A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function
Rationale The mechanism involved in AD is complex, which has prompted to develop compounds that could simultaneously interact with several potential targets. Here, we report a new synthesized compound SCR-1693 which is designed to target both AChE and calcium channels that are potential for AD thera...
Gespeichert in:
Veröffentlicht in: | Psychopharmacology 2016-02, Vol.233 (4), p.599-613 |
---|---|
Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 613 |
---|---|
container_issue | 4 |
container_start_page | 599 |
container_title | Psychopharmacology |
container_volume | 233 |
creator | Zhang, Zhengping Chen, Rong An, Wenji Wang, Chunmei Liao, Gaoyong Dong, Xiaoliang Bi, Aijing Yin, Zhimin Luo, Lan |
description | Rationale
The mechanism involved in AD is complex, which has prompted to develop compounds that could simultaneously interact with several potential targets. Here, we report a new synthesized compound SCR-1693 which is designed to target both AChE and calcium channels that are potential for AD therapy.
Objectives
We investigated the effects of SCR-1693 on AChE and calcium channels, the effects of neuroprotection and anti-amnesia in icv-Aβ
25–35
-injected mice, and the potential mechanisms.
Methods
AChE activity assay, intracellular Ca
2+
content and calcium currents measurement, and Aβ
25–35
-induced cellular death determine were performed for validation of designed targets and neuroprotection of SCR-1693. Mice were orally administrated with SCR-1693 once daily after an Aβ
25–35
injection. The Morris water maze and Y-maze test, and hippocampal protein detection were conducted on days 5–10, day 11, and day 8. The pyramidal neuron number, hippocampal AChE activity, and synaptic transmission were measured on day 12.
Results
SCR-1693 acted as a selective, reversible, and noncompetitive inhibitor of AChE, and a nonselective voltage-gated calcium channel blocker. SCR-1693 also inhibited the increase of AChE activity in the mouse hippocampus. SCR-1693 was more effective than donepezil and memantine in preventing Aβ
25–35
-induced long-term and short-term memory impairment, maintaining the basal transmission of Schaffer collateral-CA1 synapses, and sustaining LTP in mouse hippocampus. SCR-1693 attenuated Aβ
25–35
-induced death of SH-SY5Y cell and the loss of hippocampal pyramidal neurons, and regulated Aβ
25–35
-induced signal cascade in neurons.
Conclusions
All these findings indicated that SCR-1693, as a double-target-direction agent, is a considerable candidate for AD therapy. |
doi_str_mv | 10.1007/s00213-015-4133-5 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1760922638</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1760922638</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2595-9152d5982557e8685040a3ea5bb85f080b7b3031ad248822dce64ac57b3cc4bc3</originalsourceid><addsrcrecordid>eNp9kE1uFDEQhS0EIkPgAGwiL9k4lH-q270cjQJEioQUkrXldnsyDt12YndHyg7OwE1yEA7BSXA0CUu8sfTqvaeqj5D3HI45QPuxAAguGXBkikvJ8AVZcSUFE9CKl2QFUEXJUR-QN6VcQ31Kq9fkQDSISnawIj_XNKY7P1Lr_Hw_ul0aQ_Rl9tkWT0PchT7MKVMbB-rs6MIyUbezMdZIPyb33Wf6bXPOeNNJGqabXMsKXf9-EPjnxy-JrGo2ZD_QKS210aWrGOZw5-l2iW4OKb4lr7Z2LP7d039ILj-dXGy-sLOvn0836zPmBHbIOo5iwE4LxNbrRiMosNJb7HuNW9DQt70Eye0glNZCDM43yjqsqnOqd_KQfNj31h1vl3qimUJxfhxt9HU1w9sGOiEaqauV760up1Ky35qbHCab7w0H80je7MmbSt48kjdYM0dP9Us_-eFf4hl1NYi9odRRvPLZXKclx3ryf1r_AgVij9U</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1760922638</pqid></control><display><type>article</type><title>A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Zhang, Zhengping ; Chen, Rong ; An, Wenji ; Wang, Chunmei ; Liao, Gaoyong ; Dong, Xiaoliang ; Bi, Aijing ; Yin, Zhimin ; Luo, Lan</creator><creatorcontrib>Zhang, Zhengping ; Chen, Rong ; An, Wenji ; Wang, Chunmei ; Liao, Gaoyong ; Dong, Xiaoliang ; Bi, Aijing ; Yin, Zhimin ; Luo, Lan</creatorcontrib><description>Rationale
The mechanism involved in AD is complex, which has prompted to develop compounds that could simultaneously interact with several potential targets. Here, we report a new synthesized compound SCR-1693 which is designed to target both AChE and calcium channels that are potential for AD therapy.
