Hormonal Environment Shapes the Oral Microbiome

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Steroid hormones in oral fluids dynamically interact with the oral microbiome, influencing bacterial growth and host-microbial crosstalk, with implications for oral and systemic health.

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This paper studied how hormonal dynamics in oral fluids influence the oral microbiome, emphasizing bidirectional host–microbe interactions at the gingival biofilm niche versus saliva’s transient planktonic community. It reports that steroid and stress hormone fluctuations can shift which bacteria thrive, and that specific oral microorganisms can metabolize steroid hormones in ways that may perturb host regulation. The paper’s major caveat is that it is a high-level synthesis emphasizing mechanistic and associative evidence across the literature rather than presenting new experimental data or a unified study design. Relevance to endometriosis: the paper cites hormonal imbalances associated with systemic diseases including endometriosis as part of the broader hormone–microbiome framework, though its main focus is the general relationship between hormones and the oral microbiome. This paper is centrally about endometriosis — it mentions endometriosis only as an example within a hormone-associated systemic disease context.

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Abstract

Hormones are present in oral fluids and undergo dynamic changes throughout life. Hormonal changes can influence the interactions between the microbial community and the host. The oral microbiome is sensitive to changes in the oral environment, and hormonal fluctuations can create conditions that favour the growth of certain types of bacteria over others. Since the gingival niche harbours the resident microbial community in the biofilm form, while saliva has a transient microbiota in the planktonic form, both could modulate the host-microbial interaction under hormonal oscillations.The microbiome and hormones have a dynamic bidirectional interaction. Specific oral microorganisms can metabolize steroid hormones, disrupting their host regulation. Hormones can serve as host-microbial crosstalk related to health and disease. Hormonal imbalances are associated with systemic diseases such as polycystic ovary syndrome, endometriosis, cortisol-related conditions and oral cancer. Elucidating the complex relationship between steroid hormones and the oral microbiome offers valuable insights into the mechanisms of the disease and potential therapeutic avenues for maintaining oral and systemic health.
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Abstract

Hormones are present in oral fluids and undergo dynamic changes throughout life. Hormonal changes can influence the interactions between the microbial community and the host. The oral microbiome is sensitive to changes in the oral environment, and hormonal fluctuations can create conditions that favour the growth of certain types of bacteria over others. Since the gingival niche harbours the resident microbial community in the biofilm form, while saliva has a transient microbiota in the planktonic form, both could modulate the host–microbial interaction under hormonal oscillations. The microbiome and hormones have a dynamic bidirectional interaction. Specific oral microorganisms can metabolize steroid hormones, disrupting their host regulation. Hormones can serve as host–microbial crosstalk related to health and disease. Hormonal imbalances are associated with systemic diseases such as polycystic ovary syndrome, endometriosis, cortisol-related conditions and oral cancer. Elucidating the complex relationship between steroid hormones and the oral microbiome offers valuable insights into the mechanisms of the disease and potential therapeutic avenues for maintaining oral and systemic health. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Abbreviations - 11β-HSD2: - 11β-hydroxysteroid dehydrogenase 2 - ARs: - Androgen receptors - CXCL1: - Chemokine (C-X-C motif) ligand 1 - DHT: - 5 alpha-dihydrotestosterone - ERα: - Oestrogen receptor alpha - ERβ: - Oestrogen receptor beta - GCF: - Gingival crevicular fluid - GRs: - Glucocorticoid receptors - GUS: - β-glucuronidases - IL-1beta: - Interleukin-1 beta - OSCC: - Oral squamous cell carcinoma - PCOS: - Polycystic ovary syndrome - TGF-beta1: - Transforming growth factor beta 1

References

Achu Joseph R, Ajitkumar S, Subbusamy Kanakasabapathy B, Santhanakrishnan M (2023) Evaluation of microbial profile in patients with polycystic ovary syndrome and periodontal disease: a case-control study. Int J fertil Steril [Internet] 17(4) [cited 2024 May 1]. https://doi.org/10.22074/ijfs.2023.550187.1272 Adriaens LM, Alessandri R, Spörri S, Lang NP, Persson GR (2009) Does pregnancy have an impact on the subgingival microbiota? J Periodontol 80(1):72–81 Agha-Hosseini F, Mirzaii-Dizgah I, Mansourian A, Khayamzadeh M (2009) Relationship of stimulated saliva 17β-estradiol and oral dryness feeling in menopause. Maturitas 62(2):197–199 Akcalı A, Huck O, Buduneli N, Davideau JL, Köse T, Tenenbaum H (2014a) Exposure of Porphyromonas gingivalis to cortisol increases bacterial growth. Arch Oral Biol 59(1):30–34 Akcalı A, Bostanci N, Özçaka Ö, Öztürk-Ceyhan B, Gümüş P, Buduneli N et al (2014b) Association between polycystic ovary syndrome, oral microbiota and systemic antibody responses. Abrams WR, editor. PLoS One 9(9):e108074 Akyu (T)R, Tomihara K, Yamazaki M, Moniruzzaman R, Heshiki W, Sekido K et al (2021) Protumor role of estrogen receptor expression in oral squamous cell carcinoma cells. Oral Surg Oral Med Oral Pathol Oral Radiol 132(5):549–565 Andrikopoulou M, Chatzistamou I, Gkilas H, Vilaras G, Sklavounou A (2013) Assessment of Angiogenic markers and female sex hormone receptors in pregnancy tumor of the gingiva. J Oral Maxillofac Surg 71(8):1376–1381 Ardila CM, Guzmán IC (2016) Association of P orphyromonas gingivalis with high levels of stress-induced hormone cortisol in chronic periodontitis patients. J Invest Clin Dent 7(4):361–367 Becerik S, Özçaka Ö, Nalbantsoy A, Atilla G, Celec P, Behuliak M et al (2010) Effects of menstrual cycle on periodontal health and gingival crevicular fluid markers. J Periodontol 81(5):673–681 Cakmak O, Tasdemir Z, Aral CA, Dundar S, Koca HB (2016) Gingival crevicular fluid and saliva stress hormone levels in patients with chronic and aggressive periodontitis. J Clin Periodontol 43(12):1024–1031 Carrillo-de-Albornoz A, Figuero E, Herrera D, Bascones-Martínez A (2010) Gingival changes during pregnancy: II. Influence of hormonal variations on the subgingival biofilm. J Clin Periodontol 37(3):230–240 Celec P, Ostatníková D, Putz Z, Hodosy J, Burský P, Stárka L et al (2003) Circatrigintan cycle of salivary testosterone in human male. Biol Rhythm Res 34(3):305–315 Chaitra TR, Manuja N, Sinha AA, Kulkarni AU (2012) Hormonal effect on gingiva: pubertal gingivitis. Case Rep 2012(aug27 1):bcr2012006193 Chen C, Song X, Wei W, Zhong H, Dai J, Lan Z et al (2017) The microbiota continuum along the female reproductive tract and its relation to uterine-related diseases. Nat Commun 8(1):875 Chen P, Hong F, Yu X (2022) Prevalence of periodontal disease in pregnancy: a systematic review and meta-analysis. J Dent 125:104253 Cirillo N, Hassona Y, Pignatelli M, Gasparoto TH, Morgan DJ, Prime SS (2012) Characterization of a novel oral glucocorticoid system and its possible role in disease. J