Loading…

Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption

Pro-inflammatory cytokines are involved in sleep-wake regulation and are associated with caffeine consumption. This is a cross-sectional study in 1023 active French workers investigating associations between self-reported sleep complaints (>3months) and total sleep time (TST) with nine single-nuc...

Full description

Saved in:
Bibliographic Details
Published in:Sleep medicine 2023-01, Vol.101, p.66-76
Main Authors: Drogou, Catherine, Erblang, Mégane, Metlaine, Arnaud, Berot, Stéphanie, Derbois, Céline, Olaso, Robert, Boland, Anne, Deleuze, Jean-François, Thomas, Claire, Léger, Damien, Chennaoui, Mounir, Sauvet, Fabien, Gomez-Merino, Danielle
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-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3
cites cdi_FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3
container_end_page 76
container_issue
container_start_page 66
container_title Sleep medicine
container_volume 101
creator Drogou, Catherine
Erblang, Mégane
Metlaine, Arnaud
Berot, Stéphanie
Derbois, Céline
Olaso, Robert
Boland, Anne
Deleuze, Jean-François
Thomas, Claire
Léger, Damien
Chennaoui, Mounir
Sauvet, Fabien
Gomez-Merino, Danielle
description Pro-inflammatory cytokines are involved in sleep-wake regulation and are associated with caffeine consumption. This is a cross-sectional study in 1023 active French workers investigating associations between self-reported sleep complaints (>3months) and total sleep time (TST) with nine single-nucleotide-polymorphisms (SNPs) including pro-inflammatory cytokines, according to caffeine consumption. Participants were characterized as low, moderate and high (0–50, 51–300, and >300 mg/day) caffeine consumers. After adjusting the odd ratios (OR) for age, gender, and smoking, the risk of sleep complaints was higher in subjects with genetic mutations in tumor necrosis factor alpha (TNF-α, rs 1800629) (ORa [95%CI] = 1.43 [1.07–1.92] for both G/A and A/A aggregate genotypes) or interleukin-1 beta (IL-1β, rs1143627) (ORa = 1.61 [1.08–2.44] for homozygous A/A genotype), and the risk was higher when subjects carry the mutations in TNF-α plus IL-1β regardless of caffeine consumption. When stratified with caffeine consumption, the risk of sleep complaints was higher in TNF-α A allele carriers in high caffeine consumers, and in homozygous A/A genotype of IL-1β in moderate and high consumers. None of the nine SNPs influence TST, with the exception of the mutation on CYP1A2 and only when stratified with caffeine consumption. Our results also indicated more caffeine side-effects when carrying mutation on IL1β. This study showed that polymorphisms in TNF-α and/or IL-1β influenced sleep complaints but did not influence total sleep time. This suggests that management of sleep complaints, which can be addressed by clinical interventions, should consider the influence of the genetic profile of pro-inflammatory cytokines. •Sleep duration decrease with habitual caffeine cinsumtion.•Relation between sleep and caffeine is modulating by genetic variants of TNF.•Sleep complaints are higher in healthy subjects carrying genetetic variants of tNF and IL1B
doi_str_mv 10.1016/j.sleep.2022.10.013
format article
