Loading…

Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?

Renin initiates angiotensin II formation and has no other known functions. We observed that transgenic rats (TGR) overexpressing the human renin gene (hREN) developed moderate obesity with increased body fat mass and glucose intolerance compared with nontransgenic Sprague-Dawley (SD) rats. The metab...

Full description

Saved in:
Bibliographic Details
Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2009-03, Vol.53 (3), p.516-523
Main Authors: Gratze, Petra, Boschmann, Michael, Dechend, Ralf, Qadri, Fatimunnisa, Malchow, Jeanette, Graeske, Sabine, Engeli, Stefan, Janke, Jürgen, Springer, Jochen, Contrepas, Aurelie, Plehm, Ralph, Klaus, Susanne, Nguyen, Genevieve, Luft, Friedrich C, Muller, Dominik N
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c4078-7a88b2ace99998d2a1d953b954be5f7ad7491b66aa8a5e7343d62e18e8762d43
container_end_page 523
container_issue 3
container_start_page 516
container_title Hypertension (Dallas, Tex. 1979)
container_volume 53
creator Gratze, Petra
Boschmann, Michael
Dechend, Ralf
Qadri, Fatimunnisa
Malchow, Jeanette
Graeske, Sabine
Engeli, Stefan
Janke, Jürgen
Springer, Jochen
Contrepas, Aurelie
Plehm, Ralph
Klaus, Susanne
Nguyen, Genevieve
Luft, Friedrich C
Muller, Dominik N
description Renin initiates angiotensin II formation and has no other known functions. We observed that transgenic rats (TGR) overexpressing the human renin gene (hREN) developed moderate obesity with increased body fat mass and glucose intolerance compared with nontransgenic Sprague-Dawley (SD) rats. The metabolic changes were not reversed by an angiotensin-converting enzyme inhibitor, a direct renin inhibitor, or by (pro)renin receptor blocker treatment. The obese phenotype in TGR(hREN) originated from higher food intake, which was partly compensated by increases in resting energy expenditure, total thermogenesis (postprandial and exercise activity), and lipid oxidation during the first 8 weeks of life. Once established, the difference in body weight between TGR(hREN) and SD rats remained constant over time. When restricted to the caloric intake of SD, TGR(hREN) developed an even lower body weight than nontransgenic controls. We did not observe significant changes in the cocaine and amphetamine-regulated transcript, pro-opiomelanocortin, both anorexigenic, or neuropeptide Y, orexigenic, mRNA levels in TGR(hREN) versus SD controls. However, the mRNA level of the agouti-related peptide, orexigenic, was significantly reduced in TGR(hREN) versus SD controls at the end of the study, which indicates a compensatory mechanism. We suggest that the human renin transgene initiates a process leading to increased and early appetite, obesity, and metabolic changes not related to angiotensin II. The mechanisms are independent of any currently known renin-related effects.
