Loading…

Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition

Gold nanoparticle (AuNP) physicochemical characteristics, mainly size and charge, modulate their biodistribution, cytotoxicity, and immunorecognition as reported from in vitro and in vivo studies. While data from in vitro studies could be biased by several factors including activation of cells upon...

Full description

Saved in:
Bibliographic Details
Published in:Journal of nanomaterials 2018-01, Vol.2018 (2018), p.1-12
Main Authors: Ghanem, Esther, Souaid, E., El Hage, R., Nakhl, M., Sarkis, M., Minassian, G., Rahme, K., Holmes, Justin D.
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-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493
cites cdi_FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493
container_end_page 12
container_issue 2018
container_start_page 1
container_title Journal of nanomaterials
container_volume 2018
creator Ghanem, Esther
Souaid, E.
El Hage, R.
Nakhl, M.
Sarkis, M.
Minassian, G.
Rahme, K.
Holmes, Justin D.
description Gold nanoparticle (AuNP) physicochemical characteristics, mainly size and charge, modulate their biodistribution, cytotoxicity, and immunorecognition as reported from in vitro and in vivo studies. While data from in vitro studies could be biased by several factors including activation of cells upon isolation and lack of sera proteins in the microenvironment of primary generated cell lines, in vivo studies are costly and time-consuming and require ethics consideration. In this study, we developed a simple and novel in vivo-like method to test for NP immunorecognition from freshly withdrawn human blood samples. AuNPs with a size range of 30 ± 5 nm coated with cationic poly(L-lysine) (PLL) dendrigraft and slightly negative poly(vinyl alcohol) (PVA) were synthesized in water. PLL-capped AuNPs were further coated with poly(ethylene glycol) (PEG) to obtain nearly neutrally charged PEG-AuNPs. Physicochemical properties were determined using zeta potential measurements, UV-Vis spectroscopy, dynamic light scattering (DLS), and scanning electron microscopy (SEM). Gel electrophoretic separation, zeta potential, and DLS were also used to characterize our NPs after human blood plasma treatment. PLL-AuNPs showed similar variation in charge and binding affinity to plasma proteins in comparison with PVA-AuNPs. However, PLL-AuNPs.protein complexes revealed a drastic change in size compared to the other tested particles. Results obtained from the neutrophil function test and pyridine formazan extraction revealed the highest activation level of neutrophils (~70%) by 50 μg/mL of PLL-AuNPs compared to a null induction by PEG- and PVA-AuNPs. This observation was further verified by flow cytometry analysis of polymorphonuclear cell size variation in the presence of coated AuNPs. Overall, our in vivo-like method, to test for NP immunorecognition, proved to be reliable and effective. Finally, our data supports the use of PEG-AuNPs as promising vehicles for drug delivery, as they exhibit minimal protein adsorption affinity and insignificant charge and size variation once introduced in whole blood.
doi_str_mv 10.1155/2018/9301912
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2104963960</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2104963960</sourcerecordid><originalsourceid>FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493</originalsourceid><addsrcrecordid>eNqF0N9LwzAQB_AgCs7pm88S8FHrcmnSJb6N4dxgqPjjuaTtdeuwyUxaZP-9HR366NPdwefu4EvIJbA7AClHnIEa6ZiBBn5EBpCocSSA6-PfHtgpOQthw5iQWvIBmU9CwBBqtA11JZ2ujV9hQSft00u4pzPvavq2s80aQxVo4-jCWtMgXdR1a5G-Yu5WtmoqZ8_JSWk-A14c6pB8zB7ep_No-fy4mE6WUR4nrImgFFpxDmMupVBcxdk4MchNjkKKQhWgMolZhlJ3szLAEmEKXhgt0eTdbjwk1_3drXdfLYYm3bjW2-5lyoEJncQ6YZ267VXuXQgey3Trq9r4XQos3WeV7rNKD1l1_Kbn68oW5rv6T1_1GjuDpfnToCUbJ_EP1r9xGw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2104963960</pqid></control><display><type>article</type><title>Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition</title><source>Open Access: Wiley-Blackwell Open Access Journals</source><source>Publicly Available Content Database</source><creator>Ghanem, Esther ; Souaid, E. ; El Hage, R. ; Nakhl, M. ; Sarkis, M. ; Minassian, G. ; Rahme, K. ; Holmes, Justin D.