Abstract
Hydroxyapatite [Ca10(PO4)6(OH)2] (HAp) has been regarded as a bone mineral, which acts as a grafting material due to its similar chemical composition with natural bones. HAp is thermodynamically stable at physiological pH and actively takes part in bone bonding. This property led has lead to HAp being widely used for rapid bone repair. HAp is derived from natural bio wastes such as fish scale which is the most definite standard source of both organic and inorganic constituents like collagen and hydroxyapatite. Titanium biomimetic method with the immersion of Stimulated Body Fluid solution were also used widely used for the precipitation of hydroxyapatite synthetically. Hence scales of Sardinella longiceps and titanium are chosen to be the essential source for the isolation of hydroxyapatite (HAp) in this current study. X-Ray Diffraction, Fourier-Transform Infrared spectrometry, Scanning Electron Microscopy confirms the phase, structural integrity and size of isolated HAp. Biocompatibility and calcium deposit assay with osteoblast cell line demonstrates the non-toxicity and efficiency of calcium deposits by HAp scales rather than synthetically derived Titanium mediated HAp. Hydroxyapatite can be doped with bactericidal silver nitrate and a biopolymer, bioadsorbable chitosan for the controlled release, targeted delivery, and corrosion resistance.
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1 Introduction
The repair of damaged tissues is generally performed using autologous and allogenic grafts [1]. The most essential improvement in the tissue engineering, proposed the biomimetic processes through which natural biomaterials will be used to treat during loss of regenerative tissues or organ. Biomaterials actually interact with the organisms, mimics or improves the tissues and organs regeneration and also enhances their functions [2]. Particularly, biomaterials like hydroxyapatite induce osteointegration leading to bone repair or regeneration [3, 4].
Hydroxyapatite [Ca10(PO4)6(OH)2] constitutes the mineral phase of calcified tissues, hence called a bioceramic [5, 6].This bioceramic has various dimensional characteristics like rods, spheres, fibrous, and as platelets based on the surfactants used for extraction [7]. HAp is derived from natural bio wastes such as fish bone and fish scales [8]. Fish waste is the most definite standard source of protein, unsaturated fatty acids, antioxidants and antimicrobial peptides, but these wastes especially scales were considered worthless, though it constitutes both organic and inorganic constituents like collagen and hydroxyapatite [9]. The elasmoid scales mainly consist of hydroxyapatite (mineral component), type I collagen (organic component) and water [10,11,12]. In this current study, elasmoid scales of Sardinella longiceps were chosen to be the essential source for the isolation of hydroxyapatite (HAp).
Over 18–30 million tons of fish wastes are generated worldwide per year. The actual biomass of wastes generated through fish industries weighs about 50%. Among those, 4% are fish scales which are considered worthless [9]. As stated earlier, since these fish scales constitutes both organic and inorganic compounds like HAp and collagen the scientific world focused on extracting and characterizing the biopolymer collagen which has many industrial values. But in recent years the scientific research has focused on HAp for bone grafting and to determine its osteoconductivity. Hence this particular research focused on extracting and characterizing the optimized HAp. Extraction of any biologically active compounds from wastes plays a major role in today’s economic world. Hence, HAp from the fish scales will definitely have economic value and will help in fisheries waste management.
The culture status of sardines is almost 3.27 million tons worldwide and on an average in India it ranges to 3.57 lakhs. Important species of sardines that contribute the total production are Sardinella longiceps (10.8%), Sardina pilchardus (33.6%). Among 3.57 lakhs of sardines, 2.56 lakhs of Indian oil sardines (Sardinella longiceps) are cultured [13]. The waste generation from sardines will be really high comparative to other fish sources by considering the culture condition. Hence this current study specifically focused on HAp extraction from Sardinella longiceps. This may help in production of bioceramic HAp in a sustainable and an eco-friendly approach.
The biomaterial’s surface topography, chemistry and mechanical characteristics greatly involve in cell functions by triggering sequential molecular events at the cell-material interface: cell adhesion, migration, proliferation and differentiation [4]. In this study, we are trying to establish the structural character of HAp doped with silver nanoparticles and chitosan. We have also tried to establish the antibacterial activity of the above said combination of molecules.
