Loading…

Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors

Summary Desmoid tumors (desmoid-type fibromatoses) are locally aggressive soft tissue tumors associated with the Wnt/ β -catenin signaling pathway (APC– β -catenin–Tcf pathway). Matrix metalloproteinase-7, which is one of the target genes of the Wnt/ β -catenin signaling pathway, has been reported t...

Full description

Saved in:
Bibliographic Details
Published in:Human pathology 2008-12, Vol.39 (12), p.1802-1808
Main Authors: Matono, Hiroshi, MD, Oda, Yoshinao, MD, Nakamori, Mari, MD, Tamiya, Sadafumi, MD, Yamamoto, Hidetaka, MD, Yokoyama, Ryohei, MD, Saito, Tsuyoshi, MD, Iwamoto, Yukihide, MD, Tsuneyoshi, Masazumi, MD
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-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83
cites cdi_FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83
container_end_page 1808
container_issue 12
container_start_page 1802
container_title Human pathology
container_volume 39
creator Matono, Hiroshi, MD
Oda, Yoshinao, MD
Nakamori, Mari, MD
Tamiya, Sadafumi, MD
Yamamoto, Hidetaka, MD
Yokoyama, Ryohei, MD
Saito, Tsuyoshi, MD
Iwamoto, Yukihide, MD
Tsuneyoshi, Masazumi, MD
description Summary Desmoid tumors (desmoid-type fibromatoses) are locally aggressive soft tissue tumors associated with the Wnt/ β -catenin signaling pathway (APC– β -catenin–Tcf pathway). Matrix metalloproteinase-7, which is one of the target genes of the Wnt/ β -catenin signaling pathway, has been reported to play an important role in tumor progression. We examined the immunohistochemical expression of β -catenin and matrix metalloproteinase-7 in 72 samples (63 primary and 9 recurrent samples, 63 patients) of sporadic desmoid tumors without familial adenomatous polyposis, and the genetic alteration of the β -catenin gene in 33 frozen materials (22 primary and 11 recurrent samples, 22 patients). We further examined messenger RNA expression of matrix metalloproteinase 7 by quantitative reverse transcriptase–polymerase chain reaction (RT-PCR) and compared the results with those of normal skeletal muscles. Immunohistochemically, there was a statistically significant correlation between widespread nuclear expression of β -catenin and overexpression of matrix metalloproteinase-7 ( P < .01 in extra-abdominal desmoid, Fisher test). There were 7 missense point mutations in the 22 primary frozen samples (32%). In the β -catenin mutated group, matrix metalloproteinase-7 messenger RNA expression was significantly higher than that of the β -catenin wild-type group ( P = .0018, Mann-Whitney U test). Our results suggest that the matrix metalloproteinase-7 gene may be up-regulated by mutated or continuously elevated β -catenin protein and that the matrix metalloproteinase-7 gene may also be targeted in the Wnt/ β -catenin signaling pathway in sporadic desmoid tumors.
