Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants

Ethiopian medicinal plants used for the treatment of a variety of ailments including infectious diseases were screened for activity against human immunodeficiency virus type 1 (HIV‐1) and type 2 (HIV‐2). Seventy‐one polar and nonpolar extracts derived from 21 plants belonging to 14 families were tes...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Phytotherapy research 2001-02, Vol.15 (1), p.62-69
Hauptverfasser: Asres, K., Bucar, F., Kartnig, T., Witvrouw, M., Pannecouque, C., De Clercq, E.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 69
container_issue 1
container_start_page 62
container_title Phytotherapy research
container_volume 15
creator Asres, K.
Bucar, F.
Kartnig, T.
Witvrouw, M.
Pannecouque, C.
De Clercq, E.
description Ethiopian medicinal plants used for the treatment of a variety of ailments including infectious diseases were screened for activity against human immunodeficiency virus type 1 (HIV‐1) and type 2 (HIV‐2). Seventy‐one polar and nonpolar extracts derived from 21 plants belonging to 14 families were tested for inhibition of viral replication using HIV‐1 (IIIB) and HIV‐2 (ROD) strains. Selective inhibition of viral growth was assessed by the simultaneous determination of the in vitro cytotoxicity of each of the extracts against MT‐4 cells. Six extracts made from the root bark of Bersama abyssinica Fresen, the leaves of Combretum paniculatum Vent., and Dodonaea angustifolia L.f., and the stem bark of Ximenia americana L. displayed antiviral activity at concentrations that were nontoxic to MT‐4 cells. The highest selective inhibition of HIV‐1 replication was observed with the acetone fraction of C. paniculatum and the methanol fraction of D. angustifolia which showed selectivity indices (ratio of 50% cytotoxic concentration to 50% effective antiviral concentration) of 6.4 and 4.9, and afforded cell protection of viral induced cytopathic effect of 100% and 99%, respectively, when compared with control samples. The greatest degree of antiviral activity against HIV‐2 was achieved with the acetone extract of C. paniculatum (EC50: 3 µg/mL), which also showed the highest selectivity index (32). The 50% cytotoxic concentration ranged from 0.5 µg/mL for the hexane extract of D. angustifolia L.f., the most cytotoxic of the extracts tested, to >250 µg/mL for some extracts such as the methanol fraction of Alcea rosea L., the least toxic tested. Only the polar extracts that were obtained by extraction with hydroalcohol, methanol or acetone exhibited inhibition of viral growth at subtoxic concentrations. The results obtained in this study enable the selection of extracts which show some specificity of action and support the further investigation of these extracts for their potential as new lead antiretroviral compounds. Copyright © 2001 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/1099-1573(200102)15:1<62::AID-PTR956>3.0.CO;2-X
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_17860783</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>17860783</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4516-cded05c165925acbd1bcec0cc252e8334e036e08a3cd50f0662f86e27ffb96703</originalsourceid><addsrcrecordid>eNqNkdFu0zAUhi0EYqXwCsgSElovUo6d2kkKQiplbJ02CtNgvbNcx6GGxAmxA-QxeGNcpSo3XOAbHx39_s7v8yOUEJgSAPqCQJZFhCXxKQUgQCeEzckrTufzxept9OH2JmP8dTyF6XL9kkabe2h0fHEfjSBjJJqRdHOCHjn3FQAyCrOH6IQQkgKjfIR-L6w3P0wrSyzVvvI9ll-ksc7jXVdJi01VdbbOdWGU0Vb1OKg7h33faEzw6cXqc0QmWNp8aNGhRSe4LrD2O1tvay-tUbIse-x0qZXXOT7zO1M3JvArnQeyDQaaUlrvHqMHhSydfnK4x-jTu7Pb5UV0tT5fLRdXkZoxwiOV6xyYIpxllEm1zclWaQVKUUZ1GsczDTHXkMpY5QwK4JwWKdc0KYptxhOIx-j5wG3a-nunnReVcUqXwYSuOydIknJIAmmM1oNQtbVzrS5E05pKtr0gIPYpif3OxX7nYkgp1IIIToUIKYkhJRELEMu1oGITiE8Po7tt-P5f3iGWIHh2EEgXFle00irjjro04-EE1c2g-mlK3f-_q3-aOnQCNBqgxnn96wiV7TfBkzhh4u79uWBvPl5fJpd34jr-A--hx1c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>17860783</pqid></control><display><type>article</type><title>Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Asres, K. ; Bucar, F. ; Kartnig, T. ; Witvrouw, M. ; Pannecouque, C. ; De Clercq, E.