Loading…

CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira

Leptospirosis, caused by pathogenic bacteria from the genus , is a global zoonosis responsible for more than one million human cases and 60,000 deaths annually. The disease also affects many domestic animal species. Historically, genetic manipulation of has been difficult to perform, resulting in li...

Full description

Saved in:
Bibliographic Details
Published in:mBio 2024-09, Vol.15 (9), p.e0151624
Main Authors: Fernandes, Luis Guilherme Virgilio, Hamond, Camila, Tibbs-Cortes, Bienvenido W, Putz, Ellie J, Olsen, Steven C, Palmer, Mitchell V, Nally, Jarlath E
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-a375t-d3bbc671dc42543ec371f39ca586a8bbfb02571260933c29e83f342c995890773
container_end_page
container_issue 9
container_start_page e0151624
container_title mBio
container_volume 15
creator Fernandes, Luis Guilherme Virgilio
Hamond, Camila
Tibbs-Cortes, Bienvenido W
Putz, Ellie J
Olsen, Steven C
Palmer, Mitchell V
Nally, Jarlath E
description Leptospirosis, caused by pathogenic bacteria from the genus , is a global zoonosis responsible for more than one million human cases and 60,000 deaths annually. The disease also affects many domestic animal species. Historically, genetic manipulation of has been difficult to perform, resulting in limited knowledge on pathogenic mechanisms of disease and the identification of virulence factors. The application of CRISPR/Cas9 and its variations have helped fill these gaps but the generation of knockout mutants remains challenging because double-strand breaks (DSBs) inflicted by Cas9 nuclease are lethal to cells. The novel CRISPR prime editing (PE) strategy is the first precise genome-editing technology that allows deletions, insertions, and base substitutions without introducing DSBs. This revolutionary technique utilizes a nickase Cas9 that cleaves a single strand of DNA, coupled with an engineered reverse transcriptase and a modified single-guide RNA (termed prime editing guide RNA) containing an extended 3' end with the desired edits. We demonstrate the application of CRISPR-PE in both saprophytic and pathogenic from multiple species and serovars by introducing deletions or insertions into target DNA with a remarkable precision of just one nucleotide. Additionally, we demonstrate the ability to genetically manipulate , a prevalent pathogenic species of humans, domestic cattle, and wildlife animals. Rapid plasmid loss by mutated strains in liquid culture allows for the generation of knockout strains without selective markers, which can be readily used to elucidate virulence factors and develop optimized bacterin and/or live vaccines against leptospirosis.IMPORTANCELeptospirosis is a geographically widespread bacterial zoonosis. Genetic manipulation of pathogenic spp. has been laborious and difficult to perform, limiting our ability to understand how leptospires cause disease. The application of the CRISPR/Cas9 system to enhanced our ability to generate knockdown and knockout mutants; however, the latter remains challenging. Here, we demonstrate the application of the CRISPR prime editing technique in , allowing the generation of knockout mutants in several pathogenic species, with mutations comprising just a single nucleotide resolution. Notably, we generated a mutant in the background, a prevalent pathogenic species of humans and cattle. Our application of this method opens new avenues for studying pathogenic mechanisms of and the identification of virule
doi_str_mv 10.1128/mbio.01516-24
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6d6ad5fd0c1a42a388173c15ceff3104</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_6d6ad5fd0c1a42a388173c15ceff3104</doaj_id><sourcerecordid>3092367173</sourcerecordid><originalsourceid>FETCH-LOGICAL-a375t-d3bbc671dc42543ec371f39ca586a8bbfb02571260933c29e83f342c995890773</originalsourceid><addsrcrecordid>eNp1kkFv1DAQhSMEotXSI1fkI0KkeDxJnJwQWlFYaSVQgbPlOJOtV0m82E4rDvz3Ot1StQd8sK3xm89-1suy18DPAUT9YWytO-dQQpWL4ll2KqDkuSwBnj_an2RnIex5GohQI3-ZnWADWBUSTrO_68vNj--X-cHbkRh1Ntpp955pdk0-6GgHYjuaKFrDonNDmpjxpCOxcCBj-1Qf55iEbgrsxsar1BoSIvVNsxnIRdsR8xTcMC8iZie2pUN04WC9fpW96PUQ6Ox-XWW_Lj7_XH_Nt9--bNaftrlGWca8w7Y1lYTOFKIskAxK6LExuqwrXbdt33JRShAVbxCNaKjGHgthmqasGy4lrrLNkds5vVeLV-3_KKetuis4v1PaJ48DqaqrdFf2HTegC6GxrkGigdJQ3yPwIrE-HlmHuR2pMzRFr4cn0Kcnk71SO3etALBuivTEVfb2nuDd75lCVKMNhoZBT-TmoJA3ApNdiUmaH6XGuxA89Q_3AFdLBNQSAXUXASWWx7076nUYhdq72U_pX_8rfvPYyQP6XzrwFheju-Y</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3092367173</pqid></control><display><type>article</type><title>CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira</title><source>American