doi_str_mv 10.1016/j.humpath.2008.05.005
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69801216</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S004681770800230X</els_id><sourcerecordid>69801216</sourcerecordid><originalsourceid>FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83</originalsourceid><addsrcrecordid>eNqFkk2O1DAQhSMEYnoGjgDyil1CObETZwNCLWCQRmIBSOwsx65o3CR2sJ35uQAH4iCcCUfdEogNq5Kl770q16uieEahokDbl4fqep0Xla6rGkBUwCsA_qDYUd7UpWj6-mGxA2BtKWjXnRXnMR4AKOWMPy7OqOgob6nYFT_2PgScVLLekQHTLaIjv36SUquEzjpyaw3GJaAyxK16QhUI3uV3jJtCOUNmlYK9IzMmNU1-CT6hdSpi2RF_g-EvOtvFxQdlrCbZdfbWkLTOPsQnxaNRTRGfnupF8eXd28_7y_Lq4_sP-zdXpW6aJpVt39GWqWGkrMdOwYAt6xvTsUH3THEQWtGe9sAMcmVgHAWD1kA9dBpahqK5KF4cffOY31eMSc42apwm5dCvUba9AFrTNoP8COrgYww4yiXYWYV7SUFuAciDPAUgtwAkcJkDyLrnpwbrMKP5ozptPAOvjwDmb95YDDJqi06jsQF1ksbb_7Z49Y-DnqyzWk3f8B7jwa_B5R1KKmMtQX7armA7AhAAdQNfm98UKLNH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69801216</pqid></control><display><type>article</type><title>Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors</title><source>ScienceDirect Journals</source><creator>Matono, Hiroshi, MD ; Oda, Yoshinao, MD ; Nakamori, Mari, MD ; Tamiya, Sadafumi, MD ; Yamamoto, Hidetaka, MD ; Yokoyama, Ryohei, MD ; Saito, Tsuyoshi, MD ; Iwamoto, Yukihide, MD ; Tsuneyoshi, Masazumi, MD</creator><creatorcontrib>Matono, Hiroshi, MD ; Oda, Yoshinao, MD ; Nakamori, Mari, MD ; Tamiya, Sadafumi, MD ; Yamamoto, Hidetaka, MD ; Yokoyama, Ryohei, MD ; Saito, Tsuyoshi, MD ; Iwamoto, Yukihide, MD ; Tsuneyoshi, Masazumi, MD</creatorcontrib><description>Summary Desmoid tumors (desmoid-type fibromatoses) are locally aggressive soft tissue tumors associated with the Wnt/ β -catenin signaling pathway (APC– β -catenin–Tcf pathway). Matrix metalloproteinase-7, which is one of the target genes of the Wnt/ β -catenin signaling pathway, has been reported to play an important role in tumor progression. We examined the immunohistochemical expression of β -catenin and matrix metalloproteinase-7 in 72 samples (63 primary and 9 recurrent samples, 63 patients) of sporadic desmoid tumors without familial adenomatous polyposis, and the genetic alteration of the β -catenin gene in 33 frozen materials (22 primary and 11 recurrent samples, 22 patients). We further examined messenger RNA expression of matrix metalloproteinase 7 by quantitative reverse transcriptase–polymerase chain reaction (RT-PCR) and compared the results with those of normal skeletal muscles. Immunohistochemically, there was a statistically significant correlation between widespread nuclear expression of β -catenin and overexpression of matrix metalloproteinase-7 ( P &lt; .01 in extra-abdominal desmoid, Fisher test). There were 7 missense point mutations in the 22 primary frozen samples (32%). In the β -catenin mutated group, matrix metalloproteinase-7 messenger RNA expression was significantly higher than that of the β -catenin wild-type group ( P = .0018, Mann-Whitney U test). Our results suggest that the matrix metalloproteinase-7 gene may be up-regulated by mutated or continuously elevated β -catenin protein and that the matrix metalloproteinase-7 gene may also be targeted in the Wnt/ β -catenin signaling pathway in sporadic desmoid tumors.