The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat

Inflammatory bowel disease is characterized by oxidative and nitrosative stress, leukocyte infiltration, up-regulation of the expression of intercellular adhesion molecule-1 (ICAM-1), and up-regulation of P-selectin in the colon. Here we investigate the effects of the tyrosine kinase inhibitor, Tyrp...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Laboratory investigation 2000-09, Vol.80 (9), p.1439-1453
Hauptverfasser: CUZZOCREA, Salvatore, MCDONALD, Michelle C, MAZZON, Emanuela, MOTA-FILIPE, Helder, LEPORE, Valeria, CICCOLO, Antonio, TERRANOVA, Maria Luisa, BRITTI, Domenico, CAPUTI, Achille P, THIEMERMANN, Christoph
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1453
container_issue 9
container_start_page 1439
container_title Laboratory investigation
container_volume 80
creator CUZZOCREA, Salvatore
MCDONALD, Michelle C
MAZZON, Emanuela
MOTA-FILIPE, Helder
LEPORE, Valeria
CICCOLO, Antonio
TERRANOVA, Maria Luisa
BRITTI, Domenico
CAPUTI, Achille P
THIEMERMANN, Christoph
description Inflammatory bowel disease is characterized by oxidative and nitrosative stress, leukocyte infiltration, up-regulation of the expression of intercellular adhesion molecule-1 (ICAM-1), and up-regulation of P-selectin in the colon. Here we investigate the effects of the tyrosine kinase inhibitor, Tyrphostin AG 126, in rats subjected to experimental colitis. Colitis was induced in rats by intracolonic instillation of dinitrobenzene sulfonic acid (DNBS). Rats experienced hemorrhagic diarrhea and weight loss. Four days after administration of DNBS, the mucosa of the colon exhibited large areas of necrosis. Neutrophil infiltration (determined by histology as well as an increase in myeloperoxidase activity in the mucosa) was associated with up-regulation of ICAM-1 and P-selectin, as well as high tissue levels of malondialdehyde. Immunohistochemistry for nitrotyrosine and poly(ADP-ribose) polymerase showed an intense staining in the inflamed colon. Staining with an anti-COX-2 antibody of sections of colon obtained from DNBS-treated rats showed a diffuse staining of the inflamed tissue. Furthermore, expression of inducible nitric oxide synthase was found mainly in macrophages located within the inflamed colon of DNBS-treated rats. Tyrphostin AG 126 (5 mg/kg daily ip) significantly reduced the degree of hemorrhagic diarrhea and weight loss caused by administration of DNBS. Tyrphostin AG 126 also caused a substantial reduction of (1) the phosphorylation of tyrosine residues of proteins (immunoblots of inflamed colon), (2) the degree of colonic injury, (3) the rise in myeloperoxidase activity (mucosa), (4) the increase in the tissue levels of malondialdehyde, (5) the increase in staining (immunohistochemistry) for nitrotyrosine and poly(ADP-ribose) polymerase, as well as (6) the up-regulation of ICAM-1 and P-selectin caused by DNBS in the colon. Thus, we provide the first evidence that the tyrosine kinase inhibitor Tyrphostin AG126 reduces the degree of colitis caused by DNBS.
