The evolution of mutualism in gut microbiota via host epithelial selection

The human gut harbours a large and genetically diverse population of symbiotic microbes that both feed and protect the host. Evolutionary theory, however, predicts that such genetic diversity can destabilise mutualistic partnerships. How then can the mutualism of the human microbiota be explained? H...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:PLoS biology 2012-11, Vol.10 (11), p.e1001424-e1001424
Hauptverfasser: Schluter, Jonas, Foster, Kevin R
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e1001424
container_issue 11
container_start_page e1001424
container_title PLoS biology
container_volume 10
creator Schluter, Jonas
Foster, Kevin R
description The human gut harbours a large and genetically diverse population of symbiotic microbes that both feed and protect the host. Evolutionary theory, however, predicts that such genetic diversity can destabilise mutualistic partnerships. How then can the mutualism of the human microbiota be explained? Here we develop an individual-based model of host-associated microbial communities. We first demonstrate the fundamental problem faced by a host: The presence of a genetically diverse microbiota leads to the dominance of the fastest growing microbes instead of the microbes that are most beneficial to the host. We next investigate the potential for host secretions to influence the microbiota. This reveals that the epithelium-microbiota interface acts as a selectivity amplifier: Modest amounts of moderately selective epithelial secretions cause a complete shift in the strains growing at the epithelial surface. This occurs because of the physical structure of the epithelium-microbiota interface: Epithelial secretions have effects that permeate upwards through the whole microbial community, while lumen compounds preferentially affect cells that are soon to slough off. Finally, our model predicts that while antimicrobial secretion can promote host epithelial selection, epithelial nutrient secretion will often be key to host selection. Our findings are consistent with a growing number of empirical papers that indicate an influence of host factors upon microbiota, including growth-promoting glycoconjugates. We argue that host selection is likely to be a key mechanism in the stabilisation of the mutualism between a host and its microbiota.
doi_str_mv 10.1371/journal.pbio.1001424
format Article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1303896119</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A311498451</galeid><doaj_id>oai_doaj_org_article_31d1996787df41e4ab96333c1ca59e9c</doaj_id><sourcerecordid>A311498451</sourcerecordid><originalsourceid>FETCH-LOGICAL-c761t-1f2e2c19cac00735c63d0eb59eb78b697efa7b035b41aa837789534f3cff8c363</originalsourceid><addsrcrecordid>eNqVkstu1DAUhiMEomXgDRBEYgOLGezYie0NUlVxGVRRCQpby3GOZzxy4mnsjODtcZi0alAXIC9iOd_5z-3PsucYrTBh-O3OD32n3GpfW7_CCGFa0AfZKS5puWSclw_v3E-yJyHsECoKUfDH2UlBMC8xQafZ56st5HDwbojWd7k3eTvEQTkb2tx2-WaIeWt171OSqPKDVfnWh5jD3sYtOKtcHsCBHoOfZo-McgGeTd9F9v3D-6vzT8uLy4_r87OLpWYVjktsCig0FlpphBgpdUUaBHUpoGa8rgQDo1iNSFlTrBQnjHFREmqINoZrUpFF9vKou3c-yGkMQaZ2CBcVxiIR6yPReLWT-962qv8lvbLyz4PvN1L10WoHkuAGC1ExzhpDMVBVi4oQorFWqSKhk9a7KdtQt9Bo6GKv3Ex0_qezW7nxB0lKVFAxFvN6Euj99QAhytYGDc6pDvyQ6i4KVFZMUJLQV3-h93c3URuVGrCd8SmvHkXlGcGYCk7TbhfZ6h4qnQbSQn0Hxqb3WcCbWUBiIvyMGzWEINffvv4H--Xf2csfc5Ye2eS4EHowt3PGSI6uvxmIHF0vJ9ensBd3d3QbdGNz8huy2vvg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1303896119</pqid></control><display><type>article</type><title>The evolution of mutualism in gut microbiota via host epithelial selection</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Public Library of Science (PLoS)</source><creator>Schluter, Jonas ; Foster, Kevin R</creator><creatorcontrib>Schluter, Jonas ; Foster, Kevin R</creatorcontrib><description>The human gut harbours a large and genetically diverse population of symbiotic microbes that both feed and protect the host. Evolutionary theory, however, predicts that such genetic diversity can destabilise mutualistic partnerships. How then can the mutualism of the human microbiota be explained? Here we develop an individual-based model of host-associated microbial communities. We first demonstrate the fundamental problem faced by a host: The presence of a genetically