2 Methodology
2.1 Sample collection
Sardinella longiceps (Sardine) were purchased from the local market of Kancheepuram district, Tamilnadu, India. The scales were peeled off and used for this current study.
2.2 Hydroxyapatite isolation from fish scales
Hydroxyapatite (HAp) was isolated from fish scales using thermal decomposition method, a biologically safe and highly productive process which can provide fine nanostructures by heating the complete volume of sample solution and efficient radiative energy transfer [14]. Briefly, the fish Sardinella longiceps scales were peeled off, washed with distilled water and 30 g of dried scales were subjected to deproteinization using 1 N HCl and 1 N NaOH, respectively. The deproteinized scales were dried at 60 °C for 1 h and finally calcined at different temperatures with gradual increment (50, 70, 90, 100, and 120 °C) for synthesizing HAp powder [8].
2.3 Hydroxyapatite powder characterization
The isolated Hydroxyapatite (HAp) powder was characterized for its structure and chemical composition by FTIR, XRD, SEM, TG–DTA analysis [9]. The thermal stability of isolated HAp powder was determined by Thermo Gravimetric and Differential Thermal Analysis (TG–DTA) using thermal analyzer (NETZSCH Jupiter STA 491) at temperature ranging from 30 to 1250 °C. The phase and purity of crystalline HAp was determined by X-ray diffractometer (PANalytical, 207756, Netherlands). FTIR analysis of calcined HAp powder was performed using FTIR spectrometer (SHIMADZU, Irtracer 100) for the structural confirmation. The average particle size of powder was observed using Field Emission Scanning Electron Microscope (FEI, Quanta 200).
2.4 Titanium mediated synthesis of hydroxyapatite
Titanium biomimetic method is generally used for Ti coating with HAp. Briefly, the commercial pure titanium (cp-Ti) grade 4 which was used a substrate and was treated with 5 M NaOH and stored at 60 °C for 24 h which produce active metal site precipitating hydroxyapatite. Then the substrate is heated at 600 °C and cooled for 1 h resulting in release of hydrated phase and forms a stable layer of HAp. Then immersed sequentially in sodium silicate solution at 37 °C for seven days and 1.5 Stimulated Body Fluid (SBF) solution (pH 7) for 7 days (Nucleation) which accelerates hydroxyapatite precipitation by increasing saturation.
2.5 Optimization of hydroxyapatite
2.5.1 Extraction of chitosan and doping of HAp with AgNo3 and chitosan
The fish scales of Sardinella longiceps were peeled off, washed and dried for 4 days. Subsequently, 20 g of dried scales were treated with 4% NaOH and incubated for 1 day. The scales were then washed a number of times with distilled water which led to deproteinization of scales. Following which, of 4% HCL was added and incubated at 37 °C for 12 h till demineralization occurs yielding chitin. After several washes with distilled water the chitin was incubated in a mixture of 1% KMnO4 and 1% oxalic acid for 2 h. Oxidized chitin was then incubated in 65% NaOH for 3 days for the deacytylation to occur to form chitosan and further dried at 100 °C [15].
HAp scales obtained during the above procedure was added with 10 ppm AgNO3 and 1% chitosan and left undisturbed for 5 seconds which leads to the combination consisting of HAp, AgNO3 and Chitosan (CH) [2].
2.6 Antibacterial activity of doped HAp-AgCH against E. coli
Muller hinton agar (Table 2) plates were swabbed with 100 μl of E. coli after enriching them in the nutrient broth. Once the plates were dried aseptically, wells were made using a sterile gel puncture and 10 μl of HAp-AgCH dissolved in HCl, positive control (Ampicillin) and negative control (HCl) was poured into the respective wells. Then the plates were incubated for overnight at 37 °C. After 24 h of incubation, the zone of inhibition was measured and analyzed [16].
3 Results and discussion
3.1 Hydroxyapatite powder characterization
For long, HAp has been in contention for its bioceramic property, since its structural composition mimics the mineral phase of bones. It also possesses bone grafting property due to their osteoconductivity and biocompatibility [17]. Hence, this study was an attempt to isolate HAp scale and synthesize Ti-HAp and characterize the same in terms of phase purity, structural composition and size using X-ray diffraction analysis, FTIR spectrum and SEM images.
