Loading…

SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer

Recurrent tumors that are resistant to conventional chemotherapy are a major challenge of ovarian cancer treatment. A better understanding of the underlying molecular mechanisms of chemoresistance is critical for developing more effective targeted therapies for ovarian cancer. In this study, we anal...

Full description

Saved in:
Bibliographic Details
Published in:Cancers 2025-01, Vol.17 (2), p.244
Main Authors: Jiang, Ziyan, Bi, Fangfang, Ge, Zhiping, Mansolf, Miranda, Hartwich, Tobias M P, Kolesnyk, Viktoriia, Yang, Kevin, Park, Wonmin, Kim, Dongin, Grechukhina, Olga, Hui, Pei, Kim, Sang Wun, Yang-Hartwich, Yang
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-c306t-60555ea8751d4458169c2a33cf4a1231107e82e993b152c4630f1fa0fc7e47aa3
container_end_page
container_issue 2
container_start_page 244
container_title Cancers
container_volume 17
creator Jiang, Ziyan
Bi, Fangfang
Ge, Zhiping
Mansolf, Miranda
Hartwich, Tobias M P
Kolesnyk, Viktoriia
Yang, Kevin
Park, Wonmin
Kim, Dongin
Grechukhina, Olga
Hui, Pei
Kim, Sang Wun
Yang-Hartwich, Yang
description Recurrent tumors that are resistant to conventional chemotherapy are a major challenge of ovarian cancer treatment. A better understanding of the underlying molecular mechanisms of chemoresistance is critical for developing more effective targeted therapies for ovarian cancer. In this study, we analyzed the transcriptomic profiles of thirteen pairs of matching primary and recurrent ovarian cancers to identify genes that were upregulated in the recurrent tumors. Among these genes, we identified sortilin-related receptor 1 (SORL1) and its role in promoting carboplatin resistance through regulating the stability of epidermal growth factor receptor (EGFR) and fibroblast growth receptor 4 (FGFR4) using ovarian cancer models in vitro and in vivo. We further identified that an anti-SORL1 antibody inhibited the pro-tumor functions of SORL1. Our data showed that a selective inhibitor of FGFR4, FGF401, can improve the therapeutic efficacy of carboplatin in a xenograft mouse model of ovarian cancer. This study has demonstrated the therapeutic potential of targeting the SORL1/FGFR4 pathway to improve the chemoresponse of patients with recurrent and/or resistant ovarian cancer.
doi_str_mv 10.3390/cancers17020244
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11763764</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3159351631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c306t-60555ea8751d4458169c2a33cf4a1231107e82e993b152c4630f1fa0fc7e47aa3</originalsourceid><addsrcrecordid>eNpdkc1P3DAQxa0KVBBw7q2y1AuXFNvjj-RUVatdirRopaU9W4PjsEZZh9oJEv89Xr4E-OKR_fObN36EfOPsJ0DDzhxG51PmhgkmpPxCDgUzotK6kXvv6gNykvMtKwuAG22-kgNoalUzoQ_J1dVqveTVpW8Djr6l8_PFmmJs6aIUkq79zdTjGIZI53Gz65fpbOO3Q_I55HF3QEOkq3tMASOdPTk6Jvsd9tmfvOxH5N9i_nf2p1quzi9mv5eVA6bHSjOllMfaKN5KqWquGycQwHUSuQDOmfG18E0D11wJJzWwjnfIOme8NIhwRH49695N11vfOh_HhL29S2GL6cEOGOzHmxg29ma4t7x8Axgti8Lpi0Ia_k8-j3YbsvN9j9EPU7bAVWOKARAF_fEJvR2mFMt8TxQoroEX6uyZcmnIOfnuzQ1ndhea_RRaefH9_RBv_GtE8AjhZJFc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3159351631</pqid></control><display><type>article</type><title>SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer</title><source>PubMed (Medline)</source><source>Publicly Available Content (ProQuest)</source><creator>Jiang, Ziyan ; Bi, Fangfang ; Ge, Zhiping ; Mansolf, Miranda ; Hartwich, Tobias M P ; Kolesnyk, Viktoriia ; Yang, Kevin ; Park, Wonmin ; Kim, Dongin ; Grechukhina, Olga ; Hui, Pei ; Kim, Sang Wun ; Yang-Hartwich, Yang</creator><creatorcontrib>Jiang, Ziyan ; Bi, Fangfang ; Ge, Zhiping ; Mansolf, Miranda ; Hartwich, Tobias M P ; Kolesnyk, Viktoriia ; Yang, Kevin ; Park, Wonmin ; Kim, Dongin ; Grechukhina, Olga ; Hui, Pei ; Kim, Sang Wun ; Yang-Hartwich, Yang</creatorcontrib><description>Recurrent tumors that are resistant to conventional chemotherapy are a major challenge of ovarian cancer treatment. A better understanding