Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats

: Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7–20 or to chronical mild stress from gestational day 9–20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Basic & clinical pharmacology & toxicology 2004-04, Vol.94 (4), p.169-176
Hauptverfasser: Ladefoged, Ole, Hougaard, Karin Sørig, Hass, Ulla, Sørensen, Ilona Krypsin, Lund, Søren Peter, Svendsen, Gitte Winkel, Lam, Henrik Rye
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 176
container_issue 4
container_start_page 169
container_title Basic & clinical pharmacology & toxicology
container_volume 94
creator Ladefoged, Ole
Hougaard, Karin Sørig
Hass, Ulla
Sørensen, Ilona Krypsin
Lund, Søren Peter
Svendsen, Gitte Winkel
Lam, Henrik Rye
description : Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7–20 or to chronical mild stress from gestational day 9–20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the offspring for developmental neurotoxicity and level of apoptosis in the brain. The number of apoptotic cells in cerebellum postnatal day 22, 24, and 27 and in hippocampus (postnatal day 22, 24, and 27) were counted after visualization by the TUNEL staining or measured by DNA‐laddering technique. Caspase‐3 activity was determined in cerebellum (postnatal day 6, 22, 24, and 27) and in hippocampus (postnatal day 6 and 22). TUNEL staining and DNA‐laddering technique showed a marked decrease in number of apoptotic cells from postnatal day 22 to 27 in both cerebellum and hippocampus. Apparently, a peak in the number of TUNEL positive cells was identified in cerebellum at postnatal day 22. There was no statistically significant influence of exposure except that DNA‐laddering in cerebellum at postnatal day 27 was increased by toluene exposure. Caspase‐3 activity decreased in cerebellum and hippocampus with age. At postnatal day 6 stress and toluene, when singly exposed, increased activity in cerebellum whereas co‐exposure to stress and toluene did not. Stress increased caspase‐3 activity in hippocampus postnatal day 22. There was overall consistency between the results obtained by the three supplementary methods regarding the influence of exposure and age on apoptotic activity in cerebellum and hippocampus. New methods to quantitate the relative level of apoptosis measured as DNA‐laddering and the caspase‐3 activity in tissue are presented.
doi_str_mv 10.1111/j.1742-7843.2004.pto940403.x
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_17661664</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>17094144</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4753-13eeb44745d51e762165d3cb5edf4eae8a0acf4cf1a6b5cbde39a89b9b03fe383</originalsourceid><addsrcrecordid>eNqVkU1v1DAQhi0Eoh_wF5APwG2DHTvORuLSRtsWqWpXZTlbtjNGXiVxsBOxPfS_1-muFo7gy9ieZ-YdzYvQR0oyms6XbUZLni_KJWdZTgjPhtFXnHDCst0rdHpMvj7eWXGCzmLcEpKXnJK36IQWJH1zeoqeVtaCGSP2Fte-066HBq8D9GpULf4-BogRq77BG99O0ANe7QYfpwDY9_hi8El8dAbfwRR8Az8TEdToUs71uIYAGtp26l463Lhh8EZ1w_Si9qDG-A69saqN8P4Qz9GPq9Wmvlnc3l9_qy9uF4aXBVtQBqA5L3nRFBRKkVNRNMzoAhrLQcFSEWUsN5YqoQujG2CVWla60oRZYEt2jj7v-w7B_5ogjrJz0aTRVA9-ipKWQlAh-D-ApOKUz-DXPWiCjzGAlUNwnQqPkhI5-yS3cl6_nK2Qs0_y6JPcpfIPB51Jd9D8KT4Yk4BPB0BFo1obVG9c_IsTguV5lbjrPffbtfD4X0PIy3q9WW_u92_2DK9atXQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>17094144</pqid></control><display><type>article</type><title>Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><creator>Ladefoged, Ole ; Hougaard, Karin Sørig ; Hass, Ulla ; Sørensen, Ilona Krypsin ; Lund, Søren Peter ; Svendsen, Gitte Winkel ; Lam, Henrik Rye</creator><creatorcontrib>Ladefoged, Ole ; Hougaard, Karin Sørig ; Hass, Ulla ; Sørensen, Ilona Krypsin ; Lund, Søren Peter ; Svendsen, Gitte Winkel ; Lam, Henrik Rye</creatorcontrib><description>: Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7–20 or to chronical mild stress from gestational day 9–20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the offspring for developmental neurotoxicity and level of apoptosis in the brain. The number of apoptotic cells in cerebellum postnatal day 22, 24, and 27 and in hippocampus (postnatal day 22, 24, and 27) were counted after visualization by the TUNEL staining or measured by DNA‐laddering technique. Caspase‐3 activity was determined in cerebellum (postnatal day 6, 22, 24, and 27) and in hippocampus (postnatal day 6 and 22). TUNEL staining and DNA‐laddering technique showed a marked decrease in number of apoptotic cells from postnatal day 22 to 27 in both cerebellum