Change search
Link to record
Permanent link

Direct link
Publications (10 of 66) Show all publications
Cediel-Ulloa, A., Awoga, R., Dönmez, A., Yu, X., Gliga, A., Attoff, K., . . . Rüegg, J. (2025). Characterization of the C17.2 Cell Line as Test System for Endocrine Disruption-Induced Developmental Neurotoxicity. Altex, 42(1), 91-110
Open this publication in new window or tab >>Characterization of the C17.2 Cell Line as Test System for Endocrine Disruption-Induced Developmental Neurotoxicity
Show others...
2025 (English)In: Altex, ISSN 1868-596X, E-ISSN 1868-8551, Vol. 42, no 1, p. 91-110Article in journal (Refereed) Published
Abstract [en]

Hormone signaling plays an essential role during fetal life and is vital for brain development. Endocrine-disrupting chemicals can interfere with the hormonal milieu during this critical time-period, disrupting key neurodevelopmental processes. Hence, there is a need for the development of assays that evaluate developmental neurotoxicity (DNT) induced by an endocrine mode of action. Herein, we evaluated the neural progenitor C17.2 cell line as an in vitro test system to aid in the detection of endocrine disruption-induced DNT. For this, C17.2 cells were exposed during 10 days of differentiation to agonists and antagonists of the thyroid hormone (THR), glucocorticoid (GR), retinoic acid (RAR), retinoic x (RXR), oxysterol (LXR), estrogen (ER), androgen (AR), and peroxisome proliferator activated delta (PPARβ/δ) receptors, as well as to the agonist of the vitamin D (VDR) receptor. Upon exposure and differentiation, neuronal morphology (neurite outgrowth and branching) and the percentage of neurons in culture were assessed by immunofluorescence. For this, the cells were stained for βIII-tubulin (neuronal marker). C17.2 cells decreased neurite outgrowth and branching in response to RAR, RXR and PPARβ/δ agonists. Exposure to the GR agonist increased the number of cells differentiating into neurons, while exposure to the RXR agonist had the opposite effect. With this approach, we demonstrate that C17.2 cells are responsive to GR, RAR, RXR, and PPARβ/δ agonists and hence could be useful to develop a test system for hazard assessment of endocrine disruption-induced DNT.

National Category
Biochemistry
Identifiers
urn:nbn:se:su:diva-240225 (URN)10.14573/altex.2404131 (DOI)001416960200007 ()39246236 (PubMedID)2-s2.0-85215662786 (Scopus ID)
Available from: 2025-03-06 Created: 2025-03-06 Last updated: 2025-03-06Bibliographically approved
Hosseini, K., Cediel-Ulloa, A., AL-Sabri, M. H., Forsby, A. & Fredriksson, R. (2024). Assessing the Neurodevelopmental Impact of Fluoxetine, Citalopram, and Paroxetine on Neural Stem Cell-Derived Neurons. Pharmaceuticals, 17(10), Article ID 1392.
Open this publication in new window or tab >>Assessing the Neurodevelopmental Impact of Fluoxetine, Citalopram, and Paroxetine on Neural Stem Cell-Derived Neurons
Show others...
2024 (English)In: Pharmaceuticals, E-ISSN 1424-8247, Vol. 17, no 10, article id 1392Article in journal (Refereed) Published
Abstract [en]

Background/Objectives: Many pregnant women globally suffer from depression and are routinely prescribed selective serotonin reuptake inhibitors (SSRIs). These drugs function by blocking the re-uptake of serotonin by the serotonin transporter (SERT) into neurons, resulting in its accumulation in the presynaptic cleft. Despite a large amount of research suggesting a potential link to neurodevelopmental disorders in children whose mothers took these drugs during pregnancy, their possible adverse effects are still debated, and results are contradictory. On the other hand, there is an immediate need for improved cell-based models for developmental neurotoxicity studies (DNT) to minimize the use of animals in research. Methods: In this study, we aimed to assess the effects of clinically relevant concentrations of paroxetine (PAR), fluoxetine (FLX), and citalopram (CIT)—on maturing neurons derived from human neural stem cells using multiple endpoints. Results: Although none of the tested concentrations of FLX, CIT, or PAR significantly affected cell viability, FLX (10 µM) exhibited the highest reduction in viability compared to the other drugs. Regarding neurite outgrowth, CIT did not have a significant effect. However, FLX (10 µM) significantly reduced both mean neurite outgrowth and mean processes, PAR significantly reduced mean processes, and showed a trend of dysregulation of multiple genes associated with neuronal development at therapeutic-relevant serum concentrations. Conclusions: Transcriptomic data and uptake experiments found no SERT activity in the system, suggesting that the adverse effects of FLX and PAR are independent of SERT.

