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Showing metabocard for (5S,6R)-Methyl 5,6,7-trihydroxyheptanoate (HMDB0247393)

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Record Information
Version5.0
StatusDetected but not Quantified
Creation Date2021-09-11 00:24:04 UTC
Update Date2021-09-26 22:57:03 UTC
HMDB IDHMDB0247393
Secondary Accession NumbersNone
Metabolite Identification
Common Name(5S,6R)-Methyl 5,6,7-trihydroxyheptanoate
Description(5S,6R)-Methyl 5,6,7-trihydroxyheptanoate belongs to the class of organic compounds known as fatty alcohols. These are aliphatic alcohols consisting of a chain of a least six carbon atoms. Based on a literature review very few articles have been published on (5S,6R)-Methyl 5,6,7-trihydroxyheptanoate. This compound has been identified in human blood as reported by (PMID: 31557052 ). (5s,6r)-methyl 5,6,7-trihydroxyheptanoate is not a naturally occurring metabolite and is only found in those individuals exposed to this compound or its derivatives. Technically (5S,6R)-Methyl 5,6,7-trihydroxyheptanoate is part of the human exposome. The exposome can be defined as the collection of all the exposures of an individual in a lifetime and how those exposures relate to health. An individual's exposure begins before birth and includes insults from environmental and occupational sources.
Structure
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MOL3D MOLSDF3D SDFPDB3D PDBSMILESInChI

MOL for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

  Mrv1652309112102242D          

 13 12  0  0  0  0            999 V2000
    2.2836    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    2.9980    2.5559    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    3.7125    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    3.7125    1.3184    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    4.4270    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    5.1414    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    5.8559    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    6.5704    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    7.2849    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    7.9993    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    8.7138    2.5559    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    7.2849    3.3809    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    6.5704    1.3184    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
  1  2  1  0  0  0  0
  2  3  1  0  0  0  0
  3  4  2  0  0  0  0
  3  5  1  0  0  0  0
  5  6  1  0  0  0  0
  6  7  1  0  0  0  0
  7  8  1  0  0  0  0
  8  9  1  0  0  0  0
  9 10  1  0  0  0  0
 10 11  1  0  0  0  0
  9 12  1  0  0  0  0
  8 13  1  0  0  0  0
M  END
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3D MOL for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

HMDB0247393
     RDKit          3D
(5S,6R)-Methyl 5,6,7-trihydroxyheptanoate
 29 28  0  0  0  0  0  0  0  0999 V2000
    3.4344   -0.0897   -2.0039 C   0  0  0  0  0  0  0  0  0  0  0  0
    2.3867    0.3865   -1.1792 O   0  0  0  0  0  0  0  0  0  0  0  0
    2.5758    0.5481    0.2070 C   0  0  0  0  0  0  0  0  0  0  0  0
    3.6865    0.2604    0.6761 O   0  0  0  0  0  0  0  0  0  0  0  0
    1.4312    1.0564    1.0434 C   0  0  0  0  0  0  0  0  0  0  0  0
    0.7560   -0.1288    1.6940 C   0  0  0  0  0  0  0  0  0  0  0  0
    0.2145   -1.1120    0.7252 C   0  0  0  0  0  0  0  0  0  0  0  0
   -0.8187   -0.5917   -0.2311 C   0  0  0  0  0  0  0  0  0  0  0  0
   -1.1690   -1.7029   -1.0386 O   0  0  0  0  0  0  0  0  0  0  0  0
   -2.0561   -0.0634    0.4659 C   0  0  0  0  0  0  0  0  0  0  0  0
   -1.7634    1.0382    1.2630 O   0  0  0  0  0  0  0  0  0  0  0  0
   -3.0153    0.3714   -0.6425 C   0  0  0  0  0  0  0  0  0  0  0  0
   -4.1876    0.8700   -0.1228 O   0  0  0  0  0  0  0  0  0  0  0  0
    4.2883   -0.3758   -1.3776 H   0  0  0  0  0  0  0  0  0  0  0  0
    3.6741    0.6713   -2.7506 H   0  0  0  0  0  0  0  0  0  0  0  0
    3.0523   -1.0458   -2.4593 H   0  0  0  0  0  0  0  0  0  0  0  0
    0.7883    1.6240    0.3723 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.8488    1.6767    1.8647 H   0  0  0  0  0  0  0  0  0  0  0  0
    0.0095    0.1438    2.4578 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.5625   -0.6677    2.2763 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.0372   -1.6472    0.2229 H   0  0  0  0  0  0  0  0  0  0  0  0
   -0.3075   -1.9092    1.3372 H   0  0  0  0  0  0  0  0  0  0  0  0
   -0.4646    0.1827   -0.9100 H   0  0  0  0  0  0  0  0  0  0  0  0
   -1.4303   -1.4074   -1.9542 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.5054   -0.8689    1.0715 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.3968    1.1470    2.0133 H   0  0  0  0  0  0  0  0  0  0  0  0
   -3.1989   -0.5451   -1.2514 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.4990    1.0951   -1.2949 H   0  0  0  0  0  0  0  0  0  0  0  0
   -4.9333    0.3293   -0.4746 H   0  0  0  0  0  0  0  0  0  0  0  0
  1  2  1  0
  2  3  1  0
  3  4  2  0
  3  5  1  0
  5  6  1  0
  6  7  1  0
  7  8  1  0
  8  9  1  0
  8 10  1  0
 10 11  1  0
 10 12  1  0
 12 13  1  0
  1 14  1  0
  1 15  1  0
  1 16  1  0
  5 17  1  0
  5 18  1  0
  6 19  1  0
  6 20  1  0
  7 21  1  0
  7 22  1  0
  8 23  1  0
  9 24  1  0
 10 25  1  0
 11 26  1  0
 12 27  1  0
 12 28  1  0
 13 29  1  0
M  END
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3D SDF for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

