Loading…
Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice
Summary Alcoholic liver disease is a major cause of chronic liver disease worldwide. Diethylcarbamazine (DEC) is a drug that has anti‐inflammatory properties due to its effects on the metabolism of arachidonic acid. The present study examined the anti‐inflammatory effects of DEC on the mechanisms of...
Saved in:
Published in: | Clinical and experimental pharmacology & physiology 2015-04, Vol.42 (4), p.369-379 |
---|---|
Main Authors: | , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | |
container_end_page | 379 |
container_issue | 4 |
container_start_page | 369 |
container_title | Clinical and experimental pharmacology & physiology |
container_volume | 42 |
creator | Rodrigues, Gabriel Barros Rocha, Sura Wanessa Santos Santos, Laise Aline Martins dos de Oliveira, Wilma Helena Gomes, Fabiana Oliveira dos Santos de França, Maria Eduarda da Rocha Lós, Deniele Bezerra Peixoto, Christina Alves |
description | Summary
Alcoholic liver disease is a major cause of chronic liver disease worldwide. Diethylcarbamazine (DEC) is a drug that has anti‐inflammatory properties due to its effects on the metabolism of arachidonic acid. The present study examined the anti‐inflammatory effects of DEC on the mechanisms of alcoholic liver disease. C57BL/6 mice were divided into seven groups: (i) control; (ii) DEC 50 mg/kg; (iii) alcohol; (iv) alcohol + DEC 50 mg/kg; (v) alcohol + celecoxib 50 mg/kg; (vi) alcohol + pyrrolidine dithiocarbamate 100 mg/kg; and (vii) alcohol + pyrrolidine dithiocarbamate 100 mg/kg + DEC 50 mg/kg. Liver fragments were stained with haemotoxylin–eosin and Sirius red, and processed for immunofluorescence, western blot, and immunohistochemistry. Serum was also collected for biochemical measurements. Alcohol induced liver damage, elevated collagen content, and increased expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers (tumour necrosis factor‐α, interferon‐γ, interleukin‐1β, inducible nitric oxide synthase, cyclooxygenases‐2, and transforming growth factor‐β). Treatment with DEC was able to reduce liver damage, collagen content, the expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers; it also ameliorated biochemistry parameters (total cholesterol, high‐density lipoprotein cholesterol, triglyceride content and aspartate aminotransferase) and increased the expression of anti‐inflammatory markers (p‐5′ adenosine monophosphate‐activated protein kinase and interleukin‐10). Future clinical trials may demonstrate that oral administration of DEC may be suitable for the treatment of alcoholic liver disease and other liver diseases. |
doi_str_mv | 10.1111/1440-1681.12369 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1667964779</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1667964779</sourcerecordid><originalsourceid>FETCH-LOGICAL-i3239-82858b0e50fd5c569cecf3c6f2ffd77cd1475eed34cb0e39c2f40ca8d56aeb853</originalsourceid><addsrcrecordid>eNpdkc9P2zAcxa2JaXRl591QJC67hNpxbCe7jfJrqAMOm5C4WI7zjWpwks52BuWvx2mhh_li6_s-70lfP4S-EnxM4pmRPMcp4QU5Jhnl5Qc02U320ARTzFJSCLyPPnv_gDFmmNNPaD9jXPCc0AlanRoIy7XVylWqVS-mg-_Jbe-9qSwkYQlOrWAIRifKBnCdCuYfJKYbpSQ4UKGFLiR9E3XdL3sbSRsRl9TGg_Ibds7EyWLGk9ZoOEAfG2U9fHm7p-jP-dnv-WW6uLn4Of-xSA3NaJkWWcGKCgPDTc0046UG3VDNm6xpaiF0TXLBAGqa60jRUmdNjrUqasYVVAWjU_Rtm7ty_d8BfJCt8RqsVR30g5eEc1HyXIgyokf_oQ_9EFe1G4qXlGdkDDx8o4aqhVqunGmVW8v3v4wA2wJPxsJ6pxMsx6rkWIwci5GbquT87HbziL506zM-wPPOp9yj5IIKJu-uLyS_vru_Z6e_5BV9BRj8lQE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1666936215</pqid></control><display><type>article</type><title>Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Wiley-Blackwell Read & Publish Collection</source><creator>Rodrigues, Gabriel Barros ; Rocha, Sura Wanessa Santos ; Santos, Laise Aline Martins dos ; de Oliveira, Wilma Helena ; Gomes, Fabiana Oliveira dos Santos ; de França, Maria Eduarda da Rocha ; Lós, Deniele Bezerra ; Peixoto, Christina Alves</creator><creatorcontrib>Rodrigues, Gabriel Barros ; Rocha, Sura Wanessa Santos ; Santos, Laise Aline Martins dos ; de Oliveira, Wilma Helena ; Gomes, Fabiana Oliveira dos Santos ; de França, Maria Eduarda da Rocha ; Lós, Deniele Bezerra ; Peixoto, Christina Alves</creatorcontrib><description>Summary