The XRD pattern of derived HAp powder from scales of Sardinella longiceps was determined using continuous scan type XRD. The diffraction pattern of HAp scale was then compared with standard nHAp (commercially available HAp), Ti-HAp, Chitosan and Doped HAp-AgCH (Fig. 1). The well-defined peak of high intensity at 31.84° corresponding to the plane 100 at 2θ and also the standard plane of HAp was found to be (100, 101, 200, 002, 211, 202, 301, 130, 131, 113, 203, 222, 132, 321, 004, 240, 241, 502, 323, and 511) which proved the purity of crystalline HAp powder [8]. The highest peak intensity at 27.66° corresponding to the plane almost to 100 (99.76) at 2θ evaluated that the phase purity of Ti-HAp was low when compared to HAp scales and nHAp, though not significant. It was also observed that all the peaks having 100% intensity at that particular 2θ values were having an ‘n = 1’, which provides information on the order of reflection. The degree of crystallinity of the samples analyzed using the XRD results show that, peaks having the highest intensity are the reflections of the only crystalline materials present in the sample. Thus, the peak positions mentioned above have phase purity and are crystalline in nature.
The purity of a synthesized polysaccharide, namely chitosan was also interpreted for which the intensity was at 29.14° at the plane 100 at 2θ which was similar to the previously reported research [18]. HAp scale was doped with the purified chitosan and silver nitrate. This doped HAp-AgCH was then analyzed for its phase changes by X-ray diffraction analysis. The peak intensity ranged at 31.77° corresponding to the plane 100 at 2θ. This shows that phase purity of HAp doesn’t change when doped with immunostimulants like Ag and Chitosan. Unalloyed silver constitutes high electric, thermal conductivity and low contact resistance [19, 20]. Ag derivatives has effective antimicrobial activity thus helping in therapeutic uses [21]. This antimicrobial property can be gained only through the ionization process in which the silver ion enters into the cell, interacts with the structural and enzymatic proteins resulting in the formation of insoluble products which is responsible for inhibiting the micro-organisms. Specifically, silver nitrate has been greatly involved in the clinical treatment of skin ulcer and bone fracture wherein it assists in wound healing [20].
Chitosan, a polymer has a wide range of applications in cartilage tissue engineering, wound healing and in bone regeneration [22]. It actively involves in delivering therapeutic drugs which accelerates bone growth releasing growth factors. This polymer of chitosan is stretchy but has low mechanical property compared to natural bones and is also non-osteoconductive in nature. But, when combined with biomaterials like HAp, alginate, poly-l-lactic acid and some growth factors it helps in effectively in bone development. This polymer when combined with ceramic materials like HAp induces mechanical strength and osteoconductivity [23, 24]. Thus, this resulting combination (HAp-AgCH) mimics both organic and inorganic components of bone and also greatly supports in bone regeneration.
The functional groups of fish scales HAp was determined and compared with standard nHAp, Ti-HAp, doped HAp-AgCH by FTIR spectroscopy (Fig. 2, Table 1). The spectrum was calculated in the range 4000–500 cm−1. In FTIR every individual peak of the spectrum defines the characteristic of HAp powder. The isolated HAp was confirmed by the definite clear peak at intensity 580.97 cm−1 which strongly corresponds to PO4 group. The bands at intensity between 943.80 and 1073.70 cm−1 also corresponds to the PO4 group which similar to the results observed by [8]. The bands at 873.23 cm−1 and between 1389.09 and 1589.9 cm−1 highly corresponds to adsorbed carbonated groups [9]. The clear peak at 1589.9 and the bands between 3055.96 and 3466.96 cm−1 determines the OH groups. The above obtained spectrum confirms the chemical composition of hydroxyapatite which was similar to the commercially available nHAp.
According to the spectra, Titanium mediated HAp (Ti-HAp) was identified by the absorption peaks of groups PO43− at intensity 565.93 cm−1 and 1030.42 cm−1, and OH at 3751.64 cm−1. The peaks at 871.63 cm−1 and 1398.28 cm−1 represents CO32−. The wavenumbers of every functional group confirms HAp which was synthesized through precipitation of SBF solution. Significantly, the structural configuration of HAp and Ti-HAp are similar. Hence HAp scale can be an effective alternate to chemically synthesized HAp. But these Titanium alloys which is low biocompatible when coated with this effective bioceramic HAp provides accurate bonding with host bones [25].
