Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells

Membrane type 4 matrix metalloproteinase (MT4‐MMP) [matrix metalloproteinase (MMP) 17] is a GPI‐anchored membrane‐type MMP expressed on the cell surface of human breast cancer cells. In triple‐negative breast cancer cells, MT4‐MMP promotes primary tumour growth and lung metastases. Although the traf...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The FEBS journal 2016-02, Vol.283 (4), p.704-722
Hauptverfasser: Truong, Alice, Yip, Cassandre, Paye, Alexandra, Blacher, Silvia, Munaut, Carine, Deroanne, Christophe, Noel, Agnès, Sounni, Nor Eddine
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 722
container_issue 4
container_start_page 704
container_title The FEBS journal
container_volume 283
creator Truong, Alice
Yip, Cassandre
Paye, Alexandra
Blacher, Silvia
Munaut, Carine
Deroanne, Christophe
Noel, Agnès
Sounni, Nor Eddine
description Membrane type 4 matrix metalloproteinase (MT4‐MMP) [matrix metalloproteinase (MMP) 17] is a GPI‐anchored membrane‐type MMP expressed on the cell surface of human breast cancer cells. In triple‐negative breast cancer cells, MT4‐MMP promotes primary tumour growth and lung metastases. Although the trafficking and internalization of the transmembrane membrane type 1 MMP have been extensively investigated, little is known about the regulatory mechanisms of the GPI‐anchored MT4‐MMP. Here, we investigated the fate and cellular trafficking of MT4‐MMP by analysing its homophilic complex interactions, internalization and recycling dynamics as compared with an inert form, MT4‐MMP‐E249A. Oligomeric and dimeric complexes were analysed by cotransfection of cells with FLAG‐tagged or Myc‐tagged MT4‐MMP in reducing and nonreducing immunoblotting and coimmunoprecipitation experiments. The trafficking of MT4‐MMP was studied with an antibody feeding assay and confocal microscopy analysis or cell surface protein biotinylation and western blot analysis. We demonstrate that MT4‐MMP forms homophilic complexes at the cell surface, and internalizes in early endosomes, and that some of the enzyme is either autodegraded or recycled to the cell surface. Our data indicate that MT4‐MMP is internalized by the clathrin‐independent carriers/GPI‐enriched early endosomal compartments pathway, a mechanism that differs from that responsible for the internalization of other membrane‐type MMP members. Although MT4‐MMP localizes with caveolin‐1, MT4‐MMP internalization was not affected by inhibitors of caveolin‐1 or clathrin endocytosis pathways, but was reduced by CDC42 or RhoA silencing with small interfering RNA. We provide a new mechanistic insight into the regulatory mechanisms of MT4‐MMP, which may have implications for the design of novel therapeutic strategies for metastatic breast cancer.
doi_str_mv 10.1111/febs.13625
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1767628001</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3959018751</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5535-2ee864bdf4900cbdba277846ab47d0b77f67e899441f2bd991f0ce07e4c3b20a3</originalsourceid><addsrcrecordid>eNp90c1OFTEUB_CJkQiiGx9Am7hBk4v9mnZmqQhiwo0mQOKuaTunWDLTubS90XHlmhXP6JPY4QILF3Zzuvj139OeqnpB8D4p650Dk_YJE7R-VO0QyemCi7p5_LDn37arpyldYsxq3rZPqm0qhGCYNjvV9ccp6MHbhEaHfMgQg-79L539GJAOHYpgJ9v7cDGD_B3QKo4DZJ1yMRYNMJioA6A8rQBxNOgc_U80i74fi83gg06A9pZn_M_vm-Xy65tyDzIRSgSyOliIyELfp2fVltN9gud3dbc6Pzo8OzhenHz59Png_cnC1jWrFxSgEdx0jrcYW9MZTaVsuNCGyw4bKZ2Q0LQt58RR07UtcdgClsAtMxRrtlvtbXJLd1drSFkNPs0dlGeM66SIFFLQBmNS6Ot_6OW4nn_oVom2YYTiot5ulI1jShGcWkU_6DgpgtU8ITVPSN1OqOCXd5FrM0D3QO9HUgDZgB--h-k_Uero8MPpfeirzRmnR6Uvok_q_JRiIjDGTSmM_QXhhaat</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1766983120</pqid></control><display><type>article</type><title>Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Free