diverse microbiota leads to the dominance of the fastest growing microbes instead of the microbes that are most beneficial to the host. We next investigate the potential for host secretions to influence the microbiota. This reveals that the epithelium-microbiota interface acts as a selectivity amplifier: Modest amounts of moderately selective epithelial secretions cause a complete shift in the strains growing at the epithelial surface. This occurs because of the physical structure of the epithelium-microbiota interface: Epithelial secretions have effects that permeate upwards through the whole microbial community, while lumen compounds preferentially affect cells that are soon to slough off. Finally, our model predicts that while antimicrobial secretion can promote host epithelial selection, epithelial nutrient secretion will often be key to host selection. Our findings are consistent with a growing number of empirical papers that indicate an influence of host factors upon microbiota, including growth-promoting glycoconjugates. We argue that host selection is likely to be a key mechanism in the stabilisation of the mutualism between a host and its microbiota.</description><identifier>ISSN: 1545-7885</identifier><identifier>ISSN: 1544-9173</identifier><identifier>EISSN: 1545-7885</identifier><identifier>DOI: 10.1371/journal.pbio.1001424</identifier><identifier>PMID: 23185130</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Advantages ; Antimicrobial agents ; Bacteria ; Bacteria - genetics ; Bacteria - growth &amp; development ; Biological Evolution ; Biology ; Biomass ; Biota ; Computer Simulation ; Evolution ; Gastrointestinal Tract - metabolism ; Gastrointestinal Tract - microbiology ; Genetic aspects ; Genetic diversity ; Genetic Variation ; Growth rate ; Health aspects ; Host-parasite relationships ; Humans ; Influence ; Intestinal Mucosa - metabolism ; Intestinal Mucosa - microbiology ; Intestinal Secretions - microbiology ; Metagenome ; Microbial colonies ; Microbial genetics ; Microbiology ; Models, Biological ; Natural selection ; Ordinary differential equations ; Physiological aspects ; Selection, Genetic ; Symbiosis</subject><ispartof>PLoS biology, 2012-11, Vol.10 (11), p.e1001424-e1001424</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Schluter, Foster. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Schluter J, Foster KR (2012) The Evolution of Mutualism in Gut Microbiota Via Host Epithelial Selection. PLoS Biol 10(11): e1001424. doi:10.1371/journal.pbio.1001424</rights><rights>2012 Schluter, Foster 2012 Schluter, Foster</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c761t-1f2e2c19cac00735c63d0eb59eb78b697efa7b035b41aa837789534f3cff8c363</citedby><cites>FETCH-LOGICAL-c761t-1f2e2c19cac00735c63d0eb59eb78b697efa7b035b41aa837789534f3cff8c363</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/PMC3502499/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502499/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23185130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schluter, Jonas</creatorcontrib><creatorcontrib>Foster, Kevin R</creatorcontrib><title>The evolution of mutualism in gut microbiota via host epithelial selection</title><title>PLoS biology</title><addtitle>PLoS Biol</addtitle><description>The human gut harbours a large and genetically diverse population of symbiotic microbes that both feed and protect the host. Evolutionary theory, however, predicts that such genetic diversity can destabilise mutualistic partnerships. How then can the mutualism of the human microbiota be explained? Here we develop an individual-based model of host-associated microbial communities. We first demonstrate the fundamental problem faced by a host: The presence of a genetically diverse microbiota leads to the dominance of the fastest growing microbes instead of the microbes that are most beneficial to the host. We next investigate the potential for host secretions to influence the microbiota. This reveals that the epithelium-microbiota interface acts as a selectivity amplifier: Modest amounts of moderately selective epithelial secretions cause a complete shift in the strains growing at the epithelial surface. This occurs because of the physical structure of the epithelium-microbiota interface: Epithelial secretions have effects that permeate upwards through the whole microbial community, while lumen compounds preferentially affect cells that are soon to slough off. Finally, our model predicts that while antimicrobial secretion can promote host epithelial selection, epithelial nutrient secretion will often be key to host selection. Our findings are consistent with a growing number of empirical papers that indicate an influence of host factors upon microbiota, including growth-promoting glycoconjugates. We argue that host selection is likely to be a key mechanism in the stabilisation of the mutualism between a host and its microbiota.