AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D

The fate of neural stem cells (NSCs), including their proliferation, differentiation, survival, and death, is regulated by multiple intrinsic signals and the extrinsic environment. We had previously reported that 5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside (AICAR) directly induces astroglial...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Journal of biological chemistry 2009-03, Vol.284 (10), p.6175-6184
Hauptverfasser: Zang, Yi, Yu, Li-Fang, Nan, Fa-Jun, Feng, Lin-Yin, Li, Jia
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 6184
container_issue 10
container_start_page 6175
container_title The Journal of biological chemistry
container_volume 284
creator Zang, Yi
Yu, Li-Fang
Nan, Fa-Jun
Feng, Lin-Yin
Li, Jia
description The fate of neural stem cells (NSCs), including their proliferation, differentiation, survival, and death, is regulated by multiple intrinsic signals and the extrinsic environment. We had previously reported that 5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside (AICAR) directly induces astroglial differentiation of NSCs by activation of the Janus kinase (JAK)/Signal transducer and activator of transcription 3 (STAT3) pathway independently of AMP-activated protein kinase (AMPK). Here, we reported the observation that AICAR inhibited NSC proliferation and its underlying mechanism. Analysis of caspase activity and cell cycle showed that AICAR induced G1/G0 cell cycle arrest in NSCs, associated with decreased levels of poly(ADP-ribose) polymerase, phospho-retinoblastoma protein (Rb), and cyclin D but did not cause apoptosis. Iodotubericidin and Compound C, inhibitors of adenosine kinase and AMPK, respectively, or overexpression of a dominant-negative mutant of AMPK, but not JAK inhibitor, were able to reverse the anti-proliferative effect of AICAR. Glucose deprivation also activated the AMPK pathway, induced G0/G1 arrest, and suppressed the proliferation of NSCs, an effect associated with decreased levels of phospho-Rb and cyclin D protein. Furthermore, Compound C and overexpression of dominant-negative AMPK in C17.2 NSCs could block the glucose deprivation-mediated down-regulation of cyclin D and partially reverse the suppression of proliferation. These results suggest that AICAR and glucose deprivation might induce G1/G0 cell cycle arrest and suppress proliferation of NSCs via phospho-Rb and cyclin D down-regulation. AMPK, but not JAK/STAT3, activation is key for this inhibitory effect and may play an important role in the responses of NSCs to metabolic stresses such as glucose deprivation.
doi_str_mv 10.1074/jbc.M806887200
format Article
fullrecord <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1074_jbc_M806887200</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0021925820326454</els_id><sourcerecordid>19144636</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-572fd50dadf8ca0e8c03aaaa5a298ff2ccf370200a55ee1df8e4754f42d532b3</originalsourceid><addsrcrecordid>eNp1UcGO0zAQjRCILQtXjuAfcLGTuHGOVbuUil2o1EXiFjn2pPUqsSs76VI-iw_ha_gAppsVe2Iutt-8mXnjlyRvOZtyVuQf7mo9vZFsJmWRMvYsmXAmM5oJ_v15MmEs5bRMhbxIXsV4xzDykr9MLnjJ83yWzSbJn_nNhird26PqwZBN8D1YRz5bpyKQdSRrd_TtEVOIfoEhqJZse-jIAtqWrIK_7_dkOxwOAWK03hHlzJhbnHQLZB4w0ZP6RASdd9Z521mjfvoWaE61CrX_oRAByunvX9TQYGvf4BTnI6IP3VbtoD2KWcIhnGWep2C_pb93NMBuaBFyO7LZ-3jYe4Tw6etWxd536t9GD7pQEl6Xr5MXjWojvHk8L5Pbj1e3i0_0-utqvZhfU50VoqeiSBsjmFGmkVoxkJplCkOotJRNk2rdZAXDb1dCAHBkQV6IvMlTI7K0zi6T6dhWBx9jgKbCBToVThVn1dm9Ct2rntzDgndjwWGoOzBP9Ee7kPB-JDTKV2oXbKy-bVPGM8ZFKUVZIEOODMC9jhZCFbUFp8HYALqvjLf_m_4X5mS4lw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Zang, Yi ; Yu, Li-Fang ; Nan, Fa-Jun ; Feng, Lin-Yin ; Li, Jia</creator><creatorcontrib>Zang, Yi ; Yu, Li-Fang ; Nan, Fa-Jun ; Feng, Lin-Yin ; Li, Jia</creatorcontrib><description>The fate of neural stem cells (NSCs), including their proliferation, differentiation, survival, and death, is regulated by multiple intrinsic signals and the extrinsic environment. We had previously reported that 5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside (AICAR) directly induces astroglial differentiation of NSCs by activation of the Janus kinase (JAK)/Signal transducer and activator of transcription 3 (STAT3) pathway independently of AMP-activated protein kinase (AMPK). Here, we reported the observation that AICAR inhibited NSC proliferation and its underlying mechanism. Analysis of caspase activity and cell cycle showed that AICAR induced G1/G0 cell cycle arrest in NSCs, associated with decreased levels of poly(ADP-ribose) polymerase, phospho-retinoblastoma protein (Rb), and cyclin D but did not cause apoptosis. Iodotubericidin and Compound C, inhibitors of adenosine kinase and AMPK, respectively, or overexpression of a dominant-negative mutant of AMPK, but not JAK inhibitor, were able to reverse the anti-proliferative effect of AICAR. Glucose deprivation also activated the AMPK pathway, induced G0/G1 arrest, and suppressed the proliferation of NSCs, an effect associated with decreased levels of phospho-Rb and cyclin D protein. Furthermore, Compound C and overexpression of dominant-negative AMPK in C17.2 NSCs could block the glucose deprivation-mediated down-regulation of cyclin D and partially reverse the suppression of proliferation. These results suggest that AICAR and glucose deprivation might induce G1/G0 cell cycle arrest and suppress proliferation of NSCs via phospho-Rb and cyclin D down-regulation. AMPK, but not JAK/STAT3, activation is key for this inhibitory effect and may play an important role in the responses of NSCs to metabolic stresses such as glucose deprivation.</description><identifier>ISSN: 0021-9258</identifier><identifier>EISSN: 1083-351X</identifier><identifier>DOI: 10.1074/jbc.M806887200</identifier><identifier>PMID: 19144636</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aminoimidazole Carboxamide - analogs &amp; derivatives ; Aminoimidazole Carboxamide - pharmacology ; Animals ; Apoptosis - drug effects ; Astrocytes - metabolism ; Cell Differentiation - drug effects ; Cell Line, Transformed ; Cyclin D ; Cyclins - metabolism ; Enzyme Activation - drug effects ; G1 Phase - drug effects ; Glucose - pharmacology ; Humans ; Hypoglycemic Agents - pharmacology ; Janus Kinases - metabolism ; Mice ; Neurons - metabolism ; Poly(ADP-ribose) Polymerases - metabolism ; Protein Kinases - metabolism ; Pyrazoles - pharmacology ; Pyrimidines - pharmacology ; Resting Phase, Cell Cycle - drug effects ; Retinoblastoma Protein - metabolism ; Ribonucleotides - pharmacology ; STAT3 Transcription Factor - metabolism ; Stem Cells - metabolism ; Sweetening Agents - pharmacology</subject><ispartof>The Journal of biological chemistry, 2009-03, Vol.284 (10), p.6175-6184</ispartof><rights>2009 © 2009 ASBMB. Currently published by Elsevier Inc; originally published by American Society for Biochemistry and Molecular Biology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-572fd50dadf8ca0e8c03aaaa5a298ff2ccf370200a55ee1df8e4754f42d532b3</citedby><cites>FETCH-LOGICAL-c375t-572fd50dadf8ca0e8c03aaaa5a298ff2ccf370200a55ee1df8e4754f42d532b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19144636$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zang, Yi</creatorcontrib><creatorcontrib>Yu, Li-Fang</creatorcontrib><creatorcontrib>Nan, Fa-Jun</creatorcontrib><creatorcontrib>Feng, Lin-Yin</creatorcontrib><creatorcontrib>Li, Jia</creatorcontrib><title>AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D</title><title>The