Loading…

Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives

Curcumin derivatives have been well-documented due to their natural antioxidant, antimicrobial and anti-inflammatory activities. Curcuminoids have also gained widespread recognition due to their wide range of other activities which include anti-infective, anti-mutagenic, anticancer, anti-coagulant,...

Full description

Saved in:
Bibliographic Details
Published in:Materials Science & Engineering C 2017-08, Vol.77, p.1316-1326
Main Authors: Hussain, Zahid, Thu, Hnin Ei, Amjad, Muhammad Wahab, Hussain, Fahad, Ahmed, Tarek A., Khan, Shahzeb
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-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3
cites cdi_FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3
container_end_page 1326
container_issue
container_start_page 1316
container_title Materials Science & Engineering C
container_volume 77
creator Hussain, Zahid
Thu, Hnin Ei
Amjad, Muhammad Wahab
Hussain, Fahad
Ahmed, Tarek A.
Khan, Shahzeb
description Curcumin derivatives have been well-documented due to their natural antioxidant, antimicrobial and anti-inflammatory activities. Curcuminoids have also gained widespread recognition due to their wide range of other activities which include anti-infective, anti-mutagenic, anticancer, anti-coagulant, antiarthrititc, and wound healing potential. Despite of having a wide range of activities, the inherent physicochemical characteristics (poor water solubility, low bioavailability, chemical instability, photodegradation, rapid metabolism and short half-life) of curcumin derivatives limit their pharmaceutical significance. Aiming to overcome these pharmaceutical issues and improving therapeutic efficacy of curcuminoids, newer strategies have been attempted in recent years. These advanced techniques include polymeric nanoparticles, nanocomposite hydrogels, nanovesicles, nanofibers, nanohybrid scaffolds, nanoconjugates, nanostructured lipid carriers (NLCs), nanoemulsion, polymeric micelles and polymeric blend films. Incorporation of curcumin in these delivery systems has shown improved solubility, transmembrane permeability, long-term stability, improved bioavailability, longer plasma half-life, target-specific delivery, and upgraded therapeutic efficacy. In this review, a range of in vitro and in vivo studies have been critically discussed to explore the pharmaceutical significance and therapeutic viability of the advanced delivery systems to improve antioxidant, anti-inflammatory and antimicrobial efficacies of curcumin and its derivatives. •Low aqueous solubility and poor bioavailability limit significance of curcumin.•Newer strategies are attempted to mitigate pharmaceutical problems.•Nanoencapsulation of curcumin improved antioxidant and antibacterial efficacies.•Nanotechnology-mediated delivery of curcumin is excellent tool to improve its efficacy.
doi_str_mv 10.1016/j.msec.2017.03.226
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1942723787</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0928493116317854</els_id><sourcerecordid>1942723787</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3</originalsourceid><addsrcrecordid>eNp9UcuO1DAQtBCIHQZ-gAOyxJUEvzJJEJfVanlIK3GBs-XYbeRRbAfbmd35Gb4Vz8zCkVPbpapqVRdCrylpKaG79_vWZ9AtI7RvCW8Z2z1BGzr0vCF0pE_RhoxsaMTI6RV6kfOekN3Ae_YcXbGh44yQcYN-3z4sc0wu_MQJNISCDRxgjouv74xLxM4vKR4Aq1BcfHCmznfnT-OCnZX3qsR0rIg5o97pFCenZgzWOq30EUeL9Zr06l34gK_rnoOD-xMa6igJgslnuV3LmgAvkPICurgD5JfomVVzhlePc4t-fLr9fvOlufv2-evN9V2j-SBK01khBgtsstYwbXulwQDvuaZTx0U3TNNkekq1YTvageiI0Z0Zx1EI1YsJNN-itxffmvXXCrnIfVxTqCslHQXrGe_rXbeIXVg1Ys4JrFyS8yodJSXyVIncy1Ml8lSJJFzWSqrozaP1Onkw_yR_O6iEjxcC1ID1NElm7SDUCK5WUqSJ7n_-fwDh3aIm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1942723787</pqid></control><display><type>article</type><title>Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Hussain, Zahid ; Thu, Hnin Ei ; Amjad, Muhammad Wahab ; Hussain, Fahad ; Ahmed, Tarek A. ; Khan, Shahzeb</creator><creatorcontrib>Hussain, Zahid ; Thu, Hnin Ei ; Amjad, Muhammad Wahab ; Hussain, Fahad ; Ahmed, Tarek A. ; Khan, Shahzeb</creatorcontrib><description>Curcumin derivatives have been well-documented due to their natural antioxidant, antimicrobial and anti-inflammatory activities. Curcuminoids have also gained widespread recognition due to their wide range of other activities which include anti-infective, anti-mutagenic, anticancer, anti-coagulant, antiarthrititc, and wound healing potential. Despite of having a wide range of activities, the inherent physicochemical characteristics (poor water solubility, low