Loading…
Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer
RNA interference molecules have tremendous potential for cancer therapy but are limited by insufficient potency after i.v. administration. We previously found that Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and the cationic diblock copolymer PLL[30...
Saved in:
Published in: | Nanomedicine 2021-04, Vol.33, p.102363-102363, Article 102363 |
---|---|
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-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3 |
---|---|
cites | cdi_FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3 |
container_end_page | 102363 |
container_issue | |
container_start_page | 102363 |
container_title | Nanomedicine |
container_volume | 33 |
creator | Ye, Zhen Abdelmoaty, Mai Mohamed Ambardekar, Vishakha V. Curran, Stephen M. Dyavar, Shetty Ravi Arnold, Lora L. Cohen, Samuel M. Kumar, Devendra Alnouti, Yazen Coulter, Don W. Singh, Rakesh K. Vetro, Joseph A. |
description | RNA interference molecules have tremendous potential for cancer therapy but are limited by insufficient potency after i.v. administration. We previously found that Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and the cationic diblock copolymer PLL[30]-PEG[5K] greatly increase the activity of Chol-DsiRNA against a stably expressed reporter mRNA in primary murine syngeneic breast tumors after daily i.v. dosing. Here, we provide a more thorough preliminary preclinical study of Chol-DsiRNA polyplexes against the therapeutically relevant target protein, STAT3. We found that Chol-DsiSTAT3 polyplexes greatly increase plasma exposure, distribution, potency, and therapeutic activity of Chol-DsiSTAT3 in primary murine syngeneic 4T1 breast tumors after i.v. administration. Furthermore, inactive Chol-DsiCTRL polyplexes are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg Chol-DsiCTRL/kg over 28 days. Thus, Chol-DsiRNA polyplexes may be a good candidate for Phase I clinical trials to improve the treatment of breast cancer and other solid tumors.
Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and a cationic block copolymer of 30 poly-l-lysine residues and 5 kDa polyethylene glycol (PLL[30]-PEG[5K]) significantly increase the potency and activity of complexed Chol-DsiSTAT3 in primary murine syngeneic breast tumors and are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg inactive Chol-DsiRNA/kg over 28 days. [Display omitted] |
doi_str_mv | 10.1016/j.nano.2021.102363 |
format | article |
fullrecord | <record><control><sourceid>elsevier_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8184584</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S154996342100006X</els_id><sourcerecordid>S154996342100006X</sourcerecordid><originalsourceid>FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3</originalsourceid><addsrcrecordid>eNp9kdtKKzEUhoNs8fwCXmzyAlOTSTIHkA1Sj1i0iF6JhExmxaZMJ0MyVXvlq5taLdsbr3JY__8la_0IHVIyoIRmR9NBq1o3SElK40XKMraBdqjgZVJmPP2z3jO-jXZDmBLCckLKLbTNmOCCE7GD3sceGjuzrfIL3HnQjW2tVg0O_bxeYGfwcOKa5DTYu5sT3Llm0TXwBgEb52dQ41fbT_B4NHpk5CkZn108iuunZQ33E8DRYpNKhaiLR6-6T2DlQYUea9Vq8Pto06gmwMHXuocezs_uh5fJ6PbiangySjQXok-oAaoNqVLGgdFS8VzXSgvITVHmIjfAaVWZkgFATQqdqYrVpcpBiDzNCGi2h_6tuN28iv_W0PZeNbLzdhY7l05Z-bPS2ol8di-yoAUXBY-AdAXQ3oXgway9lMhlHHIql3HIZRxyFUc0_f3_1bXle_5RcLwSQOz9xYKXQVuIg6ltzKKXtbO_8T8AHxieoQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer</title><source>ScienceDirect Freedom Collection</source><creator>Ye, Zhen ; Abdelmoaty, Mai Mohamed ; Ambardekar, Vishakha V. ; Curran, Stephen M. ; Dyavar, Shetty Ravi ; Arnold, Lora L. ; Cohen, Samuel M. ; Kumar, Devendra ; Alnouti, Yazen ; Coulter, Don W. ; Singh, Rakesh K. ; Vetro, Joseph A.</creator><creatorcontrib>Ye, Zhen ; Abdelmoaty, Mai Mohamed ; Ambardekar, Vishakha V. ; Curran, Stephen M. ; Dyavar, Shetty Ravi ; Arnold, Lora L. ; Cohen, Samuel M. ; Kumar, Devendra ; Alnouti, Yazen ; Coulter, Don W. ; Singh, Rakesh K. ; Vetro, Joseph A.</creatorcontrib><description>RNA interference molecules have tremendous potential for cancer therapy but are limited by insufficient potency after i.v. administration. We previously found that Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and the cationic diblock copolymer PLL[30]-PEG[5K] greatly increase the activity of Chol-DsiRNA against a stably expressed reporter mRNA in primary murine syngeneic breast tumors after daily i.v. dosing. Here, we provide a more thorough preliminary preclinical study of Chol-DsiRNA polyplexes against the therapeutically relevant target protein, STAT3. We found that Chol-DsiSTAT3 polyplexes greatly increase plasma exposure, distribution, potency, and therapeutic activity of Chol-DsiSTAT3 in primary murine syngeneic 4T1 breast tumors after i.v. administration. Furthermore, inactive Chol-DsiCTRL polyplexes are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg Chol-DsiCTRL/kg over 28 days. Thus, Chol-DsiRNA polyplexes may be a good candidate for Phase I clinical trials to improve the treatment of breast cancer and other solid tumors.
Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and a cationic block copolymer of 30 poly-l-lysine residues and 5 kDa polyethylene glycol (PLL[30]-PEG[5K]) significantly increase the potency and activity of complexed Chol-DsiSTAT3 in primary murine syngeneic breast tumors and are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg inactive Chol-DsiRNA/kg over 28 days. [Display omitted]</description><identifier>ISSN: 1549-9634</identifier><identifier>EISSN: 1549-9642</identifier><identifier>DOI: 10.1016/j.nano.2021.102363</identifier><identifier>PMID: 33545405</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Breast Neoplasms - therapy ; Cell Line, Tumor ; Chol-DsiRNA polymer micelles ; Chol-siRNA polymer micelles ; Cholesterol - chemistry ; DEAD-box RNA Helicases - genetics ; Drug delivery ; DsiRNA ; Female ; Gene Transfer Techniques ; Humans ; Mice ; Mice, Inbred BALB C ; Micelles ; Molecular Targeted Therapy ; Polyethylene Glycols - chemistry ; Polylysine - analogs & derivatives ; Polylysine - chemistry ; Ribonuclease III - genetics ; RNA Interference ; RNA, Small Interfering - chemistry ; RNAi Therapeutics - methods ; STAT3 Transcription Factor - metabolism ; Tissue Distribution</subject><ispartof>Nanomedicine, 2021-04, Vol.33, p.102363-102363, Article 102363</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3</citedby><cites>FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33545405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ye, Zhen</creatorcontrib><creatorcontrib>Abdelmoaty, Mai Mohamed</creatorcontrib><creatorcontrib>Ambardekar, Vishakha V.</creatorcontrib><creatorcontrib>Curran, Stephen M.</creatorcontrib><creatorcontrib>Dyavar, Shetty Ravi</creatorcontrib><creatorcontrib>Arnold, Lora L.</creatorcontrib><creatorcontrib>Cohen, Samuel M.</creatorcontrib><creatorcontrib>Kumar, Devendra</creatorcontrib><creatorcontrib>Alnouti, Yazen</creatorcontrib><creatorcontrib>Coulter, Don W.</creatorcontrib><creatorcontrib>Singh, Rakesh K.</creatorcontrib><creatorcontrib>Vetro, Joseph A.</creatorcontrib><title>Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer</title><title>Nanomedicine</title><addtitle>Nanomedicine</addtitle><description>RNA interference molecules have tremendous potential for cancer therapy but are limited by insufficient potency after i.v. administration. We previously found that Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and the cationic diblock copolymer PLL[30]-PEG[5K] greatly increase the activity of Chol-DsiRNA against a stably expressed reporter mRNA in primary murine syngeneic breast tumors after daily i.v. dosing. Here, we provide a more thorough preliminary preclinical study of Chol-DsiRNA polyplexes against the therapeutically relevant target protein, STAT3. We found that Chol-DsiSTAT3 polyplexes greatly increase plasma exposure, distribution, potency, and therapeutic activity of Chol-DsiSTAT3 in primary murine syngeneic 4T1 breast tumors after i.v. administration. Furthermore, inactive Chol-DsiCTRL polyplexes are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg Chol-DsiCTRL/kg over 28 days. Thus, Chol-DsiRNA polyplexes may be a good candidate for Phase I clinical trials to improve the treatment of breast cancer and other solid tumors.
Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and a cationic block copolymer of 30 poly-l-lysine residues and 5 kDa polyethylene glycol (PLL[30]-PEG[5K]) significantly increase the potency and activity of complexed Chol-DsiSTAT3 in primary murine syngeneic breast tumors and are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg inactive Chol-DsiRNA/kg over 28 days. [Display omitted]</description><subject>Animals</subject><subject>Breast Neoplasms - therapy</subject><subject>Cell Line, Tumor</subject><subject>Chol-DsiRNA polymer micelles</subject><subject>Chol-siRNA polymer micelles</subject><subject>Cholesterol - chemistry</subject><subject>DEAD-box RNA Helicases - genetics</subject><subject>Drug delivery</subject><subject>DsiRNA</subject><subject>Female</subject><subject>Gene Transfer Techniques</subject><subject>Humans</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Micelles</subject><subject>Molecular Targeted Therapy</subject><subject>Polyethylene Glycols - chemistry</subject><subject>Polylysine - analogs & derivatives</subject><subject>Polylysine - chemistry</subject><subject>Ribonuclease III - genetics</subject><subject>RNA Interference</subject><subject>RNA, Small Interfering - chemistry</subject><subject>RNAi Therapeutics - methods</subject><subject>STAT3 Transcription Factor - metabolism</subject><subject>Tissue Distribution</subject><issn>1549-9634</issn><issn>1549-9642</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kdtKKzEUhoNs8fwCXmzyAlOTSTIHkA1Sj1i0iF6JhExmxaZMJ0MyVXvlq5taLdsbr3JY__8la_0IHVIyoIRmR9NBq1o3SElK40XKMraBdqjgZVJmPP2z3jO-jXZDmBLCckLKLbTNmOCCE7GD3sceGjuzrfIL3HnQjW2tVg0O_bxeYGfwcOKa5DTYu5sT3Llm0TXwBgEb52dQ41fbT_B4NHpk5CkZn108iuunZQ33E8DRYpNKhaiLR6-6T2DlQYUea9Vq8Pto06gmwMHXuocezs_uh5fJ6PbiangySjQXok-oAaoNqVLGgdFS8VzXSgvITVHmIjfAaVWZkgFATQqdqYrVpcpBiDzNCGi2h_6tuN28iv_W0PZeNbLzdhY7l05Z-bPS2ol8di-yoAUXBY-AdAXQ3oXgway9lMhlHHIql3HIZRxyFUc0_f3_1bXle_5RcLwSQOz9xYKXQVuIg6ltzKKXtbO_8T8AHxieoQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Ye, Zhen</creator><creator>Abdelmoaty, Mai Mohamed</creator><creator>Ambardekar, Vishakha V.</creator><creator>Curran, Stephen M.</creator><creator>Dyavar, Shetty Ravi</creator><creator>Arnold, Lora L.</creator><creator>Cohen, Samuel M.</creator><creator>Kumar, Devendra</creator><creator>Alnouti, Yazen</creator><creator>Coulter, Don W.</creator><creator>Singh, Rakesh K.</creator><creator>Vetro, Joseph A.</creator><general>Elsevier Inc</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>5PM</scope></search><sort><creationdate>20210401</creationdate><title>Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer</title><author>Ye, Zhen ; Abdelmoaty, Mai Mohamed ; Ambardekar, Vishakha V. ; Curran, Stephen M. ; Dyavar, Shetty Ravi ; Arnold, Lora L. ; Cohen, Samuel M. ; Kumar, Devendra ; Alnouti, Yazen ; Coulter, Don W. ; Singh, Rakesh K. ; Vetro, Joseph A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animals</topic><topic>Breast Neoplasms - therapy</topic><topic>Cell Line, Tumor</topic><topic>Chol-DsiRNA polymer micelles</topic><topic>Chol-siRNA polymer micelles</topic><topic>Cholesterol - chemistry</topic><topic>DEAD-box RNA Helicases - genetics</topic><topic>Drug delivery</topic><topic>DsiRNA</topic><topic>Female</topic><topic>Gene Transfer Techniques</topic><topic>Humans</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Micelles</topic><topic>Molecular Targeted Therapy</topic><topic>Polyethylene Glycols - chemistry</topic><topic>Polylysine - analogs & derivatives</topic><topic>Polylysine - chemistry</topic><topic>Ribonuclease III - genetics</topic><topic>RNA Interference</topic><topic>RNA, Small Interfering - chemistry</topic><topic>RNAi Therapeutics - methods</topic><topic>STAT3 Transcription Factor - metabolism</topic><topic>Tissue Distribution</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, Zhen</creatorcontrib><creatorcontrib>Abdelmoaty, Mai Mohamed</creatorcontrib><creatorcontrib>Ambardekar, Vishakha V.</creatorcontrib><creatorcontrib>Curran, Stephen M.</creatorcontrib><creatorcontrib>Dyavar, Shetty Ravi</creatorcontrib><creatorcontrib>Arnold, Lora L.</creatorcontrib><creatorcontrib>Cohen, Samuel M.</creatorcontrib><creatorcontrib>Kumar, Devendra</creatorcontrib><creatorcontrib>Alnouti, Yazen</creatorcontrib><creatorcontrib>Coulter, Don W.