Loading…
Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis
Intracerebral infection of mice with mouse hepatitis virus, a member of the Coronaviridae family, reproducibly results in an acute encephalomyelitis that progresses to a chronic demyelinating disease. The ensuing neuropathology during the chronic stage of disease is primarily immune mediated and sim...
Saved in:
Published in: | The Journal of immunology (1950) 2004-04, Vol.172 (7), p.4018-4025 |
---|---|
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-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23 |
---|---|
cites | cdi_FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23 |
container_end_page | 4025 |
container_issue | 7 |
container_start_page | 4018 |
container_title | The Journal of immunology (1950) |
container_volume | 172 |
creator | Glass, William G Hickey, Michelle J Hardison, Jenny L Liu, Michael T Manning, Jerry E Lane, Thomas E |
description | Intracerebral infection of mice with mouse hepatitis virus, a member of the Coronaviridae family, reproducibly results in an acute encephalomyelitis that progresses to a chronic demyelinating disease. The ensuing neuropathology during the chronic stage of disease is primarily immune mediated and similar to that of the human demyelinating disease multiple sclerosis. Secretion of chemokines within the CNS signals the infiltration of leukocytes, which results in destruction of white matter and neurological impairment. The CC chemokine ligand (CCL)5 is localized in white matter tracts undergoing demyelination, suggesting that this chemokine participates in the pathogenesis of disease by attracting inflammatory cells into the CNS. In this study, we administer a mAb directed against CCL5 to mice with established mouse hepatitis virus-induced demyelination and impaired motor skills. Anti-CCL5 treatment decreased T cell accumulation within the CNS based, in part, on viral Ag specificity, indicating the ability to differentially target select populations of T cells. In addition, administration of anti-CCL5 improved neurological function and significantly (p < or = 0.005) reduced the severity of demyelination and macrophage accumulation within the CNS. These results demonstrate that the severity of CNS disease can be reduced through the use of a neutralizing mAb directed against CCL5 in a viral model of demyelination. |
doi_str_mv | 10.4049/jimmunol.172.7.4018 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71767360</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>18051687</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23</originalsourceid><addsrcrecordid>eNqFkcFu1DAQhi0EotvCEyAhn-CUxY43TnKsApRK2yK1havl2JPErWMvscNqX48nw9EughsnS6NvvvHMj9AbStYbsqk_PJpxnJ23a1rm6zLVaPUMrWhRkIxzwp-jFSF5ntGSl2foPIRHQggn-eYlOqMFYYlnK_Tr0kXTen3AD3LqIRrXY9_hOABuGtwMMPon4wBvTS-dxgW-gzDbGLBx-KMZjTNhAI23MD95dYiAr11nbJxkNN4lKPqjC1yqWXwL008_B3x_CBFGvCjvQM8qKW5hnrz1vVFJHEAGWGZI_N0sjTdeg11-dpOmm50FfK8sTD6Y8Aq96KQN8Pr0XqBvnz89NF-y7der6-Zym6kNqWNGa6bLnFFe1FQqKFhXVKzSBLq6lrxljFYkb3Wu26qsclZSzkF1NVSqbiutcnaB3h29u8n_mCFEMZqgwFrpIO0kyuXSjJP_gmlQQXlVJpAdQZUWCRN0YjeZUU4HQYlYMhZ_MhYpY1GKJePU9fakn9sR9N-eU6gJeH8EBtMPezOBCKO0NuFU7Pf7f1S_AS-htQ4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18051687</pqid></control><display><type>article</type><title>Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis</title><source>EZB Electronic Journals Library</source><creator>Glass, William G ; Hickey, Michelle J ; Hardison, Jenny L ; Liu, Michael T ; Manning, Jerry E ; Lane, Thomas E</creator><creatorcontrib>Glass, William G ; Hickey, Michelle J ; Hardison, Jenny L ; Liu, Michael T ; Manning, Jerry E ; Lane, Thomas E</creatorcontrib><description>Intracerebral infection of mice with mouse hepatitis virus, a member of the Coronaviridae family, reproducibly results in an acute encephalomyelitis that progresses to a chronic demyelinating