The doped HAp (HAp-AgCH) was also determined by using Infrared spectrum. Briefly, the peaks at 3274.66 cm−1 determines the stretching OH group. The wavenumber 561.54 represents PO43−, at 1543.31, 1643.43 corresponds to CO32−, at 2849 cm−1 corresponds to the group CH, the peak at 1543.31 and 1634.43 cm−1 represents NH group. The wavenumber 1309.23 cm−1 represents CH2, peak at 1380 cm−1 represents CN group. The peak at 822.09 cm−1 corresponds to COC group.
The isolated HAp was present as soft agglomerates and the size of HAp was estimated to be 8 µm (Fig. 3) and when HAp was doped with silver nitrate and 1% chitosan, HAp-AgCH formed whole massive aggregates which was arranged as stacked plates which would be significant that the HAps would be absorbed easily by the osteoblast cells and helps in effective mineralization, as shape and size of nano-composites play a major role in tissue engineering (Fig. 4). The SEM analysis of HAp derived from fish scale shows the typical appearance of HAps [26]. Further, the spectrum obtained by EDS analysis determined the presence of calcium and phosphorus which confirms the presence of hydroxyapatite [Ca10(PO4)6(OH)] (Fig. 5, Fig. 6).
Thermo gravimetric (TGA) analysis disclosed the phase formation and evaluated the weight loss in the isolated HAp (Fig. 7). The weight loss of the scale was determined by heating between 50 and 1000 °C. The weight loss was observed to be gradually decreasing between the temperature range of 50–400 °C, which can be attributed to the release of water molecules and formation of stable phase. The further decrease in weight of HAp can be attributed to the release or decomposition of organic matter in the scales of Sardinella longiceps, besides the release of water at 400–600 °C. Thermal treatment after 600–1000 °C showed significant decrease in mass due to decarboxylation of HAp which releases CO2 and further HPO42− gets condensed forming stable phase. This revealed the overall thermal stability of isolated hydroxyapatite (HAp) at experimental range would be 600–1000 °C, which was similar to the results shown by previous researches [8, 14]
Antibacterial activity of doped HAp-AgCH was determined using well diffusion method as shown in the (Fig. 8, Tables 2, 3). The highest clear inhibitory zone of HAp-AgCH at 12 mm compared to the positive control (Ampicillin) at 8 mm against E. coli and 22 mm (HAp-AgCH) compared to the positive control (Ampicillin) at 25 mm against Staphylococcus aureus confirmed the effectiveness of Ag doped with HAp-CH in killing the infectious pathogens. This effective inhibition of infectious pathogens by HAp-AgCH is due to the doping of Ag which is actively responsible in killing both aerobic and anaerobic gram positive and gram negative bacteria. It also augments the activity of antibiotics like penicillin G, kanamycin etc. when used in combination with it against bacterial infections [20].
4 Conclusion
From the study we were able to conclude that, the HAp from fish scale and Ti-HAp shared very similar physio-chemical characteristics. Thus, making fish scale a cost-effective alternative to Ti-HAp to be used during bone regeneration processes. Besides thermal stability evaluation of HAp extracted from fish scales exhibited at 600–1000 °C. This thermally stable, cost-effective bioceramic (HAp) on doping with AgNO3 and chitosan might help in augmenting the wound healing property and polymerizing activity respectively during bone repair, besides having a potent antibacterial activity. Further study on the invivo and invitro properties of the bioceramic extracted from an easily available and a cost effective source such as fish waste is necessary for determining its application in the tissue engineering of bone.