</creatorcontrib><creatorcontrib>Singh, Rakesh K.</creatorcontrib><creatorcontrib>Vetro, Joseph A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nanomedicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, Zhen</au><au>Abdelmoaty, Mai Mohamed</au><au>Ambardekar, Vishakha V.</au><au>Curran, Stephen M.</au><au>Dyavar, Shetty Ravi</au><au>Arnold, Lora L.</au><au>Cohen, Samuel M.</au><au>Kumar, Devendra</au><au>Alnouti, Yazen</au><au>Coulter, Don W.</au><au>Singh, Rakesh K.</au><au>Vetro, Joseph A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer</atitle><jtitle>Nanomedicine</jtitle><addtitle>Nanomedicine</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>33</volume><spage>102363</spage><epage>102363</epage><pages>102363-102363</pages><artnum>102363</artnum><issn>1549-9634</issn><eissn>1549-9642</eissn><abstract>RNA interference molecules have tremendous potential for cancer therapy but are limited by insufficient potency after i.v. administration. We previously found that Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and the cationic diblock copolymer PLL[30]-PEG[5K] greatly increase the activity of Chol-DsiRNA against a stably expressed reporter mRNA in primary murine syngeneic breast tumors after daily i.v. dosing. Here, we provide a more thorough preliminary preclinical study of Chol-DsiRNA polyplexes against the therapeutically relevant target protein, STAT3. We found that Chol-DsiSTAT3 polyplexes greatly increase plasma exposure, distribution, potency, and therapeutic activity of Chol-DsiSTAT3 in primary murine syngeneic 4T1 breast tumors after i.v. administration. Furthermore, inactive Chol-DsiCTRL polyplexes are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg Chol-DsiCTRL/kg over 28 days. Thus, Chol-DsiRNA polyplexes may be a good candidate for Phase I clinical trials to improve the treatment of breast cancer and other solid tumors.
Chol-DsiRNA polyplexes formed between cholesterol-modified dicer-substrate siRNA (Chol-DsiRNA) and a cationic block copolymer of 30 poly-l-lysine residues and 5 kDa polyethylene glycol (PLL[30]-PEG[5K]) significantly increase the potency and activity of complexed Chol-DsiSTAT3 in primary murine syngeneic breast tumors and are well tolerated by healthy female BALB/c mice after chronic i.v. administration at 50 mg inactive Chol-DsiRNA/kg over 28 days. [Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33545405</pmid><doi>10.1016/j.nano.2021.102363</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1549-9634 |
ispartof | Nanomedicine, 2021-04, Vol.33, p.102363-102363, Article 102363 |
issn | 1549-9634 1549-9642 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8184584 |
source | ScienceDirect Freedom Collection |
subjects | Animals Breast Neoplasms - therapy Cell Line, Tumor Chol-DsiRNA polymer micelles Chol-siRNA polymer micelles Cholesterol - chemistry DEAD-box RNA Helicases - genetics Drug delivery DsiRNA Female Gene Transfer Techniques Humans Mice Mice, Inbred BALB C Micelles Molecular Targeted Therapy Polyethylene Glycols - chemistry Polylysine - analogs & derivatives Polylysine - chemistry Ribonuclease III - genetics RNA Interference RNA, Small Interfering - chemistry RNAi Therapeutics - methods STAT3 Transcription Factor - metabolism Tissue Distribution |
title | Preliminary preclinical study of Chol-DsiRNA polyplexes formed with PLL[30]-PEG[5K] for the RNAi-based therapy of breast cancer |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T10%3A37%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-elsevier_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preliminary%20preclinical%20study%20of%20Chol-DsiRNA%20polyplexes%20formed%20with%20PLL%5B30%5D-PEG%5B5K%5D%20for%20the%20RNAi-based%20therapy%20of%20breast%20cancer&rft.jtitle=Nanomedicine&rft.au=Ye,%20Zhen&rft.date=2021-04-01&rft.volume=33&rft.spage=102363&rft.epage=102363&rft.pages=102363-102363&rft.artnum=102363&rft.issn=1549-9634&rft.eissn=1549-9642&rft_id=info:doi/10.1016/j.nano.2021.102363&rft_dat=%3Celsevier_pubme%3ES154996342100006X%3C/elsevier_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c455t-1fe1cf0b234e319a47cdac5e7f89757fe41bbf93eeed08c6ab3d9a7e557260ec3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/33545405&rfr_iscdi=true |