Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells
Elevated thymidine phosphorylase (TP) levels, a key enzyme in the pyrimidine nucleoside salvage pathway, are associated with an aggressive disease phenotype and poor prognoses. In this study, we examined the role of TP expression in relation to the HSP90 inhibitor 17-allylamino-17-demethoxygeldanamy...
Gespeichert in:
Veröffentlicht in: | Biochemical pharmacology 2012-07, Vol.84 (1), p.126-136 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 136 |
---|---|
container_issue | 1 |
container_start_page | 126 |
container_title | Biochemical pharmacology |
container_volume | 84 |
creator | Weng, Shao-Hsing Tseng, Sheng-Chieh Huang, Yu-Ching Chen, Huang-Jen Lin, Yun-Wei |
description | Elevated thymidine phosphorylase (TP) levels, a key enzyme in the pyrimidine nucleoside salvage pathway, are associated with an aggressive disease phenotype and poor prognoses. In this study, we examined the role of TP expression in relation to the HSP90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG)-induced cytotoxicity in two non-small-cell lung cancer (NSCLC) cell lines, A549 and H1650. Treatment with 17-AAG (0.1–1μM) resulted in a decrease in cellular TP protein and mRNA levels, which was accompanied by a downregulation of phosphorylated MKK1/2-ERK1/2 and AKT protein levels. The 17-AAG treatment disrupted the interaction between HSP90 and TP and triggered TP protein degradation through the ubiquitin-26S proteasome pathway. Specific inhibition of TP expression by siRNA further enhanced the cell death and growth inhibition that had been induced by 17-AAG. An enhancement of ERK1/2 or AKT activation by transfecting the cancer cells with constitutively active MKK1/2 or AKT expression vectors significantly restored the 17-AAG-reduced TP protein levels as well as cell viability. In contrast, a combination of U0126 (MKK1/2 inhibitors) or LY294002 (PI3K inhibitor) further decreased the TP expression and cell viability induced by 17-AAG. Moreover, 17-AAG enhanced the cisplatin-induced cytotoxic effect through downregulation of the cisplatin-induced TP expression and ERK1/2 and AKT activation. Taken together, our results suggest that the down-modulation of TP protein induced by 17-AAG represents a key factor in enhancing the cytotoxic effects of cisplatin in NSCLC cells. |
doi_str_mv | 10.1016/j.bcp.2012.03.011 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1011538677</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0006295212002274</els_id><sourcerecordid>1011538677</sourcerecordid><originalsourceid>FETCH-LOGICAL-c443t-ecf7d2ec46e0ca713e5de2c91188392cbad3e6059f89629092f6623e5aa810e63</originalsourceid><addsrcrecordid>eNp9kUtv1DAUhS0EokPhB7ABL9kk-DFxErFCFX1IlUAqXVuOc9PxKGMH26maP8Nv5UYpLFlYfug7x1fnEPKes5Izrj4fy85OpWBclEyWjPMXZMebWhaiVc1LsmOMKTxX4oy8Sem4XhvFX5MzIfYNq2W9I79v_MF1LrvgaRhoPiwn1zsPdDqEhCsuo0lA4WmKkNJKdQudk_MP1Hh6ffejZdRtFiHSKWTw2ZkMCa2A2iWHHJ6cpTAMYPP6hXVpGk12HnXUB1-kkxnHwsI40nFGX2u8hUjXh_SWvBrMmODd835O7i-__by4Lm6_X91cfL0t7H4vcwF2qHsBdq-AWVNzCVUPwracN41she1ML0Gxqh2aVomWtWJQSiBlTMMZKHlOPm2-Uwy_ZkhZn1xaJzAewpw0xs0r2ai6RpRvqI0hpQiDnqI7mbggtHJKHzXWotdaNJMalaj58Gw_dyfo_yn-9oDAxw0YTNDmIbqk7-_QocLOhFBVi8SXjQCM4dFB1Mk6wKR6FzFZ3Qf3nwH-AJUPqds</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1011538677</pqid></control><display><type>article</type><title>Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Weng, Shao-Hsing ; Tseng, Sheng-Chieh ; Huang, Yu-Ching ; Chen, Huang-Jen ; Lin, Yun-Wei</creator><creatorcontrib>Weng, Shao-Hsing ; Tseng, Sheng-Chieh ; Huang, Yu-Ching ; Chen, Huang-Jen ; Lin, Yun-Wei</creatorcontrib><description>Elevated thymidine