and hippocampus. Apparently, a peak in the number of TUNEL positive cells was identified in cerebellum at postnatal day 22. There was no statistically significant influence of exposure except that DNA‐laddering in cerebellum at postnatal day 27 was increased by toluene exposure. Caspase‐3 activity decreased in cerebellum and hippocampus with age. At postnatal day 6 stress and toluene, when singly exposed, increased activity in cerebellum whereas co‐exposure to stress and toluene did not. Stress increased caspase‐3 activity in hippocampus postnatal day 22. There was overall consistency between the results obtained by the three supplementary methods regarding the influence of exposure and age on apoptotic activity in cerebellum and hippocampus. New methods to quantitate the relative level of apoptosis measured as DNA‐laddering and the caspase‐3 activity in tissue are presented.</description><identifier>ISSN: 1742-7835</identifier><identifier>ISSN: 0901-9928</identifier><identifier>EISSN: 1742-7843</identifier><identifier>DOI: 10.1111/j.1742-7843.2004.pto940403.x</identifier><identifier>PMID: 15078341</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science, Ltd</publisher><subject>Animals ; Animals, Newborn ; Apoptosis ; Biological and medical sciences ; Brain - growth &amp; development ; Brain - metabolism ; Brain - pathology ; Caspase 3 ; Caspases - metabolism ; Cerebellum - growth &amp; development ; Cerebellum - metabolism ; Cerebellum - pathology ; Embryonic and Fetal Development - drug effects ; Environmental Pollutants - toxicity ; Female ; Hippocampus - growth &amp; development ; Hippocampus - metabolism ; Hippocampus - pathology ; Litter Size - drug effects ; Male ; Maze Learning - drug effects ; Medical sciences ; Nerve Degeneration - chemically induced ; Nerve Degeneration - pathology ; Organ Size - drug effects ; Pharmacology. Drug treatments ; Pregnancy ; Pregnancy Complications ; Prenatal Exposure Delayed Effects ; Rats ; Rats, Wistar ; Stress, Physiological - complications ; Time Factors ; Toluene - toxicity</subject><ispartof>Basic &amp; clinical pharmacology &amp; toxicology, 2004-04, Vol.94 (4), p.169-176</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4753-13eeb44745d51e762165d3cb5edf4eae8a0acf4cf1a6b5cbde39a89b9b03fe383</citedby><cites>FETCH-LOGICAL-c4753-13eeb44745d51e762165d3cb5edf4eae8a0acf4cf1a6b5cbde39a89b9b03fe383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1742-7843.2004.pto940403.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1742-7843.2004.pto940403.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=15663229$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15078341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ladefoged, Ole</creatorcontrib><creatorcontrib>Hougaard, Karin Sørig</creatorcontrib><creatorcontrib>Hass, Ulla</creatorcontrib><creatorcontrib>Sørensen, Ilona Krypsin</creatorcontrib><creatorcontrib>Lund, Søren Peter</creatorcontrib><creatorcontrib>Svendsen, Gitte Winkel</creatorcontrib><creatorcontrib>Lam, Henrik Rye</creatorcontrib><title>Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats</title><title>Basic &amp; clinical pharmacology &amp; toxicology</title><addtitle>Basic Clin Pharmacol Toxicol</addtitle><description>: Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7–20 or to chronical mild stress from gestational day 9–20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the offspring for developmental neurotoxicity and level of apoptosis in the brain. The number of apoptotic cells in cerebellum postnatal day 22, 24, and 27 and in hippocampus (postnatal day 22, 24, and 27) were counted after visualization by the TUNEL staining or measured by DNA‐laddering technique. Caspase‐3 activity was determined in cerebellum (postnatal day 6, 22, 24, and 27) and in hippocampus (postnatal day 6 and 22). TUNEL staining and DNA‐laddering technique showed a marked decrease in number of apoptotic cells from postnatal day 22 to 27 in both cerebellum and hippocampus. Apparently, a peak in the number of TUNEL positive cells was identified in cerebellum at postnatal day 22. There was no statistically significant influence of exposure except that DNA‐laddering in cerebellum at postnatal day 27 was increased by toluene exposure. Caspase‐3 activity decreased in cerebellum and hippocampus with age. At postnatal day 6 stress and toluene, when singly exposed, increased activity in cerebellum whereas co‐exposure to stress and toluene did not. Stress increased caspase‐3 activity in hippocampus postnatal day 22. There was overall consistency between the results obtained by the three supplementary methods regarding the influence of exposure and age on apoptotic activity in cerebellum and hippocampus. New methods to quantitate the relative level of apoptosis measured as DNA‐laddering and the caspase‐3 activity in tissue are presented.