Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats

Although long known and the most prevalent movement disorder, pathophysiology of essential tremor (ET) remains controversial. The most accepted hypothesis is that it is caused by a dysfunction of the olivocerebellar system. Vilela Filho et al. [2001; Stereotact Funct Neurosurg 77:149–150], however,...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of neuroscience research 2013-10, Vol.91 (10), p.1328-1337
Hauptverfasser: Vilela-Filho, Osvaldo, Ferraz, Fernando P., Barros, Breno A., Silva, Luciana O., Anunciação, Suzana F., Souza, Joaquim T., Silva, Delson J., Leite, Mauricio B., Atayde, Ingrid B., Ragazzo, Paulo C., Barreto, Paula G., Nobrega, Mariana A., Araujo, Maisa R., Santos, Mayra R., Ala, Victor H., Queiroz, Stefano T.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1337
container_issue 10
container_start_page 1328
container_title Journal of neuroscience research
container_volume 91
creator Vilela-Filho, Osvaldo
Ferraz, Fernando P.
Barros, Breno A.
Silva, Luciana O.
Anunciação, Suzana F.
Souza, Joaquim T.
Silva, Delson J.
Leite, Mauricio B.
Atayde, Ingrid B.
Ragazzo, Paulo C.
Barreto, Paula G.
Nobrega, Mariana A.
Araujo, Maisa R.
Santos, Mayra R.
Ala, Victor H.
Queiroz, Stefano T.
description Although long known and the most prevalent movement disorder, pathophysiology of essential tremor (ET) remains controversial. The most accepted hypothesis is that it is caused by a dysfunction of the olivocerebellar system. Vilela Filho et al. [2001; Stereotact Funct Neurosurg 77:149–150], however, reported a patient with unilateral hand ET that was completely relieved after a stroke restricted to the contralateral posterior putamen and suggested that ET could be the clinical manifestation of posterior putamen hyperactivity. The present study was designed to evaluate this hypothesis in the most often used model of ET, harmaline‐induced tremor in rats. Fifty‐four male Wistar rats were randomly distributed into three groups: experimental (EG), surgical control (SCG), and pharmacological control (PCG) groups. EG animals underwent stereotactic unilateral posterior striatotomy. SCG rats underwent sham lesion at the same target. PCG served exclusively as controls for harmaline effects. All animals received, postoperatively, intraperitoneal harmaline, and the induced tremor was video‐recorded for later evaluation by a blind observer. Thirteen animals were excluded from the study. Limb tremor was reduced ipsilaterally to the operation in 20 of 21 rats of EG and in two of nine of SCG, being asymmetric in one of 10 of PCG rats. Comparisons between EG × SCG and EG × PCG were statistically significant, but not between SCG × PCG. Limb tremor reduction was greater in anterior than in posterior paws. Lateral lesions yielded better results than medial lesions. These results suggest that the posterior striatum is involved with harmaline‐induced tremor in rats and support the hypothesis presented. © 2013 Wiley Periodicals, Inc.