Objectives
We investigated the effects of SCR-1693 on AChE and calcium channels, the effects of neuroprotection and anti-amnesia in icv-Aβ
25–35
-injected mice, and the potential mechanisms.
Methods
AChE activity assay, intracellular Ca
2+
content and calcium currents measurement, and Aβ
25–35
-induced cellular death determine were performed for validation of designed targets and neuroprotection of SCR-1693. Mice were orally administrated with SCR-1693 once daily after an Aβ
25–35
injection. The Morris water maze and Y-maze test, and hippocampal protein detection were conducted on days 5–10, day 11, and day 8. The pyramidal neuron number, hippocampal AChE activity, and synaptic transmission were measured on day 12.
Results
SCR-1693 acted as a selective, reversible, and noncompetitive inhibitor of AChE, and a nonselective voltage-gated calcium channel blocker. SCR-1693 also inhibited the increase of AChE activity in the mouse hippocampus. SCR-1693 was more effective than donepezil and memantine in preventing Aβ
25–35
-induced long-term and short-term memory impairment, maintaining the basal transmission of Schaffer collateral-CA1 synapses, and sustaining LTP in mouse hippocampus. SCR-1693 attenuated Aβ
25–35
-induced death of SH-SY5Y cell and the loss of hippocampal pyramidal neurons, and regulated Aβ
25–35
-induced signal cascade in neurons.
Conclusions
All these findings indicated that SCR-1693, as a double-target-direction agent, is a considerable candidate for AD therapy.</description><identifier>ISSN: 0033-3158</identifier><identifier>EISSN: 1432-2072</identifier><identifier>DOI: 10.1007/s00213-015-4133-5</identifier><identifier>PMID: 26554390</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Amyloid beta-Peptides - antagonists & inhibitors ; Amyloid beta-Peptides - toxicity ; Animals ; Biomedical and Life Sciences ; Biomedicine ; Calcium Channel Blockers - pharmacology ; Calcium Channel Blockers - therapeutic use ; Cell Line, Tumor ; CHO Cells ; Cholinesterase Inhibitors - pharmacology ; Cholinesterase Inhibitors - therapeutic use ; Cognition - drug effects ; Cognition - physiology ; Cognition Disorders - chemically induced ; Cognition Disorders - drug therapy ; Cognition Disorders - metabolism ; Cricetinae ; Cricetulus ; Dose-Response Relationship, Drug ; HEK293 Cells ; Humans ; Male ; Maze Learning - drug effects ; Maze Learning - physiology ; Mice ; Mice, Inbred ICR ; Neurosciences ; Original Investigation ; Peptide Fragments - antagonists & inhibitors ; Peptide Fragments - toxicity ; Pharmacology/Toxicology ; Psychiatry ; Rats ; Rats, Wistar ; Tacrine - analogs & derivatives ; Tacrine - pharmacology ; Tacrine - therapeutic use</subject><ispartof>Psychopharmacology, 2016-02, Vol.233 (4), p.599-613</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2595-9152d5982557e8685040a3ea5bb85f080b7b3031ad248822dce64ac57b3cc4bc3</citedby><cites>FETCH-LOGICAL-c2595-9152d5982557e8685040a3ea5bb85f080b7b3031ad248822dce64ac57b3cc4bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00213-015-4133-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00213-015-4133-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,41490,42559,51321</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26554390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Zhengping</creatorcontrib><creatorcontrib>Chen, Rong</creatorcontrib><creatorcontrib>An, Wenji</creatorcontrib><creatorcontrib>Wang, Chunmei</creatorcontrib><creatorcontrib>Liao, Gaoyong</creatorcontrib><creatorcontrib>Dong, Xiaoliang</creatorcontrib><creatorcontrib>Bi, Aijing</creatorcontrib><creatorcontrib>Yin, Zhimin</creatorcontrib><creatorcontrib>Luo, Lan</creatorcontrib><title>A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function</title><title>Psychopharmacology</title><addtitle>Psychopharmacology</addtitle><addtitle>Psychopharmacology (Berl)</addtitle><description>Rationale
The mechanism involved in AD is complex, which has prompted to develop compounds that could simultaneously interact with several potential targets. Here, we report a new synthesized compound SCR-1693 which is designed to target both AChE and calcium channels that are potential for AD therapy.