doi_str_mv 10.1161/HYPERTENSIONAHA.108.124966
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66939696</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>20383835</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4078-7a88b2ace99998d2a1d953b954be5f7ad7491b66aa8a5e7343d62e18e8762d43</originalsourceid><addsrcrecordid>eNqF0F1r2zAUBmAxNtqs618YYrDdOdORZH30ZoQsawpdM7JcdFdGtk9ab7bcSTYl_34aDhv0pkcIccRzJHgJeQdsDqDg4_rHt9V2t7r5frW5WawXc2BmDlxapV6QGeRcZjJX4iWZMbAyswC3p-R1jD8ZAymlPiGnYEGDtmJGblcew92BfsXBlX3bxI42nq7Hznm6Rd_47BI90l1wPt6lvqJbN8QL-rnHOAG67P0QmnIckA493ZQYm-Hw6Q15tXdtxPPjeUZ2X1a75Tq73lxeLRfXWSWZNpl2xpTcVWhTmZo7qG0uSpvLEvO9drWWFkqlnDMuRy2kqBVHMGi04rUUZ-TD9OxD6H-PGIeia2KFbes89mMslLLCKquehZwJk1ae4MUEq9DHGHBfPISmc-FQACv-5l88yT_dm2LKPw2_Pf4ylh3W_0ePgSfw_ghcrFy7T7lWTfznOIDmySYnJ_fYtwOG-KsdHzEU9-ja4b5gqSRXJuOMWSZSl6UNRvwBV86e-Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>20383835</pqid></control><display><type>article</type><title>Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?</title><source>Elektronische Zeitschriftenbibliothek</source><creator>Gratze, Petra ; Boschmann, Michael ; Dechend, Ralf ; Qadri, Fatimunnisa ; Malchow, Jeanette ; Graeske, Sabine ; Engeli, Stefan ; Janke, Jürgen ; Springer, Jochen ; Contrepas, Aurelie ; Plehm, Ralph ; Klaus, Susanne ; Nguyen, Genevieve ; Luft, Friedrich C ; Muller, Dominik N</creator><creatorcontrib>Gratze, Petra ; Boschmann, Michael ; Dechend, Ralf ; Qadri, Fatimunnisa ; Malchow, Jeanette ; Graeske, Sabine ; Engeli, Stefan ; Janke, Jürgen ; Springer, Jochen ; Contrepas, Aurelie ; Plehm, Ralph ; Klaus, Susanne ; Nguyen, Genevieve ; Luft, Friedrich C ; Muller, Dominik N</creatorcontrib><description>Renin initiates angiotensin II formation and has no other known functions. We observed that transgenic rats (TGR) overexpressing the human renin gene (hREN) developed moderate obesity with increased body fat mass and glucose intolerance compared with nontransgenic Sprague-Dawley (SD) rats. The metabolic changes were not reversed by an angiotensin-converting enzyme inhibitor, a direct renin inhibitor, or by (pro)renin receptor blocker treatment. The obese phenotype in TGR(hREN) originated from higher food intake, which was partly compensated by increases in resting energy expenditure, total thermogenesis (postprandial and exercise activity), and lipid oxidation during the first 8 weeks of life. Once established, the difference in body weight between TGR(hREN) and SD rats remained constant over time. When restricted to the caloric intake of SD, TGR(hREN) developed an even lower body weight than nontransgenic controls. We did not observe significant changes in the cocaine and amphetamine-regulated transcript, pro-opiomelanocortin, both anorexigenic, or neuropeptide Y, orexigenic, mRNA levels in TGR(hREN) versus SD controls. However, the mRNA level of the agouti-related peptide, orexigenic, was significantly reduced in TGR(hREN) versus SD controls at the end of the study, which indicates a compensatory mechanism. We suggest that the human renin transgene initiates a process leading to increased and early appetite, obesity, and metabolic changes not related to angiotensin II. The mechanisms are independent of any currently known renin-related effects.