</creator><contributor>Bergamaschi, Enrico ; Enrico Bergamaschi</contributor><creatorcontrib>Ghanem, Esther ; Souaid, E. ; El Hage, R. ; Nakhl, M. ; Sarkis, M. ; Minassian, G. ; Rahme, K. ; Holmes, Justin D. ; Bergamaschi, Enrico ; Enrico Bergamaschi</creatorcontrib><description>Gold nanoparticle (AuNP) physicochemical characteristics, mainly size and charge, modulate their biodistribution, cytotoxicity, and immunorecognition as reported from in vitro and in vivo studies. While data from in vitro studies could be biased by several factors including activation of cells upon isolation and lack of sera proteins in the microenvironment of primary generated cell lines, in vivo studies are costly and time-consuming and require ethics consideration. In this study, we developed a simple and novel in vivo-like method to test for NP immunorecognition from freshly withdrawn human blood samples. AuNPs with a size range of 30 ± 5 nm coated with cationic poly(L-lysine) (PLL) dendrigraft and slightly negative poly(vinyl alcohol) (PVA) were synthesized in water. PLL-capped AuNPs were further coated with poly(ethylene glycol) (PEG) to obtain nearly neutrally charged PEG-AuNPs. Physicochemical properties were determined using zeta potential measurements, UV-Vis spectroscopy, dynamic light scattering (DLS), and scanning electron microscopy (SEM). Gel electrophoretic separation, zeta potential, and DLS were also used to characterize our NPs after human blood plasma treatment. PLL-AuNPs showed similar variation in charge and binding affinity to plasma proteins in comparison with PVA-AuNPs. However, PLL-AuNPs.protein complexes revealed a drastic change in size compared to the other tested particles. Results obtained from the neutrophil function test and pyridine formazan extraction revealed the highest activation level of neutrophils (~70%) by 50 μg/mL of PLL-AuNPs compared to a null induction by PEG- and PVA-AuNPs. This observation was further verified by flow cytometry analysis of polymorphonuclear cell size variation in the presence of coated AuNPs. Overall, our in vivo-like method, to test for NP immunorecognition, proved to be reliable and effective. Finally, our data supports the use of PEG-AuNPs as promising vehicles for drug delivery, as they exhibit minimal protein adsorption affinity and insignificant charge and size variation once introduced in whole blood.</description><identifier>ISSN: 1687-4110</identifier><identifier>EISSN: 1687-4129</identifier><identifier>DOI: 10.1155/2018/9301912</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Activation ; Affinity ; Alcohol ; Biocompatibility ; Blood ; Blood plasma ; Cancer ; Cytokines ; Cytotoxicity ; Drug delivery systems ; Flow cytometry ; Gold ; In vivo methods and tests ; Lysine ; Medical research ; Nanomaterials ; Nanoparticles ; Neutrophils ; Pharmaceutical sciences ; Photon correlation spectroscopy ; Polyethylene glycol ; Polymers ; Protein adsorption ; Proteins ; Scanning electron microscopy ; Studies ; Toxicity ; Zeta potential</subject><ispartof>Journal of nanomaterials, 2018-01, Vol.2018 (2018), p.1-12</ispartof><rights>Copyright © 2018 K. Rahme et al.</rights><rights>Copyright © 2018 K. Rahme et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493</citedby><cites>FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493</cites><orcidid>0000-0001-7510-9957 ; 0000-0002-8770-0880</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2104963960/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2104963960?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,44590,75126</link.rule.ids></links><search><contributor>Bergamaschi, Enrico</contributor><contributor>Enrico Bergamaschi</contributor><creatorcontrib>Ghanem, Esther</creatorcontrib><creatorcontrib>Souaid, E.</creatorcontrib><creatorcontrib>El Hage, R.</creatorcontrib><creatorcontrib>Nakhl, M.</creatorcontrib><creatorcontrib>Sarkis, M.</creatorcontrib><creatorcontrib>Minassian, G.</creatorcontrib><creatorcontrib>Rahme, K.</creatorcontrib><creatorcontrib>Holmes, Justin D.</creatorcontrib><title>Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition</title><title>Journal of nanomaterials</title><description>Gold nanoparticle (AuNP) physicochemical characteristics, mainly size and charge, modulate their biodistribution, cytotoxicity, and immunorecognition as reported from in vitro and in vivo studies. While data from in vitro studies could be biased by several factors including activation of cells upon isolation and lack of sera proteins in the microenvironment of primary generated cell lines, in vivo studies are costly and time-consuming and require ethics consideration. In this study, we developed a simple and novel in vivo-like method to test for NP immunorecognition from freshly withdrawn human blood samples. AuNPs with a size range of 30 ± 5 nm coated with cationic poly(L-lysine) (PLL) dendrigraft and slightly negative poly(vinyl alcohol) (PVA) were synthesized in water. PLL-capped AuNPs were further coated with poly(ethylene glycol) (PEG) to obtain nearly neutrally charged PEG-AuNPs. Physicochemical properties