Loading…

Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model

Action potential (AP)-independent (miniature) neurotransmission occurs at all chemical synapses but remains poorly understood, particularly in pathologic contexts. Axonal endoplasmic reticulum (ER) Ca2+ stores are thought to influence miniature neurotransmission, and aberrant ER Ca2+ handling is imp...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of neuroscience 2023-05, Vol.43 (20), p.3743-3763
Main Authors: Mackay, James P, Smith-Dijak, Amy I, Koch, Ellen T, Zhang, Peng, Fung, Evan, Nassrallah, Wissam B, Buren, Caodu, Schmidt, Mandi, Hayden, Michael R, Raymond, Lynn A
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 3763
container_issue 20
container_start_page 3743
container_title The Journal of neuroscience
container_volume 43
creator Mackay, James P
Smith-Dijak, Amy I
Koch, Ellen T
Zhang, Peng
Fung, Evan
Nassrallah, Wissam B
Buren, Caodu
Schmidt, Mandi
Hayden, Michael R
Raymond, Lynn A
description Action potential (AP)-independent (miniature) neurotransmission occurs at all chemical synapses but remains poorly understood, particularly in pathologic contexts. Axonal endoplasmic reticulum (ER) Ca2+ stores are thought to influence miniature neurotransmission, and aberrant ER Ca2+ handling is implicated in progression of Huntington disease (HD). Here, we report elevated mEPSC frequencies in recordings from YAC128 mouse (HD-model) neurons (from cortical cultures and striatum-containing brain slices, both from male and female animals). Pharmacological experiments suggest that this is mediated indirectly by enhanced tonic ER Ca2+ release. Calcium imaging, using an axon-localized sensor, revealed slow AP-independent ER Ca2+ release waves in both YAC128 and WT cultures. These Ca2+ waves occurred at similar frequencies in both genotypes but spread less extensively and were of lower amplitude in YAC128 axons, consistent with axonal ER Ca2+ store depletion. Surprisingly, basal cytosolic Ca2+ levels were lower in YAC128 boutons and YAC128 mEPSCs were less sensitive to intracellular Ca2+ chelation. Together, these data suggest that elevated miniature glutamate release in YAC128 cultures is associated with axonal ER Ca2+ depletion but not directly mediated by ER Ca2+ release into the cytoplasm. In contrast to increased mEPSC frequencies, cultured YAC128 cortical neurons showed less frequent AP-dependent (spontaneous) Ca2+ events in soma and axons, although evoked glutamate release detected by an intensity-based glutamate-sensing fluorescence reporter in brain slices was similar between genotypes. Our results indicate that axonal ER dysfunction selectively elevates miniature glutamate release from cortical terminals in HD. This, together with reduced spontaneous cortical neuron firing, may cause a shift from activity-dependent to -independent glutamate release in HD, with potential implications for fidelity and plasticity of cortical excitatory signaling. SIGNIFICANCE STATEMENT Miniature neurotransmitter release persists at all chemical neuronal synapses in the absence of action potential firing but remains poorly understood, particularly in disease states. We show enhanced miniature glutamate release from cortical neurons in the YAC128 mouse Huntington disease model. This effect is mediated by axonal ER Ca2+ store depletion, but is not obviously due to elevated ER-to-cytosol Ca2+ release. Conversely, YAC128 cortical pyramidal neurons fired fewer action potentials
doi_str_mv 10.1523/JNEUROSCI.1593-22.2023
format article
fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_miscellaneous_2789711952</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2789711952</sourcerecordid><originalsourceid>FETCH-LOGICAL-p194t-5bfb0e2b1770427fb26d869d4ab33b7d2acbd9168e55fca77daa73d2068757a43</originalsourceid><addsrcrecordid>eNpdkEtPwzAQhC0EEqXwF5AlLkjIxa_E8bEKoS0qVGrpuXJiB1K5TqgdRP895iEOXHa0s7Nz-AC4JHhEEspuH56K9XKxymdxlQxROqKYsiMwiFeJKMfkGAwwFRilXPBTcOb9FmMsMBED0I0_WqcsLJYwV_QGLo01yhu4ilqF5t3YAyzcq3KV8XD85TThgGZOm87E4QKc2D6onQrm77dxUMFp70LjXkLr4F3jv_3HVht7Dk5qZb25-NUhWN8Xz_kUzReTWT6eo45IHlBS1iU2tCRCYE5FXdJUZ6nUXJWMlUJTVZVakjQzSVJXSgitlGCa4jQTiVCcDcH1T2-3b99648Nm1_jKWKucaXu_oSKTghAZCQ7B1b_otu33kUpMZSSVkSDl7BOlJmu9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2816940124</pqid></control><display><type>article</type><title>Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model</title><source>PubMed