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/HYPERTENSIONAHA.108.124966</identifier><identifier>PMID: 19171793</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Hagerstown, MD: American Heart Association, Inc</publisher><subject>Adipocytes - cytology ; Adipocytes - drug effects ; Adipocytes - metabolism ; Amides - pharmacology ; Angiotensin II - metabolism ; Animals ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cells, Cultured ; Disease Models, Animal ; Energy Metabolism - physiology ; Experimental diseases ; Fumarates - pharmacology ; Humans ; Leptin - blood ; Lipid Metabolism - physiology ; Male ; Medical sciences ; Obesity - metabolism ; Phenotype ; Rats ; Rats, Sprague-Dawley ; Rats, Transgenic ; Renin - antagonists &amp; inhibitors ; Renin - genetics ; Renin - metabolism ; Thermogenesis - physiology</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2009-03, Vol.53 (3), p.516-523</ispartof><rights>2009 American Heart Association, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4078-7a88b2ace99998d2a1d953b954be5f7ad7491b66aa8a5e7343d62e18e8762d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21172917$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19171793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gratze, Petra</creatorcontrib><creatorcontrib>Boschmann, Michael</creatorcontrib><creatorcontrib>Dechend, Ralf</creatorcontrib><creatorcontrib>Qadri, Fatimunnisa</creatorcontrib><creatorcontrib>Malchow, Jeanette</creatorcontrib><creatorcontrib>Graeske, Sabine</creatorcontrib><creatorcontrib>Engeli, Stefan</creatorcontrib><creatorcontrib>Janke, Jürgen</creatorcontrib><creatorcontrib>Springer, Jochen</creatorcontrib><creatorcontrib>Contrepas, Aurelie</creatorcontrib><creatorcontrib>Plehm, Ralph</creatorcontrib><creatorcontrib>Klaus, Susanne</creatorcontrib><creatorcontrib>Nguyen, Genevieve</creatorcontrib><creatorcontrib>Luft, Friedrich C</creatorcontrib><creatorcontrib>Muller, Dominik N</creatorcontrib><title>Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>Renin initiates angiotensin II formation and has no other known functions. We observed that transgenic rats (TGR) overexpressing the human renin gene (hREN) developed moderate obesity with increased body fat mass and glucose intolerance compared with nontransgenic Sprague-Dawley (SD) rats. The metabolic changes were not reversed by an angiotensin-converting enzyme inhibitor, a direct renin inhibitor, or by (pro)renin receptor blocker treatment. The obese phenotype in TGR(hREN) originated from higher food intake, which was partly compensated by increases in resting energy expenditure, total thermogenesis (postprandial and exercise activity), and lipid oxidation during the first 8 weeks of life. Once established, the difference in body weight between TGR(hREN) and SD rats remained constant over time. When restricted to the caloric intake of SD, TGR(hREN) developed an even lower body weight than nontransgenic controls. We did not observe significant changes in the cocaine and amphetamine-regulated transcript, pro-opiomelanocortin, both anorexigenic, or neuropeptide Y, orexigenic, mRNA levels in TGR(hREN) versus SD controls. However, the mRNA level of the agouti-related peptide, orexigenic, was significantly reduced in TGR(hREN) versus SD controls at the end of the study, which indicates a compensatory mechanism. We suggest that the human renin transgene initiates a process leading to increased and early appetite, obesity, and metabolic changes not related to angiotensin II. The mechanisms are independent of any currently known renin-related effects.</description><subject>Adipocytes - cytology</subject><subject>Adipocytes - drug effects</subject><subject>Adipocytes - metabolism</subject><subject>Amides - pharmacology</subject><subject>Angiotensin II - metabolism</subject><subject>Animals</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cells, Cultured</subject><subject>Disease Models, Animal</subject><subject>Energy Metabolism - physiology</subject><subject>Experimental diseases</subject><subject>Fumarates - pharmacology</subject><subject>Humans</subject><subject>Leptin - blood</subject><subject>Lipid Metabolism - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Obesity - metabolism</subject><subject>Phenotype</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Rats, Transgenic</subject><subject>Renin - antagonists &amp; inhibitors</subject><subject>Renin - genetics</subject><subject>Renin - metabolism</subject><subject>Thermogenesis - physiology</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqF0F1r2zAUBmAxNtqs618YYrDdOdORZH30ZoQsawpdM7JcdFdGtk9ab7bcSTYl_34aDhv0pkcIccRzJHgJeQdsDqDg4_rHt9V2t7r5frW5WawXc2BmDlxapV6QGeRcZjJX4iWZMbAyswC3p-R1jD8ZAymlPiGnYEGDtmJGblcew92BfsXBlX3bxI42nq7Hznm6Rd_47BI90l1wPt6lvqJbN8QL-rnHOAG67P0QmnIckA493ZQYm-Hw6Q15tXdtxPPjeUZ2X1a75Tq73lxeLRfXWSWZNpl2xpTcVWhTmZo7qG0uSpvLEvO9drWWFkqlnDMuRy2kqBVHMGi04rUUZ-TD9OxD6H-PGIeia2KFbes89mMslLLCKquehZwJk1ae4MUEq9DHGHBfPISmc-FQACv-5l88yT_dm2LKPw2_Pf4ylh3W_0ePgSfw_ghcrFy7T7lWTfznOIDmySYnJ_fYtwOG-KsdHzEU9-ja4b5gqSRXJuOMWSZSl6UNRvwBV86e-Q</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Gratze, Petra</creator><creator>Boschmann, Michael</creator><creator>Dechend, Ralf</creator><creator>Qadri, Fatimunnisa</creator><creator>Malchow, Jeanette</creator><creator>Graeske, Sabine</creator><creator>Engeli, Stefan</creator><creator>Janke, Jürgen</creator><creator>Springer, Jochen</creator><creator>Contrepas, Aurelie</creator><creator>Plehm, Ralph</creator><creator>Klaus, Susanne</creator><creator>Nguyen, Genevieve</creator><creator>Luft, Friedrich C</creator><creator>Muller, Dominik N</creator><general>American Heart Association, Inc</general><general>Lippincott Williams &amp; Wilkins</general><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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>200903</creationdate><title>Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?</title><author>Gratze, Petra ; Boschmann, Michael ; Dechend, Ralf ; Qadri, Fatimunnisa ; Malchow, Jeanette ; Graeske, Sabine ; Engeli, Stefan ; Janke, Jürgen ; Springer, Jochen ; Contrepas, Aurelie ; Plehm, Ralph ; Klaus, Susanne ; Nguyen, Genevieve ; Luft, Friedrich C ; Muller, Dominik N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4078-7a88b2ace99998d2a1d953b954be5f7ad7491b66aa8a5e7343d62e18e8762d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adipocytes - cytology</topic><topic>Adipocytes - drug effects</topic><topic>Adipocytes - metabolism</topic><topic>Amides - pharmacology</topic><topic>Angiotensin II - metabolism</topic><topic>Animals</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cells, Cultured</topic><topic>Disease Models, Animal</topic><topic>Energy Metabolism - physiology</topic><topic>Experimental diseases</topic><topic>Fumarates - pharmacology</topic><topic>Humans</topic><topic>Leptin - blood</topic><topic>Lipid Metabolism - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Obesity - metabolism</topic><topic>Phenotype</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Rats, Transgenic</topic><topic>Renin - antagonists &amp; inhibitors</topic><topic>Renin - genetics</topic><topic>Renin - metabolism</topic><topic>Thermogenesis - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gratze, Petra</creatorcontrib><creatorcontrib>Boschmann, Michael</creatorcontrib><creatorcontrib>Dechend, Ralf</creatorcontrib><creatorcontrib>Qadri, Fatimunnisa</creatorcontrib><creatorcontrib>Malchow, Jeanette</creatorcontrib><creatorcontrib>Graeske, Sabine</creatorcontrib><creatorcontrib>Engeli, Stefan</creatorcontrib><creatorcontrib>Janke, Jürgen</creatorcontrib><creatorcontrib>Springer, Jochen</creatorcontrib><creatorcontrib>Contrepas, Aurelie</creatorcontrib><creatorcontrib>Plehm, Ralph</creatorcontrib><creatorcontrib>Klaus, Susanne</creatorcontrib><creatorcontrib>Nguyen, Genevieve</creatorcontrib><creatorcontrib>Luft, Friedrich C</creatorcontrib><creatorcontrib>Muller, Dominik N</creatorcontrib><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>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gratze, Petra</au><au>Boschmann, Michael</au><au>Dechend, Ralf</au><au>Qadri, Fatimunnisa</au><au>Malchow, Jeanette</au><au>Graeske, Sabine</au><au>Engeli, Stefan</au><au>Janke, Jürgen</au><au>Springer, Jochen</au><au>Contrepas, Aurelie</au><au>Plehm, Ralph</au><au>Klaus, Susanne</au><au>Nguyen, Genevieve</au><au>Luft, Friedrich