Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs

Tumor‐initiating cells (TICs) are a subtype of tumor cells believed to be critical for initiating tumorigenesis. We sought to determine the angiogenic properties of TICs in different tumor types including U‐87MG (glioblastoma), HT29 (colon), MCF7 (breast), A549 (non‐small‐cell lung), and PANC1 (panc...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Stem cells (Dayton, Ohio) Ohio), 2012-09, Vol.30 (9), p.1831-1841
Hauptverfasser: Benayoun, Liat, Gingis-Velitski, Svetlana, Voloshin, Tali, Segal, Ehud, Segev, Rotem, Munster, Michal, Bril, Rotem, Satchi-Fainaro, Ronit, Scherer, Stefan J., Shaked, Yuval
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1841
container_issue 9
container_start_page 1831
container_title Stem cells (Dayton, Ohio)
container_volume 30
creator Benayoun, Liat
Gingis-Velitski, Svetlana
Voloshin, Tali
Segal, Ehud
Segev, Rotem
Munster, Michal
Bril, Rotem
Satchi-Fainaro, Ronit
Scherer, Stefan J.
Shaked, Yuval
description Tumor‐initiating cells (TICs) are a subtype of tumor cells believed to be critical for initiating tumorigenesis. We sought to determine the angiogenic properties of TICs in different tumor types including U‐87MG (glioblastoma), HT29 (colon), MCF7 (breast), A549 (non‐small‐cell lung), and PANC1 (pancreatic) cancers. Long‐term cultures grown either as monolayers (“TIC‐low”) or as nonadherent tumor spheres (“TIC‐high”) were generated. The TIC‐high fractions exhibited increased expression of stem cell surface markers, high aldehyde dehydrogenase activity, high expression of p21, and resistance to standard chemotherapy in comparison to TIC‐low fractions. Furthermore, TICs from U‐87MG and HT29 but not from MCF7, A549, and PANC1 tumor types possess increased angiogenic activity. Consequently, the efficacy of vascular endothelial growth factor‐A (VEGF‐A) neutralizing antibody is limited only to those tumors that are dependent on VEGF‐A activity. In addition, such therapy had little or reversed antiangiogenic effects on tumors that do not necessarily rely on VEGF‐dependent angiogenesis. Differential angiogenic activity and antiangiogenic therapy sensitivity were also observed in TICs of the same tumor type, suggesting redundant angiogenic pathways. Collectively, our results suggest that the efficacy of antiangiogenic drugs is dependent on the angiogenic properties of TICs and, therefore, can serve as a possible biomarker to predict antiangiogenic treatment efficacy. Stem Cells2012;30:1831–1841
doi_str_mv 10.1002/stem.1170
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1034659555</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1034659555</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4260-174b4f6dc8b2918c0b6538516a60840491f4b182b09d508c6b51194bdba23eaf3</originalsourceid><addsrcrecordid>eNp1kdFu0zAYhS3ExMbGBS-ALHEDF9n8O7bjXI6utJMGg67ApWUnTvFI4mInYn0BnnsuLQMhcWVL_r4jHx2EngM5BULoWRxsdwpQkEfoCDgrM1aCfJzuRIiMk7I8RE9jvCUEGJfyCTqktJBUcnmEfi7HzofssneD04PrV3hi2zZi3-DPOjg_RvyLwMvN2kY8vfvqjBvwhWsaG2yfpBaf9yvnV7Z3Ff4Q_NqGwSVU9zVeWF39BbcbPPiEJ-uPchHGVTxBB41uo322P4_Rp7fT5WSeXV3PLifnV1nFqCAZFMywRtSVNDRVrIgRPJcchBZEMpJqN8yApIaUNSeyEoYDlMzURtPc6iY_Rq92uevgv482DqpzsUqNdW9TVwUkZ4KXnPOEvvwHvfVj6NPvFABwKgSIMlGvd1QVfIzBNmodXKfDJkWp7ThqO47ajpPYF_vE0XS2fiB_r5GAsx3ww7V28_8kdbOcvttHZjvDpce7B0OHb0oUecHVl_cz9XG-mC_e3CzULL8HuBqpcA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1115266169</pqid></control><display><type>article</type><title>Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Benayoun, Liat ; Gingis-Velitski, Svetlana ; Voloshin, Tali ; Segal, Ehud ; Segev, Rotem ; Munster, Michal ; Bril, Rotem ; Satchi-Fainaro, Ronit ; Scherer, Stefan J. ; Shaked, Yuval</creator><creatorcontrib>Benayoun, Liat ; Gingis-Velitski, Svetlana ; Voloshin, Tali ; Segal, Ehud ; Segev, Rotem ; Munster, Michal ; Bril, Rotem ; Satchi-Fainaro, Ronit ; Scherer, Stefan J. ; Shaked, Yuval</creatorcontrib><description>Tumor‐initiating cells (TICs) are a subtype of tumor cells believed to be critical for initiating tumorigenesis. We sought to determine the angiogenic properties of TICs in different tumor types including U‐87MG (glioblastoma), HT29 (colon), MCF7 (breast), A549 (non‐small‐cell lung), and PANC1 (pancreatic) cancers. Long‐term cultures grown either as monolayers (“TIC‐low”) or as nonadherent tumor spheres (“TIC‐high”) were generated. The TIC‐high fractions exhibited increased expression of stem cell surface markers, high aldehyde dehydrogenase activity, high expression of p21, and resistance to standard chemotherapy in comparison to TIC‐low fractions. Furthermore, TICs from U‐87MG and HT29 but not from MCF7, A549, and PANC1 tumor types possess increased angiogenic activity. Consequently, the efficacy of vascular endothelial growth factor‐A (VEGF‐A) neutralizing antibody is limited only to those tumors that are dependent on VEGF‐A activity. In addition, such therapy had little or reversed antiangiogenic effects on tumors that do not necessarily rely on VEGF‐dependent angiogenesis. Differential angiogenic activity and antiangiogenic therapy sensitivity were also observed in TICs of the same tumor type, suggesting redundant angiogenic pathways. Collectively, our results suggest that the efficacy of antiangiogenic drugs is dependent on the angiogenic properties of TICs and, therefore, can serve as a possible biomarker to predict antiangiogenic treatment efficacy. Stem Cells2012;30:1831–1841</description><identifier>ISSN: 1066-5099</identifier><identifier>EISSN: 1549-4918</identifier><identifier>DOI: 10.1002/stem.1170</identifier><identifier>PMID: 22782858</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Angiogenesis ; Angiogenesis Inhibitors - pharmacology ; Animals ; Bone marrow-derived cells ; Cancer stem cells ; Cell Line, Tumor ; Cell Survival - drug effects ; Chemotherapy ; Disease Models, Animal ; HT29 Cells ; Human Umbilical Vein Endothelial Cells - drug effects ; Human Umbilical Vein Endothelial Cells - pathology ; Humans ; Immunoblotting ; MCF-7 Cells ; Medical research ; Mice ; Mice, Nude ; Neoplasms - blood supply ; Neoplasms - drug therapy ; Neoplasms - pathology ; Neoplastic Stem Cells - drug effects ; Neoplastic Stem Cells - metabolism ; Neoplastic Stem Cells - pathology ; Neovascularization, Pathologic - drug therapy ; Neovascularization, Pathologic - pathology ; Transfection ; Transplantation, Heterologous ; Tumors ; Vascular endothelial growth factor</subject><ispartof>Stem cells (Dayton, Ohio), 2012-09, Vol.30 (9), p.1831-1841</ispartof><rights>Copyright © 2012 AlphaMed Press</rights><rights>Copyright © 2012 AlphaMed Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4260-174b4f6dc8b2918c0b6538516a60840491f4b182b09d508c6b51194bdba23eaf3</citedby><cites>FETCH-LOGICAL-c4260-174b4f6dc8b2918c0b6538516a60840491f4b182b09d508c6b51194bdba23eaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22782858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benayoun, Liat</creatorcontrib><creatorcontrib>Gingis-Velitski, Svetlana</creatorcontrib><creatorcontrib>Voloshin, Tali</creatorcontrib><creatorcontrib>Segal, Ehud</creatorcontrib><creatorcontrib>Segev, Rotem</creatorcontrib><creatorcontrib>Munster, Michal</creatorcontrib><creatorcontrib>Bril, Rotem</creatorcontrib><creatorcontrib>Satchi-Fainaro, Ronit</creatorcontrib><creatorcontrib>Scherer, Stefan J.