Loading…
Gut microbiota recovery and immune response in ampicillin-treated mice
Ampicillin is applied in rodents to induce a temporarily depleted microbiota. To elucidate whether bacteria are just temporarily suppressed or fully eliminated, and how this affects the re-colonisation process, we compared the microbiota and immune system in conventionally housed untreated mice with...
Saved in:
Published in: | Research in veterinary science 2018-06, Vol.118, p.357-364 |
---|---|
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-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613 |
---|---|
cites | cdi_FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613 |
container_end_page | 364 |
container_issue | |
container_start_page | 357 |
container_title | Research in veterinary science |
container_volume | 118 |
creator | Castro-Mejía, Josué L. Jakesevic, Maja Fabricius, Niels F. Krych, Łukasz Nielsen, Dennis S. Kot, Witold Bendtsen, Katja M. Vogensen, Finn K. Hansen, Camilla H.F. Hansen, Axel K. |
description | Ampicillin is applied in rodents to induce a temporarily depleted microbiota. To elucidate whether bacteria are just temporarily suppressed or fully eliminated, and how this affects the re-colonisation process, we compared the microbiota and immune system in conventionally housed untreated mice with newly weaned ampicillin treated mice subsequently housed in either a microbe containing environment or in an isolator with only host associated suppressed bacteria to recolonize the gut. Two weeks ampicillin treatment induced a seemingly germ-free state with no bacterial DNA to reveal. Four weeks after treatment caeca were still significantly enlarged in both treated groups, but bacteria re-appeared even in isolator housed mice. While some suppressed bacteria were able to recover and even dominate the community, the abundances and composition were far from the untreated mice and differed between isolator and conventional housing. The treatment reduced the innate cytokine expressions at least for three weeks after treatment, and had a non-lasting reducing impact on the regulatory T cells, and a more lasting impact on the natural killer T cells. We conclude that temporary ampicillin treatment suppresses the majority but does not eliminate all the gut microbiota members. The re-colonisation process is as such influenced by both suppressed host associated bacteria and by environmental bacteria. Treated mice do not re-obtain a complex gut microbiota comparable to untreated mice, and the immune response and gut morphology reflect this. This is a concern when comparing host parameters sensitive to microbial regulation after an antibiotic-induced temporarily “germ-free” state.
[Display omitted]
•Ampicillin treatment induces an apparently germ-free status of mice.•A microbiota will re-colonize even in mice isolated in germ-free surroundings.•Post-treatment microbiota composition is highly dependent on the environment.•Post-treatment microbiota is significantly different from non-treated mice.•The immune system of treated mice differs from non-treated mice after treatment. |
doi_str_mv | 10.1016/j.rvsc.2018.03.013 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2025318288</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0034528818300109</els_id><sourcerecordid>2043119891</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMotn78AQ-y4MXLrplkkybgRYqtguBFzyGbHSFlP2qyW-i_N0vVgwdPgcnzvsw8hFwBLYCCvNsUYRddwSiogvKCAj8icxCc5UxKOCZzSnmZC6bUjJzFuKGUlgCLUzJjWgrOtZyT1Xocsta70Fe-H2wW0PU7DPvMdnXm23bsMM3itu8iZr7LbLv1zjeN7_IhoB2wntJ4QU4-bBPx8vs9J--rx7flU_7yun5ePrzkjqtyyBeSLTQXsNCWOqbQgQAAoWmpdKVKWZXKacEEpF9ZWa2ZqiR1CJZxrCTwc3J76N2G_nPEOJjWR4dNYzvsx2gYZYKDSicn9OYPuunH0KXtElVyAK30VMgOVDIQY8APsw2-tWFvgJrJstmYybKZLBvKTbKcQtff1WPVYv0b-dGagPsDgMnFzmMw0XnsHNY-CR5M3fv_-r8AfbqLtA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2043119891</pqid></control><display><type>article</type><title>Gut microbiota recovery and immune response in ampicillin-treated mice</title><source>ScienceDirect Journals</source><creator>Castro-Mejía, Josué L. ; Jakesevic, Maja ; Fabricius, Niels F. ; Krych, Łukasz ; Nielsen, Dennis S. ; Kot, Witold ; Bendtsen, Katja M. ; Vogensen, Finn K. ; Hansen, Camilla H.F. ; Hansen, Axel K.