Dent Res 91(1):97–103 Clark DT, Soory M (2006) The metabolism of cholesterol and certain hormonal steroids by Treponema denticola. Steroids 71(5):352–363 Coombes Z, Yadav V, McCoubrey L, Freire C, Basit A, Conlan R et al (2020) Progestogens are metabolized by the gut microbiota: implications for colonic drug delivery. Pharmaceutics 12(8):760 Cornejo Ulloa P, Van Der Veen MH, Brandt BW, Buijs MJ, Krom BP (2023) The effect of sex steroid hormones on the ecology of in vitro oral biofilms. Biofilms 6:100139 Cui J, Shen Y, Li R (2013) Estrogen synthesis and signaling pathways during aging: from periphery to brain. Trends Mol Med 19(3):197–209 Demirel KJ, Guimaraes AN, Demirel I (2022) Effects of estradiol on the virulence traits of Porphyromonas gingivalis. Sci Rep 12(1):13881 Doll C, Arsenic R, Lage H, Jöhrens K, Hartwig S, Nelson K et al (2015) Expression of estrogen receptors in OSCC in relation to histopathological grade. Anticancer Res 35(11):5867–5872 Doll C, Bestendonk C, Kreutzer K, Neumann K, Pohrt A, Trzpis I et al (2021) Prognostic significance of estrogen receptor alpha in oral squamous cell carcinoma. Cancers 13(22):5763 Dou Y, Xin J, Zhou P, Tang J, Xie H, Fan W et al (2023) Bidirectional association between polycystic ovary syndrome and periodontal diseases. Front Endocrinol (Lausanne) 14:1008675 Duran-Pinedo AE, Solbiati J, Frias-Lopez J (2018) The effect of the stress hormone cortisol on the metatranscriptome of the oral microbiome. NPJ Biofilms Microbiomes 4(1):25 Ervin SM, Li H, Lim L, Roberts LR, Liang X, Mani S et al (2019) Gut microbial β-glucuronidases reactivate estrogens as components of the estrobolome that reactivate estrogens. J Biol Chem 294(49):18586–18599 Fteita D, Könönen E, Söderling E, Gürsoy UK (2014) Effect of estradiol on planktonic growth, coaggregation, and biofilm formation of the Prevotella intermedia group bacteria. Anaerobe 27:7–13 Fteita D, Könönen E, Gürsoy M, Söderling E, Gürsoy UK (2015) Does estradiol have an impact on the dipeptidyl peptidase IV enzyme activity of the Prevotella intermedia group bacteria? Anaerobe 36:14–18 Fujiwara N, Tsuruda K, Iwamoto Y, Kato F, Odaki T, Yamane N et al (2017) Significant increase of oral bacteria in the early pregnancy period in Japanese women. J Invest Clin Dent 8(1):e12189 Gandara BK, Leresche L, Mancl L (2007) Patterns of salivary estradiol and progesterone across the menstrual cycle. Ann N Y Acad Sci 1098(1):446–450 Garbellotto GI, Reis FJ, Feoli AMP, Piovesan CH, Gustavo ADS, Oliveira MDS et al (2018) Salivary cortisol and metabolic syndrome component’s association. ABCD, Arq Bras Cir Dig [Internet] 31(1) 21 [cited 2024 May 1]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100312&lng=en&tlng=en García-Gómez E, González-Pedrajo B, Camacho-Arroyo I (2013) Role of sex steroid hormones in bacterial-host interactions. Biomed Res Int 2013:1–10 Genco RJ, LaMonte MJ, McSkimming DI, Buck MJ, Li L, Hovey KM et al (2019) The subgingival microbiome relationship to periodontal disease in older women. J Dent Res 98(9):975–984 Golecka-Bakowska M, Mierzwinska-Nastalska E, Bychawska M (2010) Influence of hormone supplementation therapy on the incidence of denture stomatitis and on chemiluminescent activity of polymorphonuclear granulocytes in blood of menopausal-aged women. Eur J Med Res 15(S2):46 Gregory S, Denham SG, Lee P, Simpson JP, Homer NZM (2023) Using LC-MS/MS to determine salivary steroid reference intervals in a European older adult population. Meta 13(2):265 Gusberti FA, Mombelli A, Lang NP, Minder CE (1990) Changes in subgingival microbiota during puberty. A 4-year longitudinal study. J Clin Periodontol 17(10):685–692 Hu A, He J, Chu KH, Yu CP (2011) Genome sequence of the 17β-estradiol-utilizing bacterium