C</au><au>Muller, Dominik N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2009-03</date><risdate>2009</risdate><volume>53</volume><issue>3</issue><spage>516</spage><epage>523</epage><pages>516-523</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>Renin initiates angiotensin II formation and has no other known functions. We observed that transgenic rats (TGR) overexpressing the human renin gene (hREN) developed moderate obesity with increased body fat mass and glucose intolerance compared with nontransgenic Sprague-Dawley (SD) rats. The metabolic changes were not reversed by an angiotensin-converting enzyme inhibitor, a direct renin inhibitor, or by (pro)renin receptor blocker treatment. The obese phenotype in TGR(hREN) originated from higher food intake, which was partly compensated by increases in resting energy expenditure, total thermogenesis (postprandial and exercise activity), and lipid oxidation during the first 8 weeks of life. Once established, the difference in body weight between TGR(hREN) and SD rats remained constant over time. When restricted to the caloric intake of SD, TGR(hREN) developed an even lower body weight than nontransgenic controls. We did not observe significant changes in the cocaine and amphetamine-regulated transcript, pro-opiomelanocortin, both anorexigenic, or neuropeptide Y, orexigenic, mRNA levels in TGR(hREN) versus SD controls. However, the mRNA level of the agouti-related peptide, orexigenic, was significantly reduced in TGR(hREN) versus SD controls at the end of the study, which indicates a compensatory mechanism. We suggest that the human renin transgene initiates a process leading to increased and early appetite, obesity, and metabolic changes not related to angiotensin II. The mechanisms are independent of any currently known renin-related effects.</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>19171793</pmid><doi>10.1161/HYPERTENSIONAHA.108.124966</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0194-911X
ispartof Hypertension (Dallas, Tex. 1979), 2009-03, Vol.53 (3), p.516-523
issn 0194-911X
1524-4563
language eng
recordid cdi_proquest_miscellaneous_66939696
source Elektronische Zeitschriftenbibliothek
subjects Adipocytes - cytology
Adipocytes - drug effects
Adipocytes - metabolism
Amides - pharmacology
Angiotensin II - metabolism
Animals
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cells, Cultured
Disease Models, Animal
Energy Metabolism - physiology
Experimental diseases
Fumarates - pharmacology
Humans
Leptin - blood
Lipid Metabolism - physiology
Male
Medical sciences
Obesity - metabolism
Phenotype
Rats
Rats, Sprague-Dawley
Rats, Transgenic
Renin - antagonists & inhibitors
Renin - genetics
Renin - metabolism
Thermogenesis - physiology
title Energy Metabolism in Human Renin-Gene Transgenic Rats: Does Renin Contribute to Obesity?
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T09%3A02%3A54IST&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=Energy%20Metabolism%20in%20Human%20Renin-Gene%20Transgenic%20Rats:%20Does%20Renin%20Contribute%20to%20Obesity?&rft.jtitle=Hypertension%20(Dallas,%20Tex.%201979)&rft.au=Gratze,%20Petra&rft.date=2009-03&rft.volume=53&rft.issue=3&rft.spage=516&rft.epage=523&rft.pages=516-523&rft.issn=0194-911X&rft.eissn=1524-4563&rft.coden=HPRTDN&rft_id=info:doi/10.1161/HYPERTENSIONAHA.108.124966&rft_dat=%3Cproquest_cross%3E20383835%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4078-7a88b2ace99998d2a1d953b954be5f7ad7491b66aa8a5e7343d62e18e8762d43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=20383835&rft_id=info:pmid/19171793&rfr_iscdi=true