disease. The ensuing neuropathology during the chronic stage of disease is primarily immune mediated and similar to that of the human demyelinating disease multiple sclerosis. Secretion of chemokines within the CNS signals the infiltration of leukocytes, which results in destruction of white matter and neurological impairment. The CC chemokine ligand (CCL)5 is localized in white matter tracts undergoing demyelination, suggesting that this chemokine participates in the pathogenesis of disease by attracting inflammatory cells into the CNS. In this study, we administer a mAb directed against CCL5 to mice with established mouse hepatitis virus-induced demyelination and impaired motor skills. Anti-CCL5 treatment decreased T cell accumulation within the CNS based, in part, on viral Ag specificity, indicating the ability to differentially target select populations of T cells. In addition, administration of anti-CCL5 improved neurological function and significantly (p < or = 0.005) reduced the severity of demyelination and macrophage accumulation within the CNS. These results demonstrate that the severity of CNS disease can be reduced through the use of a neutralizing mAb directed against CCL5 in a viral model of demyelination.</description><identifier>ISSN: 0022-1767</identifier><identifier>EISSN: 1550-6606</identifier><identifier>DOI: 10.4049/jimmunol.172.7.4018</identifier><identifier>PMID: 15034013</identifier><language>eng</language><publisher>United States: Am Assoc Immnol</publisher><subject>Animals ; Antibodies, Monoclonal - administration & dosage ; Antibodies, Monoclonal - therapeutic use ; CCL5 protein ; Cell Migration Inhibition ; Central Nervous System - immunology ; Central Nervous System - pathology ; Central Nervous System - virology ; Chemokine CCL5 - antagonists & inhibitors ; Chemokine CCL5 - biosynthesis ; Chemokine CCL5 - genetics ; Chemokine CCL5 - immunology ; Chemokines, CC - immunology ; Chemokines, CC - metabolism ; Chemotaxis, Leukocyte - immunology ; Coronavirus Infections - immunology ; Coronavirus Infections - pathology ; Coronavirus Infections - therapy ; Demyelinating Diseases - immunology ; Demyelinating Diseases - pathology ; Demyelinating Diseases - prevention & control ; Disease Models, Animal ; Encephalomyelitis - immunology ; Encephalomyelitis - pathology ; Encephalomyelitis - therapy ; Injections, Intraperitoneal ; leukocytes ; Ligands ; Macrophage Activation - immunology ; Macrophages - immunology ; Macrophages - pathology ; Mice ; Mice, Inbred C57BL ; Multiple Sclerosis - immunology ; Multiple Sclerosis - pathology ; Multiple Sclerosis - prevention & control ; Murine hepatitis virus ; Murine hepatitis virus - immunology ; RNA, Messenger - antagonists & inhibitors ; RNA, Messenger - biosynthesis ; Severity of Illness Index ; T-Lymphocyte Subsets - immunology ; T-Lymphocyte Subsets - pathology ; T-Lymphocyte Subsets - virology</subject><ispartof>The Journal of immunology (1950), 2004-04, Vol.172 (7), p.4018-4025</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23</citedby><cites>FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23</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/15034013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glass, William G</creatorcontrib><creatorcontrib>Hickey, Michelle J</creatorcontrib><creatorcontrib>Hardison, Jenny L</creatorcontrib><creatorcontrib>Liu, Michael T</creatorcontrib><creatorcontrib>Manning, Jerry E</creatorcontrib><creatorcontrib>Lane, Thomas E</creatorcontrib><title>Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis</title><title>The Journal of immunology (1950)</title><addtitle>J Immunol</addtitle><description>Intracerebral infection of mice with mouse hepatitis virus, a member of the Coronaviridae family, reproducibly results in an acute encephalomyelitis that progresses to a chronic demyelinating disease. The ensuing