Loading…

VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity

Inflammatory bowel diseases (IBD) are chronic intestinal disorders that result from an inappropriate inflammatory response to the microbiota in genetically susceptible individuals, often triggered by environmental stressors. Part of this response is the persistent inflammation and tissue injury asso...

Full description

Saved in:
Bibliographic Details
Published in:Redox biology 2023-11, Vol.67, p.102905-102905, Article 102905
Main Authors: Ward, Josie, Zhang, Suisheng, Sikora, Adam, Michalski, Radoslaw, Yin, Yuting, D'Alessio, Aurora, McLoughlin, Rachel M., Jaquet, Vincent, Fieschi, Franck, Knaus, Ulla G.
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-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633
cites cdi_FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633
container_end_page 102905
container_issue
container_start_page 102905
container_title Redox biology
container_volume 67
creator Ward, Josie
Zhang, Suisheng
Sikora, Adam
Michalski, Radoslaw
Yin, Yuting
D'Alessio, Aurora
McLoughlin, Rachel M.
Jaquet, Vincent
Fieschi, Franck
Knaus, Ulla G.
description Inflammatory bowel diseases (IBD) are chronic intestinal disorders that result from an inappropriate inflammatory response to the microbiota in genetically susceptible individuals, often triggered by environmental stressors. Part of this response is the persistent inflammation and tissue injury associated with deficiency or excess of reactive oxygen species (ROS). The NADPH oxidase NOX1 is highly expressed in the intestinal epithelium, and inactivating NOX1 missense mutations are considered a risk factor for developing very early onset IBD. Albeit NOX1 has been linked to wound healing and host defence, many questions remain about its role in intestinal homeostasis and acute inflammatory conditions. Here, we used in vivo imaging in combination with inhibitor studies and germ-free conditions to conclusively identify NOX1 as essential superoxide generator for microbiota-dependent peroxynitrite production in homeostasis and during early endotoxemia. NOX1 loss-of-function variants cannot support peroxynitrite production, suggesting that the gut barrier is persistently weakened in these patients. One of the loss-of-function NOX1 variants, NOX1 p. Asn122His, features replacement of an asparagine residue located in a highly conserved HxxxHxxN motif. Modelling the NOX1-p22phox complex revealed near the distal heme an internal pocket restricted by His119 and Asn122 that is part of the oxygen reduction site. Functional studies in several human NADPH oxidases show that substitution of asparagine with amino acids with larger side chains is not tolerated, while smaller side chains can support catalytic activity. Thus, we identified a previously unrecognized structural feature required for the electron transfer mechanism in human NADPH oxidases. [Display omitted] •NOX1 is crucial for microbiota and LPS-dependent intestinal ONOO−/ONOOH generation.•Identification of a catalytically essential HxxxHxxN motif in NOX/DUOX.•NOX1-p22phox Asn122 modelling supports an internal oxygen capture site.