</creator><creatorcontrib>Castro-Mejía, Josué L. ; Jakesevic, Maja ; Fabricius, Niels F. ; Krych, Łukasz ; Nielsen, Dennis S. ; Kot, Witold ; Bendtsen, Katja M. ; Vogensen, Finn K. ; Hansen, Camilla H.F. ; Hansen, Axel K.</creatorcontrib><description>Ampicillin is applied in rodents to induce a temporarily depleted microbiota. To elucidate whether bacteria are just temporarily suppressed or fully eliminated, and how this affects the re-colonisation process, we compared the microbiota and immune system in conventionally housed untreated mice with newly weaned ampicillin treated mice subsequently housed in either a microbe containing environment or in an isolator with only host associated suppressed bacteria to recolonize the gut. Two weeks ampicillin treatment induced a seemingly germ-free state with no bacterial DNA to reveal. Four weeks after treatment caeca were still significantly enlarged in both treated groups, but bacteria re-appeared even in isolator housed mice. While some suppressed bacteria were able to recover and even dominate the community, the abundances and composition were far from the untreated mice and differed between isolator and conventional housing. The treatment reduced the innate cytokine expressions at least for three weeks after treatment, and had a non-lasting reducing impact on the regulatory T cells, and a more lasting impact on the natural killer T cells. We conclude that temporary ampicillin treatment suppresses the majority but does not eliminate all the gut microbiota members. The re-colonisation process is as such influenced by both suppressed host associated bacteria and by environmental bacteria. Treated mice do not re-obtain a complex gut microbiota comparable to untreated mice, and the immune response and gut morphology reflect this. This is a concern when comparing host parameters sensitive to microbial regulation after an antibiotic-induced temporarily “germ-free” state.
[Display omitted]
•Ampicillin treatment induces an apparently germ-free status of mice.•A microbiota will re-colonize even in mice isolated in germ-free surroundings.•Post-treatment microbiota composition is highly dependent on the environment.•Post-treatment microbiota is significantly different from non-treated mice.•The immune system of treated mice differs from non-treated mice after treatment.</description><identifier>ISSN: 0034-5288</identifier><identifier>EISSN: 1532-2661</identifier><identifier>DOI: 10.1016/j.rvsc.2018.03.013</identifier><identifier>PMID: 29653396</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Ampicillin ; Ampicillin - pharmacology ; Animals ; Anti-Bacterial Agents - pharmacology ; Antibiotics ; Bacteria ; Bacteroidales ; Bacteroidetes ; Clostridia ; Colonization ; Cytokines ; Deoxyribonucleic acid ; DNA ; Drinking water ; Enterobacteriaceae ; Environment ; Firmicutes ; Gammaproteobacteria ; Gastrointestinal Microbiome - immunology ; Germfree ; Housing ; Immune response ; Immune system ; Immunoregulation ; Intestinal microflora ; Lymphocytes ; Lymphocytes T ; Mice ; Microbiota ; Microorganisms ; Natural killer cells ; Parameter sensitivity ; Penicillin ; Proteobacteria ; Rodents ; Studies ; Veterinary medicine</subject><ispartof>Research in veterinary science, 2018-06, Vol.118, p.357-364</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jun 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613</citedby><cites>FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613</cites><orcidid>0000-0001-8121-1114 ; 0000-0003-1575-2507 ; 0000-0002-1416-8205</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/29653396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castro-Mejía, Josué L.