phosphorylase (TP) levels, a key enzyme in the pyrimidine nucleoside salvage pathway, are associated with an aggressive disease phenotype and poor prognoses. In this study, we examined the role of TP expression in relation to the HSP90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG)-induced cytotoxicity in two non-small-cell lung cancer (NSCLC) cell lines, A549 and H1650. Treatment with 17-AAG (0.1–1μM) resulted in a decrease in cellular TP protein and mRNA levels, which was accompanied by a downregulation of phosphorylated MKK1/2-ERK1/2 and AKT protein levels. The 17-AAG treatment disrupted the interaction between HSP90 and TP and triggered TP protein degradation through the ubiquitin-26S proteasome pathway. Specific inhibition of TP expression by siRNA further enhanced the cell death and growth inhibition that had been induced by 17-AAG. An enhancement of ERK1/2 or AKT activation by transfecting the cancer cells with constitutively active MKK1/2 or AKT expression vectors significantly restored the 17-AAG-reduced TP protein levels as well as cell viability. In contrast, a combination of U0126 (MKK1/2 inhibitors) or LY294002 (PI3K inhibitor) further decreased the TP expression and cell viability induced by 17-AAG. Moreover, 17-AAG enhanced the cisplatin-induced cytotoxic effect through downregulation of the cisplatin-induced TP expression and ERK1/2 and AKT activation. Taken together, our results suggest that the down-modulation of TP protein induced by 17-AAG represents a key factor in enhancing the cytotoxic effects of cisplatin in NSCLC cells.</description><identifier>ISSN: 0006-2952</identifier><identifier>EISSN: 1873-2968</identifier><identifier>DOI: 10.1016/j.bcp.2012.03.011</identifier><identifier>PMID: 22480737</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Antineoplastic Agents - pharmacology ; Benzoquinones - pharmacokinetics ; Blotting, Western ; Carcinoma, Non-Small-Cell Lung - enzymology ; Carcinoma, Non-Small-Cell Lung - metabolism ; Carcinoma, Non-Small-Cell Lung - pathology ; cell death ; Cell Line, Tumor ; Cell Proliferation - drug effects ; Cell Survival - drug effects ; cell viability ; cisplatin ; Cisplatin - pharmacology ; Cytotoxicity ; Down-Regulation ; Drug Synergism ; Enzyme Inhibitors - pharmacology ; gene expression regulation ; growth retardation ; HSP90 ; HSP90 Heat-Shock Proteins - antagonists & inhibitors ; Humans ; Immunoprecipitation ; Lactams, Macrocyclic - pharmacokinetics ; lung neoplasms ; Lung Neoplasms - enzymology ; Lung Neoplasms - metabolism ; Lung Neoplasms - pathology ; Non-small cell lung cancer ; phenotype ; phosphatidylinositol 3-kinase ; phosphorylase ; proteasome endopeptidase complex ; protein degradation ; Real-Time Polymerase Chain Reaction ; Reverse Transcriptase Polymerase Chain Reaction ; thymidine ; Thymidine phosphorylase ; Thymidine Phosphorylase - antagonists & inhibitors ; Thymidine Phosphorylase - biosynthesis</subject><ispartof>Biochemical pharmacology, 2012-07, Vol.84 (1), p.126-136</ispartof><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-ecf7d2ec46e0ca713e5de2c91188392cbad3e6059f89629092f6623e5aa810e63</citedby><cites>FETCH-LOGICAL-c443t-ecf7d2ec46e0ca713e5de2c91188392cbad3e6059f89629092f6623e5aa810e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.bcp.2012.03.