doi_str_mv 10.1038/labinvest.3780151
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_220293485</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>998321601</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-9dfc34231666a864c461fe0c253cbca13aa46fa8720347702854d63e5ae838ea3</originalsourceid><addsrcrecordid>eNo9kMFKAzEURYMoWKsf4EIIuh59yctk0mWpWosFodSlDGmaoSnTzJikhf69U1q7yuKeex85hNwzeGaA6qXWC-d3NqZnLBSwnF2QHssRMkAoLkkPgGMmFRbX5CbGNQATQuY98jNfWTrfhyY6b-mn8zpaOvErt3CpCYekXTUxOU-HY8q4pDO73Bobaep6r3Zn66bdWJ9oU9FRU7vkIu3gQzrT6ZZcVbqO9u709sn3-9t89JFNv8aT0XCaGZSYssGyMig4MimlVlIYIVllwfAczcJohloLWWlVcEBRFMBVLpYSba6tQmU19snjcbcNze-2s1Cum23w3cmSc-ADFCrvIHaETPfbGGxVtsFtdNiXDMqDxPIssTxJ7DpPp2Edja6roL1x8VxUCEpBRz0cKa_TNthz_L_yB3TLfFc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220293485</pqid></control><display><type>article</type><title>The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>CUZZOCREA, Salvatore ; MCDONALD, Michelle C ; MAZZON, Emanuela ; MOTA-FILIPE, Helder ; LEPORE, Valeria ; CICCOLO, Antonio ; TERRANOVA, Maria Luisa ; BRITTI, Domenico ; CAPUTI, Achille P ; THIEMERMANN, Christoph</creator><creatorcontrib>CUZZOCREA, Salvatore ; MCDONALD, Michelle C ; MAZZON, Emanuela ; MOTA-FILIPE, Helder ; LEPORE, Valeria ; CICCOLO, Antonio ; TERRANOVA, Maria Luisa ; BRITTI, Domenico ; CAPUTI, Achille P ; THIEMERMANN, Christoph</creatorcontrib><description>Inflammatory bowel disease is characterized by oxidative and nitrosative stress, leukocyte infiltration, up-regulation of the expression of intercellular adhesion molecule-1 (ICAM-1), and up-regulation of P-selectin in the colon. Here we investigate the effects of the tyrosine kinase inhibitor, Tyrphostin AG 126, in rats subjected to experimental colitis. Colitis was induced in rats by intracolonic instillation of dinitrobenzene sulfonic acid (DNBS). Rats experienced hemorrhagic diarrhea and weight loss. Four days after administration of DNBS, the mucosa of the colon exhibited large areas of necrosis. Neutrophil infiltration (determined by histology as well as an increase in myeloperoxidase activity in the mucosa) was associated with up-regulation of ICAM-1 and P-selectin, as well as high tissue levels of malondialdehyde. Immunohistochemistry for nitrotyrosine and poly(ADP-ribose) polymerase showed an intense staining in the inflamed colon. Staining with an anti-COX-2 antibody of sections of colon obtained from DNBS-treated rats showed a diffuse staining of the inflamed tissue. Furthermore, expression of inducible nitric oxide synthase was found mainly in macrophages located within the inflamed colon of DNBS-treated rats. Tyrphostin AG 126 (5 mg/kg daily ip) significantly reduced the degree of hemorrhagic diarrhea and weight loss caused by administration of DNBS. Tyrphostin AG 126 also caused a substantial reduction of (1) the phosphorylation of tyrosine residues of proteins (immunoblots of inflamed colon), (2) the degree of colonic injury, (3) the rise in myeloperoxidase activity (mucosa), (4) the increase in the tissue levels of malondialdehyde, (5) the increase in staining (immunohistochemistry) for nitrotyrosine and poly(ADP-ribose) polymerase, as well as (6) the up-regulation of ICAM-1 and P-selectin caused by DNBS in the colon. Thus, we provide the first evidence that the tyrosine kinase inhibitor Tyrphostin AG126 reduces the degree of colitis caused by DNBS.</description><identifier>ISSN: 0023-6837</identifier><identifier>EISSN: 1530-0307</identifier><identifier>DOI: 10.1038/labinvest.3780151</identifier><identifier>CODEN: LAINAW</identifier><language>eng</language><publisher>New York, NY: Nature Publishing</publisher><subject>Biological and medical sciences ; Digestive system ; Medical sciences ; Pharmacology. Drug treatments</subject><ispartof>Laboratory investigation, 2000-09, Vol.80 (9), p.1439-1453</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Sep 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-9dfc34231666a864c461fe0c253cbca13aa46fa8720347702854d63e5ae838ea3</citedby><cites>FETCH-LOGICAL-c363t-9dfc34231666a864c461fe0c253cbca13aa46fa8720347702854d63e5ae838ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=830880$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>CUZZOCREA, Salvatore</creatorcontrib><creatorcontrib>MCDONALD, Michelle