Loading…
pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability
In this study we report the rheological behavior of aqueous solutions of an amphiphilic graft copolymer constituting a polyacrylic acid (PAA) grafted by poly(boc-L-lysine), P(b-LL). Due to the highly hydrophobic nature of the grafted chains, the copolymer self-assembles spontaneously in aqueous medi...
Saved in:
Published in: | Gels 2022-12, Vol.8 (12), p.817 |
---|---|
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-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33 |
---|---|
cites | cdi_FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33 |
container_end_page | |
container_issue | 12 |
container_start_page | 817 |
container_title | Gels |
container_volume | 8 |
creator | Karga, Maria-Eleni Kargaki, Maria-Eleni Iatrou, Hermis Tsitsilianis, Constantinos |
description | In this study we report the rheological behavior of aqueous solutions of an amphiphilic graft copolymer constituting a polyacrylic acid (PAA) grafted by poly(boc-L-lysine), P(b-LL). Due to the highly hydrophobic nature of the grafted chains, the copolymer self-assembles spontaneously in aqueous media forming three-dimensional (3D) finite size networks (microgels). The rheological analysis demonstrated that the copolymer behaves as a strong elastic hydrogel, showing characteristics of a "frozen" network. Moreover, it is noteworthy that the formulation shows the above-described characteristics in very small concentrations (0.25-1.20 wt%) compared to other naturally cross-linked hydrogels that have been studied so far. Concentration significantly affects the rheological properties of the hydrogel, showing considerable increase in elastic modulus, following the scaling law G'~C
. At the same time, the hydrogels can be described as intelligent stimuli-responsive systems, showing pH and shear responsiveness as well as stability with temperature changes. Thanks to the pH dependance of the degree of ionization of the weak polyelectrolyte PAA backbone, stiffness and swelling of the hydrogels can be tuned effectively by adjusting the pH conditions. Simulating conditions such as those of injection through a 28-gauge syringe needle, the gel demonstrates excellent response to shear, due to its remarkable shear thinning behavior. The combination of pH-sensitivity and shear responsiveness leads to excellent injectability and self-healing properties, given that it flows easily upon applying a low stress and recovers instantly in the site of injection. Therefore, the physically cross-linked PAA-g-P(b-LL) hydrogel exhibits remarkable features, namely biocompatibility, biodegradability of cross-links, pH responsiveness, shear-induced injectability and instantaneous self-healing, making it a potential candidate for various biomedical applications. |
doi_str_mv | 10.3390/gels8120817 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_bffb9649a4e449479109466c3a14b65f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_bffb9649a4e449479109466c3a14b65f</doaj_id><sourcerecordid>2757054181</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33</originalsourceid><addsrcrecordid>eNpdks9rFDEYhgdRbKk9eZcBLy02mkx-XwpLUXdhQdF6Dkkm2c2SnWyTmcr8985227L1lPDm4eH7wltV7xH8jLGEX1YuFoEaKBB_VZ02GEHQCIZeH91PqvNSNhBCxCmmCL2tTjCjhGOCTqu73Rz8cmWXuhLu3VV9u3Z5m_ZRKL3u-vpniuPFzOYxBlvPbGgvwQo8hCZZsATLsYTOXdbzsc1pmqb-G_p1_XvtdAaLrh2sa-tFt3G21ybE0I_vqjdex-LOH8-z6s-3r7c3c7D88X1xM1sCSzjtAaXGEsI1c0YYDhvhDZMtM9xwr721LWwkdhIi0WJvWUMQZUxYYyVmRHuMz6rFwdsmvVG7HLY6jyrpoB6ClFdK5z7Y6JTx3khGpCaOEEm4RFASxizWiBhG_eS6Prh2g9m61rquzzq-kL586cJardK9kpwLJPkkuHgU5HQ3uNKrbSjWxag7l4aiGk45pAQJNKEf_0M3acjd9FV7ivFpYyEm6tOBsjmVkp1_HgZBtW-GOmrGRH84nv-ZfeoB_gc8N7QR</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2756701888</pqid></control><display><type>article</type><title>pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability</title><source>Publicly Available Content (ProQuest)</source><source>PubMed Central</source><creator>Karga, Maria-Eleni ; Kargaki, Maria-Eleni ; Iatrou, Hermis ; Tsitsilianis, Constantinos</creator><creatorcontrib>Karga, Maria-Eleni ; Kargaki, Maria-Eleni ; Iatrou, Hermis ; Tsitsilianis, Constantinos</creatorcontrib><description>In this study we report the rheological behavior of aqueous solutions of an amphiphilic graft copolymer constituting a polyacrylic acid (PAA) grafted by poly(boc-L-lysine), P(b-LL). Due to the highly hydrophobic nature of the grafted chains, the copolymer self-assembles spontaneously in aqueous media forming three-dimensional (3D) finite size networks (microgels). The rheological analysis demonstrated that the copolymer behaves as a strong elastic hydrogel, showing characteristics of a "frozen" network. Moreover, it is noteworthy that the formulation shows the above-described characteristics in very small concentrations (0.25-1.20 wt%) compared to other naturally cross-linked hydrogels that have been studied so far. Concentration significantly affects the rheological properties of the hydrogel, showing considerable increase in elastic modulus, following the scaling law G'~C
