Loading…

flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity

SCOPE: Flavonoids represent a group of polyphenolic compounds commonly found in daily nutrition with proven health benefits. Among this group, the flavonol fisetin has been previously shown to protect bone by repressing osteoclast differentiation. In the present study, we investigated the role of fi...

Full description

Saved in:
Bibliographic Details
Published in:Molecular nutrition & food research 2014-06, Vol.58 (6), p.1239-1248
Main Authors: Léotoing, Laurent, Davicco, Marie‐Jeanne, Lebecque, Patrice, Wittrant, Yohann, Coxam, Véronique
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3
cites cdi_FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3
container_end_page 1248
container_issue 6
container_start_page 1239
container_title Molecular nutrition & food research
container_volume 58
creator Léotoing, Laurent
Davicco, Marie‐Jeanne
Lebecque, Patrice
Wittrant, Yohann
Coxam, Véronique
description SCOPE: Flavonoids represent a group of polyphenolic compounds commonly found in daily nutrition with proven health benefits. Among this group, the flavonol fisetin has been previously shown to protect bone by repressing osteoclast differentiation. In the present study, we investigated the role of fisetin in regulating osteoblasts physiology. METHODS AND RESULTS: In vivo mice treated with LPSs exhibited osteoporosis features associated with a dramatic repression of osteoblast marker expression. In this model, inhibition of osteocalcin and type I collagen alpha 1 transcription was partially countered by a daily consumption of fisetin. Interestingly, in vitro, fisetin promoted both osteoblast alkaline phosphatase activity and mineralization process. To decipher how fisetin may exert its positive effect on osteoblastogenesis, we analyzed its ability to control the runt‐related transcription factor 2 (Runx2), a key organizer in developing and maturing osteoblasts. While fisetin did not impact Runx2 mRNA and protein levels, it upregulated its transcriptional activity. Actually, fisetin stimulated the luciferase activity of a reporter plasmid driven by the osteocalcin gene promoter that contains Runx2 binding sites and promoted the mRNA expression of osteocalcin and type I collagen alpha 1 targets. CONCLUSION: Bone sparing properties of fisetin also rely on its positive influence on osteoblast differentiation and activity.
doi_str_mv 10.1002/mnfr.201300836
format article
fullrecord <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_01056817v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1534100066</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3</originalsourceid><addsrcrecordid>eNqNkc1v1DAQxSMEoqVw5Qi5IMEhy_gzybFd0RZ1KahQcUKW49hdQxIvtrN0_3scZVmOcLLl-b0343lZ9hzBAgHgt_1g_AIDIgAV4Q-yY8QRKSgi5OHhjtlR9iSE7wAEYUoeZ0eYMsLqGh1n30wnt25wts2NDTraId9417uoQ-5C1K7pZIghb60x2ushWhmtG_K49m68W-c343CP8-jlEJS3m6kmu1yqaLc27p5mj4zsgn62P0-y2_N3X5aXxerjxfvl6apQjDNa1FQriUtNgBNtVCuBNQ0wTWpTtkrrmrayZBiVXHEEbVk2lJnKoLpK1VI35CR7M_uuZSc23vbS74STVlyersT0BggYr1C5RYl9PbPpnz9HHaLobVC66-Sg3RgEYpQCwhXi_4ESmlIAPqGLGVXeheC1OYyBQExJiSkpcUgqCV7svcem1-0B_xNNAl7tARmU7ExasbLhL1cxjoFB4ujM_bKd3v2jrfhwfX6TFkmTrJhlNqV8f5BJ_0PwkpRMfL2-EPXV2afV1bIWU5uXM2-kE_LOp1FuPydfCoAYI5iQ3-c-xWU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1534100066</pqid></control><display><type>article</type><title>flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity</title><source>Wiley</source><creator>Léotoing, Laurent ; Davicco, Marie‐Jeanne ; Lebecque, Patrice ; Wittrant, Yohann ; Coxam, Véronique</creator><creatorcontrib>Léotoing, Laurent ; Davicco, Marie‐Jeanne ; Lebecque, Patrice ; Wittrant, Yohann ; Coxam, Véronique</creatorcontrib><description>SCOPE: Flavonoids represent a group of polyphenolic compounds commonly found in daily nutrition with proven health benefits. Among this group, the flavonol fisetin has been previously shown to protect bone by repressing osteoclast differentiation. In the present study, we investigated the role of fisetin in regulating osteoblasts physiology. METHODS AND RESULTS: In vivo mice treated with LPSs exhibited osteoporosis features associated with a dramatic repression of osteoblast marker expression. In this model, inhibition of osteocalcin and type I collagen alpha 1 transcription was partially countered by a daily consumption of fisetin. Interestingly, in vitro, fisetin promoted both osteoblast alkaline phosphatase activity and mineralization process. To decipher how fisetin may exert its positive effect on osteoblastogenesis, we analyzed its ability to control the runt‐related transcription factor 2 (Runx2), a key organizer in developing and maturing osteoblasts. While fisetin did not impact Runx2 mRNA and protein levels, it upregulated its transcriptional activity. Actually, fisetin stimulated the luciferase activity of a reporter plasmid driven by the osteocalcin gene promoter that contains Runx2 binding sites and promoted the mRNA expression of osteocalcin and type I collagen alpha 1 targets. CONCLUSION: Bone sparing properties of fisetin also rely on its positive influence on osteoblast differentiation and activity.</description><identifier>ISSN: 1613-4125</identifier><identifier>EISSN: 1613-4133</identifier><identifier>DOI: 10.1002/mnfr.201300836</identifier><identifier>PMID: 24535991</identifier><language>eng</language><publisher>Weinheim: Wiley-VCH Verlag GmbH &amp; Co. KGaA</publisher><subject>alkaline phosphatase ; Animals ; binding sites ; Biological and medical sciences ; Bone ; Cell Differentiation - drug effects ; Cells, Cultured ; collagen ; Collagen Type I - genetics ; Collagen Type I - metabolism ; Core Binding Factor Alpha 1 Subunit - genetics ; Core Binding Factor Alpha 1 Subunit - metabolism ; Feeding. Feeding behavior ; Fisetin ; Flavonoids - pharmacology ; flavonols ; Food and Nutrition ; Fundamental and applied biological sciences. Psychology ; gene expression ; gene expression regulation ; genes ; Life Sciences ; Lipopolysaccharides - adverse effects ; luciferase ; messenger RNA ; Mice ; Mice, Inbred C57BL ; mineralization ; nutrition ; Osteoblast ; osteoblasts ; Osteoblasts - drug effects ; osteocalcin ; Osteocalcin - genetics ; Osteocalcin - metabolism ; osteoporosis ; physiology ; plasmids ; Polyphenol ; polyphenols ; Promoter Regions, Genetic ; Rats ; Rats, Wistar ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; Runx2 ; transcription (genetics) ; transcription factors ; Transcription Factors - genetics ; Transcription Factors - metabolism ; Up-Regulation ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Molecular nutrition &amp; food research, 2014-06, Vol.58 (6), p.1239-1248</ispartof><rights>2014 WILEY‐VCH Verlag GmbH &amp; Co. KGaA, Weinheim</rights><rights>2015 INIST-CNRS</rights><rights>2014 WILEY-VCH Verlag GmbH &amp; Co. KGaA, Weinheim.</rights><rights>Attribution</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3</citedby><cites>FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3</cites><orcidid>0000-0003-3811-8859</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28562050$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24535991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01056817$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Léotoing, Laurent</creatorcontrib><creatorcontrib>Davicco, Marie‐Jeanne</creatorcontrib><creatorcontrib>Lebecque, Patrice</creatorcontrib><creatorcontrib>Wittrant, Yohann</creatorcontrib><creatorcontrib>Coxam, Véronique</creatorcontrib><title>flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity</title><title>Molecular