Loading…

T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation

Autophagy is an evolutionary conserved intracellular catabolic process of vital importance to cell and tissue homeostasis. Autophagy is implicated in the pathogenesis of atherosclerosis but participating cells, molecular mechanisms and functional outcomes have not been fully elucidated. T-cadherin,...

Full description

Saved in:
Bibliographic Details
Published in:Cellular signalling 2017-07, Vol.35, p.163-175
Main Authors: Kyriakakis, Emmanouil, Frismantiene, Agne, Dasen, Boris, Pfaff, Dennis, Rivero, Olga, Lesch, Klaus-Peter, Erne, Paul, Resink, Therese J., Philippova, Maria
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-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3
cites cdi_FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3
container_end_page 175
container_issue
container_start_page 163
container_title Cellular signalling
container_volume 35
creator Kyriakakis, Emmanouil
Frismantiene, Agne
Dasen, Boris
Pfaff, Dennis
Rivero, Olga
Lesch, Klaus-Peter
Erne, Paul
Resink, Therese J.
Philippova, Maria
description Autophagy is an evolutionary conserved intracellular catabolic process of vital importance to cell and tissue homeostasis. Autophagy is implicated in the pathogenesis of atherosclerosis but participating cells, molecular mechanisms and functional outcomes have not been fully elucidated. T-cadherin, an atypical glycosylphosphatidylinositol-anchored member of the cadherin superfamily of adhesion molecules, is upregulated on smooth muscle cells (SMCs)1 in atherosclerotic lesions. Here, using rat and murine aortic SMCs as experimental models, we surveyed the ability of T-cadherin to regulate autophagy in SMCs during serum-starvation stress. Ectopic upregulation of T-cadherin in SMCs resulted in augmented autophagy characterized by increased autophagic flux, LC3-II abundance and autophagosome formation. Analysis of signal transduction pathway effectors and use of specific pharmacological inhibitors demonstrated that T-cadherin-associated enhancement of the autophagic response to serum-deprivation was dependent on MEK1/2/Erk1/2 activation and independent of PI3K/Akt/mTORC1, reactive oxygen species or endoplasmic reticulum stress. T-cadherin upregulation on SMCs conferred a survival advantage during prolonged serum-starvation which was sensitive to inhibition of MEK1/2/Erk1/2 by PD98059 or UO126 and to blockade of autophagy by chloroquine. Loss of T-cadherin expression in SMCs diminished autophagy responsiveness and compromised survival under conditions of serum-starvation. Overall our findings have identified T-cadherin as a novel positive regulator of autophagy and survival in SMCs. T-cadherin increases autophagy-dependent survival in smooth muscle cells via MEK1/2/Ek1/2 axis activation [Display omitted] •Existence of cadherin-based autophagy regulation in vascular SMCs•T-cadherin upregulation in SMCs augments pro-survival autophagic flux•MEK1/2/Erk1/2 axis activation underlies T-cadherin-augmentation of autophagy.•T-cadherin may be a target for promoting SMC survival during bioenergetic stress.
