Loading…

The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain

The present study aimed to elucidate the role of cluster of differentiation (CD)8+, CD4+, natural killer (NK), and myeloid (CD11b+) cells in the course of the growth and rejection of experimental major histocompatibility complex (MHC) class I-deficient, HPV16 E6/E7-associated TC-1/A9 tumors in mice....

Full description

Saved in:
Bibliographic Details
Published in:Oncology letters 2018-03, Vol.15 (3), p.3594-3601
Main Authors: Indrová, Marie, Rossowska, Joanna, Pajtasz-Piasecka, Elzbieta, Mikyšková, Romana, Richter, Jan, Rosina, Jozef, Sedlacek, Radislav, Fišerová, Anna
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c467t-118eda2ac2b0d46333e943df2855a4443bc25843b2322995775f3d72eaf8d85b3
container_end_page 3601
container_issue 3
container_start_page 3594
container_title Oncology letters
container_volume 15
creator Indrová, Marie
Rossowska, Joanna
Pajtasz-Piasecka, Elzbieta
Mikyšková, Romana
Richter, Jan
Rosina, Jozef
Sedlacek, Radislav
Fišerová, Anna
description The present study aimed to elucidate the role of cluster of differentiation (CD)8+, CD4+, natural killer (NK), and myeloid (CD11b+) cells in the course of the growth and rejection of experimental major histocompatibility complex (MHC) class I-deficient, HPV16 E6/E7-associated TC-1/A9 tumors in mice. Stable mouse lines (F ) generated by inbreeding of Balb/c and C57BL/6 strains, which were characterized by H-2Db+d-NK1.1neg (B6-neg) and H-2Db-d+NK1.1high (Balb-high) phenotypes, were used for the present study. The novel strains spontaneously regressed tumors in 70-90% of cases. histological analysis of the tumor microenvironment in cryosections showed an indirect correlation between the growth of the transplanted tumor (progressor vs. regressor mice) and the proportion of immunocompetent cell infiltration in the tumors. The regressor mice exhibited a higher infiltration of tumors with CD4+ and CD8+ cells, and in Balb-high with NK cells as well, compared with the progressors. All tumor transplants also indicated a huge infiltration of CD11b+ cells, but this infiltration was not dependent on the stage of the TC-1/A9 tumor development. Depletion of individual cell subpopulations exhibited different effects on the tumor development in the two strains. Elimination of CD8-positive cells enhanced growth of TC-1/A9 tumor transplants in both hybrid stains, whereas CD4+ cell depletion affected rejection of TC-1/A9 tumors in the B6-neg mice only. Depletion of NK cells with anti-asialo GM1 antibody in the Balb-high strain led to enhancement of tumor growth, which was more pronounced after depletion of the NK1.1+ subpopulation. On the other hand, depletion of NK cells with anti-asialo GM1 in B6-neg mice did not affect the regression of TC-1/A9 tumor transplants, but increased the CD11b+ cell infiltration. In summary, these results indicate that co-operation of particular subsets of immunocompetent cells is essential for the rejection of TC-1/A9 tumor transplants. In B6-neg mice, the co-operative action of CD8+ and CD4+ cells is required, whereas in Balb-high mice, the synergy of CD8+ and NK1.1+ cells is of major importance.