of the underlying molecular mechanisms of chemoresistance is critical for developing more effective targeted therapies for ovarian cancer. In this study, we analyzed the transcriptomic profiles of thirteen pairs of matching primary and recurrent ovarian cancers to identify genes that were upregulated in the recurrent tumors. Among these genes, we identified sortilin-related receptor 1 (SORL1) and its role in promoting carboplatin resistance through regulating the stability of epidermal growth factor receptor (EGFR) and fibroblast growth receptor 4 (FGFR4) using ovarian cancer models in vitro and in vivo. We further identified that an anti-SORL1 antibody inhibited the pro-tumor functions of SORL1. Our data showed that a selective inhibitor of FGFR4, FGF401, can improve the therapeutic efficacy of carboplatin in a xenograft mouse model of ovarian cancer. This study has demonstrated the therapeutic potential of targeting the SORL1/FGFR4 pathway to improve the chemoresponse of patients with recurrent and/or resistant ovarian cancer.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers17020244</identifier><identifier>PMID: 39858026</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Breast cancer ; Cancer therapies ; Cell proliferation ; Cells ; Chemokines ; Chemoresistance ; Drug resistance ; Epidermal growth factor ; Fibroblast growth factor receptor 4 ; Fibroblasts ; Gene amplification ; Growth factors ; Kinases ; Ligands ; Medical prognosis ; Molecular modelling ; Ovarian cancer ; Patients ; Platinum ; Proteins ; Review boards ; Tumors</subject><ispartof>Cancers, 2025-01, Vol.17 (2), p.244</ispartof><rights>2025 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>2025 by the authors. 2025</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c306t-60555ea8751d4458169c2a33cf4a1231107e82e993b152c4630f1fa0fc7e47aa3</cites><orcidid>0000-0003-2078-6138 ; 0000-0002-0522-9053 ; 0000-0001-6556-2571 ; 0000-0002-2854-2894 ; 0000-0001-6946-4063 ; 0000-0002-8342-8701 ; 0000-0001-9237-1316 ; 0009-0001-3164-1690</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3159351631/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3159351631?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25728,27898,27899,36986,36987,44563,53763,53765,75093</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39858026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Ziyan</creatorcontrib><creatorcontrib>Bi, Fangfang</creatorcontrib><creatorcontrib>Ge, Zhiping</creatorcontrib><creatorcontrib>Mansolf, Miranda</creatorcontrib><creatorcontrib>Hartwich, Tobias M P</creatorcontrib><creatorcontrib>Kolesnyk, Viktoriia</creatorcontrib><creatorcontrib>Yang, Kevin</creatorcontrib><creatorcontrib>Park, Wonmin</creatorcontrib><creatorcontrib>Kim, Dongin</creatorcontrib><creatorcontrib>Grechukhina, Olga</creatorcontrib><creatorcontrib>Hui, Pei</creatorcontrib><creatorcontrib>Kim, Sang Wun</creatorcontrib><creatorcontrib>Yang-Hartwich, Yang</creatorcontrib><title>SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>Recurrent tumors that are resistant to conventional chemotherapy are a major challenge of ovarian cancer treatment. A better understanding of the underlying molecular mechanisms of chemoresistance is critical for developing more effective targeted therapies for ovarian cancer. In this study, we analyzed the transcriptomic profiles of thirteen pairs of matching primary and recurrent ovarian cancers to identify genes that were upregulated in the recurrent tumors. Among these genes, we identified sortilin-related receptor 1 (SORL1) and its role in promoting carboplatin resistance through regulating the stability of epidermal growth factor receptor (EGFR) and fibroblast growth receptor 4 (FGFR4) using ovarian cancer models in vitro and in vivo. We further identified that an anti-SORL1 antibody inhibited the pro-tumor functions of SORL1. Our data showed that a selective inhibitor of FGFR4, FGF401, can improve the therapeutic efficacy of carboplatin in a xenograft mouse model of ovarian cancer. This study has demonstrated the therapeutic potential of targeting the SORL1/FGFR4 pathway to improve the chemoresponse of patients with recurrent and/or resistant ovarian cancer.