Loading…

Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats

Previous findings have shown that hypotensive doses of losartan prevent the excess of apoptosis present in the hypertrophied left ventricle of adult spontaneously hypertensive rats (SHR). This study was designed to determine whether angiotensin II facilitates apoptosis in cardiomyocytes of adult SHR...

Full description

Saved in:
Bibliographic Details
Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2000-12, Vol.36 (6), p.1065-1071
Main Authors: Ravassa, Susana, Fortuño, María Antonia, González, Arantxa, López, Begoña, Zalba, Guillermo, Fortuño, Ana, Díez, Javier
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-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3
cites cdi_FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3
container_end_page 1071
container_issue 6
container_start_page 1065
container_title Hypertension (Dallas, Tex. 1979)
container_volume 36
creator Ravassa, Susana
Fortuño, María Antonia
González, Arantxa
López, Begoña
Zalba, Guillermo
Fortuño, Ana
Díez, Javier
description Previous findings have shown that hypotensive doses of losartan prevent the excess of apoptosis present in the hypertrophied left ventricle of adult spontaneously hypertensive rats (SHR). This study was designed to determine whether angiotensin II facilitates apoptosis in cardiomyocytes of adult SHR. Primary cultures of ventricular cardiomyocytes from 30-week-old normotensive Wistar-Kyoto rats (WKY) and SHR with left ventricular hypertrophy were exposed to 10 mol/L angiotensin II for 24 hours. Apoptotic cells were assessed by terminal deoxynucleotidyl transferase assay and confirmed by Annexin V detection. The expression of Bax-α, Bcl-2, p53 , and caspase-3 proteins was assessed by Western blot assays. The expression of BAX gene was assessed by Northern blot. Angiotensin II increased (P
doi_str_mv 10.1161/01.hyp.36.6.1065
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72475173</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72475173</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3</originalsourceid><addsrcrecordid>eNpdkc-O0zAQxiMEYsvCnROKQOKW4vG_NMeqAlppEYgFBCfLcabUS2pnbYdVbrwAJ96QJ8HdViAxkmcs-fd9mvEUxWMgcwAJLwjMd9MwZ3Iu50CkuFPMQFBecSHZ3WJGoOFVA_D5rHgQ4xUhwDmv7xdnAAc5lbPi5xs0O-1s3MfSb8uNMwF1xK68HKPBIdnW9jZNZfLl0n21PqGL1pWbze8fvzauG01Gl4Mfko82lvnlE7oUrBl7HcqVDp31-8mbKeGt_-XgXdIO_Rj7qVxPA4Zbx-9YvtcpPizubXUf8dGpnhcfX738sFpXF29fb1bLi8oILuqqZdBS0mjeaKqFJlBLyamWTCxa0TDNCOhGYI2w5YhaGkPYosOuo5y1ujPsvHh-9B2Cvx4xJrW3edy-P7amasprATXL4NP_wCs_Bpd7U5QIRgjliwyRI2SCjzHgVg3B7nWYFBB1-GhFQK2_vFNMKqkOe8qSJyffsd1j909wWkwGnp0AHY3ut0E7Y-NfbiHqRtSZ4kfqxvcJQ_zWjzcY1A51n3aK5OBULiqaL3BIVT60Zn8Ae_SuTA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205300248</pqid></control><display><type>article</type><title>Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats</title><source>Free E-Journal (出版社公開部分のみ)</source><creator>Ravassa, Susana ; Fortuño, María Antonia ; González, Arantxa ; López, Begoña ; Zalba, Guillermo ; Fortuño, Ana ; Díez, Javier</creator><creatorcontrib>Ravassa, Susana ; Fortuño, María Antonia ; González, Arantxa ; López, Begoña ; Zalba, Guillermo ; Fortuño, Ana ; Díez, Javier</creatorcontrib><description>Previous findings have shown that hypotensive doses of losartan prevent the excess of apoptosis present in the hypertrophied left ventricle of adult spontaneously hypertensive rats (SHR). This study was designed to determine whether angiotensin II facilitates apoptosis in cardiomyocytes of adult SHR. Primary cultures of ventricular cardiomyocytes from 30-week-old normotensive Wistar-Kyoto rats (WKY) and SHR with left ventricular hypertrophy were exposed to 10 mol/L angiotensin II for 24 hours. Apoptotic cells were assessed by terminal deoxynucleotidyl transferase assay and confirmed by Annexin V detection. The expression of Bax-α, Bcl-2, p53 , and caspase-3 proteins was assessed by Western blot assays. The expression of BAX gene was assessed by Northern blot. Angiotensin II increased (P &lt;0.01) cardiomyocyte apoptosis, and this effect was higher (P &lt;0.001) in SHR cells than in WKY cells. Whereas losartan (10 mol/L) blocked the apoptotic effect of the octapeptide in cells from the two strains of rats, PD123319 (10 mol/L) inhibited angiotensin II–mediated apoptosis only in SHR cells. Angiotensin II stimulated (P &lt;0.01) Bax-α protein, and this effect