Content</source><source>Free Full-Text Journals in Chemistry</source><creator>Truong, Alice ; Yip, Cassandre ; Paye, Alexandra ; Blacher, Silvia ; Munaut, Carine ; Deroanne, Christophe ; Noel, Agnès ; Sounni, Nor Eddine</creator><creatorcontrib>Truong, Alice ; Yip, Cassandre ; Paye, Alexandra ; Blacher, Silvia ; Munaut, Carine ; Deroanne, Christophe ; Noel, Agnès ; Sounni, Nor Eddine</creatorcontrib><description>Membrane type 4 matrix metalloproteinase (MT4‐MMP) [matrix metalloproteinase (MMP) 17] is a GPI‐anchored membrane‐type MMP expressed on the cell surface of human breast cancer cells. In triple‐negative breast cancer cells, MT4‐MMP promotes primary tumour growth and lung metastases. Although the trafficking and internalization of the transmembrane membrane type 1 MMP have been extensively investigated, little is known about the regulatory mechanisms of the GPI‐anchored MT4‐MMP. Here, we investigated the fate and cellular trafficking of MT4‐MMP by analysing its homophilic complex interactions, internalization and recycling dynamics as compared with an inert form, MT4‐MMP‐E249A. Oligomeric and dimeric complexes were analysed by cotransfection of cells with FLAG‐tagged or Myc‐tagged MT4‐MMP in reducing and nonreducing immunoblotting and coimmunoprecipitation experiments. The trafficking of MT4‐MMP was studied with an antibody feeding assay and confocal microscopy analysis or cell surface protein biotinylation and western blot analysis. We demonstrate that MT4‐MMP forms homophilic complexes at the cell surface, and internalizes in early endosomes, and that some of the enzyme is either autodegraded or recycled to the cell surface. Our data indicate that MT4‐MMP is internalized by the clathrin‐independent carriers/GPI‐enriched early endosomal compartments pathway, a mechanism that differs from that responsible for the internalization of other membrane‐type MMP members. Although MT4‐MMP localizes with caveolin‐1, MT4‐MMP internalization was not affected by inhibitors of caveolin‐1 or clathrin endocytosis pathways, but was reduced by CDC42 or RhoA silencing with small interfering RNA. We provide a new mechanistic insight into the regulatory mechanisms of MT4‐MMP, which may have implications for the design of novel therapeutic strategies for metastatic breast cancer.</description><identifier>ISSN: 1742-464X</identifier><identifier>EISSN: 1742-4658</identifier><identifier>DOI: 10.1111/febs.13625</identifier><identifier>PMID: 26663028</identifier><language>eng</language><publisher>England: Published by Blackwell Pub. on behalf of the Federation of European Biochemical Societies</publisher><subject>Animals ; antibodies ; biotinylation ; Breast cancer ; breast cancer cells ; breast neoplasms ; Breast Neoplasms - enzymology ; Breast Neoplasms - pathology ; Cells, Cultured ; Cercopithecus aethiops ; clathrin ; confocal microscopy ; COS Cells ; endocytosis ; endosomes ; Female ; Humans ; Kinetics ; matrix metalloproteinase ; Matrix Metalloproteinases, Membrane-Associated - genetics ; Matrix Metalloproteinases, Membrane-Associated - metabolism ; metalloproteinases ; metastasis ; neoplasm cells ; protein–protein interaction ; small interfering RNA ; surface proteins ; trafficking ; Western blotting</subject><ispartof>The FEBS journal, 2016-02, Vol.283 (4), p.704-722</ispartof><rights>2015 FEBS</rights><rights>2015 FEBS.