{"title":"Decoding the Epigenetics of Infertility: Mechanisms, Environmental Influences, and Therapeutic Strategies.","authors":"Lara Saftić Martinović, Tea Mladenić, Dora Lovrić, Saša Ostojić, Sanja Dević Pavlić","doi":"10.3390/epigenomes8030034","DOIUrl":"10.3390/epigenomes8030034","url":null,"abstract":"<p><p>Infertility is a complex condition caused by a combination of genetic, environmental, and lifestyle factors. Recent advances in epigenetics have highlighted the importance of epigenetic changes in fertility regulation. This review aims to provide a comprehensive overview of the epigenetic mechanisms involved in infertility, with a focus on DNA methylation, histone modification, and non-coding RNAs. We investigate the specific epigenetic events that occur during gametogenesis, with a focus on spermatogenesis and oogenesis as distinct processes. Furthermore, we investigate how environmental factors such as diet, stress, and toxin exposure can influence these epigenetic changes, potentially leading to infertility. The second part of the review explores epigenetic changes as therapeutic targets for infertility. Emerging therapies that modulate epigenetic marks present promising opportunities for fertility restoration, particularly in spermatogenesis. By summarizing current research findings, this review emphasizes the importance of understanding epigenetic contributions to infertility. Our discussion aims to lay the groundwork for future research directions and clinical applications in reproductive health.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-08-28DOI: 10.3390/epigenomes8030033
Brandon A Boone, Cristy P Mendoza, Noah J Behrendt, Steven E Jacobsen
{"title":"α-Crystalline Domains and Intrinsically Disordered Regions Can Work in Parallel to Induce Accumulation of MBD6 at Chromocenters in <i>Arabidopsis thaliana</i>.","authors":"Brandon A Boone, Cristy P Mendoza, Noah J Behrendt, Steven E Jacobsen","doi":"10.3390/epigenomes8030033","DOIUrl":"10.3390/epigenomes8030033","url":null,"abstract":"<p><p>Proteins are localized and concentrated at cellular and genomic locations for specific and efficient functions. Efforts to understand protein accumulation in eukaryotic organisms have primarily focused on multivalent interactions between intrinsically disordered regions (IDRs) as mediators of protein condensation. We previously showed that α-crystalline domain (ACD) proteins 15 (ACD15) and 21 (ACD21) were required for multimerization and the accumulation of gene-silencing methyl-CpG-binding domain protein 6 (MBD6) at chromocenters in <i>Arabidopsis thaliana</i>. Here, we demonstrate that ACDs and IDRs can act as parallel mechanisms, facilitating higher-order MBD6 assemblies. Using human IDRs known to be important for protein accumulation, we replicated and enhanced the accumulation of MBD6 at chromocenters. In addition, IDRs fused to MBD6 could substitute for ACD function and partially reconstitute the MBD6 gene-silencing function. However, the accumulation of MBD6 by IDRs still required ACD15 and ACD21 for full effect. These results establish that ACD-mediated protein accumulation is a mechanism that can function similarly to and together with IDR-mediated mechanisms.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-08-21DOI: 10.3390/epigenomes8030032
Pawel Nowialis, Julian Tobon, Katarina Lopusna, Jana Opavska, Arshee Badar, Duo Chen, Reem Abdelghany, Gene Pozas, Jacob Fingeret, Emma Noel, Alberto Riva, Hiroshi Fujiwara, Alexander Ishov, Rene Opavsky
{"title":"Genome-Wide Methylation Profiling of Peripheral T-Cell Lymphomas Identifies TRIP13 as a Critical Driver of Tumor Proliferation and Survival.","authors":"Pawel Nowialis, Julian Tobon, Katarina Lopusna, Jana Opavska, Arshee Badar, Duo Chen, Reem Abdelghany, Gene Pozas, Jacob Fingeret, Emma Noel, Alberto Riva, Hiroshi Fujiwara, Alexander Ishov, Rene Opavsky","doi":"10.3390/epigenomes8030032","DOIUrl":"10.3390/epigenomes8030032","url":null,"abstract":"<p><p>Cytosine methylation contributes to the regulation of gene expression and normal hematopoiesis in mammals. It is catalyzed by the family of DNA methyltransferases that include DNMT1, DNMT3A, and DNMT3B. Peripheral T-cell lymphomas (PTCLs) represent aggressive mature T-cell malignancies exhibiting a broad spectrum of clinical features with poor prognosis and inadequately understood molecular pathobiology. To better understand the molecular landscape and identify candidate genes involved in disease maintenance, we profiled DNA methylation and gene expression of PTCLs. We found that the methylation patterns in PTCLs are deregulated and heterogeneous but share 767 hypo- and 567 hypermethylated differentially