Keywords
DNT, hNSCs, off-target, SSRIs
National Category
Biochemistry
Identifiers
urn:nbn:se:su:diva-237238 (URN)10.3390/ph17101392 (DOI)2-s2.0-85207673703 (Scopus ID)
Available from: 2025-01-09 Created: 2025-01-09 Last updated: 2025-01-09Bibliographically approved
Johansson, Y., Andreassen, M., Hartsch, M., Wagner, S. & Forsby, A. (2024). Attenuated neuronal differentiation caused by acrylamide is not related to oxidative stress in differentiated human neuroblastoma SH-SY5Y cells. Food and Chemical Toxicology, 187, Article ID 114623.
Open this publication in new window or tab >>Attenuated neuronal differentiation caused by acrylamide is not related to oxidative stress in differentiated human neuroblastoma SH-SY5Y cells
Show others...
2024 (English)In: Food and Chemical Toxicology, ISSN 0278-6915, E-ISSN 1873-6351, Vol. 187, article id 114623Article in journal (Refereed) Published
Abstract [en]

Acrylamide (ACR) is a known neurotoxicant and developmental neurotoxicant. As a soft electrophile, ACR reacts with thiol groups in cysteine. One hypothesis of ACR induced neurotoxicity and developmental neurotoxicity (DNT) is conjugation with reduced glutathione (GSH) leading to GSH depletion, increased reactive oxygen species (ROS) production and further oxidative stress and cellular damage. In this regard, we have investigated the effect of ACR on neuronal differentiation, glutathione levels and ROS production in the human neuroblastoma SH-SY5Y cell model. After 9 days of differentiation and exposure, ACR significantly impaired area neurites per cell at non-cytotoxic concentrations (0.33 μM and 10 μM). Furthermore, 10 μM ACR dysregulated 9 mRNA markers important for neuronal development, 5 of them being associated with cytoskeleton organization and axonal guidance. At the non-cytotoxic concentrations that significantly attenuate neuronal differentiation, ACR did neither decrease the level of GSH or total glutathione levels, nor increased ROS production. In addition, the expression of 5 mRNA markers for cellular stress was assessed with no significant altered regulation after ACR exposure up to 320 μM. Thus, ACR-induced DNT is not due to GSH depletion and increased ROS production, neither at non-cytotoxic nor cytotoxic concentrations, in the SH-SH5Y model during differentiation.

Keywords
Acrylamide, Developmental neurotoxicity, Neurite outgrowth, Transcriptomics, Glutathione, Oxidative stress
National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:su:diva-231173 (URN)10.1016/j.fct.2024.114623 (DOI)001224591600001 ()38554842 (PubMedID)2-s2.0-85189518508 (Scopus ID)
Available from: 2024-06-25 Created: 2024-06-25 Last updated: 2024-09-04Bibliographically approved
Johansson, Y., Ayowumi Awoga, R. & Forsby, A. (2024). Developmental neurotoxicity evaluation of acrylamide based on in vitro to in vivo extrapolation by pregnancy PBTK modelling. Toxicology, 509, Article ID 153950.
Open this publication in new window or tab >>Developmental neurotoxicity evaluation of acrylamide based on in vitro to in vivo extrapolation by pregnancy PBTK modelling
2024 (English)In: Toxicology, ISSN 0300-483X, E-ISSN 1879-3185, Vol. 509, article id 153950Article in journal (Refereed) Published
Abstract [en]

