Loading…
Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction
Although a potential target site of general anesthetics is primarily the GABA A receptor, a chloride ion channel, a previous study suggested that the intravenous general anesthetic propofol attenuates the M1 muscarinic acetylcholine receptor (M1 receptor)-mediated signal transduction. In the present...
Saved in:
Published in: | The Journal of pharmacology and experimental therapeutics 2003-12, Vol.307 (3), p.995-1000 |
---|---|
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-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83 |
---|---|
cites | cdi_FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83 |
container_end_page | 1000 |
container_issue | 3 |
container_start_page | 995 |
container_title | The Journal of pharmacology and experimental therapeutics |
container_volume | 307 |
creator | Murasaki, Osamu Kaibara, Muneshige Nagase, Yoshihisa Mitarai, Sayaka Doi, Yoshiyuki Sumikawa, Koji Taniyama, Kohtaro |
description | Although a potential target site of general anesthetics is primarily the GABA A receptor, a chloride ion channel, a previous study suggested that the intravenous general anesthetic propofol attenuates
the M1 muscarinic acetylcholine receptor (M1 receptor)-mediated signal transduction. In the present study, we examined the
target site of propofol in M1 receptor-mediated signal transduction. Two-electrode voltage-clamp method was used in Xenopus oocytes expressing both M1 receptors and associated G protein α subunits (Gqα). Propofol inhibited M1 receptor-mediated signal
transduction in a dose-dependent manner (IC 50 = 50 nM). Injection of guanosine 5â²-3- O -(thio)triphosphate (GTPγS) into oocytes overexpressing Gqα was used to investigate direct effects of propofol on G protein
coupled with the M1 receptor. Propofol did not affect activation of Gqα-mediated signal transduction with the intracellular
injection of GTPγS. We also studied effects of propofol on l -[ N -methyl- 3 H]scopolamine methyl chloride ([ 3 H]NMS) binding and M1 receptor-mediated signal transduction in mammalian cells expressing M1 receptor. Propofol inhibited
the M1 receptor-mediated signal transduction but did not inhibit binding of [ 3 H]NMS. Effects of propofol on Gs- and Gi/o-coupled signal transduction were investigated, using oocytes expressing the β2
adrenoceptor (β2 receptor)/cystic fibrosis transmembrane conductance regulator or oocytes expressing the M2 muscarinic acetylcholine
receptor (M2 receptor)/Kir3.1 (a member of G protein-gated inwardly rectifying K + channels). Neither β2 receptor-mediated nor M2 receptor-mediated signal transduction was inhibited by a relatively high concentration
of propofol (50 μM). These results indicate that propofol inhibits M1 receptor-mediated signal transduction by selectively
disrupting interaction between the receptor and associated G protein. |
doi_str_mv | 10.1124/jpet.103.055772 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71460034</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71460034</sourcerecordid><originalsourceid>FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83</originalsourceid><addsrcrecordid>eNpFUE1P3DAQtRCobJeeuVU-ccsy_kxzXCGgSKxa8XG2HGe8McrGwU5U8e-bZVfiNDNP772ZeYRcMlgxxuX124DjioFYgVJlyU_IginOCpihU7IA4LwQSqtz8j3nNwAmpRbfyDmTSkih-YK0z2FEGj1duzHEft-NLdJ77DHZjq57zPM8Bkf_pjhEHzsaerqZsrMp9DO8YfQJHQ5jTMUGm2BHbOhz2Paz-iXZPjfTp_MFOfO2y_jjWJfk9e725eZ38fjn_uFm_Vg4weVYIErBKl1DBapshIVay6qRmgPTvEKr0ZWqFB6sF9B4D6JideNlrW1Za_wlluTq4Duk-D7N15tdyA67zvYYp2xKJjXA_P2SXB-ILsWcE3ozpLCz6cMwMPtwzT7ceRDmEO6s-Hm0nuodNl_8Y5pfu9uwbf-FhGZobdpZF7u4_TACSiNMVSnxHw9EgzA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71460034</pqid></control><display><type>article</type><title>Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction</title><source>Freely Accessible Journals</source><creator>Murasaki, Osamu ; Kaibara, Muneshige ; Nagase, Yoshihisa ; Mitarai, Sayaka ; Doi, Yoshiyuki ; Sumikawa, Koji ; Taniyama, Kohtaro</creator><creatorcontrib>Murasaki, Osamu ; Kaibara, Muneshige ; Nagase, Yoshihisa ; Mitarai, Sayaka ; Doi, Yoshiyuki ; Sumikawa, Koji ; Taniyama, Kohtaro</creatorcontrib><description>Although a potential target site of general anesthetics is primarily the GABA A receptor, a chloride ion channel, a previous study suggested that the intravenous general anesthetic propofol attenuates