</description><subject>Animals</subject><subject>Animals, Newborn</subject><subject>Apoptosis</subject><subject>Biological and medical sciences</subject><subject>Brain - growth &amp; development</subject><subject>Brain - metabolism</subject><subject>Brain - pathology</subject><subject>Caspase 3</subject><subject>Caspases - metabolism</subject><subject>Cerebellum - growth &amp; development</subject><subject>Cerebellum - metabolism</subject><subject>Cerebellum - pathology</subject><subject>Embryonic and Fetal Development - drug effects</subject><subject>Environmental Pollutants - toxicity</subject><subject>Female</subject><subject>Hippocampus - growth &amp; development</subject><subject>Hippocampus - metabolism</subject><subject>Hippocampus - pathology</subject><subject>Litter Size - drug effects</subject><subject>Male</subject><subject>Maze Learning - drug effects</subject><subject>Medical sciences</subject><subject>Nerve Degeneration - chemically induced</subject><subject>Nerve Degeneration - pathology</subject><subject>Organ Size - drug effects</subject><subject>Pharmacology. Drug treatments</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Stress, Physiological - complications</subject><subject>Time Factors</subject><subject>Toluene - toxicity</subject><issn>1742-7835</issn><issn>0901-9928</issn><issn>1742-7843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkU1v1DAQhi0Eoh_wF5APwG2DHTvORuLSRtsWqWpXZTlbtjNGXiVxsBOxPfS_1-muFo7gy9ieZ-YdzYvQR0oyms6XbUZLni_KJWdZTgjPhtFXnHDCst0rdHpMvj7eWXGCzmLcEpKXnJK36IQWJH1zeoqeVtaCGSP2Fte-066HBq8D9GpULf4-BogRq77BG99O0ANe7QYfpwDY9_hi8El8dAbfwRR8Az8TEdToUs71uIYAGtp26l463Lhh8EZ1w_Si9qDG-A69saqN8P4Qz9GPq9Wmvlnc3l9_qy9uF4aXBVtQBqA5L3nRFBRKkVNRNMzoAhrLQcFSEWUsN5YqoQujG2CVWla60oRZYEt2jj7v-w7B_5ogjrJz0aTRVA9-ipKWQlAh-D-ApOKUz-DXPWiCjzGAlUNwnQqPkhI5-yS3cl6_nK2Qs0_y6JPcpfIPB51Jd9D8KT4Yk4BPB0BFo1obVG9c_IsTguV5lbjrPffbtfD4X0PIy3q9WW_u92_2DK9atXQ</recordid><startdate>200404</startdate><enddate>200404</enddate><creator>Ladefoged, Ole</creator><creator>Hougaard, Karin Sørig</creator><creator>Hass, Ulla</creator><creator>Sørensen, Ilona Krypsin</creator><creator>Lund, Søren Peter</creator><creator>Svendsen, Gitte Winkel</creator><creator>Lam, Henrik Rye</creator><general>Blackwell Science, Ltd</general><general>Blackwell</general><scope>IQODW</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>7TK</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>200404</creationdate><title>Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats</title><author>Ladefoged, Ole ; Hougaard, Karin Sørig ; Hass, Ulla ; Sørensen, Ilona Krypsin ; Lund, Søren Peter ; Svendsen, Gitte Winkel ; Lam, Henrik Rye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4753-13eeb44745d51e762165d3cb5edf4eae8a0acf4cf1a6b5cbde39a89b9b03fe383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Animals</topic><topic>Animals, Newborn</topic><topic>Apoptosis</topic><topic>Biological and medical sciences</topic><topic>Brain - growth &amp; development</topic><topic>Brain - metabolism</topic><topic>Brain - pathology</topic><topic>Caspase 3</topic><topic>Caspases - metabolism</topic><topic>Cerebellum - growth &amp; development</topic><topic>Cerebellum - metabolism</topic><topic>Cerebellum - pathology</topic><topic>Embryonic and Fetal Development - drug effects</topic><topic>Environmental Pollutants - toxicity</topic><topic>Female</topic><topic>Hippocampus - growth &amp; development</topic><topic>Hippocampus - metabolism</topic><topic>Hippocampus - pathology</topic><topic>Litter Size - drug effects</topic><topic>Male</topic><topic>Maze Learning - drug effects</topic><topic>Medical sciences</topic><topic>Nerve Degeneration - chemically induced</topic><topic>Nerve Degeneration - pathology</topic><topic>Organ Size - drug effects</topic><topic>Pharmacology. Drug treatments</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Stress, Physiological - complications</topic><topic>Time Factors</topic><topic>Toluene - toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ladefoged, Ole</creatorcontrib><creatorcontrib>Hougaard, Karin