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References
Venkatesan J, Lowe B, Manivasagan P, Kang K-H, Chalisserry EP, Anil S, Kim DG, Kim S-K (2015) Isolation and characterization of nano-hydroxyapatite from salmon fish bone. Materials 8:5426–5439. https://doi.org/10.3390/ma8085253
de Sousa LL, Riccia VP, Pradoa DG, Apolinarioa RC, de Oliveira Vercikb LC, da Silva Rigob EC, dos Santos Fernandesc MC, Marianoa NA (2017) Titanium coating with hydroxyapatite and chitosan doped with silver nitrate. Mater Res 20(Suppl. 2):863–868. https://doi.org/10.1590/1980-5373-MR-2017-0021
Marcu T, Todea M, Maines L, Leordean D, Berce P, Popa C (2012) Metallurgical and mechanical characterisation of titanium based materials for endosseous applications obtained by selective laser melting. Powder Metall 55(4):309–314. https://doi.org/10.1179/1743290112Y.0000000007
Brie I-C, Soritaul O, Dirzu N, Berce C, Vulpoi A, Popa C, Todea M, Simon S, Perde-Schrepler M, Virag P, Barbos O, Chereches G, Berceand P, Cernea V (2014) Comparative in vitro study regarding the biocompatibility of titanium-base composites infiltrated with hydroxyapatite or silicatitanate. J Biol Eng 8:14. https://doi.org/10.1186/1754-1611-8-14
Fraga AF, de Almeida Filho E, da Silva Rigo EC, Boschi AO (2011) Synthesis of chitosan/hydroxyapatite membranes coated with hydroxycarbonate apatite for guided tissue regeneration purposes. Appl Surf Sci 257:3888–3892. https://doi.org/10.1016/j.apsusc.2010.11.104
Tripathi RM, Kumar N, Bhadwal AS, Gupta RK, Shrivastav BR, Shrivastav A (2015) Facile and rapid biomimetic approach for synthesis of HAp nanofibers and evaluation of their photocatalytic activity. Mater Lett 140:64–67. https://doi.org/10.1016/j.matlet.2014.10.149
Sanchez-Compos D, Mendoza-Anaya D, Reyes-Valderrama MI, Esteban-Gomez S, Rodriguez-Lugo V (2020) Cationic surfactant at high pH in microwave HAp synthesis. Mater Lett 265:127416. https://doi.org/10.1016/j.matlet.2020.127416
Mondal S, Mondal B, Dey A, Mukhopadhyay SS (2012) Studies on processing and characterization of hydroxyapatite biomaterials from different bio wastes. J Miner Mater Charact Eng 11(1):55–67. https://doi.org/10.4236/jmmce.2012.111005
Huang Y-C, Hsiao P-C, Chai H-J (2011) Hydroxyapatite extracted from fish scale: effects on MG63 osteoblast-like cells. Ceram Int 37:1825–1831. https://doi.org/10.1016/j.ceramint.2011.01.018
Ikoma T, Kobayashi H, Tanaka J, Walsh D, Mann S (2003) Microstructure, mechanical, and biomimetic properties of fish scales from Pagrus major. J Struct Biol 142(3):327–333. https://doi.org/10.1016/S1047-8477(03)00053-4
Gil-Duran S, Arola D, Ossa EA (2016) Effect of chemical composition and microstructure on the mechanical behavior of fish scales from Megalops atlanticus. J Mech Behav Biomed Mater 56:134–145. https://doi.org/10.1016/j.jmbbm.2015.11.028
Whitehead PJP (1988) FAO species catalogue. Vol 7. Clupeiod fishes of the world (Suborder Clupeiodei). An annotated and illustrated catalogue of herrings, sardines, pilchards, sprats, shads, anchovies, wolf herrings. FAO Fisheries Synopsis, vol 125, no 7/1, pp 1–303
Jayaprakash AA (2004) Trends in world sardine fisheries and India’s status. Expo 2004 Central Marine Fisheries Research Institute, Kolkata
Meejo S, Maneeprakorn W, Winotai P (2006) Phase and stability of nanocrystalline hydroxyapatite via microwave heating. Thermochim Acta 447:115–120. https://doi.org/10.1016/j.tca.2006.04.013
Divya K, Rebello S, Jisha MS (2014) A simple and effective method for extraction of high purity chitosan from shrimp shell waste. In: Proceedings of the international conference on advances in applied science and environmental engineering—ASEE 2014
Ashwitha A, Thamizharasan K, Vithya V, Karthik R, Vijaya Bharathi S (2017) Effectiveness of bacteriocin from Bacillus subtilis (KY808492) and its application in biopreservation. J FisheriesSciences.com 11(3):036–042. https://doi.org/10.21767/1307-234X.1000127
