Loading…
Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius
Although the central terminals of cranial visceral afferents express vanilloid receptor 1 (VR1), little is known about their functional properties at this first synapse within the nucleus tractus solitarius (NTS). Here, we examined whether VR1 modulates afferent synaptic transmission. In horizontal...
Saved in:
Published in: | The Journal of neuroscience 2002-09, Vol.22 (18), p.8222-8229 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | 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-c551t-71dbc690887f0ee9b935d1549412e8a80e54cb49bbaf616520ae126b1e9505ee3 |
---|---|
cites | |
container_end_page | 8229 |
container_issue | 18 |
container_start_page | 8222 |
container_title | The Journal of neuroscience |
container_volume | 22 |
creator | Doyle, Mark W Bailey, Timothy W Jin, Young-Ho Andresen, Michael C |
description | Although the central terminals of cranial visceral afferents express vanilloid receptor 1 (VR1), little is known about their functional properties at this first synapse within the nucleus tractus solitarius (NTS). Here, we examined whether VR1 modulates afferent synaptic transmission. In horizontal brainstem slices, solitary tract (ST) activation evoked EPSCs. Monosynaptic EPSCs had low synaptic jitter (SD of latency to successive shocks) averaging 84.03 +/- 3.74 microsec (n = 72) and were completely blocked by the non-NMDA antagonist 2,3-dihydroxy-6-nitro-7-sulfonyl-benzo[f]quinoxaline (NBQX). Sustained exposure to the VR1 agonist capsaicin (CAP; 100 nm) blocked ST EPSCs (CAP-sensitive) in some neurons but not others (CAP-resistant). CAP-sensitive EPSCs had longer latencies than CAP-resistant EPSCs (4.65 +/- 0.27 msec, n = 48 vs 3.53 +/- 0.28 msec, n = 24, respectively; p = 0.011), but they had similar jitter. CAP evoked two transient responses in CAP-sensitive neurons: a rapidly developing inward current (I(cap)) (108.1 +/- 22.9 pA; n = 21) and an increase in spontaneous synaptic activity. After 3-5 min in CAP, I(cap) subsided and ST EPSCs disappeared. NBQX completely blocked I(cap). The VR1 antagonist capsazepine (10-20 microm) attenuated CAP responses. Anatomically, second-order NTS neurons were identified by 4-(4-dihexadecylamino)styryl)-N-methylpyridinium iodide transported from the cervical aortic depressor nerve (ADN) to stain central terminals. Neurons with fluorescent ADN contacts had CAP-sensitive EPSCs (n = 5) with latencies and jitter similar to those of unlabeled monosynaptic neurons. Thus, consistent with presynaptic VR1 localization, CAP selectively activates a subset of ST axons to release glutamate that acts on non-NMDA receptors. Because the CAP sensitivity of cranial afferents is exclusively associated with unmyelinated axons, VR1 identifies C-fiber afferent pathways within the brainstem. |
doi_str_mv | 10.1523/jneurosci.22-18-08222.2002 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6758107</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72075363</sourcerecordid><originalsourceid>FETCH-LOGICAL-c551t-71dbc690887f0ee9b935d1549412e8a80e54cb49bbaf616520ae126b1e9505ee3</originalsourceid><addsrcrecordid>eNqFkU9v1DAQxS1ERbeFr4AiDnDKMnbiOOGAVK1KKeof1G17tRxn0nXlxIudsFo-PQ67KuXEaSzP7z290SPkHYU55Sz7-Njj6F3QZs5YSssUSsbYnAGwF2QWiSplOdCXZAZMQFrkIj8kRyE8AoAAKl6RQxoFGRfFjPy6V72x1pkmuUGN68H5kHz3GLa9Wg9GK2u3yaVrRqsGTBY-0som9yZo9PFx0rbosR-S5Z5PbiMSOhOCcX1i-uRq1BbHMP3rIc6ls2ZQ3ozhNTlolQ34Zj-Pyd2X09vF1_Ti-ux8cXKRas7pkAra1LqooCxFC4hVXWW8oTyvcsqwVCUgz3WdV3Wt2oIWnIFCyoqaYsWBI2bH5PPOdz3WHTY6xo3R5dqbTvmtdMrIfze9WckH91MWgpcURDR4vzfw7seIYZDddL-1qkc3BikYCJ4V2X9BWoosJp8cP-1AHXsMHtunNBTk1LH8dnV6d3O9XJxLxqJO_ulYTh1H8dvn9_yV7kuNwIcdsDIPq43xKEMXe4w4lZvNZmc4-WW_AYPXtnk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18731547</pqid></control><display><type>article</type><title>Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius</title><source>NCBI_PubMed