma (Bcl)-2, and Bcl-2-associated X protein (Bax) were determined by Western blotting. The effect of Tβ4 on OGD/R injury was evaluated by adding exogenous Tβ4 to neuronal cultures.
Cortical neurons were identified by the expression of neuron-specific enolase. In OGD/R cells, the rate of apoptosis was increased and GRP78, CHOP, and Bax were upregulated whereas Bcl-2 was downregulated relative to the control group. These effects were reversed by Tβ4 overexpression. Endoplasmic reticulum (ER) stress was observed in the OGD/R group, but this was abolished in neurons overexpressing Tβ4. The protective effect of Tβ4 against OGD/R injury was also demonstrated in cells treated with exogenous Tβ4 (10 ng/mL), which blocked OGD/R-induced apoptosis by inhibiting ER stress-related and pro-apoptotic protein expression.
Tβ4 prevents OGD/R-induced ER stress-dependent apoptosis in cortical neurons, and is a potential treatment for cerebral ischemia-reperfusion injury.</abstract><cop>New Zealand</cop><pub>Taylor & Francis Ltd</pub><pmid>31692484</pmid><doi>10.2147/NDT.S208600</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1176-6328 |
ispartof | Neuropsychiatric disease and treatment, 2019, Vol.15, p.2385-2393 |
issn | 1176-6328 1178-2021 1178-2021 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_327f2d8c2e5246a9a4ac038b6d527815 |
source | Taylor & Francis Open Access; Publicly Available Content Database; PubMed Central |
subjects | Angiogenesis Apoptosis BAX protein Bcl-2 protein Bcl-x protein CCAAT/enhancer-binding protein cortical neuron culture DNA nucleotidylexotransferase Endoplasmic reticulum endoplasmic reticulum stress Flow cytometry Glucose Growth factors Hypoxia Ischemia Laboratory animals Lymphocytes B Neurons OGD/R Original Research Oxygen Phosphopyruvate hydratase Proteins Reperfusion Software Transfection Transmission electron microscopy Tβ4 Western blotting |
title | Thymosin β4 prevents oxygen-glucose deprivation/reperfusion-induced injury in rat cortical neurons |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-03-10T05%3A31%3A01IST&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=Thymosin%20%CE%B24%20prevents%20oxygen-glucose%20deprivation/reperfusion-induced%20injury%20in%20rat%20cortical%20neurons&rft.jtitle=Neuropsychiatric%20disease%20and%20treatment&rft.au=Zhang,%20Zhongsheng&rft.date=2019&rft.volume=15&rft.spage=2385&rft.epage=2393&rft.pages=2385-2393&rft.issn=1176-6328&rft.eissn=1178-2021&rft_id=info:doi/10.2147/NDT.S208600&rft_dat=%3Cproquest_doaj_%3E2312555217%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3900-62fbc4ed3e9e2ce1749ae3cc37b811bc6547f2818d06f15193f9dea90c80443a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2446026888&rft_id=info:pmid/31692484&rfr_iscdi=true |