doi_str_mv 10.1016/j.cellsig.2017.04.004
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1886350636</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0898656817301043</els_id><sourcerecordid>1886350636</sourcerecordid><originalsourceid>FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3</originalsourceid><addsrcrecordid>eNqFkE1P3DAQhi3UChbKTwD52Euy_ogT54QqtEAFVS_0bDnOZOMlibe2s4J_Xy-79MppLs-878yD0BUlOSW0XG5yA8MQ7DpnhFY5KXJCihO0oLLiGa8p_4IWRNYyK0Upz9B5CBtCqCAlO0VnTPKaFUws0PY5M7rtwdsJb70bXYSA9RzdttfrN6ynFofZ7-xODzghOx3MPGiPw-hc7PE4BzMAfj8Fx967ed3jX6tHumTLlX9JA-tXmxJNTBHRuukb-trpIcDlcV6gP3er59uH7On3_c_bH0-ZKcoiZoK0wFhXScmgERWnoikaWhXa1Fy3lHaN1k1V0xbA8E7wktWsrogE1lDWCMMv0PdDbvrq7wwhqtGG_Z16AjcHRaUsedLBy4SKA2q8C8FDp7bejtq_KUrUXrbaqKNstZetSKGS7LR3fayYmxHa_1sfdhNwcwAgPbqz4FUwFiYDrfVgomqd_aTiHwAik8A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1886350636</pqid></control><display><type>article</type><title>T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Kyriakakis, Emmanouil ; Frismantiene, Agne ; Dasen, Boris ; Pfaff, Dennis ; Rivero, Olga ; Lesch, Klaus-Peter ; Erne, Paul ; Resink, Therese J. ; Philippova, Maria</creator><creatorcontrib>Kyriakakis, Emmanouil ; Frismantiene, Agne ; Dasen, Boris ; Pfaff, Dennis ; Rivero, Olga ; Lesch, Klaus-Peter ; Erne, Paul ; Resink, Therese J. ; Philippova, Maria</creatorcontrib><description>Autophagy is an evolutionary conserved intracellular catabolic process of vital importance to cell and tissue homeostasis. Autophagy is implicated in the pathogenesis of atherosclerosis but participating cells, molecular mechanisms and functional outcomes have not been fully elucidated. T-cadherin, an atypical glycosylphosphatidylinositol-anchored member of the cadherin superfamily of adhesion molecules, is upregulated on smooth muscle cells (SMCs)1 in atherosclerotic lesions. Here, using rat and murine aortic SMCs as experimental models, we surveyed the ability of T-cadherin to regulate autophagy in SMCs during serum-starvation stress. Ectopic upregulation of T-cadherin in SMCs resulted in augmented autophagy characterized by increased autophagic flux, LC3-II abundance and autophagosome formation. Analysis of signal transduction pathway effectors and use of specific pharmacological inhibitors demonstrated that T-cadherin-associated enhancement of the autophagic response to serum-deprivation was dependent on MEK1/2/Erk1/2 activation and independent of PI3K/Akt/mTORC1, reactive oxygen species or endoplasmic reticulum stress. T-cadherin upregulation on SMCs conferred a survival advantage during prolonged serum-starvation which was sensitive to inhibition of MEK1/2/Erk1/2 by PD98059 or UO126 and to blockade of autophagy by chloroquine. Loss of T-cadherin expression in SMCs diminished autophagy responsiveness and compromised survival under conditions of serum-starvation. Overall our findings have identified T-cadherin as a novel positive regulator of autophagy and survival in SMCs. T-cadherin increases autophagy-dependent survival in smooth muscle cells via MEK1/2/Ek1/2 axis activation [Display omitted] •Existence of cadherin-based autophagy regulation in vascular SMCs•T-cadherin upregulation in SMCs augments pro-survival autophagic flux•MEK1/2/Erk1/2 axis activation underlies T-cadherin-augmentation of autophagy.•T-cadherin may be a target for promoting SMC survival during bioenergetic stress.</description><identifier>ISSN: 0898-6568</identifier><identifier>EISSN: 1873-3913</identifier><identifier>DOI: 10.1016/j.cellsig.2017.04.004</identifier><identifier>PMID: 28392425</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Animals ; Aorta - cytology ; Aorta - metabolism ; Apoptosis - genetics ; Autophagy ; Autophagy - genetics ; Cadherins - genetics ; Endoplasmic Reticulum Stress - genetics ; Flavonoids - administration &amp; dosage ; Gene Expression Regulation - drug effects ; Humans ; MAP Kinase Kinase 1 - genetics ; MAP Kinase Kinase 2 - genetics ; MAP Kinase Signaling System - drug effects ; Mice ; Muscle, Smooth, Vascular - drug effects ; Muscle, Smooth, Vascular - metabolism ; Myocytes, Smooth Muscle - drug effects ; Myocytes, Smooth Muscle - metabolism ; Rats ; Reactive Oxygen Species - metabolism ; Signal transduction ; T-cadherin ; Transcriptional Activation - genetics ; Unfolded protein response ; Vascular smooth muscle cells</subject><ispartof>Cellular signalling, 2017-07, Vol.35, p.163-175</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3</citedby><cites>FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3</cites><orcidid>0000-0002-2664-4053</orcidid></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/28392425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kyriakakis, Emmanouil</creatorcontrib><creatorcontrib>Frismantiene, Agne</creatorcontrib><creatorcontrib>Dasen, Boris</creatorcontrib><creatorcontrib>Pfaff, Dennis</creatorcontrib><creatorcontrib>Rivero, Olga</creatorcontrib><creatorcontrib>Lesch, Klaus-Peter</creatorcontrib><creatorcontrib>Erne, Paul</creatorcontrib><creatorcontrib>Resink, Therese J.</creatorcontrib><creatorcontrib>Philippova, Maria</creatorcontrib><title>T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation</title><title>Cellular signalling</title><addtitle>Cell Signal</addtitle><description>Autophagy is an evolutionary conserved intracellular catabolic process of vital importance to cell and tissue homeostasis. Autophagy is implicated in the pathogenesis of atherosclerosis but participating cells, molecular mechanisms and functional outcomes have not been fully elucidated. T-cadherin, an atypical glycosylphosphatidylinositol-anchored member of the cadherin superfamily of adhesion molecules, is upregulated on smooth muscle cells (SMCs)1 in atherosclerotic lesions. Here, using rat and murine aortic SMCs as experimental models, we surveyed the ability of T-cadherin to regulate autophagy in SMCs during serum-starvation stress. Ectopic upregulation of T-cadherin in SMCs resulted in augmented autophagy characterized by increased autophagic flux, LC3-II abundance and autophagosome formation. Analysis of signal transduction pathway effectors and use of specific pharmacological inhibitors demonstrated that T-cadherin-associated enhancement of the autophagic response to serum-deprivation was dependent on MEK1/2/Erk1/2 activation and independent of PI3K/Akt/mTORC1, reactive oxygen species or endoplasmic reticulum stress. T-cadherin upregulation on SMCs conferred a survival advantage during prolonged serum-starvation which was sensitive to inhibition of MEK1/2/Erk1/2 by PD98059 or UO126 and to blockade of autophagy by chloroquine. Loss of T-cadherin expression in SMCs diminished autophagy responsiveness and compromised survival under conditions of serum-starvation. Overall our findings have identified T-cadherin as a novel positive regulator of autophagy and survival in SMCs. T-cadherin increases autophagy-dependent survival in smooth muscle cells via MEK1/2/Ek1/2 axis activation [Display omitted] •Existence of cadherin-based autophagy regulation in vascular SMCs•T-cadherin upregulation in SMCs augments pro-survival autophagic flux•MEK1/2/Erk1/2 axis activation underlies T-cadherin-augmentation of autophagy.•T-cadherin may be a target for promoting SMC survival during bioenergetic stress.</description><subject>Animals</subject><subject>Aorta - cytology</subject><subject>Aorta - metabolism</subject><subject>Apoptosis - genetics</subject><subject>Autophagy</subject><subject>Autophagy - genetics</subject><subject>Cadherins - genetics</subject><subject>Endoplasmic Reticulum Stress - genetics</subject><subject>Flavonoids - administration &amp; dosage</subject><subject>Gene Expression Regulation - drug effects</subject><subject>Humans</subject><subject>MAP Kinase Kinase 1 - genetics</subject><subject>MAP Kinase Kinase 2 - genetics</subject><subject>MAP Kinase Signaling System - drug effects</subject><subject>Mice</subject><subject>Muscle, Smooth, Vascular - drug