Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells

ABSTRACTAngiotensin II (Ang II) is now believed to play a critical role in the pathogenesis of hypertrophy and/or hyperplasia of vascular smooth muscle cells (VSMCs). Several Gi- and Gq-coupled receptors, including the Ang II type 1 (AT1) receptor, activate Rho and Rho-associated kinase in Swiss 3T3...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2000-01, Vol.35 (1, Part 2 Suppl), p.313-313
Hauptverfasser: Yamakawa, Tadashi, Tanaka, Shun-ichi, Numaguchi, Kotaro, Yamakawa, Yuko, Motley, Evangeline D, Ichihara, Sahoko, Inagami, Tadashi
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 313
container_issue 1, Part 2 Suppl
container_start_page 313
container_title Hypertension (Dallas, Tex. 1979)
container_volume 35
creator Yamakawa, Tadashi
Tanaka, Shun-ichi
Numaguchi, Kotaro
Yamakawa, Yuko
Motley, Evangeline D
Ichihara, Sahoko
Inagami, Tadashi
description ABSTRACTAngiotensin II (Ang II) is now believed to play a critical role in the pathogenesis of hypertrophy and/or hyperplasia of vascular smooth muscle cells (VSMCs). Several Gi- and Gq-coupled receptors, including the Ang II type 1 (AT1) receptor, activate Rho and Rho-associated kinase in Swiss 3T3 cells and cardiac myocytes. However, little is known about the role of Rho-kinase in Ang II–induced vascular hypertrophy in VSMCs. In the present study, we explored the role of Rho and Rho-kinase in Ang II–induced protein synthesis in VSMCs. In unstimulated cells, RhoA was observed predominantly in the cytosolic fraction, but it was translocated in part to the particulate fraction in response to Ang II (100 nmol/L). This effect was completely blocked by the AT1 receptor blocker candesartan but not by the Ang II type 2 (AT2) receptor antagonist PD123319. Botulinum C3 exoenzyme, which inactivated RhoA, attenuated Ang II–induced [H]leucine incorporation. The specific Rho-kinase inhibitor, Y-27632, dose-dependently abolished Ang II–induced protein synthesis and also suppressed Ang II–induced c-fos mRNA expression. On the other hand, Y-27632 had no effect on Ang II–stimulated phosphorylation of p70 S6 kinase and extracellular signal—regulated kinase 1/2, which are reported to be involved in Ang II–induced protein synthesis, nor had it any effect on the Ang II–induced phosphorylation of PHAS-I, a heat- and acid-stable eIF-4E–binding protein. The phosphorylation of PHAS-I is regulating for translation initiation. These observations suggest that the Rho, Rho-kinase, and c-fos pathways may play a role in Ang II–induced hypertrophic changes of VSMCs through a novel pathway.
doi_str_mv 10.1161/01.hyp.35.1.313
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_205305130</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>48740916</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5598-b491ca641c7ea0dccab074d91f38e99695ecf691e610e53c28f2ea20145772a83</originalsourceid><addsrcrecordid>eNpNkE1v1DAQhi0EokvhzA1Z3JN6_JHEx2oFbEQRiC_ByfI6E7LFG6d20mpv_If-w_4SXLYHRiO9c3jmHc1LyEtgJUAFZwzK4TCVQpVQChCPyAoUl4VUlXhMVgy0LDTAjxPyLKVLxkBKWT8lJ8AqyQXUK4LteB38Ne5xnGno6echFO93o01IdyM9H3_twoxjynPb3v25bcducdjRzWHCOMcwDYd_W3am321yi7eRftmHMA_0w5KcR7pG79Nz8qS3PuGLBz0l396--breFBcf37Xr84vCKaWbYis1OFtJcDVa1jlnt6yWnYZeNKh1pRW6vtKAFTBUwvGm52h5fkvVNbeNOCWvj75TDFcLptlchiWO-aThTAmmQLAMnR0hF0NKEXszxd3exoMBZu5TNQzM5ucnI5QBk1PNG68ebJftHrv_-GOMGZBH4Cb4GWP67ZcbjGZA6-fBsFySV03B7yfIXWTljfgLdiiDIw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205305130</pqid></control><display><type>article</type><title>Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells</title><source>MEDLINE</source><source>American