doi_str_mv 10.1002/jnr.23249
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1433265043</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1433265043</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3579-2f8ba9431ca57e86f508174924d3bcfe6830c84fb2c2bff869583f44c6329fdb3</originalsourceid><addsrcrecordid>eNpdkU9PGzEQxS1UBGnKoV-gWqkXLgte2-s_xzaEFBSBVLUCRUiW12urTnfXwfaK5tvXIcCB05uxf280mgfA5wqeVRCi8_UQzhBGRByASQUFK0lN2AcwgZjCksAKHYOPMa4hhELU-AgcI8wZZoROwMPcWqNTLLwtxsF1KpmguiJmMT4pnZwuNn7XOh_yc3Aq-eT7beGH4o8KvercYEo3tKM2bZGC6TPnhiKoFD-BQ6u6aE5edAp-X85_zX6Uy9vF1ezbstS4ZqJEljdKEFxpVTPDqa0hrxgRiLS40dZQjqHmxDZIo8ZaTkXNsSVEU4yEbRs8Baf7uZvgH0cTk-xd1Kbr1GD8GGVFMEa0hlmm4Os7dO3HMOTtMoWoQIxTmKkvL9TY9KaVm-B6Fbby9W4ZON8DT64z27f_CspdIDIHIp8Dkdc3P5-L7Cj3DpeP-e_NocJfSfPMWt7dLOSS8dXqfnYhv-P_2SWM9w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1426927860</pqid></control><display><type>article</type><title>Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Vilela-Filho, Osvaldo ; Ferraz, Fernando P. ; Barros, Breno A. ; Silva, Luciana O. ; Anunciação, Suzana F. ; Souza, Joaquim T. ; Silva, Delson J. ; Leite, Mauricio B. ; Atayde, Ingrid B. ; Ragazzo, Paulo C. ; Barreto, Paula G. ; Nobrega, Mariana A. ; Araujo, Maisa R. ; Santos, Mayra R. ; Ala, Victor H. ; Queiroz, Stefano T.</creator><creatorcontrib>Vilela-Filho, Osvaldo ; Ferraz, Fernando P. ; Barros, Breno A. ; Silva, Luciana O. ; Anunciação, Suzana F. ; Souza, Joaquim T. ; Silva, Delson J. ; Leite, Mauricio B. ; Atayde, Ingrid B. ; Ragazzo, Paulo C. ; Barreto, Paula G. ; Nobrega, Mariana A. ; Araujo, Maisa R. ; Santos, Mayra R. ; Ala, Victor H. ; Queiroz, Stefano T.</creatorcontrib><description>Although long known and the most prevalent movement disorder, pathophysiology of essential tremor (ET) remains controversial. The most accepted hypothesis is that it is caused by a dysfunction of the olivocerebellar system. Vilela Filho et al. [2001; Stereotact Funct Neurosurg 77:149–150], however, reported a patient with unilateral hand ET that was completely relieved after a stroke restricted to the contralateral posterior putamen and suggested that ET could be the clinical manifestation of posterior putamen hyperactivity. The present study was designed to evaluate this hypothesis in the most often used model of ET, harmaline‐induced tremor in rats. Fifty‐four male Wistar rats were randomly distributed into three groups: experimental (EG), surgical control (SCG), and pharmacological control (PCG) groups. EG animals underwent stereotactic unilateral posterior striatotomy. SCG rats underwent sham lesion at the same target. PCG served exclusively as controls for harmaline effects. All animals received, postoperatively, intraperitoneal harmaline, and the induced tremor was video‐recorded for later evaluation by a blind observer. Thirteen animals were excluded from the study. Limb tremor was reduced ipsilaterally to the operation in 20 of 21 rats of EG and in two of nine of SCG, being asymmetric in one of 10 of PCG rats. Comparisons between EG × SCG and EG × PCG were statistically significant, but not between SCG × PCG. Limb tremor reduction was greater in anterior than in posterior paws. Lateral lesions yielded better results than medial lesions. These results suggest that the posterior striatum is involved with harmaline‐induced tremor in rats and support the hypothesis presented. © 2013 Wiley Periodicals, Inc.