Loading…

Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses

Enteroviruses (EVs) are common seasonal viruses that are associated with a variety of diseases. High-quality monoclonal antibodies (MAbs) are needed to improve the accuracy of EV diagnosis in clinical laboratories. In the present study, the full-length VP1 genes of poliovirus 1 (Polio 1) and coxsack...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Clinical Microbiology 2009-10, Vol.47 (10), p.3108-3113
Main Authors: Miao, Lynn Yihong, Pierce, Christina, Gray-Johnson, Jennifer, DeLotell, Jill, Shaw, Carl, Chapman, Nate, Yeh, Elaine, Schnurr, David, Huang, Yung T
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-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853
cites cdi_FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853
container_end_page 3113
container_issue 10
container_start_page 3108
container_title Journal of Clinical Microbiology
container_volume 47
creator Miao, Lynn Yihong
Pierce, Christina
Gray-Johnson, Jennifer
DeLotell, Jill
Shaw, Carl
Chapman, Nate
Yeh, Elaine
Schnurr, David
Huang, Yung T
description Enteroviruses (EVs) are common seasonal viruses that are associated with a variety of diseases. High-quality monoclonal antibodies (MAbs) are needed to improve the accuracy of EV diagnosis in clinical laboratories. In the present study, the full-length VP1 genes of poliovirus 1 (Polio 1) and coxsackievirus B3 (Cox B3) were cloned, and the encoded proteins were expressed and used as antigens in an attempt to raise broad-spectrum MAbs to EVs. Two pan-EV MAbs were isolated: one raised against Polio 1 VP1 and the other against Cox B3 VP1. The binding sites of both pan-EV MAbs were mapped to an amino acid sequence within a conserved region in the N terminus of Polio 1 VP1 by peptide and competition enzyme-linked immunosorbent assay. Two additional MAbs, an EV70-specific MAb and an EV71/Cox A16-bispecific MAb, developed against EV70 and 71 VP1 proteins, were pooled with the two pan-EV MAbs (pan-EV MAb mix) and tested for their sensitivity and specificity in the staining of various virus-infected cells. The pan-EV MAb mix detected all 40 prototype EVs tested and showed no cross-reactivity to 18 different non-EV human viruses. Compared with two commercially available EV tests, the pan-EV MAb mix exhibited higher specificity than one test and broader spectrum reactivity than the other. Thus, our study demonstrates that full-length Polio 1 VP1 and Cox B3 VP1 can serve as effective antigens for developing a pan-EV MAb and that the pan-EV MAb mix can be used for the laboratory diagnosis of a wide range of EV infections.
doi_str_mv 10.1128/jcm.00479-09
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_21294156</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733600246</sourcerecordid><originalsourceid>FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853</originalsourceid><addsrcrecordid>eNp90s1vFCEYBnBiNHZdvXnWSRP14tT3hRkGLiZ1s36ljaZa441QBmZpZqDCbI3-9c64m6oXTxz45QHeB0IeIhwhUvHi0gxHAFUjS5C3yAJBipJz-HqbLABkXSKy5oDcy_kSAKuqru-SA5QNAm3EgqxPY4imj0H3xXEY_UVsvc3FGIsvH7E4syZ2wf-0hS5epajb4kyHzhbRFesw2hSvfdpmm--TO0732T7Yr0ty_nr9efW2PPnw5t3q-KQ0NcexrAUHaVCgBsoss9JSqKxxTKCjtWDcmapC01JwreOUtpyJhgqjNRgDomZL8nKXe7W9GGxrbBiT7tVV8oNOP1TUXv27E_xGdfFa0abmEueAZ_uAFL9tbR7V4LOxfa-DjdusGsY4AK34JJ_-V1KkssJ6hs930KSYc7Lu5joIam5IvV-dqt8NKZATf_T3E_7gfSUTeLIHOhvdu6SD8fnGUZSymYe1JIc7t_Hd5rtPVuk8qOk3qKqZj2YIM3q8Q05Hpbs0BZ1_ooAMkAvOJLJf7lWstw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>21294156</pqid></control><display><type>article</type><title>Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses</title><source>PubMed Central