was higher (P &lt;0.01) in SHR cells than in WKY cells. Angiotensin II did not modify Bcl-2, p53, and BAX mRNA in cells from the two strains of rats. Angiotensin II induced a similar increase (P &lt;0.05) in the ratio caspase-3/procaspase-3 (an index of caspase-3 activation) in cardiomyocytes from the two strains of rats. The present in vitro results indicate that SHR cardiomyocytes exhibit enhanced susceptibility to angiotensin II–induced apoptosis. Ligand binding to angiotensin II type 1 and type 2 receptors leading to changes in posttranscriptional processing of Bax-α and accumulation of this proapoptotic protein may be involved in the abnormal response of SHR cardiomyocytes. These data support a role for angiotensin II in apoptosis observed in the left ventricle of these rats.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/01.hyp.36.6.1065</identifier><identifier>PMID: 11116126</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Philadelphia, PA: American Heart Association, Inc</publisher><subject>Angiotensin II - pharmacology ; Animals ; Apoptosis ; Arterial hypertension. Arterial hypotension ; bcl-2-Associated X Protein ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology. Vascular system ; Caspase 3 ; Caspases - metabolism ; Cells, Cultured ; Enzyme Activation ; Experimental diseases ; Heart - drug effects ; Heart Ventricles - drug effects ; Heart Ventricles - pathology ; Hypertension - complications ; Hypertension - pathology ; Hypertrophy, Left Ventricular - etiology ; Hypertrophy, Left Ventricular - pathology ; Male ; Medical sciences ; Myocardium - pathology ; Proto-Oncogene Proteins - genetics ; Proto-Oncogene Proteins - metabolism ; Proto-Oncogene Proteins c-bcl-2 - metabolism ; Rats ; Rats, Inbred SHR ; Rats, Inbred WKY ; RNA, Messenger - metabolism ; Tumor Suppressor Protein p53 - metabolism</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2000-12, Vol.36 (6), p.1065-1071</ispartof><rights>2000 American Heart Association, Inc.</rights><rights>2001 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Dec 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3</citedby><cites>FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=857957$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11116126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ravassa, Susana</creatorcontrib><creatorcontrib>Fortuño, María Antonia</creatorcontrib><creatorcontrib>González, Arantxa</creatorcontrib><creatorcontrib>López, Begoña</creatorcontrib><creatorcontrib>Zalba, Guillermo</creatorcontrib><creatorcontrib>Fortuño, Ana</creatorcontrib><creatorcontrib>Díez, Javier</creatorcontrib><title>Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>Previous findings have shown that hypotensive doses of losartan prevent the excess of apoptosis present in the hypertrophied left ventricle of adult spontaneously hypertensive rats (SHR). This study was designed to determine whether angiotensin II facilitates apoptosis in cardiomyocytes of adult SHR. Primary cultures of ventricular cardiomyocytes from 30-week-old normotensive Wistar-Kyoto rats (WKY) and SHR with left ventricular hypertrophy were exposed to 10 mol/L angiotensin II for 24 hours. Apoptotic cells were assessed by terminal deoxynucleotidyl transferase assay and confirmed by Annexin V detection. The expression of Bax-α, Bcl-2, p53 , and caspase-3 proteins was assessed by Western blot assays. The expression of BAX gene was assessed by Northern blot. Angiotensin II increased (P &lt;0.01) cardiomyocyte apoptosis, and this effect was higher (P &lt;0.001) in SHR cells than in WKY cells. Whereas losartan (10 mol/L) blocked the apoptotic effect of the octapeptide in cells from the two strains of rats, PD123319 (10 mol/L) inhibited angiotensin II–mediated apoptosis only in SHR cells. Angiotensin II stimulated (P &lt;0.01) Bax-α protein, and this effect was higher (P &lt;0.01) in SHR cells than in WKY cells. Angiotensin II did not modify Bcl-2, p53, and BAX mRNA in cells from the two strains of rats. Angiotensin II induced a similar increase (P &lt;0.05) in the ratio caspase-3/procaspase-3 (an index of caspase-3 activation) in cardiomyocytes from the two strains of rats. The present in vitro results indicate that SHR cardiomyocytes exhibit enhanced susceptibility to angiotensin II–induced apoptosis. Ligand binding to angiotensin II type 1 and type 2 receptors leading to changes in posttranscriptional processing of Bax-α and accumulation of this proapoptotic protein may be involved in the abnormal response of SHR cardiomyocytes. These data support a role for angiotensin II in apoptosis observed in the left ventricle of these rats.