C</creatorcontrib><creatorcontrib>MAZZON, Emanuela</creatorcontrib><creatorcontrib>MOTA-FILIPE, Helder</creatorcontrib><creatorcontrib>LEPORE, Valeria</creatorcontrib><creatorcontrib>CICCOLO, Antonio</creatorcontrib><creatorcontrib>TERRANOVA, Maria Luisa</creatorcontrib><creatorcontrib>BRITTI, Domenico</creatorcontrib><creatorcontrib>CAPUTI, Achille P</creatorcontrib><creatorcontrib>THIEMERMANN, Christoph</creatorcontrib><title>The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat</title><title>Laboratory investigation</title><description>Inflammatory bowel disease is characterized by oxidative and nitrosative stress, leukocyte infiltration, up-regulation of the expression of intercellular adhesion molecule-1 (ICAM-1), and up-regulation of P-selectin in the colon. Here we investigate the effects of the tyrosine kinase inhibitor, Tyrphostin AG 126, in rats subjected to experimental colitis. Colitis was induced in rats by intracolonic instillation of dinitrobenzene sulfonic acid (DNBS). Rats experienced hemorrhagic diarrhea and weight loss. Four days after administration of DNBS, the mucosa of the colon exhibited large areas of necrosis. Neutrophil infiltration (determined by histology as well as an increase in myeloperoxidase activity in the mucosa) was associated with up-regulation of ICAM-1 and P-selectin, as well as high tissue levels of malondialdehyde. Immunohistochemistry for nitrotyrosine and poly(ADP-ribose) polymerase showed an intense staining in the inflamed colon. Staining with an anti-COX-2 antibody of sections of colon obtained from DNBS-treated rats showed a diffuse staining of the inflamed tissue. Furthermore, expression of inducible nitric oxide synthase was found mainly in macrophages located within the inflamed colon of DNBS-treated rats. Tyrphostin AG 126 (5 mg/kg daily ip) significantly reduced the degree of hemorrhagic diarrhea and weight loss caused by administration of DNBS. Tyrphostin AG 126 also caused a substantial reduction of (1) the phosphorylation of tyrosine residues of proteins (immunoblots of inflamed colon), (2) the degree of colonic injury, (3) the rise in myeloperoxidase activity (mucosa), (4) the increase in the tissue levels of malondialdehyde, (5) the increase in staining (immunohistochemistry) for nitrotyrosine and poly(ADP-ribose) polymerase, as well as (6) the up-regulation of ICAM-1 and P-selectin caused by DNBS in the colon. Thus, we provide the first evidence that the tyrosine kinase inhibitor Tyrphostin AG126 reduces the degree of colitis caused by DNBS.</description><subject>Biological and medical sciences</subject><subject>Digestive system</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><issn>0023-6837</issn><issn>1530-0307</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNo9kMFKAzEURYMoWKsf4EIIuh59yctk0mWpWosFodSlDGmaoSnTzJikhf69U1q7yuKeex85hNwzeGaA6qXWC-d3NqZnLBSwnF2QHssRMkAoLkkPgGMmFRbX5CbGNQATQuY98jNfWTrfhyY6b-mn8zpaOvErt3CpCYekXTUxOU-HY8q4pDO73Bobaep6r3Zn66bdWJ9oU9FRU7vkIu3gQzrT6ZZcVbqO9u709sn3-9t89JFNv8aT0XCaGZSYssGyMig4MimlVlIYIVllwfAczcJohloLWWlVcEBRFMBVLpYSba6tQmU19snjcbcNze-2s1Cum23w3cmSc-ADFCrvIHaETPfbGGxVtsFtdNiXDMqDxPIssTxJ7DpPp2Edja6roL1x8VxUCEpBRz0cKa_TNthz_L_yB3TLfFc</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>CUZZOCREA, Salvatore</creator><creator>MCDONALD, Michelle C</creator><creator>MAZZON, Emanuela</creator><creator>MOTA-FILIPE, Helder</creator><creator>LEPORE, Valeria</creator><creator>CICCOLO, Antonio</creator><creator>TERRANOVA, Maria Luisa</creator><creator>BRITTI, Domenico</creator><creator>CAPUTI, Achille P</creator><creator>THIEMERMANN, Christoph</creator><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7TM</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</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>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20000901</creationdate><title>The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat</title><author>CUZZOCREA, Salvatore ; MCDONALD, Michelle C ; MAZZON, Emanuela ; MOTA-FILIPE, Helder ; LEPORE, Valeria ; CICCOLO, Antonio ; TERRANOVA, Maria Luisa ; BRITTI, Domenico ; CAPUTI, Achille P ; THIEMERMANN, Christoph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-9dfc34231666a864c461fe0c253cbca13aa46fa8720347702854d63e5ae838ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Digestive system</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CUZZOCREA, Salvatore</creatorcontrib><creatorcontrib>MCDONALD, Michelle