</creatorcontrib><creatorcontrib>Shaked, Yuval</creatorcontrib><title>Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs</title><title>Stem cells (Dayton, Ohio)</title><addtitle>STEM CELLS</addtitle><description>Tumor‐initiating cells (TICs) are a subtype of tumor cells believed to be critical for initiating tumorigenesis. We sought to determine the angiogenic properties of TICs in different tumor types including U‐87MG (glioblastoma), HT29 (colon), MCF7 (breast), A549 (non‐small‐cell lung), and PANC1 (pancreatic) cancers. Long‐term cultures grown either as monolayers (“TIC‐low”) or as nonadherent tumor spheres (“TIC‐high”) were generated. The TIC‐high fractions exhibited increased expression of stem cell surface markers, high aldehyde dehydrogenase activity, high expression of p21, and resistance to standard chemotherapy in comparison to TIC‐low fractions. Furthermore, TICs from U‐87MG and HT29 but not from MCF7, A549, and PANC1 tumor types possess increased angiogenic activity. Consequently, the efficacy of vascular endothelial growth factor‐A (VEGF‐A) neutralizing antibody is limited only to those tumors that are dependent on VEGF‐A activity. In addition, such therapy had little or reversed antiangiogenic effects on tumors that do not necessarily rely on VEGF‐dependent angiogenesis. Differential angiogenic activity and antiangiogenic therapy sensitivity were also observed in TICs of the same tumor type, suggesting redundant angiogenic pathways. Collectively, our results suggest that the efficacy of antiangiogenic drugs is dependent on the angiogenic properties of TICs and, therefore, can serve as a possible biomarker to predict antiangiogenic treatment efficacy. Stem Cells2012;30:1831–1841</description><subject>Angiogenesis</subject><subject>Angiogenesis Inhibitors - pharmacology</subject><subject>Animals</subject><subject>Bone marrow-derived cells</subject><subject>Cancer stem cells</subject><subject>Cell Line, Tumor</subject><subject>Cell Survival - drug effects</subject><subject>Chemotherapy</subject><subject>Disease Models, Animal</subject><subject>HT29 Cells</subject><subject>Human Umbilical Vein Endothelial Cells - drug effects</subject><subject>Human Umbilical Vein Endothelial Cells - pathology</subject><subject>Humans</subject><subject>Immunoblotting</subject><subject>MCF-7 Cells</subject><subject>Medical research</subject><subject>Mice</subject><subject>Mice, Nude</subject><subject>Neoplasms - blood supply</subject><subject>Neoplasms - drug therapy</subject><subject>Neoplasms - pathology</subject><subject>Neoplastic Stem Cells - drug effects</subject><subject>Neoplastic Stem Cells - metabolism</subject><subject>Neoplastic Stem Cells - pathology</subject><subject>Neovascularization, Pathologic - drug therapy</subject><subject>Neovascularization, Pathologic - pathology</subject><subject>Transfection</subject><subject>Transplantation, Heterologous</subject><subject>Tumors</subject><subject>Vascular endothelial growth