Journal of biological chemistry</title><addtitle>J Biol Chem</addtitle><description>The fate of neural stem cells (NSCs), including their proliferation, differentiation, survival, and death, is regulated by multiple intrinsic signals and the extrinsic environment. We had previously reported that 5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside (AICAR) directly induces astroglial differentiation of NSCs by activation of the Janus kinase (JAK)/Signal transducer and activator of transcription 3 (STAT3) pathway independently of AMP-activated protein kinase (AMPK). Here, we reported the observation that AICAR inhibited NSC proliferation and its underlying mechanism. Analysis of caspase activity and cell cycle showed that AICAR induced G1/G0 cell cycle arrest in NSCs, associated with decreased levels of poly(ADP-ribose) polymerase, phospho-retinoblastoma protein (Rb), and cyclin D but did not cause apoptosis. Iodotubericidin and Compound C, inhibitors of adenosine kinase and AMPK, respectively, or overexpression of a dominant-negative mutant of AMPK, but not JAK inhibitor, were able to reverse the anti-proliferative effect of AICAR. Glucose deprivation also activated the AMPK pathway, induced G0/G1 arrest, and suppressed the proliferation of NSCs, an effect associated with decreased levels of phospho-Rb and cyclin D protein. Furthermore, Compound C and overexpression of dominant-negative AMPK in C17.2 NSCs could block the glucose deprivation-mediated down-regulation of cyclin D and partially reverse the suppression of proliferation. These results suggest that AICAR and glucose deprivation might induce G1/G0 cell cycle arrest and suppress proliferation of NSCs via phospho-Rb and cyclin D down-regulation. AMPK, but not JAK/STAT3, activation is key for this inhibitory effect and may play an important role in the responses of NSCs to metabolic stresses such as glucose deprivation.</description><subject>Aminoimidazole Carboxamide - analogs &amp; derivatives</subject><subject>Aminoimidazole Carboxamide - pharmacology</subject><subject>Animals</subject><subject>Apoptosis - drug effects</subject><subject>Astrocytes - metabolism</subject><subject>Cell Differentiation - drug effects</subject><subject>Cell Line, Transformed</subject><subject>Cyclin D</subject><subject>Cyclins - metabolism</subject><subject>Enzyme Activation - drug effects</subject><subject>G1 Phase - drug effects</subject><subject>Glucose - pharmacology</subject><subject>Humans</subject><subject>Hypoglycemic Agents - pharmacology</subject><subject>Janus Kinases - metabolism</subject><subject>Mice</subject><subject>Neurons - metabolism</subject><subject>Poly(ADP-ribose) Polymerases - metabolism</subject><subject>Protein Kinases - metabolism</subject><subject>Pyrazoles - pharmacology</subject><subject>Pyrimidines - pharmacology</subject><subject>Resting Phase, Cell Cycle - drug effects</subject><subject>Retinoblastoma Protein - metabolism</subject><subject>Ribonucleotides - pharmacology</subject><subject>STAT3 Transcription Factor - metabolism</subject><subject>Stem Cells - metabolism</subject><subject>Sweetening Agents - pharmacology</subject><issn>0021-9258</issn><issn>1083-351X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UcGO0zAQjRCILQtXjuAfcLGTuHGOVbuUil2o1EXiFjn2pPUqsSs76VI-iw_ha_gAppsVe2Iutt-8mXnjlyRvOZtyVuQf7mo9vZFsJmWRMvYsmXAmM5oJ_v15MmEs5bRMhbxIXsV4xzDykr9MLnjJ83yWzSbJn_nNhird26PqwZBN8D1YRz5bpyKQdSRrd_TtEVOIfoEhqJZse-jIAtqWrIK_7_dkOxwOAWK03hHlzJhbnHQLZB4w0ZP6RASdd9Z521mjfvoWaE61CrX_oRAByunvX9TQYGvf4BTnI6IP3VbtoD2KWcIhnGWep2C_pb93NMBuaBFyO7LZ-3jYe4Tw6etWxd536t9GD7pQEl6Xr5MXjWojvHk8L5Pbj1e3i0_0-utqvZhfU50VoqeiSBsjmFGmkVoxkJplCkOotJRNk2rdZAXDb1dCAHBkQV6IvMlTI7K0zi6T6dhWBx9jgKbCBToVThVn1dm9Ct2rntzDgndjwWGoOzBP9Ee7kPB-JDTKV2oXbKy-bVPGM8ZFKUVZIEOODMC9jhZCFbUFp8HYALqvjLf_m_4X5mS4lw</recordid><startdate>20090306</startdate><enddate>20090306</enddate><creator>Zang, Yi</creator><creator>Yu, Li-Fang</creator><creator>Nan, Fa-Jun</creator><creator>Feng, Lin-Yin</creator><creator>Li, Jia</creator><general>Elsevier Inc</general><general>American Society for Biochemistry and Molecular Biology</general><scope>6I.</scope><scope>AAFTH</scope><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></search><sort><creationdate>20090306</creationdate><title>AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D</title><author>Zang, Yi ; Yu, Li-Fang ; Nan, Fa-Jun ; Feng, Lin-Yin ; Li, Jia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-572fd50dadf8ca0e8c03aaaa5a298ff2ccf370200a55ee1df8e4754f42d532b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aminoimidazole Carboxamide - analogs &amp; derivatives</topic><topic>Aminoimidazole Carboxamide - pharmacology</topic><topic>Animals</topic><topic>Apoptosis - drug effects</topic><topic>Astrocytes - metabolism</topic><topic>Cell Differentiation - drug effects</topic><topic>Cell Line, Transformed</topic><topic>Cyclin D</topic><topic>Cyclins - metabolism</topic><topic>Enzyme Activation - drug effects</topic><topic>G1 Phase - drug effects</topic><topic>Glucose - pharmacology</topic><topic>Humans</topic><topic>Hypoglycemic Agents - pharmacology</topic><topic>Janus Kinases - metabolism</topic><topic>Mice</topic><topic>Neurons - metabolism</topic><topic>Poly(ADP-ribose) Polymerases - metabolism</topic><topic>Protein Kinases - metabolism</topic><topic>Pyrazoles - pharmacology</topic><topic>Pyrimidines - pharmacology</topic><topic>Resting Phase, Cell Cycle - drug effects</topic><topic>Retinoblastoma Protein - metabolism</topic><topic>Ribonucleotides - pharmacology</topic><topic>STAT3 Transcription Factor - metabolism</topic><topic>Stem Cells - metabolism</topic><topic>Sweetening Agents - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zang, Yi</creatorcontrib><creatorcontrib>Yu, Li-Fang</creatorcontrib><creatorcontrib>Nan, Fa-Jun</creatorcontrib><creatorcontrib>Feng, Lin-Yin</creatorcontrib><creatorcontrib>Li, Jia</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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><jtitle>The Journal of biological chemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zang, Yi</au><au>Yu, Li-Fang</au><au>Nan, Fa-Jun</au><au>Feng, Lin-Yin</au><au>Li, Jia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D</atitle><jtitle>The Journal of biological chemistry</jtitle><addtitle>J Biol Chem</addtitle><date>2009-03-06</date><risdate>2009</risdate><volume>284</volume><issue>10</issue><spage>6175</spage><epage>6184</epage><pages>6175-6184</pages><issn>0021-9258</issn><eissn>1083-351X</eissn><abstract>The fate of neural stem cells (NSCs), including their proliferation, differentiation, survival, and death, is regulated by multiple intrinsic signals and the extrinsic environment. We had previously reported that 5-aminoimidazole-4-carboxamide-1-β-d-ribofuranoside (AICAR) directly induces astroglial differentiation of NSCs by activation of the Janus kinase (JAK)/Signal transducer and