C</creatorcontrib><creatorcontrib>MAZZON, Emanuela</creatorcontrib><creatorcontrib>MOTA-FILIPE, Helder</creatorcontrib><creatorcontrib>LEPORE, Valeria</creatorcontrib><creatorcontrib>CICCOLO, Antonio</creatorcontrib><creatorcontrib>TERRANOVA, Maria Luisa</creatorcontrib><creatorcontrib>BRITTI, Domenico</creatorcontrib><creatorcontrib>CAPUTI, Achille P</creatorcontrib><creatorcontrib>THIEMERMANN, Christoph</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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 Central UK/Ireland</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>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Laboratory investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CUZZOCREA, Salvatore</au><au>MCDONALD, Michelle C</au><au>MAZZON, Emanuela</au><au>MOTA-FILIPE, Helder</au><au>LEPORE, Valeria</au><au>CICCOLO, Antonio</au><au>TERRANOVA, Maria Luisa</au><au>BRITTI, Domenico</au><au>CAPUTI, Achille P</au><au>THIEMERMANN, Christoph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat</atitle><jtitle>Laboratory investigation</jtitle><date>2000-09-01</date><risdate>2000</risdate><volume>80</volume><issue>9</issue><spage>1439</spage><epage>1453</epage><pages>1439-1453</pages><issn>0023-6837</issn><eissn>1530-0307</eissn><coden>LAINAW</coden><abstract>Inflammatory bowel disease is characterized by oxidative and nitrosative stress, leukocyte infiltration, up-regulation of the expression of intercellular adhesion molecule-1 (ICAM-1), and up-regulation of P-selectin in the colon. Here we investigate the effects of the tyrosine kinase inhibitor, Tyrphostin AG 126, in rats subjected to experimental colitis. Colitis was induced in rats by intracolonic instillation of dinitrobenzene sulfonic acid (DNBS). Rats experienced hemorrhagic diarrhea and weight loss. Four days after administration of DNBS, the mucosa of the colon exhibited large areas of necrosis. Neutrophil infiltration (determined by histology as well as an increase in myeloperoxidase activity in the mucosa) was associated with up-regulation of ICAM-1 and P-selectin, as well as high tissue levels of malondialdehyde. Immunohistochemistry for nitrotyrosine and poly(ADP-ribose) polymerase showed an intense staining in the inflamed colon. Staining with an anti-COX-2 antibody of sections of colon obtained from DNBS-treated rats showed a diffuse staining of the inflamed tissue. Furthermore, expression of inducible nitric oxide synthase was found mainly in macrophages located within the inflamed colon of DNBS-treated rats. Tyrphostin AG 126 (5 mg/kg daily ip) significantly reduced the degree of hemorrhagic diarrhea and weight loss caused by administration of DNBS. Tyrphostin AG 126 also caused a substantial reduction of (1) the phosphorylation of tyrosine residues of proteins (immunoblots of inflamed colon), (2) the degree of colonic injury, (3) the rise in myeloperoxidase activity (mucosa), (4) the increase in the tissue levels of malondialdehyde, (5) the increase in staining (immunohistochemistry) for nitrotyrosine and poly(ADP-ribose) polymerase, as well as (6) the up-regulation of ICAM-1 and P-selectin caused by DNBS in the colon. Thus, we provide the first evidence that the tyrosine kinase inhibitor Tyrphostin AG126 reduces the degree of colitis caused by DNBS.</abstract><cop>New York, NY</cop><pub>Nature Publishing</pub><doi>10.1038/labinvest.3780151</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0023-6837
ispartof Laboratory investigation, 2000-09, Vol.80 (9), p.1439-1453
issn 0023-6837
1530-0307
language eng
recordid cdi_proquest_journals_220293485
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Biological and medical sciences
Digestive system
Medical sciences
Pharmacology. Drug treatments
title The Tyrosine Kinase Inhibitor Tyrphostin AG 126 Reduces the Development of Colitis in the Rat
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T20%3A32%3A16IST&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=The%20Tyrosine%20Kinase%20Inhibitor%20Tyrphostin%20AG%20126%20Reduces%20the%20Development%20of%20Colitis%20in%20the%20Rat&rft.jtitle=Laboratory%20investigation&rft.au=CUZZOCREA,%20Salvatore&rft.date=2000-09-01&rft.volume=80&rft.issue=9&rft.spage=1439&rft.epage=1453&rft.pages=1439-1453&rft.issn=0023-6837&rft.eissn=1530-0307&rft.coden=LAINAW&rft_id=info:doi/10.1038/labinvest.3780151&rft_dat=%3Cproquest_cross%3E998321601%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=220293485&rft_id=info:pmid/&rfr_iscdi=true