Objectives
We investigated the effects of SCR-1693 on AChE and calcium channels, the effects of neuroprotection and anti-amnesia in icv-Aβ
25–35
-injected mice, and the potential mechanisms.
Methods
AChE activity assay, intracellular Ca
2+
content and calcium currents measurement, and Aβ
25–35
-induced cellular death determine were performed for validation of designed targets and neuroprotection of SCR-1693. Mice were orally administrated with SCR-1693 once daily after an Aβ
25–35
injection. The Morris water maze and Y-maze test, and hippocampal protein detection were conducted on days 5–10, day 11, and day 8. The pyramidal neuron number, hippocampal AChE activity, and synaptic transmission were measured on day 12.
Results
SCR-1693 acted as a selective, reversible, and noncompetitive inhibitor of AChE, and a nonselective voltage-gated calcium channel blocker. SCR-1693 also inhibited the increase of AChE activity in the mouse hippocampus. SCR-1693 was more effective than donepezil and memantine in preventing Aβ
25–35
-induced long-term and short-term memory impairment, maintaining the basal transmission of Schaffer collateral-CA1 synapses, and sustaining LTP in mouse hippocampus. SCR-1693 attenuated Aβ
25–35
-induced death of SH-SY5Y cell and the loss of hippocampal pyramidal neurons, and regulated Aβ
25–35
-induced signal cascade in neurons.
Conclusions
All these findings indicated that SCR-1693, as a double-target-direction agent, is a considerable candidate for AD therapy.</description><subject>Amyloid beta-Peptides - antagonists & inhibitors</subject><subject>Amyloid beta-Peptides - toxicity</subject><subject>Animals</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Calcium Channel Blockers - pharmacology</subject><subject>Calcium Channel Blockers - therapeutic use</subject><subject>Cell Line, Tumor</subject><subject>CHO Cells</subject><subject>Cholinesterase Inhibitors - pharmacology</subject><subject>Cholinesterase Inhibitors - therapeutic use</subject><subject>Cognition - drug effects</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - chemically induced</subject><subject>Cognition Disorders - drug therapy</subject><subject>Cognition Disorders - metabolism</subject><subject>Cricetinae</subject><subject>Cricetulus</subject><subject>Dose-Response Relationship, Drug</subject><subject>HEK293 Cells</subject><subject>Humans</subject><subject>Male</subject><subject>Maze Learning - drug effects</subject><subject>Maze Learning - physiology</subject><subject>Mice</subject><subject>Mice, Inbred ICR</subject><subject>Neurosciences</subject><subject>Original Investigation</subject><subject>Peptide Fragments - antagonists & inhibitors</subject><subject>Peptide Fragments - toxicity</subject><subject>Pharmacology/Toxicology</subject><subject>Psychiatry</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Tacrine - analogs & derivatives</subject><subject>Tacrine - pharmacology</subject><subject>Tacrine - therapeutic use</subject><issn>0033-3158</issn><issn>1432-2072</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1uFDEQhS0EIkPgAGwiL9k4lH-q270cjQJEioQUkrXldnsyDt12YndHyg7OwE1yEA7BSXA0CUu8sfTqvaeqj5D3HI45QPuxAAguGXBkikvJ8AVZcSUFE9CKl2QFUEXJUR-QN6VcQ31Kq9fkQDSISnawIj_XNKY7P1Lr_Hw_ul0aQ_Rl9tkWT0PchT7MKVMbB-rs6MIyUbezMdZIPyb33Wf6bXPOeNNJGqabXMsKXf9-EPjnxy-JrGo2ZD_QKS210aWrGOZw5-l2iW4OKb4lr7Z2LP7d039ILj-dXGy-sLOvn0836zPmBHbIOo5iwE4LxNbrRiMosNJb7HuNW9DQt70Eye0glNZCDM43yjqsqnOqd_KQfNj31h1vl3qimUJxfhxt9HU1w9sGOiEaqauV760up1Ky35qbHCab7w0H80je7MmbSt48kjdYM0dP9Us_-eFf4hl1NYi9odRRvPLZXKclx3ryf1r_AgVij9U</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Zhang, Zhengping</creator><creator>Chen, Rong</creator><creator>An, Wenji</creator><creator>Wang, Chunmei</creator><creator>Liao, Gaoyong</creator><creator>Dong, Xiaoliang</creator><creator>Bi, Aijing</creator><creator>Yin, Zhimin</creator><creator>Luo, Lan</creator><general>Springer