</creator><creatorcontrib>Asres, K. ; Bucar, F. ; Kartnig, T. ; Witvrouw, M. ; Pannecouque, C. ; De Clercq, E.</creatorcontrib><description>Ethiopian medicinal plants used for the treatment of a variety of ailments including infectious diseases were screened for activity against human immunodeficiency virus type 1 (HIV‐1) and type 2 (HIV‐2). Seventy‐one polar and nonpolar extracts derived from 21 plants belonging to 14 families were tested for inhibition of viral replication using HIV‐1 (IIIB) and HIV‐2 (ROD) strains. Selective inhibition of viral growth was assessed by the simultaneous determination of the in vitro cytotoxicity of each of the extracts against MT‐4 cells. Six extracts made from the root bark of Bersama abyssinica Fresen, the leaves of Combretum paniculatum Vent., and Dodonaea angustifolia L.f., and the stem bark of Ximenia americana L. displayed antiviral activity at concentrations that were nontoxic to MT‐4 cells. The highest selective inhibition of HIV‐1 replication was observed with the acetone fraction of C. paniculatum and the methanol fraction of D. angustifolia which showed selectivity indices (ratio of 50% cytotoxic concentration to 50% effective antiviral concentration) of 6.4 and 4.9, and afforded cell protection of viral induced cytopathic effect of 100% and 99%, respectively, when compared with control samples. The greatest degree of antiviral activity against HIV‐2 was achieved with the acetone extract of C. paniculatum (EC50: 3 µg/mL), which also showed the highest selectivity index (32). The 50% cytotoxic concentration ranged from 0.5 µg/mL for the hexane extract of D. angustifolia L.f., the most cytotoxic of the extracts tested, to &gt;250 µg/mL for some extracts such as the methanol fraction of Alcea rosea L., the least toxic tested. Only the polar extracts that were obtained by extraction with hydroalcohol, methanol or acetone exhibited inhibition of viral growth at subtoxic concentrations. The results obtained in this study enable the selection of extracts which show some specificity of action and support the further investigation of these extracts for their potential as new lead antiretroviral compounds. Copyright © 2001 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0951-418X</identifier><identifier>EISSN: 1099-1573</identifier><identifier>DOI: 10.1002/1099-1573(200102)15:1&lt;62::AID-PTR956&gt;3.0.CO;2-X</identifier><identifier>PMID: 11180526</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>AMT-4 cells ; antiviral activity ; Antiviral Agents - pharmacology ; Antiviral Agents - therapeutic use ; Bersama abyssinica ; Biological and medical sciences ; Combretum paniculatum ; Dodonaea angustifolia ; Ethiopia ; General pharmacology ; HIV Infections - drug therapy ; HIV-1 ; HIV-1 - drug effects ; HIV-2 ; HIV-2 - drug effects ; Human immunodeficiency virus 1 ; Human immunodeficiency virus 2 ; Humans ; Medical sciences ; Medicine, African Traditional ; Pharmacognosy. Homeopathy. Health food ; Pharmacology. Drug treatments ; Plant Extracts - pharmacology ; Plant Extracts - therapeutic use ; Plants, Medicinal ; T-Lymphocytes - drug effects ; Ximenia americana</subject><ispartof>Phytotherapy research, 2001-02, Vol.15 (1), p.62-69</ispartof><rights>Copyright © 2001 John Wiley &amp; Sons, Ltd.