Loading…
Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach
Bovine respiratory disease (BRD) is the most common disease in the beef and dairy cattle industry. BRD is a multifactorial disease resulting from the interaction between environmental stressors and infectious agents. However, the molecular mechanisms underlying BRD are not fully understood yet. Ther...
Saved in:
Published in: | Frontiers in genetics 2021-10, Vol.12, p.753839 |
---|---|
Main Authors: | , , , , , , , , , , |
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-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153 |
---|---|
cites | cdi_FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153 |
container_end_page | |
container_issue | |
container_start_page | 753839 |
container_title | Frontiers in genetics |
container_volume | 12 |
creator | Hasankhani, Aliakbar Bahrami, Abolfazl Sheybani, Negin Fatehi, Farhang Abadeh, Roxana Ghaem Maghami Farahani, Hamid Bahreini Behzadi, Mohammad Reza Javanmard, Ghazaleh Isapour, Sadegh Khadem, Hosein Barkema, Herman W |
description | Bovine respiratory disease (BRD) is the most common disease in the beef and dairy cattle industry. BRD is a multifactorial disease resulting from the interaction between environmental stressors and infectious agents. However, the molecular mechanisms underlying BRD are not fully understood yet. Therefore, this study aimed to use a systems biology approach to systematically evaluate this disorder to better understand the molecular mechanisms responsible for BRD.
Previously published RNA-seq data from whole blood of 18 healthy and 25 BRD samples were downloaded from the Gene Expression Omnibus (GEO) and then analyzed. Next, two distinct methods of weighted gene coexpression network analysis (WGCNA), i.e., module-trait relationships (MTRs) and module preservation (MP) analysis were used to identify significant highly correlated modules with clinical traits of BRD and non-preserved modules between healthy and BRD samples, respectively. After identifying respective modules by the two mentioned methods of WGCNA, functional enrichment analysis was performed to extract the modules that are biologically related to BRD. Gene coexpression networks based on the hub genes from the candidate modules were then integrated with protein-protein interaction (PPI) networks to identify hub-hub genes and potential transcription factors (TFs).
Four significant highly correlated modules with clinical traits of BRD as well as 29 non-preserved modules were identified by MTRs and MP methods, respectively. Among them, two significant highly correlated modules (identified by MTRs) and six nonpreserved modules (identified by MP) were biologically associated with immune response, pulmonary inflammation, and pathogenesis of BRD. After aggregation of gene coexpression networks based on the hub genes with PPI networks, a total of 307 hub-hub genes were identified in the eight candidate modules. Interestingly, most of these hub-hub genes were reported to play an important role in the immune response and BRD pathogenesis. Among the eight candidate modules, the turquoise (identified by MTRs) and purple (identified by MP) modules were highly biologically enriched in BRD. Moreover,
,
,
,
, and
TFs were suggested to play an important role in the immune system during BRD by regulating the coexpressed genes of these modules. Additionally, a gene set containing several hub-hub genes was identified in the eight candidate modules, such as
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
, and
, whic |
doi_str_mv | 10.3389/fgene.2021.753839 |
format | article |
