Loading…

IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages

IL-17 is a newly described, T cell-derived cytokine with ill-defined physiologic properties. As such, we examined the release of proinflammatory mediators by human macrophages in response to recombinant human (rh) IL-17. IL-1beta and TNF-alpha expression and synthesis were up-regulated by rhIL-17 in...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of immunology (1950) 1998-04, Vol.160 (7), p.3513-3521
Main Authors: Jovanovic, D V, Di Battista, J A, Martel-Pelletier, J, Jolicoeur, F C, He, Y, Zhang, M, Mineau, F, Pelletier, J P
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-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403
cites cdi_FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403
container_end_page 3521
container_issue 7
container_start_page 3513
container_title The Journal of immunology (1950)
container_volume 160
creator Jovanovic, D V
Di Battista, J A
Martel-Pelletier, J
Jolicoeur, F C
He, Y
Zhang, M
Mineau, F
Pelletier, J P
description IL-17 is a newly described, T cell-derived cytokine with ill-defined physiologic properties. As such, we examined the release of proinflammatory mediators by human macrophages in response to recombinant human (rh) IL-17. IL-1beta and TNF-alpha expression and synthesis were up-regulated by rhIL-17 in a dose (ED50 was 50 +/- 9 ng/ml)- and time-dependent fashion, with cytokine accumulation reaching a zenith after 9 h. Release of IL-6, PGE2, IL-10, IL-12, IL-1R antagonist, and stromelysin was also stimulated by rhIL-17. IL-1beta and TNF-alpha mRNA expression levels were controlled by rhIL-17 in a complex manner with an initial 30-min inhibitory phase, and then up-regulation beginning at 1 h and reaching a plateau at about 3 h. The latter expression pattern closely mirrored the nuclear accumulation of the transcription factor nuclear factor-kappaB. cAMP mimetics isobutyl-1-methylxanthine (IBMX), forskolin, PGE2, and cholera toxin reversed rhIL-17-induced release of TNF-alpha, but had no consistent effect on induced IL-1beta synthesis. Induced release of TNF-alpha was also inhibited by serine/threonine protein kinase inhibitors KT-5720 (protein kinase A) and Calphostin C (protein kinase C), mitogen-activated protein kinase kinase inhibitor PD098059, and a nonspecific tyrosine kinase inhibitor, genistein. Calphostin C alone abrogated the rhIL-17-induced release of IL-1beta. The antiinflammatory cytokines IL-4 (p < 0.01) and IL-10 (p < 0.02) completely reversed rhIL-17-stimulated IL-1beta release, while IL-13 and TGF-beta2 were partially effective (59 and 43% diminution, respectively). IL-10 exerted a significant suppressive effect on IL-17-induced TNF-alpha release (99%, p < 0.02), while the inhibitory effects of IL-4, IL-13, and TGF-beta2 on TNF-alpha secretion were partial (48, 10, and 23%, respectively). The data suggest a pivotal role for IL-17 in initiating and/or sustaining an inflammatory response.
doi_str_mv 10.4049/jimmunol.160.7.3513
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79763472</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79763472</sourcerecordid><originalsourceid>FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403</originalsourceid><addsrcrecordid>eNqFUctOwzAQtBColMcXICSfODVlbSd2fUQVL6mCSzlHG8ehgTgpsSO1f49LC1e0h9Xuzox2NIRcMZimkOrbj9q5oe2aKZMwVVORMXFExizLIJES5DEZA3CeMCXVKTnz_gMAJPB0REY6EyzWmGyeFxFAfajd0GCwnoaVpeu-KwcT6q6l2JbUbta99X43dtXuWLdVg85h6PotNdvQfdat9RMaxQob8Ie0fHlIsFmvcEKLLV0NDlvq0PRdXL1bf0FOKmy8vTz0c_L2cL-cPyWL18fn-d0iMULJkGhWgNZaSFsiLwqeYZWJVMyURISMsUryAiotTFGClRZlZTIjU4EmWtQpiHNys9eNb38N1ofc1d7YpsHWdoPPlVZSpIr_C2SSz7hSaQSKPTB68b63Vb7ua4f9NmeQ74LJf4OJHMhVvgsmsq4P8kPhbPnHOSQhvgEVM4yn</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>16282774</pqid></control><display><type>article</type><title>IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages</title><source>EZB Electronic Journals Library</source><creator>Jovanovic, D V ; Di Battista, J A ; Martel-Pelletier, J ; Jolicoeur, F C ; He, Y ; Zhang, M ; Mineau, F ; Pelletier, J P</creator><creatorcontrib>Jovanovic, D V ; Di Battista, J A ; Martel-Pelletier, J ; Jolicoeur, F C ; He, Y ; Zhang, M ; Mineau, F ; Pelletier, J P</creatorcontrib><description>IL-17 is a newly described, T cell-derived cytokine with ill-defined physiologic properties. As such, we examined the release of proinflammatory mediators by human macrophages in response to recombinant human (rh) IL-17. IL-1beta and TNF-alpha expression and synthesis were up-regulated by rhIL-17 in a dose (ED50 was 50 +/- 9 ng/ml)- and time-dependent fashion, with cytokine accumulation reaching a zenith after 9 h. Release of IL-6, PGE2, IL-10, IL-12, IL-1R antagonist, and stromelysin was also stimulated by rhIL-17. IL-1beta and TNF-alpha mRNA expression levels were controlled by rhIL-17 in a complex manner with an initial 30-min inhibitory phase, and then up-regulation beginning at 1 h and reaching a plateau at about 3 h. The latter expression pattern closely mirrored the nuclear accumulation of the transcription factor nuclear factor-kappaB. cAMP mimetics isobutyl-1-methylxanthine (IBMX), forskolin, PGE2, and cholera toxin reversed rhIL-17-induced release of TNF-alpha, but had no consistent effect on induced IL-1beta synthesis. Induced release of TNF-alpha was also inhibited by serine/threonine protein kinase inhibitors KT-5720 (protein kinase A) and Calphostin C (protein kinase C), mitogen-activated protein kinase kinase inhibitor PD098059, and a nonspecific tyrosine kinase inhibitor, genistein. Calphostin C alone abrogated the rhIL-17-induced release of IL-1beta. The antiinflammatory cytokines IL-4 (p &lt; 0.01) and IL-10 (p &lt; 0.02) completely reversed rhIL-17-stimulated IL-1beta release, while IL-13 and TGF-beta2 were partially effective (59 and 43% diminution, respectively). IL-10 exerted a significant suppressive effect on IL-17-induced TNF-alpha release (99%, p &lt; 0.02), while the inhibitory effects of IL-4, IL-13, and TGF-beta2 on TNF-alpha secretion were partial (48, 10, and 23%, respectively). The data suggest a pivotal role for IL-17 in initiating and/or sustaining an inflammatory response.</description><identifier>ISSN: 0022-1767</identifier><identifier>EISSN: 1550-6606</identifier><identifier>DOI: 10.4049/jimmunol.160.7.3513</identifier><identifier>PMID: 9531313</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Anti-Inflammatory Agents, Non-Steroidal - pharmacology ; Calcium - metabolism ; Cells, Cultured ; Cyclic AMP - agonists ; Cyclic AMP - antagonists &amp; inhibitors ; Cyclic AMP - metabolism ; Cyclic AMP Response Element-Binding Protein - biosynthesis ; Dose-Response Relationship, Immunologic ; Humans ; Inflammation - drug therapy ; Inflammation - immunology ; Interleukin-1 - biosynthesis ; Interleukin-1 - metabolism ; Interleukin-10 - pharmacology ; Interleukin-17 ; Interleukin-4 - pharmacology ; Interleukins - pharmacology ; Macrophage Activation ; Macrophages - enzymology ; Macrophages - immunology ; Macrophages - metabolism ; Middle Aged ; NF-kappa B - biosynthesis ; Protein Kinase Inhibitors ; Time Factors ; Transcription Factor AP-1 - biosynthesis ; Tumor Necrosis Factor-alpha - biosynthesis ; Tumor Necrosis Factor-alpha - metabolism</subject><ispartof>The Journal of immunology (1950), 1998-04, Vol.160 (7), p.3513-3521</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403</citedby><cites>FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403</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/9531313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jovanovic, D V</creatorcontrib><creatorcontrib>Di Battista, J A</creatorcontrib><creatorcontrib>Martel-Pelletier, J</creatorcontrib><creatorcontrib>Jolicoeur, F C</creatorcontrib><creatorcontrib>He, Y</creatorcontrib><creatorcontrib>Zhang, M</creatorcontrib><creatorcontrib>Mineau, F</creatorcontrib><creatorcontrib>Pelletier, J P</creatorcontrib><title>IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages</title><title>The Journal of immunology (1950)</title><addtitle>J Immunol</addtitle><description>IL-17 is a newly described, T cell-derived cytokine with ill-defined physiologic properties. As such, we examined the release of proinflammatory mediators by human macrophages in response to recombinant human (rh) IL-17. IL-1beta and TNF-alpha expression and synthesis were up-regulated by rhIL-17 in a dose (ED50 was 50 +/- 9 ng/ml)- and time-dependent fashion, with cytokine accumulation reaching a zenith after 9 h. Release of IL-6, PGE2, IL-10, IL-12, IL-1R antagonist, and stromelysin was also stimulated by rhIL-17. IL-1beta and TNF-alpha mRNA expression levels were controlled by rhIL-17 in a complex manner with an initial 30-min inhibitory phase, and then up-regulation beginning at 1 h and reaching a plateau at about 3 h. The latter expression pattern closely mirrored the nuclear accumulation of the transcription factor nuclear factor-kappaB. cAMP mimetics isobutyl-1-methylxanthine (IBMX), forskolin, PGE2, and cholera toxin reversed rhIL-17-induced release of TNF-alpha, but had no consistent effect on induced IL-1beta synthesis. Induced release of TNF-alpha was also inhibited by serine/threonine protein kinase inhibitors KT-5720 (protein kinase A) and Calphostin C (protein kinase C), mitogen-activated protein kinase kinase inhibitor PD098059, and a nonspecific tyrosine kinase inhibitor, genistein. Calphostin C alone abrogated the rhIL-17-induced release of IL-1beta. The antiinflammatory cytokines IL-4 (p &lt; 0.01) and IL-10 (p &lt; 0.02) completely reversed rhIL-17-stimulated IL-1beta release, while IL-13 and TGF-beta2 were partially effective (59 and 43% diminution, respectively). IL-10 exerted a significant suppressive effect on IL-17-induced TNF-alpha release (99%, p &lt; 0.02), while the inhibitory effects of IL-4, IL-13, and TGF-beta2 on TNF-alpha secretion were partial (48, 10, and 23%, respectively). The data suggest a pivotal role for IL-17 in initiating and/or sustaining an inflammatory response.</description><subject>Adult</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - pharmacology</subject><subject>Calcium - metabolism</subject><subject>Cells, Cultured</subject><subject>Cyclic AMP - agonists</subject><subject>Cyclic AMP - antagonists &amp; inhibitors</subject><subject>Cyclic AMP - metabolism</subject><subject>Cyclic AMP Response Element-Binding Protein - biosynthesis</subject><subject>Dose-Response Relationship, Immunologic</subject><subject>Humans</subject><subject>Inflammation - drug therapy</subject><subject>Inflammation - immunology</subject><subject>Interleukin-1 - biosynthesis</subject><subject>Interleukin-1 - metabolism</subject><subject>Interleukin-10 - pharmacology</subject><subject>Interleukin-17</subject><subject>Interleukin-4 - pharmacology</subject><subject>Interleukins - pharmacology</subject><subject>Macrophage Activation</subject><subject>Macrophages - enzymology</subject><subject>Macrophages - immunology</subject><subject>Macrophages - metabolism</subject><subject>Middle Aged</subject><subject>NF-kappa B - biosynthesis</subject><subject>Protein Kinase Inhibitors</subject><subject>Time Factors</subject><subject>Transcription Factor AP-1 - biosynthesis</subject><subject>Tumor Necrosis Factor-alpha - biosynthesis</subject><subject>Tumor Necrosis Factor-alpha - metabolism</subject><issn>0022-1767</issn><issn>1550-6606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNqFUctOwzAQtBColMcXICSfODVlbSd2fUQVL6mCSzlHG8ehgTgpsSO1f49LC1e0h9Xuzox2NIRcMZimkOrbj9q5oe2aKZMwVVORMXFExizLIJES5DEZA3CeMCXVKTnz_gMAJPB0REY6EyzWmGyeFxFAfajd0GCwnoaVpeu-KwcT6q6l2JbUbta99X43dtXuWLdVg85h6PotNdvQfdat9RMaxQob8Ie0fHlIsFmvcEKLLV0NDlvq0PRdXL1bf0FOKmy8vTz0c_L2cL-cPyWL18fn-d0iMULJkGhWgNZaSFsiLwqeYZWJVMyURISMsUryAiotTFGClRZlZTIjU4EmWtQpiHNys9eNb38N1ofc1d7YpsHWdoPPlVZSpIr_C2SSz7hSaQSKPTB68b63Vb7ua4f9NmeQ74LJf4OJHMhVvgsmsq4P8kPhbPnHOSQhvgEVM4yn</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>Jovanovic, D V</creator><creator>Di Battista, J A</creator><creator>Martel-Pelletier, J</creator><creator>Jolicoeur, F C</creator><creator>He, Y</creator><creator>Zhang, M</creator><creator>Mineau, F</creator><creator>Pelletier, J P</creator><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>H94</scope><scope>7X8</scope></search><sort><creationdate>19980401</creationdate><title>IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages</title><author>Jovanovic, D V ; Di Battista, J A ; Martel-Pelletier, J ; Jolicoeur, F C ; He, Y ; Zhang, M ; Mineau, F ; Pelletier, J P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - pharmacology</topic><topic>Calcium - metabolism</topic><topic>Cells, Cultured</topic><topic>Cyclic AMP - agonists</topic><topic>Cyclic AMP - antagonists &amp; inhibitors</topic><topic>Cyclic AMP - metabolism</topic><topic>Cyclic AMP Response Element-Binding Protein - biosynthesis</topic><topic>Dose-Response Relationship, Immunologic</topic><topic>Humans</topic><topic>Inflammation - drug therapy</topic><topic>Inflammation - immunology</topic><topic>Interleukin-1 - biosynthesis</topic><topic>Interleukin-1 - metabolism</topic><topic>Interleukin-10 - pharmacology</topic><topic>Interleukin-17</topic><topic>Interleukin-4 - pharmacology</topic><topic>Interleukins - pharmacology</topic><topic>Macrophage Activation</topic><topic>Macrophages - enzymology</topic><topic>Macrophages - immunology</topic><topic>Macrophages - metabolism</topic><topic>Middle Aged</topic><topic>NF-kappa B - biosynthesis</topic><topic>Protein Kinase Inhibitors</topic><topic>Time Factors</topic><topic>Transcription Factor AP-1 - biosynthesis</topic><topic>Tumor Necrosis Factor-alpha - biosynthesis</topic><topic>Tumor Necrosis Factor-alpha - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jovanovic, D V</creatorcontrib><creatorcontrib>Di Battista, J A</creatorcontrib><creatorcontrib>Martel-Pelletier, J</creatorcontrib><creatorcontrib>Jolicoeur, F C</creatorcontrib><creatorcontrib>He, Y</creatorcontrib><creatorcontrib>Zhang, M</creatorcontrib><creatorcontrib>Mineau, F</creatorcontrib><creatorcontrib>Pelletier, J P</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>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>Jovanovic, D V</au><au>Di Battista, J A</au><au>Martel-Pelletier, J</au><au>Jolicoeur, F C</au><au>He, Y</au><au>Zhang, M</au><au>Mineau, F</au><au>Pelletier, J P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages</atitle><jtitle>The Journal of immunology (1950)</jtitle><addtitle>J Immunol</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>160</volume><issue>7</issue><spage>3513</spage><epage>3521</epage><pages>3513-3521</pages><issn>0022-1767</issn><eissn>1550-6606</eissn><abstract>IL-17 is a newly described, T cell-derived cytokine with ill-defined