</description><identifier>ISSN: 0360-4012</identifier><identifier>EISSN: 1097-4547</identifier><identifier>DOI: 10.1002/jnr.23249</identifier><identifier>PMID: 23873746</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Central Nervous System Stimulants - toxicity ; Corpus Striatum - physiopathology ; Corpus Striatum - surgery ; Disease Models, Animal ; electrolytic lesion ; essential tremor ; Essential Tremor - chemically induced ; Essential Tremor - physiopathology ; Essential Tremor - surgery ; Functional Laterality - physiology ; harmaline ; Harmaline - toxicity ; Male ; Rats ; Rats, Wistar ; Stereotaxic Techniques ; striatum ; tremor</subject><ispartof>Journal of neuroscience research, 2013-10, Vol.91 (10), p.1328-1337</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3579-2f8ba9431ca57e86f508174924d3bcfe6830c84fb2c2bff869583f44c6329fdb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjnr.23249$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjnr.23249$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23873746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vilela-Filho, Osvaldo</creatorcontrib><creatorcontrib>Ferraz, Fernando P.</creatorcontrib><creatorcontrib>Barros, Breno A.</creatorcontrib><creatorcontrib>Silva, Luciana O.</creatorcontrib><creatorcontrib>Anunciação, Suzana F.</creatorcontrib><creatorcontrib>Souza, Joaquim T.</creatorcontrib><creatorcontrib>Silva, Delson J.</creatorcontrib><creatorcontrib>Leite, Mauricio B.</creatorcontrib><creatorcontrib>Atayde, Ingrid B.</creatorcontrib><creatorcontrib>Ragazzo, Paulo C.</creatorcontrib><creatorcontrib>Barreto, Paula G.</creatorcontrib><creatorcontrib>Nobrega, Mariana A.</creatorcontrib><creatorcontrib>Araujo, Maisa R.</creatorcontrib><creatorcontrib>Santos, Mayra R.</creatorcontrib><creatorcontrib>Ala, Victor H.</creatorcontrib><creatorcontrib>Queiroz, Stefano T.</creatorcontrib><title>Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats</title><title>Journal of neuroscience research</title><addtitle>Journal of Neuroscience Research</addtitle><description>Although long known and the most prevalent movement disorder, pathophysiology of essential tremor (ET) remains controversial. The most accepted hypothesis is that it is caused by a dysfunction of the olivocerebellar system. Vilela Filho et al. [2001; Stereotact Funct Neurosurg 77:149–150], however, reported a patient with unilateral hand ET that was completely relieved after a stroke restricted to the contralateral posterior putamen and suggested that ET could be the clinical manifestation of posterior putamen hyperactivity. The present study was designed to evaluate this hypothesis in the most often used model of ET, harmaline‐induced tremor in rats. Fifty‐four male Wistar rats were randomly distributed into three groups: experimental (EG), surgical control (SCG), and pharmacological control (PCG) groups. EG animals underwent stereotactic unilateral posterior striatotomy. SCG rats underwent sham lesion at the same target. PCG served exclusively as controls for harmaline effects. All animals received, postoperatively, intraperitoneal harmaline, and the induced tremor was video‐recorded for later evaluation by a blind observer. Thirteen animals were excluded from the study. Limb tremor was reduced ipsilaterally to the operation in 20 of 21 rats of EG and in two of nine of SCG, being asymmetric in one of 10 of PCG rats. Comparisons between EG × SCG and EG × PCG were statistically significant, but not between SCG × PCG. Limb tremor reduction was greater in anterior than in posterior paws. Lateral lesions yielded better results than medial lesions. These results suggest that the posterior striatum is involved with harmaline‐induced tremor in rats and support the hypothesis presented. © 2013 Wiley Periodicals, Inc.