Berlin Heidelberg</general><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>20160201</creationdate><title>A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function</title><author>Zhang, Zhengping ; Chen, Rong ; An, Wenji ; Wang, Chunmei ; Liao, Gaoyong ; Dong, Xiaoliang ; Bi, Aijing ; Yin, Zhimin ; Luo, Lan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2595-9152d5982557e8685040a3ea5bb85f080b7b3031ad248822dce64ac57b3cc4bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Amyloid beta-Peptides - antagonists & inhibitors</topic><topic>Amyloid beta-Peptides - toxicity</topic><topic>Animals</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Calcium Channel Blockers - pharmacology</topic><topic>Calcium Channel Blockers - therapeutic use</topic><topic>Cell Line, Tumor</topic><topic>CHO Cells</topic><topic>Cholinesterase Inhibitors - pharmacology</topic><topic>Cholinesterase Inhibitors - therapeutic use</topic><topic>Cognition - drug effects</topic><topic>Cognition - physiology</topic><topic>Cognition Disorders - chemically induced</topic><topic>Cognition Disorders - drug therapy</topic><topic>Cognition Disorders - metabolism</topic><topic>Cricetinae</topic><topic>Cricetulus</topic><topic>Dose-Response Relationship, Drug</topic><topic>HEK293 Cells</topic><topic>Humans</topic><topic>Male</topic><topic>Maze Learning - drug effects</topic><topic>Maze Learning - physiology</topic><topic>Mice</topic><topic>Mice, Inbred ICR</topic><topic>Neurosciences</topic><topic>Original Investigation</topic><topic>Peptide Fragments - antagonists & inhibitors</topic><topic>Peptide Fragments - toxicity</topic><topic>Pharmacology/Toxicology</topic><topic>Psychiatry</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Tacrine - analogs & derivatives</topic><topic>Tacrine - pharmacology</topic><topic>Tacrine - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Zhengping</creatorcontrib><creatorcontrib>Chen, Rong</creatorcontrib><creatorcontrib>An, Wenji</creatorcontrib><creatorcontrib>Wang, Chunmei</creatorcontrib><creatorcontrib>Liao, Gaoyong</creatorcontrib><creatorcontrib>Dong, Xiaoliang</creatorcontrib><creatorcontrib>Bi, Aijing</creatorcontrib><creatorcontrib>Yin, Zhimin</creatorcontrib><creatorcontrib>Luo, Lan</creatorcontrib><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>Psychopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Zhengping</au><au>Chen, Rong</au><au>An, Wenji</au><au>Wang, Chunmei</au><au>Liao, Gaoyong</au><au>Dong, Xiaoliang</au><au>Bi, Aijing</au><au>Yin, Zhimin</au><au>Luo, Lan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function</atitle><jtitle>Psychopharmacology</jtitle><stitle>Psychopharmacology</stitle><addtitle>Psychopharmacology (Berl)</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>233</volume><issue>4</issue><spage>599</spage><epage>613</epage><pages>599-613</pages><issn>0033-3158</issn><eissn>1432-2072</eissn><abstract>Rationale
The mechanism involved in AD is complex, which has prompted to develop compounds that could simultaneously interact with several potential targets. Here, we report a new synthesized compound SCR-1693 which is designed to target both AChE and calcium channels that are potential for AD therapy.