effects</subject><subject>Muscle, Smooth, Vascular - metabolism</subject><subject>Myocytes, Smooth Muscle - drug effects</subject><subject>Myocytes, Smooth Muscle - metabolism</subject><subject>Rats</subject><subject>Reactive Oxygen Species - metabolism</subject><subject>Signal transduction</subject><subject>T-cadherin</subject><subject>Transcriptional Activation - genetics</subject><subject>Unfolded protein response</subject><subject>Vascular smooth muscle cells</subject><issn>0898-6568</issn><issn>1873-3913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFkE1P3DAQhi3UChbKTwD52Euy_ogT54QqtEAFVS_0bDnOZOMlibe2s4J_Xy-79MppLs-878yD0BUlOSW0XG5yA8MQ7DpnhFY5KXJCihO0oLLiGa8p_4IWRNYyK0Upz9B5CBtCqCAlO0VnTPKaFUws0PY5M7rtwdsJb70bXYSA9RzdttfrN6ynFofZ7-xODzghOx3MPGiPw-hc7PE4BzMAfj8Fx967ed3jX6tHumTLlX9JA-tXmxJNTBHRuukb-trpIcDlcV6gP3er59uH7On3_c_bH0-ZKcoiZoK0wFhXScmgERWnoikaWhXa1Fy3lHaN1k1V0xbA8E7wktWsrogE1lDWCMMv0PdDbvrq7wwhqtGG_Z16AjcHRaUsedLBy4SKA2q8C8FDp7bejtq_KUrUXrbaqKNstZetSKGS7LR3fayYmxHa_1sfdhNwcwAgPbqz4FUwFiYDrfVgomqd_aTiHwAik8A</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Kyriakakis, Emmanouil</creator><creator>Frismantiene, Agne</creator><creator>Dasen, Boris</creator><creator>Pfaff, Dennis</creator><creator>Rivero, Olga</creator><creator>Lesch, Klaus-Peter</creator><creator>Erne, Paul</creator><creator>Resink, Therese J.</creator><creator>Philippova, Maria</creator><general>Elsevier Inc</general><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><orcidid>https://orcid.org/0000-0002-2664-4053</orcidid></search><sort><creationdate>201707</creationdate><title>T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation</title><author>Kyriakakis, Emmanouil ; Frismantiene, Agne ; Dasen, Boris ; Pfaff, Dennis ; Rivero, Olga ; Lesch, Klaus-Peter ; Erne, Paul ; Resink, Therese J. ; Philippova, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Aorta - cytology</topic><topic>Aorta - metabolism</topic><topic>Apoptosis - genetics</topic><topic>Autophagy</topic><topic>Autophagy - genetics</topic><topic>Cadherins - genetics</topic><topic>Endoplasmic Reticulum Stress - genetics</topic><topic>Flavonoids - administration &amp; dosage</topic><topic>Gene Expression Regulation - drug effects</topic><topic>Humans</topic><topic>MAP Kinase Kinase 1 - genetics</topic><topic>MAP Kinase Kinase 2 - genetics</topic><topic>MAP Kinase Signaling System - drug effects</topic><topic>Mice</topic><topic>Muscle, Smooth, Vascular - drug effects</topic><topic>Muscle, Smooth, Vascular - metabolism</topic><topic>Myocytes, Smooth Muscle - drug effects</topic><topic>Myocytes, Smooth Muscle - metabolism</topic><topic>Rats</topic><topic>Reactive Oxygen Species - metabolism</topic><topic>Signal transduction</topic><topic>T-cadherin</topic><topic>Transcriptional Activation - genetics</topic><topic>Unfolded protein response</topic><topic>Vascular smooth muscle cells</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kyriakakis, Emmanouil</creatorcontrib><creatorcontrib>Frismantiene, Agne</creatorcontrib><creatorcontrib>Dasen, Boris</creatorcontrib><creatorcontrib>Pfaff, Dennis</creatorcontrib><creatorcontrib>Rivero, Olga</creatorcontrib><creatorcontrib>Lesch, Klaus-Peter</creatorcontrib><creatorcontrib>Erne, Paul</creatorcontrib><creatorcontrib>Resink, Therese J.</creatorcontrib><creatorcontrib>Philippova, Maria</creatorcontrib><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><jtitle>Cellular signalling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kyriakakis, Emmanouil</au><au>Frismantiene, Agne</au><au>Dasen, Boris</au><au>Pfaff, Dennis</au><au>Rivero, Olga</au><au>Lesch, Klaus-Peter</au><au>Erne, Paul</au><au>Resink, Therese J.