Central(免费)</source><creator>Doyle, Mark W ; Bailey, Timothy W ; Jin, Young-Ho ; Andresen, Michael C</creator><creatorcontrib>Doyle, Mark W ; Bailey, Timothy W ; Jin, Young-Ho ; Andresen, Michael C</creatorcontrib><description>Although the central terminals of cranial visceral afferents express vanilloid receptor 1 (VR1), little is known about their functional properties at this first synapse within the nucleus tractus solitarius (NTS). Here, we examined whether VR1 modulates afferent synaptic transmission. In horizontal brainstem slices, solitary tract (ST) activation evoked EPSCs. Monosynaptic EPSCs had low synaptic jitter (SD of latency to successive shocks) averaging 84.03 +/- 3.74 microsec (n = 72) and were completely blocked by the non-NMDA antagonist 2,3-dihydroxy-6-nitro-7-sulfonyl-benzo[f]quinoxaline (NBQX). Sustained exposure to the VR1 agonist capsaicin (CAP; 100 nm) blocked ST EPSCs (CAP-sensitive) in some neurons but not others (CAP-resistant). CAP-sensitive EPSCs had longer latencies than CAP-resistant EPSCs (4.65 +/- 0.27 msec, n = 48 vs 3.53 +/- 0.28 msec, n = 24, respectively; p = 0.011), but they had similar jitter. CAP evoked two transient responses in CAP-sensitive neurons: a rapidly developing inward current (I(cap)) (108.1 +/- 22.9 pA; n = 21) and an increase in spontaneous synaptic activity. After 3-5 min in CAP, I(cap) subsided and ST EPSCs disappeared. NBQX completely blocked I(cap). The VR1 antagonist capsazepine (10-20 microm) attenuated CAP responses. Anatomically, second-order NTS neurons were identified by 4-(4-dihexadecylamino)styryl)-N-methylpyridinium iodide transported from the cervical aortic depressor nerve (ADN) to stain central terminals. Neurons with fluorescent ADN contacts had CAP-sensitive EPSCs (n = 5) with latencies and jitter similar to those of unlabeled monosynaptic neurons. Thus, consistent with presynaptic VR1 localization, CAP selectively activates a subset of ST axons to release glutamate that acts on non-NMDA receptors. Because the CAP sensitivity of cranial afferents is exclusively associated with unmyelinated axons, VR1 identifies C-fiber afferent pathways within the brainstem.</description><identifier>ISSN: 0270-6474</identifier><identifier>EISSN: 1529-2401</identifier><identifier>DOI: 10.1523/jneurosci.22-18-08222.2002</identifier><identifier>PMID: 12223576</identifier><language>eng</language><publisher>United States: Soc Neuroscience</publisher><subject>Animals ; Baroreflex - physiology ; Capsaicin - analogs & derivatives ; Capsaicin - pharmacology ; Electric Stimulation ; Excitatory Amino Acid Antagonists - pharmacology ; Excitatory Postsynaptic Potentials - drug effects ; Excitatory Postsynaptic Potentials - physiology ; Head - innervation ; Head - physiology ; In Vitro Techniques ; Male ; Patch-Clamp Techniques ; Pressoreceptors - physiology ; Presynaptic Terminals - metabolism ; Pyridinium Compounds ; Rats ; Rats, Sprague-Dawley ; Reaction Time - physiology ; Receptors, Drug - antagonists & inhibitors ; Receptors, Drug - metabolism ; Receptors, Glutamate - drug effects ; Receptors, Glutamate - metabolism ; Rhombencephalon - physiology ; Solitary Nucleus - drug effects ; Solitary Nucleus - physiology ; Synaptic Transmission - drug effects ; Synaptic Transmission - physiology ; Visceral Afferents - drug effects ; Visceral Afferents - physiology</subject><ispartof>The Journal of neuroscience, 2002-09, Vol.22 (18), p.8222-8229</ispartof><rights>Copyright © 2002 Society for Neuroscience 