fullrecord <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_cea_04334206v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1389945722011686</els_id><sourcerecordid>2733204119</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS1ERUvhFyChHOGQxY7jxD5wqCqgSCtVquBsOc6Y9eLExnaKVuqPxyGlR062R9-bN56H0BuCdwST7sNxlxxA2DW4aUplhwl9hi4I73nNGO6elzvlohYt68_Ry5SOGJOe8PYFOqcdpYwLeoEe7sCpbP2cDjZUA-TfAHP1A2bIVlfBu9PkYzjYNKXKm0qfsv9pZ0iVmscqgTN1hOBjhvJap6m0n4JTds4bclCDzYtylVbGQFEWYE7LFFbPV-jMKJfg9eN5ib5__vTt-qbe3375en21rzUVNNeKiVZAQxQf8EA70dKm_IyOBDTjfGSMG806PUKviBkUI6LrWq77HjODjQB6id5vfQ_KyRDtpOJJemXlzdVealASt5S2De7uSWHfbWyI_tcCKcvJJg3OqRn8kmTTU9rglhBRULqhOvqUIpin3gTLNSJ5lH-XIteI1mKJqKjePhoswwTjk-ZfJgX4uAFQVnJvIcqkLcwaRhtBZzl6-1-DP_YppU8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2733204119</pqid></control><display><type>article</type><title>Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption</title><source>ScienceDirect Freedom Collection</source><creator>Drogou, Catherine ; Erblang, Mégane ; Metlaine, Arnaud ; Berot, Stéphanie ; Derbois, Céline ; Olaso, Robert ; Boland, Anne ; Deleuze, Jean-François ; Thomas, Claire ; Léger, Damien ; Chennaoui, Mounir ; Sauvet, Fabien ; Gomez-Merino, Danielle</creator><creatorcontrib>Drogou, Catherine ; Erblang, Mégane ; Metlaine, Arnaud ; Berot, Stéphanie ; Derbois, Céline ; Olaso, Robert ; Boland, Anne ; Deleuze, Jean-François ; Thomas, Claire ; Léger, Damien ; Chennaoui, Mounir ; Sauvet, Fabien ; Gomez-Merino, Danielle</creatorcontrib><description>Pro-inflammatory cytokines are involved in sleep-wake regulation and are associated with caffeine consumption. This is a cross-sectional study in 1023 active French workers investigating associations between self-reported sleep complaints (&gt;3months) and total sleep time (TST) with nine single-nucleotide-polymorphisms (SNPs) including pro-inflammatory cytokines, according to caffeine consumption. Participants were characterized as low, moderate and high (0–50, 51–300, and &gt;300 mg/day) caffeine consumers. After adjusting the odd ratios (OR) for age, gender, and smoking, the risk of sleep complaints was higher in subjects with genetic mutations in tumor necrosis factor alpha (TNF-α, rs 1800629) (ORa [95%CI] = 1.43 [1.07–1.92] for both G/A and A/A aggregate genotypes) or interleukin-1 beta (IL-1β, rs1143627) (ORa = 1.61 [1.08–2.44] for homozygous A/A genotype), and the risk was higher when subjects carry the mutations in TNF-α plus IL-1β regardless of caffeine consumption. When stratified with caffeine consumption, the risk of sleep complaints was higher in TNF-α A allele carriers in high caffeine consumers, and in homozygous A/A genotype of IL-1β in moderate and high consumers. None of the nine SNPs influence TST, with the exception of the mutation on CYP1A2 and only when stratified with caffeine consumption. Our results also indicated more caffeine side-effects when carrying mutation on IL1β. This study showed that polymorphisms in TNF-α and/or IL-1β influenced sleep complaints but did not influence total sleep time. This suggests that management of sleep complaints, which can be addressed by clinical interventions, should consider the influence of the genetic profile of pro-inflammatory cytokines. •Sleep duration decrease with habitual caffeine cinsumtion.•Relation between sleep and caffeine is modulating by genetic variants of TNF.•Sleep complaints are higher in healthy subjects carrying genetetic variants of tNF and IL1B</description><identifier>ISSN: 1389-9457</identifier><identifier>ISSN: 1878-5506</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2022.10.013</identifier><identifier>PMID: 36335893</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Biochemistry, Molecular Biology ; Caffeine ; Caffeine - adverse effects ; Cross-Sectional Studies ; Cytokines - genetics ; Genetic Predisposition to Disease ; Genetics ; Genomics ; Genotype ; Healthy subject ; Human genetics ; Humans ; Life Sciences ; Polymorphism, Single Nucleotide - genetics ; Polymorphisms ; Pro-inflammatory cytokines ; Self Report ; Sleep - genetics ; Sleep complaints ; Tumor Necrosis Factor-alpha - genetics</subject><ispartof>Sleep medicine, 2023-01, Vol.101, p.66-76</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier B.V.