bioavailability, chemical instability, photodegradation, rapid metabolism and short half-life) of curcumin derivatives limit their pharmaceutical significance. Aiming to overcome these pharmaceutical issues and improving therapeutic efficacy of curcuminoids, newer strategies have been attempted in recent years. These advanced techniques include polymeric nanoparticles, nanocomposite hydrogels, nanovesicles, nanofibers, nanohybrid scaffolds, nanoconjugates, nanostructured lipid carriers (NLCs), nanoemulsion, polymeric micelles and polymeric blend films. Incorporation of curcumin in these delivery systems has shown improved solubility, transmembrane permeability, long-term stability, improved bioavailability, longer plasma half-life, target-specific delivery, and upgraded therapeutic efficacy. In this review, a range of in vitro and in vivo studies have been critically discussed to explore the pharmaceutical significance and therapeutic viability of the advanced delivery systems to improve antioxidant, anti-inflammatory and antimicrobial efficacies of curcumin and its derivatives. •Low aqueous solubility and poor bioavailability limit significance of curcumin.•Newer strategies are attempted to mitigate pharmaceutical problems.•Nanoencapsulation of curcumin improved antioxidant and antibacterial efficacies.•Nanotechnology-mediated delivery of curcumin is excellent tool to improve its efficacy.</description><identifier>ISSN: 0928-4931</identifier><identifier>EISSN: 1873-0191</identifier><identifier>DOI: 10.1016/j.msec.2017.03.226</identifier><identifier>PMID: 28532009</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Advanced delivery systems ; Anti-Infective Agents ; Anti-Inflammatory Agents ; Antiinfectives and antibacterials ; Antioxidants ; Bioavailability ; Chemical compounds ; Coagulants ; Curcumin ; Curcumin - pharmacology ; Derivatives ; Drug delivery systems ; Effectiveness ; Emulsions ; Half-life ; Hydrogels ; Improved antioxidant, anti-inflammatory and antimicrobial efficacies ; In vivo methods and tests ; Inflammation ; Liposomes ; Materials science ; Metabolism ; Micelles ; Nanocomposites ; Nanoconjugates ; Nanoemulsions ; Nanofibers ; Nanoparticles ; Permeability ; Pharmaceuticals ; Photodegradation ; Polymer films ; Scaffolds ; Solubility ; Stability ; Viability ; Wound healing</subject><ispartof>Materials Science &amp; Engineering C, 2017-08, Vol.77, p.1316-1326</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier BV Aug 1, 2017</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3</citedby><cites>FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28532009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussain, Zahid</creatorcontrib><creatorcontrib>Thu, Hnin Ei</creatorcontrib><creatorcontrib>Amjad, Muhammad Wahab</creatorcontrib><creatorcontrib>Hussain, Fahad</creatorcontrib><creatorcontrib>Ahmed, Tarek A.</creatorcontrib><creatorcontrib>Khan, Shahzeb</creatorcontrib><title>Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives</title><title>Materials Science &amp; Engineering C</title><addtitle>Mater Sci Eng C Mater Biol Appl</addtitle><description>Curcumin derivatives have been well-documented due to their natural antioxidant, antimicrobial and anti-inflammatory activities. Curcuminoids have also gained widespread recognition due to their wide range of other activities which include anti-infective, anti-mutagenic, anticancer, anti-coagulant, antiarthrititc, and wound healing potential. Despite of having a wide range of activities, the inherent physicochemical characteristics (poor water solubility, low bioavailability, chemical instability, photodegradation, rapid metabolism and short half-life) of curcumin derivatives limit their pharmaceutical significance. Aiming to overcome these pharmaceutical issues and improving therapeutic efficacy of curcuminoids, newer strategies have been attempted in recent years. These advanced techniques include polymeric nanoparticles, nanocomposite hydrogels, nanovesicles, nanofibers, nanohybrid scaffolds, nanoconjugates, nanostructured lipid carriers (NLCs), nanoemulsion, polymeric micelles and polymeric blend films. Incorporation of curcumin in these delivery systems has shown improved solubility, transmembrane permeability, long-term stability, improved bioavailability, longer plasma half-life, target-specific delivery, and upgraded therapeutic efficacy. In this review, a range of in vitro and in vivo studies have been critically discussed to explore the pharmaceutical significance and therapeutic viability of the advanced delivery systems to improve antioxidant, anti-inflammatory and antimicrobial efficacies of curcumin and its derivatives. •Low aqueous solubility and poor bioavailability limit significance of curcumin.