activator of transcription 3 (STAT3) pathway independently of AMP-activated protein kinase (AMPK). Here, we reported the observation that AICAR inhibited NSC proliferation and its underlying mechanism. Analysis of caspase activity and cell cycle showed that AICAR induced G1/G0 cell cycle arrest in NSCs, associated with decreased levels of poly(ADP-ribose) polymerase, phospho-retinoblastoma protein (Rb), and cyclin D but did not cause apoptosis. Iodotubericidin and Compound C, inhibitors of adenosine kinase and AMPK, respectively, or overexpression of a dominant-negative mutant of AMPK, but not JAK inhibitor, were able to reverse the anti-proliferative effect of AICAR. Glucose deprivation also activated the AMPK pathway, induced G0/G1 arrest, and suppressed the proliferation of NSCs, an effect associated with decreased levels of phospho-Rb and cyclin D protein. Furthermore, Compound C and overexpression of dominant-negative AMPK in C17.2 NSCs could block the glucose deprivation-mediated down-regulation of cyclin D and partially reverse the suppression of proliferation. These results suggest that AICAR and glucose deprivation might induce G1/G0 cell cycle arrest and suppress proliferation of NSCs via phospho-Rb and cyclin D down-regulation. AMPK, but not JAK/STAT3, activation is key for this inhibitory effect and may play an important role in the responses of NSCs to metabolic stresses such as glucose deprivation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19144636</pmid><doi>10.1074/jbc.M806887200</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0021-9258
ispartof The Journal of biological chemistry, 2009-03, Vol.284 (10), p.6175-6184
issn 0021-9258
1083-351X
language eng
recordid cdi_crossref_primary_10_1074_jbc_M806887200
source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Aminoimidazole Carboxamide - analogs & derivatives
Aminoimidazole Carboxamide - pharmacology
Animals
Apoptosis - drug effects
Astrocytes - metabolism
Cell Differentiation - drug effects
Cell Line, Transformed
Cyclin D
Cyclins - metabolism
Enzyme Activation - drug effects
G1 Phase - drug effects
Glucose - pharmacology
Humans
Hypoglycemic Agents - pharmacology
Janus Kinases - metabolism
Mice
Neurons - metabolism
Poly(ADP-ribose) Polymerases - metabolism
Protein Kinases - metabolism
Pyrazoles - pharmacology
Pyrimidines - pharmacology
Resting Phase, Cell Cycle - drug effects
Retinoblastoma Protein - metabolism
Ribonucleotides - pharmacology
STAT3 Transcription Factor - metabolism
Stem Cells - metabolism
Sweetening Agents - pharmacology
title AMP-activated Protein Kinase Is Involved in Neural Stem Cell Growth Suppression and Cell Cycle Arrest by 5-Aminoimidazole-4-carboxamide-1-β-d-ribofuranoside and Glucose Deprivation by Down-regulating Phospho-retinoblastoma Protein and Cyclin D
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-30T21%3A46%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=AMP-activated%20Protein%20Kinase%20Is%20Involved%20in%20Neural%20Stem%20Cell%20Growth%20Suppression%20and%20Cell%20Cycle%20Arrest%20by%205-Aminoimidazole-4-carboxamide-1-%CE%B2-d-ribofuranoside%20and%20Glucose%20Deprivation%20by%20Down-regulating%20Phospho-retinoblastoma%20Protein%20and%20Cyclin%20D&rft.jtitle=The%20Journal%20of%20biological%20chemistry&rft.au=Zang,%20Yi&rft.date=2009-03-06&rft.volume=284&rft.issue=10&rft.spage=6175&rft.epage=6184&rft.pages=6175-6184&rft.issn=0021-9258&rft.eissn=1083-351X&rft_id=info:doi/10.1074/jbc.M806887200&rft_dat=%3Cpubmed_cross%3E19144636%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/19144636&rft_els_id=S0021925820326454&rfr_iscdi=true