Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration
Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE...
Gespeichert in:
Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext bestellen |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | |
container_start_page | |
container_title | |
container_volume | |
creator | Felszeghy, Szabolcs Viiri, Johanna Paterno, Jussi J Hyttinen, Juha M.T Koskela, Ali Chen, Mei Leinonen, Henri Tanila, Heikki Kivinen, Niko Koistinen, Arto Toropainen, Elisa Amadio, Marialaura Smedowski, Adrian Reinisalo, Mika Winiarczyk, Mateusz Mackiewicz, Jerzy Mutikainen, Maija Ruotsalainen, Anna-Kaisa Kettunen, Mikko Jokivarsi, Kimmo Sinha, Debasish Kinnunen, Kati Petrovski, Goran Blasiak, Janusz Bjørkøy, Geir Koskelainen, Ari Skottman, Heli Urtti, Arto Salminen, Antero Kannan, Ram Ferrington, Deborah A Xu, Heping Levonen, Anna-Liisa Tavi, Pasi Kauppinen, Anu Kaarniranta, Kai |
description | Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE cells are constantly exposed to oxidative stress that may lead to the accumulation of damaged cellular proteins, DNA and lipids and evoke tissue deterioration during the aging process. The ubiquitin-proteasome pathway and the lysosomal/autophagosomal pathway are the two major proteolytic systems in eukaryotic cells. NRF-2 (nuclear factor-erythroid 2-related factor-2) and PGC-1α (peroxisome proliferator-activated receptor gamma coactivator-1 alpha) are master transcription factors in the regulation of cellular detoxification. We investigated the role of NRF-2 and PGC-1α in the regulation of RPE cell structure and function by using global double knockout (dKO) mice. The NRF-2/PGC-1α dKO mice exhibited significant age-dependent RPE degeneration, accumulation of the oxidative stress marker, 4-HNE (4-hydroxynonenal), the endoplasmic reticulum stress markers GRP78 (glucose-regulated protein 78) and ATF4 (activating transcription factor 4), and damaged mitochondria. Moreover, levels of protein ubiquitination and autophagy markers p62/SQSTM1 (sequestosome 1), Beclin-1 and LC3B (microtubule associated protein 1 light chain 3 beta) were significantly increased together with the Iba-1 (ionized calcium binding adaptor molecule 1) mononuclear phagocyte marker and an enlargement of RPE size. These histopathological changes of RPE were accompanied by photoreceptor dysmorphology and vision loss as revealed by electroretinography. Consequently, these novel findings suggest that the NRF-2/PGC-1α dKO mouse is a valuable model for investigating the role of proteasomal and autophagy clearance in the RPE and in the development of dry AMD. |
format | Article |
fullrecord | <record><control><sourceid>cristin_3HK</sourceid><recordid>TN_cdi_cristin_nora_11250_2618375</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>11250_2618375</sourcerecordid><originalsourceid>FETCH-cristin_nora_11250_26183753</originalsourceid><addsrcrecordid>eNqNjU0KwjAQRrtxIeodxgMETEvVfbG6EBFxX8ZmGgfyU5J0obfyIp7JCh7A1YOPx_em2fPoYwTfwelSixzQKTjvKyHfL9DkKIIhVBGSh0CJHRroWVtyCajndCfDgwWFFjWNRiR7M-w0qPCAcRKBDCZSYLEdDAZQ9H0NmNi7eTbp0ERa_DjLlvXuWh1EGziOrcb5gI2Ueblq8rXcFpuy-Mf5AGJlRbQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration</title><source>NORA - Norwegian Open Research Archives</source><creator>Felszeghy, Szabolcs ; Viiri, Johanna ; Paterno, Jussi J ; Hyttinen, Juha M.T ; Koskela, Ali ; Chen, Mei ; Leinonen, Henri ; Tanila, Heikki ; Kivinen, Niko ; Koistinen, Arto ; Toropainen, Elisa ; Amadio, Marialaura ; Smedowski, Adrian ; Reinisalo, Mika ; Winiarczyk, Mateusz ; Mackiewicz, Jerzy ; Mutikainen, Maija ; Ruotsalainen, Anna-Kaisa ; Kettunen, Mikko ; Jokivarsi, Kimmo ; Sinha, Debasish ; Kinnunen, Kati ; Petrovski, Goran ; Blasiak, Janusz ; Bjørkøy, Geir ; Koskelainen, Ari ; Skottman, Heli ; Urtti, Arto ; Salminen, Antero ; Kannan, Ram ; Ferrington, Deborah A ; Xu, Heping ; Levonen, Anna-Liisa ; Tavi, Pasi ; Kauppinen, Anu ; Kaarniranta, Kai</creator><creatorcontrib>Felszeghy, Szabolcs ; Viiri, Johanna ; Paterno, Jussi J ; Hyttinen, Juha M.T ; Koskela, Ali ; Chen, Mei ; Leinonen, Henri ; Tanila, Heikki ; Kivinen, Niko ; Koistinen, Arto ; Toropainen, Elisa ; Amadio, Marialaura ; Smedowski, Adrian ; Reinisalo, Mika ; Winiarczyk, Mateusz ; Mackiewicz, Jerzy ; Mutikainen, Maija ; Ruotsalainen, Anna-Kaisa ; Kettunen, Mikko ; Jokivarsi, Kimmo ; Sinha, Debasish ; Kinnunen, Kati ; Petrovski, Goran ; Blasiak, Janusz ; Bjørkøy, Geir ; Koskelainen, Ari ; Skottman, Heli ; Urtti, Arto ; Salminen, Antero ; Kannan, Ram ; Ferrington, Deborah A ; Xu, Heping ; Levonen, Anna-Liisa ; Tavi, Pasi ; Kauppinen, Anu ; Kaarniranta, Kai</creatorcontrib><description>Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE cells are constantly exposed to oxidative stress that may lead to the accumulation of damaged cellular proteins, DNA and lipids and evoke tissue deterioration during the aging process. The ubiquitin-proteasome pathway and the lysosomal/autophagosomal pathway are the two major proteolytic systems in eukaryotic cells. NRF-2 (nuclear factor-erythroid 2-related factor-2) and PGC-1α (peroxisome proliferator-activated receptor gamma coactivator-1 alpha) are master transcription factors in the regulation of cellular detoxification. We investigated the role of NRF-2 and PGC-1α in the regulation of RPE cell structure and function by using global double knockout (dKO) mice. The NRF-2/PGC-1α dKO mice exhibited significant age-dependent RPE degeneration, accumulation of the oxidative stress marker, 4-HNE (4-hydroxynonenal), the endoplasmic reticulum stress markers GRP78 (glucose-regulated protein 78) and ATF4 (activating transcription factor 4), and damaged mitochondria. Moreover, levels of protein ubiquitination and autophagy markers p62/SQSTM1 (sequestosome 1), Beclin-1 and LC3B (microtubule associated protein 1 light chain 3 beta) were significantly increased together with the Iba-1 (ionized calcium binding adaptor molecule 1) mononuclear phagocyte marker and an enlargement of RPE size. These histopathological changes of RPE were accompanied by photoreceptor dysmorphology and vision loss as revealed by electroretinography. Consequently, these novel findings suggest that the NRF-2/PGC-1α dKO mouse is a valuable model for investigating the role of proteasomal and autophagy clearance in the RPE and in the development of dry AMD.</description><language>eng</language><publisher>Elsevier</publisher><creationdate>2019</creationdate><rights>info:eu-repo/semantics/openAccess</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,780,885,26567</link.rule.ids><linktorsrc>$$Uhttp://hdl.handle.net/11250/2618375$$EView_record_in_NORA$$FView_record_in_$$GNORA$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Felszeghy, Szabolcs</creatorcontrib><creatorcontrib>Viiri, Johanna</creatorcontrib><creatorcontrib>Paterno, Jussi J</creatorcontrib><creatorcontrib>Hyttinen, Juha