Itoh S, Kikuchi M, Kzuo Takakuda Y, Koyama HNM, Ichinose S, Tanaka J, Kawauchiand T, Shinomiya K (2001) The biocompatibility and osteoconductivity of novel hydroxyapatite/collagen composite biomaterial, and its function as carrier of rhBMP-2. J Biomed Mater Res 54(3):445–453. https://doi.org/10.1002/1097-4636(20010305)54:33.3.CO;2-0
Kumari S, Rath P, Sri Hari Kumar A, Tiwari TM (2015) Extraction and characterization of chitin and chitosan from fishery waste by chemical method. Environ Technol Innov 3:77–85. https://doi.org/10.1016/j.eti.2015.01.002
Castellano JJ, Shafii SM, Ko F et al (2007) Comparative evaluation of silver-containing antimicrobial dressings and drugs. Int Wound J 4(2):114–122. https://doi.org/10.1111/j.1742-481X.2007.00316X
Konop M, Damps T, Misicka A, Rudnicka L (2016) Certain aspects of silver and silver nanoparticles in wound care: a minireview. J Nanomater 26:1–10. https://doi.org/10.1155/2016/7614753
Ciobanu CS, Massuyeau F, Constantin LV, Predo D (2011) Structural and physical properties of antibacterial Ag-doped nano-hydroxyapatite synthesized at 100 °C. Nanoscale Res Lett 6:613. https://doi.org/10.1186/1556-276X-6-613
El-Nahrawy AM, Ali AI, Abou Hammad AB, Youssef AM (2016) Influences of Ag-NPs doping chitosan/calcium silicate nanocomposites for optical and antibacterial activity. Int J Biol Macromol S0141–8130(16):31237–31245. https://doi.org/10.1016/j.ijbiomac.2016.08.045
Venkatesan J, Kim S-K (2010) Chitosan composites for bone tissue engineering—an overview. Mar Drugs 8:2252–2266. https://doi.org/10.3390/md8082252
Mohammad NF, Othman R, Abdullah NA, Yeoh FY (2016) In vitro evaluation of mesoporous carbonated hydroxyapatite in MC3T3-E1 osteoblast cells. Procedia Chem 19:259–266. https://doi.org/10.1016/j.proche.2016.03.103
Hekmatfar M, Moshayedi SH, Ghaffari SA, Rezaei HR, Golestani-Fard F (2011) Fabrication of HAp–8YSZ composite layer on Ti/TiO2 nanoporous substrate by EPD/MAO method. Mater Lett 65:3421–3423. https://doi.org/10.1016/j.matlet.2011.07.048
Santos MH, de Oliveira M, de Freitas Souza LP, Mansur HS, Vasconcelos WL (2004) Synthesis control and characterization of hydroxyapatite prepared by wet precipitation process. Mater Res 7(4):625–630. https://doi.org/10.1590/S1516-14392004000400017
Acknowledgements
We would like to acknowledge our first thanks to Dr. Venkatesh Kumaresan (Post-Doctoral Fellow, The University of Texas at San Antonio) for helping out in framing the good work. Special thanks to Dr. Nagaraj Selvamurugan (Professor, Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology) for guiding us for the proper outcome of the work. A great thanks to Dr. Ashok. K. Sundramoorthy (Assistant professor, Chemical Sciences, SRM Research Institute, SRM Institute of Science and Technology) for providing us with their lab facilities., Dr. Karthikeyan Annamalai (Professor, Department of Physics and Nanotechnology, SRM Institute of Science and Technology) for doing TG–DTA. Final thanks to Nanotechnology Research Centre and Department of Physics and Nanotechnology (SRM Institute of Science and Technology) for all the characterization techniques performed.
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AA: conceptualization, methodology, reviewing, writing-original draft preparation, software, editing. TK: conceptualization, methodology, visualization, investigation. PB: supervision, software, editing, data curation
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Ashwitha, A., Thamizharasan, K. & Bhatt, P. Optimization of hydroxyapatite (HAp) extraction from scales of Sardinella longiceps and its conjugative effect with immunostimulants. SN Appl. Sci. 2, 1228 (2020). https://doi.org/10.1007/s42452-020-3057-9
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DOI: https://doi.org/10.1007/s42452-020-3057-9