Loading…
Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection
Abstract Respiratory syncytial virus (RSV) is the major leading cause of infantile viral bronchiolitis. However, cellular phenotypes contributing to the RSV protection and vaccine-enhanced disease remain largely unknown. Upon RSV challenge, we analyzed phenotypes and cellularity in the lung of mice...
Saved in:
Published in: | Virology (New York, N.Y.) N.Y.), 2015-11, Vol.485, p.36-46 |
---|---|
Main Authors: | , , , , , , , , , |
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-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3 |
---|---|
cites | cdi_FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3 |
container_end_page | 46 |
container_issue | |
container_start_page | 36 |
container_title | Virology (New York, N.Y.) |
container_volume | 485 |
creator | Lee, Young-Tae Kim, Ki-Hye Hwang, Hye Suk Lee, Youri Kwon, Young-Man Ko, Eun-Ju Jung, Yu-Jin Lee, Yu-Na Kim, Min-Chul Kang, Sang-Moo |
description | Abstract Respiratory syncytial virus (RSV) is the major leading cause of infantile viral bronchiolitis. However, cellular phenotypes contributing to the RSV protection and vaccine-enhanced disease remain largely unknown. Upon RSV challenge, we analyzed phenotypes and cellularity in the lung of mice that were naïve, immunized with formalin inactivated RSV (FI-RSV), or re-infected with RSV. In comparison with naïve and live RSV re-infected mice, the high levels of eosinophils, neutrophils, plasmacytoid and CD11b+ dendritic cells, and IL-4+ CD4+ T cells were found to be contributing to pulmonary inflammation in FI-RSV immune mice despite lung viral clearance. Alveolar macrophages appeared to play differential roles in protection and inflammation upon RSV infection of different RSV immune mice. These results suggest that multiple innate and adaptive immune components differentially contribute to RSV disease and inflammation. |
doi_str_mv | 10.1016/j.virol.2015.07.001 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4619147</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0042682215003086</els_id><sourcerecordid>1727439252</sourcerecordid><originalsourceid>FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3</originalsourceid><addsrcrecordid>eNqFUsFu1TAQjBCIvha-AAn5yCXBduI4OVAJVVAqVeIAnC3H2bT7SOxgO09KP4JvxukrFXDhZK09O7M74yx7xWjBKKvf7osDejcWnDJRUFlQyp5kO0bbOqdlxZ5mO0orntcN5yfZaQh7mmop6fPshNesrXnJd9nPK2t1BKJtT3Sv54gHIAbGcRm1J_MtWBfXGQIxzkaP3RLR3pDoyLyMk7Par6THADoAQUsmNIlqiOCJhzCj19ElRFitWSPqkaSJl0BwmhaLdzqis_fKaAcwW_UiezboMcDLh_Ms-_bxw9eLT_n158uri_fXuRGsirnQrKem48MgoenbRpSyMkJU6UIMzdDXnWglr3sQA7BGQ8UY17JikjOoO9DlWXZ-5J2XboLeQFpOj2r2OKWVlNOo_n6xeKtu3EFVyTlWyUTw5oHAux8LhKgmDJtv2oJbgkpSsipbLniClkeo8S4ED8OjDKNqS1Lt1X2SaktSUalSkqnr9Z8TPvb8ji4B3h0BkHw6IHgVDII10KNPZqre4X8Ezv_pNyNaNHr8DiuEvVu8TREopgJXVH3ZPtP2l5igtKRNXf4CSa_LmQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1727439252</pqid></control><display><type>article</type><title>Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection</title><source>ScienceDirect Journals</source><creator>Lee, Young-Tae ; Kim, Ki-Hye ; Hwang, Hye Suk ; Lee, Youri ; Kwon, Young-Man ; Ko, Eun-Ju ; Jung, Yu-Jin ; Lee, Yu-Na ; Kim, Min-Chul ; Kang, Sang-Moo</creator><creatorcontrib>Lee, Young-Tae ; Kim, Ki-Hye ; Hwang, Hye Suk ; Lee, Youri ; Kwon, Young-Man ; Ko, Eun-Ju ; Jung, Yu-Jin ; Lee, Yu-Na ; Kim, Min-Chul ; Kang, Sang-Moo</creatorcontrib><description>Abstract Respiratory syncytial virus (RSV) is the major leading cause of infantile viral