Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia
Abstract Objective Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient isch...
Gespeichert in:
Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2015-08, Vol.150 (2), p.398-406 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 406 |
---|---|
container_issue | 2 |
container_start_page | 398 |
container_title | The Journal of thoracic and cardiovascular surgery |
container_volume | 150 |
creator | He, Fang, MD Shi, Enyi, MD, PhD Yan, Lihui, MD Li, Juchen, MD Jiang, Xiaojing, MD, PhD |
description | Abstract Objective Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient ischemia. Methods Spinal cord ischemia was induced in rats by cross-clamping the descending aorta for 14 minutes. Lentivirus vectors containing antisense oligonucleotides of rat miR-320 (antagomiR-320) were transfected into the experimental rats by means of intrathecal injection, 5 days before spinal cord ischemia. Control lentivirus vectors, or the vehicle, were given to the control animals. Hind-limb motor function was assessed during 48 hours after ischemia, using the Motor Deficit Index (MDI), and histologic examination was performed. In parallel experiments, expressions of miR-320, and the phosphorylation state of heat-shock protein 20 (phospho-Hsp20) in the spinal cord were evaluated by quantitative real-time polymerase chain reaction and western blot analysis. Results The time courses of expressions of miR-320 and phospho-Hsp20 in the spinal cord, after the transient ischemia, indicated that expression of phospho-Hsp20 was negatively correlated with expression of miR-320. Transfection of antagomiR-320 significantly reduced expression of miR-320 in the spinal cord and dramatically up-regulated expression of phospho-Hsp20. Compared with controls, inhibition of miR-320 markedly improved hind-limb motor function, as evidenced by lower MDI scores, at 6, 12, 24, and 48 hours after reperfusion, and increased the number of intact motor neurons in the lumbar spinal cord. Conclusions Inhibition of miR-320 induces neuroprotection in the spinal cord, against ischemia-reperfusion injury, possibly via up-regulation of phospho-Hsp20. |
doi_str_mv | 10.1016/j.jtcvs.2015.03.066 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1698966532</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022522315007278</els_id><sourcerecordid>1698966532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c529t-4c5ff2faa750d0224a78613b20c1ed8a972000c4a21cee86ea28871e5d0ab5923</originalsourceid><addsrcrecordid>eNqFkUFv1DAQhS0EotvCL0BCOXJJGNtrJzmAhCqglSpxoJW4WY4zoRMSe7GTSv33OGzh0EtPluz3PPO-x9gbDhUHrt-P1bi4u1QJ4KoCWYHWz9iOQ1uXulE_nrMdgBClEkKesNOURgCogbcv2YnQ0AoFcse6S39LHS0UfBGGYiYXQxmpC351E5IrrKO-lAIKuyzoV7tgKjyuMUzhZ34mP66R8p0dFoxFOpC3U-FC7AtK7hZnsq_Yi8FOCV8_nGfs5svn6_OL8urb18vzT1elU6Jdyr1TwyAGa2sFfV58b-tGc9kJcBz7xra1yAHc3gruEBuNVjRNzVH1YDvVCnnG3h3_PcTwe8W0mDmvgNNkPYY1Ga7bptVayU0qj9KcNqWIgzlEmm28NxzMBteM5i9cs8E1IE2Gm11vHwas3Yz9f88_mlnw4SjAHPOOMJrkCL3DniK6xfSBnhjw8ZHfTeTJ2ekX3mMawxoz3ZzEJGHAfN_63erlKjcr6kb-AZv6oaI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1698966532</pqid></control><display><type>article</type><title>Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>He, Fang, MD ; Shi, Enyi, MD, PhD ; Yan, Lihui, MD ; Li, Juchen, MD ; Jiang, Xiaojing, MD, PhD</creator><creatorcontrib>He, Fang, MD ; Shi, Enyi, MD, PhD ; Yan, Lihui, MD ; Li, Juchen, MD ; Jiang, Xiaojing, MD, PhD</creatorcontrib><description>Abstract Objective Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient ischemia. Methods Spinal cord ischemia was induced in rats by cross-clamping the descending aorta for 14 minutes. Lentivirus vectors containing antisense oligonucleotides of rat miR-320 (antagomiR-320) were transfected into the experimental rats by means of intrathecal injection, 5 days before spinal cord ischemia. Control lentivirus vectors, or the vehicle, were given to the control animals. Hind-limb motor function was assessed during 48 hours after ischemia, using the Motor Deficit Index (MDI), and histologic examination was performed. In parallel experiments, expressions of miR-320, and the phosphorylation state of heat-shock protein 20 (phospho-Hsp20) in the spinal cord were evaluated by quantitative real-time polymerase chain reaction and western blot analysis. Results The time courses of expressions of miR-320 and