Loading…

Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21

Liver cancer is one of the most common and lethal cancers in human digestive system, which kills more than half a million people every year worldwide. This study aimed to investigate the effects of kaempferol, a flavonoid compound isolated from vegetables and fruits, on hepatic cancer HepG2 cell pro...

Full description

Saved in:
Bibliographic Details
Published in:International journal of immunopathology and pharmacology 2018-03, Vol.32, p.2058738418814341
Main Authors: Zhu, Genglong, Liu, Xialei, Li, Haijing, Yan, Yang, Hong, Xiaopeng, Lin, Zhidong
Format: Article
Language:English
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page
container_issue
container_start_page 2058738418814341
container_title International journal of immunopathology and pharmacology
container_volume 32
creator Zhu, Genglong
Liu, Xialei
Li, Haijing
Yan, Yang
Hong, Xiaopeng
Lin, Zhidong
description Liver cancer is one of the most common and lethal cancers in human digestive system, which kills more than half a million people every year worldwide. This study aimed to investigate the effects of kaempferol, a flavonoid compound isolated from vegetables and fruits, on hepatic cancer HepG2 cell proliferation, migration, invasion, and apoptosis, as well as microRNA-21 (miR-21) expression. Cell viability was detected using cell counting kit-8 (CCK-8) assay. Cell proliferation was measured using 5-bromo-2'-deoxyuridine (BrdU) incorporation assay. Cell apoptosis was assessed using Guava Nexin assay. Cell migration and invasion were determined using two-chamber migration (invasion) assay. Cell transfection was used to change the expression of miR-21. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was performed to analyze the expressions of miR-21 and phosphatase and tensin homologue (PTEN). Expression of key proteins involved in proliferation, apoptosis, migration, invasion, and phosphatidylinositol 3-kinase/protein kinase 3/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway were evaluated using western blotting. Results showed that kaempferol significantly inhibited HepG2 cell proliferation, migration, and invasion, and induced cell apoptosis. Kaempferol remarkably reduce the expression of miR-21 in HepG2 cells. Overexpression of miR-21 obviously reversed the effects of kaempferol on HepG2 cell proliferation, migration, invasion, and apoptosis. Moreover, miR-21 negatively regulated the expression of PTEN in HepG2 cells. Kaempferol enhanced the expression of PTEN and inactivated PI3K/AKT/mTOR signaling pathway in HepG2 cells. In conclusion, kaempferol inhibited proliferation, migration, and invasion of HepG2 cells by down-regulating miR-21 and up-regulating PTEN, as well as inactivating PI3K/AKT/mTOR signaling pathway.
doi_str_mv 10.1177/2058738418814341
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6259061</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2313755188</sourcerecordid><originalsourceid>FETCH-LOGICAL-p294t-fba4e71143c7feb023e216b1378e1f9c2d72b27329e0ba62c25edd6509cbf5ae3</originalsourceid><addsrcrecordid>eNpVUUtLxDAQDqLosnr3JAGvVvNs2ouwiC8UBdFzSdLpmqVtatqu7r83q6voaWa--eabF0KHlJxSqtQZIzJTPBM0y6jggm6hyRpK1tg2mhCeiyTljOyhg75fEEIo4UJmdBftcSKU4jKdoI87DU1XQfA1du2rM27ocRcjFzE9ON-e4MbNf1zdlpG21H2MsK9w7ZYQsNWtjeYGumuGLdR1j80Kl_69TQLMx_qreE1vnA3-6WGWMLqPdipd93CwsVP0cnX5fHGT3D9e317M7pOO5WJIKqMFKBoXtKoCQxgHRlNDucqAVrllpWKGKc5yIEanzDIJZZlKkltTSQ18is6_dbvRNFBaaIeg66ILrtFhVXjtiv-Z1r0Wc78sUiZzktIocLwRCP5thH4oFn4MbZy5YDzOIWV8QGQd_W3zq_9zaf4J7eSC_A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2313755188</pqid></control><display><type>article</type><title>Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21</title><source>Publicly Available Content Database</source><source>Sage Journals GOLD Open Access 2024</source><source>PubMed Central</source><creator>Zhu, Genglong ; Liu, Xialei ; Li, Haijing ; Yan, Yang ; Hong, Xiaopeng ; Lin, Zhidong</creator><creatorcontrib>Zhu, Genglong ; Liu, Xialei ; Li, Haijing ; Yan, Yang ; Hong, Xiaopeng ; Lin, Zhidong</creatorcontrib><description>Liver cancer is one of the most common and lethal cancers in human digestive system, which kills more than half a million people every year worldwide. This study aimed to investigate the effects of kaempferol, a flavonoid compound isolated from vegetables and fruits, on hepatic cancer HepG2 cell proliferation, migration, invasion, and apoptosis, as well as microRNA-21 (miR-21) expression. Cell viability was detected using cell counting kit-8 (CCK-8) assay. Cell proliferation was measured using 5-bromo-2'-deoxyuridine (BrdU) incorporation assay. Cell apoptosis was assessed using Guava Nexin assay. Cell migration and invasion were determined using two-chamber migration (invasion) assay. Cell transfection was used to change the expression of miR-21. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was performed to analyze the expressions of miR-21 and phosphatase and tensin homologue (PTEN). Expression of key proteins involved in proliferation, apoptosis, migration, invasion, and phosphatidylinositol 3-kinase/protein kinase 3/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway were evaluated using western blotting. Results showed that kaempferol significantly inhibited HepG2 cell proliferation, migration, and invasion, and induced cell apoptosis. Kaempferol remarkably reduce the expression of miR-21 in HepG2 cells. Overexpression of miR-21 obviously reversed the effects of kaempferol on HepG2 cell proliferation, migration, invasion, and apoptosis. Moreover, miR-21 negatively regulated the expression of PTEN in HepG2 cells. Kaempferol enhanced the expression of PTEN and inactivated PI3K/AKT/mTOR signaling pathway in HepG2 cells. In conclusion, kaempferol inhibited proliferation, migration, and invasion of HepG2 cells by down-regulating miR-21 and up-regulating PTEN, as well as inactivating PI3K/AKT/mTOR signaling pathway.</description><identifier>ISSN: 0394-6320</identifier><identifier>EISSN: 2058-7384</identifier><identifier>DOI: 10.1177/2058738418814341</identifier><identifier>PMID: 30477356</identifier><language>eng</language><publisher>England: Sage Publications Ltd</publisher><subject>Apoptosis ; Apoptosis - drug effects ; Cell adhesion &amp; migration ; Cell growth ; Cell Line, Tumor ; Cell Movement - drug effects ; Cell Proliferation - drug effects ; Cell viability ; Down-Regulation - drug effects ; Gene Expression Regulation, Neoplastic - drug effects ; Hep G2 Cells ; Humans ; Kaempferols - pharmacology ; Kinases ; Liver cancer ; Liver Neoplasms - drug therapy ; Liver Neoplasms - metabolism ; MicroRNAs ; MicroRNAs - metabolism ; Neoplasm Invasiveness - pathology ; Original ; Phosphatidylinositol 3-Kinase - metabolism ; Phosphatidylinositol 3-Kinases - metabolism ; Proto-Oncogene Proteins c-akt - metabolism ; PTEN Phosphohydrolase - metabolism ; Signal Transduction - drug effects ; TOR Serine-Threonine Kinases - metabolism ; Up-Regulation - drug effects</subject><ispartof>International journal of immunopathology and pharmacology, 2018-03, Vol.32, p.2058738418814341</ispartof><rights>The Author(s) 2018. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://www.creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2018 2018 SAGE Publications Ltd unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259061/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2313755188?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30477356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Genglong</creatorcontrib><creatorcontrib>Liu, Xialei</creatorcontrib><creatorcontrib>Li, Haijing</creatorcontrib><creatorcontrib>Yan, Yang</creatorcontrib><creatorcontrib>Hong, Xiaopeng</creatorcontrib><creatorcontrib>Lin, Zhidong</creatorcontrib><title>Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21</title><title>International journal of immunopathology and pharmacology</title><addtitle>Int J Immunopathol Pharmacol</addtitle><description>Liver cancer is one of the most common and lethal cancers in human digestive system, which kills more than half a million people every year worldwide. This study aimed to investigate the effects of kaempferol, a flavonoid compound isolated from vegetables and fruits, on hepatic cancer HepG2 cell proliferation, migration, invasion, and apoptosis, as well as microRNA-21 (miR-21) expression. Cell viability was detected using cell counting kit-8 (CCK-8) assay. Cell proliferation was measured using 5-bromo-2'-deoxyuridine (BrdU) incorporation assay. Cell apoptosis was assessed using Guava Nexin assay. Cell migration and invasion were determined using two-chamber migration (invasion) assay. Cell transfection was used to change the expression of miR-21. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was performed to analyze the expressions of miR-21 and phosphatase and tensin homologue (PTEN). Expression of key proteins involved in proliferation, apoptosis, migration, invasion, and phosphatidylinositol 3-kinase/protein kinase 3/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway were evaluated using western blotting. Results showed that kaempferol significantly inhibited HepG2 cell proliferation, migration, and invasion, and induced cell apoptosis. Kaempferol remarkably reduce the expression of miR-21 in HepG2 cells. Overexpression of miR-21 obviously reversed the effects of kaempferol on HepG2 cell proliferation, migration, invasion, and apoptosis. Moreover, miR-21 negatively regulated the expression of PTEN in HepG2 cells. Kaempferol enhanced the expression of PTEN and inactivated PI3K/AKT/mTOR signaling pathway in HepG2 cells. In conclusion, kaempferol inhibited proliferation, migration, and invasion of HepG2 cells by down-regulating miR-21 and up-regulating PTEN, as well as inactivating PI3K/AKT/mTOR signaling pathway.</description><subject>Apoptosis</subject><subject>Apoptosis - drug effects</subject><subject>Cell adhesion &amp; migration</subject><subject>Cell growth</subject><subject>Cell Line, Tumor</subject><subject>Cell Movement - drug effects</subject><subject>Cell Proliferation - drug effects</subject><subject>Cell viability</subject><subject>Down-Regulation - drug effects</subject><subject>Gene Expression Regulation, Neoplastic - drug effects</subject><subject>Hep G2 Cells</subject><subject>Humans</subject><subject>Kaempferols - pharmacology</subject><subject>Kinases</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - drug therapy</subject><subject>Liver Neoplasms - metabolism</subject><subject>MicroRNAs</subject><subject>MicroRNAs - metabolism</subject><subject>Neoplasm Invasiveness - pathology</subject><subject>Original</subject><subject>Phosphatidylinositol 3-Kinase - metabolism</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>PTEN Phosphohydrolase - metabolism</subject><subject>Signal Transduction - drug effects</subject><subject>TOR Serine-Threonine Kinases - metabolism</subject><subject>Up-Regulation - drug effects</subject><issn>0394-6320</issn><issn>2058-7384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpVUUtLxDAQDqLosnr3JAGvVvNs2ouwiC8UBdFzSdLpmqVtatqu7r83q6voaWa--eabF0KHlJxSqtQZIzJTPBM0y6jggm6hyRpK1tg2mhCeiyTljOyhg75fEEIo4UJmdBftcSKU4jKdoI87DU1XQfA1du2rM27ocRcjFzE9ON-e4MbNf1zdlpG21H2MsK9w7ZYQsNWtjeYGumuGLdR1j80Kl_69TQLMx_qreE1vnA3-6WGWMLqPdipd93CwsVP0cnX5fHGT3D9e317M7pOO5WJIKqMFKBoXtKoCQxgHRlNDucqAVrllpWKGKc5yIEanzDIJZZlKkltTSQ18is6_dbvRNFBaaIeg66ILrtFhVXjtiv-Z1r0Wc78sUiZzktIocLwRCP5thH4oFn4MbZy5YDzOIWV8QGQd_W3zq_9zaf4J7eSC_A</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Zhu, Genglong</creator><creator>Liu, Xialei</creator><creator>Li, Haijing</creator><creator>Yan, Yang</creator><creator>Hong, Xiaopeng</creator><creator>Lin, Zhidong</creator><general>Sage Publications Ltd</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21</title><author>Zhu, Genglong ; Liu, Xialei ; Li, Haijing ; Yan, Yang ; Hong, Xiaopeng ; Lin, Zhidong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p294t-fba4e71143c7feb023e216b1378e1f9c2d72b27329e0ba62c25edd6509cbf5ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Apoptosis</topic><topic>Apoptosis - drug effects</topic><topic>Cell adhesion &amp; migration</topic><topic>Cell growth</topic><topic>Cell Line, Tumor</topic><topic>Cell Movement - drug effects</topic><topic>Cell Proliferation - drug effects</topic><topic>Cell viability</topic><topic>Down-Regulation - drug effects</topic><topic>Gene Expression Regulation, Neoplastic - drug effects</topic><topic>Hep G2 Cells</topic><topic>Humans</topic><topic>Kaempferols - pharmacology</topic><topic>Kinases</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - drug therapy</topic><topic>Liver Neoplasms - metabolism</topic><topic>MicroRNAs</topic><topic>MicroRNAs - metabolism</topic><topic>Neoplasm Invasiveness - pathology</topic><topic>Original</topic><topic>Phosphatidylinositol 3-Kinase - metabolism</topic><topic>Phosphatidylinositol 3-Kinases - metabolism</topic><topic>Proto-Oncogene Proteins c-akt - metabolism</topic><topic>PTEN Phosphohydrolase - metabolism</topic><topic>Signal Transduction - drug effects</topic><topic>TOR Serine-Threonine Kinases - metabolism</topic><topic>Up-Regulation - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Genglong</creatorcontrib><creatorcontrib>Liu, Xialei</creatorcontrib><creatorcontrib>Li, Haijing</creatorcontrib><creatorcontrib>Yan, Yang</creatorcontrib><creatorcontrib>Hong, Xiaopeng</creatorcontrib><creatorcontrib>Lin, Zhidong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</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>PubMed Central (Full Participant titles)</collection><jtitle>International