bronchiolitis. However, cellular phenotypes contributing to the RSV protection and vaccine-enhanced disease remain largely unknown. Upon RSV challenge, we analyzed phenotypes and cellularity in the lung of mice that were naïve, immunized with formalin inactivated RSV (FI-RSV), or re-infected with RSV. In comparison with naïve and live RSV re-infected mice, the high levels of eosinophils, neutrophils, plasmacytoid and CD11b+ dendritic cells, and IL-4+ CD4+ T cells were found to be contributing to pulmonary inflammation in FI-RSV immune mice despite lung viral clearance. Alveolar macrophages appeared to play differential roles in protection and inflammation upon RSV infection of different RSV immune mice. These results suggest that multiple innate and adaptive immune components differentially contribute to RSV disease and inflammation.</description><identifier>ISSN: 0042-6822</identifier><identifier>EISSN: 1096-0341</identifier><identifier>DOI: 10.1016/j.virol.2015.07.001</identifier><identifier>PMID: 26196232</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adaptive Immunity ; Alveolar macrophages ; Animals ; CD4-Positive T-Lymphocytes - immunology ; CD4-Positive T-Lymphocytes - pathology ; CD4-Positive T-Lymphocytes - virology ; Clodronate liposome ; Clodronic Acid - pharmacology ; Dendritic Cells - immunology ; Dendritic Cells - pathology ; Dendritic Cells - virology ; Eosinophils - immunology ; Eosinophils - pathology ; Eosinophils - virology ; Female ; Formaldehyde ; Formalin-inactivated RSV ; Immunity, Innate ; Immunization ; Infectious Disease ; Interleukin-4 - biosynthesis ; Liposomes - pharmacology ; Lung - drug effects ; Lung - immunology ; Lung - pathology ; Lung - virology ; Macrophages, Alveolar - drug effects ; Macrophages, Alveolar - immunology ; Macrophages, Alveolar - pathology ; Macrophages, Alveolar - virology ; Mice ; Mice, Inbred BALB C ; Neutrophils - immunology ; Neutrophils - pathology ; Neutrophils - virology ; Phenotype ; Respiratory syncytial virus (RSV) ; Respiratory Syncytial Virus Infections - immunology ; Respiratory Syncytial Virus Infections - pathology ; Respiratory Syncytial Virus Infections - prevention & control ; Respiratory Syncytial Virus Infections - virology ; Respiratory Syncytial Virus Vaccines - administration & dosage ; Respiratory Syncytial Viruses ; Vaccine ; Vaccines, Inactivated</subject><ispartof>Virology (New York, N.Y.), 2015-11, Vol.485, p.36-46</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3</citedby><cites>FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3</cites><orcidid>0000-0001-6198-331X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26196232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Young-Tae</creatorcontrib><creatorcontrib>Kim, Ki-Hye</creatorcontrib><creatorcontrib>Hwang, Hye Suk</creatorcontrib><creatorcontrib>Lee, Youri</creatorcontrib><creatorcontrib>Kwon, Young-Man</creatorcontrib><creatorcontrib>Ko, Eun-Ju</creatorcontrib><creatorcontrib>Jung, Yu-Jin</creatorcontrib><creatorcontrib>Lee, Yu-Na</creatorcontrib><creatorcontrib>Kim, Min-Chul</creatorcontrib><creatorcontrib>Kang, Sang-Moo</creatorcontrib><title>Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection</title><title>Virology (New York, N.Y.)