were determined using zeta potential measurements, UV-Vis spectroscopy, dynamic light scattering (DLS), and scanning electron microscopy (SEM). Gel electrophoretic separation, zeta potential, and DLS were also used to characterize our NPs after human blood plasma treatment. PLL-AuNPs showed similar variation in charge and binding affinity to plasma proteins in comparison with PVA-AuNPs. However, PLL-AuNPs.protein complexes revealed a drastic change in size compared to the other tested particles. Results obtained from the neutrophil function test and pyridine formazan extraction revealed the highest activation level of neutrophils (~70%) by 50 μg/mL of PLL-AuNPs compared to a null induction by PEG- and PVA-AuNPs. This observation was further verified by flow cytometry analysis of polymorphonuclear cell size variation in the presence of coated AuNPs. Overall, our in vivo-like method, to test for NP immunorecognition, proved to be reliable and effective. Finally, our data supports the use of PEG-AuNPs as promising vehicles for drug delivery, as they exhibit minimal protein adsorption affinity and insignificant charge and size variation once introduced in whole blood.</description><subject>Activation</subject><subject>Affinity</subject><subject>Alcohol</subject><subject>Biocompatibility</subject><subject>Blood</subject><subject>Blood plasma</subject><subject>Cancer</subject><subject>Cytokines</subject><subject>Cytotoxicity</subject><subject>Drug delivery systems</subject><subject>Flow cytometry</subject><subject>Gold</subject><subject>In vivo methods and tests</subject><subject>Lysine</subject><subject>Medical research</subject><subject>Nanomaterials</subject><subject>Nanoparticles</subject><subject>Neutrophils</subject><subject>Pharmaceutical sciences</subject><subject>Photon correlation spectroscopy</subject><subject>Polyethylene glycol</subject><subject>Polymers</subject><subject>Protein adsorption</subject><subject>Proteins</subject><subject>Scanning electron microscopy</subject><subject>Studies</subject><subject>Toxicity</subject><subject>Zeta potential</subject><issn>1687-4110</issn><issn>1687-4129</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqF0N9LwzAQB_AgCs7pm88S8FHrcmnSJb6N4dxgqPjjuaTtdeuwyUxaZP-9HR366NPdwefu4EvIJbA7AClHnIEa6ZiBBn5EBpCocSSA6-PfHtgpOQthw5iQWvIBmU9CwBBqtA11JZ2ujV9hQSft00u4pzPvavq2s80aQxVo4-jCWtMgXdR1a5G-Yu5WtmoqZ8_JSWk-A14c6pB8zB7ep_No-fy4mE6WUR4nrImgFFpxDmMupVBcxdk4MchNjkKKQhWgMolZhlJ3szLAEmEKXhgt0eTdbjwk1_3drXdfLYYm3bjW2-5lyoEJncQ6YZ267VXuXQgey3Trq9r4XQos3WeV7rNKD1l1_Kbn68oW5rv6T1_1GjuDpfnToCUbJ_EP1r9xGw</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Ghanem, Esther</creator><creator>Souaid, E.</creator><creator>El Hage, R.</creator><creator>Nakhl, M.</creator><creator>Sarkis, M.</creator><creator>Minassian, G.</creator><creator>Rahme, K.</creator><creator>Holmes, Justin D.</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SR</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>L7M</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0001-7510-9957</orcidid><orcidid>https://orcid.org/0000-0002-8770-0880</orcidid></search><sort><creationdate>20180101</creationdate><title>Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition</title><author>Ghanem, Esther ; Souaid, E. ; El Hage, R. ; Nakhl, M. ; Sarkis, M. ; Minassian, G. ; Rahme, K. ; Holmes, Justin D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activation</topic><topic>Affinity</topic><topic>Alcohol</topic><topic>Biocompatibility</topic><topic>Blood</topic><topic>Blood plasma</topic><topic>Cancer</topic><topic>Cytokines</topic><topic>Cytotoxicity</topic><topic>Drug delivery systems</topic><topic>Flow cytometry</topic><topic>Gold</topic><topic>In vivo methods and tests</topic><topic>Lysine</topic><topic>Medical research</topic><topic>Nanomaterials</topic><topic>Nanoparticles</topic><topic>Neutrophils</topic><topic>Pharmaceutical sciences</topic><topic>Photon correlation spectroscopy</topic><topic>Polyethylene glycol</topic><topic>Polymers</topic><topic>Protein adsorption</topic><topic>Proteins</topic><topic>Scanning electron microscopy</topic><topic>Studies</topic><topic>Toxicity</topic><topic>Zeta potential</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghanem, Esther</creatorcontrib><creatorcontrib>Souaid, E.</creatorcontrib><creatorcontrib>El Hage, R.</creatorcontrib><creatorcontrib>Nakhl, M.</creatorcontrib><creatorcontrib>Sarkis, M.</creatorcontrib><creatorcontrib>Minassian, G.</creatorcontrib><creatorcontrib>Rahme, K.</creatorcontrib><creatorcontrib>Holmes, Justin D.