Abstract
The utilization of food as a therapeutic measure for various ailments has been a prevalent practice throughout history and across different cultures. This is exemplified in societies where substances like Hibiscus sabdariffa have been employed to manage health conditions like hypertension and elevated blood glucose levels. The inherent bioactive compounds found in this plant, namely, delphinidin-3-sambubioside (DS3), quercetin (QRC), and hibiscus acid (HA), have been linked to various health benefits. Despite receiving individual attention, the specific molecular targets for these compounds remain unclear. In this study, computational analysis was conducted using bioinformatics tools such as Swiss Target Prediction, ShinnyGo 0.77, KEGG, and Stringdb to identify the molecular targets, pathways, and hub genes. Supplementary results were obtained through a thorough literature search in PubMed. DS3 analysis revealed potential genetic alterations related to the metabolism of nitrogen and glucose, inflammation, angiogenesis, and cell proliferation, particularly impacting the PI3K-AKT signaling pathway. QRC analysis demonstrated interconnected targets spanning multiple pathways, with some overlap with DS3 analysis and a particular focus on pathways related to cancer. HA analysis revealed distinct targets, especially those associated with pathways related to the nervous system. These findings emphasize the necessity for focused research on the molecular effects of DS3, QRC, and HA, thereby providing valuable insights into potential therapeutic pathways.
1. Introduction
Hibiscus sabdariffa, a widely recognized botanical species in the regions of Asia and America, possesses immense popularity. Consequently, it is extensively employed in a diverse array of commodities, ranging from the infusion of distinct flavors into water to the formulation of facial creams [1]. Its popularity may be due to its potential health benefits, ranging from antihypertensive to anticarcinogenic effects, especially since this plant is rich in numerous biological compounds [2]. The plant’s matrix is abundant in a considerable number of biocompounds, which can fluctuate based on the prevailing atmospheric conditions in which Hibiscus sabdariffa is cultivated. In general, it comprises anthocyanins, organic acids, and other phenolic compounds [3]. These compounds exhibit diverse characteristics, ranging from vibrant colors such as blue, red, or purple [4] to their flavor and odor. In terms of their potential therapeutic impact, considerable evidence suggests that a majority, if not all, of these compounds, can influence various cells in mammals [5]. Several biological models have shown that the biocompounds of Hibiscus sabdariffa can alter the prognosis of various disease states, as some of these are directly related to changes in biological signaling pathways. For example, one anthocyanin that has sparked significant interest is delphinidin-3-sambubioside (DS3), which exhibits a notable presence within this specific plant [2]. DS3 has shown several of the beneficial effects briefly described before, especially as a hypotensive and hypolipidemic agent [6,7]. Another important compound from Hibiscus sabdariffa is quercetin (QRC), one of the most researched phenolic compounds that is not an anthocyanin and that has been promoted as a potential therapeutic agent, especially for its potential anti-cancer properties [8,9,10,11]. Finally, hibiscus acid (HA) is the most represented organic acid of this plant and plays a role in the flavor of Hibiscus sabdariffa, and while there is little information about the therapeutic effect of this acid in particular [12], other organic acids do show beneficial biological properties [13,14]. Nevertheless, even if there have been studies where the potential effects of DS3, QRC, and/or HA have been tested, there is still a limited quantity of evidence regarding the precise impact all these bioactive compounds have on the signaling pathways of human cells. Therefore, the primary aim of this study is to employ bioinformatic tools to elucidate the potential targets that delphinidin-3-sambubioside (D3S), quercetin (QRC), and hibiscus acid (HA) may have in human cells, link those targets with biological signaling pathways, and then describe the relation between each biological targets and check for any evidence that could verify the predictions given by the bioinformatic tools.
2. Materials and Methods
2.1. Bioinformatic Analysis
Delphinidin-3-sambubioside (D3S), quercetin (QRC), and hibiscus acid (HA) were chosen based on information from several articles that suggest those biocompounds are common among regional variants of Hibiscus sabdariffa [2,12]. The methodology for the following section of the study was a modification of an article published by Martinez-Esquivias et al. [15]. The SwissTargetPrediction website was utilized as a tool to identify potential molecular targets of DS3, QRC, and HA in human cells. Following this, a comprehensive list of potential targets was generated for each compound. The ShinnyGo 0.77 website was subsequently employed to compute the fold enrichment (FE) of each target, with a false discovery rate (FDR) threshold established at 0.05. Among these targets, those exhibiting an FE value greater than 4 were utilized to ascertain the pathways through which interactions induced by these biological compounds occur. This was accomplished through the utilization of the Kyoto Encyclopedia of Genes and Genomes (KEGG) database. Moreover, the Stringdb website was employed to retrieve the hub of genes derived from the FE data and to construct a Protein-to-Protein interaction network (PPI). This process is also shown in Figure 1. Finally, an extensive search was conducted using the Pubmed database to obtain relevant evidence.