phospho-Hsp20 in the spinal cord, after the transient ischemia, indicated that expression of phospho-Hsp20 was negatively correlated with expression of miR-320. Transfection of antagomiR-320 significantly reduced expression of miR-320 in the spinal cord and dramatically up-regulated expression of phospho-Hsp20. Compared with controls, inhibition of miR-320 markedly improved hind-limb motor function, as evidenced by lower MDI scores, at 6, 12, 24, and 48 hours after reperfusion, and increased the number of intact motor neurons in the lumbar spinal cord. Conclusions Inhibition of miR-320 induces neuroprotection in the spinal cord, against ischemia-reperfusion injury, possibly via up-regulation of phospho-Hsp20.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2015.03.066</identifier><identifier>PMID: 26092503</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Cardiothoracic Surgery ; Disease Models, Animal ; Genetic Therapy - methods ; Genetic Vectors ; Hindlimb ; HSP20 Heat-Shock Proteins - metabolism ; ischemia ; Lentivirus - genetics ; Male ; MicroRNAs - genetics ; MicroRNAs - metabolism ; miRNA ; Motor Activity ; Motor Neurons - metabolism ; Muscle Proteins - metabolism ; Muscle, Skeletal - innervation ; Nervous System Diseases - genetics ; Nervous System Diseases - metabolism ; Nervous System Diseases - physiopathology ; Nervous System Diseases - prevention & control ; Oligonucleotides, Antisense - genetics ; Oligonucleotides, Antisense - metabolism ; Phosphorylation ; Rats, Wistar ; Reperfusion Injury - genetics ; Reperfusion Injury - metabolism ; Reperfusion Injury - physiopathology ; Reperfusion Injury - prevention & control ; spinal cord ; Spinal Cord - metabolism ; Spinal Cord - physiopathology ; Spinal Cord Ischemia - genetics ; Spinal Cord Ischemia - metabolism ; Spinal Cord Ischemia - physiopathology ; Spinal Cord Ischemia - therapy ; Time Factors ; Transfection</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2015-08, Vol.150 (2), p.398-406</ispartof><rights>The American Association for Thoracic Surgery</rights><rights>2015 The American Association for Thoracic Surgery</rights><rights>Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c529t-4c5ff2faa750d0224a78613b20c1ed8a972000c4a21cee86ea28871e5d0ab5923</citedby><cites>FETCH-LOGICAL-c529t-4c5ff2faa750d0224a78613b20c1ed8a972000c4a21cee86ea28871e5d0ab5923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022522315007278$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26092503$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>He, Fang, MD</creatorcontrib><creatorcontrib>Shi, Enyi, MD, PhD</creatorcontrib><creatorcontrib>Yan, Lihui, MD</creatorcontrib><creatorcontrib>Li, Juchen, MD</creatorcontrib><creatorcontrib>Jiang, Xiaojing, MD, PhD</creatorcontrib><title>Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Abstract Objective Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient ischemia. Methods Spinal cord ischemia was induced in rats by cross-clamping the descending aorta for 14 minutes. Lentivirus vectors containing antisense oligonucleotides of rat miR-320 (antagomiR-320) were transfected into the experimental rats by means of intrathecal injection, 5 days before spinal cord ischemia. Control lentivirus vectors, or the vehicle, were given to the control animals. Hind-limb motor function was assessed during 48 hours after ischemia, using the Motor Deficit Index (MDI), and histologic examination was performed. In parallel experiments, expressions of miR-320, and the phosphorylation state of heat-shock protein 20 (phospho-Hsp20) in the spinal cord were evaluated by quantitative real-time polymerase chain reaction and western blot analysis. Results The time courses of expressions of miR-320 and phospho-Hsp20 in the spinal cord, after the transient ischemia, indicated that expression of phospho-Hsp20 was negatively correlated with expression of miR-320. Transfection of antagomiR-320 significantly reduced expression of miR-320 in the spinal cord and dramatically up-regulated expression of phospho-Hsp20. Compared with controls, inhibition of miR-320 markedly improved hind-limb motor function, as evidenced by lower MDI scores, at 6, 12, 24, and 48 hours after reperfusion, and increased the number of intact motor neurons in the lumbar spinal cord. Conclusions Inhibition of miR-320 induces neuroprotection in the spinal cord, against ischemia-reperfusion injury, possibly via up-regulation of phospho-Hsp20.