Society for Microbiology</source><source>NCBI_PubMed Central(免费)</source><creator>Fernandes, Luis Guilherme Virgilio ; Hamond, Camila ; Tibbs-Cortes, Bienvenido W ; Putz, Ellie J ; Olsen, Steven C ; Palmer, Mitchell V ; Nally, Jarlath E</creator><contributor>Norris, Steven J.</contributor><creatorcontrib>Fernandes, Luis Guilherme Virgilio ; Hamond, Camila ; Tibbs-Cortes, Bienvenido W ; Putz, Ellie J ; Olsen, Steven C ; Palmer, Mitchell V ; Nally, Jarlath E ; Norris, Steven J.</creatorcontrib><description>Leptospirosis, caused by pathogenic bacteria from the genus , is a global zoonosis responsible for more than one million human cases and 60,000 deaths annually. The disease also affects many domestic animal species. Historically, genetic manipulation of has been difficult to perform, resulting in limited knowledge on pathogenic mechanisms of disease and the identification of virulence factors. The application of CRISPR/Cas9 and its variations have helped fill these gaps but the generation of knockout mutants remains challenging because double-strand breaks (DSBs) inflicted by Cas9 nuclease are lethal to cells. The novel CRISPR prime editing (PE) strategy is the first precise genome-editing technology that allows deletions, insertions, and base substitutions without introducing DSBs. This revolutionary technique utilizes a nickase Cas9 that cleaves a single strand of DNA, coupled with an engineered reverse transcriptase and a modified single-guide RNA (termed prime editing guide RNA) containing an extended 3' end with the desired edits. We demonstrate the application of CRISPR-PE in both saprophytic and pathogenic from multiple species and serovars by introducing deletions or insertions into target DNA with a remarkable precision of just one nucleotide. Additionally, we demonstrate the ability to genetically manipulate , a prevalent pathogenic species of humans, domestic cattle, and wildlife animals. Rapid plasmid loss by mutated strains in liquid culture allows for the generation of knockout strains without selective markers, which can be readily used to elucidate virulence factors and develop optimized bacterin and/or live vaccines against leptospirosis.IMPORTANCELeptospirosis is a geographically widespread bacterial zoonosis. Genetic manipulation of pathogenic spp. has been laborious and difficult to perform, limiting our ability to understand how leptospires cause disease. The application of the CRISPR/Cas9 system to enhanced our ability to generate knockdown and knockout mutants; however, the latter remains challenging. Here, we demonstrate the application of the CRISPR prime editing technique in , allowing the generation of knockout mutants in several pathogenic species, with mutations comprising just a single nucleotide resolution. Notably, we generated a mutant in the background, a prevalent pathogenic species of humans and cattle. Our application of this method opens new avenues for studying pathogenic mechanisms of and the identification of virulence factors across multiple species. These methods can also be used to facilitate the generation of marker-less knockout strains for updated and improved bacterin and/or live vaccines.