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3</citedby><cites>FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3</cites><orcidid>0000-0002-4298-2319 ; 0000-0002-5921-3276 ; 0000-0002-5037-2430</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36335893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://cea.hal.science/cea-04334206$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Drogou, Catherine</creatorcontrib><creatorcontrib>Erblang, Mégane</creatorcontrib><creatorcontrib>Metlaine, Arnaud</creatorcontrib><creatorcontrib>Berot, Stéphanie</creatorcontrib><creatorcontrib>Derbois, Céline</creatorcontrib><creatorcontrib>Olaso, Robert</creatorcontrib><creatorcontrib>Boland, Anne</creatorcontrib><creatorcontrib>Deleuze, Jean-François</creatorcontrib><creatorcontrib>Thomas, Claire</creatorcontrib><creatorcontrib>Léger, Damien</creatorcontrib><creatorcontrib>Chennaoui, Mounir</creatorcontrib><creatorcontrib>Sauvet, Fabien</creatorcontrib><creatorcontrib>Gomez-Merino, Danielle</creatorcontrib><title>Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption</title><title>Sleep medicine</title><addtitle>Sleep Med</addtitle><description>Pro-inflammatory cytokines are involved in sleep-wake regulation and are associated with caffeine consumption. This is a cross-sectional study in 1023 active French workers investigating associations between self-reported sleep complaints (&gt;3months) and total sleep time (TST) with nine single-nucleotide-polymorphisms (SNPs) including pro-inflammatory cytokines, according to caffeine consumption. Participants were characterized as low, moderate and high (0–50, 51–300, and &gt;300 mg/day) caffeine consumers. After adjusting the odd ratios (OR) for age, gender, and smoking, the risk of sleep complaints was higher in subjects with genetic mutations in tumor necrosis factor alpha (TNF-α, rs 1800629) (ORa [95%CI] = 1.43 [1.07–1.92] for both G/A and A/A aggregate genotypes) or interleukin-1 beta (IL-1β, rs1143627) (ORa = 1.61 [1.08–2.44] for homozygous A/A genotype), and the risk was higher when subjects carry the mutations in TNF-α plus IL-1β regardless of caffeine consumption. When stratified with caffeine consumption, the risk of sleep complaints was higher in TNF-α A allele carriers in high caffeine consumers, and in homozygous A/A genotype of IL-1β in moderate and high consumers. None of the nine SNPs influence TST, with the exception of the mutation on CYP1A2 and only when stratified with caffeine consumption. Our results also indicated more caffeine side-effects when carrying mutation on IL1β. This study showed that polymorphisms in TNF-α and/or IL-1β influenced sleep complaints but did not influence total sleep time. This suggests that management of sleep complaints, which can be addressed by clinical interventions, should consider the influence of the genetic profile of pro-inflammatory cytokines. •Sleep duration decrease with habitual caffeine cinsumtion.•Relation between sleep and caffeine is modulating by genetic variants of TNF.•Sleep complaints are higher in healthy subjects carrying genetetic variants of tNF and IL1B</description><subject>Biochemistry, Molecular Biology</subject><subject>Caffeine</subject><subject>Caffeine - adverse effects</subject><subject>Cross-Sectional Studies</subject><subject>Cytokines - genetics</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetics</subject><subject>Genomics</subject><subject>Genotype</subject><subject>Healthy subject</subject><subject>Human genetics</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><subject>Polymorphisms</subject><subject>Pro-inflammatory cytokines</subject><subject>Self Report</subject><subject>Sleep - genetics</subject><subject>Sleep complaints</subject><subject>Tumor Necrosis Factor-alpha - genetics</subject><issn>1389-9457</issn><issn>1878-5506</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kUFv1DAQhS1ERUvhFyChHOGQxY7jxD5wqCqgSCtVquBsOc6Y9eLExnaKVuqPxyGlR062R9-bN56H0BuCdwST7sNxlxxA2DW4aUplhwl9hi4I73nNGO6elzvlohYt68_Ry5SOGJOe8PYFOqcdpYwLeoEe7sCpbP2cDjZUA-TfAHP1A2bIVlfBu9PkYzjYNKXKm0qfsv9pZ0iVmscqgTN1hOBjhvJap6m0n4JTds4bclCDzYtylVbGQFEWYE7LFFbPV-jMKJfg9eN5ib5__vTt-qbe3375en21rzUVNNeKiVZAQxQf8EA70dKm_IyOBDTjfGSMG806PUKviBkUI6LrWq77HjODjQB6id5vfQ_KyRDtpOJJemXlzdVealASt5S2De7uSWHfbWyI_tcCKcvJJg3OqRn8kmTTU9rglhBRULqhOvqUIpin3gTLNSJ5lH-XIteI1mKJqKjePhoswwTjk-ZfJgX4uAFQVnJvIcqkLcwaRhtBZzl6-1-DP_YppU8</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Drogou, Catherine</creator><creator>Erblang, Mégane</creator><creator>Metlaine, Arnaud</creator><creator>Berot, Stéphanie</creator><creator>Derbois, Céline</creator><creator>Olaso, Robert</creator><creator>Boland, Anne</creator><creator>Deleuze, Jean-François</creator><creator>Thomas, Claire</creator><creator>Léger, Damien</creator><creator>Chennaoui, Mounir</creator><creator>Sauvet, Fabien</creator><creator>Gomez-Merino, Danielle</creator><general>Elsevier B.V</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>1XC</scope><orcidid>https://orcid.org/0000-0002-4298-2319</orcidid><orcidid>https://orcid.org/0000-0002-5921-3276</orcidid><orcidid>https://orcid.org/0000-0002-5037-2430</orcidid></search><sort><creationdate>202301</creationdate><title>Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption</title><author>Drogou, Catherine ; Erblang, Mégane ; Metlaine, Arnaud ; Berot, Stéphanie ; Derbois, Céline ; Olaso, Robert ; Boland, Anne ; Deleuze, Jean-François ; Thomas, Claire ; Léger, Damien ; Chennaoui, Mounir ; Sauvet, Fabien ; Gomez-Merino, Danielle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biochemistry, Molecular Biology</topic><topic>Caffeine</topic><topic>Caffeine - adverse effects</topic><topic>Cross-Sectional Studies</topic><topic>Cytokines - genetics</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetics</topic><topic>Genomics</topic><topic>Genotype</topic><topic>Healthy subject</topic><topic>Human genetics</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Polymorphism, Single Nucleotide - genetics</topic><topic>Polymorphisms</topic><topic>Pro-inflammatory cytokines</topic><topic>Self Report</topic><topic>Sleep - genetics</topic><topic>Sleep complaints</topic><topic>Tumor Necrosis Factor-alpha - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Drogou, Catherine</creatorcontrib><creatorcontrib>Erblang, Mégane</creatorcontrib><creatorcontrib>Metlaine, Arnaud</creatorcontrib><creatorcontrib>Berot, Stéphanie</creatorcontrib><creatorcontrib>Derbois, Céline</creatorcontrib><creatorcontrib>Olaso, Robert</creatorcontrib><creatorcontrib>Boland, Anne</creatorcontrib><creatorcontrib>Deleuze, Jean-François</creatorcontrib><creatorcontrib>Thomas, Claire</creatorcontrib><creatorcontrib>Léger, Damien</creatorcontrib><creatorcontrib>Chennaoui, Mounir</creatorcontrib><creatorcontrib>Sauvet, Fabien</creatorcontrib><creatorcontrib>Gomez-Merino, Danielle</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>Hyper Article en Ligne (HAL)</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Drogou, Catherine</au><au>Erblang, Mégane</au><au>Metlaine, Arnaud</au><au>Berot, Stéphanie</au><au>Derbois, Céline</au><au>Olaso, Robert</au><au>Boland, Anne</au><au>Deleuze, Jean-François</au><au>Thomas, Claire</au><au>Léger, Damien</au><au>Chennaoui, Mounir</au><au>Sauvet, Fabien</au><au>Gomez-Merino, Danielle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption</atitle><jtitle>Sleep medicine</jtitle><addtitle>Sleep Med</addtitle><date>2023-01</date><risdate>2023</risdate><volume>101</volume><spage>66</spage><epage>76</epage><pages>66-76</pages><issn>1389-9457</issn><issn>1878-5506</issn><eissn>1878-5506</eissn><abstract>Pro-inflammatory