M.T</creatorcontrib><creatorcontrib>Koskela, Ali</creatorcontrib><creatorcontrib>Chen, Mei</creatorcontrib><creatorcontrib>Leinonen, Henri</creatorcontrib><creatorcontrib>Tanila, Heikki</creatorcontrib><creatorcontrib>Kivinen, Niko</creatorcontrib><creatorcontrib>Koistinen, Arto</creatorcontrib><creatorcontrib>Toropainen, Elisa</creatorcontrib><creatorcontrib>Amadio, Marialaura</creatorcontrib><creatorcontrib>Smedowski, Adrian</creatorcontrib><creatorcontrib>Reinisalo, Mika</creatorcontrib><creatorcontrib>Winiarczyk, Mateusz</creatorcontrib><creatorcontrib>Mackiewicz, Jerzy</creatorcontrib><creatorcontrib>Mutikainen, Maija</creatorcontrib><creatorcontrib>Ruotsalainen, Anna-Kaisa</creatorcontrib><creatorcontrib>Kettunen, Mikko</creatorcontrib><creatorcontrib>Jokivarsi, Kimmo</creatorcontrib><creatorcontrib>Sinha, Debasish</creatorcontrib><creatorcontrib>Kinnunen, Kati</creatorcontrib><creatorcontrib>Petrovski, Goran</creatorcontrib><creatorcontrib>Blasiak, Janusz</creatorcontrib><creatorcontrib>Bjørkøy, Geir</creatorcontrib><creatorcontrib>Koskelainen, Ari</creatorcontrib><creatorcontrib>Skottman, Heli</creatorcontrib><creatorcontrib>Urtti, Arto</creatorcontrib><creatorcontrib>Salminen, Antero</creatorcontrib><creatorcontrib>Kannan, Ram</creatorcontrib><creatorcontrib>Ferrington, Deborah A</creatorcontrib><creatorcontrib>Xu, Heping</creatorcontrib><creatorcontrib>Levonen, Anna-Liisa</creatorcontrib><creatorcontrib>Tavi, Pasi</creatorcontrib><creatorcontrib>Kauppinen, Anu</creatorcontrib><creatorcontrib>Kaarniranta, Kai</creatorcontrib><title>Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration</title><description>Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE cells are constantly exposed to oxidative stress that may lead to the accumulation of damaged cellular proteins, DNA and lipids and evoke tissue deterioration during the aging process. The ubiquitin-proteasome pathway and the lysosomal/autophagosomal pathway are the two major proteolytic systems in eukaryotic cells. NRF-2 (nuclear factor-erythroid 2-related factor-2) and PGC-1α (peroxisome proliferator-activated receptor gamma coactivator-1 alpha) are master transcription factors in the regulation of cellular detoxification. We investigated the role of NRF-2 and PGC-1α in the regulation of RPE cell structure and function by using global double knockout (dKO) mice. The NRF-2/PGC-1α dKO mice exhibited significant age-dependent RPE degeneration, accumulation of the oxidative stress marker, 4-HNE (4-hydroxynonenal), the endoplasmic reticulum stress markers GRP78 (glucose-regulated protein 78) and ATF4 (activating transcription factor 4), and damaged mitochondria. Moreover, levels of protein ubiquitination and autophagy markers p62/SQSTM1 (sequestosome 1), Beclin-1 and LC3B (microtubule associated protein 1 light chain 3 beta) were significantly increased together with the Iba-1 (ionized calcium binding adaptor molecule 1) mononuclear phagocyte marker and an enlargement of RPE size. These histopathological changes of RPE were accompanied by photoreceptor dysmorphology and vision loss as revealed by electroretinography. Consequently, these novel findings suggest that the NRF-2/PGC-1α dKO mouse is a valuable model for investigating the role of proteasomal and autophagy clearance in the RPE and in the development of dry AMD.</description><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNqNjU0KwjAQRrtxIeodxgMETEvVfbG6EBFxX8ZmGgfyU5J0obfyIp7JCh7A1YOPx_em2fPoYwTfwelSixzQKTjvKyHfL9DkKIIhVBGSh0CJHRroWVtyCajndCfDgwWFFjWNRiR7M-w0qPCAcRKBDCZSYLEdDAZQ9H0NmNi7eTbp0ERa_DjLlvXuWh1EGziOrcb5gI2Ueblq8rXcFpuy-Mf5AGJlRbQ</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>Felszeghy, Szabolcs</creator><creator>Viiri, Johanna</creator><creator>Paterno, Jussi J</creator><creator>Hyttinen, Juha