</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>CrossRef</collection><collection>Engineered Materials Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>Middle East &amp; Africa Database</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>SciTech Premium Collection</collection><collection>Materials Research Database</collection><collection>Materials Science Database</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal of nanomaterials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghanem, Esther</au><au>Souaid, E.</au><au>El Hage, R.</au><au>Nakhl, M.</au><au>Sarkis, M.</au><au>Minassian, G.</au><au>Rahme, K.</au><au>Holmes, Justin D.</au><au>Bergamaschi, Enrico</au><au>Enrico Bergamaschi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition</atitle><jtitle>Journal of nanomaterials</jtitle><date>2018-01-01</date><risdate>2018</risdate><volume>2018</volume><issue>2018</issue><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>1687-4110</issn><eissn>1687-4129</eissn><abstract>Gold nanoparticle (AuNP) physicochemical characteristics, mainly size and charge, modulate their biodistribution, cytotoxicity, and immunorecognition as reported from in vitro and in vivo studies. While data from in vitro studies could be biased by several factors including activation of cells upon isolation and lack of sera proteins in the microenvironment of primary generated cell lines, in vivo studies are costly and time-consuming and require ethics consideration. In this study, we developed a simple and novel in vivo-like method to test for NP immunorecognition from freshly withdrawn human blood samples. AuNPs with a size range of 30 ± 5 nm coated with cationic poly(L-lysine) (PLL) dendrigraft and slightly negative poly(vinyl alcohol) (PVA) were synthesized in water. PLL-capped AuNPs were further coated with poly(ethylene glycol) (PEG) to obtain nearly neutrally charged PEG-AuNPs. Physicochemical properties were determined using zeta potential measurements, UV-Vis spectroscopy, dynamic light scattering (DLS), and scanning electron microscopy (SEM). Gel electrophoretic separation, zeta potential, and DLS were also used to characterize our NPs after human blood plasma treatment. PLL-AuNPs showed similar variation in charge and binding affinity to plasma proteins in comparison with PVA-AuNPs. However, PLL-AuNPs.protein complexes revealed a drastic change in size compared to the other tested particles. Results obtained from the neutrophil function test and pyridine formazan extraction revealed the highest activation level of neutrophils (~70%) by 50 μg/mL of PLL-AuNPs compared to a null induction by PEG- and PVA-AuNPs. This observation was further verified by flow cytometry analysis of polymorphonuclear cell size variation in the presence of coated AuNPs. Overall, our in vivo-like method, to test for NP immunorecognition, proved to be reliable and effective. Finally, our data supports the use of PEG-AuNPs as promising vehicles for drug delivery, as they exhibit minimal protein adsorption affinity and insignificant charge and size variation once introduced in whole blood.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><doi>10.1155/2018/9301912</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7510-9957</orcidid><orcidid>https://orcid.org/0000-0002-8770-0880</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1687-4110
ispartof Journal of nanomaterials, 2018-01, Vol.2018 (2018), p.1-12
issn 1687-4110
1687-4129
language eng
recordid cdi_proquest_journals_2104963960
source Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content Database
subjects Activation
Affinity
Alcohol
Biocompatibility
Blood
Blood plasma
Cancer
Cytokines
Cytotoxicity
Drug delivery systems
Flow cytometry
Gold
In vivo methods and tests
Lysine
Medical research
Nanomaterials
Nanoparticles
Neutrophils
Pharmaceutical sciences
Photon correlation spectroscopy
Polyethylene glycol
Polymers
Protein adsorption
Proteins
Scanning electron microscopy
Studies
Toxicity
Zeta potential
title Assessment of Charged AuNPs: From Synthesis to Innate Immune Recognition
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T06%3A17%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assessment%20of%20Charged%20AuNPs:%20From%20Synthesis%20to%20Innate%20Immune%20Recognition&rft.jtitle=Journal%20of%20nanomaterials&rft.au=Ghanem,%20Esther&rft.date=2018-01-01&rft.volume=2018&rft.issue=2018&rft.spage=1&rft.epage=12&rft.pages=1-12&rft.issn=1687-4110&rft.eissn=1687-4129&rft_id=info:doi/10.1155/2018/9301912&rft_dat=%3Cproquest_cross%3E2104963960%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c360t-1f498221725548283b76ae2ace454d8d18b5ebbe594548a1064ad2da95eacf493%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2104963960&rft_id=info:pmid/&rfr_iscdi=true