Gene Expression of Transient Receptor Potential Channels in Peripheral Blood Mononuclear Cells of Inflammatory Bowel Disease Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Considerations
2.2. Patients
2.3. Clinical Evaluations
2.4. Determination of Laboratory Parameters
2.5. Separation of PBMCs and RNA Extraction
2.6. Measurement of TRP Channel mRNA Expression Using Real-Time Quantitative Polymerase Chain Reaction (Real-Time qPCR)
2.7. Statistical Analyses
3. Results
3.1. TRP Channel Levels in IBD
3.2. Relationship between TRP Channel Levels and Disease Activity
3.3. Correlation between Expression of TRP Channels and Clinical Parameters
3.4. Relationship between TRP Channel Expression and Medical Treatment
4. Discussion
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
- Khor, B.; Gardet, A.; Xavier, R.J. Genetics and pathogenesis of inflammatory bowel disease. Nature 2011, 474, 307–317. [Google Scholar] [CrossRef] [Green Version]
- Maloy, K.J.; Powrie, F. Intestinal homeostasis and its breakdown in inflammatory bowel disease. Nature 2011, 474, 298–306. [Google Scholar] [CrossRef] [PubMed]
- Moran, M.M.; McAlexander, M.A.; Biro, T.; Szallasi, A. Transient receptor potential channels as therapeutic targets. Nat. Rev. Drug Discov. 2011, 10, 601–620. [Google Scholar] [CrossRef] [PubMed]
- Billeter, A.T.; Hellmann, J.L.; Bhatnagar, A.; Polk, H.C., Jr. Transient receptor potential ion channels: Powerful regulators of cell function. Ann. Surg. 2014, 259, 229–235. [Google Scholar] [CrossRef] [PubMed]
- Parenti, A.; De Logu, F.; Geppetti, P.; Benemei, S. What is the evidence for the role of TRP channels in inflammatory and immune cells? Br. J. Pharmacol. 2016, 173, 953–969. [Google Scholar] [CrossRef]
- Sousa-Valente, J.; Andreou, A.P.; Urban, L.; Nagy, I. Transient receptor potential ion channels in primary sensory neurons as targets for novel analgesics. Br. J. Pharmacol. 2014, 171, 2508–2527. [Google Scholar] [CrossRef]
- Kaneko, Y.; Szallasi, A. Transient receptor potential (TRP) channels: A clinical perspective. Br. J. Pharmacol. 2014, 171, 2474–2507. [Google Scholar] [CrossRef]
- Nilius, B.; Owsianik, G.; Voets, T.; Peters, J.A. Transient receptor potential cation channels in disease. Physiol. Rev. 2007, 87, 165–217. [Google Scholar] [CrossRef] [Green Version]
- Allais, L.; De Smet, R.; Verschuere, S.; Talavera, K.; Cuvelier, C.A.; Maes, T. Transient Receptor Potential Channels in Intestinal Inflammation: What Is the Impact of Cigarette Smoking? Pathobiology 2017, 84, 1–15. [Google Scholar] [CrossRef]
- Zielinska, M.; Jarmuz, A.; Wasilewski, A.; Salaga, M.; Fichna, J. Role of transient receptor potential channels in intestinal inflammation and visceral pain: Novel targets in inflammatory bowel diseases. Inflamm. Bowel Dis. 2015, 21, 419–427. [Google Scholar] [CrossRef]
