Loading…
Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat
Production of n-octanoyl-modified ghrelin (GHREL), an active form of the peptide requires prohormone processing protease and GHREL O-acyltransferase (GOAT), as well as n-octanoic acid. Recently a selective GOAT antagonist (GO-CoA-Tat) was invented and this tool was used to study the possible role of...
Saved in:
Published in: | Peptides (New York, N.Y. : 1980) N.Y. : 1980), 2012-06, Vol.35 (2), p.149-159 |
---|---|
Main Authors: | , , , , |
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-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3 |
---|---|
cites | cdi_FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3 |
container_end_page | 159 |
container_issue | 2 |
container_start_page | 149 |
container_title | Peptides (New York, N.Y. : 1980) |
container_volume | 35 |
creator | Rucinski, Marcin Ziolkowska, Agnieszka Szyszka, Marta Hochol, Anna Malendowicz, Ludwik K. |
description | Production of n-octanoyl-modified ghrelin (GHREL), an active form of the peptide requires prohormone processing protease and GHREL O-acyltransferase (GOAT), as well as n-octanoic acid. Recently a selective GOAT antagonist (GO-CoA-Tat) was invented and this tool was used to study the possible role of endogenous GHREL in regulating HPA axis function in the rat. Administration of GOAT inhibitor (GOATi) resulted in a notable decrease in plasma ACTH, aldosterone and corticosterone concentrations at min 60 of experiment. Octanoic acid (OA) administration had no effect on levels of studied hormones. Plasma levels of unacylated and acylated GHREL remained unchanged for 60min after either GOATi or OA administration. Under experimental conditions applied, no significant changes were observed in the levels of GOAT mRNA in hypothalamus, pituitary, adrenal and stomach fundus. After GOATi injection hypothalamic CRH mRNA levels were elevated at 30min and pituitary POMC mRNA levels at 60min. Both GOATi and OA lowered basal, but not K+-stimulated CRH release by hypothalamic explants and had no effect on basal or CRH-stimulated ACTH release by pituitary slices. Neither GOATi nor OA affected corticosterone secretion by freshly isolated or cultured rat adrenocortical cells. Thus, results of our study suggest that in the rat endogenous GHREL exerts tonic stimulating effect on hypothalamic CRH release. This effect could be demonstrated by administering rats with selected inhibitor of ghrelin O-acyltransferase, the enzyme responsible for GHREL acylation, a process which is absolutely required for both GHSR-1a binding and its central endocrine activities. |
doi_str_mv | 10.1016/j.peptides.2012.04.007 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1762129486</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0196978112001891</els_id><sourcerecordid>1015097776</sourcerecordid><originalsourceid>FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3</originalsourceid><addsrcrecordid>eNqNks1u1DAUhSMEokPhFYqXbBJsx_HPDlSVH6lSF9C1deM4iUeZONhOxTwNr4rDdBC74s2VrO-ca53jorgiuCKY8Pf7arFLcp2NFcWEVphVGItnxY5IUZcN4ep5scNE8VIJSS6KVzHuMcaMKfmyuKC0YTUlclf8unnIJrOxKK7DYGNy84DSCAkNY7CTm9FdCeY4oRRgjr0NEC1y8-hal3xAYFJEGU6jReNx8Vk5wWGNKPkz9c-9LxeXVpcgHEvogp298SE5AxOCny6ifp1Ncn7O0j-OAdLr4kUPU7RvHudlcf_p5vv1l_L27vPX64-3pWGNTCXndSdkzVlT81ZKArQRhknKjZEcLKNC1dgA7UAaaKmyTS8b0vaC4bplpK0vi3cn3yX4H2vOQR9cNHaaYLZ-jZoITglVTPKnUVxLyjhT7D9Q0mAlhNhc-Qk1wccYbK-X4A45qQxtHNd7fa5cb5VrzHSuPAuvHnes7cF2f2XnjjPw9gT04DUMwUV9_y07cLwdpVQmPpwImxN-cDboaNz2KToXrEm68-6pV_wGLQjMyw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1015097776</pqid></control><display><type>article</type><title>Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat</title><source>Elsevier</source><creator>Rucinski, Marcin ; Ziolkowska, Agnieszka ; Szyszka, Marta ; Hochol, Anna ; Malendowicz, Ludwik K.