Central(OpenAccess)</source><creator>Mackay, James P ; Smith-Dijak, Amy I ; Koch, Ellen T ; Zhang, Peng ; Fung, Evan ; Nassrallah, Wissam B ; Buren, Caodu ; Schmidt, Mandi ; Hayden, Michael R ; Raymond, Lynn A</creator><creatorcontrib>Mackay, James P ; Smith-Dijak, Amy I ; Koch, Ellen T ; Zhang, Peng ; Fung, Evan ; Nassrallah, Wissam B ; Buren, Caodu ; Schmidt, Mandi ; Hayden, Michael R ; Raymond, Lynn A</creatorcontrib><description>Action potential (AP)-independent (miniature) neurotransmission occurs at all chemical synapses but remains poorly understood, particularly in pathologic contexts. Axonal endoplasmic reticulum (ER) Ca2+ stores are thought to influence miniature neurotransmission, and aberrant ER Ca2+ handling is implicated in progression of Huntington disease (HD). Here, we report elevated mEPSC frequencies in recordings from YAC128 mouse (HD-model) neurons (from cortical cultures and striatum-containing brain slices, both from male and female animals). Pharmacological experiments suggest that this is mediated indirectly by enhanced tonic ER Ca2+ release. Calcium imaging, using an axon-localized sensor, revealed slow AP-independent ER Ca2+ release waves in both YAC128 and WT cultures. These Ca2+ waves occurred at similar frequencies in both genotypes but spread less extensively and were of lower amplitude in YAC128 axons, consistent with axonal ER Ca2+ store depletion. Surprisingly, basal cytosolic Ca2+ levels were lower in YAC128 boutons and YAC128 mEPSCs were less sensitive to intracellular Ca2+ chelation. Together, these data suggest that elevated miniature glutamate release in YAC128 cultures is associated with axonal ER Ca2+ depletion but not directly mediated by ER Ca2+ release into the cytoplasm. In contrast to increased mEPSC frequencies, cultured YAC128 cortical neurons showed less frequent AP-dependent (spontaneous) Ca2+ events in soma and axons, although evoked glutamate release detected by an intensity-based glutamate-sensing fluorescence reporter in brain slices was similar between genotypes. Our results indicate that axonal ER dysfunction selectively elevates miniature glutamate release from cortical terminals in HD. This, together with reduced spontaneous cortical neuron firing, may cause a shift from activity-dependent to -independent glutamate release in HD, with potential implications for fidelity and plasticity of cortical excitatory signaling. SIGNIFICANCE STATEMENT Miniature neurotransmitter release persists at all chemical neuronal synapses in the absence of action potential firing but remains poorly understood, particularly in disease states. We show enhanced miniature glutamate release from cortical neurons in the YAC128 mouse Huntington disease model. This effect is mediated by axonal ER Ca2+ store depletion, but is not obviously due to elevated ER-to-cytosol Ca2+ release. Conversely, YAC128 cortical pyramidal neurons fired fewer action potentials and evoked cortical glutamate release was similar between WT an YAC128 preparations, indicating axonal ER depletion selectively enhances miniature glutamate release in YAC128 mice. These results extend our understanding of action potential independent neurotransmission and highlight a potential involvement of elevated miniature glutamate release in Huntington disease pathology.</description><identifier>ISSN: 0270-6474</identifier><identifier>EISSN: 1529-2401</identifier><identifier>DOI: 10.1523/JNEUROSCI.1593-22.2023</identifier><language>eng</language><publisher>Baltimore: Society for Neuroscience</publisher><subject>Action potential ; Axons ; Brain ; Brain slice preparation ; Calcium (intracellular) ; Calcium (reticular) ; Calcium imaging ; Calcium ions ; Calcium signalling ; Chelation ; Cytoplasm ; Cytosol ; Depletion ; Endoplasmic reticulum ; Fluorescence ; Genotypes ; Huntington's disease ; Huntingtons disease ; Neostriatum ; Neuroimaging ; Neurons ; Neuroplasticity ; Neurotransmission ; Neurotransmitter release ; Presynapse ; Pyramidal