Acrylamide (ACR) is a known neurotoxicant that can pass the placenta and has been detected in breast milk. Some in vivo and in vitro studies indicate that ACR exposure might lead to developmental neurotoxicity (DNT). Here, we have developed a physiologically-based toxicokinetic model for a pregnant human population using PK-Sim. We performed an in vitro to in vivo extrapolation (IVIVE) of data collected from human neuroblastoma SH-SY5Y cells exposed during differentiation to ACR. The developed PBTK model was successfully evaluated and predicted fetal plasma concentrations in the low nM range after exposing the model to an estimated average daily intake for pregnant women. The IVIVE showed that low concentrations of ACR (fM-nM) that induced attenuated differentiation of the SH-SY5Y neuronal cell model, were relevant for human exposure to ACR from oral intake. However, doses estimated in the IVIVE from concentrations in the µM range, were found to be unrealistic by exposure through food intake for an average daily intake. However, in case of exposure due to environmental pollution or occupational exposure, these concentrations may be reached in fetal plasma. The findings in this study raise the concern regarding ACR exposure during pregnancy as well as the relevance of testing concentrations in vitro that are several orders of magnitude higher than the predicted fetal plasma concentrations.

Keywords
Acrylamide, Developmental neurotoxicity, In vitro to in vivo extrapolation, Modelling, Physiologically based toxicokinetic
National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:su:diva-236959 (URN)10.1016/j.tox.2024.153950 (DOI)001319605500001 ()39270965 (PubMedID)2-s2.0-85204226325 (Scopus ID)
Available from: 2024-12-10 Created: 2024-12-10 Last updated: 2024-12-10Bibliographically approved
Hinojosa, M. G., Johansson, Y., Jos, A., Camean, A. M. & Forsby, A. (2024). Effects of cylindrospermopsin, chlorpyrifos and their combination in a SH-SY5Y cell model concerning developmental neurotoxicity. Ecotoxicology and Environmental Safety, 269, Article ID 115804.
Open this publication in new window or tab >>Effects of cylindrospermopsin, chlorpyrifos and their combination in a SH-SY5Y cell model concerning developmental neurotoxicity
Show others...
2024 (English)In: Ecotoxicology and Environmental Safety, ISSN 0147-6513, E-ISSN 1090-2414, Vol. 269, article id 115804Article in journal (Refereed) Published
Abstract [en]

The cyanotoxin cylindrospermopsin (CYN) has been postulated to cause neurotoxicity, although the studies in this concern are very few. In addition, some studies in vitro indicate its possible effects on development. Furthermore, pesticides can be present in the same environmental samples as cyanotoxins. Therefore, chlor-pyrifos (CPF) has been one of the most common pesticides used worldwide. The aim of this report was to study the effects of CYN, isolated and in combination with CPF, in a developmental neurotoxicity in vitro model. The human neuroblastoma SH-SY5Y cell line was exposed during 6 days of differentiation to both toxics to study their effects on cell viability and neurite outgrowth. To further evaluate effects of both toxicants on cholinergic signaling, their agonistic and antagonistic activities on the alpha 7 homomeric nicotinic acetylcholine receptor (nAChR) were studied upon acute exposure. Moreover, a transcriptomic analysis by qPCR was performed after 6 days of CYN-exposure during differentiation. The results showed a concentration-dependent decrease on both cell viability and neurite outgrowth for both toxics isolated, leading to effective concentration 20 (EC20) values of 0.35 mu M and 0.097 mu M for CYN on cell viability and neurite outgrowth, respectively, and 100 mu M and 58 mu M for CPF, while the combination demonstrated no significant variations. In addition, 95 mu M and 285 mu M CPF demonstrated to act as an antagonist to nicotine on the nAChR, although CYN up to 2.4 mu M had no effect on the efficacy of these receptors. Additionally, the EC20 for CYN (0.097 mu M) on neurite outgrowth downregulated expression of the 5 genes NTNG2 (netrin G2), KCNJ11 (potassium channel), SLC18A3 (vesicular acetylcholine transporter), APOE (apolipoprotein E), and SEMA6B (semaphorin 6B), that are all important for neuronal development. Thus, this study points out the importance of studying the effects of CYN in terms of neurotoxicity and developmental neurotoxicity.