methylated regions (DMRs) along with 231 genes up- and 91 genes downregulated in all samples, suggesting a potential association with tumor development. We further identified 39 hypomethylated promoters associated with increased gene expression in the majority of PTCLs. This putative oncogenic signature included the <i>TRIP13</i> (thyroid hormone receptor interactor 13) gene whose genetic and pharmacologic inactivation inhibited the proliferation of T-cell lines by inducing G2-M arrest and apoptosis. Our data thus show that human PTCLs have a significant number of recurrent methylation alterations that may affect the expression of genes critical for proliferation whose targeting might be beneficial in anti-lymphoma treatments.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-08-10DOI: 10.3390/epigenomes8030031
Gillian England-Mason, Sarah M Merrill, Jiaying Liu, Jonathan W Martin, Amy M MacDonald, David W Kinniburgh, Nicole Gladish, Julia L MacIsaac, Gerald F Giesbrecht, Nicole Letourneau, Michael S Kobor, Deborah Dewey
{"title":"Sex-Specific Associations between Prenatal Exposure to Bisphenols and Phthalates and Infant Epigenetic Age Acceleration.","authors":"Gillian England-Mason, Sarah M Merrill, Jiaying Liu, Jonathan W Martin, Amy M MacDonald, David W Kinniburgh, Nicole Gladish, Julia L MacIsaac, Gerald F Giesbrecht, Nicole Letourneau, Michael S Kobor, Deborah Dewey","doi":"10.3390/epigenomes8030031","DOIUrl":"10.3390/epigenomes8030031","url":null,"abstract":"<p><p>We examined whether prenatal exposure to two classes of endocrine-disrupting chemicals (EDCs) was associated with infant epigenetic age acceleration (EAA), a DNA methylation biomarker of aging. Participants included 224 maternal-infant pairs from a Canadian pregnancy cohort study. Two bisphenols and 12 phthalate metabolites were measured in maternal second trimester urines. Buccal epithelial cell cheek swabs were collected from 3 month old infants and DNA methylation was profiled using the Infinium MethylationEPIC BeadChip. The Pediatric-Buccal-Epigenetic tool was used to estimate EAA. Sex-stratified robust regressions examined individual chemical associations with EAA, and Bayesian kernel machine regression (BKMR) examined chemical mixture effects. Adjusted robust models showed that in female infants, prenatal exposure to total bisphenol A (BPA) was positively associated with EAA (<i>B</i> = 0.72, 95% CI: 0.21, 1.24), and multiple phthalate metabolites were inversely associated with EAA (Bs from -0.36 to -0.66, 95% CIs from -1.28 to -0.02). BKMR showed that prenatal BPA was the most important chemical in the mixture and was positively associated with EAA in both sexes. No overall chemical mixture effects or male-specific associations were noted. These findings indicate that prenatal EDC exposures are associated with sex-specific deviations in biological aging, which may have lasting implications for child health and development.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-07-29DOI: 10.3390/epigenomes8030029
Majid Nikpay
{"title":"Multiomics Screening Identified CpG Sites and Genes That Mediate the Impact of Exposure to Environmental Chemicals on Cardiometabolic Traits.","authors":"Majid Nikpay","doi":"10.3390/epigenomes8030029","DOIUrl":"10.3390/epigenomes8030029","url":null,"abstract":"<p><p>An understanding of the molecular mechanism whereby an environmental chemical causes a disease is important for the purposes of future applications. In this study, a multiomics workflow was designed to combine several publicly available datasets in order to identify CpG sites and genes that mediate the impact of exposure to environmental chemicals on cardiometabolic traits. Organophosphate and prenatal lead exposure were previously reported to change methylation level at the cg23627948 site. The outcome of the analyses conducted in this study revealed that, as the cg23627948 site becomes methylated, the expression of the <i>GNA12</i> gene decreases, which leads to a higher body fat percentage. Prenatal perfluorooctane sulfonate exposure was reported to increase the methylation level at the cg21153102 site. Findings of this study revealed that higher methylation at this site contributes to higher diastolic blood pressure by changing the expression of <i>CHP1</i> and <i>GCHFR</i> genes. Moreover, <i>HKR1</i> mediates the impact of B12 supplementation → cg05280698 hypermethylation on higher kidney function, while <i>CTDNEP1</i> mediates the impact of air pollution → cg03186999 hypomethylation on higher systolic blood pressure. This study investigates CpG sites and genes that mediate the impact of environmental chemicals on cardiometabolic traits. Furthermore, the multiomics approach described in this study provides a convenient workflow with which to investigate the impact of an environmental factor on the body's biomarkers, and, consequently, on health conditions, using publicly available data.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-06-29DOI: 10.3390/epigenomes8030025