neuropathology during the chronic stage of disease is primarily immune mediated and similar to that of the human demyelinating disease multiple sclerosis. Secretion of chemokines within the CNS signals the infiltration of leukocytes, which results in destruction of white matter and neurological impairment. The CC chemokine ligand (CCL)5 is localized in white matter tracts undergoing demyelination, suggesting that this chemokine participates in the pathogenesis of disease by attracting inflammatory cells into the CNS. In this study, we administer a mAb directed against CCL5 to mice with established mouse hepatitis virus-induced demyelination and impaired motor skills. Anti-CCL5 treatment decreased T cell accumulation within the CNS based, in part, on viral Ag specificity, indicating the ability to differentially target select populations of T cells. In addition, administration of anti-CCL5 improved neurological function and significantly (p < or = 0.005) reduced the severity of demyelination and macrophage accumulation within the CNS. These results demonstrate that the severity of CNS disease can be reduced through the use of a neutralizing mAb directed against CCL5 in a viral model of demyelination.</description><subject>Animals</subject><subject>Antibodies, Monoclonal - administration & dosage</subject><subject>Antibodies, Monoclonal - therapeutic use</subject><subject>CCL5 protein</subject><subject>Cell Migration Inhibition</subject><subject>Central Nervous System - immunology</subject><subject>Central Nervous System - pathology</subject><subject>Central Nervous System - virology</subject><subject>Chemokine CCL5 - antagonists & inhibitors</subject><subject>Chemokine CCL5 - biosynthesis</subject><subject>Chemokine CCL5 - genetics</subject><subject>Chemokine CCL5 - immunology</subject><subject>Chemokines, CC - immunology</subject><subject>Chemokines, CC - metabolism</subject><subject>Chemotaxis, Leukocyte - immunology</subject><subject>Coronavirus Infections - immunology</subject><subject>Coronavirus Infections - pathology</subject><subject>Coronavirus Infections - therapy</subject><subject>Demyelinating Diseases - immunology</subject><subject>Demyelinating Diseases - pathology</subject><subject>Demyelinating Diseases - prevention & control</subject><subject>Disease Models, Animal</subject><subject>Encephalomyelitis - immunology</subject><subject>Encephalomyelitis - pathology</subject><subject>Encephalomyelitis - therapy</subject><subject>Injections, Intraperitoneal</subject><subject>leukocytes</subject><subject>Ligands</subject><subject>Macrophage Activation - immunology</subject><subject>Macrophages - immunology</subject><subject>Macrophages - pathology</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Multiple Sclerosis - immunology</subject><subject>Multiple Sclerosis - pathology</subject><subject>Multiple Sclerosis - prevention & control</subject><subject>Murine hepatitis virus</subject><subject>Murine hepatitis virus - immunology</subject><subject>RNA, Messenger - antagonists & inhibitors</subject><subject>RNA, Messenger - biosynthesis</subject><subject>Severity of Illness Index</subject><subject>T-Lymphocyte Subsets - immunology</subject><subject>T-Lymphocyte Subsets - pathology</subject><subject>T-Lymphocyte Subsets - virology</subject><issn>0022-1767</issn><issn>1550-6606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EotvCEyAhn-CUxY43TnKsApRK2yK1havl2JPErWMvscNqX48nw9EughsnS6NvvvHMj9AbStYbsqk_PJpxnJ23a1rm6zLVaPUMrWhRkIxzwp-jFSF5ntGSl2foPIRHQggn-eYlOqMFYYlnK_Tr0kXTen3AD3LqIRrXY9_hOABuGtwMMPon4wBvTS-dxgW-gzDbGLBx-KMZjTNhAI23MD95dYiAr11nbJxkNN4lKPqjC1yqWXwL008_B3x_CBFGvCjvQM8qKW5hnrz1vVFJHEAGWGZI_N0sjTdeg11-dpOmm50FfK8sTD6Y8Aq96KQN8Pr0XqBvnz89NF-y7der6-Zym6kNqWNGa6bLnFFe1FQqKFhXVKzSBLq6lrxljFYkb3Wu26qsclZSzkF1NVSqbiutcnaB3h29u8n_mCFEMZqgwFrpIO0kyuXSjJP_gmlQQXlVJpAdQZUWCRN0YjeZUU4HQYlYMhZ_MhYpY1GKJePU9fakn9sR9N-eU6gJeH8EBtMPezOBCKO0NuFU7Pf7f1S_AS-htQ4</recordid><startdate>20040401</startdate><enddate>20040401</enddate><creator>Glass, William