</description><subject>Animals</subject><subject>Cardiothoracic Surgery</subject><subject>Disease Models, Animal</subject><subject>Genetic Therapy - methods</subject><subject>Genetic Vectors</subject><subject>Hindlimb</subject><subject>HSP20 Heat-Shock Proteins - metabolism</subject><subject>ischemia</subject><subject>Lentivirus - genetics</subject><subject>Male</subject><subject>MicroRNAs - genetics</subject><subject>MicroRNAs - metabolism</subject><subject>miRNA</subject><subject>Motor Activity</subject><subject>Motor Neurons - metabolism</subject><subject>Muscle Proteins - metabolism</subject><subject>Muscle, Skeletal - innervation</subject><subject>Nervous System Diseases - genetics</subject><subject>Nervous System Diseases - metabolism</subject><subject>Nervous System Diseases - physiopathology</subject><subject>Nervous System Diseases - prevention & control</subject><subject>Oligonucleotides, Antisense - genetics</subject><subject>Oligonucleotides, Antisense - metabolism</subject><subject>Phosphorylation</subject><subject>Rats, Wistar</subject><subject>Reperfusion Injury - genetics</subject><subject>Reperfusion Injury - metabolism</subject><subject>Reperfusion Injury - physiopathology</subject><subject>Reperfusion Injury - prevention & control</subject><subject>spinal cord</subject><subject>Spinal Cord - metabolism</subject><subject>Spinal Cord - physiopathology</subject><subject>Spinal Cord Ischemia - genetics</subject><subject>Spinal Cord Ischemia - metabolism</subject><subject>Spinal Cord Ischemia - physiopathology</subject><subject>Spinal Cord Ischemia - therapy</subject><subject>Time Factors</subject><subject>Transfection</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EotvCL0BCOXJJGNtrJzmAhCqglSpxoJW4WY4zoRMSe7GTSv33OGzh0EtPluz3PPO-x9gbDhUHrt-P1bi4u1QJ4KoCWYHWz9iOQ1uXulE_nrMdgBClEkKesNOURgCogbcv2YnQ0AoFcse6S39LHS0UfBGGYiYXQxmpC351E5IrrKO-lAIKuyzoV7tgKjyuMUzhZ34mP66R8p0dFoxFOpC3U-FC7AtK7hZnsq_Yi8FOCV8_nGfs5svn6_OL8urb18vzT1elU6Jdyr1TwyAGa2sFfV58b-tGc9kJcBz7xra1yAHc3gruEBuNVjRNzVH1YDvVCnnG3h3_PcTwe8W0mDmvgNNkPYY1Ga7bptVayU0qj9KcNqWIgzlEmm28NxzMBteM5i9cs8E1IE2Gm11vHwas3Yz9f88_mlnw4SjAHPOOMJrkCL3DniK6xfSBnhjw8ZHfTeTJ2ekX3mMawxoz3ZzEJGHAfN_63erlKjcr6kb-AZv6oaI</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>He, Fang, MD</creator><creator>Shi, Enyi, MD, PhD</creator><creator>Yan, Lihui, MD</creator><creator>Li, Juchen, MD</creator><creator>Jiang, Xiaojing, MD, PhD</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</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>20150801</creationdate><title>Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia</title><author>He, Fang, MD ; Shi, Enyi, MD, PhD ; Yan, Lihui, MD ; Li, Juchen, MD ; Jiang, Xiaojing, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c529t-4c5ff2faa750d0224a78613b20c1ed8a972000c4a21cee86ea28871e5d0ab5923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Cardiothoracic Surgery</topic><topic>Disease Models, Animal</topic><topic>Genetic Therapy - methods</topic><topic>Genetic Vectors</topic><topic>Hindlimb</topic><topic>HSP20 Heat-Shock Proteins - metabolism</topic><topic>ischemia</topic><topic>Lentivirus - genetics</topic><topic>Male</topic><topic>MicroRNAs - genetics</topic><topic>MicroRNAs - metabolism</topic><topic>miRNA</topic><topic>Motor Activity</topic><topic>Motor Neurons - metabolism</topic><topic>Muscle Proteins - metabolism</topic><topic>Muscle, Skeletal - innervation</topic><topic>Nervous System Diseases - genetics</topic><topic>Nervous System Diseases - metabolism</topic><topic>Nervous System Diseases - physiopathology</topic><topic>Nervous System Diseases - prevention & control</topic><topic>Oligonucleotides, Antisense - genetics</topic><topic>Oligonucleotides, Antisense - metabolism</topic><topic>Phosphorylation</topic><topic>Rats, Wistar</topic><topic>Reperfusion Injury - genetics</topic><topic>Reperfusion Injury - metabolism</topic><topic>Reperfusion Injury - physiopathology</topic><topic>Reperfusion Injury - prevention & control</topic><topic>spinal cord</topic><topic>Spinal Cord - metabolism</topic><topic>Spinal Cord - physiopathology</topic><topic>Spinal Cord Ischemia - genetics</topic><topic>Spinal Cord Ischemia - metabolism</topic><topic>Spinal Cord Ischemia - physiopathology</topic><topic>Spinal Cord Ischemia - therapy</topic><topic>Time