Isaiah K Mensah, Humaira Gowher
{"title":"Epigenetic Regulation of Mammalian Cardiomyocyte Development.","authors":"Isaiah K Mensah, Humaira Gowher","doi":"10.3390/epigenomes8030025","DOIUrl":"10.3390/epigenomes8030025","url":null,"abstract":"<p><p>The heart is the first organ formed during mammalian development and functions to distribute nutrients and oxygen to other parts of the developing embryo. Cardiomyocytes are the major cell types of the heart and provide both structural support and contractile function to the heart. The successful differentiation of cardiomyocytes during early development is under tight regulation by physical and molecular factors. We have reviewed current studies on epigenetic factors critical for cardiomyocyte differentiation, including DNA methylation, histone modifications, chromatin remodelers, and noncoding RNAs. This review also provides comprehensive details on structural and morphological changes associated with the differentiation of fetal and postnatal cardiomyocytes and highlights their differences. A holistic understanding of all aspects of cardiomyocyte development is critical for the successful in vitro differentiation of cardiomyocytes for therapeutic purposes.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11270418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-06-22DOI: 10.3390/epigenomes8030024
Jean S Fain, Camille Wangermez, Axelle Loriot, Claudia Denoue, Charles De Smet
{"title":"DNA Hypomethylation Underlies Epigenetic Swapping between <i>AGO1</i> and <i>AGO1-V2</i> Isoforms in Tumors.","authors":"Jean S Fain, Camille Wangermez, Axelle Loriot, Claudia Denoue, Charles De Smet","doi":"10.3390/epigenomes8030024","DOIUrl":"10.3390/epigenomes8030024","url":null,"abstract":"<p><p>Human tumors progress in part by accumulating epigenetic alterations, which include gains and losses of DNA methylation in different parts of the cancer cell genome. Recent work has revealed a link between these two opposite alterations by showing that DNA hypomethylation in tumors can induce the expression of transcripts that overlap downstream gene promoters and thereby induce their hypermethylation. Preliminary in silico evidence prompted us to investigate if this mechanism applies to the locus harboring <i>AGO1</i>, a gene that plays a central role in miRNA biogenesis and RNA interference. Inspection of public RNA-Seq datasets and RT-qPCR experiments show that an alternative transcript starting 13.4 kb upstream of <i>AGO1</i> (<i>AGO1-V2</i>) is expressed specifically in testicular germ cells, and becomes aberrantly activated in different types of tumors, particularly in tumors of the esophagus, stomach, and lung. This expression pattern classifies <i>AGO1-V2</i> into the group of \"Cancer-Germline\" (CG) genes. Analysis of transcriptomic and methylomic datasets provided evidence that transcriptional activation of <i>AGO1-V2</i> depends on DNA demethylation of its promoter region. Western blot experiments revealed that <i>AGO1-V2</i> encodes a shortened isoform of AGO1, corresponding to a truncation of 75 aa in the N-terminal domain, and which we therefore referred to as \"∆NAGO1\". Interestingly, significant correlations between hypomethylation/activation of <i>AGO1-V2</i> and hypermethylation/repression of <i>AGO1</i> were observed upon examination of tumor cell lines and tissue datasets. Overall, our study reveals the existence of a process of interdependent epigenetic alterations in the <i>AGO1</i> locus, which promotes swapping between two AGO1 protein-coding mRNA isoforms in tumors.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11270204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-06-19DOI: 10.3390/epigenomes8020023
Xing Zhang, Robert M Blumenthal, Xiaodong Cheng