</description><subject>Breast cancer</subject><subject>Cancer therapies</subject><subject>Cell proliferation</subject><subject>Cells</subject><subject>Chemokines</subject><subject>Chemoresistance</subject><subject>Drug resistance</subject><subject>Epidermal growth factor</subject><subject>Fibroblast growth factor receptor 4</subject><subject>Fibroblasts</subject><subject>Gene amplification</subject><subject>Growth factors</subject><subject>Kinases</subject><subject>Ligands</subject><subject>Medical prognosis</subject><subject>Molecular modelling</subject><subject>Ovarian cancer</subject><subject>Patients</subject><subject>Platinum</subject><subject>Proteins</subject><subject>Review boards</subject><subject>Tumors</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkc1P3DAQxa0KVBBw7q2y1AuXFNvjj-RUVatdirRopaU9W4PjsEZZh9oJEv89Xr4E-OKR_fObN36EfOPsJ0DDzhxG51PmhgkmpPxCDgUzotK6kXvv6gNykvMtKwuAG22-kgNoalUzoQ_J1dVqveTVpW8Djr6l8_PFmmJs6aIUkq79zdTjGIZI53Gz65fpbOO3Q_I55HF3QEOkq3tMASOdPTk6Jvsd9tmfvOxH5N9i_nf2p1quzi9mv5eVA6bHSjOllMfaKN5KqWquGycQwHUSuQDOmfG18E0D11wJJzWwjnfIOme8NIhwRH49695N11vfOh_HhL29S2GL6cEOGOzHmxg29ma4t7x8Axgti8Lpi0Ia_k8-j3YbsvN9j9EPU7bAVWOKARAF_fEJvR2mFMt8TxQoroEX6uyZcmnIOfnuzQ1ndhea_RRaefH9_RBv_GtE8AjhZJFc</recordid><startdate>20250113</startdate><enddate>20250113</enddate><creator>Jiang, Ziyan</creator><creator>Bi, Fangfang</creator><creator>Ge, Zhiping</creator><creator>Mansolf, Miranda</creator><creator>Hartwich, Tobias M P</creator><creator>Kolesnyk, Viktoriia</creator><creator>Yang, Kevin</creator><creator>Park, Wonmin</creator><creator>Kim, Dongin</creator><creator>Grechukhina, Olga</creator><creator>Hui, Pei</creator><creator>Kim, Sang Wun</creator><creator>Yang-Hartwich, Yang</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2078-6138</orcidid><orcidid>https://orcid.org/0000-0002-0522-9053</orcidid><orcidid>https://orcid.org/0000-0001-6556-2571</orcidid><orcidid>https://orcid.org/0000-0002-2854-2894</orcidid><orcidid>https://orcid.org/0000-0001-6946-4063</orcidid><orcidid>https://orcid.org/0000-0002-8342-8701</orcidid><orcidid>https://orcid.org/0000-0001-9237-1316</orcidid><orcidid>https://orcid.org/0009-0001-3164-1690</orcidid></search><sort><creationdate>20250113</creationdate><title>SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer</title><author>Jiang, Ziyan ; Bi, Fangfang ; Ge, Zhiping ; Mansolf, Miranda ; Hartwich, Tobias M P ; Kolesnyk, Viktoriia ; Yang, Kevin ; Park, Wonmin ; Kim, Dongin ; Grechukhina, Olga ; Hui, Pei ; Kim, Sang Wun ; Yang-Hartwich, Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c306t-60555ea8751d4458169c2a33cf4a1231107e82e993b152c4630f1fa0fc7e47aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Breast cancer</topic><topic>Cancer therapies</topic><topic>Cell proliferation</topic><topic>Cells</topic><topic>Chemokines</topic><topic>Chemoresistance</topic><topic>Drug resistance</topic><topic>Epidermal growth factor</topic><topic>Fibroblast growth factor receptor 4</topic><topic>Fibroblasts</topic><topic>Gene amplification</topic><topic>Growth factors</topic><topic>Kinases</topic><topic>Ligands</topic><topic>Medical prognosis</topic><topic>Molecular modelling</topic><topic>Ovarian cancer</topic><topic>Patients</topic><topic>Platinum</topic><topic>Proteins</topic><topic>Review boards</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Ziyan</creatorcontrib><creatorcontrib>Bi, Fangfang</creatorcontrib><creatorcontrib>Ge, Zhiping</creatorcontrib><creatorcontrib>Mansolf, Miranda</creatorcontrib><creatorcontrib>Hartwich, Tobias M P</creatorcontrib><creatorcontrib>Kolesnyk, Viktoriia</creatorcontrib><creatorcontrib>Yang, Kevin</creatorcontrib><creatorcontrib>Park, Wonmin</creatorcontrib><creatorcontrib>Kim, Dongin</creatorcontrib><creatorcontrib>Grechukhina, Olga</creatorcontrib><creatorcontrib>Hui, Pei</creatorcontrib><creatorcontrib>Kim, Sang