factor</subject><issn>1066-5099</issn><issn>1549-4918</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kdFu0zAYhS3ExMbGBS-ALHEDF9n8O7bjXI6utJMGg67ApWUnTvFI4mInYn0BnnsuLQMhcWVL_r4jHx2EngM5BULoWRxsdwpQkEfoCDgrM1aCfJzuRIiMk7I8RE9jvCUEGJfyCTqktJBUcnmEfi7HzofssneD04PrV3hi2zZi3-DPOjg_RvyLwMvN2kY8vfvqjBvwhWsaG2yfpBaf9yvnV7Z3Ff4Q_NqGwSVU9zVeWF39BbcbPPiEJ-uPchHGVTxBB41uo322P4_Rp7fT5WSeXV3PLifnV1nFqCAZFMywRtSVNDRVrIgRPJcchBZEMpJqN8yApIaUNSeyEoYDlMzURtPc6iY_Rq92uevgv482DqpzsUqNdW9TVwUkZ4KXnPOEvvwHvfVj6NPvFABwKgSIMlGvd1QVfIzBNmodXKfDJkWp7ThqO47ajpPYF_vE0XS2fiB_r5GAsx3ww7V28_8kdbOcvttHZjvDpce7B0OHb0oUecHVl_cz9XG-mC_e3CzULL8HuBqpcA</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>Benayoun, Liat</creator><creator>Gingis-Velitski, Svetlana</creator><creator>Voloshin, Tali</creator><creator>Segal, Ehud</creator><creator>Segev, Rotem</creator><creator>Munster, Michal</creator><creator>Bril, Rotem</creator><creator>Satchi-Fainaro, Ronit</creator><creator>Scherer, Stefan J.</creator><creator>Shaked, Yuval</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Oxford University Press</general><scope>BSCLL</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>7QO</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs</title><author>Benayoun, Liat ; Gingis-Velitski, Svetlana ; Voloshin, Tali ; Segal, Ehud ; Segev, Rotem ; Munster, Michal ; Bril, Rotem ; Satchi-Fainaro, Ronit ; Scherer, Stefan J. ; Shaked, Yuval</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4260-174b4f6dc8b2918c0b6538516a60840491f4b182b09d508c6b51194bdba23eaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Angiogenesis</topic><topic>Angiogenesis Inhibitors - pharmacology</topic><topic>Animals</topic><topic>Bone marrow-derived cells</topic><topic>Cancer stem cells</topic><topic>Cell Line, Tumor</topic><topic>Cell Survival - drug effects</topic><topic>Chemotherapy</topic><topic>Disease Models, Animal</topic><topic>HT29 Cells</topic><topic>Human Umbilical Vein Endothelial Cells - drug effects</topic><topic>Human Umbilical Vein Endothelial Cells - pathology</topic><topic>Humans</topic><topic>Immunoblotting</topic><topic>MCF-7 Cells</topic><topic>Medical research</topic><topic>Mice</topic><topic>Mice, Nude</topic><topic>Neoplasms - blood supply</topic><topic>Neoplasms - drug therapy</topic><topic>Neoplasms - pathology</topic><topic>Neoplastic Stem Cells - drug effects</topic><topic>Neoplastic Stem Cells - metabolism</topic><topic>Neoplastic Stem Cells - pathology</topic><topic>Neovascularization, Pathologic - drug therapy</topic><topic>Neovascularization, Pathologic - pathology</topic><topic>Transfection</topic><topic>Transplantation, Heterologous</topic><topic>Tumors</topic><topic>Vascular endothelial growth factor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benayoun, Liat</creatorcontrib><creatorcontrib>Gingis-Velitski, Svetlana</creatorcontrib><creatorcontrib>Voloshin, Tali</creatorcontrib><creatorcontrib>Segal, Ehud</creatorcontrib><creatorcontrib>Segev, Rotem</creatorcontrib><creatorcontrib>Munster, Michal</creatorcontrib><creatorcontrib>Bril, Rotem</creatorcontrib><creatorcontrib>Satchi-Fainaro, Ronit</creatorcontrib><creatorcontrib>Scherer, Stefan J.</creatorcontrib><creatorcontrib>Shaked, Yuval</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Stem cells (Dayton, Ohio)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benayoun, Liat</au><au>Gingis-Velitski, Svetlana</au><au>Voloshin, Tali</au><au>Segal, Ehud</au><au>Segev, Rotem</au><au>Munster, Michal</au><au>Bril, Rotem</au><au>Satchi-Fainaro, Ronit</au><au>Scherer, Stefan J.