- Rugtveit, J.; Brandtzaeg, P.; Halstensen, T.S.; Fausa, O.; Scott, H. Increased macrophage subset in inflammatory bowel disease: Apparent recruitment from peripheral blood monocytes. Gut 1994, 35, 669–674. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Schwarz, E.C.; Wolfs, M.J.; Tonner, S.; Wenning, A.S.; Quintana, A.; Griesemer, D.; Hoth, M. TRP channels in lymphocytes. In Transient Receptor Potential (TRP) Channels; Springer: Berlin/Heidelberg, Germany, 2007; pp. 445–456. [Google Scholar] [CrossRef]
- Saunders, C.I.; Kunde, D.A.; Crawford, A.; Geraghty, D.P. Expression of transient receptor potential vanilloid 1 (TRPV1) and 2 (TRPV2) in human peripheral blood. Mol. Immunol. 2007, 44, 1429–1435. [Google Scholar] [CrossRef] [PubMed]
- Spinsanti, G.; Zannolli, R.; Panti, C.; Ceccarelli, I.; Marsili, L.; Bachiocco, V.; Frati, F.; Aloisi, A.M. Quantitative Real-Time PCR detection of TRPV1-4 gene expression in human leukocytes from healthy and hyposensitive subjects. Mol. Pain 2008, 4, 1744–8069. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cai, X.; Yang, Y.C.; Wang, J.F.; Wang, Q.; Gao, J.; Fu, W.L.; Zhu, Z.Y.; Wang, Y.Y.; Zou, M.J.; Wang, J.X.; et al. Transient receptor potential vanilloid 2 (TRPV2), a potential novel biomarker in childhood asthma. J. Asthma 2013, 50, 209–214. [Google Scholar] [CrossRef]
- Schroeder, K.W.; Tremaine, W.J.; Ilstrup, D.M. Coated oral 5-aminosalicylic acid therapy for mildly to moderately active ulcerative colitis. A randomized study. N. Engl. J. Med. 1987, 317, 1625–1629. [Google Scholar] [CrossRef]
- Best, W.R.; Becktel, J.M.; Singleton, J.W. Rederived values of the eight coefficients of the Crohn’s Disease Activity Index (CDAI). Gastroenterology 1979, 77, 843–846. [Google Scholar] [CrossRef]
- Boyd, M.; Thodberg, M.; Vitezic, M.; Bornholdt, J.; Vitting-Seerup, K.; Chen, Y.; Coskun, M.; Li, Y.; Lo, B.Z.S.; Klausen, P.; et al. Characterization of the enhancer and promoter landscape of inflammatory bowel disease from human colon biopsies. Nat. Commun. 2018, 9, 1–19. [Google Scholar] [CrossRef]
- Santos, F.; Marini, N.; Santos, R.S.D.; Hoffman, B.S.F.; Alves-Ferreira, M.; de Oliveira, A.C. Selection and testing of reference genes for accurate RT-qPCR in rice seedlings under iron toxicity. PLoS ONE 2018, 13, e0193418. [Google Scholar] [CrossRef] [Green Version]
- Bustin, S.A.; Benes, V.; Garson, J.A.; Hellemans, J.; Huggett, J.; Kubista, M.; Mueller, R.; Nolan, T.; Pfaffl, M.W.; Shipley, G.L.; et al. The MIQE guidelines: Minimum information for publication of quantitative real-time PCR experiments. Clin. Chem. 2009, 55, 611–622. [Google Scholar] [CrossRef] [Green Version]
- Vandewauw, I.; Owsianik, G.; Voets, T. Systematic and quantitative mRNA expression analysis of TRP channel genes at the single trigeminal and dorsal root ganglion level in mouse. BMC Neurosci. 2013, 14, 21. [Google Scholar] [CrossRef] [Green Version]
- Yiangou, Y.; Facer, P.; Dyer, N.H.; Chan, C.L.; Knowles, C.; Williams, N.S.; Anand, P. Vanilloid receptor 1 immunoreactivity in inflamed human bowel. Lancet 2001, 357, 1338–1339. [Google Scholar] [CrossRef]
- Akbar, A.; Yiangou, Y.; Facer, P.; Brydon, W.G.; Walters, J.R.; Anand, P.; Ghosh, S. Expression of the TRPV1 receptor differs in quiescent inflammatory bowel disease with or without abdominal pain. Gut 2010, 59, 767–774. [Google Scholar] [CrossRef] [PubMed]