</creatorcontrib><creatorcontrib>Jakesevic, Maja</creatorcontrib><creatorcontrib>Fabricius, Niels F.</creatorcontrib><creatorcontrib>Krych, Łukasz</creatorcontrib><creatorcontrib>Nielsen, Dennis S.</creatorcontrib><creatorcontrib>Kot, Witold</creatorcontrib><creatorcontrib>Bendtsen, Katja M.</creatorcontrib><creatorcontrib>Vogensen, Finn K.</creatorcontrib><creatorcontrib>Hansen, Camilla H.F.</creatorcontrib><creatorcontrib>Hansen, Axel K.</creatorcontrib><title>Gut microbiota recovery and immune response in ampicillin-treated mice</title><title>Research in veterinary science</title><addtitle>Res Vet Sci</addtitle><description>Ampicillin is applied in rodents to induce a temporarily depleted microbiota. To elucidate whether bacteria are just temporarily suppressed or fully eliminated, and how this affects the re-colonisation process, we compared the microbiota and immune system in conventionally housed untreated mice with newly weaned ampicillin treated mice subsequently housed in either a microbe containing environment or in an isolator with only host associated suppressed bacteria to recolonize the gut. Two weeks ampicillin treatment induced a seemingly germ-free state with no bacterial DNA to reveal. Four weeks after treatment caeca were still significantly enlarged in both treated groups, but bacteria re-appeared even in isolator housed mice. While some suppressed bacteria were able to recover and even dominate the community, the abundances and composition were far from the untreated mice and differed between isolator and conventional housing. The treatment reduced the innate cytokine expressions at least for three weeks after treatment, and had a non-lasting reducing impact on the regulatory T cells, and a more lasting impact on the natural killer T cells. We conclude that temporary ampicillin treatment suppresses the majority but does not eliminate all the gut microbiota members. The re-colonisation process is as such influenced by both suppressed host associated bacteria and by environmental bacteria. Treated mice do not re-obtain a complex gut microbiota comparable to untreated mice, and the immune response and gut morphology reflect this. This is a concern when comparing host parameters sensitive to microbial regulation after an antibiotic-induced temporarily “germ-free” state.
[Display omitted]
•Ampicillin treatment induces an apparently germ-free status of mice.•A microbiota will re-colonize even in mice isolated in germ-free surroundings.•Post-treatment microbiota composition is highly dependent on the environment.•Post-treatment microbiota is significantly different from non-treated mice.•The immune system of treated mice differs from non-treated mice after treatment.</description><subject>Ampicillin</subject><subject>Ampicillin - pharmacology</subject><subject>Animals</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Bacteroidales</subject><subject>Bacteroidetes</subject><subject>Clostridia</subject><subject>Colonization</subject><subject>Cytokines</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Drinking water</subject><subject>Enterobacteriaceae</subject><subject>Environment</subject><subject>Firmicutes</subject><subject>Gammaproteobacteria</subject><subject>Gastrointestinal Microbiome - immunology</subject><subject>Germfree</subject><subject>Housing</subject><subject>Immune response</subject><subject>Immune system</subject><subject>Immunoregulation</subject><subject>Intestinal microflora</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Mice</subject><subject>Microbiota</subject><subject>Microorganisms</subject><subject>Natural killer cells</subject><subject>Parameter sensitivity</subject><subject>Penicillin</subject><subject>Proteobacteria</subject><subject>Rodents</subject><subject>Studies</subject><subject>Veterinary medicine</subject><issn>0034-5288</issn><issn>1532-2661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMotn78AQ-y4MXLrplkkybgRYqtguBFzyGbHSFlP2qyW-i_N0vVgwdPgcnzvsw8hFwBLYCCvNsUYRddwSiogvKCAj8icxCc5UxKOCZzSnmZC6bUjJzFuKGUlgCLUzJjWgrOtZyT1Xocsta70Fe-H2wW0PU7DPvMdnXm23bsMM3itu8iZr7LbLv1zjeN7_IhoB2wntJ4QU4-bBPx8vs9J--rx7flU_7yun5ePrzkjqtyyBeSLTQXsNCWOqbQgQAAoWmpdKVKWZXKacEEpF9ZWa2ZqiR1CJZxrCTwc3J76N2G_nPEOJjWR4dNYzvsx2gYZYKDSicn9OYPuunH0KXtElVyAK30VMgOVDIQY8APsw2-tWFvgJrJstmYybKZLBvKTbKcQtff1WPVYv0b-dGagPsDgMnFzmMw0XnsHNY-CR5M3fv_-r8AfbqLtA</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Castro-Mejía, Josué L.