M.T</creator><creator>Koskela, Ali</creator><creator>Chen, Mei</creator><creator>Leinonen, Henri</creator><creator>Tanila, Heikki</creator><creator>Kivinen, Niko</creator><creator>Koistinen, Arto</creator><creator>Toropainen, Elisa</creator><creator>Amadio, Marialaura</creator><creator>Smedowski, Adrian</creator><creator>Reinisalo, Mika</creator><creator>Winiarczyk, Mateusz</creator><creator>Mackiewicz, Jerzy</creator><creator>Mutikainen, Maija</creator><creator>Ruotsalainen, Anna-Kaisa</creator><creator>Kettunen, Mikko</creator><creator>Jokivarsi, Kimmo</creator><creator>Sinha, Debasish</creator><creator>Kinnunen, Kati</creator><creator>Petrovski, Goran</creator><creator>Blasiak, Janusz</creator><creator>Bjørkøy, Geir</creator><creator>Koskelainen, Ari</creator><creator>Skottman, Heli</creator><creator>Urtti, Arto</creator><creator>Salminen, Antero</creator><creator>Kannan, Ram</creator><creator>Ferrington, Deborah A</creator><creator>Xu, Heping</creator><creator>Levonen, Anna-Liisa</creator><creator>Tavi, Pasi</creator><creator>Kauppinen, Anu</creator><creator>Kaarniranta, Kai</creator><general>Elsevier</general><scope>3HK</scope></search><sort><creationdate>2019</creationdate><title>Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration</title><author>Felszeghy, Szabolcs ; Viiri, Johanna ; Paterno, Jussi J ; Hyttinen, Juha M.T ; Koskela, Ali ; Chen, Mei ; Leinonen, Henri ; Tanila, Heikki ; Kivinen, Niko ; Koistinen, Arto ; Toropainen, Elisa ; Amadio, Marialaura ; Smedowski, Adrian ; Reinisalo, Mika ; Winiarczyk, Mateusz ; Mackiewicz, Jerzy ; Mutikainen, Maija ; Ruotsalainen, Anna-Kaisa ; Kettunen, Mikko ; Jokivarsi, Kimmo ; Sinha, Debasish ; Kinnunen, Kati ; Petrovski, Goran ; Blasiak, Janusz ; Bjørkøy, Geir ; Koskelainen, Ari ; Skottman, Heli ; Urtti, Arto ; Salminen, Antero ; Kannan, Ram ; Ferrington, Deborah A ; Xu, Heping ; Levonen, Anna-Liisa ; Tavi, Pasi ; Kauppinen, Anu ; Kaarniranta, Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_11250_26183753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Felszeghy, Szabolcs</creatorcontrib><creatorcontrib>Viiri, Johanna</creatorcontrib><creatorcontrib>Paterno, Jussi J</creatorcontrib><creatorcontrib>Hyttinen, Juha M.T</creatorcontrib><creatorcontrib>Koskela, Ali</creatorcontrib><creatorcontrib>Chen, Mei</creatorcontrib><creatorcontrib>Leinonen, Henri</creatorcontrib><creatorcontrib>Tanila, Heikki</creatorcontrib><creatorcontrib>Kivinen, Niko</creatorcontrib><creatorcontrib>Koistinen, Arto</creatorcontrib><creatorcontrib>Toropainen, Elisa</creatorcontrib><creatorcontrib>Amadio, Marialaura</creatorcontrib><creatorcontrib>Smedowski, Adrian</creatorcontrib><creatorcontrib>Reinisalo, Mika</creatorcontrib><creatorcontrib>Winiarczyk, Mateusz</creatorcontrib><creatorcontrib>Mackiewicz, Jerzy</creatorcontrib><creatorcontrib>Mutikainen, Maija</creatorcontrib><creatorcontrib>Ruotsalainen, Anna-Kaisa</creatorcontrib><creatorcontrib>Kettunen, Mikko</creatorcontrib><creatorcontrib>Jokivarsi, Kimmo</creatorcontrib><creatorcontrib>Sinha, Debasish</creatorcontrib><creatorcontrib>Kinnunen, Kati</creatorcontrib><creatorcontrib>Petrovski, Goran</creatorcontrib><creatorcontrib>Blasiak, Janusz</creatorcontrib><creatorcontrib>Bjørkøy, Geir</creatorcontrib><creatorcontrib>Koskelainen, Ari</creatorcontrib><creatorcontrib>Skottman, Heli</creatorcontrib><creatorcontrib>Urtti, Arto</creatorcontrib><creatorcontrib>Salminen, Antero</creatorcontrib><creatorcontrib>Kannan, Ram</creatorcontrib><creatorcontrib>Ferrington, Deborah A</creatorcontrib><creatorcontrib>Xu, Heping</creatorcontrib><creatorcontrib>Levonen, Anna-Liisa</creatorcontrib><creatorcontrib>Tavi, Pasi</creatorcontrib><creatorcontrib>Kauppinen, Anu</creatorcontrib><creatorcontrib>Kaarniranta, Kai</creatorcontrib><collection>NORA - Norwegian Open Research