sphingomonas strain KC8. J Bacteriol 193(16):4266–4267 Hu S, Ding Q, Zhang W, Kang M, Ma J, Zhao L (2023) Gut microbial beta-glucuronidase: a vital regulator in female estrogen metabolism. Gut Microbes 15(1):2236749 Iqbal J, Zaidi M (2009) Understanding Estrogen Action during Menopause. Endocrinology 150(8):3443–3445 Jang H, Patoine A, Wu TT, Castillo DA, Xiao J (2021) Oral microflora and pregnancy: a systematic review and meta-analysis. Sci Rep 11(1):16870 Jentsch HFR, März D, Krüger M (2013) The effects of stress hormones on growth of selected periodontitis related bacteria. Anaerobe 24:49–54 Jönsson D, Andersson G, Ekblad E, Liang M, Bratthall G, Nilsson BO (2004) Immunocytochemical demonstration of estrogen receptor β in human periodontal ligament cells. Arch Oral Biol 49(1):85–88 Kaan AMM, Kahharova D, Zaura E (2000) Acquisition and establishment of the oral microbiota. Periodontol 86(1):123–141 Katz J, Onate MD, Pauley KM, Bhattacharyya I, Cha S (2011) Presence of Porphyromonas gingivalis in gingival squamous cell carcinoma. Int J Oral Sci 3(4):209–215 Kavoussi SK, West BT, Taylor GW, Lebovic DI (2009) Periodontal disease and endometriosis: analysis of the National Health and Nutrition Examination survey. Fertil Steril 91(2):335–342 Konishi S, Brindle E, Guyton A, O’Connor KA (2012) Salivary concentration of progesterone and cortisol significantly differs across individuals after correcting for blood hormone values. Am J Phys Anthropol 149(2):231–241 Kumar PS (2000) Sex and the subgingival microbiome: do female sex steroids affect periodontal bacteria? Periodontol 61(1):103–124 Kumuda R, Suchetha K, Subhas GB, Urvashi AS, Harshini U (2018) Estimation of salivary cortisol level in post-menopausal women with psychosomatic disorders. Afr H Sci [Internet] 18(2) 22 [cited 2024 May 1]; Available from: https://www.ajol.info/index.php/ahs/article/view/173582 Lamont RJ, Koo H, Hajishengallis G (2018) The oral microbiota: dynamic communities and host interactions. Nat Rev Microbiol 16(12):745–759 Leimola-Virtanen R, Salo T, Toikkanen S, Pulkkinen J, Syrjänen S (2000) Expression of estrogen receptor (ER) in oral mucosa and salivary glands. Maturitas 36(2):131–137 Li X (Sunny), Li S, Kellermann G (2018) Simultaneous determination of three estrogens in human saliva without derivatization or liquid-liquid extraction for routine testing via miniaturized solid phase extraction with LC-MS/MS detection. Talanta 178:464–472 Lietzan AD, Simpson JB, Walton WG, Jariwala PB, Xu Y, Boynton MH et al (2023) Microbial β-glucuronidases drive human periodontal disease etiology. Sci Adv 9(18):eadg3390 Lin W, Jiang W, Hu X, Gao L, Ai D, Pan H et al (2018) Ecological shifts of Supragingival microbiota in association with pregnancy. Front Cell Infect Microbiol 8:24 Ly LK, Doden HL, Ridlon JM (2021) Gut feelings about bacterial steroid-17,20-desmolase. Mol Cell Endocrinol 525:111174 Mariotti A, Mawhinney M (2000) Endocrinology of sex steroid hormones and cell dynamics in the periodontium. Periodontology 61(1):69–88 Marocchio LS, Giudice F, Corrêa L, Pinto Junior DDS, De Sousa SOM (2013) Oestrogens and androgen receptors in oral squamous cell carcinoma. Acta Odontol Scand 71(6):1513–1519 Mierzwińska-Nastalska E, Golecka-Bąkowska M, Bychawska M, Spiechowicz E (2013) Experimental immunology effect of hormone replacement therapy on the incidence and extent of Candida -associated denture stomatitis. CEJOI 2:226–230 Min Q, Chen Y, Geng H, Gao Q, Zhang X, Xu M (2024) Causal relationship between PCOS and related sex hormones with oral inflammatory diseases: a bidirectional Mendelian randomization study. Front Endocrinol 14:1282056 Mirmonsef P, Hotton AL, Gilbert D, Burgad D, Landay A, Weber KM et al (2014) Free glycogen in vaginal