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-71dbc690887f0ee9b935d1549412e8a80e54cb49bbaf616520ae126b1e9505ee3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758107/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758107/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12223576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doyle, Mark W</creatorcontrib><creatorcontrib>Bailey, Timothy W</creatorcontrib><creatorcontrib>Jin, Young-Ho</creatorcontrib><creatorcontrib>Andresen, Michael C</creatorcontrib><title>Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius</title><title>The Journal of neuroscience</title><addtitle>J Neurosci</addtitle><description>Although the central terminals of cranial visceral afferents express vanilloid receptor 1 (VR1), little is known about their functional properties at this first synapse within the nucleus tractus solitarius (NTS). Here, we examined whether VR1 modulates afferent synaptic transmission. In horizontal brainstem slices, solitary tract (ST) activation evoked EPSCs. Monosynaptic EPSCs had low synaptic jitter (SD of latency to successive shocks) averaging 84.03 +/- 3.74 microsec (n = 72) and were completely blocked by the non-NMDA antagonist 2,3-dihydroxy-6-nitro-7-sulfonyl-benzo[f]quinoxaline (NBQX). Sustained exposure to the VR1 agonist capsaicin (CAP; 100 nm) blocked ST EPSCs (CAP-sensitive) in some neurons but not others (CAP-resistant). CAP-sensitive EPSCs had longer latencies than CAP-resistant EPSCs (4.65 +/- 0.27 msec, n = 48 vs 3.53 +/- 0.28 msec, n = 24, respectively; p = 0.011), but they had similar jitter. CAP evoked two transient responses in CAP-sensitive neurons: a rapidly developing inward current (I(cap)) (108.1 +/- 22.9 pA; n = 21) and an increase in spontaneous synaptic activity. After 3-5 min in CAP, I(cap) subsided and ST EPSCs disappeared. NBQX completely blocked I(cap). The VR1 antagonist capsazepine (10-20 microm) attenuated CAP responses. Anatomically, second-order NTS neurons were identified by 4-(4-dihexadecylamino)styryl)-N-methylpyridinium iodide transported from the cervical aortic depressor nerve (ADN) to stain central terminals. Neurons with fluorescent ADN contacts had CAP-sensitive EPSCs (n = 5) with latencies and jitter similar to those of unlabeled monosynaptic neurons. Thus, consistent with presynaptic VR1 localization, CAP selectively activates a subset of ST axons to release glutamate that acts on non-NMDA receptors. Because the CAP sensitivity of cranial afferents is exclusively associated with unmyelinated axons, VR1 identifies C-fiber afferent pathways within the brainstem.</description><subject>Animals</subject><subject>Baroreflex - physiology</subject><subject>Capsaicin - analogs & derivatives</subject><subject>Capsaicin - pharmacology</subject><subject>Electric Stimulation</subject><subject>Excitatory Amino Acid Antagonists - pharmacology</subject><subject>Excitatory Postsynaptic Potentials - drug effects</subject><subject>Excitatory Postsynaptic Potentials - physiology</subject><subject>Head - innervation</subject><subject>Head - physiology</subject><subject>In Vitro Techniques</subject><subject>Male</subject><subject>Patch-Clamp Techniques</subject><subject>Pressoreceptors - physiology</subject><subject>Presynaptic Terminals - metabolism</subject><subject>Pyridinium Compounds</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Reaction Time - physiology</subject><subject>Receptors, Drug - antagonists & inhibitors</subject><subject>Receptors, Drug - metabolism</subject><subject>Receptors, Glutamate - drug effects</subject><subject>Receptors, Glutamate - metabolism</subject><subject>Rhombencephalon - physiology</subject><subject>Solitary Nucleus - drug effects</subject><subject>Solitary Nucleus - physiology</subject><subject>Synaptic Transmission - drug effects</subject><subject>Synaptic Transmission - physiology</subject><subject>Visceral Afferents - drug effects</subject><subject>Visceral Afferents - physiology</subject><issn>0270-6474</issn><issn>1529-2401</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqFkU9v1DAQxS1ERbeFr4AiDnDKMnbiOOGAVK1KKeof1G17tRxn0nXlxIudsFo-PQ67KuXEaSzP7z290SPkHYU55Sz7-Njj6F3QZs5YSssUSsbYnAGwF2QWiSplOdCXZAZMQFrkIj8kRyE8AoAAKl6RQxoFGRfFjPy6V72x1pkmuUGN68H5kHz3GLa9Wg9GK2u3yaVrRqsGTBY-0som9yZo9PFx0rbosR-S5Z5PbiMSOhOCcX1i-uRq1BbHMP3rIc6ls2ZQ3ozhNTlolQ34Zj-Pyd2X09vF1_Ti-ux8cXKRas7pkAra1LqooCxFC4hVXWW8oTyvcsqwVCUgz3WdV3Wt2oIWnIFCyoqaYsWBI2bH5PPOdz3WHTY6xo3R5dqbTvmtdMrIfze9WckH91MWgpcURDR4vzfw7seIYZDddL-1qkc3BikYCJ4V2X9BWoosJp8cP-1AHXsMHtunNBTk1LH8dnV6d3O9XJxLxqJO_ulYTh1H8dvn9_yV7kuNwIcdsDIPq43xKEMXe4w4lZvNZmc4-WW_AYPXtnk</recordid><startdate>20020915</startdate><enddate>20020915</enddate><creator>Doyle, Mark W</creator><creator>Bailey, Timothy W</creator><creator>Jin, Young-Ho</creator><creator>Andresen, Michael C</creator><general>Soc Neuroscience</general><general>Society for Neuroscience</general><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>7TK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20020915</creationdate><title>Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius</title><author>Doyle, Mark W ; Bailey, Timothy W ; Jin, Young-Ho ; Andresen, Michael C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-71dbc690887f0ee9b935d1549412e8a80e54cb49bbaf616520ae126b1e9505ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Animals</topic><topic>Baroreflex - physiology</topic><topic>Capsaicin - analogs & derivatives</topic><topic>Capsaicin - pharmacology</topic><topic>Electric Stimulation</topic><topic>Excitatory Amino Acid Antagonists - pharmacology</topic><topic>Excitatory Postsynaptic Potentials - drug effects</topic><topic>Excitatory Postsynaptic Potentials - physiology</topic><topic>Head - innervation</topic><topic>Head - physiology</topic><topic>In Vitro Techniques</topic><topic>Male</topic><topic>Patch-Clamp Techniques</topic><topic>Pressoreceptors - physiology</topic><topic>Presynaptic Terminals - metabolism</topic><topic>Pyridinium Compounds</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Reaction Time - physiology</topic><topic>Receptors, Drug - antagonists & inhibitors</topic><topic>Receptors, Drug - metabolism</topic><topic>Receptors, Glutamate - drug effects</topic><topic>Receptors, Glutamate - metabolism</topic><topic>Rhombencephalon - physiology</topic><topic>Solitary Nucleus - drug effects</topic><topic>Solitary Nucleus - physiology</topic><topic>Synaptic Transmission - drug effects</topic><topic>Synaptic Transmission - physiology</topic><topic>Visceral Afferents - drug effects</topic><topic>Visceral Afferents - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Doyle, Mark W</creatorcontrib><creatorcontrib>Bailey, Timothy W</creatorcontrib><creatorcontrib>Jin, Young-Ho</creatorcontrib><creatorcontrib>Andresen, Michael C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doyle, Mark W</au><au>Bailey, Timothy W</au><au>Jin, Young-Ho</au><au>Andresen, Michael C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius</atitle><jtitle>The Journal of neuroscience</jtitle><addtitle>J Neurosci</addtitle><date>2002-09-15</date><risdate>2002</risdate><volume>22</volume><issue>18</issue><spage>8222</spage><epage>8229</epage><pages>8222-8229</pages><issn>0270-6474</issn><eissn>1529-2401</eissn><abstract>Although the central terminals of cranial visceral afferents express vanilloid receptor 1 (VR1), little is known about their functional properties at this first synapse within the nucleus tractus solitarius (NTS). Here, we examined whether VR1 modulates afferent synaptic transmission. In horizontal brainstem slices, solitary tract (ST) activation