G</creator><creator>Hickey, Michelle J</creator><creator>Hardison, Jenny L</creator><creator>Liu, Michael T</creator><creator>Manning, Jerry E</creator><creator>Lane, Thomas E</creator><general>Am Assoc Immnol</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>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20040401</creationdate><title>Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis</title><author>Glass, William G ; Hickey, Michelle J ; Hardison, Jenny L ; Liu, Michael T ; Manning, Jerry E ; Lane, Thomas E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Animals</topic><topic>Antibodies, Monoclonal - administration & dosage</topic><topic>Antibodies, Monoclonal - therapeutic use</topic><topic>CCL5 protein</topic><topic>Cell Migration Inhibition</topic><topic>Central Nervous System - immunology</topic><topic>Central Nervous System - pathology</topic><topic>Central Nervous System - virology</topic><topic>Chemokine CCL5 - antagonists & inhibitors</topic><topic>Chemokine CCL5 - biosynthesis</topic><topic>Chemokine CCL5 - genetics</topic><topic>Chemokine CCL5 - immunology</topic><topic>Chemokines, CC - immunology</topic><topic>Chemokines, CC - metabolism</topic><topic>Chemotaxis, Leukocyte - immunology</topic><topic>Coronavirus Infections - immunology</topic><topic>Coronavirus Infections - pathology</topic><topic>Coronavirus Infections - therapy</topic><topic>Demyelinating Diseases - immunology</topic><topic>Demyelinating Diseases - pathology</topic><topic>Demyelinating Diseases - prevention & control</topic><topic>Disease Models, Animal</topic><topic>Encephalomyelitis - immunology</topic><topic>Encephalomyelitis - pathology</topic><topic>Encephalomyelitis - therapy</topic><topic>Injections, Intraperitoneal</topic><topic>leukocytes</topic><topic>Ligands</topic><topic>Macrophage Activation - immunology</topic><topic>Macrophages - immunology</topic><topic>Macrophages - pathology</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Multiple Sclerosis - immunology</topic><topic>Multiple Sclerosis - pathology</topic><topic>Multiple Sclerosis - prevention & control</topic><topic>Murine hepatitis virus</topic><topic>Murine hepatitis virus - immunology</topic><topic>RNA, Messenger - antagonists & inhibitors</topic><topic>RNA, Messenger - biosynthesis</topic><topic>Severity of Illness Index</topic><topic>T-Lymphocyte Subsets - immunology</topic><topic>T-Lymphocyte Subsets - pathology</topic><topic>T-Lymphocyte Subsets - virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glass, William G</creatorcontrib><creatorcontrib>Hickey, Michelle J</creatorcontrib><creatorcontrib>Hardison, Jenny L</creatorcontrib><creatorcontrib>Liu, Michael T</creatorcontrib><creatorcontrib>Manning, Jerry E</creatorcontrib><creatorcontrib>Lane, Thomas E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of immunology (1950)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glass, William G</au><au>Hickey, Michelle J</au><au>Hardison, Jenny L</au><au>Liu, Michael T</au><au>Manning, Jerry E</au><au>Lane, Thomas E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis</atitle><jtitle>The Journal of immunology (1950)</jtitle><addtitle>J Immunol</addtitle><date>2004-04-01</date><risdate>2004</risdate><volume>172</volume><issue>7</issue><spage>4018</spage><epage>4025</epage><pages>4018-4025</pages><issn>0022-1767</issn><eissn>1550-6606</eissn><abstract>Intracerebral infection of mice with mouse hepatitis virus, a member of the Coronaviridae family, reproducibly results in an acute encephalomyelitis that progresses to a chronic demyelinating disease. The ensuing neuropathology during the chronic stage of disease is primarily immune mediated and similar to that of the human demyelinating disease multiple