Heart Association Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Journals@Ovid Complete</source><creator>Yamakawa, Tadashi ; Tanaka, Shun-ichi ; Numaguchi, Kotaro ; Yamakawa, Yuko ; Motley, Evangeline D ; Ichihara, Sahoko ; Inagami, Tadashi</creator><creatorcontrib>Yamakawa, Tadashi ; Tanaka, Shun-ichi ; Numaguchi, Kotaro ; Yamakawa, Yuko ; Motley, Evangeline D ; Ichihara, Sahoko ; Inagami, Tadashi</creatorcontrib><description>ABSTRACTAngiotensin II (Ang II) is now believed to play a critical role in the pathogenesis of hypertrophy and/or hyperplasia of vascular smooth muscle cells (VSMCs). Several Gi- and Gq-coupled receptors, including the Ang II type 1 (AT1) receptor, activate Rho and Rho-associated kinase in Swiss 3T3 cells and cardiac myocytes. However, little is known about the role of Rho-kinase in Ang II–induced vascular hypertrophy in VSMCs. In the present study, we explored the role of Rho and Rho-kinase in Ang II–induced protein synthesis in VSMCs. In unstimulated cells, RhoA was observed predominantly in the cytosolic fraction, but it was translocated in part to the particulate fraction in response to Ang II (100 nmol/L). This effect was completely blocked by the AT1 receptor blocker candesartan but not by the Ang II type 2 (AT2) receptor antagonist PD123319. Botulinum C3 exoenzyme, which inactivated RhoA, attenuated Ang II–induced [H]leucine incorporation. The specific Rho-kinase inhibitor, Y-27632, dose-dependently abolished Ang II–induced protein synthesis and also suppressed Ang II–induced c-fos mRNA expression. On the other hand, Y-27632 had no effect on Ang II–stimulated phosphorylation of p70 S6 kinase and extracellular signal—regulated kinase 1/2, which are reported to be involved in Ang II–induced protein synthesis, nor had it any effect on the Ang II–induced phosphorylation of PHAS-I, a heat- and acid-stable eIF-4E–binding protein. The phosphorylation of PHAS-I is regulating for translation initiation. These observations suggest that the Rho, Rho-kinase, and c-fos pathways may play a role in Ang II–induced hypertrophic changes of VSMCs through a novel pathway.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/01.hyp.35.1.313</identifier><identifier>PMID: 10642317</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>ADP Ribose Transferases - pharmacology ; Amides - pharmacology ; Angiotensin II - pharmacology ; Animals ; Aorta, Thoracic - cytology ; Biological Transport - drug effects ; Botulinum Toxins ; Carrier Proteins ; Cells, Cultured ; Enzyme Inhibitors - pharmacology ; Gene Expression - drug effects ; Hypertrophy ; Intracellular Signaling Peptides and Proteins ; Leucine - pharmacokinetics ; Mitogen-Activated Protein Kinase 1 - metabolism ; Mitogen-Activated Protein Kinase 3 ; Mitogen-Activated Protein Kinases - metabolism ; Muscle, Smooth, Vascular - enzymology ; Muscle, Smooth, Vascular - pathology ; Phosphoproteins - metabolism ; Phosphorylation ; Protein-Serine-Threonine Kinases - metabolism ; Proto-Oncogene Proteins c-fos - genetics ; Pyridines - pharmacology ; Rats ; Rats, Sprague-Dawley ; rho GTP-Binding Proteins - metabolism ; rho-Associated Kinases ; Ribosomal Protein S6 Kinases - metabolism ; RNA, Messenger - analysis</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2000-01, Vol.35 (1, Part 2 Suppl), p.313-313</ispartof><rights>2000 American Heart Association, Inc.