Loading…

Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats

The aim of this study was to investigate insulin signalling pathways directly in vivo in skeletal muscle and thoracic aorta from obese middle-aged (12-month-old) rats, which have insulin resistance but not cardiovascular disease, and from spontaneously hypertensive rats (SHR), an experimental model...

Full description

Saved in:
Bibliographic Details
Published in:Diabetologia 2003-04, Vol.46 (4), p.479-491
Main Authors: ZECCHIN, H. G, BEZERRA, R. M. N, CARVALHEIRA, J. B. C, CARVALHO-FILHO, M. A, METZE, K, FRANCHINI, K. G, SAAD, M. J. A
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-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3
cites cdi_FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3
container_end_page 491
container_issue 4
container_start_page 479
container_title Diabetologia
container_volume 46
creator ZECCHIN, H. G
BEZERRA, R. M. N
CARVALHEIRA, J. B. C
CARVALHO-FILHO, M. A
METZE, K
FRANCHINI, K. G
SAAD, M. J. A
description The aim of this study was to investigate insulin signalling pathways directly in vivo in skeletal muscle and thoracic aorta from obese middle-aged (12-month-old) rats, which have insulin resistance but not cardiovascular disease, and from spontaneously hypertensive rats (SHR), an experimental model of insulin resistance and cardiovascular disease. We have used in vivo insulin infusion, followed by tissue extraction, immunoprecipitation and immunoblotting. Obese middle-aged rats and the SHR showed marked insulin resistance, which parallels the reduced effects of this hormone in the insulin signalling cascade in muscle. In aortae from obese middle-aged rats, the PI 3-kinase/Akt pathway is preserved, leading to a normal activation of endothelial nitric oxide synthase. In SHR this pathway is severely blunted, with reductions in eNOS protein concentration and activation. Both animals, however, showed higher concentrations and higher tyrosine phosphorylation of mitogen-activated protein (MAP) kinase isoforms in aortae. Alterations in the IRS/PI 3-K/Akt pathway in muscle of 12-month-old rats and SHR could be involved in the insulin resistance of these animals. The preservation of this pathway in aorta of 12-month-old rats, apart from increases in MAP kinase protein concentration and activation, could be a factor that contributes to explaining the absence of cardiovascular disease in this animal model. However, in aortae of SHR, the reduced insulin signalling through IRS/PI 3-kinase/Akt/eNOS pathway could contribute to the endothelial dysfunction of this animal.
doi_str_mv 10.1007/s00125-003-1073-0
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73288387</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>73288387</sourcerecordid><originalsourceid>FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3</originalsourceid><addsrcrecordid>eNpdkc1q3TAQhUVpaG7SPkA3RRSanVP92bK7K6E_gUA2LXQnZHl0r4NsuRq74T5LXrZyfSHQlcSZbw7DOYS85eyaM6Y_ImNclAVjsuBMy4K9IDuupCiYEvVLslvHBa-rX-fkAvGBZbBU1StyzkWlm7rSO_J0O-IS-pFivx9tyL89nex8eLRHpFm2Mc2W2rGjw4IuAPUpDnR-jFnrBxvoEDsISKPP9OaUAHuc7ejgE50PQGMLCHTouy5AYffQ_bNbJzjFMYMQFwxHejhOkGYYsf8DNNkZX5MzbwPCm9N7SX5-_fLj5ntxd__t9ubzXeFko-eibbTwba2Yb52XotGqBNn62qksOlm13LelbaUX0HEvHde6K0XjVMl0pznIS3K1-U4p_l4AZzP06CCE7TSjpahrWesMvv8PfIhLyrGhEVzWiquGZYhvkEsRMYE3U8pJpaPhzKy1ma02k9swa21m3Xl3Ml7aAbrnjVNPGfhwAiw6G3zK8fb4zCktKy4b-RemO6Nt</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>213841490</pqid></control><display><type>article</type><title>Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats</title><source>Springer Nature</source><creator>ZECCHIN, H. G ; BEZERRA, R. M. N ; CARVALHEIRA, J. B. C ; CARVALHO-FILHO, M. A ; METZE, K ; FRANCHINI, K. G ; SAAD, M. J. A</creator><creatorcontrib>ZECCHIN, H. G ; BEZERRA, R. M. N ; CARVALHEIRA, J. B. C ; CARVALHO-FILHO, M. A ; METZE, K ; FRANCHINI, K. G ; SAAD, M. J. A</creatorcontrib><description>The aim of this study was to investigate insulin signalling pathways directly in vivo in skeletal muscle and thoracic aorta from obese middle-aged (12-month-old) rats, which have insulin resistance but not cardiovascular disease, and from spontaneously hypertensive rats (SHR), an experimental model of insulin resistance and cardiovascular disease. We have