- Bertin, S.; Aoki-Nonaka, Y.; Lee, J.; de Jong, P.R.; Kim, P.; Han, T.; Yu, T.; To, K.; Takahashi, N.; Boland, B.S.; et al. The TRPA1 ion channel is expressed in CD4+ T cells and restrains T-cell-mediated colitis through inhibition of TRPV1. Gut 2017, 66, 1584–1596. [Google Scholar] [CrossRef] [PubMed]
- Miranda, A.; Nordstrom, E.; Mannem, A.; Smith, C.; Banerjee, B.; Sengupta, J.N. The role of transient receptor potential vanilloid 1 in mechanical and chemical visceral hyperalgesia following experimental colitis. Neuroscience 2007, 148, 1021–1032. [Google Scholar] [CrossRef] [Green Version]
- Santoni, G.; Farfariello, V.; Liberati, S.; Morelli, M.B.; Nabissi, M.; Santoni, M.; Amantini, C. The role of transient receptor potential vanilloid type-2 ion channels in innate and adaptive immune responses. Front. Immunol. 2013, 4, 34. [Google Scholar] [CrossRef] [Green Version]
- Issa, C.M.; Hambly, B.D.; Wang, Y.; Maleki, S.; Wang, W.; Fei, J.; Bao, S. TRPV2 in the development of experimental colitis. Scand. J. Immunol. 2014, 80, 307–312. [Google Scholar] [CrossRef] [Green Version]
- De Petrocellis, L.; Orlando, P.; Moriello, A.S.; Aviello, G.; Stott, C.; Izzo, A.A.; Di Marzo, V. Cannabinoid actions at TRPV channels: Effects on TRPV3 and TRPV4 and their potential relevance to gastrointestinal inflammation. Acta Physiol. (Oxf.) 2012, 204, 255–266. [Google Scholar] [CrossRef]
- Ueda, T.; Yamada, T.; Ugawa, S.; Ishida, Y.; Shimada, S. TRPV3, a thermosensitive channel is expressed in mouse distal colon epithelium. Biochem. Biophys. Res. Commun. 2009, 383, 130–134. [Google Scholar] [CrossRef]
- Hoeft, B.; Linseisen, J.; Beckmann, L.; Muller-Decker, K.; Canzian, F.; Husing, A.; Kaaks, R.; Vogel, U.; Jakobsen, M.U.; Overvad, K.; et al. Polymorphisms in fatty-acid-metabolism-related genes are associated with colorectal cancer risk. Carcinogenesis 2010, 31, 466–472. [Google Scholar] [CrossRef] [Green Version]
- Aijima, R.; Wang, B.; Takao, T.; Mihara, H.; Kashio, M.; Ohsaki, Y.; Zhang, J.Q.; Mizuno, A.; Suzuki, M.; Yamashita, Y.; et al. The thermosensitive TRPV3 channel contributes to rapid wound healing in oral epithelia. FASEB J. 2015, 29, 182–192. [Google Scholar] [CrossRef]
- D’Aldebert, E.; Cenac, N.; Rousset, P.; Martin, L.; Rolland, C.; Chapman, K.; Selves, J.; Alric, L.; Vinel, J.P.; Vergnolle, N. Transient receptor potential vanilloid 4 activated inflammatory signals by intestinal epithelial cells and colitis in mice. Gastroenterology 2011, 140, 275–285. [Google Scholar] [CrossRef] [PubMed]
- Fichna, J.; Mokrowiecka, A.; Cygankiewicz, A.I.; Zakrzewski, P.K.; Malecka-Panas, E.; Janecka, A.; Krajewska, W.M.; Storr, M.A. Transient receptor potential vanilloid 4 blockade protects against experimental colitis in mice: A new strategy for inflammatory bowel diseases treatment? Neurogastroenterol. Motil. 2012, 24, e557–e560. [Google Scholar] [CrossRef] [PubMed]