</description><subject>Animals</subject><subject>Central Nervous System Stimulants - toxicity</subject><subject>Corpus Striatum - physiopathology</subject><subject>Corpus Striatum - surgery</subject><subject>Disease Models, Animal</subject><subject>electrolytic lesion</subject><subject>essential tremor</subject><subject>Essential Tremor - chemically induced</subject><subject>Essential Tremor - physiopathology</subject><subject>Essential Tremor - surgery</subject><subject>Functional Laterality - physiology</subject><subject>harmaline</subject><subject>Harmaline - toxicity</subject><subject>Male</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Stereotaxic Techniques</subject><subject>striatum</subject><subject>tremor</subject><issn>0360-4012</issn><issn>1097-4547</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9PGzEQxS1UBGnKoV-gWqkXLgte2-s_xzaEFBSBVLUCRUiW12urTnfXwfaK5tvXIcCB05uxf280mgfA5wqeVRCi8_UQzhBGRByASQUFK0lN2AcwgZjCksAKHYOPMa4hhELU-AgcI8wZZoROwMPcWqNTLLwtxsF1KpmguiJmMT4pnZwuNn7XOh_yc3Aq-eT7beGH4o8KvercYEo3tKM2bZGC6TPnhiKoFD-BQ6u6aE5edAp-X85_zX6Uy9vF1ezbstS4ZqJEljdKEFxpVTPDqa0hrxgRiLS40dZQjqHmxDZIo8ZaTkXNsSVEU4yEbRs8Baf7uZvgH0cTk-xd1Kbr1GD8GGVFMEa0hlmm4Os7dO3HMOTtMoWoQIxTmKkvL9TY9KaVm-B6Fbby9W4ZON8DT64z27f_CspdIDIHIp8Dkdc3P5-L7Cj3DpeP-e_NocJfSfPMWt7dLOSS8dXqfnYhv-P_2SWM9w</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Vilela-Filho, Osvaldo</creator><creator>Ferraz, Fernando P.</creator><creator>Barros, Breno A.</creator><creator>Silva, Luciana O.</creator><creator>Anunciação, Suzana F.</creator><creator>Souza, Joaquim T.</creator><creator>Silva, Delson J.</creator><creator>Leite, Mauricio B.</creator><creator>Atayde, Ingrid B.</creator><creator>Ragazzo, Paulo C.</creator><creator>Barreto, Paula G.</creator><creator>Nobrega, Mariana A.</creator><creator>Araujo, Maisa R.</creator><creator>Santos, Mayra R.</creator><creator>Ala, Victor H.</creator><creator>Queiroz, Stefano T.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats</title><author>Vilela-Filho, Osvaldo ; Ferraz, Fernando P. ; Barros, Breno A. ; Silva, Luciana O. ; Anunciação, Suzana F. ; Souza, Joaquim T. ; Silva, Delson J. ; Leite, Mauricio B. ; Atayde, Ingrid B. ; Ragazzo, Paulo C. ; Barreto, Paula G. ; Nobrega, Mariana A. ; Araujo, Maisa R. ; Santos, Mayra R. ; Ala, Victor H. ; Queiroz, Stefano T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3579-2f8ba9431ca57e86f508174924d3bcfe6830c84fb2c2bff869583f44c6329fdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Animals</topic><topic>Central Nervous System Stimulants - toxicity</topic><topic>Corpus Striatum - physiopathology</topic><topic>Corpus Striatum - surgery</topic><topic>Disease Models, Animal</topic><topic>electrolytic lesion</topic><topic>essential tremor</topic><topic>Essential Tremor - chemically induced</topic><topic>Essential Tremor - physiopathology</topic><topic>Essential Tremor - surgery</topic><topic>Functional Laterality - physiology</topic><topic>harmaline</topic><topic>Harmaline - toxicity</topic><topic>Male</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Stereotaxic Techniques</topic><topic>striatum</topic><topic>tremor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vilela-Filho, Osvaldo</creatorcontrib><creatorcontrib>Ferraz, Fernando P.</creatorcontrib><creatorcontrib>Barros, Breno A.</creatorcontrib><creatorcontrib>Silva, Luciana O.</creatorcontrib><creatorcontrib>Anunciação, Suzana F.</creatorcontrib><creatorcontrib>Souza, Joaquim T.</creatorcontrib><creatorcontrib>Silva, Delson J.</creatorcontrib><creatorcontrib>Leite, Mauricio B.</creatorcontrib><creatorcontrib>Atayde, Ingrid B.</creatorcontrib><creatorcontrib>Ragazzo, Paulo C.</creatorcontrib><creatorcontrib>Barreto, Paula G.</creatorcontrib><creatorcontrib>Nobrega, Mariana A.</creatorcontrib><creatorcontrib>Araujo, Maisa R.</creatorcontrib><creatorcontrib>Santos, Mayra R.</creatorcontrib><creatorcontrib>Ala, Victor H.</creatorcontrib><creatorcontrib>Queiroz, Stefano T.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroscience research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vilela-Filho, Osvaldo</au><au>Ferraz, Fernando P.</au><au>Barros, Breno A.</au><au>Silva, Luciana O.</au><au>Anunciação, Suzana F.