. At the same time, the hydrogels can be described as intelligent stimuli-responsive systems, showing pH and shear responsiveness as well as stability with temperature changes. Thanks to the pH dependance of the degree of ionization of the weak polyelectrolyte PAA backbone, stiffness and swelling of the hydrogels can be tuned effectively by adjusting the pH conditions. Simulating conditions such as those of injection through a 28-gauge syringe needle, the gel demonstrates excellent response to shear, due to its remarkable shear thinning behavior. The combination of pH-sensitivity and shear responsiveness leads to excellent injectability and self-healing properties, given that it flows easily upon applying a low stress and recovers instantly in the site of injection. Therefore, the physically cross-linked PAA-g-P(b-LL) hydrogel exhibits remarkable features, namely biocompatibility, biodegradability of cross-links, pH responsiveness, shear-induced injectability and instantaneous self-healing, making it a potential candidate for various biomedical applications.</description><identifier>ISSN: 2310-2861</identifier><identifier>EISSN: 2310-2861</identifier><identifier>DOI: 10.3390/gels8120817</identifier><identifier>PMID: 36547341</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acid resistance ; Aqueous solutions ; Biocompatibility ; Biodegradability ; Biomedical materials ; Connectivity ; Crosslinking ; frozen network ; Graft copolymers ; hydrogel ; Hydrogels ; hydrophobic association ; Injectability ; Lysine ; Microgels ; Modulus of elasticity ; poly(acrylic acid)-g-poly(boc-l-lysine) ; Polyacrylic acid ; Polyelectrolytes ; Polymers ; Rheological properties ; Rheology ; Scaling laws ; self-healing ; Shear ; Shear thinning (liquids) ; shear-induced injectability ; Stiffness ; Strain hardening ; Syringes ; Temperature effects ; Viscoelasticity ; Viscosity</subject><ispartof>Gels, 2022-12, Vol.8 (12), p.817</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33</citedby><cites>FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33</cites><orcidid>0000-0002-7265-9037 ; 0000-0001-9358-0769 ; 0000-0001-5544-4168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2756701888/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2756701888?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768,74869</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36547341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karga, Maria-Eleni</creatorcontrib><creatorcontrib>Kargaki, Maria-Eleni</creatorcontrib><creatorcontrib>Iatrou, Hermis</creatorcontrib><creatorcontrib>Tsitsilianis, Constantinos</creatorcontrib><title>pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability</title><title>Gels</title><addtitle>Gels</addtitle><description>In this study we report the rheological behavior of aqueous solutions of an amphiphilic graft copolymer constituting a polyacrylic acid (PAA) grafted by poly(boc-L-lysine), P(b-LL). Due to the highly hydrophobic nature of the grafted chains, the copolymer self-assembles spontaneously in aqueous media forming three-dimensional (3D) finite size networks (microgels). The rheological analysis demonstrated that the copolymer behaves as a strong elastic hydrogel, showing characteristics of a "frozen" network. Moreover, it is noteworthy that the formulation shows the above-described characteristics in very small concentrations (0.25-1.20 wt%) compared to other naturally cross-linked hydrogels that have been studied so far. Concentration significantly affects the rheological properties of the hydrogel, showing considerable increase in elastic modulus, following the scaling law G'~C