Factors</topic><topic>Transfection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Fang, MD</creatorcontrib><creatorcontrib>Shi, Enyi, MD, PhD</creatorcontrib><creatorcontrib>Yan, Lihui, MD</creatorcontrib><creatorcontrib>Li, Juchen, MD</creatorcontrib><creatorcontrib>Jiang, Xiaojing, MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Fang, MD</au><au>Shi, Enyi, MD, PhD</au><au>Yan, Lihui, MD</au><au>Li, Juchen, MD</au><au>Jiang, Xiaojing, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>150</volume><issue>2</issue><spage>398</spage><epage>406</epage><pages>398-406</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>Abstract Objective Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient ischemia. Methods Spinal cord ischemia was induced in rats by cross-clamping the descending aorta for 14 minutes. Lentivirus vectors containing antisense oligonucleotides of rat miR-320 (antagomiR-320) were transfected into the experimental rats by means of intrathecal injection, 5 days before spinal cord ischemia. Control lentivirus vectors, or the vehicle, were given to the control animals. Hind-limb motor function was assessed during 48 hours after ischemia, using the Motor Deficit Index (MDI), and histologic examination was performed. In parallel experiments, expressions of miR-320, and the phosphorylation state of heat-shock protein 20 (phospho-Hsp20) in the spinal cord were evaluated by quantitative real-time polymerase chain reaction and western blot analysis. Results The time courses of expressions of miR-320 and phospho-Hsp20 in the spinal cord, after the transient ischemia, indicated that expression of phospho-Hsp20 was negatively correlated with expression of miR-320. Transfection of antagomiR-320 significantly reduced expression of miR-320 in the spinal cord and dramatically up-regulated expression of phospho-Hsp20. Compared with controls, inhibition of miR-320 markedly improved hind-limb motor function, as evidenced by lower MDI scores, at 6, 12, 24, and 48 hours after reperfusion, and increased the number of intact motor neurons in the lumbar spinal cord. Conclusions Inhibition of miR-320 induces neuroprotection in the spinal cord, against ischemia-reperfusion injury, possibly via up-regulation of phospho-Hsp20.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26092503</pmid><doi>10.1016/j.jtcvs.2015.03.066</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0022-5223 |
ispartof | The Journal of thoracic and cardiovascular surgery, 2015-08, Vol.150 (2), p.398-406 |
issn | 0022-5223 1097-685X |
language | eng |
recordid | cdi_proquest_miscellaneous_1698966532 |
source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
subjects | Animals Cardiothoracic Surgery Disease Models, Animal Genetic Therapy - methods Genetic Vectors Hindlimb HSP20 Heat-Shock Proteins - metabolism ischemia Lentivirus - genetics Male MicroRNAs - genetics MicroRNAs - metabolism miRNA Motor Activity Motor Neurons - metabolism Muscle Proteins - metabolism Muscle, Skeletal - innervation Nervous System Diseases - genetics Nervous System Diseases - metabolism Nervous System Diseases - physiopathology Nervous System Diseases - prevention & control Oligonucleotides, Antisense - genetics Oligonucleotides, Antisense - metabolism Phosphorylation Rats, Wistar Reperfusion Injury - genetics Reperfusion Injury - metabolism Reperfusion Injury - physiopathology Reperfusion Injury - prevention & control spinal cord Spinal Cord - metabolism Spinal Cord - physiopathology Spinal Cord Ischemia - genetics Spinal Cord Ischemia - metabolism Spinal Cord Ischemia - physiopathology Spinal Cord Ischemia - therapy Time Factors Transfection |
title | Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia |
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%3A41%3A38IST&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%20micro-ribonucleic%20acid-320%20attenuates%20neurologic%20injuries%20after%20spinal%20cord%20ischemia&rft.jtitle=The%20Journal%20of%20thoracic%20and%20cardiovascular%20surgery&rft.au=He,%20Fang,%20MD&rft.date=2015-08-01&rft.volume=150&rft.issue=2&rft.spage=398&rft.epage=406&rft.pages=398-406&rft.issn=0022-5223&rft.eissn=1097-685X&rft_id=info:doi/10.1016/j.jtcvs.2015.03.066&rft_dat=%3Cproquest_cross%3E1698966532%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=1698966532&rft_id=info:pmid/26092503&rft_els_id=S0022522315007278&rfr_iscdi=true |