  Mrv1652309112102242D          

 13 12  0  0  0  0            999 V2000
    2.2836    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    2.9980    2.5559    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    3.7125    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    3.7125    1.3184    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    4.4270    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    5.1414    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    5.8559    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    6.5704    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    7.2849    2.5559    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    7.9993    2.1434    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0
    8.7138    2.5559    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    7.2849    3.3809    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
    6.5704    1.3184    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0
  1  2  1  0  0  0  0
  2  3  1  0  0  0  0
  3  4  2  0  0  0  0
  3  5  1  0  0  0  0
  5  6  1  0  0  0  0
  6  7  1  0  0  0  0
  7  8  1  0  0  0  0
  8  9  1  0  0  0  0
  9 10  1  0  0  0  0
 10 11  1  0  0  0  0
  9 12  1  0  0  0  0
  8 13  1  0  0  0  0
M  END
> <DATABASE_ID>
HMDB0247393

> <DATABASE_NAME>
hmdb

> <SMILES>
COC(=O)CCCC(O)C(O)CO

> <INCHI_IDENTIFIER>
InChI=1S/C8H16O5/c1-13-8(12)4-2-3-6(10)7(11)5-9/h6-7,9-11H,2-5H2,1H3

> <INCHI_KEY>
RNMFWAFZUNVQOR-UHFFFAOYSA-N

> <FORMULA>
C8H16O5

> <MOLECULAR_WEIGHT>
192.211

> <EXACT_MASS>
192.099773615

> <JCHEM_ACCEPTOR_COUNT>
4

> <JCHEM_ATOM_COUNT>
29

> <JCHEM_AVERAGE_POLARIZABILITY>
19.868585182915908

> <JCHEM_BIOAVAILABILITY>
1

> <JCHEM_DONOR_COUNT>
3

> <JCHEM_FORMAL_CHARGE>
0

> <JCHEM_GHOSE_FILTER>
0

> <JCHEM_IUPAC>
methyl 5,6,7-trihydroxyheptanoate

> <ALOGPS_LOGP>
-1.03

> <JCHEM_LOGP>
-1.1851269819999994

> <ALOGPS_LOGS>
-0.25

> <JCHEM_MDDR_LIKE_RULE>
0

> <JCHEM_NUMBER_OF_RINGS>
0

> <JCHEM_PHYSIOLOGICAL_CHARGE>
0

> <JCHEM_PKA>
14.855014661445434

> <JCHEM_PKA_STRONGEST_ACIDIC>
13.339933330657146

> <JCHEM_PKA_STRONGEST_BASIC>
-2.9720208382690396

> <JCHEM_POLAR_SURFACE_AREA>
86.99000000000001

> <JCHEM_REFRACTIVITY>
45.0954

> <JCHEM_ROTATABLE_BOND_COUNT>
7

> <JCHEM_RULE_OF_FIVE>
1

> <ALOGPS_SOLUBILITY>
1.08e+02 g/l

> <JCHEM_TRADITIONAL_IUPAC>
methyl 5,6,7-trihydroxyheptanoate

> <JCHEM_VEBER_RULE>
0

$$$$
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3D-SDF for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