. At the same time, the hydrogels can be described as intelligent stimuli-responsive systems, showing pH and shear responsiveness as well as stability with temperature changes. Thanks to the pH dependance of the degree of ionization of the weak polyelectrolyte PAA backbone, stiffness and swelling of the hydrogels can be tuned effectively by adjusting the pH conditions. Simulating conditions such as those of injection through a 28-gauge syringe needle, the gel demonstrates excellent response to shear, due to its remarkable shear thinning behavior. The combination of pH-sensitivity and shear responsiveness leads to excellent injectability and self-healing properties, given that it flows easily upon applying a low stress and recovers instantly in the site of injection. Therefore, the physically cross-linked PAA-g-P(b-LL) hydrogel exhibits remarkable features, namely biocompatibility, biodegradability of cross-links, pH responsiveness, shear-induced injectability and instantaneous self-healing, making it a potential candidate for various biomedical applications.</description><subject>Acid resistance</subject><subject>Aqueous solutions</subject><subject>Biocompatibility</subject><subject>Biodegradability</subject><subject>Biomedical materials</subject><subject>Connectivity</subject><subject>Crosslinking</subject><subject>frozen network</subject><subject>Graft copolymers</subject><subject>hydrogel</subject><subject>Hydrogels</subject><subject>hydrophobic association</subject><subject>Injectability</subject><subject>Lysine</subject><subject>Microgels</subject><subject>Modulus of elasticity</subject><subject>poly(acrylic acid)-g-poly(boc-l-lysine)</subject><subject>Polyacrylic acid</subject><subject>Polyelectrolytes</subject><subject>Polymers</subject><subject>Rheological properties</subject><subject>Rheology</subject><subject>Scaling laws</subject><subject>self-healing</subject><subject>Shear</subject><subject>Shear thinning (liquids)</subject><subject>shear-induced injectability</subject><subject>Stiffness</subject><subject>Strain hardening</subject><subject>Syringes</subject><subject>Temperature effects</subject><subject>Viscoelasticity</subject><subject>Viscosity</subject><issn>2310-2861</issn><issn>2310-2861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdks9rFDEYhgdRbKk9eZcBLy02mkx-XwpLUXdhQdF6Dkkm2c2SnWyTmcr8985227L1lPDm4eH7wltV7xH8jLGEX1YuFoEaKBB_VZ02GEHQCIZeH91PqvNSNhBCxCmmCL2tTjCjhGOCTqu73Rz8cmWXuhLu3VV9u3Z5m_ZRKL3u-vpniuPFzOYxBlvPbGgvwQo8hCZZsATLsYTOXdbzsc1pmqb-G_p1_XvtdAaLrh2sa-tFt3G21ybE0I_vqjdex-LOH8-z6s-3r7c3c7D88X1xM1sCSzjtAaXGEsI1c0YYDhvhDZMtM9xwr721LWwkdhIi0WJvWUMQZUxYYyVmRHuMz6rFwdsmvVG7HLY6jyrpoB6ClFdK5z7Y6JTx3khGpCaOEEm4RFASxizWiBhG_eS6Prh2g9m61rquzzq-kL586cJardK9kpwLJPkkuHgU5HQ3uNKrbSjWxag7l4aiGk45pAQJNKEf_0M3acjd9FV7ivFpYyEm6tOBsjmVkp1_HgZBtW-GOmrGRH84nv-ZfeoB_gc8N7QR</recordid><startdate>20221212</startdate><enddate>20221212</enddate><creator>Karga, Maria-Eleni</creator><creator>Kargaki, Maria-Eleni</creator><creator>Iatrou, Hermis</creator><creator>Tsitsilianis, Constantinos</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>KB.</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7265-9037</orcidid><orcidid>https://orcid.org/0000-0001-9358-0769</orcidid><orcidid>https://orcid.org/0000-0001-5544-4168</orcidid></search><sort><creationdate>20221212</creationdate><title>pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability</title><author>Karga, Maria-Eleni ; Kargaki, Maria-Eleni ; Iatrou, Hermis ; Tsitsilianis, Constantinos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acid resistance</topic><topic>Aqueous solutions</topic><topic>Biocompatibility</topic><topic>Biodegradability</topic><topic>Biomedical materials</topic><topic>Connectivity</topic><topic>Crosslinking</topic><topic>frozen network</topic><topic>Graft copolymers</topic><topic>hydrogel</topic><topic>Hydrogels</topic><topic>hydrophobic association</topic><topic>Injectability</topic><topic>Lysine</topic><topic>Microgels</topic><topic>Modulus of elasticity</topic><topic>poly(acrylic acid)-g-poly(boc-l-lysine)</topic><topic>Polyacrylic acid</topic><topic>Polyelectrolytes</topic><topic>Polymers</topic><topic>Rheological properties</topic><topic>Rheology</topic><topic>Scaling laws</topic><topic>self-healing</topic><topic>Shear</topic><topic>Shear thinning (liquids)</topic><topic>shear-induced injectability</topic><topic>Stiffness</topic><topic>Strain hardening</topic><topic>Syringes</topic><topic>Temperature effects</topic><topic>Viscoelasticity</topic><topic>Viscosity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karga, Maria-Eleni</creatorcontrib><creatorcontrib>Kargaki, Maria-Eleni</creatorcontrib><creatorcontrib>Iatrou, Hermis</creatorcontrib><creatorcontrib>Tsitsilianis, Constantinos</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central</collection><collection>SciTech