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22480737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weng, Shao-Hsing</creatorcontrib><creatorcontrib>Tseng, Sheng-Chieh</creatorcontrib><creatorcontrib>Huang, Yu-Ching</creatorcontrib><creatorcontrib>Chen, Huang-Jen</creatorcontrib><creatorcontrib>Lin, Yun-Wei</creatorcontrib><title>Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells</title><title>Biochemical pharmacology</title><addtitle>Biochem Pharmacol</addtitle><description>Elevated thymidine phosphorylase (TP) levels, a key enzyme in the pyrimidine nucleoside salvage pathway, are associated with an aggressive disease phenotype and poor prognoses. In this study, we examined the role of TP expression in relation to the HSP90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG)-induced cytotoxicity in two non-small-cell lung cancer (NSCLC) cell lines, A549 and H1650. Treatment with 17-AAG (0.1–1μM) resulted in a decrease in cellular TP protein and mRNA levels, which was accompanied by a downregulation of phosphorylated MKK1/2-ERK1/2 and AKT protein levels. The 17-AAG treatment disrupted the interaction between HSP90 and TP and triggered TP protein degradation through the ubiquitin-26S proteasome pathway. Specific inhibition of TP expression by siRNA further enhanced the cell death and growth inhibition that had been induced by 17-AAG. An enhancement of ERK1/2 or AKT activation by transfecting the cancer cells with constitutively active MKK1/2 or AKT expression vectors significantly restored the 17-AAG-reduced TP protein levels as well as cell viability. In contrast, a combination of U0126 (MKK1/2 inhibitors) or LY294002 (PI3K inhibitor) further decreased the TP expression and cell viability induced by 17-AAG. Moreover, 17-AAG enhanced the cisplatin-induced cytotoxic effect through downregulation of the cisplatin-induced TP expression and ERK1/2 and AKT activation. Taken together, our results suggest that the down-modulation of TP protein induced by 17-AAG represents a key factor in enhancing the cytotoxic effects of cisplatin in NSCLC cells.</description><subject>Antineoplastic Agents - pharmacology</subject><subject>Benzoquinones - pharmacokinetics</subject><subject>Blotting, Western</subject><subject>Carcinoma, Non-Small-Cell Lung - enzymology</subject><subject>Carcinoma, Non-Small-Cell Lung - metabolism</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>cell death</subject><subject>Cell Line, Tumor</subject><subject>Cell Proliferation - drug effects</subject><subject>Cell Survival - drug effects</subject><subject>cell viability</subject><subject>cisplatin</subject><subject>Cisplatin - pharmacology</subject><subject>Cytotoxicity</subject><subject>Down-Regulation</subject><subject>Drug Synergism</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>gene expression regulation</subject><subject>growth retardation</subject><subject>HSP90</subject><subject>HSP90 Heat-Shock Proteins - antagonists & inhibitors</subject><subject>Humans</subject><subject>Immunoprecipitation</subject><subject>Lactams, Macrocyclic - pharmacokinetics</subject><subject>lung neoplasms</subject><subject>Lung Neoplasms - enzymology</subject><subject>Lung Neoplasms - metabolism</subject><subject>Lung Neoplasms - pathology</subject><subject>Non-small cell lung cancer</subject><subject>phenotype</subject><subject>phosphatidylinositol 3-kinase</subject><subject>phosphorylase</subject><subject>proteasome endopeptidase complex</subject><subject>protein degradation</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>thymidine</subject><subject>Thymidine phosphorylase</subject><subject>Thymidine Phosphorylase - antagonists & inhibitors</subject><subject>Thymidine Phosphorylase - biosynthesis</subject><issn>0006-2952</issn><issn>1873-2968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1DAUhS0EokPhB7ABL9kk-DFxErFCFX1IlUAqXVuOc9PxKGMH26maP8Nv5UYpLFlYfug7x1fnEPKes5Izrj4fy85OpWBclEyWjPMXZMebWhaiVc1LsmOMKTxX4oy8Sem4XhvFX5MzIfYNq2W9I79v_MF1LrvgaRhoPiwn1zsPdDqEhCsuo0lA4WmKkNJKdQudk_MP1Hh6ffejZdRtFiHSKWTw2ZkMCa2A2iWHHJ6cpTAMYPP6hXVpGk12HnXUB1-kkxnHwsI40nFGX2u8hUjXh_SWvBrMmODd835O7i-__by4Lm6_X91cfL0t7H4vcwF2qHsBdq-AWVNzCVUPwracN41she1ML0Gxqh2aVomWtWJQSiBlTMMZKHlOPm2-Uwy_ZkhZn1xaJzAewpw0xs0r2ai6RpRvqI0hpQiDnqI7mbggtHJKHzXWotdaNJMalaj58Gw_dyfo_yn-9oDAxw0YTNDmIbqk7-_QocLOhFBVi8SXjQCM4dFB1Mk6wKR6FzFZ3Qf3nwH-AJUPqds</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Weng, Shao-Hsing</creator><creator>Tseng, Sheng-Chieh</creator><creator>Huang, Yu-Ching</creator><creator>Chen, Huang-Jen</creator><creator>Lin, Yun-Wei</creator><general>Elsevier Inc</general><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><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells</title><author>Weng, Shao-Hsing ; Tseng, Sheng-Chieh ; Huang, Yu-Ching ; Chen, Huang-Jen ; Lin, Yun-Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-ecf7d2ec46e0ca713e5de2c91188392cbad3e6059f89629092f6623e5aa810e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Antineoplastic Agents - pharmacology</topic><topic>Benzoquinones - pharmacokinetics</topic><topic>Blotting, Western</topic><topic>Carcinoma, Non-Small-Cell Lung - enzymology</topic><topic>Carcinoma, Non-Small-Cell Lung - metabolism</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>cell death</topic><topic>Cell Line, Tumor</topic><topic>Cell Proliferation - drug effects</topic><topic>Cell Survival - drug effects</topic><topic>cell viability</topic><topic>cisplatin</topic><topic>Cisplatin - pharmacology</topic><topic>Cytotoxicity</topic><topic>Down-Regulation</topic><topic>Drug Synergism</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>gene expression regulation</topic><topic>growth retardation</topic><topic>HSP90</topic><topic>HSP90 Heat-Shock Proteins - antagonists & inhibitors</topic><topic>Humans</topic><topic>Immunoprecipitation</topic><topic>Lactams, Macrocyclic - pharmacokinetics</topic><topic>lung neoplasms</topic><topic>Lung Neoplasms - enzymology</topic><topic>Lung Neoplasms - metabolism</topic><topic>Lung Neoplasms - pathology</topic><topic>Non-small cell lung cancer</topic><topic>phenotype</topic><topic>phosphatidylinositol 3-kinase</topic><topic>phosphorylase</topic><topic>proteasome endopeptidase complex</topic><topic>protein degradation</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>thymidine</topic><topic>Thymidine phosphorylase</topic><topic>Thymidine Phosphorylase - antagonists & inhibitors</topic><topic>Thymidine Phosphorylase - biosynthesis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weng, Shao-Hsing</creatorcontrib><creatorcontrib>Tseng, Sheng-Chieh</creatorcontrib><creatorcontrib>Huang, Yu-Ching</creatorcontrib><creatorcontrib>Chen, Huang-Jen</creatorcontrib><creatorcontrib>Lin, Yun-Wei</creatorcontrib><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><collection>MEDLINE - Academic</collection><jtitle>Biochemical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weng, Shao-Hsing</au><au>Tseng, Sheng-Chieh</au><au>Huang, Yu-Ching</au><au>Chen, Huang-Jen</au><au>Lin, Yun-Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells</atitle><jtitle>Biochemical pharmacology</jtitle><addtitle>Biochem Pharmacol</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>84</volume><issue>1</issue><spage>126</spage><epage>136</epage><pages>126-136</pages><issn>0006-2952</issn><eissn>1873-2968</eissn><abstract>Elevated thymidine phosphorylase (TP) levels, a key enzyme in the pyrimidine nucleoside salvage pathway, are associated with an aggressive disease phenotype and poor prognoses. In this study, we examined the role of TP expression in relation to the HSP90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG)-induced