Alcoholic liver disease is a major cause of chronic liver disease worldwide. Diethylcarbamazine (DEC) is a drug that has anti‐inflammatory properties due to its effects on the metabolism of arachidonic acid. The present study examined the anti‐inflammatory effects of DEC on the mechanisms of alcoholic liver disease. C57BL/6 mice were divided into seven groups: (i) control; (ii) DEC 50 mg/kg; (iii) alcohol; (iv) alcohol + DEC 50 mg/kg; (v) alcohol + celecoxib 50 mg/kg; (vi) alcohol + pyrrolidine dithiocarbamate 100 mg/kg; and (vii) alcohol + pyrrolidine dithiocarbamate 100 mg/kg + DEC 50 mg/kg. Liver fragments were stained with haemotoxylin–eosin and Sirius red, and processed for immunofluorescence, western blot, and immunohistochemistry. Serum was also collected for biochemical measurements. Alcohol induced liver damage, elevated collagen content, and increased expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers (tumour necrosis factor‐α, interferon‐γ, interleukin‐1β, inducible nitric oxide synthase, cyclooxygenases‐2, and transforming growth factor‐β). Treatment with DEC was able to reduce liver damage, collagen content, the expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers; it also ameliorated biochemistry parameters (total cholesterol, high‐density lipoprotein cholesterol, triglyceride content and aspartate aminotransferase) and increased the expression of anti‐inflammatory markers (p‐5′ adenosine monophosphate‐activated protein kinase and interleukin‐10). Future clinical trials may demonstrate that oral administration of DEC may be suitable for the treatment of alcoholic liver disease and other liver diseases.</description><identifier>ISSN: 0305-1870</identifier><identifier>EISSN: 1440-1681</identifier><identifier>DOI: 10.1111/1440-1681.12369</identifier><identifier>PMID: 25676413</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>alcoholic liver disease ; AMP-Activated Protein Kinases - metabolism ; Animals ; Anti-Inflammatory Agents - pharmacology ; Aspartate Aminotransferases - blood ; Collagen - metabolism ; Cyclooxygenase 2 - genetics ; Cytokines - metabolism ; Cytoprotection ; diethylcarbamazine ; Diethylcarbamazine - pharmacology ; inflammation ; Inflammation Mediators - metabolism ; Lipids - blood ; Liver - drug effects ; Liver - metabolism ; Liver - pathology ; Liver Cirrhosis, Alcoholic - drug therapy ; Liver Cirrhosis, Alcoholic - metabolism ; Liver Cirrhosis, Alcoholic - pathology ; Male ; Mice, Inbred C57BL ; NF-kappa B - antagonists & inhibitors ; NF-kappa B - metabolism ; NF-κB ; Nitric Oxide Synthase Type II - metabolism ; Signal Transduction - drug effects ; Transforming Growth Factor beta - metabolism</subject><ispartof>Clinical and experimental pharmacology & physiology, 2015-04, Vol.42 (4), p.369-379</ispartof><rights>2015 Wiley Publishing Asia Pty Ltd</rights><rights>2015 Wiley Publishing Asia Pty Ltd.</rights><rights>Copyright © 2015 Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25676413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodrigues, Gabriel Barros</creatorcontrib><creatorcontrib>Rocha, Sura Wanessa Santos</creatorcontrib><creatorcontrib>Santos, Laise Aline Martins dos</creatorcontrib><creatorcontrib>de Oliveira, Wilma Helena</creatorcontrib><creatorcontrib>Gomes, Fabiana Oliveira dos Santos</creatorcontrib><creatorcontrib>de França, Maria Eduarda da Rocha</creatorcontrib><creatorcontrib>Lós, Deniele Bezerra</creatorcontrib><creatorcontrib>Peixoto, Christina Alves</creatorcontrib><title>Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice</title><title>Clinical and experimental pharmacology & physiology</title><addtitle>Clin Exp Pharmacol Physiol</addtitle><description>Summary