Keywords
Cylindrospermopsin, Chlorpyrifos, Developmental neurotoxicity, Neurite outgrowth, NAChRs, Transcriptomics
National Category
Cell and Molecular Biology
Identifiers
urn:nbn:se:su:diva-225988 (URN)10.1016/j.ecoenv.2023.115804 (DOI)001141478500001 ()38091671 (PubMedID)2-s2.0-85179805139 (Scopus ID)
Available from: 2024-01-31 Created: 2024-01-31 Last updated: 2024-01-31Bibliographically approved
Hinojosa, M. G., Johansson, Y., Cediel-Ulloa, A., Ivanova, E. V., Gabring, N., Gliga, A. & Forsby, A. (2023). Evaluation of mRNA markers in differentiating human SH-SY5Y cells for estimation of developmental neurotoxicity. Neurotoxicology, 97, 65-77
Open this publication in new window or tab >>Evaluation of mRNA markers in differentiating human SH-SY5Y cells for estimation of developmental neurotoxicity
Show others...
2023 (English)In: Neurotoxicology, ISSN 0161-813X, E-ISSN 1872-9711, Vol. 97, p. 65-77Article in journal (Refereed) Published
Abstract [en]

Current guidelines for developmental neurotoxicity (DNT) evaluation are based on animal models. These have limitations so more relevant, efficient and robust approaches for DNT assessment are needed. We have used the human SH-SY5Y neuroblastoma cell model to evaluate a panel of 93 mRNA markers that are frequent in Neuronal diseases and functional annotations and also differentially expressed during retinoic acid-induced differentiation in the cell model. Rotenone, valproic acid (VPA), acrylamide (ACR) and methylmercury chloride (MeHg) were used as DNT positive compounds. Tolbutamide, D-mannitol and clofibrate were used as DNT negative compounds. To determine concentrations for exposure for gene expression analysis, we developed a pipeline for neurite outgrowth assessment by live-cell imaging. In addition, cell viability was measured by the resazurin assay. Gene expression was analyzed by RT-qPCR after 6 days of exposure during differentiation to concentrations of the DNT positive compounds that affected neurite outgrowth, but with no or minimal effect on cell viability. Methylmercury affected cell viability at lower concentrations than neurite outgrowth, hence the cells were exposed with the highest non-cytotoxic concentration. Rotenone (7.3 nM) induced 32 differentially expressed genes (DEGs), ACR (70 µM) 8 DEGs, and VPA (75 µM) 16 DEGs. No individual genes were significantly dysregulated by all 3 DNT positive compounds (p < 0.05), but 9 genes were differentially expressed by 2 of them. Methylmercury (0.8 nM) was used to validate the 9 DEGs. The expression of SEMA5A (encoding semaphorin 5A) and CHRNA7 (encoding nicotinic acetylcholine receptor subunit α7) was downregulated by all 4 DNT positive compounds. None of the DNT negative compounds dysregulated any of the 9 DEGs in common for the DNT positive compounds. We suggest that SEMA5A or CHRNA7 should be further evaluated as biomarkers for DNT studies in vitro since they also are involved in neurodevelopmental adverse outcomes in humans.

Keywords
Developmental neurotoxicity, in vitro, mRNA markers, Live-cell imaging, Neurite outgrowth
National Category
Neurosciences
Identifiers
urn:nbn:se:su:diva-229648 (URN)10.1016/j.neuro.2023.05.011 (DOI)001010188500001 ()37210002 (PubMedID)2-s2.0-85160084104 (Scopus ID)
Available from: 2024-05-27 Created: 2024-05-27 Last updated: 2024-09-04Bibliographically approved
Carta, G., van der Stel, W., Scuric, E. W. J., Capinha, L., Delp, J., Hougaard Bennekou, S., . . . Jennings, P. (2023). Transcriptional landscape of mitochondrial electron transport chain inhibition in renal cells. Cell Biology and Toxicology, 39, 3031-3059
Open this publication in new window or tab >>Transcriptional landscape of mitochondrial electron transport chain inhibition in renal cells
Show others...
2023 (English)In: Cell Biology and Toxicology, ISSN 0742-2091, E-ISSN 1573-6822, Vol. 39, p. 3031-3059Article in journal (Refereed) Published
Abstract [en]

Analysis of the transcriptomic alterations upon chemical challenge, provides in depth mechanistic information on the compound’s toxic mode of action, by revealing specific pathway activation and other transcriptional modulations. Mapping changes in cellular behaviour to chemical insult, facilitates the characterisation of chemical hazard. In this study, we assessed the transcriptional landscape of mitochondrial impairment through the inhibition of the electron transport chain (ETC) in a human renal proximal tubular cell line (RPTEC/TERT1). We identified the unfolded protein response pathway (UPR), particularly the PERK/ATF4 branch as a common cellular response across ETC I, II and III inhibitions. This finding and the specific genes elaborated may aid the identification of mitochondrial liabilities of chemicals in both legacy data and prospective transcriptomic studies.

