Loading…

Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles

Chronic administration of steroids like dexamethasone produces symptoms including weight loss and skeletal muscle dysfunction. Similar events are reported in chronic or high-intensity exercises, that can lead to fatigue and muscle damage. In the present study, the effect of Moringa oleifera leaf ext...

Full description

Saved in:
Bibliographic Details
Published in:Journal of ayurveda and integrative medicine 2022-01, Vol.13 (1), p.100503-100503, Article 100503
Main Authors: Barodia, Kalgi, Cheruku, Sri Pragnya, Kanwal, Abhinav, Menon, Aayush, Rajeevan, Rutu, Rukade, Aniket, Kumar Shenoy, Raghavendra Udaya, Prabhu, Chaitali, Sharma, Vaibhav, Divya, K.P., Sumalatha, Suhani, Nayak, Yogendra, Kumar, Nitesh
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-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953
cites cdi_FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953
container_end_page 100503
container_issue 1
container_start_page 100503
container_title Journal of ayurveda and integrative medicine
container_volume 13
creator Barodia, Kalgi
Cheruku, Sri Pragnya
Kanwal, Abhinav
Menon, Aayush
Rajeevan, Rutu
Rukade, Aniket
Kumar Shenoy, Raghavendra Udaya
Prabhu, Chaitali
Sharma, Vaibhav
Divya, K.P.
Sumalatha, Suhani
Nayak, Yogendra
Kumar, Nitesh
description Chronic administration of steroids like dexamethasone produces symptoms including weight loss and skeletal muscle dysfunction. Similar events are reported in chronic or high-intensity exercises, that can lead to fatigue and muscle damage. In the present study, the effect of Moringa oleifera leaf extract was evaluated against dexamethasone (Dex) and exercise (Exe)-induced muscle changes in rats. Six groups each containing 6 rats, namely normal, Dex control, Exe Control, Dex + M. oleifera leaf extract (300mg/kgp.o.), Dex + Exe, Dex + Exe + M. oleifera leaf extract were assessed in the study. Dex was administered at 0.6 mg/kg i.p. daily for 7 days. Exercise was given for a total of 10 days after 30 minutes of dosing using treadmill equipment for 900 seconds at speed 18 m/min. Animals were assessed for variation in body weight, muscular endurance using treadmill, locomotor activity using actophotometer, motor coordination using rotarod on day zero, and day seven. Hemidiaphragm of rats were isolated and used for evaluation of the glucose uptake. Gastrocnemius muscle was isolated and subjected to hematoxylin and eosin staining. Dex and Exe control animals showed a significant decrease in skeletal muscle activity when compared to normal control animals in the actophotometer test. Improvement in endurance were seen in Dex + M. oleifera leaf extract, and Dex + exercise + M. oleifera leaf extract groups compared to Dex control group. Improvement in locomotor activity was seen in Dex group subjected to exercise and was significant when treated with M. oleifera leaf extract. Histology reports were in accordance with the functional parameters. M. oleifera leaf extract supplemented with exercise showed a reversal in the dexamethasone-induced functional impairment in skeletal muscles.