</rights><rights>Copyright American Heart Association, Inc. Jan 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5598-b491ca641c7ea0dccab074d91f38e99695ecf691e610e53c28f2ea20145772a83</citedby><cites>FETCH-LOGICAL-c5598-b491ca641c7ea0dccab074d91f38e99695ecf691e610e53c28f2ea20145772a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10642317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamakawa, Tadashi</creatorcontrib><creatorcontrib>Tanaka, Shun-ichi</creatorcontrib><creatorcontrib>Numaguchi, Kotaro</creatorcontrib><creatorcontrib>Yamakawa, Yuko</creatorcontrib><creatorcontrib>Motley, Evangeline D</creatorcontrib><creatorcontrib>Ichihara, Sahoko</creatorcontrib><creatorcontrib>Inagami, Tadashi</creatorcontrib><title>Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>ABSTRACTAngiotensin II (Ang II) is now believed to play a critical role in the pathogenesis of hypertrophy and/or hyperplasia of vascular smooth muscle cells (VSMCs). Several Gi- and Gq-coupled receptors, including the Ang II type 1 (AT1) receptor, activate Rho and Rho-associated kinase in Swiss 3T3 cells and cardiac myocytes. However, little is known about the role of Rho-kinase in Ang II–induced vascular hypertrophy in VSMCs. In the present study, we explored the role of Rho and Rho-kinase in Ang II–induced protein synthesis in VSMCs. In unstimulated cells, RhoA was observed predominantly in the cytosolic fraction, but it was translocated in part to the particulate fraction in response to Ang II (100 nmol/L). This effect was completely blocked by the AT1 receptor blocker candesartan but not by the Ang II type 2 (AT2) receptor antagonist PD123319. Botulinum C3 exoenzyme, which inactivated RhoA, attenuated Ang II–induced [H]leucine incorporation. The specific Rho-kinase inhibitor, Y-27632, dose-dependently abolished Ang II–induced protein synthesis and also suppressed Ang II–induced c-fos mRNA expression. On the other hand, Y-27632 had no effect on Ang II–stimulated phosphorylation of p70 S6 kinase and extracellular signal—regulated kinase 1/2, which are reported to be involved in Ang II–induced protein synthesis, nor had it any effect on the Ang II–induced phosphorylation of PHAS-I, a heat- and acid-stable eIF-4E–binding protein. The phosphorylation of PHAS-I is regulating for translation initiation. These observations suggest that the Rho, Rho-kinase, and c-fos pathways may play a role in Ang II–induced hypertrophic changes of VSMCs through a novel pathway.</description><subject>ADP Ribose Transferases - pharmacology</subject><subject>Amides - pharmacology</subject><subject>Angiotensin II - pharmacology</subject><subject>Animals</subject><subject>Aorta, Thoracic - cytology</subject><subject>Biological Transport - drug effects</subject><subject>Botulinum Toxins</subject><subject>Carrier Proteins</subject><subject>Cells, Cultured</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Gene Expression - drug effects</subject><subject>Hypertrophy</subject><subject>Intracellular Signaling Peptides and Proteins</subject><subject>Leucine - pharmacokinetics</subject><subject>Mitogen-Activated Protein Kinase 1 - metabolism</subject><subject>Mitogen-Activated Protein Kinase 3</subject><subject>Mitogen-Activated Protein Kinases - metabolism</subject><subject>Muscle, Smooth, Vascular - enzymology</subject><subject>Muscle, Smooth, Vascular - pathology</subject><subject>Phosphoproteins - metabolism</subject><subject>Phosphorylation</subject><subject>Protein-Serine-Threonine Kinases - metabolism</subject><subject>Proto-Oncogene Proteins c-fos - genetics</subject><subject>Pyridines - pharmacology</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>rho GTP-Binding Proteins - metabolism</subject><subject>rho-Associated Kinases</subject><subject>Ribosomal Protein S6 Kinases - metabolism</subject><subject>RNA, Messenger - analysis</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1v1DAQhi0EokvhzA1Z3JN6_JHEx2oFbEQRiC_ByfI6E7LFG6d20mpv_If-w_4SXLYHRiO9c3jmHc1LyEtgJUAFZwzK4TCVQpVQChCPyAoUl4VUlXhMVgy0LDTAjxPyLKVLxkBKWT8lJ8AqyQXUK4LteB38Ne5xnGno6echFO93o01IdyM9H3_twoxjynPb3v25bcducdjRzWHCOMcwDYd_W3am321yi7eRftmHMA_0w5KcR7pG79Nz8qS3PuGLBz0l396--breFBcf37Xr84vCKaWbYis1OFtJcDVa1jlnt6yWnYZeNKh1pRW6vtKAFTBUwvGm52h5fkvVNbeNOCWvj75TDFcLptlchiWO-aThTAmmQLAMnR0hF0NKEXszxd3exoMBZu5TNQzM5ucnI5QBk1PNG68ebJftHrv_-GOMGZBH4Cb4GWP67ZcbjGZA6-fBsFySV03B7yfIXWTljfgLdiiDIw</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Yamakawa, Tadashi</creator><creator>Tanaka, Shun-ichi</creator><creator>Numaguchi, Kotaro</creator><creator>Yamakawa, Yuko</creator><creator>Motley, Evangeline D</creator><creator>Ichihara, Sahoko</creator><creator>Inagami, Tadashi</creator><general>American Heart Association, Inc</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>K9.</scope></search><sort><creationdate>200001</creationdate><title>Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells</title><author>Yamakawa, Tadashi ; Tanaka, Shun-ichi ; Numaguchi, Kotaro ; Yamakawa, Yuko ; Motley, Evangeline D ; Ichihara, Sahoko ; Inagami, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5598-b491ca641c7ea0dccab074d91f38e99695ecf691e610e53c28f2ea20145772a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>ADP Ribose Transferases - pharmacology</topic><topic>Amides - pharmacology</topic><topic>Angiotensin II - pharmacology</topic><topic>Animals</topic><topic>Aorta, Thoracic - cytology</topic><topic>Biological Transport - drug effects</topic><topic>Botulinum Toxins</topic><topic>Carrier Proteins</topic><topic>Cells, Cultured</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>Gene Expression - drug effects</topic><topic>Hypertrophy</topic><topic>Intracellular Signaling Peptides and Proteins</topic><topic>Leucine - pharmacokinetics</topic><topic>Mitogen-Activated Protein Kinase 1 - metabolism</topic><topic>Mitogen-Activated Protein Kinase 3</topic><topic>Mitogen-Activated Protein Kinases - metabolism</topic><topic>Muscle, Smooth, Vascular - enzymology</topic><topic>Muscle, Smooth, Vascular - pathology</topic><topic>Phosphoproteins - metabolism</topic><topic>Phosphorylation</topic><topic>Protein-Serine-Threonine Kinases - metabolism</topic><topic>Proto-Oncogene Proteins c-fos - genetics</topic><topic>Pyridines - pharmacology</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>rho GTP-Binding Proteins - metabolism</topic><topic>rho-Associated Kinases</topic><topic>Ribosomal Protein S6 Kinases - metabolism</topic><topic>RNA, Messenger - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamakawa, Tadashi</creatorcontrib><creatorcontrib>Tanaka, Shun-ichi</creatorcontrib><creatorcontrib>Numaguchi, Kotaro</creatorcontrib><creatorcontrib>Yamakawa, Yuko</creatorcontrib><creatorcontrib>Motley, Evangeline D</creatorcontrib><creatorcontrib>Ichihara, Sahoko</creatorcontrib><creatorcontrib>Inagami, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamakawa, Tadashi</au><au>Tanaka, Shun-ichi</au><au>Numaguchi, Kotaro</au><au>Yamakawa, Yuko</au><au>Motley, Evangeline D</au><au>Ichihara, Sahoko</au><au>Inagami, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2000-01</date><risdate>2000</risdate><volume>35</volume><issue>1, Part 2 Suppl</issue><spage>313</spage><epage>313</epage><pages>313-313</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>ABSTRACTAngiotensin II (Ang II) is now believed to play a critical role in the pathogenesis of hypertrophy and/or