Alcoholic liver disease is a major cause of chronic liver disease worldwide. Diethylcarbamazine (DEC) is a drug that has anti‐inflammatory properties due to its effects on the metabolism of arachidonic acid. The present study examined the anti‐inflammatory effects of DEC on the mechanisms of alcoholic liver disease. C57BL/6 mice were divided into seven groups: (i) control; (ii) DEC 50 mg/kg; (iii) alcohol; (iv) alcohol + DEC 50 mg/kg; (v) alcohol + celecoxib 50 mg/kg; (vi) alcohol + pyrrolidine dithiocarbamate 100 mg/kg; and (vii) alcohol + pyrrolidine dithiocarbamate 100 mg/kg + DEC 50 mg/kg. Liver fragments were stained with haemotoxylin–eosin and Sirius red, and processed for immunofluorescence, western blot, and immunohistochemistry. Serum was also collected for biochemical measurements. Alcohol induced liver damage, elevated collagen content, and increased expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers (tumour necrosis factor‐α, interferon‐γ, interleukin‐1β, inducible nitric oxide synthase, cyclooxygenases‐2, and transforming growth factor‐β). Treatment with DEC was able to reduce liver damage, collagen content, the expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers; it also ameliorated biochemistry parameters (total cholesterol, high‐density lipoprotein cholesterol, triglyceride content and aspartate aminotransferase) and increased the expression of anti‐inflammatory markers (p‐5′ adenosine monophosphate‐activated protein kinase and interleukin‐10). Future clinical trials may demonstrate that oral administration of DEC may be suitable for the treatment of alcoholic liver disease and other liver diseases.</description><subject>alcoholic liver disease</subject><subject>AMP-Activated Protein Kinases - metabolism</subject><subject>Animals</subject><subject>Anti-Inflammatory Agents - pharmacology</subject><subject>Aspartate Aminotransferases - blood</subject><subject>Collagen - metabolism</subject><subject>Cyclooxygenase 2 - genetics</subject><subject>Cytokines - metabolism</subject><subject>Cytoprotection</subject><subject>diethylcarbamazine</subject><subject>Diethylcarbamazine - pharmacology</subject><subject>inflammation</subject><subject>Inflammation Mediators - metabolism</subject><subject>Lipids - blood</subject><subject>Liver - drug effects</subject><subject>Liver - metabolism</subject><subject>Liver - pathology</subject><subject>Liver Cirrhosis, Alcoholic - drug therapy</subject><subject>Liver Cirrhosis, Alcoholic - metabolism</subject><subject>Liver Cirrhosis, Alcoholic - pathology</subject><subject>Male</subject><subject>Mice, Inbred C57BL</subject><subject>NF-kappa B - antagonists & inhibitors</subject><subject>NF-kappa B - metabolism</subject><subject>NF-κB</subject><subject>Nitric Oxide Synthase Type II - metabolism</subject><subject>Signal Transduction - drug effects</subject><subject>Transforming Growth Factor beta - metabolism</subject><issn>0305-1870</issn><issn>1440-1681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpdkc9P2zAcxa2JaXRl591QJC67hNpxbCe7jfJrqAMOm5C4WI7zjWpwks52BuWvx2mhh_li6_s-70lfP4S-EnxM4pmRPMcp4QU5Jhnl5Qc02U320ARTzFJSCLyPPnv_gDFmmNNPaD9jXPCc0AlanRoIy7XVylWqVS-mg-_Jbe-9qSwkYQlOrWAIRifKBnCdCuYfJKYbpSQ4UKGFLiR9E3XdL3sbSRsRl9TGg_Ibds7EyWLGk9ZoOEAfG2U9fHm7p-jP-dnv-WW6uLn4Of-xSA3NaJkWWcGKCgPDTc0046UG3VDNm6xpaiF0TXLBAGqa60jRUmdNjrUqasYVVAWjU_Rtm7ty_d8BfJCt8RqsVR30g5eEc1HyXIgyokf_oQ_9EFe1G4qXlGdkDDx8o4aqhVqunGmVW8v3v4wA2wJPxsJ6pxMsx6rkWIwci5GbquT87HbziL506zM-wPPOp9yj5IIKJu-uLyS_vru_Z6e_5BV9BRj8lQE</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Rodrigues, Gabriel