</rights><rights>Copyright © 2016 Federation of European Biochemical Societies</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5535-2ee864bdf4900cbdba277846ab47d0b77f67e899441f2bd991f0ce07e4c3b20a3</citedby><cites>FETCH-LOGICAL-c5535-2ee864bdf4900cbdba277846ab47d0b77f67e899441f2bd991f0ce07e4c3b20a3</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%2Ffebs.13625$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ffebs.13625$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26663028$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Truong, Alice</creatorcontrib><creatorcontrib>Yip, Cassandre</creatorcontrib><creatorcontrib>Paye, Alexandra</creatorcontrib><creatorcontrib>Blacher, Silvia</creatorcontrib><creatorcontrib>Munaut, Carine</creatorcontrib><creatorcontrib>Deroanne, Christophe</creatorcontrib><creatorcontrib>Noel, Agnès</creatorcontrib><creatorcontrib>Sounni, Nor Eddine</creatorcontrib><title>Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells</title><title>The FEBS journal</title><addtitle>FEBS J</addtitle><description>Membrane type 4 matrix metalloproteinase (MT4‐MMP) [matrix metalloproteinase (MMP) 17] is a GPI‐anchored membrane‐type MMP expressed on the cell surface of human breast cancer cells. In triple‐negative breast cancer cells, MT4‐MMP promotes primary tumour growth and lung metastases. Although the trafficking and internalization of the transmembrane membrane type 1 MMP have been extensively investigated, little is known about the regulatory mechanisms of the GPI‐anchored MT4‐MMP. Here, we investigated the fate and cellular trafficking of MT4‐MMP by analysing its homophilic complex interactions, internalization and recycling dynamics as compared with an inert form, MT4‐MMP‐E249A. Oligomeric and dimeric complexes were analysed by cotransfection of cells with FLAG‐tagged or Myc‐tagged MT4‐MMP in reducing and nonreducing immunoblotting and coimmunoprecipitation experiments. The trafficking of MT4‐MMP was studied with an antibody feeding assay and confocal microscopy analysis or cell surface protein biotinylation and western blot analysis. We demonstrate that MT4‐MMP forms homophilic complexes at the cell surface, and internalizes in early endosomes, and that some of the enzyme is either autodegraded or recycled to the cell surface. Our data indicate that MT4‐MMP is internalized by the clathrin‐independent carriers/GPI‐enriched early endosomal compartments pathway, a mechanism that differs from that responsible for the internalization of other membrane‐type MMP members. Although MT4‐MMP localizes with caveolin‐1, MT4‐MMP internalization was not affected by inhibitors of caveolin‐1 or clathrin endocytosis pathways, but was reduced by CDC42 or RhoA silencing with small interfering RNA. We provide a new mechanistic insight into the regulatory mechanisms of MT4‐MMP, which may have implications for the design of novel therapeutic strategies for metastatic breast cancer.</description><subject>Animals</subject><subject>antibodies</subject><subject>biotinylation</subject><subject>Breast cancer</subject><subject>breast cancer cells</subject><subject>breast neoplasms</subject><subject>Breast Neoplasms - enzymology</subject><subject>Breast Neoplasms - pathology</subject><subject>Cells, Cultured</subject><subject>Cercopithecus aethiops</subject><subject>clathrin</subject><subject>confocal microscopy</subject><subject>COS Cells</subject><subject>endocytosis</subject><subject>endosomes</subject><subject>Female</subject><subject>Humans</subject><subject>Kinetics</subject><subject>matrix metalloproteinase</subject><subject>Matrix Metalloproteinases, Membrane-Associated - genetics</subject><subject>Matrix Metalloproteinases, Membrane-Associated - metabolism</subject><subject>metalloproteinases</subject><subject>metastasis</subject><subject>neoplasm cells</subject><subject>protein–protein interaction</subject><subject>small interfering RNA</subject><subject>surface proteins</subject><subject>trafficking</subject><subject>Western