fullrecord | <record><control><sourceid>pubmed_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_3fb94b0f5521400e9f0e23d70207682f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_3fb94b0f5521400e9f0e23d70207682f</doaj_id><sourcerecordid>34733317</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153</originalsourceid><addsrcrecordid>eNpVkdtu1DAQhiMEolXpA3CD_AK7-JyYC6RtgTZqOYjDtWU7461LNo7s7KK8BM9cbxeq1jcezej_xvJXVa8JXjLWqLd-DQMsKaZkWQvWMPWsOiZS8kVTWs8f1UfVac63uByuGGP8ZXXEeF0qUh9Xf9thgnUyE3ToC0x_YvqNVoPp5xwymiJqOxim4Gd0BTP6HLttDxmZoUPf4rSfmB5dbi26KG_JqB12sd8VUhjQWdyFAdB3yGMo-Jhm9CFkMBneoRX6MecJNhmdhdjH9YxW45iicTevqhfe9BlO_90n1a9PH3-eXy6uv16056vrheNSTAsvpcTW0doR0Xgsue1AgKS2dqJRnnrSUMsVscoJ7nnnpfPKcl_LRipGBDup2gO3i-ZWjylsTJp1NEHfN2Jaa5Om4HrQzFvFLfZCUMIxBuUxUNbVmOKCo76w3h9Y49ZuoHPlW5Lpn0CfToZwo9dxpxshFGe8AMgB4FLMOYF_yBKs9671vWu9d60PrkvmzeOlD4n_ZtkduqWoUA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach</title><source>PMC (PubMed Central)</source><creator>Hasankhani, Aliakbar ; Bahrami, Abolfazl ; Sheybani, Negin ; Fatehi, Farhang ; Abadeh, Roxana ; Ghaem Maghami Farahani, Hamid ; Bahreini Behzadi, Mohammad Reza ; Javanmard, Ghazaleh ; Isapour, Sadegh ; Khadem, Hosein ; Barkema, Herman W</creator><creatorcontrib>Hasankhani, Aliakbar ; Bahrami, Abolfazl ; Sheybani, Negin ; Fatehi, Farhang ; Abadeh, Roxana ; Ghaem Maghami Farahani, Hamid ; Bahreini Behzadi, Mohammad Reza ; Javanmard, Ghazaleh ; Isapour, Sadegh ; Khadem, Hosein ; Barkema, Herman W</creatorcontrib><description>Bovine respiratory disease (BRD) is the most common disease in the beef and dairy cattle industry. BRD is a multifactorial disease resulting from the interaction between environmental stressors and infectious agents. However, the molecular mechanisms underlying BRD are not fully understood yet. Therefore, this study aimed to use a systems biology approach to systematically evaluate this disorder to better understand the molecular mechanisms responsible for BRD.
Previously published RNA-seq data from whole blood of 18 healthy and 25 BRD samples were downloaded from the Gene Expression Omnibus (GEO) and then analyzed. Next, two distinct methods of weighted gene coexpression network analysis (WGCNA), i.e., module-trait relationships (MTRs) and module preservation (MP) analysis were used to identify significant highly correlated modules with clinical traits of BRD and non-preserved modules between healthy and BRD samples, respectively. After identifying respective modules by the two mentioned methods of WGCNA, functional enrichment analysis was performed to extract the modules that are biologically related to BRD. Gene coexpression networks based on the hub genes from the candidate modules were then integrated with protein-protein interaction (PPI) networks to identify hub-hub genes and potential transcription factors (TFs).
Four significant highly correlated modules with clinical traits of BRD as well as 29 non-preserved modules were identified by MTRs and MP methods, respectively. Among them, two significant highly correlated modules (identified by MTRs) and six nonpreserved modules (identified by MP) were biologically associated with immune response, pulmonary inflammation, and pathogenesis of BRD. After aggregation of gene coexpression networks based on the hub genes with PPI networks, a total of 307 hub-hub genes were identified in the eight candidate modules. Interestingly, most of these hub-hub genes were reported to play an important role in the immune response and BRD pathogenesis. Among the eight candidate modules, the turquoise (identified by MTRs) and purple (identified by MP) modules were highly biologically enriched in BRD. Moreover,
,
,
,
, and
TFs were suggested to play an important role in the immune system during BRD by regulating the coexpressed genes of these modules. Additionally, a gene set containing several hub-hub genes was identified in the eight candidate modules, such as
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
, and
, which are potentially critical during infection with agents of bovine respiratory disease complex (BRDC).