Barros</creator><creator>Rocha, Sura Wanessa Santos</creator><creator>Santos, Laise Aline Martins dos</creator><creator>de Oliveira, Wilma Helena</creator><creator>Gomes, Fabiana Oliveira dos Santos</creator><creator>de França, Maria Eduarda da Rocha</creator><creator>Lós, Deniele Bezerra</creator><creator>Peixoto, Christina Alves</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>201504</creationdate><title>Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice</title><author>Rodrigues, Gabriel Barros ; Rocha, Sura Wanessa Santos ; Santos, Laise Aline Martins dos ; de Oliveira, Wilma Helena ; Gomes, Fabiana Oliveira dos Santos ; de França, Maria Eduarda da Rocha ; Lós, Deniele Bezerra ; Peixoto, Christina Alves</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3239-82858b0e50fd5c569cecf3c6f2ffd77cd1475eed34cb0e39c2f40ca8d56aeb853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>alcoholic liver disease</topic><topic>AMP-Activated Protein Kinases - metabolism</topic><topic>Animals</topic><topic>Anti-Inflammatory Agents - pharmacology</topic><topic>Aspartate Aminotransferases - blood</topic><topic>Collagen - metabolism</topic><topic>Cyclooxygenase 2 - genetics</topic><topic>Cytokines - metabolism</topic><topic>Cytoprotection</topic><topic>diethylcarbamazine</topic><topic>Diethylcarbamazine - pharmacology</topic><topic>inflammation</topic><topic>Inflammation Mediators - metabolism</topic><topic>Lipids - blood</topic><topic>Liver - drug effects</topic><topic>Liver - metabolism</topic><topic>Liver - pathology</topic><topic>Liver Cirrhosis, Alcoholic - drug therapy</topic><topic>Liver Cirrhosis, Alcoholic - metabolism</topic><topic>Liver Cirrhosis, Alcoholic - pathology</topic><topic>Male</topic><topic>Mice, Inbred C57BL</topic><topic>NF-kappa B - antagonists & inhibitors</topic><topic>NF-kappa B - metabolism</topic><topic>NF-κB</topic><topic>Nitric Oxide Synthase Type II - metabolism</topic><topic>Signal Transduction - drug effects</topic><topic>Transforming Growth Factor beta - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodrigues, Gabriel Barros</creatorcontrib><creatorcontrib>Rocha, Sura Wanessa Santos</creatorcontrib><creatorcontrib>Santos, Laise Aline Martins dos</creatorcontrib><creatorcontrib>de Oliveira, Wilma Helena</creatorcontrib><creatorcontrib>Gomes, Fabiana Oliveira dos Santos</creatorcontrib><creatorcontrib>de França, Maria Eduarda da Rocha</creatorcontrib><creatorcontrib>Lós, Deniele Bezerra</creatorcontrib><creatorcontrib>Peixoto, Christina Alves</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental pharmacology & physiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodrigues, Gabriel Barros</au><au>Rocha, Sura Wanessa Santos</au><au>Santos, Laise Aline Martins dos</au><au>de Oliveira, Wilma Helena</au><au>Gomes, Fabiana Oliveira dos Santos</au><au>de França, Maria Eduarda da Rocha</au><au>Lós, Deniele Bezerra</au><au>Peixoto, Christina Alves</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice</atitle><jtitle>Clinical and experimental pharmacology & physiology</jtitle><addtitle>Clin Exp Pharmacol Physiol</addtitle><date>2015-04</date><risdate>2015</risdate><volume>42</volume><issue>4</issue><spage>369</spage><epage>379</epage><pages>369-379</pages><issn>0305-1870</issn><eissn>1440-1681</eissn><abstract>Summary