</au><au>Shaked, Yuval</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs</atitle><jtitle>Stem cells (Dayton, Ohio)</jtitle><addtitle>STEM CELLS</addtitle><date>2012-09</date><risdate>2012</risdate><volume>30</volume><issue>9</issue><spage>1831</spage><epage>1841</epage><pages>1831-1841</pages><issn>1066-5099</issn><eissn>1549-4918</eissn><abstract>Tumor‐initiating cells (TICs) are a subtype of tumor cells believed to be critical for initiating tumorigenesis. We sought to determine the angiogenic properties of TICs in different tumor types including U‐87MG (glioblastoma), HT29 (colon), MCF7 (breast), A549 (non‐small‐cell lung), and PANC1 (pancreatic) cancers. Long‐term cultures grown either as monolayers (“TIC‐low”) or as nonadherent tumor spheres (“TIC‐high”) were generated. The TIC‐high fractions exhibited increased expression of stem cell surface markers, high aldehyde dehydrogenase activity, high expression of p21, and resistance to standard chemotherapy in comparison to TIC‐low fractions. Furthermore, TICs from U‐87MG and HT29 but not from MCF7, A549, and PANC1 tumor types possess increased angiogenic activity. Consequently, the efficacy of vascular endothelial growth factor‐A (VEGF‐A) neutralizing antibody is limited only to those tumors that are dependent on VEGF‐A activity. In addition, such therapy had little or reversed antiangiogenic effects on tumors that do not necessarily rely on VEGF‐dependent angiogenesis. Differential angiogenic activity and antiangiogenic therapy sensitivity were also observed in TICs of the same tumor type, suggesting redundant angiogenic pathways. Collectively, our results suggest that the efficacy of antiangiogenic drugs is dependent on the angiogenic properties of TICs and, therefore, can serve as a possible biomarker to predict antiangiogenic treatment efficacy. Stem Cells2012;30:1831–1841</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22782858</pmid><doi>10.1002/stem.1170</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1066-5099
ispartof Stem cells (Dayton, Ohio), 2012-09, Vol.30 (9), p.1831-1841
issn 1066-5099
1549-4918
language eng
recordid cdi_proquest_miscellaneous_1034659555
source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Angiogenesis
Angiogenesis Inhibitors - pharmacology
Animals
Bone marrow-derived cells
Cancer stem cells
Cell Line, Tumor
Cell Survival - drug effects
Chemotherapy
Disease Models, Animal
HT29 Cells
Human Umbilical Vein Endothelial Cells - drug effects
Human Umbilical Vein Endothelial Cells - pathology
Humans
Immunoblotting
MCF-7 Cells
Medical research
Mice
Mice, Nude
Neoplasms - blood supply
Neoplasms - drug therapy
Neoplasms - pathology
Neoplastic Stem Cells - drug effects
Neoplastic Stem Cells - metabolism
Neoplastic Stem Cells - pathology
Neovascularization, Pathologic - drug therapy
Neovascularization, Pathologic - pathology
Transfection
Transplantation, Heterologous
Tumors
Vascular endothelial growth factor
title Tumor-Initiating Cells of Various Tumor Types Exhibit Differential Angiogenic Properties and React Differently to Antiangiogenic Drugs
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T14%3A09%3A30IST&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=Tumor-Initiating%20Cells%20of%20Various%20Tumor%20Types%20Exhibit%20Differential%20Angiogenic%20Properties%20and%20React%20Differently%20to%20Antiangiogenic%20Drugs&rft.jtitle=Stem%20cells%20(Dayton,%20Ohio)&rft.au=Benayoun,%20Liat&rft.date=2012-09&rft.volume=30&rft.issue=9&rft.spage=1831&rft.epage=1841&rft.pages=1831-1841&rft.issn=1066-5099&rft.eissn=1549-4918&rft_id=info:doi/10.1002/stem.1170&rft_dat=%3Cproquest_cross%3E1034659555%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=1115266169&rft_id=info:pmid/22782858&rfr_iscdi=true