</description><subject>Angiotensin II - pharmacology</subject><subject>Animals</subject><subject>Apoptosis</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>bcl-2-Associated X Protein</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Cardiology. Vascular system</subject><subject>Caspase 3</subject><subject>Caspases - metabolism</subject><subject>Cells, Cultured</subject><subject>Enzyme Activation</subject><subject>Experimental diseases</subject><subject>Heart - drug effects</subject><subject>Heart Ventricles - drug effects</subject><subject>Heart Ventricles - pathology</subject><subject>Hypertension - complications</subject><subject>Hypertension - pathology</subject><subject>Hypertrophy, Left Ventricular - etiology</subject><subject>Hypertrophy, Left Ventricular - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardium - pathology</subject><subject>Proto-Oncogene Proteins - genetics</subject><subject>Proto-Oncogene Proteins - metabolism</subject><subject>Proto-Oncogene Proteins c-bcl-2 - metabolism</subject><subject>Rats</subject><subject>Rats, Inbred SHR</subject><subject>Rats, Inbred WKY</subject><subject>RNA, Messenger - metabolism</subject><subject>Tumor Suppressor Protein p53 - metabolism</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNpdkc-O0zAQxiMEYsvCnROKQOKW4vG_NMeqAlppEYgFBCfLcabUS2pnbYdVbrwAJ96QJ8HdViAxkmcs-fd9mvEUxWMgcwAJLwjMd9MwZ3Iu50CkuFPMQFBecSHZ3WJGoOFVA_D5rHgQ4xUhwDmv7xdnAAc5lbPi5xs0O-1s3MfSb8uNMwF1xK68HKPBIdnW9jZNZfLl0n21PqGL1pWbze8fvzauG01Gl4Mfko82lvnlE7oUrBl7HcqVDp31-8mbKeGt_-XgXdIO_Rj7qVxPA4Zbx-9YvtcpPizubXUf8dGpnhcfX738sFpXF29fb1bLi8oILuqqZdBS0mjeaKqFJlBLyamWTCxa0TDNCOhGYI2w5YhaGkPYosOuo5y1ujPsvHh-9B2Cvx4xJrW3edy-P7amasprATXL4NP_wCs_Bpd7U5QIRgjliwyRI2SCjzHgVg3B7nWYFBB1-GhFQK2_vFNMKqkOe8qSJyffsd1j909wWkwGnp0AHY3ut0E7Y-NfbiHqRtSZ4kfqxvcJQ_zWjzcY1A51n3aK5OBULiqaL3BIVT60Zn8Ae_SuTA</recordid><startdate>200012</startdate><enddate>200012</enddate><creator>Ravassa, Susana</creator><creator>Fortuño, María Antonia</creator><creator>González, Arantxa</creator><creator>López, Begoña</creator><creator>Zalba, Guillermo</creator><creator>Fortuño, Ana</creator><creator>Díez, Javier</creator><general>American Heart Association, Inc</general><general>Lippincott</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>K9.</scope><scope>7X8</scope></search><sort><creationdate>200012</creationdate><title>Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats</title><author>Ravassa, Susana ; Fortuño, María Antonia ; González, Arantxa ; López, Begoña ; Zalba, Guillermo ; Fortuño, Ana ; Díez, Javier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Angiotensin II - pharmacology</topic><topic>Animals</topic><topic>Apoptosis</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>bcl-2-Associated X Protein</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Caspase 3</topic><topic>Caspases - metabolism</topic><topic>Cells, Cultured</topic><topic>Enzyme Activation</topic><topic>Experimental diseases</topic><topic>Heart - drug effects</topic><topic>Heart Ventricles - drug effects</topic><topic>Heart Ventricles - pathology</topic><topic>Hypertension - complications</topic><topic>Hypertension - pathology</topic><topic>Hypertrophy, Left Ventricular - etiology</topic><topic>Hypertrophy, Left Ventricular - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardium - pathology</topic><topic>Proto-Oncogene Proteins - genetics</topic><topic>Proto-Oncogene Proteins - metabolism</topic><topic>Proto-Oncogene Proteins c-bcl-2 - metabolism</topic><topic>Rats</topic><topic>Rats, Inbred SHR</topic><topic>Rats, Inbred WKY</topic><topic>RNA, Messenger - metabolism</topic><topic>Tumor Suppressor Protein p53 - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ravassa, Susana</creatorcontrib><creatorcontrib>Fortuño, María Antonia</creatorcontrib><creatorcontrib>González, Arantxa</creatorcontrib><creatorcontrib>López, Begoña</creatorcontrib><creatorcontrib>Zalba, Guillermo</creatorcontrib><creatorcontrib>Fortuño, Ana</creatorcontrib><creatorcontrib>Díez, Javier</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>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ravassa, Susana</au><au>Fortuño, María