</description><identifier>ISSN: 2150-7511</identifier><identifier>EISSN: 2150-7511</identifier><identifier>DOI: 10.1128/mbio.01516-24</identifier><identifier>PMID: 39136471</identifier><language>eng</language><publisher>United States: American Society for Microbiology</publisher><subject>Animals ; CRISPR prime editing ; CRISPR-Cas Systems ; Gene Editing - methods ; Genetics and Molecular Biology ; Humans ; knockout mutants ; Leptospira ; Leptospira - genetics ; Leptospira - pathogenicity ; Leptospirosis - microbiology ; mutagenesis ; Mutation ; Research Article ; virulence factors</subject><ispartof>mBio, 2024-09, Vol.15 (9), p.e0151624</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-a375t-d3bbc671dc42543ec371f39ca586a8bbfb02571260933c29e83f342c995890773</cites><orcidid>0000-0002-4136-3831 ; 0000-0003-2545-4757 ; 0000-0003-3435-4889 ; 0000-0002-5902-3333 ; 0000-0002-9478-1316 ; 0000-0001-7510-5710 ; 0000-0001-8794-9021</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.asm.org/doi/pdf/10.1128/mbio.01516-24$$EPDF$$P50$$Gasm2$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.asm.org/doi/full/10.1128/mbio.01516-24$$EHTML$$P50$$Gasm2$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3186,27922,27923,52749,52750,52751,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39136471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Norris, Steven J.</contributor><creatorcontrib>Fernandes, Luis Guilherme Virgilio</creatorcontrib><creatorcontrib>Hamond, Camila</creatorcontrib><creatorcontrib>Tibbs-Cortes, Bienvenido W</creatorcontrib><creatorcontrib>Putz, Ellie J</creatorcontrib><creatorcontrib>Olsen, Steven C</creatorcontrib><creatorcontrib>Palmer, Mitchell V</creatorcontrib><creatorcontrib>Nally, Jarlath E</creatorcontrib><title>CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira</title><title>mBio</title><addtitle>mBio</addtitle><addtitle>mBio</addtitle><description>Leptospirosis, caused by pathogenic bacteria from the genus , is a global zoonosis responsible for more than one million human cases and 60,000 deaths annually. The disease also affects many domestic animal species. Historically, genetic manipulation of has been difficult to perform, resulting in limited knowledge on pathogenic mechanisms of disease and the identification of virulence factors. The application of CRISPR/Cas9 and its variations have helped fill these gaps but the generation of knockout mutants remains challenging because double-strand breaks (DSBs) inflicted by Cas9 nuclease are lethal to cells. The novel CRISPR prime editing (PE) strategy is the first precise genome-editing technology that allows deletions, insertions, and base substitutions without introducing DSBs. This revolutionary technique utilizes a nickase Cas9 that cleaves a single strand of DNA, coupled with an engineered reverse transcriptase and a modified single-guide RNA (termed prime editing guide RNA) containing an extended 3' end with the desired edits. We demonstrate the application of CRISPR-PE in both saprophytic and pathogenic from multiple species and serovars by introducing deletions or insertions into target DNA with a remarkable precision of just one nucleotide. Additionally, we demonstrate the ability to genetically manipulate , a prevalent pathogenic species of humans, domestic cattle, and wildlife animals. Rapid plasmid loss by mutated strains in liquid culture allows for the generation of knockout strains without selective markers, which can be readily used to elucidate virulence factors and develop optimized bacterin and/or live vaccines against leptospirosis.IMPORTANCELeptospirosis is a geographically widespread bacterial zoonosis. Genetic manipulation of pathogenic spp. has been laborious and difficult to perform, limiting our ability to understand how leptospires cause disease. The application of the CRISPR/Cas9 system to enhanced our ability to generate knockdown and knockout mutants; however, the latter remains challenging. Here, we demonstrate the application of the CRISPR prime editing technique in , allowing the generation of knockout mutants in several pathogenic species, with mutations comprising just a single nucleotide resolution. Notably, we generated a mutant in the background, a prevalent pathogenic species of humans and cattle. Our application of this method opens new avenues for studying pathogenic mechanisms of and the identification of virulence factors across multiple species. These methods can also be used to facilitate the generation of marker-less knockout strains for updated and improved bacterin and/or live vaccines.