Alcoholic liver disease is a major cause of chronic liver disease worldwide. Diethylcarbamazine (DEC) is a drug that has anti‐inflammatory properties due to its effects on the metabolism of arachidonic acid. The present study examined the anti‐inflammatory effects of DEC on the mechanisms of alcoholic liver disease. C57BL/6 mice were divided into seven groups: (i) control; (ii) DEC 50 mg/kg; (iii) alcohol; (iv) alcohol + DEC 50 mg/kg; (v) alcohol + celecoxib 50 mg/kg; (vi) alcohol + pyrrolidine dithiocarbamate 100 mg/kg; and (vii) alcohol + pyrrolidine dithiocarbamate 100 mg/kg + DEC 50 mg/kg. Liver fragments were stained with haemotoxylin–eosin and Sirius red, and processed for immunofluorescence, western blot, and immunohistochemistry. Serum was also collected for biochemical measurements. Alcohol induced liver damage, elevated collagen content, and increased expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers (tumour necrosis factor‐α, interferon‐γ, interleukin‐1β, inducible nitric oxide synthase, cyclooxygenases‐2, and transforming growth factor‐β). Treatment with DEC was able to reduce liver damage, collagen content, the expression of nuclear factor kappa‐light‐chain‐enhancer of activated B cells and inflammatory markers; it also ameliorated biochemistry parameters (total cholesterol, high‐density lipoprotein cholesterol, triglyceride content and aspartate aminotransferase) and increased the expression of anti‐inflammatory markers (p‐5′ adenosine monophosphate‐activated protein kinase and interleukin‐10). Future clinical trials may demonstrate that oral administration of DEC may be suitable for the treatment of alcoholic liver disease and other liver diseases.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25676413</pmid><doi>10.1111/1440-1681.12369</doi><tpages>11</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0305-1870 |
ispartof | Clinical and experimental pharmacology & physiology, 2015-04, Vol.42 (4), p.369-379 |
issn | 0305-1870 1440-1681 |
language | eng |
recordid | cdi_proquest_miscellaneous_1667964779 |
source | EBSCOhost SPORTDiscus with Full Text; Wiley-Blackwell Read & Publish Collection |
subjects | alcoholic liver disease AMP-Activated Protein Kinases - metabolism Animals Anti-Inflammatory Agents - pharmacology Aspartate Aminotransferases - blood Collagen - metabolism Cyclooxygenase 2 - genetics Cytokines - metabolism Cytoprotection diethylcarbamazine Diethylcarbamazine - pharmacology inflammation Inflammation Mediators - metabolism Lipids - blood Liver - drug effects Liver - metabolism Liver - pathology Liver Cirrhosis, Alcoholic - drug therapy Liver Cirrhosis, Alcoholic - metabolism Liver Cirrhosis, Alcoholic - pathology Male Mice, Inbred C57BL NF-kappa B - antagonists & inhibitors NF-kappa B - metabolism NF-κB Nitric Oxide Synthase Type II - metabolism Signal Transduction - drug effects Transforming Growth Factor beta - metabolism |
title | Diethylcarbamazine: Possible therapeutic alternative in the treatment of alcoholic liver disease in C57BL/6 mice |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T17%3A06%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Diethylcarbamazine:%20Possible%20therapeutic%20alternative%20in%20the%20treatment%20of%20alcoholic%20liver%20disease%20in%20C57BL/6%20mice&rft.jtitle=Clinical%20and%20experimental%20pharmacology%20&%20physiology&rft.au=Rodrigues,%20Gabriel%20Barros&rft.date=2015-04&rft.volume=42&rft.issue=4&rft.spage=369&rft.epage=379&rft.pages=369-379&rft.issn=0305-1870&rft.eissn=1440-1681&rft_id=info:doi/10.1111/1440-1681.12369&rft_dat=%3Cproquest_pubme%3E1667964779%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-i3239-82858b0e50fd5c569cecf3c6f2ffd77cd1475eed34cb0e39c2f40ca8d56aeb853%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1666936215&rft_id=info:pmid/25676413&rfr_iscdi=true |