- Foroutan, F.; Jokerst, J.V.; Gambhir, S.S.; Vermesh, O.; Kim, H.W.; Knowles, J.C. Sol-gel synthesis and electrospraying of biodegradable (P2O5)55-(CaO)30-(Na2O)15 glass nanospheres as a transient contrast agent for ultrasound stem cell imaging. ACS Nano. 2015, 9, 1868–1877. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Yamamoto, S.; Shimizu, S.; Kiyonaka, S.; Takahashi, N.; Wajima, T.; Hara, Y.; Negoro, T.; Hiroi, T.; Kiuchi, Y.; Okada, T.; et al. TRPM2-mediated Ca2+ influx induces chemokine production in monocytes that aggravates inflammatory neutrophil infiltration. Nat. Med. 2008, 14, 738–747. [Google Scholar] [CrossRef]
- Knowles, H.; Heizer, J.W.; Li, Y.; Chapman, K.; Ogden, C.A.; Andreasen, K.; Shapland, E.; Kucera, G.; Mogan, J.; Humann, J.; et al. Transient Receptor Potential Melastatin 2 (TRPM2) ion channel is required for innate immunity against Listeria monocytogenes. Proc. Natl. Acad. Sci. USA 2011, 108, 11578–11583. [Google Scholar] [CrossRef] [Green Version]
- Launay, P.; Cheng, H.; Srivatsan, S.; Penner, R.; Fleig, A.; Kinet, J.P. TRPM4 regulates calcium oscillations after T cell activation. Science 2004, 306, 1374–1377. [Google Scholar] [CrossRef] [Green Version]
- Serafini, N.; Dahdah, A.; Barbet, G.; Demion, M.; Attout, T.; Gautier, G.; Arcos-Fajardo, M.; Souchet, H.; Jouvin, M.H.; Vrtovsnik, F.; et al. The TRPM4 channel controls monocyte and macrophage, but not neutrophil, function for survival in sepsis. J. Immunol. 2012, 189, 3689–3699. [Google Scholar] [CrossRef]
- Barbet, G.; Demion, M.; Moura, I.C.; Serafini, N.; Leger, T.; Vrtovsnik, F.; Monteiro, R.C.; Guinamard, R.; Kinet, J.P.; Launay, P. The calcium-activated nonselective cation channel TRPM4 is essential for the migration but not the maturation of dendritic cells. Nat. Immunol. 2008, 9, 1148–1156. [Google Scholar] [CrossRef] [Green Version]
- Harris, N. The enigmatic tuft cell in immunity. Science 2016, 351, 1264–1265. [Google Scholar] [CrossRef]
- Bezencon, C.; le Coutre, J.; Damak, S. Taste-signaling proteins are coexpressed in solitary intestinal epithelial cells. Chem. Senses 2007, 32, 41–49. [Google Scholar] [CrossRef] [Green Version]
- Gerbe, F.; Sidot, E.; Smyth, D.J.; Ohmoto, M.; Matsumoto, I.; Dardalhon, V.; Cesses, P.; Garnier, L.; Pouzolles, M.; Brulin, B.; et al. Intestinal epithelial tuft cells initiate type 2 mucosal immunity to helminth parasites. Nature 2016, 529, 226–230. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Qu, D.; Weygant, N.; May, R.; Chandrakesan, P.; Madhoun, M.; Ali, N.; Sureban, S.M.; An, G.; Schlosser, M.J.; Houchen, C.W. Ablation of Doublecortin-Like Kinase 1 in the Colonic Epithelium Exacerbates Dextran Sulfate Sodium-Induced Colitis. PLoS ONE 2015, 10, e0134212. [Google Scholar] [CrossRef] [PubMed]
- Steele, S.P.; Melchor, S.J.; Petri, W.A., Jr. Tuft Cells: New Players in Colitis. Trends Mol. Med. 2016, 22, 921–924. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Leppanen, J.; Helminen, O.; Huhta, H.; Kauppila, J.H.; Miinalainen, I.; Ronkainen, V.P.; Saarnio, J.; Lehenkari, P.P.; Karttunen, T.J. Doublecortin-like kinase 1-positive enterocyte‒A new cell type in human intestine. APMIS 2016, 124, 958–965. [Google Scholar] [CrossRef] [PubMed]