doi_str_mv 10.3892/ol.2018.7763
format article
fullrecord <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5795941</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A533095468</galeid><sourcerecordid>A533095468</sourcerecordid><originalsourceid>FETCH-LOGICAL-c467t-118eda2ac2b0d46333e943df2855a4443bc25843b2322995775f3d72eaf8d85b3</originalsourceid><addsrcrecordid>eNptkstu1DAUhiMEolXpjjWyhIRYkGl8S-wN0mgoFFHBZlhbnuRk4pFjBzsp6qvwtHWm7dBB2AtbPt_5fW5Z9hoXCyokufB2QQosFlVV0mfZKa4kyXEhyPPDvWIn2XmMuyItXmIhypfZCZGsrIQoTrM_6w5Q8BaQb5Hp-8kBqsFaFKfN4IfJ6tF4F5FxaEzkNvjfY4e0a1CAHdSzcfZcr3J8sZRonHof9rTzN2BR76cIKI5BmyTSmLaFYNz2Ue6K5J9Qpwfrx9sB9rLfv61Q4_vEv8petNpGOH84z7Kfny_Xq6v8-seXr6vldV6nJMYcYwGNJromm6JhJaUUJKNNSwTnmjFGNzXhIh2EEiIlryre0qYioFvRCL6hZ9nHe91h2vTQ1OBSuFYNwfQ63CqvjTq2ONOprb9RvJJcMpwE3j8IBP9rgjiq3sS5iNpByl-RInWBpK6whL79B935KbiUXqIwo1TSovxLbbUFZVzr07_1LKqWnNJCclaKRC3-Q6XdQG9q76A16f3I4d0Thw60Hbvo7bTv8DH44R6sg48xQHsoBi7UPHfK2zleoea5S_ibpwU8wI9TRu8APPnRDg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2014339306</pqid></control><display><type>article</type><title>The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain</title><source>PubMed Central</source><creator>Indrová, Marie ; Rossowska, Joanna ; Pajtasz-Piasecka, Elzbieta ; Mikyšková, Romana ; Richter, Jan ; Rosina, Jozef ; Sedlacek, Radislav ; Fišerová, Anna</creator><creatorcontrib>Indrová, Marie ; Rossowska, Joanna ; Pajtasz-Piasecka, Elzbieta ; Mikyšková, Romana ; Richter, Jan ; Rosina, Jozef ; Sedlacek, Radislav ; Fišerová, Anna</creatorcontrib><description>The present study aimed to elucidate the role of cluster of differentiation (CD)8+, CD4+, natural killer (NK), and myeloid (CD11b+) cells in the course of the growth and rejection of experimental major histocompatibility complex (MHC) class I-deficient, HPV16 E6/E7-associated TC-1/A9 tumors in mice. Stable mouse lines (F ) generated by inbreeding of Balb/c and C57BL/6 strains, which were characterized by H-2Db+d-NK1.1neg (B6-neg) and H-2Db-d+NK1.1high (Balb-high) phenotypes, were used for the present study. The novel strains spontaneously regressed tumors in 70-90% of cases. histological analysis of the tumor microenvironment in cryosections showed an indirect correlation between the growth of the transplanted tumor (progressor vs. regressor mice) and the proportion of immunocompetent cell infiltration in the tumors. The regressor mice exhibited a higher infiltration of tumors with CD4+ and CD8+ cells, and in Balb-high with NK cells as well, compared with the progressors. All tumor transplants also indicated a huge infiltration of CD11b+ cells, but this infiltration was not dependent on the stage of the TC-1/A9 tumor development. Depletion of individual cell subpopulations exhibited different effects on the tumor development in the two strains. Elimination of CD8-positive cells enhanced growth of TC-1/A9 tumor transplants in both hybrid stains, whereas CD4+ cell depletion affected rejection of TC-1/A9 tumors in the B6-neg mice only. Depletion of NK cells with anti-asialo GM1 antibody in the Balb-high strain led to enhancement of tumor growth, which was more pronounced after depletion of the NK1.1+ subpopulation. On the other hand, depletion of NK cells with anti-asialo GM1 in B6-neg mice did not affect the regression of TC-1/A9 tumor transplants, but increased the CD11b+ cell infiltration. In summary, these results indicate that co-operation of particular subsets of immunocompetent cells is essential for the rejection of TC-1/A9 tumor transplants. In B6-neg mice, the co-operative action of CD8+ and CD4+ cells is required, whereas in Balb-high mice, the synergy of CD8+ and NK1.1+ cells is of major importance.