</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4516-cded05c165925acbd1bcec0cc252e8334e036e08a3cd50f0662f86e27ffb96703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1099-1573%28200102%2915%3A1%3C62%3A%3AAID-PTR956%3E3.0.CO%3B2-X$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1099-1573%28200102%2915%3A1%3C62%3A%3AAID-PTR956%3E3.0.CO%3B2-X$$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=896666$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11180526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asres, K.</creatorcontrib><creatorcontrib>Bucar, F.</creatorcontrib><creatorcontrib>Kartnig, T.</creatorcontrib><creatorcontrib>Witvrouw, M.</creatorcontrib><creatorcontrib>Pannecouque, C.</creatorcontrib><creatorcontrib>De Clercq, E.</creatorcontrib><title>Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants</title><title>Phytotherapy research</title><addtitle>Phytother. Res</addtitle><description>Ethiopian medicinal plants used for the treatment of a variety of ailments including infectious diseases were screened for activity against human immunodeficiency virus type 1 (HIV‐1) and type 2 (HIV‐2). Seventy‐one polar and nonpolar extracts derived from 21 plants belonging to 14 families were tested for inhibition of viral replication using HIV‐1 (IIIB) and HIV‐2 (ROD) strains. Selective inhibition of viral growth was assessed by the simultaneous determination of the in vitro cytotoxicity of each of the extracts against MT‐4 cells. Six extracts made from the root bark of Bersama abyssinica Fresen, the leaves of Combretum paniculatum Vent., and Dodonaea angustifolia L.f., and the stem bark of Ximenia americana L. displayed antiviral activity at concentrations that were nontoxic to MT‐4 cells. The highest selective inhibition of HIV‐1 replication was observed with the acetone fraction of C. paniculatum and the methanol fraction of D. angustifolia which showed selectivity indices (ratio of 50% cytotoxic concentration to 50% effective antiviral concentration) of 6.4 and 4.9, and afforded cell protection of viral induced cytopathic effect of 100% and 99%, respectively, when compared with control samples. The greatest degree of antiviral activity against HIV‐2 was achieved with the acetone extract of C. paniculatum (EC50: 3 µg/mL), which also showed the highest selectivity index (32). The 50% cytotoxic concentration ranged from 0.5 µg/mL for the hexane extract of D. angustifolia L.f., the most cytotoxic of the extracts tested, to &gt;250 µg/mL for some extracts such as the methanol fraction of Alcea rosea L., the least toxic tested. Only the polar extracts that were obtained by extraction with hydroalcohol, methanol or acetone exhibited inhibition of viral growth at subtoxic concentrations. The results obtained in this study enable the selection of extracts which show some specificity of action and support the further investigation of these extracts for their potential as new lead antiretroviral compounds. Copyright © 2001 John Wiley &amp; Sons, Ltd.</description><subject>AMT-4 cells</subject><subject>antiviral activity</subject><subject>Antiviral Agents - pharmacology</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Bersama abyssinica</subject><subject>Biological and medical sciences</subject><subject>Combretum paniculatum</subject><subject>Dodonaea angustifolia</subject><subject>Ethiopia</subject><subject>General pharmacology</subject><subject>HIV Infections - drug therapy</subject><subject>HIV-1</subject><subject>HIV-1 - drug effects</subject><subject>HIV-2</subject><subject>HIV-2 - drug effects</subject><subject>Human immunodeficiency virus 1</subject><subject>Human immunodeficiency virus 2</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medicine, African Traditional</subject><subject>Pharmacognosy. Homeopathy. Health food</subject><subject>Pharmacology. Drug treatments</subject><subject>Plant