Figure 1.
Bioinformatic analysis methodology diagram.
2.2. Literature Search and Data Selection
A search was conducted on the PubMed database to ascertain pertinent articles that encompassed information about central genes acquired from bioinformatics analysis for D3S, QRC, and HA. These genes were generated through the utilization of uncomplicated search strings denoted as ‘gene/protein name’ and ‘biological compound name’. The search queries employed terms located within the title, abstract, or a fusion of both. Ultimately, inclusion and exclusion criteria were utilized to determine which articles could be incorporated into the final discussion.
2.3. Inclusion and Exclusion Criteria
The study’s inclusion criteria encompassed any research that examined genes or proteins derived from them, as identified in the bioinformatic analysis involving DS3, QRC, and/or HA. Conversely, the exclusion criteria were applied to studies with duplicated or overlapping data, papers exclusively presenting abstracts, conference proceedings, editorials, or author responses. Articles lacking full-text availability and systematic reviews were also excluded from consideration.
3. Results
3.1. Data from the Swiss Target Prediction
Figure 2 presents a visual representation of the principal 15 target classes of molecules that can engage in interactions with each biological compound. Within DS3, these molecules are predominantly composed of enzymes and lyases, with a subsequent inclusion of a category encompassing G protein-coupled receptors. The bulk of targets associated with QRC are classified as oxidoreductases and kinases, whereas enzymes are the predominant targets within HA. For a comprehensive overview of all conceivable targets, Supplementary Material S1 offers complete information.
Figure 2.
The top 15 molecular targets of the biocompounds according to the Swiss Target Prediction site. (a) DS3 Results, (b) QRC Results, and (c) HA Results.
3.2. Analysis of Gene Ontology and Metabolic Pathways
The ShinnyGo 0.77 website was employed to execute the Gene Ontology and KEGG analyses. A comprehensive depiction of the gene ontology findings is presented in Table 1 for DS3, Table 2 for QRC, and Table 3 for HA. Furthermore, the KEGG outcomes are provided as visual representations of the respective pathway, highlighting the potential modifications in proteins as indicated in Supplementary Material S2.
Table 1.
Functional enrichment analysis of the genes predicting an interaction with DS3.
Table 2.
Functional enrichment analysis of the genes predicting an interaction with QRC.
Table 3.
Functional enrichment analysis of the genes predicting an interaction with HA.
3.3. Protein–Protein Interaction Network (PPI)
The associations of protein targets for the three bioactive compounds were predicted using the STRING database, constructing a network with a medium confidence level of 0.400. Figure 3 illustrates the interactome for DS3, featuring 257 edges, 57 nodes, an average node degree of 9.02, and a highly significant PPI enrichment p-value of <1.0 × 10−16. Similarly, Figure 4 displays the interactome for QRC, comprising 328 edges, 71 nodes, an average node degree of 9.24, and a PPI enrichment p-value <1.0 × 10−16. Figure 5 exhibits the interactome for HA. Additionally, Table 4 lists the hub genes with at least 10 interactions for DS3, Table 5 outlines the hub genes meeting the same criterion for QRC, and Table 6 details the hub genes with at least 10 interactions for HA.
Figure 3.
The Protein–Protein Interaction (PPI) network of DS3 is depicted, where each edge represents a specific protein with a notable protein–protein association. The blue and purple borders signify established interactions sourced from well-populated databases, including both previously curated and experimentally curated data. Predicted interactions within each neighborhood gene are differentiated by green, red, and navy-blue borders, corresponding to gene fusion, gene concurrence, and other predicted associations, respectively. Additional borders in grass green, black, and gray represent text-mining, co-expression, and protein homology, respectively.
Figure 4.