cytokines are involved in sleep-wake regulation and are associated with caffeine consumption. This is a cross-sectional study in 1023 active French workers investigating associations between self-reported sleep complaints (&gt;3months) and total sleep time (TST) with nine single-nucleotide-polymorphisms (SNPs) including pro-inflammatory cytokines, according to caffeine consumption. Participants were characterized as low, moderate and high (0–50, 51–300, and &gt;300 mg/day) caffeine consumers. After adjusting the odd ratios (OR) for age, gender, and smoking, the risk of sleep complaints was higher in subjects with genetic mutations in tumor necrosis factor alpha (TNF-α, rs 1800629) (ORa [95%CI] = 1.43 [1.07–1.92] for both G/A and A/A aggregate genotypes) or interleukin-1 beta (IL-1β, rs1143627) (ORa = 1.61 [1.08–2.44] for homozygous A/A genotype), and the risk was higher when subjects carry the mutations in TNF-α plus IL-1β regardless of caffeine consumption. When stratified with caffeine consumption, the risk of sleep complaints was higher in TNF-α A allele carriers in high caffeine consumers, and in homozygous A/A genotype of IL-1β in moderate and high consumers. None of the nine SNPs influence TST, with the exception of the mutation on CYP1A2 and only when stratified with caffeine consumption. Our results also indicated more caffeine side-effects when carrying mutation on IL1β. This study showed that polymorphisms in TNF-α and/or IL-1β influenced sleep complaints but did not influence total sleep time. This suggests that management of sleep complaints, which can be addressed by clinical interventions, should consider the influence of the genetic profile of pro-inflammatory cytokines. •Sleep duration decrease with habitual caffeine cinsumtion.•Relation between sleep and caffeine is modulating by genetic variants of TNF.•Sleep complaints are higher in healthy subjects carrying genetetic variants of tNF and IL1B</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36335893</pmid><doi>10.1016/j.sleep.2022.10.013</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4298-2319</orcidid><orcidid>https://orcid.org/0000-0002-5921-3276</orcidid><orcidid>https://orcid.org/0000-0002-5037-2430</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1389-9457
ispartof Sleep medicine, 2023-01, Vol.101, p.66-76
issn 1389-9457
1878-5506
1878-5506
language eng
recordid cdi_hal_primary_oai_HAL_cea_04334206v1
source ScienceDirect Freedom Collection
subjects Biochemistry, Molecular Biology
Caffeine
Caffeine - adverse effects
Cross-Sectional Studies
Cytokines - genetics
Genetic Predisposition to Disease
Genetics
Genomics
Genotype
Healthy subject
Human genetics
Humans
Life Sciences
Polymorphism, Single Nucleotide - genetics
Polymorphisms
Pro-inflammatory cytokines
Self Report
Sleep - genetics
Sleep complaints
Tumor Necrosis Factor-alpha - genetics
title Relationship between genetic polymorphisms of cytokines and self-reported sleep complaints and habitual caffeine consumption
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T12%3A08%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relationship%20between%20genetic%20polymorphisms%20of%20cytokines%20and%20self-reported%20sleep%20complaints%20and%20habitual%20caffeine%20consumption&rft.jtitle=Sleep%20medicine&rft.au=Drogou,%20Catherine&rft.date=2023-01&rft.volume=101&rft.spage=66&rft.epage=76&rft.pages=66-76&rft.issn=1389-9457&rft.eissn=1878-5506&rft_id=info:doi/10.1016/j.sleep.2022.10.013&rft_dat=%3Cproquest_hal_p%3E2733204119%3C/proquest_hal_p%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c393t-a5949e21a8b0b3694321383d1ec588d558fc56cde7a1fba5196648c7705f0f9e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2733204119&rft_id=info:pmid/36335893&rfr_iscdi=true