sclerosis. Secretion of chemokines within the CNS signals the infiltration of leukocytes, which results in destruction of white matter and neurological impairment. The CC chemokine ligand (CCL)5 is localized in white matter tracts undergoing demyelination, suggesting that this chemokine participates in the pathogenesis of disease by attracting inflammatory cells into the CNS. In this study, we administer a mAb directed against CCL5 to mice with established mouse hepatitis virus-induced demyelination and impaired motor skills. Anti-CCL5 treatment decreased T cell accumulation within the CNS based, in part, on viral Ag specificity, indicating the ability to differentially target select populations of T cells. In addition, administration of anti-CCL5 improved neurological function and significantly (p < or = 0.005) reduced the severity of demyelination and macrophage accumulation within the CNS. These results demonstrate that the severity of CNS disease can be reduced through the use of a neutralizing mAb directed against CCL5 in a viral model of demyelination.</abstract><cop>United States</cop><pub>Am Assoc Immnol</pub><pmid>15034013</pmid><doi>10.4049/jimmunol.172.7.4018</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0022-1767 |
ispartof | The Journal of immunology (1950), 2004-04, Vol.172 (7), p.4018-4025 |
issn | 0022-1767 1550-6606 |
language | eng |
recordid | cdi_proquest_miscellaneous_71767360 |
source | EZB Electronic Journals Library |
subjects | Animals Antibodies, Monoclonal - administration & dosage Antibodies, Monoclonal - therapeutic use CCL5 protein Cell Migration Inhibition Central Nervous System - immunology Central Nervous System - pathology Central Nervous System - virology Chemokine CCL5 - antagonists & inhibitors Chemokine CCL5 - biosynthesis Chemokine CCL5 - genetics Chemokine CCL5 - immunology Chemokines, CC - immunology Chemokines, CC - metabolism Chemotaxis, Leukocyte - immunology Coronavirus Infections - immunology Coronavirus Infections - pathology Coronavirus Infections - therapy Demyelinating Diseases - immunology Demyelinating Diseases - pathology Demyelinating Diseases - prevention & control Disease Models, Animal Encephalomyelitis - immunology Encephalomyelitis - pathology Encephalomyelitis - therapy Injections, Intraperitoneal leukocytes Ligands Macrophage Activation - immunology Macrophages - immunology Macrophages - pathology Mice Mice, Inbred C57BL Multiple Sclerosis - immunology Multiple Sclerosis - pathology Multiple Sclerosis - prevention & control Murine hepatitis virus Murine hepatitis virus - immunology RNA, Messenger - antagonists & inhibitors RNA, Messenger - biosynthesis Severity of Illness Index T-Lymphocyte Subsets - immunology T-Lymphocyte Subsets - pathology T-Lymphocyte Subsets - virology |
title | Antibody Targeting of the CC Chemokine Ligand 5 Results in Diminished Leukocyte Infiltration into the Central Nervous System and Reduced Neurologic Disease in a Viral Model of Multiple Sclerosis |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T17%3A47%3A01IST&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=Antibody%20Targeting%20of%20the%20CC%20Chemokine%20Ligand%205%20Results%20in%20Diminished%20Leukocyte%20Infiltration%20into%20the%20Central%20Nervous%20System%20and%20Reduced%20Neurologic%20Disease%20in%20a%20Viral%20Model%20of%20Multiple%20Sclerosis&rft.jtitle=The%20Journal%20of%20immunology%20(1950)&rft.au=Glass,%20William%20G&rft.date=2004-04-01&rft.volume=172&rft.issue=7&rft.spage=4018&rft.epage=4025&rft.pages=4018-4025&rft.issn=0022-1767&rft.eissn=1550-6606&rft_id=info:doi/10.4049/jimmunol.172.7.4018&rft_dat=%3Cproquest_cross%3E18051687%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c409t-193d72316591ace53f5838d0ef99a6b331802bd2db878237166ecf9e8c9b8dc23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=18051687&rft_id=info:pmid/15034013&rfr_iscdi=true |