</title><addtitle>Virology</addtitle><description>Abstract Respiratory syncytial virus (RSV) is the major leading cause of infantile viral bronchiolitis. However, cellular phenotypes contributing to the RSV protection and vaccine-enhanced disease remain largely unknown. Upon RSV challenge, we analyzed phenotypes and cellularity in the lung of mice that were naïve, immunized with formalin inactivated RSV (FI-RSV), or re-infected with RSV. In comparison with naïve and live RSV re-infected mice, the high levels of eosinophils, neutrophils, plasmacytoid and CD11b+ dendritic cells, and IL-4+ CD4+ T cells were found to be contributing to pulmonary inflammation in FI-RSV immune mice despite lung viral clearance. Alveolar macrophages appeared to play differential roles in protection and inflammation upon RSV infection of different RSV immune mice. These results suggest that multiple innate and adaptive immune components differentially contribute to RSV disease and inflammation.</description><subject>Adaptive Immunity</subject><subject>Alveolar macrophages</subject><subject>Animals</subject><subject>CD4-Positive T-Lymphocytes - immunology</subject><subject>CD4-Positive T-Lymphocytes - pathology</subject><subject>CD4-Positive T-Lymphocytes - virology</subject><subject>Clodronate liposome</subject><subject>Clodronic Acid - pharmacology</subject><subject>Dendritic Cells - immunology</subject><subject>Dendritic Cells - pathology</subject><subject>Dendritic Cells - virology</subject><subject>Eosinophils - immunology</subject><subject>Eosinophils - pathology</subject><subject>Eosinophils - virology</subject><subject>Female</subject><subject>Formaldehyde</subject><subject>Formalin-inactivated RSV</subject><subject>Immunity, Innate</subject><subject>Immunization</subject><subject>Infectious Disease</subject><subject>Interleukin-4 - biosynthesis</subject><subject>Liposomes - pharmacology</subject><subject>Lung - drug effects</subject><subject>Lung - immunology</subject><subject>Lung - pathology</subject><subject>Lung - virology</subject><subject>Macrophages, Alveolar - drug effects</subject><subject>Macrophages, Alveolar - immunology</subject><subject>Macrophages, Alveolar - pathology</subject><subject>Macrophages, Alveolar - virology</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Neutrophils - immunology</subject><subject>Neutrophils - pathology</subject><subject>Neutrophils - virology</subject><subject>Phenotype</subject><subject>Respiratory syncytial virus (RSV)</subject><subject>Respiratory Syncytial Virus Infections - immunology</subject><subject>Respiratory Syncytial Virus Infections - pathology</subject><subject>Respiratory Syncytial Virus Infections - prevention & control</subject><subject>Respiratory Syncytial Virus Infections - virology</subject><subject>Respiratory Syncytial Virus Vaccines - administration & dosage</subject><subject>Respiratory Syncytial Viruses</subject><subject>Vaccine</subject><subject>Vaccines, Inactivated</subject><issn>0042-6822</issn><issn>1096-0341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFUsFu1TAQjBCIvha-AAn5yCXBduI4OVAJVVAqVeIAnC3H2bT7SOxgO09KP4JvxukrFXDhZK09O7M74yx7xWjBKKvf7osDejcWnDJRUFlQyp5kO0bbOqdlxZ5mO0orntcN5yfZaQh7mmop6fPshNesrXnJd9nPK2t1BKJtT3Sv54gHIAbGcRm1J_MtWBfXGQIxzkaP3RLR3pDoyLyMk7Par6THADoAQUsmNIlqiOCJhzCj19ElRFitWSPqkaSJl0BwmhaLdzqis_fKaAcwW_UiezboMcDLh_Ms-_bxw9eLT_n158uri_fXuRGsirnQrKem48MgoenbRpSyMkJU6UIMzdDXnWglr3sQA7BGQ8UY17JikjOoO9DlWXZ-5J2XboLeQFpOj2r2OKWVlNOo_n6xeKtu3EFVyTlWyUTw5oHAux8LhKgmDJtv2oJbgkpSsipbLniClkeo8S4ED8OjDKNqS1Lt1X2SaktSUalSkqnr9Z8TPvb8ji4B3h0BkHw6IHgVDII10KNPZqre4X8Ezv_pNyNaNHr8DiuEvVu8TREopgJXVH3ZPtP2l5igtKRNXf4CSa_LmQ</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Lee, Young-Tae</creator><creator>Kim, Ki-Hye</creator><creator>Hwang, Hye