doi_str_mv 10.1016/j.redox.2023.102905
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_62274075ee8f46078c8e8e512545b236</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2213231723003063</els_id><doaj_id>oai_doaj_org_article_62274075ee8f46078c8e8e512545b236</doaj_id><sourcerecordid>2876637324</sourcerecordid><originalsourceid>FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633</originalsourceid><addsrcrecordid>eNp9Ul1v2yAUtaZNa5X1F0ya_Lg9OIULBvIwTV0_I0XLyzr1ZUIYXydEjt0BsZZ_P1J3VbuHISHQ4ZxzuXCy7D0lU0qoON1MPdb97ykQYAmBGSlfZccAlBXAqHz9bH-UnYSwIWkoxYGSt9kRkwoIJ-w4-_njclnMv17k35Z3NB-Md6aL-dqt1m2aMeQmD9HvbNx50-YeV67vcgwBu-gS0PT-oDy9uF3e5dZE0-6js7mx0Q0u7t9lbxrTBjx5XCfZ7dXl9_ObYrG8np-fLQpbChKLxlSVIGCbRrKZMVBXJZCalyWYuibIWS2gEbaiXEElaiVntEKsKpRkxphgbJLNR9-6Nxt9793W-L3ujdMPQO9X2vh0sRa1AJCcyBJRNVwQqaxChSWFkpcVJLNJ9mX0ut9VW6xt6jS1_sL05Unn1nrVD5qSUlLCIDl8Gh3W_-huzhb6gBHOFKdSDDRxPz5W8_2vHYaoty5YbFvTYb8LGpQUgkkGPFHZSLW-D8Fj8-RNiT6EQm_0Qyj0IRR6DEVSfXjezpPmbwQS4fNIwPRBg0Ovg3XYWaydRxvTC7r_FvgD_PLHXg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2876637324</pqid></control><display><type>article</type><title>VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity</title><source>Open Access: PubMed Central</source><source>ScienceDirect Journals</source><creator>Ward, Josie ; Zhang, Suisheng ; Sikora, Adam ; Michalski, Radoslaw ; Yin, Yuting ; D'Alessio, Aurora ; McLoughlin, Rachel M. ; Jaquet, Vincent ; Fieschi, Franck ; Knaus, Ulla G.</creator><creatorcontrib>Ward, Josie ; Zhang, Suisheng ; Sikora, Adam ; Michalski, Radoslaw ; Yin, Yuting ; D'Alessio, Aurora ; McLoughlin, Rachel M. ; Jaquet, Vincent ; Fieschi, Franck ; Knaus, Ulla G.</creatorcontrib><description>Inflammatory bowel diseases (IBD) are chronic intestinal disorders that result from an inappropriate inflammatory response to the microbiota in genetically susceptible individuals, often triggered by environmental stressors. Part of this response is the persistent inflammation and tissue injury associated with deficiency or excess of reactive oxygen species (ROS). The NADPH oxidase NOX1 is highly expressed in the intestinal epithelium, and inactivating NOX1 missense mutations are considered a risk factor for developing very early onset IBD. Albeit NOX1 has been linked to wound healing and host defence, many questions remain about its role in intestinal homeostasis and acute inflammatory conditions. Here, we used in vivo imaging in combination with inhibitor studies and germ-free conditions to conclusively identify NOX1 as essential superoxide generator for microbiota-dependent peroxynitrite production in homeostasis and during early endotoxemia. NOX1 loss-of-function variants cannot support peroxynitrite production, suggesting that the gut barrier is persistently weakened in these patients. One of the loss-of-function NOX1 variants, NOX1 p. Asn122His, features replacement of an asparagine residue located in a highly conserved HxxxHxxN motif. Modelling the NOX1-p22phox complex revealed near the distal heme an internal pocket restricted by His119 and Asn122 that is part of the oxygen reduction site. Functional studies in several human NADPH oxidases show that substitution of asparagine with amino acids with larger side chains is not tolerated, while smaller side chains can support catalytic activity. Thus, we identified a previously unrecognized structural feature required for the electron transfer mechanism in human NADPH oxidases. [Display omitted] •NOX1 is crucial for microbiota and LPS-dependent intestinal ONOO−/ONOOH generation.•Identification of a catalytically essential HxxxHxxN motif in NOX/DUOX.•NOX1-p22phox Asn122 modelling supports an internal oxygen capture site.