doi_str_mv 10.1016/j.jaim.2021.07.019
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_84b76ea46dbf4352ad6b7df14f1f1053</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0975947621001510</els_id><doaj_id>oai_doaj_org_article_84b76ea46dbf4352ad6b7df14f1f1053</doaj_id><sourcerecordid>2636813965</sourcerecordid><originalsourceid>FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953</originalsourceid><addsrcrecordid>eNqNkk1v1DAQhiMEolXpH-CAcuSSxd-OJYSEqgKVirjA2Zo4462XxC52Usq_x9stFb0gfPFo_PrxjOdtmpeUbCih6s1us4MwbxhhdEP0hlDzpDkmRquO9cQ8vYtlZ4RWR81pKTtSFzdMc_W8OeLCaGGkOm5-nnuPbmmTbz-nHOIW2jRh8JihnRB8i7dLhr0g1hCzCwVbiGM74i3MuFxBSRG7EMfV4dj6NbolpAhTG-ZrCHnGuLQhtuU7TrjU9LwWN2F50TzzMBU8vd9Pmm8fzr-efeouv3y8OHt_2TkpxdJJRonyYmR8JN44ons1aC7RC2Z6J4RUA0dDGSHMyEELAGAIivFBEGmM5CfNxYE7JtjZ6xxmyL9sgmDvEilvLeQl1JJsLwatEIQaBy-4ZDDWt0ZPhaeeEskr692Bdb0OM46utpZhegR9fBLDld2mG9v3VAjCKuD1PSCnHyuWxc6hOJwmiJjWYpniqqfcKPkfUqqYNobrKmUHqcuplIz-oSJK7N4rdmf3XrF7r1iibfVKvfTq714ervxxRhW8PQiwTucmYLbFBYx1yCFXw9TvC__i_wb4nNFq</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2616279937</pqid></control><display><type>article</type><title>Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles</title><source>ScienceDirect®</source><source>PubMed Central</source><creator>Barodia, Kalgi ; Cheruku, Sri Pragnya ; Kanwal, Abhinav ; Menon, Aayush ; Rajeevan, Rutu ; Rukade, Aniket ; Kumar Shenoy, Raghavendra Udaya ; Prabhu, Chaitali ; Sharma, Vaibhav ; Divya, K.P. ; Sumalatha, Suhani ; Nayak, Yogendra ; Kumar, Nitesh</creator><creatorcontrib>Barodia, Kalgi ; Cheruku, Sri Pragnya ; Kanwal, Abhinav ; Menon, Aayush ; Rajeevan, Rutu ; Rukade, Aniket ; Kumar Shenoy, Raghavendra Udaya ; Prabhu, Chaitali ; Sharma, Vaibhav ; Divya, K.P. ; Sumalatha, Suhani ; Nayak, Yogendra ; Kumar, Nitesh</creatorcontrib><description>Chronic administration of steroids like dexamethasone produces symptoms including weight loss and skeletal muscle dysfunction. Similar events are reported in chronic or high-intensity exercises, that can lead to fatigue and muscle damage. In the present study, the effect of Moringa oleifera leaf extract was evaluated against dexamethasone (Dex) and exercise (Exe)-induced muscle changes in rats. Six groups each containing 6 rats, namely normal, Dex control, Exe Control, Dex + M. oleifera leaf extract (300mg/kgp.o.), Dex + Exe, Dex + Exe + M. oleifera leaf extract were assessed in the study. Dex was administered at 0.6 mg/kg i.p. daily for 7 days. Exercise was given for a total of 10 days after 30 minutes of dosing using treadmill equipment for 900 seconds at speed 18 m/min. Animals were assessed for variation in body weight, muscular endurance using treadmill, locomotor activity using actophotometer, motor coordination using rotarod on day zero, and day seven. Hemidiaphragm of rats were isolated and used for evaluation of the glucose uptake. Gastrocnemius muscle was isolated and subjected to hematoxylin and eosin staining. Dex and Exe control animals showed a significant decrease in skeletal muscle activity when compared to normal control animals in the actophotometer test. Improvement in endurance were seen in Dex + M. oleifera leaf extract, and Dex + exercise + M. oleifera leaf extract groups compared to Dex control group. Improvement in locomotor activity was seen in Dex group subjected to exercise and was significant when treated with M. oleifera leaf extract. Histology reports were in accordance with the functional parameters. M. oleifera leaf extract supplemented with exercise showed a reversal in the dexamethasone-induced functional impairment in skeletal muscles.