</creator><creatorcontrib>Rucinski, Marcin ; Ziolkowska, Agnieszka ; Szyszka, Marta ; Hochol, Anna ; Malendowicz, Ludwik K.</creatorcontrib><description>Production of n-octanoyl-modified ghrelin (GHREL), an active form of the peptide requires prohormone processing protease and GHREL O-acyltransferase (GOAT), as well as n-octanoic acid. Recently a selective GOAT antagonist (GO-CoA-Tat) was invented and this tool was used to study the possible role of endogenous GHREL in regulating HPA axis function in the rat. Administration of GOAT inhibitor (GOATi) resulted in a notable decrease in plasma ACTH, aldosterone and corticosterone concentrations at min 60 of experiment. Octanoic acid (OA) administration had no effect on levels of studied hormones. Plasma levels of unacylated and acylated GHREL remained unchanged for 60min after either GOATi or OA administration. Under experimental conditions applied, no significant changes were observed in the levels of GOAT mRNA in hypothalamus, pituitary, adrenal and stomach fundus. After GOATi injection hypothalamic CRH mRNA levels were elevated at 30min and pituitary POMC mRNA levels at 60min. Both GOATi and OA lowered basal, but not K+-stimulated CRH release by hypothalamic explants and had no effect on basal or CRH-stimulated ACTH release by pituitary slices. Neither GOATi nor OA affected corticosterone secretion by freshly isolated or cultured rat adrenocortical cells. Thus, results of our study suggest that in the rat endogenous GHREL exerts tonic stimulating effect on hypothalamic CRH release. This effect could be demonstrated by administering rats with selected inhibitor of ghrelin O-acyltransferase, the enzyme responsible for GHREL acylation, a process which is absolutely required for both GHSR-1a binding and its central endocrine activities.</description><identifier>ISSN: 0196-9781</identifier><identifier>EISSN: 1873-5169</identifier><identifier>DOI: 10.1016/j.peptides.2012.04.007</identifier><identifier>PMID: 22543218</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>ACTH ; acylation ; acyltransferases ; Acyltransferases - antagonists & inhibitors ; Adrenocorticotropic Hormone - blood ; Aldosterone ; Aldosterone - blood ; Animals ; antagonists ; Binding ; Cell culture ; Cell Proliferation ; Cells, Cultured ; Corticosterone ; Corticosterone - blood ; corticotropin ; Corticotropin-Releasing Hormone - genetics ; Corticotropin-Releasing Hormone - metabolism ; CRH ; explants ; Female ; gastric fundus ; ghrelin ; Ghrelin - blood ; Ghrelin - genetics ; Ghrelin - metabolism ; Ghrelin O-acyl transferase inhibitor ; GOAT ; Goats ; Hypothalamo-Hypophyseal System - drug effects ; Hypothalamo-Hypophyseal System - metabolism ; Hypothalamus ; Hypothalamus - drug effects ; Inhibitors ; messenger RNA ; octanoic acid ; Peptides ; Pituitary-Adrenal System - drug effects ; Pituitary-Adrenal System - metabolism ; proteinases ; rat ; Rats ; Rats, Wistar ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; secretion ; Secretions</subject><ispartof>Peptides (New York, N.Y. : 1980), 2012-06, Vol.35 (2), p.149-159</ispartof><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3</citedby><cites>FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3</cites></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/22543218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rucinski, Marcin</creatorcontrib><creatorcontrib>Ziolkowska, Agnieszka</creatorcontrib><creatorcontrib>Szyszka, Marta</creatorcontrib><creatorcontrib>Hochol, Anna</creatorcontrib><creatorcontrib>Malendowicz, Ludwik K.