fluids is associated with lactobacillus colonization and low vaginal pH. Fredricks DN, editor. PLoS One 9(7):e102467 Mutneja P, Dhawan P, Raina A, Sharma G (2012) Menopause and the oral cavity. Indian J Endocr Metab 16(4):548 Nagy KN, Sonkodi I, Szöke I, Nagy E, Newman HN (1998) The microflora associated with human oral carcinomas. Oral Oncol 34(4):304–308 Narikiyo M, Tanabe C, Yamada Y, Igaki H, Tachimori Y, Kato H et al (2004) Frequent and preferential infection of Treponema denticola, Streptococcus mitis, and Streptococcus anginosus in esophageal cancers. Cancer Sci 95(7):569–574 Ojanotko-Harri A, Nikkari T, Harrl M, Paunio K (1990) Metabolism of progesterone and testosterone by Bacillus cereus strain Socransky 67 and Streptococcus mutans strain Ingbritt. Oral Microbiol Immunol 5(4):237–239 Ojanotko-Harri A, Laine M, Tenovuo J (1991) Metabolism of 17B-estradiol by oral Streptococcus mutans, streptococcus sanguis, Bacillus cereus and Candida albicans. Oral Microbiol Immunol 6(2):126–128 Ojanotko-Harri A, Forssell H, Laine M, Hurttia H, Bläuer M, Tuohimaa P (1992) Immunohistochemical detection of androgen receptors in human oral mucosa. Arch Oral Biol 37(6):511–514 Pan F, Zhang R, Wang G, Ding Y (2011) Oestrogen receptors are involved in the osteogenic differentiation of periodontal ligament stem cells. Biosci Rep 31(2):117–124 Parkar MH, Newman HN, Olsen I (1996) Polymerase chain reaction analysis of oestrogen and androgen receptor expression in human gingival and periodontal tissue. Arch Oral Biol 41(10):979–983 Peters B, Santoro N, Kaplan R, Qi Q (2022) Spotlight on the gut microbiome in menopause: current insights. IJWH 14:1059–1072 Plottel CS, Blaser MJ (2011) Microbiome and malignancy. Cell Host Microbe 10(4):324–335 Roberts A, Matthews JB, Socransky SS, Freestone PPE, Williams PH, Chapple ILC (2002) Stress and the periodontal diseases: effects of catecholamines on the growth of periodontal bacteria in vitro. Oral Microbiol Immunol 17(5):296–303 Roman-Torres CVG, Lourenço MEQ, Ferraz TS, Elias TDAB, Araújo MTMD, Pereira ACDJ et al (2023) Does the relationship between endometriosis and periodontal disease really exist? A systematic review. JAMMR 35(19):346–351 Santana LCL, Spolidorio LC, Pitombo JCP, Basso FG, Guarenghi GG, Prates RC et al (2020) Testosterone increases fibroblast proliferation in vitro through androgen and estrogen receptor activation. J Int Acad Periodontol 22(3):146–155 Saúco C, Rus MJ, Nieto MR, Barros C, Cantiga-Silva C, Lendines-Cordero D et al (2023) Hyposalivation but not Sjögren’s syndrome associated with microbial dysbiosis in women. Front Microbiol 14:1240891 Schmidt BL, Kuczynski J, Bhattacharya A, Huey B, Corby PM, Queiroz ELS et al (2014) Changes in abundance of oral microbiota associated with oral cancer. PLoS One 9(6):e98741 Simon JC, Marchesi JR, Mougel C, Selosse MA (2019) Host-microbiota interactions: from holobiont theory to analysis. Microbiome 7(1):5 Sobstyl A, Chałupnik A, Mertowska P, Grywalska E (2023) How do microorganisms influence the development of endometriosis? Participation of genital, intestinal and oral microbiota in metabolic regulation and immunopathogenesis of endometriosis. IJMS 24(13):10920 Sooriyamoorthy M, Gower DB (1989) Hormonal influences on gingival tissue: relationship to periodontal disease. J Clin Periodontol 16(4):201–208 Soory M (1995) Bacterial steroidogenesis by periodontal pathogens and the effect of bacterial enzymes on steroid conversions by human gingival fibroblasts in culture. J Periodontal Res 30(2):124–131 Suri R, Hellemann G, Cohen L, Aquino A, Altshuler L (2008) Saliva Estriol levels in women with and without prenatal antidepressant treatment. Biol Psychiatry 64(6):533–537 Tang X, Meng H, Han J, Zhang L, Hou