blotting</subject><issn>1742-464X</issn><issn>1742-4658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90c1OFTEUB_CJkQiiGx9Am7hBk4v9mnZmqQhiwo0mQOKuaTunWDLTubS90XHlmhXP6JPY4QILF3Zzuvj139OeqnpB8D4p650Dk_YJE7R-VO0QyemCi7p5_LDn37arpyldYsxq3rZPqm0qhGCYNjvV9ccp6MHbhEaHfMgQg-79L539GJAOHYpgJ9v7cDGD_B3QKo4DZJ1yMRYNMJioA6A8rQBxNOgc_U80i74fi83gg06A9pZn_M_vm-Xy65tyDzIRSgSyOliIyELfp2fVltN9gud3dbc6Pzo8OzhenHz59Png_cnC1jWrFxSgEdx0jrcYW9MZTaVsuNCGyw4bKZ2Q0LQt58RR07UtcdgClsAtMxRrtlvtbXJLd1drSFkNPs0dlGeM66SIFFLQBmNS6Ot_6OW4nn_oVom2YYTiot5ulI1jShGcWkU_6DgpgtU8ITVPSN1OqOCXd5FrM0D3QO9HUgDZgB--h-k_Uero8MPpfeirzRmnR6Uvok_q_JRiIjDGTSmM_QXhhaat</recordid><startdate>201602</startdate><enddate>201602</enddate><creator>Truong, Alice</creator><creator>Yip, Cassandre</creator><creator>Paye, Alexandra</creator><creator>Blacher, Silvia</creator><creator>Munaut, Carine</creator><creator>Deroanne, Christophe</creator><creator>Noel, Agnès</creator><creator>Sounni, Nor Eddine</creator><general>Published by Blackwell Pub. on behalf of the Federation of European Biochemical Societies</general><general>Blackwell Publishing Ltd</general><scope>FBQ</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>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7TM</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201602</creationdate><title>Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells</title><author>Truong, Alice ; Yip, Cassandre ; Paye, Alexandra ; Blacher, Silvia ; Munaut, Carine ; Deroanne, Christophe ; Noel, Agnès ; Sounni, Nor Eddine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5535-2ee864bdf4900cbdba277846ab47d0b77f67e899441f2bd991f0ce07e4c3b20a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Animals</topic><topic>antibodies</topic><topic>biotinylation</topic><topic>Breast cancer</topic><topic>breast cancer cells</topic><topic>breast neoplasms</topic><topic>Breast Neoplasms - enzymology</topic><topic>Breast Neoplasms - pathology</topic><topic>Cells, Cultured</topic><topic>Cercopithecus aethiops</topic><topic>clathrin</topic><topic>confocal microscopy</topic><topic>COS Cells</topic><topic>endocytosis</topic><topic>endosomes</topic><topic>Female</topic><topic>Humans</topic><topic>Kinetics</topic><topic>matrix metalloproteinase</topic><topic>Matrix Metalloproteinases, Membrane-Associated - genetics</topic><topic>Matrix Metalloproteinases, Membrane-Associated - metabolism</topic><topic>metalloproteinases</topic><topic>metastasis</topic><topic>neoplasm cells</topic><topic>protein–protein interaction</topic><topic>small interfering RNA</topic><topic>surface proteins</topic><topic>trafficking</topic><topic>Western blotting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Truong, Alice</creatorcontrib><creatorcontrib>Yip, Cassandre</creatorcontrib><creatorcontrib>Paye, Alexandra</creatorcontrib><creatorcontrib>Blacher, Silvia</creatorcontrib><creatorcontrib>Munaut, Carine</creatorcontrib><creatorcontrib>Deroanne, Christophe</creatorcontrib><creatorcontrib>Noel, Agnès</creatorcontrib><creatorcontrib>Sounni, Nor Eddine</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The FEBS journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Truong, Alice</au><au>Yip, Cassandre</au><au>Paye, Alexandra</au><au>Blacher, Silvia</au><au>Munaut, Carine</au><au>Deroanne, Christophe</au><au>Noel, Agnès</au><au>Sounni, Nor Eddine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells</atitle><jtitle>The FEBS journal</jtitle><addtitle>FEBS J</addtitle><date>2016-02</date><risdate>2016</risdate><volume>283</volume><issue>4</issue><spage>704</spage><epage>722</epage><pages>704-722</pages><issn>1742-464X</issn><eissn>1742-4658</eissn><abstract>Membrane type 4 matrix