Loading…

Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice

Molecular studies have provided convincing evidence that a unique deltaproteobacterium is the causative agent of epizootic bovine abortion (EBA). Bovine fetuses, infected following dam exposure, are the only identified susceptible mammalian host. The inability to cultivate the bacterial agent of EBA...

Full description

Saved in:
Bibliographic Details
Published in:Veterinary microbiology 2010-07, Vol.144 (1), p.177-182
Main Authors: Blanchard, Myra T., Chen, Ching-I, Anderson, Mark, Hall, Mark R., Barthold, Stephen W., Stott, Jeffrey L.
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-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3
cites cdi_FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3
container_end_page 182
container_issue 1
container_start_page 177
container_title Veterinary microbiology
container_volume 144
creator Blanchard, Myra T.
Chen, Ching-I
Anderson, Mark
Hall, Mark R.
Barthold, Stephen W.
Stott, Jeffrey L.
description Molecular studies have provided convincing evidence that a unique deltaproteobacterium is the causative agent of epizootic bovine abortion (EBA). Bovine fetuses, infected following dam exposure, are the only identified susceptible mammalian host. The inability to cultivate the bacterial agent of EBA ( aoEBA) in vitro, associated with the substantial cost of bovine experimentation, drove efforts to identify an alternative laboratory animal host. Mice with severe combined immunodeficiency (SCID) were chosen as a potential host after immunocompetent mice proved resistant to infection. SCID mice inoculated with aoEBA-infected bovine fetal thymus homogenates began to show clinical signs at 2 months and became increasingly cachectic over the next 1–2 months. Following a 2nd passage (P2) through SCID mice, three susceptible pregnant heifers were inoculated with P2 murine tissue homogenates. All three fetuses presented with lesions indistinguishable from naturally occurring EBA, confirming successful passage of the bacterial pathogen in SCID mice. All murine (P1 and P2) and bovine fetal tissues contained aoEBA as determined by PCR; 16S bacterial ribosomal nucleotide sequences were identical in all murine and fetal bovine tissues examined. Bacteria in fetal bovine tissues were determined to be heavily opsonized, based upon microscopic evaluation of tissues stained with either FITC-conjugated anti-bovine IgG or biotin-conjugated anti-bovine IgG in conjunction with avidin-FITC. Unlike the near-term bovine fetus, the absence of an antibody response in infected SCID mice permits harvest of unopsonized bacteria for development of serologic assays.
doi_str_mv 10.1016/j.vetmic.2010.01.002
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_748951030</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0378113510000210</els_id><sourcerecordid>748951030</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3</originalsourceid><addsrcrecordid>eNp9kE2LFDEQhoMo7rj6D0T7Ip56rHSS_rgIsvgFCx7WvXgJNUn1mKG7MyY9A_rrraZHvQmBgpenKi-PEM8lbCXI-s1he6Z5DG5bAUcgtwDVA7GRbaPKyujqodiAatpSSmWuxJOcDwCguxoeiyte0dpItRHf7igFHIoj5ox7KmJfzN-poDnEIe6DKzic5iWmY_gV48zRLp7DRAXuYmJsKgK_cTxN0VMfXFh47kVPxaMeh0zPLvNa3H94__XmU3n75ePnm3e3pdPSzKXGvvVmB6bR4FSjenSNa6sOyHN_D9TJymMtO8UBEKAnVQMiNFI1DKtr8Xq9e0zxx4nybMeQHQ0DThRP2Ta67YwEBUzqlXQp5pyot8cURkw_rQS7SLUHu0q1i1QL0rJUXntx-eC0G8n_XfpjkYFXFwCzw6FPOLmQ_3FVp2SrFu7lyvUYLe4TM_d3fEWBbI0ypmbi7UoQCzsHSjYvQh35kMjN1sfw_66_ATZioMg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>748951030</pqid></control><display><type>article</type><title>Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice</title><source>ScienceDirect Journals</source><creator>Blanchard, Myra T. ; Chen, Ching-I ; Anderson, Mark ; Hall, Mark R. ; Barthold, Stephen W. ; Stott, Jeffrey L.</creator><creatorcontrib>Blanchard, Myra T. ; Chen, Ching-I ; Anderson, Mark ; Hall, Mark R. ; Barthold, Stephen W. ; Stott, Jeffrey L.