the M1 muscarinic acetylcholine receptor (M1 receptor)-mediated signal transduction. In the present study, we examined the
target site of propofol in M1 receptor-mediated signal transduction. Two-electrode voltage-clamp method was used in Xenopus oocytes expressing both M1 receptors and associated G protein α subunits (Gqα). Propofol inhibited M1 receptor-mediated signal
transduction in a dose-dependent manner (IC 50 = 50 nM). Injection of guanosine 5â²-3- O -(thio)triphosphate (GTPγS) into oocytes overexpressing Gqα was used to investigate direct effects of propofol on G protein
coupled with the M1 receptor. Propofol did not affect activation of Gqα-mediated signal transduction with the intracellular
injection of GTPγS. We also studied effects of propofol on l -[ N -methyl- 3 H]scopolamine methyl chloride ([ 3 H]NMS) binding and M1 receptor-mediated signal transduction in mammalian cells expressing M1 receptor. Propofol inhibited
the M1 receptor-mediated signal transduction but did not inhibit binding of [ 3 H]NMS. Effects of propofol on Gs- and Gi/o-coupled signal transduction were investigated, using oocytes expressing the β2
adrenoceptor (β2 receptor)/cystic fibrosis transmembrane conductance regulator or oocytes expressing the M2 muscarinic acetylcholine
receptor (M2 receptor)/Kir3.1 (a member of G protein-gated inwardly rectifying K + channels). Neither β2 receptor-mediated nor M2 receptor-mediated signal transduction was inhibited by a relatively high concentration
of propofol (50 μM). These results indicate that propofol inhibits M1 receptor-mediated signal transduction by selectively
disrupting interaction between the receptor and associated G protein.</description><identifier>ISSN: 0022-3565</identifier><identifier>EISSN: 1521-0103</identifier><identifier>DOI: 10.1124/jpet.103.055772</identifier><identifier>PMID: 14534362</identifier><language>eng</language><publisher>United States: American Society for Pharmacology and Experimental Therapeutics</publisher><subject>Acetylcholine - metabolism ; Anesthetics, Intravenous - pharmacology ; Animals ; Cystic Fibrosis Transmembrane Conductance Regulator - metabolism ; DNA, Complementary - biosynthesis ; DNA, Complementary - genetics ; Electrophysiology ; G Protein-Coupled Inwardly-Rectifying Potassium Channels ; GTP-Binding Protein alpha Subunits, Gi-Go - physiology ; GTP-Binding Protein alpha Subunits, Gs - physiology ; Guanosine 5'-O-(3-Thiotriphosphate) - metabolism ; Humans ; N-Methylscopolamine - metabolism ; Oocytes - metabolism ; Parasympatholytics - metabolism ; Patch-Clamp Techniques ; Potassium Channels - drug effects ; Potassium Channels - metabolism ; Potassium Channels, Inwardly Rectifying ; Propofol - pharmacology ; Radioligand Assay ; Rats ; Receptor, Muscarinic M1 - drug effects ; Receptor, Muscarinic M1 - metabolism ; Receptor, Muscarinic M2 - drug effects ; Receptor, Muscarinic M2 - metabolism ; Signal Transduction - drug effects ; Xenopus laevis</subject><ispartof>The Journal of pharmacology and experimental therapeutics, 2003-12, Vol.307 (3), p.995-1000</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83</citedby><cites>FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83</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/14534362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murasaki, Osamu</creatorcontrib><creatorcontrib>Kaibara, Muneshige</creatorcontrib><creatorcontrib>Nagase, Yoshihisa</creatorcontrib><creatorcontrib>Mitarai, Sayaka</creatorcontrib><creatorcontrib>Doi, Yoshiyuki</creatorcontrib><creatorcontrib>Sumikawa, Koji</creatorcontrib><creatorcontrib>Taniyama, Kohtaro</creatorcontrib><title>Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction</title><title>The Journal of pharmacology and experimental therapeutics</title><addtitle>J Pharmacol Exp Ther</addtitle><description>Although a potential target site of general anesthetics is primarily the GABA A receptor, a chloride ion channel, a previous study suggested that the intravenous general anesthetic propofol attenuates
the M1 muscarinic acetylcholine receptor (M1 receptor)-mediated signal transduction. In the present study, we examined the
target site of propofol in M1 receptor-mediated signal transduction. Two-electrode voltage-clamp method was used in Xenopus oocytes expressing both M1 receptors and associated G protein α subunits (Gqα). Propofol inhibited M1 receptor-mediated signal
transduction in a dose-dependent manner (IC 50 = 50 nM). Injection of guanosine 5â²-3- O -(thio)triphosphate (GTPγS) into oocytes overexpressing Gqα was used to investigate direct effects of propofol on G protein
coupled with the M1 receptor. Propofol did not affect activation of Gqα-mediated signal transduction with the intracellular
injection of GTPγS. We also studied effects of propofol on l -[ N -methyl- 3 H]scopolamine methyl chloride ([ 3 H]NMS) binding and M1 receptor-mediated signal transduction in mammalian cells expressing M1 receptor. Propofol inhibited
the M1 receptor-mediated signal transduction but did not inhibit binding of [ 3 H]NMS. Effects of propofol on Gs- and Gi/o-coupled signal transduction were investigated, using oocytes expressing the β2
adrenoceptor (β2 receptor)/cystic fibrosis transmembrane conductance regulator or oocytes expressing the M2 muscarinic acetylcholine
receptor (M2 receptor)/Kir3.1 (a member of G protein-gated inwardly rectifying K + channels). Neither β2 receptor-mediated nor M2 receptor-mediated signal transduction was inhibited by a relatively high concentration
of propofol (50 μM). These results indicate that propofol inhibits M1 receptor-mediated signal transduction by selectively
disrupting interaction between the receptor and associated G protein.</description><subject>Acetylcholine - metabolism</subject><subject>Anesthetics, Intravenous - pharmacology</subject><subject>Animals</subject><subject>Cystic Fibrosis Transmembrane Conductance Regulator - metabolism</subject><subject>DNA, Complementary - biosynthesis</subject><subject>DNA, Complementary - genetics</subject><subject>Electrophysiology</subject><subject>G Protein-Coupled Inwardly-Rectifying Potassium Channels</subject><subject>GTP-Binding Protein alpha Subunits, Gi-Go - physiology</subject><subject>GTP-Binding Protein alpha Subunits, Gs - physiology</subject><subject>Guanosine 5'-O-(3-Thiotriphosphate) - metabolism</subject><subject>Humans</subject><subject>N-Methylscopolamine - metabolism</subject><subject>Oocytes - metabolism</subject><subject>Parasympatholytics - metabolism</subject><subject>Patch-Clamp Techniques</subject><subject>Potassium Channels - drug effects</subject><subject>Potassium Channels - metabolism</subject><subject>Potassium Channels, Inwardly Rectifying</subject><subject>Propofol - pharmacology</subject><subject>Radioligand Assay</subject><subject>Rats</subject><subject>Receptor, Muscarinic M1 - drug effects</subject><subject>Receptor, Muscarinic M1 - metabolism</subject><subject>Receptor, Muscarinic M2 - drug effects</subject><subject>Receptor, Muscarinic M2 - metabolism</subject><subject>Signal Transduction - drug effects</subject><subject>Xenopus