This study not only helps us to better understand the molecular mechanisms responsible for BRD but also suggested eight candidate modules along with several promising hub-hub genes as diagnosis biomarkers and therapeutic targets for BRD.</description><identifier>ISSN: 1664-8021</identifier><identifier>EISSN: 1664-8021</identifier><identifier>DOI: 10.3389/fgene.2021.753839</identifier><identifier>PMID: 34733317</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>bovine respiratory disease ; Genetics ; hub-hub genes ; protein-protein interaction ; RNA-seq ; weighted gene co-expression network</subject><ispartof>Frontiers in genetics, 2021-10, Vol.12, p.753839</ispartof><rights>Copyright © 2021 Hasankhani, Bahrami, Sheybani, Fatehi, Abadeh, Ghaem Maghami Farahani, Bahreini Behzadi, Javanmard, Isapour, Khadem and Barkema.</rights><rights>Copyright © 2021 Hasankhani, Bahrami, Sheybani, Fatehi, Abadeh, Ghaem Maghami Farahani, Bahreini Behzadi, Javanmard, Isapour, Khadem and Barkema. 2021 Hasankhani, Bahrami, Sheybani, Fatehi, Abadeh, Ghaem Maghami Farahani, Bahreini Behzadi, Javanmard, Isapour, Khadem and Barkema</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153</citedby><cites>FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153</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/PMC8559434/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559434/$$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/34733317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasankhani, Aliakbar</creatorcontrib><creatorcontrib>Bahrami, Abolfazl</creatorcontrib><creatorcontrib>Sheybani, Negin</creatorcontrib><creatorcontrib>Fatehi, Farhang</creatorcontrib><creatorcontrib>Abadeh, Roxana</creatorcontrib><creatorcontrib>Ghaem Maghami Farahani, Hamid</creatorcontrib><creatorcontrib>Bahreini Behzadi, Mohammad Reza</creatorcontrib><creatorcontrib>Javanmard, Ghazaleh</creatorcontrib><creatorcontrib>Isapour, Sadegh</creatorcontrib><creatorcontrib>Khadem, Hosein</creatorcontrib><creatorcontrib>Barkema, Herman W</creatorcontrib><title>Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach</title><title>Frontiers in genetics</title><addtitle>Front Genet</addtitle><description>Bovine respiratory disease (BRD) is the most common disease in the beef and dairy cattle industry. BRD is a multifactorial disease resulting from the interaction between environmental stressors and infectious agents. However, the molecular mechanisms underlying BRD are not fully understood yet. Therefore, this study aimed to use a systems biology approach to systematically evaluate this disorder to better understand the molecular mechanisms responsible for BRD.
Previously published RNA-seq data from whole blood of 18 healthy and 25 BRD samples were downloaded from the Gene Expression Omnibus (GEO) and then analyzed. Next, two distinct methods of weighted gene coexpression network analysis (WGCNA), i.e., module-trait relationships (MTRs) and module preservation (MP) analysis were used to identify significant highly correlated modules with clinical traits of BRD and non-preserved modules between healthy and BRD samples, respectively. After identifying respective modules by the two mentioned methods of WGCNA, functional enrichment analysis was performed to extract the modules that are biologically related to BRD. Gene coexpression networks based on the hub genes from the candidate modules were then integrated with protein-protein interaction (PPI) networks to identify hub-hub genes and potential transcription factors (TFs).
Four significant highly correlated modules with clinical traits of BRD as well as 29 non-preserved modules were identified by MTRs and MP methods, respectively. Among them, two significant highly correlated modules (identified by MTRs) and six nonpreserved modules (identified by MP) were biologically associated with immune response, pulmonary inflammation, and pathogenesis of BRD. After aggregation of gene coexpression networks based on the hub genes with PPI networks, a total of 307 hub-hub genes were identified in the eight candidate modules. Interestingly, most of these hub-hub genes were reported to play an important role in the immune response and BRD pathogenesis. Among the eight candidate modules, the turquoise (identified by MTRs) and purple (identified by MP) modules were highly biologically enriched in BRD. Moreover,
,
,
,
, and
TFs were suggested to play an important role in the immune system during BRD by regulating the coexpressed genes of these modules. Additionally, a gene set containing several hub-hub genes was identified in the eight candidate modules, such as
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
, and
, which are potentially critical during infection with agents of bovine respiratory disease complex (BRDC).