cells ; Synapses</subject><ispartof>The Journal of neuroscience, 2023-05, Vol.43 (20), p.3743-3763</ispartof><rights>Copyright Society for Neuroscience May 17, 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><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></links><search><creatorcontrib>Mackay, James P</creatorcontrib><creatorcontrib>Smith-Dijak, Amy I</creatorcontrib><creatorcontrib>Koch, Ellen T</creatorcontrib><creatorcontrib>Zhang, Peng</creatorcontrib><creatorcontrib>Fung, Evan</creatorcontrib><creatorcontrib>Nassrallah, Wissam B</creatorcontrib><creatorcontrib>Buren, Caodu</creatorcontrib><creatorcontrib>Schmidt, Mandi</creatorcontrib><creatorcontrib>Hayden, Michael R</creatorcontrib><creatorcontrib>Raymond, Lynn A</creatorcontrib><title>Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model</title><title>The Journal of neuroscience</title><description>Action potential (AP)-independent (miniature) neurotransmission occurs at all chemical synapses but remains poorly understood, particularly in pathologic contexts. Axonal endoplasmic reticulum (ER) Ca2+ stores are thought to influence miniature neurotransmission, and aberrant ER Ca2+ handling is implicated in progression of Huntington disease (HD). Here, we report elevated mEPSC frequencies in recordings from YAC128 mouse (HD-model) neurons (from cortical cultures and striatum-containing brain slices, both from male and female animals). Pharmacological experiments suggest that this is mediated indirectly by enhanced tonic ER Ca2+ release. Calcium imaging, using an axon-localized sensor, revealed slow AP-independent ER Ca2+ release waves in both YAC128 and WT cultures. These Ca2+ waves occurred at similar frequencies in both genotypes but spread less extensively and were of lower amplitude in YAC128 axons, consistent with axonal ER Ca2+ store depletion. Surprisingly, basal cytosolic Ca2+ levels were lower in YAC128 boutons and YAC128 mEPSCs were less sensitive to intracellular Ca2+ chelation. Together, these data suggest that elevated miniature glutamate release in YAC128 cultures is associated with axonal ER Ca2+ depletion but not directly mediated by ER Ca2+ release into the cytoplasm. In contrast to increased mEPSC frequencies, cultured YAC128 cortical neurons showed less frequent AP-dependent (spontaneous) Ca2+ events in soma and axons, although evoked glutamate release detected by an intensity-based glutamate-sensing fluorescence reporter in brain slices was similar between genotypes. Our results indicate that axonal ER dysfunction selectively elevates miniature glutamate release from cortical terminals in HD. This, together with reduced spontaneous cortical neuron firing, may cause a shift from activity-dependent to -independent glutamate release in HD, with potential implications for fidelity and plasticity of cortical excitatory signaling. SIGNIFICANCE STATEMENT Miniature neurotransmitter release persists at all chemical neuronal synapses in the absence of action potential firing but remains poorly understood, particularly in disease states. We show enhanced miniature glutamate release from cortical neurons in the YAC128 mouse Huntington disease model. This effect is mediated by axonal ER Ca2+ store depletion, but is not obviously due to elevated ER-to-cytosol Ca2+ release. Conversely, YAC128 cortical pyramidal neurons fired fewer action potentials and evoked cortical glutamate release was similar between WT an YAC128 preparations, indicating axonal ER depletion selectively enhances miniature glutamate release in YAC128 mice. These results extend our understanding of action potential independent neurotransmission and highlight a potential involvement of elevated miniature glutamate release in Huntington disease pathology.