</description><identifier>ISSN: 2213-2317</identifier><identifier>EISSN: 2213-2317</identifier><identifier>DOI: 10.1016/j.redox.2023.102905</identifier><identifier>PMID: 37820403</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Asparagine ; DUOX ; Germ-free mice ; Humans ; Inflammatory bowel disease ; Inflammatory Bowel Diseases ; Inflammatory Bowel Diseases - genetics ; Life Sciences ; NADPH oxidase ; NADPH Oxidase 1 ; NADPH Oxidase 1 - genetics ; NADPH Oxidases ; NADPH Oxidases - genetics ; NADPH Oxidases - metabolism ; NOX ; NOX1 model ; Peroxynitrite ; Peroxynitrous Acid ; Reactive Oxygen Species ; Reactive Oxygen Species - metabolism ; Research Paper ; VEO-IBD</subject><ispartof>Redox biology, 2023-11, Vol.67, p.102905-102905, Article 102905</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2023 The Authors 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633</citedby><cites>FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633</cites><orcidid>0000-0002-7375-0385</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/PMC10571032/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2213231723003063$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37820403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04384176$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Ward, Josie</creatorcontrib><creatorcontrib>Zhang, Suisheng</creatorcontrib><creatorcontrib>Sikora, Adam</creatorcontrib><creatorcontrib>Michalski, Radoslaw</creatorcontrib><creatorcontrib>Yin, Yuting</creatorcontrib><creatorcontrib>D'Alessio, Aurora</creatorcontrib><creatorcontrib>McLoughlin, Rachel M.</creatorcontrib><creatorcontrib>Jaquet, Vincent</creatorcontrib><creatorcontrib>Fieschi, Franck</creatorcontrib><creatorcontrib>Knaus, Ulla G.</creatorcontrib><title>VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity</title><title>Redox biology</title><addtitle>Redox Biol</addtitle><description>Inflammatory bowel diseases (IBD) are chronic intestinal disorders that result from an inappropriate inflammatory response to the microbiota in genetically susceptible individuals, often triggered by environmental stressors. Part of this response is the persistent inflammation and tissue injury associated with deficiency or excess of reactive oxygen species (ROS). The NADPH oxidase NOX1 is highly expressed in the intestinal epithelium, and inactivating NOX1 missense mutations are considered a risk factor for developing very early onset IBD. Albeit NOX1 has been linked to wound healing and host defence, many questions remain about its role in intestinal homeostasis and acute inflammatory conditions. Here, we used in vivo imaging in combination with inhibitor studies and germ-free conditions to conclusively identify NOX1 as essential superoxide generator for microbiota-dependent peroxynitrite production in homeostasis and during early endotoxemia. NOX1 loss-of-function variants cannot support peroxynitrite production, suggesting that the gut barrier is persistently weakened in these patients. One of the loss-of-function NOX1 variants, NOX1 p. Asn122His, features replacement of an asparagine residue located in a highly conserved HxxxHxxN motif. Modelling the NOX1-p22phox complex revealed near the distal heme an internal pocket restricted by His119 and Asn122 that is part of the oxygen reduction site. Functional studies in several human NADPH oxidases show that substitution of asparagine with amino acids with larger side chains is not tolerated, while smaller side chains can support catalytic activity. Thus, we identified a previously unrecognized structural feature required for the electron transfer mechanism in human NADPH oxidases. [Display omitted] •NOX1 is crucial for microbiota and LPS-dependent intestinal ONOO−/ONOOH generation.•Identification of a catalytically essential HxxxHxxN motif in NOX/DUOX.•NOX1-p22phox Asn122 modelling supports an internal oxygen capture site.