•Newer strategies are attempted to mitigate pharmaceutical problems.•Nanoencapsulation of curcumin improved antioxidant and antibacterial efficacies.•Nanotechnology-mediated delivery of curcumin is excellent tool to improve its efficacy.</description><subject>Advanced delivery systems</subject><subject>Anti-Infective Agents</subject><subject>Anti-Inflammatory Agents</subject><subject>Antiinfectives and antibacterials</subject><subject>Antioxidants</subject><subject>Bioavailability</subject><subject>Chemical compounds</subject><subject>Coagulants</subject><subject>Curcumin</subject><subject>Curcumin - pharmacology</subject><subject>Derivatives</subject><subject>Drug delivery systems</subject><subject>Effectiveness</subject><subject>Emulsions</subject><subject>Half-life</subject><subject>Hydrogels</subject><subject>Improved antioxidant, anti-inflammatory and antimicrobial efficacies</subject><subject>In vivo methods and tests</subject><subject>Inflammation</subject><subject>Liposomes</subject><subject>Materials science</subject><subject>Metabolism</subject><subject>Micelles</subject><subject>Nanocomposites</subject><subject>Nanoconjugates</subject><subject>Nanoemulsions</subject><subject>Nanofibers</subject><subject>Nanoparticles</subject><subject>Permeability</subject><subject>Pharmaceuticals</subject><subject>Photodegradation</subject><subject>Polymer films</subject><subject>Scaffolds</subject><subject>Solubility</subject><subject>Stability</subject><subject>Viability</subject><subject>Wound healing</subject><issn>0928-4931</issn><issn>1873-0191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9UcuO1DAQtBCIHQZ-gAOyxJUEvzJJEJfVanlIK3GBs-XYbeRRbAfbmd35Gb4Vz8zCkVPbpapqVRdCrylpKaG79_vWZ9AtI7RvCW8Z2z1BGzr0vCF0pE_RhoxsaMTI6RV6kfOekN3Ae_YcXbGh44yQcYN-3z4sc0wu_MQJNISCDRxgjouv74xLxM4vKR4Aq1BcfHCmznfnT-OCnZX3qsR0rIg5o97pFCenZgzWOq30EUeL9Zr06l34gK_rnoOD-xMa6igJgslnuV3LmgAvkPICurgD5JfomVVzhlePc4t-fLr9fvOlufv2-evN9V2j-SBK01khBgtsstYwbXulwQDvuaZTx0U3TNNkekq1YTvageiI0Z0Zx1EI1YsJNN-itxffmvXXCrnIfVxTqCslHQXrGe_rXbeIXVg1Ys4JrFyS8yodJSXyVIncy1Ml8lSJJFzWSqrozaP1Onkw_yR_O6iEjxcC1ID1NElm7SDUCK5WUqSJ7n_-fwDh3aIm</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Hussain, Zahid</creator><creator>Thu, Hnin Ei</creator><creator>Amjad, Muhammad Wahab</creator><creator>Hussain, Fahad</creator><creator>Ahmed, Tarek A.</creator><creator>Khan, Shahzeb</creator><general>Elsevier B.V</general><general>Elsevier BV</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>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7T7</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>C1K</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope></search><sort><creationdate>20170801</creationdate><title>Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives</title><author>Hussain, Zahid ; Thu, Hnin Ei ; Amjad, Muhammad Wahab ; Hussain, Fahad ; Ahmed, Tarek A. ; Khan, Shahzeb</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Advanced delivery systems</topic><topic>Anti-Infective Agents</topic><topic>Anti-Inflammatory Agents</topic><topic>Antiinfectives and antibacterials</topic><topic>Antioxidants</topic><topic>Bioavailability</topic><topic>Chemical compounds</topic><topic>Coagulants</topic><topic>Curcumin</topic><topic>Curcumin - pharmacology</topic><topic>Derivatives</topic><topic>Drug delivery systems</topic><topic>Effectiveness</topic><topic>Emulsions</topic><topic>Half-life</topic><topic>Hydrogels</topic><topic>Improved antioxidant, anti-inflammatory and antimicrobial efficacies</topic><topic>In vivo methods and tests</topic><topic>Inflammation</topic><topic>Liposomes</topic><topic>Materials science</topic><topic>Metabolism</topic><topic>Micelles</topic><topic>Nanocomposites</topic><topic>Nanoconjugates</topic><topic>Nanoemulsions</topic><topic>Nanofibers</topic><topic>Nanoparticles</topic><topic>Permeability</topic><topic>Pharmaceuticals</topic><topic>Photodegradation</topic><topic>Polymer films</topic><topic>Scaffolds</topic><topic>Solubility</topic><topic>Stability</topic><topic>Viability</topic><topic>Wound healing</topic><toplevel>online_resources</toplevel><creatorcontrib>Hussain, Zahid</creatorcontrib><creatorcontrib>Thu, Hnin Ei</creatorcontrib><creatorcontrib>Amjad, Muhammad Wahab</creatorcontrib><creatorcontrib>Hussain, Fahad</creatorcontrib><creatorcontrib>Ahmed, Tarek A.