Archives</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Felszeghy, Szabolcs</au><au>Viiri, Johanna</au><au>Paterno, Jussi J</au><au>Hyttinen, Juha M.T</au><au>Koskela, Ali</au><au>Chen, Mei</au><au>Leinonen, Henri</au><au>Tanila, Heikki</au><au>Kivinen, Niko</au><au>Koistinen, Arto</au><au>Toropainen, Elisa</au><au>Amadio, Marialaura</au><au>Smedowski, Adrian</au><au>Reinisalo, Mika</au><au>Winiarczyk, Mateusz</au><au>Mackiewicz, Jerzy</au><au>Mutikainen, Maija</au><au>Ruotsalainen, Anna-Kaisa</au><au>Kettunen, Mikko</au><au>Jokivarsi, Kimmo</au><au>Sinha, Debasish</au><au>Kinnunen, Kati</au><au>Petrovski, Goran</au><au>Blasiak, Janusz</au><au>Bjørkøy, Geir</au><au>Koskelainen, Ari</au><au>Skottman, Heli</au><au>Urtti, Arto</au><au>Salminen, Antero</au><au>Kannan, Ram</au><au>Ferrington, Deborah A</au><au>Xu, Heping</au><au>Levonen, Anna-Liisa</au><au>Tavi, Pasi</au><au>Kauppinen, Anu</au><au>Kaarniranta, Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration</atitle><date>2019</date><risdate>2019</risdate><abstract>Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE cells are constantly exposed to oxidative stress that may lead to the accumulation of damaged cellular proteins, DNA and lipids and evoke tissue deterioration during the aging process. The ubiquitin-proteasome pathway and the lysosomal/autophagosomal pathway are the two major proteolytic systems in eukaryotic cells. NRF-2 (nuclear factor-erythroid 2-related factor-2) and PGC-1α (peroxisome proliferator-activated receptor gamma coactivator-1 alpha) are master transcription factors in the regulation of cellular detoxification. We investigated the role of NRF-2 and PGC-1α in the regulation of RPE cell structure and function by using global double knockout (dKO) mice. The NRF-2/PGC-1α dKO mice exhibited significant age-dependent RPE degeneration, accumulation of the oxidative stress marker, 4-HNE (4-hydroxynonenal), the endoplasmic reticulum stress markers GRP78 (glucose-regulated protein 78) and ATF4 (activating transcription factor 4), and damaged mitochondria. Moreover, levels of protein ubiquitination and autophagy markers p62/SQSTM1 (sequestosome 1), Beclin-1 and LC3B (microtubule associated protein 1 light chain 3 beta) were significantly increased together with the Iba-1 (ionized calcium binding adaptor molecule 1) mononuclear phagocyte marker and an enlargement of RPE size. These histopathological changes of RPE were accompanied by photoreceptor dysmorphology and vision loss as revealed by electroretinography. Consequently, these novel findings suggest that the NRF-2/PGC-1α dKO mouse is a valuable model for investigating the role of proteasomal and autophagy clearance in the RPE and in the development of dry AMD.</abstract><pub>Elsevier</pub><oa>free_for_read</oa></addata></record> |
fulltext | fulltext_linktorsrc |
identifier | |
ispartof | |
issn | |
language | eng |
recordid | cdi_cristin_nora_11250_2618375 |
source | NORA - Norwegian Open Research Archives |
title | Loss of NRF-2 and PGC-1α genes leads to retinal pigment epithelium damage resembling dry age-related macular degeneration |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T04%3A18%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-cristin_3HK&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Loss%20of%20NRF-2%20and%20PGC-1%CE%B1%20genes%20leads%20to%20retinal%20pigment%20epithelium%20damage%20resembling%20dry%20age-related%20macular%20degeneration&rft.au=Felszeghy,%20Szabolcs&rft.date=2019&rft_id=info:doi/&rft_dat=%3Ccristin_3HK%3E11250_2618375%3C/cristin_3HK%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |