Loading…

Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection

Infection with gastrointestinal nematodes exerts profound effects on both immune and physiological responses of the host. Helminth infection induces a hypercontractility of intestinal smooth muscle that is dependent on the Th2 cytokines, IL-4 and IL-13, and may contribute to worm expulsion. Protease...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of immunology (1950) 2005-08, Vol.175 (4), p.2563-2569
Main Authors: Zhao, Aiping, Morimoto, Motoko, Dawson, Harry, Elfrey, Justin E, Madden, Kathleen B, Gause, William C, Min, Booki, Finkelman, Fred D, Urban, Joseph F. Jr, Shea-Donohue, Terez
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-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3
cites cdi_FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3
container_end_page 2569
container_issue 4
container_start_page 2563
container_title The Journal of immunology (1950)
container_volume 175
creator Zhao, Aiping
Morimoto, Motoko
Dawson, Harry
Elfrey, Justin E
Madden, Kathleen B
Gause, William C
Min, Booki
Finkelman, Fred D
Urban, Joseph F. Jr
Shea-Donohue, Terez
description Infection with gastrointestinal nematodes exerts profound effects on both immune and physiological responses of the host. Helminth infection induces a hypercontractility of intestinal smooth muscle that is dependent on the Th2 cytokines, IL-4 and IL-13, and may contribute to worm expulsion. Protease-activated receptors (PARs) are expressed throughout the gut, and activation of PAR-1 was observed in asthma, a Th2-driven pathology. In the current study we investigated the physiologic and immunologic regulation of PAR-1 in the murine small intestine, specifically 1) the effect of PAR-1 agonists on small intestinal smooth muscle contractility, 2) the effects of Nippostrongylus brasiliensis infection on PAR-1 responses, 3) the roles of IL-13 and IL-4 in N. brasiliensis infection-induced alterations in PAR-1 responses, and 4) the STAT6 dependence of these responses. We demonstrate that PAR-1 activation induces contraction of murine intestinal smooth muscle that is enhanced during helminth infection. This hypercontractility is associated with an elevated expression of PAR-1 mRNA and protein. N. brasiliensis-induced changes in PAR-1 function and expression were seen in IL-4-deficient mice, but not in IL-13- or STAT6-deficient mice, indicating the dependence of IL-13 on the STAT6 signaling pathway independent of IL-4.
doi_str_mv 10.4049/jimmunol.175.4.2563
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2000333</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>17594415</sourcerecordid><originalsourceid>FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3</originalsourceid><addsrcrecordid>eNpVkdtu1DAQhi0EomXhCZAgV3CVxY4P69wgVVWBlcpBlF5bTjLJunLiYDtd-gC8N7Z2gdY347G_-ceeH6GXBK8ZZvW7GzOOy-Tsmmz4mq0rLugjdEo4x6UQWDy-tz9Bz0K4wRgLXLGn6IQILImk-BT93mYRKL7DsFgdjZsK1xffvIugA5RnbTS3OkKXgBbm6HxJiotfs4cQMmum4vPiTRK4GrW1xXaKEGLOu3w8FF_MPLsQvZuGO7uEovE6GGtgCiYkuoc293yOnvTaBnhxjCt0_eHix_mn8vLrx-352WXZMl7HEjjtGSV9TTqQouVSdhXppaRNIzCp66puOglVw4nuNecpMug2eJM4LKQAukLvD7rz0ozQtTBFr62avRm1v1NOG_XwZjI7NbhbVaXZ0bRW6M1RwLufS_qqGk1owVo9gVuCSlbUjBGeQHoAW-9C8ND_a0Kwyvapv_blGsVUti9Vvbr_vv81R78S8PYA7Myw2xsPKuS5J5yo_X7_QOr1gey1U3rwJqjrqwoTiomsNrgW9A9PQbPT</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>17594415</pqid></control><display><type>article</type><title>Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection</title><source>EZB Electronic Journals Library</source><creator>Zhao, Aiping ; Morimoto, Motoko ; Dawson, Harry ; Elfrey, Justin E ; Madden, Kathleen B ; Gause, William C ; Min, Booki ; Finkelman, Fred D ; Urban, Joseph F. Jr ; Shea-Donohue, Terez</creator><creatorcontrib>Zhao, Aiping ; Morimoto, Motoko ; Dawson, Harry ; Elfrey, Justin E ; Madden, Kathleen B ; Gause, William C ; Min, Booki ; Finkelman, Fred D ; Urban, Joseph F. Jr ; Shea-Donohue, Terez</creatorcontrib><description>Infection with gastrointestinal nematodes exerts profound effects on both immune and physiological responses of the host. Helminth infection induces a hypercontractility of intestinal smooth muscle that is dependent on the Th2 cytokines, IL-4 and IL-13, and may contribute to worm expulsion. Protease-activated receptors (PARs) are expressed throughout the gut, and activation of PAR-1 was observed in asthma, a Th2-driven pathology. In the current study we investigated the physiologic and immunologic regulation of PAR-1 in the murine small intestine, specifically 1) the effect of PAR-1 agonists on small intestinal smooth muscle contractility, 2) the effects of Nippostrongylus brasiliensis infection on PAR-1 responses, 3) the roles of IL-13 and IL-4 in N. brasiliensis infection-induced alterations in PAR-1 responses, and 4) the STAT6 dependence of these responses. We demonstrate that PAR-1 activation induces contraction of murine intestinal smooth muscle that is enhanced during helminth infection. This hypercontractility is associated with an elevated expression of PAR-1 mRNA and protein. N. brasiliensis-induced changes in PAR-1 function and expression were seen in IL-4-deficient mice, but not in IL-13- or STAT6-deficient mice, indicating the dependence of IL-13 on the STAT6 signaling pathway independent of IL-4.</description><identifier>ISSN: 1550-6606</identifier><identifier>ISSN: 0022-1767</identifier><identifier>EISSN: 1550-6606</identifier><identifier>DOI: 10.4049/jimmunol.175.4.2563</identifier><identifier>PMID: 16081830</identifier><language>eng</language><publisher>United States: Am Assoc Immnol</publisher><subject>Animals ; Dose-Response Relationship, Drug ; Female ; gene expression ; immune response ; Interleukin-13 - administration &amp; dosage ; Interleukin-13 - deficiency ; Interleukin-13 - physiology ; Interleukin-4 - deficiency ; Interleukin-4 - genetics ; Interleukin-4 - physiology ; Jejunum - drug effects ; Jejunum - immunology ; Jejunum - metabolism ; Jejunum - parasitology ; messenger RNA ; Mice ; Mice, Inbred BALB C ; Mice, Knockout ; muscle contraction ; Muscle Contraction - drug effects ; Muscle, Smooth - drug effects ; Muscle, Smooth - physiology ; Nematoda ; nematode infections ; Nippostrongylus - immunology ; Nippostrongylus brasiliensis ; Oligopeptides - pharmacology ; protease-activated receptor-1 ; proteinases ; Receptor, PAR-1 - agonists ; Receptor, PAR-1 - biosynthesis ; Receptor, PAR-1 - metabolism ; receptors ; small intestine ; smooth muscle ; STAT6 Transcription Factor - deficiency ; STAT6 Transcription Factor - genetics ; STAT6 Transcription Factor - physiology ; Strongylida Infections - immunology ; Strongylida Infections - metabolism ; Up-Regulation - immunology</subject><ispartof>The Journal of immunology (1950), 2005-08, Vol.175 (4), p.2563-2569</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3</citedby><cites>FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16081830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Aiping</creatorcontrib><creatorcontrib>Morimoto, Motoko</creatorcontrib><creatorcontrib>Dawson, Harry</creatorcontrib><creatorcontrib>Elfrey, Justin E</creatorcontrib><creatorcontrib>Madden, Kathleen B</creatorcontrib><creatorcontrib>Gause, William C</creatorcontrib><creatorcontrib>Min, Booki</creatorcontrib><creatorcontrib>Finkelman, Fred D</creatorcontrib><creatorcontrib>Urban, Joseph F. Jr</creatorcontrib><creatorcontrib>Shea-Donohue, Terez</creatorcontrib><title>Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection</title><title>The Journal of immunology (1950)</title><addtitle>J Immunol</addtitle><description>Infection with gastrointestinal nematodes exerts profound effects on both immune and physiological responses of the host. Helminth infection induces a hypercontractility of intestinal smooth muscle that is dependent on the Th2 cytokines, IL-4 and IL-13, and may contribute to worm expulsion. Protease-activated receptors (PARs) are expressed throughout the gut, and activation of PAR-1 was observed in asthma, a Th2-driven pathology. In the current study we investigated the physiologic and immunologic regulation of PAR-1 in the murine small intestine, specifically 1) the effect of PAR-1 agonists on small intestinal smooth muscle contractility, 2) the effects of Nippostrongylus brasiliensis infection on PAR-1 responses, 3) the roles of IL-13 and IL-4 in N. brasiliensis infection-induced alterations in PAR-1 responses, and 4) the STAT6 dependence of these responses. We demonstrate that PAR-1 activation induces contraction of murine intestinal smooth muscle that is enhanced during helminth infection. This hypercontractility is associated with an elevated expression of PAR-1 mRNA and protein. N. brasiliensis-induced changes in PAR-1 function and expression were seen in IL-4-deficient mice, but not in IL-13- or STAT6-deficient mice, indicating the dependence of IL-13 on the STAT6 signaling pathway independent of IL-4.</description><subject>Animals</subject><subject>Dose-Response Relationship, Drug</subject><subject>Female</subject><subject>gene expression</subject><subject>immune response</subject><subject>Interleukin-13 - administration &amp; dosage</subject><subject>Interleukin-13 - deficiency</subject><subject>Interleukin-13 - physiology</subject><subject>Interleukin-4 - deficiency</subject><subject>Interleukin-4 - genetics</subject><subject>Interleukin-4 - physiology</subject><subject>Jejunum - drug effects</subject><subject>Jejunum - immunology</subject><subject>Jejunum - metabolism</subject><subject>Jejunum - parasitology</subject><subject>messenger RNA</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Mice, Knockout</subject><subject>muscle contraction</subject><subject>Muscle Contraction - drug effects</subject><subject>Muscle, Smooth - drug effects</subject><subject>Muscle, Smooth - physiology</subject><subject>Nematoda</subject><subject>nematode infections</subject><subject>Nippostrongylus - immunology</subject><subject>Nippostrongylus brasiliensis</subject><subject>Oligopeptides - pharmacology</subject><subject>protease-activated receptor-1</subject><subject>proteinases</subject><subject>Receptor, PAR-1 - agonists</subject><subject>Receptor, PAR-1 - biosynthesis</subject><subject>Receptor, PAR-1 - metabolism</subject><subject>receptors</subject><subject>small intestine</subject><subject>smooth muscle</subject><subject>STAT6 Transcription Factor - deficiency</subject><subject>STAT6 Transcription Factor - genetics</subject><subject>STAT6 Transcription Factor - physiology</subject><subject>Strongylida Infections - immunology</subject><subject>Strongylida Infections - metabolism</subject><subject>Up-Regulation - immunology</subject><issn>1550-6606</issn><issn>0022-1767</issn><issn>1550-6606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNpVkdtu1DAQhi0EomXhCZAgV3CVxY4P69wgVVWBlcpBlF5bTjLJunLiYDtd-gC8N7Z2gdY347G_-ceeH6GXBK8ZZvW7GzOOy-Tsmmz4mq0rLugjdEo4x6UQWDy-tz9Bz0K4wRgLXLGn6IQILImk-BT93mYRKL7DsFgdjZsK1xffvIugA5RnbTS3OkKXgBbm6HxJiotfs4cQMmum4vPiTRK4GrW1xXaKEGLOu3w8FF_MPLsQvZuGO7uEovE6GGtgCiYkuoc293yOnvTaBnhxjCt0_eHix_mn8vLrx-352WXZMl7HEjjtGSV9TTqQouVSdhXppaRNIzCp66puOglVw4nuNecpMug2eJM4LKQAukLvD7rz0ozQtTBFr62avRm1v1NOG_XwZjI7NbhbVaXZ0bRW6M1RwLufS_qqGk1owVo9gVuCSlbUjBGeQHoAW-9C8ND_a0Kwyvapv_blGsVUti9Vvbr_vv81R78S8PYA7Myw2xsPKuS5J5yo_X7_QOr1gey1U3rwJqjrqwoTiomsNrgW9A9PQbPT</recordid><startdate>20050815</startdate><enddate>20050815</enddate><creator>Zhao, Aiping</creator><creator>Morimoto, Motoko</creator><creator>Dawson, Harry</creator><creator>Elfrey, Justin E</creator><creator>Madden, Kathleen B</creator><creator>Gause, William C</creator><creator>Min, Booki</creator><creator>Finkelman, Fred D</creator><creator>Urban, Joseph F. Jr</creator><creator>Shea-Donohue, Terez</creator><general>Am Assoc Immnol</general><scope>FBQ</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>7T5</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20050815</creationdate><title>Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection</title><author>Zhao, Aiping ; Morimoto, Motoko ; Dawson, Harry ; Elfrey, Justin E ; Madden, Kathleen B ; Gause, William C ; Min, Booki ; Finkelman, Fred D ; Urban, Joseph F. Jr ; Shea-Donohue, Terez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Animals</topic><topic>Dose-Response Relationship, Drug</topic><topic>Female</topic><topic>gene expression</topic><topic>immune response</topic><topic>Interleukin-13 - administration &amp; dosage</topic><topic>Interleukin-13 - deficiency</topic><topic>Interleukin-13 - physiology</topic><topic>Interleukin-4 - deficiency</topic><topic>Interleukin-4 - genetics</topic><topic>Interleukin-4 - physiology</topic><topic>Jejunum - drug effects</topic><topic>Jejunum - immunology</topic><topic>Jejunum - metabolism</topic><topic>Jejunum - parasitology</topic><topic>messenger RNA</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Mice, Knockout</topic><topic>muscle contraction</topic><topic>Muscle Contraction - drug effects</topic><topic>Muscle, Smooth - drug effects</topic><topic>Muscle, Smooth - physiology</topic><topic>Nematoda</topic><topic>nematode infections</topic><topic>Nippostrongylus - immunology</topic><topic>Nippostrongylus brasiliensis</topic><topic>Oligopeptides - pharmacology</topic><topic>protease-activated receptor-1</topic><topic>proteinases</topic><topic>Receptor, PAR-1 - agonists</topic><topic>Receptor, PAR-1 - biosynthesis</topic><topic>Receptor, PAR-1 - metabolism</topic><topic>receptors</topic><topic>small intestine</topic><topic>smooth muscle</topic><topic>STAT6 Transcription Factor - deficiency</topic><topic>STAT6 Transcription Factor - genetics</topic><topic>STAT6 Transcription Factor - physiology</topic><topic>Strongylida Infections - immunology</topic><topic>Strongylida Infections - metabolism</topic><topic>Up-Regulation - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Aiping</creatorcontrib><creatorcontrib>Morimoto, Motoko</creatorcontrib><creatorcontrib>Dawson, Harry</creatorcontrib><creatorcontrib>Elfrey, Justin E</creatorcontrib><creatorcontrib>Madden, Kathleen B</creatorcontrib><creatorcontrib>Gause, William C</creatorcontrib><creatorcontrib>Min, Booki</creatorcontrib><creatorcontrib>Finkelman, Fred D</creatorcontrib><creatorcontrib>Urban, Joseph F. Jr</creatorcontrib><creatorcontrib>Shea-Donohue, Terez</creatorcontrib><collection>AGRIS</collection><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>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of immunology (1950)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Aiping</au><au>Morimoto, Motoko</au><au>Dawson, Harry</au><au>Elfrey, Justin E</au><au>Madden, Kathleen B</au><au>Gause, William C</au><au>Min, Booki</au><au>Finkelman, Fred D</au><au>Urban, Joseph F. Jr</au><au>Shea-Donohue, Terez</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection</atitle><jtitle>The Journal of immunology (1950)</jtitle><addtitle>J Immunol</addtitle><date>2005-08-15</date><risdate>2005</risdate><volume>175</volume><issue>4</issue><spage>2563</spage><epage>2569</epage><pages>2563-2569</pages><issn>1550-6606</issn><issn>0022-1767</issn><eissn>1550-6606</eissn><abstract>Infection