</creatorcontrib><creatorcontrib>Khan, Shahzeb</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics &amp; Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Materials Business File</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ANTE: Abstracts in New Technology &amp; Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Materials Science &amp; Engineering C</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussain, Zahid</au><au>Thu, Hnin Ei</au><au>Amjad, Muhammad Wahab</au><au>Hussain, Fahad</au><au>Ahmed, Tarek A.</au><au>Khan, Shahzeb</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives</atitle><jtitle>Materials Science &amp; Engineering C</jtitle><addtitle>Mater Sci Eng C Mater Biol Appl</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>77</volume><spage>1316</spage><epage>1326</epage><pages>1316-1326</pages><issn>0928-4931</issn><eissn>1873-0191</eissn><abstract>Curcumin derivatives have been well-documented due to their natural antioxidant, antimicrobial and anti-inflammatory activities. Curcuminoids have also gained widespread recognition due to their wide range of other activities which include anti-infective, anti-mutagenic, anticancer, anti-coagulant, antiarthrititc, and wound healing potential. Despite of having a wide range of activities, the inherent physicochemical characteristics (poor water solubility, low bioavailability, chemical instability, photodegradation, rapid metabolism and short half-life) of curcumin derivatives limit their pharmaceutical significance. Aiming to overcome these pharmaceutical issues and improving therapeutic efficacy of curcuminoids, newer strategies have been attempted in recent years. These advanced techniques include polymeric nanoparticles, nanocomposite hydrogels, nanovesicles, nanofibers, nanohybrid scaffolds, nanoconjugates, nanostructured lipid carriers (NLCs), nanoemulsion, polymeric micelles and polymeric blend films. Incorporation of curcumin in these delivery systems has shown improved solubility, transmembrane permeability, long-term stability, improved bioavailability, longer plasma half-life, target-specific delivery, and upgraded therapeutic efficacy. In this review, a range of in vitro and in vivo studies have been critically discussed to explore the pharmaceutical significance and therapeutic viability of the advanced delivery systems to improve antioxidant, anti-inflammatory and antimicrobial efficacies of curcumin and its derivatives. •Low aqueous solubility and poor bioavailability limit significance of curcumin.•Newer strategies are attempted to mitigate pharmaceutical problems.•Nanoencapsulation of curcumin improved antioxidant and antibacterial efficacies.•Nanotechnology-mediated delivery of curcumin is excellent tool to improve its efficacy.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28532009</pmid><doi>10.1016/j.msec.2017.03.226</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0928-4931
ispartof Materials Science & Engineering C, 2017-08, Vol.77, p.1316-1326
issn 0928-4931
1873-0191
language eng
recordid cdi_proquest_journals_1942723787
source ScienceDirect Freedom Collection 2022-2024
subjects Advanced delivery systems
Anti-Infective Agents
Anti-Inflammatory Agents
Antiinfectives and antibacterials
Antioxidants
Bioavailability
Chemical compounds
Coagulants
Curcumin
Curcumin - pharmacology
Derivatives
Drug delivery systems
Effectiveness
Emulsions
Half-life
Hydrogels
Improved antioxidant, anti-inflammatory and antimicrobial efficacies
In vivo methods and tests
Inflammation
Liposomes
Materials science
Metabolism
Micelles
Nanocomposites
Nanoconjugates
Nanoemulsions
Nanofibers
Nanoparticles
Permeability
Pharmaceuticals
Photodegradation
Polymer films
Scaffolds
Solubility
Stability
Viability
Wound healing
title Exploring recent developments to improve antioxidant, anti-inflammatory and antimicrobial efficacy of curcumin: A review of new trends and future perspectives
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T22%3A46%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Exploring%20recent%20developments%20to%20improve%20antioxidant,%20anti-inflammatory%20and%20antimicrobial%20efficacy%20of%20curcumin:%20A%20review%20of%20new%20trends%20and%20future%20perspectives&rft.jtitle=Materials%20Science%20&%20Engineering%20C&rft.au=Hussain,%20Zahid&rft.date=2017-08-01&rft.volume=77&rft.spage=1316&rft.epage=1326&rft.pages=1316-1326&rft.issn=0928-4931&rft.eissn=1873-0191&rft_id=info:doi/10.1016/j.msec.2017.03.226&rft_dat=%3Cproquest_cross%3E1942723787%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c384t-5f448fe2bffd2cf7acede373c1b53458bbbd711cd2615e450dc5d99944a74bec3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1942723787&rft_id=info:pmid/28532009&rfr_iscdi=true