</description><subject>Animals</subject><subject>CRISPR prime editing</subject><subject>CRISPR-Cas Systems</subject><subject>Gene Editing - methods</subject><subject>Genetics and Molecular Biology</subject><subject>Humans</subject><subject>knockout mutants</subject><subject>Leptospira</subject><subject>Leptospira - genetics</subject><subject>Leptospira - pathogenicity</subject><subject>Leptospirosis - microbiology</subject><subject>mutagenesis</subject><subject>Mutation</subject><subject>Research Article</subject><subject>virulence factors</subject><issn>2150-7511</issn><issn>2150-7511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp1kkFv1DAQhSMEotXSI1fkI0KkeDxJnJwQWlFYaSVQgbPlOJOtV0m82E4rDvz3Ot1StQd8sK3xm89-1suy18DPAUT9YWytO-dQQpWL4ll2KqDkuSwBnj_an2RnIex5GohQI3-ZnWADWBUSTrO_68vNj--X-cHbkRh1Ntpp955pdk0-6GgHYjuaKFrDonNDmpjxpCOxcCBj-1Qf55iEbgrsxsar1BoSIvVNsxnIRdsR8xTcMC8iZie2pUN04WC9fpW96PUQ6Ox-XWW_Lj7_XH_Nt9--bNaftrlGWca8w7Y1lYTOFKIskAxK6LExuqwrXbdt33JRShAVbxCNaKjGHgthmqasGy4lrrLNkds5vVeLV-3_KKetuis4v1PaJ48DqaqrdFf2HTegC6GxrkGigdJQ3yPwIrE-HlmHuR2pMzRFr4cn0Kcnk71SO3etALBuivTEVfb2nuDd75lCVKMNhoZBT-TmoJA3ApNdiUmaH6XGuxA89Q_3AFdLBNQSAXUXASWWx7076nUYhdq72U_pX_8rfvPYyQP6XzrwFheju-Y</recordid><startdate>20240911</startdate><enddate>20240911</enddate><creator>Fernandes, Luis Guilherme Virgilio</creator><creator>Hamond, Camila</creator><creator>Tibbs-Cortes, Bienvenido W</creator><creator>Putz, Ellie J</creator><creator>Olsen, Steven C</creator><creator>Palmer, Mitchell V</creator><creator>Nally, Jarlath E</creator><general>American Society for Microbiology</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><orcidid>https://orcid.org/0000-0002-4136-3831</orcidid><orcidid>https://orcid.org/0000-0003-2545-4757</orcidid><orcidid>https://orcid.org/0000-0003-3435-4889</orcidid><orcidid>https://orcid.org/0000-0002-5902-3333</orcidid><orcidid>https://orcid.org/0000-0002-9478-1316</orcidid><orcidid>https://orcid.org/0000-0001-7510-5710</orcidid><orcidid>https://orcid.org/0000-0001-8794-9021</orcidid></search><sort><creationdate>20240911</creationdate><title>CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira</title><author>Fernandes, Luis Guilherme Virgilio ; Hamond, Camila ; Tibbs-Cortes, Bienvenido W ; Putz, Ellie J ; Olsen, Steven C ; Palmer, Mitchell V ; Nally, Jarlath E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a375t-d3bbc671dc42543ec371f39ca586a8bbfb02571260933c29e83f342c995890773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Animals</topic><topic>CRISPR prime editing</topic><topic>CRISPR-Cas Systems</topic><topic>Gene Editing - methods</topic><topic>Genetics and Molecular Biology</topic><topic>Humans</topic><topic>knockout mutants</topic><topic>Leptospira</topic><topic>Leptospira - genetics</topic><topic>Leptospira - pathogenicity</topic><topic>Leptospirosis - microbiology</topic><topic>mutagenesis</topic><topic>Mutation</topic><topic>Research Article</topic><topic>virulence factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandes, Luis Guilherme Virgilio</creatorcontrib><creatorcontrib>Hamond, Camila</creatorcontrib><creatorcontrib>Tibbs-Cortes, Bienvenido W</creatorcontrib><creatorcontrib>Putz, Ellie J</creatorcontrib><creatorcontrib>Olsen, Steven C</creatorcontrib><creatorcontrib>Palmer, Mitchell V</creatorcontrib><creatorcontrib>Nally, Jarlath E</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>Directory of Open Access Journals</collection><jtitle>mBio</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandes, Luis Guilherme Virgilio</au><au>Hamond, Camila</au><au>Tibbs-Cortes, Bienvenido W</au><au>Putz, Ellie J</au><au>Olsen, Steven C</au><au>Palmer, Mitchell V</au><au>Nally, Jarlath E</au><au>Norris, Steven J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira</atitle><jtitle>mBio</jtitle><stitle>mBio</stitle><addtitle>mBio</addtitle><date>2024-09-11</date><risdate>2024</risdate><volume>15</volume><issue>9</issue><spage>e0151624</spage><pages>e0151624-</pages><issn>2150-7511</issn><eissn>2150-7511</eissn><abstract>Leptospirosis, caused by pathogenic bacteria from the genus , is a global zoonosis responsible for more than one million human cases and 60,000 deaths annually. The disease also affects many domestic animal species. Historically, genetic manipulation of has been difficult to perform, resulting in limited knowledge on pathogenic mechanisms of disease and the identification of virulence factors. The application of CRISPR/Cas9 and its variations