</creator><creator>Jakesevic, Maja</creator><creator>Fabricius, Niels F.</creator><creator>Krych, Łukasz</creator><creator>Nielsen, Dennis S.</creator><creator>Kot, Witold</creator><creator>Bendtsen, Katja M.</creator><creator>Vogensen, Finn K.</creator><creator>Hansen, Camilla H.F.</creator><creator>Hansen, Axel K.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</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>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8121-1114</orcidid><orcidid>https://orcid.org/0000-0003-1575-2507</orcidid><orcidid>https://orcid.org/0000-0002-1416-8205</orcidid></search><sort><creationdate>201806</creationdate><title>Gut microbiota recovery and immune response in ampicillin-treated mice</title><author>Castro-Mejía, Josué L. ; Jakesevic, Maja ; Fabricius, Niels F. ; Krych, Łukasz ; Nielsen, Dennis S. ; Kot, Witold ; Bendtsen, Katja M. ; Vogensen, Finn K. ; Hansen, Camilla H.F. ; Hansen, Axel K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Ampicillin</topic><topic>Ampicillin - pharmacology</topic><topic>Animals</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibiotics</topic><topic>Bacteria</topic><topic>Bacteroidales</topic><topic>Bacteroidetes</topic><topic>Clostridia</topic><topic>Colonization</topic><topic>Cytokines</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>Drinking water</topic><topic>Enterobacteriaceae</topic><topic>Environment</topic><topic>Firmicutes</topic><topic>Gammaproteobacteria</topic><topic>Gastrointestinal Microbiome - immunology</topic><topic>Germfree</topic><topic>Housing</topic><topic>Immune response</topic><topic>Immune system</topic><topic>Immunoregulation</topic><topic>Intestinal microflora</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>Mice</topic><topic>Microbiota</topic><topic>Microorganisms</topic><topic>Natural killer cells</topic><topic>Parameter sensitivity</topic><topic>Penicillin</topic><topic>Proteobacteria</topic><topic>Rodents</topic><topic>Studies</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Castro-Mejía, Josué L.</creatorcontrib><creatorcontrib>Jakesevic, Maja</creatorcontrib><creatorcontrib>Fabricius, Niels F.</creatorcontrib><creatorcontrib>Krych, Łukasz</creatorcontrib><creatorcontrib>Nielsen, Dennis S.</creatorcontrib><creatorcontrib>Kot, Witold</creatorcontrib><creatorcontrib>Bendtsen, Katja M.</creatorcontrib><creatorcontrib>Vogensen, Finn K.</creatorcontrib><creatorcontrib>Hansen, Camilla H.F.</creatorcontrib><creatorcontrib>Hansen, Axel K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Research in veterinary science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castro-Mejía, Josué L.</au><au>Jakesevic, Maja</au><au>Fabricius, Niels F.</au><au>Krych, Łukasz</au><au>Nielsen, Dennis S.</au><au>Kot, Witold</au><au>Bendtsen, Katja M.</au><au>Vogensen, Finn K.</au><au>Hansen, Camilla H.F.