</au><au>Philippova, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation</atitle><jtitle>Cellular signalling</jtitle><addtitle>Cell Signal</addtitle><date>2017-07</date><risdate>2017</risdate><volume>35</volume><spage>163</spage><epage>175</epage><pages>163-175</pages><issn>0898-6568</issn><eissn>1873-3913</eissn><abstract>Autophagy is an evolutionary conserved intracellular catabolic process of vital importance to cell and tissue homeostasis. Autophagy is implicated in the pathogenesis of atherosclerosis but participating cells, molecular mechanisms and functional outcomes have not been fully elucidated. T-cadherin, an atypical glycosylphosphatidylinositol-anchored member of the cadherin superfamily of adhesion molecules, is upregulated on smooth muscle cells (SMCs)1 in atherosclerotic lesions. Here, using rat and murine aortic SMCs as experimental models, we surveyed the ability of T-cadherin to regulate autophagy in SMCs during serum-starvation stress. Ectopic upregulation of T-cadherin in SMCs resulted in augmented autophagy characterized by increased autophagic flux, LC3-II abundance and autophagosome formation. Analysis of signal transduction pathway effectors and use of specific pharmacological inhibitors demonstrated that T-cadherin-associated enhancement of the autophagic response to serum-deprivation was dependent on MEK1/2/Erk1/2 activation and independent of PI3K/Akt/mTORC1, reactive oxygen species or endoplasmic reticulum stress. T-cadherin upregulation on SMCs conferred a survival advantage during prolonged serum-starvation which was sensitive to inhibition of MEK1/2/Erk1/2 by PD98059 or UO126 and to blockade of autophagy by chloroquine. Loss of T-cadherin expression in SMCs diminished autophagy responsiveness and compromised survival under conditions of serum-starvation. Overall our findings have identified T-cadherin as a novel positive regulator of autophagy and survival in SMCs. T-cadherin increases autophagy-dependent survival in smooth muscle cells via MEK1/2/Ek1/2 axis activation [Display omitted] •Existence of cadherin-based autophagy regulation in vascular SMCs•T-cadherin upregulation in SMCs augments pro-survival autophagic flux•MEK1/2/Erk1/2 axis activation underlies T-cadherin-augmentation of autophagy.•T-cadherin may be a target for promoting SMC survival during bioenergetic stress.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28392425</pmid><doi>10.1016/j.cellsig.2017.04.004</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-2664-4053</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0898-6568
ispartof Cellular signalling, 2017-07, Vol.35, p.163-175
issn 0898-6568
1873-3913
language eng
recordid cdi_proquest_miscellaneous_1886350636
source ScienceDirect Freedom Collection 2022-2024
subjects Animals
Aorta - cytology
Aorta - metabolism
Apoptosis - genetics
Autophagy
Autophagy - genetics
Cadherins - genetics
Endoplasmic Reticulum Stress - genetics
Flavonoids - administration & dosage
Gene Expression Regulation - drug effects
Humans
MAP Kinase Kinase 1 - genetics
MAP Kinase Kinase 2 - genetics
MAP Kinase Signaling System - drug effects
Mice
Muscle, Smooth, Vascular - drug effects
Muscle, Smooth, Vascular - metabolism
Myocytes, Smooth Muscle - drug effects
Myocytes, Smooth Muscle - metabolism
Rats
Reactive Oxygen Species - metabolism
Signal transduction
T-cadherin
Transcriptional Activation - genetics
Unfolded protein response
Vascular smooth muscle cells
title T-cadherin promotes autophagy and survival in vascular smooth muscle cells through MEK1/2/Erk1/2 axis activation
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T08%3A29%3A28IST&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=T-cadherin%20promotes%20autophagy%20and%20survival%20in%20vascular%20smooth%20muscle%20cells%20through%20MEK1/2/Erk1/2%20axis%20activation&rft.jtitle=Cellular%20signalling&rft.au=Kyriakakis,%20Emmanouil&rft.date=2017-07&rft.volume=35&rft.spage=163&rft.epage=175&rft.pages=163-175&rft.issn=0898-6568&rft.eissn=1873-3913&rft_id=info:doi/10.1016/j.cellsig.2017.04.004&rft_dat=%3Cproquest_cross%3E1886350636%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c464t-50de22f7882eb57315b4b174ac93ad11fbaab791deec3f5362929708e2b12b5c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1886350636&rft_id=info:pmid/28392425&rfr_iscdi=true