Premium Collection</collection><collection>Materials Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Gels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karga, Maria-Eleni</au><au>Kargaki, Maria-Eleni</au><au>Iatrou, Hermis</au><au>Tsitsilianis, Constantinos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability</atitle><jtitle>Gels</jtitle><addtitle>Gels</addtitle><date>2022-12-12</date><risdate>2022</risdate><volume>8</volume><issue>12</issue><spage>817</spage><pages>817-</pages><issn>2310-2861</issn><eissn>2310-2861</eissn><abstract>In this study we report the rheological behavior of aqueous solutions of an amphiphilic graft copolymer constituting a polyacrylic acid (PAA) grafted by poly(boc-L-lysine), P(b-LL). Due to the highly hydrophobic nature of the grafted chains, the copolymer self-assembles spontaneously in aqueous media forming three-dimensional (3D) finite size networks (microgels). The rheological analysis demonstrated that the copolymer behaves as a strong elastic hydrogel, showing characteristics of a "frozen" network. Moreover, it is noteworthy that the formulation shows the above-described characteristics in very small concentrations (0.25-1.20 wt%) compared to other naturally cross-linked hydrogels that have been studied so far. Concentration significantly affects the rheological properties of the hydrogel, showing considerable increase in elastic modulus, following the scaling law G'~C
. At the same time, the hydrogels can be described as intelligent stimuli-responsive systems, showing pH and shear responsiveness as well as stability with temperature changes. Thanks to the pH dependance of the degree of ionization of the weak polyelectrolyte PAA backbone, stiffness and swelling of the hydrogels can be tuned effectively by adjusting the pH conditions. Simulating conditions such as those of injection through a 28-gauge syringe needle, the gel demonstrates excellent response to shear, due to its remarkable shear thinning behavior. The combination of pH-sensitivity and shear responsiveness leads to excellent injectability and self-healing properties, given that it flows easily upon applying a low stress and recovers instantly in the site of injection. Therefore, the physically cross-linked PAA-g-P(b-LL) hydrogel exhibits remarkable features, namely biocompatibility, biodegradability of cross-links, pH responsiveness, shear-induced injectability and instantaneous self-healing, making it a potential candidate for various biomedical applications.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36547341</pmid><doi>10.3390/gels8120817</doi><orcidid>https://orcid.org/0000-0002-7265-9037</orcidid><orcidid>https://orcid.org/0000-0001-9358-0769</orcidid><orcidid>https://orcid.org/0000-0001-5544-4168</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2310-2861 |
ispartof | Gels, 2022-12, Vol.8 (12), p.817 |
issn | 2310-2861 2310-2861 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_bffb9649a4e449479109466c3a14b65f |
source | Publicly Available Content (ProQuest); PubMed Central |
subjects | Acid resistance Aqueous solutions Biocompatibility Biodegradability Biomedical materials Connectivity Crosslinking frozen network Graft copolymers hydrogel Hydrogels hydrophobic association Injectability Lysine Microgels Modulus of elasticity poly(acrylic acid)-g-poly(boc-l-lysine) Polyacrylic acid Polyelectrolytes Polymers Rheological properties Rheology Scaling laws self-healing Shear Shear thinning (liquids) shear-induced injectability Stiffness Strain hardening Syringes Temperature effects Viscoelasticity Viscosity |
title | pH-Responsive, Thermo-Resistant Poly(Acrylic Acid)-g-Poly(boc-L-Lysine) Hydrogel with Shear-Induced Injectability |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T14%3A32%3A40IST&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=pH-Responsive,%20Thermo-Resistant%20Poly(Acrylic%20Acid)-g-Poly(boc-L-Lysine)%20Hydrogel%20with%20Shear-Induced%20Injectability&rft.jtitle=Gels&rft.au=Karga,%20Maria-Eleni&rft.date=2022-12-12&rft.volume=8&rft.issue=12&rft.spage=817&rft.pages=817-&rft.issn=2310-2861&rft.eissn=2310-2861&rft_id=info:doi/10.3390/gels8120817&rft_dat=%3Cproquest_doaj_%3E2757054181%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c475t-55bc447a6eb8b7028fb69d6b7b7fafccd0293e9018d3fc62415668cbc9364af33%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2756701888&rft_id=info:pmid/36547341&rfr_iscdi=true |