</creatorcontrib><description>Molecular studies have provided convincing evidence that a unique deltaproteobacterium is the causative agent of epizootic bovine abortion (EBA). Bovine fetuses, infected following dam exposure, are the only identified susceptible mammalian host. The inability to cultivate the bacterial agent of EBA ( aoEBA) in vitro, associated with the substantial cost of bovine experimentation, drove efforts to identify an alternative laboratory animal host. Mice with severe combined immunodeficiency (SCID) were chosen as a potential host after immunocompetent mice proved resistant to infection. SCID mice inoculated with aoEBA-infected bovine fetal thymus homogenates began to show clinical signs at 2 months and became increasingly cachectic over the next 1–2 months. Following a 2nd passage (P2) through SCID mice, three susceptible pregnant heifers were inoculated with P2 murine tissue homogenates. All three fetuses presented with lesions indistinguishable from naturally occurring EBA, confirming successful passage of the bacterial pathogen in SCID mice. All murine (P1 and P2) and bovine fetal tissues contained aoEBA as determined by PCR; 16S bacterial ribosomal nucleotide sequences were identical in all murine and fetal bovine tissues examined. Bacteria in fetal bovine tissues were determined to be heavily opsonized, based upon microscopic evaluation of tissues stained with either FITC-conjugated anti-bovine IgG or biotin-conjugated anti-bovine IgG in conjunction with avidin-FITC. Unlike the near-term bovine fetus, the absence of an antibody response in infected SCID mice permits harvest of unopsonized bacteria for development of serologic assays.</description><identifier>ISSN: 0378-1135</identifier><identifier>EISSN: 1873-2542</identifier><identifier>DOI: 10.1016/j.vetmic.2010.01.002</identifier><identifier>PMID: 20144513</identifier><identifier>CODEN: VMICDQ</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>abortion (animals) ; Abortion, Veterinary - immunology ; Abortion, Veterinary - microbiology ; Abortion, Veterinary - pathology ; Animal model ; animal pathogenic bacteria ; Animals ; bacterial infections ; Biological and medical sciences ; Cattle ; cattle diseases ; Cattle Diseases - microbiology ; Cattle Diseases - pathology ; Cryopreservation ; delta-Proteobacteria ; Deltaproteobacteria ; DNA Primers ; Epizootic bovine abortion ; Female ; Fetal Diseases - microbiology ; Fetal Diseases - veterinary ; fetus ; Foothill abortion ; Fundamental and applied biological sciences. Psychology ; heifers ; Immunodeficient mice ; Immunoglobulins - analysis ; Insect Vectors - virology ; Kidney - immunology ; Kidney - pathology ; Liver - immunology ; Liver - pathology ; Lung - immunology ; Lung - pathology ; Mice ; Mice, Inbred C3H ; Mice, SCID ; Microbiology ; Polymerase Chain Reaction ; Pregnancy ; severe combined immunodeficiency ; Severe Combined Immunodeficiency - immunology ; Severe Combined Immunodeficiency - microbiology ; Severe Combined Immunodeficiency - pathology ; Severe Combined Immunodeficiency - veterinary ; Spleen - immunology ; Spleen - pathology ; Thymus Gland - immunology ; Thymus Gland - pathology</subject><ispartof>Veterinary microbiology, 2010-07, Vol.144 (1), p.177-182</ispartof><rights>2010 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright (c) 2010 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3</citedby><cites>FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3</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=22931833$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20144513$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blanchard, Myra T.</creatorcontrib><creatorcontrib>Chen, Ching-I</creatorcontrib><creatorcontrib>Anderson, Mark</creatorcontrib><creatorcontrib>Hall, Mark R.</creatorcontrib><creatorcontrib>Barthold, Stephen W.</creatorcontrib><creatorcontrib>Stott, Jeffrey L.