</description><identifier>ISSN: 0046-8177</identifier><identifier>EISSN: 1532-8392</identifier><identifier>DOI: 10.1016/j.humpath.2008.05.005</identifier><identifier>PMID: 18715618</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; beta Catenin - metabolism ; Biomarkers, Tumor - genetics ; Biomarkers, Tumor - metabolism ; Cell Nucleus - metabolism ; Child ; Child, Preschool ; Desmoid tumors ; Female ; Fibromatosis, Aggressive - genetics ; Fibromatosis, Aggressive - metabolism ; Fibromatosis, Aggressive - pathology ; Gene Expression Regulation, Neoplastic ; Humans ; Infant ; Male ; Matrix Metalloproteinase 7 - genetics ; Matrix Metalloproteinase 7 - metabolism ; Matrix metalloproteinase-7 ; Middle Aged ; Mutation, Missense ; Pathology ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger - metabolism ; RNA, Neoplasm - analysis ; Soft Tissue Neoplasms - genetics ; Soft Tissue Neoplasms - metabolism ; Soft Tissue Neoplasms - pathology ; Wnt signaling ; Young Adult ; β-catenin</subject><ispartof>Human pathology, 2008-12, Vol.39 (12), p.1802-1808</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83</citedby><cites>FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18715618$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matono, Hiroshi, MD</creatorcontrib><creatorcontrib>Oda, Yoshinao, MD</creatorcontrib><creatorcontrib>Nakamori, Mari, MD</creatorcontrib><creatorcontrib>Tamiya, Sadafumi, MD</creatorcontrib><creatorcontrib>Yamamoto, Hidetaka, MD</creatorcontrib><creatorcontrib>Yokoyama, Ryohei, MD</creatorcontrib><creatorcontrib>Saito, Tsuyoshi, MD</creatorcontrib><creatorcontrib>Iwamoto, Yukihide, MD</creatorcontrib><creatorcontrib>Tsuneyoshi, Masazumi, MD</creatorcontrib><title>Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors</title><title>Human pathology</title><addtitle>Hum Pathol</addtitle><description>Summary Desmoid tumors (desmoid-type fibromatoses) are locally aggressive soft tissue tumors associated with the Wnt/ β -catenin signaling pathway (APC– β -catenin–Tcf pathway). Matrix metalloproteinase-7, which is one of the target genes of the Wnt/ β -catenin signaling pathway, has been reported to play an important role in tumor progression. We examined the immunohistochemical expression of β -catenin and matrix metalloproteinase-7 in 72 samples (63 primary and 9 recurrent samples, 63 patients) of sporadic desmoid tumors without familial adenomatous polyposis, and the genetic alteration of the β -catenin gene in 33 frozen materials (22 primary and 11 recurrent samples, 22 patients). We further examined messenger RNA expression of matrix metalloproteinase 7 by quantitative reverse transcriptase–polymerase chain reaction (RT-PCR) and compared the results with those of normal skeletal muscles. Immunohistochemically, there was a statistically significant correlation between widespread nuclear expression of β -catenin and overexpression of matrix metalloproteinase-7 ( P &lt; .01 in extra-abdominal desmoid, Fisher test). There were 7 missense point mutations in the 22 primary frozen samples (32%). In the β -catenin mutated group, matrix metalloproteinase-7 messenger RNA expression was significantly higher than that of the β -catenin wild-type group ( P = .0018, Mann-Whitney U test). Our results suggest that the matrix metalloproteinase-7 gene may be up-regulated by mutated or continuously elevated β -catenin protein and that the matrix metalloproteinase-7 gene may also be targeted in the Wnt/ β -catenin signaling pathway in sporadic desmoid tumors.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>beta Catenin - metabolism</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Cell Nucleus - metabolism</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Desmoid tumors</subject><subject>Female</subject><subject>Fibromatosis, Aggressive - genetics</subject><subject>Fibromatosis, Aggressive - metabolism</subject><subject>Fibromatosis, Aggressive - pathology</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Matrix Metalloproteinase 7 - genetics</subject><subject>Matrix Metalloproteinase 7 - metabolism</subject><subject>Matrix metalloproteinase-7</subject><subject>Middle Aged</subject><subject>Mutation, Missense</subject><subject>Pathology</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA, Messenger - metabolism</subject><subject>RNA, Neoplasm - analysis</subject><subject>Soft Tissue Neoplasms - genetics</subject><subject>Soft Tissue Neoplasms - metabolism</subject><subject>Soft Tissue Neoplasms - pathology</subject><subject>Wnt signaling</subject><subject>Young Adult</subject><subject>β-catenin</subject><issn>0046-8177</issn><issn>1532-8392</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkk2O1DAQhSMEYnoGjgDyil1CObETZwNCLWCQRmIBSOwsx65o3CR2sJ35uQAH4iCcCUfdEogNq5Kl770q16uieEahokDbl4fqep0Xla6rGkBUwCsA_qDYUd7UpWj6-mGxA2BtKWjXnRXnMR4AKOWMPy7OqOgob6nYFT_2PgScVLLekQHTLaIjv36SUquEzjpyaw3GJaAyxK16QhUI3uV3jJtCOUNmlYK9IzMmNU1-CT6hdSpi2RF_g-EvOtvFxQdlrCbZdfbWkLTOPsQnxaNRTRGfnupF8eXd28_7y_Lq4_sP-zdXpW6aJpVt39GWqWGkrMdOwYAt6xvTsUH3THEQWtGe9sAMcmVgHAWD1kA9dBpahqK5KF4cffOY31eMSc42apwm5dCvUba9AFrTNoP8COrgYww4yiXYWYV7SUFuAciDPAUgtwAkcJkDyLrnpwbrMKP5ozptPAOvjwDmb95YDDJqi06jsQF1ksbb_7Z49Y-DnqyzWk3f8B7jwa_B5R1KKmMtQX7armA7AhAAdQNfm98UKLNH</recordid><startdate>200812</startdate><enddate>200812</enddate><creator>Matono, Hiroshi, MD</creator><creator>Oda, Yoshinao, MD</creator><creator>Nakamori, Mari, MD</creator><creator>Tamiya, Sadafumi, MD</creator><creator>Yamamoto, Hidetaka, MD</creator><creator>Yokoyama, Ryohei, MD</creator><creator>Saito, Tsuyoshi, MD</creator><creator>Iwamoto, Yukihide, MD</creator><creator>Tsuneyoshi, Masazumi, MD</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></search><sort><creationdate>200812</creationdate><title>Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors</title><author>Matono, Hiroshi, MD ; Oda, Yoshinao, MD ; Nakamori, Mari, MD ; Tamiya, Sadafumi, MD ; Yamamoto, Hidetaka, MD ; Yokoyama, Ryohei, MD ; Saito, Tsuyoshi, MD ; Iwamoto, Yukihide, MD ; Tsuneyoshi, Masazumi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>beta Catenin - metabolism</topic><topic>Biomarkers, Tumor - genetics</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Cell Nucleus - metabolism</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Desmoid tumors</topic><topic>Female</topic><topic>Fibromatosis, Aggressive - genetics</topic><topic>Fibromatosis, Aggressive - metabolism</topic><topic>Fibromatosis, Aggressive - pathology</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Matrix Metalloproteinase 7 - genetics</topic><topic>Matrix Metalloproteinase 7 - metabolism</topic><topic>Matrix metalloproteinase-7</topic><topic>Middle Aged</topic><topic>Mutation, Missense</topic><topic>Pathology</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA, Messenger - metabolism</topic><topic>RNA, Neoplasm - analysis</topic><topic>Soft Tissue Neoplasms - genetics</topic><topic>Soft Tissue Neoplasms - metabolism</topic><topic>Soft Tissue Neoplasms - pathology</topic><topic>Wnt signaling</topic><topic>Young Adult</topic><topic>β-catenin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matono, Hiroshi, MD</creatorcontrib><creatorcontrib>Oda, Yoshinao, MD</creatorcontrib><creatorcontrib>Nakamori, Mari, MD</creatorcontrib><creatorcontrib>Tamiya, Sadafumi, MD</creatorcontrib><creatorcontrib>Yamamoto, Hidetaka, MD</creatorcontrib><creatorcontrib>Yokoyama, Ryohei, MD</creatorcontrib><creatorcontrib>Saito, Tsuyoshi, MD</creatorcontrib><creatorcontrib>Iwamoto, Yukihide, MD</creatorcontrib><creatorcontrib>Tsuneyoshi, Masazumi, MD</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>Human pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matono, Hiroshi, MD</au><au>Oda, Yoshinao, MD</au><au>Nakamori, Mari, MD</au><au>Tamiya, Sadafumi, MD</au><au>Yamamoto, Hidetaka, MD</au><au>Yokoyama, Ryohei, MD</au><au>Saito, Tsuyoshi, MD</au><au>Iwamoto, Yukihide, MD</au><au>Tsuneyoshi, Masazumi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors</atitle><jtitle>Human pathology</jtitle><addtitle>Hum