{"title":"Keep Fingers on the CpG Islands.","authors":"Xing Zhang, Robert M Blumenthal, Xiaodong Cheng","doi":"10.3390/epigenomes8020023","DOIUrl":"10.3390/epigenomes8020023","url":null,"abstract":"<p><p>The post-genomic era has ushered in the extensive application of epigenetic editing tools, allowing for precise alterations of gene expression. The use of reprogrammable editors that carry transcriptional corepressors has significant potential for long-term epigenetic silencing for the treatment of human diseases. The ideal scenario involves precise targeting of a specific genomic location by a DNA-binding domain, ensuring there are no off-target effects and that the process yields no genetic remnants aside from specific epigenetic modifications (i.e., DNA methylation). A notable example is a recent study on the mouse <i>Pcsk9</i> gene, crucial for cholesterol regulation and expressed in hepatocytes, which identified synthetic zinc-finger (ZF) proteins as the most effective DNA-binding editors for silencing <i>Pcsk9</i> efficiently, specifically, and persistently. This discussion focuses on enhancing the specificity of ZF-array DNA binding by optimizing interactions between specific amino acids and DNA bases across three promoters containing CpG islands.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11202855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-05-27DOI: 10.3390/epigenomes8020021
Harry Jung, Vladyslava Sokolova, Gahyun Lee, Victoria Rose Stevens, Dongyan Tan
{"title":"Structural and Biochemical Characterization of the Nucleosome Containing Variants H3.3 and H2A.Z.","authors":"Harry Jung, Vladyslava Sokolova, Gahyun Lee, Victoria Rose Stevens, Dongyan Tan","doi":"10.3390/epigenomes8020021","DOIUrl":"10.3390/epigenomes8020021","url":null,"abstract":"<p><p>Variant H3.3, along with H2A.Z, is notably enriched at promoter regions and is commonly associated with transcriptional activation. However, the specific molecular mechanisms through which H3.3 influences chromatin dynamics at transcription start sites, and its role in gene regulation, remain elusive. Using a combination of biochemistry and cryo-electron microscopy (cryo-EM), we show that the inclusion of H3.3 alone does not induce discernible changes in nucleosome DNA dynamics. Conversely, the presence of both H3.3 and H2A.Z enhances DNA's flexibility similarly to H2A.Z alone. Interestingly, our findings suggest that the presence of H3.3 in the H2A.Z nucleosome provides slightly increased protection to DNA at internal sites within the nucleosome. These results imply that while H2A.Z at active promoters promotes the formation of more accessible nucleosomes with increased DNA accessibility to facilitate transcription, the simultaneous presence of H3.3 offers an additional mechanism to fine-tune nucleosome accessibility and the chromatin environment.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11203148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EpigenomesPub Date : 2024-04-30DOI: 10.3390/epigenomes8020017
Ben Topham, Millie de Vries, Maria Nonis, Rebecca van Berkel, Juliet M Pullar, Nicholas J Magon, Margreet C M Vissers, Margaret J Currie, Bridget A Robinson, David Gibbs, Abel Ang, Gabi U Dachs
{"title":"Blood Vitamin C Levels of Patients Receiving Immunotherapy and Relationship to Monocyte Subtype and Epigenetic Modification.","authors":"Ben Topham, Millie de Vries, Maria Nonis, Rebecca van Berkel, Juliet M Pullar, Nicholas J Magon, Margreet C M Vissers, Margaret J Currie, Bridget A Robinson, David Gibbs, Abel Ang, Gabi U Dachs","doi":"10.3390/epigenomes8020017","DOIUrl":"10.3390/epigenomes8020017","url":null,"abstract":"<p><p>The treatment of metastatic melanoma has been revolutionised by immunotherapy, yet a significant number of patients do not respond, and many experience autoimmune adverse events. Associations have been reported between patient outcome and monocyte subsets, whereas vitamin C (ascorbate) has been shown to mediate changes in cancer-stimulated monocytes in vitro. We therefore investigated the relationship of ascorbate with monocyte subsets and epigenetic modifications in patients with metastatic melanoma receiving immunotherapy. Patients receiving immunotherapy were compared to other cancer cohorts and age-matched healthy controls. Ascorbate levels in plasma and peripheral blood-derived mononuclear cells (PBMCs), monocyte subtype and epigenetic markers were measured, and adverse events, tumour response and survival were recorded. A quarter of the immunotherapy cohort had hypovitaminosis C, with plasma and PBMC ascorbate levels significantly lower than those from other cancer patients or healthy controls. PBMCs from the immunotherapy cohort contained similar frequencies of non-classical and classical monocytes. DNA methylation markers and intracellular ascorbate concentration were correlated with monocyte subset frequency in healthy controls, but correlation was lost in immunotherapy patients. No associations between ascorbate status and immune-related adverse events or tumour response or overall survival were apparent.</p>","PeriodicalId":55768,"journal":{"name":"Epigenomes","volume":"8 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11130941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}