laevis</subject><issn>0022-3565</issn><issn>1521-0103</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpFUE1P3DAQtRCobJeeuVU-ccsy_kxzXCGgSKxa8XG2HGe8McrGwU5U8e-bZVfiNDNP772ZeYRcMlgxxuX124DjioFYgVJlyU_IginOCpihU7IA4LwQSqtz8j3nNwAmpRbfyDmTSkih-YK0z2FEGj1duzHEft-NLdJ77DHZjq57zPM8Bkf_pjhEHzsaerqZsrMp9DO8YfQJHQ5jTMUGm2BHbOhz2Paz-iXZPjfTp_MFOfO2y_jjWJfk9e725eZ38fjn_uFm_Vg4weVYIErBKl1DBapshIVay6qRmgPTvEKr0ZWqFB6sF9B4D6JideNlrW1Za_wlluTq4Duk-D7N15tdyA67zvYYp2xKJjXA_P2SXB-ILsWcE3ozpLCz6cMwMPtwzT7ceRDmEO6s-Hm0nuodNl_8Y5pfu9uwbf-FhGZobdpZF7u4_TACSiNMVSnxHw9EgzA</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Murasaki, Osamu</creator><creator>Kaibara, Muneshige</creator><creator>Nagase, Yoshihisa</creator><creator>Mitarai, Sayaka</creator><creator>Doi, Yoshiyuki</creator><creator>Sumikawa, Koji</creator><creator>Taniyama, Kohtaro</creator><general>American Society for Pharmacology and Experimental Therapeutics</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>20031201</creationdate><title>Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction</title><author>Murasaki, Osamu ; Kaibara, Muneshige ; Nagase, Yoshihisa ; Mitarai, Sayaka ; Doi, Yoshiyuki ; Sumikawa, Koji ; Taniyama, Kohtaro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acetylcholine - metabolism</topic><topic>Anesthetics, Intravenous - pharmacology</topic><topic>Animals</topic><topic>Cystic Fibrosis Transmembrane Conductance Regulator - metabolism</topic><topic>DNA, Complementary - biosynthesis</topic><topic>DNA, Complementary - genetics</topic><topic>Electrophysiology</topic><topic>G Protein-Coupled Inwardly-Rectifying Potassium Channels</topic><topic>GTP-Binding Protein alpha Subunits, Gi-Go - physiology</topic><topic>GTP-Binding Protein alpha Subunits, Gs - physiology</topic><topic>Guanosine 5'-O-(3-Thiotriphosphate) - metabolism</topic><topic>Humans</topic><topic>N-Methylscopolamine - metabolism</topic><topic>Oocytes - metabolism</topic><topic>Parasympatholytics - metabolism</topic><topic>Patch-Clamp Techniques</topic><topic>Potassium Channels - drug effects</topic><topic>Potassium Channels - metabolism</topic><topic>Potassium Channels, Inwardly Rectifying</topic><topic>Propofol - pharmacology</topic><topic>Radioligand Assay</topic><topic>Rats</topic><topic>Receptor, Muscarinic M1 - drug effects</topic><topic>Receptor, Muscarinic M1 - metabolism</topic><topic>Receptor, Muscarinic M2 - drug effects</topic><topic>Receptor, Muscarinic M2 - metabolism</topic><topic>Signal Transduction - drug effects</topic><topic>Xenopus laevis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murasaki, Osamu</creatorcontrib><creatorcontrib>Kaibara, Muneshige</creatorcontrib><creatorcontrib>Nagase, Yoshihisa</creatorcontrib><creatorcontrib>Mitarai, Sayaka</creatorcontrib><creatorcontrib>Doi, Yoshiyuki</creatorcontrib><creatorcontrib>Sumikawa, Koji</creatorcontrib><creatorcontrib>Taniyama, Kohtaro</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>The Journal of pharmacology and experimental therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murasaki, Osamu</au><au>Kaibara, Muneshige</au><au>Nagase, Yoshihisa</au><au>Mitarai, Sayaka</au><au>Doi, Yoshiyuki</au><au>Sumikawa, Koji</au><au>Taniyama, Kohtaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction</atitle><jtitle>The Journal of pharmacology and experimental therapeutics</jtitle><addtitle>J Pharmacol Exp Ther</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>307</volume><issue>3</issue><spage>995</spage><epage>1000</epage><pages>995-1000</pages><issn>0022-3565</issn><eissn>1521-0103</eissn><abstract>Although a potential target site of general anesthetics is primarily the GABA A receptor, a chloride ion channel, a previous study suggested that the intravenous general anesthetic propofol attenuates
the M1 muscarinic acetylcholine receptor (M1 receptor)-mediated signal transduction. In the present study, we examined the