- Nilius, B.; Owsianik, G. The transient receptor potential family of ion channels. Genome Biol. 2011, 12, 218. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Py, B.F.; Jin, M.; Desai, B.N.; Penumaka, A.; Zhu, H.; Kober, M.; Dietrich, A.; Lipinski, M.M.; Henry, T.; Clapham, D.E.; et al. Caspase-11 controls interleukin-1beta release through degradation of TRPC1. Cell Rep. 2014, 6, 1122–1128. [Google Scholar] [CrossRef]
- Medic, N.; Desai, A.; Olivera, A.; Abramowitz, J.; Birnbaumer, L.; Beaven, M.A.; Gilfillan, A.M.; Metcalfe, D.D. Knockout of the Trpc1 gene reveals that TRPC1 can promote recovery from anaphylaxis by negatively regulating mast cell TNF-alpha production. Cell Calcium 2013, 53, 315–326. [Google Scholar] [CrossRef] [Green Version]
- Kurahara, L.H.; Sumiyoshi, M.; Aoyagi, K.; Hiraishi, K.; Nakajima, K.; Nakagawa, M.; Hu, Y.; Inoue, R. Intestinal myofibroblast TRPC6 channel may contribute to stenotic fibrosis in Crohn’s disease. Inflamm. Bowel Dis. 2015, 21, 496–506. [Google Scholar] [CrossRef]
- Boonen, B.; Alpizar, Y.A.; Meseguer, V.M.; Talavera, K. TRP Channels as Sensors of Bacterial Endotoxins. Toxins (Basel) 2018, 10, 326. [Google Scholar] [CrossRef] [Green Version]
- Holzer, P. Transient receptor potential (TRP) channels as drug targets for diseases of the digestive system. Pharmacol. Ther. 2011, 131, 142–170. [Google Scholar] [CrossRef] [Green Version]
- Boesmans, W.; Owsianik, G.; Tack, J.; Voets, T.; Vanden Berghe, P. TRP channels in neurogastroenterology: Opportunities for therapeutic intervention. Br. J. Pharmacol. 2011, 162, 18–37. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Healthy Volunteers | Ulcerative Colitis | Crohn’s Disease | p-Value | |
---|---|---|---|---|
(n = 30) | (n = 41) | (n = 34) | ||
Sex, male/female | 13/17 | 19/22 | 12/12 | 0.61 |
Age, years | 39 | 41 | 35 | 0.17 |
(median, IQR) | (32–44) | (29–58) | (27–47) | |
Area involved | total colitis/ | ileitis/ | ||
left-side colitis/ | ileocolitis/ | |||
proctitis | colitis | |||
26/8/7 | 4/23/7 | |||
Disease duration, months | 81 | 106 | 0.19 | |
(median, IQR) | (60.5–171.5) | (60.9–274.2) | ||
Treatments | ||||
No medication | 2 (4.9) | 0 (0.0) | 0.19 | |
5-aminosalicylic acid (%) | 36 (87.8) | 25 (73.5) | 0.11 | |
Prednisolone (%) | 7 (17.1) | 3 (8.8) | 0.3 | |
Immunomodulator (%) | 7 (17.1) | 9 (26.5) | 0.32 | |
Leukocytapheresis (%) | 2 (4.9) | 0 (0.0) | 0.19 | |
Nutrition therapy (%) | 0 (0.0) | 21 (61.8) | <0.01 | |
Anti-tumor necrosis factor (%) | 3 (7.3) | 24 (70.6) | <0.01 | |
Surgery (%) | 0 (0.0) | 15 (44.1) | <0.01 |
Gene | Accession Number | Assay |
---|---|---|
GAPDH | NM_001256799.2 | Hs02786624_g1 |
NM_001289745.1 | ||
NM_001289746.1 | ||
NM_002046.5 | ||
TRPV1 | NM_018727.5 | Hs00218912_m1 |
NM_080704.3 | ||
NM_080705.3 | ||
NM_080706.3 | ||
TRPV2 | NM_016113.4 | Hs00901648_m1 |
TRPV3 | NM_001258205.1 | Hs00376854_m1 |
NM_145068.3 | ||
TRPV4 | NM_001177428.1 | Hs01099348_m1 |
NM_001177431.1 | ||
NM_001177433.1 | ||
NM_021625.4 | ||
NM_147204.2 | ||