</au><au>Hansen, Axel K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gut microbiota recovery and immune response in ampicillin-treated mice</atitle><jtitle>Research in veterinary science</jtitle><addtitle>Res Vet Sci</addtitle><date>2018-06</date><risdate>2018</risdate><volume>118</volume><spage>357</spage><epage>364</epage><pages>357-364</pages><issn>0034-5288</issn><eissn>1532-2661</eissn><abstract>Ampicillin is applied in rodents to induce a temporarily depleted microbiota. To elucidate whether bacteria are just temporarily suppressed or fully eliminated, and how this affects the re-colonisation process, we compared the microbiota and immune system in conventionally housed untreated mice with newly weaned ampicillin treated mice subsequently housed in either a microbe containing environment or in an isolator with only host associated suppressed bacteria to recolonize the gut. Two weeks ampicillin treatment induced a seemingly germ-free state with no bacterial DNA to reveal. Four weeks after treatment caeca were still significantly enlarged in both treated groups, but bacteria re-appeared even in isolator housed mice. While some suppressed bacteria were able to recover and even dominate the community, the abundances and composition were far from the untreated mice and differed between isolator and conventional housing. The treatment reduced the innate cytokine expressions at least for three weeks after treatment, and had a non-lasting reducing impact on the regulatory T cells, and a more lasting impact on the natural killer T cells. We conclude that temporary ampicillin treatment suppresses the majority but does not eliminate all the gut microbiota members. The re-colonisation process is as such influenced by both suppressed host associated bacteria and by environmental bacteria. Treated mice do not re-obtain a complex gut microbiota comparable to untreated mice, and the immune response and gut morphology reflect this. This is a concern when comparing host parameters sensitive to microbial regulation after an antibiotic-induced temporarily “germ-free” state.
[Display omitted]
•Ampicillin treatment induces an apparently germ-free status of mice.•A microbiota will re-colonize even in mice isolated in germ-free surroundings.•Post-treatment microbiota composition is highly dependent on the environment.•Post-treatment microbiota is significantly different from non-treated mice.•The immune system of treated mice differs from non-treated mice after treatment.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>29653396</pmid><doi>10.1016/j.rvsc.2018.03.013</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8121-1114</orcidid><orcidid>https://orcid.org/0000-0003-1575-2507</orcidid><orcidid>https://orcid.org/0000-0002-1416-8205</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0034-5288 |
ispartof | Research in veterinary science, 2018-06, Vol.118, p.357-364 |
issn | 0034-5288 1532-2661 |
language | eng |
recordid | cdi_proquest_miscellaneous_2025318288 |
source | ScienceDirect Journals |
subjects | Ampicillin Ampicillin - pharmacology Animals Anti-Bacterial Agents - pharmacology Antibiotics Bacteria Bacteroidales Bacteroidetes Clostridia Colonization Cytokines Deoxyribonucleic acid DNA Drinking water Enterobacteriaceae Environment Firmicutes Gammaproteobacteria Gastrointestinal Microbiome - immunology Germfree Housing Immune response Immune system Immunoregulation Intestinal microflora Lymphocytes Lymphocytes T Mice Microbiota Microorganisms Natural killer cells Parameter sensitivity Penicillin Proteobacteria Rodents Studies Veterinary medicine |
title | Gut microbiota recovery and immune response in ampicillin-treated mice |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T23%3A42%3A07IST&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=Gut%20microbiota%20recovery%20and%20immune%20response%20in%20ampicillin-treated%20mice&rft.jtitle=Research%20in%20veterinary%20science&rft.au=Castro-Mej%C3%ADa,%20Josu%C3%A9%20L.&rft.date=2018-06&rft.volume=118&rft.spage=357&rft.epage=364&rft.pages=357-364&rft.issn=0034-5288&rft.eissn=1532-2661&rft_id=info:doi/10.1016/j.rvsc.2018.03.013&rft_dat=%3Cproquest_cross%3E2043119891%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c384t-7627935179a0c28ec15111590489b846b48c952510c26ba9928b60ce1a23eb613%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2043119891&rft_id=info:pmid/29653396&rfr_iscdi=true |