</description><identifier>ISSN: 1792-1074</identifier><identifier>EISSN: 1792-1082</identifier><identifier>DOI: 10.3892/ol.2018.7763</identifier><identifier>PMID: 29467880</identifier><language>eng</language><publisher>Greece: Spandidos Publications</publisher><subject>Carcinogenesis ; Cellular proteins ; Cloning ; Deoxyribonucleic acid ; DNA ; Flow cytometry ; Gene expression ; Genetic aspects ; Haplotypes ; Health aspects ; Immune response ; Laboratory animals ; Oncology ; Rodents ; Transcription factors ; Tumors</subject><ispartof>Oncology letters, 2018-03, Vol.15 (3), p.3594-3601</ispartof><rights>COPYRIGHT 2018 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2018</rights><rights>Copyright: © Indrová et al. 2018</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c467t-118eda2ac2b0d46333e943df2855a4443bc25843b2322995775f3d72eaf8d85b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795941/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795941/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29467880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Indrová, Marie</creatorcontrib><creatorcontrib>Rossowska, Joanna</creatorcontrib><creatorcontrib>Pajtasz-Piasecka, Elzbieta</creatorcontrib><creatorcontrib>Mikyšková, Romana</creatorcontrib><creatorcontrib>Richter, Jan</creatorcontrib><creatorcontrib>Rosina, Jozef</creatorcontrib><creatorcontrib>Sedlacek, Radislav</creatorcontrib><creatorcontrib>Fišerová, Anna</creatorcontrib><title>The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain</title><title>Oncology letters</title><addtitle>Oncol Lett</addtitle><description>The present study aimed to elucidate the role of cluster of differentiation (CD)8+, CD4+, natural killer (NK), and myeloid (CD11b+) cells in the course of the growth and rejection of experimental major histocompatibility complex (MHC) class I-deficient, HPV16 E6/E7-associated TC-1/A9 tumors in mice. Stable mouse lines (F ) generated by inbreeding of Balb/c and C57BL/6 strains, which were characterized by H-2Db+d-NK1.1neg (B6-neg) and H-2Db-d+NK1.1high (Balb-high) phenotypes, were used for the present study. The novel strains spontaneously regressed tumors in 70-90% of cases. histological analysis of the tumor microenvironment in cryosections showed an indirect correlation between the growth of the transplanted tumor (progressor vs. regressor mice) and the proportion of immunocompetent cell infiltration in the tumors. The regressor mice exhibited a higher infiltration of tumors with CD4+ and CD8+ cells, and in Balb-high with NK cells as well, compared with the progressors. All tumor transplants also indicated a huge infiltration of CD11b+ cells, but this infiltration was not dependent on the stage of the TC-1/A9 tumor development. Depletion of individual cell subpopulations exhibited different effects on the tumor development in the two strains. Elimination of CD8-positive cells enhanced growth of TC-1/A9 tumor transplants in both hybrid stains, whereas CD4+ cell depletion affected rejection of TC-1/A9 tumors in the B6-neg mice only. Depletion of NK cells with anti-asialo GM1 antibody in the Balb-high strain led to enhancement of tumor growth, which was more pronounced after depletion of the NK1.1+ subpopulation. On the other hand, depletion of NK cells with anti-asialo GM1 in B6-neg mice did not affect the regression of TC-1/A9 tumor transplants, but increased the CD11b+ cell infiltration. In summary, these results indicate that co-operation of particular subsets of immunocompetent cells is essential for the rejection of TC-1/A9 tumor transplants. In B6-neg mice, the co-operative action of CD8+ and CD4+ cells is required, whereas in Balb-high mice, the synergy of CD8+ and NK1.1+ cells is of major importance.