The PPI network of QRC is illustrated in the following description. Colored nodes signify both the query proteins and the first shell of interactors, while white nodes represent the second shell of interactors. Edges in the network represent protein–protein associations, and the colors denote the origin of these interactions. Specifically, a sky-blue color indicates information derived from curated databases, purple signifies experimentally determined interactions, and green, red, and navy blue indicate predicted interactions. Additionally, lime green, black, and light blue are used to represent associations sourced from text mining, co-expression, and protein homology, respectively.
Figure 5.
The PPI network of HA is outlined as follows: Colored nodes designate both the query proteins and the first shell of interactors, while white nodes represent the second shell of interactors. The edges in the network symbolize protein–protein associations, with colors indicating the origin of these interactions. A sky-blue color denotes information from curated databases, purple signifies experimentally determined interactions, and green, red, and navy blue indicate predicted interactions. Furthermore, lime green, black, and light blue are used to denote associations derived from text mining, co-expression, and protein homology, respectively.
Table 4.
Hub genes with at least 10 interactions in humans were obtained from the predictions of interactions with delphinidin-3-sambubiosid (DS3).
Table 5.
Hub genes with at least 10 interactions in humans were obtained from the predictions of interactions with quercetin (QRC).
Table 6.
Hub genes with at least 10 interactions in humans were obtained from the predictions of interactions with hibiscus acid (HA).
3.4. Data Recollection from the Evidence of the Hub Genes with the Biocompounds
The results from the search in the PubMed database from the articles of the hub genes when tested in a study with DS3 and QRC are shown in Table 7 and Table 8, respectively. As for HA, no information about its relationship with any of the hub genes was found at the date of the data collection. These results will be notice if the evidence is found at the RNA, protein, or pathway level directly.
Table 7.
Evidence found of the Hub genes when tested against DS3.
Table 8.
The evidence found of the Hub genes when tested against QRC.
4. Discussion
The outcomes generated by the SwissTargetPrediction software (Figure 1) are rooted in the mathematical principles of the SwissTargetPrediction methodology [31]. This approach evaluates molecular binding targets by conducting a two-way analysis, comparing the molecular characteristics of the target molecules to others with similar attributes [32]; it conducts a physical 5D analysis of molecules, where three dimensions pertain to spatial considerations, and the remaining two dimensions involve atomic charge and lipophilicity, respectively. Additionally, SwissTargetPrediction incorporates a chemical comparison using the Tanimoto Index. Importantly, SwissTargetPrediction has proven valuable in the identification of molecular targets for small molecules derived from plants or foods, a context analogous to the focus of the current study. This underscores the versatility and applicability of SwissTargetPrediction in elucidating the molecular targets of bioactive compounds originating from natural sources. For example, in a study of 2022, a team of researchers from China led by Lili Yan [33] examined information on the predicted molecular targets of Erianin, a biphenyl compound, using this site. They proceeded to compare the identified targets, along with results from other bioinformatic tools, with the then-current information published by other authors. The comparison revealed a substantial overlap in their findings, illustrating the successful utilization of the SwissTargetPrediction tool to obtain molecular target information.
In Table 1, the results from the Gene Ontology [34] assay show that DS3 affected several processes involving metabolism and inflammation; some of them are nitrogen metabolism, insulin resistance signaling, TNF signaling pathway, lipid and atherosclerosis, and endocrine resistance. As for Table 2, the Gene Ontology Assay shows that QRC affected other processes; while it also included metabolism and inflammation, it had plenty of differences, and those are Nitrogen metabolism, Ovarian steroidogenesis, Steroid hormone biosynthesis, EGFR tyrosine kinase inhibitor resistance, Endocrine resistance, Progesterone-mediated oocyte maturation, the ErbB signaling pathway, Prostate cancer, the FoxO signaling pathway, Chemical carcinogenesis, the Phospholipase D signaling pathway, Proteoglycans in cancer, Gastric cancer, Cellular senescence, Focal adhesion, MicroRNAs in cancer, the Rap1 signaling pathway, the PI3K-Akt signaling pathway, Pathways in cancer, and Metabolic pathways. Finally, the Gene Ontology assay of HA had interesting results; while some of them are similar to the ones in DS3 and QRC, it has different pathways not present in any of the previous compounds; it is intriguing that many of them are related to the nervous system somehow; all of the pathways are as follows: Nicotine addiction, Glutamatergic synapse, Terpenoid backbone biosynthesis, Nitrogen metabolism, Steroid hormone biosynthesis, the PPAR signaling pathway, Cocaine addiction, the Phospholipase D signaling pathway, the Neuroactive ligand-receptor interaction, Long-term potentiation, Retrograde endocannabinoid signaling, Long-term depression, Amphetamine addiction, Taste transduction, GABAergic synapse, Morphine addiction, Chemical carcinogenesis, the cAMP signaling pathway, Huntington disease, and Metabolic pathways. These findings are substantiated by the underlying principles of the database. The application of Fold Enrichment (FE) with a False Discovery Rate (FDR) cut-off of 0.05 is a well-established bioinformatic tool, widely accepted for delineating the likelihood of false positives [35]. These processes are related to a significant number of the effects described for DS3, QRC, or HA [2,3].