nutrition &amp; food research</title><addtitle>Mol. Nutr. Food Res</addtitle><description>SCOPE: Flavonoids represent a group of polyphenolic compounds commonly found in daily nutrition with proven health benefits. Among this group, the flavonol fisetin has been previously shown to protect bone by repressing osteoclast differentiation. In the present study, we investigated the role of fisetin in regulating osteoblasts physiology. METHODS AND RESULTS: In vivo mice treated with LPSs exhibited osteoporosis features associated with a dramatic repression of osteoblast marker expression. In this model, inhibition of osteocalcin and type I collagen alpha 1 transcription was partially countered by a daily consumption of fisetin. Interestingly, in vitro, fisetin promoted both osteoblast alkaline phosphatase activity and mineralization process. To decipher how fisetin may exert its positive effect on osteoblastogenesis, we analyzed its ability to control the runt‐related transcription factor 2 (Runx2), a key organizer in developing and maturing osteoblasts. While fisetin did not impact Runx2 mRNA and protein levels, it upregulated its transcriptional activity. Actually, fisetin stimulated the luciferase activity of a reporter plasmid driven by the osteocalcin gene promoter that contains Runx2 binding sites and promoted the mRNA expression of osteocalcin and type I collagen alpha 1 targets. CONCLUSION: Bone sparing properties of fisetin also rely on its positive influence on osteoblast differentiation and activity.</description><subject>alkaline phosphatase</subject><subject>Animals</subject><subject>binding sites</subject><subject>Biological and medical sciences</subject><subject>Bone</subject><subject>Cell Differentiation - drug effects</subject><subject>Cells, Cultured</subject><subject>collagen</subject><subject>Collagen Type I - genetics</subject><subject>Collagen Type I - metabolism</subject><subject>Core Binding Factor Alpha 1 Subunit - genetics</subject><subject>Core Binding Factor Alpha 1 Subunit - metabolism</subject><subject>Feeding. Feeding behavior</subject><subject>Fisetin</subject><subject>Flavonoids - pharmacology</subject><subject>flavonols</subject><subject>Food and Nutrition</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>gene expression</subject><subject>gene expression regulation</subject><subject>genes</subject><subject>Life Sciences</subject><subject>Lipopolysaccharides - adverse effects</subject><subject>luciferase</subject><subject>messenger RNA</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>mineralization</subject><subject>nutrition</subject><subject>Osteoblast</subject><subject>osteoblasts</subject><subject>Osteoblasts - drug effects</subject><subject>osteocalcin</subject><subject>Osteocalcin - genetics</subject><subject>Osteocalcin - metabolism</subject><subject>osteoporosis</subject><subject>physiology</subject><subject>plasmids</subject><subject>Polyphenol</subject><subject>polyphenols</subject><subject>Promoter Regions, Genetic</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>Runx2</subject><subject>transcription (genetics)</subject><subject>transcription factors</subject><subject>Transcription Factors - genetics</subject><subject>Transcription Factors - metabolism</subject><subject>Up-Regulation</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>1613-4125</issn><issn>1613-4133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkc1v1DAQxSMEoqVw5Qi5IMEhy_gzybFd0RZ1KahQcUKW49hdQxIvtrN0_3scZVmOcLLl-b0343lZ9hzBAgHgt_1g_AIDIgAV4Q-yY8QRKSgi5OHhjtlR9iSE7wAEYUoeZ0eYMsLqGh1n30wnt25wts2NDTraId9417uoQ-5C1K7pZIghb60x2ushWhmtG_K49m68W-c343CP8-jlEJS3m6kmu1yqaLc27p5mj4zsgn62P0-y2_N3X5aXxerjxfvl6apQjDNa1FQriUtNgBNtVCuBNQ0wTWpTtkrrmrayZBiVXHEEbVk2lJnKoLpK1VI35CR7M_uuZSc23vbS74STVlyersT0BggYr1C5RYl9PbPpnz9HHaLobVC66-Sg3RgEYpQCwhXi_4ESmlIAPqGLGVXeheC1OYyBQExJiSkpcUgqCV7svcem1-0B_xNNAl7tARmU7ExasbLhL1cxjoFB4ujM_bKd3v2jrfhwfX6TFkmTrJhlNqV8f5BJ_0PwkpRMfL2-EPXV2afV1bIWU5uXM2-kE_LOp1FuPydfCoAYI5iQ3-c-xWU</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Léotoing, Laurent</creator><creator>Davicco, Marie‐Jeanne</creator><creator>Lebecque, Patrice</creator><creator>Wittrant, Yohann</creator><creator>Coxam, Véronique</creator><general>Wiley-VCH Verlag GmbH &amp; Co. KGaA</general><general>Blackwell Publishing Ltd</general><general>Wiley</general><general>Wiley-VCH Verlag</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-3811-8859</orcidid></search><sort><creationdate>201406</creationdate><title>flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity</title><author>Léotoing, Laurent ; Davicco, Marie‐Jeanne ; Lebecque, Patrice ; Wittrant, Yohann ; Coxam, Véronique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>alkaline phosphatase</topic><topic>Animals</topic><topic>binding sites</topic><topic>Biological and medical sciences</topic><topic>Bone</topic><topic>Cell Differentiation - drug effects</topic><topic>Cells, Cultured</topic><topic>collagen</topic><topic>Collagen Type I - genetics</topic><topic>Collagen Type I - metabolism</topic><topic>Core Binding Factor Alpha 1 Subunit - genetics</topic><topic>Core Binding Factor Alpha 1 Subunit - metabolism</topic><topic>Feeding. Feeding behavior</topic><topic>Fisetin</topic><topic>Flavonoids - pharmacology</topic><topic>flavonols</topic><topic>Food and Nutrition</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>gene expression</topic><topic>gene expression regulation</topic><topic>genes</topic><topic>Life Sciences</topic><topic>Lipopolysaccharides - adverse effects</topic><topic>luciferase</topic><topic>messenger RNA</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>mineralization</topic><topic>nutrition</topic><topic>Osteoblast</topic><topic>osteoblasts</topic><topic>Osteoblasts - drug effects</topic><topic>osteocalcin</topic><topic>Osteocalcin - genetics</topic><topic>Osteocalcin - metabolism</topic><topic>osteoporosis</topic><topic>physiology</topic><topic>plasmids</topic><topic>Polyphenol</topic><topic>polyphenols</topic><topic>Promoter Regions, Genetic</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>RNA, Messenger - genetics</topic><topic>RNA, Messenger - metabolism</topic><topic>Runx2</topic><topic>transcription (genetics)</topic><topic>transcription factors</topic><topic>Transcription Factors - genetics</topic><topic>Transcription Factors - metabolism</topic><topic>Up-Regulation</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Léotoing, Laurent</creatorcontrib><creatorcontrib>Davicco, Marie‐Jeanne</creatorcontrib><creatorcontrib>Lebecque, Patrice</creatorcontrib><creatorcontrib>Wittrant, Yohann</creatorcontrib><creatorcontrib>Coxam, Véronique</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Molecular nutrition &amp; food research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Léotoing, Laurent</au><au>Davicco, Marie‐Jeanne</au><au>Lebecque, Patrice</au><au>Wittrant, Yohann</au><au>Coxam, Véronique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity</atitle><jtitle>Molecular nutrition &amp; food research</jtitle><addtitle>Mol. Nutr. Food Res</addtitle><date>2014-06</date><risdate>2014</risdate><volume>58</volume><issue>6</issue><spage>1239</spage><epage>1248</epage><pages>1239-1248</pages><issn>1613-4125</issn><eissn>1613-4133</eissn><abstract>SCOPE: Flavonoids represent a group of polyphenolic compounds