used in vivo insulin infusion, followed by tissue extraction, immunoprecipitation and immunoblotting. Obese middle-aged rats and the SHR showed marked insulin resistance, which parallels the reduced effects of this hormone in the insulin signalling cascade in muscle. In aortae from obese middle-aged rats, the PI 3-kinase/Akt pathway is preserved, leading to a normal activation of endothelial nitric oxide synthase. In SHR this pathway is severely blunted, with reductions in eNOS protein concentration and activation. Both animals, however, showed higher concentrations and higher tyrosine phosphorylation of mitogen-activated protein (MAP) kinase isoforms in aortae. Alterations in the IRS/PI 3-K/Akt pathway in muscle of 12-month-old rats and SHR could be involved in the insulin resistance of these animals. The preservation of this pathway in aorta of 12-month-old rats, apart from increases in MAP kinase protein concentration and activation, could be a factor that contributes to explaining the absence of cardiovascular disease in this animal model. However, in aortae of SHR, the reduced insulin signalling through IRS/PI 3-kinase/Akt/eNOS pathway could contribute to the endothelial dysfunction of this animal.</description><identifier>ISSN: 0012-186X</identifier><identifier>EISSN: 1432-0428</identifier><identifier>DOI: 10.1007/s00125-003-1073-0</identifier><identifier>PMID: 12679867</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adapter proteins ; Age Factors ; Animals ; Aorta - metabolism ; Aorta - physiopathology ; Biological and medical sciences ; Cardiovascular disease ; Coronary vessels ; Disease Models, Animal ; Fundamental and applied biological sciences. Psychology ; Hypertension ; Hypertension - complications ; Hypertension - genetics ; Hypertension - physiopathology ; Insulin - administration &amp; dosage ; Insulin resistance ; Insulin Resistance - genetics ; Kinases ; Middle age ; Muscle, Skeletal - metabolism ; Muscle, Skeletal - physiopathology ; Musculoskeletal system ; Nitric oxide ; Obesity - complications ; Obesity - genetics ; Obesity - physiopathology ; Phosphatidylinositol 3-Kinases - metabolism ; Phosphorylation ; Rats ; Rats, Inbred SHR ; Rats, Mutant Strains ; Rats, Wistar ; Receptor, Insulin - metabolism ; Signal Transduction ; Triglycerides</subject><ispartof>Diabetologia, 2003-04, Vol.46 (4), p.479-491</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3</citedby><cites>FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3</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=14736139$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12679867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ZECCHIN, H. G</creatorcontrib><creatorcontrib>BEZERRA, R. M. N</creatorcontrib><creatorcontrib>CARVALHEIRA, J. B. C</creatorcontrib><creatorcontrib>CARVALHO-FILHO, M. A</creatorcontrib><creatorcontrib>METZE, K</creatorcontrib><creatorcontrib>FRANCHINI, K. G</creatorcontrib><creatorcontrib>SAAD, M. J. A</creatorcontrib><title>Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats</title><title>Diabetologia</title><addtitle>Diabetologia</addtitle><description>The aim of this study was to investigate insulin signalling pathways directly in vivo in skeletal muscle and thoracic aorta from obese middle-aged (12-month-old) rats, which have insulin resistance but not cardiovascular disease, and from spontaneously hypertensive rats (SHR), an experimental model of insulin resistance and cardiovascular disease. We have used in vivo insulin infusion, followed by tissue extraction, immunoprecipitation and immunoblotting. Obese middle-aged rats and the SHR showed marked insulin resistance, which parallels the reduced effects of this hormone in the insulin signalling cascade in muscle. In aortae from obese middle-aged rats, the PI 3-kinase/Akt pathway is preserved, leading to a normal activation of endothelial nitric oxide synthase. In SHR this pathway is severely blunted, with reductions in eNOS protein concentration and activation. Both animals, however, showed higher concentrations and higher tyrosine phosphorylation of mitogen-activated protein (MAP) kinase isoforms in aortae. Alterations in the IRS/PI 3-K/Akt pathway in muscle of 12-month-old rats and SHR could be involved in the insulin resistance of these animals. The preservation of this pathway in aorta of 12-month-old rats, apart from increases in MAP kinase protein concentration and activation, could be a factor that contributes to explaining the absence of cardiovascular disease in this animal model. However, in aortae of SHR, the reduced insulin signalling through IRS/PI 3-kinase/Akt/eNOS pathway could contribute to the endothelial dysfunction of this animal.