Concerning the KEGG [15,36] analysis on the impacted pathways, Table 1 (DS3) highlights a disturbance in the metabolism of nitrogen, a key element in energy metabolism and protein metabolism. Additionally, there is an indication of dysregulation of glucose metabolism (especially in muscle and adipose tissue). Interestingly, the glucose metabolism alterations seem to be attached mostly to alterations in the PI3K-Akt pathway; this could be explained by what Pal et al. found in a study looking for the effects of DS3 in non-small-cell Lung Cancer Cells (NSCLC) [18], by targeting EGRF/VEGFR2. In this study, EGFR, one of the targets predicted by bioinformatic tools, is inhibited when exposed to a dose of DS3 (going from 5–60 μM), generating a reduction in the expression of the PI3K subunits p85 and p110; this mechanism would reduce the phosphorylation of Akt, therefore reducing the effect of that signaling pathway. This result agrees with multiple studies that have studied the effects of DS3 in PI3K-AKT [16,17,18]. For QRC, Table 2 suggests various possible pathways and there is information that indicates such predictions could be the cause of some reported effects. Vaez et al. gave seventy-two women with polycystic ovary syndrome 500 mg of QRC; then they analyzed serum levels of LH hormone, FSH hormone, and IL-6 [37], and the authors concluded that QRC can decrease inflammatory and LH parameters. Results such as these also suggest that QRC has some implications for ovarian steroidogenesis just like the bioinformatic test predicts. Furthermore, QRC has been shown to affect nutrient metabolism; while the information provided by the KEGG analysis suggests changes in nitrogen metabolism and metabolic pathways, there is information published that may prove those predictions. For instance, Leyva-Soto et al. found in a randomized placebo-controlled study (n = 156) of patients with metabolic syndrome, when given a supplemented bread with QRC, that in comparison with controls, total cholesterol, LDL-cholesterol, total triglycerides, and fasting plasma glucose significantly decreased [38]; such result could be explained from changes in the metabolic pathways for these molecules. Nevertheless, there are some contradicting studies about this phenomenon. N. Arias et al. [39], in a study using Wistar rats, found no statistical significance in the reduction in the percentage of body fat for the rats with a high-fat, high-sucrose diet supplemented with QRC; they also showed no reduction in the expression of genes related to fatty acid oxidation like Peroxisome proliferator-activated receptor-alpha (PPAR-α), Peroxisome proliferator-activated-receptor-gamma-coactivator 1-alpha (PGC-1α), and CBT-1b.
Interestingly, those genes were not found to have an impact by the bioinformatic tools. Meanwhile, other studies have found that, in skeletal muscle, QRC can activate the adenosine monophosphate kinase (AMPK), thus increasing the translocation of the glucose-transporter type 4 (GLUT-4) receptor to the membrane, facilitating glucose uptake, and stimulating glycolysis [40]. These results may complement the information given by the bioinformatic tool for QRC up to this point.
As for the results of KEGG for HA, while the results suggest it has an impact on pathways associated with the nervous system and others like PPAR, to date, there is little to no information regarding tests in the areas of most of the pathways described for HA. However, there has been some research regarding the impact of HA on rats, and the results have shown some potential therapeutic effects [26,27].