target site of propofol in M1 receptor-mediated signal transduction. Two-electrode voltage-clamp method was used in Xenopus oocytes expressing both M1 receptors and associated G protein α subunits (Gqα). Propofol inhibited M1 receptor-mediated signal
transduction in a dose-dependent manner (IC 50 = 50 nM). Injection of guanosine 5â²-3- O -(thio)triphosphate (GTPγS) into oocytes overexpressing Gqα was used to investigate direct effects of propofol on G protein
coupled with the M1 receptor. Propofol did not affect activation of Gqα-mediated signal transduction with the intracellular
injection of GTPγS. We also studied effects of propofol on l -[ N -methyl- 3 H]scopolamine methyl chloride ([ 3 H]NMS) binding and M1 receptor-mediated signal transduction in mammalian cells expressing M1 receptor. Propofol inhibited
the M1 receptor-mediated signal transduction but did not inhibit binding of [ 3 H]NMS. Effects of propofol on Gs- and Gi/o-coupled signal transduction were investigated, using oocytes expressing the β2
adrenoceptor (β2 receptor)/cystic fibrosis transmembrane conductance regulator or oocytes expressing the M2 muscarinic acetylcholine
receptor (M2 receptor)/Kir3.1 (a member of G protein-gated inwardly rectifying K + channels). Neither β2 receptor-mediated nor M2 receptor-mediated signal transduction was inhibited by a relatively high concentration
of propofol (50 μM). These results indicate that propofol inhibits M1 receptor-mediated signal transduction by selectively
disrupting interaction between the receptor and associated G protein.</abstract><cop>United States</cop><pub>American Society for Pharmacology and Experimental Therapeutics</pub><pmid>14534362</pmid><doi>10.1124/jpet.103.055772</doi><tpages>6</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0022-3565 |
ispartof | The Journal of pharmacology and experimental therapeutics, 2003-12, Vol.307 (3), p.995-1000 |
issn | 0022-3565 1521-0103 |
language | eng |
recordid | cdi_proquest_miscellaneous_71460034 |
source | Freely Accessible Journals |
subjects | Acetylcholine - metabolism Anesthetics, Intravenous - pharmacology Animals Cystic Fibrosis Transmembrane Conductance Regulator - metabolism DNA, Complementary - biosynthesis DNA, Complementary - genetics Electrophysiology G Protein-Coupled Inwardly-Rectifying Potassium Channels GTP-Binding Protein alpha Subunits, Gi-Go - physiology GTP-Binding Protein alpha Subunits, Gs - physiology Guanosine 5'-O-(3-Thiotriphosphate) - metabolism Humans N-Methylscopolamine - metabolism Oocytes - metabolism Parasympatholytics - metabolism Patch-Clamp Techniques Potassium Channels - drug effects Potassium Channels - metabolism Potassium Channels, Inwardly Rectifying Propofol - pharmacology Radioligand Assay Rats Receptor, Muscarinic M1 - drug effects Receptor, Muscarinic M1 - metabolism Receptor, Muscarinic M2 - drug effects Receptor, Muscarinic M2 - metabolism Signal Transduction - drug effects Xenopus laevis |
title | Site of Action of the General Anesthetic Propofol in Muscarinic M1 Receptor-Mediated Signal Transduction |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T00%3A43%3A57IST&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=Site%20of%20Action%20of%20the%20General%20Anesthetic%20Propofol%20in%20Muscarinic%20M1%20Receptor-Mediated%20Signal%20Transduction&rft.jtitle=The%20Journal%20of%20pharmacology%20and%20experimental%20therapeutics&rft.au=Murasaki,%20Osamu&rft.date=2003-12-01&rft.volume=307&rft.issue=3&rft.spage=995&rft.epage=1000&rft.pages=995-1000&rft.issn=0022-3565&rft.eissn=1521-0103&rft_id=info:doi/10.1124/jpet.103.055772&rft_dat=%3Cproquest_cross%3E71460034%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c324t-ee43196b09057d3a0b649d46201629ea6ec7573f0af30dff0391bdf4b6a7b6e83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=71460034&rft_id=info:pmid/14534362&rfr_iscdi=true |