</description><subject>Adapter proteins</subject><subject>Age Factors</subject><subject>Animals</subject><subject>Aorta - metabolism</subject><subject>Aorta - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Coronary vessels</subject><subject>Disease Models, Animal</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - genetics</subject><subject>Hypertension - physiopathology</subject><subject>Insulin - administration &amp; dosage</subject><subject>Insulin resistance</subject><subject>Insulin Resistance - genetics</subject><subject>Kinases</subject><subject>Middle age</subject><subject>Muscle, Skeletal - metabolism</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Musculoskeletal system</subject><subject>Nitric oxide</subject><subject>Obesity - complications</subject><subject>Obesity - genetics</subject><subject>Obesity - physiopathology</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Phosphorylation</subject><subject>Rats</subject><subject>Rats, Inbred SHR</subject><subject>Rats, Mutant Strains</subject><subject>Rats, Wistar</subject><subject>Receptor, Insulin - metabolism</subject><subject>Signal Transduction</subject><subject>Triglycerides</subject><issn>0012-186X</issn><issn>1432-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpdkc1q3TAQhUVpaG7SPkA3RRSanVP92bK7K6E_gUA2LXQnZHl0r4NsuRq74T5LXrZyfSHQlcSZbw7DOYS85eyaM6Y_ImNclAVjsuBMy4K9IDuupCiYEvVLslvHBa-rX-fkAvGBZbBU1StyzkWlm7rSO_J0O-IS-pFivx9tyL89nex8eLRHpFm2Mc2W2rGjw4IuAPUpDnR-jFnrBxvoEDsISKPP9OaUAHuc7ejgE50PQGMLCHTouy5AYffQ_bNbJzjFMYMQFwxHejhOkGYYsf8DNNkZX5MzbwPCm9N7SX5-_fLj5ntxd__t9ubzXeFko-eibbTwba2Yb52XotGqBNn62qksOlm13LelbaUX0HEvHde6K0XjVMl0pznIS3K1-U4p_l4AZzP06CCE7TSjpahrWesMvv8PfIhLyrGhEVzWiquGZYhvkEsRMYE3U8pJpaPhzKy1ma02k9swa21m3Xl3Ml7aAbrnjVNPGfhwAiw6G3zK8fb4zCktKy4b-RemO6Nt</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>ZECCHIN, H. G</creator><creator>BEZERRA, R. M. N</creator><creator>CARVALHEIRA, J. B. C</creator><creator>CARVALHO-FILHO, M. A</creator><creator>METZE, K</creator><creator>FRANCHINI, K. G</creator><creator>SAAD, M. J. A</creator><general>Springer</general><general>Springer Nature B.V</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>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20030401</creationdate><title>Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats</title><author>ZECCHIN, H. G ; BEZERRA, R. M. N ; CARVALHEIRA, J. B. C ; CARVALHO-FILHO, M. A ; METZE, K ; FRANCHINI, K. G ; SAAD, M. J. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adapter proteins</topic><topic>Age Factors</topic><topic>Animals</topic><topic>Aorta - metabolism</topic><topic>Aorta - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Coronary vessels</topic><topic>Disease Models, Animal</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - genetics</topic><topic>Hypertension - physiopathology</topic><topic>Insulin - administration &amp; dosage</topic><topic>Insulin resistance</topic><topic>Insulin Resistance - genetics</topic><topic>Kinases</topic><topic>Middle age</topic><topic>Muscle, Skeletal - metabolism</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Musculoskeletal system</topic><topic>Nitric oxide</topic><topic>Obesity - complications</topic><topic>Obesity - genetics</topic><topic>Obesity - physiopathology</topic><topic>Phosphatidylinositol 3-Kinases - metabolism</topic><topic>Phosphorylation</topic><topic>Rats</topic><topic>Rats, Inbred SHR</topic><topic>Rats, Mutant Strains</topic><topic>Rats, Wistar</topic><topic>Receptor, Insulin - metabolism</topic><topic>Signal Transduction</topic><topic>Triglycerides</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ZECCHIN, H. G</creatorcontrib><creatorcontrib>BEZERRA, R. M. N</creatorcontrib><creatorcontrib>CARVALHEIRA, J. B. C</creatorcontrib><creatorcontrib>CARVALHO-FILHO, M. A</creatorcontrib><creatorcontrib>METZE, K</creatorcontrib><creatorcontrib>FRANCHINI, K. G</creatorcontrib><creatorcontrib>SAAD, M. J. A</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 Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ZECCHIN, H. G</au><au>BEZERRA, R. M. N</au><au>CARVALHEIRA, J. B. C</au><au>CARVALHO-FILHO, M. A</au><au>METZE, K</au><au>FRANCHINI, K. G</au><au>SAAD, M. J. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats</atitle><jtitle>Diabetologia</jtitle><addtitle>Diabetologia</addtitle><date>2003-04-01</date><risdate>2003</risdate><volume>46</volume><issue>4</issue><spage>479</spage><epage>491</epage><pages>479-491</pages><issn>0012-186X</issn><eissn>1432-0428</eissn><abstract>The aim of this study was to investigate insulin signalling pathways directly in vivo in skeletal muscle and thoracic aorta from obese middle-aged (12-month-old) rats, which have insulin resistance but not cardiovascular disease, and from spontaneously hypertensive rats (SHR), an experimental model of insulin resistance and cardiovascular disease. We have used in vivo insulin infusion, followed by tissue extraction, immunoprecipitation and immunoblotting. Obese middle-aged rats and the SHR showed marked insulin resistance, which parallels the reduced effects of this hormone in the insulin signalling cascade in muscle. In aortae from obese middle-aged rats, the PI 3-kinase/Akt pathway is preserved, leading to a normal activation of endothelial nitric oxide synthase. In SHR this pathway is severely blunted, with reductions in eNOS protein concentration and activation. Both animals, however, showed higher concentrations and higher tyrosine phosphorylation of mitogen-activated protein (MAP) kinase isoforms in aortae. Alterations in the IRS/PI 3-K/Akt pathway in muscle of 12-month-old rats and SHR could be involved in the insulin resistance of these animals. The preservation of this pathway in aorta of 12-month-old rats, apart from increases in MAP kinase protein concentration and activation, could be a factor that contributes to explaining the absence of cardiovascular disease in this animal model. However, in aortae of SHR, the reduced insulin signalling through IRS/PI 3-kinase/Akt/eNOS pathway could contribute to the endothelial dysfunction of this animal.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12679867</pmid><doi>10.1007/s00125-003-1073-0</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0012-186X
ispartof Diabetologia, 2003-04, Vol.46 (4), p.479-491
issn 0012-186X
1432-0428
language eng
recordid cdi_proquest_miscellaneous_73288387
source Springer Nature
subjects Adapter proteins
Age Factors
Animals
Aorta - metabolism
Aorta - physiopathology
Biological and medical sciences
Cardiovascular disease
Coronary vessels
Disease Models, Animal
Fundamental and applied biological sciences. Psychology
Hypertension
Hypertension - complications
Hypertension - genetics
Hypertension - physiopathology
Insulin - administration & dosage
Insulin resistance
Insulin Resistance - genetics
Kinases
Middle age
Muscle, Skeletal - metabolism
Muscle, Skeletal - physiopathology
Musculoskeletal system
Nitric oxide
Obesity - complications
Obesity - genetics
Obesity - physiopathology
Phosphatidylinositol 3-Kinases - metabolism
Phosphorylation
Rats
Rats, Inbred SHR
Rats, Mutant Strains
Rats, Wistar
Receptor, Insulin - metabolism
Signal Transduction
Triglycerides
title Insulin signalling pathways in aorta and muscle from two animal models of insulin resistance: the obese middle-aged and the spontaneously hypertensive rats
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T20%3A02%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=Insulin%20signalling%20pathways%20in%20aorta%20and%20muscle%20from%20two%20animal%20models%20of%20insulin%20resistance:%20the%20obese%20middle-aged%20and%20the%20spontaneously%20hypertensive%20rats&rft.jtitle=Diabetologia&rft.au=ZECCHIN,%20H.%20G&rft.date=2003-04-01&rft.volume=46&rft.issue=4&rft.spage=479&rft.epage=491&rft.pages=479-491&rft.issn=0012-186X&rft.eissn=1432-0428&rft_id=info:doi/10.1007/s00125-003-1073-0&rft_dat=%3Cproquest_cross%3E73288387%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c397t-b972fb840fbcf329745e3bf8c4b84c36b1fb5ab3f2ed1f3c177d529c4507d71e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=213841490&rft_id=info:pmid/12679867&rfr_iscdi=true