The PIP analysis [41,42,43,44,45,46,47,48] further reinforces the notion that the PI3K-AKT pathway is a primary target of DS3, with AKT emerging as the most interconnected node in the entire analysis. Additionally, insights from the hub genes (Table 2) indicate a consistent trend among genes, showcasing associations with glucose and nitrogen metabolism, inflammation, and angiogenesis. This alignment not only corroborates the earlier findings but also introduces angiogenesis, a process linked to nitric oxide production and, consequently, blood pressure. This is particularly noteworthy as one of the reported effects of DS3 is its potential as a hypotensive agent [6]. Nevertheless, information is absent regarding other potential targets that have been reported. For example, there is a precedent that DS3 can impact the cell cycle, by reducing the expression of Cycline D1 (key in the progression from the G1 to S phase in the cell cycle). Also, there is information that DS3 can also have an impact on apoptosis, by reducing anti-apoptotic protein transcription like BCL2, BCL-xL, and MCL-1 as well as increasing the activation of apoptotic proteins like Bak, Bax, Caspase 9, and Caspase 3 [16,18,49]. This could be explained by the low probability that plenty of the DS3 targets had in the SwissTargetPrediction software making, so those targets did not make the statistical cut for further in this analysis.
The PIP analysis for QRC is vastly different. In general, as Figure 4 shows, there are many more interactions between proteins than in the other two figures; even so, it seems that most of the interactions congregate around proteins related to cancer or inflammation in some way. Such results are interesting since plenty of the research available presents an interest in using QRC for cancer treatment. This is not so surprising since QRC has proved to have an anti-cancer effect [50], but the effects and targets can vary drastically depending on the tissue. For example, in 2019, Cing-Yu Chen et al. showed for the first time that QRC can blunt agonist-triggered Ca2+ signals by depleting the intracellular Ca2+ storage in mouse brain BEND.3 EC [51]. According to the authors, their results suggest that QRC can suppress vasodilation in the tissue and, therefore, explain how it is that it can help in combating glioma. Others, for example, have found the QRC effect to be explained (when used for cancer treatment) by its capacity to keep cancer cells in the G2/M phase and promote apoptosis. In 2022, Azizi et al. [52] used the breast cancer cell T47D with the CD44+/CD24− phenotype and assessed their cytotoxicity when exposed to QRC. Then, they analyzed the cell cycle distribution of the cells when exposed to QRC. Their results showed that, in a time-dependent matter, the half maximal inhibitory concentration (IC50) for QRC was almost 50 μM in 48 h for T47D cells, showing the anti-cancer effect of QRC; furthermore, when they analyzed the cell cycle distribution, they found an induced G2/M phase arrest in the T47D cells. The authors argue that this effect could be explained by increased expression of cyclin B and a reduced expression of cyclin D, E2F1, cyclin E, and E2F2 and thus, conclude that QRC reduced the number of viable cancer cells by this mechanism that is associated with apoptosis. Then, another group of authors found similar results but with a more resounding list of targets and mechanisms by which QRC has those effects. Srivastava et al. [53] found in an extensive study using several cancer cell lines that QRC is capable of triggering apoptosis in this kind of cell and, by Western blotting Nalm6 cells treated with QRC at different concentrations (0, 10, 20 μM for 24 h), found a level increase in apoptotic markers like p53 and MCL1 and a decrease in anti-apoptotic proteins such as BCL2 and BCL-xL. Furthermore, their results indicated the pathway activated for this process; in the mitochondrial intrinsic pathway, they detected the release of CYTOCHROME, MAC/DIABLO, Caspase 3, Caspase 9, and PARP1. Results like those previously discussed are of interest for this work since the bioinformatic tools agree with its predictions with many of their findings. In Stringdb alone, there is an agreement with the previously shown authors, especially with plenty of the targets of QRC in human cell lines, including cyclins, from Cycline-B1, Cycline-B2, and Cycline-B3, passing to Cycline-dependent kinase 1, 2, and 6, respectively, but this result also gives an indication that other key targets could intervene in these mechanisms, but there is not (to the date of this article) plenty of information about them and their relation with QRC, proteins like Serine/threonine-protein Kinase PLK1, Focal Adhesion Kinase 1, or the Proto-oncogene tyrosine-protein kinase SRC.
Finally, the protein-to-protein interaction (PIP) for HA is drastically different from the other two, and there is a greater separation between interactions where the focus relies upon the interactions of different glutamate-related proteins/receptors, but there is little if any information published about this interaction or any other.