TRPM2 | NM_001320350.1 | Hs01066091_m1 |
NM_001320351.1 | ||
NM_001320352.1 | ||
NM_003307.3 | ||
TRPM4 | NM_001195227.1 | Hs00214167_m1 |
NM_001321281.1 | ||
NM_001321282.1 | ||
NM_001321283.1 | ||
NM_001321285.1 | ||
NM_017636.3 | ||
TRPM5 | NM_014555.3 | Hs00175822_m1 |
TRPC1 | NM_001251845.1 | Hs00608195_m1 |
NM_003304.4 | ||
TRPC3 | NM_001130698.1 | Hs00162985_m1 |
NM_003305.2 | ||
TRPC4 | NM_001135955.1 | Hs01077392_m1 |
NM_001135956.1 | ||
NM_001135957.1 | ||
NM_001135958.1 | ||
NM_003306.1 | ||
TRPC5 | NM_012471.2 | Hs00202960_m1 |
TRPC6 | NM_004621.5 | Hs00988479_m1 |
TRPC7 | NM_001167576.1 | Hs00220638_m1 |
NM_001167577.2 | ||
NM_020389.2 |
UC | CD | |||||||
---|---|---|---|---|---|---|---|---|
CRP | Alb | WBC | Hb | CRP | Alb | WBC | Hb | |
TRPV1 | 0.011 | 0.009 | −0.206 | 0.116 | −0.174 | 0.224 | −0.275 | 0.0461 |
TRPV2 | −0.111 | −0.01 | −0.500 ** | −0.151 | −0.275 | 0.039 | −0.205 | −0.199 |
TRPV3 | 0.089 | 0.079 | −0.399 * | 0.129 | −0.216 | 0.346 | −0.146 | 0.1235 |
TRPV4 | 0.105 | 0.432 * | −0.027 | 0.341 | 0.355 * | −0.229 | 0.167 | 0.1165 |
TRPM2 | −0.282 | −0.095 | 0.285 | −0.213 | 0.315 | −0.064 | 0.032 | 0.0448 |
TRPM4 | −0.011 | −0.03 | 0.161 | −0.196 | −0.125 | 0.004 | −0.193 | 0.0211 |
TRPM5 | −0.07 | 0.24 | −0.013 | 0.378 * | −0.268 | 0.283 | −0.344 | −0.128 |
TRPC1 | −0.125 | 0.031 | 0.033 | −0.062 | 0.327 | −0.295 | 0.262 | −0.132 |
TRPC3 | −0.177 | −0.044 | 0.296 | 0.11 | −0.182 | −0.009 | 0.197 | −0.196 |
TRPC6 | 0.038 | −0.106 | 0.052 | −0.121 | −0.057 | 0.347 | 0.056 | 0.515 ** |
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Morita, T.; Mitsuyama, K.; Yamasaki, H.; Mori, A.; Yoshimura, T.; Araki, T.; Morita, M.; Tsuruta, K.; Yamasaki, S.; Kuwaki, K.; et al. Gene Expression of Transient Receptor Potential Channels in Peripheral Blood Mononuclear Cells of Inflammatory Bowel Disease Patients. J. Clin. Med. 2020, 9, 2643. https://doi.org/10.3390/jcm9082643
Morita T, Mitsuyama K, Yamasaki H, Mori A, Yoshimura T, Araki T, Morita M, Tsuruta K, Yamasaki S, Kuwaki K, et al. Gene Expression of Transient Receptor Potential Channels in Peripheral Blood Mononuclear Cells of Inflammatory Bowel Disease Patients. Journal of Clinical Medicine. 2020; 9(8):2643. https://doi.org/10.3390/jcm9082643
Chicago/Turabian StyleMorita, Taku, Keiichi Mitsuyama, Hiroshi Yamasaki, Atsushi Mori, Tetsuhiro Yoshimura, Toshihiro Araki, Masaru Morita, Kozo Tsuruta, Sayo Yamasaki, Kotaro Kuwaki, and et al. 2020. "Gene Expression of Transient Receptor Potential Channels in Peripheral Blood Mononuclear Cells of Inflammatory Bowel Disease Patients" Journal of Clinical Medicine 9, no. 8: 2643. https://doi.org/10.3390/jcm9082643
APA StyleMorita, T., Mitsuyama, K., Yamasaki, H., Mori, A., Yoshimura, T., Araki, T., Morita, M., Tsuruta, K., Yamasaki, S., Kuwaki, K., Yoshioka, S., Takedatsu, H., & Torimura, T. (2020). Gene Expression of Transient Receptor Potential Channels in Peripheral Blood Mononuclear Cells of Inflammatory Bowel Disease Patients. Journal of Clinical Medicine, 9(8), 2643. https://doi.org/10.3390/jcm9082643