Free</source><source>American Society for Microbiology Journals</source><creator>Miao, Lynn Yihong ; Pierce, Christina ; Gray-Johnson, Jennifer ; DeLotell, Jill ; Shaw, Carl ; Chapman, Nate ; Yeh, Elaine ; Schnurr, David ; Huang, Yung T</creator><creatorcontrib>Miao, Lynn Yihong ; Pierce, Christina ; Gray-Johnson, Jennifer ; DeLotell, Jill ; Shaw, Carl ; Chapman, Nate ; Yeh, Elaine ; Schnurr, David ; Huang, Yung T</creatorcontrib><description>Enteroviruses (EVs) are common seasonal viruses that are associated with a variety of diseases. High-quality monoclonal antibodies (MAbs) are needed to improve the accuracy of EV diagnosis in clinical laboratories. In the present study, the full-length VP1 genes of poliovirus 1 (Polio 1) and coxsackievirus B3 (Cox B3) were cloned, and the encoded proteins were expressed and used as antigens in an attempt to raise broad-spectrum MAbs to EVs. Two pan-EV MAbs were isolated: one raised against Polio 1 VP1 and the other against Cox B3 VP1. The binding sites of both pan-EV MAbs were mapped to an amino acid sequence within a conserved region in the N terminus of Polio 1 VP1 by peptide and competition enzyme-linked immunosorbent assay. Two additional MAbs, an EV70-specific MAb and an EV71/Cox A16-bispecific MAb, developed against EV70 and 71 VP1 proteins, were pooled with the two pan-EV MAbs (pan-EV MAb mix) and tested for their sensitivity and specificity in the staining of various virus-infected cells. The pan-EV MAb mix detected all 40 prototype EVs tested and showed no cross-reactivity to 18 different non-EV human viruses. Compared with two commercially available EV tests, the pan-EV MAb mix exhibited higher specificity than one test and broader spectrum reactivity than the other. Thus, our study demonstrates that full-length Polio 1 VP1 and Cox B3 VP1 can serve as effective antigens for developing a pan-EV MAb and that the pan-EV MAb mix can be used for the laboratory diagnosis of a wide range of EV infections.</description><identifier>ISSN: 0095-1137</identifier><identifier>EISSN: 1098-660X</identifier><identifier>DOI: 10.1128/jcm.00479-09</identifier><identifier>PMID: 19710278</identifier><identifier>CODEN: JCMIDW</identifier><language>eng</language><publisher>Washington, DC: American Society for Microbiology</publisher><subject>Animals ; Antibodies, Monoclonal - immunology ; Antibodies, Monoclonal - isolation &amp; purification ; Antibodies, Viral - immunology ; Antibodies, Viral - isolation &amp; purification ; Applied microbiology ; Biological and medical sciences ; Capsid Proteins - genetics ; Capsid Proteins - immunology ; Cloning, Molecular ; Conserved Sequence - immunology ; Coxsackievirus B3 ; Cross Reactions ; Enterovirus Infections - diagnosis ; Enzyme-Linked Immunosorbent Assay ; Epitope Mapping ; Fundamental and applied biological sciences. Psychology ; Gene Expression ; Humans ; Immunohistochemistry ; Microbiology ; Microscopy, Fluorescence ; Poliovirus 1 ; Recombinant Proteins - genetics ; Recombinant Proteins - immunology ; Sensitivity and Specificity ; Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects) ; Viral Structural Proteins - genetics ; Viral Structural Proteins - immunology ; Virology</subject><ispartof>Journal of Clinical Microbiology, 2009-10, Vol.47 (10), p.3108-3113</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright © 2009, American Society for Microbiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853</citedby><cites>FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756915/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756915/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,3188,3189,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21997258$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19710278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miao, Lynn