Regarding the evidence research, a search was conducted on the PubMed database to gather information on the hub genes identified through the protein-to-protein analysis and their relationship with each of the biocompounds. Notably, in the case of DS3, the findings are intriguing, particularly concerning its effects on EGFR. There is a wealth of evidence demonstrating that exposure to DS3 leads to a reduction in the expression of the EGFR gene, the suppression of the function of the protein transcribed from it, and ultimately, its association with the inhibition of the entire PI3K-AKT pathway under these conditions [13,16,18]. Nevertheless, it is crucial to highlight that, while many other genes exhibit predicted alterations, there is limited available information regarding their relationship with DS3, if any. Consequently, there is notable importance in conducting further studies to explore these genes in-depth. In the case of QRC, plenty of the interactions are correlated with pathways associated with cancer, and most of them influence the proteins, changing the phosphorylation effects of receptors like EFGR or part of pathways like PI3K [19,20,21,22,23,24,25,26]; even so, most of the hub genes gathered from the protein-to-protein analysis did not have any information available in Pub-Med; therefore, it is important to remark how much more information could be gathered in the future. Lastly, HA has no information in Pub-med regarding it and its hub genes/proteins. This is not surprising since, even if HA is the most abundant organic acid of Hibiscus sabdariffa being the acid with more percentage in this plant (going from 13 to 24%), it is the most lacking in research on comparison with others like citric and hidroxicitric acid [12].
5. Conclusions
The predictive analysis suggests that DS3 holds the potential to induce changes in genes associated with nitrogen and glucose metabolism, inflammation, angiogenesis, and cell proliferation. Notably, the available information indicates that these changes may occur not only at the mRNA level but also directly in the proteins. One of the most noteworthy outcomes from the bioinformatic tools is the potential modification in the function of numerous signaling pathways, particularly the impact of DS3 on the PI3K-AKT pathway through the inhibition of the EGFR receptor. These results align with and support the previously discussed findings.
However, it is crucial to note that there is a paucity of published studies on DS3 and its other potential targets, as suggested by the bioinformatic tools. The research in this area presents a significant opportunity for further investigation, holding a high probability of uncovering substantial insights into the mechanisms through which DS3 operates in human cells. In many instances, the same can be said about QRC; while this biocompound seems to have many more potential targets and has been more studied than any other, there is still much more to research about it, especially in its relationship with cancer treatment; while the currently available information shows that QRC has great apoptotic effects in cancer cells, the currently described mechanisms are still incomplete and also could vary drastically depending on the kind of cancer cell treated; this study gives a plethora of other targets that have not (to our knowledge) been tested and could be important for understanding its effects in human cells as a whole and not only cancer cells. Finally, the results of HA may be the most interesting ones; this compound is to our knowledge the least researched of all, and the results of the bioinformatic assay suggest that the effects of HA could be mostly on the nervous system, something that seems to be under-reported. In the end, it is important to remark that the results of this study suggest the need to generate more research to understand better the mechanisms and applications that not only DS3, QRC, or HA have in humans but also the natural products that contain them, such as Hibiscus sabdariffa.
This study predicts many targets for DS3, QRC, and HA, and those targets should be capable of modifying the nitrogen and glucose metabolism, inflammation, angiogenesis, proliferation, and cancer-related pathways. Furthermore, as the PIP showed, the relation between all the individual hub genes of each biocompound seems to be closely integrated. While currently there are published studies that suggest some of these predictions are accurate, to date, most potential therapeutic targets have not been researched, especially in the case of HA. As such, the information obtained through this study (just as any information obtained in in silico studies) opens a path for further research that takes into consideration the findings obtained from this paper, especially those testing experimentally the predictions here shown, not only for DS3, QRC, and HA but for whole natural products that contain them, such as Hibiscus sabdariffa.
Supplementary Materials
The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/nu16040566/s1, Supplementary Material S1: Most likely targets for DS3, QRC and HA; Supplementary Material S2: KEGG pathways for DS3, QRC and HA.
Author Contributions
Conceptualization, S.R.Z.-H. and C.M.R.-R.; Data curation, A.P.-L.; Formal analysis, A.P.-L.; Funding acquisition, C.M.R.-R.; Investigation, S.R.Z.-H. and M.M.-C.; Methodology, Y.K.G.-M. and C.M.R.-R.; Project administration, Y.K.G.-M.; Resources, M.M.-C.; Supervision, T.G.-I. and C.M.R.-R.; Visualization, G.C.-H.; Writing—original draft, S.R.Z.-H.; Writing—review and editing, T.G.-I., M.M.-C., A.P.-L., Y.K.G.-M., G.C.-H. and C.M.R.-R. All authors have read and agreed to the published version of the manuscript.
Funding
This research received no external funding.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
The original contributions presented in the study are included in the article and supplementary material, further inquiries can be directed to the corresponding authors.
Conflicts of Interest
The authors declare no conflicts of interest.
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