commonly found in daily nutrition with proven health benefits. Among this group, the flavonol fisetin has been previously shown to protect bone by repressing osteoclast differentiation. In the present study, we investigated the role of fisetin in regulating osteoblasts physiology. METHODS AND RESULTS: In vivo mice treated with LPSs exhibited osteoporosis features associated with a dramatic repression of osteoblast marker expression. In this model, inhibition of osteocalcin and type I collagen alpha 1 transcription was partially countered by a daily consumption of fisetin. Interestingly, in vitro, fisetin promoted both osteoblast alkaline phosphatase activity and mineralization process. To decipher how fisetin may exert its positive effect on osteoblastogenesis, we analyzed its ability to control the runt‐related transcription factor 2 (Runx2), a key organizer in developing and maturing osteoblasts. While fisetin did not impact Runx2 mRNA and protein levels, it upregulated its transcriptional activity. Actually, fisetin stimulated the luciferase activity of a reporter plasmid driven by the osteocalcin gene promoter that contains Runx2 binding sites and promoted the mRNA expression of osteocalcin and type I collagen alpha 1 targets. CONCLUSION: Bone sparing properties of fisetin also rely on its positive influence on osteoblast differentiation and activity.</abstract><cop>Weinheim</cop><pub>Wiley-VCH Verlag GmbH &amp; Co. KGaA</pub><pmid>24535991</pmid><doi>10.1002/mnfr.201300836</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-3811-8859</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1613-4125
ispartof Molecular nutrition & food research, 2014-06, Vol.58 (6), p.1239-1248
issn 1613-4125
1613-4133
language eng
recordid cdi_hal_primary_oai_HAL_hal_01056817v1
source Wiley
subjects alkaline phosphatase
Animals
binding sites
Biological and medical sciences
Bone
Cell Differentiation - drug effects
Cells, Cultured
collagen
Collagen Type I - genetics
Collagen Type I - metabolism
Core Binding Factor Alpha 1 Subunit - genetics
Core Binding Factor Alpha 1 Subunit - metabolism
Feeding. Feeding behavior
Fisetin
Flavonoids - pharmacology
flavonols
Food and Nutrition
Fundamental and applied biological sciences. Psychology
gene expression
gene expression regulation
genes
Life Sciences
Lipopolysaccharides - adverse effects
luciferase
messenger RNA
Mice
Mice, Inbred C57BL
mineralization
nutrition
Osteoblast
osteoblasts
Osteoblasts - drug effects
osteocalcin
Osteocalcin - genetics
Osteocalcin - metabolism
osteoporosis
physiology
plasmids
Polyphenol
polyphenols
Promoter Regions, Genetic
Rats
Rats, Wistar
RNA, Messenger - genetics
RNA, Messenger - metabolism
Runx2
transcription (genetics)
transcription factors
Transcription Factors - genetics
Transcription Factors - metabolism
Up-Regulation
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title flavonoid fisetin promotes osteoblasts differentiation through Runx2 transcriptional activity
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T17%3A09%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=flavonoid%20fisetin%20promotes%20osteoblasts%20differentiation%20through%20Runx2%20transcriptional%20activity&rft.jtitle=Molecular%20nutrition%20&%20food%20research&rft.au=L%C3%A9otoing,%20Laurent&rft.date=2014-06&rft.volume=58&rft.issue=6&rft.spage=1239&rft.epage=1248&rft.pages=1239-1248&rft.issn=1613-4125&rft.eissn=1613-4133&rft_id=info:doi/10.1002/mnfr.201300836&rft_dat=%3Cproquest_hal_p%3E1534100066%3C/proquest_hal_p%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c5654-94eca27e3063efcda05bb05e39f7dcee94da752176c610d77b45f8f198dce7eb3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1534100066&rft_id=info:pmid/24535991&rfr_iscdi=true