</description><subject>Action potential</subject><subject>Axons</subject><subject>Brain</subject><subject>Brain slice preparation</subject><subject>Calcium (intracellular)</subject><subject>Calcium (reticular)</subject><subject>Calcium imaging</subject><subject>Calcium ions</subject><subject>Calcium signalling</subject><subject>Chelation</subject><subject>Cytoplasm</subject><subject>Cytosol</subject><subject>Depletion</subject><subject>Endoplasmic reticulum</subject><subject>Fluorescence</subject><subject>Genotypes</subject><subject>Huntington's disease</subject><subject>Huntingtons disease</subject><subject>Neostriatum</subject><subject>Neuroimaging</subject><subject>Neurons</subject><subject>Neuroplasticity</subject><subject>Neurotransmission</subject><subject>Neurotransmitter release</subject><subject>Presynapse</subject><subject>Pyramidal cells</subject><subject>Synapses</subject><issn>0270-6474</issn><issn>1529-2401</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkEtPwzAQhC0EEqXwF5AlLkjIxa_E8bEKoS0qVGrpuXJiB1K5TqgdRP895iEOXHa0s7Nz-AC4JHhEEspuH56K9XKxymdxlQxROqKYsiMwiFeJKMfkGAwwFRilXPBTcOb9FmMsMBED0I0_WqcsLJYwV_QGLo01yhu4ilqF5t3YAyzcq3KV8XD85TThgGZOm87E4QKc2D6onQrm77dxUMFp70LjXkLr4F3jv_3HVht7Dk5qZb25-NUhWN8Xz_kUzReTWT6eo45IHlBS1iU2tCRCYE5FXdJUZ6nUXJWMlUJTVZVakjQzSVJXSgitlGCa4jQTiVCcDcH1T2-3b99648Nm1_jKWKucaXu_oSKTghAZCQ7B1b_otu33kUpMZSSVkSDl7BOlJmu9</recordid><startdate>20230517</startdate><enddate>20230517</enddate><creator>Mackay, James P</creator><creator>Smith-Dijak, Amy I</creator><creator>Koch, Ellen T</creator><creator>Zhang, Peng</creator><creator>Fung, Evan</creator><creator>Nassrallah, Wissam B</creator><creator>Buren, Caodu</creator><creator>Schmidt, Mandi</creator><creator>Hayden, Michael R</creator><creator>Raymond, Lynn A</creator><general>Society for Neuroscience</general><scope>7QG</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20230517</creationdate><title>Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model</title><author>Mackay, James P ; Smith-Dijak, Amy I ; Koch, Ellen T ; Zhang, Peng ; Fung, Evan ; Nassrallah, Wissam B ; Buren, Caodu ; Schmidt, Mandi ; Hayden, Michael R ; Raymond, Lynn A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p194t-5bfb0e2b1770427fb26d869d4ab33b7d2acbd9168e55fca77daa73d2068757a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Action potential</topic><topic>Axons</topic><topic>Brain</topic><topic>Brain slice preparation</topic><topic>Calcium (intracellular)</topic><topic>Calcium (reticular)</topic><topic>Calcium imaging</topic><topic>Calcium ions</topic><topic>Calcium signalling</topic><topic>Chelation</topic><topic>Cytoplasm</topic><topic>Cytosol</topic><topic>Depletion</topic><topic>Endoplasmic reticulum</topic><topic>Fluorescence</topic><topic>Genotypes</topic><topic>Huntington's disease</topic><topic>Huntingtons disease</topic><topic>Neostriatum</topic><topic>Neuroimaging</topic><topic>Neurons</topic><topic>Neuroplasticity</topic><topic>Neurotransmission</topic><topic>Neurotransmitter release</topic><topic>Presynapse</topic><topic>Pyramidal cells</topic><topic>Synapses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mackay, James P</creatorcontrib><creatorcontrib>Smith-Dijak, Amy I</creatorcontrib><creatorcontrib>Koch, Ellen T</creatorcontrib><creatorcontrib>Zhang, Peng</creatorcontrib><creatorcontrib>Fung, Evan</creatorcontrib><creatorcontrib>Nassrallah, Wissam B</creatorcontrib><creatorcontrib>Buren, Caodu</creatorcontrib><creatorcontrib>Schmidt, Mandi</creatorcontrib><creatorcontrib>Hayden, Michael R</creatorcontrib><creatorcontrib>Raymond, Lynn A</creatorcontrib><collection>Animal Behavior Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences 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>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mackay, James P</au><au>Smith-Dijak, Amy I</au><au>Koch, Ellen T</au><au>Zhang, Peng</au><au>Fung, Evan</au><au>Nassrallah, Wissam B</au><au>Buren, Caodu</au><au>Schmidt, Mandi</au><au>Hayden, Michael R</au><au>Raymond, Lynn A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model</atitle><jtitle>The Journal of neuroscience</jtitle><date>2023-05-17</date><risdate>2023</risdate><volume>43</volume><issue>20</issue><spage>3743</spage><epage>3763</epage><pages>3743-3763</pages><issn>0270-6474</issn><eissn>1529-2401</eissn><abstract>Action potential (AP)-independent (miniature) neurotransmission occurs at all chemical synapses but remains poorly understood, particularly in pathologic contexts. Axonal endoplasmic reticulum (ER) Ca2+ stores are thought to influence miniature neurotransmission, and aberrant ER Ca2+ handling is implicated in progression of