</description><subject>Advantages</subject><subject>Antimicrobial agents</subject><subject>Bacteria</subject><subject>Bacteria - genetics</subject><subject>Bacteria - growth &amp; development</subject><subject>Biological Evolution</subject><subject>Biology</subject><subject>Biomass</subject><subject>Biota</subject><subject>Computer Simulation</subject><subject>Evolution</subject><subject>Gastrointestinal Tract - metabolism</subject><subject>Gastrointestinal Tract - microbiology</subject><subject>Genetic aspects</subject><subject>Genetic diversity</subject><subject>Genetic Variation</subject><subject>Growth rate</subject><subject>Health aspects</subject><subject>Host-parasite relationships</subject><subject>Humans</subject><subject>Influence</subject><subject>Intestinal Mucosa - metabolism</subject><subject>Intestinal Mucosa - microbiology</subject><subject>Intestinal Secretions - microbiology</subject><subject>Metagenome</subject><subject>Microbial colonies</subject><subject>Microbial genetics</subject><subject>Microbiology</subject><subject>Models, Biological</subject><subject>Natural selection</subject><subject>Ordinary differential equations</subject><subject>Physiological aspects</subject><subject>Selection, Genetic</subject><subject>Symbiosis</subject><issn>1545-7885</issn><issn>1544-9173</issn><issn>1545-7885</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqVkstu1DAUhiMEomXgDRBEYgOLGezYie0NUlVxGVRRCQpby3GOZzxy4mnsjODtcZi0alAXIC9iOd_5z-3PsucYrTBh-O3OD32n3GpfW7_CCGFa0AfZKS5puWSclw_v3E-yJyHsECoKUfDH2UlBMC8xQafZ56st5HDwbojWd7k3eTvEQTkb2tx2-WaIeWt171OSqPKDVfnWh5jD3sYtOKtcHsCBHoOfZo-McgGeTd9F9v3D-6vzT8uLy4_r87OLpWYVjktsCig0FlpphBgpdUUaBHUpoGa8rgQDo1iNSFlTrBQnjHFREmqINoZrUpFF9vKou3c-yGkMQaZ2CBcVxiIR6yPReLWT-962qv8lvbLyz4PvN1L10WoHkuAGC1ExzhpDMVBVi4oQorFWqSKhk9a7KdtQt9Bo6GKv3Ex0_qezW7nxB0lKVFAxFvN6Euj99QAhytYGDc6pDvyQ6i4KVFZMUJLQV3-h93c3URuVGrCd8SmvHkXlGcGYCk7TbhfZ6h4qnQbSQn0Hxqb3WcCbWUBiIvyMGzWEINffvv4H--Xf2csfc5Ye2eS4EHowt3PGSI6uvxmIHF0vJ9ensBd3d3QbdGNz8huy2vvg</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Schluter, Jonas</creator><creator>Foster, Kevin R</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</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>IOV</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>CZG</scope></search><sort><creationdate>20121101</creationdate><title>The evolution of mutualism in gut microbiota via host epithelial selection</title><author>Schluter, Jonas ; Foster, Kevin R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c761t-1f2e2c19cac00735c63d0eb59eb78b697efa7b035b41aa837789534f3cff8c363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Advantages</topic><topic>Antimicrobial agents</topic><topic>Bacteria</topic><topic>Bacteria - genetics</topic><topic>Bacteria - growth &amp; development</topic><topic>Biological Evolution</topic><topic>Biology</topic><topic>Biomass</topic><topic>Biota</topic><topic>Computer Simulation</topic><topic>Evolution</topic><topic>Gastrointestinal Tract - metabolism</topic><topic>Gastrointestinal Tract - microbiology</topic><topic>Genetic aspects</topic><topic>Genetic diversity</topic><topic>Genetic Variation</topic><topic>Growth rate</topic><topic>Health aspects</topic><topic>Host-parasite relationships</topic><topic>Humans</topic><topic>Influence</topic><topic>Intestinal Mucosa - metabolism</topic><topic>Intestinal Mucosa - microbiology</topic><topic>Intestinal Secretions - microbiology</topic><topic>Metagenome</topic><topic>Microbial colonies</topic><topic>Microbial genetics</topic><topic>Microbiology</topic><topic>Models, Biological</topic><topic>Natural selection</topic><topic>Ordinary differential equations</topic><topic>Physiological