J, Zhang F (2008) Up-regulation of estrogen receptor-β expression during osteogenic differentiation of human periodontal ligament cells. J Periodontal Res 43(3):311–321 Tatullo M, Nor J, Orrù G, Piattelli A, Cascardi E, Spagnuolo G (2024) Oral–gut–estrobolome axis may exert a selective impact on Oral cancer. J Dent Res 00220345241236125 Teles F, Wang Y, Hajishengallis G, Hasturk H, Marchesan JT (2000) Impact of systemic factors in shaping the periodontal microbiome. Periodontology 85(1):126–160 Thomas V, Uppoor A, Pralhad S, Naik D, Kushtagi P (2018) Towards a common etiopathogenesis: periodontal disease and endometriosis. J Hum Reprod Sci 11(3):269 Tomasovic-Loncaric C, Fucic A, Andabak A, Andabak M, Ceppi M, Bruzzone M et al (2019) Androgen receptor as a biomarker of oral squamous cell carcinoma progression risk. Anticancer Res 39(8):4285–4289 Tramice A, Paris D, Manca A, Guevara Agudelo FA, Petrosino S, Siracusa L et al (2022) Analysis of the oral microbiome during hormonal cycle and its alterations in menopausal women: the “AMICA” project. Sci Rep 12(1):22086 Valimaa H, Savolainen S, Soukka T, Silvoniemi P, Makela S, Kujari H et al (2004) Estrogen receptor-beta is the predominant estrogen receptor subtype in human oral epithelium and salivary glands. J Endocrinol 180(1):55–62 Vittek J, Gordon GG, Rappaport SC, Munnangi PR, Southren AL (1982) Specific progesterone receptors in rabbit gingiva. J Periodontal Res 17(6):657–661 Welling LLM, Jones BC, DeBruine LM, Conway CA, Law Smith MJ, Little AC et al (2007) Raised salivary testosterone in women is associated with increased attraction to masculine faces. Horm Behav 52(2):156–161 Wojcicki CJ, Harper DS, Robinson PJ (1987) Differences in periodontal disease-associated microorganisms of subgingival plaque in Prepubertal, pubertal and Postpubertal children. J Periodontol 58(4):219–223 Yang X, Guo Y, He J, Zhang F, Sun X, Yang S et al (2017) Estrogen and estrogen receptors in the modulation of gastrointestinal epithelial secretion. Oncotarget 8(57):97683–97692 Yang CY, Yeh YM, Yu HY, Chin CY, Hsu CW, Liu H et al (2018) Oral microbiota community dynamics associated with oral squamous cell carcinoma staging. Front Microbiol 9:862 Yeoh CC, Dabab N, Rigby E, Chhikara R, Akaev I, Gomez RS et al (2018) Androgen receptor in salivary gland carcinoma: a review of an old marker as a possible new target. J Oral Pathol Med 47(7):691–695 Zhang X, Li Y, Liu J, Liu X, Wang Z, Hu B (2006) Glucocorticoid receptor subunit gene expression in parotid gland and adenomas. Otolaryngol Head Neck Surg 135(6):849–852 Zhang B, Wu C, Chen W, Qiu L, Li S, Wang T et al (2020) The stress hormone norepinephrine promotes tumor progression through β2-adrenoreceptors in oral cancer. Arch Oral Biol 113:104712

Acknowledgements

This work was supported by the Spanish Ministry of Science and Innovation Grant ID PID2020-118557GA-I00 funded by MICIU/AEI/10.13039/501100011033 (Aurea Simon-Soro) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001 (Flávio Duarte Faria). Figure cartoons were created with BioRender.com. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2025 The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Rus, M.J., Sauco Carballo, C., Faria, F.D., Simon-Soro, A. (2025). Hormonal Environment Shapes the Oral Microbiome. In: Dame-Teixeira, N., Deng, D., Do, T. (eds) Oral Microbiome. Advances in Experimental Medicine and Biology, vol 1472. Springer, Cham. https://doi.org/10.1007/978-3-031-79146-8_14 Download citation DOI: https://doi.org/10.1007/978-3-031-79146-8_14 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-031-79145-1 Online ISBN: 978-3-031-79146-8 eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)

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