Suk</creator><creator>Lee, Youri</creator><creator>Kwon, Young-Man</creator><creator>Ko, Eun-Ju</creator><creator>Jung, Yu-Jin</creator><creator>Lee, Yu-Na</creator><creator>Kim, Min-Chul</creator><creator>Kang, Sang-Moo</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6198-331X</orcidid></search><sort><creationdate>20151101</creationdate><title>Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection</title><author>Lee, Young-Tae ; Kim, Ki-Hye ; Hwang, Hye Suk ; Lee, Youri ; Kwon, Young-Man ; Ko, Eun-Ju ; Jung, Yu-Jin ; Lee, Yu-Na ; Kim, Min-Chul ; Kang, Sang-Moo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptive Immunity</topic><topic>Alveolar macrophages</topic><topic>Animals</topic><topic>CD4-Positive T-Lymphocytes - immunology</topic><topic>CD4-Positive T-Lymphocytes - pathology</topic><topic>CD4-Positive T-Lymphocytes - virology</topic><topic>Clodronate liposome</topic><topic>Clodronic Acid - pharmacology</topic><topic>Dendritic Cells - immunology</topic><topic>Dendritic Cells - pathology</topic><topic>Dendritic Cells - virology</topic><topic>Eosinophils - immunology</topic><topic>Eosinophils - pathology</topic><topic>Eosinophils - virology</topic><topic>Female</topic><topic>Formaldehyde</topic><topic>Formalin-inactivated RSV</topic><topic>Immunity, Innate</topic><topic>Immunization</topic><topic>Infectious Disease</topic><topic>Interleukin-4 - biosynthesis</topic><topic>Liposomes - pharmacology</topic><topic>Lung - drug effects</topic><topic>Lung - immunology</topic><topic>Lung - pathology</topic><topic>Lung - virology</topic><topic>Macrophages, Alveolar - drug effects</topic><topic>Macrophages, Alveolar - immunology</topic><topic>Macrophages, Alveolar - pathology</topic><topic>Macrophages, Alveolar - virology</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Neutrophils - immunology</topic><topic>Neutrophils - pathology</topic><topic>Neutrophils - virology</topic><topic>Phenotype</topic><topic>Respiratory syncytial virus (RSV)</topic><topic>Respiratory Syncytial Virus Infections - immunology</topic><topic>Respiratory Syncytial Virus Infections - pathology</topic><topic>Respiratory Syncytial Virus Infections - prevention & control</topic><topic>Respiratory Syncytial Virus Infections - virology</topic><topic>Respiratory Syncytial Virus Vaccines - administration & dosage</topic><topic>Respiratory Syncytial Viruses</topic><topic>Vaccine</topic><topic>Vaccines, Inactivated</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Young-Tae</creatorcontrib><creatorcontrib>Kim, Ki-Hye</creatorcontrib><creatorcontrib>Hwang, Hye Suk</creatorcontrib><creatorcontrib>Lee, Youri</creatorcontrib><creatorcontrib>Kwon, Young-Man</creatorcontrib><creatorcontrib>Ko, Eun-Ju</creatorcontrib><creatorcontrib>Jung, Yu-Jin</creatorcontrib><creatorcontrib>Lee, Yu-Na</creatorcontrib><creatorcontrib>Kim, Min-Chul</creatorcontrib><creatorcontrib>Kang, Sang-Moo</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Virology (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Young-Tae</au><au>Kim, Ki-Hye</au><au>Hwang, Hye Suk</au><au>Lee, Youri</au><au>Kwon, Young-Man</au><au>Ko, Eun-Ju</au><au>Jung, Yu-Jin</au><au>Lee, Yu-Na</au><au>Kim, Min-Chul</au><au>Kang, Sang-Moo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection</atitle><jtitle>Virology (New York, N.Y.)</jtitle><addtitle>Virology</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>485</volume><spage>36</spage><epage>46</epage><pages>36-46</pages><issn>0042-6822</issn><eissn>1096-0341</eissn><abstract>Abstract Respiratory syncytial virus (RSV) is the major leading cause of infantile viral bronchiolitis. However, cellular phenotypes contributing to the RSV protection and vaccine-enhanced disease remain largely unknown. Upon RSV challenge, we analyzed phenotypes and cellularity in the lung of mice that were naïve, immunized with formalin inactivated RSV (FI-RSV), or re-infected with RSV. In comparison with naïve and live RSV re-infected mice, the high levels of eosinophils, neutrophils, plasmacytoid and CD11b+ dendritic cells, and IL-4+ CD4+ T cells were found to be contributing to pulmonary inflammation in FI-RSV immune mice despite lung viral clearance. Alveolar macrophages appeared to play differential roles in protection and inflammation upon RSV infection of different RSV immune mice. These results suggest that multiple innate and adaptive immune components differentially contribute to RSV disease and inflammation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26196232</pmid><doi>10.1016/j.virol.2015.07.001</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6198-331X</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0042-6822 |
ispartof | Virology (New York, N.Y.), 2015-11, Vol.485, p.36-46 |
issn | 0042-6822 1096-0341 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4619147 |
source | ScienceDirect Journals |
subjects | Adaptive Immunity Alveolar macrophages Animals CD4-Positive T-Lymphocytes - immunology CD4-Positive T-Lymphocytes - pathology CD4-Positive T-Lymphocytes - virology Clodronate liposome Clodronic Acid - pharmacology Dendritic Cells - immunology Dendritic Cells - pathology Dendritic Cells - virology Eosinophils - immunology Eosinophils - pathology Eosinophils - virology Female Formaldehyde Formalin-inactivated RSV Immunity, Innate Immunization Infectious Disease Interleukin-4 - biosynthesis Liposomes - pharmacology Lung - drug effects Lung - immunology Lung - pathology Lung - virology Macrophages, Alveolar - drug effects Macrophages, Alveolar - immunology Macrophages, Alveolar - pathology Macrophages, Alveolar - virology Mice Mice, Inbred BALB C Neutrophils - immunology Neutrophils - pathology Neutrophils - virology Phenotype Respiratory syncytial virus (RSV) Respiratory Syncytial Virus Infections - immunology Respiratory Syncytial Virus Infections - pathology Respiratory Syncytial Virus Infections - prevention & control Respiratory Syncytial Virus Infections - virology Respiratory Syncytial Virus Vaccines - administration & dosage Respiratory Syncytial Viruses Vaccine Vaccines, Inactivated |
title | Innate and adaptive cellular phenotypes contributing to pulmonary disease in mice after respiratory syncytial virus immunization and infection |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T23%3A49%3A47IST&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=Innate%20and%20adaptive%20cellular%20phenotypes%20contributing%20to%20pulmonary%20disease%20in%20mice%20after%20respiratory%20syncytial%20virus%20immunization%20and%20infection&rft.jtitle=Virology%20(New%20York,%20N.Y.)&rft.au=Lee,%20Young-Tae&rft.date=2015-11-01&rft.volume=485&rft.spage=36&rft.epage=46&rft.pages=36-46&rft.issn=0042-6822&rft.eissn=1096-0341&rft_id=info:doi/10.1016/j.virol.2015.07.001&rft_dat=%3Cproquest_pubme%3E1727439252%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c514t-5a1d0cb2ff7e8d985374c5542ff5f8fd6b59726de5fe18ae4112a741721e6bea3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1727439252&rft_id=info:pmid/26196232&rfr_iscdi=true |