with gastrointestinal nematodes exerts profound effects on both immune and physiological responses of the host. Helminth infection induces a hypercontractility of intestinal smooth muscle that is dependent on the Th2 cytokines, IL-4 and IL-13, and may contribute to worm expulsion. Protease-activated receptors (PARs) are expressed throughout the gut, and activation of PAR-1 was observed in asthma, a Th2-driven pathology. In the current study we investigated the physiologic and immunologic regulation of PAR-1 in the murine small intestine, specifically 1) the effect of PAR-1 agonists on small intestinal smooth muscle contractility, 2) the effects of Nippostrongylus brasiliensis infection on PAR-1 responses, 3) the roles of IL-13 and IL-4 in N. brasiliensis infection-induced alterations in PAR-1 responses, and 4) the STAT6 dependence of these responses. We demonstrate that PAR-1 activation induces contraction of murine intestinal smooth muscle that is enhanced during helminth infection. This hypercontractility is associated with an elevated expression of PAR-1 mRNA and protein. N. brasiliensis-induced changes in PAR-1 function and expression were seen in IL-4-deficient mice, but not in IL-13- or STAT6-deficient mice, indicating the dependence of IL-13 on the STAT6 signaling pathway independent of IL-4.</abstract><cop>United States</cop><pub>Am Assoc Immnol</pub><pmid>16081830</pmid><doi>10.4049/jimmunol.175.4.2563</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1550-6606
ispartof The Journal of immunology (1950), 2005-08, Vol.175 (4), p.2563-2569
issn 1550-6606
0022-1767
1550-6606
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2000333
source EZB Electronic Journals Library
subjects Animals
Dose-Response Relationship, Drug
Female
gene expression
immune response
Interleukin-13 - administration & dosage
Interleukin-13 - deficiency
Interleukin-13 - physiology
Interleukin-4 - deficiency
Interleukin-4 - genetics
Interleukin-4 - physiology
Jejunum - drug effects
Jejunum - immunology
Jejunum - metabolism
Jejunum - parasitology
messenger RNA
Mice
Mice, Inbred BALB C
Mice, Knockout
muscle contraction
Muscle Contraction - drug effects
Muscle, Smooth - drug effects
Muscle, Smooth - physiology
Nematoda
nematode infections
Nippostrongylus - immunology
Nippostrongylus brasiliensis
Oligopeptides - pharmacology
protease-activated receptor-1
proteinases
Receptor, PAR-1 - agonists
Receptor, PAR-1 - biosynthesis
Receptor, PAR-1 - metabolism
receptors
small intestine
smooth muscle
STAT6 Transcription Factor - deficiency
STAT6 Transcription Factor - genetics
STAT6 Transcription Factor - physiology
Strongylida Infections - immunology
Strongylida Infections - metabolism
Up-Regulation - immunology
title Immune Regulation of Protease-Activated Receptor-1 Expression in Murine Small Intestine during Nippostrongylus brasiliensis Infection
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T21%3A55%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Immune%20Regulation%20of%20Protease-Activated%20Receptor-1%20Expression%20in%20Murine%20Small%20Intestine%20during%20Nippostrongylus%20brasiliensis%20Infection&rft.jtitle=The%20Journal%20of%20immunology%20(1950)&rft.au=Zhao,%20Aiping&rft.date=2005-08-15&rft.volume=175&rft.issue=4&rft.spage=2563&rft.epage=2569&rft.pages=2563-2569&rft.issn=1550-6606&rft.eissn=1550-6606&rft_id=info:doi/10.4049/jimmunol.175.4.2563&rft_dat=%3Cproquest_pubme%3E17594415%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c459t-e53f431f91de86c588d21f883bb6019929bd8e2b51afa55b514ed70788d0686e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=17594415&rft_id=info:pmid/16081830&rfr_iscdi=true