hyperplasia of vascular smooth muscle cells (VSMCs). Several Gi- and Gq-coupled receptors, including the Ang II type 1 (AT1) receptor, activate Rho and Rho-associated kinase in Swiss 3T3 cells and cardiac myocytes. However, little is known about the role of Rho-kinase in Ang II–induced vascular hypertrophy in VSMCs. In the present study, we explored the role of Rho and Rho-kinase in Ang II–induced protein synthesis in VSMCs. In unstimulated cells, RhoA was observed predominantly in the cytosolic fraction, but it was translocated in part to the particulate fraction in response to Ang II (100 nmol/L). This effect was completely blocked by the AT1 receptor blocker candesartan but not by the Ang II type 2 (AT2) receptor antagonist PD123319. Botulinum C3 exoenzyme, which inactivated RhoA, attenuated Ang II–induced [H]leucine incorporation. The specific Rho-kinase inhibitor, Y-27632, dose-dependently abolished Ang II–induced protein synthesis and also suppressed Ang II–induced c-fos mRNA expression. On the other hand, Y-27632 had no effect on Ang II–stimulated phosphorylation of p70 S6 kinase and extracellular signal—regulated kinase 1/2, which are reported to be involved in Ang II–induced protein synthesis, nor had it any effect on the Ang II–induced phosphorylation of PHAS-I, a heat- and acid-stable eIF-4E–binding protein. The phosphorylation of PHAS-I is regulating for translation initiation. These observations suggest that the Rho, Rho-kinase, and c-fos pathways may play a role in Ang II–induced hypertrophic changes of VSMCs through a novel pathway.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>10642317</pmid><doi>10.1161/01.hyp.35.1.313</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0194-911X
ispartof Hypertension (Dallas, Tex. 1979), 2000-01, Vol.35 (1, Part 2 Suppl), p.313-313
issn 0194-911X
1524-4563
language eng
recordid cdi_proquest_journals_205305130
source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects ADP Ribose Transferases - pharmacology
Amides - pharmacology
Angiotensin II - pharmacology
Animals
Aorta, Thoracic - cytology
Biological Transport - drug effects
Botulinum Toxins
Carrier Proteins
Cells, Cultured
Enzyme Inhibitors - pharmacology
Gene Expression - drug effects
Hypertrophy
Intracellular Signaling Peptides and Proteins
Leucine - pharmacokinetics
Mitogen-Activated Protein Kinase 1 - metabolism
Mitogen-Activated Protein Kinase 3
Mitogen-Activated Protein Kinases - metabolism
Muscle, Smooth, Vascular - enzymology
Muscle, Smooth, Vascular - pathology
Phosphoproteins - metabolism
Phosphorylation
Protein-Serine-Threonine Kinases - metabolism
Proto-Oncogene Proteins c-fos - genetics
Pyridines - pharmacology
Rats
Rats, Sprague-Dawley
rho GTP-Binding Proteins - metabolism
rho-Associated Kinases
Ribosomal Protein S6 Kinases - metabolism
RNA, Messenger - analysis
title Involvement of Rho-Kinase in Angiotensin II–Induced Hypertrophy of Rat Vascular Smooth Muscle Cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T21%3A10%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Involvement%20of%20Rho-Kinase%20in%20Angiotensin%20II%E2%80%93Induced%20Hypertrophy%20of%20Rat%20Vascular%20Smooth%20Muscle%20Cells&rft.jtitle=Hypertension%20(Dallas,%20Tex.%201979)&rft.au=Yamakawa,%20Tadashi&rft.date=2000-01&rft.volume=35&rft.issue=1,%20Part%202%20Suppl&rft.spage=313&rft.epage=313&rft.pages=313-313&rft.issn=0194-911X&rft.eissn=1524-4563&rft.coden=HPRTDN&rft_id=info:doi/10.1161/01.hyp.35.1.313&rft_dat=%3Cproquest_cross%3E48740916%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=205305130&rft_id=info:pmid/10642317&rfr_iscdi=true