evoked EPSCs. Monosynaptic EPSCs had low synaptic jitter (SD of latency to successive shocks) averaging 84.03 +/- 3.74 microsec (n = 72) and were completely blocked by the non-NMDA antagonist 2,3-dihydroxy-6-nitro-7-sulfonyl-benzo[f]quinoxaline (NBQX). Sustained exposure to the VR1 agonist capsaicin (CAP; 100 nm) blocked ST EPSCs (CAP-sensitive) in some neurons but not others (CAP-resistant). CAP-sensitive EPSCs had longer latencies than CAP-resistant EPSCs (4.65 +/- 0.27 msec, n = 48 vs 3.53 +/- 0.28 msec, n = 24, respectively; p = 0.011), but they had similar jitter. CAP evoked two transient responses in CAP-sensitive neurons: a rapidly developing inward current (I(cap)) (108.1 +/- 22.9 pA; n = 21) and an increase in spontaneous synaptic activity. After 3-5 min in CAP, I(cap) subsided and ST EPSCs disappeared. NBQX completely blocked I(cap). The VR1 antagonist capsazepine (10-20 microm) attenuated CAP responses. Anatomically, second-order NTS neurons were identified by 4-(4-dihexadecylamino)styryl)-N-methylpyridinium iodide transported from the cervical aortic depressor nerve (ADN) to stain central terminals. Neurons with fluorescent ADN contacts had CAP-sensitive EPSCs (n = 5) with latencies and jitter similar to those of unlabeled monosynaptic neurons. Thus, consistent with presynaptic VR1 localization, CAP selectively activates a subset of ST axons to release glutamate that acts on non-NMDA receptors. Because the CAP sensitivity of cranial afferents is exclusively associated with unmyelinated axons, VR1 identifies C-fiber afferent pathways within the brainstem.</abstract><cop>United States</cop><pub>Soc Neuroscience</pub><pmid>12223576</pmid><doi>10.1523/jneurosci.22-18-08222.2002</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0270-6474 |
ispartof | The Journal of neuroscience, 2002-09, Vol.22 (18), p.8222-8229 |
issn | 0270-6474 1529-2401 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6758107 |
source | NCBI_PubMed Central(免费) |
subjects | Animals Baroreflex - physiology Capsaicin - analogs & derivatives Capsaicin - pharmacology Electric Stimulation Excitatory Amino Acid Antagonists - pharmacology Excitatory Postsynaptic Potentials - drug effects Excitatory Postsynaptic Potentials - physiology Head - innervation Head - physiology In Vitro Techniques Male Patch-Clamp Techniques Pressoreceptors - physiology Presynaptic Terminals - metabolism Pyridinium Compounds Rats Rats, Sprague-Dawley Reaction Time - physiology Receptors, Drug - antagonists & inhibitors Receptors, Drug - metabolism Receptors, Glutamate - drug effects Receptors, Glutamate - metabolism Rhombencephalon - physiology Solitary Nucleus - drug effects Solitary Nucleus - physiology Synaptic Transmission - drug effects Synaptic Transmission - physiology Visceral Afferents - drug effects Visceral Afferents - physiology |
title | Vanilloid Receptors Presynaptically Modulate Cranial Visceral Afferent Synaptic Transmission in Nucleus Tractus Solitarius |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T14%3A05%3A48IST&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=Vanilloid%20Receptors%20Presynaptically%20Modulate%20Cranial%20Visceral%20Afferent%20Synaptic%20Transmission%20in%20Nucleus%20Tractus%20Solitarius&rft.jtitle=The%20Journal%20of%20neuroscience&rft.au=Doyle,%20Mark%20W&rft.date=2002-09-15&rft.volume=22&rft.issue=18&rft.spage=8222&rft.epage=8229&rft.pages=8222-8229&rft.issn=0270-6474&rft.eissn=1529-2401&rft_id=info:doi/10.1523/jneurosci.22-18-08222.2002&rft_dat=%3Cproquest_pubme%3E72075363%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c551t-71dbc690887f0ee9b935d1549412e8a80e54cb49bbaf616520ae126b1e9505ee3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=18731547&rft_id=info:pmid/12223576&rfr_iscdi=true |