Keywords
Mitochondria, In vitro, Renal, Stress pathway, Transcriptomic
National Category
Biochemistry Molecular Biology
Identifiers
urn:nbn:se:su:diva-221208 (URN)10.1007/s10565-023-09816-7 (DOI)001019482700001 ()37353587 (PubMedID)2-s2.0-85162673352 (Scopus ID)
Available from: 2023-09-20 Created: 2023-09-20 Last updated: 2025-02-20Bibliographically approved
van der Stel, W., Yang, H., Vrijenhoek, N. G., Schimming, J. P., Callegaro, G., Carta, G., . . . Danen, E. H. J. (2022). Mapping the cellular response to electron transport chain inhibitors reveals selective signaling networks triggered by mitochondrial perturbation. Archives of Toxicology, 96(1), 259-285
Open this publication in new window or tab >>Mapping the cellular response to electron transport chain inhibitors reveals selective signaling networks triggered by mitochondrial perturbation
Show others...
2022 (English)In: Archives of Toxicology, ISSN 0340-5761, E-ISSN 1432-0738, Vol. 96, no 1, p. 259-285Article in journal (Refereed) Published
Abstract [en]

Mitochondrial perturbation is a key event in chemical-induced organ toxicities that is incompletely understood. Here, we studied how electron transport chain (ETC) complex I, II, or III (CI, CII and CIII) inhibitors affect mitochondrial functionality, stress response activation, and cell viability using a combination of high-content imaging and TempO-Seq in HepG2 hepatocyte cells. CI and CIII inhibitors perturbed mitochondrial membrane potential (MMP) and mitochondrial and cellular ATP levels in a concentration- and time-dependent fashion and, under conditions preventing a switch to glycolysis attenuated cell viability, whereas CII inhibitors had no effect. TempO-Seq analysis of changes in mRNA expression pointed to a shared cellular response to CI and CIII inhibition. First, to define specific ETC inhibition responses, a gene set responsive toward ETC inhibition (and not to genotoxic, oxidative, or endoplasmic reticulum stress) was identified using targeted TempO-Seq in HepG2. Silencing of one of these genes, NOS3, exacerbated the impact of CI and CIII inhibitors on cell viability, indicating its functional implication in cellular responses to mitochondrial stress. Then by monitoring dynamic responses to ETC inhibition using a HepG2 GFP reporter panel for different classes of stress response pathways and applying pathway and gene network analysis to TempO-Seq data, we looked for downstream cellular events of ETC inhibition and identified the amino acid response (AAR) as being triggered in HepG2 by ETC inhibition. Through in silico approaches we provide evidence indicating that a similar AAR is associated with exposure to mitochondrial toxicants in primary human hepatocytes. Altogether, we (i) unravel quantitative, time- and concentration-resolved cellular responses to mitochondrial perturbation, (ii) identify a gene set associated with adaptation to exposure to active ETC inhibitors, and (iii) show that ER stress and an AAR accompany ETC inhibition in HepG2 and primary hepatocytes. 

Keywords
Mitochondrial toxicity, ETC complex inhibitors, High-content imaging, TempO-Seq, DILI
National Category
Pharmacology and Toxicology Biological Sciences
Identifiers
urn:nbn:se:su:diva-209866 (URN)10.1007/s00204-021-03160-7 (DOI)000706551600001 ()34642769 (PubMedID)2-s2.0-85117054559 (Scopus ID)
Available from: 2022-09-28 Created: 2022-09-28 Last updated: 2022-09-28Bibliographically approved
Cediel-Ulloa, A., Yu, X., Hinojosa, M., Johansson, Y., Forsby, A., Broberg, K. & Rüegg, J. (2022). Methylmercury-induced DNA methylation—From epidemiological observations to experimental evidence. Frontiers in Genetics, 13, Article ID 993387.
Open this publication in new window or tab >>Methylmercury-induced DNA methylation—From epidemiological observations to experimental evidence
Show others...
2022 (English)In: Frontiers in Genetics, E-ISSN 1664-8021, Vol. 13, article id 993387Article in journal (Refereed) Published
Abstract [en]