Wun</creatorcontrib><creatorcontrib>Yang-Hartwich, Yang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Biological Sciences</collection><collection>Research Library</collection><collection>ProQuest Biological Science Journals</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied &amp; Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Ziyan</au><au>Bi, Fangfang</au><au>Ge, Zhiping</au><au>Mansolf, Miranda</au><au>Hartwich, Tobias M P</au><au>Kolesnyk, Viktoriia</au><au>Yang, Kevin</au><au>Park, Wonmin</au><au>Kim, Dongin</au><au>Grechukhina, Olga</au><au>Hui, Pei</au><au>Kim, Sang Wun</au><au>Yang-Hartwich, Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2025-01-13</date><risdate>2025</risdate><volume>17</volume><issue>2</issue><spage>244</spage><pages>244-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>Recurrent tumors that are resistant to conventional chemotherapy are a major challenge of ovarian cancer treatment. A better understanding of the underlying molecular mechanisms of chemoresistance is critical for developing more effective targeted therapies for ovarian cancer. In this study, we analyzed the transcriptomic profiles of thirteen pairs of matching primary and recurrent ovarian cancers to identify genes that were upregulated in the recurrent tumors. Among these genes, we identified sortilin-related receptor 1 (SORL1) and its role in promoting carboplatin resistance through regulating the stability of epidermal growth factor receptor (EGFR) and fibroblast growth receptor 4 (FGFR4) using ovarian cancer models in vitro and in vivo. We further identified that an anti-SORL1 antibody inhibited the pro-tumor functions of SORL1. Our data showed that a selective inhibitor of FGFR4, FGF401, can improve the therapeutic efficacy of carboplatin in a xenograft mouse model of ovarian cancer. This study has demonstrated the therapeutic potential of targeting the SORL1/FGFR4 pathway to improve the chemoresponse of patients with recurrent and/or resistant ovarian cancer.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39858026</pmid><doi>10.3390/cancers17020244</doi><orcidid>https://orcid.org/0000-0003-2078-6138</orcidid><orcidid>https://orcid.org/0000-0002-0522-9053</orcidid><orcidid>https://orcid.org/0000-0001-6556-2571</orcidid><orcidid>https://orcid.org/0000-0002-2854-2894</orcidid><orcidid>https://orcid.org/0000-0001-6946-4063</orcidid><orcidid>https://orcid.org/0000-0002-8342-8701</orcidid><orcidid>https://orcid.org/0000-0001-9237-1316</orcidid><orcidid>https://orcid.org/0009-0001-3164-1690</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2072-6694
ispartof Cancers, 2025-01, Vol.17 (2), p.244
issn 2072-6694
2072-6694
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11763764
source PubMed (Medline); Publicly Available Content (ProQuest)
subjects Breast cancer
Cancer therapies
Cell proliferation
Cells
Chemokines
Chemoresistance
Drug resistance
Epidermal growth factor
Fibroblast growth factor receptor 4
Fibroblasts
Gene amplification
Growth factors
Kinases
Ligands
Medical prognosis
Molecular modelling
Ovarian cancer
Patients
Platinum
Proteins
Review boards
Tumors
title SORL1-Mediated EGFR and FGFR4 Regulation Enhances Chemoresistance in Ovarian Cancer
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-03-04T04%3A18%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=SORL1-Mediated%20EGFR%20and%20FGFR4%20Regulation%20Enhances%20Chemoresistance%20in%20Ovarian%20Cancer&rft.jtitle=Cancers&rft.au=Jiang,%20Ziyan&rft.date=2025-01-13&rft.volume=17&rft.issue=2&rft.spage=244&rft.pages=244-&rft.issn=2072-6694&rft.eissn=2072-6694&rft_id=info:doi/10.3390/cancers17020244&rft_dat=%3Cproquest_pubme%3E3159351631%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c306t-60555ea8751d4458169c2a33cf4a1231107e82e993b152c4630f1fa0fc7e47aa3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3159351631&rft_id=info:pmid/39858026&rfr_iscdi=true