Antonia</au><au>González, Arantxa</au><au>López, Begoña</au><au>Zalba, Guillermo</au><au>Fortuño, Ana</au><au>Díez, Javier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2000-12</date><risdate>2000</risdate><volume>36</volume><issue>6</issue><spage>1065</spage><epage>1071</epage><pages>1065-1071</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>Previous findings have shown that hypotensive doses of losartan prevent the excess of apoptosis present in the hypertrophied left ventricle of adult spontaneously hypertensive rats (SHR). This study was designed to determine whether angiotensin II facilitates apoptosis in cardiomyocytes of adult SHR. Primary cultures of ventricular cardiomyocytes from 30-week-old normotensive Wistar-Kyoto rats (WKY) and SHR with left ventricular hypertrophy were exposed to 10 mol/L angiotensin II for 24 hours. Apoptotic cells were assessed by terminal deoxynucleotidyl transferase assay and confirmed by Annexin V detection. The expression of Bax-α, Bcl-2, p53 , and caspase-3 proteins was assessed by Western blot assays. The expression of BAX gene was assessed by Northern blot. Angiotensin II increased (P &lt;0.01) cardiomyocyte apoptosis, and this effect was higher (P &lt;0.001) in SHR cells than in WKY cells. Whereas losartan (10 mol/L) blocked the apoptotic effect of the octapeptide in cells from the two strains of rats, PD123319 (10 mol/L) inhibited angiotensin II–mediated apoptosis only in SHR cells. Angiotensin II stimulated (P &lt;0.01) Bax-α protein, and this effect was higher (P &lt;0.01) in SHR cells than in WKY cells. Angiotensin II did not modify Bcl-2, p53, and BAX mRNA in cells from the two strains of rats. Angiotensin II induced a similar increase (P &lt;0.05) in the ratio caspase-3/procaspase-3 (an index of caspase-3 activation) in cardiomyocytes from the two strains of rats. The present in vitro results indicate that SHR cardiomyocytes exhibit enhanced susceptibility to angiotensin II–induced apoptosis. Ligand binding to angiotensin II type 1 and type 2 receptors leading to changes in posttranscriptional processing of Bax-α and accumulation of this proapoptotic protein may be involved in the abnormal response of SHR cardiomyocytes. These data support a role for angiotensin II in apoptosis observed in the left ventricle of these rats.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>11116126</pmid><doi>10.1161/01.hyp.36.6.1065</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0194-911X
ispartof Hypertension (Dallas, Tex. 1979), 2000-12, Vol.36 (6), p.1065-1071
issn 0194-911X
1524-4563
language eng
recordid cdi_proquest_miscellaneous_72475173
source Free E-Journal (出版社公開部分のみ)
subjects Angiotensin II - pharmacology
Animals
Apoptosis
Arterial hypertension. Arterial hypotension
bcl-2-Associated X Protein
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Caspase 3
Caspases - metabolism
Cells, Cultured
Enzyme Activation
Experimental diseases
Heart - drug effects
Heart Ventricles - drug effects
Heart Ventricles - pathology
Hypertension - complications
Hypertension - pathology
Hypertrophy, Left Ventricular - etiology
Hypertrophy, Left Ventricular - pathology
Male
Medical sciences
Myocardium - pathology
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins - metabolism
Proto-Oncogene Proteins c-bcl-2 - metabolism
Rats
Rats, Inbred SHR
Rats, Inbred WKY
RNA, Messenger - metabolism
Tumor Suppressor Protein p53 - metabolism
title Mechanisms of Increased Susceptibility to Angiotensin II–Induced Apoptosis in Ventricular Cardiomyocytes of Spontaneously Hypertensive Rats
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T00%3A58%3A52IST&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=Mechanisms%20of%20Increased%20Susceptibility%20to%20Angiotensin%20II%E2%80%93Induced%20Apoptosis%20in%20Ventricular%20Cardiomyocytes%20of%20Spontaneously%20Hypertensive%20Rats&rft.jtitle=Hypertension%20(Dallas,%20Tex.%201979)&rft.au=Ravassa,%20Susana&rft.date=2000-12&rft.volume=36&rft.issue=6&rft.spage=1065&rft.epage=1071&rft.pages=1065-1071&rft.issn=0194-911X&rft.eissn=1524-4563&rft.coden=HPRTDN&rft_id=info:doi/10.1161/01.hyp.36.6.1065&rft_dat=%3Cproquest_cross%3E72475173%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c5457-b31b209a49a2a5a0176642a6358b593a301a95e7e1f4eea6cc038dedd243badc3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=205300248&rft_id=info:pmid/11116126&rfr_iscdi=true