cytotoxicity in two non-small-cell lung cancer (NSCLC) cell lines, A549 and H1650. Treatment with 17-AAG (0.1–1μM) resulted in a decrease in cellular TP protein and mRNA levels, which was accompanied by a downregulation of phosphorylated MKK1/2-ERK1/2 and AKT protein levels. The 17-AAG treatment disrupted the interaction between HSP90 and TP and triggered TP protein degradation through the ubiquitin-26S proteasome pathway. Specific inhibition of TP expression by siRNA further enhanced the cell death and growth inhibition that had been induced by 17-AAG. An enhancement of ERK1/2 or AKT activation by transfecting the cancer cells with constitutively active MKK1/2 or AKT expression vectors significantly restored the 17-AAG-reduced TP protein levels as well as cell viability. In contrast, a combination of U0126 (MKK1/2 inhibitors) or LY294002 (PI3K inhibitor) further decreased the TP expression and cell viability induced by 17-AAG. Moreover, 17-AAG enhanced the cisplatin-induced cytotoxic effect through downregulation of the cisplatin-induced TP expression and ERK1/2 and AKT activation. Taken together, our results suggest that the down-modulation of TP protein induced by 17-AAG represents a key factor in enhancing the cytotoxic effects of cisplatin in NSCLC cells.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>22480737</pmid><doi>10.1016/j.bcp.2012.03.011</doi><tpages>11</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0006-2952 |
ispartof | Biochemical pharmacology, 2012-07, Vol.84 (1), p.126-136 |
issn | 0006-2952 1873-2968 |
language | eng |
recordid | cdi_proquest_miscellaneous_1011538677 |
source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Antineoplastic Agents - pharmacology Benzoquinones - pharmacokinetics Blotting, Western Carcinoma, Non-Small-Cell Lung - enzymology Carcinoma, Non-Small-Cell Lung - metabolism Carcinoma, Non-Small-Cell Lung - pathology cell death Cell Line, Tumor Cell Proliferation - drug effects Cell Survival - drug effects cell viability cisplatin Cisplatin - pharmacology Cytotoxicity Down-Regulation Drug Synergism Enzyme Inhibitors - pharmacology gene expression regulation growth retardation HSP90 HSP90 Heat-Shock Proteins - antagonists & inhibitors Humans Immunoprecipitation Lactams, Macrocyclic - pharmacokinetics lung neoplasms Lung Neoplasms - enzymology Lung Neoplasms - metabolism Lung Neoplasms - pathology Non-small cell lung cancer phenotype phosphatidylinositol 3-kinase phosphorylase proteasome endopeptidase complex protein degradation Real-Time Polymerase Chain Reaction Reverse Transcriptase Polymerase Chain Reaction thymidine Thymidine phosphorylase Thymidine Phosphorylase - antagonists & inhibitors Thymidine Phosphorylase - biosynthesis |
title | Inhibition of thymidine phosphorylase expression by using an HSP90 inhibitor potentiates the cytotoxic effect of cisplatin in non-small-cell lung cancer cells |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T11%3A08%3A54IST&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=Inhibition%20of%20thymidine%20phosphorylase%20expression%20by%20using%20an%20HSP90%20inhibitor%20potentiates%20the%20cytotoxic%20effect%20of%20cisplatin%20in%20non-small-cell%20lung%20cancer%20cells&rft.jtitle=Biochemical%20pharmacology&rft.au=Weng,%20Shao-Hsing&rft.date=2012-07-01&rft.volume=84&rft.issue=1&rft.spage=126&rft.epage=136&rft.pages=126-136&rft.issn=0006-2952&rft.eissn=1873-2968&rft_id=info:doi/10.1016/j.bcp.2012.03.011&rft_dat=%3Cproquest_cross%3E1011538677%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=1011538677&rft_id=info:pmid/22480737&rft_els_id=S0006295212002274&rfr_iscdi=true |