</au><au>Souza, Joaquim T.</au><au>Silva, Delson J.</au><au>Leite, Mauricio B.</au><au>Atayde, Ingrid B.</au><au>Ragazzo, Paulo C.</au><au>Barreto, Paula G.</au><au>Nobrega, Mariana A.</au><au>Araujo, Maisa R.</au><au>Santos, Mayra R.</au><au>Ala, Victor H.</au><au>Queiroz, Stefano T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats</atitle><jtitle>Journal of neuroscience research</jtitle><addtitle>Journal of Neuroscience Research</addtitle><date>2013-10</date><risdate>2013</risdate><volume>91</volume><issue>10</issue><spage>1328</spage><epage>1337</epage><pages>1328-1337</pages><issn>0360-4012</issn><eissn>1097-4547</eissn><abstract>Although long known and the most prevalent movement disorder, pathophysiology of essential tremor (ET) remains controversial. The most accepted hypothesis is that it is caused by a dysfunction of the olivocerebellar system. Vilela Filho et al. [2001; Stereotact Funct Neurosurg 77:149–150], however, reported a patient with unilateral hand ET that was completely relieved after a stroke restricted to the contralateral posterior putamen and suggested that ET could be the clinical manifestation of posterior putamen hyperactivity. The present study was designed to evaluate this hypothesis in the most often used model of ET, harmaline‐induced tremor in rats. Fifty‐four male Wistar rats were randomly distributed into three groups: experimental (EG), surgical control (SCG), and pharmacological control (PCG) groups. EG animals underwent stereotactic unilateral posterior striatotomy. SCG rats underwent sham lesion at the same target. PCG served exclusively as controls for harmaline effects. All animals received, postoperatively, intraperitoneal harmaline, and the induced tremor was video‐recorded for later evaluation by a blind observer. Thirteen animals were excluded from the study. Limb tremor was reduced ipsilaterally to the operation in 20 of 21 rats of EG and in two of nine of SCG, being asymmetric in one of 10 of PCG rats. Comparisons between EG × SCG and EG × PCG were statistically significant, but not between SCG × PCG. Limb tremor reduction was greater in anterior than in posterior paws. Lateral lesions yielded better results than medial lesions. These results suggest that the posterior striatum is involved with harmaline‐induced tremor in rats and support the hypothesis presented. © 2013 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23873746</pmid><doi>10.1002/jnr.23249</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0360-4012
ispartof Journal of neuroscience research, 2013-10, Vol.91 (10), p.1328-1337
issn 0360-4012
1097-4547
language eng
recordid cdi_proquest_miscellaneous_1433265043
source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Central Nervous System Stimulants - toxicity
Corpus Striatum - physiopathology
Corpus Striatum - surgery
Disease Models, Animal
electrolytic lesion
essential tremor
Essential Tremor - chemically induced
Essential Tremor - physiopathology
Essential Tremor - surgery
Functional Laterality - physiology
harmaline
Harmaline - toxicity
Male
Rats
Rats, Wistar
Stereotaxic Techniques
striatum
tremor
title Effects of unilateral stereotactic posterior striatotomy on harmaline-induced tremor in rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T06%3A25%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20unilateral%20stereotactic%20posterior%20striatotomy%20on%20harmaline-induced%20tremor%20in%20rats&rft.jtitle=Journal%20of%20neuroscience%20research&rft.au=Vilela-Filho,%20Osvaldo&rft.date=2013-10&rft.volume=91&rft.issue=10&rft.spage=1328&rft.epage=1337&rft.pages=1328-1337&rft.issn=0360-4012&rft.eissn=1097-4547&rft_id=info:doi/10.1002/jnr.23249&rft_dat=%3Cproquest_pubme%3E1433265043%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1426927860&rft_id=info:pmid/23873746&rfr_iscdi=true