Huntington disease (HD). Here, we report elevated mEPSC frequencies in recordings from YAC128 mouse (HD-model) neurons (from cortical cultures and striatum-containing brain slices, both from male and female animals). Pharmacological experiments suggest that this is mediated indirectly by enhanced tonic ER Ca2+ release. Calcium imaging, using an axon-localized sensor, revealed slow AP-independent ER Ca2+ release waves in both YAC128 and WT cultures. These Ca2+ waves occurred at similar frequencies in both genotypes but spread less extensively and were of lower amplitude in YAC128 axons, consistent with axonal ER Ca2+ store depletion. Surprisingly, basal cytosolic Ca2+ levels were lower in YAC128 boutons and YAC128 mEPSCs were less sensitive to intracellular Ca2+ chelation. Together, these data suggest that elevated miniature glutamate release in YAC128 cultures is associated with axonal ER Ca2+ depletion but not directly mediated by ER Ca2+ release into the cytoplasm. In contrast to increased mEPSC frequencies, cultured YAC128 cortical neurons showed less frequent AP-dependent (spontaneous) Ca2+ events in soma and axons, although evoked glutamate release detected by an intensity-based glutamate-sensing fluorescence reporter in brain slices was similar between genotypes. Our results indicate that axonal ER dysfunction selectively elevates miniature glutamate release from cortical terminals in HD. This, together with reduced spontaneous cortical neuron firing, may cause a shift from activity-dependent to -independent glutamate release in HD, with potential implications for fidelity and plasticity of cortical excitatory signaling. SIGNIFICANCE STATEMENT Miniature neurotransmitter release persists at all chemical neuronal synapses in the absence of action potential firing but remains poorly understood, particularly in disease states. We show enhanced miniature glutamate release from cortical neurons in the YAC128 mouse Huntington disease model. This effect is mediated by axonal ER Ca2+ store depletion, but is not obviously due to elevated ER-to-cytosol Ca2+ release. Conversely, YAC128 cortical pyramidal neurons fired fewer action potentials and evoked cortical glutamate release was similar between WT an YAC128 preparations, indicating axonal ER depletion selectively enhances miniature glutamate release in YAC128 mice. These results extend our understanding of action potential independent neurotransmission and highlight a potential involvement of elevated miniature glutamate release in Huntington disease pathology.</abstract><cop>Baltimore</cop><pub>Society for Neuroscience</pub><doi>10.1523/JNEUROSCI.1593-22.2023</doi><tpages>21</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0270-6474
ispartof The Journal of neuroscience, 2023-05, Vol.43 (20), p.3743-3763
issn 0270-6474
1529-2401
language eng
recordid cdi_proquest_miscellaneous_2789711952
source PubMed Central(OpenAccess)
subjects Action potential
Axons
Brain
Brain slice preparation
Calcium (intracellular)
Calcium (reticular)
Calcium imaging
Calcium ions
Calcium signalling
Chelation
Cytoplasm
Cytosol
Depletion
Endoplasmic reticulum
Fluorescence
Genotypes
Huntington's disease
Huntingtons disease
Neostriatum
Neuroimaging
Neurons
Neuroplasticity
Neurotransmission
Neurotransmitter release
Presynapse
Pyramidal cells
Synapses
title Axonal ER Ca2+ Release Selectively Enhances Activity-Independent Glutamate Release in a Huntington Disease Model
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T14%3A43%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Axonal%20ER%20Ca2+%20Release%20Selectively%20Enhances%20Activity-Independent%20Glutamate%20Release%20in%20a%20Huntington%20Disease%20Model&rft.jtitle=The%20Journal%20of%20neuroscience&rft.au=Mackay,%20James%20P&rft.date=2023-05-17&rft.volume=43&rft.issue=20&rft.spage=3743&rft.epage=3763&rft.pages=3743-3763&rft.issn=0270-6474&rft.eissn=1529-2401&rft_id=info:doi/10.1523/JNEUROSCI.1593-22.2023&rft_dat=%3Cproquest%3E2789711952%3C/proquest%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p194t-5bfb0e2b1770427fb26d869d4ab33b7d2acbd9168e55fca77daa73d2068757a43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2816940124&rft_id=info:pmid/&rfr_iscdi=true