</description><subject>Asparagine</subject><subject>DUOX</subject><subject>Germ-free mice</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases</subject><subject>Inflammatory Bowel Diseases - genetics</subject><subject>Life Sciences</subject><subject>NADPH oxidase</subject><subject>NADPH Oxidase 1</subject><subject>NADPH Oxidase 1 - genetics</subject><subject>NADPH Oxidases</subject><subject>NADPH Oxidases - genetics</subject><subject>NADPH Oxidases - metabolism</subject><subject>NOX</subject><subject>NOX1 model</subject><subject>Peroxynitrite</subject><subject>Peroxynitrous Acid</subject><subject>Reactive Oxygen Species</subject><subject>Reactive Oxygen Species - metabolism</subject><subject>Research Paper</subject><subject>VEO-IBD</subject><issn>2213-2317</issn><issn>2213-2317</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9Ul1v2yAUtaZNa5X1F0ya_Lg9OIULBvIwTV0_I0XLyzr1ZUIYXydEjt0BsZZ_P1J3VbuHISHQ4ZxzuXCy7D0lU0qoON1MPdb97ykQYAmBGSlfZccAlBXAqHz9bH-UnYSwIWkoxYGSt9kRkwoIJ-w4-_njclnMv17k35Z3NB-Md6aL-dqt1m2aMeQmD9HvbNx50-YeV67vcgwBu-gS0PT-oDy9uF3e5dZE0-6js7mx0Q0u7t9lbxrTBjx5XCfZ7dXl9_ObYrG8np-fLQpbChKLxlSVIGCbRrKZMVBXJZCalyWYuibIWS2gEbaiXEElaiVntEKsKpRkxphgbJLNR9-6Nxt9793W-L3ujdMPQO9X2vh0sRa1AJCcyBJRNVwQqaxChSWFkpcVJLNJ9mX0ut9VW6xt6jS1_sL05Unn1nrVD5qSUlLCIDl8Gh3W_-huzhb6gBHOFKdSDDRxPz5W8_2vHYaoty5YbFvTYb8LGpQUgkkGPFHZSLW-D8Fj8-RNiT6EQm_0Qyj0IRR6DEVSfXjezpPmbwQS4fNIwPRBg0Ovg3XYWaydRxvTC7r_FvgD_PLHXg</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Ward, Josie</creator><creator>Zhang, Suisheng</creator><creator>Sikora, Adam</creator><creator>Michalski, Radoslaw</creator><creator>Yin, Yuting</creator><creator>D'Alessio, Aurora</creator><creator>McLoughlin, Rachel M.</creator><creator>Jaquet, Vincent</creator><creator>Fieschi, Franck</creator><creator>Knaus, Ulla G.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</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>7X8</scope><scope>1XC</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7375-0385</orcidid></search><sort><creationdate>20231101</creationdate><title>VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity</title><author>Ward, Josie ; Zhang, Suisheng ; Sikora, Adam ; Michalski, Radoslaw ; Yin, Yuting ; D'Alessio, Aurora ; McLoughlin, Rachel M. ; Jaquet, Vincent ; Fieschi, Franck ; Knaus, Ulla G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Asparagine</topic><topic>DUOX</topic><topic>Germ-free mice</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Inflammatory Bowel Diseases</topic><topic>Inflammatory Bowel Diseases - genetics</topic><topic>Life Sciences</topic><topic>NADPH oxidase</topic><topic>NADPH Oxidase 1</topic><topic>NADPH Oxidase 1 - genetics</topic><topic>NADPH Oxidases</topic><topic>NADPH Oxidases - genetics</topic><topic>NADPH Oxidases - metabolism</topic><topic>NOX</topic><topic>NOX1 model</topic><topic>Peroxynitrite</topic><topic>Peroxynitrous Acid</topic><topic>Reactive Oxygen Species</topic><topic>Reactive Oxygen Species - metabolism</topic><topic>Research Paper</topic><topic>VEO-IBD</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ward, Josie</creatorcontrib><creatorcontrib>Zhang, Suisheng</creatorcontrib><creatorcontrib>Sikora, Adam</creatorcontrib><creatorcontrib>Michalski, Radoslaw</creatorcontrib><creatorcontrib>Yin, Yuting</creatorcontrib><creatorcontrib>D'Alessio, Aurora</creatorcontrib><creatorcontrib>McLoughlin, Rachel M.</creatorcontrib><creatorcontrib>Jaquet, Vincent</creatorcontrib><creatorcontrib>Fieschi, Franck</creatorcontrib><creatorcontrib>Knaus, Ulla G.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Hyper Article en Ligne (HAL)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Redox biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ward, Josie</au><au>Zhang, Suisheng</au><au>Sikora, Adam</au><au>Michalski, Radoslaw</au><au>Yin, Yuting</au><au>D'Alessio, Aurora</au><au>McLoughlin, Rachel M.