HMDB0247393
     RDKit          3D
(5S,6R)-Methyl 5,6,7-trihydroxyheptanoate
 29 28  0  0  0  0  0  0  0  0999 V2000
    3.4344   -0.0897   -2.0039 C   0  0  0  0  0  0  0  0  0  0  0  0
    2.3867    0.3865   -1.1792 O   0  0  0  0  0  0  0  0  0  0  0  0
    2.5758    0.5481    0.2070 C   0  0  0  0  0  0  0  0  0  0  0  0
    3.6865    0.2604    0.6761 O   0  0  0  0  0  0  0  0  0  0  0  0
    1.4312    1.0564    1.0434 C   0  0  0  0  0  0  0  0  0  0  0  0
    0.7560   -0.1288    1.6940 C   0  0  0  0  0  0  0  0  0  0  0  0
    0.2145   -1.1120    0.7252 C   0  0  0  0  0  0  0  0  0  0  0  0
   -0.8187   -0.5917   -0.2311 C   0  0  0  0  0  0  0  0  0  0  0  0
   -1.1690   -1.7029   -1.0386 O   0  0  0  0  0  0  0  0  0  0  0  0
   -2.0561   -0.0634    0.4659 C   0  0  0  0  0  0  0  0  0  0  0  0
   -1.7634    1.0382    1.2630 O   0  0  0  0  0  0  0  0  0  0  0  0
   -3.0153    0.3714   -0.6425 C   0  0  0  0  0  0  0  0  0  0  0  0
   -4.1876    0.8700   -0.1228 O   0  0  0  0  0  0  0  0  0  0  0  0
    4.2883   -0.3758   -1.3776 H   0  0  0  0  0  0  0  0  0  0  0  0
    3.6741    0.6713   -2.7506 H   0  0  0  0  0  0  0  0  0  0  0  0
    3.0523   -1.0458   -2.4593 H   0  0  0  0  0  0  0  0  0  0  0  0
    0.7883    1.6240    0.3723 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.8488    1.6767    1.8647 H   0  0  0  0  0  0  0  0  0  0  0  0
    0.0095    0.1438    2.4578 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.5625   -0.6677    2.2763 H   0  0  0  0  0  0  0  0  0  0  0  0
    1.0372   -1.6472    0.2229 H   0  0  0  0  0  0  0  0  0  0  0  0
   -0.3075   -1.9092    1.3372 H   0  0  0  0  0  0  0  0  0  0  0  0
   -0.4646    0.1827   -0.9100 H   0  0  0  0  0  0  0  0  0  0  0  0
   -1.4303   -1.4074   -1.9542 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.5054   -0.8689    1.0715 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.3968    1.1470    2.0133 H   0  0  0  0  0  0  0  0  0  0  0  0
   -3.1989   -0.5451   -1.2514 H   0  0  0  0  0  0  0  0  0  0  0  0
   -2.4990    1.0951   -1.2949 H   0  0  0  0  0  0  0  0  0  0  0  0
   -4.9333    0.3293   -0.4746 H   0  0  0  0  0  0  0  0  0  0  0  0
  1  2  1  0
  2  3  1  0
  3  4  2  0
  3  5  1  0
  5  6  1  0
  6  7  1  0
  7  8  1  0
  8  9  1  0
  8 10  1  0
 10 11  1  0
 10 12  1  0
 12 13  1  0
  1 14  1  0
  1 15  1  0
  1 16  1  0
  5 17  1  0
  5 18  1  0
  6 19  1  0
  6 20  1  0
  7 21  1  0
  7 22  1  0
  8 23  1  0
  9 24  1  0
 10 25  1  0
 11 26  1  0
 12 27  1  0
 12 28  1  0
 13 29  1  0
M  END
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PDB for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