</description><identifier>ISSN: 0975-9476</identifier><identifier>EISSN: 0976-2809</identifier><identifier>DOI: 10.1016/j.jaim.2021.07.019</identifier><identifier>PMID: 34974956</identifier><language>eng</language><publisher>United States: Elsevier B.V</publisher><subject>Ayurvedic medicine ; body weight ; Dexamethasone ; eosin ; Exercise ; glucose ; histology ; leaf extracts ; locomotion ; Moringa oleifera ; muscles ; Original ; Skeletal muscle ; Treadmill ; weight loss</subject><ispartof>Journal of ayurveda and integrative medicine, 2022-01, Vol.13 (1), p.100503-100503, Article 100503</ispartof><rights>2021 The Authors</rights><rights>Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>2021 The Authors 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953</citedby><cites>FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953</cites><orcidid>0000-0002-4929-3954 ; 0000-0002-6025-1763 ; 0000-0002-4604-3511 ; 0000-0002-0508-1394</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/PMC8814402/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0975947621001510$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3536,27901,27902,45756,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34974956$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barodia, Kalgi</creatorcontrib><creatorcontrib>Cheruku, Sri Pragnya</creatorcontrib><creatorcontrib>Kanwal, Abhinav</creatorcontrib><creatorcontrib>Menon, Aayush</creatorcontrib><creatorcontrib>Rajeevan, Rutu</creatorcontrib><creatorcontrib>Rukade, Aniket</creatorcontrib><creatorcontrib>Kumar Shenoy, Raghavendra Udaya</creatorcontrib><creatorcontrib>Prabhu, Chaitali</creatorcontrib><creatorcontrib>Sharma, Vaibhav</creatorcontrib><creatorcontrib>Divya, K.P.</creatorcontrib><creatorcontrib>Sumalatha, Suhani</creatorcontrib><creatorcontrib>Nayak, Yogendra</creatorcontrib><creatorcontrib>Kumar, Nitesh</creatorcontrib><title>Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles</title><title>Journal of ayurveda and integrative medicine</title><addtitle>J Ayurveda Integr Med</addtitle><description>Chronic administration of steroids like dexamethasone produces symptoms including weight loss and skeletal muscle dysfunction. Similar events are reported in chronic or high-intensity exercises, that can lead to fatigue and muscle damage. In the present study, the effect of Moringa oleifera leaf extract was evaluated against dexamethasone (Dex) and exercise (Exe)-induced muscle changes in rats. Six groups each containing 6 rats, namely normal, Dex control, Exe Control, Dex + M. oleifera leaf extract (300mg/kgp.o.), Dex + Exe, Dex + Exe + M. oleifera leaf extract were assessed in the study. Dex was administered at 0.6 mg/kg i.p. daily for 7 days. Exercise was given for a total of 10 days after 30 minutes of dosing using treadmill equipment for 900 seconds at speed 18 m/min. Animals were assessed for variation in body weight, muscular endurance using treadmill, locomotor activity using actophotometer, motor coordination using rotarod on day zero, and day seven. Hemidiaphragm of rats were isolated and used for evaluation of the glucose uptake. Gastrocnemius muscle was isolated and subjected to hematoxylin and eosin staining. Dex and Exe control animals showed a significant decrease in skeletal muscle activity when compared to normal control animals in the actophotometer test. Improvement in endurance were seen in Dex + M. oleifera leaf extract, and Dex + exercise + M. oleifera leaf extract groups compared to Dex control group. Improvement in locomotor activity was seen in Dex group subjected to exercise and was significant when treated with M. oleifera leaf extract. Histology reports were in accordance with the functional parameters. M. oleifera leaf extract supplemented with exercise showed a reversal in the dexamethasone-induced functional impairment in skeletal muscles.</description><subject>Ayurvedic medicine</subject><subject>body weight</subject><subject>Dexamethasone</subject><subject>eosin</subject><subject>Exercise</subject><subject>glucose</subject><subject>histology</subject><subject>leaf extracts</subject><subject>locomotion</subject><subject>Moringa oleifera</subject><subject>muscles</subject><subject>Original</subject><subject>Skeletal muscle</subject><subject>Treadmill</subject><subject>weight loss</subject><issn>0975-9476</issn><issn>0976-2809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqNkk1v1DAQhiMEolXpH-CAcuSSxd-OJYSEqgKVirjA2Zo4462XxC52Usq_x9stFb0gfPFo_PrxjOdtmpeUbCih6s1us4MwbxhhdEP0hlDzpDkmRquO9cQ8vYtlZ4RWR81pKTtSFzdMc_W8OeLCaGGkOm5-nnuPbmmTbz-nHOIW2jRh8JihnRB8i7dLhr0g1hCzCwVbiGM74i3MuFxBSRG7EMfV4dj6NbolpAhTG-ZrCHnGuLQhtuU7TrjU9LwWN2F50TzzMBU8vd9Pmm8fzr-efeouv3y8OHt_2TkpxdJJRonyYmR8JN44ons1aC7RC2Z6J4RUA0dDGSHMyEELAGAIivFBEGmM5CfNxYE7JtjZ6xxmyL9sgmDvEilvLeQl1JJsLwatEIQaBy-4ZDDWt0ZPhaeeEskr692Bdb0OM46utpZhegR9fBLDld2mG9v3VAjCKuD1PSCnHyuWxc6hOJwmiJjWYpniqqfcKPkfUqqYNobrKmUHqcuplIz-oSJK7N4rdmf3XrF7r1iibfVKvfTq714ervxxRhW8PQiwTucmYLbFBYx1yCFXw9TvC__i_wb4nNFq</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Barodia, Kalgi</creator><creator>Cheruku, Sri Pragnya</creator><creator>Kanwal, Abhinav</creator><creator>Menon, Aayush</creator><creator>Rajeevan, Rutu</creator><creator>Rukade, Aniket</creator><creator>Kumar Shenoy, Raghavendra Udaya</creator><creator>Prabhu, Chaitali</creator><creator>Sharma, Vaibhav</creator><creator>Divya, K.P.</creator><creator>Sumalatha, Suhani</creator><creator>Nayak, Yogendra</creator><creator>Kumar, Nitesh</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4929-3954</orcidid><orcidid>https://orcid.org/0000-0002-6025-1763</orcidid><orcidid>https://orcid.org/0000-0002-4604-3511</orcidid><orcidid>https://orcid.org/0000-0002-0508-1394</orcidid></search><sort><creationdate>20220101</creationdate><title>Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles</title><author>Barodia, Kalgi ; Cheruku, Sri Pragnya ; Kanwal, Abhinav ; Menon, Aayush ; Rajeevan, Rutu ; Rukade, Aniket ; Kumar Shenoy, Raghavendra Udaya ; Prabhu, Chaitali ; Sharma, Vaibhav ; Divya, K.P. ; Sumalatha, Suhani ; Nayak, Yogendra ; Kumar, Nitesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ayurvedic medicine</topic><topic>body weight</topic><topic>Dexamethasone</topic><topic>eosin</topic><topic>Exercise</topic><topic>glucose</topic><topic>histology</topic><topic>leaf extracts</topic><topic>locomotion</topic><topic>Moringa oleifera</topic><topic>muscles</topic><topic>Original</topic><topic>Skeletal muscle</topic><topic>Treadmill</topic><topic>weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barodia, Kalgi</creatorcontrib><creatorcontrib>Cheruku, Sri Pragnya</creatorcontrib><creatorcontrib>Kanwal, Abhinav</creatorcontrib><creatorcontrib>Menon, Aayush</creatorcontrib><creatorcontrib>Rajeevan, Rutu</creatorcontrib><creatorcontrib>Rukade, Aniket</creatorcontrib><creatorcontrib>Kumar Shenoy, Raghavendra Udaya</creatorcontrib><creatorcontrib>Prabhu, Chaitali</creatorcontrib><creatorcontrib>Sharma, Vaibhav</creatorcontrib><creatorcontrib>Divya, K.P.</creatorcontrib><creatorcontrib>Sumalatha, Suhani</creatorcontrib><creatorcontrib>Nayak, Yogendra</creatorcontrib><creatorcontrib>Kumar, Nitesh</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ</collection><jtitle>Journal of ayurveda and integrative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barodia, Kalgi</au><au>Cheruku, Sri Pragnya</au><au>Kanwal, Abhinav</au><au>Menon, Aayush</au><au>Rajeevan, Rutu</au><au>Rukade, Aniket</au><au>Kumar Shenoy, Raghavendra Udaya</au><au>Prabhu, Chaitali</au><au>Sharma, Vaibhav</au><au>Divya, K.P.