Sørig</creatorcontrib><creatorcontrib>Hass, Ulla</creatorcontrib><creatorcontrib>Sørensen, Ilona Krypsin</creatorcontrib><creatorcontrib>Lund, Søren Peter</creatorcontrib><creatorcontrib>Svendsen, Gitte Winkel</creatorcontrib><creatorcontrib>Lam, Henrik Rye</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Basic &amp; clinical pharmacology &amp; toxicology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ladefoged, Ole</au><au>Hougaard, Karin Sørig</au><au>Hass, Ulla</au><au>Sørensen, Ilona Krypsin</au><au>Lund, Søren Peter</au><au>Svendsen, Gitte Winkel</au><au>Lam, Henrik Rye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats</atitle><jtitle>Basic &amp; clinical pharmacology &amp; toxicology</jtitle><addtitle>Basic Clin Pharmacol Toxicol</addtitle><date>2004-04</date><risdate>2004</risdate><volume>94</volume><issue>4</issue><spage>169</spage><epage>176</epage><pages>169-176</pages><issn>1742-7835</issn><issn>0901-9928</issn><eissn>1742-7843</eissn><abstract>: Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7–20 or to chronical mild stress from gestational day 9–20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the offspring for developmental neurotoxicity and level of apoptosis in the brain. The number of apoptotic cells in cerebellum postnatal day 22, 24, and 27 and in hippocampus (postnatal day 22, 24, and 27) were counted after visualization by the TUNEL staining or measured by DNA‐laddering technique. Caspase‐3 activity was determined in cerebellum (postnatal day 6, 22, 24, and 27) and in hippocampus (postnatal day 6 and 22). TUNEL staining and DNA‐laddering technique showed a marked decrease in number of apoptotic cells from postnatal day 22 to 27 in both cerebellum and hippocampus. Apparently, a peak in the number of TUNEL positive cells was identified in cerebellum at postnatal day 22. There was no statistically significant influence of exposure except that DNA‐laddering in cerebellum at postnatal day 27 was increased by toluene exposure. Caspase‐3 activity decreased in cerebellum and hippocampus with age. At postnatal day 6 stress and toluene, when singly exposed, increased activity in cerebellum whereas co‐exposure to stress and toluene did not. Stress increased caspase‐3 activity in hippocampus postnatal day 22. There was overall consistency between the results obtained by the three supplementary methods regarding the influence of exposure and age on apoptotic activity in cerebellum and hippocampus. New methods to quantitate the relative level of apoptosis measured as DNA‐laddering and the caspase‐3 activity in tissue are presented.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science, Ltd</pub><pmid>15078341</pmid><doi>10.1111/j.1742-7843.2004.pto940403.x</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1742-7835
ispartof Basic & clinical pharmacology & toxicology, 2004-04, Vol.94 (4), p.169-176
issn 1742-7835
0901-9928
1742-7843
language eng
recordid cdi_proquest_miscellaneous_17661664
source MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection
subjects Animals
Animals, Newborn
Apoptosis
Biological and medical sciences
Brain - growth & development
Brain - metabolism
Brain - pathology
Caspase 3
Caspases - metabolism
Cerebellum - growth & development
Cerebellum - metabolism
Cerebellum - pathology
Embryonic and Fetal Development - drug effects
Environmental Pollutants - toxicity
Female
Hippocampus - growth & development
Hippocampus - metabolism
Hippocampus - pathology
Litter Size - drug effects
Male
Maze Learning - drug effects
Medical sciences
Nerve Degeneration - chemically induced
Nerve Degeneration - pathology
Organ Size - drug effects
Pharmacology. Drug treatments
Pregnancy
Pregnancy Complications
Prenatal Exposure Delayed Effects
Rats
Rats, Wistar
Stress, Physiological - complications
Time Factors
Toluene - toxicity
title Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T21%3A34%3A28IST&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=Effects%20of%20Combined%20Prenatal%20Stress%20and%20Toluene%20Exposure%20on%20Apoptotic%20Neurodegeneration%20in%20Cerebellum%20and%20Hippocampus%20of%20Rats&rft.jtitle=Basic%20&%20clinical%20pharmacology%20&%20toxicology&rft.au=Ladefoged,%20Ole&rft.date=2004-04&rft.volume=94&rft.issue=4&rft.spage=169&rft.epage=176&rft.pages=169-176&rft.issn=1742-7835&rft.eissn=1742-7843&rft_id=info:doi/10.1111/j.1742-7843.2004.pto940403.x&rft_dat=%3Cproquest_cross%3E17094144%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=17094144&rft_id=info:pmid/15078341&rfr_iscdi=true