Methylmercury (MeHg) is a developmental neurotoxicant, and one potential mechanism of MeHg toxicity is epigenetic dysregulation. In a recent meta-analysis of epigenome-wide association studies (EWAS), associations between prenatal MeHg exposure and DNA methylation at several genomic sites were identified in blood from newborns and children. While EWASs reveal human-relevant associations, experimental studies are required to validate the relationship between exposure and DNA methylation changes, and to assess if such changes have implications for gene expression. Herein, we studied DNA methylation and gene expression of five of the top genes identified in the EWAS meta-analysis, MED31, MRPL19, GGH, GRK1, and LYSMD3, upon MeHg exposure in human SH-SY5Y cells exposed to 8 or 40 nM of MeHg during differentiation, using bisulfite-pyrosequencing and qPCR, respectively. The concentrations were selected to cover the range of MeHg concentrations in cord blood (2–8.5 μg/L) observed in the cohorts included in the EWAS. Exposure to MeHg increased DNA methylation at MED31, a transcriptional regulator essential for fetal development. The results were in concordance with the epidemiological findings where more MED31 methylation was associated with higher concentrations of MeHg. Additionally, we found a non-significant decrease in DNA methylation at GGH, which corresponds to the direction of change observed in the EWAS, and a significant correlation of GGH methylation with its expression. In conclusion, this study corroborates some of the EWAS findings and puts forward candidate genes involved in MeHg’s effects on the developing brain, thus highlighting the value of experimental validation of epidemiological association studies.

Keywords
methyl mercury (MeHg), neurodevelopment, epigenome wide association study, DNA methylation, SH-SY5Y cell line
National Category
Biological Sciences
Identifiers
urn:nbn:se:su:diva-210273 (URN)10.3389/fgene.2022.993387 (DOI)000861603100001 ()36176303 (PubMedID)2-s2.0-85138931109 (Scopus ID)
Available from: 2022-10-12 Created: 2022-10-12 Last updated: 2023-02-23Bibliographically approved
von Hellfeld, R., Ovcharova, V., Bevan, S., Lazaridi, M.-A., Bauch, C., Walker, P., . . . Braunbeck, T. (2022). Zebrafish embryo neonicotinoid developmental neurotoxicity in the FET test and behavioral assays. Altex, 39(3), 367-387
Open this publication in new window or tab >>Zebrafish embryo neonicotinoid developmental neurotoxicity in the FET test and behavioral assays
Show others...
2022 (English)In: Altex, ISSN 1868-596X, E-ISSN 1868-8551, Vol. 39, no 3, p. 367-387Article in journal (Refereed) Published
Abstract [en]

The need for reliable, sensitive (developmental) neurotoxicity testing of chemicals has steadily increased. Given the limited capacities for routine testing according to accepted regulatory guidelines, there is potential risk to human health and the environment. Most toxicity studies are based on mammalian test systems, which have been questioned for low sensitivity, limited relevance for humans, and animal welfare considerations. This increased the need for alternative models, one of which is the zebrafish (Danio rerio) embryo. This study assessed selected neonicotinoids at sub-lethal concentrations for their effects on embryonic development and behavior. The fish embryo acute toxicity test (OECD TG 236) determined the lowest observable effective concentrations, which were used as the highest test concentrations in subsequent behavioral assays. In the FET test, no severe compound-induced sublethal effects were seen at < 100 µM. In the coiling assay, exposure to ≥ 1.25 µM nicotine (positive control) affected both the burst duration and burst count per minute, whereas ≥ 50 µM thiacloprid affected the mean burst duration. Exposure to ≥ 50 µM acetamiprid and imidacloprid induced significant alterations in both mean burst duration and burst count per minute. In the swimming assay, 100 µM acetamiprid induced alterations in the frequency and extent of movements, whilst nicotine exposure only induced non-significant changes. All behavioral changes could be correlated to findings in mammalian studies. Given the quest for alternative test methods of (developmental) neurotoxicity, zebrafish embryo behavior testing could be integrated into a future tiered testing scheme.

National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:su:diva-209406 (URN)10.14573/altex.2111021 (DOI)000835809300004 ()35229877 (PubMedID)
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2023-02-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6298-201x

Search in DiVA

Show all publications