</creatorcontrib><title>Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice</title><title>Veterinary microbiology</title><addtitle>Vet Microbiol</addtitle><description>Molecular studies have provided convincing evidence that a unique deltaproteobacterium is the causative agent of epizootic bovine abortion (EBA). Bovine fetuses, infected following dam exposure, are the only identified susceptible mammalian host. The inability to cultivate the bacterial agent of EBA ( aoEBA) in vitro, associated with the substantial cost of bovine experimentation, drove efforts to identify an alternative laboratory animal host. Mice with severe combined immunodeficiency (SCID) were chosen as a potential host after immunocompetent mice proved resistant to infection. SCID mice inoculated with aoEBA-infected bovine fetal thymus homogenates began to show clinical signs at 2 months and became increasingly cachectic over the next 1–2 months. Following a 2nd passage (P2) through SCID mice, three susceptible pregnant heifers were inoculated with P2 murine tissue homogenates. All three fetuses presented with lesions indistinguishable from naturally occurring EBA, confirming successful passage of the bacterial pathogen in SCID mice. All murine (P1 and P2) and bovine fetal tissues contained aoEBA as determined by PCR; 16S bacterial ribosomal nucleotide sequences were identical in all murine and fetal bovine tissues examined. Bacteria in fetal bovine tissues were determined to be heavily opsonized, based upon microscopic evaluation of tissues stained with either FITC-conjugated anti-bovine IgG or biotin-conjugated anti-bovine IgG in conjunction with avidin-FITC. Unlike the near-term bovine fetus, the absence of an antibody response in infected SCID mice permits harvest of unopsonized bacteria for development of serologic assays.</description><subject>abortion (animals)</subject><subject>Abortion, Veterinary - immunology</subject><subject>Abortion, Veterinary - microbiology</subject><subject>Abortion, Veterinary - pathology</subject><subject>Animal model</subject><subject>animal pathogenic bacteria</subject><subject>Animals</subject><subject>bacterial infections</subject><subject>Biological and medical sciences</subject><subject>Cattle</subject><subject>cattle diseases</subject><subject>Cattle Diseases - microbiology</subject><subject>Cattle Diseases - pathology</subject><subject>Cryopreservation</subject><subject>delta-Proteobacteria</subject><subject>Deltaproteobacteria</subject><subject>DNA Primers</subject><subject>Epizootic bovine abortion</subject><subject>Female</subject><subject>Fetal Diseases - microbiology</subject><subject>Fetal Diseases - veterinary</subject><subject>fetus</subject><subject>Foothill abortion</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>heifers</subject><subject>Immunodeficient mice</subject><subject>Immunoglobulins - analysis</subject><subject>Insect Vectors - virology</subject><subject>Kidney - immunology</subject><subject>Kidney - pathology</subject><subject>Liver - immunology</subject><subject>Liver - pathology</subject><subject>Lung - immunology</subject><subject>Lung - pathology</subject><subject>Mice</subject><subject>Mice, Inbred C3H</subject><subject>Mice, SCID</subject><subject>Microbiology</subject><subject>Polymerase Chain Reaction</subject><subject>Pregnancy</subject><subject>severe combined immunodeficiency</subject><subject>Severe Combined Immunodeficiency - immunology</subject><subject>Severe Combined Immunodeficiency - microbiology</subject><subject>Severe Combined Immunodeficiency - pathology</subject><subject>Severe Combined Immunodeficiency - veterinary</subject><subject>Spleen - immunology</subject><subject>Spleen - pathology</subject><subject>Thymus Gland - immunology</subject><subject>Thymus Gland - pathology</subject><issn>0378-1135</issn><issn>1873-2542</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9kE2LFDEQhoMo7rj6D0T7Ip56rHSS_rgIsvgFCx7WvXgJNUn1mKG7MyY9A_rrraZHvQmBgpenKi-PEM8lbCXI-s1he6Z5DG5bAUcgtwDVA7GRbaPKyujqodiAatpSSmWuxJOcDwCguxoeiyte0dpItRHf7igFHIoj5ox7KmJfzN-poDnEIe6DKzic5iWmY_gV48zRLp7DRAXuYmJsKgK_cTxN0VMfXFh47kVPxaMeh0zPLvNa3H94__XmU3n75ePnm3e3pdPSzKXGvvVmB6bR4FSjenSNa6sOyHN_D9TJymMtO8UBEKAnVQMiNFI1DKtr8Xq9e0zxx4nybMeQHQ0DThRP2Ta67YwEBUzqlXQp5pyot8cURkw_rQS7SLUHu0q1i1QL0rJUXntx-eC0G8n_XfpjkYFXFwCzw6FPOLmQ_3FVp2SrFu7lyvUYLe4TM_d3fEWBbI0ypmbi7UoQCzsHSjYvQh35kMjN1sfw_66_ATZioMg</recordid><startdate>20100729</startdate><enddate>20100729</enddate><creator>Blanchard, Myra T.</creator><creator>Chen, Ching-I</creator><creator>Anderson, Mark</creator><creator>Hall, Mark R.</creator><creator>Barthold, Stephen W.</creator><creator>Stott, Jeffrey L.</creator><general>Elsevier B.V</general><general>Amsterdam; New York: Elsevier</general><general>Elsevier</general><scope>FBQ</scope><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>7X8</scope></search><sort><creationdate>20100729</creationdate><title>Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice</title><author>Blanchard, Myra T. ; Chen, Ching-I ; Anderson, Mark ; Hall, Mark R. ; Barthold, Stephen W. ; Stott, Jeffrey L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>abortion (animals)</topic><topic>Abortion, Veterinary - immunology</topic><topic>Abortion, Veterinary - microbiology</topic><topic>Abortion, Veterinary - pathology</topic><topic>Animal model</topic><topic>animal pathogenic bacteria</topic><topic>Animals</topic><topic>bacterial infections</topic><topic>Biological and medical sciences</topic><topic>Cattle</topic><topic>cattle diseases</topic><topic>Cattle Diseases - microbiology</topic><topic>Cattle Diseases - pathology</topic><topic>Cryopreservation</topic><topic>delta-Proteobacteria</topic><topic>Deltaproteobacteria</topic><topic>DNA Primers</topic><topic>Epizootic bovine abortion</topic><topic>Female</topic><topic>Fetal Diseases - microbiology</topic><topic>Fetal Diseases - veterinary</topic><topic>fetus</topic><topic>Foothill abortion</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>heifers</topic><topic>Immunodeficient mice</topic><topic>Immunoglobulins - analysis</topic><topic>Insect Vectors - virology</topic><topic>Kidney - immunology</topic><topic>Kidney - pathology</topic><topic>Liver - immunology</topic><topic>Liver - pathology</topic><topic>Lung - immunology</topic><topic>Lung - pathology</topic><topic>Mice</topic><topic>Mice, Inbred C3H</topic><topic>Mice, SCID</topic><topic>Microbiology</topic><topic>Polymerase Chain Reaction</topic><topic>Pregnancy</topic><topic>severe combined immunodeficiency</topic><topic>Severe Combined Immunodeficiency - immunology</topic><topic>Severe Combined Immunodeficiency - microbiology</topic><topic>Severe Combined Immunodeficiency - pathology</topic><topic>Severe Combined Immunodeficiency - veterinary</topic><topic>Spleen - immunology</topic><topic>Spleen - pathology</topic><topic>Thymus Gland - immunology</topic><topic>Thymus Gland - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blanchard, Myra T.</creatorcontrib><creatorcontrib>Chen, Ching-I</creatorcontrib><creatorcontrib>Anderson, Mark</creatorcontrib><creatorcontrib>Hall, Mark R.</creatorcontrib><creatorcontrib>Barthold, Stephen W.</creatorcontrib><creatorcontrib>Stott, Jeffrey L.</creatorcontrib><collection>AGRIS</collection><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>MEDLINE - Academic</collection><jtitle>Veterinary microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blanchard, Myra T.</au><au>Chen, Ching-I</au><au>Anderson, Mark</au><au>Hall, Mark R.</au><au>Barthold, Stephen W.</au><au>Stott, Jeffrey L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice</atitle><jtitle>Veterinary microbiology</jtitle><addtitle>Vet Microbiol</addtitle><date>2010-07-29</date><risdate>2010</risdate><volume>144</volume><issue>1</issue><spage>177</spage><epage>182</epage><pages>177-182</pages><issn>0378-1135</issn><eissn>1873-2542</eissn><coden>VMICDQ</coden><abstract>Molecular studies have provided convincing evidence that a unique deltaproteobacterium is the causative agent of epizootic bovine abortion (EBA). Bovine fetuses, infected following dam exposure, are the only identified susceptible mammalian host. The inability to cultivate the bacterial agent of EBA ( aoEBA) in vitro, associated with the substantial cost of bovine experimentation, drove efforts to identify an alternative laboratory animal host. Mice with severe combined immunodeficiency (SCID) were chosen as a potential host after immunocompetent mice proved resistant to infection. SCID mice inoculated with aoEBA-infected bovine fetal thymus homogenates began to show clinical signs at 2 months and became increasingly cachectic over the next 1–2 months. Following a 2nd passage (P2) through SCID mice, three susceptible pregnant heifers were inoculated with P2 murine tissue homogenates. All three fetuses presented with lesions indistinguishable from naturally occurring EBA, confirming successful passage of the bacterial pathogen in SCID mice. All murine (P1 and P2) and bovine fetal tissues contained aoEBA as determined by PCR; 16S bacterial ribosomal nucleotide sequences were identical in all murine and fetal bovine tissues examined. Bacteria in fetal bovine tissues were determined to be heavily opsonized, based upon microscopic evaluation of tissues stained with either FITC-conjugated anti-bovine IgG or biotin-conjugated anti-bovine IgG in conjunction with avidin-FITC. Unlike the near-term bovine fetus, the absence of an antibody response in infected SCID mice permits harvest of unopsonized bacteria for development of serologic assays.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>20144513</pmid><doi>10.1016/j.vetmic.2010.01.002</doi><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0378-1135
ispartof Veterinary microbiology, 2010-07, Vol.144 (1), p.177-182
issn 0378-1135
1873-2542
language eng
recordid cdi_proquest_miscellaneous_748951030
source ScienceDirect Journals
subjects abortion (animals)
Abortion, Veterinary - immunology
Abortion, Veterinary - microbiology
Abortion, Veterinary - pathology
Animal model
animal pathogenic bacteria
Animals
bacterial infections
Biological and medical sciences
Cattle
cattle diseases
Cattle Diseases - microbiology
Cattle Diseases - pathology
Cryopreservation
delta-Proteobacteria
Deltaproteobacteria
DNA Primers
Epizootic bovine abortion
Female
Fetal Diseases - microbiology
Fetal Diseases - veterinary
fetus
Foothill abortion
Fundamental and applied biological sciences. Psychology
heifers
Immunodeficient mice
Immunoglobulins - analysis
Insect Vectors - virology
Kidney - immunology
Kidney - pathology
Liver - immunology
Liver - pathology
Lung - immunology
Lung - pathology
Mice
Mice, Inbred C3H
Mice, SCID
Microbiology
Polymerase Chain Reaction
Pregnancy
severe combined immunodeficiency
Severe Combined Immunodeficiency - immunology
Severe Combined Immunodeficiency - microbiology
Severe Combined Immunodeficiency - pathology
Severe Combined Immunodeficiency - veterinary
Spleen - immunology
Spleen - pathology
Thymus Gland - immunology
Thymus Gland - pathology
title Serial passage of the etiologic agent of epizootic bovine abortion in immunodeficient mice
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T11%3A32%3A42IST&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=Serial%20passage%20of%20the%20etiologic%20agent%20of%20epizootic%20bovine%20abortion%20in%20immunodeficient%20mice&rft.jtitle=Veterinary%20microbiology&rft.au=Blanchard,%20Myra%20T.&rft.date=2010-07-29&rft.volume=144&rft.issue=1&rft.spage=177&rft.epage=182&rft.pages=177-182&rft.issn=0378-1135&rft.eissn=1873-2542&rft.coden=VMICDQ&rft_id=info:doi/10.1016/j.vetmic.2010.01.002&rft_dat=%3Cproquest_cross%3E748951030%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c415t-4af8d5b05740c373fac7c8290ed037d0e912da6193ed00e0ade360aa07137fac3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=748951030&rft_id=info:pmid/20144513&rfr_iscdi=true