This study not only helps us to better understand the molecular mechanisms responsible for BRD but also suggested eight candidate modules along with several promising hub-hub genes as diagnosis biomarkers and therapeutic targets for BRD.</description><subject>bovine respiratory disease</subject><subject>Genetics</subject><subject>hub-hub genes</subject><subject>protein-protein interaction</subject><subject>RNA-seq</subject><subject>weighted gene co-expression network</subject><issn>1664-8021</issn><issn>1664-8021</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkdtu1DAQhiMEolXpA3CD_AK7-JyYC6RtgTZqOYjDtWU7461LNo7s7KK8BM9cbxeq1jcezej_xvJXVa8JXjLWqLd-DQMsKaZkWQvWMPWsOiZS8kVTWs8f1UfVac63uByuGGP8ZXXEeF0qUh9Xf9thgnUyE3ToC0x_YvqNVoPp5xwymiJqOxim4Gd0BTP6HLttDxmZoUPf4rSfmB5dbi26KG_JqB12sd8VUhjQWdyFAdB3yGMo-Jhm9CFkMBneoRX6MecJNhmdhdjH9YxW45iicTevqhfe9BlO_90n1a9PH3-eXy6uv16056vrheNSTAsvpcTW0doR0Xgsue1AgKS2dqJRnnrSUMsVscoJ7nnnpfPKcl_LRipGBDup2gO3i-ZWjylsTJp1NEHfN2Jaa5Om4HrQzFvFLfZCUMIxBuUxUNbVmOKCo76w3h9Y49ZuoHPlW5Lpn0CfToZwo9dxpxshFGe8AMgB4FLMOYF_yBKs9671vWu9d60PrkvmzeOlD4n_ZtkduqWoUA</recordid><startdate>20211018</startdate><enddate>20211018</enddate><creator>Hasankhani, Aliakbar</creator><creator>Bahrami, Abolfazl</creator><creator>Sheybani, Negin</creator><creator>Fatehi, Farhang</creator><creator>Abadeh, Roxana</creator><creator>Ghaem Maghami Farahani, Hamid</creator><creator>Bahreini Behzadi, Mohammad Reza</creator><creator>Javanmard, Ghazaleh</creator><creator>Isapour, Sadegh</creator><creator>Khadem, Hosein</creator><creator>Barkema, Herman W</creator><general>Frontiers Media S.A</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20211018</creationdate><title>Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach</title><author>Hasankhani, Aliakbar ; Bahrami, Abolfazl ; Sheybani, Negin ; Fatehi, Farhang ; Abadeh, Roxana ; Ghaem Maghami Farahani, Hamid ; Bahreini Behzadi, Mohammad Reza ; Javanmard, Ghazaleh ; Isapour, Sadegh ; Khadem, Hosein ; Barkema, Herman W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>bovine respiratory disease</topic><topic>Genetics</topic><topic>hub-hub genes</topic><topic>protein-protein interaction</topic><topic>RNA-seq</topic><topic>weighted gene co-expression network</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasankhani, Aliakbar</creatorcontrib><creatorcontrib>Bahrami, Abolfazl</creatorcontrib><creatorcontrib>Sheybani, Negin</creatorcontrib><creatorcontrib>Fatehi, Farhang</creatorcontrib><creatorcontrib>Abadeh, Roxana</creatorcontrib><creatorcontrib>Ghaem Maghami Farahani, Hamid</creatorcontrib><creatorcontrib>Bahreini Behzadi, Mohammad Reza</creatorcontrib><creatorcontrib>Javanmard, Ghazaleh</creatorcontrib><creatorcontrib>Isapour, Sadegh</creatorcontrib><creatorcontrib>Khadem, Hosein</creatorcontrib><creatorcontrib>Barkema, Herman W</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasankhani, Aliakbar</au><au>Bahrami, Abolfazl</au><au>Sheybani, Negin</au><au>Fatehi, Farhang</au><au>Abadeh, Roxana</au><au>Ghaem Maghami Farahani, Hamid</au><au>Bahreini Behzadi, Mohammad Reza</au><au>Javanmard, Ghazaleh</au><au>Isapour, Sadegh</au><au>Khadem, Hosein</au><au>Barkema, Herman W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach</atitle><jtitle>Frontiers in genetics</jtitle><addtitle>Front Genet</addtitle><date>2021-10-18</date><risdate>2021</risdate><volume>12</volume><spage>753839</spage><pages>753839-</pages><issn>1664-8021</issn><eissn>1664-8021</eissn><abstract>Bovine respiratory disease (BRD) is the most common disease in the beef and dairy cattle industry. BRD is a multifactorial disease resulting from the interaction between environmental stressors and infectious agents. However, the molecular mechanisms underlying BRD are not fully understood yet. Therefore, this study aimed to use a systems biology approach to systematically evaluate this disorder to better understand the molecular mechanisms responsible for BRD.