HEADER    PROTEIN                                 11-SEP-21   NONE
TITLE     NULL                                                        
COMPND    NULL                                                        
SOURCE    NULL                                                        
KEYWDS    NULL                                                        
EXPDTA    NULL                                                        
AUTHOR    Marvin                                                      
REVDAT   1   11-SEP-21         0                                  
HETATM    1  C   UNK     0       4.263   4.001   0.000  0.00  0.00           C+0
HETATM    2  O   UNK     0       5.596   4.771   0.000  0.00  0.00           O+0
HETATM    3  C   UNK     0       6.930   4.001   0.000  0.00  0.00           C+0
HETATM    4  O   UNK     0       6.930   2.461   0.000  0.00  0.00           O+0
HETATM    5  C   UNK     0       8.264   4.771   0.000  0.00  0.00           C+0
HETATM    6  C   UNK     0       9.597   4.001   0.000  0.00  0.00           C+0
HETATM    7  C   UNK     0      10.931   4.771   0.000  0.00  0.00           C+0
HETATM    8  C   UNK     0      12.265   4.001   0.000  0.00  0.00           C+0
HETATM    9  C   UNK     0      13.598   4.771   0.000  0.00  0.00           C+0
HETATM   10  C   UNK     0      14.932   4.001   0.000  0.00  0.00           C+0
HETATM   11  O   UNK     0      16.266   4.771   0.000  0.00  0.00           O+0
HETATM   12  O   UNK     0      13.598   6.311   0.000  0.00  0.00           O+0
HETATM   13  O   UNK     0      12.265   2.461   0.000  0.00  0.00           O+0
CONECT    1    2                                                            
CONECT    2    1    3                                                       
CONECT    3    2    4    5                                                  
CONECT    4    3                                                            
CONECT    5    3    6                                                       
CONECT    6    5    7                                                       
CONECT    7    6    8                                                       
CONECT    8    7    9   13                                                  
CONECT    9    8   10   12                                                  
CONECT   10    9   11                                                       
CONECT   11   10                                                            
CONECT   12    9                                                            
CONECT   13    8                                                            
MASTER        0    0    0    0    0    0    0    0   13    0   24    0
END
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3D PDB for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

COMPND    HMDB0247393
HETATM    1  C1  UNL     1       3.434  -0.090  -2.004  1.00  0.00           C  
HETATM    2  O1  UNL     1       2.387   0.387  -1.179  1.00  0.00           O  
HETATM    3  C2  UNL     1       2.576   0.548   0.207  1.00  0.00           C  
HETATM    4  O2  UNL     1       3.686   0.260   0.676  1.00  0.00           O  
HETATM    5  C3  UNL     1       1.431   1.056   1.043  1.00  0.00           C  
HETATM    6  C4  UNL     1       0.756  -0.129   1.694  1.00  0.00           C  
HETATM    7  C5  UNL     1       0.214  -1.112   0.725  1.00  0.00           C  
HETATM    8  C6  UNL     1      -0.819  -0.592  -0.231  1.00  0.00           C  
HETATM    9  O3  UNL     1      -1.169  -1.703  -1.039  1.00  0.00           O  
HETATM   10  C7  UNL     1      -2.056  -0.063   0.466  1.00  0.00           C  
HETATM   11  O4  UNL     1      -1.763   1.038   1.263  1.00  0.00           O  
HETATM   12  C8  UNL     1      -3.015   0.371  -0.642  1.00  0.00           C  
HETATM   13  O5  UNL     1      -4.188   0.870  -0.123  1.00  0.00           O  
HETATM   14  H1  UNL     1       4.288  -0.376  -1.378  1.00  0.00           H  
HETATM   15  H2  UNL     1       3.674   0.671  -2.751  1.00  0.00           H  
HETATM   16  H3  UNL     1       3.052  -1.046  -2.459  1.00  0.00           H  
HETATM   17  H4  UNL     1       0.788   1.624   0.372  1.00  0.00           H  
HETATM   18  H5  UNL     1       1.849   1.677   1.865  1.00  0.00           H  
HETATM   19  H6  UNL     1       0.009   0.144   2.458  1.00  0.00           H  
HETATM   20  H7  UNL     1       1.562  -0.668   2.276  1.00  0.00           H  
HETATM   21  H8  UNL     1       1.037  -1.647   0.223  1.00  0.00           H  
HETATM   22  H9  UNL     1      -0.308  -1.909   1.337  1.00  0.00           H  
HETATM   23  H10 UNL     1      -0.465   0.183  -0.910  1.00  0.00           H  
HETATM   24  H11 UNL     1      -1.430  -1.407  -1.954  1.00  0.00           H  
HETATM   25  H12 UNL     1      -2.505  -0.869   1.072  1.00  0.00           H  
HETATM   26  H13 UNL     1      -2.397   1.147   2.013  1.00  0.00           H  
HETATM   27  H14 UNL     1      -3.199  -0.545  -1.251  1.00  0.00           H  
HETATM   28  H15 UNL     1      -2.499   1.095  -1.295  1.00  0.00           H  
HETATM   29  H16 UNL     1      -4.933   0.329  -0.475  1.00  0.00           H  
CONECT    1    2   14   15   16
CONECT    2    3
CONECT    3    4    4    5
CONECT    5    6   17   18
CONECT    6    7   19   20
CONECT    7    8   21   22
CONECT    8    9   10   23
CONECT    9   24
CONECT   10   11   12   25
CONECT   11   26
CONECT   12   13   27   28
CONECT   13   29
END
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SMILES for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