Extracts - pharmacology</subject><subject>Plant Extracts - therapeutic use</subject><subject>Plants, Medicinal</subject><subject>T-Lymphocytes - drug effects</subject><subject>Ximenia americana</subject><issn>0951-418X</issn><issn>1099-1573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkdFu0zAUhi0EYqXwCsgSElovUo6d2kkKQiplbJ02CtNgvbNcx6GGxAmxA-QxeGNcpSo3XOAbHx39_s7v8yOUEJgSAPqCQJZFhCXxKQUgQCeEzckrTufzxept9OH2JmP8dTyF6XL9kkabe2h0fHEfjSBjJJqRdHOCHjn3FQAyCrOH6IQQkgKjfIR-L6w3P0wrSyzVvvI9ll-ksc7jXVdJi01VdbbOdWGU0Vb1OKg7h33faEzw6cXqc0QmWNp8aNGhRSe4LrD2O1tvay-tUbIse-x0qZXXOT7zO1M3JvArnQeyDQaaUlrvHqMHhSydfnK4x-jTu7Pb5UV0tT5fLRdXkZoxwiOV6xyYIpxllEm1zclWaQVKUUZ1GsczDTHXkMpY5QwK4JwWKdc0KYptxhOIx-j5wG3a-nunnReVcUqXwYSuOydIknJIAmmM1oNQtbVzrS5E05pKtr0gIPYpif3OxX7nYkgp1IIIToUIKYkhJRELEMu1oGITiE8Po7tt-P5f3iGWIHh2EEgXFle00irjjro04-EE1c2g-mlK3f-_q3-aOnQCNBqgxnn96wiV7TfBkzhh4u79uWBvPl5fJpd34jr-A--hx1c</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Asres, K.</creator><creator>Bucar, F.</creator><creator>Kartnig, T.</creator><creator>Witvrouw, M.</creator><creator>Pannecouque, C.</creator><creator>De Clercq, E.</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><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>7U9</scope><scope>H94</scope></search><sort><creationdate>200102</creationdate><title>Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants</title><author>Asres, K. ; Bucar, F. ; Kartnig, T. ; Witvrouw, M. ; Pannecouque, C. ; De Clercq, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4516-cded05c165925acbd1bcec0cc252e8334e036e08a3cd50f0662f86e27ffb96703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>AMT-4 cells</topic><topic>antiviral activity</topic><topic>Antiviral Agents - pharmacology</topic><topic>Antiviral Agents - therapeutic use</topic><topic>Bersama abyssinica</topic><topic>Biological and medical sciences</topic><topic>Combretum paniculatum</topic><topic>Dodonaea angustifolia</topic><topic>Ethiopia</topic><topic>General pharmacology</topic><topic>HIV Infections - drug therapy</topic><topic>HIV-1</topic><topic>HIV-1 - drug effects</topic><topic>HIV-2</topic><topic>HIV-2 - drug effects</topic><topic>Human immunodeficiency virus 1</topic><topic>Human immunodeficiency virus 2</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medicine, African Traditional</topic><topic>Pharmacognosy. Homeopathy. Health food</topic><topic>Pharmacology. Drug treatments</topic><topic>Plant Extracts - pharmacology</topic><topic>Plant Extracts - therapeutic use</topic><topic>Plants, Medicinal</topic><topic>T-Lymphocytes - drug effects</topic><topic>Ximenia americana</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asres, K.</creatorcontrib><creatorcontrib>Bucar, F.</creatorcontrib><creatorcontrib>Kartnig, T.</creatorcontrib><creatorcontrib>Witvrouw, M.</creatorcontrib><creatorcontrib>Pannecouque, C.</creatorcontrib><creatorcontrib>De Clercq, E.</creatorcontrib><collection>Istex</collection><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>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Phytotherapy research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asres, K.</au><au>Bucar, F.</au><au>Kartnig, T.</au><au>Witvrouw, M.</au><au>Pannecouque, C.