have helped fill these gaps but the generation of knockout mutants remains challenging because double-strand breaks (DSBs) inflicted by Cas9 nuclease are lethal to cells. The novel CRISPR prime editing (PE) strategy is the first precise genome-editing technology that allows deletions, insertions, and base substitutions without introducing DSBs. This revolutionary technique utilizes a nickase Cas9 that cleaves a single strand of DNA, coupled with an engineered reverse transcriptase and a modified single-guide RNA (termed prime editing guide RNA) containing an extended 3' end with the desired edits. We demonstrate the application of CRISPR-PE in both saprophytic and pathogenic from multiple species and serovars by introducing deletions or insertions into target DNA with a remarkable precision of just one nucleotide. Additionally, we demonstrate the ability to genetically manipulate , a prevalent pathogenic species of humans, domestic cattle, and wildlife animals. Rapid plasmid loss by mutated strains in liquid culture allows for the generation of knockout strains without selective markers, which can be readily used to elucidate virulence factors and develop optimized bacterin and/or live vaccines against leptospirosis.IMPORTANCELeptospirosis is a geographically widespread bacterial zoonosis. Genetic manipulation of pathogenic spp. has been laborious and difficult to perform, limiting our ability to understand how leptospires cause disease. The application of the CRISPR/Cas9 system to enhanced our ability to generate knockdown and knockout mutants; however, the latter remains challenging. Here, we demonstrate the application of the CRISPR prime editing technique in , allowing the generation of knockout mutants in several pathogenic species, with mutations comprising just a single nucleotide resolution. Notably, we generated a mutant in the background, a prevalent pathogenic species of humans and cattle. Our application of this method opens new avenues for studying pathogenic mechanisms of and the identification of virulence factors across multiple species. These methods can also be used to facilitate the generation of marker-less knockout strains for updated and improved bacterin and/or live vaccines.</abstract><cop>United States</cop><pub>American Society for Microbiology</pub><pmid>39136471</pmid><doi>10.1128/mbio.01516-24</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-4136-3831</orcidid><orcidid>https://orcid.org/0000-0003-2545-4757</orcidid><orcidid>https://orcid.org/0000-0003-3435-4889</orcidid><orcidid>https://orcid.org/0000-0002-5902-3333</orcidid><orcidid>https://orcid.org/0000-0002-9478-1316</orcidid><orcidid>https://orcid.org/0000-0001-7510-5710</orcidid><orcidid>https://orcid.org/0000-0001-8794-9021</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2150-7511
ispartof mBio, 2024-09, Vol.15 (9), p.e0151624
issn 2150-7511
2150-7511
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_6d6ad5fd0c1a42a388173c15ceff3104
source American Society for Microbiology; NCBI_PubMed Central(免费)
subjects Animals
CRISPR prime editing
CRISPR-Cas Systems
Gene Editing - methods
Genetics and Molecular Biology
Humans
knockout mutants
Leptospira
Leptospira - genetics
Leptospira - pathogenicity
Leptospirosis - microbiology
mutagenesis
Mutation
Research Article
virulence factors
title CRISPR-prime editing, a versatile genetic tool to create specific mutations with a single nucleotide resolution in Leptospira
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T13%3A03%3A20IST&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=CRISPR-prime%20editing,%20a%20versatile%20genetic%20tool%20to%20create%20specific%20mutations%20with%20a%20single%20nucleotide%20resolution%20in%20Leptospira&rft.jtitle=mBio&rft.au=Fernandes,%20Luis%20Guilherme%20Virgilio&rft.date=2024-09-11&rft.volume=15&rft.issue=9&rft.spage=e0151624&rft.pages=e0151624-&rft.issn=2150-7511&rft.eissn=2150-7511&rft_id=info:doi/10.1128/mbio.01516-24&rft_dat=%3Cproquest_doaj_%3E3092367173%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-a375t-d3bbc671dc42543ec371f39ca586a8bbfb02571260933c29e83f342c995890773%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3092367173&rft_id=info:pmid/39136471&rfr_iscdi=true