</au><au>Sumalatha, Suhani</au><au>Nayak, Yogendra</au><au>Kumar, Nitesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles</atitle><jtitle>Journal of ayurveda and integrative medicine</jtitle><addtitle>J Ayurveda Integr Med</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>13</volume><issue>1</issue><spage>100503</spage><epage>100503</epage><pages>100503-100503</pages><artnum>100503</artnum><issn>0975-9476</issn><eissn>0976-2809</eissn><abstract>Chronic administration of steroids like dexamethasone produces symptoms including weight loss and skeletal muscle dysfunction. Similar events are reported in chronic or high-intensity exercises, that can lead to fatigue and muscle damage. In the present study, the effect of Moringa oleifera leaf extract was evaluated against dexamethasone (Dex) and exercise (Exe)-induced muscle changes in rats. Six groups each containing 6 rats, namely normal, Dex control, Exe Control, Dex + M. oleifera leaf extract (300mg/kgp.o.), Dex + Exe, Dex + Exe + M. oleifera leaf extract were assessed in the study. Dex was administered at 0.6 mg/kg i.p. daily for 7 days. Exercise was given for a total of 10 days after 30 minutes of dosing using treadmill equipment for 900 seconds at speed 18 m/min. Animals were assessed for variation in body weight, muscular endurance using treadmill, locomotor activity using actophotometer, motor coordination using rotarod on day zero, and day seven. Hemidiaphragm of rats were isolated and used for evaluation of the glucose uptake. Gastrocnemius muscle was isolated and subjected to hematoxylin and eosin staining. Dex and Exe control animals showed a significant decrease in skeletal muscle activity when compared to normal control animals in the actophotometer test. Improvement in endurance were seen in Dex + M. oleifera leaf extract, and Dex + exercise + M. oleifera leaf extract groups compared to Dex control group. Improvement in locomotor activity was seen in Dex group subjected to exercise and was significant when treated with M. oleifera leaf extract. Histology reports were in accordance with the functional parameters. M. oleifera leaf extract supplemented with exercise showed a reversal in the dexamethasone-induced functional impairment in skeletal muscles.</abstract><cop>United States</cop><pub>Elsevier B.V</pub><pmid>34974956</pmid><doi>10.1016/j.jaim.2021.07.019</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4929-3954</orcidid><orcidid>https://orcid.org/0000-0002-6025-1763</orcidid><orcidid>https://orcid.org/0000-0002-4604-3511</orcidid><orcidid>https://orcid.org/0000-0002-0508-1394</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0975-9476
ispartof Journal of ayurveda and integrative medicine, 2022-01, Vol.13 (1), p.100503-100503, Article 100503
issn 0975-9476
0976-2809
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_84b76ea46dbf4352ad6b7df14f1f1053
source ScienceDirect®; PubMed Central
subjects Ayurvedic medicine
body weight
Dexamethasone
eosin
Exercise
glucose
histology
leaf extracts
locomotion
Moringa oleifera
muscles
Original
Skeletal muscle
Treadmill
weight loss
title Effect of Moringa oleifera leaf extract on exercise and dexamethasone-induced functional impairment in skeletal muscles
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T06%3A08%3A34IST&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=Effect%20of%20Moringa%20oleifera%20leaf%20extract%20on%20exercise%20and%20dexamethasone-induced%20functional%20impairment%20in%20skeletal%20muscles&rft.jtitle=Journal%20of%20ayurveda%20and%20integrative%20medicine&rft.au=Barodia,%20Kalgi&rft.date=2022-01-01&rft.volume=13&rft.issue=1&rft.spage=100503&rft.epage=100503&rft.pages=100503-100503&rft.artnum=100503&rft.issn=0975-9476&rft.eissn=0976-2809&rft_id=info:doi/10.1016/j.jaim.2021.07.019&rft_dat=%3Cproquest_doaj_%3E2636813965%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c554t-52106f4d23d0f9c0786b735ef4298c4456b3e91200295b74aaa2ea623b4059953%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2616279937&rft_id=info:pmid/34974956&rfr_iscdi=true