aspects</topic><topic>Selection, Genetic</topic><topic>Symbiosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schluter, Jonas</creatorcontrib><creatorcontrib>Foster, Kevin R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</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 Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><collection>PLoS Biology</collection><jtitle>PLoS biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schluter, Jonas</au><au>Foster, Kevin R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The evolution of mutualism in gut microbiota via host epithelial selection</atitle><jtitle>PLoS biology</jtitle><addtitle>PLoS Biol</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>10</volume><issue>11</issue><spage>e1001424</spage><epage>e1001424</epage><pages>e1001424-e1001424</pages><issn>1545-7885</issn><issn>1544-9173</issn><eissn>1545-7885</eissn><abstract>The human gut harbours a large and genetically diverse population of symbiotic microbes that both feed and protect the host. Evolutionary theory, however, predicts that such genetic diversity can destabilise mutualistic partnerships. How then can the mutualism of the human microbiota be explained? Here we develop an individual-based model of host-associated microbial communities. We first demonstrate the fundamental problem faced by a host: The presence of a genetically diverse microbiota leads to the dominance of the fastest growing microbes instead of the microbes that are most beneficial to the host. We next investigate the potential for host secretions to influence the microbiota. This reveals that the epithelium-microbiota interface acts as a selectivity amplifier: Modest amounts of moderately selective epithelial secretions cause a complete shift in the strains growing at the epithelial surface. This occurs because of the physical structure of the epithelium-microbiota interface: Epithelial secretions have effects that permeate upwards through the whole microbial community, while lumen compounds preferentially affect cells that are soon to slough off. Finally, our model predicts that while antimicrobial secretion can promote host epithelial selection, epithelial nutrient secretion will often be key to host selection. Our findings are consistent with a growing number of empirical papers that indicate an influence of host factors upon microbiota, including growth-promoting glycoconjugates. We argue that host selection is likely to be a key mechanism in the stabilisation of the mutualism between a host and its microbiota.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23185130</pmid><doi>10.1371/journal.pbio.1001424</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1545-7885
ispartof PLoS biology, 2012-11, Vol.10 (11), p.e1001424-e1001424
issn 1545-7885
1544-9173
1545-7885
language eng
recordid cdi_plos_journals_1303896119
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Public Library of Science (PLoS)
subjects Advantages
Antimicrobial agents
Bacteria
Bacteria - genetics
Bacteria - growth & development
Biological Evolution
Biology
Biomass
Biota
Computer Simulation
Evolution
Gastrointestinal Tract - metabolism
Gastrointestinal Tract - microbiology
Genetic aspects
Genetic diversity
Genetic Variation
Growth rate
Health aspects
Host-parasite relationships
Humans
Influence
Intestinal Mucosa - metabolism
Intestinal Mucosa - microbiology
Intestinal Secretions - microbiology
Metagenome
Microbial colonies
Microbial genetics
Microbiology
Models, Biological
Natural selection
Ordinary differential equations
Physiological aspects
Selection, Genetic
Symbiosis
title The evolution of mutualism in gut microbiota via host epithelial selection
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T18%3A57%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20evolution%20of%20mutualism%20in%20gut%20microbiota%20via%20host%20epithelial%20selection&rft.jtitle=PLoS%20biology&rft.au=Schluter,%20Jonas&rft.date=2012-11-01&rft.volume=10&rft.issue=11&rft.spage=e1001424&rft.epage=e1001424&rft.pages=e1001424-e1001424&rft.issn=1545-7885&rft.eissn=1545-7885&rft_id=info:doi/10.1371/journal.pbio.1001424&rft_dat=%3Cgale_plos_%3EA311498451%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1303896119&rft_id=info:pmid/23185130&rft_galeid=A311498451&rft_doaj_id=oai_doaj_org_article_31d1996787df41e4ab96333c1ca59e9c&rfr_iscdi=true