Role of Endothelin in Hypertension: A Review

Authors

  • Saima Sharif Lahore College for Women University, Lahore
  • Rabia Maqbool
  • Shagufta Naz Lahore College for Women University, Lahore

DOI:

https://doi.org/10.5281/zenodo.7487458

Keywords:

High Blood Pressure, Pathophysiology, Reactive Oxygen Specie, Vasoconstriction, Endothelin Type A Receptor

Abstract

Throughout the global population hypertension is increasing at a tremendous rate day by day. A number of behavioral and genetic factors are responsible for essential hypertension. Numerous risk factors like obesity, smoking, dyslipidemia, insomnia and the lack of physical exercise are the contributing risk factors towards the development of hypertension. Endothelin-1 is considered to be a powerful vasoconstrictor. The activity of the endothelin is regulated by its receptors ETA and ETB that both are G- protein coupled receptors. Vascular calcification, fibrosis and perivascular inflammation are core aspects of hypertension that really are important in vascular ageing and lead to vascular stiffening. Preliminary research has implicated T lymphocytes in hypertension's pathogenesis. The remodeling of resistant arteries and aberrant vascular function are both significantly influenced by ET-1. Endothelial dysfunction and arterial remodeling in sunitinib-induced hypertension involved ET-1/ETAR-mediated vasoconstriction and vascular oxidative stress. ET-1 can raise blood pressure by disturbing, in particular, maintaining intravascular fluid volume, contraction of heart and resistance in peripheral vascular system.

References

Aflyatumova, G. N., Nigmatullina, R. R., Sadykova, D. I., Chibireva, M. D., Fugetto, F., & Serra, R. (2018). Endothelin-1, nitric oxide, serotonin & high blood pressure in male adolescents. Vascular Health & Risk Management, 14, 213.

Al-Raddadi, R., Al-Ahmadi, J., Bahijri, S., Ajabnoor, G. M., Jambi, H., Enani, S., ... & Tuomilehto, J. (2021). Gender Differences in The Factors associated with Hypertension in Non-Diabetic Saudi Adults—A Cross-Sectional Study. International Journal of Environmental Research & Public Health, 18(21), 11371.

Andreis, P. G., Neri, G., Tortorella, C., Aragona, F., Rossi, G. P., & Nussdorfer, G. G. (2002). Mechanisms transducing the aldosterone secretagogue signal of endothelins in the human adrenal cortex. Peptides, 23(3), 561-566.

Barath, A., Endreffy, E., Bereczki, C., Gellen, B., Szűcs, B., Nemeth, I., & Turi, S. (2007). Endothelin-1 gene & endothelial nitric oxide synthase gene polymorphisms in adolescents with juvenile & obesity-associated hypertension. Acta Physiologica Hungarica, 94(1-2), 49-66.

Beevers, G., Lip, G. Y., & O'Brien, E. (2001). The pathophysiology of hypertension. Bmj, 322(7291), 912-916. doi: 10.1136/bmj.322.7291.912

Berillo, O., Coelho, S. C., Mahjoub, N., Offermanns, S., Paradis, P., & Schiffrin, E. L. (2021). Aldosterone contributes to hypertension in male mice inducibly overexpressing human endothelin-1 in endothelium. Journal of hypertension, 39(9), 1908-1917.

Bernabe-Ortiz, A., & Carrillo-Larco, R. M. (2021). Second-h& smoking, hypertension & cardiovascular risk: findings from Peru. BMC Cardiovascular Disorders, 21(1), 1-8.

Biancardi, V. C., Bomfim, G. F., Reis, W. L., Al-Gassimi, S., & Nunes, K. P. (2017). The interplay between Angiotensin II, TLR4 & hypertension. Pharmacological Research, 120, 88-96.

Bolívar, J. J. (2013). Essential hypertension: an approach to its etiology & neurogenic pathophysiology. International journal of hypertension, 2013.

Cannata, A., Camparini, L., Sinagra, G., Giacca, M., & Loffredo, F. S. (2016). Pathways for salvage & protection of the heart under stress: novel routes for cardiac rejuvenation. Cardiovascular Research, 111(2), 142-153.

Cardillo, C., Kilcoyne, C. M., Waclawiw, M., Cannon III, R. O., & Panza, J. A. (1999). Role of endothelin in the increased vascular tone of patients with essential hypertension. Hypertension, 33(2): 753-758.

Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Prevention & control of hypertension: JACC health promotion series. Journal of the American College of Cardiology, 72(11), 1278-1293.

Centers for Disease Control & Prevention. (2010). A closer look at African American men & high blood pressure control: A review of psychosocial factors & systems-level interventions. Atlanta: US Department of Health & Human Services.

Chan, C. T., Sobey, C. G., Lieu, M., Ferens, D., Kett, M. M., Diep, H., ... & Drummond, G. R. (2015). Obligatory role for B cells in the development of angiotensin II–dependent hypertension. Hypertension, 66(5), 1023-1033.

Chester, A. H., & Yacoub, M. H. (2014). The role of endothelin-1 in pulmonary arterial hypertension. Global Cardiology Science and Practice, 2014(2), 29.Dubovyk, Y. I., Oleshko, T. B., Harbuzova, V. Y., & Ataman, A. V. (2018). Positive association between EDN1 rs5370 (Lys198Asn) polymorphism and large artery stroke in a Ukrainian population. Disease Markers, 2018.

Choi, H. M., Kim, H. C., & Kang, D. R. (2017). Sex differences in hypertension prevalence & control: analysis of the 2010-2014 Korea National Health & Nutrition Examination Survey. Public Library of Science one, 12(5), e0178334

Czesnikiewicz-Guzik, M., Lee, W. W., Cui, D., Hiruma, Y., Lamar, D. L., Yang, Z. Z., ... & Goronzy, J. J. (2008). T cell subset-specific susceptibility to aging. Clinical immunology, 127(1), 107-118.

Davenport, A. P., Hyndman, K. A., Dhaun, N., Southan, C., Kohan, D. E., Pollock, J. S., ... & Maguire, J. J. (2016). Endothelin. Pharmacological reviews, 68(2), 357-418.

Delong, C., & Sharma, S. (2019). Physiology, peripheral vascular resistance.

Dong, J., Dong, H., Yan, Y., Cheng, H., Zhao, X., & Mi, J. (2022). Prevalence of hypertension & hypertension phenotypes after three visits in Chinese urban children. Journal of Hypertension.

Drawnel, F. M., Archer, C. R., & Roderick, H. L. (2013). The role of the paracrine/autocrine mediator endothelin‐1 in regulation of cardiac contractility & growth. British journal of pharmacology, 168(2), 296-317.

Duca, L., Blaise, S., Romier, B., Laffargue, M., Gayral, S., El Btaouri, H., ... & Maurice, P. (2016). Matrix ageing & vascular impacts: focus on elastin fragmentation. Cardiovascular research, 110(3), 298-308.

Ehret, G. B., & Caulfield, M. J. (2013). Genes for blood pressure: an opportunity to underst& hypertension. European heart journal, 34(13), 951-961.

Forouzanfar, M. H., Liu, P., Roth, G. A., Ng, M., Biryukov, S., Marczak, L., ... & Murray, C. J. (2017). Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. Journal of the American Medical Association, 317(2), 165-182.

Förstermann, U., Xia, N., & Li, H. (2017). Roles of vascular oxidative stress and nitric oxide in the pathogenesis of atherosclerosis. Circulation research, 120(4), 713-735. Nosalski, R., & Guzik, T. J. (2017). Perivascular adipose tissue inflammation in vascular disease. British journal of pharmacology, 174(20), 3496-3513.

Fu, S., Ping, P., Wang, F., & Luo, L. (2018). Synthesis, secretion, function, metabolism & application of natriuretic peptides in heart failure. Journal of biological engineering, 12(1), 1-21.

Guan, Y., Dai, P., & Wang, H. (2020). Effects of vitamin C supplementation on essential hypertension: A systematic review and meta-analysis. Medicine, 99(8).

Guimaraes Cunha, P., Boutouyrie, P., M Nilsson, P., & Laurent, S. (2017). Early vascular ageing (EVA): definitions & clinical applicability. Current hypertension reviews, 13(1), 8-15.

GÜNGÖR, Ö., & DERİCİ, Ü. (Eds.). (2019). Güncel Nefroloji Derlemeleri. Akademisyen Kitabevi.

Guzik, T. J., & Touyz, R. M. (2017). Oxidative stress, inflammation, & vascular aging in hypertension. Hypertension, 70(4), 660-667.

Guzik, T. J., Skiba, D. S., Touyz, R. M., & Harrison, D. G. (2017). The role of infiltrating immune cells in dysfunctional adipose tissue. Cardiovascular research, 113(9), 1009-1023.

Hickey, K. A., Rubanyi, G. A. B. O. R., Paul, R. J., & Highsmith, R. F. (1985). Characterization of a coronary vasoconstrictor produced by cultured endothelial cells. American Journal of Physiology-Cell Physiology, 248(5), C550-C556.

Hynynen, M. M., & Khalil, R. A. (2006). The vascular endothelin system in hypertension-recent patents & discoveries. Recent Patents on Cardiovascular Drug Discovery (Discontinued), 1(1), 95-108.

Inoue, A., Yanagisawa, M., Kimura, S., Kasuya, Y., Miyauchi, T., Goto, K., & Masaki, T. (1989). The human endothelin family: three structurally & pharmacologically distinct isopeptides predicted by three separate genes. Proceedings of the national academy of sciences, 86(8), 2863-2867.

Itani, H. A., McMaster Jr, W. G., Saleh, M. A., Nazarewicz, R. R., Mikolajczyk, T. P., Kaszuba, A. M., ... & Guzik, T. J. (2016). Activation of human T cells in hypertension: studies of humanized mice & hypertensive humans. Hypertension, 68(1), 123-132.

Jiang, S. Z., Lu, W., Zong, X. F., Ruan, H. Y., & Liu, Y. (2016). Obesity & hypertension. Experimental & therapeutic medicine, 12(4), 2395-2399.

Jiang, Y., Lu, L., Hu, Y., Li, Q., An, C., Yu, X., ... & Yang, Z. (2016). Resistin induces hypertension & insulin resistance in mice via a TLR4-dependent pathway. Scientific reports, 6(1), 1-7.

Kang, Y., & Kim, J. (2016). Association between fried food consumption & hypertension in Korean adults. British Journal of Nutrition, 115(1), 87-94.

Kawanabe, Y., & Nauli, S. M. (2011). Endothelin. Cellular & Molecular Life Sciences, 68(2), 195-203.

Kazi, R. N. A., El-Kashif, M. M. L., & Ahsan, S. M. (2020). Prevalence of salt rich fast food consumption: A focus on physical activity & incidence of hypertension among female students of Saudi Arabia. Saudi Journal of Biological Sciences, 27(10), 2669-2673.

Khalil, R. (2011). Modulators of the vascular endothelin receptor in blood pressure regulation & hypertension. Current Molecular Pharmacology, 4(3), 176-186.

Kisanuki, Y. Y., Emoto, N., Ohuchi, T., Widyantoro, B., Yagi, K., Nakayama, K., ... & Yanagisawa, M. (2010). Low blood pressure in endothelial cell–specific endothelin 1 knockout mice. Hypertension, 56(1), 121-128.)

Kohan, D. E., Rossi, N. F., Inscho, E. W., & Pollock, D. M. (2011). Regulation of blood pressure & salt homeostasis by endothelin. Physiological reviews, 91(1), 1-77.

Kowalczyk, A., Kleniewska, P., Kolodziejczyk, M., Skibska, B., & Goraca, A. (2015). The role of endothelin-1 & endothelin receptor antagonists in inflammatory response & sepsis. Archivum immunologiae et therapiae experimentalis, 63(1), 41-52.

Kurjogi, M. M., Vanti, G. L., & Kaulgud, R. S. (2021). Prevalence of hypertension & its associated risk factors in Dharwad population: A cross-sectional study. Indian Heart Journal, 73(6), 751-753.

Lakatta, E. G. (2007). Central arterial aging & the epidemic of systolic hypertension & atherosclerosis. Journal of the American Society of Hypertension, 1(5), 302-340.

Lewis, D. R., Petersen, L. K., York, A. W., Ahuja, S., Chae, H., Joseph, L. B., ... & Moghe, P. V. (2016). Nanotherapeutics for inhibition of atherogenesis & modulation of inflammation in atherosclerotic plaques. Cardiovascular research, 109(2), 283-293.

Lima, V. V., Giachini, F. R., Hardy, D. M., Webb, R. C., & Tostes, R. C. (2011). O-GlcNAcylation: a novel pathway contributing to the effects of endothelin in the vasculature. American Journal of Physiology-Regulatory, Integrative & Comparative Physiology, 300(2), R236-R250.

Lin, H. Y., Lee, Y. T., Chan, Y. W., & Tse, G. (2016). Animal models for the study of primary & secondary hypertension in humans. Biomedical reports, 5(6), 653-659.

Liu, C., Kraja, A. T., Smith, J. A., Brody, J. A., Franceschini, N., Bis, J. C., ... & Chasman, D. I. (2016). Meta-analysis identifies common & rare variants influencing blood pressure & overlapping with metabolic trait loci. Nature genetics, 48(10), 1162-1170.

Liu, Q. (2021). Impact of different dietary fat sources on blood pressure in Chinese adults. Plos one, 16(3), e0247116.

Livingstone, K. M., & McNaughton, S. A. (2017). Dietary patterns by reduced rank regression are associated with obesity & hypertension in Australian adults. British journal of nutrition, 117(2), 248-259.

Luo, X., Yang, H., He, Z., Wang, S., Li, C., & Chen, T. (2021). Numbers and Mortality Risk of Hypertensive Patients with or without Elevated Body Mass Index in China. International journal of environmental research and public health, 19(1), 116.

Lüscher, T. F., & Barton, M. (2000). Endothelins and endothelin receptor antagonists: therapeutic considerations for a novel class of cardiovascular drugs. Circulation, 102(19), 2434-2440.

Margerison, Claire, Lynnette J. Riddell, Sarah A. McNaughton, & Caryl A. Nowson. "Associations between dietary patterns & blood pressure in a sample of Australian adults." Nutrition journal 19, no. 1(2020), 1-12

Mazzuca, M. Q., & Khalil, R. A. (2012). Vascular endothelin receptor type B: structure, function and dysregulation in vascular disease. Biochemical pharmacology, 84(2), 147-162.

Mikolajczyk, T. P., Nosalski, R., Szczepaniak, P., Budzyn, K., Osmenda, G., Skiba, D., ... & Guzik, T. J. (2016). Role of chemokine RANTES in the regulation of perivascular inflammation, T‐cell accumulation, & vascular dysfunction in hypertension. The Federation Of American Societies Experimental Biology Journal, 30(5), 1987-1999.

Motte, S., McEntee, K., & Naeije, R. (2006). Endothelin receptor antagonists. Pharmacology & therapeutics, 110(3), 386-414.

Nahimana, M. R., Nyandwi, A., Muhimpundu, M. A., Olu, O., Condo, J. U., Rusanganwa, A., ... & Okeibunor, J. C. (2018). A population-based national estimate of the prevalence & risk factors associated with hypertension in Rwanda: implications for prevention & control. BMC public health, 18(1), 1-11.

Niiranen, T. J., McCabe, E. L., Larson, M. G., Henglin, M., Lakdawala, N. K., Vasan, R. S., & Cheng, S. (2017). Risk for hypertension crosses generations in the community: a multi-generational cohort study. European heart journal, 38(29), 2300-2308.

Nishida, Y., Tandai-Hiruma, M., Kemuriyama, T., & Hagisawa, K. (2012). Long-term blood pressure control: is there a set-point in the brain?.The Journal of Physiological Sciences, 62(3), 147-161.

Nohria, A., Garrett, L., Johnson, W., Kinlay, S., Ganz, P., & Creager, M. A. (2003). Endothelin-1 & vascular tone in subjects with atherogenic risk factors. Hypertension, 42(1), 43-48.

Passacquale, G., Di Giosia, P., & Ferro, A. (2016). The role of inflammatory biomarkers in developing targeted cardiovascular therapies: lessons from the cardiovascular inflammation reduction trials. Cardiovascular Research, 109(1), 9-23.

Petrie, J. R., Guzik, T. J., & Touyz, R. M. (2018). Diabetes, hypertension, & cardiovascular disease: clinical insights & vascular mechanisms. Canadian Journal of Cardiology, 34(5), 575-584.

Piechota, A., Polańczyk, A., & Gorąca, A. (2010). Role of endothelin-1 receptor blockers on hemodynamic parameters & oxidative stress. Pharmacological reports, 62(1), 28-34.

Prabakaran, J., Vijayalakshmi, N., & VenkataRao, E. (2013). Prevalence of hypertension among urban adult population (25-64 years) of Nellore, India. Int J Res Dev Health, 1(2), 42-9.

Pusuroglu, H., Akgul, O., Erturk, M., Surgit, O., Tasbulak, O., Akkaya, E., ... & Türen, S. (2016). Red cell distribution width and end-organ damage in patients with systo-diastolic hypertension. Archives of Medical Science, 12(2), 319-325.

Schneider, M. P., Boesen, E. I., & Pollock, D. M. (2007). Contrasting actions of endothelin ETA and ETB receptors in cardiovascular disease. Annual review of pharmacology and toxicology, 47, 731.

Sehgel, N. L., Sun, Z., Hong, Z., Hunter, W. C., Hill, M. A., Vatner, D. E., ... & Meininger, G. A. (2015). Augmented vascular smooth muscle cell stiffness & adhesion when hypertension is superimposed on aging. Hypertension, 65(2), 370-377.

Shah, N., Shah, Q., & Shah, A. J. (2018). The burden & high prevalence of hypertension in Pakistani adolescents: a meta-analysis of the published studies. Archives of public health, 76(1), 1-10.

Shin, J. Y., Kim, J. M., & Kim, Y. (2013). Associations between dietary patterns & hypertension among Korean adults: the Korean National Health & Nutrition Examination Survey (2008-2010). Nutrition research & practice, 7(3), 224-232.

Singh, M. V., Cicha, M. Z., Meyerholz, D. K., Chapleau, M. W., & Abboud, F. M. (2015). Dual activation of TRIF & MyD88 adaptor proteins by angiotensin II evokes opposing effects on pressure, cardiac hypertrophy, & inflammatory gene expression. Hypertension, 66(3), 647-656.

Singh, S., Shankar, R., & Singh, G. P. (2017). Prevalence & associated risk factors of hypertension: a cross-sectional study in urban Varanasi. International journal of hypertension, 2017.

Smrcka, A. V. (2008). G protein βγ subunits: central mediators of G protein-coupled receptor signaling. Cellular and molecular life sciences, 65(14), 2191-2214.

Speed, J. S., Fox, B. M., Johnston, J. G., & Pollock, D. M. (2015, March). Endothelin & renal ion & water transport. In Seminars in nephrology (Vol. 35, No. 2, pp. 137-144). WB Saunders.

Speed, J. S., Heimlich, J. B., Hyndman, K. A., Fox, B. M., Patel, V., Yanagisawa, M., ... & Pollock, D. M. (2015). Endothelin‐1 as a master regulator of whole‐body Na+ homeostasis. The Federation Of American Societies Experimental Biology Journal, 29(12), 4937-4944.

Stow, L. R., Jacobs, M. E., Wingo, C. S., & Cain, B. D. (2011). Endothelin‐1 gene regulation. The Federation Of American Societies Experimental Biology Journal, 25(1), 16-28.

Sun, Z. (2015). Aging, arterial stiffness, & hypertension. Hypertension, 65(2), 252-256.

Tabrizi, J. S., Sadeghi-Bazargani, H., Farahbakhsh, M., Nikniaz, L., & Nikniaz, Z. (2016). Prevalence & associated factors of prehypertension & hypertension in Iranian population: the Lifestyle Promotion Project (LPP). PloS one, 11(10), e0165264.

Tchalla, A. E., Wellenius, G. A., Travison, T. G., Gagnon, M., Iloputaife, I., Dantoine, T., ... & Lipsitz, L. A. (2015). Circulating vascular cell adhesion molecule-1 is associated with cerebral blood flow dysregulation, mobility impairment, & falls in older adults. Hypertension, 66(2), 340-346.

Thomas, S. J., Booth III, J. N., Dai, C., Li, X., Allen, N., Calhoun, D., ... & Muntner, P. (2018). Cumulative incidence of hypertension by 55 years of age in blacks & whites: the CARDIA study. Journal of the American Heart Association, 7(14), e007988.

Unic, A., Derek, L., Hodak, N., Marijancevic, D., Ceprnja, M., Serdar, T., ... & Romic, Z. (2011). Endothelins-clinical perspectives. Biochemia Medica, 21(3), 231-242.

Villarreal-Zegarra, D., Carrillo-Larco, R. M., & Bernabe-Ortiz, A. (2021). Short-term trends in the prevalence, awareness, treatment, & control of arterial hypertension in Peru. Journal of human hypertension, 35(5), 462-471.

Weil, B. R., Westby, C. M., Van Guilder, G. P., Greiner, J. J., Stauffer, B. L., & DeSouza, C. A. (2011). Enhanced endothelin-1 system activity with overweight & obesity. American Journal of Physiology-Heart & Circulatory Physiology, 301(3), H689-H695.

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., & Dennison-Himmelfarb, C. (2018). A guideline for the prevention, detection, evaluation & management of high blood pressure. A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Hypertension, 71, e13-e115.

Wilk, G., Osmenda, G., Matusik, P., Nowakowski, D., Jasiewicz Honkisz, B., Ignacak, A., ... & Guzik, T. J. (2013). Endothelial function assessment in atherosclerosis: comparison of brachial artery flow mediated vasodilation & peripheral arterial tonometry. Polish Archives of Internal Medicine, 123(9), 443-452.

Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., ... & Desormais, I. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) & the European Society of Hypertension (ESH). European heart journal, 39(33), 3021-3104.

Wirth, A., Wang, S., Takefuji, M., Tang, C., Althoff, T. F., Schweda, F., ... & Offermanns, S. (2016). Age-dependent blood pressure elevation is due to increased vascular smooth muscle tone mediated by G-protein signalling. Cardiovascular Research, 109(1), 131-140.

World Health Organization WHO. (2011). World Health Organization Global Status Report on Non Communicable Diseases 2010.

World Health Orgsnization Hypertension.Organization. Available onlion (accessed on 30 August 2021).https://www.who.int/westernpacific/health-topics/hypertension

Xi, B., Huang, Y., Reilly, K. H., Li, S., Zheng, R., Barrio-Lopez, M. T., ... & Zhou, D. (2015). Sugar-sweetened beverages & risk of hypertension & CVD: a dose–response meta-analysis. British Journal of Nutrition, 113(5), 709-717.

Yanagisawa, M., Kurihara, H., Kimura, S., Tomobe, Y., Kobayashi, M., Mitsui, Y., ... & Masaki, T. (1988). A novel potent vasoconstrictor peptide produced by vascular endothelial cells. nature, 332(6163), 411-415.

Yodoi, K., Yamashita, T., Sasaki, N., Kasahara, K., Emoto, T., Matsumoto, T., ... & Hirata, K. I. (2015). Foxp3+ regulatory T cells play a protective role in angiotensin II–induced aortic aneurysm formation in mice. Hypertension, 65(4), 889-895.

Zhang, Y., Yang, H., Ren, M., Wang, R., Zhao, F., Liu, T., ... & Cong, H. (2021). Distribution of risk factors of hypertension patients in different age groups in Tianjin. BMC Public Health, 21(1), 1-10.

Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., ... Breckenkamp, J. (2021). Worldwide trends in hypertension prevalence & progress in treatment & control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet, 398(10304), 957-980.

Zolk, O., Münzel, F., & Eschenhagen, T. (2004). Effects of chronic endothelin-1 stimulation on cardiac myocyte contractile function. American Journal of Physiology-Heart & Circulatory Physiology, 286(4), H1248-H1257.

Downloads

Published

2022-12-27

How to Cite

Sharif, S., Maqbool, R., & Naz, S. (2022). Role of Endothelin in Hypertension: A Review. Scientific Reports in Life Sciences, 3(4), 68–83. https://doi.org/10.5281/zenodo.7487458