Previously published RNA-seq data from whole blood of 18 healthy and 25 BRD samples were downloaded from the Gene Expression Omnibus (GEO) and then analyzed. Next, two distinct methods of weighted gene coexpression network analysis (WGCNA), i.e., module-trait relationships (MTRs) and module preservation (MP) analysis were used to identify significant highly correlated modules with clinical traits of BRD and non-preserved modules between healthy and BRD samples, respectively. After identifying respective modules by the two mentioned methods of WGCNA, functional enrichment analysis was performed to extract the modules that are biologically related to BRD. Gene coexpression networks based on the hub genes from the candidate modules were then integrated with protein-protein interaction (PPI) networks to identify hub-hub genes and potential transcription factors (TFs).
Four significant highly correlated modules with clinical traits of BRD as well as 29 non-preserved modules were identified by MTRs and MP methods, respectively. Among them, two significant highly correlated modules (identified by MTRs) and six nonpreserved modules (identified by MP) were biologically associated with immune response, pulmonary inflammation, and pathogenesis of BRD. After aggregation of gene coexpression networks based on the hub genes with PPI networks, a total of 307 hub-hub genes were identified in the eight candidate modules. Interestingly, most of these hub-hub genes were reported to play an important role in the immune response and BRD pathogenesis. Among the eight candidate modules, the turquoise (identified by MTRs) and purple (identified by MP) modules were highly biologically enriched in BRD. Moreover,
,
,
,
, and
TFs were suggested to play an important role in the immune system during BRD by regulating the coexpressed genes of these modules. Additionally, a gene set containing several hub-hub genes was identified in the eight candidate modules, such as
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
, and
, which are potentially critical during infection with agents of bovine respiratory disease complex (BRDC).
This study not only helps us to better understand the molecular mechanisms responsible for BRD but also suggested eight candidate modules along with several promising hub-hub genes as diagnosis biomarkers and therapeutic targets for BRD.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>34733317</pmid><doi>10.3389/fgene.2021.753839</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1664-8021 |
ispartof | Frontiers in genetics, 2021-10, Vol.12, p.753839 |
issn | 1664-8021 1664-8021 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_3fb94b0f5521400e9f0e23d70207682f |
source | PMC (PubMed Central) |
subjects | bovine respiratory disease Genetics hub-hub genes protein-protein interaction RNA-seq weighted gene co-expression network |
title | Integrated Network Analysis to Identify Key Modules and Potential Hub Genes Involved in Bovine Respiratory Disease: A Systems Biology Approach |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T01%3A32%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Integrated%20Network%20Analysis%20to%20Identify%20Key%20Modules%20and%20Potential%20Hub%20Genes%20Involved%20in%20Bovine%20Respiratory%20Disease:%20A%20Systems%20Biology%20Approach&rft.jtitle=Frontiers%20in%20genetics&rft.au=Hasankhani,%20Aliakbar&rft.date=2021-10-18&rft.volume=12&rft.spage=753839&rft.pages=753839-&rft.issn=1664-8021&rft.eissn=1664-8021&rft_id=info:doi/10.3389/fgene.2021.753839&rft_dat=%3Cpubmed_doaj_%3E34733317%3C/pubmed_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c465t-f6660bc27c158f064bde5e62b7c589f2f182b491b9c54f4df6cf9b4f768693153%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/34733317&rfr_iscdi=true |