</description><subject>Carcinogenesis</subject><subject>Cellular proteins</subject><subject>Cloning</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Flow cytometry</subject><subject>Gene expression</subject><subject>Genetic aspects</subject><subject>Haplotypes</subject><subject>Health aspects</subject><subject>Immune response</subject><subject>Laboratory animals</subject><subject>Oncology</subject><subject>Rodents</subject><subject>Transcription factors</subject><subject>Tumors</subject><issn>1792-1074</issn><issn>1792-1082</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNptkstu1DAUhiMEolXpjjWyhIRYkGl8S-wN0mgoFFHBZlhbnuRk4pFjBzsp6qvwtHWm7dBB2AtbPt_5fW5Z9hoXCyokufB2QQosFlVV0mfZKa4kyXEhyPPDvWIn2XmMuyItXmIhypfZCZGsrIQoTrM_6w5Q8BaQb5Hp-8kBqsFaFKfN4IfJ6tF4F5FxaEzkNvjfY4e0a1CAHdSzcfZcr3J8sZRonHof9rTzN2BR76cIKI5BmyTSmLaFYNz2Ue6K5J9Qpwfrx9sB9rLfv61Q4_vEv8petNpGOH84z7Kfny_Xq6v8-seXr6vldV6nJMYcYwGNJromm6JhJaUUJKNNSwTnmjFGNzXhIh2EEiIlryre0qYioFvRCL6hZ9nHe91h2vTQ1OBSuFYNwfQ63CqvjTq2ONOprb9RvJJcMpwE3j8IBP9rgjiq3sS5iNpByl-RInWBpK6whL79B935KbiUXqIwo1TSovxLbbUFZVzr07_1LKqWnNJCclaKRC3-Q6XdQG9q76A16f3I4d0Thw60Hbvo7bTv8DH44R6sg48xQHsoBi7UPHfK2zleoea5S_ibpwU8wI9TRu8APPnRDg</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Indrová, Marie</creator><creator>Rossowska, Joanna</creator><creator>Pajtasz-Piasecka, Elzbieta</creator><creator>Mikyšková, Romana</creator><creator>Richter, Jan</creator><creator>Rosina, Jozef</creator><creator>Sedlacek, Radislav</creator><creator>Fišerová, Anna</creator><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><general>D.A. Spandidos</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain</title><author>Indrová, Marie ; Rossowska, Joanna ; Pajtasz-Piasecka, Elzbieta ; Mikyšková, Romana ; Richter, Jan ; Rosina, Jozef ; Sedlacek, Radislav ; Fišerová, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-118eda2ac2b0d46333e943df2855a4443bc25843b2322995775f3d72eaf8d85b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Carcinogenesis</topic><topic>Cellular proteins</topic><topic>Cloning</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>Flow cytometry</topic><topic>Gene expression</topic><topic>Genetic aspects</topic><topic>Haplotypes</topic><topic>Health aspects</topic><topic>Immune response</topic><topic>Laboratory animals</topic><topic>Oncology</topic><topic>Rodents</topic><topic>Transcription factors</topic><topic>Tumors</topic><toplevel>online_resources</toplevel><creatorcontrib>Indrová, Marie</creatorcontrib><creatorcontrib>Rossowska, Joanna</creatorcontrib><creatorcontrib>Pajtasz-Piasecka, Elzbieta</creatorcontrib><creatorcontrib>Mikyšková, Romana</creatorcontrib><creatorcontrib>Richter, Jan</creatorcontrib><creatorcontrib>Rosina, Jozef</creatorcontrib><creatorcontrib>Sedlacek, Radislav</creatorcontrib><creatorcontrib>Fišerová, Anna</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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>British Nursing Database</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>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Oncology letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Indrová, Marie</au><au>Rossowska, Joanna</au><au>Pajtasz-Piasecka, Elzbieta</au><au>Mikyšková, Romana</au><au>Richter, Jan</au><au>Rosina, Jozef</au><au>Sedlacek, Radislav</au><au>Fišerová, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain</atitle><jtitle>Oncology letters</jtitle><addtitle>Oncol Lett</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>15</volume><issue>3</issue><spage>3594</spage><epage>3601</epage><pages>3594-3601</pages><issn>1792-1074</issn><eissn>1792-1082</eissn><abstract>The present