COC(=O)CCCC(O)C(O)CO
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INCHI for HMDB0247393 ((5S,6R)-Methyl 5,6,7-trihydroxyheptanoate)

InChI=1S/C8H16O5/c1-13-8(12)4-2-3-6(10)7(11)5-9/h6-7,9-11H,2-5H2,1H3
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Synonyms
ValueSource
(5S,6R)-Methyl 5,6,7-trihydroxyheptanoic acidGenerator
Methyl 5,6,7-trihydroxyheptanoic acidHMDB
Chemical FormulaC8H16O5
Average Molecular Weight192.211
Monoisotopic Molecular Weight192.099773615
IUPAC Namemethyl 5,6,7-trihydroxyheptanoate
Traditional Namemethyl 5,6,7-trihydroxyheptanoate
CAS Registry NumberNot Available
SMILES
COC(=O)CCCC(O)C(O)CO
InChI Identifier
InChI=1S/C8H16O5/c1-13-8(12)4-2-3-6(10)7(11)5-9/h6-7,9-11H,2-5H2,1H3
InChI KeyRNMFWAFZUNVQOR-UHFFFAOYSA-N
Chemical Taxonomy
Description Belongs to the class of organic compounds known as fatty alcohols. These are aliphatic alcohols consisting of a chain of a least six carbon atoms.
KingdomOrganic compounds
Super ClassLipids and lipid-like molecules
ClassFatty Acyls
Sub ClassFatty alcohols
Direct ParentFatty alcohols
Alternative Parents
Substituents
  • Fatty alcohol
  • Fatty acid ester
  • Fatty acid methyl ester
  • Methyl ester
  • 1,2-diol
  • Carboxylic acid ester
  • Secondary alcohol
  • Carboxylic acid derivative
  • Monocarboxylic acid or derivatives
  • Polyol
  • Primary alcohol
  • Hydrocarbon derivative
  • Organic oxide
  • Organic oxygen compound
  • Carbonyl group
  • Alcohol
  • Organooxygen compound
  • Aliphatic acyclic compound
Molecular FrameworkAliphatic acyclic compounds
External DescriptorsNot Available
Ontology
Physiological effectNot Available
Disposition
Biological locationSource
ProcessNot Available
RoleNot Available
Physical Properties
StateNot Available
Experimental Molecular Properties
PropertyValueReference
Melting PointNot AvailableNot Available
Boiling PointNot AvailableNot Available
Water SolubilityNot AvailableNot Available
LogPNot AvailableNot Available
Experimental Chromatographic PropertiesNot Available
Predicted Molecular Properties
Predicted Chromatographic Properties
Spectra
Biological Properties
Cellular LocationsNot Available
Biospecimen Locations
  • Blood
Tissue LocationsNot Available
Pathways
Normal Concentrations
BiospecimenStatusValueAgeSexConditionReferenceDetails
BloodDetected but not QuantifiedNot QuantifiedNot SpecifiedNot SpecifiedNormal details
Abnormal Concentrations
Not Available
Associated Disorders and Diseases
Disease ReferencesNone
Associated OMIM IDsNone
DrugBank IDNot Available
Phenol Explorer Compound IDNot Available
FooDB IDNot Available
KNApSAcK IDNot Available
Chemspider ID21467500
KEGG Compound IDNot Available
BioCyc IDNot Available
BiGG IDNot Available
Wikipedia LinkNot Available
METLIN IDNot Available
PubChem Compound12898083
PDB IDNot Available
ChEBI IDNot Available
Food Biomarker OntologyNot Available
VMH IDNot Available
MarkerDB IDNot Available
Good Scents IDNot Available
References
Synthesis ReferenceNot Available
Material Safety Data Sheet (MSDS)Not Available
General References
  1. Barupal DK, Fiehn O: Generating the Blood Exposome Database Using a Comprehensive Text Mining and Database Fusion Approach. Environ Health Perspect. 2019 Sep;127(9):97008. doi: 10.1289/EHP4713. Epub 2019 Sep 26. [PubMed:31557052 ]