journal of immunopathology and pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Genglong</au><au>Liu, Xialei</au><au>Li, Haijing</au><au>Yan, Yang</au><au>Hong, Xiaopeng</au><au>Lin, Zhidong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21</atitle><jtitle>International journal of immunopathology and pharmacology</jtitle><addtitle>Int J Immunopathol Pharmacol</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>32</volume><spage>2058738418814341</spage><pages>2058738418814341-</pages><issn>0394-6320</issn><eissn>2058-7384</eissn><abstract>Liver cancer is one of the most common and lethal cancers in human digestive system, which kills more than half a million people every year worldwide. This study aimed to investigate the effects of kaempferol, a flavonoid compound isolated from vegetables and fruits, on hepatic cancer HepG2 cell proliferation, migration, invasion, and apoptosis, as well as microRNA-21 (miR-21) expression. Cell viability was detected using cell counting kit-8 (CCK-8) assay. Cell proliferation was measured using 5-bromo-2'-deoxyuridine (BrdU) incorporation assay. Cell apoptosis was assessed using Guava Nexin assay. Cell migration and invasion were determined using two-chamber migration (invasion) assay. Cell transfection was used to change the expression of miR-21. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was performed to analyze the expressions of miR-21 and phosphatase and tensin homologue (PTEN). Expression of key proteins involved in proliferation, apoptosis, migration, invasion, and phosphatidylinositol 3-kinase/protein kinase 3/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway were evaluated using western blotting. Results showed that kaempferol significantly inhibited HepG2 cell proliferation, migration, and invasion, and induced cell apoptosis. Kaempferol remarkably reduce the expression of miR-21 in HepG2 cells. Overexpression of miR-21 obviously reversed the effects of kaempferol on HepG2 cell proliferation, migration, invasion, and apoptosis. Moreover, miR-21 negatively regulated the expression of PTEN in HepG2 cells. Kaempferol enhanced the expression of PTEN and inactivated PI3K/AKT/mTOR signaling pathway in HepG2 cells. In conclusion, kaempferol inhibited proliferation, migration, and invasion of HepG2 cells by down-regulating miR-21 and up-regulating PTEN, as well as inactivating PI3K/AKT/mTOR signaling pathway.</abstract><cop>England</cop><pub>Sage Publications Ltd</pub><pmid>30477356</pmid><doi>10.1177/2058738418814341</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0394-6320
ispartof International journal of immunopathology and pharmacology, 2018-03, Vol.32, p.2058738418814341
issn 0394-6320
2058-7384
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6259061
source Publicly Available Content Database; Sage Journals GOLD Open Access 2024; PubMed Central
subjects Apoptosis
Apoptosis - drug effects
Cell adhesion & migration
Cell growth
Cell Line, Tumor
Cell Movement - drug effects
Cell Proliferation - drug effects
Cell viability
Down-Regulation - drug effects
Gene Expression Regulation, Neoplastic - drug effects
Hep G2 Cells
Humans
Kaempferols - pharmacology
Kinases
Liver cancer
Liver Neoplasms - drug therapy
Liver Neoplasms - metabolism
MicroRNAs
MicroRNAs - metabolism
Neoplasm Invasiveness - pathology
Original
Phosphatidylinositol 3-Kinase - metabolism
Phosphatidylinositol 3-Kinases - metabolism
Proto-Oncogene Proteins c-akt - metabolism
PTEN Phosphohydrolase - metabolism
Signal Transduction - drug effects
TOR Serine-Threonine Kinases - metabolism
Up-Regulation - drug effects
title Kaempferol inhibits proliferation, migration, and invasion of liver cancer HepG2 cells by down-regulation of microRNA-21
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T20%3A43%3A39IST&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=Kaempferol%20inhibits%20proliferation,%20migration,%20and%20invasion%20of%20liver%20cancer%20HepG2%20cells%20by%20down-regulation%20of%20microRNA-21&rft.jtitle=International%20journal%20of%20immunopathology%20and%20pharmacology&rft.au=Zhu,%20Genglong&rft.date=2018-03-01&rft.volume=32&rft.spage=2058738418814341&rft.pages=2058738418814341-&rft.issn=0394-6320&rft.eissn=2058-7384&rft_id=info:doi/10.1177/2058738418814341&rft_dat=%3Cproquest_pubme%3E2313755188%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p294t-fba4e71143c7feb023e216b1378e1f9c2d72b27329e0ba62c25edd6509cbf5ae3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2313755188&rft_id=info:pmid/30477356&rfr_iscdi=true