physiologic properties. As such, we examined the release of proinflammatory mediators by human macrophages in response to recombinant human (rh) IL-17. IL-1beta and TNF-alpha expression and synthesis were up-regulated by rhIL-17 in a dose (ED50 was 50 +/- 9 ng/ml)- and time-dependent fashion, with cytokine accumulation reaching a zenith after 9 h. Release of IL-6, PGE2, IL-10, IL-12, IL-1R antagonist, and stromelysin was also stimulated by rhIL-17. IL-1beta and TNF-alpha mRNA expression levels were controlled by rhIL-17 in a complex manner with an initial 30-min inhibitory phase, and then up-regulation beginning at 1 h and reaching a plateau at about 3 h. The latter expression pattern closely mirrored the nuclear accumulation of the transcription factor nuclear factor-kappaB. cAMP mimetics isobutyl-1-methylxanthine (IBMX), forskolin, PGE2, and cholera toxin reversed rhIL-17-induced release of TNF-alpha, but had no consistent effect on induced IL-1beta synthesis. Induced release of TNF-alpha was also inhibited by serine/threonine protein kinase inhibitors KT-5720 (protein kinase A) and Calphostin C (protein kinase C), mitogen-activated protein kinase kinase inhibitor PD098059, and a nonspecific tyrosine kinase inhibitor, genistein. Calphostin C alone abrogated the rhIL-17-induced release of IL-1beta. The antiinflammatory cytokines IL-4 (p &lt; 0.01) and IL-10 (p &lt; 0.02) completely reversed rhIL-17-stimulated IL-1beta release, while IL-13 and TGF-beta2 were partially effective (59 and 43% diminution, respectively). IL-10 exerted a significant suppressive effect on IL-17-induced TNF-alpha release (99%, p &lt; 0.02), while the inhibitory effects of IL-4, IL-13, and TGF-beta2 on TNF-alpha secretion were partial (48, 10, and 23%, respectively). The data suggest a pivotal role for IL-17 in initiating and/or sustaining an inflammatory response.</abstract><cop>United States</cop><pmid>9531313</pmid><doi>10.4049/jimmunol.160.7.3513</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0022-1767
ispartof The Journal of immunology (1950), 1998-04, Vol.160 (7), p.3513-3521
issn 0022-1767
1550-6606
language eng
recordid cdi_proquest_miscellaneous_79763472
source EZB Electronic Journals Library
subjects Adult
Anti-Inflammatory Agents, Non-Steroidal - pharmacology
Calcium - metabolism
Cells, Cultured
Cyclic AMP - agonists
Cyclic AMP - antagonists & inhibitors
Cyclic AMP - metabolism
Cyclic AMP Response Element-Binding Protein - biosynthesis
Dose-Response Relationship, Immunologic
Humans
Inflammation - drug therapy
Inflammation - immunology
Interleukin-1 - biosynthesis
Interleukin-1 - metabolism
Interleukin-10 - pharmacology
Interleukin-17
Interleukin-4 - pharmacology
Interleukins - pharmacology
Macrophage Activation
Macrophages - enzymology
Macrophages - immunology
Macrophages - metabolism
Middle Aged
NF-kappa B - biosynthesis
Protein Kinase Inhibitors
Time Factors
Transcription Factor AP-1 - biosynthesis
Tumor Necrosis Factor-alpha - biosynthesis
Tumor Necrosis Factor-alpha - metabolism
title IL-17 stimulates the production and expression of proinflammatory cytokines, IL-beta and TNF-alpha, by human macrophages
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T12%3A14%3A35IST&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=IL-17%20stimulates%20the%20production%20and%20expression%20of%20proinflammatory%20cytokines,%20IL-beta%20and%20TNF-alpha,%20by%20human%20macrophages&rft.jtitle=The%20Journal%20of%20immunology%20(1950)&rft.au=Jovanovic,%20D%20V&rft.date=1998-04-01&rft.volume=160&rft.issue=7&rft.spage=3513&rft.epage=3521&rft.pages=3513-3521&rft.issn=0022-1767&rft.eissn=1550-6606&rft_id=info:doi/10.4049/jimmunol.160.7.3513&rft_dat=%3Cproquest_cross%3E79763472%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c376t-91b099936eda2bb25af5343876aa0511f62b0f93cbd0e6ea6fc5c643ac9539403%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=16282774&rft_id=info:pmid/9531313&rfr_iscdi=true