metalloproteinase (MT4‐MMP) [matrix metalloproteinase (MMP) 17] is a GPI‐anchored membrane‐type MMP expressed on the cell surface of human breast cancer cells. In triple‐negative breast cancer cells, MT4‐MMP promotes primary tumour growth and lung metastases. Although the trafficking and internalization of the transmembrane membrane type 1 MMP have been extensively investigated, little is known about the regulatory mechanisms of the GPI‐anchored MT4‐MMP. Here, we investigated the fate and cellular trafficking of MT4‐MMP by analysing its homophilic complex interactions, internalization and recycling dynamics as compared with an inert form, MT4‐MMP‐E249A. Oligomeric and dimeric complexes were analysed by cotransfection of cells with FLAG‐tagged or Myc‐tagged MT4‐MMP in reducing and nonreducing immunoblotting and coimmunoprecipitation experiments. The trafficking of MT4‐MMP was studied with an antibody feeding assay and confocal microscopy analysis or cell surface protein biotinylation and western blot analysis. We demonstrate that MT4‐MMP forms homophilic complexes at the cell surface, and internalizes in early endosomes, and that some of the enzyme is either autodegraded or recycled to the cell surface. Our data indicate that MT4‐MMP is internalized by the clathrin‐independent carriers/GPI‐enriched early endosomal compartments pathway, a mechanism that differs from that responsible for the internalization of other membrane‐type MMP members. Although MT4‐MMP localizes with caveolin‐1, MT4‐MMP internalization was not affected by inhibitors of caveolin‐1 or clathrin endocytosis pathways, but was reduced by CDC42 or RhoA silencing with small interfering RNA. We provide a new mechanistic insight into the regulatory mechanisms of MT4‐MMP, which may have implications for the design of novel therapeutic strategies for metastatic breast cancer.</abstract><cop>England</cop><pub>Published by Blackwell Pub. on behalf of the Federation of European Biochemical Societies</pub><pmid>26663028</pmid><doi>10.1111/febs.13625</doi><tpages>19</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1742-464X
ispartof The FEBS journal, 2016-02, Vol.283 (4), p.704-722
issn 1742-464X
1742-4658
language eng
recordid cdi_proquest_miscellaneous_1767628001
source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Free Content; Free Full-Text Journals in Chemistry
subjects Animals
antibodies
biotinylation
Breast cancer
breast cancer cells
breast neoplasms
Breast Neoplasms - enzymology
Breast Neoplasms - pathology
Cells, Cultured
Cercopithecus aethiops
clathrin
confocal microscopy
COS Cells
endocytosis
endosomes
Female
Humans
Kinetics
matrix metalloproteinase
Matrix Metalloproteinases, Membrane-Associated - genetics
Matrix Metalloproteinases, Membrane-Associated - metabolism
metalloproteinases
metastasis
neoplasm cells
protein–protein interaction
small interfering RNA
surface proteins
trafficking
Western blotting
title Dynamics of internalization and recycling of the prometastatic membrane type 4 matrix metalloproteinase (MT4‐MMP) in breast cancer cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T16%3A44%3A59IST&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=Dynamics%20of%20internalization%20and%20recycling%20of%20the%20prometastatic%20membrane%20type%204%20matrix%20metalloproteinase%20(MT4%E2%80%90MMP)%20in%20breast%20cancer%20cells&rft.jtitle=The%20FEBS%20journal&rft.au=Truong,%20Alice&rft.date=2016-02&rft.volume=283&rft.issue=4&rft.spage=704&rft.epage=722&rft.pages=704-722&rft.issn=1742-464X&rft.eissn=1742-4658&rft_id=info:doi/10.1111/febs.13625&rft_dat=%3Cproquest_cross%3E3959018751%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=1766983120&rft_id=info:pmid/26663028&rfr_iscdi=true