</creatorcontrib><title>Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat</title><title>Peptides (New York, N.Y. : 1980)</title><addtitle>Peptides</addtitle><description>Production of n-octanoyl-modified ghrelin (GHREL), an active form of the peptide requires prohormone processing protease and GHREL O-acyltransferase (GOAT), as well as n-octanoic acid. Recently a selective GOAT antagonist (GO-CoA-Tat) was invented and this tool was used to study the possible role of endogenous GHREL in regulating HPA axis function in the rat. Administration of GOAT inhibitor (GOATi) resulted in a notable decrease in plasma ACTH, aldosterone and corticosterone concentrations at min 60 of experiment. Octanoic acid (OA) administration had no effect on levels of studied hormones. Plasma levels of unacylated and acylated GHREL remained unchanged for 60min after either GOATi or OA administration. Under experimental conditions applied, no significant changes were observed in the levels of GOAT mRNA in hypothalamus, pituitary, adrenal and stomach fundus. After GOATi injection hypothalamic CRH mRNA levels were elevated at 30min and pituitary POMC mRNA levels at 60min. Both GOATi and OA lowered basal, but not K+-stimulated CRH release by hypothalamic explants and had no effect on basal or CRH-stimulated ACTH release by pituitary slices. Neither GOATi nor OA affected corticosterone secretion by freshly isolated or cultured rat adrenocortical cells. Thus, results of our study suggest that in the rat endogenous GHREL exerts tonic stimulating effect on hypothalamic CRH release. This effect could be demonstrated by administering rats with selected inhibitor of ghrelin O-acyltransferase, the enzyme responsible for GHREL acylation, a process which is absolutely required for both GHSR-1a binding and its central endocrine activities.</description><subject>ACTH</subject><subject>acylation</subject><subject>acyltransferases</subject><subject>Acyltransferases - antagonists & inhibitors</subject><subject>Adrenocorticotropic Hormone - blood</subject><subject>Aldosterone</subject><subject>Aldosterone - blood</subject><subject>Animals</subject><subject>antagonists</subject><subject>Binding</subject><subject>Cell culture</subject><subject>Cell Proliferation</subject><subject>Cells, Cultured</subject><subject>Corticosterone</subject><subject>Corticosterone - blood</subject><subject>corticotropin</subject><subject>Corticotropin-Releasing Hormone - genetics</subject><subject>Corticotropin-Releasing Hormone - metabolism</subject><subject>CRH</subject><subject>explants</subject><subject>Female</subject><subject>gastric fundus</subject><subject>ghrelin</subject><subject>Ghrelin - blood</subject><subject>Ghrelin - genetics</subject><subject>Ghrelin - metabolism</subject><subject>Ghrelin O-acyl transferase inhibitor</subject><subject>GOAT</subject><subject>Goats</subject><subject>Hypothalamo-Hypophyseal System - drug effects</subject><subject>Hypothalamo-Hypophyseal System - metabolism</subject><subject>Hypothalamus</subject><subject>Hypothalamus - drug effects</subject><subject>Inhibitors</subject><subject>messenger RNA</subject><subject>octanoic acid</subject><subject>Peptides</subject><subject>Pituitary-Adrenal System - drug effects</subject><subject>Pituitary-Adrenal System - metabolism</subject><subject>proteinases</subject><subject>rat</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>secretion</subject><subject>Secretions</subject><issn>0196-9781</issn><issn>1873-5169</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNks1u1DAUhSMEokPhFYqXbBJsx_HPDlSVH6lSF9C1deM4iUeZONhOxTwNr4rDdBC74s2VrO-ca53jorgiuCKY8Pf7arFLcp2NFcWEVphVGItnxY5IUZcN4ep5scNE8VIJSS6KVzHuMcaMKfmyuKC0YTUlclf8unnIJrOxKK7DYGNy84DSCAkNY7CTm9FdCeY4oRRgjr0NEC1y8-hal3xAYFJEGU6jReNx8Vk5wWGNKPkz9c-9LxeXVpcgHEvogp298SE5AxOCny6ifp1Ncn7O0j-OAdLr4kUPU7RvHudlcf_p5vv1l_L27vPX64-3pWGNTCXndSdkzVlT81ZKArQRhknKjZEcLKNC1dgA7UAaaKmyTS8b0vaC4bplpK0vi3cn3yX4H2vOQR9cNHaaYLZ-jZoITglVTPKnUVxLyjhT7D9Q0mAlhNhc-Qk1wccYbK-X4A45qQxtHNd7fa5cb5VrzHSuPAuvHnes7cF2f2XnjjPw9gT04DUMwUV9_y07cLwdpVQmPpwImxN-cDboaNz2KToXrEm68-6pV_wGLQjMyw</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Rucinski, Marcin</creator><creator>Ziolkowska, Agnieszka</creator><creator>Szyszka, Marta</creator><creator>Hochol, Anna</creator><creator>Malendowicz, Ludwik K.</creator><general>Elsevier Inc</general><scope>FBQ</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>7TK</scope><scope>7U5</scope><scope>8FD</scope><scope>L7M</scope></search><sort><creationdate>20120601</creationdate><title>Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat</title><author>Rucinski, Marcin ; Ziolkowska, Agnieszka ; Szyszka, Marta ; Hochol, Anna ; Malendowicz, Ludwik K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>ACTH</topic><topic>acylation</topic><topic>acyltransferases</topic><topic>Acyltransferases - antagonists & inhibitors</topic><topic>Adrenocorticotropic Hormone - blood</topic><topic>Aldosterone</topic><topic>Aldosterone - blood</topic><topic>Animals</topic><topic>antagonists</topic><topic>Binding</topic><topic>Cell culture</topic><topic>Cell Proliferation</topic><topic>Cells, Cultured</topic><topic>Corticosterone</topic><topic>Corticosterone - blood</topic><topic>corticotropin</topic><topic>Corticotropin-Releasing Hormone - genetics</topic><topic>Corticotropin-Releasing Hormone - metabolism</topic><topic>CRH</topic><topic>explants</topic><topic>Female</topic><topic>gastric fundus</topic><topic>ghrelin</topic><topic>Ghrelin - blood</topic><topic>Ghrelin - genetics</topic><topic>Ghrelin - metabolism</topic><topic>Ghrelin O-acyl transferase inhibitor</topic><topic>GOAT</topic><topic>Goats</topic><topic>Hypothalamo-Hypophyseal System - drug effects</topic><topic>Hypothalamo-Hypophyseal System - metabolism</topic><topic>Hypothalamus</topic><topic>Hypothalamus - drug effects</topic><topic>Inhibitors</topic><topic>messenger RNA</topic><topic>octanoic acid</topic><topic>Peptides</topic><topic>Pituitary-Adrenal System - drug effects</topic><topic>Pituitary-Adrenal System - metabolism</topic><topic>proteinases</topic><topic>rat</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>RNA, Messenger - genetics</topic><topic>RNA, Messenger - metabolism</topic><topic>secretion</topic><topic>Secretions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rucinski, Marcin</creatorcontrib><creatorcontrib>Ziolkowska, Agnieszka</creatorcontrib><creatorcontrib>Szyszka, Marta</creatorcontrib><creatorcontrib>Hochol, Anna</creatorcontrib><creatorcontrib>Malendowicz, Ludwik K.</creatorcontrib><collection>AGRIS</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>Neurosciences Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>Peptides (New York, N.Y. : 1980)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rucinski, Marcin</au><au>Ziolkowska, Agnieszka</au><au>Szyszka, Marta</au><au>Hochol, Anna</au><au>Malendowicz, Ludwik K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat</atitle><jtitle>Peptides (New York, N.Y. : 1980)</jtitle><addtitle>Peptides</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>35</volume><issue>2</issue><spage>149</spage><epage>159</epage><pages>149-159</pages><issn>0196-9781</issn><eissn>1873-5169</eissn><abstract>Production of n-octanoyl-modified ghrelin (GHREL), an active form of the peptide requires prohormone processing protease and GHREL O-acyltransferase (GOAT), as well as n-octanoic acid. Recently a selective GOAT antagonist (GO-CoA-Tat) was invented and this tool was used to study the possible role of endogenous GHREL in regulating HPA axis function in the rat. Administration of GOAT inhibitor (GOATi) resulted in a notable decrease in plasma ACTH, aldosterone and corticosterone concentrations at min 60 of experiment. Octanoic acid (OA) administration had no effect on levels of studied hormones. Plasma levels of unacylated and acylated GHREL remained unchanged for 60min after either GOATi or OA administration. Under experimental conditions applied, no significant changes were observed in the levels of GOAT mRNA in hypothalamus, pituitary, adrenal and stomach fundus. After GOATi injection hypothalamic CRH mRNA levels were elevated at 30min and pituitary POMC mRNA levels at 60min. Both GOATi and OA lowered basal, but not K+-stimulated CRH release by hypothalamic explants and had no effect on basal or CRH-stimulated ACTH release by pituitary slices. Neither GOATi nor OA affected corticosterone secretion by freshly isolated or cultured rat adrenocortical cells. Thus, results of our study suggest that in the rat endogenous GHREL exerts tonic stimulating effect on hypothalamic CRH release. This effect could be demonstrated by administering rats with selected inhibitor of ghrelin O-acyltransferase, the enzyme responsible for GHREL acylation, a process which is absolutely required for both GHSR-1a binding and its central endocrine activities.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22543218</pmid><doi>10.1016/j.peptides.2012.04.007</doi><tpages>11</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0196-9781 |
ispartof | Peptides (New York, N.Y. : 1980), 2012-06, Vol.35 (2), p.149-159 |
issn | 0196-9781 1873-5169 |
language | eng |
recordid | cdi_proquest_miscellaneous_1762129486 |
source | Elsevier |
subjects | ACTH acylation acyltransferases Acyltransferases - antagonists & inhibitors Adrenocorticotropic Hormone - blood Aldosterone Aldosterone - blood Animals antagonists Binding Cell culture Cell Proliferation Cells, Cultured Corticosterone Corticosterone - blood corticotropin Corticotropin-Releasing Hormone - genetics Corticotropin-Releasing Hormone - metabolism CRH explants Female gastric fundus ghrelin Ghrelin - blood Ghrelin - genetics Ghrelin - metabolism Ghrelin O-acyl transferase inhibitor GOAT Goats Hypothalamo-Hypophyseal System - drug effects Hypothalamo-Hypophyseal System - metabolism Hypothalamus Hypothalamus - drug effects Inhibitors messenger RNA octanoic acid Peptides Pituitary-Adrenal System - drug effects Pituitary-Adrenal System - metabolism proteinases rat Rats Rats, Wistar RNA, Messenger - genetics RNA, Messenger - metabolism secretion Secretions |
title | Evidence suggesting that ghrelin O-acyl transferase inhibitor acts at the hypothalamus to inhibit hypothalamo-pituitary-adrenocortical axis function in the rat |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T19%3A32%3A19IST&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=Evidence%20suggesting%20that%20ghrelin%20O-acyl%20transferase%20inhibitor%20acts%20at%20the%20hypothalamus%20to%20inhibit%20hypothalamo-pituitary-adrenocortical%20axis%20function%20in%20the%20rat&rft.jtitle=Peptides%20(New%20York,%20N.Y.%20:%201980)&rft.au=Rucinski,%20Marcin&rft.date=2012-06-01&rft.volume=35&rft.issue=2&rft.spage=149&rft.epage=159&rft.pages=149-159&rft.issn=0196-9781&rft.eissn=1873-5169&rft_id=info:doi/10.1016/j.peptides.2012.04.007&rft_dat=%3Cproquest_cross%3E1015097776%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c458t-663d78364536b881a257c4826cc86ae427930ca2da8cab29e5f851bf7403b41b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1015097776&rft_id=info:pmid/22543218&rfr_iscdi=true |