Yihong</creatorcontrib><creatorcontrib>Pierce, Christina</creatorcontrib><creatorcontrib>Gray-Johnson, Jennifer</creatorcontrib><creatorcontrib>DeLotell, Jill</creatorcontrib><creatorcontrib>Shaw, Carl</creatorcontrib><creatorcontrib>Chapman, Nate</creatorcontrib><creatorcontrib>Yeh, Elaine</creatorcontrib><creatorcontrib>Schnurr, David</creatorcontrib><creatorcontrib>Huang, Yung T</creatorcontrib><title>Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses</title><title>Journal of Clinical Microbiology</title><addtitle>J Clin Microbiol</addtitle><description>Enteroviruses (EVs) are common seasonal viruses that are associated with a variety of diseases. High-quality monoclonal antibodies (MAbs) are needed to improve the accuracy of EV diagnosis in clinical laboratories. In the present study, the full-length VP1 genes of poliovirus 1 (Polio 1) and coxsackievirus B3 (Cox B3) were cloned, and the encoded proteins were expressed and used as antigens in an attempt to raise broad-spectrum MAbs to EVs. Two pan-EV MAbs were isolated: one raised against Polio 1 VP1 and the other against Cox B3 VP1. The binding sites of both pan-EV MAbs were mapped to an amino acid sequence within a conserved region in the N terminus of Polio 1 VP1 by peptide and competition enzyme-linked immunosorbent assay. Two additional MAbs, an EV70-specific MAb and an EV71/Cox A16-bispecific MAb, developed against EV70 and 71 VP1 proteins, were pooled with the two pan-EV MAbs (pan-EV MAb mix) and tested for their sensitivity and specificity in the staining of various virus-infected cells. The pan-EV MAb mix detected all 40 prototype EVs tested and showed no cross-reactivity to 18 different non-EV human viruses. Compared with two commercially available EV tests, the pan-EV MAb mix exhibited higher specificity than one test and broader spectrum reactivity than the other. Thus, our study demonstrates that full-length Polio 1 VP1 and Cox B3 VP1 can serve as effective antigens for developing a pan-EV MAb and that the pan-EV MAb mix can be used for the laboratory diagnosis of a wide range of EV infections.</description><subject>Animals</subject><subject>Antibodies, Monoclonal - immunology</subject><subject>Antibodies, Monoclonal - isolation &amp; purification</subject><subject>Antibodies, Viral - immunology</subject><subject>Antibodies, Viral - isolation &amp; purification</subject><subject>Applied microbiology</subject><subject>Biological and medical sciences</subject><subject>Capsid Proteins - genetics</subject><subject>Capsid Proteins - immunology</subject><subject>Cloning, Molecular</subject><subject>Conserved Sequence - immunology</subject><subject>Coxsackievirus B3</subject><subject>Cross Reactions</subject><subject>Enterovirus Infections - diagnosis</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Epitope Mapping</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gene Expression</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Microbiology</subject><subject>Microscopy, Fluorescence</subject><subject>Poliovirus 1</subject><subject>Recombinant Proteins - genetics</subject><subject>Recombinant Proteins - immunology</subject><subject>Sensitivity and Specificity</subject><subject>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)</subject><subject>Viral Structural Proteins - genetics</subject><subject>Viral Structural Proteins - immunology</subject><subject>Virology</subject><issn>0095-1137</issn><issn>1098-660X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp90s1vFCEYBnBiNHZdvXnWSRP14tT3hRkGLiZ1s36ljaZa441QBmZpZqDCbI3-9c64m6oXTxz45QHeB0IeIhwhUvHi0gxHAFUjS5C3yAJBipJz-HqbLABkXSKy5oDcy_kSAKuqru-SA5QNAm3EgqxPY4imj0H3xXEY_UVsvc3FGIsvH7E4syZ2wf-0hS5epajb4kyHzhbRFesw2hSvfdpmm--TO0732T7Yr0ty_nr9efW2PPnw5t3q-KQ0NcexrAUHaVCgBsoss9JSqKxxTKCjtWDcmapC01JwreOUtpyJhgqjNRgDomZL8nKXe7W9GGxrbBiT7tVV8oNOP1TUXv27E_xGdfFa0abmEueAZ_uAFL9tbR7V4LOxfa-DjdusGsY4AK34JJ_-V1KkssJ6hs930KSYc7Lu5joIam5IvV-dqt8NKZATf_T3E_7gfSUTeLIHOhvdu6SD8fnGUZSymYe1JIc7t_Hd5rtPVuk8qOk3qKqZj2YIM3q8Q05Hpbs0BZ1_ooAMkAvOJLJf7lWstw</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Miao, Lynn Yihong</creator><creator>Pierce, Christina</creator><creator>Gray-Johnson, Jennifer</creator><creator>DeLotell, Jill</creator><creator>Shaw, Carl</creator><creator>Chapman, Nate</creator><creator>Yeh, Elaine</creator><creator>Schnurr, David</creator><creator>Huang, Yung T</creator><general>American Society for Microbiology</general><general>American Society for Microbiology (ASM)</general><scope>FBQ</scope><scope>IQODW</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>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091001</creationdate><title>Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses</title><author>Miao, Lynn Yihong ; Pierce, Christina ; Gray-Johnson, Jennifer ; DeLotell, Jill ; Shaw, Carl ; Chapman, Nate ; Yeh, Elaine ; Schnurr, David ; Huang, Yung T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Animals</topic><topic>Antibodies, Monoclonal - immunology</topic><topic>Antibodies, Monoclonal - isolation &amp; purification</topic><topic>Antibodies, Viral - immunology</topic><topic>Antibodies, Viral - isolation &amp; purification</topic><topic>Applied microbiology</topic><topic>Biological and medical sciences</topic><topic>Capsid Proteins - genetics</topic><topic>Capsid Proteins - immunology</topic><topic>Cloning, Molecular</topic><topic>Conserved Sequence - immunology</topic><topic>Coxsackievirus B3</topic><topic>Cross Reactions</topic><topic>Enterovirus Infections - diagnosis</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Epitope Mapping</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene Expression</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Microbiology</topic><topic>Microscopy, Fluorescence</topic><topic>Poliovirus 1</topic><topic>Recombinant Proteins - genetics</topic><topic>Recombinant Proteins - immunology</topic><topic>Sensitivity and Specificity</topic><topic>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)</topic><topic>Viral Structural Proteins - genetics</topic><topic>Viral Structural Proteins - immunology</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miao, Lynn Yihong</creatorcontrib><creatorcontrib>Pierce, Christina</creatorcontrib><creatorcontrib>Gray-Johnson, Jennifer</creatorcontrib><creatorcontrib>DeLotell, Jill</creatorcontrib><creatorcontrib>Shaw, Carl</creatorcontrib><creatorcontrib>Chapman, Nate</creatorcontrib><creatorcontrib>Yeh, Elaine</creatorcontrib><creatorcontrib>Schnurr, David</creatorcontrib><creatorcontrib>Huang, Yung T</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Clinical Microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miao, Lynn Yihong</au><au>Pierce, Christina</au><au>Gray-Johnson, Jennifer</au><au>DeLotell, Jill</au><au>Shaw, Carl</au><au>Chapman, Nate</au><au>Yeh, Elaine</au><au>Schnurr, David</au><au>Huang, Yung T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses</atitle><jtitle>Journal of Clinical Microbiology</jtitle><addtitle>J Clin Microbiol</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>47</volume><issue>10</issue><spage>3108</spage><epage>3113</epage><pages>3108-3113</pages><issn>0095-1137</issn><eissn>1098-660X</eissn><coden>JCMIDW</coden><abstract>Enteroviruses (EVs) are common seasonal viruses that are associated with a variety of diseases. High-quality monoclonal antibodies (MAbs) are needed to improve the accuracy of EV diagnosis in clinical laboratories. In the present study, the full-length VP1 genes of poliovirus 1 (Polio 1) and coxsackievirus B3 (Cox B3) were cloned, and the encoded proteins were expressed and used as antigens in an attempt to raise broad-spectrum MAbs to EVs. Two pan-EV MAbs were isolated: one raised against Polio 1 VP1 and the other against Cox B3 VP1. The binding sites of both pan-EV MAbs were mapped to an amino acid sequence within a conserved region in the N terminus of Polio 1 VP1 by peptide and competition enzyme-linked immunosorbent assay. Two additional MAbs, an EV70-specific MAb and an EV71/Cox A16-bispecific MAb, developed against EV70 and 71 VP1 proteins, were pooled with the two pan-EV MAbs (pan-EV MAb mix) and tested for their sensitivity and specificity in the staining of various virus-infected cells. The pan-EV MAb mix detected all 40 prototype EVs tested and showed no cross-reactivity to 18 different non-EV human viruses. Compared with two commercially available EV tests, the pan-EV MAb mix exhibited higher specificity than one test and broader spectrum reactivity than the other. Thus, our study demonstrates that full-length Polio 1 VP1 and Cox B3 VP1 can serve as effective antigens for developing a pan-EV MAb and that the pan-EV MAb mix can be used for the laboratory diagnosis of a wide range of EV infections.</abstract><cop>Washington, DC</cop><pub>American Society for Microbiology</pub><pmid>19710278</pmid><doi>10.1128/jcm.00479-09</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0095-1137
ispartof Journal of Clinical Microbiology, 2009-10, Vol.47 (10), p.3108-3113
issn 0095-1137
1098-660X
language eng
recordid cdi_proquest_miscellaneous_21294156
source PubMed Central Free; American Society for Microbiology Journals
subjects Animals
Antibodies, Monoclonal - immunology
Antibodies, Monoclonal - isolation & purification
Antibodies, Viral - immunology
Antibodies, Viral - isolation & purification
Applied microbiology
Biological and medical sciences
Capsid Proteins - genetics
Capsid Proteins - immunology
Cloning, Molecular
Conserved Sequence - immunology
Coxsackievirus B3
Cross Reactions
Enterovirus Infections - diagnosis
Enzyme-Linked Immunosorbent Assay
Epitope Mapping
Fundamental and applied biological sciences. Psychology
Gene Expression
Humans
Immunohistochemistry
Microbiology
Microscopy, Fluorescence
Poliovirus 1
Recombinant Proteins - genetics
Recombinant Proteins - immunology
Sensitivity and Specificity
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Viral Structural Proteins - genetics
Viral Structural Proteins - immunology
Virology
title Monoclonal Antibodies to VP1 Recognize a Broad Range of Enteroviruses
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T19%3A22%3A49IST&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=Monoclonal%20Antibodies%20to%20VP1%20Recognize%20a%20Broad%20Range%20of%20Enteroviruses&rft.jtitle=Journal%20of%20Clinical%20Microbiology&rft.au=Miao,%20Lynn%20Yihong&rft.date=2009-10-01&rft.volume=47&rft.issue=10&rft.spage=3108&rft.epage=3113&rft.pages=3108-3113&rft.issn=0095-1137&rft.eissn=1098-660X&rft.coden=JCMIDW&rft_id=info:doi/10.1128/jcm.00479-09&rft_dat=%3Cproquest_pubme%3E733600246%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c561t-58609c181a023e3e9e204ecf381f25836fc441cd20fdf622d638728caa0cc0853%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=21294156&rft_id=info:pmid/19710278&rfr_iscdi=true