study aimed to elucidate the role of cluster of differentiation (CD)8+, CD4+, natural killer (NK), and myeloid (CD11b+) cells in the course of the growth and rejection of experimental major histocompatibility complex (MHC) class I-deficient, HPV16 E6/E7-associated TC-1/A9 tumors in mice. Stable mouse lines (F ) generated by inbreeding of Balb/c and C57BL/6 strains, which were characterized by H-2Db+d-NK1.1neg (B6-neg) and H-2Db-d+NK1.1high (Balb-high) phenotypes, were used for the present study. The novel strains spontaneously regressed tumors in 70-90% of cases. histological analysis of the tumor microenvironment in cryosections showed an indirect correlation between the growth of the transplanted tumor (progressor vs. regressor mice) and the proportion of immunocompetent cell infiltration in the tumors. The regressor mice exhibited a higher infiltration of tumors with CD4+ and CD8+ cells, and in Balb-high with NK cells as well, compared with the progressors. All tumor transplants also indicated a huge infiltration of CD11b+ cells, but this infiltration was not dependent on the stage of the TC-1/A9 tumor development. Depletion of individual cell subpopulations exhibited different effects on the tumor development in the two strains. Elimination of CD8-positive cells enhanced growth of TC-1/A9 tumor transplants in both hybrid stains, whereas CD4+ cell depletion affected rejection of TC-1/A9 tumors in the B6-neg mice only. Depletion of NK cells with anti-asialo GM1 antibody in the Balb-high strain led to enhancement of tumor growth, which was more pronounced after depletion of the NK1.1+ subpopulation. On the other hand, depletion of NK cells with anti-asialo GM1 in B6-neg mice did not affect the regression of TC-1/A9 tumor transplants, but increased the CD11b+ cell infiltration. In summary, these results indicate that co-operation of particular subsets of immunocompetent cells is essential for the rejection of TC-1/A9 tumor transplants. In B6-neg mice, the co-operative action of CD8+ and CD4+ cells is required, whereas in Balb-high mice, the synergy of CD8+ and NK1.1+ cells is of major importance.</abstract><cop>Greece</cop><pub>Spandidos Publications</pub><pmid>29467880</pmid><doi>10.3892/ol.2018.7763</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1792-1074
ispartof Oncology letters, 2018-03, Vol.15 (3), p.3594-3601
issn 1792-1074
1792-1082
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5795941
source PubMed Central
subjects Carcinogenesis
Cellular proteins
Cloning
Deoxyribonucleic acid
DNA
Flow cytometry
Gene expression
Genetic aspects
Haplotypes
Health aspects
Immune response
Laboratory animals
Oncology
Rodents
Transcription factors
Tumors
title The role of immune cell subpopulations in the growth and rejection of TC-1/A9 tumors in novel mouse strains differing in the H2-D haplotype and NKC domain
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T16%3A28%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20role%20of%20immune%20cell%20subpopulations%20in%20the%20growth%20and%20rejection%20of%20TC-1/A9%20tumors%20in%20novel%20mouse%20strains%20differing%20in%20the%20H2-D%20haplotype%20and%20NKC%20domain&rft.jtitle=Oncology%20letters&rft.au=Indrov%C3%A1,%20Marie&rft.date=2018-03-01&rft.volume=15&rft.issue=3&rft.spage=3594&rft.epage=3601&rft.pages=3594-3601&rft.issn=1792-1074&rft.eissn=1792-1082&rft_id=info:doi/10.3892/ol.2018.7763&rft_dat=%3Cgale_pubme%3EA533095468%3C/gale_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c467t-118eda2ac2b0d46333e943df2855a4443bc25843b2322995775f3d72eaf8d85b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2014339306&rft_id=info:pmid/29467880&rft_galeid=A533095468&rfr_iscdi=true