</au><au>De Clercq, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants</atitle><jtitle>Phytotherapy research</jtitle><addtitle>Phytother. Res</addtitle><date>2001-02</date><risdate>2001</risdate><volume>15</volume><issue>1</issue><spage>62</spage><epage>69</epage><pages>62-69</pages><issn>0951-418X</issn><eissn>1099-1573</eissn><abstract>Ethiopian medicinal plants used for the treatment of a variety of ailments including infectious diseases were screened for activity against human immunodeficiency virus type 1 (HIV‐1) and type 2 (HIV‐2). Seventy‐one polar and nonpolar extracts derived from 21 plants belonging to 14 families were tested for inhibition of viral replication using HIV‐1 (IIIB) and HIV‐2 (ROD) strains. Selective inhibition of viral growth was assessed by the simultaneous determination of the in vitro cytotoxicity of each of the extracts against MT‐4 cells. Six extracts made from the root bark of Bersama abyssinica Fresen, the leaves of Combretum paniculatum Vent., and Dodonaea angustifolia L.f., and the stem bark of Ximenia americana L. displayed antiviral activity at concentrations that were nontoxic to MT‐4 cells. The highest selective inhibition of HIV‐1 replication was observed with the acetone fraction of C. paniculatum and the methanol fraction of D. angustifolia which showed selectivity indices (ratio of 50% cytotoxic concentration to 50% effective antiviral concentration) of 6.4 and 4.9, and afforded cell protection of viral induced cytopathic effect of 100% and 99%, respectively, when compared with control samples. The greatest degree of antiviral activity against HIV‐2 was achieved with the acetone extract of C. paniculatum (EC50: 3 µg/mL), which also showed the highest selectivity index (32). The 50% cytotoxic concentration ranged from 0.5 µg/mL for the hexane extract of D. angustifolia L.f., the most cytotoxic of the extracts tested, to &gt;250 µg/mL for some extracts such as the methanol fraction of Alcea rosea L., the least toxic tested. Only the polar extracts that were obtained by extraction with hydroalcohol, methanol or acetone exhibited inhibition of viral growth at subtoxic concentrations. The results obtained in this study enable the selection of extracts which show some specificity of action and support the further investigation of these extracts for their potential as new lead antiretroviral compounds. Copyright © 2001 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>11180526</pmid><doi>10.1002/1099-1573(200102)15:1&lt;62::AID-PTR956&gt;3.0.CO;2-X</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0951-418X
ispartof Phytotherapy research, 2001-02, Vol.15 (1), p.62-69
issn 0951-418X
1099-1573
language eng
recordid cdi_proquest_miscellaneous_17860783
source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects AMT-4 cells
antiviral activity
Antiviral Agents - pharmacology
Antiviral Agents - therapeutic use
Bersama abyssinica
Biological and medical sciences
Combretum paniculatum
Dodonaea angustifolia
Ethiopia
General pharmacology
HIV Infections - drug therapy
HIV-1
HIV-1 - drug effects
HIV-2
HIV-2 - drug effects
Human immunodeficiency virus 1
Human immunodeficiency virus 2
Humans
Medical sciences
Medicine, African Traditional
Pharmacognosy. Homeopathy. Health food
Pharmacology. Drug treatments
Plant Extracts - pharmacology
Plant Extracts - therapeutic use
Plants, Medicinal
T-Lymphocytes - drug effects
Ximenia americana
title Antiviral activity against human immunodeficiency virus type 1 (HIV-1) and type 2 (HIV-2) of ethnobotanically selected Ethiopian medicinal plants
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T15%3A44%3A50IST&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=Antiviral%20activity%20against%20human%20immunodeficiency%20virus%20type%201%20(HIV-1)%20and%20type%202%20(HIV-2)%20of%20ethnobotanically%20selected%20Ethiopian%20medicinal%20plants&rft.jtitle=Phytotherapy%20research&rft.au=Asres,%20K.&rft.date=2001-02&rft.volume=15&rft.issue=1&rft.spage=62&rft.epage=69&rft.pages=62-69&rft.issn=0951-418X&rft.eissn=1099-1573&rft_id=info:doi/10.1002/1099-1573(200102)15:1%3C62::AID-PTR956%3E3.0.CO;2-X&rft_dat=%3Cproquest_cross%3E17860783%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=17860783&rft_id=info:pmid/11180526&rfr_iscdi=true