</au><au>Jaquet, Vincent</au><au>Fieschi, Franck</au><au>Knaus, Ulla G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity</atitle><jtitle>Redox biology</jtitle><addtitle>Redox Biol</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>67</volume><spage>102905</spage><epage>102905</epage><pages>102905-102905</pages><artnum>102905</artnum><issn>2213-2317</issn><eissn>2213-2317</eissn><abstract>Inflammatory bowel diseases (IBD) are chronic intestinal disorders that result from an inappropriate inflammatory response to the microbiota in genetically susceptible individuals, often triggered by environmental stressors. Part of this response is the persistent inflammation and tissue injury associated with deficiency or excess of reactive oxygen species (ROS). The NADPH oxidase NOX1 is highly expressed in the intestinal epithelium, and inactivating NOX1 missense mutations are considered a risk factor for developing very early onset IBD. Albeit NOX1 has been linked to wound healing and host defence, many questions remain about its role in intestinal homeostasis and acute inflammatory conditions. Here, we used in vivo imaging in combination with inhibitor studies and germ-free conditions to conclusively identify NOX1 as essential superoxide generator for microbiota-dependent peroxynitrite production in homeostasis and during early endotoxemia. NOX1 loss-of-function variants cannot support peroxynitrite production, suggesting that the gut barrier is persistently weakened in these patients. One of the loss-of-function NOX1 variants, NOX1 p. Asn122His, features replacement of an asparagine residue located in a highly conserved HxxxHxxN motif. Modelling the NOX1-p22phox complex revealed near the distal heme an internal pocket restricted by His119 and Asn122 that is part of the oxygen reduction site. Functional studies in several human NADPH oxidases show that substitution of asparagine with amino acids with larger side chains is not tolerated, while smaller side chains can support catalytic activity. Thus, we identified a previously unrecognized structural feature required for the electron transfer mechanism in human NADPH oxidases. [Display omitted] •NOX1 is crucial for microbiota and LPS-dependent intestinal ONOO−/ONOOH generation.•Identification of a catalytically essential HxxxHxxN motif in NOX/DUOX.•NOX1-p22phox Asn122 modelling supports an internal oxygen capture site.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37820403</pmid><doi>10.1016/j.redox.2023.102905</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7375-0385</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2213-2317
ispartof Redox biology, 2023-11, Vol.67, p.102905-102905, Article 102905
issn 2213-2317
2213-2317
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_62274075ee8f46078c8e8e512545b236
source Open Access: PubMed Central; ScienceDirect Journals
subjects Asparagine
DUOX
Germ-free mice
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases
Inflammatory Bowel Diseases - genetics
Life Sciences
NADPH oxidase
NADPH Oxidase 1
NADPH Oxidase 1 - genetics
NADPH Oxidases
NADPH Oxidases - genetics
NADPH Oxidases - metabolism
NOX
NOX1 model
Peroxynitrite
Peroxynitrous Acid
Reactive Oxygen Species
Reactive Oxygen Species - metabolism
Research Paper
VEO-IBD
title VEO-IBD NOX1 variant highlights a structural region essential for NOX/DUOX catalytic activity
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T17%3A40%3A29IST&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=VEO-IBD%20NOX1%20variant%20highlights%20a%20structural%20region%20essential%20for%20NOX/DUOX%20catalytic%20activity&rft.jtitle=Redox%20biology&rft.au=Ward,%20Josie&rft.date=2023-11-01&rft.volume=67&rft.spage=102905&rft.epage=102905&rft.pages=102905-102905&rft.artnum=102905&rft.issn=2213-2317&rft.eissn=2213-2317&rft_id=info:doi/10.1016/j.redox.2023.102905&rft_dat=%3Cproquest_doaj_%3E2876637324%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c560t-fabb602cff739aa2db520d4552add0e43d62f6cb1482b6d8791beebbe70933633%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2876637324&rft_id=info:pmid/37820403&rfr_iscdi=true