Pathol</addtitle><date>2008-12</date><risdate>2008</risdate><volume>39</volume><issue>12</issue><spage>1802</spage><epage>1808</epage><pages>1802-1808</pages><issn>0046-8177</issn><eissn>1532-8392</eissn><abstract>Summary Desmoid tumors (desmoid-type fibromatoses) are locally aggressive soft tissue tumors associated with the Wnt/ β -catenin signaling pathway (APC– β -catenin–Tcf pathway). Matrix metalloproteinase-7, which is one of the target genes of the Wnt/ β -catenin signaling pathway, has been reported to play an important role in tumor progression. We examined the immunohistochemical expression of β -catenin and matrix metalloproteinase-7 in 72 samples (63 primary and 9 recurrent samples, 63 patients) of sporadic desmoid tumors without familial adenomatous polyposis, and the genetic alteration of the β -catenin gene in 33 frozen materials (22 primary and 11 recurrent samples, 22 patients). We further examined messenger RNA expression of matrix metalloproteinase 7 by quantitative reverse transcriptase–polymerase chain reaction (RT-PCR) and compared the results with those of normal skeletal muscles. Immunohistochemically, there was a statistically significant correlation between widespread nuclear expression of β -catenin and overexpression of matrix metalloproteinase-7 ( P &lt; .01 in extra-abdominal desmoid, Fisher test). There were 7 missense point mutations in the 22 primary frozen samples (32%). In the β -catenin mutated group, matrix metalloproteinase-7 messenger RNA expression was significantly higher than that of the β -catenin wild-type group ( P = .0018, Mann-Whitney U test). Our results suggest that the matrix metalloproteinase-7 gene may be up-regulated by mutated or continuously elevated β -catenin protein and that the matrix metalloproteinase-7 gene may also be targeted in the Wnt/ β -catenin signaling pathway in sporadic desmoid tumors.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18715618</pmid><doi>10.1016/j.humpath.2008.05.005</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0046-8177
ispartof Human pathology, 2008-12, Vol.39 (12), p.1802-1808
issn 0046-8177
1532-8392
language eng
recordid cdi_proquest_miscellaneous_69801216
source ScienceDirect Journals
subjects Adolescent
Adult
Aged
beta Catenin - metabolism
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Cell Nucleus - metabolism
Child
Child, Preschool
Desmoid tumors
Female
Fibromatosis, Aggressive - genetics
Fibromatosis, Aggressive - metabolism
Fibromatosis, Aggressive - pathology
Gene Expression Regulation, Neoplastic
Humans
Infant
Male
Matrix Metalloproteinase 7 - genetics
Matrix Metalloproteinase 7 - metabolism
Matrix metalloproteinase-7
Middle Aged
Mutation, Missense
Pathology
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - metabolism
RNA, Neoplasm - analysis
Soft Tissue Neoplasms - genetics
Soft Tissue Neoplasms - metabolism
Soft Tissue Neoplasms - pathology
Wnt signaling
Young Adult
β-catenin
title Correlation between β -catenin widespread nuclear expression and matrix metalloproteinase-7 overexpression in sporadic desmoid tumors
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T02%3A48%3A34IST&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=Correlation%20between%20%CE%B2%20-catenin%20widespread%20nuclear%20expression%20and%20matrix%20metalloproteinase-7%20overexpression%20in%20sporadic%20desmoid%20tumors&rft.jtitle=Human%20pathology&rft.au=Matono,%20Hiroshi,%20MD&rft.date=2008-12&rft.volume=39&rft.issue=12&rft.spage=1802&rft.epage=1808&rft.pages=1802-1808&rft.issn=0046-8177&rft.eissn=1532-8392&rft_id=info:doi/10.1016/j.humpath.2008.05.005&rft_dat=%3Cproquest_cross%3E69801216%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c333t-697164abf149e7a0be6493d74bc94a508ca191904de5ad0ff8406d02b7c064e83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=69801216&rft_id=info:pmid/18715618&rfr_iscdi=true