Objectives
We investigated the effects of SCR-1693 on AChE and calcium channels, the effects of neuroprotection and anti-amnesia in icv-Aβ
25–35
-injected mice, and the potential mechanisms.
Methods
AChE activity assay, intracellular Ca
2+
content and calcium currents measurement, and Aβ
25–35
-induced cellular death determine were performed for validation of designed targets and neuroprotection of SCR-1693. Mice were orally administrated with SCR-1693 once daily after an Aβ
25–35
injection. The Morris water maze and Y-maze test, and hippocampal protein detection were conducted on days 5–10, day 11, and day 8. The pyramidal neuron number, hippocampal AChE activity, and synaptic transmission were measured on day 12.
Results
SCR-1693 acted as a selective, reversible, and noncompetitive inhibitor of AChE, and a nonselective voltage-gated calcium channel blocker. SCR-1693 also inhibited the increase of AChE activity in the mouse hippocampus. SCR-1693 was more effective than donepezil and memantine in preventing Aβ
25–35
-induced long-term and short-term memory impairment, maintaining the basal transmission of Schaffer collateral-CA1 synapses, and sustaining LTP in mouse hippocampus. SCR-1693 attenuated Aβ
25–35
-induced death of SH-SY5Y cell and the loss of hippocampal pyramidal neurons, and regulated Aβ
25–35
-induced signal cascade in neurons.
Conclusions
All these findings indicated that SCR-1693, as a double-target-direction agent, is a considerable candidate for AD therapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26554390</pmid><doi>10.1007/s00213-015-4133-5</doi><tpages>15</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0033-3158 |
ispartof | Psychopharmacology, 2016-02, Vol.233 (4), p.599-613 |
issn | 0033-3158 1432-2072 |
language | eng |
recordid | cdi_proquest_miscellaneous_1760922638 |
source | MEDLINE; SpringerNature Journals |
subjects | Amyloid beta-Peptides - antagonists & inhibitors Amyloid beta-Peptides - toxicity Animals Biomedical and Life Sciences Biomedicine Calcium Channel Blockers - pharmacology Calcium Channel Blockers - therapeutic use Cell Line, Tumor CHO Cells Cholinesterase Inhibitors - pharmacology Cholinesterase Inhibitors - therapeutic use Cognition - drug effects Cognition - physiology Cognition Disorders - chemically induced Cognition Disorders - drug therapy Cognition Disorders - metabolism Cricetinae Cricetulus Dose-Response Relationship, Drug HEK293 Cells Humans Male Maze Learning - drug effects Maze Learning - physiology Mice Mice, Inbred ICR Neurosciences Original Investigation Peptide Fragments - antagonists & inhibitors Peptide Fragments - toxicity Pharmacology/Toxicology Psychiatry Rats Rats, Wistar Tacrine - analogs & derivatives Tacrine - pharmacology Tacrine - therapeutic use |
title | A novel acetylcholinesterase inhibitor and calcium channel blocker SCR-1693 improves Aβ25–35-impaired mouse cognitive function |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T06%3A04%3A00IST&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=A%20novel%20acetylcholinesterase%20inhibitor%20and%20calcium%20channel%20blocker%20SCR-1693%20improves%20A%CE%B225%E2%80%9335-impaired%20mouse%20cognitive%20function&rft.jtitle=Psychopharmacology&rft.au=Zhang,%20Zhengping&rft.date=2016-02-01&rft.volume=233&rft.issue=4&rft.spage=599&